An man khong phai la nguyen nhan gay suy than

Tags: TP HCM, Ha Noi, Lye Wai Choong, khong phai la, than nhan tao, co trieu chung, co the la, Ghep Than, Suy Than, bac si, dieu tri, giai doan, suc khoe, 2, gay


Tieu buot, dau that lung khong phai la trieu chung suy than. Nguoc lai, benh thuong khong co trieu chung gi. Vi the, moi nguoi nen kham dinh ky va kiem soat yeu to nguy co nhu tang huyet ap, tieu duong, soi duong nieu..., bac si Lye Wai Choong (Singapore), trao doi trong buoi tu van truc tuyen chieu nay.
> Ghep than khac nhom mau - co hoi moi cho nguoi suy than

- Toi muon hoi dau hieu cua benh suy than la gi? Cach phong ngua? Toi hay di tieu tien vao ban dem (mua dong cung nhu mua he). Nhung nam truoc thi chi co mua dong, nhung sang nam nay thi ca mua he cung phai tieu dem. Toi co bi suy than khong? (Cuong, 36 tuoi, Canada)

- Chao ban. Hau het benh nhan suy than thuong khong co trieu chung. Tieu nhieu vao ban dem co the la mot dau hieu cua suy than. Tot nhat, ban nen gap bac si chuyen khoa than de duoc tu van them ve tinh trang cua minh.

- Bo toi 70 tuoi dang dieu tri ung thu bang quang bang phuong phap xa tri. Cung thoi gian nay bac sy kiem tra va phat hien ong bi suy than do 2. Toi muon hoi suy than chia lam may giai doan va o muc suy than do 2 thi phuong phap dieu tri gi la tot nhat. (Thuy, 37 tuoi, Da Nang)

- Co 5 giai doan suy than, giai doan 2 chi la giai doan nhe. Ban nen kiem soat tot huyet ap va tranh nhung thuoc gay ton thuong cho than chang han nhu: nhung thuoc giam dau manh.

- Ong xa toi bi suy than man tinh va da ghep than tu nam 2002. Den nay phai chay than nhan tao lai duoc 2 thang. Xin cho biet gio ong xa toi muon ghep than lan hai thi ket qua co kha quan khong? Trong truong hop bi nhiem viem gan C thi lieu co ghep than duoc khong? Hien nay gia dinh khong co ai hien than, vay VN co ngan hang than chua? (Ho Chau, 55 tuoi, Vinh Phuc)

- Chong cua chi co the ghep than lan 2 neu benh viem gan sieu vi C cua anh da duoc khong che va co the tim duoc nguoi hien than thich hop. Toi khong nam ro tinh hinh ngan hang hien than cua Viet Nam.

- Che do an uong anh huong nhu the nao toi benh than. Cac em be neu an man lau dai thi nguy co bi benh than co cao khong? (Viet Ha, 32 tuoi, TP HCM)

- Che do an anh huong rat it den benh than. An man khong phai la nguyen nhan gay suy than.

- Thua bac si ghep than thi qua than moi hoat dong duoc bao nhieu lau phai thay lai? Mot ca ghep than chi phi mat bao nhieu tien a. Bac co the tu van cho chau phac do dieu tri viem cau than man duoc khong. Chau da dieu tri duoc 3 nam benh khong tai phat, nhung mot nam tro lai day benh rat hay tai phat mac du chau da kieng rat ky. (Le Bac Son, 32 tuoi, TP HCM)

- 50% truong hop qua than ghep se hoat dong duoc 15 nam. Chi phi cho mot ca ghep than tai Singapore trung binh tu 65.000-75.000 dola Singapore. Ve benh viem vi cau than man cua ban, tuy thuoc vao tung loai mo hoc se co phuong phap dieu tri tuong ung.

- Ba xa toi bi suy than man giai doan cuoi (bi 2,5 nam), dieu tri tai benh vien Cho Ray, bac si noi mot la chay than hoac ghep than. Cac trieu chung binh thuong, chi hoi om va thieu mau, an uong binh thuong, di tieu duoc, khong buon non, oi mua, an ngu duoc... Voi bieu hien the, bac si khuyen co nen thay than hay chay than nhan tao hay co phuong an nao khac (Mac Thi Le, 36 tuoi, TP Playcu, Gia Lai).

