{"id":282377,"date":"2025-08-15T11:03:56","date_gmt":"2025-08-15T04:03:56","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/truyen-thong-giao-duc-suc-khoe-cho-nguoi-benh-suy-than-man\/"},"modified":"2025-11-08T09:45:03","modified_gmt":"2025-11-08T02:45:03","slug":"truyen-thong-giao-duc-suc-khoe-cho-nguoi-benh-suy-than-man","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/truyen-thong-giao-duc-suc-khoe-cho-nguoi-benh-suy-than-man\/","title":{"rendered":"Truy\u1ec1n th\u00f4ng gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn m\u1ea1n"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">B\u1ec7nh th\u1eadn m\u1ea1n hi\u1ec7n nay \u0111ang l\u00e0 g\u00e1nh n\u1eb7ng s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u v\u1edbi chi ph\u00ed kinh t\u1ebf cao \u0111\u1ed1i v\u1edbi c\u00e1c h\u1ec7 th\u1ed1ng y t\u1ebf. T\u1ea1i Vi\u1ec7t Nam, hi\u1ec7n c\u00f3 kho\u1ea3ng 0,012% d\u00e2n s\u1ed1 m\u1eafc b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 t\u1ef7 l\u1ec7 n\u00e0y \u0111ang gia t\u0103ng 8,1%\/n\u0103m, trong \u0111\u00f3 c\u00f3 21,000 ng\u01b0\u1eddi \u0111ang \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn. Do \u0111\u00f3, c\u00f4ng t\u00e1c t\u01b0 v\u1ea5n gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe nh\u1eb1m duy tr\u00ec v\u00e0 n\u00e2ng cao ki\u1ebfn th\u1ee9c cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 ng\u01b0\u1eddi nh\u00e0 l\u00e0 vi\u1ec7c l\u00e0m r\u1ea5t c\u00e2n thi\u1ebft v\u00e0 quan tr\u1ecdng hi\u1ec7n nay.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/hinh-suy-than-man.jpg\" alt=\"\" class=\"wp-image-175621\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">S<strong>uy th\u1eadn m\u1ea1n<\/strong> l\u00e0 g\u00ec? <\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh th\u1eadn m\u1ea1n (BTM) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac ho\u1eb7c ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn k\u00e9o d\u00e0i tr\u00ean 3 th\u00e1ng do b\u1ea5t k\u1ef3 nguy\u00ean nh\u00e2n n\u00e0o d\u1eabn t\u1edbi nh\u1eefng t\u00e1c \u0111\u1ed9ng v\u1ec1 s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\n<li>T\u1ed5n th\u01b0\u01a1ng th\u1eadn k\u00e9o d\u00e0i tr\u00ean 3 th\u00e1ng, x\u00e1c \u0111\u1ecbnh b\u1edfi c\u00e1c b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac v\u00e0 ch\u1ee9c n\u0103ng th\u1eadn, c\u00f3 hay kh\u00f4ng c\u00f3 gi\u1ea3m GFR, bi\u1ec3u hi\u1ec7n b\u1edfi c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 b\u1ec7nh h\u1ecdc hay c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1eadn bao g\u1ed3m c\u00e1c b\u1ea5t th\u01b0\u1eddng trong x\u00e9t nghi\u1ec7m m\u00e1u (Ur\u00ea, creatinin), n\u01b0\u1edbc ti\u1ec3u (Albumin, h\u1ed3ng c\u1ea7u, tr\u1ee5) hay c\u00e1c k\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh (b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac nhu m\u00f4 th\u1eadn).<\/li>\n\n\n\n<li>GFR&lt;60mL\/ph\u00fat\/1.73 m<sup>2<\/sup> da k\u00e9o d\u00e0i tr\u00ean 3 th\u00e1ng, k\u00e8m c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng th\u1eadn<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00e1c giai \u0111o\u1ea1n b\u1ec7nh th\u1eadn m\u1ea1n<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u1ef1a v\u00e0o \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn ho\u1eb7c t\u1eeb \u0111\u1ed9 thanh l\u1ecdc Creatinin \u01b0\u1edbc \u0111o\u00e1n t\u1eeb Cockcroft-Gault.