{"id":7695,"date":"2024-12-12T13:34:41","date_gmt":"2024-12-12T06:34:41","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=7695"},"modified":"2024-12-12T13:35:25","modified_gmt":"2024-12-12T06:35:25","slug":"benh-vien-da-khoa-dau-tien-tai-viet-nam-dat-chung-nhan-vang-trong-dieu-tri-suy-tim","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=7695","title":{"rendered":"B\u1ec7nh vi\u1ec7n \u0111a khoa \u0111\u1ea7u ti\u00ean t\u1ea1i Vi\u1ec7t Nam \u0111\u1ea1t ch\u1ee9ng nh\u1eadn v\u00e0ng trong \u0111i\u1ec1u tr\u1ecb suy tim"},"content":{"rendered":"\n

Tr\u00f2n 1 n\u0103m sau khi \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn b\u1ea1c\u201d v\u1ec1 \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a H\u1ed9i Tim Hoa K\u1ef3 (AHA), ng\u00e0y 11\/12\/2024, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ti\u1ebfp t\u1ee5c vinh d\u1ef1 \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn v\u00e0ng\u201d. \u0110\u00e2y l\u00e0 b\u1ec7nh vi\u1ec7n \u0111a khoa \u0111\u1ea7u ti\u00ean \u1edf n\u01b0\u1edbc ta \u0111\u1ea1t ch\u1ee9ng nh\u1eadn danh gi\u00e1 n\u00e0y.<\/strong><\/p>\n\n\n\n

            Suy tim l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y b\u1ec7nh t\u1eadt v\u00e0 t\u1eed vong. M\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u1ebfn b\u1ed9 trong ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u01b0ng t\u1ec9 l\u1ec7 t\u1eed vong c\u1ee7a suy tim c\u00f2n r\u1ea5t cao, 20% – 30% ng\u01b0\u1eddi b\u1ec7nh suy tim t\u1eed vong sau 1 n\u0103m v\u00e0 sau 5 n\u0103m c\u00f3 \u0111\u1ebfn 50% ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng qua kh\u1ecfi, cao h\u01a1n nhi\u1ec1u so v\u1edbi c\u00e1c b\u1ec7nh l\u00fd ung th\u01b0 th\u01b0\u1eddng g\u1eb7p nh\u01b0 ung th\u01b0 v\u00fa (10%), ung th\u01b0 m\u00e1u (30%) v\u00e0 ung th\u01b0 \u0111\u1ea1i tr\u1ef1c tr\u00e0ng (34%). Nh\u01b0ng may m\u1eafn, ng\u01b0\u1eddi b\u1ec7nh suy tim m\u1ea1n n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb chu\u1ea9n s\u1ebd c\u00f3 c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim v\u1ec1 g\u1ea7n nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

            \u0110i\u1ec1u tr\u1ecb suy tim l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh l\u00e2u d\u00e0i v\u00e0 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m, theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u1eb7t ch\u1ebd trong c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh qu\u1ea3n l\u00fd suy tim \u0111\u01b0\u1ee3c ph\u1ee5 tr\u00e1ch b\u1edfi \u0111\u1ed9i ng\u0169 nh\u00e2n vi\u00ean y t\u1ebf l\u00e0 c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch, \u0111i\u1ec1u d\u01b0\u1ee1ng, d\u01b0\u1ee3c s\u0129, b\u00e1c s\u0129 dinh d\u01b0\u1ee1ng, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng\u2026<\/p>\n\n\n\n

            Theo BS.CKII L\u00ea Ho\u00e0i Nam, Ph\u00f3 tr\u01b0\u1edfng khoa \u0111i\u1ec1u h\u00e0nh khoa N\u1ed9i tim m\u1ea1ch, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, suy tim l\u00e0 h\u1eadu qu\u1ea3 sau c\u00f9ng trong chu\u1ed7i b\u1ec7nh l\u00fd tim m\u1ea1ch, t\u1eeb nh\u1eefng b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh van tim, b\u1ec7nh m\u1ea1ch v\u00e0nh\u2026 cho \u0111\u1ebfn nh\u1eefng b\u1ec7nh ph\u1ee9c t\u1ea1p nh\u01b0 vi\u00eam c\u01a1 tim, b\u1ec7nh tim b\u1ea9m sinh, b\u1ec7nh t\u1ef1 mi\u1ec5n\u2026 Kho\u1ea3ng 1% – 2% d\u00e2n s\u1ed1 tr\u00ean to\u00e0n th\u1ebf gi\u1edbi s\u1ed1ng chung v\u1edbi suy tim. T\u1ea1i Vi\u1ec7t Nam, tuy ch\u01b0a c\u00f3 s\u1ed1 li\u1ec7u ch\u00ednh th\u1ee9c, nh\u01b0ng \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 320.000 \u0111\u1ebfn 1,6 tri\u1ec7u ng\u01b0\u1eddi b\u1ecb suy tim. V\u1edbi s\u1ef1 gi\u00e0 h\u00f3a c\u1ee7a d\u00e2n s\u1ed1, s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi m\u1eafc b\u1ec7nh m\u1ea1n t\u00ednh ng\u00e0y c\u00e0ng t\u0103ng th\u00ec t\u1ec9 l\u1ec7 ng\u01b0\u1eddi b\u1ecb suy tim s\u1ebd gia t\u0103ng trong th\u1eddi gian t\u1edbi\u201d.<\/p>\n\n\n\n

