{"id":13288,"date":"2022-03-15T20:25:08","date_gmt":"2022-03-15T13:25:08","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13288"},"modified":"2022-03-15T20:25:08","modified_gmt":"2022-03-15T13:25:08","slug":"kho-tho-dai-dang-la-dau-hieu-ton-thuong-phoi-o-benh-nhan-mac-covid-19","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/03\/15\/kho-tho-dai-dang-la-dau-hieu-ton-thuong-phoi-o-benh-nhan-mac-covid-19\/","title":{"rendered":"Kh\u00f3 th\u1edf dai d\u1eb3ng l\u00e0 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i \u1edf b\u1ec7nh nh\u00e2n m\u1eafc COVID-19"},"content":{"rendered":"

Theo chuy\u00ean gia, t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf dai d\u1eb3ng \u1edf b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 th\u1ec3 l\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch sau th\u1eddi gian d\u00e0i b\u1ecb nhi\u1ec5m virus, d\u1eabn \u0111\u1ebfn vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf.<\/h2>\n
\n

T\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf dai d\u1eb3ng n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng ph\u1ed5i v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra.<\/strong><\/p>\n

M\u1eafc COVID-19, kh\u00f3 th\u1edf ch\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u00e1ng quan ng\u1ea1i nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ecdi ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y, k\u1ec3 c\u1ea3 l\u00fac ngh\u1ec9 ng\u01a1i. \u0110\u00e2y c\u0169ng l\u00e0 d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn c\u00f9ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ho v\u00e0 s\u1ed1t. D\u1ea5u hi\u1ec7u n\u00e0y cho th\u1ea5y c\u01a1 th\u1ec3 kh\u00f4ng nh\u1eadn \u0111\u1ee7 oxy.<\/p>\n

L\u01b0\u1ee3ng oxy th\u1ea5p s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u00e3o, tim v\u00e0 c\u00e1c c\u01a1 quan quan tr\u1ecdng kh\u00e1c trong c\u01a1 th\u1ec3. Khi x\u00e2m nh\u1eadp c\u01a1 th\u1ec3, virus SARS-CoV-2 \u0111\u00e3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng oxy b\u00e3o h\u00f2a trong c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n v\u00e0 sau m\u1ed9t th\u1eddi gian t\u1ed5n th\u01b0\u01a1ng, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n.<\/p>\n

1. Kh\u00f3 th\u1edf l\u00e0 b\u1ec7nh g\u00ec?<\/strong><\/p>\n

Kh\u00f3 th\u1edf (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh \u0111\u00f3i kh\u00f4ng kh\u00ed ho\u1eb7c h\u1ee5t h\u01a1i) l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p kh\u00e1 ph\u1ed5 bi\u1ebfn. Kh\u00f3 th\u1edf khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh lu\u00f4n trong t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy, m\u1ec7t m\u1ecfi, t\u1ee9c ng\u1ef1c, h\u00f4 h\u1ea5p kh\u00f3 kh\u0103n, h\u01a1i th\u1edf \u0111\u1ee9t qu\u00e3ng.<\/p>\n

F0 m\u1eafc COVID-19, tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf c\u00f3 th\u1ec3 x\u1ea3y ra t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u0111a d\u1ea1ng. T\u1ea5t c\u1ea3 c\u00e1c F0 c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i, t\u1ea7m so\u00e1t c\u00e1c r\u1ed1i lo\u1ea1n t\u1eeb \u0111\u00f3 l\u00ean k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, l\u00e2u d\u00e0i.<\/p>\n

\n
\"Zalo\"
M\u1eafc COVID-19, kh\u00f3 th\u1edf ch\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u \u0111\u00e1ng quan ng\u1ea1i nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ecdi ho\u1ea1t \u0111\u1ed9ng.<\/figcaption><\/figure>\n<\/div>\n

2. Tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf<\/strong><\/p>\n

C\u1ea3m th\u1ea5y ng\u1ed9t ng\u1ea1t ho\u1eb7c ng\u1ea1t th\u1edf.Th\u1edf g\u1ea5p.T\u1ee9c ng\u1ef1c.Th\u1edf nhanh, n\u00f4ng.Tim \u0111\u1eadp nhanh.Th\u1edf kh\u00f2 kh\u00e8.Ho.<\/p>\n

