{"id":31441,"date":"2023-05-04T16:23:30","date_gmt":"2023-05-04T09:23:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31441"},"modified":"2023-05-04T16:23:30","modified_gmt":"2023-05-04T09:23:30","slug":"noi-soi-can-thiep-nhuom-mau-chan-doan-ung-thu-som","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/noi-soi-can-thiep-nhuom-mau-chan-doan-ung-thu-som\/","title":{"rendered":"N\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm"},"content":{"rendered":"

N\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u l\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u00f3 d\u00f9ng ch\u1ea5t m\u00e0u nhu\u1ed9m l\u1edbp ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a nh\u1eb1m m\u1ee5c \u0111\u00edch khu tr\u00fa t\u1ed5n th\u01b0\u01a1ng, nh\u1eadn r\u00f5 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng, gi\u00fap l\u00e0m r\u00f5 ranh gi\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng ung th\u01b0. <\/span>T\u00f9y thu\u1ed9c v\u1ecb tr\u00ed ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a m\u00e0 ng\u01b0\u1eddi ta s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t nhu\u1ed9m m\u00e0u kh\u00e1c nhau.<\/span><\/strong><\/p>\n

<\/span><\/p>\n

1. Ch\u1ec9 \u0111\u1ecbnh<\/span><\/b><\/h2>\n

– Lugol c\u00f3 \u00e1i l\u1ef1c v\u1edbi t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 v\u1ea9y kh\u00f4ng s\u1eebng h\u00f3a nh\u01b0 th\u1ef1c qu\u1ea3n, lugol 1 – 4% b\u01a1m nhu\u1ed9m 20 – 50 ml, t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 b\u00ecnh th\u01b0\u1eddng s\u1ebd b\u1ecb nhu\u1ed9m m\u00e0u \u0111en ho\u1eb7c n\u00e2u \u0111en Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n

+ Ung th\u01b0 th\u1ef1c qu\u1ea3n (kh\u00f4ng b\u1eaft m\u00e0u)<\/span><\/p>\n

+ Barrett th\u1ef1c qu\u1ea3n<\/a><\/span><\/p>\n

+ Vi\u00eam th\u1ef1c qu\u1ea3n tr\u00e0o ng\u01b0\u1ee3c<\/span><\/p>\n

– Nhu\u1ed9m xanh Methylene, c\u00e1c t\u1ebf b\u00e0o ru\u1ed9t ho\u1eb7c c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ecb s\u1ea3n ru\u1ed9t s\u1ebd \u0111\u01b0\u1ee3c nhu\u1ed9m b\u1edfi xanh Methylene, c\u01a1 ch\u1ebf l\u00e0 do ch\u1ea5t n\u00e0y h\u1ea5p thu t\u00edch c\u1ef1c v\u00e0o t\u1ebf b\u00e0o, b\u00ecnh th\u01b0\u1eddng c\u00e1c t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c nhu\u1ed9m m\u00e0u xanh. Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n

+ Barrett th\u1ef1c qu\u1ea3n (d\u1ecb s\u1ea3n ru\u1ed9t)<\/span><\/p>\n

+ D\u1ecb s\u1ea3n ru\u1ed9t trong d\u1ea1 d\u00e0y<\/span><\/p>\n

+ T\u1ed5n th\u01b0\u01a1ng ung th\u01b0 d\u1ea1 d\u00e0y s\u1edbm (kh\u00f4ng b\u1eaft m\u00e0u)<\/span><\/p>\n

+ Celiac and tropical sprue<\/span><\/p>\n

– Nhu\u1ed9m Indigo carmine, b\u00ecnh th\u01b0\u1eddng c\u00e1c t\u1ebf b\u00e0o kh\u00f4ng nhu\u1ed9m, \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng nh\u00f4 ra t\u1ea1o th\u00e0nh khe r\u00e3nh ch\u1ee9a ch\u1ea5t nhu\u1ed9m. Ch\u1ec9 \u0111\u1ecbnh:<\/span><\/p>\n

+ T\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, t\u00e1 tr\u00e0ng, \u0111\u1ea1i tr\u00e0ng<\/span><\/p>\n

+ Barrett th\u1ef1c qu\u1ea3n<\/span><\/p>\n

– M\u1ed9t s\u1ed1 ch\u1ea5t nhu\u1ed9m m\u00e0u kh\u00e1c nh\u01b0 \u0111\u1ecf congo, \u0111\u1ecf phenol, xanh Toluidine<\/span><\/p>\n

2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/span><\/b><\/h2>\n

– Nghi ng\u1edd h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p<\/span><\/p>\n

– T\u0103ng huy\u1ebft \u00e1p ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c<\/span><\/p>\n

