{"id":22845,"date":"2023-04-19T16:37:52","date_gmt":"2023-04-19T09:37:52","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22845"},"modified":"2023-04-20T16:34:51","modified_gmt":"2023-04-20T09:34:51","slug":"nhiem-virus-adeno-co-bieu-hien-the-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/nhiem-virus-adeno-co-bieu-hien-the-nao\/","title":{"rendered":"Nhi\u1ec5m virus Adeno c\u00f3 bi\u1ec3u hi\u1ec7n th\u1ebf n\u00e0o?"},"content":{"rendered":"

Virus Adeno l\u00e0 m\u1ed9t lo\u1ea1i virus<\/a> g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 ti\u00eau ho\u00e1 \u1edf con ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb em. Bi\u1ec3u hi\u1ec7n c\u1ee7a nhi\u1ec5m virus Adeno c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i virus v\u00e0 \u0111\u1ed9 tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd cung c\u1ea5p th\u00f4ng tin v\u1ec1 tri\u1ec7u ch\u1ee9ng c\u1ee7a nhi\u1ec5m Adeno virus.<\/strong><\/p>\n

1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/span><\/b><\/h2>\n

Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m virus adeno g\u00e2<\/span>y\u00a0b\u1ec7nh \u1edf ng\u01b0\u1eddi (HAdV) r\u1ea5t \u0111a d\u1ea1ng, sau th\u1eddi gian \u1ee7 b\u1ec7nh, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ed9t hay nhi\u1ec1u tri\u1ec7u ch\u1ee9ng nh\u01b0: s\u1ed1t, \u0111au \u0111\u1ea7u, ho khan, \u0111au h\u1ecdng, ngh\u1eb9t m\u0169i\/s\u1ed5 m\u0169i, bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng. Giai \u0111o\u1ea1n to\u00e0n ph\u00e1t t\u00f9y theo c\u00e1c nh\u00f3m (type) HAdV kh\u00e1c nhau m\u00e0 b\u1ec7nh bi\u1ec3u hi\u1ec7n c\u00f3 c\u00e1c th\u1ec3 kh\u00e1c nhau.<\/span><\/p>\n

\"S\u1ed1t
S\u1ed1t l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a nhi\u1ec5m vi rus Adeno<\/figcaption><\/figure>\n

1.1. Th\u1ec3 s\u1ed1t vi\u00eam h\u1ecdng – k\u1ebft m\u1ea1c<\/span><\/b><\/h3>\n

Th\u1ec3 b\u1ec7nh n\u00e0y th\u01b0\u1eddng do type 3 v\u00e0 type 7 c\u1ee7a HadV g\u00e2y n\u00ean v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m s\u1ed1t c\u1ea5p t\u00ednh v\u00e0 g\u00e2y d\u1ecbch: s\u1ed1t cao, \u0111au m\u1eaft \u0111\u1ecf k\u00e8m s\u01b0ng v\u00e0 \u0111au h\u1ecdng.<\/span><\/p>\n

1.2. Th\u1ec3 vi\u00eam k\u1ebft m\u1ea1c 2 b\u00ean<\/span><\/b><\/h3>\n

Tri\u1ec7u ch\u1ee9ng: giai \u0111o\u1ea1n 3<\/span>\u00a0<\/span>–<\/span>\u00a0<\/span>5 ng\u00e0y \u0111\u1ea7u c\u00f3 s\u1ed1t nh\u1eb9, s\u01b0ng h\u1ea1ch c\u1ed5 2 b\u00ean, \u0111au m\u1eaft, s\u1ee3 \u00e1nh s\u00e1ng, nh\u00ecn m\u1edd, ph\u00f9 mi m\u1eaft v\u00e0 t\u1ed5 ch\u1ee9c xung quanh h\u1ed1<\/span>c\u00a0m\u1eaft, tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n \u1edf m\u1ee9c trung b\u00ecnh ho\u1eb7c nh\u1eb9.<\/span><\/p>\n

