{"id":31012,"date":"2023-05-04T17:13:55","date_gmt":"2023-05-04T10:13:55","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31012"},"modified":"2023-05-08T12:38:27","modified_gmt":"2023-05-08T05:38:27","slug":"viem-phe-quan-cap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/viem-phe-quan-cap\/","title":{"rendered":"Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u1edf ng\u01b0\u1eddi l\u1edbn: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p k\u1ecbp th\u1eddi v\u00e0 ch\u00ednh x\u00e1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p c\u1ee7a B\u1ed9 Y t\u1ebf 2012.<\/strong><\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/h1>\n

Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ea5p t\u00ednh c\u1ee7a ni\u00eam m\u1ea1c ph\u1ebf qu\u1ea3n \u1edf ng\u01b0\u1eddi tr\u01b0\u1edbc \u0111\u00f3 kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng. B\u1ec7nh kh\u1ecfi ho\u00e0n to\u00e0n kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng do nhi\u1ec5m virus, vi khu\u1ea9n ho\u1eb7c c\u1ea3 hai lo\u1ea1i.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n

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

2.1.1. L\u00e2m s\u00e0ng<\/em><\/strong><\/p>\n

– Kh\u1edfi ph\u00e1t b\u1eb1ng vi\u00eam long \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u1edbi s\u1ed1t nh\u1eb9, vi\u00eam m\u0169i h\u1ecdng (h\u1eaft h\u01a1i, s\u1ed5 m\u0169i, \u0111au r\u00e1t h\u1ecdng), c\u00f3 th\u1ec3 vi\u00eam m\u0169i m\u1ee7, vi\u00eam xoang, vi\u00eam ami\u0111an, vi\u00eam tai gi\u1eefa; sau lan xu\u1ed1ng kh\u00ed – ph\u1ebf qu\u1ea3n.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng kh\u00f4ng s\u1ed1t, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 s\u1ed1t nh\u1eb9, ho\u1eb7c s\u1ed1t cao.<\/p>\n

– Ho: nh\u1eefng ng\u00e0y \u0111\u1ea7u th\u01b0\u1eddng c\u00f3 ho khan, c\u00f3 khi ho \u00f4ng \u1ed5ng, ho t\u1eebng c\u01a1n, dai d\u1eb3ng, c\u1ea3m gi\u00e1c r\u00e1t b\u1ecfng sau x\u01b0\u01a1ng \u1ee9c, kh\u00e0n ti\u1ebfng.<\/p>\n

– Kh\u1ea1c \u0111\u1eddm: \u0111\u1eddm c\u00f3 th\u1ec3 m\u00e0u tr\u1eafng trong, ho\u1eb7c \u0111\u1eddm c\u00f3 m\u00e0u v\u00e0ng, xanh, ho\u1eb7c \u0111\u1ee5c nh\u01b0 m\u1ee7.<\/p>\n

– Kh\u00e1m ph\u1ed5i: th\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p th\u1ea5y c\u00f3 ran ng\u00e1y, ho\u1eb7c c\u00f3 th\u1ec3 c\u1ea3 ran r\u00edt.<\/p>\n

2.1.2. C\u1eadn l\u00e2m s\u00e0ng<\/em><\/strong><\/p>\n

– X-quang ph\u1ed5i b\u00ecnh th\u01b0\u1eddng ho\u1eb7c c\u00f3 th\u1ec3 th\u1ea5y th\u00e0nh ph\u1ebf qu\u1ea3n d\u00e0y.<\/p>\n

– X\u00e9t nghi\u1ec7m: c\u00f3 th\u1ec3 c\u00f3 s\u1ed1 l\u01b0\u1ee3ng b\u1ea1ch c\u1ea7u v\u00e0 t\u1ed1c \u0111\u1ed9 m\u00e1u l\u1eafng t\u0103ng trong tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m vi khu\u1ea9n.<\/p>\n

\"\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 Ngu\u1ed3n: Medscape<\/strong><\/figcaption><\/figure>\n

2.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/em><\/strong><\/h3>\n

– Vi\u00eam ph\u1ed5i:<\/strong> kh\u00e1m ph\u1ed5i th\u1ea5y ran \u1ea9m, n\u1ed5 khu tr\u00fa; ch\u1ee5p X-quang ph\u1ed5i th\u1ea5y h\u00ecnh \u0111\u00e1m m\u1edd, tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec3n h\u00ecnh th\u1ea5y \u0111\u00e1m m\u1edd h\u00ecnh tam gi\u00e1c v\u1edbi \u0111\u00e1y quay ra ngo\u00e0i, \u0111\u1ec9nh quay v\u1ec1 ph\u00eda r\u1ed1n ph\u1ed5i.<\/p>\n

