{"id":2413,"date":"2021-01-06T16:24:45","date_gmt":"2021-01-06T09:24:45","guid":{"rendered":"http:\/\/vitamin.demo.xemwebmau.com\/?p=2413"},"modified":"2021-01-06T16:51:12","modified_gmt":"2021-01-06T09:51:12","slug":"cac-trieu-chung-va-bien-chung-cua-covid-19-moi","status":"publish","type":"post","link":"https:\/\/vitamin.webmaudep.net\/?p=2413","title":{"rendered":"C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a Covid-19 m\u1edbi"},"content":{"rendered":"

6\/1\/2021 4:29 PM<\/em><\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a Covid-19 m\u1edbi<\/span><\/h2>\n

\"\"<\/p>\n

CDC v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf b\u00e1o c\u00e1o c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi c\u1ee7a Covid-19, t\u1eeb m\u1ea5t v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c cho \u0111\u1ebfn “ng\u00f3n ch\u00e2n<\/a> covid”.<\/p>\n

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C\u00e1c tri\u1ec7u ch\u1ee9ng Covid-19 m\u1edbi<\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi c\u1ee7a Covid-19 d\u01b0\u1eddng nh\u01b0 xu\u1ea5t hi\u1ec7n h\u00e0ng ng\u00e0y, v\u1edbi vi\u1ec7c g\u1ea7n \u0111\u00e2y \u0111\u00e3 b\u1ed5 sung s\u00e1u tri\u1ec7u ch\u1ee9ng v\u00e0o danh s\u00e1ch c\u1ee7a Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh<\/a> (CDC). Nh\u01b0ng ngay c\u1ea3 \u0111\u1ecbnh ngh\u0129a CDC c\u0169ng kh\u00f4ng bao g\u1ed3m to\u00e0n b\u1ed9 c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e0 nh\u00e2n vi\u00ean y t\u1ebf \u0111ang g\u1eb7p ph\u1ea3i, William Schaffner, MD, m\u1ed9t chuy\u00ean gia v\u1ec1 b\u1ec7nh truy\u1ec1n nhi\u1ec5m t\u1ea1i Trung t\u00e2m Y t\u1ebf \u0110\u1ea1i h\u1ecdc Vanderbilt \u1edf Nashville cho bi\u1ebft. C\u00e1c tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a Covid-19 v\u1eabn ch\u1ee7 y\u1ebfu l\u00e0 h\u00f4 h\u1ea5p – ho v\u00e0 kh\u00f3 th\u1edf, k\u00e8m theo s\u1ed1t – nh\u01b0ng kh\u00f4ng d\u1eebng l\u1ea1i \u1edf \u0111\u00f3.<\/p>\n

Matthew G. Heinz, b\u00e1c s\u0129 b\u1ec7nh vi\u1ec7n v\u00e0 b\u00e1c s\u0129 n\u1ed9i khoa t\u1ea1i Trung t\u00e2m Y t\u1ebf Tucson \u1edf Arizona, gi\u1ea3i th\u00edch: \u201cC\u00f3 m\u1ed9t ph\u1ea3n \u1ee9ng vi\u00eam s\u00e2u s\u1eafc \u0111ang di\u1ec5n ra \u1edf kh\u1eafp m\u1ecdi n\u01a1i trong c\u01a1 th\u1ec3. “N\u00f3 kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t h\u1ec7 th\u1ed1ng c\u01a1<\/a> quan c\u1ee5 th\u1ec3.”<\/p>\n

C\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a Covid-19 \u0111ang xu\u1ea5t hi\u1ec7n tr\u00ean kh\u1eafp c\u01a1 th\u1ec3. B\u1edfi v\u00ec vi r\u00fat r\u1ea5t m\u1edbi, nghi\u00ean c\u1ee9u v\u1eabn c\u00f2n s\u01a1 b\u1ed9, nh\u01b0ng \u0111\u00e2y l\u00e0 nh\u1eefng g\u00ec \u0111\u01b0\u1ee3c bi\u1ebft cho \u0111\u1ebfn nay v\u1ec1 m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng lo ng\u1ea1i h\u01a1n.<\/p>\n

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M\u1ea5t m\u00f9i ho\u1eb7c v\u1ecb<\/strong><\/h3>\n

