{"id":20814,"date":"2023-04-16T21:30:47","date_gmt":"2023-04-16T14:30:47","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20814"},"modified":"2023-04-17T11:56:23","modified_gmt":"2023-04-17T04:56:23","slug":"tiep-can-chan-doan-dau-nguc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/tiep-can-chan-doan-dau-nguc\/","title":{"rendered":"Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c &#8211; B\u1ed9 Y t\u1ebf"},"content":{"rendered":"<p><strong>\u0110au ng\u1ef1c l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 \u0111e d\u1ecda tr\u1ef1c ti\u1ebfp t\u1edbi t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. V\u00ec v\u1eady, b\u00e1c s\u0129 c\u1ea7n c\u00f3 ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c \u0111\u00fang \u0111\u1eafn \u0111\u1ec3 \u0111\u01b0a ra nh\u1eefng ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi cho b\u1ec7nh nh\u00e2n. H\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ea5n \u0111\u1ec1 n\u00e0y trong b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n<h2><b>1. \u0110\u1ea1i c\u01b0\u01a1ng v\u1ec1 \u0111au ng\u1ef1c<\/b><\/h2>\n<p>\u0110au ng\u1ef1c l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng r\u1ea5t th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng, do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau g\u00e2y n\u00ean.<\/p>\n<p>Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c \u0111\u00f4i khi r\u1ea5t kh\u00f3 kh\u0103n v\u00e0 \u0111\u00f2i h\u1ecfi c\u1ea7n th\u1eddi gian, nh\u01b0ng \u0111i\u1ec3m quan tr\u1ecdng nh\u1ea5t \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e1c s\u0129 l\u00e2m s\u00e0ng c\u1ea7n ph\u1ea3i ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ho\u1eb7c lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng b\u1ec7nh nh\u00e2n nh\u01b0: c\u01a1n \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nh\u1ed3i m\u00e1u c\u01a1 tim, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, nh\u1ed3i m\u00e1u ph\u1ed5i, tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i \u00e1p l\u1ef1c.<\/p>\n<h2><b>2. Ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c<\/b><\/h2>\n<p><b>2.1. L\u00e2m s\u00e0ng<\/b><\/p>\n<p><b><i>2.1.1. H\u1ecfi b\u1ec7nh<\/i><\/b><\/p>\n<p>H\u1ecfi k\u1ef9 ti\u1ec1n s\u1eed g\u1ee3i \u00fd nguy\u00ean nh\u00e2n \u0111au ng\u1ef1c trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p: Ti\u1ec1n s\u1eed b\u1ec7nh tim m\u1ea1ch (t\u0103ng huy\u1ebft \u00e1p, x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch), ti\u1ec1n s\u1eed b\u1ec7nh h\u00f4 h\u1ea5p (COPD, hen ph\u1ebf qu\u1ea3n, tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i), ti\u1ec1n s\u1eed ch\u1ea5n th\u01b0\u01a1ng va \u0111\u1eadp v\u00f9ng ng\u1ef1c, ti\u1ec1n s\u1eed b\u1ec7nh ti\u00eau ho\u00e1 (vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, vi\u00eam d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n tr\u00e0o ng\u01b0\u1ee3c).<\/p>\n<p>Khai th\u00e1c b\u1ec7nh s\u1eed:<\/p>\n<ul>\n<li>Ho\u00e0n c\u1ea3nh xu\u1ea5t hi\u1ec7n \u0111au ng\u1ef1c: \u0110au ng\u1ef1c sau b\u1eefa \u0103n c\u00f3 th\u1ec3 do nguy\u00ean nh\u00e2n d\u1ea1 d\u00e0y, th\u1ef1c qu\u1ea3n ho\u1eb7c c\u01a1n \u0111au th\u1eaft ng\u1ef1c. \u0110au ng\u1ef1c sau g\u1eafng s\u1ee9c, sau k\u00edch th\u00edch l\u1ea1nh, sau stress t\u00e2m l\u00fd, sau khi quan h\u1ec7 t\u00ecnh d\u1ee5c th\u01b0\u1eddng c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh m\u1ea1ch v\u00e0nh.