{"id":9056,"date":"2023-08-16T13:54:25","date_gmt":"2023-08-16T13:54:25","guid":{"rendered":"http:\/\/dialtous.com\/?p=9056"},"modified":"2023-08-16T13:54:25","modified_gmt":"2023-08-16T13:54:25","slug":"trung-that-la-gi","status":"publish","type":"post","link":"https:\/\/dialtous.com\/trung-that-la-gi\/","title":{"rendered":"U trung th\u1ea5t: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u00f2ng ng\u1eeba"},"content":{"rendered":"
C\u00e1c kh\u1ed1i u trung th\u1ea5t<\/strong> c\u00f3 th\u1ec3 l\u00e0nh t\u00ednh ho\u1eb7c \u00e1c t\u00ednh v\u00e0 bao g\u1ed3m c\u00e1c kh\u1ed1i u t\u1eeb tuy\u1ebfn \u1ee9c, d\u00e2y th\u1ea7n kinh, m\u00f4 b\u1ea1ch huy\u1ebft (h\u1ea1ch b\u1ea1ch huy\u1ebft, m\u00f4 li\u00ean k\u1ebft ho\u1eb7c t\u1ebf b\u00e0o m\u1ea7m). Nh\u1eefng kh\u1ed1i u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng c\u1ee7a c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi. <\/p>\n U trung th\u1ea5t<\/strong> l\u00e0 kh\u1ed1i u xu\u1ea5t hi\u1ec7n trong v\u00f9ng trung th\u1ea5t. Ch\u00fang c\u00f3 th\u1ec3 l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0) ho\u1eb7c \u00e1c t\u00ednh (ung th\u01b0). V\u1ecb tr\u00ed kh\u1ed1i u trong trung th\u1ea5t ph\u1ee5 thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Th\u00f4ng tin th\u1ed1ng k\u00ea cho th\u1ea5y kh\u1ed1i u ph\u00e1t tri\u1ec3n \u1edf ph\u1ea7n sau trung th\u1ea5t th\u01b0\u1eddng x\u1ea3y ra \u1edf tr\u1ebb em, trong khi kh\u1ed1i u \u1edf ph\u1ea7n tr\u01b0\u1edbc trung th\u1ea5t th\u00ec x\u1ea3y ra nhi\u1ec1u h\u01a1n \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n Trung th\u1ea5t l\u00e0 m\u1ed9t v\u00f9ng \u0111\u01b0\u1ee3c bao quanh b\u1edfi x\u01b0\u01a1ng \u1ee9c \u1edf m\u1eb7t tr\u01b0\u1edbc, c\u1ed9t s\u1ed1ng \u1edf m\u1eb7t sau v\u00e0 ph\u1ed5i \u1edf hai b\u00ean. Trung th\u1ea5t ch\u1ee9a tim, \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft, tuy\u1ebfn \u1ee9c, th\u1ef1c qu\u1ea3n, kh\u00ed qu\u1ea3n v\u00e0 d\u00e2y th\u1ea7n kinh. (1)<\/p>\n C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra kh\u1ed1i u trung th\u1ea5t<\/strong> th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed c\u1ee7a ch\u00fang: (2)<\/p>\n G\u1ea7n 40% c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 kh\u1ed1i u trung th\u1ea5t<\/strong> kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng. Th\u01b0\u1eddng kh\u1ed1i u \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n trong qu\u00e1 tr\u00ecnh ch\u1ee5p X-quang ng\u1ef1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u1ed9t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00e1c. (3)<\/p>\n N\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y, ch\u00fang c\u00f3 th\u1ec3 do kh\u1ed1i u \u0111ang ch\u00e8n \u00e9p c\u00e1c c\u01a1 quan xung quanh:<\/p>\n Theo TS.BS Nguy\u1ec5n Anh D\u0169ng, Tr\u01b0\u1edfng khoa Ph\u1eabu thu\u1eadt Tim m\u1ea1ch – L\u1ed3ng ng\u1ef1c, Trung t\u00e2m tim m\u1ea1ch BV\u0110K T\u00e2m Anh TP.HCM, c\u1ea3 kh\u1ed1i u trung th\u1ea5t l\u00e0nh t\u00ednh v\u00e0 \u00e1c t\u00ednh \u0111\u1ec1u c\u1ea7n \u0111i\u1ec1u tr\u1ecb. N\u1ebfu kh\u00f4ng can thi\u1ec7p, khi kh\u1ed1i u ph\u00e1t tri\u1ec3n, ch\u00fang s\u1ebd ch\u00e8n \u00e9p c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 xung quanh, th\u1eadm ch\u00ed \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng c\u1ee7a nh\u1eefng c\u01a1 quan n\u00e0y.