{"id":15373,"date":"2022-07-27T10:03:30","date_gmt":"2022-07-27T03:03:30","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=15373"},"modified":"2022-07-28T09:04:09","modified_gmt":"2022-07-28T02:04:09","slug":"phan-biet-sot-do-covid-19-va-cac-benh-sot-do-nhiem-sieu-vi-khac","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/07\/27\/phan-biet-sot-do-covid-19-va-cac-benh-sot-do-nhiem-sieu-vi-khac\/","title":{"rendered":"Ph\u00e2n bi\u1ec7t s\u1ed1t do COVID-19 v\u00e0 c\u00e1c b\u1ec7nh s\u1ed1t do nhi\u1ec5m si\u00eau vi kh\u00e1c"},"content":{"rendered":"

Bs. CK1. Ph\u1ea1m H\u1ed3ng Thanh – Trung t\u00e2m Y t\u1ebf TP. Long Xuy\u00ean<\/em><\/strong><\/p>\n

S\u1ed1t si\u00eau vi l\u00e0 thu\u1eadt ng\u1eef ch\u1ec9 chung nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ed1t do nhi\u1ec5m c\u00e1c lo\u1ea1i si\u00eau vi tr\u00f9ng (vi r\u00fat), kh\u00e1c nhau. Ph\u1ea7n l\u1edbn s\u1ed1t do nhi\u1ec5m si\u00eau vi th\u01b0\u1eddng kh\u00f4ng nguy hi\u1ec3m, b\u1ec7nh s\u1ebd t\u1ef1 kh\u1ecfi sau v\u00e0i ng\u00e0y. Tuy nhi\u00ean, c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 b\u1ec7nh nhanh ch\u00f3ng \u0111\u01b0a \u0111\u1ebfn t\u1eed vong, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi tr\u1ebb em. S\u1ed1t do nhi\u1ec5m COVID-19 v\u00e0 c\u00e1c b\u1ec7nh s\u1ed1t do nhi\u1ec5m si\u00eau vi kh\u00e1c \u0111\u1ec1u l\u00e0 b\u1ec7nh do vi r\u00fat g\u00e2y ra nh\u01b0ng v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 \u0111i\u1ec3m kh\u00e1c bi\u1ec7t:<\/p>\n

– S\u1ed1t c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a h\u1ed9i ch\u1ee9ng vi\u00eam, kh\u00f4ng ch\u1ec9 l\u00e0 d\u1ea5u hi\u1ec7u hay tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a COVID-19 m\u00e0 c\u00f2n g\u1eb7p \u1edf c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m do vi r\u00fat g\u00e2y ra kh\u00e1c nh\u01b0: S\u1ed1t xu\u1ea5t huy\u1ebft, Tay ch\u00e2n mi\u1ec7ng,\u2026<\/p>\n

– B\u1ec7nh S\u1ed1t xu\u1ea5t huy\u1ebft v\u00e0 Tay ch\u00e2n mi\u1ec7ng c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m chung l\u00e0 b\u1ec7nh x\u1ea3y ra theo m\u00f9a h\u1eb1ng n\u0103m, do \u0111\u00f3 m\u1ecdi ng\u01b0\u1eddi d\u00e2n c\u1ea7n quan t\u00e2m, \u0111\u1ec3 \u00fd v\u00e0 ph\u00e2n bi\u1ec7t do khi nhi\u1ec5m si\u00eau vi th\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ebd gi\u1ed1ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi COVID-19, m\u1eb7c d\u00f9 hi\u1ec7n t\u1ea1i t\u00ecnh h\u00ecnh d\u1ecbch b\u1ec7nh COVID-19 \u0111\u00e3 v\u00e0 \u0111ang \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t b\u1eb1ng bi\u1ec7n ph\u00e1p ti\u00eam ch\u1ee7ng t\u1ea1o mi\u1ec5n d\u1ecbch ch\u1ee7 \u0111\u1ed9ng cho c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

