{"id":4371,"date":"2021-01-29T00:00:11","date_gmt":"2021-01-28T17:00:11","guid":{"rendered":"http:\/\/localhost\/sinhlongduong_cu\/?p=4371"},"modified":"2022-06-22T12:24:42","modified_gmt":"2022-06-22T12:24:42","slug":"soi-tiet-nieu","status":"publish","type":"post","link":"https:\/\/sinhlongduong.com\/?p=4371","title":{"rendered":"S\u1ecfi Ti\u1ebft Ni\u1ec7u"},"content":{"rendered":"\n

\u0110\u1ea0I C\u01af\u01a0NG S\u1eceI TI\u1ebeT NI\u1ec6U<\/strong><\/h2>\n\n\n\n

\nS\u1ecfi \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u l\u00e0 m\u1ed9t b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i v\u00e0 \u0111\u1eb7c bi\u1ec7t t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean. S\u1ecfi ti\u1ebft ni\u1ec7u chi\u1ebfm 30-40% t\u1ed5ng s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh ti\u1ebft ni\u1ec7u. S\u1ecfi ti\u1ebft ni\u1ec7u th\u01b0\u1eddng g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe, t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n. C\u00e1ch ch\u1eefa c\u00e1c lo\u1ea1i s\u1ecfi xem b\u00ean d\u01b0\u1edbi\n\n<\/p>\n\n\n

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Vinh Danh B\u1ea3ng V\u00e0ng Sinh Long \u0111\u01b0\u1eddng<\/figcaption><\/figure>\n<\/div>\n\n\n

1.Nguy\u00ean nh\u00e2n b\u1ec7nh sinh<\/strong><\/h2>\n\n\n\n

H\u00e0ng ng\u00e0n n\u0103m nay ng\u01b0\u1eddi ta \u0111\u00e3 c\u1ed1 g\u1eafng t\u00ecm c\u0103n nguy\u00ean nh\u00e2n g\u00e2y n\u00ean b\u1ec7nh s\u1ecfi ti\u1ebft ni\u1ec7u, nh\u01b0ng cho \u0111\u1ebfn nay v\u1eabn t\u1ed3n t\u1ea1i nhi\u1ec1u h\u1ecdc thuy\u1ebft v\u1ec1 s\u1ef1 ph\u00e1t sinh v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh, ch\u01b0a c\u00f3 h\u1ecdc thuy\u1ebft n\u00e0o gi\u1ea3i th\u00edch ho\u00e0n to\u00e0n \u0111\u1ea7y \u0111\u1ee7 s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ec7nh.Nhi\u1ec1u h\u1ecdc thuy\u1ebft \u0111\u1ec1 c\u1eadp \u0111\u1ebfn c\u00e1c y\u1ebfu t\u1ed1 ch\u00ednh li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh s\u1ecfi.<\/p>\n\n\n\n

Ng\u00e0y nay,d\u1ef1a v\u00e0o hi\u1ec3u bi\u1ebft v\u1ec1 b\u1ea3n ch\u1ea5t h\u00f3a h\u1ecdc c\u1ee7a s\u1ecfi ti\u1ebft ni\u1ec7u,v\u1ec1 c\u1ea5u tr\u00fac vi th\u1ebf v\u00e0 sinh l\u00fd c\u1ee7a h\u1ec7 th\u1ed1ng ti\u1ebft ni\u1ec7u, ng\u01b0\u1eddi ta chia s\u1ecfi\u00a0 ti\u1ebft ni\u1ec7u th\u00e0nh 2 nh\u00f3m nguy\u00ean nh\u00e2n: s\u1ecfi c\u01a1 th\u1ebf v\u00e0 s\u1ecfi c\u01a1 quan. <\/p>\n\n\n\n