3. Kh\u00f3 th\u1edf c\u00f3 th\u1ec3 g\u00e2y bi\u1ebfn ch\u1ee9ng g\u00ec?<\/strong><\/p>\n

Kh\u00f3 th\u1edf l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy ho\u1eb7c gi\u1ea3m oxy trong m\u00e1u, t\u1ee9c l\u00e0 m\u1ee9c oxy trong m\u00e1u th\u1ea5p.<\/p>\n

V\u00ec th\u1ebf, n\u1ebfu ch\u1ee7 quan v\u1edbi t\u00ecnh tr\u1ea1ng n\u00e0y m\u00e0 kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p x\u1eed l\u00fd k\u1ecbp th\u1eddi, n\u00e3o s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 oxy \u0111\u1ec3 ho\u1ea1t \u0111\u1ed9ng trong th\u1eddi gian d\u00e0i, d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng suy gi\u1ea3m nh\u1eadn th\u1ee9c t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/p>\n

C\u00f9ng v\u1edbi \u0111\u00f3 l\u00e0 m\u1ed9t lo\u1ea1t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m kh\u00e1c nh\u01b0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o, ho\u1ea1i t\u1eed n\u00e3o, \u0111\u1ed9t qu\u1ef5\u2026<\/p>\n

4. Kh\u00f3 th\u1edf n\u00ean l\u00e0m g\u00ec?<\/strong><\/p>\n

\u1ede t\u1ea5t c\u1ea3 c\u00e1c F0, hi\u1ec7n t\u01b0\u1ee3ng kh\u00f3 th\u1edf kh\u00f4ng gi\u1ed1ng nhau v\u1ec1 m\u1ee9c \u0111\u1ed9 v\u00e0 c\u0103n nguy\u00ean. N\u1ebfu ch\u1ec9 b\u1ecb kh\u00f3 th\u1edf trong th\u1eddi gian ng\u1eafn v\u1edbi m\u1ee9c \u0111\u1ed9 kh\u00f4ng nghi\u00eam tr\u1ecdng th\u00ec c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 t\u1ea1i nh\u00e0. Tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u1ea7n b\u00e1o ngay v\u1edbi c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

5. Kh\u00f3 th\u1edf dai d\u1eb3ng c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i?<\/strong><\/p>\n

Ph\u1ed5i l\u00e0 c\u01a1 quan b\u1ecb \u1ea3nh h\u01b0\u1edfng n\u1eb7ng nh\u1ea5t b\u1edfi COVID-19 v\u1edbi nh\u1eefng bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam ph\u1ed5i, h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p ti\u1ebfn tri\u1ec3n v\u00e0 nhi\u1ec5m khu\u1ea9n. COVID-19 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng l\u00e2u d\u00e0i cho ph\u1ed5i, bi\u1ec3u hi\u1ec7n qua tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf. C\u00e1c bi\u1ebfn th\u1ec3 m\u1edbi c\u1ee7a virus SARS-CoV-2 c\u0169ng \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn h\u1ec7 h\u00f4 h\u1ea5p, c\u00f3 th\u1ec3 g\u00e2y vi\u00eam ph\u1ebf qu\u1ea3n.<\/p>\n

M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do COVID-19 ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 l\u00e2y nhi\u1ec5m v\u00e0 nh\u1eefng nh\u00e2n t\u1ed1 kh\u00e1c nh\u01b0 b\u1ec7nh n\u1ec1n.<\/p>\n

Chuy\u00ean gia Panagis Galiatsatos (Trung t\u00e2m Y t\u1ebf Johns Hopkins Bayview, M\u1ef9)<\/p>\n

M\u1ed9t ph\u00e1t hi\u1ec7n m\u1edbi \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed y khoa Immunity \u0111\u01b0\u1ee3c Zing tr\u00edch d\u1eabn cho hay, kh\u00f3 th\u1edf dai d\u1eb3ng c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i. K\u1ebft qu\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u ph\u00e1t hi\u1ec7n \u0111\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y ph\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1eefa l\u00e0nh ho\u00e0n to\u00e0n kh\u1ecfi nh\u1eefng t\u1ed5n th\u01b0\u01a1ng do virus SARS-CoV-2 g\u00e2y ra.<\/p>\n

Ti\u1ebfn s\u0129 James Harker (Vi\u1ec7n Tim v\u00e0 Ph\u1ed5i Qu\u1ed1c gia c\u1ee7a \u0110\u1ea1i h\u1ecdc Ho\u00e0ng gia London -Anh, m\u1ed9t trong nh\u1eefng t\u00e1c gi\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u) gi\u1ea3i th\u00edch, t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf k\u00e9o d\u00e0i cho th\u1ea5y s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch b\u1ea5t th\u01b0\u1eddng, \u0111\u01b0\u1ee3c t\u1ea1o ra do COVID-19.<\/p>\n

