{"id":18247,"date":"2023-02-08T08:28:46","date_gmt":"2023-02-08T01:28:46","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=18247"},"modified":"2023-02-08T08:28:46","modified_gmt":"2023-02-08T01:28:46","slug":"dieu-tri-ngan-ngua-bien-chung-tim-mach-o-benh-nhan-dai-thao-duong","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/02\/08\/dieu-tri-ngan-ngua-bien-chung-tim-mach-o-benh-nhan-dai-thao-duong\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"

1. T\u1ea1i sao b\u1ec7nh\u00a0<\/b>\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch\u00a0<\/b>?<\/b><\/h4>\n

\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f9ng v\u1edbi\u00a0r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u,\u00a0t\u0103ng huy\u1ebft \u00e1p\u00a0c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho t\u1ea5t c\u1ea3 c\u00e1c m\u1ea1ch m\u00e1u trong c\u01a1 th\u1ec3.\u00a0\u0110\u01b0\u1eddng huy\u1ebft cao\u00a0c\u00f9ng v\u1edbi m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 cholesterol trong m\u00e1u l\u00ean qu\u00e1 cao, t\u00edch t\u1ee5 trong th\u00e0nh c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn, l\u00e0m th\u00e0nh m\u1ea1ch m\u00e1u d\u00e0y l\u00ean v\u00e0 l\u00f2ng m\u1ea1ch m\u00e1u b\u1ecb co h\u1eb9p l\u1ea1i, th\u1eadm ch\u00ed b\u1ecb t\u1eafc, \u0111\u00f3 ch\u00ednh l\u00e0 b\u1ec7nh\u00a0x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

Nh\u1eefng nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t \u0111\u00e3 ch\u1ee9ng minh l\u1edbp \u00e1o trong c\u1ee7a th\u00e0nh m\u1ea1ch m\u00e1u (l\u1edbp n\u1ed9i m\u1ea1c) c\u00f3 kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng nh\u01b0 m\u1ed9t tuy\u1ebfn n\u1ed9i ti\u1ebft kh\u1ed5ng l\u1ed3, ti\u1ebft ra c\u00e1c ch\u1ea5t ch\u1ed1ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 gi\u1eef v\u1eefng \u0111\u1ed9 \u0111\u00e0n h\u1ed3i c\u1ee7a th\u00e0nh m\u1ea1ch.<\/p>\n

\u1ede ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ch\u1ee9c n\u0103ng n\u00e0y b\u1ecb r\u1ed1i lo\u1ea1n, do v\u1eady x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch d\u1ec5 xu\u1ea5t hi\u1ec7n. H\u1eadu qu\u1ea3 l\u00e0 c\u00e1c m\u1ea1ch m\u00e1u b\u1ecb co h\u1eb9p ho\u1eb7c t\u1eafc ngh\u1ebdn, m\u00e1u s\u1ebd kh\u00f3 ho\u1eb7c kh\u00f4ng \u0111\u1ebfn \u0111\u01b0\u1ee3c c\u00e1c b\u1ed9 ph\u1eadn quan tr\u1ecdng trong c\u01a1 th\u1ec3, khi \u0111\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng s\u1ebd x\u1ea3y ra.<\/p>\n

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\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch nguy hi\u1ec3m.<\/figcaption><\/figure>\n

2.\u00a0<\/b>Bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch\u00a0<\/b>do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/b>\u00a0c\u00f3 nguy hi\u1ec3m kh\u00f4n<\/b>g <\/b>?<\/b><\/h4>\n

