{"id":7978,"date":"2019-04-21T01:20:06","date_gmt":"2019-04-20T18:20:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=7978"},"modified":"2022-11-23T13:59:49","modified_gmt":"2022-11-23T06:59:49","slug":"tu-van-cho-benh-nhan-ve-benh-man-tinh","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/tu-van-cho-benh-nhan-ve-benh-man-tinh\/","title":{"rendered":"T\u01b0 v\u1ea5n cho b\u1ec7nh nh\u00e2n v\u1ec1 b\u1ec7nh m\u00e3n t\u00ednh"},"content":{"rendered":"<h2>H\u01b0\u1edbng d\u1eabn s\u1ee9c kh\u1ecfe c\u01a1 b\u1ea3n kh\u00f4ng ph\u1ea3i l\u00e0 qu\u00e1 \u0111\u01a1n gi\u1ea3n<\/h2>\n<p>C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y v\u1ec1 vi\u1ec7c \u201cc\u00e1c h\u1ea1n ch\u1ebf c\u1ee7a l\u00e0m vi\u1ec7c theo ca\u201d (l\u00e0m vi\u1ec7c 30 gi\u1edd li\u00ean t\u1ee5c) \u0111\u00e3 th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a d\u1ecbch v\u1ee5 \u201cdayfloat\u201d (l\u00e0m vi\u1ec7c ban ng\u00e0y) nh\u1eb1m b\u1ea3o v\u1ec7 b\u1ec7nh nh\u00e2n kh\u1ecfi nh\u1eefng r\u1ee7i ro trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129 v\u00e0 gi\u00fap cho c\u00e1c b\u00e1c s\u0129 tu\u00e2n th\u1ee7 \u0111\u01b0\u1ee3c c\u00e1c gi\u1edbi h\u1ea1n v\u1ec1 gi\u1edd l\u00e0m vi\u1ec7c. Hai tu\u1ea7n qua t\u00f4i \u0111\u00e3 l\u00e0m m\u1ed9t b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ban ng\u00e0y cho c\u00e1c b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa t\u1ea1i khoa tim m\u1ea1ch. C\u00f4ng vi\u1ec7c c\u1ee7a t\u00f4i l\u00e0 xoay v\u00f2ng t\u1eeb ph\u00f2ng b\u1ec7nh n\u00e0y \u0111\u1ebfn ph\u00f2ng b\u1ec7nh kh\u00e1c, gi\u00fap cho c\u00e1c b\u00e1c s\u0129 r\u1eddi kh\u1ecfi b\u1ec7nh vi\u1ec7n \u0111\u00fang gi\u1edd v\u00e0 sau \u0111\u00f3 ch\u0103m s\u00f3c cho b\u1ec7nh nh\u00e2n c\u1ee7a h\u1ecd cho \u0111\u1ebfn h\u1ebft ng\u00e0y l\u00e0m vi\u1ec7c. Vi\u1ec7c xoay v\u00f2ng t\u1eeb ph\u00f2ng b\u1ec7nh n\u00e0y \u0111\u1ebfn ph\u00f2ng b\u1ec7nh kh\u00e1c th\u00ec kh\u00f4ng \u00e1p l\u1ef1c, nh\u01b0ng v\u00ec t\u00f4i l\u00e0m vi\u1ec7c t\u1eeb ph\u00f2ng b\u1ec7nh n\u00e0y \u0111\u1ebfn ph\u00f2ng b\u1ec7nh kh\u00e1c n\u00ean kh\u00f4ng theo d\u00f5i ri\u00eang m\u1ed9t b\u1ec7nh nh\u00e2n n\u00e0o.