{"id":103533,"date":"2021-08-10T00:00:00","date_gmt":"2021-08-10T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/hoi-chung-gan-than\/"},"modified":"2022-09-12T00:00:00","modified_gmt":"2022-09-12T00:00:00","slug":"hoi-chung-gan-than","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/gan-mat\/hoi-chung-gan-than\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng gan th\u1eadn: D\u1ea5u hi\u1ec7u, nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p class=\"has-gray-200-background-color has-background wp-block-paragraph\"><strong>H\u1ed9i ch\u1ee9ng gan th\u1eadn (Hepatorenal syndrome- HRS) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m xu\u1ea5t hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n x\u01a1 gan ti\u1ebfn tri\u1ec3n ho\u1eb7c suy gan c\u1ea5p. H\u1ed9i ch\u1ee9ng gan th\u1eadn c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n t\u1ef1 ph\u00e1t ho\u1eb7c sau y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y. T\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng gan th\u1eadn r\u1ea5t cao, kho\u1ea3ng 80 &#8211; 95%. Ti\u00ean l\u01b0\u1ee3ng s\u1ed1ng trung b\u00ecnh kho\u1ea3ng 2 tu\u1ea7n. \u0110\u1ec3 hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 h\u1ed9i ch\u1ee9ng n\u00e0y, m\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> t\u00ecm hi\u1ec3u b\u00e0i vi\u1ebft sau \u0111\u00e2y.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h\u1ed9i-ch\u1ee9ng-gan-th\u1eadn-la-gi\">H\u1ed9i ch\u1ee9ng gan th\u1eadn l\u00e0 g\u00ec?&nbsp;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng gan th\u1eadn (Hepatorenal syndrome- HRS) l\u00e0 t\u00ecnh tr\u1ea1ng suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd gan nh\u01b0 x\u01a1 gan, suy gan ti\u1ebfn tri\u1ec3n v\u00e0 t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch c\u1eeda. \u0110\u00e2y l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng v\u00f4 c\u00f9ng nghi\u00eam tr\u1ecdng c\u1ee7a x\u01a1 gan v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u1edbi t\u00ednh m\u1ea1ng<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng gan th\u1eadn \u0111\u01b0\u1ee3c chia l\u00e0m 2 type d\u1ef1a tr\u00ean ti\u1ebfn tri\u1ec3n b\u1ec7nh, \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u00f4ng qua vi\u1ec7c \u0111\u1ecbnh l\u01b0\u1ee3ng ch\u1ec9 s\u1ed1 creatinin huy\u1ebft thanh, bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Type 1: L\u00e0 suy th\u1eadn ti\u1ebfn tri\u1ec3n nhanh, \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 qua ch\u1ec9 s\u1ed1 creatinin huy\u1ebft thanh c\u1ee7a b\u1ec7nh nh\u00e2n t\u0103ng g\u1ea5p \u0111\u00f4i so v\u1edbi ban \u0111\u1ea7u ho\u1eb7c t\u0103ng cao h\u01a1n 221 \u00b5mol\/L trong v\u00f2ng 2 tu\u1ea7n.<\/li><li>Type 2: L\u00e0 suy th\u1eadn ti\u1ebfn tri\u1ec3n ch\u1eadm, ch\u1ec9 s\u1ed1 creatinin kh\u00f4ng t\u0103ng nhanh nh\u01b0 type 1 (trung b\u00ecnh creatinin huy\u1ebft thanh kho\u1ea3ng 178 \u00b5mol\/L) th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi ch\u01b0\u1edbng b\u1ee5ng t\u00e1i ph\u00e1t ho\u1eb7c ch\u01b0\u1edbng b\u1ee5ng kh\u00e1ng l\u1ee3i ti\u1ec3u<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-2.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52455\"\/><figcaption>H\u1ed9i ch\u1ee9ng gan th\u1eadn l\u00e0 g\u00ec?