{"id":21921,"date":"2023-07-26T11:04:35","date_gmt":"2023-07-26T04:04:35","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=21921"},"modified":"2023-07-26T11:06:10","modified_gmt":"2023-07-26T04:06:10","slug":"huong-dan-chan-doan-dieu-tri-covid-19-o-tre-em","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/07\/26\/huong-dan-chan-doan-dieu-tri-covid-19-o-tre-em\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb COVID-19 \u1edf tr\u1ebb em"},"content":{"rendered":"<p style=\"text-align: justify;\">Ng\u00e0y 24\/7\/2023, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 2959\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb COVID-19 \u1edf tr\u1ebb em<\/p>\n<figure id=\"attachment_21923\" aria-describedby=\"caption-attachment-21923\" style=\"width: 700px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-21923\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/benh-nhi-covid.jpg\" alt=\"\" width=\"700\" height=\"674\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/benh-nhi-covid.jpg 700w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/benh-nhi-covid-300x289.jpg 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><figcaption id=\"caption-attachment-21923\" class=\"wp-caption-text\">\u0110\u1ec3 gi\u00fap gi\u1ea3m t\u1ef7 l\u1ec7 m\u1eafc COVID-19 \u1edf tr\u1ebb, bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh v\u1eabn \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng nh\u1ea5t. \u1ea2nh-baochinhphu.vn<\/figcaption><\/figure>\n<p><strong>C\u1ee5 th\u1ec3:<\/strong><\/p>\n<p>COVID-19 l\u00e0 b\u1ec7nh do vi r\u00fat SARS-CoV-2 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u0111\u1ea7u ti\u00ean t\u1ea1i V\u0169 H\u00e1n, Trung Qu\u1ed1c v\u00e0o cu\u1ed1i th\u00e1ng 12 n\u0103m 2019, r\u1ed3i lan r\u1ed9ng ra to\u00e0n th\u1ebf gi\u1edbi.<\/p>\n<p>Vi r\u00fat SARS-CoV-2 l\u00e2y tr\u1ef1c ti\u1ebfp t\u1eeb ng\u01b0\u1eddi sang ng\u01b0\u1eddi qua \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (nh\u01b0 qua gi\u1ecdt b\u1eafn, h\u1ea1t kh\u00ed dung) v\u00e0 qua \u0111\u01b0\u1eddng ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t ti\u1ebft ch\u1ee9a vi r\u00fat.<\/p>\n<p>T\u1eeb khi xu\u1ea5t hi\u1ec7n cho t\u1edbi nay vi r\u00fat SARS-CoV-2 \u0111\u00e3 c\u00f3 nhi\u1ec1u bi\u1ebfn ch\u1ee7ng m\u1edbi, g\u00e2y n\u00ean nh\u1eefng \u0111\u1ee3t b\u00f9ng ph\u00e1t d\u1ecbch kh\u00e1c nhau, \u0111\u1eb7c bi\u1ec7t trong \u0111\u1ee3t d\u1ecbch g\u1ea7n \u0111\u00e2y vai tr\u00f2 g\u00e2y b\u1ec7nh chi\u1ebfm ch\u1ee7 y\u1ebfu l\u00e0 bi\u1ebfn ch\u1ee7ng c\u1ee7a Omicron nh\u01b0: X.BB.1.5, X.BB.1.16 g\u00e2y ra d\u1ecbch v\u1edbi b\u1ec7nh c\u1ea3nh l\u00e2m s\u00e0ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 ch\u1ee7ng Delta v\u00e0 c\u00e1c ch\u1ee7ng Omicron tr\u01b0\u1edbc \u0111\u00e2y.<\/p>\n<p>Vi r\u00fat SARS-CoV-2 g\u00e2y b\u1ec7nh \u1edf c\u1ea3 ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em. Nh\u1edd c\u00f3 mi\u1ec5n d\u1ecbch d\u1ecbch c\u1ed9ng \u0111\u1ed3ng t\u1ef1 nhi\u00ean v\u00e0 v\u1edbi t\u1ef7 l\u1ec7 ti\u00eam v\u1eafc xin cao, cho n\u00ean nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng v\u00e0 t\u1eed vong c\u1ee7a b\u1ec7nh \u0111\u00e3 gi\u1ea3m \u0111\u00e1ng k\u1ec3. \u1ede tr\u1ebb em, hi\u1ec7n nay c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh ng\u00e0y