{"id":6183,"date":"2024-06-29T08:00:00","date_gmt":"2024-06-29T01:00:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=6183"},"modified":"2024-06-28T13:14:18","modified_gmt":"2024-06-28T06:14:18","slug":"dieu-tri-va-cham-soc-nguoi-benh-giai-doan-cuoi-doi-nhung-cap-nhat-moi","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=6183","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi: Nh\u1eefng c\u1eadp nh\u1eadt m\u1edbi"},"content":{"rendered":"\n

Suy y\u1ebfu l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e3o khoa th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, vi\u1ec7c x\u00e1c \u0111\u1ecbnh qu\u1ef9 \u0111\u1ea1o s\u1ee9c kh\u1ecfe v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i gi\u00fap x\u00e1c l\u1eadp m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi b\u1ec7nh. Bu\u1ed5i sinh ho\u1ea1t chuy\u00ean m\u00f4n do B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh t\u1ed5 ch\u1ee9c ng\u00e0y 27\/6\/2024 l\u00e0 d\u1ecbp \u0111\u1ec3 c\u00e1c chuy\u00ean gia chia s\u1ebb m\u1ed9t s\u1ed1 kinh nghi\u1ec7m c\u0169ng nh\u01b0 ki\u1ebfn th\u1ee9c m\u1edbi trong \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c ng\u01b0\u1eddi cao tu\u1ed5i giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

95% b\u1ec7nh nh\u00e2n suy y\u1ebfu l\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 vai tr\u00f2 c\u1ee7a \u0111\u00e1nh gi\u00e1 suy y\u1ebfu trong ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb<\/strong><\/h2>\n\n\n\n

PGS.TS.BS Nguy\u1ec5n V\u0103n Tr\u00ed – Ch\u1ee7 t\u1ecbch H\u1ed9i L\u00e3o khoa TPHCM – Tr\u01b0\u1edfng B\u1ed9 m\u00f4n N\u1ed9i – Khoa Y, Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Nguy\u1ec5n T\u1ea5t Th\u00e0nh m\u1edf \u0111\u1ea7u ph\u1ea7n b\u00e1o c\u00e1o \u201cV\u00ec sao c\u1ea7n \u0111\u00e1nh gi\u00e1 suy y\u1ebfu \u1edf ng\u01b0\u1eddi cao tu\u1ed5i\u201d<\/strong> b\u1eb1ng c\u00e2u h\u1ecfi \u201cGi\u1eefa s\u1ed1ng kh\u1ecfe v\u00e0 s\u1ed1ng l\u00e2u, c\u00e1c b\u1ea1n ch\u1ecdn \u0111i\u1ec1u g\u00ec?\u201d<\/em><\/strong><\/p>\n\n\n\n

T\u00e2m l\u00fd con ng\u01b0\u1eddi \u0111\u1ec1u mu\u1ed1n ch\u1ecdn c\u1ea3 hai, theo \u0111\u00f3, tr\u01b0\u1edbc h\u1ebft c\u1ea7n \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ea3n th\u00e2n \u0111ang kh\u1ecfe m\u1ea1nh hay suy y\u1ebfu \u0111\u1ec3 t\u00ecm c\u00e1ch s\u1ed1ng kh\u1ecfe v\u00e0 s\u1ed1ng l\u00e2u. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, c\u0169ng c\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng c\u1ee7a h\u1ecd l\u00e0 kh\u1ecfe m\u1ea1nh hay suy y\u1ebfu tr\u01b0\u1edbc khi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

PGS.TS.BS Nguy\u1ec5n V\u0103n Tr\u00ed ch\u1ec9 ra 5 bi\u1ec3u hi\u1ec7n c\u1ee7a l\u00e3o h\u00f3a kh\u1ecfe m\u1ea1nh<\/strong> bao g\u1ed3m:<\/p>\n\n\n\n

