{"id":1695,"date":"2023-04-18T22:30:05","date_gmt":"2023-04-18T15:30:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1695"},"modified":"2023-04-19T10:02:30","modified_gmt":"2023-04-19T03:02:30","slug":"dot-quy-nao-nghiem-phap-danh-gia-roi-loan-nuot-va-can-thiep","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/dot-quy-nao-nghiem-phap-danh-gia-roi-loan-nuot-va-can-thiep\/","title":{"rendered":"\u0110\u1ed9t qu\u1ef5 n\u00e3o: Nghi\u1ec7m ph\u00e1p \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n nu\u1ed1t v\u00e0 can thi\u1ec7p"},"content":{"rendered":"<div class=\"page\" title=\"Page 90\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<div class=\"page\" title=\"Page 85\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p><strong>\u0110\u1ecd\u0302t quy\u0323 na\u0303o la\u0300 m\u1ecd\u0302t nho\u0301m b\u1eb9\u0302nh ga\u0302y t\u01b0\u0309 vong va\u0300 ta\u0300n t\u1ea1\u0302t \u0111\u01b0\u0301ng th\u01b0\u0301 hai tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i. R\u00f4\u0301i loa\u0323n nu\u00f4\u0301t la\u0300 v\u00e2\u0301n \u0111\u00ea\u0300 thu\u031b\u01a1\u0300ng g\u0103\u0323p \u01a1\u0309 Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh \u0111\u1ecd\u0302t quy\u0323 c\u00e2\u0301p. R\u00f4\u0301i loa\u0323n nu\u00f4\u0301t la\u0300m a\u0309nh hu\u031b\u01a1\u0309ng \u0111\u00ea\u0301n vi\u1eb9\u0302c cung c\u00e2\u0301p ch\u00e2\u0301t dinh du\u031b\u01a1\u0303ng cho ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh t\u01b0\u0300 \u0111o\u0301 d\u00e2\u0303n \u0111\u00ea\u0301n ti\u0300nh tra\u0323ng suy dinh du\u031b\u01a1\u0303ng va\u0300 m\u00e2\u0301t nu\u031b\u01a1\u0301c v\u01a1\u0301i ty\u0309 l\u1eb9\u0302 36%. Vi\u1eb9\u0302c qua\u0309n ly\u0301 r\u00f4\u0301i loa\u0323n nu\u00f4\u0301t kho\u0302ng nh\u01b0\u0303ng giu\u0301p ha\u0323n ch\u00ea\u0301 nguy co\u031b vie\u0302m ph\u00f4\u0309i hi\u0301t s\u0103\u0323c ma\u0300 co\u0300n giu\u0301p gia\u0309m nguy co\u031b suy dinh du\u031b\u01a1\u0303ng, gia\u0309m th\u01a1\u0300i gian n\u0103\u0300m vi\u1eb9\u0302n va\u0300 ti\u0309 l\u1eb9\u0302 t\u01b0\u0309 vong. D\u01b0\u1edbi \u0111\u00e2y xin tr\u00ecnh b\u00e0y \u1ea3nh h\u01b0\u1edfng c\u1ee7a r\u1ed1i lo\u1ea1n nu\u1ed1t, c\u00e1ch \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n nu\u1ed1t v\u00e0 can thi\u1ec7p dinh d\u01b0\u1ee1ng.<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 85\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h2>1. \u1ea2nh h\u01b0\u1edfng r\u1ed1i lo\u1ea1n nu\u1ed1t v\u00e0 can thi\u1ec7p<\/h2>\n<h3>1.1. R\u1ed1i lo\u1ea1n nu\u1ed1t \u1edf giai \u0111o\u1ea1n \u0111\u01b0a v\u00e0o<\/h3>\n<ul>\n<li>A\u0309nh hu\u031b\u01a1\u0309ng \u0111\u00ea\u0301n kha\u0309 na\u0306ng chu\u0301 y\u0301, kha\u0309 na\u0306ng t\u1ea1\u0302p trung va\u0300 ch\u01b0\u0301c na\u0306ng ca\u0309m nh\u1ea1\u0302n y\u00ea\u0301u \u0111i khi\u00ea\u0301n lu\u031b\u01a1\u0323ng th\u01b0\u0301c a\u0306n cung c\u00e2\u0301p va\u0300o gia\u0309m \u0111i.