{"id":2426,"date":"2021-01-14T09:57:26","date_gmt":"2021-01-14T02:57:26","guid":{"rendered":"http:\/\/12point.net\/?p=2426"},"modified":"2021-01-14T09:57:26","modified_gmt":"2021-01-14T02:57:26","slug":"chuyen-de-khang-dong","status":"publish","type":"post","link":"https:\/\/12point.net\/chuyen-de-khang-dong\/","title":{"rendered":"Chuy\u00ean \u0111\u1ec1: Kh\u00e1ng \u0111\u00f4ng"},"content":{"rendered":"

KH\u00c1NG \u0110\u00d4NG<\/span><\/strong><\/span><\/p>\n

BS CK2 Nguy\u1ec5n Trung Hi\u1ebfu – TK N\u1ed9i tim m\u1ea1ch-BV\u0110K Long An<\/span><\/em><\/span><\/p>\n

C\u00e2u h\u1ecfi : T\u00f4i \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, v\u1eady c\u1ea7n ph\u1ea3i l\u01b0u \u00fd nh\u1eefng g\u00ec ?<\/span><\/em><\/p>\n

Tr\u00e0 l\u1eddi:<\/em><\/strong><\/span><\/p>\n

N\u1ebfu tu\u00e2n th\u1ee7 nh\u1eefng ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129, b\u1ea1n kh\u00f4ng c\u1ea7n ph\u1ea3i lo l\u1eafng khi d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng. C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a thu\u1ed1c th\u01b0\u1eddng \u00edt g\u1eb7p v\u00e0 c\u00f3 th\u1ec3 x\u1eed tr\u00ed n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm. C\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 ngay n\u1ebfu b\u1ea1n ph\u00e1t hi\u1ec7n m\u1ed9t trong c\u00e1c d\u1ea5u hi\u1ec7u sau:<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 N\u01b0\u1edbc ti\u1ec3u \u0111\u1ecf ho\u1eb7c s\u1eadm m\u00e0u<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u00f3 nh\u1eefng v\u1ebft th\u00e2m t\u1ef1 nhi\u00ean xu\u1ea5t hi\u1ec7n tr\u00ean da, m\u00e0u \u0111\u1ecf, n\u00e2u s\u1eabm, ho\u1eb7c \u0111en.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u1ea3y m\u00e1u kinh nguy\u1ec7t nhi\u1ec1u hay k\u00e9o d\u00e0i m\u1ed9t c\u00e1ch b\u1ea5t th\u01b0\u1eddng.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110au \u0111\u1ea7u d\u1eef d\u1ed9i, ho\u1eb7c \u0111au \u0111\u1ea7u k\u00e9o d\u00e0i, ho\u1eb7c \u0111au b\u1ee5ng.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ch\u1ea3y m\u00e1u ( v\u00ed d\u1ee5 ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng, ch\u1ea3y m\u00e1u cam)<\/span><\/p>\n

– \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0S\u01b0ng n\u1ec1, \u0111au c\u00e1c kh\u1edbp nh\u01b0 \u0111\u1ea7u g\u1ed1i, c\u1ed5 ch\u00e2n.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 C\u00f3 kh\u1ed1i r\u1eafn, \u0111au xu\u1ea5t hi\u1ec7n \u1edf c\u00e1c v\u00f9ng c\u01a1 nh\u01b0 b\u1eafp ch\u00e2n, \u0111\u00f9i, m\u00f4ng..<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nh\u1eefng b\u1ec7nh kh\u00e1c m\u00e0 b\u1ea1n \u0111ang m\u1eafc c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng dung n\u1ea1p thu\u1ed1c c\u1ee7a b\u1ea1n. V\u00ec th\u1ebf, hay di kh\u00e1m l\u1ea1i n\u1ebfu b\u1ea1n b\u1ecb \u1ed1m, c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi.<\/span><\/p>\n

–\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 B\u1ea1n c\u1ea5n b\u00e1o cho b\u00e1c s\u0129 n\u1ebfu :<\/span><\/p>\n

