{"id":1880,"date":"2023-04-08T12:50:09","date_gmt":"2023-04-08T05:50:09","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1880"},"modified":"2023-04-18T15:36:10","modified_gmt":"2023-04-18T08:36:10","slug":"hoi-chung-hau-covid-2","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/hoi-chung-hau-covid-2\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng h\u1eadu COVID: Tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng"},"content":{"rendered":"<p><strong>H\u1ed9i ch\u1ee9ng h\u1eadu COVID c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau \u1edf nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau, c\u0169ng nh\u01b0 c\u00e1c bi\u1ebfn ch\u1ee9ng \u1edf nhi\u1ec1u c\u01a1 quan. Vi\u1ec7c nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu COVID s\u1ebd gi\u00fap c\u00e1c B\u00e1c s\u0129 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c h\u1eadu qu\u1ea3 do h\u1ed9i ch\u1ee9ng h\u1eadu COVID mang l\u1ea1i.<\/strong><\/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 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m COVID-19 sau khi \u0111\u00e3 h\u1ed3i ph\u1ee5c. M\u1eb7c d\u00f9 \u0111a ph\u1ea7n c\u00e1c tr\u01b0\u1eddng h\u1ee3p COVID-19 \u0111\u1ec1u kh\u1ecfi b\u1ec7nh sau v\u00e0i tu\u1ea7n, nh\u01b0ng m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nh\u1eefng tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i ho\u1eb7c xu\u1ea5t hi\u1ec7n sau khi h\u1ecd \u0111\u00e3 kh\u1ecfi b\u1ec7nh. H\u1ed9i ch\u1ee9ng h\u1eadu COVID c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u kh\u00eda c\u1ea1nh c\u1ee7a cu\u1ed9c s\u1ed1ng v\u00e0 g\u00e2y ra nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u1ea3nh h\u01b0\u1edfng. Vi\u1ec7c nghi\u00ean c\u1ee9u v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng h\u1eadu COVID \u0111ang l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m h\u00e0ng \u0111\u1ea7u c\u1ee7a c\u1ed9ng \u0111\u1ed3ng y t\u1ebf tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/p>\n<h2>1. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n<p>Nh\u1eefng ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh sau COVID c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i h\u00e0ng tu\u1ea7n, h\u00e0ng th\u00e1ng ho\u1eb7c th\u1eadm ch\u00ed h\u00e0ng n\u0103m sau khi b\u1ecb nhi\u1ec5m b\u1ec7nh. \u0110\u00f4i khi c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1eadm ch\u00ed c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t ho\u1eb7c quay tr\u1edf l\u1ea1i.<\/p>\n<p>C\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t l\u1edbn v\u1ec1 m\u1ee9c \u0111\u1ed9 ph\u1ed5 bi\u1ebfn c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng trong h\u1ed9i ch\u1ee9ng h\u1eadu nhi\u1ec5m COVID19, m\u1eb7c d\u00f9 c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ec7t m\u1ecfi (52%), tim m\u1ea1ch h\u00f4 h\u1ea5p (30-42%) v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh (40%) \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o th\u01b0\u1eddng xuy\u00ean nh\u1ea5t. T\u00ecnh tr\u1ea1ng kh\u00f4 da hi\u1ebfm khi \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<p><strong>1.1. C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn\u00a0<\/strong><\/p>\n<ul>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Kh\u00f3 ch\u1ecbu sau g\u1eafng s\u1ee9c (Post \u2013 exertional malaise)<\/li>\n<li>S\u1ed1t<\/li>\n<\/ul>\n<p><strong>1.2. Tri\u1ec7u ch\u1ee9ng tim ph\u1ed5i\u00a0<\/strong><\/p>\n<ul>\n<li>Kh\u00f3 th\u1edf