{"id":31536,"date":"2023-05-04T19:09:54","date_gmt":"2023-05-04T12:09:54","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=31536"},"modified":"2023-05-04T19:09:54","modified_gmt":"2023-05-04T12:09:54","slug":"loet-chi-duoi-chan-doan-va-dieu-tri","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/04\/loet-chi-duoi-chan-doan-va-dieu-tri\/","title":{"rendered":"Lo\u00e9t chi d\u01b0\u1edbi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Lo\u00e9t<\/a> chi d\u01b0\u1edbi \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t t\u1ed5 ch\u1ee9c da m\u1ea1n t\u00ednh, kh\u00f4ng c\u00f3 xu h\u01b0\u1edbng t\u1ef1 li\u1ec1n s\u1eb9o. C\u00f3 t\u1eeb 1-2% d\u00e2n s\u1ed1 tr\u00ean 60 tu\u1ed5i b\u1ecb lo\u00e9t chi d\u01b0\u1edbi, l\u00e0m t\u0103ng g\u00e1nh n\u1eb7ng v\u1ec1 kinh t\u1ebf trong l\u0129nh v\u1ef1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng. Ph\u1ea7n l\u1edbn lo\u00e9t chi d\u01b0\u1edbi c\u00f3 ngu\u1ed3n g\u1ed1c m\u1ea1ch m\u00e1u, t\u1ee9c l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a m\u1ed9t b\u1ec7nh l\u00fd t\u0129nh m\u1ea1ch (hay g\u1eb7p nh\u1ea5t), \u0111\u1ed9ng m\u1ea1ch hay vi tu\u1ea7n ho\u00e0n.<\/strong><\/p>\n

\"Lo\u00e9t<\/p>\n

Lo\u00e9t chi d\u01b0\u1edbi<\/strong><\/p>\n

1. \u0110\u1eb7c \u0111i\u1ec3m sinh l\u00fd b\u1ec7nh<\/h2>\n

1.1 Sinh l\u00fd b\u1ec7nh c\u1ee7a lo\u00e9t do nguy\u00ean nh\u00e2n t\u0129nh m\u1ea1ch t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ee9c t\u1ea1p:<\/strong><\/h3>\n

\u1ee8 tr\u1ec7 tu\u1ea7n ho\u00e0n t\u0129nh m\u1ea1ch m\u1ea1n t\u00ednh (do gi\u00e3n t\u0129nh m\u1ea1ch, ho\u1eb7c sau khi b\u1ecb huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch) l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra s\u1ef1 t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch d\u0201n \u0111\u1ebfn t\u0103ng \u00e1p l\u1ef1c vi tu\u1ea7n ho\u00e0n mao t\u0129nh m\u1ea1ch.<\/p>\n

Nhi\u1ec1u thay \u0111\u1ed5i v\u1ec1 vi tu\u1ea7n ho\u00e0n g\u00e2y ra s\u1ef1 t\u1ed5n th\u01b0\u01a1ng c\u1ee7a h\u00e0ng r\u00e0o n\u1ed9i m\u1ea1c l\u00e0m huy\u1ebft t\u01b0\u01a1ng, \u0111\u1ea1i th\u1ef1c b\u00e0o v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n h\u1eefu h\u00ecnh kh\u00e1c trong m\u00e1u tho\u00e1t ra kho\u1ea3ng k\u1ebd, s\u1ef1 xuy\u00ean m\u1ea1ch c\u1ee7a b\u1ea1ch c\u1ea7u d\u0201n \u0111\u1ebfn ph\u1ea3n \u1ee9ng vi\u00eam, s\u1ef1 s\u1ea3n xu\u1ea5t ra c\u00e1c g\u1ed1c t\u1ef1 do g\u00e2y \u0111\u1ed9c, s\u1ef1 t\u1ea1o th\u00e0nh nh\u1eefng v\u1ecf fibrin ti\u1ec1n mao m\u1ea1ch… g\u00e2y ra t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy m\u00f4 c\u1ee5c b\u1ed9, l\u00e0m m\u1ea5t t\u1ed5 ch\u1ee9c da m\u1ea1n t\u00ednh.<\/p>\n

1.2 Sinh l\u00fd b\u1ec7nh c\u1ee7a lo\u00e9t do nguy\u00ean nh\u00e2n \u0111\u1ed9ng m\u1ea1ch hay vi tu\u1ea7n ho\u00e0n \u0111\u01a1n gi\u1ea3n h\u01a1n:<\/h3>\n

