{"id":3991,"date":"2018-08-26T00:04:52","date_gmt":"2018-08-25T17:04:52","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/08\/26\/ho-keo-dai-o-tre-em\/"},"modified":"2024-03-04T13:50:32","modified_gmt":"2024-03-04T06:50:32","slug":"ho-keo-dai-o-tre-em","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/ho-keo-dai-o-tre-em\/","title":{"rendered":"Ho k\u00e9o d\u00e0i \u1edf tr\u1ebb em"},"content":{"rendered":"<h2 style=\"text-align: justify\">Khi n\u00e0o g\u1ecdi l\u00e0 ho k\u00e9o d\u00e0i?<\/h2>\n<p style=\"text-align: justify\">Ho k\u00e9o d\u00e0i l\u00e0 khi tr\u1ebb <strong>ho li\u00ean t\u1ee5c tr\u00ean 4 tu\u1ea7n.<\/strong><\/p>\n<p style=\"text-align: justify\">\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p ho k\u00e9o d\u00e0i g\u1eb7p \u1edf tr\u1ebb nh\u1ecf (2-3 tu\u1ed5i). Kho\u1ea3ng 5-10% h\u1ecdc sinh c\u1ea5p 1 (6-11 tu\u1ed5i) c\u00f3 t\u00ecnh tr\u1ea1ng ho k\u00e9o d\u00e0i.<\/p>\n<p style=\"text-align: justify\">\u0110\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 th\u1eadt s\u1ef1 \u0111\u00e1ng l\u01b0u \u00fd do m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a n\u00f3 v\u1edbi ch\u00ednh b\u1ea3n th\u00e2n tr\u1ebb v\u00e0 cha m\u1eb9. T\u1ea1i Hoa k\u1ef3, \u01b0\u1edbc t\u00ednh kho\u1ea3ng 10% tr\u1ebb ph\u1ea3i d\u00f9ng thu\u1ed1c ho m\u1ed7i tu\u1ea7n. Ho k\u00e9o d\u00e0i c\u00f2n l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn tr\u1ebb ph\u1ea3i th\u01b0\u1eddng xuy\u00ean \u0111i kh\u00e1m b\u1ec7nh. M\u1ed9t nghi\u00ean c\u1ee9u \u1edf Hoa K\u1ef3 cho th\u1ea5y trong v\u00f2ng 12 th\u00e1ng, kho\u1ea3ng 80% tr\u1ebb ph\u1ea3i \u0111i kh\u00e1m \u00edt nh\u1ea5t 5 l\u1ea7n, 50% ph\u1ea3i \u0111i kh\u00e1m tr\u00ean 10 l\u1ea7n v\u00ec ho k\u00e9o d\u00e0i.<\/p>\n<p style=\"text-align: justify\">Ho k\u00e9o d\u00e0i c\u00f2n \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb: l\u00e0m tr\u1ebb ng\u1ee7 kh\u00f4ng y\u00ean, th\u1ee9c gi\u1ea5c v\u1ec1 \u0111\u00eam, stress, c\u1ea3m th\u1ea5y lo l\u1eafng, bu\u1ed3n r\u1ea7u, h\u1ecdc t\u1eadp gi\u1ea3m s\u00fat.<\/p>\n<h2 style=\"text-align: justify\">Nguy\u00ean nh\u00e2n l\u00e0m tr\u1ebb ho k\u00e9o d\u00e0i<\/h2>\n<p style=\"text-align: justify\">Ho k\u00e9o d\u00e0i c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, kh\u00f4ng ch\u1ec9 do ph\u1ed5i m\u00e0 c\u00f2n c\u00f3 th\u1ec3 do nh\u1eefng b\u1ec7nh ngo\u00e0i ph\u1ed5i nh\u01b0 vi\u00eam m\u0169i xoang, vi\u00eam tai, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y &#8211; th\u1ef1c qu\u1ea3n, b\u1ec7nh tim m\u1ea1ch, ho do thu\u1ed1c, th\u1eadm ch\u00ed do t\u00e2m l\u00fd&#8230; Trong \u0111\u00f3 c\u1ea7n \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd \u0111\u1ebfn lao v\u00e0 hen suy\u1ec5n.<\/p>\n<h3 style=\"text-align: justify\">Nguy\u00ean nh\u00e2n g\u00e2y ho k\u00e9o d\u00e0i c\u0169ng thay \u0111\u1ed5i theo tu\u1ed5i<\/h3>\n<p style=\"text-align: justify\"><strong>Tr\u1ebb nh\u0169 nhi:<\/strong> ho k\u00e9o d\u00e0i do nhi\u1ec5m tr\u00f9ng (virus h\u00f4 h\u1ea5p, ho g\u00e0, nhi\u1ec5m vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, lao&#8230;), hen ph\u1ebf qu\u1ea3n, d\u1ecb t\u1eadt \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, b\u1ec7nh tim b\u1ea9m sinh, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y- th\u1ef1c qu\u1ea3n.