{"id":23274,"date":"2023-09-01T10:41:23","date_gmt":"2023-09-01T17:41:23","guid":{"rendered":"https:\/\/ameripharmaspecialty.com\/?p=23274"},"modified":"2024-10-25T13:42:53","modified_gmt":"2024-10-25T20:42:53","slug":"metabolic-complications-of-tpn","status":"publish","type":"post","link":"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/metabolic-complications-of-tpn\/","title":{"rendered":"Bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a c\u1ee7a TPN"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">TPN, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <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 to\u00e0n ph\u1ea7n<\/a>, l\u00e0 li\u1ec7u ph\u00e1p thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch d\u00e0nh cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 ti\u00eau h\u00f3a b\u1ecb t\u1ed5n th\u01b0\u01a1ng (\u0111\u01b0\u1eddng ti\u00eau h\u00f3a) ho\u1eb7c kh\u00f4ng th\u1ec3 ti\u00eau th\u1ee5 th\u1ee9c \u0103n qua \u0111\u01b0\u1eddng mi\u1ec7ng. TPN ch\u1ee9a h\u1ed7n h\u1ee3p nhi\u1ec1u th\u00e0nh ph\u1ea7n kh\u00e1c nhau \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng ho\u1eb7c ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a m\u1ed9t ng\u01b0\u1eddi, bao g\u1ed3m carbohydrate, protein, ch\u1ea5t b\u00e9o, vitamin, kho\u00e1ng ch\u1ea5t v\u00e0 c\u00e1c nguy\u00ean t\u1ed1 vi l\u01b0\u1ee3ng kh\u00e1c.&nbsp;<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-4045e710c72d9de6ca6cb08086ce6b3c\" 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\tD\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch c\u00f3 s\u1eb5n \u0111\u1ea7y \u0111\u1ee7\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\tS\u1eb5n s\u00e0ng li\u00ean t\u1ee5c, ch\u0103m s\u00f3c kh\u00f4ng b\u1ecb gi\u00e1n \u0111o\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;\">Kh\u00f4ng c\u00f2n nghi ng\u1edd g\u00ec n\u1eefa, TPN l\u00e0 m\u1ed9t li\u1ec7u ph\u00e1p c\u1ee9u s\u1ed1ng, \u0111\u01b0a ch\u1ea5t dinh d\u01b0\u1ee1ng tr\u1ef1c ti\u1ebfp v\u00e0o m\u00e1u. Tuy nhi\u00ean, khi ph\u01b0\u01a1ng ph\u00e1p h\u1ea5p th\u1ee5 th\u1ee9c \u0103n v\u00e0 qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t \u0111\u1ed9t ng\u1ed9t thay \u0111\u1ed5i th\u00f4ng qua TPN, c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi s\u1ef1 thay \u0111\u1ed5i n\u00e0y. Li\u1ec7u ph\u00e1p TPN n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3 v\u00e0 vi\u1ec7c chuy\u1ec3n sang <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/enteral-vs-parenteral-nutrition-a-complete-guide\/\">li\u1ec7u ph\u00e1p \u0111\u01b0\u1eddng ru\u1ed9t (u\u1ed1ng, \u1ed1ng nu\u00f4i \u0103n)<\/a> n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t khi b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang t\u00f4i s\u1ebd th\u1ea3o lu\u1eadn v\u1ec1 4 bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u00f3 th\u1ec3 ph\u00e1t sinh v\u1edbi TPN, v\u00e0 c\u00e1ch b\u1ea1n c\u00f3 th\u1ec3 gi\u1ea3i quy\u1ebft ho\u1eb7c ng\u0103n ng\u1eeba ch\u00fang.&nbsp;<\/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\/metabolic-complications-of-tpn\/#What_Is_Meant_By_Metabolic_Complications_and_Why_They_Occur\" >Bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a c\u00f3 ngh\u0129a l\u00e0 g\u00ec v\u00e0 t\u1ea1i sao ch\u00fang x\u1ea3y ra<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/metabolic-complications-of-tpn\/#Top_4_Metabolic_Complications_of_TPN_And_How_To_Prevent_Them\" >4 bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a h\u00e0ng \u0111\u1ea7u c\u1ee7a TPN v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/metabolic-complications-of-tpn\/#Hyperglycemia_high_blood_glucose\" >T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft (\u0111\u01b0\u1eddng huy\u1ebft