{"id":11509,"date":"2021-12-01T20:35:09","date_gmt":"2021-12-01T13:35:09","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11509"},"modified":"2021-12-01T20:35:09","modified_gmt":"2021-12-01T13:35:09","slug":"bo-y-te-huong-dan-phan-loai-nguy-co-nguoi-nhiem-sars-cov-2-va-dinh-huong-xu-tri-cach-ly-dieu-tri","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/12\/01\/bo-y-te-huong-dan-phan-loai-nguy-co-nguoi-nhiem-sars-cov-2-va-dinh-huong-xu-tri-cach-ly-dieu-tri\/","title":{"rendered":"B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn ph\u00e2n lo\u1ea1i nguy c\u01a1 ng\u01b0\u1eddi nhi\u1ec5m SARS-CoV-2 v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng x\u1eed tr\u00ed, c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Vi\u1ec7c ch\u1ec9nh s\u1eeda ti\u00eau ch\u00ed ph\u00e2n lo\u1ea1i nguy c\u01a1 v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng x\u1eed tr\u00ed, c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh h\u00ecnh m\u1edbi \u0111\u1ec3 th\u1ed1ng nh\u1ea5t \u00e1p d\u1ee5ng t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c t\u1ec9nh, th\u00e0nh ph\u1ed1 tr\u00ean to\u00e0n qu\u1ed1c.<\/h2>\n
\n

Ng\u00e0y 1\/12, B\u1ed9 Y t\u1ebf ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5525\/Q\u0110-BYT k\u00e8m h\u01b0\u1edbng d\u1eabn ph\u00e2n lo\u1ea1i nguy c\u01a1 ng\u01b0\u1eddi nhi\u1ec5m SARS-CoV-2 v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng x\u1eed tr\u00ed, c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb. Quy\u1ebft \u0111\u1ecbnh n\u00e0y thay th\u1ebf cho Quy\u1ebft \u0111\u1ecbnh s\u1ed1 3646 ban h\u00e0nh ng\u00e0y 31\/7.<\/p>\n

\n
\"Zalo\"
<\/figcaption><\/figure>\n<\/div>\n

Theo h\u01b0\u1edbng d\u1eabn n\u00e0y, vi\u1ec7c ph\u00e2n lo\u1ea1i theo 4 nh\u00f3m nguy c\u01a1 ( theo b\u1ea3ng m\u00e0u \u0111\u1ecf – cam – v\u00e0ng v\u00e0 xanh) v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng x\u1eed tr\u00ed, c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb, c\u1ee5 th\u1ec3:<\/p>\n

Nguy c\u01a1 th\u1ea5p (m\u00e0u xanh): Tu\u1ed5i t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean \u0111\u1ebfn d\u01b0\u1edbi 49 tu\u1ed5i v\u00e0 ch\u01b0a ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd n\u1ec1n, \u0111\u00e3 ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine s\u1ee9c kho\u1ebb ch\u01b0a c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng v\u00e0 SpO2 t\u1eeb 97% tr\u1edf l\u00ean.<\/p>\n

\u0110\u1ed1i v\u1edbi nh\u00f3m n\u00e0y \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ea1i nh\u00e0 ri\u00eang (\u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n theo quy \u0111\u1ecbnh). Tr\u1ea1m y t\u1ebf, nh\u00e2n vi\u00ean y t\u1ebf, t\u00ecnh nguy\u1ec7n vi\u00ean\u2026 theo d\u00f5i, qu\u1ea3n l\u00fd ng\u01b0\u1eddi nhi\u1ec5m, ph\u00e1t hi\u1ec7n s\u1edbm d\u1ea5u hi\u1ec7u chuy\u1ec3n t\u1ea7ng cao h\u01a1n. C\u00f9ng v\u1edbi \u0111\u00f3, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, dinh d\u01b0\u1ee1ng, v\u1eadn \u0111\u1ed9ng, theo d\u00f5i s\u1ee9c kho\u1ebb li\u00ean t\u1ee5c, \u0111\u00e1nh gi\u00e1 nguy c\u01a1. \u0110\u1ed3ng th\u1eddi, cung c\u1ea5p g\u00f3i ch\u0103m s\u00f3c t\u1ea1i nh\u00e0 (Thu\u1ed1c kh\u00e1ng virus, vitamin, nhu y\u1ebfu ph\u1ea9m\u2026)<\/p>\n

