{"id":13229,"date":"2022-03-13T19:49:33","date_gmt":"2022-03-13T12:49:33","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13229"},"modified":"2022-03-13T19:49:33","modified_gmt":"2022-03-13T12:49:33","slug":"cham-soc-phuc-hoi-chuc-nang-tim-cho-benh-nhan-hau-covid-19-2","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/03\/13\/cham-soc-phuc-hoi-chuc-nang-tim-cho-benh-nhan-hau-covid-19-2\/","title":{"rendered":"Ch\u0103m s\u00f3c, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim cho b\u1ec7nh nh\u00e2n h\u1eadu COVID-19"},"content":{"rendered":"<h2 class=\"article-summary\">Nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1edbi d\u1eef li\u1ec7u l\u1edbn cho th\u1ea5y r\u1eb1ng ngo\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y kh\u00f3 ch\u1ecbu v\u1ec1 h\u1ec7 h\u00f4 h\u1ea5p, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eadu COVID-19 c\u00f2n g\u1eb7p ph\u1ea3i nh\u1eefng ch\u1ee9ng b\u1ec7nh v\u1ec1 tim m\u1ea1ch, cho d\u00f9 h\u1ecd c\u00f3 b\u1ec7nh tim tr\u01b0\u1edbc \u0111\u00f3 hay kh\u00f4ng.<\/h2>\n<div class=\"article-body-text\">\n<p><strong>1.Bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch h\u1eadu COVID-19<\/strong><\/p>\n<p>C\u00e1c chuy\u00ean gia s\u1ee9c kh\u1ecfe v\u1ec1 tim m\u1ea1ch \u0111\u00e3 l\u01b0u \u00fd r\u1eb1ng b\u1ec7nh nh\u00e2n COVID-19 \u0111\u00e3 h\u1ed3i ph\u1ee5c v\u1eabn c\u00f2n b\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng k\u00e9o d\u00e0i, c\u00f3 khi nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb li\u00ean t\u1ee5c sau \u0111\u00f3. C\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf nh\u1eb9, th\u1edf thi\u1ebfu h\u01a1i, m\u1ec7t \u1edf ng\u1ef1c hay g\u1eb7p, \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 b\u1ecb vi\u00eam c\u01a1 tim, nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169ng nh\u01b0 m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c c\u1ee7a c\u01a1 tim.<\/p>\n<p>V\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim m\u1ea1ch (CMR), m\u1ed9t nghi\u00ean c\u1ee9u t\u1eeb th\u00e1ng 4 \u0111\u1ebfn th\u00e1ng 6\/2020 \u1edf \u0110\u1ee9c \u0111\u00e3 b\u00e1o c\u00e1o cho th\u1ea5y, 78% ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau COVID-19 b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u1ec1 tim m\u1ea1ch, trong \u0111\u00f3 c\u00f3 t\u1edbi 60% ng\u01b0\u1eddi b\u1ecb vi\u00eam c\u01a1 tim t\u00e1i di\u1ec5n nhi\u1ec1u l\u1ea7n. M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c \u00e1p d\u1ee5ng si\u00eau \u00e2m tim ghi nh\u1eadn c\u00f3 t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i (LV) v\u00e0 t\u00e2m tr\u01b0\u01a1ng th\u1ea5t ph\u1ea3i (RV). C\u00e1c b\u1ec7nh kh\u00e1c bao g\u1ed3m suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, suy gi\u1ea3m ch\u1ee9c n\u0103ng tim c\u1ee7a b\u1ec7nh nh\u00e2n sau COVID-19 v\u1eabn c\u00f2n k\u00e9o d\u00e0i.<\/p>\n<div class=\"image-container\" title=\"M\u1ed9t nghi\u00ean c\u1ee9u cho bi\u1ebft, 78% ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau COVID-19 b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u1ec1 tim m\u1ea1ch.