{"id":12961,"date":"2022-02-27T19:46:00","date_gmt":"2022-02-27T12:46:00","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=12961"},"modified":"2022-02-27T19:46:00","modified_gmt":"2022-02-27T12:46:00","slug":"xo-phoi-hau-covid-khi-nao-ban-can-di-kham","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/02\/27\/xo-phoi-hau-covid-khi-nao-ban-can-di-kham\/","title":{"rendered":"X\u01a1 ph\u1ed5i h\u1eadu COVID khi n\u00e0o b\u1ea1n c\u1ea7n \u0111i kh\u00e1m?"},"content":{"rendered":"

X\u01a1 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng h\u1eadu Covid \u0111\u00e1ng lo ng\u1ea1i nh\u1ea5t, g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n COVID c\u00f3 vi\u00eam ph\u1ed5i t\u00f4i nh\u1ea5n m\u1ea1nh hai ch\u1eef vi\u00eam ph\u1ed5i.<\/h2>\n
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V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n COVID ch\u1ec9 vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, t\u1ee9c l\u00e0 kh\u00f4ng b\u1ecb vi\u00eam ph\u1ed5i, th\u00ec kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng h\u1eadu COVID x\u01a1 ph\u1ed5i.<\/p>\n

C\u00f3 h\u01a1n 200 y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n g\u00e2y t\u00ecnh tr\u1ea1ng x\u01a1 ph\u1ed5i. H\u01a1n 200 y\u1ebfu t\u1ed1 l\u00e0 con s\u1ed1 cho th\u1ea5y s\u1ef1 qu\u00e1 ph\u1ee9c t\u1ea1p, nh\u01b0ng t\u1ef1u trung l\u1ea1i x\u01a1 ph\u1ed5i l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a ph\u1ea3n \u1ee9ng vi\u00eam.<\/p>\n

Hai con \u0111\u01b0\u1eddng ch\u00ednh d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng n\u00e0y<\/p>\n

Nhi\u1ec5m virus g\u00e2y t\u1ed5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn ph\u1ed5i: Do virus g\u00e2y t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i, t\u00ecnh tr\u1ea1ng n\u00e0y di\u1ec5n ra dai d\u1eb3ng k\u00e9o d\u00e0i khi\u1ebfn cho ph\u1ea3n \u1ee9ng ch\u1eefa l\u00e0nh v\u1ebft th\u01b0\u01a1ng di\u1ec5n ra b\u1ea5t th\u01b0\u1eddng, ph\u1ed5i b\u1ecb x\u01a1 ho\u00e1.Ph\u1ea3n \u1ee9ng c\u1ee7a h\u1ec7 mi\u1ec5n d\u1ecbch: Virus x\u00e2m nh\u1eadp, h\u1ec7 mi\u1ec5n d\u1ecbch \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t. C\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o, b\u1ea1ch c\u1ea7u trung t\u00ednh, b\u1ea1ch c\u1ea7u \u00e1i toan, t\u1ebf b\u00e0o Th2 t\u1eadp trung t\u1ea1i v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, gi\u1ea3i ph\u00f3ng m\u1ed9t l\u01b0\u1ee3ng l\u1edbn c\u00e1c ch\u1ea5t trung gian ho\u00e1 h\u1ecdc nh\u01b0 TGF-\u03b2, TNF-\u03b1, MMPs, IL (IL-1, IL-4, IL-5, IL-6, IL-13 v\u00e0 IL-17). C\u00e1c th\u00e0nh ph\u1ea7n \u0111\u00f3 v\u1eeba c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, v\u1eeba \u0111\u00f3ng vai tr\u00f2 ch\u1ea5t ti\u1ec1n x\u01a1, v\u00ed d\u1ee5 TGF-\u03b2 l\u00e0m t\u0103ng tr\u01b0\u1edfng bi\u1ebfn \u0111\u1ed5i t\u1ed5 ch\u1ee9c m\u00f4 ph\u1ed5i, TNF-\u03b1 t\u0103ng ho\u1ea1i t\u1eed t\u1ea1o u h\u1ea1t sau vi\u00eam.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u t\u1ed5ng h\u1ee3p t\u1eeb 24 nghi\u00ean c\u1ee9u tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng, b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i do Covid t\u00ednh tr\u1ea1ng x\u01a1 ph\u1ed5i kh\u00f4ng ch\u1ec9 x\u1ea3y ra trong th\u1eddi k\u00ec m\u1eafc b\u1ec7nh, m\u00e0 c\u00f2n ti\u1ebfp t\u1ee5c ti\u1ebfn tri\u1ec3n cho \u0111\u1ebfn 3 th\u00e1ng sau khi xu\u1ea5t vi\u1ec7n.<\/p>\n

