Dinh d\u01b0\u1ee1ng l\u00e0 m\u1ed9t kh\u00eda c\u1ea1nh thi\u1ebft y\u1ebfu trong c\u00f4ng t\u00e1c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n li\u1ec7t t\u1ee7y. \u1ede giai \u0111o\u1ea1n c\u1ea5p t\u00ednh, b\u1ec7nh nh\u00e2n t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 chuy\u1ec3n h\u00f3a, nhu c\u1ea7u dinh d\u01b0\u1ee1ng do \u0111\u00f3 c\u0169ng t\u0103ng. V\u1ec1 giai \u0111o\u1ea1n m\u1ea1n t\u00ednh, b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng \u00edt n\u0103ng l\u01b0\u1ee3ng h\u01a1n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. C\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng c\u00f3 nguy c\u01a1 cao b\u1ecb b\u00e9o ph\u00ec, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a, c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch, c\u0169ng nh\u01b0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ef1c k\u1ef3 ph\u1ed5 bi\u1ebfn v\u00e0 kh\u00f3 x\u1eed tr\u00ed n\u1ebfu \u0111\u1ebfn mu\u1ed9n, \u0111\u00f3 l\u00e0 lo\u00e9t do t\u00ec \u0111\u00e8.<\/p>\n
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Do nh\u1eefng kh\u00e1c bi\u1ec7t v\u1ec1 v\u1ea5n \u0111\u1ec1 th\u1ec3 ch\u1ea5t, ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI) r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ch\u00ednh x\u00e1c v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng. Hai ph\u01b0\u01a1ng ph\u00e1p t\u00ednh s\u1ef1 gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng th\u1ec3 tr\u1ecdng d\u00e0nh cho b\u1ec7nh nh\u00e2n li\u1ec7t tu\u1ef7 t\u00ednh theo s\u1ed1 c\u00e2n ho\u1eb7c s\u1ed1 ph\u1ea7n tr\u0103m \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t nh\u01b0 sau:<\/p>\n
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\u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n li\u1ec7t t\u1ee7y, \u0111o calories gi\u00e1n ti\u1ebfp l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng \u1edf b\u1ec7nh nh\u00e2n t\u00ecnh tr\u1ea1ng n\u1eb7ng. C\u00f4ng th\u1ee9c Harris-Benedict \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 t\u00ednh s\u1ed1 calorie c\u1ea7n thi\u1ebft b\u1eb1ng t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a n\u1ec1n (BMR) c\u1ee5 th\u1ec3 l\u00e0:<\/p>\n
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\u25a0<\/strong>\u25a0 Nam gi\u1edbi: BMR = 66 + (13.7 \u00d7 c\u00e2n n\u1eb7ng kg) + (5 \u00d7 chi\u1ec1u cao cm) \u2013 (6.76 \u00d7 tu\u1ed5i)<\/p>\n <\/p>\n \u25a0<\/strong>\u25a0 N\u1eef gi\u1edbi: BMR = 65.5 + (9.6 \u00d7 c\u00e2n n\u1eb7ng kg) + (1.8 \u00d7 chi\u1ec1u cao cm) \u2013 (4.7 \u00d7 tu\u1ed5i)<\/p>\n <\/p>\n \u1ede b\u1ec7nh nh\u00e2n SCI, c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng ch\u00ednh x\u00e1c c\u00f4ng th\u1ee9c Harris-Benedict d\u1ef1a tr\u00ean c\u00e2n n\u1eb7ng khi v\u00e0o khoa, v\u1edbi h\u1ec7 s\u1ed1 th\u01b0\u01a1ng t\u1ed5n 1.2 v\u00e0 h\u1ec7 s\u1ed1 stress 1.1 n\u1ebfu kh\u00f4ng c\u00f3 bu\u1ed3ng \u0111o calorie gi\u00e1n ti\u1ebfp. Trong giai \u0111o\u1ea1n PHCN, c\u00f3 th\u1ec3 t\u00ednh nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng khi nh\u00e2n 22.7 kcal\/kg cho b\u1ec7nh nh\u00e2n li\u1ec7t t\u1ee9 chi, 27.9 kcal\/kg cho b\u1ec7nh nh\u00e2n li\u1ec7t hai chi d\u01b0\u1edbi.