{"id":15028,"date":"2023-09-08T22:16:23","date_gmt":"2023-09-08T15:16:23","guid":{"rendered":"http:\/\/kenh69.info\/?p=15028"},"modified":"2023-09-08T22:16:38","modified_gmt":"2023-09-08T15:16:38","slug":"15028-2","status":"publish","type":"post","link":"http:\/\/kenh69.info\/?p=15028","title":{"rendered":"5 ph\u00e9p \u0111o s\u1ee9c kh\u1ecfe ng\u01b0\u1eddi trung ni\u00ean n\u00ean ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 lu\u00f4n kh\u1ecfe m\u1ea1nh, kh\u00f4ng lo b\u1ec7\u043f\u04bb t\u1eadt"},"content":{"rendered":"<p>T\u1eeb tu\u1ed5i trung ni\u00ean th\u00ec nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh nh\u01b0 huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, tim m\u1ea1ch&#8230; r\u1ea5t cao. \u0110\u00e2y c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn nhi\u1ec1u ng\u01b0\u1eddi kh\u1ed5 s\u1edf v\u00ec c\u1ea3 ng\u00e0y quanh qu\u1ea9n ra ra v\u00e0o v\u00e0o b\u1ec7nh vi\u1ec7n. V\u1eady n\u00ean, m\u1ecdi ng\u01b0\u1eddi c\u1ea7n ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 c\u00e1c ch\u1ec9 s\u1ed1 n\u00e0y th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 bi\u1ebft m\u1ee9c \u0111\u1ed9 c\u1ee7a n\u00f3. T\u1eeb \u0111\u00f3 c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 c\u01a1 th\u1ec3 lu\u00f4n kh\u1ecfe m\u1ea1nh, \u00edt b\u1ec7nh t\u1eadt.<\/p>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 nh\u1eefng ph\u00e9p \u0111o s\u1ee9c kh\u1ecfe cho th\u1ea5y b\u1ea1n c\u00f3 tu\u1ed5i trung ni\u00ean kh\u1ecfe m\u1ea1nh hay b\u1ec7nh t\u1eadt \u0111\u1ea7y m\u00ecnh m\u00e0 b\u00e1o ch\u00ed \u0111\u00e3 \u0111\u01b0a tin nha c\u00e1c m\u1eb9.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/J-K1Nbpudqle_9EL08bwStmAYREIyLrdvV9CE_INjoE2QyXEUwNcmSafpB6SUO742ekGM7P7mxaNeNCkxVNpkTgZKvsNGjK6CcDY4c6kGxI=w622\" alt=\"h\u00ecnh \u1ea3nh\" data-height=\"0\" data-width=\"0\" \/><\/p>\n<p><em>Ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft \u0111\u01b0\u1ee3c \u0111o th\u00f4ng qua x\u00e9t nghi\u1ec7m m\u00e1u. \u1ea2nh minh h\u1ecda, ngu\u1ed3n: TN<\/em><\/p>\n<p><strong>Huy\u1ebft \u00e1p<\/strong><\/p>\n<p>Huy\u1ebft \u00e1p cao \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t k\u1ebb &#8216;th\u1ee7 ti\u00eau&#8217; ng\u01b0\u1eddi th\u1ea7m l\u1eb7ng. R\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p &#8216;ra \u0111i&#8217; \u0111\u1ed9t ng\u1ed9t m\u00e0 nguy\u00ean nh\u00e2n l\u00e0 cao huy\u1ebft \u00e1p. Khi b\u1ecb b\u1ec7nh n\u00e0y s\u1ebd gia t\u0103ng \u00e1p l\u1ef1c l\u00ean c\u00e1c c\u01a1 quan nh\u01b0 m\u1ea1ch m\u00e1u, tim v\u00e0 n\u00e3o n\u00ean c\u00f3 th\u1ec3 t\u0103ng cao nguy c\u01a1 b\u1ecb \u0111au tim, \u0111\u1ed9t qu\u1ef5, m\u1ea5t tr\u00ed nh\u1edb. Huy\u1ebft \u00e1p th\u1ea5p kh\u00f4ng nguy hi\u1ec3m nh\u01b0 v\u1eady nh\u01b0ng l\u1ea1i g\u00e2y ra t\u00ecnh tr\u1ea1ng ng\u1ea5t x\u1ec9u v\u00e0 ch\u00f3ng m\u1eb7t.