{"id":25535,"date":"2023-04-23T10:53:02","date_gmt":"2023-04-23T03:53:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25535"},"modified":"2023-04-26T17:13:28","modified_gmt":"2023-04-26T10:13:28","slug":"tiep-can-thuc-hanh-chan-doan-hoi-chung-dau-man-tinh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/tiep-can-thuc-hanh-chan-doan-hoi-chung-dau-man-tinh\/","title":{"rendered":"Ti\u1ebfp c\u1eadn th\u1ef1c h\u00e0nh ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u0110AU m\u1ea1n t\u00ednh"},"content":{"rendered":"<p><strong>\u00a0H\u1ed9i ch\u1ee9ng \u0111au l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu khi c\u00f3 xu\u1ea5t hi\u1ec7n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng, v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ch\u1ee7 quan theo t\u1eebng ng\u01b0\u1eddi. L\u00e0 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n s\u1edbm \u0111\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/strong><\/p>\n<figure id=\"attachment_25543\" aria-describedby=\"caption-attachment-25543\" style=\"width: 474px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-25543\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dau.jpg\" alt=\"dau-man-tinh\" width=\"474\" height=\"405\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dau.jpg 474w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/dau-300x256.jpg 300w\" sizes=\"(max-width: 474px) 100vw, 474px\" \/><figcaption id=\"caption-attachment-25543\" class=\"wp-caption-text\">\u1ea2nh minh h\u1ecda ng\u01b0\u1eddi m\u1eafc h\u1ed9i ch\u1ee9ng \u0111au<\/figcaption><\/figure>\n<h2><span style=\"font-weight: 400;\">1. \u0110\u1ecbnh ngh\u0129a \u0111au<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">\u0110\u1ecbnh ngh\u0129a m\u1edbi c\u1ee7a Hi\u1ec7p h\u1ed9i Qu\u1ed1c t\u1ebf\u00a0 Nghi\u00ean c\u1ee9u v\u1ec1 \u0111au (IASP) \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean t\u1ea1p ch\u00ed\u00a0 \u0111au c\u1ee7a IASP.\u00a0 \u201c\u0110au l\u00e0 m\u1ed9t tr\u1ea3i nghi\u1ec7m c\u1ea3m gi\u00e1c ho\u1eb7c c\u1ea3m x\u00fac kh\u00f3 ch\u1ecbu li\u00ean quan \u0111\u1ebfn, ho\u1eb7c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 li\u00ean quan \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng m\u00f4 th\u1ef1c t\u1ebf ho\u1eb7c ti\u1ec1m \u1ea9n\u201d. \u0110i k\u00e8m v\u1edbi 6 \u0111i\u1ec3m ch\u00ednh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh r\u00f5 h\u01a1n v\u1ec1 \u0111au.\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0\u0110au lu\u00f4n l\u00e0 m\u1ed9t tr\u1ea3i nghi\u1ec7m c\u00e1 nh\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng \u1edf c\u00e1c m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 sinh h\u1ecdc, t\u00e2m l\u00fd v\u00e0 x\u00e3 h\u1ed9i.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au v\u00e0 c\u1ea3m th\u1ee5 \u0111au l\u00e0 hai hi\u1ec7n t\u01b0\u1ee3ng kh\u00e1c nhau. \u0110au kh\u00f4ng th\u1ec3 ch\u1ec9 \u0111\u01b0\u1ee3c suy ra t\u1eeb ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh c\u1ea3m gi\u00e1c.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Th\u00f4ng qua kinh nghi\u1ec7m s\u1ed1ng c\u1ee7a m\u00ecnh, c\u00e1c c\u00e1 nh\u00e2n h\u1ecdc \u0111\u01b0\u1ee3c kh\u00e1i ni\u1ec7m \u0111au.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0Ph\u1ea3n h\u1ed3i v\u1ec1 \u0111au c\u1ee7a m\u1ed9t ng\u01b0\u1eddi c\u1ea7n \u0111\u01b0\u1ee3c t\u00f4n tr\u1ecdng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0M\u1eb7c d\u00f9 c\u01a1n \u0111au th\u01b0\u1eddng c\u00f3 vai tr\u00f2 th\u00edch \u1ee9ng, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ee9c n\u0103ng, s\u1ee9c kh\u1ecfe t\u00e2m l\u00fd v\u00e0 x\u00e3 h\u1ed9i.