{"id":29799,"date":"2023-04-30T20:43:50","date_gmt":"2023-04-30T13:43:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29799"},"modified":"2023-04-30T20:43:50","modified_gmt":"2023-04-30T13:43:50","slug":"tong-quan-benh-ly-hep-van-hai-la","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/","title":{"rendered":"T\u1ed5ng quan b\u1ec7nh l\u00fd h\u1eb9p van hai l\u00e1"},"content":{"rendered":"

H\u1eb9p van hai l\u00e1 <\/a>l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau. N\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, b\u1ec7nh s\u1ebd g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh.<\/strong><\/p>\n

\"H\u1eb9p<\/p>\n

H\u1eb9p van hai l\u00e1<\/strong><\/p>\n

1.Nguy\u00ean nh\u00e2n<\/strong><\/h2>\n

Nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u l\u00e0 th\u1ea5p tim. C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c \u00edt g\u1eb7p, bao g\u1ed3m:<\/p>\n

    \n
  • B\u1ea9m sinh: T \u1ed5n th\u01b0\u01a1ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi th\u00f4ng li\u00ean nh\u0129 (h \u1ed9i ch\u1ee9ng Lutembacher).<\/li>\n
  • V\u00f4i h\u00f3a v\u00f2ng van hai l\u00e1. B\u1ec7nh tim carcinoid.<\/li>\n
  • Vi\u00eam van tim trong b\u1ec7nh lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng.<\/li>\n
  • B\u1ec7nh l\u1eafng \u0111\u1ecdng mucopolysaccharidoses (h\u1ed9i c h\u1ee9ng Hurler).<\/li>\n
  • X\u01a1 chun h\u00f3a n\u1ed9i t\u00e2m m\u1ea1c.<\/li>\n<\/ul>\n

    H\u1eb9p van hai l\u00e1 v\u1edbi t\u1ed5n th\u01b0\u01a1ng \u1edf 3 m\u1ee9c: D\u00e2y ch\u1eb1ng (k\u1ebft d\u00ednh, d\u00e0y l\u00ean v\u00e0 r\u00fat ng\u1eafn), l\u00e1 van (ban \u0111\u1ea7u cu\u1ed9n l\u1ea1i, sau \u0111\u00f3 d\u00e0y l\u00ean v\u00e0 cu\u1ed1i c\u00f9ng v\u00f4i h\u00f3a) v\u00e0 m\u00e9p van (d\u00ednh l\u1ea1i).<\/p>\n

    2.Sinh l\u00fd b\u1ec7nh h\u1ecdc<\/h2>\n

    T\u0103ng \u00e1p l\u1ef1c nh\u0129 tr\u00e1i \u0111\u1ec3 \u0111\u1ea9y d\u00f2ng m\u00e1u qua l\u1ed7 van b\u1ecb h\u1eb9p, g\u00e2y t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch ph\u1ed5i d\u0201n \u0111\u1ebfn kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c, ph\u00f9 ph\u1ed5i, cu\u1ed1i c\u00f9ng l\u00e0 ph\u00ec \u0111\u1ea1i v\u00e0 suy th\u1ea5t ph\u1ea3i.<\/p>\n

    Th\u1ea5t tr\u00e1i l\u00fac \u0111\u1ea7u ch\u01b0a b\u1ecb \u1ea3nh h\u01b0\u1edfng. Tuy nhi\u00ean, do gi\u1ea3m d\u00f2ng m\u00e1u \u0111\u1ed5 \u0111\u1ea7y n\u00ean cung l\u01b0\u1ee3ng tim kh\u00f4ng \u0111\u01b0\u1ee3c duy tr\u00ec, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi g\u1eafng s\u1ee9c, khi xu\u1ea5t hi\u1ec7n rung nh\u0129 m\u1edbi.<\/p>\n

    3.Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h2>\n

    \u0110a s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng trong m\u1ed9t th\u1eddi gian d\u00e0i, nhi\u1ec1u b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u1ec9 khi \u0111\u00e3 c\u00f3 c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0: T\u1eafc m\u1ea1ch, ph\u00f9 ph\u1ed5i c\u1ea5p…<\/p>\n

