{"id":28943,"date":"2023-04-27T23:58:11","date_gmt":"2023-04-27T16:58:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28943"},"modified":"2023-04-27T23:58:11","modified_gmt":"2023-04-27T16:58:11","slug":"suy-than-cap-bieu-hien-lam-sang-va-can-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/27\/suy-than-cap-bieu-hien-lam-sang-va-can-lam-sang\/","title":{"rendered":"Suy th\u1eadn c\u1ea5p: Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng"},"content":{"rendered":"<p>Suy th\u1eadn c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o d\u00e0i trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y, d\u1eabn \u0111\u1ebfn gi\u1ea3m m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn, m\u1ea5t kh\u1ea3 n\u0103ng lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3, kh\u00f4ng c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. B\u00e0i vi\u1ebft sau \u0111\u00e2y s\u1ebd gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng c\u1ee7a suy th\u1eadn c\u1ea5p.<\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 suy th\u1eadn c\u1ea5p<\/h2>\n<p>Suy th\u1eadn c\u1ea5p (STC) l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o d\u00e0i trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y, d\u1eabn \u0111\u1ebfn gi\u1ea3m m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn, \u1ee9 \u0111\u1ecdng c\u00e1c s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a nito (ure, creatinine) v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u1ee7a qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a kh\u00f4ng nito (\u0111i\u1ec7n gi\u1ea3i, ki\u1ec1m toan). C\u00e1c r\u1ed1i lo\u1ea1n n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 v\u00e0 th\u1eddi gian k\u00e9o d\u00e0i c\u1ee7a t\u00ecnh tr\u1ea1ng suy th\u1eadn m\u00e0 c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 toan chuy\u1ec3n h\u00f3a, t\u0103ng kali m\u00e1u, th\u1eeb d\u1ecbch trong c\u01a1 th\u1ec3, STC n\u1eb7ng \u0111\u1ed3ng th\u1eddi v\u1edbi nguy\u00ean nh\u00e2n c\u1ee7a n\u00f3 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy \u0111a c\u01a1 quan nh\u01b0 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i, t\u1ed5n th\u01b0\u01a1ng n\u00e3o v\u00e0 \u1ea3nh h\u01b0\u1edfng t\u1edbi huy\u1ebft \u0111\u1ed9ng.<\/p>\n<p>Suy th\u1eadn c\u1ea5p th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n n\u1eb7ng n\u1eb1m trong c\u00e1c khoa h\u1ed3i s\u1ee9c, nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn b\u1ec7nh c\u1ea3nh suy th\u1eadn c\u1ea5p th\u01b0\u1eddng do nhi\u1ec5m khu\u1ea9n, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u00f3m c\u00f3 bi\u1ec3u hi\u1ec7n nhi\u1ec5m khu\u1ea9n n\u1eb7ng c\u00f3 s\u1ed1c, suy \u0111a c\u01a1 quan. \u1ede nh\u00f3m di\u1ec5n bi\u1ebfn n\u1eb7ng trong ngo\u1ea1i khoa, STC th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n tr\u1ea3i qua ph\u1eabu thu\u1eadt l\u1edbn, \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1eabu thu\u1eadt hay c\u1ea5y gh\u00e9p tim.<\/p>\n<figure id=\"attachment_28953\" aria-describedby=\"caption-attachment-28953\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-28953 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190521_163312_106176_suy-than.max-1800x1800-1-300x157.jpg\" alt=\"minh-hoa-suy-than-cap\" width=\"300\" height=\"157\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190521_163312_106176_suy-than.max-1800x1800-1-300x157.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190521_163312_106176_suy-than.max-1800x1800-1.jpg 700w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-28953\" class=\"wp-caption-text\">Suy th\u1eadn c\u1ea5p c\u00f3 th\u1ec3 di\u1ec5n ra r\u1ea5t nhanh, ch\u1ec9 sau v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y.