Suy th\u1eadn l\u00e0 v\u1ea5n \u0111\u1ec1 ng\u00e0y c\u00e0ng tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn, c\u00f3 t\u00ednh to\u00e0n c\u1ea7u kh\u00f4ng ch\u1ec9 v\u1edbi ng\u01b0\u1eddi l\u00e0m y t\u1ebf m\u00e0 c\u00f2n v\u1edbi c\u1ea3 c\u1ed9ng \u0111\u1ed3ng. B\u1ec7nh th\u1eadn th\u01b0\u1eddng l\u00e0 nguy\u00ean ph\u00e1t ho\u1eb7c xu\u1ea5t hi\u1ec7n th\u1ee9 ph\u00e1t. Tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 \u1edf c\u00e1c b\u1ec7nh do s\u1ecfi hay nhi\u1ec5m khu\u1ea9n, sau n\u00e0y l\u00e0 c\u00e1c b\u1ec7nh tim m\u1ea1ch, t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh chuy\u1ec3n h\u00f3a lipid, b\u1ec7nh g\u00fat…<\/p>\n
\u0110\u1ec3 ph\u00f2ng ch\u1ed1ng v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c b\u1ec7nh l\u00fd th\u1eadn ti\u1ebft ni\u1ec7u th\u00ec kh\u00f4ng ch\u1ec9 ng\u0103n ch\u1eb7n nh\u1eefng b\u1ec7nh g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng th\u1eadn m\u00e0 c\u00f2n c\u1ea7n ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng t\u1ed5n th\u01b0\u01a1ng th\u1eadn. \u0110\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn tr\u01b0\u1edbc h\u1ebft ph\u1ea3i l\u00e0m sao \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh m\u1ed9t c\u00e1ch s\u1edbm nh\u1ea5t.<\/p>\n
Ph\u00e1t hi\u1ec7n b\u1ec7nh th\u1eadn s\u1edbm b\u1eb1ng c\u00e1ch n\u00e0o?<\/strong><\/p>\n D\u1ef1a v\u00e0o hai ch\u1ec9 s\u1ed1 c\u01a1 b\u1ea3n nh\u1ea5t l\u00e0 huy\u1ebft \u00e1p v\u00e0 albumin ni\u1ec7u qua \u0111o huy\u1ebft \u00e1p th\u01b0\u1eddng xuy\u00ean v\u00e0 x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u \u0111\u1ec3 t\u00ecm albumin ni\u1ec7u. V\u1edbi ng\u01b0\u1eddi b\u1ec7nh b\u00ecnh th\u01b0\u1eddng th\u00ec 6 th\u00e1ng m\u1ed9t l\u1ea7n n\u00ean x\u00e9t nghi\u1ec7m albumin ni\u1ec7u, n\u1ebfu n\u00f3 c\u00f3 bi\u1ebfn lo\u1ea1n th\u00ec c\u1ea7n thi\u1ebft ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn ti\u1ebft ni\u1ec7u. \u0110\u1ed1i v\u1edbi t\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a lipid, glucid hay ng\u01b0\u1eddi cao tu\u1ed5i th\u00ec ph\u1ea3i ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1eadn th\u01b0\u1eddng xuy\u00ean 3 th\u00e1ng m\u1ed9t l\u1ea7n.<\/p>\n Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 c\u1ee7a suy th\u1eadn <\/strong><\/p>\n Trong giai \u0111o\u1ea1n \u0111\u1ea7u khi th\u1eadn m\u1edbi b\u1ecb t\u1ed5n th\u01b0\u01a1ng, m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng nh\u1eb9 tr\u00ean 90 ml\/ ph\u00fat. Khi th\u1eadn suy nhi\u1ec1u h\u01a1n, m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn s\u1ebd gi\u1ea3m d\u1ea7n v\u00e0 k\u00e8m theo nh\u1eefng bi\u1ebfn lo\u1ea1n l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m kh\u00e1c. Ch\u1ee9c n\u0103ng th\u1eadn suy nh\u1eb9 khi m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn: 