{"id":29206,"date":"2023-05-13T17:07:30","date_gmt":"2023-05-13T10:07:30","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29206"},"modified":"2023-05-13T17:07:30","modified_gmt":"2023-05-13T10:07:30","slug":"phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/","title":{"rendered":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)"},"content":{"rendered":"

Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng<\/strong> cho b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o<\/a> \u0111\u00f2i h\u1ecfi s\u1ef1 ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111a ph\u01b0\u01a1ng ti\u1ec7n, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i. Vi\u1ec7c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n ph\u1ee5c h\u1ed3i v\u00e0 tr\u1edf l\u1ea1i cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng.<\/p>\n

M\u1ed9t khi ra kh\u1ecfi Khoa c\u1ea5p c\u1ee9u, c\u00e1c bi\u1ec7n ph\u00e1p sau \u0111\u00e2y c\u1ea7n \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng (PHCN) cho ng\u01b0\u1eddi b\u1ec7nh CTSN \u1ed5n \u0111\u1ecbnh n\u1ed9i khoa. Nh\u1eefng bi\u1ec7n ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n ho\u1eb7c t\u1ea1i c\u1ed9ng \u0111\u1ed3ng (NICE, 2014; SIGN, 2013):<\/p>\n

    \n
  1. D\u00e1ng \u0111i, Th\u0103ng b\u1eb1ng v\u00e0 kh\u1ea3 n\u0103ng V\u1eadn \u0111\u1ed9ng di chuy\u1ec3n<\/li>\n
  2. Co c\u1ee9ng v\u00e0 Tr\u01b0\u01a1ng l\u1ef1c c\u01a1<\/li>\n
  3. C\u00e1c Can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb V\u1eadt l\u00fd.<\/li>\n
  4. C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ki\u1ec3m so\u00e1t ti\u1ec3u ti\u1ec7n<\/li>\n
  5. Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng Nh\u1eadn th\u1ee9c<\/li>\n
  6. PHCN c\u00e1c R\u1ed1i lo\u1ea1n H\u00e0nh vi v\u00e0 C\u1ea3m x\u00fac<\/li>\n
  7. Tr\u1ea7m c\u1ea3m v\u00e0 lo l\u00e2u.<\/li>\n
  8. Ch\u1ee9c n\u0103ng Th\u1ecb gi\u00e1c kh\u00f4ng<\/li>\n
  9. Giao ti\u1ebfp v\u00e0 nu\u1ed1t.<\/li>\n
  10. R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng T\u00ecnh d\u1ee5c.<\/li>\n
  11. \u0110i\u1ec1u tr\u1ecb \u0111au.<\/li>\n
  12. PHCN ngh\u1ec1 nghi\u1ec7p.<\/li>\n<\/ol>\n

    Ba\u0300i vi\u00ea\u0301t na\u0300y se\u0303 cung c\u00e2\u0301p th\u00f4ng tin v\u00ea\u0300 ca\u0301c bi\u00ea\u0323n pha\u0301p PHCN cu\u0309a 7 mu\u0323c cu\u00f4\u0301i trong danh sa\u0301ch tr\u00ean. Ba\u0300i vi\u00ea\u0301t tham kha\u0309o t\u01b0\u0300 ta\u0300i li\u00ea\u0323u ban ha\u0300nh theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5623 \/Q\u0110-BYT ng\u00e0y 21\/9\/2018 c\u1ee7a B\u1ed9 tr\u01b0\u1edfng B\u1ed9 Y t\u1ebf.<\/p>\n

    \"Phu\u0323c
    Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng cho b\u00ea\u0323nh nh\u00e2n CTSN giai \u0111oa\u0323n h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u<\/figcaption><\/figure>\n

    6. Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 H\u00e0nh vi\u00a0<\/strong><\/h2>\n

