{"id":823,"date":"2021-08-30T05:56:44","date_gmt":"2021-08-30T05:56:44","guid":{"rendered":"http:\/\/phauthuatnhi.vn\/vi\/?p=823"},"modified":"2021-08-30T05:56:49","modified_gmt":"2021-08-30T05:56:49","slug":"buou-trung-that-o-tre-em","status":"publish","type":"post","link":"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/buou-trung-that-o-tre-em\/","title":{"rendered":"B\u01b0\u1edbu trung th\u1ea5t \u1edf tr\u1ebb em"},"content":{"rendered":"\n<p class=\"has-medium-font-size\"><strong>1.<\/strong> <strong>\u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/p>\n\n\n\n<p><strong>Gi\u1ea3i ph\u1eabu<\/strong><\/p>\n\n\n\n<ul><li>Trung th\u1ea5t l\u00e0 m\u1ed9t ph\u1ea7n trung t\u00e2m c\u1ee7a ng\u1ef1c, b\u00ean trong c\u00f3 c\u00e1c c\u01a1 quan nh\u01b0 tuy\u1ebfn \u1ee9c, c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn v\u00e0 d\u00e2y th\u1ea7n kinh, th\u1ef1c qu\u1ea3n \u0111o\u1ea1n ng\u1ef1c, tim v\u00e0 m\u00e0ng ngo\u00e0i tim,&#8230; X\u00e9t v\u1ec1 m\u1eb7t c\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu, trung th\u1ea5t \u0111\u01b0\u1ee3c bao quanh b\u1edfi gi\u1edbi h\u1ea1n:<ul><li>Ph\u00eda tr\u01b0\u1edbc l\u00e0 x\u01b0\u01a1ng \u1ee9c v\u00e0 c\u00e1c s\u1ee5n s\u01b0\u1eddn;<\/li><li>Ph\u00eda sau l\u00e0 c\u00e1c \u0111\u1ed1t s\u1ed1ng ng\u1ef1c;<\/li><li>Hai b\u00ean l\u00e0 m\u00e0ng ph\u1ed5i;<\/li><li>M\u1eb7t d\u01b0\u1edbi l\u00e0 c\u01a1 ho\u00e0nh;<\/li><li>Ph\u00eda tr\u00ean l\u00e0 v\u00f9ng n\u1ec1n c\u1ed5.<\/li><\/ul><\/li><li>Ph\u00e2n chia trung th\u1ea5t: theo quan \u0111i\u1ec3m c\u1ee7a nhi\u1ec1u nh\u00e0 ph\u1eabu thu\u1eadt, trung th\u1ea5t \u0111\u01b0\u1ee3c chia th\u00e0nh 3 ph\u1ea7n:<ul><li>Trung th\u1ea5t tr\u01b0\u1edbc tr\u00ean (m\u00e0u \u0111\u1ecf trong h\u00ecnh 1): quai \u0110MC, TMC tr\u00ean, TM \u0111\u01a1n, tuy\u1ebfn \u1ee9c, h\u1ea1ch b\u1ea1ch huy\u1ebft\u2026<\/li><li>Trung th\u1ea5t gi\u1eefa (m\u00e0u xanh h\u00ecnh 1): tim, m\u00e0ng ngo\u00e0i tim, kh\u00ed qu\u1ea3n v\u00e0 ph\u1ebf qu\u1ea3n ch\u00ednh, m\u1ea1ch m\u00e1u ph\u1ed5i, h\u1ea1ch\u2026<\/li><li>Trung th\u1ea5t sau (m\u00e0u v\u00e0ng h\u00ecnh 1): h\u1ea1ch th\u1ea7n kinh, th\u1ef1c qu\u1ea3n, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 xu\u1ed1ng, \u1ed1ng ng\u1ef1c, h\u1ea1ch\u2026<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>\u0110\u1eb7c \u0111i\u1ec3m b\u01b0\u1edbu trung th\u1ea5t<\/strong><\/p>\n\n\n\n<ul><li>B\u01b0\u1edbu trung th\u1ea5t l\u00e0 b\u01b0\u1edbu nguy\u00ean ph\u00e1t ho\u1eb7c th\u1ee9 ph\u00e1t, \u00e1c t\u00ednh ho\u1eb7c l\u00e0nh t\u00ednh ph\u00e1t sinh \u1edf v\u00f9ng trung th\u1ea5t.