{"id":27804,"date":"2023-04-24T16:35:06","date_gmt":"2023-04-24T09:35:06","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27804"},"modified":"2023-04-24T16:35:06","modified_gmt":"2023-04-24T09:35:06","slug":"huong-dan-cham-soc-giam-nhe-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/24\/huong-dan-cham-soc-giam-nhe-theo-bo-y-te\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 (CSGN) n\u00e0y \u0111\u01b0\u1ee3c vi\u1ebft cho c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng cung c\u1ea5p CSGN v\u00e0 ch\u0103m s\u00f3c cu\u1ed1i \u0111\u1eddi cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh nghi\u00eam tro\u0323ng m\u00e0 ho\u0323 th\u01b0\u1eddng xuy\u00ean ch\u0103m s\u00f3c \u1edf ngay t\u1ea1i c\u01a1 s\u1edf l\u00e0m vi\u1ec7c c\u1ee7a ho\u0323.\u00a0<\/span><\/p>\n

\"Cham
Quy tr\u00ecnh CSGN<\/figcaption><\/figure>\n

1. Gi\u1edbi thi\u1ec7u ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/b><\/h2>\n

Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 (CSGN) l\u00e0 chuy\u00ean ng\u00e0nh ch\u0103m s\u00f3c, \u0111i\u1ec1u tr\u1ecb v\u1eadn d\u1ee5ng nh\u1eefng ch\u1ee9ng c\u1ee9 t\u1ed1t nh\u1ea5t hi\u1ec7n c\u00f3 nh\u1eb1m ng\u0103n ng\u1eeba v\u00e0 gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 v\u1ec1 th\u1ec3 ch\u1ea5t, t\u00e2m ly\u0301, x\u00e3 h\u1ed9i, hay t\u00e2m linh – m\u00e0 ng\u01b0\u1eddi b\u1ec7nh l\u00e0 ng\u01b0\u1eddi l\u1edbn hay tr\u1ebb em m\u1eafc b\u1ec7nh n\u1eb7ng, nghi\u00eam tro\u0323ng, \u0111ang ph\u1ea3i ch\u1ecbu \u0111\u1ef1ng.<\/span><\/p>\n

T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) \u01b0\u1edbc t\u00ednh m\u1ed7i n\u0103m th\u1ebf gi\u1edbi c\u00f3 h\u01a1n 56,8 tri\u1ec7u ng\u01b0\u1eddi c\u1ea7n ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 (CSGN), trong \u0111\u00f3 25,7 tri\u1ec7u ng\u01b0\u1eddi g\u1ea7n giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi. C\u00e1c b\u1ec7nh kh\u00f4ng l\u00e2y nhi\u1ec5m nh\u01b0 ung th\u01b0, sa s\u00fat tr\u00ed tu\u1ec7, b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e3o v\u00e0 b\u1ec7nh ph\u1ed5i chi\u1ebfm 69% nhu c\u1ea7u CSGN c\u1ee7a ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. 75% ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh c\u1ea7n \u0111\u01b0\u1ee3c CSGN s\u1ed1ng trong c\u00e1c n\u01b0\u1edbc thu nh\u1eadp th\u1ea5p v\u00e0 trung b\u00ecnh, v\u00e0 t\u1ef7 l\u1ec7 cao nh\u1ea5t l\u00e0 \u1edf c\u00e1c n\u01b0\u1edbc c\u00f3 thu nh\u1eadp th\u1ea5p.<\/span><\/p>\n

CSGN l\u00e0 m\u1ed9t ph\u1ea7n quan tro\u0323ng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u1eb1m gi\u00fap gi\u1ea3m b\u1edbt \u0111au kh\u1ed5 cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi b\u1ec7nh Ung th\u01b0, suy c\u00e1c c\u01a1 quan tro\u0323ng y\u1ebfu, b\u1ec7nh m\u1ea1n t\u00ednh giai \u0111o\u1ea1n cu\u1ed1i hay b\u1ec7nh l\u00fd c\u1ea5p t\u00ednh, tr\u1ebb sinh c\u1ef1c non hay ng\u01b0\u1eddi cao tu\u1ed5i suy y\u1ebfu, CSGN c\u1ea7n \u0111\u01b0\u1ee3c d\u1ec5 d\u00e0ng ti\u1ebfp c\u1eadn v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c t\u00edch h\u1ee3p v\u00e0o t\u1ea5t c\u1ea3 c\u00e1c m\u1ee9c \u0111\u1ed9 ch\u0103m s\u00f3c.<\/span><\/p>\n

