{"id":25693,"date":"2023-04-21T11:34:46","date_gmt":"2023-04-21T04:34:46","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25693"},"modified":"2023-04-21T11:46:07","modified_gmt":"2023-04-21T04:46:07","slug":"dot-quy-nao-nhung-luu-y-quan-trong-khi-dieu-tri-benh-nhan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/dot-quy-nao-nhung-luu-y-quan-trong-khi-dieu-tri-benh-nhan\/","title":{"rendered":"\u0110\u1ed9t qu\u1ef5 n\u00e3o: Nh\u1eefng l\u01b0u \u00fd quan tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n"},"content":{"rendered":"

\u0110\u1ed9t qu\u1ef5 n\u00e3o, trong \u0111\u00f3 c\u00f3 t\u1edbi 80% b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (hay c\u00f2n g\u1ecdi l\u00e0 nh\u1ed3i m\u00e1u n\u00e3o), s\u1ed1 c\u00f2n l\u1ea1i l\u00e0 \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn c\u1ed1 tim m\u1ea1ch quan tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tim m\u1ea1ch c\u00f3 nguy c\u01a1 cao nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n lipid m\u00e1u… Trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 n\u00e3o c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 \u0111i\u1ec3m quan tr\u1ecdng \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t, gi\u00fap cho s\u1ee9c kh\u1ecfe mau ch\u00f3ng \u0111\u01b0\u1ee3c h\u1ed3i ph\u1ee5c.<\/span><\/strong><\/p>\n

\"\u0110\u1ed9t
\u0110\u1ed9t qu\u1ef5 n\u00e3o l\u00e0 m\u1ed9t tai bi\u1ebfn nguy hi\u1ec3m \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed t\u0103ng huy\u1ebft \u00e1p.<\/figcaption><\/figure>\n

1. Nh\u1eefng l\u01b0u \u00fd trong x\u1eed tr\u00ed b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5<\/h2>\n

M\u1ee5c ti\u00eau ch\u00ednh c\u1ee7a x\u1eed tr\u00ed ban \u0111\u1ea7u b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 n\u00e3o l\u00e0 \u0111\u1ea3m b\u1ea3o s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, nhanh ch\u00f3ng kh\u00f4i ph\u1ee5c nh\u1eefng t\u1ed5n th\u01b0\u01a1ng m\u1ea5u ch\u1ed1t g\u00e2y ra t\u00ecnh tr\u1ea1ng hi\u1ec7n t\u1ea1i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, kh\u1eb3ng \u0111\u1ecbnh b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch hay kh\u00f4ng v\u00e0 b\u1eaft \u0111\u1ea7u t\u00ecm hi\u1ec3u c\u01a1 s\u1edf sinh l\u00fd b\u1ec7nh h\u1ecdc c\u1ee7a c\u00e1c d\u1ea5u hi\u1ec7u, tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh tr\u00ean ng\u01b0\u1eddi b\u1ec7nh.<\/span><\/p>\n

