{"id":20931,"date":"2023-04-16T21:29:38","date_gmt":"2023-04-16T14:29:38","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20931"},"modified":"2023-04-17T11:56:47","modified_gmt":"2023-04-17T04:56:47","slug":"benh-viem-phoi-mac-phai-cong-dong-nguyen-nhan-va-benh-sinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/benh-viem-phoi-mac-phai-cong-dong-nguyen-nhan-va-benh-sinh\/","title":{"rendered":"B\u1ec7nh vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng: Nguy\u00ean nh\u00e2n v\u00e0 b\u1ec7nh sinh"},"content":{"rendered":"<p><strong>Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng. B\u1ec7nh th\u01b0\u1eddng ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi gi\u00e0, tr\u1ebb em v\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta c\u00f9ng \u0111i t\u00ecm hi\u1ec3u, \u0111\u1ecbnh ngh\u0129a, c\u01a1 ch\u1ebf b\u1ec7nh sinh v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a c\u0103n b\u1ec7nh n\u00e0y.<\/strong><\/p>\n<h2>1. \u0110\u1ecbnh ngh\u0129a vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng v\u00e0 d\u1ecbch t\u1ec5 h\u1ecdc.<\/h2>\n<ul>\n<li>Vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng vi\u00eam nhi\u1ec5m c\u1ee7a nhu m\u00f4 ph\u1ed5i bao g\u1ed3m: C\u00e1c ph\u1ebf nang, t\u00fai ph\u1ebf nang, \u1ed1ng ph\u1ebf nang, t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft khe k\u1ebd v\u00e0 vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn c\u00f9ng do c\u00e1c c\u0103n nguy\u00ean vi khu\u1ea9n c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u1ed9ng \u0111\u1ed3ng (kh\u00f4ng ph\u1ea3i b\u1ec7nh vi\u1ec7n). B\u1ec7nh c\u00f3 nguy\u00ean nh\u00e2n do c\u00e1c vi khu\u1ea9n, virus, k\u00fd sinh tr\u00f9ng, n\u1ea5m nh\u01b0ng kh\u00f4ng ph\u1ea3i tr\u1ef1c khu\u1ea9n lao g\u00e2y ra.<\/li>\n<li>\u0110\u1eb7c tr\u01b0ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng gi\u1ea3i ph\u1eabu trong b\u1ec7nh l\u00fd vi\u00eam ph\u1ed5i l\u00e0 kh\u1ed1i \u0111\u00f4ng \u0111\u1eb7c nh\u01b0 nhu m\u00f4 ph\u1ed5i. V\u1ec1 gi\u1ea3i ph\u1eabu b\u1ec7nh ng\u01b0\u1eddi ta chia ra vi\u00eam ph\u1ed5i th\u00e0nh vi\u00eam ph\u1ed5i th\u00f9y v\u00e0 ph\u1ebf qu\u1ea3n ph\u1ebf vi\u00eam.<\/li>\n<\/ul>\n<p>Hi\u1ec7n t\u1ea1i d\u00f9 c\u00f3 nhi\u1ec1u kh\u00e1ng sinh hi\u1ec7u qu\u1ea3 song vi\u00eam nhi\u1ec5m c\u1ea5p t\u00ednh \u1edf ph\u1ed5i v\u1eabn c\u00f2n l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong quan tr\u1ecdng \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em d\u01b0\u1edbi 1 tu\u1ed5i v\u00e0 ng\u01b0\u1eddi gi\u00e0. Tr\u00ean th\u1ebf gi\u1edbi \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng t\u1eeb 1,5 \u0111\u1ebfn 14 ca b\u1ec7nh\/ 1000 ng\u01b0\u1eddi m\u1ed7i n\u0103m. Vi\u00eam ph\u1ed5i do vi khu\u1ea9n l\u00e0 nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi t\u1eed vong \u0111\u1ee9ng h\u00e0ng th\u1ee9 8 v\u00e0 \u0111\u1ee9ng \u0111\u1ea7u trong c\u00e1c nguy\u00ean nh\u00e2n t\u1eed vong do nhi\u1ec5m khu\u1ea9n. \u1ede Vi\u1ec7t Nam, vi\u00eam ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p quan tr\u1ecdng, chi\u1ebfm 12% b\u1ec7nh ph\u1ed5i.