{"id":26489,"date":"2023-04-25T12:27:41","date_gmt":"2023-04-25T05:27:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26489"},"modified":"2023-04-25T12:30:02","modified_gmt":"2023-04-25T05:30:02","slug":"huong-dan-chan-doan-va-dieu-tri-benh-cum-o-tre-em","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/huong-dan-chan-doan-va-dieu-tri-benh-cum-o-tre-em\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u00fam \u1edf tr\u1ebb em"},"content":{"rendered":"

C\u00fam l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh l\u00e2y lan nhanh theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, do vi r\u00fat c\u00fam g\u00e2y ra v\u1edbi nhi\u1ec1u ch\u1ee7ng kh\u00e1c nhau. B\u1ec7nh di\u1ec5n bi\u1ebfn \u0111a d\u1ea1ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng, c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch l\u1edbn. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh\u00a0 d\u1ef1a v\u00e0 l\u00e2m s\u00e0ng v\u00e0 d\u1ecbch t\u1ec5.<\/strong><\/p>\n

1. C\u0103n nguy\u00ean g\u00e2y b\u1ec7nh c\u00fam<\/h2>\n

C\u00f3 b\u1ed1n lo\u1ea1i vi-r\u00fat c\u00fam: A, B, C v\u00e0 D. Vi-r\u00fat c\u00fam A v\u00e0 B g\u00e2y ra c\u00e1c \u0111\u1ee3t d\u1ecbch b\u1ec7nh theo m\u00f9a \u1edf ng\u01b0\u1eddi (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u00fam m\u00f9a) . Vi-r\u00fat c\u00fam A l\u00e0 lo\u1ea1i vi-r\u00fat c\u00fam duy nh\u1ea5t \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 g\u00e2y ra \u0111\u1ea1i d\u1ecbch c\u00fam. M\u1ed9t \u0111\u1ea1i d\u1ecbch c\u00f3 th\u1ec3 x\u1ea3y ra khi m\u1ed9t lo\u1ea1i vi-r\u00fat c\u00fam A m\u1edbi v\u00e0 kh\u00e1c xu\u1ea5t hi\u1ec7n l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi, c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y lan nhanh gi\u1eefa ng\u01b0\u1eddi v\u1edbi ng\u01b0\u1eddi v\u00e0 con ng\u01b0\u1eddi c\u00f3 \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng mi\u1ec5n d\u1ecbch ch\u1ed1ng l\u1ea1i. Nhi\u1ec5m vi-r\u00fat c\u00fam C th\u01b0\u1eddng g\u00e2y b\u1ec7nh nh\u1eb9 v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c cho l\u00e0 g\u00e2y ra d\u1ecbch b\u1ec7nh \u1edf ng\u01b0\u1eddi.\u00a0Vi-r\u00fat c\u00fam D ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gia s\u00fac v\u00e0 l\u00e2y lan sang c\u00e1c \u0111\u1ed9ng v\u1eadt kh\u00e1c nh\u01b0ng kh\u00f4ng l\u00e2y nhi\u1ec5m sang ng\u01b0\u1eddi \u0111\u1ec3 g\u00e2y b\u1ec7nh.<\/p>\n

