{"id":103523,"date":"2021-08-12T00:00:00","date_gmt":"2021-08-12T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/suy-tim\/"},"modified":"2025-07-17T21:53:27","modified_gmt":"2025-07-17T14:53:27","slug":"suy-tim","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tim-mach\/suy-tim\/","title":{"rendered":"Suy tim: d\u1ea5u hi\u1ec7u, nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><script>\r\n    window.addEventListener(\"load\", function () {\r\n      \/\/ Change right desktop block image\r\n      var adBlockRight = document.getElementById('docosan_blog_ad-3');\r\n      if (adBlockRight) {\r\n        var imgBlockRight = adBlockRight.getElementsByTagName('img');\r\n        var imgLinkRight = \"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/Banner-bottom-mobile.jpg\";\r\n        \r\n        if (imgBlockRight.length > 0) {\r\n          imgBlockRight[0].setAttribute(\"src\", imgLinkRight);\r\n          imgBlockRight[0].setAttribute(\"data-src\", imgLinkRight);\r\n        }\r\n      }\r\n    });\r\n  <\/script><\/p>\r\n\r\n<p class=\"wp-block-paragraph\">Suy tim l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng, h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a nhi\u1ec1u <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/benh-tim-mach\/\" target=\"_blank\" rel=\"noreferrer noopener\">b\u1ec7nh l\u00fd tim m\u1ea1ch<\/a>. Suy tim c\u0169ng ch\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n tim m\u1ea1ch g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u. Hi\u1ec3u bi\u1ebft th\u00eam v\u1ec1 b\u1ec7nh suy tim gi\u00fap ng\u01b0\u1eddi b\u1ec7nh n\u1eafm \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh c\u1ee7a m\u00ecnh, th\u00f4ng qua \u0111\u00f3 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, k\u00e9o d\u00e0i \u0111\u1eddi s\u1ed1ng.<\/p>\r\n\r\n\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Suy tim l\u00e0 g\u00ec?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Theo ESC 2016 (European Society of Cardioly, Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u), suy tim l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 kh\u00f3 th\u1edf, ph\u00f9 m\u1eaft c\u00e1 ch\u00e2n v\u00e0 m\u1ec7t m\u1ecfi, c\u00f3 th\u1ec3 \u0111i k\u00e8m v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u kh\u00e1c nh\u01b0 t\u0103ng \u00e1p l\u1ef1c t\u0129nh m\u1ea1ch, ran n\u1ed5 \u1edf ph\u1ed5i v\u00e0 ph\u00f9 ngo\u1ea1i vi) do b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac v\u00e0 (ho\u1eb7c) ch\u1ee9c n\u0103ng c\u1ee7a tim, d\u1eabn \u0111\u1ebfn gi\u1ea3m cung l\u01b0\u1ee3ng tim v\u00e0 (ho\u1eb7c) t\u0103ng \u00e1p l\u1ef1c n\u1ed9i t\u00e2m m\u1ea1c khi ngh\u1ec9 ng\u01a1i ho\u1eb7c khi c\u0103ng th\u1eb3ng.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Suy tim c\u00f2n \u0111\u01b0\u1ee3c bi\u1ebft qua h\u1ed9i ch\u1ee9ng suy tim sung huy\u1ebft tr\u00ean l\u00e2m s\u00e0ng, bi\u1ec3u hi\u1ec7n b\u1eb1ng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i v\u00e0 r\u1ed1i lo\u1ea1n s\u1ef1 \u0111i\u1ec1u h\u00f2a th\u1ea7n kinh &#8211; hormon (theo Packer). H\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 r\u1ed1i lo\u1ea1n \u0111\u00f3 ch\u00ednh l\u00e0 tim s\u1ebd m\u1ea5t kh\u1ea3 n\u0103ng g\u1eafng s\u1ee9c, \u1ee9 d\u1ecbch v\u00e0 tu\u1ed5i th\u1ecd s\u1ebd gi\u1ea3m \u0111i.