๐Ÿน ๐šœ๐šŠ๐š’ ๐š•แบง๐š– ๐š”๐š‘๐š’แบฟ๐š— ๐™ต๐Ÿถ ๐šŒรก๐šŒ๐š‘ ๐š•๐šข ๐šแบก๐š’ ๐š—๐š‘ร  ๐šแป… ๐š๐š›แปŸ ๐š—แบท๐š—๐š, ๐™ฑ๐š‚ ๐šŒแบฅ๐š™ ๐šŒแปฉ๐šž แปŸ ๐šƒ๐™ฟ๐™ท๐™ฒ๐™ผ ฤ‘รฃ ๐š๐š‘แบฅ๐šข ๐š—๐š‘๐š’แป๐šž ๐š๐š›ฦฐแป๐š—๐š ๐š‘แปฃ๐š™

๐šƒ๐š›๐š˜๐š—๐š ๐šš๐šžรก ๐š๐š›รฌ๐š—๐š‘ ๐š‘แป— ๐š๐š›แปฃ ฤ‘๐š’แป๐šž ๐š๐š›แป‹ ๐šŒ๐š‘๐š˜ ๐šŒรก๐šŒ ๐™ต๐Ÿถ ๐šแบก๐š’ ๐š—๐š‘ร , ๐š‹รก๐šŒ ๐šœฤฉ ๐™ณฦฐฦก๐š—๐š ๐™ณ๐šž๐šข ๐™บ๐š‘๐š˜๐šŠ ฤ‘รฃ ๐š—๐š‘แบญ๐š— ๐š๐š‘แบฅ๐šข ๐š–แป™๐š ๐šœแป‘ ๐šœ๐šŠ๐š’ ๐š•แบง๐š– ๐š–ร  ๐š—๐šฦฐแป๐š’ ๐š‹แป‡๐š—๐š‘ ๐šŸร  ๐š๐š’๐šŠ ฤ‘รฌ๐š—๐š‘ ๐š‘๐šŠ๐šข ๐šแบท๐š™ ๐š™๐š‘แบฃ๐š’.

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Bรกc sฤฉ Dฦฐฦกng Duy Khoa (giแบฃng viรชn Bแป™ mรดn Nแป™i tแป•ng quรกt, khoa Y, trฦฐแปng ฤแบกi hแปc Y Dฦฐแปฃc TP. HCM) ฤ‘รฃ tham gia Dแปฑ รกn Chฤƒm sรณc F0 แปŸ cแป™ng ฤ‘แป“ng cแปงa trฦฐแปng ฤแบกi hแปc Y Dฦฐแปฃc TP.HCM (UMP). Bรกc sฤฉ Khoa hแป— trแปฃ tแบกi quแบญn 10 trong 1,5 thรกng qua. ฤแบฟn nร y, dแปฑ รกn ฤ‘รฃ hoร n thร nh nhiแป‡m vแปฅ lร  chฤƒm sรณc cho F0 tแบกi รกc แป• dแป‹ch lแป›n cแปงa Quแบญn 10 trong thแปi kแปณ ฤ‘แป‰nh dแป‹ch.

Hiแป‡n tแบกi, quy trรฌnh theo dรตi vร  ฤ‘iแปu trแป‹ F0 ฤ‘รฃ ฤ‘ฦฐแปฃc UMP huแบฅn luyแป‡n, chuyแปƒn giao lแบกi cho hแป‡ thแป‘ng y tแบฟ quแบญn 10. Bรกc sฤฉ Khoa tiแบฟp tแปฅc sang quแบญn Bรฌnh Tรขn ฤ‘แปƒ hแป— trแปฃ.

Bรกc sฤฉ Khoa cho biแบฟt, nแบฟu ฤ‘ฦฐแปฃc giรกm sรกt, theo dรตi, can thiแป‡p sแป›m thรฌ tแปท lแป‡ khรดng qua khแปi แปŸ cรกc F0 ฤ‘ฦฐแปฃc giแบฃm ฤ‘i rแบฅt nhiแปu, giแบฃm รกp lแปฑc cho cรกc bแป‡nh viแป‡n tuyแบฟn cuแป‘i. Tuy nhiรชn, trong quรก trรฌnh tham gia ฤ‘แป™i phแบฃn แปฉng nhanh, bรกc sฤฉ nhแบญn thแบฅy ngฦฐแปi bแป‡nh ฤ‘iแปu trแป‹ tแบกi nhร  cรณ nhiแปu ฤ‘iแปƒm sai lแบงm.

