{"id":31817,"date":"2023-05-04T21:54:55","date_gmt":"2023-05-04T14:54:55","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31817"},"modified":"2023-05-04T21:54:55","modified_gmt":"2023-05-04T14:54:55","slug":"tiep-can-lam-sang-hep-van-dong-mach-chu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/tiep-can-lam-sang-hep-van-dong-mach-chu\/","title":{"rendered":"Ti\u1ebfp c\u1eadn l\u00e2m s\u00e0ng h\u1eb9p van \u0110\u1ed9ng m\u1ea1ch ch\u1ee7"},"content":{"rendered":"

Thu\u1eadt ng\u1eef h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 d\u00f9ng \u0111\u1ec3 ch\u1ec9 t\u00ecnh tr\u1ea1ng h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a m\u00e1u t\u1eeb th\u1ea5t tr\u00e1i v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. \u0110i\u1ec1u n\u00e0y l\u00e0m t\u0103ng h\u1eadu g\u00e1nh l\u00ean th\u1ea5t tr\u00e1i, v\u00e0 th\u1eadm ch\u00ed l\u00e0 g\u00e2y suy th\u1ea5t tr\u00e1i. H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) l\u00e0 b\u1ec7nh van tim ng\u00e0y c\u00e0ng g\u1eb7p nhi\u1ec1u \u1edf b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed1i nh\u1ea5t l\u00e0 \u1edf c\u00e1c n\u01b0\u1edbc ph\u1ea5t tri\u1ec3n.\u00a0<\/strong><\/p>\n

\"hep-van-dong-mach-chu\"<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/h2>\n

1.1 D\u1ecbch t\u1ec3 c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/strong>
\nH\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, l\u00e0 b\u1ec7nh l\u00fd van tim ph\u1ed5 bi\u1ebfn nh\u1ea5t, th\u01b0\u1eddng l\u00e0 b\u1ec7nh l\u00fd tu\u1ed5i gi\u00e0, v\u00e0 do x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch. Th\u1ec3 d\u1ea1ng th\u1ea5p tr\u1edf n\u00ean hi\u1ebfm g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc c\u00f4ng nghi\u1ec7p. H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng \u1edf 50% tr\u01b0\u1eddng h\u1ee3p v\u00e0 c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t. N\u1ebfu b\u1ec7nh bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng, ti\u00ean l\u01b0\u1ee3ng x\u1ea5u \u0111i, th\u1eddi gian s\u1ed1ng 2 n\u0103m d\u01b0\u1edbi 50%.<\/p>\n

1.2 Nguy\u00ean nh\u00e2n c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/strong><\/p>\n

C\u00f3 ba nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7:
\n– \u00a0V\u00f4i h\u00f3a do l\u00e3o h\u00f3a:
\n\u2022 L\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf b\u1ec7nh nh\u00e2n tr\u00ean 65 tu\u1ed5i. T\u1ef7 l\u1ec7 m\u1eafc gia t\u0103ng theo tu\u1ed5i.
\n– \u00a0V\u00f4i h\u00f3a van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 hai l\u00e1 b\u1ea9m sinh:
\n\u2022 Li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng Turner.
\n– \u00a0B\u1ec7nh tim d\u1ea1ng th\u1ea5p<\/a> :
\n\u2022 Th\u01b0\u1eddng k\u00e8m v\u1edbi b\u1ec7nh van hai l\u00e1 d\u1ea1ng th\u1ea5p.
\n\u2022 D\u1ea7n hi\u1ebfm g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc c\u00f4ng nghi\u1ec7p do \u0111i\u1ec1u tr\u1ecb s\u1edbm b\u1eb1ng kh\u00e1ng sinh t\u00ecnh tr\u1ea1ng nhi\u1ec5m li\u00ean c\u1ea7u.
\n1.3 Ph\u00e2n lo\u1ea1i h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/strong>
\nPh\u00e2n lo\u1ea1i d\u1ef1a v\u00e0o v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng:
\n– \u00a0T\u1ea1i van
\n– \u00a0Tr\u00ean van
\n– D\u01b0\u1edbi van<\/p>\n

