{"id":32738,"date":"2023-05-10T14:09:28","date_gmt":"2023-05-10T07:09:28","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32738"},"modified":"2023-05-10T14:09:28","modified_gmt":"2023-05-10T07:09:28","slug":"thay-doi-sinh-ly-tuan-hoan-tren-phu-nu-co-thai","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/10\/thay-doi-sinh-ly-tuan-hoan-tren-phu-nu-co-thai\/","title":{"rendered":"Thay \u0111\u1ed5i sinh l\u00fd tu\u1ea7n ho\u00e0n tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai"},"content":{"rendered":"

Thay \u0111\u1ed5i sinh l\u00fd trong qu\u00e1 tr\u00ecnh mang thai l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p, c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef thay \u0111\u1ed5i nhi\u1ec1u v\u1ec1 t\u00e2m l\u00fd, gi\u1ea3i ph\u0201u, sinh l\u00fd, huy\u1ebft h\u1ecdc, tu\u1ea7n ho\u00e0n, c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c hay ti\u1ebfng th\u1ed5i t\u00e2m thu l\u00e0nh t\u00ednh… v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, h\u1ec7 th\u1ed1ng tim m\u1ea1ch th\u00edch nghi \u0111\u01b0\u1ee3c v\u1edbi nh\u1eefng thay \u0111\u1ed5i \u0111\u00f3, nh\u01b0ng v\u1edbi s\u1ea3n ph\u1ee5 c\u00f3 b\u1ec7nh tim m\u1ea1ch th\u00ec thai ngh\u00e9n tr\u1edf th\u00e0nh g\u00e1nh n\u1eb7ng v\u00e0 l\u00e0m cho c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch tr\u1edf n\u00ean n\u1eb7ng h\u01a1n, d\u1ec5 x\u1ea3y ra bi\u1ebfn ch\u1ee9ng cho m\u1eb9 v\u00e0 thai nhi.<\/p>\n

1.T\u1ed5ng quan<\/h2>\n

B\u1ec7nh tim m\u1ea1ch \u1edf ph\u1ee5 n\u1eef c\u00f3 thai hi\u1ebfm g\u1eb7p \u1edf ch\u00e2u \u00c2u v\u00e0 c\u00e1c qu\u1ed1c gia ph\u00e1t tri\u1ec3n, nh\u01b0ng r\u1ea5t th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n. Theo th\u1ed1ng k\u00ea c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi, h\u00e0ng n\u0103m c\u00f3 kho\u1ea3ng n\u1eeda tri\u1ec7u s\u1ea3n ph\u1ee5 t\u1eed vong do h\u1eadu qu\u1ea3 c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 li\u00ean quan \u0111\u1ebfn thai ngh\u00e9n, trong \u0111\u00f3 nguy\u00ean nh\u00e2n do b\u1ec7nh l\u00fd tim m\u1ea1ch l\u00e0 ph\u1ed5 bi\u1ebfn. Trong c\u00e1c nguy\u00ean nh\u00e2n do tim m\u1ea1ch, hay g\u1eb7p nh\u1ea5t l\u00e0 t\u0103ng huy\u1ebft \u00e1p (12%), c\u00e1c b\u1ec7nh tim kh\u00e1c chi\u1ebfm 20%. T\u1ef7 l\u1ec7 n\u00e0y cao h\u01a1n \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. Theo c\u00e1c nghi\u00ean c\u1ee9u c\u1ee7a B\u1ed9 Y T\u1ebf, \u01b0\u1edbc t\u00ednh s\u1ed1 s\u1ea3n ph\u1ee5 t\u1eed vong kho\u1ea3ng 220\/100.000 tr\u01b0\u1eddng h\u1ee3p sinh \u0111\u1ebb, t\u1eed vong do nguy\u00ean nh\u00e2n b\u1ec7nh tim m\u1ea1ch chi\u1ebfm m\u1ed9t l\u01b0\u1ee3ng l\u1edbn trong t\u1ed5ng s\u1ed1 t\u1eed vong chung.<\/p>\n

