{"id":21248,"date":"2023-04-16T11:44:59","date_gmt":"2023-04-16T04:44:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21248"},"modified":"2023-04-17T12:55:36","modified_gmt":"2023-04-17T05:55:36","slug":"cac-benh-thieu-dinh-duong-thuong-gap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/cac-benh-thieu-dinh-duong-thuong-gap\/","title":{"rendered":"C\u00e1c b\u1ec7nh thi\u1ebfu dinh d\u01b0\u1ee1ng th\u01b0\u1eddng g\u1eb7p"},"content":{"rendered":"

Thi\u1ebfu dinh d\u01b0\u1ee1ng l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 th\u1ec3 thi\u1ebfu h\u1ee5t c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c c\u01a1 quan b\u00ean trong. \u0110\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong y t\u1ebf to\u00e0n c\u1ea7u, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf c\u00e1c qu\u1ed1c gia \u0111ang ph\u00e1t tri\u1ec3n. V\u00ec v\u1eady, vi\u1ec7c duy tr\u00ec m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 c\u00e2n b\u1eb1ng l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1ee9c kh\u1ecfe v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a con ng\u01b0\u1eddi.<\/strong><\/p>\n

1. THI\u1ebeU DINH D\u01af\u1ee0NG PROTEIN-N\u0102NG L\u01af\u1ee2NG<\/strong><\/h2>\n

1.1. Kh\u00e1i ni\u1ec7m<\/strong><\/h3>\n

Thi\u1ebfu dinh d\u01b0\u1ee1ng protein-n\u0103ng l\u01b0\u1ee3ng (Protein-Energy Malnutrition PEM) c\u00f2n g\u1ecdi l\u00e0 thi\u1ebfu dinh d\u01b0\u1ee1ng protein-calo (PCM), l\u00e0 m\u1ed9t lo\u1ea1i thi\u1ebfu dinh d\u01b0\u1ee1ng quan tr\u1ecdng, c\u00f3 \u00fd ngh\u0129a l\u1edbn \u0111\u1ed1i v\u1edbi s\u1ee9c kho\u1ebb c\u1ed9ng \u0111\u1ed3ng. B\u1ec7nh ph\u1ed5 bi\u1ebfn \u1edf tr\u1ebb nh\u1ecf, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 th\u1ea5y \u1edf tu\u1ed5i v\u1ecb th\u00e0nh ni\u00ean v\u00e0 c\u1ea3 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, nh\u1ea5t l\u00e0 ph\u1ee5 n\u1eef tu\u1ed5i sinh \u0111\u1ebb.<\/p>\n

1.2. C\u00e1c th\u1ec3 thi\u1ebfu dinh d\u01b0\u1ee1ng protein-n\u0103ng l\u01b0\u1ee3ng<\/strong><\/h3>\n

Ng\u01b0\u1eddi ta chia thi\u1ebfu dinh d\u01b0\u1ee1ng tr\u1ebb em ra 3 th\u1ec3:<\/strong>
\n– Th\u1ec3 nh\u1eb9 c\u00e2n hay c\u00e2n n\u1eb7ng theo tu\u1ed5i th\u1ea5p (underweight)
\n– Th\u1ec3 th\u1ea5p c\u00f2i (Stunting)
\n– Th\u1ec3 g\u1ea7y c\u00f2m (Wasting)<\/p>\n

1.3. Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a tr\u1ebb em (theo UNICEF)<\/strong><\/h3>\n
\"Nguy\u00ean
Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a tr\u1ebb em (theo UNICEF)<\/figcaption><\/figure>\n

2.THI\u1ebeU VITAMIN A V\u00c0 B\u1ec6NH KH\u00d4 M\u1eaeT<\/strong><\/h2>\n

2.1. \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng thi\u1ebfu Vitamin A v\u00e0 b\u1ec7nh kh\u00f4 m\u1eaft.<\/strong><\/h3>\n

\u0110\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng thi\u1ebfu vitamin A, ng\u01b0\u1eddi ta th\u01b0\u1eddng ph\u1ed1i h\u1ee3p c\u00e1c \u0111\u00e1nh gi\u00e1 v\u1ec1 l\u00e2m s\u00e0ng, ho\u00e1 sinh v\u00e0 \u0111i\u1ec1u tra kh\u1ea9u ph\u1ea7n.<\/p>\n

