better-wp-security
domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init
action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/thuyanbio/public_html/wp-includes/functions.php on line 6114astra-addon
domain was triggered too early. This is usually an indicator for some code in the plugin or theme running too early. Translations should be loaded at the init
action or later. Please see Debugging in WordPress for more information. (This message was added in version 6.7.0.) in /home/thuyanbio/public_html/wp-includes/functions.php on line 6114Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o\u00a0l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy th\u1eadn c\u1ea5p ho\u1eb7c suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i, khi th\u1eadn kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng l\u1ecdc b\u1ecf ch\u1ea5t c\u1eb7n b\u00e3 ra kh\u1ecfi c\u01a1 th\u1ec3. N\u1ebfu \u0111\u00e3 ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o do suy th\u1eadn m\u1ea1n, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ph\u1ea3i ph\u1ee5 thu\u1ed9c v\u00e0o ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng cho \u0111\u1ebfn h\u1ebft ph\u1ea7n \u0111\u1eddi c\u00f2n l\u1ea1i ho\u1eb7c t\u1edbi khi \u0111\u01b0\u1ee3c gh\u00e9p th\u1eadn.<\/p>\n
Theo s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea c\u1ee7a H\u1ed9i th\u1eadn h\u1ecdc th\u1ebf gi\u1edbi \u01b0\u1edbc t\u00ednh, c\u00f3 kho\u1ea3ng 3 tri\u1ec7u ng\u01b0\u1eddi b\u1ec7nh \u0111ang ph\u1ea3i duy tr\u00ec s\u1ef1 s\u1ed1ng nh\u1edd ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u (bao g\u1ed3m ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o ho\u1eb7c l\u1ecdc m\u00e0ng b\u1ee5ng) v\u00e0 gh\u00e9p th\u1eadn. Ri\u00eang t\u1ea1i Vi\u1ec7t Nam, s\u1ed1 ng\u01b0\u1eddi suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i c\u1ea7n ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o l\u00e0 kho\u1ea3ng 800.000 ng\u01b0\u1eddi, chi\u1ebfm t\u1ef7 l\u1ec7 0,1% d\u00e2n s\u1ed1.<\/p>\n
BS.CKII T\u1ea1 Ph\u01b0\u01a1ng Dung cho bi\u1ebft, t\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n\u00a0suy th\u1eadn m\u1ea1n<\/a><\/strong>\u00a0ph\u1ea3i can thi\u1ec7p b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u \u1edf n\u01b0\u1edbc ta t\u01b0\u01a1ng \u0111\u1ed1i cao. \u0110i\u1ec1u n\u00e0y ch\u1ee7 y\u1ebfu l\u00e0 do vi\u1ec7c ph\u00e1t hi\u1ec7n b\u1ec7nh mu\u1ed9n ho\u1eb7c\/v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ch\u01b0a \u0111\u00fang c\u00e1ch d\u1eabn \u0111\u1ebfn suy th\u1eadn n\u1eb7ng, l\u00e0m m\u1ea5t ch\u1ee9c n\u0103ng th\u1eadn. Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o kh\u00f4ng th\u1ec3 gi\u00fap ch\u1eefa kh\u1ecfi b\u1ec7nh th\u1eadn m\u00e0 ch\u1ec9 gi\u00fap th\u1ef1c hi\u1ec7n m\u1ed9t ph\u1ea7n ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn l\u00e0 l\u1ecdc m\u00e1u \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh. Tuy nhi\u00ean, ti\u00ean l\u01b0\u1ee3ng s\u1ef1 s\u1ed1ng \u1edf c\u00e1c ng\u01b0\u1eddi b\u1ec7nh n\u00e0y th\u01b0\u1eddng kh\u00f4ng qu\u00e1 10 n\u0103m.