{"id":1349,"date":"2020-10-23T09:18:19","date_gmt":"2020-10-23T02:18:19","guid":{"rendered":"http:\/\/12point.net\/?p=1349"},"modified":"2020-10-23T09:18:19","modified_gmt":"2020-10-23T02:18:19","slug":"chuyen-de-mach-vanh-tim","status":"publish","type":"post","link":"https:\/\/12point.net\/chuyen-de-mach-vanh-tim\/","title":{"rendered":"Chuy\u00ean \u0111\u1ec1: M\u1ea1ch V\u00e0nh Tim"},"content":{"rendered":"<p style=\"text-align: center;\"><span style=\"color: #0000ff; font-size: 14pt;\"><strong><span style=\"font-family: 'times new roman', times, serif;\">Chuy\u00ean \u0111\u1ec1: M\u1ea1ch V\u00e0nh Tim &#8211; BS CK II Nguy\u1ec5n Trung Hi\u1ebfu &#8211; TK N\u1ed9i tim m\u1ea1ch &#8211; BV\u0110K Long An\u00a0<\/span><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><strong><em><span style=\"font-family: 'times new roman', times, serif; color: #800080;\">C\u00e2u h\u1ecfi : T\u00f4i nghe n\u00f3i b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh r\u1ea5t nguy hi\u1ec3m? c\u00f3 c\u00e1c lo\u1ea1i b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh nh\u01b0 th\u1ebf n\u00e0o? L\u00e0m sao bi\u1ebft t\u00f4i c\u00f3 b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh hay kh\u00f4ng?<\/span><\/em><\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Th\u1eadt v\u1eady, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh r\u1ea5t nguy hi\u1ec3m. Theo \u01b0\u1edbc t\u00ednh hi\u1ec7n \u1edf M\u1ef9 c\u00f3 kho\u1ea3ng g\u1ea7n 7 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 h\u00e0ng n\u0103m c\u00f3 th\u00eam kho\u1ea3ng 350.000 ng\u01b0\u1eddi b\u1ecb \u0111au th\u1eaft ng\u1ef1c m\u1edbi. T\u1ef7 l\u1ec7 n\u00e0y \u1edf c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n kh\u00e1c c\u0169ng r\u1ea5t \u0111\u00e1ng lo ng\u1ea1i. T\u1ea1i ch\u00e2u \u00c2u, c\u00f3 t\u1edbi 600.000 b\u1ec7nh nh\u00e2n t\u1eeb vong m\u1ed7i n\u0103m do b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y t\u1eed vong. \u0110\u1ed1i v\u1edbi c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n, trong \u0111\u00f3 c\u00f3 Vi\u1ec7t nam, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111ang c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng nhanh ch\u00f3ng v\u00e0 g\u00e2y nhi\u1ec1u thay \u0111\u1ed5i trong m\u00f4 h\u00ecnh b\u1ec7nh tim m\u1ea1ch<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">B\u1ec7nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0nh th\u01b0\u1eddng bao g\u1ed3m 3 d\u1ea1ng b\u1ec7nh l\u00fd nh\u01b0 sau:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u00f3 nh\u1eefng di\u1ec5n bi\u1ebfn n\u1eb7ng l\u00ean b\u1ea5t \u1ed5n c\u1ee7a c\u01a1n \u0111au th\u1eaft ng\u1ef1c trong v\u00f2ng v\u00e0i tu\u1ea7n g\u1ea7n \u0111\u00e2y. V\u1edbi \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh th\u00ec t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng th\u01b0\u1eddng \u1ed5n \u0111\u1ecbnh, c\u01a1n \u0111au th\u1eaft ng\u1ef1c ng\u1eafn, x\u1ea3y ra khi g\u1eafng s\u1ee9c, \u0111\u1ee1 khi ngh\u1ec9 v\u00e0 \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c thu\u1ed1c nh\u00f3m Nitrates. \u0110au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ea5t \u1ed5n v\u1ec1 l\u00e2m s\u00e0ng, c\u01a1n \u0111au th\u1eaft ng\u1ef1c xu\u1ea5t hi\u1ec7n nhi\u1ec1u v\u00e0 d\u00e0i h\u01a1n, x\u1ea3y ra c\u1ea3 khi b\u1ec7nh nh\u00e2n ngh\u1ec9 ng\u01a1i v\u00e0 c\u01a1n \u0111au \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c Nitrates. C\u01a1n \u0111au n\u00e0y th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ea5t \u1ed5n c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. \u0110au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 d\u1eabn t\u1edbi Nh\u1ed3i m\u00e1u c\u01a1 tim (NMCT) ho\u1eb7c \u1ed5n \u0111\u1ecbnh l\u1ea1i \u0111\u1ec3 th\u00e0nh \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 t\u00ecnh tr\u1ea1ng b\u1ecb t\u1eafc ho\u00e0n to\u00e0n \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (\u0110MV) m\u1ed9t c\u00e1ch nhanh ch\u00f3ng g\u00e2y ho\u1ea1i t\u1eed v\u00f9ng c\u01a1 tim ph\u00eda sau ph\u1ea7n nu\u00f4i d\u01b0\u1ee1ng c\u1ee7a \u0111o\u1ea1n \u0110MV b\u1ecb t\u1eafc. V\u1ec1 c\u01a1 ch\u1ebf g\u00e2y NMCT c\u0169ng gi\u1ed1ng ph\u1ea7n n\u00e0o so v\u1edbi c\u01a1n \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh l\u00e0 do s\u1ef1 n\u1ee9t v\u1ee1 c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa v\u00e0 g\u00e2y huy\u1ebft kh\u1ed1i b\u1ecbt t\u1eafc ho\u00e0n to\u00e0n \u0110MV.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u00a0V\u1eady ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh b\u1ea1n n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129. B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft nh\u01b0:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211; \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (\u0110T\u0110) th\u01b0\u1eddng quy l\u00e0 m\u1ed9t th\u0103m d\u00f2 \u0111\u01a1n gi\u1ea3n gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 X\u00e9t nghi\u1ec7m m\u00e1u: c\u00e1c men tim c\u00f3 trong m\u00e1u c\u00f3 th\u1ec3 b\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng trong nh\u1ed3i m\u00e1u c\u01a1 tim.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Si\u00eau \u00e2m tim: th\u01b0\u1eddng gi\u00fap \u00edch cho ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng v\u00f9ng (n\u1ebfu c\u00f3), \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i (\u0111\u1eb7c bi\u1ec7t sau nh\u1ed3i m\u00e1u c\u01a1 tim) v\u00e0 c\u00e1c b\u1ec7nh l\u00fd t\u1ed5n th\u01b0\u01a1ng van tim k\u00e8m theo ho\u1eb7c gi\u00fap cho c\u00e1c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh kh\u00e1c.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ghi l\u1ea1i nh\u1eefng thay \u0111\u1ed5i c\u1ee7a tr\u00e1i tim khi b\u1ea1n ph\u1ea3i ho\u1ea1t \u0111\u1ed9ng g\u1eafng s\u1ee9c. Nh\u01b0 ch\u00fang ta \u0111\u00e3 bi\u1ebft, khi ngh\u1ec9 th\u00ec d\u00f9 b\u1ea1n c\u00f3 b\u1ecb h\u1eb9p \u0110MV nh\u01b0ng v\u1eabn \u0111\u1ee7 kh\u1ea3 n\u0103ng \u0111\u1ec3 nu\u00f4i d\u01b0\u1ee1ng cho ph\u1ea7n c\u01a1 tim n\u00ean c\u00f3 th\u1ec3 s\u1ebd kh\u00f4ng ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3ng nh\u1eefng bi\u1ebfn \u0111\u1ed5i tr\u00ean c\u00e1c bi\u1ec7n ph\u00e1p th\u0103m d\u00f2 th\u00f4ng th\u01b0\u1eddng (\u0111i\u1ec7n tim \u0111\u1ed3, ph\u00f3ng x\u1ea1 \u0111\u1ed3, si\u00eau \u00e2m tim..). Khi ph\u1ea3i g\u1eb1ng s\u1ee9c \u0111\u1ecfi h\u1ecfi nhu c\u1ea7u cao h\u01a1n th\u00ec n\u01a1i \u0110MV b\u1ecb h\u1eb9p s\u1ebd kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng cung c\u1ea5p \u00f4 xy cho c\u01a1 tim ph\u00eda sau v\u00e0 khi \u0111\u00f3 m\u1edbi l\u1ed9 ra nh\u1eefng thay \u0111\u1ed5i c\u1ee7a vi\u1ec7c thi\u1ebfu m\u00e1u c\u01a1 tim tr\u00ean c\u00e1c th\u0103m d\u00f2. \u0110i\u1ec7n tim \u0111\u1ed3 g\u1eafng s\u1ee9c l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p kh\u00e1 h\u1eefu hi\u1ec7u v\u00e0 kinh \u0111i\u1ec3n. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111\u1ea1p xe v\u1edbi t\u1ed1c \u0111\u1ed9 t\u0103ng d\u1ea7n ho\u1eb7c ch\u1ea1y tr\u00ean th\u1ea3m ch\u1ea1y c\u00f3 ch\u01b0\u01a1ng tr\u00ecnh v\u1edbi t\u1ed1c \u0111\u1ed9 t\u0103ng d\u1ea7n, \u0111\u1ed3ng th\u1eddi b\u1ea1n \u0111\u01b0\u1ee3c g\u1eafn \u0111i\u1ec7n tim \u0111\u1ec3 ghi theo c\u00e1c di\u1ec5n bi\u1ebfn. Qua \u0111\u00f3 b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb b\u1ec7nh \u0110MV hay kh\u00f4ng v\u00e0 m\u1ee9c \u0111\u1ed9 nh\u01b0 th\u1ebf n\u00e0o. K\u1ebft qu\u1ea3 n\u00e0y c\u00f3 th\u1ec3 h\u01b0\u1edbng t\u1edbi c\u00e1c th\u0103m d\u00f2 ch\u00ednh x\u00e1c h\u01a1n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n th\u00f4ng tim v\u00e0 ch\u1ee5p m\u1ea1ch v\u00e0nh. \u0110\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p t\u1ed1t nh\u1ea5t v\u00e0 hi\u1ec7n \u0111\u1ea1i nh\u1ea5t cho ph\u00e9p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1edfi v\u00ec n\u00f3 cho ph\u00e9p ng\u01b0\u1eddi b\u00e1c s\u0129 c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y ch\u00ednh x\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh n\u00e0o b\u1ecb h\u1eb9p hay t\u1eafc d\u01b0\u1edbi m\u00e0n hu\u1ef3nh quang t\u0103ng s\u00e1ng.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><strong><em><span style=\"font-family: 'times new roman', times, serif; color: #800080;\">C\u00e2u h\u1ecfi: Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 g\u00ec?<\/span><\/em><\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Qu\u1ea3 tim nh\u01b0 m\u1ed9t kh\u1ed1i c\u01a1 ho\u1ea1t \u0111\u1ed9ng nh\u01b0 nh\u01b0 m\u1ed9t c\u00e1i b\u01a1m t\u1ed1ng m\u00e1u \u0111i kh\u1eafp c\u01a1 th\u1ec3. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ee9c n\u0103ng n\u00e0y, qu\u1ea3 tim ph\u1ea3i nh\u1eadn \u0111\u1ee7 oxygen. Oxy \u0111\u01b0\u1ee3c cung c\u1ea5p t\u1edbi c\u01a1 tim qua h\u1ec7 th\u1ed1ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, h\u1ec7 th\u1ed1ng n\u00e0y bao ph\u1ee7 xung quanh qu\u1ea3 tim. Khi b\u1ecb b\u1ec7nh l\u00ed \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, d\u00f2ng m\u00e1u t\u1edbi \u0111\u1ed9ng m\u1ea1ch gi\u1ea3m s\u00fat. Khi \u0111\u00f3 c\u01a1 tim kh\u00f4ng nh\u1eadn \u0111\u1ee7 oxy, v\u00e0 tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c xu\u1ea5t hi\u1ec7n (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi c\u01a1n \u0111au th\u1eaft ng\u1ef1c).