Sau khi h\u1ebft virus Sars-cov-2 trong ng\u01b0\u1eddi (test Covid-19 \u00e2m t\u00ednh), nhi\u1ec1u b\u1ec7nh nh\u00e2n v\u1eabn c\u00f2n c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1ec7t m\u1ecfi, \u0111au nh\u1ee9c, kh\u00f3 ng\u1ee7, hay kh\u00f3 th\u1edf. B\u00e0i vi\u1ebft n\u00e0y ch\u1ec9 ra c\u00e1ch ch\u1eefa tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng, dinh d\u01b0\u1ee1ng, tr\u1ecb li\u1ec7u th\u1ec3 d\u1ee5c, v\u00e0 tinh th\u1ea7n sau Covid-19. T\u00f9y v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng h\u1eadu Covid-19, th\u1eddi gian nhi\u1ec5m b\u1ec7nh l\u00e2u hay ng\u1eafn, m\u1eafc Covid-19 n\u1eb7ng (v\u00e0o b\u1ec7nh vi\u1ec7n hay khoa ICU) hay nh\u1eb9 m\u00e0 c\u00e1ch ch\u1eefa s\u1ebd kh\u00e1c nhau.
\n<\/span><\/p>\n
Covid-19 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3, n\u00ean c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u tri\u1ec7u ch\u1ee9ng<\/b><\/h2>\n
<\/span><\/span> V\u00ec v\u1eady, m\u1ee5c ti\u00eau ch\u1eefa tr\u1ecb Covid-19 l\u00e0 nh\u1eb1m v\u00e0o vi\u1ec7c ch\u1eefa c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t \u0111\u1ec3 gi\u1ea3m c\u00e1c t\u1ed5n th\u01b0\u01a1ng, ng\u0103n ng\u1eeba c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00e2u d\u00e0i<\/p>\n <\/p>\n <\/span><\/span><\/span> H\u1ed9i ch\u1ee9ng sau khi n\u1eb1m khoa ICU (Post ICU syndrome) g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1ea1n t\u00ednh sau khi ph\u1ee5c h\u1ed3i t\u1eeb khoa h\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u. Kho\u1ea3ng 1\/3 b\u1ec7nh nh\u00e2n v\u00e0o ICU s\u1ebd th\u1edf m\u00e1y v\u00e0 c\u00e1c di ch\u1ee9ng sau khi cai th\u1edf m\u00e1y nh\u01b0 kh\u00f3 th\u1edf, ho, \u0111\u1ed5i gi\u1ecdng, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng sau khi b\u1ec7nh nh\u00e2n ra kh\u1ecfi ICU, C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 ch\u1eadm suy ngh\u0129, kh\u00f3 t\u1eadp trung, kh\u00f4ng nh\u1edb,…c\u00f3 th\u1ec3 k\u00e8m th\u00eam sau khi xu\u1ea5t vi\u1ec7t.<\/p>\n Tr\u1ecb li\u1ec7u ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng l\u00e0 tr\u1ecb li\u1ec7u quan tr\u1ecdng v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 nh\u1eadp vi\u1ec7n hay ph\u1ea3i d\u00f9ng m\u00e1y th\u1edf. C\u00e1c tr\u1ecb li\u1ec7u bao g\u1ed3m v\u1eadt l\u00fd tr\u1ecb li\u1ec7u t\u1ea1i ch\u1ed7 trong b\u1ec7nh vi\u1ec7n nh\u01b0 t\u1eadp c\u1eed \u0111\u1ed9ng tay ch\u00e2n. T\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ph\u1ed5i qua b\u00e0i t\u1eadp th\u1edf, th\u1ed5i Spirometry, hay t\u1eadp th\u1edf b\u1ee5ng. C\u00e1c thu\u1ed1c ch\u1eefa tr\u1ecb t\u00e2m l\u00fd v\u00e0 t\u00e2m th\u1ea7n sau khi Covid-19 n\u00ean d\u00f9ng v\u1eeba ph\u1ea3i, tr\u00e1nh \u0111\u1ec3 b\u1ec7nh nh\u00e2n tr\u1edf n\u00ean nghi\u1ec7n thu\u1ed1c. V\u00ed d\u1ee5 nh\u01b0 thu\u1ed1c ng\u1ee7 Ambien hay Benzodiazepine, nhi\u1ec1u b\u1ec7nh nh\u00e2n sau khi h\u1ed3i ph\u1ee5c t\u1eeb Covid-19 kh\u00f4ng ng\u1ee7 \u0111\u01b0\u1ee3c, d\u00f9ng c\u00e1c thu\u1ed1c ng\u1ee7 th\u01b0\u1eddng v\u1eabn kh\u00f4ng h\u1ebft, cu\u1ed1i c\u00f9ng ph\u1ea3i d\u00f9ng thu\u1ed1c ng\u1ee7 n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y nghi\u1ec7n. Tr\u1ecb l\u00fd t\u00e2m l\u00fd bao g\u1ed3m tr\u1ecb li\u1ec7u giao ti\u1ebfp, t\u01b0 v\u1ea5n, gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n hi\u1ec3u r\u00f5 v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng Covid-19, c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed3i ph\u1ee5c tri\u1ec7u ch\u1ee9ng \u0111\u1ec3 gi\u1ea3m b\u1edbt lo \u00e2u.<\/p>\n -Tin vui l\u00e0 n\u0103m nay, 2022, ch\u00fang ta c\u00f3 nhi\u1ec1u tr\u1ecb li\u1ec7u hi\u1ec7u qu\u1ea3, g\u1ed3m Vaccine, thu\u1ed1c u\u1ed1ng, ph\u00e1c \u0111\u1ed3 ch\u1eefa tr\u1ecb, v\u00e0 c\u00e1ch ch\u0103m s\u00f3c. Ch\u00fang ta c\u0169ng quen d\u1ea7n v\u1edbi c\u00e1c \u1ea3nh h\u01b0\u1edfng c\u1ee7a virus \u0111\u1ebfn cu\u1ed9c s\u1ed1ng. Ngo\u00e0i ra, ch\u00fang ta n\u00ean t\u1eadp trung th\u1eddi gian v\u00e0o cu\u1ed9c s\u1ed1ng c\u1ee7a m\u00ecnh, t\u1eadp th\u1ec3 d\u1ee5c, d\u00e0nh th\u1eddi gian th\u1ef1c s\u1ef1 cho c\u01a1 th\u1ec3.<\/p>\n M\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00f4ng m\u1eafc b\u1ec7nh Covid-19, nh\u01b0ng c\u00f3 ng\u01b0\u1eddi th\u00e2n m\u1eafc b\u1ec7nh hay t\u1eed vong v\u00ec Covid-19 c\u0169ng c\u00f3 th\u1ec3 b\u1ecb tr\u1ea7m c\u1ea3m, lo l\u1eafng, v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00e2m l\u00fd. N\u00f3i chuy\u1ec7n v\u1edbi BS \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 hi\u1ec3u th\u00eam v\u1ec1 Covid-19. <\/p>\n <\/span><\/span><\/span><\/div>\n<\/div>\n B\u1eaft \u0111\u1ea7u b\u1eb1ng c\u00e1c b\u00e0i t\u1eadp \u0111\u01a1n gi\u1ea3n nh\u01b0 h\u00edt th\u1edf s\u00e2u khi ng\u1ed3i t\u1ea1i ch\u1ed7, th\u1edf ra ch\u1eadm, v\u00e0 d\u1ea7n d\u1ea7n t\u0103ng khi \u0111i b\u1ed9. C\u00f3 th\u1ec3 t\u1eadp th\u1edf khi ng\u1ed3i, n\u1eb1m, khi t\u1eadp \u0111i b\u1ed9, k\u1ebft h\u1ee3p d\u00f9ng m\u00e1y th\u1ed5i Spirometry, t\u1eadp th\u1edf khi \u0111i b\u01a1i, hay t\u1eadp h\u00e1t l\u1ea5y h\u01a1i s\u00e2u. C\u00e1c b\u00e0i t\u1eadp thi\u1ec1n (meditation) c\u0169ng gi\u00fap b\u1ec7nh nh\u00e2n th\u1edf ch\u1eadm v\u00e0 th\u1edf s\u00e2u, gi\u00fap ph\u1ed5i ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 h\u01a1n. Nhi\u1ec1u b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i do Covid-19 bi ho l\u00e2u hay ho c\u00f3 \u0111\u1eddm sau khi ph\u1ee5c h\u1ed3i b\u1ec7nh. BS c\u00f3 th\u1ec3 cho d\u00f9ng thu\u1ed1c ho nh\u01b0 Benzonatate, thu\u1ed1c x\u1ecbt ProAir, thu\u1ed1c ch\u1ed1ng \u0111\u00e0m Mucinex, hay c\u00e1c thu\u1ed1c kh\u00e1c \u0111\u1ec3 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng th\u1edf. B\u1ec7nh nh\u00e2n n\u00ean k\u1ebft h\u1ee3p t\u1eadp th\u1edf v\u00e0 thu\u1ed1c ho \u0111\u1ec3 tr\u1ecb d\u1ee9t ho m\u1ea1n t\u00ednh. B\u1ec7nh nh\u00e2n b\u1ecb tim \u0111\u1eadp nhanh, \u0111\u1eadp