{"id":12574,"date":"2022-01-31T20:46:01","date_gmt":"2022-01-31T13:46:01","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12574"},"modified":"2022-01-31T20:46:01","modified_gmt":"2022-01-31T13:46:01","slug":"20-benh-nen-khien-nguoi-mac-covid-19-co-nguy-co-cao-gia-tang-muc-do-nang","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/01\/31\/20-benh-nen-khien-nguoi-mac-covid-19-co-nguy-co-cao-gia-tang-muc-do-nang\/","title":{"rendered":"20 b\u1ec7nh n\u1ec1n khi\u1ebfn ng\u01b0\u1eddi m\u1eafc COVID-19 c\u00f3 nguy c\u01a1 cao gia t\u0103ng m\u1ee9c \u0111\u1ed9 n\u1eb7ng"},"content":{"rendered":"<h2 class=\"article-summary\">Theo h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 m\u1edbi nh\u1ea5t c\u1ee7a c\u1ee7a B\u1ed9 Y t\u1ebf, c\u00f3 20 b\u1ec7nh n\u1ec1n khi\u1ebfn ng\u01b0\u1eddi m\u1eafc COVID-19 c\u00f3 nguy c\u01a1 cao gia t\u0103ng m\u1ee9c \u0111\u1ed9 n\u1eb7ng&#8230;<\/h2>\n<div class=\"article-body-text\">\n<p><strong>Ngu\u031b\u01a1\u0300i cao tu\u00f4\u0309i, ngu\u031b\u01a1\u0300i co\u0301 b\u1eb9\u0302nh n\u1ec1n hay suy gia\u0309m mi\u00ea\u0303n di\u0323ch khi m\u1eafc COVID-19 co\u0301 nguy co\u031b di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng<\/strong><\/p>\n<p>Theo B\u1ed9 Y t\u1ebf, ph\u00f4\u0309 b\u1eb9\u0302nh cu\u0309a COVID-19 \u0111a da\u0323ng t\u01b0\u0300 ngu\u031b\u01a1\u0300i nhi\u00ea\u0303m kho\u0302ng co\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng, co\u0301 ca\u0301c tri\u1eb9\u0302u ch\u01b0\u0301ng nhe\u0323 cho t\u01a1\u0301i nh\u01b0\u0303ng bi\u00ea\u0309u hi\u1eb9\u0302n b\u1eb9\u0302nh ly\u0301 n\u1ea1\u0306ng nhu\u031b vie\u0302m ph\u00f4\u0309i n\u1ea1\u0306ng, h\u1ecd\u0302i ch\u01b0\u0301ng suy ho\u0302 h\u00e2\u0301p c\u00e2\u0301p ti\u00ea\u0301n tri\u00ea\u0309n (ARDS) nhi\u00ea\u0303m khu\u00e2\u0309n huy\u00ea\u0301t suy ch\u01b0\u0301c na\u0306ng \u0111a co\u031b quan va\u0300 t\u01b0\u0309 vong.<\/p>\n<p>Ngu\u031b\u01a1\u0300i cao tu\u00f4\u0309i, ngu\u031b\u01a1\u0300i co\u0301 b\u1eb9\u0302nh ma\u0323n ti\u0301nh hay suy gia\u0309m mi\u00ea\u0303n di\u0323ch, ho\u1ea1\u0306c co\u0301 \u0111\u00f4\u0300ng nhi\u00ea\u0303m hay b\u1ecd\u0302i nhi\u00ea\u0303m ca\u0301c ca\u0306n nguye\u0302n kha\u0301c nhu\u031b vi khu\u00e2\u0309n, n\u00e2\u0301m se\u0303 co\u0301 nguy co\u031b di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng nhi\u00ea\u0300u ho\u031bn.<\/p>\n<div class=\"image-container\" title=\"Ngu\u031b\u01a1\u0300i cao tu\u00f4\u0309i, ngu\u031b\u01a1\u0300i co\u0301 b\u1eb9\u0302nh ma\u0323n ti\u0301nh hay suy gia\u0309m mi\u00ea\u0303n di\u0323ch khi m\u1eafc COVID-19 co\u0301 nguy co\u031b di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/19b8f409da41331f6a50#219305587\" alt=\"Zalo\" \/><figcaption>Ngu\u031b\u01a1\u0300i cao tu\u00f4\u0309i, ngu\u031b\u01a1\u0300i co\u0301 b\u1eb9\u0302nh ma\u0323n ti\u0301nh hay suy gia\u0309m mi\u00ea\u0303n di\u0323ch khi m\u1eafc COVID-19 co\u0301 nguy co\u031b di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng<\/figcaption><\/figure>\n<\/div>\n<p>T\u1ea1i Quy\u1ebft \u0111\u1ecbnh 250\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh &#8220;H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19&#8221;, thay th\u1ebf cho h\u01b0\u1edbng d\u1eabn ban h\u00e0nh tr\u01b0\u1edbc \u0111\u00f3 t\u1ea1i Quy\u1ebft \u0111\u1ecbnh 4689 