*L\u00e2m s\u00e0ng:<\/strong><\/p>\n

Thi\u1ebfu vitamin A s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n to\u00e0n th\u00e2n. Nh\u01b0ng c\u00e1c bi\u1ec3u hi\u1ec7n \u1edf m\u1eaft v\u1eabn l\u00e0 ti\u00eau bi\u1ec3u v\u00e0 \u0111\u1eb7c hi\u1ec7u h\u01a1n c\u1ea3.
\nThang ph\u00e2n lo\u1ea1i c\u1ee7a T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (1982) v\u1ec1 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh kh\u00f4 m\u1eaft:<\/p>\n\n\n\n\n
\n

Bi\u1ec3u hi\u1ec7n<\/strong><\/p>\n<\/td>\n

\n

K\u00fd hi\u1ec7u<\/strong><\/p>\n<\/td>\n<\/tr>\n

Qu\u00e1ng g\u00e0<\/p>\n

Kh\u00f4 k\u1ebft m\u1ea1c<\/p>\n

V\u1ec7t Bitot<\/p>\n

Kh\u00f4 gi\u00e1c m\u1ea1c<\/p>\n

Lo\u00e9t gi\u00e1c m\u1ea1c\/nh\u0169n gi\u00e1c m\u1ea1c d\u01b0\u1edbi 1\/3 di\u1ec7n t\u00edch<\/p>\n

Lo\u00e9t gi\u00e1c m\u1ea1c\/ nh\u0169n gi\u00e1c m\u1ea1c tr\u00ean 1\/3 di\u1ec7n t\u00edch<\/p>\n

S\u1eb9o gi\u00e1c m\u1ea1c<\/p>\n

T\u1ed5n th\u01b0\u01a1ng \u0111\u00e1y m\u1eaft c\u1ee7a b\u1ec7nh kh\u00f4 m\u1eaft<\/p>\n

 <\/td>\n

\n

XN<\/p>\n

X1A<\/p>\n

X1B<\/p>\n

X2<\/p>\n

X3A<\/p>\n

X3B<\/p>\n

XS<\/p>\n

XF<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*Sinh ho\u00e1:<\/strong><\/p>\n

Ch\u1ec9 c\u00f3 gi\u00e1 tr\u1ecb t\u01b0\u01a1ng \u0111\u1ed1i v\u00ec\u00a0 d\u1ef1 tr\u1eef \u1edf gan kh\u00e1 nhi\u1ec1u, gi\u00fap cho Vitamin A v\u1eabn gi\u1eef \u1edf m\u1ee9c t\u01b0\u01a1ng \u0111\u1ed1i \u1ed5n \u0111\u1ecbnh nh\u1edd\u00a0 c\u01a1 ch\u1ebf \u0111i\u1ec1u ho\u00e0.
\nTheo T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi, \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh kh\u00f4 m\u1eaft c\u1ea7n c\u00f3 c\u00e1c ch\u1ec9 ti\u00eau l\u00e2m s\u00e0ng, ch\u1ec9 ti\u00eau ho\u00e1 sinh gi\u00fap h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n.
\n\u0110i\u1ec1u tra kh\u1ea9u ph\u1ea7n<\/p>\n

Ch\u1ec9 ti\u00eau \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng vitamin A \u1edf tr\u1ebb em<\/p>\n\n\n\n\n\n\n
\n

T\u00ecnh tr\u1ea1ng<\/strong><\/p>\n<\/td>\n

Vitamin A trong kh\u1ea9u ph\u1ea7n (mcg\/ng\u00e0y)<\/strong><\/td>\nVitamin A \u1edf gan (mg\/kg)<\/strong><\/td>\nVitamin A huy\u1ebft thanh (mcg\/100ml)<\/strong><\/td>\n\n

Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng<\/strong><\/p>\n<\/td>\n<\/tr>\n

