{"id":12818,"date":"2022-02-20T07:51:00","date_gmt":"2022-02-20T00:51:00","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12818"},"modified":"2022-02-20T07:51:00","modified_gmt":"2022-02-20T00:51:00","slug":"9-huong-dan-f0-dieu-tri-tai-nha-can-biet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/02\/20\/9-huong-dan-f0-dieu-tri-tai-nha-can-biet\/","title":{"rendered":"9 h\u01b0\u1edbng d\u1eabn F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n bi\u1ebft"},"content":{"rendered":"

S\u1ed1 ca m\u1eafc COVID-19 tr\u00ean c\u1ea3 n\u01b0\u1edbc \u0111ang gia t\u0103ng trong th\u1eddi g\u1ea7n g\u00e2y, theo \u0111\u00f3 F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u0169ng t\u0103ng t\u1ea1i nhi\u1ec1u \u0111\u1ecba ph\u01b0\u01a1ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng th\u00f4ng tin F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n bi\u1ebft.<\/h2>\n
\n

1. F0 n\u00e0o \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0?<\/strong><\/p>\n

Theo “H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0” ban h\u00e0nh k\u00e8m theo t\u1ea1i Quy\u1ebft \u0111\u1ecbnh 261\/Q\u0110-BYT c\u1ee7a B\u1ed9 Y t\u1ebf, ng\u01b0\u1eddi b\u1ec7nh m\u1eafc COVID-19 \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd, \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 n\u1ebfu \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u ki\u1ec7n sau \u0111\u00e2y:<\/p>\n

– Ng\u01b0\u1eddi m\u1eafc COVID-19 (\u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh nhi\u1ec5m SARS-CoV-2 b\u1eb1ng x\u00e9t nghi\u1ec7m realtime RT-PCR ho\u1eb7c test nhanh kh\u00e1ng nguy\u00ean theo quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh) kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng; ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9: nh\u01b0 s\u1ed1t, ho khan, \u0111au h\u1ecdng, ngh\u1eb9t m\u0169i, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, \u0111au m\u1ecfi c\u01a1, t\u00ea l\u01b0\u1ee1i; ti\u00eau ch\u1ea3y, ch\u1ea3y m\u0169i, m\u1ea5t m\u00f9i, m\u1ea5t v\u1ecb;<\/p>\n

– Ng\u01b0\u1eddi m\u1eafc COVID-19 kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam ph\u1ed5i ho\u1eb7c thi\u1ebfu oxy ; nh\u1ecbp th\u1edf 96% khi th\u1edf kh\u00ed tr\u1eddi; kh\u00f4ng c\u00f3 th\u1edf b\u1ea5t th\u01b0\u1eddng nh\u01b0 th\u1edf r\u00ean, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, th\u1edf kh\u00f2 kh\u00e8, th\u1edf r\u00edt \u1edf th\u00ec h\u00edt v\u00e0o.<\/p>\n

– Ng\u01b0\u1eddi m\u1eafc COVID-19 kh\u00f4ng m\u1eafc b\u1ec7nh n\u1ec1n, ho\u1eb7c c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0ng \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh .<\/p>\n

C\u00f9ng \u0111\u00f3 ng\u01b0\u1eddi m\u1eafc COVID-19 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n nh\u01b0 \u0103n u\u1ed1ng, t\u1eafm r\u1eeda, gi\u1eb7t qu\u1ea7n \u00e1o, v\u1ec7 sinh v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf; C\u00f3 kh\u1ea3 n\u0103ng li\u00ean l\u1ea1c v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c theo d\u00f5i, gi\u00e1m s\u00e1t v\u00e0 khi c\u00f3 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u: C\u00f3 kh\u1ea3 n\u0103ng giao ti\u1ebfp v\u00e0 s\u1eb5n c\u00f3 ph\u01b0\u01a1ng ti\u1ec7n li\u00ean l\u1ea1c nh\u01b0 \u0111i\u1ec7n tho\u1ea1i, m\u00e1y t\u00ednh\u2026<\/p>\n

B\u1ed9 Y t\u1ebf l\u01b0u \u00fd trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi m\u1eafc COVID-19 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 ch\u0103m s\u00f3c, gia \u0111\u00ecnh ph\u1ea3i c\u00f3 ng\u01b0\u1eddi ch\u0103m s\u00f3c \u0111\u00e1p \u1ee9ng c\u00e1c y\u00eau c\u1ea7u tr\u00ean.<\/p>\n