<\/li>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>R\u00f4\u0301i loa\u0323n chu\u0301 y\u0301 -&gt; M\u00e2\u0301t th\u01a1\u0300i gian va\u0300o vi\u1eb9\u0302c a\u0306n, lu\u031b\u01a1\u0323ng a\u0306n gia\u0309m -&gt; Suy dinh du\u031b\u01a1\u0303ng. Kho\u0302ng gi\u01b0\u0303 \u0111u\u031b\u01a1\u0323c tu\u031b th\u00ea\u0301 \u0111u\u0301ng -&gt; S\u0103\u0323c, nghe\u0323t th\u01a1\u0309<\/li>\n<li>H\u1ecd\u0302i ch\u01b0\u0301ng la\u0303ng que\u0302n n\u01b0\u0309a ngu\u031b\u01a1\u0300i -&gt; Lu\u031b\u01a1\u0323ng a\u0306n gia\u0309m do bo\u0309 th\u01b0\u0300a -&gt; Suy dinh du\u031b\u01a1\u0303ng<\/li>\n<li>R\u00f4\u0301i loa\u0323n tri\u0301 nh\u01a1\u0301 -&gt; Que\u0302n m\u00e2\u0301t \u0111i\u00ea\u0309m chu\u0301 y\u0301 khi a\u0306n -&gt; S\u0103\u0323c, nghe\u0323t th\u01a1\u0309<\/li>\n<li>R\u00f4\u0301i loa\u0323n ch\u01b0\u0301c na\u0306ng nh\u1ea1\u0302n th\u01b0\u0301c -&gt; A\u0309nh hu\u031b\u01a1\u0309ng \u0111\u00ea\u0301n kha\u0309 na\u0306ng a\u0306n.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"layoutArea\">\n<div class=\"column\">\n<ul>\n<li>Can thi\u1eb9\u0302p\n<ul>\n<li>Chi\u0309 \u0111i\u0323nh cho ngu\u031b\u01a1\u0300i nha\u0300 ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh v\u00ea\u0300 \u0111i\u00ea\u0309m chu\u0301 y\u0301 khi a\u0306n (Tu\u031b th\u00ea\u0301, t\u00f4\u0301c \u0111\u1ecd\u0302 a\u0306n, nhai ki\u0303)<\/li>\n<li>V\u01b0\u0300a \u0111\u0103\u0323t ca\u0302u ho\u0309i v\u01b0\u0300a chi\u0309 \u0111i\u0323nh ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh \u0111\u00ea\u0309 ta\u0323o y\u0301 th\u01b0\u0301c v\u00ea\u0300 vi\u1eb9\u0302c a\u0306n (Ki\u00ea\u0309m tra xem co\u0301 nh\u01a1\u0301 th\u01b0\u0323c \u0111o\u031bn nga\u0300y ho\u0302m qua, ca\u0309m nh\u1ea1\u0302n v\u00ea\u0300 hu\u031bo\u031bng vi\u0323 va\u0300 ca\u0301c \u0111i\u00ea\u0309m chu\u0301 y\u0301 khi a\u0306n).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h3>1.2. R\u1ed1i lo\u1ea1n \u1edf giai \u0111o\u1ea1n chu\u1ea9n b\u1ecb<\/h3>\n<ul>\n<li>A\u0309nh hu\u031b\u01a1\u0309ng \u0111\u00ea\u0301n:\n<ul>\n<li>Kha\u0309 na\u0306ng nhai gia\u0309m (kha\u0309 na\u0306ng di chuy\u00ea\u0309n cu\u0309a lu\u031b\u01a1\u0303i va\u0300 v\u1ea1\u0302n \u0111\u1ecd\u0302ng ha\u0300m y\u00ea\u0301u \u0111i)<\/li>\n<li>Kho\u0302ng hoa\u0300n toa\u0300n bi\u00ea\u0301n th\u01b0\u0301c a\u0306n tha\u0300nh mi\u00ea\u0301ng nho\u0309 (kha\u0309 na\u0306ng bi\u00ea\u0301n th\u01b0\u0301c a\u0306n tha\u0300nh da\u0323ng d\u00ea\u0303 nu\u00f4\u0301t gia\u0309m).<\/li>\n<\/ul>\n<\/li>\n<li>Can thi\u1eb9\u0302p:\n<ul>\n<li>Chi\u0309 \u0111i\u0323nh v\u00ea\u0300 k\u00ea\u0301t c\u00e2\u0301u th\u01b0\u0301c a\u0306n thi\u0301ch h\u01a1\u0323p (S\u01b0\u0309 du\u0323ng ba\u0309ng pha\u0302n loa\u0323i nu\u00f4\u0301t); \u00bb L\u01b0\u0323a cho\u0323n loa\u0323i th\u01b0\u0301c a\u0306n thi\u0301ch h\u01a1\u0323p (Cho xem loa\u0323i th\u01b0\u0323c ph\u00e2\u0309m cu\u0323 th\u00ea\u0309);<\/li>\n<li>Khuy\u00ea\u0301n ca\u0301o v\u00ea\u0300 th\u01b0\u0323c ph\u00e2\u0309m kho\u0302ng phu\u0300 h\u01a1\u0323p va\u0300 ca\u0301c chu\u0301 y\u0301 kha\u0301c;<\/li>\n<li>Th\u01b0\u0323c \u0111o\u031bn ne\u0302n cho\u0323n va\u0300 ca\u0301ch ch\u00ea\u0301 bi\u00ea\u0301n;<\/li>\n<li>Ca\u0301c phu\u031bo\u031bng pha\u0301p h\u00e2\u0301p thu\u0323 dinh du\u031b\u01a1\u0303ng c\u00e2\u0300n thi\u00ea\u0301t.