{"id":34130,"date":"2023-05-19T14:03:07","date_gmt":"2023-05-19T07:03:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34130"},"modified":"2023-05-22T06:46:05","modified_gmt":"2023-05-21T23:46:05","slug":"hoi-chung-hau-covid-19-sinh-benh-hoc-va-trieu-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/19\/hoi-chung-hau-covid-19-sinh-benh-hoc-va-trieu-chung\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng h\u1eadu covid-19: sinh b\u1ec7nh h\u1ecdc v\u00e0 tri\u1ec7u ch\u1ee9ng"},"content":{"rendered":"<p><strong>H\u1ed9i ch\u1ee9ng h\u1eadu Covid-19 \u0111ang tr\u1edf th\u00e0nh m\u1ed9t ch\u1ee7 \u0111\u1ec1 n\u00f3ng h\u1ed5i \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng y t\u1ebf. \u0110i\u1ec1u \u0111\u00e1ng lo ng\u1ea1i \u0111\u00f3 l\u00e0 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi sau khi h\u1ed3i ph\u1ee5c t\u1eeb COVID-19 v\u1eabn ti\u1ebfp t\u1ee5c g\u1eb7p ph\u1ea3i nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c nhau.\u00a0 Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 h\u1ed9i ch\u1ee9ng h\u1eadu Covid, c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u00fap c\u00e1c b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe sau COVID-19.<\/strong><\/p>\n<figure id=\"attachment_34145\" aria-describedby=\"caption-attachment-34145\" style=\"width: 301px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-34145\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/OIP-3.jpg\" alt=\"met-moi-hau-covid\" width=\"301\" height=\"301\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/OIP-3.jpg 301w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/OIP-3-150x150.jpg 150w\" sizes=\"(max-width: 301px) 100vw, 301px\" \/><figcaption id=\"caption-attachment-34145\" class=\"wp-caption-text\">\u1ea2nh m\u00f4 t\u1ea3 b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean m\u1ec7t m\u1ecfi sau m\u1eafc covid -19<\/figcaption><\/figure>\n<h2>1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n<p><span style=\"font-weight: 400;\">Theo h\u01b0\u1edbng d\u1eabn NICE v\u1ec1 Qu\u1ea3n l\u00fd tri\u1ec7u ch\u1ee9ng COVID-19 k\u00e9o d\u00e0i xu\u1ea5t b\u1ea3n 12\/2020, H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 xu\u1ea5t hi\u1ec7n khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a giai \u0111o\u1ea1n c\u1ea5p k\u00e9o d\u00e0i <strong>dai d\u1eb3ng sau 4 tu\u1ea7n<\/strong> k\u1ec3 t\u1eeb khi tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean kh\u1edfi ph\u00e1t. C\u00e1c di ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 chia th\u00e0nh 4 giai \u0111o\u1ea1n (pha):<\/span><\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> Giai \u0111o\u1ea1n Chuy\u1ec3n ti\u1ebfp: COVID-19 c\u00f3 tri\u1ec7u ch\u1ee9ng li\u00ean t\u1ee5c n\u1ebfu nh\u1eefng ng\u01b0\u1eddi xu\u1ea5t hi\u1ec7n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1eeb 4 \u0111\u1ebfn 5 tu\u1ea7n sau khi b\u1eaft \u0111\u1ea7u COVID-19 c\u1ea5p t\u00ednh ho\u1eb7c<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Pha 1: c\u00e1c tri\u1ec7u ch\u1ee9ng sau COVID-19 c\u1ea5p; k\u00e9o d\u00e0i 5 \u2013 12 tu\u1ea7n sau khi m\u1eafc<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Pha 2: tri\u1ec7u ch\u1ee9ng h\u1eadu COVID-19 k\u00e9o d\u00e0i n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ng\u01b0\u1eddi \u0111\u00f3 v\u1eabn ch\u01b0a h\u1ebft 12 \u2013 24 tu\u1ea7n sau giai \u0111o\u1ea1n COVID-19 c\u1ea5p t\u00ednh.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Pha 3: di ch\u1ee9ng h\u1eadu COVID-19 dai d\u1eb3ng tr\u00ean 24 tu\u1ea7n sau m\u1eafc.<\/span><\/li>\n<\/ul>\n<h2><strong>2. D\u1ecbch t\u1ec5 h\u1ecdc H\u1ed9i ch\u1ee9ng h\u1eadu Covid-19<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">T\u1ef7 l\u1ec7 m\u1eafc v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o c\u1ee7a covid-19 kh\u00e1c nhau gi\u1eefa c\u00e1c qu\u1ed1c gia, g\u00e2y kh\u00f3 kh\u0103n cho vi\u1ec7c d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n s\u1ebd ti\u1ebfn tri\u1ec3n th\u00e0nh covid d\u00e0i. T\u01b0\u01a1ng t\u1ef1, vi\u1ec7c b\u00e1o c\u00e1o ch\u00ednh x\u00e1c v\u1ec1 covid k\u00e9o d\u00e0i r\u1ea5t ph\u1ee9c t\u1ea1p. S\u1ef1 kh\u00e1c bi\u1ec7t trong d\u1eef li\u1ec7u d\u1ecbch t\u1ec5 h\u1ecdc n\u00e0y c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1, bao g\u1ed3m s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 d\u00e2n s\u1ed1 c\u01a1 s\u1edf, \u0111\u1ed9 ch\u00ednh x\u00e1c c\u1ee7a ch\u1ea9n \u0111o\u00e1n, h\u1ec7 th\u1ed1ng b\u00e1o c\u00e1o v\u00e0 n\u0103ng l\u1ef1c c\u1ee7a h\u1ec7 th\u1ed1ng ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34132\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-692.png\" alt=\"ty-le-hoi-chung-hau-covid\" width=\"982\" height=\"452\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-692.png 982w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-692-300x138.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-692-768x353.png 768w\" sizes=\"(max-width: 982px) 100vw, 982px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ea3ng 1. T\u1ef7 l\u1ec7 m\u1eafc H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 m\u1ed9t s\u1ed1 n\u01a1i tr\u00ean th\u1ebf gi\u1edbi.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean th\u1ebf gi\u1edbi \u0111\u00e3 b\u00e1o c\u00e1o c\u00e1c t\u1ef7 l\u1ec7 m\u1eafc tri\u1ec7u ch\u1ee9ng COVID19 d\u00e0i kh\u00e1c nhau v\u1edbi th\u1eddi gian kh\u00e1m theo d\u00f5i kh\u00e1c nhau sau \u0111\u1ee3t nhi\u1ec5m c\u1ea5p t\u00ednh, bao g\u1ed3m 76% s\u1ed1 b\u1ec7nh nh\u00e2n sau 6 th\u00e1ng, 32,6% &#8211; 87% sau 60 ng\u00e0y, 15 v\u00e0 96 % sau 90 ng\u00e0y. Ph\u00e1t hi\u1ec7n n\u00e0y kh\u00f4ng ho\u00e0n to\u00e0n ch\u1ee9ng th\u1ef1c, nh\u01b0ng ch\u00fang cho th\u1ea5y r\u1eb1ng m\u1ed9t t\u1ef7 l\u1ec7 \u0111\u00e1ng k\u1ec3 nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng b\u1ecb nhi\u1ec5m SARS &#8211; CoV &#8211; 2 s\u1ebd xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng COVID-19 k\u00e9o d\u00e0i. V\u0103n ph\u00f2ng Th\u1ed1ng k\u00ea Qu\u1ed1c gia V\u01b0\u01a1ng qu\u1ed1c Anh (ONS) \u0111\u00e3 c\u00f4ng b\u1ed1 d\u1eef li\u1ec7u v\u1ec1 s\u1ef1 ph\u1ed5 bi\u1ebfn c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i, v\u1edbi \u01b0\u1edbc t\u00ednh t\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong 5 tu\u1ea7n trong s\u1ed1 nh\u1eefng ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi covid-19 t\u1eeb ng\u00e0y 22 th\u00e1ng 4 \u0111\u1ebfn ng\u00e0y 14 th\u00e1ng 12 n\u0103m 2020 l\u00e0 22,1 %, trong khi t\u1ef7 l\u1ec7 ph\u1ed5 bi\u1ebfn trong 12 tu\u1ea7n l\u00e0 9,9%.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-34133\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-693.png\" alt=\"ty-le-mac-hoi-chung-hau-covid\" width=\"557\" height=\"517\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-693.png 835w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-693-300x278.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-693-768x713.png 768w\" sizes=\"(max-width: 557px) 100vw, 557px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 2. T\u1ef7 l\u1ec7 m\u1eafc c\u00e1c tri\u1ec7u ch\u1ee9ng h\u1eadu COVID-19 theo t\u00e1c gi\u1ea3 Amaya Jimeno Almaz\u00e1n. Int. J. Environ. Res. Public Health 2021, 18, 5329<\/span><\/p>\n<h2><strong>3. