{"id":6345,"date":"2024-07-17T13:14:38","date_gmt":"2024-07-17T06:14:38","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=6345"},"modified":"2024-07-18T13:18:40","modified_gmt":"2024-07-18T06:18:40","slug":"phoi-hop-lien-vien-cuu-song-nam-thanh-nien-dot-tu-ngoai-vien-tuong-chung-da-chet-nao","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=6345","title":{"rendered":"Ph\u1ed1i h\u1ee3p li\u00ean vi\u1ec7n c\u1ee9u s\u1ed1ng nam thanh ni\u00ean \u0111\u1ed9t t\u1eed ngo\u1ea1i vi\u1ec7n t\u01b0\u1edfng ch\u1eebng \u0111\u00e3 ch\u1ebft n\u00e3o"},"content":{"rendered":"\n<p>Anh Cao V.H, 46 tu\u1ed5i, qu\u00ea Thanh H\u00f3a, v\u00e0o th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh l\u00e0m th\u1ee3 x\u00e2y d\u1ef1ng t\u1ea1i m\u1ed9t c\u00f4ng tr\u00ecnh \u1edf qu\u1eadn G\u00f2 V\u1ea5p. S\u00e1ng ng\u00e0y 05.06.2024, khi \u0111ang ng\u1ed3i u\u1ed1ng c\u00e0 ph\u00ea s\u00e1ng v\u1edbi \u0111\u1ed3ng nghi\u1ec7p, anh H. \u0111\u1ed9t ng\u1ed9t ng\u00e3 l\u0103n xu\u1ed1ng \u0111\u1ea5t v\u00e0 ng\u1eebng th\u1edf. Sau 5 ph\u00fat lay g\u1ecdi kh\u00f4ng t\u1ec9nh, anh H. \u0111\u01b0\u1ee3c c\u00e1c \u0111\u1ed3ng nghi\u1ec7p ch\u1edf b\u1eb1ng xe m\u00e1y \u0111\u1ebfn B\u1ec7nh vi\u1ec7n qu\u1eadn G\u00f2 V\u1ea5p \u0111\u1ec3 c\u1ea5p c\u1ee9u. Sau 10 ph\u00fat \u0111\u1ebfn \u0111\u01b0\u1ee3c B\u1ec7nh vi\u1ec7n G\u00f2 V\u1ea5p, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn v\u1edbi t\u00ecnh tr\u1ea1ng m\u1ea1ch v\u00e0 huy\u1ebft \u00e1p kh\u00f4ng \u0111o \u0111\u01b0\u1ee3c. Anh H. \u0111\u01b0\u1ee3c h\u1ed3i s\u1ee9c ng\u1eebng tim v\u00e0 s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp li\u00ean t\u1ee5c trong 30 ph\u00fat. M\u1eb7c d\u00f9 \u0111\u00e3 h\u1ed3i ph\u1ee5c tu\u1ea7n ho\u00e0n t\u1ef1 nhi\u00ean, nh\u01b0ng c\u00e1c b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 anh H. c\u00f3 nguy c\u01a1 cao ch\u1ebft n\u00e3o v\u1edbi \u0111\u1ed3ng t\u1eed hai b\u00ean \u0111\u1ec1u d\u00e3n. Sau khi gi\u1ea3i th\u00edch v\u1edbi th\u00e2n nh\u00e2n quy\u1ebft \u0111\u1ecbnh ti\u1ebfp t\u1ee5c h\u1ed3i s\u1ee9c \u0111\u1ebfn c\u00f9ng, m\u1eb7c d\u00f9 v\u1edbi hi v\u1ecdng r\u1ea5t mong manh, anh H. \u0111\u01b0\u1ee3c li\u00ean h\u1ec7 v\u00e0 chuy\u1ec3n ngay \u0111\u1ebfn B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh. <\/p>\n\n\n\n<p>Anh H. \u0111\u01b0\u1ee3c ti\u1ebfp nh\u1eadn t\u1ea1i Khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch &#8211; B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong t\u00ecnh tr\u1ea1ng toan chuy\u1ec3n h\u00f3a r\u1ea5t n\u1eb7ng, ph\u00f9 ph\u1ed5i c\u1ea5p v\u00e0 t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim g\u00e2y suy tim n\u1eb7ng do ng\u1eebng tim k\u00e9o d\u00e0i. Ths.BS Nguy\u1ec5n Thanh Th\u1ea3o, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ch\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n cho bi\u1ebft \u201ctrong t\u00ecnh hu\u1ed1ng \u0111\u00f3, anh H. \u0111\u01b0\u1ee3c can thi\u1ec7p h\u1ea1 th\u00e2n nhi\u1ec7t trung t\u00e2m \u0111\u1ec3 b\u1ea3o v\u1ec7 n\u00e3o