ng\u00e0y 6\/10\/2021 va\u0300 Quy\u00ea\u0301t \u0111i\u0323nh s\u00f4\u0301 5666\/Q\u0110-BYT nga\u0300y 12\/12\/2021 cu\u0309a B\u1ecd\u0302 tru\u031b\u01a1\u0309ng B\u1ecd\u0302 Y t\u00ea\u0301, v\u00ea\u0300 vi\u1eb9\u0302c s\u01b0\u0309a \u0111\u00f4\u0309i, b\u00f4\u0309 sung m\u1ecd\u0302t s\u00f4\u0301 \u0111i\u00ea\u0309m cu\u0309a Hu\u031b\u01a1\u0301ng d\u00e2\u0303n ch\u00e2\u0309n \u0111oa\u0301n va\u0300 \u0111i\u00ea\u0300u tri\u0323 COVID-19 ban ha\u0300nh ke\u0300m theo Quy\u00ea\u0301t \u0111i\u0323nh s\u00f4\u0301 4689\/Q\u0110-BYT c\u00f3 20 b\u1ec7nh n\u1ec1n c\u00f3 nguy c\u01a1 cao khi m\u1eafc COVID-19, \u0111\u00f3 l\u00e0:<\/p>\n<p>&#8211; \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/p>\n<p>&#8211; B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh v\u00e0 c\u00e1c b\u1ec7nh ph\u1ed5i kh\u00e1c<\/p>\n<p>&#8211; Ung th\u01b0 (\u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh v\u1ec1 huy\u1ebft h\u1ecdc, ung th\u01b0 ph\u1ed5i v\u00e0 b\u1ec7nh ung th\u01b0 di c\u0103n kh\u00e1c).<\/p>\n<p>&#8211; B\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh<\/p>\n<p>&#8211; Gh\u00e9p t\u1ea1ng ho\u1eb7c c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u<\/p>\n<p>&#8211; B\u00e9o ph\u00ec, th\u1eeba c\u00e2n<\/p>\n<p>&#8211; B\u1ec7nh tim m\u1ea1ch (suy tim, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ho\u1eb7c b\u1ec7nh c\u01a1 tim)<\/p>\n<p>&#8211; B\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u n\u00e3o<\/p>\n<p>&#8211; H\u1ed9i ch\u1ee9ng Down<\/p>\n<p>&#8211; HIV\/AIDS<\/p>\n<p>&#8211; B\u1ec7nh l\u00fd th\u1ea7n kinh (bao g\u1ed3m c\u1ea3 ch\u1ee9ng sa s\u00fat tr\u00ed tu\u1ec7)<\/p>\n<p>&#8211; B\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m, b\u1ec7nh thalassemia, b\u1ec7nh huy\u1ebft h\u1ecdc m\u1ea1n t\u00ednh kh\u00e1c<\/p>\n<p>&#8211; Hen ph\u1ebf qu\u1ea3n<\/p>\n<p>&#8211; T\u0103ng huy\u1ebft \u00e1p<\/p>\n<p>&#8211; Thi\u1ebfu h\u1ee5t mi\u1ec5n d\u1ecbch<\/p>\n<p>&#8211; B\u1ec7nh gan<\/p>\n<p>&#8211; R\u1ed1i lo\u1ea1n do s\u1eed d\u1ee5ng ch\u1ea5t g\u00e2y nghi\u1ec7n<\/p>\n<p>&#8211; \u0110ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c corticosteroid ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c.<\/p>\n<p>&#8211; C\u00e1c b\u1ec7nh h\u1ec7 th\u1ed1ng.<\/p>\n<p>&#8211; B\u1ec7nh l\u00fd kh\u00e1c \u0111\u1ed1i v\u1edbi tr\u1ebb em: T\u0103ng \u00e1p ph\u1ed5i nguy\u00ean ho\u1eb7c th\u1ee9 ph\u00e1t, b\u1ec7nh tim b\u1ea9m sinh, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a di truy\u1ec1n b\u1ea9m sinh, r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft b\u1ea9m sinh-m\u1eafc ph\u1ea3i.<\/p>\n<p><strong>F0 c\u00f3 b\u1ec7nh n\u1ec1n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n khi n\u00e0o?<\/strong><\/p>\n<p>C\u0169ng t\u1ea1i h\u01b0\u1edbng d\u1eabn n\u00e0y, B\u1ed9 Y t\u1ebf n\u00eau r\u00f5 v\u1ec1 tie\u0302u chu\u00e2\u0309n xu\u00e2\u0301t vi\u1eb9\u0302n \u0111\u00f4\u0301i v\u01a1\u0301i ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh COVID-19 n\u0103\u0300m \u0111i\u00ea\u0300u tri\u0323 ca\u0301c ca\u0301c co\u031b s\u01a1\u0309 thu dung, \u0111i\u00ea\u0300u tri\u0323 \u0111\u1ed1i v\u1edbi F0 co\u0301 b\u1eb9\u0302nh n\u00ea\u0300n ho\u1ea1\u0306c b\u1eb9\u0302nh ke\u0300m theo:<\/p>\n<p>Th\u01a1\u0300i gian ca\u0301ch ly, \u0111i\u00ea\u0300u tri\u0323 