{"id":23147,"date":"2023-08-09T12:44:45","date_gmt":"2023-08-09T19:44:45","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/?p=23147"},"modified":"2024-10-25T13:47:54","modified_gmt":"2024-10-25T20:47:54","slug":"tpn-and-hyperglycemia","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/","title":{"rendered":"TPN v\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">N\u1ebfu b\u1ea1n ho\u1eb7c ng\u01b0\u1eddi th\u00e2n c\u1ee7a b\u1ea1n \u0111ang nh\u1eadn \u0111\u01b0\u1ee3c <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/a-complete-guide-to-tpn-therapy\/\">dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n (TPN)<\/a>\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ea1n ph\u1ea3i nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c nh\u1eefng r\u1ee7i ro v\u00e0 bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n li\u00ean quan \u0111\u1ebfn li\u1ec7u ph\u00e1p n\u00e0y. M\u1eb7c d\u00f9 TPN \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a b\u1ec7nh nh\u00e2n suy dinh d\u01b0\u1ee1ng, nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 \u0103n u\u1ed1ng, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u2014 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111\u1eb7c tr\u01b0ng b\u1edfi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao b\u1ea5t th\u01b0\u1eddng.&nbsp;<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-8742065f64d078c78fa06e945fed8cf4\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tLu\u00f4n lu\u00f4n c\u00f3 s\u1eb5n\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"cta__sub__heading\">\n\t\t\t\t\t\t\tKho \u0111\u1ea7y \u0111\u1ee7 c\u00e1c lo\u1ea1i d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch, s\u1eb5n s\u00e0ng ph\u1ee5c v\u1ee5 b\u1ea1n\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">B\u1eaft \u0111\u1ea7u<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<p><span style=\"font-weight: 400;\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 bi\u1ebfn ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf nh\u1eefng ng\u01b0\u1eddi d\u00f9ng TPN. N\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf <\/span><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fcdhc.2022.829412\/full#:~:text=The%20blood%20glucose%20target%20for,be%20adequately%20controlled%20using%20insulin.\"><span style=\"font-weight: 400;\">g\u1ea7n m\u1ed9t n\u1eeda s\u1ed1 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN <\/span><\/a><span style=\"font-weight: 400;\">li\u1ec7u ph\u00e1p<\/span><span style=\"font-weight: 400;\">. H\u01a1n n\u1eefa, m\u1ed9t <\/span><a href=\"https:\/\/www.researchgate.net\/publication\/233881350_Parenteral_Nutrition-Associated_Hyperglycemia_in_Non-Critically_III_Inpatients_Increases_the_Risk_of_In-Hospital_Mortality_Multicenter_Study\"><span style=\"font-weight: 400;\">nghi\u00ean c\u1ee9u nghi\u00ean c\u1ee9u<\/span><\/a><span style=\"font-weight: 400;\"> \u0111\u01b0\u1ee3c c\u00f4ng b\u1ed1 tr\u00ean Diabetes Care cho th\u1ea5y nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb b\u1ec7nh n\u1eb7ng b\u1ecb t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN c\u00f3 nguy c\u01a1 t\u1eed vong (t\u1eed vong) trong th\u1eddi gian n\u1eb1m vi\u1ec7n cao h\u01a1n g\u1ea5p n\u0103m l\u1ea7n.&nbsp;&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang t\u00f4i s\u1ebd t\u00ecm hi\u1ec3u m\u1ed1i quan h\u1ec7 gi\u1eefa TPN v\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, c\u00e1c nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n v\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c th\u1ef1c t\u1ebf \u0111\u1ec3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cho b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN.<\/span><\/p>\n\n\n\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Chuy\u1ec3n \u0111\u1ed5i m\u1ee5c l\u1ee5c\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Chuy\u1ec3n \u0111\u1ed5i<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Understanding_TPN_and_Its_Role_in_Hyperglycemia\" >Hi\u1ec3u v\u1ec1 TPN v\u00e0 vai tr\u00f2 c\u1ee7a n\u00f3 trong b\u1ec7nh t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Link_of_TPN_with_Hyperglycemia\" >Li\u00ean k\u1ebft c\u1ee7a TPN v\u1edbi ch\u1ee9ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#What_are_the_Potential_Causes_of_Hyperglycemia\" >Nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 g\u00ec?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#High_Glucose_Concentration\" >N\u1ed3ng \u0111\u1ed9 Glucose cao<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Stress\" >Nh\u1ea5n m\u1ea1nh<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Insulin_Resistance\" >Kh\u00e1ng insulin<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Inadequate_Insulin_Supply\" >Cung c\u1ea5p Insulin kh\u00f4ng \u0111\u1ee7<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Underlying_Medical_Conditions\" >T\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ti\u1ec1m \u1ea9n<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#How_To_Manage_or_Prevent_Hyperglycemia_During_TPN\" >C\u00e1ch ki\u1ec3m so\u00e1t ho\u1eb7c ng\u0103n ng\u1eeba t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb TPN<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-and-hyperglycemia\/#Conclusion\" >Ph\u1ea7n k\u1ebft lu\u1eadn<\/a><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Understanding_TPN_and_Its_Role_in_Hyperglycemia\"><\/span>Hi\u1ec3u v\u1ec1 TPN v\u00e0 vai tr\u00f2 c\u1ee7a n\u00f3 trong b\u1ec7nh t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">TPN l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 cao \u0111\u1ec3 cung c\u1ea5p dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 cho b\u1ec7nh nh\u00e2n qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y bao g\u1ed3m vi\u1ec7c truy\u1ec1n m\u1ed9t lo\u1ea1i thu\u1ed1c chuy\u00ean bi\u1ec7t. <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/what-is-in-a-tpn-solution\/\">gi\u1ea3i ph\u00e1p<\/a> ch\u1ee9a carbohydrate, protein, ch\u1ea5t b\u00e9o, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t tr\u1ef1c ti\u1ebfp v\u00e0o m\u00e1u. M\u1eb7c d\u00f9 TPN r\u1ea5t c\u1ea7n thi\u1ebft cho nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 \u0103n ho\u1eb7c h\u1ea5p th\u1ee5 ch\u1ea5t dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng u\u1ed1ng, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a <\/span><b>t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/b><span style=\"font-weight: 400;\">, t\u00ecnh tr\u1ea1ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n cao tr\u01b0\u1edbc ho\u1eb7c sau khi d\u00f9ng TPN.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng TPN l\u00e0m t\u0103ng nguy c\u01a1 <\/span><span style=\"font-weight: 400;\">t\u1ed5n th\u01b0\u01a1ng th\u1eadn c\u1ea5p t\u00ednh<\/span><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/journals.lww.com\/md-journal\/Fulltext\/2018\/02090\/Hyperglycemia_is_associated_with_cardiac.2.aspx\"><span style=\"font-weight: 400;\">bi\u1ebfn ch\u1ee9ng tim<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/ccforum.biomedcentral.com\/articles\/10.1186\/cc6167\"><span style=\"font-weight: 400;\">nhi\u1ec5m tr\u00f9ng m\u00e1u (nhi\u1ec5m tr\u00f9ng huy\u1ebft)<\/span><\/a><span style=\"font-weight: 400;\">, V\u00e0 <\/span><a href=\"https:\/\/www.researchgate.net\/publication\/233881350_Parenteral_Nutrition-Associated_Hyperglycemia_in_Non-Critically_III_Inpatients_Increases_the_Risk_of_In-Hospital_Mortality_Multicenter_Study\"><span style=\"font-weight: 400;\">t\u1ef7 l\u1ec7 t\u1eed vong<\/span><\/a><span style=\"font-weight: 400;\">.