    M\u1ed9t ng\u01b0\u1eddi b\u1ec7nh b\u1ecb CTSN c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng nh\u1eefng \u1ea3nh h\u01b0\u1edfng v\u1ec1 m\u1eb7t t\u00e2m l\u00fd\/h\u00e0nh vi do ch\u1ea5n th\u01b0\u01a1ng. C\u00e1c bi\u1ec3u hi\u1ec7n n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m nh\u1eefng thay \u0111\u1ed5i b\u00ean ngo\u00e0i v\u1ec1 h\u00e0nh vi v\u00e0 t\u00ednh c\u00e1ch c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng k\u00edch th\u00edch, k\u00edch \u0111\u1ed9ng, b\u1ed1c \u0111\u1ed3ng, m\u1ea5t \u1ee9c ch\u1ebf v\u00e0 g\u00e2y h\u1ea5n b\u1eb1ng l\u1eddi n\u00f3i v\u00e0\/ho\u1eb7c h\u00e0nh \u0111\u1ed9ng. H\u1ecd c\u0169ng c\u00f3 xu h\u01b0\u1edbng \u0111i lang thang.\u00a0 C\u00f3 th\u1ec3 c\u00f3 nh\u1eefng thay \u0111\u1ed5i v\u1ec1 t\u00e2m tr\u1ea1ng, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 d\u1ec5 thay \u0111\u1ed5i c\u1ea3m x\u00fac, tr\u1ea7m c\u1ea3m, lo l\u1eafng, mu\u1ed1n t\u1ef1 s\u00e1t, v\u00e0 nh\u1eefng kh\u00f3 kh\u0103n v\u1ec1 t\u00ecnh d\u1ee5c. C\u0169ng c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng thay \u0111\u1ed5i trong c\u00e1c m\u1ed1i quan h\u1ec7 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi ng\u01b0\u1eddi kh\u00e1c, v\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 xu h\u01b0\u1edbng xem m\u00ecnh l\u00e0 trung t\u00e2m v\u00e0 c\u00f4 l\u1eadp h\u01a1n.<\/p>\n

    Nh\u1eefng thay \u0111\u1ed5i h\u00e0nh vi n\u00e0y th\u01b0\u1eddng g\u00e2y ra c\u00e1c ph\u1ea3n \u1ee9ng ti\u00eau c\u1ef1c t\u1eeb gia \u0111\u00ecnh, b\u1ea1n b\u00e8 v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c m\u00e0 ng\u01b0\u1eddi b\u1ec7nh CTSN ti\u1ebfp x\u00fac, v\u00e0 \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf s\u1ef1 h\u1ed3i ph\u1ee5c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

    Nh\u1eefng kh\u00f3 kh\u0103n trong l\u0129nh v\u1ef1c n\u00e0y \u0111\u01b0\u1ee3c gia \u0111\u00ecnh xem l\u00e0 kh\u00f3 \u0111\u1ed1i ph\u00f3 nh\u1ea5t sau khi b\u1ecb CTSN. Nh\u1eefng thay \u0111\u1ed5i n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00f4 l\u1eadp x\u00e3 h\u1ed9i, v\u00e0 c\u00f3 th\u1ec3 c\u1ea7n t\u01b0 v\u1ea5n cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 h\u1ed7 tr\u1ee3 li\u00ean t\u1ee5c cho gia \u0111\u00ecnh.<\/p>\n

    Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN v\u00e0 gia \u0111\u00ecnh h\u1ecd c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 v\u00e0 can thi\u1ec7p t\u00e2m l\u00fd. C\u00e1c gia \u0111\u00ecnh c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 h\u00e0nh vi n\u00e0y v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 can thi\u1ec7p th\u00edch h\u1ee3p.<\/p>\n

    7. Tr\u1ea7m c\u1ea3m v\u00e0 Lo \u00e2u<\/h2>\n

    Tr\u1ea7m c\u1ea3m v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n lo \u00e2u l\u00e0 ph\u1ed5 bi\u1ebfn sau CTSN, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ea7m c\u1ea3m.<\/p>\n

    R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n sau CTSN c\u0169ng \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn (Nh\u00f3m C\u00e1c H\u01b0\u1edbng d\u1eabn New Zealand, 2006).<\/p>\n

    Tr\u1ea7m c\u1ea3m v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m tr\u1ea1ng kh\u00e1c, c\u00e1c r\u1ed1i lo\u1ea1n lo \u00e2u, v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n s\u1ee9c kho\u1ebb t\u00e2m th\u1ea7n kh\u00e1c sau ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn k\u1ebft qu\u1ea3 c\u1ee7a PHCN v\u00e0 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh CTSN v\u00e0 c\u1ea3 ng\u01b0\u1eddi ch\u0103m s\u00f3c.<\/p>\n

    \u1ede nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN b\u1ecb tr\u1ea7m c\u1ea3m, c\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 nh\u1eadn th\u1ee9c v\u00e0 \u0111\u1ed9ng c\u01a1 do tr\u1ea7m c\u1ea3m g\u00e2y ra s\u1ebd l\u00e0m n\u1eb7ng th\u00eam c\u00e1c khi\u1ebfm khuy\u1ebft do CTSN, t\u0103ng m\u1ee9c \u0111\u1ed9 khuy\u1ebft t\u1eadt v\u00e0 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a PHCN.<\/p>\n

