{"id":2263,"date":"2022-07-13T22:58:57","date_gmt":"2022-07-13T15:58:57","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=2263"},"modified":"2022-07-14T22:43:28","modified_gmt":"2022-07-14T15:43:28","slug":"tai-lieu-tham-khao-mot-so-cau-hoi-noi-lam-sang","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/tai-lieu-tham-khao-mot-so-cau-hoi-noi-lam-sang\/","title":{"rendered":"M\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi N\u1ed9i L\u00e2m S\u00e0ng (Tham kh\u1ea3o)"},"content":{"rendered":"<p>C\u00e2u tr\u1ea3 l\u1eddi mang quan \u0111i\u1ec3m c\u00e1 nh\u00e2n c\u00f3 tr\u00edch d\u1eabn t\u00e0i li\u1ec7u \u0111\u1ec3 th\u1ea3o lu\u1eadn v\u00e0 c\u1eadp nh\u1eadt<br \/>\n1\/ T\u1ea1i sao \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ecb b\u00e9o ph\u00ed:<br \/>\nB\u00e9o ph\u00ed \u0111\u01b0\u1ee3c xem l\u00e0 1 y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn \u0110T\u0110 type 2, tr\u00edch theo s\u00e1ch n\u1ed9i b\u1ec7nh l\u00fd T\u00e2y Nguy\u00ean trang 513:<br \/>\n&#8220;\u0110a s\u1ed1 b\u1ec7nh nh\u00e2n thu\u1ed9c lo\u1ea1i b\u00e9o (90% \u1edf c\u00e1c n\u01b0\u1edbc \u0111\u00e3 ph\u00e1t tri\u1ec3n) nh\u01b0ng \u1edf vi\u1ec7t nam v\u1eabn g\u1eb7p nhi\u1ec1u type 2 \u1edf b\u1ec7nh nh\u00e2n kh\u00f4ng b\u00e9o ho\u1eb7c g\u1ea7y.&#8221;<br \/>\nTheo b\u00e0i gi\u1ea3ng th\u1ea7y T\u00e0i:<br \/>\n\u0110\u1ec1 kh\u00e1ng v\u1edbi Insulin l\u00e0 C\u01a1 ch\u1ebf ch\u00ednh hay g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec<br \/>\n\u0110\u00c1I TH\u00c1O \u0110\u01af\u1edcNG TYPE 2<\/p>\n<blockquote class=\"imgur-embed-pub\" lang=\"en\" data-id=\"R70NpK1\"><p><a href=\"https:\/\/imgur.com\/R70NpK1\" rel=\"noopener\">View post on imgur.com<\/a><\/p><\/blockquote>\n<p><script async src=\"\/\/s.imgur.com\/min\/embed.js\" charset=\"utf-8\"><\/script><\/p>\n<p>M\u00ecnh tr\u00edch d\u1eabn th\u00eam nghi\u00ean c\u1ee9u sau \u0111\u1ec3 tham kh\u1ea3o:<br \/>\n&#8220;B\u1ecb b\u00e9o ph\u00ec ho\u1eb7c th\u1eeba c\u00e2n c\u00f3 nguy c\u01a1 \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn ti\u1ebfn tri\u1ec3n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 2. B\u1ed1n trong s\u1ed1 n\u0103m ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 2 th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec.<br \/>\n&#8220;M\u1ed9t trong nh\u1eefng m\u1ed1i li\u00ean h\u1ec7 v\u1edbi b\u1ec7nh b\u00e9o ph\u00ec l\u00e0 ch\u1ea5t b\u00e9o g\u00e2y ra m\u1ed9t nh\u1eb9, c\u1ea5p th\u1ea5p vi\u00eam kh\u1eafp c\u01a1 th\u1ec3, g\u00f3p ph\u1ea7n cho b\u1ec7nh tim v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng,&#8221; theoVivian Fonseca, gi\u00e1o s\u01b0 y h\u1ecdc v\u00e0 d\u01b0\u1ee3c h\u1ecdc v\u00e0 tr\u01b0\u1edfng khoa n\u1ed9i ti\u1ebft \u0111\u1ea1i h\u1ecdc Tulane \u1edf New Orleans.<br \/>\nCh\u1ea5t b\u00e9o d\u01b0 th\u1eeba, \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ea5t b\u00e9o b\u1ee5ng, c\u0169ng l\u00e0m thay \u0111\u1ed5i c\u00e1ch m\u00e0 c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n ph\u1ea3n \u1ee9ng v\u1edbi insulin, d\u1eabn \u0111\u1ebfn m\u1ed9t t\u00ecnh tr\u1ea1ng g\u1ecdi l\u00e0 kh\u00e1ng insulin. V\u1edbi t\u00ecnh tr\u1ea1ng n\u00e0y, c\u00e1c t\u1ebf b\u00e0o c\u1ee7a b\u1ea1n kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng insulin \u0111\u1ec3 x\u1eed l\u00fd \u0111\u01b0\u1eddng m\u00e1u ra kh\u1ecfi m\u00e1u, d\u1eabn \u0111\u1ebfn l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao.<br \/>\nTrong khi kh\u00f4ng ph\u1ea3i ai c\u0169ng b\u1ecb \u0111\u1ec1 kh\u00e1ng insulin ph\u00e1t tri\u1ec3n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1ee9c \u0111\u1ec1 kh\u00e1ng insulin c\u00f3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 2.&#8221;<\/p>\n<p>B\u1ea3n g\u1ed1c<br \/>\nBeing obese or overweight puts you at significant risk for developing type 2 diabetes. Four out of five people with type 2 diabetes are overweight or obese.<\/p>\n<p>\u201cOne of the links with obesity is that fat induces a mild, low-grade inflammation throughout the body that contributes to heart disease and diabetes,\u201d says Vivian Fonseca, MD, professor of medicine and pharmacology and chief of endocrinology at Tulane University Health Sciences Center in New Orleans.<\/p>\n<p>Excess fat, especially abdominal fat, also changes the way that your body responds to insulin, leading to a condition called insulin resistance. With this condition, your cells cannot use insulin to process blood sugar out of the blood, resulting in high blood sugar levels.<\/p>\n<p>While not everyone with insulin resistance develops diabetes, people with insulin resistance are at increased risk of type 2 diabetes.<\/p>\n<p>C\u00e2u 2: \u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<br \/>\n\u00c1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i c\u00f3 tr\u1ecb s\u1ed1 b\u00ecnh th\u01b0\u1eddng l\u00e0 15-25 mmhg \u1edf t\u00e2m thu v\u00e0 8-15mmhg \u1edf t\u00e2m tr\u01b0\u01a1ng, v\u00ec th\u1ebf b\u1ec7nh T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i l\u00e0 khi