{"id":21140,"date":"2023-04-14T22:56:49","date_gmt":"2023-04-14T15:56:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21140"},"modified":"2023-05-02T15:54:32","modified_gmt":"2023-05-02T08:54:32","slug":"tuan-hoan-tuy-rang-phuong-phap-danh-gia","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/tuan-hoan-tuy-rang-phuong-phap-danh-gia\/","title":{"rendered":"Tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng &#8211; Ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1."},"content":{"rendered":"<p><strong>Ki\u1ec3m tra s\u1ee9c s\u1ed1ng c\u1ee7a t\u00f9y \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111o l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1ee7y. M\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nh\u1eefng thay \u0111\u1ed5i c\u1ee7a tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 s\u1ef1 to\u00e0n v\u1eb9n c\u1ee7a th\u1ea7n kinh trong t\u1ee7y, v\u00e0 m\u1ed9t s\u1ed1 trong \u0111\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ee9c s\u1ed1ng c\u1ee7a t\u1ee7y. C\u00f9ng t\u00ecm hi\u1ec3u th\u00eam trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><span style=\"font-weight: 400;\"><br \/>\n<\/span><\/p>\n<h2>1. \u0110\u00e1nh gi\u00e1 tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng b\u1eb1ng nhi\u1ec7t \u0111\u1ed9 b\u1ec1 m\u1eb7t th\u00e2n r\u0103ng<\/h2>\n<p>M\u1ed9t nh\u00e0 nghi\u00ean c\u1ee9u \u0111\u00e3 th\u1ef1c hi\u1ec7n m\u1ed9t nghi\u00ean c\u1ee9u chuy\u00ean s\u00e2u v\u1ec1 nhi\u1ec7t \u0111\u1ed9 b\u1ec1 m\u1eb7t th\u00e2n r\u0103ng. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1 s\u1ee9c s\u1ed1ng tu\u1ef7 n\u00e0y d\u1ef1a tr\u00ean nguy\u00ean l\u00fd: r\u0103ng s\u1ed1ng th\u00ec \u1ea9m h\u01a1n v\u00e0 ph\u1ee5c h\u1ed3i nhi\u1ec7t \u0111\u1ed9 nhanh h\u01a1n sau khi l\u00e0m m\u1ea5t so v\u1edbi r\u0103ng ch\u1ebft t\u1ee7y. Th\u00ed nghi\u1ec7m c\u1ee7a \u00f4ng \u0111\u00e3 k\u1ebft lu\u1eadn r\u1eb1ng vi\u1ec7c so s\u00e1nh \u0111\u01b0\u1eddng bi\u1ec3u di\u1ec5n t\u01b0\u01a1ng quan gi\u1eefa th\u1eddi gian v\u00e0 nhi\u1ec7t \u0111\u1ed9 \u1ea9m l\u00ean gi\u1eefa r\u0103ng s\u1ed1ng v\u00e0 r\u0103ng \u0111\u00e3 ch\u1ebft t\u1ee7y cho nhi\u1ec1u th\u00f4ng tin c\u00f3 \u00fd ngh\u0129a ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>Nh\u1eefng n\u1ed7 l\u1ef1c s\u1eed d\u1ee5ng s\u1ef1 \u0111\u1ed5i m\u00e0u c\u1ee7a c\u00e1c tinh th\u1ec3 l\u1ecfng nh\u01b0 m\u1ed9t c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 \u0111o s\u1ef1 thay \u0111\u1ed5i nhi\u1ec7t \u0111\u1ed9 \u1edf th\u00e2n r\u0103ng c\u0169ng \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 th\u00e0nh c\u00f4ng b\u01b0\u1edbc \u0111\u1ea7u. V\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y s\u1eed d\u1ee5ng camera h\u1ed3ng ngo\u1ea1i \u0111\u1ec3 kh\u1ea3o s\u00e1t nhi\u1ec7t \u0111\u1ed9 th\u00e2n r\u0103ng cho th\u1ea5y r\u0103ng ch\u1ebft tu\u1ef7 th\u00ec ch\u1eadm \u1ea5m l\u00ean h\u01a1n so v\u1edbi c\u00e1c r\u0103ng s\u1ed1ng t\u1ee7y c\u00f9ng lo\u1ea1i.