{"id":8112,"date":"2025-01-15T08:48:44","date_gmt":"2025-01-15T01:48:44","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8112"},"modified":"2025-01-15T08:48:44","modified_gmt":"2025-01-15T01:48:44","slug":"phau-thuat-thanh-cong-ca-benh-xuat-huyet-tieu-hoa-duoi-do-tang-ap-tinh-mach-cua-chuyen-dang-xoang-hang-hiem-gap","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8112","title":{"rendered":"PH\u1eaaU THU\u1eacT TH\u00c0NH C\u00d4NG CA B\u1ec6NH XU\u1ea4T HUY\u1ebeT TI\u00caU HO\u00c1 D\u01af\u1edaI DO T\u0102NG \u00c1P T\u0128NH M\u1ea0CH C\u1eecA, CHUY\u1ec2N D\u1ea0NG XOANG HANG HI\u1ebeM G\u1eb6P"},"content":{"rendered":"\n

B\u1ec7nh<\/strong><\/a> vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, d\u1ecb d\u1ea1ng \u0111\u1ed9ng – t\u0129nh m\u1ea1ch ru\u1ed9t, chuy\u1ec3n d\u1ea1ng xoang hang, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch c\u1eeda m\u1ea1n t\u00ednh. C\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa Ngo\u1ea1i Ti\u00eau ho\u00e1, Ngo\u1ea1i M\u1ea1ch m\u00e1u v\u00e0 Can thi\u1ec7p N\u1ed9i m\u1ea1ch \u0111\u00e3 c\u00f9ng nhau ph\u1ed1i h\u1ee3p trong m\u1ed9t cu\u1ed9c m\u1ed5 k\u00e9o d\u00e0i g\u1ea7n 12 gi\u1edd \u0111\u1ec3 c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh.<\/strong><\/p>\n\n\n\n

N\u0103m 2021, trong \u0111\u1ee3t d\u1ecbch Covid-19, anh Q.P.T sinh n\u0103m 1987, ng\u1ee5 x\u00e3 Tr\u1ea7n Ph\u00e1n, huy\u1ec7n \u0110\u1ea7m D\u01a1i, t\u1ec9nh C\u00e0 Mau \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda (h\u1ec7 t\u0129nh m\u1ea1ch d\u1eabn l\u01b0u m\u00e1u t\u1eeb ru\u1ed9t v\u1ec1 gan) do huy\u1ebft kh\u1ed1i v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u trong 6 th\u00e1ng. T\u01b0\u1edfng ch\u1eebng b\u1ec7nh \u0111\u00e3 kh\u1ecfi, anh T. tr\u1edf l\u1ea1i c\u00f4ng vi\u1ec7c th\u01b0\u1eddng ng\u00e0y v\u00e0 ng\u1eebng \u0111i\u1ec1u tr\u1ecb. S\u00e1ng ng\u00e0y 14\/12\/2024, khi \u0111ang \u1edf TP. H\u1ed3 Ch\u00ed Minh c\u00f4ng t\u00e1c, anh T. \u0111au b\u1ee5ng d\u1eef d\u1ed9i quanh r\u1ed1n, \u0111i ti\u00eau ra m\u00e1u \u0111\u1ecf l\u01b0\u1ee3ng nhi\u1ec1u, k\u00e8m ch\u00f3ng m\u1eb7t, c\u1ea3m gi\u00e1c s\u1eafp ng\u1ea5t, \u0111\u01b0\u1ee3c gia \u0111\u00ecnh \u0111\u01b0a \u0111\u1ebfn c\u1ea5p c\u1ee9u t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u r\u1ea5t n\u1eb7ng, huy\u1ebft \u00e1p t\u1ee5t v\u00e0 l\u01a1 m\u01a1.<\/p>\n\n\n\n

