{"id":481,"date":"2022-10-29T02:37:14","date_gmt":"2022-10-28T19:37:14","guid":{"rendered":"http:\/\/demo.giraf.vn\/?page_id=481"},"modified":"2023-05-09T15:30:48","modified_gmt":"2023-05-09T08:30:48","slug":"thong-lien-nhi-asd","status":"publish","type":"page","link":"https:\/\/timbamsinhtphcm.vn\/en\/danh-cho-benh-nhan\/di-tat-tim-bam-sinh-tre-em-a-z\/thong-lien-nhi-asd\/","title":{"rendered":"Th\u00f4ng li\u00ean nh\u0129 (ASD)"},"content":{"rendered":"
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Tr\u00e1i tim c\u00f3 4 bu\u1ed3ng: hai bu\u1ed3ng nh\u1eadn m\u00e1u v\u1ec1 tim g\u1ecdi l\u00e0 nh\u0129 ph\u1ea3i v\u00e0 nh\u0129 tr\u00e1i, v\u00e0 hai bu\u1ed3ng b\u01a1m m\u00e1u ra kh\u1ecfi tim g\u1ecdi l\u00e0 th\u1ea5t ph\u1ea3i v\u00e0 th\u1ea5t tr\u00e1i. V\u00e1ch li\u00ean nh\u0129 l\u00e0 th\u00e0nh tim ng\u0103n nh\u0129 ph\u1ea3i v\u00e0 nh\u0129 tr\u00e1i. N\u1ebfu c\u00f3 m\u1ed9t l\u1ed7 \u1edf v\u00e1ch li\u00ean nh\u0129 th\u00ec g\u1ecdi l\u00e0 th\u00f4ng li\u00ean nh\u0129 (ti\u1ebfng Anh g\u1ecdi l\u00e0 Atrial Septal Defect – ASD).<\/strong><\/p>\n

L\u00fac n\u00e0y m\u1ed9t \u00edt m\u00e1u l\u1ebd ra ph\u1ea3i \u0111i v\u00e0o th\u1ea5t tr\u00e1i t\u1eeb nh\u0129 tr\u00e1i th\u00ec gi\u1edd \u0111\u00e2y l\u1ea1i \u0111i v\u00e0o nh\u0129 ph\u1ea3i ngang qua l\u1ed7 th\u00f4ng li\u00ean nh\u0129. K\u1ebft qu\u1ea3 l\u00e0 m\u00e1u s\u1ebd \u0111i v\u00e0o th\u1ea5t ph\u1ea3i v\u00e0 tr\u1edf ng\u01b0\u1ee3c l\u1ea1i ph\u1ed5i nhi\u1ec1u h\u01a1n thay v\u00ec \u0111i ra kh\u1ecfi tim.<\/p>\n

C\u00f3 4 d\u1ea1ng th\u00f4ng li\u00ean nh\u0129.<\/h4>\n
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  1. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 th\u00f4ng li\u00ean nh\u0129 th\u1ee9 ph\u00e1t (75%).<\/li>\n
  2. Th\u00f4ng li\u00ean nh\u0129 ti\u00ean ph\u00e1t (20%)<\/li>\n
  3. Th\u00f4ng li\u00ean nh\u0129 xoang t\u0129nh m\u1ea1ch (4%).<\/li>\n
  4. Th\u00f4ng li\u00ean nh\u0129 xoang v\u00e0nh (<1%).<\/li>\n<\/ol>\n

    M\u1ed7i d\u1ea1ng c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang v\u1ec1 v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc, li\u00ean quan \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb. \u0110\u1ed1i v\u1edbi th\u00f4ng li\u00ean nh\u0129 l\u1ed7 nh\u1ecf, ch\u1ec9 c\u00f3 m\u1ed9t \u00edt m\u00e1u \u0111i t\u1eeb nh\u0129 n\u00e0y sang nh\u0129 kia, n\u00ean th\u01b0\u1eddng kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb v\u00ec ch\u1ee9c n\u0103ng v\u00e0 k\u00edch th\u01b0\u1edbc tim kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. Nhi\u1ec1u th\u00f4ng li\u00ean nh\u0129 l\u1ed7 nh\u1ecf s\u1ebd t\u1ef1 \u0111\u00f3ng khi tr\u00e1i tim ph\u00e1t tri\u1ec3n trong giai \u0111o\u1ea1n ni\u00ean thi\u1ebfu. Ng\u01b0\u1ee3c l\u1ea1i, th\u00f4ng li\u00ean nh\u0129 l\u1ed7 v\u1eeba v\u00e0 l\u1ed7 l\u1edbn l\u1ea1i \u00edt c\u00f3 kh\u1ea3 n\u0103ng t\u1ef1 \u0111\u00f3ng v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra bi\u1ebfn ch\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u00f3ng l\u1ea1i.<\/p>\n