+ B\u1ea1n c\u00f3 thai<\/span><\/p>\n

+ B\u1ea1n b\u1ecb tai n\u1ea1n, b\u1ecb \u0111\u00e1nh,ho\u1eb7c c\u00f3 nh\u1eefng th\u01b0\u01a1ng t\u00edch kh\u00e1c.<\/span><\/p>\n

\u0110\u1ed1i v\u1edbi gia \u0111\u00ecnh v\u00e0 b\u1ea1n b\u00e8:<\/span><\/p>\n

\u0110\u1ed1i v\u1edbi gia \u0111\u00ecnh<\/span><\/p>\n

Nh\u1eefng ng\u01b0\u1eddi th\u00e2n trong gia \u0111\u00ecnh b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c bi\u1ebft v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a b\u1ea1n c\u0169ng nh\u01b0 t\u00ean b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n. H\u1ecd c\u0169ng c\u1ea7n bi\u1ebft v\u1ec1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng b\u1ea1n \u0111ang s\u1eed d\u1ee5ng v\u00e0 m\u1ed9t s\u1ed1 l\u01b0u \u00fd khi d\u00f9ng thu\u1ed1c. H\u1ecd c\u0169ng \u0111\u1ed3ng th\u1eddi l\u00e0 nh\u1eefng ng\u01b0\u1eddi s\u1ebd li\u00ean h\u1ec7 v\u1edbi th\u1ea5y thu\u1ed1c khi c\u1ea7n thi\u1ebft<\/span><\/p>\n

T\u1ea5m th\u1ebb kh\u1ea9n c\u1ea5p<\/span><\/p>\n

B\u1ea1n n\u00ean ghi l\u1ea1i t\u00ean thu\u1ed1c v\u00e0 li\u1ec1u l\u01b0\u1ee3ng c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng b\u1ea1n \u0111ang d\u00f9ng ra m\u1ed9t t\u1ea5m th\u1ebb \u0111\u1ec3 ph\u00f2ng tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p . \u0110\u1eebng qu\u00ean vi\u1ebft t\u00ean c\u0169ng nh\u01b0 s\u1ed1 \u0111i\u1ec7n tho\u1ea1i v\u00e0 \u0111\u1ecba ch\u1ec9 c\u1ee7a b\u1ea1n l\u00ean t\u1ea5m th\u1ebb \u0111\u00f3 . Ghi c\u1ea3 t\u00ean, \u0111\u1ecba ch\u1ec9 v\u00e0 \u0111i\u1ec7n tho\u1ea1i c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n n\u1ebfu c\u1ea7n. L\u00ean mang theo t\u1ea5m th\u1ebb n\u00e0y b\u00ean ng\u01b0\u1eddi, \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u00e1c s\u0129 v\u00e0 nh\u1eefng ng\u01b0\u1eddi kh\u00e1c c\u00f3 th\u1ec3 n\u1eafm \u0111\u01b0\u1ee3c th\u00f4ng tin c\u1ea7n thi\u1ebft m\u1ed9t c\u00e1ch nhanh ch\u00f3ng v\u00e0 d\u1ec5 d\u00e0ng.<\/span><\/p>\n

\n

C\u00e2u h\u1ecfi : T\u00f4i b\u1ecb b\u1ec7nh van tim \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt thay van hai l\u00e1 b\u1eb1ng van c\u01a1 h\u1ecdc \u0111\u00e3 2 n\u0103m, hi\u1ec7n kho\u1ebb m\u1ea1nh, v\u1eady t\u00f4i c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u01b0\u1ee3c kh\u00f4ng ? Theo d\u00f5i nh\u01b0 th\u1ebf n\u00e0o ?<\/span><\/em><\/p>\n

