{"id":1341,"date":"2023-05-13T15:30:10","date_gmt":"2023-05-13T08:30:10","guid":{"rendered":"http:\/\/demo.giraf.vn\/?page_id=1341"},"modified":"2023-05-14T15:53:16","modified_gmt":"2023-05-14T08:53:16","slug":"hep-eo-dong-mach-chu-coa","status":"publish","type":"page","link":"https:\/\/timbamsinhtphcm.vn\/en\/hep-eo-dong-mach-chu-coa\/","title":{"rendered":"H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (CoA)"},"content":{"rendered":"
\n\t
\n\t\t
\n\t\t\t

Ng\u01b0\u1eddi b\u1ecb h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (HE\u0110MC) l\u00e0 ng\u01b0\u1eddi sinh ra v\u1edbi \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) qu\u00e1 h\u1eb9p.<\/strong><\/p>\n

\u0110MC l\u00e0 \u0111\u1ed9ng m\u1ea1nh l\u1edbn nh\u1ea5t trong c\u01a1 th\u1ec3. M\u00e1u \u0111\u01b0\u1ee3c\u00a0 b\u01a1m t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i v\u00e0o \u0110MC, sau \u0111\u00f3 \u0111i ra ngo\u00e0i v\u00e0o trong tay ph\u1ea3i, \u0111\u1ea7u v\u00e0 tay tr\u00e1i. Trong h\u1eb9p eo, \u0110MC c\u00f3 th\u1ec3 b\u1ecb h\u1eb9p \u1edf nh\u1eefng ch\u1ed7 kh\u00e1c nhau v\u00e0 theo nhi\u1ec1u c\u00e1ch kh\u00e1c nhau. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 m\u1ed9t \u0111o\u1ea1n h\u1eb9p ng\u1eafn. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c th\u00ec h\u1eb9p d\u00e0i v\u00e0 qu\u00e1 h\u1eb9p. N\u1ebfu qu\u00e1 h\u1eb9p, m\u00e1u s\u1ebd kh\u00f4ng th\u1ec3 \u0111i qua. D\u1ea1ng h\u1eb9p eo n\u00e0y th\u01b0\u1eddng g\u1eb7p khi tr\u1ebb ch\u00e0o \u0111\u1eddi. N\u1ebfu h\u1eb9p \u00edt n\u1eb7ng, n\u00f3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n mu\u1ed9n sau n\u00e0y.<\/p>\n

\"\"

H\u1eb9p eo \u0110MC ch\u01b0a ph\u1eabu thu\u1eadt (tr\u00e1i) v\u00e0 sau khi \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh eo \u0110MC b\u1eb1ng mi\u1ebfng v\u00e1 nh\u00e2n t\u1ea1o (ph\u1ea3i).<\/p><\/div>\n\n\t\t<\/div>\n\t<\/div>\n<\/div><\/div><\/div><\/div>

HE\u0110MC c\u00f3 th\u01b0\u1eddng g\u1eb7p kh\u00f4ng?<\/h4><\/i><\/div>

HE\u0110MC kh\u00e1 ph\u1ed5 bi\u1ebfn. T\u1ea1i M\u1ef9 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 5 \u2013 8% b\u1ec7nh nh\u00e2n BTBS c\u00f3 t\u1eadt tim n\u00e0y. V\u1edbi t\u1ea7n su\u1ea5t n\u00e0y, m\u1ed7i n\u0103m t\u1ea1i Vi\u1ec7t Nam c\u00f3 750 \u2013 1.200 tr\u1ebb ch\u00e0o \u0111\u1eddi b\u1ecb HE\u0110MC. <\/span><\/p>\n<\/div><\/div>