    Do \u0111\u00f3 \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i nh\u1eadn bi\u1ebft v\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m \u1edf ng\u01b0\u1eddi b\u1ec7nh CTSN. C\u00e1c v\u1ea5n \u0111\u1ec1 ch\u00ednh c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc l\u00e0 x\u00e1c \u0111\u1ecbnh xem:<\/p>\n

      \n
    • Tr\u1ea7m c\u1ea3m c\u00f3 n\u1eb7ng n\u1ec1 \u0111\u1ebfn m\u1ee9c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kho\u1ebb ho\u1eb7c c\u1ea3n tr\u1edf s\u1ef1 ph\u1ee5c h\u1ed3i hay kh\u00f4ng?<\/li>\n
    • Tr\u1ea7m c\u1ea3m c\u00f3 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng t\u1ed1t h\u01a1n v\u1edbi thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m hay l\u00e0 c\u00e1c can thi\u1ec7p kh\u00e1c.<\/li>\n
    • Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 an to\u00e0n v\u00e0 c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c cho ng\u01b0\u1eddi b\u1ec7nh hay kh\u00f4ng?<\/li>\n
    • L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 theo d\u00f5i hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec1u tr\u1ecb?<\/li>\n
    • C\u1ea7n ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb trong bao l\u00e2u?<\/li>\n<\/ul>\n

      S\u1eed d\u1ee5ng m\u1ed9t c\u00f4ng c\u1ee5 s\u00e0ng l\u1ecdc tr\u1ea7m c\u1ea3m th\u00edch h\u1ee3p, cho ng\u01b0\u1eddi l\u1edbn ho\u1eb7c tr\u1ebb em, n\u00ean l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a th\u1ef1c h\u00e0nh th\u01b0\u1eddng quy. V\u00ed d\u1ee5 nh\u01b0 thang \u0111i\u1ec3m tr\u1ea7m c\u1ea3m v\u00e0 lo \u00e2u \u1edf b\u1ec7nh vi\u1ec7n (HADS). Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng c\u00e1c c\u00f4ng c\u1ee5 s\u00e0ng l\u1ecdc tr\u1ea7m c\u1ea3m nh\u01b0 l\u00e0 m\u1ed9t ch\u1ec9 d\u1eabn duy nh\u1ea5t \u0111\u1ec3 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. Ch\u1ea9n \u0111o\u00e1n c\u1ea7n bao g\u1ed3m \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng b\u1edfi m\u1ed9t chuy\u00ean gia c\u00f3 kinh nghi\u1ec7m trong x\u1eed l\u00fd ng\u01b0\u1eddi b\u1ec7nh CTSN.<\/p>\n

      8. Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng Th\u1ecb gi\u00e1c kh\u00f4ng gian<\/h2>\n
        \n
      • Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ecb m\u1ea5t th\u1ecb gi\u00e1c v\u00e0\/ho\u1eb7c th\u00ednh gi\u00e1c c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1edfi m\u1ed9t nh\u00f3m ch\u0103m s\u00f3c c\u00f3 kinh nghi\u1ec7m ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t d\u1ecbch v\u1ee5 chuy\u00ean khoa.<\/li>\n
      • Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ecb CTSN c\u00f3 r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 b\u1edfi m\u1ed9t nh\u00f3m bao g\u1ed3m:\n
          \n
        • B\u00e1c s\u0129 nh\u00e3n<\/li>\n
        • Chuy\u00ean vi\u00ean ch\u1ec9nh th\u1ecb khi c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1edbi v\u1eadn \u0111\u1ed9ng m\u1eaft\/nh\u00ecn \u0111\u00f4i.<\/li>\n
        • Nh\u1eefng ng\u01b0\u1eddi c\u00f3 chuy\u00ean m\u00f4n PHCN cho ng\u01b0\u1eddi khi\u1ebfm th\u1ecb.<\/li>\n<\/ul>\n<\/li>\n
        • T\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN m\u1eafc ph\u1ea3i v\u1ea5n \u0111\u1ec1 kh\u00f4ng ch\u00fa \u00fd v\u1ec1 th\u1ecb gi\u00e1c ho\u1eb7c c\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 th\u1ecb tr\u01b0\u1eddng k\u00e9o d\u00e0i c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh c\u00e1c b\u00e0i t\u1eadp chuy\u00ean bi\u1ec7t.<\/li>\n<\/ul>\n

          9. Giao ti\u1ebfp v\u00e0 Nu\u1ed1t<\/h2>\n

          \u0110\u00e1nh gi\u00e1: Thang \u0111i\u1ec3m GUSS (S\u00e0ng l\u1ecdc nu\u1ed1t GUSS) v\u00e0 L\u01b0\u1ee3ng gi\u00e1 kh\u1ea3 n\u0103ng nu\u1ed1t Mann (MASA)\u00a0<\/em><\/p>\n

