{"id":5334,"date":"2019-03-23T20:59:11","date_gmt":"2019-03-23T13:59:11","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5334"},"modified":"2019-03-23T21:04:05","modified_gmt":"2019-03-23T14:04:05","slug":"cac-thuoc-tranh-thai-co-kha-nang-gay-di-tat-thai","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/cac-thuoc-tranh-thai-co-kha-nang-gay-di-tat-thai\/","title":{"rendered":"C\u00e1c thu\u1ed1c tr\u00e1nh thai c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai"},"content":{"rendered":"

[MHRA] C\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai: s\u1eed bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o l\u00e0 hi\u1ec7u qu\u1ea3 v\u00e0 c\u1ea7n ki\u1ec3m tra vi\u1ec7c mang thai v\u1edbi t\u1ea7n su\u1ea5t ra sao?<\/h2>\n
H\u01b0\u1edbng d\u1eabn m\u1edbi v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai v\u00e0 t\u1ea7n su\u1ea5t ki\u1ec3m tra vi\u1ec7c mang thai nh\u1eb1m h\u1ea1n ch\u1ebf v\u00f4 \u00fd ph\u01a1i nhi\u1ec5m \u1edf ph\u1ee5 n\u1eef \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai. \u0110\u0103ng t\u1ea3i tr\u00ean MHRA ng\u00e0y 21\/3\/2019.<\/p>\n

M\u1edf \u0111\u1ea7u<\/h2>\n
M\u1ed9t s\u1ed1 thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5 ho\u1eb7c nghi l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng gia t\u0103ng nguy c\u01a1 d\u1ecb t\u1eadt b\u1ea9m sinh v\u00e0 b\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n thai (kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai – teratogenic potential) n\u1ebfu s\u1eed d\u1ee5ng trong thai k\u00ec, \u0111\u1eb7c bi\u1ec7t trong qu\u00ed \u0111\u1ea7u (trong v\u00f2ng 12 tu\u1ea7n \u0111\u1ea7u mang thai), \u0111\u00e2y l\u00e0 kho\u1ea3ng th\u1eddi gian ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 ch\u01b0a bi\u1ebft m\u00ecnh mang thai. T\u1edd th\u00f4ng tin s\u1ea3n ph\u1ea9m c\u1ee7a c\u00e1c thu\u1ed1c n\u00e0y s\u1ebd khuy\u1ebfn c\u00e1o r\u1eb1ng c\u1ea7n tr\u00e1nh mang thai trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, c\u00f9ng v\u1edbi l\u1eddi khuy\u00ean s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 \u0111\u00f2i h\u1ecfi c\u00f3 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh d\u1ef1 ph\u00f2ng mang thai ch\u00ednh th\u1ed1ng.<\/p>\n
Khi s\u1eed d\u1ee5ng b\u1ea5t c\u1ee9 thu\u1ed1c n\u00e0o c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai, ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u1ec1 c\u00e1c nguy c\u01a1 v\u00e0 khuy\u1ebfn kh\u00edch s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai h\u1eefu hi\u1ec7u nh\u1ea5t tu\u1ef3 theo ho\u00e0n c\u1ea3nh c\u00e1 nh\u00e2n.<\/p>\n

Bi\u1ec7n ph\u00e1p tr\u00e1nh thai<\/h2>\n
C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai \u0111\u01b0\u1ee3c cho l\u00e0 hi\u1ec7u qu\u1ea3 ho\u1eb7c hi\u1ec7u qu\u1ea3 cao tu\u1ef3 theo t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i v\u1edbi c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng trong v\u00f2ng 1 n\u0103m \u0111\u1ea7u [1]. “C\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng” bao g\u1ed3m c\u00e1c tr\u01b0\u1eddng h\u1ee3p sai s\u00f3t do ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c (v\u00ed d\u1ee5, b\u1ecf qu\u00ean li\u1ec1u, b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c mu\u1ed9n) ho\u1eb7c s\u1eed d\u1ee5ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c nh\u01b0 t\u01b0\u01a1ng t\u00e1c v\u1edbi thu\u1ed1c d\u00f9ng c\u00f9ng.<\/p>\n
