{"id":30512,"date":"2023-05-02T22:12:56","date_gmt":"2023-05-02T15:12:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30512"},"modified":"2023-05-02T22:12:56","modified_gmt":"2023-05-02T15:12:56","slug":"dieu-tri-tac-dong-mach-chi-duoi-cap-tinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/dieu-tri-tac-dong-mach-chi-duoi-cap-tinh\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh"},"content":{"rendered":"

T\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi<\/a> c\u1ea5p t\u00ednh l\u00e0 tr\u1ea1ng th\u00e1i \u0111\u00f4ng m\u00e1u trong t\u0129nh m\u1ea1ch s\u00e2u c\u1ee7a chi b\u00ean d\u01b0\u1edbi. \u0110i\u1ec1u tr\u1ecb t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh<\/span>\u00a0bao g\u1ed3m m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/span><\/strong><\/p>\n

1. \u0110i\u1ec1u tr\u1ecb<\/span><\/span><\/h2>\n

Ngay sau khi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o v\u1ec1 quy t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p, c\u1ea7n ph\u1ea3i ch\u1ecdn ngay heparin kh\u00f4ng ph\u00e2n giai \u0111o\u1ea1n Ng\u0103n ch\u1eb7n s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i huy\u1ebft kh\u1ed1i \u1edf c\u1ea3 \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch do t\u00ecnh tr\u1ea1ng d\u00f2ng ch\u1ea3y ch\u1eadm v\u00e0 b\u1ea5t th\u01b0\u1eddng. <\/span>Heparin kh\u00f4ng ph\u00e2n \u0111o\u1ea1n \u0111\u01b0\u1ee3c ch\u1ecdn khi n\u1ea1p 60 – 70 UI\/kg (t\u1ed1i \u0111a 5000UI) sau \u0111\u00f3 duy tr\u00ec \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch 12 – 15 UI\/kg\/h (t\u1ed1i \u0111a 1000 UI\/h). <\/span>Ch\u1ec9nh s\u1eeda \u0111\u1ec3 aPTT (b\u1ec7nh\/ch\u1ee9ng) \u0111\u1ea1t m\u1ee5c ti\u00eau 1,5 – 2,3 ho\u1eb7c aPTT 46-70 gi\u00e2y theo d\u00f5i 4 – 6 gi\u1edd\/l\u1ea7n. <\/span>Ti\u1ebfp theo l\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb theo giai \u0111o\u1ea1n t\u1ed5n th\u01b0\u01a1ng. <\/span>C\u1ea7n l\u01b0u \u00fd l\u00e0 c\u00e1c giai \u0111o\u1ea1n c\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n nhanh n\u00ean c\u00e1c quy\u1ebft \u0111\u1ecbnh ph\u1ea3i h\u1ebft s\u1ee9c k\u1ecbp th\u1eddi.<\/span><\/span><\/p>\n

