{"id":30463,"date":"2023-05-04T17:18:34","date_gmt":"2023-05-04T10:18:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30463"},"modified":"2023-05-15T14:04:08","modified_gmt":"2023-05-15T07:04:08","slug":"tang-kali","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tang-kali\/","title":{"rendered":"T\u0103ng Kali m\u00e1u trong b\u1ec7nh th\u1eadn: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n th\u1eadn. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 t\u0103ng kali m\u00e1u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u0103ng kali m\u00e1u v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng d\u1ee5ng.<\/strong><\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/h1>\n

Kali l\u00e0 m\u1ed9t ion d\u01b0\u01a1ng n\u1eb1m ch\u1ee7 y\u1ebfu trong t\u1ebf b\u00e0o v\u00e0 c\u00f3 vai tr\u00f2 quan tr\u1ecdng duy tr\u00ec t\u1ebf b\u00e0o ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. \u1ede ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng kali trong t\u1ebf b\u00e0o chi\u1ebfm 98-99% t\u1ed5ng l\u01b0\u1ee3ng kali c\u01a1 th\u1ec3. S\u1ef1 thay \u0111\u1ed5i kali trong m\u00e1u ph\u1ee5 thu\u1ed9c v\u00e0o th\u1ec3 t\u00edch d\u1ecbch n\u1ed9i – ngo\u1ea1i b\u00e0o, c\u00e2n b\u1eb1ng acid bazo. Ngo\u00e0i ra c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a protid, qu\u00e1 tr\u00ecnh ph\u00e2n b\u00e0o, y\u1ebfu t\u1ed1 t\u0103ng tr\u01b0\u1edfng. \u0110\u1ec3 duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng kali ngo\u00e0i t\u1ebf b\u00e0o l\u00e0 3,5-5 mmol\/l, trong t\u1ebf b\u00e0o l\u00e0 120-140mmol\/l.<\/p>\n

T\u0103ng kali m\u00e1u l\u00e0 khi n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u v\u01b0\u1ee3t qu\u00e1 5,0 mmol\/l. \u0110i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u t\u00edch c\u1ef1c do nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim, ng\u1eebng tim g\u00e2y t\u1eed vong.<\/p>\n

2. Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng Kali m\u00e1u<\/strong><\/h2>\n

M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng Kali m\u00e1u: do s\u1ef1 chuy\u1ec3n d\u1ecbch t\u1eeb n\u1ed9i b\u00e0o ra ngo\u1ea1i b\u00e0o, gi\u1ea3m b\u00e0i ti\u1ebft Kali do b\u1ec7nh l\u00fd \u1edf th\u1eadn, do b\u1ec7nh tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, do th\u1ee9c \u0103n c\u00f3 ch\u1ee9a nhi\u1ec1u kali, do m\u1ed9t s\u1ed1 thu\u1ed1c \u2026<\/p>\n

Kali t\u1eeb n\u1ed9i b\u00e0o ra ngo\u1ea1i b\u00e0o<\/strong><\/p>\n

Kali t\u1eeb n\u1ed9i b\u00e0o ra ngo\u1ea1i b\u00e0o<\/strong> l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Kali m\u00e1u. Th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n nhi\u1ec5m toan ceton trong b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, do s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef Kali, digoxin, thu\u1ed1c ch\u1eb9n beta, v\u00e0 suxamethonium…<\/p>\n

Nguy\u00ean nh\u00e2n t\u1ea1i th\u1eadn<\/strong><\/p>\n

Nguy\u00ean nh\u00e2n th\u1eadn bao g\u1ed3m suy th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh, t\u00ecnh tr\u1ea1ng nhi\u1ec5m toan \u1ed1ng th\u1eadn, th\u1eadn m\u1ea5t kh\u1ea3 n\u0103ng b\u00e0i xu\u1ea5t Kali. T\u00ecnh tr\u1ea1ng thi\u1ebfu hormon nh\u01b0 b\u1ec7nh Addison.<\/p>\n

