{"id":653,"date":"2023-04-05T15:26:59","date_gmt":"2023-04-05T08:26:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=653"},"modified":"2023-04-06T18:11:55","modified_gmt":"2023-04-06T11:11:55","slug":"dich-truyen-tinh-mach-truyen-dich-nhieu-co-tot-khong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/05\/dich-truyen-tinh-mach-truyen-dich-nhieu-co-tot-khong\/","title":{"rendered":"D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch: Truy\u1ec1n d\u1ecbch nhi\u1ec1u c\u00f3 t\u1ed1t kh\u00f4ng?"},"content":{"rendered":"<h1 style=\"text-align: center;\">D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch: Truy\u1ec1n d\u1ecbch nhi\u1ec1u c\u00f3 t\u1ed1t kh\u00f4ng?<\/h1>\n<h2>1. Th\u1ebf n\u00e0o l\u00e0 truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch<\/h2>\n<p>\u0110\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch (IV) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p thu\u1ed1c ho\u1eb7c d\u1ecbch hay m\u00e1u tr\u1ef1c ti\u1ebfp v\u00e0o d\u00f2ng m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n th\u00f4ng qua kim ho\u1eb7c \u1ed1ng d\u1eabn (catheter) \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u0129nh m\u1ea1ch. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y cho ph\u00e9p truy\u1ec1n thu\u1ed1c ho\u1eb7c d\u1ecbch nhanh ch\u00f3ng v\u00e0 ch\u00ednh x\u00e1c, v\u00ec ch\u00fang \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0 ho\u00e0n to\u00e0n v\u00e0o d\u00f2ng m\u00e1u. \u0110\u00e2y c\u0169ng ch\u00ednh l\u00e0 l\u1ee3i \u0111i\u1ec3m ch\u1ee7 y\u1ebfu c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, t\u1ed1t h\u01a1n so v\u1edbi nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p truy\u1ec1n d\u1ecbch v\u00e0 thu\u1ed1c kh\u00e1c.<\/p>\n<p>B\u00f9 d\u1ecbch \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch l\u00e0 ph\u01b0\u01a1ng ph\u00e1p s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i d\u1ecbch truy\u1ec1n \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch \u0111\u1ec3 b\u1ed5 sung c\u00e1c th\u00e0nh ph\u1ea7n n\u01b0\u1edbc, \u0111i\u1ec7n gi\u1ea3i th\u1eadm ch\u00ed l\u00e0 c\u00e1c ch\u1ea5t dinh d\u01b0\u1ee1ng cho c\u01a1 th\u1ec3. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong y t\u1ebf, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn m\u1ea5t n\u01b0\u1edbc v\u00e0 \u0111i\u1ec7n gi\u1ea3i. Song, vi\u1ec7c l\u1ef1a ch\u1ecdn kh\u00f4ng ch\u00ednh x\u00e1c c\u00e1c lo\u1ea1i d\u1ecbch truy\u1ec1n hay l\u1ea1m d\u1ee5ng qu\u00e1 m\u1ee9c d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng h\u1eadu qu\u1ea3 kh\u00f4ng t\u1ed1t cho s\u1ee9c kh\u1ecfe, th\u1eadm ch\u00ed l\u00e0 \u0111e do\u1ea1 nghi\u1ec7m tr\u1ecdng.<\/p>\n<figure style=\"width: 191px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/domf5oio6qrcr.cloudfront.net\/medialibrary\/9572\/iStock-478468561.jpg\" alt=\"Minh-hoa-dich-truyen-tinh-mach\" width=\"191\" height=\"287\" \/><figcaption class=\"wp-caption-text\">Minh h\u1ecda d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch<\/figcaption><\/figure>\n<h2>2. Ph\u00e2n d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch v\u00e0 ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<h3>2.1 C\u00e1c lo\u1ea1i d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch:<\/h3>\n<p>D\u1ef1a v\u00e0o th\u00e0nh ph\u1ea7n, c\u00e1c dung d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c chia l\u00e0m 2 nh\u00f3m l\u1edbn l\u00e0 dung d\u1ecbch tinh th\u1ec3 v\u00e0 dung d\u1ecbch keo:<\/p>\n<ul>\n<li>Dung d\u1ecbch tinh th\u1ec3 c\u00f3 th\u00e0nh ph\u1ea7n ch\u1ee7 y\u1ebfu l\u00e0 n\u01b0\u1edbc v\u00e0 c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i nh\u01b0 mu\u1ed1i v\u00e0 \u0111\u01b0\u1eddng, v\u00e0 kh\u00f4ng c\u00f3 c\u00e1c ph\u00e2n t\u1eed l\u1edbn nh\u01b0 protein. Nh\u00f3m n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng nh\u1ea5t, \u0111i\u1ec3n h\u00ecnh