{"id":26068,"date":"2023-04-21T14:11:16","date_gmt":"2023-04-21T07:11:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26068"},"modified":"2023-04-21T18:02:32","modified_gmt":"2023-04-21T11:02:32","slug":"benh-sinh-va-cac-yeu-to-gay-xo-vua-dong-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/benh-sinh-va-cac-yeu-to-gay-xo-vua-dong-mach\/","title":{"rendered":"B\u1ec7nh sinh v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch"},"content":{"rendered":"<p><strong>\u00a0T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi \u0111\u1ecbnh ngh\u0129a: \u201c X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch (XV\u0110M) l\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p c\u00e1c hi\u1ec7n\u00a0 t\u01b0\u1ee3ng thay \u0111\u1ed5i c\u1ea5u tr\u00fac n\u1ed9i m\u1ea1c c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn v\u00e0 v\u1eeba, bao g\u1ed3m s\u1ef1 t\u00edch t\u1ee5 c\u1ee5c b\u1ed9 c\u00e1c ch\u1ea5t lipid, c\u00e1c ph\u1ee9c b\u1ed9 glucid, m\u00e1u v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u1ee7a m\u00e1u, m\u00f4 x\u01a1 v\u00e0 c\u1eb7n l\u1eafng acid, c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y k\u00e8m theo s\u1ef1 thay \u0111\u1ed5i \u1edf l\u1edbp trung m\u1ea1c\u201d. \u00a0 N\u00f3i chung x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng x\u01a1 h\u00f3a th\u00e0nh \u0111\u1ed9ng m\u1ea1ch bao\u00a0 g\u1ed3m c\u00e1c \u0111\u1ed9ng m\u1ea1ch trung b\u00ecnh v\u00e0 \u0111\u1ed9ng m\u1ea1ch l\u1edbn. Bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu l\u00e0 s\u1ef1 l\u1eafng \u0111\u1ecdng\u00a0 m\u1ee1 v\u00e0 c\u00e1c m\u00e0ng t\u1ebf b\u00e0o t\u1ea1i l\u1edbp bao trong th\u00e0nh \u0111\u1ed9ng m\u1ea1ch g\u1ecdi l\u00e0 m\u00e3ng v\u1eefa.<\/strong><\/p>\n<h2>1. D\u1ecbch t\u1ec5 h\u1ecdc<\/h2>\n<p>\u1ede c\u00e1c n\u01b0\u1edbc c\u00f4ng nghi\u1ec7p 50% t\u1eed vong do tim m\u1ea1ch trong \u0111\u00f3 nguy\u00ean nh\u00e2n\u00a0 XV\u0110M chi\u1ebfm 50%. T\u1ea1i M\u1ef9 \u1edf ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i c\u00f3 88% XV\u0110M, \u1edf ng\u01b0\u1eddi gi\u00e0 h\u01a1n th\u00ec\u00a0 kh\u00f4ng ng\u01b0\u1eddi n\u00e0o kh\u00f4ng b\u1ecb XV\u0110M. B\u1ec7nh tuy v\u1eady v\u1eabn g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u1ebb. Tr\u00ean 300 l\u00ednh\u00a0 M\u1ef9 tu\u1ed5i trung b\u00ecnh 22 ch\u1ebft trong chi\u1ebf\u00efn tranh \u1edf Tri\u1ec1u ti\u00ean, khi m\u1ed5 t\u1eed thi th\u1ea5y 77% b\u1ecb XV\u0110M v\u1edbi m\u1ee9c \u0111\u1ed9 nhi\u1ec1u hay \u00edt. \u1ede n\u01b0\u1edbc ta ch\u01b0a c\u00f3 s\u1ed1 li\u1ec7u to\u00e0n d\u00e2n.