{"id":103323,"date":"2021-09-01T00:00:00","date_gmt":"2021-09-01T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/ap-luc-tham-thau-mau\/"},"modified":"2023-08-14T00:00:00","modified_gmt":"2023-08-14T00:00:00","slug":"ap-luc-tham-thau-mau","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/huyet-hoc\/ap-luc-tham-thau-mau\/","title":{"rendered":"\u00c1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u: \u00dd ngh\u0129a ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m v\u00e0 10 c\u00e1ch ph\u00f2ng ng\u1eeba"},"content":{"rendered":"\n

\u0110o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m h\u1eefu d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng v\u1ec1 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3ng th\u1eddi quy\u1ebft \u0111\u1ecbnh nhu c\u1ea7u d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3. Khi c\u01a1 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng s\u1ebd duy tr\u00ec \u0111\u1ed9 th\u1ea9m th\u1ea5u m\u00e1u m\u1ed9t c\u00e1ch ph\u00f9 h\u1ee3p \u0111\u1ec3 gi\u1eef l\u01b0\u1ee3ng n\u01b0\u1edbc ngo\u1ea1i b\u00e0o sao cho kh\u00f4ng qu\u00e1 thi\u1ebfu c\u0169ng kh\u00f4ng qu\u00e1 th\u1eeba. H\u00e3y c\u00f9ng Doctor c\u00f3 s\u1eb5n<\/a> t\u00ecm hi\u1ec3u v\u1ec1 kh\u00e1i ni\u1ec7m n\u00e0y th\u00f4ng qua b\u00e0i vi\u1ebft sau nh\u00e9!<\/strong><\/p>\n\n\n\n

\u00c1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u l\u00e0 g\u00ec?<\/h2>\n\n\n\n

\u00c1p l\u1ef1c th\u1ea9m th\u1ea5u l\u00e0 g\u00ec? Th\u1ef1c ch\u1ea5t, \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u l\u00e0 n\u1ed3ng \u0111\u1ed9 c\u00e1c ph\u00e2n t\u1eed h\u00f2a tan c\u00f3 trong 1000ml m\u00e1u \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng \u0111\u01a1n v\u1ecb mOsm\/L. \u00c1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u \u0111o l\u01b0\u1ee3ng c\u00e1c ch\u1ea5t c\u00f3 t\u00ednh th\u1ea9m th\u1ea5u h\u00f2a tan trong m\u00e1u. C\u00e1c ch\u1ea5t h\u00f2a tan \u1ea3nh h\u01b0\u1edfng t\u1edbi \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u bao g\u1ed3m natri, glucose, ure. \u0110\u00e2y c\u0169ng l\u00e0 3 ch\u1ea5t \u0111\u01b0\u1ee3c kh\u1ea3o s\u00e1t ch\u00ednh trong \u0111o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u.<\/p>\n\n\n\n

\u00c1p su\u1ea5t  th\u1ea9m th\u1ea5u c\u1ee7a m\u00e1u \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t m\u1ed9t ph\u1ea7n b\u1edfi hormone kh\u00e1ng l\u1ee3i ni\u1ec7u ADH (hay vasopressin) \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u01a1 ch\u1ebf th\u1ec3 d\u1ecbch. ADH \u0111\u01b0\u1ee3c v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i s\u1ea3n xu\u1ea5t v\u00e0 \u0111\u01b0\u1ee3c tuy\u1ebfn y\u00ean ph\u00f3ng th\u00edch v\u00e0o m\u00e1u khi c\u00e1c c\u00e1c bi\u1ebfn \u0111\u1ed5i trong \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u. Ngo\u00e0i ra \u00e1p su\u1ea5t th\u1ea9m th\u1ea5u m\u00e1u c\u00f2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a qua c\u01a1 ch\u1ebf th\u1ee9 2 l\u00e0 c\u01a1 ch\u1ebf th\u1ea7n kinh th\u00f4ng qua c\u1ea3m gi\u00e1c kh\u00e1t v\u00e0 th\u00e8m \u0103n mu\u1ed1i t\u1ea1i v\u00f9ng h\u1ea1 \u0111\u1ed3i c\u1ee7a n\u00e3o.<\/p>\n\n\n\n

