{"id":920,"date":"2023-04-23T09:52:07","date_gmt":"2023-04-23T02:52:07","guid":{"rendered":"http:\/\/demo.giraf.vn\/?p=920"},"modified":"2023-05-07T16:21:36","modified_gmt":"2023-05-07T09:21:36","slug":"nhung-doi-tay-vang-tien-phong-va-loi-trai-tim","status":"publish","type":"post","link":"https:\/\/timbamsinhtphcm.vn\/en\/nhung-doi-tay-vang-tien-phong-va-loi-trai-tim\/","title":{"rendered":"Nh\u1eefng \u0111\u00f4i tay v\u00e0ng ti\u00ean phong ‘v\u00e1 l\u1ed7i’ tr\u00e1i tim"},"content":{"rendered":"
Kh\u00f4ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 tim kinh \u0111i\u1ec3n, c\u00e1c b\u00e1c s\u0129 c\u00f2n ti\u1ebfp t\u1ee5c \u1ee9ng d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt ti\u00ean ti\u1ebfn nh\u01b0 th\u00f4ng tim can thi\u1ec7p, ph\u1eabu thu\u1eadt tim \u00edt x\u00e2m l\u1ea5n, \u0111em l\u1ea1i \u0111\u01b0\u1eddng m\u1ed5 th\u1ea9m m\u1ef9, h\u1ed3i ph\u1ee5c s\u1edbm cho b\u1ec7nh nhi.<\/strong><\/div>\n
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Trong l\u0129nh v\u1ef1c y khoa, nh\u1eefng n\u0103m 1980 tr\u1edf v\u1ec1 tr\u01b0\u1edbc, nh\u1eafc \u0111\u1ebfn tim b\u1ea9m sinh, kh\u00f4ng \u00edt th\u1ebf h\u1ec7 b\u00e1c s\u0129 (BS) Vi\u1ec7t Nam \u201cr\u00f9ng m\u00ecnh\u201d v\u00ec b\u1ec7nh nh\u01b0 m\u1ed9t \u00e1n t\u1eed treo l\u01a1 l\u1eedng tr\u00ean \u0111\u1ea7u.<\/p>\n

Hi\u1ec7n t\u1ec9 l\u1ec7 tr\u1ebb em m\u1eafc b\u1ec7nh tim b\u1ea9m sinh \u1edf Vi\u1ec7t Nam \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng r\u1ea5t cao. Tuy nhi\u00ean, \u00edt ai bi\u1ebft, \u0111\u1eb1ng sau s\u1ef1 th\u0103ng hoa \u0111\u00f3 l\u00e0 n\u1ed7 l\u1ef1c th\u1ea7m l\u1eb7ng c\u1ee7a nh\u1eefng th\u1ebf h\u1ec7 BS \u0111\u00e3 ch\u1ecdn chuy\u00ean ng\u00e0nh kh\u00f3 n\u00e0y.<\/p>\n

Gian nan h\u00e0nh tr\u00ecnh \u201cv\u00e1 tim\u201d<\/strong><\/h2>\n

Cu\u1ed1i nh\u1eefng n\u0103m 1980, tr\u1ebb b\u1ecb tim b\u1ea9m sinh v\u00e0 t\u1eed vong do b\u1ec7nh n\u1eb7ng c\u1ea7n \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt qu\u00e1 nhi\u1ec1u trong khi ch\u01b0a c\u00f3 m\u1ed9t c\u01a1 s\u1edf y t\u1ebf chuy\u00ean s\u00e2u n\u00e0o \u0111\u1ee7 s\u1ee9c gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c. M\u1ed9t s\u1ed1 tr\u1ebb \u0111\u01b0\u1ee3c t\u1ed5 ch\u1ee9c t\u1eeb thi\u1ec7n mang sang Ph\u00e1p m\u1ed5 tim nh\u01b0ng ch\u1ec9 l\u00e0 gi\u1ea3i ph\u00e1p t\u1ea1m th\u1eddi v\u00e0 h\u1ecd d\u1ea7n \u0111u\u1ed1i s\u1ee9c.<\/p>\n

