{"id":10935,"date":"2025-08-01T12:02:41","date_gmt":"2025-08-01T05:02:41","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=10935"},"modified":"2025-08-01T12:14:25","modified_gmt":"2025-08-01T05:14:25","slug":"nguy-co-dot-tu-do-tim","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=10935","title":{"rendered":"NGUY C\u01a0 \u0110\u1ed8T T\u1eec DO TIM"},"content":{"rendered":"\n

\u0110\u1ed9t t\u1eed do tim l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong tim m\u1ea1ch h\u00e0ng \u0111\u1ea7u tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra r\u1ea5t b\u1ea5t ng\u1edd, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 th\u1eddi gian nh\u1eadn bi\u1ebft hay ph\u00f2ng tr\u00e1nh. D\u00f9 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 ai, \u0111\u1ed9t t\u1eed do tim \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m v\u1edbi ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch ti\u1ec1m \u1ea9n ho\u1eb7c \u0111\u00e3 t\u1eebng c\u00f3 ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim. Vi\u1ec7c nh\u1eadn di\u1ec7n s\u1edbm c\u00e1c d\u1ea5u hi\u1ec7u b\u00e1o tr\u01b0\u1edbc v\u00e0 ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng ng\u1eeba c\u00f3 vai tr\u00f2 v\u00f4 c\u00f9ng quan tr\u1ecdng trong vi\u1ec7c b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 t\u00ednh m\u1ea1ng.<\/strong><\/em><\/p>\n\n\n

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Nguy\u00ean nh\u00e2n \u0111\u1ed9t<\/strong> t\u1eed do tim<\/strong><\/p>\n\n\n\n

\u0110\u1ed9t t\u1eed do tim v\u1edbi nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p, trong \u0111\u00f3 d\u00f2ng m\u00e1u t\u1eeb \u0111\u1ed9ng m\u1ea1ch v\u00e0nh c\u1ea5p m\u00e1u nu\u00f4i c\u01a1 tim b\u1ecb t\u1eafc ngh\u1ebdn, th\u01b0\u1eddng l\u00e0 do huy\u1ebft kh\u1ed1i, l\u00e0m c\u01a1 tim b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 ch\u1ebft \u0111i. B\u00ean c\u1ea1nh \u0111\u00f3, \u0111\u1ed9t t\u1eed do tim c\u0169ng c\u00f3 th\u1ec3 c\u00f3 nguy\u00ean nh\u00e2n r\u1ed1i lo\u1ea1n nh\u1ecbp tim \u1edf ng\u01b0\u1eddi ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u00f3 hay \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 bi\u1ebft b\u1ec7nh tim n\u1ec1n (suy tim, c\u00e1c b\u1ec7nh c\u01a1 tim, thi\u1ebfu m\u00e1u nu\u00f4i c\u01a1 tim m\u1ea1n t\u00ednh\u2026).<\/p>\n\n\n\n

\u0110\u1ed9t t\u1eed do tim c\u1ea7n ph\u00e2n bi\u1ec7t v\u1edbi \u0111\u1ed9t qu\u1ef5 n\u00e3o – \u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea1ch m\u00e1u nu\u00f4i n\u00e3o b\u1ecb \u201ct\u1eafc ngh\u1ebdn\u201d (nh\u1ed3i m\u00e1u n\u00e3o) hay b\u1ecb \u201cv\u1ee1\u201d (xu\u1ea5t huy\u1ebft n\u00e3o). N\u00e3o \u1edf \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng kh\u00f4ng t\u00edch tr\u1eef oxygen v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a n\u00e3o ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ea1ng l\u01b0\u1edbi m\u1ea1ch m\u00e1u d\u00e0y \u0111\u1eb7c cung c\u1ea5p oxy cho c\u00e1c t\u1ebf b\u00e0o. Khi \u0111\u1ed9t qu\u1ef5 x\u1ea3y ra, t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u nu\u00f4i l\u00e0m c\u00e1c t\u1ebf b\u00e0o n\u00e3o xung quanh m\u1ea1ch m\u00e1u b\u1ecb thi\u1ebfu d\u01b0\u1ee1ng ch\u1ea5t v\u00e0 oxygen. N\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i h\u01a1n 3 – 4 ph\u00fat, c\u00e1c t\u1ebf b\u00e0o n\u00e3o b\u1eaft \u0111\u1ea7u ch\u1ebft \u0111i.<\/p>\n\n\n\n