<\/li><li>\u0110a s\u1ed1 l\u00e0 b\u01b0\u1edbu tuy\u1ebfn \u1ee9c, lymphoma, b\u01b0\u1edbu c\u00f3 ngu\u1ed3n g\u1ed1c th\u1ea7n kinh v\u00e0 b\u01b0\u1edbu t\u1ebf b\u00e0o m\u1ea7m (&gt; 80%).<\/li><li>Nam\/n\u1eef = 1,2-1,5\/1.<\/li><li>B\u01b0\u1edbu \u00e1c: 25 \u2013 42% (\u0111a s\u1ed1 l\u00e0 lymphoma, b\u01b0\u1edbu tuy\u1ebfn \u1ee9c, b\u01b0\u1edbu t\u1ebf b\u00e0o m\u1ea7m v\u00e0 b\u01b0\u1edbu c\u00f3 ngu\u1ed3n g\u1ed1c th\u1ea7n kinh).<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-large\"><img loading=\"lazy\" width=\"700\" height=\"385\" src=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-that-1.jpg\" alt=\"\" class=\"wp-image-831\" srcset=\"http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-that-1.jpg 700w, http:\/\/phauthuatnhi.vn\/vi\/wp-content\/uploads\/2021\/08\/u-trung-that-1-300x165.jpg 300w\" sizes=\"(max-width: 700px) 100vw, 700px\" \/><figcaption><strong>H\u00ecnh 1: Ph\u00e2n chia trung th\u1ea5t<\/strong><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"has-medium-font-size\"><strong>2. Nguy\u00ean nh\u00e2n<\/strong><\/p>\n\n\n\n<ul><li>Trung th\u1ea5t tr\u01b0\u1edbc tr\u00ean: chi\u1ebfm t\u1ec9 l\u1ec7 cao nh\u1ea5t<ul><li>C\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p l\u00e0: b\u01b0\u1edbu tuy\u1ebfn \u1ee9c, lymphoma, b\u01b0\u1edbu t\u1ebf b\u00e0o m\u1ea7m.<\/li><li>\u00cdt g\u1eb7p h\u01a1n l\u00e0 c\u00e1c b\u01b0\u1edbu xu\u1ea5t ph\u00e1t t\u1eeb trung m\u00f4, m\u1ea1ch m\u00e1u.<\/li><\/ul><\/li><li>Trung th\u1ea5t gi\u1eefa: chi\u1ebfm 15-25%.<ul><li>C\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p: ch\u1ee7 y\u1ebfu l\u00e0 lymphoma, c\u00f3 th\u1ec3 c\u00f3 h\u1ea1ch di c\u0103n th\u1ee9 ph\u00e1t (\u00edt g\u1eb7p).<\/li><\/ul><\/li><li>Trung th\u1ea5t sau: chi\u1ebfm 23-27%.<ul><li>C\u00e1c t\u1ed5n th\u01b0\u01a1ng: ch\u1ee7 y\u1ebfu c\u00f3 ngu\u1ed3n g\u1ed1c g\u1ed1c th\u1ea7n kinh (75%).<\/li><li>\u00cdt g\u1eb7p h\u01a1n l\u00e0 c\u00e1c b\u01b0\u1edbu m\u1ea1ch m\u00e1u, b\u01b0\u1edbu trung m\u00f4 v\u00e0 h\u1ea1ch.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>3. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<p>Thay \u0111\u1ed5i theo v\u1ecb tr\u00ed, \u0111\u1ed9 l\u1edbn v\u00e0 t\u00ednh ch\u1ea5t c\u1ee7a kh\u1ed1i b\u01b0\u1edbu.<\/p>\n\n\n\n<ul><li>D\u1ea5u hi\u1ec7u h\u00f4 h\u1ea5p: ho, kh\u00e1i huy\u1ebft, th\u1edf r\u00edt, kh\u00f3 th\u1edf, kh\u00f2 kh\u00e8.<\/li><li>D\u1ea5u hi\u1ec7u v\u1ec1 ti\u00eau ho\u00e1: kh\u00f3 nu\u1ed1t, n\u1ea5c li\u00ean t\u1ee5c do ch\u00e8n \u00e9p th\u1ef1c qu\u1ea3n<\/li><li>D\u1ea5u hi\u1ec7u v\u1ec1 th\u1ea7n kinh:<ul><li>H\u1ed9i ch\u1ee9ng Claude-Bernard Horner.