{"id":2046,"date":"2023-07-03T07:00:03","date_gmt":"2023-07-03T00:00:03","guid":{"rendered":"https:\/\/bsvothanhtoan.com\/?post_type=bai-giang&#038;p=2046"},"modified":"2023-07-31T18:18:52","modified_gmt":"2023-07-31T11:18:52","slug":"benh-ly-ban-chan-dai-thao-duong","status":"publish","type":"bai-giang","link":"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/benh-ly-ban-chan-dai-thao-duong\/","title":{"rendered":"B\u1ec7nh l\u00fd b\u00e0n ch\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"<h2><strong>OUTLINE<\/strong><\/h2>\n<p>B\u00e0n ch\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng theo \u0111\u1ecbnh ngh\u0129a c\u1ee7a WHO l\u00e0 nhi\u1ec5m tr\u00f9ng, lo\u00e9t v\u00e0 s\u1ef1 ph\u00e1 h\u1ee7y c\u00e1c m\u00f4 s\u00e2u c\u00f3 k\u1ebft h\u1ee3p v\u1edbi nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 th\u1ea7n kinh v\u00e0 c\u00e1c m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau v\u1ec1 b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean \u1edf chi d\u01b0\u1edbi.<\/p>\n<p>Lo\u00e9t v\u00e0 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/hoai-tu-vo-mach-chom-xuong-dui\/\">caseation<\/a> b\u00e0n ch\u00e2n r\u1ea5t hay g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u1edf c\u00e1c qu\u1ed1c gia \u0111ang ph\u00e1t tri\u1ec3n t\u1ec9 l\u1ec7 x\u1ea3y ra cao h\u01a1n, ng\u01b0\u1eddi l\u1edbn tu\u1ed5i d\u1ec5 m\u1eafc h\u01a1n, v\u1edbi nguy c\u01a1 <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/dai-cuong-phau-thuat-cat-cut-chi-the\/\">amputation<\/a> chi cao.<\/p>\n<figure id=\"attachment_2047\" aria-describedby=\"caption-attachment-2047\" style=\"width: 242px\" class=\"wp-caption aligncenter\"><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-2047\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-1.jpg\" alt=\"Picture13\" width=\"242\" height=\"232\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-1.jpg 242w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture13-1-13x12.jpg 13w\" sizes=\"(max-width: 242px) 100vw, 242px\" \/><figcaption id=\"caption-attachment-2047\" class=\"wp-caption-text\"><strong>Figure 20.1.<\/strong> B\u00e0n ch\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u1edbi ho\u1ea1i t\u1eed, nhi\u1ec5m tr\u00f9ng b\u00e0n ng\u00f3n ch\u00e2n. <em>Ngu\u1ed3n: Khoa Ngo\u1ea1i Ch\u1ea5n th\u01b0\u01a1ng Ch\u1ec9nh h\u00ecnh, B\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t TP. HCM<\/em><\/figcaption><\/figure>\n<h2><strong>REASON<\/strong><\/h2>\n<h3><strong>T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh ngo\u1ea1i bi\u00ean<\/strong><\/h3>\n<p>C\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u00ec b\u1ec7nh nh\u1eadn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u00e0o l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng c\u1ea3m gi\u00e1c \u0111au, n\u00f3ng, l\u1ea1nh, c\u1ea3m nh\u1eadn. C\u01a1 ch\u1ebf t\u1ed5n th\u01b0\u01a1ng ch\u01b0a r\u00f5 r\u00e0ng, c\u00f3 th\u1ec3 l\u01b0\u1ee3ng glucose m\u00e1u t\u0103ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf nu\u00f4i d\u00e2y th\u1ea7n kinh, thi\u1ebfu m\u00e1u nu\u00f4i d\u1eabn \u0111\u1ebfn teo, h\u01b0 d\u00e2y th\u1ea7n kinh.<\/p>\n<figure id=\"attachment_2048\" aria-describedby=\"caption-attachment-2048\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-2048\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-1-300x201.jpg\" alt=\"Picture14\" width=\"300\" height=\"201\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-1-300x201.