<\/figcaption><\/figure>\n<h2>2. Nguy\u00ean nh\u00e2n suy th\u1eadn c\u1ea5p<\/h2>\n<ul>\n<li>Nguy\u00ean nh\u00e2n tr\u01b0\u1edbc th\u1eadn: l\u00e0 c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn, bao g\u1ed3m gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u, huy\u1ebft \u00e1p th\u1ea5p, suy tim, suy gan v\u00e0 nhi\u1ec5m tr\u00f9ng huy\u1ebft.<\/li>\n<li>Nguy\u00ean nh\u00e2n t\u1ea1i th\u1eadn: g\u1ed3m c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y t\u1ed5n th\u01b0\u01a1ng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn m\u00f4 th\u1eadn, c\u00f3 th\u1ec3 \u0111\u1ebfn thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, \u0111\u1ed9c t\u1ed1 (nh\u01b0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, <a href=\"https:\/\/www.vinmec.com\/vi\/thong-tin-duoc\/su-dung-thuoc-toan\/canh-giac-nguy-co-suy-cap-do-thuoc-can-quang\/\">thu\u1ed1c c\u1ea3n quang<\/a> ho\u1eb7c kim lo\u1ea1i n\u1eb7ng), nhi\u1ec5m tr\u00f9ng (nh\u01b0 vi\u00eam c\u1ea7u th\u1eadn c\u1ea5p t\u00ednh ho\u1eb7c vi\u00eam b\u1ec3 th\u1eadn) v\u00e0 c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n (nh\u01b0 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/viem-lupus-nguyen-nhan-trieu-chung\/\">vi\u00eam th\u1eadn lupus<\/a> ho\u1eb7c vi\u00eam m\u1ea1ch).<\/li>\n<li>Nguy\u00ean nh\u00e2n sau th\u1eadn: l\u00e0 c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng d\u1eabn n\u01b0\u1edbc ti\u1ec3u c\u1ee7a th\u1eadn, bao g\u1ed3m s\u1ecfi th\u1eadn, kh\u1ed1i u, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u v\u00e0 ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/li>\n<\/ul>\n<h2>3. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng<\/h2>\n<h3>3.1. D\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng<\/h3>\n<p>\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p suy th\u1eadn c\u1ea5p kh\u1edfi ph\u00e1t v\u1edbi d\u1ea5u hi\u1ec7u thi\u1ec3u ni\u1ec7u (&lt;400ml\/24h), nh\u01b0ng m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u01b0\u1edbc ti\u1ec3u v\u1eabn &gt;1L\/24h (th\u1ec3 c\u00f2n b\u1ea3o t\u1ed3n n\u01b0\u1edbc ti\u1ec3u).<\/p>\n<p>Ngo\u00e0i ra t\u00f9y theo nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn suy th\u1eadn c\u1ea5p m\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 kh\u00e1c nhau:<\/p>\n<p><strong>Suy th\u1eadn c\u1ea5p do nguy\u00ean nh\u00e2n tr\u01b0\u1edbc th\u1eadn:<\/strong><\/p>\n<ul>\n<li>Gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u<\/li>\n<li>Kh\u00e1t ho\u1eb7c kh\u00f4 mi\u1ec7ng<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p, nh\u1ecbp tim nhanh<\/li>\n<li>Cho\u00e1ng v\u00e1ng ho\u1eb7c m\u1ea5t nh\u1eadn th\u1ee9c<\/li>\n<li>Da, ni\u00eam m\u1ea1c kh\u00f4; gi\u1ea3m \u0111\u1ed9 chun gi\u00e3n da, t\u0129nh m\u1ea1ch c\u1ed5 x\u1eb9p<\/li>\n<\/ul>\n<p><strong>Suy th\u1eadn c\u1ea5p do nguy\u00ean nh\u00e2n t\u1ea1i th\u1eadn:<\/strong><\/p>\n<ul>\n<li>Gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u<\/li>\n<li>Xu\u1ea5t hi\u1ec7n m\u00e1u trong n\u01b0\u1edbc ti\u1ec3u<\/li>\n<li>Ph\u00f9 n\u1ec1, t\u0103ng huy\u1ebft \u00e1p<\/li>\n<li>\u0110au t\u1ee9c ng\u1ef1c<\/li>\n<li>Kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi, bu\u1ed3n nu\u00f4n<\/li>\n<li>Cho\u00e1ng v\u00e1ng ho\u1eb7c m\u1ea5t nh\u1eadn th\u1ee9c, th\u1eadm ch\u00ed c\u00f2n b\u1ea5t t\u1ec9nh trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng<\/li>\n<li>S\u1ed1t, \u0111au c\u01a1 v\u00e0 ng\u1ee9a, n\u1ed5i ban s\u1ea9n sau d\u00f9ng thu\u1ed1c (thu\u1ed1c c\u1ea3n quang, thu\u1ed1c g\u00e2y \u0111\u1ed9c th\u1eadn)<\/li>\n<\/ul>\n<p><strong>Suy th\u1eadn c\u1ea5p do nguy\u00ean nh\u00e2n sau