Khi c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn b\u1ecb x\u01a1 v\u1eefa s\u1ebd g\u00e2y h\u1eb9p l\u00f2ng m\u1ea1ch l\u00e0m thi\u1ebfu m\u00e1u nu\u00f4i d\u01b0\u1ee1ng c\u00e1c c\u01a1 quan. Nguy hi\u1ec3m h\u01a1n l\u00e0 c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa n\u00e0y r\u1ea5t d\u1ec5 b\u1ecb bong ra, tr\u00f4i \u0111i theo d\u00f2ng m\u00e1u v\u00e0 \u0111\u1ebfn m\u1ed9t \u0111o\u1ea1n n\u00e0o \u0111\u00f3 s\u1ebd b\u1ecb t\u1eafc l\u1ea1i, l\u00e0m to\u00e0n b\u1ed9 1 v\u00f9ng ph\u00eda d\u01b0\u1edbi \u0111\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u v\u00e0 s\u1ebd b\u1ecb ho\u1ea1i t\u1eed. N\u1ebfu hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra \u1edf c\u00e1c m\u1ea1ch m\u00e1u quan tr\u1ecdng nh\u01b0 m\u1ea1ch v\u00e0nh, m\u1ea1ch n\u00e3o\u2026 th\u00ec nguy c\u01a1 b\u1ec7nh nh\u00e2n b\u1ecb t\u1eed vong ho\u1eb7c t\u00e0n ph\u1ebf l\u00e0 r\u1ea5t l\u1edbn.<\/p>\n

Nguy c\u01a1 b\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 nguy c\u01a1 b\u1ecb tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o cao g\u1ea5p 2-4 l\u1ea7n. Nguy c\u01a1 b\u1ecb t\u1eafc h\u1eb9p c\u00e1c m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean cao g\u1ea5p 4 – 8 l\u1ea7n \u1edf c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n

Tuy c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u00e0 r\u1ea5t nguy hi\u1ec3m nh\u01b0ng kh\u00f4ng c\u00f3 nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c m\u1ed1i nguy hi\u1ec3m n\u00e0y.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb\u00a0<\/b>ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch<\/b><\/h4>\n

C\u00f3 nhi\u1ec1u bi\u1ec7n ph\u00e1p gi\u00fap b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y s\u1ebd \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao h\u01a1n n\u1ebfu \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u1edbm v\u00e0 th\u01b0\u1eddng xuy\u00ean.<\/p>\n

3.1. Ki\u1ec3m so\u00e1t t\u1ed1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/i><\/h4>\n

Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft\u00a0\u0111\u1ec3 kh\u00f4ng b\u1ecb r\u01a1i v\u00e0o v\u00f9ng nguy hi\u1ec3m l\u00e0 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch c\u00f3 hi\u1ec7u qu\u1ea3 cao nh\u1ea5t.<\/p>\n

C\u00e1c thu\u1ed1c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft bao g\u1ed3m: Metformin, sulphonylurea, thu\u1ed1c \u1ee9c ch\u1ebf alpha-glucosidase, meglitinide\/repaglinide, thiazolidinedione. insulin\u2026<\/p>\n

T\u00f9y t\u00ecnh tr\u1ea1ng, giai \u0111o\u1ea1n, m\u1ee9c \u0111\u1ed9 b\u1ec7nh m\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa n\u1ed9i ti\u1ebft – \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng s\u1ebd c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng lo\u1ea1i thu\u1ed1c \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p thu\u1ed1c h\u1ee3p l\u00fd.<\/p>\n

\u0110\u1ec3 gi\u1eef v\u00f9ng \u0111\u01b0\u1eddng huy\u1ebft an to\u00e0n, c\u1ea7n \u0111o \u0111\u01b0\u1eddng huy\u1ebft h\u1eb1ng ng\u00e0y v\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m HbA1C m\u1ed7i 3 – 4 th\u00e1ng m\u1ed9t l\u1ea7n. Ti\u00eau chu\u1ea9n HbA1C cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 d\u01b0\u1edbi 6,5%.<\/p>\n

3.2. Ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p<\/i><\/h4>\n

Kho\u1ea3ng 60% b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 c\u00f3 k\u00e8m t\u0103ng huy\u1ebft \u00e1p. Huy\u1ebft \u00e1p c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c kh\u1ed1ng ch\u1ebf \u1edf m\u1ee9c 120\/70 mmHg. N\u1ebfu kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee9c n\u00e0y th\u00ec c\u1ed1 g\u1eafng h\u1ea1 huy\u1ebft \u00e1p xu\u1ed1ng c\u00e0ng g\u1ea7n m\u1ee9c n\u00e0y c\u00e0ng t\u1ed1t.<\/p>\n

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Th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra huy\u1ebft \u00e1p.<\/figcaption><\/figure>\n