<\/p>\n Vi\u1ec7c ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o c\u0169ng g\u00e2y t\u1ed1n k\u00e9m, m\u1ec7t m\u1ecfi cho c\u1ea3 b\u1ea3n th\u00e2n v\u00e0 gia \u0111\u00ecnh ng\u01b0\u1eddi b\u1ec7nh. V\u1edbi t\u1ea7n su\u1ea5t ch\u1ea1y th\u1eadn trung b\u00ecnh 3 l\u1ea7n\/tu\u1ea7n v\u00e0 m\u1ee9c chi ph\u00ed kho\u1ea3ng t\u1eeb 100 \u2013 150 tri\u1ec7u \u0111\u1ed3ng m\u1ed7i n\u0103m th\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t g\u00e1nh n\u1eb7ng cho b\u1ea5t c\u1ee9 gia \u0111\u00ecnh n\u00e0o.<\/p>\n B\u1ec7nh suy th\u1eadn<\/a><\/strong>\u00a0n\u00ean \u0111\u01b0\u1ee3c kh\u00e1m ch\u1eefa \u0111\u00fang c\u00e1ch t\u1ea1i b\u1ec7nh vi\u1ec7n theo ph\u00e1c \u0111\u1ed3 c\u1ee7a b\u00e1c s\u0129. Vi\u1ec7c t\u1ef1 \u00fd \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 b\u1eb1ng nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m ch\u1ee9ng c\u00f3 nguy c\u01a1 g\u00e2y suy th\u1eadn n\u1eb7ng, d\u1eabn \u0111\u1ebfn ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, l\u1ecdc m\u00e0ng b\u1ee5ng ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 nh\u01b0 t\u1eafc m\u1ea1ch m\u00e1u, h\u1ea1 huy\u1ebft \u00e1p, m\u1ea5t m\u00e1u\u2026 v\u00ec v\u1eady ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean t\u1ef1 ch\u1ea1y th\u1eadn t\u1ea1i nh\u00e0 m\u00e0 c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i s\u1ee9c kh\u1ecfe, k\u1ecbp th\u1eddi \u1ee9ng bi\u1ebfn n\u1ebfu c\u00f3 bi\u1ebfn ch\u1ee9ng x\u1ea3y ra, \u0111\u1eb7c bi\u1ec7t l\u00e0 ng\u01b0\u1eddi ch\u1ea1y th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/strong>\u00a0l\u00e0 ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 b\u1eb1ng m\u1ed9t lo\u1ea1i m\u00e1y nh\u1eb1m \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i ho\u1eb7c\u00a0suy th\u1eadn c\u1ea5p<\/a>\u00a0(th\u01b0\u1eddng do ng\u1ed9 \u0111\u1ed9c) khi th\u1eadn \u0111\u00e3 m\u1ea5t g\u1ea7n h\u1ebft ho\u1eb7c m\u1ea5t ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng.<\/p>\n Khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, y t\u00e1 ho\u1eb7c k\u1ef9 thu\u1eadt vi\u00ean l\u1ecdc m\u00e1u s\u1ebd \u0111\u1eb7t hai c\u00e2y kim v\u00e0o c\u00e1nh tay c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. M\u1ed7i kim \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o m\u1ed9t \u1ed1ng m\u1ec1m n\u1ed1i v\u1edbi m\u00e1y l\u1ecdc m\u00e1u. M\u00e1y l\u1ecdc m\u00e1u s\u1ebd b\u01a1m m\u00e1u qua b\u1ed9 l\u1ecdc v\u00e0 \u0111\u01b0a m\u00e1u tr\u1edf l\u1ea1i c\u01a1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh. Trong qu\u00e1 tr\u00ecnh n\u00e0y, m\u00e1y l\u1ecdc m\u00e1u s\u1ebd ki\u1ec3m tra huy\u1ebft \u00e1p, \u0111\u1ed3ng th\u1eddi ki\u1ec3m so\u00e1t m\u1ee9c \u0111\u1ed9 nhanh c\u1ee7a m\u00e1u ch\u1ea3y qua b\u1ed9 l\u1ecdc c\u0169ng nh\u01b0 l\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf kh\u1ecfi c\u01a1 th\u1ec3.