{"id":33050,"date":"2023-05-13T20:08:36","date_gmt":"2023-05-13T13:08:36","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=33050"},"modified":"2023-05-13T20:08:36","modified_gmt":"2023-05-13T13:08:36","slug":"giam-nhe-cac-dau-kho-khong-can-thiep-theo-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/giam-nhe-cac-dau-kho-khong-can-thiep-theo-bo-y-te\/","title":{"rendered":"Gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p theo B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p>Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, vi\u1ec7c gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gi\u00fap ng\u01b0\u1eddi nh\u00e0, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean Y t\u1ebf. M\u1eddi tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 th\u00eam th\u00f4ng tin v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n<h2><span style=\"font-weight: 400;\">1. \u0110a\u0301nh gia\u0301 va\u0300 gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng \u0111au kh\u00f4\u0309 v\u1ec1 th\u1ec3 ch\u1ea5t<\/span><\/h2>\n<p><b>Nguy\u00ean t\u1eafc \u0111\u00e1nh gi\u00e1<\/b><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e1c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t (<\/span><i><span style=\"font-weight: 400;\">ph\u00e2n bi\u1ec7t m\u1ed9t b\u1ec7nh ho\u1eb7c t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 v\u1edbi c\u00e1c b\u1ec7nh kh\u00e1c c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng t\u01b0\u01a1ng t\u1ef1) <\/span><\/i><span style=\"font-weight: 400;\">c\u1ee7a tri\u1ec7u ch\u1ee9ng:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">B\u1ea5t c\u1ee9 khi n\u00e0o nguy\u00ean nh\u00e2n c\u1ee7a m\u1ed9t tri\u1ec7u ch\u1ee9ng kh\u00f4ng r\u00f5 r\u00e0ng, b\u00e1c s\u0129 n\u00ean ngh\u0129 \u0111\u1ebfn m\u1ed9t v\u00e0i ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u00e0 ghi nh\u1eadn trong h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n.<\/span><\/li>\n<\/ul>\n<p><b><i>Nguy\u00ean t\u00e1c \u0111i\u00ea\u0300u tr\u1ecb tri\u00ea\u0323u ch\u1ee9ng:<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400;\">D\u1ef1a theo ch\u1ea9n \u0111o\u00e1n c\u1ee7a b\u00e1c s\u0129 v\u00e0 <\/span><span style=\"font-weight: 400;\">x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n nhi\u1ec1u kh\u1ea3 n\u0103ng nh\u1ea5t c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nhi\u1ec1u <\/span><span style=\"font-weight: 400;\">ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi m\u1ed9t nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3<\/span><span style=\"font-weight: 400;\">.<\/span><\/p>\n<p><b><i>Nguy\u00ean t\u0103\u0301c \u0111i\u00ea\u0300u tr\u1ecb theo m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng cu\u0309a tri\u00ea\u0323u ch\u1ee9ng:<\/i><\/b><\/p>\n<p><span style=\"font-weight: 400;\">Tr\u01b0\u1edbc ti\u00ean \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y ra nhi\u1ec1u \u0111au kh\u1ed5 nh\u1ea5t.