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-1-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture14-1.jpg 365w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2048\" class=\"wp-caption-text\"><strong>Figure 20.2. <\/strong>Thi\u1ebfu m\u00e1u nu\u00f4i d\u1eabn \u0111\u1ebfn teo, h\u01b0 d\u00e2y th\u1ea7n kinh<em>. Ngu\u1ed3n: Dr. Imtiyaz I Kapadwala, \u201cDiabetic Nerve Damage in the Feet- Imtiyaz I Kapadwala DPM Wound Specialist in Brooklyn-Ridgewood NY\u201d, https:\/\/www.youtube.com\/watch?v=b3EN47jZZgg, tr\u00edch d\u1eabn 20\/10\/2022<\/em><\/figcaption><\/figure>\n<p><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh:<\/strong><\/p>\n<ul>\n<li>D\u1ea5u hi\u1ec7u s\u1edbm: gi\u1ea3m c\u1ea3m gi\u00e1c gi\u1ed1ng nhau \u1edf hai ch\u00e2n, ch\u1ee7 y\u1ebfu l\u00e0 b\u00e0n ch\u00e2n<\/li>\n<li>C\u1ea3m gi\u00e1c t\u00ea b\u00ec \u1edf ch\u00e2n, nh\u1ea5t l\u00e0 \u1edf \u0111\u1ea7u ng\u00f3n v\u00e0 b\u00e0n ch\u00e2n<\/li>\n<li>\u0110au, n\u00f3ng r\u00e1t \u1edf gan b\u00e0n ch\u00e2n, t\u0103ng v\u1ec1 \u0111\u00eam. C\u01a1n \u0111au th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/\">Giai \u0111o\u1ea1n mu\u1ed9n<\/a> c\u00f3 th\u1ec3 m\u1ea5t c\u1ea3m gi\u00e1c m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 t\u1ea1i khu v\u1ef1c th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng. V\u00ec th\u1ebf, b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 nh\u1eadn bi\u1ebft n\u00f3ng l\u1ea1nh, \u0111au sau ch\u1ea5n th\u01b0\u01a1ng, v\u1eadt nh\u1ecdn \u0111\u00e2m,\u2026 d\u1eabn t\u1edbi g\u00e2y s\u01b0ng t\u1ea5y ho\u1eb7c nhi\u1ec5m tr\u00f9ng n\u1eb7ng.<\/li>\n<\/ul>\n<p>Bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh kh\u1edbp (b\u00e0n ch\u00e2n Charcot) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng \u00edt \u0111\u01b0\u1ee3c ch\u00fa \u00fd, g\u00e2y ra bi\u1ebfn d\u1ea1ng v\u00e0 m\u1ea5t ch\u1ee9c n\u0103ng b\u00e0n ch\u00e2n, c\u00f3 th\u1ec3 x\u1ea3y ra tr\u01b0\u1edbc khi c\u00f3 bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean.<\/p>\n<h3><strong>Blood vessel damage<\/strong><\/h3>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng d\u1ec5 b\u1ecb x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, c\u00e1c m\u1ea1ch m\u00e1u b\u1ecb h\u1eb9p ho\u1eb7c t\u1eafc d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u nu\u00f4i. C\u00f3 th\u1ec3 x\u1ea3y ra tr\u00ean t\u1ea5t c\u1ea3 c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn ho\u1eb7c nh\u1ecf nh\u01b0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i,\u2026<\/p>\n<p>T\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u chi d\u01b0\u1edbi g\u00e2y ra t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u. Nh\u1eb9 c\u00f3 th\u1ec3 g\u00e2y ra bi\u1ebfn ch\u1ee9ng th\u1ea7n kinh, k\u00e9o d\u00e0i t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng,\u2026 n\u1eb7ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ho\u1ea1i t\u1eed chi, th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u t\u1eeb c\u00e1c ph\u1ea7n xa nh\u01b0 \u0111\u1ea7u ng\u00f3n sau \u0111\u00f3 lan l\u00ean cao.<\/p>\n<figure id=\"attachment_2049\" aria-describedby=\"caption-attachment-2049\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"size-medium wp-image-2049\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-300x188.jpg\" alt=\"Picture15\" width=\"300\" height=\"188\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-300x188.jpg 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15-18x12.jpg 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture15.jpg 320w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2049\" class=\"wp-caption-text\"><strong>Figure 20.3.