{"id":25189,"date":"2023-04-25T12:31:49","date_gmt":"2023-04-25T05:31:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25189"},"modified":"2023-04-25T12:31:49","modified_gmt":"2023-04-25T05:31:49","slug":"viem-phoi-do-vi-khuan-khong-dien-hinh-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/viem-phoi-do-vi-khuan-khong-dien-hinh-o-tre-em\/","title":{"rendered":"Vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em"},"content":{"rendered":"

Vi\u00eam ph\u1ed5i l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng vi\u00eam nhu m\u00f4 ph\u1ed5i, c\u00f3 th\u1ec3 lan to\u1ea3 hai b\u00ean ph\u1ed5i ho\u1eb7c t\u1eadp trung \u1edf m\u1ed9t thu\u1ef3 ph\u1ed5i. Vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh l\u00e0 m\u1ed9t trong c\u00e1c nh\u00f3m c\u0103n nguy\u00ean g\u00e2y vi\u00eam ph\u1ed5i \u1edf tr\u1ebb em. Lo\u1ea1i vi khu\u1ea9n n\u00e0y c\u00f3 c\u1ea5u tr\u00fac kh\u00f4ng c\u00f3 v\u00e1ch t\u1ebf b\u00e0o, ch\u1ec9 c\u00f3 m\u1ed9t m\u00e0ng b\u00e0o t\u01b0\u01a1ng m\u1ecfng xung quanh, kh\u00f4ng b\u1eaft m\u00e0u khi nhu\u1ed9m gram. Kh\u00e1ng sinh th\u00f4ng th\u01b0\u1eddng t\u00e1c \u0111\u1ed9ng l\u00ean v\u00e1ch t\u1ebf b\u00e0o kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng l\u00ean nh\u00f3m vi khu\u1ea9n n\u00e0y.<\/strong><\/p>\n

1. Nguy\u00ean nh\u00e2n vi khu\u1ea9n g\u00e2y vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em<\/h2>\n

C\u00f3 3 lo\u1ea1i vi khu\u1ea9n:<\/p>\n

– Mycoplasma pneumoniae 55 – 70%
\n– Chlamydia pneumoniae 10 – 15%
\n– Legionella pneumoniae 5 – 7%, th\u01b0\u1eddng g\u1eb7p tr\u00ean tr\u1ebb c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 suy gi\u1ea3m mi\u1ec5n d\u1ecbch, lo\u1ea1n s\u1ea3n ph\u1ebf qu\u1ea3n ph\u1ed5i, ho\u1eb7c d\u00f9ng Corticoid k\u00e9o d\u00e0i<\/p>\n

\"Mycoplasma
Mycoplasma pneumoniae l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y vi\u00eam ph\u1ed5i kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em<\/figcaption><\/figure>\n

\u0110\u1eb7c \u0111i\u1ec3m chung c\u1ee7a nh\u1eefng vi khu\u1ea9n n\u00e0y l\u00e0 ch\u00fang b\u00e1m v\u00e0o trong t\u1ebf b\u00e0o v\u1eadt ch\u1ee7 v\u00e0 ph\u00e1t tri\u1ec3n, ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o v\u1eadt ch\u1ee7, b\u1edfi c\u1ea5u tr\u00fac vi khu\u1ea9n b\u1ecb thi\u1ebfu h\u1ee5t m\u1ed9t ph\u1ea7n \u1edf th\u00e0nh v\u00e1ch t\u1ebf b\u00e0o, d\u1ec5 bi\u1ebfn th\u1ec3, kh\u00f4ng \u0111\u1ee7 ARN. Vi khu\u1ea9n c\u00f3 kh\u1ea3 n\u0103ng t\u1ea1o Hydrogen peroxit ph\u00e1 h\u1ee7y t\u1ebf b\u00e0o. Nh\u1eefng vi khu\u1ea9n n\u00e0y \u0111\u1ec1u l\u00e0 vi khu\u1ea9n Gram \u00e2m.<\/p>\n

2.Gi\u1ea3i ph\u1eabu b\u1ec7nh<\/h2>\n

T\u1ed5n th\u01b0\u01a1ng b\u1ed9 m\u00e1y h\u00f4 h\u1ea5p \u0111a d\u1ea1ng. Ch\u1ee7 y\u1ebfu \u1edf t\u1ed5 ch\u1ee9c k\u1ebd k\u00e8m t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i. C\u00e1c ti\u1ec3u ph\u1ebf qu\u1ea3n nh\u1ecf b\u1ecb ph\u00f9 n\u1ec1, ho\u1ea1i t\u1eed, ngh\u1ebdn t\u1eafc m\u1ea1ch. C\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o v\u00e0 t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n b\u1ecb vi khu\u1ea9n ph\u00e1 h\u1ee7y, t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 lan t\u1ecfa.<\/p>\n

