{"id":28478,"date":"2023-04-29T23:57:42","date_gmt":"2023-04-29T16:57:42","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28478"},"modified":"2023-04-29T23:57:42","modified_gmt":"2023-04-29T16:57:42","slug":"moi-quan-he-giua-benh-liet-chu-ky-va-kali-mau","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/moi-quan-he-giua-benh-liet-chu-ky-va-kali-mau\/","title":{"rendered":"M\u1ed1i quan h\u1ec7 gi\u1eefa b\u1ec7nh li\u1ec7t chu k\u1ef3 v\u00e0 Kali m\u00e1u"},"content":{"rendered":"

B\u1ec7nh li\u1ec7t chu k\u1ef3 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u1ea7n kinh x\u1ea3y ra khi c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb m\u1ea5t li\u00ean l\u1ea1c v\u1edbi ph\u1ea7n c\u01a1, d\u1eabn \u0111\u1ebfn m\u1ea5t kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 \u0111i\u1ec1u khi\u1ec3n c\u01a1 b\u1eafp. Kali m\u00e1u, l\u00e0 m\u1ed9t nguy\u00ean t\u1ed1 quan tr\u1ecdng trong c\u01a1 th\u1ec3, c\u00f3 t\u00e1c d\u1ee5ng quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u ti\u1ebft ch\u1ee9c n\u0103ng c\u01a1 v\u00e0 h\u1ec7 th\u1ea7n kinh. M\u1ed1i quan h\u1ec7 gi\u1eefa b\u1ec7nh li\u1ec7t chu k\u1ef3 v\u00e0 kali m\u00e1u l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 nghi\u00ean c\u1ee9u \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m b\u1edfi nh\u1eefng nh\u00e0 khoa h\u1ecdc v\u00e0 b\u00e1c s\u0129, v\u00ec n\u00f3 c\u00f3 th\u1ec3 gi\u00fap trong vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh li\u1ec7t chu k\u1ef3.<\/strong><\/p>\n

\"\"<\/p>\n

1. M\u1ed1i quan h\u1ec7 gi\u1eefa b\u1ec7nh li\u1ec7t chu k\u1ef3 v\u00e0 Kali m\u00e1u:<\/h2>\n

Li\u1ec7t chu k\u1ef3 th\u1ef1c ra l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh, c\u00f3 t\u00ednh ch\u1ea5t di truy\u1ec1n, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng b\u1eb1ng c\u00e1c \u0111\u1ee3t y\u1ebfu b\u1ea1i, b\u1ec7nh c\u00f3 li\u00ean quan t\u1edbi n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u, chia ra 3 lo\u1ea1i: t\u0103ng kali, h\u1ea1 kali v\u00e0 kali m\u00e1u b\u00ecnh th\u01b0\u1eddng. Kali m\u00e1u c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u ti\u1ebft c\u01a1 b\u1eafp v\u00e0 h\u1ec7 th\u1ea7n kinh. N\u00f3 gi\u00fap c\u01a1 b\u1eafp ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng v\u00e0 duy tr\u00ec s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c s\u1ee3i th\u1ea7n kinh. N\u1ebfu kali m\u00e1u b\u1ecb suy gi\u1ea3m, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea5t kh\u1ea3 n\u0103ng \u0111i\u1ec1u khi\u1ec3n c\u01a1 b\u1eafp, m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh li\u1ec7t chu k\u1ef3.<\/p>\n

Nghi\u00ean c\u1ee9u cho th\u1ea5y, ng\u01b0\u1eddi b\u1ecb b\u1ec7nh li\u1ec7t chu k\u1ef3 th\u01b0\u1eddng c\u00f3 m\u1ee9c kali m\u00e1u th\u1ea5p h\u01a1n so v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. Tuy nhi\u00ean, c\u0169ng c\u00f3 nghi\u00ean c\u1ee9u ch\u1ec9 ra r\u1eb1ng, m\u1ee9c kali m\u00e1u c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c s\u1ee3i th\u1ea7n kinh v\u00e0 c\u01a1 b\u1eafp, d\u1eabn \u0111\u1ebfn nguy c\u01a1 m\u1eafc b\u1ec7nh li\u1ec7t chu k\u1ef3. Nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y r\u1eb1ng, m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c gi\u1ea3m kali m\u00e1u c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 b\u1ec7nh li\u1ec7t chu k\u1ef3.<\/p>\n