Nguy c\u01a1 trung b\u00ecnh (m\u00e0u v\u00e0ng): T\u1eeb 50-64 tu\u1ed5i, ch\u01b0a ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd n\u1ec1n v\u00e0 \u0111\u00e3 ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; tu\u1ed5i t\u1eeb 3 th\u00e1ng \u0111\u1ebfn d\u01b0\u1edbi 49 tu\u1ed5i v\u00e0 ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; c\u00f3 d\u1ea5u hi\u1ec7u nh\u01b0: S\u1ed1t, ho, \u0111au h\u1ecdng, kh\u00f3 th\u1edf nh\u1eb9\u2026 v\u00e0 SpO2 t\u1eeb 97% tr\u1edf l\u00ean.<\/p>\n

Nh\u00f3m n\u00e0y \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n, c\u01a1 s\u1edf thu dung \u0111i\u1ec1u tr\u1ecb COVID-19 (t\u1ea7ng 1). N\u1ebfu c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb t\u1ea7ng 1 c\u1ee7a \u0111\u1ecba ph\u01b0\u01a1ng qu\u00e1 t\u1ea3i th\u00ec c\u00f3 th\u1ec3 xem x\u00e9t \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

Theo h\u01b0\u1edbng d\u1eabn, v\u1edbi nh\u00f3m nguy c\u01a1 trung b\u00ecnh c\u1ea7n theo d\u00f5i s\u00e1t sao, ph\u00e1t hi\u1ec7n s\u1edbm d\u1ea5u hi\u1ec7u thay \u0111\u1ed5i c\u1ea7n nh\u1eadp vi\u1ec7n ngay ho\u1eb7c chuy\u1ec3n t\u1ea7ng cao h\u01a1n. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng virus; \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng nh\u01b0: H\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au, gi\u1ea3m ho c\u00f9ng v\u1edbi n\u00e2ng cao th\u1ec3 tr\u1ea1ng, dinh d\u01b0\u1ee1ng, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd\u2026<\/p>\n

Nguy c\u01a1 cao (m\u00e0u cam): Tu\u1ed5i t\u1eeb 65 tr\u1edf l\u00ean v\u00e0 \u0111\u00e3 ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; m\u1eafc b\u1ec7nh l\u00fd n\u1ec1n v\u00e0 \u0111\u00e3 ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; t\u1eeb 50-64 tu\u1ed5i, ch\u01b0a ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd n\u1ec1n v\u00e0 ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; ph\u1ee5 n\u1eef c\u00f3 thai, v\u1eeba sinh con d\u01b0\u1edbi 42 ng\u00e0y; tr\u1ebb em t\u1eeb d\u01b0\u1edbi 3 th\u00e1ng tu\u1ed5i; SpO2 t\u1eeb 94%-96%.<\/p>\n

V\u1edbi nh\u00f3m n\u00e0y \u0111i\u1ec1u tr\u1ecb t\u1ea1i B\u1ec7nh vi\u1ec7n thu dung \u0111i\u1ec1u tr\u1ecb COVID-19 (t\u1ea7ng 2). Theo d\u00f5i ph\u00e1t hi\u1ec7n s\u1edbm d\u1ea5u hi\u1ec7u chuy\u1ec3n t\u1ea7ng cao h\u01a1n; \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng virus, dinh d\u01b0\u1ee1ng, \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, b\u1ea3o \u0111\u1ea3m s\u1eb5n s\u00e0ng h\u1ed7 tr\u1ee3 oxy v\u00e0 d\u00f9ng thu\u1ed1c ch\u1ed1ng vi\u00eam khi suy h\u00f4 h\u1ea5p; theo d\u00f5i \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p b\u1ec7nh l\u00fd n\u1ec1n.<\/p>\n

Nguy c\u01a1 r\u1ea5t cao (m\u00e0u v\u00e0ng): Tu\u1ed5i t\u1eeb 65 tr\u1edf l\u00ean v\u00e0 ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; m\u1eafc b\u1ec7nh l\u00fd n\u1ec1n v\u00e0 ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine; c\u00f3 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u; SpO2 d\u01b0\u1edbi 94%.<\/p>\n

