{"id":13127,"date":"2022-03-08T21:23:29","date_gmt":"2022-03-08T14:23:29","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13127"},"modified":"2022-03-08T21:23:29","modified_gmt":"2022-03-08T14:23:29","slug":"dung-thuoc-va-cham-soc-tre-f0-tai-nha-nhung-dieu-phu-huynh-can-biet","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/03\/08\/dung-thuoc-va-cham-soc-tre-f0-tai-nha-nhung-dieu-phu-huynh-can-biet\/","title":{"rendered":"D\u00f9ng thu\u1ed1c v\u00e0 ch\u0103m s\u00f3c tr\u1ebb F0 t\u1ea1i nh\u00e0 – nh\u1eefng \u0111i\u1ec1u ph\u1ee5 huynh c\u1ea7n bi\u1ebft"},"content":{"rendered":"

S\u1ed1 ca nhi\u1ec5m COVID-19 tr\u1ebb em nh\u1eefng ng\u00e0y g\u1ea7n \u0111\u00e2y t\u0103ng cao ch\u00f3ng m\u1eb7t. V\u1ec1 l\u00fd thuy\u1ebft th\u00ec t\u1ec9 l\u1ec7 tr\u1edf n\u1eb7ng\/nguy k\u1ecbch\/t\u1eed vong r\u1ea5t th\u1ea5p. Nh\u01b0ng \u0111i\u1ec1u n\u00e0y ch\u1ec9 x\u1ea3y ra khi kh\u00f4ng c\u00f3 t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i v\u00e0 ngu\u1ed3n l\u1ef1c v\u1eabn \u0111\u1ee7 \u0111\u1ec3 t\u1eadp trung ch\u1eefa tr\u1ecb c\u00e1c ca b\u1ec7nh n\u1eb7ng.<\/h2>\n
\n

Khi h\u1ec7 th\u1ed1ng y t\u1ebf qu\u1ea3 t\u1ea3i th\u00ec c\u00e1c con s\u1ed1 n\u00e0y s\u1ebd \u0111\u1ed9i l\u00ean cao. Hi\u1ec7n nay tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i lan truy\u1ec1n nhi\u1ec1u ph\u01b0\u01a1ng th\u1ee9c ch\u1eefa tr\u1ecb COVID-19 cho tr\u1ebb em. C\u00f3 nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u1ea7m \u1ea3nh h\u01b0\u1edfng, nh\u01b0ng vi\u1ebft r\u1ea5t phi khoa h\u1ecdc. V\u00ed d\u1ee5 nh\u01b0 h\u1ecd khuy\u00ean kh\u00f4ng cho tr\u1ebb vui ch\u01a1i ch\u1ea1y nh\u1ea3y m\u00e0 n\u00ean cho xem tivi d\u00e0i gi\u1edd \u0111\u1ec3 gi\u1eef tr\u1ebb ng\u1ed3i im; ch\u1ec9 n\u00ean cho tr\u1ebb \u0103n ch\u00e1o; 38 \u0111\u1ed9 C \u0111\u00e3 khuy\u1ebfn kh\u00edch ph\u1ee5 huynh cho con h\u1ea1 s\u1ed1t; kh\u00f4ng cho tr\u1ebb t\u1eadp th\u1ec3 d\u1ee5c; lau \u1ea5m, t\u1eafm n\u01b0\u1edbc \u1ea5m, ng\u00e2m m\u00ecnh trong b\u1ed3n n\u01b0\u1edbc \u1ea5m\u2026<\/p>\n

Tr\u00ean c\u01b0\u01a1ng v\u1ecb l\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa nhi, ch\u00fang t\u00f4i t\u00f3m l\u01b0\u1ee3c nh\u1eefng n\u00e9t c\u01a1 b\u1ea3n v\u1ec1 \u0111i\u1ec1u tr\u1ecb, ch\u0103m s\u00f3c, theo d\u00f5i tr\u1ebb F0 t\u1ea1i nh\u00e0 m\u1ed9t c\u00e1ch \u0111\u01a1n gi\u1ea3n nh\u1ea5t. Ph\u1ee5 huynh c\u1ea7n l\u01b0u \u00fd nh\u1eefng kh\u00e1i ni\u1ec7m sau \u0111\u1ec3 tr\u00e1nh ph\u1ea1m nh\u1eefng \u0111i\u1ec1u c\u1ea5m k\u1ef5 khi\u1ebfn b\u1ec7nh tr\u1ebb n\u1eb7ng h\u01a1n:<\/p>\n