C\u00f3 t\u1edbi 59% tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i do Covid c\u00f3 t\u1ed5n th\u01b0\u01a1ng dai d\u1eb3ng nhu m\u00f4 ph\u1ed5i. C\u00e1c h\u00ecnh th\u00e1i t\u1ed5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean phim c\u1eaft l\u1edbp vi t\u00ednh ng\u1ef1c bao g\u1ed3m: 39% k\u00ednh m\u1edd loang l\u1ed5, 33% d\u00e0y t\u1ed5 ch\u1ee9c k\u1ebd ho\u1eb7c d\u00e0y v\u00e1ch ng\u0103n ti\u1ec3u thu\u1ef3, 31% d\u1ea3i x\u01a1 trong nhu m\u00f4, 26% bi\u1ebfn d\u1ea1ng b\u00f3 m\u1ea1ch ph\u1ebf qu\u1ea3n ho\u1eb7c gi\u00e3n ph\u1ebf qu\u1ea3n trong ti\u1ec3u thu\u1ef3, 11% ph\u1ea3n \u1ee9ng d\u00e0y m\u00e0ng ph\u1ed5i, 6% \u0111\u00f4ng \u0111\u1eb7c nhu m\u00f4 ph\u1ed5i.<\/p>\n

X\u01a1 ph\u1ed5i kh\u00f4ng ch\u1ec9 g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n Covid<\/strong><\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u quan s\u00e1t b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i trong d\u1ecbch SARS n\u0103m 2003 do virus SARS-CoV-1 g\u00e2y ra, cho th\u1ea5y kho\u1ea3ng 80% b\u1ec7nh nh\u00e2n x\u01a1 ph\u1ed5i h\u1ed3i ph\u1ee5c trong v\u00f2ng 1 n\u0103m, kho\u1ea3ng 20% t\u1ed5n th\u01b0\u01a1ng v\u1eabn t\u1ed3n t\u1ea1i sau 5-10 n\u0103m.<\/p>\n

C\u00e1c nghi\u00ean c\u1ee9u vi\u00eam ph\u1ed5i do MERS-CoV c\u0169ng v\u1eady, bi\u1ebfn ch\u1ee9ng x\u01a1 ph\u1ed5i ti\u1ebfn tri\u1ec3n trong 4 th\u00e1ng \u0111\u1ea7u sau khi xu\u1ea5t vi\u1ec7n, nh\u01b0ng h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i trong v\u00f2ng m\u1ed9t n\u0103m.<\/p>\n

X\u01a1 ph\u1ed5i do c\u00fam gia c\u1ea7m c\u0169ng r\u1ea5t \u0111\u00e1ng quan ng\u1ea1i<\/strong><\/p>\n

C\u00fam H5N1 x\u01a1 ph\u1ed5i xu\u1ea5t hi\u1ec7n r\u1ea5t s\u1edbm, nh\u01b0ng k\u1ebft qu\u1ea3 ch\u1ee5p CT ng\u1ef1c cho th\u1ea5y sau m\u1ed9t n\u0103m m\u1ee9c \u0111\u1ed9 x\u01a1 t\u1ef1 h\u1ed3i ph\u1ee5c \u0111\u00e1ng k\u1ec3, \u0111a s\u1ed1 ch\u1ec9 c\u00f2n t\u1ed5n th\u01b0\u01a1ng x\u01a1 ho\u00e1 nhu m\u00f4 d\u1ea1ng d\u1ea3i.<\/p>\n

