{"id":2082,"date":"2022-12-29T13:21:57","date_gmt":"2022-12-29T06:21:57","guid":{"rendered":"https:\/\/hienbacsi.com\/?p=2082"},"modified":"2022-12-29T13:23:26","modified_gmt":"2022-12-29T06:23:26","slug":"10-cau-hoi-thuong-gap-cho-benh-nhan-xo-gan","status":"publish","type":"post","link":"https:\/\/hienbacsi.com\/index.php\/2022\/12\/29\/10-cau-hoi-thuong-gap-cho-benh-nhan-xo-gan\/","title":{"rendered":"10 c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p cho b\u1ec7nh nh\u00e2n x\u01a1 gan"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n
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Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh x\u01a1 gan t\u00f4i nh\u1eadn \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u c\u00e2u h\u1ecfi v\u1ec1 b\u1ec7nh n\u00e0y. M\u1eb7c d\u00f9 th\u00f4ng tin b\u1ec7nh x\u01a1 gan r\u1ea5t nhi\u1ec1u tr\u00ean m\u1ea1ng nh\u01b0ng \u0111\u1ec3 t\u00ecm m\u1ed9t ngu\u1ed3n th\u00f4ng tin ch\u00ednh x\u00e1c, \u0111\u1ea7y \u0111\u1ee7 v\u00e0 d\u1ec5 hi\u1ec3u th\u00ec v\u00f4 c\u00f9ng hi\u1ebfm. B\u1eb1ng kinh nghi\u1ec7m th\u1ef1c ti\u1ec5n k\u1ebft h\u1ee3p v\u1edbi ki\u1ebfn th\u1ee9c c\u1eadp nh\u1eadt t\u1eeb h\u1ed9i Gan M\u1eadt Ch\u00e2u \u00c2u (t\u00f4i l\u00e0 th\u00e0nh vi\u00ean t\u1eeb n\u0103m 2018) nay t\u00f4i xin chia s\u1ebb \u0111\u1ebfn qu\u00fd b\u1ec7nh nh\u00e2n 10 c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p d\u00e0nh cho b\u1ec7nh nh\u00e2n x\u01a1 gan. Trong b\u00e0i vi\u1ebft n\u00e0y, t\u00f4i c\u1ed1 g\u1eafng gi\u1ea3i th\u00edch c\u00e1c thu\u1eadt ng\u1eef y khoa m\u1ed9t c\u00e1ch d\u1ec5 hi\u1ec3u nh\u1ea5t c\u00f3 th\u1ec3 d\u00e0nh cho m\u1ecdi ng\u01b0\u1eddi.<\/p>\n\n\n\n

ThS BS Tr\u1ea7n H\u1eefu Hi\u1ec1n<\/p>\n\n\n\n

T\u1ed1t nghi\u1ec7p b\u1eb1ng DIU \u0111\u1ea1i h\u1ecdc Corse CH Ph\u00e1p<\/p>\n\n\n\n

Th\u00e0nh vi\u00ean h\u1ed9i Nghi\u00ean C\u1ee9u Gan Ch\u00e2u \u00c2u<\/p>\n\n\n\n

Chuy\u00ean \u0111i\u1ec1u tr\u1ecb: x\u01a1 gan, ung th\u01b0 gan, vi\u00eam gan B, vi\u00eam gan C, gan nhi\u1ec5m m\u1ee1, b\u00e9o ph\u00ec, t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, vi\u00eam d\u1ea1 d\u00e0y, nhi\u1ec5m Hp d\u1ea1 d\u00e0y, b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c kh\u00e1ng tr\u1ecb, vi\u00eam ru\u1ed9t, h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch.<\/p>\n\n\n\n

\u0110\u1ecba ch\u1ec9: 399\/15 L\u00fd Th\u00e1i T\u1ed5, ph\u01b0\u1eddng 9, qu\u1eadn 10, Tp HCM<\/p>\n\n\n\n

1. B\u1ec7nh x\u01a1 gan l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

X\u01a1 gan l\u00e0 m\u1ed9t b\u1ec7nh m\u00e0 gan b\u1ecb s\u1eb9o nghi\u00eam tr\u1ecdng, th\u01b0\u1eddng l\u00e0 do t\u1ed5n th\u01b0\u01a1ng li\u00ean t\u1ee5c trong nhi\u1ec1u n\u0103m. C\u00e1c nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a x\u01a1 gan bao g\u1ed3m l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u, vi\u00eam gan B ho\u1eb7c C m\u00e3n t\u00ednh v\u00e0 b\u1ec7nh gan nhi\u1ec5m m\u1ee1 (th\u01b0\u1eddng th\u1ea5y \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u00e9o ph\u00ec ho\u1eb7c ti\u1ec3u \u0111\u01b0\u1eddng). \u1ede giai \u0111o\u1ea1n n\u1eb7ng, x\u01a1 gan th\u01b0\u1eddng kh\u00f4ng th\u1ec3 h\u1ed3i ph\u1ee5c, v\u00ec v\u1eady vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c gh\u00e9p gan.<\/p>\n\n\n\n