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Suy tim t\u00e2m thu<\/strong> khi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u \u2264 40% (suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u gi\u1ea3m), th\u01b0\u1eddng x\u1ea3y ra do ch\u1ee9c n\u0103ng co b\u00f3p t\u00e2m th\u1ea5t suy gi\u1ea3m<\/li>\r\n<li><strong>Suy tim t\u00e2m tr\u01b0\u01a1ng<\/strong> khi ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u \u2265 50% (suy tim ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u b\u1ea3o t\u1ed3n), th\u01b0\u1eddng do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00e2m tr\u01b0\u01a1ng c\u1ee7a t\u00e2m th\u1ea5t l\u00e0m gi\u1ea3m \u0111\u1ed5 \u0111\u1ea7y th\u1ea5t.<\/li>\r\n<\/ul>\r\n<p>B\u1ea1n v\u1eeba t\u00ecm hi\u1ec3u v\u1ec1 suy tim \u2013 m\u1ed9t h\u1ed9i ch\u1ee9ng l\u00e2m s\u00e0ng ph\u1ee9c t\u1ea1p \u0111\u01b0\u1ee3c Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u \u0111\u1ecbnh ngh\u0129a r\u00f5 r\u00e0ng, c\u00f9ng v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n v\u00e0 ph\u00e2n lo\u1ea1i kh\u00e1c nhau c\u1ee7a n\u00f3. R\u00f5 r\u00e0ng, suy tim kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng s\u00e2u s\u1eafc \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng m\u00e0 c\u00f2n ti\u1ec1m \u1ea9n nh\u1eefng r\u1ee7i ro nghi\u00eam tr\u1ecdng v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 gi\u1ea3m tu\u1ed5i th\u1ecd. \u0110\u1ed1i m\u1eb7t v\u1edbi m\u1ed9t c\u0103n b\u1ec7nh m\u1ea1n t\u00ednh nh\u01b0 suy tim, vi\u1ec7c chu\u1ea9n b\u1ecb k\u1ef9 l\u01b0\u1ee1ng cho t\u01b0\u01a1ng lai v\u00e0 gi\u1ea3m thi\u1ec3u g\u00e1nh n\u1eb7ng chi ph\u00ed y t\u1ebf l\u00e0 \u0111i\u1ec1u v\u00f4 c\u00f9ng c\u1ea7n thi\u1ebft.<\/p>\r\n<p>N\u1ebfu b\u1ea1n \u0111ang t\u00ecm ki\u1ebfm gi\u1ea3i ph\u00e1p \u0111\u1ec3 an t\u00e2m h\u01a1n v\u1ec1 m\u1eb7t t\u00e0i ch\u00ednh khi \u0111\u1ed1i di\u1ec7n v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe tim m\u1ea1ch, h\u00e3y \u0111\u1ec3 l\u1ea1i th\u00f4ng tin c\u1ee7a b\u1ea1n v\u00e0o form b\u00ean d\u01b0\u1edbi \u0111\u1ec3 nh\u1eadn t\u01b0 v\u1ea5n mi\u1ec5n ph\u00ed.<\/p>\r\n\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f171408-o1\" lang=\"vi\" dir=\"ltr\" data-wpcf7-id=\"171408\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/wp-json\/wp\/v2\/posts\/103523\/#wpcf7-f171408-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"Form li\u00ean h\u1ec7\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"171408\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"vi\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f171408-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/>\n<\/fieldset>\n<div class=\"form-wrapper\">\n  <div class=\"form-group\">\n    <label>H\u1ecd v\u00e0 t\u00ean\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"fullname\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text form-input\" aria-invalid=\"false\" placeholder=\"Nh\u1eadp h\u1ecd v\u00e0 t\u00ean\" value=\"\" type=\"text\" name=\"fullname\" \/><\/span>\n    <\/label>\n  <\/div>\n\n  <div class=\"form-group\">\n    <label>S\u1ed1 \u0111i\u1ec7n tho\u1ea1i<span class=\"required\">*<\/span>\n      <span class=\"wpcf7-form-control-wrap\" data-name=\"phone\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel form-input\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Nh\u1eadp s\u1ed1 \u0111i\u1ec7n tho\u1ea1i\" value=\"\" type=\"tel\" name=\"phone\" \/><\/span>\n    <\/label>\n  <\/div>\n\n  <input class=\"wpcf7-form-control wpcf7-hidden\" id=\"page_url\" value=\"\" type=\"hidden\" name=\"url\" \/>\n  \n\n  <div class=\"form-button-group\">\n    \u3000<input class=\"wpcf7-form-control wpcf7-submit has-spinner form-submit\" type=\"submit\" value=\"Nh\u1eadn cu\u1ed9c g\u1ecdi t\u01b0 v\u1ea5n\" \/>\n  <\/div>\n<\/div><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-24085\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/suy-tim-1.jpg\" alt=\"suy-tim\" \/><\/figure>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n suy tim<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi m\u1ed9t b\u1ec7nh nh\u00e2n suy tim, c\u1ea7n l\u00e0m r\u00f5 \u0111\u01b0\u1ee3c hai nguy\u00ean nh\u00e2n: nguy\u00ean nh\u00e2n n\u1ec1n (underlying cause) v\u00e0 nguy\u00ean nh\u00e2n hay y\u1ebfu t\u1ed1 l\u00e0m n\u1eb7ng (precipitating cause). M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn g\u00e2y suy tim c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh van tim, r\u01b0\u1ee3u, si\u00eau vi, v\u00f4 c\u0103n&#8230;<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u1ede Vi\u1ec7t Nam b\u1ec7nh van tim h\u1eadu th\u1ea5p c\u00f2n xu\u1ea5t hi\u1ec7n v\u1edbi t\u1ec9 l\u1ec7 cao, do \u0111\u1ed1 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y suy tim \u1edf ng\u01b0\u1eddi tr\u1ebb d\u01b0\u1edbi 40 tu\u1ed5i th\u01b0\u1eddng l\u00e0 c\u00e1c b\u1ec7nh l\u00fd van tim; ngo\u00e0i \u0111\u1ed9 tu\u1ed5i n\u00e0y th\u00ec <a href=\"https:\/\/www.docosan.com\/blog\/tim-mach\/benh-mach-vanh\/\" target=\"_blank\" rel=\"noreferrer noopener\">b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/a> v\u00e0 t\u0103ng huy\u1ebft \u00e1p l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y suy tim.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y suy tim t\u00e2m thu:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (nh\u1ed3i m\u00e1u c\u01a1 tim, thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u01a1 tim)<\/li>\r\n<li>T\u0103ng t\u1ea3i \u00e1p l\u1ef1c m\u1ea1n (t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh van tim t\u1eafc ngh\u1ebdn)<\/li>\r\n<li>T\u0103ng t\u1ea3i th\u1ec3 t\u00edch m\u1ea1n (b\u1ec7nh h\u1edf van, d\u00f2ng ch\u1ea3y th\u00f4ng trong tim, d\u00f2ng ch\u1ea3y th\u00f4ng ngo\u00e0i tim)<\/li>\r\n<li>B\u1ec7nh c\u01a1 tim gi\u00e3n kh\u00f4ng n\u1edf trong thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9<\/li>\r\n<li>R\u1ed1i lo\u1ea1n nh\u1ecbp, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n<\/li>\r\n<li>B\u1ec7nh ph\u1ed5i do tim (t\u00e2m ph\u1ebf, r\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u ph\u1ed5i)<\/li>\r\n<li>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a (c\u01b0\u1eddng gi\u00e1p, Beriberi)<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y suy tim t\u00e2m tr\u01b0\u01a1ng:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/li>\r\n<li>T\u0103ng huy\u1ebft \u00e1p<\/li>\r\n<li>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7<\/li>\r\n<li>B\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i<\/li>\r\n<li>B\u1ec7nh