{"id":26191,"date":"2023-04-27T15:51:26","date_gmt":"2023-04-27T08:51:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26191"},"modified":"2023-04-27T15:51:26","modified_gmt":"2023-04-27T08:51:26","slug":"than","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/than\/","title":{"rendered":"Bi\u1ec7n ph\u00e1p thay th\u1ebf th\u1eadn \u1edf b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i m\u1eafc COVID 19"},"content":{"rendered":"

Vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (ESRD) m\u1eafc COVID-19 t\u1ea1i \u0111\u01a1n v\u1ecb l\u1ecdc m\u00e1u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 an to\u00e0n cho b\u1ec7nh nh\u00e2n v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o v\u00e0 nguy\u00ean t\u1eafc qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ESRD m\u1eafc COVID-19 t\u1ea1i \u0111\u01a1n v\u1ecb l\u1ecdc m\u00e1u c\u1ee7a B\u1ed9 Y t\u1ebf 2021.<\/strong><\/p>\n

1. X\u00e1c \u0111\u1ecbnh tr\u01b0\u1eddng h\u1ee3p v\u00e0 ph\u00e2n lo\u1ea1i <\/strong><\/h1>\n

1.1<\/strong>. S\u00e0ng lo\u0323c v\u00e0 ph\u00e2n lo\u1ea1i t\u1ea5t ca\u0309 ng\u01b0\u1eddi b\u00ea\u0323nh \u1edf \u0110\u01a1n v\u1ecb lo\u0323c m\u00e1u \u0111\u1ec3 ph\u00e2n lo\u1ea1i ng\u01b0\u1eddi b\u00ea\u0323nh thu\u1ed9c nh\u00f3m m\u1eafc COVID-19, nghi ng\u1edd m\u1eafc COVID-19, ho\u1eb7c \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc COVID-19, ho\u1eb7c kh\u00f4ng\/\u00edt c\u00f3 nguy c\u01a1 m\u1eafc COVID-19.<\/p>\n

1.2<\/strong>. V\u1edbi ng\u01b0\u1eddi b\u00ea\u0323nh \u0111\u00e3 th\u00f4ng ba\u0301o c\u00f3 s\u1ed1t, c\u00e1c tri\u00ea\u0323u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn COVID-19 cho \u0110\u01a1n v\u1ecb lo\u0323c ma\u0301u tr\u01b0\u1edbc khi \u0111\u1ebfn, khi ng\u01b0\u1eddi b\u00ea\u0323nh \u0111\u1ebfn s\u1ebd \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t COVID19 v\u00e0 \u0111a\u0301nh gia\u0301 t\u1ea1i khu d\u00e0nh cho ng\u01b0\u1eddi b\u00ea\u0323nh nghi ng\u1edd COVID-19.<\/p>\n

1.3<\/strong>. Thi\u1ebft l\u1eadp l\u1ed1i v\u00e0o ri\u00eang cho:<\/p>\n

– Ng\u01b0\u1eddi b\u00ea\u0323nh kh\u00f4ng\/\u00edt c\u00f3 nguy c\u01a1 m\u1eafc COVID-19.<\/p>\n

– Ng\u01b0\u1eddi b\u00ea\u0323nh nghi ng\u1edd ho\u1eb7c m\u1eafc COVID-19 ho\u1eb7c \u0111\u00e3 ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi m\u1eafc COVID-19<\/p>\n

\"\"
Ngu\u1ed3n<\/strong>: SARS-CoV-2 antibody seroprevalence in patients receiving dialysis in the USA<\/em><\/figcaption><\/figure>\n

2. \u0110i\u1ec1u tr\u1ecb, qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o (CTNT)<\/strong><\/h2>\n

2.1.<\/strong> Thi\u1ebft l\u1eadp v\u00e0 r\u00e0 soa\u0301t c\u01a1 s\u1edf v\u1eadt ch\u1ea5t khoa ph\u00f2ng \u0111\u1ec3 gia\u0309m thi\u1ec3u l\u00e2y nhi\u1ec5m ch\u00e9o \u0111\u1ec3 ng\u01b0\u1eddi b\u00ea\u0323nh \u0111\u01b0\u1ee3c CTNT theo ca\u0301c nh\u00f3m \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng COVID-19.<\/p>\n