<\/li>\n<\/ul>\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>M\u00f4 t\u1ea3<\/strong><\/td><td><strong>GFR<\/strong> <strong>(mL\/ph\u00fat\/1,73m<sup>2 <\/sup>)<\/strong><\/td><\/tr><tr><td>1<\/td><td>T\u1ed5n th\u01b0\u01a1ng th\u1eadn v\u1edbi GFR b\u00ecnh th\u01b0\u1eddng hay t\u0103ng<\/td><td>&gt;=90<\/td><\/tr><tr><td>2<\/td><td>T\u1ed5n th\u01b0\u01a1ng th\u1eadn v\u1edbi GFR gi\u1ea3m nh\u1eb9<\/td><td>89<\/td><\/tr><tr><td>3<\/td><td>GFR gi\u1ea3m \u0111\u00e1ng k\u1ec3<\/td><td>30-59<\/td><\/tr><tr><td>4<\/td><td>GFR gi\u1ea3m n\u1eb7ng<\/td><td>29<\/td><\/tr><tr><td>5<\/td><td>Suy th\u1eadn<\/td><td>&lt;15 hay l\u1ecdc m\u00e1u<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy th\u1eadn th\u01b0\u1eddng di\u1ec5n bi\u1ebfn \u00e2m th\u1ea7m , kh\u00f4ng r\u00f5 r\u1ec7t n\u00ean khi b\u1ec7nh ti\u1ebfn tri\u1ec3n m\u1edbi ph\u00e1t hi\u1ec7n.<\/li>\n\n\n\n<li>Nh\u1eefng d\u1ea5u hi\u1ec7u tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u th\u01b0\u1eddng d\u1ec5 nh\u1ea7m l\u1eabn v\u1edbi c\u00e1c b\u1ec7nh l\u00fd c\u00e1c c\u01a1 quan kh\u00e1c.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n suy th\u1eadn m\u1ea1n<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00f3 3 nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a suy th\u1eadn m\u1ea1n l\u00e0: B\u1ec7nh c\u1ea7u th\u1eadn, t\u0103ng huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\n\n\n\n<li>Ngo\u00e0i ra c\u00f2n c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0:\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh m\u1ea1ch th\u1eadn<\/li>\n\n\n\n<li>B\u1ec7nh \u1ed1ng k\u1ebb th\u1eadn<\/li>\n\n\n\n<li>B\u1ec7nh \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/li>\n\n\n\n<li>Nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u<\/li>\n\n\n\n<li>T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/li>\n\n\n\n<li>S\u1ecfi ti\u1ebft ni\u1ec7u<\/li>\n\n\n\n<li>C\u00e1c thu\u1ed1c g\u00e2y \u0111\u1ed9c th\u1eadn<\/li>\n\n\n\n<li>B\u00e9o ph\u00ec&#8230;<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ee5t c\u00e2n, Bu\u1ed3n n\u00f4n, n\u00f4n<\/li>\n\n\n\n<li>C\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi, \u0110au \u0111\u1ea7u<\/li>\n\n\n\n<li>N\u1ea5c c\u1ee5c th\u01b0\u1eddng xuy\u00ean, <\/li>\n\n\n\n<li>Ng\u1ee9a<\/li>\n\n\n\n<li>T\u0103ng ho\u1eb7c gi\u1ea3m n\u01b0\u1edbc ti\u1ec3u, Ti\u1ec3u v\u1ec1 \u0111\u00eam<\/li>\n\n\n\n<li>Ph\u00f9 to\u00e0n th\u00e2n, D\u1ec5 b\u1ecb b\u1ea7m ho\u1ea1c ch\u1ea3y m\u00e1u<\/li>\n\n\n\n<li>N\u00f4n ra m\u00e1u, ti\u00eau ph\u00e2n \u0111en<\/li>\n\n\n\n<li>H\u01a1i th\u1edf c\u00f3 m\u00f9i khai<\/li>\n\n\n\n<li>L\u01a1 m\u01a1, ng\u1ee7 g\u00e0<\/li>\n\n\n\n<li>T\u0103ng s\u1eafc t\u1ed1 da<\/li>\n\n\n\n<li>Co r\u00fat, v\u1ecdp b\u1ebb&#8230;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>H\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ki\u1ec3m so\u00e1t t\u1ed1t nguy\u00ean nh\u00e2n b\u1ec7nh th\u1eadn m\u1ea1n gi\u00fap gi\u1ea3m c\u00e1c t\u00e1c nh\u00e2n l\u00e0m gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/li>\n\n\n\n<li>Ng\u0103n ch\u1eb7n ti\u1ebfn tri\u1ec3n suy th\u1eadn<\/li>\n\n\n\n<li>Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng<\/li>\n\n\n\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd k\u00e8m theo<\/li>\n\n\n\n<li>Tr\u00e1nh c\u00e1c thu\u1ed1c \u0111\u1ed9c \u1edf th\u1eadn v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u0111\u1ed9ng c\u1ea7u th\u1eadn<\/li>\n\n\n\n<li>Chu\u1ea9n b\u1ecb c\u00e1c ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf th\u1eadn<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ch\u1ebf \u0111\u1ed9 ch\u0103m s\u00f3c v\u00e0 dinh d\u01b0\u1ee1ng<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Theo d\u00f5i sinh hi\u1ec7u, c\u00e2n n\u1eb7ng<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n\n\n\n<li>Theo d\u00f5i n\u01b0\u1edbc ti\u1ec3u 