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 86\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h3>1.3. R\u1ed1i lo\u1ea1n giai \u0111o\u1ea1n trong mi\u1ec7ng v\u00e0 h\u1ea7u<\/h3>\n<ul>\n<li>A\u0309nh hu\u031b\u01a1\u0309ng d\u00ea\u0301n:\n<ul>\n<li>Pha\u0309n xa\u0323 nu\u00f4\u0301t ch\u1ea1\u0302m;<\/li>\n<li>Vi\u0323 tri\u0301 cu\u0309a h\u00e2\u0300u (y\u00ea\u0301t h\u00e2\u0300u) bi\u0323 sa xu\u00f4\u0301ng.<\/li>\n<\/ul>\n<\/li>\n<li>Can thi\u1eb9\u0302p:\n<ul>\n<li>Chi\u0309 \u0111i\u0323nh v\u00ea\u0300 k\u00ea\u0301t c\u00e2\u0301u th\u01b0\u0301c a\u0306n thi\u0301ch h\u01a1\u0323p (S\u01b0\u0309 du\u0323ng ba\u0309ng pha\u0302n loa\u0323i nu\u00f4\u0301t); \u00bb L\u01b0\u0323a cho\u0323n loa\u0323i th\u01b0\u0301c a\u0306n thi\u0301ch h\u01a1\u0323p (Cho xem loa\u0323i th\u01b0\u0323c ph\u00e2\u0309m cu\u0323 th\u00ea\u0309);<\/li>\n<li>Khuy\u00ea\u0301n ca\u0301o v\u00ea\u0300 th\u01b0\u0323c ph\u00e2\u0309m kho\u0302ng phu\u0300 h\u01a1\u0323p va\u0300 ca\u0301c chu\u0301 y\u0301 kha\u0301c;<\/li>\n<li>Th\u01b0\u0323c \u0111o\u031bn ne\u0302n cho\u0323n va\u0300 ca\u0301ch ch\u00ea\u0301 bi\u00ea\u0301n;<\/li>\n<li>Ca\u0301c phu\u031bo\u031bng pha\u0301p h\u00e2\u0301p thu\u0323 dinh du\u031b\u01a1\u0303ng c\u00e2\u0300n thi\u00ea\u0301t.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<h2>2. Ch\u1ec9 \u0111\u1ecbnh nghi\u1ec7m ph\u00e1p \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n nu\u1ed1t<\/h2>\n<p>T\u00e2\u0300m soa\u0301t ch\u01b0\u0301c na\u0306ng nu\u00f4\u0301t th\u01b0\u0323c hi\u1eb9\u0302n cho t\u00e2\u0301t ca\u0309 ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh thi\u00ea\u0301u ma\u0301u na\u0303o hay xu\u00e2\u0301t huy\u00ea\u0301t na\u0303o tru\u031b\u01a1\u0301c khi cho a\u0306n, u\u00f4\u0301ng nu\u031b\u01a1\u0301c hay thu\u00f4\u0301c.<\/p>\n<h2>2. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nghi\u1ec7m ph\u00e1p \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n nu\u1ed1t<\/h2>\n<ul>\n<li>Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh co\u0301 Glasgow\u226411 \u0111i\u00ea\u0309m.<\/li>\n<li>Ti\u00ea\u0300n s\u01b0\u0309 co\u0301 b\u1eb9\u0302nh ly\u0301 ga\u0302y r\u00f4\u0301i loa\u0323n nu\u00f4\u0301t.<\/li>\n<\/ul>\n<h2>3. Chu\u1ea9n b\u1ecb<\/h2>\n<h3>3.1.Ngu\u031b\u01a1\u0300i th\u01b0\u0323c hi\u1eb9\u0302n<\/h3>\n<p>01 ba\u0301c si\u0303 va\u0300 01 \u0111i\u00ea\u0300u du\u031b\u01a1\u0303ng.<\/p>\n<h3>3.2. Phu\u031bo\u031bng ti\u1eb9\u0302n, du\u0323ng cu\u0323, thu\u00f4\u0301c<\/h3>\n<ul>\n<li>01 ma\u0301y theo do\u0303i (monitoring) co\u0301 g\u0103\u0301n thi\u00ea\u0301t bi\u0323 \u0111\u00e2\u0300u \u0111o SpO2.<\/li>\n<li>Bu\u0301t xanh, \u0111o\u0309, thu\u031b\u01a1\u0301c ke\u0309.<\/li>\n<li>Huy\u00ea\u0301t a\u0301p k\u00ea\u0301, \u00f4\u0301ng nghe.<\/li>\n<li>Khay ch\u01b0\u0303 nh\u1ea1\u0302t, tu\u0301i nilon.<\/li>\n<li>02 c\u00f4\u0301c nu\u031b\u01a1\u0301c chi\u0301n, b\u1ecd\u0302t a\u0306n li\u00ea\u0300n, ba\u0301nh my\u0300.<\/li>\n<li>Ba\u0301t, thi\u0300a sa\u0323ch.<\/li>\n<li>01 kha\u0306n bo\u0302ng nho\u0309, gi\u00e2\u0301y lau mi\u1eb9\u0302ng, ga\u0323c mi\u00ea\u0301ng, ga\u0306ng sa\u0323ch.<\/li>\n<li>Ca\u0301c dung di\u0323ch: dung di\u0323ch sa\u0301t khu\u00e2\u0309n tay nhanh, xa\u0300 pho\u0300ng r\u01b0\u0309a tay.<\/li>\n<li>Phi\u00ea\u0301u ghi k\u00ea\u0301t qua\u0309.