{"id":273914,"date":"2008-12-08T08:59:22","date_gmt":"2008-12-08T01:59:22","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/y-hoc-chan-doan\/"},"modified":"2025-11-08T19:22:22","modified_gmt":"2025-11-08T12:22:22","slug":"y-hoc-chan-doan","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/y-hoc-chan-doan\/","title":{"rendered":"Y h\u1ecdc Ch\u1ea9n \u0110o\u00e1n"},"content":{"rendered":"<p>Ti\u1ebfn h\u00e0nh ch\u1ea9n \u0111o\u00e1n l\u00e0 giai \u0111o\u1ea1n \u0111\u1ea7u ti\u00ean trong qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c m\u1ed9t b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 nh\u1eefng nh\u1eadn x\u00e9t \u0111\u1ea7u ti\u00ean, n\u1ebfu \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u1ea9n th\u1eadn, c\u0169ng c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh ho\u1eb7c \u0111\u1ecbnh h\u01b0\u1edbng th\u1ea7y thu\u1ed1c \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n. Do \u0111\u00f3, \u0111\u00e2y l\u00e0 m\u1ed9t kho\u1ea3ng th\u1eddi gian quan tr\u1ecdng, \u0111\u00f2i h\u1ecfi s\u1ef1 l\u00e0m vi\u1ec7c c\u00f3 ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a th\u1ea7y thu\u1ed1c c\u00f9ng nh\u1eefng ng\u01b0\u1eddi c\u1ed9ng s\u1ef1.<\/p>\n<p>K\u1ec3 t\u1eeb th\u1eddi k\u1ef3 \u0111\u0103ng quang c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3i ph\u1eabu l\u00e2m s\u00e0ng (anatomo-clinique) do Morgagni, Bichat, Laennec kh\u1edfi x\u01b0\u1edbng, m\u1ed9t n\u1ec1n <strong>y h\u1ecdc ch\u1ea9n \u0111o\u00e1n <\/strong>(&#8220;m\u00e9decine de diagnostic&#8221;) \u0111\u00e3 thay \u0111\u1ed5i n\u1ec1n <strong>y h\u1ecdc tri\u1ec7u ch\u1ee9ng<\/strong> (&#8220;m\u00e9decine des sympt\u00f4mes&#8221;) d\u1ef1a v\u00e0o c\u00e1ch th\u1ee9c \u0111i\u1ec1u tr\u1ecb l\u00e0 c\u1ee9 m\u1ed7i tri\u1ec7u ch\u1ee9ng th\u00ec l\u1ea1i k\u00ea \u0111\u01a1n m\u1ed9t lo\u1ea1i thu\u1ed1c m\u00e0 kh\u00f4ng c\u1ea7n quan t\u00e2m \u0111\u1ebfn c\u0103n b\u1ec7nh m\u00e0 m\u00ecnh \u0111ang ch\u0103m s\u00f3c l\u00e0 g\u00ec. Ch\u1ea9n \u0111o\u00e1n c\u1ee7a Laennec l\u00e0 ch\u1ea9n \u0111o\u00e1n v\u1ec1 <strong>t\u1ed5n th\u01b0\u01a1ng<\/strong>. V\u1edbi s\u1ef1 ti\u1ebfn ho\u00e1 c\u1ee7a khoa h\u1ecdc, n\u00f3 c\u00f2n bao g\u1ed3m \u00fd ngh\u0129a l\u00e0 m\u1ed9t <strong>r\u1ed1i lo\u1ea1n sinh b\u1ec7nh h\u1ecdc <\/strong>ho\u1eb7c <strong>sinh h\u1ecdc<\/strong>.<\/p>\n<p>Y khoa \u0111\u00f2i h\u1ecfi ph\u1ea3i nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c t\u00ednh ch\u1ea5t v\u00e0 nguy\u00ean u\u1ef7 c\u1ee7a b\u1ec7nh t\u1eadt, \u0111\u1ec3 t\u1eeb \u0111\u00f3 ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7. \u0110i\u1ec1u n\u00e0y th\u1eadt l\u00e0 l\u00fd t\u01b0\u1edfng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<br \/>\nTuy nhi\u00ean, trong m\u1ed9t s\u1ed1 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p, ta ch\u1ec9 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c m\u1ed9t tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd m\u00e0 th\u00f4i. &nbsp;\u0110i\u1ec1u n\u00e0y s\u1ebd bi\u1ec7n minh cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea5p th\u1eddi, ch\u1ee7 y\u1ebfu l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng. V\u00ec th\u1ebf, trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p suy s\u1ee5p d\u1ea5u sinh t\u1ed3n m\u00e0 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 c\u1ee9u m\u1ea1ng, ch\u1ea9n \u0111o\u00e1n th\u01b0\u01a1ng t\u1ed5n ho\u1eb7c ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i d\u1eddi l\u1ea1i sau; vi\u1ec7c ch\u1ea9n \u0111o\u00e1n s\u1ebd ph\u1ea3i tu\u00e2n theo th\u1ee9 t\u1ef1 c\u00e1c v\u1ea5n \u0111\u1ec1 c\u1ea7n \u01b0u ti\u00ean gi\u1ea3i quy\u1ebft c\u1ea5p b\u00e1ch.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng d\u1ec5 d\u00e0ng; ngay c\u1ea3 trong th\u1eddi k\u1ef3 hi\u1ec7n t\u1ea1i, c\u00e1c th\u1ea7y thu\u1ed1c nhi\u1ec1u kinh nghi\u1ec7m nh\u1ea5t \u0111\u00f4i khi c\u0169ng l\u00fang t\u00fang. S\u1ef1 do d\u1ef1 trong ch\u1ea9n \u0111o\u00e1n, kh\u00f4ng c\u00f3 ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u ho\u1eb7c ch\u1ea9n \u0111o\u00e1n sai, th\u1ef1c s\u1ef1 kh\u00f4ng \u0111\u00e1ng ch\u00ea tr\u00e1ch n\u1ebfu c\u00e1c b\u01b0\u1edbc x\u00e9t nghi\u1ec7m ki\u1ec3m tra v\u00e0 l\u00fd lu\u1eadn \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang \u0111\u1eafn. C\u0169ng kh\u00f4ng n\u00ean tr\u00e1ch c\u1ee9 ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c n\u1ebfu h\u1ecd bu\u1ed9c l\u00f2ng ph\u1ea3i ch\u1ec9 \u0111\u1ecbnh m\u1ed9t h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u trong t\u00ecnh tr\u1ea1ng l\u01b0\u1ee1ng l\u1ef1.<\/p>\n<p>Nh\u01b0ng s\u1ebd ph\u1ea1m l\u1ed7i khi ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c kh\u00f4ng h\u1ec1 c\u00f3 ch\u1ee7 t\u00e2m t\u00ecm ch\u1ea9n \u0111o\u00e1n v\u1edbi t\u1ea5t c\u1ea3 m\u1ecdi s\u1ef1 c\u1ea9n tr\u1ecdng c\u00f3 th\u1ec3, c\u1ee9 m\u00e3i duy tr\u00ec t\u00ecnh tr\u1ea1ng m\u1eadp m\u1edd v\u00e0 ph\u00f3 m\u1eb7c di\u1ec5n bi\u1ebfn ti\u1ebfp theo cho s\u1ef1 may r\u1ee7i, \u0111i\u1ec1u tr\u1ecb bao v\u00e2y kh\u00f4ng ch\u1ee7 \u0111\u00edch, qui tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb kh\u00f4ng th\u00edch nghi v\u1edbi nh\u1eefng ho\u00e0n c\u1ea3nh v\u00e0 t\u00ecnh hu\u1ed1ng c\u1ee5 th\u1ec3 cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ec3 kh\u1eafc ph\u1ee5c, c\u1ea7n h\u1ecfi k\u1ef9 b\u1ec7nh s\u1eed, ki\u1ec3m tra l\u1ea1i nh\u1eefng ghi nh\u1eadn tr\u01b0\u1edbc \u0111\u00e2y trong giai \u0111o\u1ea1n \u0111\u1ea7u ti\u00ean th\u0103m kh\u00e1m.<\/p>\n<p>&#8211; Kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eadm tr\u1ec5 trong vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n, mi\u1ec5n l\u00e0 ch\u00fang th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft v\u00e0 \u0111\u01b0\u1ee3c soi r\u1ecdi b\u1eb1ng l\u00fd lu\u1eadn.