\u0110\u1ee7<\/td>\nTr\u00ean 400<\/td>\nTr\u00ean 200<\/td>\nTr\u00ean 200<\/td>\nKh\u00f4ng c\u00f3<\/td>\n<\/tr>\n
V\u00f9ng s\u00e1t gi\u1edbi h\u1ea1n<\/td>\n200 – 400<\/td>\n100 – 200<\/td>\n100 – 200<\/td>\nC\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n ch\u1eadm l\u1edbn, \u0103n k\u00e9m ngon, gi\u1ea3m s\u1ee9c \u0111\u1ec1 kh\u00e1ng nhi\u1ec5m khu\u1ea9n<\/td>\n<\/tr>\n
Gi\u1edbi h\u1ea1n \u0111e do\u1ea1 b\u1ec7nh l\u00fd<\/td>\nD\u01b0\u1edbi\u00a0 200<\/td>\nD\u01b0\u1edbi 100<\/td>\nD\u01b0\u1edbi 100<\/td>\nXu\u1ea5t hi\u1ec7n c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng (qu\u00e1ng g\u00e0, kh\u00f4 gi\u00e1c m\u1ea1c, lo\u00e9t v\u00e0 nh\u0169n gi\u00e1c m\u1ea1c)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

3.THI\u1ebeU M\u00c1U DINH D\u01af\u1ee0NG<\/strong><\/h2>\n

3.1. \u0110\u1ea1i c\u01b0\u01a1ng<\/strong><\/h3>\n

Ng\u01b0\u1ee1ng Hemoglobin ch\u1ec9 \u0111\u1ecbnh thi\u1ebfu m\u00e1u theo t\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi<\/p>\n\n\n\n\n\n\n\n\n
Nh\u00f3m tu\u1ed5i<\/em><\/strong><\/td>\nNg\u01b0\u1ee1ng Hemoglobin (g\/100ml)<\/em><\/strong><\/td>\n<\/tr>\n
Tr\u1ebb em t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 6 tu\u1ed5i<\/td>\n11<\/td>\n<\/tr>\n
Tr\u1ebb em t\u1eeb 6 tu\u1ed5i \u0111\u1ebfn 14 tu\u1ed5i<\/td>\n12<\/td>\n<\/tr>\n
Nam tr\u01b0\u1edfng th\u00e0nh<\/td>\n13<\/td>\n<\/tr>\n
N\u1eef tr\u01b0\u1edfng th\u00e0nh<\/td>\n12<\/td>\n<\/tr>\n
N\u1eef c\u00f3 thai<\/td>\n11<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

3.2. Nguy\u00ean nh\u00e2n thi\u1ebfu m\u00e1u dinh d\u01b0\u1ee1ng<\/strong><\/h3>\n

3.2.1. Nhu c\u1ea7u s\u1eaft:<\/strong><\/p>\n

B\u1ea3ng 3: Nhu c\u1ea7u Fe h\u1ea5p thu h\u1eb1ng ng\u00e0y (mg)<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
Nh\u00f3m tu\u1ed5i<\/em><\/strong><\/td>\nC\u00e2n n\u1eb7ng (kg)<\/em><\/strong><\/td>\nNhu c\u1ea7u<\/em><\/strong><\/td>\n<\/tr>\n
3 th\u00e1ng – 1 n\u0103m<\/td>\n8<\/td>\n0,96<\/td>\n<\/tr>\n
1\u00a0 –\u00a0 2 n\u0103m<\/td>\n11<\/td>\n0,61<\/td>\n<\/tr>\n
2\u00a0 –\u00a0 6<\/td>\n16<\/td>\n0,70<\/td>\n<\/tr>\n
6\u00a0 –\u00a0 12<\/td>\n29<\/td>\n1,17<\/td>\n<\/tr>\n
Nam thi\u1ebfu ni\u00ean 12 – 16<\/td>\n53<\/td>\n1,82<\/td>\n<\/tr>\n
N\u1eef thi\u1ebfu ni\u00ean 12 – 16<\/td>\n51<\/td>\n2,02<\/td>\n<\/tr>\n
Tr\u01b0\u1edfng th\u00e0nh (nam)<\/td>\n65<\/td>\n1,14<\/td>\n<\/tr>\n
Tr\u01b0\u1edfng th\u00e0nh (n\u1eef)<\/p>\n

+ Tu\u1ed5i h\u00e0nh kinh<\/p>\n

+ M\u00e3n kinh<\/p>\n

+ Cho b\u00fa<\/td>\n

<\/td>\n<\/td>\n<\/tr>\n
55<\/td>\n2,38<\/td>\n<\/tr>\n
55<\/td>\n0,96<\/td>\n<\/tr>\n
55<\/td>\n1,31<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

– \u1ede ph\u1ee5 n\u1eef nhu c\u1ea7u khi c\u00f3 thai t\u00f9y t\u00ecnh tr\u1ea1ng s\u1eaft c\u1ee7a c\u01a1 th\u1ec3 tr\u01b0\u1edbc khi c\u00f3 thai.<\/p>\n