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 cho t\u00ecnh tr\u1ea1ng kh\u00f4ng tr\u1edf l\u1ea1i \u201cs\u1ee9c kh\u1ecfe b\u00ecnh th\u01b0\u1eddng\u201d bao g\u1ed3m tu\u1ed5i (P = 0,01), v\u1edbi nh\u00f3m tu\u1ed5i \u2265 50 c\u00f3 t\u1ef7 l\u1ec7 ch\u00eanh l\u1ec7ch cao nh\u1ea5t v\u00e0 s\u1ed1 l\u01b0\u1ee3ng t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd n\u1ec1n tr\u01b0\u1edbc \u0111\u00f3 (P = 0,003). Trong s\u1ed1 c\u00e1c t\u00ecnh tr\u1ea1ng hi\u1ec7n c\u00f3, b\u1ecb t\u0103ng huy\u1ebft \u00e1p (t\u1ef7 l\u1ec7 ch\u00eanh (OR) = 1,3, P = 0,018), b\u00e9o ph\u00ec (OR = 2,31, P = 0,002), t\u00ecnh tr\u1ea1ng t\u00e2m th\u1ea7n (OR = 2,32, P = 0,007) ho\u1eb7c t\u00ecnh tr\u1ea1ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch ( OR = 2,33, P = 0,047) t\u01b0\u01a1ng \u1ee9ng v\u1edbi kh\u1ea3 n\u0103ng cao nh\u1ea5t xu\u1ea5t hi\u1ec7n H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0B\u1ec7nh nh\u00e2n giai \u0111o\u1ea1n c\u1ea5p t\u00ednh c\u00e0ng n\u1eb7ng c\u00e0ng t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng h\u1eadu COVID-19. Trong khi \u0111\u00f3, m\u1ed9t nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 \u0111\u00e3 ch\u1ee9ng th\u1ef1c ph\u00e1t hi\u1ec7n n\u00e0y, v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u01a1n 5 tri\u1ec7u ch\u1ee9ng trong l\u1ea7n nhi\u1ec5m SARS &#8211; CoV &#8211; 2 c\u1ea5p t\u00ednh ban \u0111\u1ea7u v\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n y\u00eau c\u1ea7u nh\u1eadp vi\u1ec7n c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng h\u1eadu covid k\u00e9o d\u00e0i h\u01a1n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Gi\u1edbi t\u00ednh nam v\u00e0 \u0111\u1ed9 tu\u1ed5i l\u1edbn h\u01a1n c\u00f3 li\u00ean quan \u0111\u1ebfn t\u0103ng nguy c\u01a1 m\u1eafc COVID-19 n\u1eb7ng, tuy nhi\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i \u1edf ph\u1ee5 n\u1eef cao h\u01a1n so v\u1edbi nam gi\u1edbi (23,6% so v\u1edbi 20,7%), trong khi nh\u00f3m tu\u1ed5i \u01b0\u1edbc t\u00ednh b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u nh\u1ea5t l\u00e0 35-49 tu\u1ed5i (26,8%), ti\u1ebfp theo l\u00e0 50-69 tu\u1ed5i (26,1%) v\u00e0 nh\u00f3m \u226570 tu\u1ed5i (18%). <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/hen-suyen-4684\/\">B\u1ec7nh hen suy\u1ec5n<\/a> \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n l\u00e0 c\u00f3 li\u00ean quan \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn h\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 k\u00e9o d\u00e0i.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34134\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-694.png\" alt=\"yeu-to-nguy-co-va-tien-luong-xuat-hien-hau-covid\" width=\"876\" height=\"673\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-694.png 876w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-694-300x230.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-694-768x590.png 768w\" sizes=\"(max-width: 876px) 100vw, 876px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 3. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 ti\u00ean l\u01b0\u1ee3ng xu\u1ea5t hi\u1ec7n H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19. Theo t\u00e1c gi\u1ea3 Mandeep Garg. International Journal of General Medicine 2021:14 2491\u20132506.<\/span><\/p>\n<h2><strong>4. Sinh b\u1ec7nh h\u1ecdc v\u00e0 tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34135\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-695.png\" alt=\"di-chung-tren-cac-co-quan\" width=\"652\" height=\"763\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-695.png 652w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-695-256x300.png 256w\" sizes=\"(max-width: 652px) 100vw, 652px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 4. C\u00e1c di ch\u1ee9ng tr\u00ean c\u00e1c c\u01a1 quan c\u1ee7a H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19. Theo t\u00e1c gi\u1ea3 Zhipeng Yan, Biomedicines 2021.<\/span><\/p>\n<h3><strong>4.1. H\u00f4 h\u1ea5p<\/strong><\/h3>\n<p><em><strong>Tri\u1ec7u ch\u1ee9ng:<\/strong><\/em><\/p>\n<p><span style=\"font-weight: 400;\">Tri\u1ec7u ch\u1ee9ng h\u1eadu COVID-19 xu\u1ea5t hi\u1ec7n tr\u00ean h\u1ec7 h\u00f4 h\u1ea5p l\u00e0 r\u00f5 r\u00e0ng v\u00e0 n\u1eb7ng n\u1ec1 nh\u1ea5t; c\u00e1c bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng; bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> Kh\u00f3 th\u1edf c\u00e1c m\u1ee9c \u0111\u1ed9 t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n v\u00e0 k\u00e9o d\u00e0i tr\u00ean 90 ng\u00e0y chi\u1ebfm 43,4% s\u1ed1 b\u1ec7nh nh\u00e2n.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/ho-khan-keo-dai-chua-mai-khong-khoi-phai-lam-sao\/\"> Ho k\u00e9o d\u00e0i<\/a> (g\u1ea7n 15%)<\/span><\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/dau-nguc\/\"><span style=\"font-weight: 400;\"> \u0110au ng\u1ef1c<\/span><\/a><\/li>\n<li><span style=\"font-weight: 400;\"> Ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p suy gi\u1ea3m v\u00e0 ti\u1ebfn tri\u1ec3n sang t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-xo-phoi-co-nguy-hiem-khong\/\">x\u01a1 ph\u1ed5i<\/a> ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng k\u00e9o d\u00e0i.<\/span><\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34136\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-696.png\" alt=\"di-chung-viem-phoi-hau-covid\" width=\"678\" height=\"304\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-696.png 678w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-696-300x135.png 300w\" sizes=\"(max-width: 678px) 100vw, 678px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 5. Nam 45 tu\u1ed5i b\u1ecb di ch\u1ee9ng vi\u00eam ph\u1ed5i COVID-19. CT ng\u1ef1c c\u01a1 b\u1ea3n t\u1ea1i th\u1eddi \u0111i\u1ec3m nh\u1eadp vi\u1ec7n, h\u00ecnh (A) cho th\u1ea5y c\u00e1c khu v\u1ef1c ngo\u1ea1i vi b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u0111\u00f4ng \u0111\u1eb7c (c\u00e1c m\u0169i t\u00ean \u0111en) v\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng k\u00ednh m\u1edd xung quanh (GGO &#8211; ground glass opacities) \u1edf c\u00e1c th\u00f9y tr\u00ean hai b\u00ean. B\u1ec7nh nh\u00e2n b\u1ecb ho dai d\u1eb3ng ngay c\u1ea3 khi xu\u1ea5t vi\u1ec7n, v\u00e0 theo d\u00f5i CT ng\u1ef1c (6 tu\u1ea7n sau khi xu\u1ea5t vi\u1ec7n), h\u00ecnh (B) cho th\u1ea5y h\u1ebft t\u1ed5n th\u01b0\u01a1ng \u0111\u00f4ng \u0111\u1eb7c ngo\u1ea1i vi, nh\u01b0ng v\u1eabn t\u1ed3n t\u1ea1i v\u00f9ng m\u00f4 k\u1ebd d\u00e0y &#8211; x\u01a1 h\u00f3a (m\u0169i t\u00ean \u0111en) \u1edf ph\u1ed5i hai b\u00ean. Theo t\u00e1c gi\u1ea3 Mandeep Garg. T\u1ea1p ch\u00ed Qu\u1ed1c t\u1ebf v\u1ec1 Y h\u1ecdc \u0110a khoa 2021: 14 2491\u20132506.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34137\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-697.png\" alt=\"HRCT- benh-nhan-hau-covid\" width=\"649\" height=\"295\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-697.png 649w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-697-300x136.png 300w\" sizes=\"(max-width: 649px) 100vw, 649px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 6. M\u1ed9t nam 48 tu\u1ed5i nh\u1eadp vi\u1ec7n v\u00ec vi\u00eam ph\u1ed5i COVID-19, c\u00f3 bi\u1ec3u hi\u1ec7n kh\u00f3 th\u1edf dai d\u1eb3ng v\u00e0 m\u1ec7t m\u1ecfi sau 8 tu\u1ea7n xu\u1ea5t vi\u1ec7n. H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (HRCT) c\u00f3 \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao \u0111\u01b0\u1ee3c \u0111\u1ecbnh d\u1ea1ng l\u1ea1i l\u1ed3ng ng\u1ef1c, tr\u1ee5c ngang (A) v\u00e0 \u0111\u1ee9ng (B), cho th\u1ea5y c\u00e1c v\u00f9ng ngo\u1ea1i vi hai b\u00ean v\u1edbi t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng k\u00ednh m\u1edd (GGO) (m\u0169i t\u00ean \u0111en) v\u00e0 d\u00e0y m\u00f4 k\u1ebd (ph\u1ea3i &gt; tr\u00e1i) v\u1edbi gi\u00e3n ph\u1ebf qu\u1ea3n do l\u1ef1c k\u00e9o (m\u0169i t\u00ean \u0111\u1ecf ) \u1edf th\u00f9y gi\u1eefa v\u00e0 th\u00f9y d\u01b0\u1edbi b\u00ean ph\u1ea3i. Theo t\u00e1c gi\u1ea3 Mandeep Garg. T\u1ea1p ch\u00ed Qu\u1ed1c t\u1ebf v\u1ec1 Y h\u1ecdc \u0110a khoa 2021: 14 2491\u20132506.