{"id":27582,"date":"2023-04-25T15:36:24","date_gmt":"2023-04-25T08:36:24","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27582"},"modified":"2023-05-02T14:52:20","modified_gmt":"2023-05-02T07:52:20","slug":"tong-quan-ve-benh-dong-mach-vanh","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/25\/tong-quan-ve-benh-dong-mach-vanh\/","title":{"rendered":"C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh"},"content":{"rendered":"

B\u1ec7nh tim m\u1ea1ch \u0111\u00e3 tr\u1edf th\u00e0nh b\u1ec7nh l\u00fd g\u00e2y t\u1eed vong s\u1ed1 m\u1ed9t tr\u00ean th\u1ebf gi\u1edbi. C\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f3 th\u1ec3 chia th\u00e0nh 2 nh\u00f3m ch\u00ednh: b\u1ec7nh tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, m\u1ea1ch n\u00e3o, m\u1ea1ch ngo\u1ea1i vi, c\u00e1c vi m\u1ea1ch v\u00e0 b\u1ec7nh tim m\u1ea1ch kh\u00f4ng do x\u01a1 v\u1eefa nh\u01b0 b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh tim li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng. B\u1ec7nh tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch \u0111ang tr\u1edf th\u00e0nh nh\u00f3m b\u1ec7nh l\u00fd chi\u1ebfm t\u1ef7 l\u1ec7 cao nh\u1ea5t v\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong c\u1ed9ng \u0111\u1ed3ng. B\u00e0i vi\u1ebft sau ch\u00fang t\u00f4i tr\u00ecnh b\u00e0y v\u1ec1 c\u01a1 ch\u1ebf c\u1ee7a b\u1ec7nh tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa, \u0111i\u1ec3n h\u00ecnh l\u00e0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/a>.<\/strong><\/p>\n

1.Gi\u1ea3i ph\u1eabu<\/h1>\n

Tim \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng b\u1edfi 2 \u0111\u1ed9ng m\u1ea1ch v\u00e0nh: \u0110MV ph\u1ea3i v\u00e0 \u0110MV tr\u00e1i. Hai \u0111\u1ed9ng m\u1ea1ch n\u00e0y xu\u1ea5t ph\u00e1t t\u1eeb g\u1ed1c c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 nh\u1eadn m\u00e1u t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 qua c\u00e1c xoang Valsalva, ch\u1ea1y tr\u00ean b\u1ec1 m\u1eb7t c\u1ee7a tim (gi\u1eefa c\u01a1 tim v\u00e0 l\u1edbp th\u01b0\u1ee3ng t\u00e2m m\u1ea1c).<\/p>\n

– \u0110\u1ed9ng m\u1ea1ch v\u00e0nh tr\u00e1i:<\/p>\n

\u0110MV tr\u00e1i xu\u1ea5t ph\u00e1t t\u1eeb xoang Valsalva tr\u01b0\u1edbc tr\u00e1i, sau khi ch\u1ea1y m\u1ed9t \u0111o\u1ea1n ng\u1eafn gi\u1eefa \u0110M ph\u1ed5i v\u00e0 nh\u0129 tr\u00e1i (g\u1ecdi l\u00e0\u00a0th\u00e2n chung \u0110M v\u00e0nh tr\u00e1i<\/em>) s\u1ebd chia ra th\u00e0nh hai nh\u00e1nh:\u00a0\u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc (\u0110MLTT) <\/em>v\u00e0\u00a0\u0111\u1ed9ng m\u1ea1ch m\u0169 (\u0110MM)<\/em>.<\/p>\n

