{"id":1874,"date":"2023-04-08T12:51:21","date_gmt":"2023-04-08T05:51:21","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1874"},"modified":"2023-04-26T12:19:32","modified_gmt":"2023-04-26T05:19:32","slug":"hoi-chung-hau-covid","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng h\u1eadu COVID &#8211; nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u1ec1 sinh l\u00fd b\u1ec7nh"},"content":{"rendered":"<p><strong>H\u1ed9i ch\u1ee9ng h\u1eadu COVID (Post COVID Syndrome &#8211; PCS) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe k\u00e9o d\u00e0i sau khi b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1ee5c h\u1ed3i t\u1eeb COVID-19. Tuy nhi\u00ean, c\u00e1c c\u01a1 ch\u1ebf ch\u00ednh x\u00e1c c\u1ee7a PCS v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5 ho\u00e0n to\u00e0n. Do \u0111\u00f3, vi\u1ec7c hi\u1ec3u sinh l\u00fd b\u1ec7nh c\u1ee7a PCS s\u1ebd gi\u00fap cho c\u00e1c B\u00e1c s\u0129 thu\u1eadn l\u1ee3i trong vi\u1ec7c \u0111\u1ec1 ra ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb\u00a0 ph\u00f9 h\u1ee3p.<\/strong><\/p>\n<h1>1.\u0110\u1ecbnh ngh\u0129a<\/h1>\n<p>H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c, dai d\u1eb3ng h\u01a1n 12 tu\u1ea7n, ph\u00e1t tri\u1ec3n trong ho\u1eb7c sau khi nhi\u1ec5m COVID-19.<\/p>\n<p>Nhi\u1ec5m COVID 19 k\u00e9o d\u00e0i th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 m\u00f4 t\u1ea3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng. c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u1ebfp t\u1ee5c ho\u1eb7c ph\u00e1t tri\u1ec3n sau COVID-19 c\u1ea5p t\u00ednh. N\u00f3 bao g\u1ed3m COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng li\u00ean t\u1ee5c, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111ang di\u1ec5n ra (4 &#8211; 12 tu\u1ea7n) v\u00e0 h\u1ed9i ch\u1ee9ng sau COVID-19 (\u226512 tu\u1ea7n).<\/p>\n<p>Thu\u1eadt ng\u1eef nhi\u1ec5m COVID 19 k\u00e9o d\u00e0i \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ec3 t\u1eeb th\u00e1ng 5 ho\u1eb7c th\u00e1ng 6 n\u0103m 2020 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nh\u1eefng b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng sau khi giai \u0111o\u1ea1n c\u1ea5p t\u00ednh c\u1ee7a b\u1ec7nh k\u1ebft th\u00fac. C\u00e1c t\u00ean g\u1ecdi kh\u00e1c kh\u00e1 ph\u1ed5 bi\u1ebfn, ch\u1eb3ng h\u1ea1n nh\u01b0 h\u1ed9i ch\u1ee9ng COVID-19 m\u00e3n t\u00ednh (CCS), h\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 ho\u1eb7c di ch\u1ee9ng sau c\u1ea5p t\u00ednh c\u1ee7a nhi\u1ec5m SARS-CoV-2 (PASC).<\/p>\n<figure id=\"attachment_1876\" aria-describedby=\"caption-attachment-1876\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1876 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3.webp\" alt=\"\" width=\"550\" height=\"514\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3.webp 550w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3-300x280.webp 300w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/><figcaption id=\"caption-attachment-1876\" class=\"wp-caption-text\">Minh h\u1ecda t\u1ea7n su\u1ea5t xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng h\u1eadu COVID<\/figcaption><\/figure>\n<h2>2. SINH L\u00dd B\u1ec6NH C\u1ee6A H\u1ed8I CH\u1ee8NG H\u1eacU COVID<\/h2>\n<p>D\u1eef li\u1ec7u m\u1edbi n\u1ed5i cho th\u1ea5y r\u1eb1ng nhi\u1ec1u c\u01a1 ch\u1ebf nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u00e2y h\u1ed9i ch\u1ee9ng h\u1eadu COVID-19. C\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n c\u1ee7a v\u1eadt ch\u1ee7, c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u00f3 s\u1eb5n c\u1ee7a c\u00e1c c\u01a1 quan \u0111\u00edch c\u1ee7a COVID-19 do c\u00e1c b\u1ec7nh \u0111i k\u00e8m v\u00e0 t\u00ecnh tr\u1ea1ng suy c\u01a1 quan c\u1ea5p t\u00ednh do COVID-19.