{"id":35031,"date":"2023-06-14T22:06:59","date_gmt":"2023-06-14T15:06:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35031"},"modified":"2023-06-14T22:13:48","modified_gmt":"2023-06-14T15:13:48","slug":"cham-soc-benh-xo-gan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/14\/cham-soc-benh-xo-gan\/","title":{"rendered":"X\u01a1 gan: T\u1ea1i sao l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng?"},"content":{"rendered":"<p><strong>X\u01a1 gan \u0111\u1eb7c tr\u01b0ng b\u1edfi x\u01a1 h\u00f3a gan lan t\u1ecfa, \u0111\u1ea3o l\u1ed9n c\u1ea5u tr\u00fac ti\u1ec3u th\u00f9y gan v\u00e0 t\u1ea1o th\u00e0nh c\u00e1c n\u1ed1t t\u00e2n t\u1ea1o . Tr\u01b0\u1edbc kia ng\u01b0\u1eddi ta cho r\u1eb1ng t\u1ed5n th\u01b0\u01a1ng gan l\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c. G\u1ea7n \u0111\u00e2y, \u0111i\u1ec1u tr\u1ecb x\u01a1 gan do vi\u00eam gan B (nh\u1ea5t l\u00e0 giai \u0111o\u1ea1n s\u1edbm) cho th\u1ea5y c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n m\u00f4 h\u1ecdc.\u00a0 Kh\u00f4ng c\u00f3 tr\u1ecb li\u1ec7u n\u00e0o ch\u1eefa l\u00e0nh x\u01a1 gan ho\u1eb7c ph\u1ee5c h\u1ed3i m\u00f4 s\u1eb9o \u1edf gan. \u0110i\u1ec1u tr\u1ecb v\u00e0 ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n theo giai \u0111o\u1ea1n x\u01a1 gan v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a x\u01a1 gan nh\u1eb1m ng\u0103n ng\u1eeba ho\u1eb7c l\u00e0m ch\u1eadm t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan.<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35034 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/ae5e494e-ec40-426c-a204-42f39032ca7b-300x300.jpg\" alt=\"xo-gan\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/ae5e494e-ec40-426c-a204-42f39032ca7b-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/ae5e494e-ec40-426c-a204-42f39032ca7b-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/ae5e494e-ec40-426c-a204-42f39032ca7b-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/ae5e494e-ec40-426c-a204-42f39032ca7b.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng x\u01a1 gan<\/h2>\n<p><strong>1.1 Nguy\u00ean nh\u00e2n<\/strong><\/p>\n<p><strong>Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p<\/strong><\/p>\n<ul>\n<li>Vi\u00eam gan b<\/li>\n<li>Vi\u00eam gan C<\/li>\n<li>B\u1ec7nh gan do r\u01b0\u1ee3u<\/li>\n<li>Vi\u00eam gan B\/C + b\u1ec7nh gan r\u01b0\u1ee3u<\/li>\n<li>Nguy\u00ean nh\u00e2n kh\u00f4ng r\u00f5 (18%) (nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p th\u1ef1c s\u1ef1 l\u00e0 do b\u1ec7nh gan nhi\u1ec5m m\u1ee1 kh\u00f4ng do r\u01b0\u1ee3u-NASH)<\/li>\n<li>Kh\u00e1c (5%)<\/li>\n<\/ul>\n<p><strong>Nguy\u00ean