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Vin Gt thnh cng trong iu tr bnh

gt
Hn 60% bnh nhn gt (gout) khi nhp vin chuyn sang giai on gt mn tnh, km theo suy gim chc nng
gan, suy thn, ri lon m mu, tiu ng, tng huyt p, bnh mch vnh
Theo GS-TS-BS Hong Khi Lp, Ph Vin trng Vin Nghin cu Bnh Gt (trc thuc Vin Gt): Gt l mt bnh khp c th
iu tr c nhng b iu tr cu th nht. iu tr cu th nht y khng phi l khng c thuc tt kim sot cc cn
gt cp ti pht m do ch quan, nhiu bnh nhn cu th trong dng thuc, cu th trong sinh hot n ung bnh tin trin
nng
Sau gt, gan, thn s bin chng nng
Bnh nhn gt mn tnh khi bin chng nng thng c rt nhiu u cc tophi bn tay, bn chn, khuu tay gy bin dng khp.
Nhiu trng hp tophi v khng lin ming ko di gy nhim trng, c trng hp phi tho khp. Trn bnh nhn gt b
bin chng thng km theo tnh trng suy gim chc nng gan, suy thn, si thn, ri lon m mu, tiu ng, tng huyt p,
bnh mch vnh
n c, ng Hunh Cng Tm (1955, ng th trn Ha Thnh, tnh Ty Ninh) b bnh gt 12 nm nay, tng i iu tr rt
nhiu ni, c ng v Ty y nhng bnh tnh vn ngy cng nng hn. B Nguyn Kim Hu, v ng Tm cho bit: Khi nm cp
cu bnh vin h ni rng 10 phn cht ri nhng h khng ni thng vi mnh. Khi n vi Vin Gt, ng Tm trong tnh
trng suy kit, chn tay teo nh li, ch cn 38 kg, au nhc trin min, st cao ko di. Ngoi bnh gt, ng cn b thiu mu
nng v c du hiu suy tim do suy mch vnh, b tt huyt p, suy gim chc nng gan, suy thn, thoi ha khp. Sau hn nm
thng iu tr ngoi tr theo phng php ton din c kim sot ca Vin Gt, ng Tm c mt s phc hi k diu, tng c
11 kg, ht au nhc, bt u tr li vi ngh ra xe kim sng. Gp li gn y, b Hu ni: By gi th phc hi nh
c, k nh t ci cht tr v, mng qu khng bit lm sao din t na.


Bnh nhn Hunh Cng Tm trc (nh trn)v sau iu tr bnh gt ti Vin Gt.
Theo BS Nguyn Hng Thu, Gim c Vin Gt, thng k cho thy trong hn 60% bnh nhn khi n cc phng khm ca Vin
Gt th chuyn sang giai on gt mn tnh, c nhiu u cc tophi, km theo suy gim chc nng gan, suy thn, si thn, ri lon
m mu, tiu ng, tng huyt p, bnh mch vnh, vim lot d dy, t trng Trong khong 5% b bin chng nng
nh ph n, gi nc, long xng, cc khp b ph hy gy bin dng khp, tophi v khin nhim trng ko di. S bnh nhn
ny cng b khng tr tt c loi thuc iu tr gt hin c. Nguyn nhn ch yu vn l do lm dng cc loi thuc gim au khng
r ngun gc c Dexamethason.
Ch nn ch quan
Theo cc chuyn gia y t, tnh trng lm dng thuc gim au iu tr bnh gt l ng bo ng. Trong cng ng, k c mt
s trong gii chuyn mn vn coi tng acid uric mu l bnh gt nn gy ra lm dng thuc v iu tr qu mc. GS-TS-BS Hong
Khi Lp, cho bit nc ta ang tn ti mt thc trng ng lo ngi bi rt t bnh nhn gt iu tr lin tc theo mt bc s
c kim sot. Do nn nng trong iu tr, nhiu ngi i khp cc bnh vin cho n khi b tc th h li t tm mua thuc iu
tr, ai mch u c thuc tt cng mua v ung m khng cn tm hiu ngun gc v cng dng chnh xc ca thuc.
Cng theo GS Hong Khi Lp, nhng bnh nhn gt b bin chng, khng tr vi cc loi thuc iu tr gt cha phi ht thuc
cha, h vn c th p ng v phc hi tt nu h tr iu tr bng tho dc. Kt qu iu tr khng ch ph thuc vo thuc m
cn ph thuc vo vic kim sot iu tr, trong s t gic tun th, phi hp v kin tr iu tr ca bnh nhn vn l yu t
quan trng nht chin thng bnh gt.
4,2% bnh nhn khng tr cc loi thuc
Thng k ti M cho thy hin nc ny c ti 2,1 triu ngi b gt, trong 4,2% bnh nhn gt mn tnh
b khng tr vi tt c loi thuc iu tr hin c. Theo cc chuyn gia, trong khi tnh hnh bnh nhn gt
ang tng nhanh ti Vit Nam cng nh trn th gii th hu nh cha c mt c s y t no iu tr chuyn
su v n. V vy vic c mt n v y t chuyn su v gt l rt cn thit.
Cc phng khm a khoa ca Vin Gt: 13A Hng H, phng 2, qun Tn Bnh, TP.HCM; D22-23 ph
Hng Chu, TP Hi Dng; 125 ng ch Khim, TP Nng. Website: www.benhgout.net. in thoi t vn
bnh gt: (08)6296.8626.

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