{"id":34702,"date":"2023-06-07T00:54:37","date_gmt":"2023-06-06T17:54:37","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=34702"},"modified":"2023-06-07T15:01:07","modified_gmt":"2023-06-07T08:01:07","slug":"ke-hoach-cham-soc-benh-nhan-viem-ruot-thua-cac-buoc-can-thiet-de-dam-bao-suc-khoe-toi-uu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/07\/ke-hoach-cham-soc-benh-nhan-viem-ruot-thua-cac-buoc-can-thiet-de-dam-bao-suc-khoe-toi-uu\/","title":{"rendered":"K\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba: C\u00e1c b\u01b0\u1edbc c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe t\u1ed1i \u01b0u"},"content":{"rendered":"<p><strong>\u00a0<\/strong><strong>Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p trong su\u1ed1t qu\u00e1 tr\u00ecnh tr\u01b0\u1edbc, trong v\u00e0 sau m\u1ed5 l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng. <\/strong><strong>Vi\u00eam ru\u1ed9t th\u1eeba (VRT) c\u1ea5p l\u00e0 c\u1ea5p c\u1ee9u ngo\u1ea1i khoa th\u01b0\u1eddng g\u1eb7p, bi\u1ec3u hi\u1ec7n<\/strong> <strong>l\u00e2m s\u00e0ng \u0111a d\u1ea1ng, d\u1ec5 l\u1ea7m v\u1edbi nhi\u1ec1u b\u1ec7nh kh\u00e1c. N\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edb<\/strong><strong>m<\/strong> <strong>v\u00e0 m\u1ed5 s\u1edbm th\u00ec t\u1ec9 l\u1ec7 t\u1eed vong th\u1ea5p, nh\u01b0ng n\u1ebfu mu\u1ed9n th\u00ec nhi\u1ec1u bi\u1ebfn ch\u1ee9ng x\u1ea3y ra, t\u1eed vong c\u00f3 th\u1ec3 l\u00ean t\u1edbi 10%. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y tr\u00ecnh b\u00e0y <\/strong><strong>qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba. <\/strong><strong>\u00a0<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-34703 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/b5d3ad1f-90e6-4b78-8fc5-13d7a2695e12-300x300.jpg\" alt=\"Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/b5d3ad1f-90e6-4b78-8fc5-13d7a2695e12-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/b5d3ad1f-90e6-4b78-8fc5-13d7a2695e12-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/b5d3ad1f-90e6-4b78-8fc5-13d7a2695e12-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/b5d3ad1f-90e6-4b78-8fc5-13d7a2695e12.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p<\/strong><\/h2>\n<p>V\u1ec1 ph\u00f4i thai h\u1ecdc, t\u1eeb tu\u1ea7n l\u1ec5 th\u1ee9 6, ru\u1ed9t th\u1eeba b\u1eaft \u0111\u1ea7u \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh nh\u01b0 l\u00e0 ph\u1ea7n tr\u1ed3i ra t\u1eeb n\u1ee5 manh tr\u00e0ng. Trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi v\u00e0 nh\u1eefng n\u0103m \u0111\u1ea7u sau sinh, manh tr\u00e0ng ph\u00e1t tri\u1ec3n nhanh h\u01a1n ru\u1ed9t th\u1eeba. Do \u0111\u00f3, ru\u1ed9t th\u1eeba d\u1ea7n n\u1eb1m l\u1ec7ch v\u00e0o gi\u1eefa so v\u1edbi \u0111\u00e1y manh tr\u00e0ng, v\u1ec1 ph\u00eda v\u1eadn h\u1ed9i manh tr\u00e0ng.