Trong qu\u00e1 tr\u00ecnh mang thai, c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef thay \u0111\u1ed5i nhi\u1ec1u v\u1ec1 t\u00e2m l\u00fd, gi\u1ea3i ph\u0201u, sinh l\u00fd, huy\u1ebft h\u1ecdc, tu\u1ea7n ho\u00e0n, c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c hay ti\u1ebfng th\u1ed5i t\u00e2m thu l\u00e0nh t\u00ednh… v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, h\u1ec7 th\u1ed1ng tim m\u1ea1ch th\u00edch nghi \u0111\u01b0\u1ee3c v\u1edbi nh\u1eefng thay \u0111\u1ed5i \u0111\u00f3, nh\u01b0ng v\u1edbi s\u1ea3n ph\u1ee5 c\u00f3 b\u1ec7nh tim m\u1ea1ch th\u00ec thai ngh\u00e9n tr\u1edf th\u00e0nh g\u00e1nh n\u1eb7ng v\u00e0 l\u00e0m cho c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch tr\u1edf n\u00ean n\u1eb7ng h\u01a1n, d\u1ec5 x\u1ea3y ra bi\u1ebfn ch\u1ee9ng cho m\u1eb9 v\u00e0 thai nhi.<\/p>\n

T\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh tim th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef c\u00f3 thai v\u0201n li\u00ean quan nhi\u1ec1u \u0111\u1ebfn b\u1ec7nh van tim do di ch\u1ee9ng th\u1ea5p tim, m\u1ed9t s\u1ed1 kh\u00e1c do c\u00e1c b\u1ec7nh tim b\u1ea9m sinh ch\u01b0a \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed tr\u01b0\u1edbc \u0111\u00f3. Nh\u1eefng s\u1ea3n ph\u1ee5 n\u00e0y c\u00f3 th\u1ec3 s\u1ebd g\u1eb7p nhi\u1ec1u nguy c\u01a1 trong qu\u00e1 tr\u00ecnh thai ngh\u00e9n.<\/p>\n

Nh\u1eefng ph\u1ee5 n\u1eef mang van nh\u00e2n t\u1ea1o c\u01a1 h\u1ecdc th\u01b0\u1eddng g\u1eb7p kh\u00f3 kh\u0103n trong v\u1ea5n \u0111\u1ec1 d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng nh\u01b0 th\u1ebf n\u00e0o trong giai \u0111o\u1ea1n mang thai. Trong khi \u0111\u00f3, b\u1ec7nh thi\u1ebfu m\u00e1u c\u01a1 tim \u0111ang ng\u00e0y c\u00e0ng tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef c\u00f3 thai do \u0111\u1ed9 tu\u1ed5i mang thai t\u0103ng l\u00ean v\u00e0 th\u00f3i quen h\u00fat thu\u1ed1c l\u00e1. T\u00e1ch th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1c nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 tr\u1edf n\u00ean th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf ph\u1ee5 n\u1eef mang thai. Ngo\u00e0i ra, trong qu\u00e1 tr\u00ecnh mang thai, m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 m\u1eafc m\u1ed9t th\u1ec3 b\u1ec7nh c\u01a1 tim c\u00f3 ti\u00ean l\u01b0\u1ee3ng r\u1ea5t n\u1eb7ng n\u1ec1 – b\u1ec7nh c\u01a1 tim chu s\u1ea3n.<\/p>\n

Vi\u1ec7c ch\u0103m s\u00f3c ph\u1ee5 n\u1eef mang thai v\u00e0 s\u1eafp sinh c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00f3 s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a \u0111a chuy\u00ean khoa v\u00e0 x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch \u0111\u1ec3 qu\u1ea3n l\u00fd, \u0111\u01b0\u1ee3c theo d\u00f5i l\u01b0u tr\u1eef h\u1ed3 s\u01a1 v\u00e0 ph\u1ea3i c\u00f3 k\u1ebf ho\u1ea1ch ch\u1ee7 \u0111\u1ed9ng khi nh\u1eefng s\u1ea3n ph\u1ee5 n\u00e0y chuy\u1ec3n d\u1ea1.<\/p>\n

