{"id":22575,"date":"2023-04-17T07:57:27","date_gmt":"2023-04-17T00:57:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22575"},"modified":"2023-04-17T10:58:17","modified_gmt":"2023-04-17T03:58:17","slug":"roi-loan-lipid-mau-o-benh-nhan-dai-thao-duong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/roi-loan-lipid-mau-o-benh-nhan-dai-thao-duong\/","title":{"rendered":"R\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng"},"content":{"rendered":"<p><strong>R\u1ed1i lo\u1ea1n lipid m\u00e1u l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh c\u1ee7a b\u1ec7nh tim m\u1ea1ch trong \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1eb7c tr\u01b0ng c\u1ee7a r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft t\u01b0\u01a1ng cao, n\u1ed3ng \u0111\u1ed9 HDL-C th\u1ea5p v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 LDL-C.<\/strong><\/p>\n<h2><strong>1.\u0110\u1eb7c \u0111i\u1ec3m r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/h2>\n<ul>\n<li>R\u1ed1i lo\u1ea1n lipid m\u00e1u l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh c\u1ee7a b\u1ec7nh tim m\u1ea1ch trong \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1eb7c tr\u01b0ng c\u1ee7a r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft t\u01b0\u01a1ng cao, n\u1ed3ng \u0111\u1ed9 HDL-C th\u1ea5p v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 LDL-C.<\/li>\n<li>Nh\u1eefng r\u1ed1i lo\u1ea1n lipid li\u00ean quan \u0111\u1ebfn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng do nguy\u00ean nh\u00e2n t\u0103ng l\u01b0\u1ee3ng acid b\u00e9o t\u1ef1 do trong m\u00e1u, th\u1ee9 ph\u00e1t do t\u00ecnh tr\u1ea1ng kh\u00e1ng insulin.<\/li>\n<li>T\u00ecnh tr\u1ea1ng t\u0103ng triglyceride, k\u1ebft h\u1ee3p v\u1edbi t\u0103ng cholesterol LDL-C v\u00e0 gi\u1ea3m n\u1ed3ng \u0111\u1ed9 HDL-C, l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u x\u01a1 v\u1eefa trong b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 t\u00ecnh tr\u1ea1ng kh\u00e1ng insulin. Tuy nhi\u00ean, m\u1ed1i li\u00ean quan gi\u1eefa t\u0103ng triglyceride m\u00e1u v\u00e0 nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch kh\u00f4ng m\u1ea1nh b\u1eb1ng m\u1ed1i li\u00ean quan v\u1edbi m\u1ee9c LDL-C.<\/li>\n<li>Ngo\u00e0i ra, t\u0103ng triglyceride m\u00e1u n\u1eb7ng (l\u1edbn h\u01a1n ho\u1eb7c b\u1eb1ng 5,65 mmol\/L) l\u00e0m t\u0103ng nguy c\u01a1 vi\u00eam t\u1ee5y c\u1ea5p.<\/li>\n<\/ul>\n<h2><strong>2.Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/h2>\n<ul>\n<li>C\u00e1c nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u0169ng gi\u1ed1ng nh\u01b0 c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 tim m\u1ea1ch cao.<\/li>\n<li>Tr\u01b0\u1edbc h\u1ebft c\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng nh\u1eb1m x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n l\u00e0m t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n lipid m\u00e1u th\u1ee9 ph\u00e1t.<\/li>\n<li>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, bao g\u1ed3m t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t v\u00e0 \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0 n\u1ec1n t\u1ea3ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n gi\u1ea3m calo c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00ean b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng b\u1ecb th\u1eeba c\u00e2n\/b\u00e9o ph\u00ec do gi\u00fap h\u1ed7 tr\u1ee3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u1ea3 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 r\u1ed1i lo\u1ea1n lipid m\u00e1u. Tuy nhi\u00ean, nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 v\u1eabn c\u00f3 t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n lipid m\u00e1u b\u1ea5t th\u01b0\u1eddng m\u1eb7c d\u00f9 \u0111\u00e3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n<\/ul>\n<h2><strong>3.