{"id":274474,"date":"2023-05-31T14:57:19","date_gmt":"2023-05-31T07:57:19","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhan-biet-va-xu-tri-som-nhoi-mau-co-tim-chia-se-tu-bac-si-hoi-suc-cap-cuu\/"},"modified":"2025-11-08T18:56:12","modified_gmt":"2025-11-08T11:56:12","slug":"nhan-biet-va-xu-tri-som-nhoi-mau-co-tim-chia-se-tu-bac-si-hoi-suc-cap-cuu","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhan-biet-va-xu-tri-som-nhoi-mau-co-tim-chia-se-tu-bac-si-hoi-suc-cap-cuu\/","title":{"rendered":"Nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 g\u00ec? D\u1ea5u hi\u1ec7u v\u00e0 C\u00e1ch s\u01a1 c\u1ee9u t\u1eeb b\u00e1c s\u0129"},"content":{"rendered":"\n

Nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 c\u0103n b\u1ec7nh nguy hi\u1ec3m, nh\u01b0ng n\u1ebfu nh\u1eadn bi\u1ebft s\u1edbm v\u00e0 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed trong v\u00f2ng 12 gi\u1edd \u0111\u1ea7u ti\u00ean, t\u1ec9\u00a0l\u1ec7 c\u1ee9u ch\u1eefa th\u00e0nh c\u00f4ng r\u1ea5t cao, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n ho\u1eb7c tr\u00e1nh \u0111\u01b0\u1ee3c t\u1eed vong v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng<\/em>.<\/p>\n\n\n\n

>>> Xem th\u00eam: Nh\u1ecbp tim b\u00ecnh th\u01b0\u1eddng l\u00e0 bao nhi\u00eau? Ch\u1ec9 s\u1ed1 \u0111o huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim<\/a><\/p>\n\n\n\n

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Nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng m\u1ea1ch m\u00e1u nu\u00f4i tim (\u0111\u1ed9ng m\u1ea1ch v\u00e0nh) b\u1ecb t\u1eafc ngh\u1ebdn khi\u1ebfn c\u01a1 tim ch\u1ebft \u0111i v\u00e0 kh\u00f4ng th\u1ec3 h\u1ed3i ph\u1ee5c. N\u1ebfu ng\u01b0\u1eddi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, v\u00f9ng c\u01a1 tim b\u1ecb t\u1ed5n th\u01b0\u01a1ng s\u1ebd lan r\u1ed9ng v\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0: suy tim, s\u1ed1c tim, r\u1ed1i lo\u1ea1n nh\u1ecbp, th\u1eadm ch\u00ed v\u1ee1 tim,… g\u00e2y t\u1eed vong ho\u1eb7c \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 l\u00e2u d\u00e0i nh\u01b0 t\u00e0n ph\u1ebf. Nh\u01b0ng n\u1ebfu \u0111\u01b0\u1ee3c can thi\u1ec7p s\u1edbm ngay trong v\u00f2ng 12 gi\u1edd \u0111\u1ea7u, kh\u1ea3 n\u0103ng c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh l\u00e0 h\u01a1n 90%, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n. V\u00ec v\u1eady, vi\u1ec7c s\u1edbm nh\u1eadn di\u1ec7n \u0111\u01b0\u1ee3c nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed k\u1ecbp th\u1eddi l\u00e0 \u0111i\u1ec1u r\u1ea5t quan tr\u1ecdng.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

<\/em>H\u00ecnh <\/em>\u1ea3<\/em>nh nh<\/em>\u1ed3<\/em>i m\u00e1u c<\/em>\u01a1<\/em> tim<\/em><\/p>\n\n\n\n

