{"id":12292,"date":"2022-01-10T21:53:01","date_gmt":"2022-01-10T14:53:01","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12292"},"modified":"2022-01-10T21:53:01","modified_gmt":"2022-01-10T14:53:01","slug":"su-dung-binh-oxy-cho-f0-dieu-tri-tai-nha-can-luu-y-gi","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/01\/10\/su-dung-binh-oxy-cho-f0-dieu-tri-tai-nha-can-luu-y-gi\/","title":{"rendered":"S\u1eed d\u1ee5ng b\u00ecnh oxy cho F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n l\u01b0u \u00fd g\u00ec?"},"content":{"rendered":"

B\u00ecnh oxy y t\u1ebf l\u00e0 m\u1ed9t trong nh\u1eefng thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p nh\u1ea5t l\u00e0 F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. V\u1eady khi n\u00e0o c\u1ea7n d\u00f9ng v\u00e0 \u0111\u1ec3 an to\u00e0n c\u1ea7n nh\u1eefng l\u01b0u \u00fd g\u00ec? D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nguy\u00ean t\u1eafc khi s\u1eed d\u1ee5ng b\u00ecnh cung c\u1ea5p oxy cho b\u1ec7nh nh\u00e2n COVID-19 (F0) \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0.<\/h2>\n
\n

Theo GS.TS Nguy\u1ec5n Gia B\u00ecnh, Ch\u1ee7 t\u1ecbch H\u1ed9i H\u1ed3i s\u1ee9c C\u1ea5p c\u1ee9u v\u00e0 Ch\u1ed1ng \u0111\u1ed9c Vi\u1ec7t Nam, nguy\u00ean Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c, B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai, vi\u1ec7c s\u1eed d\u1ee5ng b\u00ecnh oxy c\u1ea7n tu\u00e2n th\u1ee7 theo H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng b\u00ecnh oxy \u0111i\u1ec1u tr\u1ecb F0 t\u1ea1i nh\u00e0 v\u00e0 l\u01b0u \u00fd an to\u00e0n khi s\u1eed d\u1ee5ng b\u00ecnh oxy ( nguy c\u01a1 ch\u00e1y, n\u1ed5) nh\u01b0 b\u00ecnh gas.<\/p>\n

1. Khi n\u00e0o c\u1ea7n s\u1eed d\u1ee5ng b\u00ecnh oxy cho F0?<\/strong><\/p>\n

Theo c\u00e1c chuy\u00ean gia, th\u00f4ng th\u01b0\u1eddng v\u1edbi ng\u01b0\u1eddi c\u00f3 ph\u1ed5i kh\u1ecfe m\u1ea1nh, kh\u00f4ng kh\u00ed th\u1edf c\u00f3 ch\u1ee9a kho\u1ea3ng 21% oxy l\u00e0 \u0111\u1ee7. Nh\u01b0ng \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, c\u00f3 ch\u1ee9c n\u0103ng ph\u1ed5i suy gi\u1ea3m nh\u01b0: Ng\u01b0\u1eddi m\u1eafc COVID-19, ng\u01b0\u1eddi vi\u00eam ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD), hen ph\u1ebf qu\u1ea3n, b\u1ec7nh tim m\u1ea1ch\u2026 khi m\u1eafc b\u1ec7nh, l\u01b0\u1ee3ng oxy \u0111\u1ea1t \u0111\u01b0\u1ee3c th\u00f4ng qua h\u00f4 h\u1ea5p b\u00ecnh th\u01b0\u1eddng l\u00e0 kh\u00f4ng \u0111\u1ee7, do \u0111\u00f3 c\u1ea7n b\u1ed5 sung l\u01b0\u1ee3ng oxy \u0111\u1ec3 duy tr\u00ec ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n

\n
\"Zalo\"
Trao b\u00ecnh oxy cho ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb c\u00e1ch ly t\u1ea1i nh\u00e0.<\/figcaption><\/figure>\n<\/div>\n

