{"id":31742,"date":"2023-05-04T17:11:16","date_gmt":"2023-05-04T10:11:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31742"},"modified":"2023-05-08T12:16:59","modified_gmt":"2023-05-08T05:16:59","slug":"tran-dich-mang-phoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/","title":{"rendered":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7u qu\u1ea3, c\u00e1c chuy\u00ean gia y t\u1ebf th\u01b0\u1eddng s\u1eed d\u1ee5ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 ch\u1ee5p X-quang, si\u00eau \u00e2m, \u0111o l\u01b0\u1ee3ng d\u1ecbch v\u00e0 th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt h\u00fat d\u1ecbch. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i c\u1ee7a B\u1ed9 Y t\u1ebf 2012<\/strong>.<\/p>\n

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

Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i (TDMP) l\u00e0 t\u00ecnh tr\u1ea1ng xu\u1ea5t hi\u1ec7n d\u1ecbch trong khoang m\u00e0ng ph\u1ed5i nhi\u1ec1u h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng (kho\u1ea3ng 14 ml).<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n

2.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/h3>\n

– B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 \u0111au ng\u1ef1c s\u01b0\u1eddn l\u01b0ng, \u0111au t\u0103ng l\u00ean khi h\u00edt th\u1edf s\u00e2u, ho khan khi thay \u0111\u1ed5i t\u01b0 th\u1ebf, kh\u00f3 th\u1edf xu\u1ea5t hi\u1ec7n v\u00e0 ng\u00e0y m\u1ed9t t\u0103ng khi l\u01b0\u1ee3ng d\u1ecbch nhi\u1ec1u.<\/p>\n

– H\u1ed9i ch\u1ee9ng 3 gi\u1ea3m: g\u00f5 \u0111\u1ee5c, rung thanh m\u1ea5t, r\u00ec r\u00e0o ph\u1ebf nang m\u1ea5t.<\/p>\n

– H\u00ecnh \u1ea3nh phim X-quang ph\u1ed5i chu\u1ea9n: TDMP s\u1ed1 l\u01b0\u1ee3ng \u00edt ch\u1ec9 th\u1ea5y g\u00f3c s\u01b0\u1eddn ho\u00e0nh t\u00f9, s\u1edbm nh\u1ea5t l\u00e0 g\u00f3c s\u01b0\u1eddn ho\u00e0nh ph\u00eda sau tr\u00ean phim nghi\u00eang. TDMP trung b\u00ecnh th\u1ea5y h\u00ecnh m\u1edd \u0111\u1eadm, \u0111\u1ed3ng \u0111\u1ec1u, \u1edf 1\/3 d\u01b0\u1edbi ph\u1ebf tr\u01b0\u1eddng, c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1eddng cong m\u00e0 ph\u00eda l\u00f5m quay l\u00ean tr\u00ean (\u0111\u01b0\u1eddng cong Damoiseau). TDMP nhi\u1ec1u: m\u1edd \u0111\u1ec1u qu\u00e1 1\/2 ph\u1ed5i, \u0111\u1ea9y tim sang b\u00ean \u0111\u1ed1i di\u1ec7n.<\/p>\n

– Trong tr\u01b0\u1eddng h\u1ee3p tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i khu tr\u00fa c\u1ea7n k\u1ebft h\u1ee3p si\u00eau \u00e2m ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed.<\/p>\n

– Ch\u1ecdc d\u00f2 m\u00e0ng ph\u1ed5i c\u00f3 d\u1ecbch: l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng.<\/p>\n

