{"id":6003,"date":"2018-07-29T10:11:15","date_gmt":"2018-07-29T03:11:15","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/29\/benh-dai-thao-duong\/"},"modified":"2024-03-17T04:19:50","modified_gmt":"2024-03-16T21:19:50","slug":"benh-dai-thao-duong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/benh-dai-thao-duong\/","title":{"rendered":"B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (ti\u1ec3u \u0111\u01b0\u1eddng)"},"content":{"rendered":"<p>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng x\u1ea3y ra \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. N\u00f3 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u0111\u1ebfn suy th\u1eadn trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p. M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb nh\u1eb1m ng\u0103n ng\u1eeba ho\u1eb7c l\u00e0m ch\u1eadm s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. Ngo\u00e0i ra, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u0169ng gi\u00fap l\u00e0m gi\u1ea3m nguy c\u01a1 b\u1ec7nh tim m\u1ea1ch nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5, l\u00e0 nh\u1eefng bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng x\u1ea3y ra nhi\u1ec1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<h2>T\u00ecm hi\u1ec3u v\u1ec1 th\u1eadn v\u00e0 n\u01b0\u1edbc ti\u1ec3u<\/h2>\n<p>Hai th\u1eadn n\u1eb1m \u1edf hai b\u00ean v\u00f9ng h\u00f4ng, ph\u00eda tr\u01b0\u1edbc l\u00e0 c\u00e1c quai ru\u1ed9t v\u00e0 ph\u00eda sau l\u00e0 c\u1ed9t s\u1ed1ng. M\u1ed7i th\u1eadn c\u00f3 k\u00edch th\u01b0\u1edbc b\u1eb1ng m\u1ed9t qu\u1ea3 cam l\u1edbn, nh\u01b0ng c\u00f3 h\u00ecnh h\u1ea1t \u0111\u1eadu.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-9908 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/04\/tim-hieu-ve-than-va-nuoc-tieu.jpg\" alt=\"T\u00ecm hi\u1ec3u v\u1ec1 th\u1eadn v\u00e0 n\u01b0\u1edbc ti\u1ec3u\" width=\"350\" height=\"484\" \/><\/p>\n<p>C\u00f3 m\u1ed9t \u0111\u1ed9ng m\u1ea1ch l\u1edbn, g\u1ecdi l\u00e0 \u0111\u1ed9ng m\u1ea1ch th\u1eadn, \u0111\u01b0a m\u00e1u t\u1edbi m\u1ed7i th\u1eadn. \u0110\u1ed9ng m\u1ea1ch n\u00e0y chia th\u00e0nh nhi\u1ec1u m\u1ea1ch m\u00e1u nh\u1ecf (mao m\u1ea1ch) ph\u00e2n b\u1ed1 kh\u1eafp th\u1eadn. T\u1ea1i ph\u1ea7n b\u00ean ngo\u00e0i th\u1eadn (v\u1ecf th\u1eadn), c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf h\u1ee3p l\u1ea1i v\u1edbi nhau \u0111\u1ec3 t\u1ea1o th\u00e0nh c\u1ea5u tr\u00fac g\u1ecdi l\u00e0 c\u1ea7u th\u1eadn.<\/p>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-9909 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/04\/cau-truc-cua-mot-nephron.jpg\" alt=\"C\u1ea5u tr\u00fac c\u1ee7a m\u1ed9t Nephron\" width=\"500\" height=\"355\" \/><\/p>\n<p>M\u1ed7i c\u1ea7u th\u1eadn ho\u1ea1t \u0111\u1ed9ng gi\u1ed1ng nh\u01b0 m\u1ed9t b\u1ed9 l\u1ecdc. C\u1ea5u tr\u00fac c\u1ee7a c\u1ea7u th\u1eadn cho ph\u00e9p c\u00e1c ch\u1ea5t th\u1ea3i, m\u1ed9t \u00edt n\u01b0\u1edbc v\u00e0 mu\u1ed1i \u0111i t\u1eeb m\u00e1u ra m\u1ed9t h\u1ec7 th\u1ed1ng k\u00eanh nh\u1ecf g\u1ecdi l\u00e0 \u1ed1ng l\u01b0\u1ee3n, trong khi v\u1eabn gi\u1eef l\u1ea1i c\u00e1c t\u1ebf b\u00e0o m\u00e1u v\u00e0 protein trong mao m\u1ea1ch.<\/p>\n<p>M\u1ed7i c\u1ea7u th\u1eadn v\u00e0 h\u1ec7 th\u1ed1ng \u1ed1ng l\u01b0\u1ee3n t\u1ea1o n\u00ean m\u1ed9t nephron, hay c\u00f2n g\u1ecdi l\u00e0 \u0111\u01a1n v\u1ecb th\u1eadn. C\u00f3 kho\u1ea3ng m\u1ed9t tri\u1ec7u nephron trong m\u1ed7i th\u1eadn.<\/p>\n<h3><\/h3>\n<p><img decoding=\"async\" class=\"alignnone size-full wp-image-9910 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/04\/cau-tao-than.jpg\" alt=\"C\u1ea5u t\u1ea1o th\u1eadn\" width=\"400\" height=\"301\" \/><\/p>\n<p><span style=\"line-height: 1.5;\">Ch\u1ea5t l\u1ecfng c\u00f2n l\u1ea1i \u1edf cu\u1ed1i m\u1ed7i \u1ed1ng l\u01b0\u1ee3n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 n\u01b0\u1edbc ti\u1ec3u. N\u01b0\u1edbc ti\u1ec3u \u0111i v\u00e0o m\u1ed9t k\u00eanh to h\u01a1n g\u1ecdi l\u00e0 \u1ed1ng g\u00f3p r\u1ed3i \u0111i v\u00e0o b\u1ec3 th\u1eadn. N\u01b0\u1edbc ti\u1ec3u sau \u0111\u00f3 \u0111i xu\u1ed1ng m\u1ed9t \u1ed1ng g\u1ecdi l\u00e0 ni\u1ec7u qu\u1ea3n, \u0111i t\u1eeb th\u1eadn \u0111\u1ebfn b\u00e0ng quang. N\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c gi\u1eef trong b\u00e0ng quang v\u00e0 th\u1ea3i ra ngo\u00e0i khi ch\u00fang ta \u0111i v\u1ec7 sinh.