{"id":12392,"date":"2018-11-25T10:31:59","date_gmt":"2018-11-25T03:31:59","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\/"},"modified":"2024-03-17T03:55:52","modified_gmt":"2024-03-16T20:55:52","slug":"do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\/","title":{"rendered":"\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy"},"content":{"rendered":"<p><span style=\"font-size: 16px\"> \u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy l\u00e0 m\u1ed9t trong nh\u1eefng x\u00e9t nghi\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. <\/span><\/p>\n<h2 id=\"chuc-nang-cua-than-la-gi\">Ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn l\u00e0 g\u00ec?<\/h2>\n<p><span style=\"font-size: 16px\"> Th\u1eadn \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng n\u01b0\u1edbc v\u00e0 mu\u1ed1i trong c\u01a1 th\u1ec3. Hai qu\u1ea3 th\u1eadn l\u00e0m \u0111i\u1ec1u n\u00e0y b\u1eb1ng c\u00e1ch l\u1ecdc m\u00e1u qua h\u00e0ng tri\u1ec7u c\u1ea5u tr\u00fac nh\u1ecf \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u01a1n v\u1ecb ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn (nephron). Th\u1eadn c\u0169ng \u0111\u01b0a m\u1ed9t s\u1ed1 lo\u1ea1i ch\u1ea5t th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3. N\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb l\u01b0\u1ee3ng n\u01b0\u1edbc d\u01b0 th\u1eeba, mu\u1ed1i v\u00e0 c\u00e1c ch\u1ea5t \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ea3i qua th\u1eadn xu\u1ed1ng b\u00e0ng quang. <\/span><\/p>\n<p style=\"text-align: center\"><span style=\"font-size: 16px\"> <img decoding=\"async\" class=\"aligncenter\" style=\"width: 500px;height: 313px\" src=\"\/\/yhoccongdong.org\/Documents\/586_do-chuc-nang-than.png\" alt=\"Th\u1eadn\" \/> <\/span><\/p>\n<h2 id=\"do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\">\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy<\/h2>\n<p><span style=\"font-size: 16px\"> C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy \u0111\u1ec3 ki\u1ec3m tra ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1eadn bao g\u1ed3m vi\u1ec7c \u0111o n\u1ed3ng \u0111\u1ed9 urea (ur\u00ea), creatinine v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i mu\u1ed1i h\u00f2a tan trong m\u00e1u. <\/span><\/p>\n<p><span style=\"font-size: 16px\"> <strong> Urea. <\/strong> Urea l\u00e0 m\u1ed9t s\u1ea3n ph\u1ea9m hay \u201cch\u1ea5t th\u1ea3i\u201d t\u1ea1o ra t\u1eeb s\u1ef1 ph\u00e2n h\u1ee7y c\u1ee7a protein, th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ecdc qua n\u01b0\u1edbc ti\u1ec3u. N\u1ed3ng \u0111\u1ed9 urea trong m\u00e1u cao l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u cho th\u1ea5y th\u1eadn c\u00f3 th\u1ec3 kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng t\u1ed1t, ho\u1eb7c b\u1ea1n \u0111ang b\u1ecb m\u1ea5t n\u01b0\u1edbc. <\/span><\/p>\n<p><span style=\"font-size: 16px\"> <strong> Creatinin. <\/strong> Creatinin l\u00e0 m\u1ed9t s\u1ea3n ph\u1ea9m th\u1ea3i ra t\u1eeb c\u01a1, \u0111i v\u00e0o m\u00e1u v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ecdc qua n\u01b0\u1edbc ti\u1ec3u. N\u1ed3ng \u0111\u1ed9 creatinin trong m\u00e1u cao l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y th\u1eadn c\u00f3 th\u1ec3 kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng t\u1ed1t. Creatinin th\u01b0\u1eddng ph\u1ea3n \u00e1nh ch\u1ee9c n\u0103ng th\u1eadn ch\u00ednh x\u00e1c h\u01a1n urea. <\/span><\/p>\n<p><strong style=\"font-size: 16px;line-height: 1.6em\"> \u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh (eGFR)<\/strong><span style=\"font-size: 16px;line-height: 1.6em\">. M\u1eb7c d\u00f9 m\u1ee9c creatinin trong m\u00e1u l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 h\u1eefu \u00edch ph\u1ea3n \u00e1nh ch\u1ee9c n\u0103ng th\u1eadn, eGFR l\u00e0 th\u01b0\u1edbc \u0111o ch\u00ednh x\u00e1c h\u01a1n. M\u1ee9c creatinin trong m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u01b0\u1edbc t\u00ednh eGFR khi c\u00f3 c\u00e1c th\u00f4ng tin v\u1ec1 tu\u1ed5i t\u00e1c, gi\u1edbi t\u00ednh v\u00e0 ch\u1ee7ng t\u1ed9c. Con s\u1ed1 n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00ednh b\u1eb1ng m\u00e1y t\u00ednh v\u00e0 b\u00e1o c\u00e1o k\u00e8m theo x\u00e9t nghi\u1ec7m creatinine m\u00e1u. Ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng c\u1ee7a eGFR l\u00e0 90-120 ml\/ph\u00fat. Ch\u1ec9 s\u1ed1 eGFR d\u01b0\u1edbi 60 ml\/ph\u00fat g\u1ee3i \u00fd r\u1eb1ng th\u1eadn \u0111\u00e3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Ch\u1ec9 s\u1ed1 eGFR c\u00e0ng th\u1ea5p, m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u00e0ng nghi\u00eam tr\u1ecdng. <\/span><\/p>\n<p><span style=\"font-size: 16px\"> <strong> Mu\u1ed1i h\u00f2a tan<\/strong>. Mu\u1ed1i h\u00f2a tan th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111o l\u00e0 sodium (natri), potassium (kali), cloride (clorua) v\u00e0 bicarbonate. \u0110\u00f4i khi ch\u00fang \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i. N\u1ed3ng \u0111\u1ed9 trong m\u00e1u c\u1ee7a b\u1ea5t k\u1ef3 lo\u1ea1i mu\u1ed1i h\u00f2a tan n\u00e0o kh\u00f4ng b\u00ecnh th\u01b0\u1eddng \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0 do th\u1eadn c\u00f3 v\u1ea5n \u0111\u1ec1. Tuy nhi\u00ean m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng mu\u1ed1i trong m\u00e1u. <\/span><\/p>\n<h2 id=\"ai-can-do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\">Ai c\u1ea7n \u0111o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy?<\/h2>\n<p><span style=\"font-size: 16px\"> \u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy l\u00e0 m\u1ed9t trong nh\u1eefng x\u00e9t nghi\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi: <\/span><\/p>\n<ul>\n<li><span style=\"font-size: 16px\"> Kh\u00e1m s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Nghi ng\u1edd b\u1ecb m\u1ea5t n\u01b0\u1edbc (khi n\u1ed3ng \u0111\u1ed9 urea t\u0103ng). <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Nghi ng\u1edd suy th\u1eadn. N\u1ed3ng \u0111\u1ed9 urea v\u00e0 creatinin trong m\u00e1u c\u00e0ng cao, th\u1eadn l\u00e0m vi\u1ec7c c\u00e0ng k\u00e9m. M\u1ee9c creatinine th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 l\u00e0 ti\u00eau ch\u00ed \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a suy th\u1eadn. Th\u00f4ng th\u01b0\u1eddng, b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c l\u1ecdc m\u00e1u n\u1ebfu m\u1ee9c creatinine trong m\u00e1u cao h\u01a1n m\u1ed9t gi\u00e1 tr\u1ecb nh\u1ea5t \u0111\u1ecbnh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Tr\u01b0\u1edbc v\u00e0 sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u1ea5t \u0111\u1ecbnh. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u1eadn. Do \u0111\u00f3, ch\u1ee9c n\u0103ng th\u1eadn th\u01b0\u1eddng \u0111\u01b0\u1ee3c ki\u1ec3m tra tr\u01b0\u1edbc v\u00e0 sau khi b\u1eaft \u0111\u1ea7u d\u00f9ng c\u00e1c thu\u1ed1c \u0111\u00f3. <\/span><\/li>\n<\/ul>\n<h2 id=\"cac-xet-nghiem-chuc-nang-than-khac\">C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn kh\u00e1c<\/h2>\n<p><span style=\"font-size: 16px\"> \u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn. Tuy nhi\u00ean, m\u1ed9t k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m m\u00e1u b\u1ea5t th\u01b0\u1eddng kh\u00f4ng th\u1ec3 n\u00f3i l\u00ean nguy\u00ean nh\u00e2n g\u00e2y suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c nh\u01b0 x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u, ch\u1ee5p X -quang, sinh thi\u1ebft th\u1eadn, ho\u1eb7c c\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m m\u00e1u kh\u00e1c. <\/span><\/p>\n<h2><span style=\"font-size: 16px\"> <strong> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong> <\/span><\/h2>\n<ol>\n<li><span style=\"font-size: 16px\"> <a href=\"http:\/\/www.patient.co.uk\/health\/routine-kidney-function-blood-test\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.patient.co.uk\/health\/routine-kidney-function-blood-test<\/a><\/span><\/li>\n<li><a style=\"font-size: 16px;line-height: 1.6em\" href=\"http:\/\/www.unckidneycenter.org\/kidneyhealthlibrary\/glomerulardisease.html\" target=\"_blank\" rel=\"noopener\">http:\/\/www.unckidneycenter.org\/kidneyhealthlibrary\/glomerulardisease.html <\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy l\u00e0 m\u1ed9t trong nh\u1eefng x\u00e9t nghi\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n","protected":false},"author":169,"featured_media":12393,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6176,5146,6175],"tags":[6626,4747],"series":[6178],"coauthors":[6612],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy - D\u1ef1 \u00e1n kh\u00e1c\" \/>\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\/do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"\u0110o ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng quy - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2018-11-25T03:31:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T20:55:52+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2013\/11\/do-chuc-nang-than-bang-xet-nghiem-mau-thuong-quy.png\" \/>\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\/png\" \/>\n<meta name=\"author\" content=\"BS. 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