{"id":21473,"date":"2026-10-06T10:17:22","date_gmt":"2026-10-06T03:17:22","guid":{"rendered":"https:\/\/useful.vn\/?p=21473"},"modified":"2026-10-06T10:17:22","modified_gmt":"2026-10-06T03:17:22","slug":"24-tuoi-suy-than-giai-doan-cuoi-tien-tiet-kiem-danh-het-cho-nhung-buoi-loc-mau","status":"publish","type":"post","link":"https:\/\/useful.vn\/?p=21473","title":{"rendered":"24 tu\u1ed5i suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i, ti\u1ec1n ti\u1ebft ki\u1ec7m d\u00e0nh h\u1ebft cho nh\u1eefng bu\u1ed5i l\u1ecdc m\u00e1u"},"content":{"rendered":"
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\n Th\u01b0\u1eddng xuy\u00ean th\u1ee9c \u0111\u1ebfn 1-2h, m\u1ed7i \u0111\u00eam ch\u1ec9 ng\u1ee7 kho\u1ea3ng 4 gi\u1edd v\u00e0 u\u1ed1ng n\u01b0\u1edbc ng\u1ecdt h\u1eb1ng ng\u00e0y, N.H.Q kh\u00f4ng ngh\u0129 c\u00f3 ng\u00e0y m\u00ecnh ph\u1ea3i g\u1eafn v\u1edbi m\u00e1y l\u1ecdc m\u00e1u \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng. <\/strong><\/h2>\n

Th\u1ee9c khuya, m\u00ea n\u01b0\u1edbc ng\u1ecdt\u00a0<\/strong><\/p>\n

N.H.Q (24 tu\u1ed5i, ng\u1ee5 t\u1ea1i TPHCM) \u0111ang ph\u1ea3i l\u1ecdc m\u00e1u 3 l\u1ea7n m\u1ed7i tu\u1ea7n \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng. M\u1ed7i l\u1ea7n ng\u1ed3i tr\u01b0\u1edbc m\u00e1y l\u1ecdc m\u00e1u, nam thanh ni\u00ean n\u00e0y v\u1eabn ch\u01b0a h\u1ebft b\u00e0ng ho\u00e0ng khi nh\u1edb l\u1ea1i ng\u00e0y nh\u1eadn k\u1ebft qu\u1ea3 hai qu\u1ea3 th\u1eadn \u0111\u00e3 teo nh\u1ecf, ch\u1ee9c n\u0103ng ch\u1ec9 c\u00f2n kho\u1ea3ng 7-8%, suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

8 th\u00e1ng tr\u01b0\u1edbc, ch\u00e0ng trai 24 tu\u1ed5i v\u1eabn \u0111i l\u00e0m b\u00ecnh th\u01b0\u1eddng. C\u00f4ng vi\u1ec7c \u0111\u00f3ng h\u00e0ng b\u1eaft \u0111\u1ea7u t\u1eeb 7h nh\u01b0ng \u0111\u00eam n\u00e0o Q. c\u0169ng l\u01b0\u1edbt \u0111i\u1ec7n tho\u1ea1i \u0111\u1ebfn 1-2h. Su\u1ed1t kho\u1ea3ng 5 n\u0103m, c\u1eadu duy tr\u00ec th\u00f3i quen ng\u1ee7 ch\u1ec9 4 gi\u1edd m\u1ed7i \u0111\u00eam.<\/p>\n

C\u00f4ng vi\u1ec7c tay ch\u00e2n n\u1eb7ng nh\u1ecdc khi\u1ebfn Q. th\u01b0\u1eddng xuy\u00ean m\u1ec7t m\u1ecfi. \u0110\u1ec3 t\u1ec9nh t\u00e1o v\u00e0 c\u00f3 c\u1ea3m gi\u00e1c th\u00eam n\u0103ng l\u01b0\u1ee3ng, c\u1eadu u\u1ed1ng n\u01b0\u1edbc ng\u1ecdt m\u1ed7i ng\u00e0y.<\/p>\n