Tri\u1ec7u ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n tr\u00ean danh s\u00e1ch CDC c\u1eadp nh\u1eadt c\u00e1c tri\u1ec7u ch\u1ee9ng Covid-19. Aaron Glatt, MD, ng\u01b0\u1eddi ph\u00e1t ng\u00f4n c\u1ee7a Hi\u1ec7p h\u1ed9i B\u1ec7nh truy\u1ec1n nhi\u1ec5m Hoa K\u1ef3, cho bi\u1ebft n\u00f3 c\u0169ng x\u1ea3y ra v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i virus kh\u00e1c, nh\u01b0ng nhi\u1ec1u h\u01a1n th\u1ebf v\u1edbi lo\u1ea1i coronavirus m\u1edbi.<\/p>\n

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M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u:<\/h4>\n

\u0111\u00e3 ghi l\u1ea1i \u0111i\u1ec1u n\u00e0y, bao g\u1ed3m m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o th\u00e1ng 4 n\u0103m 2020 tr\u00ean Di\u1ec5n \u0111\u00e0n Qu\u1ed1c t\u1ebf v\u1ec1 D\u1ecb \u1ee9ng & Rhinology (IFAR), cho th\u1ea5y 68% b\u1ec7nh nh\u00e2n Covid-19 (40 trong s\u1ed1 59) cho bi\u1ebft h\u1ecd b\u1ecb m\u1ea5t kh\u1ee9u gi\u00e1c (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 anosmia). T\u1ed5ng c\u1ed9ng 71% cho bi\u1ebft kh\u00f4ng c\u00f3 m\u00f9i v\u1ecb, so v\u1edbi 16% v\u00e0 17% nh\u1eefng ng\u01b0\u1eddi c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u00e2m t\u00ednh. Ti\u1ebfn s\u0129 Heinz cho bi\u1ebft, tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 xu h\u01b0\u1edbng xu\u1ea5t hi\u1ec7n s\u1edbm \u1edf b\u1ec7nh v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 xu h\u01b0\u1edbng tr\u1ebb h\u01a1n, theo m\u1ed9t nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 4 n\u0103m 2020 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean T\u1ea1p ch\u00ed Th\u1ea7n kinh h\u1ecdc Ch\u00e2u \u00c2u. Tin t\u1ed1t l\u00e0nh, theo m\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c v\u00e0o th\u00e1ng 4 n\u0103m 2020 tr\u00ean IFAR, l\u00e0 nh\u1eefng ng\u01b0\u1eddi m\u1ea5t v\u1ecb gi\u00e1c v\u00e0 kh\u1ee9u gi\u00e1c th\u01b0\u1eddng b\u1ecb b\u1ec7nh nh\u1eb9 h\u01a1n.<\/p>\n

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\u00a0Tri\u1ec7u ch\u1ee9ng n\u00e0y :<\/h3>\n

tr\u00f4ng r\u1ea5t gi\u1ed1ng v\u1edbi chilblains, \u0111\u1ecf, s\u01b0ng v\u00e0 ng\u1ee9a c\u00e1c ng\u00f3n ch\u00e2n (ho\u1eb7c ng\u00f3n tay) khi th\u1eddi ti\u1ebft l\u1ea1nh. Tuy nhi\u00ean, kh\u00f4ng gi\u1ed1ng nh\u01b0 chilblains, ng\u00f3n ch\u00e2n Covid xu\u1ea5t hi\u1ec7n trong th\u1eddi ti\u1ebft \u1ea5m h\u01a1n, ghi nh\u1eadn m\u1ed9t b\u00e1o c\u00e1o v\u00e0o th\u00e1ng 4 n\u0103m 2020 tr\u00ean T\u1ea1p ch\u00ed c\u1ee7a H\u1ecdc vi\u1ec7n Da li\u1ec5u Hoa K\u1ef3. Gi\u1ed1ng nh\u01b0 m\u1ea5t v\u1ecb gi\u00e1c v\u00e0 kh\u1ee9u gi\u00e1c, ng\u00f3n ch\u00e2n covid d\u01b0\u1eddng nh\u01b0 l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u c\u1ee7a virus. V\u00e0, Ti\u1ebfn s\u0129 Heinz n\u00f3i, “c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1eb9 h\u01a1n ho\u1eb7c c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng duy nh\u1ea5t.<\/p>\n

