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t#7 %h>ng %m "g %Sng Pt ]t0
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H m++ ; thkp p =ng mL%h %nh gy U Nh!n nghinh ` p %nh
=ng mL%h n Nh!n nghinh php a
thkp p =ng mL%h %nh gy U Nh!n nghinh nhng %h# ngi
bnh ngxi tP2n m=t ghI bu ?uBng "hBng %O %h} tXa7 ngi thy
thu\% ngxi U ph]a :au %a ngi bnh7 .Fng o ngOn tay %a bn
tay phi p U %h} =ng mL%h %nh %a ngi bnh7 ?Ea Pung Pby
?Ea .i tE .9i lntP2n7 %O th gi\ng nh ?Ea n!ng ?Ea Pung %i
ming ti lm %h# ?'t U tP#ng ti lCng %hdm xu\ng7 %%h nh thI
tha# t% tPU i tPU lLi n lDn7 "I O .Fng ngOn tay giKa U huyt
Nh!n nghinh gy nh gy n n lDn0 1m phWng php ny liJn
tT% n lRt ` m}i lRt n lDn7 tt % l , lDn a0 5au O7 o ngOn tay U
bn tay tPi U b2n tPi %M thJ# ng nh lm U b2n phi lm
n lRt0
H m +) ; thkp %h\ng N U lng ` "hng b\i php a
thkp %h\ng N U lng ngOn giKa %a hai tay nhn n_ng U huyt
fi2n tsnh7 "I l nhn U huyt Nhu .u7 xng thi ?9i nhn huyt l
lm "im ?9i Pung Pby fI l ly hai ngOn tay %i %h\ng by tE b
mkp tP#ng %a xWng b ?ai tPU xu\ng In huyt %%h Quan 5au
O tE huyt C%h .u7 C%h Quan .Fng hai lcng bn tay %h\ng by
tPU xu\ng In huyt Th'n .u7 TP] tht7 phi l Mi thnh :>% %a
nCm tay U %h} hai b2n %Lnh huyt Ch] tht ny p giK Pung Pby tE
n mG lDn0 Nh thI l m=t lDn %a phkp %h\ng N U lng0 phkp O
%O th lm n m o lDn0
H m +n ; thkp nhn %=t :\ng `p t]%h php a
thkp nhn %=t :\ng; lai ngOn tay %i ghkp lLi7 .Fng Du ngOn
tay %i O nhn tEng \t7 tEng \t tE huyt Li tPuv nhn xu\ng7
nhn In huyt 2u wWng Quan `t>% l .9i \t thCt lng th> t (
1o a l m=t lDn 0 thkp ny %O th nhn ) mo lDn .Fng th]%h hRp ?9i
ngi %a# huyIt p0
M=t phkp nhn %=t a\ng "h% nKa l; .Fng hai ngOn tay %i
nhn tLi b mkp meng gai \t :\ng thCt lng b2n b/ bnh %a
)G
nLn nh!n7 nh %h>ng th#t ?/ a m %=t :\ng70 Ch} th#t ?/
thng U ?Fng \t thCt lng n m o `1n m 1o a7 "hi nhn U \t thCt
lng n o phi lm l2n7 xu\ng7 i lLi7 nhn nh thI +8 lDn0
H m +o; thkp n giK "k# %hia ` n tP] ph!n b4ng php a
thkp n giK "k# %hia ; phkp ny %huy2n .Fng U %h>ng th#t ?/
a m %=t :\ ?Fng thCt lng7 m=t bn tay ngi thDy thu\% n U
?Fng bnh b2n %Lnh ph]a .9i \t :\ng thCt lng th> n4m ` 1G a7
m=t tay "ia n U ?Fng bnh b2n %Lnh ph]a tP2n mem gai \t :\ng
thCt lng th> hai ` 1) a hai bn tay .Fng :>% n giKa xng thi n
l2n ? n xu\ng "k# %hia Pa l m=t lDn0 thkp ny %O th lm G8 m
+88 lDn0
H m +G; thkp n!ng l2n thcng xu\ng ` %6 :ut php a
thkp n!ng l2n thcng xu\ng; phkp ny %huy2n .Fng ?# %h>ng
th#t a m \t :\ng th4t lng0 Nhng %h# ngi bnh ngxi
xMm ph]a tP9% ? b# ngi bnh a hai tay l2n Bm ly Du
thnh t thI %\ /nh7 ngi thDy thu\% tE ph]a :au bnh nh!n
.Fng hai %nh tay luxn Qua .9i n%h ngi bnh a ?@ ph]a
tP9%7 hai tay lLi tE ph]a tP9% h9ng l2n %Fngp ?# ?Fng \t
:\ng %M ngi bnh0 1% ny l thy thu\% giK %h# %\ /nh :>%
lX% ? t thI thi = t#n th!n7 "I O l P9n mdnh >ng l2n7
ngi bnh %Sng thJ# ngi thDy thu\% m R% n!ng l2n7 l% gi
pht ?Wng >ng n!ng l2n ny7 phi nhC% tP9% %h# ngi bnh
giK nguy2n t thI l% ngxi xMm7 nh thI :j lm %h# ngi bnh
hai %h!n %a# l2n "hei m_t 0 Ngi thDy thu\% t>% thi tE %h}
n!ng l2n biIn lm thung xu\ng0 pu tPdnh n!ng l2n thung xu\ng
%O th li2n tT% lm m=t7 hai lDn0 TP#ng Qa tPdnh n!ng l2n thung
xu\ng ny7 ?Fng \t :\ng thCt lng ngi bnh hdnh thnh Qu
tPdnh lBi "k#0 Ngi bnh Bm Du %\ /nh? thDy thu\% .Fng :>%
%\ /nh n!ng l2n thung xu\ng7 mT% ]%h l phOng .>t \t %M
ngi bnh pht :inh b#ng g!n0
ChWng th> ba; Ch^ ^ :X %\ "hi l!m :ng .Fng im huyt
liu php
TiIt +; Thi = %a ngi im huyt
1iu php im huyt7 t>% l "hBng .Fng thu\% nhng "hBng
.Fng %Bng %T7 m %hs .Xa ?# Bi tay %a ngi thDy thu\%7 %Sng
?~n Lt In mT% ]%h %hKa bnh0
3Fng im huyt U "hCp t#n th!n0 @u th]%h >ng ?9i tt % %%
\i tRng nam7 nK7 gi7 tPz7 th %ht t\t h#_% xu7 bnh %p t]nh
h#_% bnh mn t]nh7 bnh nh| h#_% bnh n_ng0 Nhng tP2n l!m
:ng %Dn \i i %bn th'n7 "hBng th thB thin0 \i ?9i ngi gi
thd phi %O ^ tBn tP$ng7 "]nh n0 \i ?9i tPz Jm7 thd %Dn %O lcng
y2u mIn %h4m :O%7O l Quan h In t thI tha# t% ? ?n @
tiIp x% ?# .a th/t0 Ngi gi thng %>ng "h9p7 h#Lt =ng %#
.u}i %m thy "hO "h4n7 tPz Jm .a .z lLi Pt n#n n9t7 @u "hBng
)H
n2n "]%h th]%h Qu n_ng0 Ng#i Pa7 \i ?9i nam7 nK %Dn phi ph!n
bit0 3] nh; "hi im huyt ?/ U ?Fng ngX% bTng7 nam gi9i be #
l= lBng U th!n th "hBng :R7 m nK gi9i be # l= th!n th thd th|n
thFng0 qUi ?'y7 U tP#ng t]nh hdnh O ngi thDy thu\% phi Pt %bn
th'n giK gdn :a# %h# phi ?9i L# >% phbm %ht0

TiIt ); CBng t% %hubn b/ im huyt
1iu php im huyt tuy nhi2n l brng Bi tay %hKa bnh7
nhng tP9% "hi ?# ?i% %Sng %Dn phi lm t\t %Bng t% %hubn b/0
thi luBn luyn t'p :>% ngOn tay7 tP9% hWn hIt ngOn tay giKa
%ng tP$ng yIu7 nIu nh "hBng t]nh In ?i% luyn t'p tP9% l%
l!m :ng Pt "hO "i2n tPd thi gian %Bng t%0 xng thi7 "hi tha#
t% "hBng thnh thL#7 phWng php bM t %a bdnh nhT tPi phi
%Sng "hO nCm R%0 thWng php luyn t'p l; .Fng ngOn tay
giKa U tP2n m=t %i # lOt m@m ` gp .y %hEng hWn m=t
th\n a7 h#_% Jm "h4n m_t7 "h4n ?uBng gp lLi7 tiIn hnh luyn
t'p th php gi\ng nh l!m :ng0 Ng#i Pa mOng tay %Sng
thng phi %Ct7 bUi ?d ngOn tay .i thd "hi bdnh nhT h#_% nhn
nh .Y %Ct P%h .a th/t ngi bnh0 Nhng mOng tay %Ct ngCn
Qu7 "hi tha# t% th php n_ng .Y lm xk n>t %h} n\i mOng tay
%a tX mdnh0 TP9% "hi im huyt phi P6a :L%h Bi tay7 ngy
nOng Pt .Y ta mx hBi 7 lLi %Dn phi %hubn b/ m=t ]t b=t h#Lt thL%h
` phn PBm %Sng R% a :n "hi tha# t% PC% b=t O l2n tin
%h# tha# t% th php0
TiIt n; Ch ^ :X %\ "hi im huyt
pht huy t% .Tng %hKa bnh %a im huyt liu php7 l!m
:ng %h ^ my im :au;
n m +; fhi ngi bnh %O tPLng thi tinh thDn %X% = %4ng thng
h#_% %X% = mt mei7 phi b# h$ nghs ngWi n8 pht7 l% O %4ng
thng h#n gii7 hIt mt mei7 im huyt m9i thu R% "It Qu
t\t0
n m ) ; Ngi bnh U l% tP9% ? :au bKa 4n 7 "hBng th
.Fng th php n_ng0 fhBng thI thd .Y .ng lm %h# ngi bnh
Quay ?@ mt mei0 5au bKa 4n m im huyt7 %Dn phi %%h
%hEng n8 pht0
n m n ; Ngi bnh Qu Oi7 Qu n#7 "hBng im huyt 7
"hBng thI thd %O hLi0
n m o ; Ngi bnh ang :R hi7 ut gi'n7 %m "/ im huyt
n m G ; NOi %hung ngi bnh U ng xa In `ba# gxm ngxi
xJ7 %Ni xJ7 i b= a %Dn nghs ngWi +G pht m9i im huyt %h# h$0
h_p "hi %p %>u %O th linh h#Lt ?'n .Tng0
TiIt o; Ti2u %hubn ly huyt %a im huyt liu php
C%h ly huyt %a im huyt liu php; %O th .Fng %%h ly
huyt .Fng phkp %h!m %>u7 nay ph!n Pa nh :au;
)V
3Fng Du; TE mkp tO% tP9% t9i mkp tO% :au l +) th\n7 tE giKa
hai lBng my In mkp tO% tP9% l n th\n7 tE Li %huv In mkp
tO% :au n th\n7 O l ti2u %huyn %hi@u .$% %a Du0 hiKa hai
huyt l#n %\t ph]a :au tai l , th\n7 ly lm ti2u %hubn ngang
%a ?Fng Du0
3Fng ngX%; TE Thi2n \t In Chi2n tPung .i V th\n o ph!n7 l
ti2u %hubn # .$% ?Fng ngX%0 fh#ng %%h giKa hai Du ngX%
%hia lm - th\n7 O l ti2u %hubn # ngang %a ?Fng ngX%0
3Fng bTng tP2n; Ch} lum Du .9i xWng ngX% xu\ng In giKa
P\n %hia lm - th\n7 l ti2u %huyn # .$% tP9% bTng tP2n0
3Fng bTng .9i; TE giKa P\n In b tP2n xWng mu mkp mBng
%hia lm G th\n7 O l ti2u %hubn ly # .$% bTng .9i0
3Fng lng; 1y \t :\ng lm ti2u %hubn # .$% ?Fng lng7 #
ngang thd ly b@ ngang hai ngOn tay lm "h#ng %%h t]nh tE giKa
%=t :\ng :ang hai b2n l +7 G th\n0
T> %hi gp "h% ngOn tay giKa ngi bnh7 tE Du hai nIp gp
ngang %a \t giKa7 %%h nhau ly O t]nh lm + th\n7l ti2u
%hubn # .$% U t> %hi0
TP2n !y l nhKng ?] .T ?@ ti2u %hubn %%h # ly huyt7 "hi >ng
.Tng tP2n l!m :ng phi %4n %> ?# th %ht ngi bk# gDy7 th!n
x% t# nhe7 %a ngi bnh m linh h#Lt ?'n .Tng7 "hBng Pi
"hei nguy2n tC% %a phkp # ly huyt lLi %Sng "hBng b# th
gi# iYu7 nh thI m9i lm %h# ly R% huyt Pt l %h]nh x%0


MT% lT%
Thi2n hL
ChWng th> nht; qnh n=i "h#a
+( qn th!n bt t#LI ` 1it N6a ngi a
)( Ch>ng %a# huyIt p ` %an .Wng thRng ?im a
n( Ch>ng lit ` nuy %h>ng a
o( Cm mL#
)-
G( NBn m6a
H( sa %hy mn t]nh ` tv th'n h hn a
V( qnh l/
-( q] LI tin
,( wi tinh
+8( 1it .Wng
++( Mt ng
+)( l# hCng ` ?i2m "h] Qun a
+n( au Du
+o( N# Pung lC% ` n# %hn ng a
+G( ChOng m_t ` huyYn ?'n a
+H( Ch>ng hxi h=p
+V( au .L .y
+-( 5n ngX% au 9n ` ?i2m gan a
+,( au lng Fi ` thDn "inh t#L au a
)8( 3ai ? %nh tay au
)+( Fi ? Du g\i au
))( 1ng tP2n ? lxng ngX% au
)n( Mt tiIng
)o( Tiu tin nhi@u lDn
)G( I .Dm
)H( TLng tha# ` bnh i:(tW(Pi a
)V( =ng "inh
)-( qn tay ? %nh tay t2 bLI ` thDn "inh Quay t2 bLI a
ChWng th> hai ; qnh phT "h#a
+( finh nguyt "hBng @u
)( lnh "inh au bTng
n( qI "inh
o( q4ng l'u huyIt
G( N9% hBi "hBng .>t
H( CO mang nBn m6a
V( wu hiu b# tP9% %a :y thai
ChWng th> ba ; qnh tPz Jm
+( TPz Jm php :\t
)( ThM t
n( TPz Jm ti2u h# "km
o( TPz Jm b/ :R hI
G( puai b/ ` ?i2m tuyIn mang tai a
H( l# g
V( TPz Jm bLI lit
-( Ch>ng tPz Jm lC% Du
),
ChWng th> t ; qnh ng#LI "h#a
+( 5ng hL%h U %M
)( 1ci .#m
n( 5n "h]
o( q#ng g!n
G( 5I %M
H( q9u %M
V( p xJ ti2m
-( 3i2m Pu=t thEa
,( 3i2m tM %h>% .9i .a
+8( w/ >ng mbn ng>a
ChWng th> n4m ; qnh ngS Quan
+( Tai "2u
)( 3i2m tai giKa mn t]nh
n( Nh$t tai
o( au P4ng
G( Chy mu mSi
H( au h$ng
V( Ming7 mCt mk# l%h
-( Ming h "hBng R%




Thi2n hL tP/ liu l!m :ng
ChWng th> nht ; qnh n=i "h#a
+0 qn th!n bt t#LI ` lit n6a ngi a
Nguy2n nh!n bnh ; qnh ny l .i %h>ng :au tPng giO ` %hy
mu n# a7 %Sng %O "hi "|t tC% =ng mL%h n# m g!y Pa0
Ch>ng tPLng ; Du mt au Du7 mCt h#a ? %h#ng7 tai F7
ming mCt mk# l%h7 m=t b2n tay %h!n lit0 Ch>ng n_ng thd tiIng
nOi ng$ng7 b2n tay %h!n b/ bnh "hBng h#Lt =ng R%7 nrm U
ging "hBng th x#ay l't R%7 LI tiu tin "hBng %Dm7 %Sng %O
"hi b] "It0 Ch>ng nh| tuy %O th h#Lt =ng R%7 nhng tay %h!n
"hBng thJ# ^ ngh7 4n u\ng nht l#Lt Pt t\t7 LI tiu tin bdnh
thng7 nhng %Sng %O "hi hai ngy m9i I m=t lDn0
n8
C%h %hKa; qnh ny %h yIu ly I@u l^ "hBI phT% %W n4ng
tPng ?/ lm %h
1y huyt; T lRp %\% l %O th thanh nhit U ?Fng Du7 %Sng
%O th thanh nhit U LI tPng7 thBng lRi LI tin0
qM T% tam l^ .>t nBn m6a7 h# "h] ngh/%h7
.~n ?/ "h] I xu\ng m t4ng tiIn 4n u\ng0
lai huyt O l %h huyt %a %%h %hKa b2nh ny0 M}i huyt
lm phkp nCn .ay ngang brng ` qdnh nhT a ? nhn nh ` p
phOng a m}i %h} tE +88 In )88 lDn0 th\i huyt U t> %hi m t fh%
%hd7 bM .Wng l4ng tuy@n7 %O t% .Tng gip N %W th "hBI phT% ?
th% by %W n4ng tPng ?/0 3Fng bTng m t TPung Qun h#
thu'n ?/ "h]7 bM fh] hI t4ng tiIn %W n4ng0 C%h ph\i hRp huyt
tWng h} O "hBng nhKng I@u l^ R% tPng ?/7 xng thi %Sng
th% by "hBI phT% %W n4ng ?'n h# %a %hi th0 Du mt7 th2m
phkp by x#ay ?Fng Du7 lm tan ph#ng nhit U ?Fng Du0 Tai
F7 th2m phkp Im U th#ng TPd7 .Fng bM php7 .~n h# %a
thiIu .Wng I xu\ng ` brng ?9i U .9i a0 C% huyt ph\i hRp7
m}i huyt lm n .ay ngang brng7 nhn nh7 m}i phkp +88 lDn0
Ming mCt mk# l%h7 th2m Im %% huyt hip xa7 LI thWng7
lL Quan7 ThEa tWng0 Ch>ng nh| thd %Ct huyt ` thiIt huyt
php a7 %h>ng n_ng thd nhn nh ` p phOng a G8 lDn7 th2m mLnh
"hBI phT% %Bng n4ng %T% b=0 NOi ng$ng7 thd th2m Im U %%
huyt th#ng ph7 n mBn7 m}i huyt nCn .ay ngang brng ?
nhn nh m}i huyt tE G8 In +88 lDn7 tPE ph#ng0 th\i hRp ?9i
%% huyt U puan xung7 ThBng l^7 I ph#ng gip N %I bt t%
%a %% huyt tP9%0 LI tiu tin "hBng bdnh thng7 bM 1it
"huyIt7 ChiIu hI t .Nng !m huyIt7 t ThEa :Wn thanh
t#n nhit0 M}i huyt lm nCn .ay ngang brng ? nhn nh m}i
phkp @u +88 lDn7 U t> %hi phI lm "im ph\i hRp ?9i phkp .Xa
thJ# ng "inh ` tuDn n thp a nh maI x#ay ` th% nim a7 p
n ` p b%h a7 x#a xt ` ma xt a0
Th> tX Im huyt m tE tP2n xu\ng .9i 7 tP9% I2m b2n "h#z7
:au Im b2n bnh0
fIt Qu %hKa
Ch>ng nh| lLI %hKa ngay thi "v Du7 ngi bnh %O :X I@u
.Nng t\t7 thu hiu Qu nhanh7 thi gian %hKa ngCn0 qnh "k#
.I7 thI bnh n_ng7 m :inh "h] ngi bnh lLI bdnh thng7 thu
hiu Qu %h'm7 %hKa "hO "hei0
)( Ch>ng %a# huyIt p ` %an .Wng thRng ?it a
Nguy2n nh!n bnh;
Ngi b/ bnhny thng ?# "h#ng tP2n o8 tuMi7 nam nK @u
%O7 ngi bk# thd nhi@u ngi gDy thd ]t0 w# th'n thu h tMn7
"hBng th tX .Nng %an m=%7 %an .Wng ?Rt l2n7 bdnh thng
.Y :inh "h]7 g_p :X "]%h th]%h tE ng#I ?# lm %h# tinh thDn
%4ng thng7 l!u ngy thd thnh bnh ny0
Ch>ng tPLng;
n+
Du au7 %h#ng ?ng7 mCt h#a7 tai F7 b9% I thd %m thy Du
n_ng7 h#_% "hBng mu\n 4n u\ng7 LI tin "hB "han7 %hi .9i
m@m m "hBng %O :>%0
ChKa; NOi %hung t .Wng t !m7 ging ?/ "h] ` %O th gim
huyIt p a7 bdnh %an lRi LI tin lm %h0 TP9% hIt im t lRp
%\% tE huyt fh% tPd In huyt lRp %\% by thJ# nH lDn a t
.Wng lRi LI tin lLI bM N=i Quan t !m7 by x#ay ?Fng Du
lm G(H lDn0 T q%h h=i7 LI %huv ` by thJ# tE huyt th#ng ph
In huyt LI %huv nH lDn a7 lLI lm phkp p thJ# U ?Fng lng G (
H lDn a0 T TPung Qun 7 bM puan nguy2n t !m7 gip th2m ly
nCn .ay ngang brng ? nhn nh %W bCp ?Fng bTng7 th% %h#
nhu =ng ng Pu\t t\t ? nh hUng =ng mL%h ?Fng bTng
%huyn =ng h# huan I@u %hsnh %Bng n4ng gan7 .L .y7 lm
%h# LI tin thBng th#t7 qM T% tam l^ ` tE T% tam l^ by thJ#
In huyt hiI "h2 -+ lDn a7 T ThI xung ` tE TPung ph#ng by
thJ# In huyt ThI xung nH lDn a |p hm %I thI %a %an
.Wng ?Rt l2n lm %h# "h] ngh/%h phI ging xu\ng0
Th> tX Im huyt; TE tP2n xu\ng .9i7 ?Fng tP2n th php nh|7
?Fng .9i th php n_ng0
`` thT aa C% phWng ? th php Im huyt %a %h>ng huyIt
p %a#0
aa( Thi .Wng7 th#ng tPd7 q%h n=i7 nCn .ay ngang brng ?