Sau 7 ng\u00e0y, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p tr\u00ean gi\u00e1c m\u1ea1c c\u00f3 nh\u1eefng \u0111\u00e1m th\u00e2m nhi\u1ec5m tr\u00f2n, nh\u1ecf c\u00f3 th\u1ec3 t\u1ea1o th\u00e0nh nh\u1eefng \u0111\u00e1m lo\u00e9t g\u00e2y \u0111au v\u00e0 th\u1ee7ng gi\u00e1c m\u1ea1c. Vi\u00eam k\u1ebft m\u1ea1c th\u01b0\u1eddng kh\u1ecfi trong v\u00f2ng 3 ho\u1eb7c 4 tu\u1ea7n, t\u1ed5n th<\/span>\u01b0\u01a1ng gi\u00e1c m\u1ea1c c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i l\u00e2u h<\/span>\u01a1n, \u0111\u1ec3 l\u1ea1i nh\u1eefng v\u1ebft m\u1edd tr\u00ean gi\u00e1c m\u1ea1c l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ecb gi\u00e1c trong v\u00e0i tu\u1ea7n ho\u1eb7c \u0111\u00f4i khi \u0111\u1ec3 l\u1ea1i s\u1eb9o v\u0129nh vi\u1ec5n.<\/span><\/p>\n

1.3. Th\u1ec3 vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ea5p<\/span><\/b><\/h3>\n

Th\u1ec3 b\u1ec7nh c\u0169ng ch\u1ee7 y\u1ebfu do type 3 v\u00e0 type 7 g\u00e2y n\u00ean. C\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng bao g\u1ed3m: s\u1ed1t cao \u0111\u00e1p \u1ee9ng k\u00e9m v\u1edbi thu\u1ed1c h\u1ea1 s\u1ed1t, ho, \u0111au h\u1ecdng, s\u1ed5 m\u0169i, ng\u1ea1t m\u0169i v\u00e0 s\u01b0ng h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00f9ng c\u1ed5 2 b\u00ean.<\/span><\/p>\n

Kho\u1ea3ng 10% b\u1ec7nh ti\u1ebfn tri\u1ec3n \u0111\u1ebfn vi\u00eam ph\u1ed5i. Bi\u1ec3u hi\u1ec7n c\u1ee7a vi\u00eam ph\u1ed5i khi tr\u1ebb v\u1eabn s\u1ed1t cao k\u00e8m ho t\u0103ng, c\u00f3 \u0111\u1eddm, th\u1edf nhanh (< 2 th\u00e1ng: \u2265 60 l\u1ea7n\/ph\u00fat; 2<\/span>\u00a0<\/span>–<\/span>\u00a0<\/span>11 th\u00e1ng: \u2265 50 l\u1ea7n\/ph\u00fat; 1 – 5 tu\u1ed5i: \u2265 40 l\u1ea7n\/ph\u00fat), co r\u00fat l\u1ed3ng ng\u1ef1c ho\u1eb7c th\u1edf r\u00ean (tr\u1ebb < 2 th\u00e1ng), ti\u1ebfn tri\u1ec3n n\u1eb7ng khi c\u00f3 suy h\u00f4 h\u1ea5p: ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, kh\u00f3 th\u1edf, t\u00edm t\u00e1i.<\/span><\/p>\n

M\u1ed9t s\u1ed1 tr\u1ebb c\u00f3 di\u1ec5n bi\u1ebfn n\u1eb7ng, xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ec3u hi\u1ec7n n\u1eb7ng nh\u01b0 h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p ti\u1ebfn tri\u1ec3n, nhi\u1ec5m khu\u1ea9n huy\u1ebft, s\u1ed1c nhi\u1ec5m tr\u00f9ng v\u00e0 suy \u0111a t\u1ea1ng.<\/span><\/p>\n