<\/p>\n<p>\u0110\u1ebfn cu\u1ed1i v\u00f2ng xoay hai tu\u1ea7n c\u1ee7a t\u00f4i, t\u00f4i \u0111\u00e3 g\u1eb7p m\u1ed9t c\u00e2u h\u1ecfi c\u1ee7a ng\u01b0\u1eddi ch\u1ed3ng c\u1ee7a m\u1ed9t b\u1ec7nh nh\u00e2n khi anh ta mu\u1ed1n bi\u1ebft t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a v\u1ee3 anh ta. T\u00f4i nh\u00ecn qua b\u1ea3ng t\u00f3m t\u1eaft c\u1ee7a t\u00f4i v\u1ec1 b\u1ec7nh t\u00ecnh c\u1ee7a b\u1ec7nh nh\u00e2n &#8211; T\u00f4i \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f4 FN \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh vi\u1ec7n v\u00ec suy tim th\u1ee9 c\u1ea5p do \u201ckh\u00f4ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb\u201d, c\u00f4 d\u01b0\u1eddng nh\u01b0 kh\u00f4ng u\u1ed1ng b\u1ea5t k\u1ef3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb n\u00e0o trong h\u01a1n m\u1ed9t tu\u1ea7n, \u0111i\u1ec1u n\u00e0y l\u00e0m cho m\u1ea1ch m\u00e1u b\u1ecb t\u1eafc ngh\u1ebdn, gi\u1ea3m kh\u1ea3 n\u0103ng l\u01b0u th\u00f4ng m\u00e1u d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf khi\u1ebfn c\u00f4 ph\u1ea3i nh\u1eadp vi\u1ec7n. H\u01a1n n\u1eefa, c\u00f4 FN c\u0169ng \u0111ang c\u00f3 \u201cch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng t\u1ed1t\u201d nh\u01b0 \u0103n \u0111\u1ed3 \u0103n Trung Qu\u1ed1c, l\u00e0m cho t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a c\u00f4 th\u00eam n\u1eb7ng h\u01a1n.<\/p>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n gi\u1ed1ng nh\u01b0 c\u00f4 FN kh\u00f4ng c\u00f3 g\u00ec xa l\u1ea1 v\u1edbi ch\u00fang t\u00f4i. Suy tim nghi\u00eam tr\u1ecdng l\u00e0 m\u1ed9t trong nh\u1eefng l\u00fd lo ph\u1ed5 bi\u1ebfn nh\u1ea5t khi b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n t\u1ea1i b\u1ec7nh vi\u1ec7n ch\u00fang t\u00f4i v\u00e0 c\u0169ng l\u00e0 m\u1ed9t trong c\u00e1c b\u1ec7nh d\u1ec5 ph\u00f2ng ng\u1eeba nh\u1ea5t. Tuy nhi\u00ean, suy tim c\u1ea5p tinh c\u0169ng c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y ra, th\u00f4ng th\u01b0\u1eddng th\u00ec b\u1ec7nh nh\u00e2n b\u1ecb suy tim do h\u1ecd kh\u00f4ng u\u1ed1ng \u0111\u01b0\u1ee3c thu\u1ed1c k\u00ea \u0111\u01a1n c\u1ee7a b\u00e1c s\u0129 ho\u1eb7c l\u00e0 h\u1ecd \u0103n qu\u00e1 nhi\u1ec1u mu\u1ed1i. Vi\u1ec7c kh\u00f4ng tu\u00e2n th\u1ee7 n\u00e0y khi\u1ebfn cho c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf ph\u1ea3i lo l\u1eafng v\u00e0 c\u1ea3m th\u1ea5y ch\u00e1n n\u1ea3n v\u00ec b\u1ec7nh nh\u00e2n kh\u00f4ng bi\u1ebft t\u1ef1 ch\u0103m s\u00f3c b\u1ea3n th\u00e2n.<\/p>\n<p>Khi t\u00f4i b\u01b0\u1edbc v\u00e0o ph\u00f2ng b\u1ec7nh nh\u00e2n, t\u00f4i \u0111\u00e3 chu\u1ea9n b\u1ecb s\u1eb5n c\u00e2u tr\u1ea3 l\u1eddi \u0111\u01a1n gi\u1ea3n cho c\u00e1c c\u00e2u h\u1ecfi c\u1ee7a ng\u01b0\u1eddi nh\u00e0 b\u1ec7nh nh\u00e2n: \u201cB\u00e1c s\u0129 kh\u00e1m b\u1ec7nh sao r\u1ed3i \u1ea1\u201d, \u201c c\u00f4 \u1ea5y c\u00f3 b\u1ecb \u0111au tim kh\u00f4ng?