{"id":1955,"date":"2022-01-04T10:12:33","date_gmt":"2022-01-04T03:12:33","guid":{"rendered":"https:\/\/giamdinhykhoaangiang.vn\/?p=1955"},"modified":"2022-01-04T10:12:33","modified_gmt":"2022-01-04T03:12:33","slug":"bao-cytokine-bat-ngo-ap-den-thai-phu-mac-covid-19-bac-si-van-bao-toan-mang-song-cho-ca-me-va-con","status":"publish","type":"post","link":"https:\/\/giamdinhykhoaangiang.vn\/?p=1955","title":{"rendered":"B\u00e3o Cytokine b\u1ea5t ng\u1edd \u1eadp \u0111\u1ebfn thai ph\u1ee5 m\u1eafc COVID-19, b\u00e1c s\u0129 v\u1eabn b\u1ea3o to\u00e0n m\u1ea1ng s\u1ed1ng cho c\u1ea3 m\u1eb9 v\u00e0 con"},"content":{"rendered":"

B\u1ec7nh nh\u00e2n l\u00e0 ch\u1ecb Ch\u00e2u Th\u1ecb Nu Nu, 25 tu\u1ed5i, d\u00e2n t\u1ed9c Kh\u01a1 me, mang thai l\u1ea7n 2 \u1edf tu\u1ea7n thai th\u1ee9 35\u00a0 th\u00ec ph\u00e1t hi\u1ec7n nhi\u1ec5m\u00a0COVID-19<\/a>. Theo h\u01b0\u1edbng d\u1eabn ch\u1ecb Nu t\u1ef1 theo d\u00f5i s\u1ee9c kh\u1ecfe t\u1ea1i nh\u00e0.<\/p>\n

Tuy nhi\u00ean, sau 5 ng\u00e0y t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00f4ng t\u1ed1t, ch\u1ecb Nu \u0111\u01b0\u1ee3c chuy\u1ec3n l\u00ean TTYT huy\u1ec7n T\u1ecbnh Bi\u00ean, c\u00e1c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n ch\u1ecb b\u1ecb t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i n\u1eb7ng v\u00e0 chuy\u1ec3n l\u00ean trung t\u00e2m ICU \u0111i\u1ec1u tr\u1ecb COVID-19 t\u1ea1i b\u1ec7nh vi\u1ec7n \u0110a khoa khu v\u1ef1c t\u1ec9nh An Giang, TP Ch\u00e2u \u0110\u1ed1c.<\/p>\n

\"B\u00e3o<\/p>\n

C\u00e1c b\u00e1c s\u0129 th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt l\u1ea5y thai cho s\u1ea3n ph\u1ee5 NU th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c b\u01b0\u1edbc ph\u00f2ng d\u1ecbch (\u00e1o ph\u00f2ng d\u1ecbch m\u00e0u tr\u1eafng m\u1eb7c \u1edf trong v\u00e0 \u00e1o m\u1ed5 v\u00f4 tr\u00f9ng m\u00e0u xanh m\u1eb7c ngo\u00e0i – \u1ea3nh BS cung c\u1ea5p)<\/em><\/p>\n

BS. D\u01b0\u01a1ng V\u0103n Ph\u01b0\u1edbc, BV\u0110K khu v\u1ef1c t\u1ec9nh (An Giang) cho bi\u1ebft, thai ph\u1ee5 nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p n\u1eb7ng, \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u00e1u 85%. C\u00f3 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i lan t\u1ecfa 2 b\u00ean. Thai ph\u1ee5 c\u00f3 th\u1ec3 tr\u1ea1ng th\u1eeba c\u00e2n c\u00f9ng t\u00ecnh tr\u1ea1ng ph\u1ed5i t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng, c\u00f3\u00a0c\u01a1n b\u00e3o Cytokine<\/a>, nguy c\u01a1 suy thai cao. Ngay l\u1eadp t\u1ee9c thai ph\u1ee5 \u0111\u01b0\u1ee3c can thi\u1ec7p h\u00f4 h\u1ea5p th\u1edf \u00f4 xy n\u1ed3ng \u0111\u1ed9 cao (HFNC) nh\u01b0ng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u00e0 ph\u1ea3i chuy\u1ec3n sang th\u1edf m\u00e1y.<\/p>\n