\u0110\u1ea7u n\u0103m 2026, Q. \u0111au \u0111\u1ea7u, m\u1ec7t m\u1ecfi nh\u01b0ng v\u1eabn \u0111i l\u00e0m. \u0110\u1ebfn chi\u1ec1u, t\u00ecnh tr\u1ea1ng n\u1eb7ng h\u01a1n n\u00ean c\u1eadu ph\u1ea3i nh\u1eadp vi\u1ec7n c\u1ea5p c\u1ee9u.<\/p>\n

Khi nh\u1eadp vi\u1ec7n, huy\u1ebft \u00e1p c\u1ee7a Q. kho\u1ea3ng 180\/100 mmHg, da xanh xao, m\u1ec7t m\u1ecfi. X\u00e9t nghi\u1ec7m cho th\u1ea5y \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn (eGFR) ch\u1ec9 c\u00f2n 7-8 mL\/ph\u00fat\/1,73 m2, trong khi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh kh\u1ecfe m\u1ea1nh th\u01b0\u1eddng tr\u00ean 90 mL\/ph\u00fat\/1,73 m2. Hemoglobin ch\u1ec9 kho\u1ea3ng 7 g\/dL, cho th\u1ea5y thi\u1ebfu m\u00e1u n\u1eb7ng.<\/p>\n

K\u1ebft qu\u1ea3 si\u00eau \u00e2m khi\u1ebfn ch\u00e0ng trai 24 tu\u1ed5i c\u00e0ng b\u1ea5t ng\u1edd khi hai qu\u1ea3 th\u1eadn teo nh\u1ecf, m\u1ea5t ph\u00e2n bi\u1ec7t v\u1ecf t\u1ee7y, ch\u1ee9c n\u0103ng th\u1eadn ch\u1ec9 c\u00f2n kho\u1ea3ng 7-8%, t\u01b0\u01a1ng \u1ee9ng suy th\u1eadn giai \u0111o\u1ea1n cu\u1ed1i.<\/p>\n

C\u1eadu ph\u1ea3i l\u1ecdc m\u00e1u c\u1ea5p c\u1ee9u, sau \u0111\u00f3 b\u00e1c s\u0129 \u0111\u00e3 l\u00e0m c\u1ea7u l\u1ecdc th\u1eadn chu\u1ea9n b\u1ecb \u0111\u01b0\u1eddng v\u00e0o m\u1ea1ch m\u00e1u \u0111\u1ec3 l\u1ecdc m\u00e1u \u0111\u1ecbnh k\u1ef3 3 l\u1ea7n m\u1ed7i tu\u1ea7n.<\/p>\n

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\"Suy<\/span><\/div>\n
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Suy th\u1eadn ng\u00e0y c\u00e0ng nhi\u1ec1u \u1edf ng\u01b0\u1eddi tr\u1ebb. \u1ea2nh: Ng\u1ecdc Minh.<\/p>\n

\u201cT\u00f4i c\u1ee9 ngh\u0129 m\u1ec7t m\u1ecfi do c\u00f4ng vi\u1ec7c, th\u1ee9c khuya, thi\u1ebfu ng\u1ee7. N\u00e0o ng\u1edd th\u1eadn suy l\u00fac n\u00e0o kh\u00f4ng hay. \u0110\u1ebfn gi\u1edd, t\u00f4i \u0111ang d\u00f9ng ti\u1ec1n ti\u1ebft ki\u1ec7m \u0111\u1ec3 ch\u1ea1y th\u1eadn\u201d, Q. n\u00f3i.<\/p>\n

Nh\u1eefng ng\u00e0y \u0111\u1ea7u sau khi bi\u1ebft b\u1ec7nh, Q. g\u1ea7n nh\u01b0 thu m\u00ecnh. Sau 8 th\u00e1ng g\u1eafn s\u1ef1 s\u1ed1ng v\u1edbi l\u1ecdc th\u1eadn, ch\u00e0ng thanh ni\u00ean n\u00e0y \u0111\u00e3 d\u1ea7n ch\u1ea5p nh\u1eadn cu\u1ed9c s\u1ed1ng m\u1edbi. S\u1ee9c kh\u1ecfe \u1ed5n \u0111\u1ecbnh h\u01a1n, nh\u01b0ng l\u1ecbch sinh ho\u1ea1t gi\u1edd \u0111\u00e2y ph\u1ea3i xoay quanh nh\u1eefng bu\u1ed5i l\u1ecdc m\u00e1u. Q. c\u0169ng \u0111\u00e3 \u0111\u0103ng k\u00fd gh\u00e9p th\u1eadn v\u1edbi hy v\u1ecdng m\u1ed9t ng\u00e0y c\u00f3 th\u1ec3 tho\u00e1t kh\u1ecfi vi\u1ec7c ch\u1ea1y th\u1eadn.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng d\u1ec5 b\u1ecf qua<\/strong><\/p>\n

