{"id":1881,"date":"2023-05-29T07:00:26","date_gmt":"2023-05-29T00:00:26","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=1881"},"modified":"2023-07-31T17:40:14","modified_gmt":"2023-07-31T10:40:14","slug":"tiep-can-benh-nhan-chan-thuong-the-thao","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/tiep-can-benh-nhan-chan-thuong-the-thao\/","title":{"rendered":"Approaching sports injury patients"},"content":{"rendered":"<h3><strong>1. T\u1ed4NG QUAN<\/strong><\/h3>\n<p>Y h\u1ecdc th\u1ec3 thao l\u00e0 m\u1ed9t l\u0129nh v\u1ef1c n\u0103ng \u0111\u1ed9ng v\u00e0 c\u00f3 t\u1ea7m \u1ea3nh h\u01b0\u1edfng s\u00e2u r\u1ed9ng, \u0111\u00e3 v\u00e0 \u0111ang ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c m\u1edf r\u1ed9ng. N\u00f3 k\u1ebft h\u1ee3p nhi\u1ec1u chuy\u00ean ng\u00e0nh v\u00e0 bao g\u1ed3m nhi\u1ec1u l\u0129nh v\u1ef1c y t\u1ebf kh\u00e1c nhau. C\u00e1c <a href=\"https:\/\/bsvothanhtoan.com\/\">b\u00e1c s\u0129 y h\u1ecdc<\/a> th\u1ec3 thao cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c to\u00e0n di\u1ec7n cho nhi\u1ec1u nh\u00f3m b\u1ec7nh nh\u00e2n, bao g\u1ed3m c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean chuy\u00ean nghi\u1ec7p, kh\u00f4ng chuy\u00ean v\u00e0 nh\u00f3m d\u00e2n s\u1ed1 \u00edt ho\u1ea1t \u0111\u1ed9ng h\u01a1n v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u01a1 x\u01b0\u01a1ng kh\u1edbp g\u00e2y c\u1ea3n tr\u1edf c\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh ho\u1ea1t h\u00e0ng ng\u00e0y.<\/p>\n<p>D\u1ef1a tr\u00ean \u0111\u1ed1i t\u01b0\u1ee3ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c, tr\u00e1ch nhi\u1ec7m c\u1ee7a b\u00e1c s\u0129 y h\u1ecdc th\u1ec3 thao c\u00f3 th\u1ec3 bao g\u1ed3m ph\u00f2ng ng\u1eeba, ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1ee5c h\u1ed3i c\u00e1c b\u1ec7nh l\u00fd c\u01a1 x\u01b0\u01a1ng kh\u1edbp k\u1ec3 c\u1ea3 c\u00e1c b\u1ec7nh n\u1ed9i khoa c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf vi\u1ec7c tham gia ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t. Vi\u1ec7c h\u00ecnh th\u00e0nh m\u1ed9t nh\u00f3m y h\u1ecdc th\u1ec3 thao l\u00e0 l\u00fd t\u01b0\u1edfng \u0111\u1ec3 gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 c\u00e1c v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n<p>B\u00e1c s\u0129 y h\u1ecdc th\u1ec3 thao ch\u1ecbu tr\u00e1ch nhi\u1ec7m \u0111i\u1ec1u ph\u1ed1i nh\u00f3m \u0111a l\u0129nh v\u1ef1c v\u00e0 trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, s\u1ebd l\u00e0 ng\u01b0\u1eddi cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u00ednh cho v\u1eadn \u0111\u1ed9ng vi\u00ean v\u00e0 s\u1ebd l\u00e0 ng\u01b0\u1eddi quy\u1ebft \u0111\u1ecbnh khi n\u00e0o v\u1eadn \u0111\u1ed9ng vi\u00ean c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i thi \u0111\u1ea5u [1,2].<\/p>\n<figure id=\"attachment_1882\" aria-describedby=\"caption-attachment-1882\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-medium wp-image-1882\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/05\/Picture10-300x209.jpg\" alt=\"Picture10\" width=\"300\" height=\"209\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/05\/Picture10-300x209.