{"id":12005,"date":"2021-12-25T22:02:17","date_gmt":"2021-12-25T15:02:17","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12005"},"modified":"2021-12-25T22:02:17","modified_gmt":"2021-12-25T15:02:17","slug":"covid-19-tac-dong-nghiem-trong-den-he-tieu-hoa-gop-phan-lam-bao-cytokine-xuat-hien","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/12\/25\/covid-19-tac-dong-nghiem-trong-den-he-tieu-hoa-gop-phan-lam-bao-cytokine-xuat-hien\/","title":{"rendered":"COVID-19 t\u00e1c \u0111\u1ed9ng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a, g\u00f3p ph\u1ea7n l\u00e0m b\u00e3o cytokine xu\u1ea5t hi\u1ec7n"},"content":{"rendered":"<h2 class=\"article-summary\">Ngo\u00e0i bi\u1ec3u hi\u1ec7n ch\u00ednh \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ti\u00eau h\u00f3a c\u0169ng l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n COVID-19, nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u00fang m\u1ee9c.<\/h2>\n<div class=\"article-body-text\">\n<p><strong>1. SARS-CoV-2 x\u00e2m nh\u1eadp \u0111\u01b0\u1eddng ti\u00eau h\u00f3a b\u1eb1ng c\u00e1ch n\u00e0o?<\/strong><\/p>\n<p>Khi c\u00e1c h\u1ea1t virus SARS-CoV-2 x\u00e2m nh\u1eadp v\u00e0o ni\u00eam m\u1ea1c m\u0169i ho\u1eb7c mi\u1ec7ng, th\u00ec m\u1ed9t lo\u1ea1i protein c\u00f3 t\u00ean g\u1ecdi l\u00e0 &#8220;spike protein&#8221; tr\u00ean b\u1ec1 m\u1eb7t virus s\u1ebd g\u1eafn k\u1ebft v\u1edbi m\u1ed9t th\u1ee5 th\u1ec3 men chuy\u1ec3n t\u00ean l\u00e0 angiotensin 2 (ACE2).<\/p>\n<p>ACE2 l\u00e0 th\u1ee5 th\u1ec3 t\u1ed3n t\u1ea1i \u1edf kh\u1eafp n\u01a1i trong c\u01a1 th\u1ec3, ch\u00ednh v\u00ec th\u1ebf, khi virus x\u00e2m nh\u1eadp, n\u00f3 s\u1ebd bi\u1ebfn c\u00e1c t\u1ebf b\u00e0o th\u00e0nh m\u1ed9t &#8220;nh\u00e0 m\u00e1y&#8221;, t\u1ea1o ra h\u00e0ng tri\u1ec7u b\u1ea3n sao c\u1ee7a ch\u00ednh n\u00f3 v\u00e0 g\u00e2y ra b\u1ec7nh COVID-19. Sau \u0111\u00f3 SARS-CoV-2 c\u00f3 th\u1ec3 \u0111i theo \u0111\u01b0\u1eddng th\u1edf ra ho\u1eb7c c\u00e1c gi\u1ecdt b\u1eafn do ho ra \u0111\u1ec3 l\u00e2y nhi\u1ec5m cho ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>BSCK2. Tr\u1ea7n Ki\u1ec1u Mi\u00ean &#8211; Ph\u00f3 Ch\u1ee7 t\u1ecbch h\u1ed9i khoa h\u1ecdc ti\u00eau h\u00f3a Vi\u1ec7t Nam cho bi\u1ebft, SARS-CoV-2 b\u00e1m v\u00e0o v\u00e0 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o th\u00f4ng qua h\u1ec7 th\u1ed1ng men chuy\u1ec3n ACE2. Virus t\u1ea5n c\u00f4ng v\u00e0o \u0111a ph\u1ee7 t\u1ea1ng v\u00e0 g\u1eafn k\u1ebft v\u1edbi angiotensin 2 v\u00e0 ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i g\u1ea7n nh\u01b0 tr\u00ean to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. Nh\u01b0 v\u1eady c\u00e1c h\u1ec7 th\u1ed1ng trong c\u01a1 th\u1ec3 \u0111\u1ec1u c\u00f3 xu\u1ea5t hi\u1ec7n angiotensin 2 v\u00e0 virus \u0111\u1ec1u c\u00f3 th\u1ec3 b\u00e1m d\u00ednh c\u01a1 quan \u0111\u00f3.