B\u1ea3ng 1:<\/strong>\u00a0Ph\u00e2n bi\u1ec7t tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i d\u1ecbch th\u1ea5m v\u00e0 d\u1ecbch ti\u1ebft<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
X\u00e9t nghi\u1ec7m<\/strong><\/td>\nD\u1ecbch th\u1ea5m<\/strong><\/td>\nD\u1ecbch ti\u1ebft<\/strong><\/td>\n<\/tr>\n
Protein<\/td>\n< 30 g\/l<\/td>\n> 30 g\/l<\/td>\n<\/tr>\n
Protein d\u1ecbch m\u00e0ng ph\u1ed5i\/m\u00e1u<\/td>\n< 0,5<\/td>\n> 0,5<\/td>\n<\/tr>\n
T\u1ef7 tr\u1ecdng<\/td>\n1014<\/td>\n1016<\/td>\n<\/tr>\n
LDH (lactic dehydrogenase)<\/td>\n< 200 UI<\/td>\n> 200 UI<\/td>\n<\/tr>\n
LDH d\u1ecbch m\u00e0ng ph\u1ed5i\/LDH huy\u1ebft thanh<\/td>\n< 0,6<\/td>\n> 0,6<\/td>\n<\/tr>\n
H\u1ed3ng c\u1ea7u<\/td>\n< 10.000\/mm3<\/sup><\/td>\n> 10.000\/mm3<\/sup><\/td>\n<\/tr>\n
B\u1ea1ch c\u1ea7u<\/td>\n< 1.000\/mm3<\/sup><\/td>\n> 1.000\/mm3<\/sup><\/td>\n<\/tr>\n
Th\u00e0nh ph\u1ea7n<\/td>\n> 50% lympho b\u00e0o<\/td>\n> 50% lympho b\u00e0o: lao, u<\/p>\n

> 50% b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh: vi\u00eam c\u1ea5p<\/td>\n<\/tr>\n

pH<\/td>\n> 7,3<\/td>\n< 7,3<\/td>\n<\/tr>\n
Glucose<\/td>\nB\u1eb1ng \u1edf m\u1eabu m\u00e1u<\/td>\nTh\u1ea5p h\u01a1n \u1edf m\u00e1u<\/td>\n<\/tr>\n
Amylase<\/td>\n<\/td>\n>5000 \u0111v\/l (vi\u00eam t\u1ee5y)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

L\u01b0u \u00fd:<\/em>\u00a0b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i d\u1ecbch ti\u1ebft khi c\u00f3 \u00edt nh\u1ea5t 1 ti\u00eau chu\u1ea9n ph\u00f9 h\u1ee3p v\u1edbi d\u1ecbch ti\u1ebft.<\/p>\n

2.2. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/strong><\/h3>\n

–\u00a0D\u1ecbch th\u1ea5m<\/strong>\u00a0(b\u1ea3ng 1).<\/p>\n

+ H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0, suy th\u1eadn m\u1ea1n.<\/p>\n

+ X\u01a1 gan c\u1ed5 tr\u01b0\u1edbng.<\/p>\n

+ Suy tim tr\u00e1i kh\u00f4ng h\u1ed3i ph\u1ee5c.<\/p>\n

+ Th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c.<\/p>\n

+ Suy gi\u00e1p.<\/p>\n

+ H\u1ed9i ch\u1ee9ng Demon-Meigs.<\/p>\n

+ Suy dinh d\u01b0\u1ee1ng.<\/p>\n

–\u00a0D\u1ecbch ti\u1ebft<\/strong>\u00a0(b\u1ea3ng 1).<\/p>\n

+ Do lao.<\/p>\n

+ Do ung th\u01b0.<\/p>\n

+ Do nhi\u1ec5m tr\u00f9ng ph\u1ed5i v\u00e0 m\u00e0ng ph\u1ed5i (vi khu\u1ea9n, n\u1ea5m, vi r\u00fat, k\u00fd sinh tr\u00f9ng nh\u01b0 a m\u00edp, s\u00e1n l\u00e1 ph\u1ed5i, s\u00e1n l\u00e1 gan l\u1edbn).<\/p>\n

+ Do ngh\u1ebdn t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n

+ Do c\u00e1c b\u1ec7nh h\u1ec7 th\u1ed1ng (lupus, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p…).<\/p>\n