S\u1ecfi c\u01a1 th\u1ec3 d\u00f9ng \u0111\u1ec3 ch\u1ec9 nh\u1eefng s\u1ecfi ti\u1ebft ni\u1ec7u c\u00f3 ngu\u1ed3n g\u1ed1c c\u00e1c b\u1ec7nh l\u00fd, c\u00e1c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan kh\u00e1c, c\u00e1c b\u1ec7nh l\u00fd to\u00e0n th\u00e2n. C\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn c\u00e1c b\u1ec7nh nh\u01b0 c\u01b0\u1eddng n\u0103ng tuy\u1ebfn c\u1eadn gi\u00e1p tr\u1ea1ng, b\u1ec7nh Goutte, nh\u1eefng ch\u1ea5n th\u01b0\u01a1ng\u00a0 n\u1eb7ng c\u1ee7a x\u01b0\u01a1ng,ch\u1ee9ng t\u0103ng canxi m\u00e1u do nhi\u1ec1u nguy\u00ean nh\u00e2n\u2026 <\/p>\n\n\n\n

S\u1ecfi c\u01a1 quan d\u00f9ng \u0111\u1ec3 ch\u1ec9 s\u1ecfi ti\u1ebft ni\u1ec7u c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u00e1c t\u1ed5n th\u01b0\u01a1ng \u1edf h\u1ec7 th\u1ed1ng ti\u1ebft ni\u1ec7u nh\u01b0: ph\u00ecnh to b\u1ec3 th\u1eadn b\u1ea9m sinh, ch\u00edt h\u1eb9p kh\u00fac n\u1ed1i b\u1ec3 th\u1eadn ni\u1ec7u qu\u1ea3n, d\u1ecb d\u1ea1ng th\u1eadn v\u00e0 m\u1ea1ch m\u00e1u th\u1eadn , t\u00fai th\u1eeba ni\u1ec7u qu\u1ea3n, t\u00fai th\u1eeba b\u00e0ng quang hay ni\u1ec7u \u0111\u1ea1o\u2026 <\/p>\n\n\n\n

Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng v\u1ecb th\u1ec3 t\u1ea1i th\u1eadn c\u00f3 m\u1ed1i li\u00ean quan t\u1edbi s\u1ef1 h\u00ecnh th\u00e0nh s\u1ecfi, l\u00e0 s\u1ef1 l\u1eafng \u0111\u1ecdng mu\u1ed1i v\u00f4i v\u00e0o nh\u1eefng v\u1ebft ch\u1ee3t l\u1edf lo\u00e9t \u1edf l\u1edbp bi\u1ec3u m\u00f4. C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh s\u1ecfi ti\u1ebft ni\u1ec7u c\u00f2n ph\u1ee9c t\u1ea1p, ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh r\u00f5 r\u00e0ng. <\/p>\n\n\n\n

Tuy v\u1eady, nhi\u1ec1u t\u00e1c gi\u1ea3 \u0111\u00e3 x\u00e2y d\u1ef1ng m\u1ed9t s\u1ed1 thuy\u1ebft \u0111\u1ec3 m\u00f4 t\u1ea3 c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh s\u1ecfi ti\u1ebft ni\u1ec7u nh\u01b0 sau: <\/p>\n\n\n\n

+ Thuy\u1ebft\u00a0 \u201ckeo-tinh th\u1ec3\u201d cho r\u1eb1ng nhi\u1ec1u ch\u1ea5t mu\u1ed1i v\u00f4 c\u01a1 v\u00e0 h\u1eefu c\u01a1 t\u1ed3n t\u1ea1i trong n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng tinh th\u1ec3, c\u00e1c tinh th\u1ec3 n\u00e0y \u0111\u01b0\u1ee3c bao b\u1ecdc b\u1edfi m\u1ed9t l\u1edbp ch\u1ea5t keo (b\u1ea3n ch\u1ea5t l\u00e0 c\u00e1c albumin, mucoprotein, axit nucleotid do t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 \u1ed1ng sinh ni\u1ec7u ti\u1ebft ra) l\u00e0m cho c\u00e1c ch\u1ea5t tinh th\u1ec3 kh\u00f4ng th\u1ec3 k\u1ebft d\u00ednh \u0111\u01b0\u1ee3c v\u1edbi nhau \u0111\u1ec3 t\u1ea1o n\u00ean s\u1ecfi. Khi c\u00e2n b\u1eb1ng n\u00e0y b\u1ecb ph\u00e1 v\u1ee1 (t\u0103ng m\u1eadt \u0111\u1ed9 tinh th\u1ec3, gi\u1ea3m m\u1eadt \u0111\u1ed9 ch\u1ea5t keo) c\u00e1c tinh th\u1ec3 n\u00e0y c\u00f3 c\u01a1 h\u1ed9i k\u1ebft d\u00ednh v\u1edbi nhau t\u1ea1o th\u00e0nh s\u1ecfi. <\/p>\n\n\n\n

