{"id":103923,"date":"2021-10-30T00:00:00","date_gmt":"2021-10-30T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/soi-tiet-nieu\/"},"modified":"2022-09-08T00:00:00","modified_gmt":"2022-09-08T00:00:00","slug":"soi-tiet-nieu","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tiet-nieu\/soi-tiet-nieu\/","title":{"rendered":"Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 s\u1ecfi ti\u1ebft ni\u1ec7u"},"content":{"rendered":"\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 t\u00ecnh tr\u1ea1ng s\u1ecfi h\u00ecnh th\u00e0nh trong \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, \u0111\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng s\u1ee9c kh\u1ecfe c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi v\u00e0 ch\u1eefa tr\u1ecb \u0111\u00fang c\u00e1ch. V\u1eady s\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 g\u00ec? C\u00f3 m\u1ea5y lo\u1ea1i s\u1ecfi ti\u1ebft ni\u1ec7u? \u0110i\u1ec1u tr\u1ecb s\u1ecfi ti\u1ebft ni\u1ec7u nh\u01b0 th\u1ebf n\u00e0o? H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> t\u00ecm hi\u1ec3u trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">T\u1ed5ng quan<\/h2>\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\/10\/21200573.jpg\" alt=\" T\u1ed5ng quan v\u1ec1 s\u1ecfi ti\u1ebft ni\u1ec7u\" class=\"wp-image-33210\"\/><figcaption> T\u1ed5ng quan v\u1ec1 s\u1ecfi ti\u1ebft ni\u1ec7u<\/figcaption><\/figure><\/div>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 nh\u1eefng kh\u1ed1i c\u1ee9ng h\u00ecnh th\u00e0nh trong \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u v\u00e0 c\u00f3 th\u1ec3 g\u00e2y \u0111au, ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng ho\u1eb7c c\u1ea3n tr\u1edf d\u00f2ng ch\u1ea3y c\u1ee7a n\u01b0\u1edbc ti\u1ec3u.<\/p>\n\n\n\n<p>Nh\u1eefng vi\u00ean s\u1ecfi nh\u1ecf c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng g\u00ec, nh\u01b0ng nh\u1eefng vi\u00ean s\u1ecfi l\u1edbn h\u01a1n c\u00f3 th\u1ec3 g\u00e2y \u0111au d\u1eef d\u1ed9i \u1edf v\u00f9ng gi\u1eefa x\u01b0\u01a1ng s\u01b0\u1eddn v\u00e0 h\u00f4ng \u1edf l\u01b0ng.<\/p>\n\n\n\n<p>Th\u00f4ng th\u01b0\u1eddng, x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh v\u00e0 ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1ecfi.<\/p>\n\n\n\n<p>\u0110\u00f4i khi s\u1ef1 h\u00ecnh th\u00e0nh s\u1ecfi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba b\u1eb1ng c\u00e1ch thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n ho\u1eb7c u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc so v\u1edbi nhu c\u1ea7u c\u01a1 b\u1ea3n c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u b\u1eaft \u0111\u1ea7u h\u00ecnh th\u00e0nh trong th\u1eadn v\u00e0 c\u00f3 th\u1ec3 to ra trong ni\u1ec7u qu\u1ea3n ho\u1eb7c b\u00e0ng quang. T\u00f9y thu\u1ed9c v\u00e0o v\u1ecb tr\u00ed c\u1ee7a s\u1ecfi, n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 s\u1ecfi th\u1eadn, s\u1ecfi ni\u1ec7u qu\u1ea3n ho\u1eb7c s\u1ecfi b\u00e0ng quang.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 l\u01b0\u1ee3ng l\u1edbn ng\u01b0\u1eddi ph\u1ea3i nh\u1eadp vi\u1ec7n v\u00ec s\u1ecfi ti\u1ebft ni\u1ec7u, tuy nhi\u00ean ch\u00fang ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ng\u01b0\u1eddi trung ni\u00ean v\u00e0 ng\u01b0\u1eddi l\u1edbn tu\u1ed5i. C\u00e1c vi\u00ean s\u1ecfi c\u00f3 k\u00edch th\u01b0\u1edbc kh\u00e1c nhau, t\u1eeb qu\u00e1 nh\u1ecf kh\u00f4ng th\u1ec3 nh\u00ecn th\u1ea5y b\u1eb1ng m\u1eaft th\u01b0\u1eddng \u0111\u1ebfn \u0111\u01b0\u1eddng k\u00ednh t\u1eeb 2,5 cm tr\u1edf l\u00ean.