{"id":30083,"date":"2023-05-03T16:36:26","date_gmt":"2023-05-03T09:36:26","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=30083"},"modified":"2023-05-03T16:36:26","modified_gmt":"2023-05-03T09:36:26","slug":"phuong-phap-dan-luu-ap-xe-thuc-quan-trung-that","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/phuong-phap-dan-luu-ap-xe-thuc-quan-trung-that\/","title":{"rendered":"Ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t"},"content":{"rendered":"

Ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt y t\u1ebf quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec s\u1ef1 s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n sau khi tr\u1ea3i qua m\u1ed9t ca ph\u1eabu thu\u1eadt ho\u1eb7c b\u1ecb ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap duy tr\u00ec l\u01b0u th\u00f4ng m\u00e1u v\u00e0 \u00e1p l\u1ef1c \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn quan tr\u1ecdng c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u1eed vong ho\u1eb7c t\u00e1c \u0111\u1ed9ng x\u1ea5u \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3.<\/strong><\/p>\n

\"\"<\/p>\n

1. \u0110\u1ea1i c\u01b0\u01a1ng<\/b><\/h2>\n

\u00c1p-xe trung th\u1ea5t (AXTT) l\u00e0 m\u1ed9t th\u1ec3 nhi\u1ec5m tr\u00f9ng n\u1eb7ng, h\u1eadu qu\u1ea3 c\u1ee7a th\u1ee7ng th\u1ef1c qu\u1ea3n do tai bi\u1ebfn nu\u1ed1t ph\u1ea3i d\u1ecb v\u1eadt, sau soi th\u1ef1c qu\u1ea3n<\/a> hay b\u1ec7nh l\u00fd v\u00f9ng h\u1ea7u h\u1ecdng nh\u01b0: do b\u1ec7nh l\u00fd r\u0103ng mi\u1ec7ng (nh\u1ed5 r\u0103ng, vi\u00eam t\u1ea5y s\u00e0n mi\u1ec7ng lan t\u1ecfa), do ung th\u01b0 v\u00f9ng h\u1ea7u h\u1ecdng – th\u1ef1c qu\u1ea3n nh\u01b0ng ph\u00e1t hi\u1ec7n mu\u1ed9n do ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn b\u1ec7nh vi\u1ec7n mu\u1ed9n g\u00e2y th\u1ee7ng l\u00e0m vi\u00eam lan t\u1ecfa v\u00e0o trung th\u1ea5t, ho\u1eb7c sau ph\u1eabu thu\u1eadt v\u00f9ng ng\u1ef1c nh\u01b0 m\u1ed5 tim m\u1edf g\u00e2y vi\u00eam x\u01b0\u01a1ng \u1ee9c lan t\u1ecfa v\u00e0o v\u00f9ng trung th\u1ea5t. \u00d0\u1eb7c bi\u1ec7t \u1edf Vi\u1ec7t Nam nguy\u00ean nh\u00e2n ch\u00ednh sau th\u1ee7ng th\u1ef1c qu\u1ea3n do d\u1ecb v\u1eadt nh\u01b0 h\u00f3c x\u01b0\u01a1ng, nu\u1ed1t ph\u1ea3i r\u0103ng gi\u1ea3 hay c\u00e1c v\u1eadt s\u1eafc nh\u1ecdn… trong \u0111\u00f3 \u0111\u1eb7c bi\u1ec7t nguy\u00ean nh\u00e2n do h\u00f3c x\u01b0\u01a1ng g\u1eb7p r\u1ea5t ph\u1ed5 bi\u1ebfn, nh\u1ea5t l\u00e0 x\u01b0\u01a1ng g\u00e0 v\u1ecbt. X\u01b0\u01a1ng c\u1ee7a c\u00e1c lo\u1ea1i gia c\u1ea7m r\u1ea5t c\u1ee9ng v\u00e0 s\u1eafc n\u00ean r\u1ea5t d\u1ec5 d\u00e0ng g\u00e2y th\u1ee7ng th\u1ef1c qu\u1ea3n khi m\u1eafc v\u00e0o.<\/p>\n

