{"id":4999,"date":"2021-05-16T05:57:51","date_gmt":"2021-05-15T22:57:51","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=4999"},"modified":"2021-08-07T22:33:05","modified_gmt":"2021-08-07T15:33:05","slug":"ts-bs-nguyen-van-vinh-chau-giai-phap-can-co-nhat-trong-thoi-gian-toi-la-tiem-vac-xin","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/05\/16\/ts-bs-nguyen-van-vinh-chau-giai-phap-can-co-nhat-trong-thoi-gian-toi-la-tiem-vac-xin\/","title":{"rendered":"TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u: \u201cGi\u1ea3i ph\u00e1p c\u0103n c\u01a1 nh\u1ea5t trong th\u1eddi gian t\u1edbi l\u00e0 ti\u00eam v\u1eafc xin\u201d"},"content":{"rendered":"

Bi\u1ebfn ch\u1ee7ng B.1.617 c\u1ee7a \u1ea4n \u0110\u1ed9 \u0111\u00e3 xu\u1ea5t hi\u1ec7n t\u1ea1i m\u1ed9t s\u1ed1 t\u1ec9nh, th\u00e0nh tr\u00ean c\u1ea3 n\u01b0\u1edbc, Vi\u1ec7t Nam \u0111ang c\u00f3 b\u1ee9c tranh l\u00e2y nhi\u1ec5m trong c\u1ed9ng \u0111\u1ed3ng r\u1ea5t ph\u1ee9c t\u1ea1p, ch\u1ed3ng ch\u00e9o.<\/h2>\n
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\u0110\u00f3 l\u00e0 nh\u1eadn \u0111\u1ecbnh c\u1ee7a chuy\u00ean gia v\u1ec1 b\u1ec7nh truy\u1ec1n nhi\u1ec5m – TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u – Ch\u1ee7 t\u1ecbch Li\u00ean Chi h\u1ed9i Truy\u1ec1n nhi\u1ec5m TP.HCM, Gi\u00e1m \u0111\u1ed1c BV B\u1ec7nh nhi\u1ec7t \u0111\u1edbi TP.HCM, Ph\u00f3 tr\u01b0\u1edfng B\u1ed9 m\u00f4n Nhi\u1ec5m (\u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TP.HCM) trong cu\u1ed9c trao \u0111\u1ed5i v\u1edbi ph\u00f3ng vi\u00ean B\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng v\u1ec1 m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m c\u1ee7a virus SARS-CoV-2 bi\u1ebfn ch\u1ee7ng B.1.617 c\u1ee7a \u1ea4n \u0110\u1ed9 v\u00e0 nh\u1eefng nguy c\u01a1 Vi\u1ec7t Nam \u0111ang ph\u1ea3i \u0111\u1ed1i di\u1ec7n.<\/p>\n

PV: Th\u01b0a TS, t\u1ea1i sao virus SARS-CoV-2 bi\u1ebfn ch\u1ee7ng B.1.617 c\u1ee7a \u1ea4n \u0110\u1ed9 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201cbi\u1ebfn ch\u1ee7ng k\u00e9p\u201d?<\/p>\n

TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u: Trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch COVID-19 to\u00e0n c\u1ea7u, t\u1eeb kho\u1ea3ng cu\u1ed1i n\u0103m 2020, nhi\u1ec1u n\u01a1i tr\u00ean th\u1ebf gi\u1edbi b\u1eaft \u0111\u1ea7u xu\u1ea5t hi\u1ec7n nh\u1eefng “bi\u1ebfn th\u1ec3 \u0111\u00e1ng lo ng\u1ea1i” (variants of concern – VOC) c\u1ee7a virus SARS-CoV-2. \u0110\u1eb7c bi\u1ec7t t\u1eeb \u0111\u1ea7u n\u0103m 2021 l\u00e0 s\u1ef1 gia t\u0103ng bi\u1ebfn th\u1ec3 m\u1edbi \u1edf ph\u00eda t\u00e2y c\u1ee7a \u1ea4n \u0110\u1ed9, sau \u0111\u00f3 nhanh ch\u00f3ng lan r\u1ed9ng ra to\u00e0n c\u1ea7u.<\/p>\n