nhn nh m}i phkp G8 lDn
ba( by x#ay U ?Fng Du o lDn
%a( by U gy %M ` xJm th php bM tPR a
.a( p =ng mL%h gim gy U Nh!n nghinh ba hxi ` xJm th
php bM tPR a
a( p thJ# U ?Fng lng ` xJm th php b= ph'n U tP9% a
Ja( Ch\ng N U lng ` xJm th php b= ph'n U tP9% a
ga( Nhn %=t :\ng7 lm ) lDn ` xJm th php b= ph'n U tP9% a
ha( Im N=i Quan7 lRp %\%7 TPung Qun7 puan nguy2n7 lm %%
phkp nCn .ay ngang brng ? nhn nh m}i phkp G8 lDn7 ` im U
tPung Qun nh| m %h'm0 im U puan nguy2n n_ng m nhanh7
.~n "h] i xu\ng a7 T!m .u7 C%h .u7 Can .u7 Tv .u7 Th'n .u7
lm phkp nCn .ay ngng brng ? phkp nhn nh G8 lDn7 Can .u
nCn ?cng tPcn nhe7 %Dn %h'm m n_ng tay7 huyt Th'n .u tay lLi
n_ng ]t hWn7 nCn ?cng tPcn nhe m nhanh a7 %% huyt T% tam l^7
Tam !m gia#7 Thi "h27 lm nCn .ay ngang brng ? nhn nh m}i
phkp Du G8 lDn7 ba huyt ny th php n_ng ]t7 %O th thu .~n
huyt p i xu\ng ` nIu ngi bnh t!m tLng7 "hBng %Dn .Fng
phkp n_ng tay a
fIt Qu %hKa;
qnh nh|7 thi gian %ha l!u7 Pt .Y %hKa "hei0 qnh l!u .i7
%h>ng tPLng n_ng7 :j Pt "hO %hKa "hei0 qnh ny %Dn "i2ng
thu\% ht7 PRu7 ? %% %ht "]%h th]%h ? lm thJ#0 N2n tPnh %%
nh!n t\ "]%h th]%h tinh thDn nh hUng "hBng t\t0
n)
n0 Ch>ng lit ` Nuy %h>ng a
Nguy2n nh!n bnh;
lam mu\n m "hBng 9% th# lcng7 lLi th2m h#Lt =ng tinh
.T% Qu m>%7 h#_% l U %h} thp bm7 h#_% l 2m mFa hL nOng
nX% nrm ng .9i :Wng ng#i tPi7 h#_% "hi lm mt lLi g_p
nOng m "ht7 @u %O th php :inh %h>ng lit0
Ch>ng tPLng;
thp bnh "hbn %p7 t#n th!n "hBbg %O :>%7 .a U tPi .9i %O
%m gi% t2 .Li7 hai %h!n "hBng >ng tP2n t R%7 hai Fi h#Lt
=ng %# .u}i "hBng nhLy7 h#_% mt n4ng lX% h#Lt =ng7 nghi2m
tP$ng thd %O hin tRng Li tiu tin b/ .Eng h#_% "hBng %Dm0
ChKa;
qnh ny ly bM th'n lm %h]nh7 ly %% huyt wSng tuy@n
` bM a7 Thi "h2 ` bM a7 Thi uy2n ` bMa I@u l^ tPng ?/7 ly %%
huyt lRp %\% ` t a7 T% tam l^ ` bM a7 hii "h2 ` bM a7 Thi2n "hu
` bM a0 Th% by "hBi phT% ?Fng n4ng lX% %# .u}i %a %hi .9i7 ly
%% huyt Th!n .u ` bM a7 Th> li2u ` bM a7 tPung ` bM a7 l#n
"hi2u ` bM a7 wWng l4ng tuy@n ` bM a7 fh!u "h ` bM a7 "im lm
%h# th2m %% th php nh| m %h'm7 m}i huyt .Fng %% phkp
nCn .ay ngang brng7 nhn nh 7 %hm gu U .a @u G8 In +88
lDn0
Th> tX Im huyt ; TE tP2n xu\ng .9i7 thJ# ng nh thI `thJ#
tP#ng bi a m im huyt0
fIt Qu %hKa; qnh m9i .Y %hKa7 bnh l!u Pt "hO tP/7 thng thd
tE + In n thng %O th %hKa "hei0
hhi th2m ; Chi .9i "hBng th h#Lt =ng7 Bng y g$i l hL nuy7
%Sng g$i l tPit tn0 lin nay "h#a h$% l!m :ng "him tPa nO
thu=% ?@ thDn "inh tPung "hu7 %Sng %O thu=% ?@ Du %h\t thDn
"inh0 TPung "hu l l#LI ?i2m thDn "inh \t :\ng7 Du %hOp thDn
"inh l la$i ?i2m Du %hOp thDn "inh0 3i2m thDn "inh tu :\ng thd
%hKa Pt "hO "h4n0
o0 Cm mL# ;
Nguy2n nh!n bnh ;
w# "h] h'u =t nhi2n biIn h#7 h#_% %U # U 2m ng#i :Wng7
lLi th2m ngi bnh l% bdnh thng th!n th "hBng R% "h#z
lCm7 b/ %m ph#ng hm m thnh0
Ch>ng tPLng;
au Du7 php :\t7 %O "hi :R lLnh7 mSi tC% "hBng thBng h#_%
%hy n9% tP#ng7 :R giO7 h# hCng7 hCt hWI7 th!n th au 9n7 th!n
nhit t4ng %a#0
ChKa;
1y ?i% lm Pa mx hBI hL :\t l %h7 T lRp %\% 1it "huyIt
%O th thanh nhit th#i biu ` gibm :\t lFi %h>ng U biu a7 %O t%
.Tng .>t !u 9n7 Pa mx hBI7 %O %hKa R% %h>ng au Du7 tC%
mSi7 php :\7 :R giO0 qM huyt ph#ng tPd .~n h# %a ThiIu
.Wng "inh i xu\ng7 %O th .>t %h>ng nOng Pkt Qua lLi7 ` t>% l
nn
m=t %Wn :\t lLnh7 m=t %Wn pht :\t a7 qM T% tam l^ %O th .~n
nhit %a .Wng minh ging xu\ng0 39i :\ huyt " tP2n ph\i hRp
?9i nhau7 lLi %O :>% thanh nhit gii biu Pt mLnh0 NIu nh :\t
n_ng ` b/ l pht :\t ngay7 l "h2 lu nhit a7 gia t huyt Li
%huv7 %O th thanh nhit U m$i "inh .Wng7 NIu %O phT% t tP#ng `
tP9% gi ng$ lui %Wn nOng7 :au gi ng$ lLi nOng nh \t a thd t
l=i Quan0 Ngi %O !m h ` lcng bn tay7 bn %h!n nOng a7 thd bM
l=i Quan7 tam !m gia#0 NIu wWng minh thX% nhit ` pht :\t7 Pa
mx hBI m "hBng giIa7 t huyt l=i dnh N=i nhit th/nh ` pht
:\t m "ht7 h#_% %O au h$ng7 :ng m7 ph!n "hB7 n9% tiu
?ng a7 th2m bM huyt Ti "h27 %O :>% Li bM th'n !m7 .~n thu
%hI h# ? ph\i hRp ?9i l=i dnh t thX% nhit U wWng minh7
php huy "It Qsa %hKa :j Pt Pu Pt7 3/ tPng nIu "hBng th h#_%
?Fng bTng %O %m gi% au 9n7 gia t U TPung Qun `h# ?/ "h] a7
bM Thi2n "hu7 th2m ?i% lm phkp lC% Pung ?Fng bTng7 th2m t%
.Tng mLnh U "h#ng giKa LI tPng ? ?/ qM "h] hI7 "hBI phT%
%W n4ng %a tPng ?/7 NIu nh tP#ng Qu tPdnh "hBI phT% %h#
ngi th'n h h#_% "h] h th2m bM huyIt ThI uy2n7 m h nhit
.~n In tinh thDn ? gi% ng "hBng y2n gia ?M huyt puan
nguy2n7 Tam !m gia#7 M=i huyt @u .Fng phkp nCn .ay ngang
brng7 nhn nh l +88 lDn7Nht l#Lt thWng ph#ng %m mL#7 m}i
huyt Pi2ng gia phkp %hm gu U .a +88 lDn7 l# hCng n_ng7 phI
%O ph#ng nhit thd t U ph#ng ph7 fhi Im huyt LI %huv m :R
"hBng hiu7 %O th m t php th2m U huyt L# .L#7 ? n2n tE
hai huyt O ly U hai b2n ` t>% l U "inh thI .Wng bng Quang a
xu\ng %hEng my \t lng .9i7 Cm mL# l!u ngy "hBng "h#it
h#_% ngi ?\n yIu m %m mL#7 thd ng#I ?i% Im huyt U
lRp %\%7 1it "huyIt7 th#ng tPd Pa7 n2n th2m bM0U huyt N=i Quan0
Th> tX Im huyt; Nh " U tP2n
fIt Qu %hKa; qnh nh| thd tE +(n lDn l "hei0
thT
` + a m TPz Jm %m mL#7 "hi th!n nhit tE n- m n-7G = C7 %Dn t
lRp %\%7 bM T% tam l^7 nht l#Lt m=t lDn l "hei0 NIu "hi th!n
nhit tP2n .9i o8 = C7 thd U m}i huyt m}i phkp @u Im )88
lDn7 %> %%h hai gi xng hx lLI %hKa m=t lDn7 li2n tT% Im huyt
) m n lDn7 th!n nhit %O th gim xu\ng7 tP#ng ?cng )o gi7 th!n
nhit tPU lLI bdnh thng ? "hei bnh0
`)a ( Ngi l9n %m mL# m>% nh| 7Im m=t lDn U huyt lRp %\%
thJ# t php thd %O th "hei 0
`na ( Ngi l9n %m mL# pht tP2n .9i n, = C7 h#_% thJ# gii
xng hxi im huyt m=t lDn7 :au "hi Im n m G lDn n\i nhau nh
"h#ng %%h tP2n7 th!n nhit %O th Pt xu\ng0

G0 NBn m6a
Nguy2n nh!n bnh;
ThWng thX% b/ lLnh7 ? "i2m % au ?Fng .L .ayg7 pht lm %Wn
%p t]nh7 l thX% %h>ng ` l l#LI ?i2m .L .y %p t]nh a7 qdnh
no
thng ti2u h# "hBng t\t7 tP#ng .L .y %O th>% 4n $ng .Eng7
g_p "hi t]nh tdnh "hBng ?ui :9ng m .~ In pht lm mn t]nh7
g$i l h %h>ng0
Ch>ng tPLng;
3Fng .L .y b>t P>t m au 9n7 nBn m6a7 gp7 tP#ng ming
"ht7 nBn Pa n9% %hua7 a lLnh :R nOng7 mL%h t# ` hxng a m
nhanh ` :% a7 l thX% %h>ng0 T> %hi lLnh7 "hBng thy "ht n9%7
nBn m6a tE tE7 :\ ngy bnh ` nht "v a "k# .I7 nBn m6a :au "hi
4n u\ng7 tinh thDn mt mei hIt m>%7 mL%h tRng "hBng %O :>%7
l %h>ng h0 TOm lLI7 biIt lu'n l nBn m6a %p t]nh hay mn t]nh7
u\ng thu\% %Sng .Y nBn Pa7 "hO php huy hIt t% .Tng7 nhng
m Im huyt thd lLI Pt t\t0
C%h %hKa;
TP9% hIt lm phkp p thJ# U ?Fng lng ` b\i b= tuDn p php a7
>% %hI "h]7 thRng ngh/%h ?/7 Im U huyt N=i Quan7 %hn l
%p7 .Fng t php thanh tPE nhit U tP#ng7 ?9i mn t]nh 7 .Fng
bM php gip %h# %h]nh "h] tPE t "h]7 %O th giI R% :X Dy
t>% U giKa .L .y ? ngX%0 NIu .# nBn m6a m .~n In Du O%
m mt Qu lCm7 thd th2m phkp by x#ay U ?Fng Du7 phI :6
.Tng phkp ny tP9% "hi .Fng phkp p thJ# U lng a0 T tPung
Qun7 bM "h] hI7 %O th thBng :R :X t]nh tP U giKa .L .y ?
Pu=t7 :au \ Im huyt T% tam l^7 .Fng phkp bM thu .~n ?/
"h] I xu\ng7 lLI t huyt %Bng tBn ti2u thp7 T tam l^ .Fng
phkp bM thu .n ?/ "h] I xu\ng7 lLI t huyt %Bng tBn ti2u
thp7 T ThI xung bdnh %an .>t nBn7 Im huyt ChiIu hI (
!m h thd .Fng phkp bM7 t !m lWI tin7 th% by %W n4ng ti2u
h# tPU lLI nh thng0 NIu nh %O hin tRng huyIt h7 th2m bM
huyt C%h .u wL .y "hO %h/u t huyt7 TPung Qun7 "h] h bM
huyt "h:i hI7 ? %O th th2m phkp Pung Pby U ?Fng .9i7 .Fng
th php n_ng hWn m=t ]t7 1iu %h>ng m gim b9t :\ lDn tha#
t% U nhKng huyt ?Fng tP2n7 t4ng th2m :\ lDn tha# t% U nhKng
huyt ?/ ?Fng .9i7 ay l nhKng bin php %O t% .Tng thu .~n0
Th> tX Im huyt; TE tP2n xu\ng .9i7Th php U huyt ?/
?Fng tP2n nh| hWn m=t ]t7th php U huyt ?/ n_ng hWn m=t ]t0
liu Qu %hKa; qnh %Cp t]nh7Im huyt m=t lrn %O th thCy
hiu Qu7hai7ba lrn l %hKa "hei0qnh mn t]nh7 %rn ph %hKa
thi gian .i m9i "hei
0
H0 sa %hy mn t]nh
Nguy2n nh4n bnh;
thrn l9n bnh .# ?i2m ng Pu=t %Cp t]nh %hKa l4u .I "hBng
"hei7.rn .rn tPU thnh ?i2m Pu=t mn t]nh7 lLI %Sng %O nh4n g_p
%% l#LI bnh "h%7 tP#ng ?i% nuBi %hKa "hBng %h ^ ?@ 4n u\ng
g!y Pa0
Ch>ng tPLng;
Au=t :BI7 bTng tP9ng7 %O "hi au bTng7 "hBng %h/u R% lLnh7
"hBng biIt ng#n "hi 4n tWI :\ng ? 4n th/t0 fhBng %bn th'n m=t
nG
%ht l bTng au m bI tiIt leng7 ph!n "hBng thnh "huBn7 m
gi\ng nh %h# leng7 m=t ngy bI tiIt .4m ba lDn "hBng %hEng7
tP9% "hi Pa ph!n thd bTng au7 :au "hi Pa ph!n thd b9t au0
C%h %hKa;
qM n=i Quan7 qM bn bL%h7 qM phT% lu7 lm %% phkp nCn .ay
ngang brng ? nhn nh7 m}i phkp @u G8 h#_% V8 lDn7 hai huyt
Thi2n "hu .Fng phkp n\i tiIp .Fng ngS hnh ` ngS hnh li2n
.Tng php a7 "hi nhn nh :!u ph\i ?9i huyt N=i dnh7 "hi Pung
Pby ph\i hRp ?9i huyt lm %\%7 "hi %hm gu U .a ph\i hRp ?9i
huyt 1 #I7 "hi x#a by U mL%h mu ph\i ?9i huyt hiI "h27
"hi nCn .ay ngang brng tPI php U %W bCp ph\i ?9i T%7 tam l^7
qM U hai huyt TPung Qun7 fh] hI7 .Fng % n4m l#LI th php
` ngS hnh li2n .Tng a7 qM U ba huyt ThDn "huyIt7 Mnh mBn7 Tv
.u7 .Fng th php nCn .ay ngang brng ? nhn nh7 m}i th
php V8 lDn0 lai huyt Th'n .Fng phkp n\i tiIp .Fng ngS hnh7
"hi nhn nh U :!u tP#ng :Wng "h\i ?9i huyt ThBng %\%7 "hi
Pung Pby U gDn ph\i ?9i huyt Th% %\t7 "hi %hm gu U .a ph\i ?9i
huyt Ch] !m7 "hi x#a by U mL%h mu ph\i ?9i huyt CBn lu!n7
"hi nCn .ay ngang brng tPI phI U %W bCp ph\i ?9i huyt u
tPung0 NIu g_p %an m=% "hC% ?/ lm %h# nLp th>% 4n "hBng t\t7
%O th gia t U huyt fv mBn7 bM U huyt %an .u7 I@u %hsnh
Quan h %an ?/0
Th> tX Im huyt; TE tP2n xu\ng .9i7 th php U huyt ?/
?Fng tP2n n2n hWI nh| hWn ]t7 U huyt ?/ ?Fng .9i hWI n_ng hWn
m=t ]t0
liu Qu %hKa; \i ?9i l#LI %Bng n4ng ng Pu=t P\i l#Ln ?
?i2m "It tPng mn t]nh7 Im ) m o lDn l thy hiu Qu Pu Pt7
nht l#Lt %hKa tE )8 m n8 lDn l %O th "hei0
V0 qnh lg
Nguy2n nh!n;
qnh lg ngi xa %Sng g$i l ZtP hL[7 thng l!y lan ?#
"h#ng giKa hL ? thu0 w# ngy nOng m 4n th>% 4n lLnh mt
h#_% thK% 4n "hBng :L%h7 :j th2m ?# O l "h] h'u Pt mX% "h%
thng7 biIn h# %h2nh l%h7nOng lLnh Pt l9n7 lm %h# t tP U
ng Pu=t m x#ay Pa lm thnh lg0
Ch>ng tPLng;
LI tin "hBng "h#i7 mu ph!n h#_% tPCng h#_% e0 Thng g$i
mu tPCng l bL%h l/7 mu hxng l hxng l/0 Nhng %hung @u %O
%h>ng tPLng l^ %p h!u tP$ng0
C%h %hKa;
T huyt lRp %\%7 %O th tPE R% thp nhit tP U .9i7 bM hai
huyt T% tam l^7 Thi2n "hu ` Thi "v Du thd .Fng t php7 thi
"v %u\i thF .Fng bM php a7 th% by tPng ?/ tPU lLI bdnh
thng7 ph\i hRp ?9i huyt TPung Qun .Fng t php %O th thanh
nhit U tam ti2u7 ph\i ?9i puan nguy2n .Fng phkp bM %O th lRi
%I thp ` th# I %I thp a U hL ti2u0 qM huyt th'n .u I@u
nH
tiIt LI tiu tin7 T huyt Th>a :Wn %] th thanh t# U bng
Quang7 qM huyt ChiIu hI %O th t !m lRi tin0 NIu g_p l%
pht :\t7 gia Im U huyt N=i Quan7 bM php7 huyt LI %huv t
php h#_% .Fng phkp thJ# ` tuDn a m t U "inh huyt LI tPng7
m}i huyt nCn .ay ngang brng7 nhn nh @u +88 lDn7 m}i ngy
Im huyt m=t lDn h#_% hai lDn0 3Fng bTng th php "hBng n2n
n_ng7 th php U %% huyt gim b9t :>% n_ng U ?Fng bTng0
Th> tX Im huyt; TE tP2n xu\ng .9i7 th php U %% huyt
gim b9t :>% n_ng U nhKng huyt ?Fng bTng0
liu Qu %hKa; M=t In hai lDn %O th thy nh| b9t7 tE G mH lDn
%O th %hKa "hei0
-0 q] Li tin;
Nguy2n nh!n bnh;
w# LI tPng "hB "han7 t!n ./%h "hBng m mt bm 9t7 ?d
thI m b] "It LI tin "hBng thBng th0
Ch>ng tPLng;
fh#ng hai In ba ngy m9i bI ph!n m=t lDn7 thi gian ngxi bI
ph!n Pt l!u7 tuy %O thy ph!n Pa nhng ph!n Pa Pt "hO "h4n0
C%h %hKa;
qM huyIt ThI uy2n U phI "inh7 t huyt lRp %\% U "inh LI
tPng7 %O th lm %h# :X %huy@n .~n %O :>%0 T huyt Tha :Wn7
bM huyIt ChiIu hI7 %O th I@u l^ Quan h !m .Wng %a thin ?
