{"id":2070,"date":"2020-11-10T12:17:58","date_gmt":"2020-11-10T05:17:58","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=2070"},"modified":"2021-08-16T14:56:12","modified_gmt":"2021-08-16T07:56:12","slug":"benh-dai-thao-duong-phat-hien-chuan-doan-som-trong-cong-dong","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2020\/11\/10\/benh-dai-thao-duong-phat-hien-chuan-doan-som-trong-cong-dong\/","title":{"rendered":"B\u1ec7nh \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng – ph\u00e1t hi\u1ec7n, chu\u1ea9n \u0111o\u00e1n s\u1edbm trong c\u1ed9ng \u0111\u1ed3ng"},"content":{"rendered":"\n

Trong v\u00e0i n\u0103m tr\u1edf l\u1ea1i \u0111\u00e2y, ng\u00e0nh Y t\u1ebf ghi nh\u1eadn gia t\u0103ng c\u00e1c b\u1ec7nh kh\u00f4ng l\u00e2y nhi\u1ec5m nh\u01b0: T\u0103ng huy\u1ebft \u00e1p, Ung th\u01b0, B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh, \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u2026 B\u1ed9 Y t\u1ebf c\u00f3 nh\u1eefng h\u01b0\u1edbng d\u1eabn ph\u00e1t hi\u1ec7n, ch\u1ea9n \u0111o\u00e1n s\u1edbm ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng trong c\u1ed9ng \u0111\u1ed3ng.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ph\u00e1t hi\u1ec7n ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 m\u1eafc \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng:<\/strong><\/p>\n\n\n\n

S\u1eed d\u1ee5ng b\u1ea3ng t\u1ef1 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2.<\/p>\n\n\n\n

Ph\u00e1t hi\u1ec7n ng\u01b0\u1eddi c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 (M\u1ee5c 3.1). Nh\u1eefng ng\u01b0\u1eddi n\u00e0y th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng huy\u1ebft nhanh ho\u1eb7c th\u1ef1c hi\u1ec7n nghi\u1ec7m ph\u00e1p t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n\n\n\n

Ng\u01b0\u1eddi c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh, \u0111\u00f3 l\u00e0 \u201c\u0103n nhi\u1ec1u, u\u1ed1ng nhi\u1ec1u, \u0111\u00e1i nhi\u1ec1u v\u00e0 g\u1ea7y nhanh\u201d. Tuy nhi\u00ean, c\u0169ng c\u1ea7n l\u01b0u \u00fd c\u00f3 th\u1ec3 b\u1ec7nh nh\u00e2n ch\u1ec9 c\u00f3 m\u1ed9t trong c\u00e1c tri\u1ec7u ch\u1ee9ng th\u00f4i, nh\u01b0 g\u1ea7y s\u00fat nhanh, ho\u1eb7c hay kh\u00e1t n\u01b0\u1edbc,\u2026 ho\u1eb7c c\u00f3 ng\u01b0\u1eddi nh\u1eadn th\u1ea5y n\u01b0\u1edbc ti\u1ec3u c\u00f3 ru\u1ed3i b\u00e2u, ki\u1ebfn \u0111\u1eadu.<\/p>\n\n\n\n

Ng\u01b0\u1eddi kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00eau tr\u00ean nh\u01b0ng c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a c\u00e1c bi\u1ebfn ch\u1ee9ng: hay c\u00f3 m\u1ee5n nh\u1ecdt, hay t\u00ea ch\u00e2n tay, vi\u00eam l\u1ee3i, vi\u00eam \u00e2m \u0111\u1ea1o dai d\u1eb3ng, m\u1edd m\u1eaft s\u1edbm tr\u01b0\u1edbc 50 tu\u1ed5i,\u2026<\/p>\n\n\n\n

Ch\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng:<\/strong><\/p>\n\n\n\n

