{"id":281322,"date":"2024-11-05T10:57:21","date_gmt":"2024-11-05T03:57:21","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/thuyen-tac-huyet-khoi-tinh-mach\/"},"modified":"2025-11-10T11:46:38","modified_gmt":"2025-11-10T04:46:38","slug":"thuyen-tac-huyet-khoi-tinh-mach","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/thuyen-tac-huyet-khoi-tinh-mach\/","title":{"rendered":"THUY\u00caN T\u1eaeC HUY\u1ebeT KH\u1ed0I T\u0128NH M\u1ea0CH\u00a0"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u201cTheo th\u1ed1ng k\u00ea t\u1ea1i c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n, Thuy\u00ean T\u1eafc Huy\u1ebft Kh\u1ed1i T\u0129nh M\u1ea1ch (vi\u1ebft t\u1eaft TTHKTM) \u0111\u1ee9ng th\u1ee9 3 trong s\u1ed1 c\u00e1c nguy\u00ean nh\u00e2n t\u1eed vong tim m\u1ea1ch. M\u1ed7i n\u0103m t\u1ea1i Hoa K\u1ef3 c\u00f3 kho\u1ea3ng 900.000 tr\u01b0\u1eddng h\u1ee3p b\u1ecb TTHKTM, g\u00e2y ra 60.000 \u0111\u1ebfn 300.000 ca t\u1eed vong h\u00e0ng n\u0103m. Nguy c\u01a1 TTHKTM \u1edf ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m vi\u1ec7n m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00f2ng ng\u1eeba dao \u0111\u1ed9ng t\u1eeb 10-80%&#8230;\u201d Tr\u00edch t\u00e0i li\u1ec7u &#8220;H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch&#8221; c\u1ee7a B\u1ed9 Y t\u1ebf.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u1eady, thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch (c\u1ee5c m\u00e1u \u0111\u00f4ng) l\u00e0 b\u1ec7nh g\u00ec?<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch<strong> <\/strong>(t\u00ean ti\u1ebfng Anh venous thromboembolism) l\u00e0 s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng trong c\u00e1c t\u0129nh m\u1ea1ch s\u00e2u c\u1ee7a h\u1ec7 tu\u1ea7n ho\u00e0n, bao g\u1ed3m:&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">-Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (deep vein thrombosis): l\u00e0 t\u00ecnh tr\u1ea1ng c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh trong l\u00f2ng t\u0129nh m\u1ea1ch s\u00e2u, th\u01b0\u1eddng \u1edf chi d\u01b0\u1edbi, chi\u1ebfm ph\u1ea7n l\u1edbn trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">-Thuy\u00ean t\u1eafc ph\u1ed5i (pulmonary embolism): l\u00e0 s\u1ef1 t\u1eafc ngh\u1ebdn c\u1ea5p t\u00ednh \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do c\u1ee5c m\u00e1u \u0111\u00f4ng di chuy\u1ec3n t\u1eeb h\u1ec7 th\u1ed1ng t\u0129nh m\u1ea1ch s\u00e2u, ho\u1eb7c h\u00ecnh th\u00e0nh t\u1ea1i ch\u1ed7 trong \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/09\/blood-clots-legs-disease-3-Huyet-khoi-tinh-mach-sau-scaled-1.jpg\" alt=\"\" class=\"wp-image-171409\"\/><figcaption class=\"wp-element-caption\">Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (deep vein thrombosis)\u00a0<\/figcaption><\/figure>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/Thuyen-tac-khoi-tinh-mach-01-1.png\" alt=\"\" class=\"wp-image-171410\"\/><figcaption class=\"wp-element-caption\">Thuy\u00ean t\u1eafc ph\u1ed5i (pulmonary embolism)\u00a0<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u00ec sao ph\u1ea3i d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch?<\/strong>&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo c\u00e1c nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5, t\u1ef7 l\u1ec7 m\u1edbi m\u1eafc TTHKTM h\u00e0ng n\u0103m x\u1ea5p x\u1ec9 100\/100.000 d\u00e2n t\u1ea1i Ch\u00e2u \u00c2u v\u00e0 B\u1eafc M\u1ef9, th\u1ea5p h\u01a1n \u1edf Ch\u00e2u \u00c1 (16\/100.000 t\u1ea1i \u0110\u00e0i Loan, 17\/100.000 t\u1ea1i H\u1ed3ng K\u00f4ng, 57\/100.000 t\u1ea1i Singapore), nh\u01b0ng c\u00f3 xu h\u01b0\u1edbng t\u0103ng l\u00ean. TTHKTM g\u00e2y ra 60.000 \u0111\u1ebfn 300.000 ca t\u1eed vong h\u00e0ng n\u0103m t\u1ea1i Hoa K\u1ef3. (<em>Tr\u00edch t\u00e0i li\u1ec7u &#8220;H\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch&#8221; c\u1ee7a B\u1ed9 Y