{"id":9967,"date":"2025-05-23T11:18:00","date_gmt":"2025-05-23T04:18:00","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=9967"},"modified":"2025-05-23T11:19:31","modified_gmt":"2025-05-23T04:19:31","slug":"can-than-voi-di-vat-duong-tho","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=9967","title":{"rendered":"C\u1ea8N TH\u1eacN V\u1edaI D\u1eca V\u1eacT \u0110\u01af\u1edcNG TH\u1ede"},"content":{"rendered":"\n

C\u00e1c b\u00e1c s\u0129 Khoa N\u1ed9i h\u00f4 h\u1ea5p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho ng\u01b0\u1eddi b\u1ec7nh V.V.T (62 tu\u1ed5i) b\u1ecb h\u00f3c d\u1ecb v\u1eadt v\u00e0o \u0111\u01b0\u1eddng th\u1edf khi \u0111ang sinh ho\u1ea1t t\u1ea1i nh\u00e0. D\u1ecb v\u1eadt l\u00e0 vi\u00ean thu\u1ed1c ch\u01b0a b\u00f3c v\u1ecf kim lo\u1ea1i.<\/strong><\/p>\n\n\n\n

\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 V\u00e0o ng\u00e0y 12\/05\/2025, \u00f4ng V.V.T \u0111i mua thu\u1ed1c \u1edf ti\u1ec7m thu\u1ed1c g\u1ea7n nh\u00e0. V\u1ec1 \u0111\u1ebfn nh\u00e0, \u00f4ng T. \u0111\u00e3 u\u1ed1ng thu\u1ed1c trong \u0111i\u1ec1u ki\u1ec7n thi\u1ebfu s\u00e1ng. \u0110\u1ec3 d\u1ec5 nu\u1ed1t, \u00f4ng ng\u1eeda c\u1ed5 h\u1ebft m\u1ee9c v\u00e0 u\u1ed1ng m\u1ed9t h\u01a1i. Tuy nhi\u00ean, tr\u01b0\u1edbc \u0111\u00f3, \u00f4ng s\u01a1 \u00fd ch\u01b0a b\u00f3c v\u1ecf thu\u1ed1c kim lo\u1ea1i. Ngay sau \u0111\u00f3, \u00f4ng b\u1ecb ho, s\u1eb7c d\u1eef d\u1ed9i, c\u1ea3m gi\u00e1c t\u1ee9c n\u1eb7ng sau x\u01b0\u01a1ng \u1ee9c, kh\u00f2 kh\u00e8 v\u00e0 kh\u1ea1c ra m\u00e1u. T\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i kho\u1ea3ng 2 ng\u00e0y kh\u00f4ng thuy\u00ean gi\u1ea3m n\u00ean \u00f4ng T. \u0111\u1ebfn kh\u00e1m v\u00e0 nh\u1eadp vi\u1ec7n \u1edf B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh.<\/p>\n\n\n\n

          Nh\u1eadn \u0111\u1ecbnh \u0111\u00e2y l\u00e0 tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd b\u1ecb h\u00f3c d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf, t\u1ea1i Khoa N\u1ed9i h\u00f4 h\u1ea5p, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfn h\u00e0nh ch\u1ee5p X-quang v\u00e0 CT scan ng\u1ef1c, ph\u00e1t hi\u1ec7n d\u1ecb v\u1eadt n\u1eb1m s\u00e2u trong ph\u1ebf qu\u1ea3n (\u1ed1ng d\u1eabn kh\u00ed v\u00e0o ph\u1ed5i). \u00ca-k\u00edp n\u1ed9i soi ph\u1ebf qu\u1ea3n \u0111\u00e3 nhanh ch\u00f3ng ti\u1ebfn h\u00e0nh n\u1ed9i soi ph\u1ebf qu\u1ea3n \u0111\u1ec3 g\u1eafp d\u1ecb v\u1eadt ra ngo\u00e0i. D\u1ecb v\u1eadt \u0111\u01b0\u1ee3c l\u1ea5y ra an to\u00e0n, kh\u00f4ng \u0111\u1ec3 l\u1ea1i bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. Sau khi l\u1ea5y d\u1ecb v\u1eadt, \u00f4ng T. c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0169ng thuy\u00ean gi\u1ea3m nhanh ch\u00f3ng v\u00e0 sau 2 ng\u00e0y, \u00f4ng \u0111\u00e3 kh\u1ecfe m\u1ea1nh v\u00e0 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n.<\/p>\n\n\n\n

