{"id":1925,"date":"2020-12-16T07:48:07","date_gmt":"2020-12-16T00:48:07","guid":{"rendered":"http:\/\/12point.net\/?p=1925"},"modified":"2020-12-16T07:48:07","modified_gmt":"2020-12-16T00:48:07","slug":"chuyen-de-suy-tim","status":"publish","type":"post","link":"https:\/\/12point.net\/chuyen-de-suy-tim\/","title":{"rendered":"Chuy\u00ean \u0111\u1ec1: SUY TIM"},"content":{"rendered":"

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Chuy\u00ean \u0111\u1ec1:<\/span><\/span><\/strong><\/span><\/p>\n

\u00a0<\/strong>SUY TIM<\/strong><\/span><\/p>\n

CN Tr\u01b0\u01a1ng Th\u1ecb Ng\u1ecdc B\u00edch – \u0110D tr\u01b0\u1edfng khoa N\u1ed9i Tim M\u1ea1ch<\/span><\/em><\/span><\/p>\n

C\u00e2u h\u1ecfi : T\u00f4i b\u1ecb kh\u00f3 th\u1edf khi l\u00e0m vi\u1ec7c n\u1eb7ng, nh\u01b0 v\u1eady c\u00f3 ph\u1ea3i b\u1ecb suy tim kh\u00f4ng? L\u00e0m sao ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c m\u00ecnh c\u00f3 b\u1ecb suy tim kh\u00f4ng?<\/span><\/p>\n

Tr\u1ea3 l\u1eddi<\/em><\/strong><\/span><\/p>\n

Suy tim c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u bi\u1ec3u hi\u1ec7n kh\u00e1c nhau; trong \u0111\u00f3 kh\u00f3 th\u1edf khi l\u00e0m vi\u1ec7c n\u1eb7ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t trong nh\u1eefng d\u1ea5u hi\u1ec7u g\u1ee3i y. Tuy nhi\u00ean kh\u00f4ng ph\u1ea3i c\u1ee9 kh\u00f3 th\u1edf khi l\u00e0m vi\u1ec7c n\u1eb7ng l\u00e0 c\u00f3 suy tim, b\u1edfi nhi\u1ec1u khi r\u1ea5t kh\u00f3 kh\u0103n \u0111\u1ec3 ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a c\u00e1c d\u1ea5u hi\u1ec7u tr\u00ean l\u00e0 do suy tim hay do b\u1ec7nh \u1edf ph\u1ed5i ho\u1eb7c do t\u00ecnh tr\u1ea1ng kh\u00e1c.<\/span><\/p>\n

Suy tim th\u01b0\u1eddng l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a nhi\u1ec1u b\u1ec7nh tim g\u00e2y ra, v\u00ec th\u1ebf th\u01b0\u1eddng ph\u1ea3i l\u00e0m nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n. C\u00e1c b\u00e1c s\u1ef9 h\u1ecfi ti\u1ec1n s\u1eed b\u1ec7nh, t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 ph\u00f9 m\u1eaft c\u00e1 ch\u00e2n, d\u00f9ng \u1ed1ng nghe \u0111\u1ec3 nghe ti\u1ebfng tim ho\u1eb7c ph\u00e1t hi\u1ec7n c\u00f3 n\u01b0\u1edbc trong ph\u1ed5i. Nhi\u1ec1u x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n, t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y ra suy tim v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh.<\/span><\/p>\n

\u0110i\u1ec7n tim kh\u00f4ng d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n suy tim, ngh\u0129a l\u00e0 kh\u00f4ng th\u1ec3 n\u00f3i ch\u1eafc ch\u1eafn c\u00f3 hay kh\u00f4ng c\u00f3 suy tim n\u1ebfu ch\u1ec9 nh\u00ecn v\u00e0o k\u1ebft qu\u1ea3 \u0111i\u1ec7n tim \u0111\u01a1n thu\u1ea7n, nh\u01b0ng c\u0169ng th\u1ea5y \u0111\u01b0\u1ee3c m\u1ed9t v\u00e0i b\u1eb1ng ch\u1ee9ng c\u1ee7a b\u1ec7nh g\u00e2y suy tim ho\u1eb7c c\u00e1c bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/span><\/p>\n