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/05\/Picture10-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/05\/Picture10.jpg 364w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1882\" class=\"wp-caption-text\"><strong>H\u00ecnh 4.1.<\/strong> Nh\u00f3m y h\u1ecdc th\u1ec3 thao l\u00fd t\u01b0\u1edfng. <em>Ngu\u1ed3n: S\u00e9rgio Rocha Piedade &#8211; The Sports Medicine Physician-Springer International Publishing (2019)<\/em><\/figcaption><\/figure>\n<p>M\u1ecdi \u0111\u1ed1i t\u01b0\u1ee3ng tham gia ch\u01a1i th\u1ec3 thao lu\u00f4n c\u00f3 nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng. Th\u00f4ng th\u01b0\u1eddng, ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c nh\u00f3m nguy\u00ean nh\u00e2n sau:<\/p>\n<ul>\n<li>Ch\u1ea5n th\u01b0\u01a1ng do thi \u0111\u1ea5u qu\u00e1 s\u1ee9c<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng do v\u1eadt t\u00f9<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/gay-xuong-kin\/\">G\u00e3y x\u01b0\u01a1ng<\/a> v\u00e0 tr\u1eadt kh\u1edbp<\/li>\n<li>C\u0103ng gi\u00e3n ph\u1ea7n m\u1ec1m c\u1ea5p t\u00ednh.<\/li>\n<\/ul>\n<p>V\u1eadn \u0111\u1ed9ng vi\u00ean c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i thay \u0111\u1ed5i c\u00e1c k\u1ef9 thu\u1eadt ch\u01a1i ch\u01b0a \u0111\u00fang c\u00f3 khuynh h\u01b0\u1edbng g\u00e2y ch\u1ea5n th\u01b0\u01a1ng ho\u1eb7c c\u1ea7n ngh\u1ec9 th\u1eddi gian v\u1eeba \u0111\u1ee7 k\u1ebft h\u1ee3p v\u1edbi v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ec3 h\u1ed3i ph\u1ee5c sau ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao [1].<\/p>\n<ol>\n<li><strong>\u0110\u00c1NH GI\u00c1 S\u1ee8C KH\u1eceE NG\u01af\u1edcI CH\u01a0I TH\u1ec2 THAO<\/strong><\/li>\n<\/ol>\n<p>C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 r\u1ee7i ro tr\u01b0\u1edbc khi tham gia th\u1ec3 thao. Kh\u00e1m s\u00e0ng l\u1ecdc s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc khi tham gia thi \u0111\u1ea5u \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t y\u00eau c\u1ea7u v\u00e0 \u0111\u1ea1i di\u1ec7n cho m\u1ee9c \u0111\u1ed9 quan t\u00e2m, ch\u0103m s\u00f3c \u0111\u1ed1i v\u1edbi c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean \u1edf nhi\u1ec1u qu\u1ed1c gia. Y\u00eau c\u1ea7u n\u00e0y d\u01b0\u1eddng nh\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp do nh\u1eefng lo ng\u1ea1i v\u1ec1 c\u1ea3 y t\u1ebf v\u00e0 ph\u00e1p l\u00fd li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u nguy c\u01a1 b\u1ecb th\u01b0\u01a1ng n\u1eb7ng ho\u1eb7c t\u1eed vong trong qu\u00e1 tr\u00ecnh thi \u0111\u1ea5u.