{"id":21960,"date":"2023-04-19T15:46:25","date_gmt":"2023-04-19T08:46:25","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21960"},"modified":"2023-04-19T15:57:09","modified_gmt":"2023-04-19T08:57:09","slug":"huong-dan-dieu-tri-dau-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/huong-dan-dieu-tri-dau-theo-bo-y-te\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb \u0111au theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p>\u0110au l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu ho\u1eb7c \u0111au \u0111\u1edbn trong c\u01a1 th\u1ec3, th\u01b0\u1eddng l\u00e0 do m\u1ed9t s\u1ef1 t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh t\u1eadt. C\u00e1c c\u01a1n \u0111au c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 ph\u1ea7n n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee7a c\u01a1n \u0111au l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb, ph\u00e2n bi\u1ec7t v\u00e0 gi\u1ea3m nh\u1eb9 c\u01a1n \u0111au.<\/p>\n<h2><b>1. Ph\u00e2n lo\u1ea1i c\u00e1c c\u01a1n \u0111au<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">D\u1ef1a tr\u00ean m\u1ee5c \u0111\u00edch l\u00e2m s\u00e0ng, c\u00f3 3 lo\u1ea1i \u0111au ch\u00ednh:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">1.1\u00a0 \u0110au ca\u0309m th\u1ee5<\/span><\/p>\n<p><span style=\"font-weight: 400;\">G\u00e2y ra do k\u00edch th\u00edch th\u1ee5 th\u1ec3 \u0111au tr\u00ean d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c th\u1ee9 nh\u1ea5t c\u00f2n nguy\u00ean v\u1eb9n (th\u1ee5 th\u1ec3 c\u1ea3m th\u1ee5 \u0111au).<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110au c\u1ea3m th\u1ee5 \u0111\u01b0\u1ee3c chia l\u00e0m 2 nh\u00f3m:<\/span><\/p>\n<p><span style=\"font-weight: 400;\">a. \u0110au b\u1ea3n th\u1ec3:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do k\u00edch th\u00edch c\u1ea3m th\u1ee5 \u0111au tr\u00ean b\u1ec1 m\u1eb7t da, m\u00f4 m\u1ec1m, c\u01a1 ho\u1eb7c x\u01b0\u01a1ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed c\u01a1n \u0111au<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng m\u00f4 t\u1ea3 c\u1ea3m gi\u00e1c \u0111au ch\u00f3i, nh\u1ee9c nh\u1ed1i ho\u1eb7c \u0111au nh\u01b0 m\u1ea1ch \u0111\u1eadp<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00ed d\u1ee5: \u0111au do s\u01b0ng l\u1ee3i, \u0111au b\u1ecfng,..<\/span><\/li>\n<\/ul>\n<p>b. \u0110au t\u1ea1ng:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Do k\u00edch th\u00edch c\u1ea3m th\u1ee5 \u0111au c\u1ee7a c\u00e1c t\u1ea1ng \u0111\u1eb7c v\u00e0 t\u1ea1ng r\u1ed7ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng kh\u00f4ng th\u1ec3 \u0111\u1ecbnh khu ch\u00ednh x\u00e1c v\u00e0 m\u00f4 t\u1ea3 c\u01a1n \u0111au m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u00ed d\u1ee5: s\u1ef1 ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng c\u1ee7a ung th\u01b0 nguy\u00ean ph\u00e1t ho\u1eb7c di c\u0103n \u1edf gan d\u1eabn \u0111\u1ebfn c\u0103ng bao gan v\u00e0 k\u00edch th\u00edch th\u1ee5 th\u1ec3 c\u01a1 ho\u0323c trong bao gan, vi\u00eam \u0111\u01b0\u1eddng m\u1eadt, vi\u00eam d\u1ea1 d\u00e0y,&#8230;<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">1.2 \u0110au th\u1ea7n kinh<\/span><\/p>\n<p><span style=\"font-weight: 400;\">G\u00e2y ra do t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c ngo\u1ea1i bi\u00ean (c\u1ea3m th\u1ee5 \u0111au) ho\u1eb7c d\u00e2y th\u1ea7n kinh trung \u01b0\u01a1ng do b\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n n\u00e0o.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1ee3c m\u00f4 t\u1ea3 nh\u01b0 c\u1ea3m gi\u00e1c b\u1ecfng r\u00e1t, ch\u00e2m ch\u00edch, t\u0103ng nhanh ho\u1eb7c nh\u01b0 \u0111i\u1ec7n gi\u1eadt<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u01b0\u1eddng kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u00f4 quan s\u00e1t \u0111\u01b0\u1ee3c<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">C\u00e1c lo\u1ea1i \u0111au th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p nh\u01b0:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au th\u1ea7n kinh sau herpes: t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean do nhi\u1ec5m vi-r\u00fat varicella zoster g\u00e2y \u0111au.