\n
\"Zalo\"
C\u00e1n b\u1ed9 y t\u1ebf h\u1ed7 tr\u1ee3, h\u01b0\u1edbng d\u1eabn F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 theo d\u00f5i s\u1ee9c kho\u1ebb<\/figcaption><\/figure>\n<\/div>\n

2. Nh\u1eefng vi\u1ec7c F0 c\u1ea7n l\u00e0m \u0111\u1ec3 theo d\u00f5i s\u1ee9c kh\u1ecfe h\u00e0ng ng\u00e0y<\/strong><\/p>\n

Theo H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0 c\u1ee7a B\u1ed9 Y t\u1ebf, c\u01a1 s\u1edf qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi m\u1eafc COVID-19 h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi m\u1eafc COVID-19 th\u1ef1c hi\u1ec7n t\u1ef1 theo d\u00f5i s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1n th\u00f4ng tin v\u00e0o Phi\u1ebfu theo d\u00f5i s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0 nh\u01b0 sau:<\/p>\n

Th\u1eddi gian : 2 l\u1ea7n\/ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 bu\u1ed5i chi\u1ec1u ho\u1eb7c khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng c\u1ea7n chuy\u1ec3n vi\u1ec7n c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb.<\/p>\n

N\u1ed9i dung:<\/p>\n

– Ch\u1ec9 s\u1ed1: nh\u1ecbp th\u1edf, m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, SpO2 v\u00e0 huy\u1ebft \u00e1p (n\u1ebfu c\u00f3 th\u1ec3).<\/p>\n

– C\u00e1c tri\u1ec7u ch\u1ee9ng: m\u1ec7t m\u1ecfi, ho, ho ra \u0111\u1eddm, \u1edbn l\u1ea1nh\/gai r\u00e9t, vi\u00eam k\u1ebft m\u1ea1c (m\u1eaft \u0111\u1ecf), m\u1ea5t v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c, ti\u00eau ch\u1ea3y (ph\u00e2n l\u1ecfng\/\u0111i ngo\u00e0i); Ho ra m\u00e1u, th\u1edf d\u1ed1c ho\u1eb7c kh\u00f3 th\u1edf, \u0111au t\u1ee9c ng\u1ef1c k\u00e9o d\u00e0i, l\u01a1 m\u01a1, kh\u00f4ng t\u1ec9nh t\u00e1o;<\/p>\n

– C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0: \u0110au h\u1ecdng, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, \u0111au nh\u1ee9c c\u01a1,\u2026<\/p>\n

B\u1ed9 Y t\u1ebf l\u01b0u \u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 n\u00ean:<\/p>\n

Ngh\u1ec9 ng\u01a1i, v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c nh\u1eb9 (ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe);T\u1eadp th\u1edf \u00edt nh\u1ea5t 15 ph\u00fat m\u1ed7i ng\u00e0y;U\u1ed1ng n\u01b0\u1edbc th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng \u0111\u1ee3i \u0111\u1ebfn khi kh\u00e1t m\u1edbi u\u1ed1ng n\u01b0\u1edbc;Kh\u00f4ng b\u1ecf b\u1eefa;T\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng: \u0103n \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t, \u0103n tr\u00e1i c\u00e2y, u\u1ed1ng n\u01b0\u1edbc hoa qu\u1ea3\u2026Suy ngh\u0129 t\u00edch c\u1ef1c, duy tr\u00ec t\u00e2m l\u00fd tho\u1ea3i m\u00e1i.<\/p>\n

3. F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 theo d\u00f5i nh\u1ecbp th\u1edf th\u1ebf n\u00e0o?<\/strong><\/p>\n

F0 \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 t\u1ef1 theo d\u00f5i nh\u1ecbp th\u1edf \u0111\u1ec3 s\u1edbm ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng. Theo \u0111\u00f3,<\/p>\n

\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn: nh\u1ecbp th\u1edf \u2265 20 l\u1ea7n\/ph\u00fat; \u0110\u1ed1i v\u1edbi tr\u1ebb em t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i: nh\u1ecbp th\u1edf \u2265 40 l\u1ea7n\/ph\u00fat;<\/p>\n

Tr\u1ebb t\u1eeb 5 \u2013 d\u01b0\u1edbi 12 tu\u1ed5i: nh\u1ecbp th\u1edf \u2265 30 l\u1ea7n\/ph\u00fat c\u1ea7n b\u00e1o ngay v\u1edbi c\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi:<\/p>\n