kh\u00f4ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng h\u01a1n, ti\u1ebfn h\u00e0nh oxy h\u00f3a m\u00e1u m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 ph\u01b0\u01a1ng th\u1ee9c lai gh\u00e9p (V-AV ECMO) v\u00e0 l\u1ecdc m\u00e1u li\u00ean t\u1ee5c \u0111i\u1ec1u ch\u1ec9nh suy ch\u1ee9c n\u0103ng th\u1eadn \u0111i k\u00e8m. Sau 1 tu\u1ea7n can thi\u1ec7p h\u1ed3i s\u1ee9c chuy\u00ean s\u00e2u, ch\u1ee9c n\u0103ng co b\u00f3p c\u01a1 tim c\u1ee7a anh H. h\u1ed3i ph\u1ee5c g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i sau ng\u1eebng tim c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3. Anh H. \u0111\u01b0\u1ee3c ng\u1eebng can thi\u1ec7p ECMO sau 10 ng\u00e0y v\u00e0 ch\u1ee9c n\u0103ng n\u00e3o b\u1eaft \u0111\u1ea7u c\u00f3 t\u00edn hi\u1ec7u h\u1ed3i ph\u1ee5c mu\u1ed9n h\u01a1n sau 2 tu\u1ea7n&#8221;.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-e127d507 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/adssdf.jpg\" alt=\"\" class=\"uag-image-6346\" width=\"1047\" height=\"698\" title=\"\u00e1dssdf\" loading=\"lazy\" role=\"img\" \/><\/figure><\/div>\n\n\n\n<p><em>B\u00e1c s\u0129 th\u0103m kh\u00e1m t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh<\/em><\/p>\n\n\n\n<p>ThS.BS Giang Minh Nh\u1eadt, ph\u00f3 tr\u01b0\u1edfng Khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch, cung c\u1ea5p th\u00eam th\u00f4ng tin \u201cv\u1edbi qui tr\u00ecnh qu\u1ea3n l\u00fd to\u00e0n di\u1ec7n b\u1ec7nh nh\u00e2n \u0111\u1ed9t t\u1eed do ng\u1eebng tim ngo\u1ea1i vi\u1ec7n t\u1ea1i B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u1ea3o s\u00e1t nguy\u00ean nh\u00e2n ng\u1eebng tim b\u1eb1ng ph\u1ed1i h\u1ee3p nhi\u1ec1u ph\u01b0\u01a1ng th\u1ee9c nh\u01b0 x\u00e9t nghi\u1ec7m sinh h\u00f3a t\u1ea7m so\u00e1t y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch, theo d\u00f5i \u0111i\u1ec7n tim li\u00ean t\u1ee5c k\u00e9o d\u00e0i, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, c\u1ed9ng h\u01b0\u1edfng t\u1eeb tim, kh\u1ea3o s\u00e1t t\u00ednh di truy\u1ec1n \u0111\u1ed9t t\u1eed trong ph\u1ea3 h\u1ec7, v\u00e0 t\u1ea7m so\u00e1t \u0111\u1ed9t bi\u1ebfn gene li\u00ean quan \u0111\u1ed9t t\u1eed. K\u1ebft qu\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m cho th\u1ea5y anh H. c\u00f3 \u0111\u1ed9t bi\u1ebfn l\u1ec7ch khung gene tr\u1ed9i titin TTN tr\u00ean nhi\u1ec5m s\u1eafc th\u1ec3 th\u01b0\u1eddng. Gene TTN l\u00e0 gene m\u00e3 h\u00f3a m\u1ed9t lo\u1ea1i protein quan tr\u1ecdng c\u1ea5u th\u00e0nh c\u01a1 tim v\u00e0 ho\u1ea1t \u0111\u1ed9ng co c\u01a1 tim. \u0110\u1ed9t bi\u1ebfn gene TTN g\u1ea7n \u0111\u00e2y \u0111\u01b0\u1ee3c quan t\u00e2m nhi\u1ec1u trong y v\u0103n, l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y \u0111\u1ed9t t\u1eed trong c\u00e1c b\u1ec7nh c\u01a1 tim\u201d. V\u1edbi k\u1ebft qu\u1ea3 \u0111\u1ed9t bi\u1ebfn gene g\u00e2y b\u1ec7nh r\u00f5, anh H. \u0111\u01b0\u1ee3c l\u00ean k\u1ebf ho\u1ea1ch c\u1ea5y m\u00e1y ph\u00e1 rung trong tim \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ed9t t\u1eed do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1ea5t trong t\u01b0\u01a1ng lai, \u0111\u1ed3ng th\u1eddi, 3 ng\u01b0\u1eddi con ru\u1ed9t c\u1ee7a anh c\u0169ng \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 tham v\u1ea5n di truy\u1ec1n v\u00e0 \u0111\u01b0a ra chi\u1ebfn l\u01b0\u1ee3c theo tim m\u1ea1ch d\u00f5i d\u00e0i h\u1ea1n ng\u1eeba \u0111\u1ed9t t\u1eed gia<\/p>\n\n\n\n<p>\u0111\u00ecnh.