\u0110\u1ed9t qu\u1ef5 v\u00e0 \u0111\u1ed9t t\u1eed do tim l\u00e0 hai thu\u1eadt ng\u1eef d\u00f9ng \u0111\u1ec3 m\u00f4 t\u1ea3 c\u00e1c t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u c\u1ee7a n\u00e3o v\u00e0 tim, v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m bi\u1ec3u hi\u1ec7n chung l\u00e0 di\u1ec5n ti\u1ebfn \u0111\u1ed9t ng\u1ed9t, d\u1ec5 d\u1eabn \u0111\u1ebfn t\u1eed vong t\u1ee9c th\u1eddi n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn di\u1ec7n v\u00e0 x\u1eed tr\u00ed k\u1ecbp th\u1eddi. Tuy nhi\u00ean, ph\u00e2n bi\u1ec7t \u0111\u1ed9t qu\u1ef5 v\u00e0 \u0111\u1ed9t t\u1eed do tim r\u1ea5t quan tr\u1ecdng, v\u00ec c\u00e1ch x\u1eed tr\u00ed ban \u0111\u1ea7u v\u00e0 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh ho\u00e0n to\u00e0n kh\u00e1c nhau. <\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng \u0111\u1ed9t<\/strong> t\u1eed do tim<\/strong><\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n ngay tr\u01b0\u1edbc khi x\u1ea3y ra bi\u1ebfn c\u1ed1, trong kho\u1ea3ng th\u1eddi gian r\u1ea5t ng\u1eafn, \u0111\u00f4i khi khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng k\u1ecbp xoay s\u1edf:<\/p>\n\n\n\n

– \u0110au ng\u1ef1c: H\u1ea7u h\u1ebft ng\u01b0\u1eddi b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim m\u00e9o m\u1ed9t b\u00ean mi\u1ec7ng, bi\u1ec3u hi\u1ec7n r\u00f5 tim c\u1ea5p c\u00f3 c\u1ea3m gi\u00e1c \u0111\u00e8 n\u1eb7ng, \u0111au nh\u00f3i hay \u0111au th\u1eaft ngh\u1eb9t v\u1ecb tr\u00ed gi\u1eefa ng\u1ef1c, k\u00e9o d\u00e0i v\u00e0i ph\u00fat, c\u00f3 th\u1ec3 m\u1ed9t hay nhi\u1ec1u c\u01a1n \u0111au. \u0110au c\u00f3 th\u1ec3 lan \u0111\u1ebfn m\u1ed9t hay hai c\u00e1nh tay, l\u01b0ng, c\u1ed5, h\u00e0m d\u01b0\u1edbi (c\u1ee9ng h\u00e0m).<\/p>\n\n\n\n

– H\u1ed3i h\u1ed9p, kh\u00f3 th\u1edf, m\u1ec7t m\u1ecfi b\u1ea5t th\u01b0\u1eddng<\/p>\n\n\n\n

– Da xanh t\u00e1i, v\u00e3 m\u1ed3 h\u00f4i<\/p>\n\n\n\n

– \u0110\u1ed9t ng\u1ed9t m\u1ea5t \u00fd th\u1ee9c<\/p>\n\n\n\n

Ph\u00f2ng ng\u1eeba \u0111\u1ed9t t\u1eed do tim<\/strong><\/p>\n\n\n\n

M\u1eb7c d\u00f9 \u0111\u1ed9t t\u1eed do tim v\u00e0 \u0111\u1ed9t qu\u1ef5 l\u00e0 hai t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u ho\u00e0n to\u00e0n kh\u00e1c nhau v\u1ec1 tri\u1ec7u ch\u1ee9ng, nh\u01b0ng l\u1ea1i c\u00f3 chung nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1: <\/p>\n\n\n\n

    \n
  • H\u00fat thu\u1ed1c l\u00e1\u00a0<\/li>\n\n\n\n
  • Huy\u1ebft \u00e1p cao\u00a0<\/li>\n\n\n\n
  • R\u1ed1i lo\u1ea1n lipid m\u00e1u\u00a0<\/li>\n\n\n\n
  • \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u00a0<\/li>\n\n\n\n
  • \u00cdt v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c, b\u00e9o ph\u00ec\u00a0<\/li>\n\n\n\n
  • Ti\u1ec1n c\u0103n gia \u0111\u00ecnh b\u1ec7nh tim m\u1ea1ch do x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch\u00a0\u00a0<\/li>\n\n\n\n
  • Rung nh\u0129\u00a0<\/li>\n<\/ul>\n\n\n\n

