{"id":25187,"date":"2023-04-25T01:31:00","date_gmt":"2023-04-24T18:31:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25187"},"modified":"2023-04-29T20:31:15","modified_gmt":"2023-04-29T13:31:15","slug":"viem-phoi-do-vi-khuan-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/viem-phoi-do-vi-khuan-o-tre-em\/","title":{"rendered":"Vi\u00eam ph\u1ed5i do vi khu\u1ea9n \u1edf tr\u1ebb em"},"content":{"rendered":"

Vi\u00eam ph\u1ed5i l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong \u1edf tr\u1ebb nh\u1ecf, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i, s\u01a1 sinh, tr\u1ebb suy dinh d\u01b0\u1ee1ng. C\u0103n nguy\u00ean g\u00e2y b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e0 vi khu\u1ea9n. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m. Vi\u00eam ph\u1ed5i n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 suy h\u00f4 h\u1ea5p, tr\u00e0n d\u1ecbch tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, \u00e1p xe ph\u1ed5i, nhi\u1ec5m khu\u1ea9n huy\u1ebft\u2026<\/strong><\/p>\n

1. Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh vi\u00eam ph\u1ed5i<\/h2>\n

1.1. Nguy\u00ean nh\u00e2n theo l\u1ee9a tu\u1ed5i<\/h3>\n

– Tr\u1ebb s\u01a1 sinh: li\u00ean c\u1ea7u B, tr\u1ef1c khu\u1ea9n Gram \u00e2m \u0111\u01b0\u1eddng ru\u1ed9t, Listeria monocytogent, Chlamydia trachomatis<\/p>\n

– Tr\u1ebb 2 th\u00e1ng \u0111\u1ebfn 5 tu\u1ed5i: ph\u1ebf c\u1ea7u, HI, M. pneumonia, t\u1ee5 c\u1ea7u…<\/p>\n

– Tr\u1ebb tr\u00ean 5 tu\u1ed5i: Mycoplasma, ph\u1ebf c\u1ea7u, t\u1ee5 c\u1ea7u<\/p>\n

1.2.Y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i<\/h3>\n

– Tr\u1ebb nh\u1ecf d\u01b0\u1edbi 1 tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t tr\u1ebb s\u01a1 sinh<\/p>\n

– Tr\u1ebb \u0111\u1ebb c\u00e2n n\u1eb7ng th\u1ea5p (<2500g)<\/p>\n

– Nu\u00f4i d\u01b0\u1ee1ng k\u00e9m, thi\u1ebfu s\u1eefa m\u1eb9, suy dinh d\u01b0\u1ee1ng, c\u00f2i x\u01b0\u01a1ng<\/p>\n

– M\u1eafc c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh nh\u01b0: vi\u00eam m\u0169i h\u1ecdng, VA, hen ph\u1ebf qu\u1ea3n v\u00e0 c\u00e1c b\u1ec7nh to\u00e0n th\u00e2n nh\u01b0 s\u1edfi, ho g\u00e0, c\u00fam, thu\u1ef7 \u0111\u1eadu,\u2026<\/p>\n

– Kh\u00ed h\u1eadu l\u1ea1nh, th\u1eddi ti\u1ebft thay \u0111\u1ed5i, \u0111\u1ed9 \u1ea9m cao<\/p>\n

– M\u00f4i tr\u01b0\u1eddng \u00f4 nhi\u1ec5m: nh\u00e0 \u1edf ch\u1eadt ch\u1ed9i, \u1ea9m th\u1ea5p, kh\u00f3i b\u1ebfp, kh\u00f3i thu\u1ed1c l\u00e1, b\u1ee5i,\u2026<\/p>\n

– Tr\u1ebb c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, th\u1ec3 t\u1ea1ng ti\u1ebft d\u1ecbch\u2026<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i<\/h2>\n

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

Ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng (vi\u00eam ph\u1ed5i, vi\u00eam ph\u1ed5i n\u1eb7ng) \u1edf tr\u1ebb em ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng.<\/p>\n

2.1.1 Vi\u00eam ph\u1ed5i<\/h4>\n

Tr\u1ebb ho, s\u1ed1t k\u00e8m theo \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u:<\/p>\n

– Th\u1edf nhanh:<\/p>\n

    \n
  • < 2 th\u00e1ng tu\u1ed5i \u2265 60 l\u1ea7n\/ph\u00fat<\/li>\n
  • 2 – \u2264 12 th\u00e1ng tu\u1ed5i \u2265 50 l\u1ea7n\/ph\u00fat<\/li>\n
  • 1-5 tu\u1ed5i \u2265 40 l\u1ea7n\/ph\u00fat<\/li>\n
  • > 5 tu\u1ed5i \u2265 30 l\u1ea7n\/ph\u00fat<\/li>\n<\/ul>\n