&nbsp;<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Ti\u00ean l\u01b0\u1ee3ng c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng gan th\u1eadn type 1 r\u1ea5t n\u1eb7ng. H\u1ed9i ch\u1ee9ng gan th\u1eadn&nbsp; type 2 th\u00ec c\u00f3 ti\u00ean l\u01b0\u1ee3ng s\u1ed1ng cho b\u1ec7nh nh\u00e2n ng\u1eafn h\u01a1n x\u01a1 gan \u0111\u01a1n thu\u1ea7n nh\u01b0ng t\u1ed1t h\u01a1n type 1<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-gay-ra-h\u1ed9i-ch\u1ee9ng-gan-th\u1eadn\"><strong>Nguy\u00ean nh\u00e2n g\u00e2y ra h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i ch\u1ee9ng gan th\u1eadn x\u1ea3y ra tr\u00ean n\u1ec1n m\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd gan s\u1eb5n, c\u1ea7n m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y \u0111\u1ec3 d\u1eabn \u0111\u1ebfn h\u1ed9i ch\u1ee9ng gan th\u1eadn \u1edf c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y. M\u1ed9t s\u1ed1 c\u00e1c y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Nhi\u1ec5m tr\u00f9ng d\u1ecbch b\u00e1ng (l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a kho\u1ea3ng h\u01a1n 20% tr\u01b0\u1eddng h\u1ee3p h\u1ed9i ch\u1ee9ng gan th\u1eadn type 1)<\/li><li>R\u00fat qu\u00e1 nhi\u1ec1u d\u1ecbch b\u00e1ng m\u00e0 kh\u00f4ng truy\u1ec1n b\u00f9 albumin (l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a kho\u1ea3ng h\u01a1n 15% tr\u01b0\u1eddng h\u1ee3p h\u1ed9i ch\u1ee9ng gan th\u1eadn type 1)<\/li><li>C\u00e1c cu\u1ed9c ph\u1eabu thu\u1eadt l\u1edbn<\/li><li>Xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/li><li>S\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u c\u00e1c thu\u1ed1c \u0111\u1ed9c v\u1edbi th\u1eadn nh\u01b0: thu\u1ed1c gi\u1ea3m \u0111au, kh\u00e1ng vi\u00eam, l\u1ee3i ti\u1ec3u.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-3.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52456\"\/><figcaption>S\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u c\u00e1c thu\u1ed1c \u0111\u1ed9c v\u1edbi th\u1eadn nh\u01b0: thu\u1ed1c gi\u1ea3m \u0111au, kh\u00e1ng vi\u00eam, l\u1ee3i ti\u1ec3u khi\u1ebfn gan v\u00e0 th\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-c\u1ee7a-h\u1ed9i-ch\u1ee9ng-gan-th\u1eadn\"><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u25cf C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gan nh\u01b0: V\u00e0ng da, suy dinh d\u01b0\u1ee1ng, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, h\u00f4n m\u00ea gan,\u2026<br>\u25cf M\u1ec7t m\u1ecfi, bu\u1ed3n n\u00f4n, n\u00f4n<br>\u25cf Gan, l\u00e1ch to<br>\u25cf Teo c\u01a1, run gi\u1eadt c\u01a1.<br>\u25cf D\u1ea5u sao m\u1ea1ch tr\u00ean ng\u1ef1c<br>\u25cf Thi\u1ec3u ni\u1ec7u, v\u00f4 ni\u1ec7u, n\u01b0\u1edbc ti\u1ec3u &lt; 500ml\/24h v\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u1ea3i thi\u1ec7n khi d\u00f9ng l\u1ee3i ti\u1ec3u ho\u1eb7c b\u00f9 albumin.<br>\u25cf Suy tu\u1ea7n ho\u00e0n v\u1edbi hi\u1ec3u hi\u1ec7n huy\u1ebft \u00e1p t\u1ee5t<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-4.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52457\" width=\"700\" height=\"466\"\/><figcaption>C\u01a1 th\u1ec3 th\u01b0\u1eddng r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i khi b\u1ecb h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-qu\u1ea3-c\u1eadn-lam-sang\"><a><\/a>K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>Creatinin m\u00e1u t\u0103ng, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 m\u00e1u, \u0111i\u1ec7n gi\u1ea3i \u0111\u1ed3 ni\u1ec7u: Bi\u1ec3u hi\u1ec7n suy th\u1eadn c\u1ea5p tr\u01b0\u1edbc th\u1eadn (gi\u1ea3m n\u1ed3ng \u0111\u1ed9 Natri n\u01b0\u1edbc ti\u1ec3u, t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u n\u01b0\u1edbc ti\u1ec3u v\u00e0 t\u0103ng t\u1ef7 l\u1ec7 \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u n\u01b0\u1edbc ti\u1ec3u\/ \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u m\u00e1u).<\/li><li>X\u00e9t nghi\u1ec7m sinh h\u00f3a: Bi\u1ec3u hi\u1ec7n c\u1ee7a t\u00ecnh tr\u1ea1ng suy ch\u1ee9c n\u0103ng gan.