Ch\u1ee5p phim tim ph\u1ed5i c\u00f3 th\u1ec3 ch\u1ec9 ra t\u00ecnh tr\u1ea1ng tim to, t\u00ecnh tr\u1ea1ng \u1ee9 n\u01b0\u1edbc trong ph\u1ed5i m\u1eb7c d\u00f9 c\u0169ng kh\u00f3 long ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c suy tim.<\/span><\/p>\n

Ng\u00e0y nay, si\u00eau \u00e2m tim l\u00e0 x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n, cho ph\u00e9p \u0111o \u0111\u1ea1c k\u00edch th\u01b0\u1edbc bu\u1ed3ng tim, ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd van tim, \u0111\u00e1nh gi\u00e1 s\u1ee9c co b\u00f3p c\u01a1 tim. Th\u00f4ng th\u01b0\u1eddng m\u1ed7i l\u1ea7n l\u00e0m si\u00eau \u00e2m tim m\u1ea5t ch\u1eebng 15 \u0111\u1ebfn 60 ph\u00fat.<\/span><\/p>\n

Nh\u1eefng k\u1ef9 thu\u1eadt m\u1edbi nh\u01b0 ch\u1ee5p x\u1ea1 h\u00ecnh c\u01a1 tim, ch\u1ee5p c\u1ea3n quang bu\u1ed3ng tim\u2026 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb c\u00f3 hi\u1ec7u qu\u1ea3 nguy\u00ean nh\u00e2n g\u00e2y suy tim.<\/span><\/p>\n

Ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u (EF t\u00ednh b\u1eb1ng %) l\u00e0 ch\u1ec9 s\u1ed1 \u0111\u1ec3 \u0111o ph\u1ea7n tr\u0103m l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c qu\u1ea3 tim b\u00f3p (t\u1ed1ng) ra kh\u1ecfi bu\u1ed3ng tim trong m\u1ed7i nh\u00e1t b\u00f3p, th\u01b0\u1eddng trong kho\u1ea3ng 55 \u0111\u1ebfn 70%. B\u1ec7nh nh\u00e2n suy tim \u1ee9 huy\u1ebft th\u01b0\u1eddng c\u00f3 EF gi\u1ea3m nhi\u1ec1u. Tuy v\u1eady m\u1ed9t con s\u1ed1 EF \u0111\u01a1n thu\u1ea7n kh\u00f4ng h\u1ec1 n\u00f3i l\u00ean to\u00e0n c\u1ea3nh c\u1ee7a b\u1ec7nh: m\u1ed9t s\u1ed1 ng\u01b0\u1eddi \u0111\u00e3 bi\u1ec3u hi\u1ec7n suy tim n\u1eb7ng n\u1ec1 khi EF m\u1edbi gi\u1ea3m xu\u1ed1ng 40%; song m\u1ed9t s\u1ed1 kh\u00e1c th\u1eadm ch\u00ed l\u1ea1i ch\u1eb3ng bi\u1ec3u hi\u1ec7n g\u00ec ngay c\u1ea3 khi EF ch\u1ec9 c\u00f2n 20%. \u0110i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c r\u1ea5t nhi\u1ec1u v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 di\u1ec5n bi\u1ebfn c\u1ee7a suy tim.<\/span><\/p>\n

C\u00e2u h\u1ecfi : Nguy\u00ean nh\u00e2n n\u00e0o d\u1eabn \u0111\u1ebfn suy tim? C\u00e1c m\u1ee9c \u0111\u1ed9 suy tim nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/p>\n

