{"id":280953,"date":"2024-06-28T10:56:17","date_gmt":"2024-06-28T03:56:17","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/de-phong-nguy-co-dot-quy-cao-tu-nguoi-benh-mac-rung-nhi\/"},"modified":"2025-11-10T11:46:51","modified_gmt":"2025-11-10T04:46:51","slug":"de-phong-nguy-co-dot-quy-cao-tu-nguoi-benh-mac-rung-nhi","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/de-phong-nguy-co-dot-quy-cao-tu-nguoi-benh-mac-rung-nhi\/","title":{"rendered":"\u0110\u1ec1 ph\u00f2ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 cao t\u1eeb ng\u01b0\u1eddi b\u1ec7nh m\u1eafc rung nh\u0129"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">T\u1ea1i M\u1ef9, theo th\u1ed1ng k\u00ea c\u00f3 h\u01a1n 3 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc rung nh\u0129. T\u1ea1i Vi\u1ec7t Nam, theo H\u1ed9i Tim M\u1ea1ch H\u1ecdc Vi\u1ec7t Nam \u01b0\u1edbc t\u00ednh kho\u1ea3ng 4% ng\u01b0\u1eddi cao tu\u1ed5i b\u1ecb rung nh\u0129. V\u00e0 c\u00e1c chuy\u00ean gia c\u0169ng khuy\u1ebfn c\u00e1o nguy c\u01a1 suy tim \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p m\u1eafc rung nh\u0129 t\u0103ng g\u1ea5p 3 l\u1ea7n v\u00e0 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 t\u0103ng g\u1ea5p 5 l\u1ea7n so v\u1edbi ng\u01b0\u1eddi c\u00f3 s\u1ee9c kho\u1ebb b\u00ecnh th\u01b0\u1eddng, v\u00e0 nguy c\u01a1 m\u1eafc \u0111\u1ed9t qu\u1ef5 n\u00e0y s\u1ebd c\u00f2n t\u0103ng d\u1ea7n theo tu\u1ed5i t\u00e1c. Tr\u01b0\u1edbc \u0111\u00e2y, b\u1ec7nh n\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa (d\u00f9ng thu\u1ed1c). Tuy nhi\u00ean, ti\u1ebfn b\u1ed9 c\u1ee7a y h\u1ecdc \u0111\u00e3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh rung nh\u0129 ti\u1ebfp c\u1eadn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i n\u00e2ng cao hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, mang l\u1ea1i ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh. H\u00e3y\u00f9cng c\u00e1c b\u00e1c s\u0129 khoa Tim M\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n t\u00ecm hi\u1ec3u th\u00f4ng tin v\u1ec1 b\u1ec7nh rung nh\u0129 \u0111\u1ec3 k\u1ecbp th\u1eddi th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb, gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-rung-nhi-la-gi\"><strong>Rung nh\u0129 l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Rung nh\u0129<\/strong> (<em>Atrial Fibrillation<\/em>) l\u00e0 b\u1ec7nh l\u00fd v\u1ec1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim th\u01b0\u1eddng g\u1eb7p, khi t\u00e2m nh\u0129 rung l\u00ean v\u1edbi t\u1ea7n s\u1ed1 tr\u00ean 350 chu k\u1ef3\/ph\u00fat. \u0110i\u1ec1u n\u00e0y l\u00e0m h\u1ea1n ch\u1ebf l\u01b0u chuy\u1ec3n c\u1ee7a d\u00f2ng m\u00e1u v\u00e0 khi\u1ebfn cho m\u00e1u b\u1ecb \u1ee9 l\u1ea1i trong nh\u0129, h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu c\u1ee5c m\u00e1u \u0111\u00f4ng r\u1eddi kh\u1ecfi nh\u0129 tr\u00e1i g\u00e2y t\u1eafc m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 g\u00e2y ra \u0111\u1ed9t qu\u1ef5, t\u1eafc m\u1ea1ch \u1edf nh\u1eefng n\u01a1i kh\u00e1c nh\u01b0 \u0111\u1ed9ng m\u1ea1ch chi, \u0111\u1ed9ng m\u1ea1ch th\u1eadn, \u0111\u1ed9ng m\u1ea1ch ru\u1ed9t. Ng\u01b0\u1eddi