HE\u0110MC x\u1ea3y ra nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

Hi\u1ec7n t\u1ea1i c\u00f3 nhi\u1ec1u l\u00fd thuy\u1ebft v\u1ec1 nguy\u00ean nh\u00e2n khi\u1ebfn \u0110MC tr\u1edf n\u00ean qu\u00e1 h\u1eb9p. C\u00e1c b\u00e1c s\u0129 nh\u1eadn ra HE\u0110MC th\u01b0\u1eddng x\u1ea3y ra g\u1ea7n m\u1ed9t c\u1ea5u tr\u00fac tim g\u1ecdi l\u00e0 \u1ed1ng \u0111\u1ed9ng m\u1ea1ch. \u0110\u00e2y l\u00e0 \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1eddng m\u1edf ra tr\u01b0\u1edbc khi sinh v\u00e0 b\u00ecnh th\u01b0\u1eddng \u0111\u00f3ng l\u1ea1i khi tr\u1ebb sinh ra. C\u00f3 th\u1ec3 l\u00e0 khi \u1ed1ng \u0111\u1ed9ng m\u1ea1ch \u0111\u00f3ng l\u1ea1i n\u00f3 l\u00e0m cho \u0110MC co h\u1eb9p. HE\u0110MC c\u0169ng c\u00f3 th\u1ec3 do m\u00e1u l\u01b0u th\u00f4ng kh\u00f4ng b\u00ecnh th\u01b0\u1eddng khi \u0110MC t\u0103ng tr\u01b0\u1edfng ho\u1eb7c do nh\u1eefng v\u1ea5n \u0111\u1ec1 c\u1ee7a ch\u00ednh qu\u1ea3 tim. M\u1ed9t l\u00fd thuy\u1ebft kh\u00e1c l\u00e0 x\u1ea3y ra v\u1ea5n \u0111\u1ec1 \u1edf ngay nh\u1eefng t\u1ebf b\u00e0o c\u1ea5u t\u1ea1o n\u00ean th\u00e0nh \u0110MC v\u00e0 g\u00e2y h\u1eb9p eo.<\/span><\/span><\/p>\n<\/div><\/div>

\u0110i\u1ec1u g\u00ec g\u00e2y ra HE\u0110MC?<\/h4><\/i><\/div>

Ng\u01b0\u1eddi ta kh\u00f4ng bi\u1ebft ch\u00ednh x\u00e1c t\u1ea1i sao x\u1ea3y ra HE\u0110MC. Trong 10 \u2013 20% tr\u01b0\u1eddng h\u1ee3p l\u00e0 c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0\/ho\u1eb7c k\u00e8m theo y\u1ebfu t\u1ed1 di truy\u1ec1n nh\u01b0 H\u1ed9i ch\u1ee9ng Turner. C\u0169ng ch\u01b0a r\u00f5 nh\u1eefng y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng trong thai k\u1ef3 c\u00f3 g\u00e2y ra HE\u0110MC hay kh\u00f4ng.<\/span><\/p>\n<\/div><\/div>

N\u1ebfu t\u00f4i b\u1ecb HE\u0110MC th\u00ec ng\u01b0\u1eddi th\u00e2n c\u1ee7a t\u00f4i c\u00f3 b\u1ecb b\u1ec7nh tim kh\u00f4ng?<\/h4><\/i><\/div>

N\u1ebfu b\u1ea1n b\u1ecb HE\u0110MC th\u00ec cha m\u1eb9, anh, ch\u1ecb, em nhi\u1ec1u kh\u1ea3 n\u0103ng c\u00f3 m\u1ed9t d\u1ea1ng d\u1ecb t\u1eadt tim n\u00e0o \u0111\u00f3. C\u00f3 th\u1ec3 l\u00e0 b\u1ec7nh van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 2 m\u1ea3nh, van 2 l\u00e1 b\u1ea5t th\u01b0\u1eddng v\u00e0 HE\u0110MC. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y nh\u1eefng ng\u01b0\u1eddi th\u00e2n c\u1ee7a b\u1ea1n n\u00ean \u0111i b\u00e1c s\u0129 ki\u1ec3m tra.<\/p>\n<\/div><\/div>

