{"id":21361,"date":"2023-04-16T08:38:14","date_gmt":"2023-04-16T01:38:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21361"},"modified":"2023-04-17T14:16:39","modified_gmt":"2023-04-17T07:16:39","slug":"covid-19","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/covid-19\/","title":{"rendered":"Nh\u1eadn bi\u1ebft c\u00e1c giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh COVID 19"},"content":{"rendered":"<p><strong>COVID-19 l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m g\u00e2y ra b\u1edfi virus SARS-CoV-2. B\u1ec7nh l\u00e2y lan nhanh ch\u00f3ng qua ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh ho\u1eb7c th\u00f4ng qua vi khu\u1ea9n c\u00f3 th\u1ec3 b\u1ecb l\u00e2y lan qua kh\u00f4ng kh\u00ed, nh\u01b0 khi b\u1ecb ho ho\u1eb7c h\u1eaft h\u01a1i.<\/strong><\/p>\n<p><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh COVID-19 c\u00f3 th\u1ec3 bao g\u1ed3m s\u1ed1t, ho khan, m\u1ec7t m\u1ecfi, \u0111au \u0111\u1ea7u, \u0111au h\u1ecdng, \u0111au c\u01a1, kh\u00f3 th\u1edf, m\u1ea5t v\u1ecb gi\u00e1c v\u00e0 kh\u1ee9u gi\u00e1c. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 truy\u1ec1n b\u1ec7nh cho ng\u01b0\u1eddi kh\u00e1c. Do \u0111\u00f3 ,vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf t\u1eebng giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh COVID-19 s\u1ebd gi\u00fap cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n nhanh ch\u00f3ng c\u0169ng nh\u01b0 c\u00f3 ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t nh\u1ea7m l\u00e0m gi\u1ea3m c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/strong><\/p>\n<figure id=\"attachment_21363\" aria-describedby=\"caption-attachment-21363\" style=\"width: 1425px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-21363 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16.jpg\" alt=\"\" width=\"1425\" height=\"824\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16.jpg 1425w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16-300x173.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16-1024x592.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/1-16-768x444.jpg 768w\" sizes=\"(max-width: 1425px) 100vw, 1425px\" \/><figcaption id=\"caption-attachment-21363\" class=\"wp-caption-text\"><strong>M\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh COVID 19. Ngu\u1ed3n<\/strong>: <em>Virology, transmission, and pathogenesis of SARS-CoV-2 <\/em><\/figcaption><\/figure>\n<h1><strong>1. Giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t c\u1ee7a b\u1ec7nh COVID 19<\/strong><\/h1>\n<p><strong><em>&#8211; Th\u1eddi gian \u1ee7 b\u1ec7nh:\u00a0<\/em><\/strong><em>t\u1eeb 2-14 ng\u00e0y, trung b\u00ecnh t\u1eeb 5-7 ng\u00e0y, ch\u1ee7ng delta c\u00f3 th\u1eddi gian \u1ee7 b\u1ec7nh ng\u1eafn h\u01a1n.