{"id":21267,"date":"2023-04-15T00:54:10","date_gmt":"2023-04-14T17:54:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21267"},"modified":"2023-04-17T15:14:21","modified_gmt":"2023-04-17T08:14:21","slug":"suy-tim-o-tre-em-sinh-benh-hoc-va-trieu-chung-lam-sang","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/15\/suy-tim-o-tre-em-sinh-benh-hoc-va-trieu-chung-lam-sang\/","title":{"rendered":"Suy tim \u1edf tr\u1ebb em: Sinh b\u1ec7nh h\u1ecdc v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng"},"content":{"rendered":"

Suy tim l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 tim kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng \u0111\u1ea3m b\u1ea3o cung l\u01b0\u1ee3ng \u0111\u1ec3 \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c c\u00e1c nhu c\u1ea7u chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 th\u1ec3. R\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi cho r\u1eb1ng suy tim ch\u1ec9 x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi l\u1edbn, nh\u01b0ng th\u1ef1c ra t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u1edf t\u1ea5t c\u1ea3 c\u00e1c l\u1ee9a tu\u1ed5i \u0111\u1ec1u c\u00f3 nguy c\u01a1 b\u1ecb suy tim, bao g\u1ed3m tr\u1ebb s\u01a1 sinh, tr\u1ebb em<\/a> v\u00e0 thanh thi\u1ebfu ni\u00ean.<\/strong><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m gi\u1ea3i ph\u1eabu v\u00e0 sinh l\u00fd b\u1ed9 m\u00e1y tu\u1ea7n ho\u00e0n<\/strong><\/span><\/h2>\n

C\u01a1 tim c\u1ee7a tr\u1ebb em c\u00f3 nhi\u1ec1u t\u00ednh ch\u1ea5t \u0111\u1eb7c bi\u1ec7t kh\u00e1c v\u1edbi ng\u01b0\u1eddi l\u1edbn<\/span>
\n<\/span> – C\u01a1 tim tr\u1ebb s\u01a1 sinh ch\u1ee9a nhi\u1ec1u n\u01b0\u1edbc v\u00e0 s\u1ee3i collagen h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/span>
\n<\/span> – C\u01a1 tim tr\u1ebb em c\u00f3 \u00edt s\u1ee3i c\u01a1 \u0111\u1ec3 t\u1ea1o l\u1ef1c v\u00e0 co c\u01a1 khi co b\u00f3p h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/span>
\n<\/span> – Kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a t\u1eebng s\u1ee3i c\u01a1 tim tr\u1ebb em c\u0169ng k\u00e9m h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/span>
\n<\/span> – Tim lu\u00f4n ph\u1ea3i l\u00e0m vi\u1ec7c nhi\u1ec1u h\u01a1n ng\u01b0\u1eddi l\u1edbn ngay c\u1ea3 khi ngh\u1ec9 ng\u01a1i .<\/span>
\n<\/span> – Kh\u1ea3 n\u0103ng gi\u00e3n n\u1edf c\u1ee7a c\u00e1c t\u00e2m th\u1ea5t k\u00e9m h\u01a1n ng\u01b0\u1eddi l\u1edbn.<\/span>
\n<\/span> – Kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a c\u01a1 tim v\u1edbi t\u00e1c \u0111\u1ed9ng c\u1ee7a Catecholamin c\u00f2n k\u00e9m.<\/span>
\n<\/span><\/p>\n

2. Sinh b\u1ec7nh h\u1ecdc suy tim\u00a0<\/b><\/h2>\n

Ph\u01b0\u01a1ng tr\u00ecnh Frank Starling<\/i><\/b><\/p>\n

\"minh-hoa-suy-tim\"
Ph\u01b0\u01a1ng tr\u00ecnh Frank Starling<\/figcaption><\/figure>\n

Khi th\u1ec3 t\u00edch cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i gia t\u0103ng, cung l\u01b0\u1ee3ng tim ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh t\u0103ng d\u1ea7n \u0111\u1ebfn m\u1ed9t ng\u01b0\u1ee1ng kh\u00f4ng t\u0103ng th\u00eam n\u1eefa.<\/span><\/p>\n