Nguy\u00ean nh\u00e2n kh\u00e1c<\/strong><\/p>\n

T\u0103ng Kali m\u00e1u c\u0169ng c\u00f3 th\u1ec3 do b\u1ed5 sung qu\u00e1 nhi\u1ec1u kali do th\u1ee9c \u0103n nh\u01b0 chu\u1ed1i, nho, s\u00f4 c\u00f4 la ..ho\u1eb7c do truy\u1ec1n m\u00e1u, ho\u1eb7c do s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, l\u1ee3i ti\u1ec3u gi\u1eef kali. C\u00e1c nguy\u00ean nh\u00e2n n\u1ed9i sinh nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng, ti\u00eau c\u01a1 v\u00e2n, tan m\u00e1u, b\u1ecfng, h\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u.<\/p>\n

Gi\u1ea3 t\u0103ng Kali m\u00e1u<\/strong><\/p>\n

Gi\u1ea3 t\u0103ng kali m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng kali m\u00e1u do nh\u1eefng nguy\u00ean nh\u00e2n k\u1ef9 thu\u1eadt nh\u01b0 garo qu\u00e1 l\u00e2u khi l\u1ea5y m\u00e1u (>2 ph\u00fat c\u00f3 th\u1ec3 g\u00e2y ra tan m\u00e1u), ho\u1eb7c m\u1eabu m\u00e1u l\u01b0u tr\u1eef qu\u00e1 l\u00e2u tr\u01b0\u1edbc khi mang \u0111i x\u00e9t nghi\u1ec7m, c\u0169ng c\u00f3 th\u1ec3 th\u1ea5y \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd t\u0103ng b\u1ea1ch c\u1ea7u ho\u1eb7c ti\u1ec3u c\u1ea7u.<\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n t\u0103ng Kali m\u00e1u<\/strong><\/h2>\n

3.1. L\u00e2m s\u00e0ng<\/strong><\/h3>\n

T\u0103ng kali m\u00e1u th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng v\u1ec1 th\u1ea7n kinh c\u01a1 nh\u01b0 m\u1ec7t m\u1ecfi, suy nh\u01b0\u1ee3c, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, li\u1ec7t, v\u00e0 d\u1ecb c\u1ea3m. \u0110au ng\u1ef1c c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p, nguy\u00ean nh\u00e2n do gi\u1ea3m t\u01b0\u1edbi m\u00e1u c\u01a1 tim ho\u1eb7c nh\u1ecbp tim nhanh, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u0111\u1ebfn ng\u1eebng tim.<\/p>\n

3.2. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h3>\n

– T\u0103ng kali m\u00e1u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng x\u00e9t nghi\u1ec7m \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3. T\u0103ng kali m\u00e1u \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a khi n\u1ed3ng \u0111\u1ed9 kali m\u00e1u tr\u00ean 5,0 mmol\/L. Tuy nhi\u00ean, trong th\u1ef1c t\u1ebf, n\u1ed3ng \u0111\u1ed9 kali n\u00ean \u0111\u01b0\u1ee3c x\u00e9t c\u00f9ng v\u1edbi ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n, nh\u1eefng ng\u01b0\u1eddi suy th\u1eadn m\u00e3n t\u00ednh c\u00f3 kh\u1ea3 n\u0103ng dung n\u1ea1p kali cao h\u01a1n.<\/p>\n

– \u0110i\u1ec7n tim (ECG) khi c\u00f3 t\u0103ng Kali m\u00e1u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u ch\u00ednh c\u1ee7a \u0111i\u1ec7n tim trong t\u0103ng kali m\u00e1u:<\/p>\n

+ Giai \u0111o\u1ea1n s\u1edbm: th\u01b0\u1eddng g\u1eb7p l\u00e0 s\u00f3ng T cao, nh\u1ecdn (\u0111\u1eb7c bi\u1ec7t \u1edf c\u00e1c chuy\u1ec3n \u0111\u1ea1o tr\u01b0\u1edbc ng\u1ef1c), nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n t\u0103ng kali m\u00e1u tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ea7u ti\u00ean l\u00e0 nh\u1ecbp nhanh th\u1ea5t.<\/p>\n

