{"id":12257,"date":"2022-01-07T21:42:18","date_gmt":"2022-01-07T14:42:18","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12257"},"modified":"2022-01-07T21:42:18","modified_gmt":"2022-01-07T14:42:18","slug":"bac-si-nhi-khoa-luu-y-khi-cham-soc-tre-mac-covid-19-tai-nha","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/01\/07\/bac-si-nhi-khoa-luu-y-khi-cham-soc-tre-mac-covid-19-tai-nha\/","title":{"rendered":"B\u00e1c s\u0129 Nhi khoa l\u01b0u \u00fd khi ch\u0103m s\u00f3c tr\u1ebb m\u1eafc COVID-19 t\u1ea1i nh\u00e0"},"content":{"rendered":"

D\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u00e0 gia t\u0103ng s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc trong \u0111\u00f3 c\u00f3 nhi\u1ec1u tr\u1ebb em. BS. \u0110\u00e0o Tr\u01b0\u1eddng Giang, chuy\u00ean khoa Nhi, b\u1ec7nh vi\u1ec7n \u0110a khoa Xanh P\u00f4n, H\u00e0 N\u1ed9i t\u01b0 v\u1ea5n nh\u1eefng \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd khi ch\u0103m s\u00f3c tr\u1ebb nh\u1ecf m\u1eafc COVID-19.<\/h2>\n
\n

Th\u1eddi \u0111i\u1ec3m n\u00e0y, d\u1ecbch COVID-19 \u0111\u00e3 lan r\u1ed9ng ra t\u1ea5t c\u1ea3 c\u00e1c t\u1ec9nh trong c\u1ea3 n\u01b0\u1edbc v\u00e0 \u0111\u01b0\u1ee3c d\u1ef1 \u0111o\u00e1n l\u00e0 \u0111\u00e3, \u0111ang v\u00e0 s\u1ebd r\u1ea5t ph\u1ee9c t\u1ea1p. \u0110\u1ed1i v\u1edbi vi\u1ec7c ch\u0103m s\u00f3c tr\u1ebb nh\u1ecf m\u1eafc COVID-19, cha m\u1eb9, ng\u01b0\u1eddi th\u00e2n c\u1ea7n ch\u00fa \u00fd nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y.<\/p>\n

1. L\u00e0m sao bi\u1ebft tr\u1ebb m\u1eafc COVID-19?<\/strong><\/p>\n

– Khi tr\u1ebb m\u1eafc COVID-19, d\u1ea5u hi\u1ec7u hay g\u1eb7p l\u00e0 s\u1ed1t, ho. \u00cdt g\u1eb7p h\u01a1n l\u00e0 ch\u1ea3y m\u0169i, \u0111au \u0111\u1ea7u, \u0111au h\u1ecdng, ti\u00eau ch\u1ea3y, n\u00f4n, \u0103n k\u00e9m\u2026 Tuy nhi\u00ean, nhi\u1ec1u tr\u1ebb m\u1eafc b\u1ec7nh m\u00e0 kh\u00f4ng h\u1ec1 c\u00f3 bi\u1ec3u hi\u1ec7n g\u00ec.<\/p>\n

– Do \u0111\u00f3, v\u1edbi c\u00e1c b\u00e9 m\u00e0 nghi ng\u1edd m\u1eafc COVID-19, gia \u0111\u00ecnh c\u1ea7n b\u00e1o v\u1edbi y t\u1ebf ph\u01b0\u1eddng \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn x\u00e9t nghi\u1ec7m. C\u0169ng c\u00f3 th\u1ec3 mua que test nhanh t\u1ef1 l\u00e0m t\u1ea1i nh\u00e0 nh\u01b0ng c\u1ea7n \u0111\u1ea3m b\u1ea3o l\u00e0m \u0111\u00fang c\u00e1ch v\u00e0 b\u00e1o l\u1ea1i y t\u1ebf ph\u01b0\u1eddng n\u1ebfu d\u01b0\u01a1ng t\u00ednh \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u00e1ch ly, theo d\u00f5i.<\/p>\n

\n
\"Zalo\"
Khi nghi ng\u1edd tr\u1ebb m\u1eafc COVID-19, gia \u0111\u00ecnh c\u1ea7n b\u00e1o v\u1edbi y t\u1ebf ph\u01b0\u1eddng \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m<\/figcaption><\/figure>\n<\/div>\n

