{"id":105852,"date":"2023-07-16T00:00:00","date_gmt":"2023-07-16T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/lam-sang\/"},"modified":"2023-07-26T00:00:00","modified_gmt":"2023-07-26T00:00:00","slug":"lam-sang","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/kien-thuc-y-te\/lam-sang\/","title":{"rendered":"L\u00e2m s\u00e0ng l\u00e0 g\u00ec? T\u1eeb l\u00fd thuy\u1ebft \u0111\u1ebfn th\u1ef1c t\u1ebf 2023"},"content":{"rendered":"\n

T\u1ea5t c\u1ea3 nh\u00e2n vi\u00ean c\u00f4ng t\u00e1c trong ng\u00e0nh y t\u1ebf, tr\u1ef1c ti\u1ebfp kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ea7n m\u1ed9t kho\u1ea3ng th\u1eddi gian th\u1ef1c h\u00e0nh t\u1ea1i c\u01a1 s\u1edf y t\u1ebf k\u00e9o d\u00e0i 1-2 n\u0103m m\u1edbi \u0111\u01b0\u1ee3c ch\u00ednh th\u1ee9c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c th\u1ee5. Do \u0111\u00f3, n\u1eafm v\u1eefng l\u00fd thuy\u1ebft v\u00e0 bi\u1ebft v\u1eadn d\u1ee5ng v\u00e0o th\u1ef1c t\u1ebf \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 l\u00e2m s\u00e0ng l\u00e0 \u0111i\u1ec1u t\u1ea5t y\u1ebfu. V\u1eady nh\u1eefng ki\u1ebfn th\u1ee9c n\u00e0o ta c\u1ea7n ph\u1ea3i trang b\u1ecb v\u00e0 c\u00e1ch v\u1eadn d\u1ee5ng ch\u00fang ra sao? H\u00e3y c\u00f9ng Doctor c\u00f3 s\u1eb5n<\/strong><\/a> t\u00ecm hi\u1ec3u nh\u00e9!<\/p>\n\n\n\n

L\u00e2m s\u00e0ng l\u00e0 g\u00ec<\/h2>\n\n\n\n

L\u00e2m s\u00e0ng (ti\u1ebfng Ph\u00e1p: clinique, ti\u1ebfng Anh: clinical) l\u00e0 m\u1ed9t t\u1eeb h\u00e1n vi\u1ec7t v\u1edbi \u00fd ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng th\u1ef1c t\u1ebf t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh ngay t\u1ea1i l\u00fac kh\u00e1m b\u1ec7nh. L\u00e2m s\u00e0ng bao g\u1ed3m nh\u1eefng tri\u1ec7u ch\u1ee9ng do ng\u01b0\u1eddi b\u1ec7nh khai (mang t\u00ednh ch\u1ea5t ch\u1ee7 quan) v\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u khi nh\u00e2n vi\u00ean y t\u1ebf th\u0103m kh\u00e1m tr\u1ef1c ti\u1ebfp tr\u00ean c\u01a1 th\u1ec3 b\u1ec7nh nh\u00e2n. B\u00e1c s\u0129 s\u1ebd \u0111\u01b0a ra nh\u1eefng l\u00fd lu\u1eadn l\u00e2m s\u00e0ng d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y v\u00e0 m\u1ed9t s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft, sau \u0111\u00f3 quy\u1ebft \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n cu\u1ed1i c\u00f9ng. <\/p>\n\n\n\n

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L\u00e2m s\u00e0ng l\u00e0 t\u00ecnh tr\u1ea1ng th\u1ef1c t\u1ebf t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh ngay t\u1ea1i l\u00fac kh\u00e1m b\u1ec7nh<\/figcaption><\/figure>\n\n\n\n

C\u1eadn l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h2>\n\n\n\n

C\u1eadn l\u00e2m s\u00e0ng l\u00e0 nh\u1eefng k\u1ef9 thu\u1eadt kh\u00e1c nhau \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh trong qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m b\u1ec7nh nh\u1eb1m cung c\u1ea5p th\u00eam th\u00f4ng tin \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n. C\u1eadn l\u00e2m s\u00e0ng bao g\u1ed3m: x\u00e9t nghi\u1ec7m m\u00e1u<\/a>, x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u<\/a>, X-quang<\/a>, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, si\u00eau \u00e2m<\/a>,… M\u1ed7i k\u1ef9 thu\u1eadt s\u1ebd c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m th\u00f4ng s\u1ed1 ri\u00eang bi\u1ec7t cung c\u1ea5p th\u00f4ng tin kh\u00e1ch quan h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n\n\n

