{"id":21697,"date":"2023-04-15T21:36:33","date_gmt":"2023-04-15T14:36:33","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21697"},"modified":"2023-04-17T14:58:01","modified_gmt":"2023-04-17T07:58:01","slug":"huong-dan-ky-thuat-phuc-hoi-chuc-nang-cho-nguoi-benh-covid","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/huong-dan-ky-thuat-phuc-hoi-chuc-nang-cho-nguoi-benh-covid\/","title":{"rendered":"\u00a0H\u01b0\u1edbng d\u1eabn k\u1ef9 thu\u1eadt ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh COVID"},"content":{"rendered":"

K\u1ef9 thu\u1eadt ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng (rehabilitation) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng trong vi\u1ec7c gi\u00fap b\u1ec7nh nh\u00e2n<\/a> COVID-19 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sau khi \u0111\u00e3 b\u00ecnh ph\u1ee5c kh\u1ecfi b\u1ec7nh. B\u1ec7nh COVID-19 c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam ph\u1ed5i n\u1eb7ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p kh\u00e1c, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng h\u00f4 h\u1ea5p v\u00e0 h\u1ea5p th\u1ee5 oxy. K\u1ef9 thu\u1eadt ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u00e0 s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t b\u1ec7nh.<\/strong><\/p>\n

\"T\u1eadp
T\u1eadp th\u1edf \u1edf ng\u01b0\u1eddi b\u1ec7nh COVID c\u00f3 th\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng h\u00f4 h\u1ea5p<\/figcaption><\/figure>\n

\u00a01. K\u1ef9 thu\u1eadt ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng cho ng\u01b0\u1eddi b\u1ec7nh m\u1ee9c \u0111\u1ed9 nh\u1eb9<\/b><\/h2>\n

– Ng\u01b0\u1eddi b\u1ec7nh m\u1ee9c \u0111\u1ed9 nh\u1eb9, \u00fd th\u1ee9c t\u1ec9nh, c\u00f3 th\u1ec3 t\u1ef1 th\u1ef1c hi\u1ec7n c\u00e1c k\u1ef9 thu\u1eadt ch\u1ee7 \u0111\u1ed9ng theo h\u01b0\u1edbng d\u1eabn qua b\u0103ng h\u00ecnh ho\u1eb7c \u0111i\u1ec1u khi\u1ec3n t\u1eeb xa, t\u1edd r\u01a1i d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n \u0111\u00fang k\u1ef9 thu\u1eadt v\u00e0 \u0111\u1ea3m b\u1ea3o \u0111\u1ee7 th\u1eddi gian.<\/p>\n

* K\u1ef9 thu\u1eadt t\u1eadp c\u00e1c ki\u1ec3u th\u1edf<\/b><\/p>\n

– M\u1ee5c \u0111\u00edch c\u1ee7a k\u1ef9 thu\u1eadt: L\u00e0m gi\u00e3n n\u1edf l\u1ed3ng ng\u1ef1c, t\u0103ng kh\u1ea3 n\u0103ng t\u1ed1ng th\u1ea3i \u0111\u1eddm d\u1ecbch gi\u00fap t\u0103ng kh\u00f4ng kh\u00ed v\u00e0o ph\u1ed5i.<\/p>\n

– T\u01b0 th\u1ebf: c\u00f3 03 t\u01b0 th\u1ebf n\u1eb1m ng\u1eeda \u0111\u1ea7u g\u1ed1i g\u1eadp 45 \u0111\u1ed9, t\u01b0 th\u1ebf ng\u1ed3i hay \u0111\u1ee9ng \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh COVID-19 \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1ef1 t\u1eadp th\u1edf.<\/p>\n

H\u00ecnh 1. K\u1ef9 thu\u1eadt 01: T\u1eadp th\u1edf ch\u00fam m\u00f4i – t\u1eadp th\u1edf ho\u00e0nh<\/p>\n\n\n\n\n
B\u01b0\u1edbc 1.\u00a0<\/b>Ng\u01b0\u1eddi b\u1ec7nh h\u00edt th\u1eadt s\u00e2u t\u1eeb t\u1eeb b\u1eb1ng m\u0169i \u0111\u1ed3ng th\u1eddi b\u1ee5ng ph\u00ecnh l\u00ean.<\/td>\n\n

