{"id":6,"date":"2023-08-15T17:03:33","date_gmt":"2023-08-15T16:03:33","guid":{"rendered":"https:\/\/khoatritruong.com\/?p=6"},"modified":"2024-07-23T22:08:10","modified_gmt":"2024-07-23T15:08:10","slug":"hoi-benh-va-dua-ra-chan-doan-co-he-thong","status":"publish","type":"post","link":"https:\/\/khoatritruong.com\/index.php\/2023\/08\/15\/hoi-benh-va-dua-ra-chan-doan-co-he-thong\/","title":{"rendered":"H\u1ecfi b\u1ec7nh v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n c\u00f3 h\u1ec7 th\u1ed1ng"},"content":{"rendered":"<span class=\"rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">\u23f3Th\u1eddi gian \u0111\u1ecdc: <\/span> <span class=\"rt-time\">5<\/span> <span class=\"rt-label rt-postfix\">ph\u00fat<\/span><\/span>\n<p>Khi c\u00f2n l\u00e0 sinh vi\u00ean y khoa, m\u00ecnh lu\u00f4n th\u1eafc m\u1eafc l\u00e0m sao b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 h\u1ecfi b\u1ec7nh m\u1ea5y c\u00e2u m\u00e0 \u0111\u00e3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9 v\u00e0 h\u00e0ng lo\u1ea1t ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t trong \u0111\u1ea7u. H\u1ecd n\u00f3i \u0111\u00f3 l\u00e0 do h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi &#8220;then ch\u1ed1t&#8221;. M\u00ecnh s\u1ebd gi\u00fap m\u1ecdi ng\u01b0\u1eddi l\u00e0m r\u00f5 c\u00e1i &#8220;then ch\u1ed1t&#8221; \u0111\u00f3 v\u00e0 m\u1ed9t s\u1ed1 m\u1eb9o h\u1eefu \u00edch c\u1ee7a b\u1ea3n th\u00e2n. H\u00e3y b\u1eaft \u0111\u1ea7u v\u1edbi l\u00ed do kh\u00e1m b\u1ec7nh\/nh\u1eadp vi\u1ec7n.<br><em>L\u01b0u \u00fd nh\u1ecf:<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00e0i vi\u1ebft kh\u00f4ng nh\u1eb1m m\u1ee5c \u0111\u00edch thay th\u1ebf b\u00e0i gi\u1ea3ng v\u00e0 s\u00e1ch gi\u00e1o khoa \u0111\u01b0\u1ee3c d\u1ea1y ch\u00ednh quy. \u0110\u00e2y l\u00e0 m\u1ed9t s\u1ed1 ki\u1ebfn th\u1ee9c nh\u1ecf v\u00e0 kinh nghi\u1ec7m th\u1ef1c t\u1ebf h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh h\u1ecfi b\u1ec7nh.<\/li>\n\n\n\n<li>B\u00e0i vi\u1ebft n\u1eb1m ngo\u00e0i ph\u1ea1m vi tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p v\u00e0 c\u1ea5p c\u1ee9u. T\u00ecnh hu\u1ed1ng \u0111\u00f3 n\u00ean \u01b0u ti\u00ean \u1ed5n \u0111\u1ecbnh b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi t\u00ecm nguy\u00ean nh\u00e2n.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Chu\u1ea9n b\u1ecb<\/h2>\n\n\n\n<p>H\u1ecfi b\u1ec7nh l\u00e0 qu\u00e1 tr\u00ecnh thu th\u1eadp d\u1eef li\u1ec7u v\u00e0 chu\u1ea9n b\u1ecb t\u1ed1t gi\u00fap thu th\u1eadp nhi\u1ec1u d\u1eef li\u1ec7u h\u01a1n. Ba \u0111i\u1ec1u c\u1ea7n chu\u1ea9n b\u1ecb l\u00e0 s\u1ef1 ri\u00eang t\u01b0 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh (g\u1ed3m c\u1ea3 trang