Ngo\u00e0i ra, trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh, th\u00f4ng s\u1ed1 c\u1eadn l\u00e2m s\u00e0ng c\u00f2n h\u1ed7 tr\u1ee3 theo d\u00f5i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb song song v\u1edbi s\u1ef1 c\u1ea3i thi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. C\u1eadn l\u00e2m s\u00e0ng c\u0169ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p c\u1ea7n theo d\u00f5i \u0111\u1ed9c t\u00ednh c\u1ee7a thu\u1ed1c, c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u hay nh\u1eefng th\u00f4ng s\u1ed1 \u0111\u1eb7c tr\u01b0ng t\u1ea1i c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3.<\/p>\n\n\n\n

D\u01b0\u1ee3c l\u00e2m s\u00e0ng li\u1ec7u c\u00f3 c\u1ea7n thi\u1ebft?<\/h2>\n\n\n\n

Theo kho\u1ea3n 40, \u0111i\u1ec1u 2 lu\u1eadt d\u01b0\u1ee3c 2016<\/a>, d\u01b0\u1ee3c l\u00e2m s\u00e0ng l\u00e0 ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u khoa h\u1ecdc v\u00e0 th\u1ef1c h\u00e0nh d\u01b0\u1ee3c v\u1ec1 t\u01b0 v\u1ea5n s\u1eed d\u1ee5ng thu\u1ed1c h\u1ee3p l\u00fd, an to\u00e0n, hi\u1ec7u qu\u1ea3 nh\u1eb1m t\u1ed1i \u01b0u h\u00f3a vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c. Ho\u1ea1t \u0111\u1ed9ng d\u01b0\u1ee3c l\u00e2m s\u00e0ng, h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c cho ng\u01b0\u1eddi h\u00e0nh ngh\u1ec1 kh\u00e1m, ch\u1eefa b\u1ec7nh l\u00e0 nhi\u1ec7m v\u1ee5 c\u1ea7n c\u00f3 chuy\u00ean m\u00f4n cao, kinh nghi\u1ec7m l\u00e2m s\u00e0ng th\u1ef1c t\u1ebf. <\/p>\n\n\n\n

Do \u0111\u00f3, d\u01b0\u1ee3c l\u00e2m s\u00e0ng \u0111\u00f2i h\u1ecfi ph\u1ea3i v\u1eeba ph\u1ea3i c\u00f3 ki\u1ebfn th\u1ee9c h\u00f3a l\u00fd v\u1ec1 thu\u1ed1c c\u0169ng nh\u01b0 c\u00f3 ki\u1ebfn th\u1ee9c b\u1ec7nh l\u00e2m s\u00e0ng \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p suy lu\u1eadn, \u0111\u01b0a ra h\u01b0\u1edbng gi\u1ea3i quy\u1ebft h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

Hi\u1ec7n nay, c\u00e1c b\u1ec7nh vi\u1ec7n l\u1edbn t\u1ea1i Vi\u1ec7t Nam<\/a> \u0111\u00e3 tri\u1ec3n khai m\u00f4 h\u00ecnh d\u01b0\u1ee3c l\u00e2m s\u00e0ng v\u00e0 nh\u1eadn v\u1ec1 nh\u1eefng \u0111\u00e1nh gi\u00e1 kh\u1ea3 quan. Do \u0111\u00f3, trong t\u01b0\u01a1ng lai, vi\u1ec7c ph\u1ed1i h\u1ee3p gi\u1eefa d\u01b0\u1ee3c l\u00e2m s\u00e0ng trong h\u1ec7 th\u1ed1ng kh\u00e1m ch\u1eefa b\u1ec7nh l\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n

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D\u01b0\u1ee3c l\u00e2m s\u00e0ng ng\u00e0y c\u00e0ng \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n\n\n\n

D\u01b0\u1ee3c l\u00fd l\u00e2m s\u00e0ng<\/h2>\n\n\n\n

Mu\u1ed1n tr\u1edf th\u00e0nh m\u1ed9t nh\u00e0 l\u00e2m s\u00e0ng gi\u1ecfi, s\u1eed d\u1ee5ng thu\u1ed1c h\u1ee3p l\u00fd th\u00ec c\u1ea7n ph\u1ea3i n\u1eafm r\u00f5 c\u00e1c kh\u00e1i ni\u1ec7m v\u1ec1 d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u0169ng nh\u01b0 d\u01b0\u1ee3c l\u1ef1c c\u1ee7a thu\u1ed1c. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 giai \u0111o\u1ea1n n\u00e0o \u1edf qu\u00e1 tr\u00ecnh thu\u1ed1c t\u00e1c \u0111\u1ed9ng trong c\u01a1 th\u1ec3, do \u0111\u00f3, n\u1eafm \u0111\u01b0\u1ee3c d\u01b0\u1ee3c l\u00fd s\u1ebd h\u1ed7 tr\u1ee3 c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng h\u1ea1n ch\u1ebf nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n x\u1ea3y ra khi s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 t\u00f3i \u01b0u \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

