{"id":26204,"date":"2023-04-21T22:50:22","date_gmt":"2023-04-21T15:50:22","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26204"},"modified":"2023-04-21T22:50:22","modified_gmt":"2023-04-21T15:50:22","slug":"benh-nguyen-va-benh-sinh-ho-van-hai-la","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/21\/benh-nguyen-va-benh-sinh-ho-van-hai-la\/","title":{"rendered":"B\u1ec7nh nguy\u00ean v\u00e0 b\u1ec7nh sinh h\u1edf van hai l\u00e1"},"content":{"rendered":"<p><strong>H\u1edf van hai l\u00e1 do b\u1ea5t th\u01b0\u1eddng ho\u1eb7c b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 m\u1ed9t ho\u1eb7c nhi\u1ec1u th\u00e0nh ph\u1ea7n ch\u1ee9c n\u0103ng c\u1ee7a b\u1ed9 m\u00e1y van hai l\u00e1 (l\u00e1 van, v\u00f2ng van, th\u1eebng g\u00e2n, c\u01a1 tr\u1ee5, v\u00e0 c\u01a1 tim l\u00e2n c\u1eadn). <\/strong><strong><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/cac-trieu-chung-ho-van-tim\/\">H\u1edf van hai l\u00e1<\/a> g\u00e2y ra d\u00f2ng ch\u1ea3y t\u1eeb th\u1ea5t tr\u00e1i (LV) v\u00e0o nh\u0129 tr\u00e1i trong th\u00ec t\u00e2m thu. H\u1edf hai l\u00e1 (HoHL) c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean ph\u00e1t (nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p l\u00e0 sa van hai l\u00e1 v\u00e0 th\u1ea5p tim) ho\u1eb7c th\u1ee9 ph\u00e1t do th\u1ea5t tr\u00e1i gi\u00e3n ho\u1eb7c nh\u1ed3i m\u00e1u. C\u00e1c bi\u1ebfn ch\u1ee9ng bao g\u1ed3m suy tim ti\u1ebfn tri\u1ec3n, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, v\u00e0 vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng v\u00e0 th\u1ef1c th\u1ec3 bao g\u1ed3m \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, kh\u00f3 th\u1edf, v\u00e0 ti\u1ebfng th\u1ed5i to\u00e0n t\u00e2m thu \u1edf m\u1ecfm.\u00a0<\/strong><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-26208 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-451338781-612x612-1-300x300.jpg\" alt=\"minh-hoa-ho-van-hai-la\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-451338781-612x612-1-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-451338781-612x612-1-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-451338781-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<p>&#8211; H\u1edf van hai l\u00e1 th\u1ef1c th\u1ec3 do c\u00e1c t\u1ed5n th\u01b0\u01a1ng t\u1ea1i l\u00e1 van v\u00e0\/ho\u1eb7c th\u1eebng g\u00e2n (nh\u01b0 tho\u00e1i h\u00f3a d\u1ea1ng nh\u1ea7y, vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c, th\u1ea5p tim)<br \/>\n&#8211; HoHL c\u01a1 n\u0103ng do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t \u0111i k\u00e8m v\u1edbi gi\u00e3n v\u00f2ng van (nh\u01b0 b\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf v\u00e0 h\u1edf hai l\u00e1 do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim)<br \/>\nC\u1ea7n x\u00e1c \u0111\u1ecbnh c\u01a1 ch\u1ebf h\u1edf van hai l\u00e1 v\u00e0 di\u1ec5n ti\u1ebfn th\u1eddi gian (c\u1ea5p hay m\u1ea1n) b\u1edfi v\u00ec \u0111i\u1ec1u<br \/>\nn\u00e0y \u1ea3nh h\u01b0\u1edfng quan tr\u1ecdng \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb l\u00e2m s\u00e0ng.