\u201d, \u201cKhi n\u00e0o th\u00ec c\u00f4 \u1ea5y c\u00f3 th\u1ec3 v\u1ec1 nh\u00e0\u201d. Nh\u01b0ng ch\u1ed3ng c\u1ee7a c\u00f4 FN c\u00f2n lo l\u1eafng m\u1ed9t chuy\u1ec7n kh\u00e1c \u0111\u00f3 l\u00e0 t\u1ea1i sao ch\u00e2n v\u1ee3 anh l\u1ea1i b\u1ecb sung ph\u1ed3ng. S\u1ef1 sung ph\u1ed3ng nh\u01b0 v\u1eady khi\u1ebfn cho c\u1ed1 \u1ea5y kh\u00f3 \u0111i l\u1ea1i v\u00e0 kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c s\u1edf th\u00edch c\u1ee7a h\u1ecd, \u0111\u00f3 l\u00e0 \u0111i d\u1ea1o. T\u00f4i gi\u1ea3i th\u00edch r\u1eb1ng ch\u1ee9ng ph\u00f9 n\u1ec1 \u1edf ch\u00e2n c\u00f4 \u1ea5y l\u00e0 do b\u1ec7nh suy tim g\u00e2y ra. M\u1ed7i khi c\u00f4 \u1ea5y b\u1ecb suy tim, c\u00f4 \u1ea5y c\u0169ng s\u1ebd b\u1ecb ph\u00f9 n\u1ec1. T\u00f4i t\u00ednh r\u1eddi kh\u1ecfi ph\u00f2ng th\u00ec ch\u1ed3ng c\u00f4 FN mu\u1ed1n bi\u1ebft th\u00eam r\u1eb1ng l\u00e0m th\u1ebf n\u00e0o m\u00e0 ch\u00e2n c\u1ee7a c\u00f4 \u1ea5y l\u1ea1i b\u1ecb ph\u00f9 .<\/p>\n<p>T\u00f4i ngh\u0129 th\u1ea7m r\u1eb1ng \u0111\u00f3 l\u00e0 do kh\u00f4ng u\u1ed1ng thu\u1ed1c ho\u1eb7c l\u00e0 kh\u00f4ng l\u00e0m nh\u1eefng \u0111i\u1ec1u m\u00e0 c\u00f4 ph\u1ea3i l\u00e0m. Nh\u01b0ng t\u00f4i \u0111\u1eb7t s\u1ef1 th\u1ea5t v\u1ecdng \u0111\u00f3 sang m\u1ed9t b\u00ean v\u00e0 t\u00f4i c\u0169ng c\u1ea3m th\u1ea5y t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n hi\u1ec3u, t\u00f4i quy\u1ebft \u0111\u1ecbnh tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi c\u1ee7a anh ta m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7. T\u00f4i ng\u1ed3i xu\u1ed1ng v\u00e0 gi\u1ea3i th\u00edch r\u1eb1ng suy tim l\u00e0 do m\u00e1u kh\u00f4ng \u0111\u01b0\u1ee3c b\u01a1m t\u1ed1t, l\u01b0u l\u01b0\u1ee3ng m\u00e1u c\u0169ng \u00edt \u0111i, th\u1eadn th\u00ec gi\u1eef n\u01b0\u1edbc v\u00e0 mu\u1ed1i. Tuy nhi\u00ean, th\u1eadn c\u00e0ng ch\u1ee9a nhi\u1ec1u n\u01b0\u1edbc th\u00ec tim c\u00e0ng qu\u00e1 t\u1ea3i, tim l\u1ea1i c\u00e0ng d\u00f9ng s\u1ee9c \u0111\u1ea9y m\u00e1u \u0111i m\u1ea1nh h\u01a1n l\u00e0m cho th\u1eadn c\u00e0ng ch\u1ee9a nhi\u1ec1u n\u01b0\u1edbc h\u01a1n n\u1eefa, c\u1ee9 xoay v\u00f2ng nh\u01b0 v\u1eady. Cu\u1ed1i c\u00f9ng, t\u00f4i k\u1ebft lu\u1eadn v\u1edbi anh ta l\u00e0 vi\u1ec7c t\u00edch t\u1ee5 ch\u1ea5t l\u1ecfng \u1edf ch\u00e2n l\u00e0m cho ch\u00e2n b\u1ecb ph\u00f9 v\u00e0 g\u00e2y kh\u00f3 kh\u0103n trong vi\u1ec7c di l\u1ea1i.