{"id":2357,"date":"2023-04-10T01:11:58","date_gmt":"2023-04-09T18:11:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=2357"},"modified":"2023-04-14T15:23:09","modified_gmt":"2023-04-14T08:23:09","slug":"soc-chan-thuong-sau-gay-xuong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/10\/soc-chan-thuong-sau-gay-xuong\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng sau g\u00e3y x\u01b0\u01a1ng"},"content":{"rendered":"<p><strong>Khi m\u1ed9t ng\u01b0\u1eddi b\u1ecb g\u00e3y x\u01b0\u01a1ng, c\u01a1 th\u1ec3 s\u1ebd ph\u1ea3n \u1ee9ng b\u1eb1ng c\u00e1ch t\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c hoocmon stress nh\u01b0 cortisol v\u00e0 adrenaline. \u0110i\u1ec1u n\u00e0y s\u1ebd g\u00e2y ra t\u00ecnh tr\u1ea1ng d\u00e3n m\u1ea1ch, t\u0103ng nh\u1ecbp tim v\u00e0 t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p. Tuy nhi\u00ean, n\u1ebfu ph\u1ea3n \u1ee9ng n\u00e0y qu\u00e1 m\u1ea1nh ho\u1eb7c k\u00e9o d\u00e0i, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng.<\/strong><\/p>\n<p>S\u1ed1c ch\u1ea5n th\u01b0\u01a1ng sau g\u00e3y x\u01b0\u01a1ng l\u00e0 t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n, khi c\u01a1 th\u1ec3 ph\u1ea3n \u1ee9ng m\u1ea1nh tr\u01b0\u1edbc m\u1ed9t ch\u1ea5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng. S\u1ed1c ch\u1ea5n th\u01a1ng l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng s\u1edbm th\u01b0\u1eddng g\u1eb7p v\u00e0 c\u00f3 \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c c\u1ee7a g\u00e3y x\u01b0\u01a1ng nh\u01b0 ch\u00e8n \u00e9p khoang, nhi\u1ec5m tr\u00f9ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng bao g\u1ed3m suy tim, suy th\u1eadn ho\u1eb7c c\u00f3 th\u1ec3 t\u1eed vong.<\/p>\n<h1>1. Nguy\u00ean nh\u00e2n d\u1eabn t\u1edbi s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng sau g\u00e3y x\u01b0\u01a1ng:<\/h1>\n<p>Hai nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn t\u1edbi s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng \u0111\u00f3 l\u00e0 \u0111au v\u00e0 m\u1ea5t m\u00e1u:<\/p>\n<ul>\n<li>\u0110au do c\u00e1c d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c n\u1eb1m tr\u00ean m\u00e0ng x\u01b0\u01a1ng v\u00e0 v\u00f9ng xung quan \u1ed5 g\u00e3y b\u1ecb t\u1ed5n th\u01b0\u01a1ng. N\u1ebfu t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 r\u1ea5t \u0111au v\u00e0 v\u00e0o s\u1ed1c nhanh h\u01a1n.<\/li>\n<li>M\u1ea5t m\u00e1u c\u00f3 th\u1ec3 t\u1eeb m\u1ea1ch m\u00e1u m\u00e0ng x\u01b0\u01a1ng, v\u1ecf x\u01b0\u01a1ng, t\u1ee7y x\u01b0\u01a1ng ho\u1eb7c t\u1eeb c\u00e1c m\u00f4 xung quanh \u1ed5 g\u00e3y ho\u1eb7c t\u1eeb c\u00e1c m\u1ea1ch m\u00e1u ch\u00ednh b\u1ecb t\u1ed5n th\u01b0\u01a1ng do x\u01b0\u01a1ng g\u00e3y. Trong tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng k\u00edn, m\u00e1u kh\u00f4ng \u0111\u1ed5 ra ngo\u00e0i m\u00e0 \u1ee9 \u0111\u1ecdng l\u1ea1i trong \u1ed5 g\u00e3y v\u00e0 c\u00e1c m\u00f4 m\u1ec1m xung quanh l\u01b0\u1ee3ng m\u00e1u n\u00e0y kh\u00f4ng tham gia v\u00e0o tu\u1ea7n ho\u00e0n chung n\u00ean c\u00f3 th\u1ec3 xem nh\u01b0 l\u00e0 l\u01b0\u1ee3ng m\u00e1u \u0111\u00e3 m\u1ea5t.M\u1ea5t m\u00e1u c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn c\u00e1c c\u01a1 quan quan tr\u1ecdng nh\u01b0 n\u00e3o, tim v\u00e0 gan.