{"id":10215,"date":"2021-10-07T09:24:36","date_gmt":"2021-10-07T02:24:36","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=10215"},"modified":"2021-10-07T09:24:36","modified_gmt":"2021-10-07T02:24:36","slug":"bo-y-te-ban-hanh-huong-dan-chan-doan-va-dieu-tri-covid-19-phien-ban-moi-nhat","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/10\/07\/bo-y-te-ban-hanh-huong-dan-chan-doan-va-dieu-tri-covid-19-phien-ban-moi-nhat\/","title":{"rendered":"B\u1ed9 Y t\u1ebf ban h\u00e0nh h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 phi\u00ean b\u1ea3n m\u1edbi nh\u1ea5t"},"content":{"rendered":"

Ng\u00e0y 6\/10, B\u1ed9 Y t\u1ebf ban h\u00e0nh “H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19”. H\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t n\u00e0y s\u1ebd thay th\u1ebf h\u01b0\u1edbng d\u1eabn do B\u1ed9 Y t\u1ebf ban h\u00e0nh h\u1ed3i th\u00e1ng 7\/2021. \u0110\u00e2y l\u00e0 phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 7.<\/h3>\n
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V\u1ec1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi m\u1eafc COVID-19<\/strong><\/p>\n

H\u01b0\u1edbng d\u1eabn “Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 do ch\u1ee7ng virus SARS-CoV-2” cho bi\u1ebft, th\u01a1\u0300i gian u\u0309 b\u1eb9\u0302nh t\u01b0\u0300 2-14 nga\u0300y, trung bi\u0300nh t\u01b0\u0300 5-7 nga\u0300y, th\u00ea\u0309 delta co\u0301 th\u01a1\u0300i gian u\u0309 b\u1eb9\u0302nh ng\u0103\u0301n ho\u031bn.<\/p>\n

\u1ede giai \u0111o\u1ea1n kh\u01a1\u0309i pha\u0301t: Chu\u0309ng alpha c\u00f3 c\u00e1c bi\u1ec3u hii\u1ec7n s\u00f4\u0301t, ho khan, m\u1eb9\u0302t mo\u0309i, \u0111au ho\u0323ng, \u0111au \u0111\u00e2\u0300u. M\u1ecd\u0302t s\u00f4\u0301 tru\u031b\u01a1\u0300ng h\u01a1\u0323p bi\u0323 nghe\u0323t mu\u0303i, cha\u0309y nu\u031b\u01a1\u0301c mu\u0303i, m\u00e2\u0301t vi\u0323 gia\u0301c va\u0300 kh\u01b0\u0301u gia\u0301c, bu\u00f4\u0300n no\u0302n, tie\u0302u cha\u0309y, \u0111au bu\u0323ng…<\/p>\n

Chu\u0309ng m\u01a1\u0301i (delta): \u0111au \u0111\u00e2\u0300u, \u0111au ho\u0323ng, cha\u0309y nu\u031b\u01a1\u0301c mu\u0303i, ho, s\u00f4\u0301t, ti\u00eau ch\u1ea3y, kho\u0301 th\u01a1\u0309, \u0111au co\u031b.<\/p>\n

Di\u00ea\u0303n bi\u00ea\u0301n:<\/p>\n

– \u0110\u00f4\u0301i v\u01a1\u0301i th\u00ea\u0309 alpha, 80% b\u1ec7nh nh\u00e2n COVID-19 co\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng nhe\u0323, 20% b\u1eb9\u0302nh nha\u0302n di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng va\u0300 di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng thu\u031b\u01a1\u0300ng khoa\u0309ng 5-10 nga\u0300y va\u0300 5% c\u00e2\u0300n pha\u0309i \u0111i\u00ea\u0300u tri\u0323 ta\u0323i ca\u0301c \u0111o\u031bn vi\u0323 h\u00f4\u0300i s\u01b0\u0301c ti\u0301ch c\u01b0\u0323c v\u01a1\u0301i bi\u00ea\u0309u hi\u1eb9\u0302n suy ho\u0302 h\u00e2\u0301p c\u00e2\u0301p, t\u00f4\u0309n thu\u031bo\u031bng ph\u00f4\u0309i do COVID-19, t\u00f4\u0309n thu\u031bo\u031bng vi ma\u0323ch ga\u0302y huy\u00ea\u0301t kh\u00f4\u0301i va\u0300 t\u0103\u0301c ma\u0323ch, vie\u0302m co\u031b tim, s\u00f4\u0301c nhi\u00ea\u0303m tru\u0300ng, suy ch\u01b0\u0301c na\u0306ng co\u031b quan bao g\u00f4\u0300m t\u00f4\u0309n thu\u031bo\u031bng th\u1ea1\u0302n c\u00e2\u0301p, t\u00f4\u0309n thu\u031bo\u031bng na\u0303o, t\u00f4\u0309n thu\u031bo\u031bng tim va\u0300 d\u00e2\u0303n \u0111\u00ea\u0301n t\u01b0\u0309 vong.<\/p>\n

