{"id":3107,"date":"2023-04-09T23:24:23","date_gmt":"2023-04-09T16:24:23","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=3107"},"modified":"2023-04-14T15:15:15","modified_gmt":"2023-04-14T08:15:15","slug":"benh-hoc-tu-chung-fallot","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/benh-hoc-tu-chung-fallot\/","title":{"rendered":"B\u1ec7nh h\u1ecdc T\u1ee9 ch\u1ee9ng Fallot"},"content":{"rendered":"<p><strong>T\u1ee9 ch\u1ee9ng Fallot l\u00e0 b\u1ec7nh tim b\u1ea9m sinh c\u00f3 t\u00edm hay g\u1eb7p nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 10% c\u00e1c b\u1ec7nh tim b\u1ea9m sinh. T\u1ee9 ch\u1ee9ng Fallot l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ee9c t\u1ea1p, bao g\u1ed3m s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a nhi\u1ec1u d\u1ecb t\u1eadt kh\u00e1c nhau trong c\u1ea5u tr\u00fac tim nh\u01b0: Th\u00f4ng li\u00ean th\u1ea5t, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u01b0\u1ee1i ng\u1ef1a tr\u00ean v\u00e1ch li\u00ean th\u1ea5t, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 ph\u00ec \u0111\u1ea1i t\u00e2m th\u1ea5t ph\u1ea3i. Hi\u1ec3u v\u1ec1 b\u1ec7nh h\u1ecdc t\u1ee9 ch\u1ee9ng Fallot l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u0103n b\u1ec7nh n\u00e0y.<\/strong><\/p>\n<h2>1. T\u1ed5ng quan v\u1ec1 T\u1ee9 ch\u1ee9ng Fallot<\/h2>\n<p>T\u1ee9 ch\u1ee9ng Fallot l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh tim b\u1ea9m sinh ph\u1ed5 bi\u1ebfn \u1edf Vi\u1ec7t Nam v\u00e0 tr\u00ean th\u1ebf gi\u1edbi, chi\u1ebfm 10% c\u00e1c tr\u01b0\u1eddng h\u1ee3p tim b\u1ea9m sinh. T\u1ee9 ch\u1ee9ng Fallot \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean theo t\u00ean ng\u01b0\u1eddi m\u00f4 t\u1ea3 l\u1ea7n \u0111\u1ea7u ti\u00ean, l\u00e0 Etienne-Louis Arthur Fallot, m\u1ed9t b\u00e1c s\u0129 ng\u01b0\u1eddi Ph\u00e1p.<\/p>\n<p>Tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb nh\u1ecf b\u1ecb t\u1ee9 ch\u1ee9ng Fallot c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nh\u1eefng v\u1ea5n \u0111\u1ec1 trong vi\u1ec7c ph\u00e1t tri\u1ec3n v\u00e0 t\u0103ng tr\u01b0\u1edfng, c\u0169ng nh\u01b0 kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi nhi\u1ec1u h\u01a1n so v\u1edbi tr\u1ebb b\u00ecnh th\u01b0\u1eddng. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 h\u1ecdc t\u1eadp v\u00e0 ph\u00e1t tri\u1ec3n.<\/p>\n<p>N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi, T\u1ee9 ch\u1ee9ng Fallot c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng kh\u00e1c, bao g\u1ed3m suy tim, suy h\u00f4 h\u1ea5p, nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim. Nh\u1eefng v\u1ea5n \u0111\u1ec1 n\u00e0y c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe \u0111\u00e1ng lo ng\u1ea1i.<\/p>\n<h2>2. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1ec5 g\u00e2y ra T\u1ee9 ch\u1ee9ng Fallot<\/h2>\n<p>T\u1ee9 ch\u1ee9ng Fallot l\u00e0 m\u1ed9t b\u1ec7nh tim b\u1ea9m sinh, do c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u00e1t tri\u1ec3n tim thai nhi g\u00e2y ra. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh n\u00e0y, bao g\u1ed3m:<\/p>\n<ul>\n<li>Y\u1ebfu t\u1ed1 di truy\u1ec1n: C\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh tim b\u1ea9m sinh trong gia \u0111\u00ecnh c\u0169ng nh\u01b0 c\u00e1c \u0111\u1ed9t bi\u1ebfn gen c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc T\u1ee9 ch\u1ee9ng Fallot.<\/li>\n<li>Thu\u1ed1c l\u00e1 v\u00e0 ch\u1ea5t \u0111\u1ed9c h\u00f3a h\u1ecdc: Vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi thu\u1ed1c l\u00e1 v\u00e0 c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u00f3a h\u1ecdc trong m\u00f4i tr\u01b0\u1eddng xung quanh c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc T\u1ee9 ch\u1ee9ng Fallot.<\/li>\n<li>B\u1ec7nh l\u00fd m\u1eb9 trong khi mang thai: C\u00e1c b\u1ec7nh l\u00fd m\u1eb9 nh\u01b0 suy dinh d\u01b0\u1ee1ng, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh gan v\u00e0 th\u1eadn, c\u0169ng nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng \u0111\u00fang c\u00e1ch trong khi mang thai c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u00e1t tri\u1ec3n tim thai nhi v\u00e0 g\u00e2y ra T\u1ee9 ch\u1ee9ng Fallot.<\/li>\n<li>Tu\u1ed5i c\u1ee7a m\u1eb9: Tu\u1ed5i c\u1ee7a m\u1eb9 l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng trong ph\u00e1t tri\u1ec3n tim thai nhi, v\u00ec v\u1eady tu\u1ed5i m\u1eb9 tr\u00ean 40 tu\u1ed5i c\u0169ng l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 t\u0103ng cho T\u1ee9 ch\u1ee9ng Fallot.<\/li>\n<li>C\u00e1c b\u1ec7nh l\u00fd kh\u00e1c: C\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 h\u1ed9i ch\u1ee9ng Down, h\u1ed9i ch\u1ee9ng DiGeorge c\u0169ng c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 m\u1eafc T\u1ee9 ch\u1ee9ng Fallot.<\/li>\n<li>C\u00e1c t\u00ecnh tr\u1ea1ng kh\u00e1c: \u1ea2nh h\u01b0\u1edfng c\u1ee7a virus, ch\u1ebf \u0111\u1ed9 \u0103n c\u1ee7a m\u1eb9 thi\u1ebfu dinh d\u01b0\u1ee1ng, t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c v\u00e0 ch\u1ea5t k\u00edch th\u00edch,\u2026 c\u0169ng \u0111\u01b0\u1ee3c \u0111\u1ec1 c\u1eadp nh\u01b0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a t\u1ee9 ch\u1ee9ng Fallot<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, \u0111\u00f4i khi nguy\u00ean nh\u00e2n c\u1ee7a T\u1ee9 ch\u1ee9ng Fallot kh\u00f4ng r\u00f5 r\u00e0ng v\u00e0 kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee5 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh.<\/p>\n<h2>3. B\u1ec7nh h\u1ecdc T\u1ee9 ch\u1ee9ng Fallot<\/h2>\n<p>B\u1ec7nh h\u1ecdc c\u1ee7a t\u1ee9 ch\u1ee9ng Fallot l\u00e0 m\u1ed9t s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a b\u1ed1n t\u00ecnh tr\u1ea1ng ch\u00ednh c\u1ee7a tim, bao g\u1ed3m:<\/p>\n<ul>\n<li>Th\u00f4ng li\u00ean th\u1ea5t: Th\u00f4ng li\u00ean th\u1ea5t l\u00e0 m\u1ed9t l\u1ed7 h\u1ed5ng trong v\u00e1ch gi\u1eefa hai th\u1ea5t c\u1ee7a tim, cho ph\u00e9p m\u00e1u t\u1eeb th\u1ea5t tr\u00e1i (th\u01b0\u1eddng c\u00f3 h\u00e0m l\u01b0\u1ee3ng oxy cao h\u01a1n) ch\u1ea3y v\u00e0o th\u1ea5t ph\u1ea3i v\u00e0 \u0111\u01b0\u1ee3c