HỎi – ĐÁP về dịch COVID-19: Có nên cách ly F0 nhẹ tại nhà thay vì điều trị tại cơ sở y tế?

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HỎi - ĐÁP về dịch COVID-19: Có nên cách ly F0 nhẹ tại nhà thay vì điều trị tại cơ sở y tế? - Ảnh 1.

PGS-TS Trần Đắc Phu, nguyên cục trưởng Cục Y tế dự phòng, Bộ Y tế

Tuổi Trẻ Online giới thiệu ý kiến của PGS-TS Trần Đắc Phu, nguyên cục trưởng Cục Y tế dự phòng, Bộ Y tế:

– Mục đích của cách ly là nhằm tách người mắc COVID-19 không để tiếp xúc với người lành, nhằm tránh lây nhiễm và nếu để tiếp xúc với người lành thì khả năng lây nhiễm cho người lành là rất cao, có thể tới 100%.<div class="jeg_ad jeg_ad_article jnews_content_inline_ads "><div class='ads-wrapper align-center '></div></div><div class="jeg_ad jeg_ad_article jnews_content_inline_2_ads "><div class='ads-wrapper align-center '></div></div><div class="jeg_ad jeg_ad_article jnews_content_inline_3_ads "><div class='ads-wrapper align-center '></div></div> <p class="">Cách ly F1 là nhằm tách F1 (những người có thể thành F0), do có thể họ đã mắc COVID-19 nhưng xét nghiệm chưa phát hiện được, để không cho tiếp xúc với người lành tránh lây nhiễm. Tùy từng ổ dịch mà số F1 sẽ trở thành F0 nhiều hay ít.</p> <p class="">Quan điểm cách ly F0: Chính vì F0 là người mang virus SARS-CoV-2 cần phải được đưa đi cách ly, điều trị. Tuy vậy, tại các nước do số người bị nhiễm (F0) quá nhiều dẫn đến quá tải hệ thống điều trị, cách ly, nên các nước đó đã để F0 không có triệu chứng hoặc có triệu chứng nhẹ tự điều trị, cách ly tại nhà và khả năng lây lan ra các thành viên trong gia đinh rất cao.</p> <p class="">Tại Việt Nam hiện nay chưa bị quá tải hệ thống điều trị (kể cả TP.HCM) nên vẫn cần thiết đưa F0 đi điều trị hoặc cách ly nhưng cần phân loại F0. </p> <p class="">Những F0 có triệu chứng nặng phải đưa thẳng đến cơ sở cấp cứu, điều trị. </p> <p class="">Những F0 không có triệu chứng hoặc triệu chứng nhẹ được cách ly, điều trị tại khu riêng chỉ cần theo dõi hoặc điều trị đơn giản, nhằm nâng cao thể trạng cho bệnh nhân, trong quá trình theo dõi nếu có triệu chứng nặng thì đưa đến cơ sở cấp cứu. </p> <p class="">Thực hiện như vậy sẽ tránh được lây nhiễm và giảm tử vong.</p> <p class="">Quan điểm cách ly F1: Do hiện nay dịch lây lan rộng, số mắc (F0) nhiều và như vậy số lượng F1 rất nhiều, không đủ cơ sở cách ly tập trung đủ tiêu chuẩn. Vì vậy có thể để F1 cách ly tại nhà để tránh lây nhiễm chéo nếu đưa F1 cách ly tập trung tại cơ sở không đủ tiêu chuẩn. </p> <p class="">Tuy vậy, việc cách ly tại nhà yêu cầu điều kiện về nhà cửa, vật dụng (Bộ Y tế đã có hướng dẫn), đặc biệt trách nhiệm của người được cách ly và chinh quyền địa phương để tránh lây lan cho người trong gia đinh và cộng đồng. Trong quá trình theo dõi, xét nghiệm nếu có F1 chuyển thành F0 sẽ chuyển đi cách ly, điều trị tập trung<span style="">.