{"id":5024,"date":"2018-08-01T11:22:17","date_gmt":"2018-08-01T04:22:17","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/08\/01\/viem-mach-mau\/"},"modified":"2024-03-17T03:52:24","modified_gmt":"2024-03-16T20:52:24","slug":"viem-mach-mau","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/viem-mach-mau\/","title":{"rendered":"Vi\u00eam m\u1ea1ch m\u00e1u"},"content":{"rendered":"<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> \u0110\u1ecaNH NGH\u0128A <\/strong> <\/span> <\/span><\/p>\n<h2 id=\"viem-mach-la-gi\">Vi\u00eam m\u1ea1ch l\u00e0 g\u00ec?<\/h2>\n<p>C\u00f3 nhi\u1ec1u th\u1ec3 lo\u1ea1i vi\u00eam m\u1ea1ch. M\u1ed9t s\u1ed1 th\u1ec3 b\u1ec7nh ch\u1ec9 xu\u1ea5t hi\u1ec7n trong th\u1eddi gian ng\u1eafn (c\u1ea5p t\u00ednh), trong khi m\u1ed9t s\u1ed1 th\u1ec3 b\u1ec7nh kh\u00e1c di\u1ec5n ra trong th\u1eddi gian d\u00e0i (m\u1ea1n t\u00ednh). Vi\u00eam m\u1ea1ch, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh vi\u00eam \u0111\u1ed9ng m\u1ea1ch, c\u00f3 th\u1ec3 r\u1ea5t nghi\u00eam tr\u1ecdng khi c\u00e1c m\u00f4 hay b\u1ed9 ph\u1eadn trong c\u01a1 th\u1ec3 v\u1ed1n \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u b\u1edfi c\u00e1c \u0111\u1ed9ng m\u1ea1ch b\u1ecb vi\u00eam kh\u00f4ng nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ee7 m\u00e1u. T\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng m\u00f4 v\u00e0 c\u01a1 quan, th\u1eadm ch\u00ed d\u1eabn \u0111\u1ebfn t\u1eed vong.<\/p>\n<p>M\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 th\u1ec3 b\u1ecb vi\u00eam m\u1ea1ch, m\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch x\u1ea3y ra ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf m\u1ed9t nh\u00f3m ng\u01b0\u1eddi nh\u1ea5t \u0111\u1ecbnh. M\u1ed9t s\u1ed1 th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch c\u00f3 th\u1ec3 t\u1ef1 c\u1ea3i thi\u1ec7n nh\u01b0ng \u0111a s\u1ed1 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb &#8211; th\u01b0\u1eddng l\u00e0 d\u00f9ng d\u00f9ng thu\u1ed1c trong th\u1eddi gian d\u00e0i.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" style=\"width: 450px; height: 255px;\" src=\"\/\/yhoccongdong.org\/Documents\/637_viem-mach-mau.jpg\" alt=\"Vi\u00eam m\u1ea1ch m\u00e1u\" \/><\/p>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> TRI\u1ec6U CH\u1ee8NG <\/strong> <\/span> <\/span><\/p>\n<h2 id=\"cac-dau-hieu-va-trieu-chung-thuong-gap-trong-hau-het-cac-the-benh-viem-mach\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p trong h\u1ea7u h\u1ebft c\u00e1c th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch<\/h2>\n<p>D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch th\u01b0\u1eddng \u0111a d\u1ea1ng, ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i m\u1ea1ch m\u00e1u b\u1ecb vi\u00eam v\u00e0 h\u1ec7 th\u1ed1ng c\u01a1 quan \u0111\u01b0\u1ee3c c\u1ea5p m\u00e1u t\u01b0\u01a1ng \u1ee9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng. Tuy nhi\u00ean, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng m\u00e0 nhi\u1ec1u b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam m\u1ea1ch th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m:<\/p>\n<ul>\n<li>S\u1ed1t<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>S\u1ee5t