<\/p>\n<h2>2. C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h2>\n<p><strong>2.1. \u0110\u01b0\u1eddng v\u00e0o\u00a0<\/strong><\/p>\n<p>Nh\u1eefng t\u00e1c nh\u00e2n g\u00e2y vi\u00eam ph\u1ed5i c\u00f3 th\u1ec3 x\u00e2m nh\u1eadp theo nh\u1eefng \u0111\u01b0\u1eddng v\u00e0o sau:<\/p>\n<ul>\n<li>\u0110\u01b0\u1eddng h\u00f4 h\u1ea5p:<\/li>\n<\/ul>\n<p>&#8211; H\u00edt ph\u1ea3i vi khu\u1ea9n t\u1eeb m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i, trong kh\u00f4ng kh\u00ed.<\/p>\n<p>&#8211; H\u00edt ph\u1ea3i vi khu\u1ea9n do \u1ed5 nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean<\/p>\n<ul>\n<li>\u0110\u01b0\u1eddng m\u00e1u: th\u01b0\u1eddng g\u1eb7p sau nhi\u1ec5m khu\u1ea9n huy\u1ebft do t\u1ee5 c\u1ea7u v\u00e0ng, vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n, vi\u00eam t\u0129nh m\u1ea1ch nhi\u1ec5m khu\u1ea9n<\/li>\n<li>Nhi\u1ec5m khu\u1ea9n theo \u0111\u01b0\u1eddng k\u1ebf c\u1eadn ph\u1ed5i.<\/li>\n<li>\u0110\u01b0\u1eddng b\u1ea1ch huy\u1ebft: M\u1ed9t s\u1ed1 vi khu\u1ea9n (Pseudomonas, Klebsiella pneumoniae, S.aureus) c\u00f3 th\u1ec3 t\u1edbi ph\u1ed5i theo \u0111\u01b0\u1eddng b\u1ea1ch huy\u1ebft, ch\u00fang th\u01b0\u1eddng g\u00e2y vi\u00eam ho\u1ea1i t\u1eed v\u00e0 \u00e1p xe ph\u1ed5i, v\u1edbi nhi\u1ec1u \u1ed5 nh\u1ecf \u0111\u01b0\u1eddng k\u00ednh d\u01b0\u1edbi 2 cm.<\/li>\n<\/ul>\n<p><strong>2.2. S\u01b0 x\u00e2m nh\u1eadp c\u1ee7a vi khu\u1ea9n<\/strong><\/p>\n<ul>\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf t\u1eebng c\u1ea5p \u0111\u1ed9 v\u1edbi s\u1ef1 kh\u00e1c nhau t\u1ef7 l\u1ec7 gi\u1eefa c\u00e1c nguy\u00ean nh\u00e2n do virus v\u00e0 vi khu\u1ea9n \u1edf m\u1ed7i c\u1ea5p \u0111\u1ed9, c\u00f3 th\u1ec3 g\u00e2y nh\u1ea7m l\u1eabn gi\u1eefa c\u00e1c c\u0103n nguy\u00ean n\u00e0y. Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n do virus h\u1ee3p b\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (RSV) \u1edf tr\u1ebb em l\u00e0 m\u1ed9t v\u00ed d\u1ee5 \u0111i\u1ec3n h\u00ecnh c\u1ee7a tr\u01b0\u1eddng h\u1ee3p n\u00e0y.<\/li>\n<li>Hi\u1ec3u bi\u1ebft v\u1ec1 m\u1ed9t h\u1ec7 vi sinh v\u1eadt b\u00ecnh th\u01b0\u1eddng t\u1ed3n t\u1ea1i \u1edf m\u1ee9c ph\u1ebf nang c\u1ee7a ph\u1ed5i \u0111\u00e3 l\u00e0m n\u1ea3y sinh m\u1ed9t c\u01a1 ch\u1ebf kh\u00e1c v\u1ec1 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh vi\u00eam ph\u1ed5i do vi khu\u1ea9n. H\u1ec7 vi sinh v\u1eadt \u1edf ph\u1ed5i b\u00ecnh th\u01b0\u1eddng c\u00f3 s\u1ef1 t\u01b0\u01a1ng \u0111\u1ed3ng v\u1edbi v\u00f9ng h\u1ea7u h\u1ecdng, ch\u1ee7 y\u1ebfu l\u00e0 li\u00ean c\u1ea7u ( bao g\u1ed3m c\u1ea3 ph\u1ebf c\u1ea7u) nh\u01b0ng c\u0169ng bao g\u1ed3m H.influenzae, Mycoplasma v\u00e0 m\u1ed9t s\u1ed1 can nguy\u00ean vi\u00eam ph\u1ed5i kh\u00e1c. S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi\u00eam ph\u1ed5i c\u00f3 th\u1ec3 l\u00e0 do s\u1ef1 thay \u0111\u1ed5i trong h\u1ec7 vi sinh v\u1eadt b\u00ecnh th\u01b0\u1eddng, d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n nh\u1ea3y v\u1ecdt c\u1ee7a m\u1ed9t t\u00e1c nh\u00e2n vi khu\u1ea9n c\u1ee5 th\u1ec3. C\u01a1 ch\u1ebf n\u00e0y ph\u00f9 h\u1ee3p v\u1edbi m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa vi\u1ec7c nhi\u1ec5m virus tr\u01b0\u1edbc ho\u1eb7c \u0111\u1ed3ng nhi\u1ec5m v\u1edbi vi\u00eam ph\u1ed5i do vi khu\u1ea9n.