<\/span><\/h3>\nB\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, v\u1ec1 m\u1eb7t y t\u1ebf \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, l\u00e0 m\u1ed9t b\u1ec7nh chuy\u1ec3n h\u00f3a m\u00e3n t\u00ednh r\u1ea5t ph\u1ed5 bi\u1ebfn. Trong b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, c\u01a1 th\u1ec3 m\u1ea5t kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng ho\u1eb7c s\u1ea3n xu\u1ea5t hormone insulin \u0111\u00fang c\u00e1ch.<\/span><\/p>\nB\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f2n c\u00f3 ngh\u0129a l\u00e0 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u qu\u00e1 cao v\u00ec nhi\u1ec1u l\u00fd do. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng trong c\u01a1 th\u1ec3, bao g\u1ed3m m\u1eaft, th\u1eadn, d\u00e2y th\u1ea7n kinh v\u00e0 tim.<\/span><\/p>\n<\/span>V\u1eady d\u1ea5u hi\u1ec7u nh\u1eadn bi\u1ebft nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng t\u1eeb \u0111\u00e2u?<\/span><\/span><\/h3>\n\u1ede b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2, c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ea5t nh\u1eb9 n\u00ean b\u1ec7nh nh\u00e2n kh\u00f3 c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y ch\u00fang.\u00a0<\/span><\/p>\nC\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng bao g\u1ed3m:<\/span><\/p>\n\n- Kh\u00e1t n\u01b0\u1edbc<\/span><\/li>\n
- \u0110i ti\u1ec3u nhi\u1ec1u<\/span><\/li>\n
- M\u1edd m\u1eaft<\/span><\/li>\n
- B\u01b0\u1edbng b\u1ec9nh<\/span><\/li>\n
- Ng\u1ee9a ran ho\u1eb7c t\u00ea \u1edf b\u00e0n tay v\u00e0 b\u00e0n ch\u00e2n<\/span><\/li>\n
- M\u1ec7t<\/span><\/li>\n
- V\u1ebft th\u01b0\u01a1ng kh\u00f4ng l\u00e0nh<\/span><\/li>\n
- Nhi\u1ec5m n\u1ea5m men<\/span><\/li>\n
- Gi\u1ea3m c\u00e2n d\u1ec5 d\u00e0ng<\/span><\/li>\n
- Nhi\u1ec5m tr\u00f9ng nhi\u1ec1u h\u01a1n<\/span><\/li>\n
- C\u1ea3m th\u1ea5y \u0111\u00f3i<\/li>\n
- Da s\u1eabm m\u00e0u, s\u1ea7n s\u00f9i \u1edf c\u1ed5 v\u00e0 n\u00e1ch (s\u1ea9n \u0111en)<\/span><\/li>\n<\/ul>\n
\u1ede b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng t\u00fdp 1, b\u1ec7nh c\u00f3 4 tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh, lan r\u1ed9ng v\u00e0 n\u1eb7ng: \u0103n nhi\u1ec1u, u\u1ed1ng nhi\u1ec1u, ti\u1ec3u nhi\u1ec1u v\u00e0 s\u00fat c\u00e2n nhanh. Ngo\u00e0i ra, b\u1ec7nh c\u00f3 th\u1ec3 k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/span><\/p>\n\n- M\u1ec7t m\u1ecfi, m\u1edd m\u1eaft<\/span><\/li>\n
- Th\u01b0\u1eddng xuy\u00ean b\u1ecb nhi\u1ec5m tr\u00f9ng da, \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u ho\u1eb7c \u00e2m \u0111\u1ea1o<\/span><\/li>\n
- D\u1ec5 c\u00e1u k\u1ec9nh v\u00e0 thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng<\/span><\/li>\n
- T\u00e1i ph\u00e1t \u0111\u00e1i d\u1ea7m ban \u0111\u00eam \u1edf tr\u1ebb em m\u00e0 tr\u01b0\u1edbc \u0111\u00f3 kh\u00f4ng x\u1ea3y ra<\/span><\/li>\n
- D\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o nghi\u00eam tr\u1ecdng h\u01a1n: b\u1ed3n ch\u1ed3n, l\u00fa l\u1eabn. Th\u1edf nhanh v\u00e0 s\u00e2u. H\u01a1i th\u1edf c\u00f3 m\u00f9i tr\u00e1i c\u00e2y (m\u00f9i t\u00e1o ch\u00edn…), \u0111au d\u1ea1 d\u00e0y, m\u1ea5t \u00fd th\u1ee9c (hi\u1ebfm g\u1eb7p).<\/span><\/li>\n<\/ul>\n