C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 theo d\u00f5i nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u00f3 th\u1edf li\u00ean t\u1ee5c b\u1eb1ng c\u00e1ch ki\u1ec3m tra m\u1eabu ch\u1ea5t l\u1ecfng chi\u1ebft xu\u1ea5t t\u1eeb ph\u1ed5i. M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a nghi\u00ean c\u1ee9u l\u00e0 t\u00ecm hi\u1ec3u nh\u1eefng t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch n\u00e0o \u0111ang ho\u1ea1t \u0111\u1ed9ng b\u00ean trong ph\u1ed5i d\u1eabn \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 kh\u00f3 th\u1edf h\u1eadu COVID-19. Gi\u1edbi nghi\u00ean c\u1ee9u ph\u00e1t hi\u1ec7n s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch b\u1ecb thay \u0111\u1ed5i trong \u0111\u01b0\u1eddng th\u1edf c\u1ee7a nh\u1eefng ng\u01b0\u1eddi tham gia nghi\u00ean c\u1ee9u.<\/p>\n

K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u ch\u1ec9 r\u00f5, t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf dai d\u1eb3ng \u1edf b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 th\u1ec3 l\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch sau th\u1eddi gian d\u00e0i b\u1ecb nhi\u1ec5m virus, d\u1eabn \u0111\u1ebfn vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u00f3 th\u1ec3 tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u nh\u1eadn \u0111\u1ecbnh, kh\u00f3 th\u1edf dai d\u1eb3ng n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng ph\u1ed5i v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n

6. \u0110\u1eb7c \u0111i\u1ec3m t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do COVID-19<\/p>\n

\n
\"Zalo\"
Ph\u1ed5i l\u00e0 c\u01a1 quan b\u1ecb \u1ea3nh h\u01b0\u1edfng n\u1eb7ng nh\u1ea5t b\u1edfi COVID-19.<\/figcaption><\/figure>\n<\/div>\n

6.1. Tr\u00ean h\u00ecnh \u1ea3nh X-quang<\/strong><\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh:<\/p>\n

N\u1ed1t m\u1edd, \u0111\u00e1m m\u1edd, k\u00ednh m\u1edd h\u00ecnh tr\u00f2n \u0111a \u1ed5.\u0110\u00f4ng \u0111\u1eb7c nhu m\u00f4 ph\u1ed5i v\u00f9ng ngo\u1ea1i vi \u0111a \u1ed5 (n\u1ebfu kh\u00f4ng ph\u00e2n b\u1ed1 \u1edf ngo\u1ea1i vi th\u00ec coi l\u00e0 ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c).<\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, c\u00f3 th\u1ec3 do COVID-19 ho\u1eb7c c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c:<\/p>\n

\u0110\u00f4ng \u0111\u1eb7c khu tr\u00fa th\u00f9y ph\u1ed5i.Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.M\u1edd t\u1ed5 ch\u1ee9c k\u1ebd quanh r\u1ed1n ph\u1ed5i.D\u00e0y th\u00e0nh ph\u1ebf qu\u1ea3n, d\u00e0y v\u00e1ch li\u00ean ti\u1ec3u th\u00f9y.X\u1eb9p ph\u1ed5i.B\u1ec7nh l\u00fd h\u1ea1ch lympho.<\/p>\n

V\u00e0o giai \u0111o\u1ea1n s\u1edbm, h\u00ecnh \u1ea3nh X-quang c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng. T\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng c\u1ea3 \u1edf nhu m\u00f4 ph\u1ed5i v\u00e0 t\u1ed5 ch\u1ee9c k\u1ebd. T\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng lan t\u1ecfa, th\u00f9y d\u01b0\u1edbi hai b\u00ean, \u1edf v\u00f9ng ngo\u1ea1i vi, \u00edt c\u00f3 ph\u00e1 h\u1ee7y. Khi kh\u1ecfi c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i x\u01a1 ph\u1ed5i.<\/p>\n

