{"id":26430,"date":"2023-04-27T15:48:34","date_gmt":"2023-04-27T08:48:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26430"},"modified":"2023-05-07T10:12:41","modified_gmt":"2023-05-07T03:12:41","slug":"chan-doan-copd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/chan-doan-copd\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n COPD \u1edf b\u1ec7nh nh\u00e2n COVID 19"},"content":{"rendered":"<p><strong>COPD (Chronic Obstructive Pulmonary Disease) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i m\u00e3n t\u00ednh g\u00e2y ra t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng th\u00f4ng kh\u00ed, g\u00e2y kh\u00f3 th\u1edf v\u00e0 ho li\u00ean t\u1ee5c. Ch\u1ea9n \u0111o\u00e1n COPD \u1edf b\u1ec7nh nh\u00e2n COVID-19 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan. Tuy nhi\u00ean, do s\u1ef1 t\u01b0\u01a1ng \u0111\u1ed3ng c\u1ee7a tri\u1ec7u ch\u1ee9ng, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n \u0111\u00f2i h\u1ecfi s\u1ef1 c\u1ea9n th\u1eadn v\u00e0 kinh nghi\u1ec7m c\u1ee7a c\u00e1c B\u00e1c s\u0129 l\u00e2m s\u00e0ng.<\/strong><\/p>\n<h1><strong>1. T\u1ed5ng quan<\/strong><\/h1>\n<p>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 b\u1ec7nh h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn c\u00f3 th\u1ec3 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p v\u00e0 gi\u1edbi h\u1ea1n lu\u1ed3ng kh\u00ed dai d\u1eb3ng, l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a nh\u1eefng b\u1ea5t th\u01b0\u1eddng c\u1ee7a \u0111\u01b0\u1eddng th\u1edf v\u00e0\/ho\u1eb7c ph\u1ebf nang th\u01b0\u1eddng do ph\u01a1i nhi\u1ec5m v\u1edbi c\u00e1c ph\u00e2n t\u1eed v\u00e0 kh\u00ed \u0111\u1ed9c h\u1ea1i, trong \u0111\u00f3 kh\u00f3i thu\u1ed1c l\u00e1, thu\u1ed1c l\u00e0o l\u00e0 y\u1ebfu t\u1ed1 ch\u00ednh, \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed v\u00e0 kh\u00f3i ch\u1ea5t \u0111\u1ed1t c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng g\u00e2y COPD. C\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc v\u00e0 c\u00e1c \u0111\u1ee3t k\u1ecbch ph\u00e1t l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/p>\n<p>Cho \u0111\u1ebfn hi\u1ec7n t\u1ea1i v\u1eabn ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n COPD c\u00f3 t\u0103ng nguy c\u01a1 nhi\u1ec5m SARS-CoV-2. Tuy nhi\u00ean, b\u1ec7nh nh\u00e2n COPD l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 cao khi b\u1ecb nhi\u1ec5m COVID-19, c\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y b\u1ec7nh nh\u00e2n COPD chi\u1ebfm 2-14% b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n; t\u0103ng nguy c\u01a1 nh\u1eadp vi\u1ec7n 4.23 l\u1ea7n (OR 4.23, 95% CI: 3.65-4.90); nh\u1eadp c\u1ea5p c\u1ee9u 1.35 l\u1ea7n(OR 1.35, 95% CI: 1.02-1.78) v\u00e0 t\u1eed vong 2.47 l\u1ea7n (OR 2.47, 95% CI: 2.18-2.79).<\/p>\n<h2><strong>2. Ch\u1ea9n \u0111o\u00e1n COPD trong d\u1ecbch COVID-19<\/strong><\/h2>\n<p>Tr\u01b0\u1edbc ti\u00ean c\u1ea7n ph\u00e2n bi\u1ec7t c\u00e1c tri\u1ec7u ch\u1ee9ng COPD v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng COVID-19<\/p>\n<table width=\"720\">\n<tbody>\n<tr>\n<td><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/td>\n<td><strong>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn<\/strong>\u00a0<strong>m\u1ea1n t\u00ednh (COPD)<\/strong><\/td>\n<td><strong>COVID-19<\/strong><\/td>\n<\/tr>\n<tr>\n<td>\n<p style=\"text-align: left;\">Ho<\/p>\n<\/td>\n<td style=\"text-align: left;\">\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<td style=\"text-align: left;\">\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: left;\">Kh\u00f3 th\u1edf<\/td>\n<td style=\"text-align: left;\">\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<td style=\"text-align: center;\">\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>T\u0103ng