\"H\u00ecnh
H\u00ecnh \u1ea3nh vi r\u00fat c\u00fam A<\/figcaption><\/figure>\n

2. Ph\u01b0\u01a1ng th\u1ee9c l\u00e2y truy\u1ec1n c\u00fam<\/h2>\n

B\u1ec7nh c\u00fam l\u00e0 b\u1ec7nh c\u00f3 kh\u1ea3 n\u0103ng l\u00e2y nhi\u1ec5m r\u1ea5t cao v\u00e0 l\u00e2y truy\u1ec1n nhanh, c\u00f3 th\u1ec3 g\u00e2y d\u1ecbch v\u00e0 \u0111\u1ea1i d\u1ecbch. B\u1ec7nh l\u00e2y lan qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, qua kh\u00f4ng kh\u00ed gi\u1ecdt nh\u1ecf qua c\u00e1c gi\u1ecdt nh\u1ecf n\u01b0\u1edbc b\u1ecdt hay d\u1ecbch ti\u1ebft m\u0169i h\u1ecdng c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 ch\u1ee9a vi r\u00fat c\u00fam qua ho, h\u1eaft h\u01a1i. Vi r\u00fat v\u00e0o c\u01a1 th\u1ec3 qua \u0111\u01b0\u1eddng m\u0169i h\u1ecdng. T\u1ef7 l\u1ec7 l\u00e2y lan c\u00e0ng m\u1ea1nh khi ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u00e0 m\u1eadt thi\u1ebft, \u0111\u1eb7c bi\u1ec7t \u1edf n\u01a1i t\u1eadp trung \u0111\u00f4ng ng\u01b0\u1eddi nh\u01b0 tr\u01b0\u1eddng h\u1ecdc, nh\u00e0 tr\u1ebb. Trong \u0111i\u1ec1u ki\u1ec7n th\u1eddi ti\u1ebft l\u1ea1nh v\u00e0 \u1ea9m th\u1ea5p, t\u1ebf b\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng, l\u00e0m t\u0103ng t\u00ednh c\u1ea3m nhi\u1ec5m v\u1edbi b\u1ec7nh.<\/p>\n

3. L\u00e2m s\u00e0ng<\/h2>\n

3.1 H\u1ed9i ch\u1ee9ng c\u00fam<\/h3>\n

– S\u1ed1t cao k\u00e9o d\u00e0i 3 \u2013 7 ng\u00e0y. C\u00f3 th\u1ec3 s\u1ed1t 3-5 ng\u00e0y r\u1ed3i \u0111\u1ee1 s\u1ed1t 1-2 ng\u00e0y r\u1ed3i l\u1ea1i s\u1ed1t cao tr\u1edf l\u1ea1i.
\n– Vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean: ch\u1ea3y m\u0169i, ho, h\u1eaft h\u01a1i.
\n– \u0110au h\u1ecdng, ho khan, kh\u00e0n ti\u1ebfng, \u0111au t\u1ee9c ng\u1ef1c.
\n– \u0110au \u0111\u1ea7u: \u0111au \u0111\u1ea7u v\u00f9ng th\u00e1i d\u01b0\u01a1ng, v\u00f9ng tr\u00e1n, \u00f9 tai, qu\u1ea5y kh\u00f3c \u1edf tr\u1ebb nh\u1ecf.
\n– \u0110au c\u01a1: \u0111au m\u1ecfi c\u01a1, kh\u1edbp to\u00e0n th\u00e2n.<\/p>\n

3.2. H\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng \u2013 nhi\u1ec5m \u0111\u1ed9c.<\/h3>\n

C\u00f3 th\u1ec3 g\u1eb7p \u1edf th\u1ec3 n\u1eb7ng.<\/p>\n

– M\u00f4i kh\u00f4 l\u01b0\u1ee1i b\u1ea9n, m\u1ec7t m\u1ecfi.
\n– M\u1ea1ch nhanh, v\u00e3 m\u1ed3 h\u00f4i…
\n– Suy \u0111a ph\u1ee7 t\u1ea1ng.<\/p>\n

3.3. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/h3>\n

– Th\u01b0\u1eddng kh\u00f4ng th\u1ea5y t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ph\u1ed5i ho\u1eb7c c\u00f3 th\u1ec3 nghe ph\u1ed5i th\u1ea5y ran ng\u00e1y, r\u00edt.<\/p>\n

4. C\u1eadn l\u00e2m s\u00e0ng<\/h2>\n
    \n
  • CTM: gi\u1ea3m b\u1ea1ch c\u1ea7u.<\/li>\n
  • CRP: \u00e2m t\u00ednh.<\/li>\n
  • X quang ph\u1ed5i: kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng \u0111\u1eb7c hi\u1ec7u<\/li>\n
  • T\u00ecm vi r\u00fat c\u00fam trong d\u1ecbch t\u1ef5 h\u1ea7u: PCR, Test nhanh.<\/li>\n<\/ul>\n

    5. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u00fam:<\/h2>\n

    5.1. Tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd c\u00fam<\/h3>\n

    C\u00f3 y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5, s\u1ed1t v\u00e0 tri\u1ec7u ch\u1ee9ng vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n

