{"id":11906,"date":"2021-12-20T21:45:25","date_gmt":"2021-12-20T14:45:25","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=11906"},"modified":"2021-12-20T21:45:25","modified_gmt":"2021-12-20T14:45:25","slug":"gap-cac-dau-hieu-canh-bao-suy-ho-hap-sau-f0-dieu-tri-tai-nha-can-lien-he-y-te-ngay","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/12\/20\/gap-cac-dau-hieu-canh-bao-suy-ho-hap-sau-f0-dieu-tri-tai-nha-can-lien-he-y-te-ngay\/","title":{"rendered":"G\u1eb7p c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o suy h\u00f4 h\u1ea5p sau, F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n li\u00ean h\u1ec7 y t\u1ebf ngay"},"content":{"rendered":"<h2 class=\"article-summary\">Khi c\u00f3 c\u1ea3m gi\u00e1c t\u1ee9c ng\u1ef1c, kh\u00f3 th\u1edf, kh\u00f4ng th\u1ec3 n\u00f3i h\u1ebft c\u00e2u d\u00e0i, tr\u1ecdn v\u1eb9n m\u1ed9t c\u00e2u, \u0111\u00f3 l\u00e0 t\u00edn hi\u1ec7u g\u1ee3i \u00fd F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 b\u1ecb suy h\u00f4 h\u1ea5p, c\u1ea7n li\u00ean h\u1ec7 y t\u1ebf ngay.<\/h2>\n<div class=\"article-body-text\">\n<p>Theo d\u1eef li\u1ec7u th\u1ed1ng k\u00ea c\u1ee7a B\u1ed9 Y t\u1ebf c\u1eadp nh\u1eadt t\u1edbi h\u1ebft ng\u00e0y 19\/12, c\u1ea3 n\u01b0\u1edbc hi\u1ec7n c\u00f3 h\u01a1n 240.000 tr\u01b0\u1eddng h\u1ee3p F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. Ri\u00eang t\u1ea1i H\u00e0 N\u1ed9i, g\u1ea7n 4.500 b\u1ec7nh nh\u00e2n COVID-19 kh\u00f4ng tri\u1ec7u ch\u1ee9ng ho\u1eb7c m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111ang c\u00e1ch ly trong t\u1ed5ng s\u1ed1 h\u01a1n 13.600 ca \u0111ang \u0111i\u1ec1u tr\u1ecb, theo S\u1edf Y t\u1ebf.<\/p>\n<p>BS Tr\u1ea7n Th\u1ecb H\u1ea3i Ninh, Tr\u01b0\u1edfng khoa N\u1ed9i t\u1ed5ng h\u1ee3p, B\u1ec7nh vi\u1ec7n B\u1ec7nh nhi\u1ec7t \u0111\u1edbi Trung \u01b0\u01a1ng, \u0111\u01b0a ra nh\u1eefng l\u01b0u \u00fd trong s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 s\u1ed1t v\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ecb suy h\u00f4 h\u1ea5p c\u0169ng nh\u01b0 c\u00e1ch d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng \u0111\u00f4ng, kh\u00e1ng vi\u00eam v\u1edbi F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0.<\/p>\n<p>T\u1ea1i H\u00e0 N\u1ed9i, F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 (t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean) \u0111\u01b0\u1ee3c ph\u00e1t mi\u1ec5n ph\u00ed 3 g\u00f3i thu\u1ed1c, trong \u0111\u00f3 c\u00f3 g\u00f3i B, g\u1ed3m nh\u00f3m thu\u1ed1c kh\u00e1ng vi\u00eam (nh\u01b0 Dexamethasone ho\u1eb7c Methylprednisolone) v\u00e0 ch\u1ed1ng \u0111\u00f4ng (nh\u01b0 Rivaronxaban, Apixaban, Dabigatran) (trong t\u00fai thu\u1ed1c B).