{"id":32914,"date":"2023-05-10T16:45:52","date_gmt":"2023-05-10T09:45:52","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32914"},"modified":"2023-05-10T16:45:52","modified_gmt":"2023-05-10T09:45:52","slug":"phan-loai-va-dac-diem-cac-the-benh-cau-than-thu-phat","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/10\/phan-loai-va-dac-diem-cac-the-benh-cau-than-thu-phat\/","title":{"rendered":"Ph\u00e2n lo\u1ea1i v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u00e1c th\u1ec3 b\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t"},"content":{"rendered":"<p><strong>B\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi t\u1ed5n th\u01b0\u01a1ng \u1edf th\u1eadn l\u00e0 m\u1ed9t ph\u1ea7n trong b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng. Nh\u00f3m b\u1ec7nh n\u00e0y bao g\u1ed3m c\u00e1c b\u1ec7nh h\u1ec7 th\u1ed1ng nh\u01b0 lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng (SLE), h\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid, b\u1ec7nh vi\u00eam m\u1ea1ch m\u00e1u kh\u00e1c, c\u00e1c b\u1ec7nh m\u00f4 li\u00ean k\u1ebft ph\u1ed1i h\u1ee3p, Henoch-Schonlein, b\u1ec7nh kh\u00e1ng m\u00e0ng \u0111\u00e1y c\u1ea7u th\u1eadn v\u00e0 h\u1ed9i ch\u1ee9ng Goodpasture,&#8230;B\u00e0i vi\u1ebft n\u00e0y nh\u1eb1m cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u1ec3 b\u1ec7nh th\u1ee9 ph\u00e1t c\u1ee7a b\u1ec7nh c\u1ea7u th\u1eadn v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m chung t\u1eebng th\u1ec3.\u00a0<\/strong><\/p>\n<h2>1. B\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t do <a href=\"https:\/\/www.vinmec.com\/vi\/benh\/lupus-ban-do-3276\/\">lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng<\/a>.<\/h2>\n<p><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> (LN) l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p v\u00e0 l\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a SLE.<\/p>\n<p>T\u1ec9 l\u1ec7 m\u1eafc m\u1edbi v\u00e0 hi\u1ec7n m\u1eafc c\u1ee7a SLT ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i, gi\u1edbi, v\u00f9ng \u0111\u1ecba l\u00fd v\u00e0 ch\u1ee7ng t\u1ed9c c\u0169ng nh\u01b0 c\u00e1c ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n SLE kh\u00e1c nhau. N\u1eef g\u1eb7p nhi\u1ec1u h\u01a1n nam v\u1edbi t\u1ec9 l\u1ec7 10:1. Kh\u1edfi ph\u00e1t b\u1ec7nh \u0111\u1ea1t \u0111\u1ec9nh t\u1eeb tu\u1ed5i 15 &#8211; 45 v\u00e0 h\u01a1n 85% b\u1ec7nh nh\u00e2n d\u01b0\u1edbi 55 tu\u1ed5i. SLE th\u01b0\u1eddng li\u00ean quan v\u1edbi vi\u00eam th\u1eadn n\u1eb7ng \u1edf tr\u1ebb em v\u00e0 nam gi\u1edbi, th\u01b0\u1eddng nh\u1eb9 \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i.<\/p>\n<p>C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nh\u01b0 di truy\u1ec1n, n\u1ed9i ti\u1ebft, m\u00f4i tr\u01b0\u1eddng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn di\u1ec5n ti\u1ebfn v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a SLE. C\u00e1c di truy\u1ec1n d\u1ec5 m\u1eafc SLE h\u01a1n \u0111\u00f3 l\u00e0 c\u00e1c ki\u1ec3u h\u00ecnh c\u1ee7a HLA (HLA-B8, HLA-DR2, v\u00e0 HLA-DR3), c\u00e1c khi\u1ebfm khuy\u1ebft di truy\u1ec1n v\u1ec1 b\u1ed5 th\u1ec3 (nh\u01b0 thi\u1ebfu C1q, C2 v\u00e0 C4), v\u00e0 \u0111a h\u00ecnh gen th\u1ee5 th\u1ec3 Fc.