C\u0169ng gi\u1ed1ng nh\u01b0 c\u00e1c b\u1ec7nh kh\u00f3 ph\u00e1t hi\u1ec7n kh\u00e1c nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2, ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua vi\u1ec7c thai ph\u1ee5 \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 l\u00e0:<\/span><\/p>\n\n- \u0110i ti\u1ec3u nhi\u1ec1u l\u1ea7n trong ng\u00e0y<\/span><\/li>\n
- M\u1ec7t<\/span><\/li>\n
- M\u1edd m\u1eaft<\/span><\/li>\n
- Kh\u00e1t n\u01b0\u1edbc dai d\u1eb3ng<\/span><\/li>\n
- Bu\u1ed3n ng\u1ee7<\/span><\/li>\n
- T\u0103ng c\u00e2n nhanh h\u01a1n khuy\u1ebfn ngh\u1ecb<\/span><\/li>\n<\/ul>\n
<\/p>\n
<\/span>Nguy c\u01a1 d\u1ec5 b\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng?<\/span><\/span><\/h2>\nS\u00e0ng l\u1ecdc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1. B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/span><\/p>\nNh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 (v\u00ed d\u1ee5: anh ch\u1ecb em ru\u1ed9t v\u00e0 tr\u1ebb em m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a kh\u00e1ng th\u1ec3 \u0111\u1ea3o t\u1ee5y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e2m s\u00e0ng ho\u1eb7c decarboxylase ch\u1ed1ng glutamate. Tuy nhi\u00ean, kh\u00f4ng c\u00f3 chi\u1ebfn l\u01b0\u1ee3c ph\u00f2ng ng\u1eeba n\u00e0o cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh, v\u00ec v\u1eady vi\u1ec7c ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 \u0111\u01b0\u1ee3c d\u00e0nh ri\u00eang cho c\u00e1c c\u01a1 s\u1edf nghi\u00ean c\u1ee9u.<\/span><\/p>\nC\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro \u0111\u1ed1i v\u1edbi b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2 bao g\u1ed3m:<\/span><\/p>\n\n- Tu\u1ed5i 45+<\/span><\/li>\n
- Th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec<\/span><\/li>\n
- L\u1ed1i s\u1ed1ng \u00edt v\u1eadn \u0111\u1ed9ng<\/span><\/li>\n
- Ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/li>\n
- Ti\u1ec1n s\u1eed r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a \u0111\u01b0\u1eddng huy\u1ebft<\/span><\/li>\n
- Ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 ho\u1eb7c c\u00e2n n\u1eb7ng sau sinh > 4,1 kg<\/span><\/li>\n
- Ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p<\/span><\/li>\n
- R\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u (HDL cholesterol < 35 mg\/dL [0,9 mmol\/L] ho\u1eb7c m\u1ee9c ch\u1ea5t b\u00e9o trung t\u00ednh > 250 mg\/dL [2,8 mmol\/L])<\/span><\/li>\n
- Ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch<\/span><\/li>\n
- H\u1ed9i ch\u1ee9ng PCO<\/span><\/li>\n
- D\u00e2n t\u1ed9c: Da \u0111en, T\u00e2y Ban Nha, M\u1ef9 g\u1ed1c \u00c1 ho\u1eb7c \u1ea4n \u0110\u1ed9<\/span><\/li>\n<\/ul>\n
