{"id":274046,"date":"2021-04-05T10:17:28","date_gmt":"2021-04-05T03:17:28","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-thanh-cong-mang-xo-vua-dong-mach-canh-o-benh-nhan-lon-tuoi-co-tien-su-tai-bien\/"},"modified":"2025-11-08T19:16:30","modified_gmt":"2025-11-08T12:16:30","slug":"dieu-tri-thanh-cong-mang-xo-vua-dong-mach-canh-o-benh-nhan-lon-tuoi-co-tien-su-tai-bien","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-thanh-cong-mang-xo-vua-dong-mach-canh-o-benh-nhan-lon-tuoi-co-tien-su-tai-bien\/","title":{"rendered":"\u0110i\u1ec1u Tr\u1ecb Th\u00e0nh C\u00f4ng M\u1ea3ng X\u01a1 V\u1eefa \u0110\u1ed9ng M\u1ea1ch C\u1ea3nh \u1ede B\u1ec7nh Nh\u00e2n L\u1edbn Tu\u1ed5i C\u00f3 Ti\u1ec1n S\u1eed Tai Bi\u1ebfn"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">C\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa cho bi\u1ebft, nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00ed l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n t\u1edbi m\u1ed9t v\u00f9ng c\u1ee7a n\u00e3o, do h\u1eb9p ho\u1eb7c t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u n\u00e3o ho\u1eb7c do h\u1ea1 huy\u1ebft \u00e1p. Nh\u1ed3i m\u00e1u n\u00e3o chi\u1ebfm kho\u1ea3ng 80% \u0111\u1ed9t qu\u1ef5 n\u00e3o, t\u1ec9 l\u1ec7 m\u1eafc h\u00e0ng n\u0103m c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o t\u01b0\u01a1ng \u0111\u1ed1i cao, kho\u1ea3ng 130\/100.000 ng\u01b0\u1eddi\/n\u0103m, \u0111\u1eb7c bi\u1ec7t th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3&nbsp;<a href=\"https:\/\/www.hoanmysaigon.com\/phat-hien-som-mang-xo-vua-dong-mach.html\" target=\"_blank\" rel=\"noopener\">x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1edbi \u0111\u00e2y, BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n \u0111\u00e3 ti\u1ebfp nh\u1eadn m\u1ed9t tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i l\u00e0 \u00f4ng T.V.B (75 tu\u1ed5i) ng\u1ee5 t\u1ea1i B\u1ebfn Tre, nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng ch\u00f3ng m\u1eb7t, t\u00ea y\u1ebfu n\u1eeda ng\u01b0\u1eddi b\u00ean ph\u1ea3i. Ng\u01b0\u1eddi nh\u00e0 \u00f4ng B cho bi\u1ebft, \u00f4ng c\u00f3 di ch\u1ee9ng nh\u1ed3i m\u00e1u n\u00e3o c\u00f9ng c\u00e1c b\u1ec7nh l\u00fd k\u00e8m theo nh\u01b0&nbsp;<a href=\"https:\/\/www.hoanmysaigon.com\/benh-tieu-duong-benh-tim-va-dot-quy.html\" target=\"_blank\" rel=\"noopener\">b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9<\/a>, tho\u00e1i h\u00f3a kh\u1edbp, vi\u00eam d\u1ea1 d\u00e0y v\u00e0 t\u0103ng lipid m\u00e1u d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n \u1edf \u0111\u1ecba ph\u01b0\u01a1ng nh\u01b0ng ch\u01b0a kh\u1eafc ph\u1ee5c \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh si\u00eau \u00e2m m\u1ea1ch c\u1ea3nh v\u00e0 ch\u1ee5p CT ph\u00e1t hi\u1ec7n \u00f4ng b\u1ecb h\u1eb9p m\u1ea1ch m\u00e1u l\u00ean n\u00e3o, \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong tr\u00e1i h\u1eb9p n\u1eb7ng (90%), \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong ph\u1ea3i h\u1eb9p 40%.