2. Sinh l\u00fd b\u1ec7nh c\u1ee7a h\u1eb9p ch\u1ee7<\/h2>\n

\u1ede b\u1ec7nh nh\u00e2n h\u1eb9p ch\u1ee7, th\u1ea5t tr\u00e1i ph\u1ea3i co b\u00f3p nhi\u1ec1u h\u01a1n \u0111\u1ec3 duy tr\u00ec m\u1ed9t cung l\u01b0\u1ee3ng tim b\u00ecnh th\u01b0\u1eddng ch\u1ed1ng l\u1ea1i gia t\u0103ng b\u1ec7nh l\u00fd ch\u00eanh \u00e1p khi qua van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i \u0111\u1ed3ng t\u00e2m \u2013 concentric hypertrophy of left ventricle. Theo th\u1eddi gian d\u00e0i, s\u1ebd d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i, h\u1ec7 qu\u1ea3 s\u1ebd \u0111\u01b0a \u0111\u1ebfn t\u00ecnh tr\u1ea1ng xung huy\u1ebft ph\u1ed5i v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a suy tim.<\/p>\n

H\u1eb9p van \u0110MC g\u00e2y c\u1ea3n tr\u1edf s\u1ef1 t\u1ed1ng m\u00e1u t\u1eeb th\u1ea5t tr\u00e1i ra \u0110MC v\u00e0o th\u00ec t\u00e2m thu ->\u00a0 t\u0103ng g\u00e1nh t\u00e2m thu, t\u0103ng s\u1ee9c co b\u00f3p d\u1eabn \u0111\u1ebfn ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i . H\u1eadu qu\u1ea3 :
\no G\u00e2y suy tim t\u00e2m tr\u01b0\u01a1ng.
\no Suy tim t\u00e2m tr\u01b0\u01a1ng l\u00e0m m\u00e1u \u1ee9 l\u1ea1i \u1edf nh\u0129 tr\u00e1i, \u1edf mao m\u1ea1ch ph\u1ed5i g\u00e2y ph\u00f9 m\u00f4 k\u1ebd: kh\u00f3 th\u1edf m\u1ee9c \u0111\u1ed9 t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng: kh\u00f3 th\u1edf \u0111i g\u1eafng s\u1ee9c, kh\u00f3 th\u1edf khi ngh\u1ec9 ng\u01a1i, kh\u00f3 th\u1edf khi n\u1eb1m \u0111\u1ea7u th\u1ea5p, kh\u00f3 th\u1edf k\u1ecbch ph\u00e1t v\u1ec1 \u0111\u00eam, c\u01a1n hen tim, ph\u00f9 ph\u1ed5i c\u1ea5p.
\no R\u1ed1i lo\u1ea1n nh\u1ecbp : g\u00e2y ng\u1ea5t, \u0111\u1ed9t t\u1eed
\no Ch\u00e8n \u00e9p v\u00e0o \u0110\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0m gi\u1ea3m t\u01b0\u1edbi m\u00e1u c\u01a1 tim.
\no Ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i l\u00e0m t\u0103ng co b\u00f3p c\u01a1 tim, t\u0103ng ti\u00eau th\u1ee5 \u00f4xy+ m\u00e1u \u0111\u1ebfn m\u1ea1ch v\u00e0nh \u00edt do h\u1eb9p van \u0110MC, h\u1eadu qu\u1ea3 s\u1ebd \u0111\u01b0a \u0111\u1ebfn t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u01a1 tim v\u00e0 nh\u1eefng c\u01a1n \u0111au th\u1eaft ng\u1ef1c .
\n– H\u1eb9p van \u0110MC cung l\u01b0\u1ee3ng tim kh\u00f4ng th\u1ec3 t\u0103ng l\u00ean khi BN thay \u0111\u1ed5i t\u01b0 th\u1ebf hay khi g\u1eafng s\u1ee9c g\u00e2y ra ng\u1ea5t khi thay \u0111\u1ed5i t\u01b0 th\u1ebf hay khi g\u1eafng s\u1ee9c.
\n– Van \u0110MC b\u1ecb v\u00f4i h\u00f3a: m\u1ea3ng v\u00f4i bong ra, tr\u00f4i theo d\u00f2ng m\u00e1u c\u00f3 th\u1ec3 thuy\u00ean t\u1eafc \u0110\u1ed9ng m\u1ea1ch n\u00e3o, \u0110\u1ed9ng mach v\u00f5ng m\u1ea1c, \u0110\u1ed9ng m\u1ea1ch th\u1eadn \u00ae c\u01a1n tho\u00e1ng thi\u1ebfu m\u00e1u n\u00e3o, nh\u0169n n\u00e3o, m\u00f9 \u0111\u1ed9t ng\u1ed9t.
\n– R\u1ed1i lo\u1ea1n nh\u1ecbp x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t l\u00e0m n\u1eb7ng l\u00ean tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf: rung nh\u0129, ngo\u1ea1i t\u00e2m thu th\u1ea5t.<\/p>\n

3. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/h2>\n

3.1. C\u01a1 n\u0103ng
\n<\/strong>– H\u1eb9p van \u0110MC giai \u0111o\u1ea1n \u0111\u1ea7u b\u1ec7nh nh\u00e2n (BN) c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, tr\u1eeb khi h\u1eb9p qu\u00e1 kh\u00edt BN c\u00f3 th\u1ec3 ng\u1ea5t.
\n– L\u00e2u ng\u00e0y khi th\u1ea5t tr\u00e1i \u0111\u00e3 ph\u00ec \u0111\u1ea1i quan tr\u1ecdng g\u00e2y n\u00ean r\u1ed1i lo\u1ea1n t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, g\u00e2y \u1ee9 \u0111\u1ecdng m\u00e1u \u1edf nh\u0129 tr\u00e1i v\u00e0 thi\u1ebfu m\u00e1u c\u01a1 tim, BN s\u1ebd xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng : kh\u00f3 th\u1edf v\u00e0 \u0111au ng\u1ef1c.
\n– Tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf c\u00f3 th\u1ec3 ch\u1ec9 xu\u1ea5t hi\u1ec7n khi g\u1eafng s\u1ee9c l\u00fac ban \u0111\u1ea7u, v\u1ec1 sau c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n khi ngh\u1ec9 ng\u01a1i, khi n\u1eb1m \u0111\u1ea7u th\u1ea5p.
\n– Tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c c\u00f3 th\u1ec3 ch\u1ec9 xu\u1ea5t hi\u1ec7n khi g\u1eafng s\u1ee9c l\u00fac ban \u0111\u1ea7u, v\u1ec1 sau c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n khi ngh\u1ec9 ng\u01a1i.
\n– BN c\u00f3 th\u1ec3 b\u1ecb nh\u1eefng c\u01a1n tho\u00e1ng thi\u1ebfu m\u00e1u n\u00e3o hay c\u00f3 th\u1ec3 b\u1ecb nh\u0169n n\u00e3o th\u00e2t s\u1ef1 do thuy\u00ean t\u00e1c m\u1ea1ch m\u00e1u n\u00e3o.
\n– BN c\u00f3 th\u1ec3 b\u1ecb m\u00f9 \u0111\u1ed9t ng\u1ed9t do thuy\u00ean t\u1eafc \u0110\u1ed9ng m\u1ea1ch v\u00f5ng m\u1ea1c.