<\/p>\n<p>&#8211; Kh\u00f4ng c\u00f3 m\u1ed9t m\u00f4 h\u00ecnh m\u1eabu m\u1ef1c n\u00e0o cho vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n.<br \/>\n&#8211; C\u1ea7n tr\u00e1nh nh\u1eefng x\u00e9t nghi\u1ec7m kh\u00f4ng thi\u1ebft y\u1ebfu, c\u00e1c x\u00e9t nghi\u1ec7m nguy hi\u1ec3m v\u00e0 g\u00e2y kh\u00f3 ch\u1ecbu cho ng\u01b0\u1eddi b\u1ec7nh n\u1ebfu ch\u00fang kh\u00f4ng th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft cho ch\u1ea9n \u0111o\u00e1n. \u0110\u1ed1i v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m r\u01b0\u1eddm r\u00e0 c\u0169ng th\u1ebf.<\/p>\n<p>&#8211; Ki\u00ean tr\u00ec, r\u1ed1t r\u00e1o t\u00ecm ch\u1ea9n \u0111o\u00e1n (&#8220;acharnement diagnostique&#8221;) l\u00e0 \u0111\u00e1ng khen v\u1ec1 m\u1eb7t nguy\u00ean t\u1eafc, nh\u01b0ng l\u1ea1i kh\u00f4ng h\u1ee3p l\u00fd n\u1ebfu ch\u1ec9 v\u1edbi \u0111\u1ed9ng c\u01a1 t\u00f2 m\u00f2 khoa h\u1ecdc, hay l\u00e0 m\u1ed9t khi \u0111\u00e3 c\u00f3 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m th\u00ec b\u1ec7nh nh\u00e2n c\u0169ng ch\u1eb3ng h\u01b0\u1edfng \u0111\u01b0\u1ee3c l\u1ee3i \u00edch g\u00ec h\u01a1n, \u0111\u1eb7c bi\u1ec7t khi k\u1ebft cu\u1ed9c ch\u1ec9 \u0111\u01b0a \u0111\u1ebfn m\u1ed9t \u0111i\u1ec1u tr\u1ecb t\u1ea1m b\u1ee3 kh\u00f4ng l\u00e0m thay \u0111\u1ed5i ti\u00ean l\u01b0\u1ee3ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>&#8211; T\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m \u0111em \u0111\u1ebfn s\u1ef1 mi\u1ec5n c\u01b0\u1ee1ng, g\u00f2 b\u00f3, ho\u1eb7c s\u1ef1 phi\u1ec1n to\u00e1i, kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn k\u1ef9 tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n. C\u1ea7n c\u00e2n nh\u1eafc gi\u1eefa c\u00e1c l\u1ee3i \u00edch v\u00e0 phi\u1ec1n h\u00e0, nguy c\u01a1 m\u00e0 ch\u00fang c\u00f3 th\u1ec3 \u0111em \u0111\u1ebfn cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>&#8211; N\u1ebfu l\u00fang t\u00fang v\u00e0 b\u1ed1i r\u1ed1i khi \u0111i t\u00ecm ch\u1ea9n \u0111o\u00e1n, th\u1ea7y thu\u1ed1c c\u1ea7n ph\u1ea3i m\u1eddi h\u1ed9i ch\u1ea9n chuy\u00ean khoa, ho\u1eb7c ghi r\u00f5 l\u00e0 \u201cb\u1ec7nh nh\u00e2n n\u00e0y c\u1ea7n theo d\u00f5i m\u1ed9t ch\u1ea9n \u0111o\u00e1n n\u00e0o \u0111\u00f3.\u201d \u0110\u00e2y l\u00e0 m\u1ed9t quy \u0111\u1ecbnh trong quy ch\u1ebf h\u00e0nh ngh\u1ec1 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb th\u1ef1c hi\u1ec7n t\u1eeb th\u1eddi C\u1ed5 \u0110\u1ea1i. \u0110\u1ec1 ngh\u1ecb n\u00e0y y\u00eau c\u1ea7u th\u1ea7y thu\u1ed1c ch\u1ecdn l\u1ef1a k\u1ef9 l\u01b0\u1ee1ng m\u1ed9t \u0111\u1ed3ng nghi\u1ec7p c\u00f3 kinh nghi\u1ec7m v\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ec3 gi\u1edbi thi\u1ec7u b\u1ec7nh nh\u00e2n c\u1ee7a m\u00ecnh \u0111\u1ebfn v\u1edbi s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a h\u1ecd, ch\u1ec9 v\u1edbi m\u1ee5c \u0111\u00edch duy nh\u1ea5t l\u00e0 \u0111em l\u1ea1i l\u1ee3i \u00edch cho ng\u01b0\u1eddi b\u1ec7nh, trong m\u1ed9t t\u00ecnh hu\u1ed1ng nh\u1ea5t \u0111\u1ecbnh n\u00e0o \u0111\u00f3.