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">B\u1ec7nh l\u00ed n\u00e0y do s\u1ef1 l\u1eafng \u0111\u1ecdng c\u00e1c ch\u1ea5t b\u00e9o nh\u01b0 cholesterol, n\u00f3 n\u1eb1m d\u1ecdc th\u00e0nh m\u1ea1ch \u0111\u01b0\u1ee3c g\u1ecdi m\u1ea3ng x\u01a1 v\u1eefa. Ch\u1eafc c\u00e1c b\u1ea1n \u0111\u00e3 t\u1eebng nghe t\u1edbi c\u00e1c kh\u00e1i ni\u1ec7m nh\u01b0 \u201cm\u1ea3ng\u201d, \u201ct\u1ed5n th\u01b0\u01a1ng\u201d, \u201ct\u1eafc ngh\u1ebdn\u201d hay \u201ch\u1eb9p\u201d. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a r\u1eb1ng c\u00f3 s\u1ef1 h\u1eb9p c\u1ee7a th\u00e0nh m\u1ea1ch g\u00e2y ra do s\u1ef1 d\u1ea7y l\u00ean do l\u1eafng \u0111\u1ecdng c\u00e1c ch\u1ea5t b\u00e9o, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 g\u00e2y t\u1eafc m\u1ea1ch. Do \u0111\u1ed9ng m\u1ea1ch v\u00e0nh cung c\u1ea5p m\u00e1u gi\u00e0u oxy cho c\u01a1 tim n\u00ean khi s\u1ef1 t\u1eafc ngh\u1ebdn kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 r\u1ea5t nguy hi\u1ec3m, d\u1eabn t\u1edbi nh\u1ed3i m\u00e1u c\u01a1 tim hay th\u1eadm ch\u00ed t\u1eed vong. C\u00f3 r\u1ea5t nhi\u1ec1u c\u00e1c nguy\u00ean nh\u00e2n c\u00f3 h\u1ea1i trong cu\u1ed9c s\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y h\u1eb9p hay t\u1eafc m\u1ed9t hay nhi\u1ec1u c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ee7a b\u1ea1n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">T\u1ea1i sao l\u1ea1i c\u00f3 th\u1ec3 b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (b\u1ecb x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh)?<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Trong qu\u00e1 tr\u00ecnh s\u1ed1ng c\u1ee7a ch\u00fang ta c\u00f3 r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 \u0111\u00e3 \u0111\u01b0\u1ee3c t\u00ecm ra l\u00e0 nguy\u00ean nh\u00e2n l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb x\u01a1 v\u1eefa g\u00e2y h\u1eb9p \u0110MV. Hi\u1ec7n nay, c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y r\u00f5 c\u00f3 2 lo\u1ea1i y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh \u0110MV nh\u01b0 sau:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00f4ng th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 Tu\u1ed5i cao (nam tr\u00ean 50 v\u00e0 n\u1eef tr\u00ean 55 tu\u1ed5i).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 Gi\u1edbi nam nguy c\u01a1 b\u1ecb nhi\u1ec1u h\u01a1n n\u1eef kho\u1ea3ng 2 \u2013 3 l\u1ea7n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 Gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb b\u1ec7nh \u0110MV.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 Ch\u1ee7ng t\u1ed9c.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">&#8211;\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 H\u00fat thu\u1ed1c l\u00e1<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 B\u00e9o ph\u00ec<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 L\u01b0\u1eddi v\u1eadn \u0111\u1ed9ng<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 T\u0103ng huy\u1ebft \u00e1p<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 \u0110\u00e1i th\u00e1o \u0111u\u1eddng<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 R\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">o\u00a0\u00a0 Stress &#8230;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u00a0V\u1ea5n \u0111\u1ec1 ch\u00ednh l\u00e0 ch\u00fang ta ph\u1ea3i bi\u1ebft r\u00f5 ch\u00fang ta c\u00f3 th\u1ec3 mang nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00f4ng th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c n\u00e0o v\u00e0 c\u1ea7n ph\u1ea3i tr\u00e1nh ho\u1eb7c t\u1eeb b\u1ecf ho\u1eb7c k\u1ecbp th\u1eddi kh\u1ed1ng ch\u1ebf nh\u1eefng nguy c\u01a1 c\u00f3 th\u1ec3 thay \u0111\u1ed5i \u0111\u01b0\u1ee3c.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Trong m\u1ecdi tru\u1eddng h\u1ee3p, \u201cph\u00f2ng b\u1ec7nh h\u01a1n ch\u1eefa b\u1ec7nh\u201d lu\u00f4n lu\u00f4n l\u00e0 nguy\u00ean t\u1eafc b\u1ea5t di b\u1ea5t d\u1ecbch trong cu\u1ed9c s\u1ed1ng. B\u1ea1n h\u00e3y c\u1ed1 g\u1eafng t\u1ea1o cho m\u00ecnh \u0111\u01b0\u1ee3c m\u1ed9t cu\u1ed9c s\u1ed1ng v\u1edbi \u00edt nh\u1ea5t nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 n\u1ebfu c\u00f3 th\u1ec3.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><strong><span style=\"color: #800080;\"><em><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: L\u00e0m th\u1ebf n\u00e0o ng\u0103n ng\u1eeba b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh?<\/span><\/em><\/span><\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u0110\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u01b0\u1edbc ti\u00ean, c\u00f9ng v\u1edbi s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a th\u1ea7y thu\u1ed1c, b\u1ea1n ph\u1ea3i \u0111\u00e1nh gi\u00e1 l\u00e0 m\u00ecnh thu\u1ed9c nh\u00f3m nguy c\u01a1 th\u1ea5p hay cao.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nhi\u1ec1u c\u00e2u h\u1ecfi b\u1ea1n c\u00f3 th\u1ec3 t\u1ef1 tr\u1ea3 l\u1eddi \u0111\u01b0\u1ee3c. B\u1ea1n c\u00f3 h\u00fat thu\u1ed1c? B\u1ea1n c\u00f3 th\u1eeba c\u00e2n? B\u1ea1n c\u00f3 u\u1ed1ng qu\u00e1 nhi\u1ec1u r\u01b0\u1ee3u? C\u00f3 ai trong gia \u0111\u00ecnh b\u1ea1n m\u1eafc b\u1ec7nh tim m\u1ea1ch hay t\u0103ng huy\u1ebft \u00e1p?. Tuy nhi\u00ean, \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 c\u1ee7a b\u1ea3n th\u00e2n, b\u1ea1n c\u1ea7n c\u00f3 s\u1ef1 tr\u1ee3 gi\u00fap c\u1ee7a th\u1ea7y thu\u1ed1c. Th\u1ea7y thu\u1ed1c s\u1ebd \u0111o huy\u1ebft \u00e1p, s\u1ebd g\u1eedi m\u00e1u c\u1ee7a b\u1ea1n \u0111i l\u00e0m x\u00e9t nghi\u1ec7m v\u1ec1 cholesterol, triglycerid, \u0111\u01b0\u1eddng trong m\u00e1u \u0111\u1ed3ng th\u1eddi khai th\u00e1c ti\u1ec1n s\u1eed v\u00e0 ti\u1ebfn h\u00e0nh qu\u00e1 tr\u00ecnh th\u0103m kh\u00e1m. Th\u1ea7y thu\u1ed1c c\u00f3 th\u1ec3 ghi \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 ho\u1eb7c ti\u1ebfn h\u00e0nh m\u1ed9t v\u00e0i x\u00e9t nghi\u1ec7m chuy\u00ean bi\u1ec7t n\u00e0o \u0111\u00f3 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem qu\u1ea3 tim b\u1ea1n c\u00f3 b\u1ecb ph\u00ec \u0111\u1ea1i hay b\u1ea5t th\u01b0\u1eddng kh\u00f4ng. B\u1eb1ng vi\u1ec7c k\u1ebft h\u1ee3p nh\u1eefng th\u00f4ng tin thu \u0111\u01b0\u1ee3c v\u1ec1 c\u00e1c y\u1ebfu t\u1ed1, th\u1ea7y thu\u1ed1c s\u1ebd gi\u00fap b\u1ea1n x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u1ed5ng nguy c\u01a1.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Khi c\u00e1c th\u00f4ng s\u1ed1 v\u1ec1 nguy c\u01a1 \u0111\u00e3 \u0111\u01b0\u1ee3c thu th\u1eadp v\u00e0 l\u01b0\u1ee3ng gi\u00e1, m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh \u0111i\u1ec1u tr\u1ecb h\u01b0\u1edbng t\u1edbi vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n l\u00e0 ng\u01b0\u1eddi kh\u00f4ng mang y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 kh\u00f4ng m\u1eafc b\u1ec7nh tim m\u1ea1ch, nh\u1eefng l\u1eddi khuy\u00ean \u0111\u01a1n gi\u1ea3n d\u01b0\u1edbi \u0111\u00e2y s\u1ebd lu\u00f4n h\u1eefu \u00edch v\u00e0 n\u1ebfu c\u00f3, c\u0169ng s\u1ebd r\u1ea5t \u00edt g\u00e2y h\u1ea1i cho b\u1ea1n:<\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: 'times new roman', times, serif;\">Th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00f3 l\u1ee3i cho tim, \u00edt m\u1ee1 b\u00e3o ho\u00e0 v\u00e0 cholesterol, nhi\u1ec1u rau, qu\u1ea3, c\u00e1&#8230;<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">Gi\u1ea3m c\u00e2n n\u1eb7ng n\u1ebfu b\u1ea1n th\u1eeba c\u00e2n.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">H\u1ea1n ch\u1ebf mu\u1ed1i \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3. \u0110a s\u1ed1 ch\u00fang ta \u0103n nhi\u1ec1u mu\u1ed1i h\u01a1n l\u01b0\u1ee3ng c\u01a1 th\u1ec3 ch\u00fang ta c\u1ea7n. Nhi\u1ec1u th\u1ee9c \u0103n t\u1ef1 nhi\u00ean \u0111\u00e3 ch\u1ee9a mu\u1ed1i ho\u1eb7c mu\u1ed1i \u0111\u00e3 \u0111\u01b0\u1ee3c th\u00eam v\u00e0o trong qu\u00e1 tr\u00ecnh ch\u1ebf bi\u1ebfn. \u0110\u01a1n gi\u1ea3n nh\u1ea5t, b\u1ea1n h\u00e3y h\u1ea1n ch\u1ebf cho mu\u1ed1i v\u00e0o th\u1ee9c \u0103n khi n\u1ea5u n\u01b0\u1edbng.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">B\u1eaft \u0111\u1ea7u m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c. T\u1eadp luy\u1ec7n \u0111\u1ec1u \u0111\u1eb7n c\u00f3 l\u1ee3i cho t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi. B\u1ea1n h\u00e3y ch\u1ecdn m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p v\u1edbi s\u1edf th\u00edch, th\u1eddi gian v\u00e0 kh\u1ea3 n\u0103ng c\u1ee7a b\u1ea1n. Luy\u1ec7n t\u1eadp \u0111\u1ec1u \u0111\u1eb7n, m\u1ed7i ng\u00e0y \u00edt nh\u1ea5t 45 ph\u00fat.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n h\u00fat thu\u1ed1c, h\u00e3y ng\u1eebng ngay.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n u\u1ed1ng r\u01b0\u1ee3u, h\u00e3y v\u1eeba ph\u1ea3i.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">H\u1ecdc c\u00e1ch l\u00e0m gi\u1ea3m c\u0103ng th\u1eb3ng, tr\u00e1nh ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c t\u00ecnh hu\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y stress b\u1edfi n\u00f3 ch\u1ec9 l\u00e0m v\u1ea5n \u0111\u1ec1 tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n m\u00e0 th\u00f4i.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif;\">\u0110i kh\u00e1m b\u1ec7nh \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 nguy c\u01a1 c\u1ee7a b\u1ea1n. M\u1ed9t h\u1ed3 s\u01a1 ho\u00e0n to\u00e0n trong s\u1ea1ch v\u1ec1 s\u1ee9c kho\u1ebb t\u1ea1i m\u1ed9t th\u1eddi \u0111i\u1ec3m n\u00e0o \u0111\u00f3 kh\u00f4ng th\u1ec3 su\u1ed1t \u0111\u1eddi \u0111\u1ea3m b\u1ea3o \u0111\u01b0\u1ee3c r\u1eb1ng b\u1ea1n kh\u00f4ng c\u00f3 b\u1ec7nh t\u1eadt.