<\/p>\n<p>V\u1ec1 gi\u1ea3i ph\u1eabu, ba d\u1ea3i c\u01a1 d\u1ecdc c\u1ee7a \u0111\u1ea1i tr\u00e0ng h\u1ed9i t\u1ee5 t\u1ea1i \u0111\u00e2y manh tr\u00e0ng, t\u1ea1o n\u00ean l\u1edbp c\u01a1 d\u1ecdc duy nh\u1ea5t c\u1ee7a ru\u1ed9t th\u1eeba. \u0110\u00e2y l\u00e0 m\u1ed1c gi\u1ea3i ph\u1eabu ch\u1eafc ch\u1eafn nh\u1ea5t \u0111\u1ec3 t\u00ecm g\u1ed1c ru\u1ed9t th\u1eeba.<\/p>\n<p>T\u1eafc ngh\u1ebdn l\u00f2ng ru\u1ed9t th\u1eeba \u0111\u01b0\u1ee3c xem l\u00e0 c\u01a1 ch\u1ebf ch\u00ednh trong b\u1ec7nh sinh \u1edf h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n VRT. L\u00f2ng ru\u1ed9t th\u1eeba c\u00f3 th\u1ec3 b\u1ecb t\u1eafc do nhi\u1ec1u nguy\u00ean nh\u00e2n nh\u01b0 s\u1ecfi ph\u00e2n, t\u0103ng s\u1ea3n m\u00f4 b\u1ea1ch huy\u1ebft, d\u1ecb v\u1eadt (t\u1eeb th\u1ee9c \u0103n nh\u01b0 h\u1ea1t tr\u00e1i c\u00e2y, s\u1ee3i rau.., hay barium sau ch\u1ee5p call quang \u0111\u01b0\u1eddng ti\u00eau h\u00f3a), k\u00fd sinh tr\u00f9ng, kh\u1ed1i u ho\u1eb7c kh\u1ed1i h\u1ea1ch ph\u00ec \u0111\u1ea1i.<\/p>\n<p><strong>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n<ul>\n<li>\u0110au b\u1ee5ng (\u0110au di chuy\u1ec3n t\u1eeb v\u00f9ng quanh r\u1ed1n xu\u1ed1ng h\u1ed1 ch\u1eadu ph\u1ea3i l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u00e2n bi\u1ec7t t\u1ed1t nh\u1ea5t trong b\u1ec7nh s\u1eed)<\/li>\n<li>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a<\/li>\n<li>Ti\u1ec3u kh\u00f3 ho\u1eb7c ti\u1ec3u d\u1eaft<\/li>\n<\/ul>\n<p><strong>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/p>\n<ul>\n<li>S\u1ed1t nh\u1eb9:<\/li>\n<li>D\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng<\/li>\n<li>Nh\u00ecn: Th\u00e0nh b\u1ee5ng di \u0111\u1ed9ng theo nh\u1ecbp th\u1edf l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1eb7c tr\u01b0ng.<\/li>\n<li>S\u1edd: \u0110au khi n\u1eafn \u1edf h\u1ed1 ch\u1eadu ph\u1ea3i (96%), tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c hi\u1ec7u l\u00e0 \u0111au khi g\u00f5, ph\u1ea3n \u1ee9ng d\u1ed9i, co c\u1ee9ng, \u0111\u1ec1 kh\u00e1ng th\u00e0nh b\u1ee5ng<\/li>\n<li>Ph\u1ea3n \u1ee9ng d\u1ed9i: \u1ea5n nh\u1eb9 v\u00e0 s\u00e2u, th\u1ea3 tay \u0111\u1ed9t ng\u1ed9t b\u1ec7nh nh\u00e2n th\u1ea5y r\u1ea5t \u0111au<\/li>\n<li>D\u1ea5u Rovsing: \u1ea4n s\u00e2u v\u00e0o h\u1ed1 ch\u1eadu tr\u00e1i, \u0111au \u1edf h\u1ed1 ch\u1eadu ph\u1ea3i<\/li>\n<li>D\u1ea5u c\u01a1 b\u1ecbt (\u0111au khi xoay trong \u0111\u00f9i ph\u1ea3i \u0111ang g\u1ea5p)<\/li>\n<li>Ho hay g\u00f5 \u1edf g\u00f3t ch\u00e2n g\u00e2y \u0111au nhi\u1ec1u \u1edf h\u1ed1 ch\u1eadu ph\u1ea3i \ud83e\udc6a g\u1ee3i \u00fd vi\u00eam