{"id":2249,"date":"2018-11-19T13:42:09","date_gmt":"2018-11-19T13:42:09","guid":{"rendered":"https:\/\/robot.yeupet.vn\/benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri\/"},"modified":"2018-11-19T13:42:09","modified_gmt":"2018-11-19T13:42:09","slug":"benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri","status":"publish","type":"post","link":"https:\/\/robot.yeupet.vn\/index.php\/2018\/11\/19\/benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri\/","title":{"rendered":"B\u1ec7nh Ti\u1ec3u \u0110\u01b0\u1eddng \u1ede Ch\u00f3 M\u00e8o Nguy\u00ean Nh\u00e2n V\u00e0 C\u00e1ch \u0110i\u1ec1u Tr\u1ecb"},"content":{"rendered":"<p>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng (\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng) l\u00e0 m\u1ed9t trong c\u00e1c nh\u00f3m b\u1ec7nh li\u00ean quan \u0111\u1ebfn c\u01a1 ch\u1ebf chuy\u1ec3n h\u00f3a, bi\u1ec3u hi\u1ec7n \u1edf l\u01b0\u1ee3ng \u0111\u01b0\u1eddng (glucose) trong m\u00e1u t\u0103ng cao. B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng g\u00e2y ra do suy gi\u1ea3m ch\u1ee9c n\u0103ng ti\u1ebft insulin c\u1ee7a tuy\u1ebfn t\u1ee5y ho\u1eb7c b\u1ecb l\u1ed7i trong qu\u00e1 tr\u00ecnh v\u1eadn h\u00e0nh c\u1ee7a insulin ho\u1eb7c l\u00e0 do c\u1ea3 hai. B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 c\u0103n b\u1ec7nh li\u00ean quan \u0111\u1ebfn \u201cn\u01b0\u1edbc ti\u1ec3u c\u00f3 v\u1ecb ng\u1ecdt\u201d.<span id=\"more-2404\"><\/span> N\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng huy\u1ebft cao (\u0111\u01b0\u1eddng huy\u1ebft t\u0103ng) d\u1eabn \u0111\u1ebfn l\u01b0\u1ee3ng \u0111\u01b0\u1eddng glucose t\u00edch t\u1ee5 v\u00e0o n\u01b0\u1edbc ti\u1ec3u, do \u0111\u00f3 xu\u1ea5t hi\u1ec7n c\u1ee5m t\u1eeb \u201cn\u01b0\u1edbc ti\u1ec3u c\u00f3 v\u1ecb ng\u1ecdt\u201d.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri-400x300-300x225.jpg\" class=\"aligncenter wp-image-2407\" alt=\"benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri-400x300\" width=\"347\" height=\"260\"><\/p>\n<p>\u00a0<\/p>\n<p><b>B<\/b><b>\u1ec7<\/b><b>nh ti<\/b><b>\u1ec3<\/b><b>u \u0111<\/b><b>\u01b0\u1edd<\/b><b>ng l\u00e0 g\u00ec?<\/b><b><\/b><\/p>\n<p>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh 2 lo\u1ea1i l\u00e0 lo\u1ea1i I- b\u1ec7nh x\u1ea3y ra khi tuy\u1ebfn tu\u1ef5 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t v\u00e0 ti\u1ebft ra insulin. \u0110\u00e2y l\u00e0 d\u1ea1ng b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng x\u1ea3y ra r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf th\u00fa nu\u00f4i. Lo\u1ea1i II- b\u1ec7nh g\u00e2y ra do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau m\u00e0 tuy\u1ebfn tu\u1ef5 s\u1ea3n xu\u1ea5t insulin b\u1ecb suy gi\u1ea3m n\u00ean kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 nhu c\u1ea7u n\u1ed9i ti\u1ebft t\u1ed1 c\u1ee7a c\u01a1 th\u1ec3. Lo\u1ea1i n\u00e0y g\u1eb7p nhi\u1ec1u \u1edf th\u00fa nu\u00f4i b\u1ecb th\u1eeba c\u00e2n, b\u00e9o ph\u00ec.<\/p>\n<p>Ngo\u00e0i ra c\u00f2n t\u1ed3n t\u1ea1i m\u1ed9t d\u1ea1ng kh\u00e1c c\u1ee7a b\u1ec7nh n\u1eefa, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nh\u1ea1t hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng n\u01b0\u1edbc v\u1edbi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a m\u1ed9t l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u lo\u00e3ng. Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh l\u00e0 do c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn n\u00e3o ho\u0103c do th\u1eadn (\u1edf b\u1ec7nh kh\u00f4ng c\u00f3 s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a glucose). \u0110\u00e2y l\u00e0 d\u1ea1ng b\u1ec7nh r\u1ea5t hi\u1ebfm g\u1eb7p.<\/p>\n<p>N\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, \u0111\u1ed3ng th\u1eddi tu\u00e2n th\u1ee7 \u0111\u00fang quy tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, th\u00fa nu\u00f4i c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i b\u1ecb r\u00fat ng\u1eafn tu\u1ed5i th\u1ecd v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u00fang v\u1eabn \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb t\u00ecnh tr\u1ea1ng b\u1ec7nh s\u1ebd n\u1eb7ng h\u01a1n v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, suy dinh d\u01b0\u1ee1ng, nhi\u1ec5m ceton acid, m\u1ea5t n\u01b0\u1edbc v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 t\u1eed vong.