{"id":11785,"date":"2021-11-24T19:16:03","date_gmt":"2021-11-24T12:16:03","guid":{"rendered":"https:\/\/www.vietlearn.org\/post\/?p=11785"},"modified":"2021-11-24T19:16:03","modified_gmt":"2021-11-24T12:16:03","slug":"da-ghep-tuy-thanh-cong-tren-nguoi","status":"publish","type":"post","link":"https:\/\/www.vietlearn.org\/kien-thuc\/da-ghep-tuy-thanh-cong-tren-nguoi\/","title":{"rendered":"\u0110\u00e3 gh\u00e9p t\u1ee5y th\u00e0nh c\u00f4ng tr\u00ean ng\u01b0\u1eddi"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">&#8220;Ch\u00fa em \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1. Tr\u01b0\u1edbc \u0111\u00e2y, b\u00e1o ch\u00ed c\u00f3 n\u00f3i \u0111\u1ebfn gh\u00e9p t\u1ee5y tr\u00ean \u0111\u1ed9ng v\u1eadt nh\u1eb1m \u00e1p d\u1ee5ng cho ng\u01b0\u1eddi. Xin cho bi\u1ebft vi\u1ec7c \u0111\u00f3 k\u1ebft qu\u1ea3 ra sao? B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1 l\u00e0 g\u00ec, c\u00f3 n\u1eb7ng l\u1eafm kh\u00f4ng?&#8221;.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi th\u1ea5t b\u1ea1i trong vi\u1ec7c gh\u00e9p to\u00e0n b\u1ed9 t\u1ee5y tr\u00ean \u0111\u1ed9ng v\u1eadt \u0111\u1ec3 ch\u1eefa ti\u1ec3u \u0111\u01b0\u1eddng, ng\u01b0\u1eddi ta ch\u1ec9 c\u1ea5y gh\u00e9p c\u00e1c ti\u1ec3u \u0111\u1ea3o Langerhans (chi\u1ebfm 20% m\u00f4 t\u1ee5y). V\u00e0 k\u1ebft qu\u1ea3 l\u00e0 \u0111\u00e3 c\u00f3 th\u1ec3 l\u1ea5y c\u00e1c ti\u1ec3u \u0111\u1ea3o Langerhans (T\u0110L) c\u1ee7a ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh \u0111em ti\u00eam v\u00e0o gan b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng type 1 v\u1edbi \u0111i\u1ec1u ki\u1ec7n ph\u1ea3i su\u1ed1t \u0111\u1eddi d\u00f9ng thu\u1ed1c ch\u1ed1ng mi\u1ec5n d\u1ecbch \u0111\u1ec3 tr\u00e1nh hi\u1ec7n t\u01b0\u1ee3ng th\u1ea3i lo\u1ea1i m\u1ea3nh gh\u00e9p. \u0110i\u1ec1u tr\u1edf ng\u1ea1i l\u00e0 \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c thu\u1ed1c ch\u1ed1ng mi\u1ec5n d\u1ecbch, n\u00ean g\u1ea7n 95% ng\u01b0\u1eddi \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p c\u00e1c T\u0110L \u0111\u00e3 ph\u1ea3i ti\u00eam l\u1ea1i insulin sau v\u00e0i ba th\u00e1ng l\u00e0m th\u1ee7 thu\u1eadt n\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u0103m 2000, m\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a Canada \u0111\u00e3 th\u1ef1c hi\u1ec7n th\u00e0nh c\u00f4ng 7 ca c\u1ea5y gh\u00e9p T\u0110L k\u1ebft h\u1ee3p v\u1edbi s\u1eed d\u1ee5ng ch\u1ea5t ch\u1ed1ng mi\u1ec5n d\u1ecbch m\u1edbi (d\u1eabn xu\u1ea5t c\u1ee7a cyclosporin). \u0110\u00e3 m\u1ed9t n\u0103m nay, 7 ng\u01b0\u1eddi n\u00e0y ng\u01b0ng ti\u00eam insulin m\u00e0 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft v\u1eabn b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00e2y l\u00e0 tin vui l\u00e0m n\u1ee9c l\u00f2ng c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type1. Nh\u01b0ng v\u1eabn t\u1ed3n t\u1ea1i hai v\u1ea5n \u0111\u1ec1: Th\u1eddi gian 1 n\u0103m v\u1eabn ch\u01b0a \u0111\u1ee7 kh\u1eb3ng \u0111\u1ecbnh b\u1ec7nh c\u00f3 t\u00e1i ph\u00e1t hay kh\u00f4ng; s\u1ed1 l\u01b0\u1ee3ng 1 tri\u1ec7u T\u0110L d\u00f9ng cho 1 b\u1ec7nh nh\u00e2n (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi 2-3 tuy\u1ebfn t\u1ee5y nguy\u00ean v\u1eb9n) l\u00e0 qu\u00e1 l\u1edbn, kh\u00f3 \u0111\u00e1p \u1ee9ng n\u1ed5i nhu c\u1ea7u, v\u00ec s\u1ed1 ng\u01b0\u1eddi cho kh\u00f4ng nhi\u1ec1u.