{"id":280484,"date":"2023-12-21T16:28:12","date_gmt":"2023-12-21T09:28:12","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/du-phong-bien-co-tim-mach-o-nguoi-benh-ung-thu\/"},"modified":"2025-11-10T11:54:32","modified_gmt":"2025-11-10T04:54:32","slug":"du-phong-bien-co-tim-mach-o-nguoi-benh-ung-thu","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/du-phong-bien-co-tim-mach-o-nguoi-benh-ung-thu\/","title":{"rendered":"D\u1ef1 ph\u00f2ng bi\u1ebfn c\u1ed1 tim m\u1ea1ch \u1edf ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng ngay l\u1eadp t\u1ee9c ho\u1eb7c l\u00e2u d\u00e0i \u0111\u1ebfn t\u1ebf b\u00e0o c\u01a1 tim. Do \u0111\u00f3, vi\u1ec7c ph\u00e1t hi\u1ec7n, can thi\u1ec7p ng\u01b0\u1eddi b\u1ec7nh nguy c\u01a1 cao t\u1ed5n th\u01b0\u01a1ng tim m\u1ea1ch do \u0111i\u1ec1u tr\u1ecb l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1ea7n ph\u1ed1i h\u1ee3p 2 chuy\u00ean khoa Tim m\u1ea1ch v\u00e0 Ung th\u01b0 \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a hi\u1ec7u qu\u1ea3 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng tr\u01b0\u1edbc m\u1eaft, l\u00e2u d\u00e0i tr\u00ean h\u1ec7 tim m\u1ea1ch c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/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\/DU-PHONG-BIEN-CO-TIM-MACH-1024x686-1.jpg\" alt=\"D\u1ef1 ph\u00f2ng bi\u1ebfn c\u1ed1 tim m\u1ea1ch \u1edf ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0\" class=\"wp-image-165557\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-chi\u1ebfn-l\u01b0\u1ee3c-d\u1ef1-phong-b\u1ec7nh-li-tim-m\u1ea1ch-ung-th\u01b0\"><strong>Chi\u1ebfn l\u01b0\u1ee3c d\u1ef1 ph\u00f2ng b\u1ec7nh l\u00ed tim m\u1ea1ch \u2013 ung th\u01b0<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Chi\u1ebfn l\u01b0\u1ee3c d\u1ef1 ph\u00f2ng b\u1ec7nh l\u00ed tim m\u1ea1ch, ung th\u01b0 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n theo c\u00e1c b\u01b0\u1edbc: A-B-C-D-E. C\u1ee5 th\u1ec3:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>A: <em>Awareness Assessment<\/em><\/strong> &#8211; N\u00e2ng cao nh\u1eadn th\u1ee9c, \u0111\u00e1nh gi\u00e1 ban \u0111\u1ea7u \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>B: <em>Blood pressure control<\/em> <\/strong>&#8211; Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>C: <em>Cholesterol lowering, Cigarette cessation<\/em><\/strong> &#8211; Ki\u1ec3m so\u00e1t lipid m\u00e1u, th\u00f3i quen h\u00fat thu\u1ed1c l\u00e1.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D: <em>Dose of chemotherapy, diabetes management<\/em><\/strong> &#8211; Ki\u1ec3m so\u00e1t li\u1ec1u \u0111i\u1ec1u tr\u1ecb h\u00f3a ch\u1ea5t, ki\u1ec3m so\u00e1t \u0111\u00e1i \u0111\u01b0\u1eddng cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>E: <em>Exercise, echocardiography<\/em><\/strong> &#8211; T\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao, si\u00eau \u00e2m tim \u1edf ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u1ea2nh h\u01b0\u1edfng c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0 l\u00ean tim m\u1ea1ch<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Trong v\u00e0 sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/li>\n\n\n\n<li>T\u0103ng huy\u1ebft \u00e1p.<\/li>\n\n\n\n<li>Suy tim.<\/li>\n\n\n\n<li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i.