<\/p>\n<h2>Anh \u1ea5y nh\u00ecn ch\u0103m ch\u00fa v\u00e0o t\u00f4i. R\u00f5 r\u00e0ng, anh \u1ea5y mu\u1ed1n t\u00f4i n\u00f3i ti\u1ebfp<\/h2>\n<p>\u201c C\u00f3 r\u1ea5t nhi\u1ec1u th\u1ee9 c\u00f3 th\u1ec3 g\u00e2y ra v\u00f2ng lu\u1ea9n qu\u1ea9n t\u1ed3i t\u1ec7 \u0111\u00f3. N\u1ebfu b\u1ea1n \u0103n th\u1ee9c \u0103n Trung Qu\u1ed1c c\u00f3 qu\u00e1 nhi\u1ec1u mu\u1ed1i, c\u01a1 th\u1ec3 c\u1ee7a b\u1ea1n s\u1ebd gi\u1eef n\u01b0\u1edbc. N\u01b0\u1edbc s\u1ebd l\u1ea1i l\u00e0m tim qu\u00e1 t\u1ea3i, l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn, th\u1eadn sau \u0111\u00f3 l\u1ea1i gi\u1eef nhi\u1ec1u n\u01b0\u1edbc h\u01a1n, c\u1ee9 v\u1eady chu k\u1ef3 l\u1ea1i l\u1eadp l\u1ea1i. Kh\u00f4ng u\u1ed1ng thu\u1ed1c c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n l\u00e0m cho v\u00f2ng chu k\u1ef3 \u0111\u00f3 l\u1eadp \u0111i l\u1eadp l\u1ea1i. V\u00ec m\u1ed7i lo\u1ea1i thu\u1ed1c th\u00ec c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i v\u1edbi m\u1ed7i b\u1ed9 ph\u1eadn t\u01b0\u01a1ng \u1ee9ng. V\u00ed d\u1ee5 nh\u01b0 thu\u1ed1c lisinopril[1]m\u00e0 v\u1ee3 anh \u0111ang u\u1ed1ng d\u00f9ng \u0111\u1ec3 ng\u0103n ch\u1eb7n vi\u1ec7c th\u1eadn b\u1ecb \u1ee9 n\u01b0\u1edbc.\u201d.<\/p>\n<p>T\u00f4i v\u00e0 anh ta \u0111\u00e3 n\u00f3i chuy\u1ec7n th\u00eam kho\u1ea3ng 15 ph\u00fat n\u1eefa v\u00e0 t\u00f4i c\u0169ng \u0111\u00e3 n\u00f3i cho anh ta bi\u1ebft v\u1ec1 t\u1ea5t c\u1ea3 lo\u1ea1i thu\u1ed1c m\u00e0 c\u00f4 FN s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ph\u00f9 ch\u00e2n c\u1ee7a c\u00f4 \u1ea5y. T\u00f4i c\u0169ng n\u00f3i th\u00eam cho anh ta v\u1ec1 s\u1ef1 nguy hi\u1ec3m c\u1ee7a mu\u1ed1i, kh\u00f4ng ch\u1ec9 nh\u1eefng lo\u1ea1i mu\u1ed1i \u0111\u01b0\u1ee3c ghi tr\u00ean b\u1ea3ng b\u1ec7nh \u00e1n c\u1ee7a c\u00f4 FN m\u00e0 c\u00f2n c\u00e1c lo\u1ea1i mu\u1ed1i trong th\u1ee9c \u0103n h\u1eb1ng ng\u00e0y c\u1ee7a h\u1ecd. \u0110\u1ec3 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng mu\u1ed1i, h\u1ecd c\u1ea7n ph\u1ea3i tr\u00e1nh \u0103n c\u00e1c \u0111\u1ed3 \u0103n \u0111\u00f3ng h\u1ed9p, \u0111\u1ed3 \u0103n \u0111\u00f4ng l\u1ea1nh, nh\u1eefng b\u1eefa \u0103n \u1edf nh\u00e0 h\u00e0ng, n\u01a1i t\u1ed1t nh\u1ea5t ch\u1ec9 c\u00f3 l\u00e0 n\u1ea5u \u0103n t\u1ea1i nh\u00e0.<\/p>\n<p>L\u00fac xu\u1ea5t vi\u1ec7n, c\u00f4 FN v\u00e0 ch\u1ed3ng c\u1ee7a c\u00f4 \u0111\u00e3 n\u00f3i v\u1edbi ch\u00fang t\u00f4i r\u1eb1ng h\u1ecd ch\u01b0a t\u1eebng \u0111\u01b0\u1ee3c nh\u1eadn b\u1ea5t k\u1ef3 l\u1eddi khuy\u00ean n\u00e0o v\u1ec1 vi\u1ec7c ph\u1ea3i tu\u00e2n th\u1ee7 nghi\u00eam t\u00fac u\u1ed1ng thu\u1ed1c c\u0169ng nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n h\u1ea1n ch\u1ebf mu\u1ed1i, hay n\u00f3i ra l\u00fd do t\u1ea1i sao c\u00f4 ph\u1ea3i \u00e1p d\u1ee5ng ch\u1ebf d\u1ed9 \u0111i\u1ec1u tr\u1ecb nh\u01b0 v\u1eady. L\u00fac \u0111\u1ea7u, t\u00f4i c\u0169ng kh\u00f4ng tin chuy\u1ec7n c\u00f4 \u1ea5y ch\u01b0a t\u1eebng \u0111\u01b0\u1ee3c nh\u1eadn b\u1ea5t k\u1ef3 l\u1eddi khuy\u00ean n\u00e0o t\u1eeb b\u00e1c s\u0129 v\u1ec1 b\u1ec7nh suy tim, nh\u01b0ng c\u00e0ng ngh\u0129 th\u00ec t\u00f4i c\u00e0ng th\u1ea5y chuy\u1ec7n \u0111\u00f3 ho\u00e0n to\u00e0n c\u00f3 th\u1ec3 x\u1ea3y ra. Th\u00f4ng th\u01b0\u1eddng th\u00ec c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chu\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc ti\u00ean l\u00e0 b\u1ecb suy tim khi h\u1ecd ph\u1ea3i nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf hay \u0111au ng\u1ef1c<\/p>\n<p>Xem x\u00e9t m\u1ed9t s\u1ed1 ca nh\u1eadp vi\u1ec7n do suy tim m\u1edbi kh\u1edfi ph\u00e1t trong 2 tu\u1ea7n v\u1eeba qua \u1edf khoa tim m\u1ea1ch, t\u00f4i c\u00f3 c\u1ea3m gi\u00e1c nh\u01b0 c\u00f4 FN \u0111\u00e3 n\u00f3i \u0111\u00fang. B\u1ec7nh nh\u00e2n sau khi nh\u1eadp vi\u1ec7n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111i ki\u1ec3m tra x\u00e9t nghi\u1ec7m m\u00e1u, m\u1ed9t lo\u1ea1i c\u00e1c b\u01b0\u1edbc \u0111o \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (EKG), si\u00eau \u00e2m tim, ki\u1ec3m ra c\u0103ng th\u1eb3ng (strees testing), th\u01b0\u1eddng th\u00ec \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p \u0111o nh\u1ecbp tim v\u00e0 \u0111\u1ed3ng th\u1eddi d\u00f9ng b\u1eaft \u0111\u1ea7u t\u1eeb 3 \u0111\u1ebfn 5 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy tim. B\u1ec7nh nh\u00e2n l\u1eabn c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch h\u1ea7u nh\u01b0 \u0111\u00e3 d\u1ed3n h\u1ebft s\u1ef1 quan t\u00e2m v\u00e0o c\u00e1c m\u1eabu x\u00e9t nghi\u1ec7m v\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c m\u1edbi n\u00ean vi\u1ec7c t\u01b0 v\u1ea5n cho b\u1ec7nh nh\u00e2n v\u1ec1 b\u1ec7nh suy tim \u0111\u00e3 b\u1ecb b\u1ecf qua. C\u00e1c b\u1ec7nh nh\u00e2n sau khi ki\u1ec3m tra c\u1eadn l\u00e2m s\u00e0ng xong s\u1ebd \u0111\u01b0\u1ee3c v\u1ec1 gi\u01b0\u1eddng b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch th\u00ec b\u1eadn r\u1ed9n v\u1edbi vi\u1ec7c l\u00e0m c\u00e1c h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n v\u00e0 l\u00e0m c\u00e1c th\u1ee7 t\u1ee5c h\u00e0nh ch\u00ednh, ph\u1ea7n th\u1eddi gian c\u00f2n l\u1ea1i c\u1ee7a c\u00e1c b\u00e1c s\u0129 l\u00e0 \u0111\u1ed5i thu\u1ed1c v\u00e0 k\u00ea toa m\u1edbi cho b\u1ec7nh nh\u00e2n, h\u1ea7u nh\u01b0 kh\u00f4ng gi\u1ea3i th\u00edch b\u1ea5t