{"id":30413,"date":"2023-05-02T22:16:01","date_gmt":"2023-05-02T15:16:01","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30413"},"modified":"2023-05-02T22:16:01","modified_gmt":"2023-05-02T15:16:01","slug":"dieu-tri-benh-dong-mach-chi-duoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/dieu-tri-benh-dong-mach-chi-duoi\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh- Ph\u1ea7n 2"},"content":{"rendered":"

B\u1ec7nh \u0111\u1ed9ng <\/span>m\u1ea1ch chi d\u01b0\u1edbi<\/span><\/a> m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh \u0111\u00fang c\u00e1ch v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ch\u1eb7n c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/strong><\/p>\n

\"B\u1ec7nh
\u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi<\/figcaption><\/figure>\n

4. \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng \u0111au c\u00e1ch h\u1ed3i<\/h2>\n


\n<\/strong>4.1. T\u1eadp v\u1eadn \u0111\u1ed9ng<\/h3>\n

T\u1eadp v\u1eadn \u0111\u1ed9ng l\u00e0 bi\u1ec7n ph\u00e1p quan tr\u1ecdng, b\u1eaft bu\u1ed9c trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n B\u0110MCD.
\nC\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf h\u01b0\u1edbng d\u1eabn theo khuy\u1ebfn c\u00e1o.
\nT\u1eadp v\u1eadn \u0111\u1ed9ng c\u1ea7n c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf, ng\u01b0\u1eddi tr\u1ee3 gi\u00fap, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c n\u1ec1n t\u1ea3ng c\u00f4ng ngh\u1ec7 hi\u1ec7n nay \u0111\u1ec3 gi\u00e1m s\u00e1t. Khi c\u00e1c bi\u1ec7n ph\u00e1p gi\u00e1m s\u00e1t l\u00e0 kh\u00f4ng kh\u1ea3 thi v\u00e0 kh\u00f4ng s\u1eb5n c\u00f3 th\u00ec v\u1eabn khuy\u1ebfn kh\u00edch ng\u01b0\u1eddi b\u1ec7nh t\u1ef1 t\u1eadp v\u1eadn \u0111\u1ed9ng m\u1ed9t c\u00e1ch t\u1ef1 gi\u00e1c.
\nKhi ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y b\u1ecb gi\u1ea3m s\u00fat nghi\u00eam tr\u1ecdng, c\u1ea7n c\u00e2n nh\u1eafc bi\u1ec7n ph\u00e1p t\u00e1i th\u00f4ng m\u1ea1ch k\u1ebft h\u1ee3p v\u1edbi li\u1ec7u ph\u00e1p t\u1eadp v\u1eadn \u0111\u1ed9ng.
\nB\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn t\u1eadp luy\u1ec7n \u00edt nh\u1ea5t 30 \u2013 45 ph\u00fat m\u1ed7i ng\u00e0y, t\u1ed1i thi\u1ec3u 3 l\u1ea7n\/tu\u1ea7n trong kho\u1ea3ng th\u1eddi gian \u00edt nh\u1ea5t l\u00e0 12 tu\u1ea7n, sau \u0111\u00f3 \u0111\u00e1nh gi\u00e1 l\u1ea1i v\u00e0 ti\u1ebfp t\u1ee5c v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng quy.<\/p>\n

4.2. S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/h3>\n

Cilostazol: \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n B\u0110MCD c\u00f3 \u0111au c\u00e1ch h\u1ed3i nh\u1eb1m c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 l\u00e0m t\u0103ng qu\u00e3ng \u0111\u01b0\u1eddng \u0111i \u0111\u01b0\u1ee3c. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: b\u1ec7nh nh\u00e2n suy tim, r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, d\u1ecb \u1ee9ng v\u1edbi cilostazol; th\u1eadn tr\u1ecdng v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3
\nnguy c\u01a1 ch\u1ea3y m\u00e1u cao. Li\u1ec1u s\u1eed d\u1ee5ng: cilostazol 100mg x 02 vi\u00ean\/ ng\u00e0y u\u1ed1ng tr\u01b0\u1edbc \u0103n 30 ph\u00fat ho\u1eb7c sau \u0103n 2 gi\u1edd.
\nPentoxifylline (400 mg u\u1ed1ng 3 l\u1ea7n\/ng\u00e0y): hi\u1ec7n kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng do hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng kh\u00f4ng \u0111\u00e1ng k\u1ec3 v\u00e0 kh\u00f4ng c\u00f3 l\u1ee3i \u00edch r\u00f5 r\u00e0ng.
\nC\u00e1c prostaglandin gi\u00e3n m\u1ea1ch (Iloprost) v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 l\u00e0m ph\u00e1t tri\u1ec3n mao m\u1ea1ch ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111au c\u00e1ch h\u1ed3i.<\/p>\n