<\/li>\n\n\n\n<li>Nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n\n\n\n<li>Huy\u1ebft kh\u1ed1i thuy\u00ean t\u1eafc \u0111\u1ed9ng, t\u0129nh m\u1ea1ch.<\/li>\n\n\n\n<li>T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/li>\n\n\n\n<li>H\u1ed9i ch\u1ee9ng QT k\u00e9o d\u00e0i (x\u1ea3y ra do khi\u1ebfm khuy\u1ebft trong c\u00e1c k\u00eanh ion, g\u00e2y ra s\u1ef1 ch\u1eadm tr\u1ec5 trong th\u1eddi gian h\u1ec7 th\u1ed1ng \u0111i\u1ec7n n\u1ea1p l\u1ea1i sau m\u1ed7i nh\u1ecbp tim).<\/li>\n\n\n\n<li>Vi\u00eam c\u01a1 tim.<\/li>\n\n\n\n<li>\u2026..<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>M\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng tim m\u1ea1ch v\u00e0 ung th\u01b0<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cao nh\u1ea5t trong vi\u1ec7c t\u1ea7m so\u00e1t, can thi\u1ec7p tim m\u1ea1ch l\u00e0 nh\u00f3m ng\u01b0\u1eddi c\u00f3 t\u1ec9 l\u1ec7 nguy c\u01a1 t\u1eed vong do ung th\u01b0 \u1edf m\u1ee9c kh\u00f4ng qu\u00e1 cao v\u00e0 nguy c\u01a1 t\u1eed vong do tim m\u1ea1ch t\u1eeb trung b\u00ecnh \u0111\u1ebfn cao nh\u01b0 ung th\u01b0 v\u00fa, u lympho hodgkin, ung th\u01b0 s\u1eafc t\u1ed1 da, ung th\u01b0 tuy\u1ebfn gi\u00e1p, ung th\u01b0 \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, sinh d\u1ee5c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ch\u1ea9n \u0111o\u00e1n gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m thu th\u1ea5t tr\u00e1i: LVEF &lt; 50%, gi\u1ea3m &gt; 10% so v\u1edbi EF ban \u0111\u1ea7u (theo ESC 2020).<\/li>\n\n\n\n<li>Kh\u1eb3ng \u0111\u1ecbnh sau 3 tu\u1ea7n \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/li>\n\n\n\n<li>C\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim.<\/li>\n\n\n\n<li>H\u1ed3i ph\u1ee5c khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n t\u1ed5n th\u01b0\u01a1ng tim li\u00ean quan \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>1. Si\u00eau \u00e2m tim<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u01afu \u0111i\u1ec3m: S\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i, \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c ch\u1ee9c n\u0103ng, c\u1ea5u tr\u00fac c\u1ee7a tim.<\/li>\n\n\n\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: Ph\u1ee5 thu\u1ed9c ch\u1ee7 quan ng\u01b0\u1eddi l\u00e0m si\u00eau \u00e2m v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ea5t th\u01b0\u1eddng l\u1ed3ng ng\u1ef1c.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2. X\u1ea1 h\u00ecnh t\u01b0\u1edbi m\u00e1u c\u01a1 tim<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u01afu \u0111i\u1ec3m: Kh\u1ea3 n\u0103ng t\u00e1i l\u1eadp.<\/li>\n\n\n\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: Tia x\u1ea1, h\u1ea1n ch\u1ebf \u0111\u00e1nh gi\u00e1 c\u1ea5u tr\u00fac, ch\u1ee9c n\u0103ng tim.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>3. MRI tim<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u01afu \u0111i\u1ec3m: Ch\u00ednh x\u00e1c v\u00e0 c\u00f3 th\u1ec3 t\u00e1i l\u1eadp k\u1ebft qu\u1ea3, \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a m\u00f4 c\u01a1 tim.<\/li>\n\n\n\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: Gi\u00e1 th\u00e0nh, ch\u1ec9 \u0111\u1ecbnh kh\u00f4ng r\u1ed9ng r\u00e3i.