Theo BSCKI. L\u00e3 Th\u1ecb Thanh Ng\u00e2n – Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c T\u1ebf Ho\u00e0n M\u1ef9 Th\u1ee7 \u0110\u1ee9c, nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 th\u1ec3 nh\u1eadn di\u1ec7n qua nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0 h\u1ed3i h\u1ed9p, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c ho\u1eb7c c\u01a1n \u0111au th\u1eaft ng\u1ef1c \u0111i\u1ec3n h\u00ecnh. M\u1ee9c \u0111\u1ed9 c\u1ee7a c\u01a1n \u0111au c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb \u00edt nh\u01b0 ki\u1ec3u \u0111\u00e8 n\u1eb7ng, c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t tr\u01b0\u1edbc ng\u1ef1c tr\u00e1i \u0111\u1ebfn nhi\u1ec1u nh\u01b0 \u0111au d\u1eef d\u1ed9i, si\u1ebft ch\u1eb7t. C\u01a1n \u0111au c\u00f3 th\u1ec3 lan l\u00ean c\u1ed5, h\u00e0m d\u01b0\u1edbi, vai tr\u00e1i, l\u01b0ng, th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c c\u00e1nh tay tr\u00e1i. Th\u1eddi gian \u0111au k\u00e9o d\u00e0i tr\u00ean 20 ph\u00fat v\u00e0 c\u00f3 th\u1ec3 k\u00e8m theo m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0: kh\u00f3 th\u1edf, v\u00e3 m\u1ed3 h\u00f4i, hoa m\u1eaft, ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, tay ch\u00e2n l\u1ea1nh, t\u1ee5t huy\u1ebft \u00e1p ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p, ng\u1ea5t,… <\/p>\n\n\n\n

Tuy nhi\u00ean, \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c s\u1ebd kh\u00f4ng tr\u1ea3i qua c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u00f4 t\u1ea3 \u1edf tr\u00ean m\u00e0 ch\u1ec9 c\u1ea3m th\u1ea5y h\u01a1i m\u1ec7t ho\u1eb7c ch\u1ec9 c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu v\u00f9ng th\u01b0\u1ee3ng v\u1ecb.<\/p>\n\n\n\n

N\u1ebfu c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim, nh\u1ea5t l\u00e0 c\u01a1n \u0111au ng\u1ef1c b\u1ea5t th\u01b0\u1eddng, c\u1ea7n d\u1eebng ngay ho\u1ea1t \u0111\u1ed9ng v\u00e0 c\u00f4ng vi\u1ec7c \u0111ang l\u00e0m \u0111\u1ec3 n\u1eb1m ngh\u1ec9, s\u1eed d\u1ee5ng thu\u1ed1c nitroglycerine ng\u1eadm d\u01b0\u1edbi l\u01b0\u1ee1i (\u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh m\u1ea1ch v\u00e0nh tr\u01b0\u1edbc \u0111\u00e2y). N\u1ebfu sau 10-30 ph\u00fat t\u00ecnh tr\u1ea1ng \u0111au ng\u1ef1c kh\u00f4ng thuy\u00ean gi\u1ea3m, \u0111\u1eb7c bi\u1ec7t khi \u0111\u00e3 s\u1eed d\u1ee5ng nitroglycerine, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n b\u1eb1ng ph\u01b0\u01a1ng ti\u1ec7n an to\u00e0n v\u00e0 nhanh nh\u1ea5t.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Khi b<\/em>\u1ecb<\/em> nh<\/em>\u1ed3<\/em>i m\u00e1u c<\/em>\u01a1<\/em> tim, ng<\/em>\u01b0\u1edd<\/em>i b<\/em>\u1ec7<\/em>nh c<\/em>\u1ea7<\/em>n <\/em>\u0111\u01b0\u1ee3<\/em>c <\/em>\u0111\u01b0<\/em>a <\/em>\u0111\u1ebf<\/em>n B<\/em>\u1ec7<\/em>nh vi<\/em>\u1ec7<\/em>n an to\u00e0n v\u00e0 nhanh ch\u00f3ng nh<\/em>\u1ea5<\/em>t<\/em><\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c T\u1ebf Ho\u00e0n M\u1ef9 Th\u1ee7 \u0110\u1ee9c \u0111\u00e3 thi\u1ebft l\u1eadp quy tr\u00ecnh Code STEMI (ST-segment Elevation Myocardial Infarction: Nh\u1ed3i m\u00e1u c\u01a1 tim ST ch\u00eanh l\u00ean) c\u1ea3 trong B\u1ec7nh vi\u1ec7n v\u00e0 ngo\u00e0i B\u1ec7nh vi\u1ec7n, nh\u1eb1m ti\u1ebfp c\u1eadn v\u00e0 can thi\u1ec7p ng\u01b0\u1eddi b\u1ec7nh b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p m\u1ed9t c\u00e1ch nhanh ch\u00f3ng, r\u00fat ng\u1eafn th\u1eddi gian t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim, l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ec9 l\u1ec7 t\u1eed vong v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u1ec1 sau. <\/p>\n\n\n\n

