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ش
շ , Ѻ ,  
ʵҨõԤس ᾷѲ ѹá
ѭ آԪѹ, ..
ҤԪҾҸԷ, ᾷʵҪҺ, ԷԴ, ا෾ҹ .
Ŵ:

Ӥѭ: ʵҨõԤس ᾷѲ ѹá
˹: -


ʵҨõԤس ᾷѲ ѹá (ٻ ) Դѹѧ÷ áҤ ж֧ҷԵѹ չҤ ͹ ѹ (˵: .. § ͹)

ҨѲᾷʵúѳԵ ᾷʵҪҺ Էᾷʵ (ԷԴ㹻Ѩغѹ) ͻ .. ( ǡѺʵҨõԤس ᾷԹ ѵ ­ͧͧ, ʵҨõԤس ᾷç ԧ԰, ʵҨõԤس ᾷ˭ԧȹҹ ѹ§, ʵҨõԤس ᾷ-ᾷ˭ԧ , ʵҨõԤس ᾷ˭ԧ ٭, ʵҨõԤس ᾷо §ط, ʵҨõԤس ᾷè ѵ Ҩҹ Ҫ - ҹ Ѻᾷ͡繷ѡ ᾷѧ ͧط йᾷͧ ­Թͧ) ҨѲѤᾷШӺҹҸԷҷѹ ѺúèҨͻ .. ͹˹Ҩ͡ͻ .. ʵҨͻ .. Ҩ鹾ͻ .. ͧʵҨͻ .. ʵҨͻ .. ʵҨõԤس .. Ҩç˹˹ҤԪҾҸԷ ᾷʵҪҺ ԷԴ ͻվ.. - ѺҪҹԭᾷʵɮպѳԵ ͻ .. ѺҪҹͧҪóһóҧ͡ ͻ .. ҨѺҧŷعҾҾʴùҸԺ ѺҨᾷ蹷ҧդԹԡ ͻ .. Ѻ͡Ҩ蹷ҧդԹԡͧҨҪͻ .. Ҩ´ç˹觻иҹԷ¾Ҹᾷ觻«觵ҪԷ¾Ҹᾷ觻 е˹觹¡ҤԷ¾ҸԷҹҹҪҵҢһ㹪ǧúͺ բͧá͵Ҥ (-) Ѵ˹ѧͷºҸᾷ繤á Ҩѧ˹ҷѭԡ ŹԸäçҺҪ 繡÷֡ ŹԸԶѹѡ㹾Ҫٻ稾չԹҺҪ ͡ҡ Ҩѧ͹ҸԷԷᾷʵخ, ᾷʵǪþҺ ԷչԹò, ᾷʵ Է¸ʵ, ʶҺѹä˹ѧ, оҺʵ ԷԴ, Է¾Һ çҺäǧ͡, ѵᾷʵ ŧóԷ, ФѪʵ ԷŻҡ ʹ繷֡ԹԨ·ҧҸԷçҺŵҡԹ ( .. ) ЪŻзҹ (-),

ҨѲ繻ҨҧҸԷҤ˹觢ͧ ҨդǪҭ㹷ءҹ ੾ͧҸԷ (Dermatopathology) ä Է ҨԸ͹١㨾ҸԷ§ Ҩ͹ѡ֡ᾷ㹪Ժѵԡ ѡж١¹ѡ֡ᾷ㨴пѧҸԵͧҨ㹡õǨ͹ʴ Specimen ¡ѹ ҨѡӾٴ㨧 շǧӹͧþٴҵԴҧ ҧ Ѿ endarteritis obliterans ä辺äԿʹ Ҩ͡§ҡ ѡ繷зѺ㨹ѡ֡ᾷ쨹¤ ͧҾäҹ͸Ժ㹪ҧѴਹҡ

ҨѲԸա͹ä駴µд¡ͧŷȹѡ֡ᾷᾷШӺҹҧ Ҩº ҴäѡʺԴÿ Ҩйѧࡵ ͹紷´ ѡɳТͧʢͧѧ Ҩöʴ ҽ֡ѡ öҴ๨ҡäҹҨäٴ¡ѧµش Ҩس·ʹʺóѺ١Ѻ价й Դ㹡ôäҧ ׹ѹѺ觷ʴ㹵 Ҩѡ繶֧ѹ÷ͧ蹴ä ա駤鹤Ҥҡ仾ѹ ͡ҡҨѲѧ·ʹӤѭҹ¹Ҩҡ٢ͧҹ ʵҨ ᾷʧѴ ҭح (Ҹᾷ͵駷ԹԡͧҪ) ١ ͵ͧä͡ѡɳ䴹ԡ (dynamic) ͧӔ Ҩѡ ä¹ŧ仵 Ҹᾷý֡ö͡ ä˹ҵҧҵҧ ,

ҨѲդӷ ҷŴѺҨ੾ͧä˹ѧ ҨЪкѡɳäѧ Ǻ͡Դ˹ѧ Levers Histopathology of the Skin ˹ҹ˹ҹ 觨еçѺ觷ҧ ͡ҡ Ҩ繵ҧͧͧ͡ Ҩѡѧ Ҩ¹ҹҤ ֧͹ҡҤ Ҩѡͺ͡ʼ Ҩ ҶҾС仢ҧ˹Ҵµͧ 稡е͹ 觼ѧе˹ѡҧըҡͧͧҨѧ դҹͤ稴觷Ҩʴ繵ҧ

