{"id":103503,"date":"2021-08-08T00:00:00","date_gmt":"2021-08-08T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/xet-nghiem-chuc-nang-than-2\/"},"modified":"2023-05-26T00:00:00","modified_gmt":"2023-05-26T00:00:00","slug":"xet-nghiem-chuc-nang-than-2","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tiet-nieu\/xet-nghiem-chuc-nang-than-2\/","title":{"rendered":"X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn l\u00e0 g\u00ec?"},"content":{"rendered":"\n<p>Th\u1eadn l\u00e0 c\u01a1 quan c\u00f3 vai tr\u00f2 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3. X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn g\u1ed3m nhi\u1ec1u lo\u1ea1i x\u00e9t nghi\u1ec7m nh\u01b0 m\u1eabu m\u00e1u, n\u01b0\u1edbc ti\u1ec3u hay ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1. Tuy nhi\u00ean, b\u00e1c s\u0129 s\u1ebd kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh cho b\u1ea1n l\u00e0m t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m m\u00e0 ch\u1ec9 ch\u1ec9 \u0111\u1ecbnh c\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn c\u1ea7n thi\u1ebft trong ch\u1ea5n \u0111o\u00e1n v\u00e0 theo d\u00f5i b\u1ec7nh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">T\u1ea1i sao ph\u1ea3i x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn<\/h2>\n\n\n\n<p>T\u1ea1i sao c\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn ? X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn nh\u1eb1m m\u1ee5c \u0111\u00edch:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00e1c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn<\/li>\n\n\n\n<li>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh giai \u0111o\u1ea1n s\u1edbm<\/li>\n\n\n\n<li>\u0110\u1ec3 theo d\u00f5i ti\u1ebfn tr\u00ecnh b\u1ec7nh l\u00fd<\/li>\n\n\n\n<li>\u0110\u1ec3 theo d\u00f5i \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb<\/li>\n\n\n\n<li>\u0110\u1ec3 ti\u1ebfp c\u1eadn nh\u1eefng thay \u0111\u1ed5i ch\u1ee9c n\u0103ng m\u00e0 \u1ea3nh h\u01b0\u1edfng l\u00ean li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb <\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c lo\u1ea1i x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn<\/h2>\n\n\n\n<p>Th\u1eadn l\u00e0 c\u01a1 quan \u0111\u1ea3m nh\u1eadn nhi\u1ec1u ch\u1ee9c n\u0103ng quan tr\u1ecdng trong c\u01a1 th\u1ec3, g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tham gia chuy\u1ec3n h\u00f3a 1 s\u1ed1 ch\u1ea5t trong c\u01a1 th\u1ec3 nh\u01b0 cacbohydrat, protein, &#8230;<\/li>\n\n\n\n<li>B\u00e0i ti\u1ebft n\u01b0\u1edbc ti\u1ec3u<\/li>\n\n\n\n<li>Lo\u1ea1i tr\u1eeb c\u00e1c s\u1ea3n ph\u1ea9m cu\u1ed1i c\u00f9ng c\u1ee7a chuy\u1ec3n h\u00f3a (ure, creatinine, acid uric \u2026.)<\/li>\n\n\n\n<li>Lo\u1ea1i tr\u1eeb c\u00e1c ngo\u1ea1i ch\u1ea5t (thu\u1ed1c, \u0111\u1ed9c ch\u1ea5t \u2026)<\/li>\n\n\n\n<li>Ki\u1ec3m so\u00e1t th\u1ec3 t\u00edch v\u00e0 th\u00e0nh ph\u1ea7n d\u1ecbch ngo\u1ea1i b\u00e0o<\/li>\n\n\n\n<li>C\u00e2n b\u1eb1ng n\u01b0\u1edbc &#8211; \u0111i\u1ec7n gi\u1ea3i, ki\u1ec1m toan.<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p<\/li>\n\n\n\n<li>Ch\u1ee9c n\u0103ng n\u1ed9i ti\u1ebft\n<ul class=\"wp-block-list\">\n<li>Renin<\/li>\n\n\n\n<li>Erythropoietin<\/li>\n\n\n\n<li>Calcitriol<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p>Ch\u00ednh v\u00ec c\u00f3 qu\u00e1 nhi\u1ec1u ch\u1ee9c n\u0103ng n\u00ean vi\u1ec7c \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c h\u1ebft t\u1ed5ng qu\u00e1t ch\u1ee9c n\u0103ng th\u1eadn c\u1ea7n ph\u1ea3i l\u00e0m nhi\u1ec1u lo\u1ea1i x\u00e9t nghi\u1ec7m kh\u00e1c nhau: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m