{"id":5489,"date":"2026-02-07T17:24:51","date_gmt":"2026-02-07T10:24:51","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=5489"},"modified":"2026-02-07T17:26:07","modified_gmt":"2026-02-07T10:26:07","slug":"benh-gout-cua-ths-bs-le-hong-thinh","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/benh-gout-cua-ths-bs-le-hong-thinh\/","title":{"rendered":"B\u1ec7nh gout c\u1ee7a ThS BS. L\u00ea H\u1ed3ng Th\u1ecbnh"},"content":{"rendered":"<p><strong>\u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 B\u1ec7nh Gout (Th\u1ed1ng phong)<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>Gout l\u00e0 m\u1ed9t b\u1ec7nh chuy\u1ec3n h\u00f3a, x\u1ea3y ra do t\u0103ng acid uric trong m\u00e1u.<\/li>\n<li>\u0110\u1eb7c tr\u01b0ng b\u1eb1ng nh\u1eefng \u0111\u1ee3t vi\u00eam kh\u1edbp c\u1ea5p t\u00ednh v\u00e0 s\u1ef1 l\u1eafng \u0111\u1ecdng mu\u1ed1i urat trong c\u00e1c t\u1ed5 ch\u1ee9c.<\/li>\n<li>B\u1ec7nh hay g\u1eb7p \u1edf ng\u01b0\u1eddi c\u00f3 m\u1ee9c s\u1ed1ng cao, nam gi\u1edbi cao g\u1ea5p 10 l\u1ea7n n\u1eef gi\u1edbi.<\/li>\n<li>C\u01a1 ch\u1ebf b\u1ec7nh sinh li\u00ean quan \u0111\u1ebfn tinh th\u1ec3 urat, d\u1eabn \u0111\u1ebfn c\u00e1c giai \u0111o\u1ea1n: C\u01a1n gout c\u1ea5p \u0111\u1ea7u ti\u00ean, Gout c\u1ea5p t\u00ednh, Gout m\u1ea1n t\u00ednh ch\u01b0a tophi, v\u00e0 Gout m\u1ea1n t\u00ednh c\u00f3 tophi.<\/li>\n<\/ul>\n<p><strong>Nguy\u00ean nh\u00e2n:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>T\u0103ng t\u1ea1o acid uric (do \u0103n \u0111\u1ea1m nhi\u1ec1u purin, t\u0103ng chuy\u1ec3n Nucleoprotein th\u00e0nh purin, t\u0103ng t\u1ed5ng h\u1ee3p purin n\u1ed9i sinh).<\/li>\n<li>Gi\u1ea3m th\u1ea3i acid uric (do gi\u1ea3m \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn &#8211; GFR, gi\u1ea3m b\u00e0i ti\u1ebft c\u1ee7a \u1ed1ng th\u1eadn).<\/li>\n<li>Gi\u1ea3m ph\u00e2n h\u1ee7y acid uric (li\u00ean quan \u0111\u1ebfn vi khu\u1ea9n trong ph\u00e2n).<\/li>\n<\/ul>\n<p><strong>Ph\u00e2n lo\u1ea1i:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>H\u1ed9i ch\u1ee9ng t\u0103ng A.Uric m\u00e1u v\u00f4 c\u0103n v\u00e0 b\u1ec7nh gout nguy\u00ean ph\u00e1t (hay g\u1eb7p &#8211; 85%, c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh, di truy\u1ec1n).<\/li>\n<li>H\u1ed9i ch\u1ee9ng t\u0103ng A.Uric m\u00e1u v\u00e0 b\u1ec7nh gout r\u1ed1i lo\u1ea1n men (hi\u1ebfm g\u1eb7p).<\/li>\n<li>H\u1ed9i ch\u1ee9ng t\u0103ng A.Uric m\u00e1u th\u1ee9 ph\u00e1t (do suy th\u1eadn, m\u1ed9t s\u1ed1 b\u1ec7nh m\u00e1u, n\u1ed9i ti\u1ebft).<\/li>\n<\/ul>\n<p><strong>L\u00e2m s\u00e0ng (C\u01a1n Gout c\u1ea5p t\u00ednh):<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li>Th\u01b0\u1eddng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t v\u00e0o ban \u0111\u00eam.<\/li>\n<li>Hay g\u1eb7p nh\u1ea5t l\u00e0 kh\u1edbp b\u00e0n ng\u00f3n ch\u00e2n c\u00e1i (60-70%), kh\u1edbp s\u01b0ng to, \u0111\u1ecf, c\u0103ng b\u00f3ng, \u0111au d\u1eef d\u1ed9i.<\/li>\n<li>C\u00e1c kh\u1edbp kh\u00e1c c\u00f3 th\u1ec3 b\u1ecb: c\u1ed5 ch\u00e2n, g\u1ed1i, b\u00e0n tay, c\u1ed5 tay, khu\u1ef7u, hi\u1ebfm \u1edf h\u00e1ng, vai, c\u1ed9t s\u1ed1ng.