{"id":1241,"date":"2021-07-22T11:28:07","date_gmt":"2021-07-22T04:28:07","guid":{"rendered":"https:\/\/cdchaiphong.gov.vn\/?p=1241"},"modified":"2021-07-22T11:28:07","modified_gmt":"2021-07-22T04:28:07","slug":"bien-chung-suy-than-o-benh-nhan-tieu-duong-va-cac-bien-phap-phong-ngua","status":"publish","type":"post","link":"https:\/\/cdchaiphong.gov.vn\/index.php\/2021\/07\/22\/bien-chung-suy-than-o-benh-nhan-tieu-duong-va-cac-bien-phap-phong-ngua\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng suy th\u1eadn \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba"},"content":{"rendered":"<div class=\"clearfix\">\n<div class=\"hometext m-bottom\">B\u1ec7nh Ti\u1ec3u \u0111\u01b0\u1eddng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn t\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0: tim, m\u1ea1ch m\u00e1u, m\u1eaft, th\u1eadn, th\u1ea7n kinh v\u00e0 r\u0103ng\u2026 Trong \u0111\u00f3, Ti\u1ec3u \u0111\u01b0\u1eddng bi\u1ebfn ch\u1ee9ng suy th\u1eadn l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng d\u1ec5 m\u1eafc ph\u1ea3i. Vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm bi\u1ebfn ch\u1ee9ng suy th\u1eadn \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 \u00fd ngh\u0129a quan tr\u1ecdng, gi\u00fap ng\u0103n ch\u1eb7n nhi\u1ec1u h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1 m\u00e0 n\u00f3 g\u00e2y ra cho ng\u01b0\u1eddi b\u1ec7nh.<\/div>\n<\/div>\n<div id=\"news-bodyhtml\" class=\"bodytext margin-bottom-lg\">\n<div><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Ti\u1ec3u \u0111\u01b0\u1eddng bi\u1ebfn ch\u1ee9ng suy th\u1eadn<\/strong><br \/>\n\u1ede giai \u0111o\u1ea1n \u0111\u1ea7u,\u00a0bi\u1ebfn ch\u1ee9ng\u00a0suy th\u1eadn \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m:<br \/>\n&#8211; Ph\u00f9: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1ebd b\u1ecb ph\u00f9 r\u1ea5t to, ph\u00f9 to\u00e0n th\u00e2n, da tr\u1eafng nh\u1ea1t do m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn b\u1ecb gi\u1ea3m g\u00e2y \u1ee9 n\u01b0\u1edbc v\u00e0 mu\u1ed1i trong c\u01a1 th\u1ec3.<br \/>\n&#8211; Thi\u1ebfu m\u00e1u: Khi th\u1eadn kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 Eythropoietin \u2013 hormone t\u1ea1o h\u1ed3ng c\u1ea7u t\u1eeb m\u00f4 d\u00f2ng h\u1ed3ng c\u1ea7u trong t\u1ee7y x\u01b0\u01a1ng s\u1ebd g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu m\u00e1u, \u0111i\u1ec1u n\u00e0y khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh m\u1ec7t m\u1ecfi, hoa m\u1eaft, ch\u00f3ng m\u1eb7t\u2026<br \/>\n&#8211; Kh\u00f3 th\u1edf: Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u00f3 c\u1ea3m gi\u00e1c kh\u00f3 th\u1edf do b\u1ecb \u1ee9 d\u1ecbch t\u1ea1i ph\u1ed5i ho\u1eb7c thi\u1ebfu m\u00e1u l\u00e0m thi\u1ebfu h\u1ee5t c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u v\u1eadn chuy\u1ec3n oxy.<br \/>\n&#8211; Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, ng\u1ee9a \u1edf da: Ch\u1ee9c n\u0103ng th\u1eadn b\u1ecb suy gi\u1ea3m d\u1eabn \u0111\u1ebfn t\u00edch t\u1ee5 n\u1ed3ng \u0111\u1ed9 cao ch\u1ea5t th\u1ea3i trong m\u00e1u.<br \/>\n&#8211; Ch\u00e1n \u0103n: N\u1ed3ng \u0111\u1ed9 ure trong m\u00e1u cao khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh m\u1ea5t \u0111i c\u1ea3m gi\u00e1c ngon mi\u1ec7ng v\u00e0 h\u01a1i th\u1edf c\u00f3 m\u00f9i.