1.1. Nh\u1eefng \u0111\u00e1nh gi\u00e1 v\u00e0 x\u1eed tr\u00ed quan tr\u1ecdng c\u1ee7a \u0111\u1ed9t qu\u1ef5 c\u1ea5p g\u1ed3m nh\u1eefng \u0111i\u1ec3m sau:<\/span><\/h3>\n
    \n
  • \u0110\u00e1nh gi\u00e1 c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n v\u00e0 \u0111\u1ea3m b\u1ea3o ki\u1ec3m so\u00e1t an to\u00e0n \u0111\u01b0\u1eddng th\u1edf (A<\/b>: airway), nh\u1ecbp th\u1edf (B<\/b>: breathing) v\u00e0 tu\u1ea7n ho\u00e0n (C<\/b>: circulation);<\/span><\/li>\n
  • Khai th\u00e1c nhanh ch\u00f3ng nh\u01b0ng ch\u00ednh x\u00e1c ti\u1ec1n s\u1eed, b\u1ec7nh s\u1eed v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 ph\u00e2n bi\u1ec7t nh\u1eefng bi\u1ec3u hi\u1ec7n gi\u1ea3 \u0111\u1ed9t qu\u1ef5 v\u00e0 nh\u1eefng b\u1ec7nh l\u00fd c\u1ea7n ph\u1ea3i ph\u00e2n bi\u1ec7t v\u1edbi \u0111\u1ed9t qu\u1ef5 c\u1ea5p;<\/span><\/li>\n
  • Ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p c\u1ea5p c\u1ee9u CT s\u1ecd n\u00e3o ho\u1eb7c MRI s\u1ecd n\u00e3o, ch\u1ee5p m\u1ea1ch n\u00e3o (MSCT ho\u1eb7c MRA) v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m quan tr\u1ecdng kh\u00e1c c\u0169ng nh\u01b0 theo d\u00f5i t\u00ecnh tr\u1ea1ng tim m\u1ea1ch (monitoring) 24h sau \u0111\u1ed9t qu\u1ef5;<\/span><\/li>\n
  • \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng thi\u1ebfu d\u1ecbch v\u00e0 c\u1ea7n b\u00f9 d\u1ecbch c\u0169ng nh\u01b0 ch\u1ed1ng r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i;<\/span><\/li>\n
  • Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng m\u00e1u. \u0110\u01b0\u1eddng m\u00e1u th\u1ea5p (<3,3 mmol\/L hay 60 mg\/dL) c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh nhanh ch\u00f3ng. \u0110i\u1ec1u tr\u1ecb t\u0103ng \u0111\u01b0\u1eddng m\u00e1u khi \u0111\u01b0\u1eddng m\u00e1u > 10 mmol\/L (180 mg\/dL) v\u00e0 \u0111\u01b0\u1eddng m\u00e1u m\u1ee5c ti\u00eau t\u1eeb 7,8 – 10 mmol\/L (140-180 mg\/dL);<\/span><\/li>\n
  • \u0110\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng nu\u1ed1t v\u00e0 ph\u00f2ng tr\u00e1nh cho b\u1ec7nh nh\u00e2n kh\u00f4ng b\u1ecb s\u1eb7c;<\/span><\/li>\n
  • \u0110i\u1ec1u ch\u1ec9nh \u0111\u1ea7u gi\u01b0\u1eddng \u1edf t\u01b0 th\u1ebf ph\u00f9 h\u1ee3p t\u1ed1i \u01b0u v\u1edbi ng\u01b0\u1eddi b\u1ec7nh. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft n\u00e3o, xu\u1ea5t huy\u1ebft d\u01b0\u1edbi nh\u1ec7n ho\u1eb7c nh\u1ed3i m\u00e1u n\u00e3o d\u1ec5 c\u00f3 nguy c\u01a1 t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd, s\u1eb7c, suy tim v\u00e0 suy h\u00f4 h\u1ea5p c\u1ea5p, n\u00ean \u0111\u1ec3 n\u1eb1m \u0111\u1ea7u b\u1eb1ng ho\u1eb7c \u0111\u1ea7u cao 30 \u0111\u1ed9. V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 kh\u00f4ng c\u00f3 nh\u1eefng nguy c\u01a1 n\u00f3i tr\u00ean th\u00ec t\u01b0 th\u1ebf \u0111\u1ea7u gi\u01b0\u1eddng ph\u00f9 h\u1ee3p v\u1edbi th\u00f3i quen c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh;<\/span><\/li>\n
  • Ki\u1ec3m so\u00e1t th\u00e2n nhi\u1ec7t v\u00e0 \u0111i\u1ec1u ch\u1ec9nh nhi\u1ec7t \u0111\u1ed9, \u0111\u1ed3ng th\u1eddi t\u00ecm hi\u1ec3u nguy\u00ean nh\u00e2n n\u1ebfu c\u00f3 s\u1ed1t, nh\u1ea5t trong nh\u1eefng ng\u00e0y \u0111\u1ea7u sau \u0111\u1ed9t qu\u1ef5;<\/span><\/li>\n<\/ul>\n