H\u00ecnh \u1ea3nh k\u00ednh m\u1edd (ground glass opacity – GGO): L\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u00f4ng \u0111\u1eb7c kh\u00f4ng ho\u00e0n to\u00e0n, c\u00f3 t\u1ef7 tr\u1ecdng cao h\u01a1n nhu m\u00f4 ph\u1ed5i xung quanh v\u1eabn c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1eddng b\u1edd c\u00e1c m\u1ea1ch m\u00e1u ho\u1eb7c ph\u1ebf qu\u1ea3n b\u00ean trong t\u1ed5n th\u01b0\u01a1ng \u0111\u00f3.<\/p>\n

H\u00ecnh \u1ea3nh n\u1ed1t m\u1edd: L\u00e0 nh\u1eefng h\u00ecnh m\u1edd c\u00f3 \u0111\u01b0\u1eddng k\u00ednh d\u01b0\u1edbi 3cm, d\u1ea1ng h\u00ecnh tr\u00f2n, c\u00f3 th\u1ec3 \u0111\u01a1n \u0111\u1ed9c, c\u00f3 th\u1ec3 r\u1ea3i r\u00e1c trong nhu m\u00f4 ph\u1ed5i. C\u00e1c n\u1ed1t ph\u1ed5i th\u01b0\u1eddng c\u00f3 ranh gi\u1edbi r\u00f5, \u0111\u01b0\u1ee3c bao quanh b\u1edfi nhu m\u00f4 ph\u1ed5i v\u00e0 kh\u00f4ng li\u00ean t\u1ee5c v\u1edbi r\u1ed1n ph\u1ed5i hay trung th\u1ea5t.<\/p>\n

H\u00ecnh \u1ea3nh d\u00e0y th\u00e0nh ph\u1ebf qu\u1ea3n: L\u00e0 nh\u1eefng t\u1ed5n th\u01b0\u01a1ng th\u1ec3 hi\u1ec7n th\u00e0nh c\u1ee7a ph\u1ebf qu\u1ea3n d\u00e0y l\u00ean, do c\u00f3 s\u1ef1 t\u00edch t\u1ee5 d\u1ecbch hay ch\u1ea5t nh\u00e0y xung quanh th\u00e0nh ph\u1ebf qu\u1ea3n, trong m\u00f4 k\u1ebd.<\/p>\n

H\u00ecnh \u1ea3nh d\u00e0y v\u00e1ch li\u00ean th\u00f9y: Li\u00ean quan \u0111\u1ebfn d\u1ecbch r\u00e3nh li\u00ean th\u00f9y, th\u00e2m nhi\u1ec5m t\u1ebf b\u00e0o ho\u1eb7c x\u01a1 h\u00f3a. Trong vi\u00eam ph\u1ed5i do virus, d\u00e0y c\u00e1c v\u00e1ch li\u00ean th\u00f9y g\u1eb7p trong t\u1ed5n th\u01b0\u01a1ng lan t\u1ecfa trong ARDS.<\/p>\n

\n
\"Zalo\"
H\u00ecnh \u1ea3nh ph\u1ed5i b\u1ecb t\u1ed5n th\u01b0\u01a1ng do COVID-19 tr\u00ean h\u00ecnh \u1ea3nh X-quang. \u1ea2nh: BVTWQ\u0110 108<\/figcaption><\/figure>\n<\/div>\n

6.2. Tr\u00ean h\u00ecnh \u1ea3nh c\u1eaft l\u1edbp vi t\u00ednh<\/strong><\/p>\n

– T\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng g\u1eb7p c\u1ea3 hai ph\u1ed5i, c\u00f3 nhi\u1ec1u \u1ed5, ph\u00e2n b\u1ed1 th\u01b0\u1eddng \u1edf ngo\u1ea1i vi, d\u01b0\u1edbi m\u00e0ng ph\u1ed5i v\u00e0 \u0111\u00e1y ph\u1ed5i.<\/p>\n

C\u00e1c lo\u1ea1i t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do COVID-19 c\u00f3 th\u1ec3 th\u1ea5y tr\u00ean h\u00ecnh \u1ea3nh c\u1eaft l\u1edbp vi t\u00ednh l\u00e0:<\/p>\n