bng Quang7 Th'n %h ?@ nh/ tin7 I@u !m .Wng %a hai huyt
O %O th lm %h# tPX% tPng :inh t!n m thBng tin7 ?9i huyt
thBI t% tam l^7 qM huyt TPung Qun7 t huyt fh] hI7 bM I@u
l^ tPng ?/7 g]up %h# hiu Qu thBng tin0 NIu ng l thX% "It7 U
huyt ChiIu hI .Fng t php7 ? n2n gim be I huyt ThI
uy2n7 gia ?# huyt Thi2n "hi lm t php7 gip %h# thBnb tin
%O hiu0 M}i huyt nCn .ay ngang brng7 nhn nh In +88 lDn0
Ch>ng !m h tin b]7 t\% = th php phI %h'm m n_ng7 ?Fng
bTng liu %h>ng ly th2m php x#a xt h#_% Pung Pby0
Th> tX Im huyt; TE tP2n xu\ng .9i7 th php n2n tiIn hnh
%h'm %h'm0
liu Qu %hKa; qnh %O thi gian %hKa l!u7 %hKa + lDn ) lDn %O
th thBng0 Ngi tuMi %a# bnh l!u7 thi gian %hKa %Dn phI .I
hWn0
,0 wi tinh;
Nguy2n nh!n bnh;
w# t!m t]nh phi@n n# h#_% mt mei Qu m>% .~n In t!m thDn
bt gia# g!y Pa m=ng tinh7 %Sng %O "hi b= my th'n "hBng %hC%
` th'n Quan bt %\ a7 "hBng m=ng m tinh %Sng Pa0
Ch>ng tPLng;
CO m=ng .i tinh h#_% "hBng m=ng h#Lt tinh7 m=t thng mC%
bnh o m G lDn7 "hBng %hEng7 %Sng %O ngi ?I ba ngy mC% m=t
lDn h#_% m}i 2m m=t lDn7 thm %h] ban ngy %Sng h#Lt tinh7 m}i
nV
ngy m=t t4ng %% hin tXng Du t\i mCt h#a7 mdnh mby mt mei7
tP] nh9 gim7 %hbn tay "hBng %O :>%7 lng g\i bu\t au0
C%h %hKa;
qM %% huyt T!m .u7 Th'n .u7 lm %h# t!m th'n tWng gia#7 qM
huyIt Ng#LI Quan7 fh] hI7 Tam !m gia#7 %O hiu Qu LI bM
nguy2n !m7 %ng %O %h]nh "h]7 "hBng m=ng m h#Lt tinh7 bM %%
huyt Tam !m gia#7 puan nguy2n7 fh] hI7 l=i !m7 ng#I ?i%
pht huy t% .Tng nh tP2n Pa7 m=t huyt l=i !m %O t% .Tng
nht l %ng %\ %h!n !m ` huyt l=i !m L# gia g#i l lI lLI
n#] Mnh tLI lI t]nh tLI thi2n7 ngha ?@ hm ngha tP#ng %!u
nOi O ng l %O L# l^ a0
M}i huyt n .ay ngang brng7 nhn nh @u +88 lDn7 thJ#
ng "inh m %h'm7 h#Lt tinh n_ng %% huyt puan nguy2n7 fh]
hI th2m phkp %hm gu U .a0 C%h m=t ngy %hKa m=t lDn0
Th> tX Im huyt; TE tP2n xu\ng .9i7 th php n2n %h'm
%h'm m hWI nh|0
liu Qu %hKa; ChKaR% ?I ba lDn thy hiu Qu7 nht l#Lt
%hKa +8 lDn tPU l2n %O th "hei bnh7 nhng bnh thI n_ngm %Dn
%hKa thi gian .i0

+80 1it .Wng0
Nguy2n nh!n bnh;
Nht h#Lt .# h#Lt =ng tdnh .T% Qu m>%7 xut tinh Qu nhi@u7
th'n "inh ha# tMn h#_% :uy ngh nhi@u7 g_p %nh "inh "hng7 @u
%O th .~n In :inh Pa bnh ny0
Ch>ng tPLng;
fhi ?# phcng mu\n nhanh %hOng gia# hRp7 "hi gia# hRp .Wng
?'t "hBng PCn %>ng7 h#_% %>ng PCn "hBng l!u7 tinh %hy Pa7 %O
"hi %ha "/p gia# hRp7 tinh :9m %hy7 Qu l!u thd thy :C% |p
l tinh %hy Pa ngay m m@m PTt "hBng %>ng l2n R%0
C%h %hKa;
qnh ny %h yIu l .# %an th'n @u h7 bM huyt ThI xung U
%an "inh7 %O th lm %h# .Wng ?'t = %>ng7 bM huyt ThI
"h2 U th'n "inh huyt ThI uy2n U phI "inh7 %O th lm %h# th'n
"h] xung t% m tiIt tinh %h'm %h'm7 ? ph\i hRp ?9i huyt l=i
!m7 puan nguyJn7 %O th %ng %\ %h!n !m0 M}i huyt @u nCn
.ay ngang brng7 nhn nh7 %hm gu U .a m=t th php +88 lDn7
th php %Dn nh| m %h'm0
Th> tX Im huyt; TE tP2n m xu\ng .9i7 th php n2n nh|7
n2n %h'm0
liu Qu %hKa; Nht l#Lt %hKa tE G m +G lDn l "hei7 tP#ng thi
gian %hKa ? :au "hi %hKa m=t thi gian phI tPnh "hBng R%
gia# hRp0

++0 Mt ng0
Nguy2n nh!n bnh;
n-
qnh ny thng .# :uy ngh hLI tv7 h#_% bUi huyIt h "hBng
th .Nng t!m h#_% .# au Du7 au lng7 t!m th'n bt gia# g!y
Pa0
Ch>ng tPLng;
qan 2m "hBng th ?# gi% ng7 h#_% ?# gi% ng "hBng l!u
tsnh7 tsnh lLI thd "hBng th n# ?# lLI gi% ng7 "i2m %O au
Du7 tdnh thDn "hBng phn "hUi0
C%h %hKa;
w# :uy ngh Qu m>%7 huyIt bt .Nng t!m7 bM huyt ThDn mBn
U t!m %O th an t!m thDn7 bM huyt Tam !m gia# U tv "inh %O th
nh'p tnh0 T!m an thDn tnh :j .Y .ng ?# gi% ng7 nIu .# %an
h# th4ng l2n tP2n7 thd t hai huyt ThI xung ? lRp %\% @u
au7 Du t\i7 ly huyt ?Fng Du h#_% bM tPR brng %%h ly phkp
p huyt ? phkp by x#ay U ?Fng Du0 M}i huyt @u nCn .ay
ngang brng ? nhn nh7 m}i l#LI th php lm +88 lDn7 th
php %Dn nh| m %h'm7 nhng phkp p huyt U ?Fng Du ly
n_ng m=t ]t7 m}i ngy %hKa + lDn0
Th php Im huyt t!m th'n tWng gia#7 an thDn l brng
bM huyt ThDn mBn7 n4n .ay ngang brng %O ?cng tPcn t#7 t\% =
%h'm7 th php nh| +88 lDn ` .~n th'n gia# t!m a0 NCn .ay
ngang brng ?cng nhe7 t\% = nhanh7 th php nh| +88 lDn ` .~n
th'n gia# t!m a7 nhn nh "hBng nhanh "hBng %h'm +88 lDn0
qM !m .Wng7 bM puan nguy2n7 nCn .ay ngang brng7 nhn nh
m}i l#LI th php @u +88 lDn` th php "hBng nhanh7 "hBng
%h'm7 "hBng n_ng7 "hBng nh|a
Th php Im huyt t!m th'n tWng gia#7 "in ?/ bM tv l
brng bM huyt ThDn mBn7 nCn .ay ngang brng7 th php nh| 7
?cng tPcn t#7 t\% = %h'm ` .~n th'n ?# t!m a7 nhn nh "hBng
n_ng7 "hBng nh|7 t\% = %h'm ?Ea phI ` "hBng nhanh "hBng
%h'm a
qM huyt ThI "h27 nCn .ay ngang brng7 nhn nh7 th php
"hBng n_ng "hBng nh|7 "hBng nhanh7 "hBng %h'm7 ?cng nCn
"hBng t#7"hBng nhe0
qM huyt T'm .u7 th php gi\ng nh U huyt ThDn mBn
qM huyt Th'n .u7 th php gi\ng nh U huyt ThI "h2
qM huyt Tv .u7 th php gi\ng nh U huyt T% tam l^0
hiI th]%h th php;
T!m U tP2n7 th php nh|7 T!m thu=% h#7 ?cng tPcn t# m
nhanh ` .Fng t\% = %h'm l .~n th'n ?# t!m a0 Th'n U .9i7 th
php n_ng7 th'n thu=% thu7 ?cng tPcn nhe m %h'm7 .Fng t\% =
nhanh l .~n t!m ?# th'n7 Tv ?/ U giKa7 th php n2n %h'm ?Ea
pahs ` h#n a7 nCn .ay ngang brng?cng tPcn "hBng t# "hBng nhe0
Th> tX Im huyt; ThJ# th> tX tPdnh by U tP2n7 tiIn hnh Im
huyt0
liu Qu %hKa; ChKa hai In ba lDn thy bnh nh| I7 %h>ng
nh| thd tP2n l9i +8 lDn l "hei0
n,
+)0 l# hCng;
Nguy2n nh!n bnh;
w# tE ng#LI %m ph#ng hn m nh hUng In :X ?'n hnh
ngay ngCn %a phI "h]7 a In ng "h] bt lRi m g!y Pa0
Ch>ng tPLng;
TP#ng hDu h$ng pht ng>a7 h# hCngnhi@u m7 g_p "hi mFi ?/
"h% thng h#_% "hi h]t phI "hOi :j h# hCng n_ng hWn7 nh
hUng In gi% ng0
C%h %hKa;
l# hCng "hi ng#LI %m %ha lui7 tP9% hIt .Fng phWng tP/ ng#LI
%m %hKa7 "hi ng#LI %m lui7 h# hCng %Sng thJ# O gim
nh| h#_% "hei0 NIu nh ng#LI %m lui7 nhng ?~n h# hCng7 thd
bM huyt ThI uy2n7 t huyt Thi2n l/%h7 bM %% huyt ph#ng mBn7
thI .u7 Chi2n tPung7 T huyt T#n %W0 NhKng huyt O %O t%
.Tng thBng phI "h]7 >% %hI h# hCng7 T huyt TPung Qun7 bM %%
huyt fh] hI7 T% tam l^7 %% huyt y %O th "in ?/ h# m0
M}i huyt @u n .ay ngang brng7 nhn nh7 %hm g#x U .a m}i
th php @u +88 lDn0 Nhit th/nhh# hCng thd .Fng t php U
th#ng mBn7 thI .u7 ? be b9t th php %hm gu U .a0
Th> tX Im huyt; hi\ng nh " tP2n0
liu Qu %hKa; qnh tP#ng ?cng n6a n4m7 tP/ + m n lDn l %O th
"hei7 bnh Qua my n4m thnh mn t]nh7 :j Pt "hO %hKa0
hhi th2m
thkp ny %O th %hKa hJn phI Qun nOi %hung bnh l!u ngi
yIu7 .Fng th php nh| l %O th thu R% hiu Qu0 N4m +,H+
"hi tPU ?@ Qu27 m=t hBm 2m In tP9% "hi %hubn b/ In Thim
ti@n7 g_p m=t ngi bnh nK tuMi Qu -87 mC% bnh nhi@u n4m7
%> Im In l hJn xuyYn7 .# ngi bnh Qu gi ? thi gian lLI
%Sng "hBng "/p ly nhKng huyt ?/ tP2n7 n2n bM hai huyt ThI
uy2n ? T% tam l^0 1y ph php phM thBng tP/ l n .ay
ngang brng7 nhn nh7 %hm gu U .a tP2n huyt ThI uy2n )88
lDn7 T% tam l^ +88 lDn7 ngay l% O %Wn "hO thU gim nhi@u0
thT; Th php %hKa h# hCng ` ?k#7 nCn7 by7 %Ct7 lC% a
\t %M 7 ?k# l2n buBng Pa +88 lDn7 nIu bCp th/t %4ng "hO ?k#
buBng7 %O th Mi lm ?k# O n!ng l2na7 th#ng mBn7 thI .u
?k# +88 lDn ` Jm hai huyt ph#ng mBn ? thI .u ?i# .Eng a7
nCn .ay ngang brng b2n tPI ? b2n phI +88 lDn7 ` th#ng mBn7
thI .u @u nCn a7 by l2n xu\ng U phLm ?i hai huyt7 h9ng l2n
by nH lDn7 h9ng xu\ng by Go lDn7 %Ct .Eng U hai huyt finh %E
? ThiIu thWng lm %h# ng#n tay %I %Ct thJ# lm .a# =ng
?cng tPcn +88 lDn7 phkp tP2n g$i l ngS tX th php %O t% .Tng
tP m .>t h#0
+n0 au Du;
Nguy2n nh!n bnh;
CO b/ %m ng#LI P ma au Du7 g$i l au Du ng#LI %m %O "h]
huyIt ha# tMn m au Du7 g$i l n=i thWng au Du0 au Du .#
o8
ng#LI %m phDn l9n l ph#ng7 hn g!y Pa7 n=i thWng au Du7 a
:\ .# h tMn .~n In0
Ch>ng tPLng;
Ng#LI %m au Du7 :R lLnh7 :R giO7 %O mx hBI h#_% "hBng %O
mx hBI7 ? "i2m %O hin tRng php :\t0 Nh "hi %hbn mL%h :j %O
hin tRng mL%h phF h#n7 phF "hbn h#_% phF huy@n0 N=i
thWng au Du thd "hi au "hi .>t7 g_p l% lm mt thd %ng au7
?Ea thy tinh thDn "hBng ?ui ?z7 mL%h thng ?B lX%0
C%h %hKa;
Ng#LI %m au Du7 Im %% huyt lRp %\% t7 th#ng tPd bM7 bM
tPR brng th php by x#ay ?Fng Du7 lLI .Fng m_t mu %a hai
ngOn tPe ? giKa tay %h} "h9p th> hai "|p ?k# my lDn U hai b2n
tO% mai ? giKa hai Du lBng my7 lm %h# xung huyIt %T% b=
thnh Pa mu t]m0 N=i thWng g!y au Du bM huyt 1it "huyIt7
t huyt lRp %\%7 I@u tiIt Qua h !m .Wng7 biu l^ %a phI ?
LI tPng7 thanh nhit .>t au0 fhi au ph]a tP9% Du7 .Fng
phkp by x#ay U ?Fng Du ? phkp p huyt0 NIu thu=% ?@ au
m=t b2n Du7 %O th ly t lRp %\%7 bM 1it "huyIt U b2n \i ?
p huyt ?/ au U ?Fng tO% mai0 NIu au U snh Du7 thd m=t tay
p nWI au `p th\ng thi2n a7 U huyt Ti@n dnh7 m=t tay p nWI
au ` p th\ng thi2n a U huyt lUu snh7 gp %h# t% .Tng .>t
au %T% b=0 5au O t huy2t q%h h=i thLnh nhit7 "h] huyIt
hL hm ` t>% l thiIu mu n# a7 thd .Fng phkp bM U huyt q%h
h=i7 t huyt ThI xung bdnh %an0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %hKa; au Du .# ng#LI %m7 %hKa ) mn lDn l "hei0
N=i thWng au Du %hKa ) mo lDn thy hiu Qu7 nht l#Lt +8 lDn
%O th "hei0
+o0 N# Pung lC% ` %hn ng a
Nguy2n nh!n g!y bnh;
w# ?a %hLm h#_% tk ng .~n In tM %h>% thDn "inh l# b/ Pung
lC%0
Ch>ng tPLng;
Du au7 Du m t\i7 "hBng %m thy =ng lC%7 "hi b9% I thd
Du %ng t\i7 %h>ng n_ng thd thDn tP] hBn m20
C%h %hKa;
w# ?a %hLm h#_% tk ng7 lm %h# tM %h>% n# :inh Pa hin tRng
> huyIt7 thd "hi %hKa %h yIu l ly lu thBng "inh lL%7 th% by
"h] huyIt U t> %hi ? t#n th!n %h# .Y thBng7 lm %h# M bnh >
huyIt tP#ng tM %h>% n# .Dn .Dn ti2u tan0 1y %% huyt; T lRp
%\%7 bM 1it "huyIt7 bM th#ng tPd7 bM T% tam l^7 t ThI xung ?
lm %% phkp .Xa thJ# ng "inh7 lL%7 by x#ay ?Fng Du7 p
thJ# ?Fng lng0 NIu %O %% %h>ng tPLng %a bnh "h%7 Du %O
th thJ# %h>ng m gia gim7 h#_% lLI thay huyt0 NIu %O hBn m27
gia %Ct huyt n ng7 Nhn tPung7 t huyt q%h h=i7 TiIng nOi
"hO "h4n7 th2m t huyt mBn7 %Ct %% huyt I ph#ng7 ThBng l^7
o+
puan xung0 M}i huyt .Fng %% phkp nCn .ay ngang brng7 nhn
nh @u G8 m +88 lDn0 T% .Tng %a Im huyt l %O th lm %h#
"h] huyIt lu thBng "hBng tP7 %W th "hBI phT% "hBng mt mei7
Jm lLI %h# ?Fng M bnh tPnh t4ng th2m p lX%7 %O lRi %h# ?i%
"hBI phT% %Bng n4ng %a %W th0
Th> tX Im huyt; TP9% hIt7 Im huyt ?Fng t> %hi7 th php
n2n nh| m %h'm7 :au O Im huyt ?Fng Du7 lLI %Dn .Fng th
php nh|0
liu Qu %hKa; qnh n_ng7 "hO tPnh %O .i %h>ng0 qnh nh|7
m=t lDn %hKa l %O th %O hiu Qu0
+G( ChOng m_t `luyYn ?'na
Nguy2n nh!n bnh;
ChOng m_t thng thu=% %an th_n h nhR%7 %I h .Wng I l2n
Du m_t bUi ?'y m Du x#ay7 h#a mCt0 CSng %O tPng hRp .#
"h] .Wng bt t% m Du m t\i7 nhng Pt ]t thy0
Ch>ng tPLng ;
fhi bnh ny pht %Wn 7 thy Du x#ay7 mCt h#a7 tai F h#_% buxn
nBn0
C%h %hKa;
T q%h h=i7 %Ct xng t6 li2u7 t lRp %\%7 bM N=i Quan7 bM T%
tam l^7 %O th .~n h .Wng I xu\ng7 lm %h# %% %h>ng bnh b/
.|p .>t0 NIu .Wng h %hOng m_t7 %% huyt @u .Fng phkp bM0
M}i huyt .Fng %% phkp nCn .ay ngang brng7 nhn nh @u +88
lDn0 C% huyt q%h h=i7 T% tam l^ @u th2m phkp %hm gu U .a
+88 lDn0
Th> tX Im huyt; TE tP2n I xu\ng m Im huyt0
liu Qu %hKa;
5au "hi pht bnh7 nIu "/p thi %hKa ngay thd hiu Qu Pt t\t0
NIu %O bnh %S m m9i phLm %h>ng ny7 tuy thy %O hiu Qu Pxi
nhng %Dn phI tiIp tT% %hKa nKa0 Nht l#Lt "h#ng tP2n .9i +8
lDn %O th %hKa "hei0
+H0 Ch>ng hxi h=p
Nguy2n nh!n bnh;
Nht l#Lt .# la# t!m Qu m>%7 h#_% tPi@u thp ` thp n_ng a g!y
Pa0
Ch>ng tPLng;
Du t\i7 tai F7 tim hxi h=p7 tim 'p mLnh7 ngX% buxn brn7 ngCn
hWi7 m] mCt `:nga phF n@7 %O "hi %hs .9i hWI phF tPWng7 %hi .9i
hWI phF tPWng7 nBn m6a7 "hBng mu\n 4n7 tinh thDn "hBng ?ui7
ng "hBng t\t7 Li tin bI "It0
C%h %hKa;
qM N=i Quan7 bM Thi xung7 t lRp %\%7 %O th tPE R% buxn brn
tP#ng ngX% ? ngCn hWI7 I@u %hsnh R% mL%h 'p0 qM ThI "h27
bM Tam !m gia#7 bM T% tam l^7 tP/ R% h nhit7 lm "hJ# td ?/7
ph\i hRp ?9i %% huyt tP9% "i2m %O th %hKa R% bnh n=i tiIt0
o)
qM Chi2n tPung7 bM CX "huyIt7 t TPung Qun7 bM fh] hI7 bM thI
.u7 bM Tam .u7 bM C%h .u7 bM Tv .u7 bM Th'n .u7 %% th php
nCn .ay ngang brng7 nhn nh @u lm V8 m +88 lDn{ Th php
nh|7 ?cng tPcn nhe7 t\% = %Dn %h'm7 m}i pht %hEng tP2n .9i
V8 lDn7 "hBng n2n nhanh0 Th php ? "It hRp hug2t tP2n !y
"hBng nhKng nhrm ?# "It Qu t\t %hKa nht l#Lt %h>ng t!m
h#ng7 t!m nhy =ng7 lLI %O th .Fng bnh :W ?Ka =ng mL%h
tim7 h#_% bnh tim .# ph#ng thp0
Th> tX Im huyt; hi\ng nh tP2n0
liu Qu %hKa;
Nht l#Lt %h>ng tim hxi h=p7 Im huyt + m ) lDn :j thu hiu
Qu0 qnh t!m tLng Im huyt nhi@u lDn %Sng thu hiu Qu0 NIu
%hKa n thng In n6a n4m %O th h#n t#n mt hIt %h>ng
tPLng0
+V0 au .L .y
` 3i2m %p7 mn7 n9% %hua Qu nhi@u7 l#kt ng ti2u h# a
Nguy2n nh!n bnh;
w# 4n u\ng "hBng %O Quy lu't nht /nh7 Qu Oi7 Qu n#7 nh
hUng %Bng n4ng ti2u h#7 l!u ngy hdnh thnh bnh ny0
Ch>ng tPLng;
Du t\i7 lng tP2n au7 %h9ng ?Fng .L .y7 "km 4n7 :au "hi 4n
h#_% :au "hi ?Fng lng tP2n b/ lLnh thd thy nBn n9% %hua7 %O "hi
au ?Fng .L .y7 thu=% ?@ au 9n .# ?/ hn ` n9% %hua .L .y
Qu nhi@u a0 NIu nh ?Fng .L .y %O au 9n "h% thng7 ?