    – R\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c (ph\u1ea7n d\u01b0\u1edbi l\u1ed3ng ng\u1ef1c l\u00f5m v\u00e0o \u1edf th\u00ec h\u00edt v\u00e0o)<\/p>\n

    – Nghe ph\u1ed5i c\u00f3 ti\u1ebfng b\u1ea5t th\u01b0\u1eddng: ran \u1ea9m nh\u1ecf h\u1ea1t, ran ph\u1ebf qu\u1ea3n, ran n\u1ed5,\u00a0gi\u1ea3m th\u00f4ng kh\u00ed khu tr\u00fa.<\/p>\n

    2.1.2 Vi\u00eam ph\u1ed5i n\u1eb7ng<\/h4>\n

    Ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i n\u1eb7ng khi tr\u1ebb c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam ph\u1ed5i k\u00e8m theo \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u sau:<\/p>\n

    – D\u1ea5u hi\u1ec7u to\u00e0n th\u00e2n n\u1eb7ng:<\/p>\n

      \n
    • B\u1ecf b\u00fa ho\u1eb7c kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c<\/li>\n
    • R\u1ed1i lo\u1ea1n tri gi\u00e1c: l\u01a1 m\u01a1 ho\u1eb7c h\u00f4n m\u00ea<\/li>\n
    • Co gi\u1eadt<\/li>\n<\/ul>\n

      – D\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p n\u1eb7ng<\/p>\n

        \n
      • Th\u1edf r\u00ean<\/li>\n
      • R\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c r\u1ea5t n\u1eb7ng<\/li>\n
      • T\u00edm t\u00e1i ho\u1eb7c SpO2 < 90%<\/li>\n<\/ul>\n

        – Tr\u1ebb d\u01b0\u1edbi 2 th\u00e1ng tu\u1ed5i<\/p>\n

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

        – X quang tim ph\u1ed5i th\u1eb3ng: \u0111\u00e1m m\u1edd ranh gi\u1edbi kh\u00f4ng r\u00f5 lan to\u1ea3 hai ph\u1ed5i ho\u1eb7c h\u00ecnh m\u1edd h\u1ec7 th\u1ed1ng b\u00ean trong c\u00f3 h\u00ecnh \u1ea3nh ph\u1ebf qu\u1ea3n ch\u1ee9a kh\u00ed. C\u00f3 th\u1ec3 th\u1ea5y t\u1ed5n th\u01b0\u1eddng \u0111a d\u1ea1ng trong vi\u00eam ph\u1ed5i kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/span><\/p>\n

        \"H\u00ecnh
        H\u00ecnh \u1ea3nh Xquang vi\u00eam ph\u1ed5i<\/figcaption><\/figure>\n

        – C\u00f4ng th\u1ee9c m\u00e1u v\u00e0 CRP: b\u1ea1ch c\u1ea7u m\u00e1u ngo\u1ea1i vi, b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh, CRP m\u00e1u th\u01b0\u1eddng t\u0103ng cao khi vi\u00eam ph\u1ed5i do vi khu\u1ea9n; b\u00ecnh th\u01b0\u1eddng n\u1ebfu do virus ho\u1eb7c do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh<\/p>\n

        – X\u00e9t nghi\u1ec7m t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh: d\u1ecbch h\u00f4 h\u1ea5p (d\u1ecbch t\u1ef5 h\u1ea7u, d\u1ecbch n\u1ed9i kh\u00ed qu\u1ea3n, d\u1ecbch r\u1eeda ph\u1ebf qu\u1ea3n): soi t\u01b0\u01a1i, nu\u00f4i c\u1ea5y. V\u1edbi vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nh\u1edd PCR t\u00ecm nguy\u00ean nh\u00e2n t\u1eeb d\u1ecbch h\u00f4 h\u1ea5p ho\u1eb7c ELISA t\u00ecm kh\u00e1ng th\u1ec3 trong m\u00e1u.<\/p>\n