    \n
  • Th\u00e2n chung \u0110MV tr\u00e1i b\u00ecnh th\u01b0\u1eddng d\u00e0i kho\u1ea3ng 10 mm, \u0111\u00f4i khi gi\u1ea3i ph\u1eabu h\u1ec7 m\u1ea1ch v\u00e0nh c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 th\u00e2n chung, \u0111\u1ed9ng m\u1ea1ch li\u00ean th\u1ea5t tr\u01b0\u1edbc v\u00e0 m\u0169 xu\u1ea5t ph\u00e1t t\u1eeb hai l\u1ed7 ri\u00eang bi\u1ec7t.<\/li>\n
  • \u0110MLTT ch\u1ea1y d\u1ecdc theo r\u00e3nh li\u00ean th\u1ea5t tr\u01b0\u1edbc v\u1ec1 ph\u00eda m\u1ecfm tim, th\u00e0nh nh\u1eefng nh\u00e1nh v\u00e1ch v\u00e0 nh\u00e1nh ch\u00e9o. \u0110MLTT c\u1ea5p m\u00e1u cho kho\u1ea3ng 45-55% th\u1ea5t tr\u00e1i, g\u1ed3m th\u00e0nh tr\u01b0\u1edbc b\u00ean, m\u1ecfm tim v\u00e0 v\u00e1ch li\u00ean th\u1ea5t.<\/li>\n
  • \u0110MM ch\u1ea1y trong r\u00e3nh nh\u0129 th\u1ea5t tr\u00e1i cho 2-3 nh\u00e1nh b\u1edd, cung c\u1ea5p m\u00e1u cho th\u00e0nh b\u00ean th\u1ea5t tr\u00e1i. \u0110MM c\u1ea5p m\u00e1u kho\u1ea3ng 15-25% th\u1ea5t tr\u00e1i (tr\u1eeb trong tr\u01b0\u1eddng h\u1ee3p \u0110MM \u01b0u n\u0103ng, c\u1ea5p m\u00e1u kho\u1ea3ng 40-50% th\u1ea5t tr\u00e1i) g\u1ed3m v\u00f9ng sau b\u00ean v\u00e0 tr\u01b0\u1edbc b\u00ean th\u1ea5t tr\u00e1i.<\/li>\n<\/ul>\n

    \"b\u1ec7nh<\/p>\n

    – \u0110\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i:<\/p>\n

      \n
    • \u0110MV ph\u1ea3i xu\u1ea5t ph\u00e1t t\u1eeb xoang Valsalva tr\u01b0\u1edbc ph\u1ea3i, \u0111i ra tr\u01b0\u1edbc trong khe gi\u1eefa ti\u1ec3u nh\u0129 ph\u1ea3i v\u00e0 th\u00e2n \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i . Ti\u1ebfp \u0111\u00f3, ch\u1ea1y v\u1ec1 ph\u00eda b\u1edd ph\u1ea3i c\u1ee7a tim r\u1ed3i v\u00f2ng xu\u1ed1ng m\u1eb7t ho\u00e0nh tim , trong n\u1eeda ph\u1ea3i c\u1ee7a r\u00e3nh v\u00e0nh. Cu\u1ed1i c\u00f9ng , \u0111\u1ed9ng m\u1ea1ch \u0111\u1ed5i t\u00ean l\u00e0 \u0111\u1ed9ng m\u1ea1ch gian th\u1ea5t sau . \u0110\u1ed9ng m\u1ea1ch gian th\u1ea5t sau ch\u1ea1y v\u1ec1 ph\u00eda \u0111\u1ec9nh tim trong r\u00e3nh gian th\u1ea5t sau v\u00e0 ti\u1ebfp n\u1ed1i v\u1edbi \u0111\u1ed9ng m\u1ea1ch gian th\u1ea5t tr\u01b0\u1edbc.<\/li>\n
    • Khi v\u00e0o m\u1eb7t sau 2 t\u00e2m th\u1ea5t v\u00e0 kho\u1ea3ng 1\/3 sau v\u00e1ch gian th\u1ea5t . \u0110o\u1ea1n \u0111i sau r\u00e3nh v\u00e0nh ph\u00e2n nh\u00e1nh v\u00e0o t\u00e2m nh\u0129 ph\u1ea3i v\u00e0 t\u00e2m th\u1ea5t ph\u1ea3i . Trong c\u00e1c nh\u00e1nh \u0111i v\u00e0o t\u00e2m nh\u0129 ph\u1ea3i c\u00f3 c\u00e1c nh\u00e1nh \u0111i v\u00e0o n\u00fat xoang nh\u0129.<\/li>\n
    • \u0110\u1ed9ng m\u1ea1ch v\u00e0nh ph\u1ea3i c\u1ea5p m\u00e1u cho th\u1ea5t ph\u1ea3i v\u00e0 25 – 35% th\u1ea5t tr\u00e1i.<\/li>\n<\/ul>\n