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BS Nguy\u1ec5n Minh Tr\u00ed Vi\u00ean \u0111ang t\u01b0 v\u1ea5n h\u1ed9i ch\u1ea9n cho m\u1ed9t c\u1eb7p v\u1ee3 ch\u1ed3ng c\u00f3 con b\u1ecb m\u1eafc b\u1ec7nh tim b\u1ea9m sinh. \u1ea2nh: TH\u1ea2O PH\u01af\u01a0NG<\/em><\/p><\/div>\n

Th\u1eddi \u0111i\u1ec3m n\u00e0y, c\u1ed1 GS – Vi\u1ec7n s\u0129 D\u01b0\u01a1ng Quang Trung, nguy\u00ean Gi\u00e1m \u0111\u1ed1c S\u1edf Y t\u1ebf TP.HCM, \u0111\u00e3 \u0111\u00edch th\u00e2n sang Ph\u00e1p g\u1eb7p GS Alain Carpentier, Ch\u1ee7 t\u1ecbch Hi\u1ec7p h\u1ed9i Alain Carpentier (Ph\u00e1p), nh\u1edd gi\u00fap Vi\u1ec7t Nam x\u00e2y d\u1ef1ng m\u1ed9t c\u01a1 s\u1edf m\u1ed5 tim h\u1edf. Tuy nhi\u00ean, ba l\u1ea7n thuy\u1ebft ph\u1ee5c, GS D\u01b0\u01a1ng Quang Trung \u0111\u1ec1u b\u1ecb t\u1eeb ch\u1ed1i do lo ng\u1ea1i Vi\u1ec7t Nam kh\u00f4ng \u0111\u1ee7 s\u1ee9c v\u1eadn h\u00e0nh c\u01a1 s\u1edf y khoa k\u1ef9 thu\u1eadt cao.<\/p>\n

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BS D\u01b0\u01a1ng Quang Trung, ng\u01b0\u1eddi \u0111\u00e3 kh\u00f4ng n\u1ea3n l\u00f2ng th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh Vi\u1ec7n Tim TP.HCM. \u1ea2nh: VT<\/em><\/p><\/div>\n

Kh\u00f4ng n\u1ea3n l\u00f2ng, GS D\u01b0\u01a1ng Quang Trung ki\u00ean tr\u00ec v\u00e0 m\u1eddi GS Alain Carpentier sang Vi\u1ec7t Nam \u0111\u1ec3 t\u00ecm hi\u1ec3u th\u1ef1c t\u1ebf. Trong m\u1ed9t l\u1ea7n tham quan BV Nhi \u0111\u1ed3ng 2, \u00f4ng \u0111\u00e3 b\u1ecb lay \u0111\u1ed9ng khi ng\u1eabu nhi\u00ean ch\u1ee9ng ki\u1ebfn c\u00e1i ch\u1ebft \u0111au \u0111\u1edbn c\u1ee7a m\u1ed9t b\u00e9 g\u00e1i 12 tu\u1ed5i b\u1ecb b\u1ec7nh tim b\u1ea9m sinh. D\u1ef1 \u00e1n th\u00e0nh l\u1eadp Vi\u1ec7n Tim \u0111\u01b0\u1ee3c x\u00fac ti\u1ebfn t\u1eeb \u0111\u00e2y v\u00e0 x\u00e2y d\u1ef1ng, ho\u00e0n th\u00e0nh v\u00e0o n\u0103m 1991.<\/p>\n

\u0110\u1ec3 chu\u1ea9n b\u1ecb nh\u00e2n l\u1ef1c cho vi\u1ec7c m\u1ed5 tim h\u1edf, BS Nguy\u1ec5n Minh Tr\u00ed Vi\u00ean, hi\u1ec7n l\u00e0 tr\u01b0\u1edfng khoa Ngo\u1ea1i \u0111i\u1ec1u tr\u1ecb Vi\u1ec7n Tim TP.HCM, \u0111\u00e3 \u0111\u01b0\u1ee3c g\u1eedi sang Ph\u00e1p \u0111\u00e0o t\u1ea1o v\u00e0o kho\u1ea3ng n\u0103m 1993.<\/p>\n