\n– BN c\u00f3 th\u1ec3 b\u1ecb ng\u1ea5t do van \u0110MC h\u1eb9p qu\u00e1 n\u1eb7ng, ho\u1eb7c do do r\u1ed1i lo\u1ea1n nh\u1ecbp tim, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n.
\n– Giai \u0111o\u1ea1n mu\u1ed9n khi th\u1ea5t tr\u00e1i co b\u00f3p k\u00e9m s\u1ebd xu\u1ea5t hi\u1ec7n suy tim t\u00e2m thu.
\n3.2. Th\u1ef1c th\u1ec3
\n<\/strong>– Nh\u00ecn <\/strong>: \u0110\u1ed9ng m\u1ea1ch c\u1ea3nh n\u1ea3y m\u1ea1nh, h\u00f5m tr\u00ean \u1ee9c n\u1ea3y m\u1ea1nh, m\u1ecfm tim c\u00f3 th\u1ec3 l\u1ec7ch sang tr\u00e1i.
\n– S\u1edd <\/strong>: m\u1ecfm tim.
\no V\u1ecb tr\u00ed : l\u1ec7ch sang tr\u00e1i
\no Bi\u00ean \u0111\u1ed9 v\u00e0 t\u00ednh ch\u1ea5t n\u1ea3y : t\u0103ng g\u00e1nh t\u00e2m thu, th\u1ea5t tr\u00e1i n\u1ea3y m\u1ea1nh v\u00e0 k\u00e9o d\u00e0i.
\no C\u00f3 th\u1ec3 s\u1edd \u0111\u01b0\u1ee3c ti\u1ebfng T4 (s\u1edd th\u1ea5y m\u1ecfm tim n\u1ea3y l\u00ean 2 l\u1ea7n)
\no S\u1edd th\u1ea5y \u0110\u1ed9ng m\u1ea1ch c\u1ea3nh v\u00e0 h\u00f5m tr\u00ean \u1ee9c n\u1ea3y m\u1ea1nh.
\no S\u1edd m\u1ea1ch ngo\u1ea1i bi\u00ean : m\u1ea1ch nh\u1ecf v\u00e0 k\u00e9o d\u00e0i .
\no Khi th\u1ea5t tr\u00e1i ph\u00ec \u0111\u1ea1i nhi\u1ec1u, v\u00e1ch li\u00ean th\u1ea5t \u00e9p qua b\u00ean tim ph\u1ea3i, c\u1ea3n tr\u1edf m\u00e1u v\u1ec1 th\u1ea5t ph\u1ea3i g\u00e2y n\u00ean tri\u1ec7u ch\u1ee9ng gi\u1ed1ng suy tim ph\u1ea3i nh\u01b0: ph\u00f9, t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i c\u0103ng, gan to g\u1ecdi l\u00e0 hi\u1ec7u \u1ee9ng Bernheim.<\/em>
\n<\/em>– Nghe :<\/strong>
\n<\/strong>– Nh\u1ecbp tim:<\/strong>
\n<\/strong>C\u00f3 th\u1ec3 r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 nh\u01b0 ngo\u1ea1i t\u00e2m thu nh\u0129, rung nh\u0129.<\/p>\n

Ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t nh\u01b0 ngo\u1ea1i t\u00e2m thu th\u1ea5t.
\no T1 : n\u1ebfu van 2 l\u00e1 b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u00f4ng c\u00f3 suy tim th\u00ec T1 nghe b\u00ecnh th\u01b0\u1eddng.
\no T2 : g\u1ed3m 2 th\u00e0nh ph\u1ea7n A2 ( \u0111\u00f3ng van \u0110MC ) v\u00e0 P2( \u0111\u00f3ng van \u0110MP ).<\/p>\n

Van \u0110MC v\u00f4i h\u00f3a n\u1eb7ng , A2 m\u1edd.
\nH\u1eb9p van \u0110MC b\u1ea9m sinh van c\u00f2n d\u1ebbo, A2 c\u00f3 th\u1ec3 t\u0103ng.
\nT2 t\u00e1ch \u0111\u00f4i ngh\u1ecbch \u0111\u1ea3o do t\u00e2m thu th\u1ea5t tr\u00e1i k\u00e9o d\u00e0i l\u00e0m van \u0110MC \u0111\u00f3ng mu\u1ed9n.
\nP2 m\u1ea1nh n\u1ebfu c\u00f3 t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.
\no T4 : do ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i, nghe \u0111\u01b0\u1ee3c \u1edf m\u1ecfm, nghe b\u1eb1ng chu\u00f4ng.
\no Clic t\u1ed1ng m\u00e1u c\u1ee7a \u0110MC ( Click \u0111\u1ea7u t\u00e2m thu ) g\u1eb7p trong tr\u01b0\u1eddng h\u1ee3p h\u1eb9p van \u0110MC b\u1ea9m sinh ho\u1eb7c gi\u00e3n g\u1ed1c \u0110MC
\nNghe gi\u1ed1ng T1 t\u00e1ch \u0111\u00f4i, \u0111\u1ea7u t\u00e2m thu, c\u00e1ch T1 kho\u1ea3ng 0,06s, nghe r\u00f5 c\u1ea3 \u1edf m\u1ecfm tim v\u00e0 \u1edf \u1ed5 van \u0110MC, kh\u00f4ng thay \u0111\u1ed5i theo h\u00f4 h\u1ea5p, nghe b\u1eb1ng m\u00e0ng.
\n–\u00c2m th\u1ed5i :<\/em><\/strong>
\n<\/em><\/strong>\u00c2m th\u1ed5i t\u00e2m thu gi\u1eefa t\u00e2m thu<\/em><\/strong>, c\u00e1ch T1 m\u1ed9t kho\u1ea3ng, ch\u1ea5m d\u1ee9t ngay tr\u01b0\u1edbc T2, d\u1ea1ng
\nph\u1ee5t, h\u00ecnh tram, nghe \u1edf \u1ed5 van \u0110MC, li\u00ean s\u01b0\u1eddn II b\u1edd ph\u1ea3i x\u01b0\u01a1ng \u1ee9c. \u00e2m s\u1eafc th\u00f4 r\u00e1p, lan l\u00ean \u0110\u1ed9ng m\u1ea1ch c\u1ea3nh 2 b\u00ean.
\n\u00c2m th\u1ed5i gi\u1ea3m c\u01b0\u1eddng \u0111\u1ed9 khi l\u00e0m nghi\u1ec7m ph\u00e1p b\u00f3p ch\u1eb7t tay ( Handgrip Exercise )
\nD\u1ea5u Carvallo \u00e2m v\u00ec \u00e2m th\u1ed5i \u1edf b\u00ean tim tr\u00e1i
\nC\u00f3 th\u1ec3 nghe \u00e2m th\u1ed5i t\u00e2m thu \u1edf m\u1ecfm do th\u00e0nh ph\u1ea7n c\u00f3 t\u1ea7n s\u1ed1 cao c\u1ee7a \u00e2m th\u1ed5i c\u1ee7a h\u1eb9p van \u0110MC lan xu\u1ed1ng m\u1ecfm ( hi\u1ec7n t\u01b0\u1ee3ng Gallavardin )<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o: <\/strong><\/p>\n

B\u1ec7nh H\u1ecdc Tim M\u1ea1ch Lecturio<\/p>\n

B\u00e0i gi\u1ea3ng N\u1ed9i Tim m\u1ea1ch \u2013 \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/p>\n","protected":false},"excerpt":{"rendered":"

Thu\u1eadt ng\u1eef h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 d\u00f9ng \u0111\u1ec3 ch\u1ec9 t\u00ecnh tr\u1ea1ng h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a m\u00e1u t\u1eeb th\u1ea5t tr\u00e1i v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. \u0110i\u1ec1u n\u00e0y l\u00e0m t\u0103ng h\u1eadu g\u00e1nh l\u00ean th\u1ea5t tr\u00e1i, v\u00e0 th\u1eadm ch\u00ed l\u00e0 g\u00e2y suy th\u1ea5t tr\u00e1i. H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nTi\u1ebfp c\u1eadn l\u00e2m s\u00e0ng h\u1eb9p van \u0110\u1ed9ng m\u1ea1ch ch\u1ee7 - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0 t\u00ecnh tr\u1ea1ng h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra c\u1ee7a m\u00e1u t\u1eeb th\u1ea5t tr\u00e1i v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.\" \/>\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=\"Ti\u1ebfp c\u1eadn l\u00e2m s\u00e0ng h\u1eb9p van \u0110\u1ed9ng m\u1ea1ch ch\u1ee7 - 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