<\/p>\n<p>Trong SLE, c\u00e1c t\u1ef1 kh\u00e1ng th\u1ec3 g\u1eafn k\u1ebft v\u1edbi t\u1ef1 kh\u00e1ng nguy\u00ean h\u00ecnh th\u00e0nh ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch v\u00e0 l\u1eafng \u0111\u1ecdng \u1edf c\u1ea7u th\u1eadn, g\u00e2y vi\u00eam th\u1eadn c\u1ea7u th\u1eadn.n D\u1ef1a tr\u00ean sinh thi\u1ebft th\u1eadn, Hi\u1ec7p h\u1ed9i th\u1eadn h\u1ecdc qu\u1ed1c t\u1ebf\/Hi\u1ec7p h\u1ed9i m\u00f4 b\u1ec7nh h\u1ecdc th\u1eadn chia vi\u00eam th\u1eadn lupus th\u00e0nh 6 nh\u00f3m t\u1eeb I &#8211; VI.<\/p>\n<ul>\n<li>Nh\u00f3m I c\u00f3 \u00edt b\u1eb1ng ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1eadn.<\/li>\n<li>Nh\u00f3m II ch\u1ec9 c\u00f3 thay \u0111\u1ed5i nh\u1eb9 ho\u1eb7c \u00edt tr\u00ean th\u1eadn. C\u00f3 d\u1ea5u \u1ea5n huy\u1ebft thanh d\u01b0\u01a1ng t\u00ednh nh\u01b0 t\u0103ng kh\u00e1ng th\u1ec3 anti DNA, b\u1ed5 th\u1ec3 th\u1ea5p, \u00edt t\u0103ng huy\u1ebft \u00e1p, \u0111\u1ea1m ni\u1ec7u &lt;1g\/ng\u00e0y.<\/li>\n<li>Nh\u00f3m III: LN t\u0103ng sinh khu tr\u00fa, th\u01b0\u1eddng li\u00ean quan v\u1edbi huy\u1ebft thanh lupus d\u01b0\u01a1ng t\u00ednh. Th\u01b0\u1eddng k\u00e8m t\u0103ng huy\u1ebft \u00e1p, c\u1eb7n l\u1eafng d\u01b0\u01a1ng t\u00ednh, \u0111\u1ea1m ni\u1ec7u &gt;1g\/ng\u00e0y. C\u00f3 t\u1eeb 1\/4 &#8211; 1\/3 b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0. Nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 t\u0103ng creatinine huy\u1ebft thanh.<\/li>\n<li>Nh\u00f3m IV: LN t\u0103ng sinh lan t\u1ecfa, bi\u1ec3u hi\u1ec7n \u0111i\u1ec3n h\u00ecnh c\u1ee7a giai \u0111o\u1ea1n vi\u00eam th\u1eadn ho\u1ea1t \u0111\u1ed9ng. Th\u01b0\u1eddng c\u00f3 antiDNA d\u01b0\u01a1ng t\u00ednh cao, b\u1ed5 th\u1ec3 th\u1ea5p, c\u1eb7n l\u1eafng d\u01b0\u01a1ng t\u00ednh r\u00f5 v\u1edbi h\u1ed3ng c\u1ea7u, tr\u1ee5 t\u1ebf b\u00e0o. Kho\u1ea3ng 50% b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u1ea1m ng\u01b0\u1ee1ng th\u1eadn h\u01b0. T\u0103ng huy\u1ebft \u00e1p v\u00e0 suy th\u1eadn r\u1ea5t th\u01b0\u1eddng g\u1eb7p.<\/li>\n<li>Nh\u00f3m V: bi\u1ec3u hi\u1ec7n \u0111i\u1ec3n h\u00ecnh v\u1edbi \u0111\u1ea1m ni\u1ec7u, ph\u00f9 v\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c c\u1ee7a h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0. Tuy nhi\u00ean kho\u1ea3ng 40% c\u00f3 \u0111\u1ea1m ni\u1ec7u d\u01b0\u1edbi 3g\/ng\u00e0y. Kho\u1ea3ng 60% b\u1ec7nh vi\u00eam th\u1eadn m\u00e0ng lupus c\u00f3 b\u1ed5 th\u1ec3 th\u1ea5p. B\u1ec7nh nh\u00e2n bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 tr\u01b0\u1edbc lupus.<\/li>\n<li>Nh\u00f3m VI (LN giai \u0111o\u1ea1n cu\u1ed1i): giai \u0111o\u1ea1n b\u00f9ng n\u1ed5 c\u1ee7a vi\u00eam th\u1eadn k\u00e9o d\u00e0i. C\u00f2n \u0111\u00e1i m\u00e1u vi th\u1ec3 v\u00e0 \u0111\u1ea1m ni\u1ec7u. H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy th\u1eadn.