<\/li>\n<li>Kh\u1edfi ph\u00e1t c\u01a1n \u0111au: C\u01a1n \u0111au xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t c\u1ea7n t\u00ecm nh\u1ed3i m\u00e1u c\u01a1 tim, nh\u1ed3i m\u00e1u ph\u1ed5i, tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. \u0110au \u00e2m \u1ec9 c\u00f3 th\u1ec3 c\u00f3 ngu\u1ed3n g\u1ed1c th\u00e0nh ng\u1ef1c, \u0111au ngu\u1ed3n g\u1ed1c ti\u00eau ho\u00e1.<\/li>\n<li>T\u00ednh ch\u1ea5t c\u01a1n \u0111au: \u0110au d\u1eef d\u1ed9i, \u0111\u00e8 \u00e9p ng\u1ef1c: c\u1ea7n t\u00ecm c\u00e1c nguy\u00ean nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<li>V\u1ecb tr\u00ed \u0111au: V\u1ecb tr\u00ed c\u1ee7a \u0111au ng\u1ef1c c\u00f3 th\u1ec3 g\u1ee3i \u00fd c\u01a1 quan b\u1ecb b\u1ec7nh. \u0110au gi\u1eefa ng\u1ef1c th\u01b0\u1eddng l\u00e0 \u0111au do c\u01a1n \u0111au th\u1eaft ng\u1ef1c, \u0111au c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u01a1 quan ti\u00eau ho\u00e1. \u0110au b\u00ean ph\u1ea3i hay b\u00ean tr\u00e1i th\u01b0\u1eddng do nguy\u00ean nh\u00e2n ph\u1ed5i, m\u00e0ng ph\u1ed5i.<\/li>\n<li>H\u01b0\u1edbng lan: \u0110au lan l\u00ean c\u1ed5, h\u00e0m d\u01b0\u1edbi th\u01b0\u1eddng l\u00e0 c\u01a1n \u0111au th\u1eaft ng\u1ef1c, \u0111au lan t\u1eeb ng\u1ef1c xu\u1ed1ng b\u1ee5ng, th\u1eaft l\u01b0ng th\u01b0\u1eddng do ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<li>Y\u1ebfu t\u1ed1 l\u00e0m cho c\u01a1 \u0111au t\u0103ng l\u00ean: \u0110au t\u0103ng l\u00ean khi nu\u1ed1t th\u1ee9c \u0103n th\u01b0\u1eddng do nguy\u00ean nh\u00e2n th\u1ef1c qu\u1ea3n. \u0110au t\u0103ng l\u00ean khi ho, h\u1eaft h\u01a1i ho\u1eb7c h\u00edt th\u1edf s\u00e2u, \u0111au t\u0103ng l\u00ean khi thay \u0111\u1ed5i t\u01b0 th\u1ebf th\u01b0\u1eddng do nguy\u00ean nh\u00e2n b\u1ec7nh l\u00fd m\u00e0ng ph\u1ed5i hay ph\u1ed5i \u1ea3nh h-\u1edfng \u0111\u1ebfn m\u00e0ng ph\u1ed5i l\u00e1 th\u00e0nh.<\/li>\n<li>Y\u1ebfu t\u1ed1 l\u00e0m cho c\u01a1n \u0111au gi\u1ea3m \u0111i: \u0110au gi\u1ea3m \u0111i sau b\u1eefa \u0103n ho\u1eb7c d\u00f9ng c\u00e1c thu\u1ed1c trung ho\u00e0 acid d\u1ecbch v\u1ecb nguy\u00ean nh\u00e2n th\u01b0\u1eddng do b\u1ec7nh l\u00fd d\u1ea1 d\u00e0y. C\u01a1n \u0111au d\u1ecbu \u0111i sau khi ng\u1eadm thu\u1ed1c nitroglycerin d\u01b0\u1edbi l\u01b0\u1ee1i ho\u1eb7c khi \u0111\u1eb7t b\u1ec7nh nh\u00e2n n\u1eb1m ngh\u1ec9 ng\u01a1i y\u00ean t\u0129nh th\u01b0\u1eddng do b\u1ec7nh l\u00fd m\u1ea1ch v\u00e0nh.<\/li>\n<\/ul>\n<p><b>2.1.2. Kh\u00e1m l\u00e2m s\u00e0ng<\/b><\/p>\n<ul>\n<li><b><i>\u00a0Kh\u00e1m to\u00e0n tr\u1ea1ng<\/i><\/b><\/li>\n<\/ul>\n<p>&#8211; Ch\u00fa \u00fd t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n: H\u1ed1t ho\u1ea3ng, lo l\u1eafng trong c\u01a1n \u0111au th\u1eaft ng\u1ef1c.<\/p>\n<p>&#8211; V\u00e3 m\u1ed3 h\u00f4i, xanh t\u00e1i: C\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim, t\u1eafc m\u1ea1ch ph\u1ed5i, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/p>\n<p>&#8211; Suy h\u00f4 h\u1ea5p n\u1eb7ng l\u00ean: B\u1ec7nh l\u00fd ph\u1ed5i &#8211; m\u00e0ng ph\u1ed5i, nh\u1ed3i m\u00e1u c\u01a1 tim, t\u1eafc m\u1ea1ch ph\u1ed5i.