{"id":27196,"date":"2023-04-23T22:54:49","date_gmt":"2023-04-23T15:54:49","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27196"},"modified":"2023-04-23T22:54:49","modified_gmt":"2023-04-23T15:54:49","slug":"tieu-chuan-chan-doan-chet-nao-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/tieu-chuan-chan-doan-chet-nao-theo-bo-y-te\/","title":{"rendered":"Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p><strong>Ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh y t\u1ebf quan tr\u1ecdng trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh s\u1ef1 ch\u1ea5m d\u1ee9t c\u1ee7a ch\u1ee9c n\u0103ng n\u00e3o b\u1ed9 v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng li\u00ean quan \u0111\u1ebfn s\u1ef1 s\u1ed1ng. \u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng v\u00ec n\u00f3 c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u m\u1ed9t ng\u01b0\u1eddi \u0111\u00e3 ch\u1ebft n\u00e3o hay ch\u01b0a, v\u00e0 c\u00f3 th\u1ec3 l\u00e0 c\u0103n c\u1ee9 \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 vi\u1ec7c ch\u1ea5m d\u1ee9t c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng. Ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u01b0a ra d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 ti\u00eau chu\u1ea9n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra.<\/strong><\/p>\n<figure id=\"attachment_27374\" aria-describedby=\"caption-attachment-27374\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-27374\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1296351746-612x612-1-300x212.jpg\" alt=\"\" width=\"300\" height=\"212\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1296351746-612x612-1-300x212.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1296351746-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-27374\" class=\"wp-caption-text\">Ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh y t\u1ebf quan tr\u1ecdng trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh s\u1ef1 ch\u1ea5m d\u1ee9t c\u1ee7a ch\u1ee9c n\u0103ng n\u00e3o b\u1ed9<\/figcaption><\/figure>\n<h2>1. Ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o<\/h2>\n<p>C\u00e1c ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng ch\u00ednh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o, bao g\u1ed3m:<\/p>\n<ul>\n<li>H\u00f4n m\u00ea s\u00e2u (thang \u0111i\u1ec3m h\u00f4n m\u00ea Glasgow b\u1eb1ng 3 \u0111i\u1ec3m);<\/li>\n<li>\u0110\u1ed3ng t\u1eed c\u1ed1 \u0111\u1ecbnh (\u0111\u1ed3ng t\u1eed hai b\u00ean gi\u00e3n tr\u00ean 4 mm);<\/li>\n<li>\u0110\u1ed3ng t\u1eed m\u1ea5t ph\u1ea3n x\u1ea1 v\u1edbi \u00e1nh s\u00e1ng (\u00e1nh s\u00e1ng \u0111\u00e8n Pin);<\/li>\n<li>M\u1ea5t ph\u1ea3n x\u1ea1 gi\u00e1c m\u1ea1c;<\/li>\n<li>M\u1ea5t ph\u1ea3n x\u1ea1 ho khi k\u00edch th\u00edch ph\u1ebf qu\u1ea3n: Khi h\u00fat \u0111\u1eddm, nghi\u1ec7m ph\u00e1p g\u00e2y ho \u00e2m t\u00ednh;<\/li>\n<li>Kh\u00f4ng c\u00f3 ph\u1ea3n x\u1ea1 \u0111\u1ea7u &#8211; m\u1eaft: M\u1ea5t ph\u1ea3n x\u1ea1 m\u1eaft b\u00fap b\u00ea;<\/li>\n<li>M\u1eaft kh\u00f4ng quay khi b\u01a1m 50 ml n\u01b0\u1edbc l\u1ea1nh v\u00e0o tai: Ph\u1ea3n x\u1ea1 m\u1eaft &#8211; ti\u1ec1n \u0111\u00ecnh \u00e2m t\u00ednh;<\/li>\n<li>M\u1ea5t kh\u1ea3 n\u0103ng t\u1ef1 th\u1edf khi b\u1ecf m\u00e1y th\u1edf: Nghi\u1ec7m ph\u00e1p ng\u1eebng th\u1edf d\u01b0\u01a1ng t\u00ednh.