– Ngo\u00e0i c\u00e1c trung t\u00e2m y t\u1ebf ph\u01b0\u1eddng, c\u00f2n c\u00f3 r\u1ea5t nhi\u1ec1u c\u00e1c t\u1ed5 ch\u1ee9c tham gia \u0111\u1ed3ng h\u00e0nh \u0111\u1ec3 theo d\u00f5i c\u00f9ng c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh. C\u00f3 th\u1ec3 tham kh\u1ea3o s\u1ed1 hotline 0241022 nh\u00e1nh s\u1ed1 3 c\u1ee7a m\u1ea1ng l\u01b0\u1edbi Th\u1ea7y thu\u1ed1c \u0111\u1ed3ng h\u00e0nh t\u1ea1i H\u00e0 N\u1ed9i, c\u00e1c \u1ee9ng d\u1ee5ng, c\u00e1c group zalo, facebook t\u01b0 v\u1ea5n s\u1ee9c kh\u1ecfe mi\u1ec5n ph\u00ed \u0111\u00e1ng tin c\u1eady c\u1ee7a c\u00e1c th\u1ea7y thu\u1ed1c…<\/p>\n

– N\u1ebfu tr\u1ebb kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng nh\u1eb9: Kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam ph\u1ed5i (nh\u1ecbp th\u1edf b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a thi\u1ebfu oxy, \u0111o SpO2 \u2265 96% khi th\u1edf kh\u00ed tr\u1eddi), tr\u1ebb t\u1ec9nh t\u00e1o, sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng, b\u00fa m\u1eb9\/\u0103n\/u\u1ed1ng b\u00ecnh th\u01b0\u1eddng \u0111\u1ed3ng th\u1eddi kh\u00f4ng m\u1eafc c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n, b\u1ec7nh l\u00fd b\u1ea9m sinh th\u00ec c\u00f3 th\u1ec3 theo d\u00f5i t\u1ea1i nh\u00e0.<\/p>\n

2. Khi ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 cho tr\u1ebb m\u1eafc COVID-19 c\u1ea7n l\u01b0u \u00fd<\/strong><\/p>\n

Nh\u1eefng vi\u1ec7c n\u00ean l\u00e0m:<\/strong><\/p>\n

– C\u1ea7n cho tr\u1ebb \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng, v\u1ec7 sinh, t\u1eafm r\u1eeda s\u1ea1ch s\u1ebd, kh\u00f4ng \u0111\u01b0\u1ee3c ki\u00eang n\u01b0\u1edbc.<\/p>\n

– Theo d\u00f5i s\u00e1t sao nhi\u1ec7t \u0111\u1ed9, \u0111o ch\u1ec9 s\u1ed1 SpO2 \u00edt nh\u1ea5t 2 l\u1ea7n\/ng\u00e0y<\/p>\n

– Cho tr\u1ebb u\u1ed1ng thu\u1ed1c h\u1ea1 s\u1ed1t n\u1ebfu tr\u1ebb s\u1ed1t. C\u00f3 th\u1ec3 d\u00f9ng Paracetamol (Hapacol, Efferalgan, Doliprane, Tylenol\u2026) v\u1edbi li\u1ec1u 10 -15mg\/kg c\u00e2n n\u1eb7ng\/l\u1ea7n, 2 l\u1ea7n c\u00e1ch nhau \u00edt nh\u1ea5t 4 ti\u1ebfng.<\/p>\n

– V\u1ec7 sinh m\u0169i n\u1ebfu tr\u1ebb ch\u1ea3y nhi\u1ec1u n\u01b0\u1edbc m\u0169i ho\u1eb7c n\u01b0\u1edbc m\u0169i \u0111\u1eb7c qu\u00e1nh. N\u1ebfu ch\u1ea3y m\u0169i \u00edt v\u00e0 tr\u1ebb kh\u00f4ng kh\u00f3 ch\u1ecbu ch\u1ec9 c\u1ea7n lau b\u1eb1ng kh\u0103n m\u1ec1m s\u1ea1ch l\u00e0 \u0111\u1ee7.<\/p>\n

– N\u1ebfu tr\u1ebb ho, c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c ho nh\u01b0ng c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.<\/p>\n

– N\u1ebfu b\u1ea5t k\u1ef3 khi n\u00e0o tr\u1ebb c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n sau th\u00ec c\u1ea7n ph\u1ea3i b\u00e1o v\u1edbi ph\u01b0\u1eddng ho\u1eb7c li\u00ean h\u1ec7 115 \u0111\u1ec3 \u0111\u01b0a tr\u1ebb nh\u1eadp vi\u1ec7n:<\/p>\n