2. C\u00e1c nguy\u00ean t\u1eafc trong ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/b><\/h2>\n

2.1. Nguy\u00ean t\u1eafc th\u1ee9 nh\u1ea5t\u00a0<\/span><\/h3>\n

Ngh\u0129a v\u1ee5 \u0111\u1ea1o \u0111\u1ee9c c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 l\u00e0m gi\u1ea3m b\u1edbt kh\u1ed5 \u0111au v\u1ec1 th\u1ec3 ch\u1ea5t, t\u00e2m ly\u0301 hay x\u00e3 h\u1ed9i\u2026b\u1ea5t k\u1ec3 c\u0103n b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi hay kh\u00f4ng.\u00a0<\/span><\/p>\n

2.2. Nguy\u00ean t\u1eafc th\u1ee9 hai\u00a0<\/span><\/h3>\n

Ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 \u0111\u00e1p \u1ee9ng v\u1edbi b\u1ea5t k\u1ef3 \u0111au kh\u1ed5 n\u00e0o c\u1ea5p t\u00ednh hay m\u1ea1n t\u00ednh m\u00e0 ch\u01b0a \u0111\u01b0\u1ee3c d\u1ef1 ph\u00f2ng hay gi\u1ea3m nh\u1eb9 m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7.\u00a0<\/span><\/p>\n

C\u00e1c lo\u1ea1i h\u00ecnh v\u00e0 m\u1ee9c \u0111\u1ed9 \u0111au c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo \u0111\u1ecba \u0111i\u1ec3m, ho\u00e0n c\u1ea3nh kinh t\u1ebf – x\u00e3 h\u1ed9i, v\u0103n h\u00f3a, th\u1eddi gian, do \u0111\u00f3 c\u00f4ng t\u00e1c ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 v\u00e0 quy m\u00f4 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 c\u0169ng c\u1ea7n thay \u0111\u1ed5i theo t\u1eebng nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh.\u00a0<\/span><\/p>\n

2.3. Nguy\u00ean t\u1eafc th\u1ee9 ba<\/span><\/h3>\n

\u0110\u00e1nh gi\u00e1 c\u00e1c gi\u00e1 tr\u1ecb m\u00e0 m\u1ed7i ng\u01b0\u1eddi b\u1ec7nh tr\u00e2n tro\u0323ng trong cu\u1ed9c s\u1ed1ng, \u0111\u1ed1i v\u1edbi tr\u1ebb em c\u1ea7n \u0111\u00e1nh gi\u00e1 theo giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ebb \u0111\u1ec3 c\u00f3 th\u1ec3 ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p\u00a0<\/span><\/p>\n

C\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 ngay trong giai \u0111o\u1ea1n s\u1edbm c\u1ee7a nh\u1eefng b\u1ec7nh ly\u0301 nghi\u00eam tro\u0323ng \u0111\u1ed3ng th\u1eddi k\u1ebft h\u1ee3p c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1eefa b\u1ec7nh nh\u01b0 l\u00e0 h\u00f3a tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 hay lao kh\u00e1ng thu\u1ed1c v\u00e0 thu\u1ed1c kh\u00e1ng vi r\u00fat d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh HIV\/AIDS\u00a0<\/span><\/p>\n

N\u00ean \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o \u1edf ba c\u1ea5p b\u1eadc:\u00a0<\/span><\/p>\n

