{"id":12036,"date":"2018-01-16T14:27:30","date_gmt":"2018-01-16T07:27:30","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/nhat-ban-giai-quyet-tinh-trang-khang-khang-sinh-bang-cach-nao\/"},"modified":"2018-01-16T14:27:30","modified_gmt":"2018-01-16T07:27:30","slug":"nhat-ban-giai-quyet-tinh-trang-khang-khang-sinh-bang-cach-nao","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/nhat-ban-giai-quyet-tinh-trang-khang-khang-sinh-bang-cach-nao\/","title":{"rendered":"Nh\u1eadt B\u1ea3n gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh b\u1eb1ng c\u00e1ch n\u00e0o?"},"content":{"rendered":"

Kh\u00e1ng sinh l\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ph\u00f2ng ng\u1eeba c\u00e1c b\u1ec7nh nhi\u1ec5m khu\u1ea9n. Vi khu\u1ea9n b\u1ecb kh\u00e1ng sinh ti\u00eau di\u1ec7t hay k\u00ecm h\u00e3m \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cnh\u1ea1y v\u1edbi kh\u00e1ng sinh\u201d, ng\u01b0\u1ee3c l\u1ea1i th\u00ec \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201ckh\u00e1ng kh\u00e1ng sinh\u201d.<\/p>\n

Ng\u00e0nh y v\u00e0 c\u1ed9ng \u0111\u1ed3ng \u0111ang h\u1ebft s\u1ee9c lo ng\u1ea1i v\u1ec1 t\u00ecnh h\u00ecnh kh\u00e1ng kh\u00e1ng sinh t\u1ea1i Vi\u1ec7t Nam. Nh\u1eefng ch\u1ee7ng vi khu\u1ea9n kh\u00e1ng kh\u00e1ng sinh l\u00e2y lan trong c\u1ed9ng \u0111\u1ed3ng s\u1ebd l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 t\u1eed vong, k\u00e9o d\u00e0i th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, ho\u1eb7c y\u00eau c\u1ea7u d\u00f9ng k\u1ebft h\u1ee3p nhi\u1ec1u thu\u1ed1c kh\u00e1ng sinh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb l\u00e0m t\u0103ng nguy c\u01a1 g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 g\u00e2y thi\u1ec7t h\u1ea1i t\u00e0i ch\u00ednh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng c\u1ee7a nhi\u1ec1u ng\u01b0\u1eddi.<\/p>\n

\"Nh\u1eadt<\/p>\n

C\u00e1ch \u0111\u00e2y \u0111\u1ed9 10 n\u0103m, Nh\u1eadt B\u1ea3n c\u0169ng \u0111\u1ed1i m\u1eb7t v\u1edbi v\u1ea5n n\u1ea1n kh\u00e1ng kh\u00e1ng sinh nh\u01b0ng \u0111\u1ebfn nay \u0111\u00e3 c\u1ea3i thi\u1ec7n h\u01a1n nh\u1edd m\u1ed9t s\u1ed1 gi\u1ea3i ph\u00e1p \u1edf m\u1ee9c c\u00e1 nh\u00e2n, m\u1ee9c c\u1ed9ng \u0111\u1ed3ng l\u1eabn thay \u0111\u1ed5i trong h\u1ec7 th\u1ed1ng qu\u1ea3n l\u00fd.
\nM\u1ed9t s\u1ed1 \u0111i\u1ec3m d\u01b0\u1edbi \u0111\u00e2y th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 li\u00ean quan t\u1edbi s\u1ef1 thay \u0111\u1ed5i n\u00e0y.<\/p>\n