<\/p>\n <\/p>\n Nhu c\u1ea7u protein h\u00e0ng ng\u00e0y trong pha c\u1ea5p t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng nh\u00e2n 2.0 g protein\/kg v\u1edbi th\u1ec3 tr\u1ecdng th\u1ef1c. Trong giai \u0111o\u1ea1n PHCN, t\u00ednh theo h\u1ec7 s\u1ed1 0.8-1.0 g protein\/kg c\u00e2n n\u1eb7ng \u0111\u1ec3 duy tr\u00ec t\u00edch tr\u1eef \u0111\u1ee7 protein v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng h\u00ecnh th\u00e0nh lo\u00e9t do t\u00ec \u0111\u00e8 hay nhi\u1ec5m khu\u1ea9n.<\/p>\n <\/p>\n <\/p>\n Tr\u1ecdng t\u00e2m dinh d\u01b0\u1ee1ng ph\u00f2ng ch\u1ed1ng lo\u00e9t do t\u00ec \u0111\u00e8<\/strong><\/p>\n <\/p>\n \u0110\u1ec3 d\u1ef1 ph\u00f2ng v\u00e0 x\u1eed tr\u00ed lo\u00e9t do t\u00ec \u0111\u00e8, c\u00e1c c\u01a1 s\u1edf hay b\u1ec7nh vi\u1ec7n s\u1ebd c\u00f3 c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa dinh d\u01b0\u1ee1ng ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 m\u1ecdi b\u1ec7nh nh\u00e2n li\u1ec7t t\u1ee7y v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan \u0111\u1ebfn lo\u00e9t. \u0110\u00e1nh gi\u00e1 dinh d\u01b0\u1ee1ng bao g\u1ed3m x\u00e9t nghi\u1ec7m c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a v\u00e0 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c, nh\u01b0 l\u01b0\u1ee3ng th\u1ee9c \u0103n\/u\u1ed1ng h\u00e0ng ng\u00e0y, thay \u0111\u1ed5i c\u00e2n n\u1eb7ng, ch\u1ea9n \u0111o\u00e1n, c\u00e1ch sinh ho\u1ea1t, thu\u1ed1c \u0111i\u1ec1u tr\u1ecb. Duy tr\u00ec c\u00e1c th\u00f4ng s\u1ed1 dinh d\u01b0\u1ee1ng \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 h\u00ecnh th\u00e0nh lo\u00e9t do t\u00ec \u0111\u00e8.<\/p>\n <\/p>\n \u00a0<\/strong><\/p>\n \u0110\u00e1nh gi\u00e1 dinh d\u01b0\u1ee1ng trong li\u1ec1n lo\u00e9t<\/strong><\/p>\n <\/p>\n Nh\u1eefng b\u1ec7nh nh\u00e2n lo\u00e9t do t\u00ec \u0111\u00e8 c\u00f3 nguy c\u01a1 th\u1ea5t tho\u00e1t protein, do \u0111\u00f3 m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 trong l\u00e2m s\u00e0ng th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 theo d\u00f5i \u1edf b\u1ec7nh nh\u00e2n lo\u00e9t l\u00e0 albumin v\u00e0 prealbumin. \u0110\u00e1nh gi\u00e1 protein ph\u1ea3n \u1ee9ng C th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t li\u1ec7u prealbumin c\u00f3 ch\u1ecbu \u1ea3nh h\u01b0\u1edfng c\u1ee7a stress v\u00e0 ph\u1ea3n \u1ee9ng vi\u00eam hay kh\u00f4ng. Prealbumin c\u0169ng c\u00f3 th\u1ec3 duy tr\u00ec khi b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng suy dinh d\u01b0\u1ee1ng.