2. Nguy\u00ean nh\u00e2n g\u00e2y x\u01a1 gan n\u00e0o ph\u1ed5 bi\u1ebfn?<\/strong><\/p>\n\n\n\n

C\u00f3 nhi\u1ec1u d\u1ea1ng b\u1ec7nh gan c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn x\u01a1 gan, c\u00e1c nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn c\u1ee7a x\u01a1 gan bao g\u1ed3m nh\u1eefng nguy\u00ean nh\u00e2n sau:<\/p>\n\n\n\n

\u25cf L\u1ea1m d\u1ee5ng r\u01b0\u1ee3u l\u00e2u n\u0103m<\/p>\n\n\n\n

\u25cf Vi\u00eam gan si\u00eau vi m\u00e3n t\u00ednh (B ho\u1eb7c C)<\/p>\n\n\n\n

\u25cf Vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u<\/p>\n\n\n\n

\u25cf Hemochromatosis (m\u1ed9t t\u00ecnh tr\u1ea1ng khi\u1ebfn s\u1eaft t\u00edch t\u1ee5 trong gan)<\/p>\n\n\n\n

3. Qu\u00e1 tr\u00ecnh g\u00e2y x\u01a1 gan trong c\u01a1 th\u1ec3 di\u1ec5n ra nh\u01b0 th\u1ebf n\u00e0o?<\/strong><\/p>\n\n\n\n

Gan l\u00e0 m\u1ed9t c\u01a1 quan l\u1edbn (n\u1eb7ng kho\u1ea3ng 1,5kg) n\u1eb1m \u1edf v\u00f9ng b\u1ee5ng tr\u00ean b\u00ean ph\u1ea3i b\u00ean d\u01b0\u1edbi khung x\u01b0\u01a1ng s\u01b0\u1eddn. N\u00f3 th\u1ef1c hi\u1ec7n nhi\u1ec1u ch\u1ee9c n\u0103ng c\u1ea7n thi\u1ebft cho ho\u1ea1t \u0111\u1ed9ng s\u1ed1ng c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n\n\n\n

Gan c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 ph\u1ee5c h\u1ed3i khi b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Tuy nhi\u00ean, qu\u00e1 tr\u00ecnh n\u00e0y t\u1ea1o ra c\u00e1c m\u00f4 s\u1eb9o. Do \u0111\u00f3, t\u1ed5n th\u01b0\u01a1ng gan l\u1eb7p \u0111i l\u1eb7p l\u1ea1i ho\u1eb7c li\u00ean t\u1ee5c (ch\u1eb3ng h\u1ea1n nh\u01b0 khi s\u1eed d\u1ee5ng r\u01b0\u1ee3u m\u1ea1nh) c\u00f3 th\u1ec3 g\u00e2y ra s\u1eb9o \u0111\u00e1ng k\u1ec3 \u1edf gan. C\u01a1 th\u1ec3 c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c m\u1ed9t ph\u1ea7n gan b\u1ecb s\u1eb9o m\u00e0 kh\u00f4ng \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. Cu\u1ed1i c\u00f9ng, s\u1eb9o c\u00f3 th\u1ec3 tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng \u0111\u1ebfn m\u1ee9c gan kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng th\u1ef1c hi\u1ec7n c\u00e1c ch\u1ee9c n\u0103ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a n\u00f3.<\/p>\n\n\n\n

4. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan c\u00f3 bi\u1ec3u hi\u1ec7n g\u00ec?<\/strong><\/p>\n\n\n\n

Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan \u0111\u00f4i khi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, nh\u01b0ng t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t danh s\u00e1ch d\u00e0i c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra, kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 \u0111\u1ec1u x\u1ea3y ra c\u00f9ng nhau. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn bao g\u1ed3m:<\/p>\n\n\n\n

\u25cf Ch\u00e1n \u0103n<\/p>\n\n\n\n

\u25cf Gi\u1ea3m c\u00e2n<\/p>\n\n\n\n

\u25cf Y\u1ebfu ng\u01b0\u1eddi<\/p>\n\n\n\n

\u25cf V\u00e0ng da ho\u1eb7c m\u1eaft<\/p>\n\n\n\n

\u25cf Ng\u1ee9a<\/p>\n\n\n\n

\u25cf D\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean (ch\u1eb3ng h\u1ea1n nh\u01b0 n\u00f4n ra m\u00e1u ho\u1eb7c \u0111i ti\u00eau gi\u1ed1ng nh\u01b0 nh\u1ef1a \u0111\u01b0\u1eddng ho\u1eb7c c\u00f3 l\u1eabn m\u00e1u)<\/p>\n\n\n\n

\u25cf S\u01b0ng \u1edf b\u1ee5ng (do t\u00ecnh tr\u1ea1ng c\u1ed5 tr\u01b0\u1edbng g\u00e2y ra, do d\u1ecbch t\u00edch t\u1ee5 xung quanh c\u00e1c c\u01a1 quan trong b\u1ee5ng)<\/p>\n\n\n\n