<\/p>\n<h2>2. Transmitted Light Photoplethysmography<\/h2>\n<p>Transmitted Light Photoplethysmography (TLP: K\u1ef9 thu\u1eadt ch\u1ee5p ph\u00e1t quang \u0111o bi\u1ebfn thi\u00ean th\u1ec3 t\u00edch) K\u1ef9 thu\u1eadt ch\u1ee5p ph\u00e1t quang \u0111o bi\u1ebfn thi\u00ean th\u1ec3 t\u00edch (TLP) l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt kh\u00f4ng x\u00e2m l\u1ea5n d\u00f9ng \u0111\u1ec3 theo d\u00f5i l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1ee7y v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng th\u00e0nh c\u00f4ng \u1edf \u0111\u1ed9ng v\u1eadt v\u00e0 ng\u01b0\u1eddi. TLP \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 \u00edt hi\u1ec7u qu\u1ea3 h\u01a1n trong kh\u1ea3o s\u00e1t l\u01b0u l\u01b0\u1ee3ng m\u00e1u c\u1ee7a m\u00f4 nha chu so v\u1edbi k\u1ef9 thu\u1eadt ch\u1ee5p Laser Doppler \u0111o t\u1ed1c \u0111\u1ed9 d\u00f2ng m\u00e1u (LDF).<\/p>\n<h2>3. Laser Doppler Flowmetry ( \u0110\u00e1nh gi\u00e1 tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng b\u1eb1ng Laser Doppler \u0111o t\u1ed1c \u0111\u1ed9 d\u00f2ng ch\u1ea3y)<\/h2>\n<p>LDF \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 l\u01b0u l\u01b0\u1ee3ng m\u00e1u trong c\u00e1c h\u1ec7 th\u1ed1ng vi m\u1ea1ch nh\u01b0 v\u00f5ng m\u1ea1c, m\u1ea1c treo, v\u1ecf th\u1eadn v\u00e0 da. G\u1ea7n \u0111\u00e2y k\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c r\u0103ng c\u00f2n nguy\u00ean v\u1eb9n \u1edf \u0111\u1ed9ng v\u1eadt v\u00e0 ng\u01b0\u1eddi. LDF s\u1eed d\u1ee5ng m\u1ed9t ch\u00f9m \u00e1nh s\u00e1ng (heli neon 632,8nm) \u0111\u01b0\u1ee3c ph\u00e2n t\u00e1n b\u1edfi c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u di \u0111\u1ed9ng. C\u00e1c m\u00e1y m\u1edbi c\u00f3 b\u01b0\u1edbc s\u00f3ng thay \u0111\u1ed5i t\u1eeb 600 \u0111\u1ebfn 700nm, t\u00f9y thu\u1ed9c v\u00e0o t\u00ednh ch\u1ea5t h\u1ea5p th\u1ee5 \u00e1nh s\u00e1ng c\u1ee7a c\u00e1c m\u00f4 th\u1eed nghi\u1ec7m. Ch\u00f9m \u00e1nh s\u00e1ng n\u00e0y tr\u1ea3i qua m\u1ed9t s\u1ef1 thay \u0111\u1ed5i t\u1ea7n s\u1ed1 theo nguy\u00ean l\u00fd Doppler.<\/p>\n<p>\u00c1nh s\u00e1ng t\u00e1n x\u1ea1 ng\u01b0\u1ee3c \u0111\u01b0\u1ee3c thu nh\u1eadn b\u1edfi c\u00e1c b\u1ed9 t\u00e1ch s\u00f3ng quang v\u00e0 ph\u00e1t ra t\u00edn hi\u1ec7u, l\u01b0\u1ee3ng \u00e1nh s\u00e1ng n\u00e0y t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi th\u00f4ng l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u (s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o x v\u1eadn t\u1ed1c trung b\u00ecnh). N\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u00e9p \u0111o l\u01b0u l\u01b0\u1ee3ng d\u00f2ng m\u00e1u tu\u1ef7 r\u0103ng, bi\u1ec3u di\u1ec5n d\u01b0\u1edbi d\u1ea1ng m\u1ed9t t\u1ef7 l\u1ec7 ph\u1ea7n tr\u0103m cho tr\u01b0\u1edbc