{"id":104545,"date":"2022-02-03T00:00:00","date_gmt":"2022-02-03T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/cac-giai-doan-suy-than\/"},"modified":"2022-08-31T00:00:00","modified_gmt":"2022-08-31T00:00:00","slug":"cac-giai-doan-suy-than","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tiet-nieu\/cac-giai-doan-suy-than\/","title":{"rendered":"C\u00e1c giai \u0111o\u1ea1n suy th\u1eadn: D\u1ea5u hi\u1ec7u v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p>C\u00e1c giai \u0111o\u1ea1n suy th\u1eadn \u0111\u1ec1u c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh cho t\u1eebng giai \u0111o\u1ea1n. V\u00ec v\u1eady vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c b\u1ea1n \u0111ang \u1edf giai \u0111o\u1ea1n m\u1ea5y c\u1ee7a suy th\u1eadn \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng kh\u00f4ng k\u00e9m. H\u00e3y c\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" data-type=\"page\" data-id=\"29805\" rel=\"noreferrer noopener\">Docosan<\/a> t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a c\u0103n b\u1ec7nh o\u00e1i \u0103m n\u00e0y qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"suy-th\u1eadn-co-m\u1ea5y-giai-do\u1ea1n\">Suy th\u1eadn c\u00f3 m\u1ea5y giai \u0111o\u1ea1n?<\/h2>\n\n\n\n<p>Suy th\u1eadn g\u1ed3m 5 giai \u0111o\u1ea1n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn nh\u01b0 th\u1ebf n\u00e0o. B\u1ec7nh th\u1eadn c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n theo th\u1eddi gian. <\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/Cac-giai-doan-suy-than-4.jpg\" alt=\"c\u00e1c giai \u0111o\u1ea1n suy th\u1eadn\" class=\"wp-image-44715\"\/><figcaption>C\u00e1c giai \u0111o\u1ea1n suy th\u1eadn: d\u1ea5u hi\u1ec7u v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n\n\n\n<p>Th\u1eadn v\u1eabn c\u00f3 th\u1ec3 l\u1ecdc ch\u1ea5t th\u1ea3i ra kh\u1ecfi m\u00e1u trong giai \u0111o\u1ea1n \u0111\u1ea7u (Giai \u0111o\u1ea1n 1\u20133). Th\u1eadn s\u1ebd ph\u1ea3i l\u00e0m vi\u1ec7c nhi\u1ec1u h\u01a1n \u0111\u1ec3 l\u1ecdc m\u00e1u trong giai \u0111o\u1ea1n sau (Giai \u0111o\u1ea1n 4\u20135) v\u00e0 cu\u1ed1i c\u00f9ng c\u00f3 th\u1ec3 ng\u1eebng ho\u1ea1t \u0111\u1ed9ng.<\/p>\n\n\n\n<p>\u1ede m\u1ed7i giai \u0111o\u1ea1n c\u1ee7a suy th\u1eadn, m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 l\u00e0m gi\u1ea3m s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1eadn v\u00e0 gi\u1eef cho th\u1eadn c\u1ee7a b\u1ea1n ho\u1ea1t \u0111\u1ed9ng c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t.<\/p>\n\n\n\n<p>C\u00e1c b\u00e1c s\u0129 s\u1ebd l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh giai \u0111o\u1ea1n suy th\u1eadn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>X\u00e9t nghi\u1ec7m \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn eGFR (x\u00e9t nghi\u1ec7m m\u00e1u) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem th\u1eadn c\u1ee7a b\u1ea1n \u0111ang ho\u1ea1t \u0111\u1ed9ng t\u1ed1t nh\u01b0 th\u1ebf n\u00e0o.<\/li><li>T\u1ed5ng ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u<\/li><\/ul>\n\n\n\n<p>\u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn eGFR l\u00e0 th\u01b0\u1edbc \u0111o s\u01a1 b\u1ed9 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 c\u1ee7a th\u1eadn. Ph\u01b0\u01a1ng ph\u00e1p t\u00ednh eGFR s\u1ebd thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0 \u0111\u1ed9 tu\u1ed5i, gi\u1edbi t\u00ednh v\u00e0 ch\u1ee7ng t\u1ed9c c\u1ee7a c\u00f9ng v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cach-giai-do\u1ea1n-suy-th\u1eadn\">C\u00e1ch giai \u0111o\u1ea1n suy th\u1eadn<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"suy-th\u1eadn-giai-do\u1ea1n-1\">Suy th\u1eadn giai \u0111o\u1ea1n 1<\/h3>\n\n\n\n<p>Khi b\u1ea1n b\u1ecb suy th\u1eadn giai \u0111o\u1ea1n 1 \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c th\u1eadn \u0111ang b\u1ecb t\u1ed5n th\u01b0\u1edfng \u1edf m\u1ee9c t\u1ed1i thi\u1ec3u v\u00e0 eGFR t\u1eeb 90 tr\u1edf l\u00ean.