{"id":12531,"date":"2022-01-27T21:19:52","date_gmt":"2022-01-27T14:19:52","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12531"},"modified":"2022-01-27T21:19:52","modified_gmt":"2022-01-27T14:19:52","slug":"can-biet-3-buoc-de-xac-dinh-cap-do-dich-covid-19-theo-huong-dan-cua-bo-y-te","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/01\/27\/can-biet-3-buoc-de-xac-dinh-cap-do-dich-covid-19-theo-huong-dan-cua-bo-y-te\/","title":{"rendered":"C\u1ea7n bi\u1ebft: 3 b\u01b0\u1edbc \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u1ea5p \u0111\u1ed9 d\u1ecbch COVID-19 theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<h2 class=\"article-summary\">Theo h\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi m\u1edbi nh\u1ea5t c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 chuy\u00ean m\u00f4n y t\u1ebf th\u1ef1c hi\u1ec7n Ngh\u1ecb quy\u1ebft 128, c\u1ea5p \u0111\u1ed9 \u0111\u00e1p \u1ee9ng d\u1ecbch COVID-19 t\u1ea1i tuy\u1ebfn x\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1ch t\u1ed5ng h\u1ee3p t\u1eeb k\u1ebft qu\u1ea3 v\u1ec1 m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng c\u1ee7a \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3, th\u1ef1c hi\u1ec7n theo 3 b\u01b0\u1edbc sau&#8230;<\/h2>\n<div class=\"article-body-text\">\n<p>Ng\u00e0y 27\/1, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh 218\/ BYT-Q\u0110 H\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi v\u1ec1 chuy\u00ean m\u00f4n y t\u1ebf th\u1ef1c hi\u1ec7n Ngh\u1ecb quy\u1ebft s\u1ed1 128\/NQ-CP ng\u00e0y 11\/10\/2021 c\u1ee7a Ch\u00ednh ph\u1ee7 ban h\u00e0nh Quy \u0111\u1ecbnh t\u1ea1m th\u1eddi &#8220;Th\u00edch \u1ee9ng an to\u00e0n, linh ho\u1ea1t, ki\u1ec3m so\u00e1t hi\u1ec7u qu\u1ea3 d\u1ecbch COVID-19&#8221;.<\/p>\n<p>Quy\u1ebft \u0111\u1ecbnh n\u00e0y c\u00f3 hi\u1ec7u l\u1ef1c k\u1ec3 t\u1eeb ng\u00e0y k\u00fd ban h\u00e0nh v\u00e0 thay th\u1ebf Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4800\/Q\u0110-BYT ng\u00e0y 12\/10\/2021 c\u1ee7a B\u1ed9 Y t\u1ebf.<\/p>\n<p>Theo \u0111\u00f3, c\u1ea5p \u0111\u1ed9 \u0111\u00e1p \u1ee9ng d\u1ecbch COVID-19 t\u1ea1i tuy\u1ebfn x\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1ch t\u1ed5ng h\u1ee3p t\u1eeb k\u1ebft qu\u1ea3 v\u1ec1 m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng c\u1ee7a \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3, th\u1ef1c hi\u1ec7n theo 3 b\u01b0\u1edbc sau:<\/p>\n<p><strong>B\u01b0\u1edbc 1: X\u00e1c \u0111\u1ecbnh M\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m (4 m\u1ee9c)<\/strong><\/p>\n<p>M\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m c\u1ee7a m\u1ed9t \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3 l\u00e0 m\u1ee9c \u0111\u1ed9 cao nh\u1ea5t c\u1ee7a 2 ch\u1ec9 s\u1ed1 (1a, 1b) c\u1ee7a Ti\u00eau ch\u00ed 1v\u00e0 \u0111\u01b0\u1ee3c hi\u1ec7u ch\u1ec9nh c\u1ee7a 2 ch\u1ec9 s\u1ed1 (2a, 2b) c\u1ee7a Ti\u00eau ch\u00ed 2 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea theo b\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n<p>C\u00e1c ch\u1ec9 s\u1ed1 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 l\u00e2y nhi\u1ec5mM\u1ee9c \u0111\u1ed9 1 M\u1ee9c \u0111\u1ed9 2 M\u1ee9c \u0111\u1ed9 3 M\u1ee9c \u0111\u1ed9 4Ch\u1ec9 s\u1ed1 1a: T\u1ef7 l\u1ec7 ca m\u1eafc m\u1edbi&lt;90 90-&lt;450450-600&gt;600Ch\u1ec9 s\u1ed1 1b: T\u1ef7 l\u1ec7 ca b\u1ec7nh ph\u1ea3i th\u1edf oxy&lt;1 1-&lt;32 32-40&gt;40<\/p>\n<p>Sau \u0111\u00f3 k\u1ebft h\u1ee3p v\u1edbi ch\u1ec9 s\u1ed1 2a ( Ch\u1ec9 s\u1ed1 t\u1ef7 l\u1ec7 ti\u00eam