c\u00e2n<\/li>\n<li>\u0110au c\u01a1 v\u00e0 kh\u1edbp<\/li>\n<li>Ch\u00e1n \u0103n<\/li>\n<li>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1ea7n kinh, nh\u01b0 c\u1ea3m gi\u00e1c t\u00ea b\u00ec hay y\u1ebfu c\u01a1<\/li>\n<\/ul>\n<h2 id=\"cac-dau-hieu-va-trieu-chung-cua-mot-so-the-benh-viem-mach-cu-the\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u1ed9t s\u1ed1 th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee5 th\u1ec3<\/h2>\n<ul>\n<li><strong> H\u1ed9i ch\u1ee9ng Beh\u00e7et <\/strong> : th\u1ec3 b\u1ec7nh bao g\u1ed3m t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 20 \u0111\u1ebfn 30. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m lo\u00e9t \u1edf mi\u1ec7ng v\u00e0 b\u1ed9 ph\u1eadn sinh d\u1ee5c t\u00e1i ph\u00e1t, vi\u00eam m\u1eaft t\u00e1i ph\u00e1t, v\u00e0 t\u1ed5n th\u01b0\u01a1ng gi\u1ed1ng nh\u01b0 m\u1ee5n tr\u1ee9ng c\u00e1 (vi\u00eam nang l\u00f4ng) ho\u1eb7c ban \u0111\u1ecf tr\u00ean da.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-buerger\/\" target=\"_blank\" rel=\"noopener\"><strong> B\u1ec7nh Buerger <\/strong><\/a> : c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam m\u1ea1ch huy\u1ebft kh\u1ed1i c\u00f3 t\u1eafc ngh\u1ebdn, g\u00e2y vi\u00eam v\u00e0 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong l\u00f2ng m\u1ea1ch m\u00e1u \u1edf c\u00e1c chi. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m \u0111au nh\u1ee9c \u1edf b\u00e0n tay, c\u00e1nh tay, c\u1eb3ng ch\u00e2n, b\u00e0n ch\u00e2n; v\u00e0 c\u00e1c v\u1ebft lo\u00e9t tr\u00ean ng\u00f3n tay, ng\u00f3n ch\u00e2n. Th\u1ec3 b\u1ec7nh n\u00e0y li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi h\u00fat thu\u1ed1c l\u00e1.<\/li>\n<li><strong> H\u1ed9i ch\u1ee9ng Churg \u2013 Strauss <\/strong> : th\u1ec3 b\u1ec7nh n\u00e0y, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh u h\u1ea1t d\u1ecb \u1ee9ng v\u00e0 vi\u00eam m\u1ea1ch d\u1ecb \u1ee9ng, th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c m\u1ea1ch m\u00e1u trong ph\u1ed5i v\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh hen suy\u1ec5n.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/chung-cryoglobulin-huyet-cryoglobulinemia\/\" target=\"_blank\" rel=\"noopener\"><strong> Cryoglobulinemia <\/strong><\/a> : th\u1ec3 b\u1ec7nh n\u00e0y th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn nhi\u1ec5m virus vi\u00eam gan C. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m ban xu\u1ea5t huy\u1ebft \u1edf chi d\u01b0\u1edbi, vi\u00eam kh\u1edbp, suy nh\u01b0\u1ee3c v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/li>\n<li><strong> B\u1ec7nh vi\u00eam \u0111\u1ed9ng m\u1ea1ch t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 <\/strong> : th\u1ec3 b\u1ec7nh n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi h\u01a1n 50 tu\u1ed5i. B\u1ec7nh th\u01b0\u1eddng g\u00e2y vi\u00eam c\u00e1c \u0111\u1ed9ng m\u1ea1ch trong \u0111\u1ea7u c\u1ee7a b\u1ea1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed9ng m\u1ea1ch th\u00e1i d\u01b0\u01a1ng. D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m \u0111au \u0111\u1ea7u khu tr\u00fa, da \u0111\u1ea7u t\u0103ng nh\u1ea1y