nh\u00e2n kh\u00f4ng th\u01b0\u1eddng g\u1eb7p<\/strong><\/p>\n<ul>\n<li>Vi\u00eam gan t\u1ef1 mi\u1ec5n<\/li>\n<li>X\u01a1 gan m\u1eadt nguy\u00ean ph\u00e1t, th\u1ee9 ph\u00e1t<\/li>\n<li>\u1ee8 s\u1eaft<\/li>\n<li>B\u1ec7nh wilson<\/li>\n<li>Thi\u1ebfu alpha-1 antitrypsin<\/li>\n<li>B\u1ec7nh u h\u1ea1t (v\u00ed d\u1ee5 sarcoidosis)<\/li>\n<li>B\u1ec7nh gan do thu\u1ed1c<\/li>\n<li>T\u1eafc ngh\u1ebdn d\u00f2ng ch\u1ea3y t\u0129nh m\u1ea1ch (hc budd-chiari, b\u1ec7nh t\u1eafc m\u1ea1ch)<\/li>\n<li>Suy tim ph\u1ea3i m\u1ea1n t\u00ednh<\/li>\n<\/ul>\n<p><strong>1.2 L\u00e2m s\u00e0ng<\/strong><\/p>\n<p><strong>H\u1ed9i ch\u1ee9ng suy t\u1ebf b\u00e0o gan<\/strong><\/p>\n<p>L\u00e2m s\u00e0ng:<\/p>\n<p>Ch\u00e1n \u0103n, g\u1ea7y s\u00fat , ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng,ch\u1ea3y m\u00e1u d\u01b0\u1edbi da, l\u00f4ng t\u00f3c d\u1ec5 r\u1ee5ng , ng\u00f3n tay d\u00f9i tr\u1ed1ng, m\u00f3ng tay khum m\u1eb7t k\u00ednh \u0111\u1ed3ng h\u1ed3, \u00a0tuy\u1ebfn mang tai l\u1edbn,\u00a0 da m\u1eaft v\u00e0ng, thi\u1ebfu m\u00e1u, sao m\u1ea1ch \u1edf ng\u1ef1c v\u00e0 l\u01b0ng, h\u1ed3ng ban l\u00f2ng b\u00e0n tay, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, li\u1ec7t d\u01b0\u01a1ng, v\u00fa l\u1edbn, teo tinh ho\u00e0n,<\/p>\n<p>C\u1eadn l\u00e2m s\u00e0ng<\/p>\n<p>&#8211; Albumin m\u00e1u gi\u1ea3m, A\/G &lt;1.<\/p>\n<p>&#8211; T\u1ec9 prothrombin gi\u1ea3m &lt;70%<\/p>\n<p>&#8211; Bilirubin m\u00e1u t\u0103ng.<\/p>\n<p>&#8211; NH3 m\u00e1u t\u0103ng<\/p>\n<p>&nbsp;<\/p>\n<p><strong>H\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p t\u0129nh m\u1ea1ch c\u1eeda<\/strong><\/p>\n<p>L\u00e2m s\u00e0ng:<\/p>\n<p>&#8211; B\u1ee5ng b\u00e1ng t\u1ef1 do<\/p>\n<p>&#8211; Tu\u1ea7n ho\u00e0n b\u00e0ng h\u1ec7 ki\u1ec3u c\u1eeda-ch\u1ee7<\/p>\n<p>&#8211; L\u00e1ch l\u1edbn<\/p>\n<p>&#8211; Tr\u0129<\/p>\n<p>C\u1eadn l\u00e2m s\u00e0ng:<\/p>\n<p>&#8211; Si\u00eau \u00e2m: \u0110\u01b0\u1eddng k\u00ednh t\u0129nh m\u1ea1ch c\u1eeda ngo\u00e0i gan: &gt; 13 mm, t\u0129nh m\u1ea1ch l\u00e1ch &gt; 11 mm. l\u00e1ch l\u1edbn, b\u00e1ng, t\u00e1i th\u1ea5m TM r\u1ed1n&#8230;<\/p>\n<p>&#8211; N\u1ed9i soi th\u1ef1c qu\u1ea3n d\u1ea1 d\u00e0y: Tr\u01b0\u1edbng t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y, ho\u1eb7c bi\u1ec3u hi\u1ec7n b\u1ec7nh d\u1ea1 d\u00e0y t\u0103ng \u00e1p c\u1eeda.<\/p>\n<p>&#8211; N\u1ed9i soi tr\u1ef1c tr\u00e0ng: c\u00f3 tr\u0129.<\/p>\n<p><strong>1.3. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/strong><\/p>\n<p>&#8211; Ti\u1ec1n s\u1eed c\u00f3 b\u1ec7nh gan m\u00e3n t\u00ednh.