<\/p>\n<p>V\u1ec1 c\u01a1 ch\u1ebf r\u1ed1i lo\u1ea1n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, t\u1eeb khi b\u1ec7nh nh\u00e2n h\u00edt ph\u1ea3i gi\u1ecdt b\u1eafn c\u00f3 SARS-CoV-2, virus s\u1ebd \u0111i v\u00e0o c\u01a1 th\u1ec3 b\u1eb1ng 2 con \u0111\u01b0\u1eddng:<\/p>\n<p>Th\u1ee9 nh\u1ea5t l\u00e0 \u0111i v\u00e0o ph\u1ed5i qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 bi\u1ec3u hi\u1ec7n b\u1ec7nh COVID-19 \u1edf ph\u1ed5i. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng t\u1eed vong v\u1edbi c\u00e1c b\u1ec7nh l\u00fd \u1edf ph\u1ed5i v\u00e0 vi\u00eam ph\u1ed5i \u0111\u00f4ng \u0111\u1eb7c.<\/p>\n<p>Th\u1ee9 hai l\u00e0 \u0111i theo con \u0111\u01b0\u1eddng ti\u00eau h\u00f3a b\u1eb1ng c\u00e1ch c\u00e1c gai c\u1ee7a virus g\u1eafn v\u00e0o c\u00e1c t\u1ebf b\u00e0o c\u1ee7a h\u1ec7 th\u1ed1ng ACE2. M\u00e0 c\u00e1c th\u1ee5 th\u1ec3 men chuy\u1ec3n ACE2 c\u00f3 r\u1ea5t nhi\u1ec1u tr\u00ean h\u1ec7 ti\u00eau h\u00f3a, t\u1eeb gan m\u1eadt, \u0111\u1ebfn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a \u1ed1ng<\/p>\n<div class=\"image-container\" title=\"B\u1ec7nh nh\u00e2n COVID-19 c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/4908f00f3646df188657#217768399\" alt=\"Zalo\" \/><figcaption>B\u1ec7nh nh\u00e2n COVID-19 c\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn t\u00e1c \u0111\u1ed9ng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/figcaption><\/figure>\n<\/div>\n<p><strong>2. \u1ea2nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng c\u1ee7a COVID-19 \u0111\u1ebfn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/strong><\/p>\n<p>Men ACE2 c\u00f3 m\u1eb7t t\u1ea1i h\u1ea7u h\u1ebft c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3 ng\u01b0\u1eddi. Tr\u00ean h\u1ec7 h\u00f4 h\u1ea5p, men ACE2 bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu tr\u00ean b\u1ec1 m\u1eb7t c\u00e1c t\u1ebf b\u00e0o ph\u1ed5i, s\u1ed1 \u00edt h\u01a1n tr\u00ean bi\u1ec3u m\u00f4 ni\u00eam m\u1ea1c mi\u1ec7ng, m\u0169i v\u00e0 v\u00f2m h\u1ecdng. Ngo\u00e0i ra, ACE2 c\u00f2n \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y kh\u00e1 nhi\u1ec1u t\u1ea1i t\u1ebf b\u00e0o c\u01a1 tim, \u1ed1ng l\u01b0\u1ee3n g\u1ea7n c\u1ee7a th\u1eadn, bi\u1ec3u m\u00f4 b\u00e0ng quang, v\u00e0 c\u00e1c t\u1ebf b\u00e0o ru\u1ed9t non, nh\u1ea5t l\u00e0 h\u1ed3i tr\u00e0ng. Virus sau khi b\u1ecb th\u1ef1c b\u00e0o b\u1edfi \u0111\u1ea1i th\u1ef1c b\u00e0o s\u1ebd c\u00f3 kh\u1ea3 n\u0103ng lan truy\u1ec1n t\u1eeb ph\u1ed5i \u0111\u1ebfn c\u00e1c c\u01a1 quan c\u00f3 bi\u1ec3u hi\u1ec7n men ACE2 v\u1edbi m\u1eadt \u0111\u1ed9 cao th\u00f4ng qua h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n.