{"id":11452,"date":"2018-11-20T08:16:50","date_gmt":"2018-11-20T01:16:50","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/xet-nghiem-danh-gia-do-loc-cau-than\/"},"modified":"2024-03-17T03:12:03","modified_gmt":"2024-03-16T20:12:03","slug":"xet-nghiem-danh-gia-do-loc-cau-than","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/xet-nghiem-danh-gia-do-loc-cau-than\/","title":{"rendered":"X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn"},"content":{"rendered":"<p>Ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi m\u1ed9t s\u1ed1 b\u1ec7nh t\u1eadt hay tr\u1ea1ng th\u00e1i c\u01a1 th\u1ec3 nh\u1ea5t \u0111\u1ecbnh ho\u1eb7c t\u00e1c d\u1ee5ng c\u1ee7a m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c. X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (eGFR) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00f4ng ph\u1ea3i \u0111\u1ec3 tr\u1ef1c ti\u1ebfp ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh v\u1ec1 th\u1eadn m\u00e0 nh\u1eb1m \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn c\u00f3 t\u1ed1t hay kh\u00f4ng.<\/p>\n<p style=\"text-align: center\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 400px;height: 300px\" src=\"\/\/yhoccongdong.org\/Documents\/2212_xet-nghiem-danh-gia-do-loc-cau-than.jpg\" alt=\"C\u1ea7u th\u1eadn\" \/><\/p>\n<p style=\"text-align: center\"><em> C\u1ea7u th\u1eadn (Ngu\u1ed3n \u1ea3nh:\u00a0activhealth.com) <\/em><\/p>\n<h2 id=\"xet-nghiem-danh-gia-do-loc-cau-than-la-nhu-the-nao\">X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn l\u00e0 nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 <strong>\u0111\u00e1nh gi\u00e1 th\u1eadn c\u1ee7a b\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u00f3 t\u1ed1t hay kh\u00f4ng<\/strong> b\u1eb1ng c\u00e1ch \u0111o l\u01b0\u1eddng l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c l\u1ecdc b\u1edfi th\u1eadn trong m\u1ed9t kho\u1ea3ng th\u1eddi gian ki\u1ec3m tra nh\u1ea5t \u0111\u1ecbnh (\u0111o m\u1ed9t c\u00e1ch gi\u00e1n ti\u1ebfp th\u00f4ng qua vi\u1ec7c \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 thanh l\u1ecdc c\u1ee7a m\u1ed9t s\u1ed1 ch\u1ea5t trong m\u00e1u nh\u01b0 creatinine, ure). Trong c\u1ea5u tr\u00fac th\u1eadn, c\u00e1c c\u1ea7u th\u1eadn l\u00e0 b\u1ed9 ph\u1eadn ch\u1ee9c n\u0103ng l\u00e0m nhi\u1ec7m v\u1ee5 l\u1ecdc m\u00e1u n\u00ean x\u00e9t nghi\u1ec7m c\u00f3 t\u00ean l\u00e0 <strong>\u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn<\/strong>. Tr\u01b0\u1eddng h\u1ee3p c\u1ea7u th\u1eadn kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c \u0111\u1ea7y \u0111\u1ee7 ch\u1ee9c n\u0103ng l\u1ecdc m\u00e1u s\u1ebd d\u1eabn \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn.<\/p>\n<p>X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua k\u1ef9 thu\u1eadt \u0111o l\u01b0\u1ee3ng creatinine trong m\u00e1u. Creatinine l\u00e0 s\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c t\u1ea1o ra trong qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng c\u1ee7a c\u01a1 b\u1eafp. Th\u00f4ng th\u01b0\u1eddng, th\u1eadn s\u1ebd th\u1ef1c hi\u1ec7n vi\u1ec7c l\u1ecdc b\u1ecf th\u00e0nh ph\u1ea7n creatinine n\u00e0y ra kh\u1ecfi m\u00e1u. Tuy nhi\u00ean, n\u1ebfu hai qu\u1ea3 th\u1eadn ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng t\u1ed1t s\u1ebd d\u1eabn \u0111\u1ebfn l\u01b0\u1ee3ng creatinine c\u00f2n t\u1ed3n d\u01b0 trong m\u00e1u cao. Do t\u00ecnh tr\u1ea1ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1eadn c\u00f2n b\u1ecb t\u00e1c \u0111\u1ed9ng b\u1edfi nhi\u1ec1u y\u1ebfu t\u1ed1, trong \u0111\u00f3 c\u00f3 tr\u1ea1ng th\u00e1i c\u1ee7a c\u01a1 th\u1ec3, n\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o \u0111\u1ed9 ch\u00ednh x\u00e1c, k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u0111\u01b0\u1ee3c t\u00ednh to\u00e1n theo c\u00f4ng th\u1ee9c d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 \u0111o l\u01b0\u1ee3ng creatinine trong m\u00e1u v\u00e0 xem x\u00e9t c\u00f9ng v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 v\u1ec1 tu\u1ed5i t\u00e1c, gi\u1edbi t\u00ednh c\u1ee7a ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m.