{"id":1385,"date":"2022-07-02T21:15:30","date_gmt":"2022-07-02T14:15:30","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=1385"},"modified":"2022-07-02T21:15:30","modified_gmt":"2022-07-02T14:15:30","slug":"benh-an-y-hoc-co-truyen","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/benh-an-y-hoc-co-truyen\/","title":{"rendered":"B\u1ec7nh \u00e1n Y H\u1ecdc C\u1ed5 Truy\u1ec1n"},"content":{"rendered":"<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N<\/p>\n<p>I. Ph\u1ea7n h\u00e0nh ch\u00ednh<\/p>\n<p>H\u1ecd v\u00e0 t\u00ean b\u1ec7nh nh\u00e2n : XXXN\u0103m sinh :1961<\/p>\n<p>D\u00e2n t\u1ed9c :kinh Gi\u1edbi t\u00ednh : n\u1eef Ngh\u1ec1 nghi\u1ec7p : l\u00e0m n\u00f4ng<\/p>\n<p>\u0110\u1ecba ch\u1ec9 : XXX<\/p>\n<p>\u0110\u1ecba ch\u1ec9 b\u00e1o tin : XXX<\/p>\n<p>Ng\u00e0y gi\u1edd v\u00e0o vi\u1ec7n : 01\/08\/2016<\/p>\n<p>Ng\u00e0y gi\u1edd l\u00e0m b\u1ec7nh \u00e1n : 25\/08\/2016<\/p>\n<p>II. L\u00fd do v\u00e0o vi\u1ec7n : mi\u1ec7ng m\u00e9o qua b\u00ean ph\u1ea3i v\u00e0 m\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn<\/p>\n<p>III. Ph\u1ea7n y h\u1ecdc hi\u1ec7n \u0111\u1ea1i<\/p>\n<p>1. B\u1ec7nh s\u1eed :<\/p>\n<p>Theo l\u1eddi khai c\u1ee7a b\u1ec7nh nh\u00e2n ,b\u1ec7nh kh\u1edfi ph\u00e1t c\u00e1ch ng\u00e0y nh\u1eadp vi\u1ec7n 3 ng\u00e0y ,sau khi<\/p>\n<p>b\u1ec7nh nh\u00e2n th\u1ee9c d\u1eady v\u00e0o bu\u1ed5i s\u00e1ng ,\u0103n c\u01a1m th\u1ea5y th\u1ee9c \u0103n r\u01a1i v\u00e3i qua kho\u00e9 mi\u1ec7ng tr\u00e1i<\/p>\n<p>,mi\u1ec7ng m\u00e9o ,m\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn k\u00e8m t\u00ea m\u1eb7t b\u00ean tr\u00e1i ,ch\u1ea3y n\u01b0\u1edbc m\u1eaft t\u1ef1 nhi\u00ean b\u00ean<\/p>\n<p>tr\u00e1i ,qua 3 ng\u00e0y c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean t\u0103ng d\u1ea7n ,b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb g\u00ec ,n\u00ean xin nh\u1eadp<\/p>\n<p>b\u1ec7nh vi\u1ec7n y h\u1ecdc c\u1ed5 truy\u1ec1n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb .<\/p>\n<p>B\u1ec7nh v\u00e0o khoa trong t\u00ecnh tr\u1ea1ng :<\/p>\n<p>\uf02d B\u1ec7nh nh\u00e2n t\u1ec9nh ,ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n<p>\uf02d Da ni\u00eam m\u1ea1c h\u1ed3ng ,kh\u00f4ng ph\u00f9 ,kh\u00f4ng xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da<\/p>\n<p>\uf02d M\u1ea1ch quay b\u1eaft r\u00f5<\/p>\n<p>\uf02d D\u1ea5u hi\u1ec7u sinh t\u1ed3n<\/p>\n<p>+M\u1ea1ch : 80 l\u1ea7n\/ph\u00fat<\/p>\n<p>+Huy\u1ebft \u00e1p : 120\/80 mmHg<\/p>\n<p>+Nh\u1ecbp th\u1edf : 20 l\u1ea7n \/ph\u00fat<\/p>\n<p>+Nhi\u1ec7t \u0111\u1ed9 : 37 oC<\/p>\n<p>\uf02d Mi\u1ec7ng m\u00e9o b\u00ean ph\u1ea3i<\/p>\n<p>\uf02d M\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn, ch\u1ea3y n\u01b0\u1edbc m\u1eaft b\u00ean T<\/p>\n<p>\uf02d Nh\u00e2n trung l\u1ec7ch b\u00ean ph\u1ea3i ,khi n\u00f3i mi\u1ec7ng l\u1ec7ch sang ph\u00eda b\u00ean ph\u1ea3i<\/p>\n<p>\uf02d N\u1ebfp nh\u0103n tr\u00e1n b\u00ean tr\u00e1i m\u1edd<\/p>\n<p>\uf02d R\u00e3nh m\u0169i m\u00e1 b\u00ean tr\u00e1i m\u1edd<\/p>\n<p>\uf02d T\u00ea b\u00ec m\u1eb7t b\u00ean T<\/p>\n<p>\uf02d B\u1ec7nh nh\u00e2n n\u00f3i to r\u00f5<\/p>\n<p>\uf02d D\u1ea5u Charles bell (+)<\/p>\n<p>\uf02d Tim nh\u1ecbp \u0111\u1ec1u T1, T2 nghe r\u00f5<\/p>\n<p>\uf02d Ph\u1ed5i th\u00f4ng kh\u00ed \u0111\u1ec1u hai b\u00ean ph\u1ed5i ,kh\u00f4ng nghe rales b\u1ec7nh l\u00fd<\/p>\n<p>\uf02d B\u1ee5ng m\u1ec1m ,gan l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m<\/p>\n<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N |T\u1ed4 5 YK12A 2<\/p>\n<p>\u0110\u01b0\u1ee3c khoa ph\u00f2ng ch\u1ea9n \u0111o\u00e1n :B\u1ec7nh li\u1ec7t d\u00e2y th\u1ea7n kinh m\u1eb7t (VII)<\/p>\n<p>X\u1eed tr\u00ed c\u1ee7a khoa ph\u00f2ng l\u00fac b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n :<\/p>\n<p>+ Diamicron 30g x 2 vi\u00ean<\/p>\n<p>+ Amlaxopin 5mg x 1 vi\u00ean<\/p>\n<p>+ \u0110i\u1ebfu ng\u1ea3i<\/p>\n<p>+ \u0110i\u1ec7n ch\u00e2m<\/p>\n<p>Sau 24 ng\u00e0y \u0111i\u1ec1u tr\u1ecb ,b\u1ec7nh nh\u00e2n c\u00f2n m\u00e9o mi\u1ec7ng b\u00ean ph\u1ea3i \u00edt, m\u1eaft tr\u00e1i nh\u1eafm k\u00edn h\u01a1n,<\/p>\n<p>kh\u00f4ng c\u00f2n ch\u1ea3y n\u01b0\u1edbc m\u1eaft b\u00ean tr\u00e1i , m\u1eb7t b\u00ean tr\u00e1i kh\u00f4ng c\u00f2n t\u00ea<\/p>\n<p>2. Ti\u1ec1n s\u1eed :<\/p>\n<p>\uf0b7 B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p ph\u00e1t hi\u1ec7n n\u0103m n\u0103m ,c\u00f3 d\u00f9ng