%m gi% pht tP9ng "h% ?9i au 9n mn t]nh7 4n u\ng "km7
thng %O %m gi% n# Dy7 %Sng thu=% au 9n .# ?/ hn ` ?i2m
.L .y mn t]nh a0 NIu au 9n ?Fng tP2n m lLI %O gi au nht
/nh nh :au "hi 4n "h#ng tP2n .9i + gi thd au l %O th %O
l#kt ?Fng .L .y0 NIu :au "hi 4n "h#ng tP2n .9i n gi m9i au
9n %O th l l#kt hnh t tPng0 au 9n phI Ri %hEng m=t ?I
gi :au m9i .Dn .Dn gim nh|7 :au "hi .>t au7 ?Fng bTng tP2n
%O %m gi% "hBng th7 th]%h7 "im thJ# %O n !u U ?Fng lng
tP2n7 %h} Tv .u7 3/ .u7 %O "hi nBn "han7 R hWI nOng7 R %hua7 phDn
l9n "i2m %O %m gi% au 9n ?Fng "h9p g\i7 h#_% Du b>t .>t7
Du au7 mt ng0
C%h %hKa;
thkp ph\i huyt %hung %hKa %% %h>ng n9% %hua .L .y
Qua nhi@u7 ?i2m .L .y mn7 l#kt .L .y7 l#kt t tPng7 l T
huyt lRp %\% ` ph!n leng nt ? tinh thDn "hBng t\t thd .Fng
phkp bM7 h#_% gim be huyt lRp %\%7 bM huyt ThI uy2n a7 bM
huyt N=i Quan7 bM C%h .u7 bM Tv .u7 bM 3/ .u7 t huyt TPung
Qun7 bM huyt fh] hI7 bM huyt Thi2n "hu7 bM T% tam l^7 t
huyt ThI xung7 m}i huyt @u .Fng %% th php nCn .ay
ngang brng7 nhn nh +88 lDn0 Th php %h'm7 :>% n_ng7 %%
huyt C%h .u7 Tv .u7:>% "hBng n2n n_ng7 %O th t4ng gp BI :\
lDn th php7 \i ?9i bnh ny %O t]nh %%h t% .Tng QuyIt /nh0
on
Nhng ngi gi :>% yIu7 thd n2n .Fng th php m>% ?Ea phi0
NIu %O nBn m6a7 th2m Pi2ng phkp p thJ# U ?Fng lng7 ly huyt
tE tP2n xu\ng .9i7 U nhKng huyt ph]a tP2n th php nh|7 U
nhKng huyt ph]a .9i th php n_ng0 Du au th2m phkp by
x#ay ?Fng Du ? phkp p huyt0 NIu "hBng nBn m6a7 %O th be
huyt ThI xung ? th2m hug2t Tam !m gia#0 3Fng bTng au 9n7
h} tPR th2m brng phkp Pung Pby0 fi2m %O au 9n ?Fng "h9p g\i
th2m phkp p huyt U %T% b= ` Tt nhNn7 lL% snh a0 Ngi bnh
nIu %O tdnh tPLng ?'t ? ` phi@n tha# a7 thd th php nCn .ay
ngang brng thnh ?cng tPcn phI Pt nhe7 %X ly nhn nh phI Pt
ngCn7 lm thI :j %O th .~n =ng ?# tnh7 %O t% .Tng >% %hI
?'t ?0 C%h ny %hKa + lDn7 "hi pht bnh %p t]nh7 %O th m}i
ngy Im huyt + lDn0
Th> tX Im huyt; TP9% hIt Im huyt U %hi tP2n7 lLI Im
huyt %a %hi .9i7 :au O Im huyt ?Fng bTng ?Fng lng0
liu Qu %hKa;
\i ?9i %h>ng thEa t#an ` n9% %hua Qu nhi@u a7 %hs + lDn %hKa
thy hiu Qu7 %hKa tP2n .9i +8 lDn thd "hei0 3i2m .L .y
mn7 tE ) mn lDn ~ thy hiu Qu7 %hKa tP2n .9i ) thng %O th
"hei0 1#kt ng ti2u h#7 %hKa G lDn thd thy hiu Qu "h#ng
tP2n .9i +8 lDn thd gim nh| %h>ng tPLng7 %hKa tP2n .9i n thng
thd %O th "hei0
+-0 5n ngX% au 9n ` ?i2m gan a
Nguy2n nh!n bnh;
Thng .# 4n u\ng thiIu .inh .Nng7 ngX% %X% = mt mei7 :uy
ngh Qua nhi@u7 tdnh %m "hBng t\t7 h#_% %m ng#LI t g!y Pa0
Ch>ng tPLng;
Du t\i7 bTng %h9ng7 mng :n b2n phI au 9n ` h#_% nh|7
h#_% n_ng a 4n u\ng "hBng biIt ng#n7 4n x#ng %h9ng t>%7 tinh
thDn mt mei7 gi% ng "hBng ng#n ` "hBng :!u a7 %O "hi tPcng
mCt hWI pht ?n7 n9% tiu mu ?ng7 ph!n "hBng bdnh thng0
Mem gai \t lng V %O n au7 hai b2n mem gai \t lng , %h}
huyt Can .u %O n au0
C%h %hKa;
T hai huyt yn %\t ? Ch] .Wng7 %O th thanh %I nhit %a
tiu tPng7 "i2m %O t% .Tng lm lui %I ?ng .a0 T hai huyt
Can .u ? ThI xung7 %O th th %an giI ut0 qM huyt T% tam l^
%O th lm "h#z ?/ "h]7 "i2m lRi LI tin7 t4ng th2m mu\n 4n7 th%
by "hBI phT% %W n4ng0 N4m huyt O m}i huyt nCn .ay ngang
brng ? nhn nh @u +88 lDn0 NIu .L .y %h9ng h#_% ti2u h#
"hBng t\t7 th2m t huyt TPung Qun0 NIu lcng bn tay bn %h!n
pht nOng l2n7 gia bM hai huyt N=i Quan ? Tam !m gia#0
Th> tX Im huyt; TiIn hnh Im huyt tE tP2n xu\ng .9i0
liu Qu %hKa;
oo
TPz Jm ?i2m gan Im huyt tE G m +8 lDn %O th gim nh|0
Ngi l9n b/ ?i2m gan7 nht l#Lt %hKa tP2n .9i ) thng %O gim
nh|0
hhi %h th2m; qnh ny phI _% bit %h ^ nghs ngWI ? bxi
.Nng0 Ngi l9n phI "i2ng phcng :X ` gia# hRp nam nK a0

+,0 au lng7 Fi; ` thDn "inh t#L au a
Nguy2n nh!n bnh;
Tinh "h] bt t%7 lm %h# th'n h au lng7 nrm ngxi U nWI bm
thp h#_% b/ giO lLnh7 thu=% ?@ ph#ng thp au lng0 NOi %hung
?@ ph#ng thp au lng7 @u %O pht tPin .Dn .Dn In au Fi7
%Sng %O "hi .# tk ng h#_% b#ng g!n .~n In au lng0
Ch>ng tPLng;
au lng .# ph#ng tht thng %O li2n Quan In "h] tPi biIn
hOa7 ngy tPi !m u ma t\i thd u Pt n_ng7 th'n h7 au lng
thng %O Quan h ?9i {00
!u. m\i "hi au la# =ng Qu mt thd au n_ng0 au lng .#
b#ng g!n ? xFi lxi a m \t :\ng thng l au li2n tT%7 m
lLI %O hin tRng :au "h# h#Lt =ng %ng t4ng n_ng th2m0
C%h %hKa;
1y %% huyt bM Th'n .u7 bM tPung lm %h7 ? n2n ph\i hRp
hai huyt U tP2n7 .9i7 th'n "h] h nhR% th2m bM %% huyt ThI
uy2n % phI "inh ? Mnh mBn7 puan nguy2nm T% tam l^7 ?
n2n ly th2m huyt U ?Fng au 9n bM tPR "It Qu0 au .#
ph#ng thp7 gia .im l#n "hi2u7 y2u nhNn7 th/ huyt7 l% Du
lm t php my lDn7 :au "hi thy nh| thd .Fng bM php7 ng#I Pa
th2m phkp .Xa thJ#0 au .# b#ng g!n7 nIu "hi thy au U finh
t% thI .Wng h#_% finh t% thiIu .Wng thd ly huyt tP2n %h}
au O7 U ph]a tP2n .Fng t php7 huyt U nWI au 9n ?Fng .9i
.Fng bM php0 NIu nh huyt ?/ U tam !m "inh %a %h!n7 thd lm
bM t ngR% lLi0 Ng#I Pa7 lm th2n th php .Xa thJ#0 M}i huyt
lm thJ# th php nCn .ay ngang brng ? thn nh @u +88 lDn0
qnh l!u ngy "h] huyIt h nhR%7 th2m phkp %hm gu U .a0 NIu
b#ng g!n h#_% xFi a m thd xJm th2m th] .T U .9i %O th
php %huy2n .Fng0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt Im huyt :\ lDn l %O th %hKa "hei0
qnh n th] .T; tham "h# th php %huy2n .Fng %a b#ng
g!n ? xFi a m0
NguyYn ?4n 7 nam7 ngi l9n7 bnh n :\ o8,GH7 ngy )H*
,*+,H87 %hKa brng Im huyt liu php0
( hhi %hkp Prng; au 9n ?Fng b2n phI thCt lng ? Fi b2n
phI au thm hLI7 phI %h\ng g'y m9i miYn %Kng I R% my
b9%7 ngxi xMm thd "hBng th n# >ng l2n R%7 "hi ngxi thd t
thI nghi2ng l%h7 "hi nrm tP2n ging thd "hBng th x#ay ngi7
2m In thd au %ng n_ngm7 m}i 2m thd %Dn u\ng thu\% gim
oG
au7 ]nh "im gim au0 fim tPa n=i"h#a %h# l %h>ng lci a
m \t :\ng thCt lng0
( 6 l^; qM %% huyt CBn lu!n7 .Wng7 qL%h h#n .u7 ly
huyt @u U ph]a b2n phI tE thCt lng tPU xu\ng7 %% huyt %O n
au7 .Fng phkp bM0 T %an .u7 m .u7 ` tE nWI au U thCt lng
tPU l2n .Fng t php a7 m}i huyt nCn .ay ngang brng7 nhn nh
Du +88 lDn0 wFng hai ngOn tay %I .Fng phkp .Xa thJ# thI
.Wng t]nh tE huyt ThEa phF tPU xu\ng7 U ph]a tP2n .9i ?Fng
%T% b= au %h} thCt lng7 .Fng phkp n .ay "k# %hia ` n tP
ph!n brng a +88 lDn7 ? x#a xt ?Fng au0 TiIp thJ# O ly hai
ngOn tau %I tPI phI by %hia hai b2n7 ? ?k# mLnh phI tP2n7
.9i nWI au lBI l2n n xu\ng0 Axi lLI lm %% phkp nh tP9% l
.Xa thJ# ng "inh7 n .ay "k# %hia +88 lDn7 %u\i %Fng l phkp
n!ng l2n thung xu\ng0
Chbn lDn ) ` ngy )V a au 9n gim nhi@u ?# 2m %ha phI
u\ng thu\% gim au7 I lLI Pt tX nhi2n7 "hBng %Dn phI %h\ng
g'y0 6 l^ nh tP9%0
Chbn lDn n ` ngy )- a >t au 9n7 tinh thDn "hz# ?Rng nhng
thy %h} mCt % %h!n ph]a ng#I b2n phI hWI au7 Fi hWI pht
"hO %h/u0 Ngi bnh hBm O l2n ph\ :6a tO%7 tCm g=i7 nht thiIt
. nh ngi "hBng %O bnh7 bUi ?'y7 QuyIt /nh ngy ), %h# Pa
?in
qnh ny im huyt n ngy l "hei0
)80 3ai ? %nh tay au
Nguy2n nh!n bnh;
qnh ny thng thy U ngi %O = tuMi tPung bdnh tPU l2n0 .#
lDm mt m hLI g!n xWng7 "i2m %O b/ ph#ng thp g!y Pa ` ngi
bnh tP2n .9i G8 tuMi au ?ai ? %nh tay g$i l ngS thp "i2m
?ai %a tuMi G8 a
Ch>ng tPLng;
CO au "h9p ?ai7 %O au %nh tay7 %Sng %O % ?ai ? %nh tay
@u au0 CO ngi au m=t b2n7 %Sng %O ngi au ) b2n7 au
Qu lCm thd %nh tau "hBng giW l2n R% h#_% "hBng th a Pa
:au lng 7 %I O thu=% ?@ %h>ng au ngng0
C%h %hKa;
au ?ai ? %nh tay ly %% huyt lRp %\%7 1it "huyIt7 fh% tPd7
fi2n ngung7 fi2n tsnh7 Nhu .u7 3!n mBn7 fi2n tPung .u0 au ?ai7
ly huyt U ?Fng ?ai0 au %nh tay ly huyt U ?Fng %nh tay ?
ph\i hRp ?9i m=t ]t :\ ?Fng U ?ai0 qnh m9i au .Fng t php7
bnh l!u ngy .Fng bM php0 au 9n "i2m :R lLnh7 .Fng bM
php U .Wng "inh7 .Fng t php U !m "inh0 M}i huyt @u nCn
.ay ngang brng7 nhn nh +88 lDn0 l nhR% thd th2m phkp
%hm gu U .a0 Im huyt x#ng thd th2m phkp .Xa thJ# nWI lm
th php .Xa thJ# ? phWng php nh :au;
oH
+( M=t tay thDy thu\% ly ngOn %I p n %hung Quanh %h} n\i
tiIp ?ai ?9i xWng b ?ai7 ngOn tay %I %cn lLI p n U %% huyt
fi2m tinh7 LI %huv7 CX %\t7 n I n lLI n mo lDn0
)( lai ngOn tay thDy thu\% p n Qua lLI m=t :\ lDn U %h} n\i
"h9p ?ai0
n( M=t tay thDy thu\% nCm tay ngi bnh7 ngOn tay %I %cn lLI
p mI tP2n th .Wng mih "inh7 b\n ngOn "ia p mI tP2n th
thI !m "inh7 lm I lDm lLI ly lDn0 1LI x#ay bn tay mI p Jm
ngOn b\n ngOn tPe ? giKa p n U th thI !m "inh7 ngOn %I p
thJ# "h#ng U th .Wng minh "inh ? th thiIu .Wng "inh7 lm
phkp n thJ# my lDn0
o( qn tay ? %nh tay b/ h#Lt =ng b/ hLn thng %O Im n
au ` p th\ng Im a U tP9% :au "h9p ?ai ? %Lnh ph]a ngOn tPe
U "h9p ?ai l %hEng Z "i2n ngng Z ly huyt 3!n mBn ng#LI ` fv
huyt a7%% huyt n au U fi2n ?u7 T^ nhu7 thJ# phk#p n}i tiIp
.Fng ngS hnh0
` thT a m ?!n mBn ng#LI ` t>% l Im n au ph]a ng#I huyt
3!n mBn a 7 .Fng phkp n\i tiIp .Fng ngS hnh7 %hm gu ph\i
huyt finh %E7 x#a by ph\i huyt Ng tI0 Nhn nh :!u ph\i
huyt] x]%h tPL%h 7 Au lC% ph\i huyt thiIu thWng0 nCn .ay
ngang brng :ang tPI :ang phI ph\i huyt ThI uy2n7 huyt fi2n
?u7 .Fng phkp n\i tiIp .Fng ngS hnh %hm gu ph\u huyt
ThWng .Wng7 x#a by ph\i huyt wWng "h20 Nhn nh :!u
ph\i huyt Nh/ gian7 Pung lC% ph\i huy Tam gian7 n>n .ay ngang
brng :ang tPI :ang phI ph\i huyt fh% tPd7 Nhu .u huyt .Fng
th php n\i tiIpp ngS hnh7 %ham gu U .a ph\i huyt ThiIu
tPL%h0 #a by ph\i huyt wWng %\%7 nhn nh :!u ph\i huyt
Ti@n %\%7 Pung lC% ph\i huy lUu "h27 nCn .ay ngang brng :ang
phI :ang tPI ph\i huyt Tiu hI0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %hKa;
ChKa + lDn %O th thy hiu Qu7 ?I ba lDn :au thy bnh mt
.i Qu n6a7 nht l#Lt %hKa +8 m +G lDn %O th "hei hIt0
)+0 Fi ? Du g\i au
Nguy2n nh!n bnh;
thDn l9n .# b/ ph#ng7 thp7 hn b2n ng#I .~n In7 nhng %Sng
%O .# H "inh U %h!n thu=% ?@ tLng ph %O bnh biIn mn t]nh
phn >ng U "inh lL% :U thu=% ?Fng Fi7 g\i au 9n0 th#ng thp
thd %O Quan h thi "h] biIn h# %% tL ph n# O ` %a "inh U
%h!n a :inh Pa bnh biIn mn t]nh %Sng %u h#_% thng7 h#_% ]t
%O phn >ng "iu au 9n0
C%h %hKa;
1y %% huyt T% tam l^7 wWng l4ng tuy@n7 th#ng th/7 m th/7
m l4ng tuy@n7Tam !m gia# lm %h7 ? ph\i hRp ?9i Tt nhn7
%h} "h9p n\i Du g\i0 l#_% l .Fng phkp Z bnh .9i ly huyt
tP2n[7 ly %% huyt th#ng tPd7 fi2n tsnh7 LI tPK0 th#ng thp thd Pa
oV
phkp .Xa thJ# "inh lL%0 qnh thu=% tLng ph thd ph\i hRp huyt
thJ# Quan h "inh lL% biu l^7 !m .Wng0
3] .T nh; Ti2u h# "hBng t\t g!y Pa au Du g\i phI ly huyt
T% tam l^7 hiI "h27 tP2n "inh t% .Wng minh ?/7 huyt Tam !m
gia# tP2n "inh t% thI !m tv0 C% bnh thu=% %% tL ph "h% .~n
In au Du g\i %O th .Xa thJ# phWng php tP2n thJ# ng
"inh ly huyt0 Nht l#Lt .Wng "inh thng lm thu\% bM7 !m
"inh thng .Fng phkp t0 M}i huyt @u .Fng %% th php nCn
.ay ngang brng7 nhn nh7 m}i l#LI lm +88 lDn0 NIu %O :R lLnh
h#_% %h>ng h7 m}i huyt @u th2m phkp %hm gu .a +88 lDn0
1m phkp .Xa thJ# ng "inh lL% %hEng H lDn ? lm phkp Pung
Pby "h9p ` thJ# phWng php Pung Pby huyt ?/ h#_% Pung Pby %h}
au 9n a0
Im huyt th> tX; hi\ng nh tP2n
liu Qu %hKa; ChKa + m) lDn %O th gim nh| %h>ng7 .Xa thJ#
bnh tdnh n_ng hay nh| m QuyIt /nh "v hLn %hKa0
))0 1ng tP2n ? lxng ngX% au;
Nguy2n nh!n bnh;
Nht l#Lt l ph#ng hn g!y Pa bnh7 %Sng %O th .# bnh phMi
g!y Pa7 %Sng %O "hi .# ?/ tMn thWng nh hUng In ?Fng U ngX%
? ?Fng lng tP2n au 9n7 %Sng %O .# ?a %hLm .~n In au Wn0
Ch>ng tPLng;
( Thu=% ?@ ph#ng hn7 thng %O Quan h biIn h# "h] h'u0
( Thu=% ?@ bnh phMi g!y Pa au 9n "hi h#7 thU h]t :j thy au
9n0
( Thu=% ?@ bnh .L .y g!y Pa au 9n thng %O Quan h ?9i
%Wn au t4ng gim %a bnh .L .y0
( 3a %hLm g!y au 9n thd au li2n tT%0
C%h %hKa;
( w# ph#ng thp7 ly th "inh h#Lt lL% lm %h0
NgX% au ly huyt N=i Quan7 fh% tPL%h7 ) lDn %hKa Du
.Fng t php7 :au "hi thy bnh nh| b9t thd .Fng phkp bM0
3Fng lng au 9n7 bM huyt tPung7 t ThEa :Wn7 O l
.Fng phkp bnh U tP2n ly huyt U .9i7 m=t bM m=t t Lt
In t% .Tng th %!n h#Lt huyIt7 ? ph\i hRp th2m th/ huyt0
( qnh phMi g!y Pa au 9n7 bM ThI uy2n7 t Thi2n l/%h7 bM
huyt TPung ph I@u l^ %I g\% %a bnh U phMi ` tP/ bn a7
ng#I Pa ly th2m th/ huyt tP/ bn ` tP/ ti2u a0
( qnh .L .y g!y Pa au 9n7 bM T% tam l^7 t TPung Qun7 bM
huyt Thi2n "hu7 u I@u l^ %I g\% %a bnh U .L .y7 ng#I Pa
ly th2m huyt %T% b= %hKa ng$n ` tP/ ti2ua0
M}i huyt lm th php nCn .ay ngang brng ? nhn nh @u
+88 lDn0 fhi %Dn thiIt %O th thJ# th php .Xa thJ# ng "inh
lL%0 3a %hLm g!y Pa au 9n7 ng#I ?i% ly huyt thJ# %h>ng
ph#ng thp l ly huyt ng xa Pa7 %cn phI lm th2m th php
n giK "k# %hia U tP2n7 .9i7 phI7 tPI %a %T% b= nWI au0
o-
Th> t Im huyt; hi\ng nh tP2n
liu Qu %hKa; ChKa tE ) mo lDn l thy hiu Qu7 nh| b9t0 Nht
l#Lt tP2n .9i +8 %hKa thd "hei0
)n0 Mt tiIng;
Nguy2n nh!n bnh;
NgX% lkp h|p7 =t nhi2n g_p phI "]nh =ng m t\i t4m tk ng7
:au "hi tsnh thy %hi th ?'n =ng bdnh thng nhng lLI mt