tr\u00ean 25 khi ngh\u1ec9 v\u00e0 30 khi g\u1eafng s\u1ee9c. B\u1ea1n c\u00f3 th\u1ec3 tr\u1ea3 l\u1eddi d\u01b0\u1edbi 25 l\u00e0 b\u00ecnh th\u01b0\u1eddng c\u0169ng \u0111\u01b0\u1ee3c<br \/>\n&#8211; Tham kh\u1ea3o th\u00eam c\u00e1c tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng t\u1ea1i:<br \/>\nhttp:\/\/www.lidco.com\/clinical\/hemodynamic.php<\/p>\n<p>C\u00e2u 3: Nguy\u00ean nh\u00e2n suy tim to\u00e0n b\u1ed9<br \/>\nNguy\u00ean nh\u00e2n suy tim to\u00e0n b\u1ed9 theo b\u00e0i gi\u1ea3ng th\u1ea7y Long<br \/>\n\u2013 Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 ST tr\u00e1i ti\u1ebfn tri\u1ec3n th\u00e0nh ST to\u00e0n b\u1ed9.<br \/>\n\u2013 B\u1ec7nh c\u01a1 tim gi\u00e3n; Vi\u00eam tim to\u00e0n b\u1ed9 do th\u1ea5p tim, vi\u00eam c\u01a1 tim.<br \/>\n\u2013 Suy tim to\u00e0n b\u1ed9 c\u00f3 t\u0103ng cung l\u01b0\u1ee3ng: c\u01b0\u1eddng gi\u00e1p, thi\u1ebfu vitamin B1, thi\u1ebfu m\u00e1u n\u1eb7ng, d\u00f2 \u0110M-TM&#8230;<br \/>\nM\u00ecnh c\u0169ng li\u00ean h\u1ec7 v\u1edbi c\u00e1c nguy\u00ean nh\u00e2n suy tim tr\u00e1i ph\u1ea3i lu\u00f4n:<br \/>\n\u2022 Nguy\u00ean nh\u00e2n suy tim tr\u00e1i<br \/>\n\u2013 THA<br \/>\n\u2013 B\u1ec7nh van tim: HoHC (\u0111\u01a1n thu\u1ea7n ho\u1eb7c ph\u1ed1i h\u1ee3p), HoHL<br \/>\n\u2013 C\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim: NMCT; vi\u00eam c\u01a1 tim do th\u1ea5p,nhi\u1ec5m \u0111\u1ed9c, nhi\u1ec5m khu\u1ea9n; c\u00e1c b\u1ec7nh c\u01a1 tim.<br \/>\n\u2013 M\u1ed9t s\u1ed1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim: rung nh\u0129, cu\u1ed3ng nh\u0129<br \/>\n\u2013 M\u1ed9t s\u1ed1 b\u1ec7nh tim b\u1ea9m sinh: h\u1eb9p eo \u0110MC; c\u00f2n \u1ed1ng \u0110M&#8230;<br \/>\nXX Nguy\u00ean nh\u00e2n suy tim ph\u1ea3i<br \/>\n\u2022 Suy tim tr\u00e1i<br \/>\n\u2022 C\u00e1c b\u1ec7nh ph\u1ed5i, d\u1ecb d\u1ea1ng l\u1ed3ng ng\u1ef1c &#8211; c\u1ed9t s\u1ed1ng<br \/>\n\u2022 C\u00e1c nguy\u00ean nh\u00e2n tim m\u1ea1ch:<br \/>\n\u2013 HHL l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t<br \/>\n\u2013 B\u1ec7nh van ba l\u00e1 v\u00e0 van \u0110MP<br \/>\n\u2013 B\u1ec7nh tim b\u1ea9m sinh (h\u1eb9p ph\u1ed5i, tam ch\u1ee9ng Fallot); c\u00e1c b\u1ec7nh tim b\u1ea9m sinh c\u00f3 \u0111\u1ea3o lu\u1ed3ng shunt; u nh\u1ea7y nh\u0129 tr\u00e1i, v\u1ee1 t\u00fai ph\u00ecnh xoang Valsava v\u00e0o c\u00e1c bu\u1ed3ng tim ph\u1ea3i&#8230;<\/p>\n<p>C\u00e1c b\u1ea1n c\u00f3 th\u1ec3 tham kh\u1ea3o th\u00eam 10 nguy\u00ean nh\u00e2n suy tim theo h\u1ed9i tim m\u1ea1ch hoa k\u1ef3 gi\u1ea3i th\u00edch r\u1ea5t \u0111\u1ea7y \u0111\u1ee7 t\u1ea1i: http:\/\/www.heart.org\/HEARTORG\/Condi&#8230;auses-of-Heart-Failure_UCM_477643_Article.jsp<\/p>\n<p>C\u00e2u 4: Nguy\u00ean nh\u00e2n t\u0103ng huy\u1ebft \u00e1p.