{"id":30898,"date":"2025-06-12T20:41:25","date_gmt":"2025-06-12T13:41:25","guid":{"rendered":"https:\/\/quanghung.name.vn\/suc-khoe\/bung-dau-cang-tuc-di-kham-phat-hien-suy-than-nang\/"},"modified":"2025-06-12T20:41:25","modified_gmt":"2025-06-12T13:41:25","slug":"bung-dau-cang-tuc-di-kham-phat-hien-suy-than-nang","status":"publish","type":"post","link":"https:\/\/quanghung.name.vn\/?p=30898","title":{"rendered":"B\u1ee5ng \u0111au c\u0103ng t\u1ee9c \u0111i kh\u00e1m ph\u00e1t hi\u1ec7n suy th\u1eadn n\u1eb7ng"},"content":{"rendered":"\n<div class=\"detail-content afcbc-body\" data-role=\"content\" itemprop=\"articleBody\" data-io-article-url=\"https:\/\/thanhnien.vn\/bung-dau-cang-tuc-di-kham-phat-hien-suy-than-nang-185250612161621209.htm\">\n<div data-check-position=\"body_start\"><\/div>\n<p>Tuy nhi\u00ean c\u01a1n \u0111au kh\u00f4ng d\u1ee9t, \u00f4ng \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0111a khoa T\u00e2m Anh TP.HCM kh\u00e1m, ph\u00e1t hi\u1ec7n suy th\u1eadn c\u1ea5p \u0111\u1ed9 5. \u0110\u00e2y l\u00e0 m\u1ee9c n\u1eb7ng nh\u1ea5t, \u0111\u1ed1i di\u1ec7n v\u1edbi nguy c\u01a1 l\u1ecdc m\u00e1u c\u1ea5p.<\/p>\n<p>Ng\u00e0y 12.6, th\u1ea1c s\u0129 &#8211; b\u00e1c s\u0129 Phan \u0110\u1ee9c H\u1eefu, Khoa Ti\u1ebft ni\u1ec7u, B\u1ec7nh vi\u1ec7n \u0111a khoa T\u00e2m Anh cho bi\u1ebft, ng\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng \u0111au d\u1eef d\u1ed9i, k\u00e9o d\u00e0i, m\u1ec7t m\u1ecfi, \u0111i ti\u1ec3u r\u1ea5t \u00edt. V\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh c\u00f3 th\u1ec3 \u0111i ti\u1ec3u t\u1eeb 1,5-2 l\u00edt\/ng\u00e0y, nh\u01b0ng \u00f4ng Q. ch\u1ec9 \u0111i ti\u1ec3u kho\u1ea3ng 200 ml\/ng\u00e0y. B\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m, ch\u1ee5p CT ph\u00e1t hi\u1ec7n th\u1eadn tr\u00e1i c\u1ee7a \u00f4ng Q. s\u01b0ng to, \u1ee9 n\u01b0\u1edbc nhi\u1ec1u, trong khi \u0111\u00f3 th\u1eadn ph\u1ea3i teo nh\u1ecf g\u1ea7n nh\u01b0 m\u1ea5t ch\u1ee9c n\u0103ng. Ch\u1ec9 s\u1ed1 creatinin ghi nh\u1eadn th\u1eddi \u0111i\u1ec3m \u0111\u00f3 t\u0103ng cao 667 \u00b5mol\/L (ch\u1ec9 s\u1ed1 b\u00ecnh th\u01b0\u1eddng \u1edf nam gi\u1edbi l\u00e0 53-106 umol\/L), \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn xu\u1ed1ng th\u1ea5p ch\u1ec9 c\u00f2n 6 ml\/ph\u00fat\/1,73 m<sup>2<\/sup> (d\u01b0\u1edbi 15 ml\/ph\u00fat\/1,73 m<sup>2<\/sup> l\u00e0 suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i).<\/p>\n<p>\u201cQua h\u00ecnh \u1ea3nh CT, ch\u00fang t\u00f4i ph\u00e1t hi\u1ec7n nguy\u00ean nh\u00e2n g\u00e2y s\u01b0ng, \u1ee9 n\u01b0\u1edbc, suy th\u1eadn c\u1ea5p \u0111\u1ed9 5, \u0111\u1ed9 nguy hi\u1ec3m nh\u1ea5t \u1edf th\u1eadn tr\u00e1i l\u00e0 do k\u1eb9t 2 vi\u00ean s\u1ecfi (vi\u00ean 7mm v\u00e0 vi\u00ean 6 mm) \u1edf tr\u00ean th\u1eadn, g\u00e2y t\u1eafc ngh\u1ebdn khi\u1ebfn n\u01b0\u1edbc ti\u1ec3u kh\u00f4ng l\u01b0u th\u00f4ng \u0111\u01b0\u1ee3c. N\u1ebfu kh\u00f4ng can thi\u1ec7p k\u1ecbp th\u1eddi s\u1ebd chuy\u1ec3n sang suy th\u1eadn m\u1ea1n, l\u00fac \u0111\u00f3 ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o l\u00e2u d\u00e0i\u201d, b\u00e1c s\u0129 H\u1eefu chia s\u1ebb.