    3.1 C\u01a1 n\u0103ng<\/h3>\n
      \n
    • Kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c, kh\u00f3 th\u1edf khi n\u1eb1m, kh\u00f3 th\u1edf k\u1ecbch ph\u00e1t v\u1ec1 \u0111\u00eam.<\/li>\n
    • Ph\u00f9 ph\u1ed5i c\u1ea5p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00e1o tr\u01b0\u1edbc b\u1edfi rung nh\u0129 kh\u00f4ng ki\u1ec3m so\u00e1t, g\u1eafng s\u1ee9c, nhi\u1ec5m tr\u00f9ng, g\u00e2y m\u00ea v\u00e0 t\u00ecnh tr\u1ea1ng thai ngh\u00e9n.<\/li>\n
    • Rung nh\u0129 l\u00e0m t\u0103ng nguy c\u01a1 g\u00e2y thuy\u00ean t\u1eafc m\u1ea1ch h\u1ec7 th\u1ed1ng do huy\u1ebft kh\u1ed1i xu\u1ea5t ph\u00e1t t\u1eeb nh\u0129 tr\u00e1i v\u00e0 ti\u1ec3u nh\u0129 tr\u00e1i b\u1ecb gi\u00e3n.<\/li>\n
    • M\u1ec7t m\u1ecfi do gi\u1ea3m cung l\u01b0\u1ee3ng tim v\u00e0 th\u01b0\u1eddng x\u1ea3y ra \u1edf b\u1ec7nh nh\u00e2n h\u1eb9p van hai l\u00e1 nh\u1eb9- v\u1eeba.<\/li>\n
    • Ho m\u00e1u do v\u1ee1 mao m\u1ea1ch ph\u1ebf nang trong ph\u00f9 ph\u1ed5i c\u1ea5p (ho ra b\u1ecdt h\u1ed3ng).<\/li>\n
    • \u0110au ng\u1ef1c gi\u1ed1ng c\u01a1n \u0111au th\u1eaft ng\u1ef1c do t\u0103ng \u00e1p l\u1ef1c ph\u1ed5i v\u00e0 ph\u00ec \u0111\u1ea1i th\u1ea5t ph\u1ea3i, k\u1ec3 c\u1ea3 khi h\u1ec7 m\u1ea1ch v\u00e0nh b\u00ecnh th\u01b0\u1eddng.<\/li>\n
    • Hi\u1ebfm g\u1eb7p h\u01a1n, gi\u00e3n n h\u0129 tr\u00e1i c\u00f3 th\u1ec3 g\u00e2y ch\u00e8n \u00e9p c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn l\u00e0m kh\u00e0n ti\u1ebfng (do ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh thanh qu\u1ea3n qu\u1eb7t ng\u01b0\u1ee3c tr\u00e1i – h\u1ed9i ch\u1ee9ng Ortner), nu\u1ed1t ngh\u1eb9n (do ch\u00e8n \u00e9p th\u1ef1c qu\u1ea3n), x\u1eb9p ph\u1ed5i tr \u00e1i (do ch\u00e8n \u00e9p ph\u1ebf qu\u1ea3n ch\u00ednh tr\u00e1i).<\/li>\n<\/ul>\n