1.4. Th\u1ec3 vi\u00eam d\u1ea1 d\u00e0y – ru\u1ed9t<\/span><\/b><\/h3>\n

Th\u1ec3 vi\u00eam d\u1ea1 d\u00e0y – ru\u1ed9t th\u01b0\u1eddng do type 40 v\u00e0 41 g\u00e2y n\u00ean, HadV l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam d\u1ea1 d\u00e0y ru\u1ed9t hay g\u1eb7p sau\u00a0rotavirus\u00a0v\u00e0\u00a0norovirus. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p l\u00e0: s\u1ed1t, n\u00f4n, \u0111au b\u1ee5ng v\u00e0 ti\u00eau ch\u1ea3y, c\u00f3 th\u1ec3 vi\u00eam \u0111\u1ea1i tr\u00e0ng xu\u1ea5t huy\u1ebft nh\u01b0ng \u00edt g\u1eb7p.<\/span><\/p>\n

1.5. C\u00e1c th\u1ec3 b\u1ec7nh \u00edt g\u1eb7p<\/span><\/b><\/h3>\n

Th\u1ec3 b\u1ec7nh \u00edt g\u1eb7p bao\u00a0<\/span>g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec3u kh\u00f3, ti\u1ec3u r\u1eaft, ti\u1ec3u m\u00e1u trong vi\u00eam b\u00e0ng quang xu<\/span>\u1ea5t huy\u1ebft, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn. Ngo\u00e0i ra bi\u1ec3u hi\u1ec7n r\u1ea5t hi\u1ebfm g\u1eb7p nh\u01b0 vi\u00eam m\u00f4 \u1ed1ng th\u1eadn ho\u1ea1i t\u1eed, suy th\u1eadn, vi\u00eam n\u00e3o – m\u00e0ng n\u00e3o, vi\u00eam c\u01a1 tim, vi\u00eam gan c\u1ea5p, vi\u00eam t\u00fai m\u1eadt v\u00e0 vi\u00eam t\u1ee5y c\u1ea5p…<\/span><\/p>\n

2. X\u00e9t nghi\u1ec7m<\/span><\/b><\/h2>\n

2.1. X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n c\u0103n nguy\u00ean<\/span><\/b><\/h3>\n

– X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n:<\/span><\/p>\n

+ S\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt nu\u00f4i c\u1ea5y vi r\u00fat, huy\u1ebft thanh h\u1ecdc v\u00e0 sinh h\u1ecdc ph\u00e2n t\u1eed \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u1eeb v\u1eadt ch\u1ea5t di truy\u1ec1n DNA c\u1ee7a vi r\u00fat (Real-time PCR). K\u1ef9 thu\u1eadt nu\u00f4i c\u1ea5y th\u01b0\u1eddng ch\u1ec9 \u00e1p d\u1ee5ng trong c\u00e1c c\u01a1 s\u1edf nghi\u00ean c\u1ee9u.<\/span><\/p>\n

+ Huy\u1ebft thanh h\u1ecdc l\u00e0 k\u1ef9 thu\u1eadt ph\u00e1t hi\u1ec7n kh\u00e1ng nguy\u00ean ho\u1eb7c kh\u00e1ng th\u1ec3, k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng l\u00e0 test nhanh (rapid test) ho\u1eb7c ELISA. Test nhanh t\u00ecm kh\u00e1ng<\/span>\u00a0<\/span>nguy\u00ean c\u1ee7a vi r\u00fat adeno c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1eb7c hi\u1ec7u kho\u1ea3ng 60 – 70% th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 s\u00e0ng l\u1ecdc. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n kh\u1eb3ng \u0111\u1ecbnh c\u1ea7n l\u00e0m Real-time PCR.<\/span><\/p>\n