\"\"
\u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID-19 t\u1ea1i Trung t\u00e2m h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c ng\u01b0\u1eddi b\u1ec7nh COVID-19 \u1edf TP.HCM.<\/figcaption><\/figure>\n

– \u0110\u00f4\u0301i v\u01a1\u0301i th\u00ea\u0309 delta, ti\u0309 l\u1eb9\u0302 nh\u1ea1\u0302p vi\u1eb9\u0302n c\u00e2\u0301p c\u01b0\u0301u 5,7% (cao ho\u031bn 4.2% alpha), ti\u0309 l\u1eb9\u0302 nh\u1ea1\u0302p vi\u1eb9\u0302n, nh\u1ea1\u0302p ICU va\u0300 t\u01b0\u0309 vong ta\u0306ng ho\u031bn tru\u031b\u01a1\u0301c. Ngoa\u0300i ra chu\u0309ng delta lie\u0302n quan \u0111\u00ea\u0301n ta\u0306ng m\u01b0\u0301c \u0111\u1ecd\u0302 n\u1ea1\u0306ng cu\u0309a b\u1eb9\u0302nh bi\u00ea\u0309u hi\u1eb9\u0302n b\u01a1\u0309i ta\u0306ng nhu c\u00e2\u0300u oxy, nh\u1ea1\u0302p ICU ho\u1ea1\u0306c t\u01b0\u0309 vong so v\u01a1\u0301i nh\u01b0\u0303ng chu\u0309ng kha\u0301c. Ngoa\u0300i ra chu\u0309ng delta co\u0301 ta\u0309i lu\u031b\u01a1\u0323ng vi ru\u0301t cao ho\u031bn 1.260 l\u00e2\u0300n so v\u01a1\u0301i 19A\/19B va\u0300 kha\u0309 na\u0306ng la\u0302y cao ho\u031bn 15-20% so v\u01a1\u0301i chu\u0309ng kha\u0301c.<\/p>\n

Giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n COVID-19<\/strong><\/p>\n

– \u0110\u00f4\u0301i v\u01a1\u0301i tru\u031b\u01a1\u0300ng h\u01a1\u0323p nhe\u0323 va\u0300 trung bi\u0300nh, sau 7-10 nga\u0300y, b\u1eb9\u0302nh nha\u0302n h\u00ea\u0301t s\u00f4\u0301t, toa\u0300n tra\u0323ng kha\u0301 le\u0302n, t\u00f4\u0309n thu\u031bo\u031bng ph\u00f4\u0309i t\u01b0\u0323 h\u00f4\u0300i phu\u0323c, co\u0301 th\u00ea\u0309 g\u1ea1\u0306p m\u1eb9\u0302t mo\u0309i ke\u0301o da\u0300i.<\/p>\n

– Nh\u01b0\u0303ng tru\u031b\u01a1\u0300ng h\u01a1\u0323p n\u1ea1\u0306ng: Bi\u00ea\u0309u hi\u1eb9\u0302n la\u0302m sa\u0300ng ke\u0301o da\u0300i, h\u00f4\u0300i phu\u0323c t\u01b0\u0300 2-3 tu\u00e2\u0300n, m\u1eb9\u0302t mo\u0309i ke\u0301o da\u0300i \u0111\u00ea\u0301n ha\u0300ng tha\u0301ng.<\/p>\n