<\/span>Khi c\u00e1c ch\u1ea5t th\u1ea3i v\u00e0 n\u01b0\u1edbc \u0111i qua h\u1ec7 th\u1ed1ng \u1ed1ng l\u01b0\u1ee3n, ch\u00fang \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh b\u1eb1ng m\u1ed9t c\u01a1 ch\u1ebf ph\u1ee9c t\u1ea1p. V\u00ed d\u1ee5, m\u1ed9t l\u01b0\u1ee3ng n\u01b0\u1edbc v\u00e0 mu\u1ed1i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00e1i h\u1ea5p th\u1ee5 v\u00e0o m\u00e1u, t\u00f9y v\u00e0o n\u1ed3ng \u0111\u1ed9 mu\u1ed1i v\u00e0 n\u01b0\u1edbc trong m\u00e1u. H\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u nh\u1ecf s\u00e1t b\u00ean c\u00e1c \u1ed1ng l\u01b0\u1ee3n gi\u1eef vai tr\u00f2 ch\u1ee7 \u0111\u1ea1o trong vi\u1ec7c \u0111i\u1ec1u ti\u1ebft s\u1ef1 v\u1eadn chuy\u1ec3n n\u01b0\u1edbc v\u00e0 mu\u1ed1i gi\u1eefa \u1ed1ng l\u01b0\u1ee3n v\u00e0 m\u00e1u.<\/p>\n<p>M\u00e1u \u0111\u00e3 \u0111\u01b0\u1ee3c l\u1ecdc qua m\u1ed7i th\u1eadn s\u1ebd \u0111i v\u00e0o m\u1ed9t t\u0129nh m\u1ea1ch l\u1edbn c\u00f3 t\u00ean l\u00e0 t\u0129nh m\u1ea1ch th\u1eadn, \u0111\u1ec3 tr\u1edf v\u1ec1 tim.<\/p>\n<h2>C\u00e1c \u00a0ch\u1ee9c n\u0103ng ch\u00ednh c\u1ee7a th\u1eadn<\/h2>\n<p>C\u00e1c ch\u1ee9c n\u0103ng ch\u00ednh c\u1ee7a th\u1eadn l\u00e0:<\/p>\n<ul>\n<li>L\u1ecdc b\u1ecf c\u00e1c ch\u1ea5t th\u1ea3i t\u1eeb m\u00e1u ra ngo\u00e0i c\u01a1 th\u1ec3 th\u00f4ng qua n\u01b0\u1edbc ti\u1ec3u.<\/li>\n<li>Gi\u00fap ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p-m\u1ed9t ph\u1ea7n b\u1edfi l\u01b0\u1ee3ng n\u01b0\u1edbc \u0111i ra kh\u1ecfi c\u01a1 th\u1ec3 qua n\u01b0\u1edbc ti\u1ec3u v\u00e0 m\u1ed9t ph\u1ea7n b\u1eb1ng hormones ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p do th\u1eadn ti\u1ebft ra.<\/li>\n<li>S\u1ea3n xu\u1ea5t hormone g\u1ecdi l\u00e0 erythropoietin (&#8216;EPO&#8217;) k\u00edch th\u00edch t\u1ee7y x\u01b0\u01a1ng t\u0103ng sinh h\u1ed3ng c\u1ea7u. Ch\u1ee9c n\u0103ng n\u00e0y l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh thi\u1ebfu m\u00e1u.<\/li>\n<li>Gi\u00fap gi\u1eef c\u00e2n b\u1eb1ng mu\u1ed1i v\u00e0 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i nh\u01b0 natri, kali, canxi v\u00e0 ph\u1ed1t ph\u00e1t (phosphate). S\u1ef1 m\u1ea5t c\u00e2n mu\u1ed1i n\u01b0\u1edbc v\u00e0 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong m\u00e1u c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh t\u1ea1i c\u00e1c c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n<h2>\u0110\u1ecbnh ngh\u0129a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>B\u1ec7nh th\u1eadn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng x\u1ea3y ra \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. B\u1ec7nh l\u00fd n\u00e0y g\u00e2y t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn, l\u00e0m th\u1ea5t tho\u00e1t m\u1ed9t l\u01b0\u1ee3ng protein l\u1edbn h\u01a1n m\u1ee9c cho ph\u00e9p t\u1eeb m\u00e1u v\u00e0o n\u01b0\u1edbc ti\u1ec3u. Th\u00e0nh ph\u1ea7n ch\u00ednh c\u1ee7a l\u01b0\u1ee3ng protein n\u00e0y l\u00e0 albumin.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p b\u00ecnh th\u01b0\u1eddng, ch\u1ec9 m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf albumin \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong n\u01b0\u1edbc ti\u1ec3u. S\u1ef1 gia t\u0103ng n\u1ed3ng \u0111\u1ed9 albumin trong n\u01b0\u1edbc ti\u1ec3u l\u00e0 d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i ch\u00ednh, ph\u1ee5 thu\u1ed9c v\u00e0o l\u01b0\u1ee3ng albumin b\u1ecb m\u1ea5t qua th\u1eadn:<\/p>\n<ul>\n<li>Albumin ni\u1ec7u vi l\u01b0\u1ee3ng (Microalbuminuria). T\u00ecnh tr\u1ea1ng m\u00e0 l\u01b0\u1ee3ng albumin m\u1ea5t qua n\u01b0\u1edbc ti\u1ec3u t\u1eeb 30-300 mg\/ng\u00e0y.