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0M\u00f4 t\u1ea3 b\u1eb1ng l\u1eddi n\u00f3i ch\u1ec9 l\u00e0 m\u1ed9t trong m\u1ed9t s\u1ed1 h\u00e0nh vi th\u1ec3 hi\u1ec7n n\u1ed7i \u0111au; kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng giao ti\u1ebfp kh\u00f4ng th\u1ec3 ph\u1ee7 nh\u1eadn con ng\u01b0\u1eddi ho\u1eb7c \u0111\u1ed9ng v\u1eadt kh\u00f4ng ph\u1ea3i con ng\u01b0\u1eddi kh\u00f4ng tr\u1ea3i qua \u0111au.<\/span><\/li>\n<\/ul>\n<h2><span style=\"font-weight: 400;\">2. Ph\u00e2n lo\u1ea1i h\u1ed9i ch\u1ee9ng \u0111au\u00a0<\/span><\/h2>\n<p><strong>B\u1ed1n th\u00e0nh ph\u1ea7n c\u1ee7a \u0111au<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Th\u1ee5 th\u1ec3 \u0111au c\u1ee7a c\u00e1c s\u1ee3i A\u03b4 v\u00e0 s\u1ee3i C ph\u00e1t hi\u1ec7n <\/span>s\u1ef1 h\u1ee7y ho\u1ea1i m\u00f4 (nociception)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au (pain): do h\u1ee7y ho\u1ea1i m\u00f4; do ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u1ea5u tr\u00fac th\u1ea7n kinh ngo\u1ea1i bi\u00ean hay trung \u01b0\u01a1ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0S\u1ef1 \u0111au \u0111\u1edbn (suffering)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0H\u00e0nh vi c\u1ee7a \u0111au (pain behaviors)<\/span><\/li>\n<\/ul>\n<p><strong>2.1. Ph\u00e2n lo\u1ea1i \u0111au theo c\u01a1 ch\u1ebf b\u1ec7nh sinh<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au do h\u1ee7y ho\u1ea1i m\u00f4 (nociceptive pain): ch\u1ea5n th\u01b0\u01a1ng, vi\u00eam, u x\u00e2m l\u1ea5n, ch\u00e8n \u00e9p, t\u00e1c nh\u00e2n l\u00fd h\u00f3a ( nhi\u1ec7t, h\u00f3a ch\u1ea5t, \u00e1p l\u1ef1c).<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0\u0110au do vi\u00eam (inflammatory pain).<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au ngu\u1ed3n g\u1ed1c th\u1ea7n kinh (neuropathic pain) x\u1ea3y \u0111\u1ebfn m\u1eb7c <\/span>d\u00f9 kh\u00f4ng c\u00f3 k\u00edch th\u00edch g\u00e2y h\u1ee7y ho\u1ea1i m\u00f4.<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au ngu\u1ed3n g\u1ed1c th\u1ea7n kinh l\u00e0 h\u1ec7 qu\u1ea3 c\u1ee7a s\u1ef1 t\u1ed5n th\u01b0\u01a1ng v\u00e0 \/ hay c\u1ee7a s\u1ef1 ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a \u0111\u01b0\u1eddng c\u1ea3m gi\u00e1c t\u1ea1i h\u1ec7 th\u1ea7n kinh ngo\u1ea1i bi\u00ean <\/span>(TKNB) hay t\u1ea1i h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng (TKT\u01af).<\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au ngu\u1ed3n g\u1ed1c th\u1ea7n kinh th\u01b0\u1eddng g\u1eb7p: b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u1ec3 \u0111au bu\u1ed1t, <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/vi-sao-ban-bi-dau-kinh-sau-zona\/\">\u0111au sau zona<\/a>, \u0111au trong b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean do nhi\u1ec5m HIV, \u0111au sau t\u1ed5n th\u01b0\u01a1ng \u0111\u00e1m r\u1ed1i hay d\u00e2y th\u1ea7n kinh, <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/dac-diem-dau-day-kinh-so-v\/\">\u0111au d\u00e2y V v\u00f4 c\u0103n<\/a>\u2026<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au h\u1ed7n h\u1ee3p (mixed pain).<\/span><\/li>\n<\/ul>\n<p><strong>2.2. Ph\u00e2n lo\u1ea1i\u00a0\u0111au theo\u00a0 th\u1eddi gian<\/strong><\/p>\n<ul>\n<li>\u0110au tho\u00e1ng qua.