<\/p>\n<h2>1. B\u1ec7nh nguy\u00ean h\u1edf van hai l\u00e1<\/h2>\n<p>1.1. H\u1edf van hai l\u00e1 c\u1ea5p<strong><br \/>\n<\/strong>X\u1ea3y ra trong ti\u1ebfn tr\u00ecnh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p v\u1edbi \u0111\u1ee9t c\u01a1 tr\u1ee5, sau ch\u1ea5n th\u01b0\u01a1ng ng\u1ef1c k\u00edn ho\u1eb7c vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m tr\u00f9ng. Trong nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, c\u01a1 tr\u1ee5 sau &#8211; trong t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng xuy\u00ean h\u01a1n c\u01a1 tr\u1ee5 tr\u01b0\u1edbc &#8211; b\u00ean do ngu\u1ed3n cung c\u1ea5p m\u00e1u \u0111\u01a1n \u0111\u1ed9c.<br \/>\nHoHL l\u00e1 c\u1ea5p tho\u00e1ng qua x\u1ea3y ra trong giai \u0111o\u1ea1n \u0111ang thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim ho\u1eb7c<br \/>\nc\u01a1n \u0111au th\u1eaft ng\u1ef1c.<br \/>\n\u0110\u1ee9t th\u1eebng g\u00e2n \u0111\u01b0a \u0111\u1ebfn \u201ch\u1edf van hai l\u00e1 c\u1ea5p tr\u00ean n\u1ec1n m\u1ea1n\u201d \u1edf b\u1ec7nh nh\u00e2n tho\u00e1i h\u00f3a d\u1ea1ng nh\u1ea7y c\u1ee7a b\u1ed9 m\u00e1y van.<\/p>\n<p><strong>1.2. H\u1edf van hai l\u00e1 m\u1ea1n<\/strong><strong><br \/>\n<\/strong>1.2.1. Tho\u00e1i h\u00f3a d\u1ea1ng nh\u1ea7y (Myxomatous degeneration)<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf ph\u01b0\u01a1ng T\u00e2y<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>Th\u01b0\u1eddng x\u00e3y ra nh\u01b0 m\u1ed9t b\u1ec7nh nguy\u00ean ph\u00e1t (b\u1ec7nh Barlow ho\u1eb7c khi\u1ebfm khuy\u1ebft s\u1ee3i \u0111\u00e0n<strong><br \/>\n<\/strong>h\u1ed3i) nh\u01b0ng c\u0169ng \u0111i k\u00e8m v\u1edbi b\u1ec7nh di truy\u1ec1n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u00f4 li\u00ean k\u1ebft bao g\u1ed3m h\u1ed9i ch\u1ee9ng Marphan, Ehles \u2013 Danlos, b\u1ec7nh t\u1ea1o x\u01b0\u01a1ng b\u1ea5t to\u00e0n (osteogenesis imperfecta),\u2026<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>C\u00f3 t\u00ednh gia \u0111\u00ecnh ho\u1eb7c kh\u00f4ng c\u00f3 t\u00ednh gia \u0111\u00ecnh<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>N\u1eef\/nam = 2:1<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>M\u1ed9t ho\u1eb7c c\u1ea3 hai l\u00e1 van b\u1ecb sa<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>T\u0103ng sinh d\u1ea1ng nh\u1ea7y v\u00e0 t\u1ea1o th\u00e0nh s\u1ee5n c\u00f3 th\u1ec3 x\u1ea3y ra tr\u00ean l\u00e1 van, th\u1eebng g\u00e2n v\u00e0\/ho\u1eb7c<strong><br \/>\n<\/strong>v\u00f2ng van<strong><br \/>\n<\/strong>1.2.2. B\u1ec7nh tim do th\u1ea5p tim<strong><br \/>\n<\/strong>&#8211; Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu c\u1ee7a HoHL \u1edf n\u01b0\u1edbc ta<br \/>\n&#8211; HoHL\u00a0 \u0111\u01a1n thu\u1ea7n ho\u1eb7c h\u1edf h\u1eb9p van hai l\u00e1 ph\u1ed1i h\u1ee3p<br \/>\n&#8211; G\u00e2y ra b\u1edfi s\u1ef1 d\u00e0y, v\u00f4i h\u00f3a c\u1ee7a l\u00e1 van v\u00e0 th\u1eebng g\u00e2n<br \/>\n1.2.3. S\u1ef1 v\u00f4i h\u00f3a c\u1ee7a v\u00f2ng van hai l\u00e1<strong><br \/>\n<\/strong>&#8211; Th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh th\u1eadn ti\u1ebfn tri\u1ec3n v\u00e0 ph\u1ee5 n\u1eef &gt; 65 tu\u1ed5i c\u00f3 b\u1ec7nh t\u0103ng<br \/>\nhuy\u1ebft \u00e1p