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 m\u1ed9t tri\u1ec7u ch\u1ee9ng nghi\u00eam tro\u0323ng, c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c tri\u1ec7u ch\u1ee9ng \u0111\u00f3 tr\u01b0\u1edbc khi d\u00e0nh th\u1eddi gian ho\u00e0n th\u00e0nh \u0111\u00e1nh gi\u00e1 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9 to\u00e0n di\u1ec7n.<\/span><\/p>\n<p><b>C\u00e1c bi\u1ec7n pha\u0301p \u0111i\u1ec1u tri\u0323 gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng \u0111au kh\u00f4\u0309 v\u1ec1 th\u1ec3 ch\u1ea5t<\/b><\/p>\n<p><span style=\"font-weight: 400;\">D\u1ef1a v\u00e0o nguy\u00ean t\u1eafc \u0111\u00e1nh gi\u00e1, nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb gi\u1ea3m nh\u1eb9 ph\u00f9 h\u1ee3p cho \u0111\u1ed1i t\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh \u0111au kh\u1ed5 v\u1ec1 th\u1ec3 ch\u1ea5t:\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Kh\u00f3 th\u1edf\u00a0<\/strong><\/li>\n<\/ul>\n<p><strong>Vi\u00eam ph\u1ed5i:\u00a0<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; \u0110i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh th\u00edch h\u1ee3p n\u1ebfu ph\u00f9 h\u1ee3p v\u1edbi m\u1ee5c ti\u00eau ch\u0103m s\u00f3c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Ng\u01b0\u1eddi l\u1edbn kh\u00f4ng dung n\u1ea1p v\u1edbi opioid: morphin 2-5mg u\u1ed1ng ho\u1eb7c 1-2mg TMC ho\u1eb7c TDD, m\u1ed7i 2-4 gi\u1edd khi c\u1ea7n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ebfu kh\u00f3 th\u1edf dai d\u1eb3ng, ch\u1ec9 \u0111\u1ecbnh li\u1ec1u c\u1ed1 \u0111\u1ecbnh m\u1ed7i 4 gi\u1edd v\u00e0 ch\u1ec9 \u0111\u1ecbnh th\u00eam m\u1ed9t li\u1ec1u c\u1ee9u h\u1ed9 b\u1eb1ng 10% t\u1ed5ng li\u1ec1u h\u00e0ng ng\u00e0y m\u1ed7i 60 ph\u00fat khi c\u1ea7n thi\u1ebft. T\u0103ng li\u1ec1u c\u1ed1 \u0111\u1ecbnh theo gi\u1edd khi c\u1ea7n thi\u1ebft th\u00eam 33% m\u1ed7i li\u1ec1u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u00f9ng ph\u00e1c \u0111\u1ed3 methadon thay th\u1ebf: c\u00f3 th\u1ec3 c\u1ea7n d\u00f9ng morphin li\u1ec1u cao h\u01a1n.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Thuy\u00ean t\u1eafc ph\u1ed5i: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng morphin nh\u01b0 tr\u00ean. C\u00e2n nh\u1eafc thu\u1ed1c kh\u00e1ng \u0111\u00f4ng ph\u00f9 h\u1ee3p t\u00ecnh tr\u1ea1ng ung th\u01b0 n\u1ebfu ph\u00f9 h\u1ee3p v\u1edbi m\u1ee5c ti\u00eau ch\u0103m s\u00f3c.<\/span><\/p>\n<ul>\n<li><strong>H\u00edt s\u1eb7c: <\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><strong>Ph\u00f2ng ng\u1eeba h\u00edt s\u1eb7c:<\/strong> Tr\u00e1nh ch\u1ea5t l\u1ecfng lo\u00e3ng, ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 n\u00ean \u0103n khi ho\u00e0n to\u00e0n t\u1ec9nh t\u00e1o, ng\u1ed3i th\u1eb3ng v\u00e0 c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Morphin nh\u01b0 tr\u00ean.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Ho<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">K\u00edch th\u00edch c\u00e2y ph\u1ebf qu\u1ea3n ph\u1ed5i do nhi\u1ec5m tr\u00f9ng, b\u1ec7nh ung th\u01b0, vi\u00eam, t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng, h\u00edt s\u1eb7c<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n n\u1ebfu c\u00f3 th\u1ec3.