{"id":13792,"date":"2022-04-17T22:20:37","date_gmt":"2022-04-17T15:20:37","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=13792"},"modified":"2022-04-17T22:20:37","modified_gmt":"2022-04-17T15:20:37","slug":"hau-covid-19-tre-sot-cao-lien-tuc-phat-ban-roi-loan-tieu-hoa-cha-me-can-cho-di-kham-ngay","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/04\/17\/hau-covid-19-tre-sot-cao-lien-tuc-phat-ban-roi-loan-tieu-hoa-cha-me-can-cho-di-kham-ngay\/","title":{"rendered":"H\u1eadu COVID-19, tr\u1ebb s\u1ed1t cao li\u00ean t\u1ee5c, ph\u00e1t ban, r\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1… cha m\u1eb9 c\u1ea7n cho \u0111i kh\u00e1m ngay"},"content":{"rendered":"

Khi tr\u1ebb xu\u1ea5t hi\u1ec7n nh\u1eefng t\u00ecnh tr\u1ea1ng nh\u01b0 s\u1ed1t cao li\u00ean t\u1ee5c, ph\u00e1t ban, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, n\u1ebfu n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, s\u1ed1c,\u2026 cha m\u1eb9 c\u1ea7n \u0111\u01b0a con t\u1edbi c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 bi\u1ebft c\u00f3 m\u1eafc h\u1eadu COVID-19 hay h\u1ed9i ch\u1ee9ng MIS-C hay kh\u00f4ng.<\/h2>\n
\n
\n
\n
\n
<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n
\n
\n

T\u1eeb \u0111\u1ea7u th\u00e1ng 2 \u0111\u1ebfn nay, B\u1ec7nh vi\u1ec7n Nhi TW li\u00ean t\u1ee5c ti\u1ebfp nh\u1eadn m\u1ed9t s\u1ed1 tr\u1ebb c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u\u00a0h\u1eadu COVID -19<\/a>\u00a0t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng. \u0110a s\u1ed1 tr\u1ebb b\u1ecb nh\u1eadp vi\u1ec7n \u0111i\u1ec1u ch\u01b0a \u0111\u01b0\u1ee3c\u00a0ti\u00eam vaccine ph\u00f2ng COVID-19<\/a>, \u0111\u00e1ng ch\u00fa \u00fd \u0111\u00e3 c\u00f3 nh\u1eefng b\u1ec7nh nhi di\u1ec5n bi\u1ebfn r\u1ea5t n\u1eb7ng ph\u1ea3i\u00a0th\u1edf m\u00e1y, l\u1ecdc m\u00e1u<\/a>.<\/p>\n

T\u1ea1i bu\u1ed5i T\u1eadp hu\u1ea5n tr\u1ef1c tuy\u1ebfn, b\u00e0i gi\u1ea3ng “H\u1eadu COVID-19 v\u00e0 MIS-C \u1edf tr\u1ebb em” m\u1edbi \u0111\u00e2y do B\u1ec7nh vi\u1ec7n Nhi TW t\u1ed5 ch\u1ee9c theo h\u00ecnh th\u1ee9c tr\u1ef1c tuy\u1ebfn nh\u1eb1m c\u1eadp nh\u1eadt li\u00ean t\u1ee5c ki\u1ebfn th\u1ee9c v\u1ec1 ti\u1ebfp c\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb cho b\u00e1c s\u0129 chuy\u00ean khoa Nhi trong c\u1ea3 n\u01b0\u1edbc, c\u00e1c chuy\u00ean gia nhi khoa n\u00eau r\u00f5: Tr\u01b0\u1eddng h\u1ee3p tr\u1ebb ph\u1ea3i nh\u1eadp vi\u1ec7n trong \u0111\u1ee3t m\u1eafc COVID-19 c\u1ea5p t\u00ednh, sau khi ra vi\u1ec7n, n\u00ean cho tr\u1ebb \u0111i kh\u00e1m l\u1ea1i theo l\u1ecbch h\u1eb9n c\u1ee7a c\u01a1 s\u1edf y t\u1ebf.<\/p>\n

\n
\"H\u1eadu<\/a><\/div>
\n

Th\u0103m kh\u00e1m cho tr\u1ebb sau m\u1eafc COVID-19 t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi TW. \u1ea2nh BVCC<\/p>\n<\/figcaption><\/figure>\n

Ngo\u00e0i ra, d\u00f9 tr\u1ebb kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nghi ng\u1edd c\u1ee7a h\u1eadu COVID-19, cha m\u1eb9 c\u00f3 th\u1ec3 \u0111\u01b0a tr\u1ebb t\u1edbi kh\u00e1m b\u00e1c s\u0129 Nhi khoa v\u00e0o kho\u1ea3ng th\u1eddi gian 4 \u2013 12 tu\u1ea7n sau m\u1eafc COVID-19 \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra, t\u01b0 v\u1ea5n v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb.<\/p>\n

