{"id":8741,"date":"2025-03-07T11:27:09","date_gmt":"2025-03-07T04:27:09","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8741"},"modified":"2025-03-07T11:27:09","modified_gmt":"2025-03-07T04:27:09","slug":"cac-phuong-phap-dieu-tri-thay-the-than","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8741","title":{"rendered":"C\u00c1C PH\u01af\u01a0NG PH\u00c1P \u0110I\u1ec0U TR\u1eca THAY TH\u1ebe TH\u1eacN"},"content":{"rendered":"\n

B\u1ec7nh<\/strong> th\u1eadn m\u1ea1n<\/strong> l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

B\u1ec7nh th\u1eadn m\u1ea1n l\u00e0 t\u1ed5n th\u01b0\u01a1ng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ho\u1eb7c ch\u1ee9c n\u0103ng th\u1eadn, t\u1ed3n t\u1ea1i tr\u00ean 3 th\u00e1ng v\u00e0 c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kho\u1ebb ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

C\u00e1c giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh th\u1eadn m\u1ea1n?<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

V\u00ec sao c\u1ea7n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn?<\/strong>
Suy th\u1eadn m\u1ea1n s\u1ebd di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n v\u00e0o giai \u0111o\u1ea1n cu\u1ed1i, khi \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ed9i ch\u1ee9ng ure huy\u1ebft. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng ure huy\u1ebft cao g\u1ed3m m\u1ec7t m\u1ecfi, bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n, th\u1edf m\u1ec7t, r\u1ed1i lo\u1ea1n \u0111i ti\u1ec3u, \u0111au \u0111\u1ea7u, m\u1ea5t ng\u1ee7, co gi\u1eadt, h\u00f4n m\u00ea,\u2026.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

H\u00ecnh 1. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng ure huy\u1ebft cao<\/em><\/strong><\/p>\n\n\n\n

B\u1ec7nh nh\u00e2n s\u1ebd t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn nh\u1eb1m thay th\u1ebf cho c\u00e1c ch\u1ee9c n\u0103ng th\u1eadn b\u1ecb m\u1ea5t \u0111i. C\u1ea7n ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn khi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa v\u00e0 ti\u1ebft ch\u1ebf kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3 v\u00e0 t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n b\u1ecb \u0111e do\u1ea1.<\/p>\n\n\n\n

Khi n\u00e0o c\u1ea7n<\/strong> chu\u1ea9n b\u1ecb \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn<\/strong>?<\/strong><\/p>\n\n\n\n

T\u1eeb giai \u0111o\u1ea1n 4 (\u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn 15 \u2013 29 ml\/ph\/1,73m2 <\/sup>da), b\u1ec7nh nh\u00e2n c\u1ea7n trang b\u1ecb c\u00e1c ki\u1ebfn th\u1ee9c v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn song song v\u1edbi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn m\u1ea1n.<\/p>\n\n\n\n

Tr\u01b0\u1edbc khi kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn 3-6 th\u00e1ng, c\u1ea7n chu\u1ea9n b\u1ecb m\u1ed5 t\u1ea1o c\u1ea7u n\u1ed1i \u0111\u1ed9ng t\u0129nh m\u1ea1ch tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o. T\u01b0\u01a1ng t\u1ef1, b\u1ec7nh nh\u00e2n gh\u00e9p th\u1eadn c\u0169ng n\u00ean chu\u1ea9n b\u1ecb ng\u01b0\u1eddi cho, x\u00e9t nghi\u1ec7m,\u2026 b\u1ec7nh nh\u00e2n l\u00e0m th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c c\u1ea7n chu\u1ea9n b\u1ecb ki\u1ebfn th\u1ee9c, k\u1ef9 thu\u1eadt l\u00e0m th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c.<\/p>\n\n\n\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf th\u1eadn<\/strong>?<\/strong><\/p>\n\n\n\n

C\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn: ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c v\u00e0 gh\u00e9p th\u1eadn.<\/p>\n\n\n\n

Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o <\/em><\/strong>chu k\u1ef3 <\/em><\/strong>(L\u1ecdc m\u00e1u<\/em><\/strong> chu k\u1ef3)<\/em><\/strong><\/p>\n\n\n\n

M\u00e1u \u0111\u01b0\u1ee3c r\u00fat ra kh\u1ecfi c\u01a1 th\u1ec3, qua h\u1ec7 th\u1ed1ng m\u00e1y th\u1eadn nh\u00e2n t\u1ea1o lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t t\u00edch t\u1ee5, s\u1ea3n ph\u1ea9m chuy\u1ec3n h\u00f3a v\u00e0 d\u1ecbch d\u01b0 th\u1eeba. M\u00e1u \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1edf l\u1ea1i c\u01a1 th\u1ec3. M\u1ed7i tu\u1ea7n b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n giai \u0111o\u1ea1n cu\u1ed1i c\u1ea7n ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o 2 \u2013 4 l\u1ea7n, m\u1ed7i chu k\u1ef3 k\u00e9o d\u00e0i 3 \u2013 5 gi\u1edd t\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

\u01afu \u0111i\u1ec3m<\/em><\/strong><\/p>\n\n\n\n

    \n
  • Ph\u1ed5 bi\u1ebfn, nhi\u1ec1u trung t\u00e2m th\u1eadn nh\u00e2n t\u1ea1o.<\/li>\n\n\n\n
  • Do nh\u00e2n vi\u00ean y t\u1ebf th\u1ef1c hi\u1ec7n t\u1ea1i c\u00e1c \u0111\u01a1n v\u1ecb ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, t\u1ef1 th\u1ef1c hi\u1ec7n ho\u1eb7c do c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf h\u1ed7 tr\u1ee3 khi ch\u1ea1y th\u1eadn t\u1ea1i nh\u00e0.<\/li>\n\n\n\n
  • Kh\u00f4ng b\u1ecb nhi\u1ec5m tr\u00f9ng m\u00e0ng b\u1ee5ng.<\/li>\n\n\n\n
  • Ch\u1ee7 \u0111\u1ed9ng l\u01b0\u1ee3ng d\u1ecbch r\u00fat trong m\u1ed7i l\u1ea7n ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o.<\/li>\n\n\n\n
  • Kh\u00f4ng b\u1ecb t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n<\/ul>\n\n\n
    \n
    \"\"<\/figure><\/div>\n\n\n

    H\u00ecnh 2. Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/em><\/strong><\/p>\n\n\n\n

    Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/em><\/strong><\/p>\n\n\n\n

    C\u00e1c trung t\u00e2m ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o qu\u00e1 t\u1ea3i, xa n\u01a1i \u1edf.<\/p>\n\n\n\n

      \n
    • B\u1ea5t ti\u1ec7n khi \u0111i c\u00f4ng t\u00e1c ho\u1eb7c du l\u1ecbch nhi\u1ec1u ng\u00e0y.<\/li>\n\n\n\n
    • \u0110au do \u0111\u00e2m kim m\u1ed7i l\u1ea7n ch\u1ea1y th\u1eadn.<\/li>\n\n\n\n
    • Nguy c\u01a1 l\u00e2y vi\u00eam gan B, C v\u00e0 HIV.<\/li>\n\n\n\n
    • <\/li>\n<\/ul>\n\n\n\n
        \n
      • Nguy c\u01a1 t\u1ee5t\/t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tim.<\/li>\n<\/ul>\n\n\n\n
          \n
        • M\u1ea5t n\u01b0\u1edbc ti\u1ec3u, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u1ea3i ti\u1ebft ch\u1ebf nghi\u00eam ng\u1eb7t h\u01a1n.<\/li>\n<\/ul>\n\n\n
          \n
          \"\"<\/figure><\/div>\n\n\n