\u1ede m\u1ee9c \u0111\u1ed9 h\u1ec7 th\u1ed1ng y t\u1ebf<\/strong><\/h2>\n
    \n
  1. Nh\u1eadt B\u1ea3n ki\u1ec3m so\u00e1t thu\u1ed1c kh\u00e1ng sinh r\u1ea5t ch\u1eb7t: Ng\u01b0\u1eddi d\u00e2n ch\u1ec9 \u0111\u01b0\u1ee3c mua kh\u00e1ng sinh khi c\u00f3 toa thu\u1ed1c c\u1ee7a b\u00e1c s\u0129, \u0111\u01b0\u1ee3c c\u1ea5p t\u1eeb c\u00e1c c\u01a1 s\u1edf y t\u1ebf ch\u00ednh th\u1ed1ng.<\/li>\n
  2. B\u1ea3o hi\u1ec3m tham gia ki\u1ec3m duy\u1ec7t k\u1ef9. Thu\u1ed1c kh\u00e1ng sinh k\u00ea ra ph\u1ea3i n\u00eau r\u00f5 l\u00fd do s\u1eed d\u1ee5ng k\u00e8m theo ch\u1ea9n \u0111o\u00e1n r\u00f5 r\u00e0ng; m\u1ed9t s\u1ed1 thu\u1ed1c \u0111\u1eb7c bi\u1ec7t ph\u1ea3i g\u1eedi k\u00e8m kh\u00e1ng sinh \u0111\u1ed3 (k\u1ebft qu\u1ea3 nu\u00f4i c\u1ea5y vi khu\u1ea9n \u0111\u1ec3 ki\u1ec3m \u0111\u1ecbnh xem ch\u00fang nh\u1ea1y v\u1edbi kh\u00e1ng sinh n\u00e0o) ho\u1eb7c c\u00f3 l\u1eddi gi\u1ea3i tr\u00ecnh c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/li>\n
  3. N\u00eau r\u00f5 tr\u00e1ch nhi\u1ec7m b\u00e1o c\u00e1o c\u1ee7a b\u1ec7nh vi\u1ec7n khi c\u00f3 ch\u1ee7ng kh\u00e1ng thu\u1ed1c. V\u00ec v\u1ea5n \u0111\u1ec1 kh\u00e1ng thu\u1ed1c l\u00e0 v\u1ea5n \u0111\u1ec1 c\u1ee7a to\u00e0n c\u1ed9ng \u0111\u1ed3ng, S\u1edf y t\u1ebf ph\u1ea3i b\u00e1o c\u00e1o th\u1ed1ng k\u00ea c\u00e1c ca b\u1ec7nh, khoanh v\u00f9ng, t\u1eeb \u0111\u00f3 \u0111\u1ec1 xu\u1ea5t c\u00e1ch c\u1ea3i thi\u1ec7n. C\u00e1c b\u1ec7nh vi\u1ec7n v\u00e0 khoa ph\u00f2ng \u1edf Nh\u1eadt th\u01b0\u1eddng h\u1ee3p t\u00e1c r\u1ea5t t\u1ed1t \u0111\u1ec3 theo d\u00f5i ng\u01b0\u1ee3c\/trace back n\u01a1i xu\u1ea5t ph\u00e1t c\u1ee7a c\u00e1c b\u1ec7nh, l\u00f9ng t\u00ecm ra \u1ed5 d\u1ecbch.<\/li>\n
  4. Gi\u1ea3i quy\u1ebft gi\u1ea3m t\u1ea3i, n\u1eb1m gh\u00e9p chung gi\u01b0\u1eddng.<\/li>\n
  5. H\u1ea1n ch\u1ebf, ti\u1ebfn t\u1edbi d\u1eb9p b\u1ecf v\u1ea5n n\u1ea1n k\u00ea thu\u1ed1c \u0103n ti\u1ec1n hoa h\u1ed3ng t\u1eeb h\u00e3ng d\u01b0\u1ee3c b\u1eb1ng c\u00e1ch t\u0103ng l\u01b0\u01a1ng c\u01a1 b\u1ea3n gi\u00fap nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ee7 s\u1ed1ng t\u1ed1t.<\/li>\n<\/ol>\n