+ Giai \u0111o\u1ea1n mu\u1ed9n:<\/p>\n

– K\u00e9o d\u00e0i kho\u1ea3ng PR.<\/p>\n

– Ph\u1ee9c h\u1ee3p QRS d\u00e3n r\u1ed9ng.<\/p>\n

– Nh\u1ecbp nhanh th\u1ea5t, cu\u1ed3ng nh\u0129, rung nh\u0129.<\/p>\n

– V\u00f4 t\u00e2m thu.<\/p>\n

L\u01b0u \u00fd n\u1ebfu \u0111i\u1ec7n tim b\u00ecnh th\u01b0\u1eddng c\u0169ng kh\u00f4ng lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c s\u1ef1 thay \u0111\u1ed5i \u1edf tim, ph\u1ea3i theo d\u00f5i \u0111i\u1ec7n tim li\u00ean t\u1ee5c \u0111\u1ec3 ph\u00e1t hi\u1ec7n m\u1ecdi bi\u1ebfn lo\u1ea1n, \u0111\u1eb7t bi\u1ec7t n\u1ebfu c\u00f3 k\u00e8m theo t\u00ecnh tr\u1ea1ng h\u1ea1 calci m\u00e1u v\u00e0 nhi\u1ec5m acid.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 C\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a ECG t\u01b0\u01a1ng \u1ee9ng theo m\u1ee9c Kali m\u00e1u. Ngu\u1ed3n: Acadoodle<\/strong><\/figcaption><\/figure>\n

3.3. Nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ea7n ph\u1ea3i c\u1ea5p c\u1ee9u ngay<\/strong><\/h3>\n

– \u0110i\u1ec7n t\u00e2m \u0111\u1ed3: S\u00f3ng T cao nh\u1ecdn, m\u1ea5t s\u00f3ng P ho\u1eb7c s\u00f3ng P d\u1eb9t<\/p>\n

– Kali > 7,0 mmol \/ L<\/p>\n

– T\u0103ng kali m\u00e1u nh\u1eb9 nh\u01b0ng c\u00f3 k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng (\u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, li\u1ec7t, y\u1ebfu c\u01a1)<\/p>\n

4. \u0110i\u1ec1u tr\u1ecb t\u0103ng Kali m\u00e1u<\/strong><\/h2>\n

4.1. Nguy\u00ean t\u1eafc chung<\/strong><\/h3>\n

– \u0110\u1ea3m b\u1ea3o 3 b\u01b0\u1edbc ACB trong c\u1ea5p c\u1ee9u n\u00f3i chung. Theo d\u00f5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, huy\u1ebft \u00e1p v\u00e0 SpO2. X\u00e9t nghi\u1ec7m ure, creatinin v\u00e0 \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3, t\u00ecnh tr\u1ea1ng nhi\u1ec5m acid chuy\u1ec3n ho\u00e1.<\/p>\n

– Ng\u1eebng cung c\u1ea5p kali d\u01b0\u1edbi m\u1ecdi h\u00ecnh th\u1ee9c (ch\u1ebf \u0111\u1ed9 \u0103n, kali \u0111\u01b0\u1eddng u\u1ed1ng, dung d\u1ecbch t\u0129nh m\u1ea1ch, nu\u00f4i d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a).<\/p>\n

– Ng\u1eebng v\u00e0 tr\u00e1nh c\u00e1c thu\u1ed1c c\u00f3 ch\u1ee9a kali (penicillin K).<\/p>\n

– Ng\u1eebng v\u00e0 tr\u00e1nh c\u00e1c thu\u1ed1c gi\u1eef kali (l\u1ee3i ti\u1ec3u gi\u1eef kali, \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin), ho\u1eb7c thu\u1ed1c g\u00e2y t\u00e1i ph\u00e2n ph\u1ed1i kali (succinylcholine).<\/p>\n

– \u0110i\u1ec1u tr\u1ecb c\u00e1c y\u1ebfu t\u1ed1 l\u00e0m chuy\u1ec3n kali ra ngo\u00e0i t\u1ebf b\u00e0o (toan h\u00f3a m\u00e1u, thi\u1ebfu insulin, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u).<\/p>\n

– Theo d\u00f5i kali huy\u1ebft thanh m\u1ed9t c\u00e1ch th\u01b0\u1eddng quy, x\u00e9t nghi\u1ec7m m\u1ed7i 2 gi\u1edd trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n.<\/p>\n

4.2. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3<\/strong><\/h3>\n
    \n
  • \u0110i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u t\u0103ng Kali m\u00e1u n\u1eb7ng<\/strong><\/li>\n<\/ul>\n