– X\u00e9t nghi\u1ec7m kh\u1eb3ng \u0111\u1ecbnh vi r\u00fat adeno b\u1eb1ng x\u00e9t nghi\u1ec7m Real-time PCR trong d\u1ecbch t\u1ef5 h\u1ea7u (c\u00f3 th\u1ec3 l\u1ea5y d\u1ecbch n\u1ed9i kh\u00ed qu\u1ea3n ho\u1eb7c d\u1ecbch r\u1eeda ph\u1ebf qu\u1ea3n ph\u1ebf nang), x\u00e9t nghi\u1ec7m c\u00f3 gi\u00e1 tr\u1ecb trong ch<\/span>\u1ea9n \u0111o\u00e1n c\u0103n nguy\u00ean g\u00e2y vi\u00eam ph\u1ebf qu\u1ea3n ph\u1ed5i v\u1edbi \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u cao nh\u1ea5t. X\u00e9t nghi\u1ec7m Real-time PCR b\u1ec7nh ph\u1ea9m m\u00e1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh theo y\u00eau c\u1ea7u c\u1ee5 th\u1ec3 c\u1ee7a ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

– Ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m Real-time PCR t\u00ecm vi r\u00fat adeno:<\/span><\/p>\n

+ S\u1ed1t cao li\u00ean t\u1ee5c tr\u00ean 48 gi\u1edd, \u0111\u00e1p \u1ee9ng k\u00e9m v\u1edbi thu\u1ed1c h\u1ea1 s\u1ed1t,\u00a0v\u00e0<\/span><\/p>\n

+ Bi\u1ec3u hi\u1ec7n vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, vi\u00eam k\u1ebft m\u1ea1c, n\u00f4n, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a,\u00a0v\u00e0<\/span><\/p>\n

+ X\u00e9t nghi\u1ec7m ph\u1ea3n \u1ee9ng vi\u00eam kh\u00f4ng \u0111\u1eb7c hi\u1ec7u t\u0103ng cao, ho\u1eb7c c\u00f3 b\u1ec7nh k\u00e8m<\/span>\u00a0<\/span>theo.<\/span><\/p>\n

2.2. X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, sinh h\u00f3a m\u00e1u v\u00e0 vi sinh, sinh h\u1ecdc ph\u00e2n t\u1eed<\/span><\/b><\/h3>\n

Nh\u1eefng bi\u1ebfn \u0111\u1ed5i v\u1ec1 x\u00e9t nghi\u1ec7m sinh h\u00f3a, huy\u1ebft h\u1ecdc c\u1ee7a nhi\u1ec5m vi r\u00fat adeno th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. Ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m t\u00f9y theo m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh v\u00e0 \u0111i\u1ec1u ki\u1ec7n c\u1ee7a c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

– T\u1ed5ng ph\u00e2n t\u00edch t\u1ebf b\u00e0o m\u00e1u: B\u1ea1ch c\u1ea7u b\u00ecnh th\u01b0\u1eddng ho\u1eb7c gi\u1ea3m nh\u1eb9. B\u1ea1ch c\u1ea7u lympho gi\u1ea3m n\u1eb7ng, thi\u1ebfu m\u00e1u v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/span><\/p>\n

– C\u00e1c ch\u1ec9 s\u1ed1 vi\u00eam c\u00f3 th\u1ec3 t\u0103ng: CRP ho\u1eb7c procalcitonin v\u00e0\/ho\u1eb7c ferritin, v\u00e0\/ho\u1eb7c LDH v\u00e0\/ho\u1eb7c IL-6.<\/span><\/p>\n

– C\u00e1c x\u00e9t nghi\u1ec7m gi\u00fap ch\u1ea9n \u0111o\u00e1n bi\u1ebfn ch\u1ee9ng, m\u1ee9c \u0111\u1ed9 b\u1ec7nh: \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3, \u0111\u01b0\u1eddng m\u00e1u, albumin, ch\u1ee9c n\u0103ng gan th\u1eadn, kh\u00ed m\u00e1u, lactate, t\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u.<\/span><\/p>\n

