Sống chung Covid-19 như thế nào?

2019 CORONA VIRUS (COVID 19, SARS COV 2): CAUSES & SYMPTOMS What is the 2019 Corona virus (Corona Virus, Covid-19) causing acute pneumonia in Wuhan? Why did the Corona virus spread quickly into an epidemic in a short time? How to prevent, test, diagnose and treat the Covid-19 virus? … are questions that need accurate information. The article was consulted by Dr. Bach Thi Chinh, Medical Director of VNVC Children and Adults Immunization Center System. corona virus - covid-19 virus What is corona virus? Corona virus is a new strain of virus that has never appeared in humans, whose name comes from Latin origin. Corona virus is a virus that is surrounded by spikes on the outside, interacting with receptors on cells, following a mechanism similar to keys and locks, thereby allowing the virus to enter inside. Outbreak in late December 2019, originating in a seafood market in Hunan, Wuhan, Central China, the Corona virus was initially confirmed as a type of "strange pneumonia" or "unknown pneumonia" reason". After only 100 days of appearance, the acute respiratory infection caused by Corona virus quickly affected the economic and social fields, the financial market wobbled, the global economy fell into a recession with a high rate of inflation. Unemployment and poverty rates are unprecedented in history. The name Corona virus is derived from Latin, where “corona” means “crown” or “halo”. This virus has spikes on the outside, which interact with receptors on cells, in a similar way to keys and locks, thereby allowing the virus to enter inside. first. What is Covid 19? The World Health Organization (WHO) said that the official name of acute respiratory infection caused by a new strain of corona virus (nCoV) is Covid 19. This new name stands for coronavirus disease 2019, according to the keywords "corona", "virus", "disease" and 2019 is the year that this pandemic virus appeared. In February 2020, the International Committee on Taxonomy of Viruses (ICTV) officially named the new strain of corona virus as Sars-CoV-2. This is a different name from the name Covid 19 that WHO previously assigned. Scientists have conducted research and isolated a new strain of corona virus, temporarily called 2019-nCoV by the World Health Organization (WHO) with the same gene sequence as the previous Sars-CoV, with a similarity up to 79.5%. coronavirus 2. What is the new strain of corona virus? Coronavirus 2019 is a virus that causes an infection in the nose, sinuses, or throat. There are 7 types of Corona virus, of which 4 are not dangerous: 229E, NL63, OC43 and HKU1; the other two types, MERS-CoV and SARS-CoV, are more dangerous and have caused global pandemics. In addition, there is a new strain of Corona virus (yellow) with the symbol 2019-nCoV or nCoV, also known as the "Wuhan Virus" that has been "roaming" since the end of 2019 until now. This is the causative agent of acute pneumonia, causing more than 100 million cases and more than 2 million deaths worldwide (*). This is a new virus, so humans have never had immunity, including cross-immunity before. Corona viruses are a large family of viruses that usually infect animals, but they can sometimes evolve and infect humans. When the virus enters the body, it enters some cells and takes over the cellular machinery (causing specific inflammatory damage in the respiratory tract), at the same time the virus redirects that machinery to serve itself, creating new viruses and re-infection. others. People infected with 2019-nCoV have acute symptoms: cough, fever, difficulty breathing, which can progress to severe pneumonia, progressive acute respiratory failure and death; especially in the elderly, people with chronic diseases, immunocompromised. The incubation period of 2019-nCoV is 14 days, which is 14 days from the time of infection with Corona virus to the time of illness. This makes current control measures very difficult to detect. 3. How does Corona virus cause disease? Most corona viruses have the same transmission route as other cold viruses, that is: sick people cough and sneeze without covering their mouths, leading to the release of droplets into the air, spreading the virus to healthy people. A healthy person touches or shakes hands with someone who has the Corona virus, causing the virus to pass from person to person. A healthy person comes into contact with a surface or object that has the virus on it, and then touches his or her nose, eyes, or mouth. In rare cases, coronavirus can be spread through contact with feces. Chinese scientists say that on average, one patient infected with the Corona virus will spread it to 5.5 other people. Because the Covid-19 virus has the ability to spread very quickly from person to person, if people are not equipped with knowledge about disease prevention, a pandemic is easy to occur. According to Dr. Truong Huu Khanh, Head of the Department of Infection - Neurology, Children's Hospital I, Ho Chi Minh City, Senior Advisor of the VNVC