<\/em><\/p>\n<p><strong><em>&#8211; Kh\u1edfi ph\u00e1t:<\/em><\/strong><\/p>\n<p>+ Ch\u1ee7ng alpha: S\u1ed1t, ho khan, m\u1ec7t m\u1ecfi, \u0111au h\u1ecdng, \u0111au \u0111\u1ea7u. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ecb ngh\u1eb9t m\u0169i, ch\u1ea3y n\u01b0\u1edbc m\u0169i, m\u1ea5t v\u1ecb gi\u00e1c v\u00e0 kh\u1ee9u gi\u00e1c, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, \u0111au b\u1ee5ng\u2026<\/p>\n<p>+ Ch\u1ee7ng delta: \u0111au \u0111\u1ea7u, \u0111au h\u1ecdng, ch\u1ea3y n\u01b0\u1edbc m\u0169i, ho, s\u1ed1t, \u1ec9a ch\u1ea3y, kh\u00f3 th\u1edf, \u0111au c\u01a1.<\/p>\n<p>+ Ch\u1ee7ng Omicron: hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 th\u00f4ng tin n\u00e0o cho th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn Omicron l\u00e0 kh\u00e1c so v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf c\u00e1c bi\u1ebfn th\u1ec3 kh\u00e1c.<\/p>\n<p><strong><em>&#8211; Di\u1ec5n bi\u1ebfn:<\/em><\/strong><\/p>\n<p>+ \u0110\u1ed1i v\u1edbi ch\u1ee7ng alpha: 80% c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u1eb9, 20% ng\u01b0\u1eddi b\u1ec7nh di\u1ec5n bi\u1ebfn n\u1eb7ng v\u00e0 di\u1ec5n bi\u1ebfn n\u1eb7ng th\u01b0\u1eddng kho\u1ea3ng 5-10 ng\u00e0y v\u00e0 5% c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u00e1c \u0111\u01a1n v\u1ecb h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c v\u1edbi bi\u1ec3u hi\u1ec7n suy h\u00f4 h\u1ea5p c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do COVID-19, t\u1ed5n th\u01b0\u01a1ng vi m\u1ea1ch g\u00e2y huy\u1ebft kh\u1ed1i v\u00e0 t\u1eafc m\u1ea1ch, vi\u00eam c\u01a1 tim, s\u1ed1c nhi\u1ec5m tr\u00f9ng, suy ch\u1ee9c n\u0103ng c\u01a1 quan bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, t\u1ed5n th\u01b0\u01a1ng n\u00e3o, t\u1ed5n th\u01b0\u01a1ng tim v\u00e0 d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/p>\n<p>+ \u0110\u1ed1i v\u1edbi ch\u1ee7ng delta: t\u1ec9 l\u1ec7 nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u 5,7% (cao h\u01a1n 4.2% ch\u1ee7ng alpha), t\u1ec9 l\u1ec7 nh\u1eadp vi\u1ec7n, nh\u1eadp ICU v\u00e0 t\u1eed vong t\u0103ng h\u01a1n tr\u01b0\u1edbc. Ngo\u00e0i ra ch\u1ee7ng delta li\u00ean quan \u0111\u1ebfn t\u0103ng m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh bi\u1ec3u hi\u1ec7n b\u1edfi t\u0103ng nhu c\u1ea7u oxy, nh\u1eadp ICU ho\u1eb7c t\u1eed vong so v\u1edbi nh\u1eefng ch\u1ee7ng kh\u00e1c. Ngo\u00e0i ra ch\u1ee7ng delta c\u00f3 t\u1ea3i l\u01b0\u1ee3ng vi r\u00fat cao h\u01a1n 1.260 l\u1ea7n so v\u1edbi 19A\/19B v\u00e0 kh\u1ea3 n\u0103ng l\u00e2y cao h\u01a1n 15-20% so v\u1edbi ch\u1ee7ng kh\u00e1c.