{"id":31694,"date":"2023-05-16T00:48:55","date_gmt":"2023-05-15T17:48:55","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31694"},"modified":"2023-05-16T00:48:55","modified_gmt":"2023-05-15T17:48:55","slug":"thay-doi-lipid-mau-do-su-dung-thuoc-ha-huyet-ap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/16\/thay-doi-lipid-mau-do-su-dung-thuoc-ha-huyet-ap\/","title":{"rendered":"Thay \u0111\u1ed5i lipid m\u00e1u do s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p"},"content":{"rendered":"

Nh\u1eefng thay \u0111\u1ed5i v\u1ec1 n\u1ed3ng \u0111\u1ed9 lipid do thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p g\u00e2y ra c\u00f3 th\u1ec3 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p v\u00ec c\u00f3 t\u1edbi 45% b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u00f3 nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 lipid, ch\u1eb3ng h\u1ea1n nh\u01b0 cholesterol lipoprotein t\u1ef7 tr\u1ecdng th\u1ea5p (LDL) t\u0103ng cao. Ngo\u00e0i ra, c\u00e1c nghi\u00ean c\u1ee9u di truy\u1ec1n \u1edf ng\u01b0\u1eddi cho th\u1ea5y khuynh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u1ea3 t\u0103ng huy\u1ebft \u00e1p v\u00e0 r\u1ed1i lo\u1ea1n lipid m\u00e1u c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c th\u1eeba h\u01b0\u1edfng c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u1ec1 m\u1eb7t di truy\u1ec1n.<\/strong><\/p>\n

Nh\u00ecn chung, t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p \u0111\u1ed1i v\u1edbi n\u1ed3ng \u0111\u1ed9 lipid v\u00e0 t\u00e1c d\u1ee5ng c\u1ee7a statin \u0111\u1ed1i v\u1edbi huy\u1ebft \u00e1p l\u00e0 r\u1ea5t khi\u00eam t\u1ed1n. H\u1ea1 huy\u1ebft \u00e1p v\u00e0 h\u1ea1 lipid gi\u00fap gi\u1ea3m nguy c\u01a1 tim m\u1ea1ch<\/a> m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp v\u00e0 t\u00e1c d\u1ee5ng k\u00e8m c\u00e1c thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 mang l\u1ea1i l\u1ee3i \u00edch tuy\u1ec7t \u0111\u1ed1i cao \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch.<\/p>\n

1. T\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p kh\u00e1c nhau<\/h2>\n

\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ee9c lipid. V\u00ed d\u1ee5, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f3 t\u00e1c d\u1ee5ng trung t\u00ednh ho\u1eb7c c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi th\u00e0nh ph\u1ea7n lipid, trong khi nh\u1eefng lo\u1ea1i kh\u00e1c c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5; t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 v\u1eady v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi t\u00e1c d\u1ee5ng l\u00e2m s\u00e0ng c\u00f3 l\u1ee3i c\u1ee7a vi\u1ec7c h\u1ea1 huy\u1ebft \u00e1p \u0111\u1ed1i v\u1edbi nguy c\u01a1 tim m\u1ea1ch.<\/p>\n

