{"id":1362,"date":"2023-05-16T09:19:28","date_gmt":"2023-05-16T02:19:28","guid":{"rendered":"http:\/\/demo.giraf.vn\/?page_id=1362"},"modified":"2023-05-17T11:35:05","modified_gmt":"2023-05-17T04:35:05","slug":"chuyen-vi-dai-dong-mach-tga","status":"publish","type":"page","link":"https:\/\/timbamsinhtphcm.vn\/en\/chuyen-vi-dai-dong-mach-tga\/","title":{"rendered":"Chuy\u1ec3n v\u1ecb \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch (TGA)"},"content":{"rendered":"
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Chuy\u1ec3n v\u1ecb \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch (CV\u0110\u0110M) (t\u00ean ti\u1ebfng Anh <\/strong>Transposition of the Great Arteries, vi\u1ebft t\u1eaft TGA) \u00a0l\u00e0 BTBS x\u1ea3y ra \u1edf tr\u1ebb s\u01a1 sinh khi hai \u0111\u1ed9ng m\u1ea1ch ch\u00ednh \u0111\u01b0a m\u00e1u ra kh\u1ecfi tim \u2013 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i ch\u00ednh v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 – b\u1ecb \u0111\u1ea3o ng\u01b0\u1ee3c vi tr\u00ed. <\/strong><\/p>\n

\u1ede tr\u1ebb b\u00ecnh th\u01b0\u1eddng, tim ph\u1ea3i b\u01a1m m\u00e1u ngh\u00e8o \u00f4 xy ra kh\u1ecfi tim l\u00ean ph\u1ed5i ngang qua \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, c\u00f2n tim tr\u00e1i b\u01a1m m\u00e1u gi\u00e0u \u00f4 xy ra ngo\u00e0i c\u01a1 th\u1ec3 ngang qua \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/span><\/p>\n

Trong CV\u0110\u0110M, c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng sau s\u1ebd x\u1ea3y ra: \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 n\u1ed1i v\u1edbi t\u00e2m th\u1ea5t ph\u1ea3i, trong khi b\u00ecnh th\u01b0\u1eddng n\u00f3 ph\u1ea3i n\u1ed1i v\u1edbi t\u00e2m th\u1ea5t tr\u00e1i, c\u00f2n \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u01b0\u1ee3c k\u1ebft n\u1ed1i v\u1edbi t\u00e2m th\u1ea5t tr\u00e1i, trong khi b\u00ecnh th\u01b0\u1eddng n\u00f3 ph\u1ea3i n\u1ed1i v\u1edbi t\u00e2m th\u1ea5t ph\u1ea3i.<\/p>\n

V\u00ec \u0111i\u1ec1u n\u00e0y m\u00e0 m\u00e1u ngh\u00e8o oxy (m\u00e0u xanh) \u0111\u01b0\u1ee3c b\u01a1m ra ngo\u00e0i cung c\u1ea5p cho c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3 thay v\u00ec \u0111\u1ebfn ph\u1ed5i \u0111\u1ec3 trao \u0111\u1ed5i \u00f4 xy. Ng\u01b0\u1ee3c l\u1ea1i, m\u00e1u gi\u00e0u oxy (m\u00e0u \u0111\u1ecf) tr\u1edf l\u1ea1i ph\u1ed5i thay v\u00ec cung c\u1ea5p cho c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3.<\/p>\n

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Ch\u00fa th\u00edch:<\/strong> Tim b\u00ecnh th\u01b0\u1eddng (tr\u00e1i) v\u1edbi \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (m\u00e0u \u0111\u1ecf) v\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i (m\u00e0u xanh). Tim c\u00f3 CV\u0110\u0110M (ph\u1ea3i) v\u1edbi \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 chuy\u1ec3n v\u1ecb (m\u00e0u xanh) v\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i chuy\u1ec3n v\u1ecb (m\u00e0u \u0111\u1ecf). (Ngu\u1ed3n \u1ea3nh: Mayoclinic)<\/p><\/div>\n\n\t\t<\/div>\n\t<\/div>\n

