{"id":13020,"date":"2022-03-02T20:42:09","date_gmt":"2022-03-02T13:42:09","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13020"},"modified":"2022-03-02T20:42:09","modified_gmt":"2022-03-02T13:42:09","slug":"may-day-hau-covid-19-chua-the-nao","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/03\/02\/may-day-hau-covid-19-chua-the-nao\/","title":{"rendered":"M\u00e0y \u0111ay h\u1eadu COVID-19, ch\u1eefa th\u1ebf n\u00e0o?"},"content":{"rendered":"<h2 class=\"article-summary\">M\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn b\u1ec7nh nh\u00e2n COVID-19 sau khi kh\u1ecfi b\u1ec7nh v\u1eabn g\u1eb7p ph\u1ea3i nh\u1eefng v\u1ea5n \u0111\u1ec1 h\u1eadu COVID-19 (c\u00f2n g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng COVID-19 k\u00e9o d\u00e0i). \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe m\u00e0 c\u00f2n t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn y\u1ebfu t\u1ed1 t\u00e2m l\u00fd, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n. Th\u01b0\u1eddng g\u1eb7p l\u00e0 n\u1ed5i m\u1ec1 \u0111ay v\u00e0 ban da&#8230;<\/h2>\n<div class=\"article-body-text\">\n<p>Hi\u1ec7n nay, nhi\u1ec1u b\u1ec7nh nh\u00e2n sau khi nhi\u1ec5m COVID-19 \u0111\u00e3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ed3n t\u1ea1i dai d\u1eb3ng, th\u1eadm ch\u00ed ph\u1ea3i quay tr\u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb. C\u00e1c k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u cho th\u1ea5y, c\u00f3 33% -76% ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p tri\u1ec7u ch\u1ee9ng h\u1eadu COVID-19 k\u00e9o d\u00e0i \u00edt nh\u1ea5t 6 th\u00e1ng sau khi nhi\u1ec5m b\u1ec7nh.<\/p>\n<p>&#8220;M\u00e0y \u0111ay h\u1eadu COVID-19 ch\u00ednh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n c\u1ea5p t\u00ednh khi nhi\u1ec5m SARS-CoV-2 g\u00e2y gi\u1ea3i ph\u00f3ng c\u00e1c cytokine ti\u1ec1n vi\u00eam v\u00e0 ho\u1ea1t h\u00f3a t\u1ebf b\u00e0o mast.&#8221;<\/p>\n<p>T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) \u0111\u00e3 c\u00f4ng b\u1ed1 \u0111\u1ecbnh ngh\u0129a ch\u00ednh th\u1ee9c \u0111\u1ea7u ti\u00ean v\u1ec1 H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19. Theo \u0111\u00f3, t\u00ecnh tr\u1ea1ng h\u1eadu COVID-19 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed nhi\u1ec5m b\u1ec7nh v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 k\u00e9o d\u00e0i \u00edt nh\u1ea5t 2 th\u00e1ng m\u00e0 kh\u00f4ng th\u1ec3 gi\u1ea3i th\u00edch b\u1eb1ng ch\u1ea9n \u0111o\u00e1n thay th\u1ebf.<\/p>\n<p>T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 khi\u00ea\u0301n s\u1ee9c kh\u1ecfe ng\u01b0\u01a1\u0300i b\u1ec7nh bi\u0323 suy gi\u1ea3m k\u00e9o d\u00e0i, c\u00f3 t\u00e1c \u0111\u1ed9ng nghi\u00eam tr\u1ecdng \u0111\u1ebfn kh\u1ea3 n\u0103ng quay tr\u1edf l\u1ea1i l\u00e0m vi\u1ec7c ho\u1eb7c tham gia cu\u1ed9c s\u1ed1ng x\u00e3 h\u1ed9i. H\u1eadu COVID-19 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n th\u1ec3 ch\u1ea5t v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng h\u1eadu qu\u1ea3 kinh t\u1ebf \u0111\u00e1ng k\u1ec3 cho b\u1ea3n th\u00e2n, gia \u0111\u00ecnh v\u00e0 cho x\u00e3 h\u1ed9i.<\/p>\n<p><strong>1. V\u00ec sao h\u1eadu COVID-19 l\u1ea1i xu\u1ea5t hi\u1ec7n m\u00e0y \u0111ay?