    \n
  • \u0110\u00e0o t\u1ea1o ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 c\u01a1 b\u1ea3n cho t\u1ea5t c\u1ea3 sinh vi\u00ean y khoa, sinh vi\u00ean \u0111i\u1ec1u d\u01b0\u1ee1ng, sinh vi\u00ean d\u01b0\u1ee3c\u00a0<\/span><\/li>\n
  • \u0110\u00e0o t\u1ea1o ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 b\u1eadc trung c\u1ea5p\/n\u00e2ng cao cho t\u1ea5t c\u1ea3 c\u00e1c chuy\u00ean gia y t\u1ebf\u00a0<\/span><\/li>\n
  • \u0110\u00e0o t\u1ea1o ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 chuy\u00ean s\u00e2u<\/span><\/li>\n<\/ul>\n

    2.4. Ca\u0301c nguy\u00ean t\u1eafc d\u1ef1a tr\u00ean y \u0111\u1ee9c (ph\u01b0\u01a1ng T\u00e2y)<\/span><\/h3>\n
      \n
    • Kh\u00f4ng l\u00e0m h\u1ea1i<\/span><\/li>\n
    • L\u00e0m \u0111i\u1ec1u c\u00f3 l\u1ee3i<\/span><\/li>\n
    • T\u1ef1 ch\u1ee7\/T\u1ef1 quy\u1ebft\/Quy\u1ec1n t\u1ef1 ra quy\u1ebft \u0111\u1ecbnh<\/span><\/li>\n
    • C\u00f4ng b\u1eb1ng<\/span><\/li>\n
    • Kh\u00f4ng b\u1ecf r\u01a1i<\/span><\/li>\n
    • Nguy\u00ean t\u1eafc \u201cH\u1ec7 qu\u1ea3 k\u00e9p\u201d t\u1ee9c b\u1ea5t k\u1ef3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111i\u1ec1u tr\u1ecb n\u00e0o c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng x\u1ea5u. N\u1ebfu\u0111\u01b0\u1ee3c ng\u01b0\u1eddi b\u1ec7nh mong mu\u1ed1n, c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p ho\u00e0n to\u00e0n v\u00ec m\u1ee5c \u0111\u00edch mang l\u1ea1i l\u1ee3i \u00edch cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ngay c\u1ea3 khi c\u00f3 th\u1ec3 \u0111i k\u00e8m v\u1edbi c\u00e1c r\u1ee7i ro, v\u1ed1n c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n nh\u01b0ng kh\u00f4ng ch\u1ee7 y\u0301 g\u00e2y ra.<\/span><\/li>\n<\/ul>\n

      3. 8 b\u01b0\u1edbc ch\u00ednh trong \u0111\u00e1nh gi\u00e1 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9<\/b><\/h2>\n

      3.1 Ti\u1ec1n s\u1eed b\u1ec7nh hi\u1ec7n t\u1ea1i<\/strong><\/p>\n

        \n
      • Mong mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh trong vi\u1ec7c nh\u1eadn v\u00e0 th\u1ea3o lu\u1eadn c\u00e1c th\u00f4ng tin y khoa v\u00e0 \u0111\u01b0a ra c\u00e1c quy\u1ebft \u0111\u1ecbnh ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe.<\/span><\/li>\n
      • Hi\u1ec3u bi\u1ebft c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 b\u1ec7nh (n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed3ng \u00fd th\u1ea3o lu\u1eadn), bao g\u1ed3m: ch\u1ea9n \u0111o\u00e1n, c\u00e1c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 hi\u1ec7n nay, ti\u00ean l\u01b0\u1ee3ng \u01b0\u1edbc \u0111o\u00e1n, b\u1ea5t k\u1ef3 lo l\u1eafng ho\u1eb7c n\u1ed7i s\u1ee3 c\u1ee5 th\u1ec3<\/span><\/li>\n
      • Hi\u1ec3u bi\u1ebft c\u1ee7a gia \u0111\u00ecnh v\u1ec1 b\u1ec7nh (n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh t\u1eeb ch\u1ed1i th\u1ea3o lu\u1eadn v\u00e0 cho ph\u00e9p gia \u0111\u00ecnh th\u1ea3o lu\u1eadn thay m\u00ecnh), bao g\u1ed3m: ch\u1ea9n \u0111o\u00e1n, c\u00e1c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00e2y v\u00e0 hi\u1ec7n nay, ti\u00ean l\u01b0\u1ee3ng \u01b0\u1edbc \u0111o\u00e1n, b\u1ea5t k\u1ef3 lo l\u1eafng ho\u1eb7c n\u1ed7i s\u1ee3 c\u1ee5 th\u1ec3<\/span><\/li>\n<\/ul>\n