Ban \u0111\u1ea7u, BS Tr\u00ed Vi\u00ean ch\u1ec9 m\u1ed5 nh\u1eefng ca c\u00f3 l\u1ed7 th\u00f4ng \u0111\u01a1n gi\u1ea3n ho\u1eb7c t\u1ee9 ch\u1ee9ng Fallot (tim c\u00f3 b\u1ed1n khuy\u1ebft t\u1eadt) t\u1eeb kho\u1ea3ng 15 kg tr\u1edf l\u00ean. Tuy nhi\u00ean, c\u00f3 nhi\u1ec1u tr\u1ebb kh\u00f4ng k\u1ecbp \u0111\u1ee3i \u0111\u1ebfn \u0111\u1ee7 c\u00e2n \u0111\u00e3 ra \u0111i, t\u1ec9 l\u1ec7 t\u1eed vong sau m\u1ed5 do t\u1ee9 ch\u1ee9ng Fallot v\u1eabn c\u00f2n cao, c\u1ee9 n\u0103m ca th\u00ec c\u00f3 m\u1ed9t ca t\u1eed vong. Vi\u1ec7n Tim m\u1ed5 h\u1ebft c\u00f4ng su\u1ea5t ch\u1ec9 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c 1\/10 nhu c\u1ea7u. \u0110i\u1ec1u n\u00e0y \u0111\u1eb7t ra y\u00eau c\u1ea7u ph\u1ea3i m\u1ed5 \u0111\u01b0\u1ee3c cho tr\u1ebb nh\u1eb9 c\u00e2n h\u01a1n.<\/p>\n<\/div>\n

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B\u00e1c s\u0129 Nguy\u1ec5n Minh Tr\u00ed Vi\u00ean (m\u0169 x\u00e1m) trong m\u1ed9t ca ph\u1eabu thu\u1eadt tim tr\u1ebb em<\/em>.<\/p><\/div>\n

D\u1ef1a tr\u00ean kinh nghi\u1ec7m h\u1ecdc h\u1ecfi t\u1eeb \u00dac, n\u0103m 1998, BS Tr\u00ed Vi\u00ean \u0111\u00e3 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p TAPA, \u0111i\u1ec1u tr\u1ecb kh\u1ed1i h\u1eb9p ngay trong l\u00f2ng \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, c\u1ed1 g\u1eafng b\u1ea3o t\u1ed3n nguy\u00ean v\u1eb9n c\u1ea5u tr\u00fac th\u1ea5t ph\u1ea3i. \u0110\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 b\u01b0\u1edbc \u0111\u1ed9t ph\u00e1 l\u1edbn \u1edf th\u1ebf k\u1ef7 tr\u01b0\u1edbc trong \u0111i\u1ec1u tr\u1ecb t\u1ee9 ch\u1ee9ng Fallot \u1edf Vi\u1ec7t Nam, gi\u00fap tr\u1ebb kh\u00f4ng c\u00f2n t\u1eed vong, r\u00fat ng\u1eafn th\u1eddi gian h\u1eadu ph\u1eabu v\u00e0 m\u1ed5 \u0111\u01b0\u1ee3c cho c\u1ea3 tr\u1ebb 5-10 kg.<\/p>\n<\/div>\n