<\/p>\n<p>+ \u0110\u1ed1i v\u1edbi ch\u1ee7ng Omicrion l\u00e0 bi\u1ebfn th\u1ec3 B.1.1.529, \u0111\u01b0\u1ee3c WHO b\u00e1o c\u00e1o l\u1ea7n \u0111\u1ea7u ng\u00e0y 21\/11\/2021. Bi\u1ebfn th\u1ec3 Omicron c\u00f3 m\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn c\u00e1c \u0111\u1ed9t bi\u1ebfn v\u00ec th\u1ebf n\u00f3 kh\u00e1c v\u1edbi c\u00e1c bi\u1ebfn th\u1ec3 kh\u00e1c \u0111ang l\u01b0u h\u00e0nh. C\u00e1c nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem c\u00f3 s\u1ef1 thay \u0111\u1ed5i v\u1ec1 m\u1ee9c \u0111\u1ed9 d\u1ec5 d\u00e0ng l\u00e2y lan c\u1ee7a vi r\u00fat ho\u1eb7c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh m\u00e0 vi r\u00fat g\u00e2y ra v\u00e0 li\u1ec7u c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c \u0111\u1ed9ng n\u00e0o \u0111\u1ed1i v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 hay kh\u00f4ng. C\u00e1c nghi\u00ean c\u1ee9u s\u1eafp t\u1edbi s\u1ebd \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c v\u1eafc xin hi\u1ec7n t\u1ea1i ch\u1ed1ng l\u1ea1i ch\u1ee7ng Omicron l\u00e0 nh\u01b0 th\u1ebf n\u00e0o.<\/p>\n<h2><strong>2. Giai \u0111o\u1ea1n to\u00e0n ph\u00e1t c\u1ee7a b\u1ec7nh COVID 19<\/strong><\/h2>\n<p>Sau 4-5 ng\u00e0y<\/p>\n<p><strong>2.1. H\u00f4 h\u1ea5p<\/strong><\/p>\n<p>Ho nhi\u1ec1u h\u01a1n, \u0111au ng\u1ef1c, c\u1ea3m gi\u00e1c ng\u1ea1t th\u1edf, s\u1ee3 h\u00e3i, tu\u1ef3 m\u1ee9c \u0111\u1ed9 ng\u01b0\u1eddi b\u1ec7nh, th\u1edf s\u00e2u, ph\u1ed5i th\u01b0\u1eddng kh\u00f4ng ral, m\u1ea1ch th\u01b0\u1eddng kh\u00f4ng nhanh. Kho\u1ea3ng 5-10% ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 gi\u1ea3m oxy m\u00e1u th\u1ea7m l\u1eb7ng. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 c\u1ea3m gi\u00e1c kh\u00f3 th\u1edf nh\u01b0ng SpO<sub>2\u00a0<\/sub>gi\u1ea3m r\u1ea5t d\u1ec5 b\u1ecb b\u1ecf qua. Th\u1ec3 n\u1eb7ng c\u1ee7a b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n gi\u1ed1ng ARDS.<\/p>\n<p>+ M\u1ee9c \u0111\u1ed9 trung b\u00ecnh: kh\u00f3 th\u1edf t\u1ea7n s\u1ed1 th\u1edf &gt; 20 l\u1ea7n\/ph\u00fat v\u00e0\/ho\u1eb7c SpO<sub>2\u00a0<\/sub>94-96%<\/p>\n<p>+ M\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1ecbp th\u1edf &gt; 25 l\u1ea7n\/ph\u00fat v\u00e0\/ho\u1eb7c SpO<sub>2\u00a0<\/sub>&lt; 94%, c\u1ea7n cung c\u1ea5p oxy ho\u1eb7c th\u1edf m\u00e1y d\u00f2ng cao ho\u1eb7c th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp.<\/p>\n<p>+ M\u1ee9c \u0111\u1ed9 nguy k\u1ecbch nh\u1ecbp th\u1edf &gt; 30 l\u1ea7n\/ph\u00fat c\u00f3 d\u1ea5u hi\u1ec7u suy h\u00f4 h\u1ea5p n\u1eb7ng v\u1edbi th\u1edf g\u1eafng s\u1ee9c nhi\u1ec1u, th\u1edf b\u1ea5t th\u01b0\u1eddng ho\u1eb7c ch\u1eadm &lt; 10 l\u1ea7n\/ph\u00fat ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh t\u00edm t\u00e1i, c\u1ea7n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p ngay v\u1edbi \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n th\u1edf m\u00e1y x\u00e2m l\u1ea5n.<\/p>\n<p>+ M\u1ed9t s\u1ed1 \u00edt kh\u00e1c c\u00f3 th\u1ec3 c\u00f3: ho ra m\u00e1u, tr\u00e0n kh\u00ed, d\u1ecbch m\u00e0ng ph\u1ed5i (do ho\u1ea1i t\u1eed nhu m\u00f4).