        3.2 C\u00e1c tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n

        C\u00e1c tri\u1ec7u ch\u1ee9ng hi\u1ec7n t\u1ea1i, b\u1eaft \u0111\u1ea7u v\u1edbi tri\u1ec7u ch\u1ee9ng g\u00e2y kh\u00f3 ch\u1ecbu nh\u1ea5t.<\/span><\/p>\n

        \u0110\u1ed1i v\u1edbi m\u1ed7i tri\u1ec7u ch\u1ee9ng:<\/span><\/p>\n

          \n
        • L\u1ea7n xu\u1ea5t hi\u1ec7n \u0111\u1ea7u ti\u00ean<\/span><\/li>\n
        • T\u1ea7n su\u1ea5t v\u00e0 k\u00e9o d\u00e0i (n\u1ebfu kh\u00f4ng h\u1eb1ng \u0111\u1ecbnh)<\/span><\/li>\n
        • M\u1ee9c \u0111\u1ed9 n\u1eb7ng theo thang \u0111i\u1ec3m t\u1eeb 0 – 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
        • 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<\/ul>\n

          3.3 Ti\u1ec1n s\u1eed x\u00e3 h\u1ed9i<\/strong><\/p>\n

            \n
          • C\u00e1c th\u00e0nh vi\u00ean tr\u1ef1c h\u1ec7 trong gia \u0111\u00ecnh (ch\u1ed3ng\/v\u1ee3 ho\u1eb7c b\u1ea1n \u0111\u1eddi, cha m\u1eb9, con c\u00e1i, anh ch\u1ecb em)<\/span><\/li>\n
          • C\u00e1c th\u00e0nh vi\u00ean s\u1ed1ng chung nh\u00e0<\/span><\/li>\n
          • T\u00ecnh tr\u1ea1ng t\u00e0i ch\u00ednh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ed9 gia \u0111\u00ecnh<\/span><\/li>\n
          • N\u01a1i ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c sinh ra<\/span><\/li>\n
          • Qu\u00e1 tr\u00ecnh l\u00e0m vi\u1ec7c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/span><\/li>\n
          • Ti\u1ec1n s\u1eed nghi\u1ec7n r\u01b0\u1ee3u n\u1eb7ng ho\u1eb7c s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t b\u1ea5t h\u1ee3p ph\u00e1p (c\u1ea7n ph\u1ea3i b\u1ea3o m\u1eadt th\u00f4ng tin)<\/span><\/li>\n
          • Nh\u1eefng ni\u1ec1m vui v\u00e0 n\u1ed7i bu\u1ed3n, c\u00e1c tr\u1ea3i nghi\u1ec7m m\u1ea5t m\u00e1t<\/span><\/li>\n
          • Nh\u1eadn \u0111\u1ecbnh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng hi\u1ec7n t\u1ea1i<\/span><\/li>\n
          • C\u00e1c ngu\u1ed3n h\u1ed7 tr\u1ee3 c\u1ea3m x\u00fac ch\u00ednh<\/span><\/li>\n<\/ul>\n

            3.4 D\u1ecb \u1ee9ng thu\u1ed1c<\/strong><\/p>\n

            C\u00e1c thu\u1ed1c \u0111ang s\u1eed d\u1ee5ng c\u1ea7n quan t\u00e2m<\/p>\n

              \n
            • Li\u1ec1u ch\u00ednh x\u00e1c<\/span><\/li>\n
            • \u0110\u01b0\u1eddng d\u00f9ng thu\u1ed1c (u\u1ed1ng, \u0111\u1eb7t tr\u1ef1c tr\u00e0ng, d\u00e1n, ti\u00eam d\u01b0\u1edbi da, ti\u00eam t\u0129nh m\u1ea1ch …)<\/span><\/li>\n
            • Kho\u1ea3ng c\u00e1ch th\u1eddi gian d\u00f9ng thu\u1ed1c<\/span><\/li>\n
            • \u0110\u1ecbnh k\u1ef3 hay khi c\u1ea7n<\/span><\/li>\n<\/ul>\n