<br \/>\nPh\u1ea7n n\u00e0y th\u00ec kinh \u0111i\u1ec3n r\u1ed3i, tham kh\u1ea3o \u1edf \u0111\u00e2u c\u0169ng c\u00f3<br \/>\nNguy\u00ean nh\u00e2n<br \/>\n-T\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t:<br \/>\nChi\u1ebfm g\u1ea7n 90% tr\u01b0\u1eddng h\u1ee3p b\u1ecb t\u0103ng huy\u1ebft \u00e1p (theo Gifford &#8211; Weiss).<br \/>\n-T\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t:<br \/>\nB\u1ec7nh th\u1eadn: Vi\u00eam c\u1ea7u th\u1eadn c\u1ea5p, vi\u00eam c\u1ea7u th\u1eadn m\u1ea1n hai b\u00ean do m\u1eafc ph\u1ea3i th\u1eadn \u0111a n\u0103ng, \u1ee9 n\u01b0\u1edbc b\u1ec3 th\u1eadn, u th\u1eadn l\u00e0m ti\u1ebft r\u00e9nin, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn&#8230;<br \/>\nN\u1ed9i ti\u1ebft:<br \/>\nB\u1ec7nh v\u1ecf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, h\u1ed9i ch\u1ee9ng Cushing, h\u1ed9i ch\u1ee9ng Conn, u s\u1ea3n xu\u1ea5t qu\u00e1 th\u1eeba c\u00e1c Corticosteroid kh\u00e1c (Corticosterone, desoxycortisone), sai l\u1ea1c trong sinh t\u1ed5ng h\u1ee3p Corticosteroid.<br \/>\nB\u1ec7nh t\u1ee7y th\u01b0\u1ee3ng th\u1eadn, u t\u1ee7y th\u01b0\u1ee3ng th\u1eadn (Pheochromocytome).<br \/>\nB\u1ec7nh tim m\u1ea1ch: B\u1ec7nh h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, vi\u00eam h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ee5ng cho xu\u1ea5t ph\u00e1t \u0111\u1ed9ng m\u1ea1ch th\u1eadn, h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<br \/>\nThu\u1ed1c: C\u00e1c Hormone ng\u1eeba thai, cam th\u1ea3o, carbenoxolone, A.C.T.H. Corticoides, Cyclosporine, c\u00e1c ch\u1ea5t g\u00e2y ch\u00e1n \u0103n, c\u00e1c IMAO, ch\u1ea5t ch\u1ed1ng tr\u1ea7m c\u1ea3m v\u00f2ng.<br \/>\nNhi\u1ec5m \u0111\u1ed9c thai ngh\u00e9n.<br \/>\nC\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c: B\u1ec7nh c\u01b0\u1eddng gi\u00e1p, b\u1ec7nh Beri-beri. B\u1ec7nh Paget x\u01b0\u01a1ng, b\u1ec7nh \u0111a h\u1ed3ng c\u1ea7u, h\u1ed9i ch\u1ee9ng carcinoid, toan h\u00f4 h\u1ea5p, t\u0103ng \u00e1p s\u1ecd n\u00e3o&#8230;<\/p>\n<blockquote class=\"imgur-embed-pub\" lang=\"en\" data-id=\"ZOHd7F1\"><p><a href=\"https:\/\/imgur.com\/ZOHd7F1\" rel=\"noopener\">View post on imgur.com<\/a><\/p><\/blockquote>\n<p><script async src=\"\/\/s.imgur.com\/min\/embed.js\" charset=\"utf-8\"><\/script><\/p>\n<p>C\u00e2u 5: Suy th\u1eadn