{"id":1272,"date":"2023-05-09T15:02:56","date_gmt":"2023-05-09T08:02:56","guid":{"rendered":"http:\/\/demo.giraf.vn\/?page_id=1272"},"modified":"2023-05-13T14:37:58","modified_gmt":"2023-05-13T07:37:58","slug":"bat-thuong-ebstein-di-dang-van-3-la","status":"publish","type":"page","link":"https:\/\/timbamsinhtphcm.vn\/en\/bat-thuong-ebstein-di-dang-van-3-la\/","title":{"rendered":"B\u1ea5t th\u01b0\u1eddng Ebstein (D\u1ecb d\u1ea1ng van 3 l\u00e1)"},"content":{"rendered":"
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D\u1ecb t\u1eadt n\u00e0y x\u1ea3y ra cho kho\u1ea3ng 1 tr\u00ean 200.000 tr\u1ebb sinh ra, nam v\u00e0 n\u1eef b\u1eb1ng nhau, chi\u1ebfm d\u01b0\u1edbi 1% c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p tim b\u1ea9m sinh. B\u1ec7nh c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn em b\u00e9 t\u1eeb khi c\u00f2n trong b\u1ee5ng m\u1eb9 cho \u0111\u1ebfn v\u1ec1 gi\u00e0.<\/strong><\/p>\n

Van 3 l\u00e1 n\u1eb1m gi\u1eefa t\u00e2m nh\u0129 ph\u1ea3i (bu\u1ed3ng tr\u00ean tim ph\u1ea3i) v\u00e0 t\u00e2m th\u1ea5t ph\u1ea3i (bu\u1ed3ng d\u01b0\u1edbi tim ph\u1ea3i). Ba l\u00e1 van tam gi\u00e1c nh\u1ecf t\u1ea1o th\u00e0nh van tim. B\u00ecnh th\u01b0\u1eddng van m\u1edf ra khi tim gi\u00e3n ra, nh\u1edd th\u1ebf m\u00e1u s\u1ebd \u0111i t\u1eeb nh\u0129 ph\u1ea3i v\u00e0o trong th\u1ea5t ph\u1ea3i. Van \u0111\u00f3ng l\u1ea1i khi tim co b\u00f3p \u0111\u1ec3 m\u00e1u kh\u00f4ng th\u1ec3 \u0111i ng\u01b0\u1ee3c tr\u1edf l\u1ea1i.<\/p>\n

Trong b\u1ea5t th\u01b0\u1eddng Ebstein, c\u00e1c l\u00e1 van c\u1ee7a van 3 l\u00e1 kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea5u t\u1ea1o \u0111\u00fang. Ch\u00fang c\u00f3 th\u1ec3 qu\u00e1 nh\u1ecf, ho\u1eb7c d\u00ednh v\u00e0o th\u00e0nh c\u1ee7a t\u00e2m th\u1ea5t m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng. Th\u1ec9nh tho\u1ea3ng c\u00f2n c\u00f3 nh\u1eefng l\u1ed7 \u1edf c\u00e1c l\u00e1 van.<\/p>\n

V\u00ec nh\u1eefng v\u1ea5n \u0111\u1ec1 tr\u00ean m\u00e0 van 3 l\u00e1 kh\u00f4ng th\u1ec3 \u0111\u00f3ng k\u00edn l\u1ea1i, khi\u1ebfn m\u1ed9t ph\u1ea7n m\u00e1u s\u1ebd \u0111i ng\u01b0\u1ee3c l\u1ea1i v\u00e0o t\u00e2m nh\u1ec9 khi tim co b\u00f3p. T\u00ecnh tr\u1ea1ng \u201cx\u00ec m\u00e1u\u201d n\u00e0y l\u00e0m cho nh\u0129 ph\u1ea3i gi\u00e3n ra v\u00e0 c\u0169ng khi\u1ebfn th\u1ea5t ph\u1ea3i gi\u00e3n ra \u0111\u1ec3 b\u01a1m m\u00e1u nhi\u1ec1u h\u01a1n \u0111\u1ec3 gi\u1eef cho d\u00f2ng m\u00e1u l\u01b0u th\u00f4ng b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u n\u00e0y l\u00e0m cho ph\u1ea7n b\u00ean ph\u1ea3i qu\u1ea3 tim l\u00e0m vi\u1ec7c kh\u00f3 nh\u1ecdc v\u00e0 \u00edt hi\u1ec7u qu\u1ea3 h\u01a1n. L\u00e2u d\u00e0i, n\u1ebfu kh\u1ed1i l\u01b0\u1ee3ng \u201cl\u00e0m th\u00eam\u201d c\u1ee7a tim ph\u1ea3i tr\u1edf n\u00ean qu\u00e1 nhi\u1ec1u, tim c\u00f3 th\u1ec3 y\u1ebfu \u0111i v\u00e0 g\u00e2y ra suy tim.<\/p>\n

