{"id":1097,"date":"2022-05-30T15:36:55","date_gmt":"2022-05-30T08:36:55","guid":{"rendered":"https:\/\/yhoccongdong.org\/tieu-duong\/https-yhoccongdong-com-thongtin-benh-ly-than-kinh-do-tieu-duong\/"},"modified":"2024-05-11T00:59:40","modified_gmt":"2024-05-10T17:59:40","slug":"benh-ly-than-kinh-do-tieu-duong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/tieu-duong\/benh-ly-than-kinh-do-tieu-duong\/","title":{"rendered":"B\u1ec7nh l\u00fd th\u1ea7n kinh do ti\u1ec3u \u0111\u01b0\u1eddng"},"content":{"rendered":"<p>B\u1ec7nh l\u00fd th\u1ea7n kinh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng phong ph\u00fa. Ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 qu\u1ea3n l\u00fd th\u00edch h\u1ee3p b\u1ec7nh th\u1ea7n kinh\u00a0\u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<ul>\n<li>B\u1ec7nh l\u00fd th\u1ea7n kinh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t ch\u1ea9n \u0111o\u00e1n lo\u1ea1i tr\u1eeb. B\u1ec7nh l\u00fd th\u1ea7n kinh kh\u00f4ng do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb<\/li>\n<li>H\u01a1n 50% b\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng<\/li>\n<li>Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng, gi\u1ea3m di ch\u1ee9ng v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/li>\n<\/ul>\n<h2><strong>B\u1ec7nh l\u00fd th\u1ea7n kinh ngo\u1ea1i bi\u00ean (DPN)<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 sau 5 n\u0103m ch\u1ea9n \u0111o\u00e1n v\u00e0 t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 DPN b\u1eb1ng ti\u1ec1n s\u1eed v\u00e0 c\u00e1c test l\u00e2m s\u00e0ng \u0111\u01a1n gi\u1ea3n. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng kh\u00e1c nhau ph\u1ee5 thu\u1ed9c lo\u1ea1i s\u1ee3i th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng. C\u00e1c tri\u1ec7u ch\u1ee9ng s\u1edbm nh\u01b0 \u0111au, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c th\u01b0\u1eddng do t\u1ed5n th\u01b0\u01a1ng c\u00e1c s\u1ee3i nh\u1ecf. C\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u1ee3i l\u1edbn th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 t\u00ea, m\u1ea5t c\u1ea3m gi\u00e1c b\u1ea3o v\u1ec7 (LOPS). LOPS th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n vi\u00eam \u0111a d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c xa v\u00e0 nguy c\u01a1 cho lo\u00e9t b\u00e0n ch\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>C\u00e1c test th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng s\u1ee3i nh\u1ecf, s\u1ee3i l\u1edbn v\u00e0 c\u1ea3m gi\u00e1c b\u1ea3o v\u1ec7:<\/p>\n<ul>\n<li>Ch\u1ee9c n\u0103ng s\u1ee3i nh\u1ecf: Kim ch\u00e2m, nhi\u1ec7t<\/li>\n<li>Ch\u1ee9c n\u0103ng s\u1ee3i l\u1edbn: test rung, monofilament 10g<\/li>\n<li>C\u1ea3m gi\u00e1c b\u1ea3o v\u1ec7: monofilament 10g<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, c\u1ea7n ch\u00fa \u00fd c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y n\u00ean b\u1ec7nh l\u00fd th\u1ea7n kinh kh\u00f4ng do ti\u1ec3u \u0111\u01b0\u1eddng: ng\u1ed9 \u0111\u1ed9c, thu\u1ed1c \u0111\u1ed9c th\u1ea7n kinh, thi\u1ebfu vitamin B12, b\u1ec7nh th\u1eadn, suy gi\u00e1p, b\u1ec7nh \u00e1c t\u00ednh.<\/p>\n<h2><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-41305 aligncenter\" src=\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2022\/05\/loet-ban-chan-do-tieu-duong-300x164-1.png\" alt=\"lo\u00e9t b\u00e0n ch\u00e2n do ti\u1ec3u \u0111\u01b0\u1eddng\" width=\"696\" height=\"380\" \/><\/h2>\n<h2><strong>B\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/h2>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng n\u00ean \u0111\u01b0\u1ee3c ch\u00fa \u00fd c\u1ea9n th\u1eadn qua qu\u00e1 tr\u00ecnh h\u1ecfi b\u1ec7nh th\u0103m kh\u00e1m l\u00e2m s\u00e0ng:<\/p>\n<ul>\n<li>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft<\/li>\n<li>Nh\u1ecbp tim nhanh khi ngh\u1ec9<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng<\/li>\n<li>T\u00e1o b\u00f3n ho\u1eb7c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-tieu-chay\/\" target=\"_blank\" rel=\"noopener\">ti\u00eau ch\u1ea3y<\/a><\/li>\n<li>\u0110\u1ea1i ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7<\/li>\n<li>R\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng<\/li>\n<li>B\u1ec7nh l\u00fd b\u00e0ng quang