<\/li>\n<\/ul>\n<h2>2. C\u00e1c nghi\u1ec7m ph\u00e1p th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o<\/h2>\n<p>C\u00f3 m\u1ed9t s\u1ed1 nghi\u1ec7m ph\u00e1p th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o, bao g\u1ed3m:<\/p>\n<p>&#8211; Nghi\u1ec7m ph\u00e1p g\u00e2y ho khi h\u00fat \u0111\u1eddm \u00e2m t\u00ednh: M\u1ea5t ph\u1ea3n x\u1ea1 ho khi k\u00edch th\u00edch b\u1eb1ng \u1ed1ng th\u00f4ng n\u01a1i ph\u00e2n chia ph\u1ebf qu\u1ea3n g\u1ed1c ph\u1ea3i v\u00e0 tr\u00e1i qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n;<\/p>\n<p>&#8211; Ph\u1ea3n x\u1ea1 m\u1eaft b\u00fap b\u00ea: B\u00ecnh th\u01b0\u1eddng khi nghi\u00eang \u0111\u1ea7u b\u1ec7nh nh\u00e2n sang m\u1ed9t b\u00ean, hai m\u1eaft s\u1ebd \u0111\u1ea3o ng\u01b0\u1ee3c sang b\u00ean \u0111\u1ed1i di\u1ec7n, khi ch\u1ebft n\u00e3o nh\u00e3n c\u1ea7u kh\u00f4ng c\u1eed \u0111\u1ed9ng;<\/p>\n<p>&#8211; Ph\u1ea3n x\u1ea1 m\u1eaft-ti\u1ec1n \u0111\u00ecnh: B\u00ecnh th\u01b0\u1eddng khi b\u01a1m 50 ml n\u01b0\u1edbc l\u1ea1nh kho\u1ea3ng 5-6<sup>o<\/sup>C v\u00e0o l\u1ea7n l\u01b0\u1ee3t hai tai, m\u1eaft quay v\u1ec1 ph\u00eda b\u01a1m (nh\u01b0ng ph\u1ea3i c\u00f3 m\u00e0ng nh\u0129 b\u00ecnh th\u01b0\u1eddng). T\u00ecm ph\u1ea3n x\u1ea1 n\u00e0y thay cho ph\u1ea3n x\u1ea1 m\u1eaft b\u00fap b\u00ea khi nghi ng\u1edd c\u00f3 ch\u1ea5n th\u01b0\u01a1ng c\u1ed9t s\u1ed1ng c\u1ed5 ho\u1eb7c ph\u1ea3n x\u1ea1 \u0111\u1ea7u &#8211; m\u1eaft kh\u00f4ng r\u00f5;<\/p>\n<p>&#8211; Nghi\u1ec7m ph\u00e1p ng\u1eebng th\u1edf: Cho b\u1ec7nh nh\u00e2n th\u1edf m\u00e1y v\u1edbi \u00f4 xy 100% trong 10 ph\u00fat sau \u0111\u00f3 th\u00e1o m\u00e1y th\u1edf kh\u1ecfi b\u1ec7nh nh\u00e2n, \u0111\u01b0a qua \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n 6 l\u00edt\/ph\u00fat \u00f4 xy 100% trong 10 ph\u00fat, n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1edf \u0111\u01b0\u1ee3c th\u00ec nghi\u1ec7m ph\u00e1p d\u01b0\u01a1ng t\u00ednh.<\/p>\n<h2>3. Ti\u00eau chu\u1ea9n c\u1eadn l\u00e2m s\u00e0ng<\/h2>\n<p>X\u00e1c \u0111\u1ecbnh ti\u00eau chu\u1ea9n c\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o, ph\u1ea3i s\u1eed d\u1ee5ng m\u1ed9t trong c\u00e1c k\u1ebft qu\u1ea3 k\u1ef9 thu\u1eadt chuy\u00ean m\u00f4n sau \u0111\u00e2y:<\/p>\n<p>&#8211; Ghi \u0111i\u1ec7n n\u00e3o: M\u1ea5t s\u00f3ng \u0111i\u1ec7n n\u00e3o (\u0111\u1eb3ng \u0111i\u1ec7n).<\/p>\n<p>&#8211; Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh xuy\u00ean n\u00e3o: Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh s\u1ecd n\u00e3o c\u00f3 b\u01a1m thu\u1ed1c c\u1ea3n quang t\u0129nh m\u1ea1ch nh\u01b0ng kh\u00f4ng th\u1ea5y m\u1ea1ch m\u00e1u n\u00e3o ng\u1ea5m thu\u1ed1c.