N\u0103m 1990, t\u00f4i \u0111\u01b0\u1ee3c m\u1ed5 vi\u00eam ru\u1ed9t th\u1eeba, n\u1eb1m vi\u1ec7n 7 ng\u00e0y th\u00ec \u0111\u01b0\u1ee3c cho v\u1ec1 nh\u00e0. Ng\u00e0y th\u1ee9 8, ph\u1ea3i tr\u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n m\u1ed5 l\u1ea7n th\u1ee9 2 v\u00ec t\u1eafc ru\u1ed9t; sau \u0111\u00f3 2 n\u0103m, m\u1ed5 l\u1ea7n th\u1ee9 3; sau \u0111\u00f3 1 n\u0103m m\u1ed5 l\u1ea7n th\u1ee9 4. Nh\u01b0 v\u1eady l\u00e0 sau khi m\u1ed5 vi\u00eam ru\u1ed9t th\u1eeba, t\u00f4i \u0111\u00e3 b\u1ecb m\u1ed5 t\u1eafc ru\u1ed9t t\u1edbi 4 l\u1ea7n. Xin cho bi\u1ebft \u1edf \u0111\u00e2u c\u00f3 th\u1ec3 m\u1ed5 \u0111\u01b0\u1ee3c kh\u1ecfi h\u1eb3n v\u00e0 l\u00fd do t\u1ea1i st\u1eafc ru\u1ed9t nhi\u1ec1u l\u1ea7n nh\u01b0 v\u1eady?<\/p>\n\n\n\n
B\u1ea1n n\u00f3i “m\u1ed5 vi\u00eam ru\u1ed9t th\u00f9a” e r\u1eb1ng ch\u01b0a \u0111\u1ea7y \u0111\u1ee7, b\u1edfi v\u00ec vi\u00eam ru\u1ed9t th\u1eeba c\u1ea5p (VRTC) \u0111\u01b0\u1ee3c m\u1ed5 s\u1edbm trong v\u00f2ng 2 gi\u1edd \u0111\u1ea7u h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng g\u00ec v\u1ec1 sau.<\/p>\n\n\n\n
Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a b\u1ea1n tr\u01b0\u1edbc \u0111\u00e2y c\u00f3 th\u1ec3 n\u1eb1m v\u00e0o m\u1ed9t trong hai t\u00ecnh hu\u1ed1ng sau \u0111\u00e2y: a) VRTC \u0111\u1ec3 mu\u1ed9n c\u00f3 vi\u00eam m\u00e0ng b\u1ee5ng c\u1ee5c b\u1ed9. b) Vi\u00eam m\u00e0ng b\u1ee5ng to\u00e0n th\u1ec3 (VMBTT) do VRTC \u0111\u1ec3 mu\u1ed9n.<\/p>\n\n\n\n
N\u1ebfu theo t\u00ecnh hu\u1ed1ng (a), th\u00ec khi b\u1ecb t\u1eafc ru\u1ed9t l\u1ea7n 1, ru\u1ed9t d\u00ednh kh\u00f4ng r\u1ed9ng, ch\u1ee7 y\u1ebfu l\u00e0 \u1edf h\u1ed1 ch\u1eadu ph\u1ea3i; v\u00e0 sau \u0111\u00f3, m\u1ed7i l\u1ea7n m\u1ed5 l\u1ea1i \u0111\u00e3 l\u00e0m t\u0103ng nguy c\u01a1 d\u00ednh ti\u1ebfp.<\/p>\n\n\n\n
N\u1ebfu theo t\u00ecnh hu\u1ed1ng (b), th\u00ec nguy c\u01a1 d\u00ednh ru\u1ed9t ngay sau khi m\u1ed5 VMBTT r\u1ea5t cao, th\u1eadm ch\u00ed ph\u1ea3i m\u1ed5 x\u1eed tr\u00ed t\u1eafc ru\u1ed9t ngay trong tu\u1ea7n l\u1ec5 \u0111\u1ea7u ti\u00ean, khi \u0111ang n\u1eb1m vi\u1ec7n; v\u00e0 nguy c\u01a1 \u0111\u00f3, bao gi\u1edd ph\u1eabu thu\u1eadt vi\u00ean c\u0169ng c\u1ea3nh b\u00e1o cho th\u00e2n nh\u00e2n, sau khi m\u1ed5 xong VMBTT.<\/p>\n\n\n\n
V\u1ec1 \u0111i\u1ec1u tr\u1ecb t\u1eafc ru\u1ed9t t\u00e1i ph\u00e1t, c\u00f3 hai th\u00e1i \u0111\u1ed9 tr\u00e1i ng\u01b0\u1ee3c nhau: 1. X\u1eed tr\u00ed t\u1ed1i thi\u1ec3u: G\u1ee1 d\u00ednh \u0111\u01a1n thu\u1ea7n (c\u00f3 th\u1ec3 b\u01a1m m\u1ed9t dung d\u1ecbch n\u00e0o \u0111\u00f3 v\u00e0o \u1ed5 b\u1ee5ng v\u1edbi hy v\u1ecdng h\u1ea1n ch\u1ebf d\u00ednh). N\u1ebfu t\u1eafc l\u1ea1i: m\u1ed5! T\u1eafc l\u1ea1i n\u1eefa: m\u1ed5 n\u1eefa! 2. X\u1eed l\u00fd tri\u1ec7t \u0111\u1ec3: G\u1ee1 d\u00ednh, xong x\u1ebfp to\u00e0n b\u1ed9 c\u00e1c quai ru\u1ed9t non v\u00e0o m\u1ed9t t\u01b0 th\u1ebf sinh l\u00fd, r\u1ed3i c\u1ed1 \u0111\u1ecbnh ch\u00fang l\u1ea1i. Th\u1ebf l\u00e0 ch\u1ed7 n\u00e0o d\u00ednh ti\u1ebfp c\u1ee9 d\u00ednh, nh\u01b0ng