{"id":29624,"date":"2023-04-30T00:44:19","date_gmt":"2023-04-29T17:44:19","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29624"},"modified":"2023-04-30T13:25:00","modified_gmt":"2023-04-30T06:25:00","slug":"nhiem-ceton-do-dai-thao-duong-o-tre-em-khac-biet-the-nao","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/nhiem-ceton-do-dai-thao-duong-o-tre-em-khac-biet-the-nao\/","title":{"rendered":"Nhi\u1ec5m ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf tr\u1ebb em, kh\u00e1c bi\u1ec7t th\u1ebf n\u00e0o?"},"content":{"rendered":"<p><strong>Nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (Diabetic ketoacidosis &#8211; DKA) l\u00e0 m\u1ed9t trong c\u00e1c c\u1ea5p c\u1ee9u n\u1ed9i ti\u1ebft th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. Nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nhi, g\u00e2y ra do thi\u1ebfu h\u1ee5t insulin. Ba b\u1ea5t th\u01b0\u1eddng sinh h\u1ecdc, k\u1ebft h\u1ee3p ch\u1eb7t ch\u1ebd v\u1edbi nhau \u0111\u01b0\u1ee3c th\u1ea5y ch\u1ec9 ri\u00eang trong t\u00ecnh tr\u1ea1ng nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, nhi\u1ec5m ceton v\u00e0 nhi\u1ec5m toan chuy\u1ec3n h\u00f3a.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-29627 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/GettyImages-1321467246-af82357ef44949319afa55f44f317386-300x200.jpg\" alt=\"nhiem-ceton-do-dai-thao-duong\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/GettyImages-1321467246-af82357ef44949319afa55f44f317386-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/GettyImages-1321467246-af82357ef44949319afa55f44f317386-1024x683.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/GettyImages-1321467246-af82357ef44949319afa55f44f317386-768x512.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/GettyImages-1321467246-af82357ef44949319afa55f44f317386.jpg 1500w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>1. D\u1ecbch t\u1ec5<\/h2>\n<p>&#8211; T\u1ea7n su\u1ea5t m\u1eafc nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 1 l\u1ea7n\/10,000 ng\u01b0\u1eddi\/n\u0103m. Khi xem x\u00e9t qu\u1ea7n th\u1ec3 b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u1ea7n su\u1ea5t n\u00e0y l\u00e0 46 l\u1ea7n g\u1eb7p\/ 10,000 ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>&#8211; Tu\u1ed5i trung b\u00ecnh b\u1ecb t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 kho\u1ea3ng 45.<\/p>\n<p>&#8211; T\u0103ng t\u1ea7n su\u1ea5t m\u1eafc nhi\u1ec5m toan ceton x\u1ea3y ra trong th\u1eddi gian m\u00f9a l\u1ea1nh v\u1edbi s\u1ef1 ghi nh\u1eadn: 43% c\u00e1c ca nh\u1eadp vi\u1ec7n x\u1ea3y ra trong th\u1eddi gian t\u1eeb th\u00e1ng 11 \u0111\u1ebfn th\u00e1ng 2. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch l\u00e0 c\u00f3 li\u00ean quan v\u1edbi s\u1ef1 th\u01b0\u1eddng g\u1eb7p c\u00e1c nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong th\u1eddi gian n\u00e0y. -T\u1ef7 l\u1ec7 t\u1eed vong c\u1ee7a t\u00ecnh tr\u1ea1ng nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u1eabn trong kho\u1ea3ng 5-10% t\u1eeb nhi\u1ec1u n\u0103m nay.<\/p>\n<p>-T\u1ef7 l\u1ec7 n\u00e0y t\u0103ng theo tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o b\u1ec7nh l\u00fd ph\u1ed1i h\u1ee3p h\u01a1n l\u00e0 v\u00e0o b\u1ea3n th\u00e2n t\u00ecnh tr\u1ea1ng nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p><strong>\u0110I\u1ec2M KH\u00c1C BI\u1ec6T \u1ede TR\u1eba NH\u1ece:<\/strong><\/p>\n<ul>\n<li>\u0110\u1ed1i v\u1edbi tr\u1ebb c\u00e0ng nh\u1ecf, kh\u00f3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng: ti\u1ec3u nhi\u1ec1u, u\u1ed1ng nhi\u1ec1u v\u00e0 s\u1ee5t c\u00e2n.<\/li>\n<li>Nh\u1eefng \u0111\u1ee9a tr\u1ebb DKA kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n k\u00e8m th\u00eam c\u00e1c b\u1ec7nh l\u00ed th\u01b0\u1eddng g\u1eb7p v\u1ec1 h\u00f4 h\u1ea5p v\u00e0 s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb corticoid ho\u1eb7c thu\u1ed1c giao c\u1ea3m l\u00e0m t\u1ed3i t\u1ec7 th\u00eam t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn th\u00eam t\u00ecnh tr\u1ea1ng m\u1ea5t n\u01b0\u1edbc tr\u1ea7m tr\u1ecdng, toan h\u00f3a, l\u01a1 m\u01a1 hay th\u1eadm ch\u00ed h\u00f4n m\u00ea<\/li>\n<li>\u1ede c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n, 15-70% tr\u1ebb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n \u0110T\u0110 l\u1ea7n \u0111\u1ea7u c\u00f3 k\u00e8m DKA<\/li>\n<li>DKA gi\u1ea3m: 36% \u1edf tr\u1ebb &lt; 5 tu\u1ed5i c\u00f2n 16% \u1edf tr\u1ebb &lt;14 tu\u1ed5i.<\/li>\n<li>T\u1ec9 l\u1ec7 n\u00e0y kh\u00f4ng thay \u0111\u1ed5i theo gi\u1edbi t\u00ednh hay ch\u1ee7ng t\u1ed9c<\/li>\n<li>Chuy\u1ec3n h\u00f3a c\u01a1 b\u1ea3n v\u00e0 di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t l\u1edbn so v\u1edbi tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3. T\u1ec9 l\u1ec7 d\u1ecbch\/kg \u1edf tr\u1ebb gi\u1ea3m d\u1ea7n khi n\u00f3 c\u00e0ng l\u1edbn. V\u00ec v\u1eady, m\u1eb7c d\u00f9 ch\u1ec9 s\u1ed1 di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t l\u00e0 h\u1eb1ng \u0111\u1ecbnh, nh\u01b0ng c\u1ea7n s\u1ef1 c\u00e2n ch\u1ec9nh nhu c\u1ea7u c\u01a1 b\u1ea3n theo kh\u1ed1i l\u01b0\u1ee3ng \u1edf tr\u1ebb c\u00f3 \u0111\u1ed9 tu\u1ed5i kh\u00e1c nhau<\/li>\n<li>S\u1ef1 khi\u1ebfm khuy\u1ebft \u1edf h\u1ec7 th\u1ea7n kinh t\u1ef1 tr\u1ecb c\u1ee7a tr\u1ebb nh\u1ecf k\u1ebft h\u1ee3p v\u1edbi khuynh h\u01b0\u1edbng tr\u1ebb b\u1ecb ph\u00f9 n\u00e3o, x\u1ea3y ra 0.5-1% \u1edf tr\u1ebb c\u00f3 DKA, v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong ph\u1ed5 bi\u1ebfn<\/li>\n<li>M\u1ed9t b\u00e1o c\u00e1o n\u00f3i r\u1eb1ng t\u1ec9 l\u1ec7 t\u1eed vong DKA tr\u00ean d\u00e2n s\u1ed1 qu\u1ed1c gia (M\u1ef9) 0.15-0.3%. V\u00e0 m\u1ed9t khi c\u00f3 ph\u00f9 n\u00e3o, t\u1ec9 l\u1ec7 t\u1eed vong l\u00e0 20-25%; v\u00e0 bi\u1ebfn ch\u1ee9ng suy tuy\u1ebfn y\u00ean chi\u1ebfm 10-25% \u1edf nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng s\u00f3t. Ph\u00f9 n\u00e3o li\u00ean quan 60-90% \u1edf nh\u1eefng ca t\u1eed vong DKA.