{"id":18094,"date":"2023-04-14T13:12:17","date_gmt":"2023-04-14T06:12:17","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18094"},"modified":"2023-04-14T15:03:17","modified_gmt":"2023-04-14T08:03:17","slug":"benh-hoc-benh-dong-mach-vanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/benh-hoc-benh-dong-mach-vanh\/","title":{"rendered":"B\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh"},"content":{"rendered":"<p><strong>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd v\u1ec1 tim m\u1ea1ch, do s\u1ef1 t\u1eafc ngh\u1ebdn ho\u1eb7c thu h\u1eb9p c\u00e1c \u0111\u1ed9ng m\u1ea1ch t\u1ea1o th\u00e0nh trong th\u00e0nh m\u1ea1ch c\u1ee7a tim, g\u00e2y kh\u00f3 kh\u0103n cho m\u00e1u b\u01a1m t\u1eeb tim \u0111\u1ebfn c\u00e1c c\u01a1 tim. Hi\u1ec3u v\u1ec1 b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 c\u1ea7n thi\u1ebft trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0103n b\u1ec7nh n\u00e0y.<\/strong><\/p>\n<h2>1. Gi\u1ea3i ph\u1eabu \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h2>\n<p>Xu\u1ea5t ph\u00e1t \u1edf g\u1ed1c \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, qua trung gian l\u00e0 nh\u1eefng xoang Valsalva, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i v\u00e0 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i ch\u1ea1y tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a tim (gi\u1eefa c\u01a1 tim v\u00e0 ngo\u1ea1i t\u00e2m m\u1ea1c). Nh\u1eefng xoang Valsalva c\u00f3 vai tr\u00f2 nh\u01b0 m\u1ed9t b\u00ecnh ch\u1ee9a \u0111\u1ec3 duy tr\u00ec m\u1ed9t cung l\u01b0\u1ee3ng v\u00e0nh kh\u00e1 \u1ed5n \u0111\u1ecbnh.<\/p>\n<h3>1.1. \u0110\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i<\/h3>\n<p>\u0110\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i sau khi xu\u1ea5t ph\u00e1t \u1edf g\u1ed1c \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, \u0111i m\u1ed9t \u0111o\u1ea1n ng\u1eafn 1-3cm (th\u00e2n chung \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i), chia th\u00e0nh hai nh\u00e1nh: \u0110\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc v\u00e0 \u0111\u1ed9ng m\u1ea1ch m\u0169. Trong 1\/3 tr\u01b0\u1eddng h\u1ee3p, \u0111\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i chia ba c\u00f3 th\u00eam m\u1ed9t nh\u00e1nh l\u00e0 nh\u00e1nh ph\u00e2n gi\u00e1c. \u0110\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc th\u01b0\u1eddng \u0111i theo r\u00e3nh li\u00ean tr\u01b0\u1edbc v\u00e0 ti\u1ebfp t\u1ee5c v\u1ec1 ph\u00eda m\u1ecfm tim. \u0110\u1ed9ng m\u1ea1ch n\u00e0y cung c\u1ea5p m\u00e1u cho v\u00e1ch li\u00ean th\u1ea5t (bao g\u1ed3m h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n \u0111o\u1ea1n g\u1ea7n) v\u00e0 th\u00e0nh t\u1ef1 do ph\u00eda tr\u01b0\u1edbc c\u1ee7a th\u1ea5t tr\u00e1i (LV). Trong tr\u01b0\u1eddng h\u1ee3p chia ba, nh\u00e1nh ph\u00e2n gi\u00e1c cung c\u1ea5p m\u00e1u cho th\u00e0nh tr\u01b0\u1edbc b\u00ean. \u0110\u1ed9ng m\u1ea1ch m\u0169 th\u01b0\u1eddng nh\u1ecf h\u01a1n \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc, ch\u1ea1y trong r\u00e3nh nh\u0129 th\u1ea5t, cung c\u1ea5p m\u00e1u cho th\u00e0nh b\u00ean c\u1ee7a th\u1ea5t tr\u00e1i. Vai tr\u00f2 c\u1ee7a \u0111\u1ed9ng m\u1ea1ch m\u0169 thay \u0111\u1ed5i tu\u1ef3 theo t\u00ecnh tr\u1ea1ng \u01b0u n\u0103ng c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i .