c\u1ea3m, \u0111au h\u00e0m khi nhai, nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i v\u00e0 th\u1eadm ch\u00ed m\u00f9 l\u00f2a. B\u1ec7nh vi\u00eam \u0111\u1ed9ng m\u1ea1ch t\u1ebf b\u00e0o kh\u1ed5ng l\u1ed3 th\u01b0\u1eddng g\u1eb7p k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t b\u1ec7nh vi\u00eam kh\u00e1c \u00a0l\u00e0 vi\u00eam \u0111a c\u01a1 do th\u1ea5p kh\u1edbp, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 polymyalgia rheumatica (PMR). PMR g\u00e2y \u0111au v\u00e0 vi\u00eam c\u00e1c kh\u1edbp l\u1edbn nh\u01b0 vai v\u00e0 h\u00f4ng. Tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111au v\u00e0 x\u01a1 c\u1ee9ng c\u00e1c c\u01a1 c\u1ee7a h\u00f4ng, \u0111\u00f9i, vai, c\u00e1nh tay v\u00e0 c\u1ed5.<\/li>\n<li><strong><a href=\"https:\/\/yhoccongdong.com\/thongtin\/nhung-nguyen-nhan-nao-gay-ra-ban-xuat-huyet-dang-cham-o-tre-em\/\" target=\"_blank\" rel=\"noopener\"> Ban xu\u1ea5t huy\u1ebft Henoch \u2013 Schonlein<\/a> <\/strong> : b\u1ec7nh xu\u1ea5t hi\u1ec7n do t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u trong da, kh\u1edbp, ru\u1ed9t v\u00e0 th\u1eadn. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p bao g\u1ed3m \u0111au b\u1ee5ng, ti\u1ec3u ra m\u00e1u, \u0111au kh\u1edbp v\u00e0 ph\u00e1t ban d\u1ea1ng xu\u1ea5t huy\u1ebft \u1edf b\u00e0n ch\u00e2n, ch\u00e2n v\u00e0 m\u00f4ng. Ban xu\u1ea5t huy\u1ebft Henoch &#8211; Schonlein th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i.<\/li>\n<li><strong> Vi\u00eam m\u1ea1ch qu\u00e1 m\u1eabn <\/strong> : D\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a vi\u00eam m\u1ea1ch qu\u00e1 m\u1eabn l\u00e0 xu\u1ea5t hi\u1ec7n ch\u1ea5m \u0111\u1ecf tr\u00ean da. B\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb k\u00edch ho\u1ea1t b\u1edfi t\u00ecnh tr\u1ea1ng d\u1ecb \u1ee9ng, th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 do thu\u1ed1c ho\u1eb7c do nhi\u1ec5m tr\u00f9ng.<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/benh-kawasaki-2\/\" target=\"_blank\" rel=\"noopener\"><strong> B\u1ec7nh Kawasaki <\/strong><\/a> : c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00e0 ni\u00eam m\u1ea1c, th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m s\u1ed1t, ph\u00e1t ban \u1edf da v\u00e0 vi\u00eam m\u1eaft.<\/li>\n<li><strong> Vi\u00eam \u0111a m\u1ea1ch nh\u1ecf: <\/strong> th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c m\u1ea1ch m\u00e1u k\u00edch th\u01b0\u1edbc nh\u1ecf \u1edf th\u1eadn, ph\u1ed5i v\u00e0 da. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng tr\u00ean da, s\u1ed1t, s\u1ee5t c\u00e2n, vi\u00eam c\u1ea7u th\u1eadn &#8211; do vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf trong th\u1eadn &#8211; v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.<\/li>\n<li><strong> Vi\u00eam n\u00fat quanh \u0111\u1ed9ng m\u1ea1ch ( <\/strong> Polyarteritis nodosa) <strong> : <\/strong> th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ea1ch m\u00e1u v\u1eeba v\u00e0 nh\u1ecf \u1edf nhi\u1ec1u b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3 bao g\u1ed3m c\u1ea3 da, tim, th\u1eadn, th\u1ea7n kinh ngo\u1ea1i bi\u00ean, c\u01a1 v\u00e0 ru\u1ed9t. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m ban xu\u1ea5t huy\u1ebft, lo\u00e9t da, \u0111au c\u01a1 v\u00e0 kh\u1edbp, \u0111au b\u1ee5ng v\u00e0 t\u1ed5n th\u01b0\u01a1ng th\u1eadn (t\u0103ng huy\u1ebft \u00e1p, ti\u1ec3u \u0111\u1ea1m, ti\u1ec3u m\u00e1u vi th\u1ec3).<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/viem-dong-mach-takayasu\/\" target=\"_blank\" rel=\"noopener\"><strong> B\u1ec7nh vi\u00eam \u0111\u1ed9ng m\u1ea1ch Takayasu <\/strong><\/a> : th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn nh\u1ea5t trong c\u01a1 th\u1ec3 bao g\u1ed3m c\u1ea3 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 th\u01b0\u1eddng x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef tr\u1ebb. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m m\u1ed9t c\u1ea3m gi\u00e1c t\u00ea hay l\u1ea1nh \u1edf chi, gi\u1ea3m bi\u00ean \u0111\u1ed9 ho\u1eb7c m\u1ea5t m\u1ea1ch, huy\u1ebft \u00e1p cao, \u0111au \u0111\u1ea7u v\u00e0 r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c (\u00edt g\u1eb7p).<\/li>\n<li><strong> U h\u1ea1t v\u1edbi vi\u00eam \u0111a m\u1ea1ch (Wegener): <\/strong> th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn v\u1edbi t\u00ean g\u1ecdi l\u00e0 b\u1ec7nh u h\u1ea1t Wegener. B\u1ec7nh g\u00e2y vi\u00eam c\u00e1c m\u1ea1ch m\u00e1u trong m\u0169i, xoang, h\u1ecdng, ph\u1ed5i v\u00e0 th\u1eadn. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 bao g\u1ed3m ngh\u1eb9t m\u0169i, vi\u00eam xoang m\u1ea1n t\u00ednh v\u00e0 ch\u1ea3y m\u00e1u cam. Th\u1eadn th\u01b0\u1eddng hay b\u1ecb \u1ea3nh h\u01b0\u1edfng nh\u01b0ng \u0111a s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00f4ng ghi nh\u1eadn tri\u1ec7u ch\u1ee9ng \u0111\u1ebfn khi b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n.<\/li>\n<\/ul>\n<p><strong> Khi n\u00e0o c\u1ea7n \u0111i kh\u00e1m b\u00e1c s\u0129 <\/strong><\/p>\n<p>B\u1ea1n n\u00ean \u0111\u1eb7t h\u1eb9n kh\u00e1m v\u1edbi b\u00e1c s\u0129 n\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng \u00a0n\u00e0o l\u00e0m b\u1ea1n lo l\u1eafng.<\/p>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> NGUY\u00caN NH\u00c2N <\/strong> <\/span> <\/span><\/p>\n<h2 id=\"nguyen-nhan-nao-gay-viem-mach\">Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y vi\u00eam m\u1ea1ch?<\/h2>\n<p>Vi\u00eam m\u1ea1ch x\u1ea3y ra khi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n nh\u1eadn l\u1ea7m t\u1ebf b\u00e0o m\u1ea1ch m\u00e1u l\u00e0 v\u1eadt l\u1ea1. H\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch s\u1ebd t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o n\u00e0y nh\u01b0 nh\u1eefng t\u00e1c nh\u00e2n x\u00e2m nh\u1eadp c\u01a1 th\u1ec3 kh\u00e1c, v\u00ed d\u1ee5 nh\u01b0 vi khu\u1ea9n ho\u1eb7c virus. Ch\u00fang ta ch\u01b0a hi\u1ec3u r\u00f5 l\u00fd do v\u00ec sao hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra nh\u01b0ng b\u1ec7nh th\u01b0\u1eddng b\u1ecb k\u00edch ho\u1ea1t b\u1edfi c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 nhi\u1ec5m tr\u00f9ng, m\u1ed9t s\u1ed1 ung th\u01b0, t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch ho\u1eb7c m\u1ed9t ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/p>\n<p>C\u00e1c m\u1ea1ch m\u00e1u b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi vi\u00eam m\u1ea1ch s\u1ebd c\u00f3 ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 c\u00f3 th\u1ec3 l\u00e0m c\u00e1c l\u1edbp c\u1ee7a th\u00e0nh m\u1ea1ch m\u00e1u d\u00e0y l\u00ean. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y g\u00e2y h\u1eb9p l\u00f2ng m\u1ea1ch m\u00e1u, l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u c\u0169ng nh\u01b0 oxy v\u00e0 d\u01b0\u1ee1ng ch\u1ea5t \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ebfn c\u00e1c m\u00f4 trong c\u01a1 th\u1ec3. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng trong l\u00f2ng m\u1ea1ch l\u00e0m c\u1ea3n tr\u1edf m\u00e1u l\u01b0u th\u00f4ng. \u0110\u00f4i khi thay v\u00ec l\u00f2ng m\u1ea1ch b\u1ecb h\u1eb9p l\u1ea1i th\u00ec th\u00e0nh m\u1ea1ch l\u1ea1i b\u1ecb suy y\u1ebfu v\u00e0 h\u00ecnh th\u00e0nh m\u1ed9t t\u00fai ph\u00ecnh ( g\u1ecdi l\u00e0 ph\u00ecnh m\u1ea1ch), m\u1ed9t t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/p>\n<p><strong> Vi\u00eam m\u1ea1ch kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n (vi\u00eam m\u1ea1ch nguy\u00ean ph\u00e1t) <\/strong><\/p>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 th\u1ec3 b\u1ec7nh th\u00ec ch\u00fang ta kh\u00f4ng bi\u1ebft nguy\u00ean nh\u00e2n g\u00e2y ra vi\u00eam m\u1ea1ch, khi \u0111\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam m\u1ea1ch nguy\u00ean ph\u00e1t.<\/p>\n<p><strong> Vi\u00eam m\u1ea1ch x\u1ea3y ra do m\u1ed9t b\u1ec7nh kh\u00e1c (vi\u00eam m\u1ea1ch th\u1ee9 ph\u00e1t) <\/strong><\/p>\n<p>Vi\u00eam m\u1ea1ch x\u1ea3y ra do m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam m\u1ea1ch th\u1ee9 ph\u00e1t. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam m\u1ea1ch th\u1ee9 ph\u00e1t c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>Nhi\u1ec5m tr\u00f9ng: m\u1ed9t s\u1ed1 vi\u00eam m\u1ea1ch x\u1ea3y ra do \u0111\u00e1p \u1ee9ng v\u1edbi t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng. V\u00ed d\u1ee5 nh\u01b0 h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p cryoglobulinemia l\u00e0 h\u1eadu qu\u1ea3 c\u1ee7a s\u1ef1 nhi\u1ec5m virus vi\u00eam gan C, v\u00e0 s\u1ef1 nhi\u1ec5m virus vi\u00eam gan B c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam n\u00fat quanh \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<li>B\u1ec7nh h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch: vi\u00eam m\u1ea1ch c\u00f3 th\u1ec3 x\u1ea3y ra th\u1ee9 ph\u00e1t sau m\u1ed9t s\u1ed1 b\u1ec7nh mi\u1ec5n d\u1ecbch h\u1ec7 th\u1ed1ng nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lupus v\u00e0 x\u01a1 c\u1ee9ng b\u00ec.<\/li>\n<li>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: \u0111\u00f4i khi b\u1ecb d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam m\u1ea1ch.<\/li>\n<li>Ung th\u01b0 t\u1ebf b\u00e0o m\u00e1u: ung th\u01b0 c\u00e1c t\u1ebf b\u00e0o m\u00e1u nh\u01b0 b\u1ec7nh b\u1ea1ch c\u1ea7u v\u00e0 lymphoma \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ra vi\u00eam m\u1ea1ch.