Th\u1edf nhanhKh\u00f3 th\u1edf, c\u00e1nh m\u0169i ph\u1eadp ph\u1ed3ng, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1cLi b\u00ecL\u1edd \u0111\u1eddB\u1ecf b\u00fa\/\u0103n u\u1ed1ngT\u00edm t\u00e1i m\u00f4i, \u0111\u1ea7u ng\u00f3n tay, ch\u00e2nSpO2 < 95%<\/p>\n

\n
\"Zalo\"
Theo d\u00f5i s\u00e1t sao nhi\u1ec7t \u0111\u1ed9 c\u1ee7a tr\u1ebb<\/figcaption><\/figure>\n<\/div>\n

Nh\u1eefng vi\u1ec7c kh\u00f4ng n\u00ean l\u00e0m:<\/strong><\/p>\n

– \u0110\u1eebng n\u00ean t\u1ef1 \u00fd s\u1eed d\u1ee5ng 2 lo\u1ea1i thu\u1ed1c ho c\u00f9ng l\u00fac ho\u1eb7c c\u00e1c lo\u1ea1i thu\u1ed1c ho c\u00f3 th\u00e0nh ph\u1ea7n ch\u1ed1ng d\u1ecb \u1ee9ng, gi\u1ea3m ho.<\/p>\n

– \u0110\u1eebng n\u00ean l\u1ea1m d\u1ee5ng c\u00e1c vitamin k\u1ec3 c\u1ea3 vitamin C hay multivitamin. S\u1ee9c \u0111\u1ec1 kh\u00e1ng c\u1ee7a tr\u1ebb kh\u00f4ng th\u1ec3 t\u0103ng l\u00ean ngay l\u1eadp t\u1ee9c ch\u1ec9 v\u1edbi 1 v\u00e0i lo\u1ea1i vitamin.<\/p>\n

– \u0110\u1eebng cho tr\u1ebb x\u00f4ng l\u00e1 l\u1ea9u, tinh d\u1ea7u… v\u00ec kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 l\u00e0m tr\u1ebb t\u0103ng s\u1ef1 kh\u00f3 ch\u1ecbu v\u00e0 c\u00f3 nguy c\u01a1 khi\u1ebfn tr\u1ebb b\u1ecb b\u1ecfng.<\/p>\n

– Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 d\u00f9ng c\u00e1c thu\u1ed1c kh\u00e1ng sinh, thu\u1ed1c ch\u1ee9a corticoid, thu\u1ed1c di\u1ec7t virus… Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng d\u00f9ng c\u00e1c \u0111\u01a1n thu\u1ed1c tr\u00ean m\u1ea1ng v\u00e0 c\u0169ng \u0111\u1eebng chia s\u1ebb \u0111\u01a1n thu\u1ed1c c\u1ee7a tr\u1ebb. \u0110i\u1ec1u n\u00e0y v\u00f4 t\u00ecnh l\u00e0m h\u1ea1i nhi\u1ec1u tr\u1ebb kh\u00e1c.<\/p>\n

3. L\u1eddi khuy\u00ean c\u1ee7a th\u1ea7y thu\u1ed1c<\/strong><\/p>\n

N\u00ean nh\u1edb r\u1eb1ng, \u0111\u00e3 c\u00f3 r\u1ea5t nhi\u1ec1u tr\u1ebb t\u1ef1 kh\u1ecfi b\u1ec7nh m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c. Quan tr\u1ecdng nh\u1ea5t l\u00e0 ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i, ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u n\u1eb7ng \u0111\u1ec3 \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m k\u1ecbp th\u1eddi. \u0110\u1eebng v\u00ec lo l\u1eafng m\u00e0 l\u1ea1m d\u1ee5ng thu\u1ed1c \u0111\u1ec3 r\u1ed3i t\u00ecnh h\u00ecnh th\u00eam ph\u1ee9c t\u1ea1p. Ngo\u00e0i ra, b\u1ed1 m\u1eb9, ng\u01b0\u1eddi l\u1edbn c\u1ea7n b\u00ecnh t\u0129nh, ch\u0103m s\u00f3c b\u1ea3n th\u00e2n, th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba l\u00e2y nhi\u1ec5m, \u0111\u1ec3 c\u00f3 \u0111\u1ee7 s\u1ee9c kh\u1ecfe ch\u0103m s\u00f3c tr\u1ebb.<\/p>\n