\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/2f889262852a6c74353b#220925210\" alt=\"Zalo\" \/><figcaption>M\u1ed9t nghi\u00ean c\u1ee9u cho bi\u1ebft, 78% ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau COVID-19 b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u1ec1 tim m\u1ea1ch.<\/figcaption><\/figure>\n<\/div>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a COVID-19 t\u1ed3n t\u1ea1i sau nhi\u1ec1u th\u00e1ng l\u00e0m \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, kh\u00f3 th\u1edf, \u0111au nh\u1ee9c c\u01a1 b\u1eafp, xo\u00e0ng \u0111\u1ea7u, ho k\u00e9o d\u00e0i, m\u1ea5t kh\u1ee9u gi\u00e1c v\u00e0 v\u1ecb gi\u00e1c hay g\u1eb7p \u1edf \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y.<\/p>\n<p>Vi\u1ec7c gia t\u0103ng nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng tim m\u1ea1ch v\u00e0 c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u00e2u d\u00e0i \u1edf b\u1ec7nh nh\u00e2n sau m\u1eafc COVID-19 l\u00e0 hi\u1ec7n th\u1ef1c. V\u00ec th\u1ebf ng\u01b0\u1eddi b\u1ec7nh r\u1ea5t c\u1ea7n ch\u0103m s\u00f3c y t\u1ebf v\u1ec1 nhi\u1ec1u l\u0129nh v\u1ef1c nh\u1ea5t l\u00e0 sau b\u1ecb nhi\u1ec5m COVID-19, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i t\u1ed1t h\u01a1n, tr\u00e1nh nh\u1eefng di ch\u1ee9ng c\u00f3 th\u1ec3 c\u00f3, \u0111\u1eb7c bi\u1ec7t v\u1ec1 tim m\u1ea1ch.<\/p>\n<p>N\u1ebfu kh\u00f4ng c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p th\u00edch h\u1ee3p, tu\u1ed5i th\u1ecd c\u1ee7a b\u1ec7nh nh\u00e2n sau COVID-19 s\u1ebd gi\u1ea3m \u0111\u00e1ng k\u1ec3 so v\u1edbi d\u00e2n s\u1ed1 b\u00ecnh th\u01b0\u1eddng chung. H\u01a1n n\u1eefa, hi\u1ec7u \u1ee9ng k\u00e9o d\u00e0i c\u1ee7a b\u1ec7nh s\u1ebd ti\u1ebfp t\u1ee5c x\u1ea3y ra \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, d\u1eabn \u0111\u1ebfn s\u1ee9c kh\u1ecfe tim m\u1ea1ch suy gi\u1ea3m d\u1ea7n. V\u00ec v\u1eady ph\u1ea3i c\u00f3 s\u1ef1 ch\u0103m s\u00f3c li\u00ean t\u1ee5c cho b\u1ec7nh nh\u00e2n sau COVID-19.<\/p>\n<p><strong>2.Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim h\u1eadu COVID-19<\/strong><\/p>\n<p>Tr\u00ean th\u1ebf gi\u1edbi, m\u1ed9t s\u1ed1 n\u01b0\u1edbc \u0111\u00e3 th\u1ef1c hi\u1ec7n vi\u1ec7c n\u00e0y. Ngo\u00e0i \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m u\u1ed1ng thu\u1ed1c theo \u0111\u01a1n sau khi ra vi\u1ec7n, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c l\u1eadp m\u1ed9t k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim (cardiac rehabilitation care \u2013 CRC). Nhi\u1ec1u nghi\u00ean c\u1ee9u d\u1ef1a tr\u00ean b\u1eb1ng ch\u1ee9ng \u0111\u00e3 ch\u1ee9ng minh t\u00ednh h\u1eefu \u00edch c\u1ee7a c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh CRC v\u00e0 mang l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t cho b\u1ec7nh nh\u00e2n.<\/p>\n<div class=\"image-container\" title=\"B\u1ec7nh nh\u00e2n t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/ee4255a842e0abbef2f1#220925212\" alt=\"Zalo\" \/><figcaption>B\u1ec7nh nh\u00e2n t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/figcaption><\/figure>\n<\/div>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n tham gia ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch &#8211; CRC, s\u1ebd gi\u1ea3m \u0111\u01b0\u1ee3c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1, t\u0103ng n\u0103ng l\u1ef1c ch\u1ee9c n\u0103ng tim, t\u0103ng ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn l\u1ea5y b\u1ec7nh nh\u00e2n l\u00e0m trung t\u00e2m, cung c\u1ea5p ki\u1ebfn th\u1ee9c s\u1ee9c kh\u1ecfe, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, luy\u1ec7n t\u1eadp th\u1ec3 l\u1ef1c, n\u00e2ng cao s\u1ee9c kh\u1ecfe tim m\u1ea1ch, gi\u1ea3m nguy c\u01a1 t\u1eed vong do b\u1ec7nh tim.