<\/li>\n<li>Protein ni\u1ec7u (Proteinuria). T\u00ecnh tr\u1ea1ng m\u00e0 l\u01b0\u1ee3ng albumin m\u1ea5t qua n\u01b0\u1edbc ti\u1ec3u l\u00e0 h\u01a1n 300 mg\/ng\u00e0y. \u0110\u00f4i khi n\u00f3 c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 albumin ni\u1ec7u \u0111\u1ea1i l\u01b0\u1ee3ng.<\/li>\n<\/ul>\n<h2>Di\u1ec5n ti\u1ebfn c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>\u1ede b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng cao c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 c\u1ee7a m\u1ed9t s\u1ed1 ch\u1ea5t trong th\u1eadn. Nh\u1eefng ch\u1ea5t n\u00e0y c\u00f3 xu h\u01b0\u1edbng l\u00e0m \u201cth\u1ea5t tho\u00e1t\u201d nhi\u1ec1u albumin v\u00e0o n\u01b0\u1edbc ti\u1ec3u. Ngo\u00e0i ra, n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng cao c\u00f3 th\u1ec3 l\u00e0m m\u1ed9t s\u1ed1 protein trong c\u1ea7u th\u1eadn d\u1ec5 li\u00ean k\u1ebft v\u1edbi nhau. S\u1ef1 li\u00ean k\u1ebft n\u00e0y c\u00f3 th\u1ec3 k\u00edch ho\u1ea1t m\u1ed9t qu\u00e1 tr\u00ecnh t\u1ea1o s\u1eb9o khu tr\u00fa, g\u1ecdi l\u00e0 s\u1ef1 x\u01a1 h\u00f3a c\u1ea7u th\u1eadn. Qu\u00e1 tr\u00ecnh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra sau nhi\u1ec1u n\u0103m v\u00e0 ch\u1ec9 \u0111\u01b0\u1ee3c ghi nh\u1eadn \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>Khi b\u1ec7nh c\u00e0ng ti\u1ebfn tri\u1ec3n, m\u00f4 th\u1eadn b\u00ecnh th\u01b0\u1eddng b\u1ecb thay th\u1ebf b\u1edfi m\u00f4 x\u01a1 l\u00e0m gi\u1ea3m ho\u1eb7c m\u1ea5t ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a th\u1eadn. D\u1ea7n d\u1ea7n, b\u1ec7nh ti\u1ebfn tri\u1ec3n t\u1edbi suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/protein-nieu\/\" target=\"_blank\" rel=\"noopener\">Albumin ni\u1ec7u<\/a> vi l\u01b0\u1ee3ng (l\u01b0\u1ee3ng albumin trong n\u01b0\u1edbc ti\u1ec3u t\u1eeb 30-300 mg\/ng\u00e0y) th\u01b0\u1eddng l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Trong nhi\u1ec1u th\u00e1ng ho\u1eb7c nhi\u1ec1u n\u0103m, albumin ni\u1ec7u vi l\u01b0\u1ee3ng c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi (\u0111\u1eb7c bi\u1ec7t n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb &#8211; xem b\u00ean d\u01b0\u1edbi), kh\u00f4ng thay \u0111\u1ed5i ho\u1eb7c ti\u1ebfn tri\u1ec3n t\u1edbi albumin ni\u1ec7u \u0111\u1ea1i l\u01b0\u1ee3ng.<\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/protein-nieu\/\" target=\"_blank\" rel=\"noopener\">Albumin ni\u1ec7u<\/a> \u0111\u1ea1i\u00a0 l\u01b0\u1ee3ng (l\u01b0\u1ee3ng albumin trong n\u01b0\u1edbc ti\u1ec3u h\u01a1n 300 mg\/ng\u00e0y) l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c, \u0111\u00e1nh d\u1ea5u s\u1ef1 kh\u1edfi \u0111\u1ea7u c\u1ee7a qu\u00e1 tr\u00ecnh suy gi\u1ea3m d\u1ea7n ch\u1ee9c n\u0103ng th\u1eadn, ti\u1ebfn t\u1edbi suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i trong t\u01b0\u01a1ng lai.<\/p>\n<h2>T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>M\u1eb7c d\u00f9 b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\">b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i (type) 1<\/a>, s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh n\u00e0y do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i (type) 2 l\u00e0 nhi\u1ec1u h\u01a1n. \u0110i\u1ec1u n\u00e0y l\u00e0 do b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i 2 ph\u1ed5 bi\u1ebfn h\u01a1n nhi\u1ec1u so v\u1edbi b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i 1.<\/p>\n<p>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u1ef1c s\u1ef1 l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y suy th\u1eadn. Kho\u1ea3ng 20% b\u1ec7nh nh\u00e2n c\u1ea7n l\u1ecdc m\u00e1u m\u1eafc b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>L\u01b0u \u00fd: H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f4ng c\u1ea7n l\u1ecdc m\u00e1u.