- Co can thiet phai ghep than hay khong tuy thuoc vao chuc nang than, vi du nhu muc do Creatinin trong mau. Voi nhung du kien ban dua ra, chung toi khong the tu van vo cua ban co can ghep than hay khong.

- Con toi nam nay 20 tuoi, dang chay than duoc 3 nam, da co nguoi hien than cung nhom mau O, xin hoi thu tuc sang ghep tai benh vien Singapore gom giay to gi? Neu xet nghiem giua nguoi cho va nguoi nhan hop nhau toi can chuan bi so tien khoang bao nhieu? (Vu Kim Loan, 55 tuoi, Can Tho)

- Neu nguoi cho than co suc khoe tot va cac xet nghiem binh thuong, ban nen lien he van phong dai dien cua tap doan Parkway tai TP HCM de biet them chi tiet ve cac thu tuc. Dau tien nguoi cho va nguoi nhan can phai lam mot so xet nghiem chi tiet tai Singapore. Sau do, ca hai se phai trai qua cuoc phong van cua Uy ban dao duc cua nuoc nay de duoc chap thuan cho cuoc ghep than.

- Toi la nhan vien van phong, hay bi dau o vung that lung, lieu do co phai la trieu chung cua benh than khong a? (Bui Thi Huong, 31 tuoi, Ha Noi)

- Chao ban, dau o that lung khong phai la trieu chung cua benh than ma thuong la dau co. Tuy nhien ban can phai kiem tra de loai tru benh soi nieu quan, soi than.

- Me toi nam nay da 54 tuoi va phai chay than nhan tao da hon 3 nam nay. Cuoi nam 2005 den 2007 thi chay than 2 lan/tuan. Cuoi nam 2007 da tang len 3 lan/tuan. Tai sao so lan chay than lai tang len? Lieu sau nay co tang so lan chay? Nhung anh huong len suc khoe khi chay than nhan tao la gi? Tren the gioi, nguoi chay than lau nhat la bao nhieu nam? Toi va me toi cung nhom mau O thi toi co the cho me toi than duoc khong? Xin chan thanh cam on! (Pham Thai, 33 tuoi, Hung Yen)

- So lan chay than trong tuan cua me ban tang len vi chuc nang than giam. Thong thuong, so lan chay than toi da la 3 lan mot tuan. Di nhien, neu cung nhom mau, ban co the hien than cho me cua ban.

Mot so tac dung phu cua chay than nhan tao nhu: chong mat, non, buon non, nhuc dau... Tuy nhien, ban dung qua lo lang ve nhung tac dung phu nay khi benh nhan can phai chay than nhan tao de chua tri benh. Tren the gioi, nguoi chay than lau nhat duoc ghi nhan la 25 nam.

- Anh toi 38 tuoi va phat hien bi than cap 4 tu nam 2007. Tu do den nay cu tuan 3 lan anh di chay than. Suc khoe anh giam di ro ret. Anh toi co co hoi nao de cai thien suc khoe hay khong? Viec chay than co phai an uong kieng khem the nao khong? (Nguyen Anh, 35 tuoi, TP HCM)

- Suy than gom co 5 giai doan. Giai doan 1 ton thuong than it, chuc nang than binh thuong. Giai doan 2 chuc nang than van duy tri hoat dong tu 70-90%. Giai doan 3 chuc nang than van con 30-70%. Giai doan 4 chuc nang than chi con duoi 30%. Giai doan 5 la suy than giai doan cuoi. Anh cua ban bi suy than cap 4 nen can phai ghep than. Trong khi dang chay than, anh ban can an nhieu dam, uong it nuoc, Hemoglobin trong mau it nhat la 10mg%.

