{"id":4420,"date":"2024-07-21T02:21:08","date_gmt":"2024-07-21T02:21:08","guid":{"rendered":"https:\/\/rafflesmedical.vn\/?p=4420"},"modified":"2025-07-13T15:44:27","modified_gmt":"2025-07-13T08:44:27","slug":"perimenopause-menopause-overview-and-screening-for-women","status":"publish","type":"post","link":"https:\/\/rafflesmedical.vn\/vi\/perimenopause-menopause-overview-and-screening-for-women\/","title":{"rendered":"H\u1ed7 tr\u1ee3 th\u1eddi k\u1ef3 ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh"},"content":{"rendered":"<h2>\u0110i\u1ec1u h\u01b0\u1edbng nh\u1eefng thay \u0111\u1ed5i v\u1ec1 n\u1ed9i ti\u1ebft t\u1ed1:<\/h2>\n<h3>Hi\u1ec3u v\u1ec1 th\u1eddi k\u1ef3 ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh<\/h3>\n<p><strong>Khi b\u01b0\u1edbc v\u00e0o giai \u0111o\u1ea1n trung ni\u00ean, ph\u1ee5 n\u1eef ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi s\u1ef1 thay \u0111\u1ed5i hormone \u0111\u00e1ng k\u1ec3, \u0111\u00e1nh d\u1ea5u s\u1ef1 chuy\u1ec3n \u0111\u1ed5i t\u1eeb ti\u1ec1n m\u00e3n kinh sang m\u00e3n kinh. Hi\u1ec3u r\u00f5 v\u00e0 ki\u1ec3m so\u00e1t nh\u1eefng thay \u0111\u1ed5i n\u00e0y l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe, n\u0103ng l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/strong><\/p>\n<p class=\" translation-block\"><strong>Ti\u1ec1n m\u00e3n kinh<\/strong> l\u00e0 <strong>giai \u0111o\u1ea1n chuy\u1ec3n ti\u1ebfp d\u1eabn \u0111\u1ebfn m\u00e3n kinh<\/strong> , th\u01b0\u1eddng x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i 40<br> nh\u01b0ng c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u s\u1edbm nh\u1ea5t l\u00e0 v\u00e0o gi\u1eefa tu\u1ed5i 30. Giai \u0111o\u1ea1n n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 dao \u0111\u1ed9ng n\u1ed9i ti\u1ebft t\u1ed1 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u lo\u1ea1i<br> c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 c\u1ea3m x\u00fac, b\u00e1o hi\u1ec7u s\u1ef1 k\u1ebft th\u00fac kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef.<\/p>\n<p class=\" translation-block\">B\u1ea3n th\u00e2n <strong>th\u1eddi k\u1ef3 m\u00e3n kinh<\/strong> \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 <strong>s\u1ef1 ch\u1ea5m d\u1ee9t c\u1ee7a chu k\u1ef3 kinh nguy\u1ec7t trong \u00edt nh\u1ea5t 12 th\u00e1ng li\u00ean ti\u1ebfp<\/strong><\/p>\n<h4>Tri\u1ec7u ch\u1ee9ng ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh:<\/h4>\n<ul>\n<li><strong>Chu k\u1ef3 kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u:<\/strong> Thay \u0111\u1ed5i v\u1ec1 th\u1eddi gian v\u00e0 l\u01b0\u1ee3ng kinh nguy\u1ec7t, cu\u1ed1i c\u00f9ng ch\u1ea5m d\u1ee9t ho\u00e0n to\u00e0n.<\/li>\n<li><strong>B\u1ed1c h\u1ecfa v\u00e0 \u0111\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam: <\/strong>C\u1ea3m gi\u00e1c \u1ea5m \u00e1p \u0111\u1ed9t ng\u1ed9t, th\u01b0\u1eddng \u0111i k\u00e8m<\/li>\n<li><strong>R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7: <\/strong>Kh\u00f3 ng\u1ee7, m\u1ea5t ng\u1ee7, \u0111\u1eb7c bi\u1ec7t do \u0111\u1ed5 m\u1ed3 h\u00f4i ban \u0111\u00eam.<\/li>\n<li><strong>Lo\u00e3ng x\u01b0\u01a1ng<\/strong> M\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng suy gi\u1ea3m do estrogen th\u1ea5p.<\/li>\n<li><strong>Thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng<\/strong> C\u00e1u g\u1eaft, lo l\u1eafng, tr\u1ea7m c\u1ea3m.<\/li>\n<li><strong>T\u0103ng c\u00e2n<\/strong> \u0110\u1eb7c bi\u1ec7t t\u1eadp trung v\u00f9ng b\u1ee5ng.<\/li>\n<li><strong>Kh\u00f4 \u00e2m \u0111\u1ea1o:<\/strong> Gi\u1ea3m ti\u1ebft d\u1ecbch b\u00f4i tr\u01a1n, d\u1eabn \u0111\u1ebfn kh\u00f3 ch\u1ecbu khi giao h\u1ee3p.<\/li>\n<li><strong>Gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c:<\/strong> Gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c, th\u01b0\u1eddng l\u00e0 do thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ec3 ch\u1ea5t kh\u00e1c.