{"id":104442,"date":"2022-01-26T00:00:00","date_gmt":"2022-01-26T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/van-2-la\/"},"modified":"2024-10-24T10:46:30","modified_gmt":"2024-10-24T03:46:30","slug":"van-2-la","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tim-mach\/van-2-la\/","title":{"rendered":"Van 2 l\u00e1: Nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft!"},"content":{"rendered":"\r\n

B\u1ec7nh van 2 l\u00e1 l\u00e0 b\u1ec7nh l\u00fd van tim th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, \u0111a s\u1ed1 nguy\u00ean nh\u00e2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn van 2 l\u00e1 do th\u1ea5p tim (RF – Rheumatic Fever). B\u1ec7nh van 2 l\u00e1 \u0111\u01b0\u1ee3c ph\u00e2n l\u00e0m hai nh\u00f3m: b\u1ec7nh h\u1edf van 2 l\u00e1 v\u00e0 b\u1ec7nh h\u1eb9p van 2 l\u00e1. \u0110\u00f4i khi c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p c\u1ea3 h\u1eb9p v\u00e0 h\u1edf van 2 l\u00e1 tr\u00ean c\u00f9ng m\u1ed9t b\u1ec7nh nh\u00e2n. Khi \u0111\u00f3 s\u1ebd xu\u1ea5t hi\u1ec7n nh\u1eefng d\u00f2ng ch\u1ea3y b\u1ea5t th\u01b0\u1eddng khi tim ho\u1ea1t \u0111\u1ed9ng co b\u00f3p t\u1ed1ng m\u00e1u \u0111i nu\u00f4i c\u01a1 th\u1ec3, l\u00e2u d\u00e0i d\u1eabn \u0111\u1ebfn suy tim. M\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng Docosan<\/a> t\u00ecm hi\u1ec3u v\u1ec1 b\u1ec7nh l\u00fd van 2 l\u00e1 th\u00f4ng qua b\u00e0i vi\u00eat sau \u0111\u00e2y.<\/p>\r\n\r\n\r\n\r\n

B\u1ec7nh van 2 l\u00e1 l\u00e0 g\u00ec?<\/h2>\r\n\r\n\r\n\r\n
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B\u1ec7nh h\u1eb9p van 2 l\u00e1<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n

Tr\u01b0\u1edbc khi t\u00ecm hi\u1ec3u b\u1ec7nh li\u00ean quan \u0111\u1ebfn van 2 l\u00e1 ch\u00fang ta s\u1ebd b\u1eaft \u0111\u1ea7u v\u1edbi v\u1ecb tr\u00ed, c\u1ea5u tr\u00fac, gi\u1ea3i ph\u1eabu c\u0169ng nh\u01b0 ch\u1ee9c n\u0103ng c\u1ee7a qu\u1ea3 tim n\u00f3i chung v\u00e0 van 2 l\u00e1 n\u00f3i ri\u00eang. Qu\u1ea3 tim n\u1eb1m \u1edf khoang trung th\u1ea5t gi\u1eefa trong l\u1ed3ng ng\u1ef1c, ch\u1ebfch v\u1ec1 ph\u00eda b\u00ean tr\u00e1i x\u01b0\u01a1ng \u1ee9c v\u00e0 \u1edf gi\u1eefa 2 l\u00e1 ph\u1ed5i c\u00f3 ch\u1ee9c n\u0103ng b\u01a1m m\u00e1u \u0111i nu\u00f4i c\u01a1 th\u1ec3. C\u1ea5u t\u1ea1o c\u1ee7a tim g\u1ed3m 2 t\u00e2m th\u1ea5t v\u00e0 2 t\u00e2m nh\u0129 ph\u1ea3i. Ng\u0103n c\u00e1ch gi\u1eefa t\u00e2m th\u1ea5t ph\u1ea3i v\u00e0 t\u00e2m nh\u0129 ph\u1ea3i l\u00e0 van 3 l\u00e1 v\u00e0 gi\u1eefa t\u00e2m th\u1ea5t tr\u00e1i v\u00e0 t\u00e2m nh\u0129 tr\u00e1i l\u00e0 van 2 l\u00e1.<\/p>\r\n\r\n\r\n\r\n

M\u00e1u s\u1ebd \u0111\u01b0\u1ee3c b\u01a1m t\u1eeb t\u00e2m th\u1ea5t tr\u00e1i th\u00f4ng qua van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 \u0111i nu\u00f4i c\u01a1 th\u1ec3 v\u00e0 tr\u1edf v\u1ec1 tim b\u1eb1ng con \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch ch\u1ee7 tr\u00ean v\u00e0 d\u01b0\u1edbi v\u00e0o t\u00e2m nh\u0129 ph\u1ea3i. Sau \u0111\u00f3 t\u00e2m nh\u0129 ph\u1ea3i \u0111\u01b0a m\u00e1u xu\u1ed1ng t\u00e2m th\u1ea5t ph\u1ea3i th\u00f4ng qua van 3 l\u00e1, t\u1eeb \u0111\u00f3 t\u00e2m th\u1ea5t ph\u1ea3i b\u01a1m m\u00e1u l\u00ean ph\u1ed5i th\u00f4ng qua c\u00e1c nh\u00e1nh \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i nh\u1eb1m trao \u0111\u1ed5i oxy v\u00e0 tr\u1edf v\u1ec1 t\u00e2m nh\u0129 tr\u00e1i. Ti\u1ebfp theo m\u00e1u s\u1ebd \u0111\u1ed5 t\u1eeb t\u00e2m nh\u0129 tr\u00e1i v\u00e0o t\u00e2m th\u1ea5t tr\u00e1i th\u00f4ng qua van 2 l\u00e1 v\u00e0 ti\u1ebfp t\u1ee5c con \u0111\u01b0\u1eddng tr\u00ean l\u1eb7p \u0111i l\u1eb7p l\u1ea1i li\u00ean t\u1ee5c.<\/p>\r\n\r\n\r\n\r\n