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au th\u1ea7n kinh do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: t\u1ed5n th\u01b0\u01a1ng \u0111\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au sau \u0111o\u1ea1n nh\u0169: t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh sau ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf <\/span><span style=\"font-weight: 400;\">tuy\u1ebfn v\u00fa.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au th\u1ea7n kinh t\u1ecda, b\u1ec7nh d\u00e2y th\u1ea7n kinh do \u0111\u1ed9c t\u1ed1,..<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">1.3\u00a0 \u0110au do vi\u00eam<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Th\u1ee5 th\u1ec3 c\u1ea3m th\u1ee5 \u0111au nguy\u00ean v\u1eb9n c\u00f3 th\u1ec3 b\u1ecb k\u00edch th\u00edch b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam do b\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n n\u00e0o. C\u01a1n \u0111au th\u01b0\u1eddng \u0111\u01b0\u1ee3c khu tr\u00fa v\u00e0 c\u00f3 th\u1ec3 li\u00ean quan v\u1edbi t\u0103ng c\u1ea3m \u0111au ho\u1eb7c lo\u1ea1n c\u1ea3m \u0111au, nh\u01b0ng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng \u00e2m t\u00ednh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">V\u00ed d\u1ee5: \u0111au do vi\u00eam d\u1ea1 d\u00e0y, \u0111au vi\u00eam h\u1ecdng<\/span><\/p>\n<h2><b>2. C\u00e1c nguy\u00ean nh\u00e2n<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">T\u00f4\u0309n th\u01b0\u01a1ng m\u00f4 ho\u0323c th\u1ef1c s\u1ef1: do nhi\u1ec5m tr\u00f9ng, ph\u1ea3n \u1ee9ng vi\u00eam, kh\u1ed1i u, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, ch\u1ea5n th\u01b0\u01a1ng, th\u1ee7 thu\u1eadt y khoa x\u00e2m l\u1ea5n, \u0111\u1ed9c t\u00ednh c\u1ee7a thu\u1ed1c&#8230;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">T\u00f4\u0309n th\u01b0\u01a1ng m\u00f4 ho\u0323c ti\u1ec1m ta\u0300ng: Do c\u00e1c b\u1ec7nh ly\u0301 th\u1ec3 ch\u1ea5t \u0111\u00e3 bi\u1ebft (nh\u01b0 \u0111au c\u01a1 x\u01a1 h\u00f3a) g\u00e2y \u0111au nh\u01b0ng kh\u00f4ng li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng m\u00f4 quan s\u00e1t ho\u1eb7c \u0111o l\u01b0\u1eddng \u0111\u01b0\u1ee3c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ca\u0301c y\u1ebfu t\u00f4\u0301 t\u00e2m l\u00fd:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c r\u1ed1i lo\u1ea1n s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n ch\u1ee7 y\u1ebfu nh\u01b0 tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n lo \u00e2u v\u00e0 r\u1ed1i<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">lo\u1ea1n s\u1eed d\u1ee5ng ch\u1ea5t c\u00f3 th\u1ec3 g\u00e2y \u0111au<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c h\u1ed9i ch\u1ee9ng t\u00e2m ly\u0301 kh\u00e1c d\u1eabn \u0111\u1ebfn \u0111au m\u1ea1n t\u00ednh bao g\u1ed3m r\u1ed1i lo\u1ea1n d\u1ea1ng c\u01a1<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">th\u1ec3, r\u1ed1i lo\u1ea1n chuy\u1ec3n d\u1ea1ng, r\u1ed1i lo\u1ea1n c\u0103ng th\u1eb3ng sau sang ch\u1ea5n (PTSD), r\u1ed1i lo\u1ea1n nghi b\u1ec7nh v\u00e0 r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c \u0111au do b\u1ec7nh t\u00e2m th\u1ea7n<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c y\u1ebfu t\u1ed1 g\u00e2y c\u0103ng th\u1eb3ng nghi\u00eam tro\u0323ng v\u1ec1 x\u00e3 h\u1ed9i nh\u01b0 v\u00f4 gia c\u01b0, ngh\u00e8o \u0111\u00f3i v\u00e0 s\u1ef1 k\u1ef3 th\u1ecb c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111au do t\u0103ng nguy c\u01a1 c\u00e1c r\u1ed1i lo\u1ea1n s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, kh\u00f4ng th\u1ec3 gi\u1ea3m \u0111au m\u00e0 kh\u00f4ng ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n nh\u01b0 tr\u1ea7m c\u1ea3m, lo \u00e2u ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00e2m ly\u0301 x\u00e3 h\u1ed9i kh\u00e1c.