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Codein 30 &#8211; 60mg u\u1ed1ng m\u1ed7i 6 gi\u1edd khi c\u1ea7n thi\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; N\u1ebfu codein 30mg ch\u1ec9 c\u00f3 s\u1eb5n \u1edf d\u1ea1ng ph\u1ed1i h\u1ee3p v\u1edbi paracetamol 500mg v\u00e0 n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh b\u1ecb b\u1ec7nh gan trung b\u00ecnh ho\u1eb7c n\u1eb7ng, ch\u1ec9 s\u1eed d\u1ee5ng m\u1ed7i 6 gi\u1edd ho\u1eb7c s\u1eed d\u1ee5ng opioid thay th\u1ebf (nh\u01b0 morphin) <\/span><b>kh\u00f4ng<\/b><span style=\"font-weight: 400;\"> k\u1ebft h\u1ee3p v\u1edbi paracetamol.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; N\u1ebfu m\u1ed9t ph\u1ea7n do b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh ho\u1eb7c hen ph\u1ebf qu\u1ea3n, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng methylprednisolon u\u1ed1ng ho\u1eb7c dexamethason TMC, gi\u1ea3m li\u1ec1u t\u1eeb t\u1eeb.<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Bu\u1ed3n n\u00f4n<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\"><strong>T\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd<\/strong>: s\u1eed d\u1ee5ng Dexamethason 8 &#8211; 20mg chia l\u00e0m 1-2 l\u1ea7n\/ng\u00e0y, u\u1ed1ng ho\u1eb7c TMC<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>H\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb v\u00f9ng b\u1ee5ng<\/strong>: s\u1eed d\u1ee5ng Ondansetron 4 &#8211; 8mg u\u1ed1ng ho\u1eb7c TMC m\u1ed7i 8 gi\u1edd theo gi\u1edd ho\u1eb7c khi c\u1ea7n thi\u1ebft<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><strong>Lo \u00e2u<\/strong><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">&#8211; Haloperidol 0,5-2mg x 2-4 l\u1ea7n\/ng\u00e0y, u\u1ed1ng, TMC ho\u1eb7c TDD, theo gi\u1edd ho\u1eb7c khi c\u1ea7n thi\u1ebft<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Diazepam 2-10mg x 3 l\u1ea7n\/ng\u00e0y, u\u1ed1ng, TMC ho\u1eb7c TDD, theo gi\u1edd v\u00e0\/ho\u1eb7c khi c\u1ea7n thi\u1ebft.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">&#8211; Fluoxetin 10-60mg u\u1ed1ng m\u1ed7i s\u00e1ng (\u0111\u1ed1i v\u1edbi lo \u00e2u m\u1ea1nh)<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">2. \u0110a\u0301nh gia\u0301 va\u0300 gi\u1ea3m nh\u1eb9 \u0111au kh\u00f4\u0309 v\u1ec1 t\u00e2m l\u00fd<\/span><\/h2>\n<figure id=\"attachment_33055\" aria-describedby=\"caption-attachment-33055\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-33055\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/bac-si-8848-300x225.jpeg\" alt=\"Giam nhe cac dau kho\" width=\"300\" height=\"225\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/bac-si-8848-300x225.jpeg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/bac-si-8848-768x576.jpeg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/bac-si-8848.jpeg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-33055\" class=\"wp-caption-text\">Gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\">Ca\u0301c tri\u1eb9\u0302u ch\u01b0\u0301ng ta\u0302m ly\u0301 bao g\u00f4\u0300m ca\u0306ng th\u0103\u0309ng, lo a\u0302u, tr\u00e2\u0300m ca\u0309m va\u0300 sa\u0309ng r\u00e2\u0301t ph\u00f4\u0309 bi\u00ea\u0301n \u01a1\u0309 nh\u01b0\u0303ng ngu\u031b\u01a1\u0300i m\u0103\u0301c b\u1eb9\u0302nh n\u1ea1\u0306ng, la\u0300 nguye\u0302n nha\u0302n chi\u0301nh ga\u0302y ra \u0111au kh\u00f4\u0309, va\u0300 c\u00e2\u0300n \u0111u\u031b\u01a1\u0323c ch\u00e2\u0309n \u0111oa\u0301n va\u0300 \u0111i\u00ea\u0300u tri\u0323 ti\u0301ch c\u01b0\u0323c.