    \"\"<\/p>\n

    Ch\u00fa th\u00edch: Tim b\u00ecnh th\u01b0\u1eddng (tr\u00e1i) v\u00e0 tim th\u00f4ng li\u00ean nh\u0129 (ph\u1ea3i)<\/strong><\/p>\n

    RA: Nh\u0129 ph\u1ea3i. RV: Th\u1ea5t ph\u1ea3i. LA: Nh\u0129 tr\u00e1i. LV: Th\u1ea5t tr\u00e1i. SVC: T\u0129nh m\u1ea1ch ch\u1ee7 tr\u00ean. IVC: T\u0129nh m\u1ea1nh ch\u1ee7 d\u01b0\u1edbi. MPA: \u0110\u1ed9ng m\u1ea1ch ph\u1ed5i ch\u00ednh. Ao: \u0110\u1ed9ng m\u1ea1ch ch\u1ee7. AoV: Van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. TV: Van 3 l\u00e1. MV: Van 2 l\u00e1. PV: Van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n\n\t\t<\/div>\n\t<\/div>\n\n\t

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    V\u00ec sao b\u1ecb th\u00f4ng li\u00ean nh\u0129?<\/h4><\/i><\/div>

    Kh\u00f4ng ai bi\u1ebft ch\u00ednh x\u00e1c t\u1ea1i sao th\u00f4ng li\u00ean nh\u0129 h\u00ecnh th\u00e0nh. \u0110\u00f4i khi gia \u0111\u00ecnh c\u00f3 v\u00e0i ng\u01b0\u1eddi b\u1ecb d\u1ecb t\u1eadt n\u00e0y, v\u00e0 ng\u01b0\u1eddi ta cho r\u1eb1ng hai y\u1ebfu t\u1ed1 di truy\u1ec1n, m\u00f4i tr\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 k\u1ebft h\u1ee3p nhau.<\/p>\n<\/div><\/div>

    Th\u00f4ng li\u00ean nh\u0129 th\u01b0\u1eddng g\u1eb7p kh\u00f4ng?<\/h4><\/i><\/div>

    Th\u00f4ng li\u00ean nh\u0129 l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ecb t\u1eadt tim b\u1ea9m sinh ph\u1ed5 bi\u1ebfn nh\u1ea5t. Ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u n\u00e0o t\u1ea1i Vi\u1ec7t Nam v\u1ec1 t\u1ea7n su\u1ea5t m\u1eafc d\u1ecb t\u1eadt n\u00e0y. Nh\u01b0ng t\u1ea1i M\u1ef9, theo Trung t\u00e2m ph\u00f2ng ch\u1ed1ng v\u00e0 ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt (CDC) c\u00f3 kho\u1ea3ng 2.000 tr\u1ebb sinh ra m\u1ed7i n\u0103m b\u1ecb th\u00f4ng li\u00ean nh\u0129, chi\u1ebfm t\u1ef7 l\u1ec7 5 \u2013 10% t\u1ed5ng s\u1ed1 c\u00e1c d\u1ecb t\u1eadt tim b\u1ea9m sinh. \u1ede ng\u01b0\u1eddi l\u1edbn, n\u1eef gi\u1edbi m\u1eafc th\u00f4ng li\u00ean nh\u0129 g\u1ea5p \u0111\u00f4i nam gi\u1edbi.<\/p>\n<\/div><\/div>

    C\u00f3 v\u1ea5n \u0111\u1ec1 tim n\u00e0o kh\u00e1c \u0111i k\u00e8m v\u1edbi th\u00f4ng li\u00ean nh\u0129 kh\u00f4ng?<\/h4><\/i><\/div>