Tri\u1ec7u ch\u1ee9ng \u1ee9 huy\u1ebft x\u1ea3y ra ngay c\u1ea3 \u1edf tim b\u00ecnh th\u01b0\u1eddng n\u1ebfu th\u1ec3 t\u00edch cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng gia t\u0103ng.\u00a0 <\/span>Tim b\u1ec7nh l\u00fd c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0ng kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 gia t\u0103ng t\u1ed1i \u0111a nh\u01b0 tim b\u00ecnh th\u01b0\u1eddng v\u00e0 tri\u1ec7u ch\u1ee9ng \u1ee9 huy\u1ebft b\u1eaft \u0111\u1ea7u x\u1ea3y ra s\u1edbm h\u01a1n.\u00a0<\/span><\/p>\n

C\u00e1c c\u01a1 ch\u1ebf b\u00f9 tr\u1eeb<\/b><\/p>\n

+ C\u01a1 ch\u1ebf b\u00f9 tr\u1eeb ch\u00ednh c\u1ee7a gia t\u0103ng cung l\u01b0\u1ee3ng tim l\u00e0 gia t\u0103ng tr\u01b0\u01a1ng l\u1ef1c giao c\u1ea3m, Hi\u1ec7u qu\u1ea3 c\u00f3 l\u1ee3i ban \u0111\u1ea7u l\u00e0 t\u0103ng nh\u1ecbp tim v\u00e0 co b\u00f3p c\u01a1 tim. Tuy nhi\u00ean k\u00edch th\u00edch m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 l\u00e0m: t\u0103ng h\u1eadu t\u1ea3i, t\u0103ng chuy\u1ec3n h\u00f3a, r\u1ed1i lo\u1ea1n nh\u1ecbp v\u00e0 \u0111\u1ed9c t\u1ed1 tr\u1ef1c ti\u1ebfp tr\u00ean c\u01a1 tim.\u00a0<\/span><\/p>\n

+ M\u00e1u \u0111\u1ebfn th\u1eadn b\u1ecb gi\u1ea3m g\u00e2y t\u0103ng Renin \u2192 t\u0103ng Angiotensin II \u2192 t\u0103ng\u00a0 h\u1ea5p thu n\u01b0\u1edbc v\u00e0 mu\u1ed1i t\u1ea1i \u1ed1ng th\u1eadn. Angiotensin II g\u00e2y t\u0103ng s\u1ee9c c\u01a1 v\u00e0 ph\u00ec \u0111\u1ea1i c\u01a1 tim. Ngo\u00e0i ra l\u00e0m th\u00fac \u0111\u1ea9y s\u1ee3i h\u00f3a c\u01a1 tim.<\/span><\/p>\n

T\u00f3m l\u1ea1i, d\u00f9 angiotensin l\u00e0 t\u0103ng ph\u00ec \u0111\u1ea1i c\u01a1 tim trong n\u1ed7 l\u1ef1c l\u00e0m gi\u1ea3m s\u1ee9c c\u0103ng th\u00e0nh nh\u01b0ng l\u00e0m t\u0103ng qu\u00e1 tr\u00ecnh s\u1ee3i h\u00f3a v\u00e0 thay \u0111\u1ed5i compliance c\u1ee7a th\u1ea5t<\/span><\/p>\n

\"bu-tr-suy-tim\"
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 C\u01a1 ch\u1ebf b\u00f9 tr\u1eeb <\/strong><\/figcaption><\/figure>\n

\u0110\u00e2y l\u00e0 l\u00ed do d\u00f9ng \u1ee9c ch\u1ebf beta v\u00e0 \u1ee9c ch\u1ebf men chuy\u1ec3n trong \u0111i\u1ec1u tr\u1ecb suy tim.<\/span><\/p>\n

