{"id":26073,"date":"2023-04-21T17:10:15","date_gmt":"2023-04-21T10:10:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26073"},"modified":"2023-04-21T18:05:17","modified_gmt":"2023-04-21T11:05:17","slug":"dac-diem-cac-loai-stent-dong-mach-vanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/dac-diem-cac-loai-stent-dong-mach-vanh\/","title":{"rendered":"\u0110\u1eb7c \u0111i\u1ec3m c\u00e1c lo\u1ea1i stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh"},"content":{"rendered":"

Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 mang l\u1ea1i hi\u1ec7u qu\u1ea3 r\u1ea5t l\u1edbn trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng \u0111\u1ed9t ph\u00e1 l\u1edbn nh\u1ea5t trong l\u0129nh v\u1ef1c y t\u1ebf trong th\u1ebf k\u1ef7 20.M\u1ed7i lo\u1ea1i stent c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 \u01b0u \u0111i\u1ec3m ri\u00eang, v\u00e0 s\u1ef1 l\u1ef1a ch\u1ecdn lo\u1ea1i stent ph\u00f9 h\u1ee3p s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n

\"\"<\/p>\n

1.\u0110\u1ecbnh ngh\u0129a stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h1>\n

Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/a> l\u00e0 m\u1ed9t trong nh\u1eefng c\u00f4ng ngh\u1ec7 y t\u1ebf n\u1ed5i ti\u1ebfng v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch gi\u00fap t\u00e1i l\u01b0u th\u00f4ng m\u00e1u \u0111\u1ebfn nu\u00f4i c\u01a1 tim.Tr\u01b0\u1edbc khi c\u00f3 stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p v\u00e0 c\u00f3 nguy c\u01a1 cao g\u00e2y ra bi\u1ebfn ch\u1ee9ng v\u00e0 t\u1eed vong. Do \u0111\u00f3, stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t gi\u1ea3i ph\u00e1p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 h\u01a1n trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n

Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t \u1ed1ng nh\u1ecf \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng kim lo\u1ea1i ho\u1eb7c polymer, \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc ngh\u1ebdn th\u00f4ng qua m\u1ed9t qu\u00e1 tr\u00ecnh g\u1ecdi l\u00e0 can thi\u1ec7p qua da . Khi \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o v\u1ecb tr\u00ed c\u1ee7a t\u1eafc ngh\u1ebdn, stent s\u1ebd gi\u00fap m\u1edf r\u1ed9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 duy tr\u00ec l\u01b0u th\u00f4ng m\u00e1u t\u1ed1t h\u01a1n.<\/p>\n

2.L\u1ecbch s\u1eed ph\u00e1t tri\u1ec3n c\u1ee7a stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h2>\n

Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n t\u1eeb nh\u1eefng n\u0103m 1980 v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng c\u00f4ng ngh\u1ec7 y t\u1ebf \u0111\u1ed9t ph\u00e1 l\u1edbn trong l\u0129nh v\u1ef1c tim m\u1ea1ch. Tr\u01b0\u1edbc \u0111\u00f3, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng ph\u1eabu thu\u1eadt h\u1edf t\u00e1i th\u00f4ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb t\u1eafc ngh\u1ebdn.<\/p>\n

Tuy nhi\u00ean, ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 r\u1ee7i ro cao v\u00e0 c\u1ea7n \u0111\u1ebfn m\u1ed9t th\u1eddi gian ph\u1ee5c h\u1ed3i d\u00e0i. Do \u0111\u00f3, c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 b\u1eaft \u0111\u1ea7u t\u00ecm c\u00e1ch ph\u00e1t tri\u1ec3n m\u1ed9t thi\u1ebft b\u1ecb y t\u1ebf m\u1edbi c\u00f3 th\u1ec3 gi\u00fap m\u1edf r\u1ed9ng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 h\u01a1n.<\/p>\n

N\u0103m 1986, c\u00e1c nh\u00e0 khoa h\u1ecdc t\u1ea1i M\u1ef9 \u0111\u00e3 ph\u00e1t tri\u1ec3n ra stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u1ea7u ti\u00ean,\u00a0 \u0111\u01b0\u1ee3c l\u00e0m b\u1eb1ng th\u00e9p kh\u00f4ng g\u1ec9 v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng bong nong \u0111\u01b0\u1ee3c b\u01a1m b\u1eb1ng kh\u00ed. Stent \u0111\u1ea7u ti\u00ean n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng ban \u0111\u1ea7u.<\/p>\n