3. L\u00e2m s\u00e0ng vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em<\/h2>\n

– Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/p>\n

    \n
  • \u0110a s\u1ed1 vi\u00eam ph\u1ed5i kh\u00f4ng \u0111i\u1ec3n h\u00ecnh c\u00f3 giai \u0111o\u1ea1n ti\u1ec1n tri\u1ec7u b\u1eb1ng tri\u1ec7u ch\u1ee9ng vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. \u0110\u00f4i khi kh\u1edfi ph\u00e1t nhanh \u0111\u1ed9t ng\u1ed9t.<\/li>\n
  • S\u1ed1t cao, s\u1ed1t li\u00ean t\u1ee5c > 39 – 40oC hay g\u1eb7p.<\/li>\n
  • Ho nhi\u1ec1u, th\u00e0nh c\u01a1n ho\u1eb7c ho khan l\u00fac \u0111\u1ea7u sau c\u00f3 \u0111\u1eddm khi \u1edf giai \u0111o\u1ea1n xu\u1ea5t ti\u1ebft trong l\u00f2ng \u0111\u01b0\u1eddng th\u1edf.<\/li>\n
  • Kh\u00e0n ti\u1ebfng khi ho nhi\u1ec1u<\/li>\n
  • Tr\u1ebb l\u1edbn c\u00f3 th\u1ec3 k\u00e8m \u0111au ng\u1ef1c, \u0111au c\u01a1.<\/li>\n
  • C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c: kh\u00f2 kh\u00e8, kh\u00f3 th\u1edf th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf<\/li>\n<\/ul>\n

    – Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3: nghe ph\u1ed5i c\u00f3 th\u1ec3 c\u00f3 rales \u1ea9m, rales r\u00edt, rales ng\u00e1y, ho\u1eb7c kh\u00f4ng nghe th\u1ea5y rales.<\/p>\n

    – T\u1ed5n th\u01b0\u01a1ng ngo\u00e0i ph\u1ed5i: t\u1ed5n th\u01b0\u01a1ng m\u00e0ng ph\u1ed5i, t\u1ed5n th\u01b0\u01a1ng gan l\u00e1ch, ph\u00e1t ban ngo\u00e0i da, r\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1, t\u1ed5n th\u01b0\u01a1ng tim m\u1ea1ch, th\u1ea7n kinh, vi\u00eam \u0111a kh\u1edbp v.v\u2026 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd vi\u00eam do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh<\/p>\n

    4. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n

    – X\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc: s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u kh\u00f4ng t\u0103ng ho\u1eb7c t\u0103ng nh\u1eb9, t\u1ef7 l\u1ec7 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh c\u00f3 th\u1ec3 kh\u00f4ng t\u0103ng. CRP th\u01b0\u1eddng t\u0103ng cao.
    \n– C\u00e1c x\u00e9t nghi\u1ec7m sinh h\u00f3a \u00edt c\u00f3 bi\u1ebfn \u0111\u1ed5i, khi c\u00f3 suy th\u1edf n\u1eb7ng, \u0111o kh\u00ed m\u00e1u s\u1ebd th\u1ea5y pH c\u00f3 th\u1ec3 gi\u1ea3m, paCO2 t\u0103ng, paO2 gi\u1ea3m, SaO2 gi\u1ea3m.
    \n– X\u00e9t nghi\u1ec7m vi sinh ch\u1ea9n \u0111o\u00e1n c\u0103n nguy\u00ean:<\/p>\n

      \n
    • PCR, realtime PCR t\u00ecm \u0111o\u1ea1n gen vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh t\u1eeb c\u00e1c b\u1ec7nh ph\u1ea9m d\u1ecbch ti\u1ebft h\u00f4 h\u1ea5p<\/li>\n
    • X\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 IgM (antibody) th\u01b0\u1eddng t\u0103ng trong m\u00e1u ng\u00e0y th\u1ee9 7-9 sau nhi\u1ec5m tr\u00f9ng, duy tr\u00ec \u0111\u1ec9nh cao g\u1ea5p 4 l\u1ea7n sau 3-4 tu\u1ea7n<\/li>\n
    • Test b\u1ed5 th\u1ec3 c\u1ed1 \u0111\u1ecbnh (complememt fixation test -CF test): cho k\u1ebft qu\u1ea3 kh\u00e1ng th\u1ec3 IgM v\u00e0 IgG s\u1edbm h\u01a1n ( ch\u1ee7 y\u1ebfu IgM)<\/li>\n
    • T\u00ecm kh\u00e1ng nguy\u00ean (Antigen): th\u00f4ng qua ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch g\u1eafn men kh\u00e1ng nguy\u00ean – kh\u00e1ng th\u1ec3<\/li>\n
    • Ph\u01b0\u01a1ng ph\u00e1p nu\u00f4i c\u1ea5y vi khu\u1ea9n tr\u1ef1c ti\u1ebfp: cho k\u1ebft qu\u1ea3 mu\u1ed9n sau 2-3 tu\u1ea7n, do \u0111\u00f3 th\u01b0\u1eddng \u00edt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/li>\n<\/ul>\n