    1.2. Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p t\u00f9y theo th\u1ec3 \u0111\u1ed9t qu\u1ef5:<\/span><\/h3>\n
      \n
    • V\u1edbi b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p, c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh HA t\u00e2m thu \u2264 185 mmHg, HA t\u00e2m tr\u01b0\u01a1ng \u2264 110 mmHg tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft v\u00e0 duy tr\u00ec \u2264 180\/105 mmHg trong 24h \u0111\u1ea7u ti\u00ean sau ti\u00eau s\u1ee3i huy\u1ebft;<\/span><\/li>\n
    • V\u1edbi b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft, ch\u1ec9 h\u1ea1 huy\u1ebft \u00e1p khi t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng n\u1ec1 (HA t\u00e2m thu > 220 mmHg v\u00e0\/ho\u1eb7c HA t\u00e2m tr\u01b0\u01a1ng > 120 mmHg) ho\u1eb7c c\u00f3 nh\u1eefng ch\u1ec9 \u0111\u1ecbnh c\u1ea7n thi\u1ebft kh\u00e1c tr\u00ean ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh thi\u1ebfu m\u00e1u ti\u1ebfn tri\u1ec3n, suy tim, ph\u00ecnh t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, b\u1ec7nh n\u00e3o do t\u0103ng huy\u1ebft \u00e1p hay ti\u1ec1n s\u1ea3n gi\u1eadt ho\u1eb7c s\u1ea3n gi\u1eadt. Khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh h\u1ea1 \u00e1p th\u00ec n\u00ean h\u1ea1 HA t\u1eeb t\u1eeb, h\u1ea1 kho\u1ea3ng 15% s\u1ed1 \u0111o HA hi\u1ec7n c\u00f3 trong ng\u00e0y \u0111\u1ea7u ti\u00ean sau \u0111\u1ed9t qu\u1ef5;<\/span><\/li>\n
    • V\u1edbi b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft n\u00e3o v\u00e0 xu\u1ea5t huy\u1ebft d\u01b0\u1edbi nh\u1ec7n, \u0111i\u1ec1u ch\u1ec9nh huy\u1ebft \u00e1p c\u1ea7n t\u00ednh \u0111\u1ebfn l\u1ee3i \u00edch (gi\u1ea3m ch\u1ea3y m\u00e1u th\u00eam) v\u00e0 nguy c\u01a1 (gi\u1ea3m t\u01b0\u1edbi m\u00e1u n\u00e3o) (xem d\u01b0\u1edbi<\/i>);<\/span><\/li>\n<\/ul>\n

      1.3. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p<\/span><\/h3>\n

      N\u1ebfu c\u00f3 ch\u1ec9 \u0111\u1ecbnh ti\u00eau huy\u1ebft kh\u1ed1i th\u00ec \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft alteplase \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch l\u00e0 l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb \u0111\u1ed9t qu\u1ef5 tr\u01b0\u1edbc 3 gi\u1edd (c\u00f3 th\u1ec3 xem x\u00e9t v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1ebfn tr\u01b0\u1edbc 4,5 gi\u1edd). V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p do huy\u1ebft kh\u1ed1i g\u00e2y t\u1eafc \u0111o\u1ea1n g\u1ea7n c\u1ee7a \u0111\u1ed9ng m\u1ea1ch l\u1edbn, c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh l\u1ea5y huy\u1ebft kh\u1ed1i b\u1eb1ng d\u1ee5ng c\u1ee5 theo \u0111\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch trong kho\u1ea3ng th\u1eddi gian 24h k\u1ec3 t\u1eeb khi b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111\u1ed9t qu\u1ef5.<\/span><\/p>\n

      1.4. \u0110i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng<\/span><\/h3>\n

      B\u00ean c\u1ea1nh \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u01b0\u1edbi m\u00e1u, c\u1ea7n l\u01b0u \u00fd \u0111\u1ebfn c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p kh\u00e1c gi\u00fap gi\u1ea3m bi\u1ebfn ch\u1ee9ng, gi\u1ea3m di ch\u1ee9ng, ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5 t\u00e1i ph\u00e1t, bao g\u1ed3m:<\/span><\/p>\n

        \n
      • Ch\u1ed1ng huy\u1ebft kh\u1ed1i b\u1eb1ng thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u v\u1edbi aspirin, cho li\u1ec1u \u0111\u1ea7u trong th\u1eddi gian 24h sau nh\u1ed3i m\u00e1u n\u00e3o;<\/span><\/li>\n
      • D\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u chi d\u01b0\u1edbi v\u00e0 thuy\u00ean t\u1eafc ph\u1ed5i;<\/span><\/li>\n
      • V\u1edbi b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o c\u1ea5p, c\u1ea7n d\u00f9ng s\u1edbm thu\u1ed1c statin.<\/span><\/li>\n<\/ul>\n