– Nh\u01b0\u0303ng tru\u031b\u01a1\u0300ng h\u01a1\u0323p nguy ki\u0323ch co\u0301 th\u00ea\u0309 pha\u0309i n\u0103\u0300m h\u00f4\u0300i s\u01b0\u0301c ke\u0301o da\u0300i nhi\u00ea\u0300u tha\u0301ng, co\u0301 th\u00ea\u0309 ti\u00ea\u0301n tri\u00ea\u0309n xo\u031b ph\u00f4\u0309i, a\u0309nh hu\u031b\u01a1\u0309ng ta\u0302m ly\u0301, y\u00ea\u0301u co\u031b ke\u0301o da\u0300i.<\/p>\n

– M\u1ecd\u0302t s\u00f4\u0301 tru\u031b\u01a1\u0300ng h\u01a1\u0323p sau nhi\u00ea\u0303m SARS-CoV-2, g\u1ea1\u0306p ca\u0301c r\u00f4\u0301i loa\u0323n ke\u0301o da\u0300i: b\u1eb9\u0302nh ly\u0301 t\u01b0\u0323 mi\u00ea\u0303n, h\u1ecd\u0302i ch\u01b0\u0301ng th\u01b0\u0323c ba\u0300o…<\/p>\n

V\u1ec1 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n COVID-19<\/strong><\/p>\n

H\u01b0\u1edbng d\u1eabn n\u00eau r\u00f5, \u0111\u1ed1i v\u1edbi thu\u1ed1c kh\u00e1ng virus:<\/p>\n

– N\u1ebfu l\u00e0 thu\u1ed1c chu\u031ba \u0111u\u031b\u01a1\u0323c T\u00f4\u0309 ch\u01b0\u0301c Y t\u00ea\u0301 th\u00ea\u0301 gi\u01a1\u0301i khuy\u00ea\u0301n ca\u0301o s\u01b0\u0309 du\u0323ng, chu\u031ba \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p lu\u031bu ha\u0300nh, chu\u031ba \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p s\u01b0\u0309 du\u0323ng kh\u00e2\u0309n c\u00e2\u0301p ta\u0323i b\u00e2\u0301t ky\u0300 nu\u031b\u01a1\u0301c na\u0300o tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i, vi\u1eb9\u0302c s\u01b0\u0309 du\u0323ng pha\u0309i tua\u0302n thu\u0309 ca\u0301c quy \u0111i\u0323nh v\u00ea\u0300 th\u01b0\u0309 nghi\u1eb9\u0302m la\u0302m sa\u0300ng cu\u0309a B\u1ecd\u0302 Y t\u00ea\u0301.<\/p>\n

– N\u1ebfu l\u00e0 thu\u1ed1c \u0111a\u0303 \u0111u\u031b\u01a1\u0323c T\u00f4\u0309 ch\u01b0\u0301c Y t\u00ea\u0301 th\u00ea\u0301 gi\u01a1\u0301i khuy\u00ea\u0301n ca\u0301o s\u01b0\u0309 du\u0323ng ho\u1ea1\u0306c \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p lu\u031bu ha\u0300nh, ho\u1ea1\u0306c \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p s\u01b0\u0309 du\u0323ng kh\u00e2\u0309n c\u00e2\u0301p ta\u0323i i\u0301t nh\u00e2\u0301t 1 nu\u031b\u01a1\u0301c tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i thi\u0300 co\u0301 th\u00ea\u0309 \u0111u\u031b\u01a1\u0323c chi\u0309 \u0111i\u0323nh \u0111i\u00ea\u0300u tri\u0323 theo di\u00ea\u0303n bi\u00ea\u0301n b\u1eb9\u0302nh ly\u0301 cu\u0309a ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh (vi\u0301 du\u0323: thu\u00f4\u0301c remdesivir, favipiravir,…).<\/p>\n