<\/p>\n<ul>\n<li><b><i>\u00a0Kh\u00e1m tim m\u1ea1ch<\/i><\/b><\/li>\n<\/ul>\n<p>&#8211; \u0110o huy\u1ebft \u00e1p (HA): Ph\u00e1t hi\u1ec7n t\u0103ng HA, t\u1ee5t HA, ch\u00eanh l\u1ec7ch HA gi\u1eefa c\u00e1c chi.<\/p>\n<p>&#8211; \u0110\u1ebfm nh\u1ecbp tim, nh\u1ecbp m\u1ea1ch: Ph\u00e1t hi\u1ec7n d\u1ea5u hi\u1ec7u m\u1ea5t m\u1ea1ch ngo\u1ea1i vi, lo\u1ea1n nh\u1ecbp tim.<\/p>\n<p>&#8211; Kh\u00e1m m\u1ea1ch nhi\u1ec1u v\u1ecb tr\u00ed: M\u1ea1ch quay hai b\u00ean, m\u1ea1ch b\u1eb9n, m\u1ea1ch khoeo ch\u00e2n, m\u1ea1ch mu ch\u00e2n, so s\u00e1nh t\u00ecm v\u1ecb tr\u00ed t\u1eafc m\u1ea1ch. D\u1ea5u hi\u1ec7u huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi.<\/p>\n<p>&#8211; T\u00ecm d\u1ea5u hi\u1ec7u m\u1ea1ch \u0111\u1ea3o: Tr\u00e0n d\u1ecbch m\u00e0ng tim, trong c\u01a1n hen ph\u1ebf qu\u1ea3n, \u0111\u1ee3t c\u1ea5p BPTNMT.<\/p>\n<ul>\n<li><b><i>Kh\u00e1m h\u00f4 h\u1ea5p<\/i><\/b><\/li>\n<\/ul>\n<p>&#8211; T\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng: Tam ch\u1ee9ng Gailliard (tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i), h\u1ed9i ch\u1ee9ng ba gi\u1ea3m (tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, vi\u00eam m\u1ee7 m\u00e0ng ph\u1ed5i), h\u1ed9i ch\u1ee9ng \u0111\u00f4ng \u0111\u1eb7c (vi\u00eam ph\u1ed5i, u ph\u1ed5i).<\/p>\n<p>&#8211; Kh\u00e1m th\u00e0nh ng\u1ef1c ph\u00e1t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7 \u0111\u1eb7c bi\u1ec7t l\u00e0 zona \u0111ang ti\u1ebfn tri\u1ec3n ho\u1eb7c \u0111\u00e3 kh\u1ecfi, t\u1ed5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp th\u00e0nh ng\u1ef1c do ch\u1ea5n th\u01b0\u01a1ng,\u2026<\/p>\n<ul>\n<li><b><i>Kh\u00e1m ti\u00eau h\u00f3a:<\/i><\/b>\u00a0Ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd th\u1ef1c qu\u1ea3n nh\u01b0 vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y &#8211; h\u00e0nh t\u00e1 tr\u00e0ng, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n, th\u1ee7ng th\u1ef1c qu\u1ea3n.<\/li>\n<\/ul>\n<p><b>2.2. C\u1eadn l\u00e2m s\u00e0ng<\/b><\/p>\n<p>T\u00f9y thu\u1ed9c v\u00e0o qu\u00e1 tr\u00ecnh h\u1ecfi b\u1ec7nh v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n<ul>\n<li><b><i>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3:<\/i><\/b>\u00a0C\u1ea7n l\u00e0m s\u1edbm ngay khi ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n, n\u1ebfu t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n n\u1eb7ng n\u00ean l\u00e0m t\u1ea1i gi\u01b0\u1eddng. Ch\u1ea9n \u0111o\u00e1n c\u01a1n \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nh\u1ed3i m\u00e1u c\u01a1 tim khi c\u00f3 h\u00ecnh \u1ea3nh ST ch\u00eanh l\u00ean, c\u00f3 s\u00f3ng Q ho\u1ea1i t\u1eed. Ch\u1ea9n \u0111o\u00e1n \u0111\u1ecbnh h\u01b0\u1edbng nh\u1ed3i m\u00e1u ph\u1ed5i n\u1ebfu c\u00f3 h\u00ecnh \u1ea3nh s\u00f3ng S s\u00e2u \u1edf D<sub>I<\/sub>\u00a0v\u00e0 s\u00f3ng Q \u1edf D<sub>III<\/sub> .<\/li>\n<li><b><i>X-quang tim ph\u1ed5i chu\u1ea9n:<\/i><\/b>\u00a0R\u1ea5t gi\u00e1 tr\u1ecb trong ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n \u0111au ng\u1ef1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb ph\u1ed5i, m\u00e0ng ph\u1ed5i: tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, vi\u00eam ph\u1ed5i &#8211; m\u00e0ng ph\u1ed5i, u ph\u1ed5i.