<\/p>\n<p>BS H\u1ea3i Ninh l\u01b0u \u00fd kh\u00f4ng d\u00f9ng khi ch\u01b0a c\u00f3 bi\u1ec3u hi\u1ec7n suy h\u00f4 h\u1ea5p v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 kh\u00f4ng ph\u1ea3i ch\u1ec9 c\u1ea7n d\u00f9ng thu\u1ed1c n\u00e0y l\u00e0 F0 s\u1ebd y\u00ean t\u00e2m \u1edf nh\u00e0, \u0111\u00e2y l\u00e0 lo\u1ea1i thu\u1ed1c d\u00f9ng khi ch\u1edd li\u00ean h\u1ec7 b\u00e1c s\u0129 h\u1ed7 tr\u1ee3.<\/p>\n<p>V\u1ec1 m\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n g\u1ee3i \u00fd F0 b\u1ecb suy h\u00f4 h\u1ea5p, BS H\u1ea3i Ninh l\u01b0u \u00fd: B\u00ecnh th\u01b0\u1eddng, tr\u1ea1ng th\u00e1i nh\u1ecbp th\u1edf l\u00e0 d\u01b0\u1edbi 20 l\u1ea7n\/ph\u00fat \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. N\u1ebfu \u0111\u1ebfm nh\u1ecbp th\u1edf tr\u00ean 25 l\u1ea7n\/ph\u00fat th\u00ec c\u00f3 nguy c\u01a1 kh\u00f3 th\u1edf, r\u00f5 r\u00e0ng h\u01a1n n\u1eefa c\u00f2n c\u00f3 c\u1ea3m gi\u00e1c t\u1ee9c ng\u1ef1c, kh\u00f3 th\u1edf, kh\u00f4ng th\u1ec3 n\u00f3i h\u1ebft c\u00e2u d\u00e0i, tr\u1ecdn v\u1eb9n m\u1ed9t c\u00e2u, \u0111\u00f3 l\u00e0 tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd suy h\u00f4 h\u1ea5p.<\/p>\n<p>Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a S\u1edf Y t\u1ebf H\u00e0 N\u1ed9i, v\u1edbi F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, c\u1ea7n trang b\u1ecb m\u00e1y SpO2 c\u1eb7p \u1edf \u0111\u1ea7u ng\u00f3n tay \u0111\u1ec3 \u0111o cho ch\u00ednh x\u00e1c n\u1ed3ng \u0111\u1ed9 b\u00e3o ho\u00e0 oxy trong m\u00e1u. B\u00ecnh th\u01b0\u1eddng SpO2 tr\u00ean 96%, n\u1ebfu ch\u1ec9 h\u00edt th\u1edf kh\u00ed th\u1edf. N\u1ebfu SpO2 d\u01b0\u1edbi 96% l\u00e0 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p. BS H\u1ea3i Ninh khuy\u00ean kh\u00f4ng n\u00ean s\u01a1n m\u00f3ng tay v\u00ec khi s\u01a1n, t\u00edn hi\u1ec7u nh\u1eadn bi\u1ebft tr\u00ean \u0111\u1ea7u c\u1eb7p SpO2 kh\u00f4ng ch\u00ednh x\u00e1c n\u1eefa, n\u00ean c\u00f3 th\u1ec3 ch\u1ec9 s\u1ed1 n\u00e0y b\u1ecb h\u1ea1 d\u00f9 th\u1ef1c t\u1ebf ta kh\u00f4ng thi\u1ebfu oxy.<\/p>\n<p>Thu\u1ed1c kh\u00e1ng \u0111\u00f4ng, kh\u00e1ng vi\u00eam kh\u00f4ng d\u00f9ng cho ph\u1ee5 n\u1eef mang thai, cho con b\u00fa hay ng\u01b0\u1eddi m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, suy gan, suy th\u1eadn, c\u00e1c b\u1ec7nh l\u00fd d\u1ec5 g\u00e2y ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau ho\u00e1, \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u&#8230;<\/p>\n<p>S\u1ed1t l\u00e0 tri\u1ec7u ch\u1ee9ng nhi\u1ec1u F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 s\u1ebd g\u1eb7p ph\u1ea3i. Lo\u1ea1i thu\u1ed1c h\u1ea1 s\u1ed1t m\u00e0 c\u00e1c gia \u0111\u00ecnh n\u00ean s\u1eed d\u1ee5ng l\u00e0 acetaminophen (thu\u1ed1c paracetamol). Lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 nhi\u1ec1u d\u1ea1ng: u\u1ed1ng, \u0111\u1eb7t h\u1eadu m\u00f4n, g\u00f3i b\u1ed9t pha n\u01b0\u1edbc&#8230; T\u00f9y thu\u1ed9c v\u00e0o l\u1ee9a tu\u1ed5i d\u00e0nh cho gia \u0111\u00ecnh \u0111\u1ec3 chu\u1ea9n b\u1ecb c\u00e1c ch\u1ebf ph\u1ea9m ph\u00f9 h\u1ee3p.