    \u1ede m\u1ee9c \u0111\u1ed9 b\u1ec7nh vi\u1ec7n<\/strong><\/h2>\n
      \n
    1. M\u1ed9t s\u1ed1 b\u1ec7nh vi\u1ec7n c\u00f3 Ban ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n s\u1ebd ph\u1ea3n \u1ee9ng ngay sau khi nh\u1eadn tin b\u00e1o v\u1ec1 vi\u1ec7c kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng ho\u1eb7c \u0111\u1eb7c d\u1ee5ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh t\u1ea1i b\u1ec7nh ph\u00f2ng. Ban n\u00e0y s\u1ebd k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh t\u00ecm hi\u1ec3u v\u00e0 theo d\u00f5i b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng, l\u00fd do d\u00f9ng thu\u1ed1c, \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb,…qua \u0111\u00f3 g\u00f3p \u00fd th\u00eam v\u1ec1 c\u00e1ch ch\u1ecdn thu\u1ed1c, li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p cho c\u00e1c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb. Trong b\u1ec7nh vi\u1ec7n n\u01a1i t\u00f4i \u0111ang l\u00e0m vi\u1ec7c, l\u00fac \u0111\u1ea7u nhi\u1ec1u b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ph\u1ea3n \u1ee9ng kh\u00e1 g\u1eaft v\u00e0 “ch\u1ea3nh” nh\u01b0ng d\u1ea7n r\u1ed3i c\u0169ng hi\u1ec3u ra s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a ho\u1ea1t \u0111\u1ed9ng n\u00e0y v\u00ec kh\u00f4ng ph\u1ea3i b\u00e1c s\u0129 n\u00e0o c\u0169ng am hi\u1ec3u \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 vi khu\u1ea9n v\u00e0 kh\u00e1ng sinh.<\/li>\n
    2. Ban ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n n\u1eafm r\u00f5 b\u1ec7nh nh\u00e2n nhi\u1ec5m khu\u1ea9n kh\u00e1ng thu\u1ed1c n\u1eb1m \u1edf \u0111\u00e2u, \u0111ang \u0111\u01b0\u1ee3c c\u00e1ch ly v\u00e0 ph\u00f2ng l\u00e2y theo c\u00e1ch n\u00e0o,…\u0111\u1ec3 ng\u0103n ch\u1eb7n l\u00e2y lan ti\u1ebfp cho ng\u01b0\u1eddi kh\u00e1c. Trong h\u1ec7 th\u1ed1ng b\u1ec7nh \u00e1n \u0111i\u1ec7n t\u1eed khi m\u1edf h\u1ed3 s\u01a1 ra s\u1ebd c\u00f3 tag c\u1ea3nh b\u00e1o \u0111\u1ec3 nh\u00e2n vi\u00ean y t\u1ebf c\u1ea9n tr\u1ecdng h\u01a1n.<\/li>\n
    3. H\u1ea1n ch\u1ebf d\u00f9ng chung \u0111\u1ed3 d\u00f9ng y t\u1ebf gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n. V\u00ed d\u1ee5 trong khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (ICU), m\u1ed7i gi\u01b0\u1eddng b\u1ec7nh \u0111\u1ec1u \u0111\u01b0\u1ee3c trang b\u1ecb m\u1ed9t \u1ed1ng nghe, h\u1ed9p g\u0103ng tay… ri\u00eang.<\/li>\n
    4. Thu\u00ea \u0111\u01a1n v\u1ecb v\u1ec7 sinh chuy\u00ean nghi\u1ec7p, th\u01b0\u1eddng xuy\u00ean x\u1eed l\u00fd n\u01a1i c\u00f4ng c\u1ed9ng v\u1edbi c\u00e1c ch\u1ea5t s\u00e1t khu\u1ea9n th\u00edch h\u1ee3p. C\u00e1c v\u1eadt d\u1ee5ng nh\u01b0 g\u1ed1i, n\u1ec7m, tr\u00ean gi\u01b0\u1eddng b\u1ec7nh nh\u00e2n c\u0169ng \u0111\u01b0\u1ee3c ch\u1ecdn theo h\u01b0\u1edbng d\u1ec5 gi\u1eb7t r\u1eeda v\u00e0 thay th\u1ebf \u0111\u1ecbnh k\u1ef3 (v\u00ed d\u1ee5 n\u1ec7m b\u1ecdc nilon ho\u1eb7c da).<\/li>\n
    5. Song song v\u1edbi vi\u1ec7c khuy\u1ebfn kh\u00edch nh\u00e2n vi\u00ean y t\u1ebf r\u1eeda tay, mang c\u00e1c d\u1ee5ng c\u1ee5 ph\u00f2ng tr\u00e1nh nhi\u1ec5m khu\u1ea9n nh\u01b0 g\u0103ng tay, t\u1ea1p d\u1ec1, kh\u1ea9u trang y t\u1ebf,\u2026khi c\u1ea7n thi\u1ebft, b\u1ec7nh vi\u1ec7n c\u00f2n t\u1ed5 ch\u1ee9c c\u00e1c gi\u1edd gi\u1ea3ng v\u00e0 b\u1ed1 tr\u1ecb nhi\u1ec1u ph\u01b0\u01a1ng ti\u1ec7n \u0111\u1ec3 ch\u0103m s\u00f3c da tay t\u1ea1i ch\u1ed7 cho nh\u00e2n vi\u00ean y t\u1ebf v\u00ec r\u1eeda nhi\u1ec1u g\u00e2y kh\u00f4 v\u00e0 \u0111au r\u00e1t tay. C\u1ea7n nh\u1ea5n m\u1ea1nh r\u1eb1ng vi\u1ec7c r\u1eeda tay gi\u1eef g\u00ecn v\u1ec7 sinh kh\u00f4ng ch\u1ec9 gi\u00fap b\u1ea3o v\u1ec7 b\u1ec7nh nh\u00e2n m\u00e0 c\u00f2n b\u1ea3o v\u1ec7 nh\u00e2n vi\u00ean y t\u1ebf (v\u00e0 c\u1ea3 ng\u01b0\u1eddi th\u00e2n c\u1ee7a h\u1ecd) kh\u1ecfi c\u00e1c ch\u1ee7ng vi khu\u1ea9n \u0111\u1ed9c h\u1ea1i.<\/li>\n
    6. Khuy\u1ebfn c\u00e1o, th\u1eadm ch\u00ed c\u1ea5m nh\u00e2n vi\u00ean y t\u1ebf \u0111eo \u201ct\u00f2ng teng\u201d tr\u00ean ng\u01b0\u1eddi c\u00e1c d\u1ee5ng c\u1ee5 hay s\u1eed d\u1ee5ng \u201ckh\u1eafp n\u01a1i\u201d nh\u01b0 b\u0103ng d\u00e1n, k\u00e9o, d\u00e2y garo\u2026M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng \u0111i\u1ec7n tho\u1ea1i di \u0111\u1ed9ng v\u00e0 c\u00e1c thi\u1ebft b\u1ecb di \u0111\u1ed9ng kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 l\u00e0 ngu\u1ed3n l\u00e2y r\u1ea5t \u201ckh\u1ee7ng\u201d, trong khi ch\u1ec9 c\u00f3 8-20% nh\u00e2n vi\u00ean y t\u1ebf th\u01b0\u1eddng xuy\u00ean lau ch\u00f9i s\u00e1t khu\u1ea9n d\u1ee5ng c\u1ee5 c\u1ee7a m\u00ecnh!<\/li>\n
    7. Ph\u00e1t tri\u1ec3n ph\u00f2ng lab \u0111\u1ec3 th\u1ef1c hi\u1ec7n kh\u00e1ng sinh \u0111\u1ed3 t\u1ed1t h\u01a1n, qua \u0111\u00f3 cung c\u1ea5p th\u00f4ng tin h\u1eefu \u00edch gi\u00fap ch\u1ecdn thu\u1ed1c \u0111\u00fang ch\u1ee9 kh\u00f4ng ph\u1ea3i “\u0111\u00e1nh m\u00f9” v\u1edbi kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng trong th\u1eddi gian d\u00e0i. H\u1ea7u h\u1ebft b\u1ec7nh vi\u1ec7n c\u00f3 khoa D\u01b0\u1ee3c tri\u1ec3n khai TDM, t\u1ee9c ph\u01b0\u01a1ng ph\u00e1p \u0111o \u0111\u1ea1c, theo d\u00f5i v\u00e0 d\u1ef1 \u0111o\u00e1n n\u1ed3ng \u0111\u1ed9 trong m\u00e1u c\u1ee7a m\u1ed9t s\u1ed1 kh\u00e1ng sinh \u0111\u1eb7c d\u1ee5ng (nh\u01b0 Vancomycin) nh\u1eb1m g\u00f3p \u00fd cho b\u00e1c s\u0129 v\u1ec1 li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c th\u00edch h\u1ee3p.<\/li>\n<\/ol>\n