Tr\u1ea3 l\u1eddi<\/em><\/strong><\/span><\/p>\n

C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y n\u00ean suy tim nh\u01b0:<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nh\u1ed3i m\u00e1u c\u01a1 tim c\u0169: khi \u0111\u1ed9ng m\u1ea1ch v\u00e0nh cung c\u1ea5p m\u00e1u nu\u00f4i d\u01b0\u1ee1ng c\u01a1 tim c\u00f3 m\u1ed9t ch\u1ed7 b\u1ecb t\u1eafc g\u00e2y nh\u1ed3i m\u00e1u, m\u1ed9t s\u1ed1 v\u00f9ng c\u01a1 tim ch\u1ebft \u0111i, th\u00e0nh s\u1eb9o l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a qu\u1ea3 tim.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 T\u0103ng huy\u1ebft \u00e1p m\u1ea1n t\u00ednh l\u00e0m qu\u1ea3 tim ph\u1ea3i l\u00e0m vi\u1ec7c qu\u00e1 s\u1ee9c trong m\u1ed9t th\u1eddi gian d\u00e0i do ph\u1ea3i b\u00f3p v\u1edbi m\u1ed9t l\u1ef1c m\u1ea1nh h\u01a1n \u0111\u1ec3 th\u1eafng \u0111\u01b0\u1ee3c s\u1ee9c c\u1ea3n l\u1edbn trong lng m\u1ea1ch (do t\u0103ng huy\u1ebft \u00e1p), l\u00e2u d\u1ea7n s\u1ebd l\u00e0m tim b\u1ecb suy.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh van tim g\u00e2y h\u1edf ho\u1eb7c h\u1eb9p van tim, khi \u0111\u00f3 ho\u1eb7c tim ph\u1ea3i b\u00f3p nhi\u1ec1u h\u01a1n (do h\u1edf van tim) ho\u1eb7c b\u00f3p m\u1ea1nh h\u01a1n (do h\u1eb9p van tim), l\u00e2u ng\u00e0y c\u0169ng s\u1ebd g\u00e2y suy tim.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh tim b\u1ea9m sinh<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ec7nh c\u01a1 tim do r\u01b0\u1ee3u: u\u1ed1ng qu\u00e1 nhi\u1ec1u r\u01b0\u1ee3u l\u00e0m co b\u00f3p c\u01a1 tim b\u1ecb y\u1ebfu \u0111i.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vi\u00eam c\u01a1 tim nh\u1ea5t l\u00e0 vi\u00eam c\u01a1 tim do si\u00eau vi tr\u00f9ng<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Do r\u1ed1i lo\u1ea1n nh\u1ecbp tim nhanh k\u00e9o d\u00e0i, m\u1ea1n t\u00ednh g\u00e2y suy tim.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Suy tim c\u0169ng hay g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, d\u00f9 kh\u00f4ng ph\u1ea3i \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh duy nh\u1ea5t<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Suy tim c\u00f2n g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n u\u1ed1ng thu\u1ed1c ho\u00e1 ch\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ho\u1eb7c m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111\u1eb7c bi\u1ec7t kh\u00e1c<\/span><\/p>\n

40% kh\u00f4ng th\u1ec3 t\u00ecm \u0111\u01b0\u1ee3c m\u1ed9t nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3 n\u00e0o g\u00e2y suy tim.<\/span><\/p>\n

<\/p>\n

C\u00e2u h\u1ecfi : T\u00f4i \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n suy tim, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng sinh ho\u1ea1t v\u00e0 thu\u1ed1c men nh\u01b0 th\u1ebf n\u00e0o<\/span><\/p>\n

