{"id":22093,"date":"2023-04-20T10:57:09","date_gmt":"2023-04-20T03:57:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22093"},"modified":"2023-04-20T16:05:28","modified_gmt":"2023-04-20T09:05:28","slug":"anh-huong-cua-covid-19-den-benh-hen-va-copd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/20\/anh-huong-cua-covid-19-den-benh-hen-va-copd\/","title":{"rendered":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD"},"content":{"rendered":"

COVID-19 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD<\/a> (m\u1ed9t lo\u1ea1i b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh). Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 s\u1edbm s\u1ebd gi\u00fap tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 vi\u00eam ph\u1ed5i n\u1eb7ng, suy h\u00f4 h\u1ea5p v\u00e0 suy tim. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh hen v\u00e0 COPD m\u1eafc COVID-19, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00e1ch v\u00e0 k\u1ecbp th\u1eddi c\u0169ng r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng v\u00e0 t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd cung c\u1ea5p th\u00f4ng tin v\u1ec1 m\u1ed9t s\u1ed1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u1ee5 th\u1ec3.<\/strong><\/p>\n

\"Ng\u01b0\u1eddi
Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen khi m\u1eafc COVID-19 s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng cao ph\u00e1t tri\u1ec3n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n<\/figcaption><\/figure>\n

1. \u1ea2nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD<\/h2>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD:<\/p>\n

    \n
  • T\u0103ng nguy c\u01a1 l\u00e2y nhi\u1ec5m: Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen v\u00e0 COPD c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb nhi\u1ec5m COVID-19 do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch y\u1ebfu v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/li>\n
  • Tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n: Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen v\u00e0 COPD khi m\u1eafc COVID-19 s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng cao h\u01a1n ph\u00e1t tri\u1ec3n c\u00e1c tri\u1ec7u ch\u1ee9ng n\u1eb7ng h\u01a1n, bao g\u1ed3m kh\u00f3 th\u1edf, ho v\u00e0 \u0111au ng\u1ef1c. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 kh\u00f3 ch\u1ecbu v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh suy h\u00f4 h\u1ea5p nghi\u00eam tr\u1ecdng, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 g\u00e2y ra nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/li>\n
  • T\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng: Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen v\u00e0 COPD c\u00f3 nguy c\u01a1 cao h\u01a1n ph\u00e1t tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng sau khi m\u1eafc COVID-19, bao g\u1ed3m vi\u00eam ph\u1ed5i n\u1eb7ng, suy h\u00f4 h\u1ea5p v\u00e0 suy tim.<\/li>\n
  • Kh\u00f3 \u0111i\u1ec1u tr\u1ecb: Ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen v\u00e0 COPD khi m\u1eafc COVID-19 s\u1ebd kh\u00f3 \u0111i\u1ec1u tr\u1ecb h\u01a1n do b\u1ec7nh l\u00fd g\u1ed1c \u0111\u00e3 t\u1ed3n t\u1ea1i v\u00e0 th\u01b0\u1eddng c\u1ea7n s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng vi\u00eam v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n

    2. C\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/h2>\n

    2.1. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh b\u1ecb \u0111\u1ee3t c\u1ea5p b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh trong d\u1ecbch COVID-19.<\/h3>\n

    –\u00a0Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m\u00a0<\/span>x\u00e9t\u00a0nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n\u00a0<\/span>COVID-19\u00a0c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, \u0111\u1ed3ng th\u1eddi v\u1edbi vi\u1ec7c \u0111\u00e1nh gi\u00e1\u00a0<\/span>nhanh\u00a0v\u00e0\u00a0<\/span>theo\u00a0d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng \u0111\u1ee3t c\u1ea5p\u00a0<\/span>b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/p>\n

    –\u00a0H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh t\u1ef1 x\u1eed tr\u00ed \u0111\u1ee3t c\u1ea5p t\u1ea1i nh\u00e0\u00a0<\/span>theo\u00a0k\u1ebf ho\u1ea1ch h\u00e0nh \u0111\u1ed9ng: t\u0103ng li\u1ec1u thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n, d\u00f9ng th\u00eam\u00a0<\/span>corticoid\u00a0\u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c kh\u00e1ng\u00a0<\/span>sinh\u00a0(n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u \u0111\u1ee3t c\u1ea5p\u00a0<\/span>do\u00a0nhi\u1ec5m khu\u1ea9n). N\u1ebfu \u0111\u00e1p \u1ee9ng v\u1edbi ph\u00e1c \u0111\u1ed3 x\u1eed tr\u00ed\u00a0<\/span>ban\u00a0\u0111\u1ea7u th\u00ec t\u01b0 v\u1ea5n, h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb v\u00e0\u00a0<\/span>theo\u00a0d\u00f5i t\u1ea1i nh\u00e0. Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng, \u0111\u00e1p \u1ee9ng\u00a0<\/span>k\u00e9m\u00a0v\u1edbi \u0111i\u1ec1u tr\u1ecb\u00a0<\/span>ban\u00a0\u0111\u1ea7u t\u1ea1i nh\u00e0 ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ee3t c\u1ea5p m\u1ee9c \u0111\u1ed9\u00a0<\/span>trung\u00a0b\u00ecnh ho\u1eb7c n\u1eb7ng v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n: kh\u00f3 th\u1edf,\u00a0<\/span>suy\u00a0h\u00f4 h\u1ea5p, t\u00edm t\u00e1i,\u00a0<\/span>co k\u00e9o\u00a0c\u01a1 h\u00f4 h\u1ea5p, c\u1ea7n h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn c\u01a1 s\u1edf\u00a0<\/span>y\u00a0t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c\u00a0<\/span>h\u1ed7\u00a0tr\u1ee3.<\/span><\/p>\n

