{"id":280163,"date":"2023-11-22T17:05:01","date_gmt":"2023-11-22T10:05:01","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/suy-tim-man-tinh\/"},"modified":"2025-11-10T11:54:35","modified_gmt":"2025-11-10T04:54:35","slug":"suy-tim-man-tinh","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/suy-tim-man-tinh\/","title":{"rendered":"Suy tim m\u1ea1n t\u00ednh"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Suy tim<\/strong> l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng do bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac v\u00e0\/ho\u1eb7c ch\u1ee9c n\u0103ng c\u1ee7a tim do nhi\u1ec1u nguy\u00ean nh\u00e2n v\u00e0 b\u1ec7nh h\u1ecdc kh\u00e1c nhau. H\u1eadu qu\u1ea3 l\u00e0 t\u0103ng \u00e1p l\u1ef1c trong bu\u1ed3ng tim v\u00e0\/ho\u1eb7c gi\u1ea3m cung l\u01b0\u1ee3ng tim khi g\u1eafng s\u1ee9c hay khi ngh\u1ec9.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/SUY-TIM-1024x768-1.jpg\" alt=\"Suy tim m\u1ea1n t\u00ednh\" class=\"wp-image-155197\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Suy tim m\u1ea1n<\/strong> \u0111\u1ec1 c\u1eadp \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111ang \u0111i\u1ec1u tr\u1ecb suy tim \u1ed5n \u0111\u1ecbnh ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 tri\u1ec7u ch\u1ee9ng suy tim kh\u1edfi ph\u00e1t t\u1eeb t\u1eeb.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-phan-lo\u1ea1i-b\u1ec7nh-suy-tim-m\u1ea1n-tinh\"><strong>Ph\u00e2n lo\u1ea1i b\u1ec7nh suy tim m\u1ea1n t\u00ednh<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u0103n c\u1ee9 v\u00e0o ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u c\u1ee7a t\u00e2m th\u1ea5t tr\u00e1i m\u00e0 ng\u01b0\u1eddi ta chia ra:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m: Ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i \u2264 40%.<\/li>\n\n\n\n<li>Suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m nh\u1eb9: Ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i 41 &#8211; 49%.<\/li>\n\n\n\n<li>Suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n: Ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i \u2265 50%.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tri\u1ec7u ch\u1ee9ng b\u1ec7nh l\u00fd<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u00f3 th\u1edf.<\/li>\n\n\n\n<li>C\u01a1n kh\u00f3 th\u1edf k\u1ecbch ph\u00e1t v\u1ec1 \u0111\u00eam.<\/li>\n\n\n\n<li>Gi\u1ea3m kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c.<\/li>\n\n\n\n<li>M\u1ec7t m\u1ecfi.<\/li>\n\n\n\n<li>Ph\u00f9 m\u1eaft c\u00e1 ch\u00e2n.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i.<\/li>\n\n\n\n<li>Ph\u1ea3n h\u1ed3i gan \u2013 t\u0129nh m\u1ea1ch c\u1ed5 d\u01b0\u01a1ng t\u00ednh.<\/li>\n\n\n\n<li>Ti\u1ebfng ng\u1ef1a phi.<\/li>\n\n\n\n<li>T\u0103ng di\u1ec7n \u0111\u1eadp c\u1ee7a m\u1ecfm tim.<\/li>\n\n\n\n<li>Gan to trong tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ph\u00e2n \u0111\u1ed9 suy tim theo chu\u1ea9n c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch New York<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00e2n \u0111\u1ed9 suy tim theo Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch New York d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng v\u00e0 kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>\u0110\u1ed9 I: <\/strong>Kh\u00f4ng h\u1ea1n ch\u1ebf. V\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c th\u00f4ng th\u01b0\u1eddng kh\u00f4ng g\u00e2y m\u1ec7t, kh\u00f3 th\u1edf hay h\u1ed3i h\u1ed9p.<\/li>\n\n\n\n<li><strong>\u0110\u1ed9 II: <\/strong>H\u1ea1n ch\u1ebf nh\u1eb9 v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c. Ng\u01b0\u1eddi b\u1ec7nh kh\u1ecfe khi ngh\u1ec9 ng\u01a1i. V\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c th\u00f4ng th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn m\u1ec7t, h\u1ed3i h\u1ed9p, kh\u00f3 th\u1edf.<\/li>\n\n\n\n<li><strong>\u0110\u1ed9 III: <\/strong>H\u1ea1n ch\u1ebf nhi\u1ec1u v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c. M\u1eb7c d\u00f9 ng\u01b0\u1eddi b\u1ec7nh kh\u1ecfe khi ngh\u1ec9 ng\u01a1i nh\u01b0ng ch\u1ec9 c\u1ea7n v\u1eadn \u0111\u1ed9ng nh\u1eb9 \u0111\u00e3 c\u00f3 m\u1ec7t, h\u1ed3i h\u1ed9p, kh\u00f3 th\u1edf.<\/li>\n\n\n\n<li><strong>\u0110\u1ed9 IV: <\/strong>Kh\u00f4ng v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c n\u00e0o m\u00e0 kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng c\u1ee7a suy tim x\u1ea3y ra ngay c\u1ea3 khi ngh\u1ec9 ng\u01a1i, ch\u1ec9 m\u1ed9t v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c nh\u1eb9 c\u0169ng l\u00e0m tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng gia t\u0103ng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ch\u1ec9 \u0111\u1ecbnh c\u1eadn l\u00e2m s\u00e0ng t\u1ea7m so\u00e1t<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X\u00e9t nghi\u1ec7m m\u00e1u:<\/li>\n\n\n\n<li>BNP \u2265 35pg\/mL.<\/li>\n\n\n\n<li>NP-proBNP \u2265 125 pg\/mL.<\/li>\n\n\n\n<li>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3: Rung nh\u0129, c\u00f3 s\u00f3ng Q b\u1ec7nh l\u00fd, t\u0103ng g\u00e1nh th\u1ea5t tr\u00e1i, ph\u1ee9c b\u1ed9 QRS gi\u00e3n r\u1ed9ng.