<\/p>\n<p>Nhi\u1ec5m SARS-CoV-2 ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 h\u00f4 h\u1ea5p v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng t\u1eeb m\u1ec7t m\u1ecfi nh\u1eb9 \u0111\u1ebfn c\u00e1c d\u1ea1ng nghi\u00eam tr\u1ecdng c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng oxy d\u00e0i h\u1ea1n ho\u1eb7c th\u1eadm ch\u00ed gh\u00e9p ph\u1ed5i.<\/p>\n<p>C\u00e1c bi\u1ec3u hi\u1ec7n ph\u1ed5i ban \u0111\u1ea7u c\u1ee7a SARS-CoV-2 bao g\u1ed3m thi\u1ebfu oxy trong m\u00e1u, kh\u00f3 th\u1edf v\u00e0 ho trong khi nh\u1eefng bi\u1ec3u hi\u1ec7n nghi\u00eam tr\u1ecdng bao g\u1ed3m suy h\u00f4 h\u1ea5p do thi\u1ebfu oxy v\u00e0 ARDS. ARDS c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh x\u01a1 ph\u1ed5i, t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p kh\u00f4ng h\u1ed3i ph\u1ee5c. C\u00e1c bi\u1ec3u hi\u1ec7n h\u00f4 h\u1ea5p \u0111i\u1ec3n h\u00ecnh c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu COVID bao g\u1ed3m ho m\u00e3n t\u00ednh v\u00e0 kh\u00f3 th\u1edf dai d\u1eb3ng.<\/p>\n<figure id=\"attachment_1875\" aria-describedby=\"caption-attachment-1875\" style=\"width: 550px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1875 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2.webp\" alt=\"\" width=\"550\" height=\"415\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2.webp 550w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/2-300x226.webp 300w\" sizes=\"(max-width: 550px) 100vw, 550px\" \/><figcaption id=\"caption-attachment-1875\" class=\"wp-caption-text\">Minh h\u1ecda t\u00e1c \u0111\u1ed9ng \u0111a c\u01a1 quan c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu COVID<\/figcaption><\/figure>\n<p><strong>2.1. H\u1ec7 mi\u1ec5n d\u1ecbch.<\/strong><\/p>\n<p>B\u1eb1ng ch\u1ee9ng cho th\u1ea5y r\u1eb1ng c\u00e1c d\u1ea1ng bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng nghi\u00eam tr\u1ecdng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 k\u00edch ho\u1ea1t mi\u1ec5n d\u1ecbch b\u1ec7nh l\u00fd b\u1ea9m sinh v\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch d\u1ecbch th\u1ec3 c\u1ee7a v\u1eadt ch\u1ee7 nh\u01b0 m\u1ed9t c\u01a1n b\u00e3o cytokine, g\u00e2y ra suy \u0111a c\u01a1 quan v\u00e0 do \u0111\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng.<\/p>\n<p>R\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c ch\u1ee9c n\u0103ng sinh l\u00fd c\u1ee7a n\u1ed9i m\u00f4 m\u1ea1ch m\u00e1u (vi\u00eam n\u1ed9i m\u00f4) v\u00e0 l\u00e0 c\u01a1 s\u1edf c\u1ee7a nhi\u1ec1u bi\u1ebfn ch\u1ee9ng \u1edf COVID-19, ch\u1ee7 y\u1ebfu l\u00e0 do huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch. Theo \u0111\u00f3, s\u1ef1 t\u1ed3n t\u1ea1i c\u1ee7a c\u00e1c c\u01a1 ch\u1ebf vi\u00eam n\u1ed9i m\u00f4 c\u00f3 th\u1ec3 l\u00e0m trung gian cho s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n t\u00ednh.<\/p>\n<p><strong>2.2.H\u1ec7 tim m\u1ea1ch v\u00e0 h\u1ec7 h\u00f4 h\u1ea5p.<\/strong><\/p>\n<p>Kh\u1ea3 n\u0103ng khu\u1ebfch t\u00e1n c\u1ee7a ph\u1ed5i \u0111\u1ed1i v\u1edbi Carbon monoxide (DLCO) b\u1ecb thay \u0111\u1ed5i g\u00e2y ra t\u00ecnh tr\u1ea1ng suy gi\u1ea3m ch\u1ee9c n\u0103ng \u1edf nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau vi\u00eam ph\u1ed5i COVID-19 trong th\u1eddi gian d\u00e0i.<\/p>\n<p>Trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh c\u1ee7a nhi\u1ec5m tr\u00f9ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf, \u0111au ng\u1ef1c v\u00e0 \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn 6 th\u00e1ng sau khi nhi\u1ec5m b\u1ec7nh. R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, huy\u1ebft kh\u1ed1i c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t ho\u1eb7c k\u00e9o d\u00e0i, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh v\u00e0 t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn<\/p>\n<p><strong>2.3. R\u1ed1i lo\u1ea1n th\u1ea7n kinh v\u00e0 t\u00e2m sinh l\u00fd x\u00e3 h\u1ed9i<\/strong><\/p>\n<p>Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau COVID-19 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng lo \u00e2u, tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 v\u00e0 r\u1ed1i lo\u1ea1n c\u0103ng th\u1eb3ng sau sang ch\u1ea5n (PSTD).