{ "id": 57153, "date": "2025-12-12T09:16:23", "date_gmt": "2025-12-12T02:16:23", "guid": { "rendered": "https:\/\/hbbgroup.net\/dung-mui-khoan-kim-cuong-tan-mang-xo-vua-voi-hoa-gay-tac-mach-vanh\/" }, "modified": "2025-12-12T09:16:23", "modified_gmt": "2025-12-12T02:16:23", "slug": "dung-mui-khoan-kim-cuong-tan-mang-xo-vua-voi-hoa-gay-tac-mach-vanh", "status": "publish", "type": "post", "link": "https:\/\/hbbgroup.net\/en_us\/dung-mui-khoan-kim-cuong-tan-mang-xo-vua-voi-hoa-gay-tac-mach-vanh\/", "title": { "rendered": "D\u00f9ng m\u0169i khoan kim c\u01b0\u01a1ng t\u00e1n m\u1ea3ng x\u01a1 v\u1eefa v\u00f4i h\u00f3a g\u00e2y t\u1eafc m\u1ea1ch v\u00e0nh" }, "content": { "rendered": "

TP HCM<\/span>\u00d4ng Ly, 79 tu\u1ed5i, b\u1ecb t\u1eafc h\u1eb9p ba nh\u00e1nh m\u1ea1ch v\u00e0nh, b\u00e1c s\u0129 d\u00f9ng m\u0169i khoan kim c\u01b0\u01a1ng ph\u00e1 m\u1ea3ng x\u01a1 v\u1eefa v\u00f4i h\u00f3a, \u0111\u1eb7t stent t\u00e1i th\u00f4ng d\u00f2ng m\u00e1u nu\u00f4i tim.<\/p>\n

\u00d4ng Ly, qu\u1ed1c t\u1ecbch Campuchia, m\u1eafc b\u1ec7nh tim nhi\u1ec1u n\u0103m nh\u01b0ng u\u1ed1ng thu\u1ed1c kh\u00f4ng th\u01b0\u1eddng xuy\u00ean, g\u1ea7n \u0111\u00e2y kh\u00f3 th\u1edf k\u00e8m \u0111au ng\u1ef1c khi g\u1eafng s\u1ee9c. \u00d4ng \u0111\u01b0\u1ee3c can thi\u1ec7p \u0111\u1eb7t stent \u1edf m\u1ed9t c\u01a1 s\u1edf kh\u00e1c nh\u01b0ng th\u1ea5t b\u1ea1i, chuy\u1ec3n \u0111\u1ebfn B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM kh\u00e1m. GS.TS.BS V\u00f5 Th\u00e0nh Nh\u00e2n, Gi\u00e1m \u0111\u1ed1c Trung T\u00e2m Tim m\u1ea1ch Can thi\u1ec7p, cho bi\u1ebft ba m\u1ea1ch m\u00e1u nu\u00f4i tim c\u1ee7a b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p, v\u00f4i h\u00f3a n\u1eb7ng khi\u1ebfn to\u00e0n b\u1ed9 c\u01a1 tim b\u1ecb thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. Trong \u0111\u00f3, \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc t\u1eafc ho\u00e0n to\u00e0n, \u0111\u1ed9ng m\u1ea1ch m\u0169 h\u1eb9p n\u1eb7ng, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i h\u1eb9p n\u1eb7ng lan t\u1ecfa \u0111\u1ebfn g\u1ea7n t\u1eafc, nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p r\u1ea5t cao.<\/p>\n

