“B\u1ed1 t\u00f4i g\u1ea7n 70 tu\u1ed5i nh\u01b0ng c\u00f2n sung s\u1ee9c, lao \u0111\u1ed9ng t\u1ed1t, \u0103n ng\u1ee7 b\u00ecnh th\u01b0\u1eddng. V\u1eeba r\u1ed3i c\u1ee5 \u0111o huy\u1ebft \u00e1p, ch\u1ec9 s\u1ed1 l\u00e0 140\/100; c\u00f3 ng\u01b0\u1eddi n\u00f3i cao, c\u00f3 ng\u01b0\u1eddi cho l\u00e0 b\u00ecnh th\u01b0\u1eddng. C\u00e1ch \u0111o hi\u1ec7n nay kh\u00f4ng gi\u1ed1ng nhau. V\u1eady c\u00e1ch \u0111o n\u00e0o t\u1ed1t nh\u1ea5t, v\u00e0 ch\u1ec9 s\u1ed1 c\u1ee7a ng\u01b0\u1eddi cao huy\u1ebft \u00e1p l\u00e0 bao nhi\u00eau?”.<\/p>\n\n\n\n
V\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i nh\u01b0 c\u1ee5 nh\u00e0, ch\u00fang t\u00f4i xin gi\u1edbi thi\u1ec7u m\u1ed9t c\u00e1ch t\u00ednh m\u1ee9c huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng \u0111\u01a1n gi\u1ea3n theo t\u1eeb \u0111i\u1ec3n y h\u1ecdc Flammarion n\u0103m 1994 c\u1ee7a Ph\u00e1p: Huy\u1ebft \u00e1p t\u1ed1i \u0111a = S\u1ed1 h\u00e0ng ch\u1ee5c c\u1ee7a tu\u1ed5i + 10, Huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u = Huy\u1ebft \u00e1p t\u1ed1i \u0111a + 01.<\/p>\n\n\n\n
C\u0169ng theo t\u1eeb \u0111i\u1ec3n n\u00e0y, cao huy\u1ebft \u00e1p l\u00e0 khi \u1edf tr\u1ea1ng th\u00e1i ngh\u1ec9 ng\u01a1i m\u00e0 huy\u1ebft \u00e1p t\u1ed1i \u0111a (l\u00fac tim co b\u00f3p, g\u1ecdi l\u00e0 t\u00e2m thu) b\u1eb1ng ho\u1eb7c tr\u00ean 17 cm Hg, v\u00e0 huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u (l\u00fac tim ngh\u1ec9 ng\u01a1i, g\u1ecdi l\u00e0 t\u00e2m tr\u01b0\u01a1ng) b\u1eb1ng ho\u1eb7c tr\u00ean 10 cm Hg. Theo \u0111\u00f3 th\u00ec ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p l\u00fd thuy\u1ebft c\u1ee7a c\u1ee5 nh\u00e0 (70 tu\u1ed5i) l\u00e0: Huy\u1ebft \u00e1p t\u1ed1i \u0111a = 7 + 10 = 17 cm Hg (170); Huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u = 17 + 01 = 9,5 cm Hg (95).<\/p>\n\n\n\n
B\u1ea1n n\u00f3i huy\u1ebft \u00e1p c\u1ee7a c\u1ee5 l\u00e0 140\/100. Ch\u00fang ta ki\u1ec3m tra l\u1ea1i m\u1ed9t l\u1ea7n n\u1eefa cho ch\u1eafc ch\u1eafn: \u0110\u1ec3 c\u1ee5 n\u1eb1m ng\u1eeda tho\u1ea3i m\u00e1i tr\u00ean gi\u01b0\u1eddng (kh\u00f4ng l\u1ea5y huy\u1ebft \u00e1p khi ng\u1ed3i). N\u00ean \u0111o v\u00e0o m\u1ed9t th\u1eddi \u0111i\u1ec3m nh\u1ea5t \u0111\u1ecbnh trong ng\u00e0y \u0111\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c nh\u1eefng \u0111i\u1ec1u ki\u1ec7n t\u01b0\u01a1ng t\u1ef1.<\/p>\n\n\n\n
B\u00f3p b\u00f3ng cho l\u00ean cao tr\u00ean 200 r\u1ed3i b\u1eaft \u0111\u1ea7u nghe t\u1eeb \u0111\u00f3 (kh\u00f4ng nghe t\u1eeb 150-140 \u0111\u1ec3 lo\u1ea1i tr\u1eeb hi\u1ec7n t\u01b0\u1ee3ng nghe \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p t\u1ed1i \u0111a l\u00fac kh\u1edfi \u0111\u1ea7u, nh\u01b0ng ngay sau \u0111\u00f3 b\u1ecb ng\u1eaft qu\u00e3ng; n\u1ebfu ch\u1ec9 l\u1ea5y t\u1eeb m\u1ee9c cao h\u01a1n th\u00ec d\u1ec5 t\u01b0\u1edfng nh\u1ea7m s\u1ed1 \u0111o n\u00e0y l\u00e0 c\u1ee7a huy\u1ebft \u00e1p t\u1ed1i \u0111a).<\/p>\n\n\n\n