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Trong tr\u01b0\u1eddng h\u1ee3p b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c c\u00f3 l\u01b0\u1ee3ng cholesterol trong m\u00e1u cao? Th\u1eddi gian b\u1eaft \u0111\u1ea7u v\u00e0 vi\u1ec7c ch\u1ecdn l\u1ef1a m\u1ed9t ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb h\u00e3y \u0111\u1ec3 ng\u01b0\u1eddi th\u1ea7y thu\u1ed1c quy\u1ebft \u0111\u1ecbnh, t\u1ea5t nhi\u00ean ph\u1ea3i c\u00f3 s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u1ea1n. Nh\u00ecn chung, khi b\u1ecb t\u0103ng huy\u1ebft \u00e1p, t\u0103ng l\u01b0\u1ee3ng cholesterol trong m\u00e1u ho\u1eb7c c\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 k\u1ebft h\u1ee3p, b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c. T\u1ea5t nhi\u00ean, b\u1ea1n ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 kh\u1edfi \u0111\u1ea7u b\u1eb1ng th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang, t\u1eadp luy\u1ec7n th\u1ec3 l\u1ef1c v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c th\u00f3i quen c\u00f3 h\u1ea1i.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><em><strong><span style=\"font-family: 'times new roman', times, serif; color: #800080;\">C\u00e2u h\u1ecfi: D\u1ea5u hi\u1ec7u n\u00e0o ph\u1ea3i ch\u00fa \u00fd l\u00e0 c\u00f3 th\u1ec3 b\u1ecb Nh\u1ed3i m\u00e1u c\u01a1 tim?<\/span><\/strong><\/em><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">D\u1ea5u hi\u1ec7u c\u1ea7n ph\u1ea3i ch\u00fa \u00fd b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim \u0111\u00f3 l\u00e0 tri\u1ec7u ch\u1ee9ng \u0111au th\u1eaft ng\u1ef1c. C\u01a1n \u0111au th\u1eaft ng\u1ef1c \u0111i\u1ec3n h\u00ecnh l\u00e0 \u0111au nh\u01b0 b\u00f3p ngh\u1eb9t ph\u00eda sau x\u01b0\u01a1ng \u1ee9c ho\u1eb7c h\u01a1i l\u1ec7ch sang tr\u00e1i, lan l\u00ean vai tr\u00e1i v\u00e0 m\u1eb7t trong tay tr\u00e1i cho \u0111\u1ebfn t\u1eadn ng\u00f3n \u0111eo nh\u1eabn v\u00e0 ng\u00f3n \u00fat. Nhi\u1ec1u khi b\u1ea1n c\u00f3 c\u1ea3m gi\u00e1c nh\u01b0 b\u1ecb \u201cvoi gi\u1eabm l\u00ean ng\u1ef1c\u201d. C\u01a1n \u0111au th\u01b0\u1eddng k\u00e9o d\u00e0i h\u01a1n 20 ph\u00fat v\u00e0 kh\u00f4ng \u0111\u1ee1 khi d\u00f9ng Nitroglycerin. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111au c\u00f3 th\u1ec3 lan l\u00ean c\u1ed5, c\u1eb1m, vai, sau l\u01b0ng, tay ph\u1ea3i, ho\u1eb7c v\u00f9ng th\u01b0\u1ee3ng v\u1ecb.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Tuy nhi\u00ean c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p NMCT c\u00f3 th\u1ec3 x\u1ea3y ra m\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng ho\u1eb7c \u00edt c\u1ea3m gi\u00e1c \u0111au (NMCT th\u1ea7m l\u1eb7ng), hay g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n sau m\u1ed5, ng\u01b0\u1eddi gi\u00e0, b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c t\u0103ng huy\u1ebft \u00e1p.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">K\u00e8m theo \u0111au ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 r\u1ea5t ho\u1ea3ng s\u1ee3, v\u00e3 m\u1ed3 h\u00f4i, kh\u00f3 th\u1edf, h\u1ed3i h\u1ed9p \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, n\u00f4n ho\u1eb7c bu\u1ed3n n\u00f4n, l\u00fa l\u1eabn&#8230;<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Khi b\u1ea1n b\u1ecb \u0111au ng\u1ef1c nh\u01b0 v\u1eady h\u00e3y n\u1eb1m y\u00ean v\u00e0 g\u1ecdi ng\u01b0\u1eddi gi\u00fap \u0111\u1ee1 ho\u1eb7c g\u1ecdi \u0111i\u1ec7n tho\u1ea1i c\u1ea5p c\u1ee9u. Kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ed1 g\u1eafng \u0111i l\u1ea1i ho\u1eb7c ti\u1ebfp t\u1ee5c l\u00e0m vi\u1ec7c g\u00ec \u0111\u00f3.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: Ph\u1ea3i l\u00e0m g\u00ec khi b\u1ea3n th\u00e2n ho\u1eb7c ng\u01b0\u1eddi nh\u00e0 b\u1ecb c\u01a1n \u0111au ng\u1ef1c tr\u00e1i \u0111\u1ed9t ng\u1ed9t?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Th\u00f4ng th\u01b0\u1eddng, \u0111au ng\u1ef1c tr\u00e1i c\u00f3 th\u1ec3 do r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n. C\u00f3 nh\u1eefng nguy\u00ean nh\u00e2n t\u01b0\u01a1ng \u0111\u1ed1i l\u00e0nh t\u00ednh (nh\u01b0 ngo\u1ea1i t\u00e2m thu), trong khi l\u1ea1i c\u00f3 nh\u1eefng nguy\u00ean nh\u00e2n l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u n\u1eb7ng (nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n c\u00f2n tr\u1ebb tu\u1ed5i, kh\u00f4ng c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch, c\u01a1n \u0111au ng\u1ef1c ng\u1eafn (k\u00e9o d\u00e0i kho\u1ea3ng v\u00e0i ch\u1ee5c gi\u00e2y \u0111\u1ebfn n\u1eeda ph\u00fat) th\u00ec th\u01b0\u1eddng kh\u00f4ng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u nghi\u00eam tr\u1ecdng. H\u00e3y b\u00ecnh t\u0129nh ngh\u1ec9 ng\u01a1i \u0111\u1ec3 c\u01a1n \u0111au qua \u0111i v\u00e0 \u0111\u1ebfn kh\u00e1m b\u00e1c s\u1ef9.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu b\u1ea1n l\u00e0 ng\u01b0\u1eddi c\u00f3 tu\u1ed5i, c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p, ti\u1ec1n s\u1eed \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, th\u00ec c\u01a1n \u0111au ng\u1ef1c tr\u00e1i l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u cho th\u1ea5y b\u1ea1n c\u1ea7n ph\u1ea3i \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf ngay l\u1eadp t\u1ee9c.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n \u0111au ng\u1ef1c theo t\u1eebng c\u01a1n, m\u1ed7i c\u01a1n k\u00e9o d\u00e0i t\u1eeb 10 ph\u00fat \u0111\u1ebfn v\u00e0i gi\u1edd, c\u00f3 kh\u1ea3 n\u0103ng b\u1ea1n b\u1ecb m\u1eafc b\u1ec7nh m\u1ea1ch v\u00e0nh. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01a1n \u0111au ng\u1ef1c r\u1ea5t \u0111a d\u1ea1ng, nh\u01b0 \u0111au b\u00f3p ngh\u1eb9t ng\u1ef1c, \u0111au b\u1ecfng r\u00e1t, \u0111au nh\u01b0 dao \u0111\u00e2m, ho\u1eb7c ch\u1ec9 l\u00e0 c\u1ea3m gi\u00e1c t\u1ee9c hay n\u1eb7ng ng\u1ef1c. C\u01a1n \u0111au kh\u00f4ng gi\u1ea3m \u0111i khi thay \u0111\u1ed5i t\u01b0 th\u1ebf. Nh\u1eefng tri\u1ec7u ch\u1ee9ng k\u00e8m theo c\u00f3 th\u1ec3 l\u00e0 v\u00e3 m\u1ed3 h\u00f4i, bu\u1ed3n n\u00f4n, kh\u00f3 th\u1edf, m\u1ec7t, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c,\u2026 N\u1ebfu b\u1ea1n c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p, v\u00e0 \u0111au ng\u1ef1c li\u00ean t\u1ee5c kh\u00f4ng gi\u1ea3m, c\u01a1n \u0111au lan ra sau l\u01b0ng, c\u00f3 kh\u1ea3 n\u0103ng b\u1ea1n b\u1ecb ph\u1ed3ng hay t\u00e1ch th\u00e0nh \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. C\u1ea3 b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 ph\u1ed3ng t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u1ec1u l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u n\u1ed9i khoa, S\u1ef1 ch\u1eadm tr\u1ec5 trong vi\u1ec7c c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 khi\u1ebfn b\u1ea1n ph\u1ea3i tr\u1ea3 gi\u00e1 b\u1eb1ng m\u1ea1nh s\u1ed1ng c\u1ee7a m\u00ecnh. Do v\u1eady, h\u00e3y \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi : Xin cho bi\u1ebft \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 g\u00ec? L\u00e0m nh\u01b0 th\u1ebf n\u00e0o?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 nh\u1eefng khung l\u01b0\u1edbi kim lo\u1ea1i nh\u1ecf \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o trong l\u00f2ng m\u1ea1ch v\u00e0nh, nh\u1eb1m m\u1ee5c \u0111\u00edch m\u1edf r\u1ed9ng l\u00f2ng m\u1ea1ch b\u1ecb h\u1eb9p v\u00e0 gi\u1eef n\u00f3 kh\u00f4ng h\u1eb9p l\u1ea1i.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">C\u00f3 hai lo\u1ea1i stent m\u1ea1ch v\u00e0nh: stent th\u01b0\u1eddng v\u00e0 stent ph\u1ee7 thu\u1ed1c. Stent ph\u1ee7 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n ng\u1eeba ti\u1ebfn tri\u1ec3n c\u1ee7a l\u1edbp n\u1ed9i m\u1ea1c, qua \u0111\u00f3 l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 t\u1ec9 l\u1ec7 t\u00e1i h\u1eb9p sau can thi\u1ec7t \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Stent \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u01a1 th\u1ec3 nh\u1edd m\u1ed9t \u1ed1ng th\u00f4ng c\u00f3 b\u00f3ng \u1edf \u0111\u1ea7u. \u1ede tr\u1ea1ng th\u00e1i ban \u0111\u1ea7u, b\u00f3ng x\u1eb9p v\u00e0 stent ph\u1ee7 b\u00ean ngo\u00e0i b\u00f3ng. Sau khi \u0111\u01b0a b\u00f3ng \u0111\u1ebfn nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p, b\u00e1c s\u1ef9 s\u1ebd b\u01a1m c\u0103ng b\u00f3ng. B\u00f3ng n\u1edf ra khi\u1ebfn stent n\u1edf theo v\u00e0 \u00e1p s\u00e1t v\u00e0o l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. B\u00f3ng sau \u0111\u00f3 \u0111\u01b0\u1ee3c l\u00e0m x\u1eb9p v\u00e0 r\u00fat ra kh\u1ecfi m\u1ea1ch v\u00e0nh, \u0111\u1ec3 l\u1ea1i stent v\u0129nh vi\u1ec5n trong l\u00f2ng m\u1ea1ch.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Th\u1ee7 thu\u1eadt \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ti\u1ebfn h\u00e0nh qua da, ch\u1ec9 c\u1ea7n g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, kh\u00f4ng c\u1ea7n g\u00e2y m\u00ea. Th\u1eddi gian th\u1ee7 thu\u1eadt k\u00e9o d\u00e0i t\u1eeb 45 ph\u00fat cho \u0111\u1ebfn 120 ph\u00fat, t\u00f9y tr\u01b0\u1eddng h\u1ee3p.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Hai bi\u1ebfn ch\u1ee9ng ch\u00ednh sau khi \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh l\u00e0 t\u00e1i h\u1eb9p stent v\u00e0 t\u1eafc l\u1ea1i stent do huy\u1ebft kh\u1ed1i. \u0110\u1ec3 ng\u0103n ng\u1eeba hai bi\u1ebfn ch\u1ee9ng n\u00e0y, b\u1ec7nh nh\u00e2n c\u1ea7n u\u1ed1ng thu\u1ed1c li\u00ean t\u1ee5c, \u0111\u1ec1u \u0111\u1eb7n. Thu\u1ed1c ch\u1ed1ng ng\u01b0ng t\u1eadp ti\u1ec3u c\u1ea7u nh\u01b0 aspirin v\u00e0 clopidogrel (bi\u1ec7t d\u01b0\u1ee3c c\u00f3 t\u00ean Plavix) v\u00e0 thu\u1ed1c h\u1ea1 m\u1ee1 m\u00e1u nh\u00f3m statin l\u00e0 nh\u1eefng thu\u1ed1c quan tr\u1ecdng nh\u1ea5t. B\u1ec7nh nh\u00e2n sau khi \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh \u0111\u01b0\u1ee3c khuy\u00ean n\u00ean u\u1ed1ng clopidogrel t\u1ed1i thi\u1ec3u 12 th\u00e1ng, u\u1ed1ng aspirin su\u1ed1t \u0111\u1eddi (n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">H\u00e3y \u0111i kh\u00e1m b\u00e1c s\u1ef9 \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c \u0111\u1ea7y \u0111\u1ee7 v\u00e0 ph\u00f9 h\u1ee3p.