<\/p>\n<h3><\/h3>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\"><strong>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng <\/strong><strong>lo\u1ea1i <\/strong><strong>1<\/strong><\/a><\/p>\n<p>Albumin ni\u1ec7u vi l\u01b0\u1ee3ng ho\u1eb7c \u0111\u1ea1i l\u01b0\u1ee3ng hi\u1ebfm khi x\u1ea3y ra t\u1ea1i th\u1eddi \u0111i\u1ec3m b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. Kho\u1ea3ng 14% b\u1ec7nh nh\u00e2n s\u1ebd bi\u1ec3u hi\u1ec7n albumin ni\u1ec7u vi l\u01b0\u1ee3ng 5 n\u0103m sau khi ch\u1ea9n \u0111o\u00e1n. Sau 30 n\u0103m, t\u1ec9 l\u1ec7 n\u00e0y l\u00e0 40%. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ti\u1ebfn tri\u1ec3n t\u1eeb albumin ni\u1ec7u vi l\u01b0\u1ee3ng \u0111\u1ebfn \u0111\u1ea1i l\u01b0\u1ee3ng v\u00e0 suy th\u1eadn.<\/p>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tieu-duong\/\" target=\"_blank\" rel=\"noopener\"><strong>B\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng <\/strong><strong>lo\u1ea1i<\/strong><strong> 2\u00a0 <\/strong><\/a><\/p>\n<p>Kho\u1ea3ng 12% b\u1ec7nh nh\u00e2n b\u1ecb albumin ni\u1ec7u vi l\u01b0\u1ee3ng v\u00e0 2% b\u1ec7nh nh\u00e2n b\u1ecb albumin ni\u1ec7u \u0111\u1ea1i l\u01b0\u1ee3ng t\u1ea1i th\u1eddi \u0111i\u1ec3m b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7u ti\u00ean. \u0110\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 v\u00ec b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng di\u1ec5n ti\u1ebfn nhanh h\u01a1n, m\u00e0 l\u00e0 do nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lo\u1ea1i 2 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n m\u00e0 ch\u1ee9c n\u0103ng th\u1eadn l\u00e0 b\u00ecnh th\u01b0\u1eddng khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, albumin ni\u1ec7u vi l\u01b0\u1ee3ng s\u1ebd xu\u1ea5t hi\u1ec7n \u1edf 15% b\u1ec7nh nh\u00e2n v\u00e0 albumin ni\u1ec7u \u0111\u1ea1i l\u01b0\u1ee3ng s\u1ebd x\u1ea3y ra \u1edf 5% b\u1ec7nh nh\u00e2n trong v\u00f2ng 5 n\u0103m.<\/p>\n<p>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u01b0\u1eddng x\u1ea3y ra ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi ch\u00e2u \u00c1 v\u00e0 da \u0111en so v\u1edbi ng\u01b0\u1eddi da tr\u1eafng.<\/p>\n<h2>Nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>Trong giai \u0111\u1ecdan s\u1edbm (albumin ni\u1ec7u vi l\u01b0\u1ee3ng, theo \u0111\u1ecbnh ngh\u0129a \u1edf tr\u00ean), b\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n khi b\u1ec7nh th\u1eadn ti\u1ebfn tri\u1ec3n. C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng m\u01a1 h\u1ed3 v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, nh\u01b0 m\u1ec7t m\u1ecfi, \u0111u\u1ed1i s\u1ee9c v\u00e0 ch\u1ec9 c\u1ea3m th\u1ea5y kh\u00f4ng kh\u1ecfe. Khi b\u1ec7nh th\u1eadn ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng:<\/p>\n<ul>\n<li>Kh\u00f3 t\u1eadp trung<\/li>\n<li>Ch\u00e1n \u0103n<\/li>\n<li>S\u1ee5t c\u00e2n<\/li>\n<li>Da kh\u00f4, ng\u1ee9a<\/li>\n<li>Chu\u1ed9t r\u00fat<\/li>\n<li>Ph\u00f9 b\u00e0n ch\u00e2n, m\u1eaft c\u00e1 ch\u00e2n do \u1ee9 n\u01b0\u1edbc<\/li>\n<li>Ph\u00f9 mi m\u1eaft<\/li>\n<li>\u0110i ti\u1ec3u nhi\u1ec1u l\u1ea7n<\/li>\n<li>Xanh xao do thi\u1ebfu m\u00e1u<\/li>\n<li>C\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi<\/li>\n<\/ul>\n<p>Khi ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m, nhi\u1ec1u v\u1ea5n \u0111\u1ec1 kh\u00e1c s\u1ebd xu\u1ea5t hi\u1ec7n nh\u01b0 thi\u1ebfu m\u00e1u v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng canxi, phosphate v\u00e0 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i kh\u00e1c trong m\u00e1u. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, nh\u01b0 m\u1ec7t m\u1ecfi do thi\u1ebfu m\u00e1u v\u00e0 lo\u00e3ng x\u01b0\u01a1ng hay g\u00e3y x\u01b0\u01a1ng do m\u1ea5t c\u00e2n b\u1eb1ng canxi v\u00e0 phosphate. B\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2>Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi c\u00f3 s\u1ef1 gia t\u0103ng l\u01b0\u1ee3ng albumin trong n\u01b0\u1edbc ti\u1ec3u v\u00e0 kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n r\u00f5 r\u00e0ng n\u00e0o kh\u00e1c. X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m th\u01b0\u1eddng quy \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng khi ki\u1ec3m tra \u0111\u1ecbnh