    –\u00a0Tr\u00e1nh s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p kh\u00ed\u00a0<\/span>dung.\u00a0H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh s\u1eed d\u1ee5ng b\u00ecnh\u00a0<\/span>phun\u00a0h\u00edt thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n\u00a0<\/span>(SABA, SAMA), ICS\/LABA, LABA\/LAMA, qua\u00a0bu\u1ed3ng \u0111\u1ec7m nh\u1eb1m tr\u00e1nh\u00a0<\/span>nguy\u00a0c\u01a1 l\u00e2y nhi\u1ec5m. Ho\u1eb7c d\u00f9ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n \u0111\u01b0\u1eddng u\u1ed1ng\u00a0<\/span>(salbutamol, bambuterol),\u00a0\u0111\u01b0\u1eddng ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch\u00a0<\/span>(salbutamol).<\/p>\n

    2.2. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh COVID c\u00f3 b\u1ec7nh n\u1ec1n l\u00e0 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh<\/h3>\n

    –\u00a0Nhi\u1ec5m\u00a0<\/span>COVID-19\u00a0c\u00f3 th\u1ec3 g\u00e2y\u00a0<\/span>ra\u00a0bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i n\u1eb7ng g\u00e2y\u00a0<\/span>suy\u00a0h\u00f4 h\u1ea5p,\u00a0<\/span>ARDS\u00a0ho\u1eb7c \u0111\u1ee3t c\u1ea5p c\u1ee7a\u00a0<\/span>BPTNMT.<\/p>\n

    –\u00a0\u00c1p d\u1ee5ng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng\u00a0<\/span>quy ngay\u00a0c\u1ea3\u00a0<\/span>khi\u00a0ng\u01b0\u1eddi b\u1ec7nh b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh<\/span>\u00a0m\u1eafc th\u00eam\u00a0<\/span>COVID-19.<\/p>\n

    –\u00a0N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh\u00a0<\/span>COVID-19\u00a0d\u00f9ng ph\u00e1c \u0111\u1ed3 c\u00f3\u00a0<\/span>azythromycin\u00a0th\u00ec tr\u00e1nh d\u00f9ng c\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n nh\u00f3m\u00a0<\/span>xanthin (theophyllin, th ostate, diaphyllin \u2026)\u00a0v\u00ec\u00a0<\/span>nguy\u00a0c\u01a1 t\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean\u00a0<\/span>tim\u00a0m\u1ea1ch.<\/span><\/p>\n

    2.3. X\u1eed tr\u00ed \u0111\u1ee3t c\u1ea5p hen ph\u1ebf qu\u1ea3n<\/h3>\n

    –\u00a0L\u01b0u \u00fd ph\u00e2n bi\u1ec7t tri\u1ec7u ch\u1ee9ng c\u1ee7a \u0111\u1ee3t c\u1ea5p\u00a0<\/span>hen\u00a0ph\u1ebf qu\u1ea3n v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p\u00a0<\/span>do\u00a0nhi\u1ec5m\u00a0<\/span>COVID-19.<\/p>\n

    –\u00a0Th\u1edf \u00f4xy\u00a0<\/span>qua\u00a0m\u1eb7t n\u1ea1 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o\u00a0<\/span>SpO2 93-95%\u00a0(tr\u1ebb\u00a0<\/span>em: 94-98%).<\/p>\n

    –\u00a0S\u1eed d\u1ee5ng\u00a0<\/span>corticosteroid\u00a0\u0111\u01b0\u1eddng to\u00e0n th\u00e2n \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c di\u1ec5n bi\u1ebfn n\u1eb7ng c\u1ee7a c\u01a1n\u00a0<\/span>hen\u00a0c\u1ea5p:\u00a0<\/span>prednisolone\u00a0ho\u1eb7c\u00a0<\/span>methylprednisolone\u00a0d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam truy\u1ec1n 1mg\/kg\/ng\u00e0y (tr\u1ebb\u00a0<\/span>em:\u00a01-2mg\/kg\/ng\u00e0y)\u00a0<\/span>trong 5-7\u00a0ng\u00e0y.<\/span><\/p>\n

    2.4. Ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec5m COVID-19 c\u00f3 b\u1ec7nh n\u1ec1n l\u00e0 hen ph\u1ebf qu\u1ea3n.<\/h3>\n