\u25cf Thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng, l\u00fa l\u1eabn ho\u1eb7c gi\u1ea5c ng\u1ee7 b\u1ea5t th\u01b0\u1eddng (do m\u1ed9t t\u00ecnh tr\u1ea1ng g\u1ecdi l\u00e0 b\u1ec7nh n\u00e3o gan g\u00e2y ra)<\/p>\n\n\n\n

\u25cf Chu\u1ed9t r\u00fat<\/p>\n\n\n\n

\u25cf Kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u (\u1edf ph\u1ee5 n\u1eef)<\/p>\n\n\n\n

\u25cf R\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, v\u00f4 sinh ho\u1eb7c m\u1ea5t ham mu\u1ed1n t\u00ecnh d\u1ee5c (\u1edf nam gi\u1edbi)<\/p>\n\n\n\n

\u25cf V\u00fa to \u1edf nam gi\u1edbi<\/p>\n\n\n\n

\u25cf T\u0129nh m\u1ea1ch h\u00ecnh sao<\/p>\n\n\n\n

Nh\u1eefng thay \u0111\u1ed5i \u1edf b\u00e0n tay – X\u01a1 gan c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u00e0n tay, khi\u1ebfn l\u00f2ng b\u00e0n tay \u0111\u1ecf l\u00ean, m\u00f3ng tay tr\u1eafng b\u1ec7ch ho\u1eb7c ph\u00e1t tri\u1ec3n c\u00e1c s\u1ecdc tr\u1eafng v\u00e0 c\u00e1c \u0111\u1ea7u ng\u00f3n tay to ra.<\/p>\n\n\n\n

B\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u00e1u – Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan th\u01b0\u1eddng c\u00f3 m\u1ed9t s\u1ed1 b\u1ea5t th\u01b0\u1eddng trong m\u00e1u. V\u00ed d\u1ee5, h\u1ecd c\u00f3 th\u1ec3 c\u00f3 m\u1ee9c \u0111\u1ed9 b\u1ea5t th\u01b0\u1eddng c\u1ee7a m\u1ed9t s\u1ed1 protein v\u00e0 enzym, v\u00e0 m\u00e1u c\u1ee7a h\u1ecd c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u00f4ng nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Th\u00eam v\u00e0o \u0111\u00f3, ch\u00fang kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u00f3 \u0111\u1ee7 c\u00e1c t\u1ebf b\u00e0o m\u00e1u nh\u1ea5t \u0111\u1ecbnh.<\/p>\n\n\n\n

5. T\u0103ng \u00e1p t\u0129nh m\u1ea1ch c\u1eeda l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

X\u01a1 gan c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t v\u1ea5n \u0111\u1ec1 g\u1ecdi l\u00e0 t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda, \u0111\u00f3 l\u00e0 khi huy\u1ebft \u00e1p b\u00ean trong t\u0129nh m\u1ea1ch c\u1eeda, ngu\u1ed3n cung c\u1ea5p m\u00e1u ch\u00ednh cho gan, t\u0103ng qu\u00e1 cao. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra do c\u00e1c v\u1ebft s\u1eb9o trong gan c\u1ea3n tr\u1edf l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111i qua c\u01a1 quan n\u00e0y. Khi \u00e1p l\u1ef1c t\u0103ng l\u00ean, m\u00e1u s\u1ebd tr\u00e0o ng\u01b0\u1ee3c v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u g\u1ea7n \u0111\u00f3, ch\u1ee7 y\u1ebfu th\u1ef1c qu\u1ea3n v\u00e0 ru\u1ed9t.<\/p>\n\n\n\n

6. L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u01a1 gan?<\/strong><\/p>\n\n\n\n

N\u1ebfu b\u00e1c s\u0129 nghi ng\u1edd b\u1ec7nh nh\u00e2n b\u1ecb x\u01a1 gan, h\u1ecd th\u01b0\u1eddng s\u1ebd y\u00eau c\u1ea7u k\u1ef9 thu\u1eadt h\u00ecnh \u1ea3nh v\u00f9ng b\u1ee5ng, th\u01b0\u1eddng l\u00e0 si\u00eau \u00e2m, \u0111\u00f4i khi c\u0169ng c\u1ea7n sinh thi\u1ebft gan, bao g\u1ed3m vi\u1ec7c s\u1eed d\u1ee5ng kim \u0111\u1ec3 l\u1ea5y m\u1eabu m\u00f4 gan \u0111\u1ec3 c\u00f3 th\u1ec3 ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng. Sinh thi\u1ebft c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n thi\u1ebft n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng, x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 h\u00ecnh \u1ea3nh th\u1ea5y r\u00f5 x\u01a1 gan.<\/p>\n\n\n\n

M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u01a1 gan l\u00e0 k\u1ef9 thu\u1eadt fibroscan, s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m \u0111\u1ec3 \u0111o \u0111\u1ed9 c\u1ee9ng c\u1ee7a gan. Ph\u00e9p \u0111o n\u00e0y sau \u0111\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u01b0\u1edbc t\u00ednh c\u00f3 bao nhi\u00eau s\u1eb9o trong gan v\u00e0 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem b\u1ec7nh x\u01a1 gan \u0111\u00e3 ph\u00e1t tri\u1ec3n hay ch\u01b0a.<\/p>\n\n\n\n