\n
\"Zalo\"
Theo d\u00f5i nhi\u1ec7t \u0111\u1ed9 c\u0169ng nh\u01b0 t\u00ecnh tr\u1ea1ng c\u1ee7a tr\u1ebb v\u00e0 th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 h\u1eb1ng ng\u00e0y.<\/figcaption><\/figure>\n<\/div>\n

1. Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COVID-19 \u0111\u1eb7c hi\u1ec7u<\/strong><\/p>\n

Nh\u1eefng thu\u1ed1c tuy\u1ec7t \u0111\u1ed1i KH\u00d4NG \u0111\u01b0\u1ee3c t\u1ef1 \u00fd cho con s\u1eed d\u1ee5ng g\u1ed3m:<\/p>\n

Thu\u1ed1c kh\u00e1ng virus. Thu\u1ed1c kh\u00e1ng vi\u00eam corticoid, bao g\u1ed3m: Dexamethasone, betamethasone, prednisolone, methylprednisolone (medrol). Thu\u1ed1c kh\u00e1ng \u0111\u00f4ng m\u00e1u. Thu\u1ed1c kh\u00e1ng sinh (tr\u1eeb khi c\u00f3 b\u1eb1ng ch\u1ee9ng b\u1ed9i nhi\u1ec5m \u0111\u01b0\u1ee3c b\u00e1c s\u0129 x\u00e1c nh\u1eadn v\u00e0 k\u00ea \u0111\u01a1n thu\u1ed1c).<\/p>\n

2. C\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb F0 l\u00e0 tr\u1ebb em<\/strong><\/p>\n

2.1. Thu\u1ed1c h\u1ea1 s\u1ed1t<\/strong><\/p>\n

S\u1ed1t l\u00e0 ph\u1ea3n \u1ee9ng c\u00f3 l\u1ee3i c\u1ee7a c\u01a1 th\u1ec3, gi\u00fap h\u1ec7 mi\u1ec5n d\u1ecbch ch\u1ed1ng l\u1ea1i virus, vi\u1ec7c c\u1ed1 t\u00ecnh h\u1ea1 nhi\u1ec7t b\u1eb1ng m\u1ecdi c\u00e1ch v\u00f4 t\u00ecnh \u1ee9c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch, khi\u1ebfn virus tho\u1ea3i m\u00e1i ph\u00e1t tri\u1ec3n v\u00e0 b\u1ec7nh c\u00f3 nguy c\u01a1 n\u1eb7ng h\u01a1n. Ch\u1ec9 n\u00ean h\u1ea1 s\u1ed1t khi tr\u1ebb s\u1ed1t tr\u00ean 38.5 \u0111\u1ed9 C.<\/p>\n

– Thu\u1ed1c h\u1ea1 s\u1ed1t c\u00f3 th\u1ec3 d\u00f9ng: Paracetamol 15mg\/kg\/l\u1ea7n, c\u00e1ch 4-6 gi\u1edd\/l\u1ea7n n\u1ebfu tr\u1ebb v\u1eabn s\u1ed1t. Ng\u00e0y kh\u00f4ng qu\u00e1 5 l\u1ea7n.<\/p>\n

– Ibuprofen 10mg\/kg\/l\u1ea7n. C\u00e1ch 6-8 gi\u1edd\/l\u1ea7n n\u1ebfu tr\u1ebb v\u1eabn s\u1ed1t, ng\u00e0y kh\u00f4ng qu\u00e1 3 l\u1ea7n.<\/p>\n

L\u01b0u \u00fd: \u01afu ti\u00ean d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t paracetamol tr\u01b0\u1edbc. Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi paracetamol th\u00ec c\u00f3 th\u1ec3 d\u00f9ng ibuprofen. Ibuprofen ch\u1ec9 d\u00f9ng khi khi b\u00e1c s\u0129 \u0111\u00e3 lo\u1ea1i tr\u1eeb b\u1ec7nh s\u1ed1t xu\u1ea5t huy\u1ebft.<\/p>\n