<\/p>\n<p>Ch\u01b0\u01a1ng tr\u00ecnh th\u01b0\u1eddng k\u00e9o d\u00e0i 12 tu\u1ea7n, y\u1ebfu t\u1ed1 c\u1ed1t l\u00f5i \u0111\u1ec3 b\u1eaft \u0111\u1ea7u ti\u1ebfn h\u00e0nh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb CRC l\u00e0 th\u1ef1c hi\u1ec7n b\u00e0i ki\u1ec3m tra kh\u1ea3 n\u0103ng ch\u1ecbu \u0111\u1ef1ng khi ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c (t\u1eadp th\u1ec3 d\u1ee5c). B\u00e0i ki\u1ec3m tra n\u00e0y v\u1eeba \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u1ef1c tr\u1ea1ng b\u1ec7nh nh\u00e2n v\u1eeba \u0111\u1ec3 ti\u00ean l\u01b0\u1ee3ng k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. C\u00e1c ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 nh\u01b0: huy\u1ebft \u00e1p, l\u01b0\u1ee3ng oxy ti\u00eau th\u1ee5, kh\u1ea3 n\u0103ng t\u1eadp m\u1ed9t b\u00e0i th\u1ec3 d\u1ee5c nh\u1ecbp \u0111i\u1ec7u (aerobic) \u0111\u00e1nh gi\u00e1 cung l\u01b0\u1ee3ng tim, \u0111o m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 ph\u00e2n t\u1ea7ng nguy c\u01a1 tim m\u1ea1ch cho b\u1ec7nh nh\u00e2n.<\/p>\n<div class=\"image-container\" title=\"Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/7d4ec4a4d3ec3ab263fd#220925214\" alt=\"Zalo\" \/><figcaption>Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf<\/figcaption><\/figure>\n<\/div>\n<p>Nh\u01b0ng c\u1ea7n l\u01b0u \u00fd v\u00ec m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u00e3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i nghi\u00eam tr\u1ecdng khi b\u1ecb b\u1ec7nh COVID-19, cho n\u00ean khi th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i ki\u1ec3m tra v\u1edbi c\u00e1c thi\u1ebft b\u1ecb n\u00ean \u0111\u1ec3 b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf n\u1eb1m nghi\u00eang, thay v\u00ec ki\u1ec3m tra \u1edf t\u01b0 th\u1ebf th\u1eb3ng \u0111\u1ee9ng hay m\u00f4t s\u1ed1 b\u00e0i nh\u01b0 \u0111\u1ea1p xe \u0111\u1ea1p. C\u0169ng c\u00f3 th\u1ec3 m\u1ed9t l\u1ef1a ch\u1ecdn kh\u00e1c l\u00e0 cho b\u1ec7nh nh\u00e2n \u0111i b\u1ed9 t\u1eeb t\u1eeb tr\u00ean m\u00e1y ch\u1ea1y b\u1ed9 \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i ki\u1ec3m tra.<\/p>\n<p>B\u00e0i t\u1eadp luy\u1ec7n cho m\u1ed9t b\u1ec7nh nh\u00e2n &#8220;\u0111\u01a1n CRC&#8221; c\u00f3 th\u1ec3 l\u00e0 \u0111i b\u1ed9 nh\u1eb9 nh\u00e0ng, v\u1edbi c\u01b0\u1eddng \u0111\u1ed9 t\u0103ng d\u1ea7n \u0111\u01b0\u1ee3c cho l\u00e0 an to\u00e0n v\u00e0 h\u1eefu \u00edch. M\u1ed9t nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh, trong s\u1ed1 nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au tim ho\u1eb7c \u0111\u1ed9t qu\u1ef5, c\u00f3 tham gia ch\u01b0\u01a1ng tr\u00ecnh b\u00e0i t\u1eadp \u0111i b\u1ed9 CRC, th\u00ec c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng sau \u0111au tim v\u00e0 sau \u0111\u1ed9t qu\u1ef5 cao h\u01a1n nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng tham gia th\u1eed nghi\u1ec7m. CRC d\u01b0\u1eddng nh\u01b0 l\u00e0 m\u1ed9t gi\u1ea3i ph\u00e1p thi\u1ebft th\u1ef1c cho s\u1ef1 ph\u1ee5c h\u1ed3i c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n sau m\u1eafc COVID-19.