C\u00f3 bao nhi\u00eau d\u1ea1ng CV\u0110\u0110M?<\/h4><\/i><\/div>

C\u00f3 2 d\u1ea1ng:<\/p>\n

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  • CV\u0110\u0110M ho\u00e0n to\u00e0n<\/strong> (t\u00ean ti\u1ebfng Anh l\u00e0 Dextro-Transposition of the Great Arteries – D-TGA). D\u1ea1ng n\u00e0y l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u gi\u00e0u \u00f4 xy \u0111i \u0111\u1ebfn c\u01a1 th\u1ec3. Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c ghi nh\u1eadn trong thai k\u1ef3, ngay l\u1eadp t\u1ee9c khi tr\u1ebb v\u1eeba ch\u00e0o \u0111\u1eddi, hay v\u00e0i tu\u1ea7n sau sinh. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng ho\u1eb7c t\u1eed vong c\u00f3 th\u1ec3 x\u1ea3y ra.<\/li>\n
  • CV\u0110\u0110M \u0111\u00e3 ch\u1ec9nh s\u1eeda b\u1ea9m sinh<\/strong> (t\u00ean ti\u1ebfng Anh l\u00e0 Levo-Transposition of the Great Arteries – L-TGA). D\u1ea1ng n\u00e0y \u00edt g\u1eb7p h\u01a1n. Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c ghi nh\u1eadn ngay. \u0110i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o nh\u1eefng v\u1ea5n \u0111\u1ec1 tim \u0111\u1eb7c hi\u1ec7u.<\/li>\n<\/ul>\n

    CV\u0110\u0110M l\u00e0 m\u1ed9t b\u1ec7nh n\u1eb7ng, t\u00ednh m\u1ea1ng c\u1ee7a tr\u1ebb b\u1ecb \u0111e do\u1ea1, v\u00ec th\u1ebf tr\u1ebb c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt ho\u1eb7c can thi\u1ec7p ngay sau khi ra \u0111\u1eddi.<\/p>\n<\/div><\/div>

    Nguy\u00ean nh\u00e2n v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0o g\u00e2y ra CV\u0110\u0110M?<\/h4><\/i><\/div>

    C\u0169ng nh\u01b0 c\u00e1c BTBS n\u00f3i chung, ng\u01b0\u1eddi ta ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y ra CV\u0110\u0110M. M\u1ed9t s\u1ed1 tr\u1ebb b\u1ecb BTBS v\u00ec nh\u1eefng thay \u0111\u1ed5i trong gien hay nhi\u1ec5m s\u1eafc th\u1ec3. D\u1ecb t\u1eadt tim c\u0169ng c\u00f2n \u0111\u01b0\u1ee3c cho l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa di truy\u1ec1n v\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c nh\u01b0 nh\u1eefng nguy c\u01a1 m\u00f4i tr\u01b0\u1eddng m\u00e0 m\u1eb9 ti\u1ebfp x\u00fac ho\u1eb7c nh\u1eefng g\u00ec m\u1eb9 thu nh\u1eadn qua \u0103n u\u1ed1ng, hay c\u00e1c lo\u1ea1i thu\u1ed1c s\u1eed d\u1ee5ng.<\/span> <\/span><\/p>\n<\/div><\/div>

    T\u1ea7n su\u1ea5t m\u1eafc CV\u0110\u0110M l\u00e0 bao nhi\u00eau?<\/h4><\/i><\/div>