H\u00ecnh \u1ea3nh k\u00ednh m\u1edd (ground glass opacity – GGO): L\u00e0 d\u1ea5u hi\u1ec7u hay g\u1eb7p nh\u1ea5t, th\u01b0\u1eddng nhi\u1ec1u \u1ed5, hai b\u00ean v\u00e0 \u1edf ngo\u1ea1i vi, tuy nhi\u00ean trong giai \u0111o\u1ea1n s\u1edbm c\u00f3 th\u1ebf g\u1eb7p m\u1ed9t \u1ed5 t\u1ed5n th\u01b0\u01a1ng khu tr\u00fa v\u00e0 ch\u1ee7 y\u1ebfu \u1edf th\u00f9y d\u01b0\u1edbi ph\u1ed5i ph\u1ea3i.H\u00ecnh \u1ea3nh l\u00e1t \u0111\u00e1 (crazy paving): T\u1ed5n th\u01b0\u01a1ng k\u00ednh m\u1edd k\u1ebft h\u1ee3p v\u1edbi d\u00e0y v\u00e1ch li\u00ean ti\u1ec3u th\u00f9y, v\u00e1ch trong ti\u1ec3u th\u00f9y.H\u00ecnh \u1ea3nh k\u00ednh m\u1edd k\u00e8m \u0111\u00f4ng \u0111\u1eb7c ph\u1ed5i t\u1eebng ph\u1ea7n.H\u00ecnh \u1ea3nh \u0111\u00e1m m\u1edd d\u1ea1ng \u0111\u00f4ng \u0111\u1eb7c ph\u1ed5i \u0111\u01a1n thu\u1ea7n.H\u00ecnh \u1ea3nh k\u00ednh m\u1edd ho\u1eb7c \u0111\u00f4ng \u0111\u1eb7c ph\u1ed5i c\u00f3 bi\u1ec3u hi\u1ec7n d\u1ea5u halo \u0111\u1ea3o ng\u01b0\u1ee3c (g\u1ed3m vi\u1ec1n \u0111\u1eb7c ph\u1ed5i d\u00e0y t\u1ed1i thi\u1ec3u 2 mm bao quanh v\u00f9ng k\u00ednh m\u1edd \u1edf trung t\u00e2m).H\u00ecnh \u1ea3nh gi\u00e3n m\u1ea1ch m\u00e1u b\u00ean trong \u0111\u00e1m m\u1edd t\u1ed5n th\u01b0\u01a1ng.H\u00ecnh \u1ea3nh gi\u00e3n ph\u1ebf qu\u1ea3n co k\u00e9o.H\u00ecnh \u1ea3nh d\u1ea3i m\u1edd d\u01b0\u1edbi m\u00e0ng ph\u1ed5i g\u00e2y bi\u1ebfn d\u1ea1ng c\u1ea5u tr\u00fac.<\/p>\n

L\u01b0u \u00fd: Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, th\u01b0\u01a1ng t\u1ed5n ph\u1ed5i d\u1ea1ng n\u1ed1t, h\u1ea1ch trung th\u1ea5t hay h\u1ea1ch r\u1ed1n ph\u1ed5i th\u00ec kh\u00f4ng \u0111\u1eb7c th\u00f9 cho COVID-19, r\u1ea5t \u00edt ca c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u n\u00e0y. C\u00e1c th\u01b0\u01a1ng t\u1ed5n n\u00e0y n\u1ebfu xu\u1ea5t hi\u1ec7n nhi\u1ec1u th\u00ec \u01b0u ti\u00ean ngh\u0129 \u0111\u1ebfn vi\u00eam ph\u1ed5i do nguy\u00ean nh\u00e2n kh\u00e1c.<\/p>\n

7. Bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c khi b\u1ecb kh\u00f3 th\u1edf<\/strong><\/p>\n

\u01af\u1ee1n ng\u1ef1c v\u1ec1 tr\u01b0\u1edbc<\/strong><\/p>\n

Ng\u1ed3i trong t\u01b0 th\u1ebf ng\u1ef1c \u01b0\u1ee1n v\u1ec1 ph\u00eda tr\u01b0\u1edbc c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n c\u1ea3m gi\u00e1c kh\u00f3 th\u1edf. H\u00e3y ng\u1ed3i th\u1eb3ng l\u01b0ng, \u01b0\u1ee1n ng\u1ef1c v\u1ec1 ph\u00eda tr\u01b0\u1edbc r\u1ed3i \u0111\u1eb7t tay l\u00ean \u0111\u00f9i, vai th\u1ea3 l\u1ecfng. \u0110\u00e2y l\u00e0 \u0111\u1ed9ng t\u00e1c gi\u00fap cho ng\u1ef1c \u0111\u01b0\u1ee3c th\u1ea3 l\u1ecfng n\u00ean nh\u1edd \u0111\u00f3 ch\u1ee9c n\u0103ng ph\u1ed5i c\u0169ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3.<\/p>\n