D\u01b0\u1ee3c l\u1ef1c h\u1ecdc c\u1ee7a thu\u1ed1c<\/h3>\n\n\n\n

D\u01b0\u1ee3c l\u1ef1c h\u1ecdc nghi\u00ean c\u1ee9u t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c l\u00ean c\u01a1 th\u1ec3. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc quan t\u00e2m \u0111\u1ebfn m\u1ed1i li\u00ean quan gi\u1eefa n\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u1ea1i v\u1ecb tr\u00ed t\u00e1c \u0111\u1ed9ng v\u1edbi t\u00e1c \u0111\u1ee5ng v\u00e0 \u0111\u1ed9c t\u00ednh c\u1ee7a thu\u1ed1c. V\u1edbi c\u00f9ng m\u1ed9t n\u1ed3ng \u0111\u1ed9 thu\u1ed1c t\u1ea1i c\u00f9ng m\u1ed9t v\u1ecb tr\u00ed t\u00e1c \u0111\u1ed9ng, nh\u01b0ng t\u00e1c d\u1ee5ng v\u00e0 \u0111\u1ed9c t\u00ednh c\u1ee7a thu\u1ed1c l\u00e0 kh\u00f4ng ho\u00e0n to\u00e0n gi\u1ed1ng nhau gi\u1eefa c\u00e1c c\u00e1 th\u1ec3 kh\u00e1c nhau. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nh\u01b0: m\u1eadt \u0111\u1ed9 th\u1ee5 th\u1ec3 thu\u1ed1c, t\u01b0\u01a1ng t\u00e1c thu\u1ed1c – th\u1ee5 th\u1ec3, c\u01a1 ch\u1ebf d\u1eabn truy\u1ec1n, s\u1ef1 t\u1ed5ng h\u1ee3p protein trong t\u1ebf b\u00e0o. <\/p>\n\n\n\n

D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc c\u1ee7a thu\u1ed1c<\/h3>\n\n\n\n

D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc bi\u1ec3u di\u1ec5n qu\u00e1 tr\u00ecnh thu\u1ed1c \u0111i v\u00e0o trong c\u01a1 th\u1ec3, bao g\u1ed3m c\u00e1c giai \u0111o\u1ea1n: h\u1ea5p thu, ph\u00e2n b\u1ed1, chuy\u1ec3n h\u00f3a, th\u1ea3i tr\u1eeb. C\u00e1c giai \u0111o\u1ea1n n\u00e0y \u0111\u1ed1i v\u1edbi m\u1ed7i c\u00e1 th\u1ec3 s\u1ebd kh\u00e1c nhau. Do \u0111\u00f3, \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00f4i khi c\u1ea7n ph\u1ea3i c\u00f3 s\u1ef1 hi\u1ec7u ch\u1ec9nh c\u00e1c th\u00f4ng s\u1ed1 nh\u01b0: li\u1ec1u d\u00f9ng, s\u1ed1 l\u1ea7n d\u00f9ng thu\u1ed1c, \u0111\u01b0\u1eddng d\u00f9ng thu\u1ed1c,… \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u. <\/p>\n\n\n\n

H\u1ea5p thu <\/h3>\n\n\n\n

Thu\u1ed1c kh\u00f4ng ng\u1eabu nhi\u00ean m\u00e0 xu\u1ea5t hi\u1ec7n trong m\u00e1u v\u00e0 t\u00e1c \u0111\u1ed9ng l\u00ean c\u01a1 th\u1ec3, thu\u1ed1c c\u1ea7n c\u00f3 s\u1ef1 h\u1ea5p thu t\u1eeb b\u00ean ngo\u00e0i v\u00e0o m\u00e1u. M\u1ed9t s\u1ed1 \u0111\u01b0\u1eddng d\u00f9ng c\u1ee7a thu\u1ed1c nh\u01b0: \u0111\u01b0\u1eddng ti\u00eam (ti\u00eam t\u0129nh m\u1ea1ch, ti\u00eam b\u1eafp, ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch,…), \u0111\u01b0\u1eddng u\u1ed1ng, b\u00f4i ngo\u00e0i da, \u0111\u01b0\u1eddng tr\u1ef1c tr\u00e0ng,… <\/p>\n\n\n\n

