{"id":12361,"date":"2023-11-08T18:19:35","date_gmt":"2023-11-08T10:19:35","guid":{"rendered":"https:\/\/docquity.com\/?post_type=articles&p=12361"},"modified":"2025-02-11T13:37:43","modified_gmt":"2025-02-11T05:37:43","slug":"nhiet-do-co-the-binh-thuong-moi","status":"publish","type":"articles","link":"https:\/\/docquity.com\/vi\/articles\/nhiet-do-co-the-binh-thuong-moi\/","title":{"rendered":"Nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng m\u1edbi"},"content":{"rendered":"\n

Trong khoa h\u1ecdc, lu\u00f4n c\u00f3 nh\u1eefng h\u1eb1ng s\u1ed1 t\u1ed3n t\u1ea1i, V\u1eadt l\u00fd c\u00f3 v\u1eadn t\u1ed1c \u00e1nh s\u00e1ng, h\u1eb1ng s\u1ed1 h\u1ea5p d\u1eabn, h\u1eb1ng s\u1ed1 Planck, H\u00f3a h\u1ecdc c\u00f3 s\u1ed1 Avogadro, h\u1eb1ng s\u1ed1 Faraday, \u0111i\u1ec7n t\u00edch nguy\u00ean t\u1ed1. \u0110\u1ed1i v\u1edbi Y khoa, m\u1ed9t h\u1eb1ng s\u1ed1 \u0111\u01b0\u1ee3c nhi\u1ec1u ng\u01b0\u1eddi bi\u1ebft \u0111\u1ebfn l\u00e0 nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 – con s\u1ed1 37 \u0111\u1ed9 Celcius (hay 98.6 \u0111\u1ed9 Fahrenheit) 1. Tuy nhi\u00ean, v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a khoa h\u1ecdc, con s\u1ed1 37oC n\u00e0y kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c xem l\u00e0 \u201cth\u00e2n nhi\u1ec7t b\u00ecnh th\u01b0\u1eddng\u201d1.<\/p>\n\n\n\n

L\u1ecbch s\u1eed c\u1ee7a con s\u1ed1 37<\/h2>\n\n\n\n

V\u00ec sao con s\u1ed1 37oC \u0111\u01b0\u1ee3c xem l\u00e0 nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3? \u0110\u1ec3 tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi n\u00e0y, ch\u00fang ta ph\u1ea3i nh\u1eafc \u0111\u1ebfn nh\u00e0 V\u1eadt l\u00fd h\u1ecdc ng\u01b0\u1eddi \u0110\u1ee9c Carl Reinhold August Wunderlich. V\u00e0o n\u0103m 1851, Wunderlich \u0111\u00e3 ph\u00e1t h\u00e0nh nghi\u00ean c\u1ee9u v\u1edbi h\u01a1n 1 tri\u1ec7u k\u1ebft qu\u1ea3 \u0111o l\u01b0\u1eddng th\u00e2n nhi\u1ec7t c\u1ee7a 25,000 ng\u01b0\u1eddi \u0110\u1ee9c2. T\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00f3, vi\u1ec7c \u0111o nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 con ng\u01b0\u1eddi kh\u00f4ng nhanh ch\u00f3ng v\u00e0 \u0111\u01a1n gi\u1ea3n nh\u01b0 ng\u00e0y nay, qu\u00e1 tr\u00ecnh n\u00e0y th\u01b0\u1eddng m\u1ea5t t\u1edbi 20 ph\u00fat \u0111\u1ec3 l\u1ea5y \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 v\u00e0 s\u1eed d\u1ee5ng nhi\u1ec7t k\u1ebf c\u00f3 \u0111\u1ed9 d\u00e0i kho\u1ea3ng 30 cm 1, 2. Nhi\u1ec7t \u0111\u1ed9 trung b\u00ecnh t\u00ednh to\u00e1n \u0111\u01b0\u1ee3c t\u1eeb h\u01a1n 1 tri\u1ec7u k\u1ebft qu\u1ea3 l\u00e0 37oC.<\/p>\n\n\n\n