ph\u1ee5c b\u00e1c s\u0129 ph\u1ea3i ph\u00f9 h\u1ee3p), gi\u1edbi thi\u1ec7u b\u1ea3n th\u00e2n v\u00e0 vai tr\u00f2 c\u1ee7a b\u1ea1n, quan s\u00e1t k\u0129 b\u1ec7nh nh\u00e2n v\u00e0 m\u1ecdi th\u1ee9 xung quanh (d\u00e2y, \u1ed1ng d\u1eabn l\u01b0u, catheter, d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3 v\u1ec7 sinh, \u0111i l\u1ea1i v\u00e0 th\u1eadm ch\u00ed l\u00e0 chai n\u01b0\u1edbc ti\u1ec3u, th\u1ee9c \u0103n \u0111\u1ed3 u\u1ed1ng ng\u01b0\u1eddi nh\u00e0 mang theo).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">L\u00ed do \u0111\u1ebfn kh\u00e1m<\/h2>\n\n\n\n<p>\u0110\u00e2y th\u01b0\u1eddng l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ch\u00ednh \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129, \u0111\u01b0\u1ee3c ng\u01b0\u1eddi b\u1ec7nh m\u00f4 t\u1ea3 b\u1eb1ng ch\u00ednh l\u1eddi v\u0103n c\u1ee7a h\u1ecd, \u0111\u00f4i khi s\u1ebd c\u00f3 nhi\u1ec1u h\u01a1n m\u1ed9t l\u00ed do. B\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi &#8220;H\u00f4m nay b\u00e1c\/anh\/ch\u1ecb b\u1ecb kh\u00f3 ch\u1ecbu ra sao?&#8221; ho\u1eb7c &#8220;H\u00f4m nay sao b\u00e1c\/anh\/ch\u1ecb \u0111i kh\u00e1m b\u1ec7nh?&#8221;. M\u1ed9t v\u00e0i ng\u01b0\u1eddi c\u00f3 th\u1ec3 n\u00f3i m\u1ed9t tr\u00e0ng d\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ed1i lo ng\u1ea1i c\u1ee7a h\u1ecd kh\u00f4ng theo m\u1ed9t tr\u1eadt t\u1ef1 n\u00e0o c\u1ea3. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, GI\u1eee B\u00ccNH T\u0128NH V\u00c0 \u0110\u1eeaNG NG\u1eaeT L\u1edcI! H\u00e3y ch\u00fa \u00fd l\u1eafng nghe v\u00e0 l\u1eadp m\u1ed9t danh s\u00e1ch tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn kh\u00e1m trong \u0111\u1ea7u, ch\u1ecdn c\u00e1i m\u00e0 b\u1ea1n th\u1ea5y quan &nbsp;tr\u1ecdng ho\u1eb7c nguy hi\u1ec3m nh\u1ea5t \u0111\u1ec3 ti\u1ebfp t\u1ee5c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Khai th\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn kh\u00e1m<\/h2>\n\n\n\n<p>Ba nguy\u00ean t\u1eafc c\u1ea7n nh\u1edb:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>M\u1ed9t tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 do nhi\u1ec1u c\u01a1 quan g\u00e2y ra. M\u1ed7i c\u01a1 quan b\u1ecb r\u1ed1i lo\u1ea1n s\u1ebd bi\u1ec3u hi\u1ec7n th\u00e0nh m\u1ed9t nh\u00f3m tri\u1ec7u ch\u1ee9ng.<\/li>\n\n\n\n<li>M\u1ed9t b\u1ec7nh c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u c\u01a1 quan.<\/li>\n\n\n\n<li>M\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 m\u1eafc nhi\u1ec1u b\u1ec7nh c\u00f9ng l\u00fac.