\"B\u00e3o<\/p>\n

(H\u00ecnh \u1ea3nh t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i n\u1eb7ng c\u1ee7a b\u1ec7nh nh\u00e2n)<\/em><\/p>\n

C\u00f9ng v\u1edbi BS. Ph\u01b0\u1edbc c\u00f2n c\u00f3 BS Ng\u00f4 Hu\u1ef3nh \u0110\u1eafc Th\u1eafng tr\u01b0\u1edfng tua tr\u1ef1c \u0111\u00e3 nhanh ch\u00f3ng b\u00e1o c\u00e1o ban gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n, \u0111\u1ed3ng th\u1eddi ti\u1ebfn h\u00e0nh h\u1ed9i ch\u1ea9n v\u1edbi k\u00edp b\u00e1c s\u0129 BV B\u1ea1ch Mai \u0111ang c\u00f3 m\u1eb7t h\u1ed7 tr\u1ee3 BV v\u00e0 quy\u1ebft \u0111\u1ecbnh \u0111\u00ecnh ch\u1ec9 thai ngh\u00e9n, m\u1ed5 c\u1ea5p c\u1ee9u l\u1ea5y thai.<\/p>\n

\"B\u00e3o<\/p>\n

B\u00e1c s\u0129 BV B\u1ea1ch Mai h\u01b0\u1edbng d\u1eabn b\u00e1c s\u0129 BV\u0110K khu v\u1ef1c t\u1ec9nh\u00a0An th\u1ef1c hi\u1ec7n can thi\u1ec7p k\u1ef9 thu\u1eadt cao l\u1ecdc m\u00e1u h\u1ea5p ph\u1ee5 gi\u1ea3i quy\u1ebft c\u01a1n b\u00e3o cytokine cho s\u1ea3n ph\u1ee5 Nu. (\u1ea2nh BS cung c\u1ea5p).<\/em><\/p>\n

Ngay l\u1eadp t\u1ee9c h\u1ec7 th\u1ed1ng b\u00e1o \u0111\u1ed9ng \u0111\u1ecf \u0111\u01b0\u1ee3c kh\u1edfi \u0111\u1ed9ng to\u00e0n vi\u1ec7n, huy \u0111\u1ed9ng c\u00e1c b\u00e1c s\u0129 s\u1ea3n khoa, b\u00e1c s\u0129 nhi khoa v\u00e0 b\u00e1c s\u0129 g\u00e2y m\u00ea chu\u1ea9n b\u1ecb s\u1eb5n s\u00e0ng th\u1ef1c hi\u1ec7n cu\u1ed9c m\u1ed5 b\u1eaft con cho thai ph\u1ee5 ngay t\u1ea1i ph\u00f2ng b\u1ec7nh. B\u00e1c s\u0129 \u0111\u00e3 l\u1ea5y ra b\u00e9 trai n\u1eb7ng 2,4kg, tr\u1ebb sau khi sinh kh\u00f3c t\u1ed1t v\u00e0 \u0111\u01b0\u1ee3c chuy\u1ec3n sang ch\u0103m s\u00f3c t\u1ea1i khoa Nhi. C\u00f2n s\u1ea3n ph\u1ee5 sau \u0111\u00f3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng \u0111i\u1ec1u tr\u1ecb t\u1ea7ng 3 (Khu \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID n\u1eb7ng, nguy\u00a0 k\u1ecbch).<\/p>\n