      – Xquang: h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i tr\u00ean phim ch\u1ee7 y\u1ebfu l\u00e0 t\u1ed5n th\u01b0\u01a1ng \u1edf nhu m\u00f4, lan t\u1ecfa, h\u00ecnh l\u01b0\u1edbi, m\u1edd kh\u00f4ng \u0111\u1ec1u, r\u1ea3i r\u00e1c to\u00e0n b\u1ed9 2 ph\u1ebf tr\u01b0\u1eddng ki\u1ec3u h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng t\u1ed5 ch\u1ee9c k\u1ebd. \u0110\u00f4i khi c\u00f3 h\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1m m\u1edd \u0111\u1eadm t\u1eadp trung ki\u1ec3u ho\u1ea1i t\u1eed. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i m\u1ed9t ho\u1eb7c hai b\u00ean k\u00e8m theo, tuy l\u01b0\u1ee3ng d\u1ecbch kh\u00f4ng nhi\u1ec1u.<\/p>\n

      5. Ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em<\/h2>\n

      5.1. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/h3>\n

      – Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh vi\u00eam ph\u1ed5i theo ti\u00eau chu\u1ea9n c\u1ee7a B\u1ed9 Y T\u1ebf: ho, s\u1ed1t, k\u00e8m theo th\u1edf nhanh theo l\u1ee9a tu\u1ed5i<\/p>\n

      – Y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5: theo m\u00f9a, v\u00f9ng d\u1ecbch, l\u1ee9a tu\u1ed5i ( 3-15 tu\u1ed5i); bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng: di\u1ec5n bi\u1ebfn \u00e2m \u1ec9 sau t\u0103ng d\u1ea7n, ho khan theo c\u01a1n, Xquang t\u1ed5n th\u01b0\u01a1ng k\u1ebd ho\u1eb7c \u0111\u00e1m m\u1edd t\u1eadp trung c\u00f3 gi\u00e1 tr\u1ecb g\u1ee3i \u00fd.<\/p>\n

      – Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u0103n nguy\u00ean vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh: t\u00ecm \u0111\u01b0\u1ee3c b\u1eb1ng ch\u1ee9ng \u0111o\u1ea1n ADN c\u1ee7a vi khu\u1ea9n ( PCR) v\u00e0 \/ ho\u1eb7c x\u00e9t nghi\u1ec7m huy\u1ebft thanh h\u1ecdc kh\u00e1ng th\u1ec3 d\u01b0\u01a1ng t\u00ednh.<\/p>\n

      5.2. Ph\u00e2n lo\u1ea1i th\u1ec3 b\u1ec7nh:<\/h3>\n

      5.2.1. Vi\u00eam ph\u1ed5i n\u1eb7ng do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh<\/h4>\n

      Ch\u01b0a c\u00f3 thang \u0111i\u1ec3m ph\u00e2n lo\u1ea1i r\u00f5 m\u1ee9c \u0111\u1ed9 vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em. D\u1ef1a v\u00e0o thang \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i n\u1eb7ng c\u1ee7a hi\u1ec7p h\u1ed9i truy\u1ec1n nhi\u1ec5m Hoa K\u1ef3, ch\u1ea9n \u0111o\u00e1n khi:
      \n– C\u00f3 1 ti\u00eau chu\u1ea9n ch\u00ednh tr\u1edf l\u1ec7n:<\/p>\n

        \n
      • Th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o.<\/li>\n
      • S\u1ed1c nhi\u1ec5m khu\u1ea9n<\/li>\n<\/ul>\n

        – Ho\u1eb7c c\u00f3 2 trong c\u00e1c d\u1ea5u hi\u1ec7u sau:<\/p>\n

          \n
        • R\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c<\/li>\n
        • Th\u1edf nhanh<\/li>\n
        • Ng\u1eebng th\u1edf<\/li>\n
        • R\u1ed1i loan \u00fd th\u1ee9c<\/li>\n
        • H\u1ea1 huy\u1ebft \u00e1p<\/li>\n
        • Th\u00e2m nhi\u1ec5m nhi\u1ec1u thu\u1ef3 ph\u1ed5i.<\/li>\n
        • Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/li>\n
        • Sp02 < 90% th\u1edf kh\u00ed tr\u1eddi<\/li>\n
        • T\u1ef7 l\u1ec7 Pa02\/Fi02 < 250<\/li>\n<\/ul>\n

