{"id":17964,"date":"2023-04-17T18:27:56","date_gmt":"2023-04-17T11:27:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17964"},"modified":"2023-04-18T12:04:43","modified_gmt":"2023-04-18T05:04:43","slug":"tien-trien-cua-hep-van-dong-mach-chu-va-cach-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/tien-trien-cua-hep-van-dong-mach-chu-va-cach-chan-doan\/","title":{"rendered":"Ti\u1ebfn tri\u1ec3n c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1ch ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u1edf v\u1ecb tr\u00ed van \u0110MC. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng t\u1ed1ng m\u00e1u c\u1ee7a th\u1ea5t tr\u00e1i g\u00e2y ra s\u1ef1 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3. C\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra b\u1ec7nh n\u00e0y \u1edf ng\u01b0\u1eddi l\u1edbn bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng van \u0110MC b\u1ea9m sinh (van \u0110MC m\u1ed9t l\u00e1 van, hai l\u00e1 van), b\u1ec7nh van tim h\u1eadu th\u1ea5p, tho\u00e1i ho\u00e1 van \u0110MC,&#8230;<\/strong><\/p>\n<h1>1.C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/h1>\n<p>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u ra t\u1eeb <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/tam-la-gi-chuc-nang-va-cac-van-de-thuong-gap\/\">th\u1ea5t tr\u00e1i<\/a>, \u1ee9 \u0111\u1ecdng m\u00e1u trong th\u1ea5t tr\u00e1i, d\u1eabn \u0111\u1ebfn th\u1ea5t tr\u00e1i ph\u1ea3i t\u0103ng s\u1ee9c b\u00f3p l\u00e0m t\u0103ng \u00e1p l\u1ef1c l\u00ean th\u00e0nh tim, \u0111\u1ed3ng th\u1eddi c\u01a1 tim gi\u00e3n \u0111\u1ec3 t\u0103ng th\u1ec3 t\u00edch ch\u1ee9a m\u00e1u. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra ph\u00ec \u0111\u1ea1i, gi\u1ea3m \u0111\u00e0n h\u1ed3i\u00a0 th\u1ea5t tr\u00e1i. Khi \u0111\u00f3 th\u1eddi gian co b\u00f3p \u0111\u1ec3 t\u1ed1ng m\u00e1u c\u00e0ng k\u00e9p d\u00e0i l\u00e0m t\u0103ng nhu c\u1ea7u ti\u00eau th\u1ee5 oxy c\u1ee7a c\u01a1 tim, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u c\u01a1 tim. L\u00e2u d\u00e0i s\u1ebd d\u1eabn \u0111\u1ebfn suy th\u1ea5t tr\u00e1i, suy tim.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20190708_105304_108880_hep-van-dong-mach-c.max-1800x1800.jpg\" alt=\" van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7\" width=\"476\" height=\"295\" \/><\/p>\n<h2>2. Ti\u1ebfn tri\u1ec3n, tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/h2>\n<p>Giai \u0111o\u1ea1n \u0111\u1ea7u k\u00e9o d\u00e0i b\u1ec7nh kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u01b0\u1ee3c. Giai \u0111o\u1ea1n n\u00e0y c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong v\u00e0 bi\u1ebfn ch\u1ee9ng r\u1ea5t th\u1ea5p. M\u1ee9c \u0111\u1ed9 ti\u1ebfn tri\u1ec3n c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 r\u1ea5t \u0111a d\u1ea1ng, t\u00f9y thu\u1ed9c v\u00e0o b\u1ec7nh c\u1ea3nh m\u1ed7i ng\u01b0\u1eddi. B\u1ec7nh s\u1ebd ti\u1ebfn tri\u1ec3n nhanh h\u01a1n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tho\u00e1i h\u00f3a v\u00e0 v\u00f4i h\u00f3a van so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eb9p van \u0110MC b\u1ea9m sinh ho\u1eb7c do th\u1ea5p tim. Ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 c\u1ea3m th\u1ea5y kh\u00f3 ch\u1ecbu khi di\u1ec7n t\u00edch l\u1ed7 van \u0110MC &lt; 1,0 cm<sup>2 <\/sup>.