{"id":8554,"date":"2021-08-21T11:52:18","date_gmt":"2021-08-21T04:52:18","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=8554"},"modified":"2021-09-05T20:24:57","modified_gmt":"2021-09-05T13:24:57","slug":"moi-bo-y-te-huong-dan-tam-thoi-du-phong-va-xu-tri-covid-19-o-phu-nu-mang-thai-va-tre-so-sinh","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/08\/21\/moi-bo-y-te-huong-dan-tam-thoi-du-phong-va-xu-tri-covid-19-o-phu-nu-mang-thai-va-tre-so-sinh\/","title":{"rendered":"M\u1edbi: B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi d\u1ef1 ph\u00f2ng v\u00e0 x\u1eed tr\u00ed COVID-19 \u1edf ph\u1ee5 n\u1eef mang thai v\u00e0 tr\u1ebb s\u01a1 sinh"},"content":{"rendered":"

Theo B\u1ed9 Y t\u1ebf, c\u00e1c d\u1eef li\u1ec7u hi\u1ec7n nay cho th\u1ea5y nguy c\u01a1 m\u1eafc b\u1ec7nh th\u1ec3 n\u1eb7ng \u1edf ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng cao h\u01a1n nh\u00f3m kh\u00f4ng mang thai. \u0110\u1ed1i v\u1edbi thai nhi, c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng n\u00e0o c\u00f3 m\u1ed1i li\u00ean quan gi\u1eefa SARS-CoV-2 v\u00e0 c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh.<\/h2>\n
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\u1ea2nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai v\u00e0 thai nhi<\/strong><\/p>\n

Theo B\u1ed9 Y t\u1ebf, c\u00e1c d\u1eef li\u1ec7u hi\u1ec7n nay cho th\u1ea5y nguy c\u01a1 m\u1eafc b\u1ec7nh th\u1ec3 n\u1eb7ng \u1edf ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng cao h\u01a1n so v\u1edbi nh\u00f3m ph\u1ee5 n\u1eef kh\u00f4ng mang thai.<\/p>\n

M\u1eb7c d\u00f9 nguy c\u01a1 m\u1eafc b\u1ec7nh th\u1ec3 n\u1eb7ng th\u1ea5p nh\u01b0ng c\u00e1c d\u1eef li\u1ec7u hi\u1ec7n nay ch\u1ec9 ra r\u1eb1ng nguy c\u01a1 n\u1eb1m \u1edf khoa ch\u0103m s\u00f3c t\u00edch c\u1ef1c, th\u1edf m\u00e1y v\u00e0 h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed (ECMO) v\u00e0 t\u1eed vong \u1edf ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng cao h\u01a1n so v\u1edbi nh\u00f3m ph\u1ee5 n\u1eef kh\u00f4ng mang thai c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n

\"\"
Theo B\u1ed9 Y t\u1ebf, c\u00e1c d\u1eef li\u1ec7u hi\u1ec7n nay cho th\u1ea5y nguy c\u01a1 m\u1eafc b\u1ec7nh th\u1ec3 n\u1eb7ng \u1edf ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng cao h\u01a1n so v\u1edbi nh\u00f3m ph\u1ee5 n\u1eef kh\u00f4ng mang thai.<\/figcaption><\/figure>\n<\/div>\n

\u0110\u1ed1i v\u1edbi thai nhi, c\u00e1c nghi\u00ean c\u1ee9u g\u00e2\u0300n \u0111\u00e2y v\u1ec1 COVID-19 c\u0169ng nh\u01b0 nh\u1eefng nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y v\u1ec1 b\u1ec7nh SARS-CoV-2 v\u00e0 MERS-CoV cho th\u1ea5y kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng n\u00e0o ch\u1ee9ng minh c\u00f3 m\u1ed1i li\u00ean quan gi\u1eefa nh\u1eefng b\u1ec7nh n\u00e0y v\u00e0 c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh.<\/p>\n

Tuy nhi\u00ean, c\u0169ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho r\u1eb1ng vi\u00eam ph\u1ed5i do vi r\u00fat \u1edf ph\u1ee5 n\u1eef mang thai c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng nguy c\u01a1 sinh non, thai ch\u1eadm ph\u00e1t tri\u1ec3n v\u00e0 t\u1eed vong chu sinh…<\/p>\n