Nh\u1eefng ng\u01b0\u1eddi t\u1eeb 45 tu\u1ed5i tr\u1edf l\u00ean v\u00e0 t\u1ea5t c\u1ea3 ng\u01b0\u1eddi l\u1edbn c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00eau tr\u00ean n\u00ean \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc \u00edt nh\u1ea5t 3 n\u0103m m\u1ed9t l\u1ea7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng huy\u1ebft t\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng v\u1edbi ph\u00e9p \u0111o \u0111\u01b0\u1eddng huy\u1ebft OGTT l\u00e0 75 g \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i, HbA1C ho\u1eb7c \u0111\u01b0\u1eddng huy\u1ebft 2 gi\u1edd cho b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. Ki\u1ec3m tra h\u00e0ng n\u0103m \u0111\u1ec3 bi\u1ebft k\u1ebft qu\u1ea3 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i th\u1ea5p h\u01a1n.<\/p>\n
<\/span>C\u00e1c lo\u1ea1i b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng th\u01b0\u1eddng th\u1ea5y<\/span><\/h2>\n<\/span>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1<\/span><\/span><\/h3>\nB\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 l\u00e0 m\u1ed9t b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch trong \u0111\u00f3 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 t\u1ea5n c\u00f4ng tuy\u1ebfn t\u1ee5y ch\u1ee9 kh\u00f4ng ph\u1ea3i c\u00e1c y\u1ebfu t\u1ed1 b\u00ean ngo\u00e0i. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn kh\u00f4ng \u0111\u1ee7 insulin v\u00e0 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao<\/span><\/p>\n\u1ede b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 1, c\u00e1c tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n s\u1edbm. Nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 hi\u1ec7n ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft. Tuy nhi\u00ean, c\u00e1c b\u00e1c s\u0129 cho r\u1eb1ng nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 c\u00f3 th\u1ec3 l\u00e0 do di truy\u1ec1n ho\u1eb7c do m\u00f4i tr\u01b0\u1eddng. B\u1ea1n c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 1 cao h\u01a1n n\u1ebfu b\u1ea1n thu\u1ed9c b\u1ea5t k\u1ef3 tr\u01b0\u1eddng h\u1ee3p n\u00e0o sau \u0111\u00e2y:<\/span><\/p>\n\n- M\u1eb9 ho\u1eb7c anh ch\u1ecb em m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1<\/span><\/li>\n
- C\u00f3 kh\u00e1ng th\u1ec3 ti\u1ec3u \u0111\u01b0\u1eddng trong c\u01a1 th\u1ec3<\/span><\/li>\n
- Thi\u1ebfu vitamin D, u\u1ed1ng s\u1eefa ho\u1eb7c s\u1eefa b\u1ed9t s\u1edbm, \u0103n d\u1eb7m d\u01b0\u1edbi 4 th\u00e1ng tu\u1ed5i<\/span><\/li>\n<\/ul>\n
<\/span>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2<\/span><\/span><\/h3>\n\u0110\u00e2y l\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f4ng ph\u1ee5 thu\u1ed9c insulin v\u00e0 l\u00e0 d\u1ea1ng ti\u1ec3u \u0111\u01b0\u1eddng ph\u1ed5 bi\u1ebfn nh\u1ea5t hi\u1ec7n nay. B\u1ec7nh th\u01b0\u1eddng x\u1ea3y ra \u1edf ng\u01b0\u1eddi l\u1edbn, nh\u01b0ng khi t\u1ef7 l\u1ec7 b\u00e9o ph\u00ec ng\u00e0y c\u00e0ng t\u0103ng th\u00ec t\u1ef7 l\u1ec7 b\u00e9o ph\u00ec \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i c\u0169ng t\u0103ng theo.<\/span><\/p>\n\u1ede b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2, c\u00e1c t\u1ebf b\u00e0o kh\u00e1ng insulin v\u00e0 tuy\u1ebfn t\u1ee5y kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin \u0111\u1ec3 cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng cho c\u01a1 th\u1ec3. Thay v\u00ec di chuy\u1ec3n \u0111\u1ec3 t\u1ea1o ra n\u0103ng l\u01b0\u1ee3ng cho c\u01a1 th\u1ec3, \u0111\u01b0\u1eddng s\u1ebd t\u00edch t\u1ee5 trong m\u00e1u.<\/span><\/p>\n