B\u1ea5t th\u01b0\u1eddng Ebstein c\u00f3 th\u1ec3 \u1edf d\u1ea1ng nh\u1eb9, g\u1ea7n nh\u01b0 kh\u00f4ng \u201cx\u00ec m\u00e1u\u201d, cho \u0111\u1ebfn n\u1eb7ng v\u1edbi \u201cx\u00ec m\u00e1u\u201d r\u1ea5t nhi\u1ec1u. Nh\u1eb9 hay n\u1eb7ng tu\u1ef3 thu\u1ed9c v\u00e0o 3 y\u1ebfu t\u1ed1: m\u1ed9t l\u00e0 van tim 3 l\u00e1 n\u1eb1m s\u00e2u d\u01b0\u1edbi th\u1ea5t ph\u1ea3i \u0111\u1ebfn m\u1ee9c n\u00e0o, hai l\u00e0 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng d\u00ednh van ho\u1eb7c c\u00f3 nh\u1eefng l\u1ed7 trong van hay kh\u00f4ng, v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 c\u00e1c l\u00e1 van kh\u1edbp l\u1ea1i v\u1edbi nhau nh\u01b0 th\u1ebf n\u00e0o khi tim co b\u00f3p.<\/p>\n

B\u1ea5t th\u01b0\u1eddng Ebstein c\u0169ng c\u00f3 th\u1ec3 k\u00e8m theo nh\u1eefng d\u1ecb t\u1eadt kh\u00e1c nh\u01b0 th\u00f4ng li\u00ean nh\u0129 (l\u1ed7 th\u00f4ng gi\u1eefa hai bu\u1ed3ng tim tr\u00ean), c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim hay h\u1ed9i ch\u1ee9ng\u00a0 Wolff-Parkinson-White (WPW). S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a WPW c\u00f3 th\u1ec3 l\u00e0m cho nh\u1ecbp tim \u0111\u1eadp r\u1ea5t nhanh v\u00e0 b\u1ec7nh nh\u00e2n ng\u1ea5t x\u1ec9u \u0111\u1ed9t ng\u1ed9t.<\/p>\n

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S\u01a1 \u0111\u1ed3 minh ho\u1ea1 \u201cB\u1ea5t th\u01b0\u1eddng Ebstein\u201d hay \u201cD\u1ecb d\u1ea1ng van 3 l\u00e1\u201d<\/strong><\/em><\/p><\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra b\u1ea5t th\u01b0\u1eddng Ebstein?<\/h4><\/i><\/div>

Kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Tuy nhi\u00ean d\u1ecb t\u1eadt n\u00e0y c\u00f3 t\u1ea7n su\u1ea5t x\u1ea3y ra cao h\u01a1n \u1edf ng\u01b0\u1eddi sinh \u0111\u00f4i, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh tim b\u1ea9m sinh kh\u00e1c, c\u0169ng nh\u01b0 ng\u01b0\u1eddi c\u00f3 nh\u1eefng b\u1ec7nh di truy\u1ec1n kh\u00e1c. Nguy c\u01a1 m\u1eafc d\u1ecb t\u1eadt n\u00e0y c\u0169ng t\u0103ng l\u00ean \u1edf ph\u1ee5 n\u1eef ti\u1ebfp x\u00fac v\u1edbi thu\u1ed1c c\u00f3 lithium trong khi mang thai.<\/p>\n<\/div><\/div>

Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea5t th\u01b0\u1eddng Ebstein l\u00e0 g\u00ec?<\/h4><\/i><\/div>