      \"b\u1ec7nh<\/p>\n

      2. Sinh l\u00fd t\u01b0\u1edbi m\u00e1u<\/h2>\n

      C\u00f3 r\u1ea5t \u00edt h\u1ec7 th\u1ed1ng n\u1ed1i th\u00f4ng gi\u1eefa c\u00e1c \u0110MV, v\u00ec v\u1eady n\u1ebfu m\u1ed9t \u0110MV n\u00e0o b\u1ecb t\u1eafc th\u00ec s\u1ef1 t\u01b0\u1edbi m\u00e1u cho v\u00f9ng c\u01a1 tim \u0111\u00f3 s\u1ebd b\u1ecb ng\u1eebng tr\u1ec7 . N\u1ebfu s\u1ef1 t\u1eafc ngh\u1ebdn k\u00e9o d\u00e0i n\u00e0y s\u1ebd g\u00e2y ho\u1ea1i t\u1eed c\u01a1 tim.<\/p>\n

      B\u00ecnh th\u01b0\u1eddng l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua \u0110MV kho\u1ea3ng 60 – 80ml\/ph\u00fat\/100 gam c\u01a1 tim (250ml\/ph\u00fat), chi\u1ebfm 4,6% l\u01b0u l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n c\u1ee7a to\u00e0n c\u01a1 th\u1ec3. C\u01a1 tim h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 d\u1ef1 tr\u1eef oxy. Chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 tim ch\u1ee7 y\u1ebfu l\u00e0 \u00e1i kh\u00ed n\u00ean khi t\u0103ng nhu c\u1ea7u oxy c\u01a1 tim th\u00ec \u0111\u00e1p \u1ee9ng b\u1eb1ng t\u0103ng cung l\u01b0\u1ee3ng v\u00e0nh.<\/p>\n

      3. Sinh l\u00fd b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/h3>\n

      B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng l\u1eafng \u0111\u1ecdng d\u1ea7n lipid, cholesterol, t\u1ea1o c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa b\u00e1m \u1edf th\u00e0nh m\u1ea1ch g\u00e2y h\u1eb9p d\u1ea7n l\u00f2ng m\u1ea1ch, gi\u1ea3m t\u01b0\u1edbi m\u00e1u m\u00f4 \u1edf ph\u00eda xa. \"C\u01a1<\/p>\n

      Qu\u00e1 tr\u00ecnh d\u1eabn \u0111\u1ebfn h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa, t\u00e1i c\u1ea5u tr\u00fac th\u00e0nh m\u1ea1ch trong b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh :<\/strong><\/p>\n

      3.1.Suy gi\u1ea3m ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c<\/h4>\n

      Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi s\u1ef1 t\u1ed5n th\u01b0\u01a1ng l\u1edbp n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u do ti\u1ebfp x\u00fac v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch nh\u01b0: Ch\u1ea5t \u0111\u1ed9c trong thu\u1ed1c l\u00e1, LDL-C oxy h\u00f3a, t\u0103ng homocystein, c\u00e1c t\u00e1c nh\u00e2n nhi\u1ec5m tr\u00f9ng…<\/p>\n

      T\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o.\u00a0<\/em>D\u1ea5u hi\u1ec7u c\u1ee7a r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c l\u00e0 thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng c\u1ee7a qu\u00e1 tr\u00ecnh s\u1ea3n sinh c\u00e1c ph\u00e2n t\u1eed ho\u1ea1t m\u1ea1ch qua trung gian t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c:<\/p>\n