    \n
  • Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u1ed1i v\u1edbi n\u1ed3ng \u0111\u1ed9 lipid huy\u1ebft t\u01b0\u01a1ng \u2014<\/strong> Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide v\u00e0 thu\u1ed1c ch\u1eb9n beta c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 lipid. Tuy nhi\u00ean, c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y v\u1eabn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng (n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh kh\u00e1c) \u1edf b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n lipid m\u00e1u, v\u00e0 t\u01b0\u01a1ng t\u1ef1, c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c ng\u1eebng ch\u1ec9 \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng lipid.<\/li>\n
  • Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide \u2014<\/strong> Li\u1ec1u cao thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide (50 \u0111\u1ebfn 100 mg hydrochlorothiazide ho\u1eb7c chlorthalidone) t\u1ea1o ra s\u1ef1 gia t\u0103ng ban \u0111\u1ea7u t\u1eeb 5 \u0111\u1ebfn 10 ph\u1ea7n tr\u0103m cholesterol to\u00e0n ph\u1ea7n v\u00e0 cholesterol lipoprotein m\u1eadt \u0111\u1ed9 th\u1ea5p (LDL) v\u00e0 t\u0103ng \u00edt tryglicerides. T\u00e1c d\u1ee5ng t\u0103ng lipid m\u00e1u c\u1ee7a thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u l\u01b0\u1ee3ng;<\/li>\n
  • Thu\u1ed1c ch\u1eb9n beta<\/strong> \u2014 Thu\u1ed1c ch\u1eb9n beta l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t. T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c ch\u1eb9n beta \u0111\u1ed1i v\u1edbi lipid huy\u1ebft thanh thay \u0111\u1ed5i t\u00f9y theo \u0111\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c l\u00fd c\u1ee7a ch\u00fang v\u00e0 c\u00f3 th\u1ec3 n\u1ed5i b\u1eadt h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c.<\/li>\n<\/ul>\n

    Nhi\u1ec1u thu\u1ed1c ch\u1eb9n beta truy\u1ec1n th\u1ed1ng, c\u1ea3 ch\u1ecdn l\u1ecdc tr\u00ean tim v\u00e0 kh\u00f4ng ch\u1ecdn l\u1ecdc tr\u00ean tim (ch\u1eb3ng h\u1ea1n nh\u01b0 atenolol, metoprolol v\u00e0 propranolol), d\u1eabn \u0111\u1ebfn s\u1ef1 gia t\u0103ng kh\u00e1 \u00edt c\u1ee7a triglycerids (20 \u0111\u1ebfn 40 ph\u1ea7n tr\u0103m), gi\u1ea3m cholesterol lipoprotein t\u1ef7 tr\u1ecdng cao (HDL) (kho\u1ea3ng 10 ph\u1ea7n tr\u0103m). ), v\u00e0 \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cholesterol to\u00e0n ph\u1ea7n ho\u1eb7c cholesterol LDL. Ng\u01b0\u1ee3c l\u1ea1i, labetalol (thu\u1ed1c ch\u1eb9n alpha v\u00e0 beta k\u1ebft h\u1ee3p) c\u0169ng nh\u01b0 thu\u1ed1c ch\u1eb9n beta c\u00f3 ho\u1ea1t t\u00ednh giao c\u1ea3m n\u1ed9i t\u1ea1i (v\u00ed d\u1ee5 acebutolol v\u00e0 pindolol) c\u00f3 t\u00e1c \u0111\u1ed9ng t\u01b0\u01a1ng \u0111\u1ed1i \u00edt \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 lipid do t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi lipoprotein lipase.<\/p>\n

    Thu\u1ed1c ch\u1eb9n beta c\u00f3 \u0111\u1eb7c t\u00ednh gi\u00e3n m\u1ea1ch c\u00f3 qu\u00e1 tr\u00ecnh chuy\u1ec3n ho\u00e1 thu\u1eadn l\u1ee3i h\u01a1n. Carvedilol, m\u1ed9t thu\u1ed1c ch\u1eb9n beta v\u00e0 alpha-1 kh\u00f4ng ch\u1ecdn l\u1ecdc k\u1ebft h\u1ee3p, \u00edt \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn m\u1ee9c triglycerids h\u01a1n so v\u1edbi metoprolol ho\u1eb7c atenolol, v\u00e0 nebivolol d\u01b0\u1eddng nh\u01b0 c\u00f3 t\u00e1c d\u1ee5ng trung t\u00ednh.<\/p>\n

