{"id":2986,"date":"2024-06-25T22:03:31","date_gmt":"2024-06-25T15:03:31","guid":{"rendered":"https:\/\/hienbacsi.com\/?p=2986"},"modified":"2024-06-25T22:03:42","modified_gmt":"2024-06-25T15:03:42","slug":"12-kien-thuc-cot-loi-tu-kinh-nghiem-va-y-hoc-chung-cu-trong-dieu-tri-benh-than-dai-thao-duong","status":"publish","type":"post","link":"https:\/\/hienbacsi.com\/index.php\/2024\/06\/25\/12-kien-thuc-cot-loi-tu-kinh-nghiem-va-y-hoc-chung-cu-trong-dieu-tri-benh-than-dai-thao-duong\/","title":{"rendered":"12 ki\u1ebfn th\u1ee9c c\u1ed1t l\u00f5i t\u1eeb kinh nghi\u1ec7m v\u00e0 y h\u1ecdc ch\u1ee9ng c\u1ee9 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"\n

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

T\u1ed1t nghi\u1ec7p b\u1eb1ng DIU \u0110H CORSE C\u1ed9ng Ho\u00e0 Ph\u00e1p<\/strong><\/p>\n\n\n\n

B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb khoa N\u1ed9i b\u1ec7nh vi\u1ec7n qu\u1ed1c t\u1ebf Vinmec tp HCM<\/strong><\/p>\n\n\n\n

\u0110\u1eb7t l\u1ecbch kh\u00e1m zalo 0987842200<\/strong><\/p>\n\n\n\n

1. B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 s\u1ef1 b\u00e0i ti\u1ebft albumin trong n\u01b0\u1edbc ti\u1ec3u t\u0103ng d\u1ea7n trong nhi\u1ec1u n\u0103m, k\u00e8m theo huy\u1ebft \u00e1p t\u0103ng ch\u1eadm v\u00e0 t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (GFR) gi\u1ea3m.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

2. Nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch t\u0103ng khi albumin ni\u1ec7u t\u0103ng.<\/p>\n\n\n\n

\"\"
ThS BS Tr\u1ea7n H\u1eefu Hi\u1ec1n chuy\u00ean \u0111i\u1ec1u tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan.<\/figcaption><\/figure>\n\n\n\n

3. M\u1ed9t ph\u1ea7n ba s\u1ed1 ng\u01b0\u1eddi m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng s\u1ebd ti\u1ebfn tri\u1ec3n th\u00e0nh t\u0103ng n\u1eb7ng albumin ni\u1ec7u v\u00e0 c\u00f3 nguy c\u01a1 cao ti\u1ebfn tri\u1ec3n th\u00e0nh b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (ESKD).<\/p>\n\n\n\n

4. C\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan ch\u1eb7t ch\u1ebd nh\u1ea5t \u0111\u1ebfn s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn l\u00e0 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 huy\u1ebft \u00e1p d\u01b0\u1edbi m\u1ee9c t\u1ed1i \u01b0u c\u0169ng nh\u01b0 albumin ni\u1ec7u n\u1ec1n.<\/p>\n\n\n\n

5. Vi\u1ec7c s\u00e0ng l\u1ecdc b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n h\u00e0ng n\u0103m b\u1eb1ng c\u00e1ch \u0111o t\u1ef7 l\u1ec7 albumin\/creatinine trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 GFR \u01b0\u1edbc t\u00ednh (eGFR).<\/p>\n\n\n\n

6. Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 huy\u1ebft \u00e1p t\u1ed1i \u01b0u l\u00e0 y\u1ebfu t\u1ed1 ch\u00eca kh\u00f3a \u0111\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh th\u1eadn.<\/p>\n\n\n\n

7. N\u1ebfu c\u00f3 l\u01b0\u1ee3ng albumin ni\u1ec7u t\u0103ng v\u1eeba ph\u1ea3i ho\u1eb7c cao, n\u00ean b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf h\u1ec7 th\u1ed1ng renin-angiotensin v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u0111\u1ebfn li\u1ec1u t\u1ed1i \u0111a c\u00f3 th\u1ec3 dung n\u1ea1p \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n

8. Duy tr\u00ec huy\u1ebft \u00e1p \u1edf m\u1ee9c 120\u2013130\/75 mmHg, ph\u1ed1i h\u1ee3p th\u00eam c\u00e1c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p kh\u00e1c n\u1ebfu c\u1ea7n thi\u1ebft s\u1ebd l\u00e0m gi\u1ea3m t\u1ed1c \u0111\u1ed9 gi\u1ea3m GFR h\u00e0ng n\u0103m t\u1eeb 10-12 xu\u1ed1ng 3\u20135 ml\/ph\u00fat\/1,73 m2.<\/p>\n\n\n\n

9. Gi\u1ea3m l\u01b0\u1ee3ng protein trong ch\u1ebf \u0111\u1ed9 \u0103n xu\u1ed1ng 0,8 g\/kg th\u1ec3 tr\u1ecdng\/ng\u00e0y c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n\n\n\n

\"\"
C\u01a1 ch\u1ebf b\u1ec7nh sinh b\u1ec7nh th\u1eadn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/figcaption><\/figure>\n\n\n\n

10. Ki\u1ec3m so\u00e1t t\u00edch c\u1ef1c c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c v\u00e0 d\u00f9ng aspirin l\u00e0m gi\u1ea3m t\u1ef7 l\u1ec7 m\u1eafc c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch v\u00e0 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn kho\u1ea3ng 60%.<\/p>\n\n\n\n

11. Thu\u1ed1c \u1ee9c ch\u1ebf ch\u1ea5t \u0111\u1ed3ng v\u1eadn chuy\u1ec3n natri-glucose 2 l\u00e0m ch\u1eadm s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn v\u00e0 gi\u1ea3m c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch, nh\u1eadp vi\u1ec7n v\u00ec suy tim v\u00e0 t\u1eed vong \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng t\u00edp 2 v\u00e0 b\u1ec7nh th\u1eadn m\u00e0 kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ef1 thay \u0111\u1ed5i c\u1ee7a glucose.<\/p>\n\n\n\n

12. Suy th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t d\u1eabn \u0111\u1ebfn ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n\n\n\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

ThS BS Tr\u1ea7n H\u1eefu Hi\u1ec1n T\u1ed1t nghi\u1ec7p b\u1eb1ng DIU \u0110H CORSE C\u1ed9ng Ho\u00e0 Ph\u00e1p B\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb khoa N\u1ed9i b\u1ec7nh vi\u1ec7n qu\u1ed1c t\u1ebf Vinmec tp HCM \u0110\u1eb7t l\u1ecbch kh\u00e1m…<\/p>\n","protected":false},"author":1,"featured_media":2984,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[47],"tags":[67,103,77],"jetpack_featured_media_url":"https:\/\/hienbacsi.com\/wp-content\/uploads\/2024\/06\/img_1338-1-scaled.jpg","_links":{"self":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2986"}],"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=2986"}],"version-history":[{"count":2,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2986\/revisions"}],"predecessor-version":[{"id":2988,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/2986\/revisions\/2988"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media\/2984"}],"wp:attachment":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media?parent=2986"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/categories?post=2986"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/tags?post=2986"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}