TS. BS Phan H\u1eefu Ph\u00fac \u2013 Vi\u1ec7n tr\u01b0\u1edfng Vi\u1ec7n \u0110\u00e0o t\u1ea1o v\u00e0 Nghi\u00ean c\u1ee9u S\u1ee9c kh\u1ecfe Tr\u1ebb em, B\u1ec7nh vi\u1ec7n Nhi TW chia s\u1ebb: Bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1eadu COVID-19 v\u1edbi nh\u1eefng tr\u1ebb c\u00f3 ti\u1ec1n s\u1eed \u0111\u00e3 m\u1eafc COVID-19 ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc COVID-19, s\u1ed1ng trong v\u00f9ng d\u1ecbch th\u01b0\u1eddng x\u1ea3y ra nh\u01b0 sau: S\u1ed1t nh\u1eb9, kh\u00f3 th\u1edf, ho k\u00e9o d\u00e0i; Tr\u1ebb b\u1ecb m\u1ec7t m\u1ecfi, \u0111au c\u01a1, tim \u0111\u1eadp nhanh, n\u1ed5i ban \u0111\u1ecf ho\u1eb7c xung huy\u1ebft gi\u00e1c m\u1ea1c; Tr\u1ebb b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u00ed nh\u1edb, kh\u1ea3 n\u0103ng t\u1eadp trung t\u01b0 t\u01b0\u1edfng v\u00e0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7; Tr\u1ebb b\u1ecb r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y; C\u00f3 th\u1ec3 g\u1eb7p d\u1ea5u hi\u1ec7u s\u1ed1c, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p\u2026<\/p>\n

V\u1ec1 h\u1ed9i ch\u1ee9ng\u00a0vi\u00eam \u0111a h\u1ec7 th\u1ed1ng \u1edf tr\u1ebb em<\/a>\u00a0(MIS-C) l\u00e0 t\u00ecnh tr\u1ea1ng c\u00e1c b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3 kh\u00e1c nhau (tr\u00ean 2 b\u1ed9 ph\u1eadn) c\u00f3 th\u1ec3 b\u1ecb vi\u00eam, bao g\u1ed3m tim, ph\u1ed5i, th\u1eadn, n\u00e3o, da, m\u1eaft ho\u1eb7c c\u00e1c c\u01a1 quan ti\u00eau h\u00f3a.<\/p>\n

\n
<\/div>\n
Khi tr\u1ebb xu\u1ea5t hi\u1ec7n nh\u1eefng t\u00ecnh tr\u1ea1ng nh\u01b0 s\u1ed1t cao li\u00ean t\u1ee5c, ph\u00e1t ban, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, n\u1ebfu n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, s\u1ed1c,\u2026 th\u00ec cha m\u1eb9 c\u1ea7n \u0111\u01b0a con t\u1edbi c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 bi\u1ebft c\u00f3 m\u1eafc h\u1eadu COVID-19 hay h\u1ed9i ch\u1ee9ng MIS-C hay kh\u00f4ng.<\/p>\n<\/div>\n
<\/div>\n<\/div>\n

\u0110\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng MIS-C, kh\u00f4ng c\u00f3 chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n, c\u1ea7n t\u1eadp h\u1ee3p nhi\u1ec1u tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m. Ch\u1ea9n \u0111o\u00e1n b\u1eb1ng c\u00e1ch lo\u1ea1i tr\u1eeb v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c (c\u00e1c b\u1ec7nh l\u00fd c\u00f3 bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng t\u1ef1 nh\u01b0ng kh\u00f4ng li\u00ean quan \u0111\u1ebfn COVID-19 nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft, vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p, vi\u00eam ti\u1ebft ni\u1ec7u,.. \u0110\u1eb7c bi\u1ec7t c\u1ea7n ph\u00e2n bi\u1ec7t nh\u1ea5t l\u00e0 gi\u1eefa MIS-C v\u00e0 COVID-19 c\u1ea5p t\u00ednh; gi\u1eefa MIS-C v\u00e0 Kawasaki (s\u1ed1t c\u1ea5p k\u00e8m ph\u00e1t ban to\u00e0n th\u00e2n).<\/p>\n