    \n
  1. T\u00edch c\u1ef1c<\/strong>: Ng\u01b0\u1eddi cao tu\u1ed5i gi\u1eef \u0111\u01b0\u1ee3c s\u1ef1 l\u1ea1c quan, t\u00edch c\u1ef1c;<\/li>\n\n\n\n
  2. S\u1ee9c kh\u1ecfe v\u1ec1 m\u1eb7t tinh th\u1ea7n<\/strong>\u00a0th\u1ec3 hi\u1ec7n qua vi\u1ec7c ng\u01b0\u1eddi cao tu\u1ed5i v\u1eabn t\u00edch c\u1ef1c tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng x\u00e3 h\u1ed9i;<\/li>\n\n\n\n
  3. S\u1ee9c kh\u1ecfe chuy\u1ec3n h\u00f3a v\u00e0 sinh l\u00fd<\/strong>: C\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh \u1edf ng\u01b0\u1eddi cao tu\u1ed5i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t;<\/li>\n\n\n\n
  4. N\u0103ng l\u1ef1c th\u1ec3 ch\u1ea5t<\/strong>: Di chuy\u1ec3n linh ho\u1ea1t, c\u01a1 th\u1ec3 gi\u1eef \u0111\u01b0\u1ee3c s\u1ef1 c\u00e2n b\u1eb1ng, d\u1ebbo dai;<\/li>\n\n\n\n
  5. Ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c t\u1ed1t<\/strong>\u00a0th\u1ec3 hi\u1ec7n qua t\u1ed1c \u0111\u1ed9 x\u1eed l\u00fd th\u00f4ng tin, tr\u00ed nh\u1edb t\u00ecnh ti\u1ebft v\u00e0 ch\u1ee9c n\u0103ng \u0111i\u1ec1u h\u00e0nh.<\/li>\n<\/ol>\n\n\n\n

    Suy y\u1ebfu \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m d\u1ef1 tr\u1eef sinh l\u00fd v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng ch\u1ed1ng l\u1ea1i c\u00e1c t\u00e1c nh\u00e2n g\u00e2y h\u1ea1i<\/strong>. Ng\u01b0\u1eddi cao tu\u1ed5i th\u01b0\u1eddng r\u01a1i v\u00e0o v\u00f2ng l\u1eb7p suy y\u1ebfu d\u1eabn \u0111\u1ebfn teo c\u01a1, lo\u00e3ng x\u01b0\u01a1ng, d\u1ec5 t\u00e9 ng\u00e3 g\u00e2y ch\u1ea5n th\u01b0\u01a1ng l\u00e0m b\u1ec7nh nh\u00e2n t\u1eed vong.<\/p>\n\n\n\n

    \u0110\u1ec3 ch\u1ed1ng l\u1ea1i s\u1ef1 suy y\u1ebfu, \u0111\u1ea7u ti\u00ean c\u1ea7n ki\u1ec3m so\u00e1t y\u1ebfu t\u1ed1 vi\u00eam t\u1ed1i thi\u1ec3u<\/strong>. N\u1ebfu ng\u01b0\u1eddi cao tu\u1ed5i c\u00f3 y\u1ebfu t\u1ed1 vi\u00eam t\u1ed1i thi\u1ec3u t\u01b0\u01a1ng t\u1ef1 v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng th\u00ec \u0111\u00f3 ch\u00ednh l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 \u0111\u1ec3 ch\u1ed1ng l\u1ea1i s\u1ef1 suy y\u1ebfu.<\/p>\n\n\n\n

    Th\u1ee9 hai, h\u1ec7 mi\u1ec5n d\u1ecbch s\u1ebd gi\u1ea3m theo tu\u1ed5i t\u00e1c. T\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch<\/strong> s\u1ebd gi\u00fap \u00edch cho vi\u1ec7c l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a. Cu\u1ed1i c\u00f9ng l\u00e0 c\u00e2n b\u1eb1ng h\u1ec7 vi sinh trong \u0111\u01b0\u1eddng ru\u1ed9t<\/strong>. C\u00e1c l\u1ee3i khu\u1ea9n trong \u0111\u01b0\u1eddng ru\u1ed9t c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 th\u00e0nh ru\u1ed9t, ti\u00eau h\u00f3a th\u1ee9c \u0103n, t\u0103ng kh\u1ea3 n\u0103ng mi\u1ec5n d\u1ecbch \u0111\u1ec3 ch\u1ed1ng l\u1ea1i b\u1ec7nh t\u1eadt.<\/p>\n\n\n\n