<\/p>\n B\u1ed9 l\u1ecdc c\u00f3 hai ph\u1ea7n, m\u1ed9t ph\u1ea7n cho m\u00e1u, m\u1ed9t ph\u1ea7n cho d\u1ecbch l\u1ecdc v\u00e0 ch\u00fang \u0111\u01b0\u1ee3c ng\u0103n c\u00e1ch v\u1edbi nhau b\u1edfi m\u1ed9t l\u1edbp m\u00e0ng m\u1ecfng. L\u1edbp m\u00e0ng n\u00e0y s\u1ebd gi\u1eef l\u1ea1i c\u00e1c t\u1ebf b\u00e0o m\u00e1u, protein v\u00e0 nh\u1eefng ch\u1ea5t quan tr\u1ecdng kh\u00e1c \u0111\u1ed3ng th\u1eddi lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t th\u1ea3i nh\u01b0 ur\u00ea, creatinine, kali v\u00e0 ch\u1ea5t l\u1ecfng th\u1eeba ra kh\u1ecfi m\u00e1u.<\/p>\n Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t, ch\u1ee9c n\u0103ng th\u1eadn, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. \u0110\u00f4i khi ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh vi\u1ec7c c\u00f3 ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o hay kh\u00f4ng.<\/p>\n Th\u00f4ng th\u01b0\u1eddng, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh\u00a0ng\u01b0\u1eddi b\u1ecb suy th\u1eadn m\u1ea1n giai \u0111o\u1ea1n cu\u1ed1i<\/a>\u00a0khi m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn \u0111\u00e3 gi\u1ea3m xu\u1ed1ng r\u1ea5t th\u1ea5p (<15 ml\/ph\/1.73 m2) ho\u1eb7c suy th\u1eadn c\u1ea5p do ng\u1ed9 \u0111\u1ed9c v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 bu\u1ed3n n\u00f4n, n\u00f4n, s\u01b0ng t\u1ea5y ho\u1eb7c m\u1ec7t m\u1ecfi. L\u00fac n\u00e0y, b\u00e1c s\u0129 s\u1eed d\u1ee5ng t\u1ef7 l\u1ec7 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh (eGFR) \u0111\u1ec3 \u0111o m\u1ee9c \u0111\u1ed9 ch\u1ee9c n\u0103ng th\u1eadn. EGFR \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m creatinin m\u00e1u, gi\u1edbi t\u00ednh, tu\u1ed5i t\u00e1c v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c. Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng thay \u0111\u1ed5i theo \u0111\u1ed9 tu\u1ed5i, c\u00e2n n\u1eb7ng, gi\u1edbi t\u00ednh\u2026<\/p>\n Ph\u00e9p \u0111o ch\u1ee9c n\u0103ng th\u1eadn n\u00e0y c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m c\u1ea3 th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o.<\/p>\n Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o c\u00f3 th\u1ec3 gi\u00fap c\u01a1 th\u1ec3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p, \u0111\u1ed3ng th\u1eddi duy tr\u00ec s\u1ef1 c\u00e2n b\u1eb1ng th\u00edch h\u1ee3p c\u1ee7a ch\u1ea5t l\u1ecfng v\u00e0 c\u00e1c kho\u00e1ng ch\u1ea5t kh\u00e1c nhau nh\u01b0 kali, natri trong c\u01a1 th\u1ec3. Th\u00f4ng th\u01b0\u1eddng, qu\u00e1 tr\u00ecnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o n\u00ean \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u t\u1ed1t nh\u1ea5t l\u00e0 tr\u01b0\u1edbc khi th\u1eadn ng\u1eebng ho\u1ea1t \u0111\u1ed9ng \u0111\u1ebfn m\u1ee9c g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n Trong qu\u00e1 tr\u00ecnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1edbi \u0111\u01b0\u1eddng v\u00e0o m\u1ea1ch m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 \u0111\u00e2y l\u00e0 l\u00fd do ph\u1ed5 bi\u1ebfn nh\u1ea5t khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0y.<\/p>\n B\u1ea5t k\u1ef3 lo\u1ea1i ti\u1ebfp c\u1eadn m\u1ea1ch m\u00e1u n\u00e0o c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0:<\/p>\n N\u1ebfu l\u01b0u l\u01b0\u1ee3ng m\u00e1u k\u00e9m ho\u1eb7c x\u1ea3y ra t\u1eafc ngh\u1ebdn do c\u1ee5c m\u00e1u \u0111\u00f4ng ho\u1eb7c v\u1ebft s\u1eb9o, c\u00f3 th\u1ec3 khi\u1ebfn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng. L\u00fac n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ph\u1ea3i th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c th\u1ee7 t\u1ee5c thay th\u1ebf ho\u1eb7c s\u1eeda ch\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7n t\u1ea1i \u0111\u1ec3 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng.<\/p>\n Nh\u1eefng thay \u0111\u1ed5i \u0111\u1ed9t ng\u1ed9t v\u1ec1 c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 h\u00f3a ch\u1ea5t trong c\u01a1 th\u1ec3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng gi\u1ea3m huy\u1ebft \u00e1p \u0111\u1ed9t ng\u1ed9t (h\u1ea1 huy\u1ebft \u00e1p). H\u1ea1 huy\u1ebft \u00e1p c\u00f3 th\u1ec3 g\u00e2y ra ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, ng\u1ea5t x\u1ec9u, \u0111au b\u1ee5ng ho\u1eb7c y\u1ebfu c\u01a1. B\u00e1c s\u0129 c\u00f3 th\u1ec3 thay \u0111\u1ed5i gi\u1ea3i ph\u00e1p l\u1ecdc m\u00e1u \u0111\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh kh\u1ecfi c\u00e1c v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb m\u1ea5t m\u00e1u n\u1ebfu kim \u0111\u00e2m ra kh\u1ecfi ch\u1ed7 ti\u1ebfp c\u1eadn ho\u1eb7c m\u1ed9t \u1ed1ng b\u1ecb tu\u1ed9t ra kh\u1ecfi b\u1ed9 l\u1ecdc m\u00e1u.<\/p>\n \u0110\u1ec3 ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng m\u1ea5t m\u00e1u, c\u00e1c m\u00e1y l\u1ecdc m\u00e1u c\u1ea7n c\u00f3 m\u1ed9t m\u00e1y d\u00f2 r\u00f2 r\u1ec9 m\u00e1u \u0111\u1ec3 \u0111\u1eb7t chu\u00f4ng b\u00e1o \u0111\u1ed9ng. B\u00e1c s\u0129 c\u00f3 m\u1eb7t k\u1ecbp th\u1eddi \u0111\u1ec3 x\u1eed l\u00fd v\u00e0 kh\u1eafc ph\u1ee5c s\u1ef1 c\u1ed1 nh\u1eb1m \u0111\u1ea3m b\u1ea3o an to\u00e0n cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n B\u00e1c s\u0129 T\u1ea1 Ph\u01b0\u01a1ng Dung cho bi\u1ebft, ngo\u00e0i c\u00e1c bi\u1ebfn ch\u1ee9ng k\u1ec3 tr\u00ean th\u00ec ng\u01b0\u1eddi b\u1ec7nh c\u0169ng d\u1ec5 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 do qu\u00e1 tr\u00ecnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o