\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3 b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p, tr\u01b0\u1edbc ti\u00ean c\u1ea7n gi\u1ea3m c\u00e2n (n\u1ebfu c\u00f3 th\u1eeba c\u00e2n); \u0103n t\u0103ng rau v\u00e0 hoa qu\u1ea3, \u0103n gi\u1ea3m mu\u1ed1i, h\u1ea1n ch\u1ebf c\u00e1c \u0111\u1ed3 \u0103n nhanh, th\u1ee9c \u0103n ch\u1ebf bi\u1ebfn s\u1eb5n \u0111\u00f3ng h\u1ed9p; h\u1ea1n ch\u1ebf u\u1ed1ng \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n…<\/p>\n

N\u00ean \u0111o huy\u1ebft \u00e1p th\u01b0\u1eddng xuy\u00ean t\u1ea1i nh\u00e0 v\u00e0 m\u1ed7i l\u1ea7n \u0111i kh\u00e1m b\u1ec7nh. U\u1ed1ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p \u0111\u1ec1u \u0111\u1eb7n theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n

L\u01b0u \u00fd, ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u1ea7n u\u1ed1ng 2 \u0111\u1ebfn 3, th\u1eadm ch\u00ed l\u00e0 4 lo\u1ea1i thu\u1ed1c m\u1edbi c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t t\u1ed1t \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c huy\u1ebft \u00e1p nh\u01b0: C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (coversyl, renitec, zestril) ho\u1eb7c thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 angiotensin II (appovel, micardis)… C\u00e1c thu\u1ed1c n\u00e0y ngo\u00e0i l\u00e0m h\u1ea1 huy\u1ebft \u00e1p c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t b\u1ea3o v\u1ec7 th\u1eadn v\u00e0 tim c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

3.3 \u0110i\u1ec1u tr\u1ecb t\u1ed1t c\u00e1c r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u<\/i><\/h4>\n

B\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u1ea7n x\u00e9t nghi\u1ec7m m\u1ee1 m\u00e1u \u0111\u1ecbnh k\u1ef3 m\u1ed7i 3 – 6 th\u00e1ng m\u1ed9t l\u1ea7n. C\u00f3 nhi\u1ec1u lo\u1ea1i m\u1ee1 m\u00e1u kh\u00e1c nhau v\u00e0 c\u00f3 vai tr\u00f2 kh\u00e1c nhau d\u1eabn \u0111\u1ebfn nguy c\u01a1 g\u00e2y x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch. Trong \u0111\u00f3 triglyceride v\u00e0 LDL – cholesterol l\u00e0 lo\u1ea1i m\u1ee1 x\u1ea5u, g\u00f3p ph\u1ea7n l\u00e0m h\u1eb9p ho\u1eb7c t\u1eafc m\u1ea1ch. C\u00f2n HDL- cholesterol l\u00e0 lo\u1ea1i m\u1ee1 t\u1ed1t, g\u00f3p ph\u1ea7n lo\u1ea1i b\u1ecf b\u1edbt cholesterol \u1edf m\u1ea1ch m\u00e1u. \u0110i\u1ec1u tr\u1ecb c\u1ea7n l\u00e0m gi\u1ea3m c\u00e1c lo\u1ea1i m\u1ee1 x\u1ea5u v\u00e0 l\u00e0m t\u0103ng lo\u1ea1i m\u1ee1 t\u1ed1t.<\/p>\n

\u0110\u1ec3 \u0111i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u c\u1ea7n l\u1ef1a ch\u1ecdn th\u1ee9c \u0103n ph\u00f9 h\u1ee3p, c\u00f3 nhi\u1ec1u ch\u1ea5t x\u01a1. H\u1ea1n ch\u1ebf th\u1ee9c \u0103n c\u00f3 ch\u1ee9a ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a ho\u1eb7c c\u00f3 h\u00e0m l\u01b0\u1ee3ng cholesterol cao nh\u01b0 th\u1ecbt, b\u01a1, c\u00e1c s\u1ea3n ph\u1ea9m s\u1eefa nguy\u00ean kem, tr\u1ee9ng, m\u1ee1 ho\u1eb7c th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ee9a d\u1ea7u c\u1ecd ho\u1eb7c d\u1ea7u d\u1eeba.<\/p>\n