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26076 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1265548867-612x612-1-300x208.jpg\" alt=\"\" width=\"300\" height=\"208\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1265548867-612x612-1-300x208.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1265548867-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>2. Nguy\u00ean nh\u00e2n, b\u1ec7nh sinh x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/strong><\/h2>\n<p><strong>2.1. Nh\u1eafc l\u1ea1i c\u1ea5u t\u1ea1o th\u00e0nh \u0111\u1ed9ng m\u1ea1ch<\/strong><\/p>\n<p>Th\u00e0nh \u0111\u1ed9ng m\u1ea1ch c\u1ea5u t\u1ea1o b\u1edfi 3 l\u1edbp \u0111\u1ed3ng t\u00e2m t\u1eeb trong ra ngo\u00e0i nh\u01b0 sau:<\/p>\n<p>&#8211; l\u1edbp \u00e1o trong hay l\u1edbp n\u1ed9i m\u1ea1c: ch\u1ec9 c\u00f3 m\u1ed9t l\u1edbp duy nh\u1ea5t c\u1ea5u t\u1ea1o b\u1edfi c\u00e1c t\u1ebf b\u00e0o n\u1ed9i\u00a0 m\u1ea1c n\u1eb1m trong kho\u1ea3ng d\u01b0\u1edbi kh\u00f4ng c\u00f3 t\u1ebf b\u00e0o v\u00e0 ng\u0103n v\u1edbi trung m\u1ea1c b\u1eddi l\u1edbp \u0111\u00e0n h\u1ed3i\u00a0 trong.<\/p>\n<p>&#8211; l\u1edbp \u00e1o gi\u1eefa hay l\u1edbp trung m\u1ea1c t\u1ea1o th\u00e0nh b\u1edfi nh\u1eefng t\u1ebf b\u00e0o c\u01a1 tr\u01a1n, s\u1ee3i collagen v\u00e0\u00a0 elastin, gi\u1edbi h\u1ea1n ngo\u1ea1i m\u1ea1c b\u1edfi l\u1edbp \u0111\u00e0n h\u1ed3i ngo\u00e0i.<\/p>\n<p>&#8211; l\u1edbp \u00e1o ngo\u00e0i hay ngo\u1ea1i m\u1ea1c l\u00e0 l\u1edbp m\u00f4 li\u00ean k\u1ebft c\u00f3 c\u00e1c m\u1ea1ch m\u00e1u nu\u00f4i.<\/p>\n<p><strong>2.2. Qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n XV\u0110M\u00a0\u00a0<\/strong><\/p>\n<p>M\u00e3ng X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch\u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh do s\u1ef1 d\u00e0y l\u00ean c\u1ee7a c\u00e1c th\u00e0nh \u0111\u1ed9ng m\u1ea1ch\u00a0 bao g\u1ed3m m\u1ea1ng l\u01b0\u1edbi m\u00f4 s\u1ee3i bao b\u1ecdc chung quanh b\u1edfi l\u1edbp m\u1ee1 ph\u00e1t xu\u1ea5t t\u1eeb kho\u1ea3ng\u00a0 d\u01b0\u1edbi n\u1ed9i m\u1ea1c c\u1ee7a bao trong. M\u00e3ng XV\u0110M g\u1eb7p ch\u1ee7 y\u1ebfu \u1edf c\u00e1c th\u00e2n \u0111\u1ed9ng m\u1ea1ch l\u1edbn\u00a0 (\u0110MC b\u1ee5ng, \u0110m v\u00e0nh, ch\u1eadu \u0111\u00f9i, c\u1ea3nh v\u00e0 ch\u1ee7 xu\u1ed1ng) \u0111\u1eb7c bi\u1ec7t hay \u1edf nh\u1eefng v\u00f9ng\u00a0 xo\u00e1y m\u00e1u nh\u01b0 nh\u1eefng ch\u1ed7 u\u1ed1n cong hay ch\u1ebb \u0111\u00f4i.