      3.2 Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/h3>\n
        \n
      • Ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t n\u1ebfu h\u1eb9p van hai l\u00e1 t\u1eeb nh\u1ecf: D\u1ea5u hi\u1ec7u \u201cl\u00f9n hai l\u00e1\u201d. Bi\u1ebfn d\u1ea1ng l\u1ed3ng ng\u1ef1c n\u1ebfu h\u1eb9p van hai l\u00e1 t\u1eeb nh\u1ecf.<\/li>\n
      • \u1ee8 tr\u1ec7 tu\u1ea7n ho\u00e0n ngo\u1ea1i bi\u00ean khi c\u00f3 suy th\u1ea5t ph\u1ea3i: T\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i, gan to, ph\u00f9 chi d\u01b0\u1edbi, ph\u00f9 to\u00e0n th\u00e2n.<\/li>\n
      • C\u00e1c d\u1ea5u hi\u1ec7u gi\u1ea3m t\u01b0\u1edbi m\u00e1u ngo\u1ea1i vi: Da xanh, \u0111\u1ea7u chi xanh t\u00edm. S\u1edd c\u00f3 th\u1ec3 th\u1ea5y rung t\u00e2m tr\u01b0\u01a1ng \u1edf m\u1ecfm tim.<\/li>\n
      • Nghe tim: Ti\u1ebfng T1 \u0111anh kh\u00e1 ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u1eb7c hi\u1ec7u. Ti\u1ebfng T2 m\u1ea1nh v\u00e0 t\u00e1ch \u0111\u00f4i. Ti\u1ebfng cl\u1eafc m\u1edf van hai l\u00e1 nghe r\u00f5 nh\u1ea5t t\u1ea1i m\u1ecfm ho\u1eb7c trong m\u1ecfm. Kho\u1ea3ng c\u00e1ch t\u1eeb ti\u1ebfng T2 \u0111\u1ebfn ti\u1ebfng m\u1edf van hai l\u00e1 t\u1ef7 l\u1ec7 ngh\u1ecbch v\u1edbi m\u1ee9c \u0111\u1ed9 h\u1eb9p van. Ti\u1ebfng rung gi\u1eefa th\u00ec t\u00e2m tr\u01b0\u01a1ng \u00e2m \u0111\u1ed9 th\u1ea5p, c\u00f9ng v\u1edbi ti\u1ebfng th\u1ed5i ti\u1ec1n t\u00e2m thu (n\u1ebfu nh\u1ecbp xoang) nghe r\u00f5 nh\u1ea5t \u1edf m\u1ecfm tim l\u1ec7ch tr\u00e1i.<\/li>\n
      • M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd kh\u00e1c c\u00f3 bi\u1ec3u hi\u1ec7n nghe tim tr\u00ean l\u00e2m s\u00e0ng gi\u1ed1ng h\u1eb9p van hai l\u00e1 nh\u01b0: U nh\u1ea7y nh\u0129 tr\u00e1i, tim ba bu\u1ed3ng nh\u0129. Ti\u1ebfng \u0111\u1eadp c\u1ee7a u nh\u1ea7y c\u00f3 th\u1ec3 nh\u1ea7m v\u1edbi ti\u1ebfng cl\u1eafc m\u1edf van. M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 g\u1eb7p ti\u1ebfng rung t\u00e2m tr\u01b0\u01a1ng: Th\u00f4ng li\u00ean nh\u0129, th\u00f4ng li\u00ean th\u1ea5t, c\u01b0\u1eddng gi\u00e1p, h\u1edf van hai l\u00e1, ti\u1ebfng rung Austin-Flint c\u1ee7a h\u1edf van \u0110M ch\u1ee7 (gi\u1ea3m khi gi\u1ea3m h\u1eadu g\u00e1nh) ho\u1eb7c c\u1ee7a h\u1eb9p van ba l\u00e1 (nghe r\u00f5 b\u1edd tr\u00e1i x\u01b0\u01a1ng \u1ee9c v\u00e0 t\u0103ng khi h\u00edt v\u00e0o).<\/li>\n<\/ul>\n

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

        4.1 \u0110i\u1ec7n t\u00e2m \u0111\u1ed3<\/h3>\n
          \n
        • P \u201chai l\u00e1\u201d hay P hai \u0111\u1ec9nh (n\u1ebfu nh\u1ecbp xoang) do nh\u0129 tr\u00e1i gi\u00e3n th\u1ea5y r\u00f5 nh\u1ea5t \u1edf chuy \u1ec3n \u0111\u1ea1o DII. S\u00f3ng P cao v\u00e0 nh\u1ecdn n\u1ebfu c\u00f3 t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/li>\n
        • Tr\u1ee5c ph\u1ea3i v\u00e0 ph\u00ec \u0111\u1ea1i th\u1ea5t ph\u1ea3i.<\/li>\n
        • Rung nh\u0129 (th\u01b0\u1eddng g\u1eb7p).<\/li>\n<\/ul>\n