thu\u1ed1c li\u00ean t\u1ee5c<\/p>\n<p>\uf0b7 K\u00e8m b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 c\u00e1ch \u0111\u00e2y 5 n\u0103m ,c\u00f3 d\u00f9ng thu\u1ed1c li\u00ean t\u1ee5c<\/p>\n<p>\uf0b7 Ch\u01b0a c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng thu\u1ed1c g\u00ec<\/p>\n<p>3. Th\u0103m kh\u00e1m :<\/p>\n<p>3.1 To\u00e0n th\u00e2n :<\/p>\n<p>\uf0b7 B\u1ec7nh nh\u00e2n t\u1ec9nh ,ti\u1ebfp x\u00fac t\u1ed1t<\/p>\n<p>\uf0b7 Da ni\u00eam m\u1ea1c h\u1ed3ng ,kh\u00f4ng xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da kh\u00f4ng ph\u00f9<\/p>\n<p>\uf0b7 M\u1ea1ch quay r\u00f5<\/p>\n<p>\uf0b7 Tuy\u1ebfn gi\u00e1p kh\u00f4ng l\u1edbn<\/p>\n<p>\uf0b7 H\u1ea1ch ngo\u1ea1i vi kh\u00f4ng s\u01b0ng<\/p>\n<p>\uf0b7 D\u1ea5u hi\u1ec7u sinh t\u1ed3n :<\/p>\n<p>\uf0fc M\u1ea1ch : 80 l\u1ea7n \/ph\u00fat<\/p>\n<p>\uf0fc Nh\u1ecbp th\u1edf :20 l\u1ea7n \/ph\u00fat<\/p>\n<p>\uf0fc Huy\u1ebft \u00e1p :120\/70 mmHg<\/p>\n<p>\uf0fc Nhi\u1ec7t : 37oC<\/p>\n<p>3.2 Th\u1ea7n kinh :<\/p>\n<p>\uf0b7 Kh\u00f4ng \u0111au \u0111\u1ea7u<\/p>\n<p>\uf0b7 \u0102n c\u01a1m r\u01a1i v\u00e3i b\u00ean kho\u00e9 mi\u1ec7ng tr\u00e1i ,u\u1ed1ng n\u01b0\u1edbc \u0111\u1ed5 b\u00ean ph\u00eda mi\u1ec7ng tr\u00e1i<\/p>\n<p>\uf0b7 Mi\u1ec7ng m\u00e9o b\u00ean ph\u1ea3i<\/p>\n<p>\uf0b7 R\u00e3nh m\u0169i m\u00e1 b\u00ean tr\u00e1i m\u1edd<\/p>\n<p>\uf0b7 N\u1ebfp nh\u0103n tr\u00e1n b\u00ean tr\u00e1i m\u1edd<\/p>\n<p>\uf0b7 M\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn<\/p>\n<p>\uf0b7 G\u00f3c m\u00e9p mi\u1ec7ng b\u00ean tr\u00e1i b\u1ecb x\u1ec7 xu\u1ed1ng<\/p>\n<p>\uf0b7 D\u1ea5u Charles bell (+)<\/p>\n<p>\uf0b7 D\u1ea5u th\u1ed5i l\u1eeda (+)<\/p>\n<p>\uf0b7 Kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u th\u1ea7n kinh khu tr\u00fa<\/p>\n<p>3.3 C\u01a1 x\u01b0\u01a1ng kh\u1edbp :<\/p>\n<p>\uf0b7 C\u01a1 l\u1ef1c 5\/5<\/p>\n<p>\uf0b7 C\u00e1c kh\u1edbp c\u1eed \u0111\u1ed9ng trong gi\u1edbi h\u1ea1n b\u00ecnh th\u01b0\u1eddng<\/p>\n<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N |T\u1ed4 5 YK12A 3<\/p>\n<p>3.4 Tim m\u1ea1ch<\/p>\n<p>\uf0b7 Kh\u00f4ng kh\u00f3 th\u1edf<\/p>\n<p>\uf0b7 M\u1ecfm tim \u0111\u1eadp r\u00f5 \u1edf khoang li\u00ean