2.2<\/strong>. \u0110a\u0309m ba\u0309o l\u1ecbch ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o c\u00f3 th\u1ec3 \u0111a\u0301p \u1ee9ng th\u00edch h\u1ee3p nhu c\u1ea7u l\u00e0m s\u1ea1ch, kh\u1eed khu\u1ea9n cho b\u1ea5t c\u1ee9 khu v\u1ef1c n\u00e0o trong c\u00e1c \u0110\u01a1n v\u1ecb lo\u0323c m\u00e1u.<\/p>\n

2.3<\/strong>. Lau kh\u1eed khu\u1ea9n b\u1ec1 m\u1eb7t, l\u00e0m s\u1ea1ch c\u00e1c trang thi\u1ebft b\u1ecb sau m\u1ed7i ca CTNT (v\u00ed du\u0323: Sanosin S010, Meliseptol, Anios spray, Aniosxim X3\u2026). Kh\u1eed khu\u1ea9n trang thi\u1ebft b\u1ecb, th\u00f4ng kh\u00ed ph\u00f2ng v\u00e0o cu\u1ed1i m\u1ed7i ng\u00e0y l\u00e0m vi\u00ea\u0323c theo \u0111\u00fang quy \u0111\u1ecbnh hi\u00ea\u0323n h\u00e0nh<\/p>\n

2.4<\/strong>. T\u1ea5t ca\u0309 ng\u01b0\u1eddi b\u00ea\u0323nh v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c pha\u0309i \u0111\u01b0\u1ee3c r\u1eeda tay b\u1eb1ng dung d\u1ecbch sa\u0301t khu\u1ea9n nhanh tr\u01b0\u1edbc khi v\u00e0o ph\u00f2ng CTNT<\/p>\n

2.5<\/strong>. N\u1ebfu ng\u01b0\u1eddi b\u00ea\u0323nh CTNT \u0111\u01b0\u1ee3c nghi ng\u1edd ho\u1eb7c m\u1eafc COVID-19: – Tr\u01b0\u1edbc khi lo\u0323c m\u00e1u h\u00e3y l\u00e0m nhanh x\u00e9t nghi\u00ea\u0323m COVID-19, \u0111a\u0301nh gia\u0301 c\u00e1c tri\u00ea\u0323u ch\u1ee9ng, \u0111a\u0301nh gia\u0301 xem c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n CTNT cho \u0111\u1ebfn khi t\u00ecnh tr\u1ea1ng COVID-19 c\u1ee7a ho\u0323 \u0111\u01b0\u1ee3c xa\u0301c \u0111\u1ecbnh.<\/p>\n

– C\u00f3 th\u1ec3 c\u1ea7n pha\u0309i CTNT tr\u01b0\u1edbc khi c\u00f3 k\u1ebft qua\u0309 x\u00e9t nghi\u00ea\u0323m, sau \u0111\u00f3 qua\u0309n l\u00fd, \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u00ea\u0323nh theo t\u00ecnh tr\u1ea1ng COVID-19 d\u1ef1a tr\u00ean k\u1ebft qua\u0309 x\u00e9t nghi\u00ea\u0323m.<\/p>\n

– N\u1ebfu ng\u01b0\u1eddi b\u00ea\u0323nh \u00e2m t\u00ednh v\u1edbi COVID-19 v\u00e0 c\u00f3 c\u00e1c tri\u00ea\u0323u ch\u1ee9ng, h\u00e3y \u0111a\u0309m ba\u0309o r\u1eb1ng c\u00e1c gia\u0309i th\u00edch kh\u00e1c cho c\u00e1c tri\u00ea\u0323u ch\u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c xem x\u00e9t. \u1ede l\u1ea7n \u0111a\u0301nh gi\u00e1 ti\u1ebfp theo, th\u1ef1c hi\u00ea\u0323n x\u00e9t nghi\u00ea\u0323m l\u1ea1i COVID-19 n\u1ebfu v\u1eabn c\u00f2n nghi ng\u1edd l\u00e2m s\u00e0ng v\u1ec1 COVID19.<\/p>\n