b\u1ec7nh m\u1eafc rung nh\u0129 c\u00f3 nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5 cao g\u1ea5p 5 l\u1ea7n ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. V\u00ec v\u1eady nh\u1eefng ai tr\u00ean 65 tu\u1ed5i, b\u1ecb t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c h\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 \u0111\u1ec1u \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o t\u1ea7m so\u00e1t rung nh\u0129. T\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh tr\u00ean 75 tu\u1ed5i, n\u00ean \u0111\u01b0\u1ee3c \u0111o ECG &#8211; \u0110i\u1ec7n t\u00e2m \u0111\u1ed3, hay c\u00f2n g\u1ecdi l\u00e0 \u0111o \u0111i\u1ec7n tim (Electrocardiogram) th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 t\u1ea7m so\u00e1t rung nh\u0129.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-tri\u1ec7u-ch\u1ee9ng-nghi-ng\u1edd-rung-nhi\"><strong>Tri\u1ec7u ch\u1ee9ng nghi ng\u1edd rung nh\u0129<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh rung nh\u0129 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u r\u00f5 r\u00e0ng, ch\u1ec9 v\u00f4 t\u00ecnh ph\u00e1t hi\u1ec7n khi \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3. M\u1ed9t s\u1ed1 kh\u00e1c l\u1ea1i c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi ho\u1eb7c thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng (th\u01b0\u1eddng g\u1eb7p nh\u1ea5t).<\/li>\n\n\n\n<li>Nh\u1ecbp tim nhanh h\u01a1n b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u00f4ng \u0111\u1ec1u (l\u00fac nhanh l\u00fac ch\u1eadm).<\/li>\n\n\n\n<li>H\u1ed3i h\u1ed9p tr\u1ed1ng ng\u1ef1c (c\u1ea3m gi\u00e1c tim \u0111\u1eadp nhanh, th\u00ecnh th\u1ecbch, r\u1ed9n r\u00e0ng).<\/li>\n\n\n\n<li>\u0110au ng\u1ef1c ho\u1eb7c c\u1ea3m gi\u00e1c n\u1eb7ng ng\u1ef1c.<\/li>\n\n\n\n<li>Kh\u00f3 kh\u0103n trong ho\u1ea1t \u0111\u1ed9ng sinh ho\u1ea1t h\u00e0ng ng\u00e0y ho\u1eb7c gi\u1ea3m kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng v\u1edbi v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c.<\/li>\n<\/ul>\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\/image-8-1024x536-1.png\" alt=\"Tri\u1ec7u ch\u1ee9ng nghi ng\u1edd rung nh\u0129\" class=\"wp-image-168416\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\"><em>Nh\u1ecbp tim nhanh h\u01a1n b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u00f4ng \u0111\u1ec1u (l\u00fac nhanh l\u00fac ch\u1eadm) c\u00f3 th\u1ec3 g\u1ee3i \u00fd b\u1ec7nh Rung nh\u0129. Tuy nhi\u00ean, nhi\u1ec1u ng\u01b0\u1eddi b\u1ec7nh rung nh\u0129 kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u r\u00f5 r\u00e0ng.<\/em><\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-nguyen-nhan-d\u1eabn-d\u1ebfn-rung-nhi\"><strong>Nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn rung nh\u0129<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Rung nh\u0129 c\u00f3 th\u1ec3 do m\u1ed9t ho\u1eb7c k\u1ebft h\u1ee3p nhi\u1ec1u nguy\u00ean nh\u00e2n b\u00ean d\u01b0\u1edbi g\u00e2y ra nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Sau ph\u1eabu thu\u1eadt tim.<\/li>\n\n\n\n<li>B\u1ec7nh tim b\u1ea9m sinh.<\/li>\n\n\n\n<li>B\u1ec7nh c\u01a1 tim.