{"id":30935,"date":"2023-05-03T14:54:33","date_gmt":"2023-05-03T07:54:33","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30935"},"modified":"2023-05-03T14:54:33","modified_gmt":"2023-05-03T07:54:33","slug":"chan-doan-va-dieu-tri-con-bao-giap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/chan-doan-va-dieu-tri-con-bao-giap\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u01a1n b\u00e3o gi\u00e1p"},"content":{"rendered":"

C\u01a1n b\u00e3o gi\u00e1p l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t b\u00f9 c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Ch\u1ea9n \u0111o\u00e1n c\u01a1n b\u00e3o gi\u00e1p n\u00ean d\u1ef1a tr\u00ean tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng g\u1ee3i \u00fd\u200e v\u00e0 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ngay tr\u01b0\u1edbc khi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng. C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i bao g\u1ed3m stress do h\u1eadu ph\u1eabu, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/a>, h\u00f4 h\u1ea5p, x\u00fac \u0111\u1ed9ng m\u1ea1nh, t\u00ecnh tr\u1ea1ng nhi\u1ec5m \u0111\u1ed9c thai ngh\u00e9n, sau m\u1ed7 b\u1eaft con, ch\u1ea5n th\u01b0\u01a1ng\u2026<\/strong><\/p>\n

\"con-bao-giap\"<\/p>\n

1. C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u01a1n b\u00e3o gi\u00e1p<\/h2>\n

\u2013 M\u1ed9t s\u1ed1 c\u00e1c gi\u1ea3 thuy\u1ebft \u0111\u01b0\u1ee3c ghi nh\u1eadn bao g\u1ed3m:<\/p>\n

+ Gia t\u0103ng qu\u00e1 m\u1ee9c n\u1ed3ng \u0111\u1ed9 hormon gi\u00e1p: D\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 c\u1eadn l\u00e2m s\u00e0ng gi\u1ed1ng nh\u01b0 trong nhi\u1ec5m \u0111\u1ed9c gi\u00e1p.<\/p>\n

+ Gi\u1ea3m n\u1ed3ng \u0111\u1ed9 hormon gi\u00e1p: D\u1ef1a v\u00e0o c\u00e1c thay \u0111\u1ed5i tr\u00ean \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 nh\u01b0: S\u00f3ng T th\u1ea5p ho\u1eb7c T1, T2 \u0111\u1ea3o ng\u01b0\u1ee3c ho\u1eb7c PQ k\u00e9o d\u00e0i, coi \u0111\u00f3 l\u00e0 d\u1ea5u hi\u1ec7u do h\u1ea1 Thyroxin g\u00e2y ra.<\/p>\n

+ R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan: Li\u00ean quan gi\u1eefa suy gan n\u1eb7ng v\u1edbi c\u01a1n b\u00e3o gi\u00e1p. C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng, \u0111i l\u1ecfng, ph\u00e2n nh\u1ea7y m\u00e1u, n\u00f3i l\u1ea3m nh\u1ea3m, \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t giai \u0111o\u1ea1n c\u1ee7a h\u00f4n m\u00ea gan. Gia t\u0103ng n\u1ed3ng \u0111\u1ed9 hormon gi\u00e1p c\u00f3 th\u1ec3 l\u00e0m c\u1ea1n ngu\u1ed3n glycogen c\u1ee7a gan.<\/p>\n

\u2013 C\u01a1n b\u00e3o gi\u00e1p c\u00f3 th\u1ec3 tr\u1ea3i qua n\u0103m giai \u0111o\u1ea1n n\u1ed1i ti\u1ebfp nhau h\u1ebft s\u1ee9c nhanh, t\u1ea1o th\u00e0nh m\u1ed9t v\u00f2ng lu\u1ea9n qu\u1ea9n, l\u00e0m n\u1eb7ng l\u1eabn nhau bao g\u1ed3m:<\/p>\n