3.3.2. Ngu\u1ed3n s\u1eaft trong th\u1ee9c \u0103n<\/strong><\/p>\n

Trong th\u1ee9c \u0103n s\u1eaft \u1edf d\u1ea1ng Hem v\u00e0 kh\u00f4ng \u1edf d\u1ea1ng Hem. Hem l\u00e0 th\u00e0nh ph\u1ea7n c\u1ee7a Hemoglobin v\u00e0 Myoglobin, do \u0111\u00f3 c\u00f3 trong th\u1ecbt, c\u00e1 v\u00e0 m\u00e1u. T\u1ec9 l\u1ec7 h\u1ea5p thu lo\u1ea1i s\u1eaft n\u00e0y cao 20 – 30%. S\u1eaft kh\u00f4ng \u1edf d\u1ea1ng Hem c\u00f3 ch\u1ee7 y\u1ebfu \u1edf ng\u0169 c\u1ed1c, rau, c\u1ee7 v\u00e0 c\u00e1c lo\u1ea1i h\u1ea1t. T\u1ec9 l\u1ec7 h\u1ea5p thu th\u1ea5p h\u01a1n v\u00e0 t\u00f9y theo s\u1ef1 c\u00f3 m\u1eb7t c\u1ee7a c\u00e1c ch\u1ea5t h\u1ed7 tr\u1ee3 hay \u1ee9c ch\u1ebf trong kh\u1ea9u ph\u1ea7n \u0103n.<\/p>\n

C\u00e1c ch\u1ea5t h\u1ed7 tr\u1ee3 h\u1ea5p thu s\u1eaft l\u00e0 vitamin C, c\u00e1c ch\u1ea5t gi\u00e0u protein. C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf h\u1ea5p thu s\u1eaft l\u00e0 c\u00e1c phytat, tanin. Ngo\u00e0i ra t\u00ecnh tr\u1ea1ng s\u1eaft trong c\u01a1 th\u1ec3 c\u0169ng \u1ea3nh h\u01b0\u1edfng t\u1edbi h\u1ea5p thu s\u1eaft.<\/p>\n

3.3. Ch\u1ea9n \u0111o\u00e1n thi\u1ebfu m\u00e1u dinh d\u01b0\u1ee1ng<\/strong><\/h3>\n

C\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n thi\u1ebfu s\u1eaft.<\/p>\n

Khi \u0111i\u1ec1u ki\u1ec7n cho ph\u00e9p c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh c\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y:<\/p>\n

– Ferritin huy\u1ebft thanh: m\u1ee9c ferritin trong huy\u1ebft thanh ph\u1ea3n \u00e1nh d\u1ef1 tr\u1eef s\u1eaft trong c\u01a1 th\u1ec3. \u1ede ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng h\u00e0m l\u01b0\u1ee3ng ferritin trong huy\u1ebft thanh l\u00e0 70mcg\/l \u1edf nam v\u00e0 35 mcg\/l \u1edf n\u1eef. Khi d\u01b0\u1edbi 12 mcg\/l coi l\u00e0 thi\u1ebfu d\u1ef1 tr\u1eef s\u1eaft.<\/p>\n

– M\u1ee9c b\u00e3o h\u00f2a transferin: h\u1ea7u h\u1ebft s\u1eaft trong huy\u1ebft thanh \u0111\u1ec1u g\u1eafn v\u1edbi protein l\u00e0 transferin. Khi d\u1ef1 tr\u1eef s\u1eaft \u0111\u00e3 c\u1ea1n m\u00e0 ti\u1ebfp t\u1ee5c thi\u1ebfu s\u1eaft th\u00ec t\u1ef7 l\u1ec7 transferin b\u00e3o h\u00f2a v\u1edbi s\u1eaft gi\u1ea3m xu\u1ed1ng t\u1eeb 30% xu\u1ed1ng th\u1ea5p h\u01a1n 15%.
\n– Protoporphyrin trong h\u1ed3ng c\u1ea7u: do thi\u1ebfu s\u1eaft, protoporphyrin kh\u00f4ng tham gia t\u1ea1o Hem \u0111\u01b0\u1ee3c n\u00ean h\u00e0m l\u01b0\u1ee3ng protoporphyrin t\u1ef1 do c\u1ee7a h\u1ed3ng c\u1ea7u l\u00ean cao h\u01a1n 70mcg\/l.<\/p>\n