Nh\u01b0ng c\u00fam gia c\u1ea7m H7N9 th\u00ec th\u1eddi gian h\u1ed3i ph\u1ee5c k\u00e9o d\u00e0i h\u01a1n.<\/p>\n

K\u1ebft qu\u1ea3 ch\u1ee5p CT nh\u1eefng b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i do H7N9 cho th\u1ea5y, t\u1ed5n th\u01b0\u01a1ng x\u01a1 ho\u00e1 ph\u1ed5i 6 th\u00e1ng sau khi ra vi\u1ec7n c\u1ea3i thi\u1ec7n kh\u00f4ng \u0111\u00e1ng k\u1ec3 so v\u1edbi phim ch\u1ee5p 3 th\u00e1ng. Th\u1eddi \u0111i\u1ec3m 12 th\u00e1ng, c\u00f3 kho\u1ea3ng 15% b\u1ec7nh nh\u00e2n x\u01a1 ph\u1ed5i g\u1ea7n nh\u01b0 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p x\u01a1 n\u1eb7ng, sau 2 n\u0103m ch\u1ee5p l\u1ea1i t\u1ed5n th\u01b0\u01a1ng v\u1eabn t\u1ed3n t\u1ea1i.<\/p>\n

H\u00e0ng lo\u1ea1t c\u00e1c virus kh\u00e1c c\u0169ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng x\u01a1 ho\u00e1 ph\u1ed5i, trong s\u1ed1 \u0111\u00f3 ph\u1ea3i k\u1ec3 \u0111\u1ebfn HIV, Cytomegalovirus (CMV), Epstein \u2013 Barr (EBV), Murine \u03b3-herpesvirus 68 ( MHV-68)\u2026<\/p>\n

H\u00ecnh th\u00e1i x\u01a1 ph\u1ed5i c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i virus \u0111\u1ec1u gi\u1ed1ng nhau, bao g\u1ed3m k\u00ednh m\u1edd loang l\u1ed5, d\u00e0y t\u1ed5 ch\u1ee9c k\u1ebd ho\u1eb7c d\u00e0y v\u00e1ch ng\u0103n ti\u1ec3u thu\u1ef3, d\u1ea3i x\u01a1 trong nhu m\u00f4, bi\u1ebfn d\u1ea1ng b\u00f3 m\u1ea1ch ph\u1ebf qu\u1ea3n ho\u1eb7c gi\u00e3n ph\u1ebf qu\u1ea3n trong ti\u1ec3u thu\u1ef3, ph\u1ea3n \u1ee9ng d\u00e0y m\u00e0ng ph\u1ed5i, \u0111\u00f4ng \u0111\u1eb7c nhu m\u00f4 ph\u1ed5i.<\/p>\n

Trong h\u01a1n 200 y\u1ebfu t\u1ed1 g\u00e2y x\u01a1 ph\u1ed5i, c\u01a1 ch\u1ebf chung \u0111\u1ec1u gi\u1ed1ng nhau theo hai con \u0111\u01b0\u1eddng m\u00e0 t\u00f4i \u0111\u1ec1 c\u1eadp, t\u1eeb SARS-CoV-2 cho \u0111\u1ebfn c\u00e1c virus c\u01a1 ch\u1ebf g\u00e2y x\u01a1 ph\u1ed5i c\u00f3 s\u1ef1 t\u01b0\u01a1ng \u0111\u1ed3ng h\u1ea7u h\u1ebft, m\u1eb7c d\u00f9 m\u1ed7i lo\u1ea1i virus v\u1eabn c\u00f3 m\u1ed9t v\u00e0i y\u1ebfu t\u1ed1 n\u1ed5i b\u1eadt n\u1ed5i b\u1eadt h\u01a1n.<\/p>\n