+ (1) C\u01b0\u1eddng tr\u01b0\u01a1ng l\u1ef1c c\u1ee7a h\u1ec7 th\u1ed1ng v\u1ecf n\u00e3o, h\u1ea1 n\u00e3o, tuy\u1ebfn y\u00ean, tuy\u1ebfn gi\u00e1p \u0111\u00e3 c\u00f3 s\u1eb5n trong c\u01b0\u1eddng gi\u00e1p.<\/p>\n

+ (2) S\u1ef1 ti\u1ebft c\u1ea5p t\u00ednh v\u00e0 ti\u1ebft qu\u00e1 nhi\u1ec1u hormon gi\u00e1p sau m\u1ed9t sang ch\u1ea5n t\u00e2m l\u00fd l\u00e0m n\u1eb7ng th\u00eam kh\u00e2u tr\u00ean, d\u1eabn t\u1edbi nhi\u1ec5m \u0111\u1ed9c hormon t\u1ea1i v\u1ecf n\u00e3o.<\/p>\n

+ (3) C\u01b0\u1eddng tr\u01b0\u01a1ng l\u1ef1c h\u1ea1 n\u00e3o-giao c\u1ea3m v\u1edbi s\u1ef1 ph\u00f3ng ra c\u00e1c ch\u1ea5t c\u01b0\u1eddng adrenergic \u0111\u01b0\u1ee3c duy tr\u00ec b\u1edfi sang ch\u1ea5n t\u00e2m l\u00fd. S\u1ef1 ti\u1ebft nhi\u1ec1u hormon gi\u00e1p t\u00e1c \u0111\u1ed9ng x\u1ea5u t\u1edbi c\u01a1 tim.<\/p>\n

+ (4) Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p do c\u1ea1n ngu\u1ed3n hormon v\u1ecf th\u01b0\u1ee3ng th\u1eadn.<\/p>\n

+ (5) Suy gan c\u1ea5p v\u00e0 n\u1eb7ng k\u1ebft h\u1ee3p cathecholamine \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch l\u00e0m t\u0103ng ph\u00e2n hu\u1ef7 glycogene v\u00e0 l\u00e0m t\u0103ng t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy, l\u00e0m n\u1eb7ng th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e3o c\u1ee7a nhi\u1ec5m \u0111\u1ed9c gi\u00e1p.<\/p>\n

Nh\u1eefng nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y ghi nh\u1eadn n\u1ed3ng \u0111\u1ed9 T4 v\u00e0 T3 \u1edf ng\u01b0\u1eddi b\u1ec7nh b\u1ecb c\u01a1n b\u00e3o gi\u00e1p kh\u00f4ng cao h\u01a1n so v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u01b0\u1eddng gi\u00e1p \u0111\u01a1n thu\u1ea7n. Kh\u00f4ng c\u00f3 b\u1eb1ng c\u1edb ch\u1ee9ng t\u1ecf b\u00e3o gi\u00e1p do gia t\u0103ng s\u1ea3n xu\u1ea5t Triiodothyronin. C\u00f3 b\u1eb1ng c\u1edb cho th\u1ea5y \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u01b0\u1eddng gi\u00e1p c\u00f3 s\u1ef1 gia t\u0103ng c\u00e1c \u0111i\u1ec3m g\u1eafn c\u1ee7a Catecholamin, do \u0111\u00f3 \u1edf t\u1ed5 ch\u1ee9c c\u01a1 tim v\u00e0 th\u1ea7n kinh c\u00f3 s\u1ef1 gia t\u0103ng s\u1ef1 nh\u1ea1y c\u1ea3m \u0111\u1ed1i v\u1edbi Catecholamin. H\u01a1n n\u1eefa c\u00f3 s\u1ef1 gi\u1ea3m g\u1eafn v\u1edbi TBG (Thyroxin Binding Globulin) c\u00f9ng v\u1edbi s\u1ef1 t\u0103ng l\u01b0\u1ee3ng t\u1ef1 do FT3, FT4. Quan \u0111i\u1ec3m hi\u1ec7n nay cho r\u1eb1ng v\u1edbi s\u1ef1 gia t\u0103ng c\u00e1c \u0111i\u1ec3m g\u1eafn c\u1ee7a Catecholamin \u0111i k\u00e8m v\u1edbi m\u1ed9t th\u01b0\u01a1ng t\u1ed5n c\u1ea5p, nhi\u1ec5m tr\u00f9ng, ho\u1eb7c sang ch\u1ea5n do ph\u1eabu thu\u1eadt g\u00e2y n\u00ean s\u1ef1 ph\u00f3ng th\u00edch Catecholamin, ph\u1ed1i h\u1ee3p v\u1edbi gia t\u0103ng FT4, FT3 l\u00e0m xu\u1ea5t hi\u1ec7n c\u01a1n c\u01b0\u1eddng gi\u00e1p c\u1ea5p.<\/p>\n