B\u1ed9 Y t\u1ebf l\u01b0u \u00fd \u1edf tr\u1ebb em c\u1ea7n \u0111\u1ebfm \u0111\u1ee7 nh\u1ecbp th\u1edf trong 1 ph\u00fat khi tr\u1ebb n\u1eb1m y\u00ean kh\u00f4ng kh\u00f3c.<\/p>\n

4. Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho F0 t\u1ea1i nh\u00e0<\/strong><\/p>\n

Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf g\u1ed3m c\u00f3:<\/p>\n

– V\u1ec1 thu\u1ed1c h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au<\/p>\n

Paracetamol:<\/p>\n

Cho tr\u1ebb em: g\u00f3i b\u1ed9t ho\u1eb7c c\u1ed1m pha h\u1ed7n d\u1ecbch u\u1ed1ng h\u00e0m l\u01b0\u1ee3ng 80 mg, 100 mg, 150 mg ho\u1eb7c 250 mg;Cho ng\u01b0\u1eddi l\u1edbn: vi\u00ean n\u00e9n 250 mg ho\u1eb7c 500 mg.<\/p>\n

– Thu\u1ed1c kh\u00e1ng virus: l\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

Favipiravir 200 mg, 400 mg (vi\u00ean).Molnupiravir 200 mg, 400 mg (vi\u00ean).<\/p>\n

– Thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid \u0111\u01b0\u1eddng u\u1ed1ng: Thu\u1ed1c kh\u00f4ng ph\u00e1t s\u1eb5n cho ng\u01b0\u1eddi m\u1eafc COVID-19, thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n theo quy \u0111\u1ecbnh t\u1ea1i H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 do B\u1ed9 Y t\u1ebf ban h\u00e0nh v\u00e0 ch\u1ec9 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t ng\u00e0y trong th\u1eddi gian ch\u1edd chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19. L\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

Dexamethason 0,5 mg (vi\u00ean n\u00e9n).Methylprednisolon 16 mg (vi\u00ean n\u00e9n).<\/p>\n

– Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1eddng u\u1ed1ng: Thu\u1ed1c kh\u00f4ng ph\u00e1t s\u1eb5n cho ng\u01b0\u1eddi m\u1eafc COVID-19, thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n theo quy \u0111\u1ecbnh t\u1ea1i H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 do B\u1ed9 Y t\u1ebf ban h\u00e0nh v\u00e0 ch\u1ec9 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t ng\u00e0y trong th\u1eddi gian ch\u1edd chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19. L\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

Rivaroxaban 10 mg (vi\u00ean).Apixaban 2,5 mg (vi\u00ean).<\/p>\n

\n
\"Zalo\"
Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho F0 t\u1ea1i nh\u00e0 \u0110\u1ed3 ho\u1ea1: Kim Dung<\/figcaption><\/figure>\n<\/div>\n

B\u1ed9 Y t\u1ebf l\u01b0u \u00fd v\u1ec1 thu\u1ed1c kh\u00e1ng virus, thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u: Thu\u1ed1c kh\u00e1ng virus d\u00f9ng s\u1edbm ngay sau khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh m\u1eafc COVID-19, t\u1ed1t nh\u1ea5t trong 5 ng\u00e0y \u0111\u1ea7u k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng. \u01afu ti\u00ean s\u1eed d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 nguy c\u01a1 cao b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng nh\u01b0 ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i, ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine, c\u00f3 b\u1ec7nh n\u1ec1n kh\u00f4ng \u1ed5n \u0111\u1ecbnh\u2026<\/p>\n

Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p \u0111\u1ed3ng th\u1eddi thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u khi ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ea5t k\u1ef3 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a suy h\u00f4 h\u1ea5p v\u00e0 ch\u1ec9 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t ng\u00e0y trong th\u1eddi gian ch\u1edd chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19.<\/p>\n

5. F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t th\u1ebf n\u00e0o?<\/strong><\/p>\n

– \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn : > 38,5 \u0111\u1ed9 ho\u1eb7c \u0111au \u0111\u1ea7u, \u0111au ng\u01b0\u1eddi nhi\u1ec1u: u\u1ed1ng m\u1ed7i l\u1ea7n 1 vi\u00ean thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0 paracetamol 0,5 g, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 4-6h, ng\u00e0y kh\u00f4ng qu\u00e1 4 vi\u00ean, u\u1ed1ng oresol n\u1ebfu \u0103n k\u00e9m\/gi\u1ea3m ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng u\u1ed1ng thay n\u01b0\u1edbc.<\/p>\n