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c lo\u1ea1i s\u1ecfi ti\u1ebft ni\u1ec7u<\/h2>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb s\u1ef1 t\u00edch t\u1ee5 c\u00e1c kho\u00e1ng ch\u1ea5t trong n\u01b0\u1edbc ti\u1ec3u t\u1ea1o th\u00e0nh c\u00e1c tinh th\u1ec3. Kho\u1ea3ng 85% th\u00e0nh ph\u1ea7n s\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 canxi, v\u00e0 ph\u1ea7n c\u00f2n l\u1ea1i bao g\u1ed3m c\u00e1c ch\u1ea5t kh\u00e1c nhau, bao g\u1ed3m axit uric, cystine ho\u1eb7c s\u1ecfi nhi\u1ec5m tr\u00f9ng \u2014 m\u1ed9t h\u1ed7n h\u1ee3p magi\u00ea, amoni v\u00e0 phosphate v\u00e0 ch\u00fang \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh b\u1edfi n\u01b0\u1edbc ti\u1ec3u b\u1ecb nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n c\u1ee7a s\u1ecfi ti\u1ebft ni\u1ec7u<\/h2>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh do n\u01b0\u1edbc ti\u1ec3u qu\u00e1 b\u00e3o h\u00f2a v\u1edbi mu\u1ed1i ho\u1eb7c do n\u01b0\u1edbc ti\u1ec3u thi\u1ebfu c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf t\u1ea1o th\u00e0nh s\u1ecfi b\u00ecnh th\u01b0\u1eddng. Citrate l\u00e0 m\u1ed9t ch\u1ea5t \u1ee9c ch\u1ebf v\u00ec n\u00f3 th\u01b0\u1eddng li\u00ean k\u1ebft v\u1edbi canxi \u2013 m\u1ed9t kho\u00e1ng ch\u1ea5t c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c h\u00ecnh th\u00e0nh s\u1ecfi ti\u1ebft ni\u1ec7u.<\/p>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n nh\u1ea5t \u0111\u1ecbnh (v\u00ed d\u1ee5, c\u01b0\u1eddng c\u1eadn gi\u00e1p, m\u1ea5t n\u01b0\u1edbc v\u00e0 nhi\u1ec5m toan \u1ed1ng th\u1eadn), \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng gi\u00e0u protein ngu\u1ed3n \u0111\u1ed9ng v\u1eadt ho\u1eb7c vitamin C ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng ti\u00eau th\u1ee5 \u0111\u1ee7 n\u01b0\u1edbc ho\u1eb7c canxi. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed s\u1ecfi ti\u1ebft ni\u1ec7u trong gia \u0111\u00ecnh c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb m\u1eafc b\u1ec7nh n\u00e0y h\u01a1n. Nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 tr\u1ea3i qua ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u1ea3m c\u00e2n c\u0169ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh s\u1ecfi.<\/p>\n\n\n\n<p>Hi\u1ebfm khi, thu\u1ed1c (bao g\u1ed3m indinavir) v\u00e0 c\u00e1c ch\u1ea5t trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng (nh\u01b0 melamine) g\u00e2y ra s\u1ecfi.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a s\u1ecfi ti\u1ebft ni\u1ec7u<\/h2>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng vi\u00ean nh\u1ecf, c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y ra b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o. S\u1ecfi trong b\u00e0ng quang c\u00f3 th\u1ec3 g\u00e2y \u0111au b\u1ee5ng d\u01b0\u1edbi. S\u1ecfi l\u00e0m t\u1eafc ngh\u1ebdn ni\u1ec7u qu\u1ea3n ho\u1eb7c b\u1ec3 th\u1eadn ho\u1eb7c b\u1ea5t k\u1ef3 \u0111\u01b0\u1eddng ra n\u00e0o c\u1ee7a th\u1eadn c\u00f3 th\u1ec3 g\u00e2y \u0111au l\u01b0ng ho\u1eb7c c\u01a1n \u0111au qu\u1eb7n th\u1eadn.<\/p>\n\n\n\n<p>\u0110au qu\u1eb7n th\u1eadn c\u00f3 bi\u1ec3u hi\u1ec7n \u0111au qu\u1eb7n t\u1eebng c\u01a1n, th\u01b0\u1eddng \u1edf v\u00f9ng gi\u1eefa m\u1ea1ng s\u01b0\u1eddn v\u00e0 b\u00ean h\u00f4ng, \u0111au lan kh\u1eafp b\u1ee5ng v\u00e0 th\u01b0\u1eddng k\u00e9o d\u00e0i ra v\u00f9ng sinh d\u1ee5c. C\u01a1n \u0111au t\u1eebng c\u01a1n, t\u0103ng d\u1ea7n \u0111\u1ebfn c\u01b0\u1eddng \u0111\u1ed9 cao nh\u1ea5t, sau \u0111\u00f3 gi\u1ea3m d\u1ea7n, trong kho\u1ea3ng 20 \u0111\u1ebfn 60 ph\u00fat. C\u01a1n \u0111au c\u00f3 th\u1ec3 lan xu\u1ed1ng b\u1ee5ng v\u1ec1 ph\u00eda b\u1eb9n ho\u1eb7c tinh ho\u00e0n, \u00e2m h\u1ed9.