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tr\u00e2\u0300m ca\u0309m chu\u0309 y\u00ea\u0301u co\u0301 th\u00ea\u0309 bi\u0323 bo\u0309 so\u0301t \u01a1\u0309 nh\u01b0\u0303ng ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh m\u0103\u0301c b\u1eb9\u0302nh n\u1ea1\u0306ng giai \u0111oa\u0323n cu\u00f4\u0301i vi\u0300 m\u1ecd\u0302t s\u00f4\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng cu\u0309a b\u1eb9\u0302nh ly\u0301 n\u1ecd\u0302i khoa co\u0301 th\u00ea\u0309 tru\u0300ng l\u0103\u0301p v\u01a1\u0301i m\u1ecd\u0302t s\u00f4\u0301 tri\u1eb9\u0302u ch\u01b0\u0301ng tr\u00e2\u0300m ca\u0309m. Tuy nhie\u0302n, ca\u0309m gia\u0301c t\u1ecd\u0302i l\u00f4\u0303i ho\u1ea1\u0306c vo\u0302 gia\u0301 tri\u0323 va\u0300 y\u0301 tu\u031b\u01a1\u0309ng t\u01b0\u0323 t\u01b0\u0309 kho\u0302ng pha\u0309i la\u0300 pha\u0309n \u01b0\u0301ng bi\u0300nh thu\u031b\u01a1\u0300ng \u0111\u00f4\u0301i v\u01a1\u0301i b\u1eb9\u0302nh n\u1ecd\u0302i khoa va\u0300 co\u0301 th\u00ea\u0309 g\u01a1\u0323i y\u0301 r\u00f4\u0301i loa\u0323n tr\u00e2\u0300m ca\u0309m chu\u0309 y\u00ea\u0301u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">R\u00f4\u0301i loa\u0323n lo a\u0302u va\u0300 tr\u00e2\u0300m ca\u0309m cu\u0303ng xa\u0309y ra \u01a1\u0309 nh\u01b0\u0303ng ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh kho\u0302ng co\u0301 b\u1eb9\u0302nh n\u1ecd\u0302i khoa nghie\u0302m tro\u0323ng. \u01a0\u0309 ca\u0301c b\u00f4\u0301i ca\u0309nh y t\u00ea\u0301 ma\u0300 s\u01b0\u0323 cha\u0306m so\u0301c s\u01b0\u0301c kho\u0309e ta\u0302m th\u00e2\u0300n kho\u0302ng d\u00ea\u0303 da\u0300ng \u0111u\u031b\u01a1\u0323c ti\u00ea\u0301p c\u1ea1\u0302n, ca\u0301c nha\u0302n vie\u0302n y t\u00ea\u0301 v\u01a1\u0301i i\u0301t nh\u00e2\u0301t la\u0300 \u0111a\u0300o ta\u0323o co\u031b ba\u0309n v\u00ea\u0300 cha\u0306m so\u0301c gia\u0309m nhe\u0323 co\u0301 th\u00ea\u0309 va\u0300 ne\u0302n nh\u1ea1\u0302n bi\u00ea\u0301t \u0111u\u031b\u01a1\u0323c va\u0300 \u0111i\u00ea\u0300u tri\u0323 lo a\u0302u va\u0300 tr\u00e2\u0300m ca\u0309m kho\u0302ng ph\u01b0\u0301c ta\u0323p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ngu\u031b\u01a1\u0300i b\u1eb9\u0302nh co\u0301 v\u00e2\u0301n \u0111\u00ea\u0300 ta\u0302m th\u00e2\u0300n ph\u01b0\u0301c ta\u0323p ho\u1ea1\u0306c kha\u0301ng tri\u0323 ne\u0302n \u0111u\u031b\u01a1\u0323c gi\u01a1\u0301i thi\u1eb9\u0302u \u0111\u00ea\u0301n ba\u0301c si\u0303 ta\u0302m th\u00e2\u0300n.