<\/p>\n<p><b>\u0110<\/b><b>\u1ed1<\/b><b>i t<\/b><b>\u01b0\u1ee3<\/b><b>ng d<\/b><b>\u1ec5<\/b><b> b<\/b><b>\u1ecb<\/b><b> b<\/b><b>\u1ec7<\/b><b>nh ti<\/b><b>\u1ec3<\/b><b>u \u0111<\/b><b>\u01b0\u1edd<\/b><b>ng<\/b><b><\/b><\/p>\n<p>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i (t\u1eeb 18 th\u00e1ng tu\u1ed5i), tuy nhi\u00ean h\u1ea7u h\u1ebft b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf c\u00e1c th\u00fa l\u1ee9a tu\u1ed5i trung ni\u00ean (t\u1eeb 5 tu\u1ed5i tr\u1edf l\u00ean), cao tu\u1ed5i, ch\u00f3\/m\u00e8o b\u1ecb th\u1eeba c\u00e2n\/ b\u00e9o ph\u00ec, \u0111\u1eb7c bi\u1ec7t b\u1ec7nh x\u1ea3y ra nhi\u1ec1u \u1edf th\u00fa c\u00e1i v\u00e0 th\u00fa \u0111\u1ef1c \u0111\u00e3 b\u1ecb thi\u1ebfn (chi\u1ebfm 70%).<\/p>\n<p>\u1ede ch\u00f3, t\u1ea5t c\u1ea3 c\u00e1c lo\u00e0i ch\u00f3 \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb b\u1ec7nh, tuy nhi\u00ean gi\u1ed1ng Dachshund, gi\u1ed1ng poodles, miniature schnauzers, gi\u1ed1ng Cairn Terrier-Ch\u00f3 s\u1ee5c Cairn, Sc\u00f4tlen, gi\u1ed1ng springer spaniels c\u00f3 nguy c\u01a1 b\u1ecb b\u1ec7nh cao h\u01a1n. \u0110\u1eb7c bi\u1ec7t b\u1ec7nh r\u1ea5t th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf c\u00e1c gi\u1ed1ng ch\u00f3: Cocker Spaniels, shepherds, collies, boxers.<\/p>\n<p>\u1ede m\u00e8o b\u1ec7nh \u00edt g\u1eb7p h\u01a1n, tuy nhi\u00ean n\u1ebfu ch\u1eb3ng may m\u1ed9t ch\u00fa m\u00e8o b\u1ecb m\u1eafc ph\u1ea3i, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb cho ch\u00fang s\u1ebd g\u1eb7p r\u1ea5t nhi\u1ec1u kh\u00f3 kh\u0103n.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/1542634928_857_benh-tieu-duong-o-cho-meo.jpg\" class=\"aligncenter size-full wp-image-5747\" alt=\"benh-tieu-duong-o-cho-meo\" width=\"468\" height=\"311\"><\/p>\n<p>B\u00e9o Ph\u00ec do b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/p>\n<p><b>C<\/b><b>\u01a1<\/b><b> ch<\/b><b>\u1ebf<\/b><b> ph\u00e1t sinh b<\/b><b>\u1ec7<\/b><b>nh ti<\/b><b>\u1ec3<\/b><b>u \u0111<\/b><b>\u01b0\u1edd<\/b><b>ng<\/b><b><\/b><\/p>\n<p>\u0110\u1ec3 t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf ph\u00e1t sinh b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng ch\u00fang ta c\u00f3 th\u1ec3 m\u00f4 ph\u1ecfng qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3 nh\u01b0 sau:<\/p>\n<p>Tuy\u1ebfn t\u1ee5y =&gt;&gt; S\u1ea3n xu\u1ea5t ra Insulin =&gt;&gt;\u0110\u01b0\u1eddng (Glucose) =&gt;&gt;Sinh ra n\u0103ng l\u01b0\u1ee3ng<\/p>\n<p>Gi\u1ea3i th\u00edch cho qu\u00e1 tr\u00ecnh n\u00e0y nh\u01b0 sau: sau khi\u00a0th\u1ee9c \u0103n\u00a0v\u00e0o c\u01a1 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh \u0111\u01b0\u1eddng glucose m\u1ed9t d\u1ea1ng tinh b\u1ed9t ngu\u1ed3n n\u0103ng l\u01b0\u1ee3ng ch\u00ednh c\u1ee7a c\u01a1 th\u1ec3. \u0110\u1ec3 s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng glucose th\u00ec khi \u0111\u00f3 tuy\u1ebfn t\u1ee5y s\u1ebd s\u1ea3n xu\u1ea5t ra insulin v\u00e0 lo\u1ea1i hooc m\u00f4n n\u1ed9i ti\u1ebft n\u00e0y l\u1ea1i c\u00f3 nhi\u1ec7m v\u1ee5 gi\u00fap v\u1eadn chuy\u1ec3n \u0111\u01b0\u1eddng glucose \u0111i v\u00e0o c\u00e1c t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3 \u0111\u1ec3 sinh ra n\u0103ng l\u01b0\u1ee3ng. Khi qu\u00e1 tr\u00ecnh x\u1eed l\u00fd n\u00e0y ho\u1ea1t \u0111\u1ed9ng m\u1ed9t c\u00e1ch kh\u00f4ng b\u00ecnh th\u01b0\u1eddng t\u1ee9c l\u00e0 \u0111\u01b0\u1eddng glucose kh\u00f4ng \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n \u0111i \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o, k\u1ebft qu\u1ea3 l\u00e0m cho l\u01b0\u1ee3ng \u0111\u01b0\u1eddng glucose trong m\u00e1u s\u1ebd lu\u00f4n cao. \u0110\u00e2y ch\u00ednh l\u00e0 c\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh n\u00ean b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n<p>\u00a0<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri1-300x181.jpg\" class=\"aligncenter size-medium wp-image-2405\" alt=\"benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri1\" width=\"300\" height=\"181\"><\/p>\n<p><b>Nguy\u00ean nh\u00e2n g\u00e2y b<\/b><b>\u1ec7<\/b><b>nh<\/b><b><\/b><\/p>\n<ul>\n<li>R\u1ed1i lo\u1ea1n tuy\u1ebfn tu\u1ef5 khi\u1ebfn cho kh\u00f4ng th\u1ec3 ti\u1ebft \u0111\u1ee7 insulin.