            Ch\u0103m s\u00f3c ng\u01b0\u1eddi b\u1ec7nh suy tim l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh l\u00e2u d\u00e0i, li\u00ean t\u1ee5c v\u00e0 to\u00e0n di\u1ec7n, t\u1eeb th\u00e1ng 6\/2020, khoa N\u1ed9i tim m\u1ea1ch, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh th\u00e0nh l\u1eadp \u0110\u01a1n v\u1ecb suy tim nh\u1eb1m \u0111\u00e1p \u1ee9ng nhu c\u1ea7u kh\u00e1m ch\u1eefa b\u1ec7nh chuy\u00ean s\u00e2u cho ng\u01b0\u1eddi b\u1ec7nh suy tim. N\u0103m 2021, khoa tham gia d\u1ef1 \u00e1n \u0111i\u1ec1u tr\u1ecb suy tim theo chu\u1ea9n AHA nh\u1eb1m n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng trong \u0111i\u1ec1u tr\u1ecb, ch\u0103m s\u00f3c v\u00e0 qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh suy tim. Trong h\u01a1n 3 n\u0103m qua, \u0110\u01a1n v\u1ecb suy tim \u0111\u00e3 ch\u1ee9ng minh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 c\u1ee7a m\u00f4 h\u00ecnh ch\u0103m s\u00f3c to\u00e0n di\u1ec7n n\u00e0y, qua \u0111\u00f3 gi\u00fap cho vi\u1ec7c \u0111\u1ea1t \u0111\u01b0\u1ee3c 3 m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb suy tim l\u00e0 gi\u1ea3m t\u1eed vong, gi\u1ea3m t\u00e1i nh\u1eadp vi\u1ec7n do suy tim n\u1eb7ng l\u00ean v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

            Th\u1ea1c s\u0129 – B\u00e1c s\u0129 Nguy\u1ec5n Ho\u00e0ng Anh, tr\u01b0\u1edfng \u0110\u01a1n v\u1ecb suy tim, cho bi\u1ebft: \u0110\u01a1n v\u1ecb suy tim \u0111\u00e3 x\u00e2y d\u1ef1ng nh\u1eefng b\u1ea3ng ki\u1ec3m, quy tr\u00ecnh \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c, \u0111\u1ec3 gi\u00fap r\u00fat ng\u1eafn th\u1eddi gian t\u1ed1i \u01b0u \u0111i\u1ec1u tr\u1ecb c\u00e1c thu\u1ed1c n\u1ec1n t\u1ea3ng cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u00f3m ng\u01b0\u1eddi b\u1ec7nh suy tim v\u1edbi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m. \u0110\u01a1n v\u1ecb lu\u00f4n c\u1eadp nh\u1eadt nh\u1eefng ki\u1ebfn th\u1ee9c v\u00e0 nh\u1eefng ti\u1ebfn b\u1ed9 y khoa m\u1edbi nh\u1ea5t t\u1eeb nh\u1eefng hi\u1ec7p h\u1ed9i l\u1edbn v\u00e0 c\u00f3 uy t\u00edn nh\u01b0 H\u1ed9i Tim Hoa K\u1ef3, H\u1ed9i Tim ch\u00e2u \u00c2u, H\u1ed9i Tim m\u1ea1ch h\u1ecdc Vi\u1ec7t Nam \u0111\u1ec3 \u00e1p d\u1ee5ng \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi b\u1ec7nh. T\u1ea1i \u0110\u01a1n v\u1ecb suy tim, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u1eefng x\u00e9t nghi\u1ec7m v\u00e0 ph\u01b0\u01a1ng ti\u1ec7n ch\u1ea9n \u0111o\u00e1n hi\u1ec7n \u0111\u1ea1i nh\u01b0 si\u00eau \u00e2m \u0111\u00e1nh gi\u00e1 s\u1ee9c c\u0103ng c\u01a1 tim, ch\u1ee5p DSA m\u1ea1ch v\u00e0nh, ch\u1ee5p MRI tim, x\u00e9t nghi\u1ec7m b\u1ec7nh t\u1ef1 mi\u1ec5n, x\u00e9t nghi\u1ec7m gen. B\u00ean c\u1ea1nh \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1eefng thu\u1ed1c m\u1edbi nh\u1ea5t trong \u0111i\u1ec1u tr\u1ecb suy tim, \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi nh\u1eefng d\u1ee5ng c\u1ee5 c\u1ea5y d\u01b0\u1edbi da ti\u00ean ti\u1ebfn nh\u01b0 m\u00e1y t\u1ea1o nh\u1ecbp tim, m\u00e1y ph\u00e1 rung, m\u00e1y kh\u1eed rung tim, m\u00e1y t\u00e1i \u0111\u1ed3ng b\u1ed9 c\u01a1 tim v\u00e0 m\u00e1y h\u1ed7 tr\u1ee3 tim ph\u1ed5i nh\u00e2n t\u1ea1o (ECMO).<\/p>\n\n\n\n