Nh\u01b0 v\u1eady, trong m\u1ed9t nh\u00f3m d\u00e2n c\u01b0 c\u00f3 kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh thi\u1ebfu m\u00e1u cao, \u0111\u1ecbnh l\u01b0\u1ee3ng hemoglobin v\u00e0 hematocrit l\u00e0 x\u00e9t nghi\u1ec7m nh\u1ea1y nh\u1ea5t. Khi s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y kh\u00f4ng nhi\u1ec1u, \u0111\u1ecbnh l\u01b0\u1ee3ng ferrritin c\u00f3 gi\u00e1 tr\u1ecb g\u1ee3i \u00fd h\u01a1n. C\u00e1c x\u00e9t nghi\u1ec7m transferin v\u00e0 protoporferin c\u00f3 gi\u00e1 tr\u1ecb h\u1ed7 tr\u1ee3.<\/p>\n

4. THI\u1ebeU IOD V\u00c0 B\u01af\u1edaU C\u1ed4<\/strong><\/h2>\n

4.1. Nguy\u00ean nh\u00e2n<\/strong><\/h3>\n

Th\u1ee9c \u0103n l\u00e0 ngu\u1ed3n cung c\u1ea5p iod ch\u1ee7 y\u1ebfu. Nguy\u00ean nh\u00e2n quan tr\u1ecdng l\u00e0 thi\u1ebfu iod \u1edf th\u1ef1c ph\u1ea9m trong m\u1ed9t th\u1eddi gian d\u00e0i. D\u00f9ng l\u01b0\u01a1ng th\u1ef1c ph\u1ea9m v\u00e0 c\u00e2y c\u1ecf tr\u1ed3ng tr\u00ean \u0111\u1ea5t thi\u1ebfu iod s\u1ebd d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu iod. Ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa, tr\u1ebb em l\u00e0 \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u00f3 nguy c\u01a1 b\u1ecb thi\u1ebfu iod cao nh\u1ea5t.<\/p>\n

4.2. \u0110\u00e1nh gi\u00e1 c\u00e1c r\u1ed1i lo\u1ea1n do thi\u1ebfu Iod<\/strong><\/h3>\n

\u0110\u00e1nh gi\u00e1 c\u00e1c r\u1ed1i lo\u1ea1n do thi\u1ebfu iod d\u1ef1a v\u00e0o kh\u00e1m ph\u00e1t hi\u1ec7n b\u01b0\u1edbu c\u1ed5. C\u00e1c d\u1ea5u hi\u1ec7u thi\u1ec3u n\u0103ng tuy\u1ebfn gi\u00e1p s\u01a1 sinh g\u1ed3m kh\u00f3 b\u00fa, kh\u00f3 nu\u1ed1t, \u00edt c\u1eed \u0111\u1ed9ng, c\u01a1 nh\u1ebdo, r\u1ed1n l\u1ed3i, th\u00f3p r\u1ed9ng, l\u01b0\u1ee1i d\u00e0y, t\u00f3c m\u1ecdc th\u01b0a. Thi\u1ec3u n\u0103ng tuy\u1ebfn gi\u00e1p \u1edf tr\u1ebb nh\u1ecf bi\u1ec3u hi\u1ec7n tr\u1ebb b\u1ecb ch\u1eadm ph\u00e1t tri\u1ec3n tr\u00ed tu\u1ec7, ch\u1eadm ch\u1ea1p, hay ng\u1ee7 nhi\u1ec1u, hay qu\u00ean, h\u1ecdc k\u00e9m, b\u01b0\u1edbu c\u1ed5, v\u00e0 thi\u1ebfu iod n\u1eb7ng g\u00e2y n\u00ean b\u1ec7nh \u0111\u1ea7n \u0111\u1ed9n \u1edf tr\u1ebb em. N\u1ed3ng \u0111\u1ed9 iod trong n\u01b0\u1edbc ti\u1ec3u ph\u1ea3n \u00e1nh t\u00ecnh tr\u1ea1ng \u0111\u1ee7, thi\u1ebfu, hay th\u1eeba iod c\u1ee7a c\u01a1 th\u1ec3. Khi cung c\u1ea5p m\u1ed9t l\u01b0\u1ee3ng iod t\u1ed1i \u01b0u, \u0111\u1ea7y \u0111\u1ee7 cho c\u01a1 th\u1ec3 th\u00ec n\u1ed3ng \u0111\u1ed9 iod ni\u1ec7u ph\u1ea3i \u0111\u1ea1t t\u1eeb 10 mcg\/dL tr\u1edf l\u00ean.<\/p>\n