<\/li>\n\n\n\n<li>B\u1ec7nh van tim.<\/li>\n\n\n\n<li>B\u1ec7nh m\u1ea1ch v\u00e0nh tim.<\/li>\n\n\n\n<li>T\u0103ng huy\u1ebft \u00e1p.<\/li>\n\n\n\n<li>Suy tim sung huy\u1ebft<\/li>\n\n\n\n<li>B\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh.<\/li>\n\n\n\n<li>C\u01b0\u1eddng gi\u00e1p.<\/li>\n\n\n\n<li>Nhi\u1ec5m si\u00eau vi.<\/li>\n\n\n\n<li>Ng\u01b0ng th\u1edf khi ng\u1ee7.<\/li>\n\n\n\n<li>Vi\u00eam m\u00e0ng ngo\u00e0i tim.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh rung nh\u0129:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tu\u1ed5i t\u00e1c. Ng\u01b0\u1eddi c\u00e0ng cao tu\u1ed5i, c\u00e0ng c\u00f3 nguy c\u01a1 cao m\u1eafc b\u1ec7nh rung nh\u0129.<\/li>\n\n\n\n<li>B\u00e9o ph\u00ec.<\/li>\n\n\n\n<li>U\u1ed1ng r\u01b0\u1ee3u.<\/li>\n\n\n\n<li>T\u0103ng huy\u1ebft \u00e1p.<\/li>\n\n\n\n<li>C\u00e1c b\u1ec7nh tim nh\u01b0 b\u1ec7nh van tim, b\u1ec7nh tim b\u1ea9m sinh, suy tim, b\u1ec7nh m\u1ea1ch v\u00e0nh, ti\u1ec1n c\u0103n nh\u1ed3i m\u00e1u c\u01a1 tim&#8230;<\/li>\n\n\n\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi t\u1eebng m\u1eafc b\u1ec7nh rung nh\u0129.<\/li>\n\n\n\n<li>C\u00e1c b\u1ec7nh m\u00e3n t\u00ednh kh\u00e1c nh\u01b0 b\u1ec7nh tuy\u1ebfn gi\u00e1p, ng\u01b0ng th\u1edf khi ng\u1ee7, h\u1ed9i ch\u1ee9ng chuy\u1ec3n h\u00f3a, ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn m\u1ea1n v\u00e0 b\u1ec7nh ph\u1ed5i.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-ph\u01b0\u01a1ng-phap-di\u1ec1u-tr\u1ecb-rung-nhi\"><strong>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb rung nh\u0129<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb rung nh\u0129 g\u1ed3m gi\u1ea3m tri\u1ec7u ch\u1ee9ng, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, ph\u00f2ng ng\u1eeba bi\u1ebfn c\u1ed1 t\u1eed vong v\u00e0 t\u00e0n ph\u1ebf tim m\u1ea1ch, c\u0169ng nh\u01b0 ng\u0103n ng\u1eeba h\u1eadu qu\u1ea3 c\u1ee7a nh\u1eefng \u0111i\u1ec1u tr\u1ecb kh\u00f4ng c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Ki\u1ec3m so\u00e1t t\u1ea7n s\u1ed1 th\u1ea5t \u2013 l\u00fac ngh\u1ec9: <\/strong>Ki\u1ec3m so\u00e1t t\u1ea7n s\u1ed1 l\u00e0 \u0111i\u1ec1u tr\u1ecb tr\u1ecdng t\u00e2m trong rung nh\u0129, m\u1ee5c \u0111\u00edch thi\u1ebft l\u1eadp l\u1ea1i t\u1ea7n s\u1ed1 th\u1ea5t sao cho ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng ng\u01b0\u1eddi b\u1ec7nh, gi\u1ea3m hay lo\u1ea1i b\u1ecf tri\u1ec7u ch\u1ee9ng, c\u1ea3i thi\u1ec7n huy\u1ebft \u0111\u1ed9ng, ph\u00f2ng ng\u1eeba suy tim v\u00e0 gi\u1ea3m c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch.&nbsp;Ng\u01b0\u1eddi b\u1ec7nh rung nh\u0129 trong b\u1ea5t k\u1ef3 th\u1eddi gian n\u00e0o c\u0169ng c\u1ea7n ki\u1ec3m so\u00e1t nh\u1ecbp (th\u01b0\u1eddng l\u00e0&nbsp;d\u01b0\u1edbi&nbsp;100 nh\u1ecbp\/ph\u00fat khi ngh\u1ec9 ng\u01a1i) \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba b\u1ec7nh c\u01a1 tim do nh\u1ecbp tim nhanh.