2. Thay \u0111\u1ed5i sinh l\u00fd \u1edf ph\u1ee5 n\u1eef c\u00f3 thai<\/h2>\n

Cung l\u01b0\u1ee3ng tim t\u0103ng l\u00ean s\u1edbm \u1edf ph\u1ee5 n\u1eef mang thai, \u0111\u1ea1t m\u1ee9c t\u1ed1i \u0111a \u1edf gi\u1eefa ba th\u00e1ng gi\u1eefa c\u1ee7a thai k\u1ef3. \u0110\u00e2y l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c t\u0103ng c\u1ea3 th\u1ec3 t\u00edch t\u1ed1ng m\u00e1u v\u00e0 t\u1ea7n s\u1ed1 tim. Xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng gi\u00e3n m\u1ea1ch ngo\u1ea1i bi\u00ean, gi\u1ea3m s\u1ee9c c\u1ea3n c\u1ee7a tu\u1ea7n ho\u00e0n h\u1ec7 th\u1ed1ng v\u00e0 tu\u1ea7n ho\u00e0n ph\u1ed5i.<\/p>\n

\u00c1p l\u1ef1c mao m\u1ea1ch ph\u1ed5i b\u00edt (PCWP) kh\u00f4ng t\u0103ng, trong khi \u00e1p l\u1ef1c keo huy\u1ebft t\u01b0\u01a1ng gi\u1ea3m n\u00ean hi\u1ec7u s\u1ed1 gi\u1eefa [\u00c1p l\u1ef1c keo – \u00c1p l\u1ef1c mao m\u1ea1ch ph\u1ed5i b\u00edt] gi\u1ea3m kho\u1ea3ng 28%, l\u00e0m cho ph\u1ee5 n\u1eef mang thai d\u1ec5 b\u1ecb ph\u00f9 ph\u1ed5i. Ph\u00f9 ph\u1ed5i s\u1ebd d\u1ec5 x\u1ea3y ra n\u1ebfu nh\u01b0 t\u0103ng ti\u1ec1n g\u00e1nh (v\u00ed d\u1ee5 truy\u1ec1n d\u1ecbch v\u00e0o c\u01a1 th\u1ec3), ho\u1eb7c t\u0103ng t\u00ednh th\u1ea5m c\u1ee7a mao m\u1ea1ch ph\u1ed5i (v\u00ed d\u1ee5 trong ti\u1ec1n s\u1ea3n gi\u1eadt), ho\u1eb7c do ph\u1ed1i h\u1ee3p c\u1ea3 hai.<\/p>\n

Trong giai \u0111o\u1ea1n mu\u1ed9n c\u1ee7a qu\u00e1 tr\u00ecnh mang thai, \u1edf t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda, t\u1eed cung v\u00e0 thai s\u1ebd \u0111\u00e8 l\u00ean t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi g\u00e2y gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u t\u0129nh m\u1ea1ch v\u1ec1 tim, k\u1ebft qu\u1ea3 l\u00e0m gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n v\u00e0 cung l\u01b0\u1ee3ng tim. T\u1eeb t\u01b0 th\u1ebf n\u1eb1m nghi\u00eang khi chuy\u1ec3n sang t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda s\u1ebd l\u00e0m gi\u1ea3m 25% cung l\u01b0\u1ee3ng tim. Do \u0111\u00f3 ph\u1ee5 n\u1eef mang thai n\u00ean n\u1eb1m nghi\u00eang tr\u00e1i ho\u1eb7c n\u1eb1m nghi\u00eang ph\u1ea3i b\u1ea5t c\u1ee9 khi n\u00e0o c\u00f3 th\u1ec3. Vi\u1ec7c gi\u1ea3m cung l\u01b0\u1ee3ng tim d\u0201n \u0111\u1ebfn gi\u1ea3m d\u00f2ng m\u00e1u \u0111\u1ebfn t\u1eed cung, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u01b0\u1ee3ng m\u00e1u nu\u00f4i thai g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi.<\/p>\n

Qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 c\u0169ng l\u00e0m t\u0103ng cung l\u01b0\u1ee3ng tim (15% \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 50% \u1edf giai \u0111o\u1ea1n th\u1ee9 hai). C\u01a1n co t\u1eed cung d\u1eabn \u0111\u1ebfn<\/p>\n