<\/li>\n<\/ul>\n<h2>2. Sinh l\u00fd b\u1ec7nh nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p>C\u00e1c t\u00ecnh hu\u1ed1ng kh\u1edfi ph\u00e1t nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng lu\u00f4n \u0111i k\u00e8m v\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu insulin tuy\u1ec7t \u0111\u1ed1i hay t\u01b0\u01a1ng \u0111\u1ed1i.<\/p>\n<p><strong><u>T\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t Insulin<\/u><\/strong><\/p>\n<ul>\n<li>Thi\u1ebfu h\u1ee5t\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Insulin\">insulin <\/a>l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng ch\u00ednh, c\u1ea7n v\u00e0 \u0111\u1ee7 \u0111\u1ec3 kh\u1edfi ph\u00e1t m\u1ed9t \u0111\u1ee3t nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/li>\n<li>T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a t\u00ecnh tr\u1ea1ng gi\u1ea3m h\u1ea5p thu v\u00e0 oxy h\u00f3a c\u1ee7a glucose \u1edf ngo\u1ea1i vi v\u00e0 t\u0103ng s\u1ea3n xu\u1ea5t glucose c\u1ee7a gan do ho\u1ea1t h\u00f3a qu\u00e1 tr\u00ecnh ph\u00e2n hu\u1ef7 v\u00e0 t\u00e2n t\u1ea1o\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Glycogen\">glycogen<\/a>. T\u0103ng t\u1ea1o ceton c\u00f3 li\u00ean quan v\u1edbi t\u00ecnh tr\u1ea1ng t\u0103ng ph\u00e2n h\u1ee7y m\u1ee1 v\u00e0 t\u0103ng chuy\u1ec3n \u0111\u1ed5i c\u00e1c acid b\u00e9o t\u1ef1 do th\u00e0nh th\u1ec3 cetonic \u1edf gan. S\u1eed d\u1ee5ng ngo\u1ea1i vi c\u1ee7a c\u00e1c th\u00e0nh ph\u1ea7n n\u00e0y b\u1ecb suy gi\u1ea3m do t\u00ecnh tr\u1ea1ng thi\u1ebfu insulin.<\/li>\n<\/ul>\n<p>&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T\u00ecnh tr\u1ea1ng thi\u1ebfu insulin g\u00e2y m\u1ed9t bi\u1ebfn \u0111\u1ed5i v\u1ec1 t\u1ef7 l\u1ec7 insulin\/glucagon. Bi\u1ebfn \u0111\u1ed5i t\u1ef7 l\u1ec7 n\u00e0y s\u1ebd k\u00edch th\u00edch qu\u00e1 tr\u00ecnh t\u1ea1o ceton, c\u0169ng nh\u01b0 qu\u00e1 tr\u00ecnh t\u00e2n t\u1ea1o glycogen v\u00e0 ph\u00e2n h\u1ee7y glycogen. C\u00e1c t\u00e1c \u0111\u1ed9ng tr\u00ean gan n\u00e0y c\u1ee7a glucagon ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n khi kh\u00f4ng c\u00f3 insulin. T\u0103ng \u0110H g\u00e2y n\u00ean m\u1ed9t t\u0103ng b\u00e0i ni\u1ec7u th\u1ea9m th\u1ea5u v\u1edbi h\u1eadu qu\u1ea3 g\u00e2y m\u1ea5t n\u01b0\u1edbc,\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Natri\">natri<\/a>\u00a0v\u00e0\u00a0<a href=\"https:\/\/vi.wikipedia.org\/wiki\/Kali\">kali<\/a>, t\u00ecnh tr\u1ea1ng t\u0103ng ceton g\u00e2y ra nhi\u1ec5m toan chuy\u1ec3n h\u00f3a.