{"id":355,"date":"2023-04-17T21:40:51","date_gmt":"2023-04-17T14:40:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=355"},"modified":"2023-04-18T11:20:34","modified_gmt":"2023-04-18T04:20:34","slug":"chan-doan-va-dieu-tri-benh-viem-phoi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/chan-doan-va-dieu-tri-benh-viem-phoi\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam ph\u1ed5i"},"content":{"rendered":"<ol>\n<li>\n<h2><strong>\u0110\u1ecbnh ngh\u0129a<\/strong><\/h2>\n<\/li>\n<\/ol>\n<p>B\u1ec7nh vi\u00eam ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd c\u1ee7a h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 vi\u00eam nhi\u1ec5m c\u1ee7a ph\u1ed5i, g\u00e2y ra s\u1ef1 suy gi\u1ea3m c\u1ee7a ch\u1ee9c n\u0103ng ph\u1ed5i, \u0111i\u1ec3n h\u00ecnh b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ho, kh\u00f3 th\u1edf, s\u1ed1t v\u00e0 \u0111au ng\u1ef1c.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"\" src=\"https:\/\/upload.wikimedia.org\/wikipedia\/commons\/thumb\/8\/81\/Chest_radiograph_in_influensa_and_H_influenzae%2C_posteroanterior%2C_annotated.jpg\/800px-Chest_radiograph_in_influensa_and_H_influenzae%2C_posteroanterior%2C_annotated.jpg\" alt=\"Pneumonia - Wikipedia\" width=\"333\" height=\"289\" \/><\/p>\n<p>H\u00ecnh \u1ea3nh vi\u00eam ph\u1ed5i tr\u00ean phim X-quang. Ngu\u1ed3n \u1ea3nh: Wikipedia<\/p>\n<ol start=\"2\">\n<li>\n<h2><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh vi\u00eam ph\u1ed5i<\/strong><\/h2>\n<\/li>\n<\/ol>\n<h3>2.1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/h3>\n<ul>\n<li>Ho: l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a vi\u00eam ph\u1ed5i. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng ho khan, kh\u00f4ng c\u00f3 ho\u1eb7c c\u00f3 \u0111\u1eddm.<\/li>\n<li>Kh\u00f3 th\u1edf: l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng kh\u00e1 ph\u1ed5 bi\u1ebfn v\u00e0 th\u01b0\u1eddng x\u1ea3y ra khi c\u00e1c m\u00f4 ph\u1ed5i b\u1ecb s\u01b0ng t\u1ea5y v\u00e0 kh\u00f4ng th\u1ec3 ph\u00e1t tri\u1ec3n \u0111\u1ee7 \u0111\u1ec3 gi\u00fap cung c\u1ea5p \u0111\u1ee7 oxy cho c\u01a1 th\u1ec3.<\/li>\n<li>\u0110au ng\u1ef1c: b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf v\u00f9ng ng\u1ef1c do c\u00e1c m\u00f4 ph\u1ed5i b\u1ecb vi\u00eam ho\u1eb7c s\u01b0ng.<\/li>\n<li>S\u1ed1t: S\u1ed1t l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a vi\u00eam ph\u1ed5i, th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 ho v\u00e0 \u0111au ng\u1ef1c.<\/li>\n<\/ul>\n<h3>2.2. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/h3>\n<ul>\n<li>X-quang ph\u1ed5i: X-quang ph\u1ed5i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i v\u00e0 c\u0169ng cho ph\u00e9p x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 s\u01b0ng t\u1ea5y v\u00e0 vi\u00eam \u1edf ph\u1ed5i.<\/li>\n<li>CT scanner: CT scanner \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng ph\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i n\u1eb7ng.<\/li>\n<li>X\u00e9t nghi\u1ec7m \u0111\u00e0m: X\u00e9t nghi\u1ec7m \u0111\u00e0m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i vi khu\u1ea9n ho\u1eb7c virus g\u00e2y b\u1ec7nh.<\/li>\n<li>X\u00e9t nghi\u1ec7m m\u00e1u: X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ef1 thay \u0111\u1ed5i c\u1ee7a t\u00ecnh tr\u1ea1ng b\u1ea1ch c\u1ea7u trong m\u00e1u nh\u1eb1m.<\/li>\n<\/ul>\n<p>Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong.<\/p>\n<ol start=\"3\">\n<li>\n<h2><strong>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh vi\u00eam ph\u1ed5i<\/strong><\/h2>\n<\/li>\n<\/ol>\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam ph\u1ed5i, c\u00e1c b\u00e1c s\u0129 v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n nh\u01b0 sau:<\/p>\n<h3>3.1. Ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng<\/h3>\n<ul>\n<li>Tri\u1ec7u ch\u1ee9ng: B\u1ec7nh nh\u00e2n ph\u1ea3i c\u00f3 \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ho, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c ho\u1eb7c s\u1ed1t.<\/li>\n<li>D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng: C\u00e1c b\u00e1c s\u0129 v\u00e0 nh\u00e2n vi\u00ean y t\u1ebf s\u1ebd th\u1ef1c hi\u1ec7n ki\u1ec3m tra l\u00e2m s\u00e0ng b\u1eb1ng c\u00e1ch nghe ph\u1ed5i b\u1eb1ng \u1ed1ng nghe \u0111\u1ec3 tim nh\u1eefng ti\u1ebfng ran ph\u1ed5i, ti\u1ebfng th\u1edf kh\u00f2 kh\u00e8 v\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a vi\u00eam ph\u1ed5i.<\/li>\n<\/ul>\n<h3>3.2. Ti\u00eau chu\u1ea9n c\u1eadn l\u00e2m s\u00e0ng<\/h3>\n<ul>\n<li>X\u00e9t nghi\u1ec7m \u0111\u00e0m: X\u00e9t nghi\u1ec7m \u0111\u00e0m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi khu\u1ea9n ho\u1eb7c virus g\u00e2y b\u1ec7nh.<\/li>\n<li>X-quang ph\u1ed5i: X-quang ph\u1ed5i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng, v\u1ecb tr\u00ed v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n. X-quang ph\u1ed5i c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd n\u00e0y.<\/li>\n<li>CT scanner &#8211; MRI: hai c\u1eadn l\u00e2m s\u00e0ng c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i n\u1eb7ng.<\/li>\n<\/ul>\n<h3>3.3. Ti\u00eau chu\u1ea9n CURB-65<\/h3>\n<p>S\u1eed d\u1ee5ng h\u1ec7 th\u1ed1ng \u0111i\u1ec3m s\u1ed1 CURB-65 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh l\u00fd vi\u00eam ph\u1ed5i v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 \u0111i\u1ec1u tr\u1ecb. Trong \u0111\u00f3:<\/p>\n<ul>\n<li>C: Confusion (\u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng nh\u1eadn th\u1ee9c c\u1ee7a b\u1ec7nh nh\u00e2n)<\/li>\n<li>U: Urea (\u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 t\u0103ng n\u1ed3ng \u0111\u1ed9 Ure m\u00e1u)<\/li>\n<li>R: Respiratory rate (\u0111\u00e1nh gi\u00e1 nh\u1ecbp th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n)<\/li>\n<li>B: Blood pressure (\u0111\u00e1nh gi\u00e1 huy\u1ebft \u00e1p c\u1ee7a b\u1ec7nh nh\u00e2n)<\/li>\n<li>65: Age : b\u1ec7nh nh\u00e2n &gt;= 65 tu\u1ed5i \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 ti\u00ean l\u01b0\u1ee3ng d\u00e8 d\u1eb7t h\u01a1n nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng nh\u1ecf tu\u1ed5i h\u01a1n \u0111\u1ed9 tu\u1ed5i n\u00e0y.<\/li>\n<\/ul>\n<p>Vi\u1ec7c \u0111\u00e1nh gi\u00e1 theo ti\u00eau chu\u1ea9n CURB-65 gi\u00fap \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ed5i n\u1eb7ng.<\/p>\n<p>T\u1ed5ng h\u1ee3p c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n s\u1ebd gi\u00fap \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ec1 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a b\u1ec7nh vi\u00eam ph\u1ed5i.