<\/p>\n<p>M\u00e3ng XV\u0110M xu\u1ea5t hi\u1ec7n sau nhi\u1ec1u n\u0103m v\u1edbi nh\u1eefng c\u01a1 ch\u1ebf m\u00e0 ng\u00e0y nay d\u1ea7n d\u1ea7n \u0111\u00e3\u00a0 \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5 h\u01a1n:<\/p>\n<p>&#8211; Giai \u0111o\u1ea1n \u0111\u1ea7u do r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng t\u1ea1i ch\u1ed7 (hi\u1ec7n t\u01b0\u1ee3ng xo\u00e1y m\u00e1u) l\u00e0m bi\u1ebfn \u0111\u1ed5i\u00a0 c\u1ea5u tr\u00fac b\u00ecnh th\u01b0\u1eddng c\u1ee7a l\u1edbp trong. T\u1ed5n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n s\u1edbm nh\u1ea5t l\u00e0 t\u00ecnh tr\u1ea1ng ph\u00f9\u00a0n\u1ec1 kh\u00f4ng c\u00f3 m\u1ee1, v\u1ec1 sau m\u1edbi xu\u1ea5t hi\u1ec7n c\u00e1c t\u1ebf b\u00e0o \u0103n m\u1ee1 d\u01b0\u1edbi d\u1ea1ng c\u00e1c t\u1ebf b\u00e0o c\u00f3\u00a0 h\u1ea1t, t\u1ee5 l\u1ea1i th\u00e0nh \u0111\u00e1m d\u01b0\u1edbi t\u1ebf b\u00e0o n\u1ed9i m\u00f4. Giai \u0111o\u1ea1n n\u00e0y th\u00e0nh m\u1ea1ch b\u1ecb r\u1ed1i lo\u1ea1n t\u1ea1o\u00a0 \u0111i\u1ec1u ki\u1ec7n cho l\u1eafng \u0111\u1ecdng lipid. Ti\u1ebfp theo l\u00e0 s\u1ef1 h\u00ecnh th\u00e0nh nh\u1eefng v\u1ec7t m\u1ee1 tr\u00ean b\u1ec1 m\u1eb7t\u00a0 n\u1ed9i m\u1ea1c.<\/p>\n<p>&#8211; Giai \u0111o\u1ea1n hai, m\u1ea3ng v\u1eefa \u0111\u01a1n thu\u1ea7n xu\u1ea5t hi\u1ec7n. M\u1ea3ng v\u1eefa d\u00e0y gi\u1eefa c\u00f3 v\u00f9ng ho\u1ea1i t\u1eed n\u1eb1m trong m\u1ed9t v\u1ecf x\u01a1. V\u00f9ng ho\u1ea1i t\u1eed ch\u1ee9a r\u1ea5t nhi\u1ec1u acid b\u00e9o v\u00e0 cholesterol. M\u1ea3ng v\u1eefa\u00a0 x\u01a1 ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh l\u00e0m cho \u0111\u1ed9ng m\u1ea1ch h\u1eb9p d\u1ea7n.<\/p>\n<p>&#8211; Giai \u0111o\u1ea1n sau c\u00f9ng l\u00e0 s\u1ef1 bi\u1ebfn \u0111\u1ed5i th\u00e0nh m\u1ea3ng v\u1eefa g\u00e2y bi\u1ebfn ch\u1ee9ng l\u00e0m t\u1eafc ngh\u1ebdn\u00a0 kh\u1ea9u k\u00ednh \u0111\u1ed9ng m\u1ea1ch v\u00e0 tai bi\u1ebfn thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. Hi\u1ec7n t\u01b0\u1ee3ng ch\u1ee7 y\u1ebfu c\u1ee7a qu\u00e1 tr\u00ecnh\u00a0 ph\u00e1t tri\u1ec3n n\u00e0y l\u00e0 s\u1ef1 lo\u00e9t c\u1ee7a l\u1edbp \u00e1o trong, ngh\u0129a l\u00e0 l\u1edbp t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c b\u1ecb x\u00e9 r\u00e1ch, m\u00e1u\u00a0 s\u1ebd ch\u1ea3y v\u00e0o qua ch\u1ed5 lo\u00e9t t\u1ea1o n\u00ean c\u1ee5c m\u00e1u t\u1ee5. S\u1ef1 r\u00e1ch c\u1ee7a n\u1ed9i m\u1ea1c g\u00e2y n\u00ean s\u1ef1 d\u00ednh\u00a0 c\u1ee7a ti\u1ec1u c\u1ea7u, xu\u1ea5t ph\u00e1t c\u1ee7a ngh\u1ebdn m\u1ea1ch, v\u00e0 t\u1ea1o th\u00e0nh c\u1ee5c t\u1eafc, c\u1ee5c t\u1eafc s\u1ebd bao ph\u1ee7\u00a0 ch\u1ed5 lo\u00e9t. \u0110\u00e2y l\u00e0 kh\u1edfi \u0111\u1ea7u c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 