+Thuy\u1ebft \u201c h\u1ea1t nh\u00e2n\u201d kh\u1eb3ng \u0111\u1ecbnh m\u1ed7i vi\u00ean s\u1ecfi ti\u1ebft ni\u1ec7u \u0111\u1ec1u \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh m\u1ed9t \u201ch\u1ea1t nh\u00e2n\u201d ban \u0111\u1ea7u. \u0110\u00f3 l\u00e0 c\u00e1c d\u1ecb v\u1eadt xu\u1ea5t hi\u1ec7n trong h\u1ec7 ti\u1ebft ni\u1ec7u (nh\u1eefng \u0111o\u1ea1n ch\u1ec9 kh\u00f4ng ti\u00eau, nh\u1eefng m\u1ea3nh cao su,m\u1ea3nh \u1ed1ng d\u1eabn l\u01b0u, m\u1ea3nh kim kh\u00ed\u2026). \u0110\u00f4i khi ng\u01b0\u1eddi ta c\u00f2n x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c h\u1ea1t nh\u00e2n c\u1ee7a s\u1ecfi c\u00f2n l\u00e0 nh\u1eefng t\u1ebf b\u00e0o tho\u00e1i h\u00f3a, t\u1ebf b\u00e0o m\u1ee7, x\u00e1c vi khu\u1ea9n, t\u1ed5 chwusc ho\u1ea1i t\u1eed, kh\u1ed1i m\u00e1u h\u00f3a gi\u00e1ng\u2026 Nh\u1eefng h\u1ea1t nh\u00e2n n\u00e0y \u0111\u1ec3 c\u00e1c mu\u1ed1i canxi, ph\u1ed1t pho, magie b\u00e1m v\u00e0o, b\u1ed3i \u0111\u1ea7y d\u1ea7n \u0111\u1ec3 t\u1ea1o th\u00e0nh nh\u1eefng vi\u00ean s\u1ecfi.<\/p>\n\n\n\n

+Thuy\u1ebft nhi\u1ec5m khu\u1ea9n x\u00e1c \u0111\u1ecbnh t\u01b0\u01a1ng quan nh\u00e2n qu\u1ea3 gi\u1eefa nhi\u1ec5m khu\u1ea9n ni\u1ec7u v\u00e0 s\u1ecfi. Nhi\u1ec5m khu\u1ea9n ni\u1ec7u t\u1ecda ra nhi\u1ec1u ti\u1ec3u th\u1ec3 \u0111\u1ec3 tr\u1edf th\u00e0nh h\u1ea1t nh\u00e2n h\u00ecnh th\u00e0nh s\u1ecfi. M\u1eb7t kh\u00e1c m\u1ed9t s\u1ed1 ch\u1ee7ng lo\u1ea1i vi khu\u1ea9n (Proteus, Pseudomonas\u2026) c\u00f3 th\u1ec3 ph\u00e2n h\u1ee7y ure b\u1edfi men ureaza t\u1ea1o ra c\u00e1c g\u1ed1c amoni, magie\u2026 t\u1ea1o \u0111i\u1ec1u ki\u1ec7n h\u00ecnh th\u00e0nh s\u1ecfi. <\/p>\n\n\n\n

