{"id":273942,"date":"2009-07-29T09:18:27","date_gmt":"2009-07-29T02:18:27","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/xet-nghiem-moi-co-the-du-doan-tinh-trang-than-bi-pha-huy\/"},"modified":"2025-11-08T19:21:30","modified_gmt":"2025-11-08T12:21:30","slug":"xet-nghiem-moi-co-the-du-doan-tinh-trang-than-bi-pha-huy","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/xet-nghiem-moi-co-the-du-doan-tinh-trang-than-bi-pha-huy\/","title":{"rendered":"X\u00e9t nghi\u1ec7m m\u1edbi c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n t\u00ecnh tr\u1ea1ng th\u1eadn b\u1ecb ph\u00e1 hu\u1ef7"},"content":{"rendered":"<div align=\"justify\"><\/div>\n<p align=\"justify\">T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh (AKI) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ph\u1ea3i nh\u1eadn s\u1ef1 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t. M\u1ed9t lo\u1ea1i x\u00e9t nghi\u1ec7m chuy\u00ean m\u00f4n m\u1edbi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u00e9t nghi\u1ec7m lipocain li\u00ean quan t\u1edbi enzyme neutrophile gelatinase ni\u1ec7u (NGAL) gi\u00fap d\u1ef1 \u0111o\u00e1n li\u1ec7u m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 ph\u00e1t tri\u1ec3n t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh hay kh\u00f4ng, \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u trong m\u1ed9t b\u00e0i b\u00e1o tr\u00ean t\u1ea1p ch\u00ed Journal of the American Society of Nephrology (JASN). \u201c\u0110\u00f3ng vai tr\u00f2 nh\u01b0 m\u1ed9t d\u1ea5u ch\u1ec9 ri\u00eang bi\u1ec7t, NGAL ni\u1ec7u cho th\u1ea5y hi\u1ec7u l\u1ef1c v\u1eeba ph\u1ea3i trong vi\u1ec7c d\u1ef1 \u0111o\u00e1n t\u00ecnh tr\u1ea1ng di\u1ec5n ti\u1ebfn c\u1ee7a AKI\u201d, theo ph\u1ea3n h\u1ed3i c\u1ee7a ti\u1ebfn s\u0129 T. Alp Ikizler (\u0110\u1ea1i h\u1ecdc Vanderbilt).<\/p>\n<div align=\"justify\"><\/div>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">M\u1ed9t nghi\u00ean c\u1ee9u kh\u00e1c, c\u0169ng tr\u00ean JASN, ch\u1ec9 ra r\u1eb1ng NGAL ni\u1ec7u c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh th\u1eadn li\u00ean quan \u0111\u1ebfn HIV xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng ng\u01b0\u1eddi M\u1ef9 g\u1ed1c Phi v\u00e0 ng\u01b0\u1eddi ch\u00e2u Phi da \u0111en. \u201cNGAL bi\u1ec3u hi\u1ec7n r\u1ea5t chuy\u00ean bi\u1ec7t trong nh\u1eefng bao nang th\u1eadn \u2013 t\u1ea1o ra \u00fd t\u01b0\u1edfng r\u1eb1ng NGAL c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a nh\u1eefng t\u00fai nang trong b\u1ec7nh th\u1eadn li\u00ean quan \u0111\u1ebfn HIV\u201d, theo l\u1eddi c\u1ee7a ti\u1ebfn s\u0129 y khoa Jonathan Barasch (\u0110\u1ea1i h\u1ecdc Columbia, New York).\u00d4ng b\u1ed5 sung th\u00eam, \u201cCh\u00fang t\u00f4i v\u00e0 ti\u1ebfn s\u0129 Prasad Devarajan, \u0111\u00e3 x\u00e1c \u0111\u1ecbnh s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a NGAL trong th\u1eadn c\u00e1ch \u0111\u00e2y 10 n\u0103m v\u00e0 s\u1ef1 chuy\u1ec3n d\u1ecbch c\u1ee7a n\u00f3 v\u00e0o th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng trong m\u1ed9t th\u1eddi gian ng\u1eafn nh\u01b0 v\u1eady l\u00e0 \u0111\u00e1ng ng\u1ea1c nhi\u00ean. H\u1ea7u nh\u01b0 m\u1ecdi b\u00e0i b\u00e1o \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng li\u00ean quan v\u1edbi NGAL v\u00e0 nh\u1eefng c\u0103n b\u1ec7nh ho\u1eb7c t\u00ecnh tr\u1ea1ng suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn\u201d.