c\u1ee7a \u0111\u1ed9 l\u1ec7ch t\u1ed1i \u0111a (hi\u1ec7u s\u1ed1 gi\u1eefa gi\u00e1 tr\u1ecb l\u1edbn nh\u1ea5t v\u00e0 nh\u1ecf nh\u1ea5t). K\u1ef9 thu\u1eadt n\u00e0y c\u00f3 v\u1ebb kh\u00e1ch quan, kh\u00f4ng x\u00e2m l\u1ea5n, v\u00e0 ch\u00ednh x\u00e1c. M\u1ed9t l\u01b0\u1ee3ng l\u1edbn c\u00e1c b\u00e1o c\u00e1o ch\u1ec9 ra r\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 \u0111\u00e1p \u1ee9ng y\u00eau c\u1ea7u c\u1ee7a x\u00e9t nghi\u1ec7m tr\u00ean r\u0103ng v\u00e0 h\u1ee9a h\u1eb9n s\u1ebd l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 s\u1ed1ng t\u1ee7y c\u00f3 hi\u1ec7u qu\u1ea3. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1eb7c bi\u1ec7t hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi r\u0103ng tr\u1ebb b\u1ecb ch\u1ea5n th\u01b0\u01a1ng v\u1edbi bu\u1ed3ng t\u1ee7y l\u1edbn m\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra \u0111\u1ed9 nh\u1ea1y c\u1ea3m kh\u00e1c.<\/p>\n<p>M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u0111\u00e3 b\u00e1o c\u00e1o s\u1eed d\u1ee5ng th\u00e0nh c\u00f4ng LDF \u0111\u1ec3 nghi\u00ean c\u1ee9u l\u01b0u l\u01b0\u1ee3ng d\u00f2ng m\u00e1u tu\u1ef7 r\u0103ng \u1edf ng\u01b0\u1eddi. Gi\u00e1 tr\u1ecb c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c minh ch\u1ee9ng, tuy nhi\u00ean v\u1edbi chi ph\u00ed cao v\u00e0 kh\u00f3 \u1ee9ng d\u1ee5ng \u0111\u01b0\u1ee3c trong c\u00e1c t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng n\u00ean \u0111\u00e3 kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i.<\/p>\n<h2>4. Pulse Oximetry ( \u0110o n\u1ed3ng \u0111\u1ed9 Oxy b\u00e3o h\u00f2a)<\/h2>\n<p>Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u00e3 t\u1eebng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 to\u00e0n v\u1eb9n m\u1ea1ch m\u00e1u c\u1ee7a t\u1ee7y r\u0103ng. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111o \u0111\u1ed9 b\u00e3o h\u00f2a oxy c\u1ee7a m\u00f4 m\u1ec1m b\u00ean ngo\u00e0i. N\u00f3 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng truy\u1ec1n t\u00edn hi\u1ec7u c\u1ee7a m\u00ecnh xuy\u00ean qua men v\u00e0 ng\u00e0 r\u0103ng khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u00ean c\u1ea5u tr\u00fac r\u0103ng t\u1ef1 nhi\u00ean. C\u00e1c thi\u1ebft b\u1ecb, ch\u1eb3ng h\u1ea1n nh\u01b0 LDF, s\u1eed d\u1ee5ng m\u1ed9t \u0111\u1ea7u d\u00f2 truy\u1ec1n \u00e1nh s\u00e1ng \u0111\u1ecf (640nm) v\u00e0 \u00e1nh s\u00e1ng h\u1ed3ng ngo\u1ea1i xuy\u00ean qua c\u00e1c m\u00f4 (\u0111\u01b0\u1ee3c thu nh\u1eadn b\u1eb1ng m\u1ed9t b\u1ed9 t\u00e1ch s\u00f3ng quang). V\u00ec Hemoglobin mang oxy v\u00e0 Hb kh\u1eed oxy h\u1ea5p th\u1ee5 l\u01b0\u1ee3ng kh\u00e1c nhau c\u1ee7a m\u1ed7i lo\u1ea1i \u00e1nh s\u00e1ng, l\u00e0m thay \u0111\u1ed5i th\u1ebf t\u00edch m\u00e1u g\u00e2y ra nh\u1eefng bi\u1ebfn \u0111\u1ed5i c\u00f3 chu k\u00ec \u1edf c\u00e1c ch\u00f9m \u00e1nh s\u00e1ng \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 