{"id":103287,"date":"2021-09-07T00:00:00","date_gmt":"2021-09-07T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/ho-van-tim-3-la-o-tre-so-sinh\/"},"modified":"2023-05-23T00:00:00","modified_gmt":"2023-05-23T00:00:00","slug":"ho-van-tim-3-la-o-tre-so-sinh","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/nhi\/ho-van-tim-3-la-o-tre-so-sinh\/","title":{"rendered":"H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh: Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh (b\u1ec7nh tim Ebstein) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng van tim \u1edf tr\u1ebb em ngay t\u1eeb m\u1edbi sinh ra (d\u1ecb t\u1eadt tim b\u1ea9m sinh). B\u1ec7nh l\u00fd n\u00e0y khi\u1ebfn cho l\u01b0\u1ee3ng m\u00e1u l\u01b0u th\u00f4ng c\u1ee7a tr\u1ebb kh\u00f4ng \u0111i li\u00ean t\u1ee5c theo 1 chi\u1ec1u theo t\u1eebng nh\u1ecbp co b\u00f3p c\u01a1 tim, \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ef1 thi\u1ebfu h\u1ee5t nhu c\u1ea7u oxy c\u1ee7a to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 tr\u1ebb v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u00f4m nay m\u1eddi b\u1ea1n c\u00f9ng <strong><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a><\/strong> t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c bi\u1ec3u hi\u1ec7n <strong><a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/ho-van-3-la\/\" target=\"_blank\" rel=\"noreferrer noopener\">h\u1edf van 3 l\u00e1<\/a> \u1edf tr\u1ebb s\u01a1 sinh<\/strong>, nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd b\u1ea9m sinh n\u00e0y nh\u01b0 th\u1ebf n\u00e0o nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"t\u1ed5ng-quan-v\u1ec1-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh\">T\u1ed5ng quan v\u1ec1 h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Van 3 l\u00e1 l\u00e0 m\u1ed9t c\u1ea5u tr\u00fac ng\u0103n c\u00e1ch bu\u1ed3ng tim tr\u00ean b\u00ean ph\u1ea3i (t\u00e2m nh\u0129 ph\u1ea3i) v\u00e0 bu\u1ed3ng tim d\u01b0\u1edbi b\u00ean ph\u1ea3i (t\u00e2m th\u1ea5t ph\u1ea3i). Th\u00f4ng th\u01b0\u1eddng, van 3 l\u00e1 \u0111\u00f3ng ho\u00e0n to\u00e0n khi t\u00e2m th\u1ea5t ph\u1ea3i co b\u00f3p \u0111\u1ec3 \u0111\u1ea9y m\u00e1u l\u00ean h\u1ec7 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, ng\u0103n m\u00e1u \u0111i ng\u01b0\u1ee3c l\u1ea1i t\u00e2m nh\u0129 ph\u1ea3i.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi b\u1ec7nh l\u00fd h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh, van tim b\u1ecb d\u1ecb d\u1ea1ng v\u00e0 kh\u00f4ng th\u1ec3 \u0111\u00f3ng l\u1ea1i k\u00edn nh\u01b0 th\u00f4ng th\u01b0\u1eddng, khi\u1ebfn cho m\u1ed9t l\u01b0\u1ee3ng m\u00e1u ph\u1ee5t tr\u1edf l\u1ea1i t\u00e2m nh\u0129 ph\u1ea3i. T\u00ecnh tr\u1ea1ng \u0111\u00f3 n\u1ebfu k\u00e9o d\u00e0i c\u00f3 th\u1ec3 khi\u1ebfn t\u00e2m nh\u0129 tr\u1edf n\u00ean to ra v\u00ec l\u01b0\u1ee3ng m\u00e1u t\u0103ng th\u00eam; nghi\u00eam tr\u1ecdng h\u01a1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy tim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00f4i khi h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 \u0111i k\u00e8m khuy\u1ebft t\u1eadt v\u00e1ch li\u00ean nh\u0129 (ASD) &#8211; m\u1ed9t l\u1ed7 tr\u00ean v\u00e1ch gi\u1eefa hai bu\u1ed3ng tim tr\u00ean ho\u1eb7c c\u00e1c d\u1ecb t\u1eadt tim b\u1ea9m sinh kh\u00e1c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 trong h\u1ec7 th\u1ed1ng d\u1eabn truy\u1ec1n tim (m\u1ed9t m\u1ea1ng l\u01b0\u1edbi th\u1ea7n kinh n\u1eb1m trong c\u01a1 tim, c\u00f3 vai tr\u00f2 \u0111i\u1ec1u h\u00f2a s\u1ef1 co b\u00f3p c\u01a1 tim). Tr\u1ebb s\u01a1 sinh b\u1ecb h\u1edf van tim 3 l\u00e1 c\u00f3 th\u1ec3 m\u1eafc h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White, hi\u1ec3u \u0111\u01a1n gi\u1ea3m l\u00e0 c\u00f3 th\u00eam m\u1ed9t s\u1ef1 d\u1eabn truy\u1ec1n ph\u1ee5 gi\u1eefa c\u00e1c bu\u1ed3ng tim tr\u00ean v\u00e0 d\u01b0\u1edbi. T\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn c\u00e1c b\u1ec7nh l\u00ed v\u1ec1 r\u1ed1i lo\u1ea1n d\u1ea7n truy\u1ec1n tim ho\u1eb7c r\u1ed3i lo\u1ea1n nh\u1ecbp tim<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u1edf d\u0129 h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh tim Ebstein hay d\u1ecb t\u1eadt tim Ebstein l\u00e0 do b\u1ec7nh l\u00fd n\u00e0y \u0111\u01b0\u1ee3c \u0111\u1eb7t theo t\u00ean c\u1ee7a Wilhelm Ebstein, m\u1ed9t b\u00e1c s\u0129 ng\u01b0\u1eddi \u0110\u1ee9c \u0111\u1ed3ng th\u1eddi l\u00e0 ng\u01b0\u1eddi \u0111\u1ea7u ti\u00ean m\u00f4 t\u1ea3 n\u00f3.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-gay-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh-d\u1ecb-t\u1eadt-tim-ebstein\">Nguy\u00ean nh\u00e2n g\u00e2y h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh (d\u1ecb t\u1eadt tim Ebstein)<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">&#8220;D\u1ecb t\u1eadt\u201d c\u00f3 ngh\u0129a l\u00e0 s\u1ef1 kh\u00e1c bi\u1ec7t ho\u1eb7c b\u1ea5t th\u01b0\u1eddng. V\u1edbi m\u1ed9t tr\u1ebb s\u01a1 sinh m\u1eafc d\u1ecb t\u1eadt tim Ebstein, c\u1ea5u tr\u00fac van 3 l\u00e1 \u0111\u00e3 kh\u00f4ng \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n c\u1ee7a b\u00e0o thai. Van 3 l\u00e1 b\u00ecnh th\u01b0\u1eddng g\u1ed3m 3 l\u00e1 van, ch\u00fang \u0111\u00f3ng m\u1edf \u0111\u1ed3ng b\u1ed9 \u0111\u1ec3 cho m\u00e1u ch\u1ea3y t\u1eeb bu\u1ed3ng tim tr\u00ean xu\u1ed1ng bu\u1ed3ng d\u01b0\u1edbi m\u00e0 kh\u00f4ng b\u1ecb ph\u1ee5t ng\u01b0\u1ee3c tr\u1edf l\u1ea1i. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi b\u1ec7nh h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh, m\u1ed9t ho\u1eb7c hai trong s\u1ed1 3 l\u00e1 van c\u00f3 th\u1ec3 b\u1ecb d\u00ednh v\u00e0o th\u00e0nh c\u1ee7a t\u00e2m th\u1ea5t ph\u1ea3i ho\u1eb7c v\u00e1ch ng\u0103n (v\u00e1ch c\u01a1 tim gi\u1eefa t\u00e2m th\u1ea5t tr\u00e1i v\u00e0 ph\u1ea3i c\u1ee7a tim). Van c\u00f3 th\u1ec3 b\u1ecb d\u1ecb d\u1ea1ng nghi\u00eam tr\u1ecdng v\u00e0 c\u00e1c l\u00e1 van c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf v\u1ecb tr\u00ed th\u1ea5p h\u01a1n so v\u1edbi tim b\u00ecnh th\u01b0\u1eddng. H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh l\u00e0m thay \u0111\u1ed5i l\u01b0\u1ee3ng m\u00e1u t\u00e2m nh\u0129 b\u01a1m xu\u1ed1ng t\u00e2m th\u1ea5t ph\u1ea3i, h\u1eadu qu\u1ea3 l\u00e0 t\u00e2m nh\u0129 ph\u1ea3i l\u1edbn h\u01a1n v\u00e0 t\u00e2m th\u1ea5t ph\u1ea3i nh\u1ecf h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cac-tri\u1ec7u-ch\u1ee9ng-c\u1ee7a-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh bao g\u1ed3m m\u1ed9t s\u1ed1 ho\u1eb7c t\u1ea5t c\u1ea3 nh\u1eefng d\u1ea5u hi\u1ec7u &nbsp;sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tr\u1ebb ch\u1eadm t\u0103ng tr\u01b0\u1edfng so v\u1edbi c\u00e1c tr\u1ebb c\u00f9ng l\u1ee9a.<\/li>\n\n\n\n<li>D\u1ea5u hi\u1ec7u h\u1edf van tim \u1edf tr\u1ebb s\u01a1 sinh &#8211; nh\u1ecbp tim nhanh.<\/li>\n\n\n\n<li>Kh\u00f3 th\u1edf, ho\u1eb7c th\u1edf nhanh.<\/li>\n\n\n\n<li>M\u1ec7t m\u1ecfi.