–\u00a0Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i d\u1ecbch m\u00e0u m\u00e1u:<\/strong>\u00a0d\u1ecbch c\u00f3 m\u00e0u \u0111\u1ecf m\u00e1u, Hemoglobin d\u1ecbch m\u00e0ng ph\u1ed5i\/hemoglobin m\u00e1u < 0,5.<\/p>\n

+ Ung th\u01b0 m\u00e0ng ph\u1ed5i, ung th\u01b0 di c\u0103n t\u1edbi m\u00e0ng ph\u1ed5i.<\/p>\n

+ Lao m\u00e0ng ph\u1ed5i.<\/p>\n

–\u00a0Tr\u00e0n m\u00e1u m\u00e0ng ph\u1ed5i:<\/strong>\u00a0t\u1ef7 l\u1ec7 hemoglobin d\u1ecbch m\u00e0ng ph\u1ed5i\/hemoglobin m\u00e1u > 0,5.<\/p>\n

+ Do ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c.<\/p>\n

+ Ung th\u01b0 m\u00e0ng ph\u1ed5i, ung th\u01b0 di c\u0103n t\u1edbi m\u00e0ng ph\u1ed5i.<\/p>\n

+ Tai bi\u1ebfn c\u1ee7a c\u00e1c th\u1ee7 thu\u1eadt th\u0103m d\u00f2 m\u00e0ng ph\u1ed5i: ch\u1ecdc d\u00f2 m\u00e0ng ph\u1ed5i, sinh thi\u1ebft m\u00e0ng ph\u1ed5i,\u2026<\/p>\n

+ V\u1ee1 ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c.<\/p>\n

+ B\u1ec7nh Rendu Osler.<\/p>\n

–\u00a0Tr\u00e0n d\u01b0\u1ee1ng ch\u1ea5p m\u00e0ng ph\u1ed5i:<\/strong>\u00a0D\u1ecbch m\u00e0ng ph\u1ed5i tr\u1eafng nh\u01b0 s\u1eefa, t\u00e1i ph\u00e1t r\u1ea5t nhanh. Soi vi th\u1ec3 th\u1ea5y nh\u1eefng gi\u1ecdt m\u1ee1. M\u1ee1 to\u00e0n ph\u1ea7n c\u1ee7a d\u1ecbch m\u00e0ng ph\u1ed5i 1-4 g\/100 ml. Triglycerid d\u1ecbch m\u00e0ng ph\u1ed5i > 110 mg%.<\/p>\n

+ Do ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c.<\/p>\n

+ Ph\u1eabu thu\u1eadt l\u1ed3ng ng\u1ef1c g\u00e2y l\u1ed7 d\u00f2 \u1ed1ng ng\u1ef1c – m\u00e0ng ph\u1ed5i.<\/p>\n

+ Vi\u00eam b\u1ea1ch m\u1ea1ch do lao, giun ch\u1ec9.<\/p>\n

+ Do ung th\u01b0 h\u1ec7 lympho ho\u1eb7c ung th\u01b0 ph\u1ebf qu\u1ea3n di c\u0103n.<\/p>\n

– C\u00e1c nguy\u00ean nh\u00e2n TDMP th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng bao g\u1ed3m:<\/strong><\/p>\n

+ Lao m\u00e0ng ph\u1ed5i.<\/p>\n

+ Vi\u00eam ph\u1ed5i m\u00e0ng ph\u1ed5i.<\/p>\n

+ Suy tim sung huy\u1ebft.<\/p>\n

+ Ung th\u01b0.<\/p>\n

+ X\u01a1 gan.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Ngu\u1ed3n: Medscape<\/strong><\/figcaption><\/figure>\n

3. \u0110i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/strong><\/h2>\n

3.1. \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/strong><\/h3>\n

3.1.1. \u0110i\u1ec1u tr\u1ecb TDMP d\u1ecbch th\u1ea5m<\/em><\/strong><\/p>\n

\u0110i\u1ec1u tr\u1ecb b\u1ec7nh nguy\u00ean ph\u00e1t. Ch\u1ecdc th\u00e1o d\u1ecbch MP trong tr\u01b0\u1eddng h\u1ee3p TDMP qu\u00e1 nhi\u1ec1u g\u00e2y kh\u00f3 th\u1edf.<\/p>\n

