{"id":12689,"date":"2023-11-22T22:04:28","date_gmt":"2023-11-22T14:04:28","guid":{"rendered":"https:\/\/docquity.com\/?post_type=articles&#038;p=12689"},"modified":"2025-02-11T13:37:56","modified_gmt":"2025-02-11T05:37:56","slug":"bao-cao-ca-cai-thien-chuc-nang-tinh-duc-o-benh-nhan-tien-man-kinh","status":"publish","type":"articles","link":"https:\/\/docquity.com\/vi\/articles\/bao-cao-ca-cai-thien-chuc-nang-tinh-duc-o-benh-nhan-tien-man-kinh\/","title":{"rendered":"B\u00c1O C\u00c1O CA: C\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c \u1edf b\u1ec7nh nh\u00e2n ti\u1ec1n m\u00e3n kinh"},"content":{"rendered":"\n<p>B\u1ec7nh nh\u00e2n n\u1eef, 51 tu\u1ed5i \u0111\u1ebfn ph\u00f2ng kh\u00e1m do gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c trong su\u1ed1t 1 n\u0103m v\u1eeba qua. B\u1ec7nh nh\u00e2n sinh ho\u1ea1t 1 v\u1ee3 1 ch\u1ed3ng. B\u1ec7nh nh\u00e2n than phi\u1ec1n v\u1ec1 c\u1ea3m kh\u00e1c kh\u00f4 v\u00e0 \u0111au r\u00e1t \u1edf \u00e2m \u0111\u1ea1o khi quan h\u1ec7 t\u00ecnh d\u1ee5c qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o. Trong su\u1ed1t 12 th\u00e1ng v\u1eeba qua, b\u1ec7nh nh\u00e2n c\u00f3 3 \u2013 4 chu k\u1ef3 kinh nguy\u1ec7t nh\u01b0ng r\u1ea5t ng\u1eafn. B\u1ec7nh nh\u00e2n cho r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111ang trong giai \u0111o\u1ea1n m\u00e3n kinh do b\u1ec7nh nh\u00e2n lu\u00f4n c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 do t\u00ecnh tr\u1ea1ng t\u0103ng c\u00e2n, m\u1eb7c d\u00f9 b\u1ec7nh nh\u00e2n ch\u01b0a tr\u1ea3i qua \u0111\u1ee3t b\u1ed1c h\u1ecfa n\u00e0o. B\u1ec7nh nh\u00e2n \u0111ang u\u1ed1ng multivitamin h\u1eb1ng ng\u00e0y.<\/p>\n\n\n\n<p>Th\u0103m kh\u00e1m l\u00e2m s\u00e0ng th\u1ea5y c\u00f3 t\u00ecnh tr\u1ea1ng teo nh\u1eb9 c\u1eeda \u00e2m \u0111\u1ea1o, ngo\u00e0i ra kh\u00f4ng c\u00f3 g\u00ec b\u1ea5t th\u01b0\u1eddng. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m th\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed3ng \u0111\u1ed9 estradiol gi\u1ea3m, n\u1ed3ng \u0111\u1ed9 luteinizing hormone t\u0103ng v\u00e0 n\u1ed3ng \u0111\u1ed9 follicle-stimulating hormone t\u0103ng. N\u1ed3ng \u0111\u1ed9 testosterone t\u1ed5ng c\u1ed9ng, n\u1ed3ng \u0111\u1ed9 testosterone t\u1ef1 do, n\u1ed3ng \u0111\u1ed9 hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p, n\u1ed3ng \u0111\u1ed9 prolactin, HbA1c, \u0111i\u1ec7n gi\u1ea3i, x\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u to\u00e0n ph\u1ea7n, k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u v\u00e0 s\u00e0ng l\u1ecdc b\u1ec7nh l\u00e2y nhi\u1ec5m qua \u0111\u01b0\u1eddng sinh d\u1ee5c \u0111\u1ec1u b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p><strong>V\u1ea5n \u0111\u1ec1:&nbsp;<\/strong>C\u1ea7n l\u00e0m g\u00ec \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng sinh ho\u1ea1t t\u00ecnh d\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n?<\/p>\n\n\n\n<p><strong>Bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t \u0111\u1ec1 ngh\u1ecb<\/strong><\/p>\n\n\n\n<p>\u0110\u00e1p \u1ee9ng t\u00ecnh d\u1ee5c \u1edf n\u1eef gi\u1edbi l\u00e0 ph\u1ee9c h\u1ee3p c\u1ee7a nh\u1eefng \u0111\u00e1p \u1ee9ng hormon v\u00e0 t\u00e2m sinh l\u00fd, do v\u1eady kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 ch\u1ec9 b\u1eb1ng 1 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t. M\u1ed9t s\u1ed1 nh\u00e0 th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 cho r\u1eb1ng t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n ch\u1ec9 v\u1edbi bi\u1ec7n ph\u00e1p thay th\u1ebf testosterone. Tuy nhi\u00ean, c\u00e1c hormone kh\u00e1c nh\u01b0 serotonin, dopamine v\u00e0 norepinephrine c\u0169ng c\u00f3 th\u1ec3 c\u00f3 vai tr\u00f2 trong \u0111\u00e1p \u1ee9ng t\u00ecnh d\u1ee5c \u1edf n\u1eef gi\u1edbi.