{"id":994,"date":"2018-02-02T15:30:01","date_gmt":"2018-02-02T08:30:01","guid":{"rendered":"https:\/\/vinimam.org.vn\/vinimam\/?p=994"},"modified":"2024-04-08T15:44:49","modified_gmt":"2024-04-08T08:44:49","slug":"chay-than-nhan-tao-giai-phap-toi-uu-cho-nguoi-suy-than","status":"publish","type":"post","link":"https:\/\/vinimam.org.vn\/vinimam\/chay-than-nhan-tao-giai-phap-toi-uu-cho-nguoi-suy-than\/","title":{"rendered":"Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u2013 gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u cho ng\u01b0\u1eddi suy th\u1eadn"},"content":{"rendered":"

B\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (giai \u0111o\u1ea1n 5 hay suy th\u1eadn m\u1ea1n) x\u1ea3y ra khi th\u1eadn t\u1ed5n th\u01b0\u01a1ng r\u1ea5t n\u1eb7ng, m\u1ea5t g\u1ea7n h\u1ebft ho\u1eb7c m\u1ea5t ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3. \u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c l\u1ecdc qua th\u1eadn trong m\u1ed9t \u0111\u01a1n v\u1ecb th\u1eddi gian, th\u01b0\u1eddng t\u00ednh b\u1eb1ng ph\u00fat) \u1edf m\u1ee9c k\u00e9m nh\u1ea5t (d\u01b0\u1edbi 15mL\/ph\/1,73 m2). Nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (ti\u1ec3u \u0111\u01b0\u1eddng), t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh c\u1ea7u th\u1eadn. Suy th\u1eadn ph\u1ea7n l\u1edbn ph\u00e1t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

L\u1ecdc m\u00e1u (g\u1ed3m ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o v\u00e0 l\u1ecdc m\u00e0ng b\u1ee5ng) v\u00e0 gh\u00e9p th\u1eadn l\u00e0 hai l\u1ef1a ch\u1ecdn cu\u1ed1i c\u00f9ng, nh\u1eb1m k\u00e9o d\u00e0i s\u1ef1 s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i. T\u00f9y t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe, \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf, b\u00e1c s\u0129 \u0111\u01b0a ra c\u00e1c ph\u01b0\u01a1ng \u00e1n ph\u00f9 h\u1ee3p \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n l\u1ef1a ch\u1ecdn.<\/p>\n

Gh\u00e9p th\u1eadn l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t, t\u0103ng c\u01a1 h\u1ed9i s\u1ed1ng l\u00e2u, c\u00f3 th\u1ec3 tr\u1edf v\u1ec1 cu\u1ed9c s\u1ed1ng g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, t\u1ee9c l\u00e0 c\u00f3 th\u1ec3 \u0111i l\u00e0m, c\u00f3 con\u2026 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi suy th\u1eadn m\u1ea1n. M\u1eb7c d\u00f9 v\u1eady, kh\u00f4ng ph\u1ea3i ai c\u0169ng c\u00f3 th\u1ec3 gh\u00e9p th\u1eadn, v\u00ec nhi\u1ec1u l\u00fd do nh\u01b0 ngu\u1ed3n th\u1eadn t\u1eeb ng\u01b0\u1eddi cho c\u00f2n s\u1ed1ng v\u00e0 ng\u01b0\u1eddi cho ch\u1ebft n\u00e3o r\u1ea5t khan hi\u1ebfm, kinh ph\u00ed l\u1edbn, ph\u1eabu thu\u1eadt vi\u00ean ph\u1ea3i c\u00f3 ch\u1ee9ng ch\u1ec9 gh\u00e9p th\u1eadn v\u1edbi tay ngh\u1ec1 cao\u2026 Sau ph\u1eabu thu\u1eadt nguy c\u01a1 th\u1ea3i gh\u00e9p v\u1edbi t\u1ea1ng hi\u1ebfn c\u00f3 th\u1ec3 x\u1ea3y ra b\u1ea5t c\u1ee9 l\u00fac n\u00e0o, ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i duy tr\u00ec u\u1ed1ng thu\u1ed1c ch\u1ed1ng th\u1ea3i gh\u00e9p su\u1ed1t \u0111\u1eddi.<\/p>\n