<\/strong><\/p>\n<p>C\u00f3 kho\u1ea3ng 200 tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1ea3i qua \u0111i\u1ec1u tr\u1ecb h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c. Ng\u01b0\u1eddi nhi\u1ec5m COVID-19 nhi\u1ec1u tu\u1ea7n \u0111\u1ebfn nhi\u1ec1u th\u00e1ng sau khi kh\u1ecfi b\u1ec7nh v\u1eabn c\u00f2n \u0111\u1ed1i m\u1eb7t v\u1edbi h\u00e0ng lo\u1ea1t tri\u1ec7u ch\u1ee9ng v\u00e0 di ch\u1ee9ng k\u00e9o d\u00e0i nh\u01b0 s\u1ed1t nh\u1eb9, kh\u00f3 th\u1edf, ho k\u00e9o d\u00e0i, m\u1ec7t m\u1ecfi, \u0111au c\u01a1, kh\u1edbp, r\u1ee5ng t\u00f3c, x\u01a1 ph\u1ed5i, tim \u0111\u1eadp nhanh ho\u1eb7c \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a (\u0103n kh\u00f4ng ngon mi\u1ec7ng, ch\u00e1n \u0103n, \u0111au d\u1ea1 d\u00e0y, ti\u00eau ch\u1ea3y\u2026), r\u1ed1i lo\u1ea1n v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c\u2026 Trong \u0111\u00f3, \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u00e0y \u0111ay.<\/p>\n<div class=\"image-container\" title=\"\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1eadu COVID-19 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u00e0y \u0111ay.\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/c2a636fd29b5c0eb99a4#220445787\" alt=\"Zalo\" \/><figcaption>\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p h\u1eadu COVID-19 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u00e0y \u0111ay.<\/figcaption><\/figure>\n<\/div>\n<p>M\u00e0y \u0111ay c\u00f3 th\u01b0\u01a1ng t\u1ed5n da l\u00e0 nh\u1eefng s\u1ea9n ph\u00f9 \u0111\u01b0\u1ee3c bao quanh b\u1edfi qu\u1ea7ng \u0111\u1ecf, r\u1ea5t ng\u1ee9a. C\u00e1c s\u1ea9n c\u00f3 th\u1ec3 t\u1ed3n t\u1ea1i t\u1eeb 30 ph\u00fat t\u1edbi 36 gi\u1edd, c\u00f3 k\u00edch th\u01b0\u1edbc t\u1eeb 1 mm t\u1edbi v\u00e0i cm (m\u00e0y \u0111ay kh\u1ed5ng l\u1ed3), khi \u1ea5n m\u1ea5t m\u00e0u. \u0110\u1eb7c tr\u01b0ng c\u1ee7a m\u00e0y \u0111ay l\u00e0 c\u00e1c m\u1ea1ch m\u00e1u b\u1ecb gi\u00e3n v\u00e0 t\u0103ng t\u00ednh th\u1ea5m. M\u00e0y \u0111ay c\u00f3 th\u1ec3 c\u00f3 ho\u1eb7c kh\u00f4ng k\u00e8m theo ph\u00f9 m\u1ea1ch v\u1edbi bi\u1ec3u hi\u1ec7n ch\u00ednh l\u00e0 s\u01b0ng ph\u00f9, da ph\u00eda tr\u00ean \u0111\u1ecf ho\u1eb7c b\u00ecnh th\u01b0\u1eddng, \u00edt ng\u1ee9a nh\u01b0ng \u0111au v\u00e0 r\u00e1t b\u1ecfng.<\/p>\n<p>M\u00e0y \u0111ay th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i th\u00e0nh 2 nh\u00f3m ch\u00ednh:<\/p>\n<p>M\u00e0y \u0111ay c\u1ea5p t\u00ednh khi th\u1eddi gian xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi 6 tu\u1ea7n M\u00e0y \u0111ay m\u1ea1n t\u00ednh khi n\u00f3 t\u1ed3n t\u1ea1i v\u00e0 t\u00e1i ph\u00e1t l\u00e2u h\u01a1n 6 tu\u1ea7n.<\/p>\n<p>S\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a m\u1ea3ng h\u1ed3ng ban n\u1ed5i tr\u00ean b\u1ec1 m\u1eb7t da \u0111\u01b0\u1ee3c cho l\u00e0 do s\u1ef1 t\u0103ng t\u00ednh nh\u1ea1y c\u1ea3m c\u1ee7a t\u01b0\u01a1ng b\u00e0o (t\u1ebf b\u00e0o mast) g\u00e2y ph\u00f3ng th\u00edch histamine v\u00e0 c\u00e1c ch\u1ea5t trung gian h\u00f3a h\u1ecdc kh\u00e1c nh\u01b0 leukotrien, cytokine, chemokine d\u1eabn t\u1edbi t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch v\u00e0 l\u00e0m s\u01b0ng n\u1ec1 m\u00f4 da v\u00e0 t\u00ecnh tr\u1ea1ng gi\u00e3n m\u1ea1ch l\u00e0m da tr\u1edf n\u00ean \u0111\u1ecf.