<\/span><\/p>\n<p><b>S\u01b0\u0323 ca\u0306ng th\u0103\u0309ng v\u00ea\u0300 ca\u0309m xu\u0301c va\u0300 th\u00ea\u0309 ch\u00e2\u0301t<\/b><span style=\"font-weight: 400;\"> cu\u0309a vi\u1eb9\u0302c cha\u0306m so\u0301c m\u1ecd\u0302t tha\u0300nh vie\u0302n gia \u0111i\u0300nh bi\u0323 b\u1eb9\u0302nh n\u1ea1\u0306ng, va\u0300 vi\u1eb9\u0302c m\u00e2\u0301t ma\u0301t m\u1ecd\u0302t tha\u0300nh vie\u0302n trong gia \u0111i\u0300nh trong tu\u031bo\u031bng lai ho\u1ea1\u0306c th\u01b0\u0323c t\u00ea\u0301 \u01a1\u0309 hi\u1eb9\u0302n ta\u0323i, co\u0301 th\u00ea\u0309 d\u00e2\u0303n \u0111\u00ea\u0301n lo l\u0103\u0301ng va\u0300 khi\u0301 s\u0103\u0301c tr\u00e2\u0300m ca\u0309m.<\/span><\/p>\n<p><b>\u0110au bu\u00f4\u0300n bi\u0300nh thu\u031b\u01a1\u0300ng <\/b><span style=\"font-weight: 400;\">do m\u00e2\u0301t ngu\u031b\u01a1\u0300i tha\u0302n (bereavement) (80-90% tru\u031b\u01a1\u0300ng h\u01a1\u0323p gia \u0111i\u0300nh co\u0301 m\u00e2\u0301t ngu\u031b\u01a1\u0300i tha\u0302n):<\/span><\/p>\n<p><span style=\"font-weight: 400;\">M\u00e2\u0301t ni\u00ea\u0300m tin, kho\u0301 ch\u00e2\u0301p nh\u1ea1\u0302n ca\u0301i ch\u00ea\u0301t; m\u00f4\u0301i b\u1ea1\u0302n ta\u0302m v\u01a1\u0301i suy nghi\u0303 v\u00ea\u0300 ngu\u031b\u01a1\u0300i \u0111a\u0303 khu\u00e2\u0301t; kho\u0302ng quan ta\u0302m \u0111\u00ea\u0301n ph\u00e2\u0300n co\u0300n la\u0323i cu\u0309a th\u00ea\u0301 gi\u01a1\u0301i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u00f4\u0303i \u0111au bu\u00f4\u0300n gia\u0309m d\u00e2\u0300n sau nhi\u00ea\u0300u tu\u00e2\u0300n ho\u1ea1\u0306c nhi\u00ea\u0300u tha\u0301ng, d\u00e2\u0300n d\u00e2\u0300n ch\u00e2\u0301p nh\u1ea1\u0302n <\/span><span style=\"font-weight: 400;\">m\u00e2\u0301t ma\u0301t, k\u00ea\u0301t n\u00f4\u0301i la\u0323i v\u01a1\u0301i \u0111\u01a1\u0300i s\u00f4\u0301ng xa\u0303 h\u1ecd\u0302i, nhu\u031bng la\u0300n so\u0301ng ca\u0301c \u0111\u01a1\u0323t bu\u00f4\u0300n ba\u0303 co\u0301 th\u00ea\u0309 ta\u0301i di\u00ea\u0303n, \u0111\u1ea1\u0306c bi\u1eb9\u0302t la\u0300 va\u0300o nga\u0300y gi\u00f4\u0303 m\u00f4\u0303i na\u0306m.<\/span><\/p>\n<p><b>\u0110au bu\u00f4\u0300n ph\u01b0\u0301c ta\u0323p <\/b><span style=\"font-weight: 400;\">do m\u00e2\u0301t ngu\u031b\u01a1\u0300i tha\u0302n (complicated grief):<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ke\u0301o da\u0300i i\u0301t nh\u00e2\u0301t 6 tha\u0301ng xu\u00e2\u0301t hi\u1eb9\u0302n ca\u0301c m\u00f4\u0301i b\u1ea1\u0302n ta\u0302m v\u01a1\u0301i suy nghi\u0303 v\u00ea\u0300 ngu\u031b\u01a1\u0300i \u0111a\u0303 khu\u00e2\u0301t, ga\u0302y ca\u0306ng th\u0103\u0309ng cho ngu\u031b\u01a1\u0300i co\u0300n s\u00f4\u0301ng, suy gia\u0309m ch\u01b0\u0301c na\u0306ng xa\u0303 h\u1ecd\u0302i va\u0300 s\u01b0\u0301c kho\u0309e th\u00ea\u0309 ch\u00e2\u0301t, kho\u0301 ch\u00e2\u0301p nh\u1ea1\u0302n ca\u0301i ch\u00ea\u0301t, ca\u0309m th\u00e2\u0301y cu\u1ecd\u0302c s\u00f4\u0301ng tr\u00f4\u0301ng r\u00f4\u0303ng ho\u1ea1\u0306c kho\u0302ng co\u0301 mu\u0323c \u0111i\u0301ch.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Co\u0301 th\u00ea\u0309 \u0111i ke\u0300m r\u00f4\u0301i loa\u0323n tr\u00e2\u0300m ca\u0309m chu\u0309 y\u00ea\u0301u ho\u1ea1\u0306c kho\u0302ng.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">C\u00e2\u0300n can thi\u1eb9\u0302p \u0111\u00ea\u0309 giu\u0301p nga\u0306n ng\u01b0\u0300a ca\u0301c b\u1eb9\u0302nh ly\u0301 ta\u0302m th\u00e2\u0300n va\u0300 th\u00ea\u0309 ch\u00e2\u0301t la\u0302u da\u0300i.