T\u00f9y v\u00e0o m\u1ed7i \u0111\u01b0\u1eddng s\u1eed d\u1ee5ng, thu\u1ed1c s\u1ebd c\u00f3 t\u1ec9 l\u1ec7 h\u1ea5p thu v\u00e0o m\u00e1u kh\u00e1c nhau. M\u1ed9t s\u1ed1 v\u00ed d\u1ee5 trong \u0111\u00f3 c\u00f3 \u0111\u01b0\u1eddng u\u1ed1ng, thu\u1ed1c b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u t\u1eeb enzym trong n\u01b0\u1edbc b\u1ecdt, acid trong d\u1ea1 d\u00e0y, th\u1ee9c \u0103n, \u0111\u1ed3 u\u1ed1ng d\u00f9ng k\u00e8m v\u1edbi thu\u1ed1c,… nh\u1eefng y\u1ebfu t\u1ed1 n\u00e0y s\u1ebd l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 thu\u1ed1c v\u00e0 th\u1eddi gian thu\u1ed1c \u0111i v\u00e0o m\u00e1u h\u01a1n l\u00e0 s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng ti\u00eam \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o m\u00e1u. <\/p>\n\n\n\n

Ph\u00e2n b\u1ed1<\/h3>\n\n\n\n

Sau khi thu\u1ed1c \u0111\u01b0\u1ee3c h\u1ea5p thu v\u00e0o m\u00e1u, c\u00e1c ph\u00e2n t\u1eed thu\u1ed1c s\u1ebd ph\u00e2n b\u1ed1 kh\u1eafp c\u01a1 th\u1ec3, \u0111\u1ebfn v\u1ecb tr\u00ed t\u00e1c \u0111\u1ed9ng. T\u00f9y v\u00e0o t\u00ednh ch\u1ea5t c\u1ee7a thu\u1ed1c, thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c ph\u00e2n b\u1ed1 nhi\u1ec1u \u1edf m\u00f4 k\u1ebd hay trong t\u1ebf b\u00e0o. L\u01b0u \u00fd, thu\u1ed1c trong m\u00e1u s\u1ebd c\u00f3 2 d\u1ea1ng t\u1ef1 do v\u00e0 li\u00ean k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng, ch\u1ec9 c\u00f3 thu\u1ed1c \u1edf d\u1ea1ng t\u1ef1 do m\u1edbi c\u00f3 t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd.<\/p>\n\n\n\n

Chuy\u1ec3n h\u00f3a v\u00e0 th\u1ea3i tr\u1eeb<\/h3>\n\n\n\n

Thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a v\u00e0 th\u1ea3i tr\u1eeb \u1edf gan, th\u1eadn. Thu\u1ed1c \u1edf d\u1ea1ng ti\u1ec1n ch\u1ea5t c\u1ea7n chuy\u1ec3n h\u00f3a \u0111\u1ec3 c\u00f3 ho\u1ea1t t\u00ednh. M\u1ed9t s\u1ed1 thu\u1ed1c c\u1ea3m \u1ee9ng ho\u1eb7c \u1ee9c ch\u1ebf c\u00e1c enzym chuy\u1ec3n h\u00f3a c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng trong tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u00f9ng chung v\u1edbi c\u00e1c thu\u1ed1c chuy\u1ec3n h\u00f3a nhi\u1ec1u qua gan.<\/p>\n\n\n\n

Thu\u1ed1c \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua th\u1eadn qua c\u00e1c c\u01a1 ch\u1ebf sau: l\u1ecdc qua c\u1ea7u th\u1eadn, b\u00e0i ti\u1ebft \u1edf \u1ed1ng th\u1eadn, t\u00e1i h\u1ea5p thu th\u1ee5 \u0111\u1ed9ng.<\/p>\n\n\n\n

B\u1ec7nh l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h2>\n\n\n\n

B\u1ec7nh l\u00e2m s\u00e0ng l\u00e0 g\u00ec? Th\u1ef1c s\u1ef1 \u0111\u00e2y l\u00e0 m\u1ed9t c\u00e2u h\u1ecfi kh\u00f3 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c. Ta c\u00f3 th\u1ec3 \u0111\u1ecbnh ngh\u0129a b\u1ec7nh l\u00e2m s\u00e0ng kh\u00f4ng ph\u1ea3i l\u00e0 l\u00fd thuy\u1ebft \u0111\u01b0\u1ee3c gi\u1ea3 \u0111\u1ecbnh t\u1eeb nh\u1eefng chuy\u00ean gia v\u1ec1 y t\u1ebf m\u00e0 n\u00f3 l\u00e0 m\u1ed9t t\u00ecnh hu\u1ed1ng xu\u1ea5t hi\u1ec7n th\u1ef1c t\u1ebf. <\/p>\n\n\n\n

\u1ede t\u00ecnh hu\u1ed1ng n\u00e0y, ng\u01b0\u1eddi cung c\u1ea5p th\u00f4ng tin, b\u1eb1ng ch\u1ee9ng l\u00e0 b\u1ec7nh nh\u00e2n, c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng c\u1ea7n c\u00f3 \u0111\u1ecbnh h\u01b0\u1edbng \u0111\u00fang \u0111\u1ec3 khai th\u00e1c th\u00f4ng tin v\u00e0 ch\u1ec9 \u0111\u1ecbnh nh\u1eefng c\u1eadn l\u00e2m s\u00e0ng h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ch\u00ednh x\u00e1c.<\/p>\n\n\n\n