tiIng0
Ch>ng tPLng;
TX nhi2n Pt nhanh %hOng t\i t4m tk ng bt tsnh nh!n :X7 hm
P4ng %Cn %h_t t> %hi %>ng W0 5au "hi R% %>u %hKa "/p thi
tsnh7 mt I n4ng lX% nOi tiIng7 ming h "hBng R% ta lCm
nhng 4n u\ng "hBng g_p "hO "h4n7 Du lNi "hBng th li Pa
ng#I mBI0 Th]nh gi% "hBng tPU ngLI7 Pu Png %!m m "hBng
II%0
C%h %hKa;
TP9% hIt %Ct huyt U %% huyt +) Tsnh huyt7 Nh!n tPung7
thBng "h] huyIt t#n th!n7 lm %h# %h} bI tC% %a "inh lL% R%
gin mU0 Th> In l %Ct %% huyt mBn7 th#ng ph7 q%h h=i7
tsnh n#7 T %% huyt lRp %\%7 1it "huyIt7 th#ng tPd
thanh nhit tPE ph#ng7 CCt puan xung7 t huyt ThBng l^ giI
nhit U ThRng ti2u ? tP#ng tim0 T %% huyt fv mBn7 ThI
xung7 th %I ut "It %a "inh %an7 qM huyt T% tam l^
gin "h] tPE m0 Wm. nhi@u gia bM Chi2n %hung7 t TPung Qun7
bM fh] hI0 ThDn tP] tsnh t# thd "hBng .Fng q%h h=i7 1it "huyIt7
Nh!n tPung ? +) huyt Tsnh7 m th2m t ThDn mBn7 th#ng mBn7
mBn7 bM th#ng tPd7 t huyt hip xa0 4n u\ng nh thng thd %O
th "hBng .Fng huyt T% tam l^0 M}i huyt @u .Fng th php
nCn .ay ngang brng ? nhn nh +88 lDn0 Th php bM tPR %O th
t thJ# th> tX %a "inh th .Wng minh7 %Ct U huyt Th tam l^
? puan xung7 lm %h# n!ng %a# hiu Qu %hKa ` b# ngi bnh
li lNi Pa lLI thTt lNi ?# lm %h# lNi ?'n =ng %# .u}i a0 5au O7
%Ct %Ct ` bm bm mOng tay U %% huyt hip xa7 I ph#ng7 1i2m
tuy@n7 lLI .'y %h# ngi bnh t'p nOi `tEng tiIng m=t7 tiIn t9i
nOi hai tiIng m=t ? .Dn t4ng th2m a0 NIu %O th2m "im %%
%h>ng "h% tuv %h>ng m th2m huyt %hKa0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %h; Mt tiIng Wn thuDn7 hiu Qu %hKa nhanh7 Im
huyt my lDn %O th "hei0
)o0 Tiu tin nhi@u lDn
Nguy2n nh!n bnh;
Mn t]nh l h hn7 %p t]nh l thX% nhit0 Ngi l9n ? ngi gi
b/ thng l h hn7 tPz Jm thng l thX% nhit0
Ch>ng tPLng;
o,
( l %h>ng; ^ ?@ I nhanh gp7 "hi n9% tiu Pa "hBng b/ %m
gi% "hO %h/u7 n9% tiu mu tPCng7 "h#ng tP2n .9i + gi xng
hx thd I tiu + lDn0
( ThX% %h>ng; ^ ?@ I tiu bCt phI th't nhanh7 :\ lDn I tiu
nhi@u7 lRng n9% tiu ]t7 mu n9% tiu ?ng7 "hi n9% tiu Pa %O
%m gi% "hO %h/u tP#ng \ng I0
C%h %hKa;
( l %h>ng; N2n giK %hC% "h] ` %\ "h] a7 bM ThI uy2n7 fh] hI0
NIu "hi tdnh hu\ng "h\ng %hI tiu tin "hBng .Eng thd th2m
nhi@u th php %hm gu U .a7 bM %h!n h#7 bM "h]7 thd .Fng phkp
bM U %% huyt Mnh mBn7 Th'n .u0
( ThX% %h>ng; T lnh gian7 1it "huyIt7 thanh nhit7 t
TPung %X%7 m l4ng tuy@n lRi thp0
M}i huyt @u .Fng %% th php nCn .ay ngang brng ? nhn
nh7 %hm gu U .a m}i l#LI +88 lDn0 l %h>ng7 th php n2n nh|
m nhanh0 ThX% %h>ng7 be b9t th php %hm gu U .a7 %cn lLI
%Dn n_ng m %h'm0
Th> tX Im huyt; TE tP2n xu\ng .9i7 th php %hDm %h'm0
liu Qu %hKa; Ngi bnh l9n tuMi7 tP/ + m ) lDn thd thy hiu
Qu7 G lDn thd thy hiu Qu0 TPz Jm7 %hKa tE G m V lDn %O th "hei0
)G0 I .Dm
Nguy2n nh!n bnh;
Nht l#Lt .# "h] h7 %Sng %O .# =t nhi2n b/ lLnh m g!y Pa I
.Dm0
Ch>ng tPLng;
2m ng "hBng tsnh7 "hBng biIt7 "hBng thy I U tP2n ging
h#_% %O thy I tiu tP#ng gi% m=ng7 m=t 2m m=t lDn h#_% m=t
2m o m G ln "hBng %hEng0 MFa hL bnh nh| hWn7 mFa Bng
bnh n_ng hWn0 %h>ng nh| thd my ngy I .Dm + lDn h#_% :au
"hi lm mt thd I .Dm0
C%h %hKa;
Ngi "h] h7 ly %\ "h]7 bM h#7 bM th'n lm %h7 ly %% huyt
ThI uy2n7 fh] hI7 Mnh mBn7 Th'n .u @u .Fng bM php0 nht
l#Lt I .Dm ly huyt Tam !m gia# an gi% ng7 ly puan
nguy2n7 fh] hI giK %hC% "h]7 9% th% bng Quang0 1y huyt
1it "huyIt tsnh n#7 tt % @u .Fng phkp bM0 M}i huyt @u
.Fng %% th php nCn .ay ngang brng7 nhn nh7 %hm gu U .a7
m}i l#LI tE G8 m +88 lDn0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %hKa;
Nht l#Lt Im huyt tP2n .9i +8 lDn %O th %hKa "hei0 NIu
ngi bnh l tPJ Jm thd %Dn %h ^ my Im .9i !y;
+ ( qKa 2m "i2ng 4n %ht leng7 tP9% "hi I ng "hBng %h#
u\ng n9% mt h#_% 4n th>% 4n mt0
) ( Cm tPz Jm xJm phim "hng b\ ? nh nhau .K .=i7 "hBng
%h# ham %hWI Qa m>%0
G8
n ( 5au "hi ng %h>ng ) mn gi phI g$i tPz Jm gi'y I tiu + lDn0
)H( TLng Tha# `bnh ]:(tW(Pi a
Nguy2n nh!n bnh;
Thng thu=% tdnh %h] mt I@u =7 t!m thDn "hBng an7 l!u
ngy thd thnh bnh ny0
Ch>ng tPLng;
Du t\i7 tim hxi h=p7 hay Qu2n7 u :Du7 hay buxn bt thng7
mt ng7 t %hi %O l% %# QuCp0
C%h %hKa;
qnh ny %h yIu l \i %h>ng ly huyt7 t lRp %\%7 bM 1it
"huyIt7 th#ng tPd7 thanh n# tPn tnh0 qM N=i Quan7 ThBng l^
t !m an t!m7 bM Chi2n tPung7 t CX "huyIt7 TPung Qun7 bM
fh] hI thBng "h] %a Nh!m mL%h0 T fv mBn7 bM thI uy2n
th %an giI ut7 ? tWng h} ph\i hRp ?9i %% huyt tP2n @u %O
t% .Tng tPn tnh0 NIu %O "im ?9i %h>ng "h% thd tuv %h>ng m
gia huyt7 m}i huyt nCn .ay ngang brng7 nhn nh7 m}i th
php tE G8 m +G8 lDn0 Th php nh| m %h'm7 liu %hEng .Fng
th2m php by x#ay U ?Fng Du7 phkp p thJ# U ?Fng lng0
Th> tX Im huyt; TP9% hIt7 Im huyt U ?Fng tP2n7 th php
n2n nh| m tE tE0
liu Qu %hKa; ChKa bnh ny7 nIu ph\i hRp ?9i an i tinh
thDn %O th %hKa "hei R%0
)V0 =ng "inh;
Nguy2n nh!n bnh;
Thng .# ti2n thi2n bt t%7 h'u ti2n nuBI .Nng "km7 %h]nh
"h] h nhR%7 tinh thDn thiIu t\t |p7 =t nhi2n b/ :R hI7 bnh
l!u ngy tX nhi2n php thnh7 m lm Pa %h>ng gim7 =ng "inh0
Ch>ng tPLng;
tht bnh =t nhi2n7 tP9% "hi pht bnh %O %m gi% Du au
h#_% Du t\i7 "hBng .# tX %h m ng xu\ng t7 t> %hi %# Pt0
Ch>ng nh| %O %hEng +8 pht thd tX tsnh Pt %# QuCp0 Ch>ng n_ng7
mBI ? m^ mCt @u %# .'t7 Du %Sng l%h h9ng ?@ m=t b2n7
ming nBn Pa m .I u\n %#ng th!n ngX% lLI7 %Wn thd %O %%h
ngy h#_% %%h thng php bnh7 %Sng %O tPng hRp m=t ngy
nhi@u lDn php %Wn0
C%h %hKa;
Tdnh tPLng php %Wn =ng "inh l .# tPung "hu thDn "inh nht
thi tn l#Ln7 .# O m :\ lDn Im huyt phI Pu Png7 ?cng
tP#ng nCn nhe phI Pu Pt0 w# %h>ng gin "hi b/ l!u ngy7 tPung
"hu n# tt b/ tMn thWng7 %h# n2n th php %Dn nh|0 ThBng Qua
th php ? ph\i huyt7 \i ?9i %h>ng =ng "inh pht %Wn %h>ng
tPLng %O th gim nh|7 %h yIu l %O %Bng n4ng th% by "hBI
phT% tPung "hu n#0 1y huyt; bM ThDn mBn7 bM 1it "huyIt7 bM
l'u "h27 t ThI .Wng7 bM th#ng tPd7 bM q%h h=i7 bM ThI "h27
bM Tam !m gia#7 bM T% tam l^7 bM 9i mL%h7 bM Chi2n tPung7 bM
G+
CX "huyIt7 t TPung Qun7 bM fh] hI7 bM thI .u7 bM T!m .u7 bM
C%h .u7 bM Tv .u7 bM Th'n .u0 M}i huyt nCn .ay ngang brng7
nhn nh @u lm G8 m V8 lDn0
Th> tX Im huyt; TE tP2n xu\ng .9i .Xa thJ# th> tX tiIn
hnh0
liu Qu %hKa;
im huyt tE n m G lDn %O th thy hiu Qu7 t> l thi gian lm
%Wn .I %O th lm %h# thi gian lm %Wn ngCn lLi0 M}i tuDn %hKa
n lDn7 li2n tT% %hKa tP#ng thi gian ) (n thng %O th lm %h#
bnh tdnh %huyn biIn t\t l2n0 qnh nh| m %hKa "/p th7 thd %O
th %hKa "hei0 TPz Jm .i %h>ng :au "hi b/ :\t %a# m php :inh
bnh ny Pt nh|7 %O th .'y %h# nhKng ngi tP#ng nh %a >a
tPz O hng ngy Im huyt U q%h h=i )88 lDn7 nIu "i2n tPd thi
gian .I tWng Wng tE n6a n4m tPU n2n thd %O th "hei .>t0
)-0 qn tay ? %nh tay t2 bLI ` thDn "inh Quay t2 bLI a0
Nguy2n nh!n bnh;
Nht l#Lt .# "hi la# =ng7 lm %h# "h9p Quay %M tay gp "h%
thi gian Pt .I7 tM %h>% %T% b= mt mei7 lLI b/ lLnh h#_% P6a
n9% lnh7 :au O .~n In t2 bLi0
Ch>ng tPLng;
NgOn tay %I ? ngOn tPe %Fng ?9i "h9p %M tay Quay %O %m gi%
au 9n7 .Dn thnh Pa t2 bLI7 mt n4ng lX% h#Lt =ng0
C%h %hKa;
1y huyt tP2n "inh th .Wng minh ? "inh th thI !m lm
huyt %h yIu7 bUi ?d %% huyt 1it "huyIt7 lRp %\%7 wWng "h2
%a hai "inh O7 th]%h ng ?9i %h} phT %'n "h9p Quay %M tay7 ?
%O th ph\i hRp ?9i %% huyt LI l4ng7 N=i Quan7 wWng tPd7
Ng#LI Quan0 qM tPR th2m thd ly th php .Xa thJ# ng "inh
lL%7 %% huyt @u n2n .Fng bM php0 m}i huyt @u nCn .ay
ngang brng7 nhn nh7 %hm gu U .a %% th php @u lm G8 m
+88 lDn0
Th tX Im huyt ; hi\ng nh tP2n0
liu Qu %hKa; Nht l#Lt %hKa +8 lDn thd %O th "hei70
G)
ChWng II; qnh phT "h#a
+0 finh nguyt "hBng @u
Nguy2n nh!n bnh;
w# U :uy ngh7 lm lTng Qu m>%7 ng#LI %m ph#ng hn7 h#_%
phcng :X "hBng biIt hLn %hI7 h#_% tP#ng "v hnh "inh "hBng biIt
%h ^ ? :inh th't t\t7 h#_% .# %% bnh "h% .~n In0
Ch>ng tPLng;
finh ?@ "hBng thu'n7 "hBng In tP9% thd lLI In :au7 %O "hi
mu "inh nhi@u7 %O "hi mu "inh ]t0 Mu mu "inh "hBng bdnh
thng0
C%h %hKa;
I@u "inh %h yIu l ly %% huyt lRp %\%7 T% tam l^ %a th7
t% .Wng minh "inh7 Tam !m gia# %a "inh t% thI !m tv 7 C%h
.u %a "inh t% thI .Wng lm huyt %h yIu0 wWng minh "inh
l nhi@u "h] nhi@u huyIt0 T% thI !m tv "inh %h ?@ th\ng huyIt0
luyt h=i %u t#n th!n l C%h .u7 .# O ly nhKng huyt
tP2n lm %h0 finh nhi@u l nhit7 bM Tam !m gia#7 p T% tam l^7
t lRp %\%7 C%h .u0 finh ]t l hn7 bM C%h .u7 lRp %\%7 t Tam
!m gia#0 Ng#I Pa7 gia bM Thi2n "hu7 N=i Quan7 ? phI tPR brng
phkp Pung Pby ?Fng bTng0 fh] h thd gia bM huyt ThI uy2n7
Chi2n tPung0 NIu "inh .Eng .>t7 %%h nhau m=t thi gian "hBng
.I lCm lLI hnh "inh l .# "h] h "hBng th nhiIp huyIt7 phI ly
%\ "h] %hs huyIt lm %h7 bM bn bL%h7 Tam !m gia#7 t lRp %\%7
bM ThI uy2n7 Chi2n tPung7 CLnh .u7 Tv .u7 Can .u0 M}i huyt
nCn .ay ngang brng7 nhn nh @u +88 lDn07th php nh| m
%h'm0 TP#ng "v hnh "inh m}i ngy Im huyt + lDn0 1% bdnh
thng7 m=t tuDn Im huyt n lDn0 NIu huyIt ?~n "hBng .>t7
th2m th php %h~m gu U .a tLI huyt bn bL%h0
Th> tX Im huyt; wXa thJ# th> tX tP9% :au %a huyt ?/
tPdnh by U phDn %%h %hKa bnh ny tiIn hnh Im huyt0
liu Qu %hKa; Im huyt + m ) lDn l thy hiu Qu7 bnh
nh|7 "h#ng tP2n .9i n thng %hKa %O th "hei0
)0 lnh "inh au bTng
Nguy2n nh!n bnh;
Thng .# "h] tP huyIt >7 h#_% "h] huyIt h hn g!y Pa0
Ch>ng tPLng;
Gn
CO tP9% "hi hnh "inh au bTng .9i7 %Sng %O "hi hnh "inh
x#ng bTng .9i au7 h#_% la au tP#ng "hi hnh "inh0 thDn l9n l
?Ea m9i bCt Du Rt hnh "inh thd bTng .9i m9i au 9n7 au
bu\t ?Fng th4t lng au :u\t t9i "hi .>t hnh "inh0 u "v "inh
nhi@u7 mu huyIt t]m Jn l au thX% %h>ng70 Cu##] "v "inh ]t7
mu huyIt nhLt l au h %h>ng0
C%h %hKa;
Im %% huyt lRp %\% ` "inh nhi@u .Fng t php7 "inh ]t .Fng
bM php a7 bM T% tam l^7 luyt Tam !m gia# `"inh nhi@u .Fng bM
php 7 "inh ]t .Fng t php a 0 Nh thI %O th I@u "inh .>t au7
au .# thX% %h>ng t lRp %\%7 p T% tam l^7 bM Tam !m gia#0
au .# h %h>ng 7 bM lRp %\% 7 Chi2n tPung7 p Tam !m gia#7 bM
T% tam l^7 lLI bM Thi2n "hu7 puan nguy2n 7t TPung Qun ? lam
phkp Pung Pby U ?Fng bTng tLI huyt puan nguy2n `"inh nhi@u
"hBng th2m phkp Pung Pbya0 au 9n t hLI7 m_t tPCng nhRt7 tim
h#ng h\t7 gia bM %% huyt N=i Quan7 T!m .u7 Ch .u0 M}i huyt
lm th php nCn .ay ngang brng7 nhn nh7 m}i l#LI th php
+88 lDn 0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt :au "hi Im huyt l h#n t#n .>t
au7 "i2n tPd %hKa %O th "hei0
n ( qI "inh
Nguy2n nh!n bnh;
w# th!n th h nhR%7 huyIt mL%h ]t .Dn7 h#_% .# :uy ngh
ph~n n=7 huyIt mL%h > tP "hBng hnh m g!y n2n0
Ch>ng tPLng;
Tinh thDn "hBng ?ui ?z7 bTng .9i %O %m gi% tP>ng7 bu\t
?Fng thCt lng7 Fi au7 tP#ng tim thMn th>%7 lcng bn tay bn
%h!n bOng
C%h %hKa; qnh ny ly bM "h] lm %h]nh7 fh] l :#I %a
huyIt7 "h] hnh thd huyIt hnh7 "h] h thd huyIt %Sng h7 bM "h]
thd huyIt ?Xng7 bM % "h] l~n huyIt thd huyIt tX R% Dy m
.Y hnh0 T!m %h huyIt7 phI %h "h] .# O ly bM nguy2n huyt
ThDn mBn U t!m "inh7 nguy2n huyt ThI y2n %a phI "inh7 l
%O t% .Tng bM mLnh th2m % "h] ? huyIt0 qM nguy2n huyt lRp
%\% %a th .Wng minh "inh7 ? .Fng phkp by thJ# -+ lDn7 %O
t% .Tng th2m mLnh :X bM0 1LI t huyt Tam !m gia# %a t% thI
!m tv "inh7 ? by thJ# t nH lDn gip th2m hiu Qu t huyt
Tam !m gia#7 lm lX% th\ng huyIt %a tv "inh .R% buBng th7
huyIt b/ > %h R% gii0 th\i ?9i huyt Thu L# %a t% .Wng
minh ?/ "inh lm phkp bM7 thd %O th giI %I > %a %T% b=7 lLI %O
th lm %h# thBng h#Lt %W n4ng tL# mu0 fI O l t %% huyt
TPung Qun7 TPung %X% %a nh!m mL%h7 ? tE bTng by thJ# In
huyt tPung %X% nH lDn7 ?Fng bTng %O .Fng lcng bn tay x#a :t
)88 lDn h#Lt $ng %W n4ng %% tM %h>% %T% b=0 1LI nCn ?Fng
bTng +88 lDn %O th gip %h# x#a :t %O th2m hiu Qu7 %%
Go
huyt lRp %\%7 ThDn mBn7 ThI uy2n7 m}i huyIt Pay ngang brng 7
nhn nh7 m}i l#LI @u +88 lDn0
Th> tX Im huyt; hi\ng nh tP2n
liu Qu %hKa; Ch>ng "h] tP huyIt > thd thy hiu Qu nhanh7
%h>ng huyIt ]t thd thy hiu Qu %h'm0 M}i tuDn %hKa n lDn7 %hKa
li2n tT% ) thng ly ?i% hnh "inh tPU lLI lm hiu Qu0 finh ]t
%Dn tiIp tT% ]t "h#ng tP2n .9i n thng thd %hKa "hei0
o m q4ng l'u huyIt
Nguy2n nh!n bnh;
w# phn n= m hLI gan7 bnh %a %an phLm :ang tv7 bUi ?'y
m %an "hBng tng huyIt7 tv "hBng th\ng huyIt7 h#_% .# ?# "v
hnh "inh m lN phLm ?# h#Lt =ng tdnh .T%7 .L %#n b/ thWng
m thnh bnh0 TOm lLI l .# mng tP#ng .L %#n `n=i mL% t6
%unga t4ng :inh7 huyIt Qun P%h ?N7 hdnh thnh b4ng l'u0
Ch>ng tPLng;
finh nguyt tX nhi2n ?@ nhi@u m "hBng .>t g$i l Zq4ng
huyIt[7 "inh nguyt Pa nhe gi$t "hBng .>t g$i l Zl'u huyIt[0
q4ng thd :C% m_t tPCng nhRt7 %O nhKng %h>ng Du t\i7 Du x#ay7
tim hxi h=p %a %hXng tPLng h th#t0 1Uu huyIt .# huyIt Pa
"hBng .>t7 %Fng .Dn .n h nhR%0
C%h %hKa;
1y l^ lu'n thd tv "hBng th\ng huyIt7 %an "hBng tng huyIt ?
