{"id":6561,"date":"2021-12-10T08:50:04","date_gmt":"2021-12-10T01:50:04","guid":{"rendered":"https:\/\/43hr.com\/?p=6561"},"modified":"2021-12-10T08:50:39","modified_gmt":"2021-12-10T01:50:39","slug":"ton-thuong-gan-o-nhung-nguoi-nhiem-covid-19","status":"publish","type":"post","link":"https:\/\/43hr.com\/ton-thuong-gan-o-nhung-nguoi-nhiem-covid-19\/","title":{"rendered":"T\u1ed5n th\u01b0\u01a1ng gan \u1edf nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m Covid-19"},"content":{"rendered":"
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Theo c\u00e1c chuy\u00ean gia, Covid-19 g\u00e2y \u1ea3nh h\u01b0\u1edfng n\u1eb7ng n\u1ec1 \u0111\u1ebfn ch\u1ee9c n\u0103ng gan, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh tr\u01b0\u1edbc \u0111\u00f3.<\/span><\/div>\n<\/div>\n
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Ng\u00e0y 9\/12, t\u1ea1i\u00a0H\u00e0 N\u1ed9i<\/a>\u00a0\u0111\u00e3 di\u1ec5n ra h\u1ed9i ngh\u1ecb Gan m\u1eadt to\u00e0n qu\u1ed1c l\u1ea7n th\u1ee9 16 v\u1edbi ch\u1ee7 \u0111\u1ec1 Ti\u1ebfn b\u1ed9 k\u1ef9 thu\u1eadt trong \u0111i\u1ec1u tr\u1ecb \u0111a m\u00f4 th\u1ee9c v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

Ph\u00e1t bi\u1ec3u t\u1ea1i phi\u00ean to\u00e0n th\u1ec3, GS.TS. L\u00ea Trung H\u1ea3i, Ch\u1ee7 t\u1ecbch h\u1ed9i Gan M\u1eadt\u00a0Vi\u1ec7t Nam<\/a>\u00a0v\u00e0 ph\u00e2n h\u1ed9i Ph\u1eabu thu\u1eadt Gan M\u1eadt Tu\u1ef5 Vi\u1ec7t Nam – Hi\u1ec7u tr\u01b0\u1edfng tr\u01b0\u1eddng Cao \u0111\u1eb3ng Y d\u01b0\u1ee3c H\u00e0 N\u1ed9i \u0111\u00e1nh gi\u00e1: \u201c\u0110\u1ea5t n\u01b0\u1edbc ch\u00fang ta n\u1eb1m trong v\u00f9ng c\u00f3 t\u1ec9 l\u1ec7 nhi\u1ec5m vi r\u00fat vi\u00eam gan cao tr\u00ean Th\u1ebf gi\u1edbi. Nh\u1eefng n\u0103m v\u1eeba qua, c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 gan, vi\u00eam gan, x\u01a1 gan v\u00e0 c\u00e1c b\u1ec7nh l\u00fd m\u1eadt tu\u1ef5 \u0111\u00e3 v\u00e0 \u0111ang l\u00e0 nh\u1eefng th\u00e1ch th\u1ee9c to l\u1edbn \u0111\u1ed1i v\u1edbi n\u1ec1n y t\u1ebf n\u01b0\u1edbc nh\u00e0 v\u00e0 chuy\u00ean ng\u00e0nh gan m\u1eadt c\u1ee7a Vi\u1ec7t Nam.<\/span><\/p>\n

Nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, h\u1ed9i Gan m\u1eadt Vi\u1ec7t Nam v\u00e0 ph\u00e2n h\u1ed9i Ph\u1eabu thu\u1eadt Gan m\u1eadt tu\u1ef5 Vi\u1ec7t Nam \u0111\u00e3 ph\u1ed1i h\u1ee3p v\u1edbi nhi\u1ec1u \u0111\u01a1n v\u1ecb, trong \u0111\u00f3 c\u00f3 B\u1ec7nh vi\u1ec7n Qu\u00e2n y 354 t\u1ed5 ch\u1ee9c c\u00e1c ho\u1ea1t \u0111\u1ed9ng \u00fd ngh\u0129a v\u00e0 thi\u1ebft th\u1ef1c gi\u00fap n\u00e2ng cao ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb \u0111a m\u00f4 th\u1ee9c c\u00e1c b\u1ec7nh l\u00fd gan m\u1eadt tu\u1ef5 v\u00e0 ch\u0103m s\u00f3c b\u1ea3o v\u1ec7 s\u1ee9c kho\u1ebb nh\u00e2n d\u00e2n v\u00e0 b\u1ed9 \u0111\u1ed9i\u201d.<\/span><\/p>\n

