{"id":30985,"date":"2023-05-04T00:42:06","date_gmt":"2023-05-03T17:42:06","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30985"},"modified":"2023-05-04T00:42:06","modified_gmt":"2023-05-03T17:42:06","slug":"dich-te-hoc-benh-tri-tan-suat-benh-va-yeu-to-nguy-co","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/dich-te-hoc-benh-tri-tan-suat-benh-va-yeu-to-nguy-co\/","title":{"rendered":"D\u1ecbch t\u1ec5 h\u1ecdc B\u1ec7nh tr\u0129: T\u1ea7n su\u1ea5t b\u1ec7nh v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1"},"content":{"rendered":"<p><strong>\u0110\u00e1m r\u1ed1i t\u0129nh m\u1ea1ch tr\u0129 l\u00e0 c\u1ea5u tr\u00fac m\u1ea1ch m\u00e1u b\u00ecnh th\u01b0\u1eddng \u1edf \u1ed1ng h\u1eadu m\u00f4n, bao g\u1ed3m c\u00e1c m\u1ea1ch m\u00e1u th\u00f4ng n\u1ed1i v\u1edbi m\u00e1u t\u1ea1o th\u00e0nh hai \u0111\u00e1m r\u1ed1i &#8211; t\u0129nh m\u1ea1ch tr\u0129 tr\u00ean v\u00e0 t\u0129nh m\u1ea1ch tr\u0129 d\u01b0\u1edbi. Trong tr\u01b0\u1eddng h\u1ee3p sinh l\u00fd b\u00ecnh th\u01b0\u1eddng, \u0111\u00e1m r\u1ed1i t\u0129nh m\u1ea1ch tr\u0129 c\u00f3 vai tr\u00f2 \u0111\u1ec7m \u0111\u1ee1 v\u00f9ng \u1ed1ng h\u1eadu m\u00f4n trong ho\u1ea1t \u0111\u1ed9ng \u0111i ti\u00eau. Khi m\u1ea1ch m\u00e1u c\u1ee7a \u0111\u00e1m r\u1ed1i tr\u0129 b\u1ecb ph\u00ecnh gi\u00e3n qu\u00e1 m\u1ee9c th\u00ec g\u1ecdi l\u00e0 b\u1ec7nh tr\u0129. B\u1ec7nh tr\u0129 l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5 bi\u1ebfn, c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 r\u1ea5t ri\u00eang bi\u1ec7t, li\u00ean quan m\u1eadt thi\u1ebft c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 trong th\u00f3i quen s\u1ed1ng h\u1eb1ng ng\u00e0y.<\/strong><\/p>\n<h2>1. Ph\u00e2n lo\u1ea1i b\u1ec7nh tr\u0129<\/h2>\n<p>D\u1ef1a v\u00e0o v\u1ecb tr\u00ed v\u00e0 ngu\u1ed3n g\u1ed1c, c\u00e1c b\u00fai tr\u0129 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh 02 lo\u1ea1i ch\u00ednh l\u00e0 tr\u0129 n\u1ed9i v\u00e0 tr\u0129 ngo\u1ea1i.<\/p>\n<ul>\n<li>Tr\u0129 n\u1ed9i l\u00e0 c\u00e1c b\u00fai tr\u0129 c\u00f3 v\u1ecb tr\u00ed ph\u00eda tr\u00ean hay ngay tr\u00ean \u0111\u01b0\u1eddng l\u01b0\u1ee3c. Tr\u0129 n\u1ed9i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb \u0111\u00e1m r\u1ed1i trong c\u1ee7a h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch tr\u0129. C\u00e1c b\u00fai tr\u0129 n\u1ed9i \u0111\u01b0\u1ee3c chi ph\u1ed1i b\u1edfi h\u1ec7 th\u1ed1ng th\u1ea7n kinh t\u1ea1ng n\u00ean \u00edt nh\u1ea1y c\u1ea3m v\u1edbi c\u1ea3m gi\u00e1c \u0111au v\u00e0 c\u00e1c k\u00edch th\u00edch kh\u00e1c. Tr\u0129 n\u1ed9i \u0111\u01b0\u1ee3c chia th\u00e0nh 04 m\u1ee9c \u0111\u1ed9\n<ul>\n<li>\u0110\u1ed9 I: B\u00fai tr\u0129 n\u1ed9i quan s\u00e1t \u0111\u01b0\u1ee3c b\u1eb1ng n\u1ed9i soi h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng, c\u00f3 th\u1ec3 nh\u00f4 v\u00e0o \u1ed1ng tr\u1ef1c tr\u00e0ng nh\u01b0ng kh\u00f4ng v\u01b0\u1ee3t qua \u0111\u01b0\u1eddng l\u01b0\u1ee3c<\/li>\n<li>\u0110\u1ed9 II: B\u00fai tr\u0129 n\u1ed9i sa xu\u1ed1ng \u1ed1ng h\u1eadu m\u00f4n khi \u0111i \u0111\u1ea1i ti\u1ec7n hay r\u1eb7n, sau \u0111\u00f3 t\u1ef1 r\u00fat l\u1ea1i \u0111\u01b0\u1ee3c<\/li>\n<li>\u0110\u1ed9 III: B\u00fai tr\u0129 n\u1ed9i sa xu\u1ed1ng \u1ed1ng h\u1eadu m\u00f4n khi \u0111i \u0111\u1ea1i ti\u1ec7n hay r\u1eb7n, kh\u00f4ng t\u1ef1 r\u00fat l\u1ea1i \u0111\u01b0\u1ee3c, c\u1ea7n d\u00f9ng tay \u0111\u1ea9y b\u00fai tr\u0129 l\u00ean.