C\u00e1ch duy nh\u1ea5t chu\u1ea9n \u0111o\u00e1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng m\u00e1u. \u1ede tuy\u1ebfn x\u00e3, c\u00f3 th\u1ec3 \u0111o \u0111\u01b0\u1eddng m\u00e1u b\u1eb1ng m\u00e1y \u0111o \u0111\u01b0\u1eddng huy\u1ebft nhanh.<\/p>\n\n\n\n

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111o \u0111\u01b0\u1eddng huy\u1ebft bu\u1ed5i s\u00e1ng, l\u00fac \u0111\u00f3i khi ch\u01b0a \u0103n.<\/p>\n\n\n\n

K\u1ebft qu\u1ea3, n\u1ebfu \u0111\u01b0\u1eddng huy\u1ebft \u2265 7 mmol\/L th\u00ec l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, n\u00ean chuy\u1ec3n tuy\u1ebfn tr\u00ean kh\u1eb3ng \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

– N\u1ebfu k\u1ebft qu\u1ea3 t\u1eeb 6,1 – 6,9 mmol\/L, c\u00f3 th\u1ec3 l\u00e0 t\u00ecnh tr\u1ea1ng ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n\n\n\n

Khi \u0111\u00f3, ta c\u00f3 th\u1ec3 l\u00e0m nghi\u1ec7m ph\u00e1p t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1eddng u\u1ed1ng (cho b\u1ec7nh nh\u00e2n u\u1ed1ng 75 g \u0111\u01b0\u1eddng glucose, sau 2 gi\u1edd \u0111o \u0111\u01b0\u1eddng huy\u1ebft), n\u1ebfu k\u1ebft qu\u1ea3 \u2265 7,8 mmol\/L th\u00ec b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c coi l\u00e0 c\u00f3 t\u00ecnh tr\u1ea1ng ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c \u0111\u01b0\u1eddng huy\u1ebft \u2265 11,1 mmol\/L l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 c\u0169ng c\u1ea7n chuy\u1ec3n l\u00ean tuy\u1ebfn tr\u00ean \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

– N\u00ean l\u00e0m 2 l\u1ea7n v\u00e0o 2 ng\u00e0y kh\u00e1c nhau \u0111\u1ec3 cho k\u1ebft qu\u1ea3 ch\u1eafc ch\u1eafn.<\/p>\n\n\n\n

Qu\u1ea3n l\u00ed, theo d\u00f5i h\u01b0\u1edbng d\u1eabn ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 sinh ho\u1ea1t cho ng\u01b0\u1eddi b\u1ec7nh:<\/p>\n\n\n\n

N\u00ean \u0103n nhi\u1ec1u rau, qu\u1ea3 v\u00e0 ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t. N\u00ean gi\u1ea3m b\u1edbt tinh b\u1ed9t, c\u00e1c th\u1ee9c \u0103n c\u00f3 ngu\u1ed3n g\u1ed1c \u0111\u1ed9ng v\u1eadt v\u00e0 thay th\u1ebf b\u1eb1ng c\u00e1c th\u1ee9c \u0103n c\u00f3 ngu\u1ed3n g\u1ed1c th\u1ef1c v\u1eadt nh\u01b0 c\u00e1c lo\u1ea1i \u0111\u1eadu, l\u1ea1c, \u2026<\/p>\n\n\n\n

N\u00ean ki\u00eang c\u00e1c th\u1ee9c \u0103n cung c\u1ea5p \u0111\u01b0\u1eddng nhanh (l\u00e0 c\u00e1c th\u1ee9c \u0103n c\u00f3 v\u1ecb ng\u1ecdt nh\u01b0 b\u00e1nh k\u1eb9o, tr\u00e1i c\u00e2y ng\u1ecdt nh\u01b0 m\u00edt, xo\u00e0i, d\u1ee9a). C\u00f3 th\u1ec3 d\u00f9ng c\u00e1c ch\u1ea5t ng\u1ecdt (\u0111\u01b0\u1eddng h\u00f3a h\u1ecdc) thay th\u1ebf \u0111\u01b0\u1eddng th\u00f4ng th\u01b0\u1eddng nh\u01b0 sacharin.<\/p>\n\n\n\n