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Chuy\u1ec3n rung nh\u0129 v\u1ec1 nh\u1ecbp xoang:<\/strong> \u1ede ng\u01b0\u1eddi b\u1ec7nh suy tim ho\u1eb7c r\u1ed1i lo\u1ea1n huy\u1ebft \u0111\u1ed9ng do c\u01a1n rung nh\u0129 m\u1edbi xu\u1ea5t hi\u1ec7n, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh chuy\u1ec3n nh\u1ecbp v\u1ec1 nh\u1ecbp xoang \u0111\u1ec3 c\u1ea3i thi\u1ec7n cung l\u01b0\u1ee3ng tim. Li\u1ec7u ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong b\u1ec7nh vi\u1ec7n theo l\u1ecbch tr\u00ecnh, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh trong c\u00e1c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p. N\u1ebfu di\u1ec5n ra theo l\u1ecbch h\u1eb9n, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n thu\u1ed1c kh\u00e1ng \u0111\u00f4ng \u00edt nh\u1ea5t v\u00e0i tu\u1ea7n tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 \u0111\u00f4ng m\u00e1u v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>D\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng ph\u00f2ng ng\u1eeba huy\u1ebft kh\u1ed1i: <\/strong>B\u00e1c s\u0129 k\u00ea \u0111\u01a1n thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t nh\u1ecbp tim nhanh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ed3ng th\u1eddi \u0111\u01b0a nh\u1ecbp tim tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng. Thu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n nh\u1eb1m ng\u0103n ng\u1eeba c\u1ee5c m\u00e1u \u0111\u00f4ng, m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a rung nh\u0129. C\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb rung nh\u0129 th\u01b0\u1eddng l\u00e0 thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c ch\u1eb7n canxi, digoxin, thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (thu\u1ed1c l\u00e0m lo\u00e3ng m\u00e1u, bao g\u1ed3m c\u00e1c nh\u00f3m thu\u1ed1c warfarin, apixaban, dabigatran, edoxaban v\u00e0 rivaroxaban).<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>S\u1ed1c \u0111i\u1ec7n hay c\u00f2n g\u1ecdi l\u00e0 s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp: <\/strong>S\u1ed1c \u0111i\u1ec7n ngo\u00e0i l\u1ed3ng ng\u1ef1c \u0111\u1ec3 ph\u1ee5c h\u1ed3i nh\u1ecbp xoang. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t 50%.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Tri\u1ec7t \u0111\u1ed1t rung nh\u0129 qua \u0111\u01b0\u1eddng \u1ed1ng th\u00f4ng<\/strong>: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p m\u1edbi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c ho\u1eb7c kh\u00f4ng mu\u1ed1n \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa. T\u1ef7 l\u1ec7 t\u00e1i ph\u00e1t t\u1eeb 30- 50%.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 l\u00e0 m\u1ee5c ti\u00eau h\u00e0ng \u0111\u1ea7u trong \u0111i\u1ec1u tr\u1ecb rung nh\u0129. V\u00e0, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t ng\u01b0\u1eddi rung nh\u0129, c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch ph\u1ea3i c\u00e2n nh\u1eafc \u0111\u00e1nh gi\u00e1 d\u1ef1a tr\u00ean nhi\u1ec1u kh\u00eda c\u1ea1nh nh\u01b0 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5, b\u1ec7nh n\u1ec1n, l\u1ed1i s\u1ed1ng, \u0111i\u1ec1u ki\u1ec7n kinh t\u1ebf, v.v t\u1eeb \u0111\u00f3 x\u00e2y d\u1ef1ng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-quy-trinh-kham-phat-hi\u1ec7n-va-t\u01b0-v\u1ea5n-di\u1ec1u-tr\u1ecb-rung-nhi-t\u1ea1i-b\u1ec7nh-vi\u1ec7n-hoan-m\u1ef9-sai-gon\"><strong>Quy