k\u00ec. X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111\u1ecbnh l\u01b0\u1ee3ng n\u1ed3ng \u0111\u1ed9 albumin (protein) trong n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>C\u00e1c x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u th\u01b0\u1eddng quy \u0111\u01b0\u1ee3c chu\u1ea9n h\u00f3a b\u1eb1ng c\u00e1ch so s\u00e1nh l\u01b0\u1ee3ng albumin v\u1edbi creatinine trong m\u1eabu n\u01b0\u1edbc ti\u1ec3u. N\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u1ec9 s\u1ed1 albumin: creatinine (ACR). Creatinine l\u00e0 m\u1ed9t s\u1ea3n ph\u1ea9m ph\u00e2n gi\u1ea3i c\u1ee7a c\u01a1.<\/p>\n<p>X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn b\u1eb1ng c\u00e1ch \u0111o n\u1ed3ng \u0111\u1ed9 creatinine l\u00e0 ch\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1eadn l\u1ecdc ra kh\u1ecfi m\u00e1u. N\u1ebfu ch\u1ee9c n\u0103ng th\u1eadn b\u1ecb suy gi\u1ea3m, n\u1ed3ng \u0111\u1ed9 creatinine trong m\u00e1u s\u1ebd t\u0103ng l\u00ean. Ch\u1ee9c n\u0103ng th\u1eadn s\u1ebd \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh d\u1ef1a v\u00e0o n\u1ed3ng \u0111\u1ed9 creatinine trong m\u00e1u, gi\u1edbi t\u00ednh v\u00e0 tu\u1ed5i. Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh<a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/estimated-glomerular-filtration-rate&amp;usg=ALkJrhianfyzpTntSgGY-y6mk9AxH-RqBQ\" target=\"_blank\" rel=\"noopener\"> (eGFR)<\/a>.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-9913 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/04\/do-loc-cau-than.png\" alt=\"\u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn\" width=\"630\" height=\"209\" \/><\/p>\n<h2>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>T\u1ea5t c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u1ec1u c\u00f3 nguy c\u01a1 m\u1eafc \u00a0b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Tuy nhi\u00ean, m\u1ed9t nghi\u00ean c\u1ee9u quy m\u00f4 l\u1edbn \u0111\u00e3 cho th\u1ea5y r\u1eb1ng c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, bao g\u1ed3m:<\/p>\n<ul>\n<li>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft k\u00e9m (th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n qua ch\u1ec9 s\u1ed1 HbA1c cao)<\/li>\n<li>Th\u1eddi gian m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng d\u00e0i<\/li>\n<li>Th\u1eeba c\u00e2n<\/li>\n<li>Cao <a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/diabetes-and-high-blood-pressure&amp;usg=ALkJrhhLZrr5fyxHB4_F_mJ3hYhyOPmCag\" target=\"_blank\" rel=\"noopener\">huy\u1ebft \u00e1p<\/a><\/li>\n<li>Nam gi\u1edbi<\/li>\n<\/ul>\n<p>\u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft, gi\u1eef c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng v\u00e0 \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p s\u1ebd l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc \u00a0b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb albumin ni\u1ec7u vi l\u01b0\u1ee3ng, c\u00e1c y\u1ebfu t\u1ed1 sau s\u1ebd l\u00e0m b\u1ec7nh x\u1ea5u \u0111i:<\/p>\n<ul>\n<li>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft k\u00e9m (ch\u1ec9 s\u1ed1 HbA1c cao)<\/li>\n<li>Cao <a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/diabetes-and-high-blood-pressure&amp;usg=ALkJrhhLZrr5fyxHB4_F_mJ3hYhyOPmCag\" target=\"_blank\" rel=\"noopener\">huy\u1ebft \u00e1p<\/a><\/li>\n<li>H\u00fat thu\u1ed1c l\u00e1<\/li>\n<\/ul>\n<h2>C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p><strong>Suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i <\/strong><\/p>\n<p>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 albumin ni\u1ec7u \u0111\u1ea1i l\u01b0\u1ee3ng, suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i x\u1ea3y ra \u1edf kho\u1ea3ng 8% b\u1ec7nh nh\u00e2n trong v\u00f2ng 10 n\u0103m. N\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra, b\u1ec7nh nh\u00e2n s\u1ebd c\u1ea7n l\u1ecdc th\u1eadn ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n<p><strong>B\u1ec7nh l\u00fd tim m\u1ea1ch <\/strong><\/p>\n<p>T\u1ea5t c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111\u1ec1u c\u00f3 nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ef5 v\u00e0 b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean. B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch. B\u1ec7nh th\u1eadn c\u00e0ng ti\u1ebfn tri\u1ec3n th\u00ec nguy c\u01a1 tr\u00ean c\u00e0ng cao. \u0110\u00e2y l\u00e0 l\u00fd do t\u1ea1i sao vi\u1ec7c gi\u1ea3m b\u1ea5t k\u1ef3 y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c l\u00e0 r\u1ea5t quan tr\u1ecdng (xem th\u00eam b\u00ean d\u01b0\u1edbi).