<\/p>\n<h3>1.2. \u0110\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i<\/h3>\n<p>\u0110\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i c\u00f3 nguy\u00ean u\u1ef7 t\u1eeb xoang Valsava tr\u01b0\u1edbc ph\u1ea3i. \u1ede h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i \u01b0u th\u1ebf: \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u00ean ph\u1ea3i ch\u1ea1y trong r\u00e3nh nh\u0129 th\u1ea5t ph\u1ea3i c\u1ee7a tim; \u1ede \u0111\u1ecdan g\u1ea7n cho nh\u00e1nh v\u00e0o nh\u0129 (\u0111\u1ed9ng m\u1ea1ch n\u00fat xoang) v\u00e0 th\u1ea5t ph\u1ea3i (\u0111\u1ed9ng m\u1ea1ch ph\u1ec5u) r\u1ed3i v\u00f2ng ra b\u1edd ph\u1ea3i, t\u1edbi ch\u1eef th\u1eadp c\u1ee7a tim chia th\u00e0nh nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t sau v\u00e0 qu\u1eb7t ng\u01b0\u1ee3c th\u1ea5t tr\u00e1i. \u0110\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i c\u1ea5p m\u00e1u cho n\u00fat xoang (trong 55%), t\u00e2m th\u1ea5t ph\u1ea3i, th\u01b0\u1eddng l\u00e0 n\u00fat nh\u0129 th\u1ea5t v\u00e0 th\u00e0nh d\u01b0\u1edbi c\u01a1 tim. Kho\u1ea3ng 10 \u0111\u1ebfn 15% s\u1ed1 ng\u01b0\u1eddi c\u00f3 \u0111\u1ed9ng m\u1ea1ch tr\u00e1i \u01b0u th\u1ebf: \u0110\u1ed9ng m\u1ea1ch m\u0169 l\u1edbn h\u01a1n v\u00e0 ti\u1ebfp t\u1ee5c d\u1ecdc theo r\u00e3nh nh\u0129 th\u1ea5t ph\u00eda sau \u0111\u1ec3 cung c\u1ea5p m\u00e1u cho th\u00e0nh sau v\u00e0 n\u00fat AV.<\/p>\n<figure id=\"attachment_18106\" aria-describedby=\"caption-attachment-18106\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-18106\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20200423_095637_746789_he_dong_mach.max-800x800-1-300x172.jpg\" alt=\"hinh-anh-dong-mach-vanh\" width=\"300\" height=\"172\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20200423_095637_746789_he_dong_mach.max-800x800-1-300x172.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20200423_095637_746789_he_dong_mach.max-800x800-1.jpg 561w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-18106\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/figcaption><\/figure>\n<h2>2. Sinh l\u00fd b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch m\u00e0nh<\/h2>\n<h3>2.1. X\u01a1 v\u1eefa m\u1ea1ch v\u00e0nh trong b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h3>\n<p>Chi\u1ebfm t\u1ef7 tr\u1ecdng l\u1edbn trong b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/p>\n<ul>\n<li><strong>V\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng:<\/strong> N\u1ed9i m\u1ea1c m\u1ea1ch v\u00e0nh, th\u01b0\u1eddng t\u1ea3i r\u00e1c, nh\u01b0ng th\u01b0\u1eddng ch\u1ee7 y\u1ebfu \u1edf c\u00e1c v\u1ecb tr\u00ed \u0111\u1eb7c bi\u1ec7t (v\u00ed d\u1ee5, v\u1ecb tr\u00ed m\u1ea1ch chia \u0111\u00f4i).