\u0110\u00e3 h\u01a1n 150 n\u0103m tr\u00f4i qua k\u1ec3 t\u1eeb khi 37 \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 th\u00e2n nhi\u1ec7t b\u00ecnh th\u01b0\u1eddng c\u1ee7a con ng\u01b0\u1eddi. C\u01a1 th\u1ec3 con ng\u01b0\u1eddi ch\u00fang ta hi\u1ec7n nay c\u00f3 th\u1ec3 c\u00f3 ch\u00fat kh\u00e1c bi\u1ec7t so v\u1edbi nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng \u1edf \u0110\u1ee9c v\u00e0o n\u0103m 1850. H\u01a1n n\u1eefa, v\u1edbi tr\u00ecnh \u0111\u1ed9 khoa h\u1ecdc \u2013 k\u1ef9 thu\u1eadt hi\u1ec7n \u0111\u1ea1i, ch\u00fang ta c\u00f3 th\u1ec3 thu \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 kh\u00f4ng ch\u1ec9 d\u1ef1a tr\u00ean vi\u1ec7c \u0111o nhi\u1ec7t \u0111\u1ed9 v\u00e0 t\u00ednh to\u00e1n gi\u00e1 tr\u1ecb trung b\u00ecnh.<\/p>\n\n\n\n

Nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng m\u1edbi c\u1ee7a c\u01a1 th\u1ec3<\/h2>\n\n\n\n

M\u1ed9t nh\u00f3m nghi\u00ean c\u1ee9u t\u1eeb \u0110\u1ea1i h\u1ecdc Stanford thu th\u1eadp nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 c\u1ee7a 724,199 b\u1ec7nh nh\u00e2n ngo\u1ea1i tr\u00fa. Nghi\u00ean c\u1ee9u lo\u1ea1i tr\u1eeb nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 ngo\u00e0i gi\u1edbi h\u1ea1n (< 34oC v\u00e0 > 40oC), b\u1ec7nh nh\u00e2n < 20 tu\u1ed5i v\u00e0 b\u1ec7nh nh\u00e2n > 80 tu\u1ed5i v\u00e0 b\u1ec7nh nh\u00e2n qu\u00e1 cao hay th\u1eeba c\u00e2n. K\u1ebft qu\u1ea3 thu \u0111\u01b0\u1ee3c m\u1ed9t bi\u1ec3u \u0111\u1ed3 c\u00f3 h\u00ecnh d\u1ea1ng ph\u00e2n b\u1ed1 nh\u01b0 trong h\u00ecnh 1. \u0110i\u1ec1u \u0111\u00e1ng l\u01b0u \u00fd l\u00e0 \u0111\u1ec9nh c\u1ee7a bi\u1ec3u \u0111\u1ed3 < 37oC 3.<\/p>\n\n\n\n

\"b\u00ecnh<\/figure>\n\n\n\n

H\u00ecnh 1.<\/strong> Ph\u00e2n b\u1ed1 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3<\/p>\n\n\n\n

V\u1edbi d\u1eef li\u1ec7u c\u00f9ng v\u1edbi k\u1ef9 thu\u1eadt x\u1eed l\u00fd d\u1eef li\u1ec7u (c\u1ee5 th\u1ec3 l\u00e0 Laboratory Information Mining for Individualized \u2013 LIMIT), nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec7t \u0111\u1ed9 n\u1eb1m trong v\u00f9ng bi\u00ean (gi\u1edbi h\u1ea1n d\u01b0\u1edbi v\u00e0 gi\u1edbi h\u1ea1n tr\u00ean) c\u1ee7a d\u1eef li\u1ec7u \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. T\u1eeb \u0111\u00f3, nh\u1eefng b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec7t \u0111\u1ed9 trong v\u00f9ng bi\u00ean n\u00e0y \u0111\u01b0\u1ee3c ghi nh\u1eadn. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p ch\u00fang ta t\u1ea1m k\u1ebft lu\u1eadn nh\u1eefng b\u1ec7nh l\u00fd n\u00e0y li\u00ean quan \u0111\u1ebfn tr\u1ea1ng th\u00e1i th\u00e2n nhi\u1ec7t kh\u00f4ng b\u00ecnh th\u01b0\u1eddng. Nh\u1eefng b\u1ec7nh l\u00fd n\u00e0y \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong h\u00ecnh 2. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 th\u00e2n nhi\u1ec7t n\u1eb1m trong v\u00f9ng bi\u00ean (9.2%). C\u00f3 t\u1edbi 26% ng\u01b0\u1eddi c\u00f3 nhi\u1ec7t \u0111\u1ed9 n\u1eb1m trong kho\u1ea3ng gi\u1edbi h\u1ea1n d\u01b0\u1edbi m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng3.<\/p>\n\n\n\n