ho\u1eb7c th\u1edf g\u1ea5p<\/li>\n<li>Ho<\/li>\n<li>\u0110au ng\u1ef1c<\/li>\n<li>Tim \u0111\u1eadp nhanh<\/li>\n<\/ul>\n<p><strong>1.3. Tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh\u00a0<\/strong><\/p>\n<ul>\n<li>Kh\u00f3 suy ngh\u0129 ho\u1eb7c t\u1eadp trung<\/li>\n<li>\u0110au \u0111\u1ea7u<\/li>\n<li>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 gi\u1ea5c ng\u1ee7<\/li>\n<li>Ch\u00f3ng m\u1eb7t khi b\u1ea1n \u0111\u1ee9ng l\u00ean (cho\u00e1ng v\u00e1ng)<\/li>\n<li>C\u1ea3m gi\u00e1c kim ch\u00e2m<\/li>\n<li>Thay \u0111\u1ed5i m\u00f9i ho\u1eb7c v\u1ecb<\/li>\n<li>Tr\u1ea7m c\u1ea3m ho\u1eb7c lo l\u1eafng<\/li>\n<\/ul>\n<p><strong>1.4. Tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a<\/strong><\/p>\n<ul>\n<li>Ti\u00eau ch\u1ea3y<\/li>\n<li>\u0110au d\u1ea1 d\u00e0y<\/li>\n<\/ul>\n<p><strong>1.5. C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c\u00a0<\/strong><\/p>\n<ul>\n<li>\u0110au kh\u1edbp ho\u1eb7c c\u01a1<\/li>\n<li>Ph\u00e1t ban<\/li>\n<li>Thay \u0111\u1ed5i chu k\u1ef3 kinh nguy\u1ec7t<\/li>\n<\/ul>\n<figure id=\"attachment_1907\" aria-describedby=\"caption-attachment-1907\" style=\"width: 685px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-1907 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-2.png\" alt=\"\" width=\"685\" height=\"428\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-2.png 685w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-2-300x187.png 300w\" sizes=\"(max-width: 685px) 100vw, 685px\" \/><figcaption id=\"caption-attachment-1907\" class=\"wp-caption-text\">Minh h\u1ecda cho c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu covid<\/figcaption><\/figure>\n<h2><strong>2.\u00a0 Bi\u1ebfn ch\u1ee9ng c\u1ee7a H\u1ed9i ch\u1ee9ng H\u1eadu COVID<\/strong><\/h2>\n<p><strong>2.1. Di ch\u1ee9ng ph\u1ed5i.<\/strong><\/p>\n<p>Ph\u1ed5i l\u00e0 c\u01a1 quan b\u1ecb \u1ea3nh h\u01b0\u1edfng ch\u00ednh khi nhi\u1ec5m COVID-19, do \u0111\u00f3, c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p v\u00e0 h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng ph\u1ed5 bi\u1ebfn sau khi nhi\u1ec5m COVID n\u1eb7ng.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5i th\u01b0\u1eddng g\u1eb7p nh\u1ea5t m\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau khi nhi\u1ec5m COVID l\u00e0 kh\u00f3 th\u1edf, ho v\u00e0 \u0111au ng\u1ef1c. \u01af\u1edbc t\u00ednh t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh trong s\u1ed1 c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y sau khi nhi\u1ec5m COVID-19: kh\u00f3 th\u1edf (33%), ho (22%) v\u00e0 \u0111au ng\u1ef1c (30%). Ngo\u00e0i ra, h\u1ea1n ch\u1ebf t\u1eadp th\u1ec3 d\u1ee5c l\u00e0 th\u01b0\u1eddng xuy\u00ean, kho\u1ea3ng c\u00e1ch trung b\u00ecnh 6 ph\u00fat \u0111i b\u1ed9 c\u00f3 th\u1ec3 th\u1ea5p h\u01a1n gi\u00e1 tr\u1ecb tham chi\u1ebfu b\u00ecnh th\u01b0\u1eddng \u1edf kho\u1ea3ng m\u1ed9t ph\u1ea7n t\u01b0 s\u1ed1 b\u1ec7nh nh\u00e2n sau 6 th\u00e1ng. T\u1ef7 l\u1ec7 c\u00e1c tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng li\u00ean quan \u0111\u1ebfn di ch\u1ee9ng ph\u1ed5i v\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i dai d\u1eb3ng v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft.<\/p>\n<p><strong>2.2. T\u1ed5n th\u01b0\u01a1ng da v\u00e0 ni\u00eam m\u1ea1c<\/strong><\/p>\n<p>R\u1ee5ng t\u00f3c, lo\u00e9t \u00e1p t\u01a1 \u1edf mi\u1ec7ng, c\u0169ng nh\u01b0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng v\u00e0 kh\u00f4 da c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau khi nhi\u1ec5m tr\u00f9ng \u1edf g\u1ea7n m\u1ed9t ph\u1ea7n ba s\u1ed1 b\u1ec7nh nh\u00e2n.