– \u0110\u1ed1i v\u1edbi tr\u1ebb em: > 38,5 \u0111\u1ed9, u\u1ed1ng thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0 paracetamol li\u1ec1u 10-15 mg\/kg\/l\u1ea7n, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 4-6h, ng\u00e0y kh\u00f4ng qu\u00e1 4 l\u1ea7n.<\/p>\n

N\u1ebfu sau khi d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t 2 l\u1ea7n kh\u00f4ng \u0111\u1ee1, y\u00eau c\u1ea7u ng\u01b0\u1eddi m\u1eafc COVID-19 th\u00f4ng b\u00e1o ngay cho C\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed.<\/p>\n

N\u1ebfu F0 b\u1ecb ho th\u00ec d\u00f9ng thu\u1ed1c gi\u1ea3m ho khi ho khan nhi\u1ec1u.<\/p>\n

6. C\u00e1c d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p F0 c\u1ea7n bi\u1ebft<\/strong><\/p>\n

– Kh\u00f3 th\u1edf, th\u1edf h\u1ee5t h\u01a1i, ho\u1eb7c kh\u00f3 th\u1edf t\u0103ng l\u00ean khi v\u1eadn \u0111\u1ed9ng (\u0111\u1ee9ng l\u00ean, \u0111i l\u1ea1i trong nh\u00e0) ho\u1eb7c \u1edf tr\u1ebb em c\u00f3 d\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng: th\u1edf r\u00ean, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, kh\u00f2 kh\u00e8, th\u1edf r\u00edt th\u00ec h\u00edt v\u00e0o, v\u00e0\/ho\u1eb7c<\/p>\n

– Nh\u1ecbp th\u1edf (\u1edf tr\u1ebb em \u0111\u1ebfm \u0111\u1ee7 nh\u1ecbp th\u1edf trong m\u1ed9t ph\u00fat khi tr\u1ebb n\u1eb1m y\u00ean kh\u00f4ng kh\u00f3c):<\/p>\n

\u2265 20 l\u1ea7n\/ph\u00fat \u1edf ng\u01b0\u1eddi l\u1edbn;\u2265 30 l\u1ea7n\/ph\u00fat \u1edf tr\u1ebb em t\u1eeb 5 – d\u01b0\u1edbi 12 tu\u1ed5i;\u2265 40 l\u1ea7n\/ph\u00fat \u1edf tr\u1ebb em t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i;<\/p>\n

V\u00e0\/ho\u1eb7c SpO2 \u2264 96% (khi ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng \u0111o l\u1ea1i l\u1ea7n 2 sau 30 gi\u00e2y \u0111\u1ebfn m\u1ed9t ph\u00fat, khi \u0111o y\u00eau c\u1ea7u gi\u1eef y\u00ean v\u1ecb tr\u00ed \u0111o)<\/p>\n

7. 11 d\u1ea5u hi\u1ec7u F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi<\/strong><\/p>\n

H\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf n\u00eau r\u00f5 n\u1ed9i dung theo d\u00f5i s\u1ee9c kh\u1ecfe h\u00e0ng ng\u00e0y g\u1ed3m: Ch\u1ec9 s\u1ed1: nh\u1ecbp th\u1edf, m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, SpO2 v\u00e0 huy\u1ebft \u00e1p (n\u1ebfu c\u00f3 th\u1ec3).<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng: m\u1ec7t m\u1ecfi, ho, ho ra \u0111\u1eddm, \u1edbn l\u1ea1nh\/gai r\u00e9t, vi\u00eam k\u1ebft m\u1ea1c (m\u1eaft \u0111\u1ecf), m\u1ea5t v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c, ti\u00eau ch\u1ea3y (ph\u00e2n l\u1ecfng\/\u0111i ngo\u00e0i); Ho ra m\u00e1u, th\u1edf d\u1ed1c ho\u1eb7c kh\u00f3 th\u1edf, \u0111au t\u1ee9c ng\u1ef1c k\u00e9o d\u00e0i, l\u01a1 m\u01a1, kh\u00f4ng t\u1ec9nh t\u00e1o; C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0: \u0110au h\u1ecdng, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, \u0111au nh\u1ee9c c\u01a1,\u2026<\/p>\n