<\/p>\n<h2 id=\"cac-giai-doan-chuc-nang-cua-than\">C\u00e1c giai \u0111o\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn<\/h2>\n<p>D\u1ef1a v\u00e0o k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn v\u00e0 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m c\u01a1 th\u1ec3 kh\u00e1c, ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn \u0111\u01b0\u1ee3c chia l\u00e0m 5 giai \u0111o\u1ea1n:<\/p>\n<table style=\"width: 600px\" border=\"1\" cellspacing=\"1\" cellpadding=\"1\">\n<tbody>\n<tr>\n<td><strong> C\u00e1c giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh th\u1eadn m\u1ea1n <\/strong><\/td>\n<td><strong> eGFR (ml\/ph\u00fat\/1.73 m2) <\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong> Giai \u0111o\u1ea1n 1<\/strong>: K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn cho th\u1ea5y <strong>th\u1eadn ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng<\/strong> nh\u01b0ng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u00e3 nh\u1eadn bi\u1ebft th\u1ea5y c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng, d\u1ea5u hi\u1ec7u b\u1ec7nh t\u1eadt ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng \u1edf th\u1eadn. V\u00ed d\u1ee5: c\u00f3 xu\u1ea5t hi\u1ec7n m\u00e1u trong n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c n\u1ed3ng \u0111\u1ed9 protein cao trong n\u01b0\u1edbc ti\u1ec3u, hi\u1ec7n t\u01b0\u1ee3ng b\u1ea5t th\u01b0\u1eddng hay tri\u1ec7u ch\u1ee9ng vi\u00eam th\u1eadn,\u2026<\/td>\n<td>&gt;= 90<\/td>\n<\/tr>\n<tr>\n<td><strong> Giai \u0111o\u1ea1n 2<\/strong>: Ch\u1ee9c n\u0103ng c\u1ee7a <strong>th\u1eadn suy gi\u1ea3m nh\u1eb9<\/strong> v\u00e0 ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u00e3 nh\u1eadn th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1eadn c\u00f3 d\u1ea5u hi\u1ec7u b\u1ec7nh t\u1eadt ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng.<\/p>\n<p>K\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn t\u1eeb 60-89 nh\u01b0ng kh\u00f4ng \u0111i k\u00e8m v\u1edbi vi\u1ec7c xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng th\u1eadn c\u00f3 d\u1ea5u hi\u1ec7u b\u1ec7nh t\u1eadt ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u00ec ch\u01b0a \u0111\u01b0\u1ee3c k\u1ebft lu\u1eadn l\u00e0 c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ecb b\u1ec7nh th\u1eadn m\u1ea1n.<\/td>\n<td>60 &#8211; 89<\/td>\n<\/tr>\n<tr>\n<td><strong> Giai \u0111o\u1ea1n 3<\/strong>: Giai \u0111o\u1ea1n \u0111\u1ed9 <strong>suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn trung b\u00ecnh<\/strong> (\u0110i k\u00e8m ho\u1eb7c kh\u00f4ng \u0111i k\u00e8m v\u1edbi vi\u1ec7c ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m \u0111\u00e3 x\u00e1c \u0111\u1ecbnh c\u00f3 b\u1ec7nh v\u1ec1 th\u1eadn. V\u00ed d\u1ee5: ng\u01b0\u1eddi gi\u00e0 b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh th\u1eadn c\u1ee5 th\u1ec3 ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh)<\/td>\n<td>45 &#8211; 59 (3A)<br \/>\n30 &#8211; 44 (3B)<\/td>\n<\/tr>\n<tr>\n<td><strong> Giai \u0111o\u1ea1n 4<\/strong>: suy gi\u1ea3m nghi\u00eam tr\u1ecdng ch\u1ee9c n\u0103ng th\u1eadn (\u0110i k\u00e8m ho\u1eb7c kh\u00f4ng v\u1edbi b\u1ec7nh th\u1eadn \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft)<\/td>\n<td>15 &#8211; 29<\/td>\n<\/tr>\n<tr>\n<td><strong> Giai \u0111o\u1ea1n 5<\/strong>: suy gi\u1ea3m \u0111\u1eb7c bi\u1ec7t nghi\u00eam tr\u1ecdng ch\u1ee9c n\u0103ng th\u1eadn. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y \u0111\u00f4i khi c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/td>\n<td>&lt; 15<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p><strong> Ghi ch\u00fa: <\/strong> K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn s\u1ebd kh\u00f4ng c\u00f2n ch\u00ednh x\u00e1c trong tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m c\u00f3 s\u1ed1 l\u01b0\u1ee3ng c\u01a1 b\u1eafp ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u00f3 t\u00ecnh tr\u1ea1ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 creatinine trong m\u00e1u nh\u01b0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi c\u00f3 c\u01a1 b\u1eafp kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb thi\u1ebfu m\u1ed9t tay ho\u1eb7c m\u1ed9t ch\u00e2n.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb suy dinh d\u01b0\u1ee1ng.<\/li>\n<li>Ph\u1ee5 n\u1eef \u0111ang mang thai.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb suy th\u1eadn c\u1ea5p.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb ph\u00f9 hay t\u00edch n\u01b0\u1edbc.<\/li>\n<li>Tr\u1ebb em.<\/li>\n<\/ul>\n<p><strong> <span style=\"color: #006400\"> <span style=\"font-size: 18px\"> Xem th\u00eam <\/span> <\/span> <\/strong><\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\/\" target=\"_blank\" rel=\"noopener\"> \u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy <\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/xa-hinh-than-bang-dmsa-(dmsa-scan)\/\" target=\"_blank\" rel=\"noopener\"> X\u1ea1 h\u00ecnh th\u1eadn b\u1eb1ng DMSA (DMSA Scan) <\/a><\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/sinh-thiet-than\/\" target=\"_blank\" rel=\"noopener\"> Sinh thi\u1ebft th\u1eadn <\/a><\/li>\n<\/ul>\n<h2><span style=\"color: #006400\"> <span style=\"font-size: 18px\"> <strong> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong> <\/span> <\/span><\/h2>\n<p><a href=\"http:\/\/www.patient.co.uk\/health\/estimated-glomerular-filtration-rate\" target=\"_blank\" rel=\"noopener\"> <span style=\"line-height: 20.7999992370605px\"> http:\/\/www.patient.co.uk\/health\/estimated-glomerular-filtration-rate <\/span> <\/a><\/p>\n<p>Tr\u1ea7n Th\u1ecb B\u00edch H\u01b0\u01a1ng. X\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n trong th\u1eadn h\u1ecdc. Trong: \u0110\u1eb7ng V\u1ea1n Ph\u01b0\u1edbc, Ch\u00e2u Ng\u1ecdc Hoa, ch\u1ee7 bi\u00ean. Tri\u1ec7u ch\u1ee9ng h\u1ecdc n\u1ed9i khoa. TP H\u1ed3 Ch\u00ed Minh: NXB Y H\u1ecdc; 2009. tr. 178)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (eGFR) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00f4ng ph\u1ea3i \u0111\u1ec3 tr\u1ef1c ti\u1ebfp ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh v\u1ec1 th\u1eadn m\u00e0 nh\u1eb1m \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn c\u00f3 t\u1ed1t hay kh\u00f4ng.<\/p>\n","protected":false},"author":267,"featured_media":11453,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6176,5146,6175],"tags":[4546,6294],"series":[6178],"coauthors":[6143],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (eGFR) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00f4ng ph\u1ea3i \u0111\u1ec3 tr\u1ef1c ti\u1ebfp ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh v\u1ec1 th\u1eadn m\u00e0 nh\u1eb1m \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn c\u00f3 t\u1ed1t hay kh\u00f4ng.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/xet-nghiem-danh-gia-do-loc-cau-than\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"X\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (eGFR) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng kh\u00f4ng ph\u1ea3i \u0111\u1ec3 tr\u1ef1c ti\u1ebfp ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh v\u1ec1 th\u1eadn m\u00e0 nh\u1eb1m \u0111\u00e1nh gi\u00e1 ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn c\u00f3 t\u1ed1t hay kh\u00f4ng.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/xet-nghiem-danh-gia-do-loc-cau-than\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-20T01:16:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T20:12:03+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2014\/10\/xet-nghiem-danh-gia-do-loc-cau-than.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Ths. 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