Th\u1edf s\u00e2u<\/strong><\/p>\n

Th\u1edf s\u00e2u \u0111\u01b0\u1eddng b\u1ee5ng c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf. Th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch:N\u1eb1m xu\u1ed1ng, \u0111\u1eb7t hai tay l\u00ean b\u1ee5ng;H\u00edt s\u00e2u qua m\u0169i, ph\u00ecnh b\u1ee5ng v\u00e0 \u0111\u1ec3 ph\u1ed5i ch\u1ee9a \u0111\u1ea7y kh\u00f4ng kh\u00ed.N\u00edn th\u1edf s\u00e2u trong v\u00e0i gi\u00e2y.Th\u1edf ch\u1eadm qua mi\u1ec7ng cho \u0111\u1ebfn khi ph\u1ed5i h\u1ebft kh\u00f4ng kh\u00ed.L\u1eb7p l\u1ea1i trong kho\u1ea3ng 5 – 10 ph\u00fat.Duy tr\u00ec \u0111\u1ec1u \u0111\u1eb7n h\u00e0ng ng\u00e0y s\u1ebd gi\u00fap ki\u1ec3m so\u00e1t ch\u1ee9ng kh\u00f3 th\u1edf t\u1ed1t h\u01a1n.<\/p>\n

\n
\"Zalo\"
Ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p th\u1edf m\u00edm m\u00f4i. Ngu\u1ed3n: healthline.com<\/figcaption><\/figure>\n<\/div>\n

Th\u1edf m\u00edm m\u00f4i<\/strong><\/p>\n

Th\u1edf m\u00edm m\u00f4i \u0111\u01b0\u1ee3c xem l\u00e0 k\u1ef9 thu\u1eadt \u0111\u01a1n gi\u1ea3n \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh nhanh ch\u00f3ng m\u1edf r\u1ed9ng \u0111\u01b0\u1eddng th\u1edf \u0111\u1ec3 h\u00edt v\u00e0o, th\u1edf ra d\u1ec5 d\u00e0ng v\u00e0 s\u00e2u h\u01a1n. K\u1ef9 thu\u1eadt n\u00e0y c\u0169ng h\u1ed7 tr\u1ee3 lo\u1ea1i b\u1ecf nh\u1eefng t\u00e1c nh\u00e2n, hay t\u00ecnh tr\u1ea1ng kh\u00f4ng kh\u00ed \u1ee9 c\u1eb7n m\u1eafc k\u1eb9t trong ph\u1ed5i.<\/p>\n

\u0110\u1ec3 th\u1ef1c hi\u1ec7n c\u1ea7n l\u00e0m c\u00e1c b\u01b0\u1edbc:<\/p>\n

Th\u01b0 gi\u00e3n, th\u1ea3 l\u1ecfng c\u01a1 vai v\u00e0 c\u1ed5.\u0110\u1eb7t m\u1ed9t tay l\u00ean th\u00e0nh b\u1ee5ng.H\u00edt s\u00e2u v\u00e0o b\u1eb1ng \u0111\u01b0\u1eddng m\u0169i 2 nh\u1ecbp, l\u00fac n\u00e0y mi\u1ec7ng v\u1eabn \u0111\u00f3ng v\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y th\u00e0nh b\u1ee5ng h\u01a1i c\u0103ng ra.Th\u1edf m\u00edm m\u00f4i (ch\u00fam m\u00f4i – t\u1ea1o ra kho\u1ea3ng c\u00e1ch nh\u1ecf \u1edf gi\u1eefa 2 m\u00f4i) l\u1ea1i cho h\u01a1i th\u1edf t\u1eeb t\u1eeb tho\u00e1t ra k\u1ebd m\u00f4i, th\u00e0nh b\u1ee5ng x\u1eb9p d\u1ea7n xu\u1ed1ng. Th\u1ef1c hi\u1ec7n l\u1ea1i \u0111\u1ed9ng t\u00e1c n\u00e0y kho\u1ea3ng 10 ph\u00fat \u0111\u1ec3 kh\u1eafc ph\u1ee5c ch\u1ee9ng kh\u00f3 th\u1edf.<\/p>\n

Ng\u1ed3i th\u1ea3 l\u1ecfng v\u00e0 h\u01a1i nh\u00f4 ng\u01b0\u1eddi v\u1ec1 ph\u00eda tr\u01b0\u1edbc<\/strong><\/p>\n