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4 da, kh\u00f4ng c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u b\u00e1o c\u00e1o tri\u1ec7u ch\u1ee9ng n\u00e0y nh\u01b0ng c\u1ea3 Carfi v\u00e0 the Spanish Registry \u0111\u1ec1u cho r\u1eb1ng n\u00f3 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf 15-60%. Ch\u00fang n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 trong tr\u01b0\u1eddng h\u1ee3p ch\u00fang c\u00f3 li\u00ean quan \u0111\u1ebfn nguy\u00ean nh\u00e2n n\u1ed9i ti\u1ebft ho\u1eb7c mi\u1ec5n d\u1ecbch.<\/p>\n<p><strong>2.3. T\u1ed5n th\u01b0\u01a1ng c\u01a1 x\u01b0\u01a1ng kh\u1edbp<\/strong><\/p>\n<p>\u0110au kh\u1edbp r\u1ea5t ph\u1ed5 bi\u1ebfn (10-50%) v\u00e0 c\u00f3 th\u1ec3 g\u00e2y t\u00e0n ph\u1ebf. Lu\u00f4n lu\u00f4n c\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng v\u00e0 lo\u1ea1i kh\u1edbp, ki\u1ec3u bi\u1ec3u hi\u1ec7n (vi\u00eam ho\u1eb7c c\u01a1 h\u1ecdc) v\u00e0 \u0111\u1eb7c bi\u1ec7t n\u1ebfu ch\u00fang c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam kh\u00e1c.<\/p>\n<p>C\u1ea7n l\u01b0u \u00fd r\u1eb1ng m\u1ed9t l\u1ea7n nhi\u1ec5m tr\u00f9ng tr\u01b0\u1edbc \u0111\u00f3 nh\u01b0 SARS-CoV-2 c\u00f3 th\u1ec3 th\u00fac \u0111\u1ea9y s\u1ef1 kh\u1edfi ph\u00e1t c\u1ee7a b\u1ec7nh mi\u1ec5n d\u1ecbch. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, kho\u1ea3ng 20-30% b\u1ec7nh nh\u00e2n b\u00e1o c\u00e1o b\u1ecb \u0111au c\u01a1. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i ki\u1ec3m tra t\u00ecnh tr\u1ea1ng y\u1ebfu v\u00e0 t\u0103ng c\u00e1c ch\u1ec9 d\u1ea5u sinh h\u1ecdc c\u1ee7a c\u01a1, \u0111\u1ed3ng th\u1eddi c\u1ed1 g\u1eafng lo\u1ea1i tr\u1eeb b\u1ec7nh vi\u00eam nhi\u1ec5m ho\u1eb7c di ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu nhi\u1ec5m COVID.<\/p>\n<p><strong>2.4. T\u1ed5n th\u01b0\u01a1ng tim m\u1ea1ch<\/strong><\/p>\n<p>\u0110au ng\u1ef1c (30%) lu\u00f4n c\u1ea7n ph\u1ea3i lo\u1ea1i tr\u1eeb b\u1ec7nh m\u1ea1ch v\u00e0nh tr\u01b0\u1edbc, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch cao.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p \u0111au m\u00e0ng ph\u1ed5i, kh\u1ea3 n\u0103ng vi\u00eam thanh m\u1ea1c n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t. N\u1ebfu \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c t\u00e1i ph\u00e1t (10-60%) x\u1ea3y ra, n\u00ean xem x\u00e9t kh\u1ea3 n\u0103ng nh\u1ecbp tim nhanh xoang kh\u00f4ng ph\u00f9 h\u1ee3p n\u1ebfu n\u00f3 c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng khi thay \u0111\u1ed5i t\u01b0 th\u1ebf \u0111\u1ee9ng.<\/p>\n<p><strong>2.5. T\u1ed5n th\u01b0\u01a1ng ti\u00eau h\u00f3a<\/strong><\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a, gi\u1ed1ng nh\u01b0 trong nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh, c\u00f3 th\u1ec3 th\u01b0\u1eddng xuy\u00ean (10-17%) v\u00e0 duy tr\u00ec \u1edf d\u1ea1ng \u201cb\u00f9ng ph\u00e1t\u201d v\u1edbi tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu \u1edf b\u1ee5ng v\u00e0 ti\u00eau ch\u1ea3y v\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, m\u1ed9t ph\u1ea7n c\u1ee7a tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 l\u00e0 do s\u1ef1 thay \u0111\u1ed5i c\u1ee7a h\u1ec7 vi sinh v\u1eadt. Tuy nhi\u00ean, ph\u1ea3i lu\u00f4n c\u1ea7n lo\u1ea1i tr\u1eeb s\u1ef1 hi\u1ec7n di\u1ec7n c\u00e1c ch\u1ea5t kh\u00e1c trong ph\u00e2n (ch\u1ea5t nh\u1ea7y ho\u1eb7c m\u00e1u) v\u00e0 n\u1ebfu \u0111i\u1ec1u n\u00e0y xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi \u0111au b\u1ee5ng v\u00e0 s\u1ed1t, n\u00ean chuy\u1ec3n \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa ti\u00eau h\u00f3a.