{"id":2273,"date":"2023-11-14T19:02:19","date_gmt":"2023-11-14T12:02:19","guid":{"rendered":"https:\/\/mhgvietnam.com\/?p=2273"},"modified":"2023-11-14T19:02:21","modified_gmt":"2023-11-14T12:02:21","slug":"che-do-an-uong-khi-bi-benh-gut","status":"publish","type":"post","link":"https:\/\/mhgvietnam.com\/en\/che-do-an-uong-khi-bi-benh-gut\/","title":{"rendered":"Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khi b\u1ecb b\u1ec7nh G\u00fat"},"content":{"rendered":"<p>Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb b\u1ec7nh g\u00fat (goute) v\u00e0 nhi\u1ec1u ng\u01b0\u1eddi m\u1edbi bi\u1ebft \u0111\u1ebfn b\u1ec7nh g\u00fat. Tuy nhi\u00ean, c\u0169ng c\u00f2n nhi\u1ec1u ng\u01b0\u1eddi ch\u01b0a bi\u1ebft r\u00f5 nguy c\u01a1 m\u1eafc b\u1ec7nh v\u00e0 \u0103n u\u1ed1ng th\u1ebf n\u00e0o \u0111\u1ec3 g\u00f3p ph\u1ea7n ph\u00f2ng v\u00e0 ch\u1eefa b\u1ec7nh n\u00e0y, m\u1ed9t s\u1ed1 v\u1eabn c\u00f2n nh\u1ea7m l\u1eabn gi\u1eefa b\u1ec7nh g\u00fat v\u00e0 c\u00e1c b\u1ec7nh v\u1ec1 kh\u1edbp kh\u00e1c nh\u01b0 vi\u00eam \u0111a kh\u1edbp d\u1ea1ng th\u1ea5p, phong t\u00ea th\u1ea5p\u2026<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter size-large wp-image-2276\" src=\"https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_1-1024x538.jpg\" alt=\"\" width=\"800\" height=\"420\" srcset=\"https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_1-1024x538.jpg 1024w, https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_1-300x158.jpg 300w, https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_1-768x403.jpg 768w, https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_1.jpg 1200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><strong>V\u1eady th\u1ebf n\u00e0o l\u00e0 b\u1ec7nh g\u00fat?<\/strong><\/p>\n<p>B\u1ec7nh g\u00fat l\u00e0 m\u1ed9t b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n ch\u1ee7 y\u1ebfu \u1edf kh\u1edbp v\u00e0 th\u1eadn, do acid uric trong m\u00e1u t\u0103ng cao, g\u00e2y l\u1eafng \u0111\u1ecdng c\u00e1c tinh th\u1ec3 urat. N\u1ebfu c\u00e1c tinh th\u1ec3 urat kh\u01b0 tr\u00fa \u1edf c\u00e1c kh\u1edbp (trong c\u00e1c bao kh\u1edbp v\u00e0 s\u1ee5n, nh\u1ea5t l\u00e0 c\u00e1c \u0111\u1ed1t b\u00e0n, ng\u00f3n ch\u00e2n c\u00e1i, khu\u1ef7u tay, \u0111\u1ea7u g\u1ed1i) l\u00e0m cho kh\u1edbp b\u1ecb vi\u00eam t\u1ea5y g\u00e2y \u0111au \u0111\u1edbn l\u00e2u d\u1ea7n g\u00e2y bi\u1ebfn d\u1ea1ng, c\u1ee9ng kh\u1edbp. \u00a0N\u1ebfu c\u00e1c tinh th\u1ec3 urat xu\u1ea5t hi\u1ec7n \u1edf th\u1eadn &#8211; g\u00e2y b\u1ec7nh th\u1eadn do urat ( vi\u00eam th\u1eadn k\u1ebd, s\u1ecfi th\u1eadn\u2026). B\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf nam gi\u1edbi l\u1ee9a tu\u1ed5i trung ni\u00ean tr\u1edf l\u00ean, c\u00f3 kho\u1ea3ng 10-20% c\u00f3 y\u1ebfu t\u1ed1 gia\u00a0 \u0111\u00ecnh.<\/p>\n<p><strong>Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh:<\/strong><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-2275\" src=\"https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_2.jpg\" alt=\"\" width=\"650\" height=\"400\" srcset=\"https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_2.jpg 650w, https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_2-300x185.jpg 300w\" sizes=\"(max-width: 650px) 100vw, 650px\" \/><\/p>\n<p>C\u00f3 th\u1ec3 l\u00e0 ti\u00ean ph\u00e1t do s\u1ea3n xu\u1ea5t acid uric t\u0103ng v\u00e0 b\u00e0i ti\u1ebft acid uric gi\u1ea3m, c\u0169ng c\u00f3 th\u1ec3 l\u00e0 th\u1ee9 ph\u00e1t do