sinh h\u00f3a m\u00e1u: \u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (GFR), Creatinine huy\u1ebft thanh, Ure m\u00e1u (BUN), Cystatin C m\u00e1u, Ion \u0111\u1ed3 m\u00e1u, Acid uric m\u00e1u, &#8230;<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh h\u1ecdc: CT scan c\u00f3 c\u1ea3n quang, Si\u00eau \u00e2m, &#8230; <\/li>\n\n\n\n<li>Sinh thi\u1ebft th\u1eadn<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u: \u0110i\u1ec7n di n\u01b0\u1edbc ti\u1ec3u, T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u, Protein trong n\u01b0\u1edbc ti\u1ec3u, Microalbumin n\u01b0\u1edbc ti\u1ec3u, C\u1eb7n Addis, &#8230;<\/li>\n<\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/sinh-thiet-than.jpeg\" alt=\"xet nghiem chuc nang than\" class=\"wp-image-23210\"\/><figcaption class=\"wp-element-caption\">Sinh thi\u1ebft th\u1eadn<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn<\/h2>\n\n\n\n<p>D\u01b0\u1edbi \u0111\u00e2y s\u1ebd li\u1ec7t k\u00ea m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m v\u00e0 ch\u1ec9 s\u1ed1 x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn th\u01b0\u1eddng g\u1eb7p nh\u1ea5t nh\u01b0 sau:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">X\u00e9t nghi\u1ec7m sinh h\u00f3a m\u00e1u<\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">\u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (GFR)<\/h4>\n\n\n\n<p>GFR l\u00e0 ch\u1ec9 s\u1ed1 gi\u00fap ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh s\u1edbm t\u00ecnh tr\u1ea1ng suy th\u1eadn, l\u00e0 ch\u1ec9 s\u1ed1 h\u1eefu \u00edch \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn trong m\u1ed9t \u0111\u01a1n v\u1ecb th\u1eddi gian, \u0111o l\u01b0\u1ee3ng huy\u1ebft t\u01b0\u01a1ng l\u1ecdc qua c\u1ea7u th\u1eadn t\u1eeb \u0111\u00f3 ph\u1ea3n \u1ea3nh kh\u1ea3 n\u0103ng l\u1ecdc d\u1ecbch v\u00e0 c\u00e1c ch\u1ea5t c\u1ee7a th\u1eadn. GFR \u0111\u01b0\u1ee3c \u01b0\u1edbc t\u00ednh d\u1ef1a tr\u00ean creatinine m\u00e1u k\u1ebft h\u1ee3p v\u1edbi tu\u1ed5i, k\u00edch th\u01b0\u1edbc c\u01a1 th\u1ec3, gi\u1edbi t\u00ednh v\u00e0 ch\u1ee7ng t\u1ed9c v\u00e0 kh\u00f4ng c\u1ea7n tr\u1ecb s\u1ed1 creatinin n\u01b0\u1edbc ti\u1ec3u. <\/p>\n\n\n\n<p>Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi GFR l\u00e0: 90-120mL\/min\/1.73m2 da. <\/p>\n\n\n\n<p>Gi\u00e1 tr\u1ecb b\u1ea5t th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi GFR l\u00e0: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u01b0\u1edbi 60: d\u1ea5u hi\u1ec7u th\u1eadn b\u1eaft \u0111\u1ea7u suy <\/li>\n\n\n\n<li>D\u01b0\u1edbi 15: suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i, c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p nh\u01b0 gh\u00e9p th\u1eadn, l\u1ecdc m\u00e1u.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Creatinine huy\u1ebft thanh <\/h4>\n\n\n\n<p>Creatinin l\u00e0 s\u1ea3n ph\u1ea9m tho\u00e1i h\u00f3a t\u1eeb Creatin c\u1ee7a c\u00e1c c\u01a1, \u0111\u00e0o th\u1ea3i tr\u00ean 90% qua th\u1eadn. S\u1ef1 chuy\u1ec3n h\u00f3a creatinin g\u1ea7n nh\u01b0 h\u1eb1ng \u0111\u1ecbnh, kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o ch\u1ebf \u0111\u1ed9 \u0103n nh\u01b0ng l\u1ea1i b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi kh\u1ed1i l\u01b0\u1ee3ng c\u01a1. Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a Creatinin m\u00e1u l\u00e0: 0,6 &#8211; 1,2 mg\/dl, c\u00f3 kh\u00e1c bi\u1ec7t ch\u00fat \u00edt gi\u1eefa nam v\u00e0 n\u1eef. Gi\u00e1 tr\u1ecb b\u1ea5t th\u01b0\u1eddng c\u1ee7a Creatinin m\u00e1u l\u00e0:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m: hi\u1ebfm x\u1ea3y ra, th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi c\u00f3 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 nh\u1ecf (suy dinh d\u01b0\u1ee1ng, teo c\u01a1), \u00edt c\u00f3 \u00fd ngh\u0129a b\u1ec7nh l\u00fd<\/li>\n\n\n\n<li>T\u0103ng: c\u00f3 th\u1ec3 c\u00f3 gi\u1ea3m \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn, g\u1eb7p trong suy th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Ure m\u00e1u (BUN)<\/h4>\n\n\n\n<p>Ure l\u00e0 s\u1ea3n ph\u1ea9m \u0111\u00e0o th\u1ea3i cu\u1ed1i c\u00f9ng c\u1ee7a qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a protein, \u0111\u01b0\u1ee3c l\u1ecdc ch\u1ee7 y\u1ebfu \u1edf c\u1ea7u th\u1eadn tr\u01b0\u1edbc khi th\u1ea3i ra ngo\u00e0i c\u00f9ng n\u01b0\u1edbc ti\u1ec3u, m\u1ed9t ph\u1ea7n \u0111\u01b0\u1ee3c th\u1ea3i ra qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 m\u1ed3 h\u00f4i. S\u1eed d\u1ee5ng ure \u0111o \u0111\u1ed9 l\u1ecdc kh\u00f4ng ch\u00ednh x\u00e1c v\u00ec ure \u0111\u01b0\u1ee3c h\u1ea5p thu kho\u1ea3ng 40% t\u1ea1i \u1ed1ng th\u1eadn.<\/p>\n\n\n\n<p>Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 \u0111o Ure b\u1eb1ng c\u00e1ch t\u00ednh BUN (blood urea nitrogen) l\u00e0 \u0111\u1ecbnh l\u01b0\u1ee3ng nitrogen c\u1ee7a ure trong m\u00e1u: Ure (mg\/dl) = BUN x 2,14 . Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a Ure m\u00e1u l\u00e0: 3 &#8211; 7 mmol\/l. Gi\u00e1 tr\u1ecb b\u1ea5t th\u01b0\u1eddng c\u1ee7a Ure m\u00e1u l\u00e0:  <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m: t\u1ed5n th\u01b0\u01a1ng gan n\u1eb7ng nh\u01b0 x\u01a1 gan, ch\u1ebf \u0111\u1ed9 \u0103n thi\u1ebfu protein k\u00e9o d\u00e0i, truy\u1ec1n d\u1ecbch k\u00e9o d\u00e0i, &#8230;<\/li>\n\n\n\n<li>T\u0103ng: suy th\u1eadn m\u1ea1n, vi\u00eam c\u1ea7u th\u1eadn\/\u1ed1ng th\u1eadn c\u1ea5p, b\u1ecfng, ch\u1ea5n th\u01b0\u01a1ng, ph\u1eabu thu\u1eadt l\u1edbn, suy tim \u1ee9 huy\u1ebft, ti\u00eau ch\u1ea3y, &#8230;<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Cystatin C m\u00e1u<\/h4>\n\n\n\n<p>Cystatin C l\u00e0 m\u1ed9t protein tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed nh\u1ecf, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi t\u1ebf b\u00e0o c\u00f3 nh\u00e2n, \u0111\u01b0\u1ee3c l\u1ecdc b\u1edfi c\u1ea7u th\u1eadn v\u00e0 t\u00e1i h\u1ea5p th\u1ee5 \u1edf \u1ed1ng l\u01b0\u1ee3n g\u1ea7n. N\u1ed3ng \u0111\u1ed9 cystatin C kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi gi\u1edbi t\u00ednh, ch\u1ee7ng t\u1ed9c, tu\u1ed5i v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng c\u01a1. X\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 gi\u00e1 tr\u1ecb t\u01b0\u01a1ng \u0111\u01b0\u01a1ng x\u00e9t nghi\u1ec7m creatinin m\u00e1u v\u00e0 \u0111\u1ed9 thanh th\u1ea3i c\u1ee7a creatinin trong vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm s\u1ef1 thay \u0111\u1ed5i c\u1ee7a ch\u1ee9c n\u0103ng th\u1eadn. T\u0103ng Cystatin C th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n s\u1edbm tr\u01b0\u1edbc khi gi\u1ea3m m\u1ee9c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn ho\u1eb7c t\u0103ng creatinin.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Acid uric m\u00e1u<\/h4>\n\n\n\n<p>Acid Uric l\u00e0 s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a cu\u1ed1i c\u00f9ng c\u1ee7a Purin. Acid uric m\u00e1u t\u0103ng s\u1ebd l\u1eafng \u0111\u1ecdng c\u00e1c tinh th\u1ec3 monosodium urate \u1edf kh\u1edbp v\u00e0 \u1edf \u1edf th\u1eadn t\u1ea1o tinh th\u1ec3 urat trong c\u1eb7n l\u1eafng n\u01b0\u1edbc ti\u1ec3u. Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a Acid uric m\u00e1u l\u00e0: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u22646 mg\/dL \u0111\u1ed1i v\u1edbi n\u1eef<\/li>\n\n\n\n<li>\u22646.8 mg\/dL \u0111\u1ed1i v\u1edbi nam.<\/li>\n<\/ul>\n\n\n\n<p>Gi\u00e1 tr\u1ecb b\u1ea5t th\u01b0\u1eddng c\u1ee7a Acid uric m\u00e1u l\u00e0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u0103ng: \u0103n nhi\u1ec1u th\u1ef1c ph\u1ea9m gi\u00e0u purin, suy th\u1eadn, b\u1ec7nh l\u00fd c\u1ea7u th\u1eadn, Gout, t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c (l\u1ee3i ti\u1ec3u quai, thiazid, \u2026), b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u, b\u1ec7nh b\u1ea1ch c\u1ea7u, b\u1ec7nh n\u1ed9i ti\u1ebft ho\u1eb7c chuy\u1ec3n h\u00f3a nh\u01b0 toan lactic, suy gi\u00e1p \u2026, tr\u1ecb li\u1ec7u ung th\u01b0 b\u1eb1ng h\u00f3a x\u1ea1 tr\u1ecb<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u <\/h3>\n\n\n\n<h4 class=\"wp-block-heading\">T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/h4>\n\n\n\n<p>T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u l\u00e0 ph\u00e2n t\u00edch c\u00e1c th\u00f4ng s\u1ed1 n\u01b0\u1edbc ti\u1ec3u qua 3 ti\u00eau ch\u00ed:<\/p>\n\n\n\n<p>\u2022 \u0110\u00e1nh gi\u00e1 \u0111\u1ea1i th\u1ec3 (m\u00e0u, trong \u0111\u1ee5c, m\u00f9i, b\u1ecdt\u2026)<br>\u2022 Kh\u1ea3o s\u00e1t c\u00e1c th\u00f4ng s\u1ed1 v\u1eadt l\u00fd- h\u00f3a sinh<br>\u2022 Kh\u1ea3o s\u00e1t c\u1eb7n l\u1eafng<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Protein n\u01b0\u1edbc ti\u1ec3u<\/h4>\n\n\n\n<p>Protein to\u00e0n ph\u1ea7n trong n\u01b0\u1edbc ti\u1ec3u g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Albumin (kho\u1ea3ng 0,5% albumin m\u00e1u)<\/li>\n\n\n\n<li>M\u1ed9t \u00edt globulin do \u1ed1ng th\u1eadn ti\u1ebft ra (sinh l\u00fd)<\/li>\n\n\n\n<li>C\u00e1c protein tho\u00e1t ra do t\u1ed5n t\u01b0\u01a1ng m\u00e0ng l\u1ecdc c\u1ea7u th\u1eadn.<\/li>\n<\/ul>\n\n\n\n<p>Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a Protein n\u01b0\u1edbc ti\u1ec3u l\u00e0: &lt;200mg\/24h (kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m th\u00f4ng th\u01b0\u1eddng n\u00ean xem nh\u01b0 kh\u00f4ng c\u00f3 protein trong n\u01b0\u1edbc ti\u1ec3u).<\/p>\n\n\n\n<p>Khi ph\u00e1t hi\u1ec7n c\u00f3 protein ni\u1ec7u hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u1ec3u \u0111\u1ea1m c\u00f3 th\u1ec3 do nguy\u00ean nh\u00e2n tr\u01b0\u1edbc th\u1eadn, t\u1ea1i th\u1eadn v\u00e0 sau th\u1eadn.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Microalbumin n\u01b0\u1edbc ti\u1ec3u<\/h4>\n\n\n\n<p>Albumin l\u00e0 ch\u1ea5t ch\u1ec9 \u0111i\u1ec3m s\u1ef1 t\u1ed5n th\u01b0\u01a1ng m\u00e0ng l\u1ecdc c\u1ea7u th\u1eadn nh\u1ea1y nh\u1ea5t. <\/p>\n\n\n\n<p>Ch\u1ec9 \u0111\u1ecbnh: ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i s\u1ef1 suy tho\u00e1i kh\u1ea3 n\u0103ng l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn trong c\u00e1c b\u1ec7nh l\u00fd t\u1ed5n th\u01b0\u01a1ng c\u1ea7u th\u1eadn \u00e2m th\u1ea7m. \u0110i\u1ec3n h\u00ecnh l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 t\u0103ng huy\u1ebft \u00e1p.<\/p>\n\n\n\n<p>Gi\u00e1 tr\u1ecb b\u00ecnh th\u01b0\u1eddng c\u1ee7a Albumin n\u01b0\u1edbc ti\u1ec3u l\u00e0:  <span style=\"font-size: revert; color: var(--cs-color-primary); font-family: var(--cs-font-base-family), sans-serif; font-style: var(--cs-font-base-style); font-weight: var(--cs-font-base-weight); letter-spacing: var(--cs-font-base-letter-spacing);\">\u2264<\/span> 30mg\/24h  <\/p>\n\n\n\n<p>Gi\u00e1 tr\u1ecb b\u1ea5t th\u01b0\u1eddng c\u1ee7a Albumin n\u01b0\u1edbc ti\u1ec3u l\u00e0: <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Microalbumin ni\u1ec7u: l\u01b0\u1ee3ng albumin\/ni\u1ec7u \u2264 300mg\/24h<\/li>\n\n\n\n<li>Macroalbumin ni\u1ec7u: l\u01b0\u1ee3ng albumin\/ni\u1ec7u &gt; 300mg\/24h<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">C\u1eb7n Addis <\/h4>\n\n\n\n<p>C\u1eb7n Addis \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p ti\u1ec3u m\u00e1u, ti\u1ec3u m\u1ee7 \u0111\u1ea1i th\u1ec3 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u tho\u00e1t ra n\u01b0\u1edbc ti\u1ec3u trong 1 ph\u00fat.