S\u1ef1 m\u1ea5t t\u1ed5 ch\u1ee9c da li\u00ean quan tr\u1ef1c ti\u1ebfp v\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u m\u00f4 do gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u1ed9ng m\u1ea1ch hay mao \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

2. Ch\u1ea9n \u0111o\u00e1n lo\u00e9t chi d\u01b0\u1edbi<\/h2>\n

B\u01b0\u1edbc \u0111\u1ea7u ti\u00ean trong ch\u1ea9n \u0111o\u00e1n lo\u00e9t chi d\u01b0\u1edbi l\u00e0 ph\u1ea3i x\u00e1c \u0111\u1ecbnh lo\u00e9t c\u00f3 ngu\u1ed3n g\u1ed1c m\u1ea1ch m\u00e1u hay kh\u00f4ng. Nh\u1eadn bi\u1ebft \u0111i\u1ec1u n\u00e0y kh\u00e1 \u0111\u01a1n gi\u1ea3n, d\u1ef1a tr\u00ean s\u1ef1 th\u0103m kh\u00e1m v\u00e0 ph\u00e2n t\u00edch h\u1ee3p l\u00fd m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 l\u00e2m s\u00e0ng sau:<\/p>\n

    \n
  • Kh\u00e1m k\u1ef9 \u1ed5 lo\u00e9t.<\/li>\n
  • \u0110\u00e1nh gi\u00e1 t\u1ed5 ch\u1ee9c xung quanh: C\u00f3 t\u00ecnh tr\u1ea1ng lo\u1ea1n d\u01b0\u1ee1ng k\u00e8m theo kh\u00f4ng. T\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u chi.<\/li>\n
  • C\u01a1 \u0111\u1ecba (\u0111\u1eb7c bi\u1ec7t l\u00e0 y\u1ebfu t\u1ed1 b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u l\u1edbn, ho\u1eb7c vi tu\u1ea7n ho\u00e0n).<\/li>\n<\/ul>\n

    2.1 Lo\u00e9t chi d\u01b0\u1edbi c\u00f3 ngu\u1ed3n g\u1ed1c m\u1ea1ch m\u00e1u:<\/h3>\n

    2.1.1 Lo\u00e9t do nguy\u00ean nh\u00e2n t\u0129nh m\u1ea1ch:<\/strong><\/h4>\n

    G\u1eb7p nhi\u1ec1u nh\u1ea5t trong nh\u00f3m lo\u00e9t do nguy\u00ean nh\u00e2n m\u1ea1ch m\u00e1u, b\u1ec7nh l\u00fd n\u00e0y c\u00f3 th\u1ec3 l\u00e0 bi\u1ebfn ch\u1ee9ng mu\u1ed9n c\u1ee7a huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u, ho\u1eb7c gi\u00e3n t\u0129nh m\u1ea1ch n\u00f4ng chi d\u01b0\u1edbi v\u1edbi suy c\u00e1c t\u0129nh m\u1ea1ch xuy\u00ean.<\/p>\n

    Nh\u1eefng \u0111\u1eb7c tr\u01b0ng l\u00e2m s\u00e0ng ch\u00ednh c\u1ee7a b\u1ec7nh bao g\u1ed3m: T\u00ednh ch\u1ea5t kh\u00f4ng \u0111au, v\u1ecb tr\u00ed quanh m\u1eaft c\u00e1, \u1ea9m, k\u00e8m theo c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh l\u00fd t\u0129nh m\u1ea1ch m\u1ea1n t\u00ednh nh\u01b0 vi\u00eam da s\u1eafc t\u1ed1, vi\u00eam teo da…<\/p>\n

    M\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u quan tr\u1ecdng kh\u00e1c: Kh\u00f4ng c\u00f3 ho\u1ea1i t\u1eed, b\u1ec1 m\u1eb7t \u1ed5 lo\u00e9t kh\u00f4ng l\u00f5m s\u00e2u, m\u1ea1ch ngo\u1ea1i vi v\u0201n b\u1eaft \u0111\u01b0\u1ee3c.<\/p>\n