<\/li>\n<\/ul>\n<h2>2. B\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t trong <a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/san-phu-khoa-va-ho-tro-sinh-san\/hoi-chung-anti-phospholipid-lam-sang-va-chi-dinh-xet-nghiem\/\">h\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid<\/a> (APS)<\/h2>\n<p>APS c\u00f3 th\u1ec3 li\u00ean quan v\u1edbi b\u1ec7nh c\u1ea7u th\u1eadn nh\u1ecf, \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c m\u1ea1ch m\u00e1u l\u1edbn v\u00e0 nh\u1ecf, c\u0169ng nh\u01b0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u00f4ng m\u00e1u \u1edf b\u1ec7nh nh\u00e2n l\u1ecdc m\u00e1u v\u00e0 gh\u00e9p th\u1eadn. B\u1ec7nh nh\u00e2n APS th\u01b0\u1eddng c\u00f3 t\u1ef1 kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i protein g\u1eafn k\u1ebft phospholipid. \u0110\u00f3 c\u00f3 th\u1ec3 l\u00e0 IgG v\u00e0\/ho\u1eb7c IgM anticardiolipin antibodies, antibodies c\u1ee7a <strong>\u03b2<\/strong><sub>2<\/sub>-glycoprotein I IgG ho\u1eb7c IgM isotype.<\/p>\n<p>B\u1ec7nh c\u1ea7u th\u1eadn kh\u00e1ng phospholipid kh\u00f4ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n APS, ch\u1ec9 chi\u1ebfm 25%.<\/p>\n<p>B\u1ec7nh th\u01b0\u1eddng li\u00ean quan bi\u1ebfn c\u1ed1 huy\u1ebft kh\u1ed1i, ti\u1ec3u \u0111\u1ea1m ng\u01b0\u1ee1ng th\u1eadn h\u01b0, c\u1eb7n l\u1eafng d\u01b0\u01a1ng t\u00ednh, t\u0103ng huy\u1ebft \u00e1p, suy th\u1eadn ti\u1ebfn tri\u1ec3n.<\/p>\n<h2>3. B\u1ec7nh m\u00f4 li\u00ean k\u1ebft ph\u1ed1i h\u1ee3p.<\/h2>\n<p>B\u1ec7nh m\u00f4 li\u00ean k\u1ebft ph\u1ed1i h\u1ee3p (MCTD) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 do s\u1ef1 k\u1ebft h\u1ee3p \u0111\u1eb7c \u0111i\u1ec3m l\u00e2m s\u00e0ng v\u00e0 huy\u1ebft thanh c\u1ee7a SLE, x\u01a1 c\u1ee9ng b\u00ec v\u00e0 vi\u00eam \u0111a c\u01a1. B\u1ec7nh c\u00f3 t\u1ec9 l\u1ec7 m\u1eafc m\u1edbi v\u00e0 hi\u1ec7n m\u1eafc th\u1ea5p, n\u1eef th\u01b0\u1eddng g\u1eb7p h\u01a1n nam, li\u00ean quan v\u1edbi ki\u1ec3u gen HLA-DR4 v\u00e0 DR2.<\/p>\n<p>Giai \u0111o\u1ea1n \u0111\u1ea7u b\u1ec7nh c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 m\u1ec7t m\u1ecfi, \u0111au c\u01a1, \u0111au kh\u1edbp, s\u1ed1t nh\u1eb9. V\u1ec1 sau b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ec7nh kh\u1edbp m\u00f4 li\u00ean k\u1ebft nh\u01b0 \u0111au, vi\u00eam kh\u1edbp, \u0111au c\u01a1, vi\u00eam c\u01a1.<\/p>\n<h2>4. U h\u1ea1t k\u00e8m vi\u00eam \u0111a m\u1ea1ch m\u00e1u (GPA)<\/h2>\n<p>GPA \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a m\u1ed9t c\u00e1ch truy\u1ec1n th\u1ed1ng b\u1eb1ng tam ch\u1ee9ng vi\u00eam m\u1ea1ch m\u00e1u li\u00ean quan v\u1edbi ho\u1ea1i t\u1eed, vi\u00eam m\u00f4 h\u1ea1t \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u00e0 d\u01b0\u1edbu, v\u00e0 vi\u00eam c\u1ea7u th\u1eadn.<\/p>\n<p>B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf nam, \u0111\u1ec9nh t\u1eeb 40 &#8211; 60 tu\u1ed5i.<\/p>\n<h2>5. T\u1ed5n th\u01b0\u01a1ng c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t do <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/lich-su-phat-hien-va-co-che-benh-sinh-ban-xuat-huyet-henoch-schonlein\/\">ban Henoch &#8211; Scholein<\/a>.<\/h2>\n<p>4 \u0111\u1eb7c \u0111i\u1ec3m kinh \u0111i\u1ec3n c\u1ee7a ban Henoch &#8211; Scholein bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng da, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, t\u1ed5n th\u01b0\u01a1ng kh\u1edbp, v\u00e0 vi\u00eam c\u1ea7u th\u1eadn.