<\/p>\n\n\n\n<p>Sau 1 th\u00e1ng n\u1eb1m vi\u1ec7n, tr\u1ea3i qua bi\u1ebfn c\u1ed1 th\u1eadp t\u1eed nh\u1ea5t sinh, v\u1edbi nh\u1eefng giai \u0111o\u1ea1n t\u01b0\u1edfng ch\u1eebng kh\u00f4ng qua kh\u1ecfi, anh H. \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n trong ni\u1ec1m vui c\u1ee7a t\u1ea5t c\u1ea3 nh\u00e2n vi\u00ean y t\u1ebf Khoa H\u1ed3i s\u1ee9c tim m\u1ea1ch v\u00e0 c\u1ea3 gia \u0111\u00ecnh.<\/p>\n\n\n\n<div class=\"wp-block-uagb-image uagb-block-ae43ad89 wp-block-uagb-image--layout-default wp-block-uagb-image--effect-static wp-block-uagb-image--align-none\"><figure class=\"wp-block-uagb-image__figure\"><img decoding=\"async\" src=\"https:\/\/bvndgiadinh.org.vn\/wp-content\/uploads\/2024\/07\/adfasdfsadf.jpg\" alt=\"\" class=\"uag-image-6347\" width=\"1047\" height=\"765\" title=\"\u00e1dfasdfsadf\" loading=\"lazy\" role=\"img\" \/><\/figure><\/div>\n\n\n\n<p><em>B\u00e1c s\u0129 v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u1ebfn th\u0103m ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edbc khi xu\u1ea5t vi\u1ec7n<\/em><\/p>\n\n\n\n<p>\u0110\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ed9t t\u1eed do tim m\u1ea1ch, l\u1eddi khuy\u00ean quan tr\u1ecdng nh\u1ea5t c\u1ee7a c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch l\u00e0 ch\u00fang ta ph\u1ea3i hi\u1ec3u v\u00e0 bi\u1ebft c\u00e1ch theo d\u00f5i s\u1ee9c kh\u1ecfe b\u1ea3n th\u00e2n m\u00ecnh. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi c\u00f3 ti\u1ec1n c\u0103n th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh c\u00f3 bi\u1ebfn c\u1ed1 tim m\u1ea1ch xu\u1ea5t hi\u1ec7n s\u1edbm (\u0111\u1ed9t t\u1eed kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, nh\u1ed3i m\u00e1u c\u01a1 tim ng\u01b0\u1eddi tr\u1ebb, nh\u1ed3i m\u00e1u n\u00e3o ng\u01b0\u1eddi tr\u1ebb\u2026), vi\u1ec7c kh\u00e1m v\u00e0 \u0111\u00e1nh gi\u00e1 tim m\u1ea1ch chuy\u00ean s\u00e2u l\u00e0 c\u1ea7n thi\u1ebft. B\u00ean c\u1ea1nh \u0111\u00f3, t\u1ea5t c\u1ea3 ng\u01b0\u1eddi tr\u00ean 30 tu\u1ed5i n\u00ean c\u00f3 th\u00f3i quen kh\u00e1m s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 t\u1ea7m so\u00e1t v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Anh Cao V.H, 46 tu\u1ed5i, qu\u00ea Thanh H\u00f3a, v\u00e0o th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh l\u00e0m th\u1ee3 x\u00e2y d\u1ef1ng t\u1ea1i m\u1ed9t c\u00f4ng tr\u00ecnh \u1edf qu\u1eadn G\u00f2 V\u1ea5p. S\u00e1ng ng\u00e0y 05.06.2024, khi \u0111ang ng\u1ed3i u\u1ed1ng c\u00e0 ph\u00ea s\u00e1ng v\u1edbi \u0111\u1ed3ng nghi\u1ec7p, anh H. \u0111\u1ed9t ng\u1ed9t ng\u00e3 l\u0103n xu\u1ed1ng \u0111\u1ea5t v\u00e0 ng\u1eebng th\u1edf. Sau 5 ph\u00fat lay g\u1ecdi 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