7. \u0110i\u1ec1u tr\u1ecb x\u01a1 gan nh\u1eafm v\u00e0o m\u1ee5c ti\u00eau n\u00e0o?<\/strong><\/p>\n\n\n\n

Khi \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan, b\u00e1c s\u0129 chuy\u00ean khoa gan c\u00f3 nh\u1eefng m\u1ee5c ti\u00eau ch\u00ednh sau \u0111\u00e2y:<\/p>\n\n\n\n

\u25cf L\u00e0m ch\u1eadm ho\u1eb7c ti\u1ec7t tr\u1eeb nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh gan<\/p>\n\n\n\n

\u25cf Ng\u0103n ng\u1eeba, x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a x\u01a1 gan<\/p>\n\n\n\n

\u25cf B\u1ea3o v\u1ec7 gan kh\u1ecfi c\u00e1c ngu\u1ed3n g\u00e2y h\u1ea1i kh\u00e1c<\/p>\n\n\n\n

\u25cf Qu\u1ea3n l\u00fd c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 b\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u00e1u<\/p>\n\n\n\n

8. C\u00e1c bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a x\u01a1 gan l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

Khi kh\u1ecfe m\u1ea1nh, gan c\u00f3 nhi\u1ec1u ch\u1ee9c n\u0103ng, trong \u0111\u00f3 c\u00f3 ch\u1ee9c n\u0103ng l\u1ecdc ch\u1ea5t \u0111\u1ed9c ra kh\u1ecfi m\u00e1u, ph\u00e2n h\u1ee7y m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c v\u00e0 r\u01b0\u1ee3u, v\u00e0 t\u1ea1o ra c\u00e1c protein quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u. X\u01a1 gan c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng, m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng x\u1ea3y ra do gan kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng l\u00e0m t\u1ed1t c\u00e1c c\u00f4ng vi\u1ec7c n\u00e0y, v\u00e0 m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng x\u1ea3y ra do d\u00f2ng m\u00e1u qua gan b\u1ecb gi\u00e1n \u0111o\u1ea1n.<\/p>\n\n\n\n

C\u00e1c bi\u1ebfn ch\u1ee9ng ch\u00ednh c\u1ee7a x\u01a1 gan \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n

Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n v\u00e0 xu\u1ea5t huy\u1ebft do gi\u00e3n t\u0129nh m\u1ea1ch – Gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n l\u00e0 c\u00e1c m\u1ea1ch m\u00e1u trong th\u1ef1c qu\u1ea3n b\u1ecb gi\u00e3n ra. C\u00e1c m\u1ea1ch m\u00e1u n\u00e0y s\u01b0ng l\u00ean do d\u00f2ng m\u00e1u ch\u1ea3y qua gan b\u1ecb t\u1eafc ngh\u1ebdn b\u1edfi t\u1ea5t c\u1ea3 c\u00e1c s\u1eb9o, khi\u1ebfn m\u00e1u tr\u00e0o ng\u01b0\u1ee3c l\u00ean c\u00e1c t\u0129nh m\u1ea1ch \u1edf th\u1ef1c qu\u1ea3n v\u00e0 d\u1ea1 d\u00e0y. Khi \u00e1p l\u1ef1c qu\u00e1 cao b\u00ean trong c\u00e1c m\u1ea1ch m\u00e1u n\u00e0y, ch\u00fang c\u00f3 th\u1ec3 v\u1ee1 ra v\u00e0 g\u00e2y ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng (g\u1ecdi l\u00e0 xu\u1ea5t huy\u1ebft gi\u00e3n t\u0129nh m\u1ea1ch).<\/p>\n\n\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a b\u1ec7nh xu\u1ea5t huy\u1ebft t\u0129nh m\u1ea1ch l\u00e0 n\u00f4n ra m\u00e1u ho\u1eb7c \u0111i ti\u00eau c\u00f3 m\u00e1u ho\u1eb7c tr\u00f4ng gi\u1ed1ng nh\u01b0 h\u1eafc \u00edn (cho th\u1ea5y s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u00e1u trong ph\u00e2n).<\/p>\n\n\n\n