Dรนng thuแป‘c khรดng ฤ‘รบng

แบขnh minh hแปa

แบขnh minh hแปa

Mแป™t sแป‘ ngฦฐแปi sแปญ dแปฅng sai tรบi thuแป‘c ฤ‘ฦฐแปฃc phรกt, nhแบฅt lร  tรบi thuแป‘c B (cรกc thuแป‘c khรกng viรชm, khรกng ฤ‘รดng). Nhiแปu ngฦฐแปi chฦฐa ฤ‘แบฟn mแปฉc nhฦฐ khuyแบฟn cรกo ฤ‘รฃ uแป‘ng thuแป‘c vร  coi ฤ‘รณ lร  hร nh ฤ‘แป™ng dแปฑ phรฒng. Tuy nhiรชn, bรกc sฤฉ Khoa cho biแบฟt ฤ‘iแปu nร y chแป‰ lร m tฤƒng thรชm mแปฉc nguy hiแปƒm cho bแป‡nh nhรขn.

Ngoร i ra, mแป™t sแป‘ ngฦฐแปi bแป‡nh cรฒn sแปญ dแปฅng thuแป‘c theo tฦฐ vแบฅn trรชn mแบกng, khรดng cรณ tรกc dแปฅng ฤ‘iแปu trแป‹ Covid-19. Theo bรกc sฤฉ Khoa, ฤ‘รขy lร  ฤ‘iแปu cแปฑc kแปณ nguy hiแปƒm vร  ฤ‘รกng bรกo ฤ‘แป™ng.

Chแปง quan khรดng theo dรตi SpO2

แบขnh minh hแปa

แบขnh minh hแปa

Nhiแปu ngฦฐแปi nghฤฉ rแบฑng mรฌnh khแปe vร  khรดng cแบงn theo dรตi ฤ‘แป™ bรฃo hรฒa oxy trong mรกu ngoแบกi vi SpO2; chแป‰ cรณ ngฦฐแปi giร , ngฦฐแปi cรณ bแป‡nh nแปn mแป›i cแบงn theo dรตi chแป‰ sแป‘ nร y. Tuy nhiรชn, theo bรกc sฤฉ Khoa, ฤ‘รขy lร  sai lแบงm nghiรชm trแปng vรฌ cรณ nhแปฏng trฦฐแปng hแปฃp nแป“ng ฤ‘แป™ oxy trong mรกu giแบฃm thแบงn lแบทng, ngฦฐแปi bแป‡nh khรดng cรณ triแป‡u chแปฉng khรณ thแปŸ mร  chแป‰ hฦกi mแป‡t vร  vแบซn cรณ thแปƒ ฤƒn uแป‘ng bรฌnh thฦฐแปng. Ngฦฐแปi thรขn thแบฅy vแบญy cลฉng yรชn tรขm nhฦฐng chแป‰ sau mแป™t giแบฅc ngแปง thรฌ ngฦฐแปi bแป‡nh khรดng bao giแป tแป‰nh lแบกi nแปฏa. Khi ngฦฐแปi nhร  gแปi bรกc sฤฉ hแป— trแปฃ tแป›i thรฌ bแป‡nh nhรขn ฤ‘รฃ ngแปซng thแปŸ tแปซ lรบc nร o khรดng ai hay biแบฟt.

Do ฤ‘รณ, bรกc sฤฉ khuyรชn dรน bแบฅt cแปฉ ai lร  F0 cลฉng cแบงn chแปง ฤ‘แป™ng theo dรตi SpO2 2-3 lแบงn ngร y ฤ‘แปƒ phรกt hiแป‡n sแป›m tรฌnh trแบกng giแบฃm oxy trong mรกu khi triแป‡u chแปฉng cรฒn rแบฅt รขm thแบงm.