<\/p>\n<p><strong>Cao<\/strong><strong> huy\u1ebft \u00e1p<\/strong><\/p>\n<p>B\u1ec7nh th\u1eadn c\u00f3 chi\u1ec1u h\u01b0\u1edbng l\u00e0m t\u0103ng huy\u1ebft \u00e1p. Th\u00eam v\u00e0o \u0111\u00f3, t\u0103ng huy\u1ebft \u00e1p c\u00f3 xu h\u01b0\u1edbng l\u00e0m b\u1ec7nh th\u1eadn n\u1eb7ng h\u01a1n. \u0110i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng bao g\u1ed3m:<\/p>\n<ul>\n<li>Ng\u0103n ng\u1eeba ho\u1eb7c l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n \u0111\u1ebfn suy th\u1eadn. Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng giai \u0111o\u1ea1n s\u1edbm (albumin ni\u1ec7u vi l\u01b0\u1ee3ng) \u0111\u1ec1u ti\u1ebfn tri\u1ec3n \u0111\u1ebfn albumin ni\u1ec7u \u0111\u1ea1i l\u01b0\u1ee3ng.<\/li>\n<li>Gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/li>\n<\/ul>\n<p><strong>Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin <\/strong><\/p>\n<p>C\u00f3 nhi\u1ec1u lo\u1ea1i v\u00e0 bi\u1ec7t d\u01b0\u1ee3c c\u1ee7a thu\u1ed1c n\u00e0y. Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch gi\u1ea3m b\u1edbt l\u01b0\u1ee3ng angiotensin-II, m\u1ed9t ch\u1ea5t h\u00f3a h\u1ecdc trong m\u00e1u. Ch\u1ea5t n\u00e0y g\u00e2y co m\u1ea1ch m\u00e1u. V\u00ec v\u1eady, vi\u1ec7c gi\u1ea3m b\u1edbt ch\u1ea5t n\u00e0y s\u1ebd g\u00e2y d\u00e3n m\u1ea1ch v\u00e0 l\u00e0m h\u1ea1 huy\u1ebfp \u00e1p.<\/p>\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin l\u00e0 lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p. Tuy nhi\u00ean, ch\u00fang c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 th\u1eadn v\u00e0 tim v\u00e0 gi\u00fap ng\u0103n ng\u1eeba ho\u1eb7c l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn.<\/p>\n<p><strong>Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 angiotensin-II <\/strong><\/p>\n<p>C\u00f3 nhi\u1ec1u lo\u1ea1i v\u00e0 bi\u1ec7t d\u01b0\u1ee3c c\u1ee7a lo\u1ea1i thu\u1ed1c n\u00e0y. <a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/medicines-for-high-blood-pressure&amp;usg=ALkJrhiV8WRUi9w_CrcrOgwAYGW1fE4UHQ\" target=\"_blank\" rel=\"noopener\">Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 angiotensin-II (AIIRAs)<\/a> ho\u1ea1t \u0111\u1ed9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin. Thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng thay th\u1ebf thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ho khan k\u00e9o d\u00e0i.<\/p>\n<p><strong>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft <\/strong><\/p>\n<p>Vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1t s\u1ebd gi\u00fap l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch, nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5. M\u1ee5c ti\u00eau c\u1ee7a ch\u1ec9 s\u1ed1 HbA1C th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7t ra t\u00f9y theo tu\u1ed5i t\u00e1c, t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 nguy c\u01a1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n. H\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c n\u00e0y.<\/p>\n<h3><\/h3>\n<p><strong>Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p <\/strong><\/p>\n<p>Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p nghi\u00eam ng\u1eb7t s\u1ebd l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch v\u00e0 ng\u0103n ng\u1eeba hay l\u00e0m ch\u1eadm ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin ho\u1eb7c thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 angiotesin-II \u0111\u1ec3 h\u1ea1 huy\u1ebft \u00e1p. Tuy nhi\u00ean, n\u1ebfu huy\u1ebft \u00e1p v\u1eabn cao h\u01a1n m\u1ee9c 130\/80 mmHg, b\u1ec7nh nh\u00e2n n\u00ean d\u00f9ng th\u00eam m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c \u0111\u1ec3 gi\u1ea3m huy\u1ebft \u00e1p xu\u1ed1ng d\u01b0\u1edbi m\u1ee9c n\u00e0y.