\u1ea2nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn tr\u1ebb s\u01a1 sinh<\/strong><\/p>\n

Nghi\u00ean c\u1ee9u t\u1ed5ng h\u1ee3p t\u1eeb b\u00e1o c\u00e1o khoa h\u1ecdc \u1edf nhi\u1ec1u qu\u1ed1c gia v\u1edbi g\u00e2\u0300n 7500 tr\u1ebb em trong \u0111\u00f3 c\u00f3 25 tr\u1ebb s\u01a1 sinh nhi\u1ec5m SARS-CoV-2 cho th\u1ea5y \u0111a ph\u00e2\u0300n tr\u1ebb c\u00f3 tri\u1ec7u ch\u1ee9ng v\u1eeba v\u00e0 nh\u1eb9, kho\u1ea3ng 2% tr\u1ebb c\u00e2\u0300n nh\u1eadp v\u00e0o \u0111\u01a1n v\u1ecb h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u00e0 t\u1ec9 l\u1ec7 t\u1eed vong l\u00e0 0,08%.<\/p>\n

Nghi\u00ean c\u1ee9u t\u1ed5ng h\u1ee3p t\u1eeb 74 b\u00e1o c\u00e1o tr\u00ean 176 tr\u1ebb s\u01a1 sinh nhi\u1ec5m SARS-CoV-2, c\u00f3 5,1% tr\u1ebb c\u00e2\u0300n h\u1ed3i s\u1ee9c sau sinh, 38% tr\u1ebb \u0111\u01b0\u1ee3c nh\u1eadp v\u00e0o \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c tuy v\u1eady ph\u00e2\u0300n l\u1edbn nh\u1eefng tr\u1ebb n\u00e0y b\u1ecb c\u00e1ch ly theo quy tr\u00ecnh m\u00e0 kh\u00f4ng ph\u1ea3i do b\u1ec7nh nguy k\u1ecbch c\u00e2\u0300n ch\u0103m s\u00f3c t\u00edch c\u1ef1c.<\/p>\n

Th\u1eddi gian trung b\u00ecnh n\u1eb1m t\u1ea1i \u0111\u01a1n v\u1ecb h\u1ed3i s\u1ee9c l\u00e0 8 ng\u00e0y. Kh\u00f4ng c\u00f3 t\u1eed vong n\u00e0o \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 do COVID-19. Tr\u1ebb s\u01a1 sinh nhi\u1ec5m SARS-CoV-2 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng s\u1ed1t, li b\u00ec, ho, th\u1edf nhanh, th\u1edf g\u1eafng s\u1ee9c, ng\u01b0ng th\u1edf, n\u00f4n, ti\u00eau ch\u1ea3y v\u00e0 b\u00fa k\u00e9m.<\/p>\n

M\u1ed9t s\u1ed1 tri\u00eau ch\u1ee9ng r\u1ea5t kh\u00f3 ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh nh\u01b0 ch\u1eadm h\u1ea5p thu d\u1ecbch ph\u1ebf nang, b\u1ec7nh m\u00e0ng trong v\u00e0 nhi\u1ec5m tr\u00f9ng s\u01a1 sinh.<\/p>\n

Ch\u0103m s\u00f3c thi\u1ebft y\u1ebfu s\u01a1 sinh s\u1edbm g\u1ed3m da k\u1ec1 da v\u00e0 b\u00fa s\u1eefa m\u1eb9 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 h\u1ea1 th\u00e2n nhi\u1ec7t, h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u, suy h\u00f4 h\u1ea5p, nhi\u1ec5m tr\u00f9ng s\u01a1 sinh, gi\u1ea3m sang ch\u1ea5n t\u00e2m l\u00fd, gi\u1ea3m t\u1eed vong v\u00e0 b\u1ec7nh t\u1eadt cho m\u1eb9 v\u00e0 tr\u1ebb.<\/p>\n