Nh\u1eefng t\u1eadt tim n\u00e0o th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi HE\u0110MC?<\/h4><\/i><\/div>

50 \u2013 85% b\u1ec7nh nh\u00e2n HE\u0110MC c\u00f3 th\u00eam t\u1eadt van \u0110MC 2 m\u1ea3nh. Ngh\u0129a l\u00e0 van \u0110MC ch\u1ec9 c\u00f3 2 l\u00e1 thay v\u00ec 3 l\u00e1. M\u1ed9t s\u1ed1 kh\u00e1c th\u00ec k\u00e8m theo th\u00f4ng li\u00ean th\u1ea5t. S\u1ed1 \u00edt b\u1ec7nh nh\u00e2n th\u00ec k\u00e8m theo v\u1ea5n \u0111\u1ec1 v\u1edbi nh\u1eefng van kh\u00e1c nh\u01b0 van 2 l\u00e1. B\u1ec7nh nh\u00e2n HE\u0110MC c\u0169ng c\u00f3 nguy c\u01a1 b\u1ecb ph\u00ecnh m\u1ea1ch n\u00e3o.<\/p>\n<\/div><\/div>

HE\u0110MC \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

HE\u0110MC n\u1eb7ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ngay sau sinh v\u00ec c\u00e1c tr\u1ebb n\u00e0y th\u01b0\u1eddng b\u1ecb suy tim v\u00e0 y\u1ebfu \u1edbt. C\u1ea7n ph\u1eabu thu\u1eadt ngay l\u00fac n\u00e0y \u0111\u1ec3 s\u1eeda ch\u1eefa HE\u0110MC. Tr\u01b0\u1eddng h\u1ee3p HE\u0110MC nh\u1eb9, b\u1ec7nh nh\u00e2n l\u1edbn l\u00ean m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n khi b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c ti\u1ebfng th\u1ed5i \u1edf tim ho\u1eb7c s\u1ef1 kh\u00e1c bi\u1ec7t c\u1ee7a huy\u1ebft \u00e1p gi\u1eefa tay v\u00e0 ch\u00e2n. \u0110i\u1ec1u n\u00e0y g\u1ee3i \u00fd \u0110MC b\u1ecb h\u1eb9p. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh d\u1ef1a v\u00e0o \u0111o \u0111i\u1ec7n tim, ch\u1ee5p CT, MR hay th\u00f4ng tim can thi\u1ec7p.<\/p>\n<\/div><\/div>

B\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb HE\u0110MC \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ra sao?<\/h4><\/i><\/div>