<\/p>\n<p><strong>Xem <\/strong><strong>x\u00e9t c\u00e1c lo\u1ea1i<\/strong> <strong>thu\u1ed1c d\u00f9ng chung<\/strong><\/p>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1eadn v\u00e0 l\u00e0m ch\u1ee9c n\u0103ng th\u1eadn x\u1ea5u \u0111i. V\u00ed d\u1ee5, b\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean d\u00f9ng <a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/anti-inflammatory-painkillers&amp;usg=ALkJrhibAaccu3Yl85J6pCFbnICr6vEUBw\" target=\"_blank\" rel=\"noopener\">c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 NSAIDs<\/a>, tr\u1eeb khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. Khi b\u1ec7nh th\u1eadn ti\u1ebfn tri\u1ec3n, b\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng c\u00e1c lo\u1ea1i thu\u1ed1c \u0111ang d\u00f9ng.<\/p>\n<p><strong>Nh\u1eefng p<\/strong><strong>h\u01b0\u01a1ng ph\u00e1p kh\u00e1c \u0111\u1ec3 l\u00e0m gi\u1ea3m y\u1ebfu t\u1ed1 nguy c\u01a1 <\/strong><\/p>\n<p><a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/statins-and-other-lipid-lowering-medicines&amp;usg=ALkJrhiqq0O7djRdLfluOEfJRAgztQ6ivg\" target=\"_blank\" rel=\"noopener\">Thu\u1ed1c l\u00e0m h\u1ea1 m\u1ee9c cholesterol <\/a>th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng r\u1ed9ng r\u00e3i \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim, <a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/peripheral-arterial-disease-in-legs&amp;usg=ALkJrhimNTCXp-mUObxpdLHWnnV5URcjgg\" target=\"_blank\" rel=\"noopener\">b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean<\/a> v\u00e0 <a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/stroke-leaflet&amp;usg=ALkJrhh5anWfx0Zy5UOLm0iqFGSt53ud3g\" target=\"_blank\" rel=\"noopener\">\u0111\u1ed9t qu\u1ef5<\/a>.<\/p>\n<p><strong>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<\/strong><\/p>\n<ul>\n<li><a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/tips-to-help-you-stop-smoking&amp;usg=ALkJrhgioPYCU8JySeRjh6o46aNhU3B5OQ\" target=\"_blank\" rel=\"noopener\">Ng\u01b0ng h\u00fat thu\u1ed1c l\u00e1<\/a><\/li>\n<li>\u0102n u\u1ed1ng l\u00e0nh m\u1ea1nh<\/li>\n<li><a href=\"http:\/\/translate.googleusercontent.com\/translate_c?depth=1&amp;hl=en&amp;rurl=translate.google.com&amp;sl=en&amp;tl=vi&amp;u=http:\/\/patient.info\/health\/weight-reduction-how-to-lose-weight&amp;usg=ALkJrhhWtOuli_GZlc4L1uY2tka8YIfUhQ\" target=\"_blank\" rel=\"noopener\">Gi\u1eef c\u00e2n n\u1eb7ng v\u00e0 v\u00f2ng eo trong m\u1ee9c l\u00fd t\u01b0\u1edfng<\/a><\/li>\n<li>T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111\u1ec1u \u0111\u1eb7n<\/li>\n<li>H\u1ea1n ch\u1ebf th\u1ee9c u\u1ed1ng c\u00f3 c\u1ed3n<\/li>\n<\/ul>\n<pre>Xem th\u00eam b\u00e0i\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/phong-ngua-va-dieu-tri-bien-chung-benh-tieu-duong-benh-than-do-tieu-duong\/\" target=\"_blank\" rel=\"noopener\">Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng: b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng<\/a>\u00a0c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-quoc-thuc-phuong\/\" target=\"_blank\" rel=\"noopener\">TS. Nguy\u1ec5n Qu\u1ed1c Th\u1ee5c Ph\u01b0\u01a1ng<\/a>\u00a0v\u00e0<a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-thuy-cam-ha\/\" target=\"_blank\" rel=\"noopener\">\u00a0BS. Nguy\u1ec5n Th\u1ee5y C\u1ea9m H\u00e0<\/a><\/pre>\n<h2>Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>Albumin ni\u1ec7u vi l\u01b0\u1ee3ng l\u00e0 y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng \u0111\u1ed9c l\u1eadp c\u1ee7a t\u1ec9 l\u1ec7 t\u1eed vong do b\u1ec7nh tim m\u1ea1ch. B\u1ec7nh nh\u00e2n protein ni\u1ec7u c\u00f3 nguy c\u01a1 t\u1eed vong g\u1ea5p 40 l\u1ea7n ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Albumin ni\u1ec7u vi l\u01b0\u1ee3ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi. M\u1ed9t nghi\u00ean c\u1ee9u theo d\u00f5i 386 b\u1ec7nh nh\u00e2n b\u1ecb albumin ni\u1ec7u vi l\u01b0\u1ee3ng trong v\u00f2ng 6 n\u0103m \u0111\u00e3 cho th\u1ea5y:<\/p>\n<ul>\n<li>Kho\u1ea3ng 60% tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f2n albumin trong n\u01b0\u1edbc ti\u1ec3u.