B\u00e1c s\u0129 chuy\u00ean khoa 2 \u0110inh C\u1ea9m T\u00fa – nguy\u00ean Tr\u01b0\u1edfng khoa N\u1ed9i th\u1eadn – th\u1eadn nh\u00e2n t\u1ea1o, B\u1ec7nh vi\u1ec7n qu\u1eadn B\u00ecnh T\u00e2n (TPHCM) cho bi\u1ebft, ng\u01b0\u1eddi tr\u1ebb th\u01b0\u1eddng d\u1ec5 b\u1ecf qua nh\u1eefng bi\u1ec3u hi\u1ec7n ban \u0111\u1ea7u c\u1ee7a b\u1ec7nh th\u1eadn nh\u01b0 m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, m\u1ea5t ng\u1ee7 ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p v\u00ec cho r\u1eb1ng \u0111\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a \u00e1p l\u1ef1c c\u00f4ng vi\u1ec7c, sinh ho\u1ea1t th\u1ea5t th\u01b0\u1eddng.<\/p>\n

B\u1ec7nh th\u1eadn m\u1ea1n c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m. Khi xu\u1ea5t hi\u1ec7n ph\u00f9, ti\u1ec3u b\u1ecdt, ti\u1ec3u m\u00e1u ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p, ch\u1ee9c n\u0103ng th\u1eadn c\u00f3 th\u1ec3 \u0111\u00e3 suy gi\u1ea3m \u0111\u00e1ng k\u1ec3. Nhi\u1ec1u ng\u01b0\u1eddi ch\u1ec9 t\u00ecnh c\u1edd ph\u00e1t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng khi x\u00e9t nghi\u1ec7m m\u00e1u, n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c si\u00eau \u00e2m trong m\u1ed9t l\u1ea7n kh\u00e1m s\u1ee9c kh\u1ecfe.<\/p>\n

\u1ede ng\u01b0\u1eddi tr\u1ebb, suy th\u1eadn c\u00f3 th\u1ec3 xu\u1ea5t ph\u00e1t t\u1eeb nhi\u1ec1u nguy\u00ean nh\u00e2n nh\u01b0 vi\u00eam c\u1ea7u th\u1eadn m\u1ea1n, b\u1ec7nh th\u1eadn IgA, lupus, b\u1ec7nh th\u1eadn di truy\u1ec1n ho\u1eb7c b\u1ea9m sinh, b\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. T\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, th\u1eeba c\u00e2n, b\u00e9o ph\u00ec, gout c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1eadn k\u00e9o d\u00e0i n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t.<\/p>\n

B\u00ean c\u1ea1nh b\u1ec7nh l\u00fd, l\u1ed1i s\u1ed1ng thi\u1ebfu l\u00e0nh m\u1ea1nh c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n l\u00e0m gia t\u0103ng c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1. Th\u01b0\u1eddng xuy\u00ean th\u1ee9c khuya, \u0103n m\u1eb7n, s\u1eed d\u1ee5ng nhi\u1ec1u \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng, \u00edt v\u1eadn \u0111\u1ed9ng, c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn t\u0103ng c\u00e2n, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, t\u0103ng huy\u1ebft \u00e1p v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c, t\u1eeb \u0111\u00f3 t\u1ea1o th\u00eam g\u00e1nh n\u1eb7ng cho th\u1eadn, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1.<\/p>\n