– \u0110\u01b0\u1ee3c CTNT t\u1ea1i khu v\u1ef1c c\u00e1ch ly c\u1ee7a B\u00ea\u0323nh vi\u00ea\u0323n ho\u1eb7c t\u1ea1i m\u1ed9t B\u00ea\u0323nh vi\u00ea\u0323n kh\u00e1c \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh b\u1edfi B\u1ed9 Y t\u1ebf ho\u1eb7c S\u1edf Y t\u1ebf t\u1ec9nh, th\u00e0nh ph\u1ed1.<\/p>\n

– \u0110\u01b0\u1ee3c CTNT \u1edf ca sau c\u00f9ng trong ng\u00e0y cho \u0111\u1ebfn khi lo\u1ea1i tr\u1eeb m\u1eafc COVID-19.<\/p>\n

– N\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh l\u00e0m \u0111\u01b0\u1eddng v\u00e0o m\u1ea1ch m\u00e1u, c\u1ea7n x\u00e9t nghi\u00ea\u0323m t\u1ea7m so\u00e1t COVID-19 tr\u01b0\u1edbc, sau \u0111\u00f3 th\u1ef1c hi\u00ea\u0323n t\u1ea1i ph\u00f2ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u1edbi c\u00e1c trang thi\u1ebft b\u1ecb v\u00e0 ph\u01b0\u01a1ng ti\u00ea\u0323n ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n thi\u1ebft y\u1ebfu cho nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n

2.6<\/strong>. V\u1eadn chuy\u1ec3n v\u00e0 lo\u0323c ma\u0301u ng\u01b0\u1eddi b\u00ea\u0323nh F1 th\u1eadn nh\u00e2n t\u1ea1o chu k\u00ec: c\u00e1c ng\u01b0\u1eddi b\u00ea\u0323nh th\u1eadn nh\u00e2n t\u1ea1o chu k\u00ec l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng F1 pha\u0309i \u0111\u01b0\u1ee3c chia nh\u00f3m nh\u1ecf c\u1ed1 \u0111\u1ecbnh (s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi trong nh\u00f3m phu\u0323 thu\u1ed9c xe v\u1eadn chuy\u1ec3n, ph\u00f2ng c\u00e1ch ly v\u00e0 ph\u00f2ng lo\u0323c m\u00e1u). Khuy\u1ebfn kh\u00edch v\u1eadn chuy\u1ec3n ng\u01b0\u1eddi b\u00ea\u0323nh b\u1eb1ng xe ri\u00eang. Trong tr\u01b0\u1eddng h\u1ee3p s\u1eed du\u0323ng ca\u0301c ph\u01b0\u01a1ng ti\u00ea\u0323n chuy\u00ean ch\u1edf \u0111\u00f4ng ng\u01b0\u1eddi \u0111\u1ec3 v\u1eadn chuy\u1ec3n nh\u00f3m ng\u01b0\u1eddi b\u00ea\u0323nh (buy\u0301t, xe ta\u0309i\u2026.) gi\u01b0\u0303 \u0111\u00fang khoa\u0309ng c\u00e1ch 2m. Trong qu\u00e1 tr\u00ecnh c\u00e1ch ly v\u00e0 v\u1eadn chuy\u1ec3n, nh\u00f3m n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c ti\u1ebfp x\u00fac v\u1edbi nh\u00f3m kh\u00e1c, \u0111i tuy\u1ebfn c\u1ed1 \u0111\u1ecbnh, tr\u00e1nh ra v\u00e0o c\u00f9ng m\u1ed9t tuy\u1ebfn \u0111\u01b0\u1eddng hay c\u00f9ng l\u00fac. Gi\u01b0\u0303 ca CTNT v\u00e0 m\u00e1y CTNT c\u1ed1 \u0111\u1ecbnh.<\/p>\n