<\/p>\n\n\n\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c bao g\u1ed3m bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, b\u1ed3n ch\u1ed3n, \u0111\u1ed5 m\u1ed3 h\u00f4i v\u00e0 c\u00f3 m\u00e1u ho\u1eb7c c\u00f3 s\u1ecfi ho\u1eb7c m\u1ed9t m\u1ea3nh s\u1ecfi trong n\u01b0\u1edbc ti\u1ec3u. M\u1ed9t ng\u01b0\u1eddi c\u00f3 th\u1ec3 c\u00f3 c\u1ea3m gi\u00e1c mu\u1ed1n \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi m\u1ed9t vi\u00ean s\u1ecfi \u0111i xu\u1ed1ng ni\u1ec7u qu\u1ea3n. \u0110\u00f4i khi x\u1ea3y ra \u1edbn l\u1ea1nh, s\u1ed1t, n\u00f3ng r\u00e1t ho\u1eb7c \u0111au khi \u0111i ti\u1ec3u, n\u01b0\u1edbc ti\u1ec3u \u0111\u1ee5c, c\u00f3 m\u00f9i h\u00f4i v\u00e0 s\u01b0ng b\u1ee5ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n s\u1ecfi ti\u1ebft ni\u1ec7u<\/h2>\n\n\n\n<p>C\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng nghi ng\u1edd s\u1ecfi \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au qu\u1eb7n th\u1eadn. \u0110\u00f4i khi c\u00e1c b\u00e1c s\u0129 nghi ng\u1edd s\u1ecfi ti\u1ebft ni\u1ec7u \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au \u1edf l\u01b0ng v\u00e0 h\u00e1ng ho\u1eb7c \u0111au \u1edf v\u00f9ng sinh d\u1ee5c m\u00e0 kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n\n\n\n<p>T\u00ecm th\u1ea5y m\u00e1u trong n\u01b0\u1edbc ti\u1ec3u h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n, nh\u01b0ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i s\u1ecfi ti\u1ebft ni\u1ec7u \u0111\u1ec1u g\u00e2y ra ti\u1ec3u ra m\u00e1u. C\u00e1c b\u00e1c s\u0129 c\u1ea7n ph\u00e2n bi\u1ec7t s\u1ecfi v\u1edbi c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra \u0111au b\u1ee5ng d\u1eef d\u1ed9i, bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Vi\u00eam ph\u00fac m\u1ea1c, c\u00f3 th\u1ec3 do vi\u00eam ru\u1ed9t th\u1eeba, ch\u1eeda ngo\u00e0i t\u1eed cung ho\u1eb7c b\u1ec7nh vi\u00eam v\u00f9ng ch\u1eadu<\/li><li>B\u1ec7nh vi\u00eam t\u00fai m\u1eadt c\u1ea5p t\u00ednh<\/li><li>T\u1eafc ru\u1ed9t<\/li><li>Vi\u00eam t\u1ee5y<\/li><li>M\u1ed5 ph\u00ecnh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/li><\/ul>\n\n\n\n<p>CT scan kh\u00f4ng c\u1ea3n quang th\u01b0\u1eddng l\u00e0 quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n t\u1ed1t nh\u1ea5t, c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u00fang v\u1ecb tr\u00ed c\u1ee7a m\u1ed9t vi\u00ean s\u1ecfi v\u00e0 c\u0169ng cho bi\u1ebft m\u1ee9c \u0111\u1ed9 g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u1ee7a s\u1ecfi g\u00e2y ra. CT c\u0169ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n nhi\u1ec1u r\u1ed1i lo\u1ea1n kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra c\u01a1n \u0111au t\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u01a1n \u0111au do s\u1ecfi g\u00e2y ra.<\/p>\n\n\n\n<p>Si\u00eau \u00e2m l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf cho CT scan. Tuy nhi\u00ean, si\u00eau \u00e2m th\u01b0\u1eddng b\u1ecf s\u00f3t nh\u1eefng &nbsp;vi\u00ean s\u1ecfi nh\u1ecf (\u0111\u1eb7c bi\u1ec7t l\u00e0 khi n\u1eb1m trong ni\u1ec7u qu\u1ea3n), kh\u00f3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed ch\u00ednh x\u00e1c c\u1ee7a t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n nghi\u00eam tr\u1ecdng kh\u00e1c.