B\u00e1c s\u0129 T\u00fa c\u1ea3nh b\u00e1o kh\u00f4ng n\u00ean m\u1eb7c \u0111\u1ecbnh ng\u01b0\u1eddi tr\u1ebb s\u1ebd kh\u00f4ng m\u1eafc b\u1ec7nh th\u1eadn. Nh\u1eefng d\u1ea5u hi\u1ec7u t\u01b0\u1edfng nh\u01b0 \u0111\u01a1n gi\u1ea3n nh\u01b0 m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i, ph\u00f9, thay \u0111\u1ed5i l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c huy\u1ebft \u00e1p t\u0103ng c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra thay v\u00ec t\u1ef1 cho r\u1eb1ng do thi\u1ebfu ng\u1ee7 hay \u00e1p l\u1ef1c c\u00f4ng vi\u1ec7c.<\/p>\n

Khi suy th\u1eadn ti\u1ebfn tri\u1ec3n \u0111\u1ebfn giai \u0111o\u1ea1n cu\u1ed1i, th\u1eadn kh\u00f4ng c\u00f2n \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng \u0111\u00e0o th\u1ea3i ch\u1ea5t \u0111\u1ed9c v\u00e0 duy tr\u00ec c\u00e2n b\u1eb1ng n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ph\u1ea3i ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o, l\u1ecdc m\u00e0ng b\u1ee5ng ho\u1eb7c gh\u00e9p th\u1eadn.<\/p>\n

Theo b\u00e1c s\u0129 T\u00fa, ph\u00e1t hi\u1ec7n b\u1ec7nh \u1edf giai \u0111o\u1ea1n s\u1edbm c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t nguy\u00ean nh\u00e2n, l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p tr\u00ec ho\u00e3n th\u1eddi \u0111i\u1ec3m ph\u1ea3i \u0111i\u1ec1u tr\u1ecb thay th\u1ebf th\u1eadn.<\/p>\n

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\"Th\u00f3i<\/div>\n
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\n Th\u00f3i quen u\u1ed1ng tr\u00e0 b\u1ed3i b\u1ed5 s\u1ee9c kh\u1ecfe v\u00f4 t\u00ecnh t\u00e0n ph\u00e1 th\u1eadn\n <\/div>\n
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U\u1ed1ng tr\u00e0 thay n\u01b0\u1edbc l\u1ecdc g\u00e2y t\u00edch t\u1ee5 oxalat t\u1ea1o s\u1ecfi, t\u00e1c d\u1ee5ng l\u1ee3i ti\u1ec3u l\u00e0m th\u1eadn thi\u1ebfu n\u01b0\u1edbc v\u00e0 t\u0103ng \u00e1p l\u1ef1c \u0111\u00e0o th\u1ea3i \u0111\u1ed9c t\u1ed1.<\/p>\n<\/div>\n

B\u1ea5m xem >>\n <\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n
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https:\/\/www.24h.com.vn\/suc-khoe\/24-tuoi-suy-than-giai-doan-cuoi-tien-tiet-kiem-danh-het-cho-nhung-buoi-loc-mau-c62a1797610.html<\/p>\n

\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"

Th\u01b0\u1eddng xuy\u00ean th\u1ee9c \u0111\u1ebfn 1-2h, m\u1ed7i \u0111\u00eam ch\u1ec9 ng\u1ee7 kho\u1ea3ng 4 gi\u1edd v\u00e0 u\u1ed1ng n\u01b0\u1edbc ng\u1ecdt h\u1eb1ng ng\u00e0y, N.H.Q kh\u00f4ng ngh\u0129 c\u00f3 ng\u00e0y m\u00ecnh ph\u1ea3i g\u1eafn v\u1edbi m\u00e1y l\u1ecdc m\u00e1u \u0111\u1ec3 duy tr\u00ec s\u1ef1 s\u1ed1ng. Th\u1ee9c khuya, m\u00ea n\u01b0\u1edbc ng\u1ecdt\u00a0 N.H.Q (24 tu\u1ed5i, ng\u1ee5 t\u1ea1i TPHCM) \u0111ang ph\u1ea3i l\u1ecdc m\u00e1u 3 l\u1ea7n m\u1ed7i tu\u1ea7n \u0111\u1ec3<\/p>\n","protected":false},"author":1,"featured_media":21474,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-21473","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe"],"_links":{"self":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/21473","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=21473"}],"version-history":[{"count":0,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/posts\/21473\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=\/wp\/v2\/media\/21474"}],"wp:attachment":[{"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21473"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21473"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/useful.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21473"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}