{"id":6374,"date":"2024-07-24T14:54:10","date_gmt":"2024-07-24T07:54:10","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=6374"},"modified":"2024-07-24T15:06:40","modified_gmt":"2024-07-24T08:06:40","slug":"chuong-trinh-tam-soat-benh-than-man","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=6374","title":{"rendered":"CH\u01af\u01a0NG TR\u00ccNH T\u1ea6M SO\u00c1T B\u1ec6NH TH\u1eacN M\u1ea0N CHO NH\u00d3M NG\u01af\u1edcI C\u00d3 NGUY C\u01a0 CAO"},"content":{"rendered":"\n<p>T\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh th\u1eadn m\u1ea1n c\u00f3 t\u1ec9 l\u1ec7 \u01b0\u1edbc t\u00ednh l\u00ean \u0111\u1ebfn 12% v\u00e0 khuynh h\u01b0\u1edbng gia t\u0103ng theo th\u1eddi gian. D\u1eabu v\u1eady, v\u1eabn c\u00f2n r\u1ea5t nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n B\u1ec7nh th\u1eadn m\u1ea1n \u1edf giai \u0111o\u1ea1n mu\u1ed9n, l\u00e0m t\u0103ng nguy c\u01a1 di\u1ec5n ti\u1ebfn \u0111\u1ebfn b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 gia t\u0103ng g\u00e1nh n\u1eb7ng kinh t\u1ebf v\u00e0 y t\u1ebf, m\u00e0 c\u00f2n l\u00e0m suy gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Hi\u1ec3u \u0111\u01b0\u1ee3c nh\u1eefng kh\u00f3 kh\u0103n \u0111\u00f3, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh th\u1ef1c hi\u1ec7n ch\u01b0\u01a1ng tr\u00ecnh \u201cT\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n\u201d gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm B\u1ec7nh th\u1eadn m\u1ea1n cho nh\u00f3m ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao. Ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t di\u1ec5n ra t\u1ea1i ph\u00f2ng kh\u00e1m thu\u1ed9c khoa N\u1ed9i ti\u1ebft \u2013 Th\u1eadn.<\/p>\n\n\n\n<p><strong>Ph\u00e1t hi\u1ec7n b\u1ec7nh th\u1eadn m\u1ea1n: X\u00e9t nghi\u1ec7m s\u1edbm l\u00e0 ch\u00eca kh\u00f3a c\u1ea7n thi\u1ebft<\/strong><\/p>\n\n\n\n<p>B\u1ec7nh th\u1eadn m\u1ea1n l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh nguy hi\u1ec3m, th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m v\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng cho \u0111\u1ebfn khi t\u00ecnh tr\u1ea1ng b\u1ec7nh tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng. Vi\u1ec7c t\u1ea7m so\u00e1t s\u1edbm b\u1ec7nh th\u1eadn m\u1ea1n kh\u00f4ng ch\u1ec9 gi\u00fap ph\u00e1t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh m\u00e0 c\u00f2n g\u00f3p ph\u1ea7n ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. Vi\u1ec7c th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m v\u00e0 ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3, b\u1ea1n c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng thay \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng c\u1ee7a th\u1eadn, t\u1eeb \u0111\u00f3 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3. T\u1ea7m so\u00e1t s\u1edbm b\u1ec7nh th\u1eadn m\u1ea1n t\u1eeb s\u1edbm l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe th\u1eadn c\u1ee7a b\u1ea1n v\u00e0 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ea1n kh\u00f4ng b\u1ecf l\u1ee1 c\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t khi b\u1ec7nh c\u00f2n \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u.<\/p>\n\n\n\n<p><strong>Ph\u01b0\u01a1ng ph\u00e1p t\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n an to\u00e0n, hi\u1ec7u qu\u1ea3<\/strong><\/p>\n\n\n\n<p>Ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m \u0111o m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh theo Creatinin m\u00e1u.