huyIt h=i C%h .u7 bM %%h huyt bn bL%h7 Tam !m gia#7 m}i
huyt nCn .ay ngang brng ? nhn nh @u +88 lDn7 bn bL%h gia
%hm gu U .a +88 lDn7 T %% huyt %%h .u7 tv .u7 %an .u7 m}i
huyt nCn .ay ngang brng ? nhn nh @u +887 lDn7 t huyt
lRp %\% %a "inh LI tPng l t nhit %a .Wng minh0 wXa ?#
l^ lu'n huyIt nhit ?$ng hnh7 nguy2n tC% lm t php U .Wng
"inh7 lm bM php U !m "inh0 fhi %hm gu U .a tLI huyt bn bL%h7
tP9% hIt %hm gu m=t huyt U m=t b2n Pxi lLI Im U huyt b2n
%cn lLi0 TP9% "hi %hm gu7 .Fng ngOn tay %I ? tPe %\ /nh ngOn
%h!n %I ngi bnh7 huyt bn bL%h :au "hi Qua %hm gu %a th
php Im huyt7 lm %h# huyIt Qun %T% b= huyt ?/ gin
tPWng Pa7 .# t% .Tng %a %W n4ng huyIt Qun tWng \i gin
tPWng Pa ? %# lLI7 th% %h# huyIt Qun ?Fng xut huyIt %# lLi0
w# O huyt bn bL%h ph\i ?9i huyt tv .u lLI %O th Lt In t%
.Tng tv thxng huyIt7 lm %h# huyIt .>t0 fh] h7 gia bM huyt ThI
uy2n7 Chi2n tPung0 Th'n h7 gia bM huyt ThI "h27 Th'n .u0 Tv
h7 gia bM %% huyt ThDn mBn7 T% tam l^0
1LI %O th ph\i bM bn bL%h7 bM ThI "h27 Tam !m gia#7 T% tam
l^7 ChWng mBn7 t lRp %\%7 bM ThI uy2n7 bM Chi2n tPung7 bM
C%h .u7 Th'n .u7 Tv .u7 Can .u0 qa huyt C%h .u7 Can .u7 Tv
.u7 nIu huyIt nhit thd t7 "h] h huyIt mt thd bM0 M}i huyt nCn
.ay7 ngang brng7 nhn nh tE G8 m V8 lDn7 ?cng nCn nhe7 th
php nh| m %h'm7 m=t huyt bn bL%h hWI n_ng m=t ]t0
Th> tX Im huyt;
GG
TE .9i m l2n tP2n thJ# ng th> tX ghi tP#ng bI %hKa0
liu Qu %hKa; Nht l#Lt t6 %ung xut huyIt7 %hKa + m) lDn thd
thy hiu Qu7 G mH lDn %O th %hKa m9i "hei0
G ( N9% hBI "hBng .>t
Nguy2n nh!n bnh; z x#ng n9% hBI "hBng .>t7 %h yIu l .#
th!n th h nhR%7 huyIt "hBng thu nhiIp `t>% l huyIt tP#ng t6
%ung "hBng th th!u g#m lLI a7 a In n9% .Dm .@ "hBng .>t0
Ch>ng tPLng ;
CO Pt ]t mu mu nhLt tP#mg am a# nhe Pa7 nhi@u ngy "hBng
.>t0 luyIt > thd mu mu bDm7 %O hin tRng au bTng0
C%h %hKa ;
N9% hBI Pa mu7 ly bM h lm %h 0 qM %% hugt bn bL%h7 Tam
!m gia#7 T% tam l^7Thi2n "hu7 fh] hI7 Th'n .u7 C%h .u7 Tv .u7
Can .u7 t huyt lRp %\%0 CO huyIt > gim be %% huyt Thi2n
"hu7 fh] hI7 m .Fng bM huyt lRp %\%7 t huyt Tam !m gia#0
M}i huyt nn .ay ngang brng7 nhn nh +88 lDn7 Pi2ng huyt bn
bL%h th2m %hm gu U .a +88 lDn7 th php %Dn nh| m %h'm0
Th> tX Im huyt; hi\ng nh tP2n0
liu Qu %hKa; ChKa )(n lDn n9% hBI %O th .>t0
H( CO mang nBn m6a
Nguy2n nh!n bnh;
w# thai "h] ngR% l2n ?/7 .# O m Qu_n bTng nBn m6a0
Ch>ng tPLng;
Ngi n b nht l#Lt :au "hi %O %h6a R% m=t thng7 hng
ngy buMi :ng %O nBn m6a h#_% 4n ?# x#ng thd nBn m6a0
TPng hRp nghi2m tP$ng thd ngi thy mFi th>% 4n h#_% mFi
%Wm thd nBn m6a7 In n}i Du n_ng7 mCt h#a7 t> %hi mt mei0
C%h %hKa;
1y huyt N=i Quan lm bM php7 "I O l lm th php p thJ#
U ?Fng lng7 lLI Im huyt C%h .u thJ# bM php7 >% %hI ?/
"h] ngR% l2n0qM huyt Th'n .u %O th lm y2n tnh thai "h]0 qM
t% tam l^ z .~n ?/ "h] I xu\ng7 t huyt ThI xung %O t% .Tng
.>t nBn0 nIu %O au Du 7 th2m phkp by x#ay ?Fng tP9% tPn0
M=i huyt nCn .ay ngang brng ? nhn nh m}i l#LI +88 lDn0
Th> tX Im huyt; hi\ng nh tP2n0
liu Qu %hKa; Ngi nh|7 nBn m6a my ngy "hBng %hKa
%Sng tX "hei0 Ngi n_ng7 Im huyt o m G lDn thd :j "hei0
V mwu hiu b# tP9% %a :by thai `ti2n tPiu lu :na
Nguy2n nh!n bnh;
fh] h ngi yIu7 h#_% :au "hi %O %h6a7 tP2n %% m_t h#Lt =ng
%a i :\ng "hBng %h ^ R% hIt7 %O "hi .Fng tay ?9i ?'t gd O
tP2n %a#7 %O "hi b9% %h!n "hBng %bn th'n U %h} b nghi2ng .~n
t9i :by thai0 CO "hi lDn th> nht b/ :by thai lDn th> hai %O thai
GH
"hBng In n6a thng h#_% ba thng lLI :by thai lm thnh t'p
Qun :by thai
Ch>ng tPLng;
Th#Lt Du bTng .9i tP>ng7 tPTt xu\ng h#_% au bTng .9i7
lng au7 !m L# %O "hi %O %hby Pa m=t ]t n9% mu0
C%h %hKa;
1y t% .Tng .>t huyt bM th'n 7 %\ "h]m n!ng l2n lm nguy2n
tC% 0 th\i hRp %% huyt bn bL%h7 thT% lu7 ChWng mBn7 thI
uy2n7 Chuy2n tPung7 q%h h=i0 M=i huyt @u nCn .ay ngang
brng 7 nhn nh7 m}i l#LI th php +88 lDn @u .Fng phkp bM0
liu Qu %hKa;
Ch6a lDn Du7 Im huyt n m G lDn thd tPE hIt %h>ng tPLng7 %O
th lm %h# an thai0 NIu l t'p Qun :by thai7 thd %Dn phI "I tT%
Im huyt giK thai7 m}i tuDn %O th Im tE ) m n lDn "hi "hBng
%O %m gi% n# "h% m}i tuDn %O th Im m=t lDn0 5au "hi H
thng thd .Eng Im huyt0
ChWng th> ba; qnh tPz Jm
+ m TPz Jm pht :\t
Nguy2n nh!n bnh;
TPz Jm pht :\t nht l#Lt thu=% ng#LI %m7 h#_% .# t]%h x 4n
`t]%h thX%a7 ng#I Pa tP2n l!m :ng %Sng %O tPg hRp :\t tdm
"hBng thy nguy2n nh!n0
Ch>ng tPLng
Thng thy thWng ph#ng %m mL# pht :\t7 nOng7 U .a .z0
TPz nhe au Du 7 tC% mSi h#_% %hby n9% mSi tP#ng7 mu bn tay
nOng l2n0 NIu t]%h x 4n m pht :\t thd "hBng pht nOng Qu
nhi@u7 lcng bn tay bn %h!n pht nOng7 "im thJ# "hBng ngh
In 4n ` "hBng thy Oi a7 ti2u h# "hBng t\t0 tht :\t "hBng Pu
nguy2n nh!n thd buMi :9m nh|7 ?@ %hi@u n_ng7 ?@ 2m %ng
n_ng7 %O pht :\t tP2n +8 ngy "hBng "hei7 %O u\ng thu\% ? ti2m
thu\% "hng :inh m :\t ?~n "hBng lui0
C%h %hKa;
Cm mL# pht :\t thd t lRp %\% thanh nhit giI yu7 bM T%
tam l^ .~n nhit %a T% .Wng minh I xu\ng7 %> "h#ng hai
gi xng hx Im huyt + lDn7 m=t ngy Im huyt ) m n lDn0
T]%h thX% m pht :\t thd bM N=i Quan7 t LI %huv t !m giI
nhit0 qM T% tam l^7 t TPung Qun %O t% .Tng t4ng %ng ti2u
h#0 M}i ngy Im huyt + lDn7 pht :\t "hBng Pu nguy2n nh!n
thd bM huyt N=i Quan7 t huyt LI %huv0 3@ 2m :\t %ng n_ng
thd gia bM Tam !m gia#7 "i2m %O thy ?/ nhit ` nOng tP#ng ?Fng
.L .y ? %% %h>ng nU ming7 hBI ming a thd t huyt N=i dnh0
GV
fi2m %O phI nhit thd t hug2t ]%h tPL%h7 %Ct huyt ThiIu thWng0
fhi Im huyt LI %huv m :R "hi "hBng :>% thd Pi2ng .Fng
th2m t huyt # L#7 m}i ngy Im huyt + m ) lDn0 M}i huyt
nCn .ay ngang brng7 nhn nh7 m}i l#LI tE H8 m +88 lDn0 Ng#LI
%m thd gia phkp %hm gu U .a0
Th> tX Im huyt ; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt thWng ph#ng %m mL#7 %hKa thd %O
th lui :\t tP#ng ngy hBm O0 C% nguy2n nh!n "h% g!y :\t7 tE
+ m ) ngy %O th "hei0
)0 ThM t
Nguy2n nh!n bnh;
w# 4n u\ng "hBng han %hI7 tv ?/ b/ hLI7 h#_% b/ lLnh pht :\t
g!y Pa thM t `ming nBn tPBn th# a
Ch>ng tPLng ;
Cp t]nh thM t thd 4n u\ng ?# In .L .y :j nBn Pa h#n t#n7
ngy 2m I t li@n my lDn In my %hT% lDn7 ph!n Pa leng nh
n9%0 Mn t]nh thM t thd nBn m6a ]t7 ngy 2m I t P4m ba lDn
"hBng %hEng mX%0
C%h %hKa;
qM huyt N=i Quan7 t huyt lRp %\%7 %O th thanh nhit .>t
nBn0 bM t% tam l^7 t N=i dnh %O th lm "hz# .L .y7 lLI %O
%Bng n4ng thanh nhit U ?/7 "i2m %O :>% .>t nBn7 .>t t0 NIu nh
td h I t l!u .I7 h#_% thu=% ?@ lWng t ` b/ lLnh m I t a7 phI
gia bM ThDn mBn7 Th'n .u0 Cu\i %Fng7 lm phkp Pung Pby U ?Fng
bTng0 M}i huyt @u lm %% th php nCn .ay ngang brng7 nhn
nh %hm gu U .a7 m}i l#LI +88 lDn0 Ai2ng huyt N=i Quan "hBng
th2m phkp %hm gu U .a0 fhi nCn .ay ngang brng U huyt lRp
%\% phLm ?i n2n hWI l9n0 TPz nhe th!n yIu "h] h %Dn .Fng th
php %X% nh|0
Th> tX Im huyt ; TE tP2n m xu\ng7 th php %X% nh| l hRp
liu Qu %hKa; ChKa + lDn l %O th gim nh| tE ) m n lDn l
"hei0 qnh n_ng7 thi gian .I %Dn %hKa +8 tPU l2n m9i %O th "hei
hIt0
n0 TPz Jm ti2u h# "km
Nguy2n nh!n bnh
thDn l9n l .# tE thWng thX% ` 4n Qu ng#n h#_% Qu n#7 4n
"hBng I@u = g!y hLI a
Ch>ng tPLng;
fhBng thiIt 4n u\ng7 "hBng 4n :Ka %h!u7 bc 7 "hBng 4n bnh
ng$t7 h#_% %% l#LI th>% 4n "h%7 %hs 4n m=t lRng ]t h#_% I LI
tin nhi@u lDn0
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qM N=i Quan7 t lRp %\%7 t N=i dnh7 bM Tam !m gia#7 m l4ng
tuy@n ` nIu "hBng ngh In 4n thd .Fng phkp bM7 nIu ph!n leng
thd .Fng t php a0 qM T% tam l^0 M}i huyt nCn .ay ngang brng
G-
nhn nh7 m}i l#LI @u +88 lDn0 by thJ# U ?Fng lng tE \t thCt
lng th> ) m n tP2n ng t> %a "inh bng Quang %Lnh mem gai
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ngang ?9i mem gai \t :\ng :\ V %a lxng ngX% lm + lDn0 by
nh thI nH lDn7 :au O .Fng hai ngOn %I ? tPe tay ?k# .a th/t lBI
l2n tLI %% huyt ?/ Tv .u7 3/ .u lBI l2n nhn xu\ng t]nh lm + lDn7
lm nH lDn7 thI l t php0 fI O l .Fng %Lnh ngOn tay %I p tLI
huyt Tv .u7 3/ .u p xu\ng7 n9i Pa t]nh lm + lDn7 p nh thI Go
lDn0 5au O .Fng hai %Lnh ngOn tay %I by xu\ng tP2n ng th>
nht %a "inh bng Quang %Lnh ) b2n mem gai \t :\ng tE \t
:\ng th> V lxng ngX% xu\ng In ngang \t ) m n m o ?Fng thCt
lng7 !y Go lDn7 nh thI l bM php0
thkp ny %O t% .Tng lm "h#z tv ?d %ng tPng %W n4ng0
Th> tX Im huyt ; hi\ng nh tP2n
liu Qu %hKa;
\i ?9i bnh nhi "hBng mu\n 4n h#_% ti2u %hy mn t]nh7 %hKa )
mn lDn thd thu hiu Qu7 G m +8 lDn thd "hei0 NIu nh l mn t]nh
bI tiIt .L .y ` lLp } a7 %O + thng tPU l2n7 thd %Dn %hKa ?I ba
thng m9i %O th "hei0
o0 TPz Jm b/ :R hI
Nguy2n nh!n bnh ;
w# ngi l9n ?ui %i t# tiIng h#_% .# tPz Jm nhdn thy ngi
:R hI tP#ng ` phim In nh a mn nh7 %nh nh nhau .K .=i
h#L% l :au "hi tX nhi2n ?a %hLm tk ng g!y Pa0
Ch>ng tPLng ;
fhi nhdn ngi thd nh9n nh% Bng t!y7 %O ?z :R hI7 hai mCt
nhdn ng!y .LI7 nhdn ng thng ngOn tay l#Ln =ng7 "hi "hO% "hi
.Eng7 ?@ 2m %ng Qu lCm7 "hBng th ng y2n7 %O "hi hai bn
tay %# QuCp lLI0
C%h %hKa;
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xung7 bM Tam !m gia#0 T> %hi %# QuCp thd %Ct U huyt 1it "huyIt7
t huyt ]%h tPL%h %Ct U huyt wWng l4ng tuy@n0 qan 2m :R
m tsnh .'y l m ? th'n h7 gia bM huyt ThI "h27 bM huyt
fh!u "h7 thDn tP] "hBng y2n Mn7 bM huyt TlDn mBn0 M}i huyt
nCn .ay ngang brng7 nhn nh m}i l#LI @u lm G8 m +88 lDn0
Th> tX Im huyt ; hi\ng nh tP2n
liu Qu %hKa; ChKa ) m V lDn l %O th "hei
G0 puai b/ ` ?i2m tuyIn mang tai a
Nguy2n nh!n bnh ;
thI 7 ?/ %O nhit t# l2n7 ng#LI t x!m nh'p ?# lm %h# tuyIn
mang tai :ng l2n0
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w# U ng#LI %m n_ng nh| "h% nhau7 ?d ?'y m tP2n l!m :ng
thy %h>ng tPLng "h% nhau0 Thi "v !F %O pht :\t lLI %O %m
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gi% lLnh7 h#_% tinh thDn "hBng h4ng hI7 au Du7 nBn m6a7
"hBng thiIt 4n0 %hEng + m )ngy :au7 m=t b2n h#_% hai b2n tuyIn
mang tai :ng l2n7 %T% b= hWI e7 au 9n7 th!n nhit "h#ng n-
m o8#C 0
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thI nhit thd t huyt lRp %\% %a "inh LI tPng "I thJ# l
.Fng ngOn ty %I ? ngOn tay tPe miIt tE huyt Tam gian In
huyt ThWng .Wng tP2n ngOn tay tPe %a nLn nhi7 :au "hi lm
%h# Du ngOn tay :ng huyIt thd %Ct ` bm brng mng tay a U
huyt ThWng .Wng7 t4ng mLng t% .Tng t ` %O t% .Tng %h#
lui :\t a7 ?/ nhit 7 thd t huyt wWng tPd U tam ti2u "inh ` t U
huyt wWng tPd ? w/%h mBn %Sng %O huu Qu gi\ng nhau a7 "I
O l .Fng ngOn tay %I ? ngOn tay tPe miIt U ngOn tay J#
nh~n tE huyt w/%h mBn In huyt puan xung7 t4ng mLnh t%
.Tng t7 U nWI :ng l "inh th thiIu .Wng tam ti2u7 "inh th
.Wng minh LI tPng tuDn hnh7 ly hai huyt tP2n %O th thanh
nhit %a thRng ti2u ? phI "inh0 w# nhit th/nh thd thWng !m7
"I O be huyt N=i Quan %a th QuyIt !m "inh7 N=i Quan l
huyt U !m .uy mL%h tP#ng "& "inh bt mL%h7 %O th gdn giK m$i
th> !m `%h !m a0 fI O l t huyt LI %huv7 thanh %I nhit
%a m$i th> .Wng ` %h .Wng a 0 w# th'n thu "hBng th %hI
R% h#7 thd nhit h# %ng th/nh7 ?d ?'y bM huyt ThI "h2 %a
th'n "inh %O th .~n thu I l2n nhKng huyt ny "hBng nhKng
lm gim nhit nh!nh7 m lm %h# .Y "hBI phT% nhKng %W n4ng
?d :\t %a# lm %h# b/ tMn hLi0 M}i huyt @u nCn .ay ngang brng
? nhn nh m}i l#LI +88 lDn 0
Th> tX Im huyt ; hi\ng nh tP2n
liu Qu %hKa; M}i ngy Im huyt tE + m nlDn7 %hKa "h#ng tE
) m n ngy thd "hei0

H0 l# g ` h# b%h nh't a
Nguy2n nh!n bnh; q/ %m t %a thi "h] Jm In thnh bnh0
Ch>ng tPLng;
M9i th#Lt Du %Fng m=t .Lng nh %m mL#7 %O pht :\t7 tCn
mSi hCy xd hi7 h# hCng thnh tEng %Wn m=t7 h# li@n m#$t hWi
my %hT% ?iIng0 fhi h#7 n9% mCt n9% mSi gin .Ta7 tP#ng hDu
%O m "hBng lRi7 "i2m %O nBn m6a7 m .i nBn Pa pht .]nh0 w#
h# hCng7 bCt bu=% m_t phi e7 mCt e %O "hi tP#ng mSi %hy Pa
mu h#_% tP#ng m %O .ay mu7 xng thi hai %nh tay %O :X %#
=ng nh ph#ng %# gi't ` thJ# tiIng h# m %# =ng a0
C%h %hKa;
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C%h .u7 t TPung Qun7 bM fh] hi7 bM T% tam l^0 Nh thI %O th
lm "h#z tv ?/7 .>t nBn m6a7 "i2m %O t% .Tng h# m0 M}i
ngy %hKa m=t lDn7 m}i huyt nCn .ay ngang brng7 nhn nh
m}i l#Li th php @u tE G8 m +88 lDn7 luyt phI .u phi gia
%hm gu U .a +88 lDn0
H8
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt tE ) m n tuDn thd %O th %hKa "hei0
V0 TPz Jm bLi lit
Nguy2n nh!n bnh;
w# ng#Li %m t %a thi "h]7 a In tP "h] %a "inh lL%7 huyIt
mL%h mt R% nuBi .Nng7 tang %an7 tv7 th'n b/ bnh tP9% hIt7
"I O l %huyn lm %h>ng t2 bLi7 m phDn l9n l t2 bLi %hi .9i0
Ch>ng tPLng;
Nht l#Lt U tPz Jm :au "hi b/ :\t7 thd pht hin thy m=t b2n %a
%hi .9i "hBng th .Eng R%7 h#_% "hBng th h#Lt =ng R%7
%Sng %O tPng hRp % hai b2n %a %hi .9i %Fng l% b/ bnh7 m=t
b2n n_ng7 m=t b2n nh|7 .Dn .Dn lng ? bTng %Sng bLi t27 th!n
m@m ?B lX%7 "hBng th ngxi7 %W bTng "hBng bdnh thng ` bnh
nh| thd m=t b2n %W bTng gx l2n7 bnh n_ng thd m=t b2n bTng lum
xu\ng a0 M=t b2n %hi .9i t2 bLi7 %O "hi l!y In t2 bLi ?Fng bTng0
qnh n_ng? l!u ngy7 thd ?Fng Du g\i %a %hi .9i h#_% ?Fng
xWng tPT %a %M tay thng ./ hdnh7 %O "hi hai Du g\i gDn thnh
hdnh .Fi Z [7 %O "hi hai Du g\i lLi xa nhau thnh hdnh .Fi Z [7
%O "hi U ?Fng .9i tP9% mCt %O ng#i ? %hung Quanh %M %h!n
thy bCp th/t nhj# Pa m .i7 ?Fng .9i tP9% mCt % tP#ng ?