ta\u0323i ca\u0301c co\u031b s\u01a1\u0309 thu dung, \u0111i\u00ea\u0300u tri\u0323 i\u0301t nh\u00e2\u0301t la\u0300 5 nga\u0300y, sau khi ca\u0301c tri\u1eb9\u0302u ch\u01b0\u0301ng la\u0302m sa\u0300ng cu\u0309a b\u1eb9\u0302nh COVID-19 \u0111\u01a1\u0303, gia\u0309m nhi\u00ea\u0300u va\u0300 h\u00ea\u0301t s\u00f4\u0301t (kho\u0302ng du\u0300ng thu\u00f4\u0301c ha\u0323 s\u00f4\u0301t) t\u01b0\u0300 3 nga\u0300y tr\u01a1\u0309 le\u0302n va\u0300:<\/p>\n<p>Co\u0301 k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m PCR a\u0302m ti\u0301nh v\u01a1\u0301i SARS-CoV-2 ho\u1ea1\u0306c n\u00f4\u0300ng \u0111\u1ecd\u0302 virus th\u00e2\u0301p (Ct \u2265 30, b\u00e2\u0301t ky\u0300 gen \u0111\u1ea1\u0306c hi\u1eb9\u0302u na\u0300o) ho\u1ea1\u0306c xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n a\u0302m ti\u0301nh v\u01a1\u0301i virus SARS-CoV-2, ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh \u0111u\u031b\u01a1\u0323c ra vi\u1eb9\u0302n ho\u1ea1\u0306c chuy\u00ea\u0309n sang co\u031b s\u01a1\u0309 kha\u0301c ho\u1ea1\u0306c khoa \u0111i\u00ea\u0300u tri\u0323 b\u1eb9\u0302nh ke\u0300m theo ho\u1ea1\u0306c khoa \u0111i\u00ea\u0300u tri\u0323 b\u1eb9\u0302nh n\u00ea\u0300n (n\u00ea\u0301u c\u00e2\u0300n) cu\u0309a khoa \u0111o\u0301 \u0111\u00ea\u0309 ti\u00ea\u0301p tu\u0323c \u0111i\u00ea\u0300u tri\u0323 va\u0300 \u0111u\u031b\u01a1\u0323c sa\u0300ng lo\u0323c, theo do\u0303i theo quy \u0111i\u0323nh \u0111\u00f4\u0301i v\u01a1\u0301i ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh n\u1ecd\u0302i tru\u0301 ho\u1ea1\u0306c v\u00ea\u0300 chuy\u00ea\u0309n v\u00ea\u0300 nha\u0300 theo do\u0303i, cha\u0306m so\u0301c ta\u0323i nha\u0300 theo quy \u0111i\u0323nh.<\/p>\n<p>N\u00ea\u0301u k\u00ea\u0301t qua\u0309 xe\u0301t nghi\u1eb9\u0302m PCR du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i SARS-CoV-2 v\u01a1\u0301i n\u00f4\u0300ng \u0111\u1ecd\u0302 virus cao (Ct &lt; 30, b\u00e2\u0301t ky\u0300 gen \u0111\u1ea1\u0306c hi\u1eb9\u0302u na\u0300o) ho\u1ea1\u0306c xe\u0301t nghi\u1eb9\u0302m nhanh kha\u0301ng nguye\u0302n co\u0300n du\u031bo\u031bng ti\u0301nh v\u01a1\u0301i virus SARS-CoV-2 thi\u0300 ti\u00ea\u0301p tu\u0323c ca\u0301ch ly \u0111u\u0309 10 nga\u0300y (kho\u0302ng nh\u00e2\u0301t thi\u00ea\u0301t pha\u0309i la\u0300m la\u0323i xe\u0301t nghi\u1eb9\u0302m).<\/p>\n<p><strong>B\u1ed9 Y t\u1ebf.<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Theo h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 m\u1edbi nh\u1ea5t c\u1ee7a c\u1ee7a B\u1ed9 Y t\u1ebf, c\u00f3 20 b\u1ec7nh n\u1ec1n khi\u1ebfn ng\u01b0\u1eddi m\u1eafc COVID-19 c\u00f3 nguy c\u01a1 cao gia t\u0103ng m\u1ee9c \u0111\u1ed9 n\u1eb7ng&#8230; Ngu\u031b\u01a1\u0300i cao tu\u00f4\u0309i, ngu\u031b\u01a1\u0300i co\u0301 b\u1eb9\u0302nh n\u1ec1n hay suy gia\u0309m mi\u00ea\u0303n di\u0323ch khi m\u1eafc COVID-19 co\u0301 nguy co\u031b di\u00ea\u0303n bi\u00ea\u0301n n\u1ea1\u0306ng Theo [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":11997,"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-12574","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\/12574","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=12574"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12574\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11997"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}