L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t: V\u1edbi tr\u1ebb th\u1eeba c\u00e2n b\u00e9o ph\u00ec, li\u1ec1u thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec3u ch\u1ec9nh d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng. B\u00e1o cho b\u00e1c s\u0129 c\u1ee7a con b\u1ea1n \u0111\u1ec3 t\u00ednh c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng cho b\u00e9.<\/p>\n

2.2. B\u00f9 oresol<\/p>\n

N\u1ebfu tr\u1ebb \u00f3i, ti\u00eau l\u1ecfng th\u00ec c\u00f3 th\u1ec3 cho tr\u1ebb u\u1ed1ng oresol \u0111\u1ec3 b\u00f9 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. Ch\u1ec9 n\u00ean cho tr\u1ebb u\u1ed1ng t\u1eebng ng\u1ee5m (mu\u1ed7ng) nh\u1ecf sau m\u1ed7i l\u1ea7n tr\u1ebb \u00f3i ho\u1eb7c ti\u00eau l\u1ecfng, cho \u0111\u1ebfn khi tr\u1ebb t\u1eeb ch\u1ed1i. C\u00f3 th\u1ec3 d\u00f9ng n\u01b0\u1edbc d\u1eeba t\u01b0\u01a1i thay th\u1ebf n\u1ebfu tr\u1ebb kh\u00f4ng u\u1ed1ng oresol. Tr\u1ebb d\u01b0\u1edbi 6 th\u00e1ng \u01b0u ti\u00ean b\u00f9 b\u1eb1ng s\u1eefa m\u1eb9, n\u00ean h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 tr\u01b0\u1edbc khi th\u1ef1c h\u00e0nh b\u1ea5t c\u1ee9 h\u00e0nh \u0111\u1ed9ng n\u00e0o.<\/p>\n

2.3 Vitamin D<\/p>\n

N\u00ean cung c\u1ea5p \u0111\u1ee7 theo nhu c\u1ea7u m\u1ed7i ng\u00e0y. C\u1ee5 th\u1ec3, tr\u1ebb d\u01b0\u1edbi 1 tu\u1ed5i 400IU\/ng\u00e0y. Tr\u1ebb tr\u00ean 1 tu\u1ed5i 600IU\/ng\u00e0y.<\/p>\n

2.4. V\u1ec7 sinh m\u0169i, h\u1ecdng<\/p>\n

N\u00ean v\u1ec7 sinh m\u0169i b\u1eb1ng c\u00e1c dung d\u1ecbch n\u01b0\u1edbc mu\u1ed1i \u01b0u tr\u01b0\u01a1ng (khi ngh\u1eb9t m\u0169i nhi\u1ec1u) v\u00e0 \u0111\u1eb3ng tr\u01b0\u01a1ng, gi\u00fap tr\u1ebb d\u1ec5 th\u1edf, ng\u1ee7 \u0111\u01b0\u1ee3c, b\u00fa \u0111\u01b0\u1ee3c h\u01a1n. Tr\u1ebb l\u1edbn c\u00f3 th\u1ec3 kh\u00f2 h\u1ecdng b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd.<\/p>\n

\n
\"Zalo\"
V\u1ec7 sinh m\u0169i cho tr\u1ebb.<\/figcaption><\/figure>\n<\/div>\n

3. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00f4ng c\u1ea7n thi\u1ebft s\u1eed d\u1ee5ng<\/strong><\/p>\n

3.1. Thu\u1ed1c gi\u1ea3m ho: V\u00ec ho l\u00e0 m\u1ed9t ph\u1ea3n x\u1ea1 c\u00f3 l\u1ee3i, do \u0111\u00f3 kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i s\u1eed d\u1ee5ng siro ho th\u1ea3o d\u01b0\u1ee3c \u0111\u1ec3 \u1ee9c ch\u1ebf ho. N\u1ebfu tr\u1ebb ho nhi\u1ec1u \u0111au r\u00e1t c\u1ed5 h\u1ecdng c\u00f3 th\u1ec3 d\u00f9ng n\u01b0\u1edbc \u1ea5m, m\u1eadt ong (n\u1ebfu tr\u1ebb tr\u00ean 1 tu\u1ed5i) n\u01b0\u1edbc l\u00ea, t\u00e1o, t\u1ea7n d\u00e0y l\u00e1\u2026 \u0111\u1ec3 l\u00e0m d\u1ecbu t\u00ecnh tr\u1ea1ng r\u00e1t h\u1ecdng. N\u1ebfu tr\u1ebb ho nhi\u1ec1u, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0103n, ng\u1ee7 khi\u1ebfn tr\u1ebb qu\u1ea5y kh\u00f3c, tr\u01b0\u1edbc khi cho tr\u1ebb s\u1eed d\u1ee5ng thu\u1ed1c ho, k\u1ec3 c\u1ea3 l\u00e0 siro th\u1ea3o d\u01b0\u1ee3c \u0111\u1ec1u c\u1ea7n t\u01b0 v\u1ea5n b\u1edfi b\u00e1c s\u0129.<\/p>\n