<\/span><\/p>\n<p><strong>\u00a0C\u01a1 ch\u1ebf &#8211; nguy\u00ean nh\u00e2n<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ec covid-19 v\u1ec1 c\u01a1 b\u1ea3n l\u00e0 m\u1ed9t b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, b\u1ec7nh c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1ng k\u1ec3 cho ph\u1ed5i v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p th\u00f4ng qua s\u1ef1 nh\u00e2n l\u00ean c\u1ee7a SARSCoV-2 b\u00ean trong c\u00e1c t\u1ebf b\u00e0o n\u1ed9i m\u00f4, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u00f4 v\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u00e0 vi\u00eam r\u1ea5t m\u1ea1nh. Nh\u1eefng ng\u01b0\u1eddi v\u01b0\u1ee3t qua \u0111\u01b0\u1ee3c nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 ph\u1ed5i l\u00e2u d\u00e0i, d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf; tuy nhi\u00ean, h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi ph\u00e1t tri\u1ec3n kh\u00f3 th\u1edf l\u00e2u d\u00e0i sau covid-19 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i v\u0129nh vi\u1ec5n ho\u1eb7c l\u00e2u d\u00e0i. C\u00f3 kh\u1ea3 n\u0103ng ch\u1ec9 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao b\u1ecb kh\u00f3 th\u1edf, bao g\u1ed3m c\u1ea3 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, nh\u1eefng ng\u01b0\u1eddi b\u1ecb <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/hoi-chung-suy-ho-hap-cap-tien-trien-ards\/\">ARDS<\/a>, nh\u1eefng ng\u01b0\u1eddi ph\u1ea3i n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i v\u00e0 nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 ph\u1ed5i t\u1eeb tr\u01b0\u1edbc, d\u1ec5 ph\u00e1t tri\u1ec3n c\u00e1c thay \u0111\u1ed5i gi\u1ed1ng nh\u01b0 x\u01a1 \u0111\u1ed1i v\u1edbi m\u00f4 ph\u1ed5i. T\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf li\u00ean t\u1ee5c c\u00f3 th\u1ec3 do c\u00e1c cytokine nh\u01b0 interleukin -6 g\u00e2y ra, v\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh x\u01a1 ph\u1ed5i. <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/tac-mach-phoi-nhung-dieu-can-biet\/\">Huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch ph\u1ed5i<\/a> \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y \u1edf b\u1ec7nh nh\u00e2n covid-19 v\u00e0 c\u00f3 th\u1ec3 g\u00e2y h\u1eadu qu\u1ea3 b\u1ea5t l\u1ee3i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb covid k\u00e9o d\u00e0i.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34138\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-698.png\" alt=\"di-chung-lau-dai-cua-covid-19-tai-phoi\" width=\"648\" height=\"290\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-698.png 648w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-698-300x134.png 300w\" sizes=\"(max-width: 648px) 100vw, 648px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 7. Di ch\u1ee9ng l\u00e2u d\u00e0i c\u1ee7a covid-19 t\u1ea1i ph\u1ed5i. Theo t\u00e1c gi\u1ea3 Harry Crook. BMJ 2021;374:n1648. A. Vi\u00eam m\u00e3n t\u00ednh d\u1eabn \u0111\u1ebfn vi\u1ec7c s\u1ea3n xu\u1ea5t li\u00ean t\u1ee5c c\u00e1c cytokine ti\u1ec1n vi\u00eam v\u00e0 c\u00e1c g\u1ed1c oxy ph\u1ea3n \u1ee9ng (ROS) \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng v\u00e0o m\u00f4 xung quanh v\u00e0 m\u00e1u. B. T\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u00f4 g\u00e2y k\u00edch ho\u1ea1t c\u00e1c nguy\u00ean b\u00e0o s\u1ee3i, c\u00e1c nguy\u00ean b\u00e0o n\u00e0y l\u1eafng \u0111\u1ecdng collagen v\u00e0 fibronectin, d\u1eabn \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a. C. T\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u00f4, k\u00edch ho\u1ea1t b\u1ed5 th\u1ec3, ho\u1ea1t h\u00f3a ti\u1ec3u c\u1ea7u v\u00e0 t\u01b0\u01a1ng t\u00e1c gi\u1eefa ti\u1ec3u c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u, gi\u1ea3i ph\u00f3ng c\u00e1c cytokine ti\u1ec1n vi\u00eam, ph\u00e1 v\u1ee1 c\u00e1c con \u0111\u01b0\u1eddng \u0111\u00f4ng m\u00e1u b\u00ecnh th\u01b0\u1eddng v\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ea1ng th\u00e1i t\u0103ng vi\u00eam v\u00e0 t\u0103ng \u0111\u00f4ng k\u00e9o d\u00e0i, l\u00e0m t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i.<\/span><\/p>\n<h3><strong>4.2. Tim m\u1ea1ch<\/strong><\/h3>\n<p><em><strong>Tri\u1ec7u ch\u1ee9ng:<\/strong><\/em><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> T\u1ed5n th\u01b0\u01a1ng c\u01a1 tim dai d\u1eb3ng v\u00e0 t\u0103ng troponin dai d\u1eb3ng (\u0111au th\u1eaft ng\u1ef1c), c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 60 ng\u00e0y \u2013 6 th\u00e1ng (quan s\u00e1t tr\u00ean MRI tim)\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/viem-co-tim-3308\/\"> Vi\u00eam c\u01a1 tim<\/a>, <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/dieu-tri-va-cham-soc-nguoi-bi-viem-mang-ngoai-tim\/\">vi\u00eam m\u00e0ng ngo\u00e0i tim<\/a> (th\u01b0\u1eddng l\u00e0 d\u01b0\u1edbi l\u00e2m s\u00e0ng).<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Xu\u1ea5t hi\u1ec7n c\u00e1c <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/roi-loan-nhip-tim-3136\/\">r\u1ed1i lo\u1ea1n nh\u1ecbp<\/a> (h\u1ed3i h\u1ed9p, \u0111\u1ed9t t\u1eed..)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/tu-van-bac-si\/nhip-tim-thay-doi-nhieu-khi-dung-va-ngoi-co-sao-khong\/\"> H\u1ed9i ch\u1ee9ng nh\u1ecbp nhanh t\u01b0 th\u1ebf \u0111\u1ee9ng<\/a> ( POTS &#8211; postural orthostatic tachycardia syndrome)<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Gi\u1ea3m d\u1ef1 tr\u1eef ch\u1ee9c n\u0103ng tim m\u1ea1ch: kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi khi g\u1eafng s\u1ee9c.\u00a0<\/span><\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34139\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-699.png\" alt=\"MRI-tim-benh-nhan-hau-covid\" width=\"645\" height=\"327\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-699.png 645w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-699-300x152.png 300w\" sizes=\"(max-width: 645px) 100vw, 645px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 8. MRI tim \u1edf m\u1ed9t b\u1ec7nh nh\u00e2n n\u1eef 45 tu\u1ed5i b\u1ecb vi\u00eam c\u01a1 tim h\u1eadu COVID-19, v\u00e0o th\u1eddi \u0111i\u1ec3m 5 tu\u1ea7n sau khi xu\u1ea5t vi\u1ec7n: (A) H\u00ecnh \u1ea3nh T2W b\u00e3o h\u00f2a m\u1ee1 tr\u1ee5c ng\u1eafn \u1edf \u0111\u00e1y th\u1ea5t tr\u00e1i (LV) cho th\u1ea5y c\u01b0\u1eddng \u0111\u1ed9 t\u00edn hi\u1ec7u c\u01a1 tim b\u00ecnh th\u01b0\u1eddng, g\u1ee3i \u00fd kh\u00f4ng c\u00f3 ph\u00f9. (B) T\u0103ng c\u1ea3n t\u1eeb gadolinium mu\u1ed9n (LGE) PSIR \u1edf tr\u1ee5c ng\u1eafn \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf 15 ph\u00fat sau t\u01b0\u01a1ng ph\u1ea3n cho th\u1ea5y s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a LGE tuy\u1ebfn t\u00ednh tr\u00ean \u0111o\u1ea1n tr\u01b0\u1edbc v\u00e1ch c\u1ee7a \u0111\u00e1y LV (m\u0169i t\u00ean tr\u1eafng), bi\u1ec3u th\u1ecb s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a x\u01a1 h\u00f3a, c\u00f3 kh\u1ea3 n\u0103ng l\u00e0 di ch\u1ee9ng c\u1ee7a t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim do nhi\u1ec5m COVID tr\u01b0\u1edbc \u0111\u00f3.