{"id":27641,"date":"2023-04-29T16:08:13","date_gmt":"2023-04-29T09:08:13","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27641"},"modified":"2023-04-29T16:08:13","modified_gmt":"2023-04-29T09:08:13","slug":"suy-gian-tinh-mach-chan-nguyen-nhan-trieu-chung-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/29\/suy-gian-tinh-mach-chan-nguyen-nhan-trieu-chung-va-dieu-tri\/","title":{"rendered":"Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. B\u1ec7nh n\u00e0y x\u1ea3y ra khi c\u00e1c t\u0129nh m\u1ea1ch \u1edf ch\u00e2n b\u1ecb gi\u00e3n ra v\u00e0 kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3, l\u00e0m cho m\u00e1u b\u1ecb tr\u00ec tr\u1ec7 v\u00e0 d\u1ec5 d\u00e0ng g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c nhau. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng,\u00a0 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 \u0111i\u1ec1u tr\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n.<\/strong><\/p>\n<figure style=\"width: 666px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/UlsTq1J.png\" alt=\"Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n\" width=\"666\" height=\"443\" \/><figcaption class=\"wp-caption-text\">Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n<\/figcaption><\/figure>\n<h2><strong>1<\/strong><strong>. Nguy\u00ean nh\u00e2n g\u00e2y suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n<\/strong><\/h2>\n<p>Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n th\u01b0\u1eddng x\u1ea3y ra khi van ch\u1eb7n \u1edf t\u0129nh m\u1ea1ch kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u00fang c\u00e1ch. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn m\u1ed9t l\u01b0\u1ee3ng m\u00e1u l\u1edbn b\u1ecb tr\u00ec tr\u1ec7 trong t\u0129nh m\u1ea1ch, t\u1ea1o th\u00e0nh \u00e1p l\u1ef1c v\u00e0 l\u00e0m cho t\u0129nh m\u1ea1ch gi\u00e3n ra. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao b\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n bao g\u1ed3m:<\/p>\n<p><strong>1.1.\u00a0 Tu\u1ed5i t\u00e1c:<\/strong> Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i.<\/p>\n<p><strong>1.2.\u00a0 Gi\u1edbi t\u00ednh:<\/strong> Ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 cao h\u01a1n so v\u1edbi nam gi\u1edbi.<\/p>\n<p><strong>1.3.\u00a0 Di truy\u1ec1n:<\/strong> N\u1ebfu trong gia \u0111\u00ecnh b\u1ea1n c\u00f3 ng\u01b0\u1eddi m\u1eafc suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n, b\u1ea1n c\u0169ng c\u00f3 nguy c\u01a1 b\u1ecb b\u1ec7nh n\u00e0y.<\/p>\n<p><strong>1.4.\u00a0 T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe:<\/strong> C\u00e1c b\u1ec7nh nh\u01b0 b\u00e9o ph\u00ec, ti\u1ec3u \u0111\u01b0\u1eddng, cao huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh tim m\u1ea1ch c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n.<\/p>\n<p><strong>1.5.\u00a0 S\u1ef1 \u0111\u1ee9ng ho\u1eb7c ng\u1ed3i l\u00e2u:<\/strong> Vi\u1ec7c \u0111\u1ee9ng ho\u1eb7c ng\u1ed3i l\u00e2u c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n.<\/p>\n<h2><strong>2<\/strong><strong>. Tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p>Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau, bao g\u1ed3m:<\/p>\n<p><strong>2.1. Ch\u00e2n b\u1ecb ph\u00f9<\/strong>: S\u1ef1 ch\u1ea3y m\u00e1u k\u00e9m c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u00e2n b\u1ecb ph\u00f9, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf bu\u1ed5i s\u00e1ng.