<\/li><li>Kh\u00e0n ti\u1ebfng kh\u00f3 ph\u00e1t \u00e2m.<\/li><li>Li\u1ec7t v\u00f2m ho\u00e0nh.<\/li><li>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, cao huy\u1ebft \u00e1p, ch\u1ea3y n\u01b0\u1edbc b\u1ecdt.<\/li><\/ul><\/li><li>D\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p t\u0129nh m\u1ea1ch:<ul><li>H\u1ed9i ch\u1ee9ng t\u0129nh m\u1ea1ch ch\u1ee7 tr\u00ean.<\/li><li>Tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 tr\u01b0\u1edbc ng\u1ef1c.<\/li><li>H\u1ed9i ch\u1ee9ng t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi<\/li><\/ul><\/li><li>D\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p \u1ed1ng ng\u1ef1c:<ul><li>\u00cdt g\u1eb7p, n\u1ebfu c\u00f3 ch\u00e8n \u00e9p th\u00ec c\u00f3 m\u1ed9t h\u1ed9i ch\u1ee9ng g\u1ed3m c\u00f3 tr\u00e0n d\u01b0\u1ee1ng ch\u1ea5p l\u1ed3ng ng\u1ef1c, c\u1ed5 ch\u01b0\u1edbng d\u1ecbch d\u01b0\u1ee1ng ch\u1ea5p, ph\u00f9 t\u1eeb chi d\u01b0\u1edbi \u0111\u1ebfn chi tr\u00ean.<\/li><\/ul><\/li><li>D\u1ea5u hi\u1ec7u th\u00e0nh ng\u1ef1c:<ul><li>S\u1ef1 n\u1ed5i g\u1ed3 l\u00ean do b\u01b0\u1edbu \u0111\u1ea9y th\u00e0nh ng\u1ef1c hay v\u00f9ng c\u1ed5<\/li><\/ul><\/li><li>D\u1ea5u hi\u1ec7u to\u00e0n th\u00e2n:<ul><li>H\u1ea1ch v\u00f9ng c\u1ed5, tr\u00ean x\u01b0\u01a1ng \u0111\u00f2n, th\u01b0\u1eddng do di c\u0103n<\/li><li>H\u1ed9i ch\u1ee9ng to\u00e0n th\u00e2n do b\u01b0\u1edbu ph\u00f3ng th\u00edch n\u1ed9t ti\u1ebft t\u1ed1 (b\u1ea3ng 1)<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>B\u1ea3ng 1: H\u1ed9i ch\u1ee9ng to\u00e0n th\u00e2n do b\u01b0\u1edbu ph\u00f3ng th\u00edch n\u1ed9i ti\u1ebft t\u1ed1<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table><tbody><tr><td><strong>H\u1ed9i ch\u1ee9ng<\/strong><\/td><td><strong>Lo\u1ea1i b\u01b0\u1edbu<\/strong><\/td><\/tr><tr><td>Cao huy\u1ebft \u00e1p                       <\/td><td>B\u01b0\u1edbu t\u1ebf b\u00e0o \u01b0a Cr\u00f4m, b\u01b0\u1edbu h\u1ea1t v\u00e0ng, b\u01b0\u1edbu h\u1ea1ch th\u1ea7n kinh, b\u01b0\u1edbu nguy\u00ean b\u00e0o th\u1ea7n kinh<\/td><\/tr><tr><td>T\u0103ng Ca++<\/td><td>B\u01b0\u1edbu c\u1eadn gi\u00e1p, b\u1ec7nh Hodgkin<\/td><\/tr><tr><td>H\u1ea1 Ca++<\/td><td>B\u01b0\u1edbu trung m\u00f4, u qu\u00e1i, sarc\u00f4m s\u1ee3i, sarc\u00f4m th\u1ea7n kinh<\/td><\/tr><tr><td>C\u01b0\u1eddng gi\u00e1p<\/td><td>B\u01b0\u1edbu gi\u00e1p hay ung th\u01b0 gi\u00e1p<\/td><\/tr><tr><td>B\u1ec7nh Cushing<\/td><td>B\u01b0\u1edbu d\u1ea1ng carcinoma<\/td><\/tr><tr><td>Ti\u00eau ch\u1ea3y<\/td><td>B\u01b0\u1edbu h\u1ea1ch th\u1ea7n kinh, b\u01b0\u1edbu nguy\u00ean b\u00e0o th\u1ea7n kinh, b\u01b0\u1edbu s\u1ee3i th\u1ea7n kinh<\/td><\/tr><tr><td>Ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa<\/td><td>B\u01b0\u1edbu t\u1ebf b\u00e0o m\u1ea7m<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"has-medium-font-size\"><strong>4. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n\n\n\n<ul><li><strong>Si\u00eau \u00e2m ng\u1ef1c<\/strong>: d\u00f9ng \u0111\u1ec3 ph\u00e2n bi\u1ec7t b\u1ea3n ch\u1ea5t b\u01b0\u1edbu d\u1ea1ng \u0111\u1eb7c hay d\u1ea1ng nang, h\u01b0\u1edbng \u0111\u1ebfn sinh thi\u1ebft. Nh\u1eefng nang \u1edf g\u1ea7n c\u1ed5 hay g\u1ea7n c\u01a1 ho\u00e0nh s\u1ebd \u0111\u01b0\u1ee3c th\u1ea5y r\u00f5 tr\u00ean si\u00eau \u00e2m.<\/li><li><strong>X-quang ng\u1ef1c<\/strong>: x\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy gi\u00fap ph\u00e1t hi\u1ec7n g\u1ee3i \u00fd b\u01b0\u1edbu trung th\u1ea5t.<\/li><li><strong>CT scan ng\u1ef1c:<\/strong><ul><li>C\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n cao trong b\u01b0\u1edbu trung th\u1ea5t, cung c\u1ea5p r\u00f5 h\u00ecnh \u1ea3nh v\u1ec1 trung th\u1ea5t, v\u1ec1 kh\u1ed1i b\u01b0\u1edbu (v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc, m\u1eadt \u0111\u1ed9, li\u00ean quan gi\u1ea3i ph\u1eabu v\u1edbi c\u00e1c c\u1ea5u tr\u00fac l\u00e2n c\u1eadn\u2026).<\/li><li>Gi\u00fap ti\u00ean l\u01b0\u1ee3ng kh\u1ea3 n\u0103ng g\u00e2y m\u00ea, ph\u1eabu thu\u1eadt.<\/li><\/ul><\/li><li><strong>C\u1ed9ng h\u01b0\u1edfng t\u1eeb<\/strong>: \u01b0u th\u1ebf h\u01a1n CT scan trong tr\u01b0\u1eddng h\u1ee3p:<ul><li>C\u1ea7n x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c tr\u01b0\u1edbc m\u1ed5 r\u1eb1ng b\u01b0\u1edbu c\u00f3 x\u00e2m l\u1ea5n m\u1ea1ch m\u00e1u, th\u1ea7n kinh, c\u1ed9t s\u1ed1ng.<\/li><li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ecbnh ch\u1ee5p CT c\u1ea3n quang do d\u1ecb \u1ee9ng hay suy th\u1eadn.<\/li><\/ul><\/li><li><strong>C\u00e1c marker sinh h\u1ecdc<\/strong>: \u03b1FP, \u03b2HCG v\u00e0 CEA, catecholamine.<ul><li>\u03b1FP, \u03b2HCG t\u0103ng: b\u01b0\u1edbu t\u1ebf b\u00e0o m\u1ea7m.<\/li><li>Catecholamine trong huy\u1ebft t\u01b0\u01a1ng v\u00e0 1 s\u1ed1 ch\u1ea5t chuy\u1ec3n ho\u00e1 trong n\u01b0\u1edbc ti\u1ec3u (catecholamine, VMA, homovanilic acid) t\u0103ng: b\u01b0\u1edbu h\u1ec7 giao c\u1ea3m hay b\u01b0\u1edbu nguy\u00ean b\u00e0o th\u1ea7n kinh.<\/li><\/ul><\/li><li><strong>Tu\u1ef7 \u0111\u1ed3<\/strong>: ph\u00e2n bi\u1ec7t b\u01b0\u1edbu nguy\u00ean b\u00e0o th\u1ea7n kinh v\u00e0 b\u1ea1ch c\u1ea7u c\u1ea5p d\u00f2ng lympho.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>5. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/p>\n\n\n\n<p>K\u1ebft h\u1ee3p gi\u1eefa l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng h\u00ecnh \u1ea3nh h\u1ecdc v\u00e0 marker sinh h\u1ecdc.