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au c\u1ea5p t\u00ednh.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au m\u1ea1n t\u00ednh:<\/span>\u00a0 c\u01a1n \u0111au k\u00e9o d\u00e0i \u00edt nh\u1ea5t 3 th\u00e1ng (do ung th\u01b0, do b\u1ec7nh kh\u00f4ng ph\u1ea3i l\u00e0 ung th\u01b0).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td><b>\u0110\u1eb7c \u0111i\u1ec3m<\/b><\/td>\n<td><b>\u0110au c\u1ea5p<\/b><\/td>\n<td><b>\u0110au m\u00e3n<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Nguy\u00ean nh\u00e2n<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Th\u01b0\u1eddng r\u00f5 r\u1ec7t<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Th\u01b0\u1eddng m\u01a1 h\u1ed3<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Th\u1eddi gian t\u1ed3n t\u1ea1i c\u1ee7a tri\u1ec7u ch\u1ee9ng \u0111au<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Ng\u1eafn, t\u00ednh ch\u1ea5t r\u00f5<\/span><\/td>\n<td><span style=\"font-weight: 400;\">K\u00e9o d\u00e0i &gt; 3 th\u00e1ng; ho\u1eb7c v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i sau khi v\u1ebft th\u01b0\u01a1ng \u0111\u00e3 l\u00e0nh<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb<\/span><\/td>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh hay t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 t\u1ea1o ra c\u1ea3m gi\u00e1c \u0111au<\/span><\/td>\n<td><span style=\"font-weight: 400;\">B\u1ec7nh hay t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 t\u1ea1o ra c\u1ea3m gi\u00e1c \u0111au; tri\u1ec7u ch\u1ee9ng \u0111au t\u1ef1 th\u00e2n\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u00a0B\u1ea3ng 1: \u0110\u1eb7c \u0111i\u1ec3m ph\u00e2n bi\u1ec7t \u0111au c\u1ea5p v\u00e0 \u0111au m\u1ea1n t\u00ednh<\/span><\/p>\n<p>&nbsp;<\/p>\n<table style=\"height: 180px;\" width=\"683\">\n<tbody>\n<tr>\n<td><b>Ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb<\/b><\/td>\n<td><b>\u0110\u00e1p \u1ee9ng c\u1ee7a \u0111au nociceptive<\/b><\/td>\n<td><b>\u0110\u00e1p \u1ee9ng c\u1ee7a \u0111au neuropathic<\/b><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">NSAID<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng ho\u1eb7c k\u00e9m<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Opioid<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng ho\u1eb7c k\u00e9m<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng<\/span><\/td>\n<td><span style=\"font-weight: 400;\">C\u00f3<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh natri<\/span><\/td>\n<td><\/td>\n<td><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>B\u1ea3ng 2. Kh\u00e1c bi\u1ec7t v\u1ec1 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb c\u1ee7a \u0111au do h\u1ee7y ho\u1ea1i m\u00f4 v\u00e0 \u0111au ngu\u1ed3n g\u1ed1c th\u1ea7n kinh<\/p>\n<h2><span style=\"font-weight: 400;\">3. Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u0111au m\u1ea1n t\u00ednh<\/span><\/h2>\n<p><strong>3.1. B\u1ec7nh s\u1eed v\u1ec1 \u0111au<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thu\u1ed9c t\u00ednh ch\u00ednh c\u1ee7a \u0110AU: v\u1ecb tr\u00ed, ho\u00e0n c\u1ea3nh kh\u1edfi ph\u00e1t, th\u1eddi gian, m\u1ee9c \u0111\u1ed9, t\u00ednh ch\u1ea5t, y\u1ebfu t\u1ed1 l\u00e0m n\u1eb7ng th\u00eam\/ thuy\u00ean gi\u1ea3m, \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u00f3.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u1ea2nh h\u01b0\u1edfng c\u1ee7a \u0111au tr\u00ean: sinh ho\u1ea1t th\u01b0\u1eddng ng\u00e0y, ho\u1ea1t \u0111\u1ed9ng ngh\u1ec1 nghi\u1ec7p.