C\u00f3 th\u1ec3 n\u00f3i m\u1ed7i thuy\u1ebft ch\u1ec9 gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c m\u1ed9t kh\u00eda c\u1ea1nh,m\u1ed9t giai \u0111o\u1ea1n c\u1ee7a qu\u00e1 tr\u00ecnh r\u1ea5t ph\u1ee9c t\u1ea1p, tinh vi c\u1ee7a c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh s\u1ecfi ti\u1ebft ni\u1ec7u. V\u1ea5n \u0111\u1ec1 n\u00e0y s\u1ebd c\u00f2n \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u , kh\u00e1m ph\u00e1 b\u1ed5 sung sau n\u00e0y. <\/p>\n\n\n\n

Tuy nhi\u00ean nhi\u1ec1u t\u00e1c gi\u1ea3 nh\u1eadn th\u1ea5y c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh s\u1ecfi ti\u1ebft ni\u1ec7u nh\u01b0 sau: <\/p>\n\n\n\n

-Y\u1ebfu t\u1ed1 di truy\u1ec1n: Maxquardt (1973), Ging liani (1985) th\u1ea5y b\u1ec7nh nhi\u1ec5m acid \u1ed1ng th\u1eadn l\u00e0 b\u1ec7nh di truy\u1ec1n th\u01b0\u1eddng g\u1eb7p v\u1edbi s\u1ecfi ti\u1ebft ni\u1ec7u. S\u1ecfi cystin th\u01b0\u1eddng th\u1ea5y \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ki\u1ec3u gen \u0111\u1ed3ng h\u1ee3p t\u1eed g\u00e2y \u0111\u00e1i ra cystin, onithine, lysin, arginin. S\u1ecfi uric hay c\u00f3 \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh Guot. S\u1ecfi canxi c\u00f3 t\u00ednh gia \u0111\u00ecnh, c\u00f3 nh\u1eefng gia \u0111\u00ecnh b\u1ecb b\u1ec7nh t\u0103ng canxi nguy\u00ean ph\u00e1t v\u00e0 h\u1ecd b\u1ecb s\u1ecfi canxi t\u1eeb r\u1ea5t tr\u1ebb. <\/p>\n\n\n

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\u0111\u00f4ng y gia truy\u1ec1n l\u00e2u \u0111\u1eddi<\/figcaption><\/figure>\n<\/div>\n\n\n

-Y\u1ebfu t\u1ed1 d\u1ecb d\u1ea1ng \u0111\u01b0\u1eddng n\u1ec7u b\u1ea9m sinh: l\u00e0 nguy\u00ean nh\u00e2n thu\u1eadn l\u1ee3i \u0111\u1ec3 t\u1ea1o s\u1ecfi do \u1ee9 \u0111\u1ecdng n\u01b0\u1edbc ti\u1ec3u, do nhi\u1ec5m khu\u1ea9n. C\u00e1c d\u1ecb d\u1ea1ng th\u01b0\u1eddng g\u1eb7p nh\u01b0: h\u1eb9p kh\u00fac n\u1ed1i b\u1ec3 th\u1eadn- ni\u1ec7u qu\u1ea3n,h\u1eb9p ni\u1ec7u qu\u1ea3n, ph\u00ecnh ni\u1ec7u qu\u1ea3n.<\/p>\n\n\n\n

-Y\u1ebfu t\u1ed1 \u0111\u1ecba l\u00fd kh\u00ed h\u1eadu: c\u00f3 m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh s\u1ecfi nh\u01b0 kh\u00ed h\u1eadu n\u00f3ng v\u00e0 kh\u00f4 \u1edf c\u00e1c v\u00f9ng xa m\u1ea1c v\u00e0 nhi\u1ec7t \u0111\u1edbi l\u00e0 y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng t\u00e1c \u0111\u1ed9ng nhi\u1ec1u \u0111\u1ebfn qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh s\u1ecfi.<\/p>\n\n\n\n