Chia s\u1ebb v\u1ec1 v\u1ea5n \u0111\u1ec1 F0 khi n\u00e0o c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng b\u00ecnh oxy t\u1ea1i nh\u00e0, BS D\u01b0\u01a1ng Ch\u00ed L\u1ef1c- Tr\u01b0\u1edfng khoa Ngo\u1ea1i L\u1ed3ng ng\u1ef1c \u2013 B\u1ec7nh vi\u1ec7n \u0110a khoa Trung \u01b0\u01a1ng Qu\u1ea3ng Nam, t\u1eebng c\u00f4ng t\u00e1c t\u1ea1i TTHS COVID -19 qu\u1eadn T\u00e2n Ph\u00fa, TP. H\u1ed3 Ch\u00ed Minh cho bi\u1ebft, theo ph\u00e1c \u0111\u1ed3 c\u1ee7a B\u1ed9 Y t\u1ebf, F0 c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u thi\u1ebfu oxy nh\u01b0: Kh\u00f3 th\u1edf, SPO2 <93%, quan s\u00e1t th\u1ea5y F0 c\u00f3 m\u00e0u s\u1eafc m\u00f4i, ng\u00f3n tay xanh t\u00edm, th\u1edf co r\u00fat x\u01b0\u01a1ng s\u01b0\u1eddn, c\u1ed5,\u2026c\u1ea7n s\u1eed d\u1ee5ng b\u00ecnh oxy.<\/p>\n

N\u1ebfu kh\u00f4ng c\u00f3 m\u00e1y SpO2 th\u00ec c\u00f3 th\u1ec3 \u0111\u1ebfm nh\u1ecbp th\u1edf c\u1ee7a F0 b\u1eb1ng c\u00e1ch: \u0111\u1eb7t tay l\u00ean th\u00e0nh b\u1ee5ng \u0111\u1ebfm s\u1ef1 di \u0111\u1ed9ng th\u00e0nh b\u1ee5ng khi th\u1edf trong 1 ph\u00fat. Ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ebfm m\u1ea1ch b\u1eb1ng c\u00e1ch \u0111\u1ebfm li\u00ean t\u1ee5c trong 1 ph\u00fat b\u1eb1ng ng\u00f3n 2 v\u00e0 3. N\u1ebfu th\u1edf nhanh >24 l\u1ea7n\/ ph\u00fat, ho\u1eb7c n\u1ebfu m\u1ea1ch tr\u00ean 100 l\u1ea7n\/ph\u00fat\u2026. ngh\u0129a l\u00e0 F0 c\u00f3 d\u1ea5u hi\u1ec7u thi\u1ebfu oxy.<\/p>\n

2. S\u1eed d\u1ee5ng bao nhi\u00eau oxy l\u00e0 \u0111\u1ee7?<\/strong><\/p>\n

Theo khuy\u1ebfn c\u00e1o, oxy l\u00e0 m\u1ed9t li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb y t\u1ebf s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh. Theo BS L\u1ef1c, F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n tu\u00e2n th\u1ee7 li\u1ec1u l\u01b0\u1ee3ng oxy theo khuy\u1ebfn c\u00e1o c\u1ee7a c\u00e1n b\u1ed9 y t\u1ebf, v\u00ec n\u1ebfu t\u1ef1 \u00fd \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng oxy qu\u00e1 nhi\u1ec1u ho\u1eb7c qu\u00e1 \u00edt c\u00f3 th\u1ec3 g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng.<\/p>\n

Th\u1ef1c t\u1ebf cho th\u1ea5y, th\u1ea5y F0 kh\u00f3 th\u1edf n\u00ean nhi\u1ec1u ng\u01b0\u1eddi nh\u00e0 s\u1ebd \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng oxy t\u0103ng qu\u00e1 m\u1ee9c ch\u1ec9 \u0111\u1ecbnh, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t c\u01a1 ch\u1ebf k\u00edch th\u00edch h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng 3 l\u00edt -5 l\u00edt \/ph\u00fat n\u1ebfu s\u1eed d\u1ee5ng nhi\u1ec1u s\u1ebd d\u1eabn \u0111\u1ebfn x\u01a1 ph\u1ed5i.<\/p>\n

Theo BS L\u1ef1c, t\u00f9y thu\u1ed9c v\u00e0o ch\u1ec9 s\u1ed1 SPO2 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 s\u1eed d\u1ee5ng oxy h\u1ee3p l\u00fd. Th\u00f4ng th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi F0 c\u00f3 SPO2 <90% th\u00ec th\u1edf oxy m\u1ee9c 6-10 l\u00edt trong 15 ph\u00fat. C\u00f2n n\u1ebfu kh\u00f3 th\u1edf t\u0103ng l\u00ean, SPO2 gi\u1ea3m th\u00ec c\u1ea7n c\u00f3 c\u00e1n b\u1ed9 y t\u1ebf ch\u1ec9 \u0111\u1ecbnh- BS L\u1ef1c khuy\u1ebfn c\u00e1o.<\/p>\n