s\u01b0\u1eddn 4-5 tr\u00ean \u0111\u01b0\u1eddng trung \u0111\u00f2n tr\u00e1i<\/p>\n<p>\uf0b7 Tim nh\u1ecbp \u0111\u1ec1u ,nh\u1ecbp tim 80 l\u1ea7n \/ph\u00fat ,kh\u00f4ng c\u00f3 ti\u1ebfng th\u1ed5i ,kh\u00f4ng c\u00f3 ti\u1ebfng tim<\/p>\n<p>b\u1ec7nh l\u00fd<\/p>\n<p>3.5 Ti\u00eau h\u00f3a :<\/p>\n<p>\uf0b7 \u0102n u\u1ed1ng \u0111\u01b0\u1ee3c ,\u0111i c\u1ea7u ph\u00e2n v\u00e0ng theo khu\u00f4n<\/p>\n<p>\uf0b7 B\u1ee5ng m\u1ec1m<\/p>\n<p>\uf0b7 Gan l\u00e1ch kh\u00f4ng s\u1edd ch\u1ea1m<\/p>\n<p>\uf0b7 C\u00e1c \u0111i\u1ec3m \u0111au (-)<\/p>\n<p>3.6 H\u00f4 h\u1ea5p :<\/p>\n<p>\uf0b7 Kh\u00f4ng ho ,th\u1edf \u0111\u1ec1u ,nh\u1ecbp th\u1edf 20 l\u1ea7n \/ph\u00fat<\/p>\n<p>\uf0b7 Rung thanh hai b\u00ean ph\u1ed5i \u0111\u1ec1u<\/p>\n<p>\uf0b7 G\u00f5 \u0111\u1ee5c hai b\u00ean ph\u1ed5i<\/p>\n<p>\uf0b7 R\u00ec r\u00e0o ph\u1ebf nang \u0111\u1ec1u hai b\u00ean ph\u1ebf tr\u01b0\u1eddng , kh\u00f4ng c\u00f3 c\u00e1c rales b\u1ec7nh l\u00fd<\/p>\n<p>3.7 Ti\u1ebft ni\u1ec7u<\/p>\n<p>\uf0b7 Ti\u1ec3u ti\u1ec7n t\u1ef1 ch\u1ee7 , ti\u1ec3u l\u01b0\u01a1ng v\u1eeba kh\u00f4ng r\u00f5 l\u01b0\u1ee3ng<\/p>\n<p>\uf0b7 Hai h\u1ed1 l\u01b0ng kh\u00f4ng \u0111\u1ea7y<\/p>\n<p>\uf0b7 \u1ea5n c\u00e1c \u0111i\u1ec3m \u0111au ni\u1ec7u qu\u1ea3n (-)<\/p>\n<p>3.8 C\u00e1c c\u01a1 quan kh\u00e1c<\/p>\n<p>\uf0b7 Ch\u01b0a ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd g\u00ec<\/p>\n<p>4. C\u1eadn l\u00e2m s\u00e0ng :<\/p>\n<p>4.1 C\u1eadn l\u00e2m s\u00e0ng \u0111\u00e3 c\u00f3 :<\/p>\n<p>SINH H\u00d3A M\u00c1U (Ng\u00e0y 02\/08\/2016):<\/p>\n<p>\uf0b7 Cholesterol to\u00e0n ph\u1ea7n :3.4 mmol\/L<\/p>\n<p>\uf0b7 Creatinin :60 micromol\/l<\/p>\n<p>\uf0b7 Glucose 11,5 mmol\/l<\/p>\n<p>\uf0b7 HDL.C 0,6 mmol\/L<\/p>\n<p>\uf0b7 LDL.C 0.8 mmol\/L<\/p>\n<p>\uf0b7 Triglycerid 4,4 mmol\/L<\/p>\n<p>\uf0b7 Ure 4,8 mmol\/L<\/p>\n<p>X\u00c9T NGHI\u1ec6M M\u00c1U (Ng\u00e0y 02\/08\/2016) :<\/p>\n<p>\uf0b7 HC :4,2 .106<\/p>\n<p>\/mm3<\/p>\n<p>\uf0b7 Hb:11,6 g\/dl<\/p>\n<p>\uf0b7 Hct :34,1 %<\/p>\n<p>\uf0b7 BC :4,4 103<\/p>\n<p>\/mm3<\/p>\n<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N |T\u1ed4 5 YK12A 4<\/p>\n<p>Ng\u00e0y 12\/08<\/p>\n<p>\uf0b7 Glucose m\u00e1u 12,2 