<\/p>\n<div><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter size-full wp-image-1242\" src=\"http:\/\/125.212.131.52\/cdc\/wp-content\/uploads\/2021\/07\/0306212.jpg\" alt=\"\" width=\"475\" height=\"297\" srcset=\"https:\/\/cdchaiphong.gov.vn\/wp-content\/uploads\/2021\/07\/0306212.jpg 475w, https:\/\/cdchaiphong.gov.vn\/wp-content\/uploads\/2021\/07\/0306212-300x188.jpg 300w\" sizes=\"auto, (max-width: 475px) 100vw, 475px\" \/><\/div>\n<p>Khi b\u1ec7nh ng\u00e0y c\u00e0ng ti\u1ebfn tri\u1ec3n n\u1eb7ng th\u00eam, n\u1ed3ng \u0111\u1ed9 protein trong m\u00e1u qu\u00e1 th\u1ea5p b\u1ecb l\u1ecdt ra ngo\u00e0i n\u01b0\u1edbc ti\u1ec3u d\u1eabn t\u1edbi kh\u00f4ng th\u1ec3 gi\u1eef d\u1ecbch trong l\u00f2ng m\u1ea1ch m\u00e1u. B\u1ec7nh nh\u00e2n s\u1ebd xu\u1ea5t hi\u1ec7n h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 v\u00e0 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh suy th\u1eadn n\u1eb7ng. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ph\u00f9 r\u1ea5t to to\u00e0n th\u00e2n, xu\u1ea5t hi\u1ec7n c\u1ed5 tr\u01b0\u1edbng, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i v\u00e0 m\u00e0ng tim. \u0110\u1ec3 x\u1eed tr\u00ed ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u1ea9y b\u1edbt ch\u1ea5t \u0111\u1ed9c ra ngo\u00e0i b\u1eb1ng c\u00e1ch l\u1ecdc m\u00e1u.<\/p>\n<p><strong>Ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng suy th\u1eadn \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng<\/strong><br \/>\n&#8211; Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft: L\u00e0 \u0111i\u1ec1u quan tr\u1ecdng \u0111\u1ea7u ti\u00ean c\u1ea7n l\u00e0m \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng. \u0110i\u1ec1u tr\u1ecb\u00a0Insulin\u00a0theo quy \u01b0\u1edbc b\u1eb1ng c\u00e1ch ti\u00eam 3,4 l\u1ea7n\/ng\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 b\u1ec7nh th\u1eadn \u1edf ng\u01b0\u1eddi b\u1ecb\u00a0tu\u00fdp 1. B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng suy th\u1eadn s\u1ebd kh\u00f3 \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft h\u01a1n so v\u1edbi ng\u01b0\u1eddi kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng.<br \/>\n&#8211; Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p: Huy\u1ebft \u00e1p cao l\u00e0m t\u0103ng \u00e1p l\u1ef1c cho tim, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u00e0nh m\u1ea1ch m\u00e1u, d\u1ec5 d\u1eabn \u0111\u1ebfn c\u00e1c b\u1ec7nh tim m\u1ea1ch nh\u01b0: \u0111au tim, \u0111\u1ed9t qu\u1ef5 v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng th\u1eadn n\u1eb7ng h\u01a1n.<br \/>\n&#8211; Ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang ph\u00f9 h\u1ee3p: C\u1ea7n ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u1ea1m trong kh\u1ea9u ph\u1ea7n \u0103n h\u00e0ng ng\u00e0y; th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n nh\u1ea1t, gi\u1ea3m mu\u1ed1i &lt;2.4g\/ng\u00e0y; \u0103n nhi\u1ec1u rau, c\u1ee7, qu\u1ea3; h\u1ea1n ch\u1ebf c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t b\u00e9o, \u0111\u1ed3 chi\u00ean r\u00e1n, c\u00e1c lo\u1ea1i th\u1ee9c \u0103n nhanh, \u0111\u1ed3 \u0103n ch\u1ebf bi\u1ebfn s\u1eb5n; kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u bia, h\u00fat thu\u1ed1c l\u00e1, s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t k\u00edch th\u00edch\u2026<br \/>\n&#8211; T\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t: Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t, t\u1eadp th\u1ec3 d\u1ee5c h\u00e0ng ng\u00e0y. B\u1ec7nh nh\u00e2n n\u00ean ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng, nh\u1eefng ng\u01b0\u1eddi th\u1eeba c\u00e2n, b\u00e9o ph\u00ec c\u1ea7n gi\u1ea3m c\u00e2n v\u1edbi BMI &lt;25 kg\/m2.