{"id":31143,"date":"2019-12-15T21:49:15","date_gmt":"2019-12-15T14:49:15","guid":{"rendered":"https:\/\/www.synphaet.co.th\/ramintra\/clinics\/medicine\/"},"modified":"2026-07-29T09:35:31","modified_gmt":"2026-07-29T02:35:31","slug":"internal-medicine","status":"publish","type":"clinics","link":"https:\/\/www.synphaet.co.th\/ramintra\/zh-hans\/clinics\/internal-medicine\/","title":{"rendered":"\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u5185\u79d1\u4e2d\u5fc3(Internal Medicine Center)"},"content":{"rendered":"<h1>\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u5185\u79d1\u4e2d\u5fc3<\/h1>\n<p>\u201c\u7ec6\u5fc3\u5173\u6000\u662f\u6cbb\u7597\u7684\u57fa\u77f3\u201d\u2014\u2014\u7531\u4e13\u79d1\u533b\u751f\u63d0\u4f9b\u5168\u65b9\u4f4d\u3001\u6574\u4f53\u5316\u7684\u5065\u5eb7\u7ba1\u7406\u4e0e\u7167\u62a4<\/p>\n<p>\u7531\u4e8e\u4eba\u4f53\u5185\u90e8\u7684\u5065\u5eb7\u95ee\u9898\u9519\u7efc\u590d\u6742\u4e14\u73af\u73af\u76f8\u6263\uff0c\u4ece\u611f\u67d3\u5f15\u8d77\u7684\u6025\u6027\u53d1\u70ed\u5230\u9700\u8981\u6b65\u6b65\u7cbe\u51c6\u8bca\u65ad\u7684\u5404\u7c7b\u6162\u6027\u75be\u75c5\uff0c\u53ca\u65e9\u83b7\u5f97\u5185\u79d1\u4e13\u79d1\u533b\u751f\u7684\u6b63\u786e\u8bca\u65ad\u548c\u6cbb\u7597\uff0c\u662f\u9884\u9632\u5371\u9669\u5e76\u53d1\u75c7\u5e76\u4fdd\u969c\u957f\u671f\u751f\u6d3b\u8d28\u91cf\u7684\u5173\u952e\u3002<\/p>\n<p>\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u5185\u79d1\u4e2d\u5fc3\u7531\u6db5\u76d6\u5404\u4e9a\u4e13\u79d1\u7684\u4e13\u4e1a\u5185\u79d1\u533b\u751f\u56e2\u961f\u9886\u8854\uff0c\u8054\u5408\u591a\u5b66\u79d1\u533b\u62a4\u56e2\u961f\uff0c\u51ed\u501f\u5148\u8fdb\u7684\u4e34\u5e8a\u8bca\u65ad\u5de5\u5177\u4e0e\u533b\u7597\u6280\u672f\uff0c\u63d0\u4f9b\u5168\u65b9\u4f4d\u7684\u5065\u5eb7\u670d\u52a1\u3002\u670d\u52a1\u6db5\u76d6\u5065\u5eb7\u4f53\u68c0\u3001\u75be\u75c5\u7b5b\u67e5\u4e0e\u8bca\u65ad\u3001\u6025\u6162\u6027\u75be\u75c5\u6cbb\u7597\u4ee5\u53ca\u51fa\u9662\u540e\u7684\u957f\u671f\u968f\u8bbf\u3002\u6211\u4eec\u5728\u6e29\u99a8\u8212\u9002\u7684\u5c31\u533b\u73af\u5883\u4e2d\uff0c\u4ee5\u56fd\u9645\u5316\u7684\u8bca\u7597\u6807\u51c6\uff0c\u4e3a\u5404\u5e74\u9f84\u6bb5\u60a3\u8005\u63d0\u4f9b\u4eb2\u5207\u800c\u7d27\u5bc6\u7684\u533b\u7597\u7167\u62a4\u3002<\/p>\n<h2>\u5185\u79d1\u4e2d\u5fc3\u65d7\u4e0b\u7684\u7ec6\u5206\u4e13\u79d1\u8bca\u7597\u4e2d\u5fc3<\/h2>\n<p>\u6211\u4eec\u7684\u5185\u79d1\u