<\/li>\n<li>C\u00e1c b\u1ec7nh kh\u00e1c ho\u1eb7c s\u1ef1 xu\u1ea5t hi\u1ec7n b\u1ea5t th\u01b0\u1eddng c\u1ee7a m\u1ed9t s\u1ed1 hormone kh\u00e1c- c\u00f3 th\u1ec3 l\u00e0 \u0111\u1ed1i kh\u00e1ng v\u1edbi insulin ho\u1eb7c g\u00e2y \u0111\u1ec1 kh\u00e1ng insulin khi\u1ebfn cho insulin kh\u00f4ng th\u1ec3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng trong c\u01a1 th\u1ec3.<\/li>\n<li>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng th\u1ee9 c\u1ea5p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c steroid, hormone \u0111\u1ed9ng d\u1ee5c, mang thai, ho\u1eb7c \u0111i\u1ec1u ki\u1ec7n y t\u1ebf kh\u00e1c nh\u01b0 b\u1ec7nh Cushing .<\/li>\n<li>Nguy\u00ean nh\u00e2n do c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng h\u1ee3p l\u00fd.<\/li>\n<li>Ngo\u00e0i ra c\u00f2n m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y n\u00ean b\u1ec7nh nh\u01b0: li\u00ean quan \u0111\u1ebfn y\u1ebfu t\u1ed1 di truy\u1ec1n, b\u00e9o ph\u00ec, vi\u00eam t\u1ee5y m\u00e3n t\u00ednh, do k\u00edch th\u00edch c\u00e1c hormone sinh s\u1ea3n (ch\u00f3 c\u00e1i)\u2026<\/li>\n<\/ul>\n<p><b>D<\/b><b>\u1ea5<\/b><b>u hi<\/b><b>\u1ec7<\/b><b>u &amp; tri<\/b><b>\u1ec7<\/b><b>u ch<\/b><b>\u1ee9<\/b><b>ng nh<\/b><b>\u1ead<\/b><b>n bi<\/b><b>\u1ebf<\/b><b>t b<\/b><b>\u1ec7<\/b><b>nh<\/b><b><\/b><\/p>\n<p><strong>Nh\u1eefng d\u1ea5u hi\u1ec7u s\u1edbm c\u1ee7a b\u1ec7nh<\/strong><\/p>\n<ul>\n<li>Ba d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng th\u1ea5y c\u1ee7a b\u1ec7nh l\u00e0: u\u1ed1ng n\u01b0\u1edbc nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng, \u0111\u00f3i v\u00e0 th\u00e8m \u0103n, \u0111i ti\u1ec3u nhi\u1ec1u (3P: polyphagia, polydipsia, polyuria).<\/li>\n<li>M\u1ec7t m\u1ecfi v\u00e0 thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng: Th\u00fa nu\u00f4i s\u1ebd tr\u1edf n\u00ean th\u1edd \u01a1 v\u00e0 kh\u00f4ng c\u00f2n h\u00e1o h\u1ee9c mong mu\u1ed1n \u0111\u01b0\u1ee3c ch\u1ea1y\/ \u0111i b\u1ed9 v\u1edbi b\u1ea1n ho\u1eb7c tham gia c\u00e1c tr\u00f2 ch\u01a1i. Th\u00fa tr\u1edf n\u00ean l\u01b0\u1eddi nh\u00e1c v\u1eadn \u0111\u1ed9ng v\u00e0 ng\u1ee7 nhi\u1ec1u h\u01a1n.<\/li>\n<li>Chi sau c\u1ee7a th\u00fa ho\u1ea1t \u0111\u1ed9ng y\u1ebfu k\u00e9m (th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf m\u00e8o): nh\u1eefng ch\u00fa m\u00e8o b\u1ecb b\u1ec7nh thay v\u00ec di chuy\u1ec3n nh\u1eb9 nh\u00e0ng tr\u00ean nh\u1eefng t\u1ea5m l\u00f3t ch\u00e2n c\u1ee7a m\u00ecnh nh\u01b0 b\u00ecnh th\u01b0\u1eddng, ch\u00fang l\u1ea1i di chuy\u1ec3n v\u1edbi nh\u1eefng b\u01b0\u1edbc \u0111i n\u1eb7ng n\u1ec1 kh\u00f4ng m\u1ea5y t\u1ef1 nhi\u00ean.<\/li>\n<li>H\u01a1i th\u1edf h\u0103ng v\u1edbi m\u00f9i h\u00f3a ch\u1ea5t\/ c\u00f3 m\u00f9i tr\u00e1i c\u00e2y ng\u1ecdt b\u1ea5t th\u01b0\u1eddng.<\/li>\n<li>M\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n kh\u00e1c: gi\u1ea3m c\u00e2n, b\u1ed3n ch\u1ed3n, run r\u1ea9y, th\u00fa xu\u1ea5t hi\u1ec7n nhi\u1ec1u h\u00e0nh vi b\u1ea5t th\u01b0\u1eddng, thay \u0111\u1ed5i kh\u1ea9u v\u1ecb, l\u00f4ng m\u1ecfng d\u1ea7n v\u00e0 x\u1ec9n m\u00e0u, m\u1ed9t s\u1ed1 b\u1ecb th\u1eeba c\u00e2n\/b\u00e9o ph\u00ec.<\/li>\n<\/ul>\n<p><strong>Nh\u1eefng tri\u1ec7u ch\u1ee9ng sau c\u1ee7a b\u1ec7nh<\/strong><\/p>\n<ul>\n<li>M\u1ed9t s\u1ed1 bi\u1ec3u hi\u1ec7n li\u00ean quan \u0111\u1ebfn m\u1eaft: m\u1ed9t bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng \u1edf ch\u00f3\/m\u00e8o l\u00e0 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 ho\u1eb7c m\u1eaft nhi\u1ec1u m\u00e2y. B\u1ec7nh th\u1ec3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u00f9 l\u00f2a n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n<li>Nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 do l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao (t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft) g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i trong \u1ed1ng k\u00ednh c\u1ee7a m\u1eaft. N\u01b0\u1edbc khu\u1ebfch t\u00e1n v\u00e0o \u1ed1ng k\u00ednh g\u00e2y ra s\u01b0ng v\u00e0 ph\u00e1 v\u1ee1 c\u00e1c c\u1ea5u tr\u00fac \u1ed1ng k\u00ednh.