\u0110\u1ebfn \u0111\u00e2y b\u1ea1n \u0111\u1ecdc c\u00f3 th\u1ec3 hi\u1ec3u, vi\u00eam ph\u1ed5i do virus n\u00e0o \u0111i ch\u0103ng n\u1eefa, th\u00ec di ch\u1ee9ng x\u01a1 ph\u1ed5i \u0111\u1ec1u xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, th\u1eadm ch\u00ed c\u00e1c virus kh\u00e1c x\u01a1 ph\u1ed5i c\u00f2n nghi\u00eam tr\u1ecdng h\u01a1n Covid, v\u00ed d\u1ee5 nh\u01b0 c\u00fam gia c\u1ea7m H7N9 ch\u1eb3ng h\u1ea1n.<\/p>\n

Nghi\u00ean c\u1ee9u kh\u00e1c \u1edf Trung Qu\u1ed1c, th\u1ef1c hi\u1ec7n tr\u00ean 120 b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i do Covid, k\u1ebft qu\u1ea3 ch\u1ee5p CT 6 th\u00e1ng sau khi ra vi\u1ec7n, t\u1ed5n th\u01b0\u01a1ng x\u01a1 ho\u00e1 ph\u1ed5i \u0111\u00e3 gi\u1ea3m \u0111i \u0111\u00e1ng k\u1ec3.<\/p>\n

V\u1eady khi n\u00e0o c\u1ea7n \u0111i kh\u00e1m x\u01a1 ph\u1ed5i h\u1eadu COVID<\/strong><\/p>\n

Nh\u1eefng b\u1ec7nh nh\u00e2n sau \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i do Covid, n\u1ebfu xu\u1ea5t hi\u1ec7n \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u sau, th\u00ec n\u00ean \u0111i kh\u00e1m t\u00ecnh tr\u1ea1ng x\u01a1 ph\u1ed5i.<\/p>\n

Kh\u00f3 th\u1edf: N\u1ebfu c\u00f3 t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, th\u1edf h\u1ed5n h\u1ec3n, th\u00ec ph\u1ea3i \u0111i kh\u00e1m ngay. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p k\u00edn \u0111\u00e1o h\u01a1n, c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1eb1ng c\u00e1ch \u0111i b\u1ed9 v\u1edbi \u0111\u1ed3ng h\u1ed3 \u0111\u1ebfm ng\u01b0\u1ee3c 6 ph\u00fat, n\u1ebfu qu\u00e1 tr\u00ecnh \u0111i th\u1ea5y m\u1ec7t, kh\u00f3 th\u1edf, ph\u1ea3i d\u1eebng l\u1ea1i \u0111\u1ec3 ngh\u1ec9, qu\u00e3ng \u0111\u01b0\u1eddng \u0111i kh\u00f4ng \u0111\u1ea1t 500 m\u00e9t; l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o c\u00f3 t\u00ecnh tr\u1ea1ng x\u01a1 ph\u1ed5i. L\u01b0u \u00fd nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nh\u1ed3i m\u00e1u c\u01a1 tim trong v\u00f2ng m\u1ed9t th\u00e1ng, th\u00ec kh\u00f4ng th\u1eed \u0111i b\u1ed9 6 ph\u00fat. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u1ecbp tim tr\u00ean tr\u00ean 120 l\u1ea7n m\u1ed7i ph\u00fat khi ngh\u1ec9 ng\u01a1i, huy\u1ebft \u00e1p t\u00e2m thu tr\u00ean 180mmHg, huy\u1ebft \u00e1p t\u00e2m tr\u00ean 100mmHg c\u0169ng kh\u00f4ng th\u1eed \u0111i b\u1ed9 6 ph\u00fat.<\/p>\n

S\u00fat c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.M\u1ec7t m\u1ecfi k\u00e9o d\u00e0i.Ho khan k\u00e9o d\u00e0i.\u0110au nh\u1ee9c kh\u1eafp c\u01a1 th\u1ec3 k\u00e9o d\u00e0i.\u0110\u1ea7u ng\u00f3n tay ng\u00f3n ch\u00e2n tr\u00f2n nh\u01b0 d\u00f9i tr\u1ed1ng.<\/p>\n

Ngo\u00e0i ra, c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i do Covid nh\u01b0ng v\u1eabn t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, n\u00ean \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u1ea7n bi\u1ebft nh\u1eefng d\u1ea5u hi\u1ec7u quan tr\u1ecdng.<\/p>\n

