{"id":31082,"date":"2023-05-09T00:41:58","date_gmt":"2023-05-08T17:41:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31082"},"modified":"2023-05-09T00:41:58","modified_gmt":"2023-05-08T17:41:58","slug":"anh-huong-benh-tim-mach-va-thai-nghen-chan-doan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/09\/anh-huong-benh-tim-mach-va-thai-nghen-chan-doan\/","title":{"rendered":"\u1ea2nh h\u01b0\u1edbng b\u1ec7nh tim m\u1ea1ch v\u00e0 thai ngh\u00e9n: ch\u1ea9n \u0111o\u00e1n"},"content":{"rendered":"<p><strong>B\u1ec7nh tim \u1edf ph\u1ee5 n\u1eef mang thai g\u00e2y ra nhi\u1ec1u nguy c\u01a1 cho m\u1eb9 v\u00e0 con trong khi mang thai, sau khi \u0111\u1ebb v\u00e0 \u0111\u1eb7c bi\u1ec7t trong chuy\u1ec3n d\u1ea1. T\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh \u1edf Vi\u1ec7t nam kho\u1ea3ng 1-2% ph\u1ee5 n\u1eef mang thai. Theo d\u00f5i, ti\u00ean l\u01b0\u1ee3ng, x\u1eed tr\u00ed b\u1ec7nh \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa chuy\u00ean khoa s\u1ea3n v\u00e0 tim m\u1ea1ch.<\/strong><\/p>\n<h2>1. \u1ea2nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh tim m\u1ea1ch v\u00e0 thai ngh\u00e9n<\/h2>\n<p><strong>1.1 \u0110\u1ed1i v\u1edbi thai nhi\u00a0<\/strong><\/p>\n<p>B\u1ec7nh tim m\u1ea1ch c\u1ee7a m\u1eb9 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a thai nhi trong nhi\u1ec1u c\u00e1ch kh\u00e1c nhau, nh\u01b0:<\/p>\n<p>+ D\u1ecda s\u1ea9y thai, s\u1ea9y thai, d\u1ecda \u0111\u1ebb non, \u0111\u1ebb non: B\u1ec7nh tim m\u1ea1ch c\u1ee7a m\u1eb9 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 tr\u1ebb sinh non, t\u1ee9c l\u00e0 sinh ra tr\u01b0\u1edbc 37 tu\u1ea7n thai k\u1ef3. Tr\u1ebb sinh non c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe, bao g\u1ed3m suy dinh d\u01b0\u1ee1ng, thi\u1ebfu m\u00e1u, ph\u00f9 ph\u1ed5i v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 h\u00f4 h\u1ea5p<\/p>\n<p>+ Thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung. Thai d\u1ecb d\u1ea1ng. C\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 c\u1ee7a thai nhi khi sinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi m\u1eb9 b\u1ecb b\u1ec7nh tim m\u1ea1ch trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a thai k\u1ef3. Tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 khi sinh th\u1ea5p c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe trong t\u01b0\u01a1ng lai, bao g\u1ed3m suy dinh d\u01b0\u1ee1ng v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 t\u0103ng tr\u01b0\u1edfng. B\u1ec7nh tim m\u1ea1ch c\u1ee7a m\u1eb9 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 thai nhi b\u1ecb c\u00e1c khuy\u1ebft t\u1eadt b\u1ea9m sinh li\u00ean quan \u0111\u1ebfn tim, bao g\u1ed3m l\u1ed7 th\u1ea5t tim, tim b\u1ea9m sinh v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 van tim<\/p>\n<p>+ Thai ch\u1ebft l\u01b0u trong t\u1eed cung, thai ch\u1ebft trong chuy\u1ec3n d\u1ea1: R\u1ed1i lo\u1ea1n cung c\u1ea5p m\u00e1u \u0111\u1ebfn thai nhi d\u1eabn \u0111\u1ebfn thai ch\u1ebft l\u01b0u trong t\u1eed cung, thai ch\u1ebft trong chuy\u1ec3n d\u1ea1.