<\/li>\n<li><strong>Sinh l\u00fd c\u1ee7a b\u1ec7nh x\u01a1 v\u1eefa m\u1ea1ch v\u00e0nh<\/strong> bao g\u1ed3m:\n<ul>\n<li>S\u1ef1 t\u00edch t\u1ee5 c\u1ee7a ch\u1ea5t b\u00e9o v\u00e0 cholesterol trong th\u00e0nh m\u1ea1ch v\u00e0nh.<\/li>\n<li>Vi\u00eam: Th\u01b0\u01a1ng t\u1ed5n trong th\u00e0nh m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ph\u1ea3n \u1ee9ng vi\u00eam, g\u00e2y ra s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c.<\/li>\n<li>T\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch: S\u1ef1 t\u00edch t\u1ee5 c\u00e1c ch\u1ea5t b\u00e9o, cholesterol v\u00e0 t\u1ebf b\u00e0o x\u01a1 d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch, gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 oxy \u0111\u1ebfn c\u01a1 tim.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>H\u1eadu qu\u1ea3: \u00a0<\/strong>Khi c\u01a1 tim kh\u00f4ng nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ee7 m\u00e1u v\u00e0 oxy, n\u00f3 s\u1ebd kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au th\u1eaft ng\u1ef1c, kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi v\u00e0 \u0111au \u0111\u1ea7u. M\u1ee9c \u0111\u1ed9 h\u1eb9p c\u1ea7n thi\u1ebft \u0111\u1ec3 g\u00e2y thi\u1ebfu m\u00e1u thay \u0111\u1ed5i theo nhu c\u1ea7u oxy c\u1ee7a c\u01a1 tim.<\/p>\n<p>Trong tr\u01b0\u1eddng h\u1ee3p m\u1ea3ng x\u01a1 v\u1eefa qu\u00e1 l\u1edbn b\u1ecb v\u1ee1 ra, l\u00e0m l\u1ed9 ra l\u1edbp collagen v\u00e0 c\u00e1c ch\u1ea5t g\u00e2y huy\u1ebft kh\u1ed1i kh\u00e1c, k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh k\u1ebft t\u1ee5 ti\u1ec3u c\u1ea7u, ho\u1ea1t ho\u00e1 qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u, t\u1ea1o n\u00ean c\u1ee5c m\u00e1u \u0111\u00f4ng g\u00e2y b\u00edt t\u1eafc ho\u00e0n to\u00e0n m\u1ea1ch v\u00e0nh. H\u1eadu qu\u1ea3 l\u00e0 h\u1ed9i ch\u1ee9ng v\u00e0nh c\u1ea5p.<\/p>\n<h3>2.2. Co th\u1eaft m\u1ea1ch v\u00e0nh trong b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h3>\n<p>\u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng tr\u01b0\u01a1ng l\u1ef1c m\u1ea1ch khu tr\u00fa, tho\u00e1ng qua, l\u00e0m h\u1eb9p l\u00f2ng m\u1ea1ch r\u00f5 r\u1ec7t v\u00e0 l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u, d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, h\u1eadu qu\u1ea3 l\u00e0 c\u00e1c c\u01a1n \u0111au th\u1eaft ng\u1ef1c. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra c\u1ea3 \u1edf \u0111\u1ed9ng m\u1ea1ch c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 m\u1ea3ng x\u01a1 v\u1eefa.<\/p>\n<ul>\n<li>Trong \u0111\u1ed9ng m\u1ea1ch c\u00f3 m\u1ea3ng x\u01a1 v\u1eefa\n<ul>\n<li>Co th\u1eaft m\u1ea1ch v\u00e0nh do s\u1ef1 t\u0103ng tr\u01b0\u01a1ng l\u1ef1c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c k\u00edch th\u00edch m\u1ea1ch m\u00e1u<\/li>\n<li>C\u01a1 ch\u1ebf kh\u00f4ng r\u00f5 r\u00e0ng<\/li>\n<li>C\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng s\u1ea3n xu\u1ea5t oxit nitric c\u1ee7a t\u1ebf b\u00e0o n\u1ed9i m\u00f4 