k\u1ef3 th\u00f4ng tin c\u01a1 b\u1ea3n n\u00e0o v\u1ec1 b\u1ec7nh suy tim cho b\u1ec7nh nh\u00e2n. Trong su\u1ed1t th\u1eddi gian th\u0103m kh\u00e1m l\u1ea7n \u0111\u1ea7u , c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1ea3 s\u1eed nh\u01b0 \u0111\u00e3 n\u1eafm to\u00e0n b\u1ed9 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch c\u1ee7a c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa tim kh\u00e1c v\u00e0 thay v\u00e0o kho\u1ea3ng th\u1eddi gian 15 ph\u00fat c\u1ee7a h\u1ecd c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ee1 b\u1ec7nh nh\u00e2n trong vi\u1ec7c t\u01b0 v\u1ea5n nh\u1eefng hi\u1ec3u bi\u1ebft c\u01a1 b\u1ea3n v\u1ec1 suy tim. Trong l\u1ea7n nh\u1eadp vi\u1ec7n ti\u1ebfp theo c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n do suy tim, h\u1ecd s\u1ebd kh\u00f4ng c\u00f2n l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n \u201cnew-onset heart failure\u201d (suy tim m\u1edbi kh\u1edfi ph\u00e1t). C\u00e1c ki\u1ec3m tra c\u1eadn l\u00e2m sang c\u0169ng d\u1ec5 d\u00e0ng h\u01a1n, nh\u01b0ng th\u01b0\u1eddng th\u00ec nh\u01b0 tr\u01b0\u1eddng h\u1ee3p c\u1ee7a c\u00f4 FN, b\u00e1c s\u0129 \u0111\u00e3 ngh\u0129 r\u1eb1ng c\u00f4 \u1ea5y \u0111\u00e3 \u0111\u01b0\u1ee3c nghe nh\u1eefng hi\u1ec3u bi\u1ebft c\u01a1 b\u1ea3n v\u1ec1 b\u1ec7nh suy tim tr\u01b0\u1edbc \u0111\u00f3 n\u00ean cu\u1ed1i c\u00f9ng b\u00e1c s\u0129 c\u0169ng kh\u00f4ng gi\u1ea3i th\u00edch g\u00ec th\u00eam cho c\u00f4.<\/p>\n<p>H\u00f3a ra cu\u1ed1i c\u00f9ng th\u00ec vi\u1ec7c gi\u1ea3i th\u00edch nh\u1eefng ki\u1ebfn th\u1ee9c c\u01a1 b\u1ea3n th\u00ec kh\u00f4ng d\u1ec5. C\u00e1c h\u1ec7 th\u1ed1ng y t\u1ebf ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o vi\u1ec7c l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 c\u00e1c k\u1ef9 thu\u1eadt \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n[2], c\u00f2n vi\u1ec7c t\u01b0 v\u1ea5n, \u0111\u01b0a ra l\u1eddi khuy\u00ean v\u1ec1 b\u1ec7nh , c\u00e1ch gi\u1eef g\u00ecn s\u1ee9c kh\u1ecfe sau khi ra vi\u1ec7n th\u00ec c\u00f2n h\u1ea1n ch\u1ebf. M\u1eb7c d\u00f9 t\u00f4i ch\u1ec9 c\u00f2n h\u01a1n hai ng\u00e0y l\u00e0m vi\u1ec7c trong khoa tim m\u1ea1ch, nh\u01b0ng t\u00f4i \u0111\u00e3 t\u1eadp trung v\u00e0o nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb suy tim v\u00e0 t\u01b0 v\u1ea5n m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 v\u1ec1 giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a suy tim. Nh\u01b0ng cho \u0111\u1ebfn khi ch\u00fang t\u00f4i t\u00ecm \u0111\u01b0\u1ee3c m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p