C\u1ed5 tr\u01b0\u1edbng (s\u01b0ng b\u1ee5ng) \u2013 Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan th\u01b0\u1eddng b\u1ecb t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng trong b\u1ee5ng. T\u00ecnh tr\u1ea1ng n\u00e0y, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u1ed5 tr\u01b0\u1edbng, khi\u1ebfn b\u1ee5ng s\u01b0ng l\u00ean. C\u1ed5 tr\u01b0\u1edbng c\u0169ng c\u00f3 th\u1ec3 khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf ho\u1eb7c ch\u01b0\u1edbng b\u1ee5ng. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ed5 tr\u01b0\u1edbng, b\u00e1c s\u0129 chuy\u00ean khoa gan s\u1ebd k\u00ea \u0111\u01a1n c\u00e1c thu\u1ed1c g\u1ecdi l\u00e0 thu\u1ed1c l\u1ee3i ti\u1ec3u, gi\u00fap c\u01a1 th\u1ec3 b\u00e0i ti\u1ebft ch\u1ea5t l\u1ecfng d\u01b0 th\u1eeba. H\u1ecd c\u0169ng khuy\u1ebfn ngh\u1ecb nh\u1eefng ng\u01b0\u1eddi m\u1eafc ch\u1ee9ng b\u1ec7nh n\u00e0y n\u00ean gi\u1ea3m l\u01b0\u1ee3ng natri ti\u00eau th\u1ee5. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, b\u00e1c s\u0129 chuy\u00ean khoa gan s\u1ebd h\u00fat ch\u1ea5t l\u1ecfng ra kh\u1ecfi \u1ed5 b\u1ee5ng b\u1eb1ng m\u1ed9t k\u1ef9 thu\u1eadt g\u1ecdi l\u00e0 ch\u1ecdc h\u00fat d\u1ecbch.<\/p>\n\n\n\n

Nhi\u1ec5m tr\u00f9ng khoang b\u1ee5ng – Nh\u1eefng ng\u01b0\u1eddi b\u1ecb c\u1ed5 tr\u01b0\u1edbng \u0111\u00f4i khi b\u1ecb nhi\u1ec5m tr\u00f9ng ch\u1ea5t d\u1ecbch, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam ph\u00fac m\u1ea1c do vi khu\u1ea9n t\u1ef1 ph\u00e1t. Nh\u1eefng b\u1ec7nh nhi\u1ec5m tr\u00f9ng n\u00e0y kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng, nh\u01b0ng khi ch\u00fang x\u1ea3y ra, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m s\u1ed1t, \u0111au b\u1ee5ng ho\u1eb7c \u0111au, v\u00e0 l\u00fa l\u1eabn. B\u00e1c s\u0129 chuy\u00ean khoa ch\u1ea9n \u0111o\u00e1n nh\u1eefng b\u1ec7nh nhi\u1ec5m tr\u00f9ng n\u00e0y b\u1eb1ng c\u00e1ch h\u00fat ch\u1ea5t l\u1ecfng trong b\u1ee5ng b\u1eb1ng kim v\u00e0 ki\u1ec3m tra s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a vi khu\u1ea9n v\u00e0 c\u00e1c t\u1ebf b\u00e0o b\u1ea1ch c\u1ea7u. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh v\u00e0 thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ec3 gi\u1ea3m t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng trong b\u1ee5ng. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng n\u00e0y \u0111\u00f4i khi c\u0169ng ph\u1ea3i ng\u1eebng d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u00e0o ng\u01b0\u1ee3c axit. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y ng\u0103n ch\u1eb7n vi\u1ec7c s\u1ea3n xu\u1ea5t axit d\u1ea1 d\u00e0y. V\u00ec axit trong d\u1ea1 d\u00e0y l\u00e0 m\u1ed9t trong nh\u1eefng c\u00e1ch c\u01a1 th\u1ec3 t\u1ef1 b\u1ea3o v\u1ec7 kh\u1ecfi vi khu\u1ea9n, nh\u1eefng ng\u01b0\u1eddi b\u1ecb c\u1ed5 tr\u01b0\u1edbng d\u00f9ng nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 nguy c\u01a1 b\u1ecb nhi\u1ec5m tr\u00f9ng cao h\u01a1n.<\/p>\n\n\n\n

B\u1ec7nh n\u00e3o gan – X\u01a1 gan c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn ch\u1ee9c n\u0103ng n\u00e3o. M\u1ed9t gi\u1ea3i th\u00edch l\u00e0 c\u00e1c ch\u1ea5t \u0111\u1ed9c t\u00edch t\u1ee5 trong m\u00e1u khi gan b\u1ecb tr\u1ee5c tr\u1eb7c, c\u00f3 th\u1ec3 can thi\u1ec7p v\u00e0o c\u00e1c qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng c\u1ee7a n\u00e3o. B\u1ec7nh n\u00e3o gan l\u00e0 thu\u1eadt ng\u1eef y khoa ch\u1ec9 s\u1ef1 gi\u00e1n \u0111o\u1ea1n ch\u1ee9c n\u0103ng n\u00e3o do b\u1ec7nh gan g\u00e2y ra. N\u00f3 c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n nh\u01b0 r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 (ng\u1ee7 qu\u00e1 nhi\u1ec1u, qu\u00e1 \u00edt ho\u1eb7c ng\u1ee7 ban ng\u00e0y); thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng ho\u1eb7c t\u00ednh c\u00e1ch; kh\u00f3 t\u1eadp trung ho\u1eb7c suy ngh\u0129 r\u00f5 r\u00e0ng; ho\u1eb7c n\u00f3i l\u1eafp.<\/p>\n\n\n\n

