{"id":34543,"date":"2023-06-02T23:08:34","date_gmt":"2023-06-02T16:08:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34543"},"modified":"2023-06-02T23:08:34","modified_gmt":"2023-06-02T16:08:34","slug":"hinh-anh-soi-than-tren-sieu-am-phat-hien-som-de-tranh-bien-chung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/02\/hinh-anh-soi-than-tren-sieu-am-phat-hien-som-de-tranh-bien-chung\/","title":{"rendered":"H\u00ecnh \u1ea3nh s\u1ecfi th\u1eadn tr\u00ean si\u00eau \u00e2m: Ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng"},"content":{"rendered":"

S\u1ecfi th\u1eadn l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ph\u1ed5 bi\u1ebfn \u1edf nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi. Theo th\u1ed1ng k\u00ea, kho\u1ea3ng 10% d\u00e2n s\u1ed1 th\u1ebf gi\u1edbi m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn trong \u0111\u1eddi s\u1ed1ng c\u1ee7a m\u00ecnh. Tuy nhi\u00ean, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, s\u1ecfi th\u1eadn c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m<\/a> \u0111\u1ebfn t\u00ednh m\u1ea1ng. <\/strong>Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u1eadp trung v\u00e0o h\u00ecnh \u1ea3nh s\u1ecfi th\u1eadn tr\u00ean si\u00eau \u00e2m v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng.<\/strong><\/p>\n

\"H\u00ecnh
H\u00ecnh \u1ea3nh minh h\u1ecda s\u1ecfi th\u1eadn<\/figcaption><\/figure>\n

1. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh s\u1ecfi th\u1eadn<\/h2>\n

S\u1ecfi th\u1eadn l\u00e0 m\u1ed9t t\u1eadp h\u1ee3p c\u00e1c tinh th\u1ec3<\/a> trong n\u01b0\u1edbc ti\u1ec3u<\/a> \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh trong th\u1eadn ho\u1eb7c \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. Nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a s\u1ecfi th\u1eadn l\u00e0 do s\u1ef1 k\u1ebft t\u1ee5 c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u v\u1edbi nhau \u0111\u1ec3 t\u1ea1o th\u00e0nh c\u00e1c h\u1ea1t s\u1ecfi.<\/p>\n

C\u00e1c ch\u1ea5t kho\u00e1ng n\u00e0y bao g\u1ed3m canxi oxalate<\/a>, canxi phosphate, uric acid<\/a>, cystine v\u00e0 struvite. Khi n\u1ed3ng \u0111\u1ed9 c\u1ee7a c\u00e1c ch\u1ea5t n\u00e0y trong n\u01b0\u1edbc ti\u1ec3u t\u0103ng cao, ch\u00fang c\u00f3 th\u1ec3 k\u1ebft t\u1ee5 l\u1ea1i v\u1edbi nhau \u0111\u1ec3 t\u1ea1o th\u00e0nh s\u1ecfi th\u1eadn.<\/p>\n

Ngo\u00e0i ra, m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc s\u1ecfi th\u1eadn, bao g\u1ed3m:<\/p>\n

– Ti\u1ec3u \u0111\u01b0\u1eddng<\/a>: Ng\u01b0\u1eddi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn.
\n– B\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh<\/a>: B\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd k\u00e9o d\u00e0i v\u00e0 l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn, d\u1eabn \u0111\u1ebfn nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn.
\n– Ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i: Ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc trong c\u01a1 th\u1ec3 v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u, d\u1eabn \u0111\u1ebfn nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn.
\n– S\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au opioid<\/a>: S\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au opioid c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc s\u1ecfi th\u1eadn.
\n– U\u1ed1ng \u00edt n\u01b0\u1edbc: U\u1ed1ng \u00edt n\u01b0\u1edbc c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u, d\u1eabn \u0111\u1ebfn nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn.
\n– \u0102n nhi\u1ec1u th\u1ef1c ph\u1ea9m gi\u00e0u protein, mu\u1ed1i v\u00e0 oxalate: C\u00e1c th\u1ef1c ph\u1ea9m n\u00e0y c\u00f3 th\u1ec3 t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u, d\u1eabn \u0111\u1ebfn nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh s\u1ecfi th\u1eadn.<\/p>\n