b\u01a1m ra v\u00e0o m\u1ea1ch ph\u1ed5i. \u0110i\u1ec1u n\u00e0y khi\u1ebfn tim ph\u1ea3i v\u00e0 ph\u1ed5i ph\u1ea3i l\u00e0m vi\u1ec7c nhi\u1ec1u h\u01a1n. \u0110i\u1ec1u n\u00e0y g\u00e2y ra tri\u1ec7u nh\u01b0 kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi. Khi th\u00f4ng li\u00ean th\u1ea5t n\u1eb7ng, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 tr\u1edf n\u00ean n\u1eb7ng h\u01a1n v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng.<\/li>\n<li>\u0110\u1ed9ng m\u1ea1ch ch\u1ee7 c\u01b0\u1ee1i ng\u1ef1a tr\u00ean v\u00e1ch li\u00ean th\u1ea5t l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 n\u1eb1m ngay tr\u00ean v\u00e1ch li\u00ean th\u1ea5t, thay v\u00ec n\u1eb1m tr\u00ean t\u00e2m th\u1ea5t tr\u00e1i. K\u1ebft qu\u1ea3 l\u00e0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 nh\u1eadn m\u00e1u t\u1eeb c\u1ea3 t\u00e2m th\u1ea5t ph\u1ea3i (m\u00e1u ngh\u00e8o oxy) v\u00e0 t\u00e2m th\u1ea5t tr\u00e1i (m\u00e1u gi\u00e0u oxy) l\u00e0m m\u00e1u \u0111i nu\u00f4i c\u01a1 th\u1ec3 b\u1ecb gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy. Khi m\u00e1u kh\u00f4ng \u0111\u1ee7 oxy, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi v\u00e0 xanh t\u00edm. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 suy tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/li>\n<li>H\u1eb9p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i x\u1ea3y ra khi \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i b\u1ecb thu h\u1eb9p ho\u1eb7c b\u1ecb ch\u1eb7n, g\u00e2y ra kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111\u01b0a m\u00e1u t\u1eeb th\u1ea5t ph\u1ea3i c\u1ee7a tim \u0111\u1ebfn \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. H\u1eb9p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i trong t\u1ee9 ch\u1ee9ng Fallot l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c b\u01a1m \u0111\u1ebfn ph\u1ed5i, d\u1eabn \u0111\u1ebfn gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u gi\u00e0u oxy \u0111i nu\u00f4i c\u01a1 th\u1ec3. Khi m\u00e1u kh\u00f4ng \u0111\u1ee7 oxy, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi v\u00e0 xanh t\u00edm. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi, h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i trong t\u1ee9 ch\u1ee9ng Fallot c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 suy tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/li>\n<li>Ph\u00ec \u0111\u1ea1i t\u00e2m th\u1ea5t ph\u1ea3i x\u1ea3y ra khi t\u00e2m th\u1ea5t ph\u1ea3i c\u1ee7a tim ph\u1ea3i l\u00e0m vi\u1ec7c qu\u00e1 s\u1ee9c \u0111\u1ec3 b\u01a1m m\u00e1u ra \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i th\u00f4ng qua \u0111\u01b0\u1eddng \u1ed1ng \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i b\u1ecb h\u1eb9p, d\u1eabn \u0111\u1ebfn t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng v\u00e0 l\u00e0m c\u00e1c th\u00e0nh c\u01a1 c\u1ee7a t\u00e2m th\u1ea5t ph\u1ea3i d\u00e0y l\u00ean. T\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra nh\u01b0 m\u1ed9t h\u1eadu qu\u1ea3 c\u1ee7a c\u00e1c t\u1ed5n th\u01b0\u01a1ng tim \u0111\u00e3 n\u00eau \u1edf ph\u00eda tr\u00ean di\u1ec5n ra trong m\u1ed9t th\u1eddi gian d\u00e0i. Ph\u00ec \u0111\u1ea1i t\u00e2m th\u1ea5t ph\u1ea3i trong t\u1ee9 ch\u1ee9ng Fallot c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ec7t m\u1ecfi, kh\u00f3 th\u1edf, xanh t\u00e1i v\u00e0 \u0111au ng\u1ef1c. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb k\u1ecbp th\u1eddi, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 suy tim v\u00e0 r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/li>\n<\/ul>\n<figure id=\"attachment_3134\" aria-describedby=\"caption-attachment-3134\" style=\"width: 636px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-3134 size-full\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190812_022929_896179_tu-chung-fallot.max-1800x1800-1.png\" alt=\"benh-hoc-tu-chung-fallot\" width=\"636\" height=\"457\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190812_022929_896179_tu-chung-fallot.max-1800x1800-1.png 636w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/20190812_022929_896179_tu-chung-fallot.max-1800x1800-1-300x216.png 300w\" sizes=\"(max-width: 636px) 100vw, 636px\" \/><figcaption id=\"caption-attachment-3134\" class=\"wp-caption-text\">B\u1ec7nh h\u1ecdc t\u1ee9 ch\u1ee9ng Fallot<\/figcaption><\/figure>\n<h2>4. K\u1ebft lu\u1eadn<\/h2>\n<p>T\u1ee9 ch\u1ee9ng Fallot l\u00e0 m\u1ed9t d\u1ecb t\u1eadt tim ph\u1ee9c t\u1ea1p v\u1edbi nhi\u1ec1u t\u1ed5n th\u01b0\u01a1ng ph\u1ed1i h\u1ee3p. Vi\u1ec7c hi\u1ec3u b\u1ec7nh h\u1ecdc t\u1ee9 ch\u1ee9ng Fallot \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb l\u00e0 v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n v\u1ec1 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n c\u0169ng nh\u01b0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tr\u1ebb.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ee9 ch\u1ee9ng Fallot l\u00e0 b\u1ec7nh tim b\u1ea9m sinh c\u00f3 t\u00edm hay g\u1eb7p nh\u1ea5t, chi\u1ebfm kho\u1ea3ng 10% c\u00e1c b\u1ec7nh tim b\u1ea9m sinh. T\u1ee9 ch\u1ee9ng Fallot l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ee9c t\u1ea1p, bao g\u1ed3m s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a nhi\u1ec1u d\u1ecb t\u1eadt kh\u00e1c nhau trong c\u1ea5u tr\u00fac tim nh\u01b0: Th\u00f4ng li\u00ean th\u1ea5t, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 c\u01b0\u1ee1i ng\u1ef1a tr\u00ean v\u00e1ch [&hellip;]<\/p>\n","protected":false},"author":60,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ec7nh h\u1ecdc T\u1ee9 ch\u1ee9ng Fallot - Vinmec<\/title>\n<meta name=\"description\" content=\"L\u00e0 m\u1ed9t d\u1ecb t\u1eadt tim b\u1ea9m sinh ph\u1ee9c t\u1ea1p, b\u1ec7nh h\u1ecdc t\u1ee9 ch\u1ee9ng Fallot bao g\u1ed3m s\u1ef1 ph\u1ed1i h\u1ee3p c\u1ee7a nhi\u1ec1u d\u1ecb t\u1eadt kh\u00e1c nhau trong c\u1ea5u tr\u00fac tim\" \/>\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=\"B\u1ec7nh h\u1ecdc T\u1ee9 ch\u1ee9ng Fallot - 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