{"id":619,"date":"2023-04-08T12:56:03","date_gmt":"2023-04-08T05:56:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=619"},"modified":"2023-04-17T16:55:03","modified_gmt":"2023-04-17T09:55:03","slug":"blue-bloaters","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/blue-bloaters\/","title":{"rendered":"Pink Puffers v\u00e0 Blue Bloaters – hai th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh COPD"},"content":{"rendered":"

COPD (Chronic Obstructive Pulmonary Disease) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i m\u00e3n t\u00ednh, xu\u1ea5t hi\u1ec7n d\u1ea7n d\u1ea7n v\u00e0 k\u00e9o d\u00e0i trong th\u1eddi gian d\u00e0i. B\u1ec7nh n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ho v\u00e0 kh\u1ea1c \u0111\u00e0m. COPD<\/a> bao g\u1ed3m hai b\u1ec7nh l\u00fd ch\u00ednh: vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh (Chronic Bronchitis) th\u1ec3 hi\u1ec7n qua l\u00e2m s\u00e0ng b\u1eb1ng th\u1ec3 Blue Bloater v\u00e0 kh\u00ed ph\u1ebf th\u1ee7ng (Chronic Emphysema) th\u1ec3 hi\u1ec7n qua l\u00e2m s\u00e0ng b\u1eb1ng th\u1ec3 Pink Puffer. Vi\u1ec7c ph\u00e2n bi\u1ec7t hai th\u1ec3 n\u00e0y tr\u00ean l\u00e2m s\u00e0ng s\u1ebd mang l\u1ea1i nhi\u1ec1u \u00fd ngh\u0129a trong \u0111i\u1ec1u tr\u1ecb, tuy nhi\u00ean \u0111\u1ec3 ph\u00e2n bi\u1ec7t hai th\u1ec3 n\u00e0y \u0111\u00f4i khi s\u1ebd r\u1ea5t kh\u00f3 kh\u0103n tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n

1. S\u01a1 l\u01b0\u1ee3c v\u1ec1Pink Puffers v\u00e0 Blue Bloaters<\/h1>\n

T\u1eeb 1955, Dornhorst l\u1ea7n \u0111\u1ea7u ti\u00ean m\u00f4 t\u1ea3 hai ki\u1ec3u l\u00e2m s\u00e0ng kh\u00e1c nhau c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 \u2018Blue Bloaters\u2019 (Xanh ph\u1ed3ng) v\u00e0 \u2018Pink Puffers\u2019 (H\u1ed3ng th\u1ed5i), trong \u0111\u00f3 ‘Blue Bloater’ \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 m\u1ed9t nh\u00f3m nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i h\u01a1n, vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n, th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a suy tim sung huy\u1ebft v\u00e0 ‘Pink Puffer’ l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i h\u01a1n, g\u1ea7y \u1ed1m do gi\u1ea3m kh\u1ed1i c\u01a1 x\u01b0\u01a1ng, kh\u00f3 th\u1edf nhi\u1ec1u v\u00e0 c\u00f3 b\u1eb1ng ch\u1ee9ng kh\u00ed ph\u1ebf th\u1ee7ng r\u00f5 r\u1ec7t.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Ph\u00e2n bi\u1ec7t Pink Puffer v\u00e0 Blue Bloater. Ngu\u1ed3n<\/strong>: Sukhayu Hospital<\/em><\/figcaption><\/figure>\n