<\/p>\n\n\n\n<p>Ch\u1ee5p X-quang b\u1ee5ng th\u00ec ch\u1ea9n \u0111o\u00e1n s\u1ecfi k\u00e9m ch\u00ednh x\u00e1c h\u01a1n nhi\u1ec1u v\u00e0 ch\u1ec9 c\u00f3 th\u1ec3 cho th\u1ea5y s\u1ecfi canxi. Khi c\u00e1c b\u00e1c s\u0129 nghi ng\u1edd b\u1ec7nh nh\u00e2n c\u00f3 s\u1ecfi canxi, ch\u1ee5p X-quang l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf \u0111\u1ec3 x\u00e1c nh\u1eadn s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a vi\u00ean s\u1ecfi ho\u1eb7c \u0111\u1ec3 xem s\u1ecfi \u0111\u00e3 di chuy\u1ec3n bao xa xu\u1ed1ng ni\u1ec7u qu\u1ea3n.<\/p>\n\n\n\n<p>Ch\u1ee5p ni\u1ec7u \u0111\u1ed3 b\u00e0i ti\u1ebft (tr\u01b0\u1edbc \u0111\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ee5p ni\u1ec7u \u0111\u1ed3 t\u0129nh m\u1ea1ch ho\u1eb7c ch\u1ee5p \u1ea3nh ni\u1ec7u \u0111\u1ed3 t\u0129nh m\u1ea1ch) l\u00e0 m\u1ed9t lo\u1ea1t c\u00e1c h\u00ecnh \u1ea3nh ch\u1ee5p X-quang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n sau khi ti\u00eam v\u00e0o t\u0129nh m\u1ea1ch th\u1eadn m\u1ed9t ch\u1ea5t c\u1ea3n quang. X\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1ecfi v\u00e0 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 ch\u00fang g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, nh\u01b0ng t\u1ed1n nhi\u1ec1u th\u1eddi gian v\u00e0 c\u00f3 r\u1ee7i ro khi ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t c\u1ea3n quang (v\u00ed d\u1ee5, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c suy th\u1eadn n\u1eb7ng h\u01a1n). C\u00e1c b\u00e1c s\u0129 hi\u1ebfm khi s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p ni\u1ec7u qu\u1ea3n b\u00e0i ti\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1ecfi n\u1ebfu c\u00f3 s\u1eb5n CT ho\u1eb7c si\u00eau \u00e2m.<\/p>\n\n\n\n<p>X\u00e9t nghi\u1ec7m ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n. N\u00f3 c\u00f3 th\u1ec3 cho th\u1ea5y m\u00e1u ho\u1eb7c m\u1ee7 trong n\u01b0\u1edbc ti\u1ec3u cho d\u00f9 c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba s\u1ecfi ti\u1ebft ni\u1ec7u<\/h2>\n\n\n\n<p>\u1ede m\u1ed9t ng\u01b0\u1eddi l\u1ea7n \u0111\u1ea7u ti\u00ean m\u1eafc m\u1ed9t vi\u00ean s\u1ecfi canxi, kh\u1ea3 n\u0103ng h\u00ecnh th\u00e0nh m\u1ed9t vi\u00ean s\u1ecfi kh\u00e1c l\u00e0 kho\u1ea3ng 15% trong v\u00f2ng 1 n\u0103m, 40% trong v\u00f2ng 5 n\u0103m v\u00e0 80% trong v\u00f2ng 10 n\u0103m. C\u00e1c bi\u1ec7n ph\u00e1p ng\u0103n ng\u1eeba s\u1ef1 h\u00ecnh th\u00e0nh s\u1ecfi m\u1edbi kh\u00e1c nhau, t\u00f9y thu\u1ed9c v\u00e0o th\u00e0nh ph\u1ea7n c\u1ee7a nh\u1eefng vi\u00ean s\u1ecfi hi\u1ec7n c\u00f3.<\/p>\n\n\n\n<p>U\u1ed1ng m\u1ed9t l\u01b0\u1ee3ng l\u1edbn n\u01b0\u1edbc l\u1ecdc 8 \u0111\u1ebfn 10 ly (300 ml) m\u1ed7i ng\u00e0y \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch \u0111\u1ec3 ng\u0103n ng\u1eeba t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i s\u1ecfi. M\u1ecdi ng\u01b0\u1eddi n\u00ean u\u1ed1ng \u0111\u1ee7 ch\u1ea5t l\u1ecfng \u0111\u1ec3 t\u1ea1o ra h\u01a1n 2 l\u00edt n\u01b0\u1edbc ti\u1ec3u m\u1ed7i ng\u00e0y. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba kh\u00e1c ph\u1ee5 thu\u1ed9c ph\u1ea7n n\u00e0o v\u00e0o lo\u1ea1i s\u1ecfi ti\u1ebft ni\u1ec7u.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">S\u1ecfi canxi<\/h3>\n\n\n\n<p>Nh\u1eefng ng\u01b0\u1eddi b\u1ecb s\u1ecfi canxi c\u00f3 th\u1ec3 c\u00f3 m\u1ed9t t\u00ecnh tr\u1ea1ng g\u1ecdi l\u00e0 t\u0103ng canxi ni\u1ec7u, trong \u0111\u00f3 l\u01b0\u1ee3ng canxi d\u01b0 th\u1eeba \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua n\u01b0\u1edbc ti\u1ec3u. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi n\u00e0y, c\u00e1c bi\u1ec7n ph\u00e1p l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng canxi trong n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh s\u1ecfi m\u1edbi. M\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p \u0111\u00f3 l\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n \u00edt natri v\u00e0 nhi\u1ec1u kali. B\u00ean c\u1ea1nh \u0111\u00f3, nguy c\u01a1 h\u00ecnh th\u00e0nh s\u1ecfi m\u1edbi th\u1ef1c s\u1ef1 cao h\u01a1n n\u1ebfu ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ch\u1ee9a qu\u00e1 \u00edt canxi, v\u00ec v\u1eady m\u1ecdi ng\u01b0\u1eddi kh\u00f4ng n\u00ean c\u1ed1 g\u1eafng lo\u1ea1i b\u1ecf canxi kh\u1ecfi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a m\u00ecnh.<\/p>\n\n\n\n<p>H\u1ea1n ch\u1ebf protein \u0111\u1ed9ng v\u1eadt trong kh\u1ea9u ph\u1ea7n \u0103n c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m canxi ni\u1ec7u v\u00e0 nguy c\u01a1 h\u00ecnh th\u00e0nh s\u1ecfi \u1edf nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb s\u1ecfi canxi.<\/p>\n\n\n\n<p>M\u1ee9c \u0111\u1ed9 cao oxalat trong n\u01b0\u1edbc ti\u1ec3u, g\u00f3p ph\u1ea7n h\u00ecnh th\u00e0nh s\u1ecfi canxi, c\u00f3 th\u1ec3 l\u00e0 do ti\u00eau th\u1ee5 qu\u00e1 m\u1ee9c th\u1ef1c ph\u1ea9m gi\u00e0u oxalat, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1ea1i ho\u00e0ng, rau bina, ca cao, qu\u1ea3 h\u1ea1ch, h\u1ea1t ti\u00eau v\u00e0 tr\u00e0, ho\u1eb7c do m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n \u0111\u01b0\u1eddng ru\u1ed9t (bao g\u1ed3m m\u1ed9t s\u1ed1 c\u00e1c lo\u1ea1i ph\u1eabu thu\u1eadt gi\u1ea3m c\u00e2n).<\/p>\n\n\n\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm hoi, khi s\u1ecfi canxi do c\u01b0\u1eddng c\u1eadn gi\u00e1p, b\u1ec7nh sarcoid, nhi\u1ec5m \u0111\u1ed9c vitamin D, nhi\u1ec5m toan \u1ed1ng th\u1eadn ho\u1eb7c ung th\u01b0, th\u00ec ph\u1ea3i \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n c\u01a1 b\u1ea3n.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">S\u1ecfi axit uric<\/h3>\n\n\n\n<p>S\u1ecfi axit uric h\u1ea7u nh\u01b0 lu\u00f4n lu\u00f4n \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi l\u01b0\u1ee3ng axit uric qu\u00e1 m\u1ee9c trong n\u01b0\u1edbc ti\u1ec3u. T\u1ea5t c\u1ea3 nh\u1eefng ng\u01b0\u1eddi b\u1ecb s\u1ecfi axit uric n\u00ean d\u00f9ng Kali citrate \u0111\u1ec3 l\u00e0m ki\u1ec1m h\u00f3a n\u01b0\u1edbc ti\u1ec3u v\u00e0 trung h\u00f2a n\u1ed3ng \u0111\u1ed9 axit cao g\u00e2y ra s\u1ecfi axit uric. \u0110\u00f4i khi, ch\u1ebf \u0111\u1ed9 \u0103n \u00edt protein \u0111\u1ed9ng v\u1eadt ho\u1eb7c allopurinol c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m n\u1ed3ng \u0111\u1ed9 axit uric trong n\u01b0\u1edbc ti\u1ec3u. U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc c\u0169ng r\u1ea5t quan tr\u1ecdng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">S\u1ecfi ti\u1ebft ni\u1ec7u cystine<\/h3>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi s\u1ecfi l\u00e0m b\u1eb1ng cystine, n\u1ed3ng \u0111\u1ed9 cystine trong n\u01b0\u1edbc ti\u1ec3u ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1eef \u1edf m\u1ee9c th\u1ea5p b\u1eb1ng c\u00e1ch duy tr\u00ec m\u1ed9t l\u01b0\u1ee3ng l\u1edbn ch\u1ea5t l\u1ecfng v\u00e0 \u0111\u00f4i khi d\u00f9ng alpha-mercaptopropionylglycine (tiopronin) ho\u1eb7c penicillamine.