{"id":1885,"date":"2023-04-08T22:49:02","date_gmt":"2023-04-08T15:49:02","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1885"},"modified":"2023-04-13T15:32:03","modified_gmt":"2023-04-13T08:32:03","slug":"ton-thuong-phoi-trong-benh-xo-cung-bi","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/08\/ton-thuong-phoi-trong-benh-xo-cung-bi\/","title":{"rendered":"T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec"},"content":{"rendered":"<p><strong>B\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec (Systemic Sclerosis) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng, hi\u1ec7n v\u1eabn ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 d\u00e0y v\u00e0 l\u1eafng \u0111\u1ecdng collagen t\u1ea1i da v\u00e0 c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng. T\u1ed5n th\u01b0\u01a1ng c\u1ee7a b\u1ec7nh th\u01b0\u1eddng \u0111a d\u1ea1ng. Trong \u0111\u00f3, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i th\u01b0\u1eddng g\u1eb7p v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 d\u1eabn \u0111\u1ebfn t\u1eed vong b\u1ec7nh nh\u00e2n x\u01a1 c\u1ee9ng b\u00ec<\/strong><\/p>\n<h2>1. T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong x\u01a1 c\u1ee9ng b\u00ec<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a x\u01a1 c\u1ee9ng b\u00ec. Vi\u1ec7c ph\u00e1t hi\u1ec7n s\u1edbm t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c h\u1eadu qu\u1ea3 \u0111\u00e1ng ti\u1ebfc. Khi ph\u00e1t hi\u1ec7n s\u1edbm, c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 thu\u1ed1c kh\u00e1ng vi\u00eam, thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00f9y ch\u1ec9nh gi\u00fap ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh v\u00e0 gi\u1ea3m t\u00e1c \u0111\u1ed9ng l\u00ean ch\u1ee9c n\u0103ng ph\u1ed5i. N\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p v\u00e0 vi\u00eam ph\u1ed5i m\u00e3n t\u00ednh, g\u00e2y ra kh\u00f3 th\u1edf v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng. Do \u0111\u00f3, c\u00e1c b\u1ec7nh nh\u00e2n x\u01a1 c\u1ee9ng b\u00ec c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i th\u01b0\u1eddng xuy\u00ean v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 suy h\u00f4 h\u1ea5p v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<h2>2. Nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec<\/h2>\n<p>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec. Tuy nhi\u00ean, nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh v\u00e0 c\u01a1 ch\u1ebf ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u r\u00f5.<\/p>\n<h3>2.1 Nguy\u00ean nh\u00e2n<\/h3>\n<ul>\n<li>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec \u0111\u01b0\u1ee3c cho l\u00e0 do t\u00e1c \u0111\u1ed9ng c\u1ee7a h\u1ec7 mi\u1ec5n d\u1ecbch t\u1ef1 mi\u1ec5n l\u00ean m\u00f4 li\u00ean k\u1ebft v\u00e0 c\u00e1c m\u00f4 m\u1ec1m kh\u00e1c trong c\u01a1 th\u1ec3.<\/li>\n<li>C\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch, \u0111\u1eb7c bi\u1ec7t l\u00e0 t\u1ebf b\u00e0o T v\u00e0 B, s\u1ea3n xu\u1ea5t c\u00e1c kh\u00e1ng th\u1ec3 v\u00e0 cytokine g\u00e2y ra s\u1ef1 vi\u00eam v\u00e0 ph\u1ea3n \u1ee9ng t\u1ef1 mi\u1ec5n.<\/li>\n<li>S\u1ef1 t\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c lo\u1ea1i collagen c\u00f9ng v\u1edbi s\u1ef1 r\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh s\u1eeda ch\u1eefa m\u00f4 \u0111\u01b0\u1ee3c cho l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 quan tr\u1ecdng trong s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh.<\/li>\n<\/ul>\n<h3>2.2 C\u01a1 ch\u1ebf ph\u00e1t tri\u1ec3n<\/h3>\n<ul>\n<li>S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec b\u1eaft \u0111\u1ea7u t\u1eeb c\u00e1c v\u00f9ng vi\u00eam. Sau \u0111\u00f3 d\u1eabn \u0111\u1ebfn s\u1ef1 x\u01a1 h\u00f3a v\u00e0 t\u1ed5n th\u01b0\u01a1ng m\u00f4 li\u00ean k\u1ebft v\u00e0 c\u00e1c m\u00f4 m\u1ec1m kh\u00e1c trong c\u01a1 th\u1ec3.<\/li>\n<li>S\u1ef1 x\u01a1 h\u00f3a l\u00e0 qu\u00e1 tr\u00ecnh m\u00e0 c\u00e1c s\u1ee3i collagen t\u00edch t\u1ee5 trong m\u00f4 li\u00ean k\u1ebft, d\u1eabn \u0111\u1ebfn s\u1ef1 m\u1ea5t \u0111i t\u00ednh linh ho\u1ea1t c\u1ee7a m\u00f4 v\u00e0 l\u00e0m cho m\u00f4 tr\u1edf n\u00ean c\u1ee9ng v\u00e0 kh\u00f3 b\u1ecb co r\u00fat.<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec th\u01b0\u1eddng t\u1eadp trung \u1edf v\u00f9ng d\u01b0\u1edbi c\u1ee7a ph\u1ed5i v\u00e0 c\u00f3 th\u1ec3 lan r\u1ed9ng ra c\u00e1c v\u00f9ng kh\u00e1c. S\u1ef1 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 suy y\u1ebfu c\u1ee7a ch\u1ee9c n\u0103ng ph\u1ed5i.\u00a0 D\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ho v\u00e0 \u0111au ng\u1ef1c.<\/li>\n<\/ul>\n<h2>3. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p trong t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec<\/h2>\n<h3>3.1 Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam ph\u1ed5i k\u1ebd trong x\u01a1 c\u1ee9ng b\u00ec<\/h3>\n<p>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng vi\u00eam ph\u1ed5i k\u1ebd g\u1eb7p \u1edf kho\u1ea3ng 16-43% c\u00e1c tr\u01b0\u1eddng h\u1ee3p. C\u00e1c tri\u1ec7u ch\u1ee9ng g\u1eb7p trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>Kh\u00f3 th\u1edf.<\/li>\n<li>Ho khan k\u00e9o d\u00e0i.<\/li>\n<li>M\u1ec7t m\u1ecfi.<\/li>\n<li>Gi\u1ea3m kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c.<\/li>\n<li>Nghe th\u1ea5y rale ph\u1ebf nang \u1edf 2 \u0111\u00e1y ph\u1ed5i.<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, c\u1ea7n ph\u1ea3i l\u00e0m c\u00e1c c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 XQ ng\u1ef1c, CLVT l\u1edbp m\u1ecfng \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao l\u1ed3ng ng\u1ef1c\u2026 \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh.<\/p>\n<h3>3.2 Tri\u1ec7u ch\u1ee9ng c\u1ee7a t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i trong x\u01a1 c\u1ee9ng b\u00ec<\/h3>\n<p>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf kho\u1ea3ng 15% c\u00e1c tr\u01b0\u1eddng h\u1ee3p. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>Kh\u00f3 th\u1edf t\u0103ng d\u1ea7n, c\u00f3 th\u1ec3 gi\u1ea3m khi ngh\u1ec9 ng\u01a1i.<\/li>\n<li>C\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a suy tim ph\u1ea3i.<\/li>\n<li>Nh\u1ecbp tim nhanh.<\/li>\n<li>Ph\u00f9 chi d\u01b0\u1edbi.<\/li>\n<li>Nghe tim c\u00f3 ti\u1ebfng T2 t\u00e1ch \u0111\u00f4i.<\/li>\n<li>Ph\u1ea3n h\u1ed3i gan t\u0129nh m\u1ea1ch d\u01b0\u01a1ng t\u00ednh.<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra c\u00f3 th\u1ec3 l\u00e0m c\u00e1c c\u1eadn l\u00e2m s\u00e0ng nh\u01b0 si\u00eau \u00e2m doppler tim, th\u00f4ng tim ph\u1ea3i,\u2026 \u0111\u1ec3 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh.<\/p>\n<h3>3.3 T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i kh\u00e1c<\/h3>\n<p>Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm h\u01a1n, ch\u00fang ta c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0 b\u1ec7nh vi\u00eam ph\u1ed5i do tr\u00e0o ng\u01b0\u1ee3c, xu\u1ea5t huy\u1ebft ph\u1ebf nang, vi\u00eam m\u00e0ng ph\u1ed5i, r\u1ed1i lo\u1ea1n th\u00f4ng kh\u00ed h\u1ea1n ch\u1ebf,\u2026<\/p>\n<figure id=\"attachment_1906\" aria-describedby=\"caption-attachment-1906\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-1906\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/ton-thuong-phoi-trong-benh-xo-cung-bi-300x205.jpg\" alt=\"T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec\" width=\"300\" height=\"205\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/ton-thuong-phoi-trong-benh-xo-cung-bi-300x205.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/ton-thuong-phoi-trong-benh-xo-cung-bi.jpg 600w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-1906\" class=\"wp-caption-text\">T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec<\/figcaption><\/figure>\n<p>T\u00f3m l\u1ea1i, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh l\u00fd x\u01a1 c\u1ee9ng b\u00ec l\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. N\u00f3 g\u00e2y n\u00ean s\u1ef1 suy y\u1ebfu ch\u1ee9c n\u0103ng ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. Hi\u1ec3u r\u00f5 nguy\u00ean nh\u00e2n, c\u01a1 ch\u1ebf v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng trong b\u1ec7nh n\u00e0y l\u00e0 th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft, gi\u00fap ch\u00fang ta ph\u00f2ng tr\u00e1nh s\u1ef1 nguy hi\u1ec3m m\u00e0 n\u00f3 mang l\u1ea1i.<\/p>\n<p>Xem th\u00eam:<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-xo-cung-bi-co-chua-duoc-khong\/\"> B\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec c\u00f3 ch\u1eefa \u0111\u01b0\u1ee3c kh\u00f4ng?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec (Systemic Sclerosis) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng, hi\u1ec7n v\u1eabn ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 d\u00e0y v\u00e0 l\u1eafng \u0111\u1ecdng collagen t\u1ea1i da v\u00e0 c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng. T\u1ed5n th\u01b0\u01a1ng c\u1ee7a b\u1ec7nh th\u01b0\u1eddng \u0111a d\u1ea1ng. Trong \u0111\u00f3, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i th\u01b0\u1eddng g\u1eb7p v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng [&hellip;]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec - Vinmec<\/title>\n<meta name=\"description\" content=\"T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh l\u00fd x\u01a1 c\u1ee9ng b\u00ec l\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, g\u00e2y n\u00ean s\u1ef1 suy y\u1ebfu ch\u1ee9c n\u0103ng ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong.\" \/>\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=\"T\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong b\u1ec7nh x\u01a1 c\u1ee9ng b\u00ec - 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