mmol\/L<\/p>\n<p>Ng\u00e0y 22\/08<\/p>\n<p>\uf0b7 Glucose m\u00e1u 15 mmol\/L<\/p>\n<p>\uf0b7 Triglycerid 2,9 mmol\/L<\/p>\n<p>4.2 C\u1eadn l\u00e2m sang \u0111\u1ec1 ngh\u1ecb :<\/p>\n<p>5. T\u00f3m t\u1eaft b\u1ec7nh \u00e1n :<\/p>\n<p>B\u1ec7nh nh\u00e2n n\u1eef , 55 tu\u1ed5i v\u00e0o vi\u1ec7n ng\u00e0y 01\/08\/2016 v\u1edbi l\u00fd do mi\u1ec7ng m\u00e9o qua b\u00ean ph\u1ea3i<\/p>\n<p>v\u00e0 m\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn ,qua h\u1ecfi b\u1ec7nh th\u0103 kh\u00e1m v\u00e0 tra c\u1ee9u h\u1ed3 s\u01a1 em ghi nh\u1eadn<\/p>\n<p>nh\u1eefng tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed9i ch\u1ee9ng sau :<\/p>\n<p>\uf0b7 H\u1ed9i ch\u1ee9ng li\u1ec7t th\u1ea7n kinh VII ngo\u1ea1i bi\u00ean<\/p>\n<p>o Mi\u1ec7ng m\u00e9o b\u00ean ph\u1ea3i ,nh\u00e2n trung l\u1ec7ch ph\u1ea3i<\/p>\n<p>o T\u00ea m\u1eb7t b\u00ean tr\u00e1i<\/p>\n<p>o M\u1ea5t r\u00e3nh m\u0169i m\u00e1 b\u00ean tr\u00e1i<\/p>\n<p>o M\u1ea5t n\u1ebfp nh\u0103n tr\u00e1n b\u00ean tr\u00e1i<\/p>\n<p>o M\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn<\/p>\n<p>o D\u1ea5u Charles bell (+)<\/p>\n<p>o D\u1ea5u th\u1ed5i l\u1eeda (+)<\/p>\n<p>\uf0b7 Glucose m\u00e1u : 11,6 mmol\/L<\/p>\n<p>\uf0b7 Ti\u1ec1n s\u1eed : t\u0103ng huy\u1ebft \u00e1p ,dung thu\u1ed1c li\u00ean t\u1ee5c<\/p>\n<p>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 d\u00f9ng thu\u1ed1c li\u00ean t\u1ee5c<\/p>\n<p>6. Ch\u1ea7n \u0111o\u00e1n :<\/p>\n<p>X\u00e1c \u0111\u1ecbnh : Li\u1ec7t d\u00e2y th\u1ea7n kinh VII ngo\u1ea1i bi\u00ean do l\u1ea1nh tr\u00ean n\u1ec1n t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9 v\u00e0<\/p>\n<p>\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2<\/p>\n<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N |T\u1ed4 5 YK12A 5<\/p>\n<p>IV- Ph\u1ea7n YHCT:<\/p>\n<p>1. V\u1ecdng ch\u1ea9n<\/p>\n<p>Th\u1ea7n: t\u1ec9nh t\u00e1o<\/p>\n<p>S\u1eafc: h\u1ed3ng t\u01b0\u01a1i nhu\u1eadn<\/p>\n<p>Mi\u1ec7ng m\u00e9o sang ph\u1ea3i, nh\u00e2n trung l\u1ec7ch ph\u1ea3i, khi n\u00f3i mi\u1ec7ng l\u1ec7ch sang ph\u00eda b\u00ean<\/p>\n<p>ph\u1ea3i,m\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn,n\u1ebfp nh\u0103n tr\u00e1n b\u00ean tr\u00e1i m\u1edd, r\u00e3nh m\u0169i m\u00e1 tr\u00e1i m\u1edd<\/p>\n<p>C\u1ee7ng m\u1ea1c m\u1eaft b\u00ecnh th\u01b0\u1eddng<\/p>\n<p>Ch\u1ea5t l\u01b0\u1ee1i thon d\u00e0i, m\u00e0u h\u1ed3ng, c\u1eed \u0111\u1ed9ng kh\u00f3, r\u00eau l\u01b0\u1ee1i tr\u1eafng, m\u1ecfng, kh\u00f4ng d\u00ednh.