{"id":5480,"date":"2026-02-01T08:30:44","date_gmt":"2026-02-01T01:30:44","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=5480"},"modified":"2026-02-01T08:30:44","modified_gmt":"2026-02-01T01:30:44","slug":"tai-lieu-benh-nhan-ngoai-khoa-voi-benh-ly-dai-thao-duong-bs-phan-van-dung","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/tai-lieu-benh-nhan-ngoai-khoa-voi-benh-ly-dai-thao-duong-bs-phan-van-dung\/","title":{"rendered":"T\u00e0i li\u1ec7u: &#8220;B\u1ec7nh nh\u00e2n ngo\u1ea1i khoa v\u1edbi b\u1ec7nh l\u00fd \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng-BS Phan V\u0103n D\u0169ng&#8221;"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-5482 size-full\" src=\"https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/02\/Screenshot-2026-02-01-082814.png\" alt=\"\" width=\"700\" height=\"523\" title=\"\" srcset=\"https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/02\/Screenshot-2026-02-01-082814.png 700w, https:\/\/ykhoataynguyen.com\/site\/wp-content\/uploads\/2026\/02\/Screenshot-2026-02-01-082814-300x224.png 300w\" sizes=\"auto, (max-width: 700px) 100vw, 700px\" \/><\/p>\n<p><strong>\u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 T\u1ea7n su\u1ea5t:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>T\u1ea7n su\u1ea5t b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) ng\u00e0y c\u00e0ng t\u0103ng, \u01b0\u1edbc t\u00ednh kho\u1ea3ng 264 tri\u1ec7u ng\u01b0\u1eddi l\u1edbn tr\u00ean th\u1ebf gi\u1edbi hi\u1ec7n nay v\u00e0 d\u1ef1 ki\u1ebfn 380 tri\u1ec7u v\u00e0o n\u0103m 2025.<\/li>\n<li>\u1ede Vi\u1ec7t Nam, t\u1ea7n su\u1ea5t m\u1eafc \u0110T\u0110 l\u00e0 5%.<\/li>\n<li>\u01af\u1edbc t\u00ednh 50% b\u1ec7nh nh\u00e2n \u0110T\u0110 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt (PT) trong su\u1ed1t qu\u00e3ng \u0111\u1eddi c\u1ee7a h\u1ecd. PT c\u00f3 th\u1ec3 do bi\u1ebfn ch\u1ee9ng \u0110T\u0110 (b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, m\u1ea1ch m\u00e1u, th\u1eadn) ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c.<\/li>\n<\/ul>\n<p><strong>\u0110\u00e1nh gi\u00e1 tr\u01b0\u1edbc ph\u1eabu thu\u1eadt:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>C\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng c\u00e1c th\u00f4ng tin li\u00ean quan \u0111\u1ebfn \u0110T\u0110 (Type, th\u1eddi gian, \u0111i\u1ec1u tr\u1ecb, HbA1C) v\u00e0 c\u00e1c b\u1ec7nh l\u00fd \u0111i k\u00e8m (tim m\u1ea1ch, th\u1eadn, th\u1ea7n kinh ngo\u1ea1i bi\u00ean).<\/li>\n<li>Ti\u00eau ch\u00ed ch\u1ea9n \u0111o\u00e1n \u0110T\u0110 m\u1edbi theo ADA 2010 l\u00e0 HbA1C \u2265 6,5%.<\/li>\n<li>N\u1ebfu HbA1C &gt; 8%, cho th\u1ea5y ki\u1ec3m so\u00e1t ch\u01b0a \u0111\u1ea1t, d\u1ef1 ki\u1ebfn t\u0103ng insulin chu ph\u1eabu.<\/li>\n<li>B\u1ec7nh l\u00fd th\u1eadn do \u0110T\u0110 \u0111\u1eb7c bi\u1ec7t li\u00ean quan \u0111\u1ebfn g\u00e2y m\u00ea v\u00ec th\u1eadn l\u00e0 \u0111\u01b0\u1eddng th\u1ea3i tr\u1eeb c\u1ee7a nhi\u1ec1u thu\u1ed1c.