C\u1ea7n ch\u00fa \u00fd l\u00e0m gi\u1ea3m c\u00e2n n\u1ebfu c\u00f3 b\u00e9o ph\u00ec ho\u1eb7c th\u1eeba c\u00e2n b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n gi\u1ea3m calo. \u1ede ng\u01b0\u1eddi kh\u00f4ng th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec, kh\u00f4ng n\u00ean \u0103n ki\u00eang th\u00e1i qu\u00e1.<\/p>\n\n\n\n

B\u1ec7nh nh\u00e2n d\u00f9 \u0103n ki\u00eang \u0111\u1ec3 gi\u1ea3m c\u00e2n nh\u01b0ng v\u1eabn ph\u1ea3i \u0111\u1ea3m b\u1ea3o c\u00e1c vitamin, nh\u1ea5t vitamin nh\u00f3m B.<\/p>\n\n\n\n

N\u00ean t\u0103ng c\u01b0\u1eddng t\u1eadp luy\u1ec7n th\u1ec3 l\u1ef1c (\u0111i b\u1ed9, ch\u1ea1y, b\u01a1i). T\u0103ng c\u01b0\u1eddng v\u1eadn \u0111\u1ed9ng trong sinh ho\u1ea1t h\u00e0ng ng\u00e0y nh\u01b0 \u0111i b\u1ed9, tr\u00e1nh d\u00f9ng xe m\u00e1y khi kh\u00f4ng th\u1eadt c\u1ea7n thi\u1ebft,\u2026<\/p>\n\n\n\n

Gi\u1eef v\u1ec7 sinh s\u1ea1ch s\u1ebd \u0111\u1ec3 ph\u00f2ng nhi\u1ec5m tr\u00f9ng: v\u1ec7 sinh c\u01a1 th\u1ec3 v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay c\u00e1c x\u00e2y x\u00e1t tay ch\u00e2n, v\u1ec7 sinh r\u0103ng mi\u1ec7ng,\u2026<\/p>\n\n\n\n

Sinh ho\u1ea1t \u0111i\u1ec1u \u0111\u1ed9, tr\u00e1nh r\u01b0\u1ee3u, b\u1ecf thu\u1ed1c l\u00e1 v\u00e0 d\u00f9ng thu\u1ed1c theo ch\u1ec9 d\u1eabn c\u1ee7a th\u1ea7y thu\u1ed1c.\/.<\/p>\n\n\n\n

H\u1ed3 Th\u1ecb \u00c1nh Loan \u2013 TTYT TP. Ch\u00e2u \u0110\u1ed1c<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Trong v\u00e0i n\u0103m tr\u1edf l\u1ea1i \u0111\u00e2y, ng\u00e0nh Y t\u1ebf ghi nh\u1eadn gia t\u0103ng c\u00e1c b\u1ec7nh kh\u00f4ng l\u00e2y nhi\u1ec5m nh\u01b0: T\u0103ng huy\u1ebft \u00e1p, Ung th\u01b0, B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh, \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u2026 B\u1ed9 Y t\u1ebf c\u00f3 nh\u1eefng h\u01b0\u1edbng d\u1eabn ph\u00e1t hi\u1ec7n, ch\u1ea9n \u0111o\u00e1n s\u1edbm ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng trong c\u1ed9ng \u0111\u1ed3ng. Ph\u00e1t […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[20,255,239],"tags":[176],"class_list":["post-2070","post","type-post","status-publish","format-standard","hentry","category-tltt-all","category-ttlt-dtd-tha","category-truyen-thong-theo-chu-de","tag-dai-thao-duong"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2070","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2070"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2070\/revisions"}],"predecessor-version":[{"id":2073,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2070\/revisions\/2073"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2070"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2070"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2070"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}