Tr\u00e0 l\u1eddi:<\/em><\/strong><\/span><\/p>\n

Van nh\u00e2n t\u1ea1o \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb nh\u1eefng v\u1eadt li\u1ec7u nh\u01b0 kim lo\u1ea1i, carbon, ceramic v\u00e0 ch\u1ea5t d\u1ebbo n\u00ean n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ho\u1ea1t ho\u00e1 qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u va h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i b\u00e1m v\u00e0o van g\u00e2y h\u1eb9p t\u1eafc van. \u0110\u1ec3 ph\u00f2ng ng\u1eeba tai bi\u1ebfn n\u00e0y, b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng l\u00e2u d\u00e0i nh\u1eb1m duy tr\u00ec m\u1ee9c \u0111\u00f4ng m\u00e1u ph\u00f9 h\u1ee3p (m\u00e1u ch\u1eadm \u0111\u00f4ng h\u01a1n b\u00ecnh th\u01b0\u1eddng), h\u1ea7u nh\u01b0 t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c thay van c\u01a1 h\u1ecdc \u0111\u1ec1u ph\u1ea3i d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng su\u1ed1t \u0111\u1eddi. B\u1ea3n th\u00e2n thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng l\u00e0 lo\u1ea1i thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m \u0111\u00f4ng m\u00e1u, ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng t\u1ea1i t\u1ed5 ch\u1ee9c van c\u0169ng nh\u01b0 trong bu\u1ed3ng tim. Tuy nhi\u00ean, thu\u1ed1c c\u0169ng \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 ch\u1ea3y m\u00e1u cho ng\u01b0\u1eddi b\u1ec7nh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t v\u1ec1 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u1ee7a thu\u1ed1c. Do \u0111\u00f3, li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1ee3c d\u00f9ng theo t\u1eebng b\u1ec7nh nh\u00e2n v\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m tra theo d\u00f5i \u0111\u1ecbnh k\u00ec 2 -3 th\u00e1ng m\u1ed9t l\u1ea7n \u0111\u1ec3 ch\u1ec9nh li\u1ec1u thu\u1ed1c d\u1ef1a theo t\u1ec9 l\u1ec7 PT-INR. B\u1ea3n th\u00e2n ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd d\u00f9ng t\u0103ng, hay gi\u1ea3m li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng\u00a0<\/span><\/p>\n

Theo d\u00f5i d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u1edf b\u1ec7nh nh\u00e2n c\u00f3 van tim c\u01a1 h\u1ecdc:<\/strong><\/span><\/p>\n

Khi d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng ph\u1ea3i \u0111\u1ea3m b\u1ea3o m\u1ee9c \u0111\u00f4ng m\u00e1u trong gi\u1edbi h\u1ea1n cho ph\u00e9p \u0111\u1ee7 \u0111\u1ec3 ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i v\u00e0 c\u0169ng kh\u00f4ng qu\u00e1 m\u1ee9c \u0111\u1ec3 g\u00e2y c\u00e1c bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u do d\u00f9ng thu\u1ed1c nh\u01b0 xu\u1ea5t huy\u1ebft , t\u1ee5 m\u00e1u. C\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng (th\u01b0\u1eddng l\u00e0 coumarin\/wafarin, sintrom) c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i \u0111\u1ec1u, \u0111\u1ecbnh k\u1ef3 b\u1eb1ng x\u00e9t nghi\u1ec7m th\u1eddi gian prothrombin (th\u01b0\u1eddng vi\u1ebft t\u1eaft b\u1eb1ng PT) v\u00e0 ch\u1ec9 s\u1ed1 chu\u1ea9n INR. D\u1ef1a theo ch\u1ec9 s\u1ed1 n\u00e0y, b\u00e1c s\u0129 s\u1ebd ch\u1ec9nh li\u1ec1u thu\u1ed1c h\u1ee3p l\u00fd \u0111\u1ec3 duy tr\u00ec t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u \u1edf gi\u1edbi h\u1ea1n cho ph\u00e9p.<\/span><\/p>\n