<\/li>\n\n\n\n<li>Si\u00eau \u00e2m tim: Gi\u00fap \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng van tim v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n k\u00e8m theo: H\u1edf h\u1eb9p van tim, r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00f9ng, gi\u00e3n c\u00e1c bu\u1ed3ng tim, lu\u1ed3ng th\u00f4ng b\u1ea5t th\u01b0\u1eddng trong tim, ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i.<\/li>\n\n\n\n<li>X-quang tim ph\u1ed5i: B\u00f3ng tim l\u1edbn, \u1ee9 huy\u1ebft ph\u1ed5i, cung \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i l\u1edbn.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, sinh ho\u1ea1t<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0102n nh\u1ea1t.<\/li>\n\n\n\n<li>Tr\u00e1nh c\u00e1c ch\u1ea5t k\u00edch th\u00edch.<\/li>\n\n\n\n<li>Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li>\n\n\n\n<li>Ch\u1ebf \u0111\u1ed9 ngh\u1ec9 ng\u01a1i h\u1ee3p l\u00fd, kh\u00f4ng \u0111\u01b0\u1ee3c g\u1eafng s\u1ee9c qu\u00e1 m\u1ee9c.<\/li>\n\n\n\n<li>Ch\u1ebf \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng, t\u1eadp luy\u1ec7n th\u1ec3 l\u1ef1c ph\u00f9 h\u1ee3p v\u1edbi m\u1ee9c \u0111\u1ed9 suy tim.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. S\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy tim<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">4 nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb suy tim:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c ch\u1eb9n Beta giao c\u1ea3m.<\/li>\n\n\n\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n\/ \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Angiotensin II.<\/li>\n\n\n\n<li>Thu\u1ed1c kh\u00e1ng th\u1ee5 th\u1ec3 aldosteron.<\/li>\n\n\n\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh \u0111\u1ed3ng v\u1eadn chuy\u1ec3n Natri-glucose 2 t\u1ea1i \u1ed1ng th\u1eadn.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. C\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ea1o nh\u1ecbp t\u00e1i \u0111\u1ed3ng b\u1ed9 c\u01a1 tim (CRT).<\/li>\n\n\n\n<li>M\u00e1y ph\u00e1 rung t\u1ef1 \u0111\u1ed9ng c\u1ea5y v\u00e0o c\u01a1 th\u1ec3 (ICD).<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. Thay (gh\u00e9p) tim<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi b\u1ec7nh suy tim giai \u0111o\u1ea1n cu\u1ed1i, \u0111\u00e3 kh\u00e1ng l\u1ea1i v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i, ngo\u1ea1i khoa th\u00f4ng th\u01b0\u1eddng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Suy tim m\u1ea1n t\u00ednh l\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f3 t\u1ec9 l\u1ec7 m\u1eafc b\u1ec7nh cao v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh b\u1edfi nh\u1eefng bi\u1ebfn ch\u1ee9ng m\u00e0 n\u00f3 g\u00e2y n\u00ean. Tuy nhi\u00ean, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba r\u1ee7i ro c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y b\u1eb1ng c\u00e1ch theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 tu\u00e2n th\u1ee7 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. V\u00ec v\u1eady, ngay khi c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u s\u1edbm v\u1ec1 b\u1ec7nh l\u00fd, ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf uy t\u00edn \u0111\u1ec3 \u0111\u01b0\u1ee3c B\u00e1c s\u0129 chuy\u00ean khoa th\u0103m kh\u00e1m v\u00e0 h\u1ed7 tr\u1ee3 ch\u0103m s\u00f3c \u0111\u00fang c\u00e1ch, c\u00f3 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c.<\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><strong><em>Th\u1ea1c s\u0129 B\u00e1c s\u0129 Nguy\u1ec5n \u0110\u00ecnh V\u0103n \u2013 Ph\u1ee5 tr\u00e1ch \u0110\u01a1n v\u1ecb Tim m\u1ea1ch<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>M\u1ecdi th\u00f4ng tin chi ti\u1ebft xin vui l\u00f2ng li\u00ean h\u1ec7<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Ho\u00e0n M\u1ef9 Vinh \u2013 S\u1ed1 99, Ph\u1ea1m \u0110\u00ecnh To\u00e1i, tp. Vinh, Ngh\u1ec7 An.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Hotline: 02383 968 888<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suy tim l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng do bi\u1ebfn \u0111\u1ed5i c\u1ea5u tr\u00fac v\u00e0\/ho\u1eb7c ch\u1ee9c n\u0103ng c\u1ee7a tim do nhi\u1ec1u nguy\u00ean nh\u00e2n v\u00e0 b\u1ec7nh h\u1ecdc kh\u00e1c nhau. H\u1eadu qu\u1ea3 l\u00e0 t\u0103ng \u00e1p l\u1ef1c trong bu\u1ed3ng tim v\u00e0\/ho\u1eb7c gi\u1ea3m cung l\u01b0\u1ee3ng tim khi g\u1eafng s\u1ee9c hay khi ngh\u1ec9. Suy tim m\u1ea1n \u0111\u1ec1 c\u1eadp \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":280164,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-280163","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-vinh___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280163","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\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=280163"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280163\/revisions"}],"predecessor-version":[{"id":299140,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280163\/revisions\/299140"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280164"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280163"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280163"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280163"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}