        3.\u0110i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i<\/h2>\n

        3.1. Vi\u00eam ph\u1ed5i<\/h3>\n

        – \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa.
        \n– H\u01b0\u1edbng d\u1eabn b\u00e0 m\u1eb9 ch\u0103m s\u00f3c t\u1ea1i nh\u00e0: c\u00e1ch cho tr\u1ebb u\u1ed1ng thu\u1ed1c, c\u00e1c nu\u00f4i d\u01b0\u1ee1ng, c\u00e1ch l\u00e0m th\u00f4ng tho\u00e1ng m\u0169i, theo d\u00f5i v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u n\u1eb7ng \u0111\u1ec3 \u0111\u01b0a \u0111\u1ebfn kh\u00e1m l\u1ea1i ngay.
        \n– \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh:<\/p>\n

        a. Tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i:<\/p>\n

        U\u1ed1ng m\u1ed9t trong c\u00e1c kh\u00e1ng sinh sau:<\/p>\n

          \n
        • Amoxicillin 80mg\/kg\/24 gi\u1edd, chia 2 l\u1ea7n ho\u1eb7c<\/li>\n
        • Amoxicillin \u2013 clavulanic 80mg\/kg\/24 gi\u1edd, chia 2 l\u1ea7n .Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 5 ng\u00e0y.<\/li>\n
        • N\u1ebfu tr\u1ebb d\u1ecb \u1ee9ng v\u1edbi nh\u00f3m Beta \u2013 lactam ho\u1eb7c nghi ng\u1edd vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh th\u00ec d\u00f9ng nh\u00f3m Macrolid: (Azithromycin, Clarithromycin ho\u1eb7c Erythromycin).<\/li>\n<\/ul>\n

          b. Tr\u1ebb tr\u00ean 5 tu\u1ed5i:
          \nVi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh r\u1ea5t th\u01b0\u1eddng g\u1eb7p. Kh\u00e1ng sinh l\u1ef1a ch\u1ecdn ban \u0111\u1ea7u l\u00e0 nh\u00f3m Macrolid. D\u00f9ng m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

            \n
          • Erythromycin 40 mg\/kg\/24 gi\u1edd, chia 3 l\u1ea7n, u\u1ed1ng khi \u0111\u00f3i. Ho\u1eb7c<\/li>\n
          • Clarithromycin 15 mg\/kg\/24 gi\u1edd, u\u1ed1ng, chia 2 l\u1ea7n. Ho\u1eb7c<\/li>\n
          • Azithromycin 10 mg\/kg\/24 gi\u1edd, u\u1ed1ng m\u1ed9t l\u1ea7n khi \u0111\u00f3i.<\/li>\n
          • Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 7-10 ng\u00e0y. Azithromycin c\u00f3 th\u1ec3 d\u00f9ng 5 ng\u00e0y.<\/li>\n<\/ul>\n

            3.2 Vi\u00eam ph\u1ed5i n\u1eb7ng<\/h3>\n

            Tr\u1ebb vi\u00eam ph\u1ed5i n\u1eb7ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n.
            \n– Ch\u1ed1ng suy h\u00f4 h\u1ea5p:<\/p>\n

              \n
            • B\u1ec7nh nh\u00e2n n\u1eb1m \u1edf n\u01a1i tho\u00e1ng, m\u00e1t, y\u00ean t\u0129nh.<\/li>\n
            • Th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf.<\/li>\n
            • Th\u1edf oxy khi SpO2<90%. Tu\u1ef3 m\u1ee9c \u0111\u1ed9 suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 th\u1edf mask, g\u1ecdng m\u0169i, th\u1edf li\u00ean t\u1ee5c hay ng\u1eaft qu\u00e3ng, th\u1edf CPAP<\/li>\n<\/ul>\n

              – \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/p>\n

                \n
              • H\u1ea1 s\u1ed1t khi nhi\u1ec7t \u0111\u1ed9 \u226538.5oC, d\u00f9ng Paracetamol 10 \u2013 15 mg\/kg\/l\u1ea7n c\u00e1ch m\u1ed7i 6 gi\u1edd. Cho tr\u1ebb n\u1eb1m trong ph\u00f2ng tho\u00e1ng, lau ng\u01b0\u1eddi b\u1eb1ng n\u01b0\u1edbc \u1ea5m<\/li>\n
              • Ch\u1ed1ng h\u1ea1 nhi\u1ec7t \u0111\u1ed9: khi th\u00e2n nhi\u1ec7t \u0111o \u1edf n\u00e1ch d\u01b0\u1edbi 36 \u0111\u1ed9 C, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u1ee7 \u1ea5m.<\/li>\n
              • Cung c\u1ea5p \u0111\u1ee7 n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i v\u00e0 dinh d\u01b0\u1ee1ng<\/li>\n
              • Ph\u00f2ng l\u00e2y ch\u00e9o v\u00e0 nhi\u1ec5m khu\u1ea9n b\u1ec7nh vi\u1ec7n.<\/li>\n<\/ul>\n