C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh s\u1ecfi th\u1eadn li\u00ean quan \u0111\u1ebfn s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 tr\u00ean. Khi n\u1ed3ng \u0111\u1ed9 c\u1ee7a c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u t\u0103ng cao, ch\u00fang c\u00f3 th\u1ec3 k\u1ebft t\u1ee5 l\u1ea1i v\u1edbi nhau \u0111\u1ec3 t\u1ea1o th\u00e0nh c\u00e1c h\u1ea1t s\u1ecfi. Nh\u1eefng h\u1ea1t s\u1ecfi n\u00e0y c\u00f3 th\u1ec3 l\u1eafng \u0111\u1ecdng v\u00e0 t\u00edch t\u1ee5 trong th\u1eadn ho\u1eb7c \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh s\u1ecfi th\u1eadn. C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec1u l\u1ea7n ti\u1ec3u trong ng\u00e0y, u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 \u0103n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 h\u00ecnh th\u00e0nh s\u1ecfi th\u1eadn.<\/p>\n

2. H\u00ecnh \u1ea3nh s\u1ecfi th\u1eadn tr\u00ean si\u00eau \u00e2m<\/h2>\n

S\u1ecfi th\u1eadn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1eb1ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n kh\u00e1c nhau, ch\u1eb3ng h\u1ea1n nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p X-quang, ho\u1eb7c CT scan \u1ed5 b\u1ee5ng. Tuy nhi\u00ean, si\u00eau \u00e2m l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1ecfi th\u1eadn.<\/p>\n

Tr\u00ean h\u00ecnh \u1ea3nh si\u00eau \u00e2m, s\u1ecfi th\u1eadn c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n nh\u01b0 c\u00e1c n\u1ed1t t\u0103ng \u00e2m c\u00f3 b\u00f3ng c\u1ea3n ho\u1eb7c kh\u00f4ng, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i s\u1ecfi. S\u1ecfi th\u1eadn nh\u1ecf h\u01a1n 2mm th\u01b0\u1eddng c\u00f3 th\u1ec3 kh\u00f4ng th\u1ec3 th\u1ea5y tr\u00ean si\u00eau \u00e2m, trong khi s\u1ecfi l\u1edbn h\u01a1n 10mm c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. Ngo\u00e0i ra, si\u00eau \u00e2m c\u0169ng c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a s\u1ecfi, gi\u00fap cho vi\u1ec7c quy\u1ebft \u0111\u1ecbnh li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n

\"\u00a0
H\u00ecnh \u1ea3nh s\u1ecfi th\u1eadn tr\u00ean si\u00eau \u00e2m<\/figcaption><\/figure>\n

3. T\u1ea7m quan tr\u1ecdng c\u1ee7a ph\u00e1t hi\u1ec7n s\u1edbm h\u00ecnh \u1ea3nh s\u1ecfi th\u1eadn tr\u00ean si\u00eau \u00e2m<\/h2>\n

Ph\u00e1t hi\u1ec7n s\u1edbm s\u1ecfi th\u1eadn l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n

– \u0110au th\u1eaft l\u01b0ng c\u1ea5p t\u00ednh<\/a>: S\u1ecfi di chuy\u1ec3n trong \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u00f3 th\u1ec3 g\u00e2y ra \u0111au l\u01b0ng c\u1ea5p t\u00ednh nghi\u00eam tr\u1ecdng v\u00e0 kh\u00f3 ch\u1ecbu.
\n–Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/a>: S\u1ecfi th\u1eadn c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, g\u00e2y ra s\u1ed1t, \u0111au khi \u0111\u00e1i ti\u1ec3u, ti\u1ec3u \u0111\u1ee5c, ho\u1eb7c huy\u1ebft trong n\u01b0\u1edbc ti\u1ec3u.
\n– T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u: S\u1ecfi c\u00f3 th\u1ec3 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, g\u00e2y ra \u0111au b\u1ee5ng v\u00e0 ti\u1ec3u bu\u1ed1t. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed l\u00fd k\u1ecbp th\u1eddi, t\u1eafc ngh\u1ebdn c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng suy th\u1eadn v\u00e0 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.
\n– Suy th\u1eadn<\/a>: N\u1ebfu s\u1ecfi th\u1eadn kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng \u0111\u1ebfn t\u1ebf b\u00e0o th\u1eadn v\u00e0 suy th\u1eadn.<\/p>\n