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GS.TS. L\u00ea Trung H\u1ea3i, Ch\u1ee7 t\u1ecbch H\u1ed9i Gan M\u1eadt Vi\u1ec7t Nam v\u00e0 Ph\u00e2n h\u1ed9i Ph\u1eabu thu\u1eadt Gan M\u1eadt Tu\u1ef5 Vi\u1ec7t Nam, Hi\u1ec7u tr\u01b0\u1edfng tr\u01b0\u1eddng Cao \u0111\u1eb3ng Y d\u01b0\u1ee3c H\u00e0 N\u1ed9i. \u1ea2nh BPL<\/span><\/h3>\n

B\u00ean c\u1ea1nh \u0111\u00f3, \u00f4ng H\u1ea3i b\u00e0y t\u1ecf h\u1ed9i Gan m\u1eadt Vi\u1ec7t Nam v\u00e0 ph\u00e2n h\u1ed9i Ph\u1eabu thu\u1eadt Gan m\u1eadt tu\u1ef5 Vi\u1ec7t Nam, B\u1ec7nh vi\u1ec7n Qu\u00e2n y 354 c\u00f9ng c\u00e1c \u0111\u01a1n v\u1ecb v\u00e0 c\u01a1 s\u1edf y t\u1ebf qu\u00e2n d\u00e2n y trong c\u1ea3 n\u01b0\u1edbc ph\u00e1t huy truy\u1ec1n th\u1ed1ng, ti\u1ebfp t\u1ee5c n\u1ed7 l\u1ef1c \u0111\u1ea9y m\u1ea1nh n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng, \u1ee9ng d\u1ee5ng c\u00e1c ti\u1ebfn b\u1ed9 k\u1ef9 thu\u1eadt trong \u0111i\u1ec1u tr\u1ecb \u0111a m\u00f4 th\u1ee9c v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f3ng g\u00f3p cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a n\u1ec1n Y h\u1ecdc n\u01b0\u1edbc nh\u00e0.<\/span><\/p>\n

Vi\u00eam gan \u2013 b\u1ec7nh n\u1ec1n khi m\u1eafc\u00a0Covid-19<\/a><\/strong><\/span><\/p>\n

GS.TS Nguy\u1ec5n V\u0103n K\u00ednh, Ch\u1ee7 t\u1ecbch H\u1ed9i Truy\u1ec1n nhi\u1ec5m Vi\u1ec7t Nam \u0111\u00e3 c\u00f3 nh\u1eefng chia s\u1ebb v\u1ec1 ch\u0103m s\u00f3c \u0111i\u1ec1u tr\u1ecb vi\u00eam gan trong \u0111\u1ea1i d\u1ecbch Covid-19. Theo \u00f4ng k\u00ednh,\u00a0d\u01b0\u1edbi nh\u1eefng t\u00e1c \u0111\u1ed9ng c\u1ee7a Covid-19, nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh vi\u00eam gan vi-r\u00fat b\u1ecb ch\u1ecbu t\u1ed5n th\u01b0\u01a1ng d\u01b0\u1edbi hai c\u01a1 ch\u1ebf do b\u00e3o Cytokine, ho\u1eb7c do t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb (Remdecivir, c\u00e1c kh\u00e1ng sinh,\u2026).<\/span><\/p>\n

C\u00e1c chuy\u00ean gia tr\u00ean th\u1ebf gi\u1edbi \u0111\u1ec1u ghi nh\u1eadn t\u1ec9 l\u1ec7 ng\u01b0\u1eddi b\u1ecb vi\u00eam gan m\u1eafc Covid-19 t\u1eeb 0,1-4%. T\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh vi\u1ec7n B\u1ec7nh Nhi\u1ec7t \u0111\u1edbi TW c\u0169ng ghi nh\u1eadn t\u1ec9 l\u1ec7 n\u00e0y chi\u1ebfm kho\u1ea3ng 4,3%.<\/span><\/p>\n

\u201cT\u1ed5n th\u01b0\u01a1ng gan \u1edf nh\u1eefng ng\u01b0\u1eddi nhi\u1ec5m Covid-19 \u0111\u1ec1u c\u00f3 tri\u1ec7u ch\u1ee9ng t\u0103ng men gan v\u00e0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, \u0111i\u1ec1u n\u1ea3y \u0111\u1ec1u x\u1ea3y ra v\u1edbi b\u1ec7nh nh\u00e2n vi\u00eam gan v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng m\u1eafc vi\u00eam gan\u201d, \u00f4ng Nguy\u1ec5n V\u0103n K\u00ednh th\u00f4ng tin.<\/span><\/p>\n