Code STEMI l\u00e0 m\u1ed9t trong nh\u1eefng c\u00f4ng c\u1ee5 h\u1eefu hi\u1ec7u \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u B\u1ec7nh vi\u1ec7n, trong \u0111\u00f3 c\u00f3 Ho\u00e0n M\u1ef9 Th\u1ee7 \u0110\u1ee9c \u00e1p d\u1ee5ng trong x\u1eed tr\u00ed c\u1ea5p c\u1ee9u nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, t\u1eadn d\u1ee5ng \u201cth\u1eddi gian v\u00e0ng\u201d \u0111\u1ec3 mang l\u1ea1i s\u1ef1 s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh nguy k\u1ecbch.<\/p>\n\n\n\n

Khi xu\u1ea5t hi\u1ec7n nh\u1eefng d\u1ea5u hi\u1ec7u nh\u1ed3i m\u00e1u c\u01a1 tim, ch\u1ec9 c\u1ea7n nh\u1ea5c \u0111i\u1ec7n tho\u1ea1i, \u0111\u1ed9i C\u1ea5p c\u1ee9u ngo\u1ea1i vi\u1ec7n c\u1ee7a B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Th\u1ee7 \u0110\u1ee9c s\u1ebd l\u1eadp t\u1ee9c di chuy\u1ec3n \u0111\u1ebfn t\u1eadn nh\u00e0 \u0111\u1ec3 ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh. Ngay tr\u00ean xe c\u1ea5p c\u1ee9u, c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf s\u1ebd l\u1ea5y d\u1ea5u hi\u1ec7u sinh t\u1ed3n, \u0111o \u0111i\u1ec7n tim cho ng\u01b0\u1eddi b\u1ec7nh, nhanh ch\u00f3ng x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p v\u00e0 k\u1ecbp th\u1eddi. <\/p>\n\n\n\n