<br \/>\n&#8211; Qu\u1ea3n l\u00fd t\u1ed1t c\u0103ng th\u1eb3ng (stress): Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n c\u00e2n b\u1eb1ng cu\u1ed9c s\u1ed1ng, kh\u00f4ng \u0111\u1ec3 b\u1ea3n th\u00e2n b\u1ecb stress v\u1ec1 cu\u1ed9c s\u1ed1ng hay c\u00f4ng vi\u1ec7c, lu\u00f4n gi\u1eef cho tinh th\u1ea7n tho\u1ea3i m\u00e1i, l\u00e0m ch\u1ee7 c\u1ea3m x\u00fac c\u1ee7a m\u00ecnh \u0111\u1ec3 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao.<br \/>\n&#8211; Ki\u1ec3m tra s\u1ee9c kh\u1ecfe, th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ecbnh k\u1ef3: B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 b\u1ec7nh th\u1eadn m\u1ea1n giai \u0111o\u1ea1n 1-2 c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn 6 th\u00e1ng\/l\u1ea7n. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0\u00a0suy th\u1eadn m\u1ea1n\u00a0giai \u0111o\u1ea1n 3-5 l\u00e0 3 th\u00e1ng\/l\u1ea7n.<br \/>\n\u0110\u1ec3 ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng suy th\u1eadn \u1edf b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3, c\u1ea7n tu\u00e2n th\u1ee7 l\u1ecbch kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u1ee7 \u0111\u1ed9ng th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc suy th\u1eadn s\u1edbm, c\u00f3 bi\u1ec7n ph\u00e1p can thi\u1ec7p ngay khi xu\u1ea5t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng.<\/div>\n<div><strong>Nguy\u1ec5n Huy<\/strong><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Ti\u1ec3u \u0111\u01b0\u1eddng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1ebd d\u1eabn t\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0: tim, m\u1ea1ch m\u00e1u, m\u1eaft, th\u1eadn, th\u1ea7n kinh v\u00e0 r\u0103ng\u2026 Trong \u0111\u00f3, Ti\u1ec3u \u0111\u01b0\u1eddng bi\u1ebfn ch\u1ee9ng suy th\u1eadn l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng d\u1ec5 m\u1eafc ph\u1ea3i. Vi\u1ec7c ph\u00f2ng ng\u1eeba v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm bi\u1ebfn ch\u1ee9ng suy th\u1eadn \u1edf [&hellip;]<\/p>\n","protected":false},"author":21,"featured_media":1242,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[112],"tags":[],"class_list":{"0":"post-1241","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-phong-chong-benh-khong-lay-nhiem"},"_links":{"self":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/1241","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/comments?post=1241"}],"version-history":[{"count":0,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/posts\/1241\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media\/1242"}],"wp:attachment":[{"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/media?parent=1241"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/categories?post=1241"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdchaiphong.gov.vn\/index.php\/wp-json\/wp\/v2\/tags?post=1241"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}