<\/p>\n<p>Da kh\u00f4ng ph\u00f9, kh\u00f4ng ban ch\u1ea9n.<\/p>\n<p>2. V\u0103n ch\u1ea9n:<\/p>\n<p>Ti\u1ebfng n\u00f3i to, r\u00f5. Th\u1edf \u0111\u1ec1u r\u00f5, h\u01a1i th\u1edf kh\u00f4ng h\u00f4i. Kh\u00f4ng n\u1ea5c, kh\u00f4ng ho.<\/p>\n<p>3. V\u1ea5n ch\u1ea9n<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p 5 n\u0103m \u0111i\u1ec1u tr\u1ecb lien t\u1ee5c kh\u00f4ng r\u00f5 lo\u1ea1i. \u0111\u00e1i th\u00e1o<\/p>\n<p>\u0111\u01b0\u1eddng 5 n\u0103m.<\/p>\n<p>B\u1ec7nh kh\u1edfi ph\u00e1t c\u00e1ch ng\u00e0y nh\u1eadp vi\u1ec7n 3 ng\u00e0y ,sau khi b\u1ec7nh nh\u00e2n th\u1ee9c d\u1eady v\u00e0o bu\u1ed5i<\/p>\n<p>s\u00e1ng ,\u0103n c\u01a1m th\u1ea5y th\u1ee9c \u0103n r\u01a1i v\u00e3i qua kho\u00e9 mi\u1ec7ng tr\u00e1i ,mi\u1ec7ng m\u00e9o ,m\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng<\/p>\n<p>k\u00edn k\u00e8m t\u00ea m\u1eb7t b\u00ean tr\u00e1i ,ch\u1ea3y n\u01b0\u1edbc m\u1eaft t\u1ef1 nhi\u00ean b\u00ean tr\u00e1i ,qua 3 ng\u00e0y c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean<\/p>\n<p>t\u0103ng d\u1ea7n ,b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb g\u00ec ,n\u00ean xin nh\u1eadp b\u1ec7nh vi\u1ec7n y h\u1ecdc c\u1ed5 truy\u1ec1n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>T\u1ea1i bv YHCT, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n: kh\u1ea9u nh\u00e3n oa t\u00e0\/ ti\u00eau kh\u00e1t. \u0110\u01b0\u1ee3c u\u1ed1ng<\/p>\n<p>th\u01b0\u1edbc s\u1eafc, ch\u00e2m \u0111i\u1ec7n, \u0111i\u1ebfu ng\u1ea3i, xoa b\u00f3p, u\u1ed1ng thu\u1ed1c t\u00e2y y: h\u1ea1 \u00e1p, \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o<\/p>\n<p>\u0111\u01b0\u1eddng.<\/p>\n<p>Hi\u1ec7n t\u1ea1i:<\/p>\n<p>\uf0b7 Kh\u00f4ng \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ng\u1ee7 \u0111\u01b0\u1ee3c.<\/p>\n<p>\uf0b7 C\u1ea3m gi\u00e1c n\u00f3ng trong ng\u01b0\u1eddi, \u0111\u00eam ng\u1ee7 kh\u00f4ng \u0111\u1eafp ch\u0103n.