Tr\u1ea3 l\u1eddi<\/em><\/strong><\/span><\/p>\n

Nguy\u00ean t\u1eafc c\u01a1 b\u1ea3n c\u1ee7a \u0111i\u1ec1u tr\u1ecb suy tim \u0111\u00f3 l\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0103n nguy\u00ean g\u00e2y suy tim n\u1ebfu c\u00f3 th\u1ec3 l\u00e0m \u0111\u01b0\u1ee3c. V\u00ed d\u1ee5: n\u1ebfu do h\u1edf hay h\u1eb9p van tim th\u00ec c\u00f3 th\u1ec3 m\u1ed5 thay ho\u1eb7c s\u1eeda van tim. Tuy v\u1eady, nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng h\u1ec1 t\u00ecm th\u1ea5y ho\u1eb7c kh\u00f4ng c\u00f2n \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c c\u0103n nguy\u00ean g\u00e2y suy tim n\u1eefa. Khi \u0111\u00f3 c\u00e1c th\u1ea7y thu\u1ed1c s\u1ebd cho d\u00f9ng m\u1ed9t hay nhi\u1ec1u lo\u1ea1i thu\u1ed1c nh\u1eb1m l\u00e0m gi\u1ea3m ch\u1eadm ho\u1eb7c thay \u0111\u1ed5i di\u1ec5n ti\u1ebfn x\u1ea5u \u0111i c\u1ee7a b\u1ec7nh nh\u01b0:<\/span><\/p>\n

Thu\u1ed1c l\u1ee3i ti\u1ec3u b\u1eaft th\u1eadn ph\u1ea3i th\u1ea3i nhi\u1ec1u n\u01b0\u1edbc v\u00e0 mu\u1ed1i h\u01a1n, khi\u1ebfn b\u1ec7nh nh\u00e2n d\u1ec5 ch\u1ecbu h\u01a1n.<\/span><\/p>\n

Digoxin l\u00e0m t\u0103ng co b\u00f3p c\u01a1 tim, r\u1ea5t t\u1ed1t n\u1ebfu nh\u1ecbp tim nhanh, nh\u01b0ng n\u1ebfu d\u00f9ng kh\u00f4ng \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh s\u1ebd g\u00e2y ng\u1ed9 \u0111\u1ed9c n\u1eb7ng, nh\u1ecbp ch\u1eadm, r\u1ed1i lo\u1ea1n nh\u1ecbp d\u1ec5 d\u00e0ng d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/span><\/p>\n

C\u00e1c thu\u1ed1c gi\u00e3n m\u1ea1ch l\u00e0m gi\u1ea3m b\u1edbt s\u1ee9c \u00e9p l\u00ean tim, r\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3<\/span><\/p>\n

Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p r\u1ea5t quan tr\u1ecdng n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u0103ng huy\u1ebft \u00e1p<\/span><\/p>\n

\u00a0\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n n\u00ean th\u1ef1c hi\u1ec7n c\u00e1c l\u1eddi khuy\u00ean sau:<\/span><\/p>\n

\u0102n ch\u1ebf \u0111\u1ed9 gi\u1ea3m mu\u1ed1i (gi\u1ea3m m\u1eb7n, kh\u00f4ng m\u00ec ch\u00ednh ..) v\u00ec \u0103n nhi\u1ec1u mu\u1ed1i s\u1ebd g\u00e2y gi\u1eef n\u01b0\u1edbc v\u00e0 ph\u00f9. N\u00ean tr\u00e1nh m\u00ec ch\u00ednh, b\u1ed9t ng\u1ecdt (l\u00e0 m\u1ed9t d\u1ea1ng mu\u1ed1i), c\u00e1c \u0111\u1ed3 ch\u1ebf bi\u1ebfn s\u1eb5n. L\u1ef1a ch\u1ecdn c\u00e1c th\u1ee9c \u0103n c\u00f3 \u00edt mu\u1ed1i. L\u01b0\u1ee3ng mu\u1ed1i trung b\u00ecnh m\u1ed9t ng\u00e0y kh\u00f4ng n\u00ean qu\u00e1 2 gam.<\/span><\/p>\n

M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n n\u00ean h\u1ea1n ch\u1ebf n\u01b0\u1edbc (u\u1ed1ng v\u00e0 \u0103n) nh\u1ea5t l\u00e0 khi b\u1ec7nh n\u1eb7ng<\/span><\/p>\n

Gi\u1ea3m c\u00e2n n\u1ebfu qu\u00e1 c\u00e2n<\/span><\/p>\n

Kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n suy tim do r\u01b0\u1ee3u<\/span><\/p>\n

Ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c ph\u00f9 h\u1ee3p, tr\u00e1nh g\u00e2y qu\u00e1 t\u1ea3i cho tim, n\u00ean theo l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u1ef9. Kh\u00f4ng n\u00ean ch\u1ec9 ng\u1ed3i m\u1ed9t ch\u1ed7 v\u00ec suy tim l\u00e0m \u1ee9 m\u00e1u, n\u1ebfu kh\u00f4ng v\u1eadn \u0111\u1ed9ng s\u1ebd khi\u1ebfn d\u1ec5 b\u1ecb t\u1eafc m\u1ea1ch h\u01a1n. Tuy nhi\u00ean, kh\u00f4ng gi\u1ed1ng nh\u01b0 c\u00e1c c\u01a1 b\u1eafp kh\u00e1c, ho\u1ea1t \u0111\u1ed9ng nhi\u1ec1u kh\u00f4ng l\u00e0m tim kho\u1ebb h\u01a1n m\u00e0 c\u00f3 th\u1ec3 c\u00f2n c\u00f3 h\u1ea1i n\u1ebfu qu\u00e1 m\u1ee9c. T\u1ed1t nh\u1ea5t l\u00e0 tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c theo l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u1ef9. Bi\u1ec7n ph\u00e1p d\u1ec5 l\u00e0m nh\u1ea5t v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 l\u00e0 \u0111i b\u1ed9, b\u1eaft \u0111\u1ea7u t\u1eeb t\u1eeb v\u00e0 t\u0103ng d\u1ea7n t\u1eebng t\u00ed m\u1ed9t. D\u1eebng ngay n\u1ebfu h\u01a1i kh\u00f3 th\u1edf, \u0111au ng\u1ef1c ho\u1eb7c hoa m\u1eaft. Th\u1eed d\u00f9ng \u201cnghi\u1ec7m ph\u00e1t n\u00f3i\u201d: n\u1ebfu kh\u00f3 th\u1edf \u0111\u1ec3 n\u00f3i khi \u0111ang \u0111i b\u1ed9 th\u00ec ph\u1ea3i \u0111i ch\u1eadm l\u1ea1i ho\u1eb7c ng\u1eebng h\u1eb3n.<\/span><\/p>\n

Theo d\u00f5i c\u00e2n h\u00e0ng ng\u00e0y, t\u0103ng c\u00e2n l\u00e0 d\u1ea5u hi\u1ec7u s\u1edbm cho bi\u1ebft t\u00ecnh tr\u1ea1ng \u1ee9 n\u01b0\u1edbc trong c\u01a1 th\u1ec3, suy tim n\u1eb7ng l\u00ean<\/span><\/p>\n

D\u00e0nh th\u1eddi gian \u0111\u1ec3 ngh\u1ec9 ng\u01a1i, nh\u1ea5t l\u00e0 khi m\u1ec7t<\/span><\/p>\n

Kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1<\/span><\/p>\n

U\u1ed1ng thu\u1ed1c \u0111\u1ec1u theo \u0111\u01a1n. Kh\u00f4ng t\u1ef1 \u00fd ng\u1eebng thu\u1ed1c ho\u1eb7c thay \u0111\u1ed5i li\u1ec1u l\u01b0\u1ee3ng n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u1ef9. N\u00ean u\u1ed1ng thu\u1ed1c v\u00e0o c\u00e1c gi\u1edd nh\u1ea5t \u0111\u1ecbnh tu\u1ef3 theo c\u00f4ng vi\u1ec7c hay ho\u1ea1t \u0111\u1ed9ng \u0111\u1ec3 tr\u00e1nh qu\u00ean thu\u1ed1c. C\u1ea7n nh\u1edb c\u00e1c thu\u1ed1c ch\u1eefa suy tim kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c b\u1ed5, kh\u00f4ng th\u1ec3 t\u1ef1 thay \u0111\u1ed5i li\u1ec1u. R\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi t\u1ef1 \u00fd ng\u1eebng m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u1ec9 v\u00ec kh\u00f3 u\u1ed1ng (nh\u01b0 g\u00f3i mu\u1ed1i kali) ho\u1eb7c t\u1ef1 t\u0103ng li\u1ec1u v\u00ec coi \u0111\u00f3 l\u00e0 thu\u1ed1c tr\u1ee3 tim (nh\u01b0 digoxin) m\u00e0 kh\u00f4ng bi\u1ebft r\u1eb1ng b\u00e1c s\u1ef9 \u0111\u00e3 ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c v\u1edbi li\u1ec1u t\u1ed1i \u01b0u \u0111\u1ec3 tr\u00e1nh bi\u1ebfn ch\u1ee9ng. Nhi\u1ec1u ng\u01b0\u1eddi \u0111\u00e3 t\u1eed vong t\u1ea1i vi\u1ec7n v\u00ec nh\u1eefng s\u1ef1 t\u1ef1 \u00fd nh\u01b0 v\u1eady.<\/span><\/p>\n