ch\u1ee7ng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c m\u0169i ti\u00eam theo khuy\u1ebfn c\u00e1o t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 c\u1ee7a B\u1ed9 Y t\u1ebf c\u1ee7a \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3 t\u00ednh tr\u00ean to\u00e0n b\u1ed9 d\u00e2n s\u1ed1 tr\u00ean \u0111i\u1ea1 b\u00e0n. Y\u00eau c\u1ea7u t\u1ef7 l\u1ec7 ti\u00eam ch\u1ee7ng \u0111\u1ee7 m\u0169i ph\u1ea3i \u0111\u1ea1t t\u1ed1i thi\u1ec3u 75% t\u1ed5ng d\u00e2n s\u1ed1 t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1. Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m tr\u00ean \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3 ) v\u00e0 2b ( Ch\u1ec9 s\u1ed1 t\u1ef7 l\u1ec7 ti\u00eam ch\u1ee7ng \u0111\u1ee7 m\u0169i tr\u1edf l\u00ean \u1edf ng\u01b0\u1eddi thu\u1ed9c nh\u00f3m nguy c\u01a1 cao (kh\u00f4ng ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eam ch\u1ee7ng) trong s\u1ed1 \u0111\u1ed1i t\u01b0\u1ee3ng \u1edf nh\u00f3m nguy c\u01a1 cao c\u1ee7a \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3. Y\u00eau c\u1ea7u t\u1ef7 l\u1ec7 ti\u00eam ch\u1ee7ng \u0111\u1ee7 m\u0169i \u1edf ng\u01b0\u1eddi thu\u1ed9c nh\u00f3m nguy c\u01a1 cao ph\u1ea3i \u0111\u1ea1t t\u1ed1i thi\u1ec3u 90% s\u1ed1 \u0111\u1ed1i t\u01b0\u1ee3ng ph\u1ea3i ti\u00eam ch\u1ee7ng t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 ); n\u1ebfu m\u1ed9t trong hai ch\u1ec9 s\u1ed1 ho\u1eb7c c\u1ea3 hai ch\u1ec9 s\u1ed1 2a 2b kh\u00f4ng \u0111\u1ea1t m\u1ee9c t\u1ed1i thi\u1ec3u th\u00ec ph\u1ea3i n\u00e2ng m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m l\u00ean m\u1ed9t m\u1ee9c \u0111\u1ed9 (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p \u0111ang \u1edf m\u1ee9c \u0111\u1ed9 4).<\/p>\n<p><strong>B\u01b0\u1edbc 2: X\u00e1c \u0111\u1ecbnh kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng<\/strong><\/p>\n<p>Kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a m\u1ed9t \u0111\u1ecba ph\u01b0\u01a1ng l\u00e0 kh\u1ea3 n\u0103ng th\u1ea5p nh\u1ea5t c\u1ee7a 2 ch\u1ec9 s\u1ed1 3a, 3b c\u1ee7a Ti\u00eau ch\u00ed 3 v\u00e0 \u0111\u01b0\u1ee3c hi\u1ec7u ch\u1ec9nh c\u1ee7a ch\u1ec9 s\u1ed1 3c ( Ch\u1ec9 s\u1ed1 t\u1ef7 l\u1ec7 gi\u01b0\u1eddng \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c (ICU) c\u00f3 \u0111\u1ee7 nh\u00e2n vi\u00ean y t\u1ebf ph\u1ee5c v\u1ee5\/100.000 d\u00e2n. Y\u00eau c\u1ea7u t\u1ef7 l\u1ec7 gi\u01b0\u1eddng ICU c\u00f3 \u0111\u1ee7 nh\u00e2n vi\u00ean y t\u1ebf ph\u1ee5c v\u1ee5 tr\u00ean \u0111\u1ecba b\u00e0n c\u1ea5p t\u1ec9nh ph\u1ea3i \u0111\u1ea1t t\u1ed1i thi\u1ec3u 4\/100.000 d\u00e2n ) c\u1ee7a Ti\u00eau ch\u00ed 3 \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea theo b\u1ea3ng d\u01b0\u1edbi \u0111\u00e2y<\/p>\n<p>Sau \u0111\u00f3 k\u1ebft h\u1ee3p v\u1edbi ch\u1ec9 s\u1ed1 3c, n\u1ebfu ch\u1ec9 s\u1ed1 3c kh\u00f4ng \u0111\u1ea1t m\u1ee9c t\u1ed1i thi\u1ec3u th\u00ec ph\u1ea3i gi\u1ea3m kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng xu\u1ed1ng m\u1ed9t m\u1ee9c (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p \u0111ang \u1edf kh\u1ea3 n\u0103ng th\u1ea5p).