c\u00e0ng t\u0103ng v\u00e0 t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u01b0\u1eddi l\u1edbn, c\u00f3 nh\u1eefng nghi\u00ean c\u1ee9u cho th\u1ea5y t\u1ef7 l\u1ec7 m\u1eafc c\u00f3 th\u1ec3 cao h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>Tr\u1ebb m\u1eafc COVID-19 ph\u1ea7n l\u1edbn \u1edf th\u1ec3 kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0 nh\u1eb9, t\u1ef7 l\u1ec7 b\u1ec7nh n\u1eb7ng \u00edt h\u01a1n ng\u01b0\u1eddi l\u1edbn. Nghi\u00ean c\u1ee9u \u1edf M\u1ef9 trong th\u1eddi gian t\u1eeb th\u00e1ng 3\/2020 &#8211; 12\/2021 tr\u00ean 82.789 tr\u1ebb nhi\u1ec5m vi r\u00fat SARS-CoV-2 cho th\u1ea5y t\u1ef7 l\u1ec7 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng chi\u1ebfm 66%, m\u1ee9c \u0111\u1ed9 nh\u1eb9 27%, m\u1ee9c \u0111\u1ed9 trung b\u00ecnh 5%, kho\u1ea3ng 2% tr\u1ebb n\u1eb7ng c\u1ea7n nh\u1eadp ICU v\u00e0 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/p>\n<p>T\u1ef7 l\u1ec7 t\u1eed vong do COVID-19 \u1edf tr\u1ebb c\u0169ng th\u1ea5p h\u01a1n so v\u1edbi ng\u01b0\u1eddi l\u1edbn. M\u1ed9t nghi\u00ean c\u1ee9u v\u1ec1 t\u1ef7 l\u1ec7 t\u1eed vong \u1edf c\u00e1c n\u01b0\u1edbc M\u1ef9, Ph\u00e1p, \u0110\u1ee9c, H\u00e0n Qu\u1ed1c, Italy cho th\u1ea5y t\u1ef7 l\u1ec7 t\u1eed vong l\u00e0 0.17\/100.000. T\u1ef7 l\u1ec7 n\u1eb7ng v\u00e0 t\u1eed vong ch\u1ee7 y\u1ebfu g\u1eb7p \u1edf c\u00e1c nh\u00f3m tr\u1ebb c\u00f3 nguy c\u01a1 cao.<\/p>\n<p>H\u1ed9i ch\u1ee9ng vi\u00eam \u0111a h\u1ec7 th\u1ed1ng (MIS-C) \u1edf tr\u1ebb em m\u1eafc COVID-19 hi\u1ebfm g\u1eb7p v\u1edbi t\u1ef7 l\u1ec7 t\u1eeb 1 &#8211; 2% tr\u1ebb nhi\u1ec5m vi r\u00fat SARS-CoV-2, b\u1ec7nh th\u01b0\u1eddng g\u1eb7p sau 2 &#8211; 6 tu\u1ea7n nhi\u1ec5m vi r\u00fat, \u0111\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong v\u00e0 c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng.<\/p>\n<p>Hi\u1ec7n nay do \u0111\u00e3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 vi r\u00fat SARS-CoV-2 t\u1eeb c\u00e1ch l\u00e2y truy\u1ec1n, c\u01a1 ch\u1ebf g\u00e2y b\u1ec7nh&#8230;, c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c nh\u1eefng bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 thu\u1ed1c kh\u00e1ng vi r\u00fat, ng\u0103n ch\u1eb7n c\u01a1n b\u00e3o cytokin, \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng huy\u1ebft kh\u1ed1i., tuy nhi\u00ean vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c n\u00e0y ch\u1ee7 y\u1ebfu \u00e1p d\u1ee5ng tr\u00ean ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb l\u1edbn, v\u00ec v\u1eady \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u1edf tr\u1ebb em v\u1eabn h\u1ebft s\u1ee9c kh\u00f3 kh\u0103n c\u1ea7n ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u.<\/p>\n<p>&#8211; C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh ch\u00ednh l\u00e0 ti\u00eam ph\u00f2ng v\u1eafc xin, ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 c\u00e1ch ly ca b\u1ec7nh v\u00e0 b\u1ea3o \u0111\u1ea3m c\u00f4ng t\u00e1c ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n.