<\/p>\n<p>PSTD c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng \u0111au kh\u1ed5 nghi\u00eam tr\u1ecdng ho\u1eb7c suy gi\u1ea3m \u0111\u00e1ng k\u1ec3 v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng trong c\u00e1c l\u0129nh v\u1ef1c ho\u1ea1t \u0111\u1ed9ng x\u00e3 h\u1ed9i, ngh\u1ec1 nghi\u1ec7p v\u00e0 c\u01a1 b\u1ea3n kh\u00e1c c\u1ee7a c\u00e1 nh\u00e2n. Ngo\u00e0i ra, n\u00f3 th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3 nh\u01b0 m\u1ec7t m\u1ecfi v\u00e0\/ho\u1eb7c kh\u00f3 th\u1edf, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, \u0111au ng\u1ef1c, nh\u1ee9c \u0111\u1ea7u, \u0111\u1ed5 m\u1ed3 h\u00f4i, bu\u1ed3n n\u00f4n, run, m\u1ea5t ng\u1ee7 v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n kinh kh\u00e1c nhau nh\u01b0 tinh th\u1ea7n u\u1ec3 o\u1ea3i ho\u1eb7c c\u1ea3m x\u00fac ph\u1eb3ng, c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n \u0111\u1ebfn vi\u1ec7c gi\u1ea3i th\u00edch sai v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i c\u1ee7a COVID-19.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng t\u00e2m th\u1ea7n kinh c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 th\u1ec3 hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf vi\u1ec7c m\u1ea5t c\u00e1c kh\u1ea3 n\u0103ng nh\u1eadn th\u1ee9c. Nh\u1eefng t\u00e1c \u0111\u1ed9ng n\u00e0y m\u00e0 b\u1ec7nh nh\u00e2n m\u00f4 t\u1ea3 l\u00e0 r\u1ed1i lo\u1ea1n tr\u00ed nh\u1edb, c\u00e1c bi\u1ec3u hi\u1ec7n khi ng\u1ee7, \u00a0k\u00e9m ch\u00fa \u00fd ho\u1eb7c t\u1eadp trung, kh\u00f3 suy ngh\u0129, kh\u00f3 th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng \u0111i\u1ec1u h\u00e0nh (l\u1eadp k\u1ebf ho\u1ea1ch, t\u1ed5 ch\u1ee9c, t\u00ecm ra chu\u1ed7i h\u00e0nh \u0111\u1ed9ng, tr\u1eebu t\u01b0\u1ee3ng h\u00f3a), suy ngh\u0129 ch\u1eadm l\u1ea1i, suy gi\u1ea3m tr\u00ed nh\u1edb ng\u1eafn h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 l\u1eddi n\u00f3i v\u00e0 ng\u00f4n ng\u1eef v\u00e0 kh\u00f3 ng\u1ee7 (m\u1ea5t ng\u1ee7, \u0111\u1ed5 m\u1ed3 h\u00f4i ban \u0111\u00eam, b\u1ed3n ch\u1ed3n ch\u00e2n, v.v.).<\/p>\n<p>Suy gi\u1ea3m nh\u1eadn th\u1ee9c th\u1ea7n kinh c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c \u0111\u1eb7c t\u00ednh h\u01b0\u1edbng th\u1ea7n kinh do COVID 19 l\u00e2y nhi\u1ec5m c\u00e1c v\u00f9ng n\u00e3o. C\u00e1c c\u01a1 ch\u1ebf kh\u00e1c nhau \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t cho v\u1ea5n \u0111\u1ec1 n\u00e0y, ch\u1eb3ng h\u1ea1n nh\u01b0 s\u1ef1 x\u00e2m l\u1ea5n ng\u01b0\u1ee3c chi\u1ec1u t\u1ebf b\u00e0o th\u1ea7n kinh th\u00f4ng qua kh\u1ee9u gi\u00e1c v\u00e0\/ho\u1eb7c d\u00e2y th\u1ea7n kinh sinh ba, qua m\u00e1u (v\u01b0\u1ee3t qua h\u00e0ng r\u00e0o m\u00e1u n\u00e3o) v\u00e0 qua c\u00e1c con \u0111\u01b0\u1eddng qua trung gian mi\u1ec5n d\u1ecbch (t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch truy\u1ec1n m\u1ea7m b\u1ec7nh v\u00e0o n\u00e3o ). C\u00e1c nguy\u00ean nh\u00e2n gi\u00e1n ti\u1ebfp kh\u00e1c g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o c\u00f3 th\u1ec3 l\u00e0 do ph\u1ea3n \u1ee9ng vi\u00eam b\u1ea5t th\u01b0\u1eddng t\u1ea1i ch\u1ed7 ho\u1eb7c to\u00e0n th\u00e2n g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u00f4, t\u0103ng t\u00ednh th\u1ea5m \u00a0ho\u1eb7c c\u00e1c cytokine ti\u1ec1n vi\u00eam, s\u1ebd l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4 n\u00e3o v\u00e0 cu\u1ed1i c\u00f9ng g\u00e2y ch\u1ebft t\u1ebf b\u00e0o th\u1ea7n kinh.