g\u00e2y ra v\u00e0 c\u1ea7n v\u00e0i th\u00e1ng m\u1edbi c\u00f3 th\u1ec3 th\u00edch nghi \u0111\u01b0\u1ee3c. \u0110\u1ec3 h\u1ea1n ch\u1ebf c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 trong qu\u00e1 tr\u00ecnh ch\u1ea1y th\u1eadn, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n u\u1ed1ng thu\u1ed1c \u0111\u1ee7 li\u1ec1u theo ch\u1ec9 \u0111\u1ecbnh v\u00e0 n\u00ean tu\u00e2n theo m\u1ed9t k\u1ebf ho\u1ea1ch \u0103n u\u1ed1ng nghi\u00eam ng\u1eb7t, theo s\u1ef1 t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n Theo \u0111\u00f3, ngo\u00e0i v\u1ea5n \u0111\u1ec1 c\u00e2n b\u1eb1ng l\u01b0\u1ee3ng n\u01b0\u1edbc b\u1ed5 sung v\u00e0o c\u01a1 th\u1ec3 (n\u01b0\u1edbc u\u1ed1ng, canh, n\u01b0\u1edbc ph\u1edf, h\u1ee7 t\u00edu\u2026 v\u00e0 n\u01b0\u1edbc th\u1ea3i nh\u01b0 n\u01b0\u1edbc ti\u1ec3u, m\u1ed3 h\u00f4i), nh\u1eefng th\u1ef1c ph\u1ea9m ng\u01b0\u1eddi ch\u1ea1y th\u1eadn c\u1ea7n h\u1ea1n ch\u1ebf trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m:<\/p>\n N\u1ea1p th\u1ef1c ph\u1ea9m v\u00e0 \u0111\u1ed3 u\u1ed1ng ch\u1ee9a nhi\u1ec1u natri s\u1ebd g\u00e2y h\u1ea1i cho th\u1eadn v\u00e0 khi\u1ebfn cho qu\u00e1 tr\u00ecnh l\u1ecdc m\u00e1u kh\u00f3 kh\u0103n h\u01a1n. C\u00e1c th\u1ef1c ph\u1ea9m ch\u1ee9a nhi\u1ec1u natri th\u01b0\u1eddng c\u00f3 trong c\u00e1c th\u1ef1c ph\u1ea9m h\u00e0ng ng\u00e0y bao g\u1ed3m:<\/p>\n \u0110\u1ed3 \u0103n ch\u1ebf bi\u1ebfn s\u1eb5n: C\u00e1c lo\u1ea1i th\u1ecbt ch\u1ebf bi\u1ebfn s\u1eb5n nh\u01b0 x\u00fac x\u00edch, th\u1ecbt ngu\u1ed9i, g\u00e0 mu\u1ed1i, th\u1ecbt mu\u1ed1i, g\u00e0 r\u00e1n, th\u1ecbt n\u01b0\u1edbng\u2026<\/p>\n C\u00e1c lo\u1ea1i m\u1eafm: R\u1ea5t nhi\u1ec1u lo\u1ea1i m\u1eafm m\u1eb7n th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng trong c\u00e1c b\u1eefa \u0103n h\u00e0ng ng\u00e0y c\u1ee7a ng\u01b0\u1eddi Vi\u1ec7t nh\u01b0 n\u01b0\u1edbc m\u1eafm, m\u1eafm t\u00f4m, m\u1eafm c\u00e1, m\u1eafm ru\u1ed1c, m\u1eafm t\u00e9p\u2026<\/p>\n C\u00e1c m\u00f3n kho: C\u00e1 kho, th\u1ecbt kho, t\u00f4m rang, g\u00e0 kho\u2026<\/p>\n \u0110\u1ed1 u\u1ed1ng: Chocolate n\u00f3ng ch\u1ee9a t\u1edbi 161mg natri, kho\u1ea3ng 7% l\u01b0\u1ee3ng mu\u1ed1i \u0103n theo khuy\u1ebfn ngh\u1ecb. Ho\u1eb7c c\u00e1c lo\u1ea1i n\u01b0\u1edbc gi\u1ea3i kh\u00e1t b\u00f9 mu\u1ed1i kho\u00e1ng c\u0169ng ch\u1ee9a l\u01b0\u1ee3ng natri l\u1edbn.<\/p>\n N\u1ebfu n\u1ed3ng \u0111\u1ed9 ph\u1ed1t pho trong m\u00e1u t\u0103ng s\u1ebd g\u00e2y ra r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a canxi l\u00e0m h\u1ea1i x\u01b0\u01a1ng v\u00e0 th\u1eadn. Theo \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tr\u00e1nh \u0103n c\u00e1c th\u1ef1c ph\u1ea9m ch\u1ee9a nhi\u1ec1u ph\u1ed1t pho nh\u01b0:<\/p>\n B\u1ec7nh suy th\u1eadn th\u01b0\u1eddng k\u00e8m theo thi\u1ebfu m\u00e1u, do \u0111\u00f3 b\u1ed5 sung c\u00e1c th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t s\u1eaft s\u1ebd gi\u00fap t\u0103ng h\u1ed3ng c\u1ea7u m\u00e1u v\u00e0 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi.<\/p>\n C\u00e1c th\u1ef1c ph\u1ea9m gi\u00e0u s\u1eaft t\u1ed1t cho ng\u01b0\u1eddi b\u1ec7nh th\u1eadn ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n <\/p>\n B\u00ean c\u1ea1nh \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh n\u00ean th\u00eam protein v\u00e0o ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00ec ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o th\u01b0\u1eddng lo\u1ea1i b\u1ecf protein n\u00ean c\u00f3 th\u1ec3 khi\u1ebfn c\u01a1 th\u1ec3 b\u1ecb thi\u1ebfu h\u1ee5t ch\u1ea5t n\u00e0y; Ch\u1ecdn th\u1ef1c ph\u1ea9m c\u00f3 l\u01b0\u1ee3ng kali ph\u00f9 h\u1ee3p; U\u1ed1ng vitamin d\u00e0nh cho ng\u01b0\u1eddi b\u1ecb suy th\u1eadn; Th\u00eam calo l\u00e0nh m\u1ea1nh v\u00e0o ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ec3 l\u1ea5y l\u1ea1i c\u1ea3m gi\u00e1c ngon mi\u1ec7ng. \u201cVi\u1ec7c \u0103n \u0111\u00fang lo\u1ea1i th\u1ef1c ph\u1ea9m c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y t\u1ed1t h\u01a1n khi ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o. Ng\u01b0\u1eddi b\u1ec7nh n\u00ean nh\u1edd b\u00e1c s\u0129 chuy\u00ean khoa t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n h\u1ee3p l\u00fd v\u1edbi b\u1ec7nh tr\u1ea1ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 t\u1ed1t cho qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb\u201d.<\/p>\n Ti\u1ebfp c\u1eadn m\u1ea1ch m\u00e1u l\u00e0 c\u00e1ch \u0111\u1ec3 ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o. Theo \u0111\u00f3, tr\u01b0\u1edbc khi ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m ph\u1eabu thu\u1eadt n\u1ed1i th\u00f4ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch nh\u1eb1m t\u0103ng l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn m\u00e1y ch\u1ea1y th\u1eadn v\u00e0 d\u00f2ng ch\u1ea3y t\u1eeb m\u00e1y tr\u1edf l\u1ea1i c\u01a1 th\u1ec3.<\/span><\/p>\n C\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn m\u1ea1ch m\u00e1u nh\u01b0 sau:<\/span><\/p>\n M\u1ed9t l\u1ed7 r\u00f2 AV \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng c\u00e1ch n\u1ed1i \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch trong c\u00e1nh tay c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Th\u00f4ng th\u01b0\u1eddng, ph\u1eabu thu\u1eadt n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf b\u00ean c\u00e1nh tay kh\u00f4ng thu\u1eadn nh\u1eb1m h\u1ea1n ch\u1ebf g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c sinh ho\u1ea1t c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Ph\u1eabu thu\u1eadt c\u1ea7n ch\u1edd sau 6 tu\u1ea7n \u0111\u1ec3 l\u1ed7 r\u00f2 ph\u1ee5c h\u1ed3i m\u1edbi c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o.