<\/p>\n<p><strong>2.2. Tu\u1ea7n ho\u00e0n<\/strong><\/p>\n<p><strong><em>2.2.1. C\u01a1 ch\u1ebf<\/em><\/strong><\/p>\n<p><strong><em>* Ng\u01b0\u1eddi kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh<\/em><\/strong><\/p>\n<p>&#8211; B\u00e3o cytokin vi\u00eam m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn vi huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch.<\/p>\n<p>&#8211; Vi\u00eam c\u01a1 tim do c\u01a1 tim nhi\u1ec5m vi r\u00fat tr\u1ef1c ti\u1ebfp, c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 t\u00ecm th\u1ea5y COVID-19 \u1edf t\u1ebf b\u00e0o c\u01a1 tim tr\u00ean sinh thi\u1ebft.<\/p>\n<p>&#8211; T\u00ecnh tr\u1ea1ng thi\u1ebfu oxy, t\u1ee5t huy\u1ebft \u00e1p k\u00e9o d\u00e0i c\u0169ng g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o c\u01a1 tim d\u1eabn \u0111\u1ebfn suy tim ho\u1eb7c r\u1ed1i lo\u1ea1n nh\u1ecbp tim, ch\u1ebft \u0111\u1ed9t ng\u1ed9t.<\/p>\n<p>&#8211; T\u1ed5n th\u01b0\u01a1ng vi m\u1ea1ch t\u1ea1i ph\u1ed5i g\u00e2y huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch ph\u1ed5i, m\u1eb7t kh\u00e1c 14-45% ng\u01b0\u1eddi b\u1ec7nh t\u1eed vong c\u00f3 nh\u1ed3i m\u00e1u \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i l\u00e0m t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy tim ph\u1ea3i.<\/p>\n<p><strong><em>* Ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh<\/em><\/strong><\/p>\n<p>&#8211; \u1ede ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh do x\u01a1 v\u1eefa c\u00f3 nguy c\u01a1 cao xu\u1ea5t hi\u1ec7n h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p trong th\u1eddi gian nhi\u1ec5m b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p t\u00ednh kh\u00e1c do:<\/p>\n<p>+ L\u00e0m t\u0103ng nhu c\u1ea7u ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 tim.<\/p>\n<p>+ C\u00e1c cytokin c\u00f3 th\u1ec3 l\u00e0m cho c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa bong ra g\u00e2y t\u1eafc m\u1ea1ch v\u00e0nh. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 ng\u01b0\u1eddi b\u1ec7nh b\u1ecb suy tim m\u1ea5t b\u00f9 khi b\u1ecb nhi\u1ec5m tr\u00f9ng n\u1eb7ng.<\/p>\n<p>&#8211; Do \u0111\u00f3, nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch (ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i), s\u1ebd c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u v\u00e0 t\u1eed vong cao do COVID-19 so v\u1edbi nh\u1eefng ng\u01b0\u1eddi tr\u1ebb v\u00e0 kh\u1ecfe m\u1ea1nh.<\/p>\n<p><strong><em>* T\u00e2m ph\u1ebf c\u1ea5p<\/em><\/strong><\/p>\n<p>&#8211; Do t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i nhi\u1ec1u d\u1eabn \u0111\u1ebfn t\u0103ng shunt v\u00e0 suy tim ph\u1ea3i c\u1ea5p.<\/p>\n<p>&#8211; N\u1ebfu nh\u1ed3i m\u00e1u ph\u1ed5i nguy k\u1ecbch do nguy\u00ean nh\u00e2n ngo\u00e0i ph\u1ed5i c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c.