th\u1eadn:<\/strong><\/p>\n<ul>\n<li>Gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c kh\u00f4ng ti\u1ec3u \u0111\u01b0\u1ee3c<\/li>\n<li>\u0110\u00e1i bu\u1ed1t, \u0111\u00e1i d\u1eaft<\/li>\n<li>C\u01a1n \u0111au qu\u1eb7n th\u1eadn ho\u1eb7c \u0111au h\u1ed1 l\u01b0ng, b\u1ee5ng d\u01b0\u1edbi<\/li>\n<li>Th\u1eadn to do \u1ee9 n\u01b0\u1edbc, \u1ee9 m\u1ee7<\/li>\n<li>M\u1ec7t m\u1ecfi, bu\u1ed3n n\u00f4n<\/li>\n<li>Cho\u00e1ng v\u00e1ng ho\u1eb7c m\u1ea5t nh\u1eadn th\u1ee9c, th\u1eadm ch\u00ed c\u00f2n b\u1ea5t t\u1ec9nh trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng<\/li>\n<\/ul>\n<h3>3.2. Bi\u1ec3u hi\u1ec7n c\u1eadn l\u00e2m s\u00e0ng<\/h3>\n<ul>\n<li>T\u0103ng creatinin m\u00e1u: Creatinin m\u00e1u l\u00e0 s\u1ea3n ph\u1ea9m c\u1ee7a ph\u1ea3n \u1ee9ng ph\u00e2n h\u1ee7y Creatin trong c\u01a1. Creatinin \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i qua th\u1eadn n\u00ean n\u1ed3ng \u0111\u1ed9 Creatinin ph\u1ea3n \u00e1nh ch\u00ednh x\u00e1c ch\u1ee9c n\u0103ng l\u1ecdc c\u1ee7a th\u1eadn.<\/li>\n<li>Gi\u1ea3m <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/do-loc-cau-bao-nhieu-la-binh-thuong\/\">\u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (GFR)<\/a>: GFR l\u00e0 l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c l\u1ecdc qua th\u1eadn trong m\u1ed9t \u0111\u01a1n v\u1ecb th\u1eddi gian (th\u01b0\u1eddng t\u00ednh b\u1eb1ng ph\u00fat). \u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn l\u00e0 gi\u00e1 tr\u1ecb cho bi\u1ebft m\u1ee9c \u0111\u1ed9 l\u1ecdc ch\u1ea5t th\u1ea3i ra kh\u1ecfi m\u00e1u c\u1ee7a th\u1eadn v\u00e0 l\u00e0 ch\u1ec9 s\u1ed1 t\u1ed1t nh\u1ea5t gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1eadn.<\/li>\n<li>M\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i: C\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i nh\u01b0 natri, kali v\u00e0 magi\u00ea \u0111\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a b\u1edfi th\u1eadn. Khi th\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng, n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i c\u00f3 th\u1ec3 tr\u1edf n\u00ean m\u1ea5t c\u00e2n b\u1eb1ng.<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng trong k\u1ebft qu\u1ea3 ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u: Ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a protein, m\u00e1u ho\u1eb7c tinh th\u1ec3 trong n\u01b0\u1edbc ti\u1ec3u, c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1eadn.<\/li>\n<li>B\u1ea5t th\u01b0\u1eddng trong x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh: C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m, CT scan ho\u1eb7c MRI c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng b\u1ea5t th\u01b0\u1eddng \u1edf th\u1eadn, ch\u1eb3ng h\u1ea1n nh\u01b0 gi\u1ea3m k\u00edch th\u01b0\u1edbc th\u1eadn ho\u1eb7c t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/li>\n<\/ul>\n<h3>3.3. Di\u1ec5n bi\u1ebfn l\u00e2m s\u00e0ng<\/h3>\n<h4>3.3.1. Giai \u0111o\u1ea1n kh\u1edfi ph\u00e1t<\/h4>\n<ul>\n<li>Giai \u0111o\u1ea1n n\u00e0y di\u1ec5n ra trong v\u00f2ng 24h v\u1edbi di\u1ec5n ti\u1ebfn t\u00f9y theo m\u1ed7i nguy\u00ean nh\u00e2n. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7u tri\u1ec7u ch\u1ee9ng gi\u1ea3m l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u . N\u1ebfu can thi\u1ec7p k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 tr\u00e1nh chuy\u1ec3n qua giai \u0111o\u1ea1n 2.<\/li>\n<\/ul>\n<h4>3.3.2. Giai \u0111o\u1ea1n \u0111\u00e1i \u00edt- v\u00f4 ni\u1ec7u<\/h4>\n<ul>\n<li>V\u00f4 ni\u1ec7u c\u00f3 th\u1ec3 di\u1ec5n bi\u1ebfn t\u1eeb t\u1eeb ho\u1eb7c \u0111\u1ed9t ng\u1ed9t. \u0110\u00e1i \u00edt, v\u00f4 ni\u1ec7u c\u00f3 th\u1ec3 k\u00e9o d\u00e0i 1-2 ng\u00e0y, c\u00f3 khi 1-6 tu\u1ea7n, trung b\u00ecnh 7-14 ng\u00e0y b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u00e1i tr\u1edf l\u1ea1i. N\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u, c\u00f3 th\u1ec3 c\u00f3 m\u00e1u, m\u1ee7, \u0111\u00f4i khi c\u00f3 vi khu\u1ea9n.