\u0110\u1ecbnh<\/i><\/b> lu\u1eadt<\/i><\/b> Laplace<\/i><\/b><\/p>\n

S\u1ee9c c\u0103ng th\u00e0nh (T ) t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi \u00e1p l\u1ef1c c\u1ee7a bu\u1ed3ng tim (P) v\u00e0 b\u00e1n k\u00ednh bu\u1ed3ng tim (R). T\u1ec9 l\u1ec7\u00a0 ngh\u1ecbch v\u1edbi b\u1ec1 d\u00e0y (d)\u00a0 c\u1ee7a c\u01a1 tim. \u0110\u1ec3 l\u00e0m gi\u1ea3m s\u1ee9c c\u0103ng th\u00e0nh tim khi suy tim x\u1ea3y ra (l\u00fac n\u00e0y P, R \u0111\u1ec1u t\u0103ng) th\u00ec d ph\u1ea3i t\u0103ng. \u0110\u00e2y l\u00e0 \u0111\u00e1p \u1ee9ng b\u00f9 tr\u1eeb trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a suy tim.<\/p>\n

3. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y suy tim \u1edf tr\u1ebb em<\/strong><\/h2>\n

3.1. Do b\u1ec7nh l\u00fd tim m\u1ea1ch<\/strong><\/h3>\n

– B\u1ec7nh tim b\u1ea9m sinh<\/span>
\n<\/span> + Lu\u1ed3ng th\u00f4ng tr\u00e1i-ph\u1ea3i: Th\u00f4ng li\u00ean th\u1ea5t, c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch, th\u00f4ng s\u00e0n nh\u0129 th\u1ea5t.<\/span>
\n<\/span> + B\u1ec7nh tim t\u1eafc ngh\u1ebdn b\u00ean tr\u00e1i:H\u1eb9p eo \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. H\u1eb9p l\u1ed7 van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7. B\u1ec7nh c\u01a1 <\/span>tim ph\u00ec \u0111\u1ea1i, t\u1eafc ngh\u1ebdn, ho\u1eb7c h\u1ea1n ch\u1ebf.<\/span>
\n<\/span> + Nguy\u00ean nh\u00e2n r\u1ea5t hi\u1ebfm g\u1eb7p: H\u1ed3i l\u01b0u t\u0129nh m\u1ea1ch ph\u1ed5i b\u1ea5t th\u01b0\u1eddng ho\u00e0n to\u00e0n. B\u1ea5t th\u01b0\u1eddng van 2 <\/span>l\u00e1 b\u1ea9m sinh.<\/span>
\n<\/span> – B\u1ec7nh tim m\u1eafc ph\u1ea3i<\/span>
\n<\/span> + Th\u1ea5p tim v\u00e0 c\u00e1c b\u1ec7nh l\u00fd van tim do th\u1ea5p: \u1edf tr\u1ebb l\u1edbn.<\/span>
\n<\/span> + B\u1ec7nh Kawasaki: \u1edf tr\u1ebb nh\u1ecf.<\/span>
\n<\/span> + Vi\u00eam c\u01a1 tim c\u1ea5p ti\u00ean ph\u00e1t (th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb nh\u1ecf): th\u01b0\u1eddng nh\u1ea5t do virus coxsackie B, ngo\u00e0i ra c\u00f3 th\u1ec3 do Rickettsia, do th\u01b0\u01a1ng h\u00e0n n\u1eb7ng.<\/span>
\n<\/span> + Vi\u00eam m\u00e0ng ngo\u00e0i tim v\u1edbi tr\u00e0n d\u1ecbch nhi\u1ec1u: do virus ho\u1eb7c vi khu\u1ea9n.<\/span>
\n<\/span> + Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m khu\u1ea9n.<\/span>
\n<\/span> + B\u1ec7nh c\u01a1 tim th\u1ee9 ph\u00e1t: sau vi\u00eam c\u01a1 tim do virus, do \u0111i\u1ec1u tr\u1ecb tia x\u1ea1, do nhi\u1ec5m \u0111\u1ed9c thu\u1ed1c <\/span>anthracyclines, do nhi\u1ec5m s\u1eaft trong c\u00e1c b\u1ec7nh huy\u1ebft t\u00e1n m\u1ea1n n\u1eb7ng.<\/span>
\n<\/span> – R\u1ed1i lo\u1ea1n nh\u1ecbp<\/span>
\n<\/span> + C\u00e1c c\u01a1n nh\u1ecbp nhanh(th\u1ea5t ho\u1eb7c tr\u00ean th\u1ea5t) k\u00e9o d\u00e0i.<\/span>
\n<\/span> + Bloc nh\u0129 th\u1ea5t ho\u00e0n to\u00e0n.<\/span>
\n<\/span><\/p>\n