Immunization Center System, At high temperatures outside the body (above 20oC, especially above 25oC), sunlight, a well-ventilated environment, Corona virus (2019-nCoV) will weaken and reduce the possibility of disease transmission. But if at low temperature, high humidity, no ventilation, cold, the virus will spread and spread very quickly because these are favorable conditions for them to grow. How to prevent covid-19 Origin of the Covid 19 epidemic 1. How is Sars Cov 2 virus composed? Like other viruses, Sars Cov 2 virus penetrates deep inside the cell, taming the cell into a replication machine, multiplying the virus many times. If this goal is achieved, the amount of Sars Cov 2 virus is large enough to disrupt the immune system, making the body insufficiently resistant to and infection. Sars Cov 2 virus has a spherical shape, approximately 125 nanometers in diameter, with the structure in order from inside to outside as follows: Nucleic acid core: This is the viral genome with a size of 26-32 kilobases, which is the largest size among RNA viruses. The nucleic acid core contains a single positive strand of RNA (a polymeric molecule that plays a biological role in gene encoding, translation, regulation, and expression), which helps the virus to replicate faster. Protein Envelope: This coat acts as a protection, enclosing the outside of the genome. Outer coat: The outer shell consists of a lipid and protein double layer, on top of which there is a protein spike that performs the tasks of antigens, helping the virus to enter cells easily. 2. What is the genome of the corona virus? The coronavirus genome is the largest among RNA viruses, consisting of regions: the 5'UTR region, the open reading frame, the 3'UTR region, and finally the poly(A) tail. There are 4 conserved structural proteins on CoVs: protein (S), membrane protein (M), envelope protein (E) and nucleocapsid (N) protein. In it, Protein S is responsible for binding to the host cell and is the receptor for the virus to enter the cell. The M, E and N proteins are part of the nucleocapsid of the viral particles. structure of sars-cov-2 According to studies, the genome of corona virus has the following similarities: 50% similarity of genetic code compared to MERS-CoV virus strain; Similarity of 79.5% gene code compared with SARS-CoV virus strain; Similarity of 96% of the genetic code to the Corona virus strain detected in bats, especially horseshoe bats; 99% similarity of genetic code to the Corona virus strain found in the pangolin species. When analyzing the Corona virus, scientists found that the Corona virus is the same species as the SARS virus in 2003 with a similarity of up to 94.6% of amino acid sequences. In the Corona virus genome there is an essential gene, RdRp (RNA dependent RNA polymerase), This gene is highly conserved and is used to diagnose and detect Corona virus. See also: Delta variant 3. When was Corona virus discovered? Coronaviruses are found in both animals and humans. Some strains of coronavirus that can cause the common cold or more severe are Middle East Respiratory Syndrome (MERS) or Severe Acute Respiratory Syndrome (SARS). Meanwhile, the new corona virus is a new strain of corona virus that has never been isolated in humans before. This new virus, called 2019-nCoV, had never been detected before the outbreak was reported in Wuhan City, Hubei Province, China in December 2019. The pandemic of acute respiratory infections caused by a new strain of corona virus has lasted so far in 215 countries, causing tens of millions of people to be infected, and millions of people have died around the world and has not shown any signs of "cooling down". Corona Virus Incubation Period A person infected with Corona virus can show their first symptoms after an incubation period of about 2-14 days, with an average of 5 days. During the incubation period, the virus can still be transmitted causing infection. VNVC has prepared an article about the incubation period of Corona virus for your reference. Corona virus symptoms day by day, Doctor Truong Huu Khanh warned: “Coronavirus strain 2019-nCoV is especially dangerous for people with weak immune systems, the elderly, children, people with weak immune systems. or have chronic underlying diseases such as heart disease, chronic lung disease, immunodeficiency, obesity, diabetes, etc. These subjects are highly infectious and difficult to treat due to the rapid progression of the disease, high life-threatening. In particular, the Corona virus is extremely dangerous for pregnant women. When pregnant women get the disease, it will leave especially serious consequences. The level of danger of this disease to pregnant women is similar to the level of MERS epidemic in 2014.” Like other strains of Corona virus MERS-CoV, SARS-CoV, 2019-nCoV is the cause of a series of acute respiratory diseases with dangerous signs/symptoms including high fever, headache, cough, difficulty breathing. and often progress to pneumonia. In severe cases, the