C\u00e1c bi\u1ec7n ph\u00e1p hi\u1ec7u qu\u1ea3 cao c\u00f3 t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i v\u1edbi c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng d\u01b0\u1edbi 1% v\u00e0 trong \u0111\u00f3 c\u00f3 \u0111\u00ecnh s\u1ea3n nam, \u0111\u00ecnh s\u1ea3n n\u1eef v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai c\u00f3 h\u1ed3i ph\u1ee5c t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i (long-acting reversible contraceptive – LARC) (nh\u01b0 d\u1ee5ng c\u1ee5 t\u1eed cung v\u00e0 que c\u1ea5y tr\u00e1nh thai).<\/p>\n
C\u00e1c thu\u1ed1c ti\u00eam ch\u1ee9a progesteron \u0111\u01a1n thu\u1ea7n c\u00f3 t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i v\u1edbi c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng l\u00e0 6%, nh\u01b0ng \u0111\u00e2y c\u0169ng c\u00f3 th\u1ec3 do c\u00e1c l\u1ea7n ti\u00eam thu\u1ed1c l\u1ea1i \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh mu\u1ed9n. Thu\u1ed1c ti\u00eam ch\u1ee9a progesteron \u0111\u01a1n \u0111\u1ed9c c\u00f3 th\u1ec3 coi l\u00e0 hi\u1ec7u qu\u1ea3 cao n\u1ebfu c\u00e1c l\u1ea7n ti\u00eam thu\u1ed1c l\u1ea1i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang gi\u1edd b\u1edfi nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n
C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai \u0111\u01b0\u1ee3c coi l\u00e0 hi\u1ec7u qu\u1ea3 bao g\u1ed3m thu\u1ed1c tr\u00e1nh thai ph\u1ed1i h\u1ee3p (thu\u1ed1c vi\u00ean, mi\u1ebfng d\u00e1n ho\u1eb7c v\u00f2ng \u0111\u1eb7t \u00e2m \u0111\u1ea1o) v\u00e0 c\u00e1c thu\u1ed1c vi\u00ean progesteron \u0111\u01a1n thu\u1ea7n, v\u1edbi t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i v\u1edbi c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng l\u00e0 9%.<\/p>\n
C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai t\u1ef1 nhi\u00ean \u1edf th\u1eddi \u0111i\u1ec3m giao h\u1ee3p ho\u1eb7c d\u1ef1a tr\u00ean hi\u1ec3u bi\u1ebft v\u1ec1 s\u1ef1 th\u1ee5 thai c\u00f3 t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i v\u1edbi c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng cao h\u01a1n v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o nh\u00f3m bi\u1ec7n ph\u00e1p tr\u00e1nh thai “hi\u1ec7u qu\u1ea3” khi d\u00f9ng thu\u1ed1c g\u00e2y d\u1ecb t\u1eadt thai, nh\u01b0 v\u1eady khi \u0111\u00f3 kh\u00f4ng n\u00ean ch\u1ec9 d\u1ef1a v\u00e0o c\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y \u0111\u1ec3 tr\u00e1nh thai.<\/p>\n

S\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a vi\u1ec7c ki\u1ec3m tra mang thai<\/h2>\n
Ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 kh\u00f4ng bi\u1ebft m\u00ecnh c\u00f3 thai t\u1ea1i th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111ang \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a thai k\u00ec \u1edf th\u1eddi \u0111i\u1ec3m d\u00f9ng l\u1ea1i thu\u1ed1c do tr\u00e1nh thai th\u1ea5t b\u1ea1i. MHRA v\u1eabn li\u00ean t\u1ee5c nh\u1eadn \u0111\u01b0\u1ee3c c\u00e1c b\u00e1o c\u00e1o v\u1ec1 vi\u1ec7c ti\u1ebfp x\u00fac ngo\u00e0i \u00fd mu\u1ed1n v\u1edbi c\u00e1c thu\u1ed1c g\u00e2y d\u1ecb t\u1eadt thai trong giai \u0111o\u1ea1n \u0111\u1ea7u thai k\u00ec. M\u1ed9t c\u00e1ch gi\u00fap tr\u00e1nh \u0111i\u1ec1u n\u00e0y l\u00e0 ki\u1ec3m tra mang thai tr\u01b0\u1edbc khi k\u00ea m\u1ed9t thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y d\u1ecb t\u1eadt thai.<\/p>\n