– Hen ph\u1ebf qu\u1ea3n:<\/strong> c\u00f3 th\u1ec3 c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng. Ho, kh\u00f3 th\u1edf th\u00e0nh c\u01a1n, th\u01b0\u1eddng v\u1ec1 \u0111\u00eam v\u00e0 khi thay \u0111\u1ed5i th\u1eddi ti\u1ebft, kh\u00f3 th\u1edf ra, c\u00f3 ti\u1ebfng c\u00f2 c\u1ee9, sau c\u01a1n hen th\u00ec h\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng. \u0110\u00e1p \u1ee9ng t\u1ed1t v\u1edbi li\u1ec7u ph\u00e1p corticoid v\u00e0 thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n.<\/p>\n

– Gi\u00e3n ph\u1ebf qu\u1ea3n b\u1ed9i nhi\u1ec5m:<\/strong> ti\u1ec1n s\u1eed ho kh\u1ea1c \u0111\u1eddm k\u00e9o d\u00e0i, c\u00f3 c\u00e1c \u0111\u1ee3t nhi\u1ec5m khu\u1ea9n t\u00e1i di\u1ec5n, nghe ph\u1ed5i: ran n\u1ed5, ran \u1ea9m 2 b\u00ean. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c l\u1edbp m\u1ecfng 1 mm \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao gi\u00fap ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh.<\/p>\n

– D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf:<\/strong> ti\u1ec1n s\u1eed c\u00f3 h\u1ed9i ch\u1ee9ng x\u00e2m nh\u1eadp, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ho kh\u1ea1c \u0111\u1eddm ho\u1eb7c ho m\u00e1u, vi\u00eam ph\u1ed5i t\u00e1i di\u1ec5n nhi\u1ec1u \u0111\u1ee3t sau ch\u1ed7 t\u1eafc do d\u1ecb v\u1eadt. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c, soi ph\u1ebf qu\u1ea3n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n d\u1ecb v\u1eadt.<\/p>\n

– Lao ph\u1ed5i:<\/strong> ho kh\u1ea1c \u0111\u1eddm k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 ho m\u00e1u, s\u1ed1t nh\u1eb9 v\u1ec1 chi\u1ec1u. X- quang ph\u1ed5i th\u1ea5y t\u1ed5n th\u01b0\u01a1ng nghi lao (th\u00e2m nhi\u1ec5m, n\u1ed1t, hang, x\u01a1). Soi, c\u1ea5y \u0111\u1eddm c\u00f3 vi khu\u1ea9n lao.<\/p>\n

– Ung th\u01b0 ph\u1ed5i, ph\u1ebf qu\u1ea3n:<\/strong> ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1, thu\u1ed1c l\u00e0o nhi\u1ec1u n\u0103m. L\u00e2m s\u00e0ng c\u00f3 th\u1ec3 ho m\u00e1u, \u0111au ng\u1ef1c, g\u1ea7y s\u00fat c\u00e2n. X-quang v\u00e0\/ho\u1eb7c c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c c\u00f3 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng \u0111\u00e1m m\u1edd ho\u1eb7c x\u1eb9p ph\u1ed5i. N\u1ed9i soi ph\u1ebf qu\u1ea3n v\u00e0 sinh thi\u1ebft cho ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n

– \u0110\u1ee3t c\u1ea5p suy tim sung huy\u1ebft:<\/strong> ti\u1ec1n s\u1eed c\u00f3 b\u1ec7nh tim m\u1ea1ch (cao huy\u1ebft \u00e1p, b\u1ec7nh van tim, b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u1ec7nh c\u01a1 tim), nghe ph\u1ed5i c\u00f3 ran \u1ea9m, ran r\u00edt, ran ng\u00e1y. X-quang ph\u1ed5i b\u00f3ng tim to, ph\u1ed5i \u1ee9 huy\u1ebft. \u0110i\u1ec7n tim c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ec9 \u0111i\u1ec3m. Si\u00eau \u00e2m tim cho ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n

2.3. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/strong><\/h3>\n

2.3.1. Virus<\/em><\/strong><\/p>\n

– Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p do virus chi\u1ebfm 50 t\u1edbi 90% c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p.<\/p>\n