<\/li>\n<li>\u0110\u1ed9 IV:B\u00fai tr\u0129 n\u1ed9i sa xu\u1ed1ng \u1ed1ng h\u1eadu m\u00f4n v\u00e0 kh\u00f4ng th\u1ec3 d\u00f9ng tay \u0111\u1ea9y b\u00fai tr\u0129 l\u00ean \u0111\u01b0\u1ee3c.<\/li>\n<\/ul>\n<\/li>\n<li>Tr\u0129 ngo\u1ea1i l\u00e0 c\u00e1c b\u00fai tr\u0129 c\u00f3 v\u1ecb tr\u00ed b\u00ean d\u01b0\u1edbi c\u1ee7a \u0111\u01b0\u1eddng l\u01b0\u1ee3c. Tr\u0129 ngo\u1ea1i c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb \u0111\u00e1m r\u1ed1i ngo\u00e0i c\u1ee7a h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch tr\u0129 v\u00e0 c\u00f3 chi ph\u1ed1i th\u1ea7n kinh c\u1ea3m gi\u00e1c b\u1ea3n th\u1ec3 n\u00ean r\u1ea5t nh\u1ea1y c\u1ea3m v\u1edbi c\u1ea3m gi\u00e1c \u0111au v\u00e0 c\u00e1c k\u00edch th\u00edch kh\u00e1c.<\/li>\n<li>Tr\u0129 h\u1ed7n h\u1ee3p &#8211; l\u00e0 nh\u1eefng b\u00fai tr\u0129 tr\u0129 k\u00e9o d\u00e0i t\u1eeb b\u00ean tr\u00ean v\u00e0 v\u01b0\u1ee3t qua \u0111\u01b0\u1eddng l\u01b0\u1ee3c, mang nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a c\u1ea3 tr\u0129 n\u1ed9i v\u00e0 tr\u0129 ngo\u1ea1i.<\/li>\n<\/ul>\n<p>B\u00e0i vi\u1ebft chi ti\u1ebft v\u1ec1 gi\u1ea3i ph\u1eabu ch\u1ee9c n\u0103ng v\u00e0 ph\u00e2n lo\u1ea1i tr\u0129 \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u tr\u00ean chuy\u00ean trang <a href=\"http:\/\/vinmecDr.com\">VinmecDr<\/a>.<\/p>\n<h2>2. \u0110\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 h\u1ecdc c\u1ee7a b\u1ec7nh tr\u0129<\/h2>\n<h3>2.1 T\u1ea7n su\u1ea5t b\u1ec7nh tr\u0129<\/h3>\n<p>B\u1ec7nh tr\u0129 l\u00e0 b\u1ec7nh v\u00f9ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 y t\u1ebf v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn v\u00f9ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng. T\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh gia t\u0103ng theo tu\u1ed5i, ph\u1ea7n l\u1edbn ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u0111\u1ed9 tu\u1ed5i trung ni\u00ean \u0111\u1ec1u c\u00f3 m\u1ed9t kho\u1ea3ng th\u1eddi gian m\u1eafc b\u1ec7nh tr\u0129 ho\u1eb7c c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh tr\u0129 \u1edf \u00edt nh\u1ea5t m\u1ed9t giai \u0111o\u1ea1n n\u00e0o \u0111\u00f3 trong \u0111\u1eddi. Tuy v\u1eabn ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u \u0111\u1ee7 l\u1edbn \u0111\u1ec3 \u0111\u01b0a ra gi\u00e1 tr\u1ecb th\u1ed1ng k\u00ea v\u1ec1 t\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh trong d\u00e2n s\u1ed1 Vi\u1ec7t Nam, d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ban \u0111\u1ea7u cho th\u1ea5y t\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh th\u1ed1ng k\u00ea \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i l\u00e0 kho\u1ea3ng 50%. B\u1ec7nh hi\u1ebfm g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi d\u01b0\u1edbi 20 tu\u1ed5i.