Nhi\u1ec1u ng\u01b0\u1eddi th\u1eafc m\u1eafc, F0 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng oxy trong bao l\u00e2u? Tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi n\u00e0y theo chuy\u00ean gia vi\u1ec7c s\u1eed d\u1ee5ng oxy bao l\u00e2u tu\u1ef3 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf c\u1ee7a F0, c\u00f3 th\u1ec3 d\u00f9ng trong kho\u1ea3ng 15-30 ph\u00fat ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng 24 gi\u1edd trong ng\u00e0y. Tuy nhi\u00ean c\u1ea7n \u0111\u1eb7c bi\u1ec7t l\u01b0u \u00fd khi th\u1edf oxy l\u00e2u ph\u1ea3i duy tr\u00ec \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng kh\u00f3 th\u1edf. Kh\u00f4ng th\u1edf \u1edf li\u1ec1u qu\u00e1 cao ho\u1eb7c t\u0103ng li\u1ec1u qu\u00e1 nhanh. Kh\u00f4ng \u0111\u01b0\u1ee3c v\u1eeba th\u1edf oxy v\u1eeba \u0111i v\u1ec7 sinh ho\u1eb7c \u0111i l\u00e0m chuy\u1ec7n g\u00ec kh\u00e1c, F0 ch\u1ec9 n\u1eb1m t\u0129nh d\u01b0\u1ee1ng \u1edf gi\u01b0\u1eddng, ho\u1eb7c ng\u1ed3i n\u1ebfu c\u00f3 th\u1ec3.<\/p>\n

\n
\"Zalo\"
H\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe cho F0 – ng\u01b0\u1eddi b\u1ec7nh COVID-19 ph\u1ea3i s\u1eed d\u1ee5ng b\u00ecnh oxy t\u1ea1i nh\u00e0.<\/figcaption><\/figure>\n<\/div>\n

3. C\u00f3 th\u1ec3 gi\u1ea3m l\u01b0\u1ee3ng oxy kh\u00f4ng v\u00e0 khi n\u00e0o c\u1ea7n \u0111\u01b0a F0 nh\u1eadp vi\u1ec7n?<\/strong><\/p>\n

Chia s\u1ebb v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y GS. TS Nguy\u1ec5n Gia B\u00ecnh cho bi\u1ebft, c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u oxy v\u00e0 \u0111i\u1ec1u n\u00e0y c\u1ea7n d\u1ef1a v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0: B\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu, kh\u00f4ng c\u00f2n kh\u00f3 th\u1edf, l\u01b0\u1ee3ng SpO2 t\u0103ng l\u00ean 95% v\u1edbi l\u01b0u l\u01b0\u1ee3ng oxy 1-3 l\u00edt\/ ph\u00fat, n\u1ebfu nhu c\u1ea7u gi\u1ea3m th\u00ec gi\u1ea3m oxy xu\u1ed1ng.<\/p>\n

“C\u00f2n n\u1ebfu kh\u00f3 th\u1edf nhi\u1ec1u h\u01a1n, nhu c\u1ea7u oxy t\u0103ng l\u00ean th\u00ec n\u00ean cho F0 nh\u1eadp vi\u1ec7n, v\u00ec b\u1ec7nh n\u1eb7ng l\u00ean c\u1ea7n ph\u1ea3i l\u00e0m nhi\u1ec1u x\u00e9t nghi\u1ec7m, ch\u1ee5p phim ph\u1ed5i\u2026 v\u00e0 nhi\u1ec1u th\u1ee9 kh\u00e1c m\u00e0 kh\u00f4ng th\u1ec3 l\u00e0m \u1edf nh\u00e0 \u0111\u01b0\u1ee3c” -TS. B\u00ecnh khuy\u1ebfn c\u00e1o.<\/p>\n