<\/p>\n<p style=\"text-align: justify\"><strong>Tr\u1ebb nh\u1ecf:<\/strong> hen ph\u1ebf qu\u1ea3n, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y- th\u1ef1c qu\u1ea3n, t\u0103ng m\u1eabn c\u1ea3m ph\u1ebf qu\u1ea3n sau nhi\u1ec5m virus \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf b\u1ecf qu\u00ean.<\/p>\n<p style=\"text-align: justify\"><strong>Tr\u1ebb l\u1edbn:<\/strong> lao, hen ph\u1ebf qu\u1ea3n, h\u1ed9i ch\u1ee9ng ch\u1ea3y m\u0169i sau, gi\u00e3n ph\u1ebf qu\u1ea3n, ho do t\u00e2m l\u00fd.<\/p>\n<h3 style=\"text-align: justify\">T\u00ednh ch\u1ea5t ho c\u00f3 th\u1ec3 g\u1ee3i \u00fd m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n<\/h3>\n<ul style=\"text-align: justify\">\n<li>Ho c\u00f3 \u0111\u00e0m ( ho d\u1ecb \u1ee9ng, hen\u2026)<\/li>\n<li>Ho c\u01a1n \u0111\u1ecf m\u1eb7t ( ho g\u00e0, d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf, ho do vi khu\u1ea9n kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 Mycoplasma, Chlamydia\u2026)<\/li>\n<li>Ho v\u1ec1 \u0111\u00eam ( vi\u00eam m\u0169i xoang, hen..)<\/li>\n<li>Ho sau khi b\u00fa,sau khi \u0103n, ho khi n\u1eb1m (tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n).<\/li>\n<li>Ho sau v\u1eadn \u0111\u1ed9ng \u2013 g\u1eafng s\u1ee9c (hen)<\/li>\n<li>Kh\u00f4ng bao gi\u1edd ho l\u00fac ng\u1ee7 ch\u1ec9 ho khi th\u1ee9c (ho do t\u00e2m l\u00fd)<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\">Khi n\u00e0o c\u1ea7n cho tr\u1ebb ho k\u00e9o d\u00e0i \u0111i kh\u00e1m b\u1ec7nh?<\/h3>\n<p style=\"text-align: justify\">Tr\u01b0\u1edbc h\u1ebft c\u1ea7n l\u01b0u \u00fd l\u00e0 m\u1ecdi tr\u1ebb c\u00f3 t\u00ecnh tr\u1ea1ng ho k\u00e9o d\u00e0i \u0111\u1ec1u n\u00ean \u0111\u01b0\u1ee3c \u0111i kh\u00e1m v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n.<\/p>\n<p style=\"text-align: justify\">Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p tr\u1ebb c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o &#8211; c\u1ea7n ph\u1ea3i \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m ngay:<\/p>\n<ul style=\"text-align: justify\">\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>Ho ra m\u00e1u<\/li>\n<li>Ho kh\u1edfi ph\u00e1t \u0111\u1ed9t ng\u1ed9t sau khi tr\u1ebb \u0103n hay ch\u01a1i (g\u1ee3i \u00fd d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf)<\/li>\n<li>Ho k\u00e8m s\u1ed1t cao<\/li>\n<li>Ho kh\u1ea1c \u0111\u00e0m \u0111\u1eb7c, m\u00e0u xanh \u2013 v\u00e0ng, c\u00f3 m\u00f9i h\u00f4i<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Nh\u1eefng tr\u1ebb c\u00f3 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd c\u00e1c nguy\u00ean nh\u00e2n \u0111\u1eb7c bi\u1ec7t kh\u00e1c c\u0169ng c\u1ea7n \u0111i kh\u00e1m c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t:<\/p>\n<ul style=\"text-align: justify\">\n<li>Ho c\u00f3 \u0111\u00e0m k\u00e9o d\u00e0i<\/li>\n<li>Th\u1edf kh\u00f2 kh\u00e8 (g\u1ee3i \u00fd hen suy\u1ec5n)<\/li>\n<li>Ho k\u00e8m s\u1ee5t c\u00e2n, \u0111\u1ed5 m\u1ed3 h\u00f4i v\u1ec1 chi\u1ec1u (g\u1ee3i \u00fd lao)<\/li>\n<li>Kh\u00f3 \u0103n\/b\u00fa \u2013 kh\u00f3 nu\u1ed1t, \u2026<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">C\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m g\u00ec khi tr\u1ebb ho k\u00e9o d\u00e0i?