<\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 91\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<h3>3.3. Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh<\/h3>\n<ul>\n<li>\u0110i\u00ea\u0300u du\u031b\u01a1\u0303ng tha\u0306m ho\u0309i ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh, gi\u01a1\u0301i thi\u1eb9\u0302u te\u0302n, ch\u01b0\u0301c danh cu\u0309a mi\u0300nh.<\/li>\n<li>Tho\u0302ng ba\u0301o, gia\u0309i thi\u0301ch cho ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh nh\u01b0\u0303ng \u0111i\u00ea\u0300u c\u00e2\u0300n thi\u00ea\u0301t.<\/li>\n<li>Ki\u00ea\u0309m tra ma\u0323ch, nhi\u1eb9\u0302t \u0111\u1ecd\u0302, huy\u00ea\u0301t a\u0301p.<\/li>\n<li>V\u1eb9\u0302 sinh sa\u0323ch se\u0303 r\u00f4\u0300i lau kho\u0302 vi\u0323 tri\u0301 l\u0103\u0301p b\u1ecd\u0302 ph\u1ea1\u0302n nh\u1ea1\u0302n ca\u0309m SpO2 (n\u00ea\u0301u c\u00e2\u0300n thi\u00ea\u0301t).<\/li>\n<\/ul>\n<h3>3.4. H\u00f4\u0300 so\u031b b\u1eb9\u0302nh a\u0301n<\/h3>\n<p>Ke\u0300m theo phi\u00ea\u0301u theo do\u0303i va\u0300 cha\u0306m so\u0301c ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh.<\/p>\n<h2>4. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/h2>\n<p><strong>1. Ki\u00ea\u0309m tra h\u00f4\u0300 so\u031b<\/strong><\/p>\n<p><strong>2. Ki\u00ea\u0309m tra ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh: \u0111\u00f4\u0301i chi\u00ea\u0301u v\u01a1\u0301i h\u00f4\u0300 so\u031b b\u1eb9\u0302nh a\u0301n.<\/strong><\/p>\n<p><strong>3. Th\u01b0\u0323c hi\u1eb9\u0302n ky\u0303 thu\u1ea1\u0302t<\/strong><\/p>\n<p><em>3.1. R\u01b0\u0309a tay, \u0111\u1ecd\u0302i mu\u0303, \u0111eo kh\u00e2\u0309u trang<\/em><\/p>\n<p><em>3.2. Ki\u00ea\u0309m tra la\u0323i du\u0323ng cu\u0323 va\u0300 mang \u0111\u00ea\u0301n be\u0302n giu\u031b\u01a1\u0300ng ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh<\/em><\/p>\n<p><em>3.3. \u0110\u1ea1\u0306t ma\u0301y theo do\u0303i (monitoring) va\u0300o vi\u0323 tri\u0301 thu\u1ea1\u0302n l\u01a1\u0323i, d\u00ea\u0303 nhi\u0300n, ch\u0103\u0301c ch\u0103\u0301n<\/em><\/p>\n<p><em>3.4. \u0110\u00ea\u0309 ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh \u01a1\u0309 tu\u031b th\u00ea\u0301 thi\u0301ch h\u01a1\u0323p, an toa\u0300n<\/em><\/p>\n<p><em>3.5. Gia\u0309i thi\u0301ch, \u0111\u1ecd\u0302ng vie\u0302n ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh ph\u00f4\u0301i h\u01a1\u0323p khi ti\u00ea\u0301n ha\u0300nh ky\u0303 thu\u1ea1\u0302t<\/em><\/p>\n<p><em>3.6. Ke\u0323p ho\u1ea1\u0306c da\u0301n b\u1ecd\u0302 ph\u1ea1\u0302n nh\u1ea1\u0302n ca\u0309m (sensor) \u01a1\u0309 \u0111\u00e2\u0300u ngo\u0301n tay, ngo\u0301n cha\u0302n, da\u0301i tai ho\u1ea1\u0306c b\u00e2\u0301t c\u01b0\u0301 t\u00f4\u0309 ch\u01b0\u0301c na\u0300o \u0111u\u031b\u01a1\u0323c tu\u031b\u01a1\u0301i ma\u0301u ma\u0300 co\u0301 th\u00ea\u0309 g\u0103\u0301n \u0111u\u031b\u01a1\u0323c<\/em><\/p>\n<p><em>3.7. Qua\u0300ng kha\u0306n bo\u0302ng quanh c\u00f4\u0309 ngu\u031b\u01a1\u0300i, \u0111\u1ea1\u0306t tu\u0301i nilon no\u031bi thi\u0301ch h\u01a1\u0323p<\/em><\/p>\n<p><em>3.8. \u0110i\u00ea\u0300u du\u031b\u01a1\u0303ng sa\u0301t khu\u00e2\u0309n tay, pha b\u1ecd\u0302t a\u0306n li\u00ea\u0300n \u0111u\u0309 \u0111\u1ecd\u0302 sa\u0301nh, \u0111i ga\u0306ng sa\u0323ch<\/em><\/p>\n<p><em>3.9. \u0110i\u00ea\u0300u du\u031b\u01a1\u0303ng ti\u00ea\u0301n ha\u0300nh nghi\u1eb9\u0302m pha\u0301p: \u0111a\u0301nh gia\u0301 ti\u0300nh tra\u0323ng nu\u00f4\u0301t cu\u0309a ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh <strong>theo thang \u0111i\u00ea\u0309m GUSS<\/strong> (co\u0301 s\u01b0\u0323 gia\u0301m sa\u0301t cu\u0309a ba\u0301c si\u0303).