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Giai phap kham ky cang sinh ly nu tong quat nhu nao

Fecha de publicación 16/10/21 6:26

Hien tai xa hoi ngay cang Tien tien, nhip song nhanh hon khien chung ta vo tinh Co Nhung thoi quen Khong tot cho suc khoe nhu: lam Viec qua suc, thuc khuya, an Su dung khong khoa hoc, Lo lang Tai vi cong Viec qua Rat nhieu khien Nguy co Bi Nhung benh ve tim mach, dot quy, xuong khop, ung thu ngay cang tre hoa.

Cham nom suc khoe dinh ky hang nam hay Thuong xuyen duoc goi la Kham ky cang suc khoe tong quat Bay gio O Viet Nam van chua duoc Tat ca nguoi quan Luu tam Mot Phuong phap dung muc. Phan nhieu nguoi van con kha mo ho ve Viec Kham ky cang suc khoe tong quat Va khong biet Kham ky cang Nhu nao cho dung Cung voi 1 nam Tham kham may lan la du.

Day la Nguyen nhan Hien gio chung ta qua Hieu qua Nham Gap hoac nghe thong tin Khoang bao chi nhu: ” thanh nien Ben ngoai 30 Tuoi da Nen nhap vien Do dot quy, hay ung thu…” day la Mot thuc trang khong ai mong muon. Cung voi da Di toi Khi chung ta Nen nhin nhan lai De Chu tam Di den suc khoe tai san quy nhat cua moi nguoi Mot Nguyen tac dung muc hon.

Tham kham suc khoe tong quat Nhu nao cho dung Cung voi du

Kiem tra suc khoe tong quat la Van de lam rat Can thiet Va Cap thiet De Co the Nhan biet som Cac yeu to Kha nang Gay ra benh De Co Phuong huong kip thoi De Dieu tri Cung Kiem che benh Don gian hon.

Theo loi khuyen cua Cac Bac si tu van thi Viec Kham can than suc khoe tong quat dinh ky Can phai duoc Thuc thi it nhat 1 nam/1 lan. Tuy nhien cung se Tuy thuoc vao Tung Tinh huong, Do tuoi, tien su gia dinh Bac si tu van se Dang co loi khuyen Cung chi dinh phu hop.

Kiem tra suc khoe tong quat gom Nhung hang muc nao?

Kiem tra suc khoe tong quat la 1 dich vu gom Tham kham, Kham cho Di toi Nhung dich vu can lam sang toan dien De Vong soat Cam nhan som Cac Kha nang benh ly tiem an.

Thong thuong 01 goi Kham ky cang suc khoe tong quat bao gom:

– Tham kham the luc, Kham ky cang mach, huyet ap, chieu cao, can nang, chi so BMI

– Kham noi tong quat Nham Nhan dang som Cac benh ly nhu tim mach, ho hap, noi tiet, tieu hoa….

– Kiem tra mau tong phan tich 22 thong so: duong mau(glucose), chuc nang than, Nhiem trung gan, tiet nieu, mo mau…

– Tong phan tich Nuoc dai

– Dien tim

– Sieu am tuyen giap

– X-quang nguc

– Sieu am bung tong quat

– Sieu am tien liet tuyen (Doi Cung Nam gioi)

– Do loang xuong bang Phuong thuc DEXA (Nam/Nu >=50 Tuoi Phai thuc hien)

– Soi co tu cung (Nu Co gia dinh)

Nhung hang muc Kiem tra Co nguy co Thay doi Phu thuoc vao nhu cau, Do tuoi, tien su gia dinh, Cac goi Kham ky cang hoac theo chi dinh them cua Bac si chuyen khoa Neu nhu thuc Qua trinh Can thiet Nham Cam nhan benh.

Nhung Bac si y te khuyen rang ban Phai Kiem tra suc khoe dinh ky 6 thang/lan. Cac nhom Thanh phan Tuyet nhien Can phai Luu tam hon nhu cong nhan lam trong moi truong doc hai, nguoi gia (tren 50 tuoi), hoc sinh, sinh vien, nguoi Co tien su gia dinh Mac 1 so benh Nguy hai nhu ung thu vu, ung thu co tu cung, ung thu tinh hoan… Day thuoc Nhung Doi tuong Nguy co Mac benh cao Phai Di Tham kham suc khoe Deu hon.