N\u1ebfu x\u00e9t nghi\u1ec7m Covid d\u01b0\u01a1ng t\u00ednh, d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean \u0111\u1ec3 nh\u1eadn bi\u1ebft vi\u00eam ph\u1ed5i nh\u01b0 nh\u1ecbp th\u1edf t\u0103ng (tr\u00ean 60 l\u1ea7n\/ph\u00fat v\u1edbi tr\u1ebb d\u01b0\u1edbi 2 th\u00e1ng tu\u1ed5i, tr\u00ean 50 l\u1ea7n\/ph\u00fat v\u1edbi tr\u1ebb t\u1eeb 2 – 11 th\u00e1ng tu\u1ed5i, tr\u00ean 40 l\u1ea7n\/ph\u00fat v\u1edbi tr\u1ebb t\u1eeb 12 – 60 th\u00e1ng tu\u1ed5i, tr\u00ean 30 l\u1ea7n\/ph\u00fat v\u1edbi tr\u1ebb l\u1edbn v\u00e0 ng\u01b0\u1eddi l\u1edbn). D\u1ea5u hi\u1ec7u ti\u1ebfp theo l\u00e0 ch\u1ec9 s\u1ed1 SpO2 < 94%.<\/p>\n

B\u00e1c s\u0129 s\u1ebd kh\u00e1m g\u00ec?<\/strong><\/p>\n

Tu\u1ef3 theo t\u1eebng \u0111i\u1ec1u ki\u1ec7n c\u1ee7a c\u01a1 s\u1edf y t\u1ebf, b\u00e1c s\u0129 c\u00f3 th\u1ec3 kh\u00e1m l\u00e2m s\u00e0ng, s\u1eed d\u1ee5ng c\u00e1c th\u0103m kh\u00e1m \u0111\u1ec3 ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng x\u01a1 ph\u1ed5i, m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng.<\/p>\n

Ch\u1ee5p Xquang ph\u1ed5i: Khi c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng kh\u00f4ng c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam ph\u1ed5i trong th\u1eddi k\u00ec nhi\u1ec5m virus, t\u1ea1i th\u1eddi \u0111i\u1ec3m kh\u00e1m b\u00e1c s\u0129 kh\u00f4ng th\u1ea5y nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ee7a suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, th\u00ec ch\u1ec9 c\u1ea7n ch\u1ee5p phim Xquang tim ph\u1ed5i l\u00e0 \u0111\u1ee7. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ph\u1ed5i: N\u1ebfu phim Xquang c\u00f3 t\u1ed5n th\u01b0\u01a1ng, ho\u1eb7c ti\u1ec1n s\u1eed vi\u00eam ph\u1ed5i do Covid r\u00f5 r\u00e0ng, hay t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, th\u00ec b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p CT \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c; t\u1ed1t nh\u1ea5t n\u00ean ch\u1ee5p CT \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao.Th\u1ef1c hi\u1ec7n test \u0111i b\u1ed9 6 ph\u00fat: \u0110\u00e2y l\u00e0 m\u1ed9t tham kh\u00e1m d\u1ec5 th\u1ef1c hi\u1ec7n, \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n. C\u00e1ch th\u1ef1c hi\u1ec7n l\u00e0 cho b\u1ec7nh nh\u00e2n \u0111i b\u1ed9 trong 6 ph\u00fat, \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng m\u1ec7t v\u00e0 kh\u00f3 th\u1edf theo b\u1ea3ng \u0111i\u1ec3m Borg, \u0111\u00e1nh gi\u00e1 qu\u00e3ng \u0111\u01b0\u1eddng ng\u01b0\u1eddi b\u1ec7nh \u0111i \u0111\u01b0\u1ee3c trong th\u1eddi gian 6 ph\u00fat, \u0111\u00e1nh gi\u00e1 kh\u00f4ng ho\u00e0n th\u00e0nh b\u00e0i test nh\u01b0 ph\u1ea3i ngh\u1ec9 gi\u1eefa ch\u1eebng ho\u1eb7c ph\u1ea3i d\u1eebng test khi ch\u01b0a \u0111\u1ee7 6 ph\u00fat.\u0110o ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p: Th\u1ec3 t\u00edch th\u1edf ra t\u1ed1i \u0111a trong 1 gi\u00e2y \u0111\u1ea7u ti\u00ean sau khi \u0111\u00e3 h\u00edt v\u00e0o g\u1eafng s\u1ee9c (FEV1), dung t\u00edch s\u1ed1ng g\u1eafng s\u1ee9c (FVC), t\u1ec9 l\u1ec7 FEV1 \/ FVC, l\u01b0u l\u01b0\u1ee3ng kh\u00ed th\u1edf ra g\u1eafng s\u1ee9c (FEF) t\u1eeb kho\u1ea3ng 25\u201375%, l\u01b0u l\u01b0\u1ee3ng th\u1edf ra \u0111\u1ec9nh (PEF). C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy, x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn, x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i, x\u00e9t nghi\u1ec7m Lipid m\u00e1u, x\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 Immunoglobulin G…<\/p>\n