patient also has organ failure. If not detected and treated promptly, it can lead to death. The incubation period is 2-10 days. Watch the clip: The earliest way to recognize symptoms caused by Corona virus 1. Corona virus symptoms day by day Depending on the body and resistance, the symptoms of corona infection from day to day are different for each individual, however These symptoms are evident from 2-14 days. Therefore, as soon as there are suspicious signs, the patient should immediately go to the nearest medical facility for timely diagnosis. Days 1 to 3: Symptoms are similar to those of a common cold. Mild sore throat, no fever, no fatigue. Eat and drink normally. Day 4: Throat starts to hurt slightly, the person is lethargic. Start hoarse. Body temperature increases slightly. Mild headache, mild diarrhea. Starting to lose appetite. Day 5: More sore throat, more hoarseness. Body temperature slightly increased Body fatigue, pain in joints. Day 6: The symptom of 2019 Corona virus is the beginning of a low-grade fever. Cough with phlegm or dry cough without phlegm. More sore throat, pain when swallowing, when eating or speaking. Fatigue, nausea. Diarrhea, possibly vomiting. Back or fingers aching. Day 7: High fever below 38o. More cough, more phlegm. Whole body aching. Shortness of breath. More diarrhea and vomiting. Day 8: Fever around 38o. Shortness of breath, wheezing, heaviness in the chest. Cough continuously, talk a lot, mute. Joint pain, headache, back pain. Day 9: Conditions such as fever, cough, shortness of breath, heaviness in the chest… become more severe. symptoms of corona virus (covid-19) 2. Does Covid-19 have a runny nose? Corona virus is often confused with the symptoms of the common flu. It should be noted that people with common flu only show symptoms of sneezing, runny nose, runny nose, unlike Covid 19, the patient will have symptoms such as cough, dry cough, persistent cough, fever ... but not snivel. 3. What is the earliest manifestation of corona virus disease? According to a warning from the US Centers for Disease Control and Prevention (US CDC), when infected with Covid 19, One or all of the symptoms can appear anytime between 2-14 days after exposure to the novel coronavirus. Accordingly, the earliest symptoms to detect the disease are: Fever: Fever is the first sign to recognize corona. Most children and adults will be identified as having a fever when the temperature exceeds 38°C. Experts recommend that patients should not rely on temperature taken in the morning because viral fever often causes body temperature to rise in the late afternoon and early evening. Dry cough: Cough is an early and most common Covid 19 symptom. Cough caused by Covid 19 will not be completely cured when taking regular cough medicine. Fatigue: Fatigue, exhaustion, body aches are early manifestations of Covid 19. Research by WHO shows that about 40% of the nearly 6,000 people with the disease experience periods of fatigue. This state even lasted a few weeks after Covid 19 ended. 4. How many degrees does Covid 19 have? After the incubation period (between 2 and 14 days), symptoms of Covid-19 infection begin to appear such as a dry cough and low-grade fever. Fever is suspected of Covid 19 is from 38.1oC - 39oC or 100.5oF - 102.1oF, often accompanied by decreased taste and smell function. Patients will be treated and isolated at home if symptoms are mild or moderate and resolve on their own within 1 week. About 10% of patients still have symptoms of fever, fatigue, cough, diarrhea... in the second week. If symptoms persist, more symptoms appear, requiring hospitalization, intensive care, and invasive mechanical ventilation. Covid 19 has an unpredictable course, especially in elderly patients with comorbidities. Clinical manifestations vary from completely asymptomatic to severe symptoms and death. 5. Are the symptoms of covid-19 virus a stuffy nose? According to a report by the World Health Organization (WHO), about 5% of patients with Corona virus have symptoms of nasal congestion. It's not the most common sign of illness, but it's a symptom that can easily be confused with colds and flu. In fact, many of the symptoms of Covid 19 are similar to the flu, such as headaches, body aches, and fatigue. Some other symptoms can be like a cold or an allergy, like sore throat, cough, fever, and stuffy nose. 6. Symptoms of covid-19 virus cough with phlegm? A report released by the World Health Organization (WHO) showed that, out of 55,924 people with Covid 19 being monitored, more than 33% of patients showed signs of coughing up phlegm, a thick mucus produced by the lungs. The cough symptom of Covid 19 is not an itchy throat that makes the patient clear his throat, nor is it just an irritation, but this cough comes from the chest area and the inflamed bronchial tubes are very uncomfortable. 