    Kh\u00f4ng c\u00f3 th\u1ed1ng k\u00ea \u1edf Vi\u1ec7t Nam, nh\u01b0ng t\u1ea1i M\u1ef9 CDC \u01b0\u1edbc t\u00ednh m\u1ed7i n\u0103m c\u00f3 kho\u1ea3ng 1.153 tr\u1ebb em ch\u00e0o \u0111\u1eddi b\u1ecb CV\u0110\u0110M. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a c\u1ee9 3.413 tr\u1ebb sinh ra \u1edf M\u1ef9 h\u00e0ng n\u0103m th\u00ec c\u00f3 1 tr\u1ebb b\u1ecb d\u1ecb t\u1eadt n\u00e0y.<\/p>\n<\/div><\/div>

    L\u00e0m sao ph\u00e1t hi\u1ec7n CV\u0110\u0110M?<\/h4><\/i><\/div>

    B\u1ec7nh TBS n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong thai k\u1ef3 ho\u1eb7c ngay khi tr\u1ebb v\u1eeba ch\u00e0o \u0111\u1eddi.The above sentence is empty.<\/p>\n

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    • Trong thai k\u1ef3<\/strong><\/li>\n<\/ul>\n
      Trong thai k\u1ef3 c\u00f3 nhi\u1ec1u x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t \u0111\u1ec3 bi\u1ebft tr\u1ebb c\u00f3 b\u1ecb d\u1ecb t\u1eadt b\u1ea9m sinh v\u00e0 nh\u1eefng b\u1ec7nh l\u00fd kh\u00e1c hay kh\u00f4ng. <\/span>CV\u0110\u0110M c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong thai k\u1ef3 b\u1eb1ng si\u00eau \u00e2m. Qua m\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u tr\u00ean si\u00eau \u00e2m t\u1ed5ng qu\u00e1t, b\u00e1c s\u0129 c\u00f3 th\u1ec3 nghi ng\u1edd em b\u00e9 b\u1ecb CV\u0110\u0110M v\u00e0 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb l\u00e0m si\u00eau \u00e2m tim \u0111\u1ec3 x\u00e1c nh\u1eadn ch\u1ea9n \u0111o\u00e1n. Si\u00eau \u00e2m tim b\u00e0o thai l\u00e0 h\u00ecnh th\u1ee9c si\u00eau \u00e2m chi ti\u1ebft tr\u00e1i tim em b\u00e9. N\u00f3 c\u00f3 th\u1ec3 cho th\u1ea5y nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u1ea5u tr\u00fac tim v\u00e0 l\u00e0m th\u1ebf n\u00e0o tim \u1ee9ng ph\u00f3 v\u1edbi d\u1ecb t\u1eadt n\u00e0y. <\/span><\/h5>\n
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      • Sau khi tr\u1ebb sinh ra<\/span><\/strong><\/li>\n<\/ul>\n

        Nh\u1eefng tri\u1ec7u ch\u1ee9ng x\u1ea3y ra ngay ho\u1eb7c kh\u00f4ng l\u00e2u ngay sau khi tr\u1ebb ch\u00e0o \u0111\u1eddi. S\u1ef1 nghi\u00eam tr\u1ecdng c\u1ee7a tri\u1ec7u ch\u1ee9ng ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 tr\u1ed9n l\u1eabn c\u1ee7a m\u00e1u \u0111\u1ecf v\u00e0 m\u00e1u \u0111en nh\u01b0 th\u1ebf n\u00e0o, c\u0169ng nh\u01b0 l\u01b0\u1ee3ng m\u00e1u gi\u00e0u \u00f4 xy \u0111i v\u00e0o ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a c\u01a1 th\u1ec3. Th\u00ed d\u1ee5 n\u1ebfu m\u1ed9t tr\u1ebb b\u1ecb CV\u0110\u0110M m\u00e0 c\u00f3 th\u00eam BTBS kh\u00e1c, nh\u01b0 th\u00f4ng li\u00ean nh\u0129, th\u00ec th\u00f4ng li\u00ean nh\u0129 t\u1ea1o ra m\u1ed9t c\u1eeda ng\u00f5 cho m\u00e1u gi\u00e0u \u00f4 xy b\u01a1m ra ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a c\u01a1 th\u1ec3. Tr\u1ebb b\u1ecb c\u00f9ng l\u00fac \u00a0CV\u0110\u0110M v\u00e0 th\u00f4ng li\u00ean nh\u0129 th\u00ec kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1eb7ng nh\u01b0 tr\u1ebb m\u00e0 tim kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 s\u1ef1 tr\u1ed9n l\u1eabn m\u00e1u n\u00e0o.<\/p>\n