3.1.2. \u0110i\u1ec1u tr\u1ecb TDMP d\u1ecbch ti\u1ebft<\/em><\/strong><\/p>\n

* \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/strong>:<\/em><\/p>\n

TDMP nhi\u1ec1u c\u00f3 suy h\u00f4 h\u1ea5p:<\/p>\n

+ Th\u1edf oxy<\/p>\n

+ Ch\u1ecdc th\u00e1o d\u1ea7n chia l\u00e0m nhi\u1ec1u l\u1ea7n, m\u1ed7i l\u1ea7n \u2264 1 l\u00edt.<\/p>\n

+ Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p s\u1edbm v\u00e0 k\u00e9o d\u00e0i.<\/p>\n

TDMP nhi\u1ec1u, t\u00e1i ph\u00e1t nhanh do ung th\u01b0:<\/p>\n

+ G\u00e2y d\u00ednh m\u00e0ng ph\u1ed5i b\u1eb1ng b\u1ed9t talc, povidon iod…<\/p>\n

+ Kh\u00f4ng g\u00e2y d\u00ednh khi tr\u00e0n d\u1ecbch m\u00e0 ph\u1ed5i kh\u00f4ng n\u1edf \u0111\u01b0\u1ee3c ho\u00e0n to\u00e0n (nh\u01b0 trong x\u1eb9p ph\u1ed5i), hay c\u00f3 k\u00e8m theo tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim.<\/p>\n

* \u0110i\u1ec1u tr\u1ecb c\u0103n nguy\u00ean<\/strong>:<\/em><\/p>\n

– Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i do nhi\u1ec5m khu\u1ea9n ph\u1ed5i m\u00e0ng ph\u1ed5i (\u0111\u1ecdc th\u00eam b\u00e0i h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i):<\/p>\n

+ Ch\u1ecdc th\u00e1o, m\u1edf m\u00e0ng ph\u1ed5i d\u1eabn l\u01b0u s\u1edbm, k\u1ebft h\u1ee3p b\u01a1m r\u1eeda h\u00e0ng ng\u00e0y v\u1edbi natriclorua 0,9%.<\/p>\n

+ Tr\u01b0\u1eddng h\u1ee3p tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i khu tr\u00fa, \u0111\u00e3 v\u00e1ch h\u00f3a: c\u1ea7n ti\u1ebfn h\u00e0nh m\u1edf m\u00e0ng ph\u1ed5i d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m m\u00e0ng ph\u1ed5i ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh l\u1ed3ng ng\u1ef1c.<\/p>\n

