H???u COVID – Khi n??o c???n ??i kh??m v?? kh??m nh???ng g???

L??n s??ng F0 qu??t qua nh?? c??n b??o ????? l???i nh???ng c??u h???i, b??n kho??n c???a c??c Fe (Ng?????i S???t – nhi???m ???? kh???i): H???u COVID v?? kh??m h???u COVID?

1. Hi???u ????ng v??? h???u COVID

– T???t c??? c??c m???t b???nh ?????u ??t nhi???u ????? l???i di ch???ng. Nh???ng di ch???ng sau khi m???c b???nh ????? l???i th?? ???????c g???i l?? h???u (h???u ??? ????y c?? th??? l?? do b???nh ????? l???i ho???c c?? th??? do bi???n ch???ng c???a b???nh ????? l???i).

-T??? l??? di ch???ng c???a m???i lo???i b???nh l?? kh??c nhau. C?? nh???ng m???t b???nh ????? l???i di ch???ng v???i t??? l??? r???t cao, g???p ??? h???u h???t ng?????i b??? b???nh nh??: Tai bi???n m???ch n??o, nh???i m??u c?? tim… Tuy v???y, may m???n l?? s??? l?????ng ng?????i m???c nh???ng b???nh n??y l???i chi???m t??? l??? th???p. Do ???? ta kh??ng nh???n th???c ???????c nguy hi???m/nguy c?? tr?????c ????.

Ho???c m???t m???t b???nh ti???m t??ng v???i t??? l??? ph??i nhi???m (t??? l??? ti???p x??c v???i t??c nh??n g??y b???nh) r???t cao t???i Vi???t Nam l?? vi??m gan B. Nh??ng kh??ng ph???i ai b??? ph??i nhi???m v???i virus vi??m gan B c??ng m???c b???nh, b??? b???nh v?? ????? l???i di ch???ng ( theo nhi???u nghi??n c???u cho th???y, t??? l??? ph??i nhi???m c???a c???ng ?????ng ng?????i Vi???t Nam v???i vi??m gan B giao ?????ng t??? 10 – 20%. T???c 100 ng?????i s???ng th?? c?? t??? 10/20 ng?????i trong ?????i ???? t???ng ph??i nhi???m v???i virus vi??m gan B v???i 90% chuy???n sang m???n t??nh m?? kh??ng ho???c ch??a bi???u hi???n ra b???nh (ng?????i b??? vi??m gan B m???n t??nh l?? ng?????i c?? x??t nghi???m HbsAg +). Bi???n ch???ng c???a vi??n gan B v?? c??ng n???ng n??? ( x?? gan, ung th?? gan…).

– C??n COVID – 19 l?? m???t b???nh truy???n nhi???m m???i, t??? l??? l??y lan r???t nhanh. Cho ?????n hi???n t???i, Vi???t Nam ???? c?? ??t nh???t 4,8 tri???u ng?????i ???? nhi???m b???nh. Theo b??o c??o c???a WHO th?? t??? l??? di ch???ng g???p ph???i c???a b???nh l?? kho???ng 20 – 60% (t??y nghi??n c???u, ch??a ?????ng b???). Nh??ng ch??? y???u l?? c??c di ch???ng nh??? nh??: R???i lo???n gi???c ng???, h???i h???p ????nh tr???ng ng???c, ho khan, t???c ng???c…Bi???n ch???ng n???ng n??? nh???t hay ???????c nh???c t???i l?? MIS (h???i ch???ng suy gi???m ??a c?? quan) g???p v???i t??? l??? r???t th???p. T???i M??? t??? l??? n??y l?? 1/4.000 tr??? m???c b???nh v?? may m???n l?? vaccin gi??p l??m gi???m h??n n???a t??? l??? m???c MIS v?? c??c th??? n???ng kh??c c???a b???nh.

2. Kh??m h???u COVID

– B??nh th?????ng vi???c kh??m s???c kh???e ?????nh k??? l?? r???t t???t. Kh??ng ch??? sau 1 ?????t b???nh m?? ?????nh k??? ??i kh??m s??ng l???c s???c kh???e ????? t??m ra c??c y???u t??? ti???m t??ng c???a b???nh nh???m ng??n ng???a.