<\/p>\n<p>N\u1ed9i dung c\u1ee5 th\u1ec3 c\u1ee7a vi\u1ec7c kh\u00e1m s\u00e0ng l\u1ecdc n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c nhi\u1ec1u c\u01a1 quan ch\u1ee9c n\u0103ng trong l\u0129nh v\u1ef1c y t\u1ebf th\u1ec3 thao khuy\u1ebfn ngh\u1ecb v\u00e0 xem x\u00e9t r\u1ed9ng r\u00e3i [3,4]. Hi\u1ec7n nay, s\u00e0ng l\u1ecdc tr\u01b0\u1edbc tham gia thi \u0111\u1ea5u \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb bao g\u1ed3m vi\u1ec7c thu th\u1eadp th\u00f4ng tin ti\u1ec1n c\u0103n, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/khai-thac-benh-su-va-tien-can-benh-ly-ngoai-chan-thuong\/\">b\u1ec7nh s\u1eed<\/a> c\u1ee5 th\u1ec3 v\u00e0 ph\u1ea3i ho\u00e0n th\u00e0nh m\u1ed9t cu\u1ed9c ki\u1ec3m tra th\u1ec3 ch\u1ea5t g\u1eafng s\u1ee9c nh\u1eb1m ph\u00e1t hi\u1ec7n c\u00e1c t\u00ecnh tr\u1ea1ng y t\u1ebf ti\u1ec1m \u1ea9n \u1edf v\u1eadn \u0111\u1ed9ng vi\u00ean c\u00f3 th\u1ec3 khi\u1ebfn h\u1ecd b\u1ecb th\u01b0\u01a1ng ho\u1eb7c t\u1eed vong.<\/p>\n<p>Ti\u1ec1n c\u0103n v\u00e0 k\u1ebft qu\u1ea3 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng s\u1ebd quy\u1ebft \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng s\u1ee9c kho\u1ebb v\u00e0 c\u00e1c c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n th\u00eam.V\u00ec ch\u1ea5n th\u01b0\u01a1ng c\u01a1 x\u01b0\u01a1ng kh\u1edbp l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn khi\u1ebfn v\u1eadn \u0111\u1ed9ng vi\u00ean b\u1ecb tru\u1ea5t quy\u1ec1n thi \u0111\u1ea5u, n\u00ean ti\u1ec1n s\u1eed b\u1ec7nh c\u1ea7n c\u1ed1 g\u1eafng ph\u00e1t hi\u1ec7n t\u1ea5t c\u1ea3 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng m\u00e0 c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean \u0111\u00e3 t\u1eebng g\u1eb7p ph\u1ea3i [5]. V\u1ec1 v\u1ecb tr\u00ed gi\u1ea3i ph\u1eabu, ch\u1ea5n th\u01b0\u01a1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t d\u1eabn \u0111\u1ebfn h\u1ea1n ch\u1ebf kh\u1ea3 n\u0103ng tham gia thi \u0111\u1ea5u l\u00e0 ch\u1ea5n th\u01b0\u01a1ng g\u1ed1i, sau \u0111\u00f3 l\u00e0 ch\u1ea5n th\u01b0\u01a1ng m\u1eaft c\u00e1 ch\u00e2n [6]. Y\u1ebfu t\u1ed1 d\u1ef1 b\u00e1o \u0111\u1ed9c l\u1eadp, m\u1ea1nh nh\u1ea5t g\u00e2y ra ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao l\u00e0 vi\u1ec7c m\u1eafc ph\u1ea3i ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3 [7].<\/p>\n<h3><strong>3. TRI\u1ec6U CH\u1ee8NG L\u00c2M S\u00c0NG, CH\u1ea8N \u0110O\u00c1N<\/strong><\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u01b0\u1eddng c\u1ea5p t\u00ednh, x\u1ea3y ra khi \u0111ang ch\u01a1i th\u1ec3 thao. Ch\u1ea5n th\u01b0\u01a1ng lu\u00f4n g\u00e2y \u0111au, t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng. C\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 ho\u1eb7c bi\u1ec3u hi\u1ec7n ph\u1ed1i h\u1ee3p c\u1ee7a ph\u00f9 n\u1ec1 ph\u1ea7n m\u1ec1m, \u0111\u1ecf da, n\u00f3ng chi, \u0111i\u1ec3m \u0111au, b\u1ea7m t\u00edm, m\u1ea5t v\u1eefng m\u00e0 m\u1ea5t t\u00ednh di \u0111\u1ed9ng.