<\/span><\/p>\n<h2><b>3. \u0110a\u0301nh gia\u0301 v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/b><\/h2>\n<h3><span style=\"font-weight: 400;\">3.1. Khai th\u00e1c ti\u1ec1n s\u01b0\u0309<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Kh\u00e1i th\u00e1c ti\u1ec1n s\u1eed b\u1ec7nh b\u1eb1ng c\u00e1ch h\u1ecfi ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh hi\u1ec7n t\u1ea1i, c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 v\u1ec1 c\u00e1c c\u01a1n \u0111au th\u01b0\u1eddng hay g\u1eb7p x\u1ea3y ra \u1edf nh\u01b0:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">V\u1ecb tr\u00ed v\u00e0 h\u01b0\u1edbng lan.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">L\u1ea7n xu\u1ea5t hi\u1ec7n \u0111\u1ea7u ti\u00ean.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1ea7n su\u1ea5t v\u00e0 th\u1eddi gian k\u00e9o d\u00e0i (n\u1ebfu kh\u00f4ng h\u1eb1ng \u0111\u1ecbnh).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ee9c \u0111\u1ed9 n\u1eb7ng theo thang \u0111i\u1ec3m t\u1eeb 0 &#8211; 10, \u1edf th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i, m\u1ee9c b\u00ecnh qu\u00e2n c\u1ea3 c\u01a1n, v\u00e0 l\u00fac n\u1eb7ng nh\u1ea5t trong 24 gi\u1edd qua.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c t\u00ednh ch\u1ea5t (s\u1ef1 m\u00f4 t\u1ea3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 tri\u1ec7u ch\u1ee9ng).<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng hay gi\u1ea3m tri\u1ec7u ch\u1ee9ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c \u0111\u1ed9ng c\u1ee7a tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 hi\u1ec7n t\u1ea1i v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ee9c \u0111\u1ed9 gi\u1ea3m \u0111au mong mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">3.2. \u0110i\u1ec1u tr\u1ecb<\/span><\/h3>\n<h4><span style=\"font-weight: 400;\">3.2.1 <\/span><span style=\"font-weight: 400;\">Thang \u0111i\u1ec3m m\u1ee9c \u0111\u1ed9<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111au ph\u1ed5 bi\u1ebfn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng bao g\u1ed3m: thang \u0111o \u0111au c\u1ee7a Wong-Baker, thang \u0111o \u0111au c\u1ee7a Visual Analog Scale (VAS), thang \u0111o \u0111au c\u1ee7a Numeric Rating Scale (NRS), v\u00e0 thang \u0111o \u0111au c\u1ee7a Face, Legs, Activity, Cry, Consolability (FLACC) Scale.<\/span><\/p>\n<figure id=\"attachment_21965\" aria-describedby=\"caption-attachment-21965\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-21965\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-1-300x156.png\" alt=\"Thang diem VAS\" width=\"300\" height=\"156\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-1-300x156.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/tai-xuong-1.png 311w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-21965\" class=\"wp-caption-text\">Thang \u0111i\u1ec3m VAS<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">C\u00f3 nhi\u1ec1u c\u00e1ch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au, trong \u0111\u00f3 ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 \u0111au \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn v\u00e0 s\u1eed d\u1ee5ng trong l\u00e2m s\u00e0ng. C\u00e1c c\u00f4ng c\u1ee5 n\u00e0y c\u00f3 th\u1ec3 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 \u0111au, t\u1ea7n su\u1ea5t v\u00e0 c\u01b0\u1eddng \u0111\u1ed9 c\u1ee7a \u0111au, \u0111\u1ed3ng th\u1eddi cho ph\u00e9p b\u1ec7nh nh\u00e2n \u0111\u00e1nh gi\u00e1 c\u00e1c ho\u1ea1t \u0111\u1ed9ng v\u00e0 ch\u1ee9c n\u0103ng c\u1ee7a h\u1ecd.<\/span><\/p>\n<h4><span style=\"font-weight: 400;\">3.2.2 \u0110i\u1ec1u tri\u0323<\/span><\/h4>\n<p><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au. \u0110\u00e1nh gi\u00e1 n\u00e0y gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f3 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n hay kh\u00f4ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">a. C\u00f3 6 Nguy\u00ean t\u1eafc chung\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh ch\u1ecbu \u0111\u1ef1ng c\u01a1n \u0111au \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o c\u1ee7a b\u1ec7nh \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, tr\u1eeb khi ng\u01b0\u1eddi b\u1ec7nh t\u1eeb ch\u1ed1i d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au (r\u1ea5t hi\u1ebfm)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m \u0111au c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i c\u01a1 s\u1edf y t\u1ebf, trong c\u1ed9ng \u0111\u1ed3ng v\u00e0 t\u1ea1i nh\u00e0.