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><em><strong><span style=\"font-family: 'times new roman', times, serif; color: #800080;\">C\u00e2u h\u1ecfi: T\u00f4i b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, \u0111\u00e3 \u0111\u01b0\u1ee3c can thi\u1ec7p \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh? Sau bao l\u00e2u t\u00f4i c\u00f3 th\u1ec3 \u0111i l\u00e0m tr\u1edf l\u1ea1i \u0111\u01b0\u1ee3c?<\/span><\/strong><\/em><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u0110a s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong v\u00f2ng 2-3 ng\u00e0y sau khi \u0111\u01b0\u1ee3c \u0111\u1eb7t stent k\u1ecbp th\u1eddi v\u00e0 n\u1ebfu b\u1ea1n kh\u00f4ng b\u1ecb bi\u1ebfn ch\u1ee9ng n\u00e0o \u0111\u00e1ng k\u1ec3. Khi th\u1ea7y thu\u1ed1c cho r\u1eb1ng t\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111\u00e3 \u1ed5n \u0111\u1ecbnh, b\u1ea1n c\u00f3 th\u1ec3 ra vi\u1ec7n. B\u1ea1n c\u1ea7n v\u1eadn \u0111\u1ed9ng c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t theo ch\u1ec9 d\u1eabn c\u1ee7a th\u00e0y thu\u1ed1c. Nh\u00ecn chung, b\u1ea1n c\u00f3 th\u1ec3 quay l\u1ea1i l\u00e0m vi\u1ec7c trong v\u00f2ng 2- 4 tu\u1ea7n sau khi ra vi\u1ec7n. Tuy nhi\u00ean, b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n c\u1ee7a th\u00e0y thu\u1ed1c d\u1ef1a tr\u00ean kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c c\u1ee7a b\u1ea1n. Trong giai \u0111o\u1ea1n \u0111\u1ea7u, b\u1ea1n n\u00ean tr\u00e1nh nh\u1eefng c\u00f4ng vi\u1ec7c n\u1eb7ng, c\u0103ng th\u1eb3ng v\u00e0 n\u00ean l\u00e0m n\u1eeda th\u1eddi gian. Sau \u0111\u00f3, b\u1ea1n s\u1ebd d\u1ea7n tr\u1edf l\u1ea1i c\u00f4ng vi\u1ec7c nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Th\u1ea7y thu\u1ed1c c\u00f3 th\u1ec3 s\u1ebd c\u1ea7n theo d\u00f5i ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ea1n ngay c\u1ea3 khi b\u1ea1n \u0111\u00e3 v\u1ec1 nh\u00e0. V\u00ec v\u1eady, h\u00e3y \u0111\u1ebfn kh\u00e1m l\u1ea1i n\u1ebfu \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u. Th\u1ea7y thu\u1ed1c s\u1ebd \u0111i\u1ec1u ch\u1ec9nh \u0111\u01a1n thu\u1ed1c v\u00e0 \u0111\u01b0a ra nh\u1eefng l\u1eddi khuy\u00ean ph\u00f9 h\u1ee3p cho b\u1ea1n. H\u00e3y d\u00e0nh th\u1eddi gian \u0111\u1ec3 h\u1ecfi k\u1ef9 b\u00e1c s\u1ef9 v\u1ec1 \u0111\u01a1n thu\u1ed1c, nh\u1eefng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c b\u1ea1n \u0111\u01b0\u1ee3c l\u00e0m v\u00e0 kh\u00f4ng n\u00ean l\u00e0m, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, ho\u1eb7c b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o l\u00e0m b\u1ea1n lo l\u1eafng.<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: B\u1ecb \u0111au ng\u1ef1c \u0111\u1ed9t ng\u1ed9t nghi nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p? c\u00f3 th\u1ec3 d\u00f9ng c\u00e1c thu\u1ed1c \u0111\u00f4ng y (nh\u01b0 vi\u00ean An cung ho\u00e0n) \u0111\u1ec3 cho c\u1ea5p c\u1ee9u kh\u00f4ng?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u n\u1ed9i khoa, c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n \u0111\u1ea1i (nh\u01b0 can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh th\u00ec \u0111\u1ea7u) c\u00f3 th\u1ec3 c\u1ee9u s\u1ed1ng b\u1ea1n v\u00e0 \u0111\u01b0a b\u1ea1n tr\u1edf v\u1ec1 cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng n\u1ebfu nh\u01b0 b\u1ea1n \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi. S\u1edbm \u0111\u01b0\u1ee3c ch\u00fat n\u00e0o th\u00ec c\u01a1 h\u1ed9i s\u1ed1ng s\u00f3t v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng sau n\u00e0y c\u1ee7a b\u1ea1n s\u1ebd t\u0103ng th\u00eam ch\u00fat \u0111\u00f3 ! Do v\u1eady, n\u1ebfu b\u1ea1n xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c \u0111\u1ed9t ng\u1ed9t, b\u1ea1n h\u00e3y g\u1ecdi xe c\u1ea5p c\u1ee9u ngay v\u00e0 \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t. Ch\u1eadm tr\u1ec5 trong \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn t\u1edbi nhi\u1ec1u h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng, th\u1eadm ch\u00ed t\u1eed vong. C\u00e1c thu\u1ed1c \u0110\u00f4ng y (nh\u01b0 vi\u00ean An cung ho\u00e0n) kh\u00f4ng h\u1ec1 c\u00f3 vai tr\u00f2 r\u00f5 r\u00e0ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh n\u00f3i chung v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p n\u00f3i ri\u00eang. Do v\u1eady, kh\u00f4ng n\u00ean u\u1ed1ng thu\u1ed1c \u0110\u00f4ng y n\u1ebfu b\u1ea1n ngh\u0129 m\u00ecnh b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim. Th\u1eddi gian t\u00ecm ki\u1ebfm v\u00e0 u\u1ed1ng nh\u1eefng lo\u1ea1i thu\u1ed1c kh\u00f4ng c\u1ea7n thi\u1ebft s\u1ebd l\u00e0 l\u00e3ng ph\u00ed ch\u00fat th\u1eddi gian qu\u00fd b\u00e1u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 b\u1ec7nh m\u1ea1ch v\u00e0nh c\u1ee7a b\u1ea1n<\/span><\/p>\n<p style=\"text-align: justify;\">\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: T\u00f4i b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i, hi\u1ec7n r\u1ea5t lo l\u1eafng. Xin cho h\u1ecfi ph\u1eabu thu\u1eadt n\u00e0y l\u00e0 g\u00ec? C\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i ch\u1ee7-v\u00e0nh l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt nh\u1eb1m t\u00e1i th\u00f4ng d\u00f2ng ch\u1ea3y m\u1ea1ch v\u00e0nh, th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 c\u1ea3i thi\u1ec7n d\u00f2ng m\u00e1u nu\u00f4i c\u01a1 tim cho nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eb9p m\u1ea1ch v\u00e0nh m\u1ee9c \u0111\u1ed9 n\u1eb7ng. Khi ph\u1eabu thu\u1eadt, b\u00e1c s\u1ef9 s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t \u0111o\u1ea1n \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch \u201cl\u00e0nh l\u1eb7n\u201d, kh\u00f4ng b\u1ecb h\u1eb9p t\u1eeb ch\u00ednh c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n (th\u01b0\u1eddng d\u00f9ng \u0111\u1ed9ng m\u1ea1ch v\u00fa trong, \u0111\u1ed9ng m\u1ea1ch quay, t\u0129nh m\u1ea1ch hi\u1ec3n) \u0111\u1ec3 n\u1ed1i t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u1ebfn nh\u00e1nh m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p. C\u1ea7u n\u1ed1i n\u00e0y s\u1ebd \u0111\u1ea3m \u0111\u01b0\u01a1ng vai tr\u00f2 v\u1eadn chuy\u1ec3n m\u00e1u gi\u00e0u oxy \u0111\u1ebfn nu\u00f4i c\u01a1 tim. Ngay trong m\u1ed9t cu\u1ed9c m\u1ed5[U1] , ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 th\u1ec3 l\u00e0m lu\u00f4n 4 \u2013 6 c\u1ea7u n\u1ed1i ch\u1ee7-v\u00e0nh cho t\u1ea5t c\u1ea3 c\u00e1c nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p n\u1eb7ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Kh\u00f4ng ph\u1ea3i ai c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh c\u0169ng c\u1ea7n l\u00e0m ph\u1eabu thu\u1eadt c\u1ea7u n\u1ed1i ch\u1ee7-v\u00e0nh. Th\u1ea7y thu\u1ed1c s\u1ebd quy\u1ebft \u0111\u1ecbnh b\u1ea1n c\u00f3 c\u1ea7n ph\u1eabu thu\u1eadt kh\u00f4ng, d\u1ef1a tr\u00ean m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nh\u01b0 m\u1ee9c \u0111\u1ed9 h\u1eb9p m\u1ea1ch v\u00e0nh, tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ho\u1eb7c c\u00e2n \u0111\u1ed1i khi so s\u00e1nh gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 c\u1ee7a ph\u1eabu thu\u1eadt v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 can thi\u1ec7p \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh qua da ho\u1eb7c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c \u0111\u01a1n thu\u1ea7n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">K\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh n\u00f3i chung r\u1ea5t kh\u1ea3 quan, v\u1edbi tr\u00ean 85% b\u1ec7nh nh\u00e2n c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng, gi\u1ea3m t\u1ec9 l\u1ec7 nh\u1ed3i m\u00e1u c\u01a1 tim, v\u00e0 gi\u1ea3m t\u1ec9 l\u1ec7 t\u1eed vong.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Tuy nhi\u00ean, ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh l\u00e0 lo\u1ea1i ph\u1eabu thu\u1eadt l\u1edbn (\u0111\u1ea1i ph\u1eabu) n\u00ean c\u0169ng c\u00f3 t\u1ef7 l\u1ec7 g\u1eb7p bi\u1ebfn ch\u1ee9ng nh\u1ea5t \u0111\u1ecbnh d\u00f9 kh\u00e1 th\u1ea5p nh\u01b0: \u0111au, nhi\u1ec5m khu\u1ea9n, ch\u1ea3y m\u00e1u, suy th\u1eadn, d\u1ecb \u1ee9ng thu\u1ed1c g\u00e2y m\u00ea, \u0111\u1ed9t qu\u1ef5, nh\u1ed3i m\u00e1u c\u01a1 tim, ho\u1eb7c t\u1eed vong.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Sau m\u1ed5, b\u1ea1n s\u1ebd c\u1ea7n t\u1eeb 6 \u0111\u1ebfn 12 tu\u1ea7n \u0111\u1ec3 h\u1ed3i ph\u1ee5c. \u0110a s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh quay tr\u1edf l\u1ea1i v\u1edbi c\u00f4ng vi\u1ec7c th\u01b0\u1eddng ng\u00e0y trong kho\u1ea3ng 6 tu\u1ea7n sau ph\u1eabu thu\u1eadt. Sau m\u1ed5, b\u1ea1n c\u1ea7n \u0111\u1ebfn kh\u00e1m b\u00e1c s\u1ef9 \u0111\u1ecbnh k\u1ef3, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng \u0111\u1ec3 ng\u0103n ng\u1eeba ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh, v\u00e0 u\u1ed1ng thu\u1ed1c \u0111\u1ec1u theo \u0111\u01a1n.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><em><strong><span style=\"font-family: 'times new roman', times, serif; color: #800080;\">C\u00e2u h\u1ecfi: T\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh? T\u00f4i c\u00f3 ph\u1ea3i u\u1ed1ng thu\u1ed1c ti\u1ebfp t\u1ee5c kh\u00f4ng?