1.1. Li\u1ec7t chu k\u1ef3 h\u1ea1 kali m\u00e1u: <\/a><\/strong><\/h3>\n

L\u00e0 b\u1ec7nh li\u1ec7t chu k\u1ef3 hay g\u1eb7p nh\u1ea5t, bi\u1ec3u hi\u1ec7n b\u1eb1ng nh\u1eefng c\u01a1n li\u1ec7t m\u1ec1m c\u00f3 k\u00e8m h\u1ea1 kali m\u00e1u. Di truy\u1ec1n tr\u1ed9i theo nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng (autosomal), t\u1ef7 l\u1ec7 nam\/n\u1eef l\u00e0 3-4\/1. Gen b\u1ec7nh n\u1eb1m \u1edf nhi\u1ec5m s\u1eafc th\u1ec3 Iq31-q32, g\u00e2y r\u1ed1i lo\u1ea1n k\u00eanh v\u1eadn chuy\u1ec3n Calcium, nh\u01b0ng c\u00f2n ch\u01b0a r\u00f5 li\u00ean quan c\u1ee7a c\u01a1 ch\u1ebf n\u00e0y v\u1edbi nh\u1eefng c\u01a1n h\u1ea1 kali m\u00e1u. \u0110a s\u1ed1 kh\u1edfi ph\u00e1t tr\u01b0\u1edbc 16 tu\u1ed5i, c\u00f3 khi tr\u01b0\u1edbc 10 tu\u1ed5i. Y\u1ebfu t\u1ed1 kh\u1edfi ph\u00e1t c\u01a1n li\u1ec7t: \u0103n nhi\u1ec1u b\u1ed9t ho\u1eb7c \u0111\u01b0\u1eddng, v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c nhi\u1ec1u g\u00e2y m\u1ec7t m\u1ecfi, c\u00e1c y\u1ebfu t\u1ed1 c\u1ea3m x\u00fac ho\u1eb7c l\u1ea1nh. B\u1ec7nh nh\u00e2n ng\u1ee7 d\u1eady v\u1edbi c\u1ea3m gi\u00e1c y\u1ebfu b\u1ea1i ch\u1eb1n tay, c\u01a1n th\u01b0\u1eddng k\u00e9o d\u00e0i v\u00e0i ph\u00fat t\u1edbi v\u00e0i gi\u1edd.<\/span><\/p>\n

Th\u00f4ng th\u01b0\u1eddng ch\u1ec9 c\u00f3 c\u00e1c c\u01a1 t\u1ee9 chi v\u00e0 th\u00e2n m\u00ecnh b\u1ecb y\u1ebfu li\u1ec7t, \u0111o\u1ea1n g\u1ed1c chi b\u1ecb n\u1eb7ng h\u01a1n \u0111o\u1ea1n ng\u1ecdn chi. C\u00e1c c\u01a1 m\u1eb7t, v\u1eadn nh\u00e3n, c\u01a1 h\u1ecdng h\u1ea7u, c\u01a1 ho\u00e0nh, c\u00e1c c\u01a1 tr\u00f2n r\u1ea5t \u00edt khi b\u1ecb \u1ea3nh h\u01b0\u1edfng. Trong c\u01a1n ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng v\u00e0 ph\u1ea3n x\u1ea1 da \u0111\u1ec1u gi\u1ea3m ho\u1eb7c m\u1ea5t. C\u1ea3m gi\u00e1c b\u00ecnh th\u01b0\u1eddng. Th\u01b0\u1eddng v\u00e0i tu\u1ea7n b\u1ecb m\u1ed9t c\u01a1n, c\u00e0ng l\u1edbn tu\u1ed5i th\u00ec c\u00e1c c\u01a1n c\u00e0ng th\u01b0a d\u1ea7n. R\u1ea5t hi\u1ebfm khi ch\u1ebft do li\u1ec7t h\u00f4 h\u1ea5p hay r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n trong tim.<\/span><\/p>\n