              3.5 Kh\u00e1m th\u1ec3 ch\u1ea5t<\/strong><\/p>\n

              C\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n<\/p>\n

                \n
              • Nhi\u1ec7t \u0111\u1ed9 v\u00e0 nh\u1ecbp th\u1edf lu\u00f4n quan tr\u1ecdng<\/span><\/li>\n
              • Nh\u1ecbp tim, huy\u1ebft \u00e1p v\u00e0 \u0111\u1ed9 b\u00e3o h\u00f2a oxy ch\u1ec9 thu th\u1eadp khi c\u00f3 \u00edch cho quy\u1ebft \u0111\u1ecbnh y khoa Kh\u00e1m th\u1ec3 ch\u1ea5t c\u01a1 b\u1ea3n \u0111\u1eb7c bi\u1ec7t ch\u00fa \u00fd t\u1edbi c\u00e1c v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi b\u1ec7nh l\u00fd ho\u1eb7c li\u00ean quan \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng<\/span><\/li>\n<\/ul>\n

                Tr\u00e1nh g\u00e2y ra kh\u00f3 ch\u1ecbu<\/span><\/p>\n

                T\u00ecnh tr\u1ea1ng ho\u1ea1t \u0111\u1ed9ng<\/span><\/p>\n

                  \n
                • \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0: Thang \u0111i\u1ec3m ECOG<\/span><\/li>\n
                • \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ung th\u01b0: Thang \u0111i\u1ec3m PPS<\/span><\/li>\n<\/ul>\n

                  3.6 \u0110\u00e1nh gi\u00e1 ho\u00e0n c\u1ea3nh x\u00e3 h\u1ed9i, t\u00e2m l\u00fd, t\u00e2m linh<\/strong><\/p>\n

                    \n
                  • C\u00e1c kh\u00f3 kh\u0103n x\u00e3 h\u1ed9i li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd (di chuy\u1ec3n, t\u00e0i ch\u00ednh, b\u1ea3o hi\u1ec3m, an to\u00e0n, m\u1ed1i quan h\u1ec7 gia \u0111\u00ecnh, c\u00e1c xung \u0111\u1ed9t xoay quanh m\u1ee5c ti\u00eau ch\u0103m s\u00f3c)<\/span><\/li>\n
                  • C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 r\u1ed1i lo\u1ea1n t\u00e2m l\u00fd (c\u0103ng th\u1eb3ng, kh\u1ee7ng ho\u1ea3ng, \u0111au bu\u1ed3n, m\u1ea5t m\u00e1t, lo \u00e2u, tr\u1ea7m c\u1ea3m…)<\/span><\/li>\n
                  • C\u00e1c v\u1ea5n \u0111\u1ec1 t\u00e2m linh: ni\u1ec1m tin, gi\u00e1 tr\u1ecb, \u00fd ngh\u0129a cu\u1ed9c s\u1ed1ng<\/span><\/li>\n
                  • C\u00e1c lo ng\u1ea1i, s\u1ee3 h\u00e3i, nguy\u1ec7n v\u1ecdng (\u0111\u1eb7c bi\u1ec7t \u1edf giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi)<\/span><\/li>\n<\/ul>\n

                    3.7 X\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/strong><\/p>\n

                    Ch\u1ec9 khi c\u1ea7n cho quy\u1ebft \u0111\u1ecbnh y khoa. V\u00ed d\u1ee5, c\u00f3 th\u1ec3 h\u1eefu \u00edch:<\/p>\n

                      \n
                    • \u0110\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn (creatinine huy\u1ebft thanh) \u0111\u1ec3 c\u00f3 th\u00f4ng tin cho nh\u1eefng quy\u1ebft \u0111\u1ecbnh v\u1ec1 c\u00e1c thu\u1ed1c v\u00e0 li\u1ec1u thu\u1ed1c.<\/span><\/li>\n
                    • Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 ph\u1ed5i v\u00e0 kh\u00f4ng c\u00f3 k\u1ebft qu\u1ea3 n\u00e0o g\u1ea7n \u0111\u00e2y gi\u00fap \u01b0\u1edbc \u0111o\u00e1n ti\u00ean l\u01b0\u1ee3ng v\u00e0 nguy c\u01a1 kh\u00f3 th\u1edf n\u1eb7ng h\u01a1n.<\/span><\/li>\n<\/ul>\n