b\u1edfi c\u00e1c m\u1ea1ng l\u01b0\u1edbi m\u1ea1ch m\u00e1u tr\u01b0\u1edbc khi \u0111\u1ebfn \u0111\u01b0\u1ee3c b\u1ed9 t\u00e1ch s\u00f3ng quang. \u0110\u1ebfn nay, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f3 kh\u1ea3 n\u0103ng \u0111\u00e1nh gi\u00e1 s\u1ee9c s\u1ed1ng c\u1ee7a tu\u1ef7 v\u1edbi m\u1ee9c \u0111\u1ed9 th\u00edch h\u1ee3p h\u01a1n c\u1ee7a \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u. M\u1ed9t l\u1ea7n n\u1eefa ph\u1ea3i nh\u1ea5n m\u1ea1nh r\u1eb1ng LDF v\u00e0 \u0110o n\u1ed3ng \u0111\u1ed9 oxy b\u00e3o ho\u00e0 ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u00ean c\u1ea5u tr\u00fac r\u0103ng t\u1ef1 nhi\u00ean, kh\u00f4ng bao gi\u1edd \u0111\u01b0\u1ee3c d\u00f9ng tr\u00ean r\u0103ng mang ph\u1ee5c h\u00ecnh. Khi s\u1eed d\u1ee5ng tr\u00ean l\u00e2m s\u00e0ng, \u0111\u1ec3 \u0111\u1ec1 ph\u00f2ng tai bi\u1ebfn c\u00f3 th\u1ec3 x\u1ea3y ra, r\u0103ng n\u00ean \u0111\u01b0\u1ee3c c\u00f4 l\u1eadp b\u1eb1ng \u0111\u00ea cao su, v\u00e0 m\u00f4 n\u01b0\u1edbu d\u01b0\u1edbi \u0111\u00ea n\u00ean \u0111\u01b0\u1ee3c ng\u0103n c\u00e1ch b\u1edfi m\u1ed9t ch\u1ea5t ch\u1eafn s\u00e1ng (gi\u1ea5y b\u1ea1c).<\/p>\n<h2>\u00a05. Ch\u1ee5p \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 Xenon-133<\/h2>\n<p>Ch\u1ea5t li\u1ec7u ph\u00f3ng x\u1ea1 \u0111\u1ec3 \u0111o l\u01b0\u1eddng s\u1ef1 l\u01b0u th\u00f4ng tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng tr\u01b0\u1edbc \u0111\u00e2y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u00eam d\u1ea5u ph\u00f3ng x\u1ea1 d\u01b0\u1edbi d\u1ea1ng nh\u1eefng gi\u1ecdt v\u00ec th\u1ebf. M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng m\u1ed9t m\u00e1y d\u00f2 b\u1ee9c x\u1ea1 \u0111\u1ed3ng v\u1ecb Xenon-133 (133Xe) \u0111\u1ec3 ph\u00e2n bi\u1ec7t gi\u1eefa r\u0103ng kh\u1ecfe m\u1ea1nh v\u00e0 r\u0103ng ch\u1ebft t\u1ee7y d\u1ef1a tr\u00ean ngu\u1ed3n c\u1ea5p m\u00e1u \u0111\u00e3 cho th\u1ea5y hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c v\u1eadt li\u1ec7u ph\u00f3ng x\u1ea1 l\u00e0 kh\u00e1 t\u1ed1n k\u00e9m, h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng v\u1edbi con ng\u01b0\u1eddi, v\u00e0 \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111\u01b0\u1ee3c s\u1ef1 c\u1ea5p ph\u00e9p \u0111\u1eb7c bi\u1ec7t. \u0110\u1ebfn th\u1eddi \u0111i\u1ec3m n\u00e0y, nh\u1eefng h\u1ee9a h\u1eb9n nh\u1ea5t c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m n\u00e0y l\u00e0 \u1ee9ng d\u1ee5ng c\u1ee7a n\u00f3 trong \u0111o l\u01b0\u1eddng l\u01b0\u1ee3ng \u00e1nh s\u00e1ng xuy\u00ean qua ho\u1eb7c ph\u1ea3n x\u1ea1 l\u1ea1i t\u1eeb c\u00e1c m\u1ea1ch m\u00e1u trong t\u1ee7y r\u0103ng.