{"id":30316,"date":"2023-05-02T07:46:23","date_gmt":"2023-05-02T00:46:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30316"},"modified":"2023-05-02T07:46:23","modified_gmt":"2023-05-02T00:46:23","slug":"can-lam-sang-benh-dong-mach-chi-duoi-man-tinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/can-lam-sang-benh-dong-mach-chi-duoi-man-tinh\/","title":{"rendered":"C\u1eadn l\u00e2m s\u00e0ng b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh-Ph\u1ea7n 1"},"content":{"rendered":"

B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi<\/a> m\u1ea1n t\u00ednh l\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn ho\u1eb7c co th\u1eaft c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au khi \u0111i b\u1ed9, \u0111au khi n\u1eb1m xu\u1ed1ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn b\u00e0n ch\u00e2n. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh, c\u00e1c th\u0103m d\u00f2 c\u1eadn l\u00e2m b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh s\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd xem x\u00e9t c\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 c\u1eadn l\u00e2m s\u00e0ng th\u00f4ng d\u1ee5ng trong b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh.<\/strong><\/p>\n

\"B\u1ec7nh
B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi<\/figcaption><\/figure>\n


\n<\/strong>1. Ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p c\u1ed5 ch\u00e2n – c\u00e1nh tay (ABI)<\/h2>\n

Ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p c\u1ed5 ch\u00e2n – c\u00e1nh tay (ABI: Ankle Brachial Index) l\u00e0 t\u1ec9 s\u1ed1 gi\u1eefa huy\u1ebft \u00e1p t\u00e2m thu l\u1edbn nh\u1ea5t \u0111o \u0111\u01b0\u1ee3c \u1edf c\u1ed5 ch\u00e2n t\u1eebng b\u00ean (\u0111\u1ed9ng m\u1ea1ch ch\u00e0y tr\u01b0\u1edbc ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch ch\u00e0y sau) v\u1edbi huy\u1ebft \u00e1p t\u00e2m thu \u0111o \u0111\u01b0\u1ee3c \u1edf c\u00e1nh tay (b\u00ean c\u00f3 tr\u1ecb s\u1ed1 cao h\u01a1n). C\u00f3 th\u1ec3 \u0111o b\u1eb1ng m\u00e1y \u0111o huy\u1ebft \u00e1p th\u00f4ng th\u01b0\u1eddng theo h\u01b0\u1edbng d\u1eabn, nh\u01b0ng t\u1ed1t nh\u1ea5t l\u00e0 s\u1eed d\u1ee5ng m\u00e1y \u0111o \u0111i\u1ec7n t\u1eed chuy\u00ean d\u1ee5ng.
\nABI c\u00f3 gi\u00e1 tr\u1ecb trong s\u00e0ng l\u1ecdc, ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh:
\n– ABI < 0,9: C\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n B\u0110MCD v\u1edbi \u0111\u1ed9 nh\u1ea1y 79%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 96%.
\n– ABI < 0,5: Nguy c\u01a1 c\u1eaft c\u1ee5t chi cao.
\n– ABI > 1,4: \u0110\u1ed9ng m\u1ea1ch c\u1ee9ng, v\u00f4i h\u00f3a, th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh…
\n\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi, c\u1ea7n ph\u00e2n t\u00edch ABI c\u1ee7a t\u1eebng b\u00ean ch\u00e2n ri\u00eang r\u1ebd. \u0110\u1ec3 ph\u00e2n t\u1ea7ng nguy c\u01a1, tr\u1ecb s\u1ed1 ABI \u0111\u01b0\u1ee3c l\u1ea5y \u1edf b\u00ean ch\u00e2n m\u00e0 c\u00f3 tr\u1ecb s\u1ed1 th\u1ea5p h\u01a1n.
\nM\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf c\u1ee7a ABI:
\n<\/em><\/strong>– Kh\u00f4ng ph\u00e2n t\u00edch \u0111\u01b0\u1ee3c khi \u0111\u1ed9ng m\u1ea1ch c\u1ee9ng (b\u1ec7nh nh\u00e2n cao tu\u1ed5i, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn\u2026)
\n– ABI khi ngh\u1ec9 c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng khi t\u1ed5n th\u01b0\u01a1ng t\u1ea7ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng – \u0111\u1ed9ng m\u1ea1ch ch\u1eadu.
\n– Kh\u00f4ng m\u00f4 t\u1ea3 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 h\u1ea1n ch\u1ebf g\u1eafng s\u1ee9c.
\n– ABI b\u00ecnh th\u01b0\u1eddng khi ngh\u1ec9, c\u00f3 th\u1ec3 gi\u1ea3m sau khi g\u1eafng s\u1ee9c.<\/p>\n