<\/li>\n\n\n\n<li>T\u00edm m\u00f4i. Da tr\u1ebb kh\u00f4ng h\u1ed3ng h\u00e0o m\u00e0 chuy\u1ec3n sang m\u00e0u xanh, t\u00edm (ch\u00fa \u00fd m\u00f3ng tay).<\/li>\n\n\n\n<li>Ph\u00f9 2 ch\u00e2n.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"khi-nao-be-c\u1ea7n-di-kham-bac-si\">Khi n\u00e0o b\u00e9 c\u1ea7n \u0111i kh\u00e1m b\u00e1c s\u0129?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu con b\u1ea1n c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tim \u2013 v\u00ed d\u1ee5 nh\u01b0 kh\u00f3 th\u1edf ngay c\u1ea3 khi ngh\u1ec9 ng\u01a1i hay v\u1eadn \u0111\u1ed9ng nh\u1eb9, d\u1ec5 m\u1ec7t m\u1ecfi, tr\u1ebb t\u00edm m\u00f4i v\u00e0 m\u00f3ng tay c\u00f3 m\u00e0u xanh ho\u1eb7c ch\u00e2n tr\u1ebb b\u1ecb s\u01b0ng ph\u00f9 c\u1ea3 2 ch\u00e2n, h\u00e3y li\u00ean h\u1ec7 ngay v\u1edbi b\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh tim b\u1ea9m sinh \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m k\u0129 c\u00e0ng v\u00e0 c\u00e2n nh\u1eafc \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi cho tr\u1ebb.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"bac-si-nhi-gi\u1ecfi-v\u1ec1-tim-m\u1ea1ch\">B\u00e1c s\u0129 nhi gi\u1ecfi v\u1ec1 tim m\u1ea1ch<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00e1c s\u0129 Ngo\u1ea1i nhi Nguy\u1ec5n Tr\u1ea7n Vi\u1ec7t T\u00e1nh &#8211; B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng 2 &#8211; TPHCM<\/li>\n<\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/786?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u00e1c s\u0129 L\u00ea H\u1ed3ng Quang &#8211; Tr\u01b0\u1edfng khoa h\u1ed3i s\u1ee9c n\u1ed9i tim m\u1ea1ch B\u1ec7nh vi\u1ec7n Nhi Trung \u01af\u01a1ng &#8211; H\u00e0 N\u1ed9i<\/li>\n<\/ul>\n\n\n\n<iframe width=\"100%\" style=\"height: 330px\" src=\"https:\/\/www.docosan.com\/widget\/doctor-info\/826?book=1&amp;utm_source=embed-widget\" frameborder=\"0\"><\/iframe>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"xet-nghi\u1ec7m-va-ch\u1ea9n-doan-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh\">X\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/doctor-with-stethoscope-baby-without-clothes-examination-by-doctor-1024x684.jpg\" alt=\"\" class=\"wp-image-18883\"\/><figcaption class=\"wp-element-caption\"> Ch\u1ea9n \u0111o\u00e1n thai nhi b\u1ecb h\u1edf van tim 3 l\u00e1 nh\u1eb9<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh th\u00f4ng qua si\u00eau \u00e2m tr\u01b0\u1edbc khi sinh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u1ebb s\u01a1 sinh b\u1ecb h\u1edf van tim 3 l\u00e1 c\u00f3 th\u1ec3 c\u00f3 bi\u1ec3u hi\u1ec7n t\u00edm t\u00e1i (da c\u00f3 m\u00e0u xanh, t\u00edm) v\u00e0 c\u00f3 th\u1ec3 kh\u00f3 th\u1edf (ng\u1ea1t) sau khi sinh. Nh\u1eefng \u0111\u1ee9a tr\u1ebb n\u00e0y ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t v\u1ec1 tim (CICU) \u0111\u1ec3 \u0111\u00e1nh gi\u00e1. Tr\u1ebb s\u01a1 sinh s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0110\u01a1n v\u1ecb Ch\u0103m s\u00f3c Chuy\u00ean s\u00e2u v\u1ec1 <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/\" target=\"_blank\" rel=\"noreferrer noopener\">Tim m\u1ea1ch<\/a>), n\u01a1i c\u00e1c em s\u1ebd nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 ch\u0103m s\u00f3c v\u00e0 theo d\u00f5i 24\/24 b\u1edfi m\u1ed9t nh\u00f3m c\u00e1c chuy\u00ean gia tim m\u1ea1ch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tr\u1ebb s\u01a1 sinh b\u1ecb h\u1edf van 3 l\u00e1 nghi\u00eam tr\u1ecdng s\u1ebd c\u00f3 l\u01b0\u1ee3ng oxy trong m\u00e1u r\u1ea5t th\u1ea5p v\u00e0 tim to l\u00ean \u0111\u00e1ng k\u1ec3. B\u00e1c s\u0129 c\u00f3 th\u1ec3 nghe th\u1ea5y ti\u1ebfng tim b\u1ea5t th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 \u00e2m th\u1ed5i, khi nghe ng\u1ef1c b\u1eb1ng \u1ed1ng nghe.