Thu\u1ed1c Remdesivir ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi b\u1eb9\u0302nh nha\u0302n n\u1ecd\u0302i tru\u0301 kh\u01a1\u0309i pha\u0301t b\u1eb9\u0302nh chu\u031ba qua\u0301 10 nga\u0300y co\u0301 suy ho\u0302 h\u00e2\u0301p pha\u0309i th\u01a1\u0309 oxy, th\u01a1\u0309 oxy lu\u031bu lu\u031b\u01a1\u0323ng do\u0300ng cao (HFNC), ho\u1ea1\u0306c th\u01a1\u0309 ma\u0301y kho\u0302ng xa\u0302m nh\u1ea1\u0302p; Ne\u0302n ph\u00f4\u0301i h\u01a1\u0323p v\u01a1\u0301i corticoid (u\u031bu tie\u0302n dexamethason).<\/p>\n

U\u031bu tie\u0302n s\u01b0\u0309 du\u0323ng thu\u00f4\u0301c cho nho\u0301m nguy co\u031b cao: ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh tre\u0302n 65 tu\u00f4\u0309i, ngu\u031b\u01a1\u0300i co\u0301 b\u1eb9\u0302nh n\u00ea\u0300n, ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh be\u0301o phi\u0300 (BMI > 25).<\/p>\n

Kho\u0302ng ne\u0302n b\u0103\u0301t \u0111\u00e2\u0300u s\u01b0\u0309 du\u0323ng cho ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh COVID-19 c\u00e2\u0300n th\u01a1\u0309 ma\u0301y xa\u0302m nh\u1ea1\u0302p, cha\u0323y ECMO. V\u01a1\u0301i ca\u0301c tru\u031b\u01a1\u0300ng h\u01a1\u0323p \u0111a\u0303 \u0111u\u031b\u01a1\u0323c \u0111i\u00ea\u0300u tri\u0323 b\u0103\u0300ng remdesivir tru\u031b\u01a1\u0301c khi th\u01a1\u0309 ma\u0301y xa\u0302m nh\u1ea1\u0302p ho\u1ea1\u0306c ECMO thi\u0300 co\u0301 th\u00ea\u0309 ti\u00ea\u0301p tu\u0323c du\u0300ng remdesivir cho \u0111u\u0309 li\u1eb9\u0302u tri\u0300nh.<\/p>\n

Thu\u1ed1c Favipiravir 200m v\u00e0 Molnupiravir 400mg ch\u1ec9 \u0111\u1ecbnh d\u00f9ng cho b\u1ec7nh nh\u00e2n nh\u1eb9. Ri\u00eang thu\u1ed1c Molnupiravir 400mg li\u00ea\u0300u du\u0300ng theo thuy\u00ea\u0301t minh \u0111\u00ea\u0300 cu\u031bo\u031bng th\u01b0\u0309 nghi\u1eb9\u0302m la\u0302m sa\u0300ng \u0111a\u0303 \u0111u\u031b\u01a1\u0323c phe\u0302 duy\u1eb9\u0302t.<\/p>\n

\"\"
Thu\u1ed1c Remdesivir ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi b\u1eb9\u0302nh nha\u0302n COVID-19 n\u1ecd\u0302i tru\u0301 kh\u01a1\u0309i pha\u0301t b\u1eb9\u0302nh chu\u031ba qua\u0301 10 nga\u0300y co\u0301 suy ho\u0302 h\u00e2\u0301p pha\u0309i th\u01a1\u0309 oxy, th\u01a1\u0309 oxy lu\u031bu lu\u031b\u01a1\u0323ng do\u0300ng cao (HFNC), ho\u1ea1\u0306c th\u01a1\u0309 ma\u0301y kho\u0302ng xa\u0302m nh\u1ea1\u0302p.<\/figcaption><\/figure>\n

\u0110\u1ed1i v\u1edbi thu\u1ed1c kh\u00e1ng th\u1ec3 kh\u00e1ng virus:<\/p>\n

– N\u1ebfu l\u00e0 thu\u1ed1c chu\u031ba \u0111u\u031b\u01a1\u0323c T\u00f4\u0309 ch\u01b0\u0301c Y t\u00ea\u0301 th\u00ea\u0301 gi\u01a1\u0301i khuy\u00ea\u0301n ca\u0301o s\u01b0\u0309 du\u0323ng, chu\u031ba \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p lu\u031bu ha\u0300nh, chu\u031ba \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p s\u01b0\u0309 du\u0323ng kh\u00e2\u0309n c\u00e2\u0301p ta\u0323i b\u00e2\u0301t ky\u0300 nu\u031b\u01a1\u0301c na\u0300o tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i, vi\u1eb9\u0302c s\u01b0\u0309 du\u0323ng pha\u0309i tua\u0302n thu\u0309 ca\u0301c quy \u0111i\u0323nh v\u00ea\u0300 th\u01b0\u0309 nghi\u1eb9\u0302m la\u0302m sa\u0300ng cu\u0309a B\u1ecd\u0302 Y t\u00ea\u0301.<\/p>\n