B\u1ec7nh n\u00e3o gan \u0111\u00f4i khi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng n\u00e3o b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch ki\u1ec3m so\u00e1t c\u00e1c t\u00e1c nh\u00e2n k\u00edch ho\u1ea1t ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec5m tr\u00f9ng v\u00e0 ch\u1ea3y m\u00e1u, ho\u1eb7c d\u00f9ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, ch\u1eb3ng h\u1ea1n nh\u01b0 lactulose (s\u1ebd l\u00e0m m\u1ec1m ph\u00e2n) ho\u1eb7c kh\u00e1ng sinh g\u1ecdi l\u00e0 rifaximin.<\/p>\n\n\n\n

H\u1ed9i ch\u1ee9ng gan th\u1eadn l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh th\u1eadn do x\u01a1 gan. N\u00f3 x\u1ea3y ra m\u1ed9t ph\u1ea7n do d\u00f2ng m\u00e1u b\u1ecb gi\u00e1n \u0111o\u1ea1n qua gan h\u1ea1n ch\u1ebf l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn.<\/p>\n\n\n\n

H\u1ed9i ch\u1ee9ng gan th\u1eadn kh\u00f4ng nh\u1ea5t thi\u1ebft g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng, m\u1eb7c d\u00f9 n\u00f3 c\u00f3 th\u1ec3 khi\u1ebfn m\u1ed9t s\u1ed1 ng\u01b0\u1eddi \u0111i ti\u1ec3u \u00edt h\u01a1n b\u00ecnh th\u01b0\u1eddng. T\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u. H\u1ed9i ch\u1ee9ng gan th\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch c\u1ed1 g\u1eafng c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng gan (v\u00ed d\u1ee5: ng\u1eebng r\u01b0\u1ee3u ho\u1eb7c \u0111i\u1ec1u tr\u1ecb vi\u00eam gan \"\ud83d\ude0e\". N\u1ebfu ch\u1ee9c n\u0103ng gan kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, th\u01b0\u1eddng c\u1ea7n gh\u00e9p gan.<\/p>\n\n\n\n

C\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 ph\u1ed5i v\u00e0 tim – X\u01a1 gan v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan m\u00e0 n\u00f3 g\u00e2y ra v\u1edbi h\u1ec7 tu\u1ea7n ho\u00e0n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u1ed5i v\u00e0 tim. Khi c\u00e1c c\u01a1 quan n\u00e0y b\u1ecb \u1ea3nh h\u01b0\u1edfng, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb m\u1ec7t m\u1ecfi, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c.<\/p>\n\n\n\n

Ung th\u01b0 gan – Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan c\u00f3 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 gan, \u0111\u1eb7c bi\u1ec7t n\u1ebfu x\u01a1 gan c\u1ee7a h\u1ecd l\u00e0 do vi\u00eam gan B, vi\u00eam gan C, vi\u00eam gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u ho\u1eb7c b\u1ec7nh huy\u1ebft s\u1eafc t\u1ed1. Do nguy c\u01a1 gia t\u0103ng n\u00e0y, nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan n\u00ean si\u00eau \u00e2m s\u00e1u th\u00e1ng m\u1ed9t l\u1ea7n \u0111\u1ec3 ki\u1ec3m tra c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a ung th\u01b0.<\/p>\n\n\n\n

Khi ung th\u01b0 gan l\u1ea7n \u0111\u1ea7u ti\u00ean ph\u00e1t tri\u1ec3n, n\u00f3 th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng. Khi ti\u1ebfn tri\u1ec3n, n\u00f3 c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a x\u01a1 gan ho\u1eb7c g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au, nhanh no v\u00e0 v\u00e0ng da.<\/p>\n\n\n\n

9. B\u1ec7nh nh\u00e2n gan c\u1ea7n l\u00e0m g\u00ec \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u00e1c y\u1ebfu t\u1ed1 l\u00e0m n\u1eb7ng th\u00eam cho gan?<\/strong><\/p>\n\n\n\n

Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan ph\u1ea3i h\u1ebft s\u1ee9c c\u1ea9n th\u1eadn trong vi\u1ec7c b\u1ea3o v\u1ec7 gan c\u1ee7a h\u1ecd kh\u1ecfi b\u1ea5t c\u1ee9 \u0111i\u1ec1u c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho gan c\u1ee7a h\u1ecd.<\/p>\n\n\n\n

Thu\u1ed1c ch\u1ee7ng ng\u1eeba \u0111\u1ec3 b\u1ea3o v\u1ec7 gan – Thu\u1ed1c ch\u1ee7ng ng\u1eeba vi\u00eam gan A v\u00e0 B cho nh\u1eefng ng\u01b0\u1eddi ch\u01b0a c\u00f3 mi\u1ec5n d\u1ecbch c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng th\u00eam cho gan. B\u1edfi v\u00ec nhi\u1ec5m tr\u00f9ng c\u00f3 th\u1ec3 \u0111\u1eb7c bi\u1ec7t kh\u00f3 kh\u0103n v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i ti\u00eam c\u00e1c lo\u1ea1i v\u1eafc xin kh\u00e1c, bao g\u1ed3m v\u1eafc xin \u0111\u1ec3 b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i b\u1ec7nh c\u00fam (m\u1ed7i n\u0103m m\u1ed9t l\u1ea7n), vi\u00eam ph\u1ed5i (\u00edt nh\u1ea5t m\u1ed9t l\u1ea7n), b\u1ea1ch h\u1ea7u v\u00e0 u\u1ed1n v\u00e1n (10 n\u0103m m\u1ed9t l\u1ea7n), v\u00e0 ho g\u00e0 (m\u1ed9t l\u1ea7n khi tr\u01b0\u1edfng th\u00e0nh).<\/p>\n\n\n\n