Trong c\u01a1n li\u1ec7t n\u1ed3ng \u0111\u1ed9 kali huy\u1ebft thanh b\u1ecb gi\u1ea3m, c\u00f3 th\u1ec3 t\u1edbi 1,8 meq\/l, nh\u01b0ng kh\u00f4ng ph\u1ea3i ch\u1ec9 ri\u00eang h\u1ea1 kali g\u00e2y ra li\u1ec7t, m\u00e0 h\u1ea1 kali ch\u1ec9 l\u00e0 m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng th\u1ee9 ph\u00e1t do c\u00f3 nh\u1eefng c\u01a1 ch\u1ebf kh\u00e1c g\u00e2y c\u01a1n li\u1ec7t chu k\u1ef3. D\u1eabn truy\u1ec1n th\u1ea7n kinh b\u1ec9nh th\u01b0\u1eddng. \u0110i\u1ec7n c\u01a1 l\u00e0m trong li\u1ec7t ho\u00e0n to\u00e0n th\u1ea5y m\u1ea5t ho\u1ea1t \u0111\u1ed9ng do \u0111\u00e2m kim, kh\u00f4ng c\u00f3 \u0111i\u1ec7n th\u1ebf c\u1ee7a c\u00e1c \u0111\u01a1n v\u1ecb v\u1eadn \u0111\u1ed9ng, ho\u1eb7c c\u00f3 nh\u01b0ng gi\u1ea3m k\u1ebft t\u1eadp r\u00f5 r\u1ec7t. Ngo\u00e0i c\u01a1n li\u1ec7t, \u0111a s\u1ed1 c\u00e1c b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ea5y b\u1ea5t th\u01b0\u1eddng \u0111i\u1ec7n c\u01a1.<\/span><\/p>\n

\u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng nh\u1eefng th\u1ee9 c\u00f3 ch\u1ee9a nhi\u1ec1u kali v\u00e0 \u00edt mu\u1ed1i Natri; ch\u1ebf \u0111\u1ed9 \u0103n ch\u1ee9a \u00edt b\u1ed9t \u0111\u01b0\u1eddng. Tr\u00e1nh \u0103n m\u1ed9t l\u00fac qu\u00e1 nhi\u1ec1u v\u00e0 ph\u01a1i m\u00ecnh ra tr\u1eddi l\u1ea1nh. C\u00f3 th\u1ec3 d\u1ef1 ph\u00f2ng b\u1eb1ng KCl (5-10g\/ng\u00e0y), ho\u1eb7c acetazolamide. \u0110i\u1ec1u tr\u1ecb c\u1eaft c\u01a1n b\u1eb1ng u\u1ed1ng KCl li\u1ec1u 0,25 mEq\/kg c\u00e2n n\u1eb7ng. Sau 1-2 gi\u1edd n\u1ebfu kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 th\u00ec truy\u1ec1n t\u0129nh m\u1ea1ch 0,05-0,1 mEq\/kg c\u00e2n n\u1eb7ng, tr\u00e1nh d\u00f9ng d\u1ecbch truy\u1ec1n c\u00f3 glucose hay NaCl.<\/span><\/p>\n

1.2. Li\u1ec7t chu k\u1ef3 t\u0103ng kali m\u00e1u: <\/strong><\/h3>\n

Di truy\u1ec1n tr\u1ed9i theo nhi\u1ec5m s\u1eafc th\u1ec3 th\u00e2n, x\u1ebfp v\u00e0o nh\u00f3m c\u00e1c b\u1ec7nh c\u01a1 do r\u1ed1i lo\u1ea1n k\u00eanh chuy\u1ec3n natri (sodium channel diseases). B\u1ec7nh di truy\u1ec1n tr\u1ed9i theo nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng, b\u1ea5t th\u01b0\u1eddng gen th\u1ea5y \u1edf nhi\u1ec5m s\u1eafc th\u1ec3 17q.<\/span><\/p>\n

Kh\u1edfi ph\u00e1t \u1edf tu\u1ed5i s\u01a1 sinh ho\u1eb7c nhi \u0111\u1ed3ng. C\u00e1c c\u01a1n th\u01b0\u01a1ng xu\u1ea5t hi\u1ec7n sau khi b\u1ec7nh nh\u00e2n v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c, \u0111ang ng\u1ed3i ngh\u1ec9 ng\u01a1i \u0111\u01b0\u1ee3c m\u1ed9t l\u00fac. \u0110\u1ea7u ti\u00ean li\u1ec7t \u1edf b\u00e0n ch\u00e2n, r\u1ed3i lan d\u1ea7n <\/span>l\u00ean to\u00e0n th\u00e2n. C\u00e1c coe thu\u1ed9c d\u00e2y s\u1ecd n\u00e3o \u00edt khi b\u1ecb, c\u00e1c c\u01a1 h\u00f4 h\u1ea5p kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. Ph\u1ea3n x\u1ea1 g\u00e2n x\u01b0\u01a1ng gi\u1ea3m ho\u1eb7c m\u1ea5t trong c\u01a1n. C\u01a1n k\u00e9o d\u00e0i 15-60 ph\u00fat, hi\u1ebfm khi k\u00e9o d\u00e0i v\u00e0i ng\u00e0y, ph\u1ee5c h\u1ed3i c\u00f3 th\u1ec3 nhanh h\u01a1n n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u1eadp luy\u1ec7n nh\u1eb9 th\u00eam. Tuy v\u1eady, khi h\u1ebft c\u01a1n v\u1eabn c\u00f2n c\u00f3 th\u1ec3 y\u1ebfu c\u01a1 th\u00eam 1-2 ng\u00e0y n\u1eefa. \u0110\u1ebfn tu\u1ed5i d\u1eady th\u00ec c\u00e1c c\u01a1n c\u00f3 th\u1ec3 bi\u1ebfn m\u1ea5t<\/span><\/p>\n