      V\u1ec1 m\u1eb7t truy\u1ec1n th\u00f4ng v\u00e0 gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng<\/strong><\/h2>\n
        \n
      1. C\u00e1c ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng \u1edf Nh\u1eadt r\u1ea5t quan t\u00e2m \u0111\u1ebfn nhi\u1ec5m khu\u1ea9n trong b\u1ec7nh vi\u1ec7n v\u00e0 th\u01b0\u1eddng g\u00e2y ra l\u00e0n s\u00f3ng d\u01b0 lu\u1eadn m\u1ea1nh m\u1ebd. V\u00ec th\u1ebf, b\u1ec7nh vi\u1ec7n n\u00e0o m\u00e0 c\u00f3 n\u1ea1n d\u1ecbch\/outbreak th\u00ec s\u1ebd tr\u1edf th\u00e0nh t\u00e2m \u0111i\u1ec3m c\u1ee7a d\u01b0 lu\u1eadn v\u00e0 h\u00ecnh \u1ea3nh, uy t\u00edn b\u1ecb \u1ea3nh h\u01b0\u1edfng l\u1edbn.<\/li>\n
      2. Ngo\u00e0i c\u00e1c l\u1edbp h\u1ecdc hay t\u1eadp hu\u1ea5n truy\u1ec1n th\u1ed1ng, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc c\u00f2n t\u1ed5 ch\u1ee9c gi\u1edd gi\u1ea3ng online \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 hi\u1ec3u \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c kh\u00e1ng sinh. Vi\u1ec7c n\u00e0y gi\u00fap tr\u00e1nh\/gi\u1ea3m t\u00ecnh tr\u1ea1ng d\u00f9ng kh\u00e1ng sinh ph\u1ed5 r\u1ed9ng t\u1eeb “tuy\u1ebfn d\u01b0\u1edbi”, t\u1edbi khi b\u1ec7nh n\u1eb7ng chuy\u1ec3n vi\u1ec7n th\u00ec “tuy\u1ebfn tr\u00ean” b\u1eaft bu\u1ed9c ph\u1ea3i d\u00f9ng kh\u00e1ng sinh m\u1ea1nh h\u01a1n hay ph\u1ed5 r\u1ed9ng h\u01a1n!<\/li>\n
      3. Nhi\u1ec1u k\u00eanh truy\u1ec1n th\u00f4ng gi\u00fap gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho b\u1ec7nh nh\u00e2n v\u00e0 c\u1ed9ng \u0111\u1ed3ng. V\u00ed d\u1ee5: M\u1eafc b\u1ec7nh c\u1ea3m (do virus, v\u1ed1n kh\u00f4ng c\u1ea7n kh\u00e1ng sinh) th\u00ec t\u1eeb t\u1eeb s\u1ebd t\u1ef1 kh\u1ecfi, \u0111\u1eebng qu\u00e1 n\u00f4n n\u00f3ng y\u00eau c\u1ea7u k\u00ea thu\u1ed1c kh\u00e1ng sinh v\u00ec l\u00f2ng tin r\u1eb1ng kh\u00e1ng sinh s\u1ebd gi\u00fap nhanh kh\u1ecfi. Gi\u00e1o d\u1ee5c n\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 gi\u1eef g\u00ecn v\u1ec7 sinh chung, b\u1ecf nh\u1eefng h\u00e0nh vi \u201ck\u00e9m v\u0103n minh\u201d nh\u01b0 kh\u1ea1c nh\u1ed5, h\u1eaft x\u00ec tho\u1ea3i m\u00e1i ho\u1eb7c x\u1ecbt m\u0169i r\u1ed3i b\u00f4i qu\u1eb9t lung tung\u2026<\/li>\n<\/ol>\n

