{"id":3589,"date":"2022-08-01T02:59:44","date_gmt":"2022-07-31T19:59:44","guid":{"rendered":"http:\/\/bvnguyentrai.org.vn\/di-7-benh-vien-chang-trai-moi-phat-hien-mac-benh-hiem-suyt-phu-nao-tu-vong\/"},"modified":"2022-08-01T02:59:44","modified_gmt":"2022-07-31T19:59:44","slug":"di-7-benh-vien-chang-trai-moi-phat-hien-mac-benh-hiem-suyt-phu-nao-tu-vong","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/di-7-benh-vien-chang-trai-moi-phat-hien-mac-benh-hiem-suyt-phu-nao-tu-vong\/","title":{"rendered":"\u0110i 7 b\u1ec7nh vi\u1ec7n, ch\u00e0ng trai m\u1edbi ph\u00e1t hi\u1ec7n m\u1eafc b\u1ec7nh hi\u1ebfm su\u00fdt ph\u00f9 n\u00e3o t\u1eed vong"},"content":{"rendered":"

\u00a0\u0110i kh\u1eafp 7 b\u1ec7nh vi\u1ec7n t\u1eeb qu\u00ea \u0111\u1ebfn TP.HCM, ch\u00e0ng trai m\u1edbi bi\u1ebft m\u00ecnh m\u1eafc m\u1ed9t c\u0103n b\u1ec7nh hi\u1ebfm, ch\u1ec9 g\u1eb7p \u1edf tr\u1ebb nh\u1ecf. Khi nh\u1eadp vi\u1ec7n, anh g\u1ea7n nh\u01b0 h\u00f4n m\u00ea, m\u1eaft m\u1edd.<\/p>\n

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Ng\u00e0y 19\/7, b\u00e1c s\u0129 L\u00e2m Kim B\u1ea3o, Khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c Ch\u1ed1ng \u0111\u1ed9c, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i (TP.HCM) cho bi\u1ebft, ca b\u1ec7nh \u0111\u1eb7c bi\u1ec7t l\u00e0 anh P.Q.C, 25 tu\u1ed5i, qu\u00ea \u1edf Tr\u00e0 Vinh. Anh C. nh\u1eadp vi\u1ec7n ng\u00e0y 3\/7.<\/p>\n

Theo m\u1eb9 anh C., \u1edf nh\u00e0, b\u1ec7nh nh\u00e2n li\u00ean t\u1ee5c l\u1eeb \u0111\u1eeb, \u0111\u1ed5 m\u1ed3 h\u00f4i, \u0111au \u0111\u1ea7u v\u00e0 bu\u1ed3n n\u00f4n. S\u1ee3 con b\u1ecb s\u1ed1t xu\u1ea5t huy\u1ebft, b\u00e0 \u0111\u01b0a con \u0111i kh\u00e1m \u1edf b\u1ec7nh vi\u1ec7n \u0111\u1ecba ph\u01b0\u01a1ng nh\u01b0ng k\u1ebft qu\u1ea3 kh\u00f4ng c\u00f3 b\u1ea5t th\u01b0\u1eddng.\u00a0<\/p>\n

Tr\u1edf v\u1ec1 nh\u00e0, anh C. v\u1eabn \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t nhi\u1ec1u n\u00ean gia \u0111\u00ecnh \u0111\u01b0a anh l\u00ean TPHCM. T\u1eeb qu\u00ea nh\u00e0 \u0111\u1ebfn th\u00e0nh ph\u1ed1, m\u1eb9 con anh C. \u0111i qua 6 b\u1ec7nh vi\u1ec7n nh\u01b0ng kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n.<\/p>\n

Khi chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i \u2013 b\u1ec7nh vi\u1ec7n th\u1ee9 7, anh C. g\u1ea7n nh\u01b0 h\u00f4n m\u00ea, m\u1eaft kh\u00f4ng c\u00f2n nh\u00ecn th\u1ea5y g\u00ec. T\u1ea1i \u0111\u00e2y, b\u00e1c s\u0129 th\u0103m kh\u00e1m th\u1ea5y c\u00f3 r\u1ed1i lo\u1ea1n tri gi\u00e1c, k\u1ebft h\u1ee3p nghe b\u1ec7nh s\u1eed n\u00ean cho b\u1ec7nh nh\u00e2n l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u, ch\u1ee5p MRI.\u00a0<\/p>\n