        \n
      • Gi\u1ea3m s\u1ea3n xu\u1ea5t v\u00e0 gi\u1ea3m ho\u1ea1t t\u00ednh sinh h\u1ecdc c\u1ee7a NO, m\u1ed9t ch\u1ea5t gi\u00e3n m\u1ea1ch quan tr\u1ecdng, ch\u1ed1ng huy\u1ebft kh\u1ed1i, ch\u1ed1ng t\u0103ng sinh.<\/li>\n
      • T\u0103ng sinh c\u00e1c ch\u1ea5t co m\u1ea1ch: Endothelin-1 v\u00e0 angiotensin-II, ho\u1ea1t ho\u00e1 qu\u00e1 tr\u00ecnh di t\u1ea3n v\u00e0 t\u0103ng sinh t\u1ebf b\u00e0o.<\/li>\n
      • R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c, b\u1ed9c l\u1ed9 c\u00e1c ph\u00e2n t\u1eed k\u1ebft d\u00ednh v\u00e0 c\u00e1c ch\u1ea5t ho\u00e1 \u1ee9ng \u0111\u1ed9ng l\u00e0m t\u0103ng k\u1ebft d\u00ednh v\u00e0 di chuy\u1ec3n t\u1ebf b\u00e0o.<\/li>\n
      • Nh\u1eefng \u1ea3nh h\u01b0\u1edfng qua trung gian c\u00e1c k\u00edch th\u00edch th\u01b0\u1eddng th\u1ea5y r\u00f5 nh\u1ea5t \u1edf m\u1ea1ch m\u00e1u c\u00f3 t\u1ed1c \u0111\u1ed9 d\u00f2ng m\u00e1u cao nh\u01b0 m\u1ea1ch n\u00e3o, m\u1ea1ch v\u00e0nh, m\u1ea1ch th\u1eadn, m\u1ea1ch ch\u1eadu.<\/li>\n
      • Thay \u0111\u1ed5i c\u00e2n b\u1eb1ng \u0111\u00f4ng m\u00e1u t\u1ea1i ch\u1ed7 nh\u01b0 t\u0103ng n\u1ed3ng \u0111\u1ed9 ch\u1ea5t \u1ee9c ch\u1ebf ho\u1ea1t h\u00f3a plasminogen v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 m\u00f4.<\/li>\n
      • Gi\u1ea3m y\u1ebfu t\u1ed1 ho\u1ea1t h\u00f3a plasminogen (t-PA) v\u00e0 thrombomodulin.<\/li>\n<\/ul>\n

        3.2.S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa<\/h4>\n

        R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c t\u1ea1o thu\u1eadn l\u1ee3i cho s\u1ef1 h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa.<\/p>\n