c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0:<\/p>\n<p>&#8211; T\u0103ng d\u1ecb ho\u00e1 c\u1ee7a nucleo-protein \u1edf b\u1ec7nh nh\u00e2n thi\u1ebfu m\u00e1u huy\u1ebft t\u00e1n, b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh v\u1ea9y n\u1ebfn\u2026<\/p>\n<p>&#8211; Gi\u1ea3m b\u00e0i ti\u1ebft acid uric \u1edf th\u1eadn do suy th\u1eadn ho\u1ea1c th\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u1edf nhu m\u00f4, \u1edf \u1ed1ng th\u1eadn (do nhi\u1ec5m acid lactic, do m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c: furocemid, ethambuton, pynazinamid\u2026)<\/p>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh g\u00fat: <\/strong><\/p>\n<p>N\u1ebfu b\u1ecb \u0111au nh\u1ee9c c\u00e1c kh\u1edbp x\u01b0\u01a1ng, c\u00f3 th\u1ec3 ngh\u0129 \u0111\u1ebfn b\u1ec7nh g\u00fat khi<\/p>\n<p>ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n sau \u0111\u00e2y:<\/p>\n<p>&#8211; \u0110au nh\u1ee9c kh\u1edbp, nh\u1ea5t l\u00e0 kh\u1edbp b\u00e0n ng\u00f3n ch\u00e2n c\u00e1i.<\/p>\n<p>&#8211; Ng\u1ee9a v\u00e0 tr\u00f3c v\u1ea9y d\u00f9ng kh\u1edbp sau khi c\u01a1n \u0111au gi\u1ea3m \u0111i<\/p>\n<p>&#8211; Th\u1ea5y nh\u1eefng c\u1ee5c (h\u1ea1t) urat n\u1ed5i d\u01b0\u1edbi da, di \u0111\u1ed9ng \u0111\u01b0\u1ee3c \u1edf d\u01b0\u1edbi v\u00e0nh tai, t\u00fai m\u1ecfm khu\u1ef7u, x\u01b0\u01a1ng b\u00e1nh ch\u00e8 ho\u1ea1c g\u1ea7n g\u00e2n g\u00f3t.<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m m\u00e1u th\u1ea5y acid uric t\u0103ng cao tr\u00ean 400 micromol\/l\u00edt.<\/p>\n<p>&#8211; \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u1eb7c hi\u1ec7u ( colchixin\u2026) c\u00f3 k\u00eat qu\u1ea3 nhanh, nh\u01b0ng b\u1eb1ng \u201cthu\u1ed1c kh\u1edbp\u201d kh\u00e1c kh\u00f4ng k\u1ebft qu\u1ea3.<\/p>\n<p><strong>Ch\u1ebf \u0111\u1ed9 \u0103n:<\/strong><\/p>\n<p><img decoding=\"async\" class=\"aligncenter size-full wp-image-2274\" src=\"https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_3.jpg\" alt=\"\" width=\"800\" height=\"500\" srcset=\"https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_3.jpg 800w, https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_3-300x188.jpg 300w, https:\/\/mhgvietnam.com\/wp-content\/uploads\/2021\/11\/benh_gout_3-768x480.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>Khi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh l\u00e0 b\u1ecb b\u1ec7nh g\u00fat, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 \u00fd ngh\u0129a\u00a0 r\u1ea5t\u00a0 quan tr\u1ecdng\u00a0 nh\u1eb1m h\u1ea1 acid uric huy\u1ebft b\u1eb1ng h\u1ea1n ch\u1ebf \u0111\u01b0a nh\u00e2n purin v\u00e0o c\u01a1 th\u1ec3 ( acid uric \u0111\u01b0\u1ee3c t\u1ea1o n\u00ean do oxy ho\u00e1 c\u00e1c base purine g\u1ed3m adenine v\u00e0 guanine l\u00e0 th\u00e0nh ph\u1ea7n c\u1ee7a acid nh\u00e2n trong t\u1ebf\u00a0 b\u00e0o (nucleic acid).<\/p>\n<ul>\n<li>H\u1ea1n ch\u1ebf th\u1ee9c \u0103n c\u00f3 nhi\u1ec1u nh\u00e2n purine ( c\u00e1c lo\u1ea1i th\u1ecbt l\u1ee3n, th\u1ecbt b\u00f2, gia c\u1ea7m, h\u1ea3i s\u1ea3n\u2026). D\u00f9ng ph\u01b0\u01a1ng ph\u00e1p th\u00e1i mi\u1ebfng nh\u1ecf ch\u1eebng 1- 2 l\u1ea1ng, lu\u1ed9c ch\u00ecn k\u1ef9, \u0111\u1ed5 n\u01b0\u1edbc lu\u1ed9c \u0111i kh\u00f4ng d\u00f9ng ho\u1ea1c c\u00e1c m\u00f3n n\u1ea5u, ninh. H\u1ea1n ch\u1ebf c\u00e1c m\u00f3n rang, x\u00e0o kh\u00f4, \u00edt n\u01b0\u1edbc. \u0110\u1ed3ng th\u1eddi c\u0169ng c\u1ea7n h\u1ea1n ch\u1ebf \u0103n c\u00e1c lo\u1ea1i ph\u1ee7 t\u1ea1ng \u0111\u1ed9ng v\u1eadt nh\u01b0 gan, b\u1ed3 d\u1ee5c, l\u00f2ng \u00f3c , d\u1ed3i l\u1ee3n\u2026<\/li>\n<li>H\u1ea1n ch\u1ebf th\u1ee9c u\u1ed1ng c\u00f3 nhi\u1ec1u baze purine nh\u01b0 bia, c\u00e0 ph\u00ea, ch\u00e8, socola, n\u01b0\u1edbc \u00e9p th\u1ecbt.