<\/p>\n<p>\uf0b7 Ra m\u1ed3 h\u00f4i nhi\u1ec1u v\u00e0o ban \u0111\u00eam.<\/p>\n<p>\uf0b7 \u0102n nhi\u1ec1u, u\u1ed1ng \u00edt n\u01b0\u1edbc, kh\u00f4ng kh\u00e1t n\u01b0\u1edbc. \u0102n c\u01a1m r\u01a1i v\u00e3i b\u00ean kho\u00e9 mi\u1ec7ng<\/p>\n<p>tr\u00e1i ,u\u1ed1ng n\u01b0\u1edbc \u0111\u1ed5 b\u00ean ph\u00eda mi\u1ec7ng tr\u00e1i<\/p>\n<p>\uf0b7 Ph\u00e2n v\u00e0ng theo khu\u00f4n, n\u01b0\u1edbc ti\u1ec3u v\u00e0ng<\/p>\n<p>\uf0b7 B\u1ec7nh nh\u00e2n \u0111\u00e3 m\u00e3n kinh.<\/p>\n<p>4. Thi\u1ebft ch\u1ea9n<\/p>\n<p>\uf0b7 M\u1ea1ch huy\u1ec1n<\/p>\n<p>\uf0b7 C\u00e1c chi \u1ea5m, kh\u00f4ng l\u1ea1nh, c\u01a1 l\u1ef1c t\u1ee9 chi:5\/5<\/p>\n<p>V- T\u00f3m t\u1eaft b\u1ec7nh \u00e1n:<\/p>\n<p>-H\u1ed9i ch\u1ee9ng tr\u00fang phong h\u00e0n \u1edf kinh l\u1ea1c:<\/p>\n<p>\uf0b7 Kh\u1edfi ph\u00e1t b\u1ec7nh \u0111\u1ed9t ng\u1ed9t khi tr\u1eddi l\u1ea1nh.<\/p>\n<p>\uf0b7 \u0102n c\u01a1m r\u01a1i v\u00e3i b\u00ean kho\u00e9 mi\u1ec7ng tr\u00e1i ,u\u1ed1ng n\u01b0\u1edbc \u0111\u1ed5 b\u00ean ph\u00eda mi\u1ec7ng tr\u00e1i.<\/p>\n<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N |T\u1ed4 5 YK12A 6<\/p>\n<p>\uf0b7 Mi\u1ec7ng m\u00e9o sang ph\u1ea3i, nh\u00e2n trung l\u1ec7ch ph\u1ea3i, khi n\u00f3i mi\u1ec7ng l\u1ec7ch sang ph\u00eda<\/p>\n<p>b\u00ean ph\u1ea3i,m\u1eaft tr\u00e1i nh\u1eafm kh\u00f4ng k\u00edn,n\u1ebfp nh\u0103n tr\u00e1n b\u00ean tr\u00e1i m\u1edd, r\u00e3nh m\u0169i m\u00e1<\/p>\n<p>tr\u00e1i m\u1edd.<\/p>\n<p>\uf0b7 Kh\u00f4ng kh\u00e1t n\u01b0\u1edbc, kh\u00f4ng th\u00edch n\u01b0\u1edbc.<\/p>\n<p>\uf0b7 M\u1ea1ch huy\u1ec1n.<\/p>\n<p>-Ra nhi\u1ec1u m\u1ed3 h\u00f4i v\u00e0o ban \u0111\u00eam.<\/p>\n<p>-\u0102n nhi\u1ec1u.<\/p>\n<p>VI- Ch\u1ea9n \u0111o\u00e1n:<\/p>\n<p>Th\u1ec3 b\u1ec7nh: tr\u00fang phong h\u00e0n \u1edf kinh l\u1ea1c<\/p>\n<p>B\u00e1t c\u01b0\u01a1ng: bi\u1ec3u th\u1ef1c h\u00e0n- l\u00fd h\u01b0<\/p>\n<p>B\u1ec7nh danh: kh\u1ea9u nh\u00e3n oa t\u00e0\/ti\u00eau kh\u00e1t<\/p>\n<p>VII- \u0110i\u1ec1u tr\u1ecb:<\/p>\n<p>Ph\u00e1p tr\u1ecb: khu phong t\u00e1n h\u00e0n th\u00f4ng kinh l\u1ea1c<\/p>\n<p>Ph\u01b0\u01a1ng d\u01b0\u1ee3c:<\/p>\n<p>\uf0b7 Ph\u00e1t t\u00e1n phong h\u00e0n: qu\u1ebf chi, t\u00eda t\u00f4, sinh