cao)&nbsp;&nbsp;<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/metabolic-complications-of-tpn\/#Electrolyte_Imbalance\" >M\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i<\/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\/metabolic-complications-of-tpn\/#Refeeding_Syndrome\" >H\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng&nbsp;<\/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\/metabolic-complications-of-tpn\/#Liver_Dysfunction\" >R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan&nbsp;<\/a><\/li><\/ul><\/li><\/ul><\/nav><\/div>\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"What_Is_Meant_By_Metabolic_Complications_and_Why_They_Occur\"><\/span>Bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a c\u00f3 ngh\u0129a l\u00e0 g\u00ec v\u00e0 t\u1ea1i sao ch\u00fang x\u1ea3y ra<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">Chuy\u1ec3n h\u00f3a l\u00e0 ph\u1ea3n \u1ee9ng h\u00f3a h\u1ecdc di\u1ec5n ra trong c\u01a1 th\u1ec3 ch\u00fang ta \u0111\u1ec3 chuy\u1ec3n h\u00f3a c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng c\u00f3 trong th\u1ee9c \u0103n th\u00e0nh n\u0103ng l\u01b0\u1ee3ng. Khi qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 b\u1ecb r\u1ed1i lo\u1ea1n do b\u1ea5t k\u1ef3 l\u00fd do n\u00e0o, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh t\u1eadt, \u0111i\u1ec1u tr\u1ecb, d\u00f9ng thu\u1ed1c, ho\u1eb7c b\u1ea5t k\u1ef3 y\u1ebfu t\u1ed1 b\u00ean ngo\u00e0i n\u00e0o kh\u00e1c, c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng, th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng ho\u1eb7c r\u1ed1i lo\u1ea1n n\u1ed3ng \u0111\u1ed9 ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, hormone, ch\u1ea5t dinh d\u01b0\u1ee1ng v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c c\u1ea7n thi\u1ebft cho c\u00e1c ch\u1ee9c n\u0103ng kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/other-health-conditions\/what-is-refeeding-syndrome\/\">h\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng<\/a>v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i.<\/span><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Top_4_Metabolic_Complications_of_TPN_And_How_To_Prevent_Them\"><\/span>4 bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a h\u00e0ng \u0111\u1ea7u c\u1ee7a TPN v\u00e0 c\u00e1ch ph\u00f2ng ng\u1eeba<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p><span style=\"font-weight: 400;\">4 bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a TPN l\u00e0:<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Hyperglycemia_high_blood_glucose\"><\/span><span style=\"font-weight: 400;\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft (\u0111\u01b0\u1eddng huy\u1ebft cao)&nbsp;&nbsp;<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignright\"><img loading=\"lazy\" decoding=\"async\" width=\"420\" height=\"280\" src=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test.jpg\" alt=\"Scientist hold a sample tube of Glucose test to measure TPN metabolic complications. \" class=\"wp-image-23277\" srcset=\"https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test.jpg 420w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test-300x200.jpg 300w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test-330x220.jpg 330w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test-86x57.jpg 86w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test-167x111.jpg 167w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test-280x187.jpg 280w, https:\/\/ameripharmaspecialty.com\/wp-content\/uploads\/2023\/09\/glucose-test-370x247.jpg 370w\" sizes=\"auto, (max-width: 420px) 100vw, 420px\" \/><\/figure>\n<\/div>\n\n\n<p><span style=\"font-weight: 400;\">Dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ho\u00e0n to\u00e0n th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng theo nhu c\u1ea7u ri\u00eang c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n. <a href=\"https:\/\/ameripharmaspecialty.com\/vi\/tpn\/what-is-in-a-tpn-solution\/\">Gi\u1ea3i ph\u00e1p TPN<\/a> ch\u1ee9a glucose, c\u00e1c ch\u1ebf ph\u1ea9m ti\u00eam truy\u1ec1n c\u00f3 h\u00e0m l\u01b0\u1ee3ng glucose cao h\u01a1n c\u00f3 th\u1ec3 l\u00e0m t\u0103ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n, d\u1eabn \u0111\u1ebfn t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 ng\u0103n ng\u1eeba ho\u1eb7c gi\u1ea3m nguy c\u01a1 t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, vi\u1ec7c theo d\u00f5i \u0111\u01b0\u1eddng huy\u1ebft trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng TPN v\u00e0 s\u1eed d\u1ee5ng c\u00e1c ch\u1ebf ph\u1ea9m c\u00f3 h\u00e0m l\u01b0\u1ee3ng glucose t\u1eeb th\u1ea5p \u0111\u1ebfn trung b\u00ecnh l\u00e0 r\u1ea5t quan tr\u1ecdng. N\u1ebfu t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft x\u1ea3y ra do s\u1eed d\u1ee5ng TPN, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u1ea5t \u0111\u1ecbnh, ch\u1eb3ng h\u1ea1n nh\u01b0 insulin, \u0111\u1ec3 gi\u1ea3m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng huy\u1ebft. Ngo\u00e0i ra, c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Electrolyte_Imbalance\"><\/span><span style=\"font-weight: 400;\">M\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">M\u1ed9t bi\u1ebfn ch\u1ee9ng chuy\u1ec3n h\u00f3a kh\u00e1c v\u00e0 c\u0169ng l\u00e0 m\u1ed1i lo ng\u1ea1i l\u1edbn li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng TPN l\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i. Vi\u1ec7c s\u1eed d\u1ee5ng TPN c\u00f3 th\u1ec3 l\u00e0m r\u1ed1i lo\u1ea1n n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong c\u01a1 th\u1ec3, nh\u01b0 canxi, natri, magi\u00ea v\u00e0 kali, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0: <a href=\"https:\/\/www.nhlbi.nih.gov\/health\/arrhythmias#:~:text=An%20arrhythmia%2C%20or%20irregular%20heartbeat,down%20while%20resting%20or%20sleeping.\">lo\u1ea1n nh\u1ecbp tim<\/a>, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh c\u01a1 v\u00e0 c\u00e1c b\u1ec7nh kh\u00e1c.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 ng\u0103n ng\u1eeba m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i, c\u1ea7n \u0111\u00e1nh gi\u00e1 ch\u1eb7t ch\u1ebd n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec7n gi\u1ea3i, theo d\u00f5i th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c c\u00f4ng th\u1ee9c theo t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u1edbi s\u1ef1 h\u1ee3p t\u00e1c c\u1ee7a b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129 v\u00e0 chuy\u00ean gia dinh d\u01b0\u1ee1ng.<\/span><\/p>\n\n\n\n<div  id=\"call-to-action-ee45a96aad45c0869b7516304ad2c676\" 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\tN\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t chuy\u00ean gia\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\tV\u1ec1 Tr\u1ee3 c\u1ea5p \u0111\u1ed3ng thanh to\u00e1n\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\">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=\"Refeeding_Syndrome\"><\/span><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng&nbsp;<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">H\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng chuy\u1ec3n h\u00f3a x\u1ea3y ra khi b\u1ec7nh nh\u00e2n b\u1ecb thi\u1ebfu h\u1ee5t ho\u1eb7c suy dinh d\u01b0\u1ee1ng nghi\u00eam tr\u1ecdng \u0111\u01b0\u1ee3c cung c\u1ea5p dinh d\u01b0\u1ee1ng qu\u00e1 m\u1ee9c m\u1ed9t c\u00e1ch nhanh ch\u00f3ng, ch\u1eb3ng h\u1ea1n nh\u01b0 trong tr\u01b0\u1eddng h\u1ee3p TPN ho\u1eb7c c\u00e1c h\u00ecnh th\u1ee9c \u0111i\u1ec1u tr\u1ecb dinh d\u01b0\u1ee1ng kh\u00e1c. H\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng g\u00e2y m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i v\u00e0 thi\u1ebfu h\u1ee5t vitamin, \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn co gi\u1eadt, h\u00f4n m\u00ea ho\u1eb7c th\u1eadm ch\u00ed t\u1eed vong.