%hung Quanh %a "h9p %M %h!n thy bCp th/t %# "k# %4ng7 hdnh
thnh lcng bn %h!n bLi ?# tP#ng7 %Sng %O "hi ngOn %h!n %i
%Sng t2 bLi7 thng thng hin Pu Pa Du ngOn %h!n %i gT%
xu\ng7 "h9p \t ngOn %h!n lxi l2n0 wXa ?# bnh tdnh %S7 m9i
n_ng7 nh| "h% nhau m :inh Pa %% l#Li %h>ng tPLng "h% nhau0
Nh| thd "h9p %M %h!n ? Du g\i nLn nhi "hBng %O :>%7 %O th
mJn thJ# m i7 h#_% l i th$t Pu Pt0
C%h %hKa;
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%a th'n0 h!n "hBng %O :>%7 "hBng th %# .u}i7 tP%h nhim %a
%an0 qCp th/t "hBng th %# ? gin Pa7 tP%h nhim %a tv0 O l
%h>ng ? hdnh nh %a %h>ng7 @u biu hin U ng#i7 ng#i thu=%
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n4ng lX% h#Lt =ng0 wXa ?# Quan h biu l^ %a "inh lL%0 Th'n
thu=% tv7 bng Quang thu=% biu7 Can thu=% l^7 m thu=% biu7
Tv thu=% l^7 3/ thu=% biu0 qnh tLi biu thd ly Th'n .u %a "inh
bng Quang7 ? Th> li2u7 tPung0 1!^ l#n "hi2u7 wWng l4ng
tuy@n7 fh!u "h %a "inh m7 lLi ly %% huyt hii "h27 T% tam
l^7 Tt nhNn7 lL% snh %a "inh ?/0 3Fng bTng t2 bLi7 gia %%
huyt Thi2n "hu7 fh] hi0 Chi tP2n t2 bLi7 ly %% huyt lRp %\%7
fh% tPd7 fi2n ngung7 fin tsnh7 Li tPK7 nhu .u0 Tt % @u .Fng
th php bM .Wng7 t !m7 ? tPR th2m thd ly phkp .Xa thJ#
ng "inh ` bnh ny php U t% "inh7 %huyn ?# th "inh7 .#
O tP2n l^ lu'nphi .Xa thJ# t% "inh m gii th]%h a0 M}i huyt
@u nn .ay ngang brng7 nhn nh %hm gu U .a7 m}i l#Li th
H+
php lm G8 lDn7 ly th php .Xa thJ# ng "inh ? lC% ?Dn t>
%hi tPR th2m0
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"h0
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thi .Wng "inh U m_t ng#i Fi7 ? In QuyIt !m "inh U m_t
tP#ng %a Fi7 lu thBng "h] "inh lL% b/ tP ` tha# t% tP2n l
.$% thJ# h9ng h#Lt =ng %a "inh lL% a0
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hIt tE bn %h!n l2n In ?Fng Fi t#7 Pxi lLi tE Fi t# In bn %h!n
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%h%: U %hi %a nLn nhi a
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lDn7 kp tM %h>% %W bCp lm %h# hin Pu :X gin nU ? %# Pt7
lm %h# mL%h mu %hLy mLnh l2n0
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thng Pa ` lm %h# "h9p ?Fng Du g\i ? hng "hBi phT% %W
n4ng .u}i g'p a0 1Li lm g'p .u}i x#ay Pa h9ng ng#i7 ? lm
g'p .u}i x#ay ?# h9ng tP#ng7 m}i ph]a - m , lDn0
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mOng7 p ?# huyt ?/ %T% b= t2 bLi xung Quanh gOt %h!n a7 tay
%cn lLi N ?Fng lcng bn %h!n ` xng thi .Fng Du gOn tay p7
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bn %h!n0
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-0 thm .a .z ? bCp th/t tJ# lLi7 @u %O th gia phkp %hm gu U
.a tLi %T% b=7 th% by %W n4ng %a bCp7 th/t tLi %T% b= "hBi
phT%0 Cu\i %Fng .Fng lcng bn tay x#a xt .a .z %a ngi bnh7
x#a i x#a lLi my lDn0
Chi tP2n t2 bLi7 .Xa thJ# %% huyt tPdnh by U tP9%7 m}i huyt
nCn .ay ngang brng7 nhn nh7 %hm gu U .a0 M}i l#Li th php
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thi.Wng "inh7 xt ?2 i lLi my lDn7 lLi .Fng hai bn tay hRp p
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xt bn tay tP2n .a %nh tay7 lm Qua lm lLi my lDn0
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im huyt7 th php n2n nh| m nhanh0
liu Qu %hKa;
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ngy %hKa + lDn 7 %hEng H m+8 lDn thd bnh gim nh|7 tP2n .9i )8
lbn thd "hei0 qnh m9i .Y %hKa7 bnh l!u ngy Pt "hO0 qnh nh|
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b/ nh hUng %Sng thu hiu Qu %h'm0
hhi th2m; Chi .9i t2 bLi7 bt lu'n l m=t b2n h#_% hai b2n7 "hi
nrm :p im huyt7 huyt ?/ U hai %hi .9i 2F im0 fhi nrm
nghi2ng7 im huyt ? lm %% th php "h% ?~n lm m=t b2n
ngi bnh0
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.Wng "h] bt t% g!y Pa0
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tP9% :au h#_% phi tPi0
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huyt Li %huv lLi %O th bM huyt # L#7 lm %h# hiu Qu O
th2m mL%h huyIt \% mL%h0 NIu nh %O nhKng "i2m %h>ng
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ngang brng7 nhn nh7 m}i l#Li th php @u lm tE +88 m )88
lDn0
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l# ut "It l2n7 tdnh %m "hBng th#i mi g!y Pa7 %Sng g$i l
?i2m tuyIn l!m ba0
Ch>ng tPLng;
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%M7 php :inh :ng e au 9n7 %Sng %O l#ai hL%h "It PCn
C%h %hKa;
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.Wng minh thanh nhit tn :ng0 qM huyt fi2n tsnh7 th#ng
tPd7 .~n h# %a thiIu .Wng ging xu\ng0 M}i huyt nCn .ay
ngang brng7 nhn nh7 m}i l#Li th php @u +88 lDn0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; NIu %ha lm m7 "h#ng tP2n .9i +8 lDn %hKa
thd "hei0
)0 1ci .#m ` th#t giang a
Nguy2n nh!n bnh;
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Jm l#i .#m phDn l9n .# l!u ngy g!y Pa0
Ch>ng tPLng;
fhi Li tin #Ln Pu=t l#i Pa ` giang mBn %a tPX% tPng a "hBng
thu ?#7 .Fng tay N by ?# m9i %O th thu ?#0
C%h %hKa;
1y bM bM th'n7 bM h7 %\ "h]7 "in ?/7 lRi Li tin lm %h0 qM
ChiIu hi7 t ThEa :Wn7 bM Th'n .u7 Mnh mBn7 2u .u7 q%h h=i7
t lRp %\%7 bM T% tam l^7 fh] hi7 t TPung Qun7 bM Chi2n tPung0
M}i huyt @u .Fng %% th php nCn .ay ngang brng7 nhn nh7
m}i l#Li +88 lDn0 luyt q%h h=i ng#i Pa th2m %hm gu U .a +88
lDn0
Th> tX im huyt; TE tP2n m xu\ng7 thJ# ng th> tX " tP2n
tiIn hnh im huyt
liu Qu %hKa;
TP/ tPz Jm lci .#m hiu Qu Pt t\t7 bnh tPdnh "hBng l!u7 im
huyt n m G lDn thd %O th %hKa "hei7 bnh l!u ngy 7 :au "hi Qua
%hKa my lDn #Ln Pu=t lci Pa %O th tX thu ?#0
n0 5n "h] ` hx :n a
Nguy2n nh!n bnh;
Ho
qnh ny .# hn thp tPF xu\ng U tP#ng bdu ` ti .i a7 ` ba# tinh
h#n a7 l .# %an mL%h bt h# g!y Pa0
Ch>ng tPLng;
M=t b2n tinh h#n tP9ng t#7 "hi >ng thWd nO tPTt xu\ng7 "hi
nrm thi nO ?# bTng7 nh %#n %# Pa ?# hang "hBng thng7 ?d
?'y g$i l hx :n0
C%h %hKa;
qM huyt Li Bn7 huyt Li Bn Pi2ng .Fng phkp %hm gu U .a
)88 lDn R%0 fhBng .Fng huyt ny m bM huyt Thi xung7
%Sng %Fng m=t hiu lX% a7 bM Tam !m gia#7 puan nguy2n7 Tam
gi% ` huyt ny "hi nCn .ay ngang brng thd i tE tP#ng Pa ng#i
h9ng l2n a7 Li Bn l tsnh huyt %a %an "inh7 %an "inh lLi ?cng
Quanh b= my :inh .T%7 huyt Tam !m gia# %h tP/ b= my :inh
.T% nam nK7 huyt Tam gi%7 puan nguy2n %Sng l yIu huyt
%hKa :n "h]7 huyt Tam gi% %cn g$i l huyt :n "h]0 NIu %O
%m gi% au %# Pt7 ng#i Pa th2m bM huyt wWng l4ng tuy@n0
M}i huyt nCn .ay ngang brng7 nhn nh7 %hm gu U .a7 m}i l#Li
th php @u lm +88 m )88 lDn0
Th> tX im huyt; hi\ng nh tP2n0
liu Qu %hKa; Nht l#Lt %hKa ) m n lDn thd %O th thy hiu
Qu7 %hKa +8 lDn thF %O th "hei0 NIu bnh tdnh nghi2m tP$ng7 %O
th phi Qua ng#Li "h#a lm ph~u thu't0
o0 q#ng g!n ` nKu thWng a
Nguy2n nh!n bnh;
qnh ny thng .# ?'n =ng h#_% %O "hi tP#ng la# =ng7 %O
l% n# O "hBng %h ^ lm %h# b#ng g!n7 "h] huyIt lu thBng
b/ tPU ngLi g!y Pa0
Ch>ng tPLng;
qnh ny thng php :inh U ?Fng %% "h9p %M tay 7 %M %h!n7
"h9p "huu tay ? Du g\i0 Ch} b/ bnh :inh Pa xanh t]m7 :ng
tP9ng7 n ?# thd au 9n7 "hi h#Lt =ng thd %Sng au 9n0
C%h %hKa;
1y th "inh lL%7 h#Lt huyIt mL%h lm %h0 1y huyt U hai Du
tP2n .9i %a M bnh0 Nguy2n tC% l; @u thd Z ngh2nh #Lt[ ` ^
ngha l t a7 i thd Z tuv tI[ ` ngha l bM a0 NIu "h9p "huu ?
"h9p %M tay b#ng g!n7 U phLm ?i %a th .Wng minh "inh7 thd ly
huyt lRp %\%7 nghi2nh #Lt t0 ly fi2n ngung thJ# gip
bM0 qM tPR thd ly phkp .Xa thJ# ` tE "huu tay h9ng ?@ bn tay7
? tE "huu h9ng ?@ ?ai7 lm %h# %h} "h] huyIt ngng tP h9ng
?@ %hung Quanh m tan mt i a0 3Fng %% "h9p "h% @u .Xa
thJ# ?] .T ?Ea n2u m :uy Pa0 M}i huyt @u nCn .ay ngang
brng7 nhn nh7 m}i l#Li th php lm G8 m +88 lDn0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %hKa; qnh m9i7 %hKa + m ) lDn l thy hiu Qa7 %hKa
my lDn thd %O thz "hei0
HG
G0 5i %M
Nguy2n nh!n bnh;
q/ g\i .y Du %a#7 h#_% Du U ng#i %a g\i7 %M U tP2n %i
g\i7 "hi ng :ay b/ giO g!y Pa0
Ch>ng tPLng;
5au "hi .'y "hei ging7 %m thy gy %M %>ng au7 au .Dn
.Dn n_ng th2m7 ?Fng Du x#ay %huyn "hO "h4n7 %i Du h#_%
ng9% l2n nhdn "hBng th R%0
C%h %hKa;
Du "hBng th n!ng l2n ? %i xu\ng l bnh %a t% thi .Wng
"inh7 thd t huyt finh %\t7 bM huyt u tPung7 t huyt Li tPK7
th#ng mBn0 Du "hBng th Quay h9ng :ang tPi7 :ang phi l
bnh %a th thi .Wng "inh7 thd t huyt fi2n ng#Li .u7 l'u
"h20 qt lu'n "inh n# b/ bnh7 @u phi th2m huyt lLng %ng7
huyt lLng %ng ?/ tP] U tP2n ?ai tiIp %'n %Lnh :au %a gy %M7
n U O %O g!n7 g!n U hai b2n %O ) huyt0
Ch tP/; %huy2n tP/ %M gy %>ng7 "hBng th Quay tPi Quay phi
? %i ng6a R% `t huyt ny7 .Xa thJ# t% tam .Wng "inh a7
.Fng t php7 liu tdnh m gia7 t huyt th#ng ph h#_% huyt
ThEa tWng0 m}i huyt nCn .ay ngang brng ? nhn nh7 m}i l#ai
th php @u lm +88 lDn7 ? bM tPR thd ly phkp .Xa thJ#0
thT ; phWng %hKa :i %M ` ba# gxm \t :\ng %M t4ng :inh7 h#_%
%h>ng tMng hRp %a \t :\ng %Ma0
5i %M m=t b2n .Fng huyt ?/ + b2n7 huyt Nhu .u lm %h ?
n\i tiIp .Fng ngS hnh nh :au; ph\i %hm gu U .a tLi huyt
ThiIu tPL%h7 ph\i x#a by U huyt wWng %\%7 ph\i nhn nh :!u
U huyt Ti@n %\%7 ph\i Pung Pby7 lC% huyt U huyt lUu "h27 ph\i
nCn .ay ngang brng :ang tPi7 :ang phi U huyt Tiu hi7 phkp
%Ct lay7 %Ct .Eng U huyt ThiIu tPL%h7 l'u "h27 thd lC% x#ay ngOn
tay t7 ?k# U huyt lLng %ng +88 lDn7 huyt th#ng tPd thd nCn
.ay ngang brng7 nhn nh @u lm +88 lDn7 nIu th php bdnh
bM bdnh t thd %hs nCn ? # h9ng nCn m}i ph]a @u G8 lDn a0
NIu l h=i %h>ng gy %M ` tMng hRp %h>ng a7 % hai %Lnh @u phi
.Fng th php tP2n7 ? tLi huyt Cnh tMng ` t>% l U giKa \t %M
H ? \t %M V :ang hai b2n a .Fng l#Li th php ; t>% l tLi huyt
ny .Fng nhn nh ph\i ?9i huyt ThBng %\%7 Pung Pby ph\i ?9i
huyt Th% %\t7 %hm gu .a ph\i ?9i huyt Ch] !m7 x#a by ph\i
?9i huyt CBn lu!n7 nCn .ay ngang brng :ang phi :ang tPi ph\i
?9i huy tPung0 3 U %% huyt C!n :%7 Li %huv thd nCn .ay
ngang brng ? nhn nh @u lm +88 lDn0
Th> tX im huyt; hi\ng nh tP2n0
liu Qu %hKa; ChKa + m ) lDn thd thy hiu Qu 7 )( n lDn %O th
"hei0
H0 q9i %M0
Nguy2n nh!n bnh;
HH
qnh ny P# n=i thWng tht tdnh ` V l#Li tdnh %m g!y hLi tE b2n
tP#ng a "h] huyIt ut tP g!y Pa0
Ch>ng tPLng;
3Fng %M :ng7 "hBng e7 "hBng au7 "im %O tP#ng ngX% b>t P>t7
ngCn hWn7 h#_% %O %m gi% %O ?'t tP#ng h$ng nu\t "hO0
C%h %hKa;
T huyt lRp %\% thanh nhit7 bM huyt lRp %\% lm "h#z
?/7 bM huyt fh] x thBng "h]0 Du au thd bM huyt 1it
"huyIt7 th#ng tPd70 Thy %O ?'t U h$ng "hO nu\t 7 thd th2m %
Thi2n .=t7 ChiIu hi0 Tim heng h\t7 mt ng7 th2m bM T!m .u7
thI .u7 Can .u7 m .u7 Thi xung7 fh!u "h7 puan nguy2n7
phB] hRp th2m bM Chi2n tPung7 bM CX "huyIt thd t% .Tng %ng
t\t0 3 tLi %hung Quanh ?Fng :ng tP9ngy .Fng ngOn tay tPe ?
giKa lm phkp Pung Pby7 ph\i hRp tWng h} :j %O th Lt In
thBng "inh h#Lt lL%7 %O t% .Tng h#n gii ut tP0 M}i huyt @u
nCn .ay ngang brng7 nhn nh +88 lDn0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; qnh nh| thd %hKa - m , lDn %O th "hei0
V0 p xJ .# ti2m ` %h} ti2m :ng au a
Nguy2n nhn bnh;
fhi ti2m :t tPFng "hBng "&7 h#_% ti2m x#ng l} ti2m b/ ?i2m
nhiYm0
Ch>ng tPLng;
1% Du7 l} "im ti2m %T% b= hWi au7 .Dn .Dn t4ng n_ng7 :ng
e7 pht :\t0 NIu ?Fng mBng b/ pht ?i2m7 Fi %a b2n %O bnh
"hBng mu\n h#Lt =ng7 nIu "hBng "/p thi %hKa %hLy7 ?Fng :ng
O :j .Dn .Dn lm m0
C%h %hKa;
1m ti2u ?i2m .>t au7 n2n ly huyt tE xa U ph]a tP2n7 ph]a
.9i %a ng "inh lL% tLi %h} %O M bnh0 Nguy2n tC% l ph]a In
.Fng t7 ph]a i .Fng bM7 tP9% l lm %h# "h] huyIt tP#ng "inh
mL%h ph]a In b/ %h!m lLi7 :au l lm %h# "h] huyIt tP#ng mL%h
ph]a i R% nhanh hWn7 nh thI %O th lm %h# gim b9t p lX%
xung huyIt ?Fng :ng0 3] .T; ?Fng mBng ti2m x#ng b/ pht ?i2m7
"hi gDn t% thi .Wng "inh ? t% thiIu .Wng "inh7 thd U Du
tP2n "inh thi .Wng ly huyt TP't bi2n h#_% Ch] tht7 .Fng phkp
t7 Du .9i thd bM huyt u tPung? ThEa :Wn7 finh %\t7 U Du
tP2n t% thiIu .Wng "inh7 ly huyt finh mBn h#_% CW li2u7 .Fng
t php7 Du .9i thd bM U huyt wWng l4ng tuy@n7 Tuyt %\t ?
fh!u "h0 NIu pht :\t h#_% %O hin tRng %a %h>ng n_ng7 %O
th liu %hEng m ly huyt U n "inh !m %a %h!n7 tLi b tP2n %a
%h} au 9n7 .Fng phkp bM .Nng !m7 ly huyt U b .9i %h}
au 9n .Fng t php tn nhit7 h#_% ly huyt U .Wng "inh
.Fng t php 7 ly huyt !m "inh .Fng bM php7 ? phi gip
th2m brng ly th php .Xa thJ#0 fhi lm phkp .Xa thJ#7 %O th
lm h# hp :!u ? .i tPR %h# hiu Qu %hKa0 m}i huyt nCn
HV
.ay ngang brng7 nhn nh7 m}i l#Li th php @u +88 lDn0 Ch>ng
n_ng7 m=t ngy %hKa + mn lDn7 %h>ng nh|7 ngy %hKa + lDn0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt %hKa tP2n .9i n6a thng th %O th
"hei hn0
-0 3i2m Pu=t thEa0
Nguy2n nh!n bnh;
w# 4n u\ng "hBng i@u = h#_% b/ hn t7 huyIt mL%h ngng tP
m thnh0
Ch>ng tPLng;
pu_n bTng nBn m6a7 au bTng l %h>ng %h yIum7 phDn l9n l
m9i Du thd au U bTng tP2n ? %hung Quanh P\n .Dn .Dn %huyn
:ang ph]a b2n phi %a ?Fng bTng .9i0
C%h %hKa;
T hRp %\%7 Tam !m gia#7 bM 1an ?7 tPR th2m thd ly phkp .Xa
thJ# ` huyt fh% tPd In huyt lRp %\%7 huyt wWng l4ng tuy@n
In huyt Tam !m gia# a0 ThJ# ng Quan h "inh lL% tuDn hnh7
phkp ny bM t7 .Xa thJ# @u ly ?n gii %h} t'p "It lm %h
` t>% l bM t7 .Xa thJ# Jm "h] huyIt ph!n Pa Du %hOt %a t> %hi
a0 M}i huyt @u nCn .ay ngang brng7 nhn nh +88 lDn0 luyt
1an ? th2m phkp %hm gu U .a +88 lDn0 M}i ngy %hKa + lDn7 %p
t]nh thd %O th %hKa ngy ) lDn0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %hKa;
5au "hi %hKa7 %h>ng tPLng @u %O th gim nh| U %% m>% =
"h% nhau0 Nht l#Lt tP2n .9i l# lDn %hKa thd %O th "hei0 NIu
au 9n .K .=i7 xut hin hL%h 'p nhanh m yIu7 tTt huyIt p7
th!n nhit gim7 %W bTng t4ng th2m :>% %>ng PCn thd phi %huyn
i ng#Li "h#a %hKa tP/0
,0 3i2m tM %h>% .9i .a
Nguy2n nh!n bnh; w# ?i "hubn lm m g!y Pa ?i2m tM %h>%
.9i .a0
Ch>ng tPLng;
tht :\7 t#n th!n mt mei7 4n "hBng biIt ng#n7 "i2m %O au
Du7 xut hin %T b= :ng e7 b %u "hBng Pu Png0 au 9n %O
"hi .~n In ?i2m hL%h bL%h huyIt0 qnh nghi2m tP$ng %O th
.~n In ?i2m nhiYm lm m t#n th!n0
C%h %hKa;
1y lui :\t7 mt :ng7 t !m7 .>t au lm %h0 T lRp %\%7 Th
tam l^7 bM th#ng tPd7 N=i Quan7 t N=i dnh7 bM Thi "h20 thp :\t
n_ng thd gia t %% huyt Li tPFy7 # L#7 bM tPR thd ly th
php .Xa thJ# ` lm t a0 M}i huyt @u nCn .ay ngang brng7
nh!n nh7 m}i l#Li +88 lDn ? %O th mi %Ct ` th% thiIt m .ay ?