c\u01a1 tim h\u1ea1n hcees<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m n\u1eb7ng (y\u1ebfu t\u1ed1 th\u00fac \u0111\u1ea9y) suy tim bao g\u1ed3m:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Kh\u00f4ng tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb<\/li>\r\n<li>Y\u1ebfu t\u1ed1 huy\u1ebft \u0111\u1ed9ng (t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t)<\/li>\r\n<li>S\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng ph\u00f9 h\u1ee3p<\/li>\r\n<li>Nh\u1ed3i m\u00e1u c\u01a1 tim hay b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9<\/li>\r\n<li>B\u1ec7nh l\u00fd to\u00e0n th\u00e2n (nhi\u1ec5m tr\u00f9ng, thi\u1ebfu m\u00e1u&#8230;)<\/li>\r\n<li>Thuy\u00ean t\u1eafc ph\u1ed5i<\/li>\r\n<li>R\u1ed1i lo\u1ea1n nh\u1ecbp tim, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng suy tim<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Kh\u00f3 th\u1edf g\u1eafng s\u1ee9c: khai th\u00e1c k\u0129 m\u1ee9c \u0111\u1ed9 g\u1eafng s\u1ee9c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, di\u1ec5n ti\u1ebfn kh\u00f3 th\u1edf theo m\u1ee9c \u0111\u1ed9 g\u1eafng s\u1ee9c (\u0111i b\u1ed9 bao l\u00e2u th\u00ec kh\u00f3 th\u1edf, kh\u00f3 th\u1edf khi leo c\u1ea7u thang, kh\u00f3 th\u1edf khi v\u1eadn \u0111\u1ed9ng nhi\u1ec1u&#8230;)<\/li>\r\n<li>Kh\u00f3 th\u1edf ph\u1ea3i ng\u1ed3i: b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf khi n\u1eb1m \u0111\u1ea7u th\u1ea5p, ph\u1ea3i k\u00ea g\u1ed1i cao ho\u1eb7c ng\u1ed3i d\u1eady \u0111\u1ec3 gi\u1ea3m b\u1edbt kh\u00f3 th\u1edf, m\u1ee9c \u0111\u1ed9 k\u00ea g\u1ed1i cao c\u0169ng gi\u00fap b\u00e1c s\u0129 l\u00e2m s\u00e0ng \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1ee3c m\u1ee9c \u0111\u1ed9 kh\u00f3 th\u1edf c\u1ee7a ng\u1ed3i. Ngo\u00e0i ra ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 mi\u00eau t\u1ea3 c\u01a1n ho khi n\u1eb1m \u0111\u1ea7u th\u1ea5p, ho gi\u1ea3m b\u1edbt khi ng\u1ed3i d\u1eady ho\u1eb7c k\u00ea g\u1ed1i cao.<\/li>\r\n<li>Kh\u00f3 th\u1edf k\u1ecbch ph\u00e1t v\u1ec1 \u0111\u00eam hay suy\u1ec5n tim: \u0111\u1ed9t ng\u1ed9t t\u1ec9nh d\u1eady v\u00ec kh\u00f3 th\u1edf, c\u1ea3m gi\u00e1c ho\u1ea3ng h\u1ed1t lo s\u1ee3, c\u1ea3m th\u1ea5y ng\u1ed9p th\u1edf, th\u1edf r\u00edt (suy\u1ec5n tim), th\u01b0\u1eddng k\u00e9o d\u00e0i kh\u00e1 l\u00e2u, tr\u00ean 30 ph\u00fat m\u1edbi b\u1eaft \u0111\u1ea7u thuy\u00ean gi\u1ea3m. Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u1ea3m gi\u00e1c s\u1ee3 ph\u1ea3i \u0111i ng\u1ee7 l\u1ea1i.<\/li>\r\n<li>M\u1ec7t v\u00e0 y\u1ebfu: k\u00e8m c\u1ea3m gi\u00e1c n\u1eb7ng chi, do gi\u1ea3m t\u1edbi m\u00e1u \u0111\u1ebfn c\u01a1 x\u01b0\u01a1ng sau khi cung l\u01b0\u1ee3ng b\u1ecb gi\u1ea3m. Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f2n g\u1eb7p trong nhi\u1ec1u b\u1ec7nh l\u00fd kh\u00e1c ngo\u00e0i b\u1ec7nh tim m\u1ea1ch.<\/li>\r\n<li>Ti\u1ec3u \u0111\u00eam v\u00e0 thi\u1ec3u ni\u1ec7u (ti\u1ec3u \u00edt): x\u1ea3y ra \u1edf trong giai \u0111o\u1ea1n s\u1edbm c\u1ee7a suy tim, thi\u1ec3u ni\u1ec7u x\u1ea3y ra v\u00e0o giai \u0111o\u1ea1n n\u1eb7ng c\u1ee7a b\u1ec7nh do gi\u1ea3m cung l\u01b0\u1ee3ng tim d\u1eabn \u0111\u1ebfn gi\u1ea3m t\u01b0\u1edbi m\u00e1u \u0111\u1ebfn th\u1ec7n.