<\/li>\n<li>Suy th\u1eadn (m\u00e3n t\u00ednh ho\u1eb7c c\u1ea5p t\u00ednh): \u0111\u1eb7c bi\u1ec7t th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf m\u00e8o. \u0110\u00e2y l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a vi\u1ec7c \u0111\u01b0\u1eddng b\u1ecb gi\u1eef l\u1ea1i trong m\u00e1u c\u1ee7a con v\u1eadt v\u00e0 tr\u00e0n v\u00e0o n\u01b0\u1edbc ti\u1ec3u g\u00e2y h\u1ea1i cho th\u1eadn. Th\u1eadn c\u1ee7a th\u00fa tr\u1edf n\u00ean qu\u00e1 t\u1ea3i v\u00e0 khi\u1ebfn c\u00e1c nephron (c\u00e1c b\u1ed9 l\u1ecdc trong th\u1eadn) kh\u00f4ng th\u1ec3 x\u1eed l\u00fd \u0111\u01b0\u1ee3c vi\u1ec7c l\u1ecdc \u0111\u01b0\u1eddng. K\u1ebft qu\u1ea3 l\u00e0 l\u00e0m r\u1ed1i lo\u1ea1n c\u00e1c ch\u1ee9c n\u0103ng c\u1ee7a th\u1eadn.<\/li>\n<li>M\u1ed9t s\u1ed1 xu\u1ea5t hi\u1ec7n nh\u1eefng bi\u1ec3u hi\u1ec7n b\u1ec7nh n\u1eb7ng nh\u01b0: m\u1ea5t ki\u1ec3m so\u00e1t b\u00e0i ti\u1ebft ho\u1eb7c b\u00e0ng quang, \u00f3i m\u1eeda, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, nhi\u1ec5m tr\u00f9ng da m\u00e3n t\u00ednh, th\u1eadm ch\u00ed m\u1ea5t \u00fd th\u1ee9c-h\u00f4n m\u00ea (do t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft (\u0111\u01b0\u1eddng trong m\u00e1u cao) ho\u1eb7c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft (\u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p<\/li>\n<\/ul>\n<p><b>Ch<\/b><b>\u1ea9<\/b><b>n \u0111o\u00e1n b<\/b><b>\u1ec7<\/b><b>nh ti<\/b><b>\u1ec3<\/b><b>u \u0111<\/b><b>\u01b0\u1edd<\/b><b>ng <\/b><b>\u1edf<\/b><b> Ch\u00f3\/ m\u00e8o<\/b><b><\/b><\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng n\u00f3i chung l\u00e0 kh\u00e1 \u0111\u01a1n gi\u1ea3n v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean 3 ti\u00eau ch\u00ed: d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng, m\u1ee9c \u0111\u1ed9 glucose t\u0103ng li\u00ean t\u1ee5c trong m\u00e1u, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a glucose trong n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p><b>1. Theo d\u00f5i c\u00e1c tri<\/b><b>\u1ec7<\/b><b>u ch<\/b><b>\u1ee9<\/b><b>ng<\/b><b> l\u00e2m s\u00e0ng (c\u00e1c tri<\/b><b>\u1ec7<\/b><b>u ch<\/b><b>\u1ee9<\/b><b>ng \u0111\u00e3 tr\u00ecnh b\u00e0y <\/b><b>\u1edf<\/b><b> ph<\/b><b>\u1ea7<\/b><b>n tr\u00ean).<\/b><\/p>\n<p><b>2. Ki<\/b><b>\u1ec3<\/b><b>m tra l<\/b><b>\u01b0\u1ee3<\/b><b>ng \u0111<\/b><b>\u01b0\u1edd<\/b><b>ng trong m\u00e1u:<\/b><\/p>\n<p>L\u01b0\u1ee3ng \u0111\u01b0\u1eddng b\u00ecnh th\u01b0\u1eddng trong m\u00e1u l\u00e0 80-120 mg\/dl (4,4-6,6 mmol\/L) v\u00e0 c\u00f3 th\u1ec3 t\u0103ng l\u00ean 250-300 mg\/dl (13,6-16,5 mmol\/L) sau b\u1eefa \u0103n. Tuy nhi\u00ean th\u00fa m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng l\u1ea1i c\u00f3 \u0111\u01b0\u1eddng huy\u1ebft t\u0103ng tr\u00ean 400-600 mg\/dl (22-33 mmol\/L). Th\u1eadm ch\u00ed m\u1ed9t s\u1ed1 v\u1eadt nu\u00f4i m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft cao l\u00ean t\u1edbi 800 mg\/dl (44 mmol\/L).<\/p>\n<p><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng:<\/strong><\/p>\n<ul>\n<li>Ki\u1ec3m tra m\u1ee9c \u0111\u1ed9 glucose trong m\u00e1u: ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ecbnh k\u00ec 3-4 th\u00e1ng 1 l\u1ea7n ho\u1eb7c khi ph\u00e1t hi\u1ec7n nh\u1eefng bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, hay khi ph\u00e1t hi\u1ec7n ra glucose cao trong n\u01b0\u1edbc ti\u1ec3u c\u1ee7a th\u00fa trong 2 ng\u00e0y li\u00ean ti\u1ebfp. \u0110\u00e2y l\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u r\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, th\u1eddi gian t\u1ed1t nh\u1ea5t \u0111\u1ec3 ki\u1ec3m tra l\u00e0 6 gi\u1edd sau khi th\u00fa \u0103n.<\/li>\n<li>L\u01b0u \u00fd: N\u1ebfu th\u00fa c\u01b0ng c\u1ee7a b\u1ea1n d\u1ec5 b\u1ecb c\u0103ng th\u1eb3ng\/lo l\u1eafng do vi\u1ec7c \u0111i l\u1ea1i ho\u1eb7c trong b\u1ec7nh vi\u1ec7n, t\u1ed1t nh\u1ea5t b\u1ea1n n\u00ean \u0111\u01b0a th\u00fa c\u01b0ng t\u1edbi c\u01a1 s\u1edf th\u00fa y v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c chi\u1ec1u \u0111\u1ec3 ch\u00fang c\u00f3 th\u1ec3 quen d\u1ea7n v\u00e0 gi\u00fap \u1ed5n \u0111\u1ecbnh h\u01a1n cho vi\u1ec7c x\u00e9t nghi\u1ec7m trong ng\u00e0y h\u00f4m sau, tr\u00e1nh d\u1eabn \u0111\u1ebfn k\u1ebft qu\u1ea3 kh\u00f4ng ch\u00ednh x\u00e1c.