24h, m\u00e0u s\u1eafc t\u00ednh ch\u1ea5t n\u01b0\u1edbc ti\u1ec3u<\/li>\n\n\n\n<li>Theo d\u00f5i m\u00e0u s\u1eafc, t\u00ednh ch\u1ea5t ph\u00e2n<\/li>\n\n\n\n<li>Theo d\u00f5i nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng cho ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn m\u1ea1n<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng cho ng\u01b0\u1eddi suy th\u1eadn l\u00e0 25-35 kcal\/kg c\u00e2n n\u1eb7ng m\u1ed7i ng\u00e0y t\u00f9y theo tu\u1ed5i, gi\u1edbi t\u00ednh, m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c, th\u00e0nh ph\u1ea7n c\u01a1 th\u1ec3, giai \u0111o\u1ea1n b\u1ec7nh v\u00e0 c\u00e1c b\u1ec7nh \u0111\u1ed3ng m\u1eafc ho\u1eb7c t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ea5p t\u00ednh \u0111ang c\u00f3.<\/li>\n\n\n\n<li>Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng protein, ch\u1ea5t b\u00e9o, kali, h\u1ea1n ch\u1ebf natri, phosphat. Tuy nhi\u00ean, ph\u1ea3i \u0111\u1ea3m b\u1ea3o 4 nh\u00f3m d\u01b0\u1ee1ng ch\u1ea5t quan tr\u1ecdng, thi\u1ebft y\u1ebfu cho c\u01a1 th\u1ec3 nh\u01b0 b\u1ed9t \u0111\u01b0\u1eddng, ch\u1ea5t \u0111\u1ea1m, ch\u1ea5t b\u00e9o, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t.<\/li>\n\n\n\n<li>Ch\u00fa \u00fd l\u01b0\u1ee3ng n\u01b0\u1edbc u\u1ed1ng v\u00e0o b\u1eb1ng l\u01b0\u1ee3ng n\u01b0\u1edbc th\u1ea3i ra trong v\u00f2ng 24 gi\u1edd c\u1ed9ng th\u00eam 300-500 ml.<\/li>\n\n\n\n<li>Tr\u00e1nh th\u1ecbt \u0111\u1ecf, h\u1ea3i s\u1ea3n, da, n\u1ed9i t\u1ea1ng \u0111\u1ed9ng v\u1eadt, \u0111\u1ed3ng th\u1eddi, c\u1ea7n ch\u00fa \u00fd n\u1ea1p nhi\u1ec1u th\u1ef1c ph\u1ea9m gi\u00e0u vitamin v\u00e0 kho\u00e1ng ch\u1ea5t \u0111\u1ec3 b\u1ea3o v\u1ec7 t\u1ebf b\u00e0o v\u00e0 h\u1ed7 tr\u1ee3 s\u1eeda ch\u1eefa c\u00e1c t\u1ed5n th\u01b0\u01a1ng, \u0111\u1ea3m b\u1ea3o c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i, \u00edt toan, \u0111\u1ee7 canxi, \u00edt phosphat.<\/li>\n\n\n\n<li>H\u1ea1n ch\u1ebf l\u01b0\u1ee3ng mu\u1ed1i \u0103n v\u00e0o gi\u00fap ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p, duy tr\u00ec ch\u1ee9c n\u0103ng th\u1eadn l\u00e2u h\u01a1n.<\/li>\n\n\n\n<li>H\u1ea1n ch\u1ebf c\u00e1c lo\u1ea1i rau qu\u1ea3 nhi\u1ec1u kali nh\u01b0 nh\u1eefng lo\u1ea1i tr\u00e1i c\u00e2y kh\u00f4, s\u1ea7u ri\u00eang, m\u01a1, cam, chu\u1ed1i, n\u01b0\u1edbc d\u1eeba&#8230;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1ch ph\u00f2ng ng\u1eeba suy th\u1eadn m\u1ea1n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00ec suy th\u1eadn m\u1ea1n kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n n\u00ean c\u00e1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t v\u1eabn l\u00e0 ng\u0103n ng\u1eeba b\u1ec7nh ngay t\u1eeb \u0111\u1ea7u b\u1eb1ng c\u00e1c th\u00f3i quen s\u1ed1ng l\u00e0nh m\u1ea1nh, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00f4ng u\u1ed1ng nhi\u1ec1u bia r\u01b0\u1ee3u.<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p c\u0169ng nh\u01b0 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/li>\n\n\n\n<li>Th\u01b0\u1eddng xuy\u00ean r\u00e8n luy\u1ec7n th\u1ec3 ch\u1ea5t, \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh.<\/li>\n\n\n\n<li>Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li>\n\n\n\n<li>C\u1ea9n th\u1eadn khi s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng k\u00ea \u0111\u01a1n (m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean th\u1eadn n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u00fang c\u00e1ch).