Hi\u1ec7n t\u1ea1i c\u00f3 nhi\u1ec1u c\u00e1ch m\u1edf r\u1ed9ng \u0110MC. Th\u00f4ng th\u01b0\u1eddng b\u00e1c s\u0129 s\u1ebd ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111o\u1ea1n h\u1eb9p v\u00e0 n\u1ed1i 2 \u0111\u1ea7u \u0110MC l\u1ea1i v\u1edbi nhau. Tr\u01b0\u1edbc \u0111\u00e2y b\u00e1c s\u0129 d\u00f9ng c\u00e1ch m\u1edf r\u1ed9ng \u0111o\u1ea1n h\u1eb9p v\u1edbi mi\u1ebfng d\u00e1n, nh\u01b0ng c\u00e1ch n\u00e0y kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nhi\u1ec1u v\u00ec t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i cho b\u1ec7nh nh\u00e2n l\u00e0 kh\u00e1 cao. M\u1ed9t c\u00e1ch kh\u00e1c \u00edt ph\u1ed5 bi\u1ebfn l\u00e0 m\u1edf r\u1ed9ng \u0110MC v\u1edbi \u1ed1ng th\u00f4ng (catheter). \u0110\u00f3 l\u00e0 m\u1ed9t \u1ed1ng m\u1ea3nh, d\u00e0i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 lu\u1ed3n \u0111\u1ebfn tim. L\u00fac n\u00e0y b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t \u201cb\u00f3ng\u201d d\u00ednh \u0111\u1ec3 m\u1edf r\u1ed9ng \u0110MC. \u0110\u00f4i l\u00fac b\u00e1c s\u0129 c\u0169ng \u0111\u1eb7t m\u1ed9t stent (gi\u00e1 \u0111\u1edf) trong l\u00f2ng \u0110MC \u0111\u1ec3 gi\u1eef cho n\u00f3 r\u1ed9ng ra. L\u00e2u d\u00e0i, t\u1ea5t c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa c\u00f3 nguy c\u01a1 b\u1ecb t\u00e1i h\u1eb9p l\u1ea1i. Nguy c\u01a1 n\u00e0y g\u1eb7p nhi\u1ec1u h\u01a1n \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u1ed1ng th\u00f4ng. N\u1ebfu b\u1ea1n l\u00e0 ng\u01b0\u1eddi l\u1edbn c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u00e1i \u0111i\u1ec1u tr\u1ecb HE\u0110MC th\u00ec b\u1ea1n n\u00ean tham v\u1ea5n m\u1ed9t chuy\u00ean gia v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 b\u00e0n b\u1ea1c v\u1ec1 l\u1ee3i \u00edch, nguy c\u01a1 c\u1ee7a ph\u1eabu thu\u1eadt v\u00e0 nh\u1eefng c\u00e1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c. <\/span><\/p>\n<\/div><\/div>

Bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i n\u00e0o th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi b\u1ecb HE\u0110MC \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb? <\/h4><\/i><\/div>

T\u1ea5t c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n HE\u0110MC \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00ec c\u00f3 nguy c\u01a1 m\u1eafc nh\u1eefng v\u1ea5n \u0111\u1ec1 sau:<\/p>\n

H\u1eb9p \u0110MC<\/strong>
\n\u1ede m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n s\u1ebd c\u00f3 t\u00ecnh tr\u1ea1ng t\u00e1i h\u1eb9p, x\u1ea3y ra \u1edf c\u1ea3 ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt l\u1eabn \u0111i\u1ec1u tr\u1ecb b\u1eb1ng can thi\u1ec7p. \u1ede m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u c\u00f3 th\u1ec3 l\u00e0m cho \u0110MC tr\u1edf n\u00ean qu\u00e1 h\u1eb9p. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ph\u1ea3i c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung \u0111\u1ec3 t\u00e1i m\u1edf ra \u0110MC c\u1ee7a h\u1ecd.<\/p>\n

Cao huy\u1ebft \u00e1p<\/strong>
\nNhi\u1ec1u ng\u01b0\u1eddi b\u1ecb HE\u0110MC ti\u1ebfp t\u1ee5c b\u1ecb cao huy\u1ebft \u00e1p. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 c\u00f3 huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng l\u00fac ngh\u1ec9 ng\u01a1i, nh\u01b0ng huy\u1ebft \u00e1p t\u0103ng l\u00ean khi h\u1ecd luy\u1ec7n t\u1eadp. V\u00e0i b\u1ec7nh nh\u1eadn ph\u1ea3i c\u1ea7n \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u1eef cho huy\u1ebft \u00e1p c\u1ee7a h\u1ecd \u1ed5n \u0111\u1ecbnh.<\/p>\n

Ph\u1ed3ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/strong>
\nM\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ph\u00e1t tri\u1ec3n t\u00ecnh tr\u1ea1ng ph\u1ed3ng \u0110MC. N\u1ebfu ph\u1ed3ng qu\u00e1 nhanh v\u00e0 qu\u00e1 l\u1edbn, n\u00f3 c\u00f3 th\u1ec3 v\u1ee1 ra v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ch\u1ebft ng\u01b0\u1eddi. N\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n s\u1edbm, t\u00ecnh tr\u1ea1ng ph\u1ed3ng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ng\u0103n x\u1ea3y ra. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC ph\u1ea3i ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 bi\u1ebft k\u00edch th\u01b0\u1edbc c\u1ee7a \u0110MC c\u1ee7a h\u1ecd.<\/p>\n