<\/strong> Ho\u1ea1i t\u1eed kh\u00f4 do bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u<em>. Ngu\u1ed3n: Khoa Ngo\u1ea1i Ch\u1ea5n th\u01b0\u01a1ng Ch\u1ec9nh h\u00ecnh, B\u1ec7nh vi\u1ec7n Th\u1ed1ng Nh\u1ea5t TP.HCM<\/em><\/figcaption><\/figure>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng m\u1ea1ch m\u00e1u thay \u0111\u1ed5i t\u1eeb \u0111au c\u00e1ch h\u1ed3i khi v\u1eadn \u0111\u1ed9ng cho \u0111\u1ebfn \u0111au li\u00ean t\u1ee5c khi ngh\u1ec9 ng\u01a1i. \u0110\u1ea7u ti\u00ean, b\u1ec7nh nh\u00e2n s\u1ebd \u0111au khi \u0111i b\u1ed9, t\u1eadp th\u1ec3 d\u1ee5c, h\u1ebft \u0111au khi ngh\u1ec9. Tri\u1ec7u ch\u1ee9ng n\u1eb7ng d\u1ea7n cho \u0111\u1ebfn khi xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng ho\u1ea1i t\u1eed ph\u1ea7n xa b\u00e0n ch\u00e2n.<\/p>\n<h3><strong>Infection<\/strong><\/h3>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng v\u00e0 nhi\u1ec5m tr\u00f9ng k\u00e9o d\u00e0i do l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao l\u00e0m vi khu\u1ea9n ph\u00e1t tri\u1ec3n k\u00e8m theo c\u00e1c b\u1ec7nh m\u1ea1ch m\u00e1u v\u00e0 th\u1ea7n kinh ngo\u1ea1i bi\u00ean g\u00e2y ph\u00e1t hi\u1ec7n tr\u1ec5 v\u00e0 k\u00e9o d\u00e0i t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng.<\/p>\n<h3><strong>Ch\u1ea5n th\u01b0\u01a1ng<\/strong><\/h3>\n<p>Ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng khi g\u1eb7p ch\u1ea5n th\u01b0\u01a1ng th\u01b0\u1eddng d\u1ec5 b\u1ecf qua do m\u1ea5t c\u1ea3m gi\u00e1c \u1edf b\u00e0n ch\u00e2n. Ch\u1ea5n th\u01b0\u01a1ng l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng bi\u1ebfn d\u1ea1ng b\u00e0n ch\u00e2n. C\u00e1c v\u1ebft th\u01b0\u01a1ng d\u00f9 nh\u1ecf nh\u1ea5t c\u0169ng c\u00f3 th\u1ec3 nhi\u1ec5m tr\u00f9ng, lo\u00e9t c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 c\u1eaft <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/phuc-hoi-chuc-nang-benh-nhan-cut-chi\/\">amputee<\/a>.<\/p>\n<h3><strong>M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c<\/strong><\/h3>\n<ul>\n<li>Th\u00f3i quen sinh ho\u1ea1t mang gi\u00e0y v\u1edb nhi\u1ec1u d\u1ec5 g\u00e2y lo\u00e9t, nhi\u1ec5m tr\u00f9ng<\/li>\n<li>Th\u1eeba c\u00e2n, b\u00e9o ph\u00ec t\u0103ng \u00e1p l\u1ef1c l\u00ean b\u00e0n ch\u00e2n g\u00e2y bi\u1ebfn d\u1ea1ng, lo\u00e9t t\u00ec \u0111\u00e8<\/li>\n<li>H\u00fat thu\u1ed1c l\u00e1 l\u00e0m t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng b\u00e0n ch\u00e2n, l\u00e0m ch\u1eadm h\u1ea5p thu insulin.<\/li>\n<\/ul>\n<h2><strong>DIAGNOSE<\/strong><\/h2>\n<h3><strong>clinical<\/strong><\/h3>\n<ul>\n<li>M\u1ea1ch m\u00e1u: b\u1eaft m\u1ea1ch mu ch\u00e2n, \u0111\u00f9i y\u1ebfu ho\u1eb7c m\u1ea5t, th\u1eddi gian \u0111\u1ed5 \u0111\u1ea7y mao m\u1ea1ch t\u0103ng, da ch\u00e2n l\u1ea1nh<\/li>\n<li>Th\u1ea7n kinh: kh\u00e1m th\u1ea5y khuy\u1ebft c\u1ea3m gi\u00e1c rung, s\u1edd n\u00f4ng s\u00e2u, \u0111au v\u00e0 nhi\u1ec7t \u0111\u1ed9. Gi\u1ea3m ho\u1eb7c m\u1ea5t v\u1eadn \u0111\u1ed9ng g\u00e2n g\u00f3t, y\u1ebfu c\u01a1 teo c\u01a1<\/li>\n<li>C\u01a1 x\u01b0\u01a1ng: bi\u1ebfn d\u1ea1ng v\u00f2m ch\u00e2n cao, b\u00e0n ch\u00e2n b\u1eb9t, b\u00e0n ch\u00e2n r\u01a1i, b\u00e0n ch\u00e2n Charcot &#8211; Da: kh\u00f4, n\u1ea5m m\u00f3ng, m\u00f3ng qu\u1eb7p, t\u1ed5n th\u01b0\u01a1ng s\u1eebng m\u00f3ng.