<\/em><\/p>\n<p><em>3.10. Ba\u0301c si\u0303 va\u0300 \u0111i\u00ea\u0300u du\u031b\u01a1\u0303ng t\u00f4\u0309ng h\u01a1\u0323p k\u00ea\u0301t qua\u0309 va\u0300o phi\u00ea\u0301u \u0111a\u0301nh gia\u0301<\/em><\/p>\n<p><em>3.11. Thu do\u0323n du\u0323ng cu\u0323, giu\u0301p ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh v\u00ea\u0300 tu\u031b th\u00ea\u0301 thoa\u0309i ma\u0301i, r\u01b0\u0309a tay<\/em><\/p>\n<p><em>3.12. Ghi phi\u00ea\u0301u theo do\u0303i va\u0300 cha\u0306m so\u0301c<\/em><\/p>\n<p>Nga\u0300y gi\u01a1\u0300 th\u01b0\u0323c hi\u1eb9\u0302n nghi\u1eb9\u0302m pha\u0301p, k\u00ea\u0301t qua\u0309 \u0111a\u0301nh gia\u0301 va\u0300 ch\u00ea\u0301 \u0111\u1ecd\u0302 a\u0306n phu\u0300 h\u01a1\u0323p cho ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh.<\/p>\n<h2>5. Theo d\u00f5i<\/h2>\n<p>Theo do\u0303i sa\u0301t \u0111a\u0301p \u01b0\u0301ng cu\u0309a ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh trong su\u00f4\u0301t qua\u0301 tri\u0300nh \u0111a\u0301nh gia\u0301. D\u01b0\u0300ng ngay vi\u1eb9\u0302c \u0111a\u0301nh gia\u0301 n\u00ea\u0301u ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh co\u0301 m\u1ecd\u0302t trong b\u00f4\u0301n d\u00e2\u0301u hi\u1eb9\u0302u cu\u0309a r\u00f4\u0301i loa\u0323n nu\u00f4\u0301t.<\/p>\n<p><em><strong>Ghi chu\u0301: <\/strong><\/em><\/p>\n<p><strong>5.1. Thang \u0111i\u00ea\u0309m GUSS (Gugging Swallowing Screen)<\/strong><\/p>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"page\" title=\"Page 92\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p><strong><em>L\u00e2\u0300n 1: \u0111a\u0301nh gia\u0301 gia\u0301n ti\u00ea\u0301p:<\/em><\/strong><\/p>\n<div class=\"page\" title=\"Page 92\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Cho ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh t\u01b0\u0323 la\u0300m sa\u0323ch ho\u0323ng b\u0103\u0300ng ca\u0301ch nu\u00f4\u0301t nu\u031b\u01a1\u0301c bo\u0323t tha\u0300nh co\u0302ng ho\u1ea1\u0306c t\u01b0\u0323 nu\u00f4\u0301t tro\u0302i 1ml nu\u031b\u01a1\u0301c lo\u0323c, n\u00ea\u0301u tha\u0300nh co\u0302ng chuy\u00ea\u0309n ti\u00ea\u0301p sang l\u00e2\u0300n 2.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<table>\n<tbody>\n<tr>\n<td width=\"56\">\n<p style=\"text-align: center;\">TT<\/p>\n<\/td>\n<td width=\"397\">\n<p style=\"text-align: center;\">\u0110\u00c1NH GI\u00c1<\/p>\n<\/td>\n<td width=\"66\">\n<p style=\"text-align: center;\">C\u00f3<\/p>\n<\/td>\n<td width=\"81\">\n<p style=\"text-align: center;\">Kh\u00f4ng<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"56\">\n<p style=\"text-align: center;\">1<\/p>\n<\/td>\n<td width=\"397\">Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh ti\u0309nh ta\u0301o<\/td>\n<td width=\"66\">\n<p style=\"text-align: center;\">1<\/p>\n<\/td>\n<td width=\"81\">\n<p style=\"text-align: center;\">0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"56\">\n<p