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ed7i \u0111au \u0111\u1ebfn b\u1ea5t ng\u1edd v\u00ec v\u1eady, c\u1ea3 2 \u0111\u1ed1i t\u01b0\u1ee3ng r\u1ea5t c\u1ea7n ph\u1ea3i c\u00f3 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a \u0111\u1ed3ng b\u1ec7nh v\u00e0 c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 gi\u00fap \u0111\u01b0a ra l\u1eddi khuy\u00ean v\u00e0 san s\u1ebb gi\u00fap ng\u01b0\u1eddi b\u1ec7nh, ng\u01b0\u1eddi th\u00e2n b\u1ec7nh nh\u00e2n gi\u1ea3i \u0111\u00e1p c\u00e1c th\u1eafc m\u1eafc v\u01b0\u1ee3t qua kh\u00f3 kh\u0103n, ki\u00ean tr\u00ec chi\u1ebfn \u0111\u1ea5y v\u1edbi b\u1ec7nh<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">3. \u0110a\u0301nh gia\u0301 va\u0300 can thi\u1ec7p \u0111au kh\u00f4\u0309 va\u0300 kh\u00f3 kh\u0103n v\u1ec1 m\u1eb7t x\u00e3 h\u1ed9i<\/span><\/h2>\n<table>\n<tbody>\n<tr>\n<td>\n<p style=\"text-align: center;\"><b>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u00e0 \u0111au kh\u00f4\u0309 x\u00e3 h\u1ed9i<\/b><\/p>\n<\/td>\n<td style=\"text-align: center;\"><b>H\u01b0\u1edbng can thi\u1ec7p<\/b><\/td>\n<td>\n<p style=\"text-align: center;\"><b>Ghi ch\u00fa<\/b><\/p>\n<\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng c\u00f3 n\u01a1i \u1edf\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/td>\n<td>\n<ul>\n<li><span style=\"font-weight: 400;\">T\u01b0 v\u1ea5n gi\u00fap t\u00ecm ch\u1ed7 \u1edf, nh\u00e0 tro\u0323<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Thanh to\u00e1n ti\u1ec1n m\u1eb7t cho thu\u00ea nh\u00e0<\/span><\/li>\n<\/ul>\n<\/td>\n<td><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Kh\u00f3 kh\u0103n\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/td>\n<td>\n<ul>\n<li><span style=\"font-weight: 400;\">T\u01b0 v\u1ea5n gi\u00fap t\u00ecm vi\u1ec7c l\u00e0m<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Chi ph\u00ed di chuy\u1ec3n \u0111\u1ec3 ti\u1ebfp c\u1eadn d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u00ecm \u0111\u1ebfn c\u00e1c group c\u1ed9ng \u0111\u1ed3ng h\u1ed7 tr\u1ee3<\/span><\/li>\n<\/ul>\n<\/td>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng ch\u1ec9 cho ng\u01b0\u1eddi b\u1ec7nh m\u00e0 c\u00f2n cho ng\u01b0\u1eddi nh\u00e0 ng\u01b0\u1eddi b\u1ec7nh<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">B\u1ecb k\u1ef3 th\u1ecb\/ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/td>\n<td>\n<ul>\n<li><span style=\"font-weight: 400;\">T\u01b0 v\u1ea5n h\u1ed7 tr\u1ee3<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u01b0 v\u1ea5n gi\u00fap t\u00ecm tr\u1ee3 gi\u00fap ph\u00e1p l\u00fd<\/span><\/li>\n<\/ul>\n<\/td>\n<td><span style=\"font-weight: 400;\">Nh\u00e2n vi\u00ean y t\u1ebf c\u0169ng c\u1ea7n \u00fd th\u1ee9c v\u1ec1 th\u00e1i \u0111\u1ed9 ph\u00e2n bi\u1ec7t \u0111\u1ed1i x\u1eed c\u1ee7a m\u00ecnh khi l\u00e0m vi\u1ec7c v\u1edbi ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/td>\n<\/tr>\n<tr>\n<td><span style=\"font-weight: 400;\">Kh\u00f4ng c\u00f3 ng\u01b0\u1eddi ch\u0103m