” N\u00f3 c\u0169ng c\u00f3 xu h\u01b0\u1edbng xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u1ebb h\u01a1n. Ti\u1ebfn s\u0129 Schaffner cho bi\u1ebft th\u00eam, n\u00f3 c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng \u0111\u00f4ng m\u00e1u trong c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf h\u01a1n. H\u00e3y \u0111\u1ecdc m\u1ed9t tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng c\u1ee7a Covid-19 \u0111\u00e3 khi\u1ebfn ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng n\u00e0y ph\u1ea3i tr\u1ea3 gi\u00e1 b\u1eb1ng ng\u00f3n ch\u00e2n v\u00e0 m\u1ed9t n\u1eeda ch\u00e2n c\u1ee7a m\u00ecnh.<\/p>\n

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Ph\u00e1t ban<\/strong><\/h3>\n

C\u00e1c ng\u00f3n ch\u00e2n co c\u1ee9ng d\u01b0\u1eddng nh\u01b0 ch\u1ec9 l\u00e0 m\u1ed9t trong s\u1ed1 c\u00e1c tri\u1ec7u ch\u1ee9ng da li\u00ean quan \u0111\u1ebfn Covid-19, theo m\u1ed9t b\u00e1o c\u00e1o v\u00e0o th\u00e1ng 3 n\u0103m 2020 tr\u00ean T\u1ea1p ch\u00ed c\u1ee7a H\u1ecdc vi\u1ec7n Da li\u1ec5u v\u00e0 Da li\u1ec5u Ch\u00e2u \u00c2u (JEADV). B\u00e1o c\u00e1o t\u1eeb \u00dd cho th\u1ea5y 20% ho\u1eb7c 18 trong s\u1ed1 88 b\u1ec7nh nh\u00e2n Covid-19 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn da.<\/p>\n

M\u1ed9t s\u1ed1 trong s\u1ed1 n\u00e0y x\u1ea3y ra khi b\u1eaft \u0111\u1ea7u b\u1ec7nh v\u00e0 m\u1ed9t s\u1ed1 kh\u00e1c sau khi nh\u1eadp vi\u1ec7n. Ph\u00e1t ban v\u00e0 n\u1ed5i m\u1ec1 \u0111ay l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t, xu\u1ea5t hi\u1ec7n nhi\u1ec1u nh\u1ea5t tr\u00ean th\u00e2n c\u1ee7a c\u01a1 th\u1ec3, v\u00e0 h\u1ea7u h\u1ebft s\u1ebd h\u1ebft sau v\u00e0i ng\u00e0y. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y d\u01b0\u1eddng nh\u01b0 kh\u00f4ng li\u00ean quan \u0111\u1ebfn m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh. B\u00e1o c\u00e1o \u0111\u00f3 v\u00e0 m\u1ed9t b\u1ee9c th\u01b0 kh\u00e1c v\u00e0o th\u00e1ng 4 n\u0103m 2020 trong JEADV c\u0169ng m\u00f4 t\u1ea3 c\u00e1c t\u1ed5n th\u01b0\u01a1ng gi\u1ed1ng nh\u01b0 th\u1ee7y \u0111\u1eadu \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. B\u1ea1n c\u00f3 th\u1ec3 quan t\u00e2m \u0111\u1ebfn c\u00e1ch x\u00e1c \u0111\u1ecbnh c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t ban kh\u00f4ng ph\u1ea3i Covid-19.<\/p>\n

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V\u1ea5n \u0111\u1ec1 v\u1ec1 tim<\/strong><\/h3>\n

Theo Kaiser Health News, t\u1ed5n th\u01b0\u01a1ng tim \u1edf b\u1ec7nh nh\u00e2n Covid-19 c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn, v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi th\u1eadm ch\u00ed t\u1eed vong v\u00ec ng\u1eebng tim. M\u1ed9t s\u1ed1 c\u01a1n \u0111au tim c\u00f3 li\u00ean quan \u0111\u1ebfn Covid-19, ti\u1ebft l\u1ed9 m\u1ed9t b\u1ee9c th\u01b0 v\u00e0o th\u00e1ng 4 n\u0103m 2020 tr\u00ean NEJM.<\/p>\n