<\/p>\n<p>Tuy nhi\u00ean r\u1ea5t kh\u00f3 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c t\u1ea7n su\u1ea5t m\u1eafc th\u1ef1c s\u1ef1 c\u1ee7a d\u00e2n s\u1ed1 \u0111\u1ed1i v\u1edbi b\u1ec7nh tr\u0129. Do r\u1eb1ng m\u1ed9t ph\u1ea7n kh\u00f4ng nh\u1ecf c\u00e1c b\u1ec7nh nh\u00e2n th\u01b0\u1eddng ngh\u0129 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00f9ng h\u1eadu m\u00f4n tr\u1ef1c tr\u00e0ng l\u00e0 do tr\u0129. Th\u1ef1c ra c\u00f2n c\u00f3 nh\u1eefng nguy\u00ean nh\u00e2n kh\u00e1c nh\u01b0 r\u00f2 h\u1eadu m\u00f4n, n\u1ee9t h\u1eadu m\u00f4n v\u00e0 m\u1ee5n c\u00f3c sinh d\u1ee5c&#8230;c\u00f3 th\u1ec3 cho c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1 gi\u1ed1ng v\u1edbi tr\u0129. N\u00ean s\u1ed1 li\u1ec7u \u1edf c\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c nhau c\u00f3 th\u1ec3 cho c\u00e1c k\u1ebft qu\u1ea3 r\u1ea5t m\u00e2u thu\u1eabn. M\u1ed9t nghi\u00ean c\u1ee9u c\u1eaft ngang kh\u1ea3o s\u00e1t d\u1ecbch t\u1ec5 b\u1ec7nh tr\u0129 th\u1ef1c hi\u1ec7n t\u1ea1i Th\u00e0nh Ph\u1ed1 H\u1ed3 Ch\u00ed Minh c\u1ee7a t\u00e1c gi\u1ea3 Tr\u1ea7n Thi\u1ec7n Ho\u00e0i th\u1ef1c hi\u1ec7n n\u0103m 2006, kh\u1ea3o s\u00e1t ng\u1eabu nhi\u00ean c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng tr\u00ean 50 tu\u1ed5i \u1edf t\u1ea5t c\u1ea3 c\u00e1c qu\u1eadn huy\u1ec7n c\u1ee7a th\u00e0nh ph\u1ed1, ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng th\u0103m kh\u00e1m tr\u1ef1c ti\u1ebfp b\u1edfi b\u00e1c s\u0129 cho k\u1ebft qu\u1ea3 nh\u01b0 sau: T\u1ef7 l\u1ec7 hi\u1ec7n m\u1eafc b\u1ec7nh tr\u0129 n\u1ed9i v\u00e0 b\u1ec7nh tr\u0129 ngo\u1ea1i trong c\u1ed9ng \u0111\u1ed3ng l\u00e0 25,13%, nam c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh cao g\u1ea5p 1,36 l\u1ea7n so v\u1edbi n\u1eef. Nh\u00f3m tu\u1ed5i m\u1eafc tr\u0129 cao nh\u1ea5t trong m\u1eabu nghi\u00ean c\u1ee9u l\u00e0 65-69 tu\u1ed5i v\u00e0 c\u00f3 s\u1ef1 gi\u1ea3m nh\u1eb9 t\u1ef7 l\u1ec7 sau tu\u1ed5i 75.<\/p>\n<p>Nghi\u00ean c\u1ee9u b\u00ean tr\u00ean c\u0169ng ch\u1ec9 ra m\u1ed1i li\u00ean quan gi\u1eefa t\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh tr\u0129 v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0: t\u00e1o b\u00f3n (OR = 1,80, kho\u1ea3ng tin c\u1eady 95%) v\u00e0 b\u1ec7nh h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh g\u00e2y ho nhi\u1ec1u (OR = 1,40, kho\u1ea3ng tin c\u1eady 95%).<\/p>\n<figure style=\"width: 507px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/diojltd0k7cyx.cloudfront.net\/eyJidWNrZXQiOiJ3ZWxkcmlja3MtY2RuIiwia2V5IjoibmV3c1wvMzI4XC9oZW1vcnJob2lkcy1zeW1wdG9tcy10cmVhdG1lbnRzLWFuZC1jYXVzZXMtd2VsZHJpY2tzLXBoYXJtYWN5LTVmMjJlZmU5MjFhNjcuanBnIiwiZWRpdHMiOnsicmVzaXplIjp7IndpZHRoIjoxNjAwLCJoZWlnaHQiOjkwMCwiZml0IjoiY292ZXIiLCJiYWNrZ3JvdW5kIjp7InIiOjI1NSwiZyI6MjU1LCJiIjoyNTUsImFscGhhIjoxfX0sIndlYnAiOnsicXVhbGl0eSI6ODB9LCJqcGVnIjp7InF1YWxpdHkiOjgwLCJwcm9ncmVzc2l2ZSI6dHJ1ZX19fQ==\" alt=\"Minh-hoa-dich-te-hoc-benh-tri\" width=\"507\" height=\"285\" \/><figcaption