Ph\u1ed3ng \u0111\u1ed9ng m\u1ea1ch n\u00e3o\/\u0110\u1ed9t qu\u1ef5 <\/strong><\/p>\n

M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n HE\u0110MC c\u0169ng c\u00f3 b\u1ea5t th\u01b0\u1eddng \u1edf m\u1ea1ch m\u00e1u n\u00e3o, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ph\u1ed3ng m\u1ea1ch v\u00e0 v\u1ee1 m\u1ea1ch. Do \u0111\u00f3 b\u1ec7nh nh\u00e2n HE\u0110MC c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ec9 d\u1eabn nh\u1eadn di\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a \u0111\u1ed9t qu\u1ef5 v\u00e0 b\u00e1o ngay cho b\u00e1c s\u0129 nh\u1eefng tri\u1ec7u ch\u1ee9ng nghi ng\u1edd. Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p y h\u1ecdc hi\u1ec7n \u0111\u1ea1i c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y tr\u01b0\u1edbc khi ch\u00fang g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng. Ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ph\u00f2ng ng\u1eeba v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n

Nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 van tim<\/strong><\/p>\n

Nh\u01b0 n\u00f3i \u1edf tr\u00ean, \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC c\u00f3 k\u00e8m theo d\u1ecb t\u00e2t van 2 m\u1ea3nh. L\u00e2u d\u00e0i t\u00ecnh tr\u1ea1ng n\u00e0y d\u1eabn \u0111\u1ebfn h\u1edf van. C\u00e1c van tim c\u0169ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean qu\u00e1 h\u1eb9p. V\u00ec th\u1ebf b\u1ec7nh nh\u00e2n c\u1ea7n \u0111i t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u1ef3 c\u00e1c ch\u1ee9c n\u0103ng tim.<\/p>\n

B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong><\/p>\n

M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb ph\u00e1t tri\u1ec3n b\u1ec7nh m\u1ea1ch v\u00e0nh s\u1edbm h\u01a1n b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0 do b\u1ec7nh nh\u00e2n b\u1ecb cao huy\u1ebft \u00e1p. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 h\u1ecd ph\u1ea3i \u0111i t\u1ea7m so\u00e1t \u0111\u1ec1u \u0111\u1eb7n c\u00e1c b\u1ec7nh tim m\u1eafc ph\u1ea3i. Nh\u01b0 t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n m\u1eafc BTBS, h\u1ecd c\u0169ng ph\u1ea3i duy tr\u00ec nh\u1eefng th\u00f3i quen l\u00e0nh m\u1ea1nh cho tim.<\/p>\n

Nhi\u1ec5m tr\u00f9ng<\/strong><\/p>\n

M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng tim (vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c). H\u1ecd c\u0169ng d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng \u0110MC. Th\u01b0\u1eddng \u0111\u00f3 l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh s\u1eef nhi\u1ec5m tr\u00f9ng tim v\u00e0 b\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c \u0111\u1eb7t can thi\u1ec7p. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC ph\u1ea3i t\u1ef1 b\u1ea3o v\u1ec7 m\u00ecnh kh\u1ecfi nhi\u1ec5m tr\u00f9ng d\u01b0\u1edbi s\u1ef1 h\u01b0\u1edbng d\u1eabn c\u1ee7a c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch.<\/p>\n

. <\/span><\/p>\n<\/div><\/div>

B\u1ec7nh nh\u00e2n m\u1edbi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb HE\u0110MC \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ra sao?<\/h4><\/i><\/div>