60 \u0111\u1ebfn 89 ml\/ph\u00fat; suy v\u1eeba m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn t\u1eeb 30 \u0111\u1ebfn 59 ml\/ph\u00fat; suy n\u1eb7ng m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn t\u1eeb 15 \u0111\u1ebfn 29 ml\/ph\u00fat, v\u00e0 \u0111\u1ebfn khi m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn c\u00f2n d\u01b0\u1edbi 15 ml\/ ph\u00fat th\u00ec \u0111\u00f3 l\u00e0 suy th\u1eadn r\u1ea5t n\u1eb7ng v\u00e0 b\u1eaft bu\u1ed9c ph\u1ea3i \u0111i\u1ec1u tr\u1ecb thay th\u1ebf l\u1ecdc m\u00e1u ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n Xu h\u01b0\u1edbng hi\u1ec7n nay v\u1ec1 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn<\/strong><\/p>\n Th\u1ebf k\u1ec9 XX, khi \u0111i\u1ec1u tr\u1ecb suy th\u1eadn, ng\u01b0\u1eddi ta \u0111\u1eb7t song song c\u1ea3 v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, l\u1ecdc m\u00e1u t\u1ea1i b\u1ec7nh vi\u1ec7n, gh\u00e9p th\u1eadn. Nh\u01b0ng t\u1eeb nh\u1eefng nghi\u00ean c\u1ee9u m\u1edbi sau n\u00e0y c\u1ed9ng th\u00eam v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n kinh t\u1ebf x\u00e3 h\u1ed9i v\u00e0 l\u0129nh v\u1ef1c y t\u1ebf th\u00ec t\u1eeb n\u0103m 2000 tr\u1edf v\u1ec1 \u0111\u00e2y, xu h\u01b0\u1edbng chung l\u00e0 l\u00e0m th\u1ebf n\u00e0o \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng v\u00e0 k\u00e9o d\u00e0i th\u1eddi gian suy th\u1eadn nh\u1eb9 v\u00e0 v\u1eeba, c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i, c\u1ea7n \u0111i\u1ec1u tr\u1ecb s\u1edbm th\u00ec xu h\u01b0\u1edbng gh\u00e9p th\u1eadn l\u00e0 t\u1ed1i \u01b0u. \u0110\u1ed1i v\u1edbi v\u1ea5n \u0111\u1ec1 l\u1ecdc m\u00e1u l\u00e0 t\u0103ng c\u01b0\u1eddng t\u1ef1 l\u1ecdc m\u00e1u v\u00e0 gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng l\u1ecdc m\u00e1u t\u1ea1i b\u1ec7nh vi\u1ec7n. T\u0103ng c\u01b0\u1eddng vi\u1ec7c \u0111\u00e0o t\u1ea1o cho b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 n\u1eafm \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 c\u00f3 th\u1ec3 t\u1ef1 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c, c\u00f3 th\u1ec3 t\u1ef1 l\u1ecdc m\u00e1u t\u1ea1i nh\u00e0.<\/p>\n \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng s\u1edbm v\u00e0 duy tr\u00ec m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n Hi\u1ec7n nay th\u1ea7y thu\u1ed1c c\u1ed1 g\u1eafng k\u00e9o d\u00e0i th\u1eddi gian \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n cho ng\u01b0\u1eddi b\u1ec7nh c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t, t\u1eeb khi t\u1ed5n th\u01b0\u01a1ng th\u1eadn \u0111\u1ebfn khi suy th\u1eadn \u0111\u1ed9 I, nh\u1eb9 n\u1ebfu \u0111i\u1ec1u tr\u1ecb t\u1ed1t c\u00f3 th\u1ec3 k\u00e9o d\u00e0i 5 \u0111\u1ebfn 10 n\u0103m, khi suy th\u1eadn v\u1eeba \u0111\u1ebfn n\u1eb7ng k\u00e9o d\u00e0i 5 \u0111\u1ebfn 