2. Ch\u1ec9 s\u1ed1 ng\u00f3n ch\u00e2n – c\u00e1nh tay (TBI)<\/h2>\n

Ch\u1ec9 s\u1ed1 ng\u00f3n ch\u00e2n – c\u00e1nh tay (TBI: Toe Brachial Index) l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 \u0111\u00e1ng tin c\u1eady h\u01a1n v\u1ec1 t\u01b0\u1edbi m\u00e1u chi \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn m\u1ea1n v\u00ec c\u00e1c m\u1ea1ch nh\u1ecf c\u1ee7a ng\u00f3n ch\u00e2n th\u01b0\u1eddng kh\u00f4ng b\u1ecb v\u00f4i h\u00f3a n\u1ed9i m\u1ea1c. TBI \u0111\u1eb7c bi\u1ec7t c\u00f3 gi\u00e1 tr\u1ecb khi ABI l\u1edbn h\u01a1n
\n1,4.
\nTBI = Huy\u1ebft \u00e1p t\u00e2m thu \u0111o t\u1ea1i ng\u00f3n ch\u00e2n\/Huy\u1ebft \u00e1p t\u00e2m thu \u0111o t\u1ea1i c\u00e1nh tay (b\u00ean l\u1edbn h\u01a1n).
\nThay v\u00ec \u0111o huy\u1ebft \u00e1p c\u1ed5 ch\u00e2n nh\u01b0 trong c\u00e1ch \u0111o ch\u1ec9 s\u1ed1 ABI, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1ebd \u0111o huy\u1ebft \u00e1p ngay t\u1ea1i ng\u00f3n ch\u00e2n (ng\u00f3n c\u00e1i ho\u1eb7c ng\u00f3n th\u1ee9 hai) s\u1eed d\u1ee5ng b\u0103ng cu\u1ed1n nh\u1ecf (v\u00f2ng cu\u1ed1n) chuy\u00ean d\u1ee5ng v\u00e0 c\u1ea3m bi\u1ebfn h\u1ed3ng ngo\u1ea1i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 huy\u1ebft \u00e1p t\u1ea1i ng\u00f3n n\u00e0y.
\nT\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c ph\u00e9p \u0111o huy\u1ebft \u00e1p \u1edf m\u1eaft c\u00e1 ch\u00e2n v\u00e0 c\u1ed5 tay, v\u00f2ng cu\u1ed1n ng\u00f3n ch\u00e2n \u0111\u01b0\u1ee3c b\u01a1m ph\u1ed3ng cho \u0111\u1ebfn khi d\u1ea1ng s\u00f3ng PPG ph\u1eb3ng, v\u00e0 sau \u0111\u00f3 v\u00f2ng b\u00edt x\u1ea3 h\u01a1i t\u1eeb t\u1eeb.
\nHuy\u1ebft \u00e1p t\u00e2m thu \u0111\u01b0\u1ee3c ghi l\u1ea1i t\u1ea1i \u0111i\u1ec3m m\u00e0 d\u1ea1ng s\u00f3ng c\u01a1 s\u1edf \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp l\u1ea1i. TBI b\u00ecnh th\u01b0\u1eddng > 0,7. TBI c\u00f3 \u0111\u1ed9 nh\u1ea1y t\u1eeb 90 – 100%, \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 65 – 100%, l\u00e0 m\u1ed9t trong nh\u1eefng th\u00f4ng s\u1ed1 \u0111\u1ec3 ti\u00ean l\u01b0\u1ee3ng bi\u1ebfn c\u1ed1 tim m\u1ea1ch.
\n\u25cf Huy\u1ebft \u00e1p t\u00e2m thu ng\u00f3n ch\u00e2n > 30 mmHg thu\u1eadn l\u1ee3i cho vi\u1ec7c ch\u1eefa l\u00e0nh v\u1ebft th\u01b0\u01a1ng n\u00f3i chung v\u00e0 y\u00eau c\u1ea7u \u0111\u1ec3 ch\u1eefa l\u00e0nh \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 > 45 – 55 mmHg.
\n\u25cf \u00c1p l\u1ef1c ng\u00f3n ch\u00e2n r\u1ea5t h\u1eefu \u00edch \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u01b0\u1edbi m\u00e1u \u1edf c\u1ea5p \u0111\u1ed9 c\u1ee7a b\u00e0n ch\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 m\u1ea1ch m\u00e1u x\u01a1 c\u1ee9ng, tuy nhi\u00ean kh\u00f4ng c\u00f3 gi\u00e1 tr\u1ecb \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u1ecb tr\u00ed h\u1eb9p t\u1eafc.<\/p>\n

