{"id":2542,"date":"2022-02-15T09:01:10","date_gmt":"2022-02-15T02:01:10","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=2542"},"modified":"2022-02-15T09:01:10","modified_gmt":"2022-02-15T02:01:10","slug":"bo-y-te-huong-dan-f0-dieu-tri-tai-nha","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2022\/02\/15\/bo-y-te-huong-dan-f0-dieu-tri-tai-nha\/","title":{"rendered":"B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0"},"content":{"rendered":"

B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/strong><\/p>\n

B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh “H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0”. Theo \u0111\u00f3, c\u01a1 s\u1edf qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi m\u1eafc COVID-19 h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi m\u1eafc COVID-19 th\u1ef1c hi\u1ec7n t\u1ef1 theo d\u00f5i s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1n th\u00f4ng tin v\u00e0o Phi\u1ebfu theo d\u00f5i s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0 (Phi\u1ebfu theo d\u00f5i theo m\u1eabu quy \u0111\u1ecbnh c\u1ee7a B\u1ed9 Y t\u1ebf t\u1ea1i ph\u1ee5 l\u1ee5c 2 c\u1ee7a h\u01b0\u1edbng d\u1eabn n\u00e0y), 2 l\u1ea7n\/ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 bu\u1ed5i chi\u1ec1u ho\u1eb7c khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng c\u1ea7n chuy\u1ec3n vi\u1ec7n c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Nh\u1eefng vi\u1ec7c F0 c\u1ea7n l\u00e0m \u0111\u1ec3 theo d\u00f5i s\u1ee9c kh\u1ecfe h\u00e0ng ng\u00e0y:<\/strong><\/p>\n

– Ch\u1ec9 s\u1ed1: nh\u1ecbp th\u1edf, m\u1ea1ch, nhi\u1ec7t \u0111\u1ed9, SpO2 v\u00e0 huy\u1ebft \u00e1p (n\u1ebfu c\u00f3 th\u1ec3).<\/p>\n

– C\u00e1c tri\u1ec7u ch\u1ee9ng: m\u1ec7t m\u1ecfi, ho, ho ra \u0111\u1eddm, \u1edbn l\u1ea1nh\/gai r\u00e9t, vi\u00eam k\u1ebft m\u1ea1c (m\u1eaft \u0111\u1ecf), m\u1ea5t v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c, ti\u00eau ch\u1ea3y (ph\u00e2n l\u1ecfng\/\u0111i ngo\u00e0i); Ho ra m\u00e1u, th\u1edf d\u1ed1c ho\u1eb7c kh\u00f3 th\u1edf, \u0111au t\u1ee9c ng\u1ef1c k\u00e9o d\u00e0i, l\u01a1 m\u01a1, kh\u00f4ng t\u1ec9nh t\u00e1o; C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0: \u0110au h\u1ecdng, nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, \u0111au nh\u1ee9c c\u01a1,\u2026<\/p>\n

B\u1ed9 Y t\u1ebf l\u01b0u \u00fd khi ph\u00e1t hi\u1ec7n b\u1ea5t c\u1ee9 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u d\u01b0\u1edbi \u0111\u00e2y, F0 \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 ph\u1ea3i th\u00f4ng b\u00e1o ngay v\u1edbi C\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0; tr\u1ea1m y t\u1ebf x\u00e3, ph\u01b0\u1eddng; ho\u1eb7c tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng, Trung t\u00e2m v\u1eadn chuy\u1ec3n c\u1ea5p c\u1ee9u\u2026 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed c\u1ea5p c\u1ee9u v\u00e0 chuy\u1ec3n vi\u1ec7n k\u1ecbp th\u1eddi:<\/em><\/strong><\/p>\n

– Kh\u00f3 th\u1edf, th\u1edf h\u1ee5t h\u01a1i, ho\u1eb7c \u1edf tr\u1ebb em c\u00f3 d\u1ea5u hi\u1ec7u th\u1edf b\u1ea5t th\u01b0\u1eddng: 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.<\/p>\n

– Nh\u1ecbp th\u1edf: \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn: nh\u1ecbp th\u1edf \u2265 20 l\u1ea7n\/ph\u00fat<\/p>\n