– C\u00e1c virus th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 c\u00e1c\u00a0myxovirus<\/em>\u00a0(virus c\u00fam v\u00e0 virus \u00e1 c\u00fam), c\u00e1c\u00a0rhinovirus, coronavirus<\/em>, virus \u0111\u1ea1i th\u1ef1c b\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (respiratory syncytial virus<\/em>),\u00a0adenovirus, enterovirus (coxsackie v\u00e0 echovirus)<\/em>\u00a0v\u00e0 m\u1ed9t s\u1ed1 ch\u1ee7ng virus herpes\u00a0(cytomegalovirus, varicellae)<\/em>.<\/p>\n

– L\u00e2m s\u00e0ng th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m virus kh\u00f4ng \u0111\u1eb7c hi\u1ec7u.<\/p>\n

– Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u0103n nguy\u00ean virus d\u1ef1a v\u00e0o vi\u1ec7c t\u00ecm th\u1ea5y virus \u1edf c\u00e1c b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p qua nu\u00f4i c\u1ea5y t\u1ebf b\u00e0o, PCR, mi\u1ec5n d\u1ecbch hu\u1ef3nh quang ho\u1eb7c huy\u1ebft thanh ch\u1ea9n \u0111o\u00e1n nh\u01b0ng tr\u00ean th\u1ef1c t\u1ebf \u00edt l\u00e0m, tr\u1eeb trong c\u00e1c v\u1ee5 d\u1ecbch l\u1edbn.<\/p>\n

2.3.2. Vi khu\u1ea9n<\/em><\/strong><\/p>\n

– \u00edt g\u1eb7p h\u01a1n c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p do virus.<\/p>\n

– Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 nh\u00f3m c\u00e1c vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0\u00a0Mycoplasma<\/em>\u00a0v\u00e0\u00a0Chlamydia<\/em>, c\u00e1c vi khu\u1ea9n g\u00e2y m\u1ee7 hi\u1ebfm g\u1eb7p h\u01a1n.<\/p>\n

– Do ph\u1ebf c\u1ea7u,\u00a0Hemophilus influenza<\/em>: \u00edt g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, hay \u0111i k\u00e8m v\u1edbi s\u1ed1t v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u ngo\u00e0i \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. X\u00e9t nghi\u1ec7m vi khu\u1ea9n th\u01b0\u1eddng \u00e2m t\u00ednh.<\/p>\n

2.3.3. Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p do h\u00edt ph\u1ea3i h\u01a1i \u0111\u1ed9c<\/em><\/strong><\/p>\n

Kh\u00ed SO2<\/sub>, Clo, Amoniac, acid, dung m\u00f4i c\u00f4ng nghi\u1ec7p, h\u01a1i \u0111\u1ed9c chi\u1ebfn tranh, kh\u00f3i do ch\u00e1y nh\u00e0 c\u0169ng g\u00e2y vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/strong><\/h2>\n

– \u1ede ng\u01b0\u1eddi l\u1edbn vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u0111\u01a1n thu\u1ea7n c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n

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

+ Ngh\u1ec9 ng\u01a1i, b\u1ecf thu\u1ed1c l\u00e1, gi\u1eef \u1ea5m.<\/p>\n

+ Gi\u1ea3m ho, long \u0111\u1eddm: ho khan nhi\u1ec1u, g\u00e2y m\u1ea5t ng\u1ee7 c\u00f3 th\u1ec3 cho c\u00e1c thu\u1ed1c gi\u1ea3m ho nh\u01b0:<\/p>\n

    \n
  • Terpin codein 15- 30 mg\/24 gi\u1edd ho\u1eb7c.<\/li>\n
  • Dextromethorphan 10-20 mg\/24 gi\u1edd \u1edf ng\u01b0\u1eddi l\u1edbn ho\u1eb7c<\/li>\n
  • N\u1ebfu ho c\u00f3 \u0111\u1eddm: thu\u1ed1c long \u0111\u1eddm c\u00f3 acetylcystein 200 mg x 3 g\u00f3i\/24 gi\u1edd.<\/li>\n<\/ul>\n

    + N\u1ebfu c\u00f3 co th\u1eaft ph\u1ebf qu\u1ea3n: thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n c\u01b0\u1eddng \u03b22 \u0111\u01b0\u1eddng phun h\u00edt (salbutamol, terbutryl<\/span>) ho\u1eb7c kh\u00ed dung salbutamol 5 mg x 2- 4 nang\/24 gi\u1edd ho\u1eb7c u\u1ed1ng salbutamol 4 mg x 2-4 vi\u00ean\/24 gi\u1edd.<\/p>\n