3.2. Vitamin t\u1ed5ng h\u1ee3p, vitamin C, k\u1ebdm, c\u00e1c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng \u0111\u01b0\u1ee3c cho l\u00e0 t\u0103ng \u0111\u1ec1 kh\u00e1ng , kh\u00f4ng c\u1ea7n thi\u1ebft ph\u1ea3i cho tr\u1ebb u\u1ed1ng, b\u1edfi t\u00e1c d\u1ee5ng kh\u00f4ng h\u1eb3n nh\u01b0 l\u1eddi qu\u1ea3ng c\u00e1o. Vi\u1ec7c \u00e9p tr\u1ebb ph\u1ea3i u\u1ed1ng qu\u00e1 nhi\u1ec1u lo\u1ea1i thu\u1ed1c s\u1ebd khi\u1ebfn tr\u1ebb s\u1ee3 h\u00e3i, ph\u1ea3n \u1ee9ng l\u1ea1i v\u1edbi vi\u1ec7c u\u1ed1ng thu\u1ed1c, ho\u1eb7c tr\u1ebb “no” v\u00ec thu\u1ed1c s\u1ebd kh\u00f4ng mu\u1ed1n \u0103n th\u1ee9c \u0103n.<\/p>\n

3.3. Kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i s\u1eed d\u1ee5ng men vi sinh , tr\u1eeb khi tr\u1ebb b\u1ecb ti\u00eau ch\u1ea3y v\u00e0 \u0111\u00e3 c\u00f3 \u00fd ki\u1ebfn t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129.<\/p>\n

3.4. Kh\u00f4ng cho tr\u1ebb nh\u1ecf x\u00f4ng d\u01b0\u1edbi b\u1ea5t k\u1ef3 h\u00ecnh th\u1ee9c n\u00e0o, b\u1edfi khi x\u00f4ng v\u1eeba kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 mong mu\u1ed1n m\u00e0 c\u00f2n c\u00f3 nguy c\u01a1 g\u00e2y b\u1ecfng cho tr\u1ebb.<\/p>\n

3.5. Kh\u00f4ng c\u1ea7n thi\u1ebft d\u00f9ng c\u00e1c thu\u1ed1c t\u00e1c \u0111\u1ed9ng l\u00ean \u0111\u1eddm .<\/p>\n

4. Ch\u0103m s\u00f3c tr\u1ebb F0 t\u1ea1i nh\u00e0<\/strong><\/p>\n

– Ch\u1ebf \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng : Tr\u1ebb tr\u00ean 6 tu\u1ed5i v\u1eadn \u0111\u1ed9ng, th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng trong nh\u00e0. Tr\u00e1nh n\u1eb1m \u00ec m\u1ed9t ch\u1ed7, tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng n\u1eb7ng g\u1eafng s\u1ee9c. Tr\u1ebb d\u01b0\u1edbi 6 tu\u1ed5i cho ho\u1ea1t \u0111\u1ed9ng t\u1ef1 do.<\/p>\n

– T\u1eadp th\u1edf: Tr\u1ebb l\u1edbn 5-6 tu\u1ed5i tr\u1edf l\u00ean, h\u01b0\u1edbng d\u1eabn tr\u1ebb ng\u1ed3i th\u1eb3ng l\u01b0ng, h\u00edt v\u00e0o s\u00e2u t\u1eeb t\u1eeb b\u1eb1ng m\u0169i, cho c\u0103ng gi\u00e3n h\u1ebft l\u1ed3ng ng\u1ef1c, n\u00edn th\u1edf 3-5 gi\u00e2y, th\u1edf ra ch\u1eadm nh\u1eb9 b\u1eb1ng mi\u1ec7ng. Ng\u00e0y l\u00e0m 3 l\u1ea7n, m\u1ed7i l\u1ea7n 5 ph\u00fat.<\/p>\n