– V\u1edbi m\u1ee9c \u0111\u1ed9 n\u1eb7ng, ngu<\/span>y\u00a0k\u1ecbch: \u0110\u00f4ng m\u00e1u c\u01a1 b\u1ea3n (PT, aPTT, Fibrinogen, D-dimer), mi\u1ec5n d\u1ecbch d\u1ecbch th<\/span>\u1ec3\u00a0(IgA, IgG, IgM) mi\u1ec5n d\u1ecbch t\u1ebf b\u00e0o (CD3, CD4, CD8). N\u1ebfu nghi ng\u1edd c\u00f3 bi\u1ec3u hi\u1ec7n \u1edf tim m\u1ea1ch: CK-MB, troponin I\/T, BNP\/NT-pro-BNP)<\/span>.<\/p>\n

– C\u00e1c x\u00e9t nghi\u1ec7m vi sinh: c\u1ea5y m\u00e1u, c\u1ea5y d\u1ecbch t\u1ef5 h\u1ea7u, d\u1ecbch n\u1ed9i kh\u00ed qu\u1ea3n, d\u1ecbch r\u1eeda ph\u1ebf qu\u1ea3n – ph\u1ebf nang, mycoplasma, n\u1ea5m, lao v\u00e0 c\u00e1c vi r\u00fat kh\u00e1c t\u00f9y t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

2.3. Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/span><\/b><\/h3>\n

– Xquang tim ph\u1ed5i c\u00f3 th\u1ec3 c\u00f3 h\u00ecnh \u1ea3nh m\u1edd ph\u1ebf nang khu tr\u00fa \u1edf m\u1ed9t th\u00f9y, nhi\u1ec1u th\u00f9y hay lan t\u1ecfa hai ph\u1ebf tr\u01b0\u1eddng; \u1ee9 kh\u00ed xen k\u1ebd \u0111\u00e1m m\u1edd r\u1ea3i r\u00e1c; tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i khu tr\u00fa, m\u1edd r\u00e3nh li\u00ean th\u00f9y.<\/span><\/p>\n

– Si\u00eau \u00e2m ph\u1ed5i h\u00ecnh \u1ea3nh B – line \u0111\u1eb7c tr\u01b0ng c\u1ee7a vi\u00eam ph\u1ed5i do vi r\u00fat, \u0111\u00f4ng \u0111\u1eb7c d\u01b0\u1edbi m\u00e0ng ph\u1ed5i. Si\u00eau \u00e2m \u1ed5 b\u1ee5ng \u0111\u1ec3 lo\u1ea1i tr\u1eeb l\u1ed3ng ru\u1ed9t, vi\u00eam ru\u1ed9t th\u1eeba, vi\u00eam t\u1ee5y c\u1ea5p.<\/span><\/p>\n

– CT scan ph\u1ed5i khi t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa tr\u00ean Xquang ph\u1ed5i: h\u00ecnh \u1ea3nh \u0111\u00f4ng \u0111\u1eb7c nhu m\u00f4 ph<\/span>\u1ed5i, k\u00ednh m\u1edd lan t\u1ecfa k\u00e8m \u1ee9 kh\u00ed xen k\u1ebd.<\/span><\/p>\n

– Si\u00eau \u00e2m tim trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng ho\u1eb7c nghi ng\u1edd c\u00f3 bi\u1ec3u hi\u1ec7n \u1edf tim m\u1ea1ch.<\/span><\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Virus Adeno l\u00e0 m\u1ed9t lo\u1ea1i virus g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 ti\u00eau ho\u00e1 \u1edf con ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb em. Bi\u1ec3u hi\u1ec7n c\u1ee7a nhi\u1ec5m virus Adeno c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i virus v\u00e0 \u0111\u1ed9 tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd cung c\u1ea5p th\u00f4ng tin […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nNhi\u1ec5m virus Adeno c\u00f3 bi\u1ec3u hi\u1ec7n th\u1ebf n\u00e0o? - Vinmec<\/title>\n<meta name=\"description\" content=\"Virus Adeno l\u00e0 m\u1ed9t lo\u1ea1i virus g\u00e2y nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 ti\u00eau ho\u00e1 \u1edf con ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb em. 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