cho vi\u1ec7c gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n theo \u0111\u00fang ti\u00eau chu\u1ea9n c\u1ee7a y h\u1ecdc th\u00ec c\u00f3 th\u1ec3 ch\u00fang t\u00f4i \u0111\u00e3 \u0111\u1ec3 s\u00f3t nh\u1eefng b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/h2>\n[2]: <a href=\"https:\/\/www.heart.org\/en\/health-topics\/heart-attack\/diagnosing-a-heart-attack\/cardiac-catheterization\" rel=\"noopener\">https:\/\/www.heart.org\/en\/health-topics\/heart-attack\/diagnosing-a-heart-attack\/cardiac-catheterization<\/a><\/p>\n<p>Ng\u01b0\u1eddi d\u1ecbch: Nguy\u1ec5n Hu\u1ef3nh Anh V\u0169 &#8211; Sinh vi\u00ean D\u01b0\u1ee3c &#8211; \u0110\u1ea1i H\u1ecdc Y Khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch.<\/p>\n<p>Ng\u01b0\u1eddi hi\u1ec7u \u0111\u00ednh: Nguy\u1ec5n Th\u1ecb Th\u1ea3o \u2013 khoa D\u01b0\u1ee3c B\u1ec7nh vi\u1ec7n Nhi Thanh H\u00f3a.<\/p>\n<p>Ngu\u1ed3n t\u00e0i li\u1ec7u: Shantanu Nundy M.D_(c\u1eadp nh\u1eadt l\u1ea7n cu\u1ed1i ng\u00e0y 15 th\u00e1ng 10 n\u0103m 2010)_Counseling Patients About Their Chronic Diseases_Psychology Today<\/p>\n<p>Link\u00a0<a href=\"https:\/\/www.psychologytoday.com\/us\/blog\/beyond-apples\/201010\/counseling-patients-about-their-chronic-diseases\" rel=\"noopener\">https:\/\/www.psychologytoday.com\/us\/blog\/beyond-apples\/201010\/counseling-patients-about-their-chronic-diseases<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u01b0\u1edbng d\u1eabn s\u1ee9c kh\u1ecfe c\u01a1 b\u1ea3n kh\u00f4ng ph\u1ea3i l\u00e0 qu\u00e1 \u0111\u01a1n gi\u1ea3n C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y v\u1ec1 vi\u1ec7c \u201cc\u00e1c h\u1ea1n ch\u1ebf c\u1ee7a l\u00e0m vi\u1ec7c theo ca\u201d (l\u00e0m vi\u1ec7c 30 gi\u1edd li\u00ean t\u1ee5c) \u0111\u00e3 th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a d\u1ecbch v\u1ee5 \u201cdayfloat\u201d (l\u00e0m vi\u1ec7c ban ng\u00e0y) nh\u1eb1m b\u1ea3o v\u1ec7 b\u1ec7nh nh\u00e2n kh\u1ecfi nh\u1eefng r\u1ee7i [&#8230;]\n","protected":false},"author":1,"featured_media":7979,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-7978","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/7978","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=7978"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/7978\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/7979"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=7978"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=7978"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=7978"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}