<\/li>\n\n\n\n<li>Kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 h\u00e0ng th\u00e1ng, \u0111\u00fang h\u1eb9n<\/li>\n\n\n\n<li>D\u00f9ng thu\u1ed1c theo \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a B\u00e1c s\u0129<\/li>\n\n\n\n<li>Kh\u00e1m \u0111\u00fang chuy\u00ean khoa<\/li>\n\n\n\n<li>Kh\u00f4ng t\u1ef1 \u00fd b\u1ecf thu\u1ed1c, th\u00eam thu\u1ed1c, t\u0103ng li\u1ec1u<\/li>\n\n\n\n<li>Theo d\u00f5i nh\u1eefng d\u1ea5u hi\u1ebfu b\u1ea5t th\u01b0\u1eddng: <em>&nbsp;<\/em>m\u1ec7t m\u1ecfi,hoa m\u1eaft, ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, ch\u00e1n \u0103n, xanh xao, ph\u00f9, kh\u00f3 th\u1edf, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c&#8230; \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t x\u1eed l\u00fd ngay.<\/li>\n\n\n\n<li>Gi\u1ea3i th\u00edch c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn ho\u1eb7c c\u00f3 h\u01b0\u1edbng m\u1ed5 c\u1ea7u n\u1ed1i \u0111\u1ed9ng &#8211; t\u0129nh m\u1ea1ch t\u1ef1 th\u00e2n (AVF)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[1] <a href=\"https:\/\/tailieuykhoamienphi.com\/pdf-phac-do-dieu-tri-noi-khoa-benh-vien-cho-ray\/\" target=\"_blank\" rel=\"noopener\">Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa &#8211; B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby<\/a>, ph\u1ea7n n\u1ed9i khoa t\u1eadp 1 n\u0103m 2018<br>[2] B\u1ed9 Y t\u1ebf, Quy\u1ebft \u0111\u1ecbnh 2388\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh t\u00e0i li\u1ec7u chuy\u00ean m\u00f4n \u201c<a href=\"https:\/\/trungtamytehocmon.medinet.gov.vn\/van-ban\/quyet-dinh-so-2388qd-byt-ngay-12-thang-8-nam-2024-cua-bo-y-te-ve-huong-dan-chan-vbctmobile13666-181200.aspx\" target=\"_blank\" rel=\"noopener\">H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn m\u1ea1n v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd th\u1eadn<\/a>\u201d<br>[3] Brenner: Brenner and Rector\u2019s The Kidney, 8<sup>th<\/sup> ed., volume 1,section rv, \u201cChoronic kidney disease<br>[4] K\/DOQI clinical practice guidelines for chronic kidney disease: evaluation, classiilcation, and stratiication.Am J Kiddney Dis, 2002. 39(2 Suppi l):p.s-1-266<br>[5] Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh th\u1eadn m\u1ea1n- B\u1ed9 m\u00f4n N\u1ed9i- Khoa Y- \u0110HQG.<br>[6] Brenner B.M, 2012. The Kidney, 9th ed, Vol 1.<br>[7] Braunward, Fauci et al, 2007. Harrison&#8217;s Principles of Internal Medicine, 15th ed.<br>[8]<em> <\/em>Greenberg A, 2009. Primer on Kidney diseases,<br>[9] KDOQI guideline &#8211; Chronic Kidney Disease, 2002. National Kidney Foudation, American Journal of Kidney Disease, 39 (2), Supp 1, p 1-242.<br>[10] KDIGO guidelines 2012. The clinical practice guidelines for evaluation and management of Chronic kidney disease. Kidney International (2012), 3, 1-150<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh th\u1eadn m\u1ea1n hi\u1ec7n nay \u0111ang l\u00e0 g\u00e1nh n\u1eb7ng s\u1ee9c kh\u1ecfe to\u00e0n c\u1ea7u v\u1edbi chi ph\u00ed kinh t\u1ebf cao \u0111\u1ed1i v\u1edbi c\u00e1c h\u1ec7 th\u1ed1ng y t\u1ebf. T\u1ea1i Vi\u1ec7t Nam, hi\u1ec7n c\u00f3 kho\u1ea3ng 0,012% d\u00e2n s\u1ed1 m\u1eafc b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 t\u1ef7 l\u1ec7 n\u00e0y \u0111ang gia t\u0103ng 8,1%\/n\u0103m, trong \u0111\u00f3 c\u00f3 21,000 [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":273168,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282377","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282377","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=282377"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282377\/revisions"}],"predecessor-version":[{"id":295774,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282377\/revisions\/295774"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/273168"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}