<\/p>\n\n\n\n<p>eGFR t\u1eeb 90 tr\u1edf l\u00ean th\u01b0\u1eddng ch\u1ec9 ra r\u1eb1ng th\u1eadn c\u1ee7a b\u1ea1n kh\u1ecfe m\u1ea1nh v\u00e0 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng b\u1ea1n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a suy th\u1eadn. Protein trong n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u1ef1c th\u1ec3 \u1edf th\u1eadn \u0111\u1ec1u l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh suy th\u1eadn giai \u0111o\u1ea1n n\u00e0y. <\/p>\n\n\n\n<p>Trong b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n 1, c\u00f3 m\u1ed9t s\u1ed1 \u0111i\u1ec1u b\u1ea1n c\u00f3 th\u1ec3 l\u00e0m \u0111\u1ec3 gi\u00fap l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ee7a b\u1ea1n:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>N\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, h\u00e3y ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/li><li>Gi\u1eef huy\u1ebft \u00e1p \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh<\/li><li>Duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng.<\/li><li>Kh\u00f4ng h\u00fat thu\u1ed1c ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1 d\u01b0\u1edbi b\u1ea5t k\u1ef3 h\u00ecnh th\u1ee9c n\u00e0o.<\/li><li>30 ph\u00fat ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t, 5 ng\u00e0y m\u1ed9t tu\u1ea7n<\/li><li>Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li><li>Tham kh\u1ea3o \u00fd ki\u1ebfn \u200b\u200bb\u00e1c s\u0129 \u0111\u1ec3 xem c\u00f3 lo\u1ea1i thu\u1ed1c n\u00e0o c\u00f3 th\u1ec3 gi\u00fap b\u1ea3o v\u1ec7 th\u1eadn c\u1ee7a b\u1ea1n kh\u00f4ng.<\/li><li>Ngay c\u1ea3 khi b\u1ea1n hi\u1ec7n \u0111\u00e3 kh\u00e1m b\u00e1c s\u0129 t\u1ed5ng qu\u00e1t, v\u1eabn h\u00e3y l\u00ean l\u1ecbch h\u1eb9n kh\u00e1m v\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn (b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn) l\u1ea7n n\u1eefa \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n r\u00f5 h\u01a1n.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"suy-th\u1eadn-giai-do\u1ea1n-2\">Suy th\u1eadn giai \u0111o\u1ea1n 2<\/h3>\n\n\n\n<p>Suy th\u1eadn giai \u0111o\u1ea1n 2 v\u1eabn \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o nh\u00f3m suy th\u1eadn \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 eGFR t\u1eeb 60 \u0111\u1ebfn 89.<\/p>\n\n\n\n<p>EGFR t\u1eeb 60 \u0111\u1ebfn 89 th\u01b0\u1eddng cho th\u1ea5y th\u1eadn c\u1ee7a b\u1ea1n kh\u1ecfe m\u1ea1nh v\u00e0 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n b\u1ecb suy th\u1eadn Giai \u0111o\u1ea1n 2, th\u00ec d\u00f9 eGFR c\u1ee7a b\u1ea1n l\u00e0 b\u00ecnh th\u01b0\u1eddng nh\u01b0ng b\u1ea1n s\u1ebd c\u00f3 th\u00eam c\u00e1c tri\u1ec7u ch\u1ee9ng suy th\u1eadn kh\u00e1c. Protein trong n\u01b0\u1edbc ti\u1ec3u (\u0111i ti\u1ec3u) ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng th\u1ef1c th\u1ec3 \u1edf th\u1eadn c\u1ee7a b\u1ea1n \u0111\u1ec1u l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy th\u1eadn. <\/p>\n\n\n\n<p>Trong suy th\u1eadn Giai \u0111o\u1ea1n 2, b\u1ea1n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 c\u00e1ch \u0111\u1ec3 gi\u00fap l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ee7a m\u00ecnh:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>N\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, h\u00e3y ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/li><li>Ki\u1ec3m tra huy\u1ebft \u00e1p c\u1ee7a b\u1ea1n.