          \u00a09.1. Giao ti\u1ebfp<\/h3>\n
            \n
          • Ng\u01b0\u1eddi b\u1ec7nh b\u1ecb CTSN c\u00f3 nh\u1eefng kh\u00f3 kh\u0103n v\u1ec1 giao ti\u1ebfp c\u1ee5 th\u1ec3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 b\u1edfi m\u1ed9t chuy\u00ean gia v\u1ec1 ng\u00f4n ng\u1eef tr\u1ecb li\u1ec7u \u0111\u1ec3 xem x\u00e9t c\u00f3 ph\u00f9 h\u1ee3p \u0111\u1ec3 tr\u1ecb li\u1ec7u \u00e2m ng\u1eef hay kh\u00f4ng.<\/li>\n
          • C\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u00e1c m\u1ee5c ti\u00eau c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c v\u00e0 x\u00e2y d\u1ef1ng m\u1ed9t k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00e0 theo d\u00f5i ti\u1ebfn tri\u1ec3n.<\/li>\n
          • M\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh PHCN giao ti\u1ebfp c\u1ea7n x\u00e9t \u0111\u1ebfn ki\u1ec3u giao ti\u1ebfp tr\u01b0\u1edbc khi b\u1ecb b\u1ec7nh v\u00e0 c\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 nh\u1eadn th\u1ee9c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 c\u1ea7n k\u1ebft h\u1ee3p c\u1ea3 gia \u0111\u00ecnh\/ng\u01b0\u1eddi ch\u0103m s\u00f3c khi x\u00e2y d\u1ef1ng c\u00e1c chi\u1ebfn l\u01b0\u1ee3c giao ti\u1ebfp t\u1ed1i \u01b0u.<\/li>\n
          • C\u1ea7n s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3 giao ti\u1ebfp bao g\u1ed3m c\u00e1c h\u00ecnh v\u1ebd c\u1eed ch\u1ec9, b\u1ea3ng c\u00e1c h\u00ecnh \u1ea3nh giao ti\u1ebfp v\u00e0 c\u00e1c h\u1ec7 th\u1ed1ng m\u00e1y t\u00ednh khi th\u00edch h\u1ee3p.<\/li>\n<\/ul>\n