<\/p>\n\n\n\n<p>Tr\u01b0\u1edbc khi t\u1ed1i \u01b0u h\u00f3a c\u00e1c bi\u1ec7n ph\u00e1p hormone, nh\u1eefng v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn t\u00e2m th\u1ea7n v\u00e0 sinh l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft. Do v\u1eady, chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn b\u00e1c s\u0129 tr\u1ecb li\u1ec7u t\u00ecnh d\u1ee5c ho\u1eb7c b\u00e1c s\u0129 t\u00e2m l\u00fd l\u00e0 b\u01b0\u1edbc \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb an to\u00e0n v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3. Ki\u1ec3m tra \u0111\u01b0\u1eddng ni\u1ec7u \u2013 sinh d\u1ee5c c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft \u0111\u1ec3 lo\u1ea1i tr\u1eeb nh\u1eefng v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng ni\u1ec7u \u2013 sinh d\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p>Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u1ec7nh nh\u00e2n than phi\u1ec1n b\u1ecb kh\u00f4 v\u00e0 \u0111au r\u00e1t khi quan h\u1ec7. \u0110\u00e2y l\u00e0 nh\u1eefng bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng g\u1eb7p c\u1ee7a ti\u1ec1n m\u00e3n kinh. \u0110\u00e2y l\u00e0 c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f4ng h\u00e0i l\u00f2ng v\u1ec1 \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c. Do v\u1eady, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi estrogen \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o nh\u01b0 l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ni\u1ec7u \u2013 sinh d\u1ee5c \u1edf b\u1ec7nh nh\u00e2n ti\u1ec1n m\u00e3n kinh. M\u1ed9t v\u00e0i estrogen \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn bao g\u1ed3m: thu\u1ed1c kem estradiol v\u00e0 thu\u1ed1c \u0111\u1eb7t estradiol. C\u1ea7n l\u01b0u \u00fd h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n b\u00f4i\/\u0111\u1eb7t thu\u1ed1c \u1edf t\u1ea5t c\u1ea3 nh\u1eefng v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. Li\u1ec7u ph\u00e1p thay th\u1ebf hormone h\u1ec7 th\u1ed1ng (estrogen v\u00e0 progesterone) c\u00f3 th\u1ec3 c\u0169ng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u \u0111\u1ee3t b\u1ed1c h\u1ecfa.<\/p>\n\n\n\n<p>Testosterone c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng off-label nh\u01b0 l\u1ef1a ch\u1ecdn th\u1ee9 2 n\u1ebfu tri\u1ec7u ch\u1ee9ng v\u1eabn dai d\u1eb3ng sau khi \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng estrogen. Nhi\u1ec1u ph\u1ee5 n\u1eef c\u00f3 n\u1ed3ng \u0111\u1ed9 testosterone th\u1ea5p h\u1eadu m\u00e3n kinh, nh\u01b0ng n\u1ed3ng \u0111\u1ed9 testosterone kh\u00f4ng ho\u00e0n to\u00e0n l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a nh\u1eefng tri\u1ec7u ch\u1ee9ng ni\u1ec7u \u2013 sinh d\u1ee5c ti\u1ec1n m\u00e3n kinh. Nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u00f3 n\u1ed3ng \u0111\u1ed9 testosterone b\u00ecnh th\u01b0\u1eddng v\u1eabn c\u00f3 th\u1ec3 tr\u1ea3i qua nh\u1eefng thay \u0111\u1ed5i v\u1ec1 ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c.