\u00a0<\/span><\/p>\n<p><em><strong>C\u01a1 ch\u1ebf &#8211; nguy\u00ean nh\u00e2n<\/strong><\/em><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c c\u01a1 ch\u1ebf g\u00e2y ra c\u00e1c di ch\u1ee9ng tim m\u1ea1ch trong COVID &#8211; 19 sau giai \u0111o\u1ea1n c\u1ea5p t\u00ednh bao g\u1ed3m s\u1ef1 x\u00e2m nh\u1eadp tr\u1ef1c ti\u1ebfp c\u1ee7a virus, gi\u1ea3m \u0111i\u1ec1u h\u00f2a ACE2, vi\u00eam v\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ednh to\u00e0n v\u1eb9n c\u1ea5u tr\u00fac c\u1ee7a c\u01a1 tim, m\u00e0ng ngo\u00e0i tim v\u00e0 h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n. Ph\u1ea3n \u1ee9ng vi\u00eam sau \u0111\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 ch\u1ebft c\u1ee7a t\u1ebf b\u00e0o c\u01a1 tim. Nh\u1eefng b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c c\u00f3 th\u1ec3 li\u00ean t\u1ee5c t\u0103ng nhu c\u1ea7u v\u1ec1 chuy\u1ec3n h\u00f3a c\u01a1 tim. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn gi\u1ea3m d\u1ef1 tr\u1eef tim, s\u1eed d\u1ee5ng corticosteroid v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a h\u1ec7 th\u1ed1ng renin \u2013 angiotensin\u2013 aldosterone (RAAS). X\u01a1 h\u00f3a ho\u1eb7c s\u1eb9o c\u01a1 tim, v\u00e0 h\u1eadu qu\u1ea3 l\u00e0 b\u1ec7nh c\u01a1 tim do nhi\u1ec5m virus, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n nh\u1ecbp tim t\u00e1i ph\u00e1t do xu\u1ea5t hi\u1ec7n c\u00e1c v\u00f9ng c\u00f3 c\u00e1c th\u1eddi gian tr\u01a1 kh\u00e1c nhau trong m\u00f4 c\u01a1 tim. COVID-19 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y lo\u1ea1n nh\u1ecbp tim do tr\u1ea1ng th\u00e1i catecholaminergic t\u0103ng cao do c\u00e1c cytokine nh\u01b0 IL-6, IL-1 v\u00e0 y\u1ebfu t\u1ed1 ho\u1ea1i t\u1eed kh\u1ed1i u-\u03b1, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng th\u1ea5t b\u1eb1ng c\u00e1ch \u0111i\u1ec1u ch\u1ec9nh bi\u1ec3u hi\u1ec7n k\u00eanh ion c\u1ee7a t\u1ebf b\u00e0o c\u01a1 tim. <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/roi-loan-he-kinh-tu-chu-nguyen-nhan-chan-doan-va-cach-dieu-tri\/\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng<\/a> sau b\u1ec7nh do vi r\u00fat, d\u1eabn \u0111\u1ebfn h\u1ed9i ch\u1ee9ng nh\u1ecbp tim nhanh t\u01b0 th\u1ebf \u0111\u1ee9ng v\u00e0 nh\u1ecbp tim nhanh xoang kh\u00f4ng ph\u00f9 h\u1ee3p, tr\u01b0\u1edbc \u0111\u00e2y \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a \u0111i\u1ec1u ch\u1ec9nh adrenergic.<\/span><\/p>\n<h3><strong>4.3. Th\u1ea7n kinh &#8211; c\u01a1<\/strong><\/h3>\n<p><em><strong>Th\u1ea7n kinh<\/strong><\/em><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u00e3 c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u tr\u00ean th\u1ebf gi\u1edbi trong \u0111\u1ea1i d\u1ecbch th\u1eddi gian qua \u0111\u00e3 ghi nh\u1eadn s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c v\u00e0 s\u1ef1 thi\u1ebfu h\u1ee5t th\u1ea7n kinh trung \u01b0\u01a1ng \u1edf b\u1ec7nh nh\u00e2n covid-19 v\u00e0 g\u1ee3i \u00fd r\u1eb1ng virus c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh vi\u00eam n\u00e3o . B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng do mi\u1ec5n d\u1ecbch nh\u01b0 <a href=\"https:\/\/vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/cach-lam-ha-huyet-ap-khan-cap\/\">h\u1ea1 huy\u1ebft \u00e1p<\/a>, thi\u1ebfu oxy v\u00e0 huy\u1ebft kh\u1ed1i m\u1ea1ch m\u00e1u, v\u00e0 c\u00e1c t\u00e1c \u0111\u1ed9ng mi\u1ec5n d\u1ecbch nh\u01b0 dung n\u1ea1p t\u1ef1 mi\u1ec5n, k\u00edch ho\u1ea1t vi t\u1ebf b\u00e0o th\u1ea7n kinh \u0111\u1ec7m v\u00e0 xu\u1ea5t hi\u1ec7n c\u00e1c cytokine kh\u00f4ng ph\u00f9 h\u1ee3p. Ngo\u00e0i ra, nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n v\u1edbi covid-19 c\u00f3 m\u1ed9t lo\u1ea1t c\u00e1c b\u1ec7nh l\u00fd bao g\u1ed3m b\u1ec7nh n\u00e3o, suy gi\u1ea3m nh\u1eadn th\u1ee9c, c\u00e1c bi\u1ebfn c\u1ed1 m\u1ea1ch m\u00e1u n\u00e3o, co gi\u1eadt, t\u1ed5n th\u01b0\u01a1ng n\u00e3o thi\u1ebfu oxy, d\u1ea5u hi\u1ec7u \u0111\u01b0\u1eddng \u1ed1ng t\u1ee7y s\u1ed1ng, h\u1ed9i ch\u1ee9ng lo\u1ea1n d\u01b0\u1ee1ng, t\u00ecnh tr\u1ea1ng tri gi\u00e1c thay \u0111\u1ed5i so v\u1edbi ch\u1ee9c n\u0103ng n\u1ec1n v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng t\u00e2m th\u1ea7n. Covid-19 c\u0169ng c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c t\u00ecnh tr\u1ea1ng th\u1ea7n kinh bao g\u1ed3m h\u1ed9i ch\u1ee9ng <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/tim-hieu-ve-hoi-chung-guillain-barre-viem-da-day-kinh-cap-tinh\/\">Guillain-Barr\u00e9<\/a> v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng tho\u00e1i h\u00f3a th\u1ea7n kinh nh\u01b0 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nhan-dien-benh-alzheimer-qua-bieu-hien-co\/\">b\u1ec7nh Alzheimer<\/a>. B\u1ec7nh n\u1eb7ng, h\u1ed9i ch\u1ee9ng h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh nghi\u00eam tr\u1ecdng v\u00e0 h\u1ed7 tr\u1ee3 th\u1edf m\u00e1y trong th\u1eddi gian d\u00e0i \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f3 nh\u1eefng t\u00e1c \u0111\u1ed9ng b\u1ea5t l\u1ee3i \u0111\u1ebfn nh\u1eadn th\u1ee9c l\u00e2u d\u00e0i. T\u1eeb \u0111\u00f3, t\u00e1c \u0111\u1ed9ng l\u00ean th\u1ea7n kinh trong h\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 bao g\u1ed3m:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/nhoi-mau-nao-xuat-huyet-nao-2-dang-tai-bien-mach-mau-nao-nguy-hiem\/\">Tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o<\/a>: nh\u01b0 \u0111\u1ed9t qu\u1ef5 do huy\u1ebft kh\u1ed1i (t\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 t\u0103ng \u0111\u00f4ng k\u00e9o d\u00e0i)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; Di ch\u1ee9ng c\u00e1c b\u1ec7nh l\u00fd th\u1ea7n kinh li\u00ean quan \u0111\u1ebfn giai \u0111o\u1ea1n c\u1ea5p. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; H\u1ed9i ch\u1ee9ng suy gi\u1ea3m nh\u1eadn th\u1ee9c sau b\u1ec7nh n\u1eb7ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/tram-cam-2982\/\">Tr\u1ea7m c\u1ea3m<\/a>, r\u1ed1i lo\u1ea1n lo \u00e2u, t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t, r\u1ed1i lo\u1ea1n stress sau ch\u1ea5n th\u01b0\u01a1ng (PTSD)\u2026<\/span><\/p>\n<p><em><strong>C\u01a1 ch\u1ebf &#8211; Nguy\u00ean nh\u00e2n<\/strong><\/em><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34140\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-700.png\" alt=\"di-chung-hau-covid-tren-he-than-kinh-trung-uong\" width=\"645\" height=\"357\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-700.png 645w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-700-300x166.png 300w\" sizes=\"(max-width: 645px) 100vw, 645px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 10. Di ch\u1ee9ng l\u00e2u d\u00e0i c\u1ee7a covid-19 tr\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Theo t\u00e1c gi\u1ea3 Harry Crook. BMJ 2021;374:n1648. A. \u0110\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch d\u00e0i h\u1ea1n k\u00edch ho\u1ea1t c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh \u0111\u1ec7m l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh m\u1ed9t c\u00e1ch m\u00e3n t\u00ednh. B. T\u00ecnh tr\u1ea1ng t\u0103ng vi\u00eam qu\u00e1 m\u1ee9c v\u00e0 t\u0103ng \u0111\u00f4ng d\u1eabn \u0111\u1ebfn t\u0103ng nguy c\u01a1 bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i. C. T\u1ed5n th\u01b0\u01a1ng v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a h\u00e0ng r\u00e0o m\u00e1u-n\u00e3o d\u1eabn \u0111\u1ebfn t\u00ednh th\u1ea5m b\u1ec7nh l\u00fd, cho ph\u00e9p c\u00e1c ch\u1ea5t c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u00e1u v\u00e0 b\u1ea1ch c\u1ea7u x\u00e2m nh\u1eadp v\u00e0o nhu m\u00f4 n\u00e3o. D. Vi\u00eam m\u00e3n t\u00ednh \u1edf th\u00e2n n\u00e3o c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ef1 \u0111\u1ed9ng. E. \u1ea2nh h\u01b0\u1edfng c\u1ee7a covid k\u00e9o d\u00e0i trong n\u00e3o c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m nh\u1eadn th\u1ee9c.