<\/p>\n<p>Vi\u1ec7c ki\u1ec3m tra ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 xem n\u00f3 c\u00f3 \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng kh\u00f4ng. \u1ede m\u1ed7i \u0111\u1ed9 tu\u1ed5i kh\u00e1c nhau th\u00ec ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng s\u1ebd c\u00f3 nh\u1eefng thay \u0111\u1ed5i kh\u00e1c nhau.<\/p>\n<p>C\u00e1c chuy\u00ean gia khuy\u00ean: B\u1ea1n n\u00ean ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p \u1edf tu\u1ed5i trung ni\u00ean b\u1eb1ng c\u00e1ch gi\u1ea3m l\u01b0\u1ee3ng mu\u1ed1i, gi\u1ea3m c\u00e2n, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, \u00edt s\u1eed d\u1ee5ng \u0111\u1ed3 u\u1ed1ng ch\u1ee9a caffeine, kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1. \u0110\u00e2y l\u00e0 c\u00e1ch tr\u00e1nh \u0111\u01b0\u1ee3c c\u00e1c bi\u1ebfn ch\u1ee9ng s\u1ee9c kh\u1ecfe nguy hi\u1ec3m nh\u01b0 suy gi\u1ea3m tr\u00ed tu\u1ec7, \u0111\u1ed9t qu\u1ef5 v\u00e0 \u0111au tim c\u0169ng nh\u01b0 b\u1ec7nh l\u00fd tim m\u1ea1ch, n\u00e3o b\u1ed9 ho\u1eb7c tinh th\u1ea7n kh\u00e1c.<\/p>\n<p>N\u1ebfu kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a cao huy\u1ebft \u00e1p th\u00ec b\u1ea1n n\u00ean th\u1ef1c hi\u1ec7n \u0111o huy\u1ebft \u00e1p \u00edt nh\u1ea5t m\u1ed7i n\u0103m 1 l\u1ea7n \u0111\u1ec3 ki\u1ec3m tra v\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm.<\/p>\n<p><b>\u0110\u01b0\u1eddng huy\u1ebft<\/b><\/p>\n<p>\u0110\u01b0\u1eddng huy\u1ebft cao c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh l\u00e0 hay th\u1ea5y kh\u00e1t n\u01b0\u1edbc, \u0111i ti\u1ec3u nhi\u1ec1u, m\u1ec7t m\u1ecfi, m\u1eaft m\u1edd, t\u00ea ng\u1ee9a b\u00e0n ch\u00e2n nh\u01b0 c\u00f3 ki\u1ebfn b\u00f2&#8230; \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng x\u1ea3y ra khi c\u01a1 th\u1ec3 kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin ho\u1eb7c t\u1ebf b\u00e0o c\u1ee7a c\u01a1 th\u1ec3 kh\u00f4ng ph\u1ea3n \u1ee9ng \u0111\u00fang c\u00e1ch v\u1edbi hormone. Hi\u1ec7p h\u1ed9i \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng Hoa K\u1ef3 cho bi\u1ebft: \u0110\u1ed9 tu\u1ed5i c\u1ee7a b\u1ec7nh ph\u1ed5 bi\u1ebfn t\u1eeb 45 &#8211; 64.<\/p>\n<p>\u0110\u1ec3 ki\u1ec3m tra ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng huy\u1ebft, b\u1ea1n ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh t\u1eeb b\u00e1c s\u0129. C\u00e1c x\u00e9t nghi\u1ec7m g\u1ed3m: N\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i, x\u00e9t nghi\u1ec7m dung n\u1ea1p glucose, x\u00e9t nghi\u1ec7m Hemoglobin A1C X\u00e9t nghi\u1ec7m m\u00e1u ng\u1eabu nhi\u00ean (l\u00fac kh\u00f4ng \u0111\u00f3i).<\/p>\n<p>Theo c\u00e1c chuy\u00ean gia, ng\u01b0\u1eddi \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 35 tr\u1edf l\u00ean n\u00ean l\u00e0m x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng m\u1ed7i n\u0103m 1 l\u1ea7n v\u00e0 th\u1eddi gian x\u00e9t nghi\u1ec7m l\u1ea1i s\u1ebd ng\u1eafn h\u01a1n v\u1edbi ng\u01b0\u1eddi b\u1ecb b\u1ec7nh.