Nh\u00f3m n\u00e0y \u0111i\u1ec1u tr\u1ecb t\u1ea1i B\u1ec7nh vi\u1ec7n thu dung \u0111i\u1ec1u tr\u1ecb COVID-19 (t\u1ea7ng 2,3); Trung t\u00e2m H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c COVID-19 (c\u0103n c\u1ee9 theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 v\u00e0 s\u1ed1 gi\u01b0\u1eddng b\u1ec7nh).<\/p>\n

\n
\"Zalo\"
Hi\u1ec7n nay, vi\u1ec7c \u00e1p d\u1ee5ng ph\u00e2n lo\u1ea1i nguy c\u01a1 v\u00e0 x\u1eed tr\u00ed, c\u00e1ch ly, chuy\u1ec3n vi\u1ec7n \u0111i\u1ec1u tr\u1ecb thi\u1ebfu nh\u1ea5t qu\u00e1n gi\u1eefa c\u00e1c \u0111\u1ecba ph\u01b0\u01a1ng \u0111ang l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 ph\u00f2ng, ch\u1ed1ng d\u1ecbch (\u1ea3nh minh h\u1ecda)<\/figcaption><\/figure>\n<\/div>\n

V\u1edbi nh\u00f3m nguy c\u01a1 r\u1ea5t cao, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u1eadp trung h\u1ed7 tr\u1ee3 th\u1edf: Th\u1edf oxy, th\u1edf HFNC, th\u1edf m\u00e1y, ECMO (thi\u1ebft b\u1ecb tim, ph\u1ed5i nh\u00e2n t\u1ea1o), h\u1ed7 tr\u1ee3 c\u00e1c c\u01a1 quan suy ch\u1ee9c n\u0103ng (ch\u1ea1y th\u1eadn, l\u1ecdc m\u00e1u, tr\u1ee3 tim, v\u1eadn m\u1ea1ch\u2026). \u0110\u1ed3ng th\u1eddi, \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng vi\u00eam, ch\u1ed1ng \u0111\u00f4ng, kh\u00e1ng sinh, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng\u2026 Theo d\u00f5i \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p b\u1ec7nh l\u00fd n\u1ec1n, chuy\u1ec3n t\u1ea7ng \u0111i\u1ec1u tr\u1ecb th\u1ea5p h\u01a1n n\u1ebfu \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n

C\u0169ng t\u1ea1i h\u01b0\u1edbng d\u1eabn n\u00e0y, B\u1ed9 Y t\u1ebf \u0111\u1ec1 c\u1eadp \u0111\u1ebfn 7 nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb F0, trong \u0111\u00f3 theo d\u00f5i, ch\u0103m s\u00f3c c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m SARS-CoV-2 kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c ca b\u1ec7nh nh\u1eb9 ngay t\u1ea1i nh\u00e0 (n\u1ebfu \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n). T\u1eadp trung \u0111i\u1ec1u tr\u1ecb t\u1ed1t ngay t\u1ea1i t\u1ea7ng 1, t\u1ea7ng 2 cho ng\u01b0\u1eddi b\u1ec7nh, t\u0103ng c\u01b0\u1eddng n\u0103ng l\u1ef1c c\u1ea5p c\u1ee9u, h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c c\u00e1c ca b\u1ec7nh n\u1eb7ng \u1edf t\u1ea7ng tr\u00ean.<\/p>\n

M\u1ed7i c\u01a1 s\u1edf thu dung b\u1ed5 tr\u00ed \u00edt nh\u1ea5t “2 t\u1ea7ng \u0111i\u1ec1u tr\u1ecb” v\u00e0 b\u1ea3o \u0111\u1ea3m t\u1ef7 l\u1ec7 gi\u01b0\u1eddng b\u1ec7nh h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c theo ph\u00e2n t\u1ea7ng \u0111i\u1ec1u tr\u1ecb. C\u00f9ng v\u1edbi \u0111\u00f3, t\u0103ng c\u01b0\u1eddng k\u1ebft n\u1ed1i, h\u1ed9i ch\u1ea9n, t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb t\u1eeb xa, t\u1ea7ng tr\u00ean ch\u1ec9 \u0111\u1ea1o tuy\u1ebfn cho t\u1ea7ng d\u01b0\u1edbi \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 ngay t\u1ea1i t\u1ea7ng d\u01b0\u1edbi.<\/p>\n