\u0110\u1ed3ng th\u1eddi ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc cho th\u1ea5y vi\u1ec7c c\u00e1ch ly m\u1eb9 con l\u00e0m gi\u1ea3m nguy c\u01a1 nhi\u1ec5m SARS-CoV-2 cho tr\u1ebb s\u01a1 sinh.<\/p>\n

Khuy\u1ebfn c\u00e1o c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi l\u00e0 duy tr\u00ec c\u00e1i \u00f4m \u0111\u00e2\u0300u ti\u00ean ngay sau sinh, ch\u0103m s\u00f3c s\u01a1 sinh thi\u1ebft y\u1ebfu s\u1edbm v\u00e0 b\u00fa m\u1eb9 ho\u00e0n to\u00e0n gi\u00fap gi\u1ea3m bi\u1ebfn ch\u1ee9ng b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong cho b\u00e0 m\u1eb9 v\u00e0 tr\u1ebb em.<\/p>\n

C\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh c\u00f3 cung c\u1ea5p d\u1ecbch v\u1ee5 s\u1ea3n khoa v\u00e0 ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh c\u1ea7n h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 \u0111\u1ebfn kh\u00e1m \u0111eo kh\u1ea9u trang, s\u00e1t khu\u1ea9n b\u1eb1ng dung d\u1ecbch r\u1eeda tay nhanh v\u00e0 t\u1edbi khu v\u1ef1c c\u00e1ch ly ; Gi\u1eef kho\u1ea3ng c\u00e1ch t\u1ed1i thi\u1ec3u l\u00e0 2 m\u00e9t gi\u1eefa c\u00e1c ng\u01b0\u1eddi b\u1ec7nh; H\u1ea1n ch\u1ebf ng\u01b0\u1eddi b\u1ec7nh di chuy\u1ec3n trong c\u01a1 s\u1edf y t\u1ebf.<\/p>\n

Ng\u01b0\u1eddi nh\u00e0 \u0111i k\u00e8m v\u1edbi ng\u01b0\u1eddi nhi\u1ec5m ho\u1eb7c nghi nhi\u1ec5m COVID-19 c\u00e2\u0300n ph\u1ea3i \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 c\u00f3 ph\u01a1i nhi\u1ec5m v\u1edbi COVID-19 v\u00e0 c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c t\u00e2\u0300m so\u00e1t cho \u0111\u1ebfn h\u1ebft th\u1eddi gian theo d\u00f5i theo quy \u0111\u1ecbnh \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 ph\u00f2ng ng\u1eeba COVID-19.<\/p>\n

C\u00e1n b\u1ed9 y t\u1ebf n\u00ean t\u01b0 v\u1ea5n cho ph\u1ee5 n\u1eef mang thai v\u1ec1 c\u00e1c nguy c\u01a1 c\u1ee7a nhi\u1ec5m COVID-19 v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng nhi\u1ec5m SARS CoV-2, bao g\u1ed3m: Ti\u00eam vaccine ng\u1eeba COVID-19 trong thai k\u1ef3 (thai \u2265 13 tu\u00e2\u0300n) ho\u1eb7c trong giai \u0111o\u1ea1n h\u1eadu s\u1ea3n, k\u1ec3 c\u1ea3 khi nu\u00f4i con b\u1eb1ng s\u1eefa m\u1eb9 theo quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh c\u1ee7a B\u1ed9 Y t\u1ebf.<\/p>\n

Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng nhi\u1ec5m COVID-19 nh\u01b0 r\u1eeda tay th\u01b0\u1eddng xuy\u00ean, \u0111eo kh\u1ea9u trang, gi\u1eef kho\u1ea3ng c\u00e1ch v\u00e0 h\u1ea1n ch\u1ebf ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi kh\u00e1c.<\/p>\n

Ri\u00eang ph\u1ee5 n\u1eef mang thai \u0111ang \u1edf trong v\u00f9ng b\u1ecb phong t\u1ecfa do d\u1ecbch COVID-19: Gi\u1ea3m s\u1ed1 l\u00e2\u0300n th\u0103m kh\u00e1m tr\u1ef1c ti\u1ebfp, gi\u1ea3m th\u1eddi l\u01b0\u1ee3ng c\u1ee7a m\u1ed7i l\u00e2\u0300n kh\u00e1m thai, n\u00ean t\u0103ng c\u01b0\u1eddng th\u0103m kh\u00e1m qua h\u1ec7 th\u1ed1ng kh\u00e1m ch\u1eefa b\u1ec7nh t\u1eeb xa.<\/p>\n