Chแป‰ thแปŸ oxy tแบกi nhร , khรดng bรกo nhรขn viรชn y tแบฟ

Bรกc sฤฉ Khoa cho biแบฟt, thแปŸ oxy tแบกi nhร  chแป‰ lร  giแบฃi phรกp “cรขu giแป” ฤ‘แป‘i vแป›i nhแปฏng F0 diแป…n tiแบฟn nแบทng. Khi F0 cรณ dแบฅu hiแป‡u khรณ thแปŸ nhiแปu, SpO2 dฦฐแป›i 94% thรฌ viแป‡c cung cแบฅp oxy tแบกi nhร  chแป‰ lร  tรฌnh huแป‘ng tแบกm thแปi. Ngฦฐแปi bแป‡nh cแบงn ฤ‘ฦฐแปฃc chuyแปƒn ฤ‘แบฟn cรกc cฦก sแปŸ y tแบฟ ฤ‘แปƒ ฤ‘ฦฐแปฃc theo dรตi sรกt sao hฦกn.

Trรชn thแปฑc tแบฟ, cรณ nhiแปu ngฦฐแปi bแป‡nh khi thแปŸ oxy thรฌ khรดng theo dรตi SpO2 nแปฏa vรฌ tin rแบฑng thแปŸ oxy tแบกi nhร  cลฉng ฤ‘ฦฐแปฃc. Bรกc sฤฉ Khoa cho biแบฟt ฤ‘รขy lร  ฤ‘iแปu rแบฅt nguy hiแปƒm. Ngฦฐแปi bแป‡nh sau khi thแปŸ oxy vแบซn cแบงn theo dรตi nแป“ng ฤ‘แป™ oxy trong mรกu ฤ‘แปƒ xem chแป‰ sแป‘ cรณ ฤ‘ฦฐแปฃc cแบฃi thiแป‡n hay khรดng. Ngoร i ra cแบงn phแบฃi theo dรตi cรกc chแป‰ sแป‘ khรกc nhฦฐ tแบงn sแป‘ thแปŸ, tแบงn sแป‘ tim, thแปŸ cรณ co kรฉo hay khรดng.

Lแปi khuyรชn dร nh cho F0 ฤ‘iแปu trแป‹ tแบกi nhร 

Bรกc sฤฉ Khoa khuyรชn cรกc F0 cแบงn phแบฃi bรฌnh tฤฉnh nhฦฐng khรดng ฤ‘ฦฐแปฃc chแปง quan. Ngoร i ra F0 cแบงn ฤ‘รกnh giรก nguy cฦก cแปงa chรญnh mรฌnh; trao ฤ‘แป•i trฦฐแป›c vแป›i ngฦฐแปi thรขn xem ai lร  ngฦฐแปi liรชn lแบกc vร  ra quyแบฟt ฤ‘แป‹nh y khoa khi bแป‡nh nhรขn trแปŸ nแบทng. Viแป‡c nร y giรบp gia ฤ‘รฌnh hiแปƒu rรต hฦกn vแป nguyแป‡n vแปng cแปงa ngฦฐแปi bแป‡nh ฤ‘แป“ng thแปi trรกnh tรฌnh trแบกng rแป‘i ren trong giแป phรบt bแป‡nh trแปŸ nแบทng.

Bรกc sฤฉ Khoa chia sแบป cรณ nhแปฏng tรฌnh huแป‘ng cแบฅp cแปฉu, gia ฤ‘รฌnh sau khi ฤ‘ฦฐแปฃc giแบฃi thรญch bแป‡nh nแบทng thรฌ tแปซ chแป‘i nhแบญp viแป‡n. Khi ฤ‘รณ, nhรณm cแบฅp cแปฉu vร  nhรณm tฦฐ vแบฅn qua ฤ‘iแป‡n thoแบกi phแบฃi hแปฃp sแปฉc giแบฃi thรญch hฦกn mแป™t giแป ฤ‘แป“ng hแป“ trฦฐแป›c khi gia ฤ‘รฌnh ฤ‘ฦฐa ra quyแบฟt ฤ‘แป‹nh cuแป‘i cรนng.

Ngoร i ra, gia ฤ‘รฌnh nรชn chuแบฉn bแป‹ mแป™t sแป‘ ฤ‘แบงu mแป‘i liรชn lแบกc vร  hแป— trแปฃ y tแบฟ cแบงn thiแบฟt ฤ‘แปƒ liรชn lแบกc ngay khi F0 cรณ dแบฅu hiแป‡u trแปŸ nแบทng.