\u00a0<\/span><\/p>\n<p><strong>\u00a0C\u01a1 &#8211; x\u01b0\u01a1ng<\/strong><\/p>\n<p><em><strong>Tri\u1ec7u ch\u1ee9ng<\/strong><\/em><\/p>\n<p><span style=\"font-weight: 400;\">92.9% b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n v\u00e0 93.5% kh\u00f4ng nh\u1eadp vi\u1ec7n b\u00e1o c\u00e1o c\u00e1c tri\u1ec7u ch\u1ee9ng <strong>m\u1ec7t m\u1ecfi, y\u1ebfu c\u01a1, \u0111au c\u01a1<\/strong> sau 79 ng\u00e0y m\u1eafc COVID-19.<\/span><\/p>\n<p><em><strong>C\u01a1 ch\u1ebf &#8211; nguy\u00ean nh\u00e2n<\/strong><\/em><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ed9t lo\u1ea1t c\u00e1c y\u1ebfu t\u1ed1 trung \u01b0\u01a1ng, ngo\u1ea1i bi\u00ean v\u00e0 t\u00e2m th\u1ea7n c\u00f3 th\u1ec3 g\u00e2y ra m\u1ec7t m\u1ecfi m\u00e3n t\u00ednh \u1edf c\u00e1c b\u1ec7nh nh\u00e2n h\u1eadu covid. T\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh trong n\u00e3o, c\u0169ng nh\u01b0 t\u1ea1i c\u00e1c \u0111i\u1ec3m ti\u1ebfp h\u1ee3p th\u1ea7n kinh c\u01a1, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ec7t m\u1ecfi l\u00e2u d\u00e0i. Gi\u1ea3m chuy\u1ec3n h\u00f3a \u1edf th\u00f9y tr\u00e1n v\u00e0 ti\u1ec3u n\u00e3o c\u0169ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh nh\u00e2n covid-19 xu\u1ea5t hi\u1ec7n d\u1ea5u hi\u1ec7u m\u1ec7t m\u1ecfi v\u00e0 c\u00f3 th\u1ec3 do \u0111\u00e1p \u1ee9ng vi\u00eam h\u1ec7 th\u1ed1ng v\u00e0 c\u01a1 ch\u1ebf mi\u1ec5n d\u1ecbch qua trung gian t\u1ebf b\u00e0o, ch\u1ee9 kh\u00f4ng ph\u1ea3i do virus x\u00e2m nh\u1eadp tr\u1ef1c ti\u1ebfp v\u00e0o th\u1ea7n kinh. Trong c\u01a1 x\u01b0\u01a1ng, t\u1ed5n th\u01b0\u01a1ng sarcolemma v\u00e0 teo s\u1ee3i v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111\u00f3ng m\u1ed9t vai tr\u00f2 n\u00e0o \u0111\u00f3 g\u00e2y ra m\u1ec7t m\u1ecfi, c\u0169ng nh\u01b0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 t\u00e2m l\u00fd v\u00e0 x\u00e3 h\u1ed9i.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34141\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-701.png\" alt=\"di-chung-lau-dai-tren-he-than-kinh-co\" width=\"637\" height=\"367\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-701.png 637w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-701-300x173.png 300w\" sizes=\"(max-width: 637px) 100vw, 637px\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 11. Di ch\u1ee9ng l\u00e2u d\u00e0i c\u1ee7a covid-19 tr\u00ean h\u1ec7 th\u1ea7n kinh &#8211; c\u01a1. Theo t\u00e1c gi\u1ea3 Harry Crook. BMJ 2021;374:n1648.<\/span><\/p>\n<h2><strong>5.\u00a0 C\u00e1c h\u1ec7 c\u01a1 quan kh\u00e1c<\/strong><\/h2>\n<h3><strong>5.1. Huy\u1ebft h\u1ecdc<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0<strong> &lt;5%<\/strong> trong COVID-19 sau c\u1ea5p t\u00ednh trong c\u00e1c nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u1eddi gian c\u1ee7a tr\u1ea1ng th\u00e1i vi\u00eam qu\u00e1 m\u1ee9c do nhi\u1ec5m SARS-CoV-2 ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1eddng u\u1ed1ng tr\u1ef1c ti\u1ebfp v\u00e0 heparin tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i k\u00e9o d\u00e0i sau khi \u0111\u00e1nh gi\u00e1 nguy c\u01a1 &#8211; l\u1ee3i \u00edch \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 b\u1ea5t \u0111\u1ed9ng, n\u1ed3ng \u0111\u1ed9 d-dimer t\u0103ng li\u00ean t\u1ee5c (l\u1edbn h\u01a1n g\u1ea5p \u0111\u00f4i gi\u1edbi h\u1ea1n tr\u00ean c\u1ee7a m\u1ee9c b\u00ecnh th\u01b0\u1eddng) v\u00e0 cao kh\u00e1c c\u00e1c b\u1ec7nh \u0111i k\u00e8m nguy c\u01a1 nh\u01b0 ung th\u01b0.<\/span><\/p>\n<h3><strong>5.2. Th\u1eadn<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/tim-hieu-ve-benh-ton-thuong-cap-tinh-aki\/\">AKI<\/a> h\u1ed3i ph\u1ee5c sau COVID-19 c\u1ea5p t\u00ednh x\u1ea3y ra \u1edf \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n; tuy nhi\u00ean, eGFR gi\u1ea3m \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o sau 6 th\u00e1ng theo d\u00f5i. COVAN (COVID-19-associated nephropathy: b\u1ec7nh th\u1eadn li\u00ean quan \u0111\u1ebfn COVID-19) c\u00f3 th\u1ec3 l\u00e0 d\u1ea1ng t\u1ed5n th\u01b0\u01a1ng th\u1eadn ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng ng\u01b0\u1eddi g\u1ed1c Phi Gi\u1ea3m t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh (eGFR; \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 &lt; 90 ml\/ph\u00fat\/ 1,73 m2 da) \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf 35% b\u1ec7nh nh\u00e2n v\u00e0o th\u1eddi \u0111i\u1ec3m 6 th\u00e1ng trong nghi\u00ean c\u1ee9u h\u1eadu COVID-19 \u1edf Trung Qu\u1ed1c, v\u00e0 13% gi\u1ea3m eGFR m\u1edbi xu\u1ea5t hi\u1ec7n sau khi ghi nh\u1eadn ch\u1ee9c n\u0103ng th\u1eadn b\u00ecnh th\u01b0\u1eddng trong COVID-19 c\u1ea5p t\u00ednh.<\/span><\/p>\n<h3><strong>5.3. N\u1ed9i ti\u1ebft<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Di ch\u1ee9ng n\u1ed9i ti\u1ebft c\u00f3 th\u1ec3 bao g\u1ed3m m\u1edbi xu\u1ea5t hi\u1ec7n ho\u1eb7c t\u00ecnh tr\u1ea1ng ki\u1ec3m so\u00e1t b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng hi\u1ec7n c\u00f3 tr\u1edf n\u00ean x\u1ea5u \u0111i, <a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/diem-mat-dau-hieu-canh-bao-benh-ly-tuyen-giap\/\">vi\u00eam tuy\u1ebfn gi\u00e1p<\/a> b\u00e1n c\u1ea5p v\u00e0 lo\u00e3ng x\u01b0\u01a1ng. COVID-19 c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng t\u1ef1 mi\u1ec5n tuy\u1ebfn gi\u00e1p ti\u1ec1m \u1ea9n bi\u1ec3u hi\u1ec7n nh\u01b0 b\u1ec7nh <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-viem-tuyen-giap-hashimoto-co-nguy-hiem\/\">vi\u00eam tuy\u1ebfn gi\u00e1p Hashimoto&#8217;s<\/a> m\u1edbi kh\u1edfi ph\u00e1t ho\u1eb7c <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/basedow-3241\/\">b\u1ec7nh Grave&#8217;s.\u00a0<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi kh\u00f4ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 truy\u1ec1n th\u1ed1ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 2 ph\u1ea3i nghi ng\u1edd \u1ee9c ch\u1ebf tr\u1ee5c h\u1ea1 \u0111\u1ed3i tuy\u1ebfn y\u00ean-th\u01b0\u1ee3ng th\u1eadn; <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/chan-doan-va-dieu-tri-benh-cuong-giap\/\">c\u01b0\u1eddng gi\u00e1p<\/a> n\u00ean tr\u1ea3i qua c\u00e1c x\u00e9t nghi\u1ec7m th\u00edch h\u1ee3p v\u00e0 n\u00ean \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn tham v\u1ea5n khoa n\u1ed9i ti\u1ebft.