<\/li>\n<\/ul>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> BI\u1ebeN CH\u1ee8NG <\/strong> <\/span> <\/span><\/p>\n<h2 id=\"nhung-bien-chung-cua-viem-mach\">Nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a vi\u00eam m\u1ea1ch<\/h2>\n<p>C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a vi\u00eam m\u1ea1ch ph\u1ee5 thu\u1ed9c v\u00e0o th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch m\u00e0 b\u1ea1n m\u1eafc. C\u00e1c bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra bao g\u1ed3m:<\/p>\n<ul>\n<li><strong> T\u1ed5n th\u01b0\u01a1ng c\u01a1 quan <\/strong> . M\u1ed9t s\u1ed1 th\u1ec3 vi\u00eam m\u1ea1ch c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng, g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c c\u01a1 quan l\u1edbn.<\/li>\n<li><strong> Vi\u00eam m\u1ea1ch t\u00e1i ph\u00e1t <\/strong> . Ngay c\u1ea3 khi \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u1ea1ch b\u01b0\u1edbc \u0111\u1ea7u \u0111\u00e3 th\u00e0nh c\u00f4ng, b\u1ec7nh v\u1eabn c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t v\u00e0 c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ed5 sung. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, vi\u00eam m\u1ea1ch c\u00f3 th\u1ec3 kh\u00f4ng bao gi\u1edd bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb li\u00ean t\u1ee5c.<\/li>\n<\/ul>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> CHU\u1ea8N B\u1eca TR\u01af\u1edaC KHI \u0110I KH\u00c1M <\/strong> <\/span> <\/span><\/p>\n<p><strong> B\u1ea1n c\u1ea7n g\u1eb7p ai? <\/strong><\/p>\n<p>Khi c\u00f3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng khi\u1ebfn b\u1ea1n lo l\u1eafng, h\u00e3y \u0111\u1eb7t l\u1ecbch h\u1eb9n kh\u00e1m v\u1edbi b\u00e1c s\u0129 gia \u0111\u00ecnh ho\u1eb7c m\u1ed9t b\u00e1c s\u0129 t\u1ed5ng qu\u00e1t. N\u1ebfu nghi ng\u1edd b\u1ea1n b\u1ecb vi\u00eam m\u1ea1ch, b\u00e1c s\u0129 s\u1ebd gi\u1edbi thi\u1ec7u b\u1ea1n \u0111i kh\u00e1m chuy\u00ean khoa. B\u1ea1n \u0111i kh\u00e1m b\u00e1c s\u0129 chuy\u00ean khoa n\u00e0o s\u1ebd t\u00f9y thu\u1ed9c v\u00e0o th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch b\u1ea1n m\u1eafc.<\/p>\n<p>C\u00e1c chuy\u00ean khoa \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u1ea1ch bao g\u1ed3m:<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd n\u00e3o b\u1ed9 v\u00e0 th\u1ea7n kinh (b\u00e1c s\u0129 th\u1ea7n kinh)<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd m\u1eaft (b\u00e1c s\u0129 nh\u00e3n khoa)<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd tim (b\u00e1c s\u0129 tim m\u1ea1ch)<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd truy\u1ec1n nhi\u1ec5m<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd c\u01a1 v\u00e0 kh\u1edbp (b\u00e1c s\u0129 n\u1ed9i kh\u1edbp)<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd th\u1eadn (b\u00e1c s\u0129 th\u1eadn)<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd ph\u1ed5i (b\u00e1c s\u0129 h\u00f4 h\u1ea5p)<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean v\u1ec1 b\u1ec7nh l\u00fd da (b\u00e1c s\u0129 da li\u1ec5u)<\/p>\n<p><strong> Chu\u1ea9n b\u1ecb nh\u01b0 th\u1ebf n\u00e0o <\/strong><\/p>\n<p>B\u1edfi v\u00ec th\u1eddi gian kh\u00e1m b\u1ec7nh s\u1ebd ng\u1eafn v\u00e0 b\u1ea1n c\u00f3 nhi\u1ec1u th\u1eafc m\u1eafc c\u1ea7n h\u1ecfi n\u00ean vi\u1ec7c chu\u1ea9n b\u1ecb t\u1ed1t l\u00e0 c\u1ea7n thi\u1ebft. B\u1ea1n c\u1ea7n c\u1ed1 g\u1eafng:<\/p>\n<ul>\n<li>N\u1eafm r\u00f5 c\u00e1c l\u01b0u \u00fd tr\u01b0\u1edbc khi \u0111i kh\u00e1m. Khi \u0111\u1eb7t l\u1ecbch h\u1eb9n, nh\u1edb h\u1ecfi b\u1ea1n c\u00f3 c\u1ea7n th\u1ef1c hi\u1ec7n \u0111i\u1ec1u g\u00ec tr\u01b0\u1edbc khi \u0111i kh\u00e1m kh\u00f4ng, v\u00ed d\u1ee5 nh\u01b0 c\u00f3 c\u1ea7n ki\u00eang \u0103n g\u00ec kh\u00f4ng.