class=\"wp-caption-text\">B\u1ec7nh tr\u0129 c\u00f3 li\u00ean quan \u0111\u1ebfn nhi\u1ec1u y\u1ebfu t\u1ed1 d\u1ecbch t\u1ec5<\/figcaption><\/figure>\n<h3>2.2 Y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh tr\u0129<\/h3>\n<p>Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean, m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00e3 \u0111\u01b0\u1ee3c quan s\u00e1t cho th\u1ea5y g\u00f3p ph\u1ea7n d\u1eabn \u0111\u1ebfn t\u1ea7n su\u1ea5t m\u1eafc cao c\u1ee7a b\u1ec7nh tr\u0129, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 t\u00e1o b\u00f3n v\u00e0 c\u00e1c b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh g\u00e2y ho nhi\u1ec1u. Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a b\u1ec7nh tr\u0129 nh\u01b0:<\/p>\n<ul>\n<li>Th\u00f3i quen ng\u1ed3i nhi\u1ec1u<\/li>\n<li>Ti\u00eau ch\u1ea3y k\u00e9o d\u00e0i<\/li>\n<li>C\u00f3 thai<\/li>\n<li>Di truy\u1ec1n<\/li>\n<li>C\u00e1c b\u1ec7nh l\u00fd tim v\u00e0 gan, \u0111\u1eb7c bi\u1ec7t l\u00e0 x\u01a1 gan<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 li\u00ean quan \u0111\u1ebfn kh\u1edfi ph\u00e1t hay l\u00e0m n\u1eb7ng c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh tr\u0129: l\u1edbn tu\u1ed5i, c\u00e1c kh\u1ed1i u v\u00f9ng ch\u1eadu, ti\u1ec3u khung, kh\u1ed1i u ph\u1ea7n ph\u1ee5, s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng hay c\u00e1c thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u. Tuy nhi\u00ean v\u1eabn c\u00f2n ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 s\u1ef1 t\u01b0\u01a1ng quan r\u00f5 r\u00e0ng v\u1ec1 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 c\u1ee7a b\u1ec7nh tr\u0129 v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 k\u1ec3 tr\u00ean.<\/p>\n<h2><\/h2>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u00e1m r\u1ed1i t\u0129nh m\u1ea1ch tr\u0129 l\u00e0 c\u1ea5u tr\u00fac m\u1ea1ch m\u00e1u b\u00ecnh th\u01b0\u1eddng \u1edf \u1ed1ng h\u1eadu m\u00f4n, bao g\u1ed3m c\u00e1c m\u1ea1ch m\u00e1u th\u00f4ng n\u1ed1i v\u1edbi m\u00e1u t\u1ea1o th\u00e0nh hai \u0111\u00e1m r\u1ed1i &#8211; t\u0129nh m\u1ea1ch tr\u0129 tr\u00ean v\u00e0 t\u0129nh m\u1ea1ch tr\u0129 d\u01b0\u1edbi. Trong tr\u01b0\u1eddng h\u1ee3p sinh l\u00fd b\u00ecnh th\u01b0\u1eddng, \u0111\u00e1m r\u1ed1i t\u0129nh m\u1ea1ch tr\u0129 c\u00f3 vai tr\u00f2 [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>D\u1ecbch t\u1ec5 h\u1ecdc B\u1ec7nh tr\u0129: T\u1ea7n su\u1ea5t b\u1ec7nh v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh tr\u0129 l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5 bi\u1ebfn, c\u00f3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m d\u1ecbch t\u1ec5 r\u1ea5t ri\u00eang bi\u1ec7t, li\u00ean quan m\u1eadt thi\u1ebft c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 trong th\u00f3i quen s\u1ed1ng h\u1eb1ng ng\u00e0y.\" \/>\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=\"D\u1ecbch t\u1ec5 h\u1ecdc B\u1ec7nh tr\u0129: T\u1ea7n su\u1ea5t b\u1ec7nh v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 - 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