<\/p>\n<p>Tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi ta cho r\u1eb1ng m\u00e0y \u0111ay tr\u00ean da c\u00f3 nguy\u00ean nh\u00e2n t\u1eeb c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COVID-19. Nh\u01b0ng, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 t\u00ecnh tr\u1ea1ng n\u00e0y xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc c\u1ea3 khi s\u1eed d\u1ee5ng thu\u1ed1c. Tuy nhi\u00ean, \u00fd ki\u1ebfn c\u1ee7a nhi\u1ec1u nh\u00e0 khoa h\u1ecdc cho r\u1eb1ng, m\u00e0y \u0111ay h\u1eadu COVID-19 ch\u00ednh l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam to\u00e0n th\u00e2n c\u1ea5p t\u00ednh khi nhi\u1ec5m SARS-CoV-2 g\u00e2y gi\u1ea3i ph\u00f3ng c\u00e1c cytokine ti\u1ec1n vi\u00eam v\u00e0 ho\u1ea1t h\u00f3a t\u1ebf b\u00e0o mast.<\/p>\n<p><strong>2. \u0110i\u1ec1u tr\u1ecb m\u00e0y \u0111ay h\u1eadu COVID-19 th\u1ebf n\u00e0o cho ph\u00f9 h\u1ee3p?<\/strong><\/p>\n<p>C\u1ea7n l\u01b0u \u00fd, m\u00e0y \u0111ay \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp trong b\u00e0i vi\u1ebft n\u00e0y l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p ph\u1ea3i trong v\u00e0 sau giai \u0111o\u1ea1n m\u1eafc COVID-19. Do \u0111\u00f3, \u0111i\u1ec1u tr\u1ecb COVID-19 v\u1eabn l\u00e0 n\u1ec1n t\u1ea3ng v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u1ec3 mau ch\u00f3ng kh\u1ecfi b\u1ec7nh.<\/p>\n<p>Theo th\u00f4ng tin t\u1eeb Vi\u1ec7n Da li\u1ec5u Hoa K\u1ef3, m\u00e0y \u0111ay \u1edf b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 2 \u0111\u1ebfn 12 ng\u00e0y. Trung b\u00ecnh, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi b\u1ecb trong 8 ng\u00e0y. Tuy nhi\u00ean, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c ng\u00f3n ch\u00e2n c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 10 \u0111\u1ebfn 14 ng\u00e0y. N\u1ebfu qu\u00e1 th\u1eddi gian tr\u00ean, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tham kh\u1ea3o m\u1ed9t s\u1ed1 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n<p><strong>2.1. \u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong><\/p>\n<p>&#8211; D\u1eebng t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c ho\u1eb7c th\u1ef1c ph\u1ea9m nghi ng\u1edd g\u00e2y d\u1ecb \u1ee9ng.<\/p>\n<p>&#8211; H\u1ea1n ch\u1ebf g\u00e3i, ch\u00e0 x\u00e1t m\u1ea1nh tr\u00ean da.<\/p>\n<p>&#8211; C\u00f3 th\u1ec3 \u00e1p l\u1ea1nh ho\u1eb7c t\u1eafm l\u1ea1nh, tr\u00e1nh t\u1eafm n\u00f3ng.<\/p>\n<p>&#8211; Tr\u00e1nh \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi tr\u1ef1c ti\u1ebfp.<\/p>\n<p>&#8211; T\u1ea9y giun s\u00e1n, ch\u1ed1ng t\u00e1o b\u00f3n.<\/p>\n<p>&#8211; M\u1eb7c qu\u1ea7n \u00e1o cotton nh\u1eb9 nh\u00e0ng, v\u1eeba v\u1eb7n.<\/p>\n<p>&#8211; Tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng n\u1eb7ng nh\u1ecdc ho\u1eb7c c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra m\u1ed3 h\u00f4i.<\/p>\n<p>&#8211; C\u1ed1 g\u1eafng ngh\u1ec9 ng\u01a1i v\u00e0 gi\u1ea3m c\u00e1c stress.<\/p>\n<div class=\"image-container\" title=\"N\u00ean h\u1ea1n ch\u1ebf g\u00e3i, ch\u00e0 x\u00e1t m\u1ea1nh tr\u00ean da.\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/da8628dd3795decb8784#220445789\" alt=\"Zalo\" \/><figcaption>N\u00ean h\u1ea1n ch\u1ebf g\u00e3i, ch\u00e0 x\u00e1t m\u1ea1nh tr\u00ean da.