<\/li>\n<li><strong>T\u00f3c m\u1ecfng v\u00e0 da kh\u00f4: <\/strong>S\u1ef1 thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 c\u00f3 th\u1ec3 khi\u1ebfn t\u00f3c m\u1ecfng h\u01a1n v\u00e0 da kh\u00f4 h\u01a1n, \u0111\u00f4i khi g\u00e2y ng\u1ee9a ho\u1eb7c kh\u00f3 ch\u1ecbu.<\/li>\n<li><strong>\u0110au nh\u1ee9c c\u01a1 v\u00e0 kh\u1edbp:<\/strong> T\u0103ng kh\u1ea3 n\u0103ng b\u1ecb \u0111au nh\u1ee9c \u1edf c\u01a1 v\u00e0 kh\u1edbp, c\u00f3 th\u1ec3 l\u00e0 do n\u1ed3ng \u0111\u1ed9 estrogen th\u1ea5p.<\/li>\n<li><strong>\u0110\u00e1nh tr\u1ed1ng ng\u1ef1c:<\/strong> C\u1ea3m gi\u00e1c tim \u0111\u1eadp nhanh ho\u1eb7c kh\u00f4ng \u0111\u1ec1u, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn s\u1ef1 thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1<\/li>\n<\/ul>\n<h4>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n mong \u0111\u1ee3i<\/h4>\n<p>Trong qu\u00e1 tr\u00ecnh s\u00e0ng l\u1ecdc ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh, c\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe gi\u00e0u kinh nghi\u1ec7m c\u1ee7a ch\u00fang t\u00f4i s\u1ebd ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng n\u1ed3ng \u0111\u1ed9 hormone, s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng, ch\u1ee9c n\u0103ng tim m\u1ea1ch v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ea1n. C\u00e1c khuy\u1ebfn ngh\u1ecb c\u00e1 nh\u00e2n h\u00f3a c\u00f3 th\u1ec3 bao g\u1ed3m thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, b\u1ed5 sung ho\u1eb7c li\u1ec7u ph\u00e1p thay th\u1ebf hormone (HRT) n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n<p>M\u1ed9t bu\u1ed5i t\u01b0 v\u1ea5n ti\u1ebfp theo s\u1ebd \u0111\u01b0\u1ee3c l\u00ean l\u1ecbch \u0111\u1ec3 xem x\u00e9t k\u1ebft qu\u1ea3, th\u1ea3o lu\u1eadn v\u1ec1 b\u1ea5t k\u1ef3 m\u1ed1i lo ng\u1ea1i n\u00e0o v\u00e0 l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a kh\u1ecfe m\u1ea1nh. Ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn to\u00e0n di\u1ec7n c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ea3m b\u1ea3o b\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 ch\u0103m s\u00f3c to\u00e0n di\u1ec7n \u0111\u1ec3 v\u01b0\u1ee3t qua giai \u0111o\u1ea1n chuy\u1ec3n ti\u1ebfp t\u1ef1 nhi\u00ean n\u00e0y v\u1edbi s\u1ef1 t\u1ef1 tin v\u00e0 s\u1ee9c s\u1ed1ng.<\/p>\n<h4>S\u00e0ng l\u1ecdc ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh<\/h4>\n<p><strong>\u0110\u00e1nh gi\u00e1 n\u1ed9i ti\u1ebft t\u1ed1:<\/strong><\/p>\n<ul>\n<li><strong>Estradiol (E2)<\/strong>: \u0110o n\u1ed3ng \u0111\u1ed9 estrogen \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng hormone sinh s\u1ea3n.<\/li>\n<li><strong>Hormone k\u00edch th\u00edch nang tr\u1ee9ng (FSH) v\u00e0 Hormone ho\u00e0ng th\u1ec3 (LH)<\/strong>: C\u00e1c d\u1ea5u hi\u1ec7u chuy\u1ec3n ti\u1ebfp m\u00e3n kinh.<\/li>\n<li><strong>X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p<\/strong>: \u0110\u00e1nh gi\u00e1 c\u00e1c hormone tuy\u1ebfn gi\u00e1p (TSH, T3 t\u1ef1 do, T4 t\u1ef1 do) c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh.<\/li>\n<li><strong>DHEA-S:<\/strong> \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/li>\n<li><strong>SHBG<\/strong>: \u0110o globulin g\u1eafn hormone sinh d\u1ee5c.<\/li>\n<li><strong>Testosterone (T\u1ed5ng s\u1ed1)<\/strong>: \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 testosterone \u1edf ph\u1ee5 n\u1eef.<\/li>\n<li><strong>Progesterone<\/strong>: Theo d\u00f5i n\u1ed3ng \u0111\u1ed9 hormone quan tr\u1ecdng cho chu k\u1ef3 kinh nguy\u1ec7t v\u00e0 th\u1eddi k\u1ef3 m\u00e3n kinh.<\/li>\n<li><strong>Cortisol<\/strong>: \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u00e0 ph\u1ea3n \u1ee9ng v\u1edbi c\u0103ng th\u1eb3ng.<\/li>\n<li><strong>Insulin<\/strong>: Theo d\u00f5i qu\u00e1 tr\u00ecnh \u0111i\u1ec1u h\u00f2a l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u v\u00e0 nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/li>\n<\/ul>\n<p><strong>\u0110\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng<\/strong><\/p>\n<ul>\n<li><strong>Ki\u1ec3m tra m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng (Qu\u00e9t DEXA)<\/strong>: \u0110o m\u1eadt \u0111\u1ed9 kho\u00e1ng ch\u1ea5t c\u1ee7a x\u01b0\u01a1ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng.<br \/>\n*Ch\u1ec9 c\u00f3 t\u1ea1i B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Hoa K\u1ef3 (AIH)<\/li>\n<\/ul>\n<p><strong>\u0110\u00e1nh gi\u00e1 tim m\u1ea1ch<\/strong><\/p>\n<ul>\n<li><strong>H\u1ed3 s\u01a1 lipid<\/strong>: Ki\u1ec3m tra m\u1ee9c cholesterol \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 m\u1eafc b\u1ec7nh tim.<\/li>\n<li><strong>Apolipoprotein (Apo-A, Apo-B)<\/strong>: C\u00e1c d\u1ea5u hi\u1ec7u b\u1ed5 sung cho qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a lipid.<\/li>\n<li><strong>Theo d\u00f5i huy\u1ebft \u00e1p<\/strong>: \u0110\u00e1nh gi\u00e1 s\u1ee9c kh\u1ecfe tim m\u1ea1ch.<\/li>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<p><strong>X\u00e9t nghi\u1ec7m m\u00e1u to\u00e0n di\u1ec7n<\/strong><\/p>\n<ul>\n<li><strong>C\u00f4ng th\u1ee9c m\u00e1u to\u00e0n ph\u1ea7n (CBC)<\/strong>: Ki\u1ec3m tra t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3.<\/li>\n<li><strong>\u0110\u01b0\u1eddng huy\u1ebft<\/strong>: Theo d\u00f5i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u \u0111\u1ec3 ph\u00e1t hi\u1ec7n nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/li>\n<li><strong>HbA1c<\/strong>: \u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u l\u00e2u d\u00e0i.<\/li>\n<li><strong>X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan<\/strong>: Bao g\u1ed3m AST, ALT, GGT, ALP, bilirubin.<\/li>\n<li><strong>X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn<\/strong>: Bao g\u1ed3m Creatinine, Urea, Albumin, Globulin.<\/li>\n<\/ul>\n<p><strong>Ki\u1ec3m tra dinh d\u01b0\u1ee1ng v\u00e0 vitamin<\/strong><\/p>\n<ul>\n<li><strong>Vitamin D:<\/strong> C\u1ea7n thi\u1ebft cho s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng v\u00e0 ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch.<\/li>\n<li><strong>Canxi v\u00e0 Ph\u1ed1t ph\u00e1t<\/strong>: Quan tr\u1ecdng cho s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng v\u00e0 s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3.<\/li>\n<\/ul>\n<p><strong>Ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/strong><\/p>\n<ul>\n<li><strong>T\u1ed5ng l\u01b0\u1ee3ng protein<\/strong>: Ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u s\u1ee9c kh\u1ecfe kh\u00e1c.<\/li>\n<\/ul>\n<p><strong>*Si\u00eau \u00e2m v\u00fa ho\u1eb7c ch\u1ee5p nh\u0169 \u1ea3nh (t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ti\u1ec1n s\u1eed s\u00e0ng l\u1ecdc tr\u01b0\u1edbc \u0111\u00f3), si\u00eau \u00e2m v\u00f9ng ch\u1eadu v\u00e0 b\u1ee5ng, c\u00f9ng v\u1edbi x\u00e9t nghi\u1ec7m Pap v\u00e0 HPV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u v\u00e0 th\u1ef1c hi\u1ec7n b\u1edfi b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh v\u00e0 b\u00e1c s\u0129 ph\u1ee5 khoa.<\/strong><\/p>\n<h4>G\u1eb7p g\u1ee1 c\u00e1c chuy\u00ean gia c\u1ee7a ch\u00fang t\u00f4i<\/h4>\n\t\t<div data-elementor-type=\"section\" data-elementor-id=\"5575\" class=\"elementor elementor-5575\" data-elementor-post-type=\"elementor_library\">\n\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-94209b4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"94209b4\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-b0c25ad\" data-id=\"b0c25ad\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-055c1c4 elementor-widget elementor-widget-image\" data-id=\"055c1c4\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/rafflesmedical.vn\/vi\/doctor\/dr-nguyen-thi-hong-anh\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"737\" src=\"https:\/\/rafflesmedical.vn\/wp-content\/uploads\/2024\/11\/Dr-Hong-Anh-01.jpg\" class=\"attachment-large size-large wp-image-5830\" alt=\"\" srcset=\"https:\/\/rafflesmedical.vn\/wp-content\/uploads\/2024\/11\/Dr-Hong-Anh-01.jpg 