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">S\u1ecfi ti\u1ebft ni\u1ec7u nhi\u1ec5m tr\u00f9ng<\/h3>\n\n\n\n<p>Nh\u1eefng ng\u01b0\u1eddi b\u1ecb s\u1ecfi nhi\u1ec5m tr\u00f9ng t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng thu\u1ed1c kh\u00e1ng sinh li\u00ean t\u1ee5c \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. Axit acetohydroxamic c\u0169ng c\u00f3 th\u1ec3 h\u1eefu \u00edch \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb s\u1ecfi nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb s\u1ecfi ti\u1ebft ni\u1ec7u<\/h2>\n\n\n\n<p>Nh\u1eefng vi\u00ean s\u1ecfi nh\u1ecf kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u ho\u1eb7c nhi\u1ec5m tr\u00f9ng th\u01b0\u1eddng kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 th\u01b0\u1eddng t\u1ef1 kh\u1ecfi. Nh\u1eefng vi\u00ean s\u1ecfi l\u1edbn h\u01a1n (tr\u00ean 5 mm) v\u00e0 nh\u1eefng vi\u00ean g\u1ea7n th\u1eadn th\u00ec \u00edt c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 \u0111\u00e0o th\u1ea3i h\u01a1n. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c (tamsulosin ho\u1eb7c thu\u1ed1c ch\u1eb9n k\u00eanh canxi) c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng h\u00ecnh th\u00e0nh s\u1ecfi t\u1ef1 ph\u00e1t.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Gi\u1ea3m \u0111au<\/h3>\n\n\n\n<p>C\u01a1n \u0111au qu\u1eb7n th\u1eadn c\u00f3 th\u1ec3 thuy\u00ean gi\u1ea3m khi d\u00f9ng NSAID. N\u1ebfu c\u01a1n \u0111au nghi\u00eam tr\u1ecdng, \u0111\u00f4i khi c\u1ea7n d\u00f9ng opioid.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1c chi\u1ebfn l\u01b0\u1ee3c v\u01b0\u1ee3t qua s\u1ecfi ti\u1ebft ni\u1ec7u<\/h3>\n\n\n\n<p>U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc ho\u1eb7c truy\u1ec1n m\u1ed9t l\u01b0\u1ee3ng l\u1edbn d\u1ecbch qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch \u0111\u00e3 \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch \u0111\u1ec3 gi\u00fap s\u1ecfi t\u1ef1 \u0111\u00e0o th\u1ea3i, nh\u01b0ng kh\u00f4ng r\u00f5 r\u1eb1ng c\u00e1ch ti\u1ebfp c\u1eadn n\u00e0y c\u00f3 h\u1eefu \u00edch hay kh\u00f4ng. Thu\u1ed1c ch\u1eb9n alpha-adrenergic (ch\u1eb3ng h\u1ea1n nh\u01b0 tamsulosin) c\u00f3 th\u1ec3 gi\u00fap th\u1ea3i s\u1ecfi. Khi s\u1ecfi t\u1ef1 \u0111\u00e0o th\u1ea3i, kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 n\u00e0o kh\u00e1c.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ph\u1eabu thu\u1eadt s\u1ecfi ti\u1ebft ni\u1ec7u<\/h3>\n\n\n\n<p>\u0110\u00f4i khi khi t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn nghi\u00eam tr\u1ecdng, c\u00e1c b\u00e1c s\u0129 s\u1ebd lu\u1ed3n m\u1ed9t \u1ed1ng (stent) t\u1ea1m th\u1eddi v\u00e0o ni\u1ec7u qu\u1ea3n \u0111\u1ec3 l\u1ea5y vi\u00ean s\u1ecfi ra ngo\u00e0i. C\u00e1c b\u00e1c s\u0129 \u0111\u01b0a m\u1ed9t d\u1ee5ng c\u1ee5 quan s\u00e1t (cystoscope, m\u1ed9t lo\u1ea1i \u1ed1ng n\u1ed9i soi) v\u00e0o b\u00e0ng quang v\u00e0 \u0111\u01b0a stent qua \u1ed1ng soi b\u00e0ng quang v\u00e0 v\u00e0o l\u1ed7 m\u1edf c\u1ee7a ni\u1ec7u qu\u1ea3n. Stent \u0111\u01b0\u1ee3c \u0111\u1ea9y l\u00ean qua v\u1ecb tr\u00ed vi\u00ean s\u1ecfi k\u1eb9t v\u00e0 nong ra. Stent \u0111\u01b0\u1ee3c gi\u1eef nguy\u00ean cho \u0111\u1ebfn khi c\u00f3 th\u1ec3 l\u1ea5y s\u1ecfi ra \u0111\u01b0\u1ee3c (v\u00ed d\u1ee5, b\u1eb1ng ph\u1eabu thu\u1eadt).<\/p>\n\n\n\n<p>Ngo\u00e0i ra, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u1eabn l\u01b0u s\u1ef1 t\u1eafc ngh\u1ebdn b\u1eb1ng c\u00e1ch \u0111\u01b0a m\u1ed9t \u1ed1ng d\u1eabn l\u01b0u qua ph\u00eda sau v\u00e0o th\u1eadn (\u1ed1ng c\u1eaft th\u1eadn).