            9.2. Nu\u1ed1t (SIGN, 2014)<\/h3>\n
              \n
            • Kh\u00f3 nu\u1ed1t th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 b\u1edfi k\u1ef9 thu\u1eadt vi\u00ean ng\u00f4n ng\u1eef tr\u1ecb li\u1ec7u k\u1ebft h\u1ee3p c\u1ea3 c\u00e1c l\u01b0\u1ee3ng gi\u00e1 t\u1ea1i gi\u01b0\u1eddng v\u00e0 b\u1eb1ng c\u00f4ng c\u1ee5.Hai l\u01b0\u1ee3ng gi\u00e1 b\u1eb1ng c\u00f4ng c\u1ee5 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1ea5t l\u00e0 quay video nu\u1ed1t c\u00f3 c\u1ea3n quang v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng nu\u1ed1t b\u1eb1ng n\u1ed9i soi (FEES). \u0110\u00e1nh gi\u00e1 b\u1eb1ng c\u00f4ng c\u1ee5 cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 nu\u1ed1t \u1edf giai \u0111o\u1ea1n h\u1ea7u, bao g\u1ed3m h\u00edt ph\u1ea3i. Do \u0111\u00f3 n\u00f3 cho ph\u00e9p \u0111\u01b0a ra c\u00e1c quy\u1ebft \u0111\u1ecbnh v\u1edbi \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p cho \u0103n u\u1ed1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb, \u0111\u1ed3ng th\u1eddi gi\u00fap tr\u00e1nh nguy c\u01a1 h\u00edt s\u1eb7c th\u1ea7m l\u1eb7ng, so v\u1edbi l\u01b0\u1ee3ng gi\u00e1 \u1edf t\u1ea1i gi\u01b0\u1eddng \u0111\u01a1n thu\u1ea7n.<\/li>\n
            • X\u1eed l\u00fd kh\u00f3 nu\u1ed1t c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec dinh d\u01b0\u1ee1ng v\u00e0 cung c\u1ea5p d\u1ecbch c\u0169ng nh\u01b0 ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng, nh\u01b0 nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p. X\u1eed l\u00fd ch\u1ee9ng kh\u00f3 nu\u1ed1t sau CTSN th\u01b0\u1eddng k\u1ebft h\u1ee3p c\u00e1c k\u1ef9 thu\u1eadt b\u00f9 tr\u1eeb, c\u00e1c b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i v\u00e0 thay \u0111\u1ed5i th\u00edch h\u1ee3p k\u1ebft c\u1ea5u c\u1ee7a ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng.<\/li>\n
            • C\u00e1c k\u1ef9 thu\u1eadt b\u00f9 tr\u1eeb \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 cho ph\u00e9p \u0103n qua \u0111\u01b0\u1eddng mi\u1ec7ng m\u1eb7c d\u00f9 c\u00f3 c\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 nu\u1ed1t; v\u00ed d\u1ee5 nh\u01b0, thay \u0111\u1ed5i t\u01b0 th\u1ebf ho\u1eb7c k\u1ef9 thu\u1eadt nu\u1ed1t \u0111\u1ec3 nu\u1ed1t an to\u00e0n h\u01a1n.<\/li>\n
            • C\u00e1c b\u00e0i t\u1eadp ph\u1ee5c h\u1ed3i nh\u1eb1m m\u1ee5c \u0111\u00edch tr\u1ef1c ti\u1ebfp c\u1ea3i thi\u1ec7n sinh l\u00fd nu\u1ed1t, v\u00ed d\u1ee5 nh\u01b0 c\u00e1c b\u00e0i t\u1eadp nh\u1eb1m t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u1ee7a l\u01b0\u1ee1i \u0111\u1ec3 c\u1ea3i thi\u1ec7n v\u1eadn chuy\u1ec3n th\u1ee9c \u0103n \u1edf mi\u1ec7ng.<\/li>\n
            • Thay \u0111\u1ed5i k\u1ebft c\u1ea5u th\u1ee9c \u0103n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi nu\u1ed1t an to\u00e0n ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c v\u1edbi c\u00e1c k\u1ebft c\u1ea5u th\u1ee9c \u0103n ri\u00eang bi\u1ec7t, nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n v\u1edbi th\u1ee9c \u0103n \u0111\u01b0\u1ee3c xay nh\u1ecf khi kh\u1ea3 n\u0103ng chu\u1ea9n b\u1ecb th\u1ee9c \u0103n \u1edf mi\u1ec7ng (ngh\u0129a l\u00e0 nhai) b\u1ecb suy gi\u1ea3m.<\/li>\n<\/ul>\n

              10. Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng T\u00ecnh d\u1ee5c \u01a1\u0309 ca\u0301c v\u00e2\u0301n \u0111\u00ea\u0300 r\u00f4\u0301i loa\u0323n li\u00ean quan<\/strong><\/h2>\n
                \n
              • N\u00ean s\u1edbm t\u1ea1o c\u01a1 h\u1ed9i th\u1ea3o lu\u1eadn c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn t\u00ecnh d\u1ee5c sau ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o n\u1eb7ng, c\u1ea3 v\u1edbi ng\u01b0\u1eddi b\u1ec7nh v\u00e0 b\u1ea1n t\u00ecnh c\u1ee7a h\u1ecd. \u0110i\u1ec1u n\u00e0y n\u00ean \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u b\u1edfi c\u00e1c chuy\u00ean gia y t\u1ebf.<\/li>\n
              • T\u01b0 v\u1ea5n v\u1ec1 t\u00ecnh d\u1ee5c c\u1ea7n bao g\u1ed3m kh\u00eda c\u1ea1nh th\u1ec3 ch\u1ea5t (v\u00ed d\u1ee5 nh\u01b0 t\u01b0 th\u1ebf, c\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 c\u1ea3m gi\u00e1c, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01b0\u01a1ng, thu\u1ed1c) v\u00e0 c\u1ea3 c\u00e1c kh\u00eda c\u1ea1nh t\u00e2m l\u00fd (v\u00ed d\u1ee5 nh\u01b0 giao ti\u1ebfp, s\u1ee3 h\u00e3i, thay \u0111\u1ed5i vai tr\u00f2 v\u00e0 c\u1ea3m gi\u00e1c h\u1ea5p d\u1eabn).<\/li>\n
              • Gia \u0111\u00ecnh\/ng\u01b0\u1eddi ch\u0103m s\u00f3c c\u1ea7n \u0111\u01b0\u1ee3c tr\u1ea5n an r\u1eb1ng h\u00e0nh vi t\u00ecnh d\u1ee5c kh\u00f4ng th\u00edch h\u1ee3p kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ea5t th\u01b0\u1eddng \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN \u0111ang h\u1ed3i ph\u1ee5c \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u v\u00e0 n\u00f3 s\u1ebd c\u1ea3i thi\u1ec7n d\u1ea7n theo th\u1eddi gian v\u00e0 h\u1ecd c\u1ea7n \u0111\u01b0\u1ee3c hu\u1ea5n luy\u1ec7n l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 tr\u00e1nh v\u00f4 t\u00ecnh khuy\u1ebfn kh\u00edch lo\u1ea1i h\u00e0nh vi n\u00e0y.<\/li>\n
              • N\u1ebfu h\u00e0nh vi t\u00ecnh d\u1ee5c kh\u00f4ng th\u00edch h\u1ee3p n\u1eb7ng n\u1ec1, nguy hi\u1ec3m ho\u1eb7c k\u00e9o d\u00e0i, n\u00f3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a ch\u01b0\u01a1ng tr\u00ecnh PHCN cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<\/ul>\n