<\/p>\n
<\/span>Ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3<\/span><\/span><\/h3>\nTi\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 l\u00e0 m\u1ed9t lo\u1ea1i b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng x\u1ea3y ra trong th\u1eddi k\u1ef3 mang thai \u1edf ph\u1ee5 n\u1eef. C\u0103n b\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 cho c\u1ea3 m\u1eb9 v\u00e0 con. Tuy nhi\u00ean, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3 th\u01b0\u1eddng s\u1ebd kh\u1ecfi sau khi m\u1eb9 sinh con.<\/span><\/p>\n<\/span>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/span><\/h2>\nC\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng bao g\u1ed3m:<\/span><\/p>\n\n- Kh\u00e1t n\u01b0\u1edbc c\u1ef1c \u0111\u1ed9. C\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea3y n\u01b0\u1edbc nhi\u1ec1u.<\/span><\/li>\n
- \u0110i ti\u1ec3u nhi\u1ec1u, c\u00f3 khi h\u00e0ng gi\u1edd, c\u00f2n g\u1ecdi l\u00e0 \u0111a ni\u1ec7u.<\/span><\/li>\n
- S\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/span><\/li>\n
- C\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 th\u1edd \u01a1.<\/span><\/li>\n<\/ul>\n
B\u1ea1n c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/span><\/p>\n\n- Bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n m\u1eeda.<\/span><\/li>\n
- M\u1edd m\u1eaft;\u00a0<\/span><\/li>\n
- Th\u01b0\u1eddng xuy\u00ean b\u1ecb vi\u00eam nhi\u1ec5m v\u00f9ng k\u00edn \u1edf ph\u1ee5 n\u1eef.<\/span><\/li>\n
- Nhi\u1ec5m tr\u00f9ng n\u1ea5m men ho\u1eb7c n\u1ea5m candida.<\/span><\/li>\n
- Kh\u00f4 mi\u1ec7ng.<\/span><\/li>\n
- Ch\u1eadm l\u00e0nh v\u1ebft th\u01b0\u01a1ng v\u00e0 v\u1ebft c\u1eaft.<\/span><\/li>\n
- Ng\u1ee9a da, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf v\u00f9ng b\u1eb9n ho\u1eb7c \u00e2m \u0111\u1ea1o.<\/span><\/li>\n<\/ul>\n
<\/span>Nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/h2>\nNguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1, tu\u00fdp 2 v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3<\/span><\/p>\n\u0110\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c t\u1ea1i sao m\u00ecnh b\u1ecb b\u1ec7nh, \u0111\u1ea7u ti\u00ean b\u1ea1n ph\u1ea3i hi\u1ec3u \u0111\u01b0\u1ee3c qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a glucose trong c\u01a1 th\u1ec3.<\/span><\/p>\n<\/span>Qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a glucozo<\/span><\/span><\/h3>\nGlucose l\u00e0 m\u1ed9t ch\u1ea5t thi\u1ebft y\u1ebfu cho c\u01a1 th\u1ec3 v\u00e0 \u0111\u00f3ng vai tr\u00f2 l\u00e0 ngu\u1ed3n n\u0103ng l\u01b0\u1ee3ng cho c\u00e1c t\u1ebf b\u00e0o c\u01a1 v\u00e0 m\u00f4, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u00e3o. Glucose c\u00f3 trong th\u1ee9c \u0103n v\u00e0 \u0111\u01b0\u1ee3c d\u1ef1 tr\u1eef trong gan (\u0111\u1ec3 t\u1ea1o ra glycogen). <\/span><\/p>\nKhi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u gi\u1ea3m do ch\u00e1n \u0103n, gan s\u1ebd ph\u00e2n h\u1ee7y c\u00e1c ph\u00e2n t\u1eed glycogen