<\/li><li>Th\u1ef1c hi\u1ec7n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 h\u1ea1n ch\u1ebf h\u00fat thu\u1ed1c ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1.<\/li><li>30 ph\u00fat ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t, 5 ng\u00e0y m\u1ed9t tu\u1ea7n<\/li><li>Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li><li>H\u1ecfi b\u00e1c s\u0129 xem c\u00f3 lo\u1ea1i thu\u1ed1c n\u00e0o \u0111\u1ec3 b\u1ea3o v\u1ec7 th\u1eadn c\u1ee7a b\u1ea1n kh\u00f4ng<\/li><li>Ngay c\u1ea3 khi b\u1ea1n hi\u1ec7n \u0111ang c\u00f3 b\u00e1c s\u0129 t\u1ed5ng qu\u00e1t, h\u00e3y l\u00ean l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn (b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn).<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"suy-th\u1eadn-giai-do\u1ea1n-3\">Suy th\u1eadn giai \u0111o\u1ea1n 3<\/h3>\n\n\n\n<p>N\u1ebfu b\u1ea1n m\u1eafc suy th\u1eadn giai \u0111o\u1ea1n 3, eGFR c\u1ee7a b\u1ea1n n\u1eb1m trong kho\u1ea3ng t\u1eeb 30 \u0111\u1ebfn 59.<\/p>\n\n\n\n<p>EGFR t\u1eeb 30 \u0111\u1ebfn 59 cho th\u1ea5y r\u1eb1ng c\u00f3 m\u1ed9t s\u1ed1 t\u1ed5n th\u01b0\u01a1ng \u1edf th\u1eadn c\u1ee7a b\u1ea1n v\u00e0 ch\u00fang kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng t\u1ed1t nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p>Giai \u0111o\u1ea1n 3 \u0111\u01b0\u1ee3c chia th\u00e0nh hai giai \u0111o\u1ea1n nh\u1ecf n\u1eefa:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>N\u1ebfu eGFR c\u1ee7a b\u1ea1n t\u1eeb 45 \u0111\u1ebfn 59, b\u1ea1n \u0111ang \u1edf giai \u0111o\u1ea1n 3a.<\/li><li>N\u1ebfu eGFR c\u1ee7a b\u1ea1n t\u1eeb 30 \u0111\u1ebfn 44, b\u1ea1n \u0111ang \u1edf giai \u0111o\u1ea1n 3b.<\/li><\/ul>\n\n\n\n<p>Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb suy th\u1eadn \u1edf Giai \u0111o\u1ea1n 3 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng n\u00e0o. Tuy nhi\u00ean, n\u1ebfu c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng, ch\u00fang c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a b\u1ea1n b\u1ecb s\u01b0ng t\u1ea5y.<\/li><li>\u0110au l\u01b0ng<\/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\/2022\/02\/Cac-giai-doan-suy-than-1.jpg\" alt=\"c\u00e1c giai \u0111o\u1ea1n suy th\u1eadn\" class=\"wp-image-44712\"\/><figcaption>C\u00e1c giai \u0111o\u1ea1n suy th\u1eadn: d\u1ea5u hi\u1ec7u v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\"><li>\u0110i ti\u1ec3u nhi\u1ec1u h\u01a1n ho\u1eb7c \u00edt h\u01a1n b\u00ecnh th\u01b0\u1eddng<\/li><\/ul>\n\n\n\n<p>Khi ch\u1ea5t th\u1ea3i t\u00edch t\u1ee5 trong c\u01a1 th\u1ec3 v\u00e0 th\u1eadn c\u1ee7a b\u1ea1n kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, b\u1ea1n d\u1ec5 m\u1eafc c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Huy\u1ebft \u00e1p cao<\/li><li>Thi\u1ebfu m\u00e1u (s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u th\u1ea5p)<\/li><li>C\u00e1c b\u1ec7nh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp <\/li><\/ul>\n\n\n\n<p>B\u1ea1n c\u00f3 th\u1ec3 l\u00e0m nh\u1eefng \u0111i\u1ec1u sau \u0111\u1ec3 gi\u1eef cho suy th\u1eadn Giai \u0111o\u1ea1n 3 kh\u00f4ng ph\u00e1t tri\u1ec3n n\u1eb7ng h\u01a1n:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>N\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng, h\u00e3y ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/li><li>Gi\u1eef huy\u1ebft \u00e1p c\u1ee7a b\u1ea1n lu\u00f4n \u1ed5n \u0111\u1ecbnh<\/li><li>Kh\u00f4ng h\u00fat thu\u1ed1c ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1 d\u01b0\u1edbi b\u1ea5t k\u1ef3 h\u00ecnh th\u1ee9c n\u00e0o.