๐“๐ˆรŠ๐Œ (๐“๐‡๐”แป๐‚) ๐•ร€ ๐“๐‘๐”๐˜แป€๐ ๐ƒแปŠ๐‚๐‡ (๐“๐‘๐”๐˜แป€๐ ๐ฦฏแปš๐‚ ๐๐ˆแป‚๐) ๐“๐‘๐Ž๐๐† ๐“๐ˆแบพ๐๐† ๐‡ร€๐ ๐‹ร€ ๐†รŒ?

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Lรบc cรฒn แปŸ Viแป‡t Nam, mรฌnh hay thแบฅy nhiแปu trฦฐแปng hแปฃp cรกc bรกc cรกc cรด cแปฉ mแป‡t trong ngฦฐแปi lร  rแปง nhau tแป›i nhร  cแปงa y sฤฉ hoแบทc y tรก, bรกc sฤฉ hoแบทc gแปi hแป tแป›i nhร  ฤ‘แปƒ truyแปn nฦฐแป›c biแปƒn ( hay cรฒn gแปi lร  truyแปn ฤ‘แบกm, truyแปn dแป‹ch) rแบฅt dแป… dร ng. Lรบc nhแป mรฌnh ngu ngฦก cรฒn nghฤฉ nฦฐแป›c biแปƒn ฤ‘รณ lร  nฦฐแป›c แปŸ ngoร i biแปƒn ฤ‘em vรด nแปฏa cฦก ^^. Hiแป‡n giแป, thแป‰nh thoแบฃng gแปi ฤ‘iแป‡n vแป cho mแบน sแบตn tiแป‡n hแปi thฤƒm cรกc cรด chรบ hร ng xรณm thรฌ ฤ‘ฦฐแปฃc biแบฟt hiแป‡n vแบซn cรฒn rแบฅt nhiแปu ngฦฐแปi truyแปn dแป‹ch kiแปƒu nhฦฐ vแบญy. แปž Hร n Quแป‘c thรฌ khรกc, chแป‰ cรณ bแป‡nh viแป‡n (๋ณ‘์›) hoแบทc phรฒng khรกm (์˜์›) mแป›i cรณ khแบฃ nฤƒng cho truyแปn dแป‹ch. Tรนy vร o tรฌnh hรฌnh sแปฉc khแปe cแปงa bแป‡nh nhรขn, bรกc sฤฉ cรณ thแปƒ sแบฝ yรชu cแบงu lร m mแป™t sแป‘ xรฉt nghiแป‡m (mรกu, nฦฐแป›c tiแปƒuโ€ฆ) vร  chแบฉn ฤ‘oรกn kแปน lฦฐแปกng trฦฐแป›c khi cho truyแปn dแป‹ch. Bรกc sฤฉ lร  ngฦฐแปi truyแปn y lแป‡nh (์ง€์‹œ, ์˜ค๋”-order) vร  phแบฃi giรกm sรกt, chแป‹u trรกch nhiแป‡m trong suแป‘t quรก trรฌnh truyแปn dแป‹ch.
Cรนng mรฌnh hแปc mแป™t sแป‘ tแปซ vแปฑng tiแบฟng Hร n liรชn quan ฤ‘แบฟn truyแปn dแป‹ch nhรฉ.
์ˆ˜์•ก์ฃผ์‚ฌ (๋ง๊ฑฐ): dแป‹ch truyแปn (IV fluid OR IV hydration)
์ˆ˜์•ก์ฃผ์‚ฌ (๋ง๊ฑฐ)์„ ๋†“๋‹ค: truyแปn dแป‹ch
์ˆ˜์•ก์ฃผ์‚ฌ (๋ง๊ฑฐ)์„ ๋งž๋‹ค: ฤ‘ฦฐแปฃc truyแปn dแป‹ch
์ฃผ์‚ฌ: mลฉi tiรชm
์ฃผ์‚ฌ๋ฅผ ๋†“๋‹ค: tiรชm
์ฃผ์‚ฌ๋ฅผ ๋งž๋‹ค: ฤ‘ฦฐแปฃc tiรชm
์ฃผ์‚ฌ์‹ค: Phรฒng tiรชm
์ €ํฌ ์–ด๋จธ๋‹ˆ๊ฐ€ ์š”์ฆ˜ ๋งŽ์ด ํ”ผ๊ณคํ•ดํ•˜์…”์„œ์š”. ๋ง๊ฒ” ๋งž๊ณ  ์‰ฌ๊ณ  ์‹ถ์–ด ํ•˜์‹œ๋Š”๋ฐ์š”. ๊ฐ€๋Šฅํ• ๊นŒ์š”?"
Nhแปฏng nhรณm dแป‹ch truyแปn phแป• biแบฟn: Cรณ 3 loแบกi truyแปn nฦฐแป›c phแป• biแบฟn tรนy thuแป™c vร o mแปฅc ฤ‘รญch ฤ‘iแปu trแป‹ nhฦฐ sau:
Cung cแบฅp dฦฐแปกng chแบฅt cho cฦก thแปƒ ์˜์–‘ ๋ณด์ถฉํ•ด ์ฃผ๋Š” ์˜์–‘์ˆ˜์•ก: ฤฦฐแปฃc sแปญ dแปฅng ฤ‘แปƒ truyแปn cho nhแปฏng ngฦฐแปi cฦก thแปƒ suy nhฦฐแปฃc, khรดng ฤƒn uแป‘ng ฤ‘ฦฐแปฃc bแบฑng miแป‡ng, trฦฐแป›c vร  sau phแบซu thuแบญt. Bao gแป“m: glucose (ํฌ๋„๋‹น )nhiแปu nแป“ng ฤ‘แป™ 5%, 10%, 20%,... cรกc loแบกi chแบฅt ฤ‘แบกm (๋‹จ๋ฐฑ์งˆ) , chแบฅt bรฉo (์ง€๋ฐฉ), vitamin (๋น„ํƒ€๋ฏผ).
Cung cแบฅp nฦฐแป›c vร  chแบฅt ฤ‘iแป‡n giแบฃi ์ˆ˜๋ถ„๊ณผ ์ „ํ•ด์งˆ ๊ณต๊ธ‰ํ•˜๋Š” ๊ธฐ์ดˆ์ˆ˜์•ก: ฤฦฐแปฃc sแปญ dแปฅng cho bแป‡nh nhรขn bแป‹ mแบฅt nฦฐแป›c (ํƒˆ์ˆ˜), mแบฅt mรกu (์ถœํ˜ˆ) do tiรชu chแบฃy (์„ค์‚ฌ), ngแป™ ฤ‘แป™c (์ค‘๋…),... Bao gแป“m: Dung dแป‹ch NaCl 0,9%, bicarbonate natri 1,4%, lactate ringer.
Nhรณm ฤ‘แบทc biแป‡t ํŠน์ˆ˜๊ธฐ๋Šฅ์šฉ ํŠน์ˆ˜์ˆ˜์•ก : ฤฦฐแปฃc sแปญ dแปฅng trong trฦฐแปng hแปฃp bแป‡nh nhรขn cแบงn bรน dแป‹ch tuแบงn hoร n trong cฦก thแปƒ hoแบทc bรน nhanh albumin. Bao gแป“m: dung dแป‹ch chแปฉa albumin, dung dแป‹ch cao phรขn tแปญ, dung dแป‹ch dextran, huyแบฟt tฦฐฦกng tฦฐฦกi,...
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