Tham kham lam sang

Kham can than noi tong quat: Bac si chuyen khoa noi da khoa Va Tra loi. Do chieu cao, can nang, Co bung, BMI, huyet ap, nhip tim, tan so tho De Nhan dang Cung Danh gia yeu to Kha nang benh ly, Nhan xet the luc.
Tham kham Kham tai mui hong: Chuyen gia Kham ky cang Cung Tu van tai mui hong.
Tham kham san phu khoa: Kham ky luong Cung Nhan dang Nhung benh ve phu khoa.
Kham ky luong co xuong khop: Phat hien som benh, Nguy co tiem tang, Tu van luyen tap Cung Tang the luc.

Nhan thay hinh anh

Sieu am o bung 4D tong quat: Kham tong quat o bung, Chan doan Cac benh ly ve gan, mat, tuy, than, lach, nieu quan, bang quang, tien liet tuyen Cung voi nam Cung voi phu khoa Cung voi nu.
Dien tim do ECG: Kiem tra tim mach, Sinh hoat cua tim.
Chup X-quang long nguc thang: Can tru ton thuong cap Dac tinh (lao phoi, Viem nhiem nhiem…) Va Mot so benh man Tinh Khong binh thuong.

Kham

Xet nghiem tong phan tich mau 24 thong so: Thong tin ve Nhung te bao mau ngoai vi Va chuc nang tao mau cua tuy xuong, gop phan Nhan dien Cung voi theo doi Cac Muc do Cac chi so te bao mau Roi loan bat thuong: Sot Nhiem Vi khuan, Lay Vi rut, ky sinh trung, di ung, Cac benh ly cua mau Cung Bo phan tao mau (thieu mau, suy tuy, benh mau ac tinh…), Roi loan cam – dong mau Boi vi Giam tieu cau.
Kiem tra duong mau (Glucose mau), HbA1c: Phat hien, Cam nhan Cung theo doi Nhung Bien doi chuyen hoa duong: Dai thao duong, ha duong huyet.
Kham mo mau (Cholesterol, LDL-c, HDL-c, Triglyceride): Nhan xet chuc nang chuyen hoa mo, Giup Cam nhan, Nhan dang Va theo doi Dieu tri Cac Tinh trang Dang co Roi loan chuyen hoa mo – yeu to Kha nang cho Cac benh cua tim Cung mach mau.
Do hoat do Nhung men gan (AST, ALT, GGT): Nhan xet Viem gan Va Cac benh ve gan. Nhan xet ton thuong te bao gan, co tim, loan duong co, tieu myoglobin. Chia se ton thuong te bao gan trong Cac benh ly cua gan, tac mat, benh ly cua xuong…
Xet nghiem chuc nang than (Creatinin, Ure): Gop y chuc nang than.
Kiem tra Nhiem trung gan B (HBsAg) (test nhanh): Nhan dang khang nguyen be mat cua Virus Nhiem trung gan B trong mau Nham xac dinh Cac Tinh trang da Lan truyen HBV.
Kiem tra Viem nhiem gan C (HCV-Ab) (test nhanh): Nhan dang khang the chong Nhiem trung Nhiem trung gan C, Da co Phi Tri trong Nhan dien Lan nhiem HCV.
Kiem tra Acid Uric: Do luong Acid Uric trong mau, Nhan dien Nhung Truong hop Acid Uric mau cao, benh Gout.
Soi tuoi dich am dao: Chan doan Nguyen do Gay Nhiem trung am dao: Trichomonas, nam, Khuan.
Tong phan tich Nuoc tieu 10 thong so: Theo doi, Nhan ra Cac benh lam Roi loan Nhung Doi tuong hoa sinh, te bao, tinh the cua Nuoc giai nhu dai thao duong, dai nhat, Nhiem trung than – duong tiet nieu, benh gan mat…

Nhung Chu y Luc Den Kiem tra suc khoe tong quat dinh ky

Khi Toi Kiem tra suc khoe tong quat dinh ky ban Phai Luu y Mot so Viec Nhu sau De Viec Kham can than duoc Nhanh chong Cung thuan tien

– Ban vui long khong an sang De Luc Thuc thi Nhung Xet nghiem mau Va Nuoc giai duoc chinh xac;

– Khong duoc Ap dung chat kich thich, do Dung Co con;

– Nguoi phu nu dang trong chu ky kinh nguyet vui long cho Nhu sau chu ky kinh Tu 5 Di 7 ngay moi Can phai Thuc thi kham;

– Chi em Dang co gia dinh Nen Khac phuc Sinh hoat tinh duc truoc ngay kham;

– Neu nhu ban dang Co bau vui long thong bao Voi nhan vien y te hoac Bac si De khong chup X-quang;

– Trong Qua trinh Kham ky cang Neu nhu Dang co Nhan thay Khac Bac si tu van se chi dinh them Nhung Kham hoac can lam sang chuyen sau Nham chan doan;

– Nham khong Nen cho sieu am qua lau ban Nen Dung Rat dong nuoc Cung voi nhin tieu cho Di toi Khi sieu am bung xong (Viec nay se Giup cho Bac si Quan sat duoc toan bo bang quang, tu cung, buong trung hoac tien liet tuyen).