<\/li>\n<li>C\u1ea7n ch\u00fa \u00fd h\u1ed9i ch\u1ee9ng c\u1ee9ng kh\u1edbp \u1edf BN \u0110T\u0110 c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 kh\u0103n khi soi thanh qu\u1ea3n v\u00e0 d\u1ea5u hi\u1ec7u &#8220;b\u00e0n tay c\u1ea7u nguy\u1ec7n&#8221; c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n.<\/li>\n<li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm l\u00e0m tr\u1ed1ng d\u1ea1 d\u00e0y (gastroparesis), t\u0103ng nguy c\u01a1 tr\u00e0o ng\u01b0\u1ee3c g\u00e2y h\u00edt s\u1eb7c v\u00e0o ph\u1ed5i.<\/li>\n<\/ul>\n<p><strong>Th\u00e1ch th\u1ee9c v\u00e0 M\u1ee5c \u0111\u00edch x\u1eed tr\u00ed chuy\u1ec3n h\u00f3a chu ph\u1eabu:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m ph\u1ee9c t\u1ea1p ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng l\u00e0 nh\u1ecbn \u0111\u00f3i, \u0111\u00e1p \u1ee9ng chuy\u1ec3n h\u00f3a v\u00e0 n\u1ed9i ti\u1ebft v\u1edbi PT, k\u1ef9 thu\u1eadt g\u00e2y m\u00ea v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ea5t \u0111\u1ed9ng sau m\u1ed5.<\/li>\n<li>M\u1ee5c \u0111\u00edch ch\u0103m s\u00f3c chuy\u1ec3n h\u00f3a chu ph\u1eabu l\u00e0 tr\u00e1nh h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft qu\u00e1 m\u1ee9c (d\u01b0\u1edbi 10 mmol\/L), h\u1ea1n ch\u1ebf ly gi\u1ea3i m\u1ee1 v\u00e0 \u0111\u1ea1m, v\u00e0 tr\u00e1nh m\u1ea5t \u0111i\u1ec7n gi\u1ea3i (K, Mg, P).<\/li>\n<li>Khuy\u1ebfn c\u00e1o n\u00ean duy tr\u00ec n\u1ed3ng \u0111\u1ed9 glucose chu ph\u1eabu 6-10 mmol\/L.<\/li>\n<\/ul>\n<p><strong>Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng chu ph\u1eabu:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>\u0110\u1ed1i v\u1edbi BN \u0110T\u0110 type 1, truy\u1ec1n dung d\u1ecbch GIK (Glucose Insulin Kalichloride) l\u00e0 \u0111\u1ed3ng thu\u1eadn, b\u1eaft \u0111\u1ea7u s\u1edbm v\u00e0 duy tr\u00ec \u0111\u1ebfn 2 gi\u1edd sau khi \u0103n l\u1ea1i.<\/li>\n<li>\u0110\u1ed1i v\u1edbi BN \u0110T\u0110 type 2, \u0111\u1ea1i ph\u1eabu c\u1ea7n d\u00f9ng GIK, ti\u1ec3u ph\u1eabu ch\u1ec9 c\u1ea7n u\u1ed1ng l\u1ea1i thu\u1ed1c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft ho\u1eb7c d\u00f9ng insulin ti\u00eam d\u01b0\u1edbi da sau m\u1ed5.<\/li>\n<\/ul>\n<p><strong>Ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p v\u00f4 c\u1ea3m:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>G\u00e2y t\u00ea v\u00f9ng c\u00f3 l\u1ee3i \u0111i\u1ec3m l\u00e0 d\u1ec5 ph\u00e1t hi\u1ec7n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf BN t\u1ec9nh, gi\u1ea3m \u0111\u00e1p \u1ee9ng sinh hormone d\u1ecb h\u00f3a, v\u00e0 h\u1ed3i ph\u1ee5c t\u1ed1t h\u01a1n g\u00e2y m\u00ea.<\/li>\n<li>Tuy nhi\u00ean, c\u00f3 nguy c\u01a1 t\u1ee5t HA tr\u1ea7m tr\u1ecdng \u1edf BN c\u00f3 b\u1ec7nh l\u00fd th\u1ea7n kinh t\u1ef1 \u0111\u1ed9ng v\u00e0 t\u0103ng nguy c\u01a1 nhi\u1ec5m khu\u1ea9n khi phong b\u1ebf tr\u1ee5c th\u1ea7n kinh.