<\/li>\n<li>Th\u1eed nghi\u1ec7m fructosamine (b\u00e0i ki\u1ec3m tra thay th\u1ebf) ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trung b\u00ecnh trong m\u00e1u trong 2 tu\u1ea7n qua. \u0110\u00e2y l\u00e0 th\u1eed nghi\u1ec7m \u01b0u th\u00edch th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 thay th\u1ebf cho x\u00e9t nghi\u1ec7m tr\u00ean, ch\u00fang gi\u00fap h\u1ea1n ch\u1ebf sai s\u00f3t trong k\u1ebft qu\u1ea3 do b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng\/ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng\/t\u1eadp th\u1ec3 d\u1ee5c c\u1ee7a th\u00fa. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng kh\u00f4ng \u0111\u00f2i h\u1ecfi ph\u1ea3i \u0103n chay v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1ea5t c\u1ee9 l\u00fac n\u00e0o trong ng\u00e0y.<\/li>\n<li>S\u1eed d\u1ee5ng m\u00e1y \u0111o \u0111\u01b0\u1eddng huy\u1ebft (glucometer)\u0110\u1ea7u ti\u00ean l\u1ea5y m\u1eabu m\u00e1u c\u1ee7a th\u00fa nghi b\u1ecb b\u1ec7nh=&gt; \u0111\u1eb7t v\u00e0o d\u1ea3i ki\u1ec3m tra trong m\u00e1y =&gt; \u0111\u1ed3ng h\u1ed3\/m\u00e0n h\u00ecnh s\u1ebd hi\u1ec3n th\u1ecb n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng trong m\u00e1u (ki\u1ec3u nh\u01b0 m\u00e0n h\u00ecnh hi\u1ec3n th\u1ecb k\u1ef9 thu\u1eadt s\u1ed1 c\u1ee7a \u0111\u1ed3ng h\u1ed3).<\/li>\n<\/ul>\n<p><b>3. X\u00e9t nghi<\/b><b>\u1ec7<\/b><b>m n<\/b><b>\u01b0\u1edb<\/b><b>c ti<\/b><b>\u1ec3<\/b><b>u<\/b><\/p>\n<p>C\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u- m\u1ed9t th\u1eed nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u1ee7a h\u1ec7 ti\u1ebft ni\u1ec7u v\u00e0 h\u1ec7 th\u1ed1ng c\u01a1 quan kh\u00e1c. \u1ede ch\u00f3 v\u00e0 m\u00e8o b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, vi\u1ec7c x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 cho c\u00e1c k\u1ebft qu\u1ea3 :<\/p>\n<ul>\n<li>Glucose- m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c .<\/li>\n<li>Protein- m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1eadn ho\u1eb7c b\u1ec7nh th\u1eadn .<\/li>\n<li>C\u00e1c t\u1ebf b\u00e0o m\u00e1u tr\u1eafng- m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u.<\/li>\n<li>Xeton- m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a nhi\u1ec5m ceton acid ti\u1ec3u \u0111\u01b0\u1eddng.<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, c\u0169ng c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh th\u1eed n\u01b0\u1edbc ti\u1ec3u c\u1ee7a th\u00fa b\u1eb1ng que th\u1eed. B\u1ea1n c\u00f3 th\u1ec3 mua que th\u1eed trong b\u1ea5t k\u00ec hi\u1ec7u thu\u1ed1c n\u00e0o, tuy ch\u00fang \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf cho ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng nh\u01b0ng s\u1eed d\u1ee5ng cho th\u00fa nu\u00f4i c\u0169ng kh\u00e1 l\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n<p>Th\u00f4ng th\u01b0\u1eddng c\u00e1c x\u00e9t nghi\u1ec7m s\u1ebd cho b\u1ea1n k\u1ebft qu\u1ea3 trong v\u00f2ng t\u1eeb 24 \u0111\u1ebfn 48 gi\u1edd.<\/p>\n<p><b>\u0110i<\/b><b>\u1ec1<\/b><b>u tr<\/b><b>\u1ecb<\/b><b><\/b><\/p>\n<p>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. H\u1ea7u h\u1ebft th\u00fa nu\u00f4i n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm, \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p, th\u00fa nu\u00f4i c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i b\u1ecb r\u00fat ng\u1eafn tu\u1ed5i th\u1ecd v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u00fang v\u1eabn \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o. Tuy nhi\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u00f2i h\u1ecfi ph\u1ea3i m\u1ea5t m\u1ed9t th\u1eddi gian d\u00e0i, th\u1eadm ch\u00ed l\u00e0 su\u1ed1t \u0111\u1eddi.