ph\u00fac m\u1ea1c khu tr\u00fa<\/li>\n<li>Th\u0103m kh\u00e1m tr\u1ef1c tr\u00e0ng: gi\u00fap ph\u00e1 hi\u1ec7n VRT th\u1ec3 ti\u1ec3u khung, tr\u00e1nh b\u1ecf s\u00f3t ch\u1ea9n \u0111o\u00e1n<\/li>\n<\/ul>\n<p><strong>C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/p>\n<ul>\n<li>X\u00e9t nghi\u1ec7m m\u00e1u<\/li>\n<li>X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u<\/li>\n<li>Chu\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh: CT, si\u00eau \u00e2m b\u1ee5ng, n\u1ed9i soi b\u1ee5ng<\/li>\n<\/ul>\n<p><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/p>\n<ul>\n<li>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf ru\u1ed9t th\u1eeba<\/li>\n<li>D\u1eabn l\u01b0u abscess tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt ru\u1ed9t th\u1eeba<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n v\u1edbi \u0111\u00e1m qu\u00e1nh ru\u1ed9t th\u1eeba<\/li>\n<\/ul>\n<p>Xem th\u00eam (d\u00e1n link n\u00e0y sau khi xu\u1ea5t b\u1ea3n):<a href=\"https:\/\/docs.google.com\/document\/d\/1UAH5kUBynlvM3LJI1KKXQekQGXuRjC8gHowAmMbhvWo\/edit?usp=sharing\"> Vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p: ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng v\u00e0 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb m\u1edbi<\/a><\/p>\n<h2>2. Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba<\/h2>\n<p><strong>2.1 Ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n<p>Nh\u1eadn \u0111\u1ecbnh<\/p>\n<p>&#8211; To\u00e0n th\u00e2n<\/p>\n<p>+Xem c\u00f3 h\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng kh\u00f4ng<\/p>\n<p>+ Tinh th\u1ea7n t\u1ec9nh t\u00e1o hay m\u1ec7t m\u1ecfi?<\/p>\n<p>+ T\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p<\/p>\n<p>+ N\u01b0\u1edbc ti\u1ec3u c\u00f3 v\u00e0ng kh\u00f4ng?<\/p>\n<p>&#8211; T\u1ea1i ch\u1ed7<\/p>\n<p>+ \u0110au b\u1ee5ng: \u0111au t\u1eeb khi n\u00e0o? \u0111au \u1edf v\u1ecb tr\u00ed n\u00e0o? \u0111au \u00e2m \u1ec9 hay \u0111au d\u1eef d\u1ed9i? \u0111au li\u00ean t\u1ee5c hay \u0111au th\u00e0nh t\u1eebng c\u01a1n?<\/p>\n<p>+ Theo d\u00f5i t\u00ecnh tr\u1ea1ng ti\u00eau h\u00f3a<br \/>\n+ Theo d\u00f5i t\u01b0 th\u1ebf gi\u1ea3m \u0111au<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u0111au b\u1ee5ng do vi\u00eam ru\u1ed9t th\u1eeba.<\/p>\n<p>_L\u01b0\u1ee3ng gi\u00e1 v\u1ec1 c\u00e1ch di\u1ec5n t\u1ea3 c\u01a1n \u0111au c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh ( v\u1ecb tr\u00ed, di chuy\u1ec3n c\u01a1n \u0111au, t\u00ednh ch\u1ea5t \u0111au) khi thu th\u1eadp d\u1eef ki\u1ec7n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n<p>_Gi\u00fap ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m \u0111au b\u1eb1ng t\u01b0 th\u1ebf nh\u01b0 co ch\u00e2n v\u00e0o th\u00e0nh b\u1ee5ng tr\u00e1nh c\u0103ng b\u1ee5ng, tr\u00e1nh di chuy\u1ec3n \u0111\u1ed9t ng\u1ed9t, tr\u00e1nh th\u0103m kh\u00e1m qu\u00e1 nhi\u1ec1u.