<\/figcaption><\/figure>\n<\/div>\n<p><strong>3.2. \u0110i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c<\/strong><\/p>\n<p>+ Nh\u00f3m thu\u1ed1c kh\u00e1ng histamine<\/p>\n<p>Nh\u00f3m kh\u00e1ng histamin chia hai th\u1ebf h\u1ec7:<\/p>\n<p>Th\u1ebf h\u1ec7 th\u1ee9 nh\u1ea5t (diphenhydramine, chlorpheniramine, hydroxyzine)Th\u1ebf h\u1ec7 th\u1ee9 hai m\u1edbi h\u01a1n (cetirizine, loratadine, fexofenadine)<\/p>\n<p>C\u00e1c thu\u1ed1c th\u1ebf h\u1ec7 th\u1ee9 hai \u0111\u01b0\u1ee3c \u01b0u ti\u00ean cho c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em v\u00ec c\u00f3 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 y\u00eau c\u1ea7u d\u00f9ng li\u1ec1u th\u1ea5p h\u01a1n so v\u1edbi c\u00e1c thu\u1ed1c th\u1ebf h\u1ec7 \u0111\u1ea7u ti\u00ean. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng histamine H1 gi\u00fap gi\u1ea3m s\u01b0ng v\u00e0 gi\u1ea3m ng\u1ee9a.<\/p>\n<p>&#8211; Cetirizine c\u00f3 t\u00e1c d\u1ee5ng nhanh v\u00e0 l\u00e0m \u1ed5n \u0111\u1ecbnh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u1ebf b\u00e0o mast. Thu\u1ed1c c\u0169ng g\u00e2y an th\u1ea7n nh\u1eb9 khi d\u00f9ng li\u1ec1u t\u01b0\u01a1ng \u0111\u1ed1i. Lo\u1ea1i n\u00e0y c\u00f3 s\u1eb5n c\u1ea3 \u0111\u01b0\u1eddng ti\u00eam v\u00e0 u\u1ed1ng v\u1edbi li\u1ec1u l\u01b0\u1ee3ng nh\u01b0 nhau cho c\u1ea3 hai \u0111\u01b0\u1eddng d\u00f9ng. \u0110\u01b0\u1eddng ti\u00eam th\u00edch h\u1ee3p cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean. V\u1edbi tr\u1ebb nh\u1ecf c\u1ea7n d\u00f9ng \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng quy \u0111\u1ecbnh. L\u01b0u \u00fd khi d\u00f9ng li\u1ec1u duy tr\u00ec cho b\u1ec7nh nh\u00e2n suy th\u1eadn ho\u1eb7c suy gan.<\/p>\n<p>&#8211; Levocetirizine l\u00e0 m\u1ed9t ch\u1ea5t \u0111\u1ed3ng v\u1ecb c\u00f3 ho\u1ea1t t\u00ednh nh\u01b0 cetirizine nh\u01b0ng ch\u1ec9 c\u1ea7n d\u00f9ng li\u1ec1u \u00edt h\u01a1n (kho\u1ea3ng m\u1ed9t n\u1eeda). Tuy nhi\u00ean, levocetirizine kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng thay th\u1ebf cho nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi cetirizine. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 an th\u1ea7n t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c thu\u1ed1c kh\u00e1ng histamine th\u1ebf h\u1ec7 th\u1ee9 hai kh\u00e1c. C\u1ea7n gi\u1ea3m li\u1ec1u \u1edf ng\u01b0\u1eddi suy th\u1eadn.<\/p>\n<p>&#8211; Loratadine l\u00e0 thu\u1ed1c kh\u00e1ng histamine H1 c\u00f3 ch\u1ecdn l\u1ecdc v\u00e0 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n suy th\u1eadn ho\u1eb7c suy gan, n\u00ean d\u00f9ng c\u00e1ch m\u1ed9t ng\u00e0y u\u1ed1ng m\u1ed9t ng\u00e0y.<\/p>\n<p>&#8211; Fexofenadine \u0111\u01b0\u1ee3c d\u00f9ng \u0111i\u1ec1u tr\u1ecb m\u00e0y \u0111ay \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 6 tu\u1ed5i.<\/p>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p l\u00e0 \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n, ch\u00f3ng m\u1eb7t. T\u1ed1t h\u01a1n l\u00e0 kh\u00f4ng u\u1ed1ng thu\u1ed1c c\u00f9ng b\u1eefa \u0103n v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 kh\u00f4ng d\u00f9ng chung v\u1edbi n\u01b0\u1edbc hoa qu\u1ea3.