7. How long does it take for symptoms of covid to appear? A person infected with Corona virus can develop symptoms after an incubation period of 2-14 days, with an average of 5 days. During the incubation period, the virus can still infect others. Therefore, it is necessary to take disease prevention measures according to the guidance of the Ministry of Health to limit the risk of infection. 8. Why have covid 19 but no symptoms? A person infected with the Corona virus without symptoms is a carrier of Covid 19 in the body but is still healthy or has been infected with the pathogen but does not have any unusual signs or symptoms. The reason is that the body has a strong resistance that inhibits the growth, prevents the virus from growing and multiplying, or the number of microorganisms invading the body is not large enough to cause disease, so there are no symptoms of the disease. . In this case, the patient has not shown any signs of illness, but if for some reason the resistance declines, the body will quickly be attacked by the virus and cause illness. The healthy form of people carrying the disease without symptoms is very dangerous because they can excrete pathogens into the outside environment, causing them to spread to other people, risking an outbreak. 9. Signs of Covid-19 skin rash According to researchers, skin rash caused by Covid-19 is a common sign and cannot be ignored to recognize the SARS-CoV-2 virus. Skin manifestations of patients infected with COVID-19 are very diverse, such as: Feet and fingers are broken; Eczema in the neck and chest area; oral eczema; A lumpy, vesicular rash; Urticaria,... Most of the lesions are self-healing after about 10 days, of which the 5 most noticeable and common manifestations are: maculopapular rash (47%). Urticaria (19%). COVID-19 toe (19%). Vesicular or varicella-like reactions (9%). Livedo or necrotic capillary inflammation (6%). According to Dr. Bach Thi Chinh, patients with underlying skin diseases, especially autoimmune diseases such as systemic lupus erythematosus, scleroderma, dermatomyositis, etc., should strictly follow the doctor's recommendations on disease prevention. dermatologist and of the hospital where the patient comes for treatment. People who do not belong to the group of autoimmune diseases but are using immunosuppressive drugs such as corticosteroids or biological drugs ... also need to be vigilant to prevent and avoid COVID-19 because this is a high-risk group. infection. ten. Signs of Covid-19 Sore Throat Sore throat, dry cough, even with thick and foamy sputum, is most likely one of the typical, severe and common symptoms of Covid-19. Symptoms of covid sore throat are often confused with common sore throat. Sore throat caused by Covid is not effective when taking common sore throat medicines. Therefore, if the patient feels a lot of cough, lasts a long time, does not help with medication or home treatment, combined with symptoms of fever and difficulty breathing, the patient needs to go to a health care facility right away. country, designated by the Ministry of Health. 11. Symptoms of Covid-19 Nausea Gastrointestinal symptoms such as nausea or vomiting are early signs of covid-19. Usually, nausea usually appears 1-2 days before the patient develops a fever. However, this phenomenon can be caused by other health problems. If you have any unusual symptoms of Covid-19, please isolate yourself, keep a safe distance from family members. Stay in a private room, using a private bathroom if possible. 12. Symptoms of Covid-19 runny nose COVID-19, allergies, flu, colds, etc. are all diseases affecting the respiratory tract causing similar symptoms, so it is difficult to distinguish. According to experts, it is possible to distinguish COVID-19 from other diseases through the 3 most characteristic and obvious symptoms. fever, persistent dry cough, and difficulty breathing. A runny, runny nose is a common symptom of the flu, not COVID-19. 13. Are covid symptoms sneezing? ARE NOT! Sneezing is a typical symptom of a cold or flu, but not a typical sign of COVID-19. It is often difficult to distinguish COVID-19 from the flu, so experts recommend that everyone get a flu vaccine every year to minimize the risk of getting the flu. In addition, if you don't get the flu shot but unfortunately get COVID-19, the patient will show symptoms of fever, cough, sneezing, etc. The symptoms at this time will make the sick person and those around them even more worried. settle. Therefore, early and complete flu vaccination will not worry about confusing symptoms with Covid-19, if any. 14. Symptoms of Covid-19 difficulty breathing Symptoms of shortness of breath, shortness of breath in the chest are the most typical warning signs of COVID-19. The SARS-CoV-2 virus directly affects the lungs, controlling the respiratory system leading to symptoms of shortness of breath, chest tightness... If you have a cough and feel short of breath, do not be subjective because the possibility of COVID-19 infection is very high. At this moment, You should visit the hospital promptly before the condition becomes serious. 