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh lo s\u1ee3 do ph\u1ea3i m\u1ed5 c\u1ea5p c\u1ee9u<\/p>\n<p>_Nh\u1eadn \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 lo s\u1ee3, l\u00fd do b\u1ec7nh nh\u00e2n s\u1ee3<br \/>\n_C\u00f4ng t\u00e1c t\u01b0 t\u01b0\u1edfng cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh, h\u01b0\u1edbng d\u1eabn, gi\u1ea3i th\u00edch chu \u0111\u00e1o v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p m\u1ed5, ti\u1ebfn tr\u00ecnh m\u1ed5 \u0111\u1ec3 ng\u01b0\u1eddi nh\u00e0 v\u00e0 b\u1ec7nh nh\u00e2n an t\u00e2m<\/p>\n<p><strong>Chu\u1ea9n b\u1ecb ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc m\u1ed5<\/strong><\/p>\n<p>_Ch\u1ec9 \u0111\u1ecbnh c\u00e1c x\u00e9t nghi\u1ec7m ti\u1ec1n ph\u1eabu ( x\u00e9t nghi\u1ec7m m\u00e1u, x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, &#8230;).<br \/>\n&#8211; Ch\u1ec9 \u0111\u1ecbnh c\u00f4ng chu\u1ea9n b\u1ecb ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc m\u1ed5 c\u1ea5p c\u1ee9u (c\u1edfi b\u1ecf trang s\u1ee9c, r\u0103ng gi\u1ea3, t\u00f3c b\u00edm,&#8230;)<\/p>\n<p>_ Ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c kh\u00e1ng sinh d\u1ef1 ph\u00f2ng.<\/p>\n<p>_D\u1eb7n ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0103n u\u1ed1ng g\u00ec tr\u01b0\u1edbc khi m\u1ed5<\/p>\n<p><strong>2.2 Ch\u0103m s\u00f3c sau m\u1ed5<\/strong><\/p>\n<p><strong>Nh\u1eadn \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh<\/strong><\/p>\n<ul>\n<li>T\u00ecnh tr\u1ea1ng tri gi\u00e1c<\/li>\n<li>Theo d\u00f5i d\u1ea5u hi\u1ec7u sinh t\u1ed3n<\/li>\n<\/ul>\n<p>T\u00ecnh tr\u1ea1ng v\u1ebft m\u1ed5<\/p>\n<ul>\n<li>L\u01b0\u1ee3ng n\u01b0\u1edbc xu\u1ea5t, nh\u1eadp<\/li>\n<li>T\u00ecnh tr\u1ea1ng v\u1eadn \u0111\u1ed9ng<\/li>\n<li>T\u00ecnh tr\u1ea1ng b\u1ee5ng: \u0111au, nhu \u0111\u1ed9ng ru\u1ed9t<\/li>\n<li>D\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng<\/li>\n<li>Nh\u1eadn \u0111\u1ecbnh c\u00f3 \u1ed1ng d\u1eabn l\u01b0u hay kh\u00f4ng?<\/li>\n<li>T\u00e2m l\u00fd ng\u01b0\u1eddi b\u1ec7nh<\/li>\n<\/ul>\n<p><strong>2.3 \u00a0Ch\u1ea9n \u0111o\u00e1n v\u00e0 can thi\u1ec7p<\/strong><\/p>\n<p><strong>\u00a0Ng\u01b0\u1eddi b\u1ec7nh ph\u1eabu thu\u1eadt kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u0111au do v\u1ebft m\u1ed5<\/p>\n<p>Th\u0103m kh\u00e1m, ch\u1ec9 \u0111\u1ecbnh thay b\u0103ng, r\u1eeda v\u1ebft th\u01b0\u01a1ng , tr\u00e1nh nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5.