4.3. Ph\u00f2ng ch\u1ed1ng c\u00e1c r\u1ed1i lo\u1ea1n do thi\u1ebfu Iod<\/strong><\/h3>\n

C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng c\u00e1c r\u1ed1i lo\u1ea1n do thi\u1ebfu iod bao g\u1ed3m: (1) S\u1eed d\u1ee5ng mu\u1ed1i iod, l\u00e0 bi\u1ec7n ph\u00e1p quan tr\u1ecdng nh\u1ea5t trong ph\u00f2ng ch\u1ed1ng thi\u1ebfu iod hi\u1ec7n nay. Khi s\u1eed d\u1ee5ng c\u1ea7n gi\u1eef mu\u1ed1i iod \u1edf n\u01a1i kh\u00f4 r\u00e1o v\u00ec mu\u1ed1i d\u1ec5 h\u00fat n\u01b0\u1edbc, iod s\u1ebd b\u1ecb m\u1ea5t \u0111i, tr\u00e1nh n\u01a1i n\u00f3ng, \u00e1nh n\u1eafng m\u1eb7t tr\u1eddi, d\u00f9ng xong ph\u1ea3i bu\u1ed9c k\u00edn mi\u1ec7ng t\u00fai ho\u1eb7c \u0111\u1ec3 mu\u1ed1i trong l\u1ecd c\u00f3 n\u1eafp \u0111\u1eady k\u00edn \u0111\u1ec3 tr\u00e1nh iod b\u1ecb bay h\u01a1i. L\u01b0\u1ee3ng iod trong mu\u1ed1i gi\u1ea3m khi n\u1ea5u, do v\u1eady, n\u00ean b\u1ecf mu\u1ed1i iod v\u00e0o th\u1ee9c \u0103n sau khi n\u1ea5u ch\u00edn. (2). Ngo\u00e0i mu\u1ed1i, hi\u1ec7n nay ch\u01b0\u01a1ng tr\u00ecnh c\u00f2n \u00e1p d\u1ee5ng \u0111\u01b0a iod v\u00e0o b\u1ed9t gia v\u1ecb v\u00e0 \u0111ang nghi\u00ean c\u1ee9u \u0111\u01b0a v\u00e0o c\u00e1c th\u1ef1c ph\u1ea9m kh\u00e1c nh\u01b0 b\u00e1nh qui, s\u1eefa, n\u01b0\u1edbc m\u1eafm.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o<\/strong><\/p>\n

    \n
  • Gi\u00e1o tr\u00ecnh Dinh d\u01b0\u1ee1ng – An to\u00e0n th\u1ef1c ph\u1ea9m, nh\u00e0 xu\u1ea5t b\u1ea3n \u0110\u1ea1i h\u1ecdc Hu\u1ebf<\/li>\n
  • Qu\u1ef9 nhi \u0111\u1ed3ng Li\u00ean H\u1ee3p Qu\u1ed1c (UNICEF)<\/li>\n
  • T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO)<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

    Thi\u1ebfu dinh d\u01b0\u1ee1ng l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 th\u1ec3 thi\u1ebfu h\u1ee5t c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c c\u01a1 quan b\u00ean trong. \u0110\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng trong y t\u1ebf to\u00e0n c\u1ea7u, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[26,33],"tags":[3],"yoast_head":"\nC\u00e1c b\u1ec7nh thi\u1ebfu dinh d\u01b0\u1ee1ng th\u01b0\u1eddng g\u1eb7p - Vinmec<\/title>\n<meta name=\"description\" content=\"Thi\u1ebfu dinh d\u01b0\u1ee1ng l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 th\u1ec3 thi\u1ebfu h\u1ee5t c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng c\u1ea7n thi\u1ebft \u0111\u1ec3 duy tr\u00ec s\u1ee9c kh\u1ecfe v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c c\u01a1 quan b\u00ean trong.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1c b\u1ec7nh thi\u1ebfu dinh d\u01b0\u1ee1ng th\u01b0\u1eddng g\u1eb7p - 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