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>H\u00ecnh 1: \u0110o\u1ea1n h\u1eb9p m\u1ea1ch c\u1ea3nh trong tr\u00e1i v\u00e0 ph\u1ea3i<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt b\u00f3c l\u1edbp n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong tr\u00e1i. BS. CKII Cao Minh Th\u00f4ng \u2013 Khoa Ngo\u1ea1i Tim M\u1ea1ch cho bi\u1ebft&nbsp;<em>\u201cTrong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, c\u00e1c BS ph\u00e1t hi\u1ec7n nhi\u1ec1u m\u1ea3ng x\u01a1 v\u1eefa, d\u1ec5 v\u1ee1 trong v\u00f9ng m\u1ea1ch m\u00e1u h\u1eb9p. Nhi\u1ec1u m\u1ea3ng x\u01a1 v\u1eefa trong th\u00e0nh m\u1ea1ch m\u00e1u khi\u1ebfn \u0111\u01b0\u1eddng k\u00ednh l\u01b0u th\u00f4ng h\u1eb9p ch\u1ec9 c\u00f2n 1mm, g\u1ea7n nh\u01b0 \u0111\u00e3 t\u1eafc ho\u00e0n to\u00e0n (\u1edf ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1eddng k\u00ednh l\u01b0u th\u00f4ng l\u00e0 15mm). \u0110\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p v\u00f4 c\u00f9ng nguy hi\u1ec3m, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c th\u00f4ng t\u1eafc s\u1ebd d\u1eabn \u0111\u1ebfn nguy c\u01a1 nh\u1ed3i m\u00e1u n\u00e3o t\u00e1i ph\u00e1t, th\u1eadm ch\u00ed g\u00e2y ra t\u1eed vong cho ng\u01b0\u1eddi b\u1ec7nh\u201d<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Cu\u1ed9c ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i 60 ph\u00fat, sau ph\u1eabu thu\u1eadt, \u00f4ng B t\u1ec9nh t\u00e1o, nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c ng\u01b0\u1eddi th\u00e2n, th\u1ec3 tr\u1ea1ng ph\u1ee5c h\u1ed3i t\u1ed1t, t\u00ecnh tr\u1ea1ng t\u00ea y\u1ebfu m\u1ed9t b\u00ean gi\u1ea3m d\u1ea7n, c\u00e1nh tay b\u00ean t\u00ea y\u1ebfu tr\u01b0\u1edbc \u0111\u00e2y b\u1eaft \u0111\u1ea7u c\u00f3 th\u1ec3 c\u1eed \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng, h\u1ed3i ph\u1ee5c s\u1ee9c c\u01a1 b\u1eb1ng v\u1edbi tay \u0111\u1ed1i di\u1ec7n. Hi\u1ec7n \u00f4ng B. \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u1ec1 nh\u00e0.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e1c s\u0129 Th\u00f4ng cho bi\u1ebft th\u00eam, do t\u00ecnh tr\u1ea1ng h\u1eb9p c\u1ea3 \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong ph\u1ea3i \u1edf m\u1ee9c 40%, \u00f4ng B. s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c theo d\u00f5i trong th\u1eddi gian t\u1edbi nh\u1eb1m ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng t\u00e1i ph\u00e1t, c\u1ea3i thi\u1ec7n v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>H\u00ecnh 2: C\u00e1c BS ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt cho ng\u01b0\u1eddi b\u1ec7nh<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a \u00f4ng T.V.B l\u00e0 m\u1ed9t trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec3n h\u00ecnh c\u1ee7a \u0111i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m nguy\u00ean nh\u00e2n g\u00e2y nh\u1ed3i m\u00e1u n\u00e3o, ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t, gi\u1ea3m nguy c\u01a1 \u0111\u1ed9t qu\u1ef5, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. B\u00f3c n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt hi\u1ec7u qu\u1ea3 nh\u1eb1m x\u1eed l\u00ed t\u1ed1t b\u1ec7nh l\u00ed h\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh v\u1edbi \u01b0u \u0111i\u1ec3m v\u1ec1 th\u1eddi gian ph\u1eabu thu\u1eadt nhanh, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n s\u1edbm.