    2.1.2 Lo\u00e9t do nguy\u00ean nh\u00e2n \u0111\u1ed9ng m\u1ea1ch:<\/h4>\n

    Nh\u1eefng tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng bao g\u1ed3m: \u0110au, t\u00ednh ch\u1ea5t \u0111au t\u0103ng khi n\u00e2ng cao ch\u00e2n, v\u1ecb tr\u00ed th\u01b0\u1eddng \u1edf \u0111\u1ea7u chi, xa m\u1eaft c\u00e1 ch\u00e2n, \u1ed5 lo\u00e9t l\u00f5m s\u00e2u, ho\u1ea1i t\u1eed, l\u1ed9 r\u00f5 c\u00e1c c\u1ea5u tr\u00fac xung quanh, b\u1edd d\u1ed1c .<\/p>\n

    K \u00e8m theo c\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c c\u1ee7a b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch .<\/p>\n

    2.1.3 Lo\u00e9t do nguy\u00ean nh\u00e2n h\u1ed7n h\u1ee3p (\u0111\u1ed9ng, t\u0129nh m\u1ea1ch):<\/h4>\n

    T\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn, ti\u00ean l\u01b0\u1ee3ng n\u1eb7ng h\u01a1n, v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u1ee9c t\u1ea1p h\u01a1n.<\/p>\n

    Giai \u0111o\u1ea1n \u0111\u1ea7u th\u01b0\u1eddng b\u1ecb che d\u1ea5u d\u01b0\u1edbi d\u1ea1ng \u1ed5 lo\u00e9t do nguy\u00ean nh\u00e2n thu\u1ea7n t\u00fay t\u0129nh m\u1ea1ch, nh\u01b0ng nh\u1eefng d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd lo\u00e9t h\u1ed7n h\u1ee3p l\u00e0 t\u00ednh ch\u1ea5t \u0111au t\u1ef1 nhi\u00ean, ho\u1eb7c theo t\u01b0 th\u1ebf, b\u1ec1 m\u1eb7t \u1ed5 lo\u00e9t s\u00e2u, kh\u00f3 l\u00e0nh (ch\u1eadm li\u1ec1n s\u1eb9o), c\u00f3 th\u1ec3 c\u00f3 m\u1ea3ng ho\u1ea1i t\u1eed.<\/p>\n

    Khi th\u1ea5y xu\u1ea5t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y, c\u1ea7n t\u00edch c\u1ef1c t\u00ecm ki\u1ebfm v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch \u0111i k\u00e8m.<\/p>\n

    2.1.4 Vi\u00eam da m\u1ea1ch ho\u1ea1i t\u1eed:<\/h4>\n

    L\u00e0 m\u1ed9t th\u1ec3 b\u1ec7nh \u0111\u1eb7c bi\u1ec7t, do s\u1ef1 t\u1eafc ngh\u1ebdn c\u1ee7a c\u00e1c ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch t\u1eadn.<\/p>\n

    \u0110\u00e2y th\u1ef1c s\u1ef1 l\u00e0 m\u1ed9t d\u1ea1ng ho\u1ea1i t\u1eed g\u00e2y ch\u1ea3y m\u00e1u tr\u00ean da, xu\u1ea5t hi\u1ec7n t\u1ef1 ph\u00e1t sau vi ch\u1ea5n th\u01b0\u01a1ng \u1edf b\u1ec7nh nh\u00e2n cao tu\u1ed5i b\u1ecb b\u1ec7nh l\u00fd vi m\u1ea1ch da m\u1ea1n t\u00ednh (trong t\u0103ng huy\u1ebft \u00e1p hay \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng), c\u00f3 th\u1ec3 th\u1ea5y \u1edf c\u1ea3 hai ch\u00e2n.<\/p>\n

    Ti\u1ebfn tri\u1ec3n c\u1ee7a vi\u00eam da m\u1ea1ch ho\u1ea1i t\u1eed th\u01b0\u1eddng k\u00e9o d\u00e0i nhi\u1ec1u th\u00e1ng, \u0111\u1eb7c tr\u01b0ng b\u1edfi m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng r\u1ea5t \u0111i\u1ec3n h\u00ecnh nh\u01b0:<\/p>\n