        Tr\u1ebb b\u1ecb CV\u0110\u0110M c\u00f3 th\u1ec3 c\u00f3 da t\u00edm t\u00e1i v\u00ec m\u00e1u kh\u00f4ng v\u1eadn chuy\u1ec3n \u0111\u1ee7 \u00f4 xy. Ngo\u00e0i ra tr\u1ebb b\u1ecb th\u1edf ng\u1eafn, tim \u0111\u1eadp m\u1ea1nh, m\u1ea1ch y\u1ebfu, b\u00fa k\u00e9m, t\u0103ng c\u00e2n ch\u1eadm. CV\u0110\u0110M th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong tu\u1ea7n l\u1ec5 \u0111\u1ea7u \u0111\u1eddi c\u1ee7a em b\u00e9. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u0129 1 hay nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n. X\u00e9t nghi\u1ec7m th\u01b0\u1eddng l\u00e0m l\u00e0 si\u00eau \u00e2m tim \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u1ea5u tr\u00fac b\u1ea5t th\u01b0\u1eddng c\u1ee7a tim nh\u01b0 v\u1ecb tr\u00ed kh\u00f4ng \u0111\u00fang c\u1ee7a hai \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch v\u00e0 b\u1ea5t k\u1ef3 lu\u1ed3ng m\u00e1u l\u01b0u th\u00f4ng b\u1ea5t th\u01b0\u1eddng n\u00e0o. <\/span>B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 l\u00e0m \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ec3 \u0111o ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim, ch\u1ee5p X quang ng\u1ef1c v\u00e0 nh\u1eefng x\u00e9t nghi\u1ec7m y khoa kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. <\/span><\/h5>\n
        Tr\u1ebb b\u1ecb CV\u0110\u0110M c\u00f3 th\u1ec3 c\u00f3 da t\u00edm t\u00e1i v\u00ec m\u00e1u kh\u00f4ng v\u1eadn chuy\u1ec3n \u0111\u1ee7 \u00f4 xy. Ngo\u00e0i ra tr\u1ebb b\u1ecb th\u1edf ng\u1eafn, tim \u0111\u1eadp m\u1ea1nh, m\u1ea1ch y\u1ebfu, b\u00fa k\u00e9m, t\u0103ng c\u00e2n ch\u1eadm. CV\u0110\u0110M th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n trong tu\u1ea7n l\u1ec5 \u0111\u1ea7u \u0111\u1eddi c\u1ee7a em b\u00e9. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u0129 1 hay nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n. X\u00e9t nghi\u1ec7m th\u01b0\u1eddng l\u00e0m l\u00e0 si\u00eau \u00e2m tim \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u1ea5u tr\u00fac b\u1ea5t th\u01b0\u1eddng c\u1ee7a tim nh\u01b0 v\u1ecb tr\u00ed kh\u00f4ng \u0111\u00fang c\u1ee7a hai \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch v\u00e0 b\u1ea5t k\u1ef3 lu\u1ed3ng m\u00e1u l\u01b0u th\u00f4ng b\u1ea5t th\u01b0\u1eddng n\u00e0o. <\/span>B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 l\u00e0m \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 \u0111\u1ec3 \u0111o ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim, ch\u1ee5p X quang ng\u1ef1c v\u00e0 nh\u1eefng x\u00e9t nghi\u1ec7m y khoa kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. <\/span><\/h5>\n<\/div><\/div>

        \u0110i\u1ec1u tr\u1ecb CV\u0110\u0110M nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