B\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i, nhi\u1ec1u b\u1ec7nh n\u1ec1n (t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n lipid m\u00e1u, th\u1eadn y\u1ebfu), t\u1ed5n th\u01b0\u01a1ng kh\u00f3, nguy c\u01a1 cao n\u1ebfu ph\u1eabu thu\u1eadt… n\u00ean \u0111\u01b0\u1ee3c can thi\u1ec7p \u0111\u1eb7t stent. Gi\u00e1o s\u01b0 Nh\u00e2n \u0111\u00e1nh gi\u00e1 m\u1ea3ng x\u01a1 v\u1eefa t\u00edch t\u1ee5 theo th\u1eddi gian d\u1eabn \u0111\u1ebfn v\u00f4i h\u00f3a r\u1ea5t n\u1eb7ng, c\u1ea3n tr\u1edf \u0111\u01b0a d\u1ee5ng c\u1ee5 \u0111\u1eb7t stent \u0111\u1ebfn v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng b\u1eb1ng k\u1ef9 thu\u1eadt th\u00f4ng th\u01b0\u1eddng. Do \u0111\u00f3, \u00eak\u00edp s\u1eed d\u1ee5ng lo\u1ea1i m\u00e1y chuy\u00ean bi\u1ec7t c\u00f3 m\u0169i khoan h\u00ecnh elip \u0111\u00ednh kim c\u01b0\u01a1ng (Rotablator) \u0111\u1ec3 ph\u00e1 m\u1ea3ng x\u01a1 v\u1eefa \u0111\u00f4ng c\u1ee9ng do v\u00f4i h\u00f3a n\u1eb7ng.<\/p>\n

<\/p>\n
\"Gi\u00e1o <\/picture><\/div>
\n

Gi\u00e1o s\u01b0 Nh\u00e2n (ph\u1ea3i) c\u00f9ng \u00eak\u00edp ch\u1ea1y th\u1eed m\u00f4 h\u00ecnh m\u00e1y g\u1eafn m\u0169i khoan kim c\u01b0\u01a1ng tr\u01b0\u1edbc ca can thi\u1ec7p. \u1ea2nh: Ng\u1ecdc H\u00e0<\/em><\/p>\n<\/figcaption><\/figure>\n

Tr\u01b0\u1edbc khi khoan, b\u00e1c s\u0129 lu\u1ed3n m\u1ed9t s\u1ee3i d\u00e2y d\u1eabn trong l\u00f2ng m\u1ea1ch qua ch\u1ed7 h\u1eb9p \u0111\u1ec3 t\u1ea1o “\u0111\u01b0\u1eddng ray” cho m\u0169i khoan. \u0110i\u1ec1u n\u00e0y nh\u1eb1m h\u1ea1n ch\u1ebf m\u0169i khoan l\u00e0m t\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch \u1edf c\u00e1c \u0111o\u1ea1n g\u1ea5p kh\u00fac, do m\u1ea1ch m\u00e1u b\u1ec7nh nh\u00e2n ngo\u1eb1n ngo\u00e8o, xo\u1eafn v\u1eb7n, kh\u00f3 \u0111\u01b0a thi\u1ebft b\u1ecb \u0111\u1ebfn \u0111o\u1ea1n xa c\u1ee7a t\u1ed5n th\u01b0\u01a1ng.<\/p>\n

M\u0169i khoan c\u00f3 \u0111\u01b0\u1eddng k\u00ednh 1,5 mm, t\u1ed1c \u0111\u1ed9 quay 140.000-180.000 v\u00f2ng\/ph\u00fat, t\u1ea1o l\u1ef1c ma s\u00e1t v\u00e0 l\u1ef1c c\u1eaft, b\u00e0o m\u1ecfng m\u1ea3ng v\u00f4i h\u00f3a th\u00e0nh c\u00e1c h\u1ea1t si\u00eau nh\u1ecf (5-10 \u03bcm), nh\u1ecf h\u01a1n t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, kh\u00f4ng g\u00e2y t\u1eafc m\u1ea1ch.<\/p>\n

