{"id":23817,"date":"2023-04-18T12:10:32","date_gmt":"2023-04-18T05:10:32","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=23817"},"modified":"2023-04-18T13:00:12","modified_gmt":"2023-04-18T06:00:12","slug":"soi-duong-mat-trong-gan-nguyen-nhan-trieu-chung-va-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/soi-duong-mat-trong-gan-nguyen-nhan-trieu-chung-va-chan-doan\/","title":{"rendered":"S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 c\u00e1c t\u1ea1p ch\u1ea5t trong \u0111\u01b0\u1eddng m\u1eadt b\u00ean trong gan. \u0110\u01b0\u1eddng m\u1eadt trong gan bao g\u1ed3m \u1ed1ng gan ph\u1ea3i, \u1ed1ng gan tr\u00e1i v\u00e0 t\u00fai m\u1eadt. B\u1ec7nh l\u00fd s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u1ea5y s\u1ebd tr\u00ecnh b\u00e0y v\u1ec1 nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan.<\/strong><\/p>\n<figure id=\"attachment_23908\" aria-describedby=\"caption-attachment-23908\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-23908 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1368898038-612x612-1-300x175.jpg\" alt=\"S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe\" width=\"300\" height=\"175\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1368898038-612x612-1-300x175.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1368898038-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-23908\" class=\"wp-caption-text\">S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe<\/figcaption><\/figure>\n<h2>1. Nguy\u00ean nh\u00e2n c\u1ee7a s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan<\/h2>\n<p>S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh khi c\u00e1c ch\u1ea5t b\u00e0i ti\u1ebft trong m\u1eadt, bao g\u1ed3m cholesterol, bilirubin v\u00e0 mu\u1ed1i m\u1eadt, t\u1eadp trung l\u1ea1i v\u00e0 h\u00ecnh th\u00e0nh th\u00e0nh c\u00e1c tinh th\u1ec3. C\u00e1c tinh th\u1ec3 n\u00e0y c\u00f3 th\u1ec3 nh\u1ecf v\u00e0 kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng ho\u1eb7c l\u1edbn h\u01a1n, g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au v\u00e0 kh\u00f3 ch\u1ecbu.<\/p>\n<p>C\u00e1c nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 g\u00e2y ra s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan bao g\u1ed3m:<br \/>\n&#8211; Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng \u0111\u1ee7 c\u00e2n \u0111\u1ed1i ho\u1eb7c thi\u1ebfu ch\u1ea5t x\u01a1, protein, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ti\u00eau h\u00f3a v\u00e0 th\u1ea3i \u0111\u1ed9c c\u1ee7a gan, d\u1eabn \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 c\u00e1c t\u1ea1p ch\u1ea5t trong \u0111\u01b0\u1eddng m\u1eadt.<br \/>\n&#8211; Vi\u00eam gan, x\u01a1 gan, ung th\u01b0 gan, vi\u00eam lo\u00e9t \u0111\u01b0\u1eddng m\u1eadt v\u00e0 suy gan c\u00f3 th\u1ec3 g\u00e2y ra s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan.<br \/>\n&#8211; S\u1eed d\u1ee5ng l\u00e2u d\u00e0i m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u01b0 kh\u00e1ng sinh, hormone, ch\u1ea5t ch\u1ed1ng co th\u1eaft, ch\u1ea5t ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u00e0 thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 th\u1ec3 g\u00e2y ra s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan.<br \/>\n&#8211; Ng\u01b0\u1eddi b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 nguy c\u01a1 cao b\u1ecb s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan do t\u00ecnh tr\u1ea1ng vi\u00eam lo\u00e9t \u0111\u01b0\u1eddng m\u1eadt v\u00e0 s\u1ef1 t\u00edch t\u1ee5 cholesterol trong m\u1eadt.