\n $\"C\u1ee9u$ \n <\/div>

Ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c sau 10 ng\u00e0y n\u1eb1m vi\u1ec7n. \u1ea2nh: BVCC.<\/p>\n<\/figcaption><\/figure>\n

ThS.BS Nguy\u1ec5n Thanh Th\u1ea3o – Tr\u01b0\u1edfng nh\u00f3m ECMO cho bi\u1ebft, c\u00e1c b\u00e1c s\u0129 v\u1eeba ph\u1ea3i s\u1eed d\u1ee5ng thu\u1ed1c v\u1eadn m\u1ea1ch \u0111i k\u00e8m c\u00e1c thu\u1ed1c t\u0103ng co b\u00f3p c\u01a1 tim v\u00e0 c\u00e1c thu\u1ed1c ch\u1ed1ng r\u1ed1i lo\u1ea1n nh\u1ecbp. Ch\u1ee9c n\u0103ng co b\u00f3p th\u1ea5t tr\u00e1i v\u00e0 c\u1ea3 th\u1ea5t ph\u1ea3i suy gi\u1ea3m r\u1ea5t n\u1eb7ng (ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i ch\u1ec9 15%), l\u00e0m di\u1ec5n ti\u1ebfn suy \u0111a t\u1ea1ng sau ng\u1eebng tim k\u00e9o d\u00e0i c\u1ee7a b\u1ec7nh nh\u00e2n b\u1eaft \u0111\u1ea7u n\u1eb7ng n\u1ec1 h\u01a1n ngay c\u1ea3 khi \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3.<\/p>\n

Theo ThS.BS. Tr\u1ea7n Th\u1ecb Ng\u1ecdc M\u1ef9 – chuy\u00ean gia \u0111i\u1ec1u tr\u1ecb suy tim \u0110\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, \u0111\u1ed1i v\u1edbi b\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf, hi\u1ec7n nay t\u1ea1i c\u00e1c trung t\u00e2m tim m\u1ea1ch chuy\u00ean s\u00e2u, ch\u00fang ta ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 d\u1ef1 \u0111o\u00e1n nguy c\u01a1 \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t d\u1ef1a tr\u00ean ki\u1ec3u h\u00ecnh l\u00e2m s\u00e0ng, ph\u1ed1i h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh h\u1ecdc tim m\u1ea1ch v\u00e0 t\u1ea7m so\u00e1t \u0111\u1ed9t bi\u1ebfn gene nguy hi\u1ec3m.<\/p>\n

“Ng\u01b0\u1eddi b\u1ec7nh m\u1eafc b\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf v\u1edbi nguy c\u01a1 \u0111\u1ed9t t\u1eed cao do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u00f2ng ng\u1eeba hi\u1ec7u qu\u1ea3 b\u1eb1ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa suy tim t\u1ed1i \u01b0u, k\u00e8m c\u1ea5y m\u00e1y ph\u00e1 rung (ICD) khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh”, b\u00e1c s\u0129 Ng\u1ecdc M\u1ef9 cho bi\u1ebft.<\/p>\n

Sau 1 tu\u1ea7n ki\u00ean tr\u00ec h\u1ed3i s\u1ee9c b\u1eb1ng nhi\u1ec1u k\u1ef9 thu\u1eadt chuy\u00ean s\u00e2u, s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh d\u1ea7n \u1ed5n \u0111\u1ecbnh, ph\u1ee5c h\u1ed3i tri gi\u00e1c ho\u00e0n to\u00e0n. C\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 tu\u1ea7n ho\u00e0n nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c ng\u01b0ng h\u1eb3n sau 10 ng\u00e0y. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n v\u00e0o chi\u1ec1u ng\u00e0y 15\/4.<\/p>\n

\u0110\u01b0\u1ee3c bi\u1ebft, \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p th\u1ee9 ba li\u00ean ti\u1ebfp trong v\u00f2ng 1 th\u00e1ng qua b\u1ecb \u0111\u1ed9t t\u1eed do ng\u1eebng tim ngo\u1ea1i vi\u1ec7n, c\u0169ng l\u00e0 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng nh\u1ea5t \u0111\u01b0\u1ee3c c\u1ee9u s\u1ed1ng th\u00e0nh c\u00f4ng t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n