<\/p>\n<div align=\"justify\"><\/div>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">Trong nghi\u00ean c\u1ee9u ICU, nh\u1eefng b\u1ec7nh nh\u00e2n v\u1edbi n\u1ed3ng \u0111\u1ed9 NGAL ni\u1ec7u cao h\u01a1n s\u1ebd c\u00f3 khuynh h\u01b0\u1edbng ph\u00e1t tri\u1ec3n t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh nhi\u1ec1u h\u01a1n, th\u1eadm ch\u00ed l\u00e0 sau khi \u0111i\u1ec1u ch\u1ec9nh nh\u1eefng y\u1ebfu t\u1ed1 li\u00ean quan kh\u00e1c. S\u1ef1 gia t\u0103ng c\u1ee7a NGAL \u0111\u00e3 hi\u1ec7n di\u1ec7n tr\u01b0\u1edbc khi c\u00f3 b\u1ea5t k\u1ef3 thay \u0111\u1ed5i n\u00e0o xu\u1ea5t hi\u1ec7n trong x\u00e9t nghi\u1ec7m ti\u00eau chu\u1ea9n cho t\u00ecnh tr\u1ea1ng AKI (n\u1ed3ng \u0111\u1ed9 creatinin huy\u1ebft thanh). Tuy nhi\u00ean, n\u1ebfu kh\u00f4ng c\u00f3 th\u00f4ng tin n\u00e0o kh\u00e1c, NGAL ni\u1ec7u kh\u00f4ng hi\u1ec7u qu\u1ea3 h\u01a1n trong vi\u1ec7c d\u1ef1 \u0111o\u00e1n AKI so v\u1edbi nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e2m s\u00e0ng. Ikizler l\u01b0u \u00fd r\u1eb1ng nghi\u00ean c\u1ee9u b\u1ecb gi\u1edbi h\u1ea1n b\u1edfi vi\u1ec7c thi\u1ebfu th\u00f4ng tin v\u1ec1 t\u00ecnh tr\u1ea1ng t\u1eed vong b\u1ea5t th\u01b0\u1eddng ho\u1eb7c nhu c\u1ea7u c\u1ea7n th\u1ea9m ph\u00e2n, v\u00e0 do thi\u1ebfu th\u00f4ng tin v\u1ec1 ch\u1ee9c n\u0103ng th\u1eadn ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh nh\u00e2n.&nbsp;Trong nghi\u00ean c\u1ee9u HIV, n\u1ed3ng \u0111\u1ed9 NGAL ni\u1ec7u cao h\u01a1n nhi\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh th\u1eadn li\u00ean quan t\u1edbi HIV (HIVAN) h\u01a1n l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng d\u1ea1ng b\u1ec7nh th\u1eadn kh\u00e1c, nhi\u1ec5m ho\u1eb7c kh\u00f4ng nhi\u1ec5m HIV. HIVAN l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng quan tr\u1ecdng c\u1ee7a HIV, x\u1ea3y ra ph\u1ea7n l\u1edbn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 g\u1ed1c Phi.<\/p>\n<div align=\"justify\"><\/div>\n<div align=\"justify\"><\/div>\n<p align=\"justify\">Nh\u1eefng nghi\u00ean c\u1ee9u tr\u00ean chu\u1ed9t \u0111\u1ec1 ngh\u1ecb r\u1eb1ng NGAL c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh li\u00ean quan \u0111\u1ebfn t\u1ebf b\u00e0o \u1ed1ng v\u00e0 vi nang, v\u1ed1n l\u00e0 nh\u1eefng \u0111\u1eb7c tr\u01b0ng c\u1ee7a HIVAN. Barasch l\u01b0u \u00fd r\u1eb1ng nghi\u00ean c\u1ee9u tr\u00ean ng\u01b0\u1eddi b\u1ecb gi\u1edbi h\u1ea1n \u1edf s\u1ed1 l\u01b0\u1ee3ng nh\u1ecf nh\u01b0ng n\u00eau b\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft c\u1ee7a nh\u1eefng nghi\u00ean c\u1ee9u l\u1edbn h\u01a1n nh\u1eb1m \u0111o l\u01b0\u1eddng ch\u00ednh x\u00e1c monomer c\u1ee7a NGAL. \u00d4ng b\u1ed5 sung: \u201cN\u1ebfu nh\u1eefng k\u1ebft qu\u1ea3 c\u1ee7a ch\u00fang t\u00f4i \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn, vi\u1ec7c \u0111o n\u1ed3ng \u0111\u1ed9 NGAL ni\u1ec7u c\u00f3 th\u1ec3 gi\u00fap ph\u00e2n lo\u1ea1i b\u1ec7nh nh\u00e2n v\u00e0o nh\u1eefng nh\u00f3m c\u00f3 nguy c\u01a1 kh\u00e1c nhau\u201d.<\/p>\n<p>Theo BS.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh (AKI) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ph\u1ed5 bi\u1ebfn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ph\u1ea3i nh\u1eadn s\u1ef1 ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t. M\u1ed9t lo\u1ea1i x\u00e9t nghi\u1ec7m chuy\u00ean m\u00f4n m\u1edbi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u00e9t nghi\u1ec7m lipocain li\u00ean quan t\u1edbi enzyme neutrophile gelatinase ni\u1ec7u (NGAL) gi\u00fap d\u1ef1 \u0111o\u00e1n li\u1ec7u m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 ph\u00e1t tri\u1ec3n t\u00ecnh [&hellip;]<\/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-273942","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\/273942","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=273942"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273942\/revisions"}],"predecessor-version":[{"id":311061,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/273942\/revisions\/311061"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=273942"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=273942"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=273942"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}