15. Symptoms of Covid-19 diarrhea According to the latest research by scientists at the University of Oxford (UK), patients with COVID-19 do not have too many respiratory disorders but have abdominal pain. The cause may stem from pneumonia (in the lower lobes of the lungs) caused by infection with the SARS-CoV-2 virus. In the elderly group, if the level of COVID-19 is severe, the digestive symptoms appear more severe. Another study of 204 patients in Wuhan - where the COVID-19 outbreak began, found that nearly half of the patients (48.5%) went to the hospital with digestive problems, mainly diarrhea. run. Experts recommend that diarrhea is also a typical symptom of COVID-19, so when the above symptoms appear, Please self-isolate and do not appear in public places. Causes of Corona Virus Sars Cov 2 is the cause of acute respiratory infections that kill millions of people around the world. The World Health Organization and global experts are making efforts to determine the origin of Sars Cov 2. Many argue that Sars Cov 2 is a Betacoronavirus, belonging to the family of viruses that cause MERS-CoV syndrome. and SARS syndrome, all of which originated in a bat host. The US Centers for Disease Control and Prevention (CDC) has released a list of people most at risk of contracting the Corona virus. This is an extremely sensitive and easily fatal group of people from Corona virus, including children, adults, especially young children, the elderly, people with medical history, people who are immunocompromised or have underlying medical conditions (heart disease, chronic lung disease, immunodeficiency, obesity, diabetes, etc.). Complications from the Covid-19 virus The Covid 19 pandemic caused by the Sars Cov 2 virus mainly causes severe acute respiratory syndrome. Despite this, Covid 19 is still recognized with many common complications of Covid-19 such as headache, dizziness, altered consciousness, impaired sense of smell, taste disturbances, convulsions and strokes. How to diagnose and test Covid 19 Currently, to diagnose Corona virus, patients need to be tested for the specific genetic sequence of the Corona virus in the swab sample of the nose and throat area. Normally, laboratories take 4-6 hours of testing to find the specific genetic sequence of Covid 19. In Vietnam, Covid 19 diagnosis and test results are usually available after about 24 hours. Treatment of Covid 19 So far, The world still has no specific drug to treat Corona virus, all current drugs are symptomatic treatment. The Ministry of Health recommends that the use of drugs in the treatment of Covid-19 must comply with the doctor's instructions for diagnosis and treatment. People do not arbitrarily use drugs, avoid poisoning or unwanted side effects. How does Corona virus spread? COVID-19 is transmitted through nasopharyngeal secretions during direct or indirect contact with an infected person. This includes saliva, respiratory secretions, or droplets that are released from an infected person's mouth or nose when they cough, sneeze, speak, or sing. People who have close contact (within 1 meter) of an infected person can get COVID-19 when droplets enter the contact's mouth, nose, or eyes. In addition, the virus can stick to surfaces, spread when touching doorknobs, stair handrails, … then touch your eyes, nose, or mouth again before washing your hands. According to assessment from the 4th outbreak in Vietnam, the spread rate of SARS-CoV-2 virus strains is very fast, especially in closed, poorly ventilated, crowded places... In outbreak areas, the possibility of COVID-19 transmission through aerosol particles (very small droplets suspended in the air) cannot be excluded, especially in indoor locations where the air is not sufficiently ventilated. To proactively prevent and avoid contact with droplets, it is important to strictly follow the 5K message of the Ministry of Health, including: "Masks - Disinfection - Distance - Do not gather - Medical declaration". Also, wash your hands often and thoroughly with soap and water or with an alcohol-based hand sanitizer, and frequently clean surfaces with soap or sanitizer. Can people without symptoms transmit the virus? YES. Sick people can spread the virus even if they don't have typical symptoms. Patients should be identified by testing, isolation, and medical care, depending on severity. Even people who have been confirmed to have COVID-19 but do not show symptoms need to be isolated and strictly implement distance and control measures to limit contact with others to prevent the spread. of disease. How to prevent corona virus To actively prevent and control the COVID-19 epidemic, the Ministry of Health calls on the Vietnamese people to implement and seriously spread the message "5K+ Vaccines" including Masks - Disinfection - Distance - Do not gather – Medical declaration + Vaccine. In particular, when there are signs of fever, cough, difficulty breathing... people should immediately contact a medical facility for advice, support, Guide to medical examination to ensure safety. With the