<\/p>\n<p>&#8211; L\u00e2m s\u00e0ng: D\u1ef1a v\u00e0o 2 h\u1ed9i ch\u1ee9ng t\u0103ng \u00e1p c\u1eeda v\u00e0 h\u1ed9i ch\u1ee9ng suy gan.<\/p>\n<p>&#8211; C\u1eadn l\u00e2m s\u00e0ng:<\/p>\n<p>+ Si\u00eau \u00e2m<\/p>\n<p>+ Sinh thi\u1ebft gan\/FibroScan<\/p>\n<h2>2. Bi\u1ebfn ch\u1ee9ng tr\u00ean b\u1ec7nh nh\u00e2n x\u01a1 gan<\/h2>\n<p>Ch\u1ea3y m\u00e1u t\u1eeb t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n gi\u00e3n:<\/p>\n<ul>\n<li>H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u<\/li>\n<li>Kh\u00e1ng sinh<\/li>\n<li>Co m\u1ea1ch: Octreotide\/Vasopressin<\/li>\n<li>N\u1ed9i soi c\u1ea7m m\u00e1u: th\u1eaft gi\u00e3n TM TQ<\/li>\n<\/ul>\n<p>Vi\u00eam ph\u00fac m\u1ea1c nhi\u1ec5m khu\u1ea9n ti\u00ean ph\u00e1t<\/p>\n<ul>\n<li>Y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i nh\u01b0 l\u01b0\u1ee3ng albumin d\u1ecbch b\u00e1ng th\u1ea5p &lt; 1 g\/dl, ch\u1ea3y m\u00e1u ti\u00eau ho\u00e1 ho\u1eb7c ti\u1ec1n s\u1eed c\u00f3 nhi\u1ec5m khu\u1ea9n b\u00e1ng .<\/li>\n<li>Vi khu\u1ea9n : E.Coli, D.Streptococcus&#8230;<\/li>\n<li>L\u00e2m s\u00e0ng: s\u1ed1t cao, run l\u1ea1nh, \u0111au to\u00e0n b\u1ee5ng, \u0111\u00f4i khi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng (1\/3 tr\u01b0\u1eddng h\u1ee3p)<\/li>\n<li>C\u1eadn l\u00e2m s\u00e0ng:<\/li>\n<\/ul>\n<p>+ B\u1ea1ch c\u1ea7u trong m\u00e1u t\u0103ng cao<\/p>\n<p>+ D\u1ecbch m\u00e0ng b\u1ee5ng: BC &gt; 500\/ml v\u1edbi &gt; 250 BC \u0111a nh\u00e2n\/ml, c\u1ea5y d\u1ecbch c\u1ed5 tr\u01b0\u1edbng c\u00f3 vi khu\u1ea9n.<\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb: Cefotaxime, qiunolone\u2026<\/li>\n<\/ul>\n<p>H\u1ed9i ch\u1ee9ng gan th\u1eadn<\/p>\n<ul>\n<li>Ti\u00eau chu\u1ea9n ch\u00ednh:<\/li>\n<\/ul>\n<p>+ B\u1ec7nh gan m\u1ea1n c\u00f3 c\u1ed5 tr\u01b0\u1edbng.<\/p>\n<p>+ Creatinine m\u00e1u &gt;1,5 mg\/dl; clearance creatinine&lt; 4 ml\/ph.<\/p>\n<p>+ Nhi\u1ec5m khu\u1ea9n n\u1eb7ng, m\u1ea5t d\u1ecbch, thu\u1ed1c \u0111\u1ed9c cho th\u1eadn.<\/p>\n<p>+ Protein ni\u1ec7u &lt; 500 mg\/ng.<\/p>\n<p>+ Kh\u00f4ng c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1eadn khi b\u00f9 \u0111\u1ee7 th\u1ec3 t\u00edch.<\/p>\n<ul>\n<li>Ti\u00eau chu\u1ea9n t\u1ed1i thi\u1ec3u:<\/li>\n<\/ul>\n<p>+ N\u01b0\u1edbc ti\u1ec3u &lt; 1 l\u00edt\/ng\u00e0y.<\/p>\n<p>+ Natri ni\u1ec7u\u00a0 &lt;10 mmol\/l.<\/p>\n<p>+ \u0110\u1ed9 th\u1ea9m th\u1ea5u n\u01b0\u1edbc ti\u1ec3u &gt; \u0111\u1ed9 th\u1ea9m th\u1ea5u huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>+ Natri m\u00e1u &lt; 130 mmol\/l.<\/p>\n<p>B\u1ec7nh n\u00e3o gan<\/p>\n<ul>\n<li>L\u00e0 h\u1ed9i ch\u1ee9ng t\u00e2m th\u1ea7n kinh \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, r\u1ed1i lo\u1ea1n h\u00e0nh vi v\u00e0 t\u00e1c phong.