    \"thay-doi-lipid-mau-do-su-dung-thuoc-ha-huyet-ap\"
    Thay \u0111\u1ed5i lipid m\u00e1u do s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p<\/figcaption><\/figure>\n
      \n
    • Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f3 t\u00e1c d\u1ee5ng trung t\u00ednh ho\u1eb7c c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi n\u1ed3ng \u0111\u1ed9 lipid huy\u1ebft t\u01b0\u01a1ng <\/strong>\u2014 Kh\u00e1c v\u1edbi thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide v\u00e0 thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p th\u01b0\u1eddng c\u00f3 t\u00e1c d\u1ee5ng trung t\u00ednh ho\u1eb7c c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi lipid. Tuy nhi\u00ean, nh\u1eefng t\u00e1c d\u1ee5ng n\u00e0y th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c xem x\u00e9t khi l\u1ef1a ch\u1ecdn li\u1ec7u ph\u00e1p h\u1ea1 huy\u1ebft \u00e1p.<\/li>\n
    • Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n \u2014<\/strong> Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE) d\u01b0\u1eddng nh\u01b0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111\u00e1ng k\u1ec3 \u0111\u1ed1i v\u1edbi lipid huy\u1ebft t\u01b0\u01a1ng v\u00e0 c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u ho\u1eb7c ng\u0103n ch\u1eb7n s\u1ef1 gia t\u0103ng lipid do \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u1ee3i ti\u1ec3u (th\u00f4ng qua m\u1ed9t c\u01a1 ch\u1ebf ch\u01b0a r\u00f5).<\/li>\n
    • Thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 angiotensin \u2014 <\/strong>Trong h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng, thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 angiotensin (ARB) c\u00f3 t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i trung t\u00ednh ho\u1eb7c v\u1eeba ph\u1ea3i \u0111\u1ed1i v\u1edbi m\u1ee9c lipid .<\/li>\n
    • Thu\u1ed1c ch\u1eb9n k\u00eanh canxi \u2014 <\/strong>Thu\u1ed1c ch\u1eb9n k\u00eanh canxi d\u01b0\u1eddng nh\u01b0 c\u00f3 t\u00e1c d\u1ee5ng trung t\u00ednh ho\u1eb7c c\u00f3 l\u1ee3i nh\u1eb9 \u0111\u1ed1i v\u1edbi th\u00e0nh ph\u1ea7n lipid.<\/li>\n
    • Thu\u1ed1c ch\u1eb9n alpha \u2014 <\/strong>Thu\u1ed1c ch\u1eb9n alpha-1 ch\u1ecdn l\u1ecdc, c\u1ee5 th\u1ec3 l\u00e0 prazosin, doxazosin v\u00e0 terazosin, c\u1ea3i thi\u1ec7n ho\u1ea1t \u0111\u1ed9ng lipase lipoprotein v\u00e0 lu\u00f4n th\u1ec3 hi\u1ec7n t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi lipid huy\u1ebft t\u01b0\u01a1ng. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y l\u00e0m gi\u1ea3m cholesterol to\u00e0n ph\u1ea7n kho\u1ea3ng 3 \u0111\u1ebfn 5 ph\u1ea7n tr\u0103m, gi\u1ea3m m\u1ee9c ch\u1ea5t b\u00e9o trung t\u00ednh t\u1eeb 3 \u0111\u1ebfn 4 ph\u1ea7n tr\u0103m v\u00e0 t\u0103ng nh\u1eb9 cholesterol HDL; \u00fd ngh\u0129a l\u00e2m s\u00e0ng c\u1ee7a nh\u1eefng thay \u0111\u1ed5i n\u00e0y l\u00e0 kh\u00f4ng r\u00f5 r\u00e0ng.<\/li>\n
    • Thu\u1ed1c ch\u1eb9n giao c\u1ea3m \u2014<\/strong> T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf giao c\u1ea3m t\u00e1c \u0111\u1ed9ng trung \u01b0\u01a1ng, methyldopa, clonidine, v\u00e0 guanabenz, tr\u00ean n\u1ed3ng \u0111\u1ed9 lipid ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u k\u1ef9. C\u1ea3 nh\u1eefng thay \u0111\u1ed5i thu\u1eadn l\u1ee3i v\u00e0 b\u1ea5t l\u1ee3i \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. C\u00f3 r\u1ea5t \u00edt thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 lipid<\/li>\n
    • T\u00e1c d\u1ee5ng c\u1ee7a li\u1ec7u ph\u00e1p ph\u1ed1i h\u1ee3p \u2014<\/strong> T\u00e1c d\u1ee5ng c\u1ee7a li\u1ec7u ph\u00e1p ph\u1ed1i h\u1ee3p trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u01b0\u1eddng nh\u01b0 ph\u1ea3n \u00e1nh t\u1ed5ng t\u00e1c d\u1ee5ng c\u1ee7a t\u1eebng lo\u1ea1i thu\u1ed1c.<\/li>\n
    • T\u00e1c d\u1ee5ng c\u1ee7a statin \u0111\u1ed1i v\u1edbi huy\u1ebft \u00e1p: <\/strong>\u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u b\u1eb1ng statin c\u00f3 th\u1ec3 h\u1ea1 huy\u1ebft \u00e1p m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp, m\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 c\u00f2n ch\u01b0a \u0111\u00e1ng k\u1ec3.<\/li>\n<\/ul>\n