Tham kham suc khoe tong quat nu la Tham kham Nhung gi

1. Kham ky luong suc khoe tong quat Tai nu

Mot.1. Kham ky cang noi tong quat

Duoc Bac si noi tong quat Kham ky luong Va tu van: Hoi benh su, Gop y yeu to Nguy co cua benh qua hoi benh Cung voi Kham ky cang lam sang.
Kiem tra chi so huyet ap, BMI, Tam bung, Vong nguc: Nham Chia se ve Nhung benh ly tim mach, Nhung yeu to Nguy co Nhung benh ly noi khoa Khac thuong.

1.2. Kiem tra mat

Bac si Kham ky luong thi luc. Gop y Nhung yeu to Nguy co Nhung benh ve mat: tat khuc xa, loan thi, can thi,...

1.3. Kham rang

Tham kham Cung voi Giai dap Nhung Vuong mac rang mieng Boi Chuyen gia rang
Chup phim rang toan canh: Nhan ra Cac benh ly nang chan rang, u xuong ham.

1.4. Kiem tra tai mui hong

Kham ky luong, Giai dap chuyen khoa tai mui hong.
Noi soi tai mui hong: De Nhan thay Cac benh ly Khu vuc tai mui hong.

Mot.5. Kham phu khoa

Kham, Giai dap Chuyen gia phu khoa: Kiem tra phan phu, Tham kham vu, soi co tu cung, Kham HPV Cung voi Vong soat ung thu co tu cung.

Mot.6. Cac tham do can lam sang bao gom

Cac Xet nghiem sinh hoa :

Gop y chuc nang gan: Thong qua Kham men gan AST, ALT, GGT, dinh luong bilirubin ( toan phan-truc tiep, gian tiep)
Danh gia chuc nang than: Thong qua Xet nghiem creatinin, ure mau.
Tam soat dai thao duong: Kiem tra duong huyet Khi doi, chi so HbA1c
Danh gia Nguy co benh gut: Kiem tra acid uric.
Kham can than Bien doi lipid mau: Dinh luong cholesterol toan phan, HDL-C, LDL-C, triglycerid.
Kham can than luong sat trong mau: Kiem tra sat huyet thanh.
Tong phan tich nuoc tieu: Nhan thay benh He thong Dao thai Nuoc tieu, duong nieu.

Cac Kham huyet hoc :

Kham cong thuc mau: Thong tin ve Muc do thieu mau, Khuan Cung Da co Mat can bang dong mau lien quan Di so luong tieu cau.
Nhom mau(he ABO Va he Rh): Xac dinh nhom mau Can thiet cho Van de Lay truyen mau.

Kiem tra vi sinh

TPHA- giang mai: Gop y Cap do Lay lan Benh giang mai
Viem nhiem gan B: Khang nguyen(HBsAg) Cung voi dinh luong khang the (HBsAb)
Viem gan C: Khang the khang Viem nhiem Viem gan C (HCV Ab)
Viem gan A: Khang the khang Virus Viem gan A ( HAV-IgM)
Test hong cau trong phan: Vong soat Nhung benh ly ve dai trang(u, loet. Nhiem trung dai trang Tai vi ky sinh trung).
Test H.pylori trong mau
Kham phan tim trung san.

Xet nghiem mien dich

Dinh luong Nhung dau an ung thu aFP, CEA, CA72.4, CA19.9, Cyfra21.1, CA15.3 Cung voi CA125 : Co soat ung thu gan, ruot, da day, tuy, phoi, vu Cung voi buong trung.
Xet nghiem FT3, FT4, TSH Kham ky cang Danh gia chuc nang tuyen giap
Lam Nhung Xet nghiem Co soat ung thu tuyen giap
Xet nghiem Gop y chuc nang sinh san Cung sinh duc nu: FSH, LH
Dinh luong Pepsinogen(I,II So truong hop I/II): Theo doi Cap do Viem teo niem mac da day.

Sieu am

Sieu am o bung: Kham Cac benh ly Nhung Bo phan trong o bung gan, lach, tuy, mat, than.
Do do dan hoi cua nhu mo gan: xac dinh do xo hoa gan Danh gia tien luong Cung theo doi benh ly cua gan
Sieu am tuyen giap
Sieu am vu 2D, 3D: Xac dinh Nhung benh ly O vu
Sieu am phu khoa bang dau do am dao Va sieu am qua duong bung.

Tham do chuc nang