kh\u00f4ng c\u00f2n g\u00e2y ra t\u1eafc ru\u1ed9t n\u1eefa. Th\u1ee7 thu\u1eadt n\u00e0y do T.B. Noble, ph\u1eabu thu\u1eadt vi\u00ean ng\u01b0\u1eddi M\u1ef9, c\u00f4ng b\u1ed1 n\u0103m 1937, \u0111\u1ebfn n\u0103m 1960 \u0111\u01b0\u1ee3c W.A Childs v\u00e0 R.B. Phillips c\u1ea3i ti\u1ebfn b\u1eb1ng c\u00e1ch xuy\u00ean ch\u1ec9 c\u1ed1 \u0111\u1ecbnh c\u00e1c n\u1ebfp g\u1ea5p m\u1ea1c treo (thay v\u00ec kh\u00e2u tr\u00ean th\u00e0nh ru\u1ed9t), th\u1eddi gian th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c r\u00fat ng\u1eafn h\u01a1n nhi\u1ec1u.<\/p>\n\n\n\n
\u1ede n\u01b0\u1edbc ta, Gi\u00e1o s\u01b0 Nguy\u1ec5n Trinh C\u01a1, B\u1ec7nh vi\u1ec7n Vi\u1ec7t-\u0110\u1ee9c, H\u00e0 N\u1ed9i, l\u00e0 ng\u01b0\u1eddi \u0111i ti\u00ean phong trong vi\u1ec7c \u1ee9ng d\u1ee5ng th\u1ee7 thu\u1eadt n\u00e0y t\u1eeb n\u0103m 1965, nh\u01b0ng gi\u00e1o s\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eefng ng\u01b0\u1eddi ph\u1ee5 tr\u00e1ch \u1ee7ng h\u1ed9, n\u00ean ch\u1ec9 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c tr\u00ean d\u01b0\u1edbi 15 tr\u01b0\u1eddng h\u1ee3p r\u1ed3i th\u00f4i. Trong khi \u0111\u00f3, t\u1ea1i m\u1ed9t b\u1ec7nh vi\u1ec7n kh\u00e1c, t\u1eeb 1966 \u0111\u1ebfn 1976, m\u1ed9t b\u00e1c s\u0129 thu\u1ed9c l\u1edbp \u0111\u00e0n em c\u00f3 \u0111i\u1ec1u ki\u1ec7n th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt n\u00e0y cho 70 b\u1ec7nh nh\u00e2n t\u1eafc ru\u1ed9t, ch\u1ee7 y\u1ebfu l\u00e0 t\u1eafc ru\u1ed9t do d\u00ednh t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, theo d\u00f5i li\u00ean t\u1ee5c k\u1ebft q\u1ee7a sau 6-17 n\u0103m, th\u1ea5y k\u1ebft q\u1ee7a t\u1ed1t (lu\u1eadn \u00e1n ti\u1ebfn s\u0129 y h\u1ecdc trong n\u01b0\u1edbc n\u0103m 1984).<\/p>\n\n\n\n
T\u1edbi nay, th\u1ee7 thu\u1eadt \u0111\u01a1n gi\u1ea3n v\u00e0 an to\u00e0n n\u00e0y \u00edt \u0111\u01b0\u1ee3c l\u1edbp tr\u1ebb bi\u1ebft \u0111\u1ebfn \u0111\u1ec3 c\u00f3 th\u1ec3 v\u1eadn d\u1ee5ng khi c\u1ea7n thi\u1ebft.<\/p>\n","protected":false},"excerpt":{"rendered":"
N\u0103m 1990, t\u00f4i \u0111\u01b0\u1ee3c m\u1ed5 vi\u00eam ru\u1ed9t th\u1eeba, n\u1eb1m vi\u1ec7n 7 ng\u00e0y th\u00ec \u0111\u01b0\u1ee3c cho v\u1ec1 nh\u00e0. Ng\u00e0y th\u1ee9 8, ph\u1ea3i tr\u1edf l\u1ea1i b\u1ec7nh vi\u1ec7n m\u1ed5 l\u1ea7n th\u1ee9 2 v\u00ec t\u1eafc ru\u1ed9t; sau \u0111\u00f3 2 n\u0103m, m\u1ed5 l\u1ea7n th\u1ee9 3; sau \u0111\u00f3 1 n\u0103m m\u1ed5 l\u1ea7n th\u1ee9 4. Nh\u01b0 v\u1eady l\u00e0 sau khi m\u1ed5 vi\u00eam […]<\/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-12504","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\/12504","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=12504"}],"version-history":[{"count":0,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/12504\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/media?parent=12504"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/categories?post=12504"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/tags?post=12504"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}