\"\u00c1p
\u00c1p l\u1ef1c th\u1ea9m th\u1ea5u l\u00e0 g\u00ec?<\/figcaption><\/figure>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m t\u1ed1i \u01b0u \u0111\u1ec3 \u0111o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u l\u00e0 \u0111o \u0111\u1ed9 h\u1ea1 b\u0103ng \u0111i\u1ec3m (nhi\u1ec7t \u0111\u1ed9 \u0111\u00f4ng \u0111\u1eb7c) c\u1ee7a huy\u1ebft thanh so v\u1edbi n\u01b0\u1edbc. Tuy nhi\u00ean trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 \u01b0\u1edbc t\u00ednh \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u c\u1ee7a m\u00e1u qua c\u00f4ng th\u1ee9c:<\/p>\n\n\n\n

\u00c1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u l\u00fd thuy\u1ebft = N\u1ed3ng \u0111\u1ed9 natri m\u00e1u (mmol\/L) x 2 + N\u1ed3ng \u0111\u1ed9 ure m\u00e1u (mmol\/L) + N\u1ed3ng \u0111\u1ed9 glucose m\u00e1u (mmol\/L)<\/strong><\/p>\n\n\n\n

Kho\u1ea3ng gi\u00e1 tr\u1ecb tham chi\u1ebfu c\u1ee7a \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u l\u00e0 280-296 mOsm\/L<\/strong>. Khi \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u n\u1eb1m ngo\u00e0i kho\u1ea3ng tham chi\u1ebfu ch\u1ee9ng t\u1ecf c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 \u0111ang c\u00f3 c\u00e1c r\u1ed1i lo\u1ea1n v\u1ec1 n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. Vi\u1ec7c \u0111o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u s\u1ebd gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111\u00f3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

Ngo\u00e0i s\u1eed d\u1ee5ng c\u00f4ng th\u1ee9c \u0111\u1ec3 t\u00ednh \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u tr\u00ean l\u00fd thuy\u1ebft ng\u01b0\u1eddi ta c\u00f2n d\u00f9ng m\u1ed9t s\u1ed1 m\u00e1y m\u00f3c \u0111\u1ec3 \u0111o ch\u00ednh x\u00e1c th\u1ef1c t\u1ebf \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u. \u0110\u00f4i khi s\u1ebd c\u00f3 s\u1ef1 ch\u00eanh l\u1ec7ch gi\u1eefa l\u00fd thuy\u1ebft v\u00e0 th\u1ef1c t\u1ebf ng\u01b0\u1eddi ta g\u1ecdi kho\u1ea3ng tr\u1ed1ng Osmol<\/strong> (Osmol gap). B\u00ecnh th\u01b0\u1eddng kho\u1ea3ng tr\u1ed1ng Osmol b\u00e9 h\u01a1n 10 nh\u01b0ng khi kho\u1ea3ng tr\u1ed1ng Osmol t\u0103ng ch\u1ee9ng t\u1ecf trong m\u00e1u ch\u1ee9a c\u00e1c ch\u1ea5t c\u00f3 ho\u1ea1t t\u00ednh th\u1ea9m th\u1ea5u cao kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c nh\u01b0 manitol, sorbitol, methanol.<\/p>\n\n\n\n

\u00c1p l\u1ef1c th\u1ea9m th\u1ea5u ni\u1ec7u bi\u1ec3u th\u1ecb n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t h\u00f2a tan trong n\u01b0\u1edbc ti\u1ec3u, cho th\u1ea5y n\u1ed3ng \u0111\u1ed9 nhi\u1ec1u hay \u00edt c\u1ee7a chloride, natri, kali hay ure. \u0110\u00e1nh gi\u00e1 \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u ni\u1ec7u \u0111\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c kh\u1ea3 n\u0103ng c\u1ee7a th\u1eadn trong vi\u1ec7c duy tr\u00ec c\u00e2n b\u1eb1ng n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i cho c\u01a1 th\u1ec3. So s\u00e1nh \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u ni\u1ec7u v\u00e0 \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u gi\u00fap \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u0111i\u1ec1u ch\u1ec9nh c\u1ee7a th\u1eadn ho\u1eb7c t\u00ecm c\u00e1c ch\u1ea5t h\u00f2a tan b\u1ea5t th\u01b0\u1eddng trong n\u01b0\u1edbc ti\u1ec3u. T\u1ef7 l\u1ec7 \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u ni\u1ec7u\/\u00e1p l\u1ef1c th\u1ea9m th\u1ea5u huy\u1ebft t\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng l\u00e0 1\/3. <\/p>\n\n\n\n