\u0110i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid kh\u00f4ng d\u00f9ng thu\u1ed1c m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/h2>\n<h3><strong>3.1. T\u00e1c d\u1ee5ng c\u1ee7a ch\u1ebf \u0111\u1ed9 \u0103n<\/strong><\/h3>\n<ul>\n<li>M\u1eb7c d\u00f9 gi\u00e1 tr\u1ecb c\u1ee7a vi\u1ec7c h\u1ea1n ch\u1ebf calo v\u00e0 gi\u1ea3m c\u00e2n \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi th\u1eeba c\u00e2n\/b\u00e9o ph\u00ec m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 kh\u00f4ng th\u1ec3 ch\u1ed1i c\u00e3i nh\u01b0ng hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn n\u00e0o v\u1ec1 th\u00e0nh ph\u1ea7n c\u1ee7a ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang l\u00fd t\u01b0\u1edfng cho nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y.<\/li>\n<li>Khuy\u1ebfn c\u00e1o v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 ho\u00e1 d\u1ef1a tr\u00ean s\u1ef1 b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u00e1c th\u00e0nh ph\u1ea7n lipid m\u00e1u v\u00e0 ph\u1ea3n \u1ee9ng ti\u1ec1m \u1ea9n c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 s\u1edf th\u00edch \u0103n u\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.N\u1ed3ng \u0111\u1ed9 c\u00e1c lo\u1ea1i lipid huy\u1ebft t\u01b0\u01a1ng thay \u0111\u1ed5i \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n ph\u1ee5 thu\u1ed9c v\u00e0o y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 ki\u1ec3u h\u00ecnh lipid c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n, nh\u01b0ng nh\u00ecn chung, vi\u1ec7c gi\u1ea3m l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng gi\u00fap gi\u1ea3m LDL-C v\u00e0 gi\u1ea3m c\u1ea3 HDL-C.<\/li>\n<li>T\u0103ng l\u01b0\u1ee3ng acid b\u00e9o no l\u00e0m t\u0103ng LDL-C nh\u01b0ng \u00edt c\u00f3 t\u00e1c d\u1ee5ng l\u00ean HDL-C v\u00e0 ApoA-I .Ch\u1ea5t b\u00e9o lo\u1ea1i omega-3 gi\u00fap g\u00f3p ph\u1ea7n l\u00e0m gi\u1ea3m triglyceride \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 qua m\u1ed9t s\u1ed1 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng. Tuy nhi\u00ean, omega-3 kh\u00f4ng gi\u00fap thay \u0111\u1ed5i ho\u1eb7c ch\u1ec9 gia t\u0103ng khi\u00eam t\u1ed1n v\u1ec1 n\u1ed3ng \u0111\u1ed9 HDL-C trong huy\u1ebft t\u01b0\u01a1ng.Hi\u1ec7n t\u1ea1i kh\u00f4ng c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u t\u1eadp trung v\u00e0o t\u00e1c \u0111\u1ed9ng c\u1ee7a protein trong ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u1ebfn th\u00e0nh ph\u1ea7n lipid m\u00e1u.<\/li>\n<\/ul>\n<p>Khuy\u1ebfn c\u00e1o v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a ATP III \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 m\u1ee9c LDL-C cao nh\u01b0 sau:<\/p>\n<ul>\n<li>H\u1ea1n ch\u1ebf l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o no b\u00e3o h\u00f2a &lt; 7% t\u1ed5ng l\u01b0\u1ee3ng calo.<\/li>\n<li>T\u1ed5ng l\u01b0\u1ee3ng cholesterol &lt; 200 mg m\u1ed7i ng\u00e0y.L\u01b0\u1ee3ng ch\u1ea5t b\u00e9o kh\u00f4ng b\u00e3o h\u00f2a chu\u1ed7i chi\u1ebfm 10% t\u1ed5ng l\u01b0\u1ee3ng calo, l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o kh\u00f4ng b\u00e3o h\u00f2a \u0111\u01a1n l\u00ean \u0111\u1ebfn 20%. L\u01b0\u1ee3ng protein l\u00ean t\u1edbi 20% t\u1ed5ng l\u01b0\u1ee3ng calo.<\/li>\n<li>N\u1ebfu t\u0103ng triglyceride m\u00e1u n\u1eb7ng, b\u1ec7nh nh\u00e2n n\u00ean b\u1eaft \u0111\u1ea7u v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n kh\u00f4ng c\u00f3 ch\u1ea5t b\u00e9o cho \u0111\u1ebfn khi m\u1ee9c triglyceride trong huy\u1ebft t\u01b0\u01a1ng &lt; 11,3 mmol\/L, sau \u0111\u00f3 b\u1eaft \u0111\u1ea7u ch\u1ebf \u0111\u1ed9 \u0103n duy tr\u00ec v\u1edbi t\u1ed5ng l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o &lt; 10% t\u1ed5ng l\u01b0\u1ee3ng calo.<\/li>\n<\/ul>\n<h3>3.2. T\u00e1c d\u1ee5ng c\u1ee7a vi\u1ec7c t\u1eadp th\u1ec3 d\u1ee5c<\/h3>\n<ul>\n<li>Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t t\u0103ng l\u00ean gi\u00fap duy tr\u00ec vi\u1ec7c gi\u1ea3m c\u00e2n \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n h\u1ea1n ch\u1ebf calo.