<\/p>\n<p>&#8211; Ch\u1ee5p si\u00eau \u00e2m Doppler xuy\u00ean s\u1ecd: Kh\u00f4ng th\u1ea5y s\u00f3ng Doppler c\u1ee7a h\u00ecnh \u1ea3nh si\u00eau \u00e2m (tr\u00ean gi\u1ea5y si\u00eau \u00e2m) ho\u1eb7c m\u1ea5t d\u00f2ng t\u00e2m tr\u01b0\u01a1ng, ch\u1ec9 c\u00f2n c\u00e1c \u0111\u1ec9nh s\u00f3ng t\u00e2m thu nh\u1ecf kh\u1edfi \u0111\u1ea7u k\u1ef3 t\u00e2m thu.<\/p>\n<p>&#8211; Ch\u1ee5p X quang \u0111\u1ed9ng m\u1ea1ch n\u00e3o: Kh\u00f4ng th\u1ea5y \u0111\u1ed9ng m\u1ea1ch n\u00e3o ng\u1ea5m thu\u1ed1c c\u1ea3n quang.<\/p>\n<p>&#8211; Ch\u1ee5p \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1: B\u01a1m ch\u1ea5t \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 v\u00e0o m\u00e1u nh\u01b0ng kh\u00f4ng th\u1ea5y h\u00ecnh \u1ea3nh ch\u1ea5t ph\u00f3ng x\u1ea1 trong n\u00e3o \u1edf ph\u00fat th\u1ee9 30, ph\u00fat th\u1ee9 60 v\u00e0 ph\u00fat th\u1ee9 120 sau khi b\u01a1m.<\/p>\n<h2>4. Ti\u00eau chu\u1ea9n th\u1eddi gian<\/h2>\n<p>Th\u1eddi gian ch\u1ebft n\u00e3o l\u00e0 kho\u1ea3ng th\u1eddi gian m\u00e0 n\u00e3o b\u1ed9 kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng v\u00e0 kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i. Tuy nhi\u00ean, vi\u1ec7c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c th\u1eddi gian ch\u1ebft n\u00e3o kh\u00f4ng \u0111\u01a1n gi\u1ea3n v\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c nhau, bao g\u1ed3m nguy\u00ean nh\u00e2n g\u00e2y ra t\u1eed vong, th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u ki\u1ec3m tra ch\u1ea9n \u0111o\u00e1n, v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra ch\u1ea9n \u0111o\u00e1n s\u1eed d\u1ee5ng.<\/p>\n<p>&#8211; Ti\u00eau chu\u1ea9n th\u1eddi gian \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o \u00edt nh\u1ea5t l\u00e0 12 gi\u1edd, k\u1ec3 t\u1eeb khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u0111\u1ee7 c\u00e1c ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng v\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o.<\/p>\n<p>&#8211; Khi ti\u1ebfn h\u00e0nh x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o ph\u1ea3i c\u00f3 ba b\u00e1c s\u1ef9 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n theo quy \u0111\u1ecbnh t\u1ea1i <a class=\"clsBookmark_dc clsopentGiaHan\" name=\"dc_1\"><\/a>\u0110i\u1ec1u 27 c\u1ee7a Lu\u1eadt hi\u1ebfn, l\u1ea5y, gh\u00e9p m\u00f4, b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3 ng\u01b0\u1eddi v\u00e0 hi\u1ebfn, l\u1ea5y x\u00e1c\u00a0c\u00f9ng \u0111\u00e1nh gi\u00e1, c\u00f3 \u00fd ki\u1ebfn \u0111\u1ed9c l\u1eadp v\u00e0 k\u00fd bi\u00ean b\u1ea3n ri\u00eang cho m\u1ed7i ng\u01b0\u1eddi v\u00e0o ba th\u1eddi \u0111i\u1ec3m: B\u1eaft \u0111\u1ea7u x\u00e1c \u0111\u1ecbnh ch\u00e9t n\u00e3o v\u00e0 hai th\u1eddi \u0111i\u1ec3m ti\u1ebfp theo l\u00e0 6 gi\u1edd v\u00e0 12 gi\u1edd k\u1ec3 t\u1eeb khi b\u1eaft \u0111\u1ea7u x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o (Ph\u1ee5 l\u1ee5c Quy tr\u00ecnh \u0111\u00e1nh gi\u00e1 ch\u1ebft n\u00e3o k\u00e8m theo).