<\/li>\n<\/ol>\n\n\n\n<p>\u0110\u00e2y s\u1ebd l\u00e0 nguy\u00ean t\u1eafc gi\u00fap b\u1ea1n \u0111i\u1ec1u h\u01b0\u1edbng c\u00e2u h\u1ecfi khi h\u1ecfi b\u1ec7nh. M\u00ecnh b\u1eaft \u0111\u1ea7u v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn kh\u00e1m, khai th\u00e1c h\u1ebft t\u00ednh ch\u1ea5t, d\u1ef1a tr\u00ean tr\u1ea3 l\u1eddi c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh m\u00e0 s\u1ebd \u0111\u01b0a ra c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1ed1 1. Tuy nhi\u00ean, h\u00e3y nh\u00ecn l\u1ea1i nguy\u00ean t\u1eafc 1 v\u00e0 \u0111\u1eebng ch\u1ec9 gi\u1edbi h\u1ea1n suy ngh\u0129 nguy\u00ean nh\u00e2n trong m\u1ed9t c\u01a1 quan duy nh\u1ea5t, m\u1edf r\u1ed9ng sang c\u00e1c c\u01a1 quan kh\u00e1c c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n c\u00f9ng tri\u1ec7u ch\u1ee9ng. V\u00ed d\u1ee5, \u0111au ng\u1ef1c c\u00f3 th\u1ec3 do tim, m\u1ea1ch m\u00e1u, ph\u1ed5i, x\u01b0\u01a1ng v\u00e0 ph\u1ea7n m\u1ec1m, ti\u00eau h\u00f3a, v.v. ; sau khi ng\u01b0\u1eddi b\u1ec7nh khai b\u1ec7nh s\u1eed, b\u1ea1n ngh\u0129 \u0111\u1ebfn \u0111au ng\u1ef1c do m\u1ea1ch v\u00e0nh nh\u01b0ng \u0111\u1eebng v\u1ed9i k\u1ebft lu\u1eadn m\u00e0 h\u00e3y h\u1ecfi th\u00eam c\u00e1c t\u00ednh ch\u1ea5t li\u00ean quan, tri\u1ec7u ch\u1ee9ng \u0111i k\u00e8m g\u1ee3i \u00fd b\u1ec7nh l\u00fd c\u01a1 quan kh\u00e1c (ho, kh\u1ea1c \u0111\u00e0m, s\u1ed1t, n\u00f3ng r\u00e1t sau x\u01b0\u01a1ng \u1ee9c\u2026). \u0110\u00e2y c\u00f3 th\u1ec3 g\u1ecdi l\u00e0 khai th\u00e1c \u0111\u1eb7c \u0111i\u1ec3m \u00e2m t\u00ednh \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh l\u1ea1i c\u01a1 quan n\u00e0o \u0111ang b\u1ecb b\u1ec7nh.<\/p>\n\n\n\n<p>H\u1ecfi \u0111\u01b0\u1ee3c nh\u01b0 v\u1eady y\u00eau c\u1ea7u b\u1ea1n ki\u1ebfn th\u1ee9c v\u1ec1 tri\u1ec7u ch\u1ee9ng v\u00e0 b\u1ec7nh h\u1ecdc c\u1ee7a m\u1ed9t lo\u1ea1t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tri\u1ec7u ch\u1ee9ng \u0111\u00f3 (v\u00ed d\u1ee5: b\u1ea1n c\u1ea7n bi\u1ebft \u0111\u1eb7c \u0111i\u1ec3m \u0111au ng\u1ef1c trong h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p, vi\u00eam ph\u1ed5i, b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 kh\u00e1c nhau nh\u01b0 th\u1ebf n\u00e0o). M\u1ed9t c\u00e1ch \u00e1p d\u1ee5ng hi\u1ec7u qu\u1ea3 l\u00e0 h\u1ecdc ti\u1ebfp c\u1eadn theo tri\u1ec7u ch\u1ee9ng (v\u00ed d\u1ee5, c\u00e1ch s\u00e1ch &#8220;Ti\u1ebfp c\u1eadn c\u00e1c v\u1ea5n \u0111\u1ec1 n\u1ed9i khoa th\u01b0\u1eddng g\u1eb7p&#8221; c\u1ea5u tr\u00fac c\u00e1c b\u00e0i h\u1ecdc).