{"id":8713,"date":"2023-02-13T03:43:59","date_gmt":"2023-02-13T03:43:59","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=8713"},"modified":"2023-02-13T03:43:59","modified_gmt":"2023-02-13T03:43:59","slug":"10-dau-hieu-canh-bao-benh-dai-thao-duong-type-1-o-tre-em","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/10-dau-hieu-canh-bao-benh-dai-thao-duong-type-1-o-tre-em\/","title":{"rendered":"10 D\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng Type 1 \u1edf tr\u1ebb em"},"content":{"rendered":"

M\u1edbi \u0111\u00e2y, Khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u \u2013 s\u01a1 sinh, B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf S\u1ea3n Nhi H\u1ea3i Ph\u00f2ng \u0111\u00e3 ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nhi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 b\u1ecb nhi\u1ec5m toan xeton n\u1eb7ng. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh m\u1ea1n t\u00ednh xu\u1ea5t hi\u1ec7n \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i tr\u1ebb em v\u00e0 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ee9c kho\u1ebb c\u1ee7a tr\u1ebb.
\n\u0110\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 can thi\u1ec7p s\u1edbm cho tr\u1ebb, ph\u1ee5 huynh c\u00f3 th\u1ec3 \u0111\u1ec3 \u00fd nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o li\u00ean quan \u0111\u1ebfn s\u1ef1 thay \u0111\u1ed5i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/p>\n

\"\"<\/p>\n

1. \u0110i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean<\/strong>
\nKhi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao, th\u1eadn s\u1ebd c\u1ed1 g\u1eafng kh\u00f4i ph\u1ee5c l\u1ea1i s\u1ef1 c\u00e2n b\u1eb1ng b\u1eb1ng c\u00e1ch b\u00e0i ti\u1ebft l\u01b0\u1ee3ng \u0111\u01b0\u1eddng d\u01b0 th\u1eeba qua n\u01b0\u1edbc ti\u1ec3u (glucosuria), khi\u1ebfn c\u01a1 th\u1ec3 th\u1ea3i ra m\u1ed9t l\u01b0\u1ee3ng l\u1edbn n\u01b0\u1edbc d\u1eabn \u0111\u1ebfn nhu c\u1ea7u \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean. \u0110\u1ed1i v\u1edbi tr\u1ebb em m\u1eb7c t\u00e3, cha m\u1eb9 c\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y t\u00e3 b\u1ecb th\u1ea5m n\u01b0\u1edbc nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

2. Kh\u00e1t c\u1ef1c \u0111\u1ed9<\/strong>
\nTr\u1ebb m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 c\u00f3 nhu c\u1ea7u \u0111i ti\u1ec3u nhi\u1ec1u d\u1eabn \u0111\u1ebfn m\u1ea5t n\u01b0\u1edbc nhi\u1ec1u h\u01a1n. \u0110i ti\u1ec3u nhi\u1ec1u \u1edf tr\u1ebb g\u00e2y m\u1ea5t c\u00e2n b\u1eb1ng ch\u1ea5t l\u1ecfng v\u00e0 m\u1ea5t n\u01b0\u1edbc n\u00ean d\u00f9 tr\u1ebb c\u00f3 u\u1ed1ng m\u1ed9t l\u01b0\u1ee3ng l\u1edbn n\u01b0\u1edbc ho\u1eb7c c\u00e1c ch\u1ea5t l\u1ecfng kh\u00e1c, tr\u1ebb v\u1eabn c\u00f3 c\u1ea3m gi\u00e1c kh\u00e1t c\u1ef1c \u0111\u1ed9 kh\u00f3 l\u00e0m d\u1ecbu.<\/p>\n

3. T\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n khi gi\u1ea3m c\u00e2n<\/strong>
\nN\u1ebfu kh\u00f4ng c\u00f3 \u0111\u1ee7 l\u01b0\u1ee3ng insulin c\u00e1c m\u00f4 c\u1ee7a c\u01a1 th\u1ec3 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng c\u1ea7n thi\u1ebft \u0111\u1ec3 ho\u1ea1t \u0111\u1ed9ng, t\u1eeb \u0111\u00f3 t\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n v\u00e0 lu\u00f4n c\u1ea3m th\u1ea5y \u0111\u00f3i. Tr\u1ebb c\u00f3 th\u1ec3 \u0103n nh\u1eefng ph\u1ea7n th\u1ee9c \u0103n trung b\u00ecnh ho\u1eb7c l\u1edbn h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng nh\u01b0ng l\u1ea1i gi\u1ea3m c\u00e2n thay v\u00ec t\u0103ng c\u00e2n<\/p>\n