<\/p>\n\n\n\n<p class=\"has-medium-font-size\"><strong>6. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n\n\n\n<ul><li>H\u1ed9i ch\u1ee9ng trung th\u1ea5t c\u1ea5p: vi\u00eam m\u1ee7 trung th\u1ea5t, \u00e1p xe trung th\u1ea5t, vi\u00eam m\u1ee7 h\u1ea1ch trung th\u1ea5t.<\/li><li>H\u1ed9i ch\u1ee9ng trung th\u1ea5t m\u1ea1n t\u00ednh: x\u01a1 ho\u00e1 trung th\u1ea5t hay vi\u00eam x\u01a1 m\u1ea1n t\u00ednh do lao.<\/li><li>B\u1ec7nh gi\u1ea3 b\u01b0\u1edbu trung th\u1ea5t: tr\u00ean X-quang c\u00f3 th\u1ec3 th\u1ea5y nh\u1eefng b\u00f3ng m\u1edd c\u1ea1nh trung th\u1ea5t, nh\u01b0ng c\u00f3 nguy\u00ean nh\u00e2n ngo\u00e0i trung th\u1ea5t nh\u01b0: nang ph\u1ebf qu\u1ea3n, b\u01b0\u1edbu lao c\u1ea1nh trung th\u1ea5t.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>7.\u00a0\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb \u0111a m\u00f4 th\u1ee9c k\u1ebft h\u1ee3p gi\u1eefa ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb v\u00e0 x\u1ea1 tr\u1ecb t\u00f9y theo b\u1ea3n ch\u1ea5t c\u1ee7a kh\u1ed1i b\u01b0\u1edbu.<\/p>\n\n\n\n<p><strong>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n\n\n\n<ul><li>X\u00e9t nghi\u1ec7m m\u00e1u: c\u00f4ng th\u1ee9c m\u00e1u, ch\u1ee9c n\u0103ng gan th\u1eadn, \u0111\u00f4ng m\u00e1u to\u00e0n b\u1ed9, nh\u00f3m m\u00e1u.<\/li><li>\u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, tim m\u1ea1ch.<\/li><li>B\u01b0\u1edbu c\u00f3 ch\u00e8n \u00e9p v\u00e0o c\u00e2y ph\u1ebf qu\u1ea3n, \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i hay t\u0129nh m\u1ea1ch ch\u1ee7 tr\u00ean?<\/li><li>B\u01b0\u1edbu c\u00f3 x\u00e2m l\u1ea5n v\u00e0o c\u01a1 quan k\u1ebf c\u1eadn, c\u1ed9t s\u1ed1ng?<\/li><\/ul>\n\n\n\n<p><strong>Ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n<ul><li><strong>Nguy\u00ean t\u1eafc: <\/strong>ph\u1eabu thu\u1eadt l\u1ea5y to\u00e0n b\u1ed9 b\u01b0\u1edbu hay m\u1ed9t ph\u1ea7n kh\u1ed1i b\u01b0\u1edbu \u0111\u1ec3 ti\u1ebfn h\u00e0nh l\u00e0m gi\u1ea3i ph\u1eabu b\u1ec7nh x\u00e1c \u0111\u1ecbnh b\u1ea3n ch\u1ea5t kh\u1ed1i b\u01b0\u1edbu mang \u00fd ngh\u0129a \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u1ea9n \u0111o\u00e1n .<\/li><li><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn<\/strong><ul><li>Ph\u1eabu thu\u1eadt m\u1edf<\/li><li>Ph\u1eabu thu\u1eadt n\u1ed9i soi l\u1ed3ng ng\u1ef1c: b\u01b0\u1edbu nang hay b\u01b0\u1edbu ngu\u1ed3n g\u1ed1c th\u1ea7n kinh c\u00f3 \u0111\u01b0\u1eddng k\u00ednh &lt; 6 cm.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p><strong>H\u1eadu ph\u1eabu<\/strong><\/p>\n\n\n\n<ul><li>R\u00fat d\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i sau 1 &#8211; 2 ng\u00e0y.