{"id":33498,"date":"2023-05-13T14:40:09","date_gmt":"2023-05-13T07:40:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33498"},"modified":"2023-05-13T14:40:09","modified_gmt":"2023-05-13T07:40:09","slug":"sinh-ly-benh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/sinh-ly-benh\/","title":{"rendered":"Sinh l\u00fd b\u1ec7nh hen ph\u1ebf qu\u1ea3n"},"content":{"rendered":"

Hen ph\u1ebf qu\u1ea3n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5i kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn, g\u00e2y ra nhi\u1ec1u phi\u1ec1n to\u00e1i v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Do \u0111\u00f3, hi\u1ec3u r\u00f5 sinh l\u00fd b\u1ec7nh c\u1ee7a hen ph\u1ebf qu\u1ea3n s\u1ebd gi\u00fap c\u00e1c B\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t, nh\u1eb1m gi\u1ea3m thi\u1ec3u tri\u1ec7u ch\u1ee9ng v\u00e0 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u00f3 cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n<\/strong>.<\/p>\n

1. T\u1ed5ng quan<\/strong><\/h1>\n

Hen ph\u1ebf qu\u1ea3n l\u00e0 m\u1ed9t b\u1ec7nh \u0111a ki\u1ec3u h\u00ecnh, th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed. Vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed g\u00e2y t\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u1edbi c\u00e1c k\u00edch th\u00edch tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp, t\u1eeb \u0111\u00f3 g\u00e2y ra tri\u1ec7u ch\u1ee9ng hen. Sinh b\u1ec7nh h\u1ecdc c\u1ee7a hen t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ee9c t\u1ea1p. B\u1ea5t th\u01b0\u1eddng sinh l\u00fd ch\u00ednh trong hen l\u00e0 nh\u1eefng \u0111\u1ee3t t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn kh\u00ed \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi gi\u1edbi h\u1ea1n lu\u1ed3ng kh\u00ed th\u1edf ra. T\u1ed5n th\u01b0\u01a1ng m\u00f4 b\u1ec7nh h\u1ecdc n\u1ed5i b\u1eadt c\u1ee7a hen l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed, th\u1ec9nh tho\u1ea3ng \u0111i k\u00e8m v\u1edbi t\u00ecnh tr\u1ea1ng t\u00e1i c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng d\u1eabn kh\u00ed. Nh\u1eefng bi\u1ebfn \u0111\u1ed5i v\u1ec1 sinh l\u00fd v\u00e0 m\u00f4 b\u1ec7nh h\u1ecdc trong hen l\u00e0 do c\u00e1c t\u1ebf b\u00e0o vi\u00eam, t\u1ebf b\u00e0o c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u00e0 nhi\u1ec1u h\u00f3a ch\u1ea5t trung gian t\u01b0\u01a1ng t\u00e1c v\u1edbi nhay g\u00e2y ra. Hi\u1ec3u \u0111\u01b0\u1ee3c c\u01a1 ch\u1ebf v\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong hen s\u1ebd gi\u00fap b\u00e1c s\u0129 ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n hen ph\u00f9 h\u1ee3p h\u01a1n.<\/p>\n

Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh hen v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, nh\u01b0ng b\u1ec7nh hen c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a s\u1ef1 ph\u1ed1i h\u1ee3p nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1, g\u1ed3m y\u1ebfu t\u1ed1 b\u1ea3n th\u00e2n v\u00e0 y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng. Hen l\u00e0 m\u1ed9t b\u1ec7nh \u0111a ki\u1ec3u h\u00ecnh, th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed. Vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u1edbi c\u00e1c k\u00edch th\u00edch tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp, t\u1eeb \u0111\u00f3 g\u00e2y ra tri\u1ec7u ch\u1ee9ng hen. Nh\u1eefng t\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng t\u1ed3n t\u1ea1i dai d\u1eb3ng, th\u1eadm ch\u00ed khi b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh b\u00ecnh th\u01b0\u1eddng khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd.<\/p>\n