M\u1eb7c d\u00f9 c\u00f3 nh\u1eefng ti\u1ebfn b\u1ed9 v\u1ec1 ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt, thu\u1ed1c kh\u00e1ng sinh… nh\u01b0ng AXTT g\u00e2y t\u1ef7 l\u1ec7 t\u1eed vong c\u00f2n r\u1ea5t cao. Tr\u00ean th\u1ebf gi\u1edbi, t\u1ef7 l\u1ec7 t\u1eed vong t\u1eeb 30% \u0111\u1ebfn 40%. \u1ede Vi\u1ec7t Nam, t\u1ef7 l\u1ec7 t\u1eed vong do AXTT tr\u01b0\u1edbc \u0111\u00e2y \u0111\u1ebfn 60%, hi\u1ec7n nay c\u00f3 gi\u1ea3m xu\u1ed1ng \u0111\u00e1ng k\u1ec3 nh\u01b0ng v\u1eabn \u1edf m\u1ee9c l\u00e0 16%. Nguy\u00ean nh\u00e2n t\u1eed vong do bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u ho\u1eb7c \u1ed5 m\u1ee7 v\u1ee1 v\u00e0o quai \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u1edf ph\u1ea7n ng\u1ef1c, g\u00e2y nhi\u1ec5m tr\u00f9ng nhi\u1ec5m \u0111\u1ed9c n\u1eb7ng m\u1ee7 lan t\u1ecfa trong trung th\u1ea5t, hay v\u1ee1 v\u00e0o m\u00e0ng tim, ph\u1ed5i v\u00e0 m\u00e0ng ph\u1ed5i… r\u1ea5t kh\u00f3 d\u1eabn l\u01b0u v\u00e0 l\u00e0m s\u1ea1ch h\u1ebft d\u1ecbch m\u1ee7. AXTT c\u00f3 th\u1ec3 ph\u00f2ng tr\u00e1nh \u0111\u01b0\u1ee3c n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m s\u1edbm ngay t\u1eeb l\u00fac x\u1ea3y ra c\u00e1c tai bi\u1ebfn.<\/p>\n

2. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

Ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u00e1p xe trung th\u1ea5t<\/p>\n

3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n

Kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i<\/p>\n

M\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t:<\/p>\n

– T\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7: N\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u00e1p l\u1ef1c trong \u0111\u1ed9ng m\u1ea1ch v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng.<\/p>\n

– \u0110au ng\u1ef1c v\u00e0 b\u1ec7nh l\u00fd tim m\u1ea1ch: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c ho\u1eb7c b\u1ec7nh l\u00fd tim m\u1ea1ch kh\u00e1c, ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng.<\/p>\n

– R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u ho\u1eb7c \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf \u0111\u00f4ng m\u00e1u, ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng v\u00ec n\u00f3 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng.<\/p>\n

– B\u1ec7nh l\u00fd gan v\u00e0 th\u1eadn: N\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn gan ho\u1eb7c th\u1eadn, ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng v\u00ec n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng.<\/p>\n

Ngo\u00e0i ra, ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c nh\u01b0 b\u1ec7nh suy tim, b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p nghi\u00eam tr\u1ecdng.<\/p>\n

4. Chu\u1ea9n b\u1ecb<\/b><\/h2>\n

4.1. Ng\u01b0\u1eddi th\u1ef1c hi\u1ec7n<\/b>:<\/h3>\n

–\u00a0<\/b>01 Ph\u1eabu thu\u1eadt vi\u00ean chuy\u00ean khoa ti\u00eau h\u00f3a ho\u1eb7c ngo\u1ea1i chung<\/p>\n