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>4. Biomarkers: (v\u00ed d\u1ee5: Hs troponin, NT-proBNP)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u01afu \u0111i\u1ec3m: Ch\u00ednh x\u00e1c, c\u00f3 th\u1ec3 t\u00e1i l\u1eadp k\u1ebft qu\u1ea3, ch\u1ec9 \u0111\u1ecbnh r\u1ed9ng r\u00e3i, \u0111\u1ed9 nh\u1ea1y cao.<\/li>\n\n\n\n<li>Nh\u01b0\u1ee3c \u0111i\u1ec3m: Ch\u01b0a nhi\u1ec1u b\u1eb1ng ch\u1ee9ng trong s\u1eed d\u1ee5ng v\u00e0 vai tr\u00f2 trong gi\u00e1m s\u00e1t th\u01b0\u1eddng xuy\u00ean ch\u01b0a \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>D\u1ef1 ph\u00f2ng suy tim tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ph\u00e2n t\u1ea7ng nguy c\u01a1: D\u1ef1a tr\u00ean nguy c\u01a1 tr\u01b0\u1edbc \u0111\u00f3 v\u1ec1 b\u1ec7nh tim m\u1ea1ch, nguy c\u01a1 v\u1ec1 ti\u1ec1n s\u1eed \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00ed n\u1ed9i khoa, y\u1ebfu t\u1ed1 nguy c\u01a1 v\u1ec1 l\u1ed1i s\u1ed1ng, biomarkers tim m\u1ea1ch, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 tr\u00ean tim. C\u00e1c B\u00e1c s\u0129 chuy\u00ean khoa Tim m\u1ea1ch, chuy\u00ean khoa Ung th\u01b0 s\u1eed d\u1ee5ng \u201cHFA-ICOS baseline risk assessment\u201d \u0111\u1ec3 \u0111\u00e1nh gi\u00e1, ph\u00e2n t\u1ea7ng nguy c\u01a1.<\/li>\n\n\n\n<li>L\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh: Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p, ki\u1ec3m so\u00e1t m\u1ee1 m\u00e1u, ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng m\u00e1u, ch\u1ebf \u0103n l\u00e0nh m\u1ea1nh, ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng, ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c \u0111\u1ec1u \u0111\u1eb7n, b\u1ecf thu\u1ed1c l\u00e1.<\/li>\n\n\n\n<li>Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u1ec1 c\u1ea3 thu\u1ed1c ung th\u01b0 v\u00e0 thu\u1ed1c tim m\u1ea1ch.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi s\u1ef1 t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n t\u1eeb B\u00e1c s\u0129 L\u00ea Tu\u1ea5n Anh \u2013 \u0110\u01a1n v\u1ecb Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 Vinh<\/em><\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Th\u00f4ng tin chi ti\u1ebft, 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\"><a><\/a><em>Hotline: 02383.968.888<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng ngay l\u1eadp t\u1ee9c ho\u1eb7c l\u00e2u d\u00e0i \u0111\u1ebfn t\u1ebf b\u00e0o c\u01a1 tim. Do \u0111\u00f3, vi\u1ec7c ph\u00e1t hi\u1ec7n, can thi\u1ec7p ng\u01b0\u1eddi b\u1ec7nh nguy c\u01a1 cao t\u1ed5n th\u01b0\u01a1ng tim m\u1ea1ch do \u0111i\u1ec1u tr\u1ecb l\u00e0 r\u1ea5t quan tr\u1ecdng. C\u1ea7n ph\u1ed1i h\u1ee3p 2 chuy\u00ean khoa Tim m\u1ea1ch v\u00e0 Ung th\u01b0 \u0111\u1ec3 t\u1ed1i [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":280485,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-280484","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\/280484","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=280484"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280484\/revisions"}],"predecessor-version":[{"id":298676,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280484\/revisions\/298676"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280485"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280484"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280484"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280484"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}