<\/p>\n<p>\u0110\u1ec3 c\u1ee9u th\u1eadn cho b\u1ec7nh nh\u00e2n, \u00ea k\u00edp b\u00e1c s\u0129 \u0111\u00e3 n\u1ed9i soi ng\u01b0\u1ee3c d\u00f2ng \u0111\u1eb7t \u1ed1ng sonde JJ v\u00e0o ni\u1ec7u qu\u1ea3n \u0111\u1ec3 gi\u1ea3i ph\u00f3ng n\u01b0\u1edbc ti\u1ec3u t\u1eeb th\u1eadn xu\u1ed1ng. Nh\u1edd \u0111\u00f3, ng\u00e0y \u0111\u1ea7u ti\u00ean, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng h\u01a1n 3 l\u00edt n\u01b0\u1edbc ti\u1ec3u, sang ng\u00e0y th\u1ee9 hai gi\u1ea3i ph\u00f3ng g\u1ea7n 4 l\u00edt n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<figure class=\"VCSortableInPreviewMode\" type=\"Photo\" style=\"\">\n<div><img decoding=\"async\" loading=\"lazy\" data-author=\"\" id=\"img_161875765405949952\" w=\"847\" h=\"565\" alt=\" B\u1ee5ng \u0111au c\u0103ng t\u1ee9c \u0111i kh\u00e1m ph\u00e1t hi\u1ec7n suy th\u1eadn n\u1eb7ng - \u1ea2nh 1.\" title=\"\" rel=\"lightbox\" photoid=\"161875765405949952\" src=\"https:\/\/images2.thanhnien.vn\/528068263637045248\/2025\/6\/12\/base64-17497247574091049661719.jpeg\" type=\"photo\" style=\"max-width:100%;\" width=\"847\" height=\"565\"><\/div><figcaption class=\"PhotoCMS_Caption\">\n<p data-placeholder=\"Nh\u1eadp ch\u00fa th\u00edch \u1ea3nh\" class=\"\">B\u00e1c s\u0129 th\u0103m kh\u00e1m cho b\u1ec7nh nh\u00e2n trong qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c<\/p>\n<\/figcaption><div class=\"PhotoCMS_Author\">\n<p data-placeholder=\"Nh\u1eadp t\u00e1c gi\u1ea3\" class=\"\">\u1ea2NH: BVCC<\/p>\n<\/div>\n<\/figure>\n<p>B\u1ed1n ng\u00e0y sau, ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c nhanh ch\u00f3ng, ch\u1ec9 s\u1ed1 creatinin ghi nh\u1eadn 134 \u00b5mol\/L, \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn l\u00ean 47 ml\/ph\u00fat\/1,73 m<sup>2<\/sup>, \u0111\u01b0a th\u1eadn v\u1ec1 l\u1ea1i tr\u1ea1ng th\u00e1i an to\u00e0n. Khi b\u1ec7nh nh\u00e2n xu\u1ea5t vi\u1ec7n, b\u00e1c s\u0129 l\u01b0u \u00fd cho ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ch\u00fa \u00fd theo d\u00f5i s\u1ee9c kh\u1ecfe, t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1eadn. \u0110\u1ed3ng th\u1eddi h\u1eb9n ng\u01b0\u1eddi b\u1ec7nh t\u00e1i kh\u00e1m sau 2-4 tu\u1ea7n \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt n\u1ed9i soi t\u00e1n s\u1ecfi gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 g\u00e2y t\u1eafc ngh\u1ebdn \u1edf th\u1eadn.<\/p>\n<p>\u201cNg\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1eadn ph\u1ea3i teo nh\u1ecf g\u1ea7n nh\u01b0 m\u1ea5t ch\u1ee9c n\u0103ng th\u1eadn, ch\u00fang t\u00f4i \u0111\u00e3 n\u1ed7 l\u1ef1c h\u1ebft s\u1ee9c \u0111\u1ec3 c\u1ee9u m\u1ed9t b\u00ean th\u1eadn c\u00f2n l\u1ea1i, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tho\u00e1t ch\u1ea1y th\u1eadn. S\u1eafp t\u1edbi, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c t\u00e1n s\u1ecfi, \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u0111\u1ec3 duy tr\u00ec ch\u1ee9c n\u0103ng th\u1eadn\u201d, b\u00e1c s\u0129 Phan \u0110\u1ee9c H\u1eefu cho hay.