4. M\u1ec7t m\u1ecfi, u\u1ec3 o\u1ea3i<\/strong>
\nC\u00e1c d\u1ea5u hi\u1ec7u m\u1ec7t m\u1ecfi \u1edf tr\u1ebb nh\u1ecf bao g\u1ed3m ng\u1ee7 nhi\u1ec1u, bu\u1ed3n ng\u1ee7, th\u1edd \u01a1 ho\u1eb7c thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng.<\/p>\n

5. Thay \u0111\u1ed5i t\u1ea7m nh\u00ecn \u0111\u1ed9t ng\u1ed9t<\/strong>
\nTr\u1ebb s\u1ebd b\u1ecb thay \u0111\u1ed5i th\u1ecb l\u1ef1c, nh\u00ecn k\u00e9m th\u1eadm ch\u00ed m\u1edd do l\u01b0\u1ee3ng \u0111\u01b0\u1eddng d\u01b0 th\u1eeba trong m\u00e1u l\u00e0m t\u1ed5n th\u01b0\u01a1ng c\u00e1c m\u1ea1ch m\u00e1u, bao g\u1ed3m c\u1ea3 nh\u1eefng m\u1ea1ch m\u00e1u cung c\u1ea5p m\u00e1u cho v\u00f5ng m\u1ea1c c\u1ee7a m\u1eaft.<\/p>\n

6. Nhi\u1ec5m tr\u00f9ng n\u1ea5m men<\/strong>
\nL\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao t\u1ea1o m\u00f4i tr\u01b0\u1eddng l\u00fd t\u01b0\u1edfng cho n\u1ea5m Candida ph\u00e1t tri\u1ec3n \u1edf nh\u1eefng v\u00f9ng \u1ea9m \u01b0\u1edbt tr\u00ean c\u01a1 th\u1ec3. \u0110i ti\u1ec3u nhi\u1ec1u v\u00e0 m\u1eb7c t\u00e3 \u01b0\u1edbt trong th\u1eddi gian d\u00e0i c\u0169ng khi\u1ebfn tr\u1ebb c\u00f3 nguy c\u01a1 b\u1ecb h\u0103m t\u00e3 do nhi\u1ec5m tr\u00f9ng n\u1ea5m men.<\/p>\n

7. H\u01a1i th\u1edf m\u00f9i tr\u00e1i c\u00e2y<\/strong>
\nKhi c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng \u0111\u1ec3 t\u1ea1o n\u0103ng l\u01b0\u1ee3ng hi\u1ec7u qu\u1ea3 bu\u1ed9c c\u00e1c b\u1ed9 ph\u1eadn ph\u1ea3i \u0111\u1ed1t ch\u00e1y ch\u1ea5t b\u00e9o \u0111\u1ec3 l\u1ea5y n\u0103ng l\u01b0\u1ee3ng. Khi ch\u1ea5t b\u00e9o b\u1ecb ph\u00e2n h\u1ee7y, s\u1ea3n ph\u1ea9m ph\u1ee5 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 xeton \u0111\u01b0\u1ee3c t\u1ea1o ra. Xeton can thi\u1ec7p v\u00e0o s\u1ef1 c\u00e2n b\u1eb1ng \u0111\u1ed9 pH c\u1ee7a c\u01a1 th\u1ec3 (s\u1ef1 c\u00e2n b\u1eb1ng c\u1ee7a axit v\u00e0 ki\u1ec1m) d\u1eabn \u0111\u1ebfn nhi\u1ec5m toan chuy\u1ec3n h\u00f3a khi\u1ebfn c\u01a1 th\u1ec3 c\u00f3 h\u01a1i th\u1edf m\u00f9i tr\u00e1i c\u00e2y.<\/p>\n