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>2.3. C\u01a1 ch\u1ebf b\u1ea3o v\u1ec7 c\u1ee7a ph\u1ed5i<\/strong><\/p>\n<ul>\n<li>Khi c\u00f3 v\u1eadt l\u1ea1 v\u00e0o ph\u1ed5i, n\u1eafp thanh qu\u1ea3n \u0111\u00f3ng l\u1ea1i theo ph\u1ea3n x\u1ea1. T\u1eeb thanh qu\u1ea3n \u0111\u1ebfn ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1eadn c\u00f9ng c\u00f3 l\u1edbp ni\u00eam m\u1ea1c bao ph\u1ee7 b\u1edfi c\u00e1c t\u1ebf b\u00e0o h\u00ecnh tr\u1ee5 v\u1edbi l\u00f4ng chuy\u1ec3n, nh\u1eefng t\u1ebf b\u00e0o h\u00ecnh \u0111\u00e0i ti\u1ebft ra ch\u1ea5t nh\u1ea7y v\u1edbi c\u00e1c v\u1eadt l\u1ea1 \u0111\u00e3 d\u00ednh k\u1ebft l\u00ean c\u00e1c ph\u1ebf qu\u1ea3n l\u1edbn, r\u1ed3i t\u1eeb \u0111\u00f3 ph\u1ea3n x\u1ea1 ho s\u1ebd t\u1ed1ng c\u00e1c v\u1eadt l\u1ea1 ra ngo\u00e0i. C\u00e1c globulin mi\u1ec5n d\u1ecbch c\u00f3 vai tr\u00f2 b\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: IgA ( N\u1ed3ng \u0111\u1ed9 \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean cao h\u01a1n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi ) c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m ng\u01b0ng k\u1ebft vi khu\u1ea9n, trung h\u00f2a \u0111\u1ed9c t\u1ed1 vi khu\u1ea9n, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng b\u00e1m d\u00ednh c\u1ee7a vi khu\u1ea9n v\u00e0o ni\u00eam m\u1ea1c. IgG c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m ng\u01b0ng k\u1ebft vi khu\u1ea9n, l\u00e0m t\u0103ng b\u1ed5 th\u1ec3, t\u0103ng \u0111\u1ea1i th\u1ef1c b\u00e0o, trung h\u00f2a \u0111\u1ed9c t\u1ed1 vi khu\u1ea9n, virus, l\u00e0m dung gi\u1ea3i vi khu\u1ea9n gram \u00e2m. Trong ph\u1ebf nang c\u00f3 nhi\u1ec1u \u0111\u1ea1i th\u1ef1c b\u00e0o \u0103n vi khu\u1ea9n.<\/li>\n<li>B\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh c\u0169ng c\u00f3 nh\u1eefng kh\u1ea3 n\u0103ng nh\u01b0 tr\u00ean.<\/li>\n<li>Nh\u1eefng ng\u01b0\u1eddi nghi\u1ec7n thu\u1ed1c l\u00e1, thi\u1ebfu oxy, thi\u1ebfu m\u00e1u, r\u1ed1i lo\u1ea1n v\u1ec1 b\u1ea1ch c\u1ea7u b\u1ea9m sinh, ch\u1ee9c n\u0103ng th\u1ef1c b\u00e0o t\u1ea1i ph\u1ebf nang b\u1ecb suy gi\u1ea3m, h\u1ed9i ch\u1ee9ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch m\u1eafc ph\u1ea3i s\u1ebd d\u1ec5 m\u1eafc b\u1ec7nh h\u01a1n.\n<p><figure id=\"attachment_22596\" aria-describedby=\"caption-attachment-22596\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-22596\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/viem-phoi-300x225.jpg\" alt=\"anh-minh-hoa\" width=\"300\" height=\"225\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/viem-phoi-300x225.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/viem-phoi-1024x768.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/viem-phoi-768x576.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/viem-phoi-1536x1152.jpg 1536w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/viem-phoi.jpg 1632w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22596\" class=\"wp-caption-text\">\u1ea2nh minh h\u1ecda<\/figcaption><\/figure><\/li>\n<\/ul>\n<h2>3. Nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i c\u1ee7a vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng<\/h2>\n<p><strong>3.1. Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh\u00a0<\/strong><\/p>\n<p>C\u0103n nguy\u00ean ph\u1ed5 bi\u1ebfn g\u00e2y vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng bao g\u1ed3m:<\/p>\n<ul>\n<li>C\u00e1c vi khu\u1ea9n \u0111i\u1ec3n h\u00ecnh:<\/li>\n<\/ul>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0&#8211; Streptococcus pneumoniae\u00a0<\/em><\/p>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0&#8211; Haemophylus influenzae<\/em><\/p>\n<p>&#8211; <em>Moraxella catarrhalis<\/em><\/p>\n<p>&#8211; <em>Staphylococcus aureus<\/em><\/p>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0&#8211; Klebsiella pneumoniae<\/em><\/p>\n<ul>\n<li>M\u1ed9t s\u1ed1 vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh:<\/li>\n<\/ul>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0&#8211; Legionella pneumonphila<\/em><\/p>\n<p>&#8211; <em>Mycoplasma<\/em><\/p>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0&#8211; Chlamydia pneumoniae<\/em><\/p>\n<p>&#8211; <em>C. psittaci<\/em><\/p>\n<p>Tuy nhi\u00ean, \u1edf c\u00e1c khu v\u1ef1a \u0111\u1ecba l\u00fd kh\u00e1c nhau, t\u1ef7 l\u1ec7 v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u1ec1 kh\u00e1ng kh\u00e1ng sinh ph\u1ee5 c\u00e1c c\u0103n nguy\u00ean ph\u1ee5 thu\u1ed9c v\u00e0o d\u1ecbch t\u1ec5 t\u1ea1i khu v\u1ef1c \u0111\u00f3. T\u1ea1i Vi\u1ec7t Nam, d\u1ef1a v\u00e0o nghi\u00ean c\u1ee9u x\u00e1c \u0111\u1ecbnh c\u0103n nguy\u00ean vi sinh g\u00e2y vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng, k\u1ebft qu\u1ea3 cho th\u1ea5y c\u00e1c c\u0103n nguy\u00ean vi khu\u1ea9n th\u01b0\u1eddng g\u1eb7p l\u00e0 <em>Haemophylus influenzae, Klebsiella pneumoniae, Streptococcus pneumoniae, Mycoplasma pneumoniae<\/em> v\u00e0 <em>Staphylococcus aureus<\/em>.<\/p>\n<p><strong>3.2 C\u00e1c \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i<\/strong><\/p>\n<ul>\n<li>C\u01a1 th\u1ec3 suy nh\u01b0\u1ee3c, suy dinh d\u01b0\u1ee1ng, gi\u00e0 y\u1ebfu.<\/li>\n<li>Nghi\u1ec7n r\u01b0\u1ee3u, nghi\u1ec7n thu\u1ed1c l\u00e1.<\/li>\n<li>Th\u1eddi ti\u1ebft l\u1ea1nh, b\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra v\u1ec1 m\u00f9a \u0111\u00f4ng.<\/li>\n<li>M\u1eafc b\u1ec7nh ph\u1ea3i n\u1eb1m \u0111i\u1ec1u tr\u1ecb l\u00e2u.<\/li>\n<li>B\u1ec7nh nh\u00e2n h\u00f4n m\u00ea, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o.<\/li>\n<li>Bi\u1ebfn d\u1ea1ng l\u1ed3ng ng\u1ef1c, g\u00f9, v\u1eb9o c\u1ed9t s\u1ed1ng.<\/li>\n<li>B\u1ec7nh l\u00fd tai m\u0169i h\u1ecdng: Vi\u00eam xoang, vi\u00eam amidan.<\/li>\n<li>C\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc nh\u01b0: B\u1ec7nh h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh, b\u1ec7nh l\u00fd tim m\u1ea1ch, tai bi\u1ebfn m\u1ea1ch n\u00e3o, Parkinson, b\u1ec7nh th\u1eadn m\u1ea1n, b\u1ec7nh gan m\u1ea1n, \u0111\u1ed9ng kinh, sa s\u00fat tr\u00ed tu\u1ec7.<\/li>\n<\/ul>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/chan-doan-va-dieu-tri-viem-phoi-cong-dong\/\">Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng<\/a><\/p>\n<p><strong>Ngu\u1ed3n t\u00e0i li\u1ec7u<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh h\u1ecdc n\u1ed9i khoa Tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i 2020<\/li>\n<li>PubMed: Community-Acquired Pneumonia<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng. B\u1ec7nh th\u01b0\u1eddng ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi gi\u00e0, tr\u1ebb em v\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng: Nguy\u00ean nh\u00e2n v\u00e0 b\u1ec7nh sinh<\/title>\n<meta name=\"description\" content=\"Vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn. 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