N\u1ebfu kh\u00f4ng c\u00f3 m\u00e1y \u0111o, c\u00f3 th\u1ec3 t\u00ednh \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u ni\u1ec7u theo c\u00f4ng th\u1ee9c:<\/p>\n\n\n\n

 \u00c1p l\u1ef1c th\u1ea9m th\u1ea5u ni\u1ec7u = [ Na + K + Urea ].<\/strong><\/p>\n\n\n\n

M\u1ee5c \u0111\u00edch c\u1ee7a \u0111o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u<\/h2>\n\n\n\n
\"\u00c1p
\u0110o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau<\/figcaption><\/figure>\n\n\n\n

B\u00e1c s\u0129 th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh \u0111o \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau, m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng th\u01b0\u1eddng g\u1eb7p nh\u01b0:<\/p>\n\n\n\n

    \n
  1. Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n h\u1ea1 Natri m\u00e1u:<\/strong> khi \u0111\u1ee9ng tr\u01b0\u1edbc m\u1ed9t b\u1ec7nh nh\u00e2n h\u1ea1 natri m\u00e1u tr\u00ean l\u00e2m s\u00e0ng, b\u00e1c s\u0129 c\u1ea7n \u0111\u00e1nh gi\u00e1 \u0111\u00fang vi\u1ec7c h\u1ea1 natri m\u00e1u n\u00e0y l\u00e0 do m\u1ea5t qua n\u01b0\u1edbc ti\u1ec3u hay pha lo\u00e3ng m\u00e1u \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u01b0a ra c\u00e1c x\u1eed tr\u00ed ph\u00f9 h\u1ee3p, tr\u00e1nh l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/li>\n\n\n\n
  2. Ch\u1ea9n \u0111o\u00e1n, \u0111\u00e1nh gi\u00e1 c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 d\u1ecbch<\/strong>: \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00e2n b\u1eb1ng gi\u1eefa n\u01b0\u1edbc v\u00e0 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong m\u00e1u. Sau khi ch\u1ea9n \u0111o\u00e1n \u0111o\u00e1n \u0111\u01b0\u1ee3c s\u1ef1 b\u1ea5t th\u01b0\u1eddng, b\u00e1c s\u0129 s\u1ebd c\u00f3 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p \u0111\u00fang v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n\n\n\n
  3. Ch\u1ea9n \u0111o\u00e1n c\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u00f3 li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u: <\/strong>c\u00f3 nhi\u1ec1u b\u1ec7nh l\u00fd g\u00e2y n\u00ean do t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u, ph\u1ea7n l\u1edbn th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 b\u1ec7nh n\u1ec1n s\u1eb5n nh\u01b0 co gi\u1eadt, ng\u1ed9 \u0111\u1ed9c, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u1eb7ng, h\u1ed9i ch\u1ee9ng ure huy\u1ebft cao…<\/li>\n\n\n\n
  4. \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00f4 \u0111\u1eb7c n\u01b0\u1edbc ti\u1ec3u: <\/strong>b\u00ecnh th\u01b0\u1eddng th\u1eadn b\u00e0i xu\u1ea5t n\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c c\u00f4 \u0111\u1eb7c h\u01a1n g\u1ea5p 3 l\u1ea7n so v\u1edbi huy\u1ebft t\u01b0\u01a1ng. K\u0129 thu\u1eadt vi\u00ean x\u00e9t nghi\u1ec7m s\u1ebd ti\u1ebfn h\u00e0nh so s\u00e1nh \u0111\u1ed9 th\u1ea9m th\u1ea5u huy\u1ebft t\u01b0\u01a1ng v\u00e0 n\u01b0\u1edbc ti\u1ec3u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng c\u00f4 \u0111\u1eb7c n\u01b0\u1edbc ti\u1ec3u c\u1ee7a th\u1eadn.<\/li>\n<\/ol>\n\n\n\n