Tri\u1ec7u ch\u1ee9ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a d\u1ecb t\u1eadt, c\u00f3 th\u1ec3 t\u1eeb kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn nghi\u00eam tr\u1ecdng. Nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i l\u00e0 kh\u00f3 th\u1edf, \u0111\u1eb7c bi\u1ec7t khi g\u1eafng s\u1ee9c, tim \u0111\u1eadp nhanh v\u00e0 b\u1ea5t th\u01b0\u1eddng (h\u1ed3i h\u1ed9p). B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 ch\u00f3ng m\u1eb7t, ph\u00f9 ch\u00e2n v\u00e0 b\u1ee5ng, v\u00e0\/ho\u1eb7c k\u00e8m theo xanh xao \u1edf m\u00f4i v\u00e0 da, g\u00e2y ra do n\u1ed3ng \u0111\u1ed9 \u00f4xy trong m\u00e1u th\u1ea5p.<\/p>\n<\/div><\/div>

Ch\u1ea9n \u0111o\u00e1n b\u1ea5t th\u01b0\u1eddng b\u1ea5t th\u01b0\u1eddng Ebstein nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

Khi nghi ng\u1edd, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u00e0m ECG, ch\u1ee5p X quang ng\u1ef1c ho\u1eb7c si\u00eau \u00e2m. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh, van tim b\u1ecb h\u1edf bao nhi\u00eau, bu\u1ed3ng tim ph\u1ea3i b\u1ecb gi\u00e3n nh\u01b0 th\u1ebf n\u00e0o v\u00e0 c\u00f3 b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 nh\u1ecbp tim hay kh\u00f4ng. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i ch\u1ee5p MRI, test g\u1eafng s\u1ee9c ho\u1eb7c th\u00f4ng tim ch\u1ea9n \u0111o\u00e1n. <\/span><\/p>\n<\/div><\/div>

Ch\u1ea9n \u0111o\u00e1n b\u1ea5t th\u01b0\u1eddng b\u1ea5t th\u01b0\u1eddng Ebstein nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

Khi nghi ng\u1edd, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u00e0m ECG, ch\u1ee5p X quang ng\u1ef1c ho\u1eb7c si\u00eau \u00e2m. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh, van tim b\u1ecb h\u1edf bao nhi\u00eau, bu\u1ed3ng tim ph\u1ea3i b\u1ecb gi\u00e3n nh\u01b0 th\u1ebf n\u00e0o v\u00e0 c\u00f3 b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 nh\u1ecbp tim hay kh\u00f4ng. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i ch\u1ee5p MRI, test g\u1eafng s\u1ee9c ho\u1eb7c th\u00f4ng tim ch\u1ea9n \u0111o\u00e1n. <\/span><\/p>\n<\/div><\/div>

Ch\u1ea9n \u0111o\u00e1n b\u1ea5t th\u01b0\u1eddng b\u1ea5t th\u01b0\u1eddng Ebstein nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

Khi nghi ng\u1edd, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u00e0m ECG, ch\u1ee5p X quang ng\u1ef1c ho\u1eb7c si\u00eau \u00e2m. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y gi\u00fap b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh, van tim b\u1ecb h\u1edf bao nhi\u00eau, bu\u1ed3ng tim ph\u1ea3i b\u1ecb gi\u00e3n nh\u01b0 th\u1ebf n\u00e0o v\u00e0 c\u00f3 b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 nh\u1ecbp tim hay kh\u00f4ng. B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i ch\u1ee5p MRI, test g\u1eafng s\u1ee9c ho\u1eb7c th\u00f4ng tim ch\u1ea9n \u0111o\u00e1n. <\/span><\/p>\n<\/div><\/div>

Khi n\u00e0o c\u1ea7n \u0111i\u1ec1u tr\u1ecb?<\/h4><\/i><\/div>

Ng\u01b0\u1eddi l\u1edbn c\u00f3 b\u1ea5t th\u01b0\u1eddng Ebstein c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1edfi m\u1ed9t b\u00e1c s\u0129 tim m\u1ea1ch v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn. \u0110i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o tri\u1ec7u ch\u1ee9ng v\u00e0 tu\u1ed5i b\u1ec7nh nh\u00e2n, m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ea5t th\u01b0\u1eddng v\u00e0 c\u00f3 k\u00e8m theo nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u1ed9i khoa kh\u00e1c hay kh\u00f4ng. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb trong nhi\u1ec1u n\u0103m m\u00e0 ch\u1ec9 c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i.<\/span><\/p>\n<\/div><\/div>

