{"id":147374,"date":"2021-08-13T01:29:46","date_gmt":"2021-08-13T01:29:46","guid":{"rendered":"https:\/\/labinsights.com\/acf_article\/bon-cach-cong-dong-vi-nguoi-benh-dong-mau-tren-toan-cau-ung-pho-voi-dai-dich-covid-19\/"},"modified":"2026-02-24T10:58:41","modified_gmt":"2026-02-24T10:58:41","slug":"four-ways-the-global-coagulation-community-responded-to-the-covid-19-pandemic","status":"publish","type":"acf_article","link":"https:\/\/labinsights.com\/vi\/management\/clinician-engagement\/four-ways-the-global-coagulation-community-responded-to-the-covid-19-pandemic\/","title":{"rendered":"B\u1ed1n c\u00e1ch c\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u tr\u00ean to\u00e0n c\u1ea7u \u1ee9ng ph\u00f3 v\u1edbi \u0111\u1ea1i d\u1ecbch COVID-19"},"content":{"rendered":"

K\u1ec3 t\u1eeb khi \u0111\u1ea1i d\u1ecbch COVID-19 b\u00f9ng ph\u00e1t, ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5y nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng n\u1eb7ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh l\u00fd \u0111\u00f4ng m\u00e1u li\u00ean quan \u0111\u1ebfn COVID. C\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u tr\u00ean to\u00e0n c\u1ea7u \u0111\u00e3 ph\u1ea3n \u1ee9ng nhanh ch\u00f3ng, trong \u0111\u00f3 nhi\u1ec1u hi\u1ec7p h\u1ed9i xem x\u00e9t d\u1eef li\u1ec7u c\u00f3 s\u1eb5n c\u0169ng nh\u01b0 cung c\u1ea5p c\u00e1c khuy\u1ebfn ngh\u1ecb v\u00e0 t\u00e0i nguy\u00ean gi\u00e1o d\u1ee5c [1]. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u c\u0169ng \u0111i \u0111\u1ea7u trong m\u1ed9t th\u1eed nghi\u1ec7m ph\u00e2n ng\u1eabu nhi\u00ean, \u0111a n\u1ec1n t\u1ea3ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 c\u1ed9ng \u0111\u1ed3ng \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh t\u1ed1t h\u01a1n trong vi\u1ec7c qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n COVID-19 nh\u1eadp vi\u1ec7n.<\/p>\n

V\u1edbi s\u1ef1 ra \u0111\u1eddi c\u1ee7a c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ti\u00eam ch\u1ee7ng COVID-19, t\u00ecnh tr\u1ea1ng c\u1ee5c m\u00e1u \u0111\u00f4ng li\u00ean quan \u0111\u1ebfn v\u1eafc-xin COVID d\u1ef1a tr\u00ean adenovirus \u2013 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Gi\u1ea3m ti\u1ec3u c\u1ea7u huy\u1ebft kh\u1ed1i sau ti\u00eam v\u1eafc-xin (VITT) \u2013 n\u1ed5i l\u00ean nh\u01b0 m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u00e1ng quan ng\u1ea1i m\u1edbi. V\u1edbi v\u1ea5n \u0111\u1ec1 n\u00e0y, c\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u \u0111\u00e3 ph\u1ea3n \u1ee9ng nhanh ch\u00f3ng b\u1eb1ng c\u00e1ch x\u00e2y d\u1ef1ng c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 qu\u1ea3n l\u00fd cho t\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p nh\u01b0ng nghi\u00eam tr\u1ecdng n\u00e0y. C\u1ed9ng \u0111\u1ed3ng c\u0169ng h\u1ed7 tr\u1ee3 c\u00e1c chi\u1ebfn d\u1ecbch truy\u1ec1n th\u00f4ng c\u00f4ng c\u1ed9ng \u0111\u1ec3 chia s\u1ebb nh\u1eefng th\u00f4ng tin li\u00ean quan \u0111\u1ebfn VITT v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ti\u00eam ch\u1ee7ng trong cu\u1ed9c chi\u1ebfn ch\u1ed1ng l\u1ea1i COVID-19 [2].<\/p>\n

D\u01b0\u1edbi \u0111\u00e2y l\u00e0 b\u1ed1n c\u00e1ch m\u00e0 c\u00e1c ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u00e3 h\u1ee3p t\u00e1c ch\u1eb7t ch\u1ebd \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c th\u00e1ch th\u1ee9c v\u1ec1 b\u1ec7nh l\u00fd \u0111\u00f4ng m\u00e1u li\u00ean quan \u0111\u1ebfn nhi\u1ec5m COVID v\u00e0 ti\u00eam ch\u1ee7ng COVID.<\/p>\n

Ti\u1ebfp t\u1ee5c h\u1ee3p t\u00e1c gi\u1eefa ph\u00f2ng x\u00e9t nghi\u1ec7m v\u00e0 b\u00e1c s\u0129 l\u00e2m s\u00e0ng trong nghi\u00ean c\u1ee9u \u0111\u00f4ng m\u00e1u<\/h3>\n