style=\"text-align: center;\">2<\/p>\n<\/td>\n<td width=\"397\">Ho va\u0300 kha\u0323c bi\u0300nh thu\u031b\u01a1\u0300ng (BT)<\/td>\n<td width=\"66\">\n<p style=\"text-align: center;\">1<\/p>\n<\/td>\n<td width=\"81\">\n<p style=\"text-align: center;\">0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"56\">\n<p style=\"text-align: center;\">3<\/p>\n<\/td>\n<td width=\"397\">Nu\u00f4\u0301t nu\u031b\u01a1\u0301c bo\u0323t bi\u0300nh thu\u031b\u01a1\u0300ng<\/td>\n<td width=\"66\">\n<p style=\"text-align: center;\">1<\/p>\n<\/td>\n<td width=\"81\">\n<p style=\"text-align: center;\">0<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"56\">\n<p style=\"text-align: center;\">4<\/p>\n<\/td>\n<td width=\"397\">Nu\u00f4\u0301t nu\u031b\u01a1\u0301c bo\u0323t kho\u0301 &#8211; cha\u0309y da\u0303i<\/td>\n<td width=\"66\">\n<p style=\"text-align: center;\">0<\/p>\n<\/td>\n<td width=\"81\">\n<p style=\"text-align: center;\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"56\">\n<p style=\"text-align: center;\">5<\/p>\n<\/td>\n<td width=\"397\">Thay \u0111\u00f4\u0309i gio\u0323ng no\u0301i, no\u0301i khan sau nu\u00f4\u0301t nu\u031b\u01a1\u0301c bo\u0323t<\/td>\n<td width=\"66\">\n<p style=\"text-align: center;\">0<\/p>\n<\/td>\n<td width=\"81\">\n<p style=\"text-align: center;\">1<\/p>\n<\/td>\n<\/tr>\n<tr>\n<td width=\"56\"><\/td>\n<td width=\"397\">T\u00d4\u0309NG S\u00d4\u0301 \u0110I\u00ca\u0309M<\/td>\n<td colspan=\"2\" width=\"147\">\n<p style=\"text-align: center;\">\u0111i\u00ea\u0309m<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>L\u00e2\u0300n 2: \u0111a\u0301nh gia\u0301 tr\u01b0\u0323c ti\u00ea\u0301p theo ba\u0309ng<\/p>\n<table>\n<tbody>\n<tr>\n<td rowspan=\"2\" width=\"100\">TT<\/td>\n<td colspan=\"2\" rowspan=\"2\" width=\"200\">C\u00c1C N\u1ed8I DUNG \u0110\u00c1NH GI\u00c1<\/td>\n<td colspan=\"3\" width=\"300\">TH\u1ee8C \u0102N<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">\u0110\u1eb7c<\/td>\n<td width=\"100\">L\u1ecfng<\/td>\n<td width=\"100\">R\u1eafn<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" width=\"100\">1<\/td>\n<td rowspan=\"3\" width=\"100\">NU\u1ed0T<\/td>\n<td width=\"100\">Kh\u00f4ng<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Ch\u1eadm<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">B\u00ecnh th\u01b0\u1eddng<\/td>\n<td width=\"100\">2<\/td>\n<td width=\"100\">2<\/td>\n<td width=\"100\">2<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"100\">2<\/td>\n<td rowspan=\"2\" width=\"100\">HO<\/td>\n<td width=\"100\">C\u00f3<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Kh\u00f4ng<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"100\">3<\/td>\n<td rowspan=\"2\" width=\"100\">CH\u1ea2Y D\u00c3I<\/td>\n<td width=\"100\">C\u00f3<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Kh\u00f4ng<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"100\">4<\/td>\n<td rowspan=\"2\" width=\"100\">THAY \u0110\u1ed4I GI\u1eccNG<\/td>\n<td width=\"100\">C\u00f3<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<td width=\"100\">0<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">Kh\u00f4ng<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<td width=\"100\">1<\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"100\"><\/td>\n<td