<\/p>\n<ol start=\"4\">\n<li>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<\/li>\n<\/ol>\n<h3>4.1. \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/h3>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh. \u01afu ti\u00ean s\u1eed d\u1ee5ng kh\u00e1ng sinh c\u00f3 ho\u1ea1t t\u00ednh \u0111\u1ed1i v\u1edbi c\u00e1c t\u00e1c nh\u00e2n g\u00e2y vi\u00eam ph\u1ed5i l\u00e0 vi khu\u1ea9n. C\u1ea7n l\u1ef1a ch\u1ecdn kh\u00e1ng sinh theo \u0111\u00fang khu\u1ea9n g\u00e2y b\u1ec7nh v\u00e0 kh\u00e1ng sinh nh\u1ea1y c\u1ea3m v\u1edbi t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb corticoid. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng corticoid c\u00f3 th\u1ec3 gi\u1ea3m t\u00ecnh tr\u1ea1ng vi\u00eam, c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng th\u1edf kh\u00f2 kh\u00e8 v\u00e0 gi\u1ea3m nguy c\u01a1 t\u1eed vong \u1edf b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i n\u1eb7ng.<\/li>\n<\/ul>\n<h3>4.2. \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3<\/h3>\n<ul>\n<li>Li\u1ec7u ph\u00e1p oxy: \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i n\u1eb7ng, c\u00f3 th\u1ec3 c\u1ea7n cung c\u1ea5p oxy \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/li>\n<li>Gi\u1ea3m \u0111au v\u00e0 kh\u00f3 ch\u1ecbu: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3m \u0111au v\u00e0 kh\u00f3 ch\u1ecbu b\u1eb1ng thu\u1ed1c gi\u1ea3m \u0111au, thu\u1ed1c ho\u1eb7c c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 kh\u00e1c.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb \u00e1p l\u1ef1c d\u01b0\u01a1ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p (CPAP): Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ed5i n\u1eb7ng, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng CPAP \u0111\u1ec3 gi\u00fap h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p.<\/li>\n<\/ul>\n<h3>4.3. Ch\u0103m s\u00f3c v\u00e0 gi\u1ea3m thi\u1ec3u bi\u1ebfn ch\u1ee9ng<\/h3>\n<ul>\n<li>Gi\u1eef cho b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i. \u0110\u1eb7t b\u1ec7nh nh\u00e2n \u1edf t\u01b0 th\u1ebf tho\u1ea3i m\u00e1i gi\u00fap gi\u1ea3m kh\u00f3 th\u1edf v\u00e0 gi\u00fap cho vi\u1ec7c h\u00f4 h\u1ea5p d\u1ec5 d\u00e0ng h\u01a1n.<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng k\u00edch th\u00edch ho. Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng k\u00edch th\u00edch ho v\u00ec ch\u00fang c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng ph\u1ed5i v\u00e0 khi\u1ebfn cho vi\u00eam ph\u1ed5i tr\u1edf n\u00ean n\u1eb7ng h\u01a1n.<\/li>\n<li>Cung c\u1ea5p dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc \u0111\u1ea7y \u0111\u1ee7. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng v\u00e0 n\u01b0\u1edbc \u0111\u1ec3 h\u1ed7 tr\u1ee3 s\u1ee9c kh\u1ecfe v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/li>\n<\/ul>\n<h4>\u0110\u00e2y l\u00e0 m\u1ed9t ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb chung cho vi\u00eam ph\u1ed5i, tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh.<\/h4>\n<ol start=\"5\">\n<li>\n<h2><strong>D\u1ef1 ph\u00f2ng<\/strong><\/h2>\n<\/li>\n<\/ol>\n<p>\u0110\u1ec3 d\u1ef1 ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i, ng\u01b0\u1eddi d\u00e2n c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng c\u00e1c chi\u1ebfn l\u01b0\u1ee3c sau:<\/p>\n<h3>5.1. Ph\u00f2ng ch\u1ed1ng l\u00e2y nhi\u1ec5m<\/h3>\n<ul>\n<li>R\u1eeda tay th\u01b0\u1eddng xuy\u00ean b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc ho\u1eb7c dung d\u1ecbch s\u00e1t khu\u1ea9n c\u00f3 c\u1ed3n \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m.