<\/li>\n<li>Vi\u1ebft ra b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o b\u1ea1n c\u00f3, bao g\u1ed3m c\u1ea3 tri\u1ec7u ch\u1ee9ng c\u00f3 v\u1ebb kh\u00f4ng li\u00ean quan \u0111\u1ebfn l\u00fd do b\u1ea1n \u0111i kh\u00e1m.<\/li>\n<li>Ghi l\u1ea1i th\u00f4ng tin ch\u00ednh c\u1ee7a b\u1ea3n th\u00e2n, bao g\u1ed3m b\u1ea5t k\u1ef3 stress ho\u1eb7c thay \u0111\u1ed5i l\u1edbn trong cu\u1ed9c s\u1ed1ng th\u1eddi gian g\u1ea7n \u0111\u00e2y.<\/li>\n<li>Vi\u1ebft danh s\u00e1ch t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c, vitamin ho\u1eb7c thu\u1ed1c b\u1ed5 m\u00e0 b\u1ea1n \u0111ang d\u00f9ng.<\/li>\n<li>C\u00f3 th\u1ec3 b\u1ea1n n\u00ean nh\u1edd m\u1ed9t ng\u01b0\u1eddi th\u00e2n ho\u1eb7c m\u1ed9t ng\u01b0\u1eddi b\u1ea1n \u0111i c\u00f9ng v\u00ec \u0111\u00f4i khi b\u1ea1n kh\u00f4ng th\u1ec3 nh\u1edb h\u1ebft t\u1ea5t c\u1ea3 c\u00e1c th\u00f4ng tin \u0111\u01b0\u1ee3c cung c\u1ea5p trong th\u1eddi gian kh\u00e1m b\u1ec7nh. Ng\u01b0\u1eddi \u0111i c\u00f9ng b\u1ea1n c\u00f3 th\u1ec3 s\u1ebd gi\u00fap b\u1ea1n nh\u1edb \u0111i\u1ec1u m\u00e0 b\u1ea1n kh\u00f4ng nghe k\u1ecbp ho\u1eb7c b\u1ecb qu\u00ean.<\/li>\n<\/ul>\n<p><strong> C\u00e1c c\u00e2u h\u1ecfi c\u1ea7n thi\u1ebft <\/strong><\/p>\n<p>Th\u1eddi gian b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00e0nh cho b\u1ea1n l\u00e0 c\u00f3 h\u1ea1n n\u00ean vi\u1ec7c chu\u1ea9n b\u1ecb s\u1eb5n c\u00e1c c\u00e2u h\u1ecfi c\u1ea7n thi\u1ebft s\u1ebd gi\u00fap b\u1ea1n t\u1eadn d\u1ee5ng t\u1ed1i \u0111a th\u1eddi gian c\u00f3 \u0111\u01b0\u1ee3c. L\u00ean danh s\u00e1ch c\u00e1c c\u00e2u h\u1ecfi theo th\u1ee9 t\u1ef1 \u01b0u ti\u00ean t\u1eeb quan tr\u1ecdng nh\u1ea5t \u0111\u1ebfn \u00edt quan tr\u1ecdng h\u01a1n trong tr\u01b0\u1eddng h\u1ee3p b\u1ea1n kh\u00f4ng c\u00f3 \u0111\u1ee7 th\u1eddi gian. \u0110\u1ed1i v\u1edbi vi\u00eam m\u1ea1ch, m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi c\u01a1 b\u1ea3n b\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi b\u00e1c s\u0129 bao g\u1ed3m:<\/p>\n<ul>\n<li>T\u00f4i b\u1ecb th\u1ec3 b\u1ec7nh vi\u00eam m\u1ea1ch g\u00ec?<\/li>\n<li>Nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a t\u00f4i l\u00e0 g\u00ec?<\/li>\n<li>T\u00f4i c\u00f3 c\u1ea7n l\u00e0m th\u00eam x\u00e9t nghi\u1ec7m kh\u00f4ng?<\/li>\n<li>B\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a\u00a0 t\u00f4i l\u00e0 c\u1ea5p t\u00ednh hay m\u00e3n t\u00ednh?<\/li>\n<li>B\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a t\u00f4i c\u00f3 th\u1ec3 t\u1ef1 kh\u1ecfi kh\u00f4ng?<\/li>\n<li>B\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a t\u00f4i c\u00f3 n\u1eb7ng l\u1eafm kh\u00f4ng?<\/li>\n<li>B\u1ec7nh vi\u00eam m\u1ea1ch n\u00e0y c\u00f3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ea7n c\u01a1 th\u1ec3 n\u00e0o c\u1ee7a t\u00f4i ch\u01b0a?