V\u1edbi huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u, ta theo d\u00f5i cho \u0111\u1ebfn khi kh\u00f4ng c\u00f2n nghe \u0111\u01b0\u1ee3c n\u1eefa ho\u1eb7c nghe \u00e2m s\u1eafc c\u1ee7a ti\u1ebfng \u0111\u1eadp thay \u0111\u1ed5i h\u1eb3n (\u0111\u1ec3 lo\u1ea1i tr\u1eeb kho\u1ea3ng im \u1eafng ngay ph\u00eda tr\u00ean huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u, l\u00e0m ta t\u01b0\u1edfng nh\u1ea7m \u0111\u00f3 l\u00e0 s\u1ed1 \u0111o c\u1ee7a huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u.<\/p>\n\n\n\n
N\u1ebfu k\u1ebft qu\u1ea3 ki\u1ec3m tra l\u1ea1i v\u1eabn th\u1ebf th\u00ec, \u0111\u1ed1i chi\u1ebfu v\u1edbi t\u00e0i li\u1ec7u n\u00f3i tr\u00ean, huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u c\u1ee7a c\u1ee5 t\u0103ng ch\u00fat \u00edt (\u0111\u00e1ng l\u1ebd l\u00e0 95 th\u00ec \u1edf \u0111\u00e2y l\u00e0 100). Trong khi \u0111\u00f3, huy\u1ebft \u00e1p t\u1ed1i \u0111a c\u1ee7a c\u1ee5 kh\u00f4ng kh\u00e1c g\u00ec \u1edf ng\u01b0\u1eddi 40 tu\u1ed5i (\u1edf c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean, nh\u1eefng ng\u01b0\u1eddi lu\u00f4n th\u01b0 gi\u00e3n v\u00e0 ho\u1ea1t \u0111\u1ed9ng, kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, s\u1ed1ng trong m\u00f4i tr\u01b0\u1eddng l\u00e0nh m\u1ea1nh\u2026 c\u0169ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u01b0\u01a1ng t\u1ef1). B\u1ea1n kh\u00f4ng c\u00f3 g\u00ec ph\u1ea3i lo l\u1eafng \u0111\u1eb7c bi\u1ec7t, ch\u1ec9 c\u1ea7n nh\u1eafc c\u1ee5 gi\u1eef s\u1ee9c khi lao \u0111\u1ed9ng, khi thay \u0111\u1ed5i th\u1eddi ti\u1ebft, v\u00e0 khuy\u1ebfn kh\u00edch c\u1ee5 d\u00f9ng d\u1ea7u th\u1ef1c v\u1eadt ho\u1eb7c \u0103n chay.<\/p>\n\n\n\n
Theo s\u1ed1 li\u1ec7u JNC n\u0103m 1998 c\u1ee7a M\u1ef9, ch\u1ec9 g\u1ed9i l\u00e0 cao huy\u1ebft \u00e1p khi huy\u1ebft \u00e1p t\u1ed1i \u0111a tr\u00ean 140 ho\u1eb7c huy\u1ebft \u00e1p t\u1ed1i thi\u1ec3u tr\u00ean 90. \u1ede Vi\u1ec7t Nam, trong khi ch\u01b0a c\u00f3 s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea l\u1edbn, c\u00f3 th\u1ec3 t\u00f9y theo tu\u1ed5i t\u00e1c m\u00e0 v\u1eadn d\u1ee5ng linh ho\u1ea1t c\u00e1c s\u1ed1 li\u1ec7u c\u1ee7a hai n\u01b0\u1edbc n\u00f3i tr\u00ean.<\/p>\n","protected":false},"excerpt":{"rendered":"
“B\u1ed1 t\u00f4i g\u1ea7n 70 tu\u1ed5i nh\u01b0ng c\u00f2n sung s\u1ee9c, lao \u0111\u1ed9ng t\u1ed1t, \u0103n ng\u1ee7 b\u00ecnh th\u01b0\u1eddng. V\u1eeba r\u1ed3i c\u1ee5 \u0111o huy\u1ebft \u00e1p, ch\u1ec9 s\u1ed1 l\u00e0 140\/100; c\u00f3 ng\u01b0\u1eddi n\u00f3i cao, c\u00f3 ng\u01b0\u1eddi cho l\u00e0 b\u00ecnh th\u01b0\u1eddng. C\u00e1ch \u0111o hi\u1ec7n nay kh\u00f4ng gi\u1ed1ng nhau. V\u1eady c\u00e1ch \u0111o n\u00e0o t\u1ed1t nh\u1ea5t, v\u00e0 ch\u1ec9 s\u1ed1 c\u1ee7a ng\u01b0\u1eddi cao […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_disable_autopaging":false},"categories":[21],"tags":[],"class_list":["post-11763","post","type-post","status-publish","format-standard","hentry","category-y-hoc"],"_links":{"self":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/11763","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/comments?post=11763"}],"version-history":[{"count":0,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/11763\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/media?parent=11763"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/categories?post=11763"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/tags?post=11763"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}