      2. K\u1ebft lu\u1eadn<\/h2>\n
        \n
      • \u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 lipid v\u00e0 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u b\u1eb1ng statin c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u00e1p. Nh\u00ecn chung, t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p \u0111\u1ed1i v\u1edbi n\u1ed3ng \u0111\u1ed9 lipid v\u00e0 t\u00e1c d\u1ee5ng c\u1ee7a statin \u0111\u1ed1i v\u1edbi huy\u1ebft \u00e1p l\u00e0 kh\u00f4ng nhi\u1ec1u. H\u1ea1 huy\u1ebft \u00e1p v\u00e0 h\u1ea1 lipid gi\u00fap gi\u1ea3m nguy c\u01a1 tim m\u1ea1ch m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp v\u00e0 b\u1ed5 sung<\/li>\n
      • Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide (\u1edf li\u1ec1u cao h\u01a1n li\u1ec1u th\u01b0\u1eddng d\u00f9ng) v\u00e0 m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1eb9n beta (\u0111\u1eb7c bi\u1ec7t l\u00e0 atenolol, metoprolol v\u00e0 propranolol) c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 lipid. Tuy nhi\u00ean, c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y v\u1eabn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng (n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh kh\u00e1c) \u1edf b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n lipid m\u00e1u, v\u00e0 t\u01b0\u01a1ng t\u1ef1, c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y s\u1ebd kh\u00f4ng b\u1ecb ng\u1eebng \u1edf b\u1ec7nh nh\u00e2n ch\u1ec9 \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng lipid.<\/li>\n
      • Kh\u00e1c v\u1edbi thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide v\u00e0 thu\u1ed1c ch\u1eb9n beta, h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p kh\u00e1c th\u01b0\u1eddng c\u00f3 t\u00e1c d\u1ee5ng trung t\u00ednh ho\u1eb7c c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi th\u00e0nh ph\u1ea7n lipid. Tuy nhi\u00ean, nh\u1eefng t\u00e1c d\u1ee5ng n\u00e0y th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c xem x\u00e9t khi l\u1ef1a ch\u1ecdn li\u1ec7u ph\u00e1p h\u1ea1 huy\u1ebft \u00e1p.<\/li>\n
      • \u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u b\u1eb1ng statin c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m huy\u1ebft \u00e1p m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp, m\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 kh\u00f4ng nhi\u1ec1u<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

        Nh\u1eefng thay \u0111\u1ed5i v\u1ec1 n\u1ed3ng \u0111\u1ed9 lipid do thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p g\u00e2y ra c\u00f3 th\u1ec3 \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p v\u00ec c\u00f3 t\u1edbi 45% b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u00f3 nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 lipid, ch\u1eb3ng h\u1ea1n nh\u01b0 cholesterol lipoprotein t\u1ef7 […]<\/p>\n","protected":false},"author":60,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nThay \u0111\u1ed5i lipid m\u00e1u do s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ea1 huy\u1ebft \u00e1p v\u00e0 h\u1ea1 lipid gi\u00fap gi\u1ea3m nguy c\u01a1 tim m\u1ea1ch m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp v\u00e0 mang l\u1ea1i l\u1ee3i \u00edch cao \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch.\" \/>\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=\"Thay \u0111\u1ed5i lipid m\u00e1u do s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p - 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