          \n
        • S\u1ef1 l\u1eafng \u0111\u1ecdng d\u1ea7n d\u1ea7n c\u1ee7a c\u00e1c h\u1ea1t LDL qua l\u1edbp n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u (khi b\u1ecb t\u1ed5n th\u01b0\u01a1ng, suy gi\u1ea3m ch\u1ee9c n\u0103ng) v\u00e0o th\u00e0nh m\u1ea1ch.<\/li>\n
        • C\u00e1c t\u1ebf b\u00e0o \u0111\u01a1n nh\u00e2n th\u00e2m nhi\u1ec5m v\u00e0o th\u00e0nh m\u1ea1ch, ho\u1ea1t h\u00f3a bi\u1ebfn th\u00e0nh \u0111\u1ea1i th\u1ef1c b\u00e0o, ti\u1ebfp theo \u0111\u1ea1i th\u1ef1c b\u00e0o s\u1ebd \u0103n c\u00e1c h\u1ea1t LDL bi\u1ebfn th\u00e0nh c\u00e1c t\u1ebf b\u00e0o b\u1ecdt. C\u00e1c t\u1ebf b\u00e0o b\u1ecdt n\u00e0y l\u1eafng \u0111\u1ecdng trong th\u00e0nh m\u1ea1ch v\u00e0 l\u1ea1i ti\u1ebfp t\u1ee5c ho\u1ea1t h\u00f3a th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh th\u1ef1c b\u00e0o-l\u1eafng \u0111\u1ecdng t\u1ea1o th\u00e0nh c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/li>\n
        • C\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u1edbm nh\u1ea5t l\u00e0 c\u00e1c v\u1ec7t m\u1ee1, g\u1ed3m ch\u1ee7 y\u1ebfu c\u00e1c \u0111\u1ea1i th\u1ef1c b\u00e0o gi\u00e0u lipid v\u00e0 c\u00e1c t\u1ebf b\u00e0o b\u1ecdt. C\u00e1c t\u1ed5n th\u01b0\u01a1ng n\u00e0y ph\u00e1t tri\u1ec3n th\u00e0nh m\u1ea3ng x\u01a1 khi h\u00ecnh th\u00e0nh, t\u00edch lu\u1ef9 v\u00e0 th\u00e2m nhi\u1ec5m c\u1ee7a c\u00e1c t\u1ebf b\u00e0o c\u01a1 tr\u01a1n b\u1ecb chuy\u1ec3n th\u00e0nh t\u1ebf b\u00e0o s\u1ee3i.<\/li>\n
        • Cu\u1ed1i c\u00f9ng, h\u00ecnh th\u00e0nh v\u1ecf x\u01a1 bao ph\u1ee7 m\u1ed9t l\u00f5i ch\u1ee9a \u0111\u1ea7y lipid, t\u1ebf b\u00e0o b\u1ecdt, nh\u1eefng m\u1ea3nh t\u1ebf b\u00e0o ho\u1ea1i t\u1eed v\u00e0 c\u00e1c t\u1ebf b\u00e0o vi\u00eam. M\u1ea3ng x\u01a1 v\u1eefa t\u00edch lu\u1ef9 ng\u00e0y c\u00e0ng nhi\u1ec1u v\u00e0 h\u1eadu qu\u1ea3 l\u00e0 h\u1eb9p d\u1ea7n l\u00f2ng m\u1ea1ch, g\u00e2y t\u1eafc m\u1ea1ch.<\/li>\n<\/ul>\n

          3.3.T\u1ed5n th\u01b0\u01a1ng h\u00ecnh th\u00e0nh v\u00e0 ph\u00e1t tri\u1ec3n<\/h4>\n

          T\u1ed5n th\u01b0\u01a1ng th\u00e0nh m\u1ea1ch c\u00f3 xu h\u01b0\u1edbng th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf nh\u1eefng v\u1ecb tr\u00ed nh\u1ea5t \u0111\u1ecbnh trong l\u00f2ng m\u1ea1ch m\u00e1u. D\u00f2ng m\u00e1u ch\u1ea3y g\u00e2y ra \u00e1p l\u1ef1c l\u00ean th\u00e0nh m\u1ea1ch, do \u0111\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1eb7c t\u00ednh sinh h\u1ecdc c\u1ee7a t\u1ebf b\u00e0o n\u1ed9i m\u00f4.<\/p>\n

          \u1ede \u0111o\u1ea1n m\u1ea1ch v\u1edbi \u00e1p l\u1ef1c thay \u0111\u1ed5i, nh\u1ea5t l\u00e0 \u1edf \u0111o\u1ea1n g\u1eadp g\u00f3c, c\u00f3 d\u00f2ng m\u00e1u xo\u00e1y g\u00e2y ra r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u1ea1c, s\u1ebd\u00a0k\u00edch ho\u1ea1t qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa.\u00a0<\/em>\u0110i\u1ec1u n\u00e0y gi\u1ea3i th\u00edch t\u1ea1i sao m\u1ea3ng x\u01a1 v\u1eefa l\u1ea1i hay g\u1eb7p \u1edf c\u00e1c v\u1ecb tr\u00ed n\u00e0y.<\/p>\n