<\/p>\n<p>+ Nh\u00f3m glucocorticoid (nh\u01b0 prednisolone) tuy kh\u00f4ng \u1ee9c ch\u1ebf s\u1ef1 ph\u00f3ng th\u00edch c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mast nh\u01b0ng l\u1ea1i ng\u0103n c\u1ea3n c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam. Thu\u1ed1c c\u00f3 r\u1ea5t nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 n\u00ean ch\u1ec9 d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb m\u00e0y \u0111ay c\u1ea5p, n\u1eb7ng ho\u1eb7c m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p m\u00e0y \u0111ay do vi\u00eam m\u1ea1ch, do \u00e1p \u1ef1c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng histamin th\u00f4ng th\u01b0\u1eddng. Kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u00e0y \u0111ay m\u1ea1n t\u00ednh t\u1ef1 ph\u00e1t.<\/p>\n<p><strong>3. L\u1eddi khuy\u00ean c\u1ee7a th\u1ea7y thu\u1ed1c<\/strong><\/p>\n<p>&#8211; Kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd s\u1eed d\u1ee5ng thu\u1ed1c khi ch\u01b0a \u0111\u01b0\u1ee3c s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n<p>&#8211; Khi b\u1ec7nh nh\u00e2n COVID-19 xu\u1ea5t hi\u1ec7n m\u00e0y \u0111ay th\u00ec c\u1ea7n ph\u1ea3i \u0111\u1ed3ng th\u1eddi theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c. N\u1ebfu m\u00e0y \u0111ay xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t v\u00e0 lan r\u1ed9ng ho\u1eb7c x\u1ea3y ra \u0111\u1ed3ng th\u1eddi v\u1edbi s\u1ed1t, \u0111au \u0111\u1edbn, ph\u1ed3ng r\u1ed9p, c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec5m tr\u00f9ng nh\u01b0 s\u01b0ng, n\u00f3ng ch\u1ea3y m\u1ee7, c\u00e1c d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p nh\u01b0 th\u1edf nhanh, kh\u00f3 th\u1edf, SpO2 gi\u1ea3m &lt; 94% c\u1ea7n nh\u1eadp vi\u1ec7n theo d\u00f5i.<\/p>\n<p>&#8211; Ng\u01b0ng thu\u1ed1c ngay v\u00e0 li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 khi g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 s\u01b0ng m\u1eb7t, m\u00f4i, l\u01b0\u1ee1i ho\u1eb7c th\u1ea5y kh\u00f3 th\u1edf, kh\u00f3 nu\u1ed1t, nh\u1ecbp tim nhanh b\u1ea5t th\u01b0\u1eddng, ch\u00f3ng m\u1eb7t d\u1eef d\u1ed9i.<\/p>\n<p><strong>BS. \u0110\u1eb7ng Xu\u00e2n Th\u1eafng<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn b\u1ec7nh nh\u00e2n COVID-19 sau khi kh\u1ecfi b\u1ec7nh v\u1eabn g\u1eb7p ph\u1ea3i nh\u1eefng v\u1ea5n \u0111\u1ec1 h\u1eadu COVID-19 (c\u00f2n g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng COVID-19 k\u00e9o d\u00e0i). \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe m\u00e0 c\u00f2n t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn y\u1ebfu t\u1ed1 t\u00e2m l\u00fd, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n. [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":12341,"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-13020","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\/13020","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=13020"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13020\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12341"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13020"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13020"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13020"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}