ThS.BS.CKI Nguy\u1ec5n Minh Ch\u00e2u, Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p, cho hay \u00eak\u00edp khoan 5 l\u1ea7n, t\u1ee9c nhi\u1ec1u h\u01a1n 2-3 l\u1ea7n so v\u1edbi b\u00ecnh th\u01b0\u1eddng, b\u1edfi t\u1ed5n th\u01b0\u01a1ng d\u00e0i, c\u1ee9ng. C\u00e1c b\u00e1c s\u0129 m\u00e0i nh\u1eb5n b\u1ec1 m\u1eb7t l\u00f2ng \u0111\u1ed9ng m\u1ea1ch, sau \u0111\u00f3 nong b\u00f3ng, \u0111\u1eb7t 3 stent \u1edf \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i, t\u00e1i th\u00f4ng d\u00f2ng m\u00e1u nu\u00f4i tim. Trong qu\u00e1 tr\u00ecnh can thi\u1ec7p, h\u1ec7 th\u1ed1ng ch\u1ee5p c\u1eaft l\u1edbp k\u1ebft quang n\u1ed9i m\u1ea1ch (OCT) gi\u00fap b\u00e1c s\u0129 ch\u1ecdn stent v\u1edbi k\u00edch th\u01b0\u1edbc ph\u00f9 h\u1ee3p, \u0111\u1ea3m b\u1ea3o stent n\u1edf h\u1ebft, \u00e1p s\u00e1t th\u00e0nh m\u1ea1ch, kh\u00f4ng b\u00f3c t\u00e1ch hai \u0111\u1ea7u, gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u1eafc c\u1ea5p v\u00e0 nguy c\u01a1 t\u00e1i h\u1eb9p.<\/p>\n

Ca can thi\u1ec7p kho\u1ea3ng 3 gi\u1edd, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, t\u1ec9nh t\u00e1o ho\u00e0n to\u00e0n. M\u1ed7i l\u1ea7n ch\u1ea1y m\u00e1y khoan, gi\u00e1o s\u01b0 Nh\u00e2n \u0111\u1ec1u th\u00f4ng b\u00e1o, tr\u00f2 chuy\u1ec7n gi\u00fap ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m c\u0103ng th\u1eb3ng, v\u1eeba theo d\u00f5i s\u00e1t d\u1ea5u hi\u1ec7u sinh t\u1ed3n qua h\u1ec7 th\u1ed1ng monitor chuy\u00ean d\u1ee5ng. Nh\u1edd \u0111\u00f3, b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n bi\u1ebfn ch\u1ee9ng (n\u1ebfu c\u00f3) nh\u01b0 h\u1ea1 huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/a> ho\u1eb7c kh\u00f4ng c\u00f3 d\u00f2ng m\u00e1u ch\u1ea3y do vi t\u1eafc m\u1ea1ch… v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi.<\/p>\n

Sau can thi\u1ec7p, \u00f4ng Ly \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa t\u1ed1i \u01b0u, h\u1ebft \u0111au ng\u1ef1c, xu\u1ea5t vi\u1ec7n, t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 b\u00e1c s\u0129 l\u00ean k\u1ebf ho\u1ea1ch t\u00e1i th\u00f4ng hai nh\u00e1nh m\u1ea1ch v\u00e0nh c\u00f2n l\u1ea1i \u1edf th\u1eddi \u0111i\u1ec3m ph\u00f9 h\u1ee3p. Gi\u00e1o s\u01b0 Nh\u00e2n khuy\u00ean ng\u01b0\u1eddi b\u1ec7nh v\u1eadn \u0111\u1ed9ng ph\u00f9 h\u1ee3p, tu\u00e2n th\u1ee7 u\u1ed1ng thu\u1ed1c \u0111\u00fang gi\u1edd, \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh, gi\u1ea3m m\u1eb7n v\u00e0 ng\u1ecdt…<\/p>\n

<\/p>\n
\"\u00d4ng <\/picture><\/div>
\n

\u00d4ng Ly c\u1ea3m \u01a1n Gi\u00e1o s\u01b0 Nh\u00e2n sau ca can thi\u1ec7p th\u00e0nh c\u00f4ng. \u1ea2nh: Ng\u1ecdc Ch\u00e2u<\/em><\/p>\n<\/figcaption><\/figure>\n