<\/p>\n<p>BSCK2. Tr\u1ea7n Ki\u1ec1u Mi\u00ean cho bi\u1ebft: T\u1ea1i h\u1ec7 ti\u00eau h\u00f3a, ACE2 l\u00e0 m\u1ed9t ch\u1ea5t \u0111i\u1ec1u h\u00f2a quan tr\u1ecdng trong c\u01a1 th\u1ec3. N\u00f3 mang t\u00ednh ch\u1ea5t \u0111\u1ed9c l\u1eadp v\u00e0 c\u00f3 ch\u1ee9c n\u0103ng \u1ed5n \u0111\u1ecbnh acid amin \u1edf trong th\u1ee9c \u0103n, ki\u1ec3m so\u00e1t s\u1ef1 h\u1ea5p thu natri c\u0169ng nh\u01b0 c\u00e1c acid amin. Acid amin c\u00f3 2 lo\u1ea1i l\u00e0 c\u1ea7n thi\u1ebft v\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft. Trong c\u01a1 th\u1ec3 AEC2 s\u1ebd k\u00edch th\u00edch v\u00e0 h\u1ea5p thu acid amin c\u1ea7n thi\u1ebft v\u00e0 quan tr\u1ecdng, chuy\u1ec3n h\u00f3a c\u00e1c ch\u1ea5t quan tr\u1ecdng v\u00e0 l\u00e0 kh\u1edfi \u0111\u1ea7u cho h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p>Khi virus g\u1eafn k\u1ebft ACE2 n\u00f3 s\u1ebd l\u00e0m m\u1ea5t ACE2 khi\u1ebfn c\u01a1 th\u1ec3 gi\u1ea3m h\u1ea5p thu c\u00e1c acid amin c\u00f3 l\u1ee3i, nh\u1eefng ch\u1ea5t t\u1ea1o ra h\u1ec7 mi\u1ec5n d\u1ecbch, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m h\u00e0ng r\u00e0o kh\u00e1ng khu\u1ea9n c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, gi\u1ea3m y\u1ebfu t\u1ed1 b\u1ea3o v\u1ec7 v\u00e0 gi\u1ea3m c\u00e1c vi khu\u1ea9n c\u00f3 l\u1ee3i, d\u1eabn \u0111\u1ebfn lo\u1ea1n khu\u1ea9n \u0111\u01b0\u1eddng ti\u00eau h\u00f3a.<\/p>\n<p>Theo ThS. Tr\u1ea7n \u0110\u0103ng Khoa &#8211; B\u1ed9 m\u00f4n N\u1ed9i nhi\u1ec5m &#8211; \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TP.H\u1ed3 Ch\u00ed Minh: Trong c\u00e1c nghi\u00ean c\u1ee9u ghi nh\u1eadn tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a \u1edf b\u1ec7nh nh\u00e2n COVID-19 \u0111ang nhi\u1ec5m v\u00e0 h\u1eadu nhi\u1ec5m l\u00ean \u0111\u1ebfn 79% v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc c\u1ea3 c\u00e1c bi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a \u0111\u01b0\u1ee3c ghi nh\u1eadn nh\u01b0:<\/p>\n<p>Ti\u00eau ch\u1ea3y Ch\u00e1n \u0103n, \u0103n kh\u00f4ng ngon N\u00f4n v\u00e0 bu\u1ed3n n\u00f4n H\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch R\u1ed1i lo\u1ea1n vi khu\u1ea9n \u1edf \u0111\u01b0\u1eddng ru\u1ed9t\u2026<\/p>\n<p>COVID-19 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng ti\u00eau h\u00f3a, g\u00e2y r\u1ed1i lo\u1ea1n b\u00e0i ti\u1ebft c\u00e1c men ti\u00eau h\u00f3a, acid \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, d\u1eabn \u0111\u1ebfn lo\u00e9t d\u1ea1 d\u00e0y. Nghi\u00eam tr\u1ecdng h\u01a1n l\u00e0 bi\u1ec3u hi\u1ec7n xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf t\u1ea5t c\u1ea3 c\u00e1c m\u1ee9c \u0111\u1ed9 b\u1ec7nh COVID-19 t\u1eeb nh\u1eb9, trung b\u00ecnh, n\u1eb7ng, th\u1eadm ch\u00ed sau khi kh\u1ecfi COVID-19 v\u1edbi c\u00e1c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng kh\u00e1c nhau. T\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u n\u00e0y \u0111\u1ec1u d\u1eabn \u0111\u1ebfn h\u1eadu qu\u1ea3 l\u00e0 