{"id":22899,"date":"2023-04-17T15:07:12","date_gmt":"2023-04-17T08:07:12","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22899"},"modified":"2023-04-18T12:22:37","modified_gmt":"2023-04-18T05:22:37","slug":"danh-gia-tinh-trang-dinh-duong-cua-nguoi-benh-covid-19","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/danh-gia-tinh-trang-dinh-duong-cua-nguoi-benh-covid-19\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19"},"content":{"rendered":"

Ng\u01b0\u1eddi b\u1ec7nh COVID-19 ho\u1eb7c ng\u01b0\u1eddi c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m kh\u00e1c \u0111\u1ec1u t\u0103ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng do t\u0103ng ti\u00eau hao n\u0103ng l\u01b0\u1ee3ng, \u0111\u1ea1m (c\u01a1), l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 b\u1ecb thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng. Suy dinh d\u01b0\u1ee1ng (SDD) l\u00e0m t\u0103ng nguy c\u01a1 b\u1ed9i nhi\u1ec5m, k\u00e9o d\u00e0i th\u1eddi gian th\u1edf m\u00e1y, t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb . V\u00ec v\u1eady, cung c\u1ea5p dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nhCOVID-19 l\u00e0 thi\u1ebft y\u1ebfu, gi\u00fap n\u00e2ng cao th\u1ec3 tr\u1ea1ng, t\u0103ng c\u01b0\u1eddng mi\u1ec5n d\u1ecbch.<\/strong><\/p>\n

\"\u0110\u00e1nh
\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19 b\u1eb1ng ch\u1ec9 s\u1ed1 BMI<\/figcaption><\/figure>\n

1. S\u00e0ng l\u1ecdc nguy c\u01a1 suy dinh d\u01b0\u1ee1ng<\/b><\/h2>\n

– L\u00e0 b\u01b0\u1edbc c\u01a1 b\u1ea3n \u0111\u1ea7u ti\u00ean c\u1ea7n th\u1ef1c hi\u1ec7n cho t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n<\/p>\n

– S\u00e0ng l\u1ecdc nguy c\u01a1 suy dinh d\u01b0\u1ee1ng \u1edf b\u1ec7nh nh\u00e2n COVID-19 l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec suy dinh d\u01b0\u1ee1ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n, l\u00e0m gia t\u0103ng nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 d\u1eabn \u0111\u1ebfn t\u1eed vong. C\u00e1c b\u1ec7nh nh\u00e2n COVID-19 th\u01b0\u1eddng c\u00f3 nguy c\u01a1 suy dinh d\u01b0\u1ee1ng cao do nhi\u1ec1u nguy\u00ean nh\u00e2n, bao g\u1ed3m t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c, gi\u1ea3m c\u00e2n do m\u1ea5t n\u01b0\u1edbc v\u00e0 gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n, v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng.<\/p>\n

– N\u1ebfu nguy c\u01a1 suy dinh d\u01b0\u1ee1ng \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc v\u00e0 \u0111\u00e1nh gi\u00e1 k\u1ecbp th\u1eddi, dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1edbm c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, t\u0103ng c\u01b0\u1eddng mi\u1ec5n d\u1ecbch v\u00e0 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m chi ph\u00ed \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m th\u1eddi gian n\u1eb1m vi\u1ec7n. V\u00ec v\u1eady, vi\u1ec7c s\u00e0ng l\u1ecdc nguy c\u01a1 suy dinh d\u01b0\u1ee1ng \u1edf b\u1ec7nh nh\u00e2n COVID-19 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u1ea3n l\u00fd b\u1ec7nh v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. B\u1ec7nh vi\u1ec7n v\u00e0 c\u01a1 quan y t\u1ebf c\u1ea7n c\u00f3 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh dinh d\u01b0\u1ee1ng v\u00e0 \u0111\u00e0o t\u1ea1o cho nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ph\u00f9 h\u1ee3p.<\/p>\n

– S\u00e0ng l\u1ecdc dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c: D\u00f9ng thang \u0111i\u1ec3m NRS (Nutrition Risk Sreening). C\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng khi \u0111i\u1ec3m NRS \u22653 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n c\u00f3 k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c dinh d\u01b0\u1ee1ng.<\/p>\n

