{"id":4091,"date":"2020-08-12T05:43:53","date_gmt":"2020-08-11T22:43:53","guid":{"rendered":"https:\/\/2020.envisafety.com\/vi201\/?p=4091"},"modified":"2021-07-12T23:53:26","modified_gmt":"2021-07-12T16:53:26","slug":"xet-nghiem-huyet-thanh-test-serologique","status":"publish","type":"post","link":"https:\/\/2020.envisafety.com\/vi201\/vi\/song-khoe\/xet-nghiem-huyet-thanh-test-serologique.html","title":{"rendered":"X\u00e9t nghi\u1ec7m huy\u1ebft thanh ::: test s\u00e9rologique"},"content":{"rendered":"<p>Ph\u00e1p c\u00f3 c\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m b\u1ec7nh COVID-19 g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/2020.envisafety.com\/vi201\/vi\/song-khoe\/xet-nghiem-covid-19.html\">X\u00e9t nghi\u1ec7m virus<\/a>\u00a0:::\u00a0<span class=\"d_fr\">test virologique<\/span> (RT-PCR) ph\u00e1t hi\u1ec7n v\u1eadt ch\u1ea5t di truy\u1ec1n c\u1ee7a coronavirus c\u1ea7n ph\u00e2n t\u00edch k\u00e9o d\u00e0i v\u00e0i gi\u1edd trong ph\u00f2ng th\u00ed nghi\u1ec7m. X\u00e9t nghi\u1ec7m n\u00e0y cho ph\u00e9p x\u00e1c \u0111\u1ecbnh m\u1ed9t ng\u01b0\u1eddi c\u00f3 mang virus t\u1ea1i th\u1eddi \u0111i\u1ec3m x\u00e9t nghi\u1ec7m nh\u1edd l\u1ea5y m\u1eabu qua \u0111\u01b0\u1eddng m\u0169i hay n\u01b0\u1edbc b\u1ecdt.<\/li>\n<li><a href=\"https:\/\/2020.envisafety.com\/vi201\/vi\/song-khoe\/xet-nghiem-huyet-thanh-test-serologique.html\">X\u00e9t nghi\u1ec7m huy\u1ebft thanh<\/a> :::\u00a0<span class=\"d_fr\">test s\u00e9rologique<\/span> ph\u00e1t hi\u1ec7n c\u00f3 kh\u00e1ng th\u1ec3 ::: <span class=\"d_fr\">anticorps<\/span>\u00a0ch\u1ed1ng l\u1ea1i coronavirus hay kh\u00f4ng. Nh\u1edd \u0111\u00f3 n\u00f3 ch\u1ec9 ra ng\u01b0\u1eddi n\u00e0y \u0111\u00e3 c\u00f3 nhi\u1ec5m virus SARS-CoV-2, d\u00f9 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng. X\u00e9t nghi\u1ec7m huy\u1ebft thanh th\u1ef1c hi\u1ec7n tr\u00ean m\u1eabu m\u00e1u :::\u00a0<span class=\"d_fr\">pr\u00e9l\u00e8vement sanguin<\/span>.<\/li>\n<li><a title=\"X\u00e9t nghi\u1ec7m kh\u00e1ng nguy\u00ean ::: le test antig\u00e9nique\" href=\"covid-19-xet-nghiem-khang-nguyen.html\">X\u00e9t nghi\u1ec7m kh\u00e1ng nguy\u00ean<\/a>\u00a0::: <span class=\"d_fr\">test antig\u00e8nique<\/span> ph\u00e1t hi\u1ec7n protein c\u1ee7a virus trong v\u00f2ng ch\u01b0a \u0111\u1ea7y 30 ph\u00fat th\u1ef1c hi\u1ec7n tr\u00ean m\u1eabu l\u1ea5y \u1edf m\u0169i h\u1ecdng. X\u00e9t nghi\u1ec7m kh\u00e1ng nguy\u00ean \u0111\u01b0\u1ee3c ph\u00e9p s\u1eed d\u1ee5ng t\u1ea1i Ph\u00e1p c\u00f3 \u0111\u1ed9 nh\u1ea1y l\u00e2m s\u00e0ng :::\u00a0<span class=\"d_fr\">sensibilit\u00e9 clinique<\/span>\u00a0l\u1edbn h\u01a1n ho\u1eb7c b\u1eb1ng 80% v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u l\u00e2m s\u00e0ng :::\u00a0<span class=\"d_fr\">sp\u00e9cificit\u00e9 clinique<\/span>\u00a0l\u1edbn h\u01a1n ho\u1eb7c b\u1eb1ng 99%.