2. \u0110\u1ecbnh ngh\u0129a v\u1ec1 Pink Puffers v\u00e0 Blue Bloaters<\/h2>\n

2.1. Th\u1ebf n\u00e0o l\u00e0 Pink Puffers.<\/h2>\n

Pink Puffer l\u00e0 thu\u1eadt ng\u1eef trong y h\u1ecdc \u0111\u1ec3 mi\u00eau t\u1ea3 m\u1ed9t trong hai d\u1ea1ng c\u1ee7a b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD). B\u1ec7nh nh\u00e2n pink puffer c\u00f3 tri\u1ec7u ch\u1ee9ng th\u1edf kh\u00f2 kh\u00e8, th\u1edf nhanh v\u00e0 s\u1ef1 gi\u00e3n ph\u1ed5i do b\u1ec7nh t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. H\u00e0m l\u01b0\u1ee3ng oxy trong m\u00e1u th\u01b0\u1eddng l\u00e0 b\u00ecnh th\u01b0\u1eddng, tuy nhi\u00ean b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ph\u1ea3i th\u1edf oxy b\u1ed5 sung \u0111\u1ec3 gi\u1eef cho m\u1ee9c \u0111\u1ed9 oxy trong m\u00e1u \u1ed5n \u0111\u1ecbnh. H\u1ecd th\u01b0\u1eddng c\u00f3 v\u1ebb ngo\u00e0i kh\u1ecfe m\u1ea1nh v\u00e0 c\u00f3 c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng ho\u1eb7c th\u1ea5p h\u01a1n so v\u1edbi gi\u00e1 tr\u1ecb trung b\u00ecnh. Thu\u1eadt ng\u1eef “Pink Puffer” xu\u1ea5t ph\u00e1t t\u1eeb vi\u1ec7c b\u1ec7nh nh\u00e2n c\u00f3 v\u1ebb ngo\u00e0i c\u00f3 m\u00e0u h\u1ed3ng s\u00e1ng, do s\u1ef1 ho\u1ea1t \u0111\u1ed9ng t\u0103ng c\u01b0\u1eddng c\u1ee7a c\u01a1 b\u1eafp h\u00f4 h\u1ea5p \u0111\u1ec3 duy tr\u00ec l\u01b0\u1ee3ng oxy trong m\u00e1u.<\/p>\n

2.2. Th\u1ebf n\u00e0o l\u00e0 Blue Bloaters.<\/h2>\n

Blue bloater l\u00e0 thu\u1eadt ng\u1eef trong y h\u1ecdc \u0111\u1ec3 mi\u00eau t\u1ea3 m\u1ed9t trong hai d\u1ea1ng c\u1ee7a b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD). B\u1ec7nh nh\u00e2n blue bloater c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf, s\u1ef1 kh\u00f3 ch\u1ecbu v\u00e0 s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng ph\u1ed5i do b\u1ec7nh t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. H\u00e0m l\u01b0\u1ee3ng oxy trong m\u00e1u th\u01b0\u1eddng th\u1ea5p, v\u00e0 h\u00e0m l\u01b0\u1ee3ng Carbon Dioxide trong m\u00e1u t\u0103ng l\u00ean. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng c\u00f3 v\u1ebb ngo\u00e0i xanh xao v\u00e0 c\u00f3 c\u00e2n n\u1eb7ng cao h\u01a1n so v\u1edbi gi\u00e1 tr\u1ecb trung b\u00ecnh. Thu\u1eadt ng\u1eef “Blue Bloater” xu\u1ea5t ph\u00e1t t\u1eeb vi\u1ec7c b\u1ec7nh nh\u00e2n c\u00f3 v\u1ebb ngo\u00e0i xanh xao do s\u1ef1 thi\u1ebfu oxy trong m\u00e1u, d\u1eabn \u0111\u1ebfn b\u1ec7nh nh\u00e2n c\u00f3 v\u1ebb m\u1eb7t s\u01b0ng ph\u00f9 v\u00e0 t\u0103ng c\u00e2n.<\/p>\n