<\/li>\n<li>Thu\u1ed1c m\u00ea bay h\u01a1i c\u00f3 th\u1ec3 \u1ee9c ch\u1ebf ti\u1ebft insulin, c\u00f3 th\u1ec3 tr\u00e1nh b\u1eb1ng c\u00e1ch ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p g\u00e2y m\u00ea t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n (TIVA).<\/li>\n<\/ul>\n<p><strong>Theo d\u00f5i v\u00e0 Ch\u0103m s\u00f3c h\u1eadu ph\u1eabu:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>Th\u01b0\u1eddng xuy\u00ean theo d\u00f5i glucose m\u00e1u (m\u1ed7i gi\u1edd sau \u0111\u1ea1i ph\u1eabu), Kali m\u00e1u, ph\u00e2n t\u00edch kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch, Cetone ni\u1ec7u, v\u00e0 Blood $\\beta$-hydroxybutyrate.<\/li>\n<li>C\u1ea7n ki\u1ec3m so\u00e1t t\u1ed1t t\u00ecnh tr\u1ea1ng \u0111au sau m\u1ed5 \u0111\u1ec3 gi\u1ea3m ti\u1ebft hormone d\u1ecb h\u00f3a.<\/li>\n<li>Ph\u1ea3i \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1eddng m\u00e1u, Kali m\u00e1u \u1ed5n \u0111\u1ecbnh v\u00e0 li\u1ec1u insulin th\u00edch h\u1ee3p tr\u01b0\u1edbc khi BN r\u1eddi ph\u00f2ng m\u1ed5.<\/li>\n<li>Vi\u1ec7c ch\u0103m s\u00f3c ngo\u1ea1i khoa cho BN \u0110T\u0110 hi\u1ec7n nay ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o hi\u1ec3u bi\u1ebft v\u1ec1 sinh l\u00fd b\u1ec7nh h\u1ecdc v\u00e0 theo d\u00f5i t\u00edch c\u1ef1c n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u.<\/li>\n<\/ul>\n<p>Link: <a href=\"https:\/\/drive.google.com\/file\/d\/1pe48RZFCNduVmIcBZ5wLax3T1T04CYv8\/view?usp=sharing\" rel=\"noopener\">https:\/\/drive.google.com\/file\/d\/1pe48RZFCNduVmIcBZ5wLax3T1T04CYv8\/view?usp=sharing<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ea1i c\u01b0\u01a1ng v\u00e0 T\u1ea7n su\u1ea5t: T\u1ea7n su\u1ea5t b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng (\u0110T\u0110) ng\u00e0y c\u00e0ng t\u0103ng, \u01b0\u1edbc t\u00ednh kho\u1ea3ng 264 tri\u1ec7u ng\u01b0\u1eddi l\u1edbn tr\u00ean th\u1ebf gi\u1edbi hi\u1ec7n nay v\u00e0 d\u1ef1 ki\u1ebfn 380 tri\u1ec7u v\u00e0o n\u0103m 2025. \u1ede Vi\u1ec7t Nam, t\u1ea7n su\u1ea5t m\u1eafc \u0110T\u0110 l\u00e0 5%. \u01af\u1edbc t\u00ednh 50% b\u1ec7nh nh\u00e2n \u0110T\u0110 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt (PT) trong &hellip;<\/p>\n","protected":false},"author":23,"featured_media":5482,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5480","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5480","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\/23"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=5480"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5480\/revisions"}],"predecessor-version":[{"id":5483,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5480\/revisions\/5483"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/5482"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=5480"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=5480"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=5480"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}