\u201cNh<\/em>\u1ed3<\/em>i m\u00e1u c<\/em>\u01a1<\/em> tim l\u00e0 c<\/em>\u0103<\/em>n b<\/em>\u1ec7<\/em>nh nguy hi<\/em>\u1ec3<\/em>m c\u00f3 th<\/em>\u1ec3<\/em> d<\/em>\u1eab<\/em>n <\/em>\u0111\u1ebf<\/em>n t<\/em>\u1eed<\/em> vong. N<\/em>\u1ebf<\/em>u <\/em>\u0111\u01b0\u1ee3<\/em>c ch<\/em>\u1ea9<\/em>n <\/em>\u0111<\/em>o\u00e1n s<\/em>\u1edb<\/em>m s<\/em>\u1ebd<\/em> gi\u00fap c<\/em>\u1ee9<\/em>u s<\/em>\u1ed1<\/em>ng v\u00f9ng c<\/em>\u01a1<\/em> tim b<\/em>\u1ecb<\/em> thi<\/em>\u1ebf<\/em>u m\u00e1u nu\u00f4i k<\/em>\u1ecb<\/em>p th<\/em>\u1edd<\/em>i, <\/em>\u0111\u1ed3<\/em>ng th<\/em>\u1edd<\/em>i h<\/em>\u1ea1<\/em>n ch<\/em>\u1ebf<\/em> nh<\/em>\u1eef<\/em>ng bi<\/em>\u1ebf<\/em>n ch<\/em>\u1ee9<\/em>ng nguy hi<\/em>\u1ec3<\/em>m <\/em>\u0111\u1ebf<\/em>n t\u00ednh m<\/em>\u1ea1<\/em>ng v\u00e0 nh<\/em>\u1eef<\/em>ng bi<\/em>\u1ebf<\/em>n ch<\/em>\u1ee9<\/em>ng l\u00e2u d\u00e0i sau n\u00e0y. Do <\/em>\u0111<\/em>\u00f3, h\u00e3y t\u00ecm <\/em>\u0111\u1ebf<\/em>n s<\/em>\u1ef1<\/em> tr<\/em>\u1ee3<\/em> gi\u00fap c<\/em>\u1ee7<\/em>a b\u00e1c s<\/em>\u0129<\/em> ngay khi c\u00f3 nh<\/em>\u1eef<\/em>ng d<\/em>\u1ea5<\/em>u hi<\/em>\u1ec7<\/em>u b<\/em>\u1ec7<\/em>nh <\/em>\u0111\u1ec3<\/em> <\/em>\u0111\u01b0\u1ee3<\/em>c <\/em>\u0111<\/em>i<\/em>\u1ec1<\/em>u tr<\/em>\u1ecb<\/em> nh<\/em>\u1ed3<\/em>i m\u00e1u c<\/em>\u01a1<\/em> tim t<\/em>\u1ed1<\/em>i <\/em>\u01b0<\/em>u nh<\/em>\u1ea5<\/em>t<\/em>\u201d \u2013 Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n \u0111a khoa Qu\u1ed1c T\u1ebf Ho\u00e0n M\u1ef9 Th\u1ee7 \u0110\u1ee9c chia s\u1ebb.<\/p>\n\n\n\n

N\u1ebfu c\u00f3 th\u00eam b\u1ea5t k\u1ef3 th\u1eafc m\u1eafc n\u00e0o, h\u00e3y li\u00ean h\u1ec7 B<\/strong>\u1ec7<\/strong>nh vi<\/strong>\u1ec7<\/strong>n <\/strong>\u0111<\/strong>a khoa Qu<\/strong>\u1ed1<\/strong>c T<\/strong>\u1ebf<\/strong> Ho\u00e0n M<\/strong>\u1ef9<\/strong> Th<\/strong>\u1ee7<\/strong> <\/strong>\u0110\u1ee9<\/strong>c (<\/strong>\u0110\u1ecb<\/strong>a ch<\/strong>\u1ec9<\/strong>: 241 Qu<\/strong>\u1ed1<\/strong>c L<\/strong>\u1ed9<\/strong> 1K, P. Linh Xu\u00e2n, TP. Th<\/strong>\u1ee7<\/strong> <\/strong>\u0110\u1ee9<\/strong>c, TP. H<\/strong>\u1ed3<\/strong> Ch\u00ed Minh)<\/strong> qua hotline 19000119<\/strong> \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n mi\u1ec5n ph\u00ed.<\/p>\n","protected":false},"excerpt":{"rendered":"

Nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 c\u0103n b\u1ec7nh nguy hi\u1ec3m, nh\u01b0ng n\u1ebfu nh\u1eadn bi\u1ebft s\u1edbm v\u00e0 \u0111\u01b0\u1ee3c x\u1eed tr\u00ed trong v\u00f2ng 12 gi\u1edd \u0111\u1ea7u ti\u00ean, t\u1ec9\u00a0l\u1ec7 c\u1ee9u ch\u1eefa th\u00e0nh c\u00f4ng r\u1ea5t cao, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n ho\u1eb7c tr\u00e1nh \u0111\u01b0\u1ee3c t\u1eed vong v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. >>> Xem th\u00eam: Nh\u1ecbp tim b\u00ecnh […]<\/p>\n","protected":false},"author":1,"featured_media":274475,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1249],"tags":[],"class_list":["post-274474","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\/274474","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=274474"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274474\/revisions"}],"predecessor-version":[{"id":310406,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/274474\/revisions\/310406"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/274475"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=274474"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=274474"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=274474"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}