M\u1ed9t t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng kh\u00f4ng ch\u1ec9 bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng m\u00e0 c\u00f3 r\u1ea5t nhi\u1ec1u v\u1ea5n \u0111\u1ec1 k\u00e8m theo c\u1ea7n nh\u00e0 l\u00e2m s\u00e0ng ph\u1ea3i ph\u00e2n t\u00edch nh\u01b0: ti\u1ec1n s\u1eed c\u1ee7a b\u1ec7nh nh\u00e2n, c\u00e1c b\u1ec7nh k\u00e8m theo c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng tr\u00f9ng l\u1eb7p v\u1edbi ch\u1ea9n \u0111o\u00e1n nghi ng\u1edd, \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh nh\u00e2n (th\u1eeba c\u00e2n, suy gi\u1ea3m ch\u1ee9c n\u0103ng gan, th\u1eadn,…), t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c,…<\/p>\n\n\n\n

Do \u0111\u00f3, b\u1ec7nh l\u00e2m s\u00e0ng l\u00e0 c\u1ea3 qu\u00e1 tr\u00ecnh c\u1ea7n \u0111\u01b0\u1ee3c khai th\u00e1c v\u00e0 nh\u00e0 l\u00e2m s\u00e0ng ph\u1ea3i nh\u00ecn nh\u1eadn ra \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 th\u1ef1c s\u1ef1 n\u1eb1m \u1edf giai \u0111o\u1ea1n n\u00e0o \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/p>\n\n\n\n

C\u00e1c b\u01b0\u1edbc \u0111\u00e1nh gi\u00e1 m\u1ed9t t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng<\/h2>\n\n\n\n

Khi ti\u1ebfp c\u1eadn m\u1ed9t t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng th\u1ef1c t\u1ebf, ph\u1ea3i th\u1eadt b\u00ecnh t\u0129nh v\u00e0 quan s\u00e1t m\u1ed9t c\u00e1ch t\u1ed5ng th\u1ec3 qu\u00e1 tr\u00ecnh di\u1ec5n ti\u1ebfn b\u1ec7nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 b\u1ec7nh m\u1ed9t c\u00e1ch kh\u00e1ch quan nh\u1ea5t. <\/p>\n\n\n\n

B\u01b0\u1edbc 1:<\/strong> H\u00e3y c\u1ea9n th\u1eadn khai th\u00e1c ti\u1ec1n s\u1eed c\u1ee7a b\u1ec7nh nh\u00e2n, k\u1ec3 c\u1ea3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng, ti\u1ec1n s\u1eed d\u00f9ng thu\u1ed1c, ti\u1ec1n s\u1eed gia \u0111\u00ecnh. <\/p>\n\n\n\n

B\u01b0\u1edbc 2:<\/strong> Kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng. Trong qu\u00e1 tr\u00ecnh kh\u00e1m b\u1ec7nh, h\u00e3y \u0111\u1eb7t ra c\u00e1c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t kh\u00e1c v\u00e0 \u0111\u01b0a ra nh\u1eefng l\u1eadp lu\u1eadn lo\u1ea1i tr\u1eeb \u0111\u1ec3 tr\u00e1nh sai s\u00f3t trong ch\u1ea9n \u0111o\u00e1n cu\u1ed1i c\u00f9ng.<\/p>\n\n\n\n

B\u01b0\u1edbc 3:<\/strong> D\u1ef1a v\u00e0o c\u00e1c th\u00f4ng tin \u0111\u00e3 c\u00f3 \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n. Tr\u01b0\u1edbc khi \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n n\u00e0y, c\u1ea7n \u0111\u1ea3m b\u1ea3o t\u00ednh x\u00e1c th\u1ef1c c\u1ee7a c\u00e1c b\u1eb1ng ch\u1ee9ng (l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng c\u00f3 tin c\u1eady hay kh\u00f4ng) \u0111\u1ec3 k\u1ebft lu\u1eadn.<\/p>\n\n\n\n