<\/p>\n<p>&#8211; C\u00f3 25% ng\u01b0\u1eddi b\u1ec7nh ARDS c\u00f3 bi\u1ec3u hi\u1ec7n t\u00e2m ph\u1ebf c\u1ea5p sau khi th\u1edf m\u00e1y 2 ng\u00e0y. Khi ng\u01b0\u1eddi b\u1ec7nh ARDS h\u1ed3i ph\u1ee5c th\u00ec bi\u1ec3u hi\u1ec7n t\u00e2m ph\u1ebf c\u1ea5p c\u0169ng d\u1ea7n m\u1ea5t \u0111i.<\/p>\n<p>&#8211; T\u00e2m ph\u1ebf c\u1ea5p do ARDS c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao (3- 6 l\u1ea7n), ph\u00f9 h\u1ee3p v\u1edbi nghi\u00ean c\u1ee9u v\u1ec1 gi\u1ea3i ph\u1eabu tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 trong ARDS c\u00f3 t\u1ed5n th\u01b0\u01a1ng vi m\u1ea1ch ph\u1ed5i kh\u00f4ng h\u1ed3i ph\u1ee5c.<\/p>\n<p><strong><em>2.2.2. L\u00e2m s\u00e0ng<\/em><\/strong><\/p>\n<p>&#8211; C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u: \u0111au ng\u1ef1c, m\u1ec7t m\u1ecfi, kh\u00f3 th\u1edf, ho.<\/p>\n<p>&#8211; S\u1ed1c tim: huy\u1ebft \u00e1p t\u1ee5t, m\u1ea1ch nhanh, r\u1ed1i lo\u1ea1n nh\u1ecbp, da, \u0111\u1ea7u chi l\u1ea1nh, gan to, t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i.<\/p>\n<p>&#8211; R\u1ed1i lo\u1ea1n nh\u1ecbp ch\u1eadm ho\u1eb7c nhanh, suy tim c\u1ea5p v\u00e0 s\u1ed1c tim do suy tim tr\u00e1i (nh\u01b0 H\u1ed9i ch\u1ee9ng tr\u00e1i tim v\u1ee1, vi\u00eam c\u01a1 tim) ho\u1eb7c suy tim ph\u1ea3i c\u1ea5p, thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim, nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, s\u1ed1c nhi\u1ec5m khu\u1ea9n th\u1ee9 ph\u00e1t do COVID-19, t\u00e2m ph\u1ebf c\u1ea5p (Acute cor pulmonary).<\/p>\n<p><strong>2.3. Th\u1eadn<\/strong><\/p>\n<p>&#8211; T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p (AKI) xu\u1ea5t hi\u1ec7n \u1edf 5-7% ng\u01b0\u1eddi b\u1ec7nh COVID-19 chung v\u00e0 trong s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh COVID-19 nh\u1eadp ICU c\u00f3 t\u1edbi 29-35% bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p. Ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh th\u1eadn t\u1eeb tr\u01b0\u1edbc nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p c\u00f3 nguy c\u01a1 t\u0103ng t\u1ef7 l\u1ec7 t\u1eed vong g\u1ea5p 3 l\u1ea7n so v\u1edbi kh\u00f4ng c\u00f3 b\u1ec7nh n\u1ec1n.<\/p>\n<p>&#8211; C\u01a1 ch\u1ebf b\u1ec7nh sinh: 4 nh\u00f3m nguy\u00ean nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a ra:<\/p>\n<p>+ Do t\u1ed5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp t\u1ebf b\u00e0o, c\u1ea7u th\u1eadn, \u1ed1ng th\u1eadn do vi r\u00fat.<\/p>\n<p>+ Do c\u01a1n b\u00e3o cytokin, r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng trong th\u1eadn.<\/p>\n<p>+ Do huy\u1ebft kh\u1ed1i &#8211; t\u1eafc m\u1ea1ch th\u1eadn.