<\/p>\n<h2>6. B\u1ec7nh kh\u00e1ng m\u00e0ng \u0111\u00e1y c\u1ea7u th\u1eadn v\u00e0 h\u1ed9i ch\u1ee9ng Goodpasture.<\/h2>\n<p>L\u00e0 b\u1ec7nh hi\u1ebfm, g\u00e2y ra do t\u1ef1 kh\u00e1ng th\u1ec3 kh\u00e1ng collagen type IV tr\u00ean m\u00e0ng \u0111\u00e1y c\u1ea7u th\u1eadn.<\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-tu-mien-tim-hieu-hoi-chung-goodpasture\/\">H\u1ed9i ch\u1ee9ng Goodpasture<\/a> kinh \u0111i\u1ec3n g\u1ed3m tam ch\u1ee9ng: vi\u00eam c\u1ea7u th\u1eadn t\u0103ng sinh, ti\u1ebfn tri\u1ec3n nhanh, xu\u1ea5t huy\u1ebft ph\u1ed5i, c\u00f3 t\u1ef1 kh\u00e1ng th\u1ec3 kh\u00e1ng m\u00e0ng \u0111\u00e1y. B\u1ec7nh bi\u1ec3u hi\u1ec7n ngo\u00e0i th\u1eadn v\u1edbi ho, kh\u00f3 th\u1edf, th\u1edf nhanh, ho m\u00e1u. Bi\u1ec3u hi\u1ec7n t\u1ea1i th\u1eadn v\u1edbi h\u1ed9i ch\u1ee9ng vi\u00eam th\u1eadn c\u1ea5p nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, ph\u00f9, ti\u1ec3u m\u00e1u, c\u1eb7n n\u01b0\u1edbc ti\u1ec3u d\u01b0\u01a1ng t\u00ednh v\u00e0 gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<h2>7. H\u1ed9i ch\u1ee9ng Alport<\/h2>\n<p>L\u00e0 r\u1ed1i lo\u1ea1n di truy\u1ec1n (th\u01b0\u1eddng li\u00ean k\u1ebft nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh X) c\u1ee7a collagen \u03b13\u03b14\u03b15(IV) v\u00e0 h\u1ea7u h\u1ebft ti\u1ebfn tri\u1ec3n \u0111\u1ebfn suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (ESKD) v\u0129nh vi\u1ec5n v\u00e0 th\u01b0\u1eddng k\u00e8m theo m\u1ea5t th\u00ednh l\u1ef1c v\u00e0 b\u1ea5t th\u01b0\u1eddng th\u1ecb l\u1ef1c.<\/p>\n<p>Guthrie l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean b\u00e1o c\u00e1o m\u1ed9t gia \u0111\u00ecnh \u0111\u00e1i m\u00e1u t\u00e1i ph\u00e1t. Alport b\u00e1o c\u00e1o th\u00eam c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean gia \u0111\u00ecnh n\u00e0y, s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a \u0111i\u1ebfc k\u00e8m \u0111\u00e1i m\u00e1u, ng\u01b0\u1eddi nam th\u01b0\u1eddng ch\u1ebft do ure m\u00e1u cao trong khi n\u1eef c\u00f3 th\u1ec3 s\u1ed1ng \u0111\u1ec3 tu\u1ed5i gi\u00e0. H\u1ed9i ch\u1ee9ng Alport chi\u1ebfm 0.4% c\u00e1c tr\u01b0\u1eddng h\u1ee3p ESKD \u1edf M\u1ef9. Hi\u1ec7n \u0111\u00e3 c\u00f3 khuy\u1ebfn v\u1ec1 qu\u1ea3n l\u00fd b\u1ec7nh n\u00e0y.<\/p>\n<p>B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi tr\u1ebb v\u00e0 tr\u1ebb em. Nam th\u01b0\u1eddng c\u00f3 \u0111\u00e1i m\u00e1u vi th\u1ec3 k\u00e9o d\u00e0i, k\u00e8m \u0111\u00e1i m\u00e1u \u0111\u1ea1i th\u1ec3 t\u1eebng \u0111\u1ee3t, c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t b\u1edfi nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p ho\u1eb7c g\u1eafng s\u1ee9c. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 \u0111au h\u00f4ng l\u01b0ng ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf b\u1ee5ng. \u0110\u1ea1m ni\u1ec7u th\u01b0\u1eddng nh\u1eb9 v\u00e0 ti\u1ebfn tri\u1ec3n theo tu\u1ed5i. H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p. T\u0103ng huy\u1ebft \u00e1p l\u00e0 bi\u1ec3u hi\u1ec7n mu\u1ed9n c\u1ee7a b\u1ec7nh. Suy th\u1eadn di\u1ec5n ti\u1ebfn ch\u1eadm th\u01b0\u1eddng g\u1eb7p \u1edf nam. ESKD th\u01b0\u1eddng x\u1ea3y ra \u1edf nam t\u1eeb 16 &#8211; 35 tu\u1ed5i.