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo khuy\u1ebfn c\u00e1o c\u1ee7a BS.CKII Cao Minh Th\u00f4ng \u2013 Khoa Ngo\u1ea1i Tim m\u1ea1ch L\u1ed3ng ng\u1ef1c BV Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n, nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o v\u00e0 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, b\u1ec7nh l\u00ed \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, m\u1ee1 m\u00e1u, t\u0103ng huy\u1ebft \u00e1p n\u00ean ti\u1ebfn h\u00e0nh t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u00ec m\u1ed7i n\u0103m c\u00e1c m\u1ea1ch m\u00e1u l\u00ean n\u00e3o; khuy\u1ebfn kh\u00edch n\u00ean th\u1ef1c hi\u1ec7n si\u00eau \u00e2m m\u1ea1ch c\u1ea3nh \u0111\u1ec3 ph\u00e1t hi\u1ec7n m\u1ea3ng x\u01a1 v\u1eefa. T\u1eeb vi\u1ec7c ph\u00e1t hi\u1ec7n m\u1ea3ng x\u01a1 v\u1eefa, c\u00e1c b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh ki\u1ec3m tra t\u00ednh ch\u1ea5t, ti\u00ean l\u01b0\u1ee3ng m\u1ea3ng x\u01a1 v\u1eefa, x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 h\u1eb9p v\u00e0 t\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb, x\u1eed l\u00ed nh\u1ed3i m\u00e1u n\u00e3o t\u1eeb giai \u0111o\u1ea1n s\u1edbm, ng\u0103n ng\u1eeba t\u00e1i ph\u00e1t v\u00e0 ti\u1ebfn tri\u1ec3n th\u00e0nh \u0111\u1ed9t qu\u1ef5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>H\u00ecnh 3: BS Th\u00f4ng th\u0103m kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n m\u1ed9t trong 17 b\u1ec7nh vi\u1ec7n tr\u00ean \u0111\u1ecba b\u00e0n th\u00e0nh ph\u1ed1 c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb&nbsp;<a href=\"https:\/\/www.hoanmysaigon.com\/dot-quy-va-thoi-gian-vang-trong-dot-quy.html\" target=\"_blank\" rel=\"noopener\">\u0111\u1ed9t qu\u1ef5<\/a>&nbsp;v\u1edbi \u0111\u1ea7y \u0111\u1ee7 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft (rTPA), can thi\u1ec7p n\u1ed9i m\u1ea1ch \u0111i\u1ec1u tr\u1ecb huy\u1ebft kh\u1ed1i v\u00e0 ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch l\u00f2ng m\u1ea1ch. V\u1edbi s\u1ef1 \u0111\u1ea7u t\u01b0 trang thi\u1ebft b\u1ecb y khoa hi\u1ec7n \u0111\u1ea1i nh\u1eb1m mang l\u1ea1i k\u1ebft qu\u1ea3 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c c\u00f9ng \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 nhi\u1ec1u n\u0103m kinh nghi\u1ec7m trong l\u0129nh v\u1ef1c can thi\u1ec7p \u0111\u1ed9t qu\u1ef5, ch\u00fang t\u00f4i \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb v\u00e0 x\u1eed l\u00ed th\u00e0nh c\u00f4ng nhi\u1ec1u ca b\u1ec7nh c\u00f3 ti\u00ean l\u01b0\u1ee3ng x\u1ea5u, mang l\u1ea1i ni\u1ec1m tin v\u00e0 hi v\u1ecdng s\u1ed1ng cho ng\u01b0\u1eddi d\u00e2n th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh v\u00e0 c\u00e1c t\u1ec9nh th\u00e0nh l\u00e2n c\u1eadn.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa cho bi\u1ebft, nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 qu\u00e1 tr\u00ecnh b\u1ec7nh l\u00ed l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n t\u1edbi m\u1ed9t v\u00f9ng c\u1ee7a n\u00e3o, do h\u1eb9p&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-274046","post","type-post","status-publish","format-standard","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274046","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=274046"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274046\/revisions"}],"predecessor-version":[{"id":310945,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274046\/revisions\/310945"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274046"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274046"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274046"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}