\u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0 do vi-r\u00fat th\u1ef1c s\u1ef1 c\u00f3 th\u1ec3 l\u00e2y nhi\u1ec5m v\u00e0o c\u01a1 tim, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi k\u1ebb x\u00e2m l\u01b0\u1ee3c, v\u1edbi vai tr\u00f2 c\u1ee7a \u0111\u00f4ng m\u00e1u. Ti\u1ebfn s\u0129 Heinz cho bi\u1ebft th\u00eam: \u201cKh\u1ea3 n\u0103ng \u0111\u00f4ng m\u00e1u t\u0103ng l\u00ean c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tim m\u1ea1ch. “\u0110\u00f3 l\u00e0 m\u1ed9t kh\u00e1i ni\u1ec7m t\u01b0\u01a1ng t\u1ef1 v\u1ec1 vi\u1ec7c thi\u1ebfu l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn ch\u00ednh c\u01a1 tim.”<\/p>\n

Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 s\u1eb5n b\u1ec7nh tim, bao g\u1ed3m c\u1ea3 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e3 c\u00f3 nguy c\u01a1 cao b\u1ecb bi\u1ebfn ch\u1ee9ng do Covid-19.<\/p>\n

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Thay \u0111\u1ed5i tr\u1ea1ng th\u00e1i tinh th\u1ea7n<\/strong><\/h3>\n

M\u1eb7c d\u00f9 d\u1eef li\u1ec7u v\u1eabn c\u00f2n s\u01a1 b\u1ed9, c\u00e1c chuy\u00ean gia \u0111\u00e3 quan s\u00e1t th\u1ea5y tr\u1ea1ng th\u00e1i t\u00e2m th\u1ea7n b\u1ecb thay \u0111\u1ed5i ho\u1eb7c s\u1ef1 nh\u1ea7m l\u1eabn \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n m\u1eafc Covid-19, theo c\u00e1c nghi\u00ean c\u1ee9u th\u00e1ng 4 n\u0103m 2020 \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean JAMA Neurology v\u00e0 NEJM. M\u1ed9t l\u1ea7n n\u1eefa, kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng r\u00f5 r\u00e0ng li\u1ec7u vi-r\u00fat c\u00f3 g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i hay kh\u00f4ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi c\u00e1c tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i.<\/p>\n

Ti\u1ebfn s\u0129 Heinz, ng\u01b0\u1eddi \u0111\u1ee9ng \u0111\u1ea7u c\u01a1 quan \u0111\u1ed1i ph\u00f3 trong n\u01b0\u1edbc c\u1ee7a Ch\u00ednh quy\u1ec1n Obama \u0111\u1ed1i v\u1edbi cu\u1ed9c kh\u1ee7ng ho\u1ea3ng Ebola cho bi\u1ebft: \u201cCh\u1ec9 c\u1ea7n m\u1ed9t b\u1ec7nh nh\u00e2n 75 tu\u1ed5i b\u1ecb s\u1ed1t c\u00f3 th\u1ec3 khi\u1ebfn h\u1ecd tr\u1edf n\u00ean ng\u1ed1c ngh\u1ebfch m\u1ed9t ch\u00fat. \u201c\u0110i\u1ec1u \u0111\u00f3 l\u00e0m ph\u1ee9c t\u1ea1p kh\u1ea3 n\u0103ng c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ec3 n\u00f3i r\u1eb1ng n\u00f3 c\u00f3 li\u00ean quan \u0111\u1ebfn vi r\u00fat n\u00e0y. N\u00f3 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t c\u00e1i g\u00ec \u0111\u00f3 c\u1ee5 th\u1ec3, nh\u01b0ng [n\u00f3] c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ng\u01b0\u1eddi b\u1ec7nh n\u1eb7ng \u1edf m\u1ed9t n\u01a1i kh\u00f4ng quen thu\u1ed9c v\u1edbi nh\u1eefng \u0111i\u1ec1u ki\u1ec7n kh\u00e1c. ” Gi\u1ed1ng nh\u01b0 m\u1ecdi kh\u00eda c\u1ea1nh kh\u00e1c c\u1ee7a Covid-19, Ti\u1ebfn s\u0129 Heinz cho bi\u1ebft th\u00eam, \u0111i\u1ec1u n\u00e0y \u201cc\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh v\u00e0 nghi\u00ean c\u1ee9u t\u1ed1t h\u01a1n<\/p>\n