300 – 500 mL m\u00e1u t\u1ef1 \u0111\u1ed9ng d\u1ed3n ng\u01b0\u1ee3c tr\u1edf l\u1ea1i h\u1ec7 tu\u1ea7n ho\u00e0n, s\u1ef1 \u0111\u00e1p \u1ee9ng c\u1ee7a h\u1ec7 giao c\u1ea3m v\u1edbi c\u01a1n \u0111au v\u00e0 lo l\u1eafng s\u1ebd g\u00e2y ra t\u0103ng nh\u1ecbp tim v\u00e0 huy\u1ebft \u00e1p. Cung l\u01b0\u1ee3ng tim t\u0103ng l\u00ean nhi\u1ec1u h\u01a1n trong th\u1eddi gian c\u00f3 c\u01a1n co t\u1eed cung v\u00e0 c\u1ea3 kho\u1ea3ng gi\u1eefa nh\u1eefng c\u01a1n co.<\/p>\n

Sau khi sinh, cung l\u01b0\u1ee3ng tim s\u1ebd t\u0103ng ngay l\u1eadp t\u1ee9c do gi\u1ea3m ch\u00e8n \u00e9p c\u1ee7a t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi, v\u00e0 c\u01a1n co c\u1ee7a t\u1eed cung (l\u00fac \u0111\u00f3 \u0111\u00e3 r\u1ed7ng) \u0111\u1ea9y m\u00e1u v\u00e0o tu\u1ea7n ho\u00e0n h\u1ec7 th\u1ed1ng. Cung l\u01b0\u1ee3ng tim t\u0103ng 60 – 80%, sau \u0111\u00f3 gi\u1ea3m nhanh t\u1edbi gi\u00e1 tr\u1ecb tr\u01b0\u1edbc khi \u0111\u1ebb trong v\u00f2ng 1 gi\u1edd sau \u0111\u1ebb. S\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a l\u01b0\u1ee3ng d\u1ecbch t\u1eeb c\u00e1c kho\u1ea3ng ngo\u1ea1i b\u00e0o l\u00e0m t\u0103ng l\u01b0\u1ee3ng m\u00e1u t\u0129nh m\u1ea1ch tr\u1edf v\u1ec1 v\u00e0 t\u0103ng th\u00eam th\u1ec3 t\u00edch t\u1ed1ng m\u00e1u. Do \u0111\u00f3 s\u1ea3n ph\u1ee5 c\u00f3 nguy c\u01a1 xu\u1ea5t hi\u1ec7n ph\u00f9 ph\u1ed5i \u1edf giai \u0111o\u1ea1n hai c\u1ee7a qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 v\u00e0 ngay sau sinh.<\/p>\n

\"Thay<\/p>\n

Thay \u0111\u1ed5i sinh l\u00fd trong qu\u00e1 tr\u00ecnh mang thai<\/strong><\/p>\n

Nh\u1eefng thay \u0111\u1ed5i sinh l\u00fd c\u1ee7a h\u1ec7 tu\u1ea7n ho\u00e0n \u1edf ph\u1ee5 n\u1eef c\u00f3 thai<\/strong><\/p>\n\n\n\n\n\n\n\n\n
\u00a0<\/strong><\/p>\n

Cung l\u01b0\u1ee3ng tim<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

\u2191<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

40%<\/td>\n<\/tr>\n

\u00a0<\/strong><\/p>\n

Th\u1ec3 t\u00edch t\u1ed1ng m\u00e1u<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

\u2191<\/strong><\/td>\n

<\/td>\n<\/tr>\n
T\u1ea7n s\u1ed1 tim<\/strong><\/td>\n\u00a0<\/strong><\/p>\n

\u2191<\/strong><\/td>\n

T\u0103ng 10 – 20 nh\u1ecbp\/ph\u00fat<\/td>\n<\/tr>\n
\u00a0<\/strong><\/p>\n

\u00a0<\/strong><\/p>\n

Huy\u1ebft \u00e1p<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

\u2193<\/strong><\/p>\n

\u00a0<\/strong><\/p>\n

\u00a0<\/strong><\/p>\n

\u2192<\/strong><\/td>\n

Qu\u00fd 1 v\u00e0 qu\u00fd 2 thai k\u1ef3<\/td>\n<\/tr>\n
\u00a0<\/strong><\/p>\n