Tr\u00e1nh r\u01b0\u1ee3u v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho gan – Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan n\u00ean tr\u00e1nh t\u1ea5t c\u1ea3 c\u00e1c ch\u1ea5t \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 g\u00e2y h\u1ea1i cho gan. \u0110i\u1ec1u n\u00e0y bao g\u1ed3m:<\/p>\n\n\n\n

\u25cf R\u01b0\u1ee3u<\/p>\n\n\n\n

\u25cf Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid, ch\u1eb3ng h\u1ea1n nh\u01b0 ibuprofen v\u00e0 naproxen<\/p>\n\n\n\n

\u25cf M\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m b\u1ed5 sung<\/p>\n\n\n\n

\u25cf M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n<\/p>\n\n\n\n

Ngo\u00e0i ra, nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan d\u00f9ng acetaminophen kh\u00f4ng n\u00ean d\u00f9ng qu\u00e1 2.000 miligam m\u1ed7i ng\u00e0y (b\u1ed1n vi\u00ean). Nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n v\u00e0 thu\u1ed1c k\u00ea \u0111\u01a1n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ea3m l\u1ea1nh, s\u1ed1t, \u0111au v\u00e0 c\u00e1c b\u1ec7nh th\u00f4ng th\u01b0\u1eddng kh\u00e1c c\u00f3 ch\u1ee9a acetaminophen, v\u00ec v\u1eady \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i ki\u1ec3m tra nh\u00e3n c\u1ee7a b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o c\u00f3 th\u00e0nh ph\u1ea7n acetaminophen v\u00e0 c\u1ed9ng s\u1ed1 miligam m\u1ed7i lo\u1ea1i thu\u1ed1c ch\u1ee9a acetaminophen. .<\/p>\n\n\n\n

D\u00f9ng \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c cho ng\u01b0\u1eddi b\u1ecb b\u1ec7nh gan – Ngo\u00e0i vi\u1ec7c c\u1ea7n tr\u00e1nh m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t g\u00e2y nghi\u1ec7n, nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan \u0111\u00f4i khi c\u1ea7n gi\u1ea3m li\u1ec1u thu\u1ed1c so v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 gan kh\u1ecfe m\u1ea1nh. \u0110\u00f3 l\u00e0 b\u1edfi v\u00ec m\u1ed9t trong nh\u1eefng c\u00f4ng vi\u1ec7c c\u1ee7a gan l\u00e0 ph\u00e2n h\u1ee7y thu\u1ed1c v\u00e0 \u0111\u00e0o th\u1ea3i ch\u00fang ra kh\u1ecfi m\u00e1u. Khi gan ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng t\u1ed1t, nh\u1eefng lo\u1ea1i thu\u1ed1c \u0111\u00f3 c\u00f3 th\u1ec3 t\u00edch t\u1ee5 trong c\u01a1 th\u1ec3 v\u00e0 tr\u1edf th\u00e0nh ch\u1ea5t \u0111\u1ed9c.<\/p>\n\n\n\n

Ri\u00eang bi\u1ec7t, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a x\u01a1 gan. V\u00ed d\u1ee5 nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c g\u1ecdi l\u00e0 benzodiazepines \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m lo l\u1eafng, c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh n\u00e3o gan.<\/p>\n\n\n\n

10. C\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 b\u1ea5t th\u01b0\u1eddng v\u1ec1 m\u00e1u \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan th\u01b0\u1eddng g\u1eb7p l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

Chu\u1ed9t r\u00fat – Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan \u0111\u00f4i khi b\u1ecb chu\u1ed9t r\u00fat c\u01a1, c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng.<\/p>\n\n\n\n

Tho\u00e1t v\u1ecb r\u1ed1n – Tho\u00e1t v\u1ecb r\u1ed1n l\u00e0 m\u1ed9t kh\u1ed1i s\u01b0ng ho\u1eb7c ph\u1ed3ng h\u00ecnh th\u00e0nh \u1edf r\u1ed1n. Lo\u1ea1i tho\u00e1t v\u1ecb n\u00e0y x\u1ea3y ra khi l\u1edbp m\u00f4 c\u1ee9ng th\u01b0\u1eddng ch\u1ee9a c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng – \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u00e0nh b\u1ee5ng – tr\u1edf n\u00ean y\u1ebfu. Khi th\u00e0nh b\u1ee5ng nh\u01b0\u1eddng ch\u1ed7, c\u00e1c ch\u1ea5t trong b\u1ee5ng b\u1eaft \u0111\u1ea7u \u0111\u1ea9y qua, t\u1ea1o ra m\u1ed9t ch\u1ed7 ph\u1ed3ng.<\/p>\n\n\n\n