    M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y r\u1ed1i lo\u1ea1n \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u<\/h2>\n\n\n\n

    Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u<\/h3>\n\n\n\n

    \u00c1p l\u1ef1c th\u1ea9m th\u1ea5u c\u1ee7a m\u00e1u t\u0103ng l\u00e0 khi ch\u1ec9 s\u1ed1 n\u1ed3ng \u0111\u1ed9 n\u00e0y tr\u00ean 290 mosm\/l. Nguy\u00ean nh\u00e2n l\u00e0 do:<\/p>\n\n\n\n

      \n
    1. Do t\u0103ng n\u1ed3ng \u0111\u1ed9 natri m\u00e1u: natri m\u00e1u l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ea5t th\u1ea9m th\u1ea5u h\u1eefu hi\u1ec7u v\u00ec n\u00f3 c\u00f3 kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng l\u00ean s\u1ef1 d\u1ecbch chuy\u1ec3n c\u1ee7a n\u01b0\u1edbc trong c\u01a1 th\u1ec3. T\u00ecnh tr\u1ea1ng t\u0103ng natri m\u00e1u th\u01b0\u1eddng g\u1eb7p trong 3 t\u00ecnh hu\u1ed1ng sau\n
        \n
      • T\u0103ng natri m\u00e1u v\u1edbi t\u00ecnh tr\u1ea1ng d\u1ecbch gi\u1ea3m: nh\u01b0 ti\u00eau ch\u1ea3y, n\u00f4n nhi\u1ec1u, \u0111\u00e1i th\u00e1o nh\u1ea1t, s\u1ed1t.<\/li>\n\n\n\n
      • T\u0103ng natri m\u00e1u v\u1edbi t\u00ecnh tr\u1ea1ng d\u1ecbch b\u00ecnh th\u01b0\u1eddng: g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n khi\u1ebfm khuy\u1ebft c\u1ea3m gi\u00e1c kh\u00e1t, t\u0103ng natri m\u00e1u nguy\u00ean ph\u00e1t.<\/li>\n\n\n\n
      • T\u0103ng natri m\u00e1u v\u1edbi t\u00ecnh tr\u1ea1ng d\u1ecbch t\u0103ng: do d\u00f9ng thu\u1ed1c ho\u1eb7c do ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
      • Ng\u01b0\u1eddi b\u1ec7nh m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd v\u1ec1 chuy\u1ec3n h\u00f3a: h\u1ed9i ch\u1ee9ng ure huy\u1ebft cao, nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, h\u1ea1 kali m\u00e1u,…<\/li>\n\n\n\n
      • Ng\u01b0\u1eddi b\u1ec7nh b\u1ecb s\u1ed1c do ch\u1ea5n th\u01b0\u01a1ng, ng\u1ed9 \u0111\u1ed9c etanol, etylen glycol ho\u1eb7c metanol.<\/li>\n\n\n\n
      • B\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng n\u1eb7ng kh\u00f4ng ki\u1ec3m so\u00e1t, c\u01b0\u1eddng aldosterol, ph\u00f9 hay b\u1ecfng n\u1eb7ng.<\/li>\n<\/ol>\n\n\n\n
        \"\u00c1p
        Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u<\/figcaption><\/figure>\n\n\n\n

        Nguy\u00ean nh\u00e2n g\u00e2y gi\u1ea3m \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u<\/h3>\n\n\n\n

        \u00c1p l\u1ef1c th\u1ea9m th\u1ea5u c\u1ee7a m\u00e1u gi\u1ea3m l\u00e0 khi ch\u1ec9 s\u1ed1 n\u1ed3ng \u0111\u1ed9 n\u00e0y d\u01b0\u1edbi 280 mosm\/l. Nguy\u00ean nh\u1eadn l\u00e0 do:<\/p>\n\n\n\n