<\/p>\n<p>+ Do c\u00e1c nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p trong ICU: thi\u1ebfu d\u1ecbch trong l\u00f2ng m\u1ea1ch, qu\u00e1 li\u1ec1u thu\u1ed1c do kh\u00f4ng \u0111i\u1ec1u ch\u1ec9nh theo m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn, th\u1edf m\u00e1y v\u1edbi PEEP cao, t\u01b0\u01a1ng t\u00e1c gi\u1eefa c\u00e1c c\u01a1 quan (tim-th\u1eadn, ph\u1ed5i-th\u1eadn, gan-th\u1eadn)<\/p>\n<p>&#8211; L\u00e2m s\u00e0ng: Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 thi\u1ec3u ni\u1ec7u ho\u1eb7c \u0111\u00e1i nhi\u1ec1u, n\u01b0\u1edbc ti\u1ec3u c\u00f3 protein, \u0111\u00e1i m\u00e1u vi th\u1ec3 ho\u1eb7c \u0111\u1ea1i th\u1ec3, c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ed9i ch\u1ee9ng ure m\u00e1u cao \u00edt g\u1eb7p, nh\u01b0ng th\u01b0\u1eddng n\u1eb7ng tr\u00ean ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 suy th\u1eadn t\u1eeb tr\u01b0\u1edbc.<\/p>\n<p>&#8211; Ch\u1ea9n \u0111o\u00e1n AKI v\u00e0 m\u1ee9c \u0111\u1ed9 d\u1ef1a v\u00e0o creatinin huy\u1ebft t\u01b0\u01a1ng v\u00e0 th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p><strong>2.4. Th\u1ea7n kinh<\/strong><\/p>\n<p>&#8211; Nh\u1ed3i m\u00e1u n\u00e3o: li\u00ean quan \u0111\u00f4ng m\u00e1u do \u201cb\u00e3o cytokin\u201d, ho\u1eb7c do c\u1ee5c m\u00e1u \u0111\u00f4ng ngu\u1ed3n g\u1ed1c t\u1eeb tim, ho\u1eb7c t\u0129nh m\u1ea1ch ph\u1ed5i, \u0111\u1eb7c bi\u1ec7t tr\u00ean nh\u1eefng ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1: tu\u1ed5i cao, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n lipid m\u00e1u, thu\u1ed1c l\u00e1, b\u00e9o ph\u00ec, kh\u00e1ng th\u1ec3 kh\u00e1ng phospholipid.<\/p>\n<p>&#8211; L\u00e2m s\u00e0ng xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t:<\/p>\n<p>+ R\u1ed1i lo\u1ea1n \u00fd th\u1ee9c theo c\u00e1c m\u1ee9c \u0111\u1ed9: nh\u1eb9 th\u00ec c\u00f2n t\u1ec9nh, n\u1eb7ng nh\u1ea5t l\u00e0 h\u00f4n m\u00ea.<\/p>\n<p>+ H\u1ed9i ch\u1ee9ng li\u1ec7t n\u1eeda ng\u01b0\u1eddi: li\u1ec7t v\u1eadn \u0111\u1ed9ng c\u00f3 ho\u1eb7c kh\u00f4ng t\u00ea b\u00ec, d\u1ecb c\u1ea3m.<\/p>\n<p>+ Th\u1ea5t ng\u00f4n.<\/p>\n<p>+ M\u1ea5t th\u1ecb l\u1ef1c, b\u00e1n manh, g\u00f3c manh.<\/p>\n<p>+ Li\u1ec7t d\u00e2y th\u1ea7n kinh s\u1ecd.<\/p>\n<p>+ R\u1ed1i lo\u1ea1n c\u01a1 tr\u00f2n.<\/p>\n<p>+ Gi\u1ea3m ho\u1eb7c m\u1ea5t kh\u1ee9u gi\u00e1c<\/p>\n<p>+ Vi\u00eam n\u00e3o m\u00e0ng n\u00e3o, tho\u00e1i ho\u00e1 n\u00e3o, vi\u00eam \u0111a r\u1ec5 v\u00e0 d\u00e2y th\u1ea7n kinh nh\u01b0 h\u1ed9i ch\u1ee9ng Guillain Barre, b\u1ec7nh n\u00e3o do COVID-19.<\/p>\n<p><strong>2.5. D\u1ea1 d\u00e0y-ru\u1ed9t<\/strong><\/p>\n<p>Vi r\u00fat x\u00e2m nh\u1eadp v\u00e0o t\u1ebf b\u00e0o d\u1eabn t\u1edbi vi\u00eam t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 l\u00e0m gi\u1ea3m h\u1ea5p thu, m\u1ea5t c\u00e2n b\u1eb1ng b\u00e0i ti\u1ebft \u1edf ru\u1ed9t v\u00e0 ho\u1ea1t h\u00f3a h\u1ec7 th\u1ed1ng th\u1ea7n kinh c\u1ee7a ru\u1ed9t, d\u1eabn t\u1edbi \u1ec9a ch\u1ea3y. Ngo\u00e0i ra c\u00f3 th\u1ec3 do d\u00f9ng kh\u00e1ng sinh hay do thay \u0111\u1ed5i