tr\u00ecnh kh\u00e1m ph\u00e1t hi\u1ec7n v\u00e0 t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb rung nh\u0129 t\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n t\u1ea1i, b\u1ec7nh rung nh\u0129 v\u1eabn&nbsp;ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u1ecfi ho\u00e0n to\u00e0n, tuy nhi\u00ean n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, t\u00edch c\u1ef1c, s\u1ebd c\u00f3 th\u1ec3 s\u1ed1ng chung an to\u00e0n v\u1edbi c\u0103n b\u1ec7nh n\u00e0y, gi\u1ea3m thi\u1ec3u nguy c\u01a1 g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khoa Tim m\u1ea1ch c\u1ee7a b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n h\u1ed9i t\u1ee5 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 Tim m\u1ea1ch gi\u1ecfi chuy\u00ean m\u00f4n, gi\u00e0u kinh nghi\u1ec7m, l\u00e0 \u0111\u1ecba ch\u1ec9 tin c\u1eady \u0111\u1ec3 m\u1ecdi ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n t\u1ea7m so\u00e1t, s\u00e0ng l\u1ecdc c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch. C\u00e1c chuy\u00ean gia th\u0103m kh\u00e1m k\u1ef9 l\u01b0\u1ee1ng, ch\u1ea9n \u0111o\u00e1n chu\u1ea9n x\u00e1c, \u0111\u00fang b\u1ec7nh v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi b\u1ec7nh rung nh\u0129, ng\u01b0\u1eddi d\u00e2n n\u00ean kh\u00e1m tim m\u1ea1ch ho\u1eb7c kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n, t\u1ea7m so\u00e1t c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y rung nh\u0129 \u0111\u1ec3 gi\u1ea3i quy\u1ebft (b\u1ec7nh van tim, b\u1ec7nh ph\u1ed5i, c\u01b0\u1eddng gi\u00e1p\u2026). C\u00e1c b\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb rung nh\u0129 t\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n th\u01b0\u1eddng s\u1ebd bao g\u1ed3m:<\/p>\n\n\n\n<ol class=\"wp-block-list\" start=\"1\">\n<li>Kh\u00e1m tim m\u1ea1ch ho\u1eb7c kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3, ph\u00e1t hi\u1ec7n rung nh\u0129 ho\u1eb7c \u0111\u00e3 bi\u1ebft rung nh\u0129 nh\u01b0ng ch\u01b0a \u0111i\u1ec1u tr\u1ecb.<\/li>\n\n\n\n<li>X\u00e1c \u0111\u1ecbnh c\u00f3 rung nh\u0129: t\u01b0 v\u1ea5n d\u1ea1ng rung nh\u0129: c\u01a1n, dai d\u1eb3ng hay dai d\u1eb3ng k\u00e9o d\u00e0i, v\u0129nh vi\u1ec5n, t\u1ea7m so\u00e1t c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y rung nh\u0129 \u0111\u1ec3 gi\u1ea3i quy\u1ebft (b\u1ec7nh van tim, b\u1ec7nh ph\u1ed5i, c\u01b0\u1eddng gi\u00e1p\u2026)<\/li>\n\n\n\n<li>T\u1eeb \u0111\u00f3 l\u1ef1a ch\u1ecdn thu\u1ed1c gi\u00fap ph\u1ee5c h\u1ed3i nh\u1ecbp xoang hay ch\u1ec9 ki\u1ec3m so\u00e1t nh\u1ecbp tim, ho\u1eb7c can thi\u1ec7p tri\u1ec7t ph\u00e1 \u1ed5 lo\u1ea1n nh\u1ecbp t\u1eeb 4 t\u0129nh m\u1ea1ch ph\u1ed5i ho\u1eb7c c\u00e1c v\u1ecb tr\u00ed kh\u00e1c trong tim b\u1eb1ng \u1ed1ng th\u00f4ng.<\/li>\n\n\n\n<li>T\u01b0 v\u1ea5n thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng: \u0103n ki\u00eang, gi\u1ea3m c\u00e2n, v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c\u2026, t\u1ef1 theo d\u00f5i t\u00ecnh tr\u1ea1ng rung nh\u0129: kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c, b\u1ec7nh l\u00fd tim m\u1ea1ch \u0111i k\u00e8m: h\u1edf van 2 l\u00e1, b\u1ec7nh c\u01a1 tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, suy tim.