B\u1ea3ng ghi nh\u1edb do Nh\u00f3m Chuy\u00ean gia T\u01b0 v\u1ea5n Y t\u1ebf v\u1ec1 Thu\u1ed1c cho Ph\u1ee5 n\u1eef c\u1ee7a H\u1ed9i Y khoa Anh x\u00e2y d\u1ef1ng nh\u1eb1m h\u01b0\u1edbng d\u1eabn khi k\u00ea thu\u1ed1c c\u00f3 nguy c\u01a1 g\u00e2y d\u1ecb t\u1eadt thai cho c\u00e1c b\u00e1c s\u0129 v\u1ec1 t\u1ea7n su\u1ea5t c\u1ea7n ki\u1ec3m tra mang thai, \u0111\u1ec3 tr\u00e1nh g\u00e2y ti\u1ebfp x\u00fac ngo\u00e0i \u00fd mu\u1ed1n trong th\u1eddi k\u00ec mang thai, tu\u1ef3 v\u00e0o ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn.<\/p>\n
B\u1ea3ng n\u00e0y \u0111\u01b0a ra t\u00f3m t\u1eaft l\u1eddi khuy\u00ean v\u1ec1 ki\u1ec3m tra mang thai \u0111\u1ed1i v\u1edbi h\u1ea7u h\u1ebft c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai th\u00f4ng d\u1ee5ng. B\u1ea3ng \u0111\u01b0\u1ee3c m\u00e3 ho\u00e1 b\u1eb1ng m\u00e0u s\u1eafc theo c\u00e1c bi\u1ec7n ph\u00e1p c\u00f3 \u0111\u1ed9 tin c\u1eady nh\u1ea5t. B\u1ea3ng c\u00f3 th\u1ec3 t\u1ea3i xu\u1ed1ng, in ra v\u00e0 s\u1eed d\u1ee5ng l\u00e0m poster \u1edf c\u00e1c b\u1ec7nh vi\u1ec7n v\u00e0 c\u1eadp nh\u1eadt c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a \u0111\u1ecba ph\u01b0\u01a1ng khi c\u1ea7n (\u1ea2nh comment).<\/p>\n
T\u1ea3i b\u1ea3n g\u1ed1c t\u1ea1i \u0111\u00e2y: https:\/\/assets.publishing.service.gov.uk\/\u2026\/pregnancy_testin\u2026<\/a><\/p>\n

C\u00e1c \u0111i\u1ec3m c\u00e2n nh\u1eafc ch\u1ee7 ch\u1ed1t khi \u0111\u01b0a ra h\u01b0\u1edbng d\u1eabn<\/h2>\n
– Kh\u1ea3 n\u0103ng mang thai l\u00e0 kh\u00f4ng h\u1eb1ng \u0111\u1ecbnh v\u00e0 c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi ph\u1ee5 n\u1eef trong \u0111i\u1ec1u tr\u1ecb. Do \u0111\u00f3, c\u1ea7n \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng mang thai tr\u01b0\u1edbc m\u1ed7i l\u1ea7n k\u00ea thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai.<\/p>\n
– C\u00e1c x\u00e9t nghi\u1ec7m mang thai c\u00f3 th\u1ec3 kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c thai ngh\u00e9n giai \u0111o\u1ea1n s\u1edbm sau quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 x\u1ea3y ra tr\u01b0\u1edbc \u0111\u00f3 3 tu\u1ea7n. Do \u0111\u00f3, ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u1ea7n l\u00e0m l\u1ea1i x\u00e9t nghi\u1ec7m ki\u1ec3m tra mang thai 3 tu\u1ea7n sau khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng m\u1ed9t bi\u1ec7n ph\u00e1p tr\u00e1nh thai m\u1edbi, n\u1ebfu kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 d\u1ea5u hi\u1ec7u c\u00f3 thai n\u00e0o t\u1ea1i th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u d\u00f9ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai, ngay c\u1ea3 khi k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m l\u1ea7n \u0111\u1ea7u l\u00e0 \u00e2m t\u00ednh.<\/p>\n
– C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai hi\u1ec7n \u0111\u1ea1i c\u00f3 t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i th\u1ea5p (0,03\u20130,6%) khi s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch v\u00e0 \u0111\u1ec1u \u0111\u1eb7n (trong “c\u00e1ch d\u00f9ng t\u1ed1i \u01b0u” – perfect use), nh\u01b0ng v\u1eabn c\u00f3 m\u1ed9t t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i cao h\u01a1n r\u00f5 r\u1ec7t \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p do sai s\u00f3t c\u1ee7a ng\u01b0\u1eddi s\u1eed d\u1ee5ng ho\u1eb7c t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c d\u00f9ng c\u00f9ng (trong “c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng” – typical use). Nguy c\u01a1 sai s\u00f3t do ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c \u1edf c\u00e1c ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng h\u00e0ng ng\u00e0y cao h\u01a1n \u1edf c\u00e1c ph\u01b0\u01a1ng ph\u00e1p LARC v\u00e0 cao nh\u1ea5t \u0111\u1ed1i v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u1edf th\u1eddi \u0111i\u1ec3m giao h\u1ee3p.<\/p>\n
