{"id":22622,"date":"2023-04-17T07:53:53","date_gmt":"2023-04-17T00:53:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22622"},"modified":"2023-04-17T11:02:50","modified_gmt":"2023-04-17T04:02:50","slug":"thuoc-tieu-soi-huyet-va-cac-chi-dinh-thuc-hanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/thuoc-tieu-soi-huyet-va-cac-chi-dinh-thuc-hanh\/","title":{"rendered":"Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft v\u00e0 c\u00e1c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c h\u00e0nh"},"content":{"rendered":"<p><strong>Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch v\u00e0 ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5. B\u00ean c\u1ea1nh c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng nh\u01b0: Aspirin, clopidogel&#8230;<\/strong><\/p>\n<h2><strong>1.S\u1ef1 h\u00ecnh th\u00e0nh v\u00e0 ly gi\u1ea3i huy\u1ebft kh\u1ed1i<\/strong><\/h2>\n<p>Huy\u1ebft kh\u1ed1i l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a ph\u1ea3n \u1ee9ng \u0111\u00f4ng c\u1ea7m m\u00e1u b\u00ecnh th\u01b0\u1eddng nh\u1eb1m h\u1ea1n ch\u1ebf xu\u1ea5t huy\u1ebft do t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u. Trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng, huy\u1ebft kh\u1ed1i b\u1ecb gi\u1edbi h\u1ea1n \u1edf v\u00f9ng t\u1ed5n th\u01b0\u01a1ng ngay l\u1eadp t\u1ee9c v\u00e0 kh\u00f4ng g\u00e2y c\u1ea3n tr\u1edf d\u00f2ng m\u00e1u \u0111\u1ebfn c\u00e1c khu v\u1ef1c quan tr\u1ecdng, ngo\u1ea1i tr\u1eeb l\u00f2ng m\u1ea1ch x\u01a1 v\u1eefa. Trong \u0111i\u1ec1u ki\u1ec7n b\u1ec7nh l\u00fd, huy\u1ebft kh\u1ed1i c\u00f3 th\u1ec3 lan r\u1ed9ng, c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf d\u00f2ng ch\u1ea3y trong l\u00f2ng m\u1ea1ch v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u0111\u1ed9ng. C\u00e1c h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng c\u1ea5p t\u00ednh c\u00f3 th\u1ec3 l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a huy\u1ebft kh\u1ed1i:<\/p>\n<ul>\n<li>Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p. Huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u. Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/li>\n<li>\u0110\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o c\u1ea5p. T\u1eafc \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i bi\u00ean c\u1ea5p.<\/li>\n<\/ul>\n<p>Huy\u1ebft kh\u1ed1i b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o trong c\u01a1 th\u1ec3. C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i bao g\u1ed3m: x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch, l\u01b0u l\u01b0\u1ee3ng m\u00e1u thay \u0111\u1ed5i, r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a (\u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng lipid m\u00e1u), t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u00f4ng, h\u00fat thu\u1ed1c l\u00e1, ch\u1ea5n th\u01b0\u01a1ng v\u00e0 b\u1ecfng.<\/p>\n<h2><strong>2.<\/strong>C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i:<\/h2>\n<ul>\n<li>C\u1ea7m m\u00e1u v\u00e0 huy\u1ebft kh\u1ed1i \u0111\u1ec1u ph\u1ee5 thu\u1ed9c v\u00e0o qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u, t\u00ednh to\u00e0n v\u1eb9n c\u1ee7a th\u00e0nh m\u1ea1ch m\u00e1u v\u00e0 ph\u1ea3n \u1ee9ng ti\u1ec3u c\u1ea7u. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 t\u1ebf b\u00e0o c\u0169ng li\u00ean quan \u0111\u1ebfn h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i. Khi c\u00f3 t\u00e1c nh\u00e2n g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch, ph\u1ea3n \u1ee9ng t\u1ebf b\u00e0o c\u1ee5c b\u1ed9 ngay l\u1eadp t\u1ee9c di\u1ec5n ra. Ti\u1ec3u c\u1ea7u di chuy\u1ec3n \u0111\u1ebfn khu v\u1ef1c t\u1ed5n th\u01b0\u01a1ng v\u00e0 ti\u1ebft ra c\u00e1c y\u1ebfu t\u1ed1 t\u1ebf b\u00e0o v\u00e0 c\u00e1c ch\u1ea5t trung gian h\u00f3a h\u1ecdc. C\u00e1c ch\u1ea5t trung gian n\u00e0y th\u00fac \u0111\u1ea9y s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. Ba th\u00e0nh ph\u1ea7n ch\u00ednh c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng g\u1ed3m ti\u1ec3u c\u1ea7u, thrombin v\u00e0 fibrin. M\u1ed7i th\u00e0nh ph\u1ea7n n\u00e0y l\u00e0 m\u1ed9t m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng. Trong qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i, prothrombin \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a th\u00e0nh y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u ho\u1ea1t \u0111\u1ed9ng thrombin b\u1eb1ng ti\u1ec3u c\u1ea7u \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t. Fibrinogen \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a th\u00e0nh fibrin b\u1edfi thrombin. Fibrin sau \u0111\u00f3 \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh v\u00e0o ph\u1ee9c h\u1ee3p fibrin. T\u1ea5t c\u1ea3 qu\u00e1 tr\u00ecnh di\u1ec5n ra trong khi ti\u1ec3u c\u1ea7u \u0111ang k\u1ebft t\u1eadp.<\/li>\n<li>Qu\u00e1 tr\u00ecnh ly gi\u1ea3i huy\u1ebft kh\u1ed1i: S\u1ef1 ly gi\u1ea3i huy\u1ebft kh\u1ed1i th\u00f4ng qua vi\u1ec7c ph\u00e1 v\u1ee1 c\u00e1c li\u00ean k\u1ebft fibrin b\u1edfi plasmin. Plasmin \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh trong h\u1ec7 tu\u1ea7n ho\u00e0n s\u1ebd l\u00e0m tho\u00e1i tri\u1ec3n fibrin trong m\u00e1u v\u00e0 t\u1ea1i c\u1ee5c m\u00e1u \u0111\u00f4ng th\u00e0nh nh\u1eefng ch\u1ea5t ho\u00e0 tan \u0111\u01b0\u1ee3c. Ti\u1ec1n ch\u1ea5t c\u1ee7a plasmin l\u00e0 plasminogen l\u01b0u h\u00e0nh trong m\u00e1u v\u00e0 l\u00e0 m\u1ed9t enzyme kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng. \u0110\u1ec3 chuy\u1ec3n plasminogen th\u00e0nh plasmin c\u1ea7n c\u00f3 s\u1ef1 tham gia c\u1ee7a c\u00e1c ch\u1ea5t ho\u1ea1t h\u00f3a plasminogen. Tuy nhi\u00ean, c\u00e1c ch\u1ea5t n\u00e0y l\u1ea1i b\u1ecb \u1ee9c ch\u1ebf b\u1edfi ch\u1ea5t \u1ee9c ch\u1ebf ho\u1ea1t h\u00f3a plasminogen (plasminogen activating inhibitor \u2013 PAI). Trong m\u00e1u c\u00f2n c\u00f3 Alpha2- antiplasmin, ch\u1ea5t \u1ee9c ch\u1ebf plasmin m\u1edbi h\u00ecnh th\u00e0nh. \u0110\u1ec3 qu\u00e1 tr\u00ecnh ly gi\u1ea3i huy\u1ebft kh\u1ed1i di\u1ec5n ra, s\u1ef1 ho\u1ea1t h\u00f3a plasminogen ph\u1ea3i m\u1ea1nh h\u01a1n qu\u00e1 tr\u00ecnh \u1ee9c ch\u1ebf b\u1edfi PAI v\u00e0 alpha2- antiplasmin. Plasminogen t\u1eadp h\u1ee3p trong ph\u1ee9c h\u1ee3p fibrin. Plasminogen g\u1eafn v\u1edbi fibrin s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft th\u00e0nh plasmin trong qu\u00e1 tr\u00ecnh tan huy\u1ebft kh\u1ed1i. C\u1ea7n l\u01b0u \u00fd r\u1eb1ng qu\u00e1 tr\u00ecnh tan huy\u1ebft kh\u1ed1i ho\u1ea1t \u0111\u1ed9ng t\u1ed1t nh\u1ea5t tr\u00ean huy\u1ebft kh\u1ed1i \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh g\u1ea7n \u0111\u00e2y. Huy\u1ebft kh\u1ed1i c\u0169 v\u1edbi ph\u1ee9c h\u1ee3p fibrin l\u1edbn l\u00e0m cho ch\u00fang c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft cao h\u01a1n; do \u0111\u00f3, th\u1eddi gian l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi li\u1ec7u ph\u00e1p ti\u00eau s\u1ee3i huy\u1ebft.