<\/p>\n<p>N\u00ean \u0111\u1ec3 b\u1ec7nh nh\u00e2n ngh\u1ec9 ng\u01a1i \u1edf t\u01b0 th\u1ebf fowler<\/p>\n<p>\u0110\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 \u0111au d\u1ef1a v\u00e0o thang \u0111i\u1ec3m Pain scale<\/p>\n<p>Nguy c\u01a1 ng\u01b0\u1eddi b\u1ec7nh s\u1ed1t do nhi\u1ec5m tr\u00f9ng,ho\u1eb7c bi\u1ebfn ch\u1ee9ng vi\u00eam ph\u00fac m\u1ea1c<\/p>\n<p>_\u00a0 Cho n\u1eb1m gi\u01b0\u1eddng tho\u00e1ng m\u00e1t<\/p>\n<p>_ N\u1edbi r\u1ed9ng qu\u1ea7n \u00e1o, lau m\u00e1t<\/p>\n<p>_ Theo d\u00f5i, x\u1eed l\u00fd co gi\u1eadt n\u1ebfu g\u1eb7p \u1edf tr\u1ebb em<\/p>\n<p>_ Kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb<\/p>\n<p>_ Theo d\u00f5i nhi\u1ec7t \u0111\u1ed9 th\u01b0\u1eddng xuy\u00ean<\/p>\n<p>_ U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc<\/p>\n<p>_ Theo d\u00f5i l\u01b0\u1ee3ng d\u1ecbch ra v\u00e0o<\/p>\n<ul>\n<li>Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5<\/li>\n<li>Theo d\u00f5i DHST<\/li>\n<li>Theo d\u00f5i t\u00ecnh tr\u1ea1ng v\u1ebft m\u1ed5<\/li>\n<li>Xem v\u1ebft m\u1ed5 kh\u00f4 hay th\u1ea5m d\u1ecbch, th\u1ea5m m\u00e1u<\/li>\n<li>Theo d\u00f5i t\u00ecnh tr\u1ea1ng ph\u00f9 n\u1ec1.<\/li>\n<li>Gi\u1eef v\u1ebft m\u1ed5 kh\u00f4 r\u00e1o<\/li>\n<\/ul>\n<p>Nguy c\u01a1 thi\u1ebfu h\u1ee5t dinh d\u01b0\u1ee1ng do ch\u01b0a c\u00f3 nhu \u0111\u1ed9ng ru\u1ed9t<\/p>\n<ul>\n<li>Sau 24 gi\u1edd \u0111\u1ea7u c\u00f3 th\u1ec3 cho ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng m\u1ed9t \u00edt n\u01b0\u1edbc, ti\u1ebfp \u0111\u1ebfn l\u00e0 th\u1ee9c \u0103n d\u1ea1ng l\u1ecfng r\u1ed3i th\u1ee9c \u0103n d\u1ea1ng \u0111\u1eb7c, cho t\u1edbi khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0103n u\u1ed1ng b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u1ea1i.<\/li>\n<li>Cho b\u1ec7nh nh\u00e2n \u0103n nhi\u1ec1u l\u1ea7n trong ng\u00e0y, \u0103n l\u1ecfng d\u1ec5 ti\u00eau, \u0103n h\u1ee3p kh\u1ea9u v\u1ecb, \u0103n nh\u1ea1t<\/li>\n<li>Th\u1ee9c \u0103n ph\u1ea3i \u0111\u1ea3m b\u1ea3o dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd<\/li>\n<li>Cho b\u1ec7nh nh\u00e2n \u0103n theo s\u1edf th\u00edch, ph\u00f9 h\u1ee3p v\u1edbi kh\u1ea9u v\u1ecb n\u1ebfu c\u00f3 \u0111i\u1ec1u ki\u1ec7n<\/li>\n<li>Theo d\u00f5i b\u1eefa \u0103n, c\u00e2n n\u1eb7ng b\u1ec7nh nh\u00e2n<\/li>\n<li>Theo d\u00f5i l\u01b0\u1ee3ng n\u01b0\u1edbc xu\u1ea5t nh\u1eadp<\/li>\n<li>C\u00f3 th\u1ec3 h\u1ed3i s\u1ee9c qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch<\/li>\n<li>Nguy c\u01a1 t\u1eafc ru\u1ed9t, li\u1ec7t ru\u1ed9t<\/li>\n<li>Cho ng\u01b0\u1eddi b\u1ec7nh v\u1eadn \u0111\u1ed9ng s\u1edbm khi c\u00f3 \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n, h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n h\u1ee3p l\u00fd<\/li>\n<li>Ng\u00e0y \u0111\u1ea7u cho ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m thay \u0111\u1ed5i t\u01b0 th\u1ebf.