<\/p>\n<p>V\u1edbi gia \u0111\u00ecnh c\u00f3 tr\u1ebb em, n\u00ean chu\u1ea9n b\u1ecb thu\u1ed1c d\u1ea1ng b\u1ed9t \u0111\u1ec3 pha n\u01b0\u1edbc cho tr\u1ebb u\u1ed1ng ho\u1eb7c vi\u00ean nang \u0111\u1eb7t h\u1eadu m\u00f4n \u0111\u1ec3 d\u1ec5 d\u00e0ng h\u01a1n cho tr\u1ebb ti\u1ebfp nh\u1eadn thu\u1ed1c \u0111\u00f3. Thu\u1ed1c n\u00e0y kh\u00f4ng c\u1ea7n b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh, ch\u1ec9 c\u1ea7n s\u1ed1t tr\u00ean 38 \u0111\u1ed9 C l\u00e0 c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng d\u00f9ng thu\u1ed1c.<\/p>\n<p>Ch\u00fang ta c\u00f3 th\u1ec3 t\u00ednh theo c\u00f4ng th\u1ee9c \u0111\u01a1n gi\u1ea3n v\u1ec1 li\u1ec1u d\u00f9ng cho c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em, \u0111\u00f3 l\u00e0 10-15mg cho m\u1ed9t kilogram c\u00e2n n\u1eb7ng, nh\u00e2n v\u1edbi c\u00e2n n\u1eb7ng c\u1ee7a ch\u00fang ta. V\u00ed d\u1ee5 m\u1ed9t ng\u01b0\u1eddi 50kg th\u00ec u\u1ed1ng \u0111\u01b0\u1ee3c 1 vi\u00ean 500 mg, ng\u01b0\u1eddi 75kg c\u00f3 th\u1ec3 u\u1ed1ng 2 vi\u00ean 500mg.<\/p>\n<p>&#8220;L\u01b0u \u00fd thu\u1ed1c n\u00e0y u\u1ed1ng c\u00e1ch nhau 4-6 ti\u1ebfng, m\u1ed9t ng\u00e0y t\u1ed1i \u0111a 5 l\u1ea7n&#8221; &#8211; BS H\u1ea3i Ninh cho bi\u1ebft nguy\u00ean nh\u00e2n v\u00ec b\u00ean c\u1ea1nh hi\u1ec7u qu\u1ea3 h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au, thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y suy gan, ng\u1ed9 \u0111\u1ed9c gan n\u1ebfu u\u1ed1ng qu\u00e1 li\u1ec1u.<\/p>\n<p>B\u00e1c s\u0129 l\u01b0u \u00fd n\u1ebfu F0 kh\u00f4ng s\u1ed1t th\u00ec kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng paracetamol, v\u00ec thu\u1ed1c ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m h\u1ea1 nhi\u1ec7t, kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng d\u1ef1 ph\u00f2ng. F0 ch\u1ec9 u\u1ed1ng h\u1ea1 s\u1ed1t khi nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 tr\u00ean 38 \u0111\u1ed9 C.<\/p>\n<p>V\u1edbi m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef mang thai m\u1eafc COVID-19 c\u00f3 s\u1ed1t cao, ph\u1ea3i d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t th\u00ec c\u1ea7n l\u01b0u \u00fd \u0111i\u1ec1u g\u00ec \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho m\u1eb9 v\u00e0 b\u00e9? Theo BS H\u1ea3i Ninh, ph\u1ee5 n\u1eef mang thai n\u1ebfu \u0111\u1ec3 th\u00e2n nhi\u1ec7t t\u0103ng cao c\u00f3 nguy c\u01a1 g\u00e2y t\u0103ng nh\u1ecbp tim c\u1ee7a tr\u1ebb, \u0111e d\u1ecda suy thai.