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf s\u1ecfi ti\u1ebft ni\u1ec7u<\/h3>\n\n\n\n<p>Th\u00f4ng th\u01b0\u1eddng, t\u00e1n s\u1ecfi b\u1eb1ng <strong>s\u00f3ng xung k\u00edch<\/strong> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi trong b\u1ec3 th\u1eadn ho\u1eb7c ph\u1ea7n tr\u00ean c\u00f9ng c\u1ee7a ni\u1ec7u qu\u1ea3n c\u00f3 \u0111\u01b0\u1eddng k\u00ednh (1 cm) tr\u1edf xu\u1ed1ng. C\u00e1c m\u1ea3nh s\u1ecfi ti\u1ebft ni\u1ec7u sau \u0111\u00f3 \u0111\u01b0\u1ee3c \u0111i qua n\u01b0\u1edbc ti\u1ec3u. \u0110\u00f4i khi, s\u1ecfi \u0111\u01b0\u1ee3c l\u1ea5y ra b\u1eb1ng k\u1ec1m s\u1eed d\u1ee5ng \u1ed1ng n\u1ed9i soi qua m\u1ed9t v\u1ebft r\u1ea1ch nh\u1ecf tr\u00ean da, ho\u1eb7c s\u1ecfi c\u00f3 th\u1ec3 b\u1ecb v\u1ee1 th\u00e0nh nhi\u1ec1u m\u1ea3nh b\u1eb1ng \u0111\u1ea7u d\u00f2 t\u1eeb m\u00e1y t\u00e1n s\u1ecfi v\u00e0 sau \u0111\u00f3 c\u00e1c m\u1ea3nh n\u00e0y \u0111\u01b0\u1ee3c \u0111\u01b0a qua n\u01b0\u1edbc ti\u1ec3u. \u0110\u00f4i khi, tia laser \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi ti\u1ebft ni\u1ec7u.<\/p>\n\n\n\n<p>M\u1ed9t \u1ed1ng <strong>soi ni\u1ec7u qu\u1ea3n<\/strong> \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ni\u1ec7u \u0111\u1ea1o, qua b\u00e0ng quang v\u00e0 l\u00ean ni\u1ec7u qu\u1ea3n \u0111\u1ec3 lo\u1ea1i b\u1ecf nh\u1eefng vi\u00ean s\u1ecfi nh\u1ecf \u1edf ph\u1ea7n d\u01b0\u1edbi c\u1ee7a ni\u1ec7u qu\u1ea3n. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, n\u1ed9i soi ni\u1ec7u qu\u1ea3n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi m\u1ed9t thi\u1ebft b\u1ecb \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi th\u00e0nh nh\u1eefng m\u1ea3nh nh\u1ecf h\u01a1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y ra b\u1eb1ng \u1ed1ng soi ni\u1ec7u qu\u1ea3n ho\u1eb7c truy\u1ec1n qua n\u01b0\u1edbc ti\u1ec3u.<\/p>\n\n\n\n<p><strong>Ph\u01b0\u01a1ng ph\u00e1p t\u00e1n s\u1ecfi th\u1eadn qua da<\/strong> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u1ed9t s\u1ed1 vi\u00ean s\u1ecfi th\u1eadn l\u1edbn h\u01a1n. Trong ph\u1eabu thu\u1eadt c\u1eaft th\u1eadn qua da, c\u00e1c b\u00e1c s\u0129 s\u1ebd r\u1ea1ch m\u1ed9t \u0111\u01b0\u1eddng nh\u1ecf \u1edf l\u01b0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 sau \u0111\u00f3 \u0111\u01b0a m\u1ed9t \u1ed1ng quan s\u00e1t b\u1eb1ng k\u00ednh thi\u00ean v\u0103n (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u1ed1ng soi th\u1eadn, m\u1ed9t lo\u1ea1i n\u1ed9i soi) v\u00e0o th\u1eadn. C\u00e1c b\u00e1c s\u0129 \u0111\u01b0a m\u1ed9t \u0111\u1ea7u d\u00f2 qua \u1ed1ng soi th\u1eadn \u0111\u1ec3 ph\u00e1 v\u1ee1 s\u1ecfi th\u00e0nh c\u00e1c m\u1ea3nh nh\u1ecf h\u01a1n v\u00e0 sau \u0111\u00f3 l\u1ea5y ra c\u00e1c m\u1ea3nh (t\u00e1n s\u1ecfi th\u1eadn).<\/p>\n\n\n\n<p><strong>L\u00e0m cho n\u01b0\u1edbc ti\u1ec3u c\u00f3 t\u00ednh ki\u1ec1m h\u01a1n <\/strong>(v\u00ed d\u1ee5, v\u1edbi kali citrate u\u1ed1ng trong 4 \u0111\u1ebfn 6 th\u00e1ng) \u0111\u00f4i khi c\u00f3 th\u1ec3 l\u00e0m tan d\u1ea7n s\u1ecfi axit uric. C\u00e1c lo\u1ea1i s\u1ecfi ti\u1ebft ni\u1ec7u kh\u00e1c kh\u00f4ng th\u1ec3 b\u1ecb h\u00f2a tan theo c\u00e1ch n\u00e0y.<\/p>\n\n\n\n<p>\u0110\u00f4i khi c\u1ea7n <strong>ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf<\/strong> \u0111\u1ed1i v\u1edbi nh\u1eefng vi\u00ean s\u1ecfi l\u1edbn h\u01a1n g\u00e2y t\u1eafc ngh\u1ebdn.<\/p>\n\n\n\n<p><strong>Ph\u1eabu thu\u1eadt n\u1ed9i soi <\/strong>th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf s\u1ecfi nhi\u1ec5m tr\u00f9ng. Thu\u1ed1c kh\u00e1ng sinh kh\u00f4ng h\u1eefu \u00edch trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u cho \u0111\u1ebfn khi s\u1ecfi nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n.