&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Link_of_TPN_with_Hyperglycemia\"><\/span><b>Li\u00ean k\u1ebft c\u1ee7a TPN v\u1edbi ch\u1ee9ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa TPN v\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft b\u1eaft ngu\u1ed3n t\u1eeb h\u00e0m l\u01b0\u1ee3ng glucose cao c\u00f3 trong dung d\u1ecbch TPN. C\u00e1c c\u00f4ng th\u1ee9c gi\u00e0u glucose n\u00e0y c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng c\u1ee7a c\u01a1 th\u1ec3, nh\u01b0ng l\u01b0\u1ee3ng glucose d\u01b0 th\u1eeba c\u00f3 th\u1ec3 v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng \u0111i\u1ec1u h\u00f2a l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a c\u01a1 th\u1ec3, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy gi\u1ea3m s\u1ea3n xu\u1ea5t ho\u1eb7c gi\u1ea3m \u0111\u1ed9 nh\u1ea1y insulin.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00e1c nghi\u00ean c\u1ee9u, th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean v\u00e0 ph\u00e2n t\u00edch t\u1ed5ng h\u1ee3p \u0111\u00e3 b\u00e1o c\u00e1o m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa TPN v\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n. V\u00ed d\u1ee5, trong m\u1ed9t nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y <\/span><a href=\"https:\/\/www.jstage.jst.go.jp\/article\/jspen\/33\/4\/33_1038\/_article\/-char\/en\"><span style=\"font-weight: 400;\">h\u1ecdc<\/span><\/a><span style=\"font-weight: 400;\"> Trong nghi\u00ean c\u1ee9u tr\u00ean 88 b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng d\u00f9ng TPN, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u ph\u00e1t hi\u1ec7n 561 TP448T (49 tr\u01b0\u1eddng h\u1ee3p) b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft. Trong s\u1ed1 n\u00e0y, 701 TP448T x\u1ea3y ra trong tu\u1ea7n \u0111\u1ea7u ti\u00ean d\u00f9ng TPN. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n th\u1eadm ch\u00ed c\u00f2n b\u1ecb t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft dai d\u1eb3ng trong h\u01a1n 4 tu\u1ea7n k\u1ec3 t\u1eeb khi b\u1eaft \u0111\u1ea7u d\u00f9ng TPN.&nbsp;<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_are_the_Potential_Causes_of_Hyperglycemia\"><\/span>Nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n g\u00e2y t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft l\u00e0 g\u00ec?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">C\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft trong qu\u00e1 tr\u00ecnh TPN.&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"High_Glucose_Concentration\"><\/span><b>N\u1ed3ng \u0111\u1ed9 Glucose cao<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Dung d\u1ecbch TPN th\u01b0\u1eddng ch\u1ee9a l\u01b0\u1ee3ng glucose (dextrose) cao h\u01a1n m\u1ee9c c\u01a1 th\u1ec3 th\u01b0\u1eddng dung n\u1ea1p. L\u01b0\u1ee3ng glucose d\u01b0 th\u1eeba n\u00e0y v\u01b0\u1ee3t qu\u00e1 kh\u1ea3 n\u0103ng \u0111i\u1ec1u h\u00f2a \u0111\u01b0\u1eddng huy\u1ebft c\u1ee7a c\u01a1 th\u1ec3. Nh\u00ecn chung, \u0111\u01b0\u1eddng huy\u1ebft tr\u00ean 180 mg\/dl \u0111\u01b0\u1ee3c coi l\u00e0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft trong tr\u01b0\u1eddng h\u1ee3p d\u00f9ng TPN. Tuy nhi\u00ean, ph\u1ea1m vi \u0111\u01b0\u1eddng huy\u1ebft m\u1ee5c ti\u00eau c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 v\u00e0 khuy\u1ebfn ngh\u1ecb c\u1ee7a b\u00e1c s\u0129.&nbsp;<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Theo m\u1ed9t b\u00e1o c\u00e1o nghi\u00ean c\u1ee9u, m\u00e1u t\u0103ng cao <\/span><a href=\"https:\/\/diabetesjournals.org\/care\/article\/36\/5\/1061\/29736\/Parenteral-Nutrition-Associated-Hyperglycemia-in\"><span style=\"font-weight: 400;\">m\u1ee9c glucose tr\u00ean 180 mg\/dl g\u00e2y ra nguy c\u01a1 t\u1eed vong cao h\u01a1n cho b\u1ec7nh nh\u00e2n TPN<\/span><\/a><span style=\"font-weight: 400;\">. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 v\u1eady, m\u1ed9t c\u00e1i kh\u00e1c <\/span><a href=\"https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0002962915325659\"><span style=\"font-weight: 400;\">h\u1ecdc<\/span><\/a><span style=\"font-weight: 400;\"> cho th\u1ea5y nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u1eeb 137 mg\/dl tr\u1edf l\u00ean c\u00f3 nguy c\u01a1 t\u1eed vong cao g\u1ea5p 2 \u0111\u1ebfn 5 l\u1ea7n v\u00e0 t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng cao g\u1ea5p 4 \u0111\u1ebfn 5,5 l\u1ea7n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u d\u01b0\u1edbi 114 mg\/dl.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Stress\"><\/span><b>Nh\u1ea5n m\u1ea1nh<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">N\u1ed3ng \u0111\u1ed9 glucose m\u00e1u t\u0103ng cao c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra do c\u0103ng th\u1eb3ng trong th\u1eddi gian n\u1eb1m vi\u1ec7n. C\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 ph\u1eabu thu\u1eadt, b\u1ec7nh c\u1ea5p t\u00ednh v\u00e0 ch\u1ea5n th\u01b0\u01a1ng c\u0169ng l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 hormone c\u0103ng th\u1eb3ng nh\u01b0 cortisol v\u00e0 catecholamine, c\u0169ng nh\u01b0 c\u00e1c cytokine g\u00e2y vi\u00eam. C\u00e1c ch\u1ea5t trung gian g\u00e2y c\u0103ng th\u1eb3ng n\u00e0y can thi\u1ec7p v\u00e0o qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a carbohydrate (glucose), t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 glucose trong m\u00e1u, d\u1eabn \u0111\u1ebfn t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.&nbsp;<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-25d387cd3983393881cbcb338ca00b80\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tH\u1ecfi v\u1ec1 m\u00e1y truy\u1ec1n d\u1ecbch t\u1ea1i nh\u00e0 TPN\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"#form\">L\u00ean l\u1ecbch t\u01b0 v\u1ea5n<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Insulin_Resistance\"><\/span><b>Kh\u00e1ng insulin<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n \u0111ang s\u1eed d\u1ee5ng TPN c\u00f3 th\u1ec3 \u0111\u00e3 b\u1ecb kh\u00e1ng insulin t\u1eeb tr\u01b0\u1edbc, ngh\u0129a l\u00e0 c\u00e1c t\u1ebf b\u00e0o c\u1ee7a h\u1ecd kh\u00f4ng ph\u1ea3n \u1ee9ng hi\u1ec7u qu\u1ea3 v\u1edbi insulin, m\u1ed9t lo\u1ea1i hormone gi\u00fap c\u01a1 th\u1ec3 \u0111i\u1ec1u h\u00f2a l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. Kh\u00e1ng insulin c\u00f3 th\u1ec3 khi\u1ebfn vi\u1ec7c ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u tr\u1edf n\u00ean kh\u00f3 kh\u0103n h\u01a1n trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng TPN.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Inadequate_Insulin_Supply\"><\/span><b>Cung c\u1ea5p Insulin kh\u00f4ng \u0111\u1ee7<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">Nh\u00ecn chung, insulin c\u00f3 ch\u1ee9c n\u0103ng v\u1eadn chuy\u1ec3n glucose t\u1eeb m\u00e1u v\u00e0o t\u1ebf b\u00e0o \u0111\u1ec3 s\u1eed d\u1ee5ng n\u0103ng l\u01b0\u1ee3ng v\u00e0 d\u1ef1 tr\u1eef glucose d\u01b0 th\u1eeba \u1edf gan \u0111\u1ec3 s\u1eed d\u1ee5ng sau. Tuy nhi\u00ean, n\u1ebfu c\u01a1 th\u1ec3 kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 insulin ho\u1eb7c g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c s\u1eed d\u1ee5ng insulin, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u00f3 th\u1ec3 t\u0103ng cao, g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.&nbsp;<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Underlying_Medical_Conditions\"><\/span><b>T\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd ti\u1ec1m \u1ea9n<\/b><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd nh\u1ea5t \u0111\u1ecbnh, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, nhi\u1ec5m tr\u00f9ng huy\u1ebft ho\u1eb7c vi\u00eam t\u1ee5y, c\u00f3 th\u1ec3 g\u00e2y ra nguy c\u01a1 m\u1eafc ch\u1ee9ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft cao h\u01a1n trong qu\u00e1 tr\u00ecnh TPN.