Hi\u1ec7n t\u1ea1i c\u00f3 nhi\u1ec1u c\u00e1ch m\u1edf r\u1ed9ng \u0110MC. Th\u00f4ng th\u01b0\u1eddng b\u00e1c s\u0129 s\u1ebd ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf \u0111o\u1ea1n h\u1eb9p v\u00e0 n\u1ed1i 2 \u0111\u1ea7u \u0110MC l\u1ea1i v\u1edbi nhau. Tr\u01b0\u1edbc \u0111\u00e2y b\u00e1c s\u0129 d\u00f9ng c\u00e1ch m\u1edf r\u1ed9ng \u0111o\u1ea1n h\u1eb9p v\u1edbi mi\u1ebfng d\u00e1n, nh\u01b0ng c\u00e1ch n\u00e0y kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nhi\u1ec1u v\u00ec t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng l\u00e2u d\u00e0i cho b\u1ec7nh nh\u00e2n l\u00e0 kh\u00e1 cao. M\u1ed9t c\u00e1ch kh\u00e1c \u00edt ph\u1ed5 bi\u1ebfn l\u00e0 m\u1edf r\u1ed9ng \u0110MC v\u1edbi \u1ed1ng th\u00f4ng (catheter). \u0110\u00f3 l\u00e0 m\u1ed9t \u1ed1ng m\u1ea3nh, d\u00e0i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 lu\u1ed3n \u0111\u1ebfn tim. L\u00fac n\u00e0y b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t \u201cb\u00f3ng\u201d d\u00ednh \u0111\u1ec3 m\u1edf r\u1ed9ng \u0110MC. \u0110\u00f4i l\u00fac b\u00e1c s\u0129 c\u0169ng \u0111\u1eb7t m\u1ed9t stent (gi\u00e1 \u0111\u1edf) trong l\u00f2ng \u0110MC \u0111\u1ec3 gi\u1eef cho n\u00f3 r\u1ed9ng ra. L\u00e2u d\u00e0i, t\u1ea5t c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb HE\u0110MC \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa c\u00f3 nguy c\u01a1 b\u1ecb t\u00e1i h\u1eb9p l\u1ea1i. Nguy c\u01a1 n\u00e0y g\u1eb7p nhi\u1ec1u h\u01a1n \u1edf b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u1ed1ng th\u00f4ng. N\u1ebfu b\u1ea1n l\u00e0 ng\u01b0\u1eddi l\u1edbn c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ho\u1eb7c t\u00e1i \u0111i\u1ec1u tr\u1ecb HE\u0110MC th\u00ec b\u1ea1n n\u00ean tham v\u1ea5n m\u1ed9t chuy\u00ean gia v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn \u0111\u1ec3 b\u00e0n b\u1ea1c v\u1ec1 l\u1ee3i \u00edch, nguy c\u01a1 c\u1ee7a ph\u1eabu thu\u1eadt v\u00e0 nh\u1eefng c\u00e1ch \u0111i\u1ec1u tr\u1ecb kh\u00e1c. <\/span><\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"Ng\u01b0\u1eddi b\u1ecb h\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (HE\u0110MC) l\u00e0 ng\u01b0\u1eddi sinh ra v\u1edbi \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) qu\u00e1 h\u1eb9p. \u0110MC l\u00e0 \u0111\u1ed9ng m\u1ea1nh l\u1edbn nh\u1ea5t trong c\u01a1 th\u1ec3. M\u00e1u \u0111\u01b0\u1ee3c\u00a0 b\u01a1m t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i v\u00e0o \u0110MC, sau \u0111\u00f3 \u0111i ra ngo\u00e0i v\u00e0o trong tay ph\u1ea3i, \u0111\u1ea7u v\u00e0 tay tr\u00e1i. Trong h\u1eb9p eo, \u0110MC c\u00f3 [...]","protected":false},"author":10,"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\/1341"}],"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\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/comments?post=1341"}],"version-history":[{"count":11,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1341\/revisions"}],"predecessor-version":[{"id":1358,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1341\/revisions\/1358"}],"wp:attachment":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/media?parent=1341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}