<\/li>\n<li><b><i>X\u00e9t nghi\u1ec7m m\u00e1u:<\/i><\/b>\u00a0CK, CK- MB, Troponin I, khi c\u00f3 nghi ng\u1edd c\u01a1n \u0111au th\u1eaft ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim. X\u00e9t nghi\u1ec7m \u0111\u1ecbnh l\u01b0\u1ee3ng D-Dimer khi nghi ng\u1edd nh\u1ed3i m\u00e1u ph\u1ed5i.<\/li>\n<li><b><i>Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch:<\/i><\/b>\u00a0\u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p v\u00e0 th\u0103ng b\u1eb1ng toan ki\u1ec1m. N\u1ebfu c\u00f3 hi\u1ec7u \u1ee9ng Shunt (PaCO<sub>2<\/sub>\u00a0gi\u1ea3m, PaO<sub>2<\/sub>\u00a0gi\u1ea3m) c\u1ea7n ngh\u0129 t\u1edbi nguy\u00ean nh\u00e2n nh\u1ed3i m\u00e1u ph\u1ed5i.<\/li>\n<li><b><i>Si\u00eau \u00e2m tim:<\/i><\/b>\u00a0Ph\u00e1t hi\u1ec7n nh\u1ed3i m\u00e1u c\u01a1 tim, tr\u00e0n d\u1ecbch m\u00e0ng tim, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<li><b><i>Ch\u1ee5p CLVT l\u1ed3ng ng\u1ef1c \u0111a \u0111\u1ea7u d\u00f2 (MSCT):<\/i><\/b>\u00a0C\u00f3 ti\u00eam c\u1ea3n quang t\u0129nh m\u1ea1ch r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb ch\u1ea9n \u0111o\u00e1n ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ng\u1ef1c, nh\u1ed3i m\u00e1u ph\u1ed5i, nh\u1ed3i m\u00e1u c\u01a1 tim. \u0110\u1ed3ng th\u1eddi tr\u00ean phim CLVT c\u0169ng gi\u00fap \u0111\u00e1nh gi\u00e1 b\u1ec7nh l\u00fd m\u00e0ng ph\u1ed5i &#8211; nhu m\u00f4 ph\u1ed5i v\u00e0 b\u1ec7nh l\u00fd trung th\u1ea5t.\n<p><figure id=\"attachment_20827\" aria-describedby=\"caption-attachment-20827\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20827\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-dau-nguc-300x191.jpg\" alt=\"Minh-hoa-dau-nguc\" width=\"300\" height=\"191\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-dau-nguc-300x191.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-dau-nguc-768x489.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-dau-nguc.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20827\" class=\"wp-caption-text\">Minh h\u1ecda \u0111au ng\u1ef1c<\/figcaption><\/figure><\/li>\n<\/ul>\n<p><b>2.3. Nguy\u00ean nh\u00e2n \u0111au ng\u1ef1c<\/b><\/p>\n<p><b><i>2.3.1. \u0110au ng\u1ef1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb th\u00e0nh ng\u1ef1c<\/i><\/b><\/p>\n<ul>\n<li>\u00a0Nhi\u1ec5m tr\u00f9ng da, c\u01a1.<\/li>\n<li>Do ch\u1ea5n th\u01b0\u01a1ng \u0111\u1ee5ng d\u1eadp c\u01a1.<\/li>\n<li>Zona th\u1ea7n kinh, vi\u00eam d\u00e2y th\u1ea7n kinh li\u00ean s\u01b0\u1eddn.<\/li>\n<li>Ung th\u01b0 tuy\u1ebfn v\u00fa, vi\u00eam-\u00e1p xe tuy\u1ebfn v\u00fa ho\u1eb7c t\u1eafc tuy\u1ebfn s\u1eefa.<\/li>\n<li>Vi\u00eam kh\u1edbp, tho\u00e1i ho\u00e1 kh\u1edbp \u1ee9c s\u01b0\u1eddn.<\/li>\n<li>Lao c\u1ed9t s\u1ed1ng ng\u1ef1c.<\/li>\n<li>Di c\u0103n ung th\u01b0 v\u00e0o c\u1ed9t s\u1ed1ng ng\u1ef1c, x\u01b0\u01a1ng s\u01b0\u1eddn.<\/li>\n<\/ul>\n<p><b><i>2.3.2. \u0110au ng\u1ef1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1ea1i m\u00e0ng ph\u1ed5i<\/i><\/b><\/p>\n<ul>\n<li>Vi\u00eam m\u00e0ng ph\u1ed5i do virus, vi khu\u1ea9n.<\/li>\n<li>Tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i.