<\/p>\n\n\n\n<p>Sau khi h\u1ecfi xong tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn kh\u00e1m, b\u1ea1n n\u00ean ti\u1ebfp t\u1ee5c h\u1ecfi \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c m\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 khai. N\u1ebfu g\u1eb7p kh\u00f3 kh\u0103n ghi nh\u1edb tri\u1ec7u ch\u1ee9ng th\u00ec b\u1ea1n c\u00f3 th\u1ec3 mang theo gi\u1ea5y note, s\u1ed5 ghi ch\u00fa \u0111\u1ec3 ghi l\u1ea1i v\u1eafn t\u1eaft b\u1eb1ng m\u1ed9t v\u00e0i t\u1eeb g\u1ee3i \u00fd tri\u1ec7u ch\u1ee9ng \u0111\u00e3 ghi nh\u1eadn. \u0110\u1eebng ghi qu\u00e1 nhi\u1ec1u th\u00e0nh m\u1ed9t c\u00e2u v\u0103n v\u00ec s\u1ebd l\u00e0m cu\u1ed9c h\u1ed9i tho\u1ea1i b\u1ecb gi\u00e1n \u0111o\u1ea1n. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi s\u1ebd ngh\u0129 kh\u00f4ng n\u00ean v\u1eeba h\u1ecfi v\u1eeba ghi nh\u01b0 v\u1eady, nh\u01b0ng b\u1ea3n th\u00e2n m\u00ecnh ngh\u0129 vi\u1ec7c \u00e1p d\u1ee5ng t\u1ea5t c\u1ea3 ph\u01b0\u01a1ng ti\u1ec7n h\u1ed7 tr\u1ee3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c l\u00e0 th\u1ec3 hi\u1ec7n t\u00ednh chuy\u00ean nghi\u1ec7p y khoa. B\u1ea1n s\u1ebd th\u1ea5y vi\u1ec7c ghi ch\u00fa nhanh s\u1ebd r\u1ea5t h\u1eefu \u00edch khi ng\u01b0\u1eddi b\u1ec7nh khai nhi\u1ec1u tri\u1ec7u ch\u1ee9ng, c\u00f3 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u00e0 b\u1ec7nh \u0111\u1ed3ng m\u1eafc.<\/p>\n\n\n\n<p>Khi k\u1ebft th\u00fac khai th\u00e1c b\u1ec7nh s\u1eed, b\u1ea1n c\u1ea7n tr\u1ea3 l\u1eddi ba c\u00e2u h\u1ecfi sau:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>C\u01a1 quan n\u00e0o g\u00e2y ra tri\u1ec7u ch\u1ee9ng?<\/li>\n\n\n\n<li>M\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a tri\u1ec7u ch\u1ee9ng?<\/li>\n\n\n\n<li>C\u00f3 bao nhi\u00eau c\u01a1 quan b\u1ecb \u1ea3nh h\u01b0\u1edfng?<\/li>\n<\/ol>\n\n\n\n<h2 class=\"wp-block-heading\">Ti\u1ec1n s\u1eed l\u00e0 b\u01b0\u1edbc ti\u1ebfp theo<\/h2>\n\n\n\n<p>L\u00fac n\u00e0y, ch\u1eafc h\u1eb3n b\u1ea1n \u0111\u00e3 c\u00f3 m\u1ed9t danh s\u00e1ch c\u00e1c ch\u1ea9n \u0111o\u00e1n ti\u1ec1m n\u0103ng trong \u0111\u1ea7u. M\u1ecdi th\u1ee9 c\u00f3 v\u1ebb r\u00f5 r\u00e0ng h\u01a1n m\u1ed9t ch\u00fat. Ti\u1ebfp theo, b\u1ea1n c\u1ea7n khai th\u00e1c ti\u1ec1n s\u1eed li\u00ean quan c\u00e1c ch\u1ea9n \u0111o\u00e1n c\u00f3 th\u1ec3 x\u1ea3y ra. \u1ede \u0111\u00e2y, m\u00ecnh ch\u1ec9 b\u1ed5 sung m\u1ed9t s\u1ed1 \u00fd gi\u00fap b\u1ea1n h\u1ecfi \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin h\u01a1n.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ti\u1ec1n s\u1eed b\u1ec7nh n\u1ed9i ngo\u1ea1i khoa: ho\u00e0n c\u1ea3nh n\u00e0o ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh l\u00ed \u0111\u00f3, bi\u1ebfn ch\u1ee9ng, qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, \u0111\u00e1p \u1ee9ng v\u00e0 t\u00e1i kh\u00e1m, v\u1ea5n \u0111\u1ec1 c\u00f2n t\u1ed3n \u0111\u1ecdng. Lu\u00f4n lu\u00f4n h\u1ecfi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 mang gi\u1ea5y t\u1edd c\u0169 kh\u00f4ng.