    5.2. Tr\u01b0\u1eddng h\u1ee3p x\u00e1c \u0111\u1ecbnh \u0111\u00e3 m\u1eafc b\u1ec7nh c\u00fam<\/h3>\n

    – C\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u00fam.
    \n– X\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh kh\u1eb3ng \u0111\u1ecbnh nhi\u1ec5m vi r\u00fat c\u00fam.<\/p>\n

    5.3. Ng\u01b0\u1eddi l\u00e0nh mang vi r\u00fat c\u00fam<\/h3>\n

    – Kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nh\u01b0ng x\u00e9t nghi\u1ec7m c\u00f3 c\u00fam.
    \n– Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n

    \u00a06. Y\u1ebfu t\u1ed1 nguy c\u01a1 n\u1eb7ng<\/h2>\n

    – Tr\u1ebb nh\u1ecf d\u01b0\u1edbi 5 tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i.
    \n– M\u1eafc b\u1ec7nh m\u00e3n t\u00ednh kh\u00e1c.
    \n– C\u01a1 \u0111\u1ecba suy gi\u1ea3m mi\u1ec5n d\u1ecbch.
    \n– M\u1eafc b\u1ec7nh 2 l\u1ea7n trong v\u00f2ng 1 th\u00e1ng ho\u1eb7c b\u1ec7nh \u0111\u00e3 gi\u1ea3m nh\u01b0ng l\u1ea1i s\u1ed1t cao tr\u1edf l\u1ea1i.<\/p>\n

    7. C\u00fam \u00e1c t\u00ednh<\/h2>\n

    Th\u01b0\u1eddng di\u1ec5n bi\u1ebfn r\u1ea5t n\u1eb7ng v\u00e0 nhanh.
    \n– Tri\u1ec7u ch\u1ee9ng s\u1edbm gi\u1ed1ng nh\u01b0 c\u00fam th\u00f4ng th\u01b0\u1eddng.
    \n– Sau \u0111\u00f3 di\u1ec5n bi\u1ebfn r\u1ea5t nhanh, xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng:<\/p>\n

      \n
    • K\u00edch th\u00edch, v\u1eadt v\u00e3, m\u00ea s\u1ea3ng.<\/li>\n
    • Kh\u00f3 th\u1edf, t\u00edm t\u00e1i, suy h\u00f4 h\u1ea5p nhanh ch\u00f3ng, SPO2 gi\u1ea3m.<\/li>\n
    • R\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng.<\/li>\n
    • Ph\u00f9 ph\u1ed5i c\u1ea5p do \u0111\u1ed9c t\u1ed1 vi r\u00fat ho\u1eb7c qu\u00e1 t\u1ea3i d\u1ecbch.<\/li>\n
    • R\u1ed1i lo\u1ea1n nh\u1ecbp tim, vi\u00eam c\u01a1 tim.<\/li>\n
    • Ch\u1ee5p ph\u1ed5i: h\u00ecnh \u1ea3nh vi\u00eam ph\u1ed5i k\u1ebd lan t\u1ecfa, ti\u1ebfn tri\u1ec3n nhanh ch\u00f3ng, \u0111\u1eb7c hi\u1ec7u c\u1ee7a vi\u00eam ph\u1ed5i do vi r\u00fat.<\/li>\n<\/ul>\n

      8. Bi\u1ebfn ch\u1ee9ng<\/h2>\n

      – Vi\u00eam ph\u1ed5i: khi c\u00f3 b\u1ed9i nhi\u1ec5m th\u00ec b\u1ec7nh n\u1eb7ng l\u00ean r\u1ea5t nhi\u1ec1u, c\u00f3 th\u1ec3 b\u1ed9i nhi\u1ec5m vi khu\u1ea9n, n\u1ea5m.
      \n– Nhi\u1ec5m khu\u1ea9n tai \u2013 m\u0169i \u2013 h\u1ecdng.
      \n– Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.
      \n– Vi\u00eam n\u00e3o, m\u00e0ng n\u00e3o.
      \n– Vi\u00eam c\u01a1 tim.
      \n– Suy \u0111a ph\u1ee7 t\u1ea1ng.<\/p>\n