2.7<\/strong>. Trong ph\u00f2ng CTNT: ng\u01b0\u1eddi b\u00ea\u0323nh kh\u00f4ng \u0111\u01b0\u1ee3c g\u1ea7n nhau, khoa\u0309ng c\u00e1ch t\u1ed1i thi\u1ec3u 2 m\u00e9t. Khu v\u1ef1c ch\u1edd v\u00e0 \u0111i\u1ec1u tr\u1ecb pha\u0309i c\u00f3 th\u00f4ng kh\u00ed t\u1ed1t.<\/p>\n

2.8<\/strong>. Nh\u00e2n vi\u00ean y t\u1ebf ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u00ea\u0323nh: pha\u0309i \u0111\u01b0\u1ee3c trang b\u1ecb \u0111\u1ea7y \u0111\u1ee7 ph\u01b0\u01a1ng ti\u00ea\u0323n ph\u00f2ng h\u1ed9 c\u00e1 nh\u00e2n thi\u1ebft y\u1ebfu theo \u0111\u00fang quy \u0111\u1ecbnh. i. N\u1ebfu c\u00f3 ng\u01b0\u1eddi b\u00ea\u0323nh nghi ng\u1edd ho\u1eb7c \u0111\u01b0\u1ee3c xa\u0301c \u0111\u1ecbnh m\u1eafc COVID-19 trong \u0110\u01a1n v\u1ecb lo\u0323c m\u00e1u, pha\u0309i kh\u1eed khu\u1ea9n \u0110\u01a1n v\u1ecb lo\u0323c m\u00e1u ngay l\u1eadp t\u1ee9c.<\/p>\n

2.9<\/strong>. C\u00e1c ch\u1ea5t tha\u0309i t\u1eeb ng\u01b0\u1eddi b\u00ea\u0323nh nhi\u1ec5m hay nghi ng\u1edd nhi\u1ec5m pha\u0309i \u0111\u01b0\u1ee3c xem l\u00e0 ch\u1ea5t tha\u0309i y t\u1ebf truy\u1ec1n nhi\u1ec5m v\u00e0 x\u1eed ly\u0301 theo \u0111\u00fang quy \u0111\u1ecbnh.<\/p>\n

2.10<\/strong>. Th\u00f4ng b\u00e1o v\u1edbi B\u1ed9 Y t\u1ebf, S\u1edf Y t\u1ebf, Trung t\u00e2m d\u1ef1 ph\u00f2ng v\u00e0 ki\u1ec3m so\u00e1t b\u00ea\u0323nh t\u1eadt t\u1ec9nh, th\u00e0nh ph\u1ed1 n\u1ebfu c\u00f3 tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd ho\u1eb7c x\u00e1c nh\u1eadn m\u1eafc COVID-19 theo \u0111\u00fang quy \u0111\u1ecbnh hi\u00ea\u0323n h\u00e0nh.<\/p>\n

2.11<\/strong>. N\u1ebfu ng\u01b0\u1eddi b\u00ea\u0323nh CTNT c\u00f3 th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh thu\u1ed9c di\u00ea\u0323n c\u00e1ch ly th\u00ec pha\u0309i \u0111\u01b0\u1ee3c CTNT t\u1ea1i ph\u00f2ng d\u00e0nh cho ng\u01b0\u1eddi nghi ng\u1edd m\u1eafc COVID-19 t\u1ea1i khu c\u00e1ch ly.<\/p>\n

2.12<\/strong>. N\u1ebfu th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh ng\u01b0\u1eddi b\u00ea\u0323nh CTNT \u0111\u01b0\u1ee3c xa\u0301c \u0111\u1ecbnh m\u1eafc COVID-19, th\u00ec ng\u01b0\u1eddi b\u00ea\u0323nh s\u1ebd \u0111\u01b0\u1ee3c n\u00e2ng c\u1ea5p l\u00ean theo c\u00e1c khuy\u1ebfn ngh\u1ecb \u1edf tr\u00ean.<\/p>\n

3. \u0110i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh l\u1ecdc m\u00e0ng b\u1ee5ng (LMB)\u00a0<\/strong><\/h2>\n

3.1. L\u1ecdc m\u00e0ng b\u1ee5ng t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i m\u1eafc COVID 19<\/strong><\/h3>\n