<\/span><\/strong><\/em><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Stent m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u01b0\u1edbc ti\u1ebfn l\u1edbn c\u1ee7a ng\u00e0nh tim m\u1ea1ch n\u00f3i chung v\u00e0 tim m\u1ea1ch can thi\u1ec7p n\u00f3i ri\u00eang. Stent m\u1ea1ch v\u00e0nh h\u1ea1n ch\u1ebf s\u1ef1 t\u00e1i h\u1eb9p l\u00f2ng m\u1ea1ch, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh, gi\u1ea3m t\u1ec9 l\u1ec7 nh\u1eadp vi\u1ec7n v\u00ec b\u1ec7nh m\u1ea1ch v\u00e0nh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Tuy nhi\u00ean, stent kh\u00f4ng th\u1ec3 thay th\u1ebf ho\u00e0n to\u00e0n vi\u1ec7c u\u1ed1ng thu\u1ed1c. Ng\u01b0\u1ee3c l\u1ea1i, sau khi \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh, nh\u1ea5t l\u00e0 stent ph\u1ee7 thu\u1ed1c, b\u1ea1n c\u00e0ng c\u1ea7n ph\u1ea3i tu\u00e2n th\u1ee7 ch\u1ebf \u0111\u1ed9 u\u1ed1ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n v\u00e0 nghi\u00eam ng\u1eb7t. C\u00e1c thu\u1ed1c thi\u1ebft y\u1ebfu \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u1eb7t stent l\u00e0 thu\u1ed1c ch\u1ed1ng ng\u01b0ng t\u1eadp ti\u1ec3u c\u1ea7u (aspirin, clopidogrel), thu\u1ed1c h\u1ea1 m\u1ee1 m\u00e1u, thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n. Ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng, th\u1eadm ch\u00ed l\u00e0 t\u1eed vong. B\u1ea1n c\u1ea7n \u0111\u1ebfn kh\u00e1m b\u00e1c s\u1ef9 \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c ph\u00f9 h\u1ee3p c\u0169ng nh\u01b0 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u1ee7a thu\u1ed1c.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: T\u00f4i b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u00e1c s\u1ef9 n\u00f3i c\u1ea7n d\u00f9ng aspirin su\u1ed1t \u0111\u1eddi. Nh\u01b0 v\u1eady c\u00f3 nguy c\u01a1 g\u00ec kh\u00f4ng?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Aspirin c\u00f3 ho\u1ea1t t\u00ednh ch\u1ed1ng ng\u01b0ng t\u1eadp ti\u1ec3u c\u1ea7u. Thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m t\u1ec9 l\u1ec7 t\u1eed vong c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim, \u0111\u1ed3ng th\u1eddi ng\u0103n ng\u1eeba c\u01a1n \u0111au th\u1eaft ng\u1ef1c. Aspirin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho m\u1ecdi b\u1ec7nh nh\u00e2n c\u00f3 h\u1eb9p \u0111\u00e1ng k\u1ec3 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u1ec7nh nh\u00e2n ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim, ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c c\u00e1c bi\u1ebfn c\u1ed1 tim m\u1ea1ch kh\u00e1c. Do v\u1eady n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, n\u00ean d\u00f9ng aspirin l\u00e2u d\u00e0i.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">B\u1ea1n kh\u00f4ng n\u00ean u\u1ed1ng aspirin n\u1ebfu b\u1ea1n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi aspirin ho\u1eb7c c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam gi\u1ea3m \u0111au kh\u00f4ng steroid kh\u00e1c (nh\u01b0 ibuprofen, naproxen). B\u1ea1n c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c u\u1ed1ng thu\u1ed1c khi b\u1ea1n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd d\u1ec5 g\u00e2y ch\u1ea3y m\u00e1u (nh\u01b0 ch\u1ee9ng m\u00e1u kh\u00f3 \u0111\u00f4ng, hemophilia).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">T\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn c\u1ee7a aspirin l\u00e0 g\u00e2y k\u00edch \u1ee9ng d\u1ea1 d\u00e0y. Thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y xu\u1ea5t huy\u1ebft nh\u1ecf \u1edf da v\u00e0 ni\u00eam m\u1ea1c. Bi\u1ebfn ch\u1ee9ng n\u1eb7ng khi d\u00f9ng thu\u1ed1c l\u00e0 g\u00e2y th\u1ee7ng, lo\u00e9t d\u1ea1 d\u00e0y, hay ch\u1ea3y m\u00e1u \u0111\u1ebfn m\u1ee9c nguy hi\u1ec3m t\u00ednh m\u1ea1ng, tuy nhi\u00ean th\u00ec t\u1ef7 l\u1ec7 bi\u1ebfn ch\u1ee9ng n\u1eb7ng r\u1ea5t th\u1ea5p, nh\u1ea5t l\u00e0 v\u1edbi li\u1ec1u th\u1ea5p (75-100mg). B\u1ea1n n\u00ean u\u1ed1ng aspirin sau b\u1eefa \u0103n \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng k\u00edch \u1ee9ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a c\u1ee7a thu\u1ed1c. N\u00f3i chung, aspirin li\u1ec1u th\u1ea5p (t\u1eeb 75 \u0111\u1ebfn 100 mg) u\u1ed1ng h\u00e0ng ng\u00e0y l\u00e0 \u0111\u1ee7 \u0111\u1ec3 \u1ee9c ch\u1ebf h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng, \u0111\u1ed3ng th\u1eddi \u00edt g\u00e2y c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 tr\u1ea7m tr\u1ecdng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">N\u1ebfu b\u1ea1n g\u1eb7p v\u1ea5n \u0111\u1ec1 b\u1ea5t th\u01b0\u1eddng khi d\u00f9ng thu\u1ed1c, \u0111\u1eebng ng\u1ea1i th\u00f4ng b\u00e1o cho b\u00e1c s\u1ef9. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng bao gi\u1edd t\u1ef1 \u00fd ng\u1eebng aspirin, nh\u1ea5t l\u00e0 khi b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh. Ng\u1eebng thu\u1ed1c c\u00f3 th\u1ec3 d\u1eabn t\u1edbi c\u00e1c h\u1eadu qu\u1ea3 tr\u1ea7m tr\u1ecdng, th\u1eadm ch\u00ed t\u1eed vong.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0o \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">V\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean th\u01b0\u1eddng l\u00e0 c\u01a1n \u0111au th\u1eaft ng\u1ef1c. Tuy nhi\u00ean, nhi\u1ec1u b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111au ng\u1ef1c ho\u1eb7c c\u01a1n \u0111au kh\u00f4ng \u0111i\u1ec3n h\u00ecnh. N\u1ebfu nghi ng\u1edd b\u1ea1n c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n l\u00e0m m\u1ed9t s\u1ed1 th\u0103m d\u00f2 \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u0110i\u1ec7n t\u00e2m \u0111\u1ed3<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00e0 bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n nh\u1ea5t \u0111\u1ec3 t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 th\u1ec3 c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n thi\u1ebfu m\u00e1u c\u01a1 tim hay ho\u1ea1i t\u1eed c\u01a1 tim, c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh nh\u01b0 d\u00e0y th\u00e0nh tim, gi\u00e3n bu\u1ed3ng tim r\u1ed1i lo\u1ea1n nh\u1ecbp tim. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 l\u00e0 m\u1ed9t th\u0103m d\u00f2 kh\u00f4ng ch\u1ea3y m\u00e1u, \u0111\u01a1n gi\u1ea3n, \u00edt t\u1ed1n k\u00e9m, c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh trong v\u00f2ng 5 ph\u00fat. Tuy nhi\u00ean c\u00f3 kh\u00e1 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh m\u00e0 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 l\u1ea1i kh\u00f4ng bi\u1ebfn \u0111\u1ed5i. Ng\u01b0\u1ee3c l\u1ea1i, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u00f3 th\u1ec3 bi\u1ebfn \u0111\u1ed5i trong khi b\u1ea1n l\u1ea1i kh\u00f4ng c\u00f3 b\u1ec7nh m\u1ea1ch v\u00e0nh (tr\u01b0\u1eddng h\u1ee3p n\u1eef gi\u1edbi, b\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec, t\u0103ng huy\u1ebft \u00e1p). L\u01b0u gi\u1eef c\u00e1c \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 c\u0169 \u0111\u1ec3 so s\u00e1nh v\u00e0 x\u00e1c \u0111\u1ecbnh nh\u1eefng bi\u1ebfn \u0111\u1ed5i m\u1edbi cho ph\u00e9p n\u00e2ng cao kh\u1ea3 n\u0103ng ph\u00e1t hi\u1ec7n b\u1ec7nh m\u1ea1ch v\u00e0nh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Si\u00eau \u00e2m tim<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Si\u00eau \u00e2m tim \u0111\u00e1nh gi\u00e1 v\u1eadn \u0111\u1ed9ng c\u00e1c th\u00e0nh tim. N\u1ebfu b\u1ea1n c\u00f3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, v\u00f9ng c\u01a1 tim \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u b\u1edfi nh\u00e1nh m\u1ea1ch v\u00e0nh \u0111\u00f3 s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea5p \u0111\u1ee7 oxy. V\u00f9ng c\u01a1 tim \u0111\u00f3 s\u1ebd c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng so v\u1edbi c\u00e1c v\u00f9ng kh\u00e1c (c\u00f3 th\u1ec3 gi\u1ea3m v\u1eadn \u0111\u1ed9ng ho\u1eb7c ho\u00e0n to\u00e0n kh\u00f4ng v\u1eadn \u0111\u1ed9ng). Si\u00eau \u00e2m tim c\u0169ng l\u00e0 m\u1ed9t th\u0103m d\u00f2 kh\u00f4ng ch\u1ea3y m\u00e1u, tuy nhi\u00ean \u0111\u00f2i h\u1ecfi ph\u01b0\u01a1ng ti\u1ec7n hi\u1ec7n \u0111\u1ea1i (m\u00e1y si\u00eau \u00e2m) c\u0169ng nh\u01b0 b\u00e1c s\u1ef9 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o chuy\u00ean khoa. M\u1eb7t kh\u00e1c si\u00eau \u00e2m tim th\u01b0\u1eddng ch\u1ec9 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c b\u1ec7nh m\u1ea1ch v\u00e0nh \u1edf giai \u0111o\u1ea1n mu\u1ed9n khi b\u1ec7nh \u0111\u00e3 g\u00e2y ra c\u00e1c r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng bu\u1ed3ng tim.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nghi\u1ec7m ph\u00e1p g\u1eafng s\u1ee9c l\u00e0 bi\u1ec7n ph\u00e1p kinh \u0111i\u1ec3n \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh m\u1ea1ch v\u00e0nh. Nh\u01b0 ch\u00fang ta \u0111\u00e3 bi\u1ebft, khi ngh\u1ec9 ng\u01a1i th\u00ec \u0111\u1ed9ng m\u1ea1ch v\u00e0nh d\u00f9 b\u1ecb h\u1eb9p v\u1eabn \u0111\u1ee7 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng nhu c\u1ea7u oxy c\u1ee7a c\u01a1 th\u1ec3. Khi ph\u1ea3i g\u1eafng s\u1ee9c, nhu c\u1ea7u oxy c\u01a1 th\u1ec3 t\u0103ng l\u00ean, v\u00e0 khi \u0111\u00f3 m\u1edbi l\u1ed9 ra c\u00e1c d\u1ea5u hi\u1ec7u thi\u1ebfu m\u00e1u c\u01a1 tim. Th\u1ea7y thu\u1ed1c c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n b\u1eb1ng ch\u1ea1y tr\u00ean th\u1ea3m ch\u1ea1y, ho\u1eb7c \u0111\u1ea1p xe t\u1ea1i ch\u1ed7 v\u1edbi t\u1ed1c \u0111\u1ed9 t\u0103ng d\u1ea7n, ho\u1eb7c h\u1ecd s\u1ebd truy\u1ec1n thu\u1ed1c cho b\u1ea1n \u0111\u1ec3 g\u00e2y t\u00ecnh tr\u1ea1ng g\u1eafng s\u1ee9c th\u1ef1c nghi\u1ec7m.. T\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u01a1 tim khi g\u1eafng s\u1ee9c s\u1ebd \u0111\u01b0\u1ee3c ghi nh\u1eadn v\u00e0 \u0111\u00e1nh gi\u00e1 b\u1eb1ng m\u1ed9t s\u1ed1 bi\u1ec7n ph\u00e1p nh\u01b0 \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 g\u1eafng s\u1ee9c, si\u00eau \u00e2m tim g\u1eafng s\u1ee9c, ho\u1eb7c x\u1ea1 h\u00ecnh c\u01a1 tim g\u1eafng s\u1ee9c. Qua \u0111\u00f3, th\u1ea7y thu\u1ed1c \u0111\u00e1nh gi\u00e1 b\u1ea1n c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh hay kh\u00f4ng v\u00e0 m\u1ee9c \u0111\u1ed9 nh\u01b0 th\u1ebf n\u00e0o.