                      3.8 C\u1ea3m nh\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n

                      T\u00f3m t\u1eaft c\u00e1c v\u1ea5n \u0111\u1ec1 y khoa v\u00e0 c\u00e1c lo\u1ea1i h\u00ecnh \u0111au ch\u00ednh<\/span><\/p>\n

                      Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t cho m\u1ed7i tri\u1ec7u ch\u1ee9ng (nguy\u00ean nh\u00e2n nhi\u1ec1u kh\u1ea3 n\u0103ng nh\u1ea5t)<\/span><\/p>\n

                      M\u1ee5c ti\u00eau ch\u0103m s\u00f3c: <\/span>B\u1ea5t k\u1ef3 m\u1ee5c ti\u00eau ch\u0103m s\u00f3c n\u00e0o \u0111\u00e3 th\u1ed1ng nh\u1ea5t gi\u1eefa ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c gia \u0111\u00ecnh v\u00e0 b\u00e1c s\u0129, ho\u1eb7c ghi r\u00f5 r\u1eb1ng ch\u01b0a r\u00f5 m\u1ee5c ti\u00eau ch\u0103m s\u00f3c.<\/span><\/p>\n

                      3.9 C\u00e1c can thi\u1ec7p \u0111\u1ec1 xu\u1ea5t<\/strong><\/p>\n

                        \n
                      • \u0110\u1ed1i v\u1edbi m\u1ed7i thu\u1ed1c: Li\u1ec1u ch\u00ednh x\u00e1c, \u0111\u01b0\u1eddng d\u00f9ng (u\u1ed1ng, \u0111\u1eb7t h\u1eadu m\u00f4n, d\u00e1n, ti\u00eam d\u01b0\u1edbi da, ti\u00eam t\u0129nh m\u1ea1ch …), kho\u1ea3ng c\u00e1ch th\u1eddi gian d\u00f9ng thu\u1ed1c, \u0111\u1ecbnh k\u1ef3 hay khi c\u1ea7n<\/span><\/li>\n
                      • B\u1ea5t k\u1ef3 h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd x\u00e3 h\u1ed9i n\u00e0o c\u1ea7n thi\u1ebft<\/span><\/li>\n<\/ul>\n

                        N\u00ean l\u1eadp k\u1ebf ho\u1ea1ch \u0111\u1ec3 x\u00e1c l\u1eadp c\u00e1c m\u1ee5c ti\u00eau ch\u0103m s\u00f3c (v\u00ed d\u1ee5: n\u01a1i ch\u0103m s\u00f3c mong mu\u1ed1n, n\u1ebfu \u0111i\u1ec1u n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn tr\u01b0\u1edbc \u0111\u00f3).<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

                        H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 (CSGN) n\u00e0y \u0111\u01b0\u1ee3c vi\u1ebft cho c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng cung c\u1ea5p CSGN v\u00e0 ch\u0103m s\u00f3c cu\u1ed1i \u0111\u1eddi cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh nghi\u00eam tro\u0323ng m\u00e0 ho\u0323 th\u01b0\u1eddng xuy\u00ean ch\u0103m s\u00f3c \u1edf ngay t\u1ea1i c\u01a1 s\u1edf l\u00e0m vi\u1ec7c c\u1ee7a ho\u0323.\u00a0 1. Gi\u1edbi thi\u1ec7u ph\u01b0\u01a1ng ph\u00e1p ch\u0103m […]<\/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":[],"yoast_head":"\nH\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 d\u00e0nh cho l\u00e2m s\u00e0ng cung c\u1ea5p CSGN v\u00e0 ch\u0103m s\u00f3c cu\u1ed1i \u0111\u1eddi cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh m\u1eafc c\u00e1c b\u1ec7nh nghi\u00eam tro\u0323ng\" \/>\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 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 theo B\u1ed9 Y t\u1ebf - 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