3.1.1.<\/strong> Ng\u01b0\u1eddi b\u00ea\u0323nh c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p d\u1ecbch LMB v\u00e0 \u0111\u1ee7 thu\u1ed1c d\u00f9ng t\u1ed1i \u0111a 3 tha\u0301ng.<\/p>\n

3.1.2<\/strong>. T\u0103ng c\u01b0\u1eddng h\u1ed7 tr\u1ee3, t\u01b0 v\u1ea5n, kh\u00e1m, ch\u01b0\u0303a b\u00ea\u0323nh t\u1eeb xa cho ng\u01b0\u1eddi b\u00ea\u0323nh.<\/p>\n

3.1.3<\/strong>. T\u0103ng c\u01b0\u1eddng gi\u00e1o du\u0323c v\u00ea\u0323 sinh cho ng\u01b0\u1eddi b\u00ea\u0323nh<\/p>\n

3.1.4<\/strong>. \u0110i\u1ec1u d\u01b0\u1ee1ng pha\u0309i li\u00ean l\u1ea1c v\u1edbi ng\u01b0\u1eddi b\u00ea\u0323nh th\u01b0\u1eddng xuy\u00ean nh\u1eb1m ph\u00e1t hi\u00ea\u0323n v\u00e0 x\u1eed l\u00fd t\u1ed1t nh\u1ea5t tr\u01b0\u1eddng h\u1ee3p nguy hi\u1ec3m v\u00e0 nghi\u00eam tro\u0323ng m\u1ed9t c\u00e1ch k\u1ecbp th\u1eddi \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c chuy\u1ebfn th\u0103m kha\u0301m tr\u1ef1c ti\u1ebfp \u0111\u1ed9t xu\u1ea5t ho\u1eb7c kh\u1ea9n c\u1ea5p.<\/p>\n

3.1.5.<\/strong> Ng\u01b0\u1eddi b\u00ea\u0323nh pha\u0309i \u0111\u1ebfn c\u01a1 s\u1edf kha\u0301m, ch\u01b0\u0303a b\u00ea\u0323nh trong nh\u01b0\u0303ng tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft nh\u01b0 vi\u00eam ph\u00fac m\u1ea1c, t\u1eafc d\u1ecbch lo\u0323c m\u00e0ng bu\u0323ng, nhi\u1ec5m tr\u00f9ng l\u1ed1i thoa\u0301t, ho\u1eb7c d\u1ecbch ra thi\u1ebfu ho\u1eb7c ng\u01b0\u1eddi b\u00ea\u0323nh m\u1edbi \u0111\u01b0\u1ee3c hu\u1ea5n luy\u00ea\u0323n. Ng\u01b0\u1eddi b\u00ea\u0323nh pha\u0309i sa\u0301t khu\u1ea9n b\u1eb1ng dung d\u1ecbch sa\u0301t khu\u1ea9n nhanh sau khi r\u1eddi c\u01a1 s\u1edf kha\u0301m, ch\u01b0\u0303a b\u00ea\u0323nh ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n

3.2<\/strong>. \u0110i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh l\u1ecdc m\u00e0ng b\u1ee5ng (LMB) m\u1eafc COVID-19<\/strong><\/h3>\n

3.2.1<\/strong>. \u0110i\u1ec1u tr\u1ecb COVID-19 cho ng\u01b0\u1eddi b\u00ea\u0323nh LMB theo H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111oa\u0301n, \u0111i\u1ec1u tr\u1ecb COVID-19.<\/p>\n

3.2.2.<\/strong> Ca\u0301c tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u00ea\u0323nh nh\u1eb9 ho\u1eb7c trung b\u00ecnh, \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i c\u01a1 s\u1edf kha\u0301m, ch\u01b0\u0303a b\u00ea\u0323nh ti\u1ebfp tu\u0323c th\u1ef1c hi\u00ea\u0323n LMB nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n