Ngay l\u1eadp t\u1ee9c, anh T. v\u1eeba \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c s\u1ed1c m\u1ea5t m\u00e1u, v\u1eeba \u0111\u01b0\u1ee3c nhanh ch\u00f3ng th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng th\u1ee9c h\u00ecnh \u1ea3nh h\u1ecdc ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n ch\u1ea3y m\u00e1u ti\u00eau ho\u00e1. K\u1ebft qu\u1ea3 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scan) b\u1ee5ng ph\u00e1t hi\u1ec7n t\u1eafc m\u1ea1n t\u00ednh t\u0129nh m\u1ea1ch c\u1eeda, chuy\u1ec3n d\u1ea1ng xoang hang (t\u00e1i c\u1ea5u tr\u00fac gi\u00e3n l\u1edbn h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u do t\u1eafc m\u1ea1n t\u00ednh) \u1edf v\u00f9ng r\u1ed1n gan, nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ch\u1ea3y m\u00e1u l\u00e0 d\u1ecb d\u1ea1ng v\u00e0 th\u00f4ng n\u1ed1i \u0111\u1ed9ng – t\u0129nh m\u1ea1ch ru\u1ed9t lan to\u1ea3 g\u00e2y gi\u00e3n c\u00e1c nh\u00e1nh t\u0129nh m\u1ea1ch m\u1ea1c treo ru\u1ed9t. Sau khi \u0111\u01b0\u1ee3c ti\u00eam thu\u1ed1c gi\u1ea3m \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda k\u1ebft h\u1ee3p v\u1edbi n\u1ed9i soi \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 d\u01b0\u1edbi c\u1ea7m m\u00e1u t\u1ea1i ch\u1ed7, huy\u1ebft \u00e1p c\u1ee7a anh T. d\u1ea7n \u1ed5n \u0111\u1ecbnh. Tuy nhi\u00ean, t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 l\u1ea1i t\u00e1i ph\u00e1t trong v\u00f2ng ch\u01b0a \u0111\u1ebfn 48 gi\u1edd sau \u0111\u00f3, huy\u1ebft \u00e1p t\u1ee5t tr\u1edf l\u1ea1i m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c truy\u1ec1n m\u00e1u t\u00edch c\u1ef1c \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh hemoglobin v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u. Trong t\u00ecnh hu\u1ed1ng \u0111\u00f3, c\u00e1c chuy\u00ean gia N\u1ed9i Ti\u00eau ho\u00e1, Ngo\u1ea1i Ti\u00eau ho\u00e1, Ngo\u1ea1i L\u1ed3ng ng\u1ef1c M\u1ea1ch m\u00e1u, Can thi\u1ec7p N\u1ed9i m\u1ea1ch, H\u1ed3i s\u1ee9c Tim m\u1ea1ch, H\u1ed3i s\u1ee9c C\u1ea5p c\u1ee9u, G\u00e2y m\u00ea H\u1ed3i s\u1ee9c \u0111\u00e3 c\u00f9ng h\u1ed9i ch\u1ea9n \u0111\u1ec3 \u0111\u01b0a ra chi\u1ebfn l\u01b0\u1ee3c x\u1eed tr\u00ed to\u00e0n di\u1ec7n v\u00e0 t\u1ed1i \u01b0u h\u01a1n cho ng\u01b0\u1eddi b\u1ec7nh, v\u1edbi m\u1ee5c ti\u00eau v\u1eeba ki\u1ec3m so\u00e1t tri\u1ec7t \u0111\u1ec3 nguy\u00ean nh\u00e2n g\u00e2y ch\u1ea3y m\u00e1u, v\u1eeba \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u s\u1edbm chu ph\u1eabu \u0111\u1ec3 ng\u0103n ng\u1eeba ch\u1ea3y m\u00e1u t\u00e1i ph\u00e1t do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda li\u00ean quan huy\u1ebft kh\u1ed1i.<\/p>\n\n\n

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H\u00ecnh \u0111o\u1ea1n ru\u1ed9t b\u1ec7nh<\/em><\/p>\n\n\n\n

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Ngay sau khi nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh r\u1ea5t hi\u1ebfm g\u1eb7p, m\u1edbi ch\u1ec9 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o qua y v\u0103n tr\u00ean th\u1ebf gi\u1edbi v\u1edbi v\u00e0i ca l\u00e2m s\u00e0ng, Ban gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n \u0111\u00e3 th\u00f4ng qua h\u1ed9i \u0111\u1ed3ng chuy\u00ean m\u00f4n v\u00e0 quy\u1ebft \u0111\u1ecbnh k\u1ebf ho\u1ea1ch ph\u1eabu thu\u1eadt c\u1ea7n s\u1ef1 ph\u1ed1i h\u1ee3p to\u00e0n di\u1ec7n gi\u1eefa c\u00e1c chuy\u00ean gia ph\u1eabu thu\u1eadt v\u00e0 can thi\u1ec7p n\u1ed9i m\u1ea1ch. Th\u1ef1c t\u1ebf, cu\u1ed9c ph\u1eabu thu\u1eadt m\u1edf b\u1ee5ng k\u1ebft h\u1ee3p v\u1edbi can thi\u1ec7p n\u1ed9i m\u1ea1ch trong l\u00fac m\u1ed5 \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh li\u00ean t\u1ee5c v\u1edbi 4 k\u00edp m\u1ed5, k\u00e9o d\u00e0i t\u1eeb 8 gi\u1edd s\u00e1ng \u0111\u1ebfn 8 gi\u1edd t\u1ed1i trong c\u00f9ng ng\u00e0y.<\/p>\n\n\n\n