th\u00e0nh glucose \u0111\u1ec3 c\u00e2n b\u1eb1ng l\u1ea1i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. M\u00e1u h\u1ea5p th\u1ee5 glucose v\u00e0 g\u1eedi n\u00f3 \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o c\u1ee7a c\u01a1 th\u1ec3. <\/span><\/p>\nTuy nhi\u00ean, c\u00e1c t\u1ebf b\u00e0o n\u00e0y kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng tr\u1ef1c ti\u1ebfp lo\u1ea1i \u201cnhi\u00ean li\u1ec7u\u201d n\u00e0y m\u00e0 c\u1ea7n c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a m\u1ed9t lo\u1ea1i hormone c\u00f3 t\u00ean l\u00e0 insulin (do tuy\u1ebfn t\u1ee5y ti\u1ebft ra). S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a insulin l\u00e0m cho glucose \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 b\u1edfi c\u00e1c t\u1ebf b\u00e0o, l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. Th\u1ee9 hai, khi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u gi\u1ea3m, qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t insulin c\u1ee7a tuy\u1ebfn t\u1ee5y c\u0169ng gi\u1ea3m theo. <\/span><\/p>\nKhi qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a n\u00e0y b\u1ea5t th\u01b0\u1eddng, glucose kh\u00f4ng th\u1ec3 \u0111i v\u00e0o t\u1ebf b\u00e0o \u0111\u1ec3 cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng. \u0110i\u1ec1u n\u00e0y \u0111\u1ec3 l\u1ea1i \u0111\u01b0\u1eddng trong m\u00e1u. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u00e0y t\u00edch t\u1ee5 theo th\u1eddi gian, d\u1eabn \u0111\u1ebfn l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n<\/span>Nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1<\/span><\/span><\/h3>\nB\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1: C\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u1ecb th\u00e0nh ni\u00ean, lo\u1ea1i n\u00e0y x\u1ea3y ra khi tuy\u1ebfn t\u1ee5y kh\u00f4ng th\u1ec3 t\u1ef1 s\u1ea3n xu\u1ea5t insulin. Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 ph\u1ee5 thu\u1ed9c insulin su\u1ed1t \u0111\u1eddi v\u00e0 c\u1ea7n d\u00f9ng insulin nh\u00e2n t\u1ea1o m\u1ed7i ng\u00e0y \u0111\u1ec3 t\u1ed3n t\u1ea1i.<\/span><\/p>\nCho \u0111\u1ebfn nay, c\u00e1c b\u00e1c s\u0129 v\u1eabn ch\u01b0a th\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 g\u00e2y ra, nh\u01b0ng ph\u1ea7n l\u1edbn l\u00e0 do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch th\u01b0\u1eddng ch\u1ed1ng l\u1ea1i vi khu\u1ea9n v\u00e0 vi r\u00fat c\u00f3 h\u1ea1i, k\u00edch ho\u1ea1t nh\u1ea7m c\u00e1c t\u1ebf b\u00e0o beta s\u1ea3n xu\u1ea5t insulin \u0111\u1ec3 t\u1ea5n c\u00f4ng v\u00e0 ti\u00eau di\u1ec7t. C\u00e1c t\u1ebf b\u00e0o c\u1ee7a tuy\u1ebfn t\u1ee5y b\u1ecb h\u01b0 h\u1ea1i, v\u00e0 k\u1ebft qu\u1ea3 l\u00e0 c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin ho\u1eb7c kh\u00f4ng th\u1ec3 s\u1ea3n xu\u1ea5t n\u00f3. V\u00ec v\u1eady, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng t\u1ef1 mi\u1ec5n d\u1ecbch.