- Tien si cho toi biet tai sao chay than dinh ki (3 lan/tuan) lai bi dau nhuc xuong khop, mat ngu, nam da mat va ngua. Tien si cho biet ly do va cach phong ngua. Cac bien chung co the xay ra khi chay than nhan tao va cach phong ngua. Viec ghep than khong cung nhom mau khi nao co the tien hanh tai VN va gia ca co ha so voi gia mot to bao da dang la tu 1.5-2 ty VND (Bui Chi Thanh, 42 tuoi, 63/18 Nguyen Huu Cau)

- Trieu chung dau nhuc xuong, ngua co the la do nong do phosphate va hooc mon tuyen can giap trong mau tang. Ban can trao doi voi bac si de tien hanh dieu tri neu co tang phosphate va hooc mon tuyen can giap trong mau.

- Toi co nguoi ban bi suy than man va chay than nhan tao duoc hon 7 nam roi. Gia dinh dang muon ghep than cho ban nhung khong biet thoi gian trung binh song them hien nay cua cac benh nhan ghep than la bao nhieu nam? Neu khong co ai trong gia dinh tu nguyen hien tang thi co cach nao de ban toi duoc ghep than hay khong? Nguoi Viet Nam co the ghep than duoc o Singapore hay khong? Chi phi? Xin chan thanh cam on bac si. (Nguyen Hung, 35 tuoi, Binh Dinh)

- Ban hay yen tam vi nguoi duoc ghep than van song nhu nguoi binh thuong. Ban nen tim nguoi hien than la nguoi trong gia dinh hay ho hang. Rat nhieu benh nhan Viet Nam da duoc ghep than tai Singapore. Ban co the tham khao thong tin va chi phi cho mot ca ghep than o cau tren.

- Toi moi ghep than duoc 2 thang, hien nay vo cua toi dang mang thai duoc 5 tuan. Xin hoi bac si lieu toi co nen giu bao thai duoc khong? Nghe noi moi ghep thi khong nen co con? Tai sao? (Le Thanh Quang, 33 tuoi, So 44, duong 22, Q.6, TP HCM)

- Ban nen giu bao thai, vi ghep than va thuoc chong thai ghep khong anh huong gi den thai nhi.

- Vi ban ngay ban di lam toi khong the cho con uong nuoc cam nen toi chi co the cho con uong vao buoi chieu hoac buoi toi nhung toi nghe noi uong nuoc cam vao buoi toi dac biet la tre em se de bi benh than, nhu vay co dung khong thua bac si? (Thuy Ha, 31 tuoi, Lao Cai)

- Khong co chung cu khoa hoc nao chung minh viec uong nuoc cam vao buoi toi se dan den benh than.

- Xin chao bac si, toi co nguoi nha bi suy than da 3,5 nam. Vua roi thu mau kiem tra thi chi so creatinin len toi 630, tinh trang suc khoe binh thuong. Xin bac si cho biet chi so creatinin nhu vay da phai loc mau hoac thay than chua. Truong hop phai loc mau va thay than thi phuong an nao tot hon. Nguoi nha toi con tre, dang di lam. Xin cam on bac si (Van Ha, 26 tuoi, Ha Noi)

- Vi ban khong cho biet tuoi cua nguoi benh nen chung toi khong the cho loi khuyen cu the. Tuy nhien, neu tinh trang suc khoe cua nguoi benh binh thuong, voi chi so creatinin nhu the, nen tiep tuc uong thuoc theo huong dan cua bac si dieu tri.

- Cho toi hoi la neu toi hien than cho nguoi khac thi suc khoe cua toi co binh thuong nhu truoc hay khong? Cam on BS (Huynh Tri, 40 tuoi, HCM)

- Neu suc khoe cua ban binh thuong thi viec hien than khong anh huong gi den suc khoe cua nguoi hien.

- Toi bi san ca 2 than (duong kinh 20), than trai khong bi u nuoc, than phai u nuoc do 1, thinh thoang bi dau tuc phan lung ben phai. Xin hoi toi co can phai lay het soi than ra hay cu "song chung" voi chung? Toi co nen tan soi khong? (Duc Nguyen, 47 tuoi, Bac Giang)

- Do co trieu chung dau lung ben phai nen ban can di kiem tra xem san than ben phai co gay tac nghen hay khong. Neu co, ban can phau thuat de lay san than ben phai. Ban co the phau thuat hoac tan soi, tuy truong hop.