3.2. Nguy\u00ean nh\u00e2n ngo\u00e0i tim<\/strong><\/h3>\n

+ T\u0103ng huy\u1ebft \u00e1p c\u1ea5p t\u00ednh: ch\u1ee7 y\u1ebfu do vi\u00eam c\u1ea7u th\u1eadn c\u1ea5p sau nhi\u1ec5m li\u00ean c\u1ea7u, h\u1ed9i ch\u1ee9ng huy\u1ebft <\/span>t\u00e1n t\u0103ng ure m\u00e1u, hi\u1ebfm g\u1eb7p h\u01a1n l\u00e0 d\u1ecb d\u1ea1ng m\u1ea1ch th\u1eadn, u tu\u1ef7 th\u01b0\u1ee3ng th\u1eadn.<\/span>
\n<\/span> + Nhi\u1ec5m \u0111\u1ed9c gi\u00e1p (Basedow): \u1edf tr\u1ebb l\u1edbn.<\/span>
\n<\/span> + Thi\u1ebfu vitamin B1.<\/span>
\n<\/span> + T\u1eafc ngh\u1ebdn h\u00f4 h\u1ea5p k\u00e9o d\u00e0i: hen ph\u1ebf qu\u1ea3n n\u1eb7ng, d\u1ecb d\u1ea1ng \u0111\u01b0\u1eddng th\u1edf n\u1eb7ng.<\/span><\/p>\n

4. L\u00e2m s\u00e0ng suy tim \u1edf tr\u1ebb em<\/b><\/h2>\n

4.1 Suy tim \u1edf tr\u1ebb nh\u1ecf<\/b><\/h3>\n

Suy tim \u1edf tr\u1ebb nh\u1ecf c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 kh\u00e1c v\u1edbi tr\u1ebb l\u1edbn v\u00e0 ng\u01b0\u1eddi l\u1edbn. Suy tim th\u01b0\u1eddng x\u1ea3y ra c\u1ea5p, cho d\u00f9 kh\u1edfi \u0111\u1ea7u l\u00e0 suy tim ph\u1ea3i ho\u1eb7c tim tr\u00e1i c\u0169ng \u0111\u1ec1u ti\u1ebfn tri\u1ec3n r\u1ea5t nhanh \u0111\u1ebfn suy tim to\u00e0n <\/span><\/i><\/b>b\u1ed9, d\u1ec5 \u0111\u01b0a \u0111\u1ebfn t\u1eed vong n\u1ebfu nh\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1edbm v\u00e0 t\u00edch c\u1ef1c.<\/span><\/p>\n

– Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n

+ Tr\u1ebb th\u1edf nhanh th\u01b0\u1eddng xuy\u00ean ho\u1eb7c khi g\u1eafng s\u1ee9c th\u1eadm ch\u00ed c\u00f3 th\u1ec3 c\u00f3 kh\u00f3 th\u1edf.<\/span>
\n<\/span> + Tr\u1ebb nh\u1ecf \u0111\u00f4i khi k\u00e8m n\u00f4n, ch\u00e1n \u0103n, b\u1ecf b\u00fa, v\u00e3 nhi\u1ec1u m\u1ed3 h\u00f4i, qu\u1ea5y kh\u00f3c, b\u1ee9t r\u1ee9t da xanh, \u0111\u1ea7u <\/span>\u00a0<\/span>chi l\u1ea1nh \u1ea9m, nh\u1eefng d\u1ea5u hi\u1ec7u n\u00e0y nhi\u1ec1u khi l\u00e0m nh\u1ea7m l\u1eabn ho\u1eb7c l\u00e0m mu\u1ed9n ch\u1ea9n \u0111o\u00e1n suy tim.<\/span>
\n<\/span> – Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong>
\n<\/span> + Lu\u00f4n c\u00f3 tim nhanh, \u0111\u00f4i khi k\u00e8m ti\u1ebfng tim m\u1edd ho\u1eb7c ti\u1ebfng ng\u1ef1a phi \u0111\u1ea7u t\u00e2m tr\u01b0\u01a1ng.<\/span>
\n<\/span> + Lu\u00f4n c\u00f3 gan to m\u1ec1m v\u00e0 \u0111au, \u0111\u00e2y l\u00e0 d\u1ea5u hi\u1ec7u r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb. Ph\u1ea3n h\u1ed3i gan t\u0129nh m\u1ea1ch c\u1ed5 \u00edt c\u00f3 <\/span>\u00a0<\/span>gi\u00e1 tr\u1ecb \u1edf tr\u1ebb nh\u1ecf do c\u1ed5 tr\u1ebb ng\u1eafn v\u00e0 tr\u1ebb kh\u00f3 c\u00f3 th\u1ec3 n\u1eb1m y\u00ean \u0111\u1ec3 kh\u00e1m.<\/span>
\n<\/span> + Ph\u00f9 ho\u1eb7c t\u0103ng c\u00e2n nh\u01b0ng th\u01b0\u1eddng r\u1ea5t k\u00edn \u0111\u00e1o v\u00e0 kh\u00f3 ph\u00e1t hi\u1ec7n \u1edf tr\u1ebb nh\u1ecf.<\/span>
\n<\/span> + Ti\u1ec3u \u00edt.<\/span><\/p>\n