– Nghi ng\u1edd th\u1ee7ng t\u1ea1ng r\u1ed7ng<\/span><\/p>\n

– Nghi ng\u1edd ph\u00ecnh, t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/span><\/p>\n

– BN (ng\u01b0\u1eddi b\u1ec7nh) trong t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p<\/span><\/p>\n

– BN suy tim n\u1eb7ng<\/span><\/p>\n

– BN r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n kh\u00f4ng h\u1ee3p t\u00e1c<\/span><\/p>\n

– Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i: t\u1ee5t huy\u1ebft \u00e1p HA t\u00e2m thu < 90mmHg.<\/span><\/p>\n

3. Chu\u1ea9n b\u1ecb<\/span><\/b><\/h2>\n

3.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/span><\/b><\/h3>\n

– B\u00e1c s\u1ef9: 01 b\u00e1c s\u1ef9 \u0111\u00e3 c\u00f3 ch\u1ee9ng ch\u1ec9 t\u1ed1t nghi\u1ec7p n\u1ed9i soi ti\u00eau h\u00f3a.<\/span><\/p>\n

– \u0110i\u1ec1u d\u01b0\u1ee1ng: 02 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 k\u1ef9 thu\u1eadt ph\u1ee5 gi\u00fap b\u00e1c s\u0129 l\u00e0m n\u1ed9i soi<\/span><\/p>\n

3.2. Ph\u01b0\u01a1ng ti\u1ec7n<\/span><\/b><\/h3>\n

– 01 m\u00e1y n\u1ed9i soi d\u1ea1 d\u00e0y ho\u1eb7c m\u00e1y n\u1ed9i soi \u0111\u1ea1i tr\u00e0ng.<\/span><\/p>\n

– Catheter b\u01a1m thu\u1ed1c nhu\u1ed9m: 1 d\u00e2y cho m\u1ed7i lo\u1ea1i ch\u1ea5t nhu\u1ed9m m\u00e0u<\/span><\/p>\n

– Thu\u1ed1c nhu\u1ed9m m\u00e0u: Lugol 1 – 4%, xanh Methylene, Indigo carmine<\/span><\/p>\n

– M\u00e1y theo d\u00f5i lifescope v\u00e0 d\u1ee5ng c\u1ee5 c\u1ea5p c\u1ee9u: m\u1eb7t n\u1ea1, b\u00f3ng b\u00f3p, n\u1ed9i kh\u00ed qu\u1ea3n<\/span><\/p>\n

– Thu\u1ed1c m\u00ea v\u00e0 ti\u1ec1n m\u00ea: 2 \u1ed1ng midazolam 5mg, 2 \u1ed1ng fantanyl 0,1 mg, 2 \u1ed1ng propofol.<\/span><\/p>\n

– 01 k\u00ecm sinh thi\u1ebft<\/span><\/p>\n

– 05 \u1ed1ng \u0111\u1ef1ng b\u1ec7nh ph\u1ea9m<\/span><\/p>\n

– 05 lam k\u00ednh<\/span><\/p>\n

– 02 b\u01a1m lo\u1ea1i 20 ml<\/span><\/p>\n

– 06 \u0111\u00f4i g\u0103ng tay<\/span><\/p>\n

– 02 \u00e1o m\u1ed5<\/span><\/p>\n

3.3. Ng\u01b0\u1eddi b\u1ec7nh<\/span><\/b>: <\/span><\/h3>\n

Nh\u1ecbn \u0103n chu\u1ea9n b\u1ecb nh\u01b0 quy tr\u00ecnh n\u1ed9i soi th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y, ho\u1eb7c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch \u0111\u1ea1i tr\u00e0ng nh\u01b0 quy tr\u00ecnh n\u1ed9i soi \u0111\u1ea1i tr\u1ef1c tr\u00e0ng.<\/span><\/p>\n

3.4. H\u1ed3 s\u01a1 b\u1ec7nh \u00e1n<\/span><\/b><\/p>\n

– Ki\u1ec3m tra kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/span><\/p>\n

– Nh\u1eadn gi\u1ea5y ch\u1ec9 \u0111\u1ecbnh<\/span><\/p>\n

– Gi\u1ea3i th\u00edch Ng\u01b0\u1eddi b\u1ec7nh k\u00fd gi\u1ea5y \u0111\u1ed3ng \u00fd l\u00e0m th\u1ee7 thu\u1eadt<\/span><\/p>\n

4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/span><\/b><\/h2>\n

– M\u1eddi Ng\u01b0\u1eddi b\u1ec7nh v\u00e0o ph\u00f2ng, h\u01b0\u1edbng d\u1eabn Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m l\u00ean c\u00e1ng th\u1ee7 thu\u1eadt<\/span><\/p>\n