th\u1ea7n kinh<\/li>\n<\/ul>\n<p>B\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn t\u1ec9 l\u1ec7 t\u1eed vong \u0111\u1ed9c l\u1eadp v\u1edbi c\u00e1c nguy c\u01a1 tim m\u1ea1ch kh\u00e1c. \u1ede giai \u0111o\u1ea1n s\u1edbm, c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n qua gi\u1ea3m nh\u1ecbp tim khi h\u00edt s\u00e2u. \u1ede giai \u0111o\u1ea1n sau, c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn nh\u1ecbp tim nhanh khi ngh\u1ec9 ng\u01a1i (&gt; 100 l\/p), h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u1ee9ng (Huy\u1ebft \u00e1p t\u00e2m thu gi\u1ea3m &gt; 20mmHg ho\u1eb7c huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng gi\u1ea3m &gt; 10mmHg \u1edf t\u01b0 th\u1ebf \u0111\u1ee9ng m\u00e0 kh\u00f4ng c\u00f3 t\u0103ng nh\u1ecbp tim th\u00edch h\u1ee3p).<\/p>\n<p>B\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng ti\u00eau h\u00f3a c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn b\u1ea5t c\u1ee9 \u0111o\u1ea1n n\u00e0o c\u1ee7a \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, v\u1edbi bi\u1ec3u hi\u1ec7n bao g\u1ed3m r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ef1c qu\u1ea3n, Li\u1ec7t d\u1ea1 d\u00e0y, t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y, \u0111\u1ea1i ti\u1ec7n kh\u00f4ng t\u1ef1 ch\u1ee7. Li\u1ec7t d\u1ea1 d\u00e0y n\u00ean \u0111\u01b0\u1ee3c nghi ng\u1edd \u1edf c\u00e1c b\u1ec7nh nh\u00e2n kh\u00f4ng ki\u1ec3m so\u00e1t t\u1ed1t \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a tr\u00ean nh\u01b0ng kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c b\u1eb1ng nguy\u00ean nh\u00e2n n\u00e0o kh\u00e1c. C\u1ea7n lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n c\u01a1 h\u1ecdc l\u00e0m t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u1eb7c b\u1ec7nh lo\u00e9t d\u1ea1 d\u00e0y. Ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n\u00a0 li\u1ec7t d\u1ea1 d\u00e0y l\u00e0 \u0111o \u0111\u1ed9 r\u1ed7ng c\u1ee7a d\u1ea1 d\u00e0y.<\/p>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><strong><a href=\"https:\/\/diabetesjournals.org\/care\/article\/45\/Supplement_1\/S185\/138917\/12-Retinopathy-Neuropathy-and-Foot-Care-Standards#4074616\" target=\"_blank\" rel=\"noopener\">Neuropathy<\/a><\/strong>&#8211; <em>Standards of Medical Care in Diabetes\u20142022 <\/em>From:<\/p>\n<p><strong><a href=\"https:\/\/diabetesjournals.org\/care\/article\/45\/Supplement_1\/S185\/138917\/12-Retinopathy-Neuropathy-and-Foot-Care-Standards\" target=\"_blank\" rel=\"noopener\">https:\/\/diabetesjournals.org\/care\/article\/45\/Supplement_1\/S185\/138917\/12-Retinopathy-Neuropathy-and-Foot-Care-Standards<\/a><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh l\u00fd th\u1ea7n kinh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t nh\u00f3m c\u00e1c r\u1ed1i lo\u1ea1n kh\u00f4ng \u0111\u1ed3ng nh\u1ea5t v\u1edbi bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng phong ph\u00fa. Ch\u1ea9n \u0111o\u00e1n s\u1edbm v\u00e0 qu\u1ea3n l\u00fd th\u00edch h\u1ee3p b\u1ec7nh th\u1ea7n kinh\u00a0\u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n","protected":false},"author":545,"featured_media":1098,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1044,1046,1045,1047,1043],"tags":[898,899,856,900],"series":[204],"coauthors":[420],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh l\u00fd th\u1ea7n kinh do ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh l\u00fd th\u1ea7n kinh do ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\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\/tieu-duong\/benh-ly-than-kinh-do-tieu-duong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ec7nh l\u00fd th\u1ea7n kinh do ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh l\u00fd th\u1ea7n kinh do ti\u1ec3u \u0111\u01b0\u1eddng - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/benh-ly-than-kinh-do-tieu-duong\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"article:published_time\" content=\"2022-05-30T08:36:55+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-05-10T17:59:40+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2022\/05\/bien-chung-than-kinh-do-tieu-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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