                – \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh
                \nKh\u00e1ng sinh l\u1ef1a ch\u1ecdn ban \u0111\u1ea7u thu\u1ed9c nh\u00f3m Penicilline A k\u1ebft h\u1ee3p m\u1ed9t thu\u1ed1c thu\u1ed9c nh\u00f3m Aminosid. L\u1ef1a ch\u1ecdn:<\/p>\n

                  \n
                • Ampicillin 200mg\/kg\/24 gi\u1edd, chia 4 l\u1ea7n, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm c\u00e1ch m\u1ed7i 6 gi\u1edd. Ho\u1eb7c<\/li>\n
                • Amoxicillin-clavulanic 90mg\/kg\/24 gi\u1edd, chia 3 l\u1ea7n, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm ho\u1eb7c ti\u00eam b\u1eafp c\u00e1ch m\u1ed7i 8 gi\u1edd.<\/li>\n
                • K\u1ebft h\u1ee3p v\u1edbi Gentamicin 7,5mg\/kg ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 30 ph\u00fat ho\u1eb7c ti\u00eam b\u1eafp m\u1ed9t l\u1ea7n. C\u00f3 th\u1ec3 thay th\u1ebf b\u1eb1ng Amikacin 15mg\/kg ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm ho\u1eb7c ti\u00eam b\u1eafp.<\/li>\n
                • D\u00f9ng Ceftriaxon 80mg\/kg\/24h ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 1 l\u1ea7n ho\u1eb7c Cefotaxim 100 \u2013 200 mg\/kg\/24 gi\u1edd, chia 2 – 3 l\u1ea7n ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm ; d\u00f9ng khi th\u1ea5t b\u1ea1i v\u1edbi c\u00e1c thu\u1ed1c tr\u00ean ho\u1eb7c d\u00f9ng ngay t\u1eeb \u0111\u1ea7u.<\/li>\n
                • Th\u1eddi gian d\u00f9ng kh\u00e1ng sinh \u00edt nh\u1ea5t 5 ng\u00e0y.<\/li>\n
                • N\u1ebfu c\u00f3 b\u1eb1ng ch\u1ee9ng vi\u00eam ph\u1ed5i m\u00e0ng ph\u1ed5i do t\u1ee5 c\u1ea7u nh\u1ea1y v\u1edbi Methicilline (c\u1ed9ng \u0111\u1ed3ng), d\u00f9ng Oxacillin ho\u1eb7c Cloxacillin 200mg\/kg\/24 gi\u1edd, chia 4 l\u1ea7n, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm. K\u1ebft h\u1ee3p v\u1edbi Gentamycin 7,5mg \/ kg \/ 24 gi\u1edd, ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm. Ch\u1ecdc h\u00fat ho\u1eb7c d\u1eabn l\u01b0u m\u1ee7 khi c\u00f3 tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i. \u0110i\u1ec1u tr\u1ecb \u00edt nh\u1ea5t 3 tu\u1ea7n.<\/li>\n
                • N\u1ebfu c\u00f3 b\u1eb1ng ch\u1ee9ng vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh: u\u1ed1ng Macrolid n\u1ebfu tr\u1ebb kh\u00f4ng suy h\u1ea5p. N\u1ebfu tr\u1ebb suy h\u00f4 h\u1ea5p, d\u00f9ng Levofloxacin ti\u00eam t\u0129nh m\u1ea1ch ch\u1eadm 15-20 mg\/kg\/12h, ng\u00e0y hai l\u1ea7n. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 1- 2 tu\u1ea7n.<\/li>\n<\/ul>\n

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

                  Vi\u00eam ph\u1ed5i l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong \u1edf tr\u1ebb nh\u1ecf, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i, s\u01a1 sinh, tr\u1ebb suy dinh d\u01b0\u1ee1ng. C\u0103n nguy\u00ean g\u00e2y b\u1ec7nh ch\u1ee7 y\u1ebfu l\u00e0 vi khu\u1ea9n. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh k\u1ebft h\u1ee3p v\u1edbi \u0111i\u1ec1u […]<\/p>\n","protected":false},"author":39,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,15,33],"tags":[],"yoast_head":"\nVi\u00eam ph\u1ed5i do vi khu\u1ea9n \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam ph\u1ed5i l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong \u1edf tr\u1ebb nh\u1ecf, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i, s\u01a1 sinh,\u2026\" \/>\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\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vi\u00eam ph\u1ed5i do vi khu\u1ea9n \u1edf tr\u1ebb em - 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