<\/span><\/p>\n<h3><strong>5.4. Ti\u00eau h\u00f3a &#8211; gan m\u1eadt<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">\u00a0C\u00f3 th\u1ec3 x\u1ea3y ra hi\u1ec7n t\u01b0\u1ee3ng t\u1ed3n t\u1ea1i vi r\u00fat k\u00e9o d\u00e0i \u1edf COVID-19 ngay c\u1ea3 sau khi x\u00e9t nghi\u1ec7m ph\u1ebft m\u0169i h\u1ecdng \u00e2m t\u00ednh (trung b\u00ecnh sau 28 ng\u00e0y m\u1eafc COVID-19 ho\u1eb7c 11 ng\u00e0y sau ph\u1ebft h\u1ecdng \u00e2m t\u00ednh).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0COVID-19 c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m thay \u0111\u1ed5i <a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/dieu-chinh-he-vi-sinh-vat-duong-ruot-mot-chien-luoc-dieu-tri-moi-cho-benh-viem-ruot\/\"><strong>h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t<\/strong><\/a>, bao g\u1ed3m l\u00e0m gi\u00e0u c\u00e1c sinh v\u1eadt c\u01a1 h\u1ed9i v\u00e0 l\u00e0m c\u1ea1n ki\u1ec7t c\u00e1c ch\u1ee7ng vi sinh th\u01b0\u1eddng tr\u00fa c\u00f3 l\u1ee3i. Kh\u1ea3 n\u0103ng c\u1ee7a h\u1ec7 vi sinh v\u1eadt \u0111\u01b0\u1eddng ru\u1ed9t trong vi\u1ec7c thay \u0111\u1ed5i ti\u1ebfn tr\u00ecnh c\u1ee7a b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (tr\u1ee5c ru\u1ed9t-ph\u1ed5i) \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn tr\u01b0\u1edbc \u0111\u00e2y trong b\u1ec7nh c\u00fam v\u00e0 c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p kh\u00e1c.<\/span><\/p>\n<h3><strong>5.5. Da<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">R\u1ee5ng t\u00f3c l\u00e0 tri\u1ec7u ch\u1ee9ng ch\u00ednh v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o xu\u1ea5t hi\u1ec7n \u1edf kho\u1ea3ng 20% s\u1ed1 ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau khi m\u1eafc COVID-19.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng da h\u1eadu COVID-19 c\u00f3 t\u1ef7 l\u1ec7 3% v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n:<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/tim-hieu-ly-do-gay-me-day\/\"> m\u1ec1 \u0111ay<\/a>, m\u1ea3ng s\u1ea9n \u0111\u1ecf da, bi\u1ec3u hi\u1ec7n livedo-reticularis, r\u1ed1i lo\u1ea1n \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i vi\u2026.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34142\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-702.png\" alt=\"Bieu-hien-da-hau-covid\" width=\"453\" height=\"400\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-702.png 453w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-702-300x265.png 300w\" sizes=\"(max-width: 453px) 100vw, 453px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 12. Bi\u1ec3u hi\u1ec7n da c\u1ee7a h\u1eadu COVID-19 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c nhau sau th\u1eddi gian ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u kh\u00e1c nhau: (A) t\u1ed5n th\u01b0\u01a1ng v\u1ea3y n\u1ebfn xu\u1ea5t huy\u1ebft tr\u00ean l\u01b0ng \u1edf b\u1ec7nh nh\u00e2n v\u1ea3y n\u1ebfn \u0111\u00e3 bi\u1ebft tr\u01b0\u1edbc \u0111\u00f3 (5 tu\u1ea7n sau khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng) (B) ban ng\u1ee9a d\u1ea1ng v\u00f5ng l\u01b0\u1edbi tr\u00ean th\u00e2n (10 tu\u1ea7n sau khi b\u1ec7nh kh\u1edfi ph\u00e1t) (C) ng\u00f3n ch\u00e2n COVID dai d\u1eb3ng, kh\u00f4ng tri\u1ec7u ch\u1ee9ng (12 tu\u1ea7n sau ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u) (D) t\u1ed5n th\u01b0\u01a1ng h\u1ed3ng ban \u0111a d\u1ea1ng \u1edf b\u00e0n ch\u00e2n ph\u1ea3i (6 tu\u1ea7n sau khi kh\u1edfi ph\u00e1t tri\u1ec7u ch\u1ee9ng).<\/span><\/p>\n<h3><strong>5.6. MIS- C ( <b>Multisystem Inflammatory Syndrome in Children )<\/b><\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n: &lt; 21 tu\u1ed5i b\u1ecb s\u1ed1t, d\u1ea5u hi\u1ec7u t\u0103ng \u0111\u00e1p \u1ee9ng vi\u00eam, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng \u0111a c\u01a1 quan, nhi\u1ec5m SARS-CoV-2 hi\u1ec7n t\u1ea1i ho\u1eb7c g\u1ea7n \u0111\u00e2y v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c ch\u1ea9n \u0111o\u00e1n h\u1ee3p l\u00fd kh\u00e1c. Th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tr\u1ebb em &gt; 7 tu\u1ed5i v\u00e0 kh\u00f4ng t\u01b0\u01a1ng x\u1ee9ng v\u1edbi ngu\u1ed3n g\u1ed1c Ch\u00e2u Phi, Afro-Caribbean ho\u1eb7c T\u00e2y Ban Nha. C\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch (ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh) v\u00e0 th\u1ea7n kinh (nh\u1ee9c \u0111\u1ea7u, b\u1ec7nh n\u00e3o, \u0111\u1ed9t qu\u1ef5 v\u00e0 \u0111\u1ed9ng kinh) c\u00f3 th\u1ec3 x\u1ea3y ra.<\/span><\/p>\n<h2><strong>6. Chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd \u0111i\u1ec1u tr\u1ecb H\u1ed9i ch\u1ee9ng h\u1eadu covid -19\u00a0<\/strong><\/h2>\n<h3><strong>6.1. Chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd &#8211; theo d\u00f5i h\u00f4 h\u1ea5p h\u1eadu Covid-19<\/strong><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\"> C\u00e1c bi\u1ebfn ch\u1ee9ng h\u00f4 h\u1ea5p s\u1edbm, trung h\u1ea1n v\u00e0 d\u00e0i h\u1ea1n c\u1ee7a vi\u00eam ph\u1ed5i COVID-19 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 b\u1ec7nh nh\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng sau \u0111\u00f3 \u0111\u01b0\u1ee3c theo d\u00f5i b\u1eb1ng c\u00e1c qu\u1ea3n l\u00fd d\u00e0i h\u1ea1n th\u00edch h\u1ee3p th\u00edch h\u1ee3p.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u1ea5t v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng h\u1ea1n ch\u1ebf ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19 nh\u01b0 x\u01a1 ph\u1ed5i v\u00e0 b\u1ec7nh m\u1ea1ch m\u00e1u ph\u1ed5i n\u00ean \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t v\u00e0 x\u00e1c \u0111\u1ecbnh \u1edf giai \u0111o\u1ea1n s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3. Kh\u00f4ng c\u1ea7n t\u1ea7m so\u00e1t qu\u00e1 m\u1ee9c nh\u1eefng b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e1c nhu c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n c\u1ea5p t\u00ednh nh\u01b0 kh\u00f3 th\u1edf, nhu c\u1ea7u oxy, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng, ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9\/ qu\u1ea3n l\u00fd tri\u1ec7u ch\u1ee9ng v\u00e0 nhu c\u1ea7u t\u00e2m l\u00fd x\u00e3 h\u1ed9i \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 gi\u1ea3i quy\u1ebft \u1edf giai \u0111o\u1ea1n s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3 (tr\u00e1nh \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng th\u1ef1c th\u1ec3 v\u00e0 t\u00e2m th\u1ea7n).<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc vi\u00eam ph\u1ed5i COVID-19 \u0111\u00e3 h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 y\u00ean t\u00e2m r\u1eb1ng nh\u1eefng thay \u0111\u1ed5i tr\u00ean X-quang ph\u1ed5i c\u1ee7a h\u1ecd \u0111\u00e3 h\u1ebft.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e1c ngu\u1ed3n l\u1ef1c v\u1ec1 h\u00f4 h\u1ea5p, X quang v\u00e0 sinh l\u00fd h\u1ecdc \u0111\u01b0\u1ee3c \u0111i\u1ec1u ph\u1ed1i v\u00e0 s\u1eed d\u1ee5ng m\u1ed9t c\u00e1ch t\u1ed1i \u01b0u v\u00e0 hi\u1ec7u qu\u1ea3 b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c h\u1ec7 th\u1ed1ng h\u00ecnh \u1ea3nh \u1ea3o n\u1ebfu c\u00f3 th\u1ec3.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> B\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh h\u00f4 h\u1ea5p t\u1eeb tr\u01b0\u1edbc ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n cho \u0111\u1ebfn nay n\u00ean \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t v\u00e0 x\u00e1c \u0111\u1ecbnh c\u01a1 h\u1ed9i c\u00f9ng v\u1edbi chi\u1ebfn l\u01b0\u1ee3c x\u1eed tr\u00ed &#8211; qu\u1ea3n l\u00fd th\u00edch h\u1ee3p.