<\/li><li>C\u00e1c x\u00e9t nghi\u1ec7m t\u00ecm suy th\u1eadn kh\u00e1c \u00e2m t\u00ednh.<\/li><li>Si\u00eau \u00e2m b\u1ee5ng: K\u00edch th\u01b0\u1edbc th\u1eadn b\u00ecnh th\u01b0\u1eddng. Nhu m\u00f4 v\u00e0 \u0111\u00e0i b\u1ec3 th\u1eadn b\u00ecnh th\u01b0\u1eddng.<\/li><\/ul>\n\n\n\n<div class=\"wp-block-image\"><figure class=\"aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-5.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52458\"\/><figcaption>K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng<\/figcaption><\/figure><\/div>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan-h\u1ed9i-ch\u1ee9ng-gan-th\u1eadn\">Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Theo International Ascites Club 2007, c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng gan th\u1eadn nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>X\u01a1 gan b\u00e1ng b\u1ee5ng<\/li><li>N\u1ed3ng \u0111\u1ed9 Creatinin huy\u1ebft thanh &gt; 133 \u03bcmol\/L (1,5 mg\/dL)<\/li><li>Kh\u00f4ng c\u1ea3i thi\u1ec7n n\u1ed3ng \u0111\u1ed9 creatinin huy\u1ebft thanh &lt; 133 \u03bcmol\/L sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 truy\u1ec1n albumin t\u0129nh m\u1ea1ch trong \u00edt nh\u1ea5t 2 ng\u00e0y<\/li><li>Kh\u00f4ng \u0111ang trong t\u00ecnh tr\u1ea1ng s\u1ed1c.<\/li><li>Kh\u00f4ng s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u0111\u1ed9c v\u1edbi th\u1eadn g\u1ea7n \u0111\u00e2y.<\/li><li>Kh\u00f4ng c\u00f3 b\u1ec7nh l\u00fd nhu m\u00f4 th\u1eadn:<ul><li>&nbsp;protein ni\u1ec7u &gt; 0,5g\/ng\u00e0y<\/li><\/ul><ul><li>\u0111\u00e1i m\u00e1u vi th\u1ec3 (soi th\u1ea5y l\u1edbn h\u01a1n 50 h\u1ed3ng c\u1ea7u tr\u00ean 1 vi tr\u01b0\u1eddng)<\/li><\/ul><ul><li>c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng tr\u00ean si\u00eau \u00e2m.<\/li><\/ul><\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-6.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52459\" width=\"700\" height=\"469\"\/><figcaption>Ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-h\u1ed9i-ch\u1ee9ng-gan-th\u1eadn\">\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng gan th\u1eadn type 1:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gh\u00e9p gan<\/li><li>Truy\u1ec1n albumin v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c co m\u1ea1ch trong khi ch\u1edd gh\u00e9p.<\/li><li>Th\u1ef1c hi\u1ec7n TIPS \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nh\u00e2n kh\u1ed1ng c\u00f3 suy gan n\u1eb7ng hay th\u1ea5t b\u1ea1i \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c co m\u1ea1ch<\/li><li>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng gan th\u1eadn type 1<\/li><li>Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o n\u1ebfu c\u00f3 ph\u00f9 ph\u1ed5i c\u1ea5p,&nbsp; toan chuy\u1ec3n h\u00f3a kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u0103ng kali m\u00e1u n\u1eb7ng.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-7.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52460\"\/><figcaption>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng gan th\u1eadn b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p gh\u00e9p gan<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng gan th\u1eadn type 2:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Gh\u00e9p gan<\/li><li>C\u00e2n nh\u1eafc s\u1eed d\u1ee5ng thu\u1ed1c co m\u1ea1ch ho\u1eb7c TIPS trong khi ch\u1edd gh\u00e9p gan<\/li><li>H\u1ea1n ch\u1ebf mu\u1ed1i, ch\u1ec9 \u0111i\u1ec1u tr\u1ecb b\u00e1ng b\u1ee5ng b\u1eb1ng l\u1ee3i ti\u1ec3u khi natri n\u1ed3ng \u0111\u1ed9 Natri n\u01b0\u1edbc ti\u1ec3u &gt; 30 mEq\/l<\/li><li>K\u1ebft h\u1ee3p ch\u1ecdc th\u00e1o d\u1ecbch b\u00e1ng v\u00e0 truy\u1ec1n albumin khi b\u00e1ng b\u1ee5ng l\u01b0\u1ee3ng nhi\u1ec1u.