– \u0110\u1ed1i v\u1edbi tr\u1ebb em t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i: Nh\u1ecbp th\u1edf: \u2265 40 l\u1ea7n\/ph\u00fat; Tr\u1ebb t\u1eeb 5 \u2013 d\u01b0\u1edbi 12 tu\u1ed5i: nh\u1ecbp th\u1edf: \u2265 30 l\u1ea7n\/ph\u00fat<\/p>\n

(L\u01b0u \u00fd \u1edf tr\u1ebb em: \u0111\u1ebfm \u0111\u1ee7 nh\u1ecbp th\u1edf trong 1 ph\u00fat khi tr\u1ebb n\u1eb1m y\u00ean kh\u00f4ng kh\u00f3c).<\/p>\n

– SpO2 \u2264 96% (tr\u01b0\u1eddng h\u1ee3p ph\u00e1t hi\u1ec7n ch\u1ec9 s\u1ed1 SpO2 b\u1ea5t th\u01b0\u1eddng c\u1ea7n \u0111o l\u1ea1i l\u1ea7n 2 sau 30 gi\u00e2y \u0111\u1ebfn 1 ph\u00fat, khi \u0111o y\u00eau c\u1ea7u gi\u1eef y\u00ean v\u1ecb tr\u00ed \u0111o).<\/p>\n

– M\u1ea1ch nhanh > 120 nh\u1ecbp\/ph\u00fat ho\u1eb7c < 50 nh\u1ecbp\/ph\u00fat.<\/p>\n

– Huy\u1ebft \u00e1p th\u1ea5p: huy\u1ebft \u00e1p t\u1ed1i \u0111a < 90 mmHg, huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u < 60 mmHg (n\u1ebfu c\u00f3 th\u1ec3 \u0111o).<\/p>\n

– \u0110au t\u1ee9c ng\u1ef1c th\u01b0\u1eddng xuy\u00ean, c\u1ea3m gi\u00e1c b\u00f3 th\u1eaft ng\u1ef1c, \u0111au t\u0103ng khi h\u00edt s\u00e2u.<\/p>\n

– Thay \u0111\u1ed5i \u00fd th\u1ee9c: l\u00fa l\u1eabn, ng\u1ee7 r\u0169, l\u01a1 m\u01a1, r\u1ea5t m\u1ec7t\/m\u1ec7t l\u1ea3, tr\u1ebb qu\u1ea5y kh\u00f3c, li b\u00ec kh\u00f3 \u0111\u00e1nh th\u1ee9c, co gi\u1eadt.<\/p>\n

– T\u00edm m\u00f4i, t\u00edm \u0111\u1ea7u m\u00f3ng tay, m\u00f3ng ch\u00e2n, da xanh, m\u00f4i nh\u1ee3t, l\u1ea1nh \u0111\u1ea7u ng\u00f3n tay, ng\u00f3n ch\u00e2n.<\/p>\n

– Kh\u00f4ng th\u1ec3 u\u1ed1ng ho\u1eb7c b\u00fa k\u00e9m\/gi\u1ea3m, \u0103n k\u00e9m, n\u00f4n (\u1edf tr\u1ebb em). Tr\u1ebb c\u00f3 bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng vi\u00eam \u0111a h\u1ec7 th\u1ed1ng: s\u1ed1t cao, \u0111\u1ecf m\u1eaft, m\u00f4i \u0111\u1ecf, l\u01b0\u1ee1i d\u00e2u t\u00e2y, ng\u00f3n tay ch\u00e2n s\u01b0ng ph\u00f9 n\u1ed5i h\u1ed3ng ban…<\/p>\n

– M\u1eafc th\u00eam b\u1ec7nh c\u1ea5p t\u00ednh: s\u1ed1t xu\u1ea5t huy\u1ebft, tay ch\u00e2n mi\u1ec7ng…<\/p>\n

– “B\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng b\u1ea5t \u1ed5n n\u00e0o c\u1ee7a ng\u01b0\u1eddi m\u1eafc COVID-19 m\u00e0 th\u1ea5y c\u1ea7n b\u00e1o c\u01a1 s\u1edf y t\u1ebf”- H\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf nh\u1ea5n m\u1ea1nh.<\/p>\n

N\u1ebfu F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 b\u1ecb s\u1ed1t:<\/strong><\/p>\n