Th\u1ea3 l\u1ecfng c\u01a1 th\u1ec3 khi \u0111ang ng\u1ed3i tr\u00ean gh\u1ebf gi\u00fap th\u1ea7n tr\u00ed v\u00e0 c\u1ea3 c\u01a1 th\u1ec3 \u0111\u01b0\u1ee3c th\u01b0 gi\u00e3n, gi\u00fap h\u00edt th\u1edf d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n

T\u01b0 th\u1ebf n\u00e0y th\u1ef1c hi\u1ec7n nh\u01b0 sau:<\/p>\n

Ng\u1ed3i tr\u00ean gh\u1ebf, l\u00f2ng b\u00e0n ch\u00e2n \u0111\u1eb7t xu\u1ed1ng s\u00e0n, ng\u1ef1c h\u01a1i ch\u1ebfch v\u1ec1 ph\u00eda tr\u01b0\u1edbc m\u1ed9t ch\u00fat.Nh\u1eb9 nh\u00e0ng \u0111\u1eb7t c\u00f9i ch\u1ecf l\u00ean \u0111\u1ea7u g\u1ed1i ho\u1eb7c 2 tay gi\u1eef l\u1ea5y c\u1eb1m.Lu\u00f4n gi\u1eef cho ph\u1ea7n vai, c\u1ed5 th\u1ea3 l\u1ecfng.<\/p>\n

D\u00f9ng c\u01a1 ho\u00e0nh \u0111\u1ec3 th\u1edf<\/strong><\/p>\n

Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ng\u1ed3i tr\u00ean gh\u1ebf, vai v\u00e0 tay th\u1ea3 l\u1ecfng, tay \u0111\u1eb7t l\u00ean b\u1ee5ng, m\u00f4i m\u00edm ch\u1eb7t. Sau \u0111\u00f3, t\u1eeb t\u1eeb d\u00f9ng m\u0169i \u0111\u1ec3 h\u00edt v\u00e0o v\u00e0 th\u1edf ra b\u1eb1ng m\u00f4i, c\u01a1 b\u1ee5ng si\u1ebft ch\u1eb7t l\u1ea1i. \u0110\u1ed9ng t\u00e1c n\u00e0y l\u00e0m trong kho\u1ea3ng 5 ph\u00fat c\u00f3 th\u1ec3 gi\u1ea3m v\u00e0 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c ch\u1ee9ng kh\u00f3 th\u1edf.<\/p>\n

\n
\"Zalo\"
B\u00e0i t\u1eadp th\u1edf c\u01a1 ho\u00e0nh. \u1ea2nh: Theo t\u00e0i li\u1ec7u S\u1edf Y t\u1ebf H\u00e0 N\u1ed9i<\/figcaption><\/figure>\n<\/div>\n

\u0110\u1ee9ng th\u1eb3ng<\/strong><\/p>\n

T\u00ecm m\u1ed9t \u0111i\u1ec3m t\u1ef1a v\u1eefng ch\u1eafc \u0111\u1ec3 t\u1ef1a l\u01b0ng \u0111\u1ee9ng th\u1eb3ng v\u00e0o \u0111\u00f3 c\u00f3 th\u1ec3 t\u0103ng c\u01b0\u1eddng ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng th\u1edf trong ph\u1ed5i v\u00e0 gi\u1ea3m kh\u00f3 th\u1edf.<\/p>\n

T\u01b0 th\u1ebf n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n:<\/p>\n

\u0110\u1ee9ng th\u1eb3ng l\u01b0ng d\u1ef1a v\u00e0o t\u01b0\u1eddng ho\u1eb7c v\u00e1ch.ch\u00e2n dang r\u1ed9ng b\u1eb1ng vai.\u0110\u1eb7t tay l\u00ean \u0111\u00f9i r\u1ed3i \u01b0\u1ee1n ng\u1ef1c v\u1ec1 tr\u01b0\u1edbc.2 tay \u0111ung \u0111\u01b0a ra tr\u01b0\u1edbc.<\/p>\n

Ch\u1ecdn c\u00e1c t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i<\/strong><\/p>\n