      \n
    • V\u1ecb tr\u00ed \u1edf m\u1eb7t tr\u01b0\u1edbc ngo\u00e0i c\u1eb3ng ch\u00e2n.<\/li>\n
    • T\u00ednh ch\u1ea5t r\u1ea5t \u0111au \u0111\u1edbn, nh\u1ea5t l\u00e0 v\u1ec1 \u0111\u00eam, g\u00e2y ra m\u1ea5t ng\u1ee7. Lo\u00e9t n\u00f4ng, ho\u1ea1i t\u1eed.<\/li>\n
    • B\u1edd \u1ed5 lo\u00e9t kh\u00f4ng \u0111\u1ec1u, bao quanh b\u1edfi m\u1ed9t qu\u1ea7ng xanh t\u00edm v\u00e0 m\u1ea1ng l\u01b0\u1edbi livedo, v\u00f9ng \u1ed5 lo\u00e9t lan r\u1ed9ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi v\u00f9ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9.<\/li>\n<\/ul>\n

      V\u00ec k\u00e8m theo c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch l\u1edbn, s\u1ef1 ph\u1ed1i h\u1ee3p gi\u1eefa vi\u00eam da m\u1ea1ch ho\u1ea1i t\u1eed v\u1edbi b\u1ec7nh l\u00fd t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi t\u01b0\u01a1ng \u0111\u1ed1i ph\u1ed5 bi\u1ebfn, v\u00e0 th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n.<\/p>\n

      Khi \u0111\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u nh\u01b0 \u1ed5 lo\u00e9t s\u00e2u, ch\u1eadm li\u1ec1n s\u1eb9o bu\u1ed9c b\u00e1c s\u0129 l\u00e2m s\u00e0ng ph\u1ea3i t\u00ecm ki\u1ebfm b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi m\u1ed9t c\u00e1ch h\u1ec7 th\u1ed1ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

      Tuy nhi\u00ean, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch chi d\u01b0\u1edbi kh\u00f4ng \u0111\u1ea3m b\u1ea3o s\u1ef1 ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n vi\u00eam da m\u1ea1ch ho\u1ea1i t\u1eed.<\/p>\n

      2.1.5 Lo\u00e9t chi d\u01b0\u1edbi do nguy\u00ean nh\u00e2n kh\u00e1c:<\/h4>\n

      Ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n d\u1ef1a v\u00e0o c\u00e1c m\u0201u b\u1ec7nh ph\u1ea9m c\u1ea5y ho\u1eb7c sinh thi\u1ebft \u1ed5 lo\u00e9t:<\/p>\n

      Lo\u00e9t do nhi\u1ec5m tr\u00f9ng:<\/strong><\/p>\n

      Ch\u1ed1c l\u00e0 m\u1ed9t d\u1ea1ng nhi\u1ec5m tr\u00f9ng da do li\u00ean c\u1ea7u A .<\/p>\n

      \u0110 \u1eb7c tr\u01b0ng tr\u00ean l\u00e2m s\u00e0ng l\u00e0 \u1ed5 lo\u00e9t k\u00edch th\u01b0\u1edbc nh\u1ecf, c\u00f3 ban \u0111\u1ecf \u1edf ngo\u1ea1i vi, sau \u0111\u00f3 \u0111\u00f3ng v\u1ea3y \u0111en.<\/p>\n

      M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nhi\u1ec5m khu\u1ea9n m\u1ea1n t\u00ednh nh\u01b0 lao, n\u1ea5m \u1edf v\u1ecb tr\u00ed s\u00e2u, phong, leishmania, herpes \u1edf ng\u01b0\u1eddi suy gi\u1ea3m mi\u1ec5n d\u1ecbch c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng \u1ed5 lo\u00e9t m\u1ea1n t\u00ednh \u1edf c\u1eb3ng ch\u00e2n.<\/p>\n

      Lo\u00e9t do b\u1ec7nh m\u00e1u:<\/strong><\/p>\n

      Lu\u00f4n lu\u00f4n ph\u1ea3i nghi ng\u1edd b\u1ec7nh l\u00fd thi\u1ebfu m\u00e1u tan m\u00e1u b\u1ea9m sinh (thi\u1ebfu m\u00e1u h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m, thalassemia) n\u1ebfu lo\u00e9t xu\u1ea5t hi\u1ec7n \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i.<\/p>\n

      H\u1ed9i ch\u1ee9ng r\u1ed1i lo\u1ea1n sinh t\u1ee7y (\u0111a h\u1ed3ng c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u …) c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh t\u00ecnh tr\u1ea1ng lo\u00e9t ho\u1ea1i t\u1eed n\u00f4ng m\u1ea1n t\u00ednh \u1edf ch\u00e2n.<\/p>\n