lo\u1ea1n nh\u1ecbp, m\u1ea5t nh\u1ecbp sau khi ph\u1ee5c h\u1ed3i Covid-19 n\u00ean \u0111\u1ebfn BS th\u0103m kh\u00e1m, ki\u1ec3m tra si\u00eau \u00e2m tim, xem EKG, v\u00e0 c\u00f3 th\u1ec3 cho qu\u00fd v\u1ecb u\u1ed1ng thu\u1ed1c l\u00e0m gi\u1ea3m nh\u1ecbp tim. C\u0169ng n\u00ean nh\u1edb t\u1eadp th\u1ec3 d\u1ee5c t\u1eeb t\u1eeb \u0111\u1ec3 c\u1ea3i thi\u1ec7n nh\u1ecbp tim. T\u1eadp th\u1ec3 d\u1ee5c t\u1eeb t\u1eeb \u0111\u1ec3 t\u0103ng s\u1ee9c b\u1ec1n v\u00e0 s\u1ee9c m\u1ea1nh c\u1ee7a c\u01a1 b\u1eafp ch\u00e2n tay, \u0111\u1eb7c bi\u1ec7t d\u00e0nh cho c\u00e1c b\u1ec7nh nh\u00e2n tr\u1edf v\u1ec1 t\u1eeb b\u1ec7nh vi\u1ec7n hay khoa ICU. C\u00e1c b\u00e0i t\u1eadp t\u1ea1 nh\u1eb9 k\u1ebft h\u1ee3p v\u1edbi t\u1eadp th\u1edf c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n s\u1ef1 m\u1ec7t m\u1ecfi. N\u1ebfu m\u1ec7t m\u1ecfi dai d\u1eb3ng, n\u00ean g\u1eb7p BS chuy\u00ean khoa tim hay ph\u1ed5i \u0111\u1ec3 t\u00ecm ra l\u00fd do v\u00ec sao v\u1eabn c\u00f2n m\u1ec7t m\u1ecfi. D\u00f9ng thu\u1ed1c kh\u00f4ng k\u00ea toa nh\u01b0 Ibuprofen\/Aleve (n\u1ebfu kh\u00f4ng b\u1ecb \u0111au bao t\u1eed\/th\u1eadn) hay Acetaminophen \u0111\u1ec3 ch\u1eefa c\u00e1c b\u1ec7nh \u0111au nh\u1ee9c. Sau \u0111\u00f3 t\u1eadp v\u1eadt l\u00fd tr\u1ecb li\u1ec7u (xem l\u1ea1i c\u00e1c video tr\u1ecb \u0111au kh\u1edbp c\u1ee7a t\u00f4i) \u0111\u1ec3 ch\u1eefa cho kh\u1edbp b\u1ecb \u0111au. Ph\u1ee5c h\u1ed3i \u0111au kh\u1edbp do Covid-19 c\u00f3 th\u1ebf l\u00e2u h\u01a1n v\u1edbi ng\u01b0\u1eddi l\u1edbn tu\u1ed5i n\u00ean qu\u00fd v\u1ecb nh\u1edb ki\u00ean nh\u1eabn t\u1eadp.
\nVirus sars-cov-2 t\u1ea5n c\u00f4ng v\u00e0o nhi\u1ec1u lo\u1ea1i t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3, nh\u1ea5t l\u00e0 c\u00e1c t\u1ebf b\u00e0o m\u00e0ng trong c\u1ee7a m\u1ea1ch m\u00e1u (Endothelial cell) v\u00e0 c\u00e1c c\u01a1 quan h\u00f4 h\u1ea5p, k\u00edch ho\u1ea1t h\u1ec7 mi\u1ec5n d\u1ecbch, g\u00e2y ra c\u00e1c t\u1ed5n th\u01b0\u01a1ng do h\u1ec7 mi\u1ec5n d\u1ecbch g\u00e2y ra. B\u00e0i nghi\u00ean c\u1ee9u \u0111\u0103ng tr\u00ean Nature c\u00e1ch \u0111\u00e2y 1 n\u0103m v\u00e0 nhi\u1ec1u b\u00e0i nghi\u00ean c\u1ee9u kh\u00e1c ch\u1ec9 ra Covid-19 li\u00ean quan \u0111\u1ebfn m\u1ea1ch m\u00e1u. V\u00ec m\u1ea1ch m\u00e1u c\u00f3 \u1edf t\u1ea5t c\u1ea3 m\u1ecdi n\u01a1i trong c\u01a1 th\u1ec3, n\u00ean b\u1ec7nh Covid-19 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng \u1edf t\u1ea5t c\u1ea3 c\u00e1c c\u01a1 quan.<\/span><\/div>\n
\nKhi t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u v\u00e0 vi\u00eam s\u01b0ng t\u1ebf b\u00e0o ph\u1ed5i, b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam ph\u1ed5i. Khi t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u kh\u1edbp g\u1ed1i, b\u1ec7nh nh\u00e2n b\u1ecb \u0111au kh\u1edbp. Khi t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u li ti v\u00f9ng b\u00e3o, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 m\u1ea5t tr\u00ed nh\u1edb hay