{"id":33625,"date":"2023-05-13T14:39:42","date_gmt":"2023-05-13T07:39:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33625"},"modified":"2023-05-14T17:17:25","modified_gmt":"2023-05-14T10:17:25","slug":"viem-thanh-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/viem-thanh-quan\/","title":{"rendered":"Vi\u00eam thanh qu\u1ea3n c\u1ea5p t\u00ednh h\u1ea1 thanh m\u00f4n: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Vi\u00eam thanh qu\u1ea3n c\u1ea5p t\u00ednh h\u1ea1 thanh m\u00f4n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu nh\u01b0 ho, \u0111au h\u1ecdng, kh\u00f3 th\u1edf v\u00e0 s\u1ed1t. B\u1ec7nh th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong m\u00f9a \u0111\u00f4ng v\u00e0 xu\u00e2n, v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Trong b\u00e0i vi\u1ebft n\u00e0y, s\u1ebd gi\u00fap hi\u1ec3u v\u1ec1 nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh vi\u00eam thanh qu\u1ea3n c\u1ea5p t\u00ednh h\u1ea1 thanh m\u00f4n, gi\u00fap B\u00e1c s\u0129 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 b\u1ec7nh v\u00e0 c\u00f3 c\u00e1ch ph\u00f2ng tr\u00e1nh v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.<\/strong><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a<\/strong><\/h1>\n

Vi\u00eam thanh qu\u1ea3n l\u00e0 qu\u00e1 tr\u00ecnh vi\u00eam x\u1ea3y ra \u1edf thanh qu\u1ea3n c\u00f3 th\u1ec3 do nhi\u1ec5m tr\u00f9ng ho\u1eb7c kh\u00f4ng do nhi\u1ec5m tr\u00f9ng, ti\u1ebfn tri\u1ec3n c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh th\u01b0\u1eddng g\u1eb7p khi th\u1eddi ti\u1ebft thay \u0111\u1ed5i v\u00e0o m\u00f9a l\u1ea1nh. G\u1ecdi l\u00e0 vi\u00eam thanh qu\u1ea3n c\u1ea5p t\u00ednh khi tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i d\u01b0\u1edbi 3 tu\u1ea7n.<\/p>\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng tu\u1ef3 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n, tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, v\u00f9ng thanh qu\u1ea3n b\u1ecb t\u1ed5n th\u01b0\u01a1ng. \u1ede tr\u1ebb con vi\u00eam thanh qu\u1ea3n, \u0111\u1eb7c bi\u1ec7t l\u00e0 vi\u00eam thanh qu\u1ea3n c\u1ea5p th\u01b0\u1eddng n\u1eb7ng h\u01a1n \u1edf ng\u01b0\u1eddi l\u1edbn do kh\u1ea9u k\u00ednh thanh qu\u1ea3n nh\u1ecf h\u01a1n.<\/p>\n

Vi\u00eam thanh qu\u1ea3n c\u1ea5p h\u1ea1 thanh m\u00f4n ph\u00f9 n\u1ec1 hay c\u00f2n g\u1ecdi l\u00e0 Croup l\u00e0 t\u00ecnh tr\u1ea1ng ph\u00f9 n\u1ec1 c\u1ea5p t\u00ednh v\u00f9ng h\u1ea1 thanh m\u00f4n th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em 6 th\u00e1ng \u2013 5 tu\u1ed5i.<\/p>\n

\"\"
\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 \u00a0 \u00a0 \u00a0 \u00a0Ngu\u1ed3n: Vinmec.com<\/strong><\/figcaption><\/figure>\n

2. Nguy\u00ean nh\u00e2n<\/strong><\/h2>\n

Th\u01b0\u1eddng do virus Parainfluenza, Adenovirus, vi khu\u1ea9n Hemophilus influenza.<\/p>\n

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

3.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh <\/strong>vi\u00eam thanh qu\u1ea3n c\u1ea5p h\u1ea1 thanh m\u00f4n<\/strong><\/h3>\n

3.1.1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n

\u1ede tr\u1ebb em c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u1edfi ph\u00e1t l\u00e0 s\u1ed1t nh\u1eb9, ho, ch\u1ea3y m\u0169i. Sau 1-3 ng\u00e0y, \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n kh\u00e0n ti\u1ebfng, kh\u00f3 th\u1edf thanh qu\u1ea3n. C\u1ea7n h\u1ecfi b\u1ec7nh s\u1eed k\u1ef9 \u0111\u1ec3 lo\u1ea1i tr\u1eeb h\u1ed9i ch\u1ee9ng x\u00e2m nh\u1eadp trong d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