motto "fighting the epidemic like fighting the enemy", in addition to radical solutions, the following actions are essential to end the pandemic soon: Don't go out unless absolutely necessary, don't focus too much. 2 people in public. Always wear a mask when going out, even when working; Always stand 2 meters away from others. Always wash your hands with soap under running water or with an antiseptic solution, especially after touching anything and after meeting and talking with others before going home. Do not touch your eyes, nose or mouth with your hands. When you get home, you have to change clothes and clean. Regularly rinse your mouth with salt water or mouthwash; Keep the chest and neck warm, drink warm water. Change clothes when you get home and change clothes need to be soaked with soap. Eat well, eat well, drink well, Exercise appropriate sports, healthy living. Regularly clean and ventilate your home, and clean frequently touched surfaces. If you are isolated, you must stay at home, limit contact with people in the house, and follow the isolation instructions of health authorities. Do not go to a medical facility unless it is an emergency. Ask a health worker by hotline or online before you want to see a doctor. Medical declaration through the application for yourself and your family members; Monitor your health daily and immediately notify the health authority or on the NCOVI application. In particular, when there are signs of fever, cough, difficulty breathing... people need to immediately contact a health facility for advice, support, and instructions for safe medical examination. Also, refer to the article on how to prevent Covid-19 with VNVC! Where to get the COVID-19 vaccine? Even during the pandemic, the whole world is always looking forward to the appearance of a vaccine, The only weapon to help combat the global virus. Which vaccines are effective? What kind of injections do Vietnamese people get? Where to get the COVID-19 vaccine? It is a question that has received the attention of millions of people. With agility, initiative, outstanding capacity and dare to take great risks, Vietnam Vaccines Joint Stock Company (VNVC) is the first to carry 30 million doses of AstraZeneca's COVID-19 vaccine (United Kingdom). ) returned to Vietnam and transferred it all to the Government on the principle of non-profit, serving the people in epidemic prevention, contributing to economic recovery and stabilizing life. Currently, the first batches of AstraZeneca's COVID-19 vaccine are being vaccinated for priority subjects and areas according to the direction of the Government and the Ministry of Health according to the priority level for those subjects. such as medical staff, staff involved in epidemic prevention and control, diplomatic staff, military - police forces, people living in epidemic areas according to epidemiological indications, etc. In the near future, VNVC will continue to make efforts to continue to discuss with manufacturers and suppliers of vaccines around the world so that more can be added soon. other COVID-19 vaccines to Vietnam, continue to serve the needs of the people as soon as possible. Social distancing and distancing Social distancing is a measure to prevent or reduce the spread of the Sars-Cov-2 virus. The goal of social distancing is to reduce the likelihood of contact between infected and uninfected people, reducing the risk of disease transmission, infection, and ultimately death. Covid 19 vaccine The whole world is sprinting to produce a Covid 19 vaccine in the hope of ending the global Covid 19 pandemic. Now, More than 100 vaccines from more than 40 countries have participated in the race to produce a Covid 19 vaccine. As of October 2020, there are 321 vaccine candidates under development worldwide, of which 56 are candidates. is in clinical research stage. AstraZeneca vaccine against Covid-19 (United Kingdom) is up to 90% effective with 2 injections. In the first quarter of 2021, the VNVC vaccination center system is the first to bring this vaccine to Vietnam and will soon deploy this vaccine to tens of millions of people. Nutrition for people infected with Covid 19 When a person has been infected with Corona virus, the focus should be on enhancing nutritional care, improving physical health, alleviating symptoms, shortening treatment time, and at the same time increasing the effectiveness of the treatment. treatment results. It is necessary to plan early on feeding people infected with Corona virus according to specific nutritional status and clinical conditions. Above is all the important information about the Covid-19 epidemic and the 2019 Corona virus strain (Corona virus or Sars-Cov-2) that VNVC has combined with leading experts to explain in detail.END=NAM MO MEDICINE BODISAVA BUDDHA.( 3 TIMES ).GOLDEN MONASTERY=VIETNAMESE BUDDHIST NUN=THE WOMEN OF THE SAKYA CLAN CHAN TANH.AUSTRALIA,SYDNEY.25/8/2021.VIETNAMESE TRANSLATE ENGLISH BY=VIETNAMESE BUDDHIST NUN=THE WOMEN OF THE SAKYA CLAN CHAN TANH.