sau. C\u00e1c m\u1ea3ng v\u1eefa x\u01a1 ph\u00e1t tri\u1ec3n\u00a0 ng\u00e0y c\u00e0ng nhi\u1ec1u, c\u00e1c m\u1ea3ng canxi g\u1eafn li\u1ec1n nhau, t\u1ed5 ch\u1ee9c x\u01a1 ph\u00e1t tri\u1ec3n nhi\u1ec1u h\u01a1n g\u00e2y\u00a0 b\u00edt t\u1eafc \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<p><strong>1.3. Nh\u1eefng gi\u1ea3 thuy\u1ebft b\u1ec7nh sinh XV\u0110M\u00a0\u00a0<\/strong><\/p>\n<p>C\u00f3 nhi\u1ec1u gi\u1ea3 thuy\u1ebft \u0111\u00e3 \u0111\u1ec1 c\u1eadp nh\u01b0ng ch\u01b0a ho\u00e0n to\u00e0n s\u00e1ng t\u1ecf.<\/p>\n<p>1.3.1.Gi\u1ea3 thuy\u1ebft \u0111\u00e1p \u1ee9ng t\u1ed5n th\u01b0\u01a1ng th\u00e0nh \u0111\u1ed9ng m\u1ea1ch: L\u1edbp n\u1ed9i m\u1ea1c ch\u1ecbu nhi\u1ec1u t\u1ed5n\u00a0 th\u01b0\u01a1ng kh\u00e1c nhau nh\u01b0 s\u1ef1 gia t\u0103ng cholesterol cao m\u00e3n t\u00ednh hay do ch\u1ea5n th\u01b0\u01a1ng,\u00a0 thu\u1ed1c, vi khu\u1ea9n, mi\u1ec5n d\u1ecbch d\u1ecb \u1ee9ng, t\u1ef1 mi\u1ec5n. N\u1ed9i m\u1ea1c khi b\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ebd l\u00e0m cho\u00a0 \u0111\u01a1n b\u00e0o g\u1eafn v\u00e0o n\u1ed9i m\u1ea1c, di chuy\u1ec3n xuy\u00ean qua n\u1ed9i m\u1ea1c v\u00e0 chuy\u1ec3n th\u00e0nh \u0111\u1ea1i th\u1ef1c\u00a0 b\u00e0o. \u0110\u1ea1i th\u1ef1c b\u00e0o c\u00f3 kh\u1ea3 n\u0103ng b\u1eaft gi\u1eef c\u00e1c h\u1ea1t lipid, nh\u1ea5t l\u00e0 LDL \u0111\u00e3 bi\u1ebfn \u0111\u1ed5i. S\u1ef1 hi\u1ec7n\u00a0 di\u1ec7n c\u1ee7a \u0111\u1ea1i th\u1ef1c b\u00e0o l\u00e0m gia t\u0103ng t\u1ed5n th\u01b0\u01a1ng l\u1edbp n\u1ed9i m\u1ea1c.<\/p>\n<p>1.3.2.Gi\u1ea3 thuy\u1ebft t\u1ebf b\u00e0o: s\u1ef1 x\u00e2m nh\u1eadp v\u00e0o th\u00e0nh \u0111\u1ed9ng m\u1ea1ch c\u1ee7a b\u1ea1ch c\u1ea7u \u0111\u01a1n nh\u00e2n\u00a0 m\u1ea5t kh\u1ea3 n\u0103ng th\u1ef1c b\u00e0o l\u00e0m t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c k\u00edch th\u00edch ph\u00e1t tri\u1ec3n c\u00e1c t\u1ebf b\u00e0o c\u01a1 tr\u01a1n,\u00a0 \u0111\u1ea1i th\u1ef1c b\u00e0o, t\u1ed5 ch\u1ee9c li\u00ean k\u1ebft, ph\u00e1t tri\u1ec3n nh\u1eefng v\u00f9ng t\u1ed5n th\u01b0\u01a1ng t\u1eeb \u0111\u00f3 g\u00e2y XV\u0110M\u00a0 nh\u01b0 thuy\u1ebft t\u1ed5n th\u01b0\u01a1ng \u0111\u00e3 n\u00eau.<\/p>\n<p>1.3.3. Gi\u1ea3 thuy\u1ebft v\u1ebf ti l\u1ea1p th\u1ec3: C\u00e1c men ti th\u1ec3 t\u1ebf b\u00e0o \u1edf th\u00e0nh m\u1ea1ch c\u00f3 th\u1ec3 g\u00e2y tho\u00e1i\u00a0 ho\u00e1 v\u00e0 t\u00edch t\u1ee5 m\u1ee1 \u1edf t\u1ebf b\u00e0o c\u01a1 tr\u01a1n nh\u1ea5t l\u00e0 men cholesterol ester hydrolase.