4.2 Suy tim tr\u1ebb l\u1edbn<\/b><\/h3>\n

Tri\u1ec7u ch\u1ee9ng suy tim \u1edf tr\u1ebb l\u1edbn c\u0169ng gi\u1ed1ng nh\u01b0 ng\u01b0\u1eddi l\u1edbn.Tu\u1ef3 theo\u00a0 nguy\u00ean nh\u00e2n, khi c\u00e1c c\u01a1<\/span> ch\u1ebf b\u00f9 tr\u1eeb kh\u00f4ng c\u00f2n hi\u1ec7u qu\u1ea3 s\u1ebd l\u00e0m cung l\u01b0\u1ee3ng tim gi\u1ea3m. Khi \u0111\u00f3 \u00e1p su\u1ea5t t\u1ea1i nh\u0129 tr\u00e1i v\u00e0 nh\u0129<\/span> ph\u1ea3i t\u0103ng cao \u0111\u01b0a t\u1edbi t\u0103ng \u00e1p su\u1ea5t t\u1ea1i t\u0129nh m\u1ea1ch ph\u1ed5i v\u00e0 t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean g\u00e2y suy tim tr\u00e1i <\/span>v\u00e0 suy tim ph\u1ea3i.<\/span>
\n<\/span> * Suy tim tr\u00e1i:<\/strong> <\/span>Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng l\u00e0 t\u00ecnh tr\u1ea1ng sung huy\u1ebft ph\u1ed5i<\/span>
\n<\/span> – Kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c: l\u00e0 tri\u1ec7u ch\u1ee9ng s\u1edbm c\u1ee7a suy tim tr\u00e1i g\u00e2y ra do t\u00ecnh tr\u1ea1ng \u1ee9 m\u00e1u \u1edf ph\u1ed5i,<\/span> bi\u1ec3u hi\u1ec7n l\u00e0 th\u1edf nhanh n\u00f4ng xu\u1ea5t hi\u1ec7n khi g\u1eafng s\u1ee9c, bi\u1ebfn m\u1ea5t khi ngh\u1ec9.<\/span>
\n<\/span> – Kh\u00f3 th\u1edf khi n\u1eb1m: ch\u1ec9 x\u1ea3y ra khi n\u1eb1m, khi ng\u1ed3i ho\u1eb7c n\u1eeda ng\u1ed3i th\u00ec s\u1ebd h\u1ebft do gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u<\/span> t\u0129nh m\u1ea1ch tr\u1edf v\u1ec1 tim, nh\u01b0 v\u1eady l\u00e0m gi\u1ea3m \u1ee9 m\u00e1u ph\u1ed5i.<\/span>
\n<\/span> – Kh\u00f3 th\u1edf k\u1ecbch ph\u00e1t: th\u01b0\u1eddng x\u1ea3y ra v\u1ec1 \u0111\u00eam, b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y ng\u1ea1t th\u1edf, ho\u1ea3ng h\u1ed1t k\u00e8m theo<\/span> ho, th\u1edf kh\u00f2 kh\u00e8 ngay c\u1ea3 \u1edf t\u01b0 th\u1ebf ng\u1ed3i. T\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf n\u00e0y d\u1ec5 nh\u1ea7m v\u1edbi hen ph\u1ebf qu\u1ea3n. N\u1ebfu<\/span> kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1ecb ph\u00f9 ph\u1ed5i c\u1ea5p. \u00d0\u00e2y l\u00e0 do \u1ee9 \u0111\u1ecdng m\u00e1u t\u1ea1i t\u0129nh m\u1ea1ch<\/span> ph\u1ed5i g\u00e2y tho\u00e1t d\u1ecbch qua mao m\u1ea1ch ph\u1ed5i t\u00edch t\u1ee5 t\u1ea1i ph\u1ebf nang, l\u00e0m gi\u1ea3m s\u1ef1 trao \u0111\u1ed5i kh\u00ed t\u1ea1i ph\u1ebf<\/span> nang.<\/span>
\n<\/span> – M\u1ec7t m\u1ecfi, s\u1ee9c l\u1ef1c b\u1ecb gi\u1ea3m s\u00fat: nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f4ng \u0111\u1eb7c hi\u1ec7u c\u1ee7a suy tim nh\u01b0ng l\u00e0<\/span> tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n l\u00e0 do c\u01a1 b\u1eafp kh\u00f4ng \u0111\u01b0\u1ee3c cung c\u1ea5p<\/span> \u0111\u1ee7 m\u00e1u.<\/span>
\n<\/span> – Kh\u00e1m tim m\u1ea1ch: nh\u1ecbp nhanh \u0111\u1ec1u hay lo\u1ea1n nh\u1ecbp, huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng th\u01b0\u1eddng t\u0103ng do hi\u1ec7n<\/span> t\u01b0\u1ee3ng co m\u1ea1ch. Nghe tim c\u00f3 th\u1ec3 c\u00f3 ti\u1ebfng ng\u1ef1a phi \u0111\u1ea7u t\u00e2m tr\u01b0\u01a1ng \u1edf m\u1ecfm v\u00e0 v\u00f9ng gi\u1eefa tim,<\/span> ti\u1ebfng T2 m\u1ea1nh \u1edf \u1ed5 van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i do t\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/span>
\n<\/span> – Kh\u00e1m ph\u1ed5i: th\u01b0\u1eddng c\u00f3 ran \u1ea9m \u1edf 2 \u0111\u00e1y ph\u1ed5i.<\/span>
\n<\/span> – C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c: ch\u00e2n tay l\u1ea1nh, ti\u1ec3u \u00edt do gi\u1ea3m cung l\u01b0\u1ee3ng tim.<\/span>
\n<\/span> *\u00a0 Suy tim ph\u1ea3i: <\/strong>l\u00e2m s\u00e0ng l\u00e0 t\u00ecnh tr\u1ea1ng \u1ee9 m\u00e1u \u1edf t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean.<\/span>
\n<\/span> – Gan tim: gan l\u1edbn, \u0111au do c\u0103ng bao gan, gan th\u01b0\u1eddng c\u00f3 b\u1edd t\u00f9, m\u1ec1m. Khi suy tim m\u00e3n t\u00ednh<\/span> gan th\u01b0\u1eddng r\u1eafn ch\u1eafc, b\u1edd s\u1eafc kh\u00f4ng \u0111au.<\/span>
\n<\/span> – T\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i khi n\u1eeda n\u1eb1m v\u00e0 t\u0129nh m\u1ea1ch \u0111\u1eadp n\u1ebfu c\u00f3 h\u1edf van 3 l\u00e1.<\/span> Ph\u1ea3n h\u1ed3i gan t\u0129nh m\u1ea1ch c\u1ed5 d\u01b0\u01a1ng t\u00ednh.<\/span>
\n<\/span> – Ph\u00f9 ngo\u1ea1i vi, ph\u00f9 n\u01a1i th\u1ea5p, th\u01b0\u1eddng \u1edf 2 chi d\u01b0\u1edbi do t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch, ph\u00f9 m\u1ec1m \u1ea5n l\u00f5m,<\/span> da t\u00edm.<\/span>
\n<\/span> – Kh\u00e1m tim m\u1ea1ch th\u1ea5y: th\u1ea5t ph\u1ea3i \u0111\u1eadp \u1edf d\u01b0\u1edbi m\u0169i \u1ee9c (d\u1ea5u Harzer), nh\u1ecbp nhanh \u0111\u1ec1u, c\u00f3 th\u1ec3 nghe<\/span> th\u1ea5y ti\u1ebfng ng\u1ef1a phi \u0111\u1ea7u t\u00e2m tr\u01b0\u01a1ng \u1edf b\u00ean tr\u00e1i m\u0169i \u1ee9c ho\u1eb7c ti\u1ebfng th\u1ed5i t\u00e2m thu \u1edf m\u0169i \u1ee9c do h\u1edf<\/span> van 3 l\u00e1 c\u01a1 n\u0103ng.<\/span>
\n<\/span> * Suy tim to\u00e0n b\u1ed9: <\/strong>k\u1ebft h\u1ee3p c\u1ea3 2 nh\u00f3m tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim ph\u1ea3i v\u00e0 tr\u00e1i<\/span><\/p>\n