<\/p>\n<p><strong>Cholesterol<\/strong><\/p>\n<p>T\u00f9y theo c\u00e2n n\u1eb7ng v\u00e0 \u0111\u1ed9 tu\u1ed5i, gi\u1edbi t\u00ednh m\u00e0 c\u01a1 th\u1ec3 s\u1ebd c\u00f3 m\u1ee9c cholesterol kh\u00e1c nhau. Nguy\u00ean nh\u00e2n khi\u1ebfn ch\u1ec9 s\u1ed1 n\u00e0y cao ch\u1ee7 y\u1ebfu li\u00ean quan t\u1edbi ch\u1ebf \u0111\u1ed9 \u0103n qu\u00e1 nhi\u1ec1u ch\u1ea5t b\u00e9o, k\u00e9m v\u1eadn \u0111\u1ed9ng, th\u1eeba c\u00e2n, th\u00f3i quen h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u ho\u1eb7c di truy\u1ec1n.<\/p>\n<p>Khi ch\u1ec9 s\u1ed1 cholesterol cao, ch\u1ea5t b\u00e9o t\u00edch t\u1ee5 th\u00e0nh c\u00e1c m\u1ea3ng b\u00e1m trong m\u1ea1ch m\u00e1u khi\u1ebfn nguy c\u01a1 t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u cao h\u01a1n. T\u1eeb \u0111\u00f3, d\u1ec5 d\u1eabn t\u1edbi b\u1ec7nh tim v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/p>\n<p>Vi\u1ec7c x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng c\u00f3 th\u1ec3 cho th\u1ea5y m\u1ee9c \u0111\u1ed9 cholesterol bao g\u1ed3m c\u1ea3 cholesterol t\u1ed1t v\u00e0 cholesterol x\u1ea5u. N\u1ebfu l\u01b0\u1ee3ng cholesterol c\u1ee7a b\u1ea1n cao nh\u01b0ng t\u1ef7 l\u1ec7 cholesterol t\u1ed1t cao h\u01a1n th\u00ec s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n s\u1ebd \u00edt ph\u1ea3i lo l\u1eafng h\u01a1n. Ng\u01b0\u1ee3c l\u1ea1i v\u1edbi n\u1ed3ng \u0111\u1ed9 cholesterol x\u1ea5u cao.<\/p>\n<p>Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 khuy\u1ebfn c\u00e1o: Ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh t\u1eeb 20 tu\u1ed5i tr\u1edf l\u00ean n\u00ean ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 cholesterol 4 &#8211; 6 n\u0103m\/l\u1ea7n. V\u1edbi ng\u01b0\u1eddi trung ni\u00ean th\u00ec x\u00e9t nghi\u1ec7m b\u1ed9 m\u1ee1 m\u00e1u bao g\u1ed3m\u00a0cholesterol v\u00e0 Triglycerides n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed7i n\u0103m m\u1ed9t l\u1ea7n.<\/p>\n<p><img decoding=\"async\" src=\"https:\/\/lh3.googleusercontent.com\/HawJNWXrXumuS8aQMTjX2yOAfT5O9jDHHZ2f0tU1EWNGxU2_t5ZxRFk6koHkOFvxYec0i2o6JcJEJeQP_ZBKhlRPm8945TRYU3uVLogYJA=w622\" alt=\"h\u00ecnh \u1ea3nh\" data-height=\"0\" data-width=\"0\" \/><\/p>\n<p><em>Vi\u1ec7c ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 r\u1ea5t quan tr\u1ecdng. \u1ea2nh minh h\u1ecda, ngu\u1ed3n: Sohu<\/em><\/p>\n<p><strong>Ch\u1ec9 s\u1ed1 BMI<\/strong><\/p>\n<p>BMI ch\u00ednh l\u00e0 ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3. \u0110\u00e2y l\u00e0 lo\u1ea1i ki\u1ec3m tra nh\u1eb1m \u0111\u00e1nh gi\u00e1 xem b\u1ea1n c\u00f3 c\u00e2n n\u1eb7ng kh\u1ecfe m\u1ea1nh hay kh\u00f4ng d\u1ef1a tr\u00ean chi\u1ec1u cao v\u00e0 c\u00e2n n\u1eb7ng. Song, BMI kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t \u0111\u00e1nh gi\u00e1 to\u00e0n di\u1ec7n nh\u01b0ng n\u00f3 ch\u00ednh l\u00e0 manh m\u1ed1i \u0111\u1ec3 ti\u1ebfp t\u1ee5c th\u1ef1c hi\u1ec7n c\u00e1c \u0111\u00e1nh gi\u00e1 chuy\u00ean s\u00e2u h\u01a1n.