V\u1ec1 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ea7n l\u01b0u \u00fd, TS. BS Phan H\u1eefu Ph\u00fac cho bi\u1ebft: M\u1ed9t trong nh\u1eefng bi\u1ec3u hi\u1ec7n h\u1eadu COVID-19 m\u00e0 nhi\u1ec1u ng\u01b0\u1eddi kh\u00f4ng \u0111\u1ec3 \u00fd \u0111\u00f3 l\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n v\u1ec1 th\u1ea7n kinh. Trong m\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean y v\u0103n v\u1edbi h\u01a1n 200 ca b\u1ec7nh nh\u00e2n MIS-C th\u00ec c\u00f3 kho\u1ea3ng g\u1ea7n 100 ca b\u1ec7nh c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n v\u1ec1 th\u1ea7n kinh t\u1eeb \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t cho \u0111\u1ebfn ng\u1ea5t v\u00e0 \u0111\u1ed9t qu\u1ef5, c\u00f3 t\u1edbi 3% b\u1ec7nh nh\u00e2n co gi\u1eadt…<\/p>\n

Tuy nhi\u00ean, c\u00e1c chuy\u00ean gia c\u1ee7a B\u1ec7nh vi\u1ec7n Nhi TW c\u0169ng nh\u1ea5n m\u1ea1nh kh\u00f4ng ph\u1ea3i tr\u1ebb n\u00e0o m\u1eafc COVID-19 c\u0169ng b\u1ecb h\u1ed9i ch\u1ee9ng n\u00e0y, m\u00e0 xu\u1ea5t hi\u1ec7n tr\u00ean nh\u1eefng tr\u1ebb c\u00f3 \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch qu\u00e1 m\u1ee9c, c\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a mi\u1ec5n d\u1ecbch b\u1ecb r\u1ed1i lo\u1ea1n kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u01a1n b\u00e3o cytokine.<\/p>\n

C\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 ph\u00f2ng MIS-C l\u00e0 tr\u00e1nh kh\u00f4ng \u0111\u1ec3 tr\u1ebb b\u1ecb m\u1eafc COVID-19. Cha m\u1eb9 c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c nguy\u00ean t\u1eafc ph\u00f2ng d\u1ecbch nh\u01b0 5K v\u00e0\u00a0cho tr\u1ebb ti\u00eam vaccine ph\u00f2ng COVID-19 khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh<\/a>, ti\u00eam \u0111\u1ee7 li\u1ec1u c\u0169ng nh\u01b0 ti\u00eam ch\u1ee7ng \u0111\u1ea7y \u0111\u1ee7 c\u00e1c lo\u1ea1i vaccine ph\u00f2ng c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m kh\u00e1c theo l\u1ecbch.<\/p>\n

Ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine ph\u00f2ng COVID-19 gi\u00fap tr\u1ebb gi\u1ea3m nguy c\u01a1 m\u1eafc COVID-19 n\u1eb7ng\/nguy k\u1ecbch, \u0111\u1ed3ng th\u1eddi c\u0169ng gi\u1ea3m nguy c\u01a1 b\u1ecb h\u1ed9i ch\u1ee9ng MIS-C.<\/p>\n

\n
\"H\u1eadu<\/a><\/div>
\n

Ti\u00eam vaccine ph\u00f2ng COVID-19 cho tr\u1ebb t\u1eeb 5 – d\u01b0\u1edbi 12 tu\u1ed5i t\u1ea1i Qu\u1ea3ng Ninh \u1ea2nh: Th\u00e1i B\u00ecnh<\/p>\n<\/figcaption><\/figure>\n

V\u1edbi tr\u1ebb \u0111ang m\u1eafc ho\u1eb7c sau m\u1eafc COVID-19, n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ec3u hi\u1ec7n s\u1ed1t cao li\u00ean t\u1ee5c, ph\u00e1t ban, m\u1eaft \u0111\u1ecf, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a c\u1ea7n ph\u1ea3i ngh\u0129 t\u1edbi MIS-C v\u00e0 cho tr\u1ebb \u0111i kh\u00e1m t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf…<\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

Khi tr\u1ebb xu\u1ea5t hi\u1ec7n nh\u1eefng t\u00ecnh tr\u1ea1ng nh\u01b0 s\u1ed1t cao li\u00ean t\u1ee5c, ph\u00e1t ban, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a, n\u1ebfu n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, s\u1ed1c,\u2026 cha m\u1eb9 c\u1ea7n \u0111\u01b0a con t\u1edbi c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 bi\u1ebft c\u00f3 m\u1eafc h\u1eadu COVID-19 hay h\u1ed9i ch\u1ee9ng MIS-C hay kh\u00f4ng. T\u1eeb \u0111\u1ea7u […]<\/p>\n","protected":false},"author":4,"featured_media":12258,"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-13792","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\/13792","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=13792"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/13792\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/12258"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=13792"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=13792"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=13792"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}