<\/span><\/li>\n<\/ul>\n<p><strong>\u00a0 3.2. Kh\u00e1m th\u1ef1c th\u1ec3<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00ecm tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh g\u00e2y \u0111au.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Sinh hi\u1ec7u v\u00e0 bi\u1ec3u hi\u1ec7n t\u1ed5ng qu\u00e1t.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Kh\u00e1m v\u00f9ng \u0111ang \u0111au ( bi\u1ebfn d\u1ea1ng gi\u1ea3i ph\u1eabu, thay \u0111\u1ed5i m\u00e0u s\u1eafc hay t\u00ednh ch\u1ea5t c\u1ee7a da, c\u01a1 co th\u1eaft )<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ph\u00e2n bi\u1ec7t c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m \u0111au: \u0111au do h\u1ee7y ho\u1ea1i m\u00f4, \u0111au do vi\u00eam, \u0111au ngu\u1ed3n g\u1ed1c th\u1ea7n kinh, \u0111au h\u1ed7n h\u1ee3p.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">C\u00e1c h\u1ed9i ch\u1ee9ng \u0110AU: \u0111<\/span><span style=\"font-weight: 400;\">au ch\u1ee9c n\u0103ng, \u0111<\/span><span style=\"font-weight: 400;\">au x\u01b0\u01a1ng kh\u1edbp, \u0111au trong ung th\u01b0, ph\u1ee9c h\u1ee3p \u0111au theo v\u00f9ng, \u0111au c\u1ee7a chi ma, \u0111au c\u1ee7a m\u00e0ng ph\u1ed5i, \u0111au c\u1ee7a b\u1ec7nh \u0111\u00e1m r\u1ed1i th\u1ea7n kinh, \u0111au b\u00e0ng quang, \u0111au tr\u1ef1c tr\u00e0ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u00a0\u0110\u00e1nh gi\u00e1 c\u00e1c l\u0129nh v\u1ef1c c\u00f3 li\u00ean quan v\u1edbi \u0111au: y\u1ebfu t\u1ed1 t\u00e2m l\u00fd v\u00e0 t\u00e2m th\u1ea7n, y\u1ebfu t\u1ed1 x\u00e3 h\u1ed9i, tinh th\u1ea7n , t\u00f4n gi\u00e1o, v\u0103n h\u00f3a.<\/span><\/li>\n<\/ul>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 \u0110AU<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 McGill Pain Questionnaire.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 Thang \u0111i\u1ec3m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111au b\u1eb1ng s\u1ed1 ( 0 \u0111\u1ebfn 10)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 Thang \u0111i\u1ec3m \u0111au nh\u1eb9 &#8211; \u0111au v\u1eeba &#8211; \u0111au nhi\u1ec1u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 <\/span><span style=\"font-weight: 400;\">Visual Analogue Scale.<\/span><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td><span style=\"font-weight: 400;\">S\u1ed1<\/span><\/td>\n<td><span style=\"font-weight: 400;\">M\u00f4 t\u1ea3<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">0<\/span><\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng c\u00f3 \u0111au<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">1 -2<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au hay kh\u00f3 ch\u1ecbu \u00edt v\u00e0 nh\u1eb9<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t th\u01b0\u1eddng ng\u00e0y<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">3<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au nh\u1eb9 cho \u0111\u1ebfn trung b\u00ecnh, v\u1eeba ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00f3 chi ph\u1ed1i nhi\u1ec1u h\u01a1n<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh ho\u1ea1t s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 th\u01b0\u1eddng ng\u00e0y<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">4<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au trung b\u00ecnh, v\u1eeba ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Gi\u1edbi h\u1ea1n c\u00e1c ho\u1ea1t \u0111\u1ed9ng s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 v\u00e0 