<\/p>\n<p>M\u1ee5c \u0111\u00edch c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e0 kh\u00f4i ph\u1ee5c l\u1ea1i ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng cho th\u00fa nu\u00f4i b\u1eb1ng c\u00e1ch gi\u1eef cho l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u \u0111\u01b0\u1ee3c \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng t\u1eeb 65-120mg\/dl v\u00e0 ng\u0103n ch\u1eb7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng m\u00e0 kh\u00f4ng g\u00e2y h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh hi\u1ec7n t\u1ea1i v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang c\u1ee7a t\u1eebng lo\u1ea1i th\u00fa nu\u00f4i, nh\u00ecn chung c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7n nay bao g\u1ed3m: \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, v\u00e0 \u0111i\u1ec1u ch\u1ec9nh m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p.<\/p>\n<p><strong><i>1. \u0110i<\/i><i>\u1ec1<\/i><i>u ch<\/i><i>\u1ec9<\/i><i>nh ch<\/i><i>\u1ebf<\/i><i> \u0111<\/i><i>\u1ed9<\/i><i> \u0103n u<\/i><i>\u1ed1<\/i><i>ng<\/i><\/strong><\/p>\n<p>\u2013 \u0110\u1ea7u ti\u00ean b\u1ea1n n\u00ean hi\u1ec3u r\u00f5 v\u00e0 n\u1eafm \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e0 v\u1eadt nu\u00f4i c\u1ee7a m\u00ecnh \u0111ang tr\u1ea3i qua (th\u00e8m \u0103n, c\u00e2n n\u1eb7ng, l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u00eau th\u1ee5, n\u01b0\u1edbc ti\u1ec3u\u2026) v\u00e0 \u0111\u01b0a ra m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p cho th\u00fa nu\u00f4i c\u1ee7a b\u1ea1n, t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean th\u1ed1ng nh\u1ea5t m\u1ed7i ng\u00e0y v\u00e0 thay \u0111\u1ed5i qua m\u1ed7i th\u00e1ng- m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n \u00edt ch\u1ea5t b\u00e9o v\u00e0 nhi\u1ec1u ch\u1ea5t x\u01a1 c\u1ea7n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. Ch\u1ebf \u0111\u1ed9 \u0103n nhi\u1ec1u ch\u1ea5t x\u01a1 s\u1ebd gi\u00fap cho con v\u1eadt d\u1ec5 ti\u00eau ho\u00e1 h\u01a1n do l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong ch\u1ea5t x\u01a1 th\u1ea5p, b\u00ean c\u1ea1nh \u0111\u00f3 ch\u1ea5t x\u01a1 c\u00f2n gi\u00fap k\u00edch th\u00edch ti\u1ebft insulin.<\/p>\n<p>Ngo\u00e0i ra b\u1ea1n c\u0169ng c\u1ea7n l\u01b0u \u00fd t\u1edbi th\u00f3i quen \u0103n u\u1ed1ng c\u1ee7a v\u1eadt nu\u00f4i do m\u1ed9t s\u1ed1 th\u00fa l\u1ea1i th\u00edch \u0103n nhi\u1ec1u l\u1ea7n trong ng\u00e0y nh\u01b0ng \u0111\u00e2y l\u1ea1i kh\u00f4ng ph\u1ea3i l\u00e0 c\u00e1ch t\u1ed1t \u0111\u1ec3 nu\u00f4i m\u1ed9t con v\u1eadt b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng. T\u1ed1t nh\u1ea5t b\u1ea1n n\u00ean cho th\u00fa \u0103n 2 l\u1ea7n m\u1ed7i ng\u00e0y ngay tr\u01b0\u1edbc khi ti\u00eam insulin.<\/p>\n<p>\u2013 \u00c1p d\u1ee5ng ti\u00eau chu\u1ea9n \u0111o l\u01b0\u1eddng l\u01b0\u1ee3ng n\u01b0\u1edbc c\u1ea7n thi\u1ebft cho th\u00fa m\u1ed7i ng\u00e0y, trung b\u00ecnh m\u1ed7i ng\u00e0y m\u1ed9t con v\u1eadt n\u1eb7ng kho\u1ea3ng 4,5kg th\u00ec c\u1ea7n 225ml n\u01b0\u1edbc \u0111\u1ec3 ti\u00eau th\u1ee5. M\u1ed9t c\u00e1ch kh\u00e1c \u0111\u1ec3 \u0111o l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u00eau th\u1ee5 l\u00e0 d\u1ef1a tr\u00ean s\u1ed1 l\u1ea7n u\u1ed1ng n\u01b0\u1edbc trong ng\u00e0y, th\u01b0\u1eddng th\u00ec kh\u00f4ng qu\u00e1 6 l\u1ea7n m\u1ed7i ng\u00e0y s\u1ebd l\u00e0 ph\u00f9 h\u1ee3p. N\u1ebfu v\u01b0\u1ee3t qu\u00e1 s\u1ed1 l\u1ea7n tr\u00ean b\u1ea1n n\u00ean th\u1ef1c hi\u1ec7n vi\u1ec7c \u0111o l\u01b0\u1eddng c\u1ee5 th\u1ec3 h\u01a1n nh\u00e9!<\/p>\n<p>B\u1ea1n n\u00ean bi\u1ebft vi\u1ec7c theo d\u00f5i nh\u1eefng v\u1ea5n \u0111\u1ec1 tr\u00ean l\u00e0 r\u1ea5t quan tr\u1ecdng b\u1edfi v\u1edbi b\u1ea5t k\u1ef3 thay \u0111\u1ed5i n\u00e0o t\u1eeb l\u01b0\u1ee3ng n\u01b0\u1edbc, ch\u1ebf \u0111\u1ed9 \u0103n, tr\u1ecdng l\u01b0\u1ee3ng, n\u01b0\u1edbc ti\u1ec3u c\u0169ng \u0111\u1ec1u l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y vi\u1ec7c ki\u1ec3m so\u00e1t b\u1ec7nh \u0111ang c\u00f3 v\u1ea5n \u0111\u1ec1.<\/p>\n<p><strong><i>2. \u0110i<\/i><i>\u1ec1<\/i><i>u tr<\/i><i>\u1ecb<\/i><i> b<\/i><i>\u1eb1<\/i><i>ng insulin<\/i><\/strong><\/p>\n<p>N\u1ec1n t\u1ea3ng \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh v\u00e0 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u ch\u00ednh l\u00e0 vi\u1ec7c ti\u00eam insulin (2 l\u1ea7n\/ng\u00e0y c\u00e1ch nhau 12 gi\u1edd). Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh t\u1ea1i nh\u00e0.