<\/li><li>Duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng.<\/li><li>30 ph\u00fat ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t, 5 ng\u00e0y m\u1ed9t tu\u1ea7n<\/li><li>Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li><li>H\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn (b\u00e1c s\u0129 th\u1eadn), ng\u01b0\u1eddi s\u1ebd \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a b\u1ea1n v\u00e0 t\u01b0 v\u1ea5n cho b\u1ea1n t\u1ea7n su\u1ea5t kh\u00e1m th\u1eadn c\u1ee7a b\u1ea1n.<\/li><li>G\u1eb7p g\u1ee1 chuy\u00ean gia dinh d\u01b0\u1ee1ng, ng\u01b0\u1eddi c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 b\u1ea1n duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh.<\/li><li>N\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c huy\u1ebft \u00e1p cao, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 thu\u1ed1c \u1ee9c ch\u1ebf ACE v\u00e0 ARB, l\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u00f4i khi c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh th\u1eadn tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"suy-th\u1eadn-giai-do\u1ea1n-4\">Suy th\u1eadn giai \u0111o\u1ea1n 4<\/h3>\n\n\n\n<p>Suy th\u1eadn giai \u0111o\u1ea1n 4 l\u00e0 khi eGFR c\u1ee7a b\u1ea1n l\u00e0 t\u1eeb 15 \u0111\u1ebfn 29.<\/p>\n\n\n\n<p>N\u1ebfu eGFR c\u1ee7a b\u1ea1n t\u1eeb 15 \u0111\u1ebfn 30, th\u1eadn c\u1ee7a b\u1ea1n \u0111ang b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng v\u1eeba ph\u1ea3i ho\u1eb7c nghi\u00eam tr\u1ecdng v\u00e0 kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. Suy th\u1eadn giai \u0111o\u1ea1n 4 c\u1ea7n \u0111\u01b0\u1ee3c xem x\u00e9t v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u1ea9n th\u1eadn.<\/p>\n\n\n\n<p>Nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb suy th\u1eadn giai \u0111o\u1ea1n 4 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a b\u1ea1n b\u1ecb s\u01b0ng t\u1ea5y.<\/li><li>\u0110au l\u01b0ng<\/li><li>\u0110i ti\u1ec3u nhi\u1ec1u h\u01a1n ho\u1eb7c \u00edt h\u01a1n b\u00ecnh th\u01b0\u1eddng<\/li><\/ul>\n\n\n\n<p>Khi ch\u1ea5t th\u1ea3i t\u00edch t\u1ee5 trong c\u01a1 th\u1ec3 v\u00e0 th\u1eadn c\u1ee7a b\u1ea1n kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng, b\u1ea1n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe \u1edf Giai \u0111o\u1ea1n 4, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Huy\u1ebft \u00e1p qu\u00e1 cao<\/li><li>Thi\u1ebfu m\u00e1u (s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u th\u1ea5p)<\/li><li>B\u1ec7nh x\u01b0\u01a1ng <\/li><\/ul>\n\n\n\n<p>B\u00e1c s\u0129 s\u1ebd khuy\u00ean b\u1ea1n l\u00e0m nh\u1eefng \u0111i\u1ec1u sau \u0111\u1ec3 ng\u0103n b\u1ec7nh th\u1eadn tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n \u1edf giai \u0111o\u1ea1n n\u00e0y:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Th\u01b0\u1eddng xuy\u00ean g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn (b\u00e1c s\u0129 th\u1eadn), ng\u01b0\u1eddi s\u1ebd \u0111\u01b0a ra k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p v\u1edbi b\u1ea1n v\u00e0 cho b\u1ea1n bi\u1ebft t\u1ea7n su\u1ea5t n\u00ean ki\u1ec3m tra th\u1eadn. <\/li><li>Ngo\u00e0i ra, h\u00e3y g\u1eb7p chuy\u00ean gia dinh d\u01b0\u1ee1ng, ng\u01b0\u1eddi s\u1ebd h\u1ed7 tr\u1ee3 b\u1ea1n duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng.<\/li><li>N\u1ebfu b\u00e1c s\u0129 \u0111\u1ec1 ngh\u1ecb th\u00ec h\u00e3y d\u00f9ng thu\u1ed1c huy\u1ebft \u00e1p nh\u01b0 thu\u1ed1c \u1ee9c ch\u1ebf ACE v\u00e0 ARB. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u00f4i khi c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh th\u1eadn tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n n\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c huy\u1ebft \u00e1p cao.<\/li><\/ul>\n\n\n\n<p>\u0110\u00e2y l\u00e0 th\u1eddi \u0111i\u1ec3m m\u00e0 c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa th\u1eadn s\u1ebd t\u01b0 v\u1ea5n v\u1ec1 c\u00e1ch chu\u1ea9n b\u1ecb cho suy th\u1eadn n\u1eb7ng &#8211; giai \u0111o\u1ea1n 5. M\u1ed9t khi th\u1eadn c\u1ee7a b\u1ea1n b\u1ecb suy n\u1eb7ng &#8211; giai \u0111o\u1ea1n 5, b\u1ea1n s\u1ebd c\u1ea7n b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Chu\u1ea9n b\u1ecb l\u1ecdc m\u00e1u: Khi th\u1eadn c\u1ee7a b\u1ea1n b\u1ecb suy, l\u1ecdc m\u00e1u s\u1ebd l\u00e0m s\u1ea1ch m\u00e1u c\u1ee7a b\u1ea1n. C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c nhau c\u1ea7n xem x\u00e9t, bao g\u1ed3m lo\u1ea1i l\u1ecdc m\u00e1u, c\u00e1ch l\u00ean l\u1ecbch \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u00fang s\u1ebd \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ea1n. <\/li><li>Chu\u1ea9n b\u1ecb cho vi\u1ec7c c\u1ea5y gh\u00e9p th\u1eadn: Gh\u00e9p th\u1eadn l\u00e0 m\u1ed9t cu\u1ed9c ph\u1eabu thu\u1eadt thay th\u1ebf qu\u1ea3 th\u1eadn b\u1ecb h\u1ecfng c\u1ee7a b\u1ea1n b\u1eb1ng m\u1ed9t qu\u1ea3 th\u1eadn kh\u1ecfe m\u1ea1nh t\u1eeb c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi kh\u00e1c. B\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn n\u1ebfu b\u1ea1n c\u00f3 th\u1ec3 t\u00ecm \u0111\u01b0\u1ee3c ng\u01b0\u1eddi hi\u1ebfn th\u1eadn c\u00f2n s\u1ed1ng.<\/li><\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"suy-th\u1eadn-giai-do\u1ea1n-5\">Suy th\u1eadn giai \u0111o\u1ea1n 5<\/h3>\n\n\n\n<p>N\u1ebfu b\u1ea1n m\u1eafc b\u1ec7nh suy th\u1eadn giai \u0111o\u1ea1n 5, eGFR c\u1ee7a b\u1ea1n nh\u1ecf h\u01a1n 15.<\/p>\n\n\n\n<p>EGFR d\u01b0\u1edbi 15 cho th\u1ea5y th\u1eadn \u0111ang suy r\u1ea5t n\u1eb7ng ho\u1eb7c \u0111\u00e3 b\u1ecb h\u1ecfng ho\u00e0n to\u00e0n. Ch\u1ea5t th\u1ea3i t\u00edch t\u1ee5 trong m\u00e1u khi th\u1eadn c\u1ee7a b\u1ea1n b\u1ecb suy, khi\u1ebfn b\u1ea1n c\u1ea3m th\u1ea5y kh\u00f4ng kh\u1ecfe.<\/p>\n\n\n\n<p>Sau \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Ng\u1ee9a<\/li><li>Co th\u1eaft c\u01a1 b\u1eafp<\/li><li>M\u1ec7t m\u1ecfi v\u00e0 n\u00f4n \u00f3i.<\/li><li>Ch\u00e1n \u0103n<\/li><li>B\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n b\u1ecb s\u01b0ng t\u1ea5y.