<\/p>\n<p><strong><u>T\u0103ng c\u00e1c hormon g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/u><\/strong><\/p>\n<ul>\n<li>C\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam n\u1eefa h\u1eadu qu\u1ea3 c\u1ee7a t\u00ecnh tr\u1ea1ng thi\u1ebfu insulin song kh\u00f4ng th\u1ec3 g\u00e2y ra to\u00e0n b\u1ed9 b\u1ec7nh c\u1ea3nh nhi\u1ec5m nhi\u1ec5m toan ceton. Trong ph\u1ea3n \u1ee9ng sau khi b\u1ecb m\u1ed9t \u0111\u1ea3 k\u00edch c\u1ea5p t\u00ednh, \u0111\u01b0\u1ee3c t\u00e1i t\u1ea1o ra b\u1eb1ng c\u00e1ch truy\u1ec1n \u0111\u1ed3ng th\u1eddi catecholamine, cortisol v\u00e0 glucagon. Ng\u01b0\u1eddi ta th\u1ea5y c\u00f3 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft song kh\u00f4ng c\u00f3 t\u0103ng ceton m\u00e1u.<\/li>\n<\/ul>\n<h2>3. Y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i<\/h2>\n<p>&#8211; Y\u1ebfu t\u1ed1 ch\u00ednh:<\/p>\n<p>+ Nhi\u1ec5m tr\u00f9ng<\/p>\n<p>+ C\u00f3 b\u1ec7nh c\u1ea5p t\u00ednh xu\u1ea5t hi\u1ec7n<\/p>\n<p>+ B\u1ecf ch\u00edch insulin ho\u1eb7c ch\u00edch kh\u00f4ng \u0111\u1ee7 li\u1ec1u<\/p>\n<ul>\n<li>R\u1ed1i lo\u1ea1n t\u00e2m l\u00fd l\u00e0 y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i r\u1ea5t quan tr\u1ecdng g\u00e2y nhi\u1ec5m ceton acid \u1edf thi\u1ebfu ni\u00ean<\/li>\n<li>\u0110\u00f4i khi kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c m\u1ed9t y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i n\u00e0o r\u00f5 r\u1ec7t<\/li>\n<\/ul>\n<p>\u00d8 <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/chan-doan-va-dieu-tri-dai-thao-duong-tuyp-1\/#:~:text=Ti%E1%BB%83u%20%C4%91%C6%B0%E1%BB%9Dng%20tu%C3%BDp%201%20(tr%C6%B0%E1%BB%9Bc,ngo%C3%A0i%20%C4%91%C6%B0a%20v%C3%A0o%20c%C6%A1%20th%E1%BB%83.\">\u0110T\u0110 type 1<\/a> c\u00f3 th\u1ec3 nhi\u1ec5m ceton acid khi:<\/p>\n<ul>\n<li>Insulin trong c\u01a1 th\u1ec3 b\u1ecb c\u1ea1n ki\u1ec7t (b\u1ec7nh m\u1edbi ch\u1ea9n \u0111o\u00e1n, ch\u01b0a \u0111i\u1ec1u tr\u1ecb), khi ng\u01b0ng Insulin \u0111\u1ed9t ng\u1ed9t (kh\u00f4ng tu\u00e2n tr\u1ecb)<\/li>\n<li>B\u1ec7nh nh\u00e2n g\u1eb7p t\u00ecnh tr\u1ea1ng stress: nhi\u1ec5m tr\u00f9ng, ph\u1eabu thu\u1eadt, ch\u1ea5n th\u01b0\u01a1ng, c\u01b0\u1eddng gi\u00e1p n\u1eb7ng ho\u1eb7c c\u00f3 c\u00e1c b\u1ec7nh n\u1ed9i ti\u1ebft kh\u00e1c, ung th\u01b0, d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0m c\u1ea3n tr\u1edf s\u1ef1 ti\u1ebft Insulin&#8230;<\/li>\n<\/ul>\n<p>\u00d8 \u0110T\u0110 type 2 c\u00f3 th\u1ec3 nhi\u1ec5m ceton acid khi glucose m\u00e1u ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh k\u00e8m th\u00eam y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i:<\/p>\n<p>&#8211; Nhi\u1ec5m tr\u00f9ng: vi\u00eam ph\u1ed5i, vi\u00eam m\u00e0ng n\u00e3o, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u00eau ho\u00e1, nhi\u1ec5m tr\u00f9ng ti\u1ebft ni\u1ec7u, c\u1ea3m c\u00fam \u2026<br \/>\n&#8211; Ch\u1ea5n th\u01b0\u01a1ng: K\u1ec3 c\u1ea3 c\u00e1c stress v\u1ec1 tinh