C\u00f2n theo BS. D\u01b0\u01a1ng Ch\u00ed L\u1ef1c, th\u1edf oxy l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p nh\u1eb1m h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 th\u1edf, c\u00f3 n\u1ed3ng \u0111\u1ed9 oxy th\u1ea5p v\u00e0 n\u00f3 ch\u1ec9 l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u1ef1c s\u1ef1 \u1edf b\u1ec7nh nh\u00e2n m\u1eafc COVID-19. “Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb th\u1ef1c s\u1ef1 ph\u1ea3i c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129”- BS L\u1ef1c nh\u1ea5n m\u1ea1nh.<\/p>\n

4.Nh\u1eefng nguy\u00ean t\u1eafc s\u1eed d\u1ee5ng oxy an to\u00e0n t\u1ea1i nh\u00e0<\/strong><\/p>\n

\u0110i\u1ec1u r\u1ea5t quan tr\u1ecdng, theo khuy\u1ebfn c\u00e1o, khi s\u1eed d\u1ee5ng b\u00ecnh oxy c\u1ea7n tuy\u1ec7t \u0111\u1ed1itu\u00e2n theo c\u00e1c h\u01b0\u1edbng d\u1eabn v\u1ec1 an to\u00e0n oxy n\u00f3i chung.<\/p>\n

C\u1ee5 th\u1ec3 l\u00e0 gi\u1eef b\u00ecnh \u00f4 xy c\u00e1ch xa ng\u1ecdn l\u1eeda. Tr\u00e1nh \u0111\u1ec3 g\u1ea7n v\u1eadt d\u1ee5ng c\u00f3 th\u1ec3 ph\u00f3ng tia l\u1eeda \u0111i\u1ec7n g\u00e2y ch\u00e1y n\u1ed5, kh\u00f4ng l\u01b0u tr\u1eef b\u00ecnh kh\u00ed oxy g\u1ea7n b\u1ea5t k\u1ef3 lo\u1ea1i ngu\u1ed3n nhi\u1ec7t n\u00e0o, g\u1ea7n b\u1ebfp gas, ho\u1eb7c g\u1ea7n n\u1ebfn th\u1eafp s\u00e1ng.<\/p>\n

Gi\u1eef b\u00ecnh oxy \u0111\u1ee9ng trong th\u00f9ng, ho\u1eb7c gi\u00e1. \u0110\u1ea3m b\u1ea3o thi\u1ebft b\u1ecb \u0111\u1ef1ng oxy an to\u00e0n v\u00e0 s\u1ebd kh\u00f4ng r\u01a1i \u0111\u1ed5. T\u1eaft oxy khi kh\u00f4ng s\u1eed d\u1ee5ng gi\u1ea3m nguy c\u01a1 b\u1ecb ch\u00e1y n\u1ed5.<\/p>\n

Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb oxy t\u1ea1i nh\u00e0 c\u1ea7n li\u00ean l\u1ea1c v\u1edbi c\u00e1n b\u1ed9 y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3i \u0111\u00e1p nh\u1eefng th\u1eafc m\u1eafc, lu\u00f4n \u0111\u1ec3 s\u1ed1 \u0111i\u1ec7n tho\u1ea1i li\u00ean l\u1ea1c \u1edf v\u1ecb tr\u00ed d\u1ec5 th\u1ea5y. Ngo\u00e0i ra c\u1ea7n ghi ch\u00e9p l\u1ea1i th\u1eddi gian, li\u1ec1u l\u01b0\u1ee3ng oxy s\u1eed d\u1ee5ng, tu\u00e2n th\u1ee7 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n

\n
\"Zalo\"
C\u00e1ch l\u1eafp \u0111\u1eb7t v\u00e0 s\u1eed d\u1ee5ng b\u00ecnh oxy t\u1ea1i nh\u00e0<\/figcaption><\/figure>\n<\/div>\n

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

B\u00ecnh oxy y t\u1ebf l\u00e0 m\u1ed9t trong nh\u1eefng thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi b\u1ec7nh nh\u00e2n c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p nh\u1ea5t l\u00e0 F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. V\u1eady khi n\u00e0o c\u1ea7n d\u00f9ng v\u00e0 \u0111\u1ec3 an to\u00e0n c\u1ea7n nh\u1eefng l\u01b0u \u00fd g\u00ec? D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nguy\u00ean t\u1eafc khi s\u1eed d\u1ee5ng b\u00ecnh cung c\u1ea5p oxy […]<\/p>\n","protected":false},"author":4,"featured_media":12290,"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-12292","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\/12292","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=12292"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12292\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12290"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}