{"id":3193,"date":"2023-01-03T09:30:39","date_gmt":"2023-01-03T02:30:39","guid":{"rendered":"https:\/\/benhvienthaihoa.vn\/?p=3193"},"modified":"2025-06-22T23:28:55","modified_gmt":"2025-06-22T16:28:55","slug":"bai-1-ha-duong-huyet-va-bien-phap-phong-ngua-2","status":"publish","type":"post","link":"https:\/\/benhvienthaihoa.vn\/en\/bai-1-ha-duong-huyet-va-bien-phap-phong-ngua-2\/","title":{"rendered":"B\u00c0I 1: H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba"},"content":{"rendered":"

H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 v\u1ea5n \u0111\u1ec1 nguy hi\u1ec3m, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u00ean b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin ho\u1eb7c sulfonylurea. \u0110\u00e2y l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 g\u00e2y c\u1ea3n tr\u1edf vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang t\u00f4i t\u1eadp trung ch\u1ee7 y\u1ebfu v\u00e0o v\u1ea5n \u0111\u1ec1 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft tr\u00ean ng\u01b0\u1eddi b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi v\u00e0 x\u1eed tr\u00ed s\u1edbm c\u00f3 th\u1ec3 d\u1eabn t\u1edbi nhi\u1ec1u t\u00e1c h\u1ea1i cho ng\u01b0\u1eddi b\u1ec7nh. \u0110i\u1ec1u n\u00e0y c\u0169ng d\u1ec5 d\u1eabn t\u1edbi t\u00e2m l\u00fd s\u1ee3 s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 m\u1ee9c \u0111\u1ed9 tu\u00e2n th\u1ee7 s\u1eed d\u1ee5ng thu\u1ed1c tr\u00ean b\u1ec7nh nh\u00e2n b\u1ecb gi\u1ea3m theo.<\/p>\n

    \n
  1. Th\u1ebf n\u00e0o l\u00e0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft?<\/strong><\/li>\n<\/ol>\n

    H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 t\u00ecnh tr\u1ea1ng n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u < 3,9mmol\/l (<70mg\/dL) d\u1eabn t\u1edbi c\u01a1 th\u1ec3 b\u1ecb thi\u1ebfu h\u1ee5t glucose cho c\u00e1c ho\u1ea1t \u0111\u1ed9ng. H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft quan tr\u1ecdng v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u <50mg\/dL (3mmol\/L).<\/p>\n

    -> T\u00ecnh tr\u1ea1ng n\u00e0y c\u1ea7n x\u1eed tr\u00ed nhanh, k\u1ecbp th\u1eddi \u0111\u1ec3 tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 do h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft g\u00e2y n\u00ean.<\/p>\n

      \n
    1. H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0o?<\/strong><\/li>\n<\/ol>\n

      \"\"<\/p>\n

        \n
      1. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong>\n
          \n
        • H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft do thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/li>\n
        • M\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e2u n\u0103m<\/li>\n
        • Ng\u01b0\u1eddi cao tu\u1ed5i<\/li>\n
        • Th\u1eddi gian \u0103n u\u1ed1ng th\u1ea5t th\u01b0\u1eddng<\/li>\n
        • C\u00f3 ti\u1ec1n s\u1eed h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft tr\u1ea7m tr\u1ecdng trong th\u1eddi gian g\u1ea7n<\/li>\n
        • B\u1ec7nh th\u1eadn m\u1ea1n<\/li>\n
        • U\u1ed1ng r\u01b0\u1ee3u<\/li>\n
        • T\u1eadp th\u1ec3 d\u1ee5c<\/li>\n
        • Suy dinh d\u01b0\u1ee1ng<\/li>\n<\/ul>\n
            \n
          1. C\u00e1ch t\u1ef1 x\u1eed tr\u00ed h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft cho b\u1ea3n th\u00e2n:<\/strong><\/li>\n<\/ol>\n

            L\u00e0m ngay c\u00e1c b\u01b0\u1edbc sau n\u1ebfu n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u <3,9mmol\/L ho\u1eb7c khi b\u1ea1n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft:<\/p>\n

              \n
            • U\u1ed1ng \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng ho\u1eb7c \u0111\u1ed3 \u0103n nh\u1eb9 (v\u00ed d\u1ee5: 1 ly n\u01b0\u1edbc ng\u1ecdt c\u00f3 ga nh\u1ecf ho\u1eb7c n\u01b0\u1edbc \u00e9p tr\u00e1i c\u00e2y, 4-5 vi\u00ean k\u1eb9o ng\u1ecdt).<\/li>\n
            • Ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u sau 10 ph\u00fat, n\u1ebfu ch\u1ec9 s\u1ed1 t\u0103ng l\u00ean v\u00e0 b\u1ea3n th\u00e2n c\u1ea3m th\u1ea5y t\u1ed1t h\u01a1n \u00e0 Chuy\u1ec3n sang b\u01b0\u1edbc 3. N\u1ebfu ch\u1ec9 s\u1ed1 glucose kh\u00f4ng thay \u0111\u1ed5i ho\u1eb7c \u00edt c\u1ea3i thi\u1ec7n, s\u1eed d\u1ee5ng l\u1ea1i \u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng ho\u1eb7c \u0111\u1ed3 \u0103n nh\u1eb9 v\u00e0 \u0111\u1ecdc l\u1ea1i k\u1ebft qu\u1ea3 sau 10-15 ph\u00fat.<\/li>\n
            • \u0102n ngay b\u1eefa ch\u00ednh (ch\u1ee9a carbohydrat gi\u1ea3i ph\u00f3ng ch\u1eadm) n\u1ebfu l\u00e0 th\u1eddi \u0111i\u1ec3m th\u00edch h\u1ee3p \u0111\u1ec3 \u0103n. Ho\u1eb7c, \u0103n nh\u1eb9 th\u1ef1c ph\u1ea9m ch\u1ee9a carbohydrat gi\u1ea3i ph\u00f3ng ch\u1eadm (l\u00e1t b\u00e1nh m\u00ec, chi\u1ebfc b\u00e1nh quy ho\u1eb7c 1 ly s\u1eefa).<\/li>\n<\/ul>\n
                \n
              1. X\u1eed tr\u00ed c\u1ea5p c\u1ee9u tr\u00ean b\u1ec7nh nh\u00e2n h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong><\/li>\n<\/ol>\n