ti\u1ebft \u0111\u1eddm<\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>S\u1ed1t<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>Vi\u00eam h\u1ecdng<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>Ti\u00eau ch\u1ea3y<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n m\u1eeda<\/td>\n<td style=\"text-align: center;\"><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\u0110au nh\u1ee9c c\u01a1<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>\u0110au \u0111\u1ea7u<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>Vi\u00eam h\u1ecdng<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>Ngh\u1eb9t m\u0169i ho\u1eb7c ch\u1ea3y n\u01b0\u1edbc m\u0169i<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td>Gi\u1ea3m kh\u1ee9u gi\u00e1c v\u00e0 v\u1ecb gi\u00e1c<\/td>\n<td><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td style=\"text-align: center;\">\n<p style=\"text-align: left;\">R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/p>\n<\/td>\n<td style=\"text-align: center;\"><\/td>\n<td>\n<p style=\"text-align: center;\">x<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <strong>B\u1ea3ng 1<\/strong>: Ph\u00e2n bi\u1ec7t c\u00e1c tri\u1ec7u ch\u1ee9ng COPD v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng COVID-19<\/em><\/p>\n<p>\u0110\u1ed3ng th\u1eddi k\u1ebft h\u1ee3p th\u0103m kh\u00e1m l\u00e2m s\u00e0ng, khai th\u00e1c ti\u1ec1n s\u1eed b\u1ec7nh nh\u00e2n (ph\u01a1i nhi\u1ec5m ngh\u1ec1 nghi\u1ec7p, t\u00ecnh tr\u1ea1ng h\u00fat thu\u1ed1c,\u2026), c\u0169ng nh\u01b0 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c.<\/p>\n<p>COPD \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng h\u00f4 h\u1ea5p k\u00fd (ch\u1ec9 s\u1ed1 FEV<sub>1<\/sub>\/FVC &lt;0,7 ho\u1eb7c &lt;LLN sau test gi\u00e3n ph\u1ebf qu\u1ea3n). Tuy nhi\u00ean, GOLD 2022 c\u0169ng khuy\u1ebfn c\u00e1o n\u00ean h\u1ea1n ch\u1ebf \u0111o h\u00f4 h\u1ea5p k\u00fd trong d\u1ecbch COVID-19. N\u1ebfu th\u1ef1c hi\u1ec7n h\u00f4 h\u1ea5p k\u00fd khi th\u00ec b\u1ec7nh nh\u00e2n n\u00ean l\u00e0m test PCR SARS-Covid v\u00e0 k\u1ebft qu\u1ea3 \u00e2m t\u00ednh tr\u01b0\u1edbc khi \u0111\u00f3; tr\u01b0\u1eddng h\u1ee3p k\u1ebft qu\u1ea3 COVID-19 d\u01b0\u01a1ng t\u00ednh n\u00ean ch\u1edd t\u1edbi khi \u00e2m t\u00ednh m\u1edbi th\u1ef1c hi\u1ec7n\u00a0 h\u00f4 h\u1ea5p k\u00fd.<\/p>\n<h2><strong>3. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COPD giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh trong d\u1ecbch COVID-19 nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>GOLD 2022 khuy\u1ebfn c\u00e1o ti\u1ebfp t\u1ee5c ph\u1ed1i h\u1ee3p li\u1ec7u ph\u00e1p d\u00f9ng thu\u1ed1c v\u00e0 kh\u00f4ng d\u00f9ng thu\u1ed1c,c\u00f9ng v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 cho b\u1ec7nh nh\u00e2n COPD. C\u1ee5 th\u1ec3:<\/p>\n<table style=\"height: 656px;\" width=\"730\">\n<tbody>\n<tr>\n<td width=\"638\">Nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng trong qu\u1ea3n l\u00fd COPD giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch COVID 19<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>Chi\u1ebfn l\u01b0\u1ee3c b\u1ea3o v\u1ec7<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"638\">\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tu\u00e2n th\u1ee7 nh\u1eefng bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t nhi\u1ec5m khu\u1ea9n<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110eo kh\u1ea9u trang<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u00e2n nh\u1eafc che ch\u1eafn\/c\u00e1ch ly t\u1ea1i ch\u1ed7.