<\/p>\n Ngo\u00e0i ra, c\u00e1c kh\u1ed1i u \u00e1c t\u00ednh c\u00f3 th\u1ec3 lan sang c\u00e1c v\u00f9ng kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3. N\u1ebfu ch\u00fang x\u00e2m l\u1ea5n v\u00e0o t\u1ee7y s\u1ed1ng, s\u1ebd g\u00e2y ch\u00e8n \u00e9p t\u1ee7y s\u1ed1ng. N\u1ebfu kh\u1ed1i u x\u00e2m l\u1ea5n tim ho\u1eb7c c\u00e1c m\u1ea1ch m\u00e1u c\u1ee7a tim, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd \u0111\u1ed1i m\u1eb7t v\u1edbi nguy c\u01a1 t\u1eed vong.<\/p>\n Ngo\u00e0i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb u trung th\u1ea5t b\u1eb1ng ph\u1eabu thu\u1eadt, h\u00f3a tr\u1ecb ho\u1eb7c x\u1ea1 tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n, ch\u1ea3y m\u00e1u, thi\u1ebfu m\u00e1u, t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y, m\u1ec7t m\u1ecfi, r\u1ee5ng t\u00f3c, nhi\u1ec5m tr\u00f9ng, bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au \u0111\u1edbn, s\u01b0ng t\u1ea5y.<\/p>\n C\u00e1c k\u1ef9 thu\u1eadt th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u00e1nh gi\u00e1 kh\u1ed1i u trung th\u1ea5t bao g\u1ed3m:<\/p>\n Theo TS.BS Nguy\u1ec5n Anh D\u0169ng, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u00e1p d\u1ee5ng cho c\u00e1c kh\u1ed1i u trung th\u1ea5t ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i kh\u1ed1i u v\u00e0 v\u1ecb tr\u00ed c\u1ee7a n\u00f3. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng: (4)<\/p>\n M\u1ed9t s\u1ed1 kh\u1ed1i u l\u00e0nh t\u00ednh v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c c\u01a1 quan xung quanh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa. B\u00e1c s\u0129 s\u1ebd theo d\u00f5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ch\u00fang v\u00e0 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt khi c\u1ea7n thi\u1ebft.<\/p>\n So v\u1edbi ph\u1eabu thu\u1eadt truy\u1ec1n th\u1ed1ng, c\u00e1c b\u1ec7nh nh\u00e2n tr\u1ea3i qua ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u nh\u01b0 n\u1ed9i soi l\u1ed3ng ng\u1ef1c lo\u1ea1i b\u1ecf kh\u1ed1i u trong trung th\u1ea5t s\u1ebd c\u00f3 nhi\u1ec1u l\u1ee3i \u00edch, bao g\u1ed3m:<\/p>\n So v\u1edbi ph\u1eabu thu\u1eadt m\u1edf truy\u1ec1n th\u1ed1ng, ph\u1eabu thu\u1eadt n\u1ed9i soi lo\u1ea1i b\u1ecf kh\u1ed1i u trong trung th\u1ea5t \u0111\u00e3 gi\u00fap gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a bi\u1ebfn ch\u1ee9ng trong v\u00e0 sau ph\u1eabu thu\u1eadt. Tuy v\u1eady, v\u1eabn c\u00f3 nguy c\u01a1 g\u1eb7p ph\u1ea3i m\u1ed9t s\u1ed1 r\u1ee7i ro \u0111\u1ed1i v\u1edbi ph\u01b0\u01a1ng ph\u00e1p x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u n\u00e0y. C\u00e1c r\u1ee7i ro bao g\u1ed3m:<\/p>\n T\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh, c\u00e1c b\u00e1c s\u0129 s\u1ebd h\u01b0\u1edbng d\u1eabn c\u1ee5 th\u1ec3 \u0111\u1ec3 b\u1ec7nh nh\u00e2n s\u1eb5n s\u00e0ng cho ca ph\u1eabu thu\u1eadt. Sau giai \u0111o\u1ea1n ph\u1eabu thu\u1eadt, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn chi ti\u1ebft v\u1ec1 c\u00e1ch ch\u0103m s\u00f3c v\u1ebft m\u1ed5, ch\u1ebf \u0111\u1ed9 \u0103n ph\u00f9 h\u1ee3p v\u00e0 ch\u1ebf \u0111\u1ed9 v\u1eadn \u0111\u1ed9ng h\u1ee3p l\u00fd \u0111\u1ec3 h\u1ed3i ph\u1ee5c s\u1ee9c kh\u1ecfe s\u1edbm.<\/p>\n Theo TS.BS Nguy\u1ec5n Anh D\u0169ng, kh\u00f4ng th\u1ec3 ng\u0103n ng\u1eeba kh\u1ed1i u trong trung th\u1ea5t h\u00ecnh th\u00e0nh, nh\u01b0ng c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm \u0111\u1ec3 lo\u1ea1i b\u1ecf n\u00f3 ho\u00e0n to\u00e0n. Quan tr\u1ecdng nh\u1ea5t l\u00e0 m\u1ed7i ng\u01b0\u1eddi h\u00e3y quan t\u00e2m \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh v\u00e0 th\u01b0\u1eddng xuy\u00ean \u0111i kh\u00e1m, \u0111\u1eb7c bi\u1ec7t n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au ng\u1ef1c, kh\u00f3 th\u1edf, ho kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n k\u00e9o d\u00e0i h\u01a1n hai tu\u1ea7n.