<\/h2>\n<p style=\"text-align: justify\">Tr\u01b0\u1edbc h\u1ebft, tr\u1ebb ho k\u00e9o d\u00e0i c\u1ea7n \u0111\u01b0\u1ee3c h\u1ecfi b\u1ec7nh s\u1eed chi ti\u1ebft, kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ea7y \u0111\u1ee7, trong \u0111\u00f3 l\u01b0u \u00fd \u0111\u1ebfn ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng, hen ph\u1ebf qu\u1ea3n trong gia \u0111\u00ecnh, ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i thu\u1ed1c l\u00e1, ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc b\u1ec7nh lao, y\u1ebfu t\u1ed1 kh\u1edfi ph\u00e1t c\u0169ng nh\u01b0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng c\u1ee7a ho \u0111\u1ebfn tr\u1ebb.<\/p>\n<p style=\"text-align: justify\">M\u1ecdi tr\u1ebb ho k\u00e9o d\u00e0i n\u00ean \u0111\u01b0\u1ee3c \u0111o h\u00f4 h\u1ea5p k\u00fd (n\u1ebfu tr\u1ebb t\u1eeb 6 tu\u1ed5i tr\u1edf l\u00ean), ch\u1ee5p Xquang ph\u1ed5i, x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t lao.<\/p>\n<p style=\"text-align: justify\">C\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u00f9y theo t\u00ecnh hu\u1ed1ng \u0111\u01b0\u1ee3c \u0111\u1ecbnh h\u01b0\u1edbng qua th\u0103m kh\u00e1m: ch\u1ee5p Xquang xoang, ch\u1ee5p CT, n\u1ed9i soi ph\u1ebf qu\u1ea3n, si\u00eau \u00e2m tim, si\u00eau \u00e2m b\u1ee5ng, x\u00e9t nghi\u1ec7m mi\u1ec5n d\u1ecbch-d\u1ecb \u1ee9ng,\u2026<\/p>\n<h2 style=\"text-align: justify\">C\u00f3 n\u00ean t\u1ef1 cho tr\u1ebb d\u00f9ng thu\u1ed1c ho? V\u00e0 d\u00f9ng nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p style=\"text-align: justify\">Tr\u01b0\u1edbc h\u1ebft c\u1ea7n nh\u1ea5n m\u1ea1nh: \u0111i\u1ec1u quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ho k\u00e9o d\u00e0i l\u00e0 ph\u1ea3i t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, h\u01a1n l\u00e0 l\u1ea1m d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ho.<\/p>\n<p style=\"text-align: justify\">Ri\u00eang v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ho, c\u1ea7n l\u01b0u \u00fd: ho l\u00e0 ph\u1ea3n x\u1ea1 c\u00f3 l\u1ee3i \u0111\u1ec3 b\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng th\u1edf \u0111\u01b0\u1ee3c th\u00f4ng tho\u00e1ng, gi\u00fap tr\u1ebb h\u00edt th\u1edf d\u1ec5 d\u00e0ng. V\u00ec v\u1eady, c\u00e1c b\u1eadc cha m\u1eb9 kh\u00f4ng n\u00ean qu\u00e1 lo l\u1eafng v\u00e0 t\u00ecm \u0111\u1ee7 m\u1ecdi c\u00e1ch \u0111\u1ec3 k\u00ecm h\u00e3m ph\u1ea3n x\u1ea1 c\u00f3 l\u1ee3i n\u00e0y.<\/p>\n<p style=\"text-align: justify\"><strong>Ch\u1ec9 n\u00ean cho tr\u1ebb d\u00f9ng thu\u1ed1c ho khi:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Tr\u1ebb ho qu\u00e1 nhi\u1ec1u l\u00e0m tr\u1ebb kh\u00f3 ch\u1ecbu hay g\u00e2y ra h\u1eadu qu\u1ea3 x\u1ea5u: tr\u1ebb \u0111au ng\u1ef1c, \u0111au h\u1ecdng, m\u1ea5t ng\u1ee7, n\u00f4n \u00f3i, &#8230;<\/li>\n<li>Tr\u1ebb kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o \u0111\u00e3 n\u00eau tr\u00ean<\/li>\n<li>Khi tr\u1ebb kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd b\u1ec7nh l\u00fd c\u1ee5 th\u1ec3 n\u00e0o, Xquang ph\u1ed5i v\u00e0 h\u00f4 h\u1ea5p k\u00fd b\u00ecnh th\u01b0\u1eddng (th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ho kh\u00f4ng \u0111\u1eb7c hi\u1ec7u).