s\u00f3c<\/span><\/td>\n<td>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00ecm ngu\u1ed3n ch\u0103m s\u00f3c t\u1ea1m th\u1eddi t\u1eeb t\u00ecnh nguy\u1ec7n vi\u00ean, c\u00e1c m\u1ed1i quan h\u1ec7 xung quanh ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c thu\u00ea ngo\u00e0i v\u1edbi ngu\u1ed3n t\u00e0i ch\u00ednh \u0111\u01b0\u1ee3c t\u00e0i tr\u1ee3<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">K\u1ebft n\u1ed1i c\u00e1c ngu\u1ed3n l\u1ef1c h\u1ed7 tr\u1ee3 kh\u00e1c.<\/span><\/li>\n<\/ul>\n<\/td>\n<td><span style=\"font-weight: 400;\">\u00a0<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400;\">4. \u0110a\u0301nh gia\u0301 va\u0300 \u0111i\u1ec1u tri\u0323 \u0111au kh\u00f4\u0309 v\u1ec1 t\u00e2m linh:<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Khi con ng\u01b0\u1eddi \u0111\u1ed1i m\u1eb7t c\u00e1i ch\u1ebft \u1edf giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi, c\u00f3 m\u1ed9t d\u1ea1ng \u0111au kh\u1ed5 kh\u00f4ng c\u00f3 thu\u1ed1c ch\u1eefa, do \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb v\u1ec1 t\u00e2m linh l\u00e0 m\u1ed9t ph\u1ea7n quan tro\u0323ng c\u1ee7a ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9. <\/span><span style=\"font-weight: 400;\">\u0110au kh\u1ed5 v\u1ec1 t\u00e2m linh, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u1ea5t y\u0301 ngh\u0129a trong cu\u1ed9c s\u1ed1ng, ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hi\u1ec3m ngh\u00e8o ho\u1eb7c b\u1ecb k\u1ef3 th\u1ecb nhi\u1ec1u. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 s\u1ee3 ch\u1ebft, c\u1ea3m th\u1ea5y b\u01a1 v\u01a1, l\u1ea1c l\u00f5ng, m\u1ea5t li\u00ean l\u1ea1c v\u1edbi ng\u01b0\u1eddi th\u00e2n, kh\u00f4ng bi\u1ebft sau khi ch\u1ebft \u0111i m\u00ecnh s\u1ebd \u0111i v\u1ec1 \u0111\u00e2u,&#8230;<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 \u0111\u1ee9c tin, t\u00f4n gi\u00e1o c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ngu\u1ed3n an \u1ee7i, c\u1ea3m h\u1ee9ng, hy vo\u0323ng v\u00e0 b\u00ecnh an \u0111\u1ec3 d\u1eabn d\u1eaft ho\u0323 tr\u00ean h\u00e0nh tr\u00ecnh \u0111\u1ebfn c\u00e1i ch\u1ebft. <\/span><span style=\"font-weight: 400;\">Ng\u01b0\u1eddi h\u1ed7 tr\u1ee3 bi\u1ebft l\u1eafng nghe c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh nh\u00ecn l\u1ea1i cu\u1ed9c \u0111\u1eddi theo g\u00f3c nh\u00ecn t\u00edch c\u1ef1c, nh\u1eafc l\u1ea1i cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u1ea3nh h\u01b0\u1edfng ng\u01b0\u1eddi kh\u00e1c th\u1ebf n\u00e0o, ho\u0323 \u0111\u00e3 \u0111\u1ec3 l\u1ea1i di s\u1ea3n g\u00ec trong nh\u1eefng ng\u01b0\u1eddi th\u00e2n quen c\u00f2n s\u1ed1ng, d\u1ef1a tr\u00ean m\u1ed1i li\u00ean h\u1ec7 c\u1ee7a ho\u0323 v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c, c\u1ed9ng \u0111\u1ed3ng v\u00e0 c\u00e1c sinh ho\u1ea1t m\u00e0 ho\u0323 th\u00edch.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Nh\u00e2n vi\u00ean y t\u1ebf c\u1ea7n t\u00f4n tro\u0323ng ni\u1ec1m tin t\u00f4n gi\u00e1o v\u00e0 nhu c\u1ea7u h\u1ed7 tr\u1ee3 t\u00e2m linh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Nh\u00e2n vi\u00ean y t\u1ebf thu\u1ed9c \u0111\u1ed9i ng\u0169 ch\u0103m s\u00f3c, c\u00f3 am hi\u1ec3u v\u1ec1 t\u00f4n gi\u00e1o c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o v\u1ec1 h\u1ed7 tr\u1ee3 t\u00e2m linh c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ea3m nhi\u1ec7m vai tr\u00f2 n\u00e0y.