Chia s\u1ebb v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, BS.CKII H\u1ed3 Qu\u1ed1c Kh\u1ea3i, ph\u00f3 Khoa N\u1ed9i h\u00f4 h\u1ea5p, qu\u1ea3n l\u00ed ch\u00ednh Ph\u00f2ng N\u1ed9i soi ph\u1ebf qu\u1ea3n cho bi\u1ebft: \u201cH\u1eb1ng n\u0103m, v\u1eabn c\u00f3 nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ecb h\u00f3c d\u1ecb v\u1eadt nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi bao g\u1ed3m x\u01b0\u01a1ng c\u00e1, x\u01b0\u01a1ng g\u00e0, m\u1ed9t s\u1ed1 lo\u1ea1i h\u1ea1t tr\u00e1i c\u00e2y\u2026 g\u00e2y ra nhi\u1ec1u bi\u1ebfn ch\u1ee9ng \u0111\u00e1ng ti\u1ebfc cho ng\u01b0\u1eddi b\u1ec7nh\u201d. T\u1eeb \u0111\u00f3, ch\u00fang t\u00f4i \u0111\u01b0a ra nh\u1eefng th\u00f4ng tin b\u00ean d\u01b0\u1edbi nh\u1eb1m gi\u00fap cho m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u00eam ki\u1ebfn th\u1ee9c \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n\n

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\"\"<\/figure>\n<\/div>\n\n\n

H\u00ecnh \u1ea3nh: Qu\u00e1 tr\u00ecnh ph\u00e1t hi\u1ec7n d\u1ecb v\u1eadt tr\u00ean CT scan v\u00e0 \u0111\u01b0\u1ee3c g\u1eafp ra ngo\u00e0i qua n\u1ed9i soi ph\u1ebf qu\u1ea3n<\/strong><\/p>\n\n\n\n

D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf l\u00e0 g\u00ec?<\/strong><\/p>\n\n\n\n

L\u00e0 t\u00ecnh tr\u1ea1ng d\u1ecb v\u1eadt (th\u1ee9c \u0103n, \u0111\u1ed3 v\u1eadt, ch\u1ea5t l\u1ea1…) l\u1ecdt v\u00e0o kh\u00ed qu\u1ea3n, ph\u1ebf qu\u1ea3n ho\u1eb7c s\u00e2u h\u01a1n, g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf. \u0110\u00e2y l\u00e0 m\u1ed9t c\u1ea5p c\u1ee9u h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i n\u00e0o, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb nh\u1ecf v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i.<\/p>\n\n\n\n

D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf – M\u1ed1i nguy kh\u00f4ng ch\u1eeba m\u1ed9t ai?<\/strong><\/p>\n\n\n\n

\ud83e\uddd2 Tr\u1ebb nh\u1ecf: th\u00edch b\u1ecf \u0111\u1ed3 v\u1eadt v\u00e0o mi\u1ec7ng, ph\u1ea3n x\u1ea1 nu\u1ed1t ch\u01b0a ho\u00e0n thi\u1ec7n<\/p>\n\n\n\n

\ud83d\udc74 Ng\u01b0\u1eddi cao tu\u1ed5i: r\u1ed1i lo\u1ea1n nu\u1ed1t do tai bi\u1ebfn, Parkinson, sa s\u00fat tr\u00ed tu\u1ec7…<\/p>\n\n\n\n

\ud83d\ude37 Ng\u01b0\u1eddi m\u1eafc tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y, r\u1ed1i lo\u1ea1n nu\u1ed1t ho\u1eb7c suy gi\u1ea3m \u00fd th\u1ee9c<\/p>\n\n\n\n

\ud83d\udc8a Ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c an th\u1ea7n, c\u00f3 r\u1ed1i lo\u1ea1n c\u01a1 ho\u1eb7c x\u1ea1 tr\u1ecb v\u00f9ng \u0111\u1ea7u c\u1ed5<\/p>\n\n\n\n

Tri\u1ec7u ch\u1ee9ng nh\u1eadn bi\u1ebft h\u00f3c d\u1ecb v\u1eadt<\/strong><\/p>\n\n\n\n

\ud83d\udd39 Ho s\u1eb7c m\u1ea1nh, \u0111\u1ed9t ng\u1ed9t sau khi \u0103n, u\u1ed1ng ho\u1eb7c n\u00f4n<\/p>\n\n\n\n

\ud83d\udd39 Kh\u00f3 th\u1edf, th\u1edf r\u00edt, kh\u00f2 kh\u00e8<\/p>\n\n\n\n

\ud83d\udd39 Kh\u00e0n ti\u1ebfng, m\u1ea5t ti\u1ebfng (n\u1ebfu d\u1ecb v\u1eadt \u1edf thanh qu\u1ea3n)<\/p>\n\n\n\n