<\/li>\n<li>N\u1ed3ng \u0111\u1ed9 ure, creatinin m\u00e1u t\u0103ng nhanh trong giai \u0111o\u1ea1n n\u00e0y. T\u1ed1c \u0111\u1ed9 t\u0103ng c\u00e0ng nhau th\u00ec ti\u00ean l\u01b0\u1ee3ng c\u00e0ng x\u1ea5u.<\/li>\n<li>Xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u0103ng ure m\u00e1u nh\u01b0 ch\u1ea3y m\u00e1u n\u1ed9i t\u1ea1ng, vi\u00eam m\u00e0ng ngo\u00e0i tim, bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n n\u00e3o.<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i, t\u0103ng kali m\u00e1u g\u00e2y ra c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim nh\u01b0 s\u00f3ng T cao, QT ng\u1eafn, ngo\u1ea1i t\u00e2m thu th\u1ea5t, rung th\u1ea5t, xo\u1eafn \u0111\u1ec9nh.<\/li>\n<li>Toan chuy\u1ec3n ho\u00e1: pH, HCO3 m\u00e1u gi\u1ea3m, c\u00f3 kho\u1ea3ng tr\u1ed1ng anion. Ng\u01b0\u1eddi b\u1ec7nh th\u1edf s\u00e2u, gi\u00e3n m\u1ea1ch, t\u1ee5t huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n<h4>3.3.3. Giai \u0111o\u1ea1n \u0111\u00e1i tr\u1edf l\u1ea1i<\/h4>\n<ul>\n<li>K\u00e9o d\u00e0i trung b\u00ecnh kho\u1ea3ng 5-7 ng\u00e0y<\/li>\n<li>C\u00f3 l\u1ea1i n\u01b0\u1edbc ti\u1ec3u 200-300ml\/24gi\u1edd, l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u t\u0103ng d\u1ea7n 4-5l\u00edt\/24gi\u1edd.<\/li>\n<li>C\u00e1c nguy c\u01a1: m\u1ea5t n\u01b0\u1edbc do \u0111\u00e1i nhi\u1ec1u, v\u1eabn t\u0103ng ur\u00ea, kali m\u00e1u, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i<\/li>\n<\/ul>\n<h4>3.3.4. Giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c<\/h4>\n<ul>\n<li>T\u00f9y theo nguy\u00ean nh\u00e2n suy th\u1eadn c\u1ea5p m\u00e0 th\u1eddi gian h\u1ed3i ph\u1ee5c c\u0169ng kh\u00e1c nhau, trung b\u00ecnh kho\u1ea3ng 4 tu\u1ea7n.<\/li>\n<li>C\u00e1c r\u1ed1i lo\u1ea1n v\u1ec1 sinh h\u00f3a d\u1ea7n tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng: ure, creatinine m\u00e1u gi\u1ea3m d\u1ea7n, ure, creatinine ni\u1ec7u t\u0103ng d\u1ea7n. Tuy nhi\u00ean kh\u1ea3 n\u0103ng c\u00f4 \u0111\u1eb7c n\u01b0\u1edbc ti\u1ec3u c\u1ee7a \u1ed1ng th\u1eadn, c\u00f3 khi h\u00e0ng n\u0103m m\u1edbi kh\u00f4i ph\u1ee5c ho\u00e0n to\u00e0n. M\u00fac l\u1ecdc c\u1ea7u th\u1eadn h\u1ed3i ph\u1ee5c nhanh h\u01a1n, th\u01b0\u1eddng sau 2 th\u00e1ng c\u00f3 th\u1ec3 tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Suy th\u1eadn c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn \u0111\u1ed9t ng\u1ed9t v\u00e0 k\u00e9o d\u00e0i trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y, d\u1eabn \u0111\u1ebfn gi\u1ea3m m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn, m\u1ea5t kh\u1ea3 n\u0103ng lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3, kh\u00f4ng c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. B\u00e0i vi\u1ebft sau \u0111\u00e2y s\u1ebd gi\u1edbi thi\u1ec7u v\u1ec1 c\u00e1c [&hellip;]<\/p>\n","protected":false},"author":43,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Suy th\u1eadn c\u1ea5p: Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Suy th\u1eadn c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn d\u1eabn \u0111\u1ebfn m\u1ea5t kh\u1ea3 n\u0103ng lo\u1ea1i b\u1ecf ch\u1ea5t th\u1ea3i ra kh\u1ecfi c\u01a1 th\u1ec3, kh\u00f4ng c\u00e2n b\u1eb1ng n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i.\" \/>\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=\"Suy th\u1eadn c\u1ea5p: Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng - 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