<\/li>\n<li>C\u01a1n k\u00e9o d\u00e0i 5-7 ng\u00e0y, sau \u0111\u00f3 gi\u1ea3m d\u1ea7n v\u00e0 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<p><strong>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n (Rome 1963):<\/strong>\u00a0C\u1ea7n 2\/4 ti\u00eau chu\u1ea9n sau:<\/p>\n<ol class=\"gdAMzb\">\n<li>A. uric m\u00e1u &gt; 70 mg\/l (416,5 micromol\/l).<\/li>\n<li>C\u00f3 tophi.<\/li>\n<li>C\u00f3 tinh th\u1ec3 urat trong d\u1ecbch kh\u1edbp\/c\u00e1c t\u1ed5 ch\u1ee9c (soi k\u00ednh hi\u1ec3n vi).<\/li>\n<li>Ti\u1ec1n s\u1eed c\u00f3 vi\u00eam kh\u1edbp r\u00f5, vi\u00eam kh\u1edbp xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t \u0111au d\u1eef d\u1ed9i v\u00e0 kh\u1ecfi ho\u00e0n to\u00e0n sau 1-2 tu\u1ea7n.<\/li>\n<\/ol>\n<p><strong>\u0110i\u1ec1u tr\u1ecb:<\/strong><\/p>\n<ul class=\"gdAMzb\">\n<li><strong>Ch\u1ebf \u0111\u1ed9 \u0103n:<\/strong>\u00a0Gi\u1ea3m \u0111\u1ea1m nhi\u1ec1u purin (th\u1ecbt \u0111\u1ecf, bia r\u01b0\u1ee3u), n\u00ean u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc c\u00f3 Bicarbonate.<\/li>\n<li><strong>M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb:<\/strong>\u00a0Tr\u1ecb vi\u00eam kh\u1edbp trong c\u01a1n c\u1ea5p, d\u1ef1 ph\u00f2ng t\u00e1i ph\u00e1t\/l\u1eafng \u0111\u1ecdng urate, ph\u00f2ng bi\u1ebfn ch\u1ee9ng c\u1ee7a HC t\u0103ng a.uric m\u00e1u.<\/li>\n<li><strong>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb trong c\u01a1n c\u1ea5p:<\/strong>\u00a0Colchicin, NSAID, Corticoid (h\u1ea1n ch\u1ebf d\u00f9ng do g\u00e2y t\u0103ng a.uric m\u00e1u).<\/li>\n<li><strong>\u0110i\u1ec1u tr\u1ecb HC t\u0103ng a.uric m\u00e1u:<\/strong>\u00a0T\u0103ng th\u1ea3i A.uric ni\u1ec7u (Benziodoron), Gi\u1ea3m t\u1ea1o A.uric m\u00e1u (Allopurinol), Ti\u00eau a.uric m\u00e1u (Uricozym).<\/li>\n<\/ul>\n<p>Link: <a href=\"https:\/\/drive.google.com\/drive\/folders\/1eOOiGz7rwiLjROvfFpRv1GCkmAspKfnD\" rel=\"noopener\">https:\/\/drive.google.com\/drive\/folders\/1eOOiGz7rwiLjROvfFpRv1GCkmAspKfnD<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 B\u1ec7nh Gout (Th\u1ed1ng phong) Gout l\u00e0 m\u1ed9t b\u1ec7nh chuy\u1ec3n h\u00f3a, x\u1ea3y ra do t\u0103ng acid uric trong m\u00e1u. \u0110\u1eb7c tr\u01b0ng b\u1eb1ng nh\u1eefng \u0111\u1ee3t vi\u00eam kh\u1edbp c\u1ea5p t\u00ednh v\u00e0 s\u1ef1 l\u1eafng \u0111\u1ecdng mu\u1ed1i urat trong c\u00e1c t\u1ed5 ch\u1ee9c. B\u1ec7nh hay g\u1eb7p \u1edf ng\u01b0\u1eddi c\u00f3 m\u1ee9c s\u1ed1ng cao, nam gi\u1edbi cao g\u1ea5p 10 l\u1ea7n &hellip;<\/p>\n","protected":false},"author":23,"featured_media":5490,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[52],"tags":[],"class_list":["post-5489","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-noi-co-so"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5489","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=5489"}],"version-history":[{"count":2,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5489\/revisions"}],"predecessor-version":[{"id":5492,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/5489\/revisions\/5492"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/5490"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=5489"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=5489"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=5489"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}