    PGS.TS.BS Nguy\u1ec5n V\u0103n Tr\u00ed kh\u1eb3ng \u0111\u1ecbnh:\u00a0\u201cKh\u00f4ng th\u1ec3 kh\u00f4ng \u0111\u00e1nh gi\u00e1 suy y\u1ebfu n\u1ebfu mu\u1ed1n \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi cao tu\u1ed5i v\u00ec 95% b\u1ec7nh nh\u00e2n suy y\u1ebfu l\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i\u201d<\/em><\/strong>.<\/p>\n\n\n\n

    \"\"<\/figure><\/div>\n\n\n\n

    T\u1ea7m quan tr\u1ecdng c\u1ee7a \u0111\u00e1nh gi\u00e1 suy y\u1ebfu th\u1ec3 hi\u1ec7n qua vi\u1ec7c ch\u1ea9n \u0111o\u00e1n to\u00e0n di\u1ec7n, c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i s\u00e1t di\u1ec5n ti\u1ebfn \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e1nh gi\u00e1 ti\u00ean l\u01b0\u1ee3ng. Trong \u0111\u00f3, mu\u1ed1n \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n, ng\u01b0\u1eddi b\u00e1c s\u0129 ph\u1ea3i \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c nhi\u1ec1u b\u1ec7nh l\u00fd xu\u1ea5t hi\u1ec7n c\u00f9ng l\u00fac \u1edf ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng do t\u00e1c d\u1ee5ng ph\u1ee5 t\u1eeb vi\u1ec7c s\u1eed d\u1ee5ng qu\u00e1 nhi\u1ec1u thu\u1ed1c.<\/p>\n\n\n\n

    V\u1edbi m\u1ee5c ti\u00eau c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi suy y\u1ebfu c\u00f3 m\u1ee5c ti\u00eau v\u00e0 ph\u01b0\u01a1ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c ho\u00e0n to\u00e0n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, th\u1eadm ch\u00ed, m\u1ee5c ti\u00eau v\u00e0 ph\u01b0\u01a1ng c\u00e1ch cho hai b\u1ec7nh nh\u00e2n suy y\u1ebfu c\u0169ng kh\u00f4ng gi\u1ed1ng nhau.<\/p>\n\n\n\n

    Theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 theo d\u00f5i b\u1ec7nh ti\u1ec1m \u1ea9n ph\u00e1t sinh ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u00e1t sao. V\u1ec1 ti\u00ean l\u01b0\u1ee3ng, khi b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng suy y\u1ebfu, t\u00f9y theo m\u1ee9c \u0111\u1ed9 m\u00e0 r\u1ea5t nhi\u1ec1u bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra. H\u1ea7u h\u1ebft ti\u00ean l\u01b0\u1ee3ng \u1edf ng\u01b0\u1eddi suy y\u1ebfu \u0111\u1ec1u c\u00f3 k\u1ebft c\u1ee5c x\u1ea5u.<\/p>\n\n\n\n