<\/li>\r\n<li>Ngo\u00e0i ra c\u00f2n g\u1eb7p c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn n\u00e3o nh\u01b0 m\u1ea5t ng\u1ee7, \u00e1c m\u1ed9ng, s\u1ea3ng, \u1ea3o gi\u00e1c, &#8230;<\/li>\r\n<li>C\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu, n\u1eb7ng ho\u1eb7c \u0111au \u00e2m \u1ec9 v\u00f9ng h\u1ea1 s\u01b0\u1eddn ph\u1ea3i hay v\u00f9ng th\u01b0\u1ee3ng v\u1ecb.<\/li>\r\n<li>Bu\u1ed3n n\u00f4n, s\u00ecnh h\u01a1i, \u0111\u1ea7y b\u1ee5ng sau \u0103n, \u0103n kh\u00f4ng ngon mi\u1ec7ng, t\u00e1o b\u00f3n, ch\u01b0\u1edbng b\u1ee5ng&#8230;. hi\u1ebfm g\u1eb7p.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n suy tim<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n suy tim hi\u1ec7n nay ch\u1ee7 y\u1ebfu d\u1ef1a tr\u00ean l\u00e2m s\u00e0ng v\u00e0 c\u1eadn l\u00e2m s\u00e0ng. \u0110\u00e2y l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c r\u1ea5t nhi\u1ec1u t\u1ed5 ch\u1ee9c, qu\u1ed1c gia quan t\u00e2m nghi\u00ean c\u1ee9u do \u0111\u00f3 \u0111\u00e3 c\u00f3 nhi\u1ec1u ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n ra \u0111\u1eddi c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 ti\u00eau chu\u1ea9n Framingham, ti\u00eau chu\u1ea9n Boston v\u00e0 ti\u00eau chu\u1ea9n Duke.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p c\u1eadn l\u00e2m s\u00e0ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng bao g\u1ed3m: Xquang ng\u1ef1c, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG), huy\u1ebft \u0111\u1ed3, ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u, ion \u0111\u1ed3, albumin, T4 TSH, si\u00eau \u00e2m tim qua th\u00e0nh ng\u1ef1c, th\u00f4ng tim\/ ch\u1ee5p \u0110MV.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb suy tim<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 ngh\u1ec9 ng\u01a1i ph\u00f9 h\u1ee3p gi\u00fap gi\u1ea3m c\u00f4ng cho tim, ng\u01b0\u1eddi b\u1ec7nh suy tim nh\u1eb9 c\u00f3 th\u1ec3 khuy\u1ebfn kh\u00edch t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao m\u1ee9c \u0111\u1ed9 nh\u1eb9. Tr\u01b0\u1eddng h\u1ee3p m\u1eafc suy tim n\u1eb7ng c\u1ea7n duy tr\u00ec ch\u1ebf \u0111\u1ed9 ngh\u1ec9 ng\u01a1i t\u1ea1i gi\u01b0\u1eddng t\u01b0 th\u1ebf n\u1eeda n\u1eb1m n\u1eeda ng\u1ed3i.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ch\u1ebf \u0111\u1ed9 \u0103n gi\u1ea3m mu\u1ed1i: ch\u1ec9 \u0111\u01b0\u1ee3c \u0103n &lt;3g\/ mu\u1ed1i NaCl m\u1ed7i ng\u00e0y, ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 n\u00ean \u0103n nh\u1ea1t. Ngo\u00e0i ra, h\u00e3y th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe tim m\u1ea1ch th\u00f4ng qua ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng b\u1ed5 sung <a href=\"https:\/\/cares.docosan.com\/products\/medicrafts-natural-vitamin-e-400iu\" target=\"_blank\" rel=\"nofollow noopener\">vitamin E t\u1ef1 nhi\u00ean<\/a>\u00a0s\u1ebd gi\u00fap c\u01a1 th\u1ec3 ph\u00f2ng ch\u1ed1ng t\u1ed1t oxy h\u00f3a, ph\u00f2ng tr\u00e1nh l\u00e3o h\u00f3a.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">L\u01b0\u1ee3ng n\u01b0\u1edbc v\u00e0 d\u1ecbch nh\u1eadp v\u00e0o c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3m b\u1edbt \u0111\u1ec3 gi\u1ea3m b\u1edbt g\u00e1nh n\u1eb7ng cho th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n, gi\u1ea3m b\u1edbt s\u1ee9c n\u1eb7ng cho c\u01a1 tim, l\u01b0\u1ee3ng d\u1ecbch \u0111\u01b0a c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u1eeb 500-1000ml.