<\/li>\n<\/ul>\n<h3><strong>Subclinical<\/strong><\/h3>\n<ul>\n<li><a href=\"https:\/\/vi.wikipedia.org\/wiki\/Si%C3%AAu_%C3%A2m_Doppler\" target=\"_blank\" rel=\"noopener\">Si\u00eau \u00e2m Doppler<\/a> \u0111\u1ed9ng t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n h\u1eb9p, t\u00e1c \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi &#8211; C\u00f3 th\u1ec3 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ho\u1eb7c c\u1ed9ng h\u01b0\u1edfng t\u1eeb khi c\u1ea7n<\/li>\n<li><a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/x-quang-trong-chan-thuong-chinh-hinh\/\">X-ray<\/a> b\u00e0n ch\u00e2n ki\u1ec3m tra \u0111\u00e1nh gi\u00e1 bi\u1ebfn d\u1ea1ng t\u1ed5n th\u01b0\u01a1ng x\u01b0\u01a1ng kh\u1edbp, <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">inflammation of the bone<\/a>,\u2026<\/li>\n<\/ul>\n<p><strong>Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng theo Wagner<\/strong><\/p>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\u0110\u1ed9 0: Kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng, nh\u01b0ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/li>\n<li>\u0110\u1ed9 1: Lo\u00e9t tr\u00ean b\u1ec1 m\u1eb7t<\/li>\n<li>\u0110\u1ed9 2: Lo\u00e9t t\u1edbi g\u00e2n c\u01a1, x\u01b0\u01a1ng kh\u1edbp<\/li>\n<li>\u0110\u1ed9 3: <a href=\"https:\/\/bsvothanhtoan.com\/en\/bai-giang\/viem-xuong-tuy\/\">Vi\u00eam t\u1ee7y<\/a> x\u01b0\u01a1ng ho\u1eb7c \u00e1p-xe v\u00f9ng s\u00e2u<\/li>\n<li>\u0110\u1ed9 4: Ho\u1ea1i t\u1eed khu tr\u00fa ng\u00f3n ch\u00e2n, ph\u1ea7n xa b\u00e0n ch\u00e2n, g\u00f3t ch\u00e2n &#8211; \u0110\u1ed9 5: Ho\u1ea1i t\u1eed r\u1ed9ng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<figure id=\"attachment_2050\" aria-describedby=\"caption-attachment-2050\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-medium wp-image-2050\" src=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2-300x102.png\" alt=\"Picture16\" width=\"300\" height=\"102\" title=\"\" srcset=\"https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2-300x102.png 300w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2-1024x347.png 1024w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2-768x260.png 768w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2-1536x521.png 1536w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2-18x6.png 18w, https:\/\/bsvothanhtoan.com\/wp-content\/uploads\/2023\/06\/Picture16-2.png 1752w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-2050\" class=\"wp-caption-text\"><strong>H\u00ecnh 20.4.<\/strong> M\u00f4 t\u1ea3 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng theo ph\u00e2n \u0111\u1ed9 Wagner. <em>Ngu\u1ed3n: Dr. Vijay Thakore, \u201cStages of <\/em><br \/>\n<em>Diabetic \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 foot \u00a0\u00a0\u00a0\u00a0\u00a0 Ulcer\u201d,\u00a0<\/em><\/figcaption><\/figure>\n<h2><strong>TREATMENT<\/strong><\/h2>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb t\u1ed5ng qu\u00e1t<\/strong><\/h3>\n<ul>\n<li>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n<li>Ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng, dinh d\u01b0\u1ee1ng<\/li>\n<li>\u0110\u1ea3m b\u1ea3o t\u01b0\u1edbi m\u00e1u, tr\u00e1nh t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u<\/li>\n<li>Ki\u1ec3m so\u00e1t nhi\u1ec5m tr\u00f9ng<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh ph\u1ed1i h\u1ee3p.