      Ung th\u01b0 da:<\/strong><\/p>\n

      C\u1ea7n t\u00ecm nguy\u00ean nh\u00e2n \u00e1c t\u00ednh (carcinoma t\u1ebf b\u00e0o \u0111\u00e1y ho\u1eb7c t\u1ebf b\u00e0o gai, u h\u1eafc t\u1ed1) n\u1ebfu \u1ed5 lo\u00e9t c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf, di\u1ec5n bi\u1ebfn m\u1ea1n t\u00ednh, kh\u00f4ng li\u1ec1n s\u1eb9o, t\u00ednh ch\u1ea5t kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/p>\n

      Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng sinh thi\u1ebft \u1ed5 lo\u00e9t t\u1ea1i v\u1ecb tr\u00ed nghi ng\u1edd.<\/p>\n

      B\u1ec7nh m\u1ee7 da ho\u1ea1i t\u1eed <\/strong>(pyoderma gangrenosum):<\/p>\n

      Lo\u00e9t c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 \u1edf n\u00f4ng, b\u1edd kh\u00f4ng \u0111\u1ec1u, c\u00f3 c\u00e1c ng\u00e1ch m\u1ee7, lan r\u1ed9ng r\u1ea5t nhanh. 2\/3 b\u1ec7nh n\u00e0y c\u00f3 k\u00e8m theo m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed1i h\u1ee3p: B\u1ec7nh m\u00e1u, nhi\u1ec5m tr\u00f9ng ru\u1ed9t m\u1ea1n t\u00ednh ho\u1eb7c l\u00e0 ung th\u01b0.<\/p>\n

      Vi\u00eam m\u1ea1ch m\u00e1u tr\u00ean da:<\/strong><\/p>\n

      M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u1ea1ch da, vi\u00eam m\u1ea1ch h\u1ec7 th\u1ed1ng (vi\u00eam n\u00fat quanh \u0111\u1ed9ng m\u1ea1ch), ho\u1eb7c b\u1ec7nh l\u00fd h\u1ec7 th\u1ed1ng nh\u01b0 lupus ban \u0111\u1ecf, cryoglobulin m\u00e1u c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng ban ho\u1ea1i t\u1eed r\u1ed3i ti\u1ebfn tri\u1ec3n th\u00e0nh lo\u00e9t chi d\u01b0\u1edbi.<\/p>\n

      3. Th\u00e1i \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb, l\u1eadp k\u1ebf ho\u1ea1ch theo d\u00f5i<\/h2>\n

      3.1 Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb:<\/strong><\/h3>\n

      \u0110i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 lo\u00e9t chi d\u01b0\u1edbi kh\u00f4ng th\u1ec3 t\u00e1ch r\u1eddi kh\u1ecfi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u nguy\u00ean nh\u00e2n. \u0110\u1eb7c bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p lo\u00e9t do b\u1ec7nh l\u00fd t\u0129nh m\u1ea1ch, kh\u00f4ng th\u1ec3 hy v\u1ecdng ch\u1eefa l\u00e0nh nh\u1eefng r\u1ed1i lo\u1ea1n vi tu\u1ea7n ho\u00e0n v\u00e0 chuy\u1ec3n h\u00f3a t\u1ea1i ch\u1ed7, m\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 l\u00e0m gi\u1ea3m \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch \u1edf t\u01b0 th\u1ebf \u0111\u1ee9ng, v\u00e0 khi \u0111i l\u1ea1i.<\/p>\n

      Kh\u00f4ng c\u00f3 m\u1ed9t ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho t\u1ea5t c\u1ea3 c\u00e1c giai \u0111o\u1ea1n c\u1ee7a lo\u00e9t chi d\u01b0\u1edbi. T\u1ea5t c\u1ea3 v\u1ebft th\u01b0\u01a1ng \u0111\u1ec1u c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1ed9ng h\u1ecdc ri\u00eang bi\u1ec7t, v\u1edbi c\u00e1c th\u1eddi k\u1ef3 r\u1ea5t kh\u00e1c nhau trong ti\u1ebfn tr\u00ecnh \u0111i\u1ec1u tr\u1ecb: Th\u1eddi k\u1ef3 ho\u1ea1i t\u1eed fibrin, th\u1eddi k\u1ef3 l\u00ean m\u00f4 h\u1ea1t, th\u1eddi k\u1ef3 li\u1ec1n s\u1eb9o.<\/p>\n