<\/li>\n<\/ul>\n<h2><strong>3.C\u00e1c thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft<\/strong><\/h2>\n<h3><strong>3.1. Alteplase (ch\u1ea5t ho\u1ea1t h\u00f3a plasminogen t\u1ed5 ch\u1ee9c \u2013 tPA)<\/strong><\/h3>\n<p>Alteplase (bi\u1ec7t d\u01b0\u1ee3c: Activase, Actilyse) l\u00e0 m\u1ed9t enzym c\u00f3 ngu\u1ed3n g\u1ed1c t\u1ef1 nhi\u00ean c\u00f3 kh\u1ea3 n\u0103ng g\u1eafn fibrin v\u1edbi \u00e1i l\u1ef1c cao h\u01a1n streptokinase v\u00e0 urokinase. Sau khi g\u1eafn v\u1edbi fibrin, alteplase l\u1eadp t\u1ee9c chuy\u1ec3n plasminogen th\u00e0nh plasmin ngay tr\u00ean b\u1ec1 m\u1eb7t fibrin.<\/p>\n<p>V\u1ec1 l\u00fd thuy\u1ebft, alteplase ch\u1ec9 c\u00f3 hi\u1ec7u qu\u1ea3 \u1edf b\u1ec1 m\u1eb7t c\u1ee7a fibrin. Tuy nhi\u00ean, tr\u00ean th\u1ef1c t\u1ebf, nh\u00ecn th\u1ea5y m\u1ed9t t\u00ecnh tr\u1ea1ng ti\u00eau s\u1ee3i huy\u1ebft to\u00e0n th\u00e2n, v\u1edbi c\u00e1c s\u1ea3n ph\u1ea9m gi\u00e1ng h\u00f3a fibrin tu\u1ea7n ho\u00e0n v\u00e0 nguy c\u01a1 ch\u1ea3y m\u00e1u to\u00e0n th\u00e2n \u0111\u00e1ng k\u1ec3. Alteplase kh\u00f4ng ph\u1ea3i l\u00e0 kh\u00e1ng nguy\u00ean n\u00ean bi\u1ec3u hi\u1ec7n d\u1ecb \u1ee9ng th\u1ea5p h\u01a1n c\u00e1c thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft kh\u00e1c. Thu\u1ed1c c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i r\u1ea5t ng\u1eafn n\u00ean b\u1eaft bu\u1ed9c ph\u1ea3i \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p v\u1edbi heparin \u0111\u1ec3 tr\u00e1nh t\u00e1i ph\u00e1t huy\u1ebft kh\u1ed1i.<\/p>\n<p>Alteplase d\u00f9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Thu\u1ed1c \u0111\u00e0o th\u1ea3i nhanh ra kh\u1ecfi m\u00e1u ch\u1ee7 y\u1ebfu qua gan v\u1edbi \u0111\u1ed9 thanh th\u1ea3i kho\u1ea3ng 572 \u00b1 132 mL\/ph. Sau 5 ph\u00fat ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch, tr\u00ean &gt; 50% n\u1ed3ng \u0111\u1ed9 thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i ra kh\u1ecfi huy\u1ebft t\u01b0\u01a1ng v\u00e0 sau 10 ph\u00fat th\u00ec 80 % b\u1ecb \u0111\u00e0o th\u1ea3i.<\/p>\n<h3><strong>3.2. Streptokinase<\/strong><\/h3>\n<p>Streptokinase \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi streptococci tan huy\u1ebft beta. Streptokinase kh\u00f4ng ph\u1ea3i l\u00e0 ch\u1ea5t ho\u1ea1t h\u00f3a plasminogen, nh\u01b0ng li\u00ean k\u1ebft v\u1edbi plasminogen l\u01b0u h\u00e0nh t\u1ef1 do (ho\u1eb7c v\u1edbi plasmin) \u0111\u1ec3 t\u1ea1o th\u00e0nh ph\u1ee9c h\u1ee3p c\u00f3 th\u1ec3 chuy\u1ec3n \u0111\u1ed5i plasminogen th\u00e0nh plasmin. Ho\u1ea1t \u0111\u1ed9ng c\u1ee7a streptokinase kh\u00f4ng \u0111\u01b0\u1ee3c t\u0103ng c\u01b0\u1eddng khi c\u00f3 fibrin. Ngo\u00e0i ra streptokinase c\u00f2n l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 protein C ho\u1ea1t h\u00f3a trong m\u00e1u tu\u1ea7n ho\u00e0n, do \u0111\u00f3 th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh ly gi\u1ea3i c\u1ee5c huy\u1ebft kh\u1ed1i.