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 (bao g\u1ed3m \u0111\u00e1nh gi\u00e1 t\u00e2m ly\u0301) c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 m\u1ed9t ph\u1ea7n kh\u00f4ng th\u1ec3 thi\u1ebfu khi \u0111\u00e1nh gi\u00e1 \u0111au m\u1ea1n t\u00ednh<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb \u0111au c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a d\u1ef1a tr\u00ean vi\u1ec7c \u0111\u00e1nh gi\u00e1 t\u1eebng ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a ho\u0323 v\u1edbi \u0111i\u1ec1u tr\u1ecb<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thu\u1ed1c opioid ph\u1ea3i lu\u00f4n \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef an to\u00e0n v\u00e0 tr\u00e1nh vi\u1ec7c chuy\u1ec3n h\u01b0\u1edbng s\u1eed d\u1ee5ng thu\u1ed1c, s\u1eed d\u1ee5ng sai m\u1ee5c \u0111\u00edch<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">b. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tri\u0323 \u0111au b\u1eb1ng thu\u00f4\u0301c<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng d\u00f9ng thu\u1ed1c: \u00a0 \u00a0 \u00a0 \u00a0 <\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng u\u1ed1ng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean s\u1eed d\u1ee5ng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Tr\u01b0\u1eddng h\u1ee3p \u0111au nghi\u00eam tro\u0323ng, \u0111i\u1ec1u tr\u1ecb \u0111au b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eam<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Li\u00ea\u0300u \u0111\u00fang: li\u00ea\u0300u \u0111u\u0309 \u0111\u1ec3 gia\u0309m \u0111au cho ng\u01b0\u1eddi b\u00ea\u0323nh.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u1ea7n theo d\u00f5i s\u00e1t hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au c\u1ee7a thu\u1ed1c<\/span><\/p>\n<h2><strong>4. K\u1ebft lu\u1eadn<\/strong><\/h2>\n<p>Vi\u1ec7c \u0111\u00e1nh gi\u00e1 v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111au c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u1ea9n th\u1eadn v\u00e0 ch\u00ednh x\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 an to\u00e0n c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. C\u00e1c chuy\u00ean gia y t\u1ebf c\u1ea7n \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p d\u1ef1a tr\u00ean nguy\u00ean nh\u00e2n v\u00e0 c\u1ea5p \u0111\u1ed9 c\u1ee7a \u0111au, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n, v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 tu\u1ed5i t\u00e1c, b\u1ec7nh l\u00fd k\u00e8m theo v\u00e0 t\u00ecnh tr\u1ea1ng t\u00e2m l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Ngo\u00e0i ra, vi\u1ec7c gi\u1ea3m \u0111au kh\u00f4ng ch\u1ec9 l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe, m\u00e0 c\u00f2n l\u00e0 m\u1ed9t quy\u1ec1n l\u1ee3i c\u01a1 b\u1ea3n c\u1ee7a b\u1ec7nh nh\u00e2n. Do \u0111\u00f3, c\u00e1c chuy\u00ean gia y t\u1ebf c\u1ea7n l\u1eafng nghe v\u00e0 th\u1ea5u hi\u1ec3u nhu c\u1ea7u v\u00e0 mong mu\u1ed1n c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 t\u1ea1o ra m\u00f4i tr\u01b0\u1eddng ch\u0103m s\u00f3c tho\u1ea3i m\u00e1i v\u00e0 an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110au l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu ho\u1eb7c \u0111au \u0111\u1edbn trong c\u01a1 th\u1ec3, th\u01b0\u1eddng l\u00e0 do m\u1ed9t s\u1ef1 t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ec7nh t\u1eadt. C\u00e1c c\u01a1n \u0111au c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 ph\u1ea7n n\u00e0o c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau. Vi\u1ec7c x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u1ee7a c\u01a1n \u0111au [&hellip;]<\/p>\n","protected":false},"author":57,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb \u0111au theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u01b0\u1edbng d\u1eabn ph\u00e2n bi\u1ec7t v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb \u0111au theo B\u1ed9 Y t\u1ebf - 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