T\u1eeb \u0111\u00f3, c\u00e1c nh\u00e0 khoa h\u1ecdc \u0111\u00e3 ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u1edbi nhi\u1ec1u lo\u1ea1i v\u1eadt li\u1ec7u kh\u00e1c nhau, bao g\u1ed3m c\u00e1c lo\u1ea1i kim lo\u1ea1i nh\u01b0 titan v\u00e0 nickel, c\u0169ng nh\u01b0 c\u00e1c lo\u1ea1i polymer. C\u00e1c stent m\u1edbi c\u0169ng \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 gi\u1ea3m thi\u1ec3u c\u00e1c r\u1ee7i ro li\u00ean quan \u0111\u1ebfn t\u00e1i t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/p>\n

Hi\u1ec7n nay, stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u00ednh cho c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch v\u00e0 \u0111\u00e3 gi\u00fap c\u1ee9u s\u1ed1ng h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/p>\n

3. \u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a\u00a0 lo\u1ea1i stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h3>\n

3.1 Stent kim lo\u1ea1i tr\u1ea7n :<\/h4>\n

\u0110\u01b0\u1ee3c l\u00e0m b\u1eb1ng c\u00e1c lo\u1ea1i kim lo\u1ea1i nh\u01b0 th\u00e9p kh\u00f4ng g\u1ec9, titan ho\u1eb7c nickel. Stent kim lo\u1ea1i th\u01b0\u1eddng c\u00f3 \u0111\u1ed9 b\u1ec1n cao v\u00e0\u00a0 gi\u00fap l\u00e0m gi\u1ea3m t\u00e1i h\u1eb9p do m\u1edf r\u1ed9ng l\u00f2ng m\u1ea1ch t\u1ed1t h\u01a1n, ch\u1ed1ng hi\u1ec7n t\u01b0\u1ee3ng co h\u1ed3i th\u00e0nh m\u1ea1ch c\u1ea5p sau nong b\u00f3ng \u0111\u01a1n thu\u1ea7n.<\/p>\n

Tuy nhi\u00ean, stent kim lo\u1ea1i c\u00f3 th\u1ec3 g\u00e2y ra ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 t\u00e1i t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch sau m\u1ed9t th\u1eddi gian s\u1eed d\u1ee5ng do t\u0103ng sinh n\u1ed9i m\u1ea1c g\u00e2y t\u00e1i h\u1eb9p trong stent.<\/p>\n

3.2 Stent ph\u1ee7 thu\u1ed1c c\u00f3 polymer b\u1ec1n v\u1eefng:<\/h4>\n

Stent kim lo\u1ea1i ph\u1ee7 thu\u1ed1c c\u1ea5u t\u1ea1o g\u1ed3m 3 ph\u1ea7n ch\u00ednh g\u1ed3m c\u00f3 khung kim lo\u1ea1i, l\u1edbp polymer \u0111\u1ec3 mang v\u00e0 gi\u1ea3i ph\u00f3ng thu\u1ed1c ch\u1ed1ng t\u0103ng sinh t\u1ebf b\u00e0o c\u01a1 tr\u01a1n th\u00e0nh m\u1ea1ch, v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 thu\u1ed1c ch\u1ed1ng t\u0103ng sinh. Trong khi \u0111\u00f3 stent c\u00f3 ph\u1ee7 thu\u1ed1c v\u1edbi thu\u1ed1c ch\u1ed1ng t\u0103ng sinh c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1ed1c \u0111\u1ed9 t\u0103ng sinh n\u1ed9i m\u1ea1c t\u1ea1i ch\u1ed7 nh\u01b0ng ch\u00ednh l\u1edbp polymer l\u1ea1i l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i mu\u1ed9n trong stent g\u00e2y t\u00e1i h\u1eb9p l\u00f2ng m\u1ea1ch. Gi\u1ea3m nguy c\u01a1 t\u00e1i h\u1eb9p so v\u1edbi stent kim lo\u1ea1i tr\u1ea7n.<\/p>\n

Tuy nhi\u00ean, stent polymer c\u00f3 th\u1ec3 g\u00e2y ra ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 c\u00f3 tu\u1ed5i th\u1ecd ng\u1eafn h\u01a1n so v\u1edbi stent kim lo\u1ea1i.<\/p>\n

3.3 Stent ph\u1ee7 thu\u1ed1c c\u00f3 polymer t\u1ef1 ti\u00eau<\/h4>\n

S\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i polymer \u0111\u1eb7c bi\u1ec7t, t\u1ef1 tan ra trong c\u01a1 th\u1ec3 sau khi \u0111\u00e3 ph\u00e1t huy t\u00e1c d\u1ee5ng gi\u1ea3m thi\u1ec3u s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c m\u1ea3ng b\u00e1m trong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Khi polymer tan ra, stent s\u1ebd kh\u00f4ng c\u00f2n b\u1ecb bao ph\u1ee7 b\u1edfi l\u1edbp polymer n\u1eefa, gi\u00fap gi\u1ea3m thi\u1ec3u c\u00e1c r\u1ee7i ro li\u00ean quan \u0111\u1ebfn ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 t\u00e1i t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