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Lo\u1ea1i b\u1ecf c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1: h\u00fat thu\u1ed1c l\u00e1, r\u01b0\u1ee3u bia, c\u00e0 ph\u00ea, ng\u01b0\u1eddi b\u00e9o ph\u00ec c\u1ea7n gi\u1ea3m c\u00e2n, tr\u00e1nh \u0111\u1ec3 b\u1ea3n th\u00e2n r\u01a1i v\u00e0o tr\u1ea1ng th\u00e1i c\u0103ng th\u1eb3ng, s\u1ed1c t\u00e2m l\u00fd, ng\u01b0ng c\u00e1c thu\u1ed1c gi\u1ea3m co b\u00f3p c\u01a1 ti, tr\u00e1nh d\u00f9ng c\u00e1c thu\u1ed1c nh\u01b0 NSAIDS hay corticoid v\u00ec t\u00e1c d\u1ee5ng gi\u1eef n\u01b0\u1edbc c\u1ee7a ch\u00fang, &#8230;<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">\u0110i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n: t\u0103ng huy\u1ebft \u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, nh\u1ed3i m\u00e0u c\u01a1 tim v\u00e0 c\u00e1c b\u1ec7nh m\u1ea1ch v\u00e0nh, b\u1ec7nh van tim, b\u1ec7nh tim b\u1ea9m sinh, &#8230;.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Suy tim c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Theo c\u00e1c nghi\u00ean c\u1ee9u SAVE v\u00e0 SOLVD ch\u1ec9 ra r\u1eb1ng t\u1eed v\u1ecdng tr\u00ean nh\u00f3m b\u1ec7nh nh\u00e2n c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t kh\u00f4ng ghi nh\u1eadn tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng v\u00e0 kh\u00f4ng \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb sau 4 n\u0103m l\u1ea7n l\u01b0\u1ee3t l\u00e0 21% theo SOLVD v\u00e0 28% theo SAVE.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u kh\u00e1c cho th\u1ea5y t\u1eed vong sau 5 n\u0103m c\u1ee7a b\u1ec7nh nh\u00e2n suy tim t\u00e2m thu c\u00f3 tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng v\u00e0 c\u00f3 th\u1ef1c hi\u1ec7n bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n thay \u0111\u1ed5i trong kho\u1ea3ng 1-40%.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Suy tim l\u00e0 bi\u1ebfn ch\u1ee9ng c\u1ee7a h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh tim m\u1ea1ch v\u00e0 c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u c\u1ee7a h\u1ea7u h\u1ebft b\u1ec7nh tim. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i c\u1ea3nh gi\u00e1c v\u1edbi b\u1ea5t c\u1ee9 tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a m\u00ecnh v\u00e0 ph\u1ea3i th\u0103m kh\u00e1m b\u00e1c s\u0129 ngay khi ph\u00e1t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u1eb7ng d\u1ea7n h\u01a1n ho\u1eb7c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng \u1edf ng\u01b0\u1eddi ch\u01b0a ghi nh\u1eadn m\u1eafc suy tim..<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 d\u00e0nh th\u1eddi gian \u0111\u1ec3 \u0111\u1ecdc v\u00e0 t\u00ecm hi\u1ec3u <strong>b\u1ec7nh suy tim<\/strong> t\u1ea1i <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a>. Ch\u00fang t\u00f4i r\u1ea5t vinh h\u1ea1nh ch\u00e0o \u0111\u00f3n v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u00edn nhi\u1ec7m t\u1eeb c\u00e1c b\u1ea1n.