– B\u00f9 d\u1ecbch: Tr\u1ebb c\u00f2n b\u00fa m\u1eb9 th\u00ec b\u00fa m\u1eb9 t\u00edch c\u1ef1c. Tr\u1ebb l\u1edbn h\u01a1n khuy\u1ebfn kh\u00edch u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc. \u01afu ti\u00ean n\u01b0\u1edbc l\u1ecdc, c\u00f3 th\u1ec3 d\u00f9ng n\u01b0\u1edbc tr\u00e1i c\u00e2y, kh\u00f4ng u\u1ed1ng n\u01b0\u1edbc ng\u1ecdt c\u00f4ng nghi\u1ec7p.<\/p>\n

– Dinh d\u01b0\u1ee1ng: \u0102n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, gi\u1eef m\u00f4 h\u00ecnh \u0103n u\u1ed1ng c\u0169 (\u0111\u00fang gi\u1edd cho \u0103n), cho b\u00e9 \u0103n m\u00f3n b\u00e9 th\u00edch, h\u1ea1n ch\u1ebf b\u00e1nh k\u1eb9o ng\u1ecdt. Khuy\u1ebfn kh\u00edch tr\u1ebb \u0103n nhi\u1ec1u rau xanh, tr\u00e1i c\u00e2y.<\/p>\n

– Sinh ho\u1ea1t : C\u1ed1 g\u1eafng gi\u1eef v\u1eefng m\u00f4 h\u00ecnh sinh ho\u1ea1t, gi\u1edd \u0103n\/ch\u01a1i\/ ng\u1ee7\u2026 Tr\u00e1nh x\u00e1o tr\u1ed9n v\u00ec tr\u1ebb s\u1ebd b\u1ecb stress, bi\u1ebfng \u0103n, t\u00e1o b\u00f3n\u2026<\/p>\n

– Ch\u0103m s\u00f3c c\u1ea3m x\u00fac : Ch\u0103m s\u00f3c c\u1ea3m x\u00fac cho cha m\u1eb9 l\u00e0 ch\u0103m s\u00f3c c\u1ea3m x\u00fac cho con. Cha m\u1eb9 l\u1ea1c quan, vui v\u1ebb, t\u1ed5 ch\u1ee9c c\u00e1c ho\u1ea1t \u0111\u1ed9ng gi\u1ea3i tr\u00ed c\u00f9ng con, kh\u00f4ng h\u00f9 d\u1ecda, kh\u00f4ng qu\u00e1 nu\u00f4ng chi\u1ec1u, kh\u00f4ng xem\/n\u00f3i v\u1ec1 c\u00e1c tin x\u1ea5u v\u1ec1 COVID-19.<\/p>\n

5. Theo d\u00f5i tr\u1ebb F0 t\u1ea1i nh\u00e0<\/strong><\/p>\n

Nh\u00ecn chung, tr\u1ebb em b\u1ec7nh th\u01b0\u1eddng nh\u1eb9 v\u00e0 t\u1ef1 ph\u1ee5c h\u1ed3i. Nh\u01b0ng v\u1eabn c\u00f3 nh\u1eefng tr\u1ebb tr\u1edf n\u1eb7ng, nh\u1ea5t l\u00e0 tr\u1ebb c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 sau th\u00ec c\u1ea7n theo d\u00f5i ch\u1eb7t s\u1ebd h\u01a1n so v\u1edbi tr\u1ebb c\u00f3 s\u1ee9c kh\u1ecfe b\u00ecnh th\u01b0\u1eddng:<\/p>\n