l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Theo BSCK2. Tr\u1ea7n Ki\u1ec1u Mi\u00ean: &#8220;COVID-19 c\u00f3 th\u1eddi gian tri\u1ec7u ch\u1ee9ng t\u1eeb kho\u1ea3ng 14 ng\u00e0y. Th\u00f4ng th\u01b0\u1eddng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng n\u1eb7ng l\u00e0 t\u1eeb 5-7 ng\u00e0y. Sau khi xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng COVID-19 kho\u1ea3ng 2-3 ng\u00e0y b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1ec7t m\u1ecfi, s\u1ed1t, ch\u00e1n \u0103n v\u00e0 c\u00f3 t\u1edbi 40% b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au b\u1ee5ng. Sau \u0111\u00f3 n\u1ebfu b\u1ec7nh n\u1eb7ng l\u00ean, COVID-19 s\u1ebd t\u1ea5n c\u00f4ng v\u00e0o ph\u1ed5i v\u00e0 c\u00e1c c\u01a1 quan ngo\u00e0i ph\u1ed5i&#8221;.<\/p>\n<p><strong>3. \u1ee8ng ph\u00f3 ra sao?<\/strong><\/p>\n<div class=\"image-container\" title=\"Ch\u0103m s\u00f3c dinh d\u01b0\u1ee1ng l\u00e0 v\u1ea5n \u0111\u1ec1 r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb COVID-19.\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/bd401a47dc0e35506c1f#217768401\" alt=\"Zalo\" \/><figcaption>Ch\u0103m s\u00f3c dinh d\u01b0\u1ee1ng l\u00e0 v\u1ea5n \u0111\u1ec1 r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb COVID-19.<\/figcaption><\/figure>\n<\/div>\n<p>BS. Mi\u00ean cho bi\u1ebft, c\u00f3 t\u1eeb 50-70% b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ngh\u1eb9t m\u0169i, ch\u1ea3y n\u01b0\u1edbc m\u0169i. Bi\u1ec3u hi\u1ec7n duy nh\u1ea5t c\u1ee7a b\u1ec7nh l\u00fd l\u00e0 m\u1ea5t kh\u1ee9u gi\u00e1c v\u00e0 v\u1ecb gi\u00e1c.<\/p>\n<p>Sau \u0111\u00f3 v\u1ecb gi\u00e1c kh\u1ee9u gi\u00e1c c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i. C\u00e1c thay \u0111\u1ed5i n\u00e0y khi\u1ebfn b\u1ec7nh nh\u00e2n ng\u1eedi th\u1ea5y m\u00f9i v\u1ecb c\u1ee7a th\u1ee9c \u0103n t\u1eeb th\u01a1m ngon chuy\u1ec3n th\u00e0nh m\u00f9i tanh, h\u00f4i\u2026 khi\u1ebfn b\u1ec7nh nh\u00e2n ch\u00e1n \u0103n s\u1ee3 \u0103n.<\/p>\n<p>T\u1eeb ch\u00e1n \u0103n, \u0103n kh\u00f4ng ngon mi\u1ec7ng d\u1eabn \u0111\u1ebfn suy dinh d\u01b0\u1ee1ng. T\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i s\u1ebd l\u00e0m b\u1ec7nh nh\u00e2n ki\u1ec7t s\u1ee9c, tr\u1ea7m c\u1ea3m k\u00e9o d\u00e0i\u2026 \u0111i sau h\u1ed9i ch\u1ee9ng COVID-19. Do \u0111\u00f3, v\u1ea5n \u0111\u1ec1 s\u0103n s\u00f3c v\u1ec1 dinh d\u01b0\u1ee1ng cho b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19 l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<p>Ngo\u00e0i \u0111\u01b0\u1eddng ru\u1ed9t, virus SARS-CoV-2 c\u00f2n g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gan, m\u1eadt. Trong \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u01b0\u1eddng m\u1eadt tr\u01b0\u1edbc khi l\u00e0m t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan, do COVID-19 l\u00e0m t\u1eafc m\u1eadt