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> T\u1ea1i t\u1ea5t c\u1ea3 c\u00e1c \u0111i\u1ec3m ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n h\u1eadu COVID-19, c\u00e1c nh\u00f3m \u0111\u01b0\u1ee3c nh\u1eafc nh\u1edf th\u1ef1c hi\u1ec7n &#8216;\u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n sau COVID-19&#8217; v\u1ec1 nhu c\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/li>\n<\/ul>\n<p><strong>\u0110\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n sau COVID-19<\/strong><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 v\u00e0 x\u1eed tr\u00ed kh\u00f3 th\u1edf.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> X\u1eed tr\u00ed tri\u1ec7u ch\u1ee9ng ho\u1eb7c ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 khi c\u1ea7n thi\u1ebft.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd c\u00e1c y\u00eau c\u1ea7u oxy.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Xem x\u00e9t c\u00e1c nhu c\u1ea7u ph\u1ee5c h\u1ed3i v\u00e0 chuy\u1ec3n ti\u1ebfp khi c\u1ea7n thi\u1ebft.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 t\u00e2m l\u00fd x\u00e3 h\u1ed9i v\u00e0 chuy\u1ec3n ti\u1ebfp khi \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd lo l\u1eafng.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd m\u1ec7t m\u1ecfi.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 v\u00e0 x\u1eed tr\u00ed r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1edf.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 v\u00e0 x\u1eed tr\u00ed ho sau vi r\u00fat.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e2n nh\u1eafc ch\u1ea9n \u0111o\u00e1n b\u1ec7nh huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch m\u1edbi.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Xem x\u00e9t c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee5 th\u1ec3 t\u1ea1i \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t sau ch\u1ea5n th\u01b0\u01a1ng nh\u01b0 ch\u1ee9ng suy gi\u1ea3m kh\u1ea3 n\u0103ng nh\u1eadn th\u1ee9c, suy gi\u1ea3m nh\u1eadn th\u1ee9c v\u00e0 r\u1ed1i lo\u1ea1n c\u0103ng th\u1eb3ng sau ch\u1ea5n th\u01b0\u01a1ng<\/span><\/li>\n<\/ul>\n<h3><strong>6.2. Qu\u1ea3n l\u00fd theo d\u00f5i b\u1ec7nh nh\u00e2n h\u1eadu Covid m\u1ee9c \u0111\u1ed9 n\u1eb7ng v\u00e0 nguy k\u1ecbch<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n h\u1eadu COVID-19 t\u1eebng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong ICU hay trong \u0111\u01a1n v\u1ecb ch\u0103m s\u00f3c t\u0103ng c\u01b0\u1eddng (HDU) k\u00e8m c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng COVID k\u00e9o d\u00e0i n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n chi\u1ebfn l\u01b0\u1ee3c theo d\u00f5i:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/do-chuc-nang-ho-hap-la-gi\/\">T\u1ea7m so\u00e1t \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 v\u00e0 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p.<\/a><\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0&#8211; T\u1ea7m so\u00e1t \u0111\u00e1nh gi\u00e1 c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a m\u1ea1ch m\u00e1u ph\u1ed5i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0\u2013 <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/nao-la-tang-ap-dong-mach-phoi\/\">T\u0103ng \u00e1p ph\u1ed5i<\/a><\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34143\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-703.png\" alt=\"luu-do-theo-doi-ho-hap-benh-nhan-viem-phoi-hau-covid\" width=\"611\" height=\"749\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-703.png 611w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-703-245x300.png 245w\" sizes=\"(max-width: 611px) 100vw, 611px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">H\u00ecnh 13. L\u01b0u \u0111\u1ed3 theo d\u00f5i h\u00f4 h\u1ea5p cho nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eadu Vi\u00eam ph\u1ed5i COVID19 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c t\u1ea1i ICU, HDU<\/span><\/p>\n<h3><strong>\u00a06.3. Qu\u1ea3n l\u00fd theo d\u00f5i b\u1ec7nh nh\u00e2n h\u1eadu COVID-19 m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 trung b\u00ecnh.<\/strong><\/h3>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter size-full wp-image-34144\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-704.png\" alt=\"luu-do-theo-doi-ho-hap-benh-nhan-viem-phoi\" width=\"473\" height=\"548\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-704.png 473w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Screenshot-704-259x300.png 259w\" sizes=\"(max-width: 473px) 100vw, 473px\" \/><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0H\u00ecnh 14. L\u01b0u \u0111\u1ed3 theo d\u00f5i h\u00f4 h\u1ea5p cho nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eadu vi\u00eam ph\u1ed5i COVID19 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t th\u01b0\u1eddng CXR dai d\u1eb3ng \u0111\u00e1ng k\u1ec3 \u1edf tu\u1ea7n th\u1ee9 12:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> S\u1eafp x\u1ebfp \u0111\u1ec3 g\u1eb7p b\u1ec7nh nh\u00e2n t\u1ea1i ph\u00f2ng kh\u00e1m ngo\u1ea1i tr\u00fa tr\u1ef1c ti\u1ebfp.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> T\u1ed5 ch\u1ee9c c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng ph\u1ed5i \u0111\u1ea7y \u0111\u1ee7.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> N\u1ebfu \u0111\u00e3 h\u01a1n 6 tu\u1ea7n k\u1ec3 t\u1eeb l\u1ea7n ch\u1ee5p X quang ph\u1ed5i \u0111\u1ea7u ti\u00ean, h\u00e3y c\u00e2n nh\u1eafc l\u1eb7p l\u1ea1i ch\u1ee5p X quang ph\u1ed5i khi \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngo\u1ea1i tr\u00fa v\u00ec \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, c\u00e1c b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u00e3 gi\u1ea3i quy\u1ebft gi\u1eefa hai m\u1ed1c th\u1eddi gian n\u00e0y.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0N\u1ebfu l\u1ea7n ch\u1ee5p X quang ph\u1ed5i th\u1ee9 hai \u0111\u00e3 kh\u1ecfi ho\u1eb7c c\u00f3 nh\u1eefng ph\u00e1t hi\u1ec7n kh\u00f4ng \u0111\u00e1ng k\u1ec3, theo d\u00f5i X quang s\u1ebd k\u1ebft th\u00fac v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t cho xu\u1ea5t vi\u1ec7n n\u1ebfu h\u1ecd \u0111\u00e3 h\u1ed3i ph\u1ee5c t\u1ed1t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0Nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng b\u1ea5t th\u01b0\u1eddng \u0111\u00e1ng k\u1ec3 dai d\u1eb3ng trong l\u1ea7n ch\u1ee5p Xquang ph\u1ed5i th\u1ee9 hai v\u00e0 \/ ho\u1eb7c c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng ph\u1ed5i b\u1ea5t th\u01b0\u1eddng v\u00e0 \/ ho\u1eb7c kh\u00f3 th\u1edf n\u1eb7ng kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n s\u1ebd c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m d\u00f2 th\u00eam, bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\"> Th\u1ef1c hi\u1ec7n MSCT ph\u00e2n gi\u1ea3i cao v\u00e0 m\u1ea1ch m\u00e1u ph\u1ed5i c\u00f3 c\u1ea3n quang \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd v\u00e0 thuy\u00ean t\u1eafc ph\u1ed5i.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Th\u1ef1c hi\u1ec7n test \u0111i b\u1ed9 v\u1edbi \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 b\u00e3o h\u00f2a oxy.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Si\u00eau \u00e2m tim n\u1ebfu nghi ng\u1edd t\u0103ng \u00e1p ph\u1ed5i sau khi ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ed5i v\u00e0 CT.