\ud83d\udd39 C\u1ea3m gi\u00e1c n\u1eb7ng sau x\u01b0\u01a1ng \u1ee9c (n\u1ebfu \u1edf kh\u00ed qu\u1ea3n)<\/p>\n\n\n\n

\ud83d\udd39 Ho dai d\u1eb3ng, s\u1ed1t, kh\u1ea1c \u0111\u00e0m n\u1ebfu d\u1ecb v\u1eadt l\u1ecdt s\u00e2u v\u00e0o ph\u1ed5i<\/p>\n\n\n\n

\ud83d\udd39 Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, tri\u1ec7u ch\u1ee9ng di\u1ec5n ra \u00e2m th\u1ea7m, d\u1ec5 b\u1ecf s\u00f3t<\/p>\n\n\n\n

Bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m n\u1ebfu kh\u00f4ng x\u1eed tr\u00ed k\u1ecbp th\u1eddi<\/strong><\/p>\n\n\n\n

\ud83d\udd38 Suy h\u00f4 h\u1ea5p c\u1ea5p – c\u00f3 th\u1ec3 t\u1eed vong nhanh ch\u00f3ng<\/p>\n\n\n\n

\ud83d\udd38 Vi\u00eam ph\u1ed5i h\u00edt, \u00e1p xe ph\u1ed5i, x\u1eb9p ph\u1ed5i<\/p>\n\n\n\n

\ud83d\udd38 T\u1ed5n th\u01b0\u01a1ng thanh qu\u1ea3n ho\u1eb7c m\u00f4 ph\u1ed5i do v\u1eadt s\u1eafc nh\u1ecdn (nh\u01b0 v\u1ecf kim lo\u1ea1i)
\ud83d\udd38 S\u1eb9o ph\u1ed5i v\u00e0 bi\u1ebfn ch\u1ee9ng m\u1ea1n t\u00ednh<\/p>\n\n\n\n

L\u00e0m g\u00ec khi nghi ng\u1edd b\u1ecb h\u00f3c d\u1ecb v\u1eadt?<\/strong><\/p>\n\n\n\n

\u2705 S\u01a1 c\u1ee9u ngay:<\/p>\n\n\n\n

    \n
  • Ho m\u1ea1nh n\u1ebfu c\u00f2n t\u1ec9nh t\u00e1o<\/li>\n\n\n\n
  • V\u1ed7 l\u01b0ng – \u00e9p ng\u1ef1c (tr\u1ebb nh\u1ecf) ho\u1eb7c nghi\u1ec7m ph\u00e1p Heimlich (tr\u1ebb l\u1edbn v\u00e0 ng\u01b0\u1eddi l\u1edbn)<\/li>\n\n\n\n
  • G\u1ecdi c\u1ea5p c\u1ee9u 115 ngay l\u1eadp t\u1ee9c<\/li>\n\n\n\n
  • N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh b\u1ea5t t\u1ec9nh, ti\u1ebfn h\u00e0nh h\u1ed3i s\u1ee9c tim ph\u1ed5i (CPR)<\/li>\n<\/ul>\n\n\n\n

    \u2705 T\u1ea1i b\u1ec7nh vi\u1ec7n:<\/p>\n\n\n\n

      \n
    • Ch\u1ee5p X-quang, CT ng\u1ef1c n\u1ebfu nghi ng\u1edd d\u1ecb v\u1eadt<\/li>\n\n\n\n
    • N\u1ed9i soi ph\u1ebf qu\u1ea3n \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u00e0 l\u1ea5y d\u1ecb v\u1eadt ra kh\u1ecfi \u0111\u01b0\u1eddng th\u1edf<\/li>\n\n\n\n
    • \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh n\u1ebfu c\u00f3 vi\u00eam ph\u1ed5i, bi\u1ebfn ch\u1ee9ng<\/li>\n\n\n\n
    • \u0110\u00e1nh gi\u00e1 nguy\u00ean nh\u00e2n \u0111\u1ec3 ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t<\/li>\n<\/ul>\n\n\n\n

      L\u1eddi khuy\u00ean t\u1eeb b\u00e1c s\u0129<\/strong><\/p>\n\n\n\n

      D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf b\u1ea5t k\u1ef3 ai, trong nh\u1eefng t\u00ecnh hu\u1ed1ng r\u1ea5t \u0111\u1eddi th\u01b0\u1eddng nh\u01b0: \u0103n u\u1ed1ng, d\u00f9ng thu\u1ed1c hay ch\u01a1i \u0111\u00f9a. \u0110\u1ec3 gi\u1ea3m nguy c\u01a1 g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m n\u00e0y, m\u1ed7i ng\u01b0\u1eddi c\u1ea7n l\u01b0u \u00fd m\u1ed9t v\u00e0i nguy\u00ean t\u1eafc \u0111\u01a1n gi\u1ea3n:<\/p>\n\n\n\n