Theo h\u01b0\u1edbng d\u1eabn do B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh, c\u00f3 11 d\u1ea5u hi\u1ec7u ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi. Khi ph\u00e1t hi\u1ec7n b\u1ea5t c\u1ee9 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i b\u00e1o c\u00e1o ngay v\u1edbi c\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi:<\/p>\n

1) Kh\u00f3 th\u1edf, th\u1edf h\u1ee5t h\u01a1i, ho\u1eb7c \u1edf tr\u1ebb em c\u00f3 d\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng: th\u1edf r\u00ean, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, kh\u00f2 kh\u00e8, th\u1edf r\u00edt th\u00ec h\u00edt v\u00e0o.<\/p>\n

2) Nh\u1ecbp th\u1edf<\/p>\n

Ng\u01b0\u1eddi l\u1edbn: nh\u1ecbp th\u1edf \u2265 20 l\u1ea7n\/ph\u00fatTr\u1ebb t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i: Nh\u1ecbp th\u1edf: \u2265 40 l\u1ea7n\/ph\u00fat,Tr\u1ebb t\u1eeb 5 \u2013 d\u01b0\u1edbi 12 tu\u1ed5i: nh\u1ecbp th\u1edf: \u2265 30 l\u1ea7n\/ph\u00fat<\/p>\n

(L\u01b0u \u00fd \u1edf tr\u1ebb em: \u0111\u1ebfm \u0111\u1ee7 nh\u1ecbp th\u1edf trong 1 ph\u00fat khi tr\u1ebb n\u1eb1m y\u00ean kh\u00f4ng kh\u00f3c).<\/p>\n

3) SpO2 \u2264 96% (tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n ch\u1ec9 s\u1ed1 SpO2 b\u1ea5t th\u01b0\u1eddng c\u1ea7n \u0111o l\u1ea1i l\u1ea7n 2 sau 30 gi\u00e2y \u0111\u1ebfn 1 ph\u00fat, khi \u0111o y\u00eau c\u1ea7u gi\u1eef y\u00ean v\u1ecb tr\u00ed \u0111o).<\/p>\n

4) M\u1ea1ch nhanh > 120 nh\u1ecbp\/ph\u00fat ho\u1eb7c < 50 nh\u1ecbp\/ph\u00fat.<\/p>\n

5) Huy\u1ebft \u00e1p th\u1ea5p: huy\u1ebft \u00e1p t\u1ed1i \u0111a < 90 mmHg, huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u < 60 mmHg (n\u1ebfu c\u00f3 th\u1ec3 \u0111o).<\/p>\n

6) \u0110au t\u1ee9c ng\u1ef1c th\u01b0\u1eddng xuy\u00ean, c\u1ea3m gi\u00e1c b\u00f3 th\u1eaft ng\u1ef1c, \u0111au t\u0103ng khi h\u00edt s\u00e2u.<\/p>\n

7) Thay \u0111\u1ed5i \u00fd th\u1ee9c: l\u00fa l\u1eabn, ng\u1ee7 r\u0169, l\u01a1 m\u01a1, r\u1ea5t m\u1ec7t\/m\u1ec7t l\u1ea3, tr\u1ebb qu\u1ea5y kh\u00f3c, li b\u00ec kh\u00f3 \u0111\u00e1nh th\u1ee9c, co gi\u1eadt.<\/p>\n

8) T\u00edm m\u00f4i, t\u00edm \u0111\u1ea7u m\u00f3ng tay, m\u00f3ng ch\u00e2n, da xanh, m\u00f4i nh\u1ee3t, l\u1ea1nh \u0111\u1ea7u ng\u00f3n tay, ng\u00f3n ch\u00e2n.<\/p>\n

9) Kh\u00f4ng th\u1ec3 u\u1ed1ng ho\u1eb7c b\u00fa k\u00e9m\/gi\u1ea3m, \u0103n k\u00e9m, n\u00f4n (\u1edf tr\u1ebb em). Tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng vi\u00eam \u0111a h\u1ec7 th\u1ed1ng: s\u1ed1t cao, \u0111\u1ecf m\u1eaft, m\u00f4i \u0111\u1ecf, l\u01b0\u1ee1i d\u00e2u t\u00e2y, ng\u00f3n tay ch\u00e2n s\u01b0ng ph\u00f9 n\u1ed5i h\u1ed3ng ban…<\/p>\n