B\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd c\u01a1 tim nguy\u00ean ph\u00e1t v\u1edbi k\u00edch th\u01b0\u1edbc c\u00e1c bu\u1ed3ng tim gi\u00e3n l\u1edbn v\u00e0 ch\u1ee9c n\u0103ng co b\u00f3p c\u01a1 tim suy y\u1ebfu.<\/p>\n

B\u00ean c\u1ea1nh di\u1ec5n ti\u1ebfn suy tim th\u00ec \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf. T\u1ea7n su\u1ea5t \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t chi\u1ebfm 2-3% m\u1ed7i n\u0103m k\u1ec3 t\u1eeb khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n, ngay c\u1ea3 khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa \u1ed5n \u0111\u1ecbnh.<\/p>\n

Tuy nhi\u00ean, khi \u0111\u1ed9t t\u1eed x\u1ea3y ra nguy c\u01a1 t\u1eed vong r\u1ea5t cao, h\u1ed3i sinh tim ph\u1ed5i kh\u00f3 c\u00f3 hi\u1ec7u qu\u1ea3 do ch\u1ee9c n\u0103ng co b\u00f3p c\u01a1 tim n\u1ed9i t\u1ea1i k\u00e9m.<\/p>\n

Do \u0111\u00f3 ng\u01b0\u1eddi b\u1ec7nh suy tim do c\u00e1c b\u1ec7nh c\u01a1 tim n\u00ean \u0111\u1ebfn c\u00e1c trung t\u00e2m tim m\u1ea1ch ho\u1eb7c c\u01a1 s\u1edf y t\u1ebf uy t\u00edn th\u0103m kh\u00e1m chuy\u00ean s\u00e2u v\u00e0 theo d\u00f5i \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n b\u1ec7nh c\u01a1 tim, ph\u00e2n t\u1ea7ng nguy c\u01a1 \u0111\u1ed9t t\u1eed v\u00e0 \u0111\u01b0a ra c\u00e1c chi\u1ebfn l\u01b0\u1ee3c can thi\u1ec7p \u0111\u1ec3 d\u1ef1 ph\u00f2ng \u0111\u1ed9t t\u1eed hi\u1ec7u qu\u1ea3.<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n m\u1eafc c\u00e1c b\u1ec7nh tim m\u1ea1ch hay ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh tim m\u1ea1ch di truy\u1ec1n \u0111\u1ed9t ng\u1ed9t xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au t\u1ee9c ng\u1ef1c, ch\u00f3ng m\u1eb7t, ng\u1ea5t, kh\u00f3 th\u1edf, y\u1ebfu tay ch\u00e2n\u2026 n\u00ean \u0111\u1ebfn ngay c\u00e1c c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 x\u1eed tr\u00ed ban \u0111\u1ea7u k\u1ecbp th\u1eddi.<\/p>\n<\/p><\/div>\n<\/div>\n

\n $\"Ng\u01b0\u1eddi$ <\/a>Ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng \u0111\u1ed9t t\u1eed khi ch\u01a1i b\u00f3ng \u0111\u00e1, 4 ng\u01b0\u1eddi th\u00e2n t\u1eebng m\u1ea5t kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n<\/a><\/p>\n

SK\u0110S – Anh H. ch\u01b0a t\u1eebng \u0111\u01b0\u1ee3c ghi nh\u1eadn b\u1ec7nh l\u00fd tim m\u1ea1ch nh\u01b0ng theo th\u00f4ng tin khai th\u00e1c trong gia \u0111\u00ecnh \u0111\u00e3 c\u00f3 4 th\u00e0nh vi\u00ean \u0111\u1ed9t t\u1eed kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n<\/div>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

S\u00e1ng 17\/4, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh (TPHCM) cho bi\u1ebft, \u0111\u01a1n v\u1ecb n\u00e0y v\u1eeba ph\u1ed1i h\u1ee3p li\u00ean vi\u1ec7n k\u00edch ho\u1ea1t ECMO c\u1ee9u s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng tim, ti\u00ean l\u01b0\u1ee3ng 90% t\u1eed vong. \u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a anh H.V.L., 59 tu\u1ed5i, qu\u00ea qu\u00e1n t\u1ea1i B\u1ebfn Tre, m\u1eafc b\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf 4 n\u0103m […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-863","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/863","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=863"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/863\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=863"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=863"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=863"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}