\u0110i\u1ec1u m\u00e0 c\u00e1c nh\u00e0 l\u00e2m s\u00e0ng th\u01b0\u1eddng hay m\u1eafc ph\u1ea3i l\u00e0 khu\u00f4n kh\u1ed5 theo l\u00fd thuy\u1ebft v\u00e0 ch\u01b0a linh ho\u1ea1t theo c\u00e1c di\u1ec5n ti\u1ebfn b\u1ec7nh kh\u00e1c nhau. Nh\u1eefng s\u1ef1 nh\u1ea1y b\u00e9n n\u00e0y c\u1ea7n c\u00f3 th\u1eddi gian th\u1ef1c h\u00e0nh v\u00e0 r\u00fat kinh nghi\u1ec7m, tr\u01b0\u1edbc ti\u00ean h\u00e3y l\u1eb7p l\u1ea1i nh\u1eefng b\u01b0\u1edbc tr\u00ean cho t\u1eebng b\u1ec7nh nh\u00e2n m\u00e0 b\u1ea1n g\u1eb7p ph\u1ea3i, so s\u00e1nh s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y v\u00e0 k\u1ebft c\u1ee5c \u0111i\u1ec1u tr\u1ecb c\u1ee7a m\u1ed7i ng\u01b0\u1eddi.  <\/p>\n\n\n\n

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Khi ti\u1ebfp c\u1eadn m\u1ed9t t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng th\u1ef1c t\u1ebf ph\u1ea3i quan s\u00e1t m\u1ed9t c\u00e1ch t\u1ed5ng th\u1ec3 qu\u00e1 tr\u00ecnh di\u1ec5n ti\u1ebfn b\u1ec7nh<\/figcaption><\/figure>\n\n\n\n

M\u1ed9t s\u1ed1 l\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c tr\u00ean l\u00e2m s\u00e0ng<\/h2>\n\n\n\n

B\u1ec7nh nh\u00e2n suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/h3>\n\n\n\n

\u0110\u1ed1i b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n<\/a>, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c th\u1ea3i qua th\u1eadn n\u00ean \u0111\u01b0\u1ee3c ch\u00fa \u00fd v\u00e0 gi\u1ea3m li\u1ec1u theo \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn. M\u1ed9t s\u1ed1 thu\u1ed1c c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u khi b\u1ec7nh nh\u00e2n c\u00f3 suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn nh\u01b0: vancomycin, digoxin, imipenem, meropenem, nh\u00f3m kh\u00e1ng sinh nh\u00f3m aminoglycosids, quinolons,…<\/p>\n\n\n\n

Ngo\u00e0i ra, tr\u00e1nh ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y \u0111\u1ed9c t\u00ednh tr\u00ean th\u1eadn v\u1edbi nhau. Trong tr\u01b0\u1eddng b\u1eaft bu\u1ed9c c\u1ea7n ph\u1ed1i h\u1ee3p, ph\u1ea3i theo d\u00f5i n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u c\u0169ng nh\u01b0 n\u1ed3ng \u0111\u1ed9 creatinin th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 k\u1ecbp th\u1eddi can thi\u1ec7p n\u1ebfu ch\u1ee9c n\u0103ng th\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n x\u1ea5u \u0111i.<\/p>\n\n\n\n

B\u1ec7nh nh\u00e2n t\u0103ng thanh th\u1ea3i th\u1eadn<\/h3>\n\n\n\n

T\u0103ng thanh th\u1ea3i th\u1eadn<\/a> l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng ch\u1ee9c n\u0103ng th\u1eadn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn tr\u00ean 130 mL\/ph\u00fat\/1,73 m2. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y th\u01b0\u1eddng g\u1eb7p khi b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng v\u00e0 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c li\u1ec1u cao h\u01a1n b\u00ecnh th\u01b0\u1eddng, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c thu\u1ed1c th\u1ea3i qua th\u1eadn nh\u01b0 kh\u00e1ng sinh hay thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (enoxaparin). <\/p>\n\n\n\n

B\u1ec7nh nh\u00e2n t\u0103ng th\u1ec3 t\u00edch ph\u00e2n b\u1ed1  <\/h3>\n\n\n\n

Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu c\u1ee7a t\u00ecnh tr\u1ea1ng t\u0103ng th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 l\u00e0 do c\u01a1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh h\u1ea1 albumin m\u00e1u<\/a> – l\u00e0 m\u1ed9t protein c\u00f3 t\u00e1c d\u1ee5ng t\u1ea1o \u00e1p l\u1ef1c keo trong l\u00f2ng m\u1ea1ch m\u00e1u. H\u1ea1 albumin x\u1ea3y ra khi c\u00f3 s\u1ef1 t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch (do t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m, ch\u1ea5n th\u01b0\u01a1ng, ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb ung th\u01b0,…). <\/p>\n\n\n\n

Trong c\u00e1c cu\u1ed9c ph\u1eabu thu\u1eadt l\u1edbn, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c \u0111\u1ea7y \u0111\u1ee7 b\u1eb1ng d\u1ecbch truy\u1ec1n \u0111\u1ec3 ng\u0103n ch\u1eb7n t\u00ecnh tr\u1ea1ng gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n v\u00e0 g\u00e2y s\u1ed1c d\u1eabn \u0111\u1ebfn ph\u00f9, t\u0103ng th\u1ec3 t\u00edch ph\u00e2n b\u1ed1. Khi s\u1eed d\u1ee5ng thu\u1ed1c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y, n\u00ean l\u01b0u \u00fd \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 albumin trong m\u00e1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c g\u1eafn k\u1ebft v\u1edbi protein t\u1ec9 l\u1ec7 cao \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c ph\u00f9 h\u1ee3p. <\/p>\n\n\n\n