<\/p>\n<p>Li\u00ean l\u1ea1c t\u1eeb xa (t\u00e9l\u00e9matique) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ti\u1ec7n m\u1edbi \u0111\u1ec3 m\u1eddi m\u1ed9t \u0111\u1ed3ng nghi\u1ec7p \u1edf xa, c\u00f3 kh\u1ea3 n\u0103ng chuy\u00ean m\u00f4n t\u1ed1t, h\u1ed9i ch\u1ea9n trong m\u1ed9t t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t. \u0110i\u1ec1u n\u00e0y c\u0169ng \u0111em l\u1ea1i m\u1ed9t s\u1ed1 kh\u00f3 kh\u0103n v\u1ec1 m\u1eb7t quy ch\u1ebf h\u00e0nh ngh\u1ec1. \u0110\u00e2y kh\u00f4ng \u0111\u01a1n thu\u1ea7n l\u00e0 v\u1ea5n \u0111\u1ec1 g\u1eedi c\u00e1c d\u1eef li\u1ec7u qua m\u1ed9t kho\u1ea3ng c\u00e1ch, \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia ph\u00e2n t\u00edch ho\u1eb7c h\u1ed7 tr\u1ee3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh trong khu\u00f4n kh\u1ed5 ch\u1ea9n \u0111o\u00e1n t\u1eeb xa (t\u00e9l\u00e9diagnostic) m\u00e0 c\u00f2n l\u00e0 nh\u1eefng kh\u1ea3 n\u0103ng m\u1edbi v\u1ec1 th\u0103m kh\u00e1m b\u1ec7nh t\u1eeb xa (t\u00e9l\u00e9-consultation) v\u00e0 h\u1ed7 tr\u1ee3 t\u1eeb xa (t\u00e9l\u00e9-assistance), trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n v\u00ec nh\u1eefng l\u00fd do c\u00e1ch tr\u1edf ho\u1eb7c b\u1ecb c\u00f4 l\u1eadp, kh\u00f4ng th\u1ec3 h\u01b0\u1edfng \u0111\u01b0\u1ee3c nh\u1eefng ch\u0103m s\u00f3c c\u1ee7a th\u1ea7y thu\u1ed1c chuy\u00ean khoa. Nh\u1eefng ph\u01b0\u01a1ng ti\u1ec7n li\u00ean l\u1ea1c hi\u1ec7n \u0111\u1ea1i (\u0111i\u1ec7n tho\u1ea1i, li\u00ean l\u1ea1c qua s\u00f3ng radio&#8230;) trong nh\u1eefng t\u00ecnh hu\u1ed1ng \u0111\u00f3 s\u1ebd c\u00f3 th\u1ec3 \u0111\u00f3ng g\u00f3p m\u1ed9t ph\u1ea7n v\u1ec1 m\u1eb7t y h\u1ecdc.<\/p>\n<p>H\u1ed7 tr\u1ee3 t\u1eeb xa (t\u00e9l\u00e9-assistance) kh\u00f4ng th\u1ec3 l\u00e0 h\u00e0nh \u0111\u1ed9ng y khoa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong nh\u1eefng t\u00ecnh hu\u1ed1ng b\u00ecnh th\u01b0\u1eddng. \u0110\u00f3 ch\u1ec9 l\u00e0 m\u1ed9t t\u00ecnh hu\u1ed1ng ngo\u1ea1i l\u1ec7 trong l\u00fac ch\u1edd \u0111\u1ee3i, d\u00e0nh ri\u00eang cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p khi b\u1ec7nh nh\u00e2n b\u1ecb c\u00f4 l\u1eadp v\u00e0 kh\u00f4ng th\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 can thi\u1ec7p tr\u1ef1c ti\u1ebfp c\u1ee7a th\u1ea7y thu\u1ed1c chuy\u00ean khoa. Can thi\u1ec7p ngay l\u00fac \u0111\u00f3 s\u1ebd l\u00e0 tr\u00e1ch nhi\u1ec7m c\u1ee7a ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c th\u1ef1c h\u00e0nh t\u1ea1i ch\u1ed7 v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea5m d\u1ee9t ngay khi c\u00e1c chuy\u00ean gia c\u00f3 m\u1eb7t t\u1ea1i hi\u1ec7n tr\u01b0\u1eddng, n\u01a1i b\u1ec7nh nh\u00e2n ho\u1eb7c ng\u01b0\u1eddi b\u1ecb ch\u1ea5n th\u01b0\u01a1ng hi\u1ec7n di\u1ec7n.