BS. Ph\u01b0\u1edbc c\u0169ng chia s\u1ebb th\u00eam, c\u00e1c b\u00e1c s\u0129 BV B\u1ea1ch Mai h\u1ed7 tr\u1ee3 b\u1ec7nh vi\u1ec7n tri\u1ec3n khai k\u1ef9 thu\u1eadt cao, ho\u00e0n thi\u1ec7n quy tr\u00ecnh th\u1edf m\u00e1y cho b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i ARDS, l\u1ecdc m\u00e1u h\u1ea5p ph\u1ee5. \u0110\u1ed3ng th\u1eddi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m tim t\u1ea1i gi\u01b0\u1eddng ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd c\u01a1 tim chu s\u1ea3n c\u1ee7a s\u1ea3n ph\u1ee5. Sau can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c 1 tu\u1ea7n s\u1ea3n ph\u1ee5 \u0111\u00e3 r\u00fat \u0111\u01b0\u1ee3c \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n, b\u1ecf m\u00e1y th\u1edf v\u00e0 hi\u1ec7n t\u1ea1i \u0111ang th\u1edf oxy l\u01b0u l\u01b0\u1ee3ng th\u1ea5p. T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe h\u1ed3i ph\u1ee5c t\u1ed1t v\u00e0 d\u1ef1 ki\u1ebfn s\u1ebd \u0111\u01b0\u1ee3c ra vi\u1ec7n s\u1edbm.<\/p>\n

\"B\u00e3o<\/p>\n

S\u1ea3n ph\u1ee5 Nu \u0111\u00e3 qua c\u01a1n nguy k\u1ecbch. (\u1ea2nh BS cung c\u1ea5p).<\/em><\/p>\n

C\u00f2n ch\u00e1u b\u00e9 con s\u1ea3n ph\u1ee5 Nu s\u1ee9c kh\u1ecfe t\u1ed1t, tr\u1ebb \u0111\u00e3 n\u1eb7ng 3kg, kh\u00f4ng suy h\u00f4 h\u1ea5p, th\u1edf t\u1ed1t, d\u1ef1 ki\u1ebfn s\u1ebd \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi. Anh Chao Ch\u0103n ch\u1ed3ng s\u1ea3n ph\u1ee5 Nu kh\u00f4ng gi\u1ea5u n\u1ed5i ni\u1ec1m vui b\u00e0y t\u1ecf l\u00f2ng c\u1ea3m \u01a1n ch\u00e2n th\u00e0nh nh\u1ea5t \u0111\u1ebfn c\u00e1c y b\u00e1c s\u0129.<\/p>\n

\"B\u00e3o<\/p>\n

Em b\u00e9 kho\u1ebb m\u1ea1nh v\u00e0 \u0111\u01b0\u1ee3c ra vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi (\u1ea3nh BS cung c\u1ea5p)<\/em><\/p>\n

C\u0169ng theo BS. Ph\u01b0\u1edbc, t\u00ecnh tr\u1ea1ng nhi\u1ec5m COVID-19 \u1edf ph\u1ee5 n\u1eef c\u00f3 thai ti\u1ec1m \u1ea9n nhi\u1ec1u nguy c\u01a1 t\u0103ng n\u1eb7ng do c\u01a1 th\u1ec3 ph\u1ea3i g\u00e1nh c\u1ea3 nhu c\u1ea7u oxy c\u1ee7a thai nhi. N\u1ebfu kh\u00f4ng x\u1eed l\u00fd k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 t\u1eed vong cho c\u1ea3 m\u1eb9 v\u00e0 con.<\/p>\n

