{"id":274252,"date":"2023-03-17T09:22:00","date_gmt":"2023-03-17T02:22:00","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-cho-cu-ba-72-tuoi-bi-tim-bam-sinh-va-suy-tim-do-nang-2\/"},"modified":"2025-11-08T19:13:02","modified_gmt":"2025-11-08T12:13:02","slug":"dieu-tri-cho-cu-ba-72-tuoi-bi-tim-bam-sinh-va-suy-tim-do-nang-2","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/dieu-tri-cho-cu-ba-72-tuoi-bi-tim-bam-sinh-va-suy-tim-do-nang-2\/","title":{"rendered":"\u0110I\u1ec0U TR\u1eca CHO C\u1ee4 B\u00c0 72 TU\u1ed4I B\u1eca TIM B\u1ea8M SINH V\u00c0 SUY TIM \u0110\u1ed8 N\u1eb6NG"},"content":{"rendered":"\n

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 72 tu\u1ed5i b\u1ecb th\u00f4ng li\u00ean nh\u0129, suy tim nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/em><\/p>\n\n\n\n

C\u1ee5 b\u00e0 T.T.C (72 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i Huy\u1ec7n Duy\u00ean H\u1ea3i, t\u1ec9nh Tr\u00e0 Vinh) \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a v\u00e0o B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long trong t\u00ecnh tr\u1ea1ng ch\u00f3ng m\u1eb7t, \u0111au ng\u1ef1c, kh\u00f3 th\u1edf. Ngay khi ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 nhanh ch\u00f3ng th\u0103m kh\u00e1m v\u00e0 th\u1ef1c hi\u1ec7n c\u1eadn l\u00e2m s\u00e0ng c\u1ea7n thi\u1ebft, theo d\u00f5i t\u00ecnh tr\u1ea1ng b\u1ec7nh, c\u1ee5 b\u00e0 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n: th\u00f4ng li\u00ean nh\u0129, t\u0103ng \u00e1p ph\u1ed5i, suy n\u00fat xoang, suy tim giai \u0111o\u1ea1n III.<\/p>\n\n\n\n

Qua h\u1ed9i ch\u1ea9n, c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh ch\u1ee5p m\u1ea1ch v\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh b\u1eb1ng k\u1ef9 thu\u1eadt ch\u1ee5p m\u1ea1ch m\u00e1u s\u1ed1 h\u00f3a x\u00f3a n\u1ec1n DSA, \u0111o kh\u00e1ng l\u1ef1c ph\u1ed5i, \u0111\u00f3ng th\u00f4ng li\u00ean nh\u0129 b\u1eb1ng d\u00f9 qua da v\u00e0 \u0111\u1eb7t m\u00e1y t\u1ea1o nh\u1ecbp v\u0129nh vi\u1ec5n, ti\u1ebfn t\u1edbi \u1ed5n \u0111\u1ecbnh nh\u1ecbp tim v\u00e0 l\u00e0m gi\u1ea3m ti\u1ebfn tri\u1ec3n suy tim, gi\u1ea3m nguy c\u01a1 \u0111\u1ed9t t\u1eed, c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

Sau 05 ng\u00e0y \u0111i\u1ec1u tr\u1ecb, s\u1ee9c kh\u1ecfe c\u1ee7a c\u1ee5 b\u00e0 \u0111\u00e3 h\u1ed3i ph\u1ee5c r\u00f5 r\u1ec7t. Nh\u1eefng c\u01a1n \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, k\u00e8m m\u1ec7t x\u1ec9u kh\u00f4ng c\u00f2n xu\u1ea5t hi\u1ec7n th\u01b0\u1eddng xuy\u00ean n\u1eefa. Nh\u1ecbp tim, huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh h\u01a1n, s\u1ee9c kh\u1ecfe c\u1ee5 b\u00e0 \u0111ang d\u1ea7n h\u1ed3i ph\u1ee5c v\u00e0 s\u1ebd \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00e0i ng\u00e0y t\u1edbi.<\/p>\n\n\n\n

Theo Ths.BS. Mai C\u00f4ng L\u1ee3i, Khoa Can thi\u1ec7p n\u1ed9i m\u1ea1ch \u2013 N\u1ed9i tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long th\u00ec suy tim \u1edf giai \u0111o\u1ea1n \u0111\u1ea7u ch\u01b0a xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng, ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u. Tuy nhi\u00ean, khi b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n (kh\u00f3 th\u1edf \u1edf m\u1ee9c \u0111\u1ed9 3) ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u0169ng th\u1ea5y m\u1ec7t m\u1ecfi. C\u00f2n \u1edf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a suy tim (kh\u00f3 th\u1edf \u1edf m\u1ee9c \u0111\u1ed9 4) ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng l\u00e0m g\u00ec, ch\u1ec9 n\u1eb1m ngh\u1ec9 ng\u01a1i c\u0169ng kh\u00f3 th\u1edf, giai \u0111o\u1ea1n n\u00e0y ng\u01b0\u1eddi b\u1ec7nh m\u1ec7t m\u1ecfi tri\u1ec1n mi\u00ean, l\u00fac n\u00e0o c\u0169ng th\u1edf h\u1ed5n h\u1ec3n.<\/p>\n\n\n\n