Tr\u1ebb \u0111\u1ebb non, c\u00e2n n\u1eb7ng th\u1ea5p. B\u00e9o ph\u00ec, th\u1eeba c\u00e2n. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng, c\u00e1c b\u1ec7nh l\u00fd gene v\u00e0 r\u1ed1i lo\u1ea1n chuy\u1ec3n ho\u00e1. C\u00e1c b\u1ec7nh l\u00fd ph\u1ed5i m\u1ea1n t\u00ednh, hen ph\u1ebf qu\u1ea3n, 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\u2026). B\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh. Gh\u00e9p t\u1ea1ng ho\u1eb7c c\u1ea5y gh\u00e9p t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o m\u00e1u. B\u1ec7nh tim m\u1ea1ch (tim b\u1ea9m sinh, suy tim, t\u0103ng \u00e1p ph\u1ed5i, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ho\u1eb7c b\u1ec7nh c\u01a1 tim, t\u0103ng huy\u1ebft \u00e1p). B\u1ec7nh l\u00fd th\u1ea7n kinh (bao g\u1ed3m c\u1ea3 ch\u1ee9ng sa s\u00fat tr\u00ed tu\u1ec7, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n). 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. C\u00e1c b\u1ec7nh l\u00fd suy gi\u1ea3m mi\u1ec5n d\u1ecbch b\u1ea9m sinh ho\u1eb7c m\u1eafc ph\u1ea3i. B\u1ec7nh gan. \u0110ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c corticoid ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch kh\u00e1c. C\u00e1c b\u1ec7nh h\u1ec7 th\u1ed1ng( lupus ban \u0111\u1ecf, vi\u00eam kh\u1edbp thi\u1ebfu ni\u00ean\u2026)<\/p>\n

Cho tr\u1ebb nh\u1eadp vi\u1ec7n khi c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u n\u00e0o sau \u0111\u00e2y:<\/p>\n

– Th\u1edf nhanh (n\u00ean quan s\u00e1t v\u00e0 \u0111\u1ebfm khi th\u00e2n nhi\u1ec7t d\u01b0\u1edbi 38 \u0111\u1ed9, tr\u1ebb n\u1eb1m y\u00ean hay ng\u1ee7 y\u00ean, v\u00ec khi s\u1ed1t tr\u1ebb s\u1ebd th\u1edf nhanh).<\/p>\n

– Li b\u00ec, l\u1edd \u0111\u1edd, b\u1ecf b\u00fa\/\u0103n u\u1ed1ng (c\u1ea7n xem c\u00f3 ph\u1ea3i tr\u1ebb m\u1ec7t do s\u1ed1t kh\u00f4ng, n\u1ebfu cho h\u1ea1 s\u1ed1t v\u00e0o tr\u1ebb ch\u01a1i l\u1ea1i th\u00ec kh\u00f4ng ph\u1ea3i d\u1ea5u hi\u1ec7u n\u00e0y).<\/p>\n

– Kh\u00f3 th\u1edf, c\u00e1nh m\u0169i ph\u1eadp ph\u1ed3ng.<\/p>\n

– T\u00edm t\u00e1i m\u00f4i \u0111\u1ea7u chi.<\/p>\n

– R\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c.<\/p>\n

– SpO2 < 95% ( c\u1ea7n ki\u1ec3m tra y\u1ebfu t\u1ed1 sai s\u00f3t do k\u1ef9 thu\u1eadt \u0111o).<\/p>\n

– Tr\u1ebb l\u1edbn than \u0111au ng\u1ef1c ho\u1eb7c t\u1ee9c ng\u1ef1c.<\/p>\n

– \u0110au b\u1ee5ng n\u1eb7ng.<\/p>\n

– M\u1ec7t \u0111\u1ebfn m\u1ee9c kh\u00f4ng ng\u1ed3i d\u1eady \u0111\u01b0\u1ee3c.<\/p>\n

N\u00ean li\u00ean h\u1ec7 b\u00e1c s\u0129 nhi khoa tr\u01b0\u1edbc khi g\u1ecdi c\u1ea5p c\u1ee9u hay v\u00e0o vi\u1ec7n.<\/p>\n