                11. X\u1eed l\u00fd \u0110au<\/h2>\n

                L\u01b0\u1ee3ng gi\u00e1 to\u00e0n di\u1ec7n v\u1ec1 \u0111au \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN bao g\u1ed3m \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn kh\u00f4ng ch\u1ec9 v\u1ec1 nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan, m\u00e0 c\u1ea3 \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u0111au l\u00ean ch\u1ee9c n\u0103ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng t\u1ed5ng th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

                \u0110au trong CTSN th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c k\u1ebft qu\u1ea3 x\u1ea5u. Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00e1c khi\u1ebfm khuy\u1ebft v\u1ec1 giao ti\u1ebfp v\u00e0 nh\u1eadn th\u1ee9c th\u01b0\u1eddng kh\u00f4ng th\u1ec3 m\u00f4 t\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea3m gi\u00e1c c\u1ee7a h\u1ecd. C\u00e1c nh\u00e0 tr\u1ecb li\u1ec7u c\u1ea7n c\u1ea3nh gi\u00e1c v\u1edbi kh\u1ea3 n\u0103ng \u0111au \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 kh\u00f3 kh\u0103n trong giao ti\u1ebfp, v\u00e0 ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c d\u1ea5u hi\u1ec7u kh\u00f4ng l\u1eddi c\u1ee7a \u0111au. C\u00f3 m\u1ed9t s\u1ed1 c\u00f4ng c\u1ee5 \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng c\u01b0\u1eddng \u0111\u1ed9 \u0111au, nh\u01b0 v\u00ed d\u1ee5 thang \u0111i\u1ec3m s\u1ed1 (NRS), thang \u0111i\u1ec3m l\u1eddi (VDS), thang \u0111i\u1ec3m v\u1ebb m\u1eb7t (FPS) v\u00e0 thang \u0111i\u1ec3m nh\u00ecn (li\u00ean t\u1ee5c) (VAS). C\u1ea7n l\u1ef1a ch\u1ecdn thang \u0111i\u1ec3m t\u1ed1t nh\u1ea5t ph\u00f9 h\u1ee3p v\u1edbi m\u1ee9c \u0111\u1ed9 giao ti\u1ebfp v\u00e0 nh\u1eadn th\u1ee9c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh CTSN.<\/p>\n

                T\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng gi\u00e1 \u0111au th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c theo mong mu\u1ed1n c\u1ee7a h\u1ecd. B\u1edfi v\u00ec \u0111i\u1ec1u tr\u1ecb nh\u1eafm \u0111\u1ebfn c\u00e1c c\u01a1 ch\u1ebf g\u00e2y \u0111au c\u00f3 th\u1ec3 l\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 nh\u1ea5t, \u0111i\u1ec1u h\u1ebft s\u1ee9c quan tr\u1ecdng l\u00e0 h\u1ecfi b\u1ec7nh v\u00e0 kh\u00e1m th\u1ef1c th\u1ec3 \u0111\u1ea7y \u0111\u1ee7 v\u00e0 xem x\u00e9t c\u00e1c x\u00e9t nghi\u1ec7m ho\u1eb7c test ch\u1ea9n \u0111o\u00e1n th\u00edch h\u1ee3p \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n v\u00e0 sinh l\u00fd b\u1ec7nh c\u1ee7a \u0111au (Herr v\u00e0 Garrand, 2001).<\/p>\n

                C\u00e1c nh\u00e0 tr\u1ecb li\u1ec7u v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u00ea\u0300:<\/p>\n

