{"id":27749,"date":"2023-05-01T23:06:53","date_gmt":"2023-05-01T16:06:53","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27749"},"modified":"2023-05-03T21:45:35","modified_gmt":"2023-05-03T14:45:35","slug":"nhoi-mau-nao-do-tac-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/01\/nhoi-mau-nao-do-tac-mach\/","title":{"rendered":"NH\u1ed2I M\u00c1U N\u00c3O DO T\u1eaeC M\u1ea0CH"},"content":{"rendered":"

B\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ho\u1eb7c ng\u1eebng tu\u1ea7n ho\u00e0n m\u00e1u \u0111\u1ebfn n\u00e3o, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng m\u00f4 n\u00e3o. B\u1ec7nh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra do t\u1eafc ngh\u1ebdn ho\u1eb7c v\u1ee1 \u0111\u1ed9ng m\u1ea1ch trong n\u00e3o.Theo d\u1ecbch t\u1ec5 h\u1ecdc, b\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y t\u1eed vong v\u00e0 t\u00e0n ph\u1ebf \u1edf nhi\u1ec1u qu\u1ed1c gia tr\u00ean th\u1ebf gi\u1edbi.<\/strong><\/p>\n

I. Nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 g\u00ec?<\/strong><\/h2>\n

Nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ed9t m\u1ea1ch m\u00e1u trong n\u00e3o b\u1ecb t\u1eafc ngh\u1ebdn ho\u1eb7c v\u1ee1, g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c t\u1ebf b\u00e0o n\u00e3o kh\u00f4ng nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ee7 oxy v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb ngay l\u1eadp t\u1ee9c.<\/span><\/p>\n

\"minh-hoa-nhoi-mau-nao\"
H\u00ecnh \u1ea3nh m\u1ea1ch m\u00e1u n\u00e3o trong nh\u1ed3i m\u00e1u n\u00e3o<\/figcaption><\/figure>\n

II. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/h2>\n

 <\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o bao g\u1ed3m:<\/span><\/p>\n

_Tu\u1ed5i t\u00e1c: Tu\u1ed5i t\u00e1c l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 quan tr\u1ecdng cho nh\u1ed3i m\u00e1u n\u00e3o. Theo Trung t\u00e2m ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC), nguy c\u01a1 nh\u1ed3i m\u00e1u n\u00e3o t\u0103ng g\u1ea5p \u0111\u00f4i sau m\u1ed7i 10 n\u0103m t\u1eeb tu\u1ed5i 55.<\/span><\/p>\n

_Ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd: C\u00e1c b\u1ec7nh l\u00fd nh\u01b0 ti\u1ec3u \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tim v\u00e0 \u0111\u1ed9ng m\u1ea1ch v\u00e0 b\u1ec7nh l\u00fd ti\u1ec1n \u0111\u00ecnh kh\u00e1c c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 nh\u1ed3i m\u00e1u n\u00e3o.<\/span><\/p>\n

_L\u1ed1i s\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh: H\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng r\u01b0\u1ee3u, \u0103n u\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh v\u00e0 thi\u1ebfu ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t \u0111\u1ec1u c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 nh\u1ed3i m\u00e1u n\u00e3o.<\/span><\/p>\n

_Y\u1ebfu t\u1ed1 di truy\u1ec1n: M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 di truy\u1ec1n c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 nh\u1ed3i m\u00e1u n\u00e3o, bao g\u1ed3m b\u1ec7nh b\u1ea1ch t\u1ea1ng v\u00e0 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_Hormon n\u1eef: Hormon n\u1eef c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn m\u1ea1ch m\u00e1u v\u00e0 t\u0103ng nguy c\u01a1 nh\u1ed3i m\u00e1u n\u00e3o. Ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 cao h\u01a1n trong th\u1eddi k\u1ef3 mang thai, sau sinh v\u00e0 trong th\u1eddi k\u1ef3 ti\u1ec1n m\u00e3n kinh.<\/span><\/p>\n