\u1ede ng\u01b0\u1eddi l\u1edbn: b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 n\u1ed5i h\u1ea1ch c\u1ed5, nu\u1ed1t \u0111au, m\u1ec7t m\u1ecfi, \u0111au nh\u1ee9c, ngh\u1eb9t m\u0169i, ch\u1ea3y m\u0169i. B\u1ec7nh xu\u1ea5t hi\u1ec7n m\u1ed9t c\u00e1ch \u0111\u1ed9t ng\u1ed9t, n\u1eb7ng h\u01a1n kho\u1ea3ng 2-3 ng\u00e0y sau \u0111\u00f3, gi\u1ecdng tr\u1edf n\u00ean kh\u00e0n.<\/p>\n

3.1.2. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/p>\n

\u0110\u1ed1i v\u1edbi tr\u1ebb em c\u1ea7n ph\u1ea3i th\u0103m kh\u00e1m nh\u1eb9 nh\u00e0ng, nhanh ch\u00f3ng. Kh\u00f4ng n\u00ean soi thanh qu\u1ea3n v\u00e0o l\u00fac n\u00e0y v\u00ec c\u00f3 th\u1ec3 l\u00e0m tr\u1ebb k\u00edch th\u00edch g\u00e2y co th\u1eaft thanh qu\u1ea3n, kh\u00f3 th\u1edf s\u1ebd n\u1eb7ng th\u00eam.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p:<\/p>\n

\u2212 S\u1ed1t nh\u1eb9, nh\u1ee9c \u0111\u1ea7u.<\/p>\n

\u2212 Kh\u00e0n ti\u1ebfng ho\u1eb7c kh\u00f3 ph\u00e1t \u00e2m<\/p>\n

\u2212 Ng\u1ee9a h\u1ecdng, ho k\u00edch th\u00edch. Ho \u00f4ng \u1ed5ng \u1edf tr\u1ebb em.<\/p>\n

Kh\u00f3 th\u1edf thanh qu\u1ea3n: th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em nhi\u1ec1u h\u01a1n.<\/p>\n

Ph\u00e2n \u0111\u1ed9 kh\u00f3 th\u1edf thanh qu\u1ea3n<\/strong>:<\/p>\n

\u0110\u1ed9 I<\/strong>: Ch\u1ec9 kh\u00e0n ti\u1ebfng, kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c, \u1edf tr\u1ebb em l\u00e0 th\u1edf r\u00edt khi kh\u00f3c.<\/p>\n

\u0110\u1ed9 II<\/strong>:<\/p>\n

+ \u0110\u1ed9 IIA<\/strong>: Kh\u00f3 th\u1edf ngay c\u1ea3 khi ngh\u1ec9 ng\u01a1i, th\u1edf r\u00edt khi n\u1eb1m y\u00ean.<\/p>\n

+ \u0110\u1ed9 IIB<\/strong>: Tri\u1ec7u ch\u1ee9ng IIA k\u00e8m th\u1edf nhanh, r\u00fat l\u00f5m ng\u1ef1c.<\/p>\n

\u0110\u1ed9 III<\/strong>: Tri\u1ec7u ch\u1ee9ng IIB k\u00e8m v\u1eadt v\u00e3, k\u00edch th\u00edch ho\u1eb7c t\u00edm t\u00e1i.<\/p>\n

N\u1ed9i soi thanh kh\u00ed qu\u1ea3n<\/strong>:<\/p>\n

C\u00f3 th\u1ec3 n\u1ed9i soi thanh qu\u1ea3n b\u1eb1ng \u1ed1ng soi m\u1ec1m hay b\u1eb1ng \u1ed1ng soi quang h\u1ecdc. \u1ede tr\u1ebb em, n\u1ed9i soi thanh kh\u00ed qu\u1ea3n khi:<\/p>\n

\u2212 Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

\u2212 Kh\u00f3 th\u1edf thanh qu\u1ea3n t\u00e1i ph\u00e1t.<\/p>\n

\u2212 Th\u1ea5t b\u1ea1i khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa.<\/p>\n

\u2212 C\u1eadn l\u00e2m s\u00e0ng:<\/p>\n

\u2212 C\u00f4ng th\u1ee9c m\u00e1u.<\/p>\n

\u2212 Ph\u1ebft h\u1ecdng lo\u1ea1i tr\u1eeb b\u1ea1ch h\u1ea7u trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd.<\/p>\n

\u2212 Xquang c\u1ed5 th\u1eb3ng: d\u1ea5u hi\u1ec7u \u201cn\u00f3c nh\u00e0 th\u1edd\u201d (steeple sign) trong h\u1eb9p h\u1ea1 thanh m\u00f4n.<\/p>\n