m\u1ea1n v\u00e0 t\u0103ng huy\u1ebft \u00e1p:<br \/>\nSuy th\u1eadn m\u1ea1n d\u1eabn \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p:<br \/>\n&#8211; Trong STM, c\u00e1c nephron (N) b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u00ean s\u1ebd c\u00f3 s\u1ef1 b\u00f9 tr\u1eeb t\u1ea1i nephron. C\u00f9ng v\u1edbi s\u1ef1 gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u qua th\u1eadn n\u00ean ho\u1ea1t h\u00f3a h\u1ec7 RAA g\u00e2y t\u0103ng huy\u1ebft \u00e1p.<br \/>\nT\u0103ng huy\u1ebft \u00e1p d\u1eabn \u0111\u1ebfn suy th\u1eadn m\u1ea1n:<br \/>\nT\u0103ng huy\u1ebft \u00e1p l\u00e0m t\u0103ng m\u1ee9c l\u1ecdc c\u1ea7u th\u1eadn g\u00e2y t\u1ed5n th\u01b0\u01a1ng, x\u01a1 v\u1eefa m\u1ea1ch th\u1eadn, ho\u1ea1i t\u1eed t\u01a1 huy\u1ebft, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 th\u1eadn.<br \/>\n[\u200bIMG]\nT\u0103ng huy\u00ea\u0301t a\u0301p la\u0300m t\u00f4\u0309n th\u01b0\u01a1ng ma\u0323ch ma\u0301u th\u00e2\u0323n, la\u0300m ro\u0300 ri\u0309 protein ra ngoa\u0300i n\u01b0\u01a1\u0301c ti\u00ea\u0309u va\u0300 g\u00e2y suy th\u00e2\u0323n.<\/p>\n<p>6\/ Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng:<br \/>\nTheo ADA 2015 M\u1edaI NH\u1ea4T<br \/>\nb\u1ea1n c\u00f3 th\u1ec3 xem \u1edf link sau<br \/>\nhttp:\/\/ykhoataynguyen.com\/threads\/tieu-chun-chn-doan-dai-thao-duong-ada-2015.269\/<br \/>\nB\u1ea1n c\u0169ng c\u00f3 th\u1ec3 theo b\u00e0i gi\u1ea3ng th\u1ea7y T\u00e0i:<\/p>\n<blockquote class=\"imgur-embed-pub\" lang=\"en\" data-id=\"BJ2Xbzk\"><p><a href=\"https:\/\/imgur.com\/BJ2Xbzk\" rel=\"noopener\">View post on imgur.com<\/a><\/p><\/blockquote>\n<p><script async src=\"\/\/s.imgur.com\/min\/embed.js\" charset=\"utf-8\"><\/script><\/p>\n<p>7\/ Bi\u1ebfn ch\u1ee9ng c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng:<br \/>\nCH\u1ea8N \u0110O\u00c1N BI\u1ebeN CH\u1ee8NG THEO T\u00c0I LI\u1ec6U TH\u1ea6Y T\u00c0I<br \/>\n1. Bi\u1ebfn ch\u1ee9ng c\u1ea5p t\u00ednh<br \/>\n\uf06e H\u00f4n m\u00ea do nhi\u1ec5m ceton<br \/>\n\uf06e H\u00f4n m\u00ea do t\u0103ng \u00e1p l\u1ef1c th\u1ea9m th\u1ea5u<br \/>\n\uf06e H\u00f4n m\u00ea do nhi\u1ec5m acid lactic<br \/>\n\uf06e H\u00f4n m\u00ea do h\u1ea1 \u0111\u01b0\u1eddng m\u00e1u<br \/>\n2. Bi\u1ebfn ch\u1ee9ng m\u1ea1n t\u00ednh<br \/>\n\uf06e Bi\u1ebfn ch\u1ee9ng nhi\u1ec5m tr\u00f9ng<br \/>\n\u2022 C\u01a1 ch\u1ebf: khi glucose m\u00e1u \uf0ad cao<br \/>\n\uf0a7 H\u00f3a h\u01b0\u1edbng \u0111\u1ed9ng BC \u0111a nh\u00e2n \uf0af<br \/>\n\uf0a7 Th\u1ef1c b\u00e0o BC \u0111a nh\u00e2n \uf0af<br \/>\n\uf0a7 Ph\u1ea3n \u1ee9ng vi\u00eam b\u1ecb r\u1ed1i lo\u1ea1n<br \/>\nNhi\u1ec5m tr\u00f9ng l\u00e0m t\u0103ng \u0111\u1ec1 kh\u00e1ng Insulin, \uf0ad ti\u1ebft c\u00e1c hormone \u0111\u1ec1 kh\u00e1ng insulin \uf0ae d\u1ec5 ti\u1ec5n ti\u1ebfn nhi\u1ec5m ceton<br \/>\n\u2022 C\u00e1c lo\u1ea1i nhi\u1ec5m tr\u00f9ng<br \/>\n\uf0a7 Lao ph\u1ed5i<br \/>\n\uf0a7 Vi khu\u1ea9n sinh m\u1ee7: nhi\u1ec5m tr\u00f9ng<br \/>\nda, nhi\u1ec5m tr\u00f9ng b\u00e0n ch\u00e2n \u0110T\u0110<br \/>\n\uf0a7 N\u1ea5m: nhi\u1ec5m n\u1ea5m sinh d\u1ee5c n\u1eef<br \/>\n\uf06e H\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a<br \/>\n\u2022 T\u1eadp h\u1ee3p ch\u00f9m y\u1ebfu t\u1ed1 nguy c\u01a1<br \/>\n\u2022 Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n ch\u01b0a th\u1ed1ng Nh\u1ea5t<br \/>\n\uf06e Bi\u1ebfn ch\u1ee9ng m\u1ea1ch m\u00e1u l\u1edbn<br \/>\n\u2022 Tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o<br \/>\n\u2022 Suy m\u1ea1ch v\u00e0nh<br \/>\n\u2022 T\u0103ng huy\u1ebft \u00e1p<br \/>\n\u2022 X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<br \/>\n\u2022 B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi<br \/>\n\uf06e Bi\u1ebfn ch\u1ee9ng vi m\u1ea1ch: ti\u1ec3u \u0110M, mao m\u1ea1ch, ti\u1ec3u TM v\u1edbi \u0111.k\u00ednh &lt;30nm<br \/>\n\u2022 B\u1ec7nh v\u00f5ng m\u1ea1c \u0110T\u0110<br \/>\n\uf0a7 Kh\u00f4ng t\u0103ng sinh<br \/>\n\uf0a7 T\u0103ng sinh<br \/>\n\u2022 B\u1ec7nh l\u00fd th\u1eadn \u0110T\u0110<br \/>\n\uf0a7 Vi \u0111\u1ea1m ni\u1ec7u<br \/>\n\uf0a7 Suy th\u1eadn<br \/>\n\uf0a7 HC Kimmelstiel &#8211; Wilson<br \/>\n\u2022 B\u1ec7nh th\u1ea7n kinh \u0110T\u0110<br \/>\n\uf0a7 B\u1ec7nh TK c\u1ea3m gi\u00e1c c\u1ea5p t\u00ednh<br \/>\n\uf0a7 B\u1ec7nh TK v\u1eadn \u0111\u1ed9ng, c\u1ea3m gi\u00e1c<br \/>\n\uf0a7 B\u1ec7nh l\u00fd \u0111\u01a1n d\u00e2y th\u1ea7n kinh<br \/>\n\uf0a7 B\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng<br \/>\n\uf06e Bi\u1ebfn ch\u1ee9ng da<br \/>\n\u2022 Nh\u1ecdt nhi\u1ec5m tr\u00f9ng<br \/>\n\u2022 Vi\u00eam da d\u1ea1ng m\u1ee1<br \/>\n\u2022 Ph\u00ec \u0111\u1ea1i, teo m\u00f4 m\u1ee1<br \/>\n\uf06e B\u00e0n ch\u00e2n \u0110T\u0110<br \/>\n\u2022 C\u01a1 ch\u1ebf: ph\u1ed1i h\u1ee3p<br \/>\n\uf0a7 B\u1ec7nh m\u1ea1ch m\u00e1u<br \/>\n\uf0a7 B\u1ec7nh th\u1ea7n kinh<br \/>\n\uf0a7 Suy gi\u1ea3m mi\u1ec5n d\u1ecbch<br \/>\n\u2022 Bi\u1ec3u hi\u1ec7n<br \/>\n\uf0a7 Nh\u1eb9<br \/>\n\uf0a7 V\u1eeba<br \/>\n\uf0a7 N\u1eb7ng<br \/>\n\uf06e Bi\u1ebfn ch\u1ee9ng x\u01b0\u01a1ng kh\u1edbp<br \/>\n\u2022 Vi\u00eam