\u0110i kh\u00e1m ngay n\u1ebfu c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n b\u1ea5t th\u01b0\u1eddng ho\u1eb7c khi c\u00e1c d\u1ea5u hi\u1ec7u suy tim n\u1eb7ng l\u00ean. \u0110\u1ed1i v\u1edbi suy tim, \u0111i\u1ec1u tr\u1ecb c\u00e0ng s\u1edbm c\u00e0ng d\u1ec5 d\u00e0ng v\u00e0 c\u00e0ng hi\u1ec7u qu\u1ea3.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/p>\n","protected":false},"author":1,"featured_media":1930,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[24],"tags":[],"jetpack_featured_media_url":"https:\/\/12point.net\/wp-content\/uploads\/2020\/12\/845-15.jpg","jetpack-related-posts":[{"id":1623,"url":"https:\/\/12point.net\/chuyen-de-benh-van-tim\/","url_meta":{"origin":1925,"position":0},"title":"Chuy\u00ean \u0111\u1ec1: B\u1ec6NH VAN TIM","date":"18\/11\/2020 07:26","format":false,"excerpt":"B\u1ec6NH VAN TIM BS CK II Nguy\u1ec5n Trung Hi\u1ebfu \u2013 TK N\u1ed9i tim m\u1ea1ch C\u00e2u h\u1ecfi: Van tim l\u00e0 g\u00ec? B\u1ec7nh van tim l\u00e0 g\u00ec? 1.Van tim l\u00e0 g\u00ec : Qu\u1ea3 tim b\u00ecnh th\u01b0\u1eddng c\u00f3 4 bu\u1ed3ng tim l\u00e0 hai t\u00e2m nh\u0129 \u1edf tr\u00ean v\u00e0 hai t\u00e2m th\u1ea5t \u1edf d\u01b0\u1edbi,\u2026","rel":"","context":"In "H\u1ecfi \u0111\u00e1p"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2020\/07\/rsz-question-medical.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":959,"url":"https:\/\/12point.net\/khoa-hoi-suc-tich-cuc-chong-doc\/","url_meta":{"origin":1925,"position":1},"title":"KHOA H\u1ed2I S\u1ee8C T\u00cdCH C\u1ef0C – CH\u1ed0NG \u0110\u1ed8C","date":"05\/10\/2020 16:53","format":false,"excerpt":"KHOA H\u1ed2I S\u1ee8C T\u00cdCH C\u1ef0C - CH\u1ed0NG \u0110\u1ed8C TH\u1eaeP S\u00c1NG NI\u1ec0M TIN T\u00f3m t\u1eaft l\u1ecbch s\u1eed h\u00ecnh th\u00e0nh \u0111\u01a1n v\u1ecb:\u00a0 Ti\u1ec1n th\u00e2n c\u1ee7a khoa H\u1ed3i s\u1ee9c t\u00edch c\u1ef1c - Ch\u1ed1ng \u0111\u1ed9c l\u00e0 khoa H\u1ed3i s\u1ee9c c\u1ea5p c\u1ee9u. Ban \u0111\u1ea7u, khoa ch\u1ec9 \u0111\u1ea3m nh\u1eadn h\u1ed3i s\u1ee9c n\u1ed9i khoa t\u1ed5ng h\u1ee3p, \u0111\u1ebfn\u2026","rel":"","context":"In "Gi\u1edbi thi\u1ec7u"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2020\/10\/HSCCTCCD800450.