ho\u1ea1t \u0111\u1ed9ng ngh\u1ec1 nghi\u1ec7p th\u01b0\u1eddng ng\u00e0y<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">5-6<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au trung b\u00ecnh, v\u1eeba ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u1ee9c \u0111\u1ed9 \u0111au ng\u00e0y c\u00e0ng t\u0103ng<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">7<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au v\u1eeba ph\u1ea3i cho \u0111\u1ebfn \u0111au nhi\u1ec1u<\/span><\/p>\n<p><span style=\"font-weight: 400;\">To\u00e0n b\u1ed9 c\u00e1c sinh ho\u1ea1t th\u01b0\u1eddng ng\u00e0y b\u1ecb \u1ea3nh h\u01b0\u1edfng<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">8-9<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au nhi\u1ec1u<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">10<\/span><\/td>\n<td><span style=\"font-weight: 400;\">\u0110au r\u1ea5t nhi\u1ec1u<\/span><\/p>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n b\u1ecb b\u1ea5t \u0111\u1ed9ng hay ki\u1ec7t s\u1ee9c v\u00ec \u0111au<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><span style=\"font-weight: 400;\">\u00a0 B\u1ea3ng 3. Thang \u0111i\u1ec3m s\u1ed1 m\u00f4 t\u1ea3 \u0111au\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111au theo 3 b\u1eadc thang c\u1ee7a WHO: \u0111i\u1ec3m 0 \u0111\u1ebfn 10<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 \u0110au nh\u1eb9 (1-3)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 \u0110au v\u1eeba ph\u1ea3i hay trung b\u00ecnh ( 4-6)<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0&#8211;\u00a0 \u0110au nhi\u1ec1u hay n\u1eb7ng ( 7-10)<\/span><\/p>\n<p><strong>3.3. Kh\u1ea3o s\u00e1t c\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u00ecnh \u1ea3nh h\u1ecdc: X quang, CT, MRI,<a href=\"https:\/\/www.vinmec.com\/vi\/ung-buou-xa-tri\/thong-tin-suc-khoe\/ky-thuat-xa-hinh-xuong-voi-spectct-tai-benh-vien-da-khoa-quoc-te-vinmec-times-city\/\"> x\u1ea1 h\u00ecnh x\u01b0\u01a1ng<\/a>, thermography<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ea9n \u0111o\u00e1n \u0111i\u1ec7n h\u1ecdc: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/ghi-dien-co-emg-de-lam-gi\/\">\u0111i\u1ec7n c\u01a1 ( EMG)<\/a>,\u00a0 QST<\/span><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0H\u1ed9i ch\u1ee9ng \u0111au l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu khi c\u00f3 xu\u1ea5t hi\u1ec7n nh\u1eefng t\u1ed5n th\u01b0\u01a1ng, v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ch\u1ee7 quan theo t\u1eebng ng\u01b0\u1eddi. L\u00e0 d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n s\u1edbm \u0111\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. 1. \u0110\u1ecbnh ngh\u0129a [&hellip;]<\/p>\n","protected":false},"author":17,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u1ebfp c\u1eadn th\u1ef1c h\u00e0nh ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u0110AU m\u1ea1n t\u00ednh - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng \u0111au l\u00e0 m\u1ed9t tr\u1ea3i nghi\u1ec7m c\u1ea3m gi\u00e1c ho\u1eb7c c\u1ea3m x\u00fac kh\u00f3 ch\u1ecbu li\u00ean quan \u0111\u1ebfn, ho\u1eb7c t\u01b0\u01a1ng t\u1ef1 nh\u01b0 li\u00ean quan t\u1ed5n th\u01b0\u01a1ng m\u00f4 th\u1ef1c t\u1ebf ho\u1eb7c ti\u1ec1m \u1ea9n\" \/>\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=\"Ti\u1ebfp c\u1eadn th\u1ef1c h\u00e0nh ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng \u0110AU m\u1ea1n t\u00ednh - 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