<\/li>\n<li>H\u1ea1n ch\u1ebf c\u00e1c lo\u1ea1i qu\u1ea3, rau c\u00f3 v\u1ecb chua toan, n\u1ea5m \u0103n.<\/li>\n<li>N\u00ean u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, u\u1ed1ng c\u00e1c lo\u1ea1i n\u01b0\u1edbc kho\u00e1ng ki\u1ec1m, \u0103n c\u00e1c lo\u1ea1i rau qu\u1ea3 c\u00f3 t\u00ednh l\u1ee3i ti\u1ec3u \u0111\u1ec3 tr\u00e1nh acid uric \u0111\u1ecdng l\u1ea1i trong c\u01a1 th\u1ec3. \u01afu ti\u00ean ch\u1ecdn c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m c\u00f3 h\u00e0m l\u01b0\u1ee3ng nh\u00e2n purine th\u1ea5p \u0111\u1ec3 s\u1eed d\u1ee5ng.<\/li>\n<\/ul>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0\u00a0 3 nh\u00f3m th\u1ef1c ph\u1ea9m c\u00f3 t\u1ef7 l\u1ec7 nh\u00e2n purine t\u1eeb \u00edt \u0111\u1ebfn nhi\u1ec1u nh\u01b0 sau:<\/p>\n<p><strong><em>1- Nh\u00f3m c\u00f3 \u00edt ( t\u1eeb 0-15mg \/ 100g th\u1ef1c ph\u1ea9m):<\/em><\/strong><\/p>\n<p>Ng\u0169 c\u1ed1c, b\u01a1, d\u1ea7u m\u1ee1, \u0111\u01b0\u1eddng s\u1eefa, rau qu\u1ea3 c\u00e1c lo\u1ea1i\u2026<\/p>\n<p><strong><em>2-Nh\u00f3m trung b\u00ecnh ( t\u1eeb 50-150 mg \/ 100g th\u1ef1c ph\u1ea9m):<\/em><\/strong><\/p>\n<p>Th\u1ecbt n\u1ea1c, c\u00e1, gia c\u1ea7m, h\u1ea3i s\u1ea3n, \u0111\u1eadu \u0111\u1ed7&#8230;<\/p>\n<p><strong><em>3- Nh\u00f3m c\u00f3 nhi\u1ec1u ( tr\u00ean 150g \/ 100g th\u1ef1c ph\u1ea9m):<\/em><\/strong><\/p>\n<p>\u00d3c, gan, b\u1ea7u d\u1ee5c, l\u00f2ng, d\u1ed3i, n\u01b0\u1edbc lu\u1ed9c th\u1ecbt, n\u1ea5m \u0103n&#8230;\/.<\/p>\n<p style=\"text-align: right\"><em><strong>PGS.TS. BSCC.Tr\u1ea7n \u0110\u00ecnh To\u00e1n<\/strong><\/em><\/p>\n<p style=\"text-align: right\"><em><strong>Nguy\u00ean tr\u01b0\u1edfng khoa Dinh d\u01b0\u1ee1ng, B\u1ec7nh vi\u1ec7n H\u1eefu Ngh\u1ecb<\/strong><\/em><\/p>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb b\u1ec7nh g\u00fat (goute) v\u00e0 nhi\u1ec1u ng\u01b0\u1eddi m\u1edbi bi\u1ebft \u0111\u1ebfn b\u1ec7nh g\u00fat. Tuy nhi\u00ean, c\u0169ng c\u00f2n nhi\u1ec1u ng\u01b0\u1eddi ch\u01b0a bi\u1ebft r\u00f5 nguy c\u01a1 m\u1eafc b\u1ec7nh v\u00e0 \u0103n u\u1ed1ng th\u1ebf n\u00e0o \u0111\u1ec3 g\u00f3p ph\u1ea7n ph\u00f2ng v\u00e0 ch\u1eefa b\u1ec7nh n\u00e0y, m\u1ed9t s\u1ed1 v\u1eabn c\u00f2n nh\u1ea7m l\u1eabn gi\u1eefa b\u1ec7nh g\u00fat v\u00e0 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":2277,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-2273","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc"],"_links":{"self":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts\/2273","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/comments?post=2273"}],"version-history":[{"count":2,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts\/2273\/revisions"}],"predecessor-version":[{"id":8013,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/posts\/2273\/revisions\/8013"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/media\/2277"}],"wp:attachment":[{"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/media?parent=2273"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/categories?post=2273"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/mhgvietnam.com\/en\/wp-json\/wp\/v2\/tags?post=2273"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}