BS.CK2 V\u0169 Ng\u1ecdc S\u01a1n, Tr\u01b0\u1edfng k\u00edp ph\u1eabu thu\u1eadt ti\u00eau ho\u00e1 nh\u1eadn \u0111\u1ecbnh: \u201cH\u01a1n 30 n\u0103m l\u00e0m trong ng\u00e0nh y, \u0111\u00e2y l\u00e0 ca b\u1ec7nh hi\u1ebfm l\u1ea7n \u0111\u1ea7u ti\u00ean ch\u00fang<\/em> t\u00f4i <\/em>\u0111i\u1ec1u tr\u1ecb. Ca ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i h\u01a1n 12 gi\u1edd \u0111\u00f2i h\u1ecfi \u00ea k\u00edp ph\u1eabu thu\u1eadt ph\u1ea3i l\u00e0m vi\u1ec7c v\u1edbi m\u1ee9c \u0111\u1ed9 t\u1eadp trung <\/em>\u1edf<\/em> c\u01b0\u1eddng \u0111\u1ed9 cao. Trong qu\u00e1 tr\u00ecnh n\u00e0y, vai tr\u00f2 c\u1ee7a khoa G\u00e2y m\u00ea H\u1ed3i s\u1ee9c l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng. \u0110\u1eb7c bi\u1ec7t, trong vi\u1ec7c duy tr\u00ec \u1ed5n \u0111\u1ecbnh huy\u1ebft \u00e1p cho ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ea7u ti\u00ean, c\u00e1c b\u00e1c s\u0129<\/em> ph\u1eabu thu\u1eadt ti\u00eau ho\u00e1 m\u1edf b\u1ee5ng v\u00e0 b\u1ed9c l\u1ed9 v\u1ecb tr\u00ed d\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u <\/em>\u0111\u1ec3 <\/em>t\u1ea1o thu\u1eadn l\u1ee3i cho b\u00e1c s\u0129<\/em> <\/em>X<\/em> quang<\/em> can thi\u1ec7p ti\u1ebfp<\/em> c\u1eadn l\u00e0m <\/em>t\u1eafc<\/em> \u0111o\u1ea1n<\/em> t\u0129nh m\u1ea1ch<\/em> b\u1ec7nh<\/em> l\u00fd<\/em>, gi\u00fap <\/em>gi\u1ea3m \u00e1p<\/em> <\/em>l\u1ef1c h\u1ec7 t\u0129nh m\u1ea1ch c\u1eeda<\/em> v\u00e0 qua \u0111\u00f3, cu\u1ed9c m\u1ed5 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t m\u1ea5t m\u00e1u d\u1ec5 d\u00e0ng h\u01a1n.<\/em> <\/em>Ti\u1ebfp<\/em> theo<\/em>, b\u00e1c s\u0129<\/em> <\/em>ph\u1eabu<\/em> thu\u1eadt m<\/em>\u1ea1ch m\u00e1u t\u1ea1o c\u1ea7u n\u1ed1i t\u1eeb h\u1ec7 t\u0129nh m\u1ea1ch c\u1eeda sang h\u1ec7<\/em> t\u0129nh m\u1ea1ch<\/em> ch\u1ee7 nh\u1eb1m l\u00e0m gi\u1ea3m<\/em> t\u1ed1i \u0111a<\/em> \u00e1p l\u1ef1c c\u1ee7a h\u1ec7 t\u0129nh m\u1ea1ch c\u1eeda.<\/em> Cu\u1ed1i c\u00f9ng, <\/em>b\u00e1c<\/em> s\u0129 ph\u1eabu thu\u1eadt ti\u00eau ho\u00e1 ti\u1ebfn h\u00e0nh <\/em>c\u1eaft<\/em> b\u1ecf<\/em> <\/em>g\u1ea7n<\/em> 3 m\u00e9t<\/em> ru\u1ed9t non ch\u1ee9a<\/em> d\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u<\/em> <\/em>\u0111\u1ec3<\/em> \u0111\u1ea3m b\u1ea3o ki\u1ec3m so\u00e1t ch\u1eafc ch\u1eafn t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u <\/em>t\u00e1i ph\u00e1t sau m\u1ed5<\/em> v\u00e0 n\u1ed1i gh\u00e9p ph\u1ea7n c\u00f2n l\u1ea1i \u0111\u1ec3 <\/em>ph\u1ee5c h\u1ed3i l\u01b0u th\u00f4ng ru\u1ed9t<\/em>\u201d.<\/p>\n\n\n