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u00a0V\u00ec v\u1eady, ni\u1ec1m tin t\u00f4n gi\u00e1o v\u00e0 nhu c\u1ea7u h\u1ed7 tr\u1ee3 t\u00e2m linh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh l\u00e0 n\u01a1i \u0111\u1ec3 h\u1ecd t\u00ecm th\u1ea5y \u0111\u01b0\u1ee3c s\u1ef1 an \u1ee7i, ni\u1ec1m tin v\u00e0 hy v\u1ecdng trong cu\u1ed9c s\u1ed1ng. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p t\u00ecm ki\u1ebfm s\u1ef1 t\u00e2m linh th\u01b0\u1eddng \u0111\u00e3 r\u01a1i v\u00e0o giai \u0111o\u1ea1n cu\u1ed1i ho\u1eb7c h\u1ecd c\u1ea3m th\u1ea5y \u0111au kh\u1ed5 mu\u1ed1n t\u00ecm n\u01a1i g\u1eedi g\u1eafm hy v\u1ecdng N\u00ean t\u00f4n tr\u1ecdng v\u00e0 l\u1eafng nghe c\u00e1c nhu c\u1ea7u v\u00e0 gi\u00fap h\u1ecd ti\u1ebfp t\u1ee5c chi\u1ebfn \u0111\u1ea5u v\u1edbi b\u1ec7nh.<\/span><\/p>\n<p>Ngu\u1ed3n B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, vi\u1ec7c gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gi\u00fap ng\u01b0\u1eddi nh\u00e0, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean Y t\u1ebf. M\u1eddi tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 th\u00eam th\u00f4ng tin v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. 1. \u0110a\u0301nh gia\u0301 va\u0300 gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng \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":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p theo B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, vi\u1ec7c gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gi\u00fap ng\u01b0\u1eddi nh\u00e0, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean Y t\u1ebf\" \/>\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=\"Gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p theo B\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf, vi\u1ec7c gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gi\u00fap ng\u01b0\u1eddi nh\u00e0, ng\u01b0\u1eddi b\u1ec7nh v\u00e0 nh\u00e2n vi\u00ean Y t\u1ebf\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/giam-nhe-cac-dau-kho-khong-can-thiep-theo-bo-y-te\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-13T13:08:36+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/bac-si-8848-300x225.jpeg\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n Ho\u00e0ng B\u1ea3o H\u00e2n\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n Ho\u00e0ng B\u1ea3o H\u00e2n\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 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\/giam-nhe-cac-dau-kho-khong-can-thiep-theo-bo-y-te\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/13\/giam-nhe-cac-dau-kho-khong-can-thiep-theo-bo-y-te\/\",\"name\":\"Gi\u1ea3m nh\u1eb9 c\u00e1c \u0111au kh\u1ed5 kh\u00f4ng can thi\u1ec7p theo B\u1ed9 Y t\u1ebf - 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