                  \n
                • T\u00ecnh tr\u1ea1ng t\u0103ng nh\u1ea1y c\u1ea3m v\u00e0 \u0111au do th\u1ea7n<\/li>\n
                • Thao t\u00e1c b\u1eb1ng tay ph\u00f9 h\u1ee3p (\u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tay li\u1ec7t trong khi d\u1ecbch chuy\u1ec3n ng\u01b0\u1eddi b\u1ec7nh).<\/li>\n
                • Li\u1ec7u ph\u00e1p nh\u1eadn th\u1ee9c – h\u00e0nh<\/li>\n
                • D\u00f9ng thu\u1ed1c.<\/li>\n<\/ul>\n

                  Ph\u1ea3i c\u00f3 c\u00e1c ph\u00e1c \u0111\u1ed3 x\u1eed l\u00fd \u0111au, bao g\u1ed3m:<\/p>\n

                    \n
                  • Thao t\u00e1c \u0111\u00fang, n\u00e2ng \u0111\u1ee1 v\u00e0 gi\u1ea3m \u0111au ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c nhu c\u1ea7u c\u00e1 nh\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ecb ch\u1ea5n th\u01b0\u01a1ng<\/li>\n
                  • Th\u01b0\u1eddng xuy\u00ean \u0111\u00e1nh gi\u00e1 l\u1ea1i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh theo thay \u0111\u1ed5i nhu c\u1ea7u<\/li>\n
                  • D\u00f9ng thu\u1ed1c (\u0111\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin, xin tham kh\u1ea3o c\u00e1c t\u00e0i li\u1ec7u y khoa c\u00f3 li\u00ean quan).<\/li>\n<\/ul>\n

                    Ch\u00e2m c\u1ee9u l\u00e0 m\u1ed9t li\u1ec7u ph\u00e1p b\u1ed5 sung ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u h\u01a1n trong \u0111i\u1ec1u tr\u1ecb \u0111au h\u00e0ng ng\u00e0y (Wilkinson, 2007).<\/p>\n

                    12. Sau Xu\u1ea5t vi\u1ec7n – Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng ngh\u1ec1 nghi\u1ec7p<\/h2>\n

                    Tr\u1edf l\u1ea1i l\u00e0m vi\u1ec7c ho\u1eb7c t\u00ecm m\u1ed9t ngh\u1ec1 nghi\u1ec7p thay th\u1ebf l\u00e0 m\u1ed9t m\u1ee5c ti\u00eau ch\u00ednh v\u00e0 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng trong vi\u1ec7c kh\u00f4i ph\u1ee5c ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN. N\u1ebfu h\u1ecd kh\u00f4ng th\u1ec3 tr\u1edf l\u1ea1i c\u00f4ng vi\u1ec7c l\u00e0m tr\u01b0\u1edbc \u0111\u00e2y ho\u1eb7c c\u00f3 \u0111\u01b0\u1ee3c m\u1ed9t c\u00f4ng vi\u1ec7c thay th\u1ebf, s\u1ebd c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 kinh t\u1ebf quan tr\u1ecdng c\u0169ng nh\u01b0 nh\u1eefng h\u1eadu qu\u1ea3 s\u00e2u xa kh\u00e1c cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh h\u1ecd.<\/p>\n

                    C\u00f3 b\u1eb1ng ch\u1ee9ng v\u1eefng ch\u1eafc cho th\u1ea5y vi\u1ec7c PHCN ngh\u1ec1 nghi\u1ec7p, ch\u1eb3ng h\u1ea1n nh\u01b0 vi\u1ec7c l\u00e0m \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3, c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 ngh\u1ec1 nghi\u1ec7p cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh CTSN trong vi\u1ec7c \u0111\u1ea3m b\u1ea3o m\u1ed9t ngh\u1ec1\/vi\u1ec7c l\u00e0m thay th\u1ebf b\u1ec1n v\u1eefng, v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 v\u1ec1 kinh t\u1ebf.<\/p>\n

                    C\u1ea7n l\u01b0\u1ee3ng gi\u00e1 c\u00e1c ng\u01b0\u1eddi b\u1ec7nh CTSN v\u1ec1 nhu c\u1ea7u PHCN ngh\u1ec1 nghi\u1ec7p \u0111\u1ec3 gi\u00fap h\u1ecd quay tr\u1edf l\u1ea1i l\u00e0m vi\u1ec7c, ho\u1eb7c \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1edbc \u0111\u00e2y ch\u01b0a l\u00e0m vi\u1ec7c th\u00ec h\u1ecd c\u00f3 th\u1ec3 tham gia lao \u0111\u1ed9ng c\u00f3 vi\u1ec7c l\u00e0m, v\u00e0 cung c\u1ea5p PHCN ngh\u1ec1 nghi\u1ec7p cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nhu c\u1ea7u.<\/p>\n