10 n\u0103m. Nh\u01b0 v\u1eady n\u1ebfu \u0111i\u1ec1u tr\u1ecb t\u1ed1t c\u00f3 th\u1ec3 k\u00e9o d\u00e0i th\u1eddi gian s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng ph\u1ea3i l\u1ecdc m\u00e1u t\u1edbi 20-30 n\u0103m. T\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1ec7nh nh\u00e2n t\u1ed1t s\u1ebd gi\u1ea3m thi\u1ec3u s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n ph\u1ea3i l\u1ecdc m\u00e1u. Duy tr\u00ec m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb \u1edf m\u1ee9c kh\u1ed1ng ch\u1ebf huy\u1ebft \u00e1p d\u01b0\u1edbi 130\/80mmHg; Kh\u1ed1ng ch\u1ebf m\u1ee9c albumin ni\u1ec7u; thu\u1ed1c s\u1eed d\u1ee5ng l\u00e0 \u1ee9c ch\u1ebf men chuy\u1ec3n \u0111\u1ed5i angiotensin v\u00e0 \u1ee9c ch\u1ebf ph\u1ee5 th\u1ec3 angidensin AT1.<\/p>\n L\u1ecdc m\u00e1u hay gh\u00e9p th\u1eadn s\u1edbm khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh thay th\u1ebf<\/strong><\/p>\n Th\u1ee9 nh\u1ea5t l\u00e0 gh\u00e9p th\u1eadn v\u1edbi t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng n\u1ebfu c\u00f3 ng\u01b0\u1eddi cho. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1eaft \u0111\u1ea7u l\u1ecdc m\u00e1u th\u00ec n\u00ean \u0111\u01b0\u1ee3c l\u1ecdc m\u00e1u s\u1edbm. Tr\u01b0\u1edbc \u0111\u00e2y ch\u00fang ta ch\u1ec9 \u0111\u1ecbnh l\u1ecdc m\u00e1u khi m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn d\u01b0\u1edbi 10 ml\/ph\u00fat \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, 8ml\/ph\u00fat \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Nh\u01b0ng ng\u00e0y nay khi m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn d\u01b0\u1edbi 15ml\/ph\u00fat \u0111\u00e3 c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn bao g\u1ed3m gh\u00e9p th\u1eadn, l\u1ecdc m\u00e0ng b\u1ee5ng, th\u1eadn nh\u00e2n t\u1ea1o. L\u1ecdc m\u00e1u s\u1edbm s\u1ebd gi\u00fap ch\u1ee9c n\u0103ng th\u1eadn c\u00f2n l\u1ea1i duy tr\u00ec c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4i, tham gia c\u00e1c ho\u1ea1t \u0111\u1ed9ng n\u1ed9i ti\u1ebft c\u0169ng nh\u01b0 gi\u1ea3m c\u00e1c bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n T\u1ef1 l\u1ecdc m\u00e1u<\/strong><\/p>\n \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec1u ki\u1ec7n, c\u00f3 tr\u00ecnh \u0111\u1ed9 hi\u1ec3u bi\u1ebft, b\u1ec7nh nh\u00e2n \u1edf xa c\u00e1c trung t\u00e2m l\u1edbn th\u00ec ph\u01b0\u01a1ng ph\u00e1p l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean \u0111\u00f3 l\u00e0 l\u1ecdc m\u00e0ng b\u1ee5ng hay th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c. Trong l\u1ecdc m\u00e0ng b\u1ee5ng hay th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c th\u00ec ta c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn l\u1ecdc m\u00e0ng b\u1ee5ng li\u00ean t\u1ee5c ngo\u1ea1i tr\u00fa hay l\u1ecdc m\u00e0ng b\u1ee5ng b\u1eb1ng