– M\u1eafc monitor theo d\u00f5i, theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 soi<\/span><\/p>\n

– H\u01b0\u1edbng d\u1eabn Ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m \u0111\u00fang t\u01b0 th\u1ebf<\/span><\/p>\n

– \u0110i\u1ec1u d\u01b0\u1ee1ng ph\u1ee5 soi ph\u1ea3i theo d\u00f5i t\u00ecnh tr\u1ea1ng Ng\u01b0\u1eddi b\u1ec7nh, th\u00f4ng b\u00e1o b\u00e1c s\u0129 khi c\u00f3 b\u1ea5t th\u01b0\u1eddng, lu\u00f4n \u0111\u1ed9ng vi\u00ean v\u00e0 h\u01b0\u1edbng d\u1eabn Ng\u01b0\u1eddi b\u1ec7nh h\u1ee3p t\u00e1c \u0111\u1ec3 ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt thu\u1eadn l\u1ee3i.<\/span><\/p>\n

– Th\u00f4ng b\u00e1o cho Ng\u01b0\u1eddi b\u1ec7nh b\u1eaft \u0111\u1ea7u l\u00e0m th\u1ee7 thu\u1eadt, h\u01b0\u1edbng d\u1eabn Ng\u01b0\u1eddi b\u1ec7nh ph\u1ed1i h\u1ee3p trong qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt.<\/span><\/p>\n

– N\u1ed9i soi theo quy tr\u00ecnh chu\u1ea9n quan s\u00e1t k\u1ef9 t\u1ed5n th\u01b0\u01a1ng, khi c\u00f3 nghi ng\u1edd ti\u1ebfn h\u00e0nh nhu\u1ed9m m\u00e0u. T\u00f9y v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu m\u00e0 c\u00f3 thu\u1ed1c nhu\u1ed9m kh\u00e1c nhau, nh\u1ed9m Lugol cho c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf th\u1ef1c qu\u1ea3n, nhu\u1ed9m xanh Methylene ho\u1eb7c Indigo carmine v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf d\u1ea1 d\u00e0y, v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111\u1ea1i tr\u00e0ng d\u00f9ng thu\u1ed1c nhu\u1ed9m Indigo carmine.<\/span><\/p>\n

– Theo d\u00f5i to\u00e0n tr\u1ea1ng Ng\u01b0\u1eddi b\u1ec7nh trong to\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt<\/span><\/p>\n

– Sau khi k\u1ebft th\u00fac th\u1ee7 thu\u1eadt, \u0111\u00e1nh v\u00e0 in k\u1ebft qu\u1ea3<\/span><\/p>\n

– Sau khi b\u00e1c s\u0129 k\u1ebft th\u00fac qu\u00e1 tr\u00ecnh n\u1ed9i soi, \u0111i\u1ec1u d\u01b0\u1ee1ng ph\u1ea3i gi\u00fap \u0111\u1ee1 Ng\u01b0\u1eddi b\u1ec7nh d\u1eady v\u00e0 \u0111\u01b0a Ng\u01b0\u1eddi b\u1ec7nh ra kh\u1ecfi ph\u00f2ng n\u1ed9i soi t\u1edbi n\u01a1i ng\u1ed3i ch\u1edd.<\/span><\/p>\n

– H\u01b0\u1edbng d\u1eabn Ng\u01b0\u1eddi b\u1ec7nh b\u1ed5 sung th\u00eam phi\u1ebfu x\u00e9t nghi\u1ec7m, sinh thi\u1ebft n\u1ebfu c\u1ea7n<\/span><\/p>\n

– \u0110i\u1ec1u d\u01b0\u1ee1ng r\u1eeda m\u00e1y theo quy tr\u00ecnh k\u1ef9 thu\u1eadt.<\/span><\/p>\n

– Tr\u1ea3 k\u1ebft qu\u1ea3 n\u1ed9i soi cho Ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

5. Theo d\u00f5i<\/span><\/b><\/h2>\n

Theo d\u00f5i to\u00e0n tr\u1ea1ng Ng\u01b0\u1eddi b\u1ec7nh trong qu\u00e1 tr\u00ecnh l\u00e0m th\u1ee7 thu\u1eadt<\/span><\/p>\n

6. Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/span><\/b><\/h2>\n

Ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed c\u00e1c bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u khi l\u1ea5y b\u1ec7nh ph\u1ea9m, m\u1ea1ch ch\u1eadm ho\u1eb7c ng\u1eebng tim do c\u01b0\u1eddng ph\u1ebf v\u1ecb, ghi v\u00e0o phi\u1ebfu tr\u1ea3 k\u1ebft qu\u1ea3 ho\u1eb7c cho Ng\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n x\u1eed tr\u00ed ti\u1ebfp t\u00f9y thu\u1ed9c t\u1eebng bi\u1ebfn ch\u1ee9ng.<\/span><\/p>\n

