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Published by api-3701224

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Published by: api-3701224 on Oct 15, 2008
Copyright:Attribution Non-commercial


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\u0110I\u1ec0U TR\u1ecaB\u1ec6NH PHONG TH\u1ea4P
B\u1eb1ng Y H\u1ecdc \u00c1-Ch\u00e2u
(Rhumatologie et M\u00e9decine Asiatique)
B\u00e1c S\u0129 Tr\u1ea7n\u0110\u1ea1i S\u1ef9
PH\u1ea6N TH\u1ee8 NH\u1ea4T
NGHI\u00caN C\u1ee8U T\u1ed4NG QU\u00c1T
M\u1ee4C L\u1ee4C

1. D\u1eaaN NH\u1eacP
2. NGU\u1ed2N G\u1ed0C TRONG Y H\u1eccC C\u1ed4 TRUY\u1ec0N
3. BI\u1ec2U H\u00ccNH PHONG TH\u1ea4P.

3.1. Bi\u1ec3u h\u00ecnh 1 3.2. Bi\u1ec3u h\u00ecnh 2 3.3. Bi\u1ec3u h\u00ecnh 3 3.4. Bi\u1ec3u h\u00ecnh 4 3.5. Bi\u1ec3u h\u00ecnh 5 3.6. Bi\u1ec3u h\u00ecnh 6 3.7. Bi\u1ec3u h\u00ecnh 7 3.8. Bi\u1ec3u h\u00ecnh 8

PH\u1ea6N TH\u1ee8 NH\u1ea4T
NGHI\u00caN C\u1ee8U T\u1ed4NG QU\u00c1T
1. D\u1eaaN NH\u1eacP
B\u1ec7nh phong th\u1ea5p b\u00ecnh d\u00e2n g\u1ecdi l\u00e0 l\u00e0 t\u00ea th\u1ea5p. T\u1eeb y h\u1ecdc l\u00e0 T\u00fd ch\u1ee9ng. Khi Phong, H\u00e0n,
Th\u1ea5p, Nhi\u1ec7t th\u1eeba l\u00fac c\u01a1 th\u1ec3 y\u1ebfu\u0111u\u1ed1i x\u00e2m nh\u1eadp, l\u01b0u tr\u00fa t\u1ea1i kinh l\u1ed9, c\u01a1 nh\u1ee5c, kh\u1edbp

x\u01b0\u01a1ng, l\u00e0m t\u1ed5n th\u01b0\u01a1ng huy\u1ebft m\u1ea1ch v\u00e0 t\u00e2m,\u0111\u01b0a\u0111\u1ebfn : c\u01a1 th\u1ec3, c\u00e1c kh\u1edbp x\u01b0\u01a1ng, ch\u00e2n tay s\u01b0ng \u0111\u1ecf \u0111au nh\u1ee9c, n\u1eb7ng n\u1ec1, t\u00ea d\u1ea1i vv... b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y h\u00e0n nhi\u1ec7t, bi\u1ec3u ch\u1ee9ng. T\u00f9y theo s\u1ef1 c\u1ea3m nhi\u1ec5m b\u1ec7nh, chia ra l\u00e0m b\u1ed1n lo\u1ea1i kh\u00e1c nhau :

\u2013 H\u00e0nh t\u00ea (h\u00e0nh t\u00fd)
\u2013 Th\u1ed1ng t\u00ea (th\u1ed1ng t\u00fd)
\u2013 Tr\u1ee9 t\u00ea (tr\u1ee9 t\u00fd)
\u2013 Nhi\u1ec7t t\u00ea (nhi\u1ec7t t\u00fd)

T\u00fd ch\u1ee9ng c\u00f3 ngh\u0129a l\u00e0 ch\u1ee9ng b\u1ecb b\u1ebf t\u1eafc, kh\u00ed huy\u1ebft b\u1ecb ng\u01b0ng\u0111\u1ecdng l\u1ea1i. N\u1ebfu tr\u1ecb b\u1ec7nh kh\u00f4ng\u0111\u00fang ph\u00e9p, ho\u1eb7c b\u1ec7nh th\u1ebf n\u1eb7ng, th\u00ec b\u1ec7nh s\u1ebd chuy\u1ec3n v\u00e0o t\u00e2m do m\u1ea1ch, xu\u1ea5t hi\u1ec7n :