<\/p>\n<p><strong>2.6. T\u1ed5n th\u01b0\u01a1ng tai m\u0169i h\u1ecdng.<\/strong><\/p>\n<p>Nu\u1ed1t \u0111au l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng hay t\u00e1i ph\u00e1t (18%), r\u1ed1i lo\u1ea1n th\u00ednh gi\u00e1c (5%), \u00f9 tai (25%) ho\u1eb7c ch\u00f3ng m\u1eb7t ngo\u1ea1i bi\u00ean t\u1eebng c\u01a1n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau khi nhi\u1ec5m tr\u00f9ng. N\u1ebfu nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f4ng c\u1ea3i thi\u1ec7n v\u00e0 tr\u1edf n\u00ean n\u1eb7ng n\u1ec1, th\u00ec n\u00ean \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1edbi thi\u1ec7u \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n<p><strong>2.7. T\u1ed5n th\u01b0\u01a1ng m\u1eaft.<\/strong><\/p>\n<p>Nh\u1eefng thay \u0111\u1ed5i nh\u1eb9 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t v\u1ec1 th\u1ecb l\u1ef1c ho\u1eb7c th\u1eadm ch\u00ed m\u1edd m\u1eaft (27%). \u00cdt g\u1eb7p h\u01a1n l\u00e0 nh\u1eefng r\u1ed1i lo\u1ea1n \u0111\u1ed9t ng\u1ed9t ho\u1eb7c nghi\u00eam tr\u1ecdng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c r\u1ed1i lo\u1ea1n kh\u00e1c ch\u1eb3ng h\u1ea1n nh\u01b0 l\u00f3a m\u1eaft, \u0111\u1ee5c d\u1ecbch k\u00ednh \u2013 hi\u1ec7n t\u01b0\u1ee3ng th\u1ea5y ru\u1ed3i bay ho\u1eb7c bi\u1ebfn d\u1ea1ng h\u00ecnh \u2013 lo\u1ea1n h\u00ecnh th\u1ec3. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, n\u00ean nghi ng\u1edd m\u1ed9t bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 n\u00ean s\u1edbm chuy\u1ec3n \u0111\u1ebfn b\u00e1c s\u0129 nh\u00e3n khoa.<\/p>\n<p><strong>2.8. R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u v\u00e0 huy\u1ebft h\u1ecdc<\/strong><\/p>\n<p>Huy\u1ebft kh\u1ed1i l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng r\u1ea5t ph\u1ed5 bi\u1ebfn trong nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh, kho\u1ea3ng 31,3% huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch v\u00e0 bao g\u1ed3m 19,8% huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u v\u00e0 18,9% huy\u1ebft kh\u1ed1i ph\u1ed5i. Tuy nhi\u00ean, sau khi ra vi\u1ec7n, t\u1ef7 l\u1ec7 l\u01b0u h\u00e0nh th\u1ea5p, kho\u1ea3ng 0,8-2,5%. COVID-19 c\u00f3 li\u00ean quan \u0111\u1ebfn gi\u1ea3m b\u1ea1ch c\u1ea7u lympho, c\u0169ng nh\u01b0 gi\u1ea3m ti\u1ec3u c\u1ea7u, nh\u01b0ng trong ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p, nh\u1eefng \u0111i\u1ec1u n\u00e0y sau \u0111\u00f3 s\u1ebd t\u1ef1 kh\u1ecfi (7%). Do \u0111\u00f3, n\u1ebfu ch\u00fang v\u1eabn t\u1ed3n t\u1ea1i ho\u1eb7c xu\u1ea5t hi\u1ec7n sau \u0111\u00f3, ch\u00fang n\u00ean \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 lo\u1ea1i tr\u1eeb ngu\u1ed3n g\u1ed1c huy\u1ebft kh\u1ed1i ho\u1eb7c huy\u1ebft kh\u1ed1i qua trung gian mi\u1ec5n d\u1ecbch.