</span></p> <p><iframe src="https://cdn.tuoitre.vn/2021/6/2/Magazine/mobile20210602094501/index.html" width="100%" height="200" style="border-width: initial; border-style: none;"></iframe> </p> <div class="VCSortableInPreviewMode" type="wrapnote" data-border="#de2626" style="border-color: rgb(222, 38, 38); border-style: solid; border-width: 1px;"> <p>Đến sáng nay 12-7, số ca mắc COVID-19 riêng tại TP.HCM trong đợt dịch này đã là 13.556 người và đang tiếp tục gia tăng nhanh. Một số tỉnh thành lân cận cũng có số mắc cao. </p> <p>Theo thống kê của Cục Quản lý khám chữa bệnh, có 55,1% bệnh nhân COVID-19 đang điều trị chưa có triệu chứng lâm sàng, trên 36% có biểu hiện lâm sàng ở mức nhẹ, 3,3% biểu hiện lâm sàng mức trung bình.</p> </div> <div class="VCSortableInPreviewMode" type="wrapnote" data-border="#bb2020" style="border-color: rgb(187, 32, 32); border-style: solid; border-width: 1px;"> <p><b>HỎI – ĐÁP về dịch COVID-19</b></p> <p>Từ ngày 8-7, báo Tuổi Trẻ tổ chức chuyên mục <b>HỎI – ĐÁP về dịch COVID-19.</b> Chuyên mục này sẽ đáp ứng nhu cầu thông tin cụ thể của bạn đọc về các vấn đề dân sinh. Bạn đọc có thể đặt câu hỏi trong phần comment của mỗi bài.</p> <p>Các câu hỏi sẽ được báo Tuổi Trẻ chuyển đến các chuyên gia, các nhà quản lý, các cơ quan có chức năng để phần nào giải đáp những thắc mắc của bạn đọc liên quan đến chính sách, cơ chế, quy định… đang được triển khai, đặc biệt trong mùa dịch COVID-19 khi TP.HCM thực hiện chỉ thị 16 của Chính phủ trong 15 ngày để dập dịch.</p> </div></div> <p>=> Xem thêm: <a href="https://cntt.tv/suc-khoe/">Sức khỏe và đời sống </a></p> </div> </div> <div class="jeg_ad jeg_article jnews_content_bottom_ads "><div class='ads-wrapper '><a href='#' class='adlink '><img src='https://cntt.tv/wp-content/uploads/2019/12/ad_728x90.png' alt='' data-pin-no-hover="true"></a></div></div><div class="jnews_prev_next_container"></div><div class="jnews_author_box_container"><div class="jeg_authorbox"> <div class="jeg_author_image"> <img alt='cntttv' src='https://secure.gravatar.com/avatar/439191d6473967e431ff3880bbbb4239?s=80&d=mm&r=g' 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T\u00f9y t\u1eebng \u1ed5 d\u1ecbch m\u00e0 s\u1ed1 F1 s\u1ebd tr\u1edf th\u00e0nh F0 nhi\u1ec1u hay \u00edt.<\/p><p class=\"\">Quan \u0111i\u1ec3m c\u00e1ch ly F0: Ch\u00ednh v\u00ec F0 l\u00e0 ng\u01b0\u1eddi mang virus SARS-CoV-2 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111i c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb. Tuy v\u1eady, t\u1ea1i c\u00e1c n\u01b0\u1edbc do s\u1ed1 ng\u01b0\u1eddi b\u1ecb nhi\u1ec5m (F0) qu\u00e1 nhi\u1ec1u d\u1eabn \u0111\u1ebfn qu\u00e1 t\u1ea3i h\u1ec7 th\u1ed1ng \u0111i\u1ec1u tr\u1ecb, c\u00e1ch ly, n\u00ean c\u00e1c n\u01b0\u1edbc \u0111\u00f3 \u0111\u00e3 \u0111\u1ec3 F0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u1eb9 t\u1ef1 \u0111i\u1ec1u tr\u1ecb, c\u00e1ch ly t\u1ea1i nh\u00e0 v\u00e0 kh\u1ea3 n\u0103ng l\u00e2y lan ra c\u00e1c th\u00e0nh vi\u00ean trong gia \u0111inh r\u1ea5t cao.