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n bao g\u1ed3m h\u1ecfi ti\u1ec1n s\u1eed v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng. B\u1ec7nh s\u1eed t\u1eadp trung v\u00e0o c\u01a1 ch\u1ebf ch\u1ea5n th\u01b0\u01a1ng, ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t qu\u00e1 s\u1ee9c, ch\u1ea5n th\u01b0\u01a1ng tr\u01b0\u1edbc \u0111\u00f3, th\u1eddi \u0111i\u1ec3m kh\u1edfi ph\u00e1t \u0111au, th\u1eddi gian k\u00e9o d\u00e0i c\u01a1 \u0111au v\u00e0 h\u01b0\u1edbng lan c\u01a1n \u0111au tr\u01b0\u1edbc v\u00e0 sau t\u1eadp luy\u1ec7n. H\u1ecfi b\u1ec7nh nh\u00e2n v\u1ec1 ti\u1ec1n s\u1eed d\u00f9ng kh\u00e1ng sinh nh\u00f3m quinolon v\u00ec c\u00f3 th\u1ec3 d\u1eabn t\u1edbi \u0111\u1ee9t g\u00e2n. X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n (v\u00ed d\u1ee5, ch\u1ee5p <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-quang<\/a>, si\u00eau \u00e2m, CT, MRI, \u0111i\u1ec7n c\u01a1) v\u00e0 gi\u1edbi thi\u1ec7u \u0111\u1ebfn chuy\u00ean gia n\u1ebfu c\u1ea7n.<\/p>\n<h3><strong>4. \u0110I\u1ec0U TR\u1eca BAN \u0110\u1ea6U<\/strong><\/h3>\n<p><strong>\u00a04.1 Nguy\u00ean t\u1eafc PRICE<\/strong><\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c trong ch\u1ea5n th\u01b0\u01a1ng th\u1ec3 thao b\u1eb1ng nguy\u00ean t\u1eafc PRICE:<\/p>\n<ul>\n<li>B\u1ea3o v\u1ec7 (protection)<\/li>\n<li>Ngh\u1ec9 ng\u01a1i (rest)<\/li>\n<li>Ch\u01b0\u1eddm l\u1ea1nh (ice)<\/li>\n<li>B\u0103ng \u00e9p (compression)<\/li>\n<li>N\u00e2ng cao chi (elevation).<\/li>\n<\/ul>\n<p>B\u1ea3o v\u1ec7 bao g\u1ed3m ngh\u1ec9 ng\u01a1i v\u00e0 khi th\u00edch h\u1ee3p, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/so-cuu-bat-dong-gay-xuong\/\">b\u1ea5t \u0111\u1ed9ng<\/a> (v\u00ed d\u1ee5: n\u1eb9p) ph\u1ea7n b\u1ecb th\u01b0\u01a1ng \u0111\u1ec3 ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng th\u00eam.<\/p>\n<p>Ngh\u1ec9 ng\u01a1i c\u0169ng ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng th\u00eam v\u00e0 gi\u1ea3m s\u01b0ng n\u1ec1.<\/p>\n<p>Ch\u01b0\u1eddm l\u1ea1nh l\u00e0m co m\u1ea1ch v\u00e0 l\u00e0m gi\u1ea3m s\u01b0ng, vi\u00eam v\u00e0 \u0111au ph\u1ea7n m\u1ec1m. \u0110\u00e1 v\u00e0 t\u00fai l\u1ea1nh kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c \u00e1p tr\u1ef1c ti\u1ebfp v\u00e0o da. \u0110\u00e1 \u0111\u01b0\u1ee3c b\u1ecdc b\u1eb1ng t\u00fai ho\u1eb7c kh\u0103n. N\u00ean ch\u01b0\u1eddm \u0111\u00e1 nhi\u1ec1u l\u1ea7n, m\u1ed7i l\u1ea7n kh\u00f4ng qu\u00e1 20 ph\u00fat. B\u0103ng \u00e9p \u0111\u00e0n h\u1ed3i c\u00f3 th\u1ec3 qu\u1ea5n quanh m\u1ed9t t\u00fai nh\u1ef1a k\u00edn ch\u1ee9a \u0111\u00e1 \u0111\u1ec3 ch\u01b0\u1eddm \u0111\u00fang ch\u1ed7 [8].<\/p>\n<p>B\u0103ng thun chi t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 gi\u1ea3m n\u1ec1 v\u00e0 \u0111au. Kh\u00f4ng cu\u1ed1n b\u0103ng qu\u00e1 ch\u1eb7t s\u1ebd g\u00e2y s\u01b0ng, ph\u00f9 n\u1ec1 \u0111\u1ea7u chi.