    Th\u00f4ng li\u00ean nh\u0129 c\u00f3 th\u1ec3 x\u1ea3y ra \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi nh\u1eefng d\u1ecb t\u1eadt tim kh\u00e1c nh\u01b0 t\u0129nh m\u1ea1ch ph\u1ed5i b\u1ea5t th\u01b0\u1eddng, teo \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, t\u1ee9 ch\u1ee9ng Fallot v\u00e0 th\u00f4ng li\u00ean th\u1ea5t. B\u1ec7nh nh\u00e2n sinh ra v\u1edbi m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u1ec1 tim ph\u1ee9c t\u1ea1p h\u01a1n k\u1ebft h\u1ee3p v\u1edbi th\u00f4ng li\u00ean nh\u0129 th\u00ec d\u1ecb t\u1eadt tim ph\u1ee9c t\u1ea1p h\u01a1n s\u1ebd l\u00e0 ch\u1ea9n \u0111o\u00e1n ban \u0111\u1ea7u.<\/p>\n<\/div><\/div>

    Tr\u1ebb b\u1ecb th\u00f4ng li\u00ean nh\u0129 c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00e0o?<\/h4><\/i><\/div>

    Nhi\u1ec1u tr\u1ebb m\u1eafc th\u00f4ng li\u00ean nh\u0129 s\u1ebd kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng v\u00e0 v\u1eabn s\u1ed1ng kho\u1ebb m\u1ea1nh, sinh ho\u1ea1t nh\u01b0 ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. Nh\u01b0ng n\u1ebfu l\u1ed7 th\u00f4ng li\u00ean nh\u0129 l\u1edbn, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng: Mau m\u1ec7t, th\u1edf nhanh, kh\u00f3 th\u1edf, ch\u1eadm t\u0103ng tr\u01b0\u1edfng, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, th\u01b0\u1eddng b\u1ecb nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n<\/div><\/div>

    Th\u00f4ng li\u00ean nh\u0129 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

    N\u1ebfu th\u00f4ng li\u00ean nh\u0129 l\u1edbn, b\u00e1c s\u0129 c\u00f3 th\u1ec3 nghe ti\u1ebfng th\u1ea5y ti\u1ebfng tim b\u1ea5t th\u01b0\u1eddng khi nghe tim. Khi th\u00f4ng li\u00ean nh\u0129 nh\u1ecf, ti\u1ebfng tim b\u1ea5t th\u01b0\u1eddng kh\u00f3 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n. Do nhi\u1ec1u b\u1ec7nh nh\u00e2n m\u1eafc th\u00f4ng li\u00ean nh\u0129 th\u1ee9 ph\u00e1t kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u1ed5i b\u1eadt n\u00e0o, n\u00ean th\u00f4ng li\u00ean nh\u0129 s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n l\u1edbn l\u00ean.<\/p>\n

    X\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh th\u00f4ng li\u00ean nh\u0129 l\u00e0 si\u00eau \u00e2m tim. Nh\u1eefng x\u00e9t nghi\u1ec7m kh\u00e1c m\u00e0 b\u00e1c s\u0129 c\u00f3 th\u1ec3 mu\u1ed1n th\u1ef1c hi\u1ec7n l\u00e0 ch\u1ee5p X quang ng\u1ef1c, \u0111o \u0111i\u1ec7n tim, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI), si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n, th\u00f4ng tim.<\/p>\n<\/div><\/div>

    B\u00e9 g\u00e1i b\u1ecb th\u00f4ng li\u00ean nh\u0129 khi l\u1edbn l\u00ean c\u00f3 th\u1ec3 c\u00f3 con kh\u00f4ng?<\/h4><\/i><\/div>