<\/li>\n<li>Ng\u00e0y th\u1ee9 hai cho ng\u1ed3i d\u1eady v\u00e0 d\u00ecu \u0111i l\u1ea1i<\/li>\n<li>X\u00e2y d\u1ef1ng dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>Ng\u01b0\u1eddi b\u1ec7nh ph\u1eabu thu\u1eadt c\u00f3 bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n<ul>\n<li>Xu\u1ea5t huy\u1ebft n\u1ed9i do b\u1ee5c ch\u1ec9<\/li>\n<\/ul>\n<p>Gi\u1eef \u0111\u01b0\u1eddng truy\u1ec1n th\u1eadt t\u1ed1t, th\u1ef1c hi\u1ec7n truy\u1ec1n m\u00e1u n\u1ebfu c\u1ea7n, theo d\u00f5i s\u00e1t huy\u1ebft \u00e1p, m\u1ea1ch, chu\u1ea9n b\u1ecb ng\u01b0\u1eddi b\u1ec7nh ph\u1eabu thu\u1eadt l\u1ea1i.<\/p>\n<ul>\n<li>Ch\u1ea3y m\u00e1u v\u1ebft m\u1ed5<br \/>\nD\u00f9ng g\u1ea1c \u1ea5n ngay \u0111i\u1ec3m ch\u1ea3y m\u00e1u, b\u0103ng \u00e9p, kh\u00e2u v\u1ebft m\u1ed5 l\u1ea1i. \u0110\u00e1nh gi\u00e1 s\u1ed1 l\u01b0\u1ee3ng m\u00e1u m\u1ea5t, Hct,&#8230;<\/li>\n<li>Vi\u00eam ph\u00fac m\u1ea1c.<\/li>\n<li>Vi\u00eam ph\u00fac m\u1ea1c khu tr\u00fa: do m\u1ee7 lau ch\u01b0a s\u1ea1ch ho\u1eb7c b\u1ee5c g\u1ed1c ru\u1ed9t th\u1eeba. Th\u01b0\u1eddng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 h\u1ed9i ch\u1ee9ng nhi\u1ec5m tr\u00f9ng r\u00f5, \u0111\u00f4i khi c\u00f3 h\u1ed9i ch\u1ee9ng t\u1eafc ru\u1ed9t ho\u1eb7c b\u00e1n t\u1eafc ru\u1ed9t, n\u1ebfu c\u00f2n \u1ed1ng d\u1eabn l\u01b0u th\u00ec th\u1ea5y m\u1ee7 ho\u1eb7c d\u1ecbch ti\u00eau ho\u00e1 ch\u1ea3y qua \u1ed1ng \u0111\u00f3 ra ngo\u00e0i.<\/li>\n<li>Vi\u00eam ph\u00fac m\u1ea1c to\u00e0n th\u1ec3: do lau r\u1eeda m\u1ee7 ch\u01b0a s\u1ea1ch ho\u1eb7c \u1ed5 \u00e1p xe v\u1ee1 ra ho\u1eb7c b\u1ee5c g\u1ed1c ru\u1ed9t th\u1eeba, d\u1ecbch ti\u00eau ho\u00e1 lan tr\u00e0n kh\u1eafp \u1ed5 b\u1ee5ngNg\u01b0\u1eddi b\u1ec7nh c\u00f3 h\u1ed9i ch\u1ee9ng vi\u00eam ph\u00fac m\u1ea1c r\u00f5.<\/li>\n<li>\u00c1p-xe v\u00e0 vi\u00eam t\u1ea5y th\u00e0nh b\u1ee5ng<\/li>\n<li>Th\u1ef1c hi\u1ec7n kh\u00e1ng sinh d\u1ef1 ph\u00f2ng cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh vi\u00eam ru\u1ed9t th\u1eeba \u0111\u1ebfn tr\u1ec5.<\/li>\n<li>Ch\u0103m s\u00f3c v\u1ebft m\u1ed5 b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p v\u00f4 khu\u1ea9n.<\/li>\n<li>Sau m\u1ed5 n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 b\u00e1o b\u00e1c s\u0129 v\u00e0 th\u1ef1c hi\u1ec7n c\u1eaft b\u1ecf m\u1ed1i ch\u1ec9 v\u00e0 r\u1eeda s\u1ea1ch v\u1ebft m\u1ed5,<\/li>\n<li>R\u00f2 ph\u00e2n<\/li>\n<li>Ch\u0103m s\u00f3c l\u1ed7 r\u00f2, ghi s\u1ed1 l\u01b0\u1ee3ng d\u1ecbch ch\u1ea3y ra.<\/li>\n<li>Th\u1ef1c hi\u1ec7n y l\u1ec7nh b\u00f9 n\u01b0\u1edbc \u0111\u1ea7y \u0111\u1ee7 cho ng\u01b0\u1eddi b\u1ec7nh, theo d\u00f5i n\u01b0\u1edbc xu\u1ea5t nh\u1eadp.