Ng\u1ed3i c\u00fai ra tr\u01b0\u1edbc tr\u00ean m\u1ed9t chi\u1ebfc gh\u1ebf, t\u1ed1t nh\u1ea5t v\u1edbi \u0111\u1ea7u t\u1ef1a l\u00ean b\u00e0n.D\u1ef1a v\u00e0o t\u01b0\u1eddng \u0111\u1ec3 l\u01b0ng \u0111\u01b0\u1ee3c ch\u1ed1ng \u0111\u1ee1.\u0110\u1ee9ng ch\u1ed1ng hai tay xu\u1ed1ng b\u00e0n, \u0111\u1ec3 b\u1edbt tr\u1ecdng l\u01b0\u1ee3ng l\u00ean ch\u00e2n.N\u1eb1m nghi\u00eang m\u1ed9t b\u00ean, v\u1edbi m\u1ed9t chi\u1ebfc g\u1ed1i k\u1eb9p gi\u1eefa 2 ch\u00e2n, k\u00ea \u0111\u1ea7u cao l\u00ean b\u1eb1ng 1 ho\u1eb7c nhi\u1ec1u chi\u1ebfc g\u1ed1i sao cho b\u1ea1n c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i nh\u1ea5t, \u0111\u1ed3ng th\u1eddi gi\u1eef l\u01b0ng th\u1eb3ng.N\u1eb1m ng\u1eeda, th\u1eb3ng l\u01b0ng, k\u00ea cao \u0111\u1ea7u b\u1eb1ng 1 ho\u1eb7c 2 chi\u1ebfc g\u1ed1i (t\u00f9y), \u0111\u1ed3ng th\u1eddi \u0111\u1eb7t th\u00eam 1 chi\u1ebfc g\u1ed1i \u1edf d\u01b0\u1edbi 2 \u0111\u1ea7u g\u1ed1i.<\/p>\n

X\u00f4ng m\u0169i<\/strong><\/p>\n

H\u00e3y l\u1ea5y m\u1ed9t b\u00e1t n\u01b0\u1edbc n\u00f3ng r\u1ed3i nh\u1ecf th\u00eam v\u00e0o \u0111\u00f3 v\u00e0i gi\u1ecdt tinh d\u1ea7u b\u1ea1c h\u00e0 ho\u1eb7c tinh d\u1ea7u khuynh di\u1ec7p v\u00e0 c\u00fai m\u1eb7t xu\u1ed1ng b\u00e1t \u1edf kho\u1ea3ng c\u00e1ch ph\u00f9 h\u1ee3p \u0111\u1ee7 \u0111\u1ec3 kh\u00f4ng b\u1ecb b\u1ecfng sau \u0111\u00f3 h\u00edt th\u1eadt s\u00e2u cho h\u01a1i n\u01b0\u1edbc b\u1ed1c l\u00ean t\u1eeb b\u00e1t v\u00e0o trong m\u0169i v\u00e0 th\u1edf ra nh\u1eb9 nh\u00e0ng. H\u00edt h\u01a1i n\u01b0\u1edbc c\u00f3 th\u1ec3 gi\u00fap l\u00e0m th\u00f4ng m\u0169i, gi\u00fap th\u1edf d\u1ec5 d\u00e0ng h\u01a1n. H\u01a1i n\u00f3ng v\u00e0 \u0111\u1ed9 \u1ea9m t\u1eeb h\u01a1i n\u01b0\u1edbc c\u0169ng c\u00f3 th\u1ec3 l\u00e0m tan ch\u1ea5t nh\u1ea7y trong ph\u1ed5i, gi\u00fap gi\u1ea3m s\u1ef1 kh\u00f3 th\u1edf.<\/p>\n

U\u1ed1ng tr\u00e0 g\u1eebng<\/strong><\/p>\n

G\u1ecdt v\u1ecf v\u00e0 c\u1eaft v\u00e0i l\u00e1t g\u1eebng t\u01b0\u01a1i cho v\u00e0o c\u1ed1c n\u01b0\u1edbc s\u00f4i. \u0110\u1eady n\u1eafp trong 10 ph\u00fat, cho th\u00eam chanh v\u00e0 m\u1eadt ong v\u00e0o v\u00e0 u\u1ed1ng, s\u1ebd th\u1ea5y d\u1ec5 th\u1edf h\u01a1n.<\/p>\n

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

Theo chuy\u00ean gia, t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf dai d\u1eb3ng \u1edf b\u1ec7nh nh\u00e2n COVID-19 c\u00f3 th\u1ec3 l\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch sau th\u1eddi gian d\u00e0i b\u1ecb nhi\u1ec5m virus, d\u1eabn \u0111\u1ebfn vi\u00eam v\u00e0 t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf. T\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf dai d\u1eb3ng n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng […]<\/p>\n","protected":false},"author":4,"featured_media":10633,"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-13288","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\/13288","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=13288"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13288\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/10633"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13288"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13288"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13288"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}