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">C\u00e1c th\u0103m d\u00f2 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, nh\u01b0 ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111a d\u00e3y \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim, ch\u1ee5p ph\u00f3ng x\u1ea1 t\u01b0\u1edbi m\u00e1u c\u01a1 tim ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1edbm \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111a d\u00e3y m\u1ea1ch v\u00e0nh \u0111\u00e3 kh\u00e1 ph\u1ed5 bi\u1ebfn \u1edf c\u00e1c trung t\u00e2m tim m\u1ea1ch l\u1edbn trong n\u01b0\u1edbc. Phim ch\u1ee5p s\u1ebd cung c\u1ea5p h\u00ecnh \u1ea3nh gi\u1ea3i ph\u1eabu c\u1ee7a m\u1ea1ch v\u00e0nh, cho bi\u1ebft m\u1ee9c \u0111\u1ed9 v\u00f4i h\u00f3a m\u1ea1ch v\u00e0nh, nh\u00e1nh m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p, m\u1ee9c \u0111\u1ed9 h\u1eb9p, c\u0169ng nh\u01b0 c\u00e1c b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu kh\u00e1c.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Th\u00f4ng tim v\u00e0 ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Th\u00f4ng tim v\u00e0 ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 bi\u1ec7n ph\u00e1p hi\u1ec7n \u0111\u1ea1i nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh m\u1ea1ch v\u00e0nh. Th\u1ee7 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh trong ph\u00f2ng tim m\u1ea1ch can thi\u1ec7p v\u1edbi c\u00e1c thi\u1ebft b\u1ecb ch\u1ee5p m\u1ea1ch v\u00e0 m\u00e0n hu\u1ef3nh quang t\u0103ng s\u00e1ng hi\u1ec7n \u0111\u1ea1i. Qua \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch quay ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i, b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a m\u1ed9t \u1ed1ng th\u00f4ng l\u00ean tim c\u1ee7a b\u1ea1n v\u00e0o nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Qua \u1ed1ng th\u00f4ng \u0111\u00f3 b\u00e1c s\u1ef9 s\u1ebd ti\u00eam m\u1ed9t dung d\u1ecbch \u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ea5t c\u1ea3n quang v\u00e0o \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ee7a b\u1ea1n. Ch\u1ea5t c\u1ea3n quang cho ph\u00e9p b\u00e1c s\u1ef9 nh\u00ecn th\u1ea5y h\u00ecnh d\u1ea1ng, k\u00edch th\u01b0\u1edbc m\u1ea1ch v\u00e0nh tr\u00ean m\u00e0n hu\u1ef3nh quang, \u0111\u00e1nh gi\u00e1 v\u1ecb tr\u00ed h\u1eb9p v\u00e0 m\u1ee9c \u0111\u1ed9 h\u1eb9p m\u1ea1ch v\u00e0nh. Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p th\u0103m d\u00f2 ch\u1ea3y m\u00e1u, tuy nhi\u00ean ho\u00e0n to\u00e0n kh\u00f4ng \u0111au \u0111\u1edbn (kh\u00f4ng c\u1ea7n g\u00e2y m\u00ea, ch\u1ec9 c\u1ea7n g\u00e2y t\u00ea t\u1ea1i ch\u1ed7) v\u00e0 r\u1ea5t hi\u1ebfm g\u1eb7p bi\u1ebfn ch\u1ee9ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Tuy nhi\u00ean t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh m\u1ea1ch v\u00e0nh \u0111\u00e3 n\u00eau ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh t\u1ea1i th\u1eddi \u0111i\u1ec3m th\u0103m kh\u00e1m trong khi b\u1ec7nh m\u1ea1ch v\u00e0nh l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c theo th\u1eddi gian, do v\u1eady b\u1ea1n c\u1ea7n l\u01b0u \u00fd \u0111i kh\u00e1m \u0111\u1ecbnh k\u1ef3, \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng b\u1ec7nh \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh v\u00e0 t\u01b0 v\u1ea5n b\u00e1c s\u1ef9 chuy\u00ean khoa tim m\u1ea1ch b\u1ea5t c\u1ee9 khi n\u00e0o c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nghi ng\u1edd b\u1ec7nh m\u1ea1ch v\u00e0nh.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C\u00e2u h\u1ecfi: Xin cho bi\u1ebft c\u00e1c bi\u1ec7n ph\u00e1p ch\u1eefa b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Khi c\u00f3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u00e1c s\u1ef9 s\u1ebd \u0111\u01b0a ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n, t\u00f9y theo c\u0103n nguy\u00ean v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh m\u1ea1ch v\u00e0nh bao g\u1ed3m: t\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p (b\u1eb1ng \u0111\u1eb7t stent ho\u1eb7c ph\u1eabu thu\u1eadt), \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa, v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">T\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">C\u00f3 hai bi\u1ec7n ph\u00e1p t\u00e1i th\u00f4ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p l\u00e0 can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da (nong b\u00f3ng, \u0111\u1eb7t stent) v\u00e0 ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Can thi\u1ec7p m\u1ea1ch v\u00e0nh qua da l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt, trong \u0111\u00f3 b\u00e1c s\u1ef9 s\u1eed d\u1ee5ng m\u1ed9t \u1ed1ng th\u00f4ng chuy\u00ean d\u1ee5ng lu\u1ed3n t\u1eeb \u0111\u1ed9ng m\u1ea1ch quay ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch \u0111\u00f9i l\u00ean tim, \u0111i v\u00e0o c\u00e1c nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p. Qua \u1ed1ng th\u00f4ng \u0111\u00f3, b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 \u0111\u01b0a b\u00f3ng v\u00e0o nong r\u1ed9ng m\u1ea1ch v\u00e0nh ra v\u00e0 sau \u0111\u00f3 \u0111\u1eb7t v\u00e0o l\u00f2ng m\u1ea1ch m\u1ed9t khung gi\u00e1 \u0111\u1ee1 b\u1eb1ng kim lo\u1ea1i (g\u1ecdi l\u00e0 stent), nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u1eef cho l\u00f2ng m\u1ea1ch kh\u00f4ng b\u1ecb h\u1eb9p l\u1ea1i. Th\u1ee7 thu\u1eadt \u0111\u1eb7t stent m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ti\u1ebfn h\u00e0nh qua da, ch\u1ec9 c\u1ea7n g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, kh\u00f4ng c\u1ea7n g\u00e2y m\u00ea. Th\u1eddi gian th\u1ee7 thu\u1eadt k\u00e9o d\u00e0i t\u1eeb 45 ph\u00fat cho \u0111\u1ebfn 120 ph\u00fat, t\u00f9y tr\u01b0\u1eddng h\u1ee3p. Ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng gi\u1ea3i ph\u1eabu c\u00f3 th\u1ec3 can thi\u1ec7p \u0111\u01b0\u1ee3c, ho\u1eb7c nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nhi\u1ec1u b\u1ec7nh l\u00fd k\u1ebft h\u1ee3p khi\u1ebfn cho kh\u00f4ng th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c m\u1ed9t cu\u1ed9c m\u1ed5 tim.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Ph\u1eabu thu\u1eadt l\u00e0m c\u1ea7u n\u1ed1i ch\u1ee7-v\u00e0nh l\u00e0 m\u1ed9t ph\u00e3u thu\u1eadt nh\u1eb1m t\u00e1i th\u00f4ng d\u00f2ng ch\u1ea3y m\u1ea1ch v\u00e0nh, nh\u1edd \u0111\u00f3 c\u1ea3i thi\u1ec7n d\u00f2ng m\u00e1u nu\u00f4i c\u01a1 tim. Khi ph\u1eabu thu\u1eadt, b\u00e1c s\u1ef9 s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t \u0111o\u1ea1n \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch \u201cl\u00e0nh l\u1eb7n\u201d, kh\u00f4ng b\u1ecb h\u1eb9p t\u1eeb ch\u00ednh c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n \u0111\u1ec3 n\u1ed1i t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u1ebfn nh\u00e1nh m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p. C\u1ea7u n\u1ed1i n\u00e0y s\u1ebd \u0111\u1ea3m \u0111\u01b0\u01a1ng vai tr\u00f2 v\u1eadn chuy\u1ec3n m\u00e1u gi\u00e0u oxy \u0111\u1ebfn nu\u00f4i c\u01a1 tim. Trong m\u1ed9t cu\u1ed9c m\u1ed5, ph\u1eabu thu\u1eadt vi\u00ean c\u00f3 th\u1ec3 l\u00e0m nhi\u1ec1u c\u1ea7u n\u1ed1i ch\u1ee7-v\u00e0nh cho t\u1ea5t c\u1ea3 c\u00e1c m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p n\u1eb7ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">\u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa nh\u1eb1m h\u1ea1n ch\u1ebf ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh, c\u1ea3i thi\u1ec7n l\u01b0\u1ee3ng m\u00e1u nu\u00f4i c\u01a1 tim. Th\u1ea7y thu\u1ed1c c\u00f3 th\u1ec3 cho b\u1ea1n u\u1ed1ng c\u00e1c lo\u1ea1i thu\u1ed1c sau:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Thu\u1ed1c ch\u1ed1ng ng\u01b0ng t\u1eadp ti\u1ec3u c\u1ea7u nh\u01b0 aspirin \u0111\u1ec3 ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng trong l\u00f2ng m\u1ea1ch v\u00e0nh<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Ch\u1eb9n beta giao c\u1ea3m: Thu\u1ed1c l\u00e0m ch\u1eadm nh\u1ecbp tim, h\u1ea1 huy\u1ebft \u00e1p, gi\u1ea3m nhu c\u1ea7u oxy c\u01a1 tim<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Thu\u1ed1c h\u1ea1 m\u1ee1 m\u00e1u: l\u00e0m gi\u1ea3m x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u, ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nitroglycerin: thu\u1ed1c l\u00e0m gi\u1ea3m \u0111au ng\u1ef1c nh\u1edd l\u00e0m gi\u00e3n m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p, t\u0103ng c\u01b0\u1eddng t\u01b0\u1edbi m\u00e1u c\u01a1 tim<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n: h\u1ea1 huy\u1ebft \u00e1p, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng tim<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">C\u00e1c thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh k\u00e8m theo nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u2026<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">M\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh c\u00f3 th\u1ec3 gi\u00fap h\u1ea1n ch\u1ebf ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh. C\u00e1c bi\u1ec7n ph\u00e1p thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng bao g\u1ed3m:<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng: h\u1ea1n ch\u1ebf ch\u1ea5t b\u00e9o, \u0111\u1ed3 \u0103n m\u1eb7n, gi\u1ea3m c\u00e2n n\u1eb7ng<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">T\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n v\u00e0 t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">B\u1ecf ho\u00e0n to\u00e0n thu\u1ed1c l\u00e1 bao g\u1ed3m c\u1ea3 vi\u1ec7c tr\u00e1nh h\u00edt kh\u00f3i thu\u1ed1c t\u1eeb ng\u01b0\u1eddi kh\u00e1c (hay c\u00f2n g\u1ecdi l\u00e0 h\u00fat thu\u1ed1c l\u00e1 b\u1ecb \u0111\u1ed9ng)<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nh\u1eadn bi\u1ebft v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh m\u1ea1ch v\u00e0nh: t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: justify;\"><span style=\"color: #800080;\"><em><strong><span style=\"font-family: 'times new roman', times, serif;\">C<\/span><span style=\"font-family: 'times new roman', times, serif;\">\u00e2u h\u1ecfi: Can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 g\u00ec? Nong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 g\u00ec? \u0110\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 g\u00ec? Khi n\u00e0o c\u1ea7n l\u00e0m? L\u00e0m nh\u01b0 th\u1ebf n\u00e0o? Chu\u1ea9n b\u1ecb ra sao?