<\/p>\n<figure id=\"attachment_21924\" aria-describedby=\"caption-attachment-21924\" style=\"width: 1653px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-21924\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1.jpg\" alt=\"\" width=\"1653\" height=\"2117\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1.jpg 1653w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-234x300.jpg 234w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-800x1024.jpg 800w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-768x984.jpg 768w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-1199x1536.jpg 1199w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-1599x2048.jpg 1599w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-750x961.jpg 750w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-1-1140x1460.jpg 1140w\" sizes=\"auto, (max-width: 1653px) 100vw, 1653px\" \/><figcaption id=\"caption-attachment-21924\" class=\"wp-caption-text\">K\u00e8m theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 2959\/Q\u0110-BYT ng\u00e0y 24\/7\/2023 c\u1ee7a B\u1ed9 Y t\u1ebf<\/figcaption><\/figure>\n<figure id=\"attachment_21922\" aria-describedby=\"caption-attachment-21922\" style=\"width: 1649px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-21922\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2.jpg\" alt=\"\" width=\"1649\" height=\"1761\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2.jpg 1649w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2-281x300.jpg 281w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2-959x1024.jpg 959w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2-768x820.jpg 768w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2-1438x1536.jpg 1438w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2-750x801.jpg 750w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/07\/2959_55-56-2-1140x1217.jpg 1140w\" sizes=\"auto, (max-width: 1649px) 100vw, 1649px\" \/><figcaption id=\"caption-attachment-21922\" class=\"wp-caption-text\">K\u00e8m theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 2959\/Q\u0110-BYT ng\u00e0y 24\/7\/2023 c\u1ee7a B\u1ed9 Y t\u1ebf<\/figcaption><\/figure>\n<p>T\u00e0i Li\u1ec7u \u0111\u00ednh k\u00e8m:<a title=\"\" href=\"http:\/\/media.angiang.gov.vn\/soyte-portal\/FILE-DINH-KEM\/2023\/07\/2959.pdf\" target=\"\" rel=\"noopener\">T\u1ea3i v\u1ec1<\/a><\/p>\n<p style=\"text-align: right;\"><b>Ngu\u1ed3n S\u1edf Y t\u1ebf An Giang<\/b><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ng\u00e0y 24\/7\/2023, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 2959\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec1u tr\u1ecb COVID-19 \u1edf tr\u1ebb em C\u1ee5 th\u1ec3: COVID-19 l\u00e0 b\u1ec7nh do vi r\u00fat SARS-CoV-2 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u0111\u1ea7u ti\u00ean t\u1ea1i V\u0169 H\u00e1n, Trung Qu\u1ed1c v\u00e0o cu\u1ed1i th\u00e1ng 12 n\u0103m 2019, r\u1ed3i lan r\u1ed9ng ra [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":21923,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-21921","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21921","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=21921"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21921\/revisions"}],"predecessor-version":[{"id":21926,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/21921\/revisions\/21926"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/21923"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=21921"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=21921"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=21921"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}