    Ch\u1ee7 t\u1ecbch H\u1ed9i L\u00e3o khoa TPHCM nh\u1ea5n m\u1ea1nh: \u201c\u0110\u00f4i khi b\u1ecf qua suy y\u1ebfu trong ch\u1ea9n \u0111o\u00e1n d\u1eabn \u0111\u1ebfn b\u1ecf qua c\u01a1 h\u1ed9i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, do \u0111\u00f3, \u0111\u00e1nh gi\u00e1 suy y\u1ebfu r\u1ea5t c\u1ea7n thi\u1ebft\u201d<\/em><\/strong>. C\u1ee5 th\u1ec3, \u0111\u00e1nh gi\u00e1 suy y\u1ebfu \u1edf b\u1ec7nh nh\u00e2n cao tu\u1ed5i \u0111\u1ec3 thi\u1ebft l\u1eadp m\u1ee5c ti\u00eau, k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c v\u1edbi ng\u01b0\u1eddi kh\u00f4ng suy y\u1ebfu. V\u1edbi b\u1ec7nh nh\u00e2n cao tu\u1ed5i, vi\u1ec7c l\u1ef1a ch\u1ecdn thu\u1ed1c ph\u00f9 h\u1ee3p r\u1ea5t quan tr\u1ecdng. Ng\u01b0\u1eddi suy y\u1ebfu c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i k\u1ef9 h\u01a1n v\u00ec ti\u00ean l\u01b0\u1ee3ng c\u1ee7a h\u1ecd th\u01b0\u1eddng x\u1ea5u h\u01a1n.<\/p>\n\n\n\n

    T\u00f4n tr\u1ecdng mong mu\u1ed1n c\u1ee7a b\u1ec7nh nh\u00e2n khi \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh y khoa<\/strong><\/h2>\n\n\n\n

    Trong b\u00e1o c\u00e1o \u201cT\u1ed5ng quan v\u1ec1 \u0111\u00e1nh gi\u00e1 c\u1eadn t\u1eed\u201d<\/strong>, ThS.BS Nguy\u1ec5n Tr\u1ea7n T\u1ed1 Tr\u00e2n – Ph\u00f3 tr\u01b0\u1edfng khoa L\u00e3o, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh n\u00eau quan \u0111i\u1ec3m: \u201cM\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t c\u00e1 th\u1ec3 kh\u1ecfe m\u1ea1nh c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi m\u1ed9t c\u00e1 th\u1ec3 \u1edf giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi. Mong mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh l\u00e0 y\u1ebfu t\u1ed1 ch\u00ednh l\u00e0m n\u00ean s\u1ef1 kh\u00e1c bi\u1ec7t \u0111\u00f3<\/strong>\u201d<\/em>.<\/p>\n\n\n\n

    M\u1ed9t kh\u1ea3o s\u00e1t tr\u00ean 109 b\u1ec7nh nh\u00e2n cao tu\u1ed5i ung th\u01b0 giai \u0111o\u1ea1n cu\u1ed1i, h\u01a1n 60% b\u1ec7nh nh\u00e2n ch\u1ecdn kh\u00f4ng th\u1edf m\u00e1y, h\u01a1n 64% kh\u00f4ng mu\u1ed1n h\u1ed3i sinh tim ph\u1ed5i v\u00e0 h\u01a1n\u00a076% b\u1ec7nh nh\u00e2n c\u00f3 mong mu\u1ed1n \u0111\u01b0\u1ee3c m\u1ea5t t\u1ea1i nh\u00e0<\/strong>.<\/p>\n\n\n\n

    \"\"<\/figure><\/div>\n\n\n\n

    Trong th\u1ef1c t\u1ebf, y h\u1ecdc ch\u1ee9ng c\u1ee9 th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi cao tu\u1ed5i. Tuy nhi\u00ean, y h\u1ecdc ch\u1ee9ng c\u1ee9 ph\u1ea3i \u0111\u01b0\u1ee3c c\u1ea5u th\u00e0nh t\u1eeb 3 y\u1ebfu t\u1ed1: b\u1eb1ng ch\u1ee9ng t\u1ed1t nh\u1ea5t<\/strong> d\u1ef1a tr\u00ean l\u1ee3i \u00edch, nguy c\u01a1 v\u00e0 th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch; \u0111\u00e1nh gi\u00e1 c\u1ee7a b\u00e1c s\u0129 <\/strong>d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng b\u1ec7nh, ti\u00ean l\u01b0\u1ee3ng, ho\u00e0n c\u1ea3nh c\u00e1 nh\u00e2n, ho\u00e0n c\u1ea3nh x\u00e3 h\u1ed9i; mong mu\u1ed1n c\u1ee7a b\u1ec7nh nh\u00e2n<\/strong>.<\/p>\n\n\n\n