- Chung toi nghe noi rang: Neu bi viem hong ma khong dieu tri den noi den chon thi lau ngay se dan den suy than. Dieu nay co dung khong? (Le Minh Hien, 34 tuoi, Quang Nam)

- Doi khi viec bi viem hong lau ngay ma khong dieu tri den noi den chon thi cung co kha nang bi suy than, chu yeu la o tre em.

- Toi la Toan o Hai Phong. Nam nay 29 tuoi, Toi bi suy than, da chay than chu ky duoc 4 nam. Nam ngoai toi co dinh ghep than, nhung khi xet nghiem phat hien virus viem gan C (mat do virus la 80000, Tuyp I), hien tai chuc nang gan van tot. Toi muon hoi la co nhat thiet phai dieu tri cho mat do virus xuong truoc hay khong? Hay sau khi ghep dieu tri cung duoc (vi chi phi dieu tri viem gan rat lon). Xin cam on.

- Viem gan sieu vi C type I rat kho dieu tri va nhieu tac dung phu. Tuy nhien, ban can phai dieu tri viem gan sieu vi C truoc khi ghep than.

- Xin chao bac si. Me toi nam nay 52 tuoi, da ghep than 2 lan o Trung Quoc, lan thu 2 ghep cach day 4 nam. Xin hoi la mot nguoi co the duoc ghep toi da may qua than, va lam the nao de gin giu qua than duoc ghep mot cach tot nhat. (Dao Minh Tuan, 32 tuoi, 12 pham ngoc thach, Quan 3, TPHCM)

- Benh nhan co the ghep than lan 3, tuy nhien, cuoc phau thuat se vo cung kho khan. Loi khuyen cua toi la nen giu qua than ghep lan 2 hoat dong cang lau cang tot bang nhung loai thuoc moi dung lieu luong. Ban co the lien he ngay bay gio vao duong day nong cua toa soan: 08 7300 8899 (ext: 8500) de duoc tu van them.

- Xin chao bac si. Toi 27 tuoi, bac si chan doan bi suy than giai doan 2, huyet ap cao. Toi rat lo lang, xin bac si cho biet phai dieu tri nhu the nao? Co kha nang chua dut duoc khong? Va anh huong den suc khoe sau nay nhu the nao? Xin cam on. (Nguyen Quoc Duy, 27 tuoi, Quan Tan Binh TPHCM)

- Ban phai tim hieu nguyen nhan gay nen viec suy than, tuy thuoc vao nguyen nhan gay benh thi bac sy moi co the tu van phuong phap dieu tri tot nhat cho ban duoc. Dong thoi ban phai co gang kiem soat dung de huyet ap cao.

- Thua bac si, vo toi bi suy than do 4, hien dang dung phuong phap loc mang bung bang dung dich tham phan phuc mac DIANEAL cua Singapore. Xin duoc hoi bac si la dung phuong phap nay neu nhu tuan thu nghiem ngat ve ve sinh thi thoi gian toi da duoc bao lau, vo chong toi moi co mot chau gai 7 tuoi, neu nhu suc khoe on dinh thi vo toi co the sinh em be duoc khong? Xin cam on bac si. (Bui Minh Hai, 36 tuoi, Lang Son)

- Phuong phap tham phan phuc mac co the thuc hien cho vo ban la 10-15 nam. Vo ban khong nen co thai vi da bi suy than do 4 va dang tham phan phuc mac.