          5.2.2. Vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh:<\/h4>\n

          khi kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u b\u1ec7nh vi\u00eam ph\u1ed5i n\u1eb7ng<\/p>\n

          6. \u0110i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em<\/h2>\n

          6.1. Ch\u1ed1ng suy h\u00f4 h\u1ea5p:<\/h3>\n

          – N\u1ebfu c\u00f3 suy h\u00f4 h\u1ea5p c\u1ea7n s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p\u00a0 oxy, theo d\u00f5i s\u00e1t nh\u1ecbp th\u1edf, SaO2, kh\u00ed m\u00e1u, h\u00fat th\u00f4ng \u0111\u01b0\u1eddng th\u1edf.
          \n– Truy\u1ec1n d\u1ecbch: cung c\u1ea5p \u0111\u1ee7\u00a0 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i.<\/p>\n

          6.2. \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3:<\/h3>\n

          H\u1ea1 s\u1ed1t, cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng, calo theo nhu c\u1ea7u<\/p>\n

          6.3. Kh\u00e1ng sinh:<\/h3>\n

          – L\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean l\u00e0 kh\u00e1ng sinh nh\u00f3m Macrolid: Bao g\u1ed3m ho\u1eb7c Erythromycin (50 mg\/kg \/ng\u00e0y), Clarithromycin (15 mg \/kg \/ng\u00e0y) v\u00e0 Azythromycin (li\u1ec1u 10 mg\/kg\/ng\u00e0y).
          \n– Quinolone l\u00e0 nh\u00f3m kh\u00e1ng sinh ti\u1ebfp theo c\u00f3 hi\u1ec7u qu\u1ea3 cao v\u1edbi vi khu\u1ea9n g\u00e2y vi\u00eam ph\u1ed5i kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, Levofloxacin 20 mg\/kg\/ng\u00e0y.
          \n– C\u00f3 th\u1ec3 d\u00f9ng d\u1ea1ng u\u1ed1ng v\u1edbi th\u1ec3 vi\u00eam ph\u1ed5i kh\u00f4ng n\u1eb7ng. N\u00ean d\u00f9ng d\u1ea1ng kh\u00e1ng sinh ti\u00eam khi vi\u00eam ph\u1ed5i n\u1eb7ng, c\u00f3 suy h\u00f4 h\u1ea5p.<\/p>\n

          7. Ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em<\/h2>\n

          – Ph\u00f2ng b\u1ec7nh \u0111\u1eb7c hi\u1ec7u: hi\u1ec7n ch\u01b0a c\u00f3 vacxin ph\u00f2ng b\u1ec7nh \u0111\u1eb7c hi\u1ec7u 3 lo\u1ea1i vi khu\u1ea9n tr\u00ean.
          \n– Ph\u00f2ng b\u1ec7nh kh\u00f4ng \u0111\u1eb7c hi\u1ec7u ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o ch\u0103m s\u00f3c \u0111\u1ee7 dinh d\u01b0\u1ee1ng, ti\u00eam ch\u1ee7ng \u0111\u1ee7 theo l\u1ecbch, tr\u00e1nh \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng.<\/p>\n

          T\u00e0i li\u1ec7u tham kh\u1ea3o: B\u1ed9 Y T\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

          Vi\u00eam ph\u1ed5i l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng vi\u00eam nhu m\u00f4 ph\u1ed5i, c\u00f3 th\u1ec3 lan to\u1ea3 hai b\u00ean ph\u1ed5i ho\u1eb7c t\u1eadp trung \u1edf m\u1ed9t thu\u1ef3 ph\u1ed5i. Vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh l\u00e0 m\u1ed9t trong c\u00e1c nh\u00f3m c\u0103n nguy\u00ean g\u00e2y vi\u00eam ph\u1ed5i \u1edf tr\u1ebb em. Lo\u1ea1i vi khu\u1ea9n n\u00e0y c\u00f3 c\u1ea5u tr\u00fac kh\u00f4ng c\u00f3 v\u00e1ch t\u1ebf b\u00e0o, […]<\/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 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh l\u00e0 m\u1ed9t trong c\u00e1c nh\u00f3m c\u0103n nguy\u00ean g\u00e2y vi\u00eam ph\u1ed5i \u1edf tr\u1ebb em, g\u1eb7p nhi\u1ec1u nh\u1ea5t l\u00e0 Mycoplasma pneumoniae\" \/>\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 kh\u00f4ng \u0111i\u1ec3n h\u00ecnh \u1edf tr\u1ebb em - 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