B\u1ec7nh nh\u00e2n 25 tu\u1ed5i li\u00ean t\u1ee5c l\u1eeb \u0111\u1eeb, m\u1ec7t m\u1ecfi, ti\u1ebfp x\u00fac ch\u1eadm m\u00e0 kh\u00f4ng x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c b\u1ec7nh. \u1ea2nh: L.H<\/p>\n

V\u00ec b\u1ec7nh nh\u00e2n c\u00f2n tr\u1ebb, kh\u00f4ng c\u00f3 ti\u1ec1n c\u0103n b\u1ec7nh l\u00fd nh\u01b0ng b\u1ea5t ng\u1edd l\u1eeb \u0111\u1eeb, ti\u1ebfp x\u00fac ch\u1eadm, b\u00e1c s\u0129 nghi ng\u1edd anh C. m\u1eafc b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn chuy\u1ec3n h\u00f3a. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m \u0111\u01b0\u1eddng huy\u1ebft cho th\u1ea5y NH3 (amoniac) t\u0103ng cao, l\u00ean \u0111\u1ebfn 142,55 micromol\/l, trong khi b\u00ecnh th\u01b0\u1eddng ch\u1ec9 14,7-55,3 micromol\/l.<\/p>\n

C\u00e1c b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh th\u1ee5t th\u00e1o h\u1eadu m\u00f4n \u0111\u1ec3 b\u1ec7nh nh\u00e2n th\u1ea3i NH3 qua \u0111\u01b0\u1eddng \u0111i ti\u00eau. Anh C. t\u1ec9nh l\u1ea1i nh\u01b0ng h\u00f4n m\u00ea ngay sau m\u1ed9t ng\u00e0y. NH3 t\u0103ng \u0111\u1ed9t bi\u1ebfn l\u00ean 700 micromol\/l, nguy c\u01a1 ph\u00f9 n\u00e3o v\u00e0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o n\u1eb7ng.\u00a0<\/p>\n

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n xu\u1ed1ng ICU \u0111\u1ec3 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c. Sau 2 ng\u00e0y, ch\u1ec9 s\u1ed1 NH3 gi\u1ea3m xu\u1ed1ng c\u00f2n 48. B\u00e1c s\u0129 ngh\u0129 nhi\u1ec1u v\u1ec1 t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n chu tr\u00ecnh chuy\u1ec3n h\u00f3a ure, m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn di truy\u1ec1n gen l\u1eb7n tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh X.<\/p>\n

\u0110\u00e2y l\u00e0 b\u1ec7nh th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb s\u01a1 sinh. B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i \u0111\u00e3 h\u1ed9i ch\u1ea9n v\u1edbi B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng 1, B\u1ec7nh vi\u1ec7n Ch\u1ee3 R\u1eaby v\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m gen cho anh C. X\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c ch\u1ea9n \u0111o\u00e1n, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Natribenzoat, c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng th\u1ea3i NH3 qua \u0111\u01b0\u1eddng ni\u1ec7u.<\/p>\n

\u0110\u00e1ng ch\u00fa \u00fd, lo\u1ea1i thu\u1ed1c n\u00e0y Vi\u1ec7t Nam kh\u00f4ng s\u1ea3n xu\u1ea5t m\u00e0 ch\u1ec9 c\u00f3 \u1edf d\u1ea1ng ph\u1ee5 gia th\u1ef1c ph\u1ea9m. \u00a0C\u00e1c b\u00e1c s\u0129 ph\u1ea3i li\u00ean h\u1ec7 nh\u1eefng h\u1ed9i nh\u00f3m c\u00f3 con b\u1ecb b\u1ec7nh l\u00fd r\u1ed1i lo\u1ea1n chu tr\u00ecnh chuy\u1ec3n h\u00f3a ure \u0111\u1ec3 t\u00ecm thu\u1ed1c.<\/p>\n

Sau kho\u1ea3ng 1 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u, anh C. \u0111\u00e3 t\u1ec9nh t\u00e1o, ch\u1edd ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 NH3 trong m\u00e1u v\u00e0 thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p.<\/p>\n

