{ "id": 57943, "date": "2025-12-26T10:05:44", "date_gmt": "2025-12-26T03:05:44", "guid": { "rendered": "https:\/\/hbbgroup.net\/hep-mach-mau-nuoi-tim-do-xo-vua-tich-tu\/" }, "modified": "2025-12-26T10:05:44", "modified_gmt": "2025-12-26T03:05:44", "slug": "hep-mach-mau-nuoi-tim-do-xo-vua-tich-tu", "status": "publish", "type": "post", "link": "https:\/\/hbbgroup.net\/en_us\/hep-mach-mau-nuoi-tim-do-xo-vua-tich-tu\/", "title": { "rendered": "H\u1eb9p m\u1ea1ch m\u00e1u nu\u00f4i tim do x\u01a1 v\u1eefa t\u00edch t\u1ee5" }, "content": { "rendered": "

TP HCM<\/span>Anh H\u00e0o, 55 tu\u1ed5i, b\u1ecb x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u tim n\u1eb7ng nh\u01b0ng kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, m\u1ed9t n\u0103m sau h\u1eb9p n\u1eb7ng h\u01a1n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u.<\/p>\n

ThS.BS.CKII Hu\u1ef3nh Ho\u00e0ng Khang, Tr\u01b0\u1edfng khoa Ngo\u1ea1i tim m\u1ea1ch, Trung t\u00e2m Tim m\u1ea1ch Can thi\u1ec7p, B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh TP HCM, cho bi\u1ebft c\u1ea3 ba nh\u00e1nh m\u1ea1ch m\u00e1u ch\u00ednh nu\u00f4i tim c\u1ee7a b\u1ec7nh nh\u00e2n h\u1eb9p n\u1eb7ng 70-90%. Nguy\u00ean nh\u00e2n l\u00e0 m\u1ea3ng x\u01a1 v\u1eefa t\u00edch t\u1ee5 tr\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch l\u00e0m thu h\u1eb9p l\u00f2ng m\u1ea1ch, c\u1ea3n tr\u1edf l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn nu\u00f4i tim. Tim kh\u00f4ng nh\u1eadn \u0111\u1ee7 l\u01b0\u1ee3ng oxy c\u1ea7n thi\u1ebft d\u1eabn \u0111\u1ebfn nguy c\u01a1 r\u1ed1i lo\u1ea1n nh\u1ecbp tim, suy tim, nh\u1ed3i m\u00e1u c\u01a1 tim.<\/p>\n

B\u00e1c s\u0129 Khang \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng x\u01a1 v\u1eefa ph\u1ee9c t\u1ea1p, r\u1ea3i r\u00e1c t\u1ea1i nhi\u1ec1u v\u1ecb tr\u00ed tr\u00ean ba nh\u00e1nh m\u1ea1ch v\u00e0nh, kh\u1ea3 n\u0103ng \u0111\u1eb7t stent kh\u00f4ng t\u1ed1i \u01b0u v\u00ec kh\u00f4ng t\u00e1i th\u00f4ng ho\u00e0n to\u00e0n sau can thi\u1ec7p. Ch\u1ec9 s\u1ed1 Syntax c\u1ee7a anh H\u00e0o l\u00e0 40 thu\u1ed9c nh\u00f3m t\u1ed5n th\u01b0\u01a1ng ph\u1ee9c t\u1ea1p. Syntax l\u00e0 h\u1ec7 th\u1ed1ng t\u00ednh \u0111i\u1ec3m nh\u1eb1m \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ph\u1ee9c t\u1ea1p c\u1ee7a b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, h\u01b0\u1edbng d\u1eabn l\u1ef1a ch\u1ecdn gi\u1eefa can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da (PCI) v\u00e0 ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh. B\u1ec7nh nh\u00e2n c\u00f3 \u0111i\u1ec3m Syntax th\u1ea5p (\u2264 22) \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb th\u1ef1c hi\u1ec7n PCI, trong khi nh\u1eefng ng\u01b0\u1eddi c\u00f3 \u0111i\u1ec3m Syntax cao (\u2265 33) th\u01b0\u1eddng \u0111\u01b0\u1ee3c khuy\u00ean n\u00ean ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111\u1ea1t k\u1ebft qu\u1ea3 l\u00e2u d\u00e0i t\u1ed1t.<\/p>\n

Tr\u00ean c\u01a1 s\u1edf \u0111\u00f3, \u00eak\u00edp ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh kh\u00f4ng tu\u1ea7n ho\u00e0n ngo\u00e0i c\u01a1 th\u1ec3 (off-pump) cho anh H\u00e0o. Kh\u00e1c v\u1edbi ph\u01b0\u01a1ng ph\u00e1p m\u1ed5 b\u1eafc c\u1ea7u kinh \u0111i\u1ec3n ph\u1ea3i ng\u1eebng tim v\u00e0 s\u1eed d\u1ee5ng m\u00e1y tim ph\u1ed5i nh\u00e2n t\u1ea1o, k\u1ef9 thu\u1eadt off-pump cho ph\u00e9p ph\u1eabu thu\u1eadt vi\u00ean thao t\u00e1c trong khi tim v\u1eabn \u0111\u1eadp (kh\u00f4ng c\u1ea7n l\u00e0m li\u1ec7t tim).<\/p>\n