- Toi rat hay bi phu, dac biet khi an hoi man hoac uong nhieu nuoc truoc khi ngu. Sang thuc day thi mat, tay va ca minh deu co cam giac bi sung, sau mot ngay ngoi lam viec thi 2 chan sung nhieu. Toi di tieu binh thuong, khong gat. Thua bac si, trieu chung nhu vay co phai do than bi suy? Toi co di xet nghiem nuoc tieu thi khong thay noi than suy, tuy nhien trong nuoc tieu thuong xuyen co lan mot it hong cau, chua ro nguyen nhan. (Hoang Trang, 44 tuoi, TP HCM)

- Truong hop cua ban co the la trieu chung cua suy than. Tot nhat ban nen lam them xet nghiem mau de do nong do Creatinin trong mau de biet chinh xac than co bi suy hay khong.

- Toi bi viem duong tiet nieu va rat hay tai phat vay co nguy co dan den suy than khong a? (Mai Nga, 33 tuoi, Lam Dong)

- Viem duong tiet nieu la benh rat thuong gap o phu nu. Do khong phai la nguyen nhan gay suy than.

- Me toi nam nay 62 tuoi da chay than duoc 2 nam, vay co the con ghep than duoc khong vi toi nghe noi la muon ghep than thi khong duoc chay than, va ghep than thi o benh vien nao, voi chi phi cho toan bo ca ghep than se la bao nhieu. (Tran Vinh, 38 tuoi, Nha Trang)

- Chay than khong anh huong den ghep than. Truong hop cua me ban co the duoc ghep than neu khong kem theo nhung benh ly khac nhu: benh tim mach, nhiem trung...

- Xin cho toi hoi, toi bi soi than 6mm trong than ben phai, toi da uong kim tien thao nhieu lan nhung chua thay dau hieu het soi, toi co nen di mo hay dieu tri hay khong, lieu toi co bi suy than hay khong? (Tran Thanh Long, 40 tuoi, Ca Mau)

- Doi voi truong hop cua ban vien soi than chi 6 mm thi khong can phai mo hay dieu tri gi ca. Ban chi can uong nhieu nuoc la duoc.

- Cho toi hoi benh than da nang co nguy hiem den tinh mang khong va co the chua khoi han khong? (Ha Thu Huong, 28 tuoi, SN23, ngo 67B ly nam de, Ha Noi)

- Benh than da nang co the dan den suy than ve sau. Nguoi benh can theo doi chuc nang than thuong xuyen, kiem soat tot huyet ap.

- Con gai toi duoc chuan doan la co mot than bam sinh. Chau co phai kieng khem hoac de phong gi khong? (Thuy Dung, 38 tuoi, Ha Noi)

- Doi voi truong hop con cua ban thi khong can phai kieng khem gi, ban nen dua chau di kiem tra chuc nang than moi nam mot lan.

- Xin bac si cho biet cac nguyen nhan gay benh than va cach phong chong (Nguyen Xuan Son, 49 tuoi, ngo 106 Hoang Quoc Viet, Ha Noi).

- Co rat nhieu nguyen nhan gay suy than nhu: nhiem trung, soi duong nieu, cao huyet ap, tieu duong, viem vi cau than... Cach phong chong tot nhat la ban nen kham suc khoe thuong xuyen, it nhat moi nam mot lan de kip thoi phat hien benh.

- Toi la nu, 40 tuoi. Toi hay bi tieu buot. Moi lan tieu buot, toi co xet nghiem nuoc tieu, sieu am bung. Ket qua sieu am luon tot. Con nuoc tieu thi co ++. Bac si thuong cho toi uong khang sinh trong 1 tuan thi het benh. Viec tieu buot lap di lap lai nhieu lan trong nam nhu the co anh huong gi den than khong? Cam on bac si. Tony Ngo (Tonyngo, 40 tuoi, Canada)

- Trieu chung cua ban co the la nhiem trung tieu, benh nay thuong gap o phu nu. Benh nay khong gay suy than.

- Chuc nang sinh ly cua nguoi phu nu chay than nhan tao co bi anh huong nhieu khong (hanh kinh hang thang con hay mat, kha nang sinh san va quan he vo chong co phai la dieu kieng ki khong).Toi moi chay than nhan tao duoc 4 thang ma vo chong toi moi lay nhau, chua co con, toi rat muon sinh duoc con (Hoang Ngan, 33 tuoi, Ha Noi)

- Chay than nhan tao khong anh huong chuc nang sinh ly phu nu nhung rat kho de mang thai va cung khong an toan khi mang thai.

