{"id":8726,"date":"2021-08-28T17:17:20","date_gmt":"2021-08-28T10:17:20","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=8726"},"modified":"2021-08-28T17:17:20","modified_gmt":"2021-08-28T10:17:20","slug":"7-nhom-thuoc-dieu-tri-tai-nha-cho-benh-nhan-covid-19-bo-y-te-vua-ban-hanh-gom-nhung-loai-gi","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2021\/08\/28\/7-nhom-thuoc-dieu-tri-tai-nha-cho-benh-nhan-covid-19-bo-y-te-vua-ban-hanh-gom-nhung-loai-gi\/","title":{"rendered":"7 nh\u00f3m thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COVID-19 B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh g\u1ed3m nh\u1eefng lo\u1ea1i g\u00ec ?"},"content":{"rendered":"

C\u00f3 7 nh\u00f3m thu\u1ed1c: h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au; c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i; h\u1ed7 tr\u1ee3 n\u00e2ng cao s\u1ee9c kh\u1ecfe, t\u0103ng s\u1ee9c \u0111\u1ec1 kh\u00e1ng; s\u00e1t khu\u1ea9n h\u1ea7u h\u1ecdng; kh\u00e1ng virus; ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u trong Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0.<\/h2>\n
\n

Ng\u00e0y 26\/8, B\u1ed9 Y t\u1ebf ban h\u00e0nh h\u01b0\u1edbng d\u1eabn t\u1ea1m th\u1eddi Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0.<\/p>\n

7 nh\u00f3m thu\u1ed1c cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/strong><\/p>\n

Theo \u0111\u00f3, danh m\u1ee5c n\u00e0y g\u1ed3m 7 nh\u00f3m thu\u1ed1c: h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au; c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i; h\u1ed7 tr\u1ee3 n\u00e2ng cao s\u1ee9c kh\u1ecfe, t\u0103ng s\u1ee9c \u0111\u1ec1 kh\u00e1ng; s\u00e1t khu\u1ea9n h\u1ea7u h\u1ecdng; kh\u00e1ng virus; ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/p>\n

C\u1ee5 th\u1ec3 h\u01b0\u1edbng d\u1eabn Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0 g\u1ed3m c\u00f3:<\/p>\n

– Thu\u1ed1c h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au Paracetamol: cho tr\u1ebb em, s\u1eed d\u1ee5ng g\u00f3i b\u1ed9t ho\u1eb7c c\u1ed1m pha h\u1ed7n d\u1ecbch u\u1ed1ng h\u00e0m l\u01b0\u1ee3ng 80mg, 100mg, 150mg ho\u1eb7c 250mg; cho ng\u01b0\u1eddi l\u1edbn, s\u1eed d\u1ee5ng vi\u00ean n\u00e9n 250mg ho\u1eb7c 500mg.<\/p>\n

\"\"
Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0 c\u00f3 7 lo\u1ea1i<\/figcaption><\/figure>\n

– Thu\u1ed1c c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i dung d\u1ecbch: Oresol, g\u00f3i b\u00f9 n\u01b0\u1edbc, ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i kh\u00e1c.<\/p>\n

– Thu\u1ed1c h\u1ed7 tr\u1ee3 n\u00e2ng cao s\u1ee9c kh\u1ecfe, t\u0103ng s\u1ee9c \u0111\u1ec1 kh\u00e1ng: Vitamin t\u1ed5ng h\u1ee3p c\u00f3 m\u1ed9t trong c\u00e1c th\u00e0nh ph\u1ea7n sau: vitamin B1, B6 v\u00e0 B12; vitamin C (c\u00f3 th\u1ec3 bao g\u1ed3m k\u1ebdm); vitamin D.<\/p>\n

– Thu\u1ed1c s\u00e1t khu\u1ea9n h\u1ea7u h\u1ecdng: Natri clorit (dung d\u1ecbch 0,9% ho\u1eb7c vi\u00ean pha n\u01b0\u1edbc mu\u1ed1i); thu\u1ed1c s\u00e1t khu\u1ea9n h\u1ea7u h\u1ecdng kh\u00e1c.<\/p>\n

– Thu\u1ed1c kh\u00e1ng virus s\u1eed d\u1ee5ng theo \u0111\u1ec1 c\u01b0\u01a1ng nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf ph\u00ea duy\u1ec7t ho\u1eb7c theo th\u00f4ng tin t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c sau khi thu\u1ed1c \u0111\u01b0\u1ee3c c\u1ea5p gi\u1ea5y ph\u00e9p l\u01b0u h\u00e0nh s\u1ea3n ph\u1ea9m t\u1ea1i Vi\u1ec7t Nam.<\/p>\n

– Thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid \u0111\u01b0\u1eddng u\u1ed1ng, l\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau: Dexamethason 0,5mg (vi\u00ean n\u00e9n), Methylprednisolon 16mg (vi\u00ean n\u00e9n), Prednisolon 5mg (vi\u00ean n\u00e9n).<\/p>\n

– Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1eddng u\u1ed1ng, l\u1ef1a ch\u1ecdn m\u1ed9t trong 2 thu\u1ed1c sau: Rivaroxaban 10mg (vi\u00ean), Apixaban 2,5mg (vi\u00ean).<\/p>\n

Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p \u0111\u1ed3ng th\u1eddi c\u1ea3 2 lo\u1ea1i thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/strong><\/p>\n

Hi\u1ec7n nay thu\u1ed1c kh\u00e1ng virus ch\u01b0a \u0111\u01b0\u1ee3c B\u1ed9 Y t\u1ebf c\u1ea5p ph\u00e9p l\u01b0u h\u00e0nh trong t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p ho\u1eb7c c\u1ea5p ph\u00e9p l\u01b0u h\u00e0nh ch\u00ednh th\u1ee9c.<\/p>\n

Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng trong ch\u01b0\u01a1ng tr\u00ecnh th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 nghi\u00ean c\u1ee9u t\u1ea1i c\u1ed9ng \u0111\u1ed3ng theo \u0111\u1ec1 c\u01b0\u01a1ng nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c H\u1ed9i \u0111\u1ed3ng \u0110\u1ea1o \u0111\u1ee9c trong nghi\u00ean c\u1ee9u Y sinh h\u1ecdc – B\u1ed9 Y t\u1ebf th\u00f4ng qua v\u00e0 B\u1ed9 Y t\u1ebf cho ph\u00e9p tri\u1ec3n khai.<\/p>\n

Ngo\u00e0i ra, thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u s\u1ebd k\u00ea ngo\u1ea1i tr\u00fa theo c\u00e1c h\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n

Nguy\u00ean t\u1eafc l\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p \u0111\u1ed3ng th\u1eddi c\u1ea3 2 lo\u1ea1i thu\u1ed1c tr\u00ean khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 b\u1ea5t k\u1ef3 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a suy h\u00f4 h\u1ea5p m\u00e0 ch\u01b0a k\u1ecbp chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf thu dung, \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19 m\u1ee9c \u0111\u1ed9 v\u1eeba, n\u1eb7ng v\u00e0 nguy k\u1ecbch v\u00e0 ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng thu\u1ed9c ph\u1ea1m vi ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c.<\/p>\n

C\u1ee5 th\u1ec3, c\u00e1c d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p l\u00e0:<\/p>\n

1. Kh\u00f3 th\u1edf, th\u1edf h\u1ee5t h\u01a1i, ho\u1eb7c kh\u00f3 th\u1edf t\u0103ng l\u00ean khi v\u1eadn \u0111\u1ed9ng (\u0111\u1ee9ng l\u00ean, \u0111i l\u1ea1i trong nh\u00e0) ho\u1eb7c \u1edf tr\u1ebb em c\u00f3 d\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng nh\u01b0 th\u1edf r\u00ean, r\u00fat l\u00f5m l\u1ed3ng ng\u1ef1c, ph\u1eadp ph\u1ed3ng c\u00e1nh m\u0169i, kh\u00f2 kh\u00e8, th\u1edf r\u00edt th\u00ec h\u00edt v\u00e0o v\u00e0\/ho\u1eb7c<\/p>\n

2. Nh\u1ecbp th\u1edf (\u1edf tr\u1ebb em \u0111\u1ebfm \u0111\u1ee7 nh\u1ecbp th\u1edf trong m\u1ed9t ph\u00fat khi tr\u1ebb n\u1eb1m y\u00ean kh\u00f4ng kh\u00f3c):<\/p>\n

– \u2265 21 l\u1ea7n\/ph\u00fat \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n

– \u2265 30 l\u1ea7n\/ph\u00fat \u1edf tr\u1ebb em t\u1eeb 5 \u0111\u1ebfn d\u01b0\u1edbi 12 tu\u1ed5i.<\/p>\n

– \u2265 40 l\u1ea7n\/ph\u00fat \u1edf tr\u1ebb em t\u1eeb m\u1ed9t \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i; v\u00e0\/ho\u1eb7c<\/p>\n

3. SpO2 \u2264 95% (n\u1ebfu c\u00f3 th\u1ec3 \u0111o). Khi ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng \u0111o l\u1ea1i l\u1ea7n 2 sau 30 gi\u00e2y \u0111\u1ebfn m\u1ed9t ph\u00fat, khi \u0111o y\u00eau c\u1ea7u gi\u1eef y\u00ean v\u1ecb tr\u00ed \u0111o.<\/p>\n

H\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf c\u0169ng l\u01b0u \u00fd c\u00e1c y b\u00e1c s\u0129 khi k\u00ea \u0111\u01a1n, l\u01b0u \u00fd ki\u1ec3m tra k\u1ef9 c\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, khai th\u00e1c th\u00f4ng tin v\u1ec1 c\u00e1c thu\u1ed1c ng\u01b0\u1eddi b\u1ec7nh \u0111ang s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u00e1nh c\u00e1c t\u01b0\u01a1ng t\u00e1c thu\u1ed1c nghi\u00eam tr\u1ecdng khi k\u00ea \u0111\u01a1n. T\u01b0 v\u1ea5n cho ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c nh\u1eadn bi\u1ebft m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n quan tr\u1ecdng c\u1ee7a thu\u1ed1c \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed tr\u00ed ph\u00f9 h\u1ee3p trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng.\/.<\/p>\n

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

C\u00f3 7 nh\u00f3m thu\u1ed1c: h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au; c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i; h\u1ed7 tr\u1ee3 n\u00e2ng cao s\u1ee9c kh\u1ecfe, t\u0103ng s\u1ee9c \u0111\u1ec1 kh\u00e1ng; s\u00e1t khu\u1ea9n h\u1ea7u h\u1ecdng; kh\u00e1ng virus; ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u trong Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho ng\u01b0\u1eddi nhi\u1ec5m COVID-19 t\u1ea1i nh\u00e0. Ng\u00e0y 26\/8, B\u1ed9 Y t\u1ebf […]<\/p>\n","protected":false},"author":3,"featured_media":8727,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[241],"tags":[],"class_list":["post-8726","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cap-nhat-tin-covid"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/8726","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=8726"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/8726\/revisions"}],"predecessor-version":[{"id":8728,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/8726\/revisions\/8728"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/8727"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=8726"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=8726"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=8726"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}