    – Thi\u1ebft l\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n

    – N\u1ebfu c\u00f3 s\u1ef1 thay \u0111\u1ed5i tr\u00ean ECG ho\u1eb7c Kali m\u00e1u > 6,5 mmol\/l th\u00ec cho ngay 10ml Canxi gluconate 10% \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch trong 2 ph\u00fat. L\u1eadp l\u1ea1i sau m\u1ed7i 15 ph\u00fat, nhi\u1ec1u nh\u1ea5t l\u00e0 5 l\u1ea7n cho \u0111\u1ebfn khi ECG tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng (t\u1ed1i \u0111a l\u00e0 50ml)<\/p>\n

    – S\u1eed d\u1ee5ng 10 \u0111\u01a1n v\u1ecb Insulin nhanh pha trong 50ml glucose 30% ti\u00eam t\u0129nh m\u1ea1ch trong 10 ph\u00fat<\/p>\n

      \n
    • \u0110i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p<\/strong><\/li>\n<\/ul>\n

      – Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng calci, ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng glucose, ch\u1ec9 \u0111\u1ecbnh Kh\u00ed dung 10 mg Salbutamol, sau \u0111\u00f3 hai gi\u1edd c\u00f3 th\u1ec3 cho th\u00eam m\u1ed9t li\u1ec1u th\u1ee9 hai 20 mg.<\/p>\n

      – L\u1ee3i ti\u1ec3u Furosemide ti\u00eam t\u0129nh m\u1ea1ch.<\/p>\n

      – B\u00f9 d\u1ecbch n\u1ebfu m\u1ea5t d\u1ecbch, truy\u1ec1n Natri bicarbonate \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u trong suy th\u1eadn m\u1ea1n t\u00ednh, toan h\u00f3a m\u00e1u.<\/p>\n

      – L\u1ecdc m\u00e1u ch\u1ec9 \u0111\u1ecbnh khi h\u00ecnh \u1ea3nh \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 b\u1ec7nh l\u00fd kh\u00f4ng bi\u1ebfn m\u1ea5t m\u1eb7c d\u00f9 \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n b\u1ecb ti\u00eau c\u01a1 v\u00e2n, ng\u1ed9 \u0111\u1ed9c digoxin, suy th\u1eadn c\u1ea5p, \u0111\u1ee3t c\u1ea5p suy th\u1eadn m\u1ea1n, ch\u1ea5n th\u01b0\u01a1ng, v\u00e0 thi\u1ec3u ni\u1ec7u. \u00c1p d\u1ee5ng \u1edf c\u00e1c \u0111\u01a1n v\u1ecb y t\u1ebf c\u00f3 ph\u01b0\u01a1ng ti\u1ec7n thi\u1ebft b\u1ecb. Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i cho m\u1ecdi nguy\u00ean nh\u00e2n t\u0103ng kali m\u00e1u.<\/p>\n

        \n
      • \u0110i\u1ec1u tr\u1ecb t\u0103ng kali m\u00e1u m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 v\u1eeba:<\/strong><\/li>\n<\/ul>\n

        + H\u1ea1t tranh ch\u1ea5p kali nh\u01b0 Kayexalate, resonium A 20-30g u\u1ed1ng m\u1ed7i 4 – 6h c\u00f9ng v\u1edbi thu\u1ed1c nhu\u1eadn tr\u00e0ng.<\/p>\n

        + Canxi resonium c\u00f3 t\u00e1c d\u1ee5ng trao \u0111\u1ed5i canxi v\u1edbi kali qua th\u00e0nh ru\u1ed9t.<\/p>\n

        + L\u1ee3i ti\u1ec3u<\/p>\n

        Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh th\u1eadn \u2013 ti\u1ebft ni\u1ec7u c\u1ee7a B\u1ed9 Y t\u1ebf 2015<\/p>\n","protected":false},"excerpt":{"rendered":"

        T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n th\u1eadn. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 t\u0103ng kali m\u00e1u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u0103ng kali m\u00e1u v\u00e0 […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"\nT\u0103ng Kali m\u00e1u trong b\u1ec7nh th\u1eadn: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u0103ng kali m\u00e1u l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n th\u1eadn. 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