{"id":3513,"date":"2021-11-03T03:39:34","date_gmt":"2021-11-02T20:39:34","guid":{"rendered":"http:\/\/bvnguyentrai.org.vn\/cuu-song-2-benh-nhan-bi-nhoi-mau-co-tim-cap\/"},"modified":"2021-11-03T03:39:34","modified_gmt":"2021-11-02T20:39:34","slug":"cuu-song-2-benh-nhan-bi-nhoi-mau-co-tim-cap","status":"publish","type":"post","link":"https:\/\/bvnguyentrai.org.vn\/en\/cuu-song-2-benh-nhan-bi-nhoi-mau-co-tim-cap\/","title":{"rendered":"C\u1ee9u s\u1ed1ng 2 b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p"},"content":{"rendered":"

\u00a0<\/p>\n

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\u00a0Th\u01b0\u0301 Ba, 26\/1\/2021 13:33<\/div>\n<\/div>\n
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B\u1ec7nh vi\u1ec7n (BV) Nguy\u1ec5n Tr\u00e3i TPHCM cho bi\u1ebft, li\u00ean ti\u1ebfp trong hai ng\u00e0y qua \u0111\u00e3 c\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng 2 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim nguy k\u1ecbch.<\/div>\n<\/div>\n
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\"B\u00e1c<\/p>\n

B\u00e1c s\u0129 H\u1ed3 D\u0169ng Ti\u1ebfn th\u0103m c\u00e1c b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc gi\u1edd xu\u1ea5t vi\u1ec7n<\/em><\/p>\n<\/div>\n

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Tr\u01b0\u1eddng h\u1ee3p \u0111\u1ea7u ti\u00ean l\u00e0 \u00f4ng N.T.H., (65 tu\u1ed5i, ng\u1ee5 qu\u1eadn B\u00ecnh T\u00e2n). Theo b\u1ec7nh s\u1eed, kho\u1ea3ng 6 gi\u1edd s\u00e1ng ng\u00e0y 16-1, \u00f4ng H., \u0111ang \u0111i mua c\u00e0 ph\u00ea th\u00ec \u0111\u1ed9t ng\u1ed9t l\u00ean c\u01a1n \u0111au th\u1eaft ng\u1ef1c tr\u00e1i l\u00e0m b\u1ec7nh nh\u00e2n ng\u1ea5t x\u1ec9u. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ng\u01b0\u1eddi \u0111i \u0111\u01b0\u1eddng \u0111\u1ee1 d\u1eady th\u00ec t\u1ec9nh, nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c xung quanh nh\u01b0ng v\u1eabn \u0111au ng\u1ef1c tr\u00e1i d\u1eef d\u1ed9i nh\u01b0 b\u1ecb b\u00f3p ngh\u1eb9t lan t\u1eeb ng\u1ef1c tr\u00e1i sang gi\u1eefa x\u01b0\u01a1ng \u1ee9c.<\/p>\n

C\u00e1c c\u01a1n \u0111au k\u00e9o d\u00e0i v\u00e0 t\u0103ng d\u1ea7n, k\u00e8m theo kh\u00f3 th\u1edf, v\u00e3 m\u1ed3 h\u00f4i n\u00ean \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 \u0111\u01b0a \u0111\u1ebfn khoa C\u1ea5p c\u1ee9u c\u1ee7a BV Nguy\u1ec5n Tr\u00e3i. T\u1ea1i \u0111\u00e2y, b\u1ec7nh nh\u00e2n khai c\u00f3 ti\u1ec1n c\u0103n t\u0103ng huy\u1ebft \u00e1p, h\u00fat thu\u1ed1c l\u00e1 nhi\u1ec1u.<\/p>\n

\u0110\u1ebfn s\u00e1ng s\u1edbm 17-1, BV Nguy\u1ec5n Tr\u00e3i ti\u1ebfp t\u1ee5c ti\u1ebfp nh\u1eadn \u00f4ng T.Th.H., (64 tu\u1ed5i, ng\u1ee5 qu\u1eadn 6). \u00d4ng H., cho bi\u1ebft 3 ti\u1ebfng tr\u01b0\u1edbc khi nh\u1eadp vi\u1ec7n, \u00f4ng \u0111ang ng\u1ee7 th\u00ec \u0111\u1ed9t ng\u1ed9t l\u00ean c\u01a1n \u0111au th\u1eaft ng\u1ef1c tr\u00e1i k\u00e8m kh\u00f3 th\u1edf d\u1eef d\u1ed9i khi\u1ebfn b\u1ec7nh nh\u00e2n ph\u1ea3i ng\u1ed3i d\u1eady \u0111\u1ec3 th\u1edf. C\u01a1n \u0111au ki\u1ec3u \u0111\u00e8 \u00e9p tr\u01b0\u1edbc x\u01b0\u01a1ng \u1ee9c lan l\u00ean 2 vai v\u00e0 c\u00e1nh tay tr\u00e1i k\u00e9o d\u00e0i v\u00e0 t\u0103ng d\u1ea7n, ng\u1ed3i ngh\u1ec9 kh\u00f4ng gi\u1ea3m.<\/p>\n

B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2, r\u1ed1i lo\u1ea1n Lipid m\u00e1u v\u00e0 c\u0169ng h\u00fat thu\u1ed1c r\u1ea5t nhi\u1ec1u.<\/p>\n

