{"id":26867,"date":"2023-05-02T17:59:58","date_gmt":"2023-05-02T10:59:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26867"},"modified":"2023-10-21T10:25:05","modified_gmt":"2023-10-21T03:25:05","slug":"nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc-benh-mach-vanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc-benh-mach-vanh\/","title":{"rendered":"B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CAD) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng tim m\u1ea1ch. CAD l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng cung c\u1ea5p m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t cho c\u01a1 tim, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd \u0111i s\u00e2u v\u00e0o nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb, t\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 k\u1ebft lu\u1eadn v\u1ec1 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/strong><\/p>\n<figure style=\"width: 660px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20190416_100953_128503_photo1522860369825-.max-1800x1800.jpg\" alt=\"B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh | Vinmec\" width=\"660\" height=\"409\" \/><figcaption class=\"wp-caption-text\">B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/figcaption><\/figure>\n<h2><strong>1. Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong><\/h2>\n<p>\u0110\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 c\u00e1c \u0111\u01b0\u1eddng \u1ed1ng m\u00e1u c\u00f3 nhi\u1ec7m v\u1ee5 cung c\u1ea5p m\u00e1u gi\u00e0u d\u01b0\u1ee1ng ch\u1ea5t cho c\u01a1 tim. Khi b\u1ecb t\u1eafc ngh\u1ebdn, l\u01b0\u1ee3ng m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t cung c\u1ea5p cho c\u01a1 tim gi\u1ea3m, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a CAD. Tuy nhi\u00ean, nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 sau \u0111\u00e2y \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh:<\/p>\n<ul>\n<li>Ti\u1ec1n s\u1eed gia \u0111\u00ecnh: N\u1ebfu c\u00f3 ng\u01b0\u1eddi trong gia \u0111\u00ecnh b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, nguy c\u01a1 m\u1eafc b\u1ec7nh s\u1ebd t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3. C\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, bao g\u1ed3m gene v\u00e0 phong t\u1ecfa epigenetic, c\u00f3 th\u1ec3 \u0111\u00f3ng vai tr\u00f2 trong vi\u1ec7c gi\u1ea3i th\u00edch s\u1ef1 t\u01b0\u01a1ng quan gi\u1eefa ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n<li>Tu\u1ed5i t\u00e1c: Nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh t\u0103ng l\u00ean v\u1edbi \u0111\u1ed9 tu\u1ed5i. T\u0103ng tu\u1ed5i l\u00e0m cho c\u00e1c \u0111\u1ed9ng m\u1ea1ch v\u00e0nh b\u1ecb c\u1ee9ng h\u01a1n v\u00e0 d\u1ec5 b\u1ecb t\u1eafc ngh\u1ebdn h\u01a1n.<\/li>\n<li>\u0110i\u1ec1u ki\u1ec7n chung: M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 huy\u1ebft \u00e1p cao, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u00e9o ph\u00ec, r\u1ed1i lo\u1ea1n lipid m\u00e1u, b\u1ec7nh th\u1eadn v\u00e0 h\u00fat thu\u1ed1c l\u00e1 \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n<li>Dinh d\u01b0\u1ee1ng: Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0103n qu\u00e1 nhi\u1ec1u \u0111\u1ed3 \u0103n c\u00f3 ch\u1ee9a cholesterol, \u0111\u01b0\u1eddng v\u00e0 ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a, l\u00e0 m\u1ed9t trong c\u00e1c y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n<li>Stress: C\u00e1c t\u00ecnh hu\u1ed1ng c\u0103ng th\u1eb3ng trong cu\u1ed9c s\u1ed1ng h\u00e0ng ng\u00e0y c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh. Stress c\u00f3 th\u1ec3 l\u00e0m t\u0103ng huy\u1ebft \u00e1p v\u00e0 t\u0103ng c\u01b0\u1eddng qu\u00e1 tr\u00ecnh oxy h\u00f3a, t\u1ea1o ra c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh.<\/li>\n<\/ul>\n<h2><strong>2. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong><\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>\u0110au ng\u1ef1c: \u0110\u00e2y l\u00e0 tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a CAD. \u0110au ng\u1ef1c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n d\u01b0\u1edbi nhi\u1ec1u h\u00ecnh th\u1ee9c nh\u01b0 \u0111au n\u1eb7ng, kh\u00f3 ch\u1ecbu ho\u1eb7c c\u1ea3m gi\u00e1c n\u1eb7ng n\u1ec1 \u1edf ng\u1ef1c. \u0110au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n khi ng\u01b0\u1eddi b\u1ec7nh \u0111ang ho\u1ea1t \u0111\u1ed9ng n\u1eb7ng ho\u1eb7c trong t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng. \u0110au ng\u1ef1c c\u00f3 th\u1ec3 tr\u1ea3i d\u00e0i \u0111\u1ebfn v\u00f9ng vai, c\u00e1nh tay, c\u1ed5 v\u00e0 l\u01b0ng.<\/li>\n<li>Kh\u00f3 th\u1edf: Kh\u00f3 th\u1edf l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a CAD. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf ho\u1eb7c th\u1edf d\u1ed1c khi \u0111ang ho\u1ea1t \u0111\u1ed9ng n\u1eb7ng ho\u1eb7c trong t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng. Kh\u00f3 th\u1edf c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi \u0111au ng\u1ef1c ho\u1eb7c \u0111\u1ed9c l\u1eadp.<\/li>\n<li>M\u1ec7t m\u1ecfi: Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 suy nh\u01b0\u1ee3c n\u1ebfu h\u1ecd b\u1ecb CAD. M\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ngay c\u1ea3 khi ng\u01b0\u1eddi b\u1ec7nh \u0111ang ngh\u1ec9 ng\u01a1i v\u00e0 kh\u00f4ng tham gia ho\u1ea1t \u0111\u1ed9ng n\u00e0o.<\/li>\n<li>\u0110au \u0111\u1ea7u: \u0110au \u0111\u1ea7u c\u0169ng l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ee7a CAD. N\u00f3 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n khi ng\u01b0\u1eddi b\u1ec7nh \u0111ang ho\u1ea1t \u0111\u1ed9ng n\u1eb7ng ho\u1eb7c trong t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng.<\/li>\n<li>Bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda: \u0110\u00e2y l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u1ee7a CAD, tuy nhi\u00ean ch\u00fang th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng h\u01a1n. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n m\u1eeda do s\u1ef1 thi\u1ebfu m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t cung c\u1ea5p cho c\u01a1 tim.<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c: Ngo\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 \u0111au l\u01b0ng, m\u1ea5t c\u00e2n b\u1eb1ng, s\u1ed1t v\u00e0 ho. Tuy nhi\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng li\u00ean quan \u0111\u1ebfn CAD.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h2><strong>3. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<ul>\n<li style=\"list-style-type: none;\">\n<ul>\n<li>S\u1eed d\u1ee5ng thu\u1ed1c: Thu\u1ed1c \u0111\u00f3ng vai tr\u00f2 r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb CAD. C\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 aspirin, clopidogrel, beta-blockers, ACE inhibitors v\u00e0 statins \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5. Ch\u00fang ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng, gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 gi\u1ea3m l\u01b0\u1ee3ng cholesterol trong m\u00e1u.<\/li>\n<li>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng: Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng cho CAD. B\u1ea1n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng nh\u01b0 \u0111i b\u1ed9, \u0111\u1ea1p xe v\u00e0 b\u01a1i l\u1ed9i \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe tim m\u1ea1ch. B\u1ea1n c\u0169ng n\u00ean \u0103n m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 h\u1ea1n ch\u1ebf ti\u00eau th\u1ee5 \u0111\u1ed3 \u0103n nhanh, ch\u1ea5t b\u00e9o v\u00e0 \u0111\u01b0\u1eddng.<\/li>\n<li>Ph\u1eabu thu\u1eadt: Ph\u1eabu thu\u1eadt l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh CAD n\u1eb7ng. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt bao g\u1ed3m \u0111\u1eb7t stent, ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng m\u1ea1ch v\u00e0nh v\u00e0 ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>Th\u1eddi gian thay th\u1ebf stent ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i stent \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Stent \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i ch\u00ednh l\u00e0 stent truy\u1ec1n th\u1ed1ng v\u00e0 stent d\u1eabn truy\u1ec1n th\u00f4ng minh. Stent truy\u1ec1n th\u1ed1ng th\u01b0\u1eddng c\u1ea7n thay th\u1ebf sau kho\u1ea3ng 5-10 n\u0103m, trong khi stent d\u1eabn truy\u1ec1n th\u00f4ng minh c\u00f3 th\u1ec3 duy tr\u00ec \u0111\u01b0\u1ee3c t\u1ed1i \u0111a 10-15 n\u0103m.<\/p>\n<p>Ngo\u00e0i ra, vi\u1ec7c thay th\u1ebf stent c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 l\u1ed1i s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. B\u1ec7nh nh\u00e2n n\u00ean duy tr\u00ec m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh, bao g\u1ed3m \u0103n u\u1ed1ng v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t b\u1ec7nh v\u00e0 k\u00e9o d\u00e0i tu\u1ed5i th\u1ecd c\u1ee7a stent.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ed5 sung: Ngo\u00e0i c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u00ean, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung nh\u01b0 ch\u00e2m c\u1ee9u, yoga v\u00e0 t\u1eadp th\u1edf c\u00f3 th\u1ec3 gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m c\u0103ng th\u1eb3ng.<\/p>\n<h2><strong>4. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/strong><\/h2>\n<p>Khi \u0111i\u1ec1u tr\u1ecb CAD, vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<ul>\n<li>T\u01b0\u01a1ng t\u00e1c gi\u1eefa thu\u1ed1c \u0111au ng\u1ef1c v\u00e0 thu\u1ed1c kh\u00e1c: C\u00e1c thu\u1ed1c \u0111au ng\u1ef1c nh\u01b0 nitrat, dipyridamole v\u00e0 beta-blockers c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c nh\u01b0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m, thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 thu\u1ed1c ng\u1ee7. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00f9ng l\u00fac c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c \u0111au ng\u1ef1c.<\/li>\n<li>T\u01b0\u01a1ng t\u00e1c gi\u1eefa thu\u1ed1c v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u01b0 warfarin v\u00e0 statins c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m nh\u01b0 rau xanh, tr\u00e1i c\u00e2y v\u00e0 s\u1eefa chua. Vi\u1ec7c \u0103n u\u1ed1ng kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n c\u1ee7a thu\u1ed1c.<\/li>\n<li>T\u01b0\u01a1ng t\u00e1c gi\u1eefa thu\u1ed1c v\u00e0 b\u1ec7nh l\u00fd kh\u00e1c: Nhi\u1ec1u ng\u01b0\u1eddi m\u1eafc CAD c\u0169ng m\u1eafc c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh th\u1eadn. Vi\u1ec7c s\u1eed d\u1ee5ng c\u00f9ng l\u00fac nhi\u1ec1u lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n<li>T\u01b0\u01a1ng t\u00e1c gi\u1eefa thu\u1ed1c v\u00e0 h\u00f3a ch\u1ea5t kh\u00e1c: Nhi\u1ec1u ng\u01b0\u1eddi s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ed9c h\u1ea1i nh\u01b0 thu\u1ed1c l\u00e1 v\u00e0 r\u01b0\u1ee3u. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c c\u00f9ng l\u00fac v\u1edbi c\u00e1c lo\u1ea1i h\u00f3a ch\u1ea5t n\u00e0y c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u00e0 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c.<\/li>\n<\/ul>\n<p>Vi\u1ec7c hi\u1ec3u r\u00f5 v\u1ec1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c l\u00e0 r\u1ea5t quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb CAD. B\u1ea1n n\u00ean \u0111\u01b0a ra th\u00f4ng tin v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c, b\u1ec7nh l\u00fd v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a m\u00ecnh cho b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang c\u00e1ch. Ngo\u00e0i ra, b\u1ea1n c\u0169ng n\u00ean th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra s\u1ee9c kh\u1ecfe v\u00e0 t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng v\u00e0 thay \u0111\u1ed5i thu\u1ed1c khi c\u1ea7n thi\u1ebft.<\/p>\n<p><strong>K\u1ebft lu\u1eadn<\/strong><\/p>\n<p>T\u1ed5ng k\u1ebft l\u1ea1i, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Tuy nhi\u00ean, s\u1ef1 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, \u0111i\u1ec1u tr\u1ecb thu\u1ed1c v\u00e0 ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh CAD v\u00e0 nguy c\u01a1 t\u00e1i ph\u00e1t b\u1ec7nh. Ng\u01b0\u1eddi b\u1ec7nh CAD c\u1ea7n theo d\u00f5i s\u1ee9c kh\u1ecfe v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o:<\/p>\n<ul>\n<li>B\u00e0i gi\u1ea3ng N\u1ed9i khoa &#8211; Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 Thu\u1eadt Y D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CAD) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng tim m\u1ea1ch. CAD l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng cung c\u1ea5p m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t cho c\u01a1 tim, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng nh\u01b0 nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5. Trong b\u00e0i vi\u1ebft n\u00e0y, [&hellip;]<\/p>\n","protected":false},"author":6,"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 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CAD) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng tim m\u1ea1ch. CAD l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng cung c\u1ea5p m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t\" \/>\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 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CAD) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng tim m\u1ea1ch. CAD l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng cung c\u1ea5p m\u00e1u v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc-benh-mach-vanh\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-02T10:59:58+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-21T03:25:05+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/vinmec-prod.s3.amazonaws.com\/images\/20190416_100953_128503_photo1522860369825-.max-1800x1800.jpg\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc-benh-mach-vanh\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc-benh-mach-vanh\/\",\"name\":\"B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-02T10:59:58+00:00\",\"dateModified\":\"2023-10-21T03:25:05+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6\"},\"description\":\"B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CAD) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 th\u1ed1ng tim m\u1ea1ch. 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