Than la co quan quan trong dam nhiem nhieu chuc nang nhu loc mau, dao thai chat can ba qua nuoc tieu, can bang nuoc – dien giai, dieu hoa huyet ap va tham gia san xuat mot so hormone can thiet cho co the. Khi than bi ton thuong, cac trieu chung co the xuat hien am tham hoac bieu hien ro ret tuy thuoc vao nguyen nhan va muc do benh.

Vay bi than co trieu chung gi tai Dak Lak? Lam sao phan biet benh than voi dau lung, benh tiet nieu hoac cac van de suc khoe khac? Bai viet duoi day se giup nguoi dan nhan biet nhung dau hieu thuong gap, nguyen nhan co the lien quan va thoi diem can den co so y te nhu Benh vien da khoa Thien Hanh hospital de duoc kiem tra.

Xem them: https://thienhanhhospital.com

1. Bi than co trieu chung gi?

Benh than co the bao gom nhieu tinh trang khac nhau nhu soi than, viem cau than, viem be than, than u nuoc, suy than, nang than hoac ton thuong than do tang huyet ap, tieu duong. Vi vay, trieu chung cua tung benh khong hoan toan giong nhau.

Mot so dau hieu thuong gap gom:

Dau vung hong lung hoac man suon.

Tieu buot, tieu rat, tieu nhieu lan.

Nuoc tieu co mau bat thuong hoac co mau.

Nuoc tieu nhieu bot keo dai.

Tieu it hoac luong nuoc tieu thay doi.

Phu mat, mi mat, ban chan hoac cang chan.

Met moi, suy nhuoc, kho tap trung.

Buon non, chan an.

Da kho, ngua keo dai.

Huyet ap tang.

Sot, ret run khi co nhiem trung than.

Dau quan du doi khi soi di chuyen.

Kho tho hoac tang can nhanh do u dich o giai doan nang.

Khong phai ai mac benh than cung co day du cac bieu hien tren. Mot so benh ly than, dac biet la benh than man giai doan som, co the gan nhu khong gay trieu chung. Vi vay, xet nghiem mau va nuoc tieu co vai tro quan trong trong viec phat hien benh.

Tim hieu them: Benh Vien Da Khoa Thien Hanh BMT

2. Dau vung than thuong nam o vi tri nao?

Nhieu nguoi thuong goi chung la “dau than” khi bi dau lung. Tuy nhien, dau do than thuong co mot so dac diem nhat dinh:

Dau o vung hong lung, phia sau bung, duoi bo xuong suon.

Co the dau mot ben hoac ca hai ben.

Con dau co the lan xuong bung duoi, vung ben hoac co quan sinh duc, dac biet khi co soi nieu quan.

Dau co the am i, keo dai hoac du doi tung con.

Dau kem sot, tieu buot, tieu duc co the lien quan den nhiem trung duong tiet nieu hoac viem than.

Dau kem tieu mau, buon non, bon chon co the gap trong con dau do soi.

Tuy nhien, dau vung hong lung cung co the do thoai hoa cot song, cang co, thoat vi dia dem, dau than kinh toa hoac benh ly vung bung. Vi vay, khong nen chi dua vao vi tri dau de tu ket luan la benh than.

Tim hieu them: Benh Vien Da Khoa Thien Hanh Daklak

3. Nhung dau hieu canh bao benh than can chu y

3.1. Thay doi thoi quen di tieu

Than va he tiet nieu co lien quan truc tiep den viec hinh thanh, bai tiet nuoc tieu. Khi co bat thuong, nguoi benh co the nhan thay:

Tieu nhieu lan, nhat la ve dem.

Tieu rat, luon co cam giac muon di tieu.

Tieu buot hoac nong rat khi tieu.

Tieu kho, dong tieu yeu hoac phai ran.

Tieu it hon binh thuong.

Tieu nhieu bat thuong.

Tieu khong het.

Nuoc tieu duc, co mui la.

Nuoc tieu mau hong, do hoac nau.

Nuoc tieu co nhieu bot keo dai.

Tieu buot, tieu rat thuong lien quan den viem bang quang hoac nhiem trung duong tiet nieu, nhung neu kem sot, dau hong lung hoac ret run, tinh trang nhiem trung co the da lan len than.