5. \u0110i\u1ec1u tr\u1ecb t\u00e1i th\u00f4ng m\u1ea1ch m\u00e1u<\/h2>\n


\n<\/strong>5.1. Ch\u1ec9 \u0111\u1ecbnh<\/h3>\n

C\u00e1c b\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n thi\u1ebfu m\u00e1u chi tr\u1ea7m tr\u1ecdng ho\u1eb7c giai \u0111o\u1ea1n thi\u1ebfu m\u00e1u c\u00e1ch h\u1ed3i nh\u01b0ng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh t\u00e1i th\u00f4ng m\u1ea1ch. C\u00f3 hai k\u1ef9 thu\u1eadt t\u00e1i th\u00f4ng m\u1ea1ch l\u00e0 can thi\u1ec7p n\u1ed9i m\u1ea1ch v\u00e0 ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i v\u00e0\/ho\u1eb7c b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u.
\nD\u1ef1a v\u00e0o th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, ph\u00e2n \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng theo ph\u00e2n lo\u1ea1i c\u1ee7a \u0111\u1ed3ng thu\u1eadn li\u00ean \u0110\u1ea1i T\u00e2y D\u01b0\u01a1ng Trans-Atlantic Inter-Society Consensus (TASC II):
\nTASC A: l\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01a1n gi\u1ea3n, \u01b0u ti\u00ean can thi\u1ec7p n\u1ed9i m\u1ea1ch.
\nTASC B, C: l\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u1ee9c \u0111\u1ed9 trung b\u00ecnh, trong \u0111\u00f3 TASC B \u01b0u ti\u00ean h\u01a1n can thi\u1ec7p n\u1ed9i m\u1ea1ch, TASC C nghi\u00eang v\u1ec1 ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i.
\nTASC D l\u00e0 t\u1ed5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p, \u01b0u ti\u00ean ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i.<\/p>\n

5.2. Chi\u1ebfn l\u01b0\u1ee3c t\u00e1i th\u00f4ng m\u1ea1ch trong t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 theo khu v\u1ef1c t\u1ed5n th\u01b0\u01a1ng<\/h3>\n

5.2.1. T\u1ed5n th\u01b0\u01a1ng t\u1ea7ng ch\u1ee7 – ch\u1eadu<\/h4>\n


\n<\/em>Chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p n\u1ed9i m\u1ea1ch \u0111\u01b0\u1ee3c \u01b0u ti\u00ean ch\u1ec9 \u0111\u1ecbnh cho c\u00e1c t\u1ed5n th\u01b0\u01a1ng h\u1eb9p ng\u1eafn (< 5 cm).
\nPh\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 \u0111\u00f9i n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t trong t\u1eafc ch\u1ee7- ch\u1eadu cho b\u1ec7nh nh\u00e2n ph\u00f9 h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt.
\n\u1ede b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u b\u1ec7nh ph\u1ed1i h\u1ee3p k\u00e8m theo, chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p n\u1ed9i m\u1ea1ch n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ea7u ti\u00ean k\u1ec3 c\u1ea3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u00e0i v\u00e0\/ho\u1eb7c hai b\u00ean.
\nPh\u1eabu thu\u1eadt \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n t\u1eafc \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 lan t\u1edbi \u0111\u1ed9ng m\u1ea1ch th\u1eadn.
\nTrong tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng k\u00e9o d\u00e0i t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1eadu \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i, k\u1ebft h\u1ee3p \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch ch\u1eadu v\u00e0 m\u1ed5 b\u00f3c n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i ho\u1eb7c l\u00e0m c\u1ea7u n\u1ed1i n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t.<\/p>\n

5.2.2. T\u1ed5n th\u01b0\u01a1ng t\u1ea7ng \u0111\u00f9i \u2013 khoeo<\/h4>\n


\n<\/em>Chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p n\u1ed9i m\u1ea1ch \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ng\u1eafn < 25cm. C\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn \u0111\u1eb7t stent th\u00ec \u0111\u1ea7u v\u00e0\/ho\u1eb7c nong b\u1eb1ng b\u00f3ng ph\u1ee7 thu\u1ed1c.
\n\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 nguy c\u01a1 ph\u1eabu thu\u1eadt cao, ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i n\u00f4ng d\u00e0i \u2265 25cm, t\u0129nh m\u1ea1ch t\u1ef1 th\u00e2n s\u1eb5n c\u00f3 v\u00e0 k\u00ec v\u1ecdng s\u1ed1ng > 2 n\u0103m. T\u0129nh m\u1ea1ch hi\u1ec3n t\u1ef1 th\u00e2n l\u00e0 l\u1ef1a ch\u1ecdn cho b\u1eafc c\u1ea7u\u0111\u00f9i- khoeo, trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 t\u0129nh m\u1ea1ch hi\u1ec3n t\u1ef1 th\u00e2n n\u00e0o, vi\u1ec7c s\u1eed d\u1ee5ng c\u1ea7u n\u1ed1i nh\u00e2n t\u1ea1o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t.
\n\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u00f9 h\u1ee3p cho ph\u1eabu thu\u1eadt, can thi\u1ec7p n\u1ed9i m\u1ea1ch c\u00f3 th\u1ec3 xem x\u00e9t \u1edf nh\u1eefng t\u1ed5n th\u01b0\u01a1ng d\u00e0i \u2265 25cm.<\/p>\n