<\/p>\n<p><strong>2.2. \u0110au ch\u00e2n<\/strong>: C\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ch\u00e2n c\u00f3 th\u1ec3 n\u1eb7ng ho\u1eb7c nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 di\u1ec5n ra trong th\u1eddi gian d\u00e0i. \u0110au ch\u00e2n th\u01b0\u1eddng x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u1ee9ng ho\u1eb7c ng\u1ed3i l\u00e2u.<\/p>\n<p><strong>2.3. S\u1ef1 m\u1ec7t m\u1ecfi<\/strong>: S\u1ef1 m\u1ec7t m\u1ecfi \u1edf ch\u00e2n l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n b\u1eb1ng c\u00e1ch thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, t\u1eadp th\u1ec3 d\u1ee5c v\u00e0 \u0111eo t\u1ea5t ch\u1ed1ng suy gi\u00e3n t\u0129nh m\u1ea1ch.<\/p>\n<p><strong>2.4. C\u00e1c v\u1ebft r\u1ea1n da<\/strong>: C\u00e1c v\u1ebft r\u1ea1n da c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u00ean ch\u00e2n v\u00e0 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n.<\/p>\n<h2><strong>3<\/strong><strong>. \u0110i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p>\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m:<\/p>\n<ul>\n<li>Kh\u00f4ng n\u00ean \u0111\u1ee9ng ho\u1eb7c ng\u1ed3i l\u00e2u qu\u00e1 l\u00e2u.<\/li>\n<li>V\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c m\u1ee9c \u0111\u1ed9 v\u1eeba ph\u1ea3i.<\/li>\n<\/ul>\n<h3><strong>3.1. Thu\u1ed1c: <\/strong><strong>C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 kh\u00e1ng vi\u00eam c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m vi\u00eam.<\/strong><\/h3>\n<p>&#8211; Daflon 500mg x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>Ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng Ginkor Fort: 1 vi\u00ean x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n<p>&#8211; Aspirin 81mg 1 l\u1ea7n\/ng\u00e0y (li\u1ec1u ch\u1ed1ng \u0111\u00f4ng t\u1ed1i \u0111a l\u00e0 325mg\/ng\u00e0y)<\/p>\n<p>C\u00f3 th\u1ec3 thay th\u1ebf b\u1eb1ng clopidogrel 75mg\/ng\u00e0y.<\/p>\n<h3><strong>3.2. <\/strong><strong>Thay <\/strong><strong>\u0111\u1ed5i l\u1ed1i s\u1ed1ng:<\/strong><\/h3>\n<p>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng bao g\u1ed3m t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 tr\u00e1nh \u0111\u1ee9ng ho\u1eb7c ng\u1ed3i l\u00e2u. Khi ng\u1ee7 n\u00ean k\u00ea ch\u00e2n cao.<\/p>\n<h3><strong>3.3. Ph\u1eabu thu\u1eadt:<\/strong><\/h3>\n<p>N\u1ebfu tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n r\u1ea5t n\u1eb7ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 t\u0129nh m\u1ea1ch.<\/p>\n<h3><strong>3.4. Li\u1ec7u ph\u00e1p x\u01a1 h\u00f3a:<\/strong><\/h3>\n<p>B\u00e1c s\u0129 s\u1ebd ti\u00eam c\u00e1c lo\u1ea1i thu\u1ed1c g\u00e2y x\u01a1 h\u00f3a v\u00e0o c\u00e1c m\u1ea1ch m\u00e1u b\u1ecb t\u1ed5n th\u01b0\u01a1ng. Ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam nhi\u1ec1u m\u0169i thu\u1ed1c tr\u1ecb li\u1ec7u cho \u0111\u1ebfn khi kh\u00f4ng c\u00f2n t\u00ecnh tr\u1ea1ng gi\u00e3n t\u0129nh m\u1ea1ch. \u0110\u00e2y l\u00e0 m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u0129nh m\u1ea1ch n\u00f4ng d\u01b0\u1edbi da.<\/p>\n<h3><strong>3.5. \u00a0Laser \u0111\u1ed1t b\u1ecf t\u0129nh m\u1ea1ch:<\/strong><\/h3>\n<p>S\u1eed d\u1ee5ng nguy\u00ean l\u00fd s\u1ee9c n\u00f3ng c\u1ee7a tia laser l\u00e0m x\u1eb9p c\u00e1c t\u0129nh m\u1ea1ch, b\u00e1c s\u0129 lu\u1ed3n c\u00e1c s\u1ee3i laser v\u00e0o v\u00f9ng t\u0129nh m\u1ea1ch b\u1ecb gi\u00e3n. Sau khi b\u1eadt ngu\u1ed3n, tia laser h\u01b0\u1edbng v\u00e0o v\u1ecb tr\u00ed c\u1ea7n can thi\u1ec7p v\u00e0 k\u00e9o ra t\u1eeb t\u1eeb \u0111\u1ec3 hai th\u00e0nh t\u0129nh m\u1ea1ch d\u00ednh v\u00e0o nhau. \u0110\u1ed3ng th\u1eddi, th\u1ee7 thu\u1eadt g\u00e2y t\u00ea k\u1ebft h\u1ee3p b\u01a1m ti\u00eam quanh t\u0129nh m\u1ea1ch s\u1ebd gi\u00fap gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a tia laser l\u00ean m\u00f4 xung quanh, h\u1ea1n ch\u1ebf b\u1ecfng m\u00f4, tr\u00e1nh bi\u1ebfn ch\u1ee9ng d\u00e2y th\u1ea7n kinh c\u1ea3m gi\u00e1c.