<\/li>\n\n\n\n<li>X\u00e9t nghi\u1ec7m t\u00ednh t\u1ec9 s\u1ed1 Albumin\/Creatinin ni\u1ec7u.\u00a0<\/li>\n\n\n\n<li>Ph\u00e2n t\u00edch k\u1ebft qu\u1ea3 theo KDIGO.<\/li>\n<\/ul>\n\n\n\n<p>C\u1ea3 hai ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m \u0111o m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh theo creatinin m\u00e1u (eGFR) v\u00e0 x\u00e9t nghi\u1ec7m t\u1ef7 s\u1ed1 albumin\/creatinin ni\u1ec7u (ACR) \u0111\u1ec1u \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong t\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n. Ph\u01b0\u01a1ng ph\u00e1p eGFR gi\u00fap \u01b0\u1edbc l\u01b0\u1ee3ng kh\u1ea3 n\u0103ng l\u1ecdc m\u00e1u c\u1ee7a th\u1eadn, cung c\u1ea5p th\u00f4ng tin v\u1ec1 ch\u1ee9c n\u0103ng th\u1eadn hi\u1ec7n t\u1ea1i, trong khi ph\u01b0\u01a1ng ph\u00e1p ACR \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 protein trong n\u01b0\u1edbc ti\u1ec3u, cho bi\u1ebft m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng th\u1eadn v\u00e0 nguy c\u01a1 ph\u00e1t tri\u1ec3n b\u1ec7nh. \u0110i\u1ec1u n\u00e0y kh\u00f4ng ch\u1ec9 gi\u00fap qu\u1ea3n l\u00fd b\u1ec7nh t\u1ed1t h\u01a1n m\u00e0 c\u00f2n gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, t\u1eeb \u0111\u00f3 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p><strong>L\u1ee3i \u00edch c\u1ee7a vi\u1ec7c t\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/strong><\/p>\n\n\n\n<p>T\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n kh\u00f4ng ch\u1ec9 gi\u00fap b\u1ea1n b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe th\u1eadn m\u00e0 c\u00f2n mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch thi\u1ebft th\u1ef1c:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ph\u00e1t hi\u1ec7n v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh hi\u1ec7u qu\u1ea3: T\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh t\u1eeb s\u1edbm c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. T\u1eeb \u0111\u00f3, c\u00f3 nh\u1eefng bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng k\u1ecbp th\u1eddi \u0111\u1ec3 qu\u1ea3n l\u00fd t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe th\u1eadn.<\/li>\n\n\n\n<li>Gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng: Ph\u00e1t hi\u1ec7n v\u00e0 qu\u1ea3n l\u00fd b\u1ec7nh th\u1eadn t\u1eeb s\u1edbm gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng li\u00ean quan \u0111\u1ebfn: tim m\u1ea1ch, huy\u1ebft \u00e1p cao, suy th\u1eadn\u2026<\/li>\n\n\n\n<li>Ti\u1ebft ki\u1ec7m chi ph\u00ed: Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn m\u1ea1n t\u1eeb giai \u0111o\u1ea1n \u0111\u1ea7u gi\u00fap gi\u1ea3m chi ph\u00ed v\u00e0 c\u00f4ng s\u1ee9c \u0111i\u1ec1u tr\u1ecb trong t\u01b0\u01a1ng lai.<\/li>\n\n\n\n<li>T\u0103ng c\u01b0\u1eddng nh\u1eadn th\u1ee9c: Vi\u1ec7c t\u1ea7m so\u00e1t gi\u00fap n\u00e2ng cao nh\u1eadn th\u1ee9c v\u1ec1 s\u1ee9c kh\u1ecfe th\u1eadn cho b\u1ea3n th\u00e2n v\u00e0 ng\u01b0\u1eddi th\u00e2n trong vi\u1ec7c duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh, ph\u00f2ng ng\u1eeba b\u1ec7nh t\u1eadt.