<\/p>\n<p>M\u1ed9t s\u1ed1 l\u01b0u \u00fd khi ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin<\/p>\n<ul>\n<li>\u0110\u1ecdc k\u1ef9 th\u00f4ng tin thu\u1ed1c v\u00e0 n\u1ed3ng \u0111\u1ed9 tr\u00ean nh\u00e3n m\u00e1c. T\u1ed1t nh\u1ea5t l\u00e0 n\u00ean tham kh\u1ea3o s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u1ef9 th\u00fa y v\u1ec1 li\u1ec7u l\u01b0\u1ee3ng ti\u00eam cho ph\u00f9 h\u1ee3p v\u1edbi th\u00fa nu\u00f4i c\u1ee7a m\u00ecnh.<\/li>\n<li>L\u1ef1a ch\u1ecdn kim ph\u00f9 h\u1ee3p v\u1edbi n\u1ed3ng \u0111\u1ed9 c\u1ee7a thu\u1ed1c (h\u1ea7u h\u1ebft v\u1eadt nu\u00f4i s\u1eed d\u1ee5ng lo\u1ea1i U-100, t\u1ee9c l\u00e0 100 \u0111\u01a1n v\u1ecb insulin\/1 ml ch\u1ea5t l\u1ecfng)<\/li>\n<li>Tr\u00e1nh \u0111\u1ec3 insulin ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi ho\u1eb7c nhi\u1ec7t \u0111\u1ed9 cao. \u0110\u1eebng \u0111\u1ec3 b\u1ecb \u0111\u00f4ng l\u1ea1nh(v\u00ec c\u00f3 th\u1ec3 ph\u00e1 hu\u1ef7 insulin).<\/li>\n<li>\u0110\u1ec3 xa t\u1ea7m tay tr\u1ebb em.<\/li>\n<li>Insulin s\u1ebd gi\u1ea3m c\u00f4ng dung n\u1ebfu chai \u0111\u00e3 \u0111\u01b0\u1ee3c m\u1edf qu\u00e1 30 ng\u00e0y. \u0110\u1eb7c bi\u1ec7t kh\u00f4ng s\u1eed d\u1ee5ng insulin \u0111\u00e3 h\u1ebft h\u1ea1n.Th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o insulin tr\u00f4ng v\u1eabn \u201cb\u00ecnh th\u01b0\u1eddng\u201d, t\u1ee9c l\u00e0 tr\u00f4ng s\u1ea1ch s\u1ebd v\u00e0 kh\u00f4ng c\u00f3 ph\u1ea7n n\u1ed5i hay m\u00e0u s\u1eafc l\u1ea1.<\/li>\n<li>X\u00e2y d\u1ef1ng m\u1ed9t bi\u1ec3u th\u1eddi gian ti\u00eam \u0111\u1ec1u \u0111\u1eb7n v\u00e0 h\u1ee3p l\u00fd m\u1ed7i ng\u00e0y, k\u1ebft h\u1ee3p ti\u00eam insulin \u0111\u1ec1u \u0111\u1eb7n c\u00f9ng v\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng t\u0103ng trong m\u00e1u tr\u00f9ng v\u1edbi n\u1ed3ng \u0111\u1ed9 insulin, l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1ee9c \u0111\u01b0\u1eddng c\u1ee7a th\u00fa qu\u00e1 cao hay qu\u00e1 th\u1ea5p.<\/li>\n<\/ul>\n<p><strong><i>3. Khuy<\/i><i>\u1ebf<\/i><i>n <\/i><i>kh\u00edch t<\/i><i>\u1ead<\/i><i>p th<\/i><i>\u1ec3<\/i><i> d<\/i><i>\u1ee5<\/i><i>c<\/i><\/strong><\/p>\n<p>Vi\u1ec7c t\u0103ng luy\u1ec7n t\u1eadp c\u01a1 b\u1eafp m\u1ed7i ng\u00e0y cho th\u00fa s\u1ebd c\u1ea3i thi\u1ec7n ph\u1ea3n \u1ee9ng cho th\u00fa trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng insulin. Th\u1eddi gian th\u01b0\u1eddng l\u00e0 2 l\u1ea7n\/ng\u00e0y, m\u1ed7i l\u1ea7n 30 ph\u00fat v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i l\u00e2u h\u01a1n ho\u1eb7c \u00edt h\u01a1n t\u00f9y thu\u1ed9c v\u00e0o gi\u1ed1ng (t\u1ed1t nh\u1ea5t b\u1ea1n n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a BSTY).<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/img.yeupet.vn\/2018\/11\/benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri2-247x300.jpg\" class=\"aligncenter size-medium wp-image-2406\" alt=\"benh-tieu-duong-o-cho-meo-nguyen-nhan-va-cach-dieu-tri2\" width=\"247\" height=\"300\"><\/p>\n<p>\u00a0<\/p>\n<p><b>\u0110i<\/b><b>\u1ec1<\/b><b>u tr<\/b><b>\u1ecb<\/b><b> m<\/b><b>\u1ed9<\/b><b>t s<\/b><b>\u1ed1<\/b><b> bi<\/b><b>\u1ebf<\/b><b>n ch<\/b><b>\u1ee9<\/b><b>ng kh\u00e1c c<\/b><b>\u1ee7<\/b><b>a b<\/b><b>\u1ec7<\/b><b>nh<\/b><b><\/b><\/p>\n<p><strong><i>H<\/i><i>\u1ea1<\/i><i> \u0111<\/i><i>\u01b0\u1edd<\/i><i>ng huy<\/i><i>\u1ebf<\/i><i>t<\/i><\/strong><\/p>\n<p>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p (d\u01b0\u1edbi 60mg\/dl). \u0110\u00e2y l\u00e0 m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng nguy hi\u1ec3m m\u00e0 vi\u1ec7c hi\u1ec3u r\u00f5 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 gi\u1ea3i quy\u1ebft k\u1ecbp th\u1eddi l\u00e0 h\u1ebft s\u1ee9c c\u1ea7n thi\u1ebft(n\u1ebfu d\u01b0\u1edbi 40mg\/dl t\u00ednh m\u1ea1ng c\u1ee7a con v\u1eadt c\u00f3 th\u1ec3 s\u1ebd b\u1ecb \u0111e do\u1ea1). C\u00f3 2 nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn vi\u1ec7c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft:<\/p>\n<ul>\n<li>Li\u1ec1u l\u01b0\u1ee3ng insulin qu\u00e1 cao (do thay \u0111\u1ed5i trong ch\u1ebf \u0111\u1ed9 \u0103n, ch\u1ebf \u0111\u1ed9 th\u1ec3 d\u1ee5c\u2026)<\/li>\n<li>Cung c\u1ea5p l\u01b0\u1ee3ng insulin v\u01b0\u1ee3t m\u1ee9c(th\u01b0\u1eddng