<\/li>\n<li>Ng\u1eeba r\u00f4m l\u1edf da cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<li>Cung c\u1ea5p cho ng\u01b0\u1eddi b\u1ec7nh nhi\u1ec1u dinh d\u01b0\u1ee1ng gi\u00fap l\u1ed7 r\u00f2 mau l\u00e0nh.<\/li>\n<\/ul>\n<h2>3. Gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe<\/h2>\n<p>Gi\u00e1o d\u1ee5c cho c\u1ed9ng \u0111\u1ed3ng hi\u1ec3u bi\u1ebft v\u1ec1 vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 \u00fd th\u1ee9c \u0111\u1ebfn vi\u1ec7n s\u1edbm khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n<p>\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 m\u1ed5 vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p, \u0111\u1eb7c bi\u1ec7t l\u00e0 vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng vi\u00eam ph\u00fac m\u1ea1c, c\u00e1ch ph\u00f2ng, ch\u1ed1ng bi\u1ebfn ch\u1ee9ng t\u1eafc ru\u1ed9t sau m\u1ed5:<\/p>\n<p>+ Tr\u00e1nh g\u00e2y r\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1.<\/p>\n<p>+ N\u1ebfu \u0111au b\u1ee5ng c\u01a1n + n\u00f4n, h\u00e3y\u00a0 \u0111\u1ebfn vi\u1ec7n kh\u00e1m l\u1ea1i.<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng ki\u00eang \u0103n, \u0103n \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng sau m\u1ed5.<\/li>\n<li>H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh v\u1eadn \u0111\u1ed9ng, \u0111i l\u1ea1i, t\u1eadp th\u1ec3 d\u1ee5c.<\/li>\n<li>Ch\u0103m s\u00f3c v\u1ebft m\u1ed5 t\u1ea1i nh\u00e0.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p trong su\u1ed1t qu\u00e1 tr\u00ecnh tr\u01b0\u1edbc, trong v\u00e0 sau m\u1ed5 l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng. Vi\u00eam ru\u1ed9t th\u1eeba (VRT) c\u1ea5p l\u00e0 c\u1ea5p c\u1ee9u ngo\u1ea1i khoa th\u01b0\u1eddng g\u1eb7p, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u0111a d\u1ea1ng, d\u1ec5 l\u1ea7m v\u1edbi nhi\u1ec1u b\u1ec7nh kh\u00e1c. N\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 m\u1ed5 s\u1edbm th\u00ec [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>K\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba: C\u00e1c b\u01b0\u1edbc c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe t\u1ed1i \u01b0u - Vinmec<\/title>\n<meta name=\"description\" content=\"Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p trong qu\u00e1 tr\u00ecnh tr\u01b0\u1edbc, trong v\u00e0 sau m\u1ed5 l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ru\u1ed9t th\u1eeba.\" \/>\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=\"K\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n vi\u00eam ru\u1ed9t th\u1eeba: C\u00e1c b\u01b0\u1edbc c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe t\u1ed1i \u01b0u - 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