      3.2 \u0110i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u nguy\u00ean nh\u00e2n:<\/h3>\n

      N\u1ebfu lo\u00e9t do nguy\u00ean nh\u00e2n t\u0129nh m\u1ea1ch: \u0110i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 t\u00ecnh tr\u1ea1ng \u1ee9 tr\u1ec7 tu\u1ea7n ho\u00e0n t\u0129nh m\u1ea1ch (mang lo\u1ea1i b\u0103ng \u00e9p ph\u00f9 h\u1ee3p), lo\u1ea1i b\u1ecf c\u00e1c v\u1ecb tr\u00ed c\u00f3 d\u00f2ng tr\u00e0o ng\u01b0\u1ee3c (g\u00e2y x\u01a1, ph\u0201u thu\u1eadt), t\u00e1i c\u1ea5u tr\u00fac l\u1ea1i t\u0129nh m\u1ea1ch n\u1ebfu c\u00f3 th\u1ec3.<\/p>\n

      Ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u00e1i t\u01b0\u1edbi m\u00e1u n\u1ebfu c\u00f3 b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch.<\/p>\n

      \u0110i\u1ec1u tr\u1ecb lo\u00e9t do nguy\u00ean nh\u00e2n h\u1ed7n h\u1ee3p c\u1ea7n c\u00e2n nh\u1eafc \u0111\u1ebfn s\u1ef1 t\u1ed3n t\u1ea1i \u0111\u1ed3ng th\u1eddi c\u1ea3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch chi d\u01b0\u1edbi: S\u1eed d\u1ee5ng lo\u1ea1i b\u0103ng \u00e9p ph\u00f9 h\u1ee3p, s\u1eed d\u1ee5ng ch\u00ednh c\u00e1c t\u0129nh m\u1ea1ch hi\u1ec3n b\u1ec7nh l\u00fd \u0111\u1ec3 b\u1eafc c\u1ea7u n\u1ed1i \u0111\u1ed9ng m\u1ea1ch n\u1ebfu c\u1ea7n thi\u1ebft …<\/p>\n

      \u0110i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 n\u1ebfu c\u00f3 vi\u00eam da m\u1ea1ch ho\u1ea1i t\u1eed, ch\u1ec9 \u0111\u1ecbnh gh\u00e9p da s\u1edbm.<\/p>\n

      Ti\u00eam ph\u00f2ng vacxin ch\u1ed1ng u\u1ed1n v\u00e1n:<\/strong><\/p>\n

      C\u1ea7n ph\u1ea3i ki\u1ec3m tra, v\u00e0 kh\u00f4ng do d\u1ef1 khi ph\u1ea3i ti\u00eam ph\u00f2ng l\u1ea1i.<\/p>\n

      60% tr\u01b0\u1eddng h\u1ee3p u\u1ed1n v\u00e1n to\u00e0n th\u1ec3 c\u00f3 \u0111\u01b0\u1eddng v\u00e0o t\u1eeb lo\u00e9t chi d\u01b0\u1edbi.<\/p>\n

      3\/4 b\u1ec7nh nh\u00e2n lo\u00e9t chi d\u01b0\u1edbi kh\u00f4ng \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt v\u1ec1 t\u00ecnh tr\u1ea1ng ti\u00eam ph\u00f2ng .<\/p>\n

      Ki\u1ec3m so\u00e1t \u0111au:<\/strong><\/p>\n

      \u0110au l\u00e0 tri\u1ec7u ch\u1ee9ng g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 lo l\u1eafng nhi\u1ec1u cho c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c vi\u00eam da m\u1ea1ch ho\u1ea1i t\u1eed.<\/p>\n

      C\u1ea7n thi\u1ebft ph\u1ea3i gi\u1ea3m \u0111au tr\u01b0\u1edbc khi b\u0103ng \u1ed5 lo\u00e9t, \u0111\u00f4i khi ph\u1ea3i d\u00f9ng t\u1edbi c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au m\u1ea1nh nh\u01b0ng ch\u1ec9 trong th\u1eddi gian ng\u1eafn v\u00e0 c\u00f3 ki\u1ec3m so\u00e1t.<\/p>\n