<\/p>\n<h2>5. C\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng \u00e1p d\u1ee5ng ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ebft n\u00e3o<\/h2>\n<p>Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p sau kh\u00f4ng \u0111\u01b0a v\u00e0o \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ebft n\u00e3o:<\/p>\n<ul>\n<li>Ch\u01b0a c\u00f3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng c\u00f3 th\u1ec3 gi\u1ea3i th\u00edch t\u00ecnh tr\u1ea1ng h\u00f4n m\u00ea v\u00e0 ch\u1ebft n\u00e3o l\u00e2m s\u00e0ng.<\/li>\n<li>Th\u00e2n nhi\u1ec7t d\u01b0\u1edbi 32<sup>o<\/sup>C.<\/li>\n<li>B\u1ec7nh nh\u00e2n nghi ng\u1edd ng\u1ed9 \u0111\u1ed9c thu\u1ed1c hay \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf th\u1ea7n kinh &#8211; c\u01a1.<\/li>\n<li>Phong b\u1ebf th\u1ea7n kinh &#8211; c\u01a1.<\/li>\n<li>R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a.<\/li>\n<li>G\u00e2y m\u00ea s\u00e2u.<\/li>\n<li>C\u00f3 t\u00ecnh tr\u1ea1ng s\u1ed1c ho\u1eb7c t\u1ee5t huy\u1ebft \u00e1p.<\/li>\n<li>Tr\u1ea1ng th\u00e1i \u1ee9c ch\u1ebf t\u00e2m th\u1ea7n: Kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi m\u1ecdi k\u00edch th\u00edch m\u1eb7c d\u00f9 b\u1ec7nh nh\u00e2n v\u1eabn c\u00f2n \u0111ang s\u1ed1ng.<\/li>\n<li>H\u1ed9i ch\u1ee9ng Guillain &#8211; Barr\u00e9 n\u1eb7ng.<\/li>\n<li>R\u1eafn \u0111\u1ed9c c\u1eafn ph\u1ea3i th\u1edf m\u00e1y.<\/li>\n<\/ul>\n<p>Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u00fang c\u00e1c ti\u00eau chu\u1ea9n v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o t\u00ednh ch\u00ednh x\u00e1c v\u00e0 \u0111\u00e1ng tin c\u1eady c\u1ee7a k\u1ebft qu\u1ea3. \u0110i\u1ec1u n\u00e0y gi\u00fap gi\u1ea3m \u0111au cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111\u00fang \u0111\u1eafn trong vi\u1ec7c ch\u1ea5m d\u1ee9t c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 s\u1ef1 s\u1ed1ng. Ngo\u00e0i ra, ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o c\u0169ng c\u00f3 t\u1ea7m quan tr\u1ecdng trong vi\u1ec7c nghi\u00ean c\u1ee9u v\u1ec1 s\u1ef1 s\u1ed1ng v\u00e0 ch\u1ebft, v\u00e0 c\u00f3 th\u1ec3 cung c\u1ea5p th\u00f4ng tin quan tr\u1ecdng cho vi\u1ec7c c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng ch\u0103m s\u00f3c y t\u1ebf. V\u00ec v\u1eady, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong c\u00f4ng t\u00e1c ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n trong c\u00e1c c\u01a1 s\u1edf y t\u1ebf.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ch\u1ea9n \u0111o\u00e1n ch\u1ebft n\u00e3o l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh y t\u1ebf quan tr\u1ecdng trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh s\u1ef1 ch\u1ea5m d\u1ee9t c\u1ee7a ch\u1ee9c n\u0103ng n\u00e3o b\u1ed9 v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng li\u00ean quan \u0111\u1ebfn s\u1ef1 s\u1ed1ng. \u0110\u00e2y l\u00e0 m\u1ed9t ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng v\u00ec n\u00f3 c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u m\u1ed9t ng\u01b0\u1eddi \u0111\u00e3 ch\u1ebft n\u00e3o hay ch\u01b0a, [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - 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