\u0110i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n

H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n x\u01a1 ph\u1ed5i do c\u00e1c virus kh\u00e1c \u0111\u1ec1u t\u1ef1 h\u1ed3i ph\u1ee5c sau 6 th\u00e1ng \u0111\u1ebfn 1 n\u0103m, s\u1ed1 \u00edt \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng nhi\u1ec1u n\u0103m, th\u1eadm ch\u00ed t\u1ed5n th\u01b0\u01a1ng v\u0129nh vi\u1ec5n.<\/p>\n

\u0110\u1ea1i d\u1ecbch Covid m\u1edbi di\u1ec5n ra h\u01a1n 2 n\u0103m.<\/p>\n

Nh\u01b0ng vi\u00eam ph\u1ed5i do Covid c\u0169ng v\u1eady, di ch\u1ee9ng x\u01a1 ph\u1ed5i c\u00f3 m\u1ed9t t\u1ec9 l\u1ec7 nh\u1ea5t \u0111\u1ecbnh, \u01b0\u1edbc ch\u1eebng 2-6% x\u01a1 ph\u1ed5i n\u1ebfu d\u1ef1a v\u00e0o kinh nghi\u1ec7m vi\u00eam ph\u1ed5i do c\u00e1c nh\u00f3m coronavirus, c\u00e0ng ng\u01b0\u1eddi gi\u00e0 v\u00e0 m\u1eafc c\u00e1c b\u1ec7nh n\u1ec1n c\u00e0ng d\u1ec5 b\u1ecb x\u01a1 ph\u1ed5i.<\/p>\n

T\u1ed5n th\u01b0\u01a1ng x\u01a1 ph\u1ed5i h\u1eadu Covid c\u0169ng h\u1ea7u h\u1ebft t\u1ef1 kh\u1ecfi.<\/p>\n

C\u0169ng gi\u1ed1ng nh\u01b0 x\u01a1 ph\u1ed5i do c\u00e1c virus kh\u00e1c g\u00e2y n\u00ean, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u00e1c s\u0129 s\u1ebd cho d\u00f9ng kh\u00e1ng sinh, thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch corticosteroid, thu\u1ed1c ch\u1ed1ng x\u01a1 h\u00f3a ho\u1eb7c c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/p>\n

L\u00e0m g\u00ec \u0111\u1ec3 kh\u1eafc ph\u1ee5c t\u00ecnh tr\u1ea1ng x\u01a1 ph\u1ed5i?<\/strong><\/p>\n

N\u00ean ph\u00e1t hi\u1ec7n s\u1edbm x\u01a1 ph\u1ed5i \u0111\u1ec3 qu\u1ea3n l\u00ed s\u1ee9c kho\u1ebb ngay t\u1eeb giai \u0111o\u1ea1n \u0111\u1ea7u. T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, b\u1ed5 sung dinh d\u01b0\u1ee1ng, b\u1ecf thu\u1ed1c l\u00e1, \u0103n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh; \u0111\u00f3 l\u00e0 c\u00e1ch \u0111\u1ec3 kh\u1eafc ph\u1ee5c x\u01a1 ph\u1ed5i trong m\u1ed9t ch\u1eb7ng \u0111\u01b0\u1eddng d\u00e0i.<\/p>\n