<\/p>\n<p><strong>1.2 \u0110\u1ed1i v\u1edbi thai ph\u1ee5\u00a0<\/strong><\/p>\n<p>+ Suy tim c\u1ea5p, ph\u00f9 ph\u1ed5i c\u1ea5p<\/p>\n<p>+ R\u1ed1i lo\u1ea1n nh\u1ecbp tim<\/p>\n<p>+ T\u1eafc m\u1ea1ch ph\u1ed5i. Vi\u00eam t\u1eafc t\u0129nh m\u1ea1ch sau \u0111\u1ebb<\/p>\n<p>+ T\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5: Nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u1ee5 n\u1eef mang thai c\u00f3 b\u1ec7nh tim m\u1ea1ch c\u00f3 nguy c\u01a1 cao h\u01a1n b\u1ecb \u0111\u1ed9t qu\u1ef5<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-31108 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Thiet-ke-chua-co-ten-25-300x300.png\" alt=\"B\u1ec7nh tim m\u1ea1ch v\u00e0 thai ngh\u00e9n\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Thiet-ke-chua-co-ten-25-300x300.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Thiet-ke-chua-co-ten-25-1024x1024.png 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Thiet-ke-chua-co-ten-25-150x150.png 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Thiet-ke-chua-co-ten-25-768x768.png 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/05\/Thiet-ke-chua-co-ten-25.png 1080w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>2. Ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p><strong>2.1 Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng\u00a0<\/strong><\/p>\n<ul>\n<li>Kh\u00f3 th\u1edf: th\u01b0\u1eddng g\u1eb7p t\u1eeb qu\u00fd II thai k\u1ef3, c\u00f3 gi\u00e1 tr\u1ecb ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh, t\u0103ng d\u1ea7n theo tu\u1ed5i thai. Kh\u00f3 th\u1edf g\u1eafng s\u1ee9c hay th\u01b0\u1eddng xuy\u00ean c\u1ea3 khi n\u1eb1m ngh\u1ec9.<\/li>\n<li>H\u1ed3i h\u1ed9p, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, \u0111au th\u1eaft ng\u1ef1c, cho\u00e1ng ng\u1ea5t.<\/li>\n<li>Ho ra m\u00e1u: khi t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i n\u1eb7ng, ph\u00f9 ph\u1ed5i c\u1ea5p<\/li>\n<li>\u0110\u00e1i \u00edt, n\u01b0\u1edbc ti\u1ec3u s\u1eabm m\u00e0u<\/li>\n<li>Ph\u00f9: khu tr\u00fa \u1edf ch\u00e2n, m\u1ec1m, \u1ea5n l\u00f5m, kh\u00f4ng thay \u0111\u1ed5i theo th\u1eddi gian<\/li>\n<li>T\u00edm m\u00f4i v\u00e0 \u0111\u1ea7u chi, ti\u1ebfn tri\u1ec3n l\u00e2u c\u00f3 ng\u00f3n tay d\u00f9i tr\u1ed1ng, m\u00f3ng tay khum<\/li>\n<li>Gan to, t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i. Gan to kh\u00f3 ph\u00e1t hi\u1ec7n do t\u1eed cung chi\u1ebfm ch\u1ed7 trong \u1ed5 b\u1ee5ng<\/li>\n<\/ul>\n<ul>\n<li>Nghe tim: rung t\u00e2m tr\u01b0\u01a1ng, th\u1ed5i t\u00e2m thu, T1 \u0111anh, T2 t\u00e1ch \u0111\u00f4i, r\u1ed1i lo\u1ea1n nh\u1ecbp: nh\u1ecbp tim nhanh, ngo\u1ea1i t\u00e2m thu, lo\u1ea1n nh\u1ecbp ho\u00e0n to\u00e0n\u2026<\/li>\n<\/ul>\n<ul>\n<li>Nghe ph\u1ed5i: r\u00ec r\u00e0o ph\u1ebf nang gi\u1ea3m, rales ng\u00e1y, rales r\u00edt, rales \u1ea9m<\/li>\n<\/ul>\n<p><strong>2.2 C\u1eadn l\u00e2m s\u00e0ng\u00a0<\/strong><\/p>\n<ul>\n<li>Xquang: b\u00f3ng tim to, b\u00e8 ngang, r\u1ed1n ph\u1ed5i \u0111\u1eadm<\/li>\n<li>Si\u00eau \u00e2m tim: th\u0103m d\u00f2 c\u00f3 gi\u00e1 tr\u1ecb cho ph\u00e9p \u0111\u00e1nh gi\u00e1 t\u1ed5n th\u01b0\u01a1ng van, t\u1ed5n th\u01b0\u01a1ng b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh, ch\u1ee9c n\u0103ng c\u00e1c t\u00e2m th\u1ea5t, \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i..