500w, https:\/\/rafflesmedical.vn\/wp-content\/uploads\/2024\/11\/Dr-Hong-Anh-01-204x300.jpg 204w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6d874bb elementor-widget elementor-widget-heading\" data-id=\"6d874bb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/rafflesmedical.vn\/vi\/doctor\/dr-nguyen-thi-hong-anh\/\">Ti\u1ebfn s\u0129 Nguy\u1ec5n Th\u1ecb H\u1ed3ng Anh<\/a><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-925333f elementor-widget elementor-widget-heading\" data-id=\"925333f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">S\u1ea3n Ph\u1ee5 Khoa\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-b82c048\" data-id=\"b82c048\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-820a6b5 elementor-widget elementor-widget-image\" data-id=\"820a6b5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/rafflesmedical.vn\/vi\/doctor\/dr-jadranka-mihajlovic\/\">\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" width=\"500\" height=\"737\" src=\"https:\/\/rafflesmedical.vn\/wp-content\/uploads\/2024\/11\/Dr-Jadranka-01.jpg\" class=\"attachment-full size-full wp-image-5831\" alt=\"\" srcset=\"https:\/\/rafflesmedical.vn\/wp-content\/uploads\/2024\/11\/Dr-Jadranka-01.jpg 500w, https:\/\/rafflesmedical.vn\/wp-content\/uploads\/2024\/11\/Dr-Jadranka-01-204x300.jpg 204w\" sizes=\"auto, (max-width: 500px) 100vw, 500px\" \/>\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-72bdce9 elementor-widget elementor-widget-heading\" data-id=\"72bdce9\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/rafflesmedical.vn\/vi\/doctor\/dr-jadranka-mihajlovic\/\">BS. Jadranka Mihajlovic<\/a><\/h2>\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-aa62f0b elementor-widget elementor-widget-heading\" data-id=\"aa62f0b\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default translation-block\">B\u00e1c s\u0129 n\u1ed9i khoa c\u00f3 chuy\u00ean m\u00f4n \u0111\u1eb7c bi\u1ec7t<br> trong y h\u1ecdc to\u00e0n di\u1ec7n<br><\/h2>\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-7196455\" data-id=\"7196455\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap\">\n\t\t\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u h\u01b0\u1edbng nh\u1eefng thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1: Hi\u1ec3u v\u1ec1 ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh Khi b\u01b0\u1edbc v\u00e0o tu\u1ed5i trung ni\u00ean, ph\u1ee5 n\u1eef tr\u1ea3i qua nh\u1eefng thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 \u0111\u00e1ng k\u1ec3, \u0111\u00e1nh d\u1ea5u s\u1ef1 chuy\u1ec3n \u0111\u1ed5i t\u1eeb ti\u1ec1n m\u00e3n kinh sang m\u00e3n kinh. Vi\u1ec7c hi\u1ec3u v\u00e0 ki\u1ec3m so\u00e1t nh\u1eefng thay \u0111\u1ed5i n\u00e0y l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 v\u00e0 h\u1ea1nh ph\u00fac. Ti\u1ec1n m\u00e3n kinh l\u00e0 giai \u0111o\u1ea1n chuy\u1ec3n ti\u1ebfp d\u1eabn \u0111\u1ebfn m\u00e3n kinh, th\u01b0\u1eddng x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i 40 nh\u01b0ng c\u00f3 th\u1ec3 [\u2026]<\/p>","protected":false},"author":1,"featured_media":7935,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[60],"tags":[],"class_list":["post-4420","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-vitality-well-being"],"_links":{"self":[{"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/posts\/4420","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/comments?post=4420"}],"version-history":[{"count":34,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/posts\/4420\/revisions"}],"predecessor-version":[{"id":7906,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/posts\/4420\/revisions\/7906"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/media\/7935"}],"wp:attachment":[{"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/media?parent=4420"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/categories?post=4420"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/rafflesmedical.vn\/vi\/wp-json\/wp\/v2\/tags?post=4420"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}