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B\u01b0\u1edbc 2.\u00a0<\/b>Ch\u00fam m\u00f4i t\u1eeb t\u1eeb th\u1edf ra th\u1eadt h\u1ebft \u0111\u1ed3ng th\u1eddi b\u1ee5ng h\u00f3p l\u1ea1i.<\/td>\n\n

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H\u00ecnh 2. K\u1ef9 thu\u1eadt 02: T\u1eadp ho hi\u1ec7u qu\u1ea3<\/p>\n\n\n\n\n\n
B\u01b0\u1edbc 1.\u00a0<\/b>Th\u1edf ch\u00fam m\u00f4i kho\u1ea3ng 5 – 10 l\u1ea7n gi\u00fap \u0111\u1ea9y \u0111\u1eddm t\u1eeb ph\u1ebf qu\u1ea3n nh\u1ecf ra c\u00e1c ph\u1ebf qu\u1ea3n v\u1eeba.<\/td>\n\n

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B\u01b0\u1edbc 2.\u00a0<\/b>Tr\u00f2n mi\u1ec7ng, h\u00e0 h\u01a1i 5 – 10 l\u1ea7n, t\u1ed1c \u0111\u1ed9 t\u0103ng d\u1ea7n: Gi\u00fap \u0111\u1ea9y \u0111\u1eddm t\u1eeb ph\u1ebf qu\u1ea3n v\u1eeba ra kh\u00ed qu\u1ea3n.<\/td>\n\n

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B\u01b0\u1edbc 3.\u00a0<\/b>Ho, h\u00edt v\u00e0o th\u1eadt s\u00e2u, n\u00edn th\u1edf v\u00e0 ho li\u00ean ti\u1ebfp 2 l\u1ea7n, l\u1ea7n 1 nh\u1eb9, l\u1ea7n 2 nhanh m\u1ea1nh \u0111\u1ec3 \u0111\u1ea9y \u0111\u1eddm ra ngo\u00e0i.<\/td>\n\n

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H\u00ecnh 3. K\u1ef9 thu\u1eadt 03: T\u1eadp th\u1edf chu k\u1ef3 ch\u1ee7 \u0111\u1ed9ng<\/p>\n\n\n\n\n\n\n
B\u01b0\u1edbc 1.\u00a0<\/b>Th\u1edf c\u00f3 ki\u1ec3m so\u00e1t: H\u00edt th\u1edf nh\u1eb9 nh\u00e0ng trong 20 \u0111\u1ebfn 30 gi\u00e2y.<\/td>\n\n

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B\u01b0\u1edbc 2.\u00a0<\/b>C\u0103ng gi\u00e3n l\u1ed3ng ng\u1ef1c: H\u00edt th\u1eadt s\u00e2u b\u1eb1ng m\u0169i, n\u00edn th\u1edf 2 \u0111\u1ebfn 3 gi\u00e2y v\u00e0 th\u1edf ra nh\u1eb9 nh\u00e0ng, l\u1eb7p l\u1ea1i 3 \u0111\u1ebfn 5 l\u1ea7n.<\/td>\n\n

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B\u01b0\u1edbc 3.\u00a0<\/b>H\u00e0 h\u01a1i: H\u00edt th\u1eadt s\u00e2u, n\u00edn th\u1edf 2 \u0111\u1ebfn 3 gi\u00e2y v\u00e0 tr\u00f2n mi\u1ec7ng h\u00e0 h\u01a1i \u0111\u1ea9y m\u1ea1nh d\u00f2ng kh\u00ed ra ngo\u00e0i. L\u1eb7p l\u1ea1i 1 \u0111\u1ebfn 2 l\u1ea7n.<\/td>\n\n