m\u1ea1ch v\u00e0nh ho\u1eb7c s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa c\u00e1c h\u1ee3p ch\u1ea5t c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb n\u1ed9i m\u00f4 m\u1ea1ch v\u00e0nh v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y gi\u00e3n m\u1ea1ch t\u1eeb \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n<\/ul>\n<\/li>\n<li>Trong \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng c\u00f3 m\u1ea3ng x\u01a1 v\u1eefa\n<ul>\n<li>M\u1ea3ng x\u01a1 v\u1eefa l\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4 m\u1ea1ch v\u00e0nh, t\u0103ng nguy c\u01a1 co th\u1eaft<\/li>\n<li>C\u00e1c c\u01a1 ch\u1ebf \u0111\u1ec1 xu\u1ea5t li\u00ean quan \u0111\u1ebfn m\u1ea5t nh\u1ea1y c\u1ea3m \u0111\u1ed1i v\u1edbi c\u00e1c ch\u1ea5t gi\u00e3n m\u1ea1ch v\u00e0 t\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c ch\u1ea5t co m\u1ea1ch.<\/li>\n<li>Co th\u1eaft t\u00e1i ph\u00e1t c\u00f3 th\u1ec3 l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e0m t\u0103ng t\u1ed5n th\u01b0\u01a1ng n\u1ed9i m\u00f4 m\u1ea1ch v\u00e0nh, t\u0103ng nguy c\u01a1 h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3>2.3. B\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch v\u00e0nh trong b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h3>\n<p>Hi\u1ebfm g\u1eb7p, \u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng th\u00e0nh m\u1ea1ch v\u00e0nh b\u1ecb r\u00e1ch t\u1ea1o th\u00e0nh m\u1ed9t l\u00f2ng gi\u1ea3 trong l\u00f2ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. H\u1eadu qu\u1ea3 l\u00e0 l\u00f2ng m\u1ea1ch gi\u00e3n ra, h\u1ea1n ch\u1ebf d\u00f2ng m\u00e1u ch\u1ea3y qua l\u00f2ng m\u1ea1ch, d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u m\u1ea1ch v\u00e0nh. Nh\u1eefng ph\u1ee5 n\u1eef mang thai ho\u1eb7c sau sinh v\u00e0\/ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 lo\u1ea1n s\u1ea3n x\u01a1 c\u01a1 v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n m\u00f4 li\u00ean k\u1ebft c\u00f3 nguy c\u01a1 cao g\u1eb7p t\u00ecnh tr\u1ea1ng n\u00e0y.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd v\u1ec1 tim m\u1ea1ch, do s\u1ef1 t\u1eafc ngh\u1ebdn ho\u1eb7c thu h\u1eb9p c\u00e1c \u0111\u1ed9ng m\u1ea1ch t\u1ea1o th\u00e0nh trong th\u00e0nh m\u1ea1ch c\u1ee7a tim, g\u00e2y kh\u00f3 kh\u0103n cho m\u00e1u b\u01a1m t\u1eeb tim \u0111\u1ebfn c\u00e1c c\u01a1 tim. Hi\u1ec3u v\u1ec1 b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 c\u1ea7n thi\u1ebft trong qu\u00e1 tr\u00ecnh ch\u1ea9n [&hellip;]<\/p>\n","protected":false},"author":60,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - Vinmec<\/title>\n<meta name=\"description\" content=\"Hi\u1ec3u v\u1ec1 b\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 c\u1ea7n thi\u1ebft trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0103n b\u1ec7nh n\u00e0y.\" \/>\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=\"B\u1ec7nh h\u1ecdc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - 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