\"b\u00ecnh<\/figure>\n\n\n\n

H\u00ecnh 2. <\/strong>C\u00e1c b\u1ec7nh l\u00fd l\u00e0m t\u0103ng v\u00e0 gi\u1ea3m th\u00e2n nhi\u1ec7t<\/p>\n\n\n\n

Nh\u00f3m nghi\u00ean c\u1ee9u s\u1eed d\u1ee5ng nh\u1eefng b\u1ec7nh l\u00fd n\u00e0y nh\u01b0 m\u1ed9t ti\u00eau ch\u00ed lo\u1ea1i tr\u1eeb, \u0111\u1ec3 lo\u1ea1i tr\u1eeb t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n mang b\u1ec7nh l\u00fd n\u00e0y ra kh\u1ecfi d\u1eef li\u1ec7u nh\u1eb1m thu \u0111\u01b0\u1ee3c nh\u00f3m d\u00e2n s\u1ed1 b\u00ecnh th\u01b0\u1eddng v\u1ec1 nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 3. V\u1edbi d\u1eef li\u1ec7u ch\u1ec9 bao g\u1ed3m b\u1ec7nh nh\u00e2n thu\u1ed9c nh\u00f3m d\u00e2n s\u1ed1 b\u00ecnh th\u01b0\u1eddng, nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng t\u00ednh to\u00e1n \u0111\u01b0\u1ee3c l\u00e0 36.6oC3.<\/p>\n\n\n\n

Tuy nhi\u00ean, nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng c\u0169ng thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o kho\u1ea3ng th\u1eddi gian trong ng\u00e0y (th\u01b0\u1eddng cao h\u01a1n v\u00e0o bu\u1ed5i tr\u01b0a), gi\u1edbi t\u00ednh (th\u01b0\u1eddng cao h\u01a1n \u1edf nam gi\u1edbi) v\u00e0 tu\u1ed5i t\u00e1c (th\u1ea5p h\u01a1n theo tu\u1ed5i). Nh\u00f3m nghi\u00ean c\u1ee9u c\u0169ng \u0111\u01b0a ra c\u00f4ng c\u1ee5 nh\u1eb1m t\u00ednh to\u00e1n th\u00e2n nhi\u1ec7t c\u00e1 nh\u00e2n h\u00f3a theo \u0111ia ch\u1ec9: https:\/\/normaltemperature.stanford.edu\/<\/a><\/p>\n\n\n\n

\"b\u00ecnh<\/figure>\n\n\n\n

H\u00ecnh 3.<\/strong> C\u00f4ng c\u1ee5 t\u00ednh to\u00e1n th\u00e2n nhi\u1ec7t b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a<\/p>\n\n\n\n

B\u00e0n lu\u1eadn<\/h2>\n\n\n\n

Nh\u01b0 v\u1eady, c\u00f3 th\u1ec3 ch\u00fang ta \u201cm\u00e1u l\u1ea1nh\u201d h\u01a1n ch\u00fang ta v\u1eabn ngh\u0129. Nghi\u00ean c\u1ee9u t\u1eeb \u0110\u1ea1i h\u1ecdc Stanford n\u00f3i tr\u00ean c\u0169ng ch\u1ec9 ra r\u1eb1ng th\u00e2n nhi\u1ec7t con ng\u01b0\u1eddi gi\u1ea3m d\u1ea7n theo th\u1eddi gian, c\u00f3 th\u1ec3 l\u00e0 do gi\u1ea3m t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e0 ch\u00fang ta c\u00f3 trong c\u01a1 th\u1ec3 (nh\u1edd v\u00e0o ti\u1ebfn b\u1ed9 trong gi\u1eef g\u00ecn v\u1ec7 sinh v\u00e0 kh\u00e1ng sinh). Khi n\u00f3i v\u1ec1 th\u00e2n nhi\u1ec7t b\u00ecnh th\u01b0\u1eddng ng\u00e0y nay, 36.6oC \u0111\u01b0\u1ee3c xem l\u00e0 h\u1ee3p l\u00fd h\u01a1n 37oC.<\/p>\n\n\n\n