<\/li>\n\n\n\n<li>T\u01b0 v\u1ea5n \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng \u0111\u00f4ng m\u00e1u th\u00e0nh l\u1eadp huy\u1ebft kh\u1ed1i. T\u00f9y t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 th\u1ebf n\u00e0o ph\u00f9 h\u1ee3p theo d\u00f5i sau khi d\u00f9ng thu\u1ed1c s\u1ebd l\u1ef1a ch\u1ecdn thu\u1ed1c kh\u00e1ng \u0111\u00f4ng th\u00edch h\u1ee3p.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb khoa h\u1ecdc, s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 t\u1ed1t nh\u1ea5t b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n. H\u00e3y li\u00ean h\u1ec7 b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n khi b\u1ea1n c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch. \u0110\u1eb7t h\u1eb9n th\u0103m kh\u00e1m <a href=\"http:\/\/dangkykham.hoanmysaigon.com\" target=\"_blank\" rel=\"noopener\"><strong>T\u1ea0I \u0110\u00c2Y<\/strong><\/a>.<\/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\/image-9-1024x682-1.png\" alt=\"B\u00e1c s\u0129 Tim m\u1ea1ch kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 cao (rung nh\u0129)\" class=\"wp-image-168417\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-center has-small-font-size wp-block-paragraph\"><em>B\u00e1c s\u0129 Tim m\u1ea1ch kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 cao<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tham kh\u1ea3o:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e2u l\u1ea1c b\u1ed9 S\u1ee9c kh\u1ecfe Ho\u00e0n M\u1ef9<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/youtube.com\/live\/o45owdIrrR4\" target=\"_blank\" rel=\"noopener\">Rung nh\u0129: y\u1ebfu t\u1ed1 nguy c\u01a1, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/a><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea1i M\u1ef9, theo th\u1ed1ng k\u00ea c\u00f3 h\u01a1n 3 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc rung nh\u0129. T\u1ea1i Vi\u1ec7t Nam, theo H\u1ed9i Tim M\u1ea1ch H\u1ecdc Vi\u1ec7t Nam \u01b0\u1edbc t\u00ednh kho\u1ea3ng 4% ng\u01b0\u1eddi cao tu\u1ed5i b\u1ecb rung nh\u0129. V\u00e0 c\u00e1c chuy\u00ean gia c\u0169ng khuy\u1ebfn c\u00e1o nguy c\u01a1 suy tim \u0111\u1ed1i v\u1edbi tr\u01b0\u1eddng h\u1ee3p m\u1eafc rung nh\u0129 t\u0103ng g\u1ea5p 3 l\u1ea7n [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":280954,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-280953","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-sai-gon___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280953","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\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=280953"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280953\/revisions"}],"predecessor-version":[{"id":297826,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/280953\/revisions\/297826"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/280954"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=280953"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=280953"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=280953"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}