V sinh: la kha Wang sir Ong phim gv sinh, hoc kiem sok eh& nang ciia met va bong dal de duy tri ye sinh cá nhan.
2.37. Benh viem can ea hoyi tfr (Necrotising faseiitis)
Co cac trieu chi:mg lam sang thong thtrang cüa benh viem can ca hoai ta; Vi khuan dugc xac dinh la nguyen nhan gay ra b'enh viem can ca hoai tir;
Hay hoai Ian rOng ca va cac m6 mArn khac den den mAt hoan toan va vinh vin chirc nAng cüa nhang viing ca the 61 anh huang.
2.38. Viem da khop clang thAp Ong
La tinh tang htly hoai kherp tiAn trien man tinh Ian rOng gay ra cac bien clang nghiem tong anh huang tti thieu 3 (ba) kh6p IOn (nhu khap ban chan, ban tay, c8 tay, goi, hong). Chan doan xac dinh viai tat ca cac dau hieu sau:
Cang khop bu8i sang Viem lchap doi xi:mg
Hien din cac not clang thAp
Tang ham lacing cac y8u to dang thAp
Bang chtmg X-quang cUa cac hien clang nghiem trong. Benh phai dugc bac sy chuyen khoa khap hoc chart doan xac dinh. 2.39. Lang xtrcmg Ong
Lang xtrang la benh thoai hoe caa b0 xuang lam cho giam se lucmg t6 chic xtrang. Chan dok benh nay bao g6m :
Chi se mat do xuang T- score theo dinh nghlia dm TO chat Y th the gigi (WHO) nhO hon —2.5
Co it nhAt 3 (ba) len gAy xuang diii, xucmg c6 tay hay miring cOt sOng do bi bang xucmg Tinh trang gAy xuang nay lam cho Nguai Duqc Bao Hiem mat hoan toan va vinh vien kha nang thuc hien it nhAt 3 (ba) trong 6 (sau) Chac Nang Sinh Hoat Hang Ngay.
2.40. Xcr cirng bi he thOng (Systemic Scleroderma)
La benh m6 lien ket he thong gay ra Mn thuang xa cang Ian rOng tien then a da, mach mau va cac ca quan nOi tang. Benh phai phai dugc xac dinh dip tren it nhat 2 (hai) trong so nhang tieu chuan sau day:
Ton thuang tai phei:
KM qua do kha nang khuyet tan khi CO qua mang phe nang mao mach (DLCO) < 70% gia tri tien doan
KM qua do the tich khi tha ra gang sue trong giay Mu tien (FEV1), dung tich song ging the (FVC), dung tich toan phoi (TLC) < 75% gia tri tien dodn
Ton thuang tai than: DO Ice au then (GFR) < 60m1/min
Ton thuang tai tim: CO trieu chüng suy tim sung huyet, roi loan nhip tim cen phai dieu tri hay viem mang ngoai tim gay ra tran dich mang ngoai tim lacing tir trung binh tOi Wang. Loai tnt nhi'mg b'enh sau:
Xa cfrng bi khu tit (Xo cling bi tirng dam, timg dai);
Benh viem can mac bach cau áì toan (Eosinophilic fasciitis); Hei ch(rng CREST.
Benh phai dugc Bac si chuyen khoa Ichap hgc chA'n doan xac dinh.