B\u00e1c s\u0129 L\u00e2m Kim B\u1ea3o cho bi\u1ebft, trong c\u01a1 th\u1ec3 lu\u00f4n c\u00f3 qu\u00e1 tr\u00ecnh d\u1ecb h\u00f3a \u0111\u1ea1m \u0111\u1ec3 trao \u0111\u1ed5i ch\u1ea5t. \u1ede ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng, NH3 l\u00e0 ch\u1ea5t \u0111\u1ed9c, c\u01a1 th\u1ec3 s\u1ebd d\u00f9ng men OTC t\u1ef1 s\u1ea3n sinh \u0111\u1ec3 chuy\u1ec3n h\u00f3a NH3 th\u00e0nh ure kh\u00f4ng g\u00e2y \u0111\u1ed9c.\u00a0<\/p>\n

Trong khi \u0111\u00f3, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh n\u00e0y s\u1ebd b\u1ecb thi\u1ebfu h\u1ee5t men OTC, khi\u1ebfn cho NH3 kh\u00f4ng chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c, t\u0103ng cao v\u00e0 g\u00e2y \u0111\u1ed9c cho c\u01a1 th\u1ec3. \u0110\u00e2y l\u00e0 b\u1ec7nh hi\u1ebfm g\u1eb7p, t\u1ec9 l\u1ec7 1\/57.000 tr\u1ebb s\u01a1 sinh.\u00a0N\u1ebfu kh\u00f4ng can thi\u1ec7p k\u1ecbp th\u1eddi, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 co gi\u1eadt, ph\u00f9 n\u00e3o, th\u1eadm ch\u00ed t\u1eed vong s\u1edbm ngay trong giai \u0111o\u1ea1n s\u01a1 sinh.\u00a0<\/p>\n

\u201cTr\u01b0\u1eddng h\u1ee3p kh\u1edfi ph\u00e1t b\u1ec7nh \u1edf tu\u1ed5i ng\u01b0\u1eddi l\u1edbn l\u00e0 r\u1ea5t hi\u1ebfm g\u1eb7p. \u0110\u00e2y l\u00e0 ca \u0111\u1ea7u ti\u00ean c\u1ee7a B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i ti\u1ebfp nh\u1eadn\u201d, b\u00e1c s\u0129 B\u1ea3o n\u00f3i.<\/p>\n

Theo b\u00e1c s\u0129 B\u1ea3o, b\u1ec7nh v\u1eabn c\u00f3 nguy c\u01a1 t\u00e1i ph\u00e1t. B\u1ec7nh nh\u00e2n c\u1ea7n tr\u00e1nh nh\u1ecbn \u0111\u00f3i, l\u00e0m m\u1ec7t, ch\u00fa \u00fd theo d\u00f5i th\u01b0\u1eddng xuy\u00ean. V\u00ec b\u1ec7nh c\u00f3 y\u1ebfu t\u1ed1 di truy\u1ec1n, n\u00ean ng\u01b0\u1eddi th\u00e2n, nh\u1ea5t l\u00e0 anh ch\u1ecb em ru\u1ed9t c\u1ea7n ch\u1ee7 \u0111\u1ed9ng t\u1ea7m so\u00e1t gen \u0111\u1ec3 k\u1ecbp th\u1eddi ph\u00e1t hi\u1ec7n v\u00e0 can thi\u1ec7p.\u00a0<\/p>\n

(Tr\u00edch ngu\u1ed3n:\u00a0https:\/\/vietnamnet.vn\/chang-trai-25-tuoi-mac-can-benh-cua-tre-so-sinh-suyt-phu-nao-tu-vong-2041194.html)<\/p>\n<\/div>\n<\/div>\n

\u00a0<\/em><\/p>\n

\u00a0<\/em><\/p>","protected":false},"excerpt":{"rendered":"

\u0110i 7 b\u1ec7nh vi\u1ec7n, ch\u00e0ng trai m\u1edbi ph\u00e1t hi\u1ec7n m\u1eafc b\u1ec7nh hi\u1ebfm su\u00fdt ph\u00f9 n\u00e3o t\u1eed vong<\/span><\/h1>\n

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