v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<br \/>\n1.2.4. D\u1ecb d\u1ea1ng van b\u1ea9m sinh<strong><br \/>\n<\/strong>&#8211; Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 khi\u1ebfm khuy\u1ebft g\u1ed1i n\u1ed9i m\u1ea1c (khi\u1ebfm khuy\u1ebft g\u1ed1i nh\u0129 th\u1ea5t). L\u00e1 tr\u01b0\u1edbc van hai l\u00e1 c\u00f3 khe h\u1edf k\u00e8m th\u00f4ng li\u00ean nh\u0129 l\u1ed7 nguy\u00ean ph\u00e1t<br \/>\n1.2.5. B\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9<strong><br \/>\n<\/strong>&#8211; Do h\u1eadu qu\u1ea3 c\u1ee7a t\u00e1i c\u1ea5u tr\u00fac th\u1ea5t, d\u1eddi chuy\u1ec3n c\u1ee7a c\u01a1 tr\u1ee5 v\u00e0 h\u1ea1n ch\u1ebf c\u1eed \u0111\u1ed9ng l\u00e1 van,<br \/>\nho\u1eb7c k\u00e8m v\u1edbi s\u1ef1 x\u01a1 h\u00f3a c\u1ee7a c\u01a1 tr\u1ee5 \u1edf b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u c\u01a1 tim \u0111\u00e3 l\u00e0nh v\u00e0 b\u1ec7nh c\u01a1<br \/>\ntim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<br \/>\n1.2.6. Vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nhi\u1ec5m tr\u00f9ng<strong><br \/>\n<\/strong>&#8211; Th\u01b0\u1eddng g\u00e2y ph\u00e1 h\u1ee7y m\u00f4 l\u00e1 van (th\u1ee7ng)<br \/>\n1.2.7. B\u1ec7nh c\u01a1 tim gi\u00e3n n\u1edf<strong><br \/>\n<\/strong>&#8211; Do gi\u00e3n v\u00f2ng van v\u00e0 t\u00e1i c\u1ea5u tr\u00fac th\u1ea5t<\/p>\n<h2>2. B\u1ec7nh sinh<\/h2>\n<p>2.1. H\u1edf van hai l\u00e1 m\u1ea1n<strong><br \/>\n<\/strong>Trong th\u1ec3 b\u1ec7nh n\u00e0y, tim c\u00f3 th\u1eddi gian th\u00edch nghi v\u1edbi h\u1edf van.<\/p>\n<p>\u00c1p l\u1ef1c nh\u0129 tr\u00e1i t\u0103ng su\u1ed1t th\u00ec t\u00e2m thu l\u00e0m nh\u0129 tr\u00e1i gi\u00e3n l\u1edbn v\u00e0 r\u1ea5t \u0111\u00e0n h\u1ed3i. S\u1ef1 gi\u00e3n nh\u0129 tr\u00e1i \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi s\u1ef1 qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch \u1edf \u00e1p l\u1ef1c th\u1ea5p; \u0111i\u1ec1u n\u00e0y l\u00e0m gi\u1ea3m sung huy\u1ebft ph\u1ed5i. K\u1ebf \u0111\u1ebfn, n\u1ebfu vi\u1ec7c gi\u00e3n nh\u0129 tr\u00e1i kh\u00f4ng \u0111\u1ee7 l\u00e0m gi\u1ea3m b\u1edbt \u00e1p l\u1ef1c nh\u0129 tr\u00e1i th\u00ec \u00e1p l\u1ef1c mao m\u1ea1ch ph\u1ed5i gia t\u0103ng, xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng suy tim tr\u00e1i. Mu\u1ed9n sau \u0111\u00f3, kh\u00e1ng l\u1ef1c c\u1ee7a ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i s\u1ebd gia t\u0103ng \u0111\u1ec3 b\u1ea3o v\u1ec7 c\u00e1c mao m\u1ea1ch ph\u1ed5i, h\u1eadu qu\u1ea3 l\u00e0 t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn bu\u1ed3ng th\u1ea5t ph\u1ea3i v\u1edbi suy tim ph\u1ea3i.<\/p>\n<p>L\u01b0\u1ee3ng m\u00e1u t\u1eeb th\u1ea5t tr\u00e1i ph\u1ee5t ng\u01b0\u1ee3c v\u00e0o nh\u0129 tr\u00e1i qua ch\u1ed7 h\u1edf s\u1ebd tr\u1edf v\u1ec1 th\u1ea5t tr\u00e1i trong th\u00ec t\u00e2m tr\u01b0\u01a1ng c\u00f9ng v\u1edbi l\u01b0\u1ee3ng m\u00e1u b\u00ecnh th\u01b0\u1eddng c\u1ee7a nh\u0129 tr\u00e1i l\u00e0m cho th\u1ea5t tr\u00e1i b\u1ecb t\u0103ng g\u00e1nh v\u1ec1 th\u1ec3 t\u00edch \u0111\u01b0a \u0111\u1ebfn gi\u00e3n th\u1ea5t tr\u00e1i v\u00e0 ph\u00ec \u0111\u1ea1i th\u1ea5t tr\u00e1i l\u1ec7ch t\u00e2m.