          3.4.S\u1ef1 n\u1ee9t v\u1ee1 m\u1ea3ng x\u01a1 v\u1eefa<\/h4>\n
            \n
          • Khi m\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch b\u1ecb n\u1ee9t, lo\u00e9t, v\u1ee1 ra l\u00e0m cho d\u00f2ng m\u00e1u \u0111ang l\u01b0u th\u00f4ng ti\u1ebfp x\u00fac v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n b\u00ean trong c\u1ee7a m\u1ea3ng x\u01a1 v\u1eefa, ch\u1ee7 y\u1ebfu l\u00e0 l\u00f5i lipid, l\u00e0m kh\u1edfi ph\u00e1t qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u, h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1ea5p k\u00edn l\u00f2ng m\u1ea1ch d\u1eabn \u0111\u1ebfn thi\u1ebfu m\u00e1u, ho\u1ea1i t\u1eed c\u01a1 tim.<\/li>\n
          • M\u1ea3ng x\u01a1 v\u1eefa v\u1edbi v\u1ecf x\u01a1 m\u1ecfng v\u00e0 l\u00f5i lipid l\u1edbn ch\u1ee9a l\u01b0\u1ee3ng l\u1edbn c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a t\u1ebf b\u00e0o vi\u00eam, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c m\u1ea3nh tho\u00e1i ho\u00e1 t\u1ebf b\u00e0o c\u00f3 nguy c\u01a1 n\u1ee9t v\u1ee1 cao v\u00e0 h\u00ecnh th\u00e0nh huy\u1ebft kh\u1ed1i l\u1edbn. Ng\u01b0\u1ee3c l\u1ea1i c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa c\u00f3 l\u00f5i lipid nh\u1ecf, v\u1ecf x\u01a1 d\u00e0y, \u00edt ch\u1ea5t trung gian vi\u00eam th\u00ec th\u01b0\u1eddng \u1ed5n \u0111\u1ecbnh v\u00e0 \u00edt khi n\u1ee9t v\u1ee1.<\/li>\n<\/ul>\n

            Ngu\u1ed3n: \u00a05332\/Q\u0110-BYT<\/p>\n","protected":false},"excerpt":{"rendered":"

            B\u1ec7nh tim m\u1ea1ch \u0111\u00e3 tr\u1edf th\u00e0nh b\u1ec7nh l\u00fd g\u00e2y t\u1eed vong s\u1ed1 m\u1ed9t tr\u00ean th\u1ebf gi\u1edbi. C\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f3 th\u1ec3 chia th\u00e0nh 2 nh\u00f3m ch\u00ednh: b\u1ec7nh tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, m\u1ea1ch n\u00e3o, m\u1ea1ch ngo\u1ea1i vi, c\u00e1c vi m\u1ea1ch v\u00e0 b\u1ec7nh tim m\u1ea1ch […]<\/p>\n","protected":false},"author":36,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7],"tags":[],"yoast_head":"\nC\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - Vinmec<\/title>\n<meta name=\"description\" content=\"C\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f3 th\u1ec3 chia th\u00e0nh 2 nh\u00f3m ch\u00ednh: b\u1ec7nh tim m\u1ea1ch do x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u (ho\u1eb7c li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa) nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, m\u1ea1ch n\u00e3o, m\u1ea1ch ngo\u1ea1i vi, c\u00e1c vi m\u1ea1ch v\u00e0 b\u1ec7nh tim m\u1ea1ch kh\u00f4ng do x\u01a1 v\u1eefa nh\u01b0 b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh tim li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng. B\u1ec7nh tim m\u1ea1ch li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch \u0111ang tr\u1edf th\u00e0nh nh\u00f3m b\u1ec7nh l\u00fd chi\u1ebfm t\u1ef7 l\u1ec7 cao nh\u1ea5t v\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t trong c\u1ed9ng \u0111\u1ed3ng.\" \/>\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=\"C\u01a1 ch\u1ebf h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh - Vinmec\" \/>\n<meta property=\"og:description\" content=\"C\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch c\u00f3 th\u1ec3 chia th\u00e0nh 2 nh\u00f3m ch\u00ednh: b\u1ec7nh tim m\u1ea1ch do x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u (ho\u1eb7c li\u00ean quan \u0111\u1ebfn x\u01a1 v\u1eefa) nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, m\u1ea1ch n\u00e3o, m\u1ea1ch ngo\u1ea1i vi, c\u00e1c vi m\u1ea1ch v\u00e0 b\u1ec7nh tim m\u1ea1ch kh\u00f4ng do x\u01a1 v\u1eefa nh\u01b0 b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh tim li\u00ean quan \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng. 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