–\u00a0<\/b>02 ph\u1eabu thu\u1eadt vi\u00ean ph\u1ee5<\/p>\n

–\u00a0<\/b>01 b\u00e1c s\u1ef9 g\u00e2y m\u00ea<\/p>\n

–\u00a0<\/b>K\u00edp d\u1ee5ng c\u1ee5 vi\u00ean, ch\u1ea1y ngo\u00e0i, ph\u1ee5 m\u00ea: 03 \u0111i\u1ec1u d\u01b0\u1ee1ng<\/p>\n

4.2. Ng\u01b0\u1eddi b\u1ec7nh<\/b>:<\/h3>\n

–\u00a0<\/b>Ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch r\u00f5 tr\u01b0\u1edbc m\u1ed5 v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng chung, v\u1ec1 nh\u1eefng kh\u1ea3 n\u0103ng ph\u1eabu thu\u1eadt s\u1ebd th\u1ef1c hi\u1ec7n, v\u1ec1 nh\u1eefng tai bi\u1ebfn, bi\u1ebfn ch\u1ee9ng, di ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p do b\u1ec7nh, do ph\u1eabu thu\u1eadt, do g\u00e2y m\u00ea, t\u00ea, gi\u1ea3m \u0111au, do c\u01a1 \u0111\u1ecba c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

–\u00a0<\/b>Nh\u1ecbn \u0103n, th\u1ee5t th\u00e1o, v\u1ec7 sinh v\u00f9ng ph\u1eabu thu\u1eadt v\u00e0 to\u00e0n th\u00e2n.<\/p>\n

–\u00a0<\/b>Kh\u00e1ng sinh d\u1ef1 ph\u00f2ng<\/p>\n

4.3. Ph\u01b0\u01a1ng ti\u1ec7n: <\/b><\/h3>\n

B\u1ed9 d\u1ee5ng c\u1ee5 \u0111\u1ea1i ph\u1eabu, van k\u00e9o x\u01b0\u01a1ng \u1ee9c, van th\u1ef1c qu\u1ea3n, ch\u1ec9 kh\u00e2u, m\u00e1y c\u1eaft n\u1ed1i\u2026<\/p>\n

4.4. D\u1ef1 ki\u1ebfn th\u1eddi gian ph\u1eabu thu\u1eadt<\/b>:<\/h3>\n

120 ph\u00fat<\/p>\n

5. C\u00e1c b\u01b0\u1edbc ti\u1ebfn h\u00e0nh<\/b><\/h2>\n

–\u00a0\u0110\u01b0\u1eddng r\u1ea1ch da\u00a0<\/i>ch\u1eef J b\u1edd tr\u01b0\u1edbc c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m tr\u00e1i.<\/p>\n

– C\u1eaft c\u01a1 vai m\u00f3ng, th\u1eaft v\u00e0 c\u1eaft TM gi\u00e1p d\u01b0\u1edbi, \u0111i qua khe gi\u1eefa th\u00f9y tr\u00e1i tuy\u1ebfn gi\u00e1p \u1edf trong v\u00e0 b\u00f3 m\u1ea1ch c\u1ea3nh \u1edf ngo\u00e0i \u0111\u1ec3 ph\u1eabu t\u00edch v\u00e0o b\u1edd tr\u00e1i c\u1ee7a th\u1ef1c qu\u1ea3n.<\/p>\n

– D\u00f9ng tampon \u0111\u1ec3 t\u00e1ch d\u1ecdc theo m\u1eb7t tr\u01b0\u1edbc th\u1ef1c qu\u1ea3n xu\u1ed1ng trung th\u1ea5t tr\u00ean, ho\u00e0n to\u00e0n d\u00f9ng ng\u00f3n tay v\u00e0 tampon \u0111\u1ec3 ph\u1eabu t\u00edch.<\/p>\n

– M\u1edf th\u00f4ng d\u1ea1 d\u00e0y \u0111\u1ec3 nu\u00f4i \u0103n<\/p>\n

– D\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i m\u1ed9t b\u00ean ho\u1eb7c hai b\u00ean khi \u00e1p xe g\u00e2y tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/p>\n