<\/li>\n<li>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3: ph\u00e1t hi\u1ec7n c\u00e1c r\u1ed1i lo\u1ea1n nh\u1ecbp, suy v\u00e0nh\u2026<\/li>\n<li>X\u00e9t nghi\u1ec7m \u0111\u00f4ng m\u00e1u: theo d\u00f5i \u0111i\u1ec1u tr\u1ecb ch\u1ed1ng \u0111\u00f4ng<\/li>\n<\/ul>\n<p><strong>2.3 Ph\u00e2n \u0111\u1ed9 suy tim theo ch\u1ee9c n\u0103ng (NYHA- H\u1ed9i tim m\u1ea1ch New York)<\/strong><\/p>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/phan-do-suy-tim-theo-chuc-nang-cua-hoi-tim-mach-new-york-nyha\/\">Ph\u00e2n \u0111\u1ed9 suy tim<\/a>\u00a0theo ch\u1ee9c n\u0103ng c\u1ee7a\u00a0H\u1ed9i Tim m\u1ea1ch New York\u00a0NYHA d\u1ef1a tr\u00ean s\u1ef1 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u01b0\u1ee3c chia th\u00e0nh 4 m\u1ee9c \u0111\u1ed9, g\u1ed3m:<\/p>\n<ul>\n<li>Suy tim \u0111\u1ed9 I: Kh\u00f4ng h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng th\u1ec3 th\u1ef1c. V\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c th\u00f4ng th\u01b0\u1eddng kh\u00f4ng g\u00e2y m\u1ec7t, kh\u00f3 th\u1edf, h\u1ed3i h\u1ed9p<\/li>\n<li>Suy tim \u0111\u1ed9 II: H\u1ea1n ch\u1ebf nh\u1eb9 v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c. B\u1ec7nh nh\u00e2n kh\u1ecfe khi ngh\u1ec9 ng\u01a1i, v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c th\u00f4ng th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn m\u1ec7t, kh\u00f3 th\u1edf, h\u1ed3i h\u1ed9p, \u0111au ng\u1ef1c<\/li>\n<li>Suy tim \u0111\u1ed9 III: H\u1ea1n ch\u1ebf nhi\u1ec1u v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c. B\u1ec7nh nh\u00e2n kh\u1ecfe khi ngh\u1ec9 ng\u01a1i nh\u01b0ng khi v\u1eadn \u0111\u1ed9ng nh\u1eb9 s\u1ebd c\u00f3 tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/li>\n<li>Suy tim \u0111\u1ed9 IV: Kh\u00f4ng v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c n\u00e0o kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng c\u1ee7a suy tim xu\u1ea5t hi\u1ec7n ngay c\u1ea3 khi ngh\u1ec9 ng\u01a1i. M\u1ed9t v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c nh\u1eb9 c\u0169ng c\u00f3 th\u1ec3 l\u00e0m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng gia t\u0103ng.<\/li>\n<\/ul>\n<p>Trong \u0111\u00f3, suy tim \u0111\u1ed9 I v\u00e0 suy tim \u0111\u1ed9 II l\u00e0 giai \u0111o\u1ea1n nh\u1eb9 c\u1ee7a b\u1ec7nh. Ng\u01b0\u1eddi b\u1ec7nh h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng c\u1ee7a b\u1ec7nh, ch\u1ec9 c\u1ea3m th\u1ea5y m\u1ec7t nh\u1eb9 khi ho\u1ea1t \u0111\u1ed9ng g\u1eafng s\u1ee9c. Suy tim \u0111\u1ed9 III v\u00e0 suy tim \u0111\u1ed9 IV l\u00e0 giai \u0111o\u1ea1n ti\u1ebfn tri\u1ec3n n\u1eb7ng c\u1ee7a b\u1ec7nh. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim \u0111\u00e3 xu\u1ea5t hi\u1ec7n r\u00f5 r\u00e0ng h\u01a1n, \u1ea3nh h\u01b0\u1edfng l\u1edbn t\u1edbi c\u00f4ng vi\u1ec7c, ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p><strong>2.4 Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t\u00a0<\/strong><\/p>\n<ul>\n<li>Thi\u1ebfu m\u00e1u n\u1eb7ng: kh\u00f3 th\u1edf, nh\u1ecbp tim nhanh, th\u1ed5i t\u00e2m thu, da ni\u00eam m\u1ea1c nh\u1ee3t, x\u00e9t nghi\u1ec7m m\u00e1u, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/li>\n<li>R\u1ed1i lo\u1ea1n n\u01b0\u1edbc &#8211; \u0111i\u1ec7n gi\u1ea3i: khi mang thai c\u00f3 ph\u00f9 do gi\u1eef n\u01b0\u1edbc v\u00e0 mu\u1ed1i.<\/li>\n<li>Thai ph\u1ee5 c\u00f3 b\u1ec7nh tim, t\u00ecnh tr\u1ea1ng n\u00e0y c\u00e0ng tr\u1ea7m tr\u1ecdng d\u1ec5 g\u00e2y bi\u1ebfn ch\u1ee9ng suy tim, ph\u00f9 ph\u1ed5i c\u1ea5p.<\/li>\n<\/ul>\n<p>Khi c\u00f3 th\u1ec3, ph\u1ee5 n\u1eef n\u00ean tr\u1ea3i qua \u0111\u00e1nh gi\u00e1 v\u00e0 t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi th\u1ee5 thai \u0111\u1ec3 h\u1ecd c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh mang thai s\u00e1ng su\u1ed1t.\u00a0\u0110\u1ed1i v\u1edbi nh\u1eefng ph\u1ee5 n\u1eef ch\u01b0a \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi th\u1ee5 thai, n\u00ean \u0111\u00e1nh gi\u00e1 r\u1ee7i ro \u0111\u1ea7y \u0111\u1ee7 trong l\u1ea7n kh\u00e1m thai \u0111\u1ea7u ti\u00ean. Ph\u00e1t hi\u1ec7n s\u1edbm, qu\u1ea3n l\u00fd thai ngh\u00e9n ch\u1eb7t ch\u1ebd c\u00e1c thai ph\u1ee5 c\u00f3 b\u1ec7nh tim. Ph\u1ed1i h\u1ee3p gi\u1eefa chuy\u00ean khoa tim m\u1ea1ch v\u00e0 s\u1ea3n khoa \u0111\u1ec3 theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb, ti\u00ean l\u01b0\u1ee3ng ng\u01b0\u1eddi b\u1ec7nh. T\u01b0 v\u1ea5n cho thai ph\u1ee5 c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng, c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m trong khi mang thai v\u00e0 khi chuy\u1ec3n d\u1ea1, sau \u0111\u1ebb. T\u01b0 v\u1ea5n tr\u00e1nh thai, kh\u00f4ng n\u00ean d\u00f9ng thu\u1ed1c tr\u00e1nh thai c\u00f3 estrogen. N\u00ean \u0111\u00ecnh s\u1ea3n n\u1ebfu \u0111\u00e3 c\u00f3 con v\u00e0 b\u1ec7nh tim kh\u00f4ng c\u1ea3i thi\u1ec7n b\u1eb1ng \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh tim \u1edf ph\u1ee5 n\u1eef mang thai g\u00e2y ra nhi\u1ec1u nguy c\u01a1 cho m\u1eb9 v\u00e0 con trong khi mang thai, sau khi \u0111\u1ebb v\u00e0 \u0111\u1eb7c bi\u1ec7t trong chuy\u1ec3n d\u1ea1. T\u1ea7n su\u1ea5t m\u1eafc b\u1ec7nh \u1edf Vi\u1ec7t nam kho\u1ea3ng 1-2% ph\u1ee5 n\u1eef mang thai. Theo d\u00f5i, ti\u00ean l\u01b0\u1ee3ng, x\u1eed tr\u00ed b\u1ec7nh \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t [&hellip;]<\/p>\n","protected":false},"author":49,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u1ea2nh h\u01b0\u1edbng b\u1ec7nh tim m\u1ea1ch v\u00e0 thai ngh\u00e9n: ch\u1ea9n \u0111o\u00e1n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh tim m\u1ea1ch \u1edf ph\u1ee5 n\u1eef mang thai g\u00e2y ra nhi\u1ec1u nguy c\u01a1 cho m\u1eb9 v\u00e0 con trong khi mang thai, sau khi \u0111\u1ebb v\u00e0 \u0111\u1eb7c bi\u1ec7t trong chuy\u1ec3n d\u1ea1.\" \/>\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=\"\u1ea2nh h\u01b0\u1edbng b\u1ec7nh tim m\u1ea1ch v\u00e0 thai ngh\u00e9n: ch\u1ea9n \u0111o\u00e1n - 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