<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ti\u00eam vaccine COVID 19 theo khuy\u1ebfn c\u00e1o qu\u1ed1c gia<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>Ch\u1ea9n \u0111o\u00e1n COPD<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u1ec9 l\u00e0m h\u00f4 h\u1ea5p k\u00fd trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110\u1ea3m b\u1ea3o ngu\u1ed3n cung c\u1ea5p thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Kh\u00f4ng thay \u0111\u1ed5i \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m ICS<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110\u1ea3m b\u1ea3o ti\u00eam ph\u00f2ng c\u00fam h\u1eb1ng n\u0103m<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em><strong>B\u1ea3ng 2<\/strong>: Nh\u1eefng \u0111i\u1ec3m quan tr\u1ecdng trong qu\u1ea3n l\u00fd COPD giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh trong b\u1ed1i c\u1ea3nh \u0111\u1ea1i d\u1ecbch COVID-19<\/em><\/p>\n<p>Khuy\u1ebfn c\u00e1o ti\u00eam vaccine COVID-19 cho b\u1ec7nh nh\u00e2n COPD: vaccine COVID-19 c\u00f3 hi\u1ec7u l\u1ef1c b\u1ea3o v\u1ec7 cao, gi\u1ea3m t\u1ec9 l\u1ec7 nh\u1eadp vi\u1ec7n, nh\u1eadp ICU ho\u1eb7c c\u1ea5p c\u1ee9u, th\u0103m kh\u00e1m kh\u1ea9n c\u1ea5p, k\u1ec3 c\u1ea3 \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh. V\u00ec v\u1eady b\u1ec7nh nh\u00e2n COPD n\u00ean ti\u00eam vaccine COVID-19 v\u00e0 th\u1ef1c hi\u1ec7n theo chi\u1ebfn l\u01b0\u1ee3c ti\u00eam ch\u1ee7ng c\u1ee7a t\u1eebng qu\u1ed1c gia.<\/p>\n<p>WHO v\u00e0 CDC c\u0169ng khuy\u1ebfn kh\u00edch ch\u1ee7ng ng\u1eeba \u0111\u01b0\u1ee3c cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 b\u1ec7nh \u0111i k\u00e8m \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc COVID-19 n\u1eb7ng, bao g\u1ed3m b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/p>\n<h2><strong>4. Ph\u00e2n bi\u1ec7t tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n COPD k\u00e8m COVID 19<\/strong><\/h2>\n<p>Ho v\u00e0 kh\u00f3 th\u1edf c\u00f3 \u1edf h\u01a1n 60% b\u1ec7nh nh\u00e2n COVID-19 nh\u01b0ng th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi s\u1ed1t (&gt;60% b\u1ec7nh nh\u00e2n) c\u0169ng nh\u01b0 m\u1ec7t m\u1ecfi, r\u1ed1i lo\u1ea1n tri gi\u00e1c, ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 \u0111au c\u01a1, gi\u1ea3m kh\u1ee9u gi\u00e1c, r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a v\u00e0 \u0111au \u0111\u1ea7u<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng COVID-19 ban \u0111\u1ea7u c\u00f3 th\u1ec3 nh\u1eb9 nh\u01b0ng ch\u1ee9c n\u0103ng ph\u1ed5i c\u00f3 th\u1ec3 x\u1ea5u \u0111i nhanh ch\u00f3ng. Nghi ng\u1edd nhi\u1ec5m COVID-19 \u1edf b\u1ec7nh nh\u00e2n COPD n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n \u0111\u1ee3t c\u1ea5p, \u0111\u1eb7c bi\u1ec7t n\u1ebfu k\u00e8m theo s\u1ed1t, suy gi\u1ea3m v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c ho\u1eb7c c\u00e1c ph\u00e0n n\u00e0n v\u1ec1 ti\u00eau h\u00f3a.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng dai d\u1eb3ng \u1edf b\u1ec7nh nh\u00e2n COPD c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n trong ch\u1ea9n \u0111o\u00e1n. M\u1ed9t nghi\u00ean c\u1ee9u cho th\u1ea5y ch\u1ec9 65% b\u1ec7nh nh\u00e2n tr\u1edf l\u1ea1i \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc \u0111\u00f3 t\u1eeb 14-21 ng\u00e0y sau khi x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi SARS-CoV-2. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ti\u1ebfp t\u1ee5c b\u1ecb ho, m\u1ec7t m\u1ecfi v\u00e0 kh\u00f3 th\u1edf trong nhi\u1ec1u tu\u1ea7n v\u00e0 m\u1ed9t ph\u1ea7n nh\u1ecf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng trong nhi\u1ec1u th\u00e1ng. H\u1ed3i ph\u1ee5c ch\u1eadm ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc nhi\u1ec1u b\u1ec7nh m\u1ea1n t\u00ednh nh\u01b0ng kh\u00f4ng li\u00ean quan c\u1ee5 th\u1ec3 \u0111\u1ebfn vi\u1ec7c m\u1eafc COPD.