<\/p><p class=\"\">T\u1ea1i Vi\u1ec7t Nam hi\u1ec7n nay ch\u01b0a b\u1ecb qu\u00e1 t\u1ea3i h\u1ec7 th\u1ed1ng \u0111i\u1ec1u tr\u1ecb (k\u1ec3 c\u1ea3 TP.HCM) n\u00ean v\u1eabn c\u1ea7n thi\u1ebft \u0111\u01b0a F0 \u0111i \u0111i\u1ec1u tr\u1ecb ho\u1eb7c c\u00e1ch ly nh\u01b0ng c\u1ea7n ph\u00e2n lo\u1ea1i F0. <\/p><p class=\"\">Nh\u1eefng F0 c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1eb7ng ph\u1ea3i \u0111\u01b0a th\u1eb3ng \u0111\u1ebfn c\u01a1 s\u1edf c\u1ea5p c\u1ee9u, \u0111i\u1ec1u tr\u1ecb. <\/p><p class=\"\">Nh\u1eefng F0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c tri\u1ec7u ch\u1ee9ng nh\u1eb9 \u0111\u01b0\u1ee3c c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb t\u1ea1i khu ri\u00eang ch\u1ec9 c\u1ea7n theo d\u00f5i ho\u1eb7c \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n gi\u1ea3n, nh\u1eb1m n\u00e2ng cao th\u1ec3 tr\u1ea1ng cho b\u1ec7nh nh\u00e2n, trong qu\u00e1 tr\u00ecnh theo d\u00f5i n\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1eb7ng th\u00ec \u0111\u01b0a \u0111\u1ebfn c\u01a1 s\u1edf c\u1ea5p c\u1ee9u. <\/p><p class=\"\">Th\u1ef1c hi\u1ec7n nh\u01b0 v\u1eady s\u1ebd tr\u00e1nh \u0111\u01b0\u1ee3c l\u00e2y nhi\u1ec5m v\u00e0 gi\u1ea3m t\u1eed vong.<\/p><p class=\"\">Quan \u0111i\u1ec3m c\u00e1ch ly F1: Do hi\u1ec7n nay d\u1ecbch l\u00e2y lan r\u1ed9ng, s\u1ed1 m\u1eafc (F0) nhi\u1ec1u v\u00e0 nh\u01b0 v\u1eady s\u1ed1 l\u01b0\u1ee3ng F1 r\u1ea5t nhi\u1ec1u, kh\u00f4ng \u0111\u1ee7 c\u01a1 s\u1edf c\u00e1ch ly t\u1eadp trung \u0111\u1ee7 ti\u00eau chu\u1ea9n. V\u00ec v\u1eady c\u00f3 th\u1ec3 \u0111\u1ec3 F1 c\u00e1ch ly t\u1ea1i nh\u00e0 \u0111\u1ec3 tr\u00e1nh l\u00e2y nhi\u1ec5m ch\u00e9o n\u1ebfu \u0111\u01b0a F1 c\u00e1ch ly t\u1eadp trung t\u1ea1i c\u01a1 s\u1edf kh\u00f4ng \u0111\u1ee7 ti\u00eau chu\u1ea9n. <\/p><p class=\"\">Tuy v\u1eady, vi\u1ec7c c\u00e1ch ly t\u1ea1i nh\u00e0 y\u00eau c\u1ea7u \u0111i\u1ec1u ki\u1ec7n v\u1ec1 nh\u00e0 c\u1eeda, v\u1eadt d\u1ee5ng (B\u1ed9 Y t\u1ebf \u0111\u00e3 c\u00f3 h\u01b0\u1edbng d\u1eabn), \u0111\u1eb7c bi\u1ec7t tr\u00e1ch nhi\u1ec7m c\u1ee7a ng\u01b0\u1eddi \u0111\u01b0\u1ee3c c\u00e1ch ly v\u00e0 chinh quy\u1ec1n \u0111\u1ecba ph\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh l\u00e2y lan cho ng\u01b0\u1eddi trong gia \u0111inh v\u00e0 c\u1ed9ng \u0111\u1ed3ng. Trong qu\u00e1 tr\u00ecnh theo d\u00f5i, x\u00e9t nghi\u1ec7m n\u1ebfu c\u00f3 F1 chuy\u1ec3n th\u00e0nh F0 s\u1ebd chuy\u1ec3n \u0111i c\u00e1ch ly, \u0111i\u1ec1u tr\u1ecb t\u1eadp trung<span style=\"\">.<\/span><\/p><p><iframe src=\"https:\/\/cdn.tuoitre.vn\/2021\/6\/2\/Magazine\/mobile20210602094501\/index.html\" width=\"100%\" height=\"200\" style=\"border-width: initial; border-style: none;\"><\/iframe> <\/p><div class=\"VCSortableInPreviewMode\" type=\"wrapnote\" data-border=\"#de2626\" style=\"border-color: rgb(222, 38, 38); border-style: solid; border-width: 1px;\"><p>\u0110\u1ebfn s\u00e1ng nay 12-7, s\u1ed1 ca m\u1eafc COVID-19 ri\u00eang t\u1ea1i TP.HCM trong \u0111\u1ee3t d\u1ecbch n\u00e0y \u0111\u00e3 l\u00e0 13.556 ng\u01b0\u1eddi v\u00e0 \u0111ang ti\u1ebfp t\u1ee5c gia t\u0103ng nhanh. M\u1ed9t s\u1ed1 t\u1ec9nh th\u00e0nh l\u00e2n c\u1eadn c\u0169ng c\u00f3 s\u1ed1 m\u1eafc cao. <\/p><p>Theo th\u1ed1ng k\u00ea c\u1ee7a C\u1ee5c Qu\u1ea3n l\u00fd kh\u00e1m ch\u1eefa b\u1ec7nh, c\u00f3 55,1% b\u1ec7nh nh\u00e2n COVID-19 \u0111ang \u0111i\u1ec1u tr\u1ecb ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, tr\u00ean 36% c\u00f3 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u1edf m\u1ee9c nh\u1eb9, 3,3% bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng m\u1ee9c trung b\u00ecnh.<br\/><\/p><\/div><div class=\"VCSortableInPreviewMode\" type=\"wrapnote\" data-border=\"#bb2020\" style=\"border-color: rgb(187, 32, 32); border-style: solid; border-width: 1px;\"><p><b>H\u1eceI - \u0110\u00c1P v\u1ec1 d\u1ecbch COVID-19<\/b><\/p><p>T\u1eeb ng\u00e0y 8-7, b\u00e1o Tu\u1ed5i Tr\u1ebb t\u1ed5 ch\u1ee9c chuy\u00ean m\u1ee5c <b>H\u1eceI - \u0110\u00c1P v\u1ec1 d\u1ecbch COVID-19.<\/b> Chuy\u00ean m\u1ee5c n\u00e0y s\u1ebd \u0111\u00e1p \u1ee9ng nhu c\u1ea7u th\u00f4ng tin c\u1ee5 th\u1ec3 c\u1ee7a b\u1ea1n \u0111\u1ecdc v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 d\u00e2n sinh. B\u1ea1n \u0111\u1ecdc c\u00f3 th\u1ec3 \u0111\u1eb7t c\u00e2u h\u1ecfi trong ph\u1ea7n comment c\u1ee7a m\u1ed7i b\u00e0i.<\/p><p>C\u00e1c c\u00e2u h\u1ecfi s\u1ebd \u0111\u01b0\u1ee3c b\u00e1o Tu\u1ed5i Tr\u1ebb chuy\u1ec3n \u0111\u1ebfn c\u00e1c chuy\u00ean gia, c\u00e1c nh\u00e0 qu\u1ea3n l\u00fd, c\u00e1c c\u01a1 quan c\u00f3 ch\u1ee9c n\u0103ng \u0111\u1ec3 ph\u1ea7n n\u00e0o gi\u1ea3i \u0111\u00e1p nh\u1eefng th\u1eafc m\u1eafc c\u1ee7a b\u1ea1n \u0111\u1ecdc li\u00ean quan \u0111\u1ebfn ch\u00ednh s\u00e1ch, c\u01a1 ch\u1ebf, quy \u0111\u1ecbnh... \u0111ang \u0111\u01b0\u1ee3c tri\u1ec3n khai, \u0111\u1eb7c bi\u1ec7t trong m\u00f9a d\u1ecbch COVID-19 khi TP.HCM th\u1ef1c hi\u1ec7n ch\u1ec9 th\u1ecb 16 c\u1ee7a Ch\u00ednh ph\u1ee7 trong 15 ng\u00e0y \u0111\u1ec3 d\u1eadp d\u1ecbch.<\/p><\/div>\n <\/div>\r\n\r\n=> Xem th\u00eam: <a href=\"https:\/\/cntt.tv\/suc-khoe\/\">S\u1ee9c kh\u1ecfe v\u00e0 \u0111\u1eddi s\u1ed1ng <\/a>","author":{"@type":"Person","name":"cntttv","url":"https:\/\/cntt.tv\/author\/cntttv\/"},"articleSection":["S\u1ee9c Kh\u1ecfe"],"image":{"@type":"ImageObject","url":"https:\/\/cntt.tv\/wp-content\/uploads\/2021\/07\/img6621-16259126503632090493961-crop-1626057308547305267956.jpg","width":600,"height":315},"publisher":{"@type":"Organization","name":"","url":"https:\/\/cntt.tv","logo":{"@type":"ImageObject","url":""},"sameAs":["http:\/\/facebook.com","http:\/\/twitter.com","http:\/\/plus.google.com","http:\/\/pinterest.com","#","#"]}}</script> <script type='application/ld+json'>{"@context":"http:\/\/schema.org","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"item":{"@id":"https:\/\/cntt.tv","name":"Home"}},{"@type":"ListItem","position":2,"item":{"@id":"https:\/\/cntt.tv\/suc-khoe\/","name":"S\u1ee9c Kh\u1ecfe"}}]}</script> </body> </html>