ҨѲռŧҹ¹ ѳäʹ () ǪԷȹ к ҤǪ () äعѢ () ҾҸԷ ҸԷ੾оҸԷҵкͧҤԪҾҸԷ () еʵѲ () ͡ҡҨѧռŧҹԨԪҡõվ繺ѧ ͧ

ŧҹӤѭ繷㨢ͧҨѲ 觷ҹѹ֡
)ǹ㹡þѲҷԹԡ (Tumor Clinic) Ҩ¹˹ѧ բͧᾷ: ʵҨõԤس ᾷѲ ѹáŔ ҷҹԴʵҨ ᾷʧѴ ҭح ͡Թԡ .. з觷˹ҷ᷹ҨʧѴ³㹻 .. Ѻ觵繡ʶҺѹçҺҪ еѺ˹觻иҹԪҡâͧʶҺѹҧ .. - Ҩ§ҹͧʶҺѹ µʹз³Ҫǡ ѧ֧ʵҨ ᾷ˭ԧҭ þɰ ˹ҷ᷹

)á͵ Skin Clinic ѹ Ȩԡ¹ ҨѺêѡǹҡʵҨõԤس ᾷͧҹ ҵdzԪ Ǩä˹ѧͧǨäͧ֡Ǩä͡ (͵֡;մ㹻Ѩغѹ) ҨӡͧŷȹŴͧä˹ѧѴ觵ǨҧҸԷ仴ѧҡҨͧҹǨä˹ѧͧǤԴä ˹͹ѹѧѹЪҧͷѨغѹ¡ վի (CPC) Ҩҡ clinicopathological conference ҧҤԪҵԷҡѺҤԪҾҸԷ ҨѲѡǹᾷШӺҹʹ仴¹÷ӧҹѺᾷҧԹԡ ҨһЪ繻ШӨз觻 .. ҨѺ˹˹ҤԪҾҸԷ öЪҧ ֧ͺͧʵҨ ᾷਹ ⹹ء ˹ҷ᷹ ͡ӹ ҨѡЪ оᾷШӺҹʹЪ

ҨѲ繼դҾ ͹ դҧ չ繹ѡ Ҿ Ҩդö㹡蹺´дѺ¹ 觷ҹ蹡Ѻѡ֡ҵ͹繷ͪ 繡ѹͧѺ١쨹繷зѺ㨢ͧ ҨѲ繼դ觷ѴԹҨз ҧ ͻҳ ҹԴҡʹ§ͧ¡һáԪǤ ҹԡٺѹ ʴҡ˧ش˧ԴҡâҴ͹ Ҩ¹͹ٺмԴٺͧ ¨ҡɺ: ʺóçͧҾҔ վ˹ѧ բͧᾷ: ʵҨõԤس ᾷѲ ѹáŔ Ҩҧ ҹ Ҩ繴¡Ѻͤ˹ش¢ͧҨ ҷ¹ҷ ͧѧٺ ԴٺмѧդԴ ԡ ͧԨóԡٺٺ´ Ѩغѹʶҹٺҡ鹷ء ٺС繪·ѧ¨ͧѧ͹Ҥѹ ѺҾͧ͡Ҩٺ ҡз蹹 о¢ͧ駵Ѵ͹آҾФآͧҾҵʹԴ¤...

ҨѲջѭآҾҡٺѴ ֧ҹԡٺҧ索Ҵ .. Թ ͧҡäʹҡɺҡԹҷп鹵 觼ҹöաԨҧ á 㹪ǧ - ѧ ҹͧ͡ਹ¤ѹ еͧ㹡äǺҡâͧʹǵ͡áе ͡ҡҹѧջѭ Դҡٺҹ¹㹺ҧ ҧá ҹդѡҪҧ ҹդآҡҷҹͧӧҹͧҹ ١Ңͤӻ֡ 觷ҹѡӵͺ 㹪ǧ觻ش ҹҷҤԪҾҸԷ§ѹѹҹ ҹѡԨǹͧ 㹪ǧͧö繡 ҹʴਵӹǧ˹ (living will)Ѻᾷѡ ҷҹ˹ѡŧҡ纻¤駹 ŷҹẺФѺФͧ (Palliative care) ҹʧءͧӺҡա ͧôẺФѺФͧͧʹ㨡ѹҡ㹻Ѩغѹ ǢͧѺͧ Էԡõҧآе ... آҾ觪ҵ .. ѺҵҨҹͧʴ١˹ѡ֧ͧ¤繤٢ͧҨ صê¤ⵢͧҹ¹˹ѧ͹óҹҪҹԧȾͧҹ ֧ͨԡٺҹҹԺǡ ·ҵʹآҾͧŧӴѺ ͡»Իҡ ѧӧҹѡҧ෵ʹ ³ҪǾ͡ѧ价ӧҹçҺҪѡʹ Ͷ·ʹԷҷҹѧ֧ش¢ͧԵ з觢зѺѡҵ繤ش·֡Դҹó ѧͧҨ͹١

ʵҨõԤس ᾷѲ ѹáҡǡҧʧ . ԡҢͧѹظ չҤ 觴էзѺ㨪ҪоҸᾷµʹ

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ٻ 1. ʵҨõԤس ᾷѲ ѹá
͡ҧԧ
. Ե ͸آ Ф. բͧᾷ: ʵҨõԤس ᾷѲ ѹá. ا෾: մ 䡴, .
. ͹óҹҪҹԧȾ ʵҨõԤس ᾷѲ ѹá Ѵدѵ ࢵй ا෾ҹ ѹظ չҤ .
. Է óķ, óҸԡ. ǪԵ . ᾷʵҪҺ ԷԴ. ا෾: ѡ, .
. ʶԵ, Ҫ ѹʹ. ͹ѹѴ: ˹ѧʴਵҡèҡش. www.thailivingwill.in.th. 駷 . ا෾: ӹѡҹСآҾ觪ҵ, ٹ졮آҾШʵ йԵʵ Է¸ʵ, ç

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