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-26437 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6-3.png\" alt=\"\" width=\"631\" height=\"353\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6-3.png 631w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/6-3-300x168.png 300w\" sizes=\"(max-width: 631px) 100vw, 631px\" \/><\/p>\n<p><em>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 <strong>H\u00ecnh 1<\/strong>: Qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n COPD trong giai \u0111o\u1ea1n COVID-19<\/em><\/p>\n<h2><strong>5. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n COPD m\u1eafc COVID-19 th\u00ec \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i sau \u0111\u00f3 nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/h2>\n<table style=\"height: 1288px;\" width=\"731\">\n<tbody>\n<tr>\n<td width=\"638\">\n<p style=\"text-align: center;\"><strong>Qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n COPD nhi\u1ec5m\/nghi ng\u1edd nhi\u1ec5m COVID 19<\/strong><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>X\u00e9t nghi\u1ec7m SARS \u2013 CoV<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 X\u00e9t nghi\u1ec7m PCR n\u1ebfu nh\u01b0 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p di\u1ec5n ti\u1ebfn x\u1ea5u.<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>X\u00e9t nghi\u1ec7m kh\u00e1c<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tr\u00e1nh s\u1eed d\u1ee5ng h\u00f4 h\u1ea5p k\u00fd, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u00e2n nh\u1eafc ch\u1ee5p CT cho b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i do COVID 19 v\u00e0 \u0111\u1ec3 lo\u1ea1i tr\u1eeb nh\u1eefng ch\u1ea9n \u0111o\u00e1n kh\u00e1c<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tr\u00e1nh n\u1ed9i soi ph\u1ebf qu\u1ea3n, tr\u1eeb tr\u01b0\u1eddng h\u00f4p c\u1ea7n thi\u1ebft<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110\u00e1nh gi\u00e1 \u0111\u1ed3ng nhi\u1ec5m<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>\u0110i\u1ec1u tr\u1ecb d\u00f9ng thu\u1ed1c<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110\u1ea3m b\u1ea3o cung c\u1ea5p \u0111\u1ee7 thu\u1ed1c<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb, kh\u00f4ng t\u1ef1 \u00fd thay \u0111\u1ed3i thu\u1ed1c bao g\u1ed3m ICS<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u1eed d\u1ee5ng kh\u00e1ng sinh v\u00e0 Corticoid \u0111\u01b0\u1eddng u\u1ed1ng ph\u00f9 h\u1ee3p v\u1edbi khuy\u1ebfn c\u00e1o x\u1eed tr\u00ed \u0111\u1ee3t c\u1ea5p<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tr\u00e1nh s\u1eed d\u1ee5ng kh\u00ed dung n\u1ebfu kh\u00f4ng c\u1ea7n thi\u1ebft<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>\u0110i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>Chi\u1ebfn l\u01b0\u1ee3c b\u1ea3o v\u1ec7<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ti\u00eam vaccine COVID 19 theo khuy\u1ebfn c\u00e1o qu\u1ed1c gia<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Tu\u00e2n theo c\u00e1c bi\u1ec7n ph\u00e1p ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng c\u01a1 b\u1ea3n<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Duy tr\u00ec kho\u1ea3ng c\u00e1ch<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110eo kh\u1ea9u trang<\/td>\n<\/tr>\n<tr>\n<td width=\"638\"><strong>\u0110i\u1ec1u tr\u1ecb COVID 19<\/strong><\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u1eed d\u1ee5ng Corticoid \u0111\u01b0\u1eddng to\u00e0n th\u00e2n v\u00e0 Remdesivir nh\u01b0 khuy\u1ebfn c\u00e1o cho b\u1ec7nh nh\u00e2n COVID 19<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p Oxy l\u01b0u l\u01b0\u1ee3ng cao qua m\u0169i (HFNT) ho\u1eb7c th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m l\u1ea5n (NIV).<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 S\u1eed d\u1ee5ng th\u1edf x\u00e2m l\u1ea5n n\u1ebfu HFNT ho\u1eb7c NIV th\u1ea5t b\u1ea1i.