<\/p>\n<h2>Suy th\u1eadn c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn suy gi\u1ea3m \u0111\u1ed9t ng\u1ed9t<\/h2>\n<p style=\"text-align: left;\">Theo b\u00e1c s\u0129 \u0110\u1ee9c H\u1eefu, suy th\u1eadn c\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng t\u00ecnh tr\u1ea1ng \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn suy gi\u1ea3m \u0111\u1ed9t ng\u1ed9t, khi\u1ebfn cho c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, ch\u1ea5t th\u1ea3i d\u01b0 th\u1eeba kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i ra ngo\u00e0i. C\u00f3 ba nh\u00f3m nguy\u00ean nh\u00e2n g\u00e2y suy th\u1eadn c\u1ea5p, g\u1ed3m tr\u01b0\u1edbc th\u1eadn (s\u1ed1c gi\u1ea3m th\u1ec3 t\u00edch nh\u01b0 m\u1ea5t n\u01b0\u1edbc, m\u1ea5t m\u00e1u, s\u1ed1c tim, s\u1ed1c nhi\u1ec5m khu\u1ea9n; c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n kh\u00e1c); t\u1ea1i th\u1eadn (b\u1ec7nh c\u1ea7u th\u1eadn v\u00e0 b\u1ec7nh c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf trong th\u1eadn, b\u1ec7nh m\u00f4 k\u1ebd th\u1eadn, b\u1ec7nh \u1ed1ng th\u1eadn); sau th\u1eadn (t\u1eafc \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u cao nh\u01b0 s\u1ecfi \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, c\u1ee5c m\u00e1u \u0111\u00f4ng, kh\u1ed1i u; t\u1eafc \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u th\u1ea5p nh\u01b0 t\u1eafc ni\u1ec7u \u0111\u1ea1o, t\u1eafc \u1edf c\u1ed5 b\u00e0ng quang, h\u1ed9i ch\u1ee9ng b\u00e0ng quang do th\u1ea7n kinh).<\/p>\n<p style=\"text-align: left;\">S\u1ecfi ti\u1ebft ni\u1ec7u\u00a0(s\u1ecfi th\u1eadn, s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi b\u00e0ng quang) l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p t\u1ea1i Vi\u1ec7t Nam v\u00e0 c\u00e1c n\u01b0\u1edbc \u0110\u00f4ng Nam \u00c1. Bi\u1ebfn ch\u1ee9ng c\u1ee7a s\u1ecfi ti\u1ebft ni\u1ec7u g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ec3u nh\u01b0 tr\u01b0\u1eddng h\u1ee3p \u00f4ng Q. l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean d\u1eabn \u0111\u1ebfn suy th\u1eadn c\u1ea5p, khi\u1ebfn th\u1eadn suy gi\u1ea3m ho\u1eb7c m\u1ea5t ch\u1ee9c n\u0103ng t\u1ea1m th\u1eddi. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, suy th\u1eadn c\u1ea5p c\u00f3 th\u1ec3 chuy\u1ec3n sang suy th\u1eadn m\u1ea1n, khi\u1ebfn th\u1eadn c\u00f3 th\u1ec3 m\u1ea5t ch\u1ee9c n\u0103ng ho\u00e0n to\u00e0n, ph\u1ea3i \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn b\u1eb1ng l\u1ecdc m\u00e1u \u0111\u1ecbnh k\u1ef3 ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n<p>&#8220;Ng\u01b0\u1eddi d\u00e2n c\u1ea7n ch\u00fa \u00fd theo d\u00f5i s\u1ee9c kh\u1ecfe v\u00e0 \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u0103m kh\u00e1m \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n n\u1ebfu c\u00f3 s\u1ecfi ti\u1ebft ni\u1ec7u trong c\u01a1 th\u1ec3, c\u1ea7n ch\u00fa \u00fd c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 cao g\u00e2y suy th\u1eadn c\u1ea5p nh\u01b0 s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi san h\u00f4, s\u1ecfi nhi\u1ec1u m\u00fai\u2026&#8221;, b\u00e1c s\u0129 l\u01b0u \u00fd.<\/p>\n<p><!