Theo b\u00e1c s\u0129 H\u1ed3 D\u0169ng Ti\u1ebfn, Tr\u01b0\u1edfng khoa Tim m\u1ea1ch 1, B\u1ec7nh vi\u1ec7n Nguy\u1ec5n Tr\u00e3i, l\u00fac nh\u00e2p vi\u1ec7n c\u1ea3 hai b\u1ec7nh nh\u00e2n \u0111\u1ec1u \u0111au ng\u1ef1c d\u1eef d\u1ed9i, v\u00e3 m\u1ed3 h\u00f4i, huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim r\u1ea5t th\u1ea5p, t\u00ednh m\u1ea1ng b\u1ecb \u0111e d\u1ecda. Hai b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 tr\u1ef1c c\u1ea5p c\u1ee9u th\u0103m kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n ngay b\u1ec7nh l\u00fd nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p ngh\u0129 nhi\u1ec1u \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Tr\u01b0\u1edbc t\u00ecnh hu\u1ed1ng c\u1ea5p b\u00e1ch, ngay l\u1eadp t\u1ee9c c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00f4 ph\u00f2ng th\u00f4ng tim can thi\u1ec7p (CATH LAB) \u0111\u1eb7t stent t\u00e1i th\u00f4ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh t\u1eafc ngh\u1ebdn.<\/p>\n

Sau can thi\u1ec7p, hai b\u1ec7nh nh\u00e2n h\u1ebft \u0111au ng\u1ef1c, m\u1ea1ch, huy\u1ebft \u00e1p \u1ed5n \u0111\u1ecbnh \u00a0\u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n sau 5 ng\u00e0y \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1eb9n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3. \u0110\u00e2y l\u00e0 hai tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p t\u00ednh \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 b\u1ec7nh vi\u1ec7n c\u1ee9u s\u1ed1ng nh\u1edd k\u1ecbp th\u1eddi can thi\u1ec7p m\u1ea1ch v\u00e0nh.<\/p>\n

\u201cC\u00e1c b\u1ec7nh nh\u00e2n \u0111\u00e3 cao tu\u1ed5i, ti\u1ec1n s\u1eed b\u1ec7nh n\u1ec1n, h\u00fat thu\u1ed1c l\u00e1 nhi\u1ec1u, th\u1eddi ti\u1ebft l\u1ea1nh c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y n\u00ean nh\u1ed3i m\u00e1u c\u01a1 tim, cho n\u00ean c\u1ea7n ph\u1ea3i t\u1ea7m so\u00e1t. C\u1ee5 th\u1ec3 v\u00e0o m\u00f9a l\u1ea1nh, huy\u1ebft \u00e1p th\u01b0\u1eddng t\u0103ng cao so v\u1edbi m\u00f9a h\u00e8 kho\u1ea3ng 5 mmHg, s\u1ef1 duy tr\u00ec li\u00ean t\u1ee5c m\u1ee9c t\u0103ng huy\u1ebft \u00e1p n\u00e0y s\u1ebd l\u00e0m t\u0103ng 21% c\u00e1c bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch, \u0111\u1ed9t qu\u1ef5. Nhi\u1ec7t \u0111\u1ed9 gi\u1ea3m xu\u1ed1ng c\u0169ng khi\u1ebfn c\u00e1c m\u1ea1ch m\u00e1u co l\u1ea1i d\u1ec5 d\u1eabn \u0111\u1ebfn tai bi\u1ebfn\u201d, b\u00e1c s\u0129 Ti\u1ebfn cho hay.<\/p>\n

C\u0169ng theo b\u00e1c s\u0129 H\u1ed3 D\u0169ng Ti\u1ebfn, nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y ngo\u00e0i ng\u01b0\u1eddi cao tu\u1ed5i, s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi tr\u1ebb b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169ng c\u00f3 xu h\u01b0\u1edbng t\u0103ng l\u00ean. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh, nhu c\u1ea7u oxy cho c\u01a1 tim t\u0103ng cao v\u00e0o m\u00f9a l\u1ea1nh, t\u0103ng s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u, ti\u1ec3u c\u1ea7u v\u00e0 \u0111\u1ed9 nh\u1edbt c\u1ee7a m\u00e1u c\u0169ng g\u00e2y nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c b\u1ec7nh m\u1ea1ch v\u00e0nh nh\u01b0 \u0111au ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p v\u00e0 b\u1ec7nh tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o.<\/p>\n

“V\u00e0o d\u1ecbp T\u1ebft khi th\u1eddi ti\u1ebft chuy\u1ec3n l\u1ea1nh c\u1ea7n gi\u1eef \u1ea5m \u0111\u1ea7y \u0111\u1ee7 cho c\u01a1 th\u1ec3. H\u1ea1n ch\u1ebf ra ngo\u00e0i khi nhi\u1ec7t \u0111\u1ed9 qu\u00e1 th\u1ea5p. V\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1eb5n b\u1ec7nh l\u00fd tim m\u1ea1ch c\u1ea7n tu\u00e2n th\u1ee7 v\u00e0o ph\u00e1c \u0111\u1ed3 \u0111ang \u0111i\u1ec1u tr\u1ecb. Khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 ch\u00f3ng m\u1eb7t \u0111\u1ed9t ng\u1ed9t, kh\u00f3 th\u1edf, \u0111au nh\u00f3i kh\u00f3 ch\u1ecbu v\u00f9ng x\u01b0\u01a1ng \u1ee9c, \u0111\u1ed5 m\u1ed3 h\u00f4i l\u1ea1nh, nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng c\u1ea7n \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf c\u00f3 chuy\u00ean khoa Tim m\u1ea1ch \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi”, b\u00e1c s\u0129 Ti\u1ebfn khuy\u1ebfn c\u00e1o.<\/p>\n

Ngu\u1ed3n:\u00a0https:\/\/www.sggp.org.vn\/cuu-song-2-benh-nhan-bi-nhoi-mau-co-tim-cap-710856.html<\/p>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"

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