H\u00ecnh th\u1ee9c \u0111i\u1ec1u tr\u1ecb n\u00e0o \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng?<\/h4><\/i><\/div>

Bi\u1ec7n ph\u00e1p n\u1ed9i khoa s\u1ebd kh\u00f4ng l\u00e0m d\u1eebng l\u1ea1i nh\u1eefng v\u1ea5n \u0111\u1ec1 do ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ea5t th\u01b0\u1eddng Ebstein. Nh\u01b0ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 cho d\u00f9ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u01b0 l\u1ee3i ti\u1ec3u \u0111\u1ec3 l\u00e0m gi\u1ea3m \u1ee9 d\u1ecbch v\u00e0\/ho\u1eb7c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb lo\u1ea1n nh\u1ecbp tim. \u0110\u1ed1t \u0111i\u1ec7n sinh l\u00fd c\u00f3 th\u1ec3 c\u0169ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 k\u00ea toa thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u n\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb rung nh\u0129.<\/p>\n

S\u1eeda ch\u1eefa ho\u1eb7c thay van 3 l\u00e1 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft n\u1ebfu b\u1ec7nh nh\u00e2n ph\u00e1t tri\u1ec3n c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0\/ho\u1eb7c l\u00e0 tri\u1ec7u ch\u1ee9ng tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n.<\/p>\n

\u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu van 3 l\u00e1 h\u1edf, khi\u1ebfn cho tim ph\u1ea3i gi\u00e3n ra ho\u1eb7c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft n\u1ebfu h\u00ecnh \u1ea3nh h\u1ecdc cho th\u1ea5y suy gi\u1ea3m ch\u1ee9c n\u0103ng tim ho\u1eb7c n\u1eb7ng n\u1ec1 t\u00ecnh tr\u1ea1ng h\u1edf van.<\/p>\n

N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 k\u00e8m theo th\u00f4ng li\u00ean nh\u0129, quy\u1ebft \u0111\u1ecbnh \u0111\u00f3ng hay kh\u00f4ng \u0111\u00f3ng l\u1ed7 th\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng c\u1ee7a h\u1edf van 3 l\u00e1. N\u1ebfu s\u1eeda ch\u1eefa hay thay van 3 l\u00e1 l\u00e0 c\u1ea7n thi\u1ebft, vi\u1ec7c \u0111\u00f3ng l\u1ed7 th\u00f4ng li\u00ean nh\u0129 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m c\u00f9ng l\u00fac. C\u1ea7n \u0111\u00e1nh gi\u00e1 th\u1eadt k\u1ef9 c\u00f3 n\u00ean \u0111\u00f3ng th\u00f4ng li\u00ean nh\u0129 hay kh\u00f4ng v\u00e0 \u0111\u00f3ng nh\u01b0 th\u1ebf n\u00e0o.<\/p>\n<\/div><\/div>

Lo\u1ea1i ph\u1eabu thu\u1eadt n\u00e0o c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng?<\/h4><\/i><\/div>

\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 t\u00ecm m\u1ed9t b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00f3 kinh nghi\u1ec7m v\u1ec1 ph\u1eabu thu\u1eadt b\u1ec7nh nh\u00e2n b\u1ecb b\u1ea5t th\u01b0\u1eddng Ebstein. M\u1ee5c ti\u00eau c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 cho ph\u00e9p l\u00e1 van m\u1edf ra v\u00e0 \u0111\u00f3ng l\u1ea1i nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng l\u00e0 s\u1eeda van v\u00ec n\u00f3 s\u1eed d\u1ee5ng m\u00f4 c\u1ee7a ch\u00ednh b\u1ec7nh nh\u00e2n. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m n\u1ebfu c\u00f2n \u0111\u1ee7 m\u00f4, N\u1ebfu van tim hi\u1ec7n t\u1ea1i kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa, n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c thay th\u1ebf b\u1eb1ng van tim sinh h\u1ecdc. Van c\u01a1 h\u1ecdc hi\u1ebfm khi \u0111\u01b0\u1ee3c d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y. <\/span><\/p>\n