th\u1ea7n<br \/>\n&#8211; Nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed9t qu\u1ecb \u2026<br \/>\n&#8211; S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c c\u00f3 cocain \u2026<\/p>\n<h2>4. Ph\u00f2ng ng\u1eeba toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/h2>\n<p><em>4.1. Ng\u01b0\u1eddi b\u1ec7nh <\/em><br \/>\n&#8211; Bi\u1ebft c\u00e1ch t\u1ef1 theo d\u00f5i l\u01b0\u1ee3ng glucose m\u00e1u v\u00e0 ceton n\u01b0\u1edbc ti\u1ec3u<br \/>\n&#8211; G\u1eb7p ngay b\u00e1c s\u0129 khi c\u00f3 m\u1eafc th\u00eam m\u1ed9t b\u1ec7nh kh\u00e1c\/ xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00e1o tr\u01b0\u1edbc kh\u1ea3 n\u0103ng nhi\u1ec5m toan ceton: bu\u1ed3n n\u00f4n, s\u1ed1t, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y ho\u1eb7c n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u cao, ceton trong n\u01b0\u1edbc ti\u1ec3u dai d\u1eb3ng\u2026<\/p>\n<p>&#8211; Kh\u00f4ng t\u1ef1 \u00fd gi\u1ea3m li\u1ec1u ti\u00eam insulin\/ b\u1ecf thu\u1ed1c c\u1ea3 khi m\u1eafc m\u1ed9t b\u1ec7nh kh\u00e1c<\/p>\n<p><em>4.2 \u00a0<\/em><em>\u00a0<\/em><em>Th<\/em><em>\u1ea7<\/em><em>y thu\u1ed1c<\/em><br \/>\n&#8211; Th\u00f4ng b\u00e1o cho ng\u01b0\u1eddi b\u1ec7nh\/ gia \u0111\u00ecnh bi\u1ebft t\u00ecnh h\u00ecnh b\u1ec7nh, c\u00e1ch ph\u00e1t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng ho\u1eb7c d\u1ea5u hi\u1ec7u nguy hi\u1ec3m c\u1ea7n \u0111i kh\u00e1m b\u1ec7nh<br \/>\n&#8211; Th\u0103m kh\u00e1m ph\u1ea3i t\u1ec9 m\u1ec9 \u0111\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng di\u1ec5n bi\u1ebfn b\u1ea5t th\u01b0\u1eddng c\u1ee7a b\u1ec7nh. Ph\u00e2n lo\u1ea1i ng\u01b0\u1eddi b\u1ec7nh theo giai \u0111o\u1ea1n b\u1ec7nh \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (Diabetic ketoacidosis &#8211; DKA) l\u00e0 m\u1ed9t trong c\u00e1c c\u1ea5p c\u1ee9u n\u1ed9i ti\u1ebft th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. Nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nhi, g\u00e2y ra do thi\u1ebfu h\u1ee5t insulin. Ba b\u1ea5t th\u01b0\u1eddng sinh h\u1ecdc, [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,80,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Nhi\u1ec5m ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf tr\u1ebb em, kh\u00e1c bi\u1ec7t th\u1ebf n\u00e0o? - Vinmec<\/title>\n<meta name=\"description\" content=\"Nhi\u1ec5m toan ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u00a0l\u00e0 m\u1ed9t trong c\u00e1c c\u1ea5p c\u1ee9u\u00a0n\u1ed9i ti\u1ebft\u00a0th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh, \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nhi.\" \/>\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=\"Nhi\u1ec5m ceton do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u1edf tr\u1ebb em, kh\u00e1c bi\u1ec7t th\u1ebf n\u00e0o? 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