2. Sinh l\u00fd b\u1ec7nh hen ph\u1ebf qu\u1ea3n<\/strong><\/h2>\n

2.1. T\u0103ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1eddng d\u1eabn kh\u00ed<\/strong><\/h3>\n

L\u00e0 b\u1ea5t th\u01b0\u1eddng sinh l\u00fd \u0111\u1eb7c tr\u01b0ng c\u1ee7a hen. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u00e1p \u1ee9ng co th\u1eaft ph\u1ebf qu\u1ea3n qu\u00e1 m\u1ee9c v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch \u0111\u01b0\u1eddng h\u00edt m\u00e0 c\u00e1c k\u00edch th\u00edch n\u00e0y l\u00e0 v\u00f4 h\u1ea1i \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. Vi\u1ec7c t\u0103ng t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1eddng d\u1eabn kh\u00ed li\u00ean quan \u0111\u1ebfn t\u1ea7n su\u1ea5t tri\u1ec7u ch\u1ee9ng hen, do \u0111\u00f3, l\u00e0m gi\u1ea3m t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng. Ph\u1ebf qu\u1ea3n co th\u1eaft khi \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c ch\u1ea5t k\u00edch th\u00edch tr\u1ef1c ti\u1ebfp, nh\u01b0 histamine v\u00e0 methacholine, v\u00e0 c\u1ea3 c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch gi\u00e1n ti\u1ebfp, y\u1ebfu t\u1ed1 khi\u1ebfn d\u01b0\u1ee1ng b\u00e0o ti\u1ebft ch\u1ea5t co th\u1eaft ph\u1ebf qu\u1ea3n ho\u1eb7c k\u00edch ho\u1ea1t d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c. H\u1ea7u h\u1ebft c\u00e1c y\u1ebfu t\u1ed1 k\u00edch ph\u00e1t tri\u1ec7u ch\u1ee9ng hen d\u01b0\u1eddng nh\u01b0 t\u00e1c \u0111\u1ed9ng gi\u00e1n ti\u1ebfp. C\u00e1c y\u1ebfu t\u1ed1 n\u00e0y bao g\u1ed3m d\u1ecb nguy\u00ean, g\u1eafng s\u1ee9c, t\u0103ng th\u00f4ng kh\u00ed, s\u01b0\u01a1ng m\u00f9 (b\u1eb1ng c\u00e1ch k\u00edch ho\u1ea1t d\u01b0\u1ee1ng b\u00e0o) v\u00e0 b\u1ee5i k\u00edch \u1ee9ng, kh\u00ed sulfur dioxide (qua ph\u1ea3n x\u1ea1 ph\u00f3 giao c\u1ea3m).<\/p>\n

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\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ngu\u1ed3n: Severe Asthma Toolkit<\/strong><\/figcaption><\/figure>\n

2.2. T\u00e1i c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng d\u1eabn kh\u00ed<\/strong><\/h3>\n

Nh\u1eefng bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac c\u1ee7a \u0111\u01b0\u1eddng d\u1eabn kh\u00ed c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn h\u1eb9p \u0111\u01b0\u1eddng d\u1eabn kh\u00ed kh\u00f4ng h\u1ed3i ph\u1ee5c. C\u00e1c nghi\u00ean c\u1ee9u trong c\u1ed9ng \u0111\u1ed3ng cho th\u1ea5y, b\u1ec7nh nh\u00e2n hen c\u00f3 t\u00ecnh tr\u1ea1ng s\u1ee5t gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p nhanh h\u01a1n ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh; tuy nhi\u00ean, h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n hen c\u00f3 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p b\u00ecnh th\u01b0\u1eddng ho\u1eb7c g\u1ea7n b\u00ecnh th\u01b0\u1eddng su\u1ed1t \u0111\u1eddi n\u1ebfu h\u1ecd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hen h\u1ee3p l\u00fd. S\u1ef1 s\u1ee5t gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p nhanh l\u00ean \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n hen, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh nh\u00e2n hen n\u1eb7ng. C\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y, s\u1eed d\u1ee5ng ICS s\u1edbm s\u1ebd l\u00e0m ch\u1eadm s\u1ef1 s\u1ee5t gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p.<\/p>\n

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\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ngu\u1ed3n: Monash University<\/strong><\/figcaption><\/figure>\n