Nh\u1eefng vi\u1ec7c cha m\u1eb9 c\u1ea7n l\u00e0m \u0111\u1ec3 h\u1ed7 tr\u1ee3, ch\u0103m s\u00f3c con b\u1ecb nhi\u1ec5m COVID-19:<\/strong><\/p>\n

– T\u00e2m s\u1ef1, tr\u1ea5n an con v\u1ec1 d\u1ecbch COVID-19.<\/p>\n

– Gi\u1ea3i \u0111\u00e1p th\u1eafc m\u1eafc v\u00e0 chia s\u1ebb th\u00f4ng tin th\u1ef1c t\u1ebf v\u1ec1 d\u1ecbch COVID-19. Tr\u1ebb c\u00f3 th\u1ec3 hi\u1ec3u sai th\u00f4ng tin v\u00e0 c\u00f3 th\u1ec3 ho\u1ea3ng s\u1ee3.<\/p>\n

– H\u1ea1n ch\u1ebf gia \u0111\u00ecnh ti\u1ebfp x\u00fac v\u00e0 n\u00f3i chuy\u1ec7n v\u1ec1 tin t\u1ee9c, s\u1ef1 ki\u1ec7n v\u1ec1 COVID-19 c\u00f3 th\u1ec3 g\u00e2y hoang mang, s\u1ee3 h\u00e3i.<\/p>\n

– C\u1ed1 g\u1eafng duy tr\u00ec nh\u1eefng th\u00f3i quen b\u00ecnh th\u01b0\u1eddng, sinh ho\u1ea1t khoa h\u1ecdc. L\u1eadp th\u1eddi gian bi\u1ec3u cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u1ecdc t\u1eadp v\u00e0 ngh\u1ec9 ng\u01a1i ho\u1eb7c c\u00e1c ho\u1ea1t \u0111\u1ed9ng gi\u1ea3i tr\u00ed.<\/p>\n

– H\u01b0\u1edbng d\u1eabn tr\u1ebb c\u00e1c h\u00e0nh \u0111\u1ed9ng h\u00e0ng ng\u00e0y \u0111\u1ec3 gi\u1ea3m s\u1ef1 l\u00e2y lan c\u1ee7a m\u1ea7m b\u1ec7nh nh\u01b0: r\u1eeda tay th\u01b0\u1eddng xuy\u00ean; s\u1eed d\u1ee5ng kh\u0103n gi\u1ea5y ho\u1eb7c khu\u1ef7u tay khi ho ho\u1eb7c h\u1eaft h\u01a1i, sau \u0111\u00f3 v\u1ee9t kh\u0103n gi\u1ea5y v\u00e0o th\u00f9ng \u0111\u1ef1ng ch\u1ea5t th\u1ea3i.<\/p>\n

– T\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho tr\u1ebb tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng gi\u1ea3i tr\u00ed trong ph\u00f2ng c\u00e1ch ly ph\u00f9 h\u1ee3p nh\u01b0 c\u00e1c tr\u00f2 ch\u01a1i online hay c\u00f9ng ch\u01a1i v\u1edbi b\u1ed1, m\u1eb9\u2026<\/p>\n

(T\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0 c\u1ee7a B\u1ed9 Y t\u1ebf )<\/p>\n

BS. \u0110\u00e0o Tr\u01b0\u1eddng Giang<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

D\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p v\u00e0 gia t\u0103ng s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc trong \u0111\u00f3 c\u00f3 nhi\u1ec1u tr\u1ebb em. BS. \u0110\u00e0o Tr\u01b0\u1eddng Giang, chuy\u00ean khoa Nhi, b\u1ec7nh vi\u1ec7n \u0110a khoa Xanh P\u00f4n, H\u00e0 N\u1ed9i t\u01b0 v\u1ea5n nh\u1eefng \u0111i\u1ec3m c\u1ea7n l\u01b0u \u00fd khi ch\u0103m s\u00f3c tr\u1ebb nh\u1ecf m\u1eafc COVID-19. Th\u1eddi \u0111i\u1ec3m n\u00e0y, d\u1ecbch COVID-19 \u0111\u00e3 […]<\/p>\n","protected":false},"author":4,"featured_media":12258,"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-12257","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\/12257","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=12257"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12257\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12258"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12257"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12257"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}