    Ch\u00ednh v\u00ec th\u1ebf, nguy\u00ean t\u1eafc c\u01a1 b\u1ea3n ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 v\u00e0 \u0111\u1ed9t t\u1eed do tim nh\u00ecn chung gi\u1ed1ng nhau. Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng t\u00edch c\u1ef1c gi\u00fap gi\u1ea3m c\u1ea3 nguy c\u01a1 \u0111\u1ed9t t\u1eed do nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 \u0111\u1ed9t qu\u1ef5. D\u00f9 \u1edf b\u1ea5t c\u1ee9 \u0111\u1ed9 tu\u1ed5i n\u00e0o, ch\u00fang ta n\u00ean duy tr\u00ec v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c th\u1ec3 thao \u0111\u1ec1u \u0111\u1eb7n (\u00edt nh\u1ea5t 30 ph\u00fat\/ng\u00e0y, h\u1ea7u h\u1ebft c\u00e1c ng\u00e0y trong tu\u1ea7n), duy tr\u00ec c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng b\u1eb1ng kh\u1ea9u ph\u1ea7n \u0103n h\u1ee3p l\u00fd (nhi\u1ec1u rau xanh, tr\u00e1i c\u00e2y, \u00edt ch\u1ea5t m\u1ee1 b\u00e3o ho\u00e0 v\u00e0 cholesterol, \u00edt mu\u1ed1i), ng\u01b0ng h\u00fat thu\u1ed1c l\u00e1, gi\u1ea3m l\u01b0\u1ee3ng c\u1ed3n trong th\u1ee9c u\u1ed1ng. Kh\u00e1m s\u1ee9c kho\u1ebb \u0111\u1ecbnh k\u1ef3, ph\u00e1t hi\u1ec7n v\u00e0 ch\u1ea9n \u0111o\u00e1n s\u1edbm c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch g\u00e2y x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch: huy\u1ebft \u00e1p cao, r\u1ed1i lo\u1ea1n lipid m\u00e1u, rung nh\u0129, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u2026 N\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ngay l\u1eadp t\u1ee9c n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng v\u1ec1 s\u1ee9c kho\u1ebb. T\u00f9y theo giai \u0111o\u1ea1n b\u1ec7nh l\u00fd, m\u1ed9t hay nhi\u1ec1u b\u1ec7nh l\u00fd \u0111i k\u00e8m, tu\u1ef3 theo \u0111\u1eb7c \u0111i\u1ec3m l\u1ed1i s\u1ed1ng c\u1ee7a t\u1eebng ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i h\u1ee3p l\u00fd.<\/p>\n\n\n\n

    Vi\u1ec7c t\u1ea7m so\u00e1t v\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe tim m\u1ea1ch \u0111\u1ecbnh k\u1ef3 l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 ph\u00f2ng ng\u1eeba nh\u1eefng bi\u1ebfn c\u1ed1 nguy hi\u1ec3m n\u00e0y. T\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, c\u00f3 g\u00f3i kh\u00e1m chuy\u00ean khoa b\u1ec7nh l\u00fd tim m\u1ea1ch gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 b\u1ea3o v\u1ec7 tr\u00e1i tim c\u1ee7a b\u1ea1n. \u0110\u1eb7t l\u1ecbch kh\u00e1m qua s\u1ed1 \u0111i\u1ec7n tho\u1ea1i 0938 338 954 ho\u1eb7c \u0111\u1ebfn c\u1ed5ng s\u1ed1 3 (10A Phan \u0110\u0103ng L\u01b0u, ph\u01b0\u1eddng Gia \u0110\u1ecbnh, TP.HCM) \u0111\u1ec3 \u0111\u0103ng k\u00fd tr\u1ef1c ti\u1ebfp v\u00e0 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3.<\/p>\n\n\n\n

    TS.BS Giang Minh Nh\u1eadt, Ph\u00f3 Tr\u01b0\u1edfng khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh <\/em><\/p>\n\n\n\n

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

    \u0110\u1ed9t t\u1eed do tim l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong tim m\u1ea1ch h\u00e0ng \u0111\u1ea7u tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra r\u1ea5t b\u1ea5t ng\u1edd, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng c\u00f3 th\u1eddi gian nh\u1eadn bi\u1ebft hay ph\u00f2ng tr\u00e1nh. D\u00f9 c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 ai, \u0111\u1ed9t t\u1eed do tim \u0111\u1eb7c bi\u1ec7t nguy hi\u1ec3m 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