<\/p>\n <\/p>\n <\/p>\n Tr\u1ecdng t\u00e2m dinh d\u01b0\u1ee1ng trong li\u1ec1n v\u1ebft th\u01b0\u01a1ng<\/strong><\/p>\n <\/p>\n N\u0103ng l\u01b0\u1ee3ng th\u00fac \u0111\u1ea9y \u0111\u1ed3ng h\u00f3a, t\u1ed5ng h\u1ee3p collagen v\u00e0 nitrogen, t\u0103ng li\u1ec1n v\u1ebft th\u01b0\u01a1ng. Nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng \u1edf b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng v\u00e0 lo\u00e9t do t\u00ec \u0111\u00e8 c\u00f3 th\u1ec3 \u0111o b\u1eb1ng c\u00e1c c\u00f4ng th\u1ee9c d\u1ef1 \u0111o\u00e1n n\u1ebfu kh\u00f4ng th\u1ec3 \u0111o calorie gi\u00e1n ti\u1ebfp, d\u00f9ng h\u1ec7 s\u1ed1 30-40 kcal\/kg th\u1ec3 tr\u1ecdng m\u1ed7i ng\u00e0y ho\u1eb7c y\u1ebfu t\u1ed1 stress theo Harris-Benedict (1.2 v\u1edbi lo\u00e9t do t\u00ec \u0111\u00e8 \u0111\u1ed9 II, 1.5 v\u1edbi \u0111\u1ed9 III v\u00e0 IV).<\/p>\n <\/p>\n Protein \u0111\u00f3ng vai tr\u00f2 thi\u1ebft y\u1ebfu \u0111\u1ec3 t\u1ed5ng h\u1ee3p collagen. Protein th\u1ea5t tho\u00e1t qua d\u1ecbch ti\u1ebft v\u1ebft th\u01b0\u01a1ng, d\u1eabn \u0111\u1ebfn thi\u1ebfu ch\u1ea5t v\u00e0 ch\u1eadm li\u1ec1n.65 L\u01b0\u1ee3ng protein th\u1ea5t tho\u00e1t m\u1ed7i ng\u00e0y t\u0103ng t\u1eeb 2-1.5 g\/kg th\u1ec3 tr\u1ecdng \u1edf lo\u00e9t do t\u00ec \u0111\u00e8 \u0111\u1ed9 II \u0111\u1ebfn 1.5-2.0 g\/kg v\u1edbi lo\u00e9t do t\u00ec \u0111\u00e8 \u0111\u1ed9 III v\u00e0 IV. N\u1ed3ng \u0111\u1ed9 protein cao (>\u20092 g\/kg) \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 g\u00f3p ph\u1ea7n g\u00e2y m\u1ea5t n\u01b0\u1edbc \u1edf b\u1ec7nh nh\u00e2n cao tu\u1ed5i. Do \u0111\u00f3, nhu c\u1ea7u protein ph\u1ea3i \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a do c\u00f3 nh\u1eefng b\u1ec7nh nh\u00e2n ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ti\u00eau th\u1ee5 protein cao v\u00ec b\u1ec7nh n\u1ec1n gan th\u1eadn.<\/p>\n <\/p>\n <\/p>\n Nhu c\u1ea7u n\u01b0\u1edbc c\u1ee7a b\u1ec7nh nh\u00e2n li\u1ec7t t\u1ee7y v\u00e0 lo\u00e9t do t\u00ec \u0111\u00e8 <\/strong><\/p>\n <\/p>\n C\u00e1c \u0111\u1ec1 xu\u1ea5t v\u1ec1 n\u01b0\u1edbc hi\u1ec7n nay d\u1ef1a tr\u00ean ch\u1ec9 d\u1eabn cho c\u1ed9ng \u0111\u1ed3ng nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng li\u1ec7t t\u1ee7y. Nhu c\u1ea7u cung c\u1ea5p n\u01b0\u1edbc c\u1ea7n thi\u1ebft l\u00e0 t\u1eeb 30-40 mL\/kg. C\u00f3 th\u1ec3 c\u1ea7n b\u1ed5 sung n\u01b0\u1edbc (10-15 mL\/kg) v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng n\u1ec7m kh\u00ed h\u00f3a l\u1ecfng \u1edf nhi\u1ec7t \u0111\u1ed9 tr\u00ean 31-34\u00b0C.<\/p>\n \u00a0<\/strong><\/p>\n Vitamins v\u00e0 kho\u00e1ng ch\u1ea5t<\/strong><\/p>\n <\/p>\n Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng gi\u00fap cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 vitamin v\u00e0 kho\u00e1ng ch\u1ea5t. L\u01b0\u1ee3ng vi ch\u1ea5t c\u1ea7n b\u1ed5 sung \u0111\u1ec3 th\u00fac \u0111\u1ea9y li\u1ec1n lo\u00e9t do t\u00ec \u0111\u00e8 c\u00f2n ch\u01b0a r\u00f5 do ch\u01b0a \u0111\u1ee7 t\u00e0i li\u1ec7u v\u00e0 nghi\u00ean c\u1ee9u.