<\/li>\n<\/ul>\n\n\n\n<p>Ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n c\u1ee7a B\u1ec7nh vi\u1ec7n Nh\u00e2n D\u00e2n Gia \u0110\u1ecbnh \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf d\u00e0nh cho:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc th\u1eadn m\u1ea1n.<\/li>\n\n\n\n<li>Ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh th\u1eadn m\u1ea1n n\u1ebfu ti\u1ec1n s\u1eed c\u00f3 \u00edt nh\u1ea5t m\u1ed9t b\u1ec7nh l\u00fd: \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tim m\u1ea1ch (suy tim, b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9\u2026), th\u1eeba c\u00e2n &amp; b\u00e9o ph\u00ec, suy th\u1eadn c\u1ea5p &amp; t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p, s\u1ecfi th\u1eadn, s\u1ecfi ni\u1ec7u, ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t, b\u1ec7nh h\u1ec7 th\u1ed1ng.<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i ho\u1eb7c b\u1ec7nh th\u1eadn di truy\u1ec1n.\u00a0<\/li>\n<\/ul>\n\n\n\n<p><strong>Th\u1eddi gian th\u1ef1c hi\u1ec7n: <\/strong>T\u1eeb ng\u00e0y 01\/07\/2024 \u0111\u1ebfn ng\u00e0y 15\/09\/2024 ho\u1eb7c cho \u0111\u1ebfn khi \u0111\u1ee7 s\u1ed1 l\u01b0\u1ee3ng theo k\u1ebf ho\u1ea1ch.\u00a0<\/p>\n\n\n\n<p><strong>S\u1ed1 l\u01b0\u1ee3ng: <\/strong>300 ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao.&nbsp;<\/p>\n\n\n\n<p><strong>\u0110\u1ecba \u0111i\u1ec3m<\/strong>: C\u00e1c ph\u00f2ng kh\u00e1m N\u1ed9i ti\u1ebft &#8211; Th\u1eadn.\u00a0 \u0110\u1eebng ch\u1edd \u0111\u1ee3i \u0111\u1ebfn khi c\u00f3 tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng! Vi\u1ec7c t\u1ea7m so\u00e1t b\u1ec7nh th\u1eadn m\u1ea1n kh\u00f4ng ch\u1ec9 gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c v\u1ea5n \u0111\u1ec1 ti\u1ec1m \u1ea9n m\u00e0 c\u00f2n t\u1ea1o c\u01a1 h\u1ed9i \u0111\u1ec3 b\u1ea1n ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe th\u1eadn m\u1ed9t c\u00e1ch ch\u1ee7 \u0111\u1ed9ng v\u00e0 hi\u1ec7u qu\u1ea3. Ch\u01b0\u01a1ng tr\u00ecnh t\u1ea7m so\u00e1t gi\u00fap b\u1ea1n x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ea1n c\u00f3 thu\u1ed9c nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 b\u1ecb b\u1ec7nh th\u1eadn m\u1ea1n hay kh\u00f4ng, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-5afdf45b wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" srcset=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/ung-thu-than-man-1024x576.jpg ,https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/ung-thu-than-man.jpg 780w, https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/ung-thu-than-man.jpg 360w\" sizes=\"auto, (max-width: 480px) 150px\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/ung-thu-than-man-1024x576.jpg\" alt=\"\" class=\"uag-image-6375\" width=\"1024\" height=\"576\" title=\"ung th\u01b0 th\u1eadn m\u1ea1n\" loading=\"lazy\" role=\"img\"\/><\/figure><\/div>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea1i Vi\u1ec7t Nam, b\u1ec7nh th\u1eadn m\u1ea1n c\u00f3 t\u1ec9 l\u1ec7 \u01b0\u1edbc t\u00ednh l\u00ean \u0111\u1ebfn 12% v\u00e0 khuynh h\u01b0\u1edbng gia t\u0103ng theo th\u1eddi gian. D\u1eabu v\u1eady, v\u1eabn c\u00f2n r\u1ea5t nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n B\u1ec7nh th\u1eadn m\u1ea1n \u1edf giai \u0111o\u1ea1n mu\u1ed9n, l\u00e0m t\u0103ng nguy c\u01a1 di\u1ec5n ti\u1ebfn \u0111\u1ebfn b\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 ng\u01b0\u1eddi b\u1ec7nh 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