        T\u1ea5t c\u1ea3 tr\u1ebb b\u1ecb CV\u0110\u0110M c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt. Nh\u1eefng bi\u1ec7n ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt \u0111\u1ec3 duy tr\u00ec, l\u00e0m to ra ho\u1eb7c t\u1ea1o nh\u1eefng ch\u1ed7 m\u1edf cho ph\u00e9p m\u00e1u gi\u00e0u \u00f4 xy \u0111i ra kh\u1ecfi tim v\u00e0o c\u01a1 th\u1ec3. <\/span><\/h3>\n

        C\u00f3 hai c\u00e1ch ph\u1eabu thu\u1eadt \u0111i\u1ec1u tr\u1ecb CV\u0110\u0110M:<\/span><\/h3>\n
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        • Ph\u1eabu thu\u1eadt chuy\u1ec3n \u0111\u1ed9ng m\u1ea1ch<\/span>:<\/span><\/strong><\/li>\n<\/ul>\n

          \u0110\u00e2y l\u00e0 c\u00e1ch ph\u1eabu thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u00e0m trong th\u00e1ng \u0111\u1ea7u \u0111\u1eddi tr\u1ebb. N\u00f3 gi\u00fap ph\u1ee5c h\u1ed3i l\u01b0u th\u00f4ng m\u00e1u qua tim v\u00e0 \u0111i ra ngo\u00e0i c\u01a1 th\u1ec3. Trong ph\u1eabu thu\u1eadt n\u00e0y, c\u00e1c \u0111\u1ed9ng m\u1ea1ch \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ed5i v\u1ec1 v\u1ecb tr\u00ed quen thu\u1ed9c \u2013 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i xu\u1ea5t ph\u00e1t t\u1eeb t\u00e2m th\u1ea5t ph\u1ea3i v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 xu\u1ea5t ph\u00e1t t\u1eeb t\u00e2m tr\u00e1i. Nh\u1eefng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (\u0111\u1ed9ng m\u1ea1ch nh\u1ecf cung c\u1ea5p m\u00e1u cho c\u01a1 tim) c\u0169ng ph\u1ea3i \u0111\u01b0\u1ee3c di chuy\u1ec3n v\u00e0 n\u1ed1i l\u1ea1i v\u00e0o \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\n

            \n
          • Ph\u1eabu thu\u1eadt chuy\u1ec3n \u0111\u1ed5i t\u00e2m nh\u0129:<\/span>\u00a0<\/span><\/strong><\/li>\n<\/ul>\n

            Ph\u1eabu thu\u1eadt n\u00e0y \u00edt \u0111\u01b0\u1ee3c l\u00e0m. Theo \u0111\u00f3, nh\u1eefng \u0111\u1ed9ng m\u1ea1ch v\u1eabn n\u1eb1m t\u1ea1i ch\u1ed7, nh\u01b0ng ph\u1eabu thu\u1eadt vi\u00ean s\u1ebd t\u1ea1o m\u1ed9t con \u0111\u01b0\u1eddng gi\u1eefa hai bu\u1ed3ng tr\u00ean c\u1ee7a tim (t\u00e2m nh\u0129) cho ph\u00e9p m\u00e1u ngh\u00e8o \u00f4 xy \u0111i t\u1eeb t\u00e2m nh\u0129 ph\u1ea3i v\u00e0o t\u00e2m th\u1ea5t tr\u00e1i v\u00e0 theo \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u1ebfn ph\u1ed5i. M\u00e1u gi\u00e0u \u00f4 xy khi tr\u1edf v\u1ec1 s\u1ebd di chuy\u1ec3n ngang qua con \u0111\u01b0\u1eddng t\u1eeb t\u00e2m nh\u0129 tr\u00e1i \u0111\u1ebfn t\u00e2m th\u1ea5t ph\u1ea3i v\u00e0 \u0111i ra theo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u1ec3 v\u00e0o c\u01a1 th\u1ec3. M\u1eb7c d\u00f9 c\u00e1ch s\u1eeda ch\u1eefa n\u00e0y cho ph\u00e9p m\u00e1u \u0111\u1ebfn ph\u1ed5i v\u00e0 \u0111i ra ngo\u00e0i c\u01a1 th\u1ec3, nh\u01b0ng n\u00f3 c\u0169ng g\u00e2y qu\u00e1 t\u1ea3i cho t\u00e2m th\u1ea5t ph\u1ea3i khi ph\u1ea3i b\u01a1m m\u00e1u cho to\u00e0n b\u1ed9 c\u01a1 th\u1ec3. Do \u0111\u00f3 c\u00e1ch \u0111i\u1ec1u tr\u1ecb n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng tr\u1edf ng\u1ea1i sau n\u00e0y cho cu\u1ed9c s\u1ed1ng b\u1ec7nh nh\u00e2n. <\/span><\/h3>\n