3.2. Nuoc tieu co nhieu bot

Nuoc tieu co bot doi khi chi do dong tieu manh hoac nuoc tay rua trong bon cau. Tuy nhien, neu nuoc tieu thuong xuyen noi bot nhieu, lau tan, dac biet di kem phu mi mat, phu chan hoac met moi, nguoi benh nen kiem tra chuc nang than.

Mot trong nhung nguyen nhan co the la protein bi lot qua mang loc cau than. Tinh trang nay can duoc danh gia bang xet nghiem nuoc tieu, ty le albumin hoac protein/creatinin nieu va xet nghiem chuc nang than.

3.3. Tieu mau

Tieu mau co the bieu hien bang:

Nuoc tieu hong hoac do.

Nuoc tieu mau nau sam.

Co mau nhin thay bang mat thuong.

Co hong cau trong nuoc tieu nhung khong nhin thay bang mat.

Tieu mau co the gap trong soi than, soi nieu quan, viem duong tiet nieu, viem cau than, chan thuong hoac mot so benh ly khac cua duong tiet nieu. Day la dau hieu khong nen bo qua, dac biet khi tai dien hoac di kem dau, sot, tieu kho.

3.4. Phu mi mat, mat hoac chan

Khi chuc nang loc cua than suy giam hoac co the mat protein qua nuoc tieu, nguoi benh co the bi giu nuoc va muoi, dan den phu.

Mot so bieu hien thuong gap:

Sung mi mat vao buoi sang.

Mat nang, cang hoac sung.

Phu ban chan, mat ca chan.

Phu cang chan sau khi dung lau.

Tang can nhanh trong thoi gian ngan.

Dep hoac nhan tro nen chat hon.

Phu cung co the lien quan den benh tim, benh gan, suy dinh duong hoac tac dung phu cua thuoc. Bac si can tham kham va xet nghiem de xac dinh nguyen nhan.

3.5. Met moi, thieu nang luong

Nguoi mac benh than, dac biet la benh than man, co the cam thay:

Met moi keo dai.

Ue oai du ngu du.

Giam kha nang lam viec.

Kho tap trung.

Buon ngu hoac suy giam tri nho.

Da xanh, nhot do thieu mau.

Chong mat khi thay doi tu the.

Khi than suy giam chuc nang, chat can ba co the tich tu trong mau. Ngoai ra, than giam san xuat erythropoietin – hormone kich thich tao hong cau – khien nguoi benh de bi thieu mau.

3.6. Buon non, chan an va hoi tho co mui bat thuong

O giai doan benh than tien trien, nguoi benh co the gap:

Chan an.

Buon non hoac non.

Co vi kim loai trong mieng.

Hoi tho co mui khai hoac mui bat thuong.

Sut can.

Day bung, kho chiu.

Ngua da.

Kho ngu.

Nhung trieu chung nay khong dac hieu cho benh than nhung can duoc chu y neu xuat hien cung phu, tieu it, huyet ap cao hoac ket qua xet nghiem than bat thuong.

3.7. Huyet ap tang

Than tham gia dieu hoa huyet ap thong qua viec kiem soat luong nuoc, muoi va cac hormone lien quan. Khi than bi ton thuong, huyet ap co the tang; nguoc lai, tang huyet ap keo dai cung co the lam ton thuong than.

Nguoi benh nen kiem tra huyet ap neu co:

Dau dau thuong xuyen.

Chong mat.

Hoa mat.

U tai.

Hoi hop.

Met moi.

Huyet ap nhieu lan cao hon muc binh thuong.

Tang huyet ap co the khong gay trieu chung ro rang. Vi vay, do huyet ap dinh ky rat quan trong, nhat la o nguoi co tien su gia dinh mac benh tim mach hoac benh than.

4. Trieu chung theo tung benh ly than thuong gap

4.1. Soi than

Soi than co the khong gay bieu hien khi con nho va chua gay tac nghen. Khi soi di chuyen hoac lam can tro dong nuoc tieu, nguoi benh co the bi:

Dau quan du doi vung hong lung.

Dau lan xuong bung duoi hoac vung ben.

Dau tung con, khien nguoi benh bon chon, kho nam yen.

Tieu mau.

Buon non hoac non.

Tieu buot, tieu rat.

Sot hoac ret run neu kem nhiem trung.

Con dau do soi kem sot, ret run hoac tieu it co the la dau hieu tac nghen duong tieu kem nhiem trung, can duoc cap cuu.

4.2. Viem than – be than

Viem than – be than thuong lien quan den nhiem trung duong tiet nieu lan len than. Trieu chung co the gom:

Sot cao.