<\/li>\n<li>T\u1eadp th\u1ec3 d\u1ee5c gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng \u0111\u1ec1 kh\u00e1ng insulin (\u0111\u1ed9c l\u1eadp v\u1edbi t\u00e1c d\u1ee5ng gi\u1ea3m c\u00e2n) v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 HDL-C, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 m\u1ee9c HDL-C c\u01a1 b\u1ea3n cao (&gt;1,55 mmol\/L).<\/li>\n<li>T\u1eadp aerobic ho\u1eb7c ch\u01a1i m\u00f4n th\u1ec3 thao \u0111\u1ed1i kh\u00e1ng \u0111\u01a1n \u0111\u1ed9c gi\u00fap ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2. Nh\u01b0ng nh\u1eefng c\u1ea3i thi\u1ec7n l\u00e0 r\u00f5 r\u1ec7t nh\u1ea5t khi ph\u1ed1i h\u1ee3p c\u1ea3 hai h\u00ecnh th\u1ee9c t\u1eadp luy\u1ec7n n\u00e0y.<\/li>\n<\/ul>\n<h3>3.3. L\u1ef1a ch\u1ecdn thu\u1ed1c trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h3>\n<p>C\u00f3 hai ph\u01b0\u01a1ng th\u1ee9c ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u:<\/p>\n<ul>\n<li>\u01afu ti\u00ean \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee9c LDL-C m\u1ee5c ti\u00eau, v\u00ec m\u1ee9c LDL-C gi\u1ea3m \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch. Do \u0111\u00f3, statin s\u1ebd \u0111\u01b0\u1ee3c \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn.<\/li>\n<li>\u01afu ti\u00ean \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid lo\u1ea1i chi\u1ebfm \u01b0u th\u1ebf: t\u0103ng trigyceride, t\u0103ng LDLC, hay h\u1ea1 HDL-C?<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea5t th\u01b0\u1eddng lipid chi\u1ebfm \u01b0u th\u1ebf l\u00e0 t\u0103ng triglyceride m\u00e1u, v\u1edbi n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft thanh tr\u00ean 5,65 mmol\/L, th\u00ec c\u1ea7n \u01b0u ti\u00ean \u0111i\u1ec1u tr\u1ecb t\u0103ng triglycerid \u0111\u1ec3 tr\u00e1nh nguy c\u01a1 vi\u00eam tu\u1ef5 c\u1ea5p. Khi \u0111\u00f3, thu\u1ed1c nh\u00f3m fibrates n\u00ean \u0111\u01b0\u1ee3c \u01b0u ti\u00ean l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u.<\/p>\n<p>N\u00f3i chung, n\u1ebfu n\u1ed3ng \u0111\u1ed9 triglyceride trong huy\u1ebft thanh th\u1ea5p h\u01a1n 5,65 mmol\/L v\u00e0 n\u1ed3ng \u0111\u1ed9 LDL-C tr\u00ean 1,8 mmol\/L, th\u00ec statin s\u1ebd l\u00e0 thu\u1ed1c \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn.<\/p>\n<ul>\n<li>Statin \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o nh\u01b0 l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 n\u1ed3ng \u0111\u1ed9 LDL -C cao. C\u1ea7n s\u1eed d\u1ee5ng lo\u1ea1i statin c\u01b0\u1eddng \u0111\u1ed9 m\u1ea1nh \u0111\u1ec3 h\u1ea1 LDL-C tr\u01b0\u1edbc khi d\u00f9ng bi\u1ec7n ph\u00e1p ph\u1ed1i h\u1ee3p thu\u1ed1c.<\/li>\n<li>\u1ede b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 nguy c\u01a1 tim m\u1ea1ch cao \u0111\u00e3 s\u1eed d\u1ee5ng t\u1ed1i \u0111a li\u1ec1u thu\u1ed1c nh\u00f3m statin m\u00e0 n\u1ed3ng \u0111\u1ed9 LDL-C ch\u01b0a \u0111\u1ea1t m\u1ee5c ti\u00eau n\u00ean k\u1ebft h\u1ee3p th\u00eam v\u1edbi ezetimibe. C\u00e1c nh\u00f3m thu\u1ed1c ph\u1ed1i h\u1ee3p kh\u00e1c c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc h\u00e0ng th\u1ee9 hai l\u00e0 fibrate,niacin v\u00e0 thu\u1ed1c g\u1eafn acid m\u1eadt.<\/li>\n<li>Vi\u1ec7c b\u1ed5 sung thu\u1ed1c g\u1eafn acid m\u1eadt ch\u1ec9 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn thay th\u1ebf th\u1ee9 y\u1ebfu n\u1ebfu n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft thanh c\u1ee7a b\u1ec7nh nh\u00e2n kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 2,26mmol\/L, v\u00ec lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng t\u0103ng triglyceride m\u00e1u.<\/li>\n<li>Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1ee3c v\u1edbi statin c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf PCSK9.<\/li>\n<li>Kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng statin \u1edf ph\u1ee5 n\u1eef mong mu\u1ed1n mang thai ho\u1eb7c kh\u00f4ng s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai, thay v\u00e0o \u0111\u00f3 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c nh\u00f3m g\u1eafn acid m\u1eadt, t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n cho ph\u1ee5 n\u1eef mang thai<\/li>\n<\/ul>\n<h3>3.4. C\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h3>\n<h4>3.4.1. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1<\/h4>\n<ul>\n<li>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 c\u00f3 li\u00ean quan \u0111\u1ebfn nguy c\u01a1 tim m\u1ea1ch cao, \u0111\u1eb7c bi\u1ec7t tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n k\u00e8m theo microalbumin ni\u1ec7u v\u00e0 b\u1ec7nh th\u1eadn. C\u00e1c b\u1eb1ng ch\u1ee9ng c\u0169ng cho r\u1eb1ng vi\u1ec7c t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft s\u1ebd l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<li>Statin \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o d\u00f9ng tr\u00ean t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 n\u1eb1m trong nh\u00f3m nguy c\u01a1 tim m\u1ea1ch cao ho\u1eb7c r\u1ea5t cao.<\/li>\n<li>C\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1, \u2264 30 tu\u1ed5i c\u00f3 b\u1eb1ng ch\u1ee9ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch v\u00e0\/ho\u1eb7c LDL-C &gt; 2,5 mmol\/L, c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb h\u1ea1 lipid m\u00e1u (ngo\u1ea1i tr\u1eeb b\u1ec7nh nh\u00e2n n\u1eef \u0111ang c\u00f3 d\u1ef1 \u0111\u1ecbnh\/\u0111ang mang thai).<\/li>\n<\/ul>\n<h4>3.4.2. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2<\/h4>\n<ul>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u01b0\u1eddng c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u00e1c th\u00e0nh ph\u1ea7n lipid v\u00e0 lipoprotein m\u00e1u s\u1ebd li\u00ean quan \u0111\u1ebfn m\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a. Trong \u0111\u00f3, vi\u1ec7c t\u0103ng cao n\u1ed3ng \u0111\u1ed9 LDL-C kh\u1edfi \u0111\u1ed9ng m\u1ed9t chu\u1ed7i c\u00e1c ph\u1ea3n \u1ee9ng k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 thu\u1ed9c nh\u00f3m c\u00f3 nguy c\u01a1 tim m\u1ea1ch r\u1ea5t cao, m\u1ee5c ti\u00eau gi\u1ea3m LDL-C \u2265 50% so v\u1edbi m\u1ee9c n\u1ec1n (khi b\u1ec7nh nh\u00e2n ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecbb\u1eb1ng b\u1ea5t k\u1ef3 thu\u1ed1c h\u1ea1 lipid m\u00e1u n\u00e0o) v\u00e0 \u0111\u00edch LDL-C &lt; 1,4 mmol\/L (&lt; 55 mg\/dL).<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 thu\u1ed9c nh\u00f3m c\u00f3 nguy c\u01a1 tim m\u1ea1ch cao, m\u1ee5c ti\u00eau gi\u1ea3m LDL-C \u2265 50% so v\u1edbi m\u1ee9c n\u1ec1n (khi b\u1ec7nh nh\u00e2n ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng b\u1ea5t k\u1ef3 thu\u1ed1c h\u1ea1 lipid m\u00e1u n\u00e0o) v\u00e0 \u0111\u00edch LDL-C &lt; 1,8 mmol\/L.<\/li>\n<li>B\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 thu\u1ed9c nh\u00f3m c\u00f3 nguy c\u01a1 tim m\u1ea1ch trung b\u00ecnh, m\u1ee5c ti\u00eau LDL- C c\u1ea7n \u0111\u1ea1t &lt; 2,6 mmol\/L.<\/li>\n<\/ul>\n<p>Statin c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc d\u00f9ng \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 30 tu\u1ed5i c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch v\u00e0\/ho\u1eb7c LDL-C &gt; 2,5 mmol\/L (ngo\u1ea1i tr\u1eeb b\u1ec7nh nh\u00e2n n\u1eef c\u00f3 \u00fd \u0111\u1ecbnh mang thai).<\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u1ed1i lo\u1ea1n lipid m\u00e1u l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh c\u1ee7a b\u1ec7nh tim m\u1ea1ch trong \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1eb7c tr\u01b0ng c\u1ee7a r\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft t\u01b0\u01a1ng cao, n\u1ed3ng \u0111\u1ed9 HDL-C th\u1ea5p v\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 LDL-C. 1.\u0110\u1eb7c \u0111i\u1ec3m [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":22580,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>R\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng - Vinmec<\/title>\n<meta name=\"description\" content=\"R\u1ed1i lo\u1ea1n lipid m\u00e1u \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u01b0\u1eddng g\u1eb7p trong th\u1ef1c h\u00e0nh. 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