<\/li><li>\u0110au l\u01b0ng<\/li><li>\u0110i ti\u1ec3u nhi\u1ec1u h\u01a1n ho\u1eb7c \u00edt h\u01a1n b\u00ecnh th\u01b0\u1eddng<\/li><li>G\u1eb7p kh\u00f3 kh\u0103n h\u00f4 h\u1ea5p<\/li><li>V\u1ea5n \u0111\u1ec1 v\u1ec1 gi\u1ea5c ng\u1ee7<\/li><\/ul>\n\n\n\n<p>\u0110\u1ec3 c\u00f3 th\u1ec3 s\u1ed1ng \u0111\u01b0\u1ee3c khi th\u1eadn c\u1ee7a b\u1ea1n \u0111\u00e3 b\u1ecb h\u1ecfng, b\u1ea1n s\u1ebd c\u1ea7n b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Chu\u1ea9n b\u1ecb l\u1ecdc m\u00e1u: Khi th\u1eadn c\u1ee7a b\u1ea1n b\u1ecb suy n\u1eb7ng, l\u1ecdc m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m s\u1ea1ch m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh thay cho th\u1eadn. C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 kh\u00e1c nhau c\u1ea7n xem x\u00e9t, bao g\u1ed3m lo\u1ea1i l\u1ecdc m\u00e1u, c\u00e1ch l\u00ean l\u1ecbch \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u00fang s\u1ebd \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ea1n. <\/li><li>Chu\u1ea9n b\u1ecb cho vi\u1ec7c c\u1ea5y gh\u00e9p: Gh\u00e9p th\u1eadn l\u00e0 m\u1ed9t cu\u1ed9c ph\u1eabu thu\u1eadt thay th\u1ebf qu\u1ea3 th\u1eadn b\u1ecb h\u1ecfng c\u1ee7a b\u1ea1n b\u1eb1ng m\u1ed9t qu\u1ea3 th\u1eadn kh\u1ecfe m\u1ea1nh t\u1eeb c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi kh\u00e1c. B\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn n\u1ebfu b\u1ea1n c\u00f3 th\u1ec3 t\u00ecm \u0111\u01b0\u1ee3c ng\u01b0\u1eddi hi\u1ebfn th\u1eadn c\u00f2n s\u1ed1ng. <\/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\/2022\/02\/Cac-giai-doan-suy-than-3.jpg\" alt=\"c\u00e1c giai \u0111o\u1ea1n suy th\u1eadn\" class=\"wp-image-44714\"\/><figcaption>C\u00e1c giai \u0111o\u1ea1n suy th\u1eadn: d\u1ea5u hi\u1ec7u v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/figcaption><\/figure>\n\n\n\n<p>Suy th\u1eadn g\u1ed3m 5 giai \u0111o\u1ea1n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn nh\u01b0 th\u1ebf n\u00e0o, ch\u1ee7 y\u1ebfu l\u00e0 d\u1ef1a v\u00e0o \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn eGFR. B\u1ec7nh th\u1eadn c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n theo th\u1eddi gian. \u1ede m\u1ed7i c\u00e1c giai \u0111o\u1ea1n suy th\u1eadn, m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 l\u00e0m gi\u1ea3m s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1eadn v\u00e0 gi\u1eef cho th\u1eadn c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh ho\u1ea1t \u0111\u1ed9ng c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t. <\/p>\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, 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><\/p>\n\n\n\n<p><strong><em>Ngu\u1ed3n: kidneyfund.org<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c giai \u0111o\u1ea1n suy th\u1eadn \u0111\u1ec1u c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh cho t\u1eebng giai \u0111o\u1ea1n. V\u00ec v\u1eady vi\u1ec7c nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c b\u1ea1n \u0111ang \u1edf giai \u0111o\u1ea1n m\u1ea5y c\u1ee7a suy th\u1eadn \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng kh\u00f4ng k\u00e9m. H\u00e3y c\u00f9ng Docosan t\u00ecm hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a c\u0103n b\u1ec7nh [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":93179,"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-104545","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\/2022\/02\/Cac-giai-doan-suy-than-2-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/Cac-giai-doan-suy-than-2-600x533.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\/104545","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=104545"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104545\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/93179"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104545"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104545"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104545"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}