3. Si\u00eau \u00e2m Doppler \u0111\u1ed9ng m\u1ea1ch<\/h2>\n

Si\u00eau \u00e2m 2D<\/p>\n


\n<\/em>C\u00f3 2 m\u1eb7t c\u1eaft c\u01a1 b\u1ea3n d\u1ecdc v\u00e0 ngang qua \u0111o\u1ea1n m\u1ea1ch b\u1ecb t\u1ed5n th\u01b0\u01a1ng.
\nSi\u00eau \u00e2m 2D gi\u00fap nh\u1eadn \u0111\u1ecbnh b\u1ea3n ch\u1ea5t v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng: X\u01a1 v\u1eefa, huy\u1ebft kh\u1ed1i, vi\u00eam m\u1ea1ch\u2026
\nSi\u00eau \u00e2m 2D gi\u00fap x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 h\u1eb9p\/t\u1eafc th\u00f4ng qua ch\u1ec9 s\u1ed1 h\u1eb9p \u0111o \u0111\u01b0\u1ee3c tr\u00ean di\u1ec7n t\u00edch hay b\u00e1n k\u00ednh.<\/p>\n

Si\u00eau \u00e2m Doppler m\u00e0u<\/p>\n


\n<\/em>D\u1ef1a tr\u00ean nguy\u00ean l\u00fd ph\u1ed5 si\u00eau \u00e2m Doppler ph\u1ea3n \u00e1nh d\u00f2ng m\u00e1u ch\u1ea3y trong l\u00f2ng m\u1ea1ch v\u00e0 qua c\u00e1c v\u1ecb tr\u00ed h\u1eb9p \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 h\u1eb9p t\u1eafc c\u1ee7a m\u1ea1ch m\u00e1u th\u00f4ng qua t\u00edn hi\u1ec7u, h\u00ecnh th\u00e1i, t\u1ed1c \u0111\u1ed9 d\u00f2ng ch\u1ea3y \u0111o \u0111\u1ea1c \u0111\u01b0\u1ee3c. C\u00f3 hai lo\u1ea1i si\u00eau \u00e2m Doppler l\u00e0 \u0111\u00e1nh gi\u00e1 m\u00e3 h\u00f3a d\u00f2ng ch\u1ea3y b\u1eb1ng m\u00e0u s\u1eafc (Doppler m\u00e0u) v\u00e0 \u0111\u00e1nh gi\u00e1 d\u00f2ng ch\u1ea3y ng\u1eaft qu\u00e3ng theo nh\u1ecbp (Doppler xung).
\nTrong l\u00f2ng \u0111\u1ed9ng m\u1ea1ch t\u1ea1i v\u1ecb tr\u00ed h\u1eb9p: Ph\u1ed5 Doppler m\u00e0u t\u0103ng s\u00e1ng, v\u1edbi d\u1ea5u hi\u1ec7u aliasing \u1edf n\u01a1i h\u1eb9p nh\u1ea5t, ph\u1ea3n \u00e1nh s\u1ef1 t\u0103ng v\u1eadn t\u1ed1c c\u1ee7a d\u00f2ng m\u00e1u (d\u00f2ng r\u1ed1i). Ho\u1eb7c kh\u00f4ng ghi \u0111\u01b0\u1ee3c t\u00edn hi\u1ec7u Doppler m\u00e0u v\u1edbi t\u1ed5n th\u01b0\u01a1ng t\u1eafc ho\u00e0n to\u00e0n.
\nNgay sau v\u1ecb tr\u00ed h\u1eb9p: C\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y ph\u1ed5 Doppler m\u00e0u c\u00f3 d\u1ea1ng kh\u1ea3m (mosaic) do d\u00f2ng r\u1ed1i, c\u00f3 th\u1ec3 k\u00e8m theo h\u00ecnh \u1ea3nh nhi\u1ec5u quanh m\u1ea1ch m\u00e1u do d\u00f2ng ch\u1ea3y b\u1ecb h\u1eb9p g\u00e2y rung c\u00e1c c\u1ea5u tr\u00fac m\u00f4 l\u00e2n c\u1eadn.<\/p>\n