<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed d\u00f9ng thu\u1ed1c: ch\u1ec9 \u0111\u1ecbnh, \u0111\u00e1p \u1ee9ng, theo d\u00f5i khi d\u00f9ng thu\u1ed1c (warfarin&#8230;), li\u1ec1u v\u00e0 kho\u1ea3ng c\u00e1ch d\u00f9ng (b\u1ea5t k\u00ec thay \u0111\u1ed5i g\u1ea7n \u0111\u00e2y), t\u00e1c d\u1ee5ng ph\u1ee5, tu\u00e2n th\u1ee7, th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng, th\u1ea3o d\u01b0\u1ee3c, thu\u1ed1c t\u1ec5, thu\u1ed1c gia truy\u1ec1n, kh\u00f4ng nh\u00e3n m\u00e1c<\/li>\n\n\n\n<li>D\u1ecb \u1ee9ng: c\u1ea7n ph\u00e2n bi\u1ec7t d\u1ecb \u1ee9ng th\u1eadt s\u1ef1 hay \u0111\u01a1n thu\u1ea7n ch\u1ec9 l\u00e0 b\u1ea5t dung n\u1ea1p ho\u1eb7c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed x\u00e3 h\u1ed9i: th\u01b0\u1eddng b\u1ecb b\u1ecf qua nh\u1ea5t. H\u00e3y h\u1ecfi v\u1ec1 t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh (gia \u0111\u00ecnh, b\u1ea1n b\u00e8, nh\u00e0 \u1edf, s\u1ef1 tr\u1ee3 gi\u00fap, ngh\u1ec1 nghi\u1ec7p, th\u00f3i quen).<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh: g\u1ee3i \u00fd b\u1ec7nh c\u00f3 t\u00ednh gia \u0111\u00ecnh, b\u1ec7nh di truy\u1ec1n. B\u1ea1n n\u00ean d\u00f9ng c\u00e2u h\u1ecfi m\u1edf nh\u01b0 &#8220;Gia \u0111\u00ecnh c\u00f3 ai m\u1eafc b\u1ec7nh gi\u1ed1ng b\u00e1c\/anh\/ch\u1ecb kh\u00f4ng?&#8221;<\/li>\n<\/ul>\n\n\n\n<p>Cu\u1ed1i c\u00f9ng, kh\u00f4ng k\u00e9m quan tr\u1ecdng, h\u1ecfi l\u01b0\u1ee3c qua tri\u1ec7u ch\u1ee9ng c\u00e1c c\u01a1 quan gi\u00fap b\u1ea1n t\u00ecm th\u00eam v\u1ea5n \u0111\u1ec1 \u0111i k\u00e8m v\u00e0 g\u1ee3i \u00fd th\u00eam kh\u1ea3 n\u0103ng x\u1ea3y ra c\u00e1c ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">M\u1ed1i quan t\u00e2m, mong \u0111\u1ee3i v\u00e0 mong mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/h2>\n\n\n\n<p>Hi\u1ec3u c\u00e1ch ng\u01b0\u1eddi b\u1ec7nh nh\u00ecn nh\u1eadn tri\u1ec7u ch\u1ee9ng b\u1ea3n th\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ecd mong \u0111\u1ee3i l\u00e0 \u0111i\u1ec1u t\u1ed1i quan tr\u1ecdng gi\u00fap b\u00e1c s\u0129 thi\u1ebft l\u1eadp m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u00ec \u0111\u01a1n gi\u1ea3n ch\u00fang ta \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi b\u1ec7nh ch\u1ee9 kh\u00f4ng ch\u1ec9 \u0111i\u1ec1u tr\u1ecb c\u00e1i b\u1ec7nh. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p s\u1ebd th\u1ea3o lu\u1eadn th\u00eam v\u1ea5n \u0111\u1ec1 n\u00e0y v\u1edbi ng\u01b0\u1eddi nh\u00e0, gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p>\u0110\u1ebfn th\u1eddi \u0111i\u1ec3m n\u00e0y, m\u00ecnh ngh\u0129 b\u1ea1n \u0111\u00e3 c\u00f3 s\u1eb5n m\u1ed9t danh s\u00e1ch c\u00e1c ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t trong \u0111\u1ea7u v\u00e0 s\u1eb5n s\u00e0ng kh\u00e1m