<br \/>\n&#8211; T\u0103ng c\u00e2n v\u00e0 b\u00e9o ph\u00ec l\u00e0m t\u0103ng nguy c\u01a1 s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan do s\u1ef1 t\u00edch t\u1ee5 cholesterol v\u00e0 c\u00e1c t\u1ea1p ch\u1ea5t kh\u00e1c trong m\u1eadt.<br \/>\n&#8211; T\u1eeb 60 tu\u1ed5i tr\u1edf l\u00ean, nguy c\u01a1 s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan t\u0103ng l\u00ean do qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a v\u00e0 gi\u1ea3m ch\u1ee9c n\u0103ng gan.<br \/>\n&#8211; Di truy\u1ec1n c\u0169ng l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng g\u00e2y ra s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan.<\/p>\n<h2>2. Tri\u1ec7u ch\u1ee9ng<\/h2>\n<p>S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn khi c\u00e1c tinh th\u1ec3 s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt tr\u1edf n\u00ean l\u1edbn v\u00e0 g\u00e2y ra ngh\u1ebdn ho\u1eb7c vi\u00eam. T\u00f9y thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng v\u00e0 v\u1ecb tr\u00ed c\u1ee7a s\u1ecfi, tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>1. \u0110au th\u1eaft b\u1ee5ng: \u0110au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf v\u00f9ng b\u1ee5ng ph\u00eda tr\u00ean c\u00f9ng b\u00ean ph\u1ea3i. \u0110au th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb v\u00e0i ph\u00fat \u0111\u1ebfn v\u00e0i gi\u1edd v\u00e0 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau khi \u0103n nh\u1eefng m\u00f3n \u0103n nhi\u1ec1u ch\u1ea5t b\u00e9o ho\u1eb7c khi v\u1eadn \u0111\u1ed9ng.<\/li>\n<li>2. Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n: Tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n khi s\u1ecfi l\u1edbn trong \u0111\u01b0\u1eddng m\u1eadt g\u00e2y ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt v\u00e0 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ti\u00eau ho\u00e1 th\u1ee9c \u0103n.<\/li>\n<li>3. Kh\u00f3 ch\u1ecbu v\u00e0 \u0111\u1ea7y h\u01a1i: C\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu v\u00e0 \u0111\u1ea7y h\u01a1i c\u0169ng c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan.<\/li>\n<li>4. Thay \u0111\u1ed5i m\u00e0u s\u1eafc c\u1ee7a ph\u00e2n v\u00e0 m\u00e0u da: N\u1ebfu s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt \u0111\u00e3 g\u00e2y ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 thay \u0111\u1ed5i m\u00e0u s\u1eafc c\u1ee7a ph\u00e2n t\u1eeb m\u00e0u n\u00e2u sang m\u00e0u x\u00e1m ho\u1eb7c tr\u1eafng. M\u00e0u da v\u00e0 ni\u00eam m\u1ea1c c\u0169ng c\u00f3 th\u1ec3 b\u1ecb thay \u0111\u1ed5i, tr\u1edf n\u00ean v\u00e0ng do s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a bilirubin trong c\u01a1 th\u1ec3.<\/li>\n<li>5. S\u1ed1t v\u00e0 vi\u00eam \u0111\u01b0\u1eddng m\u1eadt: N\u1ebfu s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt g\u00e2y nhi\u1ec5m tr\u00f9ng ho\u1eb7c vi\u00eam \u0111\u01b0\u1eddng m\u1eadt, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p s\u1ed1t, \u0111au v\u00e0 s\u01b0ng \u1edf v\u00f9ng b\u1ee5ng ph\u00eda tr\u00ean c\u00f9ng b\u00ean ph\u1ea3i.<\/li>\n<\/ul>\n<p>Ngo\u00e0i nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111\u00e3 n\u00eau tr\u00ean, s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f2n c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00e1c, bao g\u1ed3m:<\/p>\n<ul>\n<li>1. \u0110au l\u01b0ng: S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y \u0111au l\u01b0ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf v\u00f9ng l\u01b0ng g\u1ea7n th\u1eaft l\u01b0ng.<\/li>\n<li>2. T\u1ee9c ng\u1ef1c: N\u1ebfu s\u1ecfi trong \u0111\u01b0\u1eddng m\u1eadt g\u00e2y ra vi\u00eam ho\u1eb7c ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra c\u1ea3m gi\u00e1c t\u1ee9c ng\u1ef1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 sau khi \u0103n.