{"id":282092,"date":"2025-06-12T05:24:00","date_gmt":"2025-06-11T22:24:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/benh-than-man-sat-thu-tham-lang-va-bien-chung-nguy-hiem-kho-luong\/"},"modified":"2025-11-10T09:41:56","modified_gmt":"2025-11-10T02:41:56","slug":"benh-than-man-sat-thu-tham-lang-va-bien-chung-nguy-hiem-kho-luong","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/benh-than-man-sat-thu-tham-lang-va-bien-chung-nguy-hiem-kho-luong\/","title":{"rendered":"B\u1ec7nh th\u1eadn m\u1ea1n \u2013 \u201cs\u00e1t th\u1ee7 th\u1ea7m l\u1eb7ng\u201d v\u00e0 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m kh\u00f3 l\u01b0\u1eddng"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>B\u1ec7nh th\u1eadn m\u1ea1n (Chronic Kidney Disease &#8211; CKD) l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng th\u1eadn ho\u1eb7c gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn k\u00e9o d\u00e0i tr\u00ean 3 th\u00e1ng, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u1ecdc m\u00e1u, \u0111\u00e0o th\u1ea3i ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0 c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i c\u1ee7a c\u01a1 th\u1ec3.<\/em><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/20250610_Benh-than-man_HMGPXL-1024x696-1.jpg\" alt=\"\" class=\"wp-image-174430\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">V\u00ec sao b\u1ec7nh th\u1eadn m\u1ea1n nguy hi\u1ec3m?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ede giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t, b\u1ec7nh th\u1eadn m\u1ea1n th\u01b0\u1eddng kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 d\u00e0ng b\u1ecf qua. \u0110\u1ebfn khi b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, th\u1eadn t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng n\u1ec1 v\u00e0 kh\u00f4ng th\u1ec3 h\u1ed3i ph\u1ee5c, bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, suy tim, thi\u1ebfu m\u00e1u, v\u00e0 th\u1eadm ch\u00ed l\u00e0 \u0111\u1ed9t qu\u1ef5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1eb7c bi\u1ec7t, khi b\u1ec7nh ti\u1ebfn tri\u1ec3n \u0111\u1ebfn giai \u0111o\u1ea1n cu\u1ed1i, ng\u01b0\u1eddi b\u1ec7nh bu\u1ed9c ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1n k\u00e9m v\u00e0 n\u1eb7ng n\u1ec1 nh\u01b0 ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o ho\u1eb7c gh\u00e9p th\u1eadn<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh th\u1eadn m\u1ea1n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Theo h\u01b0\u1edbng d\u1eabn qu\u1ed1c t\u1ebf KDIGO, m\u1ed9t trong hai ti\u00eau ch\u00ed sau (ho\u1eb7c c\u1ea3 hai), k\u00e9o d\u00e0i \u00edt nh\u1ea5t \u2265 3 th\u00e1ng. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng th\u1eadn, c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n qua:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Albumin ni\u1ec7u t\u0103ng (ACR \u2265 30 mg\/g ho\u1eb7c \u2265 3 mg\/mmol)<\/li>\n\n\n\n<li>B\u1ea5t th\u01b0\u1eddng trong n\u01b0\u1edbc ti\u1ec3u (m\u00e1u, \u0111\u1ea1m, t\u1ebf b\u00e0o tr\u1ee5\u2026)<\/li>\n\n\n\n<li>H\u00ecnh \u1ea3nh h\u1ecdc: b\u1ea5t th\u01b0\u1eddng tr\u00ean si\u00eau \u00e2m, CT, MRI<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed gh\u00e9p th\u1eadn ho\u1eb7c sinh thi\u1ebft cho th\u1ea5y t\u1ed5n th\u01b0\u01a1ng m\u00f4 th\u1eadn<\/li>\n\n\n\n<li>M\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn gi\u1ea3m<\/li>\n\n\n\n<li>eGFR &lt; 60 mL\/ph\u00fat\/1.73m\u00b2 (t\u00ednh theo c\u00f4ng th\u1ee9c CKD-EPI ho\u1eb7c MDRD).