l\u00e0 dung d\u1ecbch mu\u1ed1i sinh l\u00fd (Normal saline &#8211; NS), c\u00e1c dung d\u1ecbch Dextrose hay Latate Ringer (LR). T\u00f9y thu\u1ed9c v\u00e0o n\u1ed3ng \u0111\u1ed9 c\u1ee7a c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i trong d\u1ecbch tinh th\u1ec3 so v\u1edbi huy\u1ebft t\u01b0\u01a1ng m\u00e0 c\u00e1c d\u1ecbch n\u00e0y c\u00f2n \u0111\u01b0\u1ee3c chia th\u00e0nh nh\u00f3m d\u1ecbch \u0111\u1eb3ng tr\u01b0\u01a1ng (NS, LR&#8230;), hay nh\u01b0\u1ee3c tr\u01b0\u01a1ng (c\u00e1c lo\u1ea1i dung d\u1ecbch dextrose), ho\u1eb7c \u01b0u tr\u01b0\u01a1ng (Saline 3%, mannitol 20%&#8230;)<\/li>\n<li>Dung d\u1ecbch keo c\u00f3 ch\u1ee9a c\u00e1c ph\u00e2n t\u1eed l\u1edbn nh\u01b0 albumin ho\u1eb7c dextran. C\u00e1c lo\u1ea1i d\u1ecbch n\u00e0y th\u01b0\u1eddng c\u00f3 ch\u1ec9 \u0111\u1ecbnh ch\u1eb7t ch\u1ebd h\u01a1n, \u00edt ph\u1ed5 bi\u1ebfn h\u01a1n d\u1ecbch tinh th\u1ec3. M\u1ed9t s\u1ed1 lo\u1ea1i dung d\u1ecbch keo th\u01b0\u1eddng d\u00f9ng nh\u01b0: Dung d\u1ecbch albumin 5% hay 10%, dung d\u1ecbch hydroxyethyl starch (HES), dung d\u1ecbch dextran,&#8230;<\/li>\n<\/ul>\n<h3>2.2 Ch\u1ec9 \u0111\u1ecbnh b\u00f9 d\u1ecbch \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch<\/h3>\n<p>D\u1ecbch truy\u1ec1n \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch c\u00f3 ch\u1ec9 \u0111\u1ecbnh r\u1ea5t r\u1ed9ng r\u00e3i, c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn m\u1ed9t s\u1ed1 v\u00ed d\u1ee5 nh\u01b0:<\/p>\n<ul>\n<li>M\u1ea5t n\u01b0\u1edbc: dung d\u1ecbch IV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng m\u1ea5t n\u01b0\u1edbc do n\u00f4n m\u1eeda, ti\u00eau ch\u1ea3y, m\u1ed3 h\u00f4i qu\u00e1 m\u1ee9c ho\u1eb7c nguy\u00ean nh\u00e2n kh\u00e1c.<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i: dung d\u1ecbch IV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i nh\u01b0 natri, kali v\u00e0 canxi, c\u00f3 th\u1ec3 do b\u1ec7nh th\u1eadn hay ti\u1ec3u \u0111\u01b0\u1eddng g\u00e2y ra.<\/li>\n<li>Ph\u1eabu thu\u1eadt: dung d\u1ecbch IV th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u00fap duy tr\u00ec huy\u1ebft \u00e1p v\u00e0 thay th\u1ebf n\u01b0\u1edbc m\u1ea5t \u0111i trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng: dung d\u1ecbch IV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb c\u00e1c t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng g\u00e2y s\u1ed1t c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea5t n\u01b0\u1edbc v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.<\/li>\n<li>H\u00f3a tr\u1ecb: dung d\u1ecbch IV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap qu\u1ea3n l\u00fd c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a h\u00f3a tr\u1ecb, c\u00f3 th\u1ec3 g\u00e2y ra m\u1ea5t n\u01b0\u1edbc v\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i.<\/li>\n<li>S\u1ed1c: dung d\u1ecbch IV c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ed1c, m\u1ed9t t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m \u0111e d\u1ecda t\u00ednh m\u1ea1ng .<\/li>\n<li>C\u00e1c tr\u1ea1ng th\u00e1i c\u01a1 th\u1ec3 kh\u00f4ng th\u1ec3 ti\u1ebfp c\u1eadn ngu\u1ed3n n\u01b0\u1edbc an to\u00e0n: h\u00f4n m\u00ea, r\u1ed1i lo\u1ea1n tri gi\u00e1c, ch\u1ea5n th\u01b0\u01a1ng n\u1eb7ng v\u00f9ng h\u00e0m m\u1eb7t,&#8230;<\/li>\n<li>Kh\u00f4ng th\u1ec3 h\u1ea5p thu d\u1ecbch hi\u1ec7u qu\u1ea3 qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: li\u1ec7t ru\u1ed9t, t\u1eafc ru\u1ed9t, h\u1eadu ph\u1eabu ph\u1eabu thu\u1eadt \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, nhi\u1ec5m tr\u00f9ng ru\u1ed9t n\u1eb7ng,&#8230;<\/li>\n<\/ul>\n<h2>3. T\u00e1c h\u1ea1i n\u1ebfu truy\u1ec1n t\u0129nh m\u1ea1ch kh\u00f4ng \u0111\u00fang<\/h2>\n<p>M\u1eb7c d\u00f9 d\u1ecbch t\u0129nh m\u1ea1ch c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c h\u1ea1i \u0111\u1eb7c bi\u1ec7t l\u00e0 khi l\u1ef1a ch\u1ecdn kh\u00f4ng \u0111\u00fang