C\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 v\u00e0 \u0111ang ti\u1ebfp t\u1ee5c theo d\u00f5i gi\u1ea3i m\u00e3 to\u00e0n b\u1ed9 tr\u00ecnh t\u1ef1 gen v\u00e0 ph\u00e2n t\u00edch c\u00e1c \u0111\u1ed9t bi\u1ebfn protein m\u1edbi xu\u1ea5t hi\u1ec7n c\u1ee7a virus nh\u1eb1m t\u00ecm hi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c bi\u1ebfn th\u1ec3 \u0111\u1ebfn di\u1ec5n ti\u1ebfn l\u00e2m s\u00e0ng, m\u1ee9c \u0111\u1ed9 b\u00f9ng ph\u00e1t d\u1ecbch v\u00e0 hi\u1ec7u qu\u1ea3 ph\u00f2ng ng\u1eeba c\u1ee7a c\u00e1c v\u1eafc xin hi\u1ec7n c\u00f3.<\/p>\n

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TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u nh\u1eadn \u0111\u1ecbnh “b\u1ee9c tranh” l\u00e2y nhi\u1ec5m trong c\u1ed9ng \u0111\u1ed3ng hi\u1ec7n nay r\u1ea5t ph\u1ee9c t\u1ea1p<\/figcaption><\/figure>\n

Virus SARS-CoV-2 bi\u1ebfn ch\u1ee7ng B.1.617 ph\u00e1t hi\u1ec7n \u1edf \u1ea4n \u0110\u1ed9 \u0111\u01b0\u1ee3c c\u00e1c nh\u00e0 khoa h\u1ecdc quan t\u00e2m, gi\u1ea3i m\u00e3.<\/p>\n

C\u00f3 hai \u0111\u1ed9t bi\u1ebfn: L452R v\u00e0 E484Q. Hai \u0111\u1ed9t bi\u1ebfn n\u00e0y r\u1ea5t quan tr\u1ecdng \u0111\u1ebfn qu\u00e1 tr\u00ecnh l\u00e2y nhi\u1ec5m c\u1ee7a virus, v\u00ec n\u1eb1m \u1edf v\u00f9ng b\u00e1m d\u00ednh c\u1ee7a protein gai (spike protein) v\u1edbi th\u1ee5 th\u1ec3 ACE2 (angiotensin-converting enzyme 2) \u1edf t\u1ebf b\u00e0o ng\u01b0\u1eddi (Virus c\u1ea7n ph\u1ea3i k\u1ebft n\u1ed1i v\u00e0o th\u1ee5 th\u1ec3 ACE2 tr\u00ean b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o ng\u01b0\u1eddi \u0111\u1ec3 x\u00e2m nh\u1eadp v\u00e0o b\u00ean trong t\u1ebf b\u00e0o v\u00e0 t\u0103ng sinh).<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y, \u0111\u1ed9t bi\u1ebfn L452R l\u00e0m t\u0103ng \u00e1i l\u1ef1c c\u1ee7a protein gai v\u1edbi th\u1ee5 th\u1ec3 ACE2 v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng nh\u1eadn di\u1ec7n c\u1ee7a kh\u00e1ng th\u1ec3 trung h\u00f2a.<\/p>\n

\u0110\u1ed9t bi\u1ebfn E484Q c\u0169ng l\u00e0m gia t\u0103ng kh\u1ea3 n\u0103ng b\u00e1m v\u00e0o th\u1ee5 th\u1ec3 ACE2 v\u00e0 kh\u1ea3 n\u0103ng \u201ctr\u1ed1n tho\u00e1t\u201d h\u00e0ng r\u00e0o mi\u1ec5n d\u1ecbch.<\/p>\n

V\u1edbi \u201c\u0111\u1ed9t bi\u1ebfn k\u00e9p\u201d nh\u01b0 v\u1eady, kh\u1ea3 n\u0103ng \u201ct\u1ea5n c\u00f4ng\u201d c\u1ee7a virus s\u1ebd gia t\u0103ng m\u1ea1nh h\u01a1n v\u00e0 \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c kh\u00e1ng th\u1ec3 t\u1ef1 nhi\u00ean v\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea1o ra do ti\u00eam ch\u1ee7ng.<\/p>\n

Tuy nhi\u00ean, c\u00e1c chuy\u00ean gia hi\u1ec7n v\u1eabn kh\u1eb3ng \u0111\u1ecbnh c\u00e1c lo\u1ea1i v\u1eafc xin ph\u00f2ng COVID-19 v\u1eabn c\u00f3 hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 cao \u0111\u1ed1i v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee7ng hi\u1ec7n c\u00f3, ph\u1ea3i c\u1ea7n th\u00eam th\u1eddi gian t\u00ecm hi\u1ec3u vai tr\u00f2 c\u1ee7a c\u00e1c \u0111\u1ed9t bi\u1ebfn m\u1edbi.<\/p>\n