3. C\u00e1c sinh l\u00fd b\u1ec7nh \u0111\u1eb7c bi\u1ec7t trong hen<\/strong><\/h2>\n

3.1. \u0110\u1ee3t hen k\u1ecbch ph\u00e1t<\/strong><\/h3>\n

Hen c\u00f3 th\u1ec3 n\u1eb7ng l\u00ean tho\u00e1ng qua do ti\u1ebfp x\u00fac v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 k\u00edch ph\u00e1t c\u01a1n hen, nh\u01b0 l\u00e0 v\u1eadn \u0111\u1ed9ng, \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed v\u00e0 th\u1eadm ch\u00ed l\u00e0 thay \u0111\u1ed5i th\u1eddi ti\u1ebft nh\u01b0 d\u00f4ng b\u00e3o. Hen c\u00f3 th\u1ec3 n\u1eb7ng l\u00ean k\u00e9o d\u00e0i th\u01b0\u1eddng sau nhi\u1ec5m si\u00eau vi h\u00f4 h\u1ea5p tr\u00ean (\u0111\u1eb7c bi\u1ec7t l\u00e0 rhinovirus v\u00e0 virus h\u00f4 h\u1ea5p h\u1ee3p b\u00e0o) hay ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean l\u00e0m t\u0103ng vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi (vi\u00eam c\u1ea5p v\u00e0 m\u1ea1n), hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n.<\/p>\n

3.2. Hen v\u1ec1 \u0111\u00eam<\/strong><\/h3>\n

C\u01a1 ch\u1ebf gi\u1ea3i th\u00edch v\u00ec sao v\u1ec1 \u0111\u00eam hen l\u1ea1i n\u1eb7ng l\u00ean l\u00e0 ch\u01b0a r\u00f5 nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0 do s\u1ef1 kh\u00e1c bi\u1ec7t trong nh\u1ecbp \u0111i\u1ec7u ng\u00e0y \u0111\u00eam c\u1ee7a c\u00e1c h\u00f3c m\u00f4n tu\u1ea7n ho\u00e0n nh\u01b0 l\u00e0 epinephrine, cortisol v\u00e0 melatonin v\u00e0 c\u00e1c c\u01a1 ch\u1ebf th\u1ea7n kinh nh\u01b0 l\u00e0 tr\u01b0\u01a1ng l\u1ef1c ph\u00f3 giao c\u1ea3m. Hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam n\u1eb7ng l\u00ean v\u1ec1 \u0111\u00eam c\u0169ng \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 ph\u1ea3n \u00e1nh s\u1ef1 suy gi\u1ea3m c\u00e1c c\u01a1 ch\u1ebf ch\u1ed1ng vi\u00eam n\u1ed9i sinh v\u1ec1 \u0111\u00eam.<\/p>\n

3.3. Gi\u1edbi h\u1ea1n lu\u1ed3ng kh\u00ed kh\u00f4ng h\u1ed3i ph\u1ee5c<\/strong><\/h3>\n

M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n hen n\u1eb7ng b\u1ecb gi\u1edbi h\u1ea1n lu\u1ed3ng kh\u00ed ti\u1ebfn tri\u1ec3n kh\u00f4ng ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n v\u1edbi c\u00e1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 ph\u1ea3n \u00e1nh nh\u1eefng bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng d\u1eabn kh\u00ed trong hen m\u1ea1n t\u00ednh.<\/p>\n