– N\u1ebfu l\u00e0 thu\u1ed1c \u0111a\u0303 \u0111u\u031b\u01a1\u0323c T\u00f4\u0309 ch\u01b0\u0301c Y t\u00ea\u0301 th\u00ea\u0301 gi\u01a1\u0301i khuy\u00ea\u0301n ca\u0301o s\u01b0\u0309 du\u0323ng ho\u1ea1\u0306c \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p lu\u031bu ha\u0300nh, ho\u1ea1\u0306c \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p s\u01b0\u0309 du\u0323ng kh\u00e2\u0309n c\u00e2\u0301p ta\u0323i i\u0301t nh\u00e2\u0301t 1 nu\u031b\u01a1\u0301c tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i thi\u0300 co\u0301 th\u00ea\u0309 \u0111u\u031b\u01a1\u0323c chi\u0309 \u0111i\u0323nh \u0111i\u00ea\u0300u tri\u0323 theo di\u00ea\u0303n bi\u00ea\u0301n b\u1eb9\u0302nh ly\u0301 cu\u0309a ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh (vi\u0301 du\u0323: thu\u00f4\u0301c casirivimab 600 mg + imdevimab 600 mg, bamlanivimab + etesevimab,…).<\/p>\n

\u0110\u1ed1i v\u1edbi thu\u00f4\u0301c \u01b0\u0301c ch\u00ea\u0301 Interleukin-6:<\/p>\n

– N\u1ebfu l\u00e0 thu\u1ed1c chu\u031ba \u0111u\u031b\u01a1\u0323c T\u00f4\u0309 ch\u01b0\u0301cY t\u00ea\u0301 th\u00ea\u0301 gi\u01a1\u0301i khuy\u00ea\u0301n ca\u0301o s\u01b0\u0309 du\u0323ng, chu\u031ba \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p lu\u031bu ha\u0300nh, chu\u031ba \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p s\u01b0\u0309 du\u0323ng kh\u00e2\u0309n c\u00e2\u0301p ta\u0323i b\u00e2\u0301t ky\u0300 nu\u031b\u01a1\u0301c na\u0300o tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i: vi\u1eb9\u0302c s\u01b0\u0309 du\u0323ng pha\u0309i tua\u0302n thu\u0309 ca\u0301c quy \u0111i\u0323nh v\u00ea\u0300 th\u01b0\u0309 nghi\u1eb9\u0302m la\u0302m sa\u0300ng cu\u0309a B\u1ecd\u0302 Y t\u00ea\u0301.<\/p>\n

– N\u1ebfu l\u00e0 thu\u1ed1c \u0111\u00e3 \u0111u\u031b\u01a1\u0323c T\u00f4\u0309 ch\u01b0\u0301c Y t\u00ea\u0301 th\u00ea\u0301 gi\u01a1\u0301i khuy\u00ea\u0301n ca\u0301o s\u01b0\u0309 du\u0323ng ho\u1ea1\u0306c \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p lu\u031bu ha\u0300nh, ho\u1ea1\u0306c \u0111u\u031b\u01a1\u0323c c\u00e2\u0301p phe\u0301p s\u01b0\u0309 du\u0323ng kh\u00e2\u0309n c\u00e2\u0301p ta\u0323i i\u0301t nh\u00e2\u0301t 1 nu\u031b\u01a1\u0301c tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i thi\u0300 co\u0301 th\u00ea\u0309 \u0111u\u031b\u01a1\u0323c chi\u0309 \u0111i\u0323nh \u0111i\u00ea\u0300u tri\u0323 theo di\u00ea\u0303n bi\u00ea\u0301n b\u1eb9\u0302nh ly\u0301 cu\u0309a ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh (vi\u0301 du\u0323: thu\u00f4\u0301c tocilizumab,…).<\/p>\n