<\/span><\/p>\n AV gh\u00e9p l\u00e0 gi\u1ea3i ph\u00e1p thay th\u1ebf trong tr\u01b0\u1eddng h\u1ee3p c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh qu\u00e1 nh\u1ecf, kh\u00f4ng th\u1ec3 t\u1ea1o \u0111\u01b0\u1ee3c l\u1ed7 r\u00f2 AV. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1ch b\u00e1c s\u0129 d\u00f9ng m\u1ed9t \u1ed1ng nh\u1ef1a t\u1ed5ng h\u1ee3p \u0111\u1ec3 t\u1ea1o ra m\u1ed9t \u0111\u01b0\u1eddng d\u1eabn gi\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch d\u01b0\u1edbi da c\u00e1nh tay c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 sau kho\u1ea3ng 2 tu\u1ea7n th\u00ec c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o.<\/span><\/p>\n So v\u1edbi ph\u01b0\u01a1ng ph\u00e1p l\u1ed7 r\u00f2 AV th\u00ec ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea1y th\u1eadn s\u1edbm h\u01a1n. Tuy nhi\u00ean, gh\u00e9p AV s\u1ebd kh\u00f4ng b\u1ec1n nh\u01b0 l\u1ed7 r\u00f2 AV, c\u1ee9 sau v\u00e0i n\u0103m, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ph\u1ea3i thay m\u1ed9t m\u1ea3nh gh\u00e9p m\u1edbi. V\u00e0 trong khi s\u1eed d\u1ee5ng gh\u00e9p AV \u0111\u1ec3 ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ph\u1ea3i \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 b\u00e1c s\u0129 ki\u1ec3m tra m\u1ea3nh gh\u00e9p nh\u1eb1m \u0111\u1ea3m b\u1ea3o n\u00f3 v\u1eabn m\u1edf v\u00e0 ho\u1ea1t \u0111\u1ed9ng t\u1ed1t.<\/span><\/p>\n Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o kh\u1ea9n c\u1ea5p. B\u00e1c s\u0129 s\u1ebd \u0111\u1eb7t m\u1ed9t \u1ed1ng th\u00f4ng b\u1eb1ng nh\u1ef1a m\u1ec1m trong t\u0129nh m\u1ea1ch l\u1edbn \u1edf d\u01b0\u1edbi x\u01b0\u01a1ng \u0111\u00f2n, c\u1ed5 ho\u1eb7c khu v\u1ef1c g\u1ea7n h\u00e1ng ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n N\u1ebfu ch\u1ed7 ti\u1ebfp c\u1eadn l\u00e0 m\u1ed9t l\u1ed7 r\u00f2 ho\u1eb7c v\u1ebft gh\u00e9p AV, khi b\u1eaft \u0111\u1ea7u m\u1ed7i l\u1ea7n \u0111i\u1ec1u tr\u1ecb, b\u00e1c s\u0129 s\u1ebd \u0111\u1eb7t hai c\u00e2y kim v\u00e0o ch\u1ed7 ti\u1ebfp c\u1eadn. C\u00e1c kim n\u00e0y \u0111\u01b0\u1ee3c n\u1ed1i v\u1edbi c\u00e1c \u1ed1ng m\u1ec1m d\u1eabn \u0111\u1ebfn m\u00e1y l\u1ecdc m\u00e1u. M\u00e1u s\u1ebd \u0111i \u0111\u1ebfn m\u00e1y qua m\u1ed9t trong c\u00e1c \u1ed1ng, \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch trong b\u1ed9 l\u1ecdc v\u00e0 tr\u1edf l\u1ea1i c\u01a1 th\u1ec3 qua \u1ed1ng kia. N\u1ebfu \u0111\u01b0\u1eddng v\u00e0o l\u00e0 m\u1ed9t \u1ed1ng th\u00f4ng, n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i tr\u1ef1c ti\u1ebfp v\u1edbi c\u00e1c \u1ed1ng l\u1ecdc m\u00e1u m\u00e0 kh\u00f4ng c\u1ea7n s\u1eed d\u1ee5ng kim.