{"id":5491,"date":"2024-04-08T07:11:15","date_gmt":"2024-04-08T00:11:15","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=5491"},"modified":"2024-04-08T07:12:18","modified_gmt":"2024-04-08T00:12:18","slug":"cuu-song-ngoan-muc-chang-trai-dot-tu-khi-dang-choi-the-thao-do-dot-bien-gene-hiem-gap","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=5491","title":{"rendered":"C\u1ee9u s\u1ed1ng ngo\u1ea1n m\u1ee5c ch\u00e0ng trai \u0111\u1ed9t t\u1eed khi \u0111ang ch\u01a1i th\u1ec3 thao do \u0111\u1ed9t bi\u1ebfn gene hi\u1ebfm g\u1eb7p"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>T\u1ed1i ng\u00e0y 11\/03\/2024, nam thanh ni\u00ean 39 tu\u1ed5i \u0111ang ch\u01a1i \u0111\u00e1 banh c\u00f9ng b\u1ea1n, khi v\u1eeba \u0111\u1ee1 tr\u00e1i banh b\u1eb1ng ng\u1ef1c anh \u0111\u1ed9t ng\u1ed9t ng\u00e3 g\u1ee5c, ng\u01b0ng tim, \u0111\u01b0\u1ee3c ng\u01b0\u1eddi d\u00e2n \u0111\u01b0a \u0111\u1ebfn khoa C\u1ea5p c\u1ee9u B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00f3 l\u00e0 tr\u01b0\u1eddng h\u1ee3p anh V.H.H, ng\u1ee5 t\u1ea1i TP Th\u1ee7 \u0110\u1ee9c, ti\u1ec1n c\u0103n b\u1ea3n th\u00e2n ch\u01b0a t\u1eebng ghi nh\u1eadn b\u1ec7nh l\u00fd tim m\u1ea1ch nh\u01b0ng theo th\u00f4ng tin khai th\u00e1c trong gia \u0111\u00ecnh \u0111\u00e3 c\u00f3 4 th\u00e0nh vi\u00ean \u0111\u1ed9t t\u1eed kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Ng\u01b0\u1eddi b\u1ec7nh v\u00e0o khoa C\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng kh\u00f4ng b\u1eaft \u0111\u01b0\u1ee3c m\u1ea1ch, huy\u1ebft \u00e1p kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c, tr\u00ean monitor sinh hi\u1ec7u ghi nh\u1eadn nh\u1ecbp nhanh th\u1ea5t li\u00ean t\u1ee5c. Ngay l\u1eadp t\u1ee9c \u00ea-k\u00edp b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh xoa b\u00f3p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c k\u1ebft h\u1ee3p s\u1ed1c \u0111i\u1ec7n kh\u00f4ng ng\u1eebng ngh\u1ec9 trong 15 ph\u00fat, 20 ph\u00fat, r\u1ed3i 30 ph\u00fat\u2026 nh\u01b0ng tim v\u1eabn ch\u01b0a \u0111\u1eadp tr\u1edf l\u1ea1i. \u00ca-k\u00edp tr\u1ef1c ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c tim ph\u1ed5i \u0111\u1ec3 c\u1ee9u b\u1eb1ng \u0111\u01b0\u1ee3c t\u00ednh m\u1ea1ng cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 sau 45 ph\u00fat h\u1ed3i s\u1ee9c v\u1edbi t\u1ed5ng c\u1ed9ng 10 l\u1ea7n s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp, ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 c\u00f3 d\u1ea5u hi\u1ec7u h\u1ed3i ph\u1ee5c tu\u1ea7n ho\u00e0n t\u1ef1 nhi\u00ean.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1eb7c d\u00f9 \u0111\u00e3 h\u1ed3i ph\u1ee5c tu\u1ea7n ho\u00e0n t\u1ef1 nhi\u00ean nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh t\u1ee5t huy\u1ebft \u00e1p n\u1eb7ng, ph\u1ea3i s\u1eed d\u1ee5ng c\u00f9ng l\u00fac nhi\u1ec1u thu\u1ed1c v\u1eadn m\u1ea1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o huy\u1ebft \u0111\u1ed9ng, \u0111\u1ed3ng th\u1eddi, di\u1ec5n ti\u1ebfn ph\u00f9 ph\u1ed5i t\u1ed5n th\u01b0\u01a1ng do h\u1ed3i s\u1ee9c tim ph\u1ed5i k\u00e9o d\u00e0i. Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch \u0111\u1ec3 v\u1eeba ti\u1ebfn h\u00e0nh h\u1ea1 th\u00e2n nhi\u1ec7t (g\u1ea5u ng\u1ee7 \u0111\u00f4ng) b\u1ea3o v\u1ec7 n\u00e3o, v\u1eeba can thi\u1ec7p oxy ho\u00e1 m\u00e1u m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 (ECMO).