{"id":282339,"date":"2025-08-07T17:58:02","date_gmt":"2025-08-07T10:58:02","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/con-tang-huyet-ap\/"},"modified":"2025-11-08T09:47:37","modified_gmt":"2025-11-08T02:47:37","slug":"con-tang-huyet-ap","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/con-tang-huyet-ap\/","title":{"rendered":"C\u01a1n t\u0103ng huy\u1ebft \u00e1p"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Th\u1ebf n\u00e0o l\u00e0 t\u0103ng huy\u1ebft \u00e1p<\/h2>\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\/BAI-4-0310-CON-TANG-HUYET-AP-ap.jpg\" alt=\"\" class=\"wp-image-175476\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng huy\u1ebft \u00e1p (hypertension) l\u00e0 t\u00ecnh tr\u1ea1ng \u00e1p l\u1ef1c c\u1ee7a m\u00e1u l\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch t\u0103ng cao m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng v\u00e0 k\u00e9o d\u00e0i theo th\u1eddi gian. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh tim m\u1ea1ch, \u0111\u1ed9t qu\u1ef5 v\u00e0 suy th\u1eadn. C\u01a1n t\u0103ng huy\u1ebft \u00e1p c\u00f3 2 d\u1ea1ng l\u00e0 t\u0103ng huy\u1ebft \u00e1p c\u1ea5p c\u1ee9u v\u00e0 t\u0103ng huy\u1ebft \u00e1p kh\u1ea9n tr\u01b0\u01a1ng. Trong \u0111\u00f3,<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>T\u0103ng huy\u1ebft \u00e1p c\u1ea5p c\u1ee9u <\/em><em>(emergency)<\/em> l\u00e0 t\u00ecnh hu\u1ed1ng t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng k\u1ebft h\u1ee3p v\u1edbi t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch c\u1ea5p t\u00ednh th\u01b0\u1eddng \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 c\u1ea7n can thi\u1ec7p h\u1ea1 \u00e1p ngay l\u1eadp t\u1ee9c, th\u01b0\u1eddng l\u00e0 li\u1ec7u ph\u00e1p b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. <\/li>\n\n\n\n<li>Ng\u01b0\u1ee3c l\u1ea1i,<em> t\u0103ng huy\u1ebft \u00e1p kh\u1ea9n tr\u01b0\u01a1ng (urgent)<ins> <\/ins><\/em>l\u00e0 t\u00ecnh hu\u1ed1ng b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p \u0111\u00e1ng k\u1ec3 nh\u01b0ng kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng c\u01a1 quan \u0111\u00edch c\u1ea5p t\u00ednh<del> <\/del>c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p h\u1ea1 huy\u1ebft \u00e1p \u0111\u01b0\u1eddng u\u1ed1ng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Trong th\u1ef1c t\u1ebf ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 \u00edt tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p l\u00e0 t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n. V\u00ec v\u1eady khi ph\u00e2n lo\u1ea1i v\u1ec1 nguy\u00ean nh\u00e2n, s\u1ebd c\u00f3 2 tr\u01b0\u1eddng h\u1ee3p bao g\u1ed3m t\u0103ng huy\u1ebft \u00e1p v\u00f4 c\u0103n (90-95%) v\u00e0 t\u0103ng huy\u1ebft \u00e1p c\u00f3 nguy\u00ean nh\u00e2n (5-10%). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p nh\u01b0 tu\u1ed5i &gt;65 tu\u1ed5i<ins>,<\/ins> nam gi\u1edbi nhi\u1ec1u h\u01a1n<ins>,<\/ins> nh\u1ecbp tim &gt;80 l\u1ea7n\/ph\u00fat, th\u1eeba c\u00e2n, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng LDL-c ho\u1eb7c t\u0103ng triglyceride ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh tim m\u1ea1ch, ti\u1ec1n s\u1eed gia \u0111\u00ecnh t\u0103ng huy\u1ebft \u00e1p, m\u00e3n kinh s\u1edbm, h\u00fat thu\u1ed1c l\u00e1 v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng \u2013 x\u00e3 h\u1ed9i kh\u00e1c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">D\u1ea5u hi\u1ec7u nh\u00e2n bi\u1ebft<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a t\u0103ng huy\u1ebft \u00e1p c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 g\u1eb7p \u1edf nhi\u1ec1u h\u00ecnh th\u00e1i nh\u01b0:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u0103ng huy\u1ebft \u00e1p \u00e1c t\u00ednh: T\u0103ng huy\u1ebft \u00e1p n\u1eb7ng (&gt;=180\/120mm Hg) li\u00ean quan \u0111\u1ebfn b\u1ec7nh v\u00f5ng m\u1ea1c hai b\u00ean ti\u1ebfn tri\u1ec3n (xu\u1ea5t huy\u1ebft, xu\u1ea5t ti\u1ebft d\u1ea1ng b\u00f4ng, ph\u00f9 gai th\u1ecb).<\/li>\n\n\n\n<li>B\u1ec7nh n\u00e3o do t\u0103ng huy\u1ebft \u00e1p: T\u0103ng HA n\u1eb7ng li\u00ean quan \u0111\u1ebfn h\u00f4n m\u00ea, co gi\u1eadt, m\u00f9 v\u1ecf n\u00e3o v\u00e0 h\u00f4n m\u00ea m\u00e0 kh\u00f4ng c\u00f3 c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c.<\/li>\n\n\n\n<li>B\u1ec7nh vi m\u1ea1ch huy\u1ebft kh\u1ed1i do t\u0103ng huy\u1ebft \u00e1p: T\u0103ng huy\u1ebft \u00e1p n\u1eb7ng li\u00ean quan \u0111\u1ebfn t\u00e1n huy\u1ebft v\u00e0 gi\u1ea3m ti\u1ec3u c\u1ea7u trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 nguy\u00ean nh\u00e2n kh\u00e1c v\u00e0 c\u1ea3i thi\u1ec7n khi \u0111i\u1ec1u tr\u1ecb h\u1ea1 huy\u1ebft \u00e1p.