– S\u1ed1t v\u1eeba \u0111\u1ebfn s\u1ed1t cao l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u ch\u1ee7 y\u1ebfu c\u1ee7a nh\u00f3m b\u1ec7nh do nhi\u1ec5m si\u00eau vi g\u00e2y ra.<\/p>\n

\"\"<\/p>\n

    \n
  1. \u0110i\u1ec3m gi\u1ed1ng nhau:<\/strong><\/li>\n<\/ol>\n

    D\u1ea5u hi\u1ec7u s\u1ed1t do nhi\u1ec5m COVID-19 v\u00e0 s\u1ed1t do nhi\u1ec5m c\u00e1c lo\u1ea1i si\u00eau vi kh\u00e1c nh\u01b0: S\u1ed1t xu\u1ea5t huy\u1ebft, Tay ch\u00e2n mi\u1ec7ng,\u2026 \u0111\u1ec1u l\u00e0 b\u1ec7nh do vi r\u00fat g\u00e2y ra, kh\u1ea3 n\u0103ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nhau kh\u00e1 cao.<\/p>\n

    – Nhi\u1ec5m COVID-19: do vi r\u00fat SARS-CoV-2 g\u00e2y ra, l\u00e2y lan qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (\u0111\u01b0\u1eddng th\u1edf) v\u00e0 \u0111\u01b0\u1eddng ti\u1ebfp x\u00fac v\u1edbi gi\u1ecdt b\u1eafn (tr\u1ef1c ti\u1ebfp hay gi\u00e1n ti\u1ebfp).<\/p>\n

    – Nhi\u1ec5m C\u00fam m\u00f9a (do c\u00e1c ch\u1ee7ng c\u00fam A, B, C, D) g\u00e2y ra, l\u00e2y lan qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (\u0111\u01b0\u1eddng th\u1edf), gi\u1ed1ng nh\u01b0 nhi\u1ec5m COVID-19.<\/p>\n

    – B\u1ec7nh S\u1ed1t xu\u1ea5t huy\u1ebft do vi r\u00fat Dengue g\u00e2y ra v\u00e0 c\u00f3 trung gian truy\u1ec1n b\u1ec7nh l\u00e0 \u201cmu\u1ed7i v\u1eb1n\u201d, truy\u1ec1n b\u1ec7nh t\u1eeb ng\u01b0\u1eddi mang m\u1ea7m b\u1ec7nh sang ng\u01b0\u1eddi l\u00e0nh.<\/p>\n

    – B\u1ec7nh Tay ch\u00e2n mi\u1ec7ng: t\u00e1c nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 vi r\u00fat Coxsackie A16, trong khi Enterovirus 71 (EV71) th\u00ec \u00edt g\u1eb7p h\u01a1n,.. l\u00e2y truy\u1ec1n tr\u1ef1c ti\u1ebfp qua \u0111\u01b0\u1eddng mi\u1ec7ng-ph\u00e2n,<\/p>\n

    Th\u00f4ng th\u01b0\u1eddng v\u1edbi c\u00e1c b\u1ec7nh n\u00eau tr\u00ean, m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c ghi nh\u1eadn ngo\u00e0i S\u1ed1t, th\u00ec c\u00f2n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0: \u0111au c\u01a1, \u1edbn l\u1ea1nh v\u00e0 bu\u1ed3n n\u00f4n.<\/p>\n

    X\u00e9t nghi\u1ec7m m\u00e1u l\u00e0 c\u00e1ch ch\u1ea9n \u0111o\u00e1n duy nh\u1ea5t \u0111\u1ec3 ph\u00e2n bi\u1ec7t S\u1ed1t do nguy\u00ean nh\u00e2n c\u1ee7a lo\u1ea1i vi r\u00fat n\u00e0o g\u00e2y ra, k\u1ebft h\u1ee3p v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng (l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 bi\u1ec3u hi\u1ec7n b\u00ean ngo\u00e0i c\u1ee7a ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh). C\u00e1c b\u00e1c s\u0129 s\u1ebd t\u01b0 v\u1ea5n v\u00e0 khuy\u1ebfn c\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh sau khi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m. Do \u0111\u00f3, m\u1ecdi ng\u01b0\u1eddi d\u00e2n c\u1ea7n th\u1eadn tr\u1ecdng v\u1edbi d\u1ea5u hi\u1ec7u c\u1ee7a S\u1ed1t (\u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ed1t li\u00ean t\u1ee5c v\u00e0 k\u00e9o d\u00e0i t\u1eeb 02-03 ng\u00e0y tr\u1edf l\u00ean).<\/p>\n

