{"id":22905,"date":"2023-04-17T15:15:19","date_gmt":"2023-04-17T08:15:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22905"},"modified":"2023-04-18T12:21:38","modified_gmt":"2023-04-18T05:21:38","slug":"dinh-duong-cho-nguoi-benh-covid-19-co-benh-ly-kem-theo","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/dinh-duong-cho-nguoi-benh-covid-19-co-benh-ly-kem-theo\/","title":{"rendered":"Dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo"},"content":{"rendered":"

Dinh d\u01b0\u1ee1ng l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe<\/a> c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo. Vi\u1ec7c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo gi\u00fap t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch, h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c v\u00e0 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/strong><\/p>\n

\"Cung
Cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh COVID c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo gi\u00fap h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c<\/figcaption><\/figure>\n

1. Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng chung cho ng\u01b0\u1eddi b\u1ec7nh COVID-19\u00a0<\/b><\/h2>\n

1.1. Vi\u00eam \u0110\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, vi\u00eam ph\u1ed5i nh\u1eb9<\/h3>\n

– Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n th\u00f4ng th\u01b0\u1eddng (c\u01a1m, ch\u00e1o, s\u00fap, s\u1eefa\u2026) \u0111\u1ecbnh chu\u1ea9n theo nhu c\u1ea7u dinh d\u01b0\u1ee1ng<\/p>\n

– B\u1ed5 sung dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng mi\u1ec7ng: Tr\u00e1i c\u00e2y, n\u01b0\u1edbc \u00e9p tr\u00e1i c\u00e2y, sinh t\u1ed1 ph\u00f9 h\u1ee3p, \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng mi\u1ec5n d\u1ecbch ho\u1eb7c d\u1ea1ng l\u1ecfng v\u1edbi n\u0103ng l\u01b0\u1ee3ng, \u0111\u1ea1m cao, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t, ph\u00f9 h\u1ee3p b\u1ec7nh l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng, Suy dinh d\u01b0\u1ee1ng l\u00fac nh\u1eadp vi\u1ec7n \u0111\u1ec3 n\u00e2ng cao th\u1ec3 tr\u1ea1ng v\u00e0 mi\u1ec5n d\u1ecbch.<\/p>\n

1.2. Vi\u00eam ph\u1ed5i n\u1eb7ng<\/h3>\n

– \u01afu ti\u00ean ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n l\u1ecfng (ch\u00e1o, s\u00fap\u2026) ho\u1eb7c xay nhuy\u1ec5n (nh\u01b0 d\u00f9ng qua \u1ed1ng th\u00f4ng) \u0111\u1ecbnh chu\u1ea9n theo nhu c\u1ea7u dinh d\u01b0\u1ee1ng<\/p>\n

– B\u1ed5 sung dinh d\u01b0\u1ee1ng qua ti\u00eau h\u00f3a (mi\u1ec7ng ho\u1eb7c Dinh d\u01b0\u1ee1ng \u1ed1ng th\u00f4ng): Th\u1ee9c u\u1ed1ng dinh d\u01b0\u1ee1ng (1ml= 1 \u0111\u1ebfn 1,5kcal, 15-20% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng t\u1eeb \u0111\u1ea1m, lipid c\u00f3 b\u1ed5 sung axit b\u00e9o omega 3 v\u00e0 9, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t), ph\u00f9 h\u1ee3p b\u1ec7nh l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng, Suy dinh d\u01b0\u1ee1ng l\u00fac nh\u1eadp vi\u1ec7n v\u00e0\/ho\u1eb7c khi \u0103n kh\u00f4ng \u0111\u1ee7 nhu c\u1ea7u dinh d\u01b0\u1ee1ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n \u0111\u1ec3 ng\u0103n ng\u1eeba Suy dinh d\u01b0\u1ee1ng trong b\u1ec7nh vi\u1ec7n.<\/p>\n

1.3. H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c (Th\u1edf m\u00e1y, h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p ti\u1ebfn tri\u1ec3n\u2026)<\/h3>\n

– Cho ph\u1ea7n l\u1edbn ng\u01b0\u1eddi b\u1ec7nh: Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng d\u1ea1ng l\u1ecfng (1ml= 1 \u0111\u1ebfn 1,5kcal, 15-20% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng t\u1eeb \u0111\u1ea1m, lipid c\u00f3 b\u1ed5 sung axit b\u00e9o omega 3 v\u00e0 9, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t), ph\u00f9 h\u1ee3p b\u1ec7nh l\u00fd.<\/p>\n

– Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 k\u00e9m dung n\u1ea1p ti\u00eau h\u00f3a: Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng d\u1ea1ng l\u1ecfng (1ml= 1-1,5kcal, 15-20% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng t\u1eeb \u0111\u1ea1m, \u0111\u1ea1m peptide\/\u0111\u1ea1m th\u1ee7y ph\u00e2n, lipid c\u00f3 b\u1ed5 sung triglyceride chu\u1ed7i trung b\u00ecnh-MCT, axit b\u00e9o omega 3, 9 \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t)<\/p>\n

– Tr\u00e1nh d\u00f9ng ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng c\u00f3 ch\u1ea5t b\u00e9o ch\u1ee9a ho\u00e0n to\u00e0n axit b\u00e9o omega 6.<\/p>\n

2. Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo<\/b><\/h2>\n

2.1. B\u1ec7nh tim m\u1ea1ch (t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh m\u1ea1ch v\u00e0nh, suy tim)<\/h3>\n

– Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n th\u00f4ng th\u01b0\u1eddng (c\u01a1m, ch\u00e1o, s\u00fap, s\u1eefa\u2026) \u0111\u1ecbnh chu\u1ea9n theo nhu c\u1ea7u dinh d\u01b0\u1ee1ng, trong \u0111\u00f3 axit b\u00e9o b\u00e3o h\u00f2a<1\/3 t\u1ed5ng s\u1ed1 lipid, ch\u1ea5t x\u01a1 20-25g\/ng\u00e0y, natri \u22642000mg (c\u00f3 trong kh\u1ea9u ph\u1ea7n dinh d\u01b0\u1ee1ng trong ng\u00e0y) \u1edf b\u1ec7nh nh\u00e2n suy tim (theo h\u01b0\u1edbng d\u1eabn ch\u1ebf \u0111\u1ed9 \u0103n c\u1ee7a B\u1ed9 Y t\u1ebf n\u0103m 2006).<\/p>\n

– B\u1ed5 sung dinh d\u01b0\u1ee1ng qua ti\u00eau h\u00f3a (mi\u1ec7ng ho\u1eb7c dinh d\u01b0\u1ee1ng \u1ed1ng th\u00f4ng): Th\u1ee9c u\u1ed1ng dinh d\u01b0\u1ee1ng (1ml= 1-1,5kcal, 15-20% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng t\u1eeb \u0111\u1ea1m, \u00edt cholesterol v\u00e0 axit b\u00e9o b\u00e3o h\u00f2a, h\u00e0m l\u01b0\u1ee3ng natri th\u1ea5p, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t) cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng, suy dinh d\u01b0\u1ee1ng l\u00fac nh\u1eadp vi\u1ec7n v\u00e0\/ho\u1eb7c khi \u0103n kh\u00f4ng \u0111\u1ee7 nhu c\u1ea7u dinh d\u01b0\u1ee1ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i c\u00f3 suy tim m\u1ea1n \u0111\u1ec3 ng\u0103n ng\u1eeba Suy dinh d\u01b0\u1ee1ng trong b\u1ec7nh vi\u1ec7n.<\/p>\n

2.2 \u00a0\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng\/ T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/h3>\n

– Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n th\u00f4ng th\u01b0\u1eddng (c\u01a1m, ch\u00e1o, s\u00fap, s\u1eefa\u2026) \u0111\u1ecbnh chu\u1ea9n theo nhu c\u1ea7u dinh d\u01b0\u1ee1ng, trong \u0111\u00f3 glucid chi\u1ebfm t\u1eeb 50-60% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng (theo h\u01b0\u1edbng d\u1eabn ch\u1ebf \u0111\u1ed9 \u0103n c\u1ee7a B\u1ed9 Y t\u1ebf n\u0103m 2006).<\/p>\n

– B\u1ed5 sung dinh d\u01b0\u1ee1ng qua ti\u00eau h\u00f3a (mi\u1ec7ng ho\u1eb7c dinh d\u01b0\u1ee1ng \u1ed1ng th\u00f4ng): Ch\u1ecdn th\u1ee9c u\u1ed1ng dinh d\u01b0\u1ee1ng d\u00e0nh ng\u01b0\u1eddi b\u1ec7nh \u0110T\u0110 c\u00f3 ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft th\u1ea5p (Glycemic Index-GI), \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng, suy dinh d\u01b0\u1ee1ng l\u00fac nh\u1eadp vi\u1ec7n v\u00e0\/ho\u1eb7c khi \u0103n kh\u00f4ng \u0111\u1ee7 nhu c\u1ea7u dinh d\u01b0\u1ee1ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i, nh\u1eb1m ng\u0103n ng\u1eeba Suy dinh d\u01b0\u1ee1ng trong b\u1ec7nh vi\u1ec7n.<\/p>\n