<\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n t\u0103ng nhu c\u1ea7u t\u00ecnh d\u1ee5c, testosterone l\u00e0 m\u1ed9t li\u1ec7u ph\u00e1p d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng cho th\u1ea5y c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c. Tuy nhi\u00ean, v\u1eabn ch\u01b0a c\u00f3 c\u00f4ng th\u1ee9c b\u00e0o ch\u1ebf testosterone n\u00e0o \u0111\u01b0\u1ee3c C\u1ee5c Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3 (FDA) ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c \u1edf ph\u1ee5 n\u1eef. Do v\u1eady, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng testosterone 1% d\u1ea1ng gel. V\u00ec n\u1ed3ng \u0111\u1ed9 testosterone \u1edf n\u1eef gi\u1edbi ch\u1ec9 b\u1eb1ng 10% n\u1ed3ng \u0111\u1ed9 testosterone \u1edf nam gi\u1edbi, n\u00ean li\u1ec1u \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn c\u0169ng ch\u1ec9 b\u1eb1ng 10% so v\u1edbi li\u1ec1u ch\u1ec9 \u0111\u1ecbnh \u1edf nam gi\u1edbi. Kh\u00f4ng n\u00ean l\u1ef1a ch\u1ecdn nh\u1eefng c\u00f4ng th\u1ee9c testosterone pha ch\u1ebf (compounded), \u0111\u01a1n tr\u1ecb ho\u1eb7c k\u00e8m v\u1edbi estrogen v\u00e0 prosgesterone, \u0111\u1eb7c bi\u1ec7t l\u00e0 d\u1ea1ng thu\u1ed1c \u0111\u1ea1n c\u1ea5y \u0111\u01b0\u1ee3c \u0111\u1ec3 gi\u1ea3i ph\u00f3ng testosterone. Nh\u1eefng d\u1ea1ng testosterone n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o v\u00ec ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 t\u00ednh an to\u00e0n.<\/p>\n\n\n\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng testosterone off-label \u1edf b\u1ec7nh nh\u00e2n n\u1eef c\u1ea7n ph\u1ea3i theo d\u00f5i c\u1ea9n th\u1eadn v\u00ec nh\u1eefng thay \u0111\u1ed5i v\u1ec1 n\u1ed3ng \u0111\u1ed9 testosterone c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i kh\u00f4ng th\u1ec3 \u0111\u1ea3o ngh\u1ecbch. Do v\u1eady, khi k\u00ea \u0111\u01a1n testosterone cho b\u1ec7nh nh\u00e2n, c\u1ea7n l\u01b0u \u00fd:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 testosterone t\u1ed5ng c\u1ed9ng sau 3 \u2013 6 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 m\u1ed7i 4 \u2013 6 th\u00e1ng sau \u0111\u00f3<\/li>\n\n\n\n<li>Ki\u1ec3m tra ch\u1ee9c n\u0103ng gan m\u1ed7i 6 \u2013 12 th\u00e1ng<\/li>\n\n\n\n<li>Ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 cholesterol m\u1ed7i 6 \u2013 12 th\u00e1ng<\/li>\n\n\n\n<li>Th\u0103m h\u1ecfi b\u1ec7nh nh\u00e2n v\u1ec1 nh\u1eefng thay \u0111\u1ed5i v\u1ec1 gi\u1ecdng n\u00f3i, m\u1ee5n tr\u1ee9ng c\u00e1 v\u00e0 l\u00f4ng\/t\u00f3c m\u1ecdc<\/li>\n<\/ul>\n\n\n\n<p>V\u1ec1 m\u1eb7t sinh h\u00f3a, m\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 c\u1ea3i thi\u1ec7n n\u1ed3ng \u0111\u1ed9 testosterone t\u1ed5ng c\u1ed9ng v\u1ec1 trong kho\u1ea3ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a sinh l\u00fd. V\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng, m\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c (ham mu\u1ed1n). Nh\u1eefng thay \u0111\u1ed5i n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0o kho\u1ea3ng 4 \u2013 12 tu\u1ea7n sau khi kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. B\u1ec7nh nh\u00e2n n\u1eef c\u00f3 n\u1ed3ng \u0111\u1ed9 hormone sinh d\u1ee5c g\u1eafn v\u1edbi globulin cao b\u1ea9m sinh c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 nh\u1eefng c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 t\u1eeb li\u1ec7u ph\u00e1p testosterone.