Virus SARS-CoV-2 bi\u1ebfn th\u1ec3 B.1.617 v\u1eabn \u0111ang ti\u1ebfp t\u1ee5c ti\u1ebfn h\u00f3a v\u00e0 c\u00f3 th\u00eam c\u00e1c \u0111\u1ed9t bi\u1ebfn m\u1edbi; t\u1ea1o ra 3 ph\u00e2n nh\u00e1nh con l\u00e0 B.1.617.1; B.1.617.2 v\u00e0 B.1.617.3.<\/p>\n

Trong s\u1ed1 n\u00e0y, B.1.617.2 c\u00f3 mang th\u00eam \u0111\u1ed9t bi\u1ebfn m\u1edbi l\u00e0 T478K (thay cho E484Q) (nh\u01b0 v\u1eady, bi\u1ebfn ch\u1ee7ng n\u00e0y mang \u0111\u1ed9t bi\u1ebfn k\u00e9p l\u00e0 L452R & T478K). \u0110\u1ed9t bi\u1ebfn T478K n\u1eb1m trong khu v\u1ef1c t\u01b0\u01a1ng t\u00e1c c\u1ee7a protein gai v\u1edbi th\u1ee5 th\u1ec3 ACE2. Do \u0111\u00f3, T478K c\u0169ng \u0111\u01b0\u1ee3c d\u1ef1 b\u00e1o c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng \u0111\u1eb7c bi\u1ec7t \u0111\u1ebfn \u00e1i l\u1ef1c c\u1ee7a protein gai v\u1edbi th\u1ee5 th\u1ec3 ACE2 v\u00e0 l\u00e0m cho virus d\u1ec5 d\u00e0ng nhanh ch\u00f3ng x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o h\u01a1n.<\/p>\n

PV: V\u1edbi bi\u1ebfn ch\u1ee7ng B.1.617 v\u00e0 c\u00e1c \u0111\u1ed9t bi\u1ebfn m\u1edbi, ch\u00fang nguy hi\u1ec3m \u1edf m\u1ee9c \u0111\u1ed9 nh\u01b0 th\u1ebf n\u00e0o?<\/p>\n

TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u: Bi\u1ebfn ch\u1ee7ng B.1.617 v\u00e0 c\u00e1c \u0111\u1ed9t bi\u1ebfn m\u1edbi c\u1ee7a n\u00f3 hi\u1ec7n \u0111ang l\u00e0 m\u1ed1i lo ng\u1ea1i cho nhi\u1ec1u qu\u1ed1c gia tr\u00ean to\u00e0n c\u1ea7u.<\/p>\n

S\u1ef1 gia t\u0103ng nhanh s\u1ed1 ca b\u1ec7nh \u1edf \u1ea4n \u0110\u1ed9 hi\u1ec7n nay \u0111\u1ec1u do c\u00e1c bi\u1ebfn ch\u1ee7ng c\u1ee7a SARS-CoV-2. C\u00e1ch \u0111\u00e2y 2 tu\u1ea7n, c\u00f3 \u0111\u1ed3ng th\u1eddi kh\u00e1 nhi\u1ec1u bi\u1ebfn th\u1ec3 g\u00e2y c\u00e1c \u0111\u1ee3t b\u00f9ng ph\u00e1t ca b\u1ec7nh t\u1ea1i \u1ea4n \u0110\u1ed9.<\/p>\n

Ph\u00e2n t\u00edch b\u1ed9 gen cho th\u1ea5y, ban \u0111\u1ea7u l\u00e0 ch\u1ee7ng B.1.1.7, l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf V\u01b0\u01a1ng qu\u1ed1c Anh cu\u1ed1i n\u0103m 2020, chi\u1ebfm \u01b0u th\u1ebf \u1edf Delhi v\u00e0 bang Punjab (\u1ea4n \u0110\u1ed9) v\u00e0 m\u1ed9t bi\u1ebfn th\u1ec3 m\u1edbi c\u00f3 t\u00ean B.1.618 \u0111\u00e3 c\u00f3 m\u1eb7t \u1edf T\u00e2y Bengal.<\/p>\n