      \n
    1. \u0110i\u1ec3m kh\u00e1c bi\u1ec7t:<\/strong><\/li>\n<\/ol>\n

      M\u1eb7c d\u00f9 S\u1ed1t l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng chung c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i b\u1ec7nh nhi\u1ec5m tr\u00f9ng nh\u01b0: nhi\u1ec5m si\u00eau vi, nhi\u1ec5m vi tr\u00f9ng, nhi\u1ec5m k\u00fd sinh tr\u00f9ng, nhi\u1ec5m n\u1ea5m.<\/p>\n

      – Nh\u01b0ng c\u01a1n S\u1ed1t \u0111\u01b0\u1ee3c ghi nh\u1eadn trong COVID-19 th\u01b0\u1eddng \u1edf m\u1ee9c \u0111\u1ed9 th\u1ea5p ho\u1eb7c trung b\u00ecnh (d\u01b0\u1edbi 38,80C) v\u00e0 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t b\u1eb1ng thu\u1ed1c h\u1ea1 s\u1ed1t. N\u1ebfu s\u1ed1t k\u00e9o d\u00e0i tr\u00ean 07 ng\u00e0y, th\u00ec b\u1ec7nh \u0111\u00e3 chuy\u1ec3n sang giai \u0111o\u1ea1n n\u1eb7ng v\u00e0 nghi\u00eam tr\u1ecdng.<\/p>\n

      – Khi b\u1ecb S\u1ed1t xu\u1ea5t huy\u1ebft, th\u00ec b\u1ec7nh nh\u00e2n c\u00f3 th\u00e2n nhi\u1ec7t c\u00f3 th\u1ec3 t\u0103ng cao \u0111\u00e1ng k\u1ec3 (t\u1eeb 39-400C), r\u1ea5t kh\u00f3 h\u1ea1 s\u1ed1t b\u1eb1ng c\u00e1c lo\u1ea1i thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0: Paracetamol,.., k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan kh\u00e1c nh\u01b0: s\u1ed1t cao li\u00ean t\u1ee5c, k\u00e9o d\u00e0i 05-07 ng\u00e0y, k\u00e8m theo \u0111au \u0111\u1ea7u, \u0111au ng\u01b0\u1eddi, c\u00f3 th\u1ec3 n\u1ed5i h\u1ea1ch, ph\u00e1t ban, tr\u00ean ng\u01b0\u1eddi n\u1ed5i da xung huy\u1ebft \u0111\u1ecf, m\u1eaft \u0111\u1ecf xung huy\u1ebft, c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o xu\u1ea5t hi\u1ec7n ng\u00e0y th\u1ee9 4, 5 nh\u01b0: \u0111au b\u1ee5ng v\u00f9ng gan, bu\u1ed3n n\u00f4n, ti\u1ec3u \u00edt, ch\u00e2n tay l\u1ea1nh, c\u00f3 th\u1ec3 xu\u1ea5t huy\u1ebft ch\u1ea3y m\u00e1u d\u01b0\u1edbi da, ch\u1ea3y m\u00e1u cam, ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng,.., c\u1ea7n \u0111\u01b0a ngay \u0111\u1ebfn c\u01a1 c\u1edf y t\u1ebf, nh\u1eadp vi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c \u0111\u1ec3 kh\u1ecfi b\u1ec7nh.<\/p>\n