<\/p>\n<p>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00f4ng chuy\u00ean m\u00f4n c\u00f3 th\u1ec3 ph\u1ea3i l\u00e0 trung gian b\u1eaft bu\u1ed9c c\u1ee7a ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c th\u1ef1c h\u00e0nh. H\u1ecd s\u1ebd thu th\u1eadp c\u00e1c d\u1eef ki\u1ec7n l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft cho \u0111\u00e1nh gi\u00e1 t\u00ecnh hu\u1ed1ng, th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u1ed9ng t\u00e1c c\u1ee9u s\u1ed1ng kh\u1ea9n c\u1ea5p, ho\u1eb7c ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean khoa \u0111\u01b0\u1ee3c tham v\u1ea5n ph\u1ea3i t\u1ecf ra c\u00f3 b\u1ea3n l\u0129nh, t\u1eadp trung s\u1ef1 ch\u0103m ch\u00fa v\u00e0 kh\u1ea3 n\u0103ng l\u1eafng nghe c\u1ee7a m\u00ecnh \u0111\u1ec3 tr\u1ea5n an nh\u1eefng ng\u01b0\u1eddi chung quanh c\u1ee7a b\u1ec7nh nh\u00e2n hay ng\u01b0\u1eddi b\u1ecb n\u1ea1n.<br \/>\nC\u00e1c c\u00e2u h\u1ecfi m\u00e0 b\u00e1c s\u0129 tham v\u1ea5n \u0111\u1eb7t ra c\u1ea7n ph\u1ea3i r\u00f5 r\u00e0ng, c\u00e1c \u0111\u1ed9ng t\u00e1c m\u00e0 \u00f4ng ta y\u00eau c\u1ea7u th\u1ef1c hi\u1ec7n c\u0169ng c\u1ea7n ph\u1ea3i th\u1eadt ch\u00ednh x\u00e1c. B\u00e1c s\u0129 tham v\u1ea5n c\u1ea7n ch\u1eafc ch\u1eafn l\u00e0 b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi chung quanh \u0111\u00e3 hi\u1ec3u r\u00f5 v\u1ec1 nh\u1eefng ch\u1ec9 d\u1eabn c\u1ee7a m\u00ecnh \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 h\u01b0\u1edfng \u0111\u01b0\u1ee3c h\u1ebft c\u00e1c l\u1ee3i \u00edch m\u00e0 s\u1ef1 can thi\u1ec7p t\u1eeb xa c\u1ee7a m\u00ecnh mang l\u1ea1i.<\/p>\n<p><em>Bi\u00ean d\u1ecbch t\u1eeb \u201cDiagnostic\u201d<br \/>\nArticle 33 (article R.4127-33 du Code de la Sant\u00e9 Publique)<br \/>\n<\/em><em>www.conseil-national.medecin.fr<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u1ebfn h\u00e0nh ch\u1ea9n \u0111o\u00e1n l\u00e0 giai \u0111o\u1ea1n \u0111\u1ea7u ti\u00ean trong qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c m\u1ed9t b\u1ec7nh nh\u00e2n. M\u1ed9t s\u1ed1 nh\u1eefng nh\u1eadn x\u00e9t \u0111\u1ea7u ti\u00ean, n\u1ebfu \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u1ea9n th\u1eadn, c\u0169ng c\u00f3 th\u1ec3 gi\u00fap x\u00e1c \u0111\u1ecbnh ho\u1eb7c \u0111\u1ecbnh h\u01b0\u1edbng th\u1ea7y thu\u1ed1c \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n. Do \u0111\u00f3, \u0111\u00e2y l\u00e0 m\u1ed9t kho\u1ea3ng th\u1eddi gian quan [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-273914","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273914","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=273914"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273914\/revisions"}],"predecessor-version":[{"id":311082,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273914\/revisions\/311082"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273914"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273914"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273914"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}