<\/span><\/li>\n<\/ul>\n<h3><strong>6.4 Chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd theo d\u00f5i c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch li\u00ean quan H\u1ed9i ch\u1ee9ng h\u1eadu COVID-19.\u00a0<\/strong><\/h3>\n<ul>\n<li><span style=\"font-weight: 400;\"> \u0110\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng, h\u00ecnh \u1ea3nh, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 si\u00eau \u00e2m tim \u1edf tu\u1ea7n th\u1ee9 4-12 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch trong giai \u0111o\u1ea1n nhi\u1ec5m tr\u00f9ng c\u1ea5p t\u00ednh, ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng tim dai d\u1eb3ng.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e1c b\u1eb1ng ch\u1ee9ng hi\u1ec7n t\u1ea1i kh\u00f4ng \u1ee7ng h\u1ed9 vi\u1ec7c s\u1eed d\u1ee5ng th\u01b0\u1eddng quy h\u00ecnh \u1ea3nh c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim, c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t tr\u00ean c\u01a1 s\u1edf t\u1eebng tr\u01b0\u1eddng h\u1ee3p. Tuy nhi\u00ean, nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n MIS-C trong giai \u0111o\u1ea1n c\u1ea5p, MRI tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh t\u1eeb 2 \u0111\u1ebfn 6 th\u00e1ng sau khi ch\u1ea9n \u0111o\u00e1n \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i tho\u00e1ng qua \u0111\u00e1ng k\u1ec3 (ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u &lt;50%) trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh ho\u1eb7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng dai d\u1eb3ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 x\u01a1 h\u00f3a v\u00e0 vi\u00eam.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e1c khuy\u1ebfn c\u00e1o cho c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean thi \u0111\u1ea5u v\u1edbi c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn COVID-19 bao g\u1ed3m ng\u01b0ng c\u00e1c m\u00f4n th\u1ec3 thao \u0111\u1ed1i kh\u00e1ng ho\u1eb7c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c nh\u1ecbp \u0111i\u1ec7u trong 3\u20136 th\u00e1ng cho \u0111\u1ebfn khi gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng vi\u00eam c\u01a1 tim b\u1eb1ng ch\u1ee5p MRI tim ho\u1eb7c b\u00ecnh th\u01b0\u1eddng h\u00f3a troponin.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> B\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng nh\u1ecbp tim nhanh t\u01b0 th\u1ebf \u0111\u1ee9ng v\u00e0 nh\u1ecbp nhanh xoang kh\u00f4ng th\u00edch h\u1ee3p c\u00f3 th\u1ec3 n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1eb9n beta li\u1ec1u th\u1ea5p \u0111\u1ec3 ki\u1ec3m so\u00e1t nh\u1ecbp tim v\u00e0 gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 adrenergic.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u1ea7n ch\u00fa \u00fd \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp tim <a href=\"https:\/\/www.vinmec.com\/vi\/thuoc\/amiodarone-139\/\">(amiodarone)<\/a> \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n<a href=\"https:\/\/www.vinmec.com\/en\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-xo-phoi-co-nguy-hiem-khong\/\"> x\u01a1 ph\u1ed5i sau COVID-19.<\/a><\/span><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Xem th\u00eam:<\/strong><\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/en\/bai-viet\/benh-nhan-covid-19-khi-nao-duoc-xuat-vien\/\">B\u1ec7nh nh\u00e2n COVID-19 khi n\u00e0o \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n? | Vinmec<\/a><\/p>\n<p><a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/giam-dau-rat-hong-hau-covid\/?link_type=related_posts\">Gi\u1ea3m \u0111au r\u00e1t h\u1ecdng h\u1eadu COVID | Vinmec<\/a><\/p>\n<p><strong>Video \u0111\u1ec1 xu\u1ea5t:<\/strong><\/p>\n<p><iframe loading=\"lazy\" title=\"Ti\u00eam v\u1eafc xin COVID-19 r\u1ed3i c\u00f3 b\u1ecb m\u1eafc COVID-19 kh\u00f4ng?| BS Nguy\u1ec5n H\u1ea3i H\u00e0, BV Vinmec Times City\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/eBvAvaf0l9k?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n<p>Ti\u00eam vacxin COVID-19 r\u1ed3i c\u00f3 b\u1ecb m\u1eafc COVID-19 kh\u00f4ng?<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o.\u00a0<\/strong><\/p>\n<ol>\n<li><span style=\"font-weight: 400;\"> Ani Nalbandian\u200a, Kartik Sehgal\u200a, Aakriti Gupta et al. Post-acute COVID-19 syndrome. NATURE MEDICINE | VOL 27 | APRIL 2021 | 601\u2013615.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Peter M George, Shaney L Barratt, Robin Condliffe et al. Respiratory follow-up of patients with COVID-19 pneumonia. Thorax 2020;0:1\u20138. doi:10.1136\/thoraxjnl-2020-215314.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> COVID-19 rapid guideline: managing the long-term effects of COVID-19. NICE guideline Published: 18 December 2020. <\/span><a href=\"http:\/\/www.nice.org.uk\/guidance\/ng188\"><span style=\"font-weight: 400;\">www.nice.org.uk\/guidance\/ng188<\/span><\/a><span style=\"font-weight: 400;\">.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Harry Crook, Sanara Raza, Joseph Nowell, Megan Young, Paul Edison. Long covid\u2014mechanisms, risk factors, and management. BMJ 2021;374:n1648\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> C\u00e9sar Fern\u00e1ndez-de-las-Pe\u00f1as, Domingo Palacios-Ce\u00f1a, V\u00edctor G\u00f3mez Mayordomo, Mar\u00eda L. Cuadrado and Lidiane L. Florencio. Defining PostCOVID Symptoms (Post-Acute COVID, Long COVID, Persistent PostCOVID): An Integrative Classification. Int. J. Environ. Res. Public Health 2021, 18, 2621.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Amaya Jimeno-Almaz\u00e1n, Jes\u00fas G. Pallar\u00e9s, \u00c1ngel Buend\u00eda-Romero et al. Post-COVID-19 Syndrome and the Potential Benefits of Exercise. Int. J. Environ. Res. Public Health 2021, 18, 5329.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Mandeep Garg, Muniraju Maralakunte, Suruchi Garg et al. The Conundrum of \u2018Long-COVID-19\u02b9: A Narrative Review. International Journal of General Medicine 2021:14 2491\u20132506.<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Zhipeng Yan, Ming Yang, and Ching-Lung Lai. Long COVID-19 Syndrome: A Comprehensive Review of Its Effect on Various Organ Systems and Recommendation on Rehabilitation Plans. Biomedicines 2021, 9, 966.\u00a0<\/span><\/li>\n<li><span style=\"font-weight: 400;\"> Neal M. Dixit, Austin Churchill, Ali Nsair, Jeffrey J. Hsu. Post-Acute COVID-19 Syndrome and the cardiovascular system: What is known? American Heart Journal Plus: Cardiology Research and Practice 5 (2021) 100025<\/span><\/li>\n<\/ol>\n<div class=\"ddict_btn\" style=\"top: 906px; left: 1172.1px;\"><img decoding=\"async\" src=\"chrome-extension:\/\/cianljdimgjlpmjllcbahmpdnicglaap\/logo\/48.png\" \/><\/div>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng h\u1eadu Covid-19 \u0111ang tr\u1edf th\u00e0nh m\u1ed9t ch\u1ee7 \u0111\u1ec1 n\u00f3ng h\u1ed5i \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng y t\u1ebf. \u0110i\u1ec1u \u0111\u00e1ng lo ng\u1ea1i \u0111\u00f3 l\u00e0 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi sau khi h\u1ed3i ph\u1ee5c t\u1eeb COVID-19 v\u1eabn ti\u1ebfp t\u1ee5c g\u1eb7p ph\u1ea3i nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c nhau.\u00a0 Trong b\u00e0i vi\u1ebft n\u00e0y, [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[142,139,141,140,116,143],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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