8.H\u00e0nh vi b\u1ea5t th\u01b0\u1eddng<\/strong>
\nTr\u1ebb c\u00f3 th\u1ec3 m\u1ea5t ph\u01b0\u01a1ng h\u01b0\u1edbng, h\u00f4n m\u00ea ho\u1eb7c gia t\u0103ng c\u00e1u k\u1ec9nh, \u1ee7 r\u0169, b\u1ed3n ch\u1ed3n, qu\u1ea5y kh\u00f3c v\u00e0 n\u00f3ng n\u1ea3y.<\/p>\n

9.Ch\u1eefa l\u00e0nh v\u1ebft th\u01b0\u01a1ng k\u00e9m<\/strong>
\nTr\u1ebb em m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 c\u00f3 t\u1ed1c \u0111\u1ed9 ch\u1eefa l\u00e0nh ch\u1eadm h\u01a1n, v\u1ebft th\u01b0\u01a1ng do va ch\u1ea1m d\u1ec5 b\u1ecb b\u1ea7m t\u00edm v\u00e0 m\u1ea5t nhi\u1ec1u th\u1eddi gian h\u01a1n \u0111\u1ec3 ph\u1ee5c h\u1ed3i.<\/p>\n

10. C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p<\/strong>
\nNhi\u1ec5m toan chuy\u1ec3n h\u00f3a ph\u00e1 v\u1ee1 c\u00e2n b\u1eb1ng pH t\u1ef1 nhi\u00ean c\u1ee7a c\u01a1 th\u1ec3 v\u00ec xeton c\u00f3 th\u1ec3 l\u00e0m cho m\u00e1u c\u00f3 t\u00ednh axit (pH th\u1ea5p h\u01a1n). \u0110\u1ec3 kh\u00f4i ph\u1ee5c \u0111\u1ed9 pH v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng, c\u01a1 th\u1ec3 ph\u1ea3n \u1ee9ng b\u1eb1ng c\u00e1ch t\u0103ng nh\u1ecbp th\u1edf gi\u00fap n\u00e2ng cao \u0111\u1ed9 pH c\u1ee7a m\u00e1u b\u1eb1ng c\u00e1ch t\u0103ng n\u1ed3ng \u0111\u1ed9 oxy nh\u01b0ng vi\u1ec7c n\u00e0y l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng carbon dioxide. K\u1ebft qu\u1ea3 khi\u1ebfn tr\u1ebb ph\u1ea3i th\u1edf g\u1eafng s\u1ee9c v\u00e0 th\u1edf nhanh.<\/p>\n

C\u00e1c chuy\u00ean gia khuy\u1ebfn c\u00e1o, khi ph\u00e1t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng tr\u00ean, ph\u1ee5 huynh n\u00ean \u0111\u01b0a ngay tr\u1ebb t\u1edbi c\u00e1c b\u1ec7nh vi\u1ec7n chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb, tr\u00e1nh ch\u1ee7 quan, b\u1ecf qua tri\u1ec7u ch\u1ee9ng d\u1eabn \u0111\u1ebfn \u1ee7 b\u1ec7nh, l\u00e2u ng\u00e0y chuy\u1ec3n bi\u1ebfn n\u1eb7ng g\u00e2y nguy hi\u1ec3m cho tr\u1ebb.<\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1edbi \u0111\u00e2y, Khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u \u2013 s\u01a1 sinh, B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf S\u1ea3n Nhi H\u1ea3i Ph\u00f2ng \u0111\u00e3 ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nhi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 1 b\u1ecb nhi\u1ec5m toan xeton n\u1eb7ng. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh m\u1ea1n t\u00ednh xu\u1ea5t hi\u1ec7n \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i tr\u1ebb em v\u00e0<\/p>\n","protected":false},"author":1,"featured_media":8715,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[199,198,72,58],"tags":[203,204,202],"class_list":["post-8713","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khoa-hoi-suc-cap-cuu-so-sinh","category-khoa-hscc-nhi","category-suc-khoe","category-tin-moi","tag-dai-thao-duong-o-tre","tag-dai-thao-duong-type-1","tag-nhiem-toan-ceton"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/8713","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=8713"}],"version-history":[{"count":1,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/8713\/revisions"}],"predecessor-version":[{"id":8716,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/8713\/revisions\/8716"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/8715"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=8713"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=8713"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=8713"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}