    + B\u1ea3o \u0111\u1ea3m \u0111\u1ee7 n\u01b0\u1edbc u\u1ed1ng, dinh d\u01b0\u1ee1ng.<\/p>\n

    – Kh\u00f4ng c\u1ea7n d\u00f9ng kh\u00e1ng sinh cho vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u0111\u01a1n thu\u1ea7n \u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n

    – Ch\u1ec9 \u0111\u1ecbnh d\u00f9ng kh\u00e1ng sinh khi:<\/strong><\/p>\n

    + Ho k\u00e9o d\u00e0i tr\u00ean 7 ng\u00e0y.<\/p>\n

    + Ho, kh\u1ea1c \u0111\u1eddm m\u1ee7 r\u00f5.<\/p>\n

    + Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u1edf ng\u01b0\u1eddi c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh n\u1eb7ng nh\u01b0 suy tim, ung th\u01b0.<\/p>\n

    – Ch\u1ecdn kh\u00e1ng sinh t\u00f9y thu\u1ed9c m\u00f4 h\u00ecnh vi khu\u1ea9n v\u00e0 t\u00ecnh h\u00ecnh kh\u00e1ng thu\u1ed1c t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng. C\u00f3 th\u1ec3 d\u00f9ng kh\u00e1ng sinh nh\u01b0 sau:<\/p>\n

    + Ampicillin, amoxicillin<\/span> li\u1ec1u 3g\/24 gi\u1edd, ho\u1eb7c<\/p>\n

    + Amoxicillin + acid clavulanic; ampicillin + sulbactam: li\u1ec1u 3g\/24 gi\u1edd, ho\u1eb7c.<\/p>\n

    + Cephalosporin th\u1ebf h\u1ec7 1: cephalexin 2-3 g\/24 gi\u1edd, ho\u1eb7c<\/p>\n

    + Cefuroxim 1,5 g\/24 gi\u1edd, ho\u1eb7c<\/p>\n

    + Macrolid: Erythromycin 1, 5g ng\u00e0y x 7 ng\u00e0y, azithromycin 500 mg x 1 l\u1ea7n\/ng\u00e0y x 3 ng\u00e0y (tr\u00e1nh d\u00f9ng thu\u1ed1c nh\u00f3m n\u00e0y c\u00f9ng v\u1edbi thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n nh\u00f3m xanthin, thu\u1ed1c nh\u00f3m IMAO).<\/p>\n

    – \u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd \u1ed5 nhi\u1ec5m tr\u00f9ng kh\u00e1c.<\/p>\n

    4. Ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p<\/strong><\/h2>\n

    – Lo\u1ea1i b\u1ecf y\u1ebfu t\u1ed1 k\u00edch th\u00edch: kh\u00f4ng h\u00fat thu\u1ed1c, tr\u00e1nh kh\u00f3i b\u1ee5i trong, ngo\u00e0i nh\u00e0, m\u00f4i tr\u01b0\u1eddng \u00f4 nhi\u1ec5m, gi\u1eef \u1ea5m v\u00e0o m\u00f9a l\u1ea1nh.<\/p>\n

    – Ti\u00eam vaccine ph\u00f2ng c\u00fam, ph\u1ebf c\u1ea7u, \u0111\u1eb7c bi\u1ec7t khuy\u1ebfn c\u00e1o m\u1ea1nh cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, suy tim, c\u1eaft l\u00e1ch, tu\u1ed5i tr\u00ean 65.<\/p>\n

    – \u0110i\u1ec1u tr\u1ecb c\u00e1c nhi\u1ec5m tr\u00f9ng tai m\u0169i h\u1ecdng, r\u0103ng h\u00e0m m\u1eb7t, t\u00ecnh tr\u1ea1ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n

    – V\u1ec7 sinh r\u0103ng mi\u1ec7ng.<\/p>\n

    Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh h\u00f4 h\u1ea5p c\u1ee7a B\u1ed9 Y t\u1ebf 2012<\/p>\n","protected":false},"excerpt":{"rendered":"

    Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p k\u1ecbp th\u1eddi v\u00e0 ch\u00ednh x\u00e1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"\nVi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p \u1edf ng\u01b0\u1eddi l\u1edbn: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/title>\n<meta name=\"description\" content=\"Vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. 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