10) M\u1eafc th\u00eam b\u1ec7nh c\u1ea5p t\u00ednh: s\u1ed1t xu\u1ea5t huy\u1ebft, tay ch\u00e2n mi\u1ec7ng…<\/p>\n

11) B\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng b\u1ea5t \u1ed5n n\u00e0o c\u1ee7a ng\u01b0\u1eddi m\u1eafc COVID-19 m\u00e0 th\u1ea5y c\u1ea7n b\u00e1o c\u01a1 s\u1edf y t\u1ebf.<\/p>\n

8. F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 \u0111\u01b0\u1ee3c d\u1ee1 b\u1ecf c\u00e1ch ly khi n\u00e0o?<\/strong><\/p>\n

Trong H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19, nh\u1eefng tr\u01b0\u1eddng h\u1ee3p F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 s\u1ebd \u0111\u01b0\u1ee3c d\u1ee1 b\u1ecf c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 khi:<\/p>\n

– Th\u1eddi gian c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb \u0111\u1ee7 7 ng\u00e0y v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m nhanh kh\u00e1ng nguy\u00ean \u00e2m t\u00ednh virus SARS-CoV-2 do nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh t\u1ef1 th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf b\u1eb1ng \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c h\u00ecnh th\u1ee9c tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp qua c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n t\u1eeb xa.<\/p>\n

– Trong tr\u01b0\u1eddng h\u1ee3p sau 7 ng\u00e0y k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u00f2n d\u01b0\u01a1ng t\u00ednh th\u00ec ti\u1ebfp t\u1ee5c c\u00e1ch ly \u0111\u1ee7 10 ng\u00e0y \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi \u0111\u00e3 ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine theo quy \u0111\u1ecbnh v\u00e0 14 ng\u00e0y \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine theo quy \u0111\u1ecbnh.<\/p>\n

– Tr\u1ea1m Y t\u1ebf n\u01a1i qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh ch\u1ecbu tr\u00e1ch nhi\u1ec7m x\u00e1c nh\u1eadn kh\u1ecfi b\u1ec7nh cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Theo quy \u0111\u1ecbnh c\u0169 ban h\u00e0nh tr\u01b0\u1edbc \u0111\u00f3, b\u1ec7nh nh\u00e2n COVID-19 t\u1ea1i nh\u00e0 \u0111\u01b0\u1ee3c d\u1ee1 b\u1ecf c\u00e1ch ly khi \u0111\u1ee7 10 ng\u00e0y \u0111i\u1ec1u tr\u1ecb v\u00e0 x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh v\u1edbi SARS-CoV-2.<\/p>\n

9. V\u1ec7 sinh n\u01a1i \u1edf, x\u1eed l\u00fd ch\u1ea5t th\u1ea3i khi c\u00f3 F0 c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 th\u1ebf n\u00e0o?<\/strong><\/p>\n

– C\u1ea7n b\u1ed1 tr\u00ed b\u1ed9 \u0111\u1ed3 \u0103n ri\u00eang cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19, n\u00ean s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 d\u00f9ng m\u1ed9t l\u1ea7n. \u0110\u1ed3 \u0103n th\u1eeba v\u00e0 d\u1ee5ng c\u1ee5 \u0103n u\u1ed1ng d\u00f9ng m\u1ed9t l\u1ea7n b\u1ecf v\u00e0o t\u00fai \u0111\u1ef1ng r\u00e1c trong ph\u00f2ng ri\u00eang.<\/p>\n

– R\u1eeda b\u00e1t \u0111\u0129a b\u1eb1ng n\u01b0\u1edbc n\u00f3ng v\u00e0 x\u00e0 ph\u00f2ng. Ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ef1 r\u1eeda b\u00e1t \u0111\u0129a trong ph\u00f2ng ri\u00eang. N\u1ebfu c\u1ea7n ng\u01b0\u1eddi ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 th\u00ec ng\u01b0\u1eddi ch\u0103m s\u00f3c mang g\u0103ng khi thu d\u1ecdn \u0111\u1ed3 \u0103n v\u00e0 r\u1eeda b\u00e1t \u0111\u0129a. B\u00e1t \u0111\u0129a v\u00e0 \u0111\u1ed3 d\u00f9ng \u0103n u\u1ed1ng c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m sau khi r\u1eeda \u0111\u1ec3 \u1edf v\u1ecb tr\u00ed ri\u00eang. T\u1ed1t nh\u1ea5t l\u00e0 \u0111\u1ec3 trong ph\u00f2ng ng\u01b0\u1eddi nhi\u1ec5m.<\/p>\n