m\u00e1y. Hi\u1ec7n nay \u1edf Vi\u1ec7t Nam \u0111\u00e3 c\u00f3 12 trung t\u00e2m ti\u1ebfn h\u00e0nh l\u1ecdc m\u00e0ng b\u1ee5ng li\u00ean t\u1ee5c ngo\u1ea1i tr\u00fa v\u1edbi h\u01a1n 900 b\u1ec7nh nh\u00e2n. Th\u1ee9 hai l\u00e0 th\u1eadn nh\u00e2n t\u1ea1o. T\u1ed1t nh\u1ea5t ch\u00fang ta l\u1ef1a ch\u1ecdn t\u1ef1 th\u1eadn nh\u00e2n t\u1ea1o bao g\u1ed3m c\u00f3 l\u1ecdc m\u00e1u t\u1ea1i nh\u00e0. Ph\u01b0\u01a1ng \u00e1n t\u1ed1i \u01b0u l\u00e0 l\u1ecdc m\u00e1u h\u00e0ng ng\u00e0y, m\u1ed7i ng\u00e0y 2h v\u00e0 5 -7 ng\u00e0y \/tu\u1ea7n ho\u1eb7c t\u1ed1i thi\u1ec3u l\u00e0 4h\/l\u1ea7n, 3 \u0111\u1ebfn 4 l\u1ea7n trong tu\u1ea7n. C\u00f2n \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 t\u1ef1 l\u1ecdc m\u00e1u \u0111\u01b0\u1ee3c th\u00ec c\u00f3 th\u1ec3 l\u1ecdc m\u00e0ng b\u1ee5ng hay th\u1eadn nh\u00e2n t\u1ea1o t\u1ea1i b\u1ec7nh vi\u1ec7n hay t\u1ea1i nh\u00e0 nh\u01b0ng c\u00f3 s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a \u0111\u1ed9i ng\u0169 nh\u00e2n vi\u00ean y t\u1ebf. V\u1edbi ph\u01b0\u01a1ng ph\u00e1p t\u1ef1 l\u1ecdc m\u00e1u, kh\u00f4ng ch\u1ec9 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, tr\u1ea3 l\u1ea1i ng\u01b0\u1eddi b\u1ec7nh cho c\u1ed9ng \u0111\u1ed3ng m\u00e0 v\u1ec1 m\u1eb7t y t\u1ebf c\u00f2n kh\u1ed1ng ch\u1ebf \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p t\u1ed1t h\u01a1n, s\u1eed d\u1ee5ng thu\u1ed1c \u00edt h\u01a1n, gi\u1ea3m bi\u1ebfn ch\u1ee9ng suy tim, gi\u1ea3m bi\u1ebfn lo\u1ea1n v\u1ec1 dinh d\u01b0\u1ee1ng, ti\u00eau h\u00f3a, th\u1ea7n kinh.<\/p>\n BS. NGUY\u1ec4N VINH H\u01afNG Suy th\u1eadn l\u00e0 v\u1ea5n \u0111\u1ec1 ng\u00e0y c\u00e0ng tr\u1edf n\u00ean ph\u1ed5 bi\u1ebfn, c\u00f3 t\u00ednh to\u00e0n c\u1ea7u kh\u00f4ng ch\u1ec9 v\u1edbi ng\u01b0\u1eddi l\u00e0m y t\u1ebf m\u00e0 c\u00f2n v\u1edbi c\u1ea3 c\u1ed9ng \u0111\u1ed3ng. B\u1ec7nh th\u1eadn th\u01b0\u1eddng l\u00e0 nguy\u00ean ph\u00e1t ho\u1eb7c xu\u1ea5t hi\u1ec7n th\u1ee9 ph\u00e1t. Tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 \u1edf c\u00e1c b\u1ec7nh do s\u1ecfi hay nhi\u1ec5m khu\u1ea9n, sau n\u00e0y l\u00e0 c\u00e1c b\u1ec7nh […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-273927","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273927","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=273927"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273927\/revisions"}],"predecessor-version":[{"id":311076,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273927\/revisions\/311076"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273927"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273927"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273927"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nTheo S\u1ee9c kho\u1ebb v\u00e0 \u0110\u1eddi s\u1ed1ng<\/p>\n","protected":false},"excerpt":{"rendered":"