    \u201cTrong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, ch\u00fang ta t\u1eadp trung nhi\u1ec1u v\u00e0o ch\u1ee9ng c\u1ee9 m\u00e0 v\u00f4 t\u00ecnh xem nh\u1eb9 b\u1ed1i c\u1ea3nh l\u00e2m s\u00e0ng v\u00e0 qu\u00ean \u0111i mong mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ng\u01b0\u1eddi ta g\u1ecdi \u0111i\u1ec1u n\u00e0y l\u00e0 y h\u1ecdc b\u1ecb nhi\u1ec5u b\u1edfi ch\u1ee9ng c\u1ee9\u201d<\/em> – ThS.BS Nguy\u1ec5n Tr\u1ea7n T\u1ed1 Tr\u00e2n chia s\u1ebb.<\/p>\n\n\n\n

    N\u0103m 2019, H\u1ed9i L\u00e3o khoa Hoa K\u1ef3 \u0111\u00e3 \u0111\u01b0a ra 5 nguy\u00ean t\u1eafc khi ra m\u1ed9t quy\u1ebft \u0111\u1ecbnh y khoa<\/strong> cho b\u1ec7nh nh\u00e2n cao tu\u1ed5i \u0111a b\u1ec7nh l\u00fd nh\u01b0 sau:<\/p>\n\n\n\n

      \n
    1. X\u00e1c \u0111\u1ecbnh\u00a0mong mu\u1ed1n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/strong>. Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh, ng\u01b0\u1eddi quy\u1ebft \u0111\u1ecbnh s\u1ebd l\u00e0 th\u00e2n nh\u00e2n, ng\u01b0\u1eddi ch\u0103m s\u00f3c. C\u00e1c mong mu\u1ed1n n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u00e0o vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh y khoa.<\/li>\n\n\n\n
    2. Nh\u1eadn bi\u1ebft nh\u1eefng\u00a0h\u1ea1n ch\u1ebf c\u1ee7a ch\u1ee9ng c\u1ee9 y khoa<\/strong>. Nhi\u1ec1u nghi\u00ean c\u1ee9u khi \u0111\u01b0a ra khuy\u1ebfn c\u00e1o, nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng suy y\u1ebfu n\u1eb7ng, \u0111\u1ed1i t\u01b0\u1ee3ng c\u1eadn t\u1eed kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o nghi\u00ean c\u1ee9u. N\u1ebfu \u00e1p d\u1ee5ng nh\u1eefng khuy\u1ebfn c\u00e1o \u0111\u00f3 cho nh\u00f3m b\u1ec7nh nh\u00e2n v\u1eeba n\u00eau s\u1ebd \u0111\u01b0\u1ee3c coi l\u00e0 \u0111i\u1ec1u tr\u1ecb qu\u00e1 m\u1ee9c.<\/li>\n\n\n\n
    3. Xem x\u00e9t\u00a0b\u1ed1i c\u1ea3nh<\/strong>\u00a0c\u1ee7a \u0111i\u1ec1u tr\u1ecb: c\u00e2n nh\u1eafc t\u00e1c h\u1ea1i, g\u00e1nh n\u1eb7ng, l\u1ee3i \u00edch v\u00e0 k\u1ef3 v\u1ecdng s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\n
    4. T\u00ednh kh\u1ea3 thi<\/strong>\u00a0c\u1ee7a \u0111i\u1ec1u tr\u1ecb.<\/li>\n\n\n\n
    5. L\u1ef1a ch\u1ecdn li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/strong>\u00a0d\u1ef1a tr\u00ean nguy\u00ean t\u1eafc t\u1ed1i \u01b0u h\u00f3a l\u1ee3i \u00edch, gi\u1ea3m thi\u1ec3u t\u00e1c h\u1ea1i v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ol>\n\n\n\n