<\/p>\n<p>1.3.4. Gi\u1ea3i thuy\u1ebft \u0111\u01a1n d\u00f2ng: t\u1ea1i n\u01a1i t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch s\u1ea3n sinh nh\u1eefng\u00a0 d\u1ea1ng isozyme k\u00edch th\u00edch ph\u00e1t tri\u1ec3n t\u1ebf b\u00e0o c\u01a1 tr\u01a1n c\u1ee7a th\u00e0nh m\u1ea1ch gi\u1ed1ng c\u01a1 ch\u1ebf t\u1ea1o u\u00a0 l\u00e0nh t\u00ednh, sau \u0111\u00f3 l\u00e0 qu\u00e1 tr\u00ecnh t\u1ea1o v\u1eefa x\u01a1.<\/p>\n<p>1.3.5. Gi\u1ea3 thuy\u1ebft v\u1ec1 t\u0103ng lipid: \u0110\u00e2y l\u00e0 gi\u1ea3 thuy\u1ebft \u0111\u01b0\u1ee3c nhi\u1ec1u ng\u01b0\u1eddi c\u00f4ng nh\u1eadn nh\u1ea5t\u00a0 v\u00ec:<\/p>\n<p>&#8211; C\u00f3 th\u1ec3 g\u00e2y XV\u0110M tr\u00ean th\u1ef1c nghi\u1ec7m \u0111\u1ed9ng m\u1ea1ch v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n nhi\u1ec1u m\u1ee1 v\u00e0\u00a0 cholesterol.<\/p>\n<p>&#8211; Nh\u1eefng ng\u01b0\u1eddi c\u00f3 n\u1ed3ng \u0111\u1ed9 lipid m\u00e1u cao hay b\u1ecb XV\u0110M h\u01a1n nh\u1eefng ng\u01b0\u1eddi b\u00ecnh\u00a0 th\u01b0\u1eddng\u00a0th\u00e0nh ph\u1ea7n c\u1ea5u tr\u00fac c\u1ee7a m\u00e0ng XV\u0110M ch\u1ee7 y\u1ebfu l\u00e0 lipid.<\/p>\n<p>Ngo\u00e0i ra hi\u1ec7n nay nhi\u1ec1u t\u00e1c gi\u1ea3 c\u00f2n \u0111\u01b0a ra gi\u1ea3 thuy\u1ebft m\u1edbi v\u1ec1 c\u01a1 ch\u1ebf b\u1ec7nh sinh x\u01a1 v\u1eefa li\u00ean quan \u0111\u1ebfn vai tr\u00f2 nhi\u1ec5m tr\u00f9ng nh\u01b0 Helicobacter pylori, Clamydia pneumonia,\u00a0 Cytomegalovirus.<\/p>\n<h2><em>3. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch\u00a0\u00a0<\/em><\/h2>\n<p><strong>3.1.T\u0103ng lipid m\u00e1u:<\/strong> h\u1ea7u h\u1ebft c\u00e1c kh\u1ea3o s\u00e1t d\u1ecbch t\u1ec3 h\u1ecdc \u0111\u1ec1u x\u00e1c nh\u1eadn t\u0103ng cholesterol\u00a0 m\u00e1u l\u00e0 nguy c\u01a1 ch\u00ednh XV\u0110M v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n b\u1ec7nh tim m\u1ea1ch thi\u1ebfu m\u00e1u. Tuy nhi\u00ean\u00a0 nguy c\u01a1 ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i lipoprotein chuy\u00ean ch\u1edf cholesterol. LDL Cholesterol c\u00f3\u00a0 vai tr\u00f2 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh sinh XV\u0110M. C\u00f3 th\u1ec3 n\u00f3i r\u1eb1ng b\u1ea5t k\u1ef3 s\u1ef1 gia t\u0103ng LDL\u00a0 cholesterol m\u1ee9c \u0111\u1ed9 n\u00e0o trong m\u00e1u \u0111\u1ec1u c\u00f3 nguy c\u01a1 g\u00e2y XV\u0110M. Lipoprotein (a) hay\u00a0 Lp(a) c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 cao khi v\u01b0\u1ee3t qu\u00e1 0,3 g\/l.<\/p>\n<p>Chylomicron h\u00ecnh nh\u01b0 \u00edt c\u00f3 \u00fd ngh\u0129a trong vi\u1ec7c g\u00e2y XV\u0110M m\u1ed9t ph\u1ea7n v\u00ec n\u00f3 hi\u1ec7n di\u1ec7n\u00a0 c\u1ea3 trong \u0111i\u1ec1u ki\u1ec7n sinh l\u00fd, m\u1ed9t ph\u1ea7n ng\u01b0\u1eddi ta hi\u1ebfm th\u1ea5y s\u1ef1 gia t\u0103ng XV\u0110M song song\u00a0 v\u1edbi s\u1ef1 gia t\u0103ng chylomicron.