<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng g\u1eb7p ph\u1ea3i l\u00e0:<\/p>\n<ul>\n<li>\u0110au ng\u1ef1c<\/li>\n<li>H\u1ea1 huy\u1ebft \u00e1p<\/li>\n<li>Cho\u00e1ng v\u00e1ng, ng\u1ea5t<\/li>\n<li>C\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a<a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/suy-tim-co-may-cap-do-phan-biet-cac-cap-do-cua-suy-tim-nhu-nao\/\"> suy tim<\/a><\/li>\n<\/ul>\n<p>Khi b\u1ec7nh nh\u00e2n xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng n\u00eau tr\u00ean, t\u1ef7 l\u1ec7 s\u1ed1ng\u00a0 gi\u1ea3m r\u1ea5t nhanh do c\u00f3 nguy c\u01a1 \u0111\u1ed9t t\u1eed. \u0110\u1ed9t t\u1eed x\u1ea3y ra do c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t tr\u00ean b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i ho\u1eb7c r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ee9 ph\u00e1t do thi\u1ebfu m\u00e1u c\u01a1 tim. Khi \u0111\u00e3 xu\u1ea5t hi\u1ec7n \u0111au ng\u1ef1c t\u1ef7 l\u1ec7 s\u1ed1ng ch\u1ec9 c\u00f2n kh\u00f4ng t\u1edbi 50% sau 5 n\u0103m. V\u00e0 khi \u0111\u00e3 suy tim th\u00ec th\u1eddi gian s\u1ed1ng d\u01b0\u1edbi 2 n\u0103m.<\/p>\n<p>V\u00ec v\u1eady, s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng l\u00e0 m\u1ed1c c\u1ef1c k\u1ef3 quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ti\u1ebfn tri\u1ec3n t\u1ef1 nhi\u00ean c\u1ee7a b\u1ec7nh h\u1eb9p van \u0110MC. C\u1ea7n ph\u1ea3i theo d\u00f5i \u0111\u1ecbnh k\u1ef3 th\u01b0\u1eddng xuy\u00ean\u00a0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eb9p van \u0110MC v\u1eeba v\u00e0 nh\u1eb9 ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<h3>3. Ch\u1ea9n \u0111o\u00e1n<\/h3>\n<p>B\u00e1c s\u0129 s\u1ebd h\u1ecfi k\u1ef9 v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e0 b\u1ea1n g\u1eb7p ph\u1ea3i . Sau \u0111\u00f3 s\u1ebd ti\u1ebfn h\u00e0nh th\u0103m kh\u00e1m v\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh cho b\u1ea1n.<\/p>\n<p>&#8211; Th\u0103m kh\u00e1m:<\/p>\n<ul>\n<li>B\u1eaft m\u1ea1ch: m\u1ea1ch c\u1ea3nh n\u1ea9y y\u1ebfu v\u00e0 \u0111\u1ebfn ch\u1eadm.<\/li>\n<li>Nh\u1ecbp tim: Nh\u1ecbp tim nhanh l\u00fac ngh\u1ec9 l\u00e0 d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a t\u00ecnh tr\u1ea1ng cung l\u01b0\u1ee3ng tim gi\u1ea3m th\u1ea5p.<\/li>\n<li>S\u1edd di\u1ec7n \u0111\u1eadp c\u1ee7a tim: di\u1ec7n \u0111\u1eadp lan t\u1ecfa khi th\u1ea5t tr\u00e1i ph\u00ec \u0111\u1ea1i<\/li>\n<li>Nghe tim: ph\u00e1t hi\u1ec7n c\u00e1c ti\u1ebfng tim , ti\u1ebfng th\u1ed5i b\u1ec7nh l\u00fd.<\/li>\n<\/ul>\n<p>-C\u00e1c x\u00e9t nghi\u1ec7m, ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh th\u01b0\u1eddng d\u00f9ng:<\/p>\n<p>+ \u0110i\u1ec7n t\u00e2m \u0111\u1ed3<\/p>\n<p>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 th\u01b0\u1eddng th\u1ea5y t\u00ecnh tr\u1ea1ng d\u00e0y nh\u0129 tr\u00e1i (80%) v\u00e0 ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i (85%). \u00edt khi th\u1ea5y r\u1ed1i lo\u1ea1n nh\u1ecbp tim, ch\u1ee7 y\u1ebfu\u00a0 th\u1ea5y \u1edf giai \u0111o\u1ea1n cu\u1ed1i v\u00e0 \u0111a s\u1ed1 l\u00e0 rung nh\u0129.<\/p>\n<p>+ Ch\u1ee5p Xquang ng\u1ef1c<\/p>\n<p>Xquang ng\u1ef1c c\u00f3 th\u1ec3 h\u00ecnh \u1ea3nh ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng n\u00ean \u00edt gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n. H\u00ecnh \u1ea3nh b\u00f3ng tim h\u00ecnh chi\u1ebfc \u1ee7ng g\u1eb7p khi ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i \u0111\u1ed3ng t\u00e2m. B\u00f3ng tim th\u01b0\u1eddng to n\u1ebfu \u0111\u00e3 c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i ho\u1eb7c c\u00f3 h\u1edf van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ph\u1ed1i h\u1ee3p. Ngo\u00e0i ra c\u00f3 th\u1ec3 th\u1ea5y h\u00ecnh \u1ea3nh v\u00f4i h\u00f3a van \u0110MC tr\u00ean phim ch\u1ee5p nghi\u00eang b\u1ec7nh nh\u00e2n cao tu\u1ed5i ho\u1eb7c gi\u00e3n \u0111o\u1ea1n \u0110MC l\u00ean sau h\u1eb9p.