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Ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda v\u00e0 gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n<\/strong><\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a (GI) \u0111ang tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf b\u1ec7nh nh\u00e2n coronavirus h\u01a1n ng\u01b0\u1eddi ta t\u1eebng ngh\u0129, th\u1eadm ch\u00ed l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng virus c\u00f3 th\u1ec3 l\u00e2y truy\u1ec1n qua ph\u00e2n, m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed Gastroenterology v\u00e0o th\u00e1ng 4 n\u0103m 2020 cho th\u1ea5y. Ti\u1ebfn s\u0129 Heinz x\u00e1c nh\u1eadn: \u201cC\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu v\u1ec1 GI v\u00e0 ti\u00eau ch\u1ea3y.<\/p>\n

M\u1ed9t cu\u1ed9c \u0111i\u1ec1u tra kh\u00e1c trong khoa Ti\u00eau h\u00f3a tr\u00ean 116 b\u1ec7nh nh\u00e2n Covid-19 t\u1ea1i \u0110\u1ea1i h\u1ecdc Stanford cho th\u1ea5y g\u1ea7n m\u1ed9t ph\u1ea7n ba c\u00f3 c\u00e1c ph\u00e0n n\u00e0n v\u1ec1 GI, h\u1ea7u h\u1ebft \u0111\u1ec1u nh\u1eb9. Trong m\u1ed9t nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 3 n\u0103m 2020, \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u1ef1c tuy\u1ebfn tr\u00ean t\u1ea1p ch\u00ed Alimentary Pharmacology & Therapeutics, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o r\u1eb1ng tri\u1ec7u ch\u1ee9ng GI ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn l\u00e0 ti\u00eau ch\u1ea3y.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan bao g\u1ed3m ch\u00e1n \u0103n (xu\u1ea5t hi\u1ec7n \u1edf m\u1ed9t ph\u1ea7n ba \u0111\u1ebfn g\u1ea7n m\u1ed9t n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n, Ti\u1ebfn s\u0129 Schaffner n\u00f3i), bu\u1ed3n n\u00f4n, n\u00f4n m\u1eeda v\u00e0 \u0111au b\u1ee5ng. \u0110\u00f4i khi, b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng GI ngay c\u1ea3 khi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p.<\/p>\n

 <\/p>\n

Ch\u1ea5n th\u01b0\u01a1ng th\u1eadn<\/strong><\/h2>\n

Kho\u1ea3ng 15% b\u1ec7nh nh\u00e2n Covid-19 c\u00f3 th\u1ec3 b\u1ecb ch\u1ea5n th\u01b0\u01a1ng th\u1eadn, m\u1ed9t nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 4 n\u0103m 2020 tr\u00ean T\u1ea1p ch\u00ed B\u1ec7nh th\u1eadn Hoa K\u1ef3 ti\u1ebft l\u1ed9. V\u00e0 coronavirus \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong th\u1eadn, khi\u1ebfn c\u00e1c v\u1ebft th\u01b0\u01a1ng c\u00f3 th\u1ec3 l\u00e0 \u201cs\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a ch\u00ednh virus \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n \u0111\u1ebfn c\u00e1c c\u01a1 quan \u0111\u00f3 g\u00e2y ra m\u1ed9t s\u1ed1 cu\u1ed9c x\u00e2m nh\u1eadp c\u1ed9ng v\u1edbi ph\u1ea3n \u1ee9ng vi\u00eam \u0111\u01b0\u1ee3c t\u1ea1o ra khi virus \u1edf trong c\u00e1c m\u00f4 \u0111\u00f3,\u201d Ti\u1ebfn s\u0129 Schaffner gi\u1ea3i th\u00edch.<\/p>\n

C\u0169ng nh\u01b0 \u0111\u1ed9t qu\u1ef5 v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim, \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 li\u00ean quan. H\u00e0ng t\u1ea5n mao m\u1ea1ch nh\u1ecf th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a th\u1eadn, lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i. Ti\u1ebfn s\u0129 Heinz cho bi\u1ebft: \u201cKhi b\u1ea1n c\u00f3 m\u1ed9t d\u00f2ng th\u00e1c \u0111\u00f4ng m\u00e1u, ch\u00fang s\u1ebd k\u1ebft n\u1ed1i v\u00e0 ch\u1eb7n l\u1ea1i. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh th\u1eadn \u0111\u00e3 c\u00f3 nguy c\u01a1 cao ph\u00e1t tri\u1ec3n b\u1ec7nh n\u1eb7ng do coronavirus. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft v\u1ec1 th\u1eed nghi\u1ec7m coronavirus.<\/p>\n