h\u1ec7 vi sinh v\u1eadt \u1edf ru\u1ed9t, \u00edt g\u1eb7p h\u01a1n c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch m\u1ea1c treo. T\u1ef7 l\u1ec7 xu\u1ea5t hi\u1ec7n ti\u00eau ch\u1ea3y t\u1eeb 2-50% trong nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec5m COVID-19. Ti\u00eau ch\u1ea3y ph\u00e2n l\u1ecfng c\u0169ng c\u00f3 khi ph\u00e2n to\u00e0n n\u01b0\u1edbc 7-8 l\u1ea7n\/ng\u00e0y v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o ng\u00e0y th\u1ee9 t\u01b0 c\u1ee7a kh\u1edfi ph\u00e1t b\u1ec7nh.<\/p>\n<p><strong>2.6. Gan m\u1eadt<\/strong><\/p>\n<p>C\u00f3 th\u1ec3 c\u00f3 v\u00e0ng da, suy gan, t\u0103ng men gan, suy gan c\u1ea5p, h\u00f4n m\u00ea gan.<\/p>\n<p><strong>2.7. N\u1ed9i ti\u1ebft<\/strong><\/p>\n<p>T\u0103ng \u0111\u01b0\u1eddng m\u00e1u \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u1eeb tr\u01b0\u1edbc, ho\u1eb7c t\u0103ng \u0111\u01b0\u1eddng m\u00e1u li\u00ean quan s\u1eed d\u1ee5ng corticoid c\u00f3 th\u1ec3 bi\u1ebfn ch\u1ee9ng: \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng m\u1ea5t b\u00f9, toan ceton, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u\u2026<\/p>\n<p><strong>2.8. Huy\u1ebft h\u1ecdc<\/strong><\/p>\n<p>&#8211; Huy\u1ebft h\u1ecdc: T\u0103ng \u0111\u00f4ng, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u do nhi\u1ec5m tr\u00f9ng (SIC) v\u00e0 \u0111\u00f4ng m\u00e1u n\u1ed9i m\u1ea1ch (DIC), h\u1ed9i ch\u1ee9ng th\u1ef1c b\u00e0o m\u00e1u\/h\u1ed9i ch\u1ee9ng ho\u1ea1t ho\u00e1 \u0111\u1ea1i th\u1ef1c b\u00e0o, b\u1ec7nh vi m\u1ea1ch huy\u1ebft kh\u1ed1i (TMA) v\u1edbi ban gi\u1ea3m ti\u1ec3u c\u1ea7u huy\u1ebft kh\u1ed1i (TTP) v\u00e0 h\u1ed9i ch\u1ee9ng t\u0103ng ure huy\u1ebft t\u00e1n huy\u1ebft (HUS), gi\u1ea3m ti\u1ec3u c\u1ea7u do heparin (HIT) do \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (heparin ti\u00eau chu\u1ea9n, heparin tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p).<\/p>\n<p>&#8211; M\u1ea1ch m\u00e1u: c\u00f3 th\u1ec3 g\u1eb7p huy\u1ebft kh\u1ed1i g\u00e2y t\u1eafc \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch chi 2 b\u00ean.<\/p>\n<p><strong>2.9. Da<\/strong><\/p>\n<p>Bi\u1ec3u hi\u1ec7n v\u1edbi ng\u1ee9a, \u0111au\/b\u1ecfng r\u00e1t \u1edf da v\u1edbi h\u00ecnh th\u00e1i bao g\u1ed3m c\u00e1c ban d\u1ea1ng m\u1ec1 \u0111ay, c\u00e1c ban d\u1ea1ng h\u1ed3ng ban, ph\u00e1t ban d\u1ea1ng m\u1ee5n n\u01b0\u1edbc m\u1ee5n m\u1ee7, ph\u00e1t ban gi\u1ed1ng d\u1ea1ng c\u01b0\u1edbc \u1edf \u0111\u1ea7u ng\u00f3n tay ch\u00e2n, \u00edt g\u1eb7p h\u01a1n ph\u00e1t ban d\u1ea1ng l\u01b0\u1edbi (ch\u1ec9 \u0111i\u1ec3m b\u1ec7nh di\u1ec5n ti\u1ebfn n\u1eb7ng), gi\u1ed1ng t\u1ed5n th\u01b0\u01a1ng xu\u1ea5t huy\u1ebft ch\u1ee7 y\u1ebfu \u1edf chi, ban \u0111\u1ecf \u0111a h\u00ecnh th\u00e1i \u1edf tay ch\u00e2n ni\u00eam m\u1ea1c, k\u1ebft m\u1ea1c mi\u1ec7ng, vi\u00eam k\u1ebft m\u1ea1c \u1edf tr\u1ebb em.