<\/li>\n<\/ul>\n<h1>2. C\u00e1c y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i d\u1eabn \u0111\u1ebfn s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng:<\/h1>\n<ul>\n<li>T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi x\u1ea3y ra ch\u1ea5n th\u01b0\u01a1ng: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n nh\u01b0 b\u1ec7nh tim m\u1ea1ch, suy tim, suy th\u1eadn, suy gan, thi\u1ebfu m\u00e1u, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c b\u1ec7nh l\u00fd kh\u00e1c nguy c\u01a1 cao x\u1ea3y ra s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng sau g\u00e3y x\u01b0\u01a1ng.<\/li>\n<li>M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ch\u1ea5n th\u01b0\u01a1ng: c\u00e1c tr\u01b0\u1eddng h\u1ee3p g\u00e3y x\u01b0\u01a1ng l\u1edbn, g\u00e3y nhi\u1ec1u x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng k\u00e8m theo m\u00f4 gi\u1eadp n\u00e1t nhi\u1ec1u, c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch m\u00e1u ch\u00ednh, b\u1ec7nh nh\u00e2n \u0111a ch\u1ea5n th\u01b0\u01a1ng, b\u1ec7nh nh\u00e2n kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed b\u1ea5t \u0111\u1ed9ng t\u1ed1t tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n.<\/li>\n<li>M\u1ee9c \u0111\u1ed9 m\u1ea5t m\u00e1u: l\u01b0\u1ee3ng m\u00e1u m\u1ea5t b\u1ec7nh nh\u00e2n t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi kh\u1ea3 n\u0103ng x\u1ea3y ra s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng tr\u00ean b\u1ec7nh nh\u00e2n.<\/li>\n<li>Ch\u1ea5n th\u01b0\u01a1ng do tai n\u1ea1n giao th\u00f4ng: b\u1ec7nh nh\u00e2n ch\u1ea5n th\u01b0\u01a1ng do tai n\u1ea1n giao th\u00f4ng th\u01b0\u1eddng n\u1eb7ng v\u00e0 k\u00e8m theo \u0111a ch\u1ea5n th\u01b0\u01a1ng.<\/li>\n<\/ul>\n<h1>3. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng:<\/h1>\n<ul>\n<li>Da ni\u00eam nh\u1ea1t, tay ch\u00e2n l\u1ea1nh, CRT &gt;2s<\/li>\n<li>Huy\u1ebft \u00e1p th\u1ea5p: Huy\u1ebft \u00e1p c\u1ee7a b\u1ec7nh nh\u00e2n s\u1ebd gi\u1ea3m m\u1ea1nh, th\u01b0\u1eddng d\u01b0\u1edbi m\u1ee9c 90\/60 mmHg.<\/li>\n<li>Nh\u1ecbp tim nhanh: T\u1ea7n s\u1ed1 tim c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u0103ng, th\u01b0\u1eddng tr\u00ean 100 l\u1ea7n\/ph\u00fat.<\/li>\n<li>Nh\u1ecbp th\u1edf nhanh: T\u1ea7n s\u1ed1 th\u1edf c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u0103ng, th\u01b0\u1eddng tr\u00ean 20 l\u1ea7n\/ph\u00fat.<\/li>\n<li>R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan kh\u00e1c: N\u1ebfu s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng k\u00e9o d\u00e0i v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan kh\u00e1c bao g\u1ed3m th\u1eadn, gan v\u00e0 ph\u1ed5i.<\/li>\n<li>\u0110\u00e1nh gi\u00e1 ch\u1ec9 s\u1ed1 s\u1ed1c CSS&gt;1 ( CSS= t\u1ea7n s\u1ed1 m\u1ea1ch trong 1p\/Huy\u1ebft \u00e1p t\u00e2m thu)<\/li>\n<\/ul>\n<h1>4. X\u1eed tr\u00ed s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng:<\/h1>\n<ul>\n<li>\u0110\u00e1nh gi\u00e1 tr\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n qua d\u1ea5u hi\u1ec7u sinh t\u1ed3n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<li>L\u1eadp \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch. Truy\u1ec1n d\u1ecbch nhanh n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i, b\u1ed3i ho\u00e0n l\u01b0\u1ee3ng m\u00e1u m\u1ea5t.<\/li>\n<li>Cho b\u1ec7nh nh\u00e2n th\u1edf oxy, t\u00f9y l\u00e2m s\u00e0ng b\u1ec7nh nh\u00e2n m\u00e0 cho l\u01b0\u1ee3ng ph\u00f9 h\u1ee3p.<\/li>\n<li>Ng\u0103n ch\u1eb7n s\u1ef1 ch\u1ea3y m\u00e1u ti\u1ebfp di\u1ec5n c\u1ee7a b\u1ec7nh nh\u00e2n: c\u00e2m m\u00e1u, b\u1ea5t \u0111\u1ed9ng x\u01b0\u01a1ng g\u00e3y.