Thu\u1ed1c trong c\u01a1 th\u1ec3 ch\u1ec9 c\u00f3 t\u00e1c \u0111\u1ed9ng khi \u1edf d\u1ea1ng t\u1ef1 do, kh\u00f4ng g\u1eafn k\u1ebft v\u1edbi protein m\u00e1u. Albumin l\u00e0 m\u1ed9t protein ti\u1ec1m n\u0103ng, g\u1eafn k\u1ebft v\u1edbi nhi\u1ec1u lo\u1ea1i thu\u1ed1c. Khi thu\u1ed1c c\u00f3 t\u1ec9 l\u1ec7 g\u1eafn k\u1ebft v\u1edbi protein cao s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n t\u0103ng th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 do tho\u00e1t protein v\u00e0o d\u1ecbch k\u1ebd hay gi\u1ea3m t\u1ed5ng h\u1ee3p protein s\u1ebd d\u1eabn \u0111\u1ebfn t\u0103ng n\u1ed3ng \u0111\u1ed9 trong m\u00e1u. Tuy nhi\u00ean, th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a thu\u1ed1c s\u1ebd nhanh h\u01a1n, do \u0111\u00f3 n\u00ean c\u00e2n nh\u1eafc t\u0103ng kho\u1ea3ng c\u00e1ch li\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n\n\n\n

Ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa<\/h3>\n\n\n\n

\u0110\u00e2y l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c l\u01b0u \u00fd b\u1edfi v\u00ec thu\u1ed1c khi ng\u01b0\u1eddi m\u1eb9 s\u1eed d\u1ee5ng c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn thai nhi, tr\u1ebb s\u01a1 sinh th\u00f4ng qua nhau thai, s\u1eefa m\u1eb9. Ngo\u00e0i ra, ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 t\u0103ng, nguy\u00ean nh\u00e2n do kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 th\u1ec3 t\u0103ng trong thai k\u1ef3 v\u00e0 thai nhi. Do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c tr\u00ean nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 c\u00e0ng. <\/p>\n\n\n\n

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C\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea9n th\u1eadn \u1edf ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa <\/em><\/figcaption><\/figure>\n\n\n\n

Tr\u1ebb em v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i<\/h3>\n\n\n\n

Tr\u1ebb em v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i l\u00e0 nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng \u0111\u1eb7c bi\u1ec7t, nguy\u00ean nh\u00e2n b\u1edfi kh\u1ed1i l\u01b0\u1ee3ng c\u01a1, ch\u1ee9c n\u0103ng gan th\u1eadn, t\u1ed1c \u0111\u1ed9 h\u1ea5p thu thu\u1ed1c,… kh\u00e1c bi\u1ec7t so v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i thu\u1ed1c, h\u00e3y tra c\u1ee9u \u0111\u1eb7c t\u00ednh thu\u1ed1c tr\u00ean nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng s\u1eed d\u1ee5ng m\u1ed9t c\u00e1ch c\u1ea9n tr\u1ecdng, tr\u00e1nh sai s\u00f3t g\u00e2y ra bi\u1ebfn ch\u1ee9ng v\u1ec1 sau.<\/p>\n\n\n\n

C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/h2>\n\n\n\n
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C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p li\u00ean quan \u0111\u1ebfn l\u00e2m s\u00e0ng<\/figcaption><\/figure>\n\n\n
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Th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
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L\u00e0 ho\u1ea1t \u0111\u1ed9ng nghi\u00ean c\u1ee9u thu\u1ed1c tr\u00ean ng\u01b0\u1eddi t\u00ecnh nguy\u1ec7n nh\u1eb1m th\u0103m d\u00f2 hay x\u00e1c \u0111\u1ecbnh s\u1ef1 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c.<\/p>\n\n<\/div>\n<\/div>\n

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C\u1eadn l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
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C\u1eadn l\u00e2m s\u00e0ng l\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u1eb1m h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb. C\u1eadn l\u00e2m s\u00e0ng bao g\u1ed3m nhi\u1ec1u k\u1ef9 thu\u1eadt kh\u00e1c nhau nh\u01b0: x\u00e9t nghi\u1ec7m m\u00e1u, x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u, ch\u1ee5p CT, si\u00eau \u00e2m,…<\/p>\n\n<\/div>\n<\/div>\n