3.2.3<\/strong>. Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u00ea\u0323nh LMB m\u1eafc COVID-19 c\u00f3 di\u1ec5n ti\u1ebfn n\u1eb7ng h\u01a1n c\u00f3 th\u1ec3 t\u1ea1m th\u1eddi chuy\u1ec3n sang LMB b\u1eb1ng ma\u0301y ho\u1eb7c lo\u0323c ma\u0301u li\u00ean tu\u0323c.<\/p>\n

3.2.4<\/strong>. V\u1ec1 x\u1eed ly\u0301 d\u1ecbch tha\u0309i c\u1ee7a ng\u01b0\u1eddi b\u00ea\u0323nh LMB: (kh\u00f4ng kha\u0301c g\u00ec ng\u01b0\u1eddi b\u00ea\u0323nh LMB kh\u00f4ng m\u1eafc COVID-19) ho\u1eb7c kh\u1eed khu\u1ea9n b\u1eb1ng ca\u0301ch th\u00eam v\u00e0o 500mg\/l d\u1ecbch ch\u1ee9a clo m\u1ed9t gi\u1edd tr\u01b0\u1edbc khi xa\u0309 v\u00e0o toilet. \u0110i\u1ec1u quan tro\u0323ng l\u00e0 tra\u0301nh \u0111\u1ec3 v\u0103ng d\u1ecbch ra ngo\u00e0i khi b\u1ecf d\u1ecbch.<\/p>\n

3.3. \u01afu ti\u00ean L\u1ecdc m\u00e0ng b\u1ee5ng khi m\u1eafc COVID-19<\/strong><\/h3>\n

3.3.1<\/strong>. Trong t\u00ecnh h\u00ecnh d\u1ecbch b\u00ea\u0323nh COVID-19, l\u1ef1a cho\u0323n ca\u0301c ph\u01b0\u01a1ng pha\u0301p thay th\u1ebf th\u1eadn \u0111\u1ec3 gia\u0309m kha\u0309 n\u0103ng nhi\u1ec5m tr\u00f9ng cu\u0323m. Th\u1ef1c hi\u00ea\u0323n LMB t\u1ea1i nh\u00e0 cho ng\u01b0\u1eddi b\u00ea\u0323nh c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch so v\u1edbi ph\u01b0\u01a1ng pha\u0301p CTNT, nh\u01b0:<\/p>\n

– Ng\u01b0\u1eddi b\u00ea\u0323nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, gia\u0309m t\u1ea7n xu\u1ea5t \u0111\u1ebfn b\u00ea\u0323nh vi\u00ea\u0323n kh\u00e1m.<\/p>\n

– Gia\u0309m nguy c\u01a1 l\u00e2y nhi\u1ec5m.<\/p>\n

– Ch\u1ee7 \u0111\u1ed9ng th\u1eddi gian \u0111i\u1ec1u tr\u1ecb.<\/p>\n

– Gia\u0309m ta\u0309i b\u00ea\u0323nh vi\u00ea\u0323n, gia\u0309m nguy c\u01a1 cho nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 c\u1ed9ng \u0111\u1ed3ng.<\/p>\n

– Ng\u01b0\u1eddi b\u00ea\u0323nh t\u1ef1 th\u1ef1c hi\u00ea\u0323n \u0111\u01b0\u1ee3c LMB (s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 t\u1ed1i thi\u1ec3u)<\/p>\n

3.3.2.<\/strong> \u01afu ti\u00ean ch\u1ec9 \u0111\u1ecbnh LMB t\u1ea1i nh\u00e0 cho ca\u0301c tr\u01b0\u1eddng h\u1ee3p sau: – \u0110\u1ed1i v\u1edbi nh\u01b0\u0303ng tr\u01b0\u1eddng h\u1ee3p lo\u0323c m\u00e1u m\u1edbi, n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u00ea\u0323t \u0111\u1ed1i.<\/p>\n

– N\u1ebfu ng\u01b0\u1eddi b\u00ea\u0323nh CTNT \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 nguy c\u01a1 cao m\u1eafc COVID-19 v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 c\u00f3 l\u1ee3i cho ng\u01b0\u1eddi b\u00ea\u0323nh, th\u00ec c\u00e2n nh\u1eafc \u0111\u1ed5i sang ph\u01b0\u01a1ng pha\u0301p LMB.<\/p>\n