M\u1eb7c d\u00f9 r\u1ea5t nhi\u1ec1u \u01b0u \u0111i\u1ec3m v\u01b0\u1ee3t tr\u1ed9i so v\u1edbi stent kim lo\u1ea1i tr\u1ea7n v\u00e0 stent c\u00f3 ph\u1ee7 thu\u1ed1c polymer b\u1ec1n v\u1eefng , nh\u01b0ng c\u0169ng c\u00f3 nhi\u1ec1u\u00a0 h\u1ea1n ch\u1ebf . Xu\u1ea5t hi\u1ec7n huy\u1ebft kh\u1ed1i mu\u1ed9n h\u01a1n trong stent v\u00e0 t\u0103ng b\u1ea5t l\u1ee3i c\u1ee7a khung kim lo\u1ea1i nh\u01b0 t\u00ecnh tr\u1ea1ng vie\u0302m m\u00e3n t\u00ednh, h\u00ecnh th\u00e0nh m\u1ea1ch ta\u0302n t\u1ea1o, t\u00e1i h\u1eb9p, t\u1eafc c\u00e1c nh\u00e1nh be\u0302n v\u00e0 huy\u1ebft kh\u1ed1i mu\u1ecd\u0302n trong stent.<\/p>\n

3.4 Stent ph\u1ee7 thu\u1ed1c kh\u00f4ng polymer<\/h4>\n

Trong stent ph\u1ee7 thu\u1ed1c kh\u00f4ng c\u00f3 polymer, l\u1edbp thu\u1ed1c \u0111\u01b0\u1ee3c bao ph\u1ee7 tr\u1ef1c ti\u1ebfp tr\u00ean b\u1ec1 m\u1eb7t kim lo\u1ea1i c\u1ee7a stent th\u00f4ng qua c\u00e1c k\u1ef9 thu\u1eadt x\u1eed l\u00fd b\u1ec1 m\u1eb7t \u0111\u1eb7c bi\u1ec7t. L\u1edbp thu\u1ed1c n\u00e0y gi\u00fap gi\u1ea3m thi\u1ec3u s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c m\u1ea3ng b\u00e1m trong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh sau khi stent \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o.<\/p>\n

Stent ph\u1ee7 thu\u1ed1c kh\u00f4ng polymer l\u00e0 gi\u1ea3i ph\u00e1p \u0111\u01a1n gi\u1ea3n v\u00e0 hi\u1ec7u qu\u1ea3, v\u1eeba c\u00f3 kh\u1ea3 n\u0103ng ch\u1ed1ng t\u00e1i h\u1eb9p nh\u01b0 stent ph\u1ee7 thu\u1ed1c, \u0111\u1ed3ng th\u1eddi
\ngi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng huy\u1ebft kh\u1ed1i mu\u1ed9n trong stent do ph\u1ea3n \u1ee9ng ho\u00e1 m\u00f4 mi\u1ec5n d\u1ecbch v\u1edbi l\u1edbp polymer, c\u0169ng nh\u01b0 gi\u1ea3m thi\u1ec3u th\u1eddi gian d\u00f9ng ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u k\u00e9p<\/p>\n

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

Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 mang l\u1ea1i hi\u1ec7u qu\u1ea3 r\u1ea5t l\u1edbn trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng \u0111\u1ed9t ph\u00e1 l\u1edbn nh\u1ea5t trong l\u0129nh v\u1ef1c y t\u1ebf trong th\u1ebf k\u1ef7 20.M\u1ed7i lo\u1ea1i stent c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 \u01b0u \u0111i\u1ec3m ri\u00eang, v\u00e0 s\u1ef1 l\u1ef1a ch\u1ecdn lo\u1ea1i stent […]<\/p>\n","protected":false},"author":9,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"\n\u0110\u1eb7c \u0111i\u1ec3m c\u00e1c lo\u1ea1i stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - Vinmec<\/title>\n<meta name=\"description\" content=\"Stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u00e3 mang l\u1ea1i hi\u1ec7u qu\u1ea3 r\u1ea5t l\u1edbn trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch M\u1ed7i lo\u1ea1i stent c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m v\u00e0 \u01b0u \u0111i\u1ec3m ri\u00eang\" \/>\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\u1eb7c \u0111i\u1ec3m c\u00e1c lo\u1ea1i stent \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - 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