3. S\u1ef1 kh\u00e1c nhau gi\u1eefa Pink Puffers v\u00e0 Blue Bloaters.<\/h2>\n

3.1. Ti\u1ec1n c\u0103n v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng<\/strong><\/p>\n

Pink Puffer:<\/strong> Tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 kh\u00f3 th\u1edf, th\u01b0\u1eddng l\u00e0 n\u1eb7ng, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau tu\u1ed5i 50. Ho hi\u1ebfm g\u1eb7p, v\u1edbi \u0111\u00e0m m\u1ee7 \u00edt v\u00e0 trong su\u1ed1t. B\u1ec7nh nh\u00e2n g\u1ea7y, th\u01b0\u1eddng s\u1ee5t c\u00e2n trong th\u1eddi gian g\u1ea7n \u0111\u00e2y. T\u00ednh kh\u00ed kh\u00f3 ch\u1ecbu, s\u1eed d\u1ee5ng c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5. Ph\u1ed5i th\u01b0\u1eddng kh\u00f4ng ran. Kh\u00f4ng c\u00f3 ph\u00f9 \u1edf c\u00e1c chi.<\/p>\n

Blue Bloater<\/strong>: Tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 ho k\u00e9o d\u00e0i, c\u00f3 \u0111\u00e0m nh\u1ea7y v\u00e0 m\u1ee7, th\u01b0\u1eddng t\u00e1i ph\u00e1t do nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p. Th\u01b0\u1eddng x\u1ea3y ra \u1edf \u0111\u1ed9 tu\u1ed5i 30 v\u00e0 40. Kh\u00f3 th\u1edf th\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 nh\u1eb9. Tuy nhi\u00ean, \u00a0b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb gi\u1edbi h\u1ea1n khi v\u1eadn \u0111\u1ed9ng, d\u1ec5 ch\u1ecbu khi ngh\u1ec9 ng\u01a1i. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u00e9o ph\u00ec v\u00e0 xanh t\u00e1i. Ph\u00f9 \u1edf c\u00e1c chi l\u00e0 ph\u1ed5 bi\u1ebfn, xu\u1ea5t hi\u1ec7n ti\u1ebfng kh\u00f2 kh\u00e8 kh\u1eafp ph\u1ed5i; ran r\u00edt th\u01b0\u1eddng xuy\u00ean xu\u1ea5t hi\u1ec7n.<\/p>\n

3.2.\u00a0 C\u1eadn l\u00e2m s\u00e0ng\u00a0<\/strong><\/p>\n

Pink Puffer<\/strong>: Th\u01b0\u1eddng th\u00ec n\u1ed3ng \u0111\u1ed9 hemoglobin b\u00ecnh th\u01b0\u1eddng (12-15 g\/dL). Gi\u00e1 tr\u1ecb PaO2 b\u00ecnh th\u01b0\u1eddng \u0111\u1ebfn gi\u1ea3m nh\u1eb9 (65-75 mm Hg) nh\u01b0ng SaO2 b\u00ecnh th\u01b0\u1eddng khi ngh\u1ec9. Gi\u00e1 tr\u1ecb PaCO2 b\u00ecnh th\u01b0\u1eddng \u0111\u1ebfn gi\u1ea3m nh\u1eb9 (35-40 mm Hg). Phim X-quang ng\u1ef1c th\u1ec3 hi\u1ec7n t\u00ecnh tr\u1ea1ng ph\u1ed5i c\u0103ng ph\u1ed3ng v\u1edbi c\u01a1 ho\u00e0nh d\u1eb9p ph\u1eb3ng. S\u1ef1 ph\u00e2n b\u1ed1 m\u1ea1ch m\u00e1u gi\u1ea3m, \u0111\u1eb7c bi\u1ec7t \u1edf v\u00f9ng \u0111\u1ec9nh ph\u1ed5i.<\/p>\n