<\/li>\n<\/ul>\n<h2>X\u00e9t nghi\u1ec7m huy\u1ebft thanh<\/h2>\n<p>X\u00e9t nghi\u1ec7m huy\u1ebft thanh ph\u00e1t hi\u1ec7n c\u00f3 kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i coronavirus trong m\u1eabu m\u00e1u hay kh\u00f4ng. Nh\u1edd \u0111\u00f3 n\u00f3 ch\u1ec9 ra ng\u01b0\u1eddi n\u00e0y \u0111\u00e3 c\u00f3 nhi\u1ec5m virus SARS-CoV-2, d\u00f9 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>C\u00f3 nhi\u1ec1u kh\u00e1ng th\u1ec3, lo\u1ea1i kh\u00e1ng th\u1ec3 quan tr\u1ecdng nh\u1ea5t l\u00e0 IgM v\u00e0 IgG. C\u00f3 nhi\u1ec1u lo\u1ea1i x\u00e9t nghi\u1ec7m huy\u1ebft thanh\u00a0: x\u00e9t nghi\u1ec7m t\u1ef1 \u0111\u1ed9ng ELISA v\u00e0 x\u00e9t nghi\u1ec7m nhanh. Theo ch\u1ee9c n\u0103ng k\u0129 thu\u1eadt, m\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c d\u00f9ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ho\u1eb7c IgM, ho\u1eb7c IgG hay c\u1ea3 hai.<\/p>\n<h2>T\u1ea1i sao kh\u00f4ng x\u00e9t nghi\u1ec7m huy\u1ebft thanh t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi ?<\/h2>\n<p>M\u1ee5c ti\u00eau c\u1ee7a giai \u0111o\u1ea1n hi\u1ec7n t\u1ea1i l\u00e0 ng\u0103n ch\u1eb7n virus l\u01b0u h\u00e0nh. Do v\u1eady \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00f3 virus \u1edf m\u1ed9t ng\u01b0\u1eddi nh\u1eb1m ng\u01b0\u1eddi n\u00e0y c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n t\u1ea5t c\u1ea3 c\u00e1c c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 kh\u00f4ng l\u00e2y truy\u1ec1n virus. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u nh\u1ea5t \u0111\u1ec3 ch\u1ed1ng d\u1ecbch l\u00e0 x\u00e9t nghi\u1ec7m virus b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p RT-PCR ch\u1ec9 ra ng\u01b0\u1eddi \u0111\u00f3 c\u00f3 mang virus hay kh\u00f4ng ngay t\u1ea1i th\u1eddi \u0111i\u1ec3m l\u1ea5y m\u1eabu.<\/p>\n<p>Tuy nhi\u00ean, t\u1ec9 l\u1ec7 d\u00e2n s\u1ed1 b\u1ecb nhi\u1ec5m \u0111\u1eb7c bi\u1ec7t th\u1ea5p tr\u00ean l\u00e3nh th\u1ed5 qu\u1ed1c gia (d\u01b0\u1edbi 5% theo nhi\u1ec1u nghi\u00ean c\u1ee9u), ph\u1ea7n l\u1edbn ng\u01b0\u1eddi d\u00e2n kh\u00f4ng ph\u01a1i nhi\u1ec5m v\u1edbi virus. Ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1i tr\u00e0 kh\u00f4ng gi\u1edbi h\u1ea1n kh\u00f4ng c\u00f3 \u00fd ngh\u0129a v\u00ec ph\u1ea7n l\u1edbn s\u1ebd l\u00e0 \u00e2m t\u00ednh.<\/p>\n<p>Tuy nhi\u00ean, m\u1ed9t s\u1ed1 nh\u00f3m ng\u01b0\u1eddi c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng x\u00e9t nghi\u1ec7m huy\u1ebft thanh\u00a0:<\/p>\n<ul>\n<li>V\u00ec l\u00ed do c\u00f3 ph\u01a1i nhi\u1ec5m nhi\u1ec1u v\u1edbi virus. T\u1ea5t c\u1ea3 ng\u01b0\u1eddi ch\u0103m s\u00f3c \u1edf b\u1ec7nh vi\u1ec7n, \u1edf vi\u1ec7n d\u01b0\u1ee1ng l\u00e3o, c\u00e1c trung t\u00e2m y t\u1ebf x\u00e3 h\u1ed9i, ph\u00f2ng m\u1ea1ch trong th\u00e0nh ph\u1ed1 v\u00e0 trong c\u01a1 s\u1edf l\u01b0u tr\u00fa kh\u1ea9n c\u1ea5p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n huy\u1ebft thanh \u0111\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng mi\u1ec5n d\u1ecbch c\u1ee7a h\u1ecd.