Ph\u00e2n nh\u00f3m c\u00e1c thai k\u1ef3 c\u00f3 c\u00f9ng tu\u1ed5i thai \u0111\u1ec3 h\u1eb9n kh\u00e1m v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m trong c\u00f9ng m\u1ed9t th\u1eddi gian, nh\u1eb1m gi\u1ea3m s\u1ef1 ti\u1ebfp x\u00fac v\u1edbi nhi\u1ec1u nh\u00e2n vi\u00ean y t\u1ebf. H\u1ea1n ch\u1ebf c\u00e1c x\u00e9t nghi\u1ec7m, ch\u1ec9 th\u1ef1c hi\u1ec7n nh\u1eefng ch\u1ec9 \u0111\u1ecbnh th\u1ef1c s\u1ef1 c\u00e2\u0300n thi\u1ebft.<\/p>\n

S\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u1ea1m th\u1eddi thay th\u1ebf cho c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n \u0111\u00e3 c\u00f3 trong ph\u00e1c \u0111\u1ed3 v\u1ec1 theo d\u00f5i thai k\u1ef3 do B\u1ed9 Y t\u1ebf ban h\u00e0nh nh\u01b0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3 b\u1eb1ng ph\u1ed1i h\u1ee3p Glucose m\u00e1u v\u00e0 HbA1c; t\u00e2\u0300m so\u00e1t c\u00e1c th\u1ec3 l\u1ec7ch b\u1ed9i th\u01b0\u1eddng g\u1eb7p b\u1eb1ng NIPS.<\/p>\n

Ph\u1ee5 n\u1eef mang thai hay trong giai \u0111o\u1ea1n h\u1eadu s\u1ea3n v\u1eabn ti\u1ebfp t\u1ee5c ti\u00eam ph\u00f2ng u\u1ed1n v\u00e1n theo l\u1ecbch ti\u00eam ch\u1ee7ng.<\/p>\n

X\u1eed tr\u00ed ph\u1ee5 n\u1eef mang thai nhi\u1ec5m ho\u1eb7c nghi nhi\u1ec5m COVID-19<\/strong><\/p>\n

\u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p nghi nhi\u1ec5m COVID-19 , th\u1ef1c hi\u1ec7n c\u00e1ch ly theo h\u01b0\u1edbng d\u1eabn hi\u1ec7n h\u00e0nh c\u1ee7a B\u1ed9 Y t\u1ebf v\u00e0 quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 c\u1ee7a \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n

\u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m COVID-19 : Th\u1ef1c hi\u1ec7n vi\u1ec7c ch\u0103m s\u00f3c, theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u01a1 s\u1edf y t\u1ebf \u0111i\u1ec1u tr\u1ecb COVID-19, b\u1ec7nh vi\u1ec7n d\u00e3 chi\u1ebfn ho\u1eb7c t\u1ea1i nh\u00e0 theo h\u01b0\u1edbng d\u1eabn hi\u1ec7n h\u00e0nh c\u1ee7a B\u1ed9 Y t\u1ebf v\u00e0 quy \u0111\u1ecbnh c\u1ee5 th\u1ec3 c\u1ee7a \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n

\u01afu ti\u00ean \u0111i\u1ec1u tr\u1ecb COVID-19 tr\u01b0\u1edbc, ch\u1ec9 can thi\u1ec7p s\u1ea3n khoa khi c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ea5p c\u1ee9u v\u1ec1 s\u1ea3n khoa ho\u1eb7c khi t\u00ecnh tr\u1ea1ng m\u1eb9 n\u1eb7ng c\u00e2\u0300n h\u1ed9i ch\u1ea9n c\u00e1c chuy\u00ean khoa li\u00ean quan.<\/p>\n