          4.2 X-quang ng\u1ef1c<\/h3>\n
            \n
          • B\u1edd b\u00ean tr\u00e1i: Cung \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u1ed3ng, sau \u0111\u00f3 h\u00ecnh \u1ea3nh 4 cung \u0111i\u1ec3n h\u00ecnh (t\u1eeb tr\u00ean xu\u1ed1ng theo th\u1ee9 t\u1ef1 bao g\u1ed3m cung \u0110M ch\u1ee7, \u0110M ph\u1ed5i, ti\u1ec3u nh\u0129 tr\u00e1i, th\u1ea5t tr\u00e1i).<\/li>\n
          • B\u1edd b\u00ean ph\u1ea3i: Giai \u0111o\u1ea1n \u0111\u1ea7u, h\u00ecnh \u1ea3nh song song hai cung v\u1edbi cung nh\u0129 tr\u00e1i v\u0201n \u1edf b\u00ean trong cung nh\u0129 ph\u1ea3i, giai \u0111o\u1ea1n ti\u1ebfp hai cung n\u00e0y c\u1eaft nhau, giai \u0111o\u1ea1n sau c\u00f9ng nh\u0129 tr\u00e1i to nhi\u1ec1u, hai cung song song cung nh\u0129 tr\u00e1i \u1edf ngo\u00e0i cung nh\u0129 ph\u1ea3i.<\/li>\n
          • \u0110\u01b0\u1eddng Kerley B xu\u1ea5t hi\u1ec7n khi c\u00f3 t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/li>\n
          • C\u00e1c h\u00ecnh \u1ea3nh gi\u00e1n ti\u1ebfp \u00edt g\u1eb7p: Nh\u00e1nh ph\u1ebf qu\u1ea3n g\u1ed1c tr\u00e1i b\u1ecb \u0111\u1ea9y l\u00ean tr\u00ean ho\u1eb7c nh\u0129 tr\u00e1i \u0111\u00e8 th\u1ef1c qu\u1ea3n \u1edf 1\/3 d\u01b0\u1edbi, th\u1ef1c qu\u1ea3n b\u1ecb \u0111\u1ea9y ra sa u x\u01b0\u01a1ng \u1ee9c tr\u00ean phim ch\u1ee5p nghi\u00eang c\u00f3 u\u1ed1ng thu\u1ed1c c\u1ea3n quang.<\/li>\n<\/ul>\n

            4.3 Si\u00eau \u00e2m qua th\u00e0nh ng\u1ef1c<\/h3>\n
              \n
            • Si\u00eau \u00e2m 2D: Tr\u1ee5c d\u00e0i c\u1ea1nh \u1ee9c th\u1ea5y h\u00ecnh \u1ea3nh nh\u0129 tr\u00e1i gi\u00e3n v\u00e0 van m\u1edf h\u00ecnh v\u00f2m do d\u00ednh m \u00e9p van. Tr\u1ee5c ng\u1eafn c\u1ea1nh \u1ee9c c\u00f3 th\u1ec3 \u0111o tr\u1ef1c ti\u1ebfp di\u1ec7n t\u00edch l\u1ed7 van hai l\u00e1, h\u00ecnh \u1ea3nh v\u00f4i h\u00f3a m\u00e9p van.<\/li>\n
            • Thang \u0111i\u1ec3m Wilkins \u0111\u00e1nh gi\u00e1 h\u00ecnh th\u00e1i van hai l\u00e1 gi\u00fap \u0111\u01b0a ra ch\u1ec9 \u0111\u1ecbnh nong van hai l\u00e1 qua da (t\u1ed1 i \u0111a 16 \u0111i\u1ec3m).<\/li>\n<\/ul>\n

              Thang \u0111i\u1ec3m Wilkins \u0111\u00e1nh gi\u00e1 h\u00ecnh th\u00e1i van hai l\u00e1<\/p>\n\n\n\n\n\n\n\n
              \u00a0<\/strong><\/p>\n

              \u0110i\u1ec3m<\/strong><\/td>\n

              		\u00a0<\/strong><\/p>\n

              Di \u0111\u1ed9ng van<\/strong><\/td>\n

              		\u00a0<\/strong><\/p>\n

              T\u1ed5 ch\u1ee9c d\u01b0\u1edbi van<\/strong><\/td>\n

              		\u00a0<\/strong><\/p>\n

              \u0110\u1ed9 d\u00e0y van<\/strong><\/td>\n

              		\u00a0<\/strong><\/p>\n

              M\u1ee9c \u0111\u1ed9 v\u00f4i ho\u00e1<\/strong><\/td>\n<\/tr>\n

              \u00a0<\/strong><\/p>\n

              1<\/td>\n

              		Van di \u0111\u1ed9ng t\u1ed1t, ch\u1ec9 gi\u1edbi h\u1ea1n \u1edf m\u00e9p van<\/td>\nD\u00e0y nh\u1eb9 c\u00e1c d\u00e2y ch\u1eb1ng ngay d\u01b0\u1edbi l\u00e1 van<\/td>\nG\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng: 4 – 5 mm.<\/td>\nC\u00f3 duy nh\u1ea5t m\u1ed9t \u0111i\u1ec3m v\u00f4i ho\u00e1.<\/td>\n<\/tr>\n
              \u00a0<\/strong><\/p>\n

              2<\/td>\n

              		Ph\u1ea7n gi\u1eefa th\u00e2n van v\u00e0 ch\u00e2n van c\u00f2n di \u0111\u1ed9ng t\u1ed1t<\/td>\n\u00a0<\/strong><\/p>\n