Theo gi\u00e1o s\u01b0 Nh\u00e2n, tr\u01b0\u1edbc \u0111\u00e2y nong m\u1ea1ch b\u1eb1ng b\u00f3ng \u00e1p su\u1ea5t cao th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00f4i h\u00f3a n\u1eb7ng<\/a>. Tuy nhi\u00ean, b\u00f3ng th\u01b0\u1eddng kh\u00f3 n\u1edf h\u1ebft ho\u1eb7c n\u1edf kh\u00f4ng \u0111\u1ec1u, g\u00e2y n\u1ee9t g\u00e3y m\u1ea3ng v\u00f4i, nguy c\u01a1 cao t\u00e1i h\u1eb9p s\u1edbm ho\u1eb7c th\u1ee7ng, b\u00f3c t\u00e1ch th\u00e0nh m\u1ea1ch g\u00e2y t\u1eafc m\u1ea1ch c\u1ea5p. Hi\u1ec7n, khoan m\u1ea3ng x\u01a1 v\u1eefa b\u1eb1ng m\u0169i khoan kim c\u01b0\u01a1ng c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m n\u00e0y. \u0110\u00e2y l\u00e0 k\u1ef9 thu\u1eadt kh\u00f3, c\u1ea7n h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c hi\u1ec7n \u0111\u1ea1i, ph\u1ed1i h\u1ee3p li\u00ean chuy\u00ean khoa nh\u01b0 can thi\u1ec7p tim m\u1ea1ch, ph\u1eabu thu\u1eadt tim, h\u1ed3i s\u1ee9c tim m\u1ea1ch… \u0111\u1ec3 h\u1ed7 tr\u1ee3, ph\u00f2ng ng\u1eeba r\u1ee7i ro.<\/p>\n

B\u00e1c s\u0129 khuy\u1ebfn ngh\u1ecb ng\u01b0\u1eddi cao tu\u1ed5i, nhi\u1ec1u b\u1ec7nh n\u1ec1n, n\u00ean kh\u00e1m s\u1ee9c kh\u1ecfe tim m\u1ea1ch \u0111\u1ecbnh k\u1ef3 t\u1ea1i c\u00e1c trung t\u00e2m y t\u1ebf chuy\u00ean s\u00e2u. Ph\u00e1t hi\u1ec7n s\u1edbm, tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb gi\u00fap h\u1ea1n ch\u1ebf t\u1ed1i \u0111a t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch v\u00e0nh nghi\u00eam tr\u1ecdng ph\u1ea3i can thi\u1ec7p b\u1eb1ng k\u1ef9 thu\u1eadt ph\u1ee9c t\u1ea1p.<\/p>\n

Ng\u1ecdc Ch\u00e2u<\/strong><\/p>\n

<\/span><\/p>\n

\u0110\u1ed9c gi\u1ea3 g\u1eedi c\u00e2u h\u1ecfi b\u1ec7nh tim m\u1ea1ch t\u1ea1i \u0111\u00e2y<\/a> \u0111\u1ec3 b\u00e1c s\u0129 gi\u1ea3i \u0111\u00e1p<\/p>", "protected": false }, "excerpt": { "rendered": "

TP HCM\u00d4ng Ly, 79 tu\u1ed5i, b\u1ecb t\u1eafc h\u1eb9p ba nh\u00e1nh m\u1ea1ch v\u00e0nh, b\u00e1c s\u0129 d\u00f9ng m\u0169i khoan kim c\u01b0\u01a1ng ph\u00e1 […]<\/p>", "protected": false }, "author": 5, "featured_media": 57154, "comment_status": "open", "ping_status": "open", "sticky": false, "template": "", "format": "standard", "meta": { "_acf_changed": false, "footnotes": "" }, "categories": [ 94 ], "tags": [], "class_list": [ "post-57153", "post", "type-post", "status-publish", "format-standard", "has-post-thumbnail", "hentry", "category-tin-tuc-trong-nuoc" ], "acf": [], "_links": { "self": [ { "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/posts\/57153", "targetHints": { "allow": [ "GET" ] } } ], "collection": [ { "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/posts" } ], "about": [ { "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/types\/post" } ], "author": [ { "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/users\/5" } ], "replies": [ { "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/comments?post=57153" } ], "version-history": [ { "count": 0, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/posts\/57153\/revisions" } ], "wp:featuredmedia": [ { "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/media\/57154" } ], "wp:attachment": [ { "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/media?parent=57153" } ], "wp:term": [ { "taxonomy": "category", "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/categories?post=57153" }, { "taxonomy": "post_tag", "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/tags?post=57153" } ], "curies": [ { "name": "wp", "href": "https:\/\/api.w.org\/{rel}", "templated": true } ] } }