<\/p>\n<p>+ Si\u00eau \u00e2m Doppler tim<\/p>\n<p>Si\u00eau \u00e2m Doppler tim l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a h\u1eb9p ch\u1ee7 . Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho ph\u00e9p \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng van, m\u1ee9c \u0111\u1ed9 h\u1eb9p van \u0110MC \u1edf h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n nh\u1edd vi\u1ec7c \u0111o \u0111\u01b0\u1ee3c v\u1eadn t\u1ed1c t\u1ed1i \u0111a d\u00f2ng ch\u1ea3y qua van \u0110MC, ch\u00eanh \u00e1p trung b\u00ecnh qua van, di\u1ec7n t\u00edch l\u1ed7 van,&#8230;.<\/p>\n<p>M\u1ee9c \u0111\u1ed9 h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean di\u1ec7n t\u00edch l\u1ed7 van:<\/p>\n<ul>\n<li>Nh\u1eb9: di\u1ec7n t\u00edch l\u1ed7 van &gt; 1,5 cm2.<\/li>\n<li>V\u1eeba: di\u1ec7n t\u00edch l\u1ed7 van t\u1eeb 1-1,5 cm2.<\/li>\n<li>N\u1eb7ng: di\u1ec7n t\u00edch l\u1ed7 van &lt; 1 cm2, khi<\/li>\n<li>R\u1ea5t kh\u00edt : di\u1ec7n t\u00edch l\u1ed7 van &lt; 0,75 cm2 (&lt; 0,5 cm2\/m2 di\u1ec7n t\u00edch da)<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra c\u0169ng c\u00f3 th\u1ec3\u00a0 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1eb1ng bi\u00ean \u0111\u1ed9 m\u1edf van tr\u00ean <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/sieu-am-tim-kieu-tm-va-nhung-dieu-can-biet\/\">si\u00eau \u00e2m TM<\/a> . B\u00ecnh th\u01b0\u1eddng bi\u00ean \u0111\u1ed9 m\u1edf van l\u00e0 t\u1eeb 16 \u0111\u1ebfn 22 mm.<\/p>\n<ul>\n<li>Nh\u1eb9: bi\u00ean \u0111\u1ed9 m\u1edf van \u0110MC t\u1eeb 13-15 mm.<\/li>\n<li>V\u1eeba: bi\u00ean \u0111\u1ed9 m\u1edf van \u0110MC t\u1eeb 8-12 mm.<\/li>\n<li>N\u1eb7ng: bi\u00ean \u0111\u1ed9 m\u1edf van \u0110MC &lt; 8 mm.<\/li>\n<\/ul>\n<p>Gi\u00e1 tr\u1ecb n\u00e0y kh\u00f4ng ho\u00e0n to\u00e0n ch\u00ednh x\u00e1c do ch\u1ec9 \u0111\u00e1nh gi\u00e1 kho\u1ea3ng c\u00e1ch gi\u1eefa 2 trong t\u1ed5ng 3 l\u00e1 van \u0110MC. Cung l\u01b0\u1ee3ng tim gi\u1ea3m c\u0169ng l\u00e0m gi\u1ea3m bi\u00ean \u0111\u1ed9 m\u1edf van \u0110MC d\u00f9 kh\u00f4ng h\u1eb9p van \u0110MC th\u1ef1c s\u1ef1.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u1edf v\u1ecb tr\u00ed van \u0110MC. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng t\u1ed1ng m\u00e1u c\u1ee7a th\u1ea5t tr\u00e1i g\u00e2y ra s\u1ef1 gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 [&hellip;]<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,32],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ti\u1ebfn tri\u1ec3n c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1ch ch\u1ea9n \u0111o\u00e1n - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u1edf v\u1ecb tr\u00ed van \u0110MC. B\u1ec7nh c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m, kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng d\u00f9 \u0111\u00e3 c\u1ea3n tr\u1edf \u0111\u01b0\u1eddng ra th\u1ea5t tr\u00e1i.C\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra b\u1ec7nh n\u00e0y \u1edf ng\u01b0\u1eddi l\u1edbn bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng van \u0110MC b\u1ea9m sinh (van \u0110MC m\u1ed9t l\u00e1 van, hai l\u00e1 van), b\u1ec7nh van tim h\u1eadu th\u1ea5p, tho\u00e1i ho\u00e1 van \u0110MC,...\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ti\u1ebfn tri\u1ec3n c\u1ee7a h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1ch ch\u1ea9n \u0111o\u00e1n - Vinmec\" \/>\n<meta property=\"og:description\" content=\"H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 (\u0110MC) l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u1edf v\u1ecb tr\u00ed van \u0110MC. 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