      M\u1ecdi quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c cho ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i \u0111a b\u1ec7nh l\u00fd ph\u1ea3i d\u1ef1a tr\u00ean s\u1ef1 th\u1ea3o lu\u1eadn gi\u1eefa ng\u01b0\u1eddi b\u1ec7nh, th\u00e2n nh\u00e2n, b\u00e1c s\u0129. Vi\u1ec7c ng\u01b0ng, b\u1eaft \u0111\u1ea7u ho\u1eb7c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean c\u00e1c y\u1ebfu t\u1ed1 c\u01a1 b\u1ea3n l\u00e0 \u01b0u ti\u00ean s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, l\u1ee3i \u00edch, t\u00e1c h\u1ea1i, g\u00e1nh n\u1eb7ng v\u00e0 qu\u1ef9 \u0111\u1ea1o s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

      \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i, c\u00f3 2 y\u1ebfu t\u1ed1 quan tr\u1ecdng khi c\u00e2n nh\u1eafc quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb l\u00e0<\/strong> th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch v\u00e0 k\u1ef3 v\u1ecdng s\u1ed1ng<\/strong>. Khi th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch ng\u1eafn h\u01a1n k\u1ef3 v\u1ecdng s\u1ed1ng, ch\u1ecdn l\u1ef1a \u0111\u00f3 \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o. Nh\u1eefng \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1eddi gian \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch d\u00e0i h\u01a1n k\u1ef3 v\u1ecdng s\u1ed1ng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ecdn l\u1ef1a v\u00ec b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1eed vong tr\u01b0\u1edbc khi \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch.<\/p>\n\n\n\n

      Thu\u1eadt ng\u1eef c\u1eadn t\u1eed \u0111\u01b0\u1ee3c d\u00f9ng cho nh\u00f3m b\u1ec7nh giai \u0111o\u1ea1n cu\u1ed1i, k\u1ef3 v\u1ecdng s\u1ed1ng kh\u00f4ng qu\u00e1 6 th\u00e1ng. M\u1ed7i b\u1ec7nh l\u00fd c\u00f3 m\u1ed9t ti\u00eau chu\u1ea9n c\u1eadn t\u1eed ri\u00eang, tuy nhi\u00ean ti\u00eau chu\u1ea9n chung g\u1ed3m:<\/p>\n\n\n\n

      – Ti\u1ebfn tri\u1ec3n b\u1ec7nh:<\/strong> nh\u1eadp vi\u1ec7n nhi\u1ec1u l\u1ea7n trong n\u0103m, \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng cho th\u1ea5y t\u00ecnh tr\u1ea1ng ng\u00e0y c\u00e0ng x\u1ea5u \u0111i.<\/p>\n\n\n\n

      – Ch\u1ee9c n\u0103ng:<\/strong> B\u1ec7nh nh\u00e2n ph\u1ee5 thu\u1ed9c t\u1eeb 3\/6 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u01a1 b\u1ea3n (ADL) nh\u01b0 kh\u00f4ng th\u1ec3 t\u1ef1 t\u1eafm r\u1eeda, kh\u00f4ng th\u1ec3 t\u1ef1 m\u1eb7c qu\u1ea7n \u00e1o, kh\u00f4ng th\u1ec3 t\u1ef1 \u0111i v\u1ec7 sinh…<\/p>\n\n\n\n

      – Dinh d\u01b0\u1ee1ng k\u00e9m:<\/strong> B\u1ec7nh nh\u00e2n s\u1ee5t c\u00e2n kh\u00f4ng ch\u1ee7 \u00fd ho\u1eb7c c\u00f3 albumin m\u00e1u d\u01b0\u1edbi 2,5mg\/dl.<\/p>\n\n\n\n

      – C\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 m\u1ee5c ti\u00eau c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u00e2n nh\u1eafc g\u00e1nh n\u1eb7ng so v\u1edbi l\u1ee3i \u00edch m\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111em \u0111\u1ebfn cho b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