ch\u1eadm suy ngh\u0129. Th\u1eadm ch\u00ed, B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 b\u1ecb r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng (ED) khi m\u1ea1ch m\u00e1u v\u00f9ng sinh d\u1ee5c b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/span><\/div>\n<\/div>\nC\u00e1c tr\u1ecb li\u1ec7u Covid-19 n\u1eb7ng khi nh\u1eadp vi\u1ec7n c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ec7nh h\u1eadu Covid-19<\/b><\/h2>\n
\nKhi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n, c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng m\u00e1y th\u1edf, thu\u1ed1c kh\u00e1ng virus, thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 mi\u1ec5n d\u1ecbch, hay d\u00f9ng thu\u1ed1c tr\u1ee5 sinh do nhi\u1ec5m tr\u00f9ng ch\u00e9o, \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c. B\u1ec7nh nh\u00e2n n\u1eb1m vi\u1ec7n m\u1ed9t v\u00e0i ng\u00e0y \u0111\u00e3 c\u00f3 th\u1ec3 l\u00e0m c\u01a1 b\u1eafp y\u1ebfu \u0111i. N\u1eb1m gi\u01b0\u1eddng b\u1ec7nh v\u00e0i tu\u1ea7n c\u00f3 th\u1ec3 l\u00e0m teo c\u01a1. Nh\u1ea5t l\u00e0 b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y c\u00e0ng l\u00e0m h\u1ec7 c\u01a1 x\u01b0\u01a1ng y\u1ebfu \u0111i, kh\u1ea3 n\u0103ng \u0111i l\u1ea1i y\u1ebfu h\u1eb3n sau khi ph\u1ee5c h\u1ed3i Covid-19. C\u00e1c thu\u1ed1c kh\u00e1ng virus hay \u1ee9c ch\u1ebf c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 l\u00ean gan hay th\u1eadn. Thu\u1ed1c Steroid c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam c\u00e1c b\u1ec7nh n\u1ec1n nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng hay cao huy\u1ebft \u00e1p.<\/p>\n
\n<\/span><\/p>\nTr\u1ecb li\u1ec7u t\u00e2m l\u00fd sau khi h\u1ed3i ph\u1ee5c Covid-19<\/b><\/h2>\n
\n<\/span><\/div>\n<\/div>\n
\nNhi\u1ec1u b\u1ec7nh nh\u00e2n c\u1ea3m gi\u00e1c lo l\u1eafng, tr\u1ea7m c\u1ea3m, hay c\u00f4 \u0111\u01a1n sau khi ph\u1ee5c h\u1ed3i Covid-19. N\u1ed7i s\u1ee3 h\u00e3i v\u00ec b\u1ec7nh, \u0111au th\u01b0\u01a1ng, m\u1ea5t m\u00e1t v\u00ec ng\u01b0\u1eddi th\u00e2n trong \u0111\u1ea1i d\u1ecbch, v\u00e0 lo l\u1eafng v\u1ec1 t\u01b0\u01a1ng lai b\u1ea5t \u0111\u1ecbnh ph\u00eda tr\u01b0\u1edbc l\u00e0m nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u00e0ng th\u00eam stress, d\u1eabn \u0111\u1ebfn m\u1ea5t ng\u1ee7, s\u1ee5t c\u00e2n, hay ho\u1ea3ng s\u1ee3.<\/p>\n
\n<\/span><\/p>\nTr\u1ecb tri\u1ec7u ch\u1ee9ng Covid-19 c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, v\u00e0 ti\u1ebfp t\u1ee5c ch\u1eefa tr\u1ecb ki\u00ean nh\u1eabn v\u00e0 l\u00e2u d\u00e0i tri\u1ec7u ch\u1ee9ng sau khi h\u1ebft Covid-19<\/b><\/h2>\n
Tr\u1ecb kh\u00f3 th\u1edf:<\/b><\/h3>\n
\n<\/span><\/p>\nTr\u1ecb ho m\u00e3n t\u00ednh:<\/b><\/h3>\n
\n<\/span><\/p>\nTr\u1ecb tim \u0111\u1eadp nhanh:<\/b><\/h3>\n
\n<\/span><\/p>\nTr\u1ecb m\u1ec7t m\u1ecfi v\u00e0 y\u1ebfu s\u1ee9c:<\/b><\/h3>\n
\n<\/span><\/p>\nTr\u1ecb \u0111au nh\u1ee9c kh\u1edbp:<\/b><\/h3>\n
\n<\/span><\/p>\nTr\u1ecb m\u1ea5t m\u00f9i\/m\u1ea5t v\u1ecb:<\/b><\/h3>\n