C\u00e1c lo\u1ea1i thu\u1ed1c tr\u1ecb m\u1ee1 m\u00e1u th\u01b0\u1eddng d\u00f9ng nh\u01b0: Rosuvastatin, simvastatin, enofibrate\u2026 Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n th\u1ee7 d\u00f9ng thu\u1ed1c theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, b\u00e1o cho b\u00e1c s\u0129 bi\u1ebft n\u1ebfu g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 b\u1ea5t l\u1ee3i n\u1ebfu x\u1ea3y ra.<\/p>\n

3.4 C\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c<\/i><\/h4>\n

–\u00a0T\u1eadp th\u1ec3 d\u1ee5c<\/b><\/i>\u00a0t\u1ed1i thi\u1ec3u 30 ph\u00fat m\u1ed7i ng\u00e0y. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb xem lo\u1ea1i h\u00ecnh th\u1ec3 d\u1ee5c n\u00e0o l\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t.<\/p>\n

– Gi\u1ea3m c\u00e2n\u00a0<\/b>n\u1ebfu b\u1ecb th\u1eeba c\u00e2n. H\u00e3y t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n, \u0111\u1ed3ng th\u1eddi th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang gi\u1ea3m ch\u1ea5t b\u00e9o v\u00e0 calo. M\u1ee5c ti\u00eau l\u00e0 l\u00e0m gi\u1ea3m c\u00e2n kho\u1ea3ng 0,5kg\/tu\u1ea7n.<\/p>\n

–\u00a0B\u1ecf thu\u1ed1c l\u00e1\u00a0<\/b><\/i>ngay v\u00ec thu\u1ed1c l\u00e1 c\u1ef1c k\u1ef3 c\u00f3 h\u1ea1i cho h\u1ec7 tim m\u1ea1ch.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng th\u1eadn:\u00a0<\/b><\/i>\u0110i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c ngay khi b\u1ec7nh nh\u00e2n c\u00f3 protein ni\u1ec7u vi th\u1ec3. Protein ni\u1ec7u vi th\u1ec3 \u0111\u01b0\u1ee3c coi l\u00e0 d\u1ea5u hi\u1ec7u b\u00e1o tr\u01b0\u1edbc s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, nh\u1ea5t l\u00e0 bi\u1ebfn ch\u1ee9ng m\u1ea1ch v\u00e0nh.<\/p>\n

– L\u00e0m si\u00eau \u00e2m m\u1ea1ch m\u00e1u<\/b><\/i>\u00a01 n\u0103m\/l\u1ea7n. N\u1ebfu ph\u00e1t hi\u1ec7n m\u1ea1ch m\u00e1u b\u1ecb t\u1eafc h\u1eb9p th\u00ec n\u00ean \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u00edch c\u1ef1c ho\u1eb7c c\u00f3 th\u1ec3 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb can thi\u1ec7p nong m\u1ea1ch ho\u1eb7c ph\u1eabu thu\u1eadt.<\/p>\n

C\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch l\u00e0 r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 l\u00e0 th\u1ee7 ph\u1ea1m g\u00e2y t\u1eed vong ch\u00ednh \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch c\u1ea7n ki\u1ec3m so\u00e1t t\u1ed1t c\u1ea3 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 c\u00e1c b\u1ec7nh l\u00fd, r\u1ed1i lo\u1ea1n \u0111i k\u00e8m nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u, bi\u1ebfn ch\u1ee9ng th\u1eadn…<\/strong><\/em><\/p><\/blockquote>\n

Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

1. T\u1ea1i sao b\u1ec7nh\u00a0\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch\u00a0? \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f9ng v\u1edbi\u00a0r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u,\u00a0t\u0103ng huy\u1ebft \u00e1p\u00a0c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho t\u1ea5t c\u1ea3 c\u00e1c m\u1ea1ch m\u00e1u trong c\u01a1 th\u1ec3.\u00a0\u0110\u01b0\u1eddng huy\u1ebft cao\u00a0c\u00f9ng v\u1edbi m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 cholesterol trong m\u00e1u l\u00ean qu\u00e1 cao, t\u00edch […]<\/p>\n","protected":false},"author":3,"featured_media":18248,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-18247","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18247","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=18247"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18247\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/18248"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18247"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18247"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18247"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}