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">Do \u0111\u00f3, \u0111\u1ec3 ng\u0103n ng\u1eeba h\u1ed9i ch\u1ee9ng t\u00e1i nu\u00f4i d\u01b0\u1ee1ng, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i \u00e1p d\u1ee5ng li\u1ec7u ph\u00e1p dinh d\u01b0\u1ee1ng m\u1ed9t c\u00e1ch t\u1eeb t\u1eeb, ch\u1ee7 y\u1ebfu \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb thi\u1ebfu h\u1ee5t ho\u1eb7c suy dinh d\u01b0\u1ee1ng nghi\u00eam tr\u1ecdng, c\u0169ng nh\u01b0 nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 tr\u1ea3i qua ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang kh\u1eafc nghi\u1ec7t ho\u1eb7c nh\u1ecbn \u0111\u00f3i. Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng TPN, b\u00e1c s\u0129 ho\u1eb7c d\u01b0\u1ee3c s\u0129 ph\u1ea3i h\u1ecfi v\u1ec1 ti\u1ec1n s\u1eed s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n \u0111\u1ec3 ng\u0103n ng\u1eeba nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady x\u1ea3y ra.<\/span><\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Liver_Dysfunction\"><\/span><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan&nbsp;<\/span><span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan do TPN c\u00f3 th\u1ec3 x\u1ea3y ra do m\u1ea5t c\u00e2n b\u1eb1ng ch\u1ea5t b\u00e9o (lipid) v\u00e0 truy\u1ec1n qu\u00e1 nhi\u1ec1u glucose ho\u1eb7c lipid, c\u00f3 th\u1ec3 l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng gan c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/p>\n\n\n\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 gi\u1ea3m nguy c\u01a1 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan li\u00ean quan \u0111\u1ebfn TPN, c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe n\u00ean h\u1ea1n ch\u1ebf t\u1ed1i \u0111a vi\u1ec7c s\u1eed d\u1ee5ng v\u00e0 \u0111i\u1ec1u ch\u1ebf qu\u00e1 m\u1ee9c lipid v\u00e0 glucose trong li\u1ec7u ph\u00e1p TPN, \u0111\u1ed3ng th\u1eddi theo d\u00f5i ch\u1eb7t ch\u1ebd n\u1ed3ng \u0111\u1ed9 lipid v\u00e0 glucose trong gan \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng g\u00e2y t\u1ed5n th\u01b0\u01a1ng. Vi\u1ec7c chuy\u1ec3n sang ph\u01b0\u01a1ng ph\u00e1p dinh d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 suy gi\u1ea3m ch\u1ee9c n\u0103ng gan \u1edf b\u1ec7nh nh\u00e2n.<\/span><\/p>","protected":false},"excerpt":{"rendered":"<p>TPN, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 dinh d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u00e0n to\u00e0n, l\u00e0 li\u1ec7u ph\u00e1p thu\u1ed1c ti\u00eam t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 ti\u00eau h\u00f3a b\u1ecb suy y\u1ebfu (\u0111\u01b0\u1eddng ti\u00eau h\u00f3a) ho\u1eb7c kh\u00f4ng th\u1ec3 ti\u00eau h\u00f3a th\u1ee9c \u0103n b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng. TPN ch\u1ee9a h\u1ed7n h\u1ee3p nhi\u1ec1u th\u00e0nh ph\u1ea7n kh\u00e1c nhau \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u dinh d\u01b0\u1ee1ng ho\u1eb7c ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a m\u1ed9t ng\u01b0\u1eddi, bao g\u1ed3m carbohydrate, protein, ch\u1ea5t b\u00e9o, vitamin, kho\u00e1ng ch\u1ea5t v\u00e0 c\u00e1c nguy\u00ean t\u1ed1 vi l\u01b0\u1ee3ng kh\u00e1c.\u00a0<\/p>","protected":false},"author":27,"featured_media":23276,"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":[33],"class_list":["post-23274","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tpn","tag-dr-samantha-kaeberlein"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Metabolic Complications of TPN - 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