    T\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef c\u00f3 th\u00f4ng li\u00ean nh\u0129, \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb hay ch\u01b0a, l\u1ed7 nh\u1ecf hay l\u1edbn, \u0111\u1ec1u ph\u1ea3i t\u01b0 v\u1ea5n m\u1ed9t b\u00e1c s\u0129 b\u1ec7nh tim b\u1ea9m sinh tr\u01b0\u1edbc khi c\u00f3 thai \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim v\u00e0 nguy c\u01a1. Ngay c\u1ea3 ph\u1ea7n l\u1edbn ph\u1ee5 n\u1eef m\u1eafc th\u00f4ng li\u00ean nh\u0129 l\u1ed7 nh\u1ecf v\u00e0 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 thai k\u1ef3 b\u00ecnh th\u01b0\u1eddng, th\u00ec v\u1eabn c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 nguy c\u01a1. Ph\u1ee5 n\u1eef c\u00f3 l\u1ed7 th\u00f4ng li\u00ean nh\u0129 l\u1edbn v\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 th\u00eam c\u00e1c v\u1ea5n \u0111\u1ec1 tim ph\u1ed5i kh\u00e1c, s\u1ebd gia t\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng trong khi c\u00f3 thai v\u00e0 sau khi sanh. T\u00ecm ki\u1ebfm s\u1ef1 ch\u0103m s\u00f3c t\u1eeb chuy\u00ean gia d\u1ecb t\u1eadt tim v\u00e0 chuy\u00ean gia s\u1ea3n khoa, tr\u01b0\u1edbc v\u00e0 trong khi mang thai, l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<\/div><\/div>

    Ng\u01b0\u1eddi b\u1ecb th\u00f4ng li\u00ean nh\u0129 th\u00ec con c\u00e1i h\u1ecd sau n\u00e0y c\u00f3 nguy c\u01a1 m\u1eafc m\u1ed9t d\u1ecb t\u1eadt tim kh\u00f4ng?<\/h4><\/i><\/div>

    Ng\u01b0\u1eddi l\u1edbn m\u1eafc th\u00f4ng li\u00ean nh\u0129 th\u00ec c\u00f3 nguy c\u01a1 nhi\u1ec1u h\u01a1n ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng sinh con m\u1eafc d\u1ecb t\u1eadt tim. Nguy c\u01a1 cao h\u01a1n n\u1ebfu m\u1eb9 m\u1eafc th\u00f4ng li\u00ean nh\u0129 v\u00e0 n\u1ebfu c\u00f3 anh em c\u0169ng m\u1eafc ch\u1ee9ng n\u00e0y. D\u1ecb t\u1eadt tim cho con c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u1ef1 hay kh\u00e1c v\u1edbi d\u1ecb t\u1eadt tim c\u1ee7a b\u1ed1, m\u1eb9.<\/p>\n<\/div><\/div>

    Khi n\u00e0o c\u1ea7n s\u1eeda ch\u1eefa?<\/h4><\/i><\/div>

    \u0110\u1ebfn 40% tr\u01b0\u1eddng h\u1ee3p th\u00f4ng li\u00ean nh\u0129 th\u1ee9 ph\u00e1t t\u1ef1 \u0111\u00f3ng tr\u01b0\u1edbc khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh. N\u1ebfu th\u00f4ng li\u00ean nh\u0129 v\u1eabn c\u00f2n, nh\u01b0ng l\u1ed7 nh\u1ecf, th\u01b0\u1eddng kh\u00f4ng khuy\u1ebfn c\u00e1o \u0111\u00f3ng l\u1ea1i. Nh\u01b0ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng m\u1ec7t, kh\u00f3 th\u1edf, rung nh\u0129, \u0111\u1ed9t qu\u1ef5 ho\u1eb7c th\u1ea5t ph\u1ea3i gi\u00e3n to, vi\u1ec7c s\u1eeda ch\u1eefa c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc.<\/p>\n<\/div><\/div>

    \u0110\u00f3ng th\u00f4ng li\u00ean nh\u0129 nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