<\/p>\n<h2>8. B\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t do lipoprotein<\/h2>\n<p>B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi r\u1ed1i lo\u1ea1n beta-lipoprotein m\u00e1u v\u00e0 l\u1eafng \u0111\u1ecdng lipid \u1edf th\u1eadn, g\u00e2y x\u01a1 c\u1ea7u th\u1eadn v\u00e0 suy th\u1eadn. Th\u1eadn th\u01b0\u1eddng l\u00e0 c\u01a1 quan b\u1ecb \u1ea3nh h\u01b0\u1edfng duy nh\u1ea5t b\u1edfi r\u1ed1i lo\u1ea1n n\u00e0y. Ph\u00e2n l\u1edbn ca b\u1ec7nh \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u0111\u1ec1u t\u1eeb Nh\u1eadt B\u1ea3n.<\/p>\n<h2>9. Vi\u00eam c\u1ea7u th\u1eadn li\u00ean quan nhi\u1ec5m virus.<\/h2>\n<ul>\n<li>B\u1ec7nh th\u1eadn li\u00ean quan HIV. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 bi\u1ec7u hi\u1ec7n ti\u1ec3u \u0111\u1ea1m, th\u01b0\u1eddng \u1edf ng\u01b0\u1ee1ng th\u1eadn h\u01b0 v\u00e0 suy th\u1eadn. Ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0.<\/li>\n<li>B\u1ec7nh th\u1eadn li\u00ean quan vi\u00eam gan B: Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng ti\u1ec3u \u0111\u1ea1m, bi\u1ec3u hi\u1ec7n h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0.<\/li>\n<\/ul>\n<h2>10. B\u1ec7nh c\u1ea7u th\u1eadn do thu\u1ed1c.<\/h2>\n<ul>\n<li>B\u1ec7nh th\u1eadn li\u00ean quan NSAIDs. C\u00f3 kho\u1ea3ng 1 &#8211; 3% b\u1ec7nh nh\u00e2n d\u00f9ng NSAIDs s\u1ebd c\u00f3 b\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng th\u1eadn nh\u01b0 r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i, suy th\u1eadn c\u1ea5p, h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 v\u1edbi vi\u00eam th\u1eadn k\u1ebd c\u1ea5p, ho\u1ea1i t\u1eed nh\u00fa th\u1eadn.<\/li>\n<li>C\u00e1c thu\u1ed1c kh\u00e1c nh\u01b0 v\u00e0ng, th\u1ee7y ng\u00e2n, penicillamine<\/li>\n<\/ul>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/strong><\/p>\n<p>Brenner and Rector&#8217;s the Kidney, eleventh edition.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi t\u1ed5n th\u01b0\u01a1ng \u1edf th\u1eadn l\u00e0 m\u1ed9t ph\u1ea7n trong b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng. Nh\u00f3m b\u1ec7nh n\u00e0y bao g\u1ed3m c\u00e1c b\u1ec7nh h\u1ec7 th\u1ed1ng nh\u01b0 lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng (SLE), h\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid, b\u1ec7nh vi\u00eam m\u1ea1ch m\u00e1u kh\u00e1c, c\u00e1c b\u1ec7nh m\u00f4 li\u00ean k\u1ebft ph\u1ed1i h\u1ee3p, Henoch-Schonlein, b\u1ec7nh [&hellip;]<\/p>\n","protected":false},"author":69,"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>Ph\u00e2n lo\u1ea1i v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u00e1c th\u1ec3 b\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t th\u01b0\u1eddng g\u1eb7p nh\u01b0 vi\u00eam th\u1eadn lupus, vi\u00eam m\u1ea1ch m\u00e1u h\u1ec7 th\u1ed1ng, h\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid, Alport, ban Henoch-Schonlein.\" \/>\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=\"Ph\u00e2n lo\u1ea1i v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u00e1c th\u1ec3 b\u1ec7nh c\u1ea7u th\u1eadn th\u1ee9 ph\u00e1t - 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