B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c bi\u00ean so\u1ea1n b\u1edfi \u0111\u1ed9i ng\u0169 Y khoa Docquity<\/em><\/p>\n\n\n\n

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T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h3>\n\n\n\n
    \n
  1. F. Perry Wilson. The New Normal in Body Temperature. Medscape. Updated 06 Sep 2023. Accessed date 11 Oct 2023. URL: https:\/\/www.medscape.com\/viewarticle\/996080<\/li>\n\n\n\n
  2. Mackowiak, P. A., & Worden, G. (1994). Carl Reinhold August Wunderlich and the Evolution of Clinical Thermometry. Clinical Infectious Diseases, 18(3), 458\u2013467. http:\/\/www.jstor.org\/stable\/4457716<\/li>\n\n\n\n
  3. Ley C, Heath F, Hastie T, Gao Z, Protsiv M, Parsonnet J. Defining usual oral temperature ranges in outpatients using an unsupervised learning algorithm. JAMA Intern Med. Published online September 5, 2023. doi:10.1001\/jamainternmed.2023.4291<\/li>\n<\/ol>\n\n\n\n

    Th\u1ea3o lu\u1eadn c\u00f9ng c\u00e1c b\u00e1c s\u0129 gi\u1ecfi nh\u1ea5t trong khu v\u1ef1c. T\u00ecm hi\u1ec3u n\u1ed9i dung y khoa v\u00e0 tham d\u1ef1 c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u00e0o t\u1ea1o \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia \u0111\u1ea7u ng\u00e0nh x\u00e2y d\u1ef1ng. Tham gia c\u00e1c bu\u1ed5i th\u1ea3o lu\u1eadn tr\u1ef1c tuy\u1ebfn c\u00f9ng c\u00e1c chuy\u00ean gia qu\u1ed1c t\u1ebf Docquity<\/a>.<\/p>\n","protected":false},"excerpt":{"rendered":"

    Trong khoa h\u1ecdc, lu\u00f4n c\u00f3 nh\u1eefng h\u1eb1ng s\u1ed1 t\u1ed3n t\u1ea1i, V\u1eadt l\u00fd c\u00f3 v\u1eadn t\u1ed1c \u00e1nh s\u00e1ng, h\u1eb1ng s\u1ed1 h\u1ea5p d\u1eabn, h\u1eb1ng s\u1ed1 Planck, H\u00f3a h\u1ecdc c\u00f3 s\u1ed1 Avogadro, h\u1eb1ng s\u1ed1 Faraday, \u0111i\u1ec7n t\u00edch nguy\u00ean t\u1ed1. \u0110\u1ed1i v\u1edbi Y khoa, m\u1ed9t h\u1eb1ng s\u1ed1 \u0111\u01b0\u1ee3c nhi\u1ec1u ng\u01b0\u1eddi bi\u1ebft \u0111\u1ebfn l\u00e0 nhi\u1ec7t \u0111\u1ed9 b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 …<\/p>\n

    Nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 b\u00ecnh th\u01b0\u1eddng m\u1edbi<\/span> Read More »<\/a><\/p>\n","protected":false},"author":123,"featured_media":12511,"comment_status":"closed","ping_status":"closed","template":"","meta":{"content-type":"","inline_featured_image":false,"site-sidebar-layout":"default","site-content-layout":"default","ast-global-header-display":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","footnotes":""},"articles_categories":[1370],"articles_tags":[],"articles_topics":[1437],"articles_languages":[1375],"articles_filters":[],"class_list":["post-12361","articles","type-articles","status-publish","has-post-thumbnail","hentry","articles_categories-medical-content-vi","articles_languages-vietnamese-vi"],"_links":{"self":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12361","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles"}],"about":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/types\/articles"}],"author":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/users\/123"}],"replies":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/comments?post=12361"}],"version-history":[{"count":0,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles\/12361\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media\/12511"}],"wp:attachment":[{"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/media?parent=12361"}],"wp:term":[{"taxonomy":"articles_categories","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_categories?post=12361"},{"taxonomy":"articles_tags","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_tags?post=12361"},{"taxonomy":"articles_topics","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_topics?post=12361"},{"taxonomy":"articles_languages","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_languages?post=12361"},{"taxonomy":"articles_filters","embeddable":true,"href":"https:\/\/docquity.com\/vi\/wp-json\/wp\/v2\/articles_filters?post=12361"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}