<\/li>\n\n\n\n<li>C\u00e1c bi\u1ec3u hi\u1ec7n kh\u00e1c c\u1ee7a t\u0103ng huy\u1ebft \u00e1p c\u1ea5p c\u1ee9u g\u1ed3m: t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng li\u00ean quan \u0111\u1ebfn xu\u1ea5t huy\u1ebft n\u00e3o, \u0111\u1ed9t qu\u1ef5 c\u1ea5p, h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p, ph\u00f9 ph\u1ed5i c\u1ea5p do tim, ph\u00ecnh\/b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, ti\u1ec1n s\u1ea3n gi\u1eadt n\u1eb7ng v\u00e0 s\u1ea3n gi\u1eadt.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long, m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u1ea5p c\u1ee9u l\u00e0 h\u1ea1 huy\u1ebft \u00e1p m\u1ed9t c\u00e1ch ki\u1ec3m so\u00e1t v\u00e0 an to\u00e0n, nh\u1eb1m ng\u0103n ng\u1eeba t\u1ed5n th\u01b0\u01a1ng k\u00e9o d\u00e0i do huy\u1ebft \u00e1p cao, \u0111\u1ed3ng th\u1eddi tr\u00e1nh t\u1ee5t huy\u1ebft \u00e1p v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ph\u00f2ng ng\u1eeba v\u00e0 t\u1ea7m so\u00e1t<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb thu\u1ed1c h\u1ea1 \u00e1p t\u1ea1i tuy\u1ebfn c\u01a1 s\u1edf\/ ph\u00f2ng kh\u00e1m b\u1ea3o hi\u1ec3m y t\u1ebf ho\u1eb7c ph\u00f2ng kh\u00e1m gia \u0111\u00ecnh t\u01b0 nh\u00e2n, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u00ec m\u1ed7i 2-4 tu\u1ea7n\/l\u1ea7n trong 2-3 th\u00e1ng \u0111\u1ea7u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng thu\u1ed1c tr\u00ean huy\u1ebft \u00e1p \u0111\u1ed3ng th\u1eddi \u0111\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra cho \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau huy\u1ebft \u00e1p.&nbsp; <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed3ng th\u1eddi<ins>,<\/ins> k\u1ebft h\u1ee3p thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh: DASH l\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng t\u1ed1t nh\u1ea5t \u0111\u1ec3 gi\u1ea3m huy\u1ebft \u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u\/ ch\u1ee9ng minh (tr\u00e1i c\u00e2y, rau, ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t, c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa \u00edt b\u00e9o \u0111\u00e3 gi\u1ea3m h\u00e0m l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a v\u00e0 t\u1ed5ng l\u01b0\u1ee3ng ch\u1ea5t b\u00e9o).<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e2n: Gi\u1ea3m calories v\u00e0 t\u0103ng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c<\/li>\n\n\n\n<li>Gi\u1ea3m l\u01b0\u1ee3ng Natri trong kh\u1ea9u ph\u1ea7n \u0103n, t\u0103ng l\u01b0\u1ee3ng Kali trong kh\u1ea9u ph\u1ea7n \u0103n<\/li>\n\n\n\n<li>H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi BS. Ch\u1ebf Gia H\u00e2n \u2013 \u0110D. Cao Th\u1ecb Kim Xu\u00e2n, khoa C\u1ea5p c\u1ee9u, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ed9i tim m\u1ea1ch qu\u1ed1c gia Vi\u1ec7t Nam (VSH\/VNHA) <ins><a href=\"https:\/\/hntmmttn.vn\/upload\/attach\/202291214352.pdf\" target=\"_blank\" rel=\"noopener\">Khuy\u1ebfn c\u00e1o v\u1ec1 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/a><\/ins><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Th\u1ebf n\u00e0o l\u00e0 t\u0103ng huy\u1ebft \u00e1p T\u0103ng huy\u1ebft \u00e1p (hypertension) l\u00e0 t\u00ecnh tr\u1ea1ng \u00e1p l\u1ef1c c\u1ee7a m\u00e1u l\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch t\u0103ng cao m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng v\u00e0 k\u00e9o d\u00e0i theo th\u1eddi gian. \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh tim m\u1ea1ch, \u0111\u1ed9t qu\u1ef5 v\u00e0 suy th\u1eadn. C\u01a1n t\u0103ng [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":273123,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282339","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282339","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\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=282339"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282339\/revisions"}],"predecessor-version":[{"id":295835,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282339\/revisions\/295835"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/273123"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282339"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282339"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282339"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}