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ti\u1ebfp theo, b\u00e1c s\u0129 s\u1ebd ch\u1ea9n \u0111o\u00e1n h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh b\u1eb1ng c\u00e1ch ti\u1ebfn h\u00e0nh m\u1ed9t v\u00e0i ho\u1eb7c t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>X-quang ng\u1ef1c<\/li>\n\n\n\n<li>Si\u00eau \u00e2m tim (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &#8220;ti\u1ebfng vang&#8221; ho\u1eb7c si\u00eau \u00e2m tim): s\u00f3ng \u00e2m thanh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 xem tim<\/li>\n\n\n\n<li>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG): \u0111o ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim<\/li>\n\n\n\n<li>Ki\u1ec3m tra v\u1eadn \u0111\u1ed9ng<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00f4i khi, th\u00f4ng tim s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n ho\u1eb7c cung c\u1ea5p th\u00eam th\u00f4ng tin. Th\u1ee7 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh khi m\u1ed9t \u1ed1ng m\u1ecfng \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o b\u00ean trong tim, b\u1eaft \u0111\u1ea7u t\u1eeb b\u00ean ngo\u00e0i c\u01a1 th\u1ec3 tr\u1ebb qua t\u0129nh m\u1ea1ch v\u00e0 \/ ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch \u1edf ch\u00e2n, ho\u1eb7c trong tr\u01b0\u1eddng h\u1ee3p tr\u1ebb s\u01a1 sinh, qua d\u00e2y r\u1ed1n.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh\">\u0110i\u1ec1u tr\u1ecb h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft. Thay v\u00e0o \u0111\u00f3, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa Tim m\u1ea1ch s\u1ebd theo d\u00f5i tr\u1ebb trong c\u00e1c l\u1ea7n t\u00e1i kh\u00e1m, m\u1ed7i n\u0103m m\u1ed9t l\u1ea7n ho\u1eb7c l\u00e2u h\u01a1n, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00f4ng ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u1eabu thu\u1eadt tim h\u1edf \u0111\u1ec3 s\u1eeda van 3 l\u00e1 l\u00e0 b\u1eaft bu\u1ed9c trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p khi h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh. \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u00e9. B\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 s\u1eeda van 3 l\u00e1 \u0111\u1ec3 gi\u00fap n\u00f3 ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng. N\u1ebfu kh\u00f4ng, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt s\u1ebd thay van 3 l\u00e1 b\u1eb1ng van t\u1eeb tim \u0111\u01b0\u1ee3c hi\u1ebfn t\u1eb7ng ho\u1eb7c t\u1eeb \u0111\u1ed9ng v\u1eadt.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng nh\u1ea5t, khi t\u00e2m th\u1ea5t ph\u1ea3i (bu\u1ed3ng d\u01b0\u1edbi b\u00ean ph\u1ea3i) nh\u1ecf h\u01a1n nhi\u1ec1u so v\u1edbi b\u00ecnh th\u01b0\u1eddng, h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 m\u1ed9t khuy\u1ebft t\u1eadt tim \u0111\u01a1n thu\u1ea7n \u1edf t\u00e2m th\u1ea5t. \u00cdt nh\u1ea5t 3 cu\u1ed9c ph\u1eabu thu\u1eadt s\u1ebd \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 chuy\u1ec3n h\u01b0\u1edbng d\u00f2ng ch\u1ea3y c\u1ee7a m\u00e1u. C\u00e1c chuy\u00ean gia hay b\u00e1c s\u0129 ph\u1eabu thu\u1eadt tim m\u1ea1ch s\u1ebd gi\u1ea3i th\u00edch c\u1ee5 th\u1ec3 cho gia \u0111\u00ecnh.