Trong khi \u0111\u00f3, l\u1ecdc m\u00e1u d\u00f9 kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi b\u1ec7nh nh\u01b0ng gi\u00fap ng\u01b0\u1eddi b\u1ec7nh duy tr\u00ec s\u1ef1 s\u1ed1ng ch\u1edd \u0111\u1ee3i \u0111\u1ebfn l\u00fac th\u00edch h\u1ee3p \u0111\u1ec3 gh\u00e9p th\u1eadn, th\u1eadm ch\u00ed \u0111\u1ebfn cu\u1ed1i \u0111\u1eddi. T\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n suy th\u1eadn m\u1ea1n ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u1edf Vi\u1ec7t Nam t\u01b0\u01a1ng \u0111\u1ed1i cao, kho\u1ea3ng 80%, l\u1ecdc m\u00e0ng b\u1ee5ng kho\u1ea3ng 5% v\u00e0 gh\u00e9p th\u1eadn l\u00e0 15%. Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c xem l\u00e0 ph\u01b0\u01a1ng ph\u00e1p t\u1ed1i \u01b0u nh\u1ea5t hi\u1ec7n nay v\u1edbi ng\u01b0\u1eddi suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o l\u00e0 ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc m\u00e1u b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 b\u1eb1ng m\u1ed9t lo\u1ea1i m\u00e1y chuy\u00ean d\u1ee5ng. M\u00e1y l\u1ecdc m\u00e1u s\u1ebd b\u01a1m m\u00e1u c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh qua b\u1ed9 l\u1ecdc, r\u1ed3i \u0111\u01b0a m\u00e1u tr\u1edf l\u1ea1i c\u01a1 th\u1ec3. M\u00e0ng l\u1ecdc c\u1ee7a m\u00e1y gi\u1eef l\u1ea1i nh\u1eefng t\u1ebf b\u00e0o m\u00e1u, protein v\u00e0 c\u00e1c ch\u1ea5t quan tr\u1ecdng kh\u00e1c, lo\u1ea1i b\u1ecf nh\u1eefng ch\u1ea5t th\u1ea3i nh\u01b0 ure, creatinin, kali, ch\u1ea5t l\u1ecfng th\u1eeba ra kh\u1ecfi m\u00e1u. M\u00e1y l\u1ecdc gi\u00fap ng\u01b0\u1eddi b\u1ec7nh ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p v\u00e0 duy tr\u00ec c\u00e2n b\u1eb1ng ch\u1ea5t l\u1ecfng, kho\u00e1ng ch\u1ea5t trong c\u01a1 th\u1ec3. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ch\u1ea5t \u0111\u1ed9c kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n.<\/p>\n

G\u1ea7n \u0111\u00e2y, k\u1ef9 thu\u1eadt l\u1ecdc th\u1eadn HDF online \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn t\u1eeb ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o truy\u1ec1n th\u1ed1ng \u0111\u00e3 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng, gi\u1ea3i quy\u1ebft nh\u1eefng \u0111i\u1ec3m l\u1ecdc m\u00e1u th\u00f4ng th\u01b0\u1eddng kh\u00f4ng l\u00e0m \u0111\u01b0\u1ee3c. B\u00e1c s\u0129 Kim Thanh cho bi\u1ebft, k\u1ef9 thu\u1eadt l\u1ecdc th\u1eadn HDF online v\u1edbi ngu\u1ed3n n\u01b0\u1edbc si\u00eau tinh khi\u1ebft, s\u1eed d\u1ee5ng m\u00e0ng l\u1ecdc hi\u1ec7u qu\u1ea3 l\u1ecdc hi\u1ec7u cao, mang l\u1ea1i nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i h\u01a1n. Nh\u1edd \u0111\u00f3 gi\u1ea3m b\u1edbt c\u00e1c tri\u1ec7u ch\u1ee9ng trong l\u00fac ch\u1ea1y th\u1eadn (nh\u01b0 ng\u1ee9a, m\u1ec7t m\u1ecfi, s\u1ea1m da), gi\u1ea3m b\u1edbt s\u1ed1 l\u1ea7n nh\u1eadp vi\u1ec7n v\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong, gi\u1ea3m bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, \u1ed5n \u0111\u1ecbnh huy\u1ebft \u00e1p v\u00e0 gi\u1ea3m thi\u1ebfu m\u00e1u.<\/p>\n

