{"id":270,"date":"2026-10-06T03:25:23","date_gmt":"2026-10-06T03:25:23","guid":{"rendered":"https:\/\/bvth.net\/?p=270"},"modified":"2026-10-06T03:25:49","modified_gmt":"2026-10-06T03:25:49","slug":"nhoi-mau-co-tim-la-gi","status":"publish","type":"post","link":"https:\/\/bvth.net\/?p=270","title":{"rendered":"Nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 g\u00ec?"},"content":{"rendered":"\n
\"\"<\/figure>\n\n\n\n

Nh\u1ed3i m\u00e1u c\u01a1 tim (c\u00f2n g\u1ecdi l\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p<\/strong>) l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh tim x\u1ea3y ra khi d\u00f2ng m\u00e1u \u0111\u1ebfn c\u01a1 tim \u0111\u1ed9t ng\u1ed9t b\u1ecb t\u1eafc ngh\u1ebdn<\/strong>. Khi kh\u00f4ng \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 m\u00e1u, c\u01a1 tim kh\u00f4ng nh\u1eadn \u0111\u01b0\u1ee3c oxy. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nhanh ch\u00f3ng, c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim b\u1eaft \u0111\u1ea7u b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 ch\u1ebft.<\/p>\n\n\n\n

N\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb s\u1edbm, t\u1ed5n th\u01b0\u01a1ng c\u01a1 tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ng\u0103n ng\u1eeba ho\u1eb7c h\u1ea1n ch\u1ebf. V\u00ec v\u1eady, vi\u1ec7c nh\u1eadn bi\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim v\u00e0 g\u1ecdi c\u1ea5p c\u1ee9u ngay<\/strong> khi nghi ng\u1edd l\u00e0 r\u1ea5t quan tr\u1ecdng. \u1ede Vi\u1ec7t Nam, c\u00f3 th\u1ec3 g\u1ecdi 115<\/strong> \u0111\u1ec3 y\u00eau c\u1ea7u c\u1ea5p c\u1ee9u y t\u1ebf.<\/p>\n\n\n\n

Nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00e1c v\u1edbi ng\u1eebng tim \u0111\u1ed9t ng\u1ed9t<\/strong>. Trong nh\u1ed3i m\u00e1u c\u01a1 tim, tim th\u01b0\u1eddng v\u1eabn ti\u1ebfp t\u1ee5c \u0111\u1eadp; c\u00f2n khi ng\u1eebng tim, tim ng\u1eebng b\u01a1m m\u00e1u hi\u1ec7u qu\u1ea3 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng m\u1ea5t \u00fd th\u1ee9c. Nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 th\u1ec3 g\u00e2y ng\u1eebng tim \u0111\u1ed9t ng\u1ed9t. C\u1ea3 hai \u0111\u1ec1u l\u00e0 t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u.<\/p>\n\n\n\n

N\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng nghi ng\u1edd nh\u1ed3i m\u00e1u c\u01a1 tim, h\u00e3y g\u1ecdi c\u1ea5p c\u1ee9u ngay c\u1ea3 khi b\u1ea1n ch\u01b0a ch\u1eafc ch\u1eafn<\/strong>.<\/p>\n\n\n\n

Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0o c\u00f3 th\u1ec3 thay \u0111\u1ed5i?<\/h3>\n\n\n\n

C\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 gi\u1ea3m kh\u1ea3 n\u0103ng b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim:<\/p>\n\n\n\n

    \n
  • H\u00fat thu\u1ed1c l\u00e1:<\/strong> B\u1ecf thu\u1ed1c ho\u1eb7c kh\u00f4ng b\u1eaft \u0111\u1ea7u h\u00fat thu\u1ed1c.<\/li>\n\n\n\n
  • Cholesterol cao v\u00e0 t\u0103ng huy\u1ebft \u00e1p:<\/strong> Ki\u1ec3m so\u00e1t b\u1eb1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, v\u1eadn \u0111\u1ed9ng v\u00e0 thu\u1ed1c khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/li>\n\n\n\n
  • \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng:<\/strong> Ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n\n\n\n
  • \u00cdt v\u1eadn \u0111\u1ed9ng v\u00e0 b\u00e9o ph\u00ec:<\/strong> Duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t v\u00e0 c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd.<\/li>\n\n\n\n
  • C\u0103ng th\u1eb3ng:<\/strong> H\u1ecdc c\u00e1c ph\u01b0\u01a1ng ph\u00e1p l\u00e0nh m\u1ea1nh \u0111\u1ec3 ki\u1ec3m so\u00e1t v\u00e0 \u1ee9ng ph\u00f3 v\u1edbi stress.<\/li>\n<\/ul>\n\n\n\n