kh\u1edbp vai, kh\u1edbp h\u00e1ng<br \/>\n\u2022 Co c\u1ee9ng Dupuytren<br \/>\n\u2022 M\u1ea5t x\u01b0\u01a1ng<br \/>\nC\u00c2U 9: HBA1C trong ch\u1ea9n \u0111o\u00e1n \u0110T\u0110<br \/>\nHbA1C l\u00e0 g\u00ec? Huy\u1ebft c\u1ea7u t\u1ed1, Hb, ch\u1ec9 c\u00f3 trong t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u. Nhi\u1ec7m v\u1ee5 ch\u00ednh c\u1ee7a Hb l\u00e0 mang O2 t\u1eeb ph\u1ed5i \u0111\u1ebfn t\u1ebf b\u00e0o c\u01a1 th\u1ec3 v\u00e0 mang CO2 t\u1eeb t\u1ebf b\u00e0o v\u1ec1 ph\u1ed5i \u0111\u1ec3 th\u1ea3i ra ngo\u00e0i. Trong khi l\u01b0u h\u00e0nh l\u00e0m ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u00f3 m\u1ed9t t\u1ef7 l\u1ec7 nh\u1ecf Hb n\u00e0y s\u1ebd g\u1eafn k\u1ebft v\u1edbi glucose m\u00e1u (glycate h\u00f3a) \u0111\u1ec3 t\u1ea1o n\u00ean ph\u00e2n t\u1eed HbA1C (A1C, huy\u1ebft c\u1ea7u t\u1ed1 glycate h\u00f3a).<br \/>\n&#8211; Do \u0111\u00f3, n\u1ed3ng \u0111\u1ed9 HbA1C t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi n\u1ed3ng \u0111\u1ed9 Glucose m\u00e1u.<br \/>\n&#8211; \u0110o t\u1ef7 l\u1ec7 % HbA1C c\u0169ng l\u00e0 c\u00e1ch \u0111\u00e1nh gi\u00e1 n\u1ed3ng \u0111\u1ed9 Glucose m\u00e1u.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e2u tr\u1ea3 l\u1eddi mang quan \u0111i\u1ec3m c\u00e1 nh\u00e2n c\u00f3 tr\u00edch d\u1eabn t\u00e0i li\u1ec7u \u0111\u1ec3 th\u1ea3o lu\u1eadn v\u00e0 c\u1eadp nh\u1eadt 1\/ T\u1ea1i sao \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ecb b\u00e9o ph\u00ed: B\u00e9o ph\u00ed \u0111\u01b0\u1ee3c xem l\u00e0 1 y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn \u0110T\u0110 type 2, tr\u00edch theo s\u00e1ch n\u1ed9i b\u1ec7nh l\u00fd &hellip;<\/p>\n","protected":false},"author":10,"featured_media":2094,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51,52],"tags":[],"class_list":["post-2263","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-noi-khoa","category-noi-co-so"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2263","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=2263"}],"version-history":[{"count":3,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2263\/revisions"}],"predecessor-version":[{"id":2314,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/2263\/revisions\/2314"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/2094"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=2263"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=2263"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=2263"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}