+ \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn: > 38,5 \u0111\u1ed9 ho\u1eb7c \u0111au \u0111\u1ea7u, \u0111au ng\u01b0\u1eddi nhi\u1ec1u: u\u1ed1ng m\u1ed7i l\u1ea7n 1 vi\u00ean thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0 paracetamol 0,5 g, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 4-6 h, ng\u00e0y kh\u00f4ng qu\u00e1 4 vi\u00ean, u\u1ed1ng oresol n\u1ebfu \u0103n k\u00e9m\/gi\u1ea3m ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng u\u1ed1ng thay n\u01b0\u1edbc.<\/p>\n

+ \u0110\u1ed1i v\u1edbi tr\u1ebb em: > 38,5 \u0111\u1ed9, u\u1ed1ng thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0 paracetamol li\u1ec1u 10-15 mg\/kg\/l\u1ea7n, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 4-6 h, ng\u00e0y kh\u00f4ng qu\u00e1 4 l\u1ea7n.<\/p>\n

N\u1ebfu sau khi d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t 2 l\u1ea7n kh\u00f4ng \u0111\u1ee1, y\u00eau c\u1ea7u ng\u01b0\u1eddi m\u1eafc COVID-19 th\u00f4ng b\u00e1o ngay cho C\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed.<\/p>\n

N\u1ebfu F0 ho th\u00ec d\u00f9ng thu\u1ed1c gi\u1ea3m ho khi ho khan nhi\u1ec1u.<\/p>\n

C\u0169ng t\u1ea1i h\u01b0\u1edbng d\u1eabn n\u00e0y, B\u1ed9 Y t\u1ebf l\u01b0u \u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 n\u00ean ngh\u1ec9 ng\u01a1i, v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c nh\u1eb9 (ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe); t\u1eadp th\u1edf \u00edt nh\u1ea5t 15 ph\u00fat m\u1ed7i ng\u00e0y; U\u1ed1ng n\u01b0\u1edbc th\u01b0\u1eddng xuy\u00ean, kh\u00f4ng \u0111\u1ee3i \u0111\u1ebfn khi kh\u00e1t m\u1edbi u\u1ed1ng n\u01b0\u1edbc; kh\u00f4ng b\u1ecf b\u1eefa; t\u0103ng c\u01b0\u1eddng dinh d\u01b0\u1ee1ng: \u0103n \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t, \u0103n tr\u00e1i c\u00e2y, u\u1ed1ng n\u01b0\u1edbc hoa qu\u1ea3\u2026 v\u00e0 suy ngh\u0129 t\u00edch c\u1ef1c, duy tr\u00ec t\u00e2m l\u00fd tho\u1ea3i m\u00e1i…<\/p>\n

* Theo “H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0” do B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh n\u00eau r\u00f5 \u0111\u1ed1i v\u1edbi kh\u00e1m b\u1ec7nh, k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 cho F0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi Tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng ho\u1eb7c \u0110\u1ed9i y t\u1ebf l\u01b0u \u0111\u1ed9ng: C\u0103n c\u1ee9 v\u00e0o s\u1ed1 ca m\u1eafc v\u00e0 khu v\u1ef1c c\u00f3 ca m\u1eafc tr\u00ean \u0111\u1ecba b\u00e0n ph\u01b0\u1eddng, x\u00e3 \u0111\u1ec3 th\u00e0nh l\u1eadp c\u00e1c Tr\u1ea1m y t\u1ebf l\u01b0u \u0111\u1ed9ng ho\u1eb7c \u0110\u1ed9i y t\u1ebf l\u01b0u \u0111\u1ed9ng s\u1eb5n s\u00e0ng h\u1ed7 tr\u1ee3 c\u1ea5p c\u1ee9u cho ng\u01b0\u1eddi b\u1ec7nh t\u1ea1i nh\u00e0.<\/em><\/p>\n

V\u1ec1 k\u00ea \u0111\u01a1n, c\u1ea5p ph\u00e1t thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng cho F0 t\u1ea1i nh\u00e0<\/strong><\/p>\n

N\u1ebfu F0 s\u1ed1t:<\/em><\/strong><\/p>\n

+ \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn: > 38,5 \u0111\u1ed9 ho\u1eb7c \u0111au \u0111\u1ea7u, \u0111au ng\u01b0\u1eddi nhi\u1ec1u: u\u1ed1ng m\u1ed7i l\u1ea7n 1 vi\u00ean thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0 paracetamol 0,5 g, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 4-6h, ng\u00e0y kh\u00f4ng qu\u00e1 4 vi\u00ean, u\u1ed1ng oresol n\u1ebfu \u0103n k\u00e9m\/gi\u1ea3m ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng u\u1ed1ng thay n\u01b0\u1edbc.<\/p>\n