              D\u00e0y t\u1edbi 1\/3 chi\u1ec1u d\u00e0i d\u00e2y ch\u1eb1ng<\/td>\n

              		\u00a0<\/strong><\/p>\n

              D\u00e0y \u00edt ph\u00eda m\u00e9p van: 5 – 8 mm.<\/td>\n

              		\u00a0<\/strong><\/p>\n

              V\u00f4i h\u00f3a r\u1ea3i<\/p>\n

              r\u00e1c m\u00e9p van.<\/td>\n<\/tr>\n

              \u00a0<\/strong><\/p>\n

              \u00a0<\/strong><\/p>\n

              3<\/td>\n

              		Van v\u0201n c\u00f2n di \u0111\u1ed9ng v\u1ec1 ph\u00eda tr\u01b0\u1edbc trong th\u1eddi k\u1ef3 t\u00e2m<\/p>\n

              tr\u01b0\u01a1ng, (ch\u1ee7 y\u1ebfu l\u00e0 g\u1ed1c van)<\/td>\n

              		\u00a0<\/strong><\/p>\n

              \u00a0<\/strong><\/p>\n

              D\u00e0y t\u1edbi 1\/3 \u0111o\u1ea1n xa d\u00e2y ch\u1eb1ng<\/td>\n

              		\u00a0<\/strong><\/p>\n

              D\u00e0y lan xu\u1ed1ng c\u1ea3 th\u00e2n l\u00e1 van: 5 – 8 mm<\/td>\n

              		\u00a0<\/strong><\/p>\n

              V\u00f4i ho\u00e1 \u0111\u1ebfn \u0111o\u1ea1n gi\u1eefa l\u00e1 van.<\/td>\n<\/tr>\n

              \u00a0<\/strong><\/p>\n

              4<\/td>\n

              		\u00a0<\/strong><\/p>\n

              Kh\u00f4ng di \u0111\u1ed9ng ho\u1eb7c r\u1ea5t \u00edt.<\/td>\n

              		D\u00e0y nhi\u1ec1u v\u00e0 r\u00fat ng\u1eafn c\u1ed9t c\u01a1 d\u00e2y ch\u1eb1ng<\/td>\nD\u00e0y nhi\u1ec1u to\u00e0n b\u1ed9 c\u1ea3 l\u00e1 van: > 8 – 10 mm.<\/td>\nV\u00f4i ho\u00e1<\/p>\n

              nhi\u1ec1u lan t\u1ecfa<\/p>\n

              to\u00e0n b\u1ed9 van.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

                \n
              • M – mode: H\u00ecnh \u1ea3nh h\u1ea1n ch\u1ebf m\u1edf van do d\u00ednh m\u00e9p van.<\/li>\n
              • Doppler li\u00ean t\u1ee5c c\u00f3 th\u1ec3 \u01b0\u1edbc t\u00ednh di\u1ec7n t\u00edch l\u1ed7 van v\u00e0 ch\u00eanh \u00e1p qua van.<\/li>\n
              • Ph\u01b0\u01a1ng tr\u00ecnh li\u00ean t\u1ee5c v\u00e0 ph\u01b0\u01a1ng ph\u00e1p PISA c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng n\u1ebfu c\u1ea7n thi\u1ebft.<\/li>\n
              • \u0110\u00e1nh gi\u00e1 c\u00e1c t\u1ed5n th\u01b0\u01a1ng kh\u00e1c \u0111i k\u00e8m: Huy\u1ebft kh\u1ed1i nh\u0129 tr\u00e1i v\u00e0 ti\u1ec3u nh\u0129 tr\u00e1i, th\u1ec3 t\u00edch nh\u0129 tr\u00e1i, ch\u1ee9c n\u0103ng co b\u00f3p c\u01a1 tim.<\/li>\n<\/ul>\n

                4.4 Si\u00eau \u00e2m qua th\u1ef1c qu\u1ea3n<\/h3>\n
                  \n
                • Cho th\u1ea5y r\u00f5 h\u01a1n h\u00ecnh th\u00e1i van hai l\u00e1, s\u00f9i nh\u1ecf v\u00e0 huy\u1ebft kh\u1ed1i trong nh\u0129 tr\u00e1i m\u00e0 si\u00eau \u00e2m qua th\u00e0nh ng\u1ef1c h\u1ea1n ch\u1ebf.<\/li>\n
                • Si\u00eau \u00e2m tim qua th\u1ef1c qu\u1ea3n n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea7n x em x\u00e9t vi\u1ec7c nong van hai l\u00e1 b\u1eb1ng b\u00f3ng qua da \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00f3 hay kh\u00f4ng c\u00f3 huy\u1ebft kh\u1ed1i trong nh\u0129 tr\u00e1i v\u00e0 \u0111\u00e1nh gi\u00e1 th\u00eam \u0111\u1ed9 h\u1edf van hai l\u00e1<\/li>\n<\/ul>\n