      9. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh c\u00fam<\/h2>\n

      9.1. Nguy\u00ean t\u1eafc chung \u0111i\u1ec1u tr\u1ecb:<\/h3>\n

      – B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1ch ly v\u00e0 th\u00f4ng b\u00e1o k\u1ecbp th\u1eddi cho c\u01a1 quan y t\u1ebf d\u1ef1 ph\u00f2ng.
      \n– D\u00f9ng thu\u1ed1c kh\u00e1ng vi r\u00fat \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c k\u1ebft h\u1ee3p (oseltamivir, zanamivir) c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, k\u1ec3 c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00f3 s\u1ed1t.
      \n– \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.
      \n– \u0110i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 \u1edf nh\u1eefng c\u01a1 s\u1edf th\u00edch h\u1ee3p v\u00e0 y\u00eau c\u1ea7u tuy\u1ebfn tr\u00ean gi\u00fap \u0111\u1ee1 \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/p>\n

      9.2. Th\u1ec3 th\u00f4ng th\u01b0\u1eddng:<\/h3>\n

      – Ch\u1ee7 y\u1ebfu l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u0103m s\u00f3c n\u00e2ng cao th\u1ec3 tr\u1ea1ng, ph\u00f2ng b\u1ed9i nhi\u1ec5m.
      \n– B\u1ea3o \u0111\u1ea3m ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng v\u00e0 ch\u0103m s\u00f3c
      \n– C\u00e1ch ly t\u01b0\u01a1ng \u0111\u1ed1i: tr\u1ebb \u1edf ph\u00f2ng ri\u00eang, h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac tr\u00e1nh l\u00e2y lan.
      \n– H\u1ea1 s\u1ed1t: ch\u01b0\u1eddm \u1ea5m, paracetamon.
      \n– Ph\u00f2ng co gi\u1eadt: khi s\u1ed1t cao tr\u00ean 38o5 d\u00f9ng phenobacbital, seduxen….
      \n– V\u1ec7 sinh c\u00e1 nh\u00e2n, nh\u1ecf m\u0169i dung d\u1ecbch NaCl 0,9%.
      \n– Kh\u00e1ng sinh: d\u00f9ng khi c\u00f3 b\u1ed9i nhi\u1ec5m.
      \n– H\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p khi c\u00f3 suy h\u00f4 h\u1ea5p:<\/p>\n

        \n
      • \u00a0N\u1eb1m \u0111\u1ea7u cao 30 – 45o.<\/li>\n
      • \u00a0Cho ng\u01b0\u1eddi b\u1ec7nh th\u1edf oxy v\u1edbi l\u01b0u l\u01b0\u1ee3ng th\u00edch h\u1ee3p.<\/li>\n
      • Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi th\u1edf oxy c\u1ea7n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p b\u1eb1ng m\u00e1y th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp ho\u1eb7c x\u00e2m nh\u1eadp.<\/li>\n<\/ul>\n

        – Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb suy \u0111a ph\u1ee7 t\u1ea1ng.
        \n– Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng \u0111i\u1ec1u tr\u1ecb gi\u1ed1ng nh\u01b0 c\u00fam A (H5N1) n\u1eb7ng \u0111\u00e3 \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ban h\u00e0nh.<\/p>\n

        9.3.Ti\u00eau chu\u1ea9n ra vi\u1ec7n:<\/h3>\n

        – N\u01a1i kh\u00f4ng c\u00f3 x\u00e9t nghi\u1ec7m RT-PCR:<\/p>\n

          \n
        • Sau khi h\u1ebft s\u1ed1t 3 ng\u00e0y.<\/li>\n
        • T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng \u1ed5n \u0111\u1ecbnh.<\/li>\n<\/ul>\n