t\u1ebf)<\/em>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u1ec7nh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 n\u1ebfu ch\u00fang ta kh\u00f4ng b\u1ecf s\u00f3t<\/em>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Con s\u1ed1 b\u00e1o \u0111\u1ed9ng:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Theo th\u1ed1ng k\u00ea tr\u00ean worldthrombosisday.org, c\u1ee9 4 ng\u01b0\u1eddi tr\u00ean th\u1ebf gi\u1edbi s\u1ebd c\u00f3 1 ng\u01b0\u1eddi t\u1eed vong li\u00ean quan \u0111\u1ebfn huy\u1ebft kh\u1ed1i (c\u1ee5c m\u00e1u \u0111\u00f4ng)\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u01a1n 80% ca thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>70% ca t\u1eed vong do thuy\u00ean t\u1eafc ph\u1ed5i ch\u1ec9 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n sau khi gi\u1ea3i ph\u1eabu t\u1eed thi\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Nguy\u00ean nh\u00e2n t\u1eed vong \u0111\u1ee9ng h\u00e0ng th\u1ee9 3<\/strong>, ch\u1ec9 sau nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh \u0111\u01b0\u1ee3c xem l\u00e0 s\u00e1t th\u1ee7 th\u1ea7m l\u1eb7ng\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tri\u1ec7u ch\u1ee9ng c\u1ee7a thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch l\u00e0 g\u00ec?<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u01a1n 80% ca thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p, nh\u01b0ng \u00edt \u0111\u1eb7c hi\u1ec7u khi b\u1ecb thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch bao g\u1ed3m:&nbsp;&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u01b0ng, \u0111au 1 ho\u1eb7c 2 b\u00ean ch\u00e2n\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ch\u00eanh l\u1ec7ch b\u1eafp ch\u00e2n 2 b\u00ean l\u1edbn h\u01a1n 3 cm\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>bi\u1ebfn \u0111\u1ed5i m\u00e0u s\u1eafc da \u1edf ch\u00e2n\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>kh\u00f3 th\u1edf\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0111au ng\u1ef1c\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ho ra m\u00e1u\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>ch\u00f3ng m\u1eb7t, ng\u1ea5t\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0111\u1ed9t t\u1eed\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Bi\u1ebfn ch\u1ee9ng c\u1ee7a thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch l\u00e0 g\u00ec?&nbsp;<\/p>\n\n\n\n<ol start=\"1\" class=\"wp-block-list\">\n<li>\u0110\u1ed9t t\u1eed: \u0111\u00f4i khi v\u1eeba l\u00e0 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u1eeba l\u00e0 bi\u1ebfn ch\u1ee9ng\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"2\" class=\"wp-block-list\">\n<li>H\u1ed9i ch\u1ee9ng h\u1eadu huy\u1ebft kh\u1ed1i: lo\u00e9t t\u0129nh m\u1ea1ch, lo\u1ea1n s\u1eafc t\u1ed1 da\u2026\u00a0<\/li>\n<\/ol>\n\n\n\n<ol start=\"3\" class=\"wp-block-list\">\n<li>T\u0103ng \u00e1p ph\u1ed5i m\u1ea1n t\u00ednh sau thuy\u00ean t\u1eafc ph\u1ed5i (Chronic Thromboembolic Pulmonary Hypertension-CTEPH)\u00a0<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u00ec sao c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh trong t\u0129nh m\u1ea1ch?<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">N\u0103m 1856, t\u00e1c gi\u1ea3 Virchow m\u00f4 t\u1ea3 3 b\u1ea5t th\u01b0\u1eddng di\u1ec5n ra trong c\u01a1 th\u1ec3, c\u00f2n g\u1ecdi l\u00e0 tam gi\u00e1c Virchow \u0111\u1ec3 gi\u1ea3i th\u00edch th\u00edch cho s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng trong l\u00f2ng t\u0129nh m\u1ea1ch&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ea5t th\u01b0\u1eddng t\u0103ng \u0111\u00f4ng: b\u1ea9m sinh ho\u1eb7c m\u1eafc ph\u1ea3i\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch:\u00a0\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u1ee8 tr\u1ec7 tu\u1ea7n ho\u00e0n:\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch l\u00e0 g\u00ec?