<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng h\u1eadu COVID 19<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110\u1ea3m b\u1ea3o theo d\u00f5i h\u1eadu COVID 19 th\u00edch h\u1ee3p.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em><strong>\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0B\u1ea3ng 3<\/strong>: Qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n COPD nhi\u1ec5m\/nghi ng\u1edd nhi\u1ec5m COVID-19<\/em><\/p>\n<p>Kho\u1ea3ng 30% b\u1ec7nh nh\u00e2n SARS ho\u1eb7c MERS c\u00f3 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 ph\u1ed5i dai d\u1eb3ng v\u00e0 h\u00ecnh \u1ea3nh X-quang b\u1ea5t th\u01b0\u1eddng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh ph\u1ed5i x\u01a1 sau \u0111\u1ee3t b\u1ec7nh c\u1ea5p t\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n. Ch\u01b0a c\u00f3 c\u00e1c nghi\u00ean c\u1ee9u d\u00e0i h\u1ea1n v\u1ec1 vi\u1ec7c theo d\u00f5i c\u00e1c b\u1ec7nh nh\u00e2n COVID-19, c\u0169ng nh\u01b0 c\u00e1c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 theo d\u00f5i nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y, do \u0111\u00f3 vi\u1ec7c theo d\u00f5i c\u00e1c b\u1ec7nh nh\u00e2n COPD sau COVID-19 v\u1eabn d\u1ef1a tr\u00ean c\u00e1c chuy\u00ean gia, \u00fd ki\u1ebfn v\u00e0 s\u1ef1 \u0111\u1ed3ng thu\u1eadn. M\u1ee9c \u0111\u1ed9 gi\u00e1m s\u00e1t r\u00f5 r\u00e0ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a \u0111\u1ee3t COVID-19.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb COVID-19 nh\u1eb9 n\u00ean tu\u00e2n th\u1ee7 theo c\u00e1c ph\u00e1c \u0111\u1ed3 th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n COPD. Nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc COVID-19 m\u1ee9c \u0111\u1ed9 trung b\u00ecnh, bao g\u1ed3m c\u1ea3 nh\u1eadp vi\u1ec7n v\u00e0 vi\u00eam ph\u1ed5i nh\u01b0ng kh\u00f4ng suy h\u00f4 h\u1ea5p, c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean v\u00e0 ch\u00ednh x\u00e1c h\u01a1n nh\u1eefng b\u1ec7nh nh\u00e2n COPD th\u00f4ng th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd \u0111\u1ebfn nhu c\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng oxy.<\/p>\n<p>N\u1ebfu c\u00f3 c\u00e1c b\u1ea5t th\u01b0\u1eddng tr\u00ean X-quang ng\u1ef1c v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft khi xu\u1ea5t vi\u1ec7n, n\u00ean xem x\u00e9t ch\u1ee5p X-quang ph\u1ed5i, c\u00f3 th\u1ec3 l\u00e0 ch\u1ee5p CT t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 1 n\u0103m. C\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra trong\/sau COVID-19 n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean.<\/p>\n<p><strong>Ngu\u1ed3n tham kh\u1ea3o<\/strong>: B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh v\u00e0 COVID 19 c\u1ee7a B\u1ed9 Y t\u1ebf 2023.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COPD (Chronic Obstructive Pulmonary Disease) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i m\u00e3n t\u00ednh g\u00e2y ra t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng th\u00f4ng kh\u00ed, g\u00e2y kh\u00f3 th\u1edf v\u00e0 ho li\u00ean t\u1ee5c. Ch\u1ea9n \u0111o\u00e1n COPD \u1edf b\u1ec7nh nh\u00e2n COVID-19 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn [&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":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u1ea9n \u0111o\u00e1n COPD \u1edf b\u1ec7nh nh\u00e2n COVID 19 - Vinmec<\/title>\n<meta name=\"description\" content=\"ch\u1ea9n \u0111o\u00e1n COPD \u1edf b\u1ec7nh nh\u00e2n COVID-19 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan\" \/>\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=\"Ch\u1ea9n \u0111o\u00e1n COPD \u1edf b\u1ec7nh nh\u00e2n COVID 19 - 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