\u2013 T\u00e2m\u1ee7y (h\u1ed3i h\u1ed9p lo \u00e2u)
\u2013 Kh\u00ed\u0111o\u1ea3n (h\u01a1i th\u1edf ng\u1eafn)
\u2013\u0110au c\u0103ng l\u1ed3ng ng\u1ef1c

L\u00e2u ng\u00e0y qu\u00e1 s\u1ebd t\u1ed5n h\u1ea1i t\u1edbi t\u00e2m t\u1ea1ng, th\u00e0nh ra ch\u1ee9ng Phong th\u1ea5p tim (T\u00e2m t\u00fd).

Ch\u1ee9ng t\u00ea th\u1ea5p th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n\u1edf nh\u1eefng x\u1ee9\u1ea9m th\u1ea5p, h\u00e0n l\u1ea1nh; nh\u1ea5t l\u00e0 v\u00f9ng b\u00f9n l\u1ea7y. B\u1edfi b\u1ec7nh ph\u00e1t sinh do Phong, H\u00e0n, Th\u1ea5p, Nhi\u1ec7t, trong\u0111\u00f3 Phong l\u00e0m ch\u1ee7. B\u1edfi v\u1eady v\u00f9ng h\u00e0n, l\u00e3nh th\u00ec\u0111\u01b0\u01a1ng nhi\u00ean\u1ea9m th\u1ea5p, do v\u1eady khi g\u1eb7p Phong l\u00e0 m\u1eafc b\u1ec7nh ngay.

Nguy\u00ean do : Phong l\u00e0 m\u1ed9t lo\u1ea1i t\u00e0 kh\u00ed, th\u01b0\u1eddng g\u1ecdi t\u1eaft l\u00e0 D\u01b0\u01a1ng t\u00e0. Phong th\u01b0\u1eddng

ph\u00e1t sinh trong kh\u00f4ng gian v\u00e0o c\u00e1c Qu\u00fd ti\u1ebft. Qu\u00fd ti\u1ebft l\u00e0 g\u00ec? Theo l\u1ecbch \u00c1 ch\u00e2u, m\u1ed7i n\u0103m c\u00f3 24 ti\u1ebft. M\u1ed7i ti\u1ebft kho\u1ea3ng 15 ng\u00e0y. Qu\u00fd ti\u1ebft l\u00e0 1 hay 2 ng\u00e0y cu\u1ed1i ti\u1ebft. Hai m\u01b0\u01a1i b\u1ed1n ti\u1ebft l\u00e0 :

M\u00f9a xu\u00e2n c\u00f3 c\u00e1c ti\u1ebft :
L\u1eadp-xu\u00e2n, V\u0169-th\u1ee7y, Kinh-tr\u1eadp,
Xu\u00e2n-ph\u00e2n, Thanh-minh, C\u1ed1c-v\u0169.
M\u00f9a h\u1ea1 c\u00f3 c\u00e1c ti\u1ebft :
L\u1eadp-h\u1ea1, Ti\u1ec3u-m\u00e3n, Mang-ch\u1ee7ng,
H\u1ea1-ch\u00ed, Ti\u1ec3u-th\u1eed,\u0110\u1ea1i-th\u1eed.
M\u00f9a thu c\u00f3 c\u00e1c ti\u1ebft :
L\u1eadp-thu, X\u1eed-th\u1eed, B\u1ea1ch-l\u1ed9,
Thu-ph\u00e2n, H\u00e0n-l\u1ed9, S\u01b0\u01a1ng-gi\u00e1ng.
M\u00f9a\u0111\u00f4ng c\u00f3 c\u00e1c ti\u1ebft :
L\u1eadp-\u0111\u00f4ng, Ti\u1ec3u-tuy\u1ebft,\u0110 \u1ea1i-tuy\u1ebft,
\u0110\u00f4ng-ch\u00ed, Ti\u1ec3u-h\u00e0n, \u0110\u1ea1i-h\u00e0n.

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