{"id":913,"date":"2016-11-03T07:32:35","date_gmt":"2016-11-03T00:32:35","guid":{"rendered":"https:\/\/yhoccongdong.org\/tieu-duong\/benh-tieu-duong-2\/"},"modified":"2024-06-02T21:30:03","modified_gmt":"2024-06-02T14:30:03","slug":"benh-tieu-duong-2-2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/tieu-duong\/benh-tieu-duong-2-2\/","title":{"rendered":"B\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng"},"content":{"rendered":"<h2 style=\"text-align: justify\">B\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 g\u00ec?<\/h2>\n<p style=\"text-align: justify\">B\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh l\u00fd \u1edf th\u1eadn c\u00f3 nguy\u00ean nh\u00e2n t\u1eeb ti\u1ec3u \u0111\u01b0\u1eddng. L\u00e0 nguy\u00ean nh\u00e2n s\u1ed1 m\u1ed9t g\u00e2y ra suy th\u1eadn. C\u00f3 kho\u1ea3ng 1\/3 s\u1ed1 b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng s\u1ebd d\u1eabn \u0111\u1ebfn suy th\u1eadn.<\/p>\n<p style=\"text-align: justify\">B\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 b\u1ec7nh th\u1eadn k\u1ebft h\u1ee3p s\u1ebd c\u00f3 ti\u1ebfn tri\u1ec3n x\u1ea5u h\u01a1n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi ch\u1ec9 c\u00f3 b\u1ec7nh th\u1eadn \u0111\u01a1n thu\u1ea7n. V\u00ec nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng c\u00f3 c\u00e1c b\u1ec7nh l\u00fd m\u1ea1n t\u00ednh kh\u00e1c nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, t\u0103ng cholesterol v\u00e0 c\u00e1c b\u1ec7nh m\u1ea1ch m\u00e1u (x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch). B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng c\u0169ng th\u01b0\u1eddng c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn th\u1eadn nh\u01b0 nhi\u1ec5m khu\u1ea9n b\u00e0ng quang, t\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ed1ng th\u1ea7n kinh chi ph\u1ed1i b\u00e0ng quang.<\/p>\n<p style=\"text-align: justify\">B\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 1 c\u00f3 ch\u00fat kh\u00e1c bi\u1ec7t so v\u1edbi b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2. \u1ede ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 1, b\u1ec7nh th\u1eadn hi\u1ebfm khi b\u1eaft \u0111\u1ea7u trong 10 n\u0103m \u0111\u1ea7u sau khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ti\u1ec3u \u0111\u01b0\u1eddng. \u1ede ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u00e3 m\u1eafc b\u1ec7nh th\u1eadn ngay t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n<h2 style=\"text-align: justify\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng?<\/h2>\n<p style=\"text-align: justify\">Trong giai \u0111o\u1ea1n s\u1edbm, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng g\u00ec. Ch\u1ec9 khi ch\u1ee9c n\u0103ng th\u1eadn \u0111\u00e3 suy gi\u1ea3m c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/p>\n<ul style=\"text-align: justify\">\n<li>Ph\u00f9 tay, ch\u00e2n, m\u1eb7t<\/li>\n<li>Kh\u00f3 ng\u1ee7, kh\u00f3 t\u1eadp trung<\/li>\n<li>Ch\u00e1n \u0103n<\/li>\n<li>Bu\u1ed3n n\u00f4n<\/li>\n<li>Y\u1ebfu c\u01a1<\/li>\n<li>Ng\u1ee9a (th\u01b0\u1eddng l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i) v\u00e0 da r\u1ea5t kh\u00f4<\/li>\n<li>Bu\u1ed3n ng\u1ee7 (th\u01b0\u1eddng l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i)<\/li>\n<li>Nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, do s\u1ef1 t\u0103ng n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u<\/li>\n<li>Chu\u1ed9t r\u00fat<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Do nh\u1eefng t\u1ed5n th\u01b0\u01a1ng ti\u1ebfn tri\u1ec3n, th\u1eadn c\u1ee7a b\u1ea1n kh\u00f4ng th\u1ec3 l\u1ecdc c\u00e1c ch\u1ea5t th\u1ea3i ra kh\u1ecfi m\u00e1u. C\u00e1c ch\u1ea5t th\u1ea3i n\u00e0y t\u0103ng d\u1ea7n trong c\u01a1 th\u1ec3 \u0111\u1ebfn m\u1ee9c c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9c c\u00f2n g\u1ecdi l\u00e0 t\u00ecnh tr\u1ea1ng <strong>t\u0103ng ure huy\u1ebft.