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh CKD n\u1ebfu c\u00f3 \u00edt nh\u1ea5t 1 trong 2 ti\u00eau ch\u00ed tr\u00ean k\u00e9o d\u00e0i t\u1eeb 3 th\u00e1ng tr\u1edf l\u00ean.<br>B\u1ec7nh th\u1eadn m\u1ea1n (theo eGFR) \u0111\u01b0\u1ee3c chia th\u00e0nh c\u00e1c giai \u0111o\u1ea1n:<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Giai \u0111o\u1ea1n<\/strong><\/td><td><strong>eGFR (mL\/ph\u00fat\/1.73m\u00b2)<\/strong><\/td><td><strong>Di\u1ec5n gi\u1ea3i<\/strong><\/td><\/tr><tr><td>1<\/td><td><strong>\u2265 90<\/strong><\/td><td>B\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng, c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn<\/td><\/tr><tr><td>2<\/td><td><strong>60\u201389<\/strong><\/td><td>Gi\u1ea3m nh\u1eb9<\/td><\/tr><tr><td>3a<\/td><td><strong>45\u201359<\/strong><\/td><td>Gi\u1ea3m nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh<\/td><\/tr><tr><td>3b<\/td><td><strong>30\u201344<\/strong><\/td><td>Gi\u1ea3m trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng<\/td><\/tr><tr><td>4<\/td><td><strong>15\u201329<\/strong><\/td><td>Gi\u1ea3m n\u1eb7ng<\/td><\/tr><tr><td>5<\/td><td><strong>&lt;15<\/strong><\/td><td>Suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng b\u1ec7nh<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>eGFR (M\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh)<\/li>\n\n\n\n<li>Creatinin huy\u1ebft thanh<\/li>\n\n\n\n<li>T\u1ec9 l\u1ec7 Albumin\/N\u01b0\u1edbc ti\u1ec3u (ACR)<\/li>\n\n\n\n<li>T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/li>\n\n\n\n<li>Si\u00eau \u00e2m th\u1eadn \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u1ea5u tr\u00fac.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh th\u1eadn m\u1ea1n<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh l\u00fd n\u1ec1n: T\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n lipid m\u00e1u, b\u00e9o ph\u00ec.<\/li>\n\n\n\n<li>L\u1ea1m d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au, kh\u00e1ng sinh.<\/li>\n\n\n\n<li>B\u1ec7nh l\u00fd di truy\u1ec1n: th\u1eadn \u0111a nang, lupus ban \u0111\u1ecf.<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh th\u1eadn.<\/li>\n\n\n\n<li>Tu\u1ed5i t\u1eeb 65 tr\u1edf l\u00ean.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba b\u1ec7nh th\u1eadn m\u1ea1n<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh th\u00f4ng qua ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc, \u00edt mu\u1ed1i, \u00edt \u0111\u1ea1m \u0111\u1ed9ng v\u1eadt, u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 tr\u00e1nh m\u1ea5t n\u01b0\u1edbc k\u00e9o d\u00e0i.<\/li>\n\n\n\n<li>Kh\u00f4ng h\u00fat thu\u1ed1c, h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia.<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t b\u1ec7nh n\u1ec1n: Ch\u1ee7 \u0111\u1ed9ng qu\u1ea3n l\u00fd huy\u1ebft \u00e1p, \u0111\u01b0\u1eddng m\u00e1u v\u00e0 lipid m\u00e1u.<\/li>\n\n\n\n<li>Kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au nh\u00f3m NSAIDs (nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au).<\/li>\n\n\n\n<li>T\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3: Tham v\u1ea5n b\u00e1c s\u0129 \u0111\u1ec3 th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 t\u1ea7m so\u00e1t s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, \u0111\u1eb7c bi\u1ec7t n\u1ebfu c\u00f3 b\u1ec7nh n\u1ec1n ho\u1eb7c nh\u00f3m nguy c\u01a1 cao.