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng v\u1eabn theo li\u1ec1u khuy\u1ebfn c\u00e1o. Trong tr\u01b0\u1eddng h\u1ee3p thai ph\u1ee5 v\u1eeba u\u1ed1ng thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0ng c\u00e1ch 2 ti\u1ebfng b\u1ecb s\u1ed1t cao tr\u1edf l\u1ea1i th\u00ec n\u00ean d\u00f9ng m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p c\u01a1 h\u1ecdc\/v\u1eadt l\u00fd gi\u00fap h\u1ea1 s\u1ed1t tr\u01b0\u1edbc khi d\u00f9ng li\u1ec1u thu\u1ed1c ti\u1ebfp theo.<\/p>\n<p>C\u1ee5 th\u1ec3: M\u1eb7c qu\u1ea7n \u00e1o tho\u00e1ng m\u00e1t, tr\u00e1nh ch\u00f9m ch\u0103n k\u00edn s\u1ebd t\u0103ng th\u00e2n nhi\u1ec7t; lau ng\u01b0\u1eddi b\u1eb1ng kh\u0103n n\u01b0\u1edbc th\u1ea5p h\u01a1n nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 2 \u0111\u1ed9 (v\u00ed d\u1ee5 s\u1ed1t 38 \u0111\u1ed9 C th\u00ec lau ng\u01b0\u1eddi t\u1ea1i c\u00e1c v\u00f9ng c\u1ed5, n\u00e1ch, b\u1eb9n&#8230; trong 15 ph\u00fat b\u1eb1ng n\u01b0\u1edbc \u1ea5m 36 \u0111\u1ed9 C r\u1ed3i lau kh\u00f4 l\u1ea1i ng\u01b0\u1eddi) s\u1ebd gi\u00fap h\u1ea1 s\u1ed1t.<\/p>\n<p>F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc. N\u01b0\u1edbc h\u1ed7 tr\u1ee3 gi\u1ea3m nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3. C\u00f3 th\u1ec3 u\u1ed1ng oresol, pha \u0111\u00fang t\u1ef7 l\u1ec7 ghi tr\u00ean bao b\u00ec.<\/p>\n<div class=\"image-container\" title=\"T\u00fai thu\u1ed1c B \u0111\u01b0\u1ee3c S\u1edf Y t\u1ebf H\u00e0 N\u1ed9i ph\u00e1t cho ng\u01b0\u1eddi d\u00e2n v\u1edbi li\u1ec1u l\u01b0\u1ee3ng, h\u00e0m l\u01b0\u1ee3ng, c\u00e1ch d\u00f9ng.\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/dbdb6776ac3f45611c2e#217533383\" alt=\"Zalo\" \/><figcaption>T\u00fai thu\u1ed1c B \u0111\u01b0\u1ee3c S\u1edf Y t\u1ebf H\u00e0 N\u1ed9i ph\u00e1t cho ng\u01b0\u1eddi d\u00e2n v\u1edbi li\u1ec1u l\u01b0\u1ee3ng, h\u00e0m l\u01b0\u1ee3ng, c\u00e1ch d\u00f9ng.<\/figcaption><\/figure>\n<\/div>\n<p><strong>B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Khi c\u00f3 c\u1ea3m gi\u00e1c t\u1ee9c ng\u1ef1c, kh\u00f3 th\u1edf, kh\u00f4ng th\u1ec3 n\u00f3i h\u1ebft c\u00e2u d\u00e0i, tr\u1ecdn v\u1eb9n m\u1ed9t c\u00e2u, \u0111\u00f3 l\u00e0 t\u00edn hi\u1ec7u g\u1ee3i \u00fd F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 b\u1ecb suy h\u00f4 h\u1ea5p, c\u1ea7n li\u00ean h\u1ec7 y t\u1ebf ngay. Theo d\u1eef li\u1ec7u th\u1ed1ng k\u00ea c\u1ee7a B\u1ed9 Y t\u1ebf c\u1eadp nh\u1eadt t\u1edbi h\u1ebft ng\u00e0y 19\/12, c\u1ea3 [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11902,"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-11906","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\/11906","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=11906"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/11906\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11902"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=11906"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=11906"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=11906"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}