\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb suy tim, b\u00e1c s\u0129 s\u1ebd t\u00f9y v\u00e0o t\u1eebng tri\u1ec7u ch\u1ee9ng, giai \u0111o\u1ea1n v\u00e0 nguy\u00ean nh\u00e2n \u0111\u1ec3 c\u00f3 nh\u1eefng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau, c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c ho\u1eb7c ph\u1eabu thu\u1eadt. \u0110\u1ec3 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb suy tim mang l\u1ea1i hi\u1ec7u qu\u1ea3, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n c\u00f3 s\u1ef1 h\u1ee3p t\u00e1c v\u1edbi b\u00e1c s\u0129 trong vi\u1ec7c \u0103n u\u1ed1ng, dinh d\u01b0\u1ee1ng, ch\u1ebf \u0111\u1ed9 s\u1ed1ng khoa h\u1ecdc, t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3. B\u1ec7nh suy tim c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm. V\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc, c\u1ea7n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00ec vi\u1ec7c d\u00f9ng thu\u1ed1c s\u1ebd gi\u1ea3m tri\u1ec7u ch\u1ee9ng, gi\u1ea3m s\u1ed1 l\u1ea7n nh\u1eadp vi\u1ec7n, t\u0103ng kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 k\u00e9o d\u00e0i tu\u1ed5i th\u1ecd.<\/p>\n\n\n\n

Tr\u00ean tr\u01b0\u1eddng h\u1ee3p c\u1ee5 b\u00e0 n\u00e0y c\u00f2n b\u1ecb th\u00f4ng li\u00ean nh\u0129, b\u1ec7nh l\u00fd chi\u1ebfm kho\u1ea3ng t\u1eeb 5% \u0111\u1ebfn 10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p tim b\u1ea9m sinh. \u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u00f4ng li\u00ean nh\u0129 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd d\u1ea7n d\u1ea7n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, l\u00e2u d\u00e0i bi\u1ec3u hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ef1 qu\u00e1 t\u1ea3i bu\u1ed3ng tim ph\u1ea3i nh\u01b0 r\u1ed1i lo\u1ea1n nh\u1ecbp nh\u0129 (t\u0103ng d\u1ea7n nguy c\u01a1 theo tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh), t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 t\u0103ng s\u1ee9c c\u1ea3n m\u1ea1ch ph\u1ed5i, cu\u1ed1i c\u00f9ng h\u1eadu qu\u1ea3 t\u1ea5t y\u1ebfu l\u00e0 d\u1eabn \u0111\u1ebfn suy tim xung huy\u1ebft. N\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb s\u1edbm, th\u00f4ng li\u00ean nh\u0129 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, \u0111e d\u1ecda t\u1edbi t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. Hi\u1ec7n nay, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111ang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng ph\u1ed5 bi\u1ebfn cho b\u1ec7nh l\u00fd n\u00e0y l\u00e0 b\u00edt l\u1ed7 th\u00f4ng li\u00ean nh\u0129. Th\u1ee7 thu\u1eadt b\u00edt l\u1ed7 th\u00f4ng li\u00ean nh\u0129 l\u00e0 k\u1ef9 thu\u1eadt t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ee9c t\u1ea1p. Khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u00fang m\u1ecdi h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 tai bi\u1ebfn, \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/p>\n\n\n\n

            C\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00f2ng ng\u1eeba n\u1ebfu ch\u00fang ta n\u00ean duy tr\u00ec l\u1ed1i s\u1ed1ng khoa h\u1ecdc, h\u1ea1n ch\u1ebf \u0103n m\u1eb7n, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, u\u1ed1ng thu\u1ed1c theo ch\u1ec9 d\u1eabn, gi\u1ea3m c\u0103ng th\u1eb3ng. \u0110\u1ed3ng th\u1eddi n\u00ean \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe tim m\u1ea1ch \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm nh\u1eefng b\u1ea5t th\u01b0\u1eddng c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"

C\u00e1c b\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho c\u1ee5 b\u00e0 72 tu\u1ed5i b\u1ecb th\u00f4ng li\u00ean nh\u0129, suy tim nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. C\u1ee5 b\u00e0 T.T.C (72 tu\u1ed5i, \u0111\u1ecba ch\u1ec9 t\u1ea1i Huy\u1ec7n Duy\u00ean H\u1ea3i, t\u1ec9nh Tr\u00e0 Vinh) \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a v\u00e0o B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long […]<\/p>\n","protected":false},"author":1,"featured_media":177143,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-274252","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc-y-te"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274252","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=274252"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274252\/revisions"}],"predecessor-version":[{"id":310863,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274252\/revisions\/310863"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/177143"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274252"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274252"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274252"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}