<\/p>\n <\/p>\n Thi\u1ebfu m\u1ed9t s\u1ed1 ch\u1ea5t dinh d\u01b0\u1ee1ng nh\u1ea5t \u0111\u1ecbnh s\u1ebd bi\u1ec3u hi\u1ec7n k\u00e9m ho\u1eb7c ch\u1eadm li\u1ec1n v\u1ebft th\u01b0\u01a1ng. C\u1ea7n k\u00ea thu\u1ed1c b\u1ed5 sung khi x\u00e1c \u0111\u1ecbnh hay nghi ng\u1edd thi\u1ebfu ch\u1ea5t hay b\u1ec7nh nh\u00e2n \u0103n k\u00e9m. B\u1ec7nh nh\u00e2n m\u1eafc t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng c\u00f3 lo\u00e9t do t\u00ec \u0111\u00e8 n\u00ean x\u00e9t ch\u1ec9 \u0111\u1ecbnh d\u00f9ng multivitamin v\u00e0 kho\u00e1ng ch\u1ea5t b\u1ed5 sung h\u00e0ng ng\u00e0y.60 C\u1ea7n c\u1ea9n th\u1eadn khi k\u00ea thu\u1ed1c b\u1ed5 hay vi ch\u1ea5t cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh. Li\u1ec1u d\u00f9ng v\u00e0 kho\u00e1ng ch\u1ea5t kh\u00f4ng n\u00ean v\u01b0\u1ee3t m\u1ee9c 100% RDA. Ch\u1ec9 khi c\u00f3 b\u1eb1ng ch\u1ee9ng thi\u1ebfu ch\u1ea5t th\u1ef1c s\u1ef1 m\u1edbi n\u00ean k\u00ea c\u00e1c vi ch\u1ea5t \u0111\u01a1n l\u1ebb. B\u00e1c s\u0129 dinh d\u01b0\u1ee1ng c\u1ea7n \u0111\u00e1nh gi\u00e1 l\u1ea1i hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u1ec7c d\u00f9ng thu\u1ed1c b\u1ed5 sung m\u1ed7i 7-10 ng\u00e0y.<\/p>\n <\/p>\n Ascorbic acid \u0111\u1eb7c bi\u1ec7t thi\u1ebft y\u1ebfu cho s\u1ef1 sinh t\u1ed5ng h\u1ee3p collagen. Thi\u1ebfu ascorbic acid \u0111i k\u00e8m ch\u1eadm li\u1ec1n v\u1ebft th\u01b0\u01a1ng, suy gi\u1ea3m ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch. B\u1ed5 sung ascorbic acid \u0111\u01b0\u1ee3c ch\u1ee9ng minh gi\u00fap th\u00fac \u0111\u1ea9y li\u1ec1n v\u1ebft th\u01b0\u01a1ng nh\u01b0ng ch\u1ec9 tr\u00ean b\u1ec7nh nh\u00e2n thi\u1ebfu ascorbic acid. B\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 thi\u1ebfu ascorbic acid bao g\u1ed3m nh\u00f3m ng\u01b0\u1eddi cao tu\u1ed5i, h\u00fat thu\u1ed1c l\u00e1, l\u1ea1m d\u1ee5ng thu\u1ed1c, stress s\u1ee9c kh\u1ecfe. \u0110\u1ec1 xu\u1ea5t b\u1ed5 sung vitamin C h\u00e0ng ng\u00e0y hi\u1ec7n nay v\u1edbi b\u1ec7nh nh\u00e2n thi\u1ebfu ch\u1ea5t l\u00e0 100-200 mg v\u1edbi lo\u00e9t do t\u00ec \u0111\u00e8 \u0111\u1ed9 I-II, 1000-2000 mg v\u1edbi lo\u00e9t do t\u00ec \u0111\u00e8 \u0111\u1ed9 III-IV. B\u1ec7nh nh\u00e2n suy th\u1eadn c\u00f3 nguy c\u01a1 cao m\u1eafc s\u1ecfi oxalate, do \u0111\u00f3 l\u01b0\u1ee3ng b\u1ed5 sung ascorbic acid m\u1ed7i ng\u00e0y kh\u00f4ng n\u00ean v\u01b0\u1ee3t qu\u00e1 60-100 mg.