<\/p>\n<p>Nghi\u00ean c\u1ee9u m\u1edbi c\u1ee7a\u00a0BMJ Open cho th\u1ea5y: B\u00e8o ph\u00ec \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 suy nh\u01b0\u1ee3c c\u01a1 th\u1ec3 khi v\u1ec1 gi\u00e0. T\u1ef7 l\u1ec7 n\u00e0y cao h\u01a1n \u1edf n\u1eef gi\u1edbi trung ni\u00ean do s\u1ef1 suy gi\u1ea3m hormone \u1edf giai \u0111o\u1ea1n ti\u1ec1n m\u00e3n kinh g\u00e2y ra. C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 kh\u00e1c g\u1ed3m: Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng k\u1ebdm dinh d\u01b0\u1ee1ng, \u00edt v\u1eadn \u0111\u1ed9ng, l\u00e3o h\u00f3a&#8230; k\u1ebft h\u1ee3p v\u1edbi s\u1ef1 chuy\u1ec3n h\u00f3a trao \u0111\u1ed5i ch\u1ea5t gi\u1ea3m c\u0169ng khi\u1ebfn ng\u01b0\u1eddi trung tu\u1ed5i t\u00edch t\u1ee5 m\u1ee1 th\u1eeba nhi\u1ec1u h\u01a1n.<\/p>\n<p>M\u1ed9t nghi\u00ean c\u1ee9u khoa h\u1ecdc c\u1ee7a M\u1ef9 \u0111\u00e3 ch\u1ee9ng minh: Tu\u1ed5i th\u1ecd v\u00e0 ch\u1ec9 s\u1ed1 BMI c\u00f3 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. Do \u0111\u00f3, theo khuy\u1ebfn ngh\u1ecb, m\u1ecdi \u0111\u1ed9 tu\u1ed5i c\u1ea7n ki\u1ec3m tra \u0111\u00e1nh gi\u00e1 ch\u1ec9 s\u1ed1 BMI \u00edt nh\u1ea5t 1 l\u1ea7n\/n\u0103m.<\/p>\n<p><strong>V\u00f2ng b\u1ee5ng<\/strong><\/p>\n<p>\u0110\u00e2y l\u00e0 ch\u1ec9 s\u1ed1 quan tr\u1ecdng c\u1ea7n theo d\u00f5i. B\u1edfi, t\u00ecnh tr\u1ea1ng suy gi\u1ea3m n\u1ed9i ti\u1ebft estrogen khi\u1ebfn ph\u1ee5 n\u1eef \u1edf \u0111\u1ed9 tu\u1ed5i trung ni\u00ean c\u00f3 v\u00f2ng eo to, ph\u00ec nhi\u00eau.<\/p>\n<p>Nghi\u00ean c\u1ee9u c\u1ee7a Trung t\u00e2m Y t\u1ebf \u0110\u1ea1i h\u1ecdc VU \u1edf Amsterdam cho th\u1ea5y: M\u1ee1 b\u1ee5ng c\u00f3 li\u00ean quan m\u1eadt thi\u1ebfu t\u1edbi qu\u00e1 tr\u00ecnh kh\u00e1ng insulin v\u00e0 c\u1ea3n tr\u1edf s\u1ef1 chuy\u1ec3n h\u00f3a cholesterol. Do \u0111\u00f3, nh\u1eefng ng\u01b0\u1eddi c\u00f3 v\u00f2ng eo to th\u01b0\u1eddng d\u1ec5 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 m\u1ee1 m\u00e1u h\u01a1n h\u1eb3n.<\/p>\n<p>V\u00ec th\u1ebf, \u0111\u1ec3 gi\u1ea3m t\u00ecnh tr\u1ea1ng n\u00e0y, m\u1ecdi ng\u01b0\u1eddi n\u00ean duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc, sinh ho\u1ea1t h\u1ee3p l\u00fd, gi\u1ea3m c\u00e2n an to\u00e0n \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u00f2ng eo c\u1ee7a m\u00ecnh. Ch\u1ec9 s\u1ed1 v\u00f2ng eo t\u1ed1t nh\u1ea5t l\u00e0 n\u00ean duy tr\u00ec d\u01b0\u1edbi 80cm.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1eeb tu\u1ed5i trung ni\u00ean th\u00ec nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh nh\u01b0 huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, tim m\u1ea1ch&#8230; r\u1ea5t cao. \u0110\u00e2y c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn nhi\u1ec1u ng\u01b0\u1eddi kh\u1ed5 s\u1edf v\u00ec c\u1ea3 ng\u00e0y quanh qu\u1ea9n ra ra v\u00e0o v\u00e0o b\u1ec7nh vi\u1ec7n. 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