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B\u01b0\u1edbc 4.\u00a0<\/b>Kh\u1ea1c \u0111\u1eddm v\u00e0 x\u1eed l\u00fd \u0111\u1eddm: kh\u1ea1c v\u00e0o c\u1ed1c \u0111\u1ef1ng \u0111\u1eddm, d\u00f9ng kh\u0103n gi\u1ea5y lau mi\u1ec7ng r\u1ed3i b\u1ecf lu\u00f4n kh\u0103n gi\u1ea5y v\u00e0o c\u1ed1c. Ti\u1ebfp theo \u0111\u1ed5 ng\u1eadp dung d\u1ecbch Javen 1% r\u1ed3i \u0111\u1eady k\u00edn n\u1eafp.<\/td>\n\n

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K\u1ef9 thu\u1eadt 04: t\u1eadp th\u1edf v\u1edbi d\u1ee5ng c\u1ee5 tr\u1ee3 gi\u00fap h\u00f4 h\u1ea5p: b\u00f3ng cao su, b\u00f3ng bay v\u00e0 d\u1ee5ng c\u1ee5 chuy\u00ean d\u1ee5ng t\u1eadp ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p Spiroball<\/p>\n

K\u1ef9 thu\u1eadt t\u1eadp v\u1eadn \u0111\u1ed9ng: g\u1eafn li\u1ec1n v\u1edbi ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y \u0111\u1ec3 duy tr\u00ec, t\u0103ng s\u1ee9c m\u1ea1nh c\u1ee7a c\u01a1 v\u00f9ng chi, th\u00e2n m\u00ecnh v\u00e0 \u0111\u1ea7u c\u1ed5.<\/p>\n

2. K\u1ef9 thu\u1eadt t\u1eadp \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng ho\u1eb7c nguy k\u1ecbch<\/b><\/h2>\n

H\u00ecnh 4. M\u1ed9t s\u1ed1 k\u1ef9 thu\u1eadt t\u1eadp \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh th\u1ec3 n\u1eb7ng ho\u1eb7c nguy k\u1ecbch<\/p>\n\n\n\n
K\u1ef9 thu\u1eadt \u0111i\u1ec1u ch\u1ec9nh t\u01b0 th\u1ebf ng\u01b0\u1eddi b\u1ec7nh<\/b><\/p>\n

– M\u1ee5c \u0111\u00edch \u0111\u1ec3 th\u01b0 gi\u00e3n c\u01a1 ho\u00e0nh gi\u00fap h\u00f4 h\u1ea5p d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n

– \u0110\u1eb7t ng\u01b0\u1eddi b\u1ec7nh ng\u1ed3i h\u01a1i g\u1eadp ng\u01b0\u1eddi v\u1ec1 ph\u00eda tr\u01b0\u1edbc ho\u1eb7c n\u1eb1m \u0111\u1ea7u cao 30o\u00a0<\/sup>– 60o<\/sup>, kh\u1edbp g\u1ed1i h\u01a1i g\u1eadp.<\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p ARDS n\u1eb7ng, th\u1edf m\u00e1y \u0111\u1eb7t ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m s\u1ea5p khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Th\u1ef1c hi\u1ec7n l\u0103n tr\u1edf th\u01b0\u1eddng xuy\u00ean 2 gi\u1edd\/l\u1ea7n, ki\u1ec3m tra t\u00ecnh tr\u1ea1ng da, \u0111\u1eb7c bi\u1ec7t c\u00e1c \u0111i\u1ec3m t\u1ef3 \u0111\u00e8.<\/p>\n

– Khuy\u1ebfn kh\u00edch s\u1eed d\u1ee5ng \u0111\u1ec7m h\u01a1i \u0111\u1ec3 ph\u00f2ng lo\u00e9t.<\/p>\n

– Th\u1ef1c hi\u1ec7n ng\u00e0y 3 l\u1ea7n (s\u00e1ng, chi\u1ec1u, t\u1ed1i).<\/td>\n

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K\u1ef9 thu\u1eadt T\u1eadp v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng<\/b><\/p>\n

– M\u1ee5c \u0111\u00edch duy tr\u00ec t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp, ch\u1ed1ng teo c\u01a1, ng\u0103n ng\u1eeba co r\u00fat kh\u1edbp v\u00e0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (DVT).<\/p>\n