– Trong tr\u01b0\u1eddng h\u1ee3p \u00e1p xe trung th\u1ea5t d\u01b0\u1edbi kh\u00f4ng th\u1ec3 d\u1eabn l\u01b0u \u0111\u01b0\u1ee3c qua \u0111\u01b0\u1eddng c\u1ed5, ta ph\u1ea3i m\u1edf ng\u1ef1c \u0111\u1ec3 d\u1eabn l\u01b0u \u1ed5 \u00e1p xe.<\/p>\n

6. Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed tai bi\u1ebfn<\/b><\/h2>\n

– Theo d\u00f5i v\u00e0 x\u1eed tr\u00ed c\u00e1c bi\u1ebfn ch\u1ee9ng:<\/p>\n

    \n
  • Ch\u1ea3y m\u00e1u: th\u01b0\u1eddng trong 48h \u0111\u1ea7u ho\u1eb7c nh\u1eefng ng\u00e0y ti\u1ebfp theo. Ch\u1ea3y m\u00e1u \u0111\u1ecf t\u01b0\u01a1i, s\u1ed1 l\u01b0\u1ee3ng nhi\u1ec1u qua d\u1eabn l\u01b0u, to\u00e0n tr\u1ea1ng thay \u0111\u1ed5i (nh\u1ee3t, lo \u00e2u, m\u1ea1ch nhanh, huy\u1ebft \u00e1p t\u1ee5t) c\u1ea7n m\u1ed5 ki\u1ec3m tra l\u1ea1i, c\u1ea7m m\u00e1u.<\/li>\n
  • Theo d\u00f5i \u00e1p xe t\u1ed3n d\u01b0, t\u00ecnh tr\u1ea1ng b\u1ee5c mi\u1ec7ng n\u1ed1i, nhi\u1ec5m tr\u00f9ng v\u1ebft m\u1ed5 \u0111\u1ec3 c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p k\u1ecbp th\u1eddi.<\/li>\n<\/ul>\n

    – Theo d\u00f5i t\u00ecnh tr\u1ea1ng chung: m\u1ea1ch, huy\u1ebft \u00e1p, vi\u00eam ph\u1ed5i<\/p>\n

      \n
    • Truy\u1ec1n d\u1ecbch: t\u00ednh \u0111\u1ee7 n\u0103ng l\u01b0\u1ee3ng, l\u01b0\u1ee3ng d\u1ecbch v\u00e0o cho t\u1eebng ng\u01b0\u1eddi b\u1ec7nh c\u1ee5 th\u1ec3.<\/li>\n
    • Kh\u00e1ng sinh: s\u1eed d\u1ee5ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng ho\u1eb7c s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111i\u1ec1u tr\u1ecb khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh, t\u00f9y thu\u1ed9c ho\u00e0n c\u1ea3nh c\u1ee5 th\u1ec3.<\/li>\n
    • Cho ng\u01b0\u1eddi b\u1ec7nh \u0103n l\u1ea1i khi c\u00f3 trung ti\u1ec7n.<\/li>\n<\/ul>\n

      Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

      Ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt y t\u1ebf quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec s\u1ef1 s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n sau khi tr\u1ea3i qua m\u1ed9t ca ph\u1eabu thu\u1eadt ho\u1eb7c b\u1ecb ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap duy tr\u00ec l\u01b0u th\u00f4ng m\u00e1u v\u00e0 \u00e1p l\u1ef1c \u0111\u1ea7y \u0111\u1ee7 \u0111\u1ebfn […]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[],"yoast_head":"\nPh\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t - Vinmec<\/title>\n<meta name=\"description\" content=\"Ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt y t\u1ebf quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec s\u1ef1 s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n sau khi tr\u1ea3i qua...\" \/>\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=\"Ph\u01b0\u01a1ng ph\u00e1p d\u1eabn l\u01b0u \u00e1p xe th\u1ef1c qu\u1ea3n, trung th\u1ea5t - 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