H\u01b0\u1edbng d\u1eabn phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 7 c\u1ee7a B\u1ed9 Y t\u1ebf c\u0169ng ghi r\u00f5 chu\u0301 y\u0301 trong \u0111i\u00ea\u0300u tri\u0323 ch\u00f4\u0301ng co\u031bn ba\u0303o cytokin \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n COVID-19<\/p>\n

– Kh\u01a1\u0309i \u0111\u00e2\u0300u ta\u0306ng li\u00ea\u0300u ngay khi co\u0301 d\u00e2\u0301u hi\u1eb9\u0302u chuy\u00ea\u0309n \u0111\u1ecd\u0302 n\u1ea1\u0306ng cu\u0309a b\u1eb9\u0302nh.<\/p>\n

– S\u01b0\u0309 du\u0323ng corticoid li\u00ea\u0300u cao ne\u0302n duy tri\u0300 < 7 nga\u0300y va\u0300 gia\u0309m li\u00ea\u0300u ngay khi co\u0301 ca\u0309i thi\u1eb9\u0302n la\u0302m sa\u0300ng \u0111\u00ea\u0309 tra\u0301nh ca\u0301c ta\u0301c du\u0323ng kho\u0302ng mong mu\u00f4\u0301n cu\u0309a thu\u00f4\u0301c.<\/p>\n

– Theo do\u0303i \u0111a\u0301p \u01b0\u0301ng \u0111i\u00ea\u0300u tri\u0323: tri\u1eb9\u0302u ch\u01b0\u0301ng la\u0302m sa\u0300ng ca\u0309i thi\u1eb9\u0302n, k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m ca\u0301c chi\u0309 s\u00f4\u0301 vie\u0302m (CRP, IL-6, LDH, Ferritin…). N\u00ea\u0301u kho\u0302ng ca\u0309i thi\u1eb9\u0302n, ph\u00f4\u0301i h\u01a1\u0323p s\u01b0\u0309 du\u0323ng kha\u0301ng th\u00ea\u0309 \u0111o\u031bn do\u0300ng \u01b0\u0301c ch\u00ea\u0301 IL-6, lo\u0323c ma\u0301u.<\/p>\n

– Chu\u0301 y\u0301 t\u00e2\u0300m soa\u0301t nhi\u00ea\u0303m khu\u00e2\u0309n, n\u00e2\u0301m th\u01b0\u0301 pha\u0301t.<\/p>\n

– Chu\u0301 y\u0301 \u0111i\u00ea\u0300u chi\u0309nh \u0111u\u031b\u01a1\u0300ng huy\u00ea\u0301t va\u0300 \u0111i\u1eb9\u0302n gia\u0309i.<\/p>\n

– Co\u0301 th\u00ea\u0309 du\u0300ng cu\u0300ng lu\u0301c v\u01a1\u0301i ca\u0301c thu\u00f4\u0301c kha\u0301ng th\u00ea\u0309 \u0111o\u031bn do\u0300ng, kha\u0301ng IL-6 ho\u1ea1\u0306c remdesivir.<\/p>\n

Tie\u0302u chu\u00e2\u0309n xu\u00e2\u0301t vi\u1eb9\u0302n c\u1ee7a b\u1ec7nh nh\u00e2n COVID-19<\/strong><\/p>\n

\u0110\u00f4\u0301i v\u01a1\u0301i ca\u0301c tru\u031b\u01a1\u0300ng h\u01a1\u0323p kho\u0302ng co\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng la\u0302m sa\u0300ng trong su\u00f4\u0301t th\u01a1\u0300i gian \u0111i\u00ea\u0300u tri\u0323 \u0111u\u031b\u01a1\u0323c ra vi\u1eb9\u0302n khi \u0111a\u0303 \u0111u\u031b\u01a1\u0323c ca\u0301ch ly \u0111i\u00ea\u0300u tri\u0323 ta\u0323i co\u031b s\u01a1\u0309 thu dung, \u0111i\u00ea\u0300u tri\u0323 COVID- 19 t\u00f4\u0301i thi\u00ea\u0309u 10 nga\u0300y va\u0300 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m b\u0103\u0300ng phu\u031bo\u031bng pha\u0301p real-time RT-PCR a\u0302m ti\u0301nh v\u01a1\u0301i SARS-CoV-2 ho\u1ea1\u0306c n\u00f4\u0300ng \u0111\u1ecd\u0302 vi ru\u0301t th\u00e2\u0301p (Ct \u2265 30) va\u0300o nga\u0300y th\u01b0\u0301 9.<\/p>\n