<\/p>\r\n<p><span style=\"font-weight: 400;\">M\u1eddi b\u1ea1n tham kh\u1ea3o<\/span><a href=\"https:\/\/cares.docosan.com\/products\/goi-xet-nghiem-tim-mach\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400;\">G\u00f3i x\u00e9t nghi\u1ec7m tim m\u1ea1ch<\/span><\/a><span style=\"font-weight: 400;\"> c\u00f3 t\u1ea1i Docosan<\/span><\/p>\r\n\r\n\r\n\r\n<p><iframe class=\"product-widget\" src=\"https:\/\/www.docosan.com\/blog\/cares-product-widget\/?id=20008\" width=\"100%\" frameborder=\"0\"><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><span data-mce-type=\"bookmark\" style=\"display: inline-block; width: 0px; overflow: hidden; line-height: 0;\" class=\"mce_SELRES_start\">\ufeff<\/span><\/iframe><\/p>\r\n\r\n\r\n<hr class=\"wp-block-separator\" \/>\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o 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, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n t\u1ea1i <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ol class=\"wp-block-list\" id=\"block-66f14c99-c308-4175-9e38-f3a8e953dc99\">\r\n<li>H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb suy tim, <a href=\"https:\/\/kcb.vn\/wp-content\/uploads\/2020\/04\/QD-1762-Ban-h%C3%A0nh-H%C6%B0%E1%BB%9Bng-d%E1%BA%ABn-ch%E1%BA%A9n-%C4%91o%C3%A1n-v%C3%A0-%C4%91i%E1%BB%81u-tr%E1%BB%8B-suy-tim-m%E1%BA%A1n-t%C3%ADnh.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">B\u1ed9 Y t\u1ebf<\/a><\/li>\r\n<li>Suy tim: Nguy\u00ean nh\u00e2n, bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n, PGS.TS.BS Ph\u1ea1m Nguy\u1ec5n Vinh, B\u00e0i gi\u1ea3ng Tri\u1ec7u ch\u1ee9ng h\u1ecdc &#8211; B\u1ec7nh h\u1ecdc N\u1ed9i khoa.<\/li>\r\n<\/ol>\r\n","protected":false},"excerpt":{"rendered":"<p>Suy tim l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng, h\u1eadu qu\u1ea3 th\u01b0\u1eddng g\u1eb7p c\u1ee7a nhi\u1ec1u b\u1ec7nh l\u00fd tim m\u1ea1ch. Suy tim c\u0169ng ch\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n tim m\u1ea1ch g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u. Hi\u1ec3u bi\u1ebft th\u00eam v\u1ec1 b\u1ec7nh suy tim gi\u00fap ng\u01b0\u1eddi b\u1ec7nh n\u1eafm \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh c\u1ee7a m\u00ecnh, th\u00f4ng qua \u0111\u00f3 tu\u00e2n th\u1ee7 \u0111i\u1ec1u [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":88644,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[185],"tags":[711,712,713,714,715,716,717,718],"class_list":["post-103523","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tim-mach","tag-bien-chung-suy-tim","tag-chan-doan-suy-tim","tag-dieu-tri-suy-tim","tag-nguyen-nhan-suy-tim","tag-suy-tim-co-chua-duoc-khong","tag-suy-tim-co-nguy-hiem-khong","tag-suy-tim-la-gi","tag-trieu-chung-suy-tim"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nieng-rang-min-2-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/08\/nieng-rang-min-2-600x600.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\/103523","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=103523"}],"version-history":[{"count":7,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103523\/revisions"}],"predecessor-version":[{"id":171456,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103523\/revisions\/171456"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/88644"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103523"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103523"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103523"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}