<\/li>\n<li>B\u1ec7nh c\u00f3 th\u1ec3 c\u1ea5p, h\u1ed3i ph\u1ee5c ho\u1eb7c m\u1ea1n v\u00e0 ti\u1ebfn tri\u1ec3n, t\u1eed vong do h\u00f4n m\u00ea kh\u00f4ng h\u1ed3i ph\u1ee5c.<\/li>\n<\/ul>\n<p>Ph\u00e2n \u0111\u1ed9 n\u00e3o gan<\/p>\n<p>\u0110\u1ed9 I: thay \u0111\u1ed5i chu k\u00ec ng\u1ee7, h\u01a1i l\u00fa l\u1eabn, d\u1ec5 b\u1ecb k\u00edch th\u00edch, run v\u1eaby<\/p>\n<p>\u0110\u1ed9 II: ng\u1ee7 l\u1ecbm, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng, th\u00e1i \u0111\u1ed9 b\u1ea5t th\u01b0\u1eddng, run v\u1eaby<\/p>\n<p>\u0110\u1ed9 III: l\u01a1 m\u01a1, l\u00fa l\u1eabn n\u1eb7ng, hung h\u0103ng, run v\u1eaby<\/p>\n<p>\u0110\u1ed9 IV: h\u00f4n m\u00ea<\/p>\n<p>Thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda : C\u00f3 th\u1ec3 g\u1eb7p do t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng bao g\u1ed3m \u0111a h\u1ed3ng c\u1ea7u, thi\u1ebfu protein C, protein S ho\u1eb7c antithrombin III, c\u00f3 th\u1ec3 do r\u1ed1i l\u1ecdan t\u0103ng sinh t\u1ee7y ho\u1eb7c v\u00f4 c\u0103n.<\/p>\n<p>&#8211; L\u00e2m s\u00e0ng: \u0110au b\u1ee5ng d\u1eef d\u1ed9i, s\u1ed1t cao, \u0111\u1ea1i ti\u1ec7n m\u00e1u.<\/p>\n<p>&#8211; C\u1eadn l\u00e2m s\u00e0ng: Si\u00eau \u00e2m c\u00f3 h\u00ecnh \u1ea3nh thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch c\u1eeda, c\u00f3 th\u1ec3 g\u1eb7p thuy\u00ean t\u1eafc t\u0129nh m\u1ea1ch l\u00e1ch, t\u0129nh m\u1ea1ch m\u1ea1c treo tr\u00e0ng.<\/p>\n<p>Ung th\u01b0 gan<\/p>\n<ul>\n<li>Th\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn x\u01a1 gan do vi\u00eam gan si\u00eau vi B,C.<\/li>\n<li>Bi\u1ebfn \u0111\u1ed5i h\u1ec7 gene c\u1ee7a t\u1ebf b\u00e0o gan l\u00e0 do protein X c\u1ee7a v\u1ecf si\u00eau vi th\u00e0nh c\u00e1c t\u1ebf b\u00e0o kh\u00f4ng bi\u1ec7t h\u00f3a g\u00e2y ung th\u01b0.<\/li>\n<\/ul>\n<h2>3. Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n<\/h2>\n<ul>\n<li>B\u1ec7nh nh\u00e2n x\u01a1 gan khi ch\u01b0a c\u00f3 c\u1ed5 ch\u01b0\u1edbng, ph\u00f9 v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a h\u00f4n m\u00ea gan c\u1ea7n c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n gi\u00e0u \u0111\u1ea1m c\u00f3 gi\u00e1 tr\u1ecb sinh h\u1ecdc cao ( tr\u1ee9ng, th\u1ecbt, s\u1eefa..), vitamin nh\u00f3m Bv\u00e0 vitamin kh\u00e1c nh\u01b0 A, C, K v\u00e0 acid Folic.