{"id":5594,"date":"2021-06-09T15:19:07","date_gmt":"2021-06-09T08:19:07","guid":{"rendered":"https:\/\/douongvietnam.net\/?p=5594"},"modified":"2021-06-09T15:19:07","modified_gmt":"2021-06-09T08:19:07","slug":"viem-co-tim-myocarditis-tiem-vaccine-phong-chong-covid-19-co-gay-viem-co-tim-va-nhung-van-de-can-luu-y","status":"publish","type":"post","link":"https:\/\/douongvietnam.net\/?p=5594","title":{"rendered":"Vi\u00eam c\u01a1 tim (myocarditis) \u2013 ti\u00eam vaccine ph\u00f2ng ch\u1ed1ng Covid -19 c\u00f3 g\u00e2y vi\u00eam c\u01a1 tim v\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1ea7n l\u01b0u \u00fd"},"content":{"rendered":"

G\u1ea7n \u0111\u00e2y, b\u00ean Israel b\u00e1o c\u00e1o 62 ca vi\u00eam c\u01a1 tim tr\u00ean 5 tri\u1ec7u ng\u01b0\u1eddi sau khi ch\u00edch vaccine Pfizer. \u0110i\u1ec1u th\u00fa v\u1ecb l\u00e0 ch\u00ednh vi\u00eam c\u01a1 tim c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng b\u1ec7nh Covid-19.<\/strong><\/em><\/p>\n

B\u00e0i vi\u1ebft n\u00e0y c\u1ee7a B\u00e1c s\u0129 Wynn Tran (Hoa K\u1ef3) n\u00f3i v\u1ec1 b\u1ec7nh vi\u00eam c\u01a1 tim, ch\u1ea9n \u0111o\u00e1n, tri\u1ec7u ch\u1ee9ng, c\u00e1ch ch\u1eefa tr\u1ecb, v\u00e0 ph\u00e2n t\u00edch v\u1ec1 m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa ch\u00edch vaccine v\u00e0 b\u1ec7nh n\u00e0y.<\/strong><\/em><\/p>\n

\"\"<\/p>\n

Vi\u00eam c\u01a1 tim l\u00e0 g\u00ec?<\/strong><\/p>\n

– Vi\u00eam c\u01a1 tim l\u00e0 vi\u00eam s\u01b0ng c\u00e1c c\u01a1 b\u1eafp th\u1ecbt co b\u00f3p \u0111\u1ec3 b\u01a1m m\u00e1u \u1edf tim. Khi c\u00e1c c\u01a1 n\u00e0y b\u1ecb vi\u00eam s\u01b0ng, kh\u1ea3 n\u0103ng b\u01a1m m\u00e1u c\u1ee7a tim c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng, d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c c\u01a1 quan quan tr\u1ecdng kh\u00e1c lu\u00f4n c\u1ea7n m\u00e1u nh\u01b0 th\u1eadn, gan, hay n\u00e3o.<\/p>\n

– Vi\u00eam c\u01a1 tim l\u00e0 b\u1ec7nh nguy hi\u1ec3m. Khi c\u00e1c c\u01a1 b\u1eafp \u1edf tim d\u1eabn \u0111\u1ebfn \u0111au tim, \u0111au th\u1eaft ng\u1ef1c, kh\u00f3 th\u1edf, lo\u1ea1n nh\u1ecbp tim, l\u00ean cao \u0111au tim, c\u00f3 th\u1ec3 g\u00e2y ra c\u1ee5c m\u00e1u \u0111\u00f4ng, v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. Vi\u00eam c\u01a1 tim c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam kh\u1edbp, s\u01b0ng ch\u00e2n, hay m\u1ec7t m\u1ecfi.<\/p>\n

– Vi\u00eam c\u01a1 tim \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ecdi l\u1ee9a tu\u1ed5i. Vi\u00eam c\u01a1 tim th\u01b0\u1eddng x\u1ea3y ra \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i c\u00f3 nh\u1eefng r\u1ee7i ro cao (nh\u01b0 c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh t\u1ef1 mi\u1ec5n) v\u00e0 th\u01b0\u1eddng x\u1ea3y ra nhi\u1ec1u g\u1ea5p \u0111\u00f4i \u1edf nam gi\u1edbi so v\u1edbi n\u1eef gi\u1edbi.<\/p>\n