<\/span><\/strong><\/em><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; color: #0000ff;\"><strong><em>Tr\u1ea3 l\u1eddi:<\/em><\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Can thi\u1ec7p m\u1ea1ch v\u00e0nh qua da l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt d\u00f9ng m\u1ed9t lo\u1ea1i \u1ed1ng th\u00f4ng nh\u1ecf (catheter) \u0111\u1ec3 \u0111\u01b0a m\u1ed9t b\u00f3ng nh\u1ecf v\u00e0o l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc r\u1ed3i nong v\u00e0 \u0111\u1eb7t Stent (gi\u00e1 \u0111\u1ee1) \u0111\u1ec3 l\u00e0m t\u00e1i th\u00f4ng d\u00f2ng m\u00e1u. Tr\u00e1i v\u1edbi ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u n\u1ed1i ch\u1ee7 v\u00e0nh c\u1ea7n m\u1edf l\u1ed3ng ng\u1ef1c, can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n ch\u1ec9 b\u1eb1ng c\u00e1ch m\u1edf m\u1ed9t l\u1ed7 nh\u1ecf tr\u00ean da \u0111\u1ec3 \u0111\u01b0a catheter v\u00e0o \u0111\u1ed9ng m\u1ea1ch \u1edf \u0111\u00f9i hay c\u1ed5 tay. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ea1i v\u00f9ng ch\u1ecdc n\u00ean nh\u00ecn chung, th\u1ee7 thu\u1eadt n\u00e0y kh\u00f4ng g\u00e2y \u0111au h\u01a1n m\u1ed9t l\u1ea7n l\u1ea5y m\u00e1u l\u00e0m x\u00e9t nghi\u1ec7m. B\u1ec7nh nh\u00e2n v\u1eabn lu\u00f4n t\u1ec9nh t\u00e1o trong su\u1ed1t qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt. Khi ch\u1ee5p m\u1ea1ch v\u00e0nh, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n s\u1ebd ch\u1ec9 cho b\u1ea1n \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb h\u1eb9p\/t\u1eafc, v\u1ecb tr\u00ed t\u1eafc ngh\u1ebdn v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng c\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c can thi\u1ec7p nong v\u00e0 \u0111\u1eb7t stent hay kh\u00f4ng. Qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt th\u01b0\u1eddng \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh trong v\u00f2ng 1 gi\u1edd v\u00e0 ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 v\u1ec1 nh\u00e0 sau 1 \u2013 2 ng\u00e0y t\u00ednh t\u1eeb khi k\u1ebft th\u00fac th\u1ee7 thu\u1eadt.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Ch\u1ee5p v\u00e0 can thi\u1ec7p nong, \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng h\u1eb9p t\u1eafc trong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, gi\u00fap t\u01b0\u1edbi m\u00e1u cho c\u01a1 tim t\u1ed1t h\u01a1n trong m\u1ecdi \u0111i\u1ec1u ki\u1ec7n ho\u1ea1t \u0111\u1ed9ng g\u1eafng s\u1ee9c c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 do \u0111\u00f3, cho ph\u00e9p b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i m\u00e0 kh\u00f4ng xu\u1ea5t hi\u1ec7n c\u01a1n \u0111au th\u1eaft ng\u1ef1c. Trong tr\u01b0\u1eddng h\u1ee3p nh\u1ed3i m\u00e1u c\u01a1 tim, c\u00f9ng v\u1edbi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c t\u1ed1i \u01b0u, th\u1ee7 thu\u1eadt n\u00e0y l\u00e0 m\u1ed9t bi\u1ec7n ph\u00e1p gi\u00fap t\u00e1i t\u01b0\u1edbi m\u00e1u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u1ec3 h\u1ea1n ch\u1ebf b\u1edbt v\u00f9ng c\u01a1 tim t\u1ed5n th\u01b0\u01a1ng do thi\u1ebfu m\u00e1u, \u0111\u1ed3ng th\u1eddi c\u0169ng gi\u00fap ph\u00f2ng t\u1eafc h\u1eb9p t\u00e1i ph\u00e1t, h\u1ea1n ch\u1ebf c\u01a1n \u0111au th\u1eaft ng\u1ef1c tr\u1edf l\u1ea1i.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Tr\u01b0\u1edbc khi ch\u1ee5p hay \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u00e1c s\u0129 s\u1ebd gi\u1ea3i th\u00edch cho b\u1ea1n ho\u1eb7c th\u00e2n nh\u00e2n c\u1ee7a b\u1ea1n t\u1ea1i sao c\u1ea7n th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt n\u00e0y, d\u1ef1 ki\u1ebfn ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfn h\u00e0nh ra sao v\u00e0 nh\u1eefng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n. Ng\u00e0y nay, v\u1edbi nh\u1eefng ti\u1ebfn b\u1ed9 trong trang thi\u1ebft b\u1ecb, ph\u01b0\u01a1ng ti\u1ec7n h\u1ed3i s\u1ee9c v\u00e0 thu\u1ed1c h\u1ed7 tr\u1ee3, ch\u1ee5p v\u00e0 can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh qua da \u0111\u00e3 an to\u00e0n h\u01a1n v\u00e0 nguy c\u01a1 c\u1ee7a n\u00f3 \u0111\u00e3 gi\u1ea3m \u0111i r\u1ea5t nhi\u1ec1u. Tuy nhi\u00ean n\u00f3 v\u1eabn l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt x\u00e2m nh\u1eadp g\u00e2y ch\u1ea3y m\u00e1u v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra nh\u1eefng nguy c\u01a1 nh\u1ea5t \u0111\u1ecbnh.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Nh\u1eefng nguy c\u01a1 c\u1ee7a th\u1ee7 thu\u1eadt n\u00e0y bao g\u1ed3m ch\u1ea3y m\u00e1u, nhi\u1ec5m tr\u00f9ng, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c c\u1ea3n quang s\u1eed d\u1ee5ng trong khi ch\u1ee5p, nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u, \u0111\u1ed9t qu\u1ef5 v\u00e0 suy th\u1eadn. Ngo\u00e0i ra, c\u0169ng c\u00f3 m\u1ed9t t\u1ef7 l\u1ec7 nh\u1ea5t \u0111\u1ecbnh c\u00e1c stent \u0111\u00e3 \u0111\u1eb7t c\u00f3 th\u1ec3 \u0111\u1ed9t ng\u1ed9t b\u1ecb t\u1eafc l\u1ea1i g\u00e2y ra nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea7n ph\u1ea3i can thi\u1ec7p l\u1ea1i ho\u1eb7c l\u00e0m c\u1ea7u n\u1ed1i c\u1ea5p c\u1ee9u, th\u1eadm ch\u00ed c\u1ea3 t\u1eed vong. Kh\u1ea3 n\u0103ng x\u1ea3y ra tai bi\u1ebfn hay kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o r\u1ea5t nhi\u1ec1u y\u1ebfu t\u1ed1. Theo th\u1ed1ng k\u00ea c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u l\u1edbn tr\u00ean th\u1ebf gi\u1edbi, nguy c\u01a1 tai bi\u1ebfn c\u1ea7n can thi\u1ec7p c\u1ea5p c\u1ee9u hay t\u1eed vong li\u00ean quan \u0111\u1ebfn k\u1ef9 thu\u1eadt ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 kh\u00e1 th\u1ea5p (ch\u1ec9 1 \u0111\u1ebfn 2%).<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ea7y \u0111\u1ee7 m\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0 aspirin, clopidogrel,\u2026 c\u0169ng nh\u01b0 c\u1ea7n d\u1eebng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c b\u1ea1n \u0111ang d\u00f9ng nh\u01b0 thu\u1ed1c \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nh\u00f3m metformin hay coumadin. B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c c\u1ea3n quang c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng tr\u01b0\u1edbc th\u1ee7 thu\u1eadt \u00edt nh\u1ea5t 1 ng\u00e0y \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 x\u1ea3y ra ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1eb7ng n\u1ec1. T\u1ed1t nh\u1ea5t h\u00e3y n\u00f3i cho b\u00e1c s\u0129 c\u1ee7a b\u1ea1n bi\u1ebft n\u1ebfu nh\u01b0 b\u1ea1n b\u1ecb d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c nhu\u1ed9m hay t\u00f4m cua.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">B\u1ea1n c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng m\u1ed9t lo\u1ea1i thu\u1ed1c an th\u1ea7n nh\u1eb9 tr\u01b0\u1edbc khi ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt \u0111\u1ec3 gi\u00fap th\u01b0 gi\u00e3n, tr\u00e1nh c\u1ea3m gi\u00e1c c\u0103ng th\u1eb3ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Khi \u1edf trong ph\u00f2ng can thi\u1ec7p, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n l\u00ean b\u00e0n can thi\u1ec7p. Ch\u1ee5p v\u00e0 can thi\u1ec7p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh qua \u0111\u1ed9ng m\u1ea1ch v\u00f9ng b\u1eb9n, khu\u1ef7u hay c\u1ed5 tay. V\u00f9ng l\u00e0m th\u1ee7 thu\u1eadt s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch v\u00e0 c\u1ea1o l\u00f4ng, s\u00e1t khu\u1ea9n s\u1ea1ch v\u00e0 ph\u1ee7 v\u1ea3i v\u00f4 khu\u1ea9n xung quanh. B\u00e1c s\u0129 l\u00e0m th\u1ee7 thu\u1eadt s\u1ebd g\u00e2y t\u00ea v\u00f9ng \u0111\u00f3 b\u1eb1ng thu\u1ed1c t\u00ea tr\u01b0\u1edbc khi m\u1edf m\u1ed9t l\u1ed7 nh\u1ecf v\u00e0o l\u00f2ng \u0111\u1ed9ng m\u1ea1ch t\u1ea1i v\u00f9ng \u0111\u00f3. Ti\u1ebfp theo, m\u1ed9t \u1ed1ng nh\u1ecf (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 sheath) s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u1ed9ng m\u1ea1ch. Qua \u1ed1ng n\u00e0y, m\u1ed9t catheter d\u1eabn \u0111\u01b0\u1eddng \u0111\u1eb7c bi\u1ec7t s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u1ec3 l\u00e1i theo \u0111\u1ed9ng m\u1ea1ch \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Sau \u0111\u00f3, m\u1ed9t d\u00e2y d\u1eabn r\u1ea5t nh\u1ecf v\u00e0 m\u1ecfng \u0111\u01b0\u1ee3c lu\u1ed3n qua \u1ed1ng th\u00f4ng tr\u00ean \u0111\u1ec3 \u0111\u01b0a \u0111\u1ebfn v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng r\u1ed3i xuy\u00ean qua ch\u1ed7 t\u1eafc trong l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Tu\u1ef3 thu\u1ed9c v\u00e0o t\u1ed5n th\u01b0\u01a1ng c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, b\u00e1c s\u1ef9 c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t b\u00f3ng nh\u1ecf \u0111\u1eb7c bi\u1ec7t \u0111\u01b0a v\u00e0o nong ch\u1ed7 h\u1eb9p t\u1eafc trong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh hay kh\u00f4ng. Qu\u1ea3 b\u00f3ng n\u00e0y gi\u00fap m\u1edf ch\u1ed7 t\u1eafc b\u1eb1ng c\u00e1ch \u00e9p m\u1ea1nh m\u1ea3ng x\u01a1 v\u1eefa v\u00e0o th\u00e0nh m\u1ea1ch l\u00e0m m\u1edf th\u00f4ng \u0111\u1ed9ng m\u1ea1ch. C\u00f3 th\u1ec3 c\u1ea7n nong m\u1ed9t v\u00e0i l\u1ea7n ti\u1ebfp theo v\u1edbi nh\u1eefng c\u1ee1 b\u00f3ng to h\u01a1n hay v\u1edbi \u00e1p l\u1ef1c cao h\u01a1n \u0111\u1ec3 gi\u1ea3m m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn. Th\u00f4ng th\u01b0\u1eddng, nong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1eb1ng b\u00f3ng c\u00f3 th\u1ec3 l\u00e0m m\u1ee9c \u0111\u1ed9 h\u1eb9p gi\u1ea3m \u0111i t\u1eeb 20 \u2013 30%. Cu\u1ed1i c\u00f9ng, m\u1ed9t ho\u1eb7c m\u1ed9t v\u00e0i stent s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 t\u00e1i h\u1eb9p sau can thi\u1ec7p.