        2. L\u01b0u \u00fd khi theo d\u00f5i b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 n\u00e3o<\/h2>\n
          \n
        • B\u1ec7nh nh\u00e2n b\u1ecb xu\u1ea5t huy\u1ebft n\u00e3o n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i trong khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c ho\u1eb7c \u0111\u01a1n v\u1ecb chuy\u00ean v\u1ec1 \u0111\u1ed9t qu\u1ef5. Trong giai \u0111o\u1ea1n c\u1ea5p c\u1ee7a XHN, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 th\u1edf m\u00e1y, b\u00ecnh \u1ed5n c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u n\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p, can thi\u1ec7p khi xu\u1ea5t hi\u1ec7n t\u0103ng \u00e1p l\u1ef1c n\u1ed9i s\u1ecd v\u00e0 c\u00f3 d\u1ea5u hi\u1ec7u ch\u00e8n \u00e9p n\u00e3o (hi\u1ec7u \u1ee9ng kh\u1ed1i), \u0111i\u1ec1u tr\u1ecb co gi\u1eadt, d\u1eabn l\u01b0u n\u00e3o th\u1ea5t ho\u1eb7c ph\u1eabu thu\u1eadt l\u1ea5y kh\u1ed1i m\u00e1u t\u1ee5. C\u1ea7n ch\u0103m s\u00f3c t\u00edch c\u1ef1c \u0111\u1ea7y \u0111\u1ee7 trong \u00edt nh\u1ea5t ng\u00e0y \u0111\u1ea7u ti\u00ean sau xu\u1ea5t huy\u1ebft n\u00e3o.<\/span><\/li>\n
        • T\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u00e0 thu\u1ed1c ch\u1ed1ng ti\u1ec3u c\u1ea7u c\u1ea7n ph\u1ea3i d\u1eebng s\u1eed d\u1ee5ng ngay khi ngh\u0129 \u0111\u1ebfn xu\u1ea5t huy\u1ebft n\u00e3o (c\u00f3 th\u1ec3 ch\u1ec9 m\u1edbi l\u00e0 ch\u1ea9n \u0111o\u00e1n s\u01a1 b\u1ed9 tr\u00ean l\u00e2m s\u00e0ng) v\u00e0 t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u1ea3o ng\u01b0\u1ee3c ngay l\u1eadp t\u1ee9c v\u1edbi c\u00e1c thu\u1ed1c th\u00edch h\u1ee3p theo ph\u00e1c \u0111\u1ed3.<\/span><\/li>\n<\/ul>\n