colspan=\"2\" rowspan=\"2\" width=\"200\">CHO \u0110I\u1ec2M<\/td>\n<td width=\"100\">1-4 \u0111i\u1ec3m: d\u1eebng<\/td>\n<td width=\"100\">1-4 \u0111i\u1ec3m: d\u1eebng<\/td>\n<td width=\"100\">1-4 \u0111i\u1ec3m: d\u1eebng<\/td>\n<\/tr>\n<tr>\n<td width=\"100\">5 \u0111i\u1ec3m: ti\u1ebfp b\u01b0\u1edbc 2<\/td>\n<td width=\"100\">5 \u0111i\u1ec3m: ti\u1ebfp b\u01b0\u1edbc 3<\/td>\n<td width=\"100\">5 \u0111i\u1ec3m: b\u00ecnh th\u01b0\u1eddng<\/td>\n<\/tr>\n<tr>\n<td width=\"100\"><\/td>\n<td colspan=\"2\" width=\"200\">T\u1ed4NG S\u1ed0 \u0110I\u1ec2M<\/td>\n<td colspan=\"3\" width=\"300\">15 \u0111i\u1ec3m<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<\/div>\n<div class=\"layoutArea\">\n<div class=\"column\">\n<ul>\n<li>T\u00f4\u0309ng \u0111i\u00ea\u0309m sau 2 l\u00e2\u0300n \u0111a\u0301nh gia\u0301: 20 \u0111i\u00ea\u0309m\n<ul>\n<li>0-9 : kho\u0301 nu\u00f4\u0301t n\u1ea1\u0306ng<\/li>\n<li>10-14: kho\u0301 nu\u00f4\u0301t trung bi\u0300nh<\/li>\n<li>15-19: kho\u0301 nu\u00f4\u0301t nhe\u0323 20: nu\u00f4\u0301t bi\u0300nh thu\u031b\u01a1\u0300ng<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>5.2. B\u1ed1n d\u1ea5u hi\u1ec7u c\u1ee7a r\u1ed1i lo\u1ea1n nu\u1ed1t<\/h3>\n<\/div>\n<\/div>\n<div class=\"layoutArea\">\n<div class=\"column\">\n<ol>\n<li>Ho va\u0300\/ho\u1ea1\u0306c gia\u0309m ho\u1ea1\u0306c m\u00e2\u0301t kha\u0309 na\u0306ng la\u0300m sa\u0323ch khoang mi\u1eb9\u0302ng (chu\u0309 \u0111\u1ecd\u0302ng)<\/li>\n<li>Nu\u00f4\u0301t nu\u031b\u01a1\u0301c bo\u0323t kho\u0301 kha\u0306n ho\u1ea1\u0306c kho\u0302ng th\u00ea\u0309 th\u01b0\u0323c hi\u1eb9\u0302n \u0111u\u031b\u01a1\u0323c<\/li>\n<li>Cha\u0309y nu\u031b\u01a1\u0301c da\u0303i be\u0302n khoe\u0301 mi\u1eb9\u0302ng ho\u1ea1\u0306c cha\u0309y da\u0303i lie\u0302n tu\u0323c<\/li>\n<li>Thay \u0111\u00f4\u0309i gio\u0323ng no\u0301i sau khi nu\u00f4\u0301t nu\u031b\u01a1\u0301c bo\u0323t ho\u1ea1\u0306c gio\u0323ng no\u0301i b\u00e2\u0301t thu\u031b\u01a1\u0300ng lie\u0302n tu\u0323c<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<div class=\"layoutArea\">\n<h2 class=\"column\">\u00a06. Can thi\u1ec7p dinh d\u01b0\u1ee1ng v\u1edbi ng\u01b0\u1eddi b\u1ec7nh r\u1ed1i lo\u1ea1n nu\u1ed1t<\/h2>\n<div class=\"column\">\n<div class=\"page\" title=\"Page 86\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<p>Cung c\u1ea5p ch\u1ebf \u0111\u1ed9 \u0103n r\u1ed1i lo\u1ea1n nu\u1ed1t<\/p>\n<ul>\n<li>Ch\u00ea\u0301 bi\u00ea\u0301n tha\u0300nh da\u0323ng d\u00ea\u0303 nu\u00f4\u0301t, pho\u0300ng tra\u0301nh bi\u0323 s\u0103\u0323c;<\/li>\n<li>Th\u01b0\u0301c a\u0306n thi\u0301ch h\u01a1\u0323p cho vi\u1eb9\u0302c luy\u1eb9\u0302n t\u1ea1\u0302p nu\u00f4\u0301t;<\/li>\n<li>Pha\u0302n loa\u0323i k\u00ea\u0301t c\u00e2\u0301u th\u01b0\u0301c a\u0306n:<\/li>\n<li style=\"list-style-type: none;\"><\/li>\n<\/ul>\n<figure id=\"attachment_24400\" aria-describedby=\"caption-attachment-24400\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-24400\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screen-Shot-2023-04-18-at-22.08.10-300x228.png\" alt=\"phan-loai-ket-cau-thuc-an\" width=\"300\" height=\"228\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screen-Shot-2023-04-18-at-22.08.10-300x228.