      N\u0103m 2022, B\u1ed9 Y t\u1ebf ra h\u01b0\u1edbng d\u1eabn v\u1ec1 ch\u0103m s\u00f3c gi\u1ea3m nh\u1eb9, trong \u0111\u00f3 c\u00f3 ph\u1ea7n ch\u0103m s\u00f3c cu\u1ed1i \u0111\u1eddi v\u00e0 th\u1ea3o lu\u1eadn v\u1ec1 vi\u1ec7c l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c y t\u1ebf. Theo Ph\u00f3 tr\u01b0\u1edfng khoa L\u00e3o c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, vi\u1ec7c th\u1ea3o lu\u1eadn k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c y t\u1ebf n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf t\u1ea5t c\u1ea3 c\u00e1c giai \u0111o\u1ea1n b\u1ec7nh khi b\u1ec7nh nh\u00e2n c\u00f2n t\u1ec9nh t\u00e1o, kh\u00f4ng ch\u1ec9 giai \u0111o\u1ea1n cu\u1ed1i \u0111\u1eddi.<\/p>\n\n\n\n

      Khi t\u00ecnh tr\u1ea1ng b\u1ec7nh thay \u0111\u1ed5i hay khi b\u1ec7nh nh\u00e2n h\u1ea5p h\u1ed1i, c\u1ea7n xem x\u00e9t l\u1ea1i m\u1ee5c ti\u00eau ch\u0103m s\u00f3c.<\/p>\n\n\n\n

      ThS.BS Nguy\u1ec5n Tr\u1ea7n T\u1ed1 Tr\u00e2n kh\u1eb3ng \u0111\u1ecbnh: \u201cTh\u1ebf gi\u1edbi c\u1ee7a b\u1ec7nh nh\u00e2n \u0111ang h\u1ea5p h\u1ed1i kh\u00e1c v\u1edbi th\u1ebf gi\u1edbi c\u1ee7a b\u00e1c s\u0129. Nh\u1eefng g\u00ec b\u00e1c s\u0129 mu\u1ed1n ch\u01b0a h\u1eb3n l\u00e0 nh\u1eefng g\u00ec b\u1ec7nh nh\u00e2n mu\u1ed1n\u201d<\/em>.<\/p>\n\n\n\n

      Vi\u1ec7c chia s\u1ebb ra quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c bi\u1ec7t gi\u00fap \u00edch t\u1ed1i \u01b0u l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh cao tu\u1ed5i \u0111a b\u1ec7nh l\u00fd. \u0110\u00e1nh gi\u00e1 qu\u1ef9 \u0111\u1ea1o s\u1ee9c kh\u1ecfe, t\u00ecnh tr\u1ea1ng suy y\u1ebfu, t\u00ecnh tr\u1ea1ng c\u1eadn t\u1eed gi\u00fap ch\u00fang ta l\u1eadp m\u1ee5c ti\u00eau ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p, \u0111\u1ec3 b\u1ec7nh nh\u00e2n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 ch\u0103m s\u00f3c \u0111\u00fang v\u1edbi gi\u00e1 tr\u1ecb, nguy\u1ec7n v\u1ecdng c\u1ee7a h\u1ecd.<\/p>\n\n\n\n

      ThS.BS Nguy\u1ec5n Tr\u1ea7n T\u1ed1 Tr\u00e2n k\u1ebft th\u00fac ph\u1ea7n tr\u00ecnh b\u00e0y b\u1eb1ng tr\u00edch d\u1eabn:\u00a0\u201cN\u1ebfu \u0111\u1eb7t m\u00ecnh v\u00e0o ho\u00e0n c\u1ea3nh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, nghe nh\u1eefng g\u00ec h\u1ecd nghe, th\u1ea5y nh\u1eefng g\u00ec h\u1ecd th\u1ea5y, c\u1ea3m nh\u1eadn nh\u1eefng g\u00ec h\u1ecd c\u1ea3m nh\u1eadn, c\u00e1ch \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ea1n d\u00e0nh cho h\u1ecd c\u00f3 kh\u00e1c \u0111i kh\u00f4ng?\u201d.<\/em><\/p>\n\n\n\n