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Kh\u00e1m l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
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Kh\u00e1m l\u00e2m s\u00e0ng l\u00e0 qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m, x\u00e1c \u0111\u1ecbnh c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169ng nh\u01b0 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng th\u00f4ng qua h\u1ecfi th\u0103m, kh\u00e1m nghi\u1ec7m tr\u00ean c\u01a1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n<\/div>\n<\/div>\n

\n
Ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
\n\n

D\u1ef1a v\u00e0o c\u00e1c k\u1ebft qu\u1ea3 kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng, b\u00e1c s\u0129 s\u1ebd c\u00f3 nh\u1eefng l\u00fd lu\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 k\u1ebft lu\u1eadn v\u1ea5n \u0111\u1ec1 c\u1ee7a b\u1ec7nh nh\u00e2n g\u1ecdi l\u00e0 ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng.<\/p>\n\n<\/div>\n<\/div>\n

\n
L\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
\n\n

L\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng l\u00e0 nh\u1eefng thang \u0111o ti\u00eau chu\u1ea9n gi\u00fap ch\u1ea9n \u0111o\u00e1n c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ee7a b\u1ec7nh nh\u00e2n. 2 kh\u00e1i ni\u1ec7m n\u00e0y h\u1ed7 tr\u1ee3 l\u1eabn nhau, gi\u00fap b\u00e1c s\u0129 theo d\u00f5i \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n<\/div>\n<\/div>\n

\n
Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
\n\n

Nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng l\u00e0 m\u1ed9t nh\u00e1nh c\u1ee7a khoa h\u1ecdc s\u1ee9c kh\u1ecfe. Nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eb1m thu th\u1eadp c\u00e1c ch\u1ee9ng c\u1ee9 \u0111\u1ec3 thi\u1ebft l\u1eadp n\u00ean m\u1ed9t ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n<\/div>\n<\/div>\n

\n
B\u00e1c s\u0129 l\u00e2m s\u00e0ng l\u00e0 g\u00ec?<\/h5>\n
\n\n

B\u00e1c s\u0129 l\u00e2m s\u00e0ng l\u00e0 ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n th\u0103m kh\u00e1m b\u1ec7nh nh\u00e2n v\u00e0 \u0111\u01b0a ra c\u00e1c ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 m\u00e0 b\u1ec7nh nh\u00e2n \u0111ang g\u1eb7p ph\u1ea3i.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n

Hy v\u1ecdng b\u00e0i vi\u1ebft tr\u00ean \u0111\u00e3 cung c\u1ea5p cho b\u1ea1n nh\u1eefng ki\u1ebfn th\u1ee9c c\u01a1 b\u1ea3n v\u1ec1 l\u00e2m s\u00e0ng. Docosan lu\u00f4n cung c\u1ea5p cho b\u1ea1n nh\u1eefng th\u00f4ng tin v\u1ec1 ph\u00f2ng kh\u00e1m, b\u1ec7nh vi\u1ec7n c\u00f3 b\u00e1c s\u0129 gi\u1ecfi<\/strong><\/a>, h\u00e0ng \u0111\u1ea7u trong l\u0129nh v\u1ef1c y t\u1ebf, li\u00ean h\u1ec7 Docosan \u0111\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m<\/a>.<\/p>\n\n\n\n\n\n

https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC7379941\/<\/a> <\/p>\n\n\n\n

https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6989233\/<\/a> <\/p>\n\n\n\n

    \n
  1. <\/li>\n<\/ol>\n\n\n","protected":false},"excerpt":{"rendered":"

    T\u1ea5t c\u1ea3 nh\u00e2n vi\u00ean c\u00f4ng t\u00e1c trong ng\u00e0nh y t\u1ebf, tr\u1ef1c ti\u1ebfp kh\u00e1m ch\u1eefa b\u1ec7nh c\u1ea7n m\u1ed9t kho\u1ea3ng th\u1eddi gian th\u1ef1c h\u00e0nh t\u1ea1i c\u01a1 s\u1edf y t\u1ebf k\u00e9o d\u00e0i 1-2 n\u0103m m\u1edbi \u0111\u01b0\u1ee3c ch\u00ednh th\u1ee9c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c th\u1ee5. Do \u0111\u00f3, n\u1eafm v\u1eefng l\u00fd thuy\u1ebft v\u00e0 bi\u1ebft v\u1eadn d\u1ee5ng […]<\/p>\n","protected":false},"author":24,"featured_media":109453,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[13],"tags":[],"class_list":["post-105852","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kien-thuc-y-te"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/lam-sang-3-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/lam-sang-3-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129 D\u01b0\u01a1ng Th\u1ecb Thanh S\u01b0\u01a1ng","author_link":"https:\/\/www.docosan.com\/blog\/author\/dsduongthithanhsuong\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105852","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/24"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105852"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105852\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/109453"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105852"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105852"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105852"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}