B\u1ec7nh c\u00f3 th\u1ec3 tr\u1edf n\u1eb7ng v\u00e0o c\u00e1c ng\u00e0y t\u1eeb ng\u00e0y 3-8, khi m\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1t \u0111\u00e3 gi\u1ea3m, do v\u1eady ph\u1ee5 huynh ph\u1ea3i \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 t\u00e2m \u0111\u1ebfn tr\u1ebb v\u00e0o nh\u1eefng ng\u00e0y n\u00e0y. Kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ea5y tr\u1ebb h\u1ebft s\u1ed1t m\u00e0 ch\u1ee7 quan. N\u00ean c\u00f3 s\u1ef1 li\u00ean l\u1ea1c v\u1edbi b\u00e1c s\u0129 nhi khoa v\u00e0 cung c\u1ea5p cho b\u00e1c s\u0129 nh\u1eefng th\u00f4ng tin sau m\u1ed7i ng\u00e0y (1-2 l\u1ea7n):<\/p>\n

– Tr\u1ebb ch\u01a1i th\u1ebf n\u00e0o? Gi\u1ea3m bao nhi\u00eau% so v\u1edbi ng\u00e0y th\u01b0\u1eddng?<\/p>\n

– Tr\u1ebb s\u1ed1t th\u1ebf n\u00e0o? Theo c\u01a1n hay li\u00ean t\u1ee5c, cao nh\u1ea5t bao nhi\u00eau, \u0111\u00e1p \u1ee9ng h\u1ea1 s\u1ed1t kh\u00f4ng?<\/p>\n

– Nh\u1ecbp th\u1edf, ki\u1ec3u th\u1edf ra sao? (l\u00fd t\u01b0\u1edfng l\u00e0 cung c\u1ea5p video nh\u1ecbp th\u1edf chu\u1ea9n cho b\u00e1c s\u0129).<\/p>\n

– SPO2 bao nhi\u00eau%?<\/p>\n

6. Khi n\u00e0o kh\u00f4ng c\u1ea7n c\u00e1ch ly tr\u1ebb n\u1eefa?<\/strong><\/p>\n

Sau 10-14 ng\u00e0y k\u1ec3 t\u1eeb ng\u00e0y c\u00f3 tri\u1ec7u ch\u1ee9ng, tr\u1ebb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c test PCR. N\u1ebfu \u00e2m t\u00ednh tr\u1ebb c\u00f3 th\u1ec3 \u0111i h\u1ecdc ho\u1eb7c ti\u1ebfp x\u00fac l\u1ea1i v\u1edbi ng\u01b0\u1eddi kh\u00f4ng nhi\u1ec5m.<\/p>\n

7. H\u1ed9i ch\u1ee9ng vi\u00eam \u0111a c\u01a1 quan v\u00e0 h\u1ed9i ch\u1ee9ng COVID-19 k\u00e9o d\u00e0i \u1edf tr\u1ebb em<\/strong><\/p>\n

C\u00f3 2\/100.000 tr\u1ebb em c\u00f3 h\u1ed9i ch\u1ee9ng vi\u00eam \u0111a c\u01a1 quan (MIS-C), n\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 d\u1eabn t\u1edbi t\u1eed vong.<\/p>\n

* Trong v\u00f2ng 2 th\u00e1ng k\u1ec3 t\u1eeb ng\u00e0y nhi\u1ec5m COVID-19, n\u1ebfu tr\u1ebb c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n sau ph\u1ea3i ngh\u0129 t\u1edbi tr\u1ebb b\u1ecb MIS-C:<\/p>\n

– S\u1ed1t dai d\u1eb3ng > 3 ng\u00e0y.<\/p>\n

– Tri\u1ec7u ch\u1ee9ng vi\u00eam \u1edf m\u1ed9t lo\u1ea1t c\u00e1c c\u01a1 quan kh\u00e1c:<\/p>\n

+ Ti\u00eau h\u00f3a: \u00d3i m\u1eeda, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y<\/p>\n

+ Tu\u1ea7n ho\u00e0n: H\u1ea1 huy\u1ebft \u00e1p, ch\u00f3ng m\u1eb7t<\/p>\n

+ Th\u1ea7n kinh: Gi\u1ea3m nh\u1eadn th\u1ee9c<\/p>\n

+ Da: Ph\u00e1t ban<\/p>\n

+ Ni\u00eam m\u1ea1c: \u0110\u1ecf m\u1eaft, m\u00f4i, l\u01b0\u1ee1i d\u00e2u, ph\u00f9 tay ch\u00e2n\u2026<\/p>\n