                \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft: ng\u1ea5t, h\u00f4n m\u00ea,…<\/p>\n

                  \n
                • N\u1ebfu c\u00f3 s\u1eb5n glucagon d\u1ea1ng ti\u00eam, ti\u00eam ngay v\u00e0o m\u00f4ng \u2013 c\u00e1nh tay \u2013 \u0111\u00f9i. N\u1ebfu c\u00f3 glucagon d\u1ea1ng h\u00edt th\u00ec \u0111\u01b0a ngay v\u00e0o m\u0169i b\u1ec7nh nh\u00e2n. Sau khi b\u1ec7nh nh\u00e2n t\u1ec9nh l\u1ea1i (5-15 ph\u00fat), b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 bu\u1ed3n n\u00f4n\/n\u00f4n, cho b\u1ec7nh nh\u00e2n m\u1ed9t b\u1eefa \u0103n nh\u1eb9 ch\u1ee9a \u0111\u01b0\u1eddng. Trong tr\u01b0\u1eddng h\u1ee3p t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n kh\u00f4ng c\u1ea3i thi\u1ec7n trong v\u00f2ng 10 ph\u00fat, g\u1ecdi c\u1ea5p c\u1ee9u ngay.<\/li>\n
                • N\u1ebfu kh\u00f4ng c\u00f3 s\u1eb5n glucagon, g\u1ecdi ngay c\u1ea5p c\u1ee9u t\u1ea1i c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t.<\/li>\n<\/ul>\n
                    \n
                  1. Ph\u00f2ng ng\u1eeba h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong><\/li>\n<\/ol>\n

                    Khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, \u0111\u1ec3 tr\u00e1nh h\u1eadu qu\u1ea3 tr\u1ea7m tr\u1ecdng h\u01a1n, c\u1ea7n c\u00f3 c\u00e1c ph\u01b0\u01a1ng \u00e1n x\u1eed l\u00fd sau:<\/p>\n

                      \n
                    • Tham v\u1ea5n b\u00e1c s\u0129 v\u1ec1 ph\u01b0\u01a1ng h\u01b0\u1edbng \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c, k\u1ebf ho\u1ea1ch \u0103n u\u1ed1ng v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c d\u1ef1a tr\u00ean n\u1ed3ng \u0111\u1ed9 glucose m\u00e1u.<\/li>\n
                    • Ch\u1ee7 \u0111\u1ed9ng ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u01b0\u1eddng xuy\u00ean.<\/li>\n
                    • Lu\u00f4n mang theo \u0111\u1ed3 \u0103n nh\u1eb9\/\u0111\u1ed3 u\u1ed1ng c\u00f3 \u0111\u01b0\u1eddng.<\/li>\n
                    • Kh\u00f4ng t\u1ef1 \u00fd b\u1ecf b\u1eefa.<\/li>\n
                    • C\u1ea9n tr\u1ecdng khi u\u1ed1ng r\u01b0s\u1ee3u.<\/li>\n
                    • C\u1ea7n \u0103n nh\u1eb9 b\u1eefa \u0103n ch\u1ee9a carbohydrat tr\u01b0\u1edbc khi t\u1eadp th\u1ec3 d\u1ee5c.<\/li>\n
                    • \u0102n nh\u1eb9 th\u1ef1c ph\u1ea9m ch\u1ee9c carbohydrat n\u1ebfu gi\u1eefa \u0111\u00eam th\u1ee9c gi\u1ea5c, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u b\u1ea1n gi\u1ea3m xu\u1ed1ng th\u1ea5p.<\/li>\n<\/ul>\n

                      T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n

                        \n
                      1. Hypoglycemia, Mayoclinic.org<\/em>.<\/li>\n
                      2. Hypoglycemia in adults with diabetes mellitus, Uptodate<\/em>, Updated on August 03, 2022.<\/li>\n
                      3. Low blood sugar (hypoglycaemia), NHS.uk<\/em>, Updated on September 24, 2023<\/li>\n
                      4. Hypoglycemia (Low Blood Glucose), ADA<\/em>,<\/li>\n<\/ol>\n<\/li>\n<\/ol>","protected":false},"excerpt":{"rendered":"

                        H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 v\u1ea5n \u0111\u1ec1 nguy hi\u1ec3m, c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u00ean b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin ho\u1eb7c sulfonylurea. \u0110\u00e2y l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 g\u00e2y c\u1ea3n tr\u1edf vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. Trong b\u00e0i vi\u1ebftLeer M\u00e1s<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[57],"tags":[],"class_list":["post-3193","post","type-post","status-publish","format-standard","hentry","category-bai-viet-y-khoa"],"acf":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/3193","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/comments?post=3193"}],"version-history":[{"count":2,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/3193\/revisions"}],"predecessor-version":[{"id":4304,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/posts\/3193\/revisions\/4304"}],"wp:attachment":[{"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/media?parent=3193"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/categories?post=3193"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/benhvienthaihoa.vn\/en\/wp-json\/wp\/v2\/tags?post=3193"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}