<\/li>\n<\/ul>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7<\/strong><\/h3>\n<ul>\n<li>Lo\u00e9t n\u00f4ng: lo\u1ea1i b\u1ecf t\u1ed5n th\u01b0\u01a1ng x\u01a1 chai \u0111\u1ec3 l\u1ed9 lo\u00e9t n\u00f4ng<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng b\u00e0n ch\u00e2n: c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi kh\u00e1ng sinh \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, n\u1eb1m ngh\u1ec9 h\u1ea1n ch\u1ebf \u0111i l\u1ea1i<\/li>\n<li>Ho\u1ea1i t\u1eed b\u00e0n ch\u00e2n: b\u1ea3o t\u1ed3n t\u1ed1i \u0111a, c\u1eaft l\u1ecdc tri\u1ec7t \u0111\u1ec3 ho\u1ea1i t\u1eed<\/li>\n<li>C\u00e1c v\u1ebft lo\u00e9t, nhi\u1ec5m tr\u00f9ng, ho\u1ea1i t\u1eed sau x\u1eed l\u00fd v\u1ebft th\u01b0\u01a1ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c k\u1ef9, thay b\u0103ng th\u01b0\u1eddng xuy\u00ean, c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 l\u00e0nh v\u1ebft th\u01b0\u01a1ng nh\u01b0 ch\u1ebf ph\u1ea9m gi\u00fap t\u0103ng tr\u01b0\u1edfng m\u00f4, t\u1ebf b\u00e0o g\u1ed1c,\u2026<\/li>\n<\/ul>\n<h2><strong>T\u1ef0 CH\u0102M S\u00d3C B\u00c0N CH\u00c2N CHO NG\u01af\u1edcI \u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG<\/strong><\/h2>\n<ul>\n<li>Ki\u1ec3m tra b\u00e0n ch\u00e2n h\u00e0ng ng\u00e0y: t\u1ef1 ki\u1ec3m tra t\u1eeb tr\u00ean xu\u1ed1ng xem c\u00f3 v\u1ebft th\u01b0\u01a1ng, x\u00e2y x\u00e1t, ph\u1ed3ng r\u1ed9p, m\u00f3ng qu\u1eb7p, bi\u1ebfn d\u1ea1ng ng\u00f3n,\u2026<\/li>\n<li>V\u1ec7 sinh b\u00e0n ch\u00e2n s\u1ea1ch s\u1ebd: r\u1eeda ch\u00e2n b\u1eb1ng x\u00e0 ph\u00f2ng v\u00e0 n\u01b0\u1edbc \u1ea5m h\u1eb1ng ng\u00e0y, c\u1eaft m\u00f3ng ch\u00e2n th\u01b0\u1eddng xuy\u00ean kh\u00f4ng c\u1eaft s\u00e1t<\/li>\n<li>B\u1ea3o v\u1ec7 b\u00e0n ch\u00e2n: lu\u00f4n mang gi\u00e0y d\u00e9p bao k\u00edn ng\u00f3n v\u00e0 g\u00f3t ch\u00e2n \u0111\u1ec3 tr\u00e1nh va ch\u1ea1m, mang v\u1edb gi\u1eef \u1ea9m, tr\u00e1nh mang gi\u00e0y d\u00e9p qu\u00e1 ch\u1eadt<\/li>\n<li>C\u1ea9n th\u1eadn v\u1edbi nhi\u1ec7t \u0111\u1ed9: tr\u00e1nh \u0111\u1ec3 ch\u00e2n qu\u00e1 l\u1ea1nh ho\u1eb7c qu\u00e1 n\u00f3ng, kh\u00f4ng s\u01b0\u1edfi \u1ea5m b\u1eb1ng l\u00f2 than, kh\u00f4ng d\u00f9ng ch\u00e2n th\u1eed nhi\u1ec7t \u0111\u1ed9 n\u01b0\u1edbc, kh\u00f4ng ng\u00e2m ch\u00e2n x\u00f4ng h\u01a1i<\/li>\n<li>Gi\u1eef m\u1ea1ch m\u00e1u l\u01b0u th\u00f4ng: k\u00ea cao ch\u00e2n khi c\u00f3 th\u1ec3, kh\u00f4ng ng\u1ed3i x\u1ed5m, b\u1eaft ch\u00e9o ch\u00e2n l\u00e2u, kh\u00f4ng mang v\u1edb qu\u00e1 ch\u1eadt, t\u1eadp v\u1eadn \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/li>\n<li style=\"list-style-type: none;\">\u00a0<\/li>\n<\/ul>","protected":false},"featured_media":2280,"comment_status":"open","ping_status":"closed","template":"","tags":[178,225],"chuyen-muc":[61],"class_list":["post-2046","bai-giang","type-bai-giang","status-publish","has-post-thumbnail","hentry","tag-ban-chan-dai-thao-duong","tag-dai-thao-duong","chuyen-muc-benh-ly"],"_links":{"self":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2046","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=2046"}],"version-history":[{"count":0,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/bai-giang\/2046\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media\/2280"}],"wp:attachment":[{"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/media?parent=2046"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/tags?post=2046"},{"taxonomy":"chuyen-muc","embeddable":true,"href":"https:\/\/bsvothanhtoan.com\/en\/wp-json\/wp\/v2\/chuyen-muc?post=2046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}