<\/p>\n<h3><strong>3. Giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c\u00a0<\/strong><\/h3>\n<p>&#8211; \u0110\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p nh\u1eb9 v\u00e0 trung b\u00ecnh, sau 7-10 ng\u00e0y, ng\u01b0\u1eddi b\u1ec7nh h\u1ebft s\u1ed1t, to\u00e0n tr\u1ea1ng kh\u00e1 l\u00ean, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i t\u1ef1 h\u1ed3i ph\u1ee5c, c\u00f3 th\u1ec3 g\u1eb7p m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i.<\/p>\n<p>&#8211; Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng: Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng k\u00e9o d\u00e0i, h\u1ed3i ph\u1ee5c t\u1eeb 2-3 tu\u1ea7n, m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i \u0111\u1ebfn h\u00e0ng th\u00e1ng.<\/p>\n<p>&#8211; Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nguy k\u1ecbch c\u00f3 th\u1ec3 ph\u1ea3i n\u1eb1m h\u1ed3i s\u1ee9c k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng, c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n x\u01a1 ph\u1ed5i, \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd, y\u1ebfu c\u01a1 k\u00e9o d\u00e0i.<\/p>\n<p>&#8211; M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p sau nhi\u1ec5m SARS-CoV-2, g\u1eb7p c\u00e1c r\u1ed1i lo\u1ea1n k\u00e9o d\u00e0i: b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n, h\u1ed9i ch\u1ee9ng th\u1ef1c b\u00e0o&#8230;<\/p>\n<p><strong>Ngu\u1ed3n<\/strong>: \u00a0H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb COVID-19 c\u1ee7a B\u1ed9 Y t\u1ebf 2022<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COVID-19 l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m g\u00e2y ra b\u1edfi virus SARS-CoV-2. B\u1ec7nh l\u00e2y lan nhanh ch\u00f3ng qua ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh ho\u1eb7c th\u00f4ng qua vi khu\u1ea9n c\u00f3 th\u1ec3 b\u1ecb l\u00e2y lan qua kh\u00f4ng kh\u00ed, nh\u01b0 khi b\u1ecb ho ho\u1eb7c h\u1eaft h\u01a1i. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh COVID-19 c\u00f3 th\u1ec3 bao [&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>Nh\u1eadn bi\u1ebft c\u00e1c giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh COVID 19 - Vinmec<\/title>\n<meta name=\"description\" content=\"COVID-19 l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m g\u00e2y ra b\u1edfi virus SARS-CoV-2. B\u1ec7nh l\u00e2y lan nhanh ch\u00f3ng qua ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m b\u1ec7nh\" \/>\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=\"Nh\u1eadn bi\u1ebft c\u00e1c giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh COVID 19 - Vinmec\" \/>\n<meta property=\"og:description\" content=\"COVID-19 l\u00e0 m\u1ed9t b\u1ec7nh truy\u1ec1n nhi\u1ec5m g\u00e2y ra b\u1edfi virus SARS-CoV-2. 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