    N\u0103m 1953, b\u00e1c s\u0129 John H. Gibbon \u0111\u00f3ng th\u00e0nh c\u00f4ng m\u1ed9t tr\u01b0\u1eddng h\u1ee3p th\u00f4ng li\u00ean nh\u0129 b\u1eb1ng m\u1ed5 tim h\u1edf v\u00e0 m\u1ed9t m\u00e1y tim ph\u1ed5i. K\u1ec3 t\u1eeb \u0111\u00f3 th\u00f4ng li\u00ean nh\u0129 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00f3ng b\u1eb1ng nh\u1eefng ch\u1ea5t li\u1ec7u v\u00e0 gi\u1ea3i ph\u00e1p kh\u00e1c nhau. Cho \u0111\u1ebfn \u0111\u1ea7u nh\u1eefng n\u0103m 1990, t\u1ea5t c\u1ea3 th\u00f4ng li\u00ean nh\u0129 \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111\u00f3ng b\u1eb1ng m\u1ed5 tim h\u1edf. Gi\u1edd \u0111\u00e2y vi\u1ec7c s\u1eed d\u1ee5ng nh\u1eefng d\u1ee5ng c\u1ee5 b\u1eb1ng th\u00f4ng tim tr\u1edf th\u00e0nh ch\u1ecdn l\u1ef1a h\u00e0ng \u0111\u1ea7u \u0111\u1ec3 s\u1eeda ch\u1eefa th\u00f4ng li\u00ean nh\u0129 th\u1ee9 ph\u00e1t n\u1ebfu tho\u1ea3 m\u00e3n c\u00e1c ti\u00eau ch\u00ed. N\u1ebfu l\u1ed7 th\u00f4ng li\u00ean nh\u0129 th\u1ee9 ph\u00e1t qu\u00e1 l\u1edbn, ho\u1eb7c th\u00f4ng li\u00ean nh\u0129 c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 m\u1ed9t d\u1ea1ng kh\u00e1c, ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o. Ph\u1eabu thu\u1eadt vi\u00ean s\u1ebd quy\u1ebft \u0111\u1ecbnh gi\u1ea3i ph\u00e1p t\u1ed1t nh\u1ea5t \u0111\u1ec3 \u0111\u00f3ng th\u00f4ng li\u00ean nh\u0129.<\/p>\n<\/div><\/div>

    B\u1ec7nh nh\u00e2n th\u00f4ng li\u00ean nh\u0129 c\u00f3 th\u1ec3 t\u1eadp luy\u1ec7n?<\/h4><\/i><\/div>

    C\u1ea7n h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u m\u1ed9t h\u00ecnh th\u1ee9c t\u1eadp luy\u1ec7n n\u00e0o. Th\u00f4ng th\u01b0\u1eddng b\u1ec7nh nh\u00e2n m\u1eafc th\u00f4ng li\u00ean nh\u0129 l\u1ed7 nh\u1ecf, ho\u1eb7c \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa, th\u00ec kh\u00f4ng h\u1ea1n ch\u1ebf t\u1eadp luy\u1ec7n. Nh\u01b0ng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 kh\u00e1c nh\u01b0 tim \u0111\u1eadp b\u1ea5t th\u01b0\u1eddng, suy tim, t\u0103ng \u00e1p ph\u1ed5i, ho\u1eb7c h\u1ed9i ch\u1ee9ng Eisenmenger th\u00ec n\u00ean t\u01b0 v\u1ea5n b\u00e1c s\u0129 m\u1ed9t d\u1ea1ng t\u1eadp luy\u1ec7n an to\u00e0n cho h\u1ecd.<\/p>\n<\/div><\/div>

    Th\u00f4ng li\u00ean nh\u0129 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, khi b\u1ec7nh nh\u00e2n l\u1edbn l\u00ean s\u1ebd c\u00f3 h\u1eadu qu\u1ea3 l\u00e2u d\u00e0i n\u00e0o?<\/h4><\/i><\/div>

    Ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u00f4ng li\u00ean nh\u0129 nh\u1ecf kh\u00f4ng \u1ea3nh h\u01b0\u1edfng g\u00ec \u0111\u1ebfn ch\u1ee9c n\u0103ng tim th\u00ec kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb. Nh\u01b0ng h\u1ecd v\u1eabn c\u1ea7n g\u1eb7p m\u1ed9t b\u00e1c s\u0129 v\u1ec1 tim b\u1ea9m sinh ng\u01b0\u1eddi l\u1edbn \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n\/n\u0103m \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m b\u1ec7nh kh\u00f4ng ti\u1ebfn tri\u1ec3n. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu l\u1ed7 th\u00f4ng li\u00ean nh\u0129 qu\u00e1 l\u1edbn, m\u00e1u s\u1ebd di chuy\u1ec3n t\u1eeb b\u00ean tr\u00e1i tim sang b\u00ean ph\u1ea3i tim. H\u1eadu qu\u1ea3 l\u00e0 c\u00f3 m\u1ed9t l\u01b0\u1ee3ng m\u00e1u d\u01b0 th\u1eeba \u0111\u01b0\u1ee3c b\u01a1m l\u00ean ph\u1ed5i, l\u00e0m cho tim v\u00e0 ph\u1ed5i l\u00e0m vi\u1ec7c kh\u00f3 kh\u0103n h\u01a1n v\u00e0 \u00edt hi\u1ec7u qu\u1ea3 h\u01a1n. Khi \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, th\u00f4ng li\u00ean nh\u0129 c\u00f3 nguy c\u01a1 ti\u1ebfn tri\u1ec3n th\u00e0nh nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 tim, ph\u1ed5i v\u00e0 m\u00e1u g\u1ed3m:<\/p>\n