Bi\u1ebfn th\u1ec3 B.1.617 chi\u1ebfm \u01b0u th\u1ebf \u1edf Maharashtra. Nh\u01b0ng sau \u0111\u00f3, B.1.617 \u0111\u00e3 v\u01b0\u1ee3t qua B.1.618 \u1edf T\u00e2y Bengal, tr\u1edf th\u00e0nh bi\u1ebfn ch\u1ee7ng chi\u1ebfm \u01b0u th\u1ebf \u1edf nhi\u1ec1u bang \u1ea4n \u0110\u1ed9, v\u00e0 \u0111ang gia t\u0103ng nhanh ch\u00f3ng \u1edf Delhi.<\/p>\n

Bi\u1ebfn ch\u1ee7ng n\u00e0y c\u0169ng \u0111ang nhanh ch\u00f3ng l\u00e2y lan ra c\u00e1c n\u01b0\u1edbc l\u00e2n c\u1eadn v\u00e0 to\u00e0n c\u1ea7u. Ng\u00e0y 7\/5, V\u01b0\u01a1ng Qu\u1ed1c Anh cho bi\u1ebft, bi\u1ebfn ch\u1ee7ng B.1.617.2 l\u00e0 bi\u1ebfn th\u1ec3 \u0111\u00e1ng lo ng\u1ea1i (VOC) t\u1ea1i n\u01b0\u1edbc Anh. S\u1ed1 ca nhi\u1ec5m do bi\u1ebfn ch\u1ee7ng n\u00e0y \u0111\u00e3 t\u0103ng t\u1eeb 202 l\u00ean 520 ca ch\u1ec9 trong 1 tu\u1ea7n l\u1ec5.<\/p>\n

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Theo c\u00e1c nh\u00e0 khoa h\u1ecdc virus SARS-CoV-2 v\u1eabn \u0111ang ti\u1ebfp t\u1ee5c ti\u1ebfn ho\u00e1 v\u00e0 t\u1ea1o ra c\u00e1c \u0111\u1ed9t bi\u1ebfn m\u1edbi.<\/figcaption><\/figure>\n

PV: Hi\u1ec7n nay t\u1ea1i Vi\u1ec7t Nam, m\u1ed9t s\u1ed1 t\u1ec9nh, th\u00e0nh \u0111\u00e3 xu\u1ea5t hi\u1ec7n ca b\u1ec7nh m\u1eafc bi\u1ebfn ch\u1ee7ng B.1.617.2. TS nh\u1eadn \u0111\u1ecbnh nh\u01b0 th\u1ebf n\u00e0o v\u1ec1 \u201cb\u1ee9c tranh\u201d l\u00e2y nhi\u1ec5m trong c\u1ed9ng \u0111\u1ed3ng hi\u1ec7n nay?<\/p>\n

TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u: T\u1ea1i Vi\u1ec7t Nam, b\u00ean c\u1ea1nh c\u00e1c ch\u1ee7ng B.1.1.7 (c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb Anh), A.23.1\u2026 Vi\u1ec7n v\u1ec7 sinh D\u1ecbch t\u1ec5 Trung \u01b0\u01a1ng \u0111\u00e3 gia\u0309i tr\u00ecnh tu\u031b\u0323 gene t\u1eeb nh\u1eefng m\u1eabu b\u1ec7nh ph\u1ea9m m\u1edbi nh\u1ea5t, k\u1ebft qu\u1ea3 \u0111\u00e3 ph\u00e1t hi\u1ec7n nhi\u1ec1u m\u1eabu bi\u1ebfn ch\u1ee7ng B.1.617.2 c\u1ee7a \u1ea4n \u0110\u1ed9. Trong \u0111\u00f3, 5 m\u1eabu t\u1ea1i Th\u00e1i B\u00ecnh; 2 m\u1eabu t\u1ea1i Hu\u031bng Ye\u0302n; 1 m\u1eabu t\u1ea1i H\u00e0 N\u1ed9i.<\/p>\n