Th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh nh\u01b0 ch\u1ee5p X quang v\u00e0 CT Scan ng\u1ef1c, si\u00eau \u00e2m, s\u00e0ng l\u1ecdc tr\u01b0\u1edbc sinh nh\u01b0 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi kh\u00f4ng mang thai, ch\u1ec9 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh n\u00e0y khi th\u1eadt c\u00e2\u0300n thi\u1ebft v\u1edbi b\u1ee9c x\u1ea1 li\u1ec1u th\u1ea5p, ch\u00fa \u00fd s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n b\u1ea3o v\u1ec7 thai nhi.<\/p>\n

Thai ph\u1ee5 nhi\u1ec5m COVID-19 (k\u1ec3 c\u1ea3 \u0111\u00e3 kh\u1ecfi) c\u00e2\u0300n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd thai 2 – 4 tu\u00e2\u0300n\/l\u00e2\u0300n nh\u1eb1m ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ti\u1ec1n s\u1ea3n gi\u1eadt, thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung, d\u1ecda \u0111\u1ebb non\/\u0111\u1ebb non.<\/p>\n

C\u00e2n nh\u1eafc s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng virus, thu\u1ed1c kh\u00e1ng \u0111\u1ed9ng v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c cho thai ph\u1ee5 nhi\u1ec5m COVID-19 theo h\u01b0\u1edbng d\u1eabn hi\u1ec7n h\u00e0nh c\u1ee7a B\u1ed9 Y t\u1ebf.<\/p>\n

“N\u1ebfu d\u00f9ng thu\u1ed1c kh\u00e1ng virus c\u00e2\u0300n theo d\u00f5i ch\u1ee9c n\u0103ng gan, th\u1eadn; n\u1ebfu c\u00f3 k\u1ebf ho\u1ea1ch m\u1ed5 l\u1ea5y thai, ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng tr\u01b0\u1edbc 12 – 24 gi\u1edd”- B\u1ed9 Y t\u1ebf l\u01b0u \u00fd<\/p>\n

V\u1ec1 can thi\u1ec7p s\u1ea3n khoa<\/p>\n

B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb d\u1ecda s\u1ea3y thai, d\u1ecda \u0111\u1ebb non c\u00e2\u0300n c\u0103n c\u1ee9 v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a thai ph\u1ee5, thai nhi v\u00e0 n\u00ean h\u1ed9i ch\u1ea9n v\u1edbi c\u00e1c chuy\u00ean khoa truy\u1ec1n nhi\u1ec5m\/h\u1ed3i s\u1ee9c\/s\u01a1 sinh.<\/p>\n

Thai ph\u1ee5 nhi\u1ec5m COVID-19 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng Corticosteroid theo quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh c\u1ee7a B\u1ed9 Y t\u1ebf. S\u1eed d\u1ee5ng Corticosteroid cho m\u1ee5c \u0111\u00edch tr\u01b0\u1edfng th\u00e0nh ph\u1ed5i: Dexamethasone 6mg ti\u00eam t\u0129nh m\u1ea1ch 12 gi\u1edd\/l\u00e2\u0300n trong v\u00f2ng 48 gi\u1edd (04 li\u1ec1u).<\/p>\n

\u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh COVID-19 nh\u01b0ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u1ec9 \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9: N\u1ebfu tu\u1ed5i thai t\u1eeb 39 tu\u00e2\u0300n tr\u1edf l\u00ean, xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh ch\u1ea5m d\u1ee9t thai k\u1ef3; N\u1ebfu tu\u1ed5i thai 37 tu\u00e2\u0300n – 38 tu\u00e2\u0300n 7 ng\u00e0y m\u00e0 kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh s\u1ea3n khoa kh\u00e1c: xem x\u00e9t theo d\u00f5i thai th\u01b0\u1eddng quy cho \u0111\u1ebfn 14 ng\u00e0y k\u1ec3 t\u1eeb khi thai ph\u1ee5 c\u00f3 x\u00e9t nghi\u1ec7m COVID-19 d\u01b0\u01a1ng t\u00ednh ho\u1eb7c 07 ng\u00e0y k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng ho\u1eb7c 03 ng\u00e0y k\u1ec3 t\u1eeb khi c\u00f3 s\u1ef1 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n