V\u00ec sao ch\u00fang ta b\u1ecb vi\u00eam c\u01a1 tim?<\/strong><\/p>\n

– Khi m\u1ed9t v\u00f9ng c\u01a1 quan trong c\u01a1 th\u1ec3 b\u1ecb vi\u00eam s\u01b0ng, th\u01b0\u1eddng l\u00e0 do nhi\u1ec5m tr\u00f9ng vi khu\u1ea9n hay virus. V\u1edbi tr\u01b0\u1eddng h\u1ee3p vi\u00eam s\u01b0ng c\u01a1 tim, l\u00fd do g\u00e2y ra th\u01b0\u1eddng kh\u00f4ng r\u00f5 r\u00e0ng, v\u00e0 th\u01b0\u1eddng k\u1ebft h\u1ee3p v\u1edbi ph\u1ea3n \u1ee9ng th\u00e1i qu\u00e1 t\u1eeb h\u1ec7 mi\u1ec5n d\u1ecbch g\u00e2y ra vi\u00eam s\u01b0ng.<\/p>\n

– Trong c\u00e1c t\u00e1c nh\u00e2n g\u00e2y nhi\u1ec5m tr\u00f9ng th\u00ec virus l\u00e0 l\u00fd do hay g\u1eb7p nh\u1ea5t, sau \u0111\u00f3 l\u00e0 vi khu\u1ea9n v\u00e0 n\u1ea5m. C\u00e1c virus th\u01b0\u1eddng g\u00e2y ra vi\u00eam c\u01a1 tim l\u00e0 coxsackievirus, HHV6, Parvovirus B19, EBV, v\u00e0 g\u1ea7n \u0111\u00e2y nh\u1ea5t l\u00e0 Sars-Cov-2 (g\u00e2y ra b\u1ec7nh Covid-19). C\u00e1c vi khu\u1ea9n hay g\u00e2y ra vi\u00eam c\u01a1 tim l\u00e0 S. Aureus v\u00e0 C. Diphtheria. K\u00fd sinh tr\u00f9ng Trypanosoma cruzi c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam c\u01a1 tim, \u0111\u1eb7c bi\u1ec7t \u1edf v\u00f9ng Nam M\u1ef9 (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh vi\u00eam tim Chagas).<\/p>\n

C\u00e1c b\u1ec7nh v\u1ec1 h\u1ec7 mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam tim<\/strong><\/p>\n

– Khi c\u00e1c virus hay vi khu\u1ea9n n\u00e0y x\u00e2m nh\u1eadp c\u01a1 th\u1ec3, h\u1ec7 mi\u1ec5n d\u1ecbch ch\u00fang ta ph\u1ea3n \u1ee9ng v\u00e0 t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 v\u00e0 chu\u1ed7i c\u00e1c protein \u0111\u1ec3 ti\u00eau di\u1ec7t virus hay vi khu\u1ea9n. V\u1ea5n \u0111\u1ec1 l\u00e0 h\u1ec7 mi\u1ec5n d\u1ecbch th\u01b0\u1eddng ph\u1ea3n \u1ee9ng qu\u00e1 m\u1ee9c, s\u1ea3n sinh ra qu\u00e1 m\u1ee9c c\u00e1c kh\u00e1ng th\u1ec3, \u0111\u1ea1i th\u1ef1c b\u00e0o, c\u00e1c b\u1ea1ch huy\u1ebft c\u1ea7u \u0111\u1ec3 truy t\u00ecm v\u00e0 t\u1ea5n c\u00f4ng virus n\u1eb1m l\u1eabn trong c\u00e1c c\u01a1 tim. C\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch n\u00e0y l\u1ea1i g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng ch\u00ednh c\u00e1c c\u01a1 tim n\u00e0y, khi\u1ebfn cho b\u1ec7nh vi\u00eam c\u01a1 tim c\u00e0ng n\u1eb7ng h\u01a1n.<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u01a1 tim sau khi ch\u00edch vaccine c\u0169ng c\u00f3 th\u1ec3 c\u00f3 l\u00fd do t\u01b0\u01a1ng t\u1ef1, khi h\u1ec7 mi\u1ec5n d\u1ecbch s\u1ea3n sinh ra c\u00e1c kh\u00e1ng th\u1ec3 \u0111\u1eb7c hi\u1ec7u \u0111\u1ec3 kh\u00e1ng virus sars-cov-2,<\/em> c\u00e1c kh\u00e1ng th\u1ec3 v\u00e0 chu\u1ed7i vi\u00eam n\u00e0y v\u00f4 t\u00ecnh t\u1ea5n c\u00f4ng t\u1ebf b\u00e0o tim v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c, d\u1eabn \u0111\u1ebfn vi\u00eam c\u01a1 tim.<\/p>\n