<\/span><\/p>\n Trong 3 ph\u01b0\u01a1ng ph\u00e1p k\u1ec3 tr\u00ean th\u00ec l\u1ed7 r\u00f2 n\u00ean \u0111\u01b0\u1ee3c coi l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean v\u00ec n\u00f3 th\u01b0\u1eddng b\u1ec1n h\u01a1n v\u00e0 \u00edt g\u00e2y ra nguy c\u01a1 nhi\u1ec5m tr\u00f9ng ho\u1eb7c \u0111\u00f4ng m\u00e1u. \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 t\u1ea1o \u0111\u01b0\u1ee3c l\u1ed7 r\u00f2 do m\u1ea1ch m\u00e1u qu\u00e1 nh\u1ecf th\u00ec ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p n\u00ean l\u00e0 l\u1ef1a ch\u1ecdn th\u1ee9 hai \u0111\u1ec3 ti\u1ebfp c\u1eadn.<\/span><\/p>\n Quy tr\u00ecnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 nhi\u1ec5m tr\u00f9ng m\u00e1u, \u0111\u00f4ng m\u00e1u, ng\u1ea5t x\u1ec9u<\/em><\/span><\/p>\n Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u0103m s\u00f3c c\u00e1c d\u1ee5ng c\u1ee5 nh\u01b0 l\u1ed7 r\u00f2, m\u1ea3nh gh\u00e9p, \u1ed1ng th\u00f4ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u00fang ho\u1ea1t \u0111\u1ed9ng t\u1ed1t trong qu\u00e1 tr\u00ecnh ch\u1ea1y th\u1eadn. Ng\u01b0\u1eddi b\u1ec7nh n\u00ean ch\u0103m s\u00f3c nh\u01b0 sau:<\/p>\n BS.CKII T\u1ea1 Ph\u01b0\u01a1ng Dung khuy\u00ean, ng\u01b0\u1eddi b\u1ec7nh n\u00ean ch\u00fa \u00fd t\u1edbi vi\u1ec7c b\u1ea3o v\u1ec7 c\u1ed5ng ti\u1ebfp x\u00fac tr\u00ean c\u00e1nh tay c\u1ee7a m\u00ecnh. Ngo\u00e0i vi\u1ec7c ki\u1ec3m tra \u0111\u01b0\u1eddng v\u00e0o m\u1ed7i ng\u00e0y th\u00ec b\u1ea1n c\u0169ng n\u00ean ch\u00fa \u00fd t\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 sau:<\/p>\n Ngu\u1ed3n: H\u1ec6 TH\u1ed0NG B\u1ec6NH VI\u1ec6N \u0110A KHOA T\u00c2M ANH<\/strong><\/p>\nCh\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o l\u00e0 g\u00ec?<\/strong><\/h5>\n
Ch\u1ec9 \u0111\u1ecbnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/strong><\/h5>\n
L\u1ee3i \u00edch c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/strong><\/h2>\n
Bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i khi ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/strong><\/h5>\n
1. T\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u<\/strong><\/h6>\n
2. H\u1ea1 huy\u1ebft \u00e1p<\/strong><\/h6>\n
3. M\u1ea5t m\u00e1u<\/strong><\/h6>\n
N\u00ean l\u00e0m g\u00ec gi\u1eefa c\u00e1c \u0111\u1ee3t ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o?<\/strong><\/h5>\n
Natri (mu\u1ed1i)<\/strong><\/h6>\n
Th\u1ee9c \u0103n nhi\u1ec1u ph\u1ed1t pho<\/strong><\/h6>\n
\n
Th\u1ee9c \u0103n gi\u00e0u s\u1eaft<\/strong><\/h6>\n
\n
Quy tr\u00ecnh ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/span><\/b><\/h5>\n
1. L\u1ed7 r\u00f2 \u0111\u1ed9ng t\u0129nh m\u1ea1ch (FAV)<\/span><\/b><\/h6>\n
2. AV gh\u00e9p<\/span><\/b><\/h6>\n
3. \u1ed0ng th\u00f4ng t\u0129nh m\u1ea1ch trung \u01b0\u01a1ng<\/span><\/b><\/h6>\n
H\u01b0\u1edbng d\u1eabn ch\u0103m s\u00f3c c\u00e1c d\u1ee5ng c\u1ee5 ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/strong><\/h5>\n
1. L\u1ed7 r\u00f2 ho\u1eb7c m\u1ea3nh gh\u00e9p<\/strong><\/h6>\n
\n
2. \u1ed0ng th\u00f4ng<\/strong><\/h6>\n
\n
L\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/strong><\/h5>\n
\n