BS. Ph\u01b0\u1edbc c\u0169ng chia s\u1ebb th\u00eam, anh l\u00e0m vi\u1ec7c lu\u00e2n phi\u00ean theo ph\u00e2n c\u00f4ng \u1edf t\u1ea7ng 3 – n\u01a1i \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb7ng nh\u1ea5t, nguy k\u1ecbch nh\u1ea5t s\u1ef1 s\u1ed1ng c\u0169ng mong manh nh\u1ea5t n\u1eb1m \u0111i\u1ec1u tr\u1ecb. \u0110\u1eb7c bi\u1ec7t, \u0111\u1ed1i v\u1edbi s\u1ea3n ph\u1ee5, nguy c\u01a1 \u1ea5y l\u1ea1i cao h\u01a1n r\u1ea5t nhi\u1ec1u. \u0110\u00e3 kh\u00f4ng \u00edt l\u1ea7n ch\u1ee9ng ki\u1ebfn c\u1ea3nh b\u1ec7nh nh\u00e2n n\u1eb7ng ph\u1ea3i ra \u0111i v\u00e0 c\u0169ng kh\u00f4ng \u00edt l\u1ea7n bu\u1ed3n b\u00e3, c\u1ea3m th\u1ea5y b\u1ea5t l\u1ef1c. Th\u1ebf nh\u01b0ng, s\u1ef1 h\u1ed3i sinh k\u1ef3 di\u1ec7u c\u1ee7a m\u1eb9 con s\u1ea3n ph\u1ee5 Nu l\u1ea7n n\u00e0y \u0111\u00e3 cho c\u00e1c b\u00e1c s\u0129 th\u00eam nhi\u1ec1u \u0111\u1ed9ng l\u1ef1c v\u00e0 s\u1ebd ti\u1ebfp t\u1ee5c c\u1ed1 g\u1eafng h\u01a1n n\u1eefa. C\u00f9ng v\u1edbi \u0111\u00f3 l\u00e0 s\u1ef1 s\u00e1t c\u00e1nh h\u1ed7 tr\u1ee3 chuy\u00ean m\u00f4n c\u1ee7a c\u00e1c b\u00e1c s\u0129 BV B\u1ea1ch Mai \u0111\u00e3 gi\u00fap cho c\u00e1c y b\u00e1c s\u0129 \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn v\u00e0 tri\u1ec3n khai nhi\u1ec1u k\u1ef9 thu\u1eadt m\u1edbi ph\u1ee5c v\u1ee5 t\u1ed1t h\u01a1n n\u1eefa cho b\u1ec7nh nh\u00e2n.<\/p>\n

\"B\u00e3o<\/p>\n

B\u00e1c s\u0129 si\u00eau \u00e2m \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng c\u01a1 tim cho s\u1ea3n ph\u1ee5 (\u1ea3nh BS cung c\u1ea5p)<\/em><\/p>\n

BS. Ng\u00f4 \u0110\u1ee9c H\u00f9ng, khoa c\u1ea5p c\u1ee9u A9, BV B\u1ea1ch Mai hi\u1ec7n l\u00e0 tr\u01b0\u1edfng nh\u00f3m ph\u1ee5 tr\u00e1ch chuy\u00ean m\u00f4n h\u1ed7 tr\u1ee3 v\u00f9ng Ch\u00e2u \u0110\u1ed1c cho bi\u1ebft, nh\u00f3m b\u00e1c s\u0129 c\u1ee7a BV B\u1ea1ch Mai \u0111ang gi\u00fap \u0111\u1ee1 BV\u0110K khu v\u1ef1c t\u1ec9nh An Giang, TP Ch\u00e2u \u0110\u1ed1c tri\u1ec3n khai k\u1ef9 thu\u1eadt cao nh\u01b0 ECMO, l\u1ecdc m\u00e1u h\u1ea5p ph\u1ee5, th\u1edf m\u00e1y ARDS v\u00e0 chu\u1ea9n h\u00f3a quy tr\u00ecnh ph\u00e2n lu\u1ed3ng b\u1ec7nh nh\u00e2n COVID. C\u00e1c b\u00e1c s\u0129 BV\u0110K khu v\u1ef1c t\u1ec9nh\u00a0An Giang \u0111\u00e3 d\u1ea7n l\u00e0m ch\u1ee7 k\u1ef9 thu\u1eadt v\u00e0 \u0111\u00e2y c\u0169ng l\u00e0 nh\u1eefng th\u00e0nh c\u00f4ng b\u01b0\u1edbc \u0111\u1ea7u trong vi\u1ec7c ki\u1ec3m so\u00e1t b\u1ec7nh nh\u00e2n COVID n\u1eb7ng t\u1ea1i \u0111\u1ecba ph\u01b0\u01a1ng. \u0110\u00f3 c\u0169ng l\u00e0 \u0111\u1ed9ng l\u1ef1c \u0111\u1ec3 kh\u00edch l\u1ec7 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u1ed1 g\u1eafng h\u1ebft s\u1ee9c trong ho\u00e0n c\u1ea3nh b\u1ec7nh nh\u00e2n qu\u00e1 t\u1ea3i.<\/p>\n