    –\u00a0Ti\u1ebfp t\u1ee5c\u00a0<\/span>duy\u00a0tr\u00ec ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ki\u1ec3m so\u00e1t \u0111ang s\u1eed d\u1ee5ng n\u1ebfu t\u00ecnh tr\u1ea1ng\u00a0<\/span>hen\u00a0\u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t. C\u1ea7n t\u0103ng b\u1eadc \u0111i\u1ec1u tr\u1ecb n\u1ebfu\u00a0<\/span>hen\u00a0ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t. Kh\u00f4ng gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u1eebng d\u00f9ng\u00a0<\/span>corticosteroid\u00a0d\u1ea1ng h\u00edt (n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111ang s\u1eed d\u1ee5ng).<\/span><\/p>\n

    –\u00a0\u1ede ng\u01b0\u1eddi b\u1ec7nh\u00a0<\/span>hen\u00a0m\u1eafc k\u00e8m vi\u00eam m\u0169i d\u1ecb \u1ee9ng, ti\u1ebfp t\u1ee5c ch\u1ec9 \u0111\u1ecbnh\u00a0<\/span>corticosteroid\u00a0x\u1ecbt m\u0169i n\u1ebfu \u0111ang s\u1eed d\u1ee5ng tr\u01b0\u1edbc \u0111\u00f3.<\/span><\/p>\n

    –\u00a0Ki\u1ec3m\u00a0<\/span>tra,\u00a0\u0111\u00e1nh gi\u00e1 l\u1ea1i b\u1ea3n k\u1ebf ho\u1ea1ch h\u00e0nh \u0111\u1ed9ng\u00a0<\/span>hen\u00a0v\u00e0 k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng b\u00ecnh h\u00edt\u00a0<\/span>trong\u00a0c\u00e1c l\u1ea7n t\u00e1i kh\u00e1m \u0111\u1ec3 k\u1ecbp th\u1eddi ch\u1ec9nh s\u1eeda n\u1ebfu c\u00f3\u00a0<\/span>sai\u00a0s\u00f3t. H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh t\u1ed1i \u0111a c\u00e1c y\u1ebfu t\u1ed1 k\u00edch ph\u00e1t c\u01a1n\u00a0<\/span>hen.<\/p>\n

    –\u00a0Ng\u01b0\u1eddi b\u1ec7nh\u00a0<\/span>hen\u00a0n\u1eb7ng \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ki\u1ec3m so\u00e1t b\u1eb1ng\u00a0<\/span>corticosteroid\u00a0u\u1ed1ng d\u00e0i h\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u1ec3 gi\u1ea3m\u00a0<\/span>nguy\u00a0c\u01a1 xu\u1ea5t hi\u1ec7n \u0111\u1ee3t c\u1ea5p n\u1eb7ng. C\u00e1c t\u00e1c nh\u00e2n\u00a0<\/span>sinh\u00a0h\u1ecdc c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m t\u1ed1i \u0111a\u00a0<\/span>nhu\u00a0c\u1ea7u s\u1eed d\u1ee5ng\u00a0<\/span>corticosteroid\u00a0u\u1ed1ng.<\/span><\/p>\n

    –\u00a0V\u1edbi ng\u01b0\u1eddi b\u1ec7nh vi\u00eam ph\u1ed5i\u00a0<\/span>do COVID-19\u00a0b\u1ecb b\u1ed9i nhi\u1ec5m c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng kh\u00e1ng\u00a0<\/span>sinh,\u00a0c\u1ea7n l\u01b0u \u00fd\u00a0<\/span>khai\u00a0th\u00e1c k\u1ef9 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng tr\u01b0\u1edbc s\u1eed d\u1ee5ng.<\/span><\/p>\n

    T\u00f3m l\u1ea1i, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen v\u00e0 COPD c\u1ea7n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd \u0111\u1ebfn vi\u1ec7c ph\u00f2ng ng\u1eeba COVID-19 b\u1eb1ng c\u00e1ch gi\u1eef kho\u1ea3ng c\u00e1ch x\u00e3 h\u1ed9i, \u0111eo kh\u1ea9u trang v\u00e0 r\u1eeda tay th\u01b0\u1eddng xuy\u00ean. N\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c nghi ng\u1edd m\u1eafc COVID-19, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n li\u00ean h\u1ec7 v\u1edbi c\u01a1 quan y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n","protected":false},"excerpt":{"rendered":"

    COVID-19 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD (m\u1ed9t lo\u1ea1i b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh). Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 s\u1edbm s\u1ebd gi\u00fap tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 vi\u00eam ph\u1ed5i n\u1eb7ng, suy h\u00f4 h\u1ea5p v\u00e0 suy tim. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh hen v\u00e0 COPD m\u1eafc […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,32],"tags":[3],"yoast_head":"\n\u1ea2nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD - Vinmec<\/title>\n<meta name=\"description\" content=\"COVID-19 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn b\u1ec7nh hen v\u00e0 COPD (m\u1ed9t lo\u1ea1i b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh). 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