            Vi\u1ec7c nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn v\u00e0ng\u201d v\u1ec1 \u0111i\u1ec1u tr\u1ecb suy tim do H\u1ed9i Tim Hoa K\u1ef3 (AHA) trao t\u1eb7ng kh\u1eb3ng \u0111\u1ecbnh s\u1ef1 n\u1ed7 l\u1ef1c c\u1ee7a t\u1eadp th\u1ec3 b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh trong vi\u1ec7c t\u1eebng b\u01b0\u1edbc ti\u1ebfp c\u1eadn c\u00e1c ti\u00eau chu\u1ea9n \u0111i\u1ec1u tr\u1ecb qu\u1ed1c t\u1ebf. <\/p>\n\n\n\n

            TS.BS Nguy\u1ec5n Ho\u00e0ng H\u1ea3i, Gi\u00e1m \u0111\u1ed1c b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh chia s\u1ebb: \u201cVi\u1ec7c nh\u1eadn \u0111\u01b0\u1ee3c gi\u1ea3i th\u01b0\u1edfng v\u00e0ng (Gold plus) c\u1ee7a H\u1ed9i Tim Hoa K\u1ef3 (AHA) l\u00e0 d\u1ea5u m\u1ed1c quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 qu\u1ea3n l\u00fd ng\u01b0\u1eddi b\u1ec7nh suy tim n\u00f3i ri\u00eang v\u00e0 trong h\u00e0nh tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a chuy\u00ean ng\u00e0nh tim m\u1ea1ch n\u00f3i chung c\u1ee7a b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1edbi m\u1ee5c \u0111\u00edch cu\u1ed1i c\u00f9ng l\u00e0 mang \u0111\u1ebfn k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t cho ng\u01b0\u1eddi b\u1ec7nh. B\u00ean c\u1ea1nh l\u0129nh v\u1ef1c tim m\u1ea1ch, b\u1ec7nh vi\u1ec7n c\u0169ng t\u1eadp trung ph\u00e1t tri\u1ec3n nhi\u1ec1u chuy\u00ean khoa s\u00e2u \u0111\u1ea1t ti\u00eau chu\u1ea9n kh\u1eaft khe trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc\u201d.<\/p>\n\n\n\n

Ti\u00eau chu\u1ea9n \u0111\u1ec3 nh\u1eadn \u0111\u01b0\u1ee3c ch\u1ee9ng nh\u1eadn t\u1eeb H\u1ed9i Tim Hoa K\u1ef3 (AHA) r\u1ea5t kh\u1eaft khe, ph\u1ea3i ch\u00ednh x\u00e1c trong ch\u1ea9n \u0111o\u00e1n, ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c h\u1eb9n t\u00e1i kh\u00e1m v\u00e0 theo d\u00f5i \u0111\u1ea7y \u0111\u1ee7, t\u1ec9 l\u1ec7 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c ti\u00ean l\u01b0\u1ee3ng cho ng\u01b0\u1eddi b\u1ec7nh suy tim ph\u1ea3i r\u1ea5t cao tr\u00ean 85% v\u00e0 \u0111\u1eb7c bi\u1ec7t th\u1eddi gian tham gia v\u00e0 \u0111\u1ea1t c\u00e1c ti\u00eau ch\u00ed n\u00e0y ph\u1ea3i li\u00ean t\u1ee5c trong \u00edt nh\u1ea5t 2 n\u0103m.\u200b C\u00e1c ch\u1ee9ng nh\u1eadn n\u00e0y \u0111\u01b0\u1ee3c ph\u00e2n c\u1ea5p \u0111\u1ed3ng (Bronze) – b\u1ea1c (Silver) – v\u00e0ng (Gold, Gold plus). Tr\u01b0\u1edbc \u0111\u00f3, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c gi\u1ea3i th\u01b0\u1edfng \u0111\u1ed3ng v\u00e0 b\u1ea1c.<\/p>\n\n\n\n

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

Tr\u00f2n 1 n\u0103m sau khi \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn b\u1ea1c\u201d v\u1ec1 \u0111i\u1ec1u tr\u1ecb suy tim c\u1ee7a H\u1ed9i Tim Hoa K\u1ef3 (AHA), ng\u00e0y 11\/12\/2024, b\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh ti\u1ebfp t\u1ee5c vinh d\u1ef1 \u0111\u00f3n nh\u1eadn \u201cCh\u1ee9ng nh\u1eadn v\u00e0ng\u201d. \u0110\u00e2y l\u00e0 b\u1ec7nh vi\u1ec7n \u0111a khoa \u0111\u1ea7u ti\u00ean \u1edf n\u01b0\u1edbc ta \u0111\u1ea1t ch\u1ee9ng nh\u1eadn danh gi\u00e1 n\u00e0y. 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