          \n
        1. H\u1ea1 natri m\u00e1u: ng\u01b0\u1eddi ta c\u1ea7n \u0111\u00e1nh gi\u00e1 \u0111\u1ed9 th\u1ea9m th\u1ea5u m\u00e1u sau khi ghi nh\u1eadn t\u00ecnh tr\u1ea1ng h\u1ea1 natri m\u00e1u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n\n
            \n
          • H\u1ea1 natri m\u00e1u v\u1edbi \u0111\u1ed9 th\u1ea9m th\u1ea5u m\u00e1u b\u00ecnh th\u01b0\u1eddng: t\u0103ng lipid m\u00e1u, t\u0103ng protid m\u00e1u.<\/li>\n\n\n\n
          • H\u1ea1 natri m\u00e1u v\u1edbi \u0111\u1ed9 th\u1ea9m th\u1ea5u m\u00e1u t\u0103ng: t\u0103ng \u0111\u01b0\u1eddng m\u00e1u, truy\u1ec1n d\u1ecbch \u01b0u tr\u01b0\u01a1ng.<\/li>\n\n\n\n
          • H\u1ea1 natri m\u00e1u v\u1edbi \u0111\u1ed9 th\u1ea9m th\u1ea5u m\u00e1u gi\u1ea3m: t\u00f9y thu\u1ed9c v\u00e0o th\u1ec3 m\u00e1u t\u0103ng gi\u1ea3m kh\u00e1c nhau m\u00e0 c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y.<\/li>\n<\/ul>\n<\/li>\n\n\n\n
          • U\u1ed1ng qu\u00e1 nhi\u1ec1u n\u01b0\u1edbc.<\/li>\n\n\n\n
          • M\u1ed9t s\u1ed1 h\u1ed9i ch\u1ee9ng: H\u1ed9i ch\u1ee9ng ti\u1ebft ADH kh\u00f4ng th\u00edch h\u1ee3p (SIADH), h\u1ed9i ch\u1ee9ng paraneoplastic \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb ung th\u01b0.<\/li>\n<\/ol>\n\n\n\n

            Nh\u01b0 v\u1eady, khi t\u0103ng hay gi\u1ea3m \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u, n\u1ebfu kh\u00f4ng l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. <\/p>\n\n\n\n

            \u0110i\u1ec1u tr\u1ecb v\u00e0 ph\u00f2ng ng\u1eeba<\/h2>\n\n\n\n

            \u00c1p su\u1ea5t th\u1ea9m th\u1ea5u c\u1ee7a m\u00e1u s\u1ebd b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi l\u01b0\u1ee3ng n\u01b0\u1edbc v\u00e0 n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t h\u00f2a tan trong m\u00e1u nh\u01b0 Natri, Glucose, n\u1ed3ng \u0111\u1ed9 c\u1ed3n khi u\u1ed1ng r\u01b0\u1ee3u, bia\u2026<\/p>\n\n\n\n

            B\u00ean c\u1ea1nh \u0111\u00f3 \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u c\u00f2n c\u00f3 th\u1ec3 t\u0103ng do \u0103n th\u1ee9c \u0103n m\u1eb7n ch\u1ee9a nhi\u1ec1u mu\u1ed1i. Th\u1eadn s\u1ebd t\u0103ng c\u01b0\u1eddng h\u1ea5p thu n\u01b0\u1edbc tr\u1ea3 v\u1ec1 m\u00e1u v\u00e0 t\u1ea1o ra c\u1ea3m gi\u00e1c kh\u00e1t n\u01b0\u1edbc<\/p>\n\n\n\n