2. L\u00e2m s\u00e0ng c\u01a1n b\u00e3o gi\u00e1p<\/strong><\/h2>\n

Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/strong><\/p>\n

– S\u1ed1t, thay \u0111\u1ed5i t\u1eeb 37,8-41o<\/sup>C.<\/p>\n

– Tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh, t\u00e2m tr\u00ed g\u1eb7p trong 90% tr\u01b0\u1eddng h\u1ee3p: k\u00edch \u0111\u1ed9ng, l\u00fa l\u1eabn, m\u00ea s\u1ea3ng, r\u1ed1i lo\u1ea1i t\u00e2m th\u1ea7n, h\u00f4n m\u00ea.<\/p>\n

– Tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch x\u1ea3y ra kho\u1ea3ng 50% tr\u01b0\u1eddng h\u1ee3p: tim nhanh t\u1eeb 120-200 l\u1ea7n\/ph\u00fat, rung nh\u0129, ngo\u1ea1i t\u00e2m thu th\u1ea5t, suy tim xung huy\u1ebft, ph\u00f9 ph\u1ed5i c\u1ea5p, tr\u1ee5y m\u1ea1ch.<\/p>\n

– Tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a: bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y. \u0110\u00f4i khi c\u00f3 v\u00e0ng da, gan to.<\/p>\n

– Tri\u1ec7u ch\u1ee9ng nh\u01b0\u1ee3c c\u01a1: ch\u1ee7 y\u1ebfu l\u00e0 c\u01a1 \u1edf g\u1ed1c th\u00e2n m\u00ecnh.<\/p>\n

– Ngo\u00e0i ra c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng c\u01b0\u1eddng gi\u00e1p: da \u1ea5m, \u0111\u1ed5 m\u1ed3 h\u00f4i, tri\u1ec7u ch\u1ee9ng \u1edf m\u1eaft nh\u01b0 l\u1ed3i m\u1eaft, tuy\u1ebfn gi\u00e1p to, c\u00f3 \u00e2m th\u1ed5i.<\/p>\n

Tri\u1ec7u ch\u1ee9ng c\u1eadn l\u00e2m s\u00e0ng:<\/strong><\/p>\n

– FT4, TT3 t\u0103ng.<\/p>\n

– TSH gi\u1ea3m.<\/p>\n

– Bilirubin, SGOT, SGPT m\u00e1u t\u0103ng.<\/p>\n

– H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n

3. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n

– Ch\u1ea9n \u0111o\u00e1n c\u01a1n b\u00e3o gi\u00e1p tr\u1ea1ng ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng. Kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m n\u00e0o \u0111\u1eb7c hi\u1ec7u cho c\u01a1n b\u00e3o gi\u00e1p tr\u1ea1ng. Ph\u1ea3i quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ngay n\u1ebfu nghi ng\u1edd b\u1ec7nh nh\u00e2n b\u1ecb c\u01a1n b\u00e3o gi\u00e1p tr\u1ea1ng.<\/p>\n

4. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n

Ph\u1ee5c h\u1ed3i v\u00e0 duy tr\u00ec sinh hi\u1ec7u:<\/strong><\/p>\n

– Truy\u1ec1n d\u1ecbch m\u1eb7n ng\u1ecdt \u0111\u1eb3ng tr\u01b0\u01a1ng.<\/p>\n