        Kh\u00e1ng kh\u00e1ng sinh l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng c\u1ee7a TO\u00c0N C\u1ed8NG \u0110\u1ed2NG. V\u00ec vi khu\u1ea9n \u0111\u1ed9c h\u1ea1i s\u1ebd c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea3n th\u00e2n m\u00ecnh ho\u1eb7c ng\u01b0\u1eddi th\u00e2n c\u1ee7a m\u00ecnh, r\u1ea5t c\u1ea7n nhi\u1ec1u ng\u00e0nh ngh\u1ec1 v\u00e0 c\u00e1 nh\u00e2n c\u00f9ng chung tay c\u1ea3i thi\u1ec7n hi\u1ec7n tr\u1ea1ng.<\/p>\n","protected":false},"excerpt":{"rendered":"

        T\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh \u0111ang l\u00e0 v\u1ea5n \u0111\u1ec1 h\u1ebft s\u1ee9c lo ng\u1ea1i \u0111\u1ed1i v\u1edbi ng\u00e0nh y v\u00e0 c\u1ed9ng \u0111\u1ed3ng. Nh\u1eadt B\u1ea3n c\u0169ng \u0111\u1ed1i m\u1eb7t v\u1edbi v\u1ea5n n\u1ea1n kh\u00e1ng kh\u00e1ng sinh nh\u01b0ng \u0111\u1ebfn nay \u0111\u00e3 c\u1ea3i thi\u1ec7n h\u01a1n.<\/p>\n","protected":false},"author":108,"featured_media":12035,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[3833,3834,3835,3832],"series":[3817],"coauthors":[],"acf":[],"yoast_head":"\nNh\u1eadt B\u1ea3n gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh b\u1eb1ng c\u00e1ch n\u00e0o? - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"T\u00ecnh tr\u1ea1ng kh\u00e1ng kh\u00e1ng sinh \u0111ang l\u00e0 v\u1ea5n \u0111\u1ec1 h\u1ebft s\u1ee9c lo ng\u1ea1i. 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