L\u1ecdc m\u00e0ng b\u1ee5ng (th\u1ea9m ph\u00e2n ph\u00fac m\u1ea1c) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng ch\u00ednh m\u00e0ng b\u1ee5ng (ph\u00fac m\u1ea1c) c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 l\u1ecdc n\u01b0\u1edbc d\u01b0 th\u1eeba v\u00e0 c\u00e1c ch\u1ea5t c\u1eb7n b\u00e3 v\u00e0o d\u1ecbch trong \u1ed5 b\u1ee5ng r\u1ed3i \u0111\u01b0\u1ee3c th\u1ea3i ra ngo\u00e0i theo m\u1ed9t \u0111\u01b0\u1eddng \u1ed1ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y kh\u00e1 \u0111\u01a1n gi\u1ea3n, nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n l\u1ecdc m\u00e0ng b\u1ee5ng h\u00e0ng ng\u00e0y, t\u1ef1 th\u1ef1c hi\u1ec7n t\u1ea1i nh\u00e0 b\u1eb1ng tay ho\u1eb7c b\u1eb1ng m\u00e1y.<\/p>\n

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B\u1ec7nh th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i (giai \u0111o\u1ea1n 5 hay suy th\u1eadn m\u1ea1n) x\u1ea3y ra khi th\u1eadn t\u1ed5n th\u01b0\u01a1ng r\u1ea5t n\u1eb7ng, m\u1ea5t g\u1ea7n h\u1ebft ho\u1eb7c m\u1ea5t ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng, kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3. \u0110\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c l\u1ecdc qua th\u1eadn trong m\u1ed9t \u0111\u01a1n v\u1ecb th\u1eddi gian, th\u01b0\u1eddng […]\n","protected":false},"author":1,"featured_media":998,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[16],"tags":[],"class_list":["post-994","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-hoat-dong"],"yoast_head":"\nCh\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u2013 gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u cho ng\u01b0\u1eddi suy th\u1eadn - Vi\u1ec7n Y h\u1ecdc bi\u1ec3n | Vietnam National Institute of Maritime Medicine<\/title>\n<meta name=\"description\" content=\"H\u1ed9i Th\u1eadn h\u1ecdc th\u1ebf gi\u1edbi \u01b0\u1edbc t\u00ednh kho\u1ea3ng 850 tri\u1ec7u ng\u01b0\u1eddi \u0111ang c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh \u1edf th\u1eadn, kho\u1ea3ng 3 tri\u1ec7u ng\u01b0\u1eddi b\u1ec7nh \u0111ang ph\u1ea3i duy tr\u00ec s\u1ef1 s\u1ed1ng nh\u1edd l\u1ecdc m\u00e1u. T\u1ea1i Vi\u1ec7t Nam ch\u01b0a c\u00f3 s\u1ed1 li\u1ec7u th\u1ed1ng k\u00ea ch\u00ednh th\u1ee9c, song \u01b0\u1edbc t\u00ednh kho\u1ea3ng 5 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb suy th\u1eadn, h\u00e0ng n\u0103m c\u00f3 kho\u1ea3ng 8.000 ca b\u1ec7nh m\u1edbi. V\u1edbi ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i c\u1ea7n \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn kho\u1ea3ng 800.000 ng\u01b0\u1eddi, chi\u1ebfm 0,1% d\u00e2n s\u1ed1.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/vinimam.org.vn\/vinimam\/chay-than-nhan-tao-giai-phap-toi-uu-cho-nguoi-suy-than\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o \u2013 gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u cho ng\u01b0\u1eddi suy th\u1eadn - Vi\u1ec7n Y h\u1ecdc bi\u1ec3n | Vietnam National Institute of Maritime Medicine\" \/>\n<meta property=\"og:description\" content=\"H\u1ed9i Th\u1eadn h\u1ecdc th\u1ebf gi\u1edbi \u01b0\u1edbc t\u00ednh kho\u1ea3ng 850 tri\u1ec7u ng\u01b0\u1eddi \u0111ang c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh \u1edf th\u1eadn, kho\u1ea3ng 3 tri\u1ec7u ng\u01b0\u1eddi b\u1ec7nh \u0111ang ph\u1ea3i duy tr\u00ec s\u1ef1 s\u1ed1ng nh\u1edd l\u1ecdc m\u00e1u. 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