+ Kh\u00e1ng sinh: d\u00f9ng trong 4 – 6 tu\u1ea7n.<\/p>\n

    \n
  • \u0110\u01b0\u1eddng ti\u00eam t\u0129nh m\u1ea1ch, li\u1ec1u cao, th\u00edch h\u1ee3p v\u1edbi c\u00e1c vi khu\u1ea9n g\u00e2y b\u1ec7nh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u00e0ng ph\u1ed5i do vi khu\u1ea9n, d\u00f9ng \u00edt nh\u1ea5t 2 kh\u00e1ng sinh.<\/li>\n
  • L\u00fac \u0111\u1ea7u khi ch\u01b0a c\u00f3 kh\u00e1ng sinh \u0111\u1ed3 n\u00ean d\u00f9ng kh\u00e1ng sinh c\u00f3 t\u00e1c d\u1ee5ng v\u1edbi vi khu\u1ea9n k\u1ef5 kh\u00ed, ph\u1ebf c\u1ea7u v\u00e0 c\u00e1c tr\u1ef1c khu\u1ea9n Gram (-): amoxicilin + acid clavulanic 3-6 g\/ng\u00e0y ho\u1eb7c cephalosporin th\u1ebf h\u1ec7 3: 3-6 g\/ng\u00e0y; d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi gentamycin 3-5 mg\/kg\/ng\u00e0y ti\u00eam b\u1eafp 1 l\u1ea7n ho\u1eb7c amikacin 15 mg\/kg\/ng\u00e0y ti\u00eam b\u1eafp 1 l\u1ea7n.<\/li>\n
  • N\u1ebfu kh\u00f4ng c\u00f3 \u0111i\u1ec1u ki\u1ec7n c\u00f3 th\u1ec3 d\u00f9ng penicilin li\u1ec1u cao (20-50 tri\u1ec7u \u0111\u01a1n v\u1ecb\/ng\u00e0y tu\u1ef3 theo c\u00e2n n\u1eb7ng).<\/li>\n
  • N\u1ebfu d\u1ecb \u1ee9ng v\u1edbi penicilin th\u00ec d\u00f9ng clindamycin.<\/li>\n
  • Thay \u0111\u1ed5i thu\u1ed1c theo di\u1ec5n bi\u1ebfn l\u00e2m s\u00e0ng v\u00e0 k\u1ebft qu\u1ea3 kh\u00e1ng sinh \u0111\u1ed3.<\/li>\n<\/ul>\n

    + \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh to\u00e0n th\u00e2n, c\u00e1c \u1ed5 nhi\u1ec5m tr\u00f9ng nguy\u00ean ph\u00e1t.<\/p>\n

    – \u0110i\u1ec1u tr\u1ecb tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i do lao.<\/p>\n

    + Nguy\u00ean t\u1eafc:<\/p>\n

      \n
    • Ch\u1ecdc th\u00e1o h\u1ebft d\u1ecbch m\u00e0ng ph\u1ed5i s\u1edbm l\u00e0 bi\u1ec7n ph\u00e1p t\u1ed1t nh\u1ea5t \u0111\u1ec3 ch\u1ed1ng d\u00ednh m\u00e0ng ph\u1ed5i.<\/li>\n
    • D\u00f9ng thu\u1ed1c ch\u1ed1ng lao (tham kh\u1ea3o th\u00eam ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh ch\u1ed1ng lao qu\u1ed1c gia).<\/li>\n<\/ul>\n

      + Li\u1ec1u d\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng lao:<\/p>\n

        \n
      • Streptomycin 15 mg\/kg\/ng\u00e0y.<\/li>\n
      • Rifampicin 10 mg\/kg\/ ng\u00e0y.<\/li>\n
      • INH 5 mg\/kg\/ng\u00e0y.<\/li>\n
      • Pyrazinamid 25 mg\/kg\/ng\u00e0y.<\/li>\n
      • Ethambutol 20 mg\/kg\/ng\u00e0y.<\/li>\n<\/ul>\n

        + Ph\u00e1c \u0111\u1ed3 ch\u1ed1ng lao:<\/p>\n

          \n
        • 2 HRZS(E)\/4RH.<\/li>\n
        • C\u00f3 m\u1ed9t s\u1ed1 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb kh\u00e1c c\u0169ng v\u1edbi nguy\u00ean t\u1eafc k\u1ebft h\u1ee3p 3-5 thu\u1ed1c ch\u1ed1ng lao. Ngo\u00e0i ra, c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 ph\u00e1c \u0111\u1ed3 ri\u00eang cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 b\u1ec7nh l\u00fd gan, th\u1eadn.<\/li>\n
        • Vitamine B6 25 mg\/ng\u00e0y ph\u00f2ng bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh c\u1ee7a INH.<\/li>\n
        • Ki\u1ec3m tra m\u1eaft (th\u1ecb l\u1ef1c, th\u1ecb tr\u01b0\u1eddng, s\u1eafc gi\u00e1c) tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u00e0 khi c\u00f3 b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Ki\u1ec3m tra ch\u1ee9c n\u0103ng gan, th\u1eadn 2 l\u1ea7n trong th\u00e1ng \u0111\u1ea7u ti\u00ean r\u1ed3i m\u1ed7i th\u00e1ng 1 l\u1ea7n cho \u0111\u1ebfn khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb. L\u01b0u \u00fd ki\u1ec3m tra l\u1ea1i ch\u1ee9c n\u0103ng gan, th\u1eadn ngay khi c\u00f3 bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng (v\u00e0ng da, v\u00e0ng m\u1eaft, m\u1ec7t m\u1ecfi, n\u00f4n, ch\u00e1n \u0103n,\u2026).<\/li>\n
        • Ph\u00e1t hi\u1ec7n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c c\u1ee7a thu\u1ed1c (nh\u00ecn m\u1edd, \u0111au kh\u1edbp, ch\u00f3ng m\u1eb7t).<\/li>\n<\/ul>\n

          + Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng: T\u1eadp th\u1edf, th\u1ed5i b\u00f3ng, t\u1eadp c\u00e1c \u0111\u1ed9ng t\u00e1c l\u00e0m gi\u00e3n n\u1edf l\u1ed3ng ng\u1ef1c b\u00ean b\u1ecb b\u1ec7nh s\u1edbm v\u00e0 k\u00e9o d\u00e0i.<\/p>\n

          – \u0110i\u1ec1u tr\u1ecb TDMP do c\u00e1c c\u0103n nguy\u00ean kh\u00e1c:<\/p>\n

            \n
          • Tu\u1ef3 theo c\u0103n nguy\u00ean.<\/li>\n
          • Trong tr\u00e0n d\u01b0\u1ee1ng ch\u1ea5p m\u00e0ng ph\u1ed5i ngo\u00e0i tr\u01b0\u1eddng h\u1ee3p can thi\u1ec7p ngo\u1ea1i khoa \u0111\u01b0\u1ee3c th\u00ec vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu l\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n h\u1ea1n ch\u1ebf lipid.<\/li>\n<\/ul>\n

            – \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng d\u00ednh m\u00e0ng ph\u1ed5i v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p TDMP \u0111\u00e3 v\u00e1ch h\u00f3a:<\/p>\n

            + Ch\u1ecdc th\u00e1o s\u1edbm v\u00e0 ch\u1ecdc th\u00e1o h\u1ebft d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 bi\u1ec7n ph\u00e1p t\u1ed1t nh\u1ea5t \u0111\u1ec3 ph\u00f2ng v\u00e1ch ho\u00e1 v\u00e0 d\u00ednh m\u00e0ng ph\u1ed5i.<\/p>\n

            + Khi \u0111\u00e3 xu\u1ea5t hi\u1ec7n TDMP v\u00e1ch ho\u00e1, n\u1ebfu c\u00f3 \u0111i\u1ec1u ki\u1ec7n c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh:<\/p>\n

              \n
            • B\u01a1m streptokinase 100.000 – 300.000 \u0111\u01a1n v\u1ecb x 1 l\u1ea7n \/ng\u00e0y v\u00e0o khoang m\u00e0ng ph\u1ed5i, sau \u0111\u00f3 k\u1eb9p \u1ed1ng d\u1eabn l\u01b0u 2-4 gi\u1edd, r\u1ed3i m\u1edf \u1ed1ng d\u1eabn l\u01b0u h\u00fat li\u00ean t\u1ee5c.\u00a0Kh\u00f4ng b\u01a1m streptokinase sau 6 ng\u00e0y k\u1ec3 t\u1eeb l\u1ea7n b\u01a1m \u0111\u1ea7u ti\u00ean<\/em><\/strong>.<\/li>\n
            • Sau khi d\u00f9ng streptokinase ph\u1ea3i \u0111\u01b0a cho b\u1ec7nh nh\u00e2n th\u1ebb c\u00f3 ghi r\u00f5 vi\u1ec7c \u0111\u00e3 d\u00f9ng streptokinase \u0111\u1ec3 l\u1ea7n kh\u00e1c n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng l\u1ea1i thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft th\u00ec kh\u00f4ng d\u00f9ng streptokinase n\u1eefa m\u00e0 d\u00f9ng lo\u1ea1i thu\u1ed1c kh\u00e1c ph\u00f2ng tai bi\u1ebfn d\u1ecb \u1ee9ng.<\/li>\n
            • N\u1ed9i soi khoang m\u00e0ng ph\u1ed5i \u0111\u1ec3 ph\u00e1 b\u1ecf c\u00e1c v\u00e1ch ng\u0103n, b\u00f3c d\u00ednh m\u00e0ng ph\u1ed5i.<\/li>\n<\/ul>\n