-Y\u1ebfu t\u1ed1 \u0103n u\u1ed1ng: th\u1ef1c t\u1ebf cho th\u1ea5y \u1edf nh\u1eefng ng\u01b0\u1eddi \u0103n th\u1ecbt nhi\u1ec1u th\u00ec g\u1eb7p t\u1ef7 l\u1ec7 s\u1ecfi urat cao, ng\u01b0\u1eddi c\u00f3 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng thi\u1ebfu vitamin A d\u1ec5 l\u00e0m s\u1eebng h\u00f3a t\u1ed5 ch\u1ee9c li\u00ean b\u00e0o d\u00e0i b\u1ec3 th\u1eadn v\u00e0 ch\u00ednh qu\u00e1 tr\u00ecnh n\u00e0y s\u1ebd g\u00e2y ra s\u1ecfi ti\u1ebft ni\u1ec7u. \u0102n s\u1eefa nhi\u1ec1u th\u00ec g\u1eb7p s\u1ecfi ph\u1ed1t ph\u00e1t. <\/p>\n\n\n\n

-G\u00e3y x\u01b0\u01a1ng l\u1edbn: do b\u1ea5t \u0111\u1ed9ng l\u00e2u ng\u00e0y l\u00e0 nh\u00e2n t\u1ed1 ch\u00ednh trong c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh s\u1ecfi v\u00e0 th\u00eam v\u00e0o \u0111\u00f3 l\u00e0 s\u1ef1 t\u0103ng n\u1ed3ng \u0111\u1ed9 canxi v\u00e0 photpho trong m\u00e1u.<\/p>\n\n\n\n

– Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u: do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau ho\u1eb7c do \u1ee9 \u0111\u1ecdng tr\u00ean \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i cho h\u00ecnh th\u00e0nh s\u1ecfi. Q\u00faa tr\u00ecnh vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u l\u00e0m thay \u0111\u1ed5i Ph n\u01b0\u1edbc ti\u1ec3u, l\u00e0m thay \u0111\u1ed5i l\u1edbp t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 c\u1ee7a l\u00e1t \u0111\u01b0\u1eddng ni\u1ec7u d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n b\u00e0i ti\u1ebft t\u1ea1i th\u1eadn, s\u1ed1 l\u01b0\u1ee3ng c\u00e1c mucoprotein trong n\u01b0\u1edbc ti\u1ec3u t\u0103ng l\u00ean r\u00f5 r\u1ec7t. C\u00e1c s\u1ea3n ph\u1ea9m c\u1ee7a qu\u00e1 tr\u00ecnh vi\u00eam t\u1ebf b\u00e0o tho\u00e1i h\u00f3a, t\u1ebf baofmur, x\u00e1c vi khu\u1ea9n t\u1ea1o th\u00e0nh c\u00e1c nh\u00e2n s\u1ecfi. <\/p>\n\n\n\n

– S\u1ef1 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 th\u1ec3 trong nh\u1eefng b\u1ec7nh nh\u00e2n c\u01b0\u1eddng n\u0103ng tuy\u1ebfn c\u1eadn gi\u00e1p, canxi trong m\u00e1u t\u0103ng v\u00e0 th\u1ea3i nhi\u1ec1u qua \u0111\u01b0\u1eddng ni\u1ec7u \u0111\u1ec3 t\u1ea1o l\u00ean s\u1ecfi. <\/p>\n\n\n\n

  1. T\u00ednh ch\u1ea5t v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a s\u1ecfi<\/strong><\/h2><\/li><\/ol>\n\n\n\n

    2.1 S\u1ed1 l\u01b0\u1ee3ng<\/strong> Kh\u00f4ng h\u1ea1n \u0111\u1ecbnh c\u00f3 th\u1ec3 t\u1ef1 m\u1ed9t vi\u00ean \u0111\u1ebfn h\u00e0ng tr\u0103m vi\u00ean. \u1ede khoa Ti\u1ebft ni\u1ec7u Vi\u1ec7n 103, b\u1ec7nh nh\u00e2n nhi\u1ec1u s\u1ecfi nh\u1ea5t \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0: 1988 vi\u00ean s\u1ecfi. <\/p>\n\n\n\n