Ret run.

Dau hong lung.

Tieu buot, tieu rat.

Nuoc tieu duc hoac co mui bat thuong.

Buon non, non.

Met moi nhieu.

Dau khi an vung hong lung.

Neu khong dieu tri kip thoi, nhiem trung co the lan vao mau va gay nhiem khuan huyet.

4.3. Viem cau than

Viem cau than co the bieu hien bang:

Tieu mau.

Nuoc tieu co bot do protein nieu.

Phu mi mat, mat hoac chan.

Huyet ap tang.

Tieu it.

Met moi.

Dau dau.

Tang can do giu nuoc.

Mot so truong hop xuat hien sau nhiem trung hoac lien quan den benh tu mien. Nguoi benh can duoc xet nghiem mau, nuoc tieu va danh gia chuc nang than de xac dinh nguyen nhan.

4.4. Suy than cap

Suy than cap la tinh trang chuc nang than suy giam nhanh trong thoi gian ngan. Dau hieu co the gom:

Tieu it hoac gan nhu khong tieu.

Phu nhanh.

Met la.

Buon non, non.

Kho tho.

Lu lan.

Dau nguc hoac hoi hop do roi loan dien giai.

Huyet ap thay doi bat thuong.

Suy than cap co the do mat nuoc nang, nhiem trung, tac nghen duong tieu, chan thuong, thuoc hoac benh ly khac. Day la tinh trang can duoc danh gia y te som.

4.5. Benh than man

Benh than man thuong tien trien am tham. O giai doan dau, nguoi benh co the khong nhan thay bat ky trieu chung nao. Khi benh tien trien, cac dau hieu co the bao gom:

Met moi keo dai.

Phu.

Tieu dem.

Tieu nhieu bot.

Da kho, ngua.

Chan an, buon non.

Chuot rut.

Kho ngu.

Huyet ap cao.

Thieu mau.

Kho tho do u dich.

Giam kha nang tap trung.

Nhung nguoi mac tieu duong, tang huyet ap, beo phi, benh tim mach hoac co tien su gia dinh mac benh than nen kiem tra chuc nang than dinh ky ngay ca khi chua co trieu chung.

4.6. Than u nuoc

Than u nuoc xay ra khi dong nuoc tieu bi can tro, khien nuoc tieu u lai trong than. Trieu chung co the gom:

Dau hong lung.

Dau bung hoac dau vung ben.

Tieu buot, tieu rat.

Tieu mau.

Buon non.

Sot neu co nhiem trung.

Tieu it trong truong hop tac nghen nang.

Co the khong co trieu chung neu tinh trang dien tien tu tu.

Nguyen nhan thuong gap la soi, hep nieu quan, bat thuong duong tiet nieu, khoi u hoac chen ep tu ben ngoai.

5. Nguyen nhan khien than bi ton thuong

Mot so nguyen nhan va yeu to nguy co thuong gap gom:

Soi than, soi nieu quan.

Nhiem trung duong tiet nieu tai phat.

Tang huyet ap keo dai.

Tieu duong kiem soat kem.

Viem cau than.

Benh tu mien nhu lupus.

Benh than di truyen.

Tac nghen duong tieu.

Phi dai tuyen tien liet o nam gioi.

Su dung thuoc giam dau keo dai hoac khong dung cach.

Mat nuoc nghiem trong.

Nhiem trung nang.

Benh tim mach.

Thua can, beo phi.

Hut thuoc la, uong nhieu ruou bia.

Che do an qua man.

It van dong.

Co tien su gia dinh mac benh than.

Khong phai tat ca truong hop dau lung hoac tieu bat thuong deu do than. Viec xac dinh nguyen nhan can dua tren tham kham va xet nghiem.

6. Khi nao can di kham than tai Dak Lak?

Nguoi dan nen di kham som neu co mot hoac nhieu dau hieu:

Dau hong lung keo dai hoac tai phat.

Tieu mau du chi xay ra mot lan.

Nuoc tieu nhieu bot lien tuc.

Phu mi mat, mat hoac chan.

Tieu it hon binh thuong.

Tieu buot, tieu rat kem sot.

Huyet ap tang nhieu lan.

Met moi, chan an, buon non keo dai.

Co tien su soi than hoac nhiem trung tiet nieu.

Dang mac tieu duong, tang huyet ap hoac benh tim.

Dang su dung thuoc co nguy co anh huong den than.