– \u0110i\u1ec1u ch\u1ec9nh c\u00e1c r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.<\/p>\n

– C\u00f3 th\u1ec3 d\u00f9ng vitamin nh\u00f3m B li\u1ec1u cao.<\/p>\n

– H\u1ea1 nhi\u1ec7t b\u1eb1ng acetaminophen. \u0110\u1ec3 b\u1ec7nh nh\u00e2n n\u1eb1m ph\u00f2ng l\u1ea1nh v\u00e0 lau m\u00e1t. N\u1ebfu kh\u00f4ng h\u1ebft s\u1ed1t, c\u00f3 th\u1ec3 d\u00f9ng chlopromazine 25-50mg ti\u00eam b\u1eafp ho\u1eb7c u\u1ed1ng c\u00e1ch m\u1ed7i 6 gi\u1edd.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb suy tim n\u1ebfu c\u00f3. \u0110i\u1ec1u tr\u1ecb lo\u1ea1n nh\u1ecbp b\u1eb1ng c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u01b0ng tr\u00e1nh d\u00f9ng atropin v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nh\u1ecbp tim v\u00e0 \u0111\u1ea3o ng\u01b0\u1ee3c t\u00e1c d\u1ee5ng c\u1ee7a propanolol.<\/p>\n

– Cho th\u1edf oxy \u1ea9m.<\/p>\n

– C\u1ea9n th\u1eadn khi d\u00f9ng thu\u1ed1c an th\u1ea7n v\u00ec\u00a0 c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf h\u00f4 h\u1ea5p hay l\u00e0m gi\u1ea3m tri gi\u00e1c b\u1ec7nh nh\u00e2n.<\/p>\n

\u1ee8c ch\u1ebf s\u1ef1 t\u1ed5ng h\u1ee3p v\u00e0 ph\u00f3ng th\u00edch hormon:<\/strong><\/p>\n

– PTU: li\u1ec1u \u0111\u1ea7u 300-400mg, sau \u0111\u00f3 200mg m\u1ed7i 4 gi\u1edd ho\u1eb7c 100mg m\u1ed7i 2 gi\u1edd trong ng\u00e0y \u0111\u1ea7u, sau \u0111\u00f3 300-600mg m\u1ed7i ng\u00e0y trong 3-6 tu\u1ea7n. N\u1ebfu kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c, c\u00f3 th\u1ec3 cho qua \u1ed1ng th\u00f4ng m\u0169i-d\u1ea1 d\u00e0y ho\u1eb7c qua \u0111\u01b0\u1eddng tr\u1ef1c tr\u00e0ng.<\/p>\n

– N\u1ebfu kh\u00f4ng c\u00f3 PTU, c\u00f3 th\u1ec3 d\u00f9ng Methimazol: li\u1ec1u \u0111\u1ea7u 30-40mg, sau \u0111\u00f3 20-30mg u\u1ed1ng m\u1ed7i 8 gi\u1edd trong ng\u00e0y \u0111\u1ea7u v\u00e0 30-60mg m\u1ed7i ng\u00e0y trong nh\u1eefng ng\u00e0y sau.<\/p>\n

– Dung d\u1ecbch iod c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n c\u1ea3n s\u1ef1 ph\u00f3ng th\u00edch hormon d\u1ef1 tr\u1eef trong tuy\u1ebfn gi\u00e1p ra kh\u1ecfi tuy\u1ebfn. Ch\u1ec9 cho 1-2 gi\u1edd sau khi d\u00f9ng kh\u00e1ng gi\u00e1p t\u1ed5ng h\u1ee3p \u0111\u1ec3 ng\u0103n ch\u1eb7n kh\u00f4ng cho tuy\u1ebfn gi\u00e1p s\u1eed d\u1ee5ng iod t\u1ed5ng h\u1ee3p hormon m\u1edbi. C\u00f3 th\u1ec3 d\u00f9ng dung d\u1ecbch lugol 1% 15-20 gi\u1ecdt pha lo\u00e3ng u\u1ed1ng m\u1ed7i 8 gi\u1edd.<\/p>\n