k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gan, l\u00e0m n\u1eb7ng h\u01a1n c\u00e1c b\u1ec7nh l\u00fd \u1edf gan (gan nhi\u1ec5m m\u1ee1, vi\u00eam gan do virus\u2026), g\u00e2y ho\u1ea1i t\u1eed t\u1ebf b\u00e0o gan\u2026<\/p>\n<p>Theo BS. Mi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng ti\u00eau ch\u1ea3y \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay t\u1eeb s\u1edbm b\u1eb1ng c\u00e1c thu\u1ed1c ti\u00eau h\u00f3a th\u00f4ng th\u01b0\u1eddng c\u00f9ng v\u1edbi ph\u1ee5c h\u1ed3i v\u00e0 c\u00e2n b\u1eb1ng vi khu\u1ea9n c\u00f3 l\u1ee3i b\u1eb1ng men vi sinh th\u00ec t\u00ecnh tr\u1ea1ng b\u1ec7nh ti\u00eau ch\u1ea3y s\u1ebd s\u1edbm \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft v\u00e0 tr\u00e1nh t\u1ed5n th\u01b0\u01a1ng s\u00e2u h\u01a1n, n\u1eb7ng h\u01a1n\u2026<\/p>\n<p>C\u00f2n n\u1ebfu \u0111\u1ec3 t\u00ecnh tr\u1ea1ng ti\u00eau h\u00f3a n\u1eb7ng l\u00ean, t\u1ed5n th\u01b0\u01a1ng s\u00e2u h\u01a1n d\u1eabn \u0111\u1ebfn lo\u00e9t ti\u00eau h\u00f3a, l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 v\u00e0 g\u00f3p ph\u1ea7n l\u00e0m c\u01a1n b\u00e3o cytokine xu\u1ea5t hi\u1ec7n.<\/p>\n<p>V\u00ec th\u1ebf, \u0111\u1ec3 h\u1ea1n ch\u1ebf \u1ea3nh h\u01b0\u1edfng c\u1ee7a COVID-19 l\u00ean h\u1ec7 ti\u00eau h\u00f3a, c\u1ea7n quan t\u00e2m ngay t\u1eeb khi b\u1ec7nh nh\u00e2n c\u00f3 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng: M\u1ea5t v\u1ecb gi\u00e1c, kh\u1ee9u gi\u00e1c, n\u00f4n \u00f3i\u2026 \u0111\u1ec3 \u1ee9ng ph\u00f3 th\u00edch h\u1ee3p.<\/p>\n<p><strong>B\u1ed9 Y t\u1ebf<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Ngo\u00e0i bi\u1ec3u hi\u1ec7n ch\u00ednh \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng ti\u00eau h\u00f3a c\u0169ng l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n COVID-19, nh\u01b0ng ch\u01b0a \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u00fang m\u1ee9c. 1. SARS-CoV-2 x\u00e2m nh\u1eadp \u0111\u01b0\u1eddng ti\u00eau h\u00f3a b\u1eb1ng c\u00e1ch n\u00e0o? Khi c\u00e1c h\u1ea1t virus SARS-CoV-2 x\u00e2m nh\u1eadp v\u00e0o ni\u00eam m\u1ea1c m\u0169i ho\u1eb7c mi\u1ec7ng, th\u00ec [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11997,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241,235],"tags":[],"class_list":["post-12005","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid","category-phong-chong-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12005","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=12005"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12005\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11997"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12005"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12005"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12005"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}