+ \u0110\u1ed1i v\u1edbi tr\u1ebb em: > 38,5 \u0111\u1ed9, u\u1ed1ng thu\u1ed1c h\u1ea1 s\u1ed1t nh\u01b0 paracetamol li\u1ec1u 10-15 mg\/kg\/l\u1ea7n, c\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i m\u1ed7i 4-6h, ng\u00e0y kh\u00f4ng qu\u00e1 4 l\u1ea7n.<\/p>\n

N\u1ebfu sau khi d\u00f9ng thu\u1ed1c h\u1ea1 s\u1ed1t 2 l\u1ea7n kh\u00f4ng \u0111\u1ee1,\u00a0 y\u00eau c\u1ea7u ng\u01b0\u1eddi m\u1eafc COVID-19 th\u00f4ng b\u00e1o ngay cho C\u01a1 s\u1edf qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0 \u0111\u1ec3 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed.<\/p>\n

N\u1ebfu F0 b\u1ecb ho th\u00ec d\u00f9ng thu\u1ed1c gi\u1ea3m ho khi ho khan nhi\u1ec1u.<\/p>\n

Danh m\u1ee5c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa cho F0 t\u1ea1i nh\u00e0 <\/strong><\/p>\n

V\u1ec1 thu\u1ed1c h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au<\/em><\/strong><\/p>\n

Paracetamol:<\/p>\n

+ Cho tr\u1ebb em: g\u00f3i b\u1ed9t ho\u1eb7c c\u1ed1m pha h\u1ed7n d\u1ecbch u\u1ed1ng h\u00e0m l\u01b0\u1ee3ng 80 mg, 100 mg, 150 mg ho\u1eb7c 250 mg;<\/p>\n

+ Cho ng\u01b0\u1eddi l\u1edbn: vi\u00ean n\u00e9n 250 mg ho\u1eb7c 500 mg.<\/p>\n

Thu\u1ed1c kh\u00e1ng virus: l\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

+ Favipiravir 200 mg, 400 mg (vi\u00ean).<\/p>\n

+ Molnupiravir 200 mg, 400 mg (vi\u00ean).<\/p>\n

Thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid \u0111\u01b0\u1eddng u\u1ed1ng:<\/strong> Thu\u1ed1c kh\u00f4ng ph\u00e1t s\u1eb5n cho ng\u01b0\u1eddi m\u1eafc COVID-19, thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n theo quy \u0111\u1ecbnh t\u1ea1i H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 do B\u1ed9 Y t\u1ebf ban h\u00e0nh v\u00e0 ch\u1ec9 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t ng\u00e0y trong th\u1eddi gian ch\u1edd chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19. L\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

+ Dexamethason 0,5 mg (vi\u00ean n\u00e9n).<\/p>\n

+ Methylprednisolon 16 mg (vi\u00ean n\u00e9n).<\/p>\n

Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1eddng u\u1ed1ng:<\/strong> Thu\u1ed1c kh\u00f4ng ph\u00e1t s\u1eb5n cho ng\u01b0\u1eddi m\u1eafc COVID-19, thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n theo quy \u0111\u1ecbnh t\u1ea1i H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 do B\u1ed9 Y t\u1ebf ban h\u00e0nh v\u00e0 ch\u1ec9 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t ng\u00e0y trong th\u1eddi gian ch\u1edd chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19. L\u1ef1a ch\u1ecdn m\u1ed9t trong c\u00e1c thu\u1ed1c sau:<\/p>\n

+ Rivaroxaban 10 mg (vi\u00ean).<\/p>\n

+ Apixaban 2,5 mg (vi\u00ean).<\/p>\n

B\u1ed9 Y t\u1ebf \u0111\u01b0a ra 1 s\u1ed1 l\u01b0u \u00fd v\u1ec1 thu\u1ed1c kh\u00e1ng virus, thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u:<\/em><\/strong><\/p>\n

Thu\u1ed1c kh\u00e1ng virus d\u00f9ng s\u1edbm ngay sau khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh m\u1eafc COVID-19, t\u1ed1t nh\u1ea5t trong 5 ng\u00e0y \u0111\u1ea7u k\u1ec3 t\u1eeb khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng. \u01afu ti\u00ean s\u1eed d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 nguy c\u01a1 cao b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng nh\u01b0 ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i, ch\u01b0a ti\u00eam \u0111\u1ee7 li\u1ec1u vaccine, c\u00f3 b\u1ec7nh n\u1ec1n kh\u00f4ng \u1ed5n \u0111\u1ecbnh\u2026<\/p>\n

Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb k\u1ebft h\u1ee3p \u0111\u1ed3ng th\u1eddi thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u khi ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ea5t k\u1ef3 m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a suy h\u00f4 h\u1ea5p v\u00e0 ch\u1ec9 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t ng\u00e0y trong th\u1eddi gian ch\u1edd chuy\u1ec3n \u0111\u1ebfn c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh COVID-19.<\/p>\n

Theo \u0111\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p l\u00e0:<\/em><\/strong><\/p>\n

– 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: 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

– 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 20 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 – d\u01b0\u1edbi 12 tu\u1ed5i;<\/p>\n

\u2265 40 l\u1ea7n\/ph\u00fat \u1edf tr\u1ebb em t\u1eeb 1 \u0111\u1ebfn d\u01b0\u1edbi 5 tu\u1ed5i;<\/p>\n

v\u00e0\/ho\u1eb7c SpO2 \u2264 96% (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

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

Theo “H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0” c\u00f3 3 ti\u00eau ch\u00ed l\u00e2m s\u00e0ng \u0111\u1ed1i v\u1edbi F0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/strong><\/p>\n

Th\u1ee9 nh\u1ea5t<\/em><\/strong>, l\u00e0 ng\u01b0\u1eddi m\u1eafc COVID-19 (\u0111\u01b0\u1ee3c kh\u1eb3ng \u0111\u1ecbnh nhi\u1ec5m SARS-CoV-2 b\u1eb1ng x\u00e9t nghi\u1ec7m realtime RT-PCR ho\u1eb7c test nhanh kh\u00e1ng nguy\u00ean theo quy \u0111\u1ecbnh hi\u1ec7n h\u00e0nh) kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng; ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9: nh\u01b0 s\u1ed1t, ho khan, \u0111au h\u1ecdng, ngh\u1eb9t m\u0169i, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, \u0111au m\u1ecfi c\u01a1, t\u00ea l\u01b0\u1ee1i; ti\u00eau ch\u1ea3y, ch\u1ea3y m\u0169i, m\u1ea5t m\u00f9i, m\u1ea5t v\u1ecb.<\/p>\n

Th\u1ee9 hai,<\/em><\/strong> kh\u00f4ng c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam ph\u1ed5i ho\u1eb7c thi\u1ebfu \u00f4 xy; nh\u1ecbp th\u1edf < 20 l\u1ea7n\/ph\u00fat; SpO2 > 96% khi th\u1edf kh\u00ed tr\u1eddi; kh\u00f4ng c\u00f3 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, th\u1edf kh\u00f2 kh\u00e8, th\u1edf r\u00edt \u1edf th\u00ec h\u00edt v\u00e0o.<\/p>\n

Th\u1ee9 ba,<\/em><\/strong> kh\u00f4ng m\u1eafc b\u1ec7nh n\u1ec1n, ho\u1eb7c c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0ng \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh.<\/p>\n

Khoa Truy\u1ec1n th\u00f4ng GDSK \u2013 CDC H\u1ea3i Ph\u00f2ng (t\u1ed5ng h\u1ee3p)<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ed9 Y t\u1ebf h\u01b0\u1edbng d\u1eabn F0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 B\u1ed9 Y t\u1ebf v\u1eeba ban h\u00e0nh “H\u01b0\u1edbng d\u1eabn qu\u1ea3n l\u00fd ng\u01b0\u1eddi m\u1eafc COVID-19 t\u1ea1i nh\u00e0”. Theo \u0111\u00f3, c\u01a1 s\u1edf qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi m\u1eafc COVID-19 h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi m\u1eafc COVID-19 th\u1ef1c hi\u1ec7n t\u1ef1 theo d\u00f5i s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1n th\u00f4ng tin v\u00e0o Phi\u1ebfu theo […]<\/p>\n","protected":false},"author":21,"featured_media":2543,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[121],"tags":[],"class_list":{"0":"post-2542","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-tin-noi-bat"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/2542","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2542"}],"version-history":[{"count":0,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/2542\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/2543"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2542"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2542"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2542"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}