    2.2.K\u00edch th\u01b0\u1edbc v\u00e0 tr\u1ecdng l\u01b0\u1ee3ng s\u1ecfi:<\/strong> T\u00f9y theo v\u1ecb tr\u00ed c\u1ee7a \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u. Tr\u1ecdng l\u01b0\u1ee3ng s\u1ecfi t\u1eeb v\u00e0i gam \u0111\u1ebfn v\u00e0i tr\u0103m gam. <\/p>\n\n\n\n

    2.3. H\u00ecnh d\u1ea1ng s\u1ecfi<\/strong> R\u1ea5t \u0111a d\u1ea1ng c\u00f3 m\u1ed9t s\u1ed1 h\u00ecnh d\u1ea1ng \u0111\u1eb7c bi\u1ec7t nh\u01b0 h\u00ecnh s\u1ecfi san h\u00f4, h\u00ecnh m\u1ecf v\u1eb9t, h\u00ecnh b\u1ea7u d\u1ee5c v\u00e0 h\u00ecnh tr\u00f2n. <\/p>\n\n\n\n

    2.4. V\u1ecb tr\u00ed c\u1ee7a s\u1ecfi<\/strong> C\u00f3 th\u1ec3 g\u1eb7p s\u1ecfi d\u00e0i b\u1ec3 th\u1eadn,s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi b\u00e0ng quang, s\u1ecfi ti\u1ec1n li\u1ec7t tuy\u1ebfn v\u00e0 s\u1ecfi ni\u1ec7u \u0111\u1ea1o. Trong \u0111\u00f3 s\u1ecfi th\u1eadn l\u00e0 s\u1ecfi nguy\u00ean ph\u00e1t c\u00f2n s\u1ecfi ni\u1ec7u qu\u1ea3n, s\u1ecfi b\u00e0ng quang, s\u1ecfi ni\u1ec7u \u0111\u1ea1o th\u01b0\u1eddng l\u00e0 th\u1ee9 ph\u00e1t do r\u01a1i t\u1eeb tr\u00ean xu\u1ed1ng. Tr\u1eeb nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t do d\u1ecb v\u1eadt, do t\u00fai th\u1eeba d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh s\u1ecfi t\u1ea1i h\u1ed7 ni\u1ec7u qu\u1ea3n v\u00e0 b\u00e0ng quang. <\/p>\n\n\n\n

    1. Th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc c\u1ee7a s\u1ecfi<\/strong><\/h2><\/li><\/ol>\n\n\n\n

      C\u00f3 r\u1ea5t nhi\u1ec1u lo\u1ea1i s\u1ecfi, m\u1ed7i lo\u1ea1i s\u1ecfi c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c nhau v\u1ec1 m\u00e0u s\u1eafc v\u00e0 \u0111\u1ed9 r\u1eafn.<\/p>\n\n\n\n

      C\u00f3 2 nh\u00f3m s\u1ecfi ch\u00ednh: s\u1ecfi v\u00f4 c\u01a1 v\u00e0 s\u1ecfi h\u1eefu c\u01a1. <\/p>\n\n\n\n

      3.1 S\u1ecfi v\u00f4 c\u01a1:<\/strong> <\/p>\n\n\n\n

      + S\u1ecfi oxalat canxi: hay g\u1eb7p m\u1ea7u \u0111en, gai g\u00f3c c\u1ea3n quang r\u00f5. <\/p>\n\n\n\n

      + S\u1ecfi photphat canxi: c\u00f3 m\u1ea7u v\u00e0ng nh\u1ea1t ho\u1eb7c tr\u1eafng b\u1ea9n, \u0111\u1ed9 r\u1eafn k\u00e9m h\u01a1n S\u1ecfi oxalat canxi, d\u1ec5 v\u1ee1. <\/p>\n\n\n\n