<\/li>\n<li>\u0110\u1ed9ng vi\u00ean b\u1ec7nh nh\u00e2n \u0103n u\u1ed1ng, \u0103n nhi\u1ec1u l\u1ea7n trong ng\u00e0y, m\u1ed7i l\u1ea7n m\u1ed9t \u00edt \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t h\u01a1n<\/li>\n<\/ul>\n<ul>\n<li>Ki\u1ec3m so\u00e1t ch\u1ebf \u0111\u1ed9 \u0103n m\u1ed9t c\u00e1ch ch\u1eb7t ch\u1ebd , khi th\u1ea5y c\u00f3 tri\u1ec7u ch\u1ee9ng t\u0103ng NH3 ph\u1ea3i gi\u1ea3m l\u01b0\u1ee3ng protid k\u1ecbp th\u1eddi<\/li>\n<li>Th\u1ee9c \u0103n h\u1ee3p kh\u1ea9u v\u1ecb, \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y \u0111\u1eb9p m\u1eaft. Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh \u0103n k\u00e9m k\u00e9o d\u00e0i c\u1ea7n \u0111\u01b0\u1ee3c nu\u00f4i \u0103n qua sonde d\u1ea1 d\u00e0y ho\u1eb7c \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch.<\/li>\n<li>B\u1ecf r\u01b0\u1ee3u -&gt; tr\u00e1nh k\u00edch th\u00edch d\u1ea1 d\u00e0y<\/li>\n<li>V\u1ec7 sinh r\u0103ng mi\u1ec7ng -&gt; k\u00edch th\u00edch kh\u1ea9u v\u1ecb<\/li>\n<li>Th\u1ef1c hi\u1ec7n y l\u1ec7nh v\u1ec1 thu\u1ed1c : ch\u1ed1ng n\u00f4n, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n \u2026 -&gt; gi\u1ea3m tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a v\u00e0 c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu<\/li>\n<\/ul>\n<table width=\"934\">\n<tbody>\n<tr>\n<td rowspan=\"2\" width=\"216\"><\/td>\n<td colspan=\"3\" width=\"334\"><em>B<\/em><em>\u1ec7<\/em><em>nh gan<\/em><\/td>\n<td colspan=\"3\" width=\"385\"><em>NL c<\/em><em>\u01a1 <\/em><em>b<\/em><em>\u1ea3<\/em><em>n<\/em><\/td>\n<\/tr>\n<tr>\n<td width=\"162\">\u0110\u1ea1m<\/p>\n<p>\u25a0<\/td>\n<td width=\"171\">N\u0103ng l\u01b0\u1ee3ng<\/td>\n<td colspan=\"2\" width=\"144\">% CHO<\/td>\n<td width=\"240\">% B\u00e9o<\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<tr>\n<td width=\"216\">XG kh\u00f4ng BC<\/td>\n<td width=\"162\">1-1,5<\/td>\n<td width=\"171\">30-40<\/td>\n<td colspan=\"2\" width=\"144\">67-80%<\/td>\n<td width=\"240\">20-33%<\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<tr>\n<td width=\"216\">XG c\u00f3 bi\u1ebfn ch\u1ee9ng Suy dinh d\u01b0\u1ee1ng<\/td>\n<td width=\"162\">1-1,8<\/td>\n<td width=\"171\">40-50<\/td>\n<td colspan=\"2\" width=\"144\">72%<\/td>\n<td width=\"240\">28%<\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<tr>\n<td width=\"216\">\u1ee8 m\u1eadt<\/td>\n<td width=\"162\">1-1,5<\/td>\n<td width=\"171\">30-40<\/td>\n<td colspan=\"2\" width=\"144\">73-80%<\/td>\n<td width=\"240\">20-27%<\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<tr>\n<td width=\"216\">B\u1ec7nh n\u00e3o gan<\/p>\n<p>\u0110\u1ed9 1 -2<\/td>\n<td width=\"162\">0,4-1,2<\/td>\n<td width=\"171\">25-40<\/td>\n<td colspan=\"2\" width=\"144\">75%<\/td>\n<td width=\"240\">25%<\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<tr>\n<td width=\"216\">B\u1ec7nh n\u00e3o gan<\/p>\n<p>\u0110\u1ed9 3 -4<\/td>\n<td width=\"162\">0,4<\/td>\n<td