– N\u1ebfu ng\u01b0\u1eddi b\u00ea\u0323nh CTNT nghi ng\u1edd hay xa\u0301c \u0111\u1ecbnh m\u1eafc COVID-19 pha\u0309i lo\u0323c m\u00e1u c\u00e1ch ly; nh\u01b0ng n\u1ebfu \u0110\u01a1n v\u1ecb lo\u0323c m\u00e1u kh\u00f4ng \u0111\u1ee7 \u0111i\u1ec1u ki\u00ea\u0323n \u0111\u1ec3 ti\u1ebfn h\u00e0nh lo\u0323c m\u00e1u c\u00e1ch ly, th\u00ec c\u00e2n nh\u1eafc \u0111\u1ed5i sang ph\u01b0\u01a1ng pha\u0301p LMB. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u00ea\u0323t \u0111\u1ed1i LMB cho nh\u01b0\u0303ng tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n

– M\u00e0ng bu\u0323ng kh\u00f4ng c\u00f2n ch\u1ee9c n\u0103ng lo\u0323c, b\u1ecb k\u1ebft d\u00ednh di\u00ea\u0323n r\u1ed9ng l\u00e0m ca\u0309n tr\u1edf d\u00f2ng cha\u0309y c\u1ee7a d\u1ecbch lo\u0323c.<\/p>\n

– Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 ng\u01b0\u1eddi h\u1ed7 tr\u1ee3 ph\u00f9 h\u1ee3p, \u0111\u1eb7c bi\u00ea\u0323t v\u1edbi ng\u01b0\u1eddi b\u00ea\u0323nh c\u00f3 v\u1ea5n \u0111\u1ec1 th\u1ec3 ch\u1ea5t ho\u1eb7c tinh th\u1ea7n kh\u00f4ng c\u00f3 kha\u0309 n\u0103ng t\u1ef1 ch\u0103m s\u00f3c.<\/p>\n

– Kh\u00f4ng th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh khi\u1ebfm khuy\u1ebft \u0111\u1ec3 ng\u0103n ch\u1eb7n nguy c\u01a1 nhi\u1ec5m tr\u00f9ng khi l\u00e0m LMB (v\u00ed du\u0323: tho\u00e1t v\u1ecb\u2026)<\/p>\n

3.3.3.<\/strong> Trong d\u1ecbch COVID-19, \u0111\u1eb7t catheter m\u00e0ng bu\u0323ng trong LMB v\u00e0 c\u00e1c \u0111\u01b0\u1eddng v\u00e0o m\u1ea1ch m\u00e1u kh\u00e1c \u0111\u01b0\u1ee3c xem l\u00e0 th\u1ee7 thu\u1eadt \u201ckh\u1ea9n\/c\u1ea5p c\u1ee9u\u201d \u01b0u ti\u00ean cho nh\u01b0\u0303ng ng\u01b0\u1eddi b\u00ea\u0323nh th\u1eadn m\u1ea1n giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

3.3.4<\/strong>. Lo\u0323c m\u00e0ng bu\u0323ng s\u1edbm.<\/p>\n

– Th\u00f4ng th\u01b0\u1eddng, LMB s\u1ebd b\u1eaft \u0111\u1ea7u sau khi \u0111\u1eb7t catheter cho ng\u01b0\u1eddi b\u00ea\u0323nh 2 tu\u1ea7n \u0111\u1ec3 c\u00f3 th\u1eddi gian l\u00e0nh v\u1ebft th\u01b0\u01a1ng v\u00e0 ng\u01b0\u1eddi b\u00ea\u0323nh hay ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0\u1ee3c ho\u00e0n t\u1ea5t hu\u1ea5n luy\u00ea\u0323n. Tuy nhi\u00ean, n\u1ebfu c\u1ea7n thi\u1ebft, ng\u01b0\u1eddi b\u00ea\u0323nh c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u LMB ngay sau khi \u0111\u1eb7t catheter v\u1edbi ma\u0301y Lo\u0323c m\u00e0ng bu\u0323ng.<\/p>\n