                    C\u1ea7n ph\u1ea3i theo d\u00f5i hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c can thi\u1ec7p PHCN ngh\u1ec1 nghi\u1ec7p ti\u00eau chu\u1ea9n nh\u01b0 r\u00e8n luy\u1ec7n nh\u1eadn th\u1ee9c v\u00e0 thay \u0111\u1ed5i h\u00e0nh vi, v\u00e0 cung c\u1ea5p vi\u1ec7c l\u00e0m c\u00f3 h\u1ed7 tr\u1ee3 cho nh\u1eefng ng\u01b0\u1eddi m\u00e0 c\u00e1c can thi\u1ec7p ti\u00eau chu\u1ea9n kh\u00f4ng hi\u1ec7u qu\u1ea3. (Nh\u00f3m C\u00e1c H\u01b0\u1edbng d\u1eabn New Zealand, 2006).<\/p>\n","protected":false},"excerpt":{"rendered":"

                    Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng cho b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o \u0111\u00f2i h\u1ecfi s\u1ef1 ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111a ph\u01b0\u01a1ng ti\u1ec7n, bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i. Vi\u1ec7c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn ch\u1ea5n th\u01b0\u01a1ng […]<\/p>\n","protected":false},"author":42,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nPhu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)<\/title>\n<meta name=\"description\" content=\"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng \u01a1\u0309 b\u1ec7nh nh\u00e2n CTSN g\u1ed3m ca\u0301c ph\u01b0\u01a1ng pha\u0301p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i.\" \/>\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=\"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)\" \/>\n<meta property=\"og:description\" content=\"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng \u01a1\u0309 b\u1ec7nh nh\u00e2n CTSN g\u1ed3m ca\u0301c ph\u01b0\u01a1ng pha\u0301p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-13T10:07:30+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/NGUYEN-VAN-HUNG-T12-2020-1-1024x683.jpeg\" \/>\n<meta name=\"author\" content=\"Minh Nguyen Phuong Hong\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Minh Nguyen Phuong Hong\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"11 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/\",\"name\":\"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-13T10:07:30+00:00\",\"dateModified\":\"2023-05-13T10:07:30+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5\"},\"description\":\"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng \u01a1\u0309 b\u1ec7nh nh\u00e2n CTSN g\u1ed3m ca\u0301c ph\u01b0\u01a1ng pha\u0301p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5\",\"name\":\"Minh Nguyen Phuong Hong\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g\",\"caption\":\"Minh Nguyen Phuong Hong\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/helennguyen24062002gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)","description":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng \u01a1\u0309 b\u1ec7nh nh\u00e2n CTSN g\u1ed3m ca\u0301c ph\u01b0\u01a1ng pha\u0301p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)","og_description":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng \u01a1\u0309 b\u1ec7nh nh\u00e2n CTSN g\u1ed3m ca\u0301c ph\u01b0\u01a1ng pha\u0301p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/","og_site_name":"Vinmec","article_published_time":"2023-05-13T10:07:30+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/NGUYEN-VAN-HUNG-T12-2020-1-1024x683.jpeg"}],"author":"Minh Nguyen Phuong Hong","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Minh Nguyen Phuong Hong","Est. reading time":"11 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/","name":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-13T10:07:30+00:00","dateModified":"2023-05-13T10:07:30+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5"},"description":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng \u01a1\u0309 b\u1ec7nh nh\u00e2n CTSN g\u1ed3m ca\u0301c ph\u01b0\u01a1ng pha\u0301p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, h\u1ed7 tr\u1ee3 t\u00e2m l\u00fd, gi\u00e1o d\u1ee5c v\u00e0 h\u1ed7 tr\u1ee3 x\u00e3 h\u1ed9i.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/phuc-hoi-chuc-nang-benh-nhan-ctsn-hau-cap-cuu-phan-2\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Phu\u0323c h\u00f4\u0300i ch\u01b0\u0301c n\u0103ng b\u00ea\u0323nh nh\u00e2n CTSN h\u00e2\u0323u c\u00e2\u0301p c\u01b0\u0301u (ph\u00e2\u0300n 2)"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/03b2d0bc3d50ddac2db2720cc5f983e5","name":"Minh Nguyen Phuong Hong","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g","contentUrl":"http:\/\/0.gravatar.com\/avatar\/6abe0451bc535a2494837653d4fdba14?s=96&d=mm&r=g","caption":"Minh Nguyen Phuong Hong"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/helennguyen24062002gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29206"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/42"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29206"}],"version-history":[{"count":2,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29206\/revisions"}],"predecessor-version":[{"id":29213,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29206\/revisions\/29213"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29206"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}