1.1. <\/span>Giai \u0111o\u1ea1n Rutherford I<\/span><\/span><\/h3>\n


\n<\/strong>– Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng sonde Fogarty l\u00e0 l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u. <\/span><\/span>
\n– Ti\u00eau s\u1ee3i huy\u1ebft t\u1ea1i ch\u1ed7 c\u1ee7a \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p gi\u1ea3i ph\u1eabu thay th\u1ebf cho ph\u1eabu thu\u1eadt \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u1ecbnh nh\u1ea5t. <\/span>Tuy nhi\u00ean, m\u1ee9c \u0111\u1ed9 thi\u1ebfu m\u00e1u ng\u00e0y c\u00e0ng nghi\u00eam tr\u1ecdng v\u00e0 th\u1eddi gian kh\u1edfi \u0111\u1ed9ng tri\u1ec7u ch\u1ee9ng ng\u00e0y c\u00e0ng k\u00e9o d\u00e0i th\u00ec t\u00e1c d\u1ee5ng c\u1ee7a ti\u00eau s\u1ee3i huy\u1ebft ng\u00e0y c\u00e0ng h\u1ea1n ch\u1ebf <\/span><\/span>
\n. <\/span><\/span>
\n– M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n v\u1eabn c\u1ea7n ph\u1eabu thu\u1eadt sau \u0111i\u1ec1u tr\u1ecb ti\u00eau s\u1ee3i huy\u1ebft, nh\u01b0ng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 ph\u1ee9c t\u1ea1p c\u1ee7a ph\u1eabu thu\u1eadt th\u01b0\u1eddng \u00edt h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng s\u1ee3i huy\u1ebft tr\u01b0\u1edbc \u0111\u00f3. <\/span><\/span>
\n– M\u1ed9t s\u1ed1 \u0111\u1eb7c \u0111i\u1ec3m g\u1ee3i \u00fd ch\u1ecdn ti\u00eau s\u1ee3i huy\u1ebft ho\u1eb7c ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i: <\/span><\/span>
\n+ Nguy\u00ean nh\u00e2n c\u1ee7a t\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea5p t\u00ednh: Huy\u1ebft kh\u1ed1i t\u1eeb xa ho\u1eb7c t\u1ea1i ch\u1ed7. <\/span><\/span>
\n+ V\u1ecb tr\u00ed v\u00e0 chi\u1ec1u d\u00e0i c\u1ee7a t\u1ed5n th\u01b0\u01a1ng. <\/span><\/span>
\n+ Th\u1eddi gian di\u1ec5n bi\u1ebfn tri\u1ec7u ch\u1ee9ng.<\/span><\/span>
\n+ T\u0129nh m\u1ea1ch n\u00f4ng th\u00e2n c\u00f3 ph\u00f9 h\u1ee3p \u0111\u1ec3 l\u00e0m c\u1ea7u n\u1ed1i. <\/span><\/span>
\n– V\u00ed d\u1ee5: Huy\u1ebft kh\u1ed1i s\u0103n ba \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i chung \u2013 n\u00f4ng \u0111\u00f9i \u2013 \u0111\u00f9i s\u00e2u l\u00e0 v\u1ecb tr\u00ed th\u00edch h\u1ee3p \u0111\u1ec3 ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i. <\/span>Huy\u1ebft kh\u1ed1i \u1edf \u0111o\u1ea1n xa nh\u01b0 \u0111\u1ed9ng m\u1ea1ch tr\u01b0\u1edbc hay \u0111\u1ed9ng m\u1ea1ch sau n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ti\u00eau s\u1ee3i huy\u1ebft. <\/span><\/span>
\n– M\u00e1y h\u00fat huy\u1ebft kh\u1ed1i qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p v\u00e0 ph\u1ee5 thu\u1ed9c kinh nghi\u1ec7m v\u00e0 trang thi\u1ebft b\u1ecb c\u00f3 s\u1eb5n (m\u00e1y h\u00fat huy\u1ebft kh\u1ed1i chuy\u00ean d\u1ee5ng \u2013 Angio Jet).<\/span><\/span><\/p>\n

4.2. <\/span>Giai \u0111o\u1ea1n Rutherford II<\/span><\/span><\/h3>\n


\n<\/strong>– B\u1ec7nh nh\u00e2n t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p c\u00f3 \u0111e d\u1ecda chi c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i c\u1ea5p c\u1ee9u v\u00e0\/ho\u1eb7c b\u1eafc c\u1ea7u n\u1ed1i. <\/span>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p c\u00f3 th\u1ec3 h\u00fat huy\u1ebft kh\u1ed1i qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng. <\/span><\/span>
\n– B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00e2n nh\u1eafc m\u1edf r\u1ed9ng c\u01a1 chi b\u00ean d\u01b0\u1edbi \u0111\u1ec3 d\u1ef1 ph\u00f2ng h\u1ed9i ch\u1ee9ng ch\u00e8n \u00e9p khoang n\u1ebfu c\u1ea7n.<\/span><\/span><\/p>\n