<\/strong> Nh\u1eefng ng\u01b0\u1eddi b\u1ecb t\u0103ng ure huy\u1ebft th\u01b0\u1eddng b\u1ecb l\u00fa l\u1eabn v\u00e0 th\u1eadm ch\u00ed ti\u1ebfn tri\u1ec3n \u0111\u1ebfn h\u00f4n m\u00ea trong m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<h2 style=\"text-align: justify\">Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng?<\/h2>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m m\u00e1u v\u1ec1 c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a \u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ch\u1ea9n \u0111o\u00e1n t\u1ed5n th\u01b0\u01a1ng th\u1eadn. C\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng th\u1eadn \u1edf giai \u0111o\u1ea1n s\u1edbm b\u1eb1ng x\u00e9t protein n\u01b0\u1edbc ti\u1ec3u (\u0111\u1ea1m ni\u1ec7u). Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb gi\u00fap l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh suy th\u1eadn. \u0110\u00f3 l\u00e0 l\u00fd do v\u00ec sao b\u1ea1n n\u00ean x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u h\u00e0ng n\u0103m n\u1ebfu b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n<h2 style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng?<\/h2>\n<p style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb h\u1ea1 huy\u1ebft \u00e1p v\u00e0 ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng m\u00e1u r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng. Nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>\u1ee8c ch\u1ebf men chuy\u1ec3n angiotensin (ACE)<\/strong> c\u00f3 th\u1ec3 gi\u00fap l\u00e0m ch\u1eadm ti\u1ebfn tr\u00ecnh t\u1ed5n th\u01b0\u01a1ng \u1edf th\u1eadn. M\u1eb7c d\u00f9 nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n &#8211;\u00a0 bao g\u1ed3m ramipil (Altace), quinapril (Accupril) v\u00e0 lisinopril (Prinivil, Zestril). Th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 kh\u00e1c. C\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng k\u00ea cho b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng ngay c\u1ea3 khi huy\u1ebft \u00e1p c\u1ee7a h\u1ecd b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p style=\"text-align: justify\">Tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a nh\u00f3m thu\u1ed1c n\u00e0y th\u00ec m\u1ed9t nh\u00f3m thu\u1ed1c kh\u00e1c v\u1edbi t\u00ean g\u1ecdi <strong>Thu\u1ed1c kh\u00f3a th\u1ee5 th\u1ec3 angiotensin (ARBs)<\/strong> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng thay th\u1ebf.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb, th\u1eadn s\u1ebd ti\u1ebfp t\u1ee5c b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 g\u00e2y m\u1ea5t nhi\u1ec1u protein h\u01a1n qua n\u01b0\u1edbc ti\u1ec3u. Suy th\u1eadn ti\u1ebfn tri\u1ec3n n\u1eb7ng s\u1ebd c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng l\u1ecdc m\u00e1u ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n<h2 style=\"text-align: justify\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/www.webmd.com\/diabetes\/guide\/diabetes-kidney-disease\" target=\"_blank\" rel=\"noopener\">http:\/\/www.webmd.com\/diabetes\/guide\/diabetes-kidney-disease<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh  th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0m\u1ed9t lo\u1ea1i b\u1ec7nh l\u00fd \u1edf th\u1eadn c\u00f3 nguy\u00ean nh\u00e2n t\u1eeb ti\u1ec3u \u0111\u01b0\u1eddng &#8211; l\u00e0 nguy\u00ean nh\u00e2n s\u1ed1 m\u1ed9t g\u00e2y ra suy th\u1eadn. <\/p>\n","protected":false},"author":621,"featured_media":916,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1044,1047,1043],"tags":[780,781,783,782],"series":[204],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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