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p m\u1edbi r\u1ea5t c\u00f3 tri\u1ec3n v\u1ecdng \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t v\u00e0 \u0111ang hi\u1ec7u ch\u1ec9nh: D\u00f9ng c\u00e1c t\u1ebf b\u00e0o g\u1ed1c (ch\u01b0a th\u00e0nh th\u1ee5c) l\u1ea5y t\u1eeb tuy\u1ebfn t\u1ee5y c\u1ee7a con ng\u01b0\u1eddi \u0111em nu\u00f4i c\u1ea5y trong ph\u00f2ng th\u00ed nghi\u1ec7m, cho \u0111\u1ebfn khi ch\u00fang bi\u1ec7t h\u00f3a th\u00e0nh c\u00e1c T\u0110L th\u00ec \u0111em c\u1ea5y gh\u00e9p.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1 (ph\u1ee5 thu\u1ed9c insulin) g\u00e2y ra do c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 gene, bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 ph\u00e1 h\u1ee7y tu\u1ea7n t\u1ef1 c\u00e1c T\u0110L. V\u00ec khoa h\u1ecdc ch\u01b0a t\u00ecm ra ph\u01b0\u01a1ng ph\u00e1p ng\u0103n ch\u1eb7n ti\u1ebfn tr\u00ecnh b\u1ec7nh l\u00fd n\u00e0y n\u00ean b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111o m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft h\u1eb1ng ng\u00e0y nh\u1eb1m x\u1eed tr\u00ed k\u1ecbp th\u1eddi khi ch\u1ec9 s\u1ed1 n\u00e0y l\u00ean qu\u00e1 cao (t\u1ed1i \u0111a cho ph\u00e9p l\u00e0 1,2 g\/l\u00edt).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong khi \u0111\u00f3, b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng type 2 (kh\u00f4ng ph\u1ee5 thu\u1ed9c insulin) do b\u00e9o ph\u00ec g\u00e2y ra, c\u00f3 th\u1ec3 t\u1ef1 ch\u1eefa b\u1eb1ng m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 sinh ho\u1ea1t h\u1ee3p l\u00fd.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&#8220;Ch\u00fa em \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1. Tr\u01b0\u1edbc \u0111\u00e2y, b\u00e1o ch\u00ed c\u00f3 n\u00f3i \u0111\u1ebfn gh\u00e9p t\u1ee5y tr\u00ean \u0111\u1ed9ng v\u1eadt nh\u1eb1m \u00e1p d\u1ee5ng cho ng\u01b0\u1eddi. Xin cho bi\u1ebft vi\u1ec7c \u0111\u00f3 k\u1ebft qu\u1ea3 ra sao? B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng type 1 l\u00e0 g\u00ec, c\u00f3 n\u1eb7ng l\u1eafm kh\u00f4ng?&#8221;. Sau khi th\u1ea5t b\u1ea1i trong vi\u1ec7c gh\u00e9p to\u00e0n [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_disable_autopaging":false},"categories":[21],"tags":[],"class_list":["post-11785","post","type-post","status-publish","format-standard","hentry","category-y-hoc"],"_links":{"self":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/11785","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/comments?post=11785"}],"version-history":[{"count":0,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/11785\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/media?parent=11785"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/categories?post=11785"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/tags?post=11785"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}