 <\/p>\n

Vi\u00eam m\u1eaft<\/strong><\/h3>\n

C\u00e1c chuy\u00ean gia ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u00e3 nh\u1eadn th\u1ea5y t\u00ecnh tr\u1ea1ng vi\u00eam quanh m\u1eaft c\u1ee7a b\u1ec7nh nh\u00e2n Covid, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam k\u1ebft m\u1ea1c, Ti\u1ebfn s\u0129 Glatt, ng\u01b0\u1eddi c\u0169ng l\u00e0 ch\u1ee7 t\u1ecbch y khoa v\u00e0 nh\u00e0 d\u1ecbch t\u1ec5 h\u1ecdc b\u1ec7nh vi\u1ec7n t\u1ea1i Mount Sinai South Nassau v\u00e0 gi\u00e1o s\u01b0 y khoa t\u1ea1i Tr\u01b0\u1eddng Y Icahn t\u1ea1i Mount Sinai \u1edf New Th\u00e0nh ph\u1ed1 York.<\/p>\n

M\u1ed9t l\u1ea7n n\u1eefa, b\u1eb1ng ch\u1ee9ng ch\u1ec9 l\u00e0 s\u01a1 b\u1ed9, nh\u01b0ng m\u1ed9t nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 4 n\u0103m 2020 \u1edf Acta Ophthamologica cho th\u1ea5y h\u01a1n 1\/4 trong s\u1ed1 56 b\u1ec7nh nh\u00e2n b\u1ecb Covid-19 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf m\u1eaft, 11% trong s\u1ed1 h\u1ecd xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c.<\/p>\n

V\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 v\u00e0o th\u00e1ng tr\u01b0\u1edbc tr\u00ean T\u1ea1p ch\u00ed Y t\u1ebf Virology cho th\u1ea5y 1,1% b\u1ec7nh nh\u00e2n b\u1ecb Covid-19 nh\u1eadp vi\u1ec7n b\u1ecb vi\u00eam k\u1ebft m\u1ea1c. Tri\u1ec7u ch\u1ee9ng n\u00e0y ph\u1ed5 bi\u1ebfn h\u01a1n g\u1ea5p ba l\u1ea7n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh n\u1eb7ng, c\u00f3 ngh\u0129a l\u00e0 n\u00f3 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec1u bi\u1ebfn ch\u1ee9ng h\u01a1n.<\/p>\n

 <\/p>\n

H\u1ed9i ch\u1ee9ng Guillain Barre<\/strong><\/h3>\n

Trong kho\u1ea3ng th\u1eddi gian t\u1eeb ng\u00e0y 28 th\u00e1ng 2 \u0111\u1ebfn ng\u00e0y 21 th\u00e1ng 3 n\u0103m nay, c\u00e1c b\u00e1c s\u0129 t\u1ea1i ba b\u1ec7nh vi\u1ec7n \u1edf mi\u1ec1n b\u1eafc n\u01b0\u1edbc \u00dd \u0111\u00e3 ghi nh\u1eadn n\u0103m b\u1ec7nh nh\u00e2n coronavirus m\u1eafc h\u1ed9i ch\u1ee9ng Guillain-Barre. C\u0103n b\u1ec7nh hi\u1ebfm g\u1eb7p n\u00e0y c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh nhi\u1ec5m virus kh\u00e1c nhau, v\u00e0 n\u00f3 th\u00fac \u0111\u1ea9y h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ea5n c\u00f4ng c\u00e1c d\u00e2y th\u1ea7n kinh kh\u1ecfe m\u1ea1nh.<\/p>\n