<\/p>\n\n\n\n<p><strong>\u0110\u1eb7t stent ni\u1ec7u qu\u1ea3n<\/strong> l\u00e0 vi\u1ec7c \u0111\u1eb7t m\u1ed9t \u1ed1ng r\u1ed7ng m\u1ec1m \u0111\u1ec3 gi\u00fap n\u01b0\u1edbc ti\u1ec3u tho\u00e1t t\u1eeb th\u1eadn xu\u1ed1ng b\u00e0ng quang. C\u00f3 th\u1ec3 c\u1ea7n \u0111\u1eb7t stent ni\u1ec7u qu\u1ea3n trong m\u1ed9t ho\u1eb7c hai tu\u1ea7n sau khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt l\u1ea5y s\u1ecfi. K\u00edch \u1ee9ng t\u1eeb s\u1ecfi ti\u1ebft ni\u1ec7u ho\u1eb7c t\u1eeb th\u1ee7 thu\u1eadt lo\u1ea1i b\u1ecf c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 vi\u00eam ni\u1ec7u qu\u1ea3n. Stent gi\u00fap gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p>S\u1ecfi ti\u1ebft ni\u1ec7u kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 suy th\u1eadn, th\u1eadn \u1ee9 n\u01b0\u1edbc, nhi\u1ec5m tr\u00f9ng\u2026V\u00ec v\u1eady c\u1ea7n ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t s\u1ecfi ti\u1ebft ni\u1ec7u, c\u0169ng nh\u01b0 gi\u1eef m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh \u0111\u1ec3 ph\u00f2ng b\u1ec7nh v\u00e0 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe h\u1ec7 ti\u1ebft ni\u1ec7u n\u00f3i ri\u00eang, c\u0169ng nh\u01b0 c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n n\u00f3i chung.<\/p>\n\n\n\n<p>C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 d\u00e0nh th\u1eddi gian \u0111\u1ec3 \u0111\u1ecdc v\u00e0 t\u00ecm hi\u1ec3u Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 s\u1ecfi ti\u1ebft ni\u1ec7u t\u1ea1i Docosan. Ch\u00fang t\u00f4i r\u1ea5t vinh h\u1ea1nh ch\u00e0o \u0111\u00f3n v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u00edn nhi\u1ec7m t\u1eeb c\u00e1c b\u1ea1n.<\/p>\n\n\n\n<p>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o 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 t\u1ea1i Docosan \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n\n\n\n<p>Stones in the Urinary Tract &#8211; Kidney and Urinary Tract Disorders &#8211; MSD Manual Consumer Version<br><a href=\"https:\/\/www.msdmanuals.com\/home\/kidney-and-urinary-tract-disorders\/stones-in-the-urinary-tract\/stones-in-the-urinary-tract\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.msdmanuals.com\/home\/kidney-and-urinary-tract-disorders\/stones-in-the-urinary-tract\/stones-in-the-urinary-tract<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>S\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 t\u00ecnh tr\u1ea1ng s\u1ecfi h\u00ecnh th\u00e0nh trong \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, \u0111\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng s\u1ee9c kh\u1ecfe c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi v\u00e0 ch\u1eefa tr\u1ecb \u0111\u00fang c\u00e1ch. V\u1eady s\u1ecfi ti\u1ebft ni\u1ec7u l\u00e0 g\u00ec? C\u00f3 m\u1ea5y lo\u1ea1i s\u1ecfi ti\u1ebft ni\u1ec7u? \u0110i\u1ec1u tr\u1ecb s\u1ecfi ti\u1ebft ni\u1ec7u nh\u01b0 th\u1ebf n\u00e0o? H\u00e3y c\u00f9ng [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":89905,"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-103923","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\/10\/21200921-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/10\/21200921-600x560.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\/103923","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=103923"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103923\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89905"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103923"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103923"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103923"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}