Kali m\u00e1u th\u01b0\u1eddng t\u0103ng l\u00ean 5-6 mmol\/1, natri m\u00e1u h\u1ea1. ECG: s\u00f3ng T cao. D\u1eabn truy\u1ec1n th\u1ea7n kinh b\u00ecnh th\u01b0\u1eddng, \u0111i\u1ec7n c\u01a1 c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1.<\/span><\/p>\n

\u0110i\u1ec1u tr\u1ecb: khi c\u01a1n k\u00e9o d\u00e0i v\u00e0 n\u1eb7ng, ti\u00eam t\u0129nh m\u1ea1ch 1-2 g calcium gluconate. N\u1ebfu sau v\u00e0i ph\u00fat kh\u00f4ng k\u1ebft qu\u1ea3 th\u00ec truy\u1ec1n glucose (c\u00f3 th\u1ec3 k\u00e8m insulin). \u0110i\u1ec1u tr\u1ecb duy tr\u00ec b\u1eb1ng hydrochlorothiazide 0,5g\/ng\u00e0y nh\u1eb1m duy tr\u00ec n\u1ed3ng \u0111\u1ed9 kali m\u00e1u d\u01b0\u1edbi 5 meq\/l.<\/span><\/p>\n

1.3. Li\u1ec7t chu k\u1ef3 kali m\u00e1u b\u00ecnh th\u01b0\u1eddng: <\/strong><\/h3>\n

L\u00e0 b\u1ec7nh r\u1ea5t hi\u1ebfm, l\u00e2m s\u00e0ng gi\u1ed1ng c\u01a1n li\u1ec7t chu k\u1ef3 t\u0103ng kali m\u00e1u, nh\u0169ng n\u1ed3ng \u0111\u1ed9 kali m\u00e1u l\u00e0 b\u00ecnh th\u01b0\u1eddng, d\u00f9 trong c\u01a1n li\u1ec7t n\u1eb7ng nh\u1ea5t. B\u1ea3n ch\u1ea5t di truy\u1ec1n c\u1ee7a b\u1ec7nh c\u0169ng gi\u1ed1ng nh\u01b0 li\u1ec7t chu k\u1ef3 t\u0103ng kali m\u00e1u.<\/span><\/p>\n

2. D\u1ef1 ph\u00f2ng b\u1ec7nh li\u1ec7t chu k\u1ef3<\/h2>\n

\u0110\u1ec3 d\u1ef1 ph\u00f2ng b\u1ec7nh li\u1ec7t chu k\u1ef3, c\u1ea7n tu\u00e2n th\u1ee7 m\u1ed9t s\u1ed1 nguy\u00ean t\u1eafc v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba nh\u01b0 sau:<\/p>\n

– \u0102n u\u1ed1ng l\u00e0nh m\u1ea1nh:
\nCh\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 cung c\u1ea5p \u0111\u1ee7 dinh d\u01b0\u1ee1ng l\u00e0 r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c d\u1ef1 ph\u00f2ng b\u1ec7nh li\u1ec7t chu k\u1ef3. C\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m gi\u00e0u kali bao g\u1ed3m: chu\u1ed1i, khoai t\u00e2y, \u0111\u1eadu ph\u1ee5ng, c\u00e0 r\u1ed1t, b\u00f4ng c\u1ea3i xanh, d\u01b0a h\u1ea5u, cam, nho v\u00e0 d\u01b0a chu\u1ed9t. Ngo\u00e0i ra, c\u1ea7n \u0103n \u0111\u1ee7 ch\u1ea5t \u0111\u1ea1m, ch\u1ea5t b\u00e9o v\u00e0 c\u00e1c lo\u1ea1i vitamin c\u1ea7n thi\u1ebft cho c\u01a1 th\u1ec3.<\/p>\n