      Ngu\u1ed3n: ALOBACSI K\u00eanh truy\u1ec1n th\u00f4ng – T\u01b0 v\u1ea5n s\u1ee9c kh\u1ecfe<\/p>\n\n\n\n

      <\/p>\n","protected":false},"excerpt":{"rendered":"

      Suy y\u1ebfu l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e3o khoa th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, vi\u1ec7c x\u00e1c \u0111\u1ecbnh qu\u1ef9 \u0111\u1ea1o s\u1ee9c kh\u1ecfe v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i gi\u00fap x\u00e1c l\u1eadp m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi b\u1ec7nh. Bu\u1ed5i sinh ho\u1ea1t chuy\u00ean m\u00f4n do B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh t\u1ed5 ch\u1ee9c ng\u00e0y […]<\/p>\n","protected":false},"author":2,"featured_media":6184,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[56],"tags":[],"class_list":["post-6183","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-150x150.jpg",150,150,true],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x1080.jpg",1200,1080,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x1080.jpg",1200,1080,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x600.jpg",600,600,true],"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi.jpg",1920,1080,false]},"uagb_featured_image_src":{"full":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi.jpg",1920,1080,false],"thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-150x150.jpg",150,150,true],"medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-300x169.jpg",300,169,true],"medium_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-768x432.jpg",768,432,true],"large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1024x576.jpg",805,453,true],"PVGM_gallery_admin_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-300x300.jpg",300,300,true],"PVGM_gallery_admin_circle":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-400x400.jpg",400,400,true],"PVGM_gallery_admin_medium":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-400x1080.jpg",400,1080,true],"1536x1536":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1536x864.jpg",1536,864,true],"2048x2048":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi.jpg",1920,1080,false],"post_slider_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x800.jpg",1200,800,true],"post_slider_layout_portrait_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x1080.jpg",1200,1080,true],"post_slider_layout_square_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x1080.jpg",1200,1080,true],"post_slider_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x400.jpg",600,400,true],"post_slider_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x900.jpg",600,900,true],"post_slider_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x600.jpg",600,600,true],"ultp_layout_landscape_large":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1200x800.jpg",1200,800,true],"ultp_layout_landscape":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-870x570.jpg",870,570,true],"ultp_layout_portrait":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x900.jpg",600,900,true],"ultp_layout_square":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x600.jpg",600,600,true],"elixar_section_extra_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-640x400.jpg",640,400,true],"elixar_gallery_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-615x400.jpg",615,400,true],"elixar_blog_home_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-348x196.jpg",348,196,true],"elixar_blog_full_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-1110x515.jpg",1110,515,true],"elixar_blog_sidebar_thumb":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-805x350.jpg",805,350,true],"woocommerce_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-300x300.jpg",300,300,true],"woocommerce_single":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-600x338.jpg",600,338,true],"woocommerce_gallery_thumbnail":["https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/06\/cham_soc_cuoi_doi-100x100.jpg",100,100,true]},"uagb_author_info":{"display_name":"B\u00edch H\u1ea1nh","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=2"},"uagb_comment_info":0,"uagb_excerpt":"Suy y\u1ebfu l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e3o khoa th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, vi\u1ec7c x\u00e1c \u0111\u1ecbnh qu\u1ef9 \u0111\u1ea1o s\u1ee9c kh\u1ecfe v\u00e0 ti\u00ean l\u01b0\u1ee3ng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i gi\u00fap x\u00e1c l\u1eadp m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho ng\u01b0\u1eddi b\u1ec7nh. Bu\u1ed5i sinh ho\u1ea1t chuy\u00ean m\u00f4n do B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh t\u1ed5 ch\u1ee9c ng\u00e0y…","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/6183","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=6183"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/6183\/revisions"}],"predecessor-version":[{"id":6190,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/6183\/revisions\/6190"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/media\/6184"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=6183"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=6183"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=6183"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}