Qu\u00fd 3 thai k\u1ef3<\/td>\n<\/tr>\n

\u00a0<\/strong><\/p>\n

\u00c1p l\u1ef1c t\u0129nh m\u1ea1ch trung t\u00e2m<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

\u2192<\/strong><\/td>\n

<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n\n\n
\u00a0<\/strong><\/p>\n

\u00c1p l\u1ef1c mao m\u1ea1ch ph\u1ed5i b\u00edt<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

\u2192<\/strong><\/td>\n

<\/td>\n<\/tr>\n
S\u1ee9c c\u1ea3n h\u1ec7 \u0111\u1ea1i tu\u1ea7n ho\u00e0n v\u00e0 s\u1ee9c c\u1ea3n m\u1ea1ch ph\u1ed5i<\/strong><\/td>\n\u00a0<\/strong><\/p>\n

\u2193<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

25 – 30%<\/td>\n<\/tr>\n

\u00a0<\/strong><\/p>\n

\u00c1p l\u1ef1c keo huy\u1ebft t\u01b0\u01a1ng<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

\u2193<\/strong><\/td>\n

\u00a0<\/strong><\/p>\n

10 – 15%<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

3. K\u1ebft lu\u1eadn<\/h2>\n

Trong qu\u00e1 tr\u00ecnh mang thai, c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef thay \u0111\u1ed5i nhi\u1ec1u v\u1ec1 t\u00e2m l\u00fd, gi\u1ea3i ph\u0201u, sinh l\u00fd, huy\u1ebft h\u1ecdc, tu\u1ea7n ho\u00e0n, c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c hay ti\u1ebfng th\u1ed5i t\u00e2m thu l\u00e0nh t\u00ednh… v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, h\u1ec7 th\u1ed1ng tim m\u1ea1ch th\u00edch nghi \u0111\u01b0\u1ee3c v\u1edbi nh\u1eefng thay \u0111\u1ed5i \u0111\u00f3, nh\u01b0ng v\u1edbi s\u1ea3n ph\u1ee5 c\u00f3 b\u1ec7nh tim m\u1ea1ch th\u00ec thai ngh\u00e9n tr\u1edf th\u00e0nh g\u00e1nh n\u1eb7ng v\u00e0 l\u00e0m cho c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch tr\u1edf n\u00ean n\u1eb7ng h\u01a1n, d\u1ec5 x\u1ea3y ra bi\u1ebfn ch\u1ee9ng cho m\u1eb9 v\u00e0 thai nhi.<\/p>\n","protected":false},"excerpt":{"rendered":"

Thay \u0111\u1ed5i sinh l\u00fd trong qu\u00e1 tr\u00ecnh mang thai l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p, c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef thay \u0111\u1ed5i nhi\u1ec1u v\u1ec1 t\u00e2m l\u00fd, gi\u1ea3i ph\u0201u, sinh l\u00fd, huy\u1ebft h\u1ecdc, tu\u1ea7n ho\u00e0n, c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c hay ti\u1ebfng th\u1ed5i t\u00e2m thu l\u00e0nh t\u00ednh… v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, h\u1ec7 […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nThay \u0111\u1ed5i sinh l\u00fd tu\u1ea7n ho\u00e0n tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai - Vinmec<\/title>\n<meta name=\"description\" content=\"Thay \u0111\u1ed5i sinh l\u00fd l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p, c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef thay \u0111\u1ed5i nhi\u1ec1u v\u1ec1 t\u00e2m l\u00fd, gi\u1ea3i ph\u0201u, sinh l\u00fd, huy\u1ebft h\u1ecdc, tu\u1ea7n ho\u00e0n\" \/>\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 sinh l\u00fd tu\u1ea7n ho\u00e0n tr\u00ean ph\u1ee5 n\u1eef c\u00f3 thai - 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