 <\/p>\n

III. Nguy\u00ean nh\u00e2n c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o do t\u1eafc m\u1ea1ch<\/strong><\/h2>\n

 <\/p>\n

Nh\u1ed3i m\u00e1u n\u00e3o do t\u1eafc m\u1ea1ch n\u00e3o l\u00e0 do t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch n\u00e3o, l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra b\u1ec7nh l\u00fd n\u00e0y. T\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 x\u1ea3y ra do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, bao g\u1ed3m:<\/span><\/p>\n

_C\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng: C\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh trong \u0111\u1ed9ng m\u1ea1ch do c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 t\u0103ng \u0111\u00f4ng m\u00e1u, ch\u1ea3y m\u00e1u, r\u1ed1i lo\u1ea1n nh\u1ecbp tim ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_Atherosclerosis: Atherosclerosis l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch, l\u00e0 s\u1ef1 t\u00edch t\u1ee5 c\u1ee7a c\u00e1c m\u1ea3ng b\u00e1m tr\u00ean b\u1ec1 m\u1eb7t n\u1ed9i c\u1ee7a t\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch, g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_C\u00e1c kh\u1ed1i u: C\u00e1c kh\u1ed1i u c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong \u0111\u1ed9ng m\u1ea1ch n\u00e3o v\u00e0 g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_Vi\u00eam \u0111\u1ed9ng m\u1ea1ch: Vi\u00eam \u0111\u1ed9ng m\u1ea1ch l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch, c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam \u0111\u1ed9ng m\u1ea1ch, g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_C\u00e1c b\u1ec7nh l\u00fd kh\u00e1c: C\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 b\u1ec7nh lupus, b\u1ec7nh Henoch-Schonlein v\u00e0 b\u1ec7nh Kawasaki c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch n\u00e3o.<\/span><\/p>\n

IV. Tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u n\u00e3o<\/strong><\/h2>\n

 <\/p>\n

\u0110\u00e1nh gi\u00e1 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 r\u1ea5t quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd n\u00e0y. M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng ch\u00ednh bao g\u1ed3m:<\/span><\/p>\n

_M\u1ea5t c\u1ea3m gi\u00e1c ho\u1eb7c b\u1ecb t\u00ea c\u1ee5c b\u1ed9 ho\u1eb7c to\u00e0n th\u00e2n.<\/span><\/p>\n

_Kh\u00f3 n\u00f3i ho\u1eb7c kh\u00f3 hi\u1ec3u ng\u00f4n ng\u1eef.<\/span><\/p>\n

_Kh\u00f3 \u0111i\u1ec1u khi\u1ec3n c\u01a1 th\u1ec3 ho\u1eb7c b\u1ecb m\u1ea5t th\u0103ng b\u1eb1ng.<\/span><\/p>\n

_\u0110au \u0111\u1ea7u n\u1eb7ng ho\u1eb7c ch\u00f3ng m\u1eb7t.<\/span><\/p>\n

_M\u1ea5t tr\u00ed nh\u1edb ho\u1eb7c kh\u00f3 t\u1eadp trung.<\/span><\/p>\n

_M\u1ea5t th\u1ecb l\u1ef1c ho\u1eb7c kh\u00f3 nh\u00ecn r\u00f5.<\/span><\/p>\n

_\u0110au m\u1ecfi c\u1ed5 v\u00e0 vai.<\/span><\/p>\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n nh\u1ed3i m\u00e1u n\u00e3o c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 v\u1ecb tr\u00ed c\u1ee7a t\u1ed5n th\u01b0\u01a1ng tr\u00ean n\u00e3o.<\/span><\/p>\n

V. C\u1eadn l\u00e2m s\u00e0ng<\/strong><\/h2>\n

Khi nghi ng\u1edd m\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o do t\u1eafc m\u1ea1ch, c\u00e1c c\u1eadn l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n bao g\u1ed3m:<\/span><\/p>\n