<\/p>\n<p><strong>B\u01b0\u1edbc 3: X\u00e1c \u0111\u1ecbnh c\u1ea5p \u0111\u1ed9 d\u1ecbch<\/strong><\/p>\n<p>C\u1ea5p \u0111\u1ed9 d\u1ecbch \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean t\u1ed5ng h\u1ee3p k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 M\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m (4 m\u1ee9c t\u1ea1i b\u01b0\u1edbc 1) v\u00e0 Kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng (3 kh\u1ea3 n\u0103ng t\u1ea1i b\u01b0\u1edbc 2), sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c hi\u1ec7u ch\u1ec9nh b\u1edfi ch\u1ec9 s\u1ed1 1c ( T\u1ef7 l\u1ec7 ca t\u1eed vong trong tu\u1ea7n tr\u00ean \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3\/100.000 d\u00e2n. Y\u00eau c\u1ea7u ch\u1ec9 s\u1ed1 n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 6\/100.000 d\u00e2n tr\u00ean \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3. Ch\u1ec9 s\u1ed1 n\u00e0y l\u00e0 h\u1ec7 qu\u1ea3 c\u1ee7a t\u1ed5ng h\u1ee3p m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng, \u0111\u1ed3ng th\u1eddi \u0111\u00e2y l\u00e0 m\u1ee5c ti\u00eau c\u1ea7n ph\u1ea3i kh\u1ed1ng ch\u1ebf b\u1eb1ng \u0111\u01b0\u1ee3c; do \u0111\u00f3 ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111i\u1ec1u ch\u1ec9nh c\u1ea5p \u0111\u1ed9 d\u1ecbch tr\u00ean \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3 ) c\u1ee7a Ti\u00eau ch\u00ed 1.<\/p>\n<p>Kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng\/M\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m M\u1ee9c \u0111\u1ed9 1M\u1ee9c \u0111\u1ed9 2M\u1ee9c \u0111\u1ed9 3M\u1ee9c \u0111\u1ed9 4Cao C\u1ea5p 1C\u1ea5p 1 C\u1ea5p 2C\u1ea5p 3Trung b\u00ecnh C\u1ea5p 1C\u1ea5p 2C\u1ea5p 3C\u1ea5p 4Th\u1ea5pC\u1ea5p 2C\u1ea5p 3C\u1ea5p 4 C\u1ea5p 4<\/p>\n<p>Ch\u1eb3ng h\u1ea1n, m\u1ed9t x\u00e3 thu\u1ed9c c\u1ea5p \u0111\u1ed9 d\u1ecbch 4 n\u1ebfu m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m \u1edf m\u1ee9c \u0111\u1ed9 4 v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng th\u1ea5p ho\u1eb7c m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m trung b\u00ecnh nh\u01b0ng kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng th\u1ea5p.<\/p>\n<p>Sau khi t\u00ednh \u0111\u01b0\u1ee3c c\u1ea5p \u0111\u1ed9 d\u1ecbch \u1edf \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3 theo b\u1ea3ng 3 c\u1ea7n s\u1eed d\u1ee5ng ch\u1ec9 s\u1ed1 1c trong ti\u00eau ch\u00ed 1 \u0111\u1ec3 hi\u1ec7u ch\u1ec9nh v\u00e0 x\u00e1c \u0111\u1ecbnh c\u1ea5p \u0111\u1ed9 d\u1ecbch. N\u1ebfu ch\u1ec9 s\u1ed1 1c v\u01b0\u1ee3t ng\u01b0\u1ee1ng 6\/100.000 d\u00e2n tr\u00ean \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3 th\u00ec ph\u1ea3i n\u00e2ng c\u1ea5p \u0111\u1ed9 d\u1ecbch l\u00ean m\u1ed9t c\u1ea5p \u0111\u1ed9 (tr\u1eeb tr\u01b0\u1eddng h\u1ee3p \u0111ang \u1edf c\u1ea5p \u0111\u1ed9 4).<\/p>\n<p>B\u1ed9 Y t\u1ebf<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Theo h\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi m\u1edbi nh\u1ea5t c\u1ee7a B\u1ed9 Y t\u1ebf v\u1ec1 chuy\u00ean m\u00f4n y t\u1ebf th\u1ef1c hi\u1ec7n Ngh\u1ecb quy\u1ebft 128, c\u1ea5p \u0111\u1ed9 \u0111\u00e1p \u1ee9ng d\u1ecbch COVID-19 t\u1ea1i tuy\u1ebfn x\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1eb1ng c\u00e1ch t\u1ed5ng h\u1ee3p t\u1eeb k\u1ebft qu\u1ea3 v\u1ec1 m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng c\u1ee7a \u0111\u1ecba b\u00e0n c\u1ea5p x\u00e3, [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11713,"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-12531","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\/12531","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=12531"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12531\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11713"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12531"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12531"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12531"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}