width=\"171\">20-35<\/td>\n<td colspan=\"2\" width=\"144\">75-86%<\/td>\n<td width=\"240\">14-25%<\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<tr>\n<td width=\"216\"><\/td>\n<td width=\"162\"><\/td>\n<td width=\"171\"><\/td>\n<td width=\"1\"><\/td>\n<td width=\"143\"><\/td>\n<td width=\"240\"><\/td>\n<td width=\"1\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>X\u01a1 gan kh\u00f4ng bi\u1ebfn ch\u1ee9ng:<\/strong> ch\u1ebf \u0111\u1ed9 \u0103n \u0111\u1ee7 n\u0103ng l\u01b0\u1ee3ng &amp; \u0111\u1ea1m<\/p>\n<ul>\n<li>C\u00f3 \u1ee9 d\u1ecbch: h\u1ea1n ch\u1ebf natri, gi\u1ea3m mu\u1ed1i \u0103n, l\u00fd t\u01b0\u1edfng: 2 g mu\u1ed1i\/ng\u00e0y .<\/li>\n<li>D\u00f9ng mu\u1ed1i kali, c\u00f3 th\u1ec3 g\u00e2y t\u0103ng kali m\u00e1u<\/li>\n<li>H\u1ea1n ch\u1ebf n\u01b0\u1edbc: h\u1ea1 natri m\u00e1u do pha lo\u00e3ng<\/li>\n<li>Cung c\u1ea5p a-x\u00edt amin chu\u1ed7i ng\u1eafn<\/li>\n<li>B\u1ed5 sung vitamin<\/li>\n<\/ul>\n<p><strong>Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n ph\u00f9 v\u00e0 c\u1ed5 tr\u01b0\u1edbng:<\/strong><\/p>\n<ul>\n<li>Cho b\u1ec7nh nh\u00e2n ngh\u1ec9 ng\u01a1i t\u1ea1i gi\u01b0\u1eddng<\/li>\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n nh\u1ea1t ho\u00e0n to\u00e0n:<\/li>\n<li>Mu\u1ed1i \u00a0&lt; 1g Na\/ng\u00e0y<\/li>\n<li>Ch\u1ea5t b\u00e9o &lt; 50g\/ng\u00e0y<\/li>\n<li>Protein #2g\/kg\/ng\u00e0y<\/li>\n<li>N\u0103ng l\u01b0\u1ee3ng: #2500 calo \/ng\u00e0y<\/li>\n<li>Theo d\u00f5i l\u01b0\u1ee3ng n\u01b0\u1edbc xu\u1ea5t nh\u1eadp<\/li>\n<\/ul>\n<p><strong>Ch\u0103m s\u00f3c khi x\u1ea3y ra bi\u1ebfn ch\u1ee9ng xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a tr\u00ean,<\/strong><\/p>\n<ul>\n<li>Ngh\u1ec9 ng\u01a1i tuy\u1ec7t \u0111\u1ed1i t\u1ea1i gi\u01b0\u1eddng, n\u1eb1m \u0111\u1ea7u th\u1ea5p, g\u1ed1i m\u1ecfng, k\u00ea cao ch\u00e2n<\/li>\n<li>D\u1eebng dinh d\u01b0\u1ee1ng b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng<\/li>\n<\/ul>\n<p><strong>Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n n\u00e3o gan<\/strong><\/p>\n<ul>\n<li>Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n<\/li>\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Morphine, Paraldehyde<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng acid amin d\u1ea1ng u\u1ed1ng<\/li>\n<li>Kh\u00f4ng d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u<\/li>\n<li>B\u1ed5 sung kali<\/li>\n<li>B\u1ed5 sung k\u1ebdm<\/li>\n<li>XHTH: c\u1ea7m m\u00e1u, lo\u1ea1i b\u1ecf m\u00e1u<\/li>\n<\/ul>\n<p><strong>K\u1ebft lu\u1eadn:<\/strong><\/p>\n<ul>\n<li><strong>X\u01a1 gan c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau nh\u01b0ng ch\u1ee7 y\u1ebfu nh\u1ea5t v\u1eabn l\u00e0 vi\u00eam gan v\u00e0 r\u01b0\u1ee3u.