\u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p m\u1eafc COVID-19 n\u1eb7ng ho\u1eb7c ti\u00ean l\u01b0\u1ee3ng di\u1ec5n ti\u1ebfn n\u1eb7ng\/nguy k\u1ecbch trong v\u00f2ng 24 gi\u1edd: Tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng th\u1edf m\u00e1y, n\u1ebfu t\u00ecnh tr\u1ea1ng m\u1eb9 di\u1ec5n ti\u1ebfn x\u1ea5u d\u00e2\u0300n, c\u00e2n nh\u1eafc ch\u1ea5m d\u1ee9t thai k\u1ef3khi thai > 32 tu\u00e2\u0300n b\u1eb1ng c\u00e1ch kh\u1edfi ph\u00e1t chuy\u1ec3n d\u1ea1, theo d\u00f5i sinh \u0111\u01b0\u1eddng d\u01b0\u1edbi ho\u1eb7c m\u1ed5 l\u1ea5y thai.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1edf m\u00e1y: N\u1ebfu thai > 32 tu\u00e2\u0300n: xem x\u00e9t ch\u1ec9 \u0111\u1ecbnh m\u1ed5 l\u1ea5y thai; N\u1ebfu thai \u2264 32 tu\u00e2\u0300n v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng: ch\u1ec9 \u0111\u1ecbnh sinh n\u00ean \u0111\u01b0\u1ee3c tr\u00ec ho\u00e3n n\u1ebfu t\u00ecnh tr\u1ea1ng c\u1ee7a m\u1eb9 \u1ed5n \u0111\u1ecbnh ho\u1eb7c c\u00f3 c\u1ea3i thi\u1ec7n; tr\u01b0\u1eddng h\u1ee3p t\u00ecnh tr\u1ea1ng m\u1eb9 di\u1ec5n ti\u1ebfn x\u1ea5u h\u01a1n: m\u1ed5 l\u1ea5y thai;<\/p>\n

B\u1ed9 Y t\u1ebf l\u01b0u \u00fd c\u00e2\u0300n c\u00e2n nh\u1eafc ch\u1ec9 \u0111\u1ecbnh m\u1ed5 l\u1ea5y thai khi tu\u1ed5i thai d\u01b0\u1edbi 30 tu\u00e2\u0300n. C\u00e2n nh\u1eafc \u0111\u1ebfn vi\u1ec7c ch\u1ea5m d\u1ee9t thai k\u1ef3 trong tr\u01b0\u1eddng h\u1ee3p s\u1ea3n ph\u1ee5 nhi\u1ec5m COVID-19 th\u1ec3 n\u1eb7ng \u1ea3nh h\u01b0\u1edfng n\u1eb7ng \u0111\u1ebfn ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p sau khi h\u1ed9i ch\u1ea9n gi\u1eefa chuy\u00ean khoa s\u1ea3n, chuy\u00ean khoa h\u1ed3i s\u1ee9c, g\u00e2y m\u00ea h\u1ed3i s\u1ee9c, s\u01a1 sinh.\/.<\/p>\n

Ngu\u1ed3n B\u1ed9 Y t\u1ebf<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

Theo B\u1ed9 Y t\u1ebf, c\u00e1c d\u1eef li\u1ec7u hi\u1ec7n nay cho th\u1ea5y nguy c\u01a1 m\u1eafc b\u1ec7nh th\u1ec3 n\u1eb7ng \u1edf ph\u1ee5 n\u1eef mang thai nhi\u1ec5m COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng cao h\u01a1n nh\u00f3m kh\u00f4ng mang thai. \u0110\u1ed1i v\u1edbi thai nhi, c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng n\u00e0o c\u00f3 m\u1ed1i li\u00ean quan gi\u1eefa SARS-CoV-2 v\u00e0 c\u00e1c […]<\/p>\n","protected":false},"author":3,"featured_media":8555,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[249,241],"tags":[],"class_list":["post-8554","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cai-cach-hanh-chinh","category-cap-nhat-tin-covid"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/8554","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=8554"}],"version-history":[{"count":3,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/8554\/revisions"}],"predecessor-version":[{"id":8560,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/8554\/revisions\/8560"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/8555"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=8554"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=8554"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=8554"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}