– S\u00e0ng l\u1ecdc dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c: D\u00f9ng NRS v\u00e0\/ho\u1eb7c b\u1ea3n hi\u1ec7u ch\u1ec9nh MNS (Modified Nutric Score ) (Xem ph\u1ee5 l\u1ee5c 2). C\u00f3 nguy c\u01a1 cao Suy dinh d\u01b0\u1ee1ng khi \u0111i\u1ec3m NRS \u22655 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb dinh d\u01b0\u1ee1ng t\u00edch c\u1ef1c (s\u1edbm, t\u00edch c\u1ef1c v\u00e0 theo d\u00f5i s\u00e1t)<\/p>\n

2. \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng<\/b><\/h2>\n

2.1 L\u00e2m s\u00e0ng<\/b><\/h3>\n

– BMI<\/a> (Ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3- Body Mass Index).<\/p>\n

\u00a0Ph\u00e2n lo\u1ea1i Suy dinh d\u01b0\u1ee1ng: Khi BMI c\u00f3 gi\u00e1 tr\u1ecb<\/p>\n

\u25cb T\u1eeb 17-18,49: Suy dinh d\u01b0\u1ee1ng nh\u1eb9<\/p>\n

\u25cb T\u1eeb 16- 16,9: Suy dinh d\u01b0\u1ee1ng v\u1eeba<\/p>\n

\u25cb D\u01b0\u1edbi 16: Suy dinh d\u01b0\u1ee1ng n\u1eb7ng<\/p>\n

\u00a0C\u00e1ch t\u00ednh BMI;<\/p>\n

BMI= (C\u00e2n n\u1eb7ng t\u00ednh theo kg: Gi\u00e1 tr\u1ecb b\u00ecnh ph\u01b0\u01a1ng c\u1ee7a chi\u1ec1u cao t\u00ednh theo m\u00e9t)<\/p>\n

– SGA (\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng t\u1ed5ng th\u1ec3 theo ch\u1ee7 quan- Subjective Global Assessment) (Xem ph\u1ee5 l\u1ee5c 3): G\u1ed3m 3 ph\u1ea7n<\/p>\n

\u25aa B\u1ec7nh s\u1eed: Khai th\u00e1c ti\u1ec1n s\u1eed thay \u0111\u1ed5i c\u00e2n n\u1eb7ng, kh\u1ea3 n\u0103ng \u0103n u\u1ed1ng tr\u01b0\u1edbc khi v\u00e0o vi\u1ec7n, c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng (kh\u00f4ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd c\u01a1 x\u01b0\u01a1ng kh\u1edbp, th\u1ea7n kinh), m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng chuy\u1ec3n h\u00f3a dinh d\u01b0\u1ee1ng li\u00ean quan b\u1ec7nh l\u00fd<\/p>\n

\u25aa Kh\u00e1m l\u00e2m s\u00e0ng: \u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 teo l\u1edbp m\u1ee1 d\u01b0\u1edbi da, v\u00f9ng c\u01a1 ngo\u1ea1i vi, ph\u00f9, b\u00e1ng b\u1ee5ng<\/p>\n

\u25aa Ph\u00e2n lo\u1ea1i Suy dinh d\u01b0\u1ee1ng:<\/p>\n

\u00a0SGA-A: T\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng b\u00ecnh th\u01b0\u1eddng<\/p>\n

\u00a0SGA-B: Suy dinh d\u01b0\u1ee1ng nh\u1eb9\/ v\u1eeba ho\u1eb7c nghi ng\u1edd<\/p>\n

\u00a0SGA-C: Suy dinh d\u01b0\u1ee1ng n\u1eb7ng<\/p>\n

2.2 C\u1eadn l\u00e2m s\u00e0ng<\/b><\/h3>\n

– Sinh h\u00f3a: Albumin\/ m\u00e1u (Th\u1ea5p khi <3,5g\/dL) v\u00e0\/ho\u1eb7c prealbumin\/m\u00e1u (Th\u1ea5p khi <20mg\/dL)<\/p>\n

– Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c (nh\u01b0 \u0111o s\u1ee9c co b\u00f3p b\u00e0n tay; x\u00e1c \u0111\u1ecbnh kh\u1ed1i c\u01a1, m\u1ee1, d\u1ecbch c\u01a1 th\u1ec3 b\u1eb1ng \u0111o tr\u1edf kh\u00e1ng \u0111i\u1ec7n v\u00e0\/ho\u1eb7c si\u00eau \u00e2m c\u01a1) t\u00f9y v\u00e0o \u0111i\u1ec1u ki\u1ec7n c\u1ee7a t\u1eebng \u0111\u01a1n v\u1ecb<\/p>\n

3. X\u00e1c \u0111\u1ecbnh nhu c\u1ea7u dinh d\u01b0\u1ee1ng<\/b><\/h2>\n

– C\u00f3 th\u1ec3 d\u00f9ng m\u00e1y \u0111o chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng gi\u00e1n ti\u1ebfp (Indirect Caloriemetry- IC) \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ti\u00eau hao n\u0103ng l\u01b0\u1ee3ng l\u00fac ngh\u1ec9 (Resting Energy Expenditure- REE), \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y, nh\u1eb1m tr\u00e1nh bi\u1ebfn ch\u1ee9ng do dinh d\u01b0\u1ee1ng thi\u1ebfu ho\u1eb7c th\u1eeba, t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng do dinh d\u01b0\u1ee1ng. Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 m\u00e1y IC, c\u00f3 th\u1ec3 d\u00f9ng c\u00f4ng th\u1ee9c d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng (CN) \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nhu c\u1ea7u dinh d\u01b0\u1ee1ng nh\u01b0 sau<\/p>\n

B\u1ea3ng : Nhu c\u1ea7u dinh d\u01b0\u1ee1ng<\/b><\/p>\n\n\n\n\n\n\n\n\n
<\/td>\n\n

Vi\u00eam \u0110\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, vi\u00eam ph\u1ed5i nh\u1eb9<\/b><\/p>\n<\/td>\n

\n

Vi\u00eam ph\u1ed5i n\u1eb7ng<\/b><\/p>\n<\/td>\n

\n

Th\u1edf m\u00e1y<\/b>
\n(H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c)<\/b><\/p>\n<\/td>\n<\/tr>\n

N\u0103ng l\u01b0\u1ee3ng<\/b><\/td>\n27kcal\/ kga<\/sup>\/ ng\u00e0y Ng\u01b0\u1eddi b\u1ec7nh >65 tu\u1ed5i c\u00f3 b\u1ec7nh l\u00fd k\u00e8m;<\/p>\n

30kcal\/ kga<\/sup>\/ ng\u00e0y Ng\u01b0\u1eddi b\u1ec7nh SDD c\u00f3 b\u1ec7nh l\u00fd k\u00e8m<\/td>\n

25-30kcal\/kga<\/sup>\/ng\u00e0y Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 CN b\u00ecnh th\u01b0\u1eddng ho\u1eb7c SDD;<\/p>\n

<25kcal\/kga<\/sup>\/ng\u00e0y n\u1ebfu BMI \u2265 25<\/td>\n

T\u1ed1t nh\u1ea5t \u0111o IC ho\u1eb7c 20-30kcal\/ kga<\/sup>\/ng\u00e0y;<\/p>\n

<20kcal\/kga<\/sup>\/ng\u00e0y n\u1ebfu BMI>30<\/td>\n<\/tr>\n

Protid<\/b>
\n(\u0110\u1ea1m)<\/b><\/td>\n		1g\/ kga<\/sup>\/ ng\u00e0y Ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i;<\/p>\n

\u22651g\/ kga<\/sup>\/ ng\u00e0y (nh\u01b0 1,0-1,3g\/ kga<\/sup>\/ ng\u00e0y)<\/td>\n

1,2-1,5g\/ kga\u00a0<\/sup>\/ng\u00e0y<\/td>\n1,3-2,0g\/kga<\/sup>\/ng\u00e0y<\/td>\n<\/tr>\n
N\u0103ng l\u01b0\u1ee3ng kh\u00f4ng t\u1eeb protid<\/b>b\u00a0<\/sup><\/b>(L:G)<\/b><\/td>\n30: 70<\/td>\n30: 70<\/p>\n

Tr\u00e1nh d\u00f9ng lipid ch\u1ee9a ho\u00e0n to\u00e0n axit b\u00e9o omega 6 (nh\u01b0 t\u1eeb \u0111\u1eadu n\u00e0nh)<\/td>\n