Do \u0111\u00f3, vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm s\u1ecfi th\u1eadn l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n

4. C\u00e1ch ph\u00f2ng ng\u1eeba s\u1ecfi th\u1eadn<\/h2>\n

\u0110\u1ec3 ph\u00f2ng ng\u1eeba s\u1ecfi th\u1eadn c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p sau \u0111\u00e2y:<\/p>\n

– U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc: U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc (kho\u1ea3ng 2-3 l\u00edt m\u1ed7i ng\u00e0y) l\u00e0 \u0111i\u1ec1u quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 s\u1ecfi th\u1eadn. N\u01b0\u1edbc gi\u00fap l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 gi\u00fap gi\u1ea3i \u0111\u1ed9c cho th\u1eadn.<\/p>\n

– H\u1ea1n ch\u1ebf ti\u00eau th\u1ee5 c\u00e1c ch\u1ea5t kho\u00e1ng c\u00f3 th\u1ec3 t\u1ea1o th\u00e0nh s\u1ecfi: H\u1ea1n ch\u1ebf ti\u00eau th\u1ee5 c\u00e1c ch\u1ea5t kho\u00e1ng nh\u01b0 canxi oxalate, canxi phosphate, uric acid v\u00e0 cystine c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc s\u1ecfi th\u1eadn. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch gi\u1ea3m thi\u1ec3u ti\u00eau th\u1ee5 c\u00e1c th\u1ef1c ph\u1ea9m gi\u00e0u protein, mu\u1ed1i, oxalate v\u00e0 \u0111\u01b0\u1eddng.<\/p>\n

– T\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng th\u1ec3 ch\u1ea5t: V\u1eadn \u0111\u1ed9ng th\u1ec3 ch\u1ea5t th\u01b0\u1eddng xuy\u00ean gi\u00fap gi\u1ea3m nguy c\u01a1 s\u1ecfi th\u1eadn. \u0110i b\u1ed9, ch\u1ea1y b\u1ed9, t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao kh\u00e1c gi\u00fap gi\u1ea3m c\u00e2n, gi\u1ea3m \u00e1p l\u1ef1c tr\u00ean th\u1eadn v\u00e0 t\u0103ng c\u01b0\u1eddng l\u01b0u th\u00f4ng m\u00e1u trong c\u01a1 th\u1ec3.<\/p>\n

– \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: \u0102n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc s\u1ecfi th\u1eadn. Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng n\u00ean bao g\u1ed3m nhi\u1ec1u rau xanh, tr\u00e1i c\u00e2y, ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t v\u00e0 th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t x\u01a1. H\u1ea1n ch\u1ebf ti\u00eau th\u1ee5 c\u00e1c th\u1ef1c ph\u1ea9m gi\u00e0u \u0111\u01b0\u1eddng, mu\u1ed1i, protein v\u00e0 oxalate.<\/p>\n

– Theo d\u00f5i c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ecfi th\u1eadn: Theo d\u00f5i c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ecfi th\u1eadn nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng hay b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh v\u00e0 \u0111i\u1ec1u tr\u1ecb ch\u00fang, n\u1ebfu c\u00f3, c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc s\u1ecfi th\u1eadn.<\/p>\n

– \u0110i\u1ec1u ch\u1ec9nh thu\u1ed1c: N\u1ebfu b\u1ea1n \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au opioid ho\u1eb7c c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc s\u1ecfi th\u1eadn, h\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c chuy\u1ec3n sang thu\u1ed1c kh\u00e1c.<\/p>\n

– Ki\u1ec3m tra s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean: Ki\u1ec3m tra s\u1ee9c kh\u1ecfe th\u01b0\u1eddng xuy\u00ean v\u00e0 ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t kho\u00e1ng trong n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ecfi th\u1eadn v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t.<\/p>\n

S\u1ecfi th\u1eadn l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm s\u1ecfi th\u1eadn l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng. Si\u00eau \u00e2m l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 \u0111\u00e1ng tin c\u1eady \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1ecfi th\u1eadn. \u0110\u1ec3 ph\u00f2ng ng\u1eeba s\u1ecfi th\u1eadn, b\u1ea1n n\u00ean u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc, \u0103n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, gi\u1ea3m thi\u1ec3u s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au opioid, v\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3.<\/p>\n

XEM TH\u00caM:<\/p>\n