3.4. Sinh l\u00fd b\u1ec7nh c\u1ee7a hen kh\u00f3 tr\u1ecb<\/strong><\/h3>\n

L\u00fd do t\u1ea1i sao m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n hen t\u01b0\u01a1ng \u0111\u1ed1i kh\u00f4ng nh\u1ea1y c\u1ea3m v\u1edbi corticoid th\u00ec ch\u01b0a r\u00f5. C\u00e1c l\u00fd do th\u01b0\u1eddng th\u1ea5y l\u00e0 kh\u00f4ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00e2m l\u00fd ho\u1eb7c t\u00e2m th\u1ea7n kinh. Tuy nhi\u00ean, y\u1ebfu t\u1ed1 di truy\u1ec1n c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n. Hen kh\u00f3 tr\u1ecb th\u01b0\u1eddng x\u1ea3y ra ngay t\u1eeb \u0111\u1ea7u h\u01a1n l\u00e0 ti\u1ebfn tri\u1ec3n n\u1eb7ng d\u1ea7n l\u00ean t\u1eeb hen nh\u1eb9. \u1ede c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y, \u0111\u01b0\u1eddng d\u1eabn kh\u00ed b\u1ecb \u0111\u00f3ng s\u1edbm trong th\u00ec th\u1edf ra g\u00e2y b\u1eaby kh\u00ed v\u00e0 \u1ee9 kh\u00ed ph\u1ebf nang. M\u1eb7c d\u00f9 m\u00f4 b\u1ec7nh h\u1ecdc d\u01b0\u1eddng nh\u01b0 t\u01b0\u01a1ng t\u1ef1 v\u1edbi c\u00e1c th\u1ec3 hen kh\u00e1c, trong hen kh\u00f3 tr\u1ecb c\u00f3 s\u1ef1 gia t\u0103ng b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh, t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ph\u1ebf qu\u1ea3n nh\u1ecf h\u01a1n v\u00e0 bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng d\u1eabn kh\u00ed nhi\u1ec1u h\u01a1n.<\/p>\n

3.5. H\u00fat thu\u1ed1c l\u00e1 v\u00e0 hen<\/strong><\/h3>\n

H\u00fat thu\u1ed1c l\u00e1 l\u00e0m cho hen kh\u00f3 ki\u1ec3m so\u00e1t, b\u1ecb \u0111\u1ee3t k\u1ecbch ph\u00e1t nhi\u1ec1u h\u01a1n, nh\u1eadp vi\u1ec7n nhi\u1ec1u h\u01a1n, suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p nhanh h\u01a1n v\u00e0 t\u0103ng nguy c\u01a1 t\u1eed vong. B\u1ec7nh nh\u00e2n hen h\u00fat thu\u1ed1c l\u00e1 c\u00f3 vi\u00eam \u0111\u01b0\u1eddng d\u1eabn kh\u00ed v\u1edbi b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh chi\u1ebfm \u01b0u th\u1ebf v\u00e0 k\u00e9m \u0111\u00e1p \u1ee9ng v\u1edbi corticoid.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>:<\/p>\n

    \n
  • Tr\u00edch d\u1eabn t\u1eeb b\u00e0i vi\u1ebft \u201cSinh b\u1ec7nh h\u1ecdc hen ph\u1ebf qu\u1ea3n\u201d c\u1ee7a TS.BS.Nguy\u1ec5n V\u0103n Th\u1ecd, \u0111\u0103ng tr\u00ean H\u1ed9i h\u00f4 h\u1ea5p Th\u00e0nh Ph\u1ed1 H\u1ed3 Ch\u00ed Minh.<\/li>\n<\/ul>\n
    usechatgpt init success<\/div>\n","protected":false},"excerpt":{"rendered":"

    Hen ph\u1ebf qu\u1ea3n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5i kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn, g\u00e2y ra nhi\u1ec1u phi\u1ec1n to\u00e1i v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Do \u0111\u00f3, hi\u1ec3u r\u00f5 sinh l\u00fd b\u1ec7nh c\u1ee7a hen ph\u1ebf qu\u1ea3n s\u1ebd gi\u00fap c\u00e1c B\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p […]<\/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":"\nSinh l\u00fd b\u1ec7nh hen ph\u1ebf qu\u1ea3n - Vinmec<\/title>\n<meta name=\"description\" content=\"Hen ph\u1ebf qu\u1ea3n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5i kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn, n\u00ean vi\u1ec7c hi\u1ec3u r\u00f5 sinh l\u00fd b\u1ec7nh c\u1ee7a hen ph\u1ebf qu\u1ea3n s\u1ebd h\u1ed7 tr\u1ee3 trong vi\u1ec7c \u0111i\u1ec1u\" \/>\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=\"Sinh l\u00fd b\u1ec7nh hen ph\u1ebf qu\u1ea3n - 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