              3.2. \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/strong><\/h3>\n

              – Ph\u1eabu thu\u1eadt b\u00f3c m\u00e0ng ph\u1ed5i, \u1ed5 c\u1eb7n m\u00e0ng ph\u1ed5i trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam d\u00e0y m\u00e0ng ph\u1ed5i sau m\u1ed9t th\u00e1ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u00edch c\u1ef1c kh\u00f4ng gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c.<\/p>\n

              – C\u1eaft b\u1ecf u nang bu\u1ed3ng tr\u1ee9ng trong h\u1ed9i ch\u1ee9ng Demon-Meigs.<\/p>\n

              – L\u1ea5y d\u1ecb v\u1eadt nh\u01b0 m\u1ea3nh \u0111\u1ea1n n\u1eb1m c\u1ea1nh m\u00e0ng ph\u1ed5i.<\/p>\n

              – Th\u1eaft \u1ed1ng ng\u1ef1c trong tr\u01b0\u1eddng h\u1ee3p tr\u00e0n d\u01b0\u1ee1ng ch\u1ea5p m\u00e0ng ph\u1ed5i do v\u1ee1, t\u1eafc \u1ed1ng ng\u1ef1c<\/p>\n

              Ngu\u1ed3n tham kh\u1ea3o:<\/strong> H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh h\u00f4 h\u1ea5p c\u1ee7a B\u1ed9 Y t\u1ebf 2012<\/p>\n","protected":false},"excerpt":{"rendered":"

              Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7u qu\u1ea3, c\u00e1c chuy\u00ean gia y t\u1ebf th\u01b0\u1eddng s\u1eed d\u1ee5ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 ch\u1ee5p X-quang, si\u00eau \u00e2m, \u0111o l\u01b0\u1ee3ng d\u1ecbch v\u00e0 th\u1ef1c […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"\nTr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh\" \/>\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=\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-04T10:11:16+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-08T05:16:59+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/8.webp\" \/>\n<meta name=\"author\" content=\"tdan tdan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tdan tdan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/\",\"name\":\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-04T10:11:16+00:00\",\"dateModified\":\"2023-05-08T05:16:59+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\"},\"description\":\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\",\"name\":\"tdan tdan\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g\",\"caption\":\"tdan tdan\"},\"sameAs\":[\"http:\/\/tdan\"],\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tdan99102gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec","description":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec","og_description":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/","og_site_name":"Vinmec","article_published_time":"2023-05-04T10:11:16+00:00","article_modified_time":"2023-05-08T05:16:59+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/8.webp"}],"author":"tdan tdan","twitter_card":"summary_large_image","twitter_misc":{"Written by":"tdan tdan","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/","name":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-04T10:11:16+00:00","dateModified":"2023-05-08T05:16:59+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d"},"description":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tran-dich-mang-phoi\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d","name":"tdan tdan","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/307f4fd31b9736b391c626de946b25e4?s=96&d=mm&r=g","caption":"tdan tdan"},"sameAs":["http:\/\/tdan"],"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/tdan99102gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/31742"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=31742"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/31742\/revisions"}],"predecessor-version":[{"id":32668,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/31742\/revisions\/32668"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=31742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=31742"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=31742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}