4.3. <\/span>Giai \u0111o\u1ea1n Rutherford III<\/span><\/span><\/h3>\n


\n<\/strong>– B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf chi c\u1ea5p c\u1ee9u. <\/span><\/span>
\n– V\u1ecb tr\u00ed c\u1eaft c\u1ee5t ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh b\u1eb1ng c\u00e1ch kh\u00e1m l\u00e2m s\u00e0ng m\u00e0 kh\u00f4ng c\u1ea7n ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch chi b\u00ean d\u01b0\u1edbi. <\/span><\/span>
\n– Chu thu\u1eadt c\u1eaft c\u1ee5t chi ch\u1eadm ph\u00e1t tri\u1ec3n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u, suy th\u1eadn, t\u0103ng kali m\u00e1u, th\u1ea3i \u0111\u1ed9c – nhi\u1ec5m \u0111\u1ed9c, th\u1eadm ch\u00ed ch\u00ed t\u1eed vong.<\/span><\/span><\/p>\n

4.4. <\/span>\u0110i\u1ec1u tr\u1ecb sau ph\u1eabu thu\u1eadt:<\/span><\/span><\/h3>\n


\n<\/strong>– Heparin \u0111\u01b0\u1ee3c d\u00f9ng tr\u01b0\u1edbc, trong v\u00e0 ngay sau ph\u1eabu thu\u1eadt. <\/span><\/span>
\n– Khi t\u00ecnh tr\u1ea1ng ph\u1eabu thu\u1eadt \u1ed5n \u0111\u1ecbnh, kh\u00e1ng vitamin K \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi heparin, v\u1edbi m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb INR 2-3. <\/span><\/span>
\n– l\u00f2i theo nguy\u00ean nh\u00e2n huy\u1ebft kh\u1ed1i, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng k\u00e9o d\u00e0i, th\u1eadm ch\u00ed su\u1ed1t \u0111\u1eddi. <\/span><\/span>
\n– M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng kh\u00e1ng vitamin K, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng kh\u00e1ng k\u1ebft n\u1ed1i t\u1eadp tin y\u00eau c\u1ea7u thay th\u1ebf. <\/span><\/span>
\n– N\u1ebfu nguy\u00ean nh\u00e2n t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi c\u1ea5p do nguy\u00ean nh\u00e2n huy\u1ebft kh\u1ed1i t\u1eeb xa, c\u1ea7n ph\u1ea3i t\u00ecm ngu\u1ed3n g\u1ed1c huy\u1ebft kh\u1ed1i v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd c\u00f3 li\u00ean quan (rung nh\u0129, b\u1ed5 \u0111\u1ed9ng m\u1ea1ch, nh\u1ed3i m\u00e1u c\u01a1 tim\u2026)<\/span><\/span><\/p>\n

\"\u0110i\u1ec1u
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u0110i\u1ec1u khi\u1ec3n t\u1eafc ngh\u1ebdn m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p tinh<\/span><\/span><\/figcaption><\/figure>\n

2. Qu\u1ea3n l\u00fd sau \u0111i\u1ec1u tr\u1ecb<\/span><\/span><\/h2>\n

Sau khi \u0111i\u1ec1u tr\u1ecb t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh , qu\u1ea3n l\u00fd sau \u0111i\u1ec1u tr\u1ecb l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u00e1i sinh v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. <\/span>Qu\u1ea3n l\u00fd sau \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m c\u00e1c bi\u1ec7n ph\u00e1p nh\u01b0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, t\u1eadp luy\u1ec7n v\u00e0 ki\u1ec3m tra c\u00e1c y\u1ebfu t\u1ed1 nguy\u00ean c\u01a1 kh\u00e1c nh\u01b0 huy\u1ebft \u00e1p, \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/span><\/p>\n