Trong b\u00e1o c\u00e1o NEJM v\u00e0o th\u00e1ng 4 n\u0103m 2020, c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u00ednh \u1edf b\u1ec7nh nh\u00e2n Covid l\u00e0 y\u1ebfu v\u00e0 c\u1ea3m gi\u00e1c n\u00f3ng b\u1ecfng \u1edf ch\u00e2n, sau \u0111\u00f3 l\u00e0 li\u1ec7t m\u1eb7t, xu\u1ea5t hi\u1ec7n sau c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c t\u1eeb 5 \u0111\u1ebfn 10 ng\u00e0y. Trong khi \u0111\u00f3, nghi\u00ean c\u1ee9u Th\u1ea7n kinh h\u1ecdc JAMA tr\u00ean 214 b\u1ec7nh nh\u00e2n \u1edf V\u0169 H\u00e1n \u0111\u00e3 \u0111\u1ec1 c\u1eadp tr\u01b0\u1edbc \u0111\u00f3, cho th\u1ea5y 36,4% c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh nh\u01b0 ch\u00f3ng m\u1eb7t, co gi\u1eadt v\u00e0 \u0111au d\u00e2y th\u1ea7n kinh. H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u1ec1u m\u1eafc b\u1ec7nh n\u1eb7ng.<\/p>\n

 <\/p>\n

H\u1ed9i ch\u1ee9ng s\u1ed1c nhi\u1ec5m \u0111\u1ed9c<\/strong><\/h3>\n

\u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o v\u1ec1 tr\u1ebb em b\u1ecb b\u1ec7nh to\u00e0n th\u00e2n g\u1ee3i nh\u1edb \u0111\u1ebfn h\u1ed9i ch\u1ee9ng s\u1ed1c nhi\u1ec5m \u0111\u1ed9c v\u00e0 b\u1ec7nh Kawasaki. H\u1ea7u h\u1ebft \u0111\u00e3 x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh v\u1edbi coronavirus nh\u01b0ng m\u1ed9t s\u1ed1 th\u00ec kh\u00f4ng. V\u00e0o ng\u00e0y 4 th\u00e1ng 5, S\u1edf Y t\u1ebf Th\u00e0nh ph\u1ed1 New York \u0111\u00e3 \u0111\u01b0a ra th\u00f4ng b\u00e1o r\u1eb1ng 15 tr\u1ebb em \u1edf th\u00e0nh ph\u1ed1 \u0111\u00f3 \u0111\u00e3 b\u1ecb \u1ed1m n\u1eb7ng v\u00e0 ph\u1ea3i nh\u1eadp vi\u1ec7n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1, bao g\u1ed3m c\u1ea3 s\u1ed1t, v\u00e0 y\u00eau c\u1ea7u c\u00e1c b\u00e1c s\u0129 c\u1ea3nh gi\u00e1c th\u00eam c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c.<\/p>\n

H\u1ed9i ch\u1ee9ng s\u1ed1c nhi\u1ec5m \u0111\u1ed9c do vi khu\u1ea9n g\u00e2y ra v\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng ch\u00ednh l\u00e0 s\u1ed1t \u0111\u1ed9t ng\u1ed9t t\u1eeb 102 tu\u1ed5i tr\u1edf l\u00ean, theo H\u1ecdc vi\u1ec7n B\u00e1c s\u0129 Gia \u0111\u00ecnh Hoa K\u1ef3. CDC cho bi\u1ebft b\u1ec7nh Kawasaki c\u0169ng \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u b\u1eb1ng s\u1ed1t c\u1ea5p t\u00ednh.<\/p>\n

Ngu\u1ed3n : The Healthlike\u00a0<\/em><\/p>\n

Bs : Trung<\/em><\/p>\n

 <\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

6\/1\/2021 4:29 PM C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a Covid-19 m\u1edbi CDC v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf b\u00e1o c\u00e1o c\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi c\u1ee7a Covid-19, t\u1eeb m\u1ea5t v\u1ecb gi\u00e1c ho\u1eb7c kh\u1ee9u gi\u00e1c cho \u0111\u1ebfn “ng\u00f3n ch\u00e2n covid”.   C\u00e1c tri\u1ec7u ch\u1ee9ng Covid-19 m\u1edbi C\u00e1c tri\u1ec7u ch\u1ee9ng m\u1edbi c\u1ee7a Covid-19 d\u01b0\u1eddng nh\u01b0 xu\u1ea5t hi\u1ec7n […]\n","protected":false},"author":45,"featured_media":2414,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[40,41,2],"tags":[],"_links":{"self":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts\/2413"}],"collection":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=2413"}],"version-history":[{"count":3,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts\/2413\/revisions"}],"predecessor-version":[{"id":2418,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts\/2413\/revisions\/2418"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/media\/2414"}],"wp:attachment":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=2413"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=2413"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=2413"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}