<\/strong>&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u1ed9i khoa c\u1ea5p t\u00ednh&nbsp;<\/td><td>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 n\u1ec1n&nbsp;<\/td><\/tr><tr><td>B\u1ec7nh l\u00fd n\u1ed9i khoa c\u1ea5p t\u00ednh nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, suy tim, suy h\u00f4 h\u1ea5p, nhi\u1ec5m tr\u00f9ng c\u1ea5p&nbsp;Ung th\u01b0 \u0111ang ti\u1ebfn tri\u1ec3n&nbsp;\u0110ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0 (li\u1ec7u ph\u00e1p hormone, h\u00f3a tr\u1ecb, x\u1ea1 tr\u1ecb)&nbsp;B\u1ec7nh vi\u00eam \u0111\u1ea1i tr\u00e0ng&nbsp;H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0&nbsp;R\u1ed1i lo\u1ea1n t\u0103ng sinh t\u1ee7y&nbsp;Ti\u1ec3u hemoglobin k\u1ecbch ph\u00e1t v\u1ec1 \u0111\u00eam&nbsp;<em>\u0110\u1eb7t \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch trung t\u00e2m<\/em>&nbsp;L\u01b0\u1edbi l\u1ecdc t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi&nbsp;B\u1ea5t \u0111\u1ed9ng&nbsp;<\/td><td>Tu\u1ed5i cao&nbsp;B\u00e9o ph\u00ec&nbsp;Gi\u00e3n t\u0129nh m\u1ea1ch&nbsp;Ti\u1ec1n s\u1eed thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch&nbsp;D\u00f9ng thu\u1ed1c vi\u00ean ng\u1eeba thai c\u00f3 estrogen ho\u1eb7c \u0111i\u1ec1u tr\u1ecb hormon thay th\u1ebf&nbsp;Li\u1ec7t chi d\u01b0\u1edbi&nbsp;B\u1ec7nh l\u00fd t\u0103ng \u0111\u00f4ng m\u1eafc ph\u1ea3i ho\u1eb7c di truy\u1ec1n&nbsp;&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\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\/Bac-si-tham-kham-va-danh-gia-du-phong-bien-chung-thuyen-tac-huyet-khoi-tinh-mach-cho-moi-nguoi-benh-khi-nhap-vien-dac-biet-nguoi-benh-Hoi-suc-tich-cuc-1024x1024-1.png\" alt=\"\" class=\"wp-image-171411\"\/><figcaption class=\"wp-element-caption\">B\u00e1c s\u0129 th\u0103m kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch cho m\u1ecdi ng\u01b0\u1eddi b\u1ec7nh khi nh\u1eadp vi\u1ec7n, \u0111\u1eb7c bi\u1ec7t ng\u01b0\u1eddi b\u1ec7nh H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c\u00a0<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ef0 PH\u00d2NG THUY\u00caN T\u1eaeC HUY\u1ebeT KH\u1ed0I CHO NG\u01af\u1edcI B\u1ec6NH nh\u1eadp vi\u1ec7n B\u1eb0NG C\u00c1CH N\u00c0O?&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">1. Bi\u1ec7n ph\u00e1p kh\u00f4ng d\u00f9ng thu\u1ed1c:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00a0V\u1eadn \u0111\u1ed9ng s\u1edbm: \u00e1p d\u1ee5ng cho m\u1ecdi ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t b\u1ec7nh n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb t\u1ea1i khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c;\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00a0B\u01a1m h\u01a1i \u00e1p l\u1ef1c ng\u1eaft qu\u00e3ng: khi c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u1edbi thu\u1ed1c kh\u00e1ng \u0111\u00f4ng.\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">2. Bi\u1ec7n ph\u00e1p d\u00f9ng thu\u1ed1c:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u00a0Thu\u1ed1c kh\u00e1ng \u0111\u00f4ng: l\u00e0 bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u00f3 hi\u1ec7u qu\u1ea3 cao nh\u1ea5t, \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o m\u1ea1nh nh\u1ea5t b\u1edfi c\u00e1c hi\u1ec7p h\u1ed9i Y khoa n\u1ed5i ti\u1ebfng tr\u00ean to\u00e0n th\u1ebf gi\u1edbi\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Khuy\u1ebfn c\u00e1o c\u1ee7a h\u1ed9i Tim m\u1ea1ch Vi\u1ec7t Nam 2022:&nbsp;<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>T\u1ea4T C\u1ea2 <\/em>ng\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 nguy c\u01a1 v\u00e0 d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch, trong \u0111\u00f3:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thang \u0111i\u1ec3m PADUA \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch \u1edf nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh n\u1ed9i khoa, thang \u0111i\u1ec3m CAPRINI cho nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh ngo\u1ea1i khoa\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Khi \u0111i\u1ec3m PADUA l\u1edbn h\u01a1n ho\u1eb7c b\u1eb1ng 4, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ec9 \u0111\u1ecbnh d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch.\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thang \u0111i\u1ec3m IMPROVE \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 xu\u1ea5t huy\u1ebft khi d\u00f9ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng. V\u1edbi \u0111i\u1ec3m IMPROVE l\u1edbn h\u01a1n ho\u1eb7c b\u1eb1ng 7, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 xu\u1ea5t huy\u1ebft cao, c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh ho\u1eb7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n d\u1ef1 ph\u00f2ng th\u00edch h\u1ee3p.\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>NGUY C\u01a0 X\u1ea2Y RA KHI D\u1ef0 PH\u00d2NG THUY\u00caN T\u1eaeC HUY\u1ebeT KH\u1ed0I T\u0128NH M\u1ea0CH?<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ch\u1ea3y m\u00e1u l\u00e0 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra khi d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch b\u1eb1ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00f9y c\u01a1 quan v\u00e0 m\u1ee9c \u0111\u1ed9 xu\u1ea5t huy\u1ebft m\u00e0 s\u1ebd c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng t\u01b0\u01a1ng \u1ee9ng. C\u00f3 th\u1ec3 ch\u1ea3i ch\u1ea3y m\u00e1u nh\u1eb9 nh\u01b0 b\u1ea7m m\u00e1u d\u01b0\u1edbi da, ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng, \u0111\u1ebfn ch\u1ea3y m\u00e1u n\u1eb7ng n\u1ec1 h\u01a1n nh\u01b0 n\u00f4n ra m\u00e1u, ho ra m\u00e1u, ti\u1ec3u ra m\u00e1u ho\u1eb7c xu\u1ea5t huy\u1ebft n\u00e3o.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH KHI D\u00d9NG KH\u00c1NG \u0110\u00d4NG l\u00e0 g\u00ec?&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy th\u1eadn n\u1eb7ng\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy gan n\u1eb7ng\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Xu\u1ea5t huy\u1ebft n\u00e3o\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00ecnh tr\u1ea1ng xu\u1ea5t huy\u1ebft \u0111ang ti\u1ebfn tri\u1ec3n (xu\u1ea5t huy\u1ebft do lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng\u2026)\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ti\u1ec1n s\u01b0\u0309 xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>D\u1ecb \u1ee9ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u di truy\u1ec1n hay m\u1eafc ph\u1ea3i\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u1ecdc d\u00f2 tuy\u0309 s\u1ed1ng\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110ang d\u00f9ng c\u00e1c thu\u1ed1c kh\u00e1ng \u0111\u00f4ng (v\u00ed d\u1ee5: aspirin, clopidogrel, warfarin v\u1edbi INR>2 \u2026)\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u00f4\u0301 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u &lt;100.000\/mm<sup>3<\/sup>\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u0103ng huy\u1ebft \u00e1p n\u1eb7ng ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t\u00a0<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>V\u1eeba m\u1edbi tr\u00e3i qua ph\u1eabu thu\u1eadt s\u1ecd n\u00e3o, ph\u1eabu thu\u1eadt tuy\u0309 s\u1ed1ng hay c\u00f3 xu\u1ea5t huy\u1ebft n\u1ed9i nh\u00e3n c\u1ea7u\u00a0<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>V\u00ec sao d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i l\u1ea1i quan tr\u1ecdng, m\u1eb7c d\u00f9 ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 xu\u1ea5t huy\u1ebft?