            Khi \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u b\u1ea5t th\u01b0\u1eddng, t\u0103ng ho\u1eb7c gi\u1ea3m khi\u1ebfn c\u01a1 th\u1ec3 thay \u0111\u1ed5i, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m, truy\u1ec1n d\u1ecbch c\u0169ng nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang lo\u1ea1i, li\u1ec1u l\u01b0\u1ee3ng c\u1ea7n thi\u1ebft. Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng n\u00ean ch\u1ee7 quan tr\u01b0\u1edbc s\u1ef1 thay \u0111\u1ed5i c\u1ee7a c\u01a1 th\u1ec3, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 khi\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ec7nh n\u1eb7ng, nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n\n\n\n

            \u0110\u1ec3 ph\u00f2ng ng\u1eeba nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng ho\u1eb7c gi\u1ea3m \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u, ng\u01b0\u1eddi b\u1ec7nh n\u00ean duy tr\u00ec th\u00f3i quen \u0103n u\u1ed1ng, sinh ho\u1ea1t l\u00e0nh m\u1ea1nh, c\u1ee5 th\u1ec3 nh\u01b0 sau:<\/p>\n\n\n\n

              \n
            • U\u1ed1ng \u0111\u1ee7 l\u01b0\u1ee3ng n\u01b0\u1edbc trong ng\u00e0y, kh\u00f4ng n\u00ean u\u1ed1ng qu\u00e1 nhi\u1ec1u ho\u1eb7c qu\u00e1 \u00edt. V\u1edbi ng\u01b0\u1eddi gi\u00e0 th\u01b0\u1eddng m\u1ea5t c\u1ea3m gi\u00e1c kh\u00e1t n\u01b0\u1edbc, ng\u01b0\u1eddi nh\u00e0 n\u00ean ch\u00fa \u00fd \u0111\u1ec3 nh\u1eafc nh\u1edf ho\u1eb7c c\u00f3 bi\u1ec7n ph\u00e1p \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh nh\u1edb t\u1edbi vi\u1ec7c u\u1ed1ng n\u01b0\u1edbc. B\u00ean c\u1ea1nh n\u01b0\u1edbc l\u1ecdc, n\u00ean b\u1ed5 sung c\u00e1c lo\u1ea1i n\u01b0\u1edbc \u00e9p \u0111\u1ec3 c\u00f3 th\u00eam d\u01b0\u1ee1ng ch\u1ea5t cho c\u01a1 th\u1ec3.<\/li>\n\n\n\n
            • Ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng v\u00e0o c\u01a1 th\u1ec3 th\u00f4ng qua \u0111\u01b0\u1eddng \u0103n u\u1ed1ng b\u1eb1ng c\u00e1ch h\u1ea1n ch\u1ebf \u0103n, u\u1ed1ng \u0111\u1ed3 qu\u00e1 ng\u1ecdt v\u1edbi l\u01b0\u1ee3ng nhi\u1ec1u. Ng\u01b0\u1eddi b\u1ec7nh n\u00ean ch\u1ecdn vi\u1ec7c h\u1ea1n ch\u1ebf ho\u1eb7c s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng \u0103n ki\u00eang, t\u1ed1t cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/li>\n\n\n\n
            • Khi n\u1ea5u \u0103n, h\u1ea1n ch\u1ebf d\u00f9ng mu\u1ed1i qu\u00e1 nhi\u1ec1u, kh\u00f4ng \u0103n qu\u00e1 m\u1eb7n.<\/li>\n\n\n\n
            • Kh\u00f4ng u\u1ed1ng c\u00e1c ch\u1ea5t k\u00edch th\u00edch nh\u01b0 r\u01b0\u1ee3u, bia\u2026.<\/li>\n\n\n\n
            • \u0102n u\u1ed1ng khoa h\u1ecdc, l\u00e0nh m\u1ea1nh, \u0103n nhi\u1ec1u rau xanh, hoa qu\u1ea3, c\u00e1c lo\u1ea1i ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t, h\u1ea1n ch\u1ebf th\u1ee9c \u0103n d\u1ea7u m\u1ee1, \u0111\u1ed3 \u0103n nhanh, \u0111\u1ed3 \u0103n \u0111\u00f3ng h\u1ed9p, th\u1ee9c \u0103n ch\u1ee9a nhi\u1ec1u protein, \u0111\u01b0\u1eddng\u2026\u0111\u1ec3 c\u00e2n b\u1eb1ng d\u01b0\u1ee1ng ch\u1ea5t trong c\u01a1 th\u1ec3. B\u1ea1n c\u00f3 th\u1ec3 tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia dinh d\u01b0\u1ee1ng \u0111\u1ec3 c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng th\u00edch h\u1ee3p nh\u1ea5t.<\/li>\n\n\n\n
            • Th\u01b0\u1eddng xuy\u00ean t\u1eadp luy\u1ec7n nh\u1eefng b\u00e0i t\u1eadp th\u1ec3 d\u1ee5c th\u1ec3 thao nh\u1eb9 nh\u00e0ng nh\u01b0 \u0111i b\u1ed9, \u0111\u1ea1p xe, aerobic…<\/li>\n\n\n\n
            • Ng\u01b0\u1eddi b\u1ec7nh n\u00ean ng\u1ee7 s\u1edbm, ng\u1ee7 \u0111\u1ee7, tr\u00e1nh lo l\u1eafng, c\u0103ng th\u1eb3ng \u0111\u1ec3 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n. <\/li>\n\n\n\n
            • H\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng m\u1ea1nh, ho\u1ea1t \u0111\u1ed9ng c\u01b0\u1eddng \u0111\u1ed9 cao nh\u1ea5t l\u00e0 d\u01b0\u1edbi tr\u1eddi n\u1eafng n\u00f3ng, g\u00e2y m\u1ea5t s\u1ee9c, m\u1ea5t n\u01b0\u1edbc. <\/li>\n\n\n\n
            • S\u1eed d\u1ee5ng thu\u1ed1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, kh\u00f4ng n\u00ean t\u00f9y ti\u1ec7n d\u00f9ng thu\u1ed1c khi ch\u01b0a c\u00f3 ch\u1ec9 \u0111\u1ecbnh.<\/li>\n\n\n\n
            • Th\u0103m kh\u00e1m b\u00e1c s\u0129 \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng thay \u0111\u1ed5i c\u1ee7a c\u01a1 th\u1ec3. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 gi\u00fap \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi khi b\u1ec7nh c\u00f2n \u0111ang nh\u1eb9 m\u00e0 c\u00f2n gi\u00fap ti\u1ebft ki\u1ec7m chi ph\u00ed, th\u1eddi gian kh\u00e1m ch\u1eefa b\u1ec7nh.<\/li>\n<\/ul>\n\n\n\n