          – N\u01a1i c\u00f3 x\u00e9t nghi\u1ec7m Real time RT-PCR:<\/p>\n

            \n
          • Sau khi h\u1ebft s\u1ed1t 3 ng\u00e0y.<\/li>\n
          • T\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng \u1ed5n \u0111\u1ecbnh.<\/li>\n
          • X\u00e9t nghi\u1ec7m l\u1ea1i RT-PCR vi r\u00fat c\u00fam A (H1N1) v\u00e0o ng\u00e0y th\u1ee9 t\u01b0 \u00e2m t\u00ednh. Trong tr\u01b0\u1eddng h\u1ee3p x\u00e9t nghi\u1ec7m l\u1ea1i v\u00e0o ng\u00e0y th\u1ee9 t\u01b0 v\u1eabn d\u01b0\u01a1ng t\u00ednh th\u00ec x\u00e9t nghi\u1ec7m l\u1ea1i v\u00e0o ng\u00e0y th\u1ee9 s\u00e1u.<\/li>\n<\/ul>\n

            9.4. Th\u1ec3 \u00e1c t\u00ednh:<\/h3>\n

            – Thu\u1ed1c kh\u00e1ng vi r\u00fat: ch\u1ec9 \u0111\u1ecbnh khi b\u1ec7nh nhi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 n\u1eb7ng ho\u1eb7c do m\u1ed9t s\u1ed1 ch\u1ee7ng vi r\u00fat \u0111\u1eb7c bi\u1ec7t nh\u01b0 H1N1, H5N1…… Thu\u1ed1c kh\u00e1ng vi r\u00fat hi\u1ec7n t\u1ea1i \u0111ang d\u00f9ng: Oseltamivir (Tamiflu)
            \n– Gamaglobulin ch\u1ed1ng c\u00fam, Interferon: ch\u1ec9 \u0111\u1ecbnh khi b\u1ec7nh n\u1eb7ng ho\u1eb7c do m\u1ed9t s\u1ed1 ch\u1ee7ng vi r\u00fat \u0111\u1eb7c bi\u1ec7t.
            \n– H\u00f4 h\u1ea5p h\u1ed7 tr\u1ee3: t\u00f9y m\u1ee9c \u0111\u1ed9 suy h\u00f4 h\u1ea5p, c\u00f3 th\u1ec3 th\u1edf oxy mask, NKQ,….
            \n– Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7, v\u1ec7 sinh c\u00e1 nh\u00e2n, m\u00f4i tr\u01b0\u1eddng.
            \n– \u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng: t\u00f9y theo bi\u1ebfn ch\u1ee9ng m\u00e0 c\u00f3 x\u1eed tr\u00ed ph\u00f9 h\u1ee3p.<\/p>\n

            10. Ph\u00f2ng b\u1ec7nh c\u00fam<\/h2>\n

            – V\u1eafc xin: ti\u00eam ch\u1ee7ng \u0111\u1ea7y \u0111\u1ee7, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1eafc xin ph\u00f2ng c\u00fam.
            \n– C\u00e1ch ly b\u1ec7nh nh\u00e2n, h\u1ea1n ch\u1ebf ngu\u1ed3n l\u00e2y.<\/p>\n

            T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n

              \n
            1. B\u1ed9 Y T\u1ebf<\/li>\n
            2. Cdc.gov<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

              C\u00fam l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh l\u00e2y lan nhanh theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, do vi r\u00fat c\u00fam g\u00e2y ra v\u1edbi nhi\u1ec1u ch\u1ee7ng kh\u00e1c nhau. B\u1ec7nh di\u1ec5n bi\u1ebfn \u0111a d\u1ea1ng t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng, c\u00f3 th\u1ec3 g\u00e2y th\u00e0nh d\u1ecbch l\u1edbn. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh\u00a0 d\u1ef1a v\u00e0 l\u00e2m s\u00e0ng v\u00e0 d\u1ecbch t\u1ec5. 1. C\u0103n nguy\u00ean g\u00e2y b\u1ec7nh […]<\/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":"\nH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u00fam \u1edf tr\u1ebb em -<\/title>\n<meta name=\"description\" content=\"C\u00fam l\u00e0 b\u1ec7nh truy\u1ec1n nhi\u1ec5m c\u1ea5p t\u00ednh l\u00e2y lan nhanh theo \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, do vi r\u00fat c\u00fam g\u00e2y ra. 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