      C\u1ea7n ch\u00fa \u00fd tr\u00e1nh t\u01b0 th\u1ebf gi\u1ea3m \u0111au ki\u1ec3u ch\u00e2n ng\u1ef1a \u0111\u1ec3 tr\u00e1nh c\u1ee9ng kh\u1edbp c\u1ed5 ch\u00e2n.<\/p>\n

      T\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng:<\/p>\n

      \u0110\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ngay t\u1ea1i gi\u01b0\u1eddng b\u1ec7nh khi b\u1ec7nh nh\u00e2n c\u00f2n n\u1eb1m vi\u1ec7n, v\u00e0 ngo\u1ea1i tr\u00fa sau khi \u0111\u00e3 ra vi\u1ec7n.<\/p>\n

      M\u1ee5c ti\u00eau l\u00e0 tr\u00e1nh t\u00ecnh tr\u1ea1ng teo c\u01a1 th\u01b0\u1eddng xuy\u00ean g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n b\u1ecb lo\u00e9t m\u1ea1n t\u00ednh, duy tr\u00ec v\u1eadn \u0111\u1ed9ng c\u1ee7a kh\u1edbp c\u1ed5 ch\u00e2n, v\u00e0 \u0111\u1ea3m b\u1ea3o ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u01a1m c\u01a1 gi\u00fap cho tu\u1ea7n ho\u00e0n t\u0129nh m\u1ea1ch.<\/p>\n

      Can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n to\u00e0n th\u00e2n g\u00e2y thi\u1ebfu oxy ngo\u1ea1i bi\u00ean:<\/p>\n

      Gi\u1ea3m cung l\u01b0\u1ee3ng tim, b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh,thi\u1ebfu m\u00e1u ho\u1eb7c t\u00ecnh tr\u1ea1ng t\u0103ng \u0111\u1ed9 nh\u1edbt m\u00e1u hay huy\u1ebft t\u01b0\u01a1ng.<\/p>\n

      Ngo\u00e0i ra c\u1ea7n ch\u00fa \u00fd h\u1ea1n ch\u1ebf d\u00f9ng c\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng n\u00e0y nh\u01b0 thu\u1ed1c co m\u1ea1ch, l\u1ee3i ti\u1ec3u .<\/p>\n

      Can thi\u1ec7p dinh d\u01b0\u1ee1ng: <\/strong>\u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n h\u1ee3p l\u00fd, \u0111\u1ec3 gi\u1ea3i quy\u1ebft t\u00ecnh tr\u1ea1ng gi\u1ea3m protein m\u00e1u.<\/p>\n

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

      Lo\u00e9t chi d\u01b0\u1edbi \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t t\u1ed5 ch\u1ee9c da m\u1ea1n t\u00ednh, kh\u00f4ng c\u00f3 xu h\u01b0\u1edbng t\u1ef1 li\u1ec1n s\u1eb9o. C\u00f3 t\u1eeb 1-2% d\u00e2n s\u1ed1 tr\u00ean 60 tu\u1ed5i b\u1ecb lo\u00e9t chi d\u01b0\u1edbi, l\u00e0m t\u0103ng g\u00e1nh n\u1eb7ng v\u1ec1 kinh t\u1ebf trong l\u0129nh v\u1ef1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng. Ph\u1ea7n l\u1edbn lo\u00e9t chi d\u01b0\u1edbi […]<\/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":"\nLo\u00e9t chi d\u01b0\u1edbi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec<\/title>\n<meta name=\"description\" content=\"Lo\u00e9t chi d\u01b0\u1edbi \u0111\u01b0\u1ee3c l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t t\u1ed5 ch\u1ee9c da m\u1ea1n t\u00ednh, kh\u00f4ng c\u00f3 xu h\u01b0\u1edbng t\u1ef1 li\u1ec1n s\u1eb9o. C\u00f3 t\u1eeb 1-2% d\u00e2n s\u1ed1 tr\u00ean 60 tu\u1ed5i b\u1ecb lo\u00e9t chi d\u01b0\u1edbi.\" \/>\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=\"Lo\u00e9t chi d\u01b0\u1edbi ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb - Vinmec\" \/>\n<meta property=\"og:description\" content=\"Lo\u00e9t chi d\u01b0\u1edbi \u0111\u01b0\u1ee3c l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t t\u1ed5 ch\u1ee9c da m\u1ea1n t\u00ednh, kh\u00f4ng c\u00f3 xu h\u01b0\u1edbng t\u1ef1 li\u1ec1n s\u1eb9o. 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