<\/li>\n<li>\u0110\u1ec3 x\u00e1c nh\u1eadn s\u1ef1 ki\u1ec7n m\u1ed9t ng\u01b0\u1eddi \u0111\u00e3 nhi\u1ec5m, khi h\u1ecd c\u00f3 tri\u1ec7u ch\u1ee9ng, nh\u01b0ng x\u00e9t nghi\u1ec7m \u0111\u1ea7u ti\u00ean b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p RT-PCR \u00e2m t\u00ednh. X\u00e9t nghi\u1ec7m huy\u1ebft thanh b\u1ed5 sung cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n.<\/li>\n<li>X\u00e9t t\u1edbi h\u1eadu qu\u1ea3, khi m\u1ed9t ng\u01b0\u1eddi kh\u00f4ng c\u00f2n tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u01b0a t\u1eebng x\u00e9t nghi\u1ec7m d\u01b0\u01a1ng t\u00ednh b\u1eb1ng x\u00e9t nghi\u1ec7m RT-PCR, \u0111\u1ec3 x\u00e1c nh\u1eadn r\u1eb1ng ng\u01b0\u1eddi \u0111\u00f3 \u0111\u00e3 t\u1eebng nhi\u1ec5m virus hay kh\u00f4ng v\u00e0 c\u0169ng tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/li>\n<\/ul>\n<h2>Ng\u01b0\u1eddi ta \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1edfi kh\u00e1ng th\u1ec3 trong bao l\u00e2u?<\/h2>\n<p>Nhi\u1ec1u nghi\u00ean c\u1ee9u khoa h\u1ecdc kh\u00e1c nhau tr\u00ean th\u1ebf gi\u1edbi x\u00e1c \u0111\u1ecbnh c\u00e1c kh\u00e1ng th\u1ec3\u00a0::: <span class=\"d_fr\">anticorp<\/span> (<span class=\"d_fr\">Immunoglobulines<\/span> hay <span class=\"d_fr\">Ig<\/span>) xu\u1ea5t hi\u1ec7n \u1edf nhi\u1ec1u giai \u0111o\u1ea1n kh\u00e1c nhau sau khi nhi\u1ec5m\u00a0:<\/p>\n<ul>\n<li>Kh\u00e1ng th\u1ec3 IgM \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n n\u1eb7ng nh\u1ea5t t\u1eeb ng\u00e0y th\u1ee9 7, v\u00e0 v\u00e0o tu\u1ea7n th\u1ee9 hai \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f2n l\u1ea1i. Kh\u00e1ng th\u1ec3 n\u00e0y kh\u00f4ng c\u00f2n trong m\u00e1u kho\u1ea3ng 3 tu\u1ea7n sau khi nhi\u1ec5m.<\/li>\n<li>Kh\u00e1ng th\u1ec3 IgG \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong m\u00e1u t\u1eeb ng\u00e0y th\u1ee9 14 sau khi nhi\u1ec5m. Kh\u00e1ng th\u1ec3 gi\u1ea3m t\u1eeb t\u1eeb v\u00e0 c\u00f2n trong m\u00e1u trong kho\u1ea3ng trung b\u00ecnh 40 ng\u00e0y theo nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t.<\/li>\n<\/ul>\n<p>V\u00e0o th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i, khoa h\u1ecdc ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u00e1ng th\u1ec3 b\u1ea3o v\u1ec7 kh\u1ecfi b\u1ecb l\u00e2y l\u00e2y nhi\u1ec5m m\u1edbi trong th\u1eddi gian bao l\u00e2u.