kh\u01b0\u01a1ng<\/p>\n<p>\uf0b7 H\u00e0nh kh\u00ed: tr\u1ea7n b\u00ec, ch\u1ec9 th\u1ef1c, ng\u01b0u t\u1ea5t, xuy\u00ean khung<\/p>\n<p>\uf0b7 \u0110i\u1ec1u h\u00f2a: t\u00e1o t\u1ea7u<\/p>\n<p>Ph\u01b0\u01a1ng huy\u1ec7t:<\/p>\n<p>\uf0b7 T\u1ea1i ch\u1ed7: \u1ebf phong, d\u01b0\u01a1ng b\u1ea1ch, to\u1ea3n tr\u00fac, t\u00ecnh minh, ty tr\u00fac kh\u00f4ng, \u0111\u1ed3ng t\u1eed<\/p>\n<p>lieu, th\u1eeb kh\u1ea5p, nghinh h\u01b0\u01a1ng, gi\u00e1p xa, th\u1eeba t\u01b0\u01a1ng, \u0111\u1ecba th\u01b0\u01a1ng, nh\u00e2n trung<\/p>\n<p>\uf0b7 To\u00e0n th\u00e2n: h\u1ee3p c\u1ed1c, phong tr\u00ec.<\/p>\n<p>Xoa b\u00f3p, \u1ea5n huy\u1ec7t v\u00f9ng m\u1eb7t, \u0111i\u1ebfu ng\u1ea3i.<\/p>\n<p>VIII- Ti\u00ean l\u01b0\u1ee3ng<\/p>\n<p>1. Ti\u00ean l\u01b0\u1ee3ng g\u1ea7n: T\u1ed1t<\/p>\n<p>2. Ti\u00ean l\u01b0\u1ee3ng xa:<\/p>\n<p>IX- Ph\u00f2ng b\u1ec7nh<\/p>\n<p>\uf0b7 Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, huy\u1ebft \u00e1p<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec6NH \u00c1N Y H\u1eccC C\u1ed4 TRUY\u1ec0N I. Ph\u1ea7n h\u00e0nh ch\u00ednh H\u1ecd v\u00e0 t\u00ean b\u1ec7nh nh\u00e2n : XXXN\u0103m sinh :1961 D\u00e2n t\u1ed9c :kinh Gi\u1edbi t\u00ednh : n\u1eef Ngh\u1ec1 nghi\u1ec7p : l\u00e0m n\u00f4ng \u0110\u1ecba ch\u1ec9 : XXX \u0110\u1ecba ch\u1ec9 b\u00e1o tin : XXX Ng\u00e0y gi\u1edd v\u00e0o vi\u1ec7n : 01\/08\/2016 Ng\u00e0y gi\u1edd l\u00e0m b\u1ec7nh \u00e1n : 25\/08\/2016 II. &hellip;<\/p>\n","protected":false},"author":11,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[75],"tags":[],"class_list":["post-1385","post","type-post","status-publish","format-standard","","category-y-hoc-co-truyen"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1385","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=1385"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1385\/revisions"}],"predecessor-version":[{"id":1386,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/1385\/revisions\/1386"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=1385"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=1385"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=1385"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}