          H\u00ecnh 3. Ti\u00eam kim l\u1ea5y m\u00e1u ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o<\/em><\/strong><\/p>\n\n\n\n

          Th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c (l\u1ecdc m\u00e0ng b\u1ee5ng)<\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

          Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y s\u1eed d\u1ee5ng ch\u00ednh m\u00e0ng b\u1ee5ng c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0m m\u00e0ng l\u1ecdc \u0111\u1ec3 l\u1ecdc s\u1ea1ch m\u00e1u v\u00e0 lo\u1ea1i b\u1ecf d\u1ecbch d\u01b0 th\u1eeba d\u1ef1a v\u00e0o ch\u00eanh l\u1ec7ch \u00e1p su\u1ea5t th\u1ea9m th\u1ea5u v\u1edbi d\u1ecbch l\u1ecdc. B\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1ed1ng th\u00f4ng b\u1eb1ng ph\u1eabu thu\u1eadt, kho\u1ea3ng 2 l\u00edt d\u1ecbch th\u1ea9m ph\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u1ed5 b\u1ee5ng. B\u1ec7nh nh\u00e2n s\u1ebd t\u1ef1 thay d\u1ecbch kho\u1ea3ng 3-4 l\u1ea7n m\u1ed7i ng\u00e0y, m\u1ed7i l\u1ea7n thay d\u1ecbch kho\u1ea3ng 30 ph\u00fat.<\/p>\n\n\n\n

          Qu\u00e1 tr\u00ecnh l\u1ecdc c\u00e1c ch\u1ea5t v\u00e0 n\u01b0\u1edbc di\u1ec5n ra song song c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y. Ngo\u00e0i th\u1eddi gian thay d\u1ecbch th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1ch b\u1ec7nh nh\u00e2n sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng. L\u01b0\u1ee3ng v\u00e0 s\u1ed1 l\u1ea7n thay d\u1ecbch t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a m\u1ed7i b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n

          \u01afu \u0111i\u1ec3m<\/em><\/strong><\/p>\n\n\n\n

            \n
          • B\u1ec7nh nh\u00e2n t\u1ef1 th\u1ef1c hi\u1ec7n t\u1ea1i nh\u00e0.<\/li>\n<\/ul>\n\n\n\n
              \n
            • Thu\u1eadn ti\u1ec7n khi \u0111i du l\u1ecbch, c\u00f4ng t\u00e1c.<\/li>\n\n\n\n
            • Kh\u00f4ng \u0111au do kh\u00f4ng c\u1ea7n ti\u00eam.<\/li>\n\n\n\n
            • \u00cdt nguy c\u01a1 l\u00e2y nhi\u1ec5m<\/li>\n\n\n\n
            • \u00cdt ph\u1ea3i ti\u1ebft ch\u1ebf trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng<\/li>\n\n\n\n
            • B\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng th\u1eadn t\u1ed3n l\u01b0u.<\/li>\n\n\n\n
            • \u00cdt thay \u0111\u1ed5i huy\u1ebft \u0111\u1ed9ng, th\u00edch h\u1ee3p cho b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh tim.<\/li>\n<\/ul>\n\n\n
              \n
              \"\"<\/figure><\/div>\n\n\n

              H\u00ecnh 4. Th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c<\/em><\/strong><\/p>\n\n\n\n

              Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/em><\/strong><\/p>\n\n\n\n

                \n
              • Nhi\u1ec5m tr\u00f9ng m\u00e0ng b\u1ee5ng n\u1ebfu kh\u00f4ng tu\u00e2n th\u1ee7 k\u1ef9 thu\u1eadt thay d\u1ecbch.<\/li>\n\n\n\n
              • C\u1ea7n ph\u00f2ng s\u1ea1ch: ph\u00f2ng k\u00edn, b\u00e0n, c\u00e2y treo d\u1ecbch, b\u1ed3n r\u1eeda tay v\u1edbi ngu\u1ed3n n\u01b0\u1edbc s\u1ea1ch.<\/li>\n\n\n\n
              • B\u1ec7nh nh\u00e2n ho\u1eb7c th\u00e2n nh\u00e2n ph\u1ea3i t\u1ef1 thay d\u1ecbch.<\/li>\n\n\n\n
              • C\u1ea7n thay d\u1ecbch nhi\u1ec1u l\u1ea7n trong ng\u00e0y.<\/li>\n\n\n\n
              • T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n\n\n\n
              • C\u1ea7n v\u1eadn chuy\u1ec3n l\u01b0\u1ee3ng l\u1edbn t\u1eeb trung t\u00e2m v\u1ec1 nh\u00e0 m\u1ed7i th\u00e1ng.<\/li>\n<\/ul>\n\n\n
                \n
                \"\"<\/figure><\/div>\n\n\n

                H\u00ecnh 5. Ph\u1eabu thu\u1eadt \u0111\u1eb7t catheter Tencknoff \u0111\u1ec3 th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c<\/em><\/strong><\/p>\n\n\n\n

                Gh\u00e9p th\u1eadn<\/em><\/strong><\/em><\/strong><\/p>\n\n\n\n

                Gh\u00e9p th\u1eadn l\u00e0 ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p th\u1eadn t\u1eeb ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng v\u00e0o ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn m\u1ea1n giai \u0111o\u1ea1n cu\u1ed1i. Th\u1eadn hi\u1ebfn t\u1eb7ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c gh\u00e9p v\u00e0o h\u1ed1 ch\u1eadu ph\u1ea3i ho\u1eb7c tr\u00e1i, ho\u1ea1t \u0111\u1ed9ng c\u00f9ng v\u1edbi ch\u1ee9c n\u0103ng th\u1eadn \u00edt \u1ecfi c\u1ee7a 2 th\u1eadn c\u00f2n l\u1ea1i c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n

                \n
                \"\"<\/figure><\/div>\n\n\n

                H\u00ecnh 6. Th\u1eadn t\u1eeb ng\u01b0\u1eddi hi\u1ebfn \u0111\u01b0\u1ee3c gh\u00e9p v\u00e0o h\u1ed1 ch\u1eadu ph\u1ea3i ng\u01b0\u1eddi nh\u1eadn<\/em><\/strong><\/p>\n\n\n\n

                \u01afu \u0111i\u1ec3m<\/em><\/strong><\/p>\n\n\n\n

                  \n
                • Gh\u00e9p th\u1eadn c\u00f3 th\u1ec3 mang l\u1ea1i ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng t\u1ed1t h\u01a1n v\u00e0 k\u00e9o d\u00e0i tu\u1ed5i th\u1ecd h\u01a1n so v\u1edbi ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c cho suy th\u1eadn. Th\u1eadn gh\u00e9p th\u1ef1c hi\u1ec7n g\u1ea7n nh\u01b0 \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ch\u1ee9c n\u0103ng.<\/li>\n\n\n\n
                • Khi th\u1eadn gh\u00e9p b\u1ecb h\u1ecfng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c gh\u00e9p th\u1eadn l\u1ea7n 2, l\u1ea7n 3 v\u00e0 ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o ho\u1eb7c l\u1ecdc m\u00e0ng b\u1ee5ng trong th\u1eddi gian ch\u1edd \u0111\u01b0\u1ee3c gh\u00e9p.<\/li>\n<\/ul>\n\n\n\n

                  Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/em><\/strong><\/p>\n\n\n\n

                    \n
                  • Ph\u1ea3i c\u00f3 ngu\u1ed3n hi\u1ebfn t\u1ea1ng h\u1ee3p ph\u00e1p: ng\u01b0\u1eddi hi\u1ebfn s\u1ed1ng, ch\u1ebft n\u00e3o, tim ng\u1eebng \u0111\u1eadp.<\/li>\n\n\n\n
                  • Ph\u1ea3i u\u1ed1ng thu\u1ed1c ch\u1ebf mi\u1ec5n d\u1ecbch su\u1ed1t \u0111\u1eddi.<\/li>\n\n\n\n
                  • Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng do s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/li>\n<\/ul>\n\n\n\n