--Thu Jun 12 2025 17:44:09 GMT+0700 (GMT+07:00) --  -- Thu Jun 12 2025 17:44:09 GMT+0700 (GMT+07:00)--><br \/>\n                                        <script>\n    \/\/Ch\u00e8n ads gi\u1eefa b\u00e0i\n    (runinit = window.runinit || []).push(function () {\n        \/\/N\u1ebfu k ch\u1ea1y ads th\u00ec return\n        if (typeof _chkPrLink != 'undefined' && _chkPrLink)\n            return;\n        var mutexAds=\"<zone id=\"l2srqb41\">\";\n        var content = $('[data-role=\"content\"]');\n        if (content.length > 0) {\n            var childNodes = content[0].childNodes;\n            for (i = 0; i < childNodes.length; i++) {\n                var childNode = childNodes[i];\n\n                var isPhotoOrVideo = false;\n                if (childNode.nodeName.toLowerCase() == 'div') {\n                    \/\/ kiem tra xem co la anh khong?\n                    var type = $(childNode).attr('class') + '';\n\n                    if (type.indexOf('VCSortableInPreviewMode') >= 0) {\n                        isPhotoOrVideo = true;\n                    }\n                }\n                try {\n                    if ((i >= childNodes.length \/ 2 - 1) && (i < childNodes.length \/ 2) &#038;&#038; !isPhotoOrVideo) {\n                        if (i <= childNodes.length - 3) {\n                            childNode.after(htmlToElement(mutexAds));\n                            arfAsync.push(\"l2srqb41\");\n                        }\n                        break;\n                    }\n                }\n                catch (e) { }\n            }\n        }\n    });\n    function htmlToElement(html) {\n        var template = document.createElement('template');\n        template.innerHTML = html;\n        return template.content.firstChild;\n    }\n<\/script><\/p>\n<p>                                        <!-- Box D\u00e0nh cho b\u1ea1n - Gi\u1eefa b\u00e0i--><br \/>\n                                    <!-- Begin Dable In_article \/ For inquiries, visit http:\/\/dable.io --><\/p>\n<div id=\"dablewidget_QXedqQel\" data-widget_id=\"QXedqQel\">\n                    <script>\n                        if (pageSettings.allow3rd && (typeof _isAdsHidden === 'undefined' || !_isAdsHidden)) {                \n                            if (!laNuocNgoai) {\n                                    \/\/dable\n                                (function (d, a, b, l, e, _) {\n                                    if (d[b] && d[b].q) return;\n                                    d[b] = function () {\n                                        (d[b].q = d[b].q || []).push(arguments)\n                                    };\n                                    e = a.createElement(l);\n                                    e.async = 1;\n                                    e.charset=\"utf-8\";\n                                    e.src=\"\n                                    _ = a.getElementsByTagName(l)[0];\n                                    _.parentNode.insertBefore(e, _);\n                                })(window, document, 'dable', 'script');\n                                dable('sendLogOnce');\n                                dable('renderWidget', 'dablewidget_QXedqQel');\n                            }\n                        }\n                    <\/script>\n                <\/div>\n<p>                <!