Tr\u01b0\u1edbc \u0111\u00f3, Vie\u0323\u0302n Ve\u0323\u0302 sinh di\u0323ch te\u0302\u0303 Trung u\u031bo\u031bng c\u0169ng \u0111a\u0303 tie\u0302\u0301n h\u00e0nh gi\u1ea3i tr\u00ecnh t\u1ef1 gene c\u00e1c m\u1eabu b\u1ec7nh ph\u1ea9m \u0111\u01b0\u1ee3c g\u1eedi v\u1ec1 t\u1eeb V\u0129nh Ph\u00fac, k\u1ebft qu\u1ea3 c\u00f3 3 m\u1eabu b\u1ec7nh ph\u1ea9m c\u1ee7a 3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh m\u1eafc COVID-19 bi\u1ebfn ch\u1ee7ng B.1.617.2.<\/p>\n

Nh\u01b0 v\u1eady, \u0111\u1ebfn nay, c\u00e1c chuy\u00ean gia \u0111\u00e3 gi\u1ea3i m\u00e3 tr\u00ecnh t\u1ef1 gen c\u1ee7a 11 b\u1ec7nh nh\u00e2n trong c\u00e1c chu\u1ed7i l\u00e2y nhi\u1ec5m t\u1ea1i khu v\u1ef1c ph\u00eda B\u1eafc v\u00e0 t\u1ea5t c\u1ea3 \u0111\u1ec1u m\u1eafc bi\u1ebfn ch\u1ee7ng B.1.617.2 n\u00e0y.<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, B\u1ec7nh vi\u1ec7n B\u1ec7nh nhi\u1ec7t \u0111\u1edbi TP H\u1ed3 Ch\u00ed Minh \u2013 \u0110\u01a1n v\u1ecb Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0110\u1ea1i h\u1ecdc Oxford ph\u1ed1i h\u1ee3p v\u1edbi CDC \u0110\u00e0 N\u1eb5ng v\u1eeba gi\u1ea3i m\u00e3 \u0111\u01b0\u1ee3c 5 b\u1ed9 gen virus SARS-CoV-2 t\u1eeb c\u00e1c b\u1ec7nh nh\u00e2n hi\u1ec7n \u1edf \u0110\u00e0 N\u1eb5ng v\u00e0 thu \u0111\u01b0\u1ee3c bi\u1ebfn ch\u1ee7ng B.1.1.7 (\u201cbi\u1ebfn ch\u1ee7ng Anh Qu\u1ed1c\u201d).<\/p>\n

Nh\u01b0 v\u1eady b\u00ean c\u1ea1nh c\u00e1c \u1ed5 d\u1ecbch do bi\u1ebfn ch\u1ee7ng c\u0169 \u0111\u00e3 bi\u1ebft, bi\u1ebfn ch\u1ee7ng B.1.617.2 c\u1ee7a \u1ea4n \u0110\u1ed9 \u0111ang l\u00e0 t\u00e1c nh\u00e2n ch\u00ednh cho \u0111\u1ee3t d\u1ecbch hi\u1ec7n nay. L\u1ea7n n\u00e0y Vi\u1ec7t Nam c\u00f3 \u201cb\u1ee9c tranh\u201d l\u00e2y nhi\u1ec5m trong c\u1ed9ng \u0111\u1ed3ng r\u1ea5t ph\u1ee9c t\u1ea1p, ch\u1ed3ng ch\u00e9o do c\u00e1c ca b\u1ec7nh \u0111i \u0111\u1ebfn nhi\u1ec1u n\u01a1i, di\u1ec7n r\u1ed9ng, ti\u1ebfp x\u00fac nhi\u1ec1u ng\u01b0\u1eddi tr\u01b0\u1edbc khi d\u01b0\u01a1ng t\u00ednh. T\u00ecnh h\u00ecnh d\u1ecbch b\u1ec7nh ph\u1ee9c t\u1ea1p.<\/p>\n

PV: Th\u01b0a TS, Vi\u1ec7t Nam \u0111\u00e3 xu\u1ea5t hi\u1ec7n nh\u1eefng ca b\u1ec7nh m\u1eafc bi\u1ebfn ch\u1ee7ng trong c\u1ed9ng \u0111\u1ed3ng. T\u1eeb b\u00e0i h\u1ecdc c\u1ee7a \u1ea4n \u0110\u1ed9, ch\u00fang ta c\u1ea7n ph\u1ea3i l\u00e0m nh\u1eefng g\u00ec tr\u01b0\u1edbc khi qu\u00e1 mu\u1ed9n?<\/p>\n

TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u: V\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n nh\u1eefng ca b\u1ec7nh trong c\u1ed9ng \u0111\u1ed3ng t\u1ea1i Vi\u1ec7t Nam hi\u1ec7n nay, do bi\u1ebfn ch\u1ee7ng B.1.617.2 mang nh\u1eefng \u0111\u1eb7c t\u00ednh \u0111\u00e1ng ng\u1ea1i \u0111\u00e3 n\u00eau tr\u00ean, t\u1eeb b\u00e0i h\u1ecdc c\u1ee7a \u1ea4n \u0110\u1ed9, vi\u1ec7c tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng, ch\u1ed1ng l\u00e2y lan d\u1ecbch b\u1ec7nh l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng.<\/p>\n

C\u1ee5 th\u1ec3, theo h\u01b0\u1edbng d\u1eabn c\u1ee7a Ban ch\u1ec9 \u0111\u1ea1o Qu\u1ed1c gia ph\u00f2ng ch\u1ed1ng d\u1ecbch COVID-19 v\u00e0 B\u1ed9 Y t\u1ebf, Vi\u1ec7t Nam c\u1ea7n th\u1ef1c hi\u1ec7n nghi\u00eam ng\u1eb7t vi\u1ec7c ph\u00f2ng ch\u1ed1ng l\u00e2y lan virus t\u1eeb ng\u01b0\u1eddi b\u1ec7nh sang ng\u01b0\u1eddi l\u00e0nh, ph\u1ea3i b\u1ea3o \u0111\u1ea3m t\u1eeb kh\u00e2u c\u00e1ch ly sau nh\u1eadp c\u1ea3nh \u0111\u1ebfn vi\u1ec7c tu\u00e2n th\u1ee7 \u201c5K\u201d trong sinh ho\u1ea1t h\u00e0ng ng\u00e0y.<\/p>\n

Gi\u1ea3i ph\u00e1p c\u0103n c\u01a1 nh\u1ea5t trong th\u1eddi gian t\u1edbi l\u00e0 ti\u1ebfn h\u00e0nh ti\u00eam v\u1eafc xin \u0111\u1ea1t \u0111\u1ed9 ph\u1ee7 cho \u0111a s\u1ed1 d\u00e2n (tr\u00ean 70% d\u00e2n s\u1ed1) \u0111\u1ec3 t\u1ea1o mi\u1ec5n d\u1ecbch c\u1ed9ng \u0111\u1ed3ng, t\u1eeb \u0111\u00f3 ch\u1eb7n \u0111\u1ee9ng d\u1ecbch b\u1ec7nh.<\/p>\n

M\u1ecdi ng\u01b0\u1eddi d\u00e2n c\u1ea7n \u00fd th\u1ee9c tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn c\u1ee7a ng\u00e0nh y t\u1ebf tr\u01b0\u1edbc khi qu\u00e1 mu\u1ed9n.<\/p>\n

Tr\u00e2n tr\u1ecdng c\u1ea3m \u01a1n TS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u \u0111\u00e3 c\u00f3 nh\u1eefng chia s\u1ebb thi\u1ebft th\u1ef1c v\u00e0 \u00fd ngh\u0129a!<\/p>\n

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

Bi\u1ebfn ch\u1ee7ng B.1.617 c\u1ee7a \u1ea4n \u0110\u1ed9 \u0111\u00e3 xu\u1ea5t hi\u1ec7n t\u1ea1i m\u1ed9t s\u1ed1 t\u1ec9nh, th\u00e0nh tr\u00ean c\u1ea3 n\u01b0\u1edbc, Vi\u1ec7t Nam \u0111ang c\u00f3 b\u1ee9c tranh l\u00e2y nhi\u1ec5m trong c\u1ed9ng \u0111\u1ed3ng r\u1ea5t ph\u1ee9c t\u1ea1p, ch\u1ed3ng ch\u00e9o. \u0110\u00f3 l\u00e0 nh\u1eadn \u0111\u1ecbnh c\u1ee7a chuy\u00ean gia v\u1ec1 b\u1ec7nh truy\u1ec1n nhi\u1ec5m – TS.BS Nguy\u1ec5n V\u0103n V\u0129nh Ch\u00e2u – Ch\u1ee7 t\u1ecbch Li\u00ean Chi […]<\/p>\n","protected":false},"author":3,"featured_media":5002,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[235,242],"tags":[],"class_list":["post-4999","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-phong-chong-covid-19","category-vaccine-covid"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/4999","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=4999"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/4999\/revisions"}],"predecessor-version":[{"id":5003,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/4999\/revisions\/5003"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/5002"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=4999"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=4999"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=4999"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}