4e2d\u5fc3\u7531\u591a\u4e2a\u7279\u8272\u4e13\u79d1\u4e2d\u5fc3\u7ec4\u6210\uff0c\u81f4\u529b\u4e8e\u4e3a\u7279\u5b9a\u75be\u75c5\u63d0\u4f9b\u4e00\u7ad9\u5f0f\u3001\u7cfb\u7edf\u5316\u7684\u8bca\u7597\u4e0e\u7167\u62a4\uff0c\u5305\u62ec\uff1a<\/p>\n<ul>\n<li><strong>\u547c\u5438\u4e0e\u80ba\u90e8\u75be\u75c5\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u54ee\u5598\u3001\u6162\u6027\u963b\u585e\u6027\u80ba\u75be\u75c5 (COPD)\u3001\u80ba\u7ed3\u6838\u3001\u80ba\u708e\u3001\u7761\u7720\u547c\u5438\u6682\u505c\u7efc\u5408\u5f81\u53ca\u5176\u4ed6\u80ba\u90e8\u75be\u75c5\u3002<\/li>\n<li><strong>\u5fc3\u810f\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u5404\u7c7b\u5fc3\u810f\u75be\u75c5\u4ee5\u53ca\u9ad8\u8840\u538b\u7b49\u76f8\u5173\u5fc3\u8840\u7ba1\u75be\u75c5\u3002<\/li>\n<li><strong>\u6d88\u5316\u3001\u809d\u80c6\u80f0\u813e\u53ca\u80c6\u9053\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u80c3\u6e83\u75a1\u3001\u80c3\u98df\u7ba1\u53cd\u6d41\u75c5\u3001\u5404\u7c7b\u809d\u708e\u7b49\u6d88\u5316\u7cfb\u7edf\u95ee\u9898\u3002<\/li>\n<li><strong>\u80be\u810f\u75c5\u4e0e\u8840\u6db2\u900f\u6790\u4e2d\u5fc3\uff1a<\/strong>\u4e3a\u80be\u810f\u75c5\u60a3\u8005\u63d0\u4f9b\u5168\u65b9\u4f4d\u7684\u6cbb\u7597\uff0c\u5305\u62ec\u8840\u6db2\u900f\u6790\uff08\u6d17\u80be\uff09\u670d\u52a1\u3002<\/li>\n<li><strong>\u795e\u7ecf\u5185\u79d1\u4e0e\u8111\u90e8\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u8111\u5352\u4e2d\uff08\u4e2d\u98ce\uff09\u3001\u5e15\u91d1\u68ee\u75c5\u3001\u987d\u56fa\u6027\u5934\u75db\u3001\u91cd\u75c7\u808c\u65e0\u529b\u53ca\u5176\u4ed6\u795e\u7ecf\u7cfb\u7edf\u75c5\u53d8\u3002<\/li>\n<li><strong>\u7cd6\u5c3f\u75c5\u4e0e\u5185\u5206\u6ccc\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u7cd6\u5c3f\u75c5\u3001\u7532\u72b6\u817a\u75be\u75c5\u3001\u80be\u4e0a\u817a\u53ca\u5782\u4f53\u75be\u75c5\u3001\u80a5\u80d6\u75c7\u4ee5\u53ca\u5404\u7c7b\u6fc0\u7d20\u5206\u6ccc\u5931\u8c03\u3002<\/li>\n<li><strong>\u98ce\u6e7f\u514d\u75ab\u3001\u8fc7\u654f\u4e0e\u514d\u75ab\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u7c7b\u98ce\u6e7f\u6027\u5173\u8282\u708e\u3001\u7cfb\u7edf\u6027\u7ea2\u6591\u72fc\u75ae (SLE)\u3001\u81ea\u8eab\u514d\u75ab\u6027\u5173\u8282\u708e\u3001\u75db\u98ce\u53ca\u5404\u7c7b\u8fc7\u654f\u6027\u75be\u75c5\u3002<\/li>\n<li><strong>\u4f20\u67d3\u75c5\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u6025\u6162\u6027\u611f\u67d3\u6027\u75be\u75c5\u3001\u70ed\u5e26\u75c5\u4ee5\u53ca\u5404\u7c7b\u590d\u6742\u7684\u611f\u67d3\u75c5\u75c7\u3002<\/li>\n<li><strong>\u8840\u6db2\u75c5\u4e2d\u5fc3\uff1a<\/strong>\u8bca\u6cbb\u8d2b\u8840\u3001\u5730\u4e2d\u6d77\u8d2b\u8840\u3001\u8840\u5c0f\u677f\u5f02\u5e38\u3001\u767d\u8840\u75c5\u3001\u6dcb\u5df4\u7624\u53ca\u5176\u4ed6\u8840\u6db2\u7cfb\u7edf\u75be\u75c5\u3002<\/li>\n<li><strong>\u81b3\u98df\u4e0e\u8425\u517b\u6cbb\u7597\u4e2d\u5fc3\uff1a<\/strong>\u7531\u4e13\u4e1a\u8425\u517b\u5e08\u4e3a\u60a3\u8005\u91cf\u8eab\u5b9a\u5236\u4e2a\u4eba\u81b3\u98df\u65b9\u6848\uff0c\u8f85\u52a9\u6162\u6027\u75c5\u60a3\u8005\u7684\u8eab\u4f53\u5eb7\u590d\u3002<\/li>\n<\/ul>\n<h2>\u4e3a\u4ec0\u4e48\u9009\u62e9\u4fe1\u6e43\u62c9\u654f\u8fbe\u533b\u9662\u5185\u79d1\u4e2d\u5fc3\uff1f<\/h2>\n<ul>\n<li>\u2713 <strong>\u7ecf\u9a8c\u4e30\u5bcc\u7684\u4e13\u79d1\u533b\u751f\u56e2\u961f\uff1a<\/strong>\u7531\u8986\u76d6\u5168\u8eab\u5404\u5927\u7cfb\u7edf\u7684\u5185\u79d1\u4e13\u5bb6\u5750\u8bca\uff0c\u5728\u8bca\u6cbb\u590d\u6742\u7591\u96be\u6742\u75c7\u65b9\u9762\u62e5\u6709\u4e30\u5bcc\u7ecf\u9a8c\uff0c\u8ba9\u60a8\u500d\u611f\u5b89\u5fc3\u3002<\/li>\n<li>\u2713 <strong>\u591a\u5b66\u79d1\u8054\u5408\u4f1a\u8bca\uff08Multidisciplinary Team\uff09\uff1a<\/strong>\u8de8\u5b66\u79d1\u533b\u62a4\u56e2\u961f\u5171\u540c\u5236\u5b9a\u6574\u4f53\u5316\u6cbb\u7597\u65b9\u6848\uff0c\u5404\u4e13\u79d1\u533b\u751f\u7d27\u5bc6\u914d\u5408\uff0c\u4e3a\u60a8\u63d0\u4f9b\u6700\u4f73\u7684\u8bca\u7597\u51b3\u7b56\u3002<\/li>\n<li>\u2713 <strong>\u5148\u8fdb\u533b\u7597\u8bbe\u5907\u4e0e\u5b9a\u5236\u5316\u4f53\u68c0\uff1a<\/strong>\u62e5\u6709\u8fbe\u5230\u56fd\u9645\u6807\u51c6\u7684\u8bca\u65ad\u5de5\u5177\u4e0e\u5b9e\u9a8c\u5ba4\u8bbe\u5907\uff0c\u914d\u5907\u5148\u8fdb\u533b\u7597\u6280\u672f\uff0c\u5e76\u9488\u5bf9\u6027\u522b\u3001\u5e74\u9f84\u53ca\u9ad8\u5371\u56e0\u7d20\u8bbe\u8ba1\u4e2a\u6027\u5316\u4f53\u68c0\u65b9\u6848\u3002<\/li>\n<li>\u2713 <strong>\u4e00\u7ad9\u5f0f\u533b\u7597\u670d\u52a1\uff1a<\/strong>\u63d0\u4f9b\u4ece\u5065\u5eb7\u4f53\u68c0\u3001\u75be\u75c5\u7b5b\u67e5\u3001\u7cbe\u51c6\u8bca\u65ad\u3001\u4e34\u5e8a\u6cbb\u7597\u5230\u957f\u671f\u968f\u8bbf\u7684\u4e00\u7ad9\u5f0f\u5065\u5eb7\u7ba1\u7406\u670d\u52a1\u3002<\/li>\n<li>\u2713 <strong>\u56fd\u9645\u5316\u533b\u9662\u670d\u52a1\u6807\u51c6\uff1a<\/strong>\u6240\u6709\u8bca\u7597\u6d41\u7a0b\u5747\u4e25\u683c\u9075\u5b88\u56fd\u9645\u5b89\u5168\u4e0e\u5173\u6000\u6807\u51c6\uff0c\u529b\u6c42\u4e3a\u60a3\u8005\u5e26\u6765\u6700\u6ee1\u610f\u7684\u5c31\u533b\u4f53\u9a8c\u3002<\/li>\n<\/ul>\n<h2>Q&amp;A \u5e38\u89c1\u95ee\u9898\u89e3\u7b54<\/h2>\n<h3>Q: \u51fa\u73b0\u54ea\u4e9b\u75c7\u72b6\u65f6\u5e94\u8be5\u770b\u5185\u79d1\u533b\u751f\uff1f<\/h3>\n<p>A: \u82e5\u51fa\u73b0\u6301\u7eed\u53d1\u70ed\u3001\u6613\u75b2\u52b3\u3001\u4f53\u91cd\u65e0\u6545\u5f02\u5e38\u51cf\u8f7b\u3001\u80f8\u95f7\u3001\u547c\u5438\u56f0\u96be\u3001\u6162\u6027\u8179\u75db\u6216\u4f53\u68c0\u7ed3\u679c\u5f02\u5e38\uff0c\u5efa\u8bae\u53ca\u65f6\u770b\u5185\u79d1\u533b\u751f\u8fdb\u884c\u5168\u9762\u8bc4\u4f30\u3002<\/p>\n<h3>Q: \u5185\u79d1\u533b\u751f\u4e3b\u8981\u6cbb\u7597\u54ea\u4e9b\u75be\u75c5\uff1f<\/h3>\n<p>A: \u5185\u79d1\u533b\u751f\u4e3b\u8981\u8bca\u6cbb\u4eba\u4f53\u5185\u90e8\u5668\u5b98\u7684\u75be\u75c5\uff0c\u4f8b\u5982\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8840\u538b\u3001\u5fc3\u810f\u75c5\u3001\u80ba\u90e8\u75be\u75c5\u3001\u80be\u810f\u75c5\u3001\u8840\u6db2\u75c5\u3001\u4f20\u67d3\u75c5\u3001\u80c3\u80a0\u9053\u75be\u75c5\u53ca\u5176\u4ed6\u6162\u6027\u75be\u75c5\u3002<\/p>\n<h3>Q: \u5982\u679c\u4f53\u68c0\u7ed3\u679c\u5f02\u5e38\uff0c\u6709\u5fc5\u8981\u770b\u5185\u79d1\u533b\u751f\u5417\uff1f<\/h3>\n<p>A: \u975e\u5e38\u6709\u5fc5\u8981\u3002\u5efa\u8bae\u770b\u533b\u751f\u505a\u8fdb\u4e00\u6b65\u75c5\u56e0\u8bc4\u4f30\uff0c\u56e0\u4e3a\u67d0\u4e9b\u5f02\u5e38\u6307\u6807\u53ef\u80fd\u662f\u75be\u75c5\u65e9\u671f\u7684\u9884\u8b66\u4fe1\u53f7\u3002\u65e9\u53d1\u73b0\u3001\u65e9\u6cbb\u7597\uff0c\u53ef\u6709\u6548\u9632\u6cbb\u5e76\u53d1\u75c7\u3002<\/p>\n<h3>Q: \u6162\u6027\u75c5\u60a3\u8005\u9700\u8981\u591a\u957f\u65f6\u95f4\u968f\u8bbf\u4e00\u6b21\uff1f<\/h3>\n<p>A: \u8fd9\u53d6\u51b3\u4e8e\u75be\u75c5\u7c7b\u578b\u548c\u75c5\u60c5\u7684\u63a7\u5236\u60c5\u51b5\u3002\u901a\u5e38\u60c5\u51b5\u4e0b\uff0c\u533b\u751f\u4f1a\u5efa\u8bae\u6bcf 3 \u81f3 6 \u4e2a\u6708\u968f\u8bbf\u4e00\u6b21\uff0c\u5fc5\u8981\u65f6\u53ef\u80fd\u9700\u8981\u7f29\u77ed\u95f4\u9694\u65f6\u95f4\u3002<\/p>\n<h3>Q: \u50cf\u7cd6\u5c3f\u75c5\u6216\u9ad8\u8840\u538b\u7b49\u6162\u6027\u75c5\u60a3\u8005\uff0c\u5373\u4f7f\u5e73\u65f6\u611f\u89c9\u65e0\u5f02\u5e38\uff0c\u4e5f\u5fc5\u987b\u6309\u65f6\u590d\u8bca\u5417\uff1f<\/h3>\n<p>A: 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