<\/p>\n<p>L\u01b0u \u00fd l\u00e0 kh\u00f4ng ph\u00e1t hi\u1ec7n ra kh\u00e1ng th\u1ec3 IgG v\u00e0o l\u00fac m\u1edbi c\u00f3 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 cho th\u1ea5y c\u01a1 th\u1ec3 ch\u01b0a t\u1ea1o ra kh\u00e1ng th\u1ec3. Hi\u1ec7n t\u1ea1i, kh\u00f4ng ph\u00e1t hi\u1ec7n kh\u00e1ng th\u1ec3 IgM nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n ra kh\u00e1ng th\u1ec3 IgG n\u1ebfu l\u00e2y nhi\u1ec5m \u0111\u00e3 di\u1ec5n ra nhi\u1ec1u tu\u1ea7n tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>\u1ede ng\u01b0\u1eddi nhi\u1ec5m kh\u00f4ng tri\u1ec7u ch\u1ee9ng\u00a0hay c\u00f3 tri\u1ec7u ch\u1ee9ng, vi\u1ec7c xu\u1ea5t hi\u1ec7n kh\u00e1ng th\u1ec3 v\u1eabn c\u00f2n k\u00e9m \u0111\u1eb7c tr\u01b0ng. C\u00e1c nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t \u0111ang t\u00ecm hi\u1ec3u v\u1ec1 xu\u1ea5t hi\u1ec7n kh\u00e1ng th\u1ec3 b\u1ea5t k\u1ec3 d\u1ea1ng b\u1ec7nh n\u00e0o.<\/p>\n<h2>Li\u00ean k\u1ebft ch\u1ecdn l\u1ecdc<\/h2>\n<ul>\n<li>Test s\u00e9rologique COVID-19 : <a href=\"https:\/\/www.pharmaciedelabascule.com\/actualites-11-test-serologique-covid-19.html\" target=\"_blank\" rel=\"nofollow noopener sponsored ugc noreferrer\">pharmaciedelabascule.com<\/a><\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ul>\n<li>Le depistage. <a href=\"https:\/\/solidarites-sante.gouv.fr\/soins-et-maladies\/maladies\/maladies-infectieuses\/coronavirus\/tout-savoir-sur-la-covid-19\/article\/le-depistage\" target=\"_blank\" rel=\"nofollow noopener sponsored ugc noreferrer\">solidarites-sante.gouv.fr<\/a><\/li>\n<\/ul>\n<p>L\u00e0 tui, Minh H\u1ea3i \u0111x c\u1eadp nh\u1eadt ng\u00e0y 26\/5\/2021<\/p>\n","protected":false},"excerpt":{"rendered":"<p>X\u00e9t nghi\u1ec7m huy\u1ebft thanh t\u00ecm kh\u00e1ng th\u1ec3 ch\u1ed1ng virus SARS-CoV-2, t\u1ea1i sao kh\u00f4ng x\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 cho to\u00e0n d\u00e2n, ng\u01b0\u1eddi ta \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1edfi kh\u00e1ng th\u1ec3 trong bao l\u00e2u&#8230;<\/p>\n","protected":false},"author":2,"featured_media":4092,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,57],"tags":[61,98],"_links":{"self":[{"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/posts\/4091"}],"collection":[{"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/comments?post=4091"}],"version-history":[{"count":5,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/posts\/4091\/revisions"}],"predecessor-version":[{"id":4099,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/posts\/4091\/revisions\/4099"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/media\/4092"}],"wp:attachment":[{"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/media?parent=4091"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/categories?post=4091"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/2020.envisafety.com\/vi201\/wp-json\/wp\/v2\/tags?post=4091"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}