      + S\u1ecfi cacbonat canxi: c\u00f3 m\u1ea7u tr\u1eafng nh\u01b0 m\u1ea7u ph\u1ea5n, m\u1ec1m d\u1ec5 v\u1ee1. <\/p>\n\n\n\n

      3.2 S\u1ecfi h\u1eefu c\u01a1<\/strong>: <\/p>\n\n\n\n

      + S\u1ecfi urat: m\u1ea7u tr\u1eafng g\u1ea1ch cua, c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea3n quang m\u1ec1m v\u00e0 hay t\u00e1i ph\u00e1t. <\/p>\n\n\n\n

      + S\u1ecfi cholesterin: c\u00f3 m\u1ea7u v\u00e0ng, d\u1ec5 v\u1ee5n n\u00e1t v\u00e0 th\u01b0\u1eddng g\u1eb7p s\u1ecfi ti\u1ec1n li\u1ec7t tuy\u1ebfn.<\/p>\n\n\n\n

      + S\u1ecfi xystin: nh\u1eb5n, m\u00e0u v\u00e0ng nh\u1ea1t, m\u1ec1m hay t\u00e1i ph\u00e1t, th\u01b0\u1eddng g\u1eb7p \u1edf c\u1ea3 hai th\u1eadn do r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a axit amin. <\/p>\n\n\n\n

      + S\u1ecfi struvic; (amonium magn\u00e9ium- photphat hexa hydrat) m\u1ea7u v\u00e0ng tr\u1eafng r\u1eafn, th\u01b0\u1eddng do nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng ni\u1ec7u lo\u1ea1i proteus sinh ra. <\/p>\n\n\n\n

      \u1ede ng\u01b0\u1eddi Vi\u1ec7t Nam g\u1eb7p ch\u1ee7 y\u1ebfu l\u00e0 s\u1ecfi v\u00f4 c\u01a1 trong \u0111\u00f3 s\u1ecfi oxalat canxi chi\u1ebfm h\u01a1n 80%, th\u01b0\u1eddng s\u1ecfi t\u1ed3n t\u1ea1i \u1edf d\u01b0\u1edbi d\u1ea1ng h\u1ed7n h\u1ee3p \u0111an xen gi\u1eefa c\u00e1c th\u00e0nh ph\u1ea7n h\u00f3a h\u1ecdc. <\/p>\n\n\n\n

      Khi b\u1ea1n mua h\u00e0ng c\u1ee7a Sinh Long \u0110\u01b0\u1eddng m\u1ed9t l\u1ea7n. Sinh Long \u0110\u01b0\u1eddng ch\u1eafc ch\u1eafn b\u1ea1n s\u1ebd mua h\u00e0ng l\u1ea7n th\u1ee9 2. B\u1edfi Ph\u00f2ng Kh\u00e1m Sinh Long \u0110\u01b0\u1eddng hi\u1ec3u r\u1eb1ng : S\u1ef1 Y\u00eau M\u1ebfn, Tin T\u01b0\u1edfng C\u1ee7a B\u1ea1n\u00a0 Quy\u1ebft \u0110\u1ecbnh S\u1ef1 T\u1ed3n T\u1ea1i C\u1ee7a Sinh Long \u0110\u01b0\u1eddng!R\u1ea5t mong s\u1ef1 \u1ee7ng h\u1ed9 c\u1ee7a Qu\u00fd Kh\u00e1ch. Xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n!<\/strong><\/p>\n\n\n\n

      C\u00e1ch \u0110i\u1ec1u Tr\u1ecb c\u00e1c lo\u1ea1i s\u1ecfi tr\u00ean\u00a0 xem t\u1ea1i \u0111\u00e2y<\/a> B\u00e0i Vi\u1ebft D\u1ef1a Tr\u00ean S\u00e1ch s\u1ecfi \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/p><\/blockquote>\n\n\n\n

      \"\u2618\"\"\u2618\"\"\u2618\"h\u00e3y li\u00ean h\u1ec7 v\u1edbi ch\u00fa<\/em>ng t\u00f4i<\/p>\n\n\n\n