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screen-Shot-2023-04-18-at-22.08.10-768x583.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Screen-Shot-2023-04-18-at-22.08.10.png 865w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-24400\" class=\"wp-caption-text\">Ph\u00e2n lo\u1ea1i k\u1ebft c\u1ea5u th\u1ee9c \u0103n cho b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n nu\u1ed1t th\u00e0nh 5 m\u1ee9c \u0111\u1ed9<\/figcaption><\/figure>\n<div class=\"page\" title=\"Page 86\">\n<div class=\"layoutArea\">\n<div class=\"column\">\n<ul>\n<li>Nga\u0306n ng\u01b0\u0300a vie\u0302m ph\u00f4\u0309i s\u0103\u0323c b\u0103\u0300ng ca\u0301ch thay \u0111\u00f4\u0309i k\u00ea\u0301t c\u00e2\u0301u \u0111\u00f4\u0300 a\u0306n va\u0300 ch\u00e2\u0301t lo\u0309ng \u0111\u00ea\u0309 phu\u0300 h\u01a1\u0323p v\u01a1\u0301i ti\u0300nh tra\u0323ng r\u00f4\u0301i loa\u0323n nu\u00f4\u0301t:\n<ul>\n<li>La\u0300m qua\u0301nh \u0111\u00f4\u0300 co\u0301 nu\u031b\u01a1\u0301c (\u0110\u00f4\u0300 u\u00f4\u0301ng, canh, mo\u0301n ninh);<\/li>\n<li>Cho the\u0302m nu\u031b\u01a1\u0301c s\u00f4\u0301t di\u0301nh \u0111\u00ea\u0309 th\u01b0\u0301c a\u0306n quy\u1eb9\u0302n la\u0323i v\u01a1\u0301i nhau;<\/li>\n<li>Ninh \u0111\u00ea\u0301n khi m\u00ea\u0300m ra;<\/li>\n<li>Tra\u0301nh th\u01b0\u0301c a\u0306n nhi\u00ea\u0300u xo\u031b;<\/li>\n<li>C\u0103\u0301t nho\u0309 th\u01b0\u0301c a\u0306n;<\/li>\n<li>Du\u0300ng ma\u0301y xay xay nhuy\u00ea\u0303n;<\/li>\n<li>N\u00e2\u0301u th\u01b0\u0301c a\u0306n tha\u0300nh da\u0323ng tha\u0323ch ho\u0103\u0323c da\u0323ng lo\u0309ng.\n<div class=\"page\" title=\"Page 87\">\n<div class=\"layoutArea\">\n<div class=\"column\"><\/div>\n<\/div>\n<\/div>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><em>Ngu\u1ed3n: B\u1ed9 Y t\u1ebf v\u00e0 D\u01b0\u0323 a\u0301n h\u00f4\u0303 tr\u01a1\u0323 ca\u0309i thi\u1eb9\u0302n ch\u00e2\u0301t lu\u031b\u01a1\u0323ng cha\u0306m so\u0301c \u0111\u1ecd\u0302t quy\u0323<\/em><\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ecd\u0302t quy\u0323 na\u0303o la\u0300 m\u1ecd\u0302t nho\u0301m b\u1eb9\u0302nh ga\u0302y t\u01b0\u0309 vong va\u0300 ta\u0300n t\u1ea1\u0302t \u0111\u01b0\u0301ng th\u01b0\u0301 hai tre\u0302n th\u00ea\u0301 gi\u01a1\u0301i. R\u00f4\u0301i loa\u0323n nu\u00f4\u0301t la\u0300 v\u00e2\u0301n \u0111\u00ea\u0300 thu\u031b\u01a1\u0300ng g\u0103\u0323p \u01a1\u0309 Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh \u0111\u1ecd\u0302t quy\u0323 c\u00e2\u0301p. R\u00f4\u0301i loa\u0323n nu\u00f4\u0301t la\u0300m a\u0309nh hu\u031b\u01a1\u0309ng \u0111\u00ea\u0301n vi\u1eb9\u0302c cung c\u00e2\u0301p ch\u00e2\u0301t dinh du\u031b\u01a1\u0303ng cho ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh t\u01b0\u0300 \u0111o\u0301 d\u00e2\u0303n \u0111\u00ea\u0301n ti\u0300nh tra\u0323ng [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110\u1ed9t qu\u1ef5 n\u00e3o: Nghi\u1ec7m ph\u00e1p \u0111\u00e1nh gi\u00e1 r\u1ed1i lo\u1ea1n nu\u1ed1t v\u00e0 can thi\u1ec7p<\/title>\n<meta name=\"description\" content=\"R\u00f4\u0301i loa\u0323n nu\u00f4\u0301t l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p \u1edf ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh \u0111\u1ed9t qu\u1ef5. 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