<\/li>\n<li>Kho\u1ea3ng 10% tr\u01b0\u1eddng h\u1ee3p c\u00f3 l\u01b0\u1ee3ng albumin ni\u1ec7u kh\u00f4ng \u0111\u1ed5i.<\/li>\n<li>Kho\u1ea3ng 20% tr\u01b0\u1eddng h\u1ee3p ti\u1ebfn tri\u1ec3n th\u00e0nh protein ni\u1ec7u.<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb protein ni\u1ec7u, b\u1ec7nh c\u00f3 xu h\u01b0\u1edbng n\u1eb7ng h\u01a1n v\u00e0 ti\u1ebfn t\u1edbi suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i theo th\u1eddi gian. Tuy nhi\u00ean, kho\u1ea3ng th\u1eddi gian n\u00e0y c\u00f3 th\u1ec3 l\u00e0 nhi\u1ec1u n\u0103m v\u00e0 kh\u00e1c nhau t\u00f9y ng\u01b0\u1eddi. N\u1ebfu ch\u1ee9c n\u0103ng th\u1eadn b\u1eaft \u0111\u1ea7u suy gi\u1ea3m, b\u1ec7nh nh\u00e2n n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn. Khi ch\u1ee9c n\u0103ng th\u1eadn suy gi\u1ea3m d\u01b0\u1edbi m\u1ed9t m\u1ee9c nh\u1ea5t \u0111\u1ecbnh, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c l\u1ecdc th\u1eadn ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n<p>M\u1ed9t y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng n\u1eefa l\u00e0 nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch. Nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5 l\u00e0 nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong \u1edf b\u1ec7nh nh\u00e2n b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00eau tr\u00ean s\u1ebd l\u00e0m gi\u1ea3m nguy c\u01a1 x\u1ea3y ra c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y.<\/p>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<ol>\n<li><a href=\"http:\/\/patient.info\/health\/diabetic-kidney-disease-leaflet\" target=\"_blank\" rel=\"noopener\">http:\/\/patient.info\/health\/diabetic-kidney-disease-leaflet<\/a><\/li>\n<li><a href=\"http:\/\/emedicine.medscape.com\/article\/238946-overview#a6\" target=\"_blank\" rel=\"noopener\">http:\/\/emedicine.medscape.com\/article\/238946-overview#a6<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Ti\u1ec3u \u0111\u01b0\u1eddng bi\u1ebfn ch\u1ee9ng suy th\u1eadn g\u00e2y t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn, l\u00e0m th\u1ea5t tho\u00e1t m\u1ed9t l\u01b0\u1ee3ng protein l\u1edbn h\u01a1n m\u1ee9c cho ph\u00e9p.<\/p>\n","protected":false},"author":276,"featured_media":6004,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5154,3354,5148,5149,5150],"tags":[4503,3663],"series":[889],"coauthors":[2233],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (ti\u1ec3u \u0111\u01b0\u1eddng) - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Ti\u1ec3u \u0111\u01b0\u1eddng bi\u1ebfn ch\u1ee9ng suy th\u1eadn g\u00e2y t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn, l\u00e0m th\u1ea5t tho\u00e1t m\u1ed9t l\u01b0\u1ee3ng protein l\u1edbn h\u01a1n m\u1ee9c cho ph\u00e9p.\" \/>\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\/benh-dai-thao-duong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (ti\u1ec3u \u0111\u01b0\u1eddng) - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Ti\u1ec3u \u0111\u01b0\u1eddng bi\u1ebfn ch\u1ee9ng suy th\u1eadn g\u00e2y t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn, l\u00e0m th\u1ea5t tho\u00e1t m\u1ed9t l\u01b0\u1ee3ng protein l\u1edbn h\u01a1n m\u1ee9c cho ph\u00e9p.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/benh-dai-thao-duong\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/ngan.duong.12\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-29T03:11:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:19:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/04\/benh-than-do-dai-thao-duong.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=\"BS. 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