– V\u1ec1 x\u1eed l\u00fd \u0111\u1ed3 v\u1ea3i c\u1ee7a F0, t\u1ed1t nh\u1ea5t l\u00e0 ng\u01b0\u1eddi nhi\u1ec5m c\u00f3 th\u1ec3 t\u1ef1 gi\u1eb7t qu\u1ea7n \u00e1o c\u1ee7a m\u00ecnh. N\u1ebfu c\u1ea7n ng\u01b0\u1eddi ch\u0103m s\u00f3c gi\u1eb7t. \u0110eo g\u0103ng tay khi x\u1eed l\u00fd \u0111\u1ed3 v\u1ea3i c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m.<\/p>\n

– Gi\u1eb7t ho\u1eb7c kh\u1eed tr\u00f9ng t\u00fai gi\u1eb7t v\u00e0 gi\u1ecf \u0111\u1ed3. Gi\u1eb7t b\u1eb1ng m\u00e1y ho\u1eb7c b\u1eb1ng tay v\u1edbi n\u01b0\u1edbc \u1ea5m nh\u1ea5t c\u00f3 th\u1ec3. S\u1ea5y kh\u00f4 ho\u1eb7c ph\u01a1i kh\u00f4 ho\u00e0n to\u00e0n. Th\u00e1o g\u0103ng, r\u1eeda tay sau khi x\u1eed l\u00fd \u0111\u1ed3 v\u1ea3i c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m.<\/p>\n

– N\u00ean gi\u1eb7t ri\u00eang \u0111\u1ed3 c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m v\u1edbi \u0111\u1ed3 c\u1ee7a ng\u01b0\u1eddi kh\u00e1c. \u0110\u1eb7c bi\u1ec7t B\u1ed9 Y t\u1ebf l\u01b0u \u00fd “kh\u00f4ng gi\u0169 \u0111\u1ed3 b\u1ea9n c\u1ea7n gi\u1eb7t \u0111\u1ec3 h\u1ea1n ch\u1ebf nguy c\u01a1 ph\u00e1t t\u00e1n vi r\u00fat qua kh\u00f4ng kh\u00ed”<\/p>\n

– V\u1ec1 v\u1ea5n \u0111\u1ec1 v\u1ec7 sinh, t\u1ed1t nh\u1ea5t l\u00e0 ng\u01b0\u1eddi nhi\u1ec5m t\u1ef1 v\u1ec7 sinh khu v\u1ef1c c\u1ee7a m\u00ecnh. \u0110\u1ec3 v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd c\u1ea7n l\u00e0m s\u1ea1ch s\u00e0n nh\u00e0, t\u01b0\u1eddng v\u00e0 b\u1ec1 m\u1eb7t sau \u0111\u00f3 lau b\u1eb1ng dung d\u1ecbch kh\u1eed khu\u1ea9n, r\u1ed3i lau l\u1ea1i b\u1eb1ng n\u01b0\u1edbc s\u1ea1ch.<\/p>\n

– B\u1ed9 Y t\u1ebf l\u01b0u \u00fd n\u1ebfu c\u1ea7n ng\u01b0\u1eddi ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3 vi\u1ec7c v\u1ec7 sinh ph\u00f2ng, ng\u01b0\u1eddi ch\u0103m s\u00f3c mang g\u0103ng tr\u01b0\u1edbc khi v\u1ec7 sinh.<\/p>\n

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

S\u1ed1 ca m\u1eafc COVID-19 tr\u00ean c\u1ea3 n\u01b0\u1edbc \u0111ang gia t\u0103ng trong th\u1eddi g\u1ea7n g\u00e2y, theo \u0111\u00f3 F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u0169ng t\u0103ng t\u1ea1i nhi\u1ec1u \u0111\u1ecba ph\u01b0\u01a1ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng th\u00f4ng tin F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u1ea7n bi\u1ebft. 1. F0 n\u00e0o \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0? Theo “H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc […]<\/p>\n","protected":false},"author":4,"featured_media":11757,"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-12818","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\/12818","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=12818"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12818\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11757"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12818"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12818"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12818"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}