<\/li>\n<li>Gi\u1ea3m \u0111au: b\u1ea5t \u0111\u1ed9ng x\u01b0\u01a1ng, g\u00e3y t\u00ea \u1ed5 g\u00e3y ho\u1eb7c phong b\u1ebf th\u1ea7n kinh. Ch\u1ec9 d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh trung \u01b0\u01a1ng trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5n th\u01b0\u01a1ng m\u00f4 gi\u1eadp n\u00e1t nhi\u1ec1u ho\u1eb7c g\u00e3y x\u01b0\u01a1ng l\u1edbn, g\u00e3y nhi\u1ec1u x\u01b0\u01a1ng v\u00e0 sau khi \u0111\u00e3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng n\u00e3o, b\u1ee5ng ho\u1eb7c ng\u1ef1c k\u00e8m theo.<\/li>\n<li>Theo d\u00f5i s\u00e1t c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<h1>5. D\u1ef1 ph\u00f2ng kh\u00f4ng \u0111\u1ec3 b\u1ec7nh nh\u00e2n r\u01a1i v\u00e0o s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng:<\/h1>\n<ul>\n<li>Ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n sau g\u00e3y x\u01b0\u01a1ng c\u00f3 kh\u1ea3 n\u0103ng v\u00e0o s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng hay kh\u00f4ng nh\u1edd c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng v\u00e0 y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i\u00a0 tr\u00ean b\u1ec7nh nh\u00e2n \u0111\u1ec3 c\u00f3 ph\u01b0\u01a1ng h\u01b0\u1edbng x\u1eed tr\u00ed s\u1edbm.<\/li>\n<li>Ng\u0103n ch\u1eb7n s\u1ef1 ch\u1ea3y m\u00e1u ti\u1ebfp di\u1ec5n \u1edf b\u1ec7nh nh\u00e2n sau g\u00e3y x\u01b0\u01a1ng \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u1ed1i \u0111a l\u01b0\u1ee3ng m\u00e1u m\u1ea5t.<\/li>\n<li>Gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n \u0111\u00fang c\u00e1ch b\u1eb1ng b\u1ea5t \u0111\u1ed9ng x\u01b0\u01a1ng, ti\u00eam thu\u1ed1c t\u00ea v\u00e0o \u1ed5 g\u00e3y ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au n\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh<\/li>\n<li>X\u1eed tr\u00ed b\u1ea5t \u0111\u1ed9ng t\u1ed1t tr\u01b0\u1edbc khi \u0111\u01b0a b\u1ec7nh nh\u00e2n t\u1edbi b\u1ec7nh vi\u1ec7n.<\/li>\n<\/ul>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<b class=\"link-in-body\">HOTLINE<\/b>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/dangkykham\/\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Khi m\u1ed9t ng\u01b0\u1eddi b\u1ecb g\u00e3y x\u01b0\u01a1ng, c\u01a1 th\u1ec3 s\u1ebd ph\u1ea3n \u1ee9ng b\u1eb1ng c\u00e1ch t\u0103ng s\u1ea3n xu\u1ea5t c\u00e1c hoocmon stress nh\u01b0 cortisol v\u00e0 adrenaline. \u0110i\u1ec1u n\u00e0y s\u1ebd g\u00e2y ra t\u00ecnh tr\u1ea1ng d\u00e3n m\u1ea1ch, t\u0103ng nh\u1ecbp tim v\u00e0 t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng h\u00f4 h\u1ea5p. Tuy nhi\u00ean, n\u1ebfu ph\u1ea3n \u1ee9ng n\u00e0y qu\u00e1 m\u1ea1nh ho\u1eb7c k\u00e9o [&hellip;]<\/p>\n","protected":false},"author":23,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[75,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ed5ng quan v\u1ec1 s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng sau g\u00e3y x\u01b0\u01a1ng - Vinmec<\/title>\n<meta name=\"description\" content=\"S\u1ed1c ch\u1ea5n th\u01b0\u01a1ng l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn ch\u1ee9ng s\u1edbm th\u01b0\u1eddng g\u1eb7p, n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.\" \/>\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\u1ed5ng quan v\u1ec1 s\u1ed1c ch\u1ea5n th\u01b0\u01a1ng sau g\u00e3y x\u01b0\u01a1ng - 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