<\/p>\n\n\n\n<p><strong>K\u1ebft c\u1ee5c v\u00e0 theo d\u00f5i<\/strong><\/p>\n\n\n\n<p>Sau l\u1ea7n th\u0103m kh\u00e1m \u0111\u1ea7u ti\u00ean, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n estrogen \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o. B\u1ec7nh nh\u00e2n t\u00e1i kh\u00e1m sau 3 th\u00e1ng v\u00e0 cho bi\u1ebft c\u00f3 nh\u1eefng c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1ee9c \u0111\u1ed9 kh\u00f4 v\u00e0 \u0111au r\u00e1t khi quan h\u1ec7, nh\u01b0ng b\u1ec7nh nh\u00e2n v\u1eabn than phi\u1ec1n v\u1ec1 vi\u1ec7c gi\u1ea3m ham mu\u1ed1n. Do v\u1eady, beneh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung b\u1eb1ng testosterone 1% d\u1ea1ng gel (nh\u01b0 \u0111\u00e3 gi\u1ea3i th\u00edch \u1edf tr\u00ean). B\u1ec7nh nh\u00e2n t\u00e1i kh\u00e1m 1 th\u00e1ng sau \u0111\u00f3 v\u00e0 cho bi\u1ebft b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea3i thi\u1ec7n v\u00ea m\u1eb7t ham mu\u1ed1n t\u00ecnh d\u1ee5c. Do v\u1eady, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u1ea3 estrogen \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o v\u00e0 testosterone 1% d\u1ea1ng gel, k\u00e8m v\u1edbi nh\u1eefng x\u00e9t nghi\u1ec7m theo d\u00f5i ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\" \/>\n\n\n\n<p><strong>Ngu\u1ed3n<\/strong><\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Jessica R. Starr, Beverly Tchang. Is Low Testosterone the Cause of Declining Sexual Function? Medscape. Updated 26 June 2023. Accessed date 29 June 2023. URL: https:\/\/www.medscape.com\/viewarticle\/993362#vp_2<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh nh\u00e2n n\u1eef, 51 tu\u1ed5i \u0111\u1ebfn ph\u00f2ng kh\u00e1m do gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c trong su\u1ed1t 1 n\u0103m v\u1eeba qua. B\u1ec7nh nh\u00e2n sinh ho\u1ea1t 1 v\u1ee3 1 ch\u1ed3ng. B\u1ec7nh nh\u00e2n than phi\u1ec1n v\u1ec1 c\u1ea3m kh\u00e1c kh\u00f4 v\u00e0 \u0111au r\u00e1t \u1edf \u00e2m \u0111\u1ea1o khi quan h\u1ec7 t\u00ecnh d\u1ee5c qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o. Trong su\u1ed1t 12 th\u00e1ng &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/docquity.com\/vi\/articles\/bao-cao-ca-cai-thien-chuc-nang-tinh-duc-o-benh-nhan-tien-man-kinh\/\"> <span class=\"screen-reader-text\">B\u00c1O C\u00c1O CA: C\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c \u1edf b\u1ec7nh nh\u00e2n ti\u1ec1n m\u00e3n kinh<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":123,"featured_media":12690,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"articles_categories":[1370],"articles_tags":[],"articles_topics":[1437],"articles_languages":[1375],"articles_filters":[],"class_list":["post-12689","articles","type-articles","status-publish","has-post-thumbnail","hentry","articles_categories-medical-content-vi","articles_languages-vietnamese-vi"],"_links":{"self":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12689","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles"}],"about":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/types\/articles"}],"author":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/users\/123"}],"replies":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/comments?post=12689"}],"version-history":[{"count":0,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12689\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media\/12690"}],"wp:attachment":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media?parent=12689"}],"wp:term":[{"taxonomy":"articles_categories","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_categories?post=12689"},{"taxonomy":"articles_tags","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_tags?post=12689"},{"taxonomy":"articles_topics","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_topics?post=12689"},{"taxonomy":"articles_languages","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_languages?post=12689"},{"taxonomy":"articles_filters","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_filters?post=12689"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}