<\/p>\n<p>V\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u01b0a cao tr\u00ean m\u1ee9c tim \u0111\u1ec3 t\u0103ng tu\u1ea7n ho\u00e0n m\u00e1u theo tr\u1ecdng l\u1ef1c, do \u0111\u00f3, gi\u00fap gi\u1ea3m s\u01b0ng v\u00e0 gi\u1ea3m \u0111au. L\u00fd t\u01b0\u1edfng l\u00e0 m\u00e1u d\u1eabn l\u01b0u t\u1eeb to\u00e0n b\u1ed9 c\u01a1 quan ch\u1ea5n th\u01b0\u01a1ng \u0111i t\u1eeb cao xu\u1ed1ng th\u1ea5p v\u1ec1 tim (v\u00ed d\u1ee5 ch\u1ea5n th\u01b0\u01a1ng b\u00e0n tay v\u00e0 khu\u1ef7u th\u00ec b\u00e0n tay ph\u1ea3i \u0111\u01b0\u1ee3c n\u00e2ng cao). Ch\u01b0\u1eddm l\u1ea1nh v\u00e0 k\u00ea cao chi t\u1ed5n th\u01b0\u01a1ng d\u00f9ng li\u00ean t\u1ee5c trong 24 gi\u1edd \u0111\u1ea7u sau ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n<p><strong>4.2. Ki\u1ec3m so\u00e1t \u0111au<\/strong><\/p>\n<p>Ki\u1ec3m so\u00e1t \u0111au bao g\u1ed3m vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au, th\u00f4ng th\u01b0\u1eddng l\u00e0 acetaminophen ho\u1eb7c NSAID. NSAID hi\u1ec7n khuy\u1ebfn c\u00e1o d\u00f9ng \u1edf b\u1ec7nh nh\u00e2n \u0111au c\u1ea5p t\u00ednh, \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p \u0111au m\u1ea1n t\u00ednh c\u1ea7n ph\u1ea3i nghi\u00ean c\u1ee9u th\u00eam.<\/p>\n<p>C\u1ea7n tr\u00e1nh NSAID ch\u1ecdn l\u1ecdc COX-1 \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed vi\u00eam ho\u1eb7c lo\u00e9t d\u1ea1 d\u00e0y, \u0111\u1ed1i v\u1edbi thu\u1ed1c ch\u1ecdn l\u1ecdc COX-2 th\u00ec c\u00f3 kh\u1ea3 n\u0103ng t\u0103ng nguy c\u01a1 tim m\u1ea1ch tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh n\u1ec1n s\u1eb5n. Tuy nhi\u00ean, n\u1ebfu \u0111au v\u1eabn ti\u1ebfp di\u1ec5n h\u01a1n 72 gi\u1edd sau m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng nh\u1ecf, n\u00ean \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean khoa \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c ch\u1ea5n th\u01b0\u01a1ng kh\u00e1c ho\u1eb7c c\u00e1c ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng h\u01a1n. Nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang (v\u00ed d\u1ee5, b\u1ea5t \u0111\u1ed9ng, \u0111\u00f4i khi d\u00f9ng corticoid \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c ti\u00eam).<\/p>\n<p>Corticosteroid n\u00ean ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa khi c\u1ea7n thi\u1ebft v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ch\u1eadm li\u1ec1n m\u00f4 m\u1ec1m v\u00e0 \u0111\u00f4i khi l\u00e0m y\u1ebfu g\u00e2n, c\u01a1. T\u1ea7n su\u1ea5t ti\u00eam <a href=\"https:\/\/en.wikipedia.org\/wiki\/Corticosteroid\" target=\"_blank\" rel=\"noopener\">corticosteroid<\/a> n\u00ean \u0111\u1ec3 b\u00e1c s\u0129 chuy\u00ean khoa quy\u1ebft \u0111\u1ecbnh v\u00ec vi\u1ec7c ti\u00eam qu\u00e1 nhi\u1ec1u l\u00e0m t\u0103ng nguy c\u01a1 tho\u00e1i h\u00f3a m\u00f4, d\u00e2y ch\u1eb1ng ho\u1eb7c \u0111\u1ee9t g\u00e2n [9].