            Sau ph\u1eabu thu\u1eadt, tr\u1ebb c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c \u0111\u1ec3 b\u01a1m tim ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n, ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p, gi\u00fap lo\u1ea1i b\u1ecf d\u1ecbch th\u1eeba trong c\u01a1 th\u1ec3 v\u00e0 l\u00e0m ch\u1eadm nh\u1ecbp tim n\u1ebfu n\u00f3 \u0111\u1eadp qu\u00e1 nhanh. N\u1ebfu tim \u0111\u1eadp qu\u00e1 ch\u1eadm, tr\u1ebb c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng m\u00e1y tr\u1ee3 tim. <\/span><\/h3>\n

            Em b\u00e9 CV\u0110\u0110M <\/span>\u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng bi\u1ebfn ch\u1ee9ng su\u1ed1t \u0111\u1eddi. M\u1ed9t \u0111\u1ee9a tr\u1ebb hay ng\u01b0\u1eddi l\u1edbn b\u1ecb CV\u0110\u0110M s\u1ebd c\u1ea7n kh\u00e1m \u0111\u1ec1u \u0111\u1eb7n m\u1ed9t b\u00e1c s\u0129 tim m\u1ea1ch \u0111\u1ec3 theo d\u00f5i ti\u1ebfn tri\u1ec3n, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng v\u00e0 nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kho\u1ebb kh\u00e1c. <\/span>N\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1t, ph\u1ea7n l\u1edbn em b\u00e9 b\u1ecb CV\u0110\u0110M v\u1eabn t\u0103ng tr\u01b0\u1edfng t\u1ed1t v\u00e0 c\u00f3 m\u1ed9t cu\u1ed9c s\u1ed1ng kho\u1ebb m\u1ea1nh g\u1ea7n nh\u01b0 ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. <\/span><\/span><\/h3>\n

             <\/p>\n

             <\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"Chuy\u1ec3n v\u1ecb \u0111\u1ea1i \u0111\u1ed9ng m\u1ea1ch (CV\u0110\u0110M) (t\u00ean ti\u1ebfng Anh Transposition of the Great Arteries, vi\u1ebft t\u1eaft TGA) \u00a0l\u00e0 BTBS x\u1ea3y ra \u1edf tr\u1ebb s\u01a1 sinh khi hai \u0111\u1ed9ng m\u1ea1ch ch\u00ednh \u0111\u01b0a m\u00e1u ra kh\u1ecfi tim \u2013 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i ch\u00ednh v\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 - b\u1ecb \u0111\u1ea3o ng\u01b0\u1ee3c vi tr\u00ed. \u1ede tr\u1ebb b\u00ecnh th\u01b0\u1eddng, tim [...]","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\/1362"}],"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=1362"}],"version-history":[{"count":23,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1362\/revisions"}],"predecessor-version":[{"id":1389,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/1362\/revisions\/1389"}],"wp:attachment":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/media?parent=1362"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}