<\/p>\n<p>HDL Cholesterol ng\u01b0\u1ee3c l\u1ea1i l\u00e0 y\u1ebfu t\u1ed1 ch\u1ed1ng x\u01a1 v\u1eefa cao v\u00ec ch\u00fang v\u1eadn chuy\u1ec3n\u00a0 cholesterol v\u1ec1 gan trong \u0111i\u1ec1u ki\u1ec7n th\u00e0nh \u0111\u1ed9ng m\u1ea1ch qu\u00e1 th\u1eeba cholesterol, do \u0111\u00f3 c\u00f2n\u00a0 g\u1ecdi ch\u00fang l\u00e0 nh\u1eefng cholesterol t\u1ed1t.<\/p>\n<p><strong>3.2. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c:\u00a0\u00a0<\/strong><\/p>\n<p>&#8211; T\u0103ng huy\u1ebft \u00e1p: L\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 r\u1ea5t cao, nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi c\u00e1c m\u1ea1ch m\u00e1u n\u00e3o. HA cao l\u00e0m t\u0103ng sinh t\u1ebf b\u00e0o c\u01a1 tr\u01a1n l\u00e0m d\u1ea7y trung m\u1ea1c \u0111\u1ed9ng m\u1ea1ch v\u00e0 l\u00e0m gia t\u0103ng ch\u1ea5t elastin, ch\u1ea5t keo v\u00e0\u00a0 glycosaminoglycans. \u00c1p l\u1ef1c do HA cao t\u1ea1o ra c\u0169ng l\u00e0m d\u1ec5 v\u1ee1 m\u00e3ng x\u01a1 v\u1eefa c\u0169ng\u00a0 nh\u01b0 l\u00e0m gia t\u0103ng t\u00ednh th\u1ea5m n\u1ed9i m\u1ea1c \u0111\u1ed1i v\u1edbi cholesterol.<\/p>\n<p>&#8211; H\u00fat thu\u1ed1c: c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh, nguy c\u01a1 m\u1ea1ch v\u00e0nh t\u0103ng g\u1ea5p \u0111\u00f4i \u1edf ng\u01b0\u1eddi h\u00fat\u00a0 thu\u1ed1c, nh\u1ea5t l\u00e0 nh\u1eefng ng\u01b0\u1eddi h\u00fat 40 \u0111i\u1ebfu\/ ng\u00e0y.<\/p>\n<p>&#8211; \u0110\u00e1i \u0111\u01b0\u1eddng: l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y r\u1ed1i lo\u1ea1n lipid, n\u00ean d\u1ec5 g\u00e2y XV\u0110M.\u00a0 -B\u00e9o ph\u00ec, \u00edt ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<p>&#8211; Stress.<\/p>\n<p>&#8211; C\u00e1c thu\u1ed1c ng\u1eeba thai.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi \u0111\u1ecbnh ngh\u0129a: \u201c X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch (XV\u0110M) l\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p c\u00e1c hi\u1ec7n\u00a0 t\u01b0\u1ee3ng thay \u0111\u1ed5i c\u1ea5u tr\u00fac n\u1ed9i m\u1ea1c c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn v\u00e0 v\u1eeba, bao g\u1ed3m s\u1ef1 t\u00edch t\u1ee5 c\u1ee5c b\u1ed9 c\u00e1c ch\u1ea5t lipid, c\u00e1c ph\u1ee9c b\u1ed9 glucid, m\u00e1u v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u1ee7a m\u00e1u, [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"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 - 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