40: 60 ho\u1eb7c 50:50<\/p>\n

Tr\u00e1nh d\u00f9ng lipid ch\u1ee9a ho\u00e0n to\u00e0n axit b\u00e9o omega 6 (nh\u01b0 t\u1eeb \u0111\u1eadu n\u00e0nh)<\/td>\n<\/tr>\n

Vi ch\u1ea5t dinh d\u01b0\u1ee1ng<\/b><\/td>\n\u0110\u1ea7y \u0111\u1ee7 v\u00e0 c\u00e2n \u0111\u1ed1i theo khuy\u1ebfn ngh\u1ecb c\u01a1 b\u1ea3n<\/td>\n\u0110\u1ea7y \u0111\u1ee7 v\u00e0 c\u00e2n \u0111\u1ed1i theo khuy\u1ebfn ngh\u1ecb c\u01a1 b\u1ea3n<\/td>\n\u0110\u1ea7y \u0111\u1ee7 v\u00e0 c\u00e2n \u0111\u1ed1i theo khuy\u1ebfn ngh\u1ecb c\u01a1 b\u1ea3n<\/td>\n<\/tr>\n
D\u1ecbch<\/b><\/td>\n20-40ml\/ kga<\/sup>\/ ng\u00e0y<\/td>\n20-40ml\/ kga<\/sup>\/ ng\u00e0y ho\u1eb7c h\u1ea1n ch\u1ebf trong b\u1ec7nh suy th\u1eadn, suy tim<\/td>\nC\u00e2n b\u1eb1ng d\u1ecbch t\u00f9y t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed3i s\u1ee9c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

a. C\u00e2n n\u1eb7ng:<\/p>\n

– L\u00e0 c\u00e2n n\u1eb7ng hi\u1ec7n t\u1ea1i n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng b\u1ecb suy dinh d\u01b0\u1ee1ng, th\u1eeba c\u00e2n, b\u00e9o ph\u00ec<\/p>\n

– L\u00e0 c\u00e2n n\u1eb7ng tr\u01b0\u1edbc \u0111\u00f3 (c\u00e2n n\u1eb7ng th\u01b0\u1eddng c\u00f3) n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ecb s\u1ee5t c\u00e2n c\u1ea5p tr\u01b0\u1edbc v\u00e0o vi\u1ec7n<\/p>\n

– L\u00e0 c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh b\u1ecb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec<\/p>\n

b. N\u0103ng l\u01b0\u1ee3ng kh\u00f4ng t\u1eeb protid: Nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng – (s\u1ed1 gram protid\u00d74)<\/p>\n

T\u00f3m l\u1ea1i, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19 l\u00e0 v\u00f4 c\u00f9ng quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u0111\u00e1nh gi\u00e1 n\u00e0y gi\u00fap cho c\u00e1c b\u00e1c s\u0129 v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0a ra c\u00e1c quy\u1ebft \u0111\u1ecbnh h\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng nh\u1eb1m c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn dinh d\u01b0\u1ee1ng.<\/p>\n

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

Ng\u01b0\u1eddi b\u1ec7nh COVID-19 ho\u1eb7c ng\u01b0\u1eddi c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m kh\u00e1c \u0111\u1ec1u t\u0103ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng do t\u0103ng ti\u00eau hao n\u0103ng l\u01b0\u1ee3ng, \u0111\u1ea1m (c\u01a1), l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 b\u1ecb thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng. Suy dinh d\u01b0\u1ee1ng (SDD) l\u00e0m t\u0103ng nguy c\u01a1 b\u1ed9i nhi\u1ec5m, k\u00e9o d\u00e0i th\u1eddi gian th\u1edf m\u00e1y, t\u0103ng chi ph\u00ed \u0111i\u1ec1u […]<\/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":"\n\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19<\/title>\n<meta name=\"description\" content=\"Ng\u01b0\u1eddi b\u1ec7nh COVID-19 ho\u1eb7c ng\u01b0\u1eddi c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m kh\u00e1c \u0111\u1ec1u t\u0103ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng do t\u0103ng ti\u00eau hao n\u0103ng l\u01b0\u1ee3ng, \u0111\u1ea1m (c\u01a1), l\u00e0m cho ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" 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