Si\u00eau \u00e2m Doppler xung<\/p>\n


\n<\/em>S\u1ef1 t\u0103ng t\u1ed1c v\u00e0 ph\u00e2n t\u00e1n c\u1ee7a ph\u1ed5 Doppler t\u1ea1i v\u1ecb tr\u00ed h\u1eb9p: T\u0103ng v\u1eadn t\u1ed1c t\u00e2m thu t\u1ed1i \u0111a l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a h\u1eb9p \u0111\u1ed9ng m\u1ea1ch. T\u00edn hi\u1ec7u \u00e2m thanh t\u1ea1i v\u1ecb tr\u00ed h\u1eb9p c\u00f3 \u00e2m v\u1ef1c cao, nghe s\u1eafc, ng\u1eafn g\u1ecdn v\u00e0 r\u00f5 n\u00e9t. Khi \u0111\u1ed9ng m\u1ea1ch h\u1eb9p kh\u00edt, \u00e2m thanh l\u00e0 ti\u1ebfng r\u00edt s\u1eafc nh\u1ecdn.
\nS\u1ef1 gia t\u0103ng v\u1eadn t\u1ed1c t\u1ed1i \u0111a ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 h\u1eb9p c\u1ee7a l\u00f2ng m\u1ea1ch, tuy nhi\u00ean khi h\u1eb9p tr\u00ean 90% l\u00f2ng m\u1ea1ch th\u00ec c\u00f3 s\u1ef1 chuy\u1ec3n h\u01b0\u1edbng theo chi\u1ec1u ng\u01b0\u1ee3c l\u1ea1i do gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n. Khi t\u1ed5n th\u01b0\u01a1ng t\u1eafc ho\u00e0n to\u00e0n, t\u1ed1c \u0111\u1ed9 t\u1ea1i t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng 0, t\u1ee9c
\nl\u00e0 kh\u00f4ng ghi \u0111\u01b0\u1ee3c t\u00edn hi\u1ec7u Doppler xung.
\nD\u1ea5u hi\u1ec7u gi\u00e1n ti\u1ebfp: Ph\u1ea3n \u00e1nh huy\u1ebft \u0111\u1ed9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed1i v\u1edbi \u0111\u1ed9ng m\u1ea1ch sau v\u1ecb tr\u00ed h\u1eb9p. D\u1ea5u hi\u1ec7u gi\u00e1n ti\u1ebfp c\u00e0ng r\u00f5 r\u00e0ng ch\u1ee9ng t\u1ecf h\u1eb9p c\u00e0ng tr\u1ea7m tr\u1ecdng. Tuy nhi\u00ean c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 v\u00e0 m\u1ee9c \u0111\u1ed9 gi\u00e3n c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ph\u00eda
\nh\u1ea1 l\u01b0u. \u0110\u1ed1i v\u1edbi m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng th\u00ec c\u00f3 bi\u1ec3u hi\u1ec7n kh\u00e1c nhau:
\n.<\/strong> H\u1eb9p nh\u1eb9 \u0111\u1ebfn v\u1eeba: Gi\u1ea3m t\u1ed1c \u0111\u1ed9 t\u00e2m thu t\u1ed1i \u0111a do gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n, ch\u1ec9 s\u1ed1 m\u1ea1ch \u0111\u1eadp gi\u1ea3m.
\n.<\/strong> H\u1eb9p kh\u00edt ho\u1eb7c t\u1eafc ho\u00e0n to\u00e0n: Ph\u1ed5 Doppler d\u1ea1ng m\u1ed9t pha sau h\u1eb9p c\u00f3 d\u1ea1ng v\u00f2m, Vmax t\u00e2m tr\u01b0\u01a1ng r\u1ea5t gi\u1ea3m, th\u1eddi gian t\u00e2m thu t\u1ed1i \u0111a k\u00e9o d\u00e0i, s\u00f3ng ph\u1ea3n h\u1ed3i \u0111\u1ea7u t\u00e2m tr\u01b0\u01a1ng m\u1ea5t, ho\u1eb7c thay th\u1ebf b\u1edfi m\u1ed9t ph\u1ed5 d\u01b0\u01a1ng c\u1ee7a s\u00f3ng t\u00e2m tr\u01b0\u01a1ng.
\n.<\/strong> T\u00edn hi\u1ec7u Doppler ph\u00eda tr\u01b0\u1edbc v\u1ecb tr\u00ed h\u1eb9p\/t\u1eafc \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u00f3ng t\u00e2m thu – t\u00e2m tr\u01b0\u01a1ng do t\u0103ng s\u1ee9c c\u1ea3n ngo\u1ea1i bi\u00ean: Ch\u1ec9 s\u1ed1 s\u1ee9c c\u1ea3n v\u00e0 ch\u1ec9 s\u1ed1 m\u1ea1ch \u0111\u1eadp t\u0103ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh l\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn ho\u1eb7c co th\u1eaft c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au khi \u0111i b\u1ed9, \u0111au khi n\u1eb1m xu\u1ed1ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn b\u00e0n ch\u00e2n. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a […]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nC\u1eadn l\u00e2m s\u00e0ng b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh-Ph\u1ea7n 1 - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh c\u00e1c th\u0103m d\u00f2 c\u1eadn l\u00e2m b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh s\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u1eadn l\u00e2m s\u00e0ng b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh-Ph\u1ea7n 1 - 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