T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/strong><\/p>\n

1. Gi\u00e1o tr\u00ecnh Nhi khoa t\u1eadp II. B\u1ed9 M\u00f4n Nhi. \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c TPHCM<\/p>\n

2. Gi\u00e1o tr\u00ecnh Nhi Khoa \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c Hu\u1ebf<\/p>\n

3. Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb N\u1ed9i khoa , B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng 1.<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Suy tim l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 tim kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng \u0111\u1ea3m b\u1ea3o cung l\u01b0\u1ee3ng \u0111\u1ec3 \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c c\u00e1c nhu c\u1ea7u chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 th\u1ec3. R\u1ea5t nhi\u1ec1u ng\u01b0\u1eddi cho r\u1eb1ng suy tim ch\u1ec9 x\u1ea3y ra v\u1edbi ng\u01b0\u1eddi l\u1edbn, nh\u01b0ng th\u1ef1c ra t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u1edf t\u1ea5t c\u1ea3 c\u00e1c l\u1ee9a tu\u1ed5i \u0111\u1ec1u c\u00f3 […]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"\nSuy tim \u1edf tr\u1ebb em: Sinh b\u1ec7nh h\u1ecdc v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Suy tim l\u00e0 t\u00ecnh tr\u1ea1ng c\u01a1 tim kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng \u0111\u1ea3m b\u1ea3o cung l\u01b0\u1ee3ng \u0111\u1ec3 \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c c\u00e1cnhu c\u1ea7u chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 th\u1ec3.\" \/>\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=\"Suy tim \u1edf tr\u1ebb em: Sinh b\u1ec7nh h\u1ecdc v\u00e0 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng - 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