<\/span><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter\"><img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"425\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels.jpg\" alt=\"Visual representation showing blood glucose levels for hypoglycemia, normal and hyperglycemia\" class=\"wp-image-23149\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels.jpg 750w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels-300x170.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels-86x49.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels-167x95.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels-280x159.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/08\/blood-glucose-levels-370x210.jpg 370w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"How_To_Manage_or_Prevent_Hyperglycemia_During_TPN\"><\/span>C\u00e1ch ki\u1ec3m so\u00e1t ho\u1eb7c ng\u0103n ng\u1eeba t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb TPN<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft. B\u1eb1ng c\u00e1ch tu\u00e2n th\u1ee7 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c d\u01b0\u1edbi \u0111\u00e2y, b\u1ea1n v\u00e0 nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft:<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b>Theo d\u00f5i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u01b0\u1eddng xuy\u00ean:<\/b><span style=\"font-weight: 400;\"> Vi\u1ec7c theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft th\u01b0\u1eddng xuy\u00ean gi\u00fap c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111i\u1ec1u ch\u1ec9nh c\u1ea7n thi\u1ebft c\u00e1c ch\u1ebf ph\u1ea9m TPN, li\u1ec1u insulin v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p kh\u00e1c \u0111\u1ec3 duy tr\u00ec ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1i \u01b0u. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n \u0111ang d\u00f9ng TPN t\u1ea1i nh\u00e0, b\u1ea1n n\u00ean h\u1ecfi \u00fd ki\u1ebfn nh\u00e0 cung c\u1ea5p v\u1ec1 t\u1ea7n su\u1ea5t c\u1ea7n ki\u1ec3m tra \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/li>\n\n\n\n<li><b>C\u00f4ng th\u1ee9c TPN \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a:<\/b><span style=\"font-weight: 400;\"> C\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf ri\u00eang <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/what-is-in-a-tpn-solution\/\">Gi\u1ea3i ph\u00e1p TPN<\/a> theo nhu c\u1ea7u c\u1ee5 th\u1ec3 c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, bao g\u1ed3m \u0111i\u1ec1u ch\u1ec9nh n\u1ed3ng \u0111\u1ed9 glucose v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n dinh d\u01b0\u1ee1ng kh\u00e1c \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.&nbsp;&nbsp;<\/span><\/li>\n\n\n\n<li><b>Li\u1ec7u ph\u00e1p insulin:<\/b><span style=\"font-weight: 400;\"> Li\u1ec7u ph\u00e1p insulin c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN. D\u00f9 \u0111\u01b0\u1ee3c ti\u00eam d\u01b0\u1edbi da hay truy\u1ec1n t\u0129nh m\u1ea1ch, insulin \u0111\u1ec1u ki\u1ec3m so\u00e1t hi\u1ec7u qu\u1ea3 t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft. Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi \u0111i\u1ec3m ti\u00eam insulin \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u v\u00e0 nhu c\u1ea7u insulin c\u1ee7a t\u1eebng c\u00e1 nh\u00e2n.&nbsp;<\/span><\/li>\n<\/ul>\n\n\n\n<p><span style=\"font-weight: 400;\">V\u00ed d\u1ee5, n\u1ebfu m\u1ed9t b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng \u0111ang d\u00f9ng TPN v\u1edbi 150 gam \u0111\u1ebfn 300 gam carbohydrate m\u1ed7i ng\u00e0y, th\u00ec vi\u1ec7c b\u1ed5 sung insulin theo t\u1ef7 l\u1ec7 1 \u0111\u01a1n v\u1ecb tr\u00ean 11 gam dextrose c\u00f3 th\u1ec3 l\u00e0 b\u01b0\u1edbc kh\u1edfi \u0111\u1ea7u hi\u1ec7u qu\u1ea3 trong vi\u1ec7c ng\u0103n ng\u1eeba v\u00e0 gi\u1ea3m t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><b>Chuy\u1ec3n \u0111\u1ed5i d\u1ea7n d\u1ea7n:<\/b><span style=\"font-weight: 400;\"> Khi chuy\u1ec3n \u0111\u1ed5i t\u1eeb <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/tpn-solution\/tpn-vs-tube-feeding-how-are-they-different\/\">TPN \u0111\u1ec3 nu\u00f4i d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/a> (nu\u00f4i d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a), ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn d\u1ea7n d\u1ea7n gi\u00fap c\u01a1 th\u1ec3 th\u00edch nghi v\u1edbi s\u1ef1 thay \u0111\u1ed5i, gi\u1ea3m nguy c\u01a1 bi\u1ebfn \u0111\u1ed9ng glucose.