          3. M\u1ed9t s\u1ed1 l\u01b0u \u00fd khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o<\/h2>\n
            \n
          • \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft n\u00e3o c\u1ea5p t\u00ednh c\u00f3 HATT t\u1eeb 150-220 mmHg th\u00ec n\u00ean h\u1ea1 nhanh HATT xu\u1ed1ng 140 mmHg. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n HATT > 220 mmHg th\u00ec n\u00ean gi\u1ea3m huy\u1ebft \u00e1p t\u00edch c\u1ef1c b\u1eb1ng c\u00e1ch truy\u1ec1n t\u0129nh m\u1ea1ch li\u00ean t\u1ee5c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p v\u00e0 theo d\u00f5i huy\u1ebft \u00e1p th\u01b0\u1eddng xuy\u00ean (c\u1ee9 sau n\u0103m ph\u00fat) \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c HATT m\u1ee5c ti\u00eau t\u1eeb 140-160 mmHg.<\/span><\/li>\n
          • \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb xu\u1ea5t huy\u1ebft n\u00e3o c\u00f3 co gi\u1eadt, n\u00ean s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ed1ng co gi\u1eadt \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch th\u00edch h\u1ee3p \u0111\u1ec3 nhanh ch\u00f3ng ki\u1ec3m so\u00e1t c\u01a1n co gi\u1eadt.<\/span><\/li>\n
          • \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft ti\u1ec3u n\u00e3o c\u00f3 \u0111\u01b0\u1eddng k\u00ednh > 3 cm ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi b\u1ecb xu\u1ea5t huy\u1ebft ti\u1ec3u n\u00e3o \u0111ang b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea7n kinh ho\u1eb7c b\u1ecb ch\u00e8n \u00e9p n\u00e3o v\u00e0\/ho\u1eb7c gi\u00e3n n\u00e3o th\u1ea5t do t\u1eafc n\u00e3o th\u1ea5t th\u00ec n\u00ean ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt l\u1ea5y kh\u1ed1i m\u00e1u t\u1ee5. Ph\u1eabu thu\u1eadt cho xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd tr\u00ean l\u1ec1u v\u1eabn c\u00f2n \u0111ang \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn. Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt n\u00ean \u00e1p d\u1ee5ng cho nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang b\u1ecb \u0111e d\u1ecda t\u00ednh m\u1ea1ng do kh\u1ed1i m\u00e1u t\u1ee5 ch\u00e8n \u00e9p v\u00e0 n\u00ean c\u00e1c th\u1ec3 h\u00f3a ng\u01b0\u1eddi b\u1ec7nh khi ch\u1ec9 \u0111\u1ecbnh.<\/span><\/li>\n
          • \u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p l\u00e0 b\u01b0\u1edbc quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 xu\u1ea5t huy\u1ebft n\u00e3o v\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o t\u00e1i ph\u00e1t. Ng\u1eebng h\u00fat thu\u1ed1c, kh\u00f4ng l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u v\u00e0 kh\u00f4ng d\u00f9ng ma t\u00fay, c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 l\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng c\u00f3 hi\u1ec7u qu\u1ea3.<\/span><\/li>\n
          • T\u1ef7 l\u1ec7 t\u1eed vong trong 30 ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n xu\u1ea5t huy\u1ebft n\u00e3o dao \u0111\u1ed9ng t\u1eeb 35-52%. C\u00e1c d\u1ea5u hi\u1ec7u d\u1ef1 b\u00e1o ti\u00ean l\u01b0\u1ee3ng x\u1ea5u bao g\u1ed3m c\u1ea3 t\u1eed vong g\u1ed3m tu\u1ed5i cao, \u0111i\u1ec3m Glasgow th\u1ea5p, m\u1ee9c \u0111\u1ed9 xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd t\u0103ng, c\u00f3 xu\u1ea5t huy\u1ebft n\u00e3o th\u1ea5t, v\u1ecb tr\u00ed xu\u1ea5t huy\u1ebft \u1edf s\u00e2u ho\u1eb7c \u1edf v\u1ecb tr\u00ed d\u01b0\u1edbi l\u1ec1u v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng huy\u1ebft kh\u1ed1i tr\u01b0\u1edbc \u0111\u00f3.<\/span><\/li>\n<\/ul>\n

            Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

            \u0110\u1ed9t qu\u1ef5 n\u00e3o, trong \u0111\u00f3 c\u00f3 t\u1edbi 80% b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (hay c\u00f2n g\u1ecdi l\u00e0 nh\u1ed3i m\u00e1u n\u00e3o), s\u1ed1 c\u00f2n l\u1ea1i l\u00e0 \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ebfn c\u1ed1 tim m\u1ea1ch quan tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tim m\u1ea1ch c\u00f3 nguy c\u01a1 cao nh\u01b0 t\u0103ng […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[10,33],"tags":[3],"yoast_head":"\n\u0110\u1ed9t qu\u1ef5 n\u00e3o: Nh\u1eefng l\u01b0u \u00fd quan tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n<\/title>\n<meta name=\"description\" content=\"\u0110\u1ed9t qu\u1ef5 n\u00e3o, trong \u0111\u00f3 c\u00f3 t\u1edbi 80% b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (hay c\u00f2n g\u1ecdi l\u00e0 nh\u1ed3i m\u00e1u n\u00e3o), s\u1ed1 c\u00f2n l\u1ea1i l\u00e0 \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o ...\" \/>\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=\"\u0110\u1ed9t qu\u1ef5 n\u00e3o: Nh\u1eefng l\u01b0u \u00fd quan tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n\" \/>\n<meta property=\"og:description\" content=\"\u0110\u1ed9t qu\u1ef5 n\u00e3o, trong \u0111\u00f3 c\u00f3 t\u1edbi 80% b\u1ec7nh nh\u00e2n \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u n\u00e3o (hay c\u00f2n g\u1ecdi l\u00e0 nh\u1ed3i m\u00e1u n\u00e3o), s\u1ed1 c\u00f2n l\u1ea1i l\u00e0 \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o ...\" \/>\n<meta property=\"og:url\" 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