B\u1ea1n c\u1ea7n tu\u00e2n th\u1ee7 nh\u1eefng ch\u1ec9 d\u1eabn v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn, h\u00e3y u\u1ed1ng thu\u1ed1c \u0111\u00fang theo \u0111\u01a1n. B\u1ea1n c\u0169ng c\u1ea7n bi\u1ebft v\u1ec1 m\u1ed9t s\u1ed1 lo\u1ea1i rau qu\u1ea3 th\u1ef1c ph\u1ea9m c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u nh\u01b0 rau c\u1ea3i xanh, c\u1ea3i b\u1eafp, m\u0103ng, c\u00e0 chua, t\u1ecfi l\u00e0 c\u00e1c th\u1ee9c \u0103n ch\u1ee9a nhi\u1ec1u vitamin K, l\u00e0m t\u0103ng \u0111\u00f4ng m\u00e1u, khi\u1ebfn thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c li\u1ec1u \u0111i\u1ec1u tr\u1ecb. Ng\u01b0\u1ee3c l\u1ea1i, m\u1ed9t s\u1ed1 lo\u1ea1i th\u1ee9c \u0103n nh\u01b0 \u2026.\u00a0 Thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c u\u1ed1ng \u0111\u1ec1u \u0111\u1eb7n h\u00e0ng ng\u00e0y theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9, v\u00e0 n\u00ean u\u1ed1ng thu\u1ed1c v\u00e0o c\u00f9ng m\u1ed9t th\u1eddi \u0111i\u1ec3m trong ng\u00e0y \u0111\u1ec3 tr\u00e1nh qu\u00ean. T\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u1ee7a thu\u1ed1c b\u1ecb \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u b\u1edfi ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 c\u00e1c thu\u1ed1c k\u00e8m theo n\u00ean vi\u1ec7c x\u00e9t nghi\u1ec7m ki\u1ec3m tra th\u1eddi gian prothrombin v\u00e0 INR \u0111\u1ecbnh k\u1ef3 l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/span><\/p>\n

\u00a0Ng\u01b0\u1ee1ng t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng c\u1ea7n duy tr\u00ec v\u1edbi van c\u01a1 h\u1ecdc n\u00f3i chung l\u00e0 t\u1eeb 2.5 \u2013 3.5. V\u1edbi t\u1eebng lo\u1ea1i van c\u1ee5 th\u1ec3 ng\u01b0\u1ee1ng n\u00e0y c\u00f3 th\u1ec3 thay \u0111\u1ed5i t\u0103ng gi\u1ea3m t\u00f9y theo nguy c\u01a1 t\u1eafc m\u1ea1ch.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

KH\u00c1NG \u0110\u00d4NG BS CK2 Nguy\u1ec5n Trung Hi\u1ebfu – TK N\u1ed9i tim m\u1ea1ch-BV\u0110K Long An C\u00e2u h\u1ecfi : T\u00f4i \u0111ang d\u00f9ng<\/p>\n","protected":false},"author":1,"featured_media":2427,"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\/2021\/01\/845-31.jpg","jetpack-related-posts":[{"id":10530,"url":"https:\/\/12point.net\/benh-thuy-dau-vao-mua-va-nhung-luu-y-khi-dung-thuoc\/","url_meta":{"origin":2426,"position":0},"title":"B\u1ec7nh th\u1ee7y \u0111\u1eadu v\u00e0o m\u00f9a v\u00e0 nh\u1eefng l\u01b0u \u00fd khi d\u00f9ng thu\u1ed1c","date":"12\/04\/2022 08:07","format":false,"excerpt":"SK\u0110S - Th\u1ee7y \u0111\u1eadu l\u00e0 m\u1ed9t b\u1ec7nh si\u00eau vi c\u00f3 t\u00ednh truy\u1ec1n nhi\u1ec5m cao. B\u1ec7nh x\u1ea3y ra quanh n\u0103m nh\u01b0ng c\u00f3 xu h\u01b0\u1edbng b\u00f9ng ph\u00e1t th\u00e0nh d\u1ecbch v\u00e0o m\u00f9a xu\u00e2n. 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