_ CT scan n\u00e3o ho\u1eb7c MRI: C\u00e1c lo\u1ea1i scan n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea1o m\u1ed9t h\u00ecnh \u1ea3nh c\u1ee7a n\u00e3o \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh khu v\u1ef1c b\u1ecb t\u1eafc ngh\u1ebdn v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng.<\/span><\/p>\n

_ Si\u00eau \u00e2m Doppler m\u1ea1ch m\u00e1u n\u00e3o: \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p si\u00eau \u00e2m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 xem x\u00e9t l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng d\u00f2ng m\u00e1u trong \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u00ecm ki\u1ebfm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a t\u1eafc ngh\u1ebdn.<\/span><\/p>\n

_ X\u00e9t nghi\u1ec7m m\u00e1u: X\u00e9t nghi\u1ec7m m\u00e1u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra m\u1ee9c \u0111\u1ed9 \u0111\u00f4ng m\u00e1u v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_ Angiography: \u0110\u00e2y l\u00e0 m\u1ed9t th\u1ee7 t\u1ee5c y t\u1ebf h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u kh\u00e1c b\u1eb1ng c\u00e1ch ti\u00eam ch\u1ea5t t\u1ea1o h\u00ecnh \u1ea3nh v\u00e0o m\u1ea1ch m\u00e1u.<\/span><\/p>\n

_ Electrocardiogram (ECG): ECG \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ki\u1ec3m tra nh\u1ecbp tim c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 ph\u00e1t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

_ Holter monitor: Holter monitor \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00e1m s\u00e1t nh\u1ecbp tim c\u1ee7a b\u1ec7nh nh\u00e2n trong m\u1ed9t kho\u1ea3ng th\u1eddi gian d\u00e0i \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/span><\/p>\n

_ Echocardiogram: \u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p si\u00eau \u00e2m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a tim \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp tim ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/span><\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ed9c l\u1eadp ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi nhau \u0111\u1ec3 \u0111\u01b0a ra ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/span><\/p>\n

\"ct-nhoi-mau-nao\"
CT-scans nh\u1ed3i m\u00e1u n\u00e3o<\/figcaption><\/figure>\n

VI. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o<\/strong><\/h2>\n

Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n nh\u1ed3i m\u00e1u n\u00e3o bao g\u1ed3m:<\/span><\/p>\n

_ Tri\u1ec7u ch\u1ee9ng: B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ea5t c\u1ea3m gi\u00e1c ho\u1eb7c t\u00ea c\u1ee5c b\u1ed9 ho\u1eb7c to\u00e0n th\u00e2n, kh\u00f3 n\u00f3i ho\u1eb7c kh\u00f3 hi\u1ec3u ng\u00f4n ng\u1eef, kh\u00f3 \u0111i\u1ec1u khi\u1ec3n c\u01a1 th\u1ec3 ho\u1eb7c b\u1ecb m\u1ea5t th\u0103ng b\u1eb1ng, \u0111au \u0111\u1ea7u n\u1eb7ng ho\u1eb7c ch\u00f3ng m\u1eb7t, m\u1ea5t tr\u00ed nh\u1edb ho\u1eb7c kh\u00f3 t\u1eadp trung, m\u1ea5t th\u1ecb l\u1ef1c ho\u1eb7c kh\u00f3 nh\u00ecn r\u00f5, \u0111au m\u1ecfi c\u1ed5 v\u00e0 vai.<\/span><\/p>\n

_ Ki\u1ec3m tra v\u1eadt l\u00fd: B\u00e1c s\u0129 c\u00f3 th\u1ec3 ki\u1ec3m tra c\u00e1c ch\u1ee9c n\u0103ng c\u01a1 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m kh\u1ea3 n\u0103ng \u0111i l\u1ea1i, c\u1eed \u0111\u1ed9ng v\u00e0 c\u1ea3m gi\u00e1c.<\/span><\/p>\n