Ngo??i ra, sau b???t c??? 1 ?????t b???nh n??o, b???n c??ng n??n ??i kh??m ki???m tra s???c kho???.

– B???n s??? ???????c kh??m g???

+ Ki???m tra ch???c n??ng gan/th???n…v?? c??c c?? quan li??n quan

+ Ch???p chi???u ki???m tra ch???ng n??ng ph???i, si??u ??m s??ng l???c c?? b???n c??c c?? quan…

+ T?? v???n c???a c??c chuy??n gia.

– Sau COVID c???n ki???m tra g???

+ N???u kh??ng c?? d???u hi???u g?? b???t th?????ng: B???n c?? th??? c??n nh???c ??i ki???m tra s???c kh???e th??ng th?????ng nh?? 1 ki???m tra ?????nh k???. Th???i gian t??y b???n s???p x???p nh??ng kh??ng mu???n h??n 6 th??ng t??? khi ph??i nhi???m (ki???m tra s???c kh???e ?????nh k??? kh??ng ph???i l?? kh??m b???t bu???c)

+ N???u c?? d???u hi???u B???T TH?????NG: Sau nhi???m b???nh, b???n th???y c?? nh???ng d???u hi???u b???t th?????ng nh?? sau:

Ho khan/t???c ng???c k??o d??i 1 v??i tu???n

??au ?????u li??n t???c k??o d??i

??au b???ng/ng???c

?????c bi???t khi c?? c??c d???u hi???u sau, c???n ??i kh??m ngay l???p t???c:

N??n/ Ho ra m??u, ??i ngo??i ph??n ??en

S???t cao li??n t???c ( s???t cao li??n t???c sau m???c b???nh > 5 ng??y c??ng c???n ph???i kh??m)

V???i tr??? em, c???n ph???i ????a tr??? ??i kh??m ngay khi c?? c??c tri???u ch???ng sau:

Tr??? s???t cao li??n t???c > 38,5 ????? C, k??m theo c?? c??c d???u hi???u nh?? r???i lo???n ti??u h??a (n??n, ti??u ch???y, ??au b???ng), ph??t ban tr??n da, m???t ?????, m??i ????? kh?? n???t, h???ng ?????.

Tr??? c?? c??c d???u hi???u b???nh n???ng nh??: Thay ?????i ?? th???c (v???t v??, k??ch th??ch, ng??? g??, li b??), m???ch nhanh, tay ch??n l???nh, kh?? th???, m???t m???i. K??? c??? v???i di ch???ng n???ng n??? nh?? h???i ch???ng MIS n???u ???????c ph??t hi???n s???m, k???p th???i v???n ??i???u tr??? v?? c???u ch???a ???????c.

3. L???i khuy??n c???a th???y thu???c

– H???u COVID c??ng nh?? c??c b???nh kh??c: G???p ph??? bi???n nh??ng kh??ng ph???i l?? kh??ng ??i???u tr??? ???????c v?? h???u h???t th??? nh??? t??? kh???i ???????c v???i c??c ph????ng ph??p luy???n t???p th??ng th?????ng sau:

V???n ?????ng th??? thao

T???p th???

??n, ng??? ????? v?? l??nh m???nh, ????ng gi??? ( t???p thi???n c??ng l?? 1 g???i ??)

L???ng nghe c?? th???, n???u th???y c?? b???t ???n th?? ??i kh??m ki???m tra

T??m hi???u b???nh t???t tr??n c??c k??nh/trang th??ng tin ch??nh th???ng, tin c???y.

– Ti??m vaccin l?? ph????ng ph??p hi???u qu??? nh???t ph??ng b???nh v?? bi???n ch???ng n???ng c???a b???nh.

Hoang mang, lo l???ng kh??ng gi???i quy???t ???????c b???nh t???t. H??y b??nh t??nh, tho???i m??i t?? t?????ng m???i l?? y???u t??? c???t l??i ????? ph??ng/ch???ng v?? ??i???u tr??? b???nh.

Ngu???n: https://vtv.vn/xa-hoi/hau-covid-khi-nao-can-di-kham-va-kham-nhung-gi-20220312071250342.htm

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