<\/p>\n<h3><strong>3.6. \u0110eo t\u1ea5t ch\u1ed1ng suy gi\u00e3n t\u0129nh m\u1ea1ch:<\/strong><\/h3>\n<p>\u0110eo t\u1ea5t ch\u1ed1ng suy gi\u00e3n t\u0129nh m\u1ea1ch c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 ng\u0103n ng\u1eeba b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n. T\u1ea5t y khoa: 2 c\u00e1i. (S\u1eed d\u1ee5ng t\u1ea5t y khoa cho b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n \u0111\u1ec3 gi\u00fap m\u00e1u l\u01b0u th\u00f4ng v\u1ec1 tim t\u1ed1t h\u01a1n).<\/p>\n<h2><strong>4<\/strong><strong>. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c trong suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n<\/strong><\/h2>\n<p>Khi s\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n, b\u1ea1n c\u1ea7n l\u01b0u \u00fd v\u1ec1 c\u00e1c t\u01b0\u01a1ng t\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 x\u1ea3y ra. C\u00e1c thu\u1ed1c kh\u00e1c nhau c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi nhau, g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n ho\u1eb7c l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c. B\u1ea1n n\u00ean b\u00e1o cho b\u00e1c s\u0129 c\u1ee7a m\u00ecnh bi\u1ebft v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c, th\u1ef1c ph\u1ea9m b\u1ed5 sung v\u00e0 s\u1ea3n ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c m\u00e0 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng kh\u00f4ng c\u00f3 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c x\u1ea3y ra.<\/p>\n<p><strong>K\u1ebft lu\u1eadn<\/strong><\/p>\n<p>Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. B\u1ec7nh n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au ch\u00e2n, ph\u00f9, s\u1ef1 m\u1ec7t m\u1ecfi v\u00e0 c\u00e1c v\u1ebft r\u1ea1n da. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m \u0111eo t\u1ea5t ch\u1ed1ng suy gi\u00e3n t\u0129nh m\u1ea1ch, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0 ph\u1eabu thu\u1eadt. Khi s\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n, b\u1ea1n c\u1ea7n l\u01b0u \u00fd v\u1ec1 c\u00e1c t\u01b0\u01a1ng t\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 n\u00ean b\u00e1o cho b\u00e1c s\u0129 c\u1ee7a m\u00ecnh bi\u1ebft v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c m\u00e0 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng. <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/cac-dau-hieu-suy-gian-tinh-mach\/\">Suy gi\u00e3n t\u0129nh m\u1ea1ch<\/a> l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n \u00e2m th\u1ea7m, v\u00ec v\u1eady ngay khi th\u1ea5y nh\u1eefng d\u1ea5u hi\u1ec7u nghi ng\u1edd, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u0103m kh\u00e1m v\u00e0 ti\u1ebfp nh\u1eadn \u0111i\u1ec1u tr\u1ecb y t\u1ebf.<\/p>\n<p><strong>Ngu\u1ed3n tham kh\u1ea3o<\/strong>: C\u00e1c d\u1ea5u hi\u1ec7u g\u00e2y suy gi\u00e3n t\u0129nh m\u1ea1ch &#8211; Vinmec.com<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. B\u1ec7nh n\u00e0y x\u1ea3y ra khi c\u00e1c t\u0129nh m\u1ea1ch \u1edf ch\u00e2n b\u1ecb gi\u00e3n ra v\u00e0 kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3, l\u00e0m cho m\u00e1u b\u1ecb tr\u00ec tr\u1ec7 v\u00e0 d\u1ec5 d\u00e0ng g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[29,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/title>\n<meta name=\"description\" content=\"Suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi. 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