<\/p>\n<p>C\u00e1c nghi\u00ean c\u1ee9u s\u1eed d\u1ee5ng streptokinase ph\u00f3ng x\u1ea1 \u0111\u00e3 ghi nh\u1eadn hai th\u1eddi gian b\u00e1n hu\u1ef7 kh\u00e1c nhau: th\u1eddi gian b\u00e1n h\u1ee7y nhanh (kho\u1ea3ng 18 ph\u00fat) v\u00e0 th\u1eddi gian b\u00e1n h\u1ee7y ch\u1eadm h\u01a1n (kho\u1ea3ng 83 ph\u00fat).<\/p>\n<p>V\u00ec streptokinase \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1eeb vi khu\u1ea9n streptococci n\u00ean c\u00f3 th\u1ec3 g\u00e2y ra s\u1ed1t v\u00e0 c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng kh\u00e1c. Thu\u1ed1c \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 g\u00e2y h\u1ea1 huy\u1ebft \u00e1p d\u01b0\u1eddng nh\u01b0 li\u00ean quan \u0111\u1ebfn li\u1ec1u d\u00f9ng. Streptokinase th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng m\u1ed9t c\u00e1ch an to\u00e0n l\u1ea7n th\u1ee9 hai trong v\u00f2ng 6 th\u00e1ng b\u1edfi v\u00ec c\u00f3 t\u00ednh kh\u00e1ng nguy\u00ean cao v\u00e0 xu\u1ea5t hi\u1ec7n l\u01b0\u1ee3ng l\u1edbn kh\u00e1ng th\u1ec3 kh\u00e1ng streptococci.<\/p>\n<p>Do nguy c\u01a1 d\u1ecb \u1ee9ng v\u00e0 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n, streptokinase \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u1ea1n ch\u1ebf tr\u00ean l\u00e2m s\u00e0ng. Tuy nhi\u00ean, \u1edf c\u00e1c qu\u1ed1c gia \u0111ang ph\u00e1t tri\u1ec3n, streptokinase v\u1eabn ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00ec c\u00f3 gi\u00e1 th\u00e0nh th\u1ea5p h\u01a1n c\u00e1c thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft kh\u00e1c.<\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/\" target=\"_blank\" rel=\"nofollow noopener\"><b>B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec<\/b><\/a>\u00a0 c\u00f3 \u0111\u1ed9i ng\u0169 D\u01b0\u1ee3c s\u0129 d\u01b0\u1ee3c l\u00e2m s\u00e0ng v\u00e0 \u0111\u01b0a h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c, thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n v\u00e0o c\u00f4ng t\u00e1c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3\u00a0 c\u1ea5p c\u1ee9u c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch v\u00e0 ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5. B\u00ean c\u1ea1nh c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng nh\u01b0: Aspirin, clopidogel&#8230; 1.S\u1ef1 h\u00ecnh th\u00e0nh v\u00e0 ly gi\u1ea3i huy\u1ebft kh\u1ed1i Huy\u1ebft kh\u1ed1i l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng c\u1ee7a ph\u1ea3n \u1ee9ng \u0111\u00f4ng c\u1ea7m m\u00e1u b\u00ecnh th\u01b0\u1eddng nh\u1eb1m h\u1ea1n ch\u1ebf [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":22624,"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>Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft v\u00e0 c\u00e1c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c h\u00e0nh<\/title>\n<meta name=\"description\" content=\"Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft v\u00e0 c\u00e1c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c h\u00e0nh l\u00e0 v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m. 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