              M\u1ed9t s\u1ed1 ph\u00f2ng kh\u00e1m chuy\u00ean v\u1ec1 huy\u1ebft h\u1ecdc<\/h2>\n\n\n\n

              Nh\u01b0 \u0111\u00e3 n\u00f3i \u1edf tr\u00ean, khi c\u01a1 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111i kh\u00e1m \u0111\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft. Tuy nhi\u00ean, nhi\u1ec1u ng\u01b0\u1eddi c\u00f2n e ng\u1ea1i vi\u1ec7c \u0111\u1ebfn b\u1ec7nh vi\u1ec7n b\u1edfi nhi\u1ec1u nguy\u00ean nh\u00e2n: s\u1ee3 ph\u00e1t hi\u1ec7n b\u1ec7nh, t\u1ed1n ti\u1ec1n, t\u1ed1n th\u1eddi gian, ch\u1ee7 quan, kh\u00f4ng bi\u1ebft \u0111i vi\u1ec7n n\u00e0o…\u0110\u1ec3 x\u00e9t nghi\u1ec7m huy\u1ebft h\u1ecdc, Docosan g\u1ee3i \u00fd m\u1ed9t s\u1ed1 ph\u00f2ng kh\u00e1m chuy\u00ean v\u1ec1 huy\u1ebft h\u1ecdc uy t\u00edn, ch\u1ea5t l\u01b0\u1ee3ng nh\u01b0 sau:<\/p>\n\n\n\n

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              • B\u1ec7nh vi\u1ec7n qu\u1ed1c t\u1ebf City – Q. B\u00ecnh T\u00e2n<\/li>\n<\/ul>\n\n\n\n