-- End In_article \/ For inquiries, visit http:\/\/dable.io --><\/p>\n<p>        <script type=\"text\/javascript\">  \n            if (pageSettings.allow3rd && (typeof _isAdsHidden === 'undefined' || !_isAdsHidden)) {                \n                if (laNuocNgoai) {\n                    \/\/taboola\n                    var elements = Array.from(document.querySelectorAll('div.detail-cmain figure')).concat(Array.from(document.querySelectorAll('div.detail-cmain p')).filter(p => !p.closest('figure')));\n                    elements.sort((a, b) => (a === b ? 0 : (a.compareDocumentPosition(b) & Node.DOCUMENT_POSITION_FOLLOWING ? -1 : 1)));\n                    var target = elements[Math.floor(elements.length * 1.5 \/ 3)];\n                    var newDiv = document.createElement('div');\n                    newDiv.id = 'taboola-mid-article-widget';\n                    target.parentNode.insertBefore(newDiv, target.nextSibling);\n                    window._taboola = window._taboola || [];\n                    _taboola.push({\n                        mode: 'thumbnails-4x1',\n                        container: 'taboola-mid-article-widget',\n                        placement: 'Mid Article Widget',\n                        target_type: 'mix'\n                    });\n                }\n            }\n        <\/script><\/p>\n<div data-check-position=\"body_end\" class=\"clearfix\"><\/div>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>Tuy nhi\u00ean c\u01a1n \u0111au kh\u00f4ng d\u1ee9t, \u00f4ng \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0111a khoa T\u00e2m Anh TP.HCM kh\u00e1m, ph\u00e1t hi\u1ec7n suy th\u1eadn c\u1ea5p \u0111\u1ed9 5. \u0110\u00e2y l\u00e0 m\u1ee9c n\u1eb7ng nh\u1ea5t, \u0111\u1ed1i di\u1ec7n v\u1edbi nguy c\u01a1 l\u1ecdc m\u00e1u c\u1ea5p. Ng\u00e0y 12.6, th\u1ea1c s\u0129 &#8211; b\u00e1c s\u0129 Phan \u0110\u1ee9c H\u1eefu, Khoa Ti\u1ebft ni\u1ec7u, B\u1ec7nh vi\u1ec7n \u0111a khoa T\u00e2m Anh<\/p>\n","protected":false},"author":1,"featured_media":30899,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"googlesitekit_rrm_CAow44a6DA:productID":"","footnotes":""},"categories":[6],"tags":[11783,11784,11785,4147,11782,11781],"class_list":["post-30898","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe","tag-benh-cau-than","tag-nieu-quan","tag-soi-nieu","tag-soi-than","tag-suy-than-cap","tag-tiet-nieu"],"_links":{"self":[{"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=\/wp\/v2\/posts\/30898","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=30898"}],"version-history":[{"count":0,"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=\/wp\/v2\/posts\/30898\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=\/wp\/v2\/media\/30899"}],"wp:attachment":[{"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=30898"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=30898"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quanghung.name.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=30898"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}