<\/p>\n<p>\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 c\u00e1c chuy\u00ean gia y t\u1ebf ph\u1ea3i hi\u1ec3u r\u00f5 r\u00e0ng v\u1ec1&#8221;\u0111\u01a1n CRC&#8221;v\u00e0 s\u1eb5n s\u00e0ng h\u1ed7 tr\u1ee3 cho b\u1ec7nh nh\u00e2n, trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n sau COVID-19, kh\u00f4ng ph\u1ea3i ch\u1edd \u0111\u1ebfn khi c\u00f3 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch. M\u1ed9t l\u1ed1i s\u1ed1ng n\u0103ng \u0111\u1ed9ng v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 nguy c\u01a1 m\u1eafc b\u1ec7nh COVID-19 n\u1eb7ng v\u00e0 ngay c\u1ea3 t\u1eed vong. S\u1ef1 \u0111\u00e1p \u1ee9ng m\u1ea1nh m\u1ebd c\u1ee7a h\u1ec7 tim m\u1ea1ch do t\u1eadp luy\u1ec7n \u0111em l\u1ea1i k\u1ebft qu\u1ea3 t\u1ed1t cho b\u1ec7nh nh\u00e2n, \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh trong nhi\u1ec1u nghi\u00ean c\u1ee9u.<\/p>\n<p>T\u1eadp luy\u1ec7n th\u01b0\u1eddng xuy\u00ean l\u00e0 bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 ch\u1ed1ng vi\u00eam, l\u00e0 l\u00e1 ch\u1eafn gi\u00fap b\u1ea3o v\u1ec7 tim kh\u1ecfi c\u01a1n \u0111au tim ti\u1ec1m \u1ea9n v\u00e0 c\u1ea3i thi\u1ec7n \u0111\u1ed9 \u0111\u00e0n h\u1ed3i c\u1ee7a m\u1ea1ch m\u00e1u. V\u00ec th\u1ebf n\u00f3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau COVID-19 nh\u01b0 kh\u00f3 th\u1edf, kh\u00f3 ch\u1ecbu \u1edf ng\u1ef1c c\u00f9ng c\u00e1c bi\u1ebfn ch\u1ee9ng n\u1eb7ng kh\u00e1c. N\u00f3 l\u00e0 &#8220;li\u1ec1u thu\u1ed1c&#8221; t\u1ed1i \u01b0u v\u00e0 t\u00edch c\u1ef1c cho s\u1ee9c kh\u1ecfe c\u00f9ng v\u1edbi vi\u1ec7c \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh.<\/p>\n<div class=\"image-container\" title=\"B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i sau COVID-19 ph\u1ea3i \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u00e1nh gi\u00e1 v\u1ec1 tim m\u1ea1ch\" data-fancybox=\"group\">\n<figure><img decoding=\"async\" class=\"img-fake\" src=\"https:\/\/zalo-article-photo.zadn.vn\/a30924e333abdaf583ba#220925216\" alt=\"Zalo\" \/><figcaption>B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i sau COVID-19 ph\u1ea3i \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u00e1nh gi\u00e1 v\u1ec1 tim m\u1ea1ch<\/figcaption><\/figure>\n<\/div>\n<p>Hi\u1ec7n t\u1ea1i \u1edf Vi\u1ec7t Nam, qua 2 n\u0103m d\u1ecbch b\u1ec7nh, c\u00f3 m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng r\u1ea5t l\u1edbn b\u1ec7nh nh\u00e2n COVID-19 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u1ecfi b\u1ec7nh v\u1ec1 v\u1edbi c\u1ed9ng \u0111\u1ed3ng nh\u01b0ng v\u1ea5n \u0111\u1ec1 th\u0103m kh\u00e1m, theo d\u00f5i sau COVID-19, \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch v\u00e0 m\u1ed9t s\u1ed1 di ch\u1ee9ng kh\u00e1c c\u1ee7a b\u1ec7nh l\u00e0 ch\u01b0a th\u1eadt s\u1ef1 \u0111\u01b0\u1ee3c quan t\u00e2m. COVID-19 nh\u01b0ng r\u1ea5t \u00edt, \u0111\u1eb7c bi\u1ec7t ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch.<\/p>\n<p><strong>3.L\u1eddi khuy\u00ean cho b\u1ec7nh nh\u00e2n h\u1eadu COVID-19 trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe tim m\u1ea1ch<\/strong><\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ea7y thu\u1ed1c t\u01b0 v\u1ea5n r\u00f5 v\u1ec1 nh\u1eefng tri\u1ec7u ch\u1ee9ng s\u1ebd c\u00f2n t\u1ed3n t\u1ea1i (c\u00f3 th\u1ec3 s\u1ebd kh\u00f4ng c\u00f2n) \u1edf m\u1ed9t th\u1eddi gian sau xu\u1ea5t vi\u1ec7n nh\u01b0: kh\u00f3 ch\u1ecbu \u1edf ng\u1ef1c, th\u1edf c\u1ea3m gi\u00e1c h\u01a1i thi\u1ebfu h\u01a1i, \u0111au \u0111\u1ea7u, xo\u00e0ng \u0111\u1ea7u, \u0111au nh\u1ee9c c\u01a1 b\u1eafp, ho, m\u1ea5t kh\u1ee9u gi\u00e1c v\u00e0 v\u1ecb gi\u00e1c. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3m m\u00e0 c\u00e0ng ng\u00e0y c\u00e0ng t\u0103ng d\u1ea7n th\u00ec ph\u1ea3i trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n t\u1ef1 t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng h\u00e0ng ng\u00e0y (nh\u1eefng ng\u01b0\u1eddi c\u00f2n c\u00f3 th\u1ec3 t\u1eadp \u0111\u01b0\u1ee3c), kh\u00f4ng qu\u00e1 15 ph\u00fat m\u1ed9t ng\u00e0y v\u00e0 kh\u00f4ng qu\u00e1 90 ph\u00fat 1 tu\u1ea7n.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i sau COVID-19 ph\u1ea3i \u0111\u01b0\u1ee3c t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra \u0111\u00e1nh gi\u00e1 t\u00ecnh h\u00ecnh b\u1ec7nh chung, \u0111\u1eb7c bi\u1ec7t li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch. Th\u1ea7y thu\u1ed1c ph\u1ea3i t\u01b0 v\u1ea5n cho b\u1ec7nh nh\u00e2n nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1edbi v\u1ec1 tim m\u1ea1ch theo k\u1ebft qu\u1ea3 (c\u00f3 th\u1ec3 c\u00f3) \u0111\u1ec3 c\u1ea3nh b\u00e1o nh\u1eefng b\u1ec7nh l\u00fd n\u1eb7ng, c\u1ea5p c\u1ee9u (c\u00f3 th\u1ec3 x\u1ea3y ra).<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i sau COVID-19 ph\u1ea3i t\u1ea1o m\u1ed9t t\u00e2m l\u00fd s\u1ed1ng l\u1ea1c quan, y\u00eau \u0111\u1eddi tho\u1ea3i m\u00e1i, tr\u00e0n \u0111\u1ea7y n\u0103ng l\u01b0\u1ee3ng.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i sau COVID-19 n\u00ean tham gia ch\u01b0\u01a1ng tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim CRC.<\/p>\n<p><strong>TS.BSCK2. Phan Long Nh\u01a1n<\/strong><\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1edbi d\u1eef li\u1ec7u l\u1edbn cho th\u1ea5y r\u1eb1ng ngo\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y kh\u00f3 ch\u1ecbu v\u1ec1 h\u1ec7 h\u00f4 h\u1ea5p, \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eadu COVID-19 c\u00f2n g\u1eb7p ph\u1ea3i nh\u1eefng ch\u1ee9ng b\u1ec7nh v\u1ec1 tim m\u1ea1ch, cho d\u00f9 h\u1ecd c\u00f3 b\u1ec7nh tim tr\u01b0\u1edbc \u0111\u00f3 hay kh\u00f4ng. 1.Bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch h\u1eadu COVID-19 C\u00e1c chuy\u00ean gia [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":12011,"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-13229","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\/13229","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=13229"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13229\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12011"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13229"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13229"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13229"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}