– T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n:
\nVi\u1ec7c t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n gi\u00fap gi\u1eef cho c\u01a1 th\u1ec3 kh\u1ecfe m\u1ea1nh, t\u0103ng c\u01b0\u1eddng \u0111\u1ed9 co gi\u00e3n v\u00e0 s\u1ee9c m\u1ea1nh c\u1ee7a c\u00e1c c\u01a1 b\u1eafp. T\u1eadp th\u1ec3 d\u1ee5c c\u0169ng gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh li\u1ec7t chu k\u1ef3 v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c.<\/p>\n

– H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m kali:
\nN\u1ebfu ph\u1ea3i s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m kali, c\u1ea7n l\u1ea5y theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 v\u00e0 theo d\u00f5i m\u1ee9c kali m\u00e1u th\u01b0\u1eddng xuy\u00ean. Tuy nhi\u00ean, n\u00ean h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m kali \u0111\u1ec3 tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn b\u1ec7nh li\u1ec7t chu k\u1ef3:
\nC\u00e1c b\u1ec7nh l\u00fd nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn, b\u1ec7nh m\u00e1u v\u00e0 c\u00e1c b\u1ec7nh l\u00fd th\u1ea7n kinh kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh li\u1ec7t chu k\u1ef3. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd n\u00e0y s\u1edbm v\u00e0 hi\u1ec7u qu\u1ea3 s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh li\u1ec7t chu k\u1ef3.<\/p>\n

– \u0110i kh\u00e1m b\u00e1c s\u0129 \u0111\u1ecbnh k\u1ef3:
\n\u0110i kh\u00e1m b\u00e1c s\u0129 \u0111\u1ecbnh k\u1ef3 gi\u00fap ph\u00e1t hi\u1ec7n c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh li\u1ec7t chu k\u1ef3.<\/p>\n

T\u00f3m l\u1ea1i, \u0111\u1ec3 d\u1ef1 ph\u00f2ng b\u1ec7nh li\u1ec7t chu k\u1ef3, c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c nguy\u00ean t\u1eafc \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n, h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m kali, \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan v\u00e0 \u0111i kh\u00e1m b\u00e1c s\u0129 \u0111\u1ecbnh k\u1ef3. Vi\u1ec7c ph\u00f2ng ng\u1eeba b\u1ec7nh li\u1ec7t chu k\u1ef3 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1eef cho c\u01a1 th\u1ec3 kh\u1ecfe m\u1ea1nh v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: Th\u1ea7n kinh h\u1ecdc – \u0110H Y TP H\u1ed3 Ch\u00ed Minh<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

B\u1ec7nh li\u1ec7t chu k\u1ef3 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u1ea7n kinh x\u1ea3y ra khi c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb m\u1ea5t li\u00ean l\u1ea1c v\u1edbi ph\u1ea7n c\u01a1, d\u1eabn \u0111\u1ebfn m\u1ea5t kh\u1ea3 n\u0103ng di chuy\u1ec3n v\u00e0 \u0111i\u1ec1u khi\u1ec3n c\u01a1 b\u1eafp. Kali m\u00e1u, l\u00e0 m\u1ed9t nguy\u00ean t\u1ed1 quan tr\u1ecdng trong c\u01a1 th\u1ec3, c\u00f3 t\u00e1c d\u1ee5ng quan […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[],"yoast_head":"\nM\u1ed1i quan h\u1ec7 gi\u1eefa b\u1ec7nh li\u1ec7t chu k\u1ef3 v\u00e0 Kali m\u00e1u - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh li\u1ec7t chu k\u1ef3 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u1ea7n kinh x\u1ea3y ra khi c\u00e1c s\u1ee3i th\u1ea7n kinh b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb m\u1ea5t li\u00ean l\u1ea1c v\u1edbi ph\u1ea7n c\u01a1, d\u1eabn \u0111\u1ebfn m\u1ea5t kh\u1ea3 ...\" \/>\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=\"M\u1ed1i quan h\u1ec7 gi\u1eefa b\u1ec7nh li\u1ec7t chu k\u1ef3 v\u00e0 Kali m\u00e1u - 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