– C\u00e1c b\u1ec7nh v\u1ec1 h\u1ec7 mi\u1ec5n d\u1ecbch nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p (RA) hay Lupus ban \u0111\u1ecf (SLE) th\u01b0\u1eddng c\u00f3 bi\u1ebfn ch\u1ee9ng l\u00e0 vi\u00eam c\u01a1 tim v\u1edbi l\u00fd do nh\u01b0 tr\u00ean, khi h\u1ec7 mi\u1ec5n d\u1ecbch s\u1ea3n sinh qu\u00e1 nhi\u1ec1u kh\u00e1ng th\u1ec3.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n vi\u00eam c\u01a1 tim<\/strong><\/p>\n

– B\u00e1c s\u0129 s\u1ebd h\u1ecfi b\u1ec7nh s\u1eed b\u1ec7nh nh\u00e2n, c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c, kh\u00e1m t\u1ed5ng qu\u00e1t t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng nh\u01b0 ti\u1ebfng tim thay \u0111\u1ed5i, s\u01b0ng ph\u00f9 ch\u00e2n. B\u00e1c s\u0129 s\u1ebd x\u00e9t nghi\u1ec7m lab xem c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam s\u01b0ng nh\u01b0 ESR\/CRP, c\u00e1c men tim Troponin, hay men BNP, c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u si\u00eau \u00e2m xem ch\u1ee9ng n\u0103ng tim, ch\u1ee5p h\u00ecnh MRI \u0111\u1ec3 xem tim c\u1eed \u0111\u1ed9ng, ch\u1ee5p CT ph\u1ed5i xem c\u00e1c t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i hay s\u01b0ng ph\u00f9 ph\u1ed5i, v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 l\u00e0m sinh thi\u1ebft c\u01a1 tim \u0111\u1ec3 xem c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam s\u01b0ng.<\/p>\n

– Sinh thi\u1ebft c\u01a1 tim l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n nh\u01b0ng quan tr\u1ecdng \u0111\u1ec3 t\u00ecm ra ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u00fd do ch\u00ednh x\u00e1c c\u1ee7a b\u1ec7nh vi\u00eam c\u01a1 tim. B\u00e1c s\u0129 s\u1ebd d\u00f9ng catheter \u0111\u1ec3 \u0111i v\u00e0o v\u00f9ng tim nghi ng\u1edd b\u1ecb s\u01b0ng v\u00e0 l\u1ea5y m\u1ed9t ph\u1ea7n nh\u1ecf c\u01a1 b\u1eafp. Th\u01b0\u1eddng b\u00e1c s\u0129 s\u1ebd th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam s\u01b0ng c\u01a1 tim d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/p>\n

Ch\u1eefa tr\u1ecb vi\u00eam c\u01a1 tim<\/strong><\/p>\n

– Ch\u1eefa tr\u1ecb vi\u00eam c\u01a1 tim b\u1eaft \u0111\u1ea7u b\u1eb1ng \u0111\u01b0a v\u00e0o b\u1ec7nh vi\u1ec7n ngay l\u1eadp t\u1ee9c, \u1ed5n \u0111\u1ecbnh c\u00e1c ch\u1ec9 s\u1ed1 b\u1ec7nh nh\u00e2n, ki\u1ec3m tra tim ch\u1eb7t ch\u1ebd \u0111\u1ec3 ph\u00f2ng bi\u1ebfn ch\u1ee9ng kh\u00e1c. Ch\u1eefa tr\u1ecb h\u1ed7 tr\u1ee3 v\u00e0 l\u00e0m gi\u1ea3m vi\u00eam s\u01b0ng l\u00e0 nh\u1eefng c\u00e1ch ch\u1eefa ch\u00ednh cho vi\u00eam c\u01a1 tim.<\/p>\n

+ Thu\u1ed1c Corticosteroid, l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch m\u1ea1nh, th\u01b0\u1eddng \u0111\u1ec3 gi\u1ea3m y\u1ebfu t\u1ed1 vi\u00eam s\u01b0ng do h\u1ec7 mi\u1ec5n d\u1ecbch<\/p>\n

+ Thu\u1ed1c tr\u1ee3 tim nh\u01b0 ACEI (Lisinopril), ARB (Losartan), hay Beta blocker (Carvedilol)<\/p>\n

+ Ngh\u1ec9 ng\u01a1i, h\u1ea1n ch\u1ebf \u0103n m\u1eb7n, u\u1ed1ng n\u01b0\u1edbc \u00edt l\u1ea1i \u0111\u1ec3 gi\u1ea3m t\u1ea3i cho tim<\/p>\n

+ Thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ec3 gi\u1ea3m vi\u00eam s\u01b0ng ch\u00e2n<\/p>\n

+ Thu\u1ed1c tr\u1ee5 sinh trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd vi khu\u1ea9n l\u00e0 t\u00e1c nh\u00e2n g\u00e2y ra nhi\u1ec5m tr\u00f9ng vi\u00eam s\u01b0ng c\u01a1 tim<\/p>\n

+ Thu\u1ed1c kh\u00e1ng virus \u00edt \u0111\u01b0\u1ee3c d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u01a1 tim nghi ng\u1edd do virus g\u00e2y ra do nh\u1eefng thu\u1ed1c n\u00e0y kh\u00f4ng ch\u1ee9ng minh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. Trong tr\u01b0\u1eddng h\u1ee3p vi\u00eam c\u01a1 tim \u0111\u1ebfn n\u1ed7i suy tim c\u1ea5p kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i th\u00ec gh\u00e9p tim c\u00f3 th\u1ec3 l\u00e0 bi\u1ec7n ph\u00e1p cu\u1ed1i c\u00f9ng.<\/p>\n

Bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u1ebfu kh\u00f4ng ch\u1eefa tr\u1ecb vi\u00eam c\u01a1 tim<\/strong><\/p>\n

– C\u00e1c vi\u00eam s\u01b0ng c\u01a1 tim c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng l\u00e2u d\u00e0i \u1edf tim, d\u1eabn \u0111\u1ebfn hi\u1ec7u qu\u1ea3 b\u01a1m tim th\u1ea5p, t\u0103ng r\u1ee7i ro suy tim v\u00e0 c\u00e1c b\u1ec7nh tim nguy hi\u1ec3m kh\u00e1c nh\u01b0 tr\u1ee5y tim. Ngo\u00e0i ra vi\u00eam c\u01a1 tim c\u00f2n khi\u1ebfn ph\u1ed5i, gan, v\u00e0 th\u1eadn, l\u00e0 nh\u1eefng c\u01a1 quan nh\u1eadn m\u00e1u th\u01b0\u1eddng xuy\u00ean t\u1eeb tim b\u1ecb \u1ea3nh h\u01b0\u1edfng, d\u1eabn \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 ph\u1ed5i, gan, hay th\u1eadn.<\/p>\n

– Kho\u1ea3ng 10-15% b\u1ec7nh nh\u00e2n sau khi h\u1ebft vi\u00eam c\u01a1 tim c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t l\u1ea1i n\u00ean b\u1ec7nh nh\u00e2n c\u1ea7n theo d\u00f5i v\u1edbi b\u00e1c s\u0129 gia \u0111\u00ecnh v\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa tim.<\/p>\n

T\u1ec9 l\u1ec7 vi\u00eam c\u01a1 tim sau khi ch\u00edch vaccine Pfizer th\u1ea5p h\u01a1n c\u1ea3 t\u1ec9 l\u1ec7 vi\u00eam c\u01a1 tim trung b\u00ecnh<\/strong><\/p>\n

– C\u00e1c th\u1ed1ng k\u00ea cho th\u1ea5y kho\u1ea3ng 10 \u0111\u1ebfn 20 ca vi\u00eam c\u01a1 tim x\u1ea3y ra tr\u00ean 100,000 ng\u01b0\u1eddi d\u00e2n hay 500 \u0111\u1ebfn 1000 ca tr\u00ean 5 tri\u1ec7u ng\u01b0\u1eddi. So s\u00e1nh v\u1edbi 62 ca vi\u00eam c\u01a1 tim x\u1ea3y ra tr\u00ean 5 tri\u1ec7u ng\u01b0\u1eddi ch\u00edch vaccine Covid-19 th\u00ec con s\u1ed1 62 th\u1ea5p h\u01a1n nhi\u1ec1u so v\u1edbi con s\u1ed1 trung b\u00ecnh l\u00e0 500 ca. \u0110i\u1ec1u n\u00e0y cho th\u1ea5y kh\u00f4ng c\u00f3 s\u1ef1 li\u00ean quan gi\u1eefa ch\u00edch vaccine g\u00e2y ra vi\u00eam c\u01a1 tim.<\/p>\n