3.1.3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n

3.1.3.1. D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf<\/strong><\/p>\n

D\u1ef1a v\u00e0o h\u1ed9i ch\u1ee9ng x\u00e2m nh\u1eadp. Xquang ph\u1ed5i c\u00f3 h\u00ecnh \u1ea3nh d\u1ecb v\u1eadt (c\u1ea3n quang), h\u00ecnh \u1ea3nh x\u1eb9p ph\u1ed5i.<\/p>\n

3.1.3.2. Vi\u00eam thanh thi\u1ec7t c\u1ea5p t\u00ednh<\/strong><\/p>\n

L\u00e2m s\u00e0ng \u0111\u1ed9t ng\u1ed9t s\u1ed1t cao v\u00e0 nhanh ch\u00f3ng bi\u1ec3u hi\u1ec7n kh\u00f3 th\u1edf thanh qu\u1ea3n, b\u1ec7nh nh\u00e2n c\u00f3 ki\u1ec3u ng\u1ed3i \u0111\u1eb7c bi\u1ec7t c\u00fai ra tr\u01b0\u1edbc. \u1ede tr\u1ebb em c\u00f2n c\u00f3 bi\u1ec3u hi\u1ec7n ch\u1ea3y n\u01b0\u1edbc b\u1ecdt, kh\u00f3 nu\u1ed1t, th\u1edf r\u00edt. \u1ede ng\u01b0\u1eddi l\u1edbn c\u00f3 d\u1ea5u hi\u1ec7u gi\u1ecdng n\u00f3i ng\u1eadm h\u1ea1t th\u1ecb.<\/p>\n

Xquang c\u1ed5 nghi\u00eang c\u00f3 h\u00ecnh \u1ea3nh \u201cd\u1ea5u ng\u00f3n tay\u201d (Thump sign) do ph\u00f9 n\u1ec1 thanh thi\u1ec7t.<\/p>\n

3.1.3.3. Vi\u00eam kh\u00ed qu\u1ea3n c\u1ea5p t\u00ednh<\/strong><\/p>\n

S\u1ed1t cao, v\u1ebb m\u1eb7t nhi\u1ec5m tr\u00f9ng k\u00e8m \u0111au ng\u1ef1c, th\u1edf r\u00edt<\/p>\n

4. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n

4.1. Nguy\u00ean t\u1eafc<\/strong><\/h3>\n

\u2212 Lo\u1ea1i tr\u1eeb d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

\u2212 Ph\u1ee5c h\u1ed3i th\u00f4ng th\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf.<\/p>\n

\u2212 \u0110\u1ea3m b\u1ea3o t\u00ecnh tr\u1ea1ng th\u00f4ng kh\u00ed v\u00e0 oxy h\u00f3a m\u00e1u.<\/p>\n

4.2. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h3>\n

4.2.1. Nh\u1eb9: kh\u00f3 th\u1edf thanh qu\u1ea3n \u0111\u1ed9 I.<\/strong><\/p>\n

\u2212 \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, ngh\u1ec9 ng\u01a1i, h\u1ea1n ch\u1ebf n\u00f3i, u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc.<\/p>\n

\u2212 \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng: h\u1ea1 s\u1ed1t (Acetaminophen 10-20mg\/kg), tan \u0111\u1eddm (Acetylcysteine 100mg – 200mg x 2 l\u1ea7n\/ng\u00e0y).<\/p>\n

\u2212 H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n d\u1ea5u hi\u1ec7u n\u1eb7ng c\u1ea7n \u0111i t\u00e1i kh\u00e1m ngay.<\/p>\n

4.2.2. Trung b\u00ecnh: kh\u00f3 th\u1edf thanh qu\u1ea3n \u0111\u1ed9 IIA<\/strong><\/p>\n

\u2212 C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u1edf g\u1ea7n.<\/p>\n

\u2212 D\u00f9ng th\u00eam kh\u00e1ng vi\u00eam: corticoid.<\/p>\n

\u2212 D\u00f9ng th\u00eam kh\u00e1ng sinh u\u1ed1ng n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng.<\/p>\n

\u2212 C\u1ea7n t\u00e1i kh\u00e1m m\u1ed7i ng\u00e0y \u0111\u1ed1i v\u1edbi tr\u1ebb em.<\/p>\n

4.2.3. N\u1eb7ng: kh\u00f3 th\u1edf thanh qu\u1ea3n \u0111\u1ed9 IIB, \u0111\u1ed9 III<\/strong><\/p>\n

Nh\u1eadp vi\u1ec7n.<\/p>\n

\u2212 Ngh\u1ec9 ng\u01a1i t\u1ea1i ch\u1ed7. \u0110\u1ed1i v\u1edbi tr\u1ebb em, c\u1ea7n gi\u1eef y\u00ean tr\u1ebb ho\u1eb7c cho cha m\u1eb9 b\u1ebf, tr\u00e1nh \u0111\u1ec3 tr\u1ebb kh\u00f3c v\u00ec l\u00e0m t\u0103ng ph\u00f9 n\u1ec1 thanh qu\u1ea3n.<\/p>\n