+ X\u00e9t nghi\u1ec7m: K\u00e8m theo c\u00e1c r\u1ed1i lo\u1ea1n vi\u00eam, \u0111\u00f4ng m\u00e1u tr\u00ean x\u00e9t nghi\u1ec7m\u2026<\/p>\n

– Kh\u00f4ng l\u00fd gi\u1ea3i \u0111\u01b0\u1ee3c b\u1eb1ng nguy\u00ean nh\u00e2n kh\u00e1c.<\/p>\n

*T\u00ecnh tr\u1ea1ng h\u1eadu COVID-19 ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u bi\u1ebft nhi\u1ec1u. C\u00e1c bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng th\u1ea5y \u1edf tr\u1ebb l\u1edbn t\u1eeb 6 tu\u1ed5i tr\u1edf l\u00ean. Tr\u1ebb nh\u1ecf kh\u00f3 nh\u1eadn ra.<\/p>\n

– Bi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p k\u00e9o d\u00e0i:<\/p>\n

\u0110au ng\u1ef1c. Ho. Kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c.<\/p>\n

H\u1eadu COVID-19 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n 3 th\u00e1ng.<\/p>\n

V\u1edbi tr\u1ebb tr\u00ean 6 tu\u1ed5i tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i th\u00ec c\u1ea7n ki\u1ebfm tra ph\u1ed5i b\u1eb1ng Xquang, CT, h\u00f4 h\u1ea5p k\u00fd\u2026<\/p>\n

– Bi\u1ec3u hi\u1ec7n tim m\u1ea1ch:<\/p>\n

\u0110au ng\u1ef1c kh\u00f3 th\u1edf Nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u M\u1ec7t m\u1ecfi.<\/p>\n

Thanh thi\u1ebfu ni\u00ean c\u00f3 tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i trong v\u00f2ng 6 th\u00e1ng c\u1ea7n ki\u1ec3m tra k\u1ef9 tr\u01b0\u1edbc khi \u0111i h\u1ecdc\/tham gia th\u1ec3 thao.<\/p>\n

– C\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c:<\/p>\n

V\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u00e1t tri\u1ec3n hi\u1ebfm x\u1ea3y ra: \u0110\u1ed9t qu\u1ef5, vi\u00eam n\u00e3o, thay \u0111\u1ed5i kh\u1ea3 n\u0103ng ch\u00fa \u00fd, l\u1eddi n\u00f3i, b\u00e0i t\u1eadp, v\u1eadn \u0111\u1ed9ng, t\u00e2m tr\u1ea1ng. M\u1ec7t m\u1ecfi t\u00e2m th\u1ea7n (s\u01b0\u01a1ng m\u00f9 n\u00e3o). M\u1ec7t m\u1ecfi th\u1ec3 ch\u1ea5t Nh\u1ee9c \u0111\u1ea7u. Tr\u1ea7m c\u1ea3m. Tri\u1ec7u ch\u1ee9ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

BCK1.Tr\u1ea7n V\u0103n C\u00f4ng- BSCK1.L\u01b0u H\u1ed3ng V\u00e2n – ThS.Ch\u1ebf Ho\u00e0ng Th\u00e1i<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

S\u1ed1 ca nhi\u1ec5m COVID-19 tr\u1ebb em nh\u1eefng ng\u00e0y g\u1ea7n \u0111\u00e2y t\u0103ng cao ch\u00f3ng m\u1eb7t. V\u1ec1 l\u00fd thuy\u1ebft th\u00ec t\u1ec9 l\u1ec7 tr\u1edf n\u1eb7ng\/nguy k\u1ecbch\/t\u1eed vong r\u1ea5t th\u1ea5p. Nh\u01b0ng \u0111i\u1ec1u n\u00e0y ch\u1ec9 x\u1ea3y ra khi kh\u00f4ng c\u00f3 t\u00ecnh tr\u1ea1ng qu\u00e1 t\u1ea3i v\u00e0 ngu\u1ed3n l\u1ef1c v\u1eabn \u0111\u1ee7 \u0111\u1ec3 t\u1eadp trung ch\u1eefa tr\u1ecb c\u00e1c ca b\u1ec7nh n\u1eb7ng. Khi h\u1ec7 […]<\/p>\n","protected":false},"author":4,"featured_media":11374,"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-13127","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\/13127","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=13127"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13127\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/11374"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13127"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13127"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13127"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}