<\/li>\n<li>Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i do lao, do ung th\u01b0.<\/li>\n<li>Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, tr\u00e0n m\u00e1u tr\u00e0n kh\u00ed k\u1ebft h\u1ee3p do ch\u1ea5n th\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c.<\/li>\n<\/ul>\n<p><b><i>2.3.3. Nguy\u00ean nh\u00e2n g\u00e2y \u0111au ng\u1ef1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb ph\u1ed5i<\/i><\/b><\/p>\n<ul>\n<li>Vi\u00eam ph\u1ed5i, \u00e1p xe ph\u1ed5i.<\/li>\n<li>BPTNMT, hen ph\u1ebf qu\u1ea3n.<\/li>\n<li>Ung th\u01b0 ph\u1ebf qu\u1ea3n.<\/li>\n<\/ul>\n<p><b><i>2.3.4. \u0110au ng\u1ef1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb tim m\u1ea1ch<\/i><\/b><\/p>\n<ul>\n<li>C\u01a1n \u0111au th\u1eaft ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n<li>Ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7.<\/li>\n<li>Vi\u00eam m\u00e0ng ngo\u00e0i tim, tr\u00e0n d\u1ecbch m\u00e0ng ngo\u00e0i tim.<\/li>\n<li>T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/li>\n<li>Nh\u1ed3i m\u00e1u ph\u1ed5i.<\/li>\n<\/ul>\n<p><b><i>2.3.5. \u0110au ng\u1ef1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u01a1 quan ti\u00eau h\u00f3a<\/i><\/b><\/p>\n<ul>\n<li>H\u1ed9i ch\u1ee9ng tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y &#8211; th\u1ef1c qu\u1ea3n.<\/li>\n<li>Co th\u1eaft th\u1ef1c qu\u1ea3n, th\u1ee7ng r\u00e1ch th\u1ef1c qu\u1ea3n.<\/li>\n<li>Vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y.<\/li>\n<li>Ung th\u01b0 th\u1ef1c qu\u1ea3n, d\u1ea1 d\u00e0y.<\/li>\n<\/ul>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/en\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/dau-nguc\/#:~:text=%C4%90au%20ng%E1%BB%B1c%20c%C5%A9ng%20c%C3%B3%20th%E1%BB%83,kh%E1%BA%A3%20n%C4%83ng%20t%E1%BB%AD%20vong%20cao.\">\u0110au ng\u1ef1c<\/a><\/p>\n<p>Ngu\u1ed3n t\u00e0i li\u1ec7u: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh h\u00f4 h\u1ea5p &#8211; B\u1ed9 Y t\u1ebf 2012<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110au ng\u1ef1c l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd nguy hi\u1ec3m, c\u00f3 th\u1ec3 \u0111e d\u1ecda tr\u1ef1c ti\u1ebfp t\u1edbi t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. V\u00ec v\u1eady, b\u00e1c s\u0129 c\u1ea7n c\u00f3 ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c \u0111\u00fang \u0111\u1eafn \u0111\u1ec3 \u0111\u01b0a ra nh\u1eefng ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb k\u1ecbp [&hellip;]<\/p>\n","protected":false},"author":26,"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>Ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c - B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110au ng\u1ef1c l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nguy hi\u1ec3m. T\u00ecm hi\u1ec7u v\u1ec1 ti\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c.\" \/>\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\u1ebfp c\u1eadn ch\u1ea9n \u0111o\u00e1n \u0111au ng\u1ef1c - B\u1ed9 Y t\u1ebf - Vinmec\" \/>\n<meta property=\"og:description\" content=\"\u0110au ng\u1ef1c l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nguy hi\u1ec3m. 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