\u00a0<\/strong><\/li>\n<li><strong>Ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, c\u00f3 nhi\u1ec1u bi\u1ebfn ch\u1ee9ng, nh\u1ea5t l\u00e0 \u1edf giai \u0111o\u1ea1n m\u1ea5t b\u00f9, \u0111i\u1ec1u tr\u1ecb kh\u00f3 kh\u0103n.\u00a0<\/strong><\/li>\n<li><strong>C\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb, c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng trong x\u01a1 gan g\u1ea7n \u0111\u00e2y.\u00a0<\/strong><\/li>\n<li><strong>\u00a0Chi\u1ebfn l\u01b0\u1ee3c t\u1ed1t nh\u1ea5t l\u00e0 d\u1ef1 ph\u00f2ng, \u0111i\u1ec1u tr\u1ecb t\u1ed1t c\u00e1c b\u1ec7nh vi\u00eam gan m\u1ea1n \u0111\u1ec3 l\u00e0m gi\u1ea3m ti\u1ebfn tri\u1ec3n \u0111\u1ebfn x\u01a1 gan.\u00a0<\/strong><\/li>\n<li>L\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb theo giai \u0111o\u1ea1n v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a x\u01a1 gan gi\u00fap t\u0103ng c\u01b0\u1eddng ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<p>Xem th\u00eam:<\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/tieu-hoa-gan-mat\/thong-tin-suc-khoe\/cham-soc-benh-nhan-xo-gan-mat-bu-can-phai-luu-y-dieu-gi\/\">Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n x\u01a1 gan m\u1ea5t b\u00f9 c\u1ea7n ph\u1ea3i l\u01b0u \u00fd \u0111i\u1ec1u g\u00ec?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>X\u01a1 gan \u0111\u1eb7c tr\u01b0ng b\u1edfi x\u01a1 h\u00f3a gan lan t\u1ecfa, \u0111\u1ea3o l\u1ed9n c\u1ea5u tr\u00fac ti\u1ec3u th\u00f9y gan v\u00e0 t\u1ea1o th\u00e0nh c\u00e1c n\u1ed1t t\u00e2n t\u1ea1o . Tr\u01b0\u1edbc kia ng\u01b0\u1eddi ta cho r\u1eb1ng t\u1ed5n th\u01b0\u01a1ng gan l\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c. G\u1ea7n \u0111\u00e2y, \u0111i\u1ec1u tr\u1ecb x\u01a1 gan do vi\u00eam gan B (nh\u1ea5t l\u00e0 giai \u0111o\u1ea1n s\u1edbm) cho th\u1ea5y [&hellip;]<\/p>\n","protected":false},"author":16,"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>X\u01a1 gan: T\u1ea1i sao l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng? - Vinmec<\/title>\n<meta name=\"description\" content=\"X\u01a1 gan \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u1ed5n th\u01b0\u01a1ng gan lan t\u1ecfa, t\u1ea1o th\u00e0nh c\u00e1c n\u1ed1t t\u00e2n t\u1ea1o. \u0110i\u1ec1u tr\u1ecb x\u01a1 gan s\u1edbm cho th\u1ea5y c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n m\u00f4 h\u1ecdc\" \/>\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=\"X\u01a1 gan: T\u1ea1i sao l\u1eadp k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng? 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