<\/p>\n<p><strong>4.3. T\u1eadp v\u1eadn \u0111\u1ed9ng<\/strong><\/p>\n<p>N\u00f3i chung, v\u1eadn \u0111\u1ed9ng vi\u00ean b\u1ecb ch\u1ea5n th\u01b0\u01a1ng n\u00ean tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng g\u00e2y ra ch\u1ea5n th\u01b0\u01a1ng cho \u0111\u1ebfn khi h\u1ed3i ph\u1ee5c. \u0110\u1ec3 h\u1ea1n ch\u1ebf teo c\u01a1, v\u1eadn \u0111\u1ed9ng vi\u00ean c\u00f3 th\u1ec3 t\u1eadp luy\u1ec7n c\u00e1c b\u00e0i t\u1eadp kh\u00e1c nhau, h\u1ed7 tr\u1ee3 v\u00f9ng chi b\u1ea5t \u0111\u1ed9ng, v\u1eadn \u0111\u1ed9ng chi kh\u00f4ng \u0111au. Gi\u1ea3m b\u00e0i t\u1eadp t\u1ea7m v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp n\u1ebfu nh\u01b0 n\u00f3 khi\u1ebfn b\u1ec7nh nh\u00e2n t\u1eadp m\u00e0 g\u00e2y \u0111au kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c. Th\u01b0\u1eddng tr\u00e1nh \u0111\u01b0\u1ee3c b\u1ea5t \u0111\u1ed9ng ho\u00e0n to\u00e0n n\u1ebfu ch\u1ea5n th\u01b0\u01a1ng nh\u1eb9.<\/p>\n<p>\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 duy tr\u00ec t\u1ea7m v\u1eadn \u0111\u1ed9ng v\u1eeba ph\u1ea3i m\u1ec1m m\u1ea1i \u0111\u1ec3 l\u01b0u th\u00f4ng m\u00e1u v\u00f9ng ch\u1ea5n th\u01b0\u01a1ng t\u1ed1t t\u1ea1o \u0111i\u1ec1u ki\u1ec7n h\u1ed3i ph\u1ee5c h\u01a1n l\u00e0 t\u1eadp nhanh \u0111\u1ec3 tr\u00e1nh gi\u1ea3m s\u00fat ho\u1ea1t \u0111\u1ed9ng th\u1ec3 thao. Sau \u0111\u00f3 s\u1ebd t\u1eadp luy\u1ec7n t\u1ed1i \u0111a khi \u0111\u1ee1 \u0111au. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tham gia thi \u0111\u1ea5u n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn chuy\u00ean gia (v\u00ed d\u1ee5, chuy\u00ean gia v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, hu\u1ea5n lu\u1eadn vi\u00ean th\u1ec3 thao).<\/p>\n<p>V\u1eadn \u0111\u1ed9ng vi\u00ean \u0111\u01b0\u1ee3c t\u1eadp trong gi\u00e1o tr\u00ecnh t\u0103ng d\u1ea7n c\u00e1c b\u00e0i t\u1eadp, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ec3 kh\u00f4i ph\u1ee5c l\u1ea1i t\u00ednh linh ho\u1ea1t, s\u1ee9c m\u1ea1nh v\u00e0 \u0111\u1ed9 b\u1ec1n. V\u1eadn \u0111\u1ed9ng vi\u00ean c\u0169ng c\u1ea7n c\u00f3 t\u00e2m l\u00fd t\u1ed1t tr\u01b0\u1edbc khi tham gia v\u00e0o thi \u0111\u1ea5u. C\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean tham gia thi \u0111\u1ea5u c\u0169ng n\u00ean \u0111\u01b0\u1ee3c tham v\u1ea5n v\u1ec1 v\u1ea5n \u0111\u1ec1 t\u00e2m l\u00fd tr\u01b0\u1edbc v\u00e0 sau khi thi \u0111\u1ea5u.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"featured_media":2254,"comment_status":"open","ping_status":"closed","template":"","tags":[158,139,211],"chuyen-muc":[35],"class_list":["post-1881","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-benh-nhan-chan-thuong-the-thao","tag-chan-thuong","tag-the-thao","chuyen-muc-nhap-mon-chan-thuong-chinh-hinh"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1881","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang"}],"about":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/types\/bai-giang"}],"replies":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/comments?post=1881"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/1881\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2254"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=1881"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=1881"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=1881"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}