_ Ch\u1ee5p c\u1eaft l\u1edbp: C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ee5p c\u1eaft l\u1edbp nh\u01b0 CT scan ho\u1eb7c MRI c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 xem x\u00e9t t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u v\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng tr\u00ean n\u00e3o.<\/span><\/p>\n

_ X\u00e9t nghi\u1ec7m: C\u00e1c x\u00e9t nghi\u1ec7m bao g\u1ed3m x\u00e9t nghi\u1ec7m m\u00e1u, x\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u, x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan v\u00e0 th\u1eadn, v\u00e0 c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/p>\n

_ \u0110\u00e1nh gi\u00e1 y\u1ebfu t\u1ed1 nguy c\u01a1: B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m l\u1ed1i s\u1ed1ng, tu\u1ed5i t\u00e1c v\u00e0 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd.<\/span><\/p>\n

 <\/p>\n

VII. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu<\/strong><\/h2>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u n\u00e3o do t\u1eafc m\u1ea1ch bao g\u1ed3m:<\/span><\/p>\n

_ Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft: Thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 tan c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong \u0111\u1ed9ng m\u1ea1ch v\u00e0 gi\u00fap m\u00e1u ch\u1ea3y qua m\u1ea1ch m\u00e1u b\u1ecb t\u1eafc ngh\u1ebdn. C\u00e1c lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng bao g\u1ed3m tPA (tissue plasminogen activator) v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c nh\u01b0 alteplase, reteplase, tenecteplase.Tissue plasminogen activator (tPA) l\u00e0 thu\u1ed1c kh\u1ed1i u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong v\u00f2ng 3-4,5 gi\u1edd sau khi b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u1ed3i m\u00e1u n\u00e3o. Thu\u1ed1c kh\u1ed1i u gi\u00fap gi\u1ea3i quy\u1ebft t\u1eafc ngh\u1ebdn v\u00e0 ph\u1ee5c h\u1ed3i l\u01b0u th\u00f4ng m\u00e1u.T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c ti\u00eau s\u1ee3i huy\u1ebft bao g\u1ed3m ch\u1ea3y m\u00e1u, \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n m\u1eeda.N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng ch\u1ea3y m\u00e1u nh\u01b0 ch\u1ea3y m\u00e1u t\u1eeb m\u0169i, ch\u1ea3y m\u00e1u r\u0103ng l\u1ee3i ho\u1eb7c ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y, c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 ngay \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/span><\/p>\n

_ Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng v\u00e0 ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u: Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng v\u00e0 ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng m\u1edbi trong \u0111\u1ed9ng m\u1ea1ch. C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng ph\u1ed5 bi\u1ebfn bao g\u1ed3m aspirin, clopidogrel, warfarin, dabigatran, rivaroxaban, apixaban.<\/span><\/p>\n

_ Th\u1ee7 thu\u1eadt h\u1ea1ch m\u00e1u: Th\u1ee7 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong \u0111\u1ed9ng m\u1ea1ch. C\u00e1c k\u1ef9 thu\u1eadt bao g\u1ed3m thrombectomy, carotid endarterectomy, v\u00e0 angioplasty.<\/span><\/p>\n

_ \u0110i\u1ec1u tr\u1ecb b\u1ed5 sung: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1. V\u00ed d\u1ee5 nh\u01b0 \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p v\u00e0 \u0111\u01b0\u1eddng huy\u1ebft, ki\u1ec3m so\u00e1t cholesterol.<\/span><\/p>\n

_ \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3: \u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3, bao g\u1ed3m th\u1ef1c h\u00e0nh l\u1ea1i k\u1ef9 n\u0103ng cho b\u1ec7nh nh\u00e2n, ch\u0103m s\u00f3c da, gi\u1ea3m tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u00f3i v\u00e0 ph\u1ee5c h\u1ed3i c\u01a1.<\/span><\/p>\n

 <\/p>\n

VIII. D\u1ef1 ph\u00f2ng nh\u1ed3i m\u00e1u n\u00e3o<\/strong><\/h2>\n

B\u1ec7nh l\u00fd nguy hi\u1ec3m n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba b\u1eb1ng c\u00e1ch th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao. C\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng bao g\u1ed3m:<\/span><\/p>\n

_ Ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p: Huy\u1ebft \u00e1p cao l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00f3p ph\u1ea7n v\u00e0o nh\u1ed3i m\u00e1u n\u00e3o. V\u00ec v\u1eady, ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p l\u00e0 c\u1ef1c k\u1ef3 quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o. B\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u00e1p cao c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i ch\u1eb7t ch\u1ebd.<\/span><\/p>\n

_ Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft: \u0110\u01b0\u1eddng huy\u1ebft cao c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch. B\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng n\u00ean ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft m\u1ed9t c\u00e1ch nghi\u00eam ng\u1eb7t \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o.<\/span><\/p>\n

_ Ng\u1eeba thu\u1ed1c l\u00e1 v\u00e0 r\u01b0\u1ee3u: H\u00fat thu\u1ed1c l\u00e1 v\u00e0 ti\u00eau th\u1ee5 r\u01b0\u1ee3u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o. B\u1ec7nh nh\u00e2n c\u1ea7n tr\u00e1nh h\u00fat thu\u1ed1c l\u00e1 v\u00e0 gi\u1edbi h\u1ea1n vi\u1ec7c ti\u00eau th\u1ee5 r\u01b0\u1ee3u.<\/span><\/p>\n

T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean: T\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe tim m\u1ea1ch v\u00e0 gi\u1ea3m nguy c\u01a1 b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o. B\u1ec7nh nh\u00e2n n\u00ean t\u1eadp th\u1ec3 d\u1ee5c \u00edt nh\u1ea5t 30 ph\u00fat m\u1ed7i ng\u00e0y, \u00edt nh\u1ea5t 5 ng\u00e0y m\u1ed7i tu\u1ea7n.<\/span><\/p>\n

_ Ki\u1ec3m so\u00e1t cholesterol: Cholesterol cao trong m\u00e1u c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch. B\u1ec7nh nh\u00e2n c\u1ea7n ki\u1ec3m so\u00e1t cholesterol b\u1eb1ng c\u00e1ch \u0103n ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 u\u1ed1ng thu\u1ed1c gi\u1ea3m cholesterol theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/span><\/p>\n

_ S\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng: \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o, s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1.<\/span><\/p>\n

_ \u0110i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch: B\u1ec7nh tim m\u1ea1ch c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh tim m\u1ea1ch \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o.<\/span><\/p>\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u1ea7n th\u1ef1c hi\u1ec7n ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 v\u00e0 t\u01b0 v\u1ea5n v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 b\u1ecb nh\u1ed3i m\u00e1u n\u00e3o v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng ph\u00f9 h\u1ee3p.<\/span><\/p>\n

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

B\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ho\u1eb7c ng\u1eebng tu\u1ea7n ho\u00e0n m\u00e1u \u0111\u1ebfn n\u00e3o, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng m\u00f4 n\u00e3o. B\u1ec7nh n\u00e0y th\u01b0\u1eddng x\u1ea3y ra do t\u1eafc ngh\u1ebdn ho\u1eb7c v\u1ee1 \u0111\u1ed9ng m\u1ea1ch trong n\u00e3o.Theo d\u1ecbch t\u1ec5 h\u1ecdc, b\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh […]<\/p>\n","protected":false},"author":51,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[1,10],"tags":[],"yoast_head":"\nNH\u1ed2I M\u00c1U N\u00c3O DO T\u1eaeC M\u1ea0CH - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh nh\u1ed3i m\u00e1u n\u00e3o l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ho\u1eb7c ng\u1eebng tu\u1ea7n ho\u00e0n m\u00e1u \u0111\u1ebfn n\u00e3o, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng m\u00f4 n\u00e3o.\" \/>\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=\"NH\u1ed2I M\u00c1U N\u00c3O DO T\u1eaeC M\u1ea0CH - 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