– \u0110\u00e2y l\u00e0 m\u1ed9t v\u00ed d\u1ee5 cho th\u1ea5y ch\u00fang ta c\u1ea7n c\u1ea9n th\u1eadn khi nghe nh\u1eefng tin gi\u1eadt g\u00e2n nh\u01b0 “vi\u00eam c\u01a1 tim, b\u1ecb t\u1eed vong sau sau khi ch\u00edch vaccine”.<\/em> Ch\u1ec9 c\u1ea7n ph\u00e2n t\u00edch k\u1ef9 v\u1ea5n \u0111\u1ec1, ch\u00fang ta th\u1ea5y ngay l\u00e0 nh\u1eefng tin d\u1ea1ng n\u00e0y l\u00e0 tin gi\u1ea3 v\u00ec t\u1ec9 l\u1ec7 vi\u00eam c\u01a1 tim b\u00ecnh th\u01b0\u1eddng \u0111\u00e3 cao h\u01a1n khi so v\u1edbi ch\u00edch vaccine.<\/p>\n

– C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y ch\u1ec9 ra ch\u00edch ng\u1eeba Vaccine -19 (mRNA). an to\u00e0n v\u00e0 CDC Hoa K\u1ef3 \u0111\u00e3 d\u1ee1 b\u1ecf l\u1ec7nh \u0111eo kh\u1ea9u trang trong \u0111a s\u1ed1 tr\u01b0\u1eddng sau khi ch\u00edch vaccine c\u00e1ch \u0111\u00e2y v\u00e0i tu\u1ea7n.<\/p>\n

T\u00f3m l\u1ea1i<\/strong><\/p>\n

– Vi\u00eam c\u01a1 tim l\u00e0 b\u1ec7nh nguy hi\u1ec3m, c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim hay tr\u1ee5y tim m\u1eb7c d\u00f9 l\u00fd do c\u00f3 th\u1ec3 kh\u00e1c nhau. Ch\u1eefa tr\u1ecb vi\u00eam c\u01a1 tim g\u1ed3m ch\u1eefa tr\u1ecb h\u1ed7 tr\u1ee3 v\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch.<\/p>\n

– B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb vi\u00eam c\u01a1 tim s\u1edbm v\u00ec c\u00f3 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u1ebfu kh\u00f4ng ch\u1eefa tr\u1ecb.<\/p>\n

BS Wynn Tran, Los Angeles, Hoa K\u1ef3<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

G\u1ea7n \u0111\u00e2y, b\u00ean Israel b\u00e1o c\u00e1o 62 ca vi\u00eam c\u01a1 tim tr\u00ean 5 tri\u1ec7u ng\u01b0\u1eddi sau khi ch\u00edch vaccine Pfizer. \u0110i\u1ec1u th\u00fa v\u1ecb l\u00e0 ch\u00ednh vi\u00eam c\u01a1 tim c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng b\u1ec7nh Covid-19. B\u00e0i vi\u1ebft n\u00e0y c\u1ee7a B\u00e1c s\u0129 Wynn Tran (Hoa K\u1ef3) n\u00f3i v\u1ec1 b\u1ec7nh vi\u00eam c\u01a1 tim, […]<\/p>\n","protected":false},"author":4,"featured_media":5595,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"1","single_blog_custom":"","parallax":"1","fullscreen":"1","layout":"right-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"top","share_float_style":"share-monocrhome","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"1","show_post_reading_time":"0","post_reading_time_wpm":"300","show_zoom_button":"0","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"1","show_popup_post":"1","number_popup_post":"1","show_author_box":"0","show_post_related":"0","show_inline_post_related":"0"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-500","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":""},"jnews_primary_category":{"id":""},"jnews_override_counter":{"override_view_counter":"0","view_counter_number":"0","override_share_counter":"0","share_counter_number":"0","override_like_counter":"0","like_counter_number":"0","override_dislike_counter":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[2,18,16,17],"tags":[2351,2350,2349],"class_list":["post-5594","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-do-uong-va-suc-khoe","category-su-kien-van-de","category-tieu-diem","category-tin-noi-bat","tag-tiem-vaccine-phong-covid-19-co-bi-viem-co-tim","tag-vi-sao-bi-viem-co-tim","tag-viem-co-tim"],"_links":{"self":[{"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/posts\/5594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=5594"}],"version-history":[{"count":1,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/posts\/5594\/revisions"}],"predecessor-version":[{"id":5596,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/posts\/5594\/revisions\/5596"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=\/wp\/v2\/media\/5595"}],"wp:attachment":[{"href":"https:\/\/douongvietnam.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=5594"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=5594"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/douongvietnam.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=5594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}