<\/p>\n<h2>6. \u0110\u00e1nh gi\u00e1 tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111o ph\u1ed5 quang b\u01b0\u1edbc s\u00f3ng k\u00e9p<\/h2>\n<p>\u0110o n\u1ed3ng \u0111\u1ed9 oxy b\u00e3o ho\u00e0 b\u1eb1ng quang ph\u1ed5 l\u00e0 s\u1eed d\u1ee5ng m\u1ed9t ngu\u1ed3n s\u00e1ng b\u01b0\u1edbc s\u00f3ng k\u00e9p (760 \u0111\u1ebfn 850nm) \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 b\u00e3o h\u00f2a oxy trong m\u00e1u cung c\u1ea5p cho t\u1ee7y r\u0103ng. C\u00f4ng c\u1ee5 n\u00e0y c\u00f3 th\u1ec3 c\u00f3 \u00edch kh\u00f4ng ch\u1ec9 trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh tu\u1ef7 ho\u1ea1i t\u1eed m\u00e0 c\u00f2n l\u00e0 ph\u00e1t hi\u1ec7n t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a tu\u1ef7. \u0110\u00e2y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t test th\u1ee9 t\u1ee7y h\u1eefu d\u1ee5ng v\u00ec kh\u00f4ng x\u00e2m l\u1ea5n, kh\u00e1ch quan, d\u1ee5ng c\u1ee5 nh\u1ecf v\u00e0 c\u1ea7m tay.<\/p>\n<p>K\u1ef9 thu\u1eadt LDF, Pulse Oximetry, v\u00e0 Photoplethysmography (PPG) \u0111\u1ec1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong y h\u1ecdc v\u00e0 trong nghi\u00ean c\u1ee9u nh\u00e0 khoa. Tuy nhi\u00ean, ch\u00fang \u00edt th\u00e0nh c\u00f4ng khi s\u1eed d\u1ee5ng trong c\u00e1c th\u1ee7 thu\u1eadt n\u1ed9i nha th\u01b0\u1eddng quy, v\u00ec h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng \u0111\u01b0\u1ee3c bao b\u1ecdc trong m\u1ed9t c\u1ea5u tr\u00fac c\u1ee9ng ch\u1eafc v\u00e0 do \u0111\u00f3 r\u1ea5t kh\u00f3 kh\u1ea3o s\u00e1t n\u1ebfu kh\u00f4ng lo\u1ea1i b\u1ecf c\u00e1c m\u00f4 c\u1ee9ng. Do \u0111\u00f3, s\u1ef1 c\u1ea7n thi\u1ebft c\u1ea7n ph\u1ea3i c\u00f3 m\u1ed9t \u0111i\u1ec3m quan s\u00e1t c\u1ed1 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i trong k\u0129 thu\u1eadt LDF v\u00e0 c\u1ea7n c\u00f3 s\u1ef1 can thi\u1ec7p c\u1ee7a h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n ngo\u00e0i t\u1ee7y r\u0103ng trong k\u1ef9 thu\u1eadt Pulse Oximetry v\u00e0 PPG \u0111\u00e3 ng\u0103n c\u1ea3n vi\u1ec7c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y trong th\u1ef1c h\u00e0nh n\u1ed9i nha.<\/p>\n<p><em>Ngu\u1ed3n: T\u1ed5ng h\u1ee3p<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ki\u1ec3m tra s\u1ee9c s\u1ed1ng c\u1ee7a t\u00f9y \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0111o l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1ee7y. M\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nh\u1eefng thay \u0111\u1ed5i c\u1ee7a tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 s\u1ef1 to\u00e0n v\u1eb9n c\u1ee7a th\u1ea7n kinh trong t\u1ee7y, v\u00e0 m\u1ed9t s\u1ed1 trong \u0111\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng - Ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e1nh gi\u00e1. - Vinmec<\/title>\n<meta name=\"description\" content=\"M\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb \u0111\u00e1nh gi\u00e1 thay \u0111\u1ed5i tu\u1ea7n ho\u00e0n t\u1ee7y r\u0103ng v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ee9c s\u1ed1ng t\u1ee7y. 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