<\/p>\n <\/p>\n K\u1ebdm c\u1ea7n thi\u1ebft cho s\u1ef1 nh\u00e2n \u0111\u00f4i v\u00e0 sinh tr\u01b0\u1edfng t\u1ebf b\u00e0o c\u0169ng nh\u01b0 sinh t\u1ed5ng h\u1ee3p protein, collagen. T\u00ecnh tr\u1ea1ng thi\u1ebfu k\u1ebdm th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n ti\u00eau ch\u1ea3y, k\u00e9m h\u1ea5p thu, stress t\u0103ng chuy\u1ec3n h\u00f3a. N\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh b\u1ed5 sung k\u1ebdm, n\u00ean chia li\u1ec1u kh\u00f4ng qu\u00e1 40 mg k\u1ebdm nguy\u00ean t\u1ed1 m\u1ed7i ng\u00e0y trong v\u00f2ng kh\u00f4ng qu\u00e1 2-3 tu\u1ea7n. B\u1ed5 sung k\u1ebdm kh\u00f4ng c\u00f3 \u00fd ngh\u0129a n\u1ebfu b\u1ec7nh nh\u00e2n kh\u00f4ng thi\u1ebfu k\u1ebdm. N\u1ed3ng \u0111\u1ed9 k\u1ebdm huy\u1ebft t\u01b0\u01a1ng cao c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf li\u1ec1n v\u1ebft th\u01b0\u01a1ng do gi\u1ea3m th\u1ef1c b\u00e0o v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn chuy\u1ec3n h\u00f3a \u0111\u1ed3ng. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh b\u1ed5 sung k\u1ebdm v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n lo\u00e9t d\u1ea1 d\u00e0y-t\u00e1 tr\u00e0ng. Tri\u1ec7u ch\u1ee9ng ng\u1ed9 \u0111\u1ed9c k\u1ebdm bao g\u1ed3m bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, \u0111au \u0111\u1ea7u.<\/p>\n <\/p>\n <\/p>\n Nhu c\u1ea7u dinh d\u01b0\u1ee1ng v\u00e0 ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng ru\u1ed9t<\/strong><\/p>\n <\/p>\n \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng ph\u00e2n t\u1ed1i \u01b0u, b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng v\u00e0 c\u00f3 chi ph\u1ed1i li\u1ec7t ru\u1ed9t c\u1ea7n ti\u00eau th\u1ee5 t\u1ed1i thi\u1ec3u 1.5 l\u00edt n\u01b0\u1edbc m\u1ed7i ng\u00e0y. Nhu c\u1ea7u ch\u1ea5t l\u1ecfng \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng 1 mL\/kcal nh\u00e2n v\u1edbi nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng \u01b0\u1edbc t\u00ednh c\u1ed9ng th\u00eam 500 mL, ho\u1eb7c 40 mL\/kg th\u1ec3 tr\u1ecdng c\u1ed9ng th\u00eam 500 mL. L\u01b0\u1ee3ng ch\u1ea5t x\u01a1 n\u00ean b\u1eaft \u0111\u1ea7u \u1edf m\u1ee9c 15 g\/ng\u00e0y sau \u0111\u00f3 t\u0103ng d\u1ea7n v\u00e0 kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 30 g\/ng\u00e0y. Tuy nhi\u00ean, ti\u00eau th\u1ee5 qu\u00e1 nhi\u1ec1u ch\u1ea5t x\u01a1 tr\u00ean 20 g\/ng\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng th\u1eddi gian l\u01b0u th\u1ee9c \u0103n t\u1ea1i ru\u1ed9t kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Dinh d\u01b0\u1ee1ng l\u00e0 m\u1ed9t kh\u00eda c\u1ea1nh thi\u1ebft y\u1ebfu trong c\u00f4ng t\u00e1c ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n li\u1ec7t t\u1ee7y. \u1ede giai \u0111o\u1ea1n c\u1ea5p t\u00ednh, b\u1ec7nh nh\u00e2n t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 chuy\u1ec3n h\u00f3a, nhu c\u1ea7u dinh d\u01b0\u1ee1ng do \u0111\u00f3 c\u0169ng t\u0103ng. V\u1ec1 giai \u0111o\u1ea1n m\u1ea1n t\u00ednh, b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng \u00edt n\u0103ng l\u01b0\u1ee3ng h\u01a1n so v\u1edbi ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. 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