      – S\u1ed1t xu\u1ea5t huy\u1ebft khi b\u1ecb nhi\u1ec5m vi r\u00fat Dengue c\u00f3 th\u1ec3 li\u00ean t\u1ee5c v\u00e0 dai d\u1eb3ng, trong khi v\u1edbi COVID-19, c\u01a1n s\u1ed1t \u0111\u1ebfn r\u1ed3i \u0111i. Do \u0111\u00f3, c\u00e1ch th\u1ee9c s\u1ed1t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh s\u1ebd gi\u00fap cho ch\u00fang ta bi\u1ebft ng\u01b0\u1eddi \u0111ang b\u1ecb s\u1ed1t hi\u1ec7n \u0111ang m\u1eafc lo\u1ea1i b\u1ec7nh n\u00e0o.<\/p>\n

      Ngo\u00e0i s\u1ed1t, c\u0169ng c\u00f3 m\u1ed9t ch\u00fat kh\u00e1c bi\u1ec7t v\u1ec1 tri\u1ec7u ch\u1ee9ng kh\u1edfi ph\u00e1t c\u1ee7a hai b\u1ec7nh: Ng\u01b0\u1eddi m\u1eafc COVID-19 th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n m\u1ed9t ho\u1eb7c nhi\u1ec1u tri\u1ec7u ch\u1ee9ng, b\u1eaft \u0111\u1ea7u b\u1eb1ng ho v\u00e0 s\u1ed1t, ho \u0111\u01a1n thu\u1ea7n, c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a ho\u1eb7c ch\u1ec9 m\u1ec7t m\u1ecfi. Trong khi \u0111\u00f3, b\u1ec7nh nh\u00e2n S\u1ed1t xu\u1ea5t huy\u1ebft th\u01b0\u1eddng \u0111au \u0111\u1ea7u ho\u1eb7c suy nh\u01b0\u1ee3c.<\/p>\n

      Ng\u01b0\u1eddi d\u00e2n h\u00e3y lu\u00f4n quan t\u00e2m v\u00e0 l\u01b0u \u00fd \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u0111i x\u00e9t nghi\u1ec7m khi b\u1ea3n th\u00e2n ho\u1eb7c trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb s\u1ed1t k\u00e9o d\u00e0i t\u1eeb 02-03 ng\u00e0y tr\u1edf l\u00ean. N\u1ebfu kh\u00f4ng x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, b\u1ec7nh s\u1ed1t do COVID-19 v\u00e0 b\u1ec7nh s\u1ed1t do b\u1ec7nh s\u1ed1t do nhi\u1ec5m si\u00eau vi kh\u00e1c \u0111\u1ec1u c\u00f3 nguy c\u01a1 di\u1ec5n bi\u1ebfn n\u1eb7ng v\u00e0 g\u00e2y t\u1eed vong, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi tr\u1ebb em ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u1ec1n (T\u0103ng huy\u1ebft \u00e1p, \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng,..), ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy gi\u1ea3m (ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n, ng\u01b0\u1eddi nhi\u1ec5m HIV\/AIDS,…).\/.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Bs. CK1. Ph\u1ea1m H\u1ed3ng Thanh – Trung t\u00e2m Y t\u1ebf TP. Long Xuy\u00ean S\u1ed1t si\u00eau vi l\u00e0 thu\u1eadt ng\u1eef ch\u1ec9 chung nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ed1t do nhi\u1ec5m c\u00e1c lo\u1ea1i si\u00eau vi tr\u00f9ng (vi r\u00fat), kh\u00e1c nhau. Ph\u1ea7n l\u1edbn s\u1ed1t do nhi\u1ec5m si\u00eau vi th\u01b0\u1eddng kh\u00f4ng nguy hi\u1ec3m, b\u1ec7nh s\u1ebd t\u1ef1 kh\u1ecfi sau v\u00e0i ng\u00e0y. Tuy […]<\/p>\n","protected":false},"author":4,"featured_media":15374,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[235,239],"tags":[281,59],"class_list":["post-15373","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-phong-chong-covid-19","category-truyen-thong-theo-chu-de","tag-bai","tag-covid-19"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/15373","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=15373"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/15373\/revisions"}],"predecessor-version":[{"id":15390,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/15373\/revisions\/15390"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/15374"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=15373"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=15373"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=15373"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}