2.3. B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh<\/h3>\n

– Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n th\u00f4ng th\u01b0\u1eddng (c\u01a1m, ch\u00e1o, s\u00fap, s\u1eefa\u2026) \u0111\u1ecbnh chu\u1ea9n theo nhu c\u1ea7u dinh d\u01b0\u1ee1ng, trong \u0111\u00f3 15-20% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng t\u1eeb protid, 30-40% n\u0103ng l\u01b0\u1ee3ng t\u1eeb lipid, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t dinh d\u01b0\u1ee1ng.<\/p>\n

– B\u1ed5 sung dinh d\u01b0\u1ee1ng qua ti\u00eau h\u00f3a (mi\u1ec7ng ho\u1eb7c dinh d\u01b0\u1ee1ng \u1ed1ng th\u00f4ng): Th\u1ee9c u\u1ed1ng dinh d\u01b0\u1ee1ng (1ml= 1-1,5kcal, 15-20% t\u1ed5ng n\u0103ng l\u01b0\u1ee3ng t\u1eeb \u0111\u1ea1m, 30-40% n\u0103ng l\u01b0\u1ee3ng t\u1eeb lipid, ch\u1ee9a x\u01a1, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t) cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng, suy dinh d\u01b0\u1ee1ng l\u00fac nh\u1eadp vi\u1ec7n v\u00e0\/ho\u1eb7c khi \u0103n kh\u00f4ng \u0111\u1ee7 nhu c\u1ea7u dinh d\u01b0\u1ee1ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i, nh\u1eb1m ng\u0103n ng\u1eeba Suy dinh d\u01b0\u1ee1ng trong b\u1ec7nh vi\u1ec7n.<\/p>\n

2.4. B\u1ec7nh th\u1eadn m\u1ea1n<\/h3>\n

– Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng t\u1eeb th\u1ee9c \u0103n th\u00f4ng th\u01b0\u1eddng (c\u01a1m, ch\u00e1o, s\u00fap, s\u1eefa\u2026) \u0111\u1ecbnh chu\u1ea9n theo nhu c\u1ea7u dinh d\u01b0\u1ee1ng, trong \u0111\u00f3 protid t\u1eeb 1,3-1,5g\/kg\/ng\u00e0y, l\u00ean \u0111\u1ebfn 1,7g\/kg\/ng\u00e0y n\u1ebfu c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p v\u00e0 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c (nh\u01b0 CRRT-Continuous Renal Replacement Therapy); ho\u1eb7c t\u1eeb 0,6-<1,0g\/kg\/ng\u00e0y \u1edf ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn nh\u01b0ng kh\u00f4ng l\u1ecdc m\u00e1u<\/p>\n

– B\u1ed5 sung dinh d\u01b0\u1ee1ng qua ti\u00eau h\u00f3a (mi\u1ec7ng ho\u1eb7c dinh d\u01b0\u1ee1ng \u1ed1ng th\u00f4ng): Th\u1ee9c u\u1ed1ng dinh d\u01b0\u1ee1ng (1ml= 1-1,5kcal, h\u00e0m l\u01b0\u1ee3ng \u0111\u1ea1m t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 suy th\u1eadn, c\u00f3 hay kh\u00f4ng c\u00f3 \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn, h\u00e0m l\u01b0\u1ee3ng natri, kali, phospho th\u1ea5p, \u0111\u1ea7y \u0111\u1ee7 vi ch\u1ea5t) cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 Suy dinh d\u01b0\u1ee1ng, suy dinh d\u01b0\u1ee1ng l\u00fac nh\u1eadp vi\u1ec7n v\u00e0\/ho\u1eb7c khi \u0103n kh\u00f4ng \u0111\u1ee7 nhu c\u1ea7u dinh d\u01b0\u1ee1ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi b\u1ec7nh l\u1edbn tu\u1ed5i, nh\u1eb1m ng\u0103n ng\u1eeba Suy dinh d\u01b0\u1ee1ng trong b\u1ec7nh vi\u1ec7n.<\/p>\n

T\u00f3m l\u1ea1i, dinh d\u01b0\u1ee1ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo. N\u00ean \u0103n c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t x\u01a1, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t, tr\u00e1nh c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m c\u00f3 h\u00e0m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng, ch\u1ea5t b\u00e9o v\u00e0 mu\u1ed1i cao, v\u00e0 n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia dinh d\u01b0\u1ee1ng \u0111\u1ec3 c\u00f3 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Dinh d\u01b0\u1ee1ng l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo. Vi\u1ec7c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo gi\u00fap t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch, h\u1ed7 tr\u1ee3 qu\u00e1 […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nDinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh COVID-19 c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo<\/title>\n<meta name=\"description\" content=\"Dinh d\u01b0\u1ee1ng l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh COVID-19, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd k\u00e8m ...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, 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