M\u1ecdi b\u1ea5t th\u01b0\u1eddng h\u1eb9p h\u1edf van 2 l\u00e1 \u0111\u1ec1u d\u1eabn \u0111\u1ebfn nguy c\u01a1 tim m\u1ea1ch<\/a> trong t\u01b0\u01a1ng lai. Trong h\u1eb9p v\u00e1n 2 l\u00e1, van s\u1ebd kh\u00f4ng m\u1edf ho\u00e0n to\u00e0n s\u1ebd g\u00e2y \u1ee9 tr\u1ec7 tu\u1ea7n ho\u00e0n \u1edf t\u00e2m nh\u0129 tr\u00e1i v\u00e0 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u xu\u1ed1ng t\u00e2m th\u1ea5t tr\u00e1i. \u0110\u1ed1i v\u1edbi h\u1edf van 2 l\u00e1, van s\u1ebd kh\u00f4ng \u0111\u00f3ng ho\u00e0n to\u00e0n l\u00e0m d\u00f2ng m\u00e1u ph\u1ee5t ng\u01b0\u1ee3c l\u1ea1i t\u00e2m nh\u0129 tr\u00e1i g\u00e2y gi\u1ea3m cung l\u01b0\u1ee3ng tim v\u00e0 \u1ee9 m\u00e1u t\u1ea1i t\u00e2m nh\u0129 tr\u00e1i. M\u1ecdi t\u00ecnh hu\u1ed1ng \u1ee9 m\u00e1u t\u1ea1i nh\u0129 tr\u00e1i \u0111\u1ec1u d\u1eabn \u0111\u1ebfn \u1ee9 m\u00e1u ph\u1ed5i l\u00e0m t\u0103ng \u00e1p ph\u1ed5i. S\u1ef1 t\u0103ng kh\u00e1ng l\u1ef1c m\u1ea1ch m\u00e1u ph\u1ed5i khi\u1ebfn th\u1ea5t ph\u1ea3i ph\u1ea3i t\u0103ng c\u00f4ng d\u1ec5 d\u1eabn \u0111\u1ebfn suy tim ph\u1ea3i.<\/p>\r\n\r\n\r\n\r\n

\u1ede b\u00e0i vi\u1ebft n\u00e0y ch\u00fang ta s\u1ebd tr\u00ecnh b\u00e0y ch\u1ee7 y\u1ebfu v\u1ec1 b\u1ec7nh h\u1eb9p van hai l\u00e1. B\u1ec7nh l\u00fd h\u1edf van hai l\u00e1 s\u1ebd \u0111\u01b0\u1ee3c t\u00ecm hi\u1ec3u \u1edf b\u00e0i vi\u1ebft kh\u00e1c.<\/p>\r\n\r\n\r\n\r\n

Nguy\u00ean nh\u00e2n h\u1eb9p van hai l\u00e1<\/h2>\r\n\r\n\r\n\r\n
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Nguy\u00ean nh\u00e2n h\u1eb9p van 2 l\u00e1 th\u01b0\u1eddng do b\u1ec7nh h\u1eadu th\u1ea5p<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n

H\u1eb9p van hai l\u00e1 chi\u1ebfm \u01b0u th\u1ebf \u1edf ph\u1ee5 n\u1eef (75-80 % c\u00e1c tr\u01b0\u1eddng h\u1ee3p). Th\u01b0\u1eddng g\u1eb7p \u1edf thi\u1ebfu ni\u00ean v\u00e0 ng\u01b0\u1eddi tr\u1ebb. H\u1eb9p van hai l\u00e1 h\u1eadu th\u1ea5p l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, m\u1eb7c d\u00f9 ti\u1ec1n c\u0103n th\u1ea5p tim \u00edt ph\u1ed5 bi\u1ebfn (50% tr\u01b0\u1eddng h\u1ee3p). B\u1ed9 m\u00e1y van hai l\u00e1 b\u1ecb t\u00e1c \u0111\u1ed9ng b\u1edfi b\u1ec7nh th\u1ea5p tim theo nhi\u1ec1u c\u00e1ch, nh\u1eefng thay \u0111\u1ed5i n\u00e0y l\u00e0m cho l\u00e1 van b\u1ecb c\u1ee9ng v\u00e0 k\u00e9m di \u0111\u1ed9ng, \u0111\u01b0a \u0111\u1ebfn h\u1eb9p van d\u1ea1ng ph\u1ec5u (h\u00ecnh mi\u1ec7ng c\u00e1):<\/p>\r\n\r\n\r\n\r\n