<\/li><li>T\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u h\u00f4 h\u1ea5p s\u1edbm.<\/li><\/ul>\n\n\n\n<p class=\"has-medium-font-size\"><strong>8. Ti\u00ean l\u01b0\u1ee3ng &#8211; t\u00e1i kh\u00e1m<\/strong><\/p>\n\n\n\n<ul><li>Ti\u00ean l\u01b0\u1ee3ng ph\u1ee5 thu\u1ed9c v\u00e0o giai \u0111o\u1ea1n b\u1ec7nh, b\u1ea3n ch\u1ea5t kh\u1ed1i u, k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt\u2026<\/li><li>T\u00e1i kh\u00e1m sau xu\u1ea5t vi\u1ec7n 1 tu\u1ea7n, 1 th\u00e1ng, 3 th\u00e1ng, 6 th\u00e1ng, m\u1ed9t n\u0103m.<\/li><\/ul>\n\n\n\n<p><strong><em>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/em><\/strong><\/p>\n\n\n\n<ul><li>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb B\u1ec7nh vi\u1ec7n Nhi \u0110\u1ed3ng 2.<\/li><li>Tr\u01b0\u01a1ng \u0110\u00ecnh Kh\u1ea3i, H\u1ed3 Tr\u1ea7n B\u1ea3n (2018), U trung th\u1ea5t \u1edf tr\u1ebb em, Ngo\u1ea1i nhi l\u00e2m s\u00e0ng, Ch\u1ee7 bi\u00ean: Tr\u01b0\u01a1ng Nguy\u1ec5n Uy Linh, Nh\u00e0 xu\u1ea5t b\u1ea3n Y H\u1ecdc Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh, tr. 246-255<\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>1. \u0110\u1ea1i c\u01b0\u01a1ng Gi\u1ea3i ph\u1eabu Trung th\u1ea5t l\u00e0 m\u1ed9t ph\u1ea7n trung t\u00e2m c\u1ee7a ng\u1ef1c, b\u00ean trong c\u00f3 c\u00e1c c\u01a1 quan nh\u01b0 tuy\u1ebfn \u1ee9c, c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn v\u00e0 d\u00e2y th\u1ea7n kinh, th\u1ef1c qu\u1ea3n \u0111o\u1ea1n ng\u1ef1c, <a class=\"mh-excerpt-more\" href=\"http:\/\/phauthuatnhi.vn\/vi\/cacloaibenh\/buou-trung-that-o-tre-em\/\" title=\"B\u01b0\u1edbu trung th\u1ea5t \u1edf tr\u1ebb em\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":4,"featured_media":831,"comment_status":"open","ping_status":"open","sticky":false,"template":"template-full.php","format":"standard","meta":[],"categories":[4,21],"tags":[],"_links":{"self":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/823"}],"collection":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/comments?post=823"}],"version-history":[{"count":5,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/823\/revisions"}],"predecessor-version":[{"id":834,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/posts\/823\/revisions\/834"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media\/831"}],"wp:attachment":[{"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/media?parent=823"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/categories?post=823"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/phauthuatnhi.vn\/vi\/wp-json\/wp\/v2\/tags?post=823"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}