th\u1ef1c th\u1ec3 t\u1eadp trung v\u00e0o c\u00e1c ch\u1ea9n \u0111o\u00e1n \u0111\u00f3, \u0111\u01b0a ra k\u1ebf ho\u1ea1ch ti\u1ebfp theo (c\u1eadn l\u00e2m s\u00e0ng v\u00e0 \u0111i\u1ec1u tr\u1ecb). Qu\u00e1 tr\u00ecnh n\u00e0y nghe d\u01b0\u1eddng nh\u01b0 c\u00f3 v\u1ebb m\u1ea5t th\u1eddi gian, kh\u00f3 th\u1ef1c hi\u1ec7n nh\u01b0ng khi b\u1ea1n th\u1eed tr\u00ean l\u00e2m s\u00e0ng, \u0111\u00f4i khi ch\u1ec9 t\u1ed1n ch\u1eebng 15 ph\u00fat. V\u00e0i ng\u01b0\u1eddi s\u1ebd th\u1ea5y r\u1ea5t kh\u00f3 \u00e1p d\u1ee5ng do qu\u00e1 t\u1ea3i ng\u01b0\u1eddi b\u1ec7nh, kh\u00f4ng th\u1ec3 d\u00e0nh qu\u00e1 nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 h\u1ecfi b\u1ec7nh th\u00ec l\u00fac n\u00e0y, ch\u1ec9 c\u1ea7n b\u1ea1n \u00e1p d\u1ee5ng \u0111\u01b0\u1ee3c m\u1ed9t ho\u1eb7c hai \u00fd \u1edf tr\u00ean c\u0169ng s\u1ebd gi\u00fap c\u1ea3i thi\u1ec7n qu\u00e1 tr\u00ecnh h\u1ecfi b\u1ec7nh. Luy\u1ec7n t\u1eadp h\u1ecfi b\u1ec7nh khi c\u00f2n l\u00e0 sinh vi\u00ean v\u00e0 qu\u00e1 tr\u00ecnh n\u00e0y s\u1ebd th\u1ea5m v\u00e0o m\u00e1u, tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea3n x\u1ea1 khi \u0111i l\u00e0m.<\/p>\n\n\n\n<p>Hi v\u1ecdng m\u1ecdi ng\u01b0\u1eddi s\u1ebd th\u1ea5y n\u1ed9i dung n\u00e0y h\u1eefu \u00edch!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n\n\n\n<p>Houghton AR, Gray D. Chamberlain\u2019s symptoms and signs in clinical medicine: An Introduction to Medical Diagnosis. 2010. Edward Arnold Ltd.<\/p>\n","protected":false},"excerpt":{"rendered":"<p><span class=\"rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">\u23f3Th\u1eddi gian \u0111\u1ecdc: <\/span> <span class=\"rt-time\">5<\/span> <span class=\"rt-label rt-postfix\">ph\u00fat<\/span><\/span> Khi c\u00f2n l\u00e0 sinh vi\u00ean y khoa, m\u00ecnh lu\u00f4n th\u1eafc m\u1eafc l\u00e0m sao b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 h\u1ecfi b\u1ec7nh m\u1ea5y c\u00e2u m\u00e0 \u0111\u00e3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9 v\u00e0 h\u00e0ng lo\u1ea1t ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t trong \u0111\u1ea7u. H\u1ecd n\u00f3i \u0111\u00f3 l\u00e0 do h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi &#8220;then ch\u1ed1t&#8221;. M\u00ecnh s\u1ebd gi\u00fap &hellip;<\/p>\n<p class=\"read-more\"> <a class=\"\" href=\"https:\/\/khoatritruong.com\/index.php\/2023\/08\/15\/hoi-benh-va-dua-ra-chan-doan-co-he-thong\/\"> <span class=\"screen-reader-text\">H\u1ecfi b\u1ec7nh v\u00e0 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n c\u00f3 h\u1ec7 th\u1ed1ng<\/span> Read More &raquo;<\/a><\/p>\n","protected":false},"author":1,"featured_media":8,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"disabled","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"set","footnotes":""},"categories":[8],"tags":[26,5],"class_list":["post-6","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-giao-tiep","tag-danh-cho-nhan-vien-y-te","tag-giao-tiep"],"aioseo_notices":[],"rttpg_featured_image_url":{"full":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-scaled.jpg",2560,1920,false],"landscape":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-scaled.jpg",2560,1920,false],"portraits":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-scaled.jpg",2560,1920,false],"thumbnail":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-150x150.jpg",150,150,true],"medium":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-300x225.jpg",300,225,true],"large":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-1024x768.jpg",1024,768,true],"1536x1536":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-1536x1152.jpg",1536,1152,true],"2048x2048":["https:\/\/khoatritruong.com\/wp-content\/uploads\/2023\/08\/etienne-girardet-EP6_VZhzXM8-unsplash-1-2048x1536.jpg",2048,1536,true]},"rttpg_author":{"display_name":"Tr\u01b0\u01a1ng Tr\u00ed Khoa","author_link":"https:\/\/khoatritruong.com\/index.php\/author\/khoatritruong-com\/"},"rttpg_comment":429,"rttpg_category":"<a href=\"https:\/\/khoatritruong.com\/index.php\/category\/giao-tiep\/\" rel=\"category tag\">Giao ti\u1ebfp<\/a>","rttpg_excerpt":"\u23f3Th\u1eddi gian \u0111\u1ecdc: 5 ph\u00fat Khi c\u00f2n l\u00e0 sinh vi\u00ean y khoa, m\u00ecnh lu\u00f4n th\u1eafc m\u1eafc l\u00e0m sao b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 h\u1ecfi b\u1ec7nh m\u1ea5y c\u00e2u m\u00e0 \u0111\u00e3 \u0111\u01b0a ra \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9 v\u00e0 h\u00e0ng lo\u1ea1t ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t trong \u0111\u1ea7u. H\u1ecd n\u00f3i \u0111\u00f3 l\u00e0 do h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi&hellip;","_links":{"self":[{"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/posts\/6"}],"collection":[{"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/comments?post=6"}],"version-history":[{"count":6,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/posts\/6\/revisions"}],"predecessor-version":[{"id":2311,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/posts\/6\/revisions\/2311"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/media\/8"}],"wp:attachment":[{"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/media?parent=6"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/categories?post=6"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/khoatritruong.com\/index.php\/wp-json\/wp\/v2\/tags?post=6"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}