<\/span><\/li>\n<\/ul>\n\n\n\n<div  id=\"call-to-action-1c64be9c934d81b3de58b12580d2fb5a\" style=\"\" class=\"ct_call_to_action\">\n\t<div class=\"container\">\n\t\t<div class=\"block-wrap cta\">\n\t\t\t<div class=\"block-column\">\n\t\t\t\t<div class=\"cta_headings\">\n\t\t\t\t\t\t\t\t\t\t\t<h4 class=\"cta__heading\">\n\t\t\t\t\t\t\tNh\u1eadn h\u1ed7 tr\u1ee3 t\u00e0i ch\u00ednh cho TPN\t\t\t\t\t\t<\/h4>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t\t<span class=\"cta_btn\">\n\t\t\t\t\t\t<a href=\"tel:8777780318\">(877) 778-0318<\/a>\n\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t<\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Conclusion\"><\/span>Ph\u1ea7n k\u1ebft lu\u1eadn<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, hay l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao, l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t li\u00ean quan \u0111\u1ebfn li\u1ec7u ph\u00e1p TPN. B\u1eb1ng c\u00e1ch hi\u1ec3u r\u00f5 nguy\u00ean nh\u00e2n v\u00e0 \u00e1p d\u1ee5ng c\u00e1c chi\u1ebfn l\u01b0\u1ee3c qu\u1ea3n l\u00fd hi\u1ec7u qu\u1ea3, b\u1ea1n v\u00e0 nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 duy tr\u00ec ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft t\u1ed1i \u01b0u v\u00e0 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft. B\u00ean c\u1ea1nh \u0111\u00f3, vi\u1ec7c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean, ch\u1ebf ph\u1ea9m TPN \u0111\u01b0\u1ee3c c\u00e1 th\u1ec3 h\u00f3a, li\u1ec7u ph\u00e1p insulin v\u00e0 chuy\u1ec3n d\u1ea7n t\u1eeb TPN sang nu\u00f4i \u0103n qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a l\u00e0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 then ch\u1ed1t \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng c\u1ee7a li\u1ec7u ph\u00e1p TPN \u0111\u1ed3ng th\u1eddi gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>N\u1ebfu b\u1ea1n ho\u1eb7c ng\u01b0\u1eddi th\u00e2n \u0111ang \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng ho\u00e0n to\u00e0n qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch (TPN), \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ea1n ph\u1ea3i nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c nh\u1eefng r\u1ee7i ro v\u00e0 bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n li\u00ean quan \u0111\u1ebfn li\u1ec7u ph\u00e1p n\u00e0y. M\u1eb7c d\u00f9 TPN \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 \u0111\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng c\u1ee7a b\u1ec7nh nh\u00e2n suy dinh d\u01b0\u1ee1ng, nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 \u0103n u\u1ed1ng, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft \u2014 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111\u1eb7c tr\u01b0ng b\u1edfi l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cao b\u1ea5t th\u01b0\u1eddng.\u00a0<\/p>","protected":false},"author":26,"featured_media":23148,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":true,"om_disable_all_campaigns":false,"_uag_custom_page_level_css":"","footnotes":""},"categories":[12],"tags":[32],"class_list":["post-23147","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-dr-robert-hakim"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>TPN and Hyperglycemia - AmeriPharma\u00ae Specialty Care<\/title>\n<meta name=\"description\" content=\"Learn about TPN and hyperglycemia. 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