\u0110\u00f4\u0301i v\u01a1\u0301i ca\u0301c tru\u031b\u01a1\u0300ng h\u01a1\u0323p co\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng la\u0302m sa\u0300ng \u0111u\u031b\u01a1\u0323c ra vi\u1eb9\u0302n khi \u0111u\u0309 ca\u0301c \u0111i\u00ea\u0300u ki\u1eb9\u0302n sau: \u0110u\u031b\u01a1\u0323c ca\u0301ch ly \u0111i\u00ea\u0300u tri\u0323 ta\u0323i co\u031b s\u01a1\u0309 thu dung, \u0111i\u00ea\u0300u tri\u0323 COVID-19 t\u00f4\u0301i thi\u00ea\u0309u 14 nga\u0300y; Ca\u0301c tri\u1eb9\u0302u ch\u01b0\u0301ng la\u0302m sa\u0300ng h\u00ea\u0301t tru\u031b\u01a1\u0301c nga\u0300y ra vi\u1eb9\u0302n t\u01b0\u0300 3 nga\u0300y tr\u01a1\u0309 le\u0302n; Co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m b\u0103\u0300ng phu\u031bo\u031bng pha\u0301p real-time RT-PCR a\u0302m ti\u0301nh v\u01a1\u0301i SARS-CoV-2 ho\u1ea1\u0306c n\u00f4\u0300ng \u0111\u1ecd\u0302 vi ru\u0301t th\u00e2\u0301p (Ct \u2265 30) va\u0300o tru\u031b\u01a1\u0301c nga\u0300y ra vi\u1eb9\u0302n.<\/p>\n

\u0110\u00f4\u0301i v\u01a1\u0301i ca\u0301c tru\u031b\u01a1\u0300ng h\u01a1\u0323p ca\u0301ch ly \u0111i\u00ea\u0300u tri\u0323 tre\u0302n 10 nga\u0300y va\u0300 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m b\u0103\u0300ng phu\u031bo\u031bng pha\u0301p real-time RT-PCR nhi\u00ea\u0300u l\u00e2\u0300n co\u0301 n\u00f4\u0300ng \u0111\u1ecd\u0302 vi ru\u0301t CT< 30 \u0111u\u031b\u01a1\u0323c ra vi\u1eb9\u0302n \u0111u\u0309 ca\u0301c \u0111i\u00ea\u0300u ki\u1eb9\u0302n sau: \u0110a\u0303 \u0111u\u031b\u01a1\u0323c ca\u0301ch ly \u0111i\u00ea\u0300u tri\u0323 ta\u0323i co\u031b s\u01a1\u0309 thu dung, \u0111i\u00ea\u0300u tri\u0323 COVID-19 \u0111u\u0309 21 nga\u0300y ti\u0301nh t\u01b0\u0300 nga\u0300y co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i vi ru\u0301t SARS-CoV-2; Ca\u0301c tri\u1eb9\u0302u ch\u01b0\u0301ng la\u0302m sa\u0300ng h\u00ea\u0301t tru\u031b\u01a1\u0301c nga\u0300y ra vi\u1eb9\u0302n t\u01b0\u0300 3 nga\u0300y tr\u01a1\u0309 le\u0302n.<\/p>\n

Ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ra vi\u1ec7n s\u1ebd \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t t\u1ea1i nh\u00e0 b\u1edfi y t\u1ebf c\u01a1 s\u1edf v\u00e0 CDC \u0111\u1ecba ph\u01b0\u01a1ng. Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh sau khi ra vi\u1eb9\u0302n c\u00e2\u0300n \u01a1\u0309 ta\u0323i nha\u0300 va\u0300 t\u01b0\u0323 theo do\u0303i trong 7 nga\u0300y (h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc l\u00e0 c\u00e1ch ly 14 ng\u00e0y). \u0110o tha\u0302n nhi\u1eb9\u0302t 2 l\u00e2\u0300n\/nga\u0300y. N\u00ea\u0301u tha\u0302n nhi\u1eb9\u0302t cao ho\u031bn 38oC \u01a1\u0309 hai l\u00e2\u0300n \u0111o lie\u0302n ti\u00ea\u0301p ho\u1ea1\u0306c co\u0301 b\u00e2\u0301t ky\u0300 d\u00e2\u0301u hi\u1eb9\u0302u la\u0302m sa\u0300ng b\u00e2\u0301t thu\u031b\u01a1\u0300ng na\u0300o thi\u0300 c\u00e2\u0300n ba\u0301o cho y t\u00ea\u0301 co\u031b s\u01a1\u0309 \u0111\u00ea\u0309 tha\u0306m kha\u0301m va\u0300 x\u01b0\u0309 tri\u0301 ki\u0323p th\u01a1\u0300i. Tua\u0302n thu\u0309 tho\u0302ng \u0111i\u1eb9\u0302p 5K.<\/p>\n

\u0110\u00f4\u0301i v\u01a1\u0301i ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh ra vi\u1eb9\u0302n thu\u1ecd\u0302c tru\u031b\u01a1\u0300ng h\u01a1\u0323p ca\u0301ch ly \u0111i\u00ea\u0300u tri\u0323 tre\u0302n 10 nga\u0300y va\u0300 co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m b\u0103\u0300ng phu\u031bo\u031bng pha\u0301p real-time RT-PCR nhi\u00ea\u0300u l\u00e2\u0300n co\u0301 n\u00f4\u0300ng \u0111\u1ecd\u0302 vi ru\u0301t Ct < 30, sau khi ra vi\u1eb9\u0302n ye\u0302u c\u00e2\u0300u ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh th\u01b0\u0323c hi\u1eb9\u0302n ca\u0301ch ly y t\u00ea\u0301 ta\u0323i nha\u0300 trong 7 nga\u0300y.<\/p>\n

\u0110o tha\u0302n nhi\u1eb9\u0302t 2 l\u00e2\u0300n\/nga\u0300y. N\u00ea\u0301u tha\u0302n nhi\u1eb9\u0302t cao ho\u031bn 38oC \u01a1\u0309 hai l\u00e2\u0300n \u0111o lie\u0302n ti\u00ea\u0301p ho\u1ea1\u0306c co\u0301 b\u00e2\u0301t ky\u0300 d\u00e2\u0301u hi\u1eb9\u0302u la\u0302m sa\u0300ng b\u00e2\u0301t thu\u031b\u01a1\u0300ng na\u0300o thi\u0300 c\u00e2\u0300n ba\u0301o cho y t\u00ea\u0301 co\u031b s\u01a1\u0309 \u0111\u00ea\u0309 tha\u0306m kha\u0301m va\u0300 x\u01b0\u0309 tri\u0301 ki\u0323p th\u01a1\u0300i .\/.<\/p>\n

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

Ng\u00e0y 6\/10, B\u1ed9 Y t\u1ebf ban h\u00e0nh “H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19”. H\u01b0\u1edbng d\u1eabn m\u1edbi nh\u1ea5t n\u00e0y s\u1ebd thay th\u1ebf h\u01b0\u1edbng d\u1eabn do B\u1ed9 Y t\u1ebf ban h\u00e0nh h\u1ed3i th\u00e1ng 7\/2021. \u0110\u00e2y l\u00e0 phi\u00ean b\u1ea3n l\u1ea7n th\u1ee9 7. V\u1ec1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi m\u1eafc COVID-19 H\u01b0\u1edbng d\u1eabn “Ch\u1ea9n \u0111o\u00e1n v\u00e0 […]<\/p>\n","protected":false},"author":3,"featured_media":10216,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241],"tags":[],"class_list":["post-10215","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/10215","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=10215"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/10215\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/10216"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=10215"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=10215"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=10215"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}