Co nguoi than mac benh than man hoac benh than di truyen.

Dac biet, can den co so cap cuu ngay khi xuat hien:

Dau hong lung du doi kem sot hoac ret run.

Tieu rat it hoac khong tieu.

Kho tho, phu nhanh.

Lu lan, co giat hoac mat y thuc.

Non lien tuc, khong the uong nuoc.

Dau nguc, hoi hop nghiem trong.

Huyet ap tang rat cao kem dau dau du doi, nhin mo hoac yeu liet.

Tieu mau nhieu kem choang vang hoac met la.

7. Kham than can thuc hien nhung xet nghiem gi?

Tuy trieu chung, bac si co the chi dinh mot so kiem tra sau:

Xet nghiem mau

Cac xet nghiem thuong duoc su dung gom:

Creatinin mau.

Ure mau.

Do loc cau than uoc tinh.

Dien giai do.

Duong huyet.

Acid uric.

Cong thuc mau.

Albumin va protein mau.

Cac xet nghiem mien dich hoac viem khi nghi ngo benh dac hieu.

Xet nghiem nuoc tieu

Xet nghiem nuoc tieu giup phat hien:

Hong cau.

Bach cau.

Protein.

Vi khuan.

Tinh the.

Duong hoac cac chat bat thuong khac.

Trong truong hop nghi ngo nhiem trung, bac si co the yeu cau cay nuoc tieu de xac dinh vi khuan va lua chon thuoc phu hop.

Sieu am than – tiet nieu

Sieu am co the ho tro phat hien:

Soi than.

Than u nuoc.

Nang than.

Bat thuong kich thuoc than.

Tac nghen duong tiet nieu.

Mot so ton thuong o bang quang hoac tuyen tien liet.

CT, MRI hoac cac ky thuat chuyen sau

Khi can danh gia soi, tac nghen, khoi u hoac ton thuong phuc tap, bac si co the chi dinh chup CT, MRI hoac cac phuong tien khac. Khong phai nguoi benh nao cung can thuc hien nhung ky thuat nay.

8. Dieu tri benh than nhu the nao?

Dieu tri phu thuoc vao nguyen nhan va muc do ton thuong. Mot so huong xu tri co the bao gom:

Dung thuoc theo chi dinh de dieu tri nhiem trung.

Dieu tri soi than bang thuoc, tan soi hoac can thiep khi can.

Giai quyet tinh trang tac nghen duong tieu.

Kiem soat huyet ap.

Kiem soat duong huyet.

Dieu chinh luong muoi va nuoc theo huong dan.

Dieu tri benh tu mien hoac viem cau than.

Bo sung hoac dieu chinh thuoc gay anh huong den than.

Loc mau trong truong hop suy than nang co chi dinh.

Ghep than o mot so nguoi benh suy than giai doan cuoi phu hop.

Nguoi benh khong nen tu mua thuoc loi tieu, thuoc nam, thuoc giam dau hoac thuoc “bo than” khi chua duoc bac si tu van. Mot so san pham khong ro thanh phan co the lam ton thuong than hoac gay tuong tac voi thuoc dang dung.

9. Cach bao ve suc khoe than

De giam nguy co mac benh than, moi nguoi nen:

Uong nuoc phu hop

Uong du nuoc theo nhu cau co the, thoi tiet va muc do van dong. Tuy nhien, nguoi bi suy tim, suy than hoac dang duoc bac si yeu cau han che nuoc can tuan thu luong dich duoc huong dan.

Giam an man

An qua nhieu muoi co the lam tang huyet ap va gay ap luc len than. Nen han che:

Do muoi chua.

Thuc pham dong hop.

Mi an lien.

Thit che bien san.

Nuoc cham qua man.

Do an nhanh.

Khong tu y dung thuoc keo dai

Mot so thuoc giam dau, thuoc khang viem, thuoc nam hoac thuc pham bo sung co the gay hai cho than neu dung sai cach. Hay thong bao cho bac si neu dang su dung thuoc thuong xuyen.

Kiem soat benh nen

Nguoi mac tang huyet ap, tieu duong, roi loan mo mau hoac benh tim can dieu tri va tai kham dung lich. Day la nhom co nguy co cao mac benh than man.

Khong nhin tieu

Nhin tieu thuong xuyen co the lam tang nguy co nhiem trung va anh huong den he tiet nieu. Nen di tieu khi co nhu cau va giu ve sinh dung cach.