– Th\u1ef1c hi\u1ec7n t\u1eadp v\u1eadn \u0111\u1ed9ng th\u1ee5 \u0111\u1ed9ng c\u00e1c kh\u1edbp vai, kh\u1edbp khu\u1ef7u tay, kh\u1edbp c\u1ed5 tay, kh\u1edbp h\u00e1ng, kh\u1edbp g\u1ed1i, kh\u1edbp c\u1ed5 ch\u00e2n theo t\u1ea7m v\u1eadn \u0111\u1ed9ng kh\u1edbp. M\u1ed7i l\u1ea7n th\u1ef1c hi\u1ec7n 15 \u0111\u1ebfn 30 ph\u00fat.<\/td>\n

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K\u1ef9 thu\u1eadt d\u1eabn l\u01b0u t\u01b0 th\u1ebf<\/b><\/p>\n

– M\u1ee5c \u0111\u00edch ph\u00f2ng \u1ee9 \u0111\u1ed9ng \u0111\u1eddm r\u00e3i v\u00e0 d\u1eabn l\u01b0u c\u00e1c \u0111\u1eddm d\u1ecbch ra ngo\u00e0i.<\/p>\n

– \u0110i\u1ec1u ch\u1ec9nh t\u01b0 th\u1ebf sao cho v\u00f9ng ph\u1ed5i t\u1ed5n th\u01b0\u01a1ng l\u00ean tr\u00ean v\u00e0 c\u00f3 \u1ee9 \u0111\u1ecdng d\u1ecbch l\u00ean tr\u00ean (d\u1ef1a v\u00e0o phim X-quang ng\u1ef1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1). M\u1ed7i l\u1ea7n th\u1ef1c hi\u1ec7n 10 – 15 ph\u00fat<\/td>\n

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K\u1ef9 thu\u1eadt v\u1ed7, rung l\u1ed3ng ng\u1ef1c<\/b><\/p>\n

– M\u1ee5c \u0111\u00edch l\u00e0m rung c\u01a1 h\u1ecdc, long \u0111\u1eddm \u1ee9 \u0111\u1ecdng v\u00e0 \u0111\u1ea9y ra ph\u1ebf qu\u1ea3n r\u1ed9ng h\u01a1n \u0111\u1ec3 tho\u00e1t ra ngo\u00e0i.<\/p>\n

– V\u1ed7 rung \u00e1p d\u1ee5ng tr\u00ean th\u00e0nh ng\u1ef1c \u1edf v\u1ecb tr\u00ed t\u01b0\u01a1ng \u1ee9ng v\u1edbi c\u00e1c ph\u00e2n thu\u1ef3 ph\u1ed5i c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1eabn l\u01b0u. M\u1ed7i l\u1ea7n v\u1ed7 rung l\u1ed3ng ng\u1ef1c 10 – 15 ph\u00fat<\/td>\n

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K\u1ef9 thu\u1eadt th\u1edf c\u00f3 tr\u1ee3 gi\u00fap<\/b><\/p>\n

– M\u1ee5c \u0111\u00edch gi\u00fap t\u1ed1ng th\u1ea3i \u0111\u1eddm t\u1eeb c\u00e1c ph\u1ebf qu\u1ea3n nh\u1ecf ra \u0111\u01b0\u1eddng th\u1edf l\u1edbn h\u01a1n.<\/p>\n

– \u00c9p b\u00e0n tay v\u00e0o l\u1ed3ng ng\u1ef1c theo h\u01b0\u1edbng di chuy\u1ec3n c\u1ee7a khung s\u01b0\u1eddn \u1edf th\u00ec th\u1edf ra c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/td>\n

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T\u00f3m l\u1ea1i, t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng trong vi\u1ec7c gi\u00fap b\u1ec7nh nh\u00e2n COVID-19 ph\u1ee5c h\u1ed3i v\u00e0 gi\u1ea3m nguy c\u01a1 t\u1eed vong. Vi\u1ec7c th\u1ef1c hi\u1ec7n t\u1eadp \u0111\u00fang c\u00e1ch v\u00e0 \u0111\u1ea7y \u0111\u1ee7 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n