        \n
      • \u0102n u\u1ed1ng \u0111\u00fang t\u01b0 th\u1ebf, t\u1eadp trung khi \u0103n, tr\u00e1nh n\u00f3i chuy\u1ec7n ho\u1eb7c c\u01b0\u1eddi \u0111\u00f9a<\/li>\n\n\n\n
      • Nhai k\u1ef9, nu\u1ed1t tr\u1ecdn t\u1eebng mi\u1ebfng, kh\u00f4ng \u0103n v\u1ed9i v\u00e0ng ho\u1eb7c v\u1eeba \u0103n, v\u1eeba v\u1eadn \u0111\u1ed9ng<\/li>\n\n\n\n
      • Ki\u1ec3m tra k\u1ef9 tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c, nh\u1ea5t l\u00e0 c\u00e1c lo\u1ea1i vi\u00ean nang, vi\u00ean n\u00e9n l\u1edbn ho\u1eb7c c\u00f3 l\u1edbp v\u1ecf b\u00ean ngo\u00e0i, kh\u00f4ng n\u00ean c\u1eaft nh\u1ecf v\u1ec9 thu\u1ed1c c\u00f3 v\u1ecf b\u1ecdc kim lo\u1ea1i n\u1ebfu th\u1eadt s\u1ef1 kh\u00f4ng c\u1ea7n thi\u1ebft<\/li>\n\n\n\n
      • Kh\u00f4ng cho tr\u1ebb nh\u1ecf ch\u01a1i c\u00e1c v\u1eadt nh\u1ecf, d\u1ec5 cho v\u00e0o mi\u1ec7ng; lu\u00f4n gi\u00e1m s\u00e1t khi tr\u1ebb \u0103n u\u1ed1ng ho\u1eb7c ch\u01a1i \u0111\u1ed3 ch\u01a1i<\/li>\n\n\n\n
      • V\u1edbi ng\u01b0\u1eddi l\u1edbn tu\u1ed5i ho\u1eb7c ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd v\u1ec1 nu\u1ed1t, n\u00ean c\u00f3 ng\u01b0\u1eddi h\u1ed7 tr\u1ee3 ho\u1eb7c t\u01b0 v\u1ea5n dinh d\u01b0\u1ee1ng ph\u00f9 h\u1ee3p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n<\/li>\n<\/ul>\n\n\n\n

        Nh\u1eefng th\u00f3i quen nh\u1ecf, s\u1ef1 c\u1ea9n tr\u1ecdng \u0111\u01a1n gi\u1ea3n trong sinh ho\u1ea1t h\u1eb1ng ng\u00e0y c\u00f3 th\u1ec3 gi\u00fap ph\u00f2ng tr\u00e1nh m\u1ed9t tai n\u1ea1n nghi\u00eam tr\u1ecdng, b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe cho b\u1ea3n th\u00e2n v\u00e0 c\u1ea3 gia \u0111\u00ecnh. D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf t\u01b0\u1edfng nh\u1ecf nh\u01b0ng c\u00f3 th\u1ec3 g\u00e2y h\u1eadu qu\u1ea3 kh\u00f4n l\u01b0\u1eddng. \u0110\u1eebng \u0111\u1ec3 nh\u1eefng h\u00e0nh \u0111\u1ed9ng \u0111\u01a1n gi\u1ea3n nh\u01b0 u\u1ed1ng thu\u1ed1c hay \u0103n u\u1ed1ng v\u1ed9i v\u00e0ng tr\u1edf th\u00e0nh tai n\u1ea1n nghi\u00eam tr\u1ecdng.<\/p>\n\n\n\n

        Ths.Bs Hu\u1ef3nh Th\u1ecb Thanh Ph\u01b0\u01a1ng<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

        C\u00e1c b\u00e1c s\u0129 Khoa N\u1ed9i h\u00f4 h\u1ea5p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho ng\u01b0\u1eddi b\u1ec7nh V.V.T (62 tu\u1ed5i) b\u1ecb h\u00f3c d\u1ecb v\u1eadt v\u00e0o \u0111\u01b0\u1eddng th\u1edf khi \u0111ang sinh ho\u1ea1t t\u1ea1i nh\u00e0. D\u1ecb v\u1eadt l\u00e0 vi\u00ean thu\u1ed1c ch\u01b0a b\u00f3c v\u1ecf kim lo\u1ea1i. \u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 V\u00e0o ng\u00e0y 12\/05\/2025, \u00f4ng V.V.T \u0111i mua 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