T\u1eadp th\u1ec3 d\u1ee5c h\u00e0ng ng\u00e0y v\u1edbi b\u00e0i t\u1eadp s\u1ee9c b\u1ec1n.Th\u1ef1c h\u00e0nh k\u0129 thu\u1eadt th\u1edf.T\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng. B\u1ed5 sung vitamin \u0111\u1ea7y \u0111\u1ee7. Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p n\u00e2ng cao mi\u1ec5n d\u1ecbch. Kh\u00f4ng h\u00fat thu\u1ed1c v\u00e0 tr\u00e1nh h\u00fat thu\u1ed1c th\u1ee5 \u0111\u1ed9ng.D\u00f9ng thu\u1ed1c theo l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129.<\/p>\n

X\u01a1 ph\u1ed5i h\u1eadu COVID c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c t\u00ecnh tr\u1ea1ng vi\u00eam ph\u1ed5i do c\u00e1c virus kh\u00e1c g\u00e2y n\u00ean, \u0111\u00f3 l\u00e0 di ch\u1ee9ng t\u1ea5t y\u1ebfu sau vi\u00eam ph\u1ed5i, th\u00f4ng th\u01b0\u1eddng 80% h\u1ed3i ph\u1ee5c t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 1 n\u0103m. Hi\u1ec3u v\u1ec1 t\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u1ec3 kh\u00f4ng s\u1ee3 h\u00e3i. Th\u1ef1c t\u1ebf, h\u00e0ng ng\u00e0y t\u00f4i kh\u00e1m nhi\u1ec1u b\u1ec7nh nh\u00e2n sau Covid, h\u1ea7u h\u1ebft kho\u1ebb m\u1ea1nh b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng s\u1ef1 lo l\u1eafng th\u00ec c\u00f3 th\u1eadt, \u0111\u1eb7c bi\u1ec7t kh\u00f4ng \u00edt tr\u01b0\u1eddng h\u1ee3p b\u1ecb x\u01a1 ph\u1ed5i m\u1ecdi ng\u01b0\u1eddi d\u1ec5 b\u1ecb ho\u1ea3ng lo\u1ea1n, nghe theo nhi\u1ec1u l\u1eddi \u0111\u1ed3n th\u1ed5i t\u1ef1 \u0111i\u1ec1u tr\u1ecb. \u0110\u00e3 \u0111\u1ebfn l\u00fac ch\u00fang ta c\u1ea7n hi\u1ec3u s\u00e2u s\u1eafc h\u01a1n v\u1ec1 b\u1ec7nh l\u00ed n\u00e0y \u0111\u1ec3 \u0111\u1ed1i m\u1eb7t v\u1edbi n\u00f3, thay v\u00ec c\u00f2n nhi\u1ec1u ng\u01b0\u1eddi \u0111ang chui v\u00e0o nh\u00e0 l\u1ea9n tr\u1ed1n su\u1ed1t hai n\u0103m qua.<\/p>\n

BS. Tr\u1ea7n V\u0103n Ph\u00fac<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

X\u01a1 ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng h\u1eadu Covid \u0111\u00e1ng lo ng\u1ea1i nh\u1ea5t, g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n COVID c\u00f3 vi\u00eam ph\u1ed5i t\u00f4i nh\u1ea5n m\u1ea1nh hai ch\u1eef vi\u00eam ph\u1ed5i. V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n COVID ch\u1ec9 vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, t\u1ee9c l\u00e0 kh\u00f4ng b\u1ecb vi\u00eam ph\u1ed5i, th\u00ec kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng h\u1eadu COVID x\u01a1 […]<\/p>\n","protected":false},"author":4,"featured_media":12442,"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-12961","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\/12961","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=12961"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/12961\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12442"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=12961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=12961"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=12961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}