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&gt; 1000 h\u1ed3ng c\u1ea7u\/ph\u00fat: ti\u1ec3u m\u00e1u<\/li>\n\n\n\n<li>&gt; 2000 b\u1ea1ch c\u1ea7u\/ph\u00fat: ti\u1ec3u m\u1ee7<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p>X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn l\u00e0 x\u00e9t nghi\u1ec7m quan tr\u1ecdng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a th\u1eadn, b\u1ed9 ph\u1eadn \u0111\u00f3ng nhi\u1ec1u v\u00e0i tr\u00f2 ch\u1ee7 ch\u1ed1t trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng s\u1ed1ng c\u1ee7a c\u01a1 th\u1ec3 ng\u01b0\u1eddi. C\u00f3 nhi\u1ec1u lo\u1ea1i x\u00e9t nghi\u1ec7m kh\u00e1c nhau \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn nh\u01b0 x\u00e9t nghi\u1ec7m sinh h\u00f3a m\u00e1u (\u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (GFR), Creatinine huy\u1ebft thanh, Ure m\u00e1u (BUN), Cystatin C m\u00e1u, Ion \u0111\u1ed3 m\u00e1u, Acid uric m\u00e1u, &#8230;), x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh h\u1ecdc (CT scan c\u00f3 c\u1ea3n quang, Si\u00eau \u00e2m, &#8230;), sinh thi\u1ebft th\u1eadn, x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u (\u0110i\u1ec7n di n\u01b0\u1edbc ti\u1ec3u, T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u, Protein trong n\u01b0\u1edbc ti\u1ec3u, Microalbumin n\u01b0\u1edbc ti\u1ec3u, C\u1eb7n Addis, &#8230;)<\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Doctor c\u00f3 s\u1eb5n Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 <\/em><a href=\"https:\/\/www.docosan.com\/\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><em> v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u00f3a sinh l\u00e2m s\u00e0ng c\u1ee7a tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Th\u1eadn l\u00e0 c\u01a1 quan c\u00f3 vai tr\u00f2 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3. X\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng th\u1eadn g\u1ed3m nhi\u1ec1u lo\u1ea1i x\u00e9t nghi\u1ec7m nh\u01b0 m\u1eabu m\u00e1u, n\u01b0\u1edbc ti\u1ec3u hay ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1. Tuy nhi\u00ean, b\u00e1c s\u0129 s\u1ebd kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh cho b\u1ea1n l\u00e0m t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m m\u00e0 ch\u1ec9 ch\u1ec9 [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":89024,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[309],"tags":[],"class_list":["post-103503","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tiet-nieu"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/xet-nghiem-than-600x400.jpeg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/xet-nghiem-than-600x600.jpeg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103503","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103503"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103503\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89024"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103503"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103503"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103503"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}