7. \u01afu \u0111i\u1ec3m c\u1ee7a n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u<\/h2>\n

K\u1ef9 thu\u1eadt n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ti\u00ean ti\u1ebfn cho c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0 sau:<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm: K\u1ef9 thu\u1eadt n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u cho ph\u00e9p b\u00e1c s\u0129 nh\u00ecn th\u1ea5y c\u00e1c m\u00f4 b\u1ea5t th\u01b0\u1eddng trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, bao g\u1ed3m c\u00e1c kh\u1ed1i u, polyp v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c. B\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i m\u1ef1c nhu\u1ed9m \u0111\u1eb7c bi\u1ec7t, b\u00e1c s\u0129 c\u00f3 th\u1ec3 nh\u1eadn ra c\u00e1c m\u00f4 b\u1ea5t th\u01b0\u1eddng nh\u1ecf h\u01a1n v\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c vi tr\u00ed c\u1ee7a ch\u00fang.<\/p>\n

– \u0110\u1ed9 ch\u00ednh x\u00e1c cao: K\u1ef9 thu\u1eadt n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u cho ph\u00e9p b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c k\u00edch th\u01b0\u1edbc v\u00e0 h\u00ecnh d\u1ea1ng c\u1ee7a c\u00e1c m\u00f4 b\u1ea5t th\u01b0\u1eddng trong \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c h\u01a1n.<\/p>\n

– Kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1eabu thu\u1eadt m\u1edf v\u00e0 kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n.<\/p>\n

– Ti\u1ebft ki\u1ec7m th\u1eddi gian: K\u1ef9 thu\u1eadt n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u gi\u00fap ti\u1ebft ki\u1ec7m th\u1eddi gian cho b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u th\u1eddi gian ngh\u1ec9 vi\u1ec7c.<\/p>\n

– Gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng: Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng x\u00e2m l\u1ea5n, gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u00e0 th\u1eddi gian h\u1ed3i ph\u1ee5c sau ph\u1eabu thu\u1eadt m\u1edf.<\/p>\n

– \u0110\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c khu v\u1ef1c kh\u00f3 ti\u1ebfp c\u1eadn: K\u1ef9 thu\u1eadt n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u cho ph\u00e9p b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c khu v\u1ef1c kh\u00f3 ti\u1ebfp c\u1eadn b\u00ean trong c\u00e1c c\u01a1 quan \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c h\u01a1n.<\/p>\n

T\u00f3m l\u1ea1i, k\u1ef9 thu\u1eadt n\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ti\u00ean ti\u1ebfn cho c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, v\u1edbi nhi\u1ec1u \u01b0u \u0111i\u1ec3m nh\u01b0 ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm, \u0111\u1ed9 ch\u00ednh x\u00e1c cao, kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn cho b\u1ec7nh nh\u00e2n, gi\u1ea3m thi\u1ec3u nguy c\u01a1 nhi\u1ec5m tr\u00f9ng, \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c c\u00e1c khu v\u1ef1c kh\u00f3 ti\u1ebfp c\u1eadn v\u00e0 ti\u1ebft ki\u1ec7m th\u1eddi gian.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

N\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u l\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u00f3 d\u00f9ng ch\u1ea5t m\u00e0u nhu\u1ed9m l\u1edbp ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a nh\u1eb1m m\u1ee5c \u0111\u00edch khu tr\u00fa t\u1ed5n th\u01b0\u01a1ng, nh\u1eadn r\u00f5 \u0111\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng, gi\u00fap l\u00e0m r\u00f5 ranh gi\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng ung th\u01b0. T\u00f9y thu\u1ed9c v\u1ecb tr\u00ed ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a m\u00e0 […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nN\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm - Vinmec<\/title>\n<meta name=\"description\" content=\"N\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u l\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i soi c\u00f3 d\u00f9ng ch\u1ea5t m\u00e0u nhu\u1ed9m l\u1edbp ni\u00eam m\u1ea1c \u1ed1ng ti\u00eau h\u00f3a nh\u1eb1m m\u1ee5c \u0111\u00edch khu tr\u00fa t\u1ed5n th\u01b0\u01a1ng,...\" \/>\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=\"N\u1ed9i soi can thi\u1ec7p nhu\u1ed9m m\u00e0u ch\u1ea9n \u0111o\u00e1n ung th\u01b0 s\u1edbm - 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