\u0110a s\u1ed1 b\u1ec7nh nh\u00e2n s\u1eeda ch\u1eefa hay thay van l\u00fac nh\u1ecf ho\u1eb7c l\u00fac tr\u01b0\u1edfng th\u00e0nh \u0111\u1ec1u t\u1ed1t \u0111\u1eb9p. Tuy nhi\u00ean, n\u1ebfu van l\u1ea1i b\u1ecb h\u1edf ho\u1eb7c h\u1eb9p l\u1ea1i, ph\u1eabu thu\u1eadt l\u1ea1i l\u1ea7n n\u1eefa c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft. Trong \u0111a s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, n\u1ebfu van tim b\u1ecb bi\u1ebfn d\u1ea1ng nghi\u00eam tr\u1ecdng, ch\u1ee9c n\u0103ng tim suy gi\u1ea3m v\u00e0\/ho\u1eb7c l\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3, vi\u1ec7c gh\u00e9p tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t.<\/span><\/p>\n<\/div><\/div>

T\u00f4i c\u00f3 th\u1ec3 c\u00f3 con?<\/h4><\/i><\/div>

Ph\u1ee5 n\u1eef b\u1ecb b\u1ea5t th\u01b0\u1eddng Ebstein c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi m\u1ed9t b\u00e1c s\u0129 tim m\u1ea1ch chuy\u00ean v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh mang thai. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o th\u00ec c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi mang thai. \u0110a s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t th\u01b0\u1eddng Ebstein c\u00f3 th\u1ec3 mang thai v\u1edbi \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 bi\u1ebfn ch\u1ee9ng.<\/p>\n

Nguy c\u01a1 c\u00f3 con b\u1ecb b\u1ec7nh b\u1ec7nh tim b\u1ea9m sinh s\u1ebd t\u0103ng t\u1eeb 1% trong d\u00e2n s\u1ed1 n\u00f3i chung l\u00ean 3% v\u00e0 8% n\u1ebfu gia \u0111\u00ecnh b\u1ea1n c\u00f3 b\u1ea5t th\u01b0\u1eddng Ebstein.<\/p>\n

Dinh d\u01b0\u1ee1ng v\u00e0 t\u1eadp luy\u1ec7n cho b\u1ec7nh nh\u00e2n ra sao?<\/p>\n

Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn \u1edf \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t th\u01b0\u1eddng Ebstein. Tuy nhi\u00ean, m\u1ecdi b\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1edfi chuy\u00ean gia v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n.<\/p>\n

M\u1ed9t \u0111i\u1ec1u quan tr\u1ecdng kh\u00e1c l\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 \u0103n c\u00f3 l\u1ee3i cho tim v\u00e0 duy tr\u00ec c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng. Tr\u00e1nh h\u00fat thu\u1ed1c, s\u1eed d\u1ee5ng ch\u1ea5t c\u1ea5m, v\u00e0\/ho\u1eb7c l\u00e0 l\u1ea1m d\u1ee5ng bia, r\u01b0\u1ee3u. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u1ea7n ph\u1ea3i ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 m\u1ecdi y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch nh\u01b0 cholesterol, huy\u1ebft \u00e1p, v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

Ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ea5t th\u01b0\u1eddng Ebstein kh\u00f4ng th\u1ec3 ti\u00ean \u0111o\u00e1n \u0111\u01b0\u1ee3c. V\u00ec th\u1ebf c\u1ea7n ph\u1ea3i theo d\u00f5i li\u00ean t\u1ee5c su\u1ed1t \u0111\u1eddi b\u1edfi m\u1ed9t chuy\u00ean gia v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"D\u1ecb t\u1eadt n\u00e0y x\u1ea3y ra cho kho\u1ea3ng 1 tr\u00ean 200.000 tr\u1ebb sinh ra, nam v\u00e0 n\u1eef b\u1eb1ng nhau, chi\u1ebfm d\u01b0\u1edbi 1% c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p tim b\u1ea9m sinh. B\u1ec7nh c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn em b\u00e9 t\u1eeb khi c\u00f2n trong b\u1ee5ng m\u1eb9 cho \u0111\u1ebfn v\u1ec1 gi\u00e0. Van 3 l\u00e1 n\u1eb1m gi\u1eefa t\u00e2m nh\u0129 [...]","protected":false},"author":5,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1272"}],"collection":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/comments?post=1272"}],"version-history":[{"count":11,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1272\/revisions"}],"predecessor-version":[{"id":1338,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1272\/revisions\/1338"}],"wp:attachment":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/media?parent=1272"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}