                    N\u00ean<\/strong> l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf th\u1eadn n\u00e0o<\/strong>?<\/strong><\/p>\n\n\n\n

                              Kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf th\u1eadn n\u00e0o l\u00e0 t\u1ed1i \u01b0u, c\u1ea7n l\u1ef1a ch\u1ecdn d\u1ef1a v\u00e0o t\u1eebng ho\u00e0n c\u1ea3nh c\u1ee5 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u01b0 v\u1ea5n t\u1eeb c\u00e1c chuy\u00ean gia th\u1eadn h\u1ecdc tr\u01b0\u1edbc khi b\u01b0\u1edbc v\u00e0o giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a b\u1ec7nh th\u1eadn m\u1ea1n. B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh th\u1ef1c hi\u1ec7n \u0111\u1ea7y \u0111\u1ee7 ba ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn. C\u00e1c chuy\u00ean gia, b\u00e1c s\u0129 s\u1ebd t\u01b0 v\u1ea5n c\u1ee5 th\u1ec3 cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p gi\u00fap b\u1ea1n ch\u1ecdn l\u1ef1a ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p, chu\u1ea9n b\u1ecb \u0111\u1ea7y \u0111\u1ee7 tr\u01b0\u1edbc khi v\u00e0o \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn. \u0110\u1ed3ng th\u1eddi, c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa c\u0169ng \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u nh\u1eb1m k\u00e9o d\u00e0i kho\u1ea3ng th\u1eddi gian kh\u00f4ng ph\u1ea3i \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn, ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng, bi\u1ebfn ch\u1ee9ng v\u00e0 ch\u1ecdn l\u1ef1a th\u1eddi \u0111i\u1ec3m \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n

                    BS. V\u0169 Th\u1ecb Kim Ng\u1ecdc \u2013 BSCK II. B\u00f9i Th\u1ecb Ng\u1ecdc Y\u1ebfn<\/strong><\/p>\n\n\n\n

                    Khoa N\u1ed9i Ti\u1ebft Th\u1eadn, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

                    B\u1ec7nh th\u1eadn m\u1ea1n l\u00e0 g\u00ec? B\u1ec7nh th\u1eadn m\u1ea1n l\u00e0 t\u1ed5n th\u01b0\u01a1ng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ho\u1eb7c ch\u1ee9c n\u0103ng th\u1eadn, t\u1ed3n t\u1ea1i tr\u00ean 3 th\u00e1ng v\u00e0 c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kho\u1ebb ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh th\u1eadn m\u1ea1n? V\u00ec sao c\u1ea7n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn?Suy th\u1eadn m\u1ea1n s\u1ebd di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n 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Kh\u00e1nh Nh\u1eadt","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=5"},"uagb_comment_info":0,"uagb_excerpt":"B\u1ec7nh th\u1eadn m\u1ea1n l\u00e0 g\u00ec? B\u1ec7nh th\u1eadn m\u1ea1n l\u00e0 t\u1ed5n th\u01b0\u01a1ng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 ho\u1eb7c ch\u1ee9c n\u0103ng th\u1eadn, t\u1ed3n t\u1ea1i tr\u00ean 3 th\u00e1ng v\u00e0 c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kho\u1ebb ng\u01b0\u1eddi b\u1ec7nh. C\u00e1c giai \u0111o\u1ea1n c\u1ee7a b\u1ec7nh th\u1eadn m\u1ea1n? V\u00ec sao c\u1ea7n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn?Suy th\u1eadn m\u1ea1n s\u1ebd di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n…","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8741","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8741"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8741\/revisions"}],"predecessor-version":[{"id":8750,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8741\/revisions\/8750"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/media\/8749"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8741"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8741"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8741"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}