Ngay c\u1ea3 tr\u01b0\u1edbc khi \u0111\u1ea1i d\u1ecbch x\u1ea3y ra, \u0111\u00f4ng m\u00e1u v\u1eabn lu\u00f4n l\u00e0 m\u1ed9t chuy\u00ean ng\u00e0nh m\u00e0 c\u1ea3 quan s\u00e1t l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m \u0111\u1ec1u b\u1ed5 tr\u1ee3 cho nhau r\u1ea5t ch\u1eb7t ch\u1ebd. T\u1eeb ch\u1ea9n \u0111o\u00e1n \u0111\u1ebfn qu\u1ea3n l\u00fd, c\u00e1c d\u1ecbch v\u1ee5 ph\u00f2ng x\u00e9t nghi\u1ec7m l\u00e2m s\u00e0ng lu\u00f4n \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c cung c\u1ea5p th\u00f4ng tin chuy\u00ean s\u00e2u cho c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng. C\u00f9ng v\u1edbi c\u00e1c quan s\u00e1t l\u00e2m s\u00e0ng, c\u00e1c d\u1ecbch v\u1ee5 n\u00e0y \u0111\u1ecbnh h\u00ecnh ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i cho b\u1ec7nh nh\u00e2n. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ee7a COVID-19, th\u00f4ng tin chuy\u00ean s\u00e2u t\u1eeb d\u1eef li\u1ec7u ph\u00f2ng x\u00e9t nghi\u1ec7m lu\u00f4n l\u00e0 y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y nh\u1eefng ph\u00e1t hi\u1ec7n ch\u00ednh v\u00e0 nh\u1eefng ph\u00e1t tri\u1ec3n quan tr\u1ecdng trong s\u1ef1 hi\u1ec3u bi\u1ebft c\u1ee7a ch\u00fang ta v\u1ec1 c\u00e1c b\u1ec7nh l\u00fd \u0111\u00f4ng m\u00e1u li\u00ean quan \u0111\u1ebfn COVID, bao g\u1ed3m c\u1ea3 VITT [3].<\/p>\n

C\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 l\u00e2m s\u00e0ng cho b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/h3>\n

Thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i \u0111\u00e3 \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5 v\u00e0 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u trong c\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u t\u1eeb l\u00e2u. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7t ra c\u00e2u h\u1ecfi li\u1ec7u vi\u1ec7c thay \u0111\u1ed5i li\u1ec1u l\u01b0\u1ee3ng trong ph\u00e1c \u0111\u1ed3 d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n COVID-19 n\u1eb7ng hay kh\u00f4ng. V\u1edbi vi\u1ec7c b\u1eaft \u0111\u1ea7u th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng qu\u1ed1c t\u1ebf, ph\u00e2n ng\u1eabu nhi\u00ean, \u0111a n\u1ec1n t\u1ea3ng, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111ang n\u1ed7 l\u1ef1c \u0111\u01b0a ra c\u00e2u tr\u1ea3 l\u1eddi nhanh ch\u00f3ng cho c\u00e2u h\u1ecfi n\u00e0y. \u0110\u00e2y l\u00e0 s\u1ef1 h\u1ee3p t\u00e1c m\u1edbi l\u1ea1 trong l\u0129nh v\u1ef1c nghi\u00ean c\u1ee9u ch\u1ed1ng \u0111\u00f4ng m\u00e1u, \u0111\u01b0\u1ee3c th\u00fac \u0111\u1ea9y b\u1edfi m\u1ee5c \u0111\u00edch chung l\u00e0 gi\u00fap c\u1ed9ng \u0111\u1ed3ng \u0111\u00e1nh gi\u00e1 chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u00e0o l\u00e0 t\u1ed1t nh\u1ea5t \u0111\u1ec3 tri\u1ec3n khai cho nh\u1eefng b\u1ec7nh nh\u00e2n d\u1ec5 b\u1ecb t\u1ed5n th\u01b0\u01a1ng [4].<\/p>\n

S\u1ef1 tham gia c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ho\u1ea1t \u0111\u1ed9ng y t\u1ebf c\u00f4ng c\u1ed9ng<\/h3>\n

V\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a VITT, c\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u c\u0169ng ng\u00e0y c\u00e0ng c\u1ea7n ph\u1ea3i \u0111\u00f3ng vai tr\u00f2 t\u00edch c\u1ef1c h\u01a1n trong y t\u1ebf c\u00f4ng c\u1ed9ng v\u00e0 ph\u1ed5 bi\u1ebfn ki\u1ebfn th\u1ee9c cho b\u1ec7nh nh\u00e2n. Vi\u1ec7c gi\u1ea3i quy\u1ebft nh\u1eefng lo ng\u1ea1i c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean c\u1ee7a nhi\u1ec1u l\u00e3nh \u0111\u1ea1o trong c\u1ed9ng \u0111\u1ed3ng [5]. B\u1eb1ng c\u00e1ch ti\u1ebfp c\u1eadn c\u00f4ng ch\u00fang v\u00e0 truy\u1ec1n \u0111\u1ea1t c\u00e1c th\u00f4ng tin khoa h\u1ecdc v\u00e0 th\u00f4ng \u0111i\u1ec7p nh\u1ea5t qu\u00e1n, c\u00f4ng ch\u00fang c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh s\u00e1ng su\u1ed1t h\u01a1n tr\u00ean c\u01a1 s\u1edf \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin [6].<\/p>\n

Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p l\u00e0m vi\u1ec7c m\u1edbi<\/h3>\n

L\u1ef1c l\u01b0\u1ee3ng \u0110\u1eb7c nhi\u1ec7m COVID-19 c\u1ee7a International Society on Thrombosis and Haemostasis (ISTH) \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp tr\u01b0\u1edbc gi\u1eefa n\u0103m 2020 \u0111\u00e3 gi\u00fap \u0111\u1ecbnh h\u01b0\u1edbng cho c\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u trong c\u00e1c giai \u0111o\u1ea1n kh\u00e1c nhau c\u1ee7a \u0111\u1ea1i d\u1ecbch. C\u00f9ng v\u1edbi c\u00e1c hi\u1ec7p h\u1ed9i kh\u00e1c, h\u1ecd \u0111\u00e3 chia s\u1ebb nh\u1eefng h\u01b0\u1edbng d\u1eabn r\u00f5 r\u00e0ng v\u00e0 n\u1ed9i dung c\u00f3 li\u00ean quan. S\u1ef1 s\u1eb5n l\u00f2ng h\u1ee3p t\u00e1c c\u1ee7a c\u00e1c th\u00e0nh vi\u00ean \u0111\u00e3 cho ph\u00e9p c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c ho\u00e0n th\u00e0nh trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3, bao g\u1ed3m c\u1ea3 vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm VITT. C\u1ed9ng \u0111\u1ed3ng v\u00ec b\u1ec7nh nh\u00e2n \u0111\u00f4ng m\u00e1u \u0111ang g\u1eb7t h\u00e1i nh\u1eefng l\u1ee3i \u00edch t\u1eeb nh\u1eefng c\u00e1ch l\u00e0m vi\u1ec7c m\u1edbi n\u00e0y v\u00e0 c\u0169ng \u0111ang x\u00e2y d\u1ef1ng s\u1ef1 b\u1ec1n b\u1ec9 cho b\u1ea5t k\u1ef3 th\u00e1ch th\u1ee9c n\u00e0o s\u1eafp t\u1edbi [7].<\/p>\n

\u0110\u1ec3 t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 c\u00e1ch c\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u \u1ee9ng ph\u00f3 v\u1edbi \u0111\u1ea1i d\u1ecbch, h\u00e3y xem cu\u1ed9c ph\u1ecfng v\u1ea5n g\u1ea7n \u0111\u00e2y v\u1edbi Bs. Ng Heng Joo<\/a>, Tr\u01b0\u1edfng khoa ki\u00eam B\u00e1c s\u0129 T\u01b0 v\u1ea5n Cao c\u1ea5p t\u1ea1i Khoa Huy\u1ebft h\u1ecdc t\u1ea1i Singapore General Hospital, n\u01a1i \u00f4ng ch\u0103m s\u00f3c cho c\u00e1c b\u1ec7nh nh\u00e2n COVID-19.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/em>
\n[1]<\/a> COVID-19 in Journal of Thrombosis and Haemostasis, a timely collection of article relating to the Coronavirus outbreak.<\/p>\n

[2]<\/a> \u201cWhen COVID-19 calls, an\u00a0ISTH task force answers\u201d, ISTH 2021<\/p>\n

[3]<\/a> Bell, R. et al. (2020) The hematology laboratory\u2019s response to the COVID-19 pandemic: A scoping review. International Journal of Laboratory Hematology. 43(2), pp148-159.<\/p>\n

[4]<\/a> \u201cThe right anticoagulation dose in COVID-19? Final answer remains elusive\u201d, tctMD<\/p>\n

[5] World Health Organisation Guidance for clinical case management of thrombosis with thrombocytopenia syndrome (TTS) following vaccination to prevent coronavirus disease (COVID-19)<\/p>\n

[6]<\/a> \u201cEmergence of VITT: The role of prompt and intensified worldwide research collaboration\u201d, ISTH 2021<\/p>\n

[7] <\/a>ISTH Global Response to COVID-19<\/p>\n","protected":false},"excerpt":{"rendered":"

K\u1ec3 t\u1eeb khi \u0111\u1ea1i d\u1ecbch COVID-19 b\u00f9ng ph\u00e1t, ng\u00e0y c\u00e0ng c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5y nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb nhi\u1ec5m tr\u00f9ng n\u1eb7ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh l\u00fd \u0111\u00f4ng m\u00e1u li\u00ean quan \u0111\u1ebfn COVID. C\u1ed9ng \u0111\u1ed3ng v\u00ec ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f4ng m\u00e1u tr\u00ean to\u00e0n c\u1ea7u \u0111\u00e3 ph\u1ea3n \u1ee9ng nhanh ch\u00f3ng, trong \u0111\u00f3 nhi\u1ec1u hi\u1ec7p […]<\/p>\n","protected":false},"author":1,"featured_media":85276,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center 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