<\/li><li>H\u1ea1n ch\u1ebf truy\u1ec1n d\u1ecbch trong tr\u01b0\u1eddng h\u1ee3p h\u1ea1 natri m\u00e1u<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"phong-ng\u1eeba-h\u1ed9i-ch\u1ee9ng-gan-th\u1eadn\"><strong>Ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng gan th\u1eadn<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 d\u1ef1 ph\u00f2ng h\u1ed9i ch\u1ee9ng gan th\u1eadn \u1edf b\u1ec7nh nh\u00e2n c\u1ea7n:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>D\u00f9ng kh\u00e1ng sinh v\u00e0 truy\u1ec1n albumin \u1edf b\u1ec7nh nh\u00e2n x\u01a1 gan nhi\u1ec5m tr\u00f9ng d\u1ecbch b\u00e1ng<\/li><li>B\u1ed3i ho\u00e0n th\u1ec3 t\u00edch trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1ea5t d\u1ecbch nh\u01b0 ti\u00eau ch\u1ea3y, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a<\/li><li>Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u qu\u00e1 m\u1ee9c g\u00e2y m\u1ea5t d\u1ecbch<\/li><li>Kh\u00f4ng s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f3 \u0111\u1ed9c t\u00ednh t\u1ea1i th\u1eadn nh\u01b0 NSAIDs, aminoglycosides<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-8.jpg\" alt=\"h\u1ed9i ch\u1ee9ng gan th\u1eadn\" class=\"wp-image-52461\"\/><figcaption>Kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c khi ch\u01b0a c\u00f3 s\u1ef1 cho ph\u00e9p c\u1ee7a b\u00e1c s\u0129<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd gan c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng xuy\u00ean b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa, c\u1ea7n li\u00ean h\u1ec7 b\u00e1c s\u0129 khi th\u1ea5y b\u1ea3n th\u00e2n c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng n\u00e0o. \u0110\u1ebfn c\u00e1c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn v\u1edbi tr\u00ecnh \u0111\u1ed9 y b\u00e1c s\u0129 gan &#8211; m\u1eadt tay ngh\u1ec1 cao \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng b\u1ec7nh hi\u1ec7n t\u1ea1i.<\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><em><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, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\"><li><a href=\"https:\/\/liverfoundation.org\/\" target=\"_blank\" rel=\"noopener\">Hi\u1ec7p h\u1ed9i Gan Hoa K\u1ef3<\/a><\/li><\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng gan th\u1eadn (Hepatorenal syndrome- HRS) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m xu\u1ea5t hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n x\u01a1 gan ti\u1ebfn tri\u1ec3n ho\u1eb7c suy gan c\u1ea5p. H\u1ed9i ch\u1ee9ng gan th\u1eadn c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n t\u1ef1 ph\u00e1t ho\u1eb7c sau y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y. T\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":88387,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[64],"tags":[],"class_list":["post-103533","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-gan-mat"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/hoi-chung-gan-than-1-600x533.jpg","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\/103533","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=103533"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103533\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/88387"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103533"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103533"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103533"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}