bm brng ngOn tay a U huyt ThWng .Wng7 ThiIu thWng7 1
H-
#i `mi7 bm %O mT% ]%h lm %h# huyt ?/ U Du ngOn tay
xung huyIt a0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt %hKa + lDn thd %O th thy nh| b9t7
%hKa G m +8 lDn thd %O th "hei0
+80w/ >ng mbn ng>a;
Nguy2n nh!n bnh;
w# %Bng n4ng hp thu %a tPng ?/ %O :ai lL%7 h#_% th %ht
Qu nhag %m7 h#_% g_p giO lLnh thd g!y Pa mbn ng>a0
Ch>ng tPLng;
fhi php bnh .a .z m$% mTn %hbn nhe7 h#_% l nMi %T% brng
i@u "hC%7 h#_% ng>a ngi ?@ 2m %ng Qu lCm0
C%h %hKa;
1y %% huyt lRp %\%7 wWng "h27 fh% tPd7 luyIt hi7 T% tam
l^0 M}i huyt %hm gu +88 m )88 lDn0 NIu .# b= my ti2u h#
"hBng t\t g!y Pa thd t huyt lRp %\%7 l'u "h27 bM huyt fh% tPd0
luyIt hi7 bM T% tam l^7 Chi2m tPung7 t TPung Qun7 bM fh] hi7
bM thI .u7 C%h .u7 Tv .u7 m}i huyt Du nCn .ay ngang brng7
nhn nh G8 m +88 lDn0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; M=t lDn l %O th thy hiu Qu7 my lDn thd
"hei7 bnh Qua nhi@u n4m thd "hO %hKa .>t g\%0
ChWng th> n4m ; qng ngS Quan
+0 Tai "2u ` tai F a
Nguy2n nh!n bnh;
Th'n h7 h#_% thRng ti2u h# th/nh7 lm %h# h# %a %an7 m
th4ng l2n0
Ch>ng tPLng;
TP#ng tai %O tiIng "2u7 l% "2u l% .>t7 thi gian l!u .i :j nh
hUng t9i th]nh lX%0
C%h %hKa;
Nht l#Lt ly huyt lRp %\% lm t php7 k ph#ng lm t7 Th]nh
h=i7 Nh mBn @u t7 nhKng huyt O %O th tm nhit U thRng
ti2u U t th#ng tPd7 m .u7 bM Th'n .u7 T% tam l^ %O th .~n
h# ging xu\ng7 t!m h thd gia bM ThBng l^7 m thX% thd Pa t
huyt yn %\t7 m}i huyt @u nCn .ay ngang brng7 nhn nh
+88 lDn0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %hKa; Tai "2u Wn thuDn7 Qu tPdnh bnh "hBng l!u7 thd
%hKa V m - lDn l "hei7 nIu nh .# %% bnh "h% g!y Pa7 thd %hKa
bnh "h% O7 bnh O "hei thd tai "hei thJ#0
)0 3i2m tai giKa mn t]nh ` %am taia
H,
Nguy2n nh!n bnh;
w# ?i2m mSi7 ?i2m h$ng g!y Pa7 ng9i xa g$i l thRng ti2u
h# th/nh g!y Pa
Ch>ng tPLng ;
Th#Lt Du %O pht :\t7 ?nh tai e l2n7 l} tai ng#i au 9n7
th]nh lX% gim7 nIu thng mng nh thd n9% m tE tP#ng tai %hy
Pa7 l!u ngy "hBng "hei :j %huyn thnh mn t]nh ?i2m tai giKa0
C%h %hKa;
1y lRp %\% t nhit %a wWng minh7 bM huyt th#ng tPd7 t
./%h mBn7 I ph#ng7 %Ct huyt Nh mBn7 %O th tn nhit %a
thRng ti2u7 "i2m %O t% .Tng .>t au7 au Du7 th2m bM huyt
q%h h=i7 N# "hBng7 .>t au tai7 ph\i ?9i %Ct huyt hip xa7
t huyt 5ut %\%7 mn t]nh thd gia bM huyt ng .u7 m}i huyt
@u nCn .ay ngang brng7 nhn nh +88 lDn7 %p t]nh thd m}i
ngy %hKa + m ) lDn7 mn t]nh thd %%h ngy tP/ + lDn0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; Cp t]nh %hKa PY Png 7%hKa "hei7 mn t]nh Pt
"hO %hKa "hei
n0 Nh$t tai
Nguy2n nh!n bnh;
ThRng ti2u h# th/nh7 m nhit ut "It U tP#ng l} tai ng#i0
Ch>ng tPLng;
3_t tai7 gi mang tai7 ?'t ? "hBng y2n7 ng "hBng y2n7"i2m %O
pht :\t7 my ngy :au %h} mang tai :ng e0 NIu "hBng %hKa
"/p thi thd tP#ng l} tai ng#i Pt .Y b/ ?N P%h %hy n9% m Pa0
C%h %hKa;
T lRp %\%7 th#ng tPd lm mt i %i nhit U "inh ng ?
thRng ti2u7 bM huyt Thai "h27 %O th .~n thu tP/ h#7 pht :\t
thd bM huyt N=i Quan7 t huyt Li tPFy l phkp t !m th#i
nhit0 hip %h# th .Wng minh ly phkp .Xa thJ# ? .Xa thJ# U
?Fng lng h9ng tPU xu\ng %O hiu Qu tn thSng gii "It0 M}i
huyt @u nCn .ay ngang brng7 nhn nh G8 m +88 lDn0 M}i ngy
n2n im huyt tE + m n lDn0 qnh tai tPi7 ly lRp %\% b2n phi7
huyt Thi "h2 ? huyt th#ng tPd b2n tPi7 bnh tai phi ly
huyt lRp %\% b2n tPi7 huyt Thi "h2 ? huyt th#ng tPd b2n
phi0 C hai tai %O bnh7ly lRp %\%7 th#ng tPd7 Thi "h27 % hai
b2n0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %hKa; ChKa tP#ng ?cng + m ) ngy l "hei
o0 au P4ng
Nguy2n nh!n bnh
w# b/ nhit7 h#_% Li tPng %O nhit7 th2m ?# O l ph#ng hn
U ng#i "]%h th]%h ?# m g!y Pa0 Ng#i Pa %O au P4ng .# th'n
h7 h#_% au .# :!u P4ng0
Ch>ng tPLng;
V8
Thng thd phDn nhi@u l au m=t b2n hm P4ng7 h#_% lRi P4ng
:ng au0 NIu P4ng :!u au thd ?Fng P4ng %O im Jn h#_% ?N7
nIu th'n h au P4ng thd lRi P4ng "hBng :ng m %m gi% au
9n U ?Fng %h!n P4ng0
C%h %hKa;
ChI .>t au P4ng7 ly t huyt lRp %\% lm %h0 2m t\i "hi ng
m au P4ng l ?/ nhit7 gia t huyt N=i dnh0 Li tin ph!n PCn
l Li tPng %O nhit gia t Nh/ gian7 Th tam l^0 A4ng hm tP2n
au thu=% ?/7 ph\i huyt %T% b= ly hip xa7 Nh mBn7 Ty tP%
"hBng lm phkp p huyt0 Th'n h au P4ng bM huyt Thi "h20
fk# au l2n Du7 gia bM 1it "huyIt7 th#ng tPd7 P4ng hm .9i au
h#_% Li tPng7 ph\i huyt %T% b= ly hip xa7 Li nghinh7 lm
phkp p huyt 0 NIu l au P4ng :!u7 ?~n thJ# ng phkp tP2n
m %hKa7 ? th2m t huyt lnh gian h#_% Thi xung0 M}i huyt
@u nCn .ay ngang brng ? nhn nh 7 m}i th php +88 lDn
huyt lRp %\% n2n ly gia# th#a ` l au P4ng b2n tPi7 ly huyt
lRp %\% b2n phi 7 au P4ng b2n phi ly huyt lRp %\% b2n
tPi a0 1Li lm phkp .Xa thJ# ng "inh tE huyt fi2n ngung In
huyt lRp %\% %u "inh th .Wng minh 7 h#_% by thJ# U th
.Wng minh "inh nH lDn ` t> l tE huyt fh% tPd In huyt lRp
%\% a 7 nku th'n h thd bM huyt Thi "h27 ? bM tPR thd ly phkp
.Xa thJ# ng "inh ` im thJ# th> tX tP2n ng "inh a tE
huyt Thi "h2 .Xa thJ# In %Lnh tP#ng gDn Du g\i h#_% by
thJ# tE huyt Thi "h2 h9ng ?@ huyt thT% tPuy ` ph% lu a
lm -+ lDn 0
Th> tX im huyt ; hi\ng nh tP2n
liu Qu %h>a;
au P4ng .# h#7 h#_% !m h au P4ng m7 %hKa + m ) lDn l "hei0
au .# lRi P4ng %O m %Dn phi %h]%h m0 A4ng :!u au7 nht l#Lt
@u %O thP thu hiu Qu R% m=t l%0

G0 Chy mu mSi
Nguy!n nh!n bnh; l# U tP2m l %h# phI nhit m tPn :ang
mSi0
Ch>ng tPLng;
MSi %hy mu Pa7 phDn l9n thy U tPz Jm ? thanh ni2m "h#z
mLnh0 fhi %hy mu7 nhkt l} mSi lLi mu :j tE ming %hy Pa0 CO
l#Li %%h my ngy Pa mu + lDn7 lRng %Sng Pt ]t0
C%h %hKa;
l# th/nh huyIt nhit7 %h# n2n ly t lRp %\% %a th .Wng
minh ? t Th tam l^7 ? bM tPR thd ly th2m phkp .Xa thJ#
` tE huyt fi2n ngung In huyt lRp %\%7 h#_% .Xa thJ# tE huyt
fh% tPd In huyt lRp %\% a7 lm tE - m , lDn7 huyt ThRng tinh
.Fng phkp p huyt7 ly huyt tPung .~n huyIt i xu\ng7
lLi tE huyt ThEa phF In huyt ThEa :Wn7 ly phkp .Xa thJ#
bM tPR7 lm - m , lD0 NIu nh bnh thI n_ng7 "hi phkp tP9% ?B
hiu7 thd th2m t C%h .u7 Tv .u7 Can .u7 bM huyt bn bL%h0 M}i
V+
huyt nCn .ay ngang brng7 nhn nh @u G8 m +88 lDn7 huyt
tPung :\ lDn lm th php %O th liu %hEng t4ng nhi@u hWn0
luyt bn bL%h %Dn phi th2m Pi2ng phkp %hm gu U .a +88 lDn0
M}i b2n mSi Pa mu7 ly huyt lRp %\%7 Th tam l^ %a %Lnh \i0
Ca# huyIt ap g!y Pa %hy mu mSi7 %Dn phi ph\i hRp ?9i phWng
php lm xu\ng huyIt p0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; Nht l#Lt :au "hi im huyt thd %O th %Dm
mu7 %hKa nhi@u lDn thd "hei0
H0 au h$ng
Nguy2n nh!n bnh;
Thng .# phI7 ?/ t]%h nhit7 ng#i thd b/ ph#ng t7 a In "h]
huyIt ?Fng h$ng ngng tP7 .~n In %T% b= :ng e7 au 9n7
pht au %p t]nh l thX% %h>ng7 pht au mn t]nh l h %h>ng0
Ch>ng tPLng; w9i h$ng au 9n7 %O "hi pht :\t 7 :R lLnh0
C%h %hKa;
thI ? Li tPng %O l biu l^7 t huyt lRp %\% %a "inh Li
tPng %O th lm mt i phI nhit0 3/ thu=% tPung ti2u7 t wWng
tPd ? huyt w/%h mBn7 %a "inh tam ti2u %O th thanh nhit %a
tam ti2u0 CCt U huyt ThiIu .Wng ? puan xung %O th t4ng
nhanh hiu Qu .>t au7 U "inh Li tPng ? "inh tam ti2u @u
n2n bM tPR ly phkp .Xa thJ# h#_% phkp by thJ#7 t th#ng tPd7
bM Thi "h2 l t !m gii nhit0 NIu l %h>ng h thd bM huyt
th#ng tPd7 "hBng th2m th php .Xa thJ#7 ph\i huyt .>t au
%O %Ct gip xa7 I ph#ng7 fh!u "h7 1!m "hp7 thi xung0 NIu nh
u\ng thu\% mt ? ti2m thu\% ti2u =% m "hBng hiu Qu7 thd
gia bM huyt luyIt hi7 %hm gu .a U huyt q%h h=i7 lm %h#
nhit tE tP#ng h9ng Pa ng#i m gii0 M}i huyt nCn .ay ngang
brng7 nhn nh @u +88 lDn7 th php ?Ea phi0
liu Qu %hKa; TP/ + lDn %O th .>t au7 h#_% gim nh| %h>ng
tPLng7 %hKa my lDn thd "hei0
V0 Ming mCt mk# l%h0
Nguy2n nh!n bnh;
Nht l#Lt .# U ban 2m ng thy tsnh lLi Pxi i Pa ng#i b/ lLnh7
h#_% :au "hi ng :ay Du m_t b/ giO g!y Pa0 TPz Jm thd phDn l9n l
.# :au "hi :\t %a# .~n In7 bnh ny0
Ch>ng tPLng;
Ming ngi bnh h9ng ?@ ph]a "h#z m l%h7 gO% ming .Y
.ng %hy n9% .i Pa7 "hi Pung =ng %hTm ming lLi thd gO%
ming ph]a %O bnh "hBng "]n7 m] mCt "hkp lLi "hBng l2n7 %O "hi
%hy n9% mCt7 g_p giO thd tPcng mCt %ng thy "hO %h/u0
C%h %hKa;
im %% huyt lRp %\%7 th#ng tPd7 T% tam l^7 @u lm :#ng
huyt ` % ) b2n a0 M}i huyt @u nCn .ay ngang brng7 nhn nh7
m}i l#Li th php lm +G8 lDn0 5au n lDn .Xa ?# b2n b/ bnh7
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bnh U b2n tPi ` ming l%h ?@ b2n phi a7 ly huyt lRp %\%7
Th tam l^ b2n phi7 ? ly %% huyt b2n tPi l /a thWng7 hip
xa7 Nghinh hWng7 Th]nh %ung7 lL Quan7 Ti tP% "hBng7 xng t6
li2u7 wWng bL%h7 th#ng tPd0 qnh U b2n phi ` ming l% ?@ b2n
tPi 7 thd ly huyt ngR% lLi thJ# %%h ?Ea nOi tP2n0 Th#Lt Du
:ng au thd lm t php7 %hKa gim b9t thd .Fng bM php7
h#_% t lRp %\%7 bM Th tam l^0 3Fng m_t .Fng phkp %Ct huyt
` bm brng mOng tay a0 M}i huyt nCn .ay ngang brng7 nhn
nh @u )8 m G8 lDn0 3 U %Lnh m m_t %O bnh7 ?Fng tO% mai7
?Fng tP2n .9i ?nh tai7 th2m %% th php Pung Pby7 by x#ay7
x#a xt7 ? n2n th2m %Ct U %% huyt T#n tP%7 1!m "hp7 Du
.uy7 ThEa tWng7 Nh!n tPung7 %% huyt ny thay nhau x6 .Tng
gip th2m hiu Qu0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; C> %4n %> ?# thi gian b/ bnh l!u hay mau7
n_ng hay nh|7 :j QuyIt /nh "v hLn %hKa tP/0 TPz Jm b/ bnh ny
%hKa Pt .Y "hei0
-0 Ming h "hBng R% t#0
Nguy2n nh!n bnh; w# ?/ nhit7 lRi P4ng :ng tP9ng7 P4ng au
g!y Pa0
Ch>ng tPLng;
lm P4ng %# "h]t7 lRi P4ng :ng7 P4ng au7 ming %\ gCng %Sng
"hBng mU Pa R% h#_% %O mU ming %hng Qua %hs %O thz %h#
Sa ?# R%7 .# O %hs %O th 4n ]t m=t th>% 4n ? "hBng th
nhai %Cn R%0
C%h %hKa;
wFng phkp tn nhit .>t au7 t %% huyt lRp %\%7 Th tam l^7
t th#ng tPd7 I ph#ng0 hip th2m thd ly phkp .Xa thJ# ng
"inh ` U "inh th .Wng minh ` tE "huu tay In bn tay a7 ? mi
%Ct U huyt ThWng .Wng7 ThiIu thWng7 p huyt U huyt hip
xa0 au Du thd th2m bM U huyt 1it "huyIt0 m h thd th2m bM
1U huyt Thi "h20 M}i huyt nCn .ay ngang brng7 nhn nh0 M}i
l#Li th php @u lm G8 m +88 lDn0
Th> tX im huyt; hi\ng nh tP2n
liu Qu %hKa; ChKa my lDn %O th "hei hn0
1i @ ngh/ %a ngi ./%h0
ThJ# nhKng ti liu m ./%h gi hin %O tP#ng tay thd phkp
im huyt nOi %hung7 tuy R% g$i brng nhKng t2n "h% nhau
nh bm huyt7 im huyt7 x#a bOp{7 nhng %hng %O %Fng
Vn
m=t nguy2n tC% l .Fng p lX% %a %hi th ngi thDy thu\% t%
=ng l2n %W th ngi bnh7 nhrm gip %h# %W th tX phcng
bnh7 %h\ng bnh0
fhi i :!u th2m m=t b9%7 %hng ta :j thy tP#ng m}i tPng
phi @u %O phLm ?i Pi2ng ? hiu Qu Pi2ng0 CO th Quy t'p %%
tPng phi lm ba l#Li nh :au; thi bm ?u\t nh|7 phi n .ay
n_ng ? phi n .ay ?Ea phi0
+0 thi n .ay nh|7 phkp ny .Xa thJ# nguy2n l^ "hai thBng lL%
mL%h7 lL% mL%h U mBng ` tnh mL%h nMi 7 %hKa nhKng bnh .# tC%
ngh|n tnh mL%h m g!y Pa au 9n0 Mu\n "hai thBng tC% nghjn
U tnh mL%h7 tP9% hIt phi %h'n U =ng mL%h l nguxn Pa %a
huyIt ./%h7 lm gim nh| p lX% %hi tnh mL%h7 :au O .Fng %%h
?u\t x#anh| U nhKng %h} tnh mL%h b/ tC% nghjn7 "hi %h} tC%
nghjn R% nhKng Pung =ng lm leng h# Pa7 by gi ta th
=ng mL%h7 lRng mu Pa mLnh7 lRng mu thu ?@ tnh mL%h :j
nhi@u l2n =t ng=t7 %O t% .Tng nh th2m n9% thBng %\ng7
nhKng %h} tC% nghjn ?Ea R% ln leng :j %O %W h=i lu thBng
nhanh7 bI tC% R% gii t#7 bnh biIn lFi nhanh0 CO th nOi7
phWng php Th'p th L# %a lWng y luvnh th/ 1/%h tuy %O
nhKng =% # ?@ th php "h% bit ?@ t2n g$i huyt ?/7 nhng
"hBng ng#Li nguy2n tC% ny0 ` Jm :%h qm huyt %hKa bnh
%a lWng y luvnh th/ 1/%h .# tsnh h=i y h$% .!n t=% tsnh Ti@n
giang ? bnh ?in y h$% .!n t=% tsnh Ti@n giang pht hnh H m
+,-n a0
)0 thi n .ay7 phi nhn .ay n_ng7 .Xa tP2n nguy2n l^ %hin kp
g!y Pa nhKng phn >ng m9i %h# =ng mL%h ? thDn "inh U :!u7
nhrm Qua O lm %i tiIn tdnh tPLng %W th nhKng =ng t% %a
phi ny thng R% thJ# hai h9ng0 M=t l "hi bnh thu=% h
th\ng thDn "inh7 h#_% "hi %Dn g!y t2 %T% b= %huyn b/ %h# %%
=ng t% %hsnh :ai "h9p :Wng7 nCn bO g~y :Wng { 7 ngi ta
thng n %h|n ?# nhKng %hi thDn "inh hKu Quan thJ# nhKng
th php "h% nhau .# y2u %!F %hKa bnh "h% nhau0 lai l ;
%h|n ?# =ng mL%h U #Ln .9i n9i %O bnh7 nhrm %n tPU lLi
m=t lRng l9n mu7 :\ mu U > lLi ny :j g!y thnh p lX% =t
xut mLnh tP#ng %% %hi mL%h nhe ph]a tP2n7 %O t% .Tng lm
gin nU nhKng nhnh =ng mL%h nhe0 n ?Fng %O bnh7 lRng
mu %ung %p ?# nWi ny nhi@u hWn :j t4ng %ht bM ? %ht
%h\ng bnh0 Nh ?'y7 phkp ny %O t% .Tng %hKa nhKng bnh .#
=ng mL%h nhe b/ %# h|p lm %h# lRng mu %ung %p ]t7 %% tM
%h>% %T% b= .# O m b/ :uy gim %Bng n4ng7 nht l %h>ng t2
bLi .# :uy .inh .Nng %T% b=7 ` xJm :%h n ma %a Thi2n t!n
th/7 Thi2n t!n y ?in7 ThL%h gia tPang th/nh7 gia# thBng ?'n lu!n
%T% y ?in hRp t% bi2n :#Ln7 T!n h#a th im qC% "inh pht
hnh thng ++ n4m +,Go lm ?] .T a0
n0 thi n .ay ?Ea m phi n .ay ?Ea .Xa tP2n nguy2n l^ i@u
h# "h] huyIt7 %!n brng !m .Wng7 %h# n2n %% th php %a
phi ny thng U = :!u ?Ea phi7 .Fng :>% mLnh ?Ea phi0
Vo
NhKng th php %a phi ny luBn nhrm ?# lm %h# %T% b= %O
Pung =ng thJ# nh/p "ha% nhau7 %hi@u "h% nhau0 fhi %O nh/p t%
=ng %a p lX% ?# th!n th :j %Fng m=t l% %O hai t% .Tng;
M=t l lm gin nU thnh mL%h7 %% thnh phDn %ht leng tP#ng
? ng#i mL%h tPa# Mi R% PY Png7 thd %Sng l thnh phDn
huyIt ? ./%h R% tPa# Mi %huyn h# %h# nhau7 :X %ung %p
.inh .Nng %Sng :j t\t |p hWn0 lai l; "hi Pung =ng "h% nhau
?@ nh/p7 "h% nhau ?@ %hi@u h9ng7 :j lm %h# ?i% ?'n %huyn
mu tP#ng mL%h ? %ht leng ng#i mL%h R% t4ng nhanh hay
%h'm lLi7 %O t% .Tng lm %i biIn tdnh hdnh thX% ` nhi@u7 Dy a
hay h ` thiIu7 ]t a %a "h] huyIt tLi %h} ? tLng ph hKu Quan
` xJm q# anh thDn thu't tP#ng :%h %h!m %>u Li thnh lm ?]
.T ? :%h im huyt liu php ny %Sng %Fng l#Li phi n .ay
?Ea a0
fhi ph!n t]%h Pa nh tBi ?Ea n2u7 %hng ta :j tdnh R% nhKng
gi tP/ ? nhKng gi9i hLn %a tEng tPng phi gip %h# ?i% h$%
t'p ? ?'n .Tng "inh nghim ngi xa R% hiu Qu ?d ng
phLm ?i ? ng mT% ]%h0
l n=i7 xu!n Nh!m th!n +,,)

finh bt
12
34n 56u

VG


VH
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