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Tuy nhi\u00ean, \u0111\u1ec3 ti\u1ec7m c\u1eadn m\u1ed5 b\u1ec7nh l\u00fd tim ph\u1ee9c t\u1ea1p cho tr\u1ebb s\u01a1 sinh l\u00e0 m\u1ed9t h\u00e0nh tr\u00ecnh kh\u00e1 d\u00e0i. \u01af\u1edbc m\u01a1 n\u00e0y ch\u1ec9 th\u00e0nh hi\u1ec7n th\u1ef1c khi \u0111\u1ebfn n\u0103m 2000, c\u00f9ng v\u1edbi s\u1ef1 quy\u1ebft t\u00e2m c\u1ee7a l\u00e3nh \u0111\u1ea1o Vi\u1ec7n Tim, BS Tr\u00ed Vi\u00ean \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u00fap \u0111\u1ee1 sang B\u1ec7nh vi\u1ec7n (BV) Ho\u00e0ng Gia (Melbourne, \u00dac), \u0111\u00e0o t\u1ea1o th\u01b0\u1eddng tr\u00fa trong BV.<\/p>\n

Khi v\u1ec1 n\u01b0\u1edbc, nh\u1eefng ca \u0111\u1ea7u ti\u00ean tri\u1ec3n khai c\u0169ng kh\u00f4ng d\u1ec5 d\u00e0ng khi t\u1ec9 l\u1ec7 t\u1eed vong cao, BV kh\u00f4ng c\u00f3 thi\u1ebft b\u1ecb \u0111\u1ea7y \u0111\u1ee7, ch\u01b0a \u0111\u1ed3ng b\u1ed9 trong kh\u00e2u ti\u1ebfp nh\u1eadn t\u1eeb BV s\u1ea3n v\u00e0 nhi…<\/p>\n

\u0110\u1ebfn th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i, ch\u1ec9 c\u00f2n 1%-2% tr\u01b0\u1eddng h\u1ee3p t\u1eed vong sau m\u1ed5 tim b\u1ea9m sinh, ch\u1ee7 y\u1ebfu do nhi\u1ec5m tr\u00f9ng, b\u1ec7nh \u1edf giai \u0111o\u1ea1n tr\u1ec5, suy tim.<\/p>\n

“C\u1ee9u m\u1ed9t \u0111\u1ee9a tr\u1ebb b\u1ecb b\u1ec7nh tim b\u1ea9m sinh kh\u00f4ng ch\u1ec9 gi\u00fap ch\u00ednh \u0111\u1ee9a tr\u1ebb m\u00e0 c\u00f2n c\u1ee9u c\u1ea3 gia \u0111\u00ecnh v\u00e0 t\u01b0\u01a1ng lai r\u1ea5t d\u00e0i c\u1ee7a \u0111\u1ee9a tr\u1ebb” – BS Nguy\u1ec5n Minh Tr\u00ed Vi\u00ean<\/div>\n

Read More<\/strong>: https:\/\/plo.vn\/nhung-doi-tay-vang-tien-phong-va-loi-trai-tim-post721557.html<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"

Kh\u00f4ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 tim kinh \u0111i\u1ec3n, c\u00e1c b\u00e1c s\u0129 c\u00f2n ti\u1ebfp t\u1ee5c \u1ee9ng d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt ti\u00ean ti\u1ebfn nh\u01b0 th\u00f4ng tim can thi\u1ec7p, ph\u1eabu thu\u1eadt tim \u00edt x\u00e2m l\u1ea5n, \u0111em l\u1ea1i \u0111\u01b0\u1eddng m\u1ed5 th\u1ea9m m\u1ef9, h\u1ed3i ph\u1ee5c s\u1edbm cho b\u1ec7nh nhi. Trong l\u0129nh v\u1ef1c y khoa, nh\u1eefng n\u0103m 1980 […]<\/p>\n","protected":false},"author":5,"featured_media":1097,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[34,4],"tags":[35,38,37,36],"_links":{"self":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/posts\/920"}],"collection":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"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=920"}],"version-history":[{"count":7,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/posts\/920\/revisions"}],"predecessor-version":[{"id":1241,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/posts\/920\/revisions\/1241"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/media\/1097"}],"wp:attachment":[{"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/media?parent=920"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/categories?post=920"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/timbamsinhtphcm.vn\/en\/wp-json\/wp\/v2\/tags?post=920"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}