“C\u1ed9ng \u0111\u1ed3ng, y t\u1ebf tuy\u1ebfn c\u01a1 s\u1edf v\u00e0 c\u00e1c b\u1ec7nh vi\u1ec7n thu dung, \u0111i\u1ec1u tr\u1ecb COVID-19 th\u1ef1c hi\u1ec7n nghi\u00eam vi\u1ec7c ph\u00e2n lo\u1ea1i nguy c\u01a1; tuy nhi\u00ean c\u0103n c\u1ee9 tr\u00ean t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 t\u00ednh s\u1eb5n c\u00f3 c\u1ee7a gi\u01b0\u1eddng b\u1ec7nh, c\u01a1 s\u1edf y t\u1ebf (b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb) c\u00f3 quy\u1ec1n quy\u1ebft \u0111\u1ecbnh chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh v\u00e0o lo\u1ea1i gi\u01b0\u1eddng b\u1ec7nh ph\u00f9 h\u1ee3p v\u1edbi th\u1ef1c t\u1ebf”, B\u1ed9 Y t\u1ebf l\u01b0u \u00fd.<\/p>\n

Tr\u01b0\u1edbc \u0111\u00f3, ng\u00e0y 31\/7, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 3646 v\u1ec1 ti\u00eau ch\u00ed ph\u00e2n lo\u1ea1i nguy c\u01a1 ng\u01b0\u1eddi nhi\u1ec5m SARS-CoV-2 trong b\u1ed1i c\u1ea3nh c\u00e1c ca COVID-19 \u0111ang t\u0103ng nhanh t\u1ea1i TP HCM v\u00e0 c\u00e1c t\u1ec9nh ph\u00eda Nam.<\/p>\n

Tuy nhi\u00ean, hi\u1ec7n nay, vi\u1ec7c \u00e1p d\u1ee5ng ph\u00e2n lo\u1ea1i nguy c\u01a1 v\u00e0 x\u1eed tr\u00ed, c\u00e1ch ly, chuy\u1ec3n vi\u1ec7n \u0111i\u1ec1u tr\u1ecb thi\u1ebfu nh\u1ea5t qu\u00e1n gi\u1eefa c\u00e1c \u0111\u1ecba ph\u01b0\u01a1ng \u0111ang l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 ph\u00f2ng, ch\u1ed1ng d\u1ecbch. V\u00ec v\u1eady, vi\u1ec7c ch\u00ednh s\u1eeda ti\u00eau ch\u00ed ph\u00e2n lo\u1ea1i nguy c\u01a1 v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng x\u1eed tr\u00ed, c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh h\u00ecnh m\u1edbi \u0111\u1ec3 th\u1ed1ng nh\u1ea5t \u00e1p d\u1ee5ng t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c t\u1ec9nh, th\u00e0nh ph\u1ed1 tr\u00ean to\u00e0n qu\u1ed1c.<\/p>\n

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

Vi\u1ec7c ch\u1ec9nh s\u1eeda ti\u00eau ch\u00ed ph\u00e2n lo\u1ea1i nguy c\u01a1 v\u00e0 \u0111\u1ecbnh h\u01b0\u1edbng x\u1eed tr\u00ed, c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh h\u00ecnh m\u1edbi \u0111\u1ec3 th\u1ed1ng nh\u1ea5t \u00e1p d\u1ee5ng t\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c t\u1ec9nh, th\u00e0nh ph\u1ed1 tr\u00ean to\u00e0n qu\u1ed1c. Ng\u00e0y 1\/12, B\u1ed9 Y t\u1ebf ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5525\/Q\u0110-BYT k\u00e8m h\u01b0\u1edbng d\u1eabn ph\u00e2n lo\u1ea1i […]<\/p>\n","protected":false},"author":4,"featured_media":11500,"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-11509","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\/11509","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=11509"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11509\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11500"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11509"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11509"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11509"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}