- Sau ghep, tai sao che do an uong, sinh hoat va dung thuoc hoan toan theo su huong dan cua bac si. Vay tai sao co nguoi co ket qua tot, co nguoi lai co ket qua rat xau (Hoang Hong Hanh, 20 tuoi, Hai Phong)

- Sau khi ghep than, nguoi benh can tuan thu nghiem ngat lieu luong thuoc theo chi dinh cua bac si. Neu uong khong du lieu se de dan den thai ghep. Tuy nhien, neu uong qua nhieu thuoc chong thai ghep, nguoi benh rat de nhiem trung (vi khuan, virus, nam...). Benh nhan can duoc theo doi o nhung trung tam than co uy tin de giam thieu nhung bien chung co the xay ra sau khi ghep.

- Toi 28 tuoi, nam gioi. Sau lan dau dau toi duoc chan doan suy than man, do 3A. Creatin 400-470, ure 11 – 20. Toi dang dung thuoc theo chi dinh, luong nuoc tieu trong mot ngay tu 1,7-2l. Tu khi phat benh cac chi so khong thay doi, nhung phai an kieng nen bi giam can. Benh toi co chua duoc khong? Co cach gi tang can tro lai? Co duoc an nhieu va uong bia? Thoi diem nao ghep than la hop ly? Nguoi cho than la me toi (58 tuoi), co duoc khong? (Khanh Nguyen, 28 tuoi, HN)

- Ban nen an nhieu hon de tang can tuy nhien khong nen uong bia. Benh suy than man co the khong che nhung khong the chua khoi. Ban can can nhac kha nang ghep than khi nong do Creatinin trong mau lon hon 800 mg%. Neu suc khoe binh thuong, me ban co the hien than cho ban.

- Xin chao bac si. Ghep than khac nhom mau ty le thanh cong duoc bao nhieu va trai than do co ton tai suot doi khong. Khi muon di Sigapore ghep than thi cac thu tuc phai lam sao thua bac si. (Thuy hang,25 tuoi, Tra Vinh)

- Ben canh viec ghep than cung nhom mau, nhung truong hop khac nhom mau van co the ghep than thanh cong. Cac khang the chong lai than cua nguoi hien se duoc loc khoi co the cua benh nhan. Dong thoi, benh nhan se duoc su dung mot loai thuoc dac biet de ngan ngua co the san sinh them nhieu khang the. Sau do, co the tien hanh cuoc ghep than khac nhom mau.

Neu co benh than, ban nen tham kham bac si thuong xuyen, kiem tra chuc nang than, kiem soat tot huyet ap, uong thuoc theo chi dinh cua bac si. Mac du co rat nhieu cau hoi, nhung vi thoi gian co han nen khong the giai dap tat ca nhung thac mac cua doc gia, xin hen gap lai trong dip khac.

Than chao cac ban.

TS

Anh: Thien Chuong

Viet Bao

Tìm hiểu: TP HCM, Ha Noi, Lye Wai Choong, khong phai la, than nhan tao, co trieu chung, co the la, Ghep Than, Suy Than, bac si, dieu tri, giai doan, suc khoe, 2, gay

Xem Bản Tiếng Việt Có Dấu: Ăn mặn không phải là nguyên nhân gây suy thận

Ban co the doc ban tieng Viet co dau cua bai viet Ăn mặn không phải là nguyên nhân gây suy thận bang cach nhan chuot vao duong dan tren.

Lien he ve tin An man khong phai la nguyen nhan gay suy than

Nhan xet, hay lien he ve tin An man khong phai la nguyen nhan gay suy than co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet An man khong phai la nguyen nhan gay suy than de lam tham khao. Bai viet nay thuoc chuyen de Tong hop trong chuyen muc Doi song Gia dinh.

Cac tin khac:

Xem tiep ... Tong hop
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