C\u01a1 ch\u1ebf t\u1ed5n th\u01b0\u01a1ng l\u00e0 do t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o ACE2, khi t\u1ed5n th\u01b0\u01a1ng \u1edf ph\u1ed5i th\u00ec c\u0169ng \u0111\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng \u1edf gan, ngo\u00e0i ra do gi\u1ea3m oxy m\u00f4, t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb Covid-19.<\/span><\/p>\n

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Covid-19 \u1ea3nh h\u01b0\u1edfng kh\u00f4ng nh\u1ecf \u0111\u1ebfn vi\u1ec7c ch\u01b0a tr\u1ecb cho ng\u01b0\u1eddi vi\u00eam gan vi-r\u00fat<\/h3>\n<\/article>\n

BS.Nguy\u1ec5n V\u0103n K\u00ednh nh\u1ea5n m\u1ea1nh r\u1eb1ng vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb r\u1ea5t kh\u00f3 kh\u0103n l\u00e0 b\u1edfi c\u00e1c c\u01a1 s\u1edf \u0111i\u1ec1u tr\u1ecb vi\u00eam gan c\u0169ng l\u00e0 c\u00e1c c\u01a1 s\u1edf ti\u1ebfp nh\u1eadn s\u00e0ng l\u1ecdc Covid-19.<\/span><\/p>\n

Nguy\u00ean nh\u00e2n l\u00e0 do ngu\u1ed3n nh\u00e2n l\u1ef1c h\u1ea1n ch\u1ebf, ph\u1ea3i ph\u00e2n b\u1ed5 \u0111\u1ec3 t\u1eadp trung \u0111i\u1ec1u tr\u1ecb Covid-19, c\u00e1c b\u1ec7nh nh\u00e2n vi\u00eam gan h\u1ea1n ch\u1ebf \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ch\u1eefa tr\u1ecb do nguy c\u01a1 l\u00e2y nhi\u1ec5m ch\u00e9o trong qu\u00e1 tr\u00ecnh d\u1ecbch b\u00f9ng ph\u00e1t.<\/span><\/p>\n

\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa, d\u1ecbch Covid-19 c\u0169ng g\u00e2y kh\u00f3 kh\u0103n kh\u00e1m v\u00e0 l\u1ea5y thu\u1ed1c, x\u00e9t nghi\u1ec7m \u0111\u1ecbnh k\u1ef3 kh\u00f3 \u0111\u00fang l\u1ecbch h\u1eb9n.<\/span><\/p>\n

GS.TS Nguy\u1ec5n V\u0103n K\u00ednh \u0111\u01b0a ra l\u1eddi khuy\u00ean v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan: \u201cNh\u1eefng ng\u01b0\u1eddi b\u1ec7nh ch\u01b0a c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb kh\u00e1ng vi-r\u00fat x\u00e9t nghi\u1ec7m \u0111\u1ecbnh k\u1ef3 c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n, nh\u01b0ng n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng th\u00ec c\u1ea7n ph\u1ea3i \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf. Ng\u01b0\u1eddi b\u1ec7nh \u0111ang \u0111i\u1ec1u tr\u1ecb thu\u1ed1c kh\u00e1ng vi-r\u00fat ch\u01b0a c\u00f3 s\u01a1 x\u01a1 gan c\u1ea7n ti\u1ebfp t\u1ee5c u\u1ed1ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n\u201d.<\/span><\/p>\n<\/section>\n","protected":false},"excerpt":{"rendered":"

Theo c\u00e1c chuy\u00ean gia, Covid-19 g\u00e2y \u1ea3nh h\u01b0\u1edfng n\u1eb7ng n\u1ec1 \u0111\u1ebfn ch\u1ee9c n\u0103ng gan, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh tr\u01b0\u1edbc \u0111\u00f3. Ng\u00e0y 9\/12, t\u1ea1i\u00a0H\u00e0 N\u1ed9i\u00a0\u0111\u00e3 di\u1ec5n ra h\u1ed9i ngh\u1ecb Gan m\u1eadt to\u00e0n qu\u1ed1c l\u1ea7n…<\/p>\n","protected":false},"author":8,"featured_media":6562,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26,17,3],"tags":[173,188,699,697,696,698],"class_list":["post-6561","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kien-thuc-nganh-y","category-slide","category-tin-tuc","tag-cdydhn","tag-yduochanoi","tag-hoi-gan-mat","tag-vi-rut","tag-vien-gan","tag-virus-covid-19"],"_links":{"self":[{"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/posts\/6561"}],"collection":[{"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/comments?post=6561"}],"version-history":[{"count":1,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/posts\/6561\/revisions"}],"predecessor-version":[{"id":6564,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/posts\/6561\/revisions\/6564"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/media\/6562"}],"wp:attachment":[{"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/media?parent=6561"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/categories?post=6561"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/43hr.com\/wp-json\/wp\/v2\/tags?post=6561"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}