<\/li>\n<li>\u0110eo kh\u1ea9u trang khi ti\u1ebfp x\u00fac g\u1ea7n v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c khi \u0111i \u0111\u1ebfn c\u00e1c khu v\u1ef1c c\u00f4ng c\u1ed9ng \u0111\u00f4ng ng\u01b0\u1eddi.<\/li>\n<li>Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u00e1c ch\u1ea5t kh\u00ed \u0111\u1ed9c h\u1ea1i.<\/li>\n<li>T\u0103ng c\u01b0\u1eddng \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng s\u1ee9c \u0111\u1ec1 kh\u00e1ng.<\/li>\n<li>Th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe v\u00e0 t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch.<\/li>\n<li>H\u1ea1n ch\u1ebf h\u00fat thu\u1ed1c v\u00e0 ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i kh\u00e1c \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh ph\u1ed5i.<\/li>\n<\/ul>\n<h3>5.3. S\u1edbm ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/h3>\n<ul>\n<li>Ki\u1ec3m tra s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb s\u1edbm c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng b\u1ec7nh n\u1eb7ng v\u00e0 nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/li>\n<\/ul>\n<h3>5.4. Tu\u00e2n th\u1ee7 c\u00e1c quy \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u01a1 quan y t\u1ebf<\/h3>\n<p>Tu\u00e2n th\u1ee7 c\u00e1c quy \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u01a1 quan y t\u1ebf \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m v\u00e0 ph\u00f2ng ch\u1ed1ng b\u1ec7nh vi\u00eam ph\u1ed5i.<\/p>\n<p>T\u1ed5ng quan, vi\u1ec7c d\u1ef1 ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i y\u00eau c\u1ea7u s\u1ef1 ch\u00fa \u00fd v\u00e0 th\u1ef1c hi\u1ec7n nghi\u00eam ng\u1eb7t c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng l\u00e2y nhi\u1ec5m v\u00e0 t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c d\u1ea5u hi\u1ec7u nghi ng\u1edd, ng\u01b0\u1eddi d\u00e2n n\u00ean c\u1ea7n s\u1edbm \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n<p>Xem th\u00eam:<\/p>\n<h3><a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/huong-dan-chan-doan-va-dieu-tri-benh-viem-phoi-cap-do-virus-corona-chung-moi\/\">H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh vi\u00eam ph\u1ed5i c\u1ea5p do virus corona ch\u1ee7ng m\u1edbi\u00a0<\/a><\/h3>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ecbnh ngh\u0129a B\u1ec7nh vi\u00eam ph\u1ed5i l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd c\u1ee7a h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 vi\u00eam nhi\u1ec5m c\u1ee7a ph\u1ed5i, g\u00e2y ra s\u1ef1 suy gi\u1ea3m c\u1ee7a ch\u1ee9c n\u0103ng ph\u1ed5i, \u0111i\u1ec3n h\u00ecnh b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ho, kh\u00f3 th\u1edf, s\u1ed1t v\u00e0 \u0111au ng\u1ef1c. H\u00ecnh \u1ea3nh vi\u00eam ph\u1ed5i tr\u00ean phim X-quang. Ngu\u1ed3n \u1ea3nh: [&hellip;]<\/p>\n","protected":false},"author":18,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"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 v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i<\/title>\n<meta name=\"description\" content=\"Vi\u00eam ph\u1ed5i l\u00e0 b\u1ec7nh nhi\u1ec5m tr\u00f9ng ph\u1ed5 bi\u1ebfn, c\u00f3 nguy c\u01a1 t\u1eed vong \u1edf nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng l\u1edbn tu\u1ed5i, suy gi\u1ea3m ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch, tr\u1ebb nh\u1ecf.\" \/>\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\" 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