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh k\u00e8m theo h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh m\u1ed9t k\u1ef9 thu\u1eadt \u0111\u1eb7t \u1ed1ng th\u00f4ng \u0111\u1ec3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 trong c\u01a1 tim.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"nh\u1eadn-d\u1ecbnh-v\u1ec1-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh\">Nh\u1eadn \u0111\u1ecbnh v\u1ec1 h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1edd nh\u1eefng b\u01b0\u1edbc ti\u1ebfn to l\u1edbn trong y h\u1ecdc v\u00e0 c\u00f4ng ngh\u1ec7, ng\u00e0y nay h\u1ea7u h\u1ebft tr\u1ebb em m\u1eafc b\u1ec7nh tim b\u1ea9m sinh \u0111\u1ec1u c\u00f3 cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng khi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"theo-doi-cham-soc\">Theo d\u00f5i ch\u0103m s\u00f3c<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">L\u00fac tr\u1ebb c\u00f2n nh\u1ecf, c\u00e1c b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch nhi s\u1ebd theo d\u00f5i c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh cho \u0111\u1ebfn khi c\u00e1c b\u00e9 \u0111\u1ebfn \u0111\u1ed9 tu\u1ed5i thi\u1ebfu ni\u00eam, ph\u1ed1i h\u1ee3p ch\u0103m s\u00f3c v\u1edbi b\u00e1c s\u0129 ch\u0103m s\u00f3c ch\u00ednh. B\u1ec7nh nh\u00e2n s\u1ebd c\u1ea7n ph\u1ea3i tu\u00e2n th\u1ee7 c\u1ea9n th\u1eadn l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129, bao g\u1ed3m c\u1ea3 vi\u1ec7c ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u00f3 th\u1ec3 ph\u1ea3i h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng th\u1ec3 d\u1ee5c th\u1ec3 thao.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng tr\u1ebb b\u1ecb h\u1edf van tim 3 l\u00e1 n\u1eb7ng khi m\u1edbi sinh c\u1ea7n ph\u1eabu thu\u1eadt tim m\u1edf ngay l\u00fac ch\u00e0o \u0111\u1eddi \u0111\u1ec3 c\u00f3 th\u1ec3 c\u00f3 ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh t\u1ed1t h\u01a1n, tuy nhi\u00ean qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c \u1edf nh\u1eefng tr\u1ebb n\u00e0y s\u1ebd l\u00e2u h\u01a1n c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u00f4i khi b\u1ec7nh nhi m\u1eafc h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim sau n\u00e0y trong cu\u1ed9c s\u1ed1ng, bao g\u1ed3m nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u v\u00e0 h\u1edf van tim t\u00e1i di\u1ec5n. \u0110i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng thu\u1ed1c, ph\u1eabu thu\u1eadt b\u1ed5 sung v\u00e0\/ ho\u1eb7c \u0111\u1eb7t \u1ed1ng th\u00f4ng tim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi tr\u1ebb \u0111\u1ebfn tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh, tr\u1ebb s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n h\u1ed3 s\u01a1 sang b\u00e1c s\u0129 chuy\u00ean khoa tim b\u1ea9m sinh cho ng\u01b0\u1eddi l\u1edbn.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"cac-bi\u1ebfn-ch\u1ee9ng-c\u1ee7a-h\u1edf-van-tim-3-la-\u1edf-tr\u1ebb-s\u01a1-sinh\">C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">S\u1ef1 l\u01b0u th\u00f4ng m\u00e1u ng\u01b0\u1ee3c chi\u1ec1u k\u00e9o d\u00e0i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy tim sung huy\u1ebft.<\/li>\n\n\n\n<li>Nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng (lo\u1ea1n nh\u1ecbp tim), bao g\u1ed3m nh\u1ecbp nhanh b\u1ea5t th\u01b0\u1eddng (lo\u1ea1n nh\u1ecbp nhanh) v\u00e0 nh\u1ecbp ch\u1eadm b\u1ea5t th\u01b0\u1eddng (lo\u1ea1n nh\u1ecbp v\u00e0 block tim)<\/li>\n\n\n\n<li>C\u1ee5c m\u00e1u \u0111\u00f4ng t\u1eeb tim di chuy\u1ec3n c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 g\u00e2y t\u1eafc m\u1ea1ch.