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H\u00ecnh 1 \u0111o\u1ea1n m\u1ea1ch m\u00e1u gi\u00e3n l\u1edbn tr\u00ean DSA<\/em><\/p>\n\n\n\n

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ThS.BS Tr\u1ea7n Kim Hoa, b\u00e1c s\u0129 khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch theo d\u00f5i h\u1eadu ph\u1eabu anh T. cho bi\u1ebft th\u00eam: \u201cQu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c h\u1eadu ph\u1eabu c\u0169ng \u0111\u00f2i h\u1ecfi s\u1ef1 t\u1ec9 m\u1ec9 v\u00e0 th\u1eadn tr\u1ecdng trong theo d\u00f5i huy\u1ebft \u0111\u1ed9ng, tr\u00e1nh nguy c\u01a1 t\u0103ng ti\u1ec1n t\u1ea3i \u1edf tim sau t\u1ea1o th\u00f4ng n\u1ed1i c\u1eeda<\/em> <\/em>–<\/em> <\/em>ch\u1ee7, v\u00e0 quy\u1ebft \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p \u0111\u1ec3 kh\u1edfi \u0111\u1ed9ng kh\u00e1ng \u0111\u00f4ng nh\u1eb1m gi\u1ea3m nguy c\u01a1 huy\u1ebft kh\u1ed1i n\u1eb7ng h\u01a1n \u1edf h\u1ec7 t\u0129nh m\u1ea1ch t\u1ea1ng, v\u1eeba kh\u00f4ng l\u00e0m ch\u1ea3y m\u00e1u ti\u00eau ho\u00e1 t\u00e1i ph\u00e1t. Dinh d\u01b0\u1ee1ng ng\u01b0\u1eddi b\u1ec7nh sau m\u1ed5 c\u1eaft \u0111o\u1ea1n ru\u1ed9t non kh\u00e1 d\u00e0i nh\u01b0 anh T<\/em>.<\/em> c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n r\u1ea5t chi ti\u1ebft b\u1edfi chuy\u00ean gia dinh d\u01b0\u1ee1ng. <\/em>\u0110<\/em>\u1eb7c bi\u1ec7t, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng s\u1edbm sau m\u1ed5 c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u \u00e1p d\u1ee5ng cho anh T<\/em>.\u201d.<\/em><\/p>\n\n\n\n

Sau 2 tu\u1ea7n ph\u1eabu thu\u1eadt, anh T. \u0111\u00e3 \u0103n u\u1ed1ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ti\u00eau ho\u00e1 g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f2n ch\u1ea3y m\u00e1u ti\u00eau ho\u00e1 v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u1ed5n \u0111\u1ecbnh. Th\u00e0nh c\u00f4ng ngo\u00e0i mong \u0111\u1ee3i n\u00e0y l\u00e0 nh\u1edd v\u00e0o s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa c\u00e1c chuy\u00ean khoa, k\u1ebf ho\u1ea1ch chu\u1ea9n b\u1ecb to\u00e0n di\u1ec7n tr\u01b0\u1edbc m\u1ed5 v\u00e0 chi\u1ebfn l\u01b0\u1ee3c ch\u0103m s\u00f3c \u0111a m\u00f4 th\u1ee9c sau m\u1ed5.<\/p>\n\n\n

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H\u00ecnh anh T. tr\u00f2 chuy\u1ec7n vui v\u1ebb c\u00f9ng c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt tr\u01b0\u1edbc khi ra vi\u1ec7n<\/em><\/p>\n\n\n\n