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Theo ThS.BS Tr\u1ea7n Thanh Nam &#8211; \u0110\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch: <em>\u201cTrong tr\u01b0\u1eddng h\u1ee3p th\u00f4ng th\u01b0\u1eddng, \u1edf ng\u01b0\u1eddi b\u1ec7nh s\u1ed1c tim, ch\u00fang t\u00f4i ch\u1ec9 can thi\u1ec7p ECMO theo ph\u01b0\u01a1ng th\u1ee9c \u0111\u1ed9ng &#8211; t\u0129nh m\u1ea1ch (VA-ECMO) nh\u1eb1m \u0111\u1ea3m b\u1ea3o l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1eeb tim b\u01a1m ra \u0111\u1ee7 nu\u00f4i d\u01b0\u1ee1ng c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3. Tuy nhi\u00ean, b\u00ean c\u1ea1nh t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim n\u1eb7ng, anh H c\u0169ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng hai ph\u1ed5i ti\u1ebfn tri\u1ec3n, n\u1ebfu ch\u1ec9 th\u1ef1c hi\u1ec7n VA-ECMO \u0111\u01a1n thu\u1ea7n, t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p ng\u01b0\u1eddi b\u1ec7nh kh\u00f3 \u0111\u1ea3m b\u1ea3o. \u00ca-k\u00edp c\u00e1c b\u00e1c s\u0129 h\u1ed3i s\u1ee9c tim m\u1ea1ch quy\u1ebft \u0111\u1ecbnh can thi\u1ec7p ECMO theo ph\u01b0\u01a1ng th\u1ee9c lai gh\u00e9p V-AV ECMO, \u0111\u1ec3 v\u1eeba h\u1ed7 tr\u1ee3 t\u1ed1i \u01b0u cho c\u1ea3 tim v\u00e0 ph\u1ed5i\u201d.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sau 48 gi\u1edd can thi\u1ec7p V-AV ECMO ph\u1ed1i h\u1ee3p h\u1ea1 th\u00e2n nhi\u1ec7t v\u00e0 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c, ng\u01b0\u1eddi b\u1ec7nh ph\u1ee5c h\u1ed3i tri gi\u00e1c ho\u00e0n to\u00e0n v\u00e0 \u0111\u01b0\u1ee3c k\u1ebft th\u00fac ECMO sau 72 gi\u1edd, ng\u1eebng h\u1ed7 tr\u1ee3 th\u1edf m\u00e1y x\u00e2m l\u1ea5n sau 4 ng\u00e0y v\u00e0 ra kh\u1ecfi ph\u00f2ng h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c sau 6 ng\u00e0y.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-d9294106 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/Hinh-anh-nguoi-benh-can-thiep-Ecmo-loc-mau.jpg\" alt=\"\" class=\"uag-image-5492\" width=\"534\" height=\"626\" title=\"\" loading=\"lazy\" \/><figcaption class=\"uagb-image-caption\"><em>H\u00ecnh \u1ea3nh ng\u01b0\u1eddi b\u1ec7nh trong qu\u00e1 tr\u00ecnh can thi\u1ec7p ECMO v\u00e0 l\u1ecdc m\u00e1u<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">&nbsp;Ng\u01b0\u1eddi b\u1ec7nh ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c theo d\u00f5i tim m\u1ea1ch chuy\u00ean s\u00e2u t\u1ea1i \u0111\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n \u0111\u1ed9t t\u1eed, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh lo\u1ea1i tr\u1eeb b\u1ec7nh x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ng\u01b0\u1eddi tr\u1ebb, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim nh\u1eb1m ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u00e1c b\u1ec7nh l\u00fd c\u01a1 tim nguy\u00ean ph\u00e1t giai \u0111o\u1ea1n s\u1edbm, t\u1ea7m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch v\u00e0 x\u00e9t nghi\u1ec7m di truy\u1ec1n h\u1ecdc \u0111\u1ec3 ph\u00e1t hi\u1ec7n \u0111\u1ed9t bi\u1ebfn gene li\u00ean quan \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp tim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">ThS.BS Hu\u1ef3nh Trung T\u00edn, B\u00e1c s\u0129 nh\u1ecbp h\u1ecdc &#8211; \u0110\u01a1n v\u1ecb H\u1ed3i s\u1ee9c tim m\u1ea1ch cho bi\u1ebft: \u201c<em>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m di truy\u1ec1n h\u1ecdc ghi nh\u1eadn anh H c\u00f3 \u0111\u1ed9t bi\u1ebfn gene MYPN &#8211; m\u1ed9t lo\u1ea1i gene m\u00e3 ho\u00e1 protein c\u1ea5u th\u00e0nh \u0111\u01a1n v\u1ecb co c\u01a1 tim myopalladin. \u0110\u00e2y l\u00e0 lo\u1ea1i \u0111\u1ed9t bi\u1ebfn gene chi\u1ebfm t\u1ec9 l\u1ec7 &lt;2% \u1edf b\u1ec7nh c\u01a1 tim d\u00e3n n\u1edf v\u00e0 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y \u0111\u1ed9t t\u1eed trong v\u00e0i ca l\u00e2m s\u00e0ng theo y v\u0103n tr\u00ean th\u1ebf gi\u1edbi. D\u1ef1a tr\u00ean ti\u1ec1n s\u1eed c\u00f3 \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t, k\u1ebft h\u1ee3p v\u1edbi b\u1eb1ng ch\u1ee9ng \u0111\u1ed9t bi\u1ebfn gene, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u1ea5y m\u00e1y ph\u00e1 rung (ICD) \u0111\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u1ed9t t\u1eed t\u00e1i ph\u00e1t trong t\u01b0\u01a1ng lai. B\u00ean c\u1ea1nh \u0111\u00f3, k\u1ebft qu\u1ea3 b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n c\u0169ng l\u00e0 c\u01a1 s\u1edf \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch ti\u1ebfp t\u1ee5c t\u1ea7m so\u00e1t b\u1ec7nh tim m\u1ea1ch cho anh, ch\u1ecb, em ru\u1ed9t v\u00e0 con c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Sau khi \u0111\u01b0\u1ee3c c\u1ea5y m\u00e1y ph\u00e1 rung, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n th\u1eddi gian ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim m\u1ea1ch v\u00e0i tu\u1ea7n t\u1ea1i b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f3 th\u1ec3 ho\u00e0 nh\u1eadp cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng sau \u0111\u00f3<\/em>\u201d.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image aligncenter uagb-block-0d42d5f4 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-center\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/04\/Hinh-anh-bac-si-tham-kham-cho-nguoi-benh-scaled.jpg\" alt=\"\" class=\"uag-image-5493\" width=\"2560\" height=\"1937\" loading=\"lazy\" \/><figcaption class=\"uagb-image-caption\"><em>H\u00ecnh \u1ea3nh b\u00e1c s\u0129 th\u0103m kh\u00e1m cho ng\u01b0\u1eddi b\u1ec7nh sau khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c<\/em><\/figcaption><\/figure><\/div>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed9t t\u1eed li\u00ean quan v\u1eadn \u0111\u1ed9ng th\u1ec3 thao l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t \u0111\u01b0\u1ee3c quan t\u00e2m trong th\u1eddi gian g\u1ea7n \u0111\u00e2y. \u0110\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u1ed9t t\u1eed, ng\u01b0\u1eddi tham gia c\u00e1c m\u00f4n th\u1ec3 thao c\u1ea7n hi\u1ec3u v\u1ec1 s\u1ee9c kho\u1ebb tim m\u1ea1ch c\u1ee7a b\u1ea3n th\u00e2n, bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch m\u00ecnh \u0111ang c\u00f3, \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng khi trong gia \u0111\u00ecnh c\u00f3 th\u00e0nh vi\u00ean \u0111\u1ed9t t\u1eed do tim hay kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. B\u00ean c\u1ea1nh \u0111\u00f3, khi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au t\u1ee9c ng\u1ef1c, ch\u00f3ng m\u1eb7t, kh\u00f3 th\u1edf\u2026xu\u1ea5t hi\u1ec7n khi \u0111ang v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c, d\u00f9 \u1edf c\u01b0\u1eddng \u0111\u1ed9 n\u00e0o, ch\u00fang ta c\u0169ng n\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 t\u1ea7m so\u00e1t c\u00e1c b\u1ea5t th\u01b0\u1eddng tim m\u1ea1ch v\u00e0 xin l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa v\u1ec1 vi\u1ec7c l\u1ef1a ch\u1ecdn m\u00f4n th\u1ec3 thao ph\u00f9 h\u1ee3p t\u00ecnh tr\u1ea1ng s\u1ee9c kho\u1ebb v\u00e0 t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ed1i ng\u00e0y 11\/03\/2024, nam thanh ni\u00ean 39 tu\u1ed5i \u0111ang ch\u01a1i \u0111\u00e1 banh c\u00f9ng b\u1ea1n, khi v\u1eeba \u0111\u1ee1 tr\u00e1i banh b\u1eb1ng ng\u1ef1c anh \u0111\u1ed9t ng\u1ed9t ng\u00e3 g\u1ee5c, ng\u01b0ng tim, 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