<\/p>\n<p>C\u00e1c bi\u1ec3u hi\u1ec7n th\u1ea7n kinh kh\u00e1c c\u1ee7a COVID-19 k\u00e9o d\u00e0i l\u00e0 th\u1ee9 ph\u00e1t sau s\u1ef1 gi\u00e1n \u0111o\u1ea1n c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh t\u1ef1 tr\u1ecb (r\u1ed1i lo\u1ea1n th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng), d\u1eabn \u0111\u1ebfn h\u1ed9i ch\u1ee9ng kh\u00f4ng dung n\u1ea1p t\u01b0 th\u1ebf \u0111\u1ee9ng, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng nh\u1ecbp tim nhanh t\u01b0 th\u1ebf \u0111\u1ee9ng (POTS), g\u00e2y ra \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, ru\u1ed9t k\u00edch th\u00edch ho\u1eb7c c\u00e1c \u0111\u1ee3t ti\u1ec1n ng\u1ea5t t\u00e1i ph\u00e1t.<\/p>\n<p>H\u1ed9i ch\u1ee9ng h\u1eadu COVID l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe ph\u1ee9c t\u1ea1p v\u00e0 \u0111a d\u1ea1ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m COVID-19. C\u01a1 ch\u1ebf c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c r\u00f5 r\u00e0ng nh\u01b0ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 vi\u00eam c\u1ee7a c\u00e1c t\u1ebf b\u00e0o v\u00e0 m\u00f4 trong c\u01a1 th\u1ec3, c\u0169ng nh\u01b0 t\u00e1c \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch. Vi\u1ec7c nghi\u00ean c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng h\u1eadu COVID l\u00e0 m\u1ed9t th\u00e1ch th\u1ee9c l\u1edbn \u0111\u1ed1i v\u1edbi c\u1ea3 b\u00e1c s\u0129 v\u00e0 nh\u00e0 nghi\u00ean c\u1ee9u y t\u1ebf.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng h\u1eadu COVID (Post COVID Syndrome &#8211; PCS) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe k\u00e9o d\u00e0i sau khi b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1ee5c h\u1ed3i t\u1eeb COVID-19. Tuy nhi\u00ean, c\u00e1c c\u01a1 ch\u1ebf ch\u00ednh x\u00e1c c\u1ee7a PCS v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5 ho\u00e0n to\u00e0n. Do \u0111\u00f3, vi\u1ec7c hi\u1ec3u sinh l\u00fd b\u1ec7nh c\u1ee7a PCS s\u1ebd gi\u00fap cho c\u00e1c [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u1ed9i ch\u1ee9ng h\u1eadu COVID - nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u1ec1 sinh l\u00fd b\u1ec7nh<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c, dai d\u1eb3ng h\u01a1n 12 tu\u1ea7n, ph\u00e1t tri\u1ec3n trong ho\u1eb7c sau khi nhi\u1ec5m\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u1ed9i ch\u1ee9ng h\u1eadu COVID - nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u1ec1 sinh l\u00fd b\u1ec7nh\" \/>\n<meta property=\"og:description\" content=\"H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c, dai d\u1eb3ng h\u01a1n 12 tu\u1ea7n, ph\u00e1t tri\u1ec3n trong ho\u1eb7c sau khi nhi\u1ec5m\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-08T05:51:21+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-26T05:19:32+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/3.webp\" \/>\n<meta name=\"author\" content=\"tdan tdan\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"tdan tdan\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/\",\"name\":\"H\u1ed9i ch\u1ee9ng h\u1eadu COVID - nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u1ec1 sinh l\u00fd b\u1ec7nh\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-08T05:51:21+00:00\",\"dateModified\":\"2023-04-26T05:19:32+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/1fa8ba11a98f51cac7431f30b0e3fb3d\"},\"description\":\"H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 l\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c, dai d\u1eb3ng h\u01a1n 12 tu\u1ea7n, ph\u00e1t tri\u1ec3n trong ho\u1eb7c sau khi nhi\u1ec5m\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"H\u1ed9i ch\u1ee9ng h\u1eadu COVID &#8211; 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