Blue Bloater<\/strong>: H\u00e0m l\u01b0\u1ee3ng hemoglobin th\u01b0\u1eddng cao h\u01a1n (15-18 g\/dL). Gi\u00e1 tr\u1ecb PaO2 gi\u1ea3m (45-60 mm Hg) v\u00e0 gi\u00e1 tr\u1ecb PaCO2 t\u0103ng \u0111\u00e1ng k\u1ec3 (50-60 mm Hg). Phim X-quang ng\u1ef1c th\u1ec3 hi\u1ec7n t\u0103ng t\u00edch d\u1ecbch \u1edf kho\u1ea3ng k\u1ebd (“dirty lungs”), \u0111\u1eb7c bi\u1ec7t \u1edf khu v\u1ef1c c\u01a1 s\u1edf. C\u01a1 ho\u00e0nh kh\u00f4ng b\u1ecb d\u1eb9p ph\u1eb3ng.<\/p>\n

3.3.<\/strong>\u00a0 C\u00e1c test ch\u1ee9c n\u0103ng ph\u1ed5i.<\/strong><\/p>\n

Pink Puffer<\/strong>: R\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed kh\u00e1 ph\u1ed5 bi\u1ebfn. Th\u1ec3 t\u00edch ph\u1ed5i to\u00e0n ph\u1ea7n t\u0103ng l\u00ean, \u0111\u00f4i khi t\u0103ng \u0111\u00e1ng k\u1ec3. Gi\u00e1 tr\u1ecb DlCO gi\u1ea3m. \u0110\u1ed9 \u0111\u00e0n h\u1ed3i ph\u1ed5i t\u0103ng l\u00ean.<\/p>\n

Blue Bloater<\/strong>: R\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed kh\u00e1 ph\u1ed5 bi\u1ebfn. Th\u1ec3 t\u00edch ph\u1ed5i to\u00e0n ph\u1ea7n th\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng c\u00f3 th\u1ec3 t\u0103ng \u0111\u00f4i ch\u00fat. Gi\u00e1 tr\u1ecb DLCO b\u00ecnh th\u01b0\u1eddng. \u0110\u1ed9 \u0111\u00e0n h\u1ed3i ph\u1ed5i b\u00ecnh th\u01b0\u1eddng.<\/p>\n

3.4<\/strong>. Test th\u00f4ng kh\u00ed \u2013 t\u01b0\u1edbi m\u00e1u.<\/strong><\/p>\n

Pink Puffer<\/strong>: Th\u1edf v\u00e0o t\u0103ng l\u00ean \u1edf c\u00e1c v\u00f9ng c\u00f3 t\u1ec9 l\u1ec7 th\u00f4ng kh\u00ed\/l\u01b0u th\u00f4ng m\u00e1u cao, t\u1ee9c l\u00e0 t\u0103ng s\u1ef1 th\u00f4ng kh\u00ed kh\u00f4ng hi\u1ec7u qu\u1ea3 (high dead space ventilation).<\/p>\n

Blue Bloater<\/strong>: T\u0103ng t\u01b0\u1edbi m\u00e1u \u1edf v\u00f9ng c\u00f3 t\u1ef7 l\u1ec7 th\u00f4ng kh\u00ed\/t\u01b0\u1edbi m\u00e1u th\u1ea5p.<\/p>\n

3.5<\/strong>. Huy\u1ebft \u0111\u1ed9ng.<\/strong><\/p>\n

Pink Puffer<\/strong>: L\u01b0\u1ee3ng m\u00e1u b\u01a1m ra c\u1ee7a tim b\u00ecnh th\u01b0\u1eddng \u0111\u1ebfn h\u01a1i th\u1ea5p. \u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i t\u0103ng nh\u1eb9 v\u00e0 t\u0103ng l\u00ean khi v\u1eadn \u0111\u1ed9ng.<\/p>\n

Blue Bloater<\/strong>: L\u01b0\u1ee3ng m\u00e1u b\u01a1m ra c\u1ee7a tim b\u00ecnh th\u01b0\u1eddng. \u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i t\u0103ng cao, \u0111\u00f4i khi t\u0103ng \u0111\u00e1ng k\u1ec3 v\u00e0 tr\u1edf n\u00ean t\u1ec7 h\u01a1n khi v\u1eadn \u0111\u1ed9ng.<\/p>\n