<\/span><\/p>\nNguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 l\u00e0 do c\u01a1 th\u1ec3 ti\u1ebfp x\u00fac v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i vi-r\u00fat, ch\u1eb3ng h\u1ea1n nh\u01b0 vi-r\u00fat Epstein-Barr, Coxsackievirus, cytomegalovirus v\u00e0 vi-r\u00fat quai b\u1ecb, nh\u1eefng vi-r\u00fat n\u00e0y ph\u00e1 h\u1ee7y ho\u1eb7c l\u00e2y nhi\u1ec5m tr\u1ef1c ti\u1ebfp c\u00e1c t\u1ebf b\u00e0o \u0111\u1ea3o t\u1ee5y.<\/span><\/p>\nC\u00e1c nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00e1c c\u1ee7a lo\u1ea1i 1 bao g\u1ed3m c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c nh\u01b0 x\u01a1 nang \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tuy\u1ebfn t\u1ee5y, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn t\u1ee5y v\u00e0 vi\u00eam n\u1eb7ng (s\u01b0ng, vi\u00eam) tuy\u1ebfn t\u1ee5y. Nh\u1eefng th\u1ee9 n\u00e0y c\u0169ng c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng b\u1eb1ng c\u00e1ch l\u00e0m h\u1ecfng tuy\u1ebfn t\u1ee5y.<\/span><\/p>\nNguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 c\u00f3 th\u1ec3 do di truy\u1ec1n. N\u1ebfu c\u1ea3 b\u1ed1 v\u00e0 m\u1eb9 trong gia \u0111\u00ecnh m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1, h\u1ecd c\u00f3 30% kh\u1ea3 n\u0103ng truy\u1ec1n b\u1ec7nh cho con c\u00e1i. N\u1ebfu ch\u1ec9 c\u00f3 b\u1ed1 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u00ec kh\u1ea3 n\u0103ng sinh con b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 kho\u1ea3ng 6%, n\u1ebfu ch\u1ec9 c\u00f3 m\u1eb9 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng th\u00ec nguy c\u01a1 l\u00e0 4% v\u00e0 n\u1ebfu ng\u01b0\u1eddi ph\u1ee5 n\u1eef tr\u00ean 25 tu\u1ed5i th\u00ec nguy c\u01a1 l\u00e0 1%.<\/span><\/p>\n
<\/p>\n
<\/span>Nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2<\/span><\/span><\/h3>\nC\u00f3 t\u1edbi 85% ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2. B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 l\u00e0 do c\u01a1 th\u1ec3 kh\u00e1ng insulin ho\u1eb7c do tuy\u1ebfn t\u1ee5y kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin \u0111\u1ec3 v\u1eadn chuy\u1ec3n glucose \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o. Kh\u00f4ng gi\u1ed1ng nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 v\u1eabn c\u00f3 th\u1ec3 s\u1ea3n xu\u1ea5t insulin, nh\u01b0ng c\u00e1c t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3 kh\u00f4ng ph\u1ea3n \u1ee9ng hi\u1ec7u qu\u1ea3. \u0110\u00e2y l\u00e0 d\u1ea1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 c\u00f3 li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi b\u1ec7nh b\u00e9o ph\u00ec.<\/span><\/p>\nB\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 l\u00e0 do s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n v\u00e0 l\u1ed1i s\u1ed1ng. Nguy\u00ean nh\u00e2n b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 bao g\u1ed3m:<\/span><\/p>\n\n- Th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec: C\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2. Ng\u01b0\u1eddi b\u00e9o ph\u00ec c\u00f3 t\u00ecnh tr\u1ea1ng kh\u00e1ng insulin trong c\u01a1 th\u1ec3 n\u00ean t\u1ebf b\u00e0o c\u1ee7a h\u1ecd ch\u1ed1ng l\u1ea1i t\u00e1c d\u1ee5ng c\u1ee7a insulin \u0111\u1ed1i v\u1edbi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. <\/span><\/li>\n