      \n
    • Tim ph\u1ea3i gi\u00e3n to v\u00e0 g\u00e2y suy tim ph\u1ea3i.<\/li>\n
    • Tim \u0111\u1eadp nhanh v\u00e0 b\u1ea5t th\u01b0\u1eddng, rung nh\u0129.<\/li>\n
    • \u0110\u1ed9t qu\u1ef5.<\/li>\n
    • T\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i d\u1eabn \u0111\u1ebfn t\u0103ng \u00e1p ph\u1ed5i.<\/li>\n
    • H\u1ed9i ch\u1ee9ng Eisenmenger.<\/li>\n
    • H\u1edf van 2 l\u00e1 v\u00e0 van 3 l\u00e1.<\/li>\n<\/ul>\n<\/div><\/div>

      Tr\u1ebb th\u00f4ng li\u00ean nh\u0129 \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb th\u00ec khi l\u1edbn l\u00ean k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i nh\u01b0 th\u1ebf n\u00e0o?<\/h4><\/i><\/div>

      Tr\u1ebb m\u1eafc th\u00f4ng li\u00ean nh\u0129 n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm th\u00ec k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i n\u00f3i chung r\u1ea5t t\u1ed1t. Nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00f3ng th\u00f4ng li\u00ean nh\u0129 \u1edf tu\u1ed5i l\u1edbn, \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i b\u00ecnh th\u01b0\u1eddng th\u00ec c\u0169ng th\u01b0\u1eddng c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t v\u1ec1 l\u00e2u d\u00e0i. Tuy nhi\u00ean h\u1ecd c\u00f3 nguy c\u01a1 ph\u00e1t tri\u1ec3n ch\u1ee9ng lo\u1ea1n nh\u1ecbp nh\u0129 do v\u1ebft s\u1eb9o \u1edf ch\u1ed7 \u0111\u00f3ng. B\u00ean c\u1ea1nh \u0111\u00f3, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u1ea7n ph\u1ea3i m\u1ed5 l\u1ea1i n\u1ebfu ch\u1ed7 \u0111\u00f3ng kh\u00f4ng k\u00edn. Nh\u1eefng nguy c\u01a1 kh\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra mu\u1ed9n h\u01a1n g\u1ed3m suy tim hay t\u0103ng \u00e1p ph\u1ed5i.<\/p>\n<\/div><\/div><\/div><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"Tr\u00e1i tim c\u00f3 4 bu\u1ed3ng: hai bu\u1ed3ng nh\u1eadn m\u00e1u v\u1ec1 tim g\u1ecdi l\u00e0 nh\u0129 ph\u1ea3i v\u00e0 nh\u0129 tr\u00e1i, v\u00e0 hai bu\u1ed3ng b\u01a1m m\u00e1u ra kh\u1ecfi tim g\u1ecdi l\u00e0 th\u1ea5t ph\u1ea3i v\u00e0 th\u1ea5t tr\u00e1i. V\u00e1ch li\u00ean nh\u0129 l\u00e0 th\u00e0nh tim ng\u0103n nh\u0129 ph\u1ea3i v\u00e0 nh\u0129 tr\u00e1i. N\u1ebfu c\u00f3 m\u1ed9t l\u1ed7 \u1edf v\u00e1ch li\u00ean nh\u0129 th\u00ec g\u1ecdi [...]","protected":false},"author":1,"featured_media":0,"parent":128,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"_links":{"self":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/481"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/comments?post=481"}],"version-history":[{"count":8,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/481\/revisions"}],"predecessor-version":[{"id":1161,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/481\/revisions\/1161"}],"up":[{"embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/pages\/128"}],"wp:attachment":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/media?parent=481"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}