3.6.<\/strong> Th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m l\u1ea5n ( Nocturnal ventilation)<\/strong><\/p>\n

Pink Puffer<\/strong>: M\u1ee9c \u0111\u1ed9 kh\u1eed b\u00e3o h\u00f2a oxy nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh kh\u00f4ng li\u00ean quan \u0111\u1ebfn ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn.<\/p>\n

Blue Bloater<\/strong>: M\u1ea5t b\u00e3o h\u00f2a oxy nghi\u00eam tr\u1ecdng, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7.<\/p>\n

3.7.<\/strong> \u0110\u00e1nh gi\u00e1 th\u00f4ng kh\u00ed khi v\u1eadn \u0111\u1ed9ng (Exercise ventilation)<\/strong><\/p>\n

Pink Puffer<\/strong>: Th\u1ec3 t\u00edch kh\u00ed th\u1edf t\u0103ng l\u00ean \u0111\u1ed1i v\u1edbi l\u01b0\u1ee3ng ti\u00eau th\u1ee5 oxy, gi\u00e1 tr\u1ecb PaO2 c\u00f3 xu h\u01b0\u1edbng gi\u1ea3m, gi\u00e1 tr\u1ecb PaCO2 t\u0103ng \u0111\u00f4i ch\u00fat.<\/p>\n

Blue Bloater<\/strong>: Th\u1ec3 t\u00edch kh\u00ed th\u1edf gi\u1ea3m \u0111\u1ed1i v\u1edbi l\u01b0\u1ee3ng ti\u00eau th\u1ee5 oxy. Gi\u00e1 tr\u1ecb Pao2 c\u00f3 th\u1ec3 t\u0103ng l\u00ean, gi\u00e1 tr\u1ecb Paco2 c\u00f3 th\u1ec3 t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3.<\/p>\n

Vi\u1ec7c ph\u00e2n bi\u1ec7t gi\u1eefa Pink Puffer v\u00e0 Blue Bloater c\u00f3 th\u1ec3 gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh COPD hi\u1ec7u qu\u1ea3 h\u01a1n. Tuy nhi\u00ean, trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 c\u1ea3 hai \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y, v\u00e0 vi\u1ec7c ph\u00e2n lo\u1ea1i ch\u00ednh x\u00e1c c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 kh\u0103n.<\/p>\n","protected":false},"excerpt":{"rendered":"

COPD (Chronic Obstructive Pulmonary Disease) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i m\u00e3n t\u00ednh, xu\u1ea5t hi\u1ec7n d\u1ea7n d\u1ea7n v\u00e0 k\u00e9o d\u00e0i trong th\u1eddi gian d\u00e0i. B\u1ec7nh n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ho v\u00e0 kh\u1ea1c \u0111\u00e0m. COPD bao g\u1ed3m hai b\u1ec7nh l\u00fd ch\u00ednh: vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n […]<\/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":[3],"yoast_head":"\nPink Puffers v\u00e0 Blue Bloaters - hai th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh COPD<\/title>\n<meta name=\"description\" content=\"Blue Bloaters v\u00e0 Pink Puffers l\u00e0 2 ki\u1ec3u l\u00e2m s\u00e0ng kh\u00e1c nhau c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 v\u00e0o n\u0103m 1955\" \/>\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=\"Pink Puffers v\u00e0 Blue Bloaters - hai th\u1ec3 l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh COPD\" \/>\n<meta property=\"og:description\" content=\"Blue Bloaters v\u00e0 Pink Puffers l\u00e0 2 ki\u1ec3u l\u00e2m s\u00e0ng kh\u00e1c nhau c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 v\u00e0o n\u0103m 1955\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/blue-bloaters\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-08T05:56:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-17T09:55:03+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6.jpg\" \/>\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=\"6 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\/04\/08\/blue-bloaters\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/blue-bloaters\/\",\"name\":\"Pink Puffers v\u00e0 Blue Bloaters - 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