      Ph\u00f2ng Kh\u00e1m \u0110\u00f4ng Y Sinh Long \u0110\u01b0\u1eddng<\/p>\n\n\n\n

      \u272a Chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn b\u1ec7nh Ph\u1ee5 khoa – Nam khoa – B\u1ec7nh x\u00e3 h\u1ed9i – Tr\u0129<\/p>\n\n\n\n

      \u272a S\u0110T t\u01b0 v\u1ea5n v\u00e0 \u0111\u1eb7t h\u1eb9n: 0974.07.04.85 – 0915.180.628<\/p>\n\n\n\n

      \u272a \u0110\u1ecba ch\u1ec9: C\u01a1 s\u1edf 1:x\u00f3m M\u1edbi,Ki\u1ec1u \u0110o\u00e0i,\u0110\u1ea1i Xuy\u00ean,Ph\u00fa Xuy\u00ean,HN<\/p>\n\n\n\n

      TEL \"\u260e\ufe0f\"\"\u260e\ufe0f\" 0974070485<\/p>\n\n\n\n

      C\u01a1 s\u1edf 2: \u0111\u1ed1i di\u1ec7n CT8A \u0110\u1ea1i Thanh ,T\u1ea3 Thanh Oai,Thanh Tr\u00ec ,HN<\/p>\n\n\n\n

      TEL\"\u260e\ufe0f\"\"\u260e\ufe0f\" 0915180628<\/p>\n\n\n\n

      \u272a Kh\u00e1m ch\u1eefa b\u1ec7nh ngo\u00e0i gi\u1edd h\u00e0nh ch\u00ednh: t\u1eeb 8h00 – 20h30 t\u1ea5t c\u1ea3<\/p>\n\n\n\n

      c\u00e1c ng\u00e0y trong tu\u1ea7n k\u1ec3 c\u1ea3 th\u1ee9 7 ch\u1ee7 nh\u1eadt v\u00e0 ng\u00e0y l\u1ec5<\/p>\n","protected":false},"excerpt":{"rendered":"

      \u0110\u1ea0I C\u01af\u01a0NG S\u1eceI TI\u1ebeT NI\u1ec6U S\u1ecfi \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u l\u00e0 m\u1ed9t b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i v\u00e0 \u0111\u1eb7c bi\u1ec7t t\u1eeb 18 tu\u1ed5i tr\u1edf l\u00ean. S\u1ecfi ti\u1ebft ni\u1ec7u chi\u1ebfm 30-40% t\u1ed5ng s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh ti\u1ebft ni\u1ec7u. S\u1ecfi ti\u1ebft ni\u1ec7u th\u01b0\u1eddng g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe, t\u00ednh m\u1ea1ng b\u1ec7nh…<\/p>\n","protected":false},"author":1,"featured_media":5379,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[336,68],"tags":[493,494,495,496,497,334,498,499,500,501,502],"yst_prominent_words":[],"class_list":["post-4371","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khong-phan-loai","category-tin-tuc","tag-an-gi-giam-soi","tag-cach-dieu-tri-soi","tag-chua-soi","tag-co-may-loai-soi-than","tag-soi-huu-co","tag-soi-than","tag-soi-tiet-nieu","tag-soi-vo-co","tag-tan-soi","tag-thuoc-chua-soi","tag-uong-gi-het-soi"],"_links":{"self":[{"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/posts\/4371","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4371"}],"version-history":[{"count":2,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/posts\/4371\/revisions"}],"predecessor-version":[{"id":5997,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/posts\/4371\/revisions\/5997"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=\/wp\/v2\/media\/5379"}],"wp:attachment":[{"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4371"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4371"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4371"},{"taxonomy":"yst_prominent_words","embeddable":true,"href":"https:\/\/sinhlongduong.com\/index.php?rest_route=%2Fwp%2Fv2%2Fyst_prominent_words&post=4371"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}