– Corticoid:<\/strong> D\u00f9ng dexamethasone 2mg m\u1ed7i 6 gi\u1edd u\u1ed1ng hay ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c hydrocortisone 50-100mg ti\u00eam t\u0129nh m\u1ea1ch m\u1ed7i 6-8 gi\u1edd.<\/p>\n

– Thu\u1ed1c ch\u1eb9n beta:<\/strong> propanolol 40-80mg u\u1ed1ng m\u1ed7i 6-8 gi\u1edd. N\u1ebfu kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c, c\u00f3 th\u1ec3 d\u00f9ng propanolol ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 1mg\/ph\u00fat m\u1ed9t c\u00e1ch th\u1eadn tr\u1ecdng cho \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a 0,15mg\/kg c\u00e2n n\u1eb7ng. C\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i li\u1ec1u thu\u1ed1c sau 4 gi\u1edd n\u1ebfu c\u1ea7n. Ph\u1ea3i theo d\u00f5i t\u00ecnh tr\u1ea1ng tim m\u1ea1ch b\u1ec7nh nh\u00e2n r\u1ea5t c\u1ea9n th\u1eadn khi d\u00f9ng propanolol. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh khi c\u00f3 suy tim.<\/p>\n

T\u00ecm v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i:<\/strong><\/p>\n

– Kh\u00e1ng sinh n\u1ebfu c\u00f3 nhi\u1ec5m tr\u00f9ng. Tuy nhi\u00ean kh\u00f4ng n\u00ean \u0111\u1ee3i \u0111\u1ea7y \u0111\u1ee7 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m m\u1edbi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

4. Di\u1ec5n ti\u1ebfn<\/strong><\/h2>\n

– Sau khi ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng PTU, d\u1ecbch truy\u1ec1n, dung d\u1ecbch lugol v\u00e0 corticoid th\u00ec n\u1ed3ng \u0111\u1ed9 T4 th\u01b0\u1eddng tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng sau 24-48 gi\u1edd. Sau khi l\u00e2m s\u00e0ng \u1ed5n \u0111\u1ecbnh, c\u00f3 th\u1ec3 gi\u1ea3m d\u1ea7n li\u1ec1u dexamethasone v\u00e0 iod. PTU s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng ti\u1ebfp cho \u0111\u1ebfn khi chuy\u1ec3n h\u00f3a v\u1ec1 g\u1ea7n b\u00ecnh th\u01b0\u1eddng, khi \u0111\u00f3 s\u1ebd ng\u01b0ng h\u1eb3n iod. C\u01a1n b\u00e3o gi\u00e1p c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 1-8 ng\u00e0y, trung b\u00ecnh l\u00e0 3 ng\u00e0y. N\u1ebfu \u0111i\u1ec1u tr\u1ecb kinh \u0111i\u1ec3n kh\u00f4ng \u0111em l\u1ea1i k\u1ebft qu\u1ea3, c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng \u0111\u1ebfn l\u1ecdc m\u00e0ng b\u1ee5ng, l\u1ecdc m\u00e1u \u0111\u1ec3 l\u1ea5y b\u1edbt hormon. T\u1ef7 l\u1ec7 t\u1eed vong n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb l\u00e0 100%.<\/p>\n

 <\/p>\n

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

C\u01a1n b\u00e3o gi\u00e1p l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t b\u00f9 c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Ch\u1ea9n \u0111o\u00e1n c\u01a1n b\u00e3o gi\u00e1p n\u00ean d\u1ef1a tr\u00ean tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng g\u1ee3i \u00fd\u200e v\u00e0 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ngay tr\u01b0\u1edbc khi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng. C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i bao g\u1ed3m stress […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[80,33],"tags":[],"yoast_head":"\nCh\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u01a1n b\u00e3o gi\u00e1p - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u01a1n b\u00e3o gi\u00e1p l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t b\u00f9 c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. 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