\u2212 Th\u1edf oxy, duy tr\u00ec SaO2 92-96%<\/p>\n

\u2212 Kh\u00e1ng vi\u00eam d\u1ea1ng ch\u00edch: corticoid, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 6-12 gi\u1edd n\u1ebfu c\u1ea7n.<\/p>\n

\u2212 N\u1ebfu kh\u00f3 th\u1edf nhi\u1ec1u: s\u1eed d\u1ee5ng kh\u00ed dung Adrenaline 1\/1000 2-5ml, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i 30ph\u00fat – 1gi\u1edd n\u1ebfu c\u1ea7n.<\/p>\n

\u2212 Kh\u00e1ng sinh d\u1ea1ng ch\u00edch: nh\u00f3m Cephalosporin th\u1ebf h\u1ec7 III nh\u01b0 Cefotaxime (100-200mg\/kg\/ng\u00e0y), Ceftriaxone (75-100mg\/kg\/ng\u00e0y).<\/p>\n

\u2212 N\u1ebfu b\u1ec7nh nh\u00e2n l\u01a1 m\u01a1, ki\u1ec7t s\u1ee9c ho\u1eb7c th\u1ea5t b\u1ea1i v\u1edbi n\u1ed9i khoa: \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n, m\u1edf kh\u00ed qu\u1ea3n. \u01afu ti\u00ean \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n h\u01a1n m\u1edf kh\u00ed qu\u1ea3n. R\u00fat n\u1ed9i kh\u00ed qu\u1ea3n ho\u1eb7c canula sau 24-48 gi\u1edd n\u1ebfu t\u00ecnh tr\u1ea1nh b\u1ec7nh nh\u00e2n \u1ed5n \u0111\u1ecbnh<\/p>\n

\"\"<\/p>\n

5. Ti\u00ean l\u01b0\u1ee3ng v\u00e0 bi\u1ebfn ch\u1ee9ng <\/strong>vi\u00eam thanh qu\u1ea3n c\u1ea5p h\u1ea1 thanh m\u00f4n<\/strong><\/h2>\n

5.1. Ti\u00ean l\u01b0\u1ee3ng<\/strong><\/h3>\n

Th\u1ec3 nh\u1eb9 v\u00e0 trung b\u00ecnh c\u00f3 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, tri\u1ec7u ch\u1ee9ng s\u1ebd gi\u1ea3m sau 3-5 ng\u00e0y. \u0110\u1ed1i v\u1edbi th\u1ec3 n\u1eb7ng, ti\u00ean l\u01b0\u1ee3ng d\u00e8 d\u1eb7t, c\u1ea7n theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/p>\n

5.2. Bi\u1ebfn ch\u1ee9ng<\/strong><\/h3>\n

N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7y \u0111\u1ee7, \u0111i\u1ec1u tr\u1ecb mu\u1ed9n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam thanh qu\u1ea3n m\u1ea1n t\u00ednh kh\u00f3 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n. V\u1edbi th\u1ec3 n\u1eb7ng, n\u1ebfu kh\u00f4ng k\u1ecbp th\u1eddi \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy h\u00f4 h\u1ea5p, t\u1eed vong.<\/p>\n

6. Ph\u00f2ng b\u1ec7nh vi\u00eam thanh qu\u1ea3n c\u1ea5p h\u1ea1 thanh m\u00f4n<\/strong><\/h2>\n

\u2212 Gi\u1eef \u1ea5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n

\u2212 Tr\u00e1nh h\u00fat thu\u1ed1c, tr\u00e1nh kh\u00f3i thu\u1ed1c l\u00e1.<\/p>\n

\u2212 Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi \u0111ang m\u1eafc b\u1ec7nh vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n

\u2212 Ch\u1ee7ng ng\u1eeba Haemophilus influenza c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh vi\u00eam thanh qu\u1ea3n c\u1ea5p do HI m\u1ed9t c\u00e1ch \u0111\u00e1ng k\u1ec3, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb nh\u1ecf.<\/p>\n

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

    \n
  • Tr\u00edch d\u1eabn t\u1eeb h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ed9t s\u1ed1 b\u1ec7nh v\u1ec1 tai m\u0169i h\u1ecdng c\u1ee7a B\u1ed9 Y t\u1ebf 2015.<\/li>\n<\/ul>\n
    usechatgpt init success<\/div>\n","protected":false},"excerpt":{"rendered":"

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