<\/strong>&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi so s\u00e1nh gi\u1eefa \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng, c\u00e1c l\u1ee3i \u0111i\u1ec3m v\u1eabn nghi\u00eang v\u1ec1 h\u01b0\u1edbng d\u1ef1 ph\u00f2ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><tbody><tr><td><strong>CHI\u1ebeN L\u01af\u1ee2C<\/strong>&nbsp;<\/td><td><strong>D\u1ef0 PH\u00d2NG<\/strong>&nbsp;<\/td><td><strong>\u0110I\u1ec0U TR\u1eca<\/strong>&nbsp;<\/td><\/tr><tr><td><strong>Li\u1ec1u thu\u1ed1c<\/strong>&nbsp;<\/td><td>Th\u1ea5p h\u01a1n&nbsp;(v\u00ed d\u1ee5: enoxaparin 0.4ml\/ng\u00e0y)&nbsp;<\/td><td>Cao h\u01a1n&nbsp;(v\u00ed d\u1ee5: enoxaparin 1mg\/kg x 2 l\u1ea7n\/ng\u00e0y)&nbsp;Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft&nbsp;Can thi\u1ec7p \u0111\u1eb7t l\u01b0\u1edbi l\u1ecdc TM ch\u1ee7 d\u01b0\u1edbi&nbsp;Ph\u1eabu thu\u1eadt l\u1ea5y huy\u1ebft kh\u1ed1i\u2026.&nbsp;<\/td><\/tr><tr><td><strong>Th\u1eddi gian<\/strong>&nbsp;<\/td><td>Trong th\u1eddi gian n\u1eb1m vi\u1ec7n&nbsp;<\/td><td>K\u00e9o d\u00e0i \u00edt nh\u1ea5t 3 th\u00e1ng, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i v\u00f4 th\u1eddi h\u1ea1n&nbsp;<\/td><\/tr><tr><td><strong>Nguy c\u01a1 ch\u1ea3y m\u00e1u<\/strong>&nbsp;<\/td><td>Th\u1ea5p h\u01a1n&nbsp;<\/td><td>R\u1ea5t cao&nbsp;<\/td><\/tr><tr><td><strong>Hi\u1ec7u qu\u1ea3, k<\/strong><strong>inh t\u1ebf<\/strong>&nbsp;<\/td><td>Ti\u1ebft ki\u1ec7m chi ph\u00ed&nbsp;Hi\u1ec7u qu\u1ea3 cao&nbsp;<\/td><td>T\u1ed1n k\u00e9m do nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1eb7ng, nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng&nbsp;<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd d\u1ec5 b\u1ecf s\u00f3t tr\u00ean l\u00e2m s\u00e0ng, g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng n\u1ebfu ch\u1ea9n \u0111o\u00e1n ch\u1eadm tr\u1ec5. Tuy nhi\u00ean, b\u1ec7nh ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 b\u1eb1ng thu\u1ed1c ho\u1eb7c bi\u1ec7n ph\u00e1p c\u01a1 h\u1ecdc k\u1ebft h\u1ee3p v\u1edbi v\u1eadn \u0111\u1ed9ng s\u1edbm.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n, V\u1edbi \u0111\u1ed9i ng\u0169 chuy\u00ean gia v\u00e0 b\u00e1c s\u0129 l\u00e0nh ngh\u1ec1, ph\u1ea3n \u1ee9ng nhanh, c\u00f9ng h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c ti\u00ean ti\u1ebfn v\u00e0 quy tr\u00ecnh ph\u00e1c \u0111\u1ed3 khoa h\u1ecdc \u0111\u1ec3 d\u1ef1 ph\u00f2ng bi\u1ebfn ch\u1ee9ng thuy\u00ean t\u1eafc huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch cho m\u1ecdi ng\u01b0\u1eddi b\u1ec7nh khi nh\u1eadp vi\u1ec7n.&nbsp;&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Li\u00ean h\u1ec7 \u0111\u0103ng k\u00fd th\u0103m kh\u00e1m \u1edf b\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 S\u00e0i G\u00f2n <a href=\"https:\/\/dangkykham.hoanmysaigon.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">_ <em>BS.CK1. Tr\u1ea7n H\u00f9ng | Khoa N\u1ed9i tim m\u1ea1ch _<\/em>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cTheo th\u1ed1ng k\u00ea t\u1ea1i c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n, Thuy\u00ean T\u1eafc Huy\u1ebft Kh\u1ed1i T\u0129nh M\u1ea1ch (vi\u1ebft t\u1eaft TTHKTM) \u0111\u1ee9ng th\u1ee9 3 trong s\u1ed1 c\u00e1c nguy\u00ean nh\u00e2n t\u1eed vong tim m\u1ea1ch. M\u1ed7i n\u0103m t\u1ea1i Hoa K\u1ef3 c\u00f3 kho\u1ea3ng 900.000 tr\u01b0\u1eddng h\u1ee3p b\u1ecb TTHKTM, g\u00e2y ra 60.000 \u0111\u1ebfn 300.000 ca t\u1eed vong h\u00e0ng n\u0103m. Nguy c\u01a1 TTHKTM \u1edf [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":179848,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1263],"tags":[],"class_list":["post-281322","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\/281322","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=281322"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281322\/revisions"}],"predecessor-version":[{"id":297235,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/281322\/revisions\/297235"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/179848"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=281322"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=281322"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=281322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}