5.2.3. T\u1ed5n th\u01b0\u01a1ng t\u1ea7ng d\u01b0\u1edbi g\u1ed1i<\/h4>\n


\n<\/em>Ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u t\u0129nh m\u1ea1ch hi\u1ec3n n\u00ean \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/p>\n

6. Ch\u0103m s\u00f3c v\u1ebft lo\u00e9t v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/h2>\n


\n<\/strong>Ph\u1ed1i h\u1ee3p c\u00e1c chuy\u00ean khoa kh\u00e1c: n\u1ed9i ti\u1ebft chuy\u1ec3n h\u00f3a, ch\u1ea5n th\u01b0\u01a1ng ch\u1ec9nh h\u00ecnh, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng…
\nC\u00e1c v\u1ebft lo\u00e9t n\u00ean \u0111\u01b0\u1ee3c gi\u1eef kh\u00f4 v\u00e0 ch\u0103m s\u00f3c b\u1eb1ng c\u00e1c lo\u1ea1i g\u1ea1c m\u1ee1 kh\u00f4ng d\u00ednh. N\u1ebfu c\u00f3 nhi\u1ec5m tr\u00f9ng, n\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh to\u00e0n th\u00e2n.
\nGi\u1eef cho b\u00e0n ch\u00e2n lu\u00f4n s\u1ea1ch, tr\u00e1nh tr\u1ea7y x\u01b0\u1edbc hay ch\u1ea5n th\u01b0\u01a1ng. Gi\u00e0y ph\u1ea3i ch\u1ecdn lo\u1ea1i c\u00f3 k\u00edch c\u1ee1 ph\u00f9 h\u1ee3p v\u00e0 c\u00f3 da m\u1ec1m \u0111\u1ec3 kh\u00f4ng l\u00e0m sang ch\u1ea5n v\u00e0 g\u00e2y thi\u1ebfu m\u00e1u b\u00e0n ch\u00e2n. Gi\u01b0\u1eddng n\u1eb1m n\u00ean \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 ph\u1ea7n ch\u00e2n \u1edf th\u1ea5p h\u01a1n m\u1ee9c tim.
\nCh\u1ec9 \u0111\u1ecbnh c\u1eaft c\u1ee5t chi:
\n\u25cf Ho\u1ea1i t\u1eed n\u1eb7ng chi d\u01b0\u1edbi kh\u00f4ng th\u1ec3 t\u00e1i th\u00f4ng m\u1ea1ch.
\n\u25cf T\u1ed5n th\u01b0\u01a1ng chi k\u00e8m theo nhi\u1ec5m khu\u1ea9n n\u1eb7ng.
\n\u25cf T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u k\u00e8m theo t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh (m\u1ea5t c\u1ea3m gi\u00e1c, m\u1ea5tv\u1eadn \u0111\u1ed9ng g\u1ea5p, du\u1ed7i).<\/p>\n

7. K\u1ebft lu\u1eadn<\/h2>\n

T\u1ea7m quan tr\u1ecdng c\u1ee7a \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh l\u00e0 r\u1ea5t l\u1edbn. Vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, s\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb v\u00e0 qu\u00e1 tr\u00ecnh can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch c\u00f3 th\u1ec3 gi\u1ea3m \u0111\u00e1ng k\u1ec3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 \u0111i\u1ec7n xung huy\u1ec7t v\u00e0 lazer c\u0169ng \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u \u0111\u1ec3 \u00e1p d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi.<\/p>\n

Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n, c\u0169ng nh\u01b0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 tu\u1ed5i, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t v\u00e0 l\u1ecbch s\u1eed b\u1ec7nh l\u00fd. \u0110i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi \u0111\u1ecbnh k\u1ef3 l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh \u0111\u00fang c\u00e1ch v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ch\u1eb7n c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng […]<\/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":"\n\u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh- Ph\u1ea7n 2 - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh gi\u00fap ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.\" \/>\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=\"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ea1n t\u00ednh- Ph\u1ea7n 2 - 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