\u0110\u01b0\u1ee3c bi\u1ebft, B\u1ec7nh vi\u1ec7n \u0111a khoa khu v\u1ef1c t\u1ec9nh An Giang, t\u1ea1i TP Ch\u00e2u \u0110\u1ed1c l\u00e0 BV thu dung \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID-19 n\u1eb7ng cho c\u00e1c v\u00f9ng xung quanh TP Ch\u00e2u \u0110\u1ed1c. C\u00f4ng su\u1ea5t gi\u01b0\u1eddng b\u1ec7nh ICU lu\u00f4n >100%, c\u00f3 th\u1eddi \u0111i\u1ec3m 200%. Nh\u00e2n vi\u00ean y t\u1ebf l\u00e0m vi\u1ec7c r\u1ea5t v\u1ea5t v\u1ea3 v\u00e0 qu\u00e1 s\u1ee9c.<\/p>\n

Theo quy\u1ebft \u0111\u1ecbnh c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf, BV B\u1ea1ch Mai h\u1ed7 tr\u1ee3 cho t\u1ec9nh An Giang \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n COVID t\u1ea1i 3 b\u1ec7nh vi\u1ec7n tuy\u1ebfn cu\u1ed1i c\u1ee7a t\u1ec9nh An Giang l\u00e0: Trung t\u00e2m ICU COVID c\u1ee7a BV \u0110a khoa t\u1ec9nh An Giang \u1edf Tp.Long Xuy\u00ean; BV \u0110a khoa khu v\u1ef1c t\u1ec9nh An Giang \u1edf TP. Ch\u00e2u \u0110\u1ed1c v\u00e0 BV T\u00e2n Ch\u00e2u.<\/p>\n

H.Nguy\u00ean (ghi)<\/p>\n

(ngu\u1ed3n: https:\/\/suckhoedoisong.vn\/\/bao-cykotine-bat-ngo-ap-den-thai-phu-mac-covid-19-bac-si-van-bao-toan-mang-song-cho-ca-me-va-con-169211228174601888.htm<\/a>)<\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh nh\u00e2n l\u00e0 ch\u1ecb Ch\u00e2u Th\u1ecb Nu Nu, 25 tu\u1ed5i, d\u00e2n t\u1ed9c Kh\u01a1 me, mang thai l\u1ea7n 2 \u1edf tu\u1ea7n thai th\u1ee9 35\u00a0 th\u00ec ph\u00e1t hi\u1ec7n nhi\u1ec5m\u00a0COVID-19. Theo h\u01b0\u1edbng d\u1eabn ch\u1ecb Nu t\u1ef1 theo d\u00f5i s\u1ee9c kh\u1ecfe t\u1ea1i nh\u00e0. Tuy nhi\u00ean, sau 5 ng\u00e0y t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00f4ng t\u1ed1t, ch\u1ecb Nu \u0111\u01b0\u1ee3c chuy\u1ec3n l\u00ean […]<\/p>\n","protected":false},"author":2,"featured_media":1956,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[46,29],"tags":[],"class_list":["post-1955","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid","category-tintuc-sukien"],"_links":{"self":[{"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/posts\/1955","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1955"}],"version-history":[{"count":1,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/posts\/1955\/revisions"}],"predecessor-version":[{"id":1957,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/posts\/1955\/revisions\/1957"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=\/wp\/v2\/media\/1956"}],"wp:attachment":[{"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1955"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1955"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/giamdinhykhoaangiang.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1955"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}