– Giai \u0111o\u1ea1n d\u1ecbch b\u00ea\u0323nh COVID-19, n\u1ebfu qua\u0301 ta\u0309i B\u00ea\u0323nh vi\u00ea\u0323n, n\u00ean l\u1ef1a cho\u0323n Lo\u0323c m\u00e0ng bu\u0323ng s\u1edbm cho nh\u01b0\u0303ng ng\u01b0\u1eddi b\u00ea\u0323nh th\u1eadn m\u1ea1n giai \u0111o\u1ea1n cu\u1ed1i. Lo\u0323c m\u00e0ng bu\u0323ng s\u1edbm kh\u00f4ng ch\u1ec9 gi\u00fap ba\u0309o t\u1ed3n ngu\u1ed3n l\u1ef1c, m\u00e0 c\u00f2n l\u00e0m gia\u0309m nguy c\u01a1 l\u00e2y m\u1eafc COVID-19 \u00a0do gia\u0309m ti\u1ebfp x\u00fac v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf v\u00e0 nh\u01b0\u0303ng ng\u01b0\u1eddi kha\u0301c t\u1ea1i B\u00ea\u0323nh vi\u00ea\u0323n v\u00e0 \u0110\u01a1n v\u1ecb lo\u0323c ma\u0301u.<\/p>\n

– Trong d\u1ecbch COVID-19, nh\u1eb1m gia\u0309m ta\u0309i cho B\u00ea\u0323nh vi\u00ea\u0323n v\u00e0 gia\u0309m thi\u1ec3u nguy c\u01a1 l\u00e2y nhi\u1ec5m, \u01b0u ti\u00ean th\u1ef1c hi\u00ea\u0323n LMB s\u1edbm sau khi c\u00e2n nh\u1eafc nh\u01b0\u0303ng y\u1ebfu t\u1ed1 sau:<\/p>\n

+ Cho\u0323n l\u1ef1a ng\u01b0\u1eddi b\u00ea\u0323nh \u0111a\u0301p \u1ee9ng \u0111\u01b0\u1ee3c ph\u01b0\u01a1ng pha\u0301p LMB b\u1eb1ng ma\u0301y.<\/p>\n

+ \u0110\u1eb7t catheter LMB s\u1edbm<\/p>\n

– B\u1eaft \u0111\u1ea7u LMB s\u1edbm t\u1ea1i \u0110\u01a1n v\u1ecb lo\u0323c ma\u0301u, \u0111\u1ed3ng th\u1eddi h\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u00ea\u0323nh, ng\u01b0\u1eddi ch\u0103m s\u00f3c s\u1eed du\u0323ng m\u00e1y LMB th\u00e0nh th\u1ea1o \u0111\u1ec3 ng\u01b0\u1eddi b\u00ea\u0323nh xu\u1ea5t vi\u00ea\u0323n s\u1edbm v\u00e0 th\u1ef1c hi\u00ea\u0323n LMB t\u1ea1i nh\u00e0.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong>: H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb,qu\u1ea3n l\u00fd b\u1ec7nh th\u1eadn m\u1ea1n giai \u0111o\u1ea1n cu\u1ed1i\u00a0 trong d\u1ecbch COVID 19 c\u1ee7a B\u1ed9 Y t\u1ebf 2021.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (ESRD) m\u1eafc COVID-19 t\u1ea1i \u0111\u01a1n v\u1ecb l\u1ecdc m\u00e1u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 an to\u00e0n cho b\u1ec7nh nh\u00e2n v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o v\u00e0 nguy\u00ean t\u1eafc qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n ESRD m\u1eafc COVID-19 t\u1ea1i […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,29,33],"tags":[],"yoast_head":"\nBi\u1ec7n ph\u00e1p thay th\u1ebf th\u1eadn \u1edf b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i m\u1eafc COVID 19<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (ESRD) m\u1eafc COVID-19 t\u1ea1i \u0111\u01a1n v\u1ecb l\u1ecdc m\u00e1u l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 an to\u00e0n\" \/>\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\" 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