<\/li>\n\n\n\n<li>\u00c1p xe n\u00e3o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 m\u1ed9t d\u1ecb t\u1eadt b\u1ea9m sinh m\u00e0 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng sau n\u00e0y c\u1ee7a tr\u1ebb hay nghi\u1ec7m tr\u1ecdng h\u01a1n l\u00e0 \u0111e d\u1ecda t\u00ednh m\u1ea1ng c\u1ee7a tr\u1ebb. Ch\u00ednh v\u00ec v\u1eady h\u00e3y \u0111\u01b0a tr\u1ebb \u0111i kh\u00e1m b\u00e1c s\u0129 ngay n\u1ebfu b\u1ea1n nh\u1eadn ra con b\u1ea1n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y \u0111\u1ec3 tr\u1ebb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf ngay l\u1eadp t\u1ee9c n\u1ebfu c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p x\u1ea3y ra. \u0110\u1ec3 ph\u00f2ng ng\u1eeba h\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh, NH\u1ea4T THI\u1ebeT PH\u1ea2I t\u1ea7m so\u00e1t \u0111\u1ecbnh k\u00ec tr\u01b0\u1edbc v\u00e0 trong khi mang thai. <\/p>\n\n\n\n<hr class=\"wp-block-separator has-css-opacity\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Xem th\u00eam:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/hep-van-3-la\/\" target=\"_blank\" rel=\"noreferrer noopener\">H\u1eb9p van 3 l\u00e1: \u0110\u1ecbnh ngh\u0129a, tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/hep-van-tim\/\" target=\"_blank\" rel=\"noreferrer noopener\">H\u1eb9p van tim l\u00e0 g\u00ec? Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, c\u00e1ch \u0111i\u1ec1u tr\u1ecb<\/a><\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><em><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Doctor c\u00f3 s\u1eb5n Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 <\/em><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/strong><\/a><em> v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.chop.edu\/conditions-diseases\/ebstein-s-anomaly-tricuspid-valve\" target=\"_blank\" rel=\"noreferrer noopener\">Ebstein\u2019s Anomaly of the Tricuspid Valve<\/a> | Children&#8217;s Hospital of Philadelphia<\/li>\n\n\n\n<li><a href=\"https:\/\/medlineplus.gov\/ency\/article\/007321.htm\" target=\"_blank\" rel=\"noreferrer noopener\">Ebstein anomaly: MedlinePlus Medical Encyclopedia<\/a> \u2013 Medlineplus.gov<\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>H\u1edf van tim 3 l\u00e1 \u1edf tr\u1ebb s\u01a1 sinh (b\u1ec7nh tim Ebstein) l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng van tim \u1edf tr\u1ebb em ngay t\u1eeb m\u1edbi sinh ra (d\u1ecb t\u1eadt tim b\u1ea9m sinh). B\u1ec7nh l\u00fd n\u00e0y khi\u1ebfn cho l\u01b0\u1ee3ng m\u00e1u l\u01b0u th\u00f4ng c\u1ee7a tr\u1ebb kh\u00f4ng \u0111i li\u00ean t\u1ee5c theo 1 chi\u1ec1u theo t\u1eebng nh\u1ecbp co [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":89329,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[59,185],"tags":[],"class_list":["post-103287","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nhi","category-tim-mach"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/ho-van-tim-3-la-o-tre-so-sinh.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/ho-van-tim-3-la-o-tre-so-sinh.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103287","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103287"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103287\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89329"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103287"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103287"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103287"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}