                  4.5 Th\u00f4ng tim<\/h3>\n
                    \n
                  • Ch\u1ec9 \u00e1p d\u1ee5ng khi c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t qu\u00e1 m\u1ee9c gi\u1eefa c\u00e1c th\u00f4ng s\u1ed1 si\u00eau \u00e2m tim v\u00e0 tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n
                  • \u0110o \u0111\u01b0\u1ee3c ch\u00ednh x\u00e1c c\u00e1c th\u00f4ng s\u1ed1: \u00c1 p l\u1ef1c cu\u1ed1i t\u00e2m tr\u01b0\u01a1ng th\u1ea5t tr\u00e1i, \u00e1p l\u1ef1c nh\u0129 tr\u00e1i, \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, cung l\u01b0\u1ee3ng tim, nh\u1ecbp tim, v\u00e0 th\u1eddi gian \u0111\u1ed5 \u0111\u1ea7y t\u00e2m tr\u01b0\u01a1ng. \u0110\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch v\u00e0nh v\u00e0 van tim ph\u1ed5i h\u1ee3p.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                    H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau. N\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm, b\u1ec7nh s\u1ebd g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, \u0111e d\u1ecda t\u00ednh m\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh. H\u1eb9p […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nH\u1eb9p van hai l\u00e1 t\u1eeb sinh l\u00fd b\u1ec7nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n<\/title>\n<meta name=\"description\" content=\"H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau.\" \/>\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=\"H\u1eb9p van hai l\u00e1 t\u1eeb sinh l\u00fd b\u1ec7nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n\" \/>\n<meta property=\"og:description\" content=\"H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau.\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-30T13:43:50+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-10-300x139.jpg\" \/>\n<meta name=\"author\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\" \/>\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\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/\",\"name\":\"H\u1eb9p van hai l\u00e1 t\u1eeb sinh l\u00fd b\u1ec7nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-30T13:43:50+00:00\",\"dateModified\":\"2023-04-30T13:43:50+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\"},\"description\":\"H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau.\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"T\u1ed5ng quan b\u1ec7nh l\u00fd h\u1eb9p van hai l\u00e1\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629\",\"name\":\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g\",\"caption\":\"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/viettai304-304gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"H\u1eb9p van hai l\u00e1 t\u1eeb sinh l\u00fd b\u1ec7nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n","description":"H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"H\u1eb9p van hai l\u00e1 t\u1eeb sinh l\u00fd b\u1ec7nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n","og_description":"H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau.","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/","og_site_name":"Vinmec","article_published_time":"2023-04-30T13:43:50+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/4-10-300x139.jpg"}],"author":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","twitter_card":"summary_large_image","twitter_misc":{"Written by":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/","name":"H\u1eb9p van hai l\u00e1 t\u1eeb sinh l\u00fd b\u1ec7nh \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-30T13:43:50+00:00","dateModified":"2023-04-30T13:43:50+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629"},"description":"H\u1eb9p van hai l\u00e1 l\u00e0 b\u1ec7nh l\u00fd ti\u1ebfn tri\u1ec3n li\u00ean t\u1ee5c k\u00e9o d\u00e0i c\u1ea3 \u0111\u1eddi, l\u00fac \u0111\u1ea7u b\u1ec7nh di\u1ec5n bi\u1ebfn kh\u00f4ng tri\u1ec7u ch\u1ee9ng, nh\u01b0ng s\u1ebd ti\u1ec1m \u1ea9n nguy c\u01a1 v\u1ec1 sau.","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/30\/tong-quan-benh-ly-hep-van-hai-la\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"T\u1ed5ng quan b\u1ec7nh l\u00fd h\u1eb9p van hai l\u00e1"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/dded5c0d4cb1bb77d05cf29ab5f85629","name":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/50f51f67852bc7e49c0b8b60a1fefe3e?s=96&d=mm&r=g","caption":"L\u01b0\u01a1ng Vi\u1ebft T\u00e0i"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/viettai304-304gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29799"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29799"}],"version-history":[{"count":1,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29799\/revisions"}],"predecessor-version":[{"id":29826,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29799\/revisions\/29826"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29799"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29799"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29799"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}