<\/p>\n Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng cho nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ecb kh\u1ed1i u trong trung th\u1ea5t, bao g\u1ed3m c\u1ea3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 kh\u1ed1i u c\u00f3 k\u00edch th\u01b0\u1edbc l\u00ean t\u1edbi 10cm. Trung t\u00e2m \u01b0u ti\u00ean ph\u00e1t tri\u1ec3n k\u1ef9 thu\u1eadt m\u1ed5 n\u1ed9i soi hi\u1ec7n \u0111\u1ea1i, \u00edt x\u00e2m l\u1ea5n, gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 bi\u1ebfn ch\u1ee9ng cho b\u1ec7nh nh\u00e2n.<\/p>\n Ngo\u00e0i \u0111i\u1ec1u tr\u1ecb u trung th\u1ea5t, Trung t\u00e2m Tim m\u1ea1ch, B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh c\u00f2n ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tim m\u1ea1ch kh\u00e1c nh\u01b0 b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u1ec7nh suy tim, b\u1ec7nh van tim, b\u1ec7nh c\u01a1 tim, suy gi\u00e3n t\u0129nh m\u1ea1ch ch\u00e2n, b\u1ec7nh tim b\u1ea9m sinh. Trung t\u00e2m \u0111\u01b0\u1ee3c trang b\u1ecb c\u00e1c h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c hi\u1ec7n \u0111\u1ea1i nh\u01b0 h\u1ec7 th\u1ed1ng ch\u1ee5p CT 768 l\u00e1t c\u1eaft, h\u1ec7 th\u1ed1ng DSA – ch\u1ee5p m\u1ea1ch v\u00e0nh 2 b\u00ecnh di\u1ec7n, h\u1ec7 th\u1ed1ng m\u00e1y si\u00eau \u00e2m 4D… gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh s\u1edbm v\u00e0 can thi\u1ec7p k\u1ecbp th\u1eddi.<\/p>\n \u0110\u1eebng \u0111\u1ec3 kh\u1ed1i u trong trung th\u1ea5t ph\u00e1t tri\u1ec3n nhanh ch\u00f3ng v\u00e0 g\u00e2y \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe. H\u00e3y t\u1ef1 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 kh\u1ed1i u trung th\u1ea5t.<\/p>\nU trung th\u1ea5t l\u00e0 g\u00ec?<\/h2>\n
Nguy\u00ean nh\u00e2n g\u00e2y ra kh\u1ed1i u trong trung th\u1ea5t<\/h2>\n
Trung th\u1ea5t ph\u00eda tr\u01b0\u1edbc<\/h3>\n
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Trung th\u1ea5t ph\u00eda gi\u1eefa<\/h3>\n
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Trung th\u1ea5t ph\u00eda sau<\/h3>\n
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Tri\u1ec7u ch\u1ee9ng c\u1ee7a kh\u1ed1i u trong trung th\u1ea5t<\/h2>\n
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\nNh\u1eefng c\u01a1n ho dai d\u1eb3ng, ho ra m\u00e1u l\u00e0 d\u1ea5u hi\u1ec7u cho th\u1ea5y kh\u1ed1i u trong trung th\u1ea5t \u0111ang ch\u00e8n \u00e9p ph\u1ed5i.<\/p>\nU trung th\u1ea5t c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/h2>\n
Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n<\/h2>\n
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\nH\u1ec7 th\u1ed1ng ch\u1ee5p CT 768 l\u00e1t c\u1eaft hi\u1ec7n \u0111\u1ea1i t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh gi\u00fap ph\u00e1t hi\u1ec7n s\u1edbm u trung th\u1ea5t.<\/p>\n\u0110i\u1ec1u tr\u1ecb u trung th\u1ea5t<\/h2>\n
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\nC\u00e1c b\u00e1c s\u0129 \u0111ang ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt n\u1ed9i soi lo\u1ea1i b\u1ecf kh\u1ed1i u trong trung th\u1ea5t cho b\u1ec7nh nh\u00e2n t\u1ea1i B\u1ec7nh vi\u1ec7n \u0110a khoa T\u00e2m Anh.<\/p>\n\u01afu \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u trong \u0111i\u1ec1u tr\u1ecb u trung th\u1ea5t<\/h3>\n
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Nh\u1eefng r\u1ee7i ro c\u1ee7a ca ph\u1eabu thu\u1eadt<\/h3>\n
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Ph\u00f2ng ng\u1eeba kh\u1ed1i u trong trung th\u1ea5t<\/h2>\n
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