<\/li>\n<li>3. S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y ra s\u01b0ng \u1edf v\u00f9ng b\u1ee5ng ph\u00eda tr\u00ean c\u00f9ng b\u00ean ph\u1ea3i, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt.<\/li>\n<li>4. Kh\u00f3 th\u1edf: S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y ra \u00e1p l\u1ef1c l\u00ean ph\u1ed5i v\u00e0 l\u00e0m cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 th\u1edf.<\/li>\n<li>5. Gi\u1ea3m c\u00e2n v\u00e0 m\u1ea5t c\u1ea3m gi\u00e1c \u0111\u00f3i: N\u1ebfu s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan g\u00e2y ra ngh\u1ebdn \u0111\u01b0\u1eddng m\u1eadt ho\u1eb7c l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ti\u00eau ho\u00e1 th\u1ee9c \u0103n, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m c\u00e2n v\u00e0 m\u1ea5t c\u1ea3m gi\u00e1c \u0111\u00f3i.<\/li>\n<\/ul>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan<\/h2>\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan, b\u00e1c s\u0129 th\u01b0\u1eddng s\u1ebd th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m v\u00e0 quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n nh\u01b0 sau:<\/p>\n<ul>\n<li>1. Ki\u1ec3m tra l\u00e2m s\u00e0ng: B\u00e1c s\u0129 s\u1ebd h\u1ecfi v\u1ec1 ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh nh\u00e2n \u0111ang g\u1eb7p ph\u1ea3i, c\u0169ng nh\u01b0 ki\u1ec3m tra kh\u00e1m v\u00f9ng b\u1ee5ng c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 xem c\u00f3 b\u1ea5t th\u01b0\u1eddng n\u00e0o kh\u00f4ng.<\/li>\n<li>2. X\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u: X\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn c\u1ee7a b\u1ec7nh nh\u00e2n, c\u0169ng nh\u01b0 ph\u00e1t hi\u1ec7n m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec5m tr\u00f9ng.<\/li>\n<li>3. Si\u00eau \u00e2m: Si\u00eau \u00e2m b\u1ee5ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n th\u00f4ng d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan. Si\u00eau \u00e2m c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng v\u00e0 v\u1ecb tr\u00ed c\u1ee7a s\u1ecfi.<\/li>\n<li>4. Cholangiography: Cholangiography l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p \u1ea3nh ti\u00ean ti\u1ebfn h\u01a1n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng m\u1ed9t ch\u1ea5t t\u1ea1o h\u00ecnh \u1ea3nh \u0111\u1ec3 hi\u1ec3n th\u1ecb h\u00ecnh \u1ea3nh chi ti\u1ebft c\u1ee7a \u0111\u01b0\u1eddng m\u1eadt v\u00e0 gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c v\u1ecb tr\u00ed v\u00e0 s\u1ed1 l\u01b0\u1ee3ng c\u1ee7a s\u1ecfi.<\/li>\n<li>5. CT ho\u1eb7c MRI: CT ho\u1eb7c MRI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 k\u00edch th\u01b0\u1edbc c\u1ee7a s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan.<\/li>\n<\/ul>\n<p>T\u00f3m l\u1ea1i, ki\u1ebfn th\u1ee9c v\u1ec1 tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh, n\u00e2ng cao ki\u1ebfn th\u1ee9c s\u1ee9c kh\u1ecfe, h\u1ed7 tr\u1ee3 cho c\u00e1c b\u00e1c s\u0129 v\u00e0 t\u0103ng c\u01b0\u1eddng ph\u00f2ng ng\u1eeba b\u1ec7nh l\u00fd.<\/p>\n<p><iframe loading=\"lazy\" title=\"C\u1eaft t\u00fai m\u1eadt c\u00f3 \u1ea3nh h\u01b0\u1edfng s\u1ee9c kh\u1ecfe kh\u00f4ng? 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B\u1ec7nh l\u00fd s\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/title>\n<meta name=\"description\" content=\"S\u1ecfi \u0111\u01b0\u1eddng m\u1eadt trong gan l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 c\u00e1c t\u1ea1p ch\u1ea5t trong \u0111\u01b0\u1eddng m\u1eadt. 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