2.1 Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng:<\/span><\/span><\/h3>\n
    \n
  • T\u1eeb b\u1ecf h\u00fat thu\u1ed1c l\u00e1: h\u00fat thu\u1ed1c l\u00e1 l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy\u00ean c\u01a1 ch\u00ednh g\u00e2y ra t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0 b\u1ec7nh tim m\u1ea1ch. <\/span>V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i ng\u1eebng h\u00fat thu\u1ed1c l\u00e1 \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 t\u00e1i sinh ph\u00e1t b\u1ec7nh.<\/span><\/span><\/li>\n
  • \u0102n u\u1ed1ng v\u00e0 dinh d\u01b0\u1ee1ng: b\u1ec7nh nh\u00e2n c\u1ea7n t\u0103ng c\u01b0\u1eddng \u0103n u\u1ed1ng dinh d\u01b0\u1ee1ng, \u0103n nhi\u1ec1u rau, c\u1ee7, qu\u1ea3 v\u00e0 c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m x\u01a1 ch\u1ea5t x\u01a1, gi\u1ea3m \u0103n \u0111\u1ed3 \u0103n nhanh, th\u1ee9c \u0103n nhanh ch\u00f3ng, ch\u1ee9a nhi\u1ec1u \u0111\u01b0\u1eddng v\u00e0 mu\u1ed1i.<\/span><\/span><\/li>\n
  • Gi\u1ea3m c\u00e2n: N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec, gi\u1ea3m c\u00e2n s\u1ebd l\u00e0m gi\u1ea3m t\u1ea3i l\u1ef1c tr\u00ean c\u00e1c m\u1ea1ch m\u00e1u v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t b\u1ec7nh.<\/span><\/span><\/li>\n
  • C\u01a1 ch\u1ebf s\u1eed d\u1ee5ng c\u1ed3n: u\u1ed1ng qu\u00e1 nhi\u1ec1u c\u1ed3n c\u00f3 th\u1ec3 l\u00e0m t\u0103ng huy\u1ebft \u00e1p v\u00e0 t\u0103ng nguy c\u01a1 t\u00e1i ph\u00e1t b\u1ec7nh.<\/span><\/span><\/li>\n<\/ul>\n

    2.2 T\u1eadp Luy\u1ec7n:<\/span><\/span><\/h3>\n
      \n
    • T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n: t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n gi\u00fap c\u1ea3i thi\u1ec7n l\u01b0u th\u00f4ng m\u00e1u, t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe tim m\u1ea1ch, gi\u1ea3m nguy c\u01a1 t\u00e1i sinh ph\u00e1t b\u1ec7nh. <\/span>B\u1ec7nh nh\u00e2n c\u1ea7n t\u1eadp \u00edt nh\u1ea5t 30 ph\u00fat m\u1ed7i ng\u00e0y, t\u1eeb 3 \u0111\u1ebfn 5 l\u1ea7n m\u1ed7i tu\u1ea7n.<\/span><\/span><\/li>\n
    • T\u1eadp luy\u1ec7n theo ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129: b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c ch\u1ec9 d\u1eabn v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 t\u1eadp \u0111\u00fang c\u00e1ch v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho s\u1ee9c kh\u1ecfe.<\/span><\/span><\/li>\n<\/ul>\n

      2.3 Ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy\u00ean c\u01a1 kh\u00e1c:<\/span><\/span><\/h3>\n
        \n
      • Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p: huy\u1ebft \u00e1p cao l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y ra t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c b\u1ec7nh tim m\u1ea1ch. <\/span>B\u1ec7nh nh\u00e2n c\u1ea7n ki\u1ec3m tra huy\u1ebft \u00e1p \u0111\u00fang c\u00e1ch theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/span><\/span><\/li>\n
      • Ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft: n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed ti\u1ec3u \u0111\u01b0\u1eddng, c\u1ea7n ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft \u0111\u00fang c\u00e1ch \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 t\u00e1i sinh ph\u00e1t b\u1ec7nh.<\/span><\/span><\/li>\n<\/ul>\n

        Qu\u1ea3n l\u00fd sau \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed9t ph\u1ea7n kh\u00f4ng th\u1ec3 thi\u1ebfu trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh. <\/span>Vi\u1ec7c thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, t\u1eadp luy\u1ec7n v\u00e0 ki\u1ec3m tra c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 t\u00e1i sinh ph\u00e1t b\u1ec7nh v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/span><\/p>\n

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

        T\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh l\u00e0 tr\u1ea1ng th\u00e1i \u0111\u00f4ng m\u00e1u trong t\u0129nh m\u1ea1ch s\u00e2u c\u1ee7a chi b\u00ean d\u01b0\u1edbi. \u0110i\u1ec1u tr\u1ecb t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh\u00a0bao g\u1ed3m m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. 1. \u0110i\u1ec1u […]<\/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 t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec1u tr\u1ecb t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh bao g\u1ed3m m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p, t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe 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 t\u1eafc \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi c\u1ea5p t\u00ednh - 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