Duy tri can nang va van dong

Tap the duc vua suc, ngu du, han che ruou bia, khong hut thuoc va duy tri can nang hop ly giup giam nguy co tang huyet ap, tieu duong va benh than.

Kham dinh ky khi co yeu to nguy co

Nguoi co tien su gia dinh mac benh than, tung bi soi than, tieu duong, tang huyet ap hoac thuong xuyen dung thuoc giam dau nen kiem tra chuc nang than theo huong dan cua bac si.

10. Kham benh than tai Benh vien da khoa Thien Hanh hospital

Khi co dau hieu nghi ngo benh than tai Dak Lak, nguoi dan co the tham khao Benh vien da khoa Thien Hanh hospital de duoc kham, tu van va thuc hien cac kiem tra phu hop.

Tuy vao tinh trang suc khoe, nguoi benh co the duoc huong dan kham cac chuyen khoa lien quan nhu:

Noi khoa.

Than – tiet nieu.

Ngoai khoa.

Tiet nieu.

Cap cuu.

Chan doan hinh anh.

Xet nghiem.

Truoc khi den, nguoi benh nen lien he truc tiep voi benh vien de xac nhan:

Co tiep nhan kham than – tiet nieu hay khong.

Lich lam viec cua bac si chuyen khoa.

Cac xet nghiem va ky thuat chan doan dang duoc trien khai.

Co thuc hien sieu am than – tiet nieu, xet nghiem chuc nang than hoac cay nuoc tieu hay khong.

Chinh sach bao hiem y te.

Chi phi kham va cac dich vu co the phat sinh.

Kha nang tiep nhan cap cuu neu co dau du doi, sot cao, tieu it hoac kho tho.

Viec kham som giup xac dinh dung nguyen nhan, han che bien chung va co huong dieu tri phu hop. Nguoi benh nen mang theo cac ket qua xet nghiem, don thuoc va ho so dieu tri truoc day neu co.

Cau hoi thuong gap ve trieu chung benh than

Dau lung co phai la bi than khong?

Khong nhat thiet. Dau lung co the do benh than, nhung cung thuong gap trong cang co, thoai hoa cot song, thoat vi dia dem hoac dau than kinh. Neu dau vung hong lung kem tieu mau, sot, tieu buot hoac buon non, nen di kham de kiem tra he tiet nieu.

Benh than co luon gay dau khong?

Khong. Nhieu benh than man hoac viem cau than giai doan som co the khong gay dau. Mot so truong hop chi phat hien benh khi xet nghiem mau, nuoc tieu hoac sieu am.

Nuoc tieu co bot co phai suy than khong?

Nuoc tieu co bot khong dong nghia chac chan voi suy than. Tuy nhien, neu bot xuat hien thuong xuyen, lau tan va kem phu hoac tieu it, nguoi benh nen xet nghiem nuoc tieu va chuc nang than.

Khi bi dau than co nen uong thuoc giam dau khong?

Khong nen tu y su dung thuoc, dac biet la thuoc giam dau khang viem, vi mot so loai co the lam giam tuoi mau than hoac gay ton thuong than. Can xac dinh nguyen nhan dau truoc khi dung thuoc.

Benh than co chua khoi duoc khong?

Kha nang hoi phuc phu thuoc vao nguyen nhan. Mot so truong hop nhiem trung, tac nghen hoac suy than cap co the cai thien neu dieu tri som. Trong khi do, benh than man thuong can kiem soat lau dai de lam cham tien trien va phong bien chung.

Ket luan

Bi than co trieu chung gi tai Dak Lak la van de can duoc quan tam, boi benh than co the bieu hien bang dau hong lung, tieu bat thuong, tieu mau, nuoc tieu nhieu bot, phu, met moi, buon non, huyet ap tang hoac tieu it. Tuy nhien, nhieu benh than tien trien am tham nen viec kham va xet nghiem dinh ky rat can thiet, dac biet o nguoi mac tieu duong, tang huyet ap, benh tim hoac co tien su gia dinh mac benh than.

Khi nhan thay dau hieu bat thuong, nguoi dan co the tham khao Benh vien da khoa Thien Hanh hospital de duoc tu van va kiem tra phu hop. Neu co dau du doi kem sot, tieu rat it, kho tho, lo mo hoac tieu mau nhieu, can den co so cap cuu ngay, khong nen tri hoan viec dieu tri.