do sai s\u00f3t, s\u01a1 \u00fd trong qu\u00e1 tr\u00ecnh ti\u00eam thu\u1ed1c)Trong tr\u01b0\u1eddng h\u1ee3p h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft x\u1ea3y ra, vi\u1ec7c l\u00e0m c\u1ea7n thi\u1ebft \u0111\u1ea7u ti\u00ean l\u00e0 b\u1ea1n n\u00ean ti\u1ebfn h\u00e0nh \u0111\u1ed5 m\u1ed9t \u00edt dung d\u1ecbch \u0111\u01b0\u1eddng (xir\u00f4 ng\u00f4, m\u1eadt ong, b\u00e1nh xi-r\u00f4,\u2026) v\u00e0o c\u00e1c chi v\u00e0 xoa v\u00e0o n\u01b0\u1edbu ho\u1eb7c d\u01b0\u1edbi l\u01b0\u1ee1i (ng\u1eadm d\u01b0\u1edbi l\u01b0\u1ee1i) cho th\u00fa nu\u00f4i \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u1ea1m th\u1eddi t\u00ecnh tr\u1ea1ng b\u1ec7nh.<\/li>\n<\/ul>\n<p>N\u1ebfu nh\u01b0 t\u00ecnh tr\u1ea1ng v\u1eabn kh\u00f4ng thuy\u00ean gi\u1ea3m b\u1ea1n n\u00ean \u0111\u01b0a th\u00fa \u0111\u1ebfn BSTY \u0111\u1ec3 ti\u1ebfn h\u00e0nh gi\u00e1m \u0111\u1ecbnh y khoa ngay. Vi\u1ec7c ti\u1ebfp theo \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 s\u1eed d\u1ee5ng glucose ho\u1eb7c glucagon truy\u1ec1n (t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh). M\u1ed9t c\u00f4ng th\u1ee9c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c \u0111\u01b0a ra l\u00e0 1 gram glucose\/1 kg tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 th\u00fa.<\/p>\n<p>Vi\u1ec7c ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ea3u BSTY \u0111\u1ec3 thi\u1ebft l\u1eadp m\u1ed9t l\u1ecbch tr\u00ecnh ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a th\u00fa nu\u00f4i l\u00e0 c\u1ef1c k\u00ec quan tr\u1ecdng.<\/p>\n<p><strong><i>\u0110<\/i><i>\u1ee5<\/i><i>c th<\/i><i>\u1ee7<\/i><i>y tinh th<\/i><i>\u1ec3<\/i><i> (do b<\/i><i>\u1ec7<\/i><i>nh ti<\/i><i>\u1ec3<\/i><i>u \u0111<\/i><i>\u01b0\u1edd<\/i><i>ng)<\/i><\/strong><\/p>\n<p>B\u1ec7nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111\u1ec3 ph\u1ee5c h\u1ed3i th\u1ecb l\u1ef1c. (Vi\u1ec7c ki\u1ec3m so\u00e1t n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng trong m\u00e1u cao s\u1ebd gi\u00fap ng\u0103n ng\u1eeba ho\u1eb7c tr\u00ec ho\u00e3n s\u1ef1 kh\u1edfi \u0111\u1ea7u c\u1ee7a \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 \u1edf th\u00fa b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng).<\/p>\n<p><b>Ph\u00f2ng b<\/b><b>\u1ec7<\/b><b>nh<\/b><b><\/b><\/p>\n<p>B\u1ec7nh xu\u1ea5t ph\u00e1t t\u1eeb nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau v\u00e0 ph\u1ee9c t\u1ea1p, tuy nhi\u00ean c\u00e1ch ph\u00f2ng b\u1ec7nh l\u1ea1i c\u1ef1c k\u00ec \u0111\u01a1n gi\u1ea3n v\u00e0 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ng\u0103n ng\u1eeba b\u1ec7nh cho th\u00fa nu\u00f4i. M\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u1ee3p l\u00fd v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, tr\u00e1nh th\u1eeba c\u00e2n, b\u00e9o ph\u00ec s\u1ebd \u0111\u1ea3m b\u1ea3o cho th\u00fa c\u01b0ng c\u1ee7a b\u1ea1n tr\u00e1nh xa \u0111\u01b0\u1ee3c c\u00e1c nguy c\u01a1 c\u00f3 th\u1ec3 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng.<\/p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng (\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng) l\u00e0 m\u1ed9t trong c\u00e1c nh\u00f3m b\u1ec7nh li\u00ean quan \u0111\u1ebfn c\u01a1 ch\u1ebf chuy\u1ec3n h\u00f3a, bi\u1ec3u hi\u1ec7n \u1edf l\u01b0\u1ee3ng \u0111\u01b0\u1eddng (glucose) trong m\u00e1u t\u0103ng cao. B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng g\u00e2y ra do suy gi\u1ea3m ch\u1ee9c n\u0103ng ti\u1ebft insulin c\u1ee7a tuy\u1ebfn t\u1ee5y ho\u1eb7c b\u1ecb l\u1ed7i trong qu\u00e1 tr\u00ecnh v\u1eadn h\u00e0nh c\u1ee7a insulin ho\u1eb7c [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2249","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2249","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2249"}],"version-history":[{"count":0,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/posts\/2249\/revisions"}],"wp:attachment":[{"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2249"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2249"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/robot.yeupet.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2249"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}