Theo b\u00e1c s\u0129 Khang, k\u1ef9 thu\u1eadt n\u00e0y gi\u00fap nhi\u1ec1u b\u1ec7nh nh\u00e2n gi\u1ea3m th\u1eddi gian n\u1eb1m vi\u1ec7n, gi\u1ea3m m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng sau m\u1ed5 nh\u01b0 nhi\u1ec5m tr\u00f9ng, vi\u00eam ph\u1ed5i, lo\u1ea1n nh\u1ecbp tim, \u0111\u1ed9t qu\u1ef5. Trong 5 gi\u1edd, b\u00e1c s\u0129 th\u1ef1c hi\u1ec7n 4 c\u1ea7u n\u1ed1i t\u1eeb hai \u0111\u1ed9ng m\u1ea1ch v\u00fa trong v\u00e0 t\u0129nh m\u1ea1ch hi\u1ec3n ph\u1ea3i. H\u1ec7 m\u1ea1ch m\u00e1u tim \u0111\u01b0\u1ee3c kh\u01a1i th\u00f4ng ho\u00e0n to\u00e0n.<\/p>\n

<\/p>\n
\"B\u00e1c <\/picture><\/div>
\n

B\u00e1c s\u0129 ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u m\u1ea1ch v\u00e0nh cho b\u1ec7nh nh\u00e2n. \u1ea2nh: B\u1ec7nh vi\u1ec7n T\u00e2m Anh<\/em><\/p>\n<\/figcaption><\/figure>\n

Ba ng\u00e0y sau, anh H\u00e0o c\u00f3 th\u1ec3 sinh ho\u1ea1t g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng, h\u1ebft \u0111au ng\u1ef1c v\u00e0 kh\u00f3 th\u1edf, xu\u1ea5t vi\u1ec7n sau m\u1ed9t tu\u1ea7n. B\u00e1c s\u0129 ti\u00ean l\u01b0\u1ee3ng anh s\u1ebd ph\u1ee5c h\u1ed3i kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c sau kho\u1ea3ng 4-6 tu\u1ea7n n\u1ebfu tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u1eadp luy\u1ec7n.<\/p>\n

Theo b\u00e1c s\u0129 Khang, b\u1ec7nh m\u1ea1ch v\u00e0nh ba nh\u00e1nh<\/a> th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i, nh\u1ea5t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi \u00edt v\u1eadn \u0111\u1ed9ng, \u0103n u\u1ed1ng kh\u00f4ng h\u1ee3p l\u00fd ho\u1eb7c c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a lipid. Anh H\u00e0o m\u1eafc ba b\u1ec7nh l\u00fd n\u1ec1n n\u00e0y, t\u1eebng h\u00fat thu\u1ed1c l\u00e1 nhi\u1ec1u n\u0103m.<\/p>\n

Sau ca ph\u1eabu thu\u1eadt ho\u1eb7c can thi\u1ec7p t\u00e1i th\u00f4ng h\u1ec7 m\u1ea1ch v\u00e0nh<\/a>, anh c\u1ea7n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3, tu\u00e2n th\u1ee7 ph\u00e1c \u0111\u1ed3 d\u00f9ng thu\u1ed1c, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng \u0111\u1ec3 ph\u00f2ng t\u00e1i ph\u00e1t. Duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh nh\u01b0 h\u1ea1n ch\u1ebf \u0103n th\u1ef1c ph\u1ea9m ch\u1ee9a cholesterol, ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a. T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u s\u1ebd c\u1ea3i thi\u1ec7n l\u01b0u th\u00f4ng m\u00e1u. Ki\u1ec3m so\u00e1t t\u1ed1t huy\u1ebft \u00e1p, \u0111\u01b0\u1eddng huy\u1ebft, cholesterol b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. Ng\u01b0ng h\u00fat thu\u1ed1c v\u00e0 h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia, tr\u00e1nh th\u1ee9c khuya hay c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i.<\/p>\n

Khi xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 \u0111au th\u1eaft ng\u1ef1c k\u00e9o d\u00e0i, kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng, ch\u00f3ng m\u1eb7t, ng\u1ea5t x\u1ec9u ho\u1eb7c tim \u0111\u1eadp b\u1ea5t th\u01b0\u1eddng, tri\u1ec7u ch\u1ee9ng nghi ng\u1edd nh\u1ed3i m\u00e1u c\u01a1 tim<\/a> nh\u01b0 \u0111au ng\u1ef1c lan xu\u1ed1ng tay ho\u1eb7c h\u00e0m, v\u00e3 m\u1ed3 h\u00f4i nhi\u1ec1u…, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay.<\/p>\n

Thu H\u00e0<\/strong><\/p>\n

*T\u00ean b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c thay \u0111\u1ed5i<\/em><\/p>\n

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

\u0110\u1ed9c gi\u1ea3 g\u1eedi c\u00e2u h\u1ecfi v\u1ec1 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 HCMAnh H\u00e0o, 55 tu\u1ed5i, b\u1ecb x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u tim n\u1eb7ng nh\u01b0ng kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, m\u1ed9t n\u0103m sau h\u1eb9p […]<\/p>", "protected": false }, "author": 5, "featured_media": 57944, "comment_status": "open", "ping_status": "open", "sticky": false, "template": "", "format": "standard", "meta": { "_acf_changed": false, "footnotes": "" }, "categories": [ 94 ], "tags": [], "class_list": [ "post-57943", "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\/57943", "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=57943" } ], "version-history": [ { "count": 0, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/posts\/57943\/revisions" } ], "wp:featuredmedia": [ { "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/media\/57944" } ], "wp:attachment": [ { "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/media?parent=57943" } ], "wp:term": [ { "taxonomy": "category", "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/categories?post=57943" }, { "taxonomy": "post_tag", "embeddable": true, "href": "https:\/\/hbbgroup.net\/en_us\/wp-json\/wp\/v2\/tags?post=57943" } ], "curies": [ { "name": "wp", "href": "https:\/\/api.w.org\/{rel}", "templated": true } ] } }