    Nh\u1eefng y\u1ebfu t\u1ed1 nguy c\u01a1 n\u00e0o kh\u00f4ng th\u1ec3 thay \u0111\u1ed5i?<\/h3>\n\n\n\n

    M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00f4ng th\u1ec3 thay \u0111\u1ed5i bao g\u1ed3m:<\/p>\n\n\n\n

      \n
    • Tu\u1ed5i<\/li>\n\n\n\n
    • Gi\u1edbi t\u00ednh<\/li>\n\n\n\n
    • Ti\u1ec1n s\u1eed gia \u0111\u00ecnh<\/li>\n\n\n\n
    • Ch\u1ee7ng t\u1ed9c ho\u1eb7c d\u00e2n t\u1ed9c<\/li>\n<\/ul>\n\n\n\n

      Nguy\u00ean nh\u00e2n g\u00e2y nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0 g\u00ec?<\/h3>\n\n\n\n

      Nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong>. Trong b\u1ec7nh n\u00e0y, cholesterol v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c t\u00edch t\u1ee5 \u1edf th\u00e0nh trong c\u1ee7a \u0111\u1ed9ng m\u1ea1ch, t\u1ea1o th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa<\/strong>. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/strong> v\u00e0 c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n trong nhi\u1ec1u n\u0103m.<\/p>\n\n\n\n

      Cu\u1ed1i c\u00f9ng, m\u1ed9t m\u1ea3ng x\u01a1 v\u1eefa c\u00f3 th\u1ec3 b\u1ecb n\u1ee9t ho\u1eb7c v\u1ee1. C\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh t\u1ea1i v\u1ecb tr\u00ed \u0111\u00f3 v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong>, khi\u1ebfn m\u1ed9t ph\u1ea7n c\u01a1 tim kh\u00f4ng \u0111\u01b0\u1ee3c cung c\u1ea5p m\u00e1u v\u00e0 oxy.<\/p>\n\n\n\n

      M\u1ed9t nguy\u00ean nh\u00e2n \u00edt g\u1eb7p h\u01a1n l\u00e0 co th\u1eaft nghi\u00eam tr\u1ecdng \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong>, l\u00e0m gi\u1ea3m ho\u1eb7c ng\u1eebng d\u00f2ng m\u00e1u \u0111\u1ebfn c\u01a1 tim.<\/p>\n\n\n\n

      Tri\u1ec7u ch\u1ee9ng c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim<\/h3>\n\n\n\n

      Tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng v\u00e0 kh\u00f4ng ph\u1ea3i ng\u01b0\u1eddi b\u1ec7nh n\u00e0o c\u0169ng c\u00f3 bi\u1ec3u hi\u1ec7n gi\u1ed1ng nhau.<\/p>\n\n\n\n

      C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t g\u1ed3m:<\/p>\n\n\n\n

        \n
      • Kh\u00f3 ch\u1ecbu ho\u1eb7c \u0111au ng\u1ef1c:<\/strong> Th\u01b0\u1eddng \u1edf gi\u1eefa ho\u1eb7c b\u00ean tr\u00e1i ng\u1ef1c, k\u00e9o d\u00e0i h\u01a1n v\u00e0i ph\u00fat ho\u1eb7c h\u1ebft r\u1ed3i t\u00e1i ph\u00e1t. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111\u00e8 n\u1eb7ng, b\u00f3p ngh\u1eb9t, c\u0103ng t\u1ee9c ho\u1eb7c \u0111au<\/strong>. \u0110\u00f4i khi c\u1ea3m gi\u00e1c gi\u1ed1ng \u1ee3 n\u00f3ng ho\u1eb7c kh\u00f3 ti\u00eau.<\/li>\n\n\n\n
      • Kh\u00f3 th\u1edf:<\/strong> C\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n tr\u01b0\u1edbc ho\u1eb7c c\u00f9ng l\u00fac v\u1edbi \u0111au ng\u1ef1c. \u0110\u00f4i khi kh\u00f3 th\u1edf l\u00e0 tri\u1ec7u ch\u1ee9ng duy nh\u1ea5t v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra c\u1ea3 khi ngh\u1ec9 ng\u01a1i.<\/li>\n\n\n\n
      • \u0110au ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf ph\u1ea7n tr\u00ean c\u01a1 th\u1ec3:<\/strong> C\u00f3 th\u1ec3 lan \u0111\u1ebfn m\u1ed9t ho\u1eb7c c\u1ea3 hai c\u00e1nh tay, l\u01b0ng, vai, c\u1ed5, h\u00e0m ho\u1eb7c v\u00f9ng b\u1ee5ng tr\u00ean.<\/li>\n<\/ul>\n\n\n\n

        Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00f3ng m\u1eb7t, h\u1ed3i h\u1ed9p ho\u1eb7c tim \u0111\u1eadp nhanh, cho\u00e1ng v\u00e1ng v\u00e0 v\u00e3 m\u1ed3 h\u00f4i l\u1ea1nh<\/strong>. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 bi\u1ec3u hi\u1ec7n kh\u00e1c nam gi\u1edbi; ch\u1eb3ng h\u1ea1n, h\u1ecd c\u00f3 th\u1ec3 d\u1ec5 g\u1eb7p t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n\n\n\n

        D\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o c\u1ea7n nh\u1edb:<\/strong><\/p>\n\n\n\n

        \u0110au\/t\u1ee9c ng\u1ef1c \u2192 kh\u00f3 th\u1edf \u2192 \u0111au lan tay, vai, l\u01b0ng ho\u1eb7c h\u00e0m \u2192 v\u00e3 m\u1ed3 h\u00f4i l\u1ea1nh\/ch\u00f3ng m\u1eb7t\/bu\u1ed3n n\u00f4n \u2192 g\u1ecdi c\u1ea5p c\u1ee9u 115 ngay.<\/strong><\/p>\n\n\n\n

        Nh\u1ed3i m\u00e1u c\u01a1 tim \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n\n\n\n

        T\u1ea1i b\u1ec7nh vi\u1ec7n, b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean tri\u1ec7u ch\u1ee9ng, x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 c\u00e1c th\u0103m d\u00f2 tim m\u1ea1ch<\/strong>.<\/p>\n\n\n\n

        Hai x\u00e9t nghi\u1ec7m \u0111\u1eb7c bi\u1ec7t quan tr\u1ecdng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi nghi ng\u1edd nh\u1ed3i m\u00e1u c\u01a1 tim l\u00e0:<\/p>\n\n\n\n

        \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG) + x\u00e9t nghi\u1ec7m Troponin m\u00e1u<\/strong><\/p>\n\n\n\n

        \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 gi\u00fap ph\u00e1t hi\u1ec7n nh\u1eefng thay \u0111\u1ed5i v\u1ec1 ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim do thi\u1ebfu m\u00e1u c\u01a1 tim. Troponin<\/strong> l\u00e0 m\u1ed9t protein c\u1ee7a t\u1ebf b\u00e0o c\u01a1 tim; n\u1ed3ng \u0111\u1ed9 troponin trong m\u00e1u c\u00f3 th\u1ec3 t\u0103ng khi c\u01a1 tim b\u1ecb t\u1ed5n th\u01b0\u01a1ng.<\/p>\n\n\n\n

        \u0110i\u1ec1u tr\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim<\/h3>\n\n\n\n

        \u0110i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t. T\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng, li\u1ec7u ph\u00e1p oxy khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh<\/strong>, c\u00f9ng c\u00e1c th\u1ee7 thu\u1eadt nh\u1eb1m kh\u00f4i ph\u1ee5c d\u00f2ng m\u00e1u \u0111\u1ebfn c\u01a1 tim.<\/p>\n\n\n\n

        C\u00e1c ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p c\u00f3 th\u1ec3 bao g\u1ed3m nong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 \u0111\u1eb7t stent (PCI)<\/strong> ho\u1eb7c ph\u1eabu thu\u1eadt b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong>.<\/p>\n\n\n\n

        Sau nh\u1ed3i m\u00e1u c\u01a1 tim, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim<\/strong>, d\u00f9ng thu\u1ed1c theo ch\u1ec9 \u0111\u1ecbnh v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng gi\u00fap ng\u01b0\u1eddi b\u1ec7nh h\u1ed3i ph\u1ee5c v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1i ph\u00e1t. Ng\u01b0\u1eddi \u0111\u00e3 t\u1eebng b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 nguy c\u01a1 b\u1ecb m\u1ed9t c\u01a1n kh\u00e1c cao h\u01a1n, v\u00ec v\u1eady c\u1ea7n ki\u1ec3m so\u00e1t t\u1ed1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch.<\/p>\n\n\n\n

        T\u00f3m t\u1eaft c\u01a1 ch\u1ebf:<\/strong><\/p>\n\n\n\n

        M\u1ea3ng x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u2192 m\u1ea3ng x\u01a1 v\u1eefa n\u1ee9t\/v\u1ee1 \u2192 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng \u2192 t\u1eafc \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u2192 c\u01a1 tim thi\u1ebfu oxy \u2192 nh\u1ed3i m\u00e1u c\u01a1 tim.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

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