<\/p>\n<p><strong>2.9. T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh<\/strong><\/p>\n<p>M\u1ea5t kh\u1ee9u gi\u00e1c v\u00e0 v\u1ecb gi\u00e1c r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 k\u00e9o d\u00e0i (16-22%). S\u1ef1 thi\u1ebfu h\u1ee5t v\u1ec1 c\u1ea3m gi\u00e1c h\u00f3a h\u1ecdc th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm nh\u1ea5t v\u00e0 \u0111\u00f4i khi l\u00e0 d\u1ea5u hi\u1ec7u duy nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi mang vi r\u00fat SARS-CoV-2 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Nh\u1ee9c \u0111\u1ea7u, c\u0169ng th\u01b0\u1eddng xuy\u00ean (33%), ch\u1ee7 y\u1ebfu l\u00e0 nh\u1ee9c \u0111\u1ea7u v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1eb1ng thu\u1ed1c gi\u1ea3m \u0111au. Tuy nhi\u00ean, c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 kh\u00f3 ch\u1eefa ho\u1eb7c li\u00ean quan \u0111\u1ebfn \u201cb\u00e1o \u0111\u1ed9ng \u0111\u1ecf\u201d (c\u00f3 bi\u1ec3u hi\u1ec7n n\u00f4n m\u1eeda, s\u1ed1t ho\u1eb7c m\u1ea5t ng\u1ee7) v\u00e0 n\u00ean \u0111\u01b0\u1ee3c \u01b0u ti\u00ean ki\u1ec3m tra \u0111\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng. H\u1ed9i ch\u1ee9ng m\u1ea5t t\u1ef1 ch\u1ee7 (nh\u1ecbp tim nhanh kh\u00f4ng th\u00edch h\u1ee3p, thay \u0111\u1ed5i m\u1ed3 h\u00f4i, t\u01b0 th\u1ebf \u0111\u1ee9ng) c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n kho\u1ea3ng 16% v\u00e0 c\u00f3 th\u1ec3 suy gi\u1ea3m nh\u1eadn th\u1ee9c th\u1ea7n kinh (tr\u00ed nh\u1edb ng\u1eafn h\u1ea1n , v\u1ea5n \u0111\u1ec1 v\u1ec1 t\u1eadp trung\/ch\u00fa \u00fd, \u0111\u1ecbnh h\u01b0\u1edbng) ho\u1eb7c r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 g\u1ea7n 40%.<\/p>\n<p><strong>2.10. \u1ea2nh h\u01b0\u1edfng t\u00e2m l\u00fd<\/strong><\/p>\n<p>Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y t\u1ef7 l\u1ec7 lo \u00e2u, tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n t\u00e2m tr\u1ea1ng r\u1ea5t cao (40%) v\u00e0 c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p m\u1eafc h\u1ed9i ch\u1ee9ng c\u0103ng th\u1eb3ng sau sang ch\u1ea5n.<\/p>\n<p><strong>2.11. R\u1ed1i lo\u1ea1n mi\u1ec5n d\u1ecbch<\/strong><\/p>\n<p>C\u00e1c b\u00e1o c\u00e1o v\u1ec1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n d\u1ecbch \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp, kh\u00f4ng ch\u1ec9 bi\u1ec3u hi\u1ec7n \u1edf m\u1ed9t c\u01a1 quan \u0111\u01a1n l\u1ebb (vi\u00eam tuy\u1ebfn gi\u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng, v.v.) m\u00e0 c\u00f2n v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n to\u00e0n th\u00e2n (vi\u00eam m\u1ea1ch, b\u1ec7nh vi\u00eam c\u01a1 ho\u1eb7c lupus).<\/p>\n<p>Bi\u1ebfn ch\u1ee9ng h\u1eadu COVID l\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe m\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i sau khi h\u1ed3i ph\u1ee5c t\u1eeb b\u1ec7nh COVID-19. C\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nhi\u1ec1u b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng. Nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong ho\u1eb7c \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1 cho s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng h\u1eadu COVID c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau \u1edf nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau, c\u0169ng nh\u01b0 c\u00e1c bi\u1ebfn ch\u1ee9ng \u1edf nhi\u1ec1u c\u01a1 quan. Vi\u1ec7c nh\u1eadn bi\u1ebft s\u1edbm c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng h\u1eadu COVID s\u1ebd gi\u00fap c\u00e1c B\u00e1c s\u0129 c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 [&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: Tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng<\/title>\n<meta name=\"description\" content=\"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 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m COVID-19 sau khi \u0111\u00e3 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