H\u1ea1 natri m\u00e1u – H\u1ea1 natri m\u00e1u l\u00e0 thu\u1eadt ng\u1eef y khoa \u0111\u1ec3 ch\u1ec9 “qu\u00e1 \u00edt natri trong m\u00e1u.” Nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan ti\u1ebfn tri\u1ec3n th\u01b0\u1eddng ph\u00e1t tri\u1ec3n h\u1ea1 natri m\u00e1u, v\u00e0 n\u00f3 c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng.<\/p>\n\n\n\n

Natri l\u00e0 m\u1ed9t trong nhi\u1ec1u ch\u1ea5t \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i gi\u00fap mang t\u00edn hi\u1ec7u \u0111i\u1ec7n gi\u1eefa c\u00e1c t\u1ebf b\u00e0o. \u0110i\u1ec1u \u0111\u00f3 quan tr\u1ecdng v\u00ec nhi\u1ec1u t\u1ebf b\u00e0o d\u1ef1a v\u00e0o t\u00edn hi\u1ec7u \u0111i\u1ec7n \u0111\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. Natri c\u0169ng gi\u00fap gi\u1eef \u0111\u00fang l\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng b\u00ean trong t\u1ebf b\u00e0o. Duy tr\u00ec n\u1ed3ng \u0111\u1ed9 natri th\u00edch h\u1ee3p trong c\u01a1 th\u1ec3 l\u00e0 r\u1ea5t quan tr\u1ecdng. Th\u1eadt kh\u00f4ng may, vi\u1ec7c kh\u00f4i ph\u1ee5c m\u1ee9c natri b\u00ecnh th\u01b0\u1eddng \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan v\u00e0 h\u1ea1 natri m\u00e1u l\u00e0 r\u1ea5t kh\u00f3 th\u1ef1c hi\u1ec7n. Th\u01b0\u1eddng th\u00ec h\u1ea1 natri m\u00e1u b\u00e1o tr\u01b0\u1edbc s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i gh\u00e9p gan.<\/p>\n\n\n\n

C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u – M\u00e1u c\u1ee7a nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan th\u01b0\u1eddng kh\u00f4ng \u0111\u00f4ng nh\u01b0 b\u00ecnh th\u01b0\u1eddng. \u0110\u00f3 l\u00e0 b\u1edfi v\u00ec gan ch\u1ecbu tr\u00e1ch nhi\u1ec7m t\u1ea1o ra nhi\u1ec1u protein v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c \u0111i\u1ec1u ph\u1ed1i s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng. \u0110\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1, v\u00ec n\u00f3 khi\u1ebfn nh\u1eefng ng\u01b0\u1eddi b\u1ecb x\u01a1 gan c\u00f3 nguy c\u01a1 b\u1ecb ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t n\u1ebfu h\u1ecd c\u0169ng b\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n.<\/p>\n\n\n\n

M\u1ed9t s\u1ed1 ng\u01b0\u1eddi g\u1eb7p v\u1ea5n \u0111\u1ec1 khi t\u0103ng t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng \u1edf nh\u1eefng n\u01a1i kh\u00f4ng c\u1ea7n thi\u1ebft. N\u01a1i th\u01b0\u1eddng x\u1ea3y ra hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y l\u00e0 trong t\u0129nh m\u1ea1ch l\u1edbn d\u1eabn \u0111\u1ebfn gan (g\u1ecdi l\u00e0 t\u0129nh m\u1ea1ch c\u1eeda). C\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong t\u0129nh m\u1ea1ch c\u1eeda c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda n\u1eb7ng h\u01a1n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn d\u00e3n t\u0129nh m\u1ea1ch trong th\u1ef1c qu\u1ea3n ho\u1eb7c d\u1ea1 d\u00e0y.<\/p>\n","protected":false},"excerpt":{"rendered":"

Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh x\u01a1 gan t\u00f4i nh\u1eadn \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u c\u00e2u h\u1ecfi v\u1ec1 b\u1ec7nh n\u00e0y. M\u1eb7c d\u00f9 th\u00f4ng tin b\u1ec7nh x\u01a1 gan r\u1ea5t nhi\u1ec1u tr\u00ean m\u1ea1ng nh\u01b0ng…<\/p>\n","protected":false},"author":1,"featured_media":2083,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[44],"tags":[52,51],"jetpack_featured_media_url":"https:\/\/hienbacsi.com\/wp-content\/uploads\/2022\/12\/196427873_2307896476014523_7474767205914679856_n.jpeg","_links":{"self":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2082"}],"collection":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/comments?post=2082"}],"version-history":[{"count":2,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2082\/revisions"}],"predecessor-version":[{"id":2087,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2082\/revisions\/2087"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media\/2083"}],"wp:attachment":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media?parent=2082"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/categories?post=2082"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/tags?post=2082"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}