lo\u1ea1i v\u00e0 s\u1ed1 l\u01b0\u1ee3ng d\u1ecbch truy\u1ec1n:<\/p>\n<ul>\n<li>Qu\u00e1 t\u1ea3i: truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch nhi\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn qu\u00e1 t\u1ea3i d\u1ecbch trong c\u01a1 th\u1ec3. C\u00f3 th\u1ec3 d\u1eabn t\u1edbi qu\u00e1 t\u1ea3i tu\u1ea7n ho\u00e0n, d\u1eabn t\u1edbi ph\u00f9 ph\u1ed5i c\u1ea5p c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng,&#8230;<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i tr\u1ea7m tr\u1ecdng h\u01a1n: vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i d\u1ecbch kh\u00f4ng ph\u00f9 h\u1ee3p, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u1ea1i d\u1ecbch kh\u00f4ng \u0111\u1eb3ng tr\u01b0\u01a1ng c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng h\u01a1n c\u00e1c t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i. T\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m nh\u01b0 ph\u00f9 n\u00e3o, h\u1ed9i ch\u1ee9ng h\u1ee7y myelin, r\u1ed1i lo\u1ea1n nh\u1ecbp tim,&#8230;<\/li>\n<li>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: m\u1ed9t s\u1ed1 lo\u1ea1i d\u1ecbch truy\u1ec1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u1ea1i d\u1ecbch keo c\u00f3 nguy c\u01a1 g\u00e2y ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng nguy hi\u1ec3m.<\/li>\n<li>Ngo\u00e0i ra c\u00f2n c\u00f3 nh\u1eefng nguy c\u01a1 kh\u00e1c li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch: Nhi\u1ec5m tr\u00f9ng, vi\u00eam m\u1ea1ch, thuy\u00ean t\u1eafc m\u1ea1ch,&#8230;<\/li>\n<\/ul>\n<p>Trong t\u1ed5ng th\u1ec3, vi\u1ec7c s\u1eed d\u1ee5ng d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch l\u00e0 m\u1ed9t c\u00f4ng c\u1ee5 quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb y t\u1ebf, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 nh\u1eefng r\u1ee7i ro c\u1ea7n \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd v\u00e0 ki\u1ec3m so\u00e1t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n. Do \u0111\u00f3, vi\u1ec7c s\u1eed d\u1ee5ng d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf chuy\u00ean nghi\u1ec7p v\u00e0 tu\u00e2n th\u1ee7 \u0111\u00fang quy tr\u00ecnh ti\u00eam \u0111\u1ec3 gi\u1ea3m thi\u1ec3u nguy c\u01a1 t\u00e1c h\u1ea1i. Ngo\u00e0i ra, c\u00e1c b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 x\u00e1c \u0111\u1ecbnh li\u1ec7u d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a h\u1ecd hay kh\u00f4ng, v\u00e0 c\u00f3 n\u00ean s\u1eed d\u1ee5ng hay kh\u00f4ng.<\/p>\n<p>Kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 tr\u1ef1c ti\u1ebfp \u0111\u1ebfn h\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec tr\u00ean to\u00e0n qu\u1ed1c \u0111\u1ec3 th\u0103m kh\u00e1m ho\u1eb7c li\u00ean h\u1ec7 hotline\u00a0<a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/dangkykham\/\"><b class=\"link-in-body\">t\u1ea1i \u0111\u00e2y<\/b><\/a>\u00a0\u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch: Truy\u1ec1n d\u1ecbch nhi\u1ec1u c\u00f3 t\u1ed1t kh\u00f4ng? 1. Th\u1ebf n\u00e0o l\u00e0 truy\u1ec1n d\u1ecbch t\u0129nh m\u1ea1ch \u0110\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch (IV) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p thu\u1ed1c ho\u1eb7c d\u1ecbch hay m\u00e1u tr\u1ef1c ti\u1ebfp v\u00e0o d\u00f2ng m\u00e1u c\u1ee7a b\u1ec7nh nh\u00e2n th\u00f4ng qua kim ho\u1eb7c \u1ed1ng d\u1eabn (catheter) \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o t\u0129nh m\u1ea1ch. Ph\u01b0\u01a1ng ph\u00e1p [&hellip;]<\/p>\n","protected":false},"author":37,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23,32],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch: Truy\u1ec1n d\u1ecbch nhi\u1ec1u c\u00f3 t\u1ed1t kh\u00f4ng? - Vinmec<\/title>\n<meta name=\"description\" content=\"D\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ea5t ph\u1ed5 bi\u1ebfn. 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