– L\u1ef1a ch\u1ecdn bi\u1ec7n ph\u00e1p tr\u00e1nh thai l\u00e0 tu\u1ef3 v\u00e0o c\u00e1 th\u1ec3 v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng c\u0169ng nh\u01b0 s\u1edf th\u00edch c\u00e1 nh\u00e2n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef (xem H\u01b0\u1edbng d\u1eabn hi\u1ec7n h\u00e0nh v\u1ec1 tr\u00e1nh thai (*) v\u00e0 Tuy\u00ean b\u1ed1 v\u1ec1 c\u00e1c thu\u1ed1c g\u00e2y d\u1ecb t\u1eadt thai (**) c\u1ee7a H\u1ed9i s\u1ee9c kho\u1ebb Gi\u1edbi t\u00ednh v\u00e0 Sinh s\u1ea3n [Faculty of Sexual and Reproductive Health – FSRH]). Tuy nhi\u00ean, c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00e1c nhau c\u00f3 t\u1ec9 l\u1ec7 th\u1ea5t b\u1ea1i v\u1edbi c\u00e1ch d\u00f9ng th\u00f4ng th\u01b0\u1eddng v\u00e0 th\u1eddi gian t\u00e1c d\u1ee5ng c\u0169ng kh\u00e1c nhau, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u1ea7n su\u1ea5t c\u1ea7n ph\u1ea3i ki\u1ec3m tra vi\u1ec7c mang thai.<\/p>\n
(*) https:\/\/www.fsrh.org\/standards-a\u2026\/current-clinical-guidance\/<\/a>
\n(**) https:\/\/www.fsrh.org\/\u2026\/fsrh-ceu-statement-contraception-fo\u2026\/<\/a><\/p>\n
N\u1ebfu ch\u01b0a th\u1ec3 lo\u1ea1i tr\u1eeb c\u00f3 thai, vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh b\u1eaft \u0111\u1ea7u ho\u1eb7c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai s\u1ebd tu\u1ef3 thu\u1ed9c v\u00e0o t\u00ecnh h\u00ecnh c\u00e1 nh\u00e2n, nh\u01b0 t\u00ednh c\u1ea5p thi\u1ebft c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb thay th\u1ebf. N\u1ebfu c\u00f3 th\u1ec3, n\u00ean tr\u00ec ho\u00e3n vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y d\u1ecb t\u1eadt thai cho t\u1edbi khi lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c c\u00f3 thai b\u1eb1ng x\u00e9t nghi\u1ec7m l\u00e0m l\u1ea1i l\u1ea7n ti\u1ebfp theo.<\/p>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o :
\n[1] Trussell J. Contraceptive failure in the United States. Contraception 2011; 83: 397-404.<\/p>\n
Ngu\u1ed3n: MHRA d\u1ecbch b\u1edfi\u00a0 Trung t\u00e2m D\u01b0\u1ee3c l\u00fd l\u00e2m s\u00e0ng tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i<\/a>.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"[MHRA] C\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y d\u1ecb t\u1eadt thai: s\u1eed bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o l\u00e0 hi\u1ec7u qu\u1ea3 v\u00e0 c\u1ea7n ki\u1ec3m tra vi\u1ec7c mang thai v\u1edbi t\u1ea7n su\u1ea5t ra sao? H\u01b0\u1edbng d\u1eabn m\u1edbi v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai v\u00e0 t\u1ea7n su\u1ea5t ki\u1ec3m tra vi\u1ec7c mang thai nh\u1eb1m h\u1ea1n ch\u1ebf v\u00f4 \u00fd ph\u01a1i nhi\u1ec5m […]\n","protected":false},"author":1,"featured_media":5335,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5334","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5334","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=5334"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5334\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5335"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=5334"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=5334"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=5334"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}