<\/li>\n<\/ul>\n<p style=\"text-align: justify\">C\u00f3 th\u1ec3 cho tr\u1ebb s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 b\u00e0i thu\u1ed1c tr\u1ecb ho d\u00e2n gian an to\u00e0n: t\u1ea7n d\u1ea7y l\u00e1, t\u1eafc (qu\u1ea5t) ch\u01b0ng \u0111\u01b0\u1eddng, hoa h\u1ed3ng b\u1ea1ch, m\u1eadt ong, g\u1eebng, n\u01b0\u1edbc tr\u00e0 \u1ea5m \u2013 lo\u00e3ng,&#8230;<\/p>\n<p style=\"text-align: justify\"><strong>N\u1ebfu c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c ho c\u1ea7n l\u01b0u \u00fd nh\u01b0 sau:<\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li>Ch\u1ec9 n\u00ean d\u00f9ng thu\u1ed1c ho ph\u00f9 h\u1ee3p v\u1edbi l\u1ee9a tu\u1ed5i v\u00e0 ph\u00f9 h\u1ee3p v\u1edbi t\u00ednh ch\u1ea5t ho c\u1ee7a tr\u1ebb.<\/li>\n<li>N\u00ean cho tr\u1ebb d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c ho an to\u00e0n c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb th\u1ea3o d\u01b0\u1ee3c.<\/li>\n<li>Kh\u00f4ng n\u00ean d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c ho d\u00e0nh cho ng\u01b0\u1eddi l\u1edbn chia nh\u1ecf cho tr\u1ebb u\u1ed1ng do c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5, \u0111\u1ed9c t\u00ednh. Th\u1eadt v\u1eady, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ho m\u1ea1nh, hi\u1ec7u qu\u1ea3 d\u00f9ng cho ng\u01b0\u1eddi l\u1edbn c\u00f3 ch\u1ee9a d\u1eabn xu\u1ea5t \u00e1 phi\u1ec7n c\u00f3 th\u1ec3 l\u00e0m tr\u1ebb nh\u1ecf ng\u1ed9 \u0111\u1ed9c th\u1eadm ch\u00ed t\u1eed vong.<\/li>\n<li>C\u00e1c lo\u1ea1i thu\u1ed1c ho ch\u1ee9a antihistamine (chlorpheniramine, dexchlorpheniramine, alimemazine,&#8230;) ch\u1ec9 n\u00ean d\u00f9ng khi tr\u1ebb ho khan v\u00e0 \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh theo l\u1ee9a tu\u1ed5i.<\/li>\n<li>Khi tr\u1ebb ho c\u00f3 \u0111\u00e0m kh\u00f4ng n\u00ean d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf ho (th\u01b0\u1eddng ch\u1ee9a antihistamine hay dextromethorphan) m\u00e0 n\u00ean d\u00f9ng c\u00e1c thu\u1ed1c gi\u00fap long \u0111\u00e0m, gi\u00fap ho hi\u1ec7u qu\u1ea3.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li style=\"text-align: justify\"><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/743524132511776\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/743524132511776<\/a><\/li>\n<li style=\"text-align: justify\">BS. Tr\u1ea7n Anh Tu\u1ea5n &#8211; Tr\u01b0\u1edfng Khoa H\u00f4 h\u1ea5p &#8211; BV Nhi \u0110\u1ed3ng 1 TP. HCM<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ho k\u00e9o d\u00e0i l\u00e0 ph\u1ea3i t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, h\u01a1n l\u00e0 l\u1ea1m d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ho.<\/p>\n","protected":false},"author":14,"featured_media":3992,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5623],"series":[3454],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ho k\u00e9o d\u00e0i \u1edf tr\u1ebb em - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"\u0110i\u1ec1u quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ho k\u00e9o d\u00e0i l\u00e0 ph\u1ea3i t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p, h\u01a1n l\u00e0 l\u1ea1m d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ho.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/nhi-khoa\/ho-keo-dai-o-tre-em\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ho k\u00e9o d\u00e0i \u1edf tr\u1ebb em - 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