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">H\u00e3y ch\u1ee7 \u0111\u1ed9ng ki\u1ec3m tra s\u1ee9c kh\u1ecfe th\u1eadn ngay h\u00f4m nay \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 can thi\u1ec7p s\u1edbm. B\u1ec7nh th\u1eadn m\u1ea1n kh\u00f4ng ch\u1eeba m\u1ed9t ai, nh\u01b0ng v\u1edbi \u00fd th\u1ee9c ph\u00f2ng b\u1ec7nh \u0111\u00fang \u0111\u1eafn, b\u1ea1n ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham v\u1ea5n chuy\u00ean m\u00f4n b\u1edfi\u00a0ThS.BS.CKII. \u0110inh Th\u1ecb Xu\u00e2n Mai, B\u00e1c s\u0129 n\u1ed9i ti\u1ebft, N\u1ed9i t\u1ed5ng qu\u00e1t \u2013 Trung t\u00e2m y khoa Ho\u00e0n M\u1ef9 Gold PXL.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m ho\u1eb7c h\u1ed7 tr\u1ee3 t\u01b0 v\u1ea5n, Qu\u00fd kh\u00e1ch vui l\u00f2ng li\u00ean h\u1ec7 hotline 0901 840 678\u00a0ho\u1eb7c \u0111\u0103ng k\u00fd t\u1ea1i\u00a0<a href=\"https:\/\/forms.office.com\/r\/5w2HZPZpP0\" target=\"_blank\" rel=\"noreferrer noopener\">link<\/a>.<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>Trung t\u00e2m y khoa Ho\u00e0n M\u1ef9 Gold PXL<\/strong><br>\u0110\u1ecba ch\u1ec9: 245 Phan X\u00edch Long, Ph\u01b0\u1eddng 2, Qu\u1eadn Ph\u00fa Nhu\u1eadn, TP. H\u1ed3 Ch\u00ed Minh<br>\u0110i\u1ec7n tho\u1ea1i: (028) 3990 3995 | 0901 840 678<br><a href=\"https:\/\/hoanmy.com\/hoanmy-gold\/\" target=\"_blank\" rel=\"noopener\">Website<\/a> &#8211; <a href=\"https:\/\/www.facebook.com\/HoanMyGoldPXL\" target=\"_blank\" rel=\"noopener\">Fanpage<\/a> &#8211; <a href=\"https:\/\/zalo.me\/hoanmygold?fbclid=IwZXh0bgNhZW0CMTAAAR02tO1089qxZY3X8SSgyJz0jCQzkcuG7So4MsLkpRH0zGt-uwj9cwYtAZc_aem_pTwQnfiw5rWyn1K4H3uCMQ\" target=\"_blank\" rel=\"noreferrer noopener\">Zalo OA<\/a><\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh th\u1eadn m\u1ea1n (Chronic Kidney Disease &#8211; CKD) l\u00e0 t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng th\u1eadn ho\u1eb7c gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn k\u00e9o d\u00e0i tr\u00ean 3 th\u00e1ng, \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u1ecdc m\u00e1u, \u0111\u00e0o th\u1ea3i ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0 c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i c\u1ee7a c\u01a1 th\u1ec3. V\u00ec sao b\u1ec7nh th\u1eadn m\u1ea1n nguy hi\u1ec3m? \u1ede giai [&hellip;]<\/p>\n","protected":false},"author":12,"featured_media":282093,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1672],"tags":[],"class_list":["post-282092","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-trung-tam-y-khoa-hoan-my-gold-pxl___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282092","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\/12"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=282092"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282092\/revisions"}],"predecessor-version":[{"id":296125,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282092\/revisions\/296125"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/282093"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282092"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282092"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282092"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}