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Trong k\u1ef9 thu\u1eadt \u0111\u1eb7t stent, m\u1ed9t stent \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u00ean ngo\u00e0i qu\u1ea3 b\u00f3ng nong g\u1eafn tr\u00ean \u0111\u1ea7u m\u1ed9t d\u00e2y d\u1eabn \u0111\u1eb7c bi\u1ec7t. Khi qu\u1ea3 b\u00f3ng nong \u0111\u01b0\u1ee3c b\u01a1m c\u0103ng s\u1ebd l\u00e0m m\u1edf stent v\u00e0 \u00e9p v\u00e0o th\u00e0nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Khi d\u00e2y d\u1eabn mang qu\u1ea3 b\u00f3ng \u0111\u01b0\u1ee3c r\u00fat ra, stent s\u1ebd n\u1eb1m l\u1ea1i trong l\u00f2ng m\u1ea1ch, c\u00f3 t\u00e1c d\u1ee5ng nh\u01b0 m\u1ed9t gi\u00e1 \u0111\u1ee1 l\u00e0m cho l\u00f2ng m\u1ea1ch kh\u00f4ng co h\u1eb9p l\u1ea1i.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">M\u1ed9t ti\u1ebfn b\u1ed9 g\u1ea7n \u0111\u00e2y l\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a lo\u1ea1i stent ph\u1ee7 thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m nguy c\u01a1 m\u1ea3ng x\u01a1 v\u1eefa ph\u00e1t tri\u1ec3n tr\u1edf l\u1ea1i sau m\u1ed9t th\u1eddi gian. Thu\u1ed1c \u0111\u01b0\u1ee3c ph\u1ee7 l\u00ean c\u00e1c m\u1eaft l\u01b0\u1edbi tr\u00ean stent. Sau khi stent \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o trong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, thu\u1ed1c d\u1ea7n d\u1ea7n \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch v\u00e0o th\u00e0nh m\u1ea1ch trong v\u00e0i tu\u1ea7n ho\u1eb7c v\u00e0i th\u00e1ng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">Khi \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc ch\u1ec9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi nong b\u1eb1ng b\u00f3ng \u0111\u01a1n thu\u1ea7n, nguy c\u01a1 c\u1ee7a h\u1eb9p t\u00e1i ph\u00e1t g\u00e2y tri\u1ec7u ch\u1ee9ng (\u0111au ng\u1ef1c t\u00e1i ph\u00e1t) l\u00e0 kho\u1ea3ng 30%. N\u1ebfu \u0111\u1eb7t stent, nguy c\u01a1 n\u00e0y gi\u1ea3m xu\u1ed1ng kho\u1ea3ng 20% c\u00f2n n\u1ebfu \u0111\u1eb7t stent ph\u1ee7 thu\u1ed1c th\u00ec nguy c\u01a1 t\u00e1i h\u1eb9p ch\u1ec9 c\u00f2n 5 \u2013 10%. B\u00e1c s\u1ef9 l\u00e0m th\u1ee7 thu\u1eadt s\u1ebd gi\u1ea3i th\u00edch cho th\u00e2n nh\u00e2n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh n\u00ean \u0111\u1eb7t stent th\u01b0\u1eddng (kh\u00f4ng ph\u1ee7 thu\u1ed1c) hay stent ph\u1ee7 thu\u1ed1c t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif;\">B\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc can thi\u1ec7p b\u1eb1ng clopidogrel m\u1ed9t v\u00e0i ng\u00e0y tr\u01b0\u1edbc khi ch\u1ee5p v\u00e0 \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Clopidogrel l\u00e0 m\u1ed9t thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m k\u1ebft d\u00ednh ti\u1ec3u c\u1ea7u gi\u1ed1ng nh\u01b0 aspirin. Clopidogrel v\u00e0 nh\u1eefng thu\u1ed1c t\u01b0\u01a1ng t\u1ef1 c\u1ea7n \u0111\u01b0\u1ee3c d\u00f9ng \u00edt nh\u1ea5t trong 4 tu\u1ea7n sau \u0111\u1eb7t stent kh\u00f4ng b\u1ecdc thu\u1ed1c hay 6 \u0111\u1ebfn 12 th\u00e1ng sau khi \u0111\u01b0\u1ee3c\u0111\u1eb7t stent ph\u1ee7 thu\u1ed1c \u0111\u1ec3 d\u1ef1 ph\u00f2ng h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i g\u00e2y t\u1eafc stent.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Chuy\u00ean \u0111\u1ec1: M\u1ea1ch V\u00e0nh Tim &#8211; BS CK II Nguy\u1ec5n Trung Hi\u1ebfu &#8211; TK N\u1ed9i tim m\u1ea1ch &#8211; BV\u0110K Long<\/p>\n","protected":false},"author":1,"featured_media":205,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,24],"tags":[],"jetpack_featured_media_url":"https:\/\/12point.net\/wp-content\/uploads\/2020\/07\/rsz-question-medical.jpg","jetpack-related-posts":[{"id":1354,"url":"https:\/\/12point.net\/hieu-qua-chup-ct-trong-chan-doan-benh-ly-mach-vanh\/","url_meta":{"origin":1349,"position":0},"title":"HI\u1ec6U QU\u1ea2 CH\u1ee4P CT TRONG CH\u1ea8N \u0110O\u00c1N B\u1ec6NH L\u00dd M\u1ea0CH V\u00c0NH","date":"23\/10\/2020 15:22","format":false,"excerpt":"HI\u1ec6U QU\u1ea2 CH\u1ee4P CT TRONG CH\u1ea8N \u0110O\u00c1N B\u1ec6NH L\u00dd M\u1ea0CH V\u00c0NH CN B\u00f9i Th\u1ebf Ng\u1ef1 - KTV tr\u01b0\u1edfng - Khoa C\u0110HA - BV\u0110K Long An Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, CT \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh quan tr\u1ecdng v\u00e0 quen thu\u1ed9c trong b\u1ec7nh l\u00fd tim\u2026","rel":"","context":"In &quot;B\u00e0i vi\u1ebft chuy\u00ean m\u00f4n&quot;","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2020\/10\/\u0110MVanhPT845.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":13099,"url":"https:\/\/12point.net\/hoi-chung-dong-mach-vanh-man-dau-hieu-nhan-biet-va-cach-phong-ngua\/","url_meta":{"origin":1349,"position":1},"title":"H\u1ed8I CH\u1ee8NG \u0110\u1ed8NG M\u1ea0CH V\u00c0NH M\u1ea0N D\u1ea4U HI\u1ec6U NH\u1eacN BI\u1ebeT V\u00c0 C\u00c1CH PH\u00d2NG NG\u1eeaA","date":"04\/08\/2023 11:18","format":false,"excerpt":"CN\u0110D.Tr\u01b0\u01a1ng Th\u1ecb Ng\u1ecdc B\u00edch - Khoa N\u1ed9i tim m\u1ea1ch I. T\u1ed4NG QUAN: H\u1ed9i ch\u01b0\u0301ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh m\u1ea1n (HCMVM) (Chronic coronary syndrome - CCS) l\u00e0 thu\u1eadt ng\u1eef \u0111\u01b0\u1ee3c \u0111\u01b0a ra ta\u0323i H\u00f4\u0323i Ngh\u1ecb Tim Ma\u0323ch Ch\u00e2u \u00c2u (ESC) 2019, thay cho t\u00ean go\u0323i tr\u01b0\u1edbc \u0111\u00e2y l\u00e0 \u0111au th\u0103\u0301t ng\u1ef1c \u1ed5n\u2026","rel":"","context":"In &quot;B\u00e0i vi\u1ebft chuy\u00ean m\u00f4n&quot;","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2023\/08\/845HCMachvanh.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":1349,"position":2},"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 &quot;B\u00e0i vi\u1ebft chuy\u00ean m\u00f4n&quot;","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":2122,"url":"https:\/\/12point.net\/bo-y-te-ban-hanh-tai-lieu-chuyen-mon-thuc-hanh-chan-doan-va-dieu-tri-benh-dong-mach-vanh\/","url_meta":{"origin":1349,"position":3},"title":"B\u1ed9 Y t\u1ebf Ban h\u00e0nh t\u00e0i li\u1ec7u chuy\u00ean m\u00f4n \u201cTh\u1ef1c h\u00e0nh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh\u201d","date":"25\/12\/2020 08:20","format":false,"excerpt":"B\u1ed8 Y T\u1ebe BAN H\u00c0NH T\u00c0I LI\u1ec6U CHUY\u00caN M\u00d4N \u201cTH\u1ef0C H\u00c0NH CH\u1ea8N \u0110O\u00c1N V\u00c0 \u0110I\u1ec0U TR\u1eca B\u1ec6NH \u0110\u1ed8NG M\u1ea0CH V\u00c0NH\u201d Nguy\u1ec5n Ph\u01b0\u1edbc L\u1ed9c - P.KHTH Ng\u00e0y 23\/12\/2020, Th\u1ee9 tr\u01b0\u1edfng B\u1ed9 Y T\u1ebf Nguy\u1ec5n Tr\u01b0\u1eddng S\u01a1n \u0111\u00e3 k\u00fd ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 5332\/Q\u0110-BYT v\u1ec1 vi\u1ec7c ban h\u00e0nh t\u00e0i li\u1ec7u chuy\u00ean\u2026","rel":"","context":"In &quot;Tin y t\u1ebf&quot;","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2020\/12\/845-47.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":2478,"url":"https:\/\/12point.net\/thua-can-beo-phi-hiem-hoa-cua-tang-huyet-ap-va-benh-ly-tim-mach\/","url_meta":{"origin":1349,"position":4},"title":"Th\u1eeba c\u00e2n, b\u00e9o ph\u00ec &#8211; Hi\u1ec3m h\u1ecda c\u1ee7a t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch","date":"19\/01\/2021 14:03","format":false,"excerpt":"TH\u1eeaA C\u00c2N, B\u00c9O PH\u00cc \u00a0 hi\u1ec3m h\u1ecda c\u1ee7a t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch BS CKI. TR\u01af\u01a0NG TH\u1eca TR\u00c2N CH\u00c2U - Khoa N\u1ed9i C\u00e1n b\u1ed9 - L\u00e3o khoa T\u1ed5 ch\u1ee9c Y t\u1ebf th\u1ebf gi\u1edbi (WHO)\u00a0\u0111\u1ecbnh ngh\u0129a\u00a0b\u00e9o ph\u00ec\u00a0l\u00e0 t\u00ecnh tr\u1ea1ng t\u00edch l\u0169y m\u1ee1 qu\u00e1 m\u1ee9c v\u00e0 kh\u00f4ng b\u00ecnh th\u01b0\u1eddng\u2026","rel":"","context":"In &quot;B\u00e0i vi\u1ebft chuy\u00ean m\u00f4n&quot;","img":{"alt_text":"","src":"https:\/\/i0.wp.com\/12point.net\/wp-content\/uploads\/2021\/01\/845-33.jpg?resize=350%2C200&ssl=1","width":350,"height":200},"classes":[]},{"id":13547,"url":"https:\/\/12point.net\/tiem-phong-cum-hang-nam-bao-ve-nguoi-mac-benh-tim-mach-nhu-the-nao\/","url_meta":{"origin":1349,"position":5},"title":"TI\u00caM PH\u00d2NG C\u00daM H\u1eb0NG N\u0102M B\u1ea2O V\u1ec6  NG\u01af\u1edcI M\u1eaeC B\u1ec6NH TIM M\u1ea0CH NH\u01af TH\u1ebe N\u00c0O?","date":"14\/11\/2023 16:33","format":false,"excerpt":"BS. 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