eGFR LC CU THN

C TNH
Kidney Health Australia trang 1/2

Vietnamese
eGFR L G?
Lc Cu Thn c tnh (eGFR) l gi tr cho bit thn ca qu v lc cht thi ra khi
mu nh th no cng nh gip xc nh tn thng thn hin c. eGFR cng l php o chc nng thn
tt nht. lc cu thn cng cao, thn lm vic cng tt. lc thng thng l khong 90-100 mililit
trn mt pht hoc 100 mL/pht.

Tht kh tnh ton chnh xc mc lm vic ca thn, v vy mt cng
thc c bit c xy dng c tnh GFR. Cng thc ny s dng
tui, gii tnh v mc cht thi c tn creatinine trong mu ca qu v c
tnh GFR. Thn thng loi b creatinine trong mu trc khi thi ra ngoi
qua nc tiu. Khi chc nng thn gim, c nhiu creatinine cn li trong
mu hn.

Nu bc s ca qu v ngh mt cuc xt nghim mu bit thm v chc
nng thn ca qu v, kt qu eGFR thng c phng th nghim bnh l t
ng cung cp.

Kt qu eGFR ca qu v gip bc s xc nh thn ca qu v ang lm vic
tt nh th no. Bc s cng c th xt nghim v cc du hiu v tnh trng
khc, gm albumin trong nc tiu (anbumin niu), mu trong nc tiu
(chng huyt niu), huyt p cao v bnh tiu ng. iu ny gip quyt nh liu qu v c b bnh thn
mn tnh khng. bit thm thng tin hy xem t thng tin Albumin niu/Protein niu, Mu trong Nc
Tiu v Bnh Tim v Bnh Thn Mn Tnh.


KT QU eGFR CA TI TRNG NH TH NO?
eGFR ca qu v c bo co theo mililit trn pht v hin th di dng mL/pht/1,73m
2
. GFR bnh
thng ln hn 90 mL/pht/1,73m
2
. Kt qu eGFR mc 90 hoc ln hn c th c hin th di dng
gi tr chnh xc hoc c th c bo co l eGFR > 90 mL/pht/1,73m
2
, ty thuc vo u tin ca phng
th nghim bnh l. Nu eGFR di 90, gi tr thc s c hin th.

V d: kt qu 105 c th c hin th l 105 mL/pht/1,73m
2
hoc l 90 mL/pht/1,73m
2
. Kt qu 67 s
c hin th l 67 mL/pht/1,73m
2
.


NU eGFR CA TI TRN 60 TH TH NO?
Nu kt qu ca qu v trn 60 mL/pht/1,73m
2
, chc nng thn ca qu v bnh thng hoc gn
mc bnh thng. Qu v vn c th c mt s tn thng thn hoc c nguy c mc bnh thn v
cn tip tc theo di, c bit l nu qu v c mt hoc nhiu yu t nguy c cao. Bc s ca qu v
cng c th thc hin mt s xt nghim v nc tiu ca qu v kim tra cc du hiu h tn
thn nh mu trong nc tiu (chng huyt niu) hoc protein trong nc tiu (albumin niu). Ngay
c khi eGFR ca qu v trn 60 mL/pht/1,73m
2
, qu v vn c th c chn on mc bnh thn mn
tnh (CKD) nu qu v c cc du hiu h tn thn v nhng du hiu ny ko di hn ba thng. Nu
khng c du hiu h tn thn, bc s vn c th quyt nh theo di chc nng thn ca qu v v/hoc
tho lun v cc la chn li sng lnh mnh.
NU eGFR CA TI DI 60 TH TH NO?
Gi tr di 60 mL/pht/1,73m
2
, cho thy vic mt phn no chc nng thn. xc nhn iu ny, bc s
ca qu v rt c th s lp li xt nghim mu. Theo di cc thay i i vi eGFR ca qu v cng cho
bc s bit tnh trng ca qu v ang tin trin nhanh hay chm n mc no.

KidneyHealthAustralia trang2/2

c chn on mc CKD, qu v phi c GFR di 60 mL/pht/1,73m
2
trong khong thi gian hn ba
thng hoc mt s du hiu khc v tn thng thn (nh albumin niu, huyt niu hoc kt qu siu m
hoc sinh thit thn bt thng).


BNH THN MN TNH C NHNG GIAI ON NO?
Chc nng thn c th c phn loi thnh cc giai on ty thuc vo eGFR ca qu v.

Giai on 1: GFR bnh thng ln hn hoc bng 90 mL/pht/1,73m
2

Giai on 2:
GFR gim nh trong khong 60-89 mL/pht/1,73m
2


Nu chc nng thn ca qu v giai on 1 hoc 2, qu v ch b Bnh Thn Mn Tnh nu mc albumin
niu, chng huyt niu, bnh l bt thng hoc cu trc bt thng.
Giai on 3a: GFR gim nh-va trong khong 45-59 mL/pht/1,73m
2

Giai on 3b: GFR gim va-mnh trong khong 30-44 mL/pht/1,73m
2

Giai on 4: Gim mnh GFR trong khong 15-29 mL/pht/1,73m
2

Giai on 5: Suy thn khi GFR gim xung di mc 15 mL/pht/1,73m
2
hoc bt u thm tch

eGFR v kt qu albumin niu c kt hp cung cp hnh nh tng quan v vic thn ca qu v
ang lm vic tt nh th no. Bc s ca qu v s s dng thng tin ny quyt nh phng
php iu tr tt nht cho qu v. Phng php iu tr cng ph thuc vo nguyn nhn gy tn
thng thn ca qu v. Kim sot bnh tiu ng v huyt p cao c th gip lm chm hoc
phng nga tn thng thn nng hn. iu ny cng lm gim nguy c mc cc vn khc v sc
khe, nh au tim v t qu. Hy xem t thng tin Bnh Thn Mn Tnh bit thm thng tin.



QU V C CN THM THNG TIN KHNG?
bit thm thng tin v sc khe thn hoc ch ny, vui lng lin h Kidney Health Australia: ng Dy
Thng Tin v Thn (gi min ph) theo s 1800 4 543 639 hoc truy cp trang web www.kidney.org.au

Bin Son thng 11 nm 2012


Ti liu ny nhm mc ch gii thiu chung v ch ny v khng phi thay th li khuyn ca bc s hoc
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ni bnh nhn sinh sng. Nu qu v cn thm thng tin, hy lun hi bc s hoc chuyn gia y t ca qu v.
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dng ti liu ny.