<br \/>\n&#8211; Ban \u0111\u1ea7u, th\u1ec3 t\u00edch cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i t\u0103ng s\u1ebd l\u00e0m t\u0103ng ch\u1ee9c n\u0103ng co b\u00f3p th\u1ea5t tr\u00e1i theo \u0111\u1ecbnh lu\u1eadt Frank \u2013 Starling. Cung l\u01b0\u1ee3ng tim b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c duy tr\u00ec.<br \/>\n&#8211; Khi m\u1ee9c \u0111\u1ed9 HoHL n\u1eb7ng l\u00ean theo th\u1eddi gian, c\u00e1c c\u01a1 ch\u1ebf b\u00f9 tr\u1eeb kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 v\u1edbi s\u1ef1 t\u0103ng th\u1ec3 t\u00edch cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i. Do \u0111\u00f3 ph\u00e2n xu\u1ea5t t\u1ed1ng m\u00e1u s\u1ebd gi\u1ea3m d\u1ea7n v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim tr\u00e1i v\u00e0 ph\u1ea3i xu\u1ea5t hi\u1ec7n.<\/p>\n<p>2.2 H\u1edf van hai l\u00e1 c\u1ea5p<strong><br \/>\n<\/strong>&#8211; Bi\u1ec3u hi\u1ec7n ho\u00e0n to\u00e0n kh\u00e1c bi\u1ec7t v\u00ec tim kh\u00f4ng c\u00f3 \u0111\u1ee7 th\u1eddi gian \u0111\u1ec3 c\u01a1 ch\u1ebf b\u00f9 tr\u1eeb ph\u00e1t tri\u1ec3n. V\u00ed d\u1ee5 nh\u01b0 \u0111\u1ee9t d\u00e2y ch\u1eb1ng \u0111\u1ed9t ng\u1ed9t, h\u1eadu qu\u1ea3 l\u00e0 t\u0103ng d\u00f2ng HoHL c\u1ea5p v\u00e0 n\u1eb7ng, d\u00f2ng ph\u1ee5t ng\u01b0\u1ee3c n\u00e0y s\u1ebd l\u00e0m \u00e1p l\u1ef1c nh\u0129 tr\u00e1i t\u0103ng \u0111\u00e1ng k\u1ec3. V\u00ec nh\u0129 tr\u00e1i kh\u00f4ng c\u00f3 th\u1eddi gian \u0111\u1ec3 gi\u00e3n cho n\u00ean \u00e1p l\u1ef1c mao m\u1ea1ch ph\u1ed5i t\u0103ng l\u00ean r\u00f5 r\u1ec7t v\u00e0 ph\u00f9 ph\u1ed5i s\u1ebd x\u1ea3y ra.<strong><br \/>\n<\/strong><strong>&#8211; <\/strong>Th\u1ea5t tr\u00e1i c\u0169ng kh\u00f4ng gi\u00e3n \u0111\u1ee7 \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi s\u1ef1 qu\u00e1 t\u1ea3i th\u1ec3 t\u00edch n\u1eb7ng v\u00e0 suy h\u1eadu t\u1ea3i<strong><br \/>\n<\/strong>s\u1ebd di\u1ec5n ra do suy th\u1ec3 t\u00edch t\u1ed1ng m\u00e1u th\u1ea5t tr\u00e1i.<\/p>\n<p>T\u00e0i li\u1ec7u: PGS.TS Ph\u1ea1m Nguy\u1ec5n Vinh<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1edf van hai l\u00e1 do b\u1ea5t th\u01b0\u1eddng ho\u1eb7c b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 m\u1ed9t ho\u1eb7c nhi\u1ec1u th\u00e0nh ph\u1ea7n ch\u1ee9c n\u0103ng c\u1ee7a b\u1ed9 m\u00e1y van hai l\u00e1 (l\u00e1 van, v\u00f2ng van, th\u1eebng g\u00e2n, c\u01a1 tr\u1ee5, v\u00e0 c\u01a1 tim l\u00e2n c\u1eadn). H\u1edf van hai l\u00e1 g\u00e2y ra d\u00f2ng ch\u1ea3y t\u1eeb th\u1ea5t tr\u00e1i (LV) v\u00e0o nh\u0129 [&hellip;]<\/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":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh nguy\u00ean v\u00e0 b\u1ec7nh sinh h\u1edf van hai l\u00e1 - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1edf van hai l\u00e1 do b\u1ea5t th\u01b0\u1eddng ho\u1eb7c b\u1ec7nh l\u00fd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ea5t k\u1ef3 m\u1ed9t ho\u1eb7c nhi\u1ec1u th\u00e0nh ph\u1ea7n ch\u1ee9c n\u0103ng c\u1ee7a b\u1ed9 m\u00e1y van hai l\u00e1\" \/>\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=\"B\u1ec7nh nguy\u00ean v\u00e0 b\u1ec7nh sinh h\u1edf van hai l\u00e1 - 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