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":977,"url":"https:\/\/12point.net\/khoa-noi-tm\/","url_meta":{"origin":1925,"position":2},"title":"Khoa N\u1ed9i TM","date":"06\/10\/2020 11:21","format":false,"excerpt":"KHOA N\u1ed8I TIM M\u1ea0CH\u00a0B\u1ec6NH VI\u1ec6N \u0110A KHOA LONG AN V\u00cc M\u1ed8T TR\u00c1I TIM KH\u1eceE T\u00f3m t\u1eaft l\u1ecbch s\u1eed h\u00ecnh th\u00e0nh Khoa N\u1ed9i Tim m\u1ea1ch b\u1ec7nh vi\u1ec7n \u0111a khoa Long An \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp v\u00e0o n\u0103m 2002 ban \u0111\u1ea7u v\u1edbi 40 gi\u01b0\u1eddng b\u1ec7nh, v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n kh\u00f4ng ng\u1eebng, hi\u1ec7n t\u1ea1i\u2026","rel":"","context":"In "Gi\u1edbi thi\u1ec7u"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2020\/10\/tapthe-800450.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":6294,"url":"https:\/\/12point.net\/nghiem-phap-gang-suc-dien-tam-do\/","url_meta":{"origin":1925,"position":3},"title":"NGHI\u1ec6M PH\u00c1P G\u1eaeNG S\u1ee8C \u0110I\u1ec6N T\u00c2M \u0110\u1ed2","date":"13\/10\/2021 08:28","format":false,"excerpt":"NGHI\u1ec6M PH\u00c1P G\u1eaeNG S\u1ee8C \u0110I\u1ec6N T\u00c2M \u0110\u1ed2 BS Nguy\u1ec5n \u0110\u1ee9c L\u1ed9c- Khoa N\u1ed9i tim m\u1ea1ch I . T\u1ed4NG QUAN V\u1ec0 NGHI\u1ec6M PH\u00c1P G\u1eaeNG S\u1ee8C Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 kh\u00f4ng ch\u1ea3y m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n nh\u1eefng t\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t cung c\u1ea5p\u2026","rel":"","context":"In "B\u00e0i vi\u1ebft chuy\u00ean m\u00f4n"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2021\/10\/845-1.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":1352,"url":"https:\/\/12point.net\/chuyen-de-roi-loan-nhip-tim\/","url_meta":{"origin":1925,"position":4},"title":"Chuy\u00ean \u0111\u1ec1: R\u1ed1i Lo\u1ea1n Nh\u1ecbp Tim","date":"23\/10\/2020 13:50","format":false,"excerpt":"Chuy\u00ean \u0111\u1ec1: R\u1ed1i Lo\u1ea1n Nh\u1ecbp Tim - BS CK II Nguy\u1ec5n Trung Hi\u1ebfu - TK N\u1ed9i tim m\u1ea1ch - BV\u0110K Long An C\u00e2u h\u1ecfi: T\u00f4i b\u1ecb nh\u1ecbp ch\u1eadm, \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea5y m\u00e1y t\u1ea1o nh\u1ecbp tim, xin gi\u1ea3i th\u00edch r\u00f5 v\u1ec1 ho\u1ea1t \u0111\u1ed9ng m\u00e1y t\u1ea1o nh\u1ecbp tim v\u00e0 t\u00f4i ph\u1ea3i l\u01b0u\u2026","rel":"","context":"In "D\u1ecbch v\u1ee5 KCB"","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2020\/07\/rsz-question-medical.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":12836,"url":"https:\/\/12point.net\/du-phong-nguy-co-nhiem-toan-lactic-khi-su-dung-metformin\/","url_meta":{"origin":1925,"position":5},"title":"D\u1ef0 PH\u00d2NG NGUY C\u01a0 NHI\u1ec4M TOAN LACTIC KHI S\u1eec D\u1ee4NG METFORMIN","date":"05\/07\/2023 10:04","format":false,"excerpt":"DS. 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