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BS.CK2 L\u00ea Th\u1ecb Kim L\u00fd, Ph\u00f3 tr\u01b0\u1edfng khoa N\u1ed9i Ti\u00eau ho\u00e1 gi\u1ea3i th\u00edch th\u00eam: \u201cKhi b\u1ecb t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda, m\u00e1u t\u1eeb ru\u1ed9t tr\u1edf v\u1ec1 gan<\/em> kh\u00f3 kh\u0103n v\u00e0<\/em> <\/em>\u1ee9 l\u1ea1i \u1edf ru\u1ed9t,<\/em> theo th\u1eddi gian<\/em> g\u00e2y gi\u00e3n v\u00e0 t\u0103ng<\/em> \u00e1p l\u1ef1c trong h\u1ec7<\/em> t\u0129nh m\u1ea1ch c\u1eeda, cu\u1ed1i c\u00f9ng d\u1eabn \u0111\u1ebfn nhi\u1ec1<\/em>u <\/em>bi\u1ebfn ch\u1ee9ng<\/em>.<\/em> <\/em>T\u00ecnh tr\u1ea1ng n\u00e0y tr\u1edf n\u00ean \u0111\u1eb7c bi\u1ec7t nghi\u00eam tr\u1ecdng v\u00e0 kh\u00f3 \u0111i\u1ec1u tr\u1ecb khi c\u00f3 s\u1ef1 k\u1ebft h\u1ee3p d\u1ecb d\u1ea1ng \u0111\u1ed9ng <\/em>– <\/em>t\u0129nh m\u1ea1ch ru\u1ed9t g\u00e2y r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n h\u1ec7 ru\u1ed9t<\/em> <\/em>v\u00e0<\/em> xu\u1ea5t hi\u1ec7n nh\u1eefng bi\u1ebfn ch\u1ee9ng <\/em>nguy hi\u1ec3m <\/em>nh\u01b0 vi\u00eam lo\u00e9t ru\u1ed9t, xu\u1ea5t huy\u1ebft <\/em>ti\u00eau h\u00f3a…, \u0111e<\/em> do\u1ea1 <\/em>\u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u00e2y<\/em> l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p l\u00e2m s\u00e0ng r\u1ea5t hi\u1ebfm g\u1eb7p v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed t\u1ed1i \u01b0u \u1edf th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i. Tuy nhi\u00ean,<\/em> ng\u01b0\u1eddi<\/em> b\u1ec7nh c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c theo d\u00f5i d\u00e0i h\u1ea1n, \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb d\u1ecb d\u1ea1ng m\u1ea1ch m\u00e1u ru\u1ed9t k\u1ebft h\u1ee3p t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda<\/em>\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, d\u1ecb d\u1ea1ng \u0111\u1ed9ng – t\u0129nh m\u1ea1ch ru\u1ed9t, chuy\u1ec3n d\u1ea1ng xoang hang, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch c\u1eeda m\u1ea1n t\u00ednh. C\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa Ngo\u1ea1i Ti\u00eau ho\u00e1, Ngo\u1ea1i […]<\/p>\n","protected":false},"author":5,"featured_media":8117,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56],"tags":[],"class_list":["post-8112","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x1765.jpg",1200,1765,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6.jpg",2560,1765,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6.jpg",2560,1765,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-300x207.jpg",300,207,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-768x530.jpg",768,530,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1024x706.jpg",805,555,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-400x1765.jpg",400,1765,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1536x1059.jpg",1536,1059,true],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-2048x1412.jpg",2048,1412,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x1765.jpg",1200,1765,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x1200.jpg",1200,1200,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x900.jpg",600,900,true],"ultp_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x600.jpg",600,600,true],"elixar_section_extra_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-640x400.jpg",640,400,true],"elixar_gallery_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-615x400.jpg",615,400,true],"elixar_blog_home_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-348x196.jpg",348,196,true],"elixar_blog_full_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-1110x515.jpg",1110,515,true],"elixar_blog_sidebar_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-805x350.jpg",805,350,true],"woocommerce_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-300x300.jpg",300,300,true],"woocommerce_single":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2025\/01\/Hinh-6-600x414.jpg",600,414,true],"woocommerce_gallery_thumbnail":["https:\/\/bvnd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Kh\u00e1nh Nh\u1eadt","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=5"},"uagb_comment_info":0,"uagb_excerpt":"B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t huy\u1ebft ti\u00eau ho\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, d\u1ecb d\u1ea1ng \u0111\u1ed9ng – t\u0129nh m\u1ea1ch ru\u1ed9t, chuy\u1ec3n d\u1ea1ng xoang hang, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch c\u1eeda m\u1ea1n t\u00ednh. C\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa Ngo\u1ea1i Ti\u00eau ho\u00e1, Ngo\u1ea1i…","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8112","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8112"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8112\/revisions"}],"predecessor-version":[{"id":8118,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8112\/revisions\/8118"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/media\/8117"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8112"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8112"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8112"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}