<\/li>\n<li>B\u1ec7nh vi\u00eam m\u1ea1ch c\u1ee7a t\u00f4i c\u00f3 th\u1ec3 ch\u1eefa kh\u1ecfi \u0111\u01b0\u1ee3c kh\u00f4ng?<\/li>\n<li>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh c\u1ee7a t\u00f4i l\u00e0 g\u00ec?<\/li>\n<li>Nh\u1eefng l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 c\u1ee7a t\u1eebng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u00e0 g\u00ec?<\/li>\n<li>Theo \u00fd ki\u1ebfn b\u00e1c s\u0129 th\u00ec ph\u01b0\u01a1ng ph\u00e1p n\u00e0o l\u00e0 t\u1ed1t nh\u1ea5t cho t\u00f4i?<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb s\u1ebd k\u00e9o d\u00e0i trong bao l\u00e2u?<\/li>\n<li>T\u00f4i c\u00f2n m\u1eafc b\u1ec7nh kh\u00e1c. L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 t\u00f4i c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t t\u1ed1t nh\u1ea5t c\u1ea3 hai c\u0103n b\u1ec7nh c\u00f9ng l\u00fac?<\/li>\n<li>T\u00f4i c\u00f3 c\u1ea7n kh\u00e1m v\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa kh\u00e1c kh\u00f4ng? Chi ph\u00ed kh\u00e1m m\u1ea5t bao nhi\u00eau v\u00e0 b\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 chi tr\u1ea3 kh\u00f4ng?<\/li>\n<li>C\u00f3 t\u1edd b\u01b0\u1edbm qu\u1ea3ng c\u00e1o hay t\u00e0i li\u1ec7u g\u00ec kh\u00e1c v\u1ec1 b\u1ec7nh c\u1ee7a t\u00f4i kh\u00f4ng? B\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 t\u00f4i c\u00e1c trang web li\u00ean quan kh\u00f4ng?<\/li>\n<\/ul>\n<p><strong> B\u1ea1n mong \u0111\u1ee3i g\u00ec t\u1eeb b\u00e1c s\u0129 <\/strong><\/p>\n<p>B\u00e1c s\u0129 s\u1ebd h\u1ecfi b\u1ea1n m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi. N\u1ebfu mu\u1ed1n d\u00e0nh th\u1eddi gian \u0111\u1ec3 b\u00e1c s\u0129 gi\u1ea3i \u0111\u00e1p c\u00e1c th\u1eafc m\u1eafc n\u00eau tr\u00ean, b\u1ea1n h\u00e3y chu\u1ea9n b\u1ecb s\u1eb5n th\u00f4ng tin c\u1ea7n thi\u1ebft \u0111\u1ec3 tr\u1ea3 l\u1eddi. B\u00e1c s\u0129 c\u00f3 th\u1ec3 h\u1ecfi:<\/p>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n l\u1ea7n \u0111\u1ea7u khi n\u00e0o?<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng xu\u1ea5t hi\u1ec7n li\u00ean t\u1ee5c hay ch\u1ec9 th\u1ec9nh tho\u1ea3ng?<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 n\u1eb7ng kh\u00f4ng?<\/li>\n<li>\u0110i\u1ec1u g\u00ec gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n?<\/li>\n<li>\u0110i\u1ec1u g\u00ec l\u00e0m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n n\u1eb7ng h\u01a1n?<\/li>\n<\/ul>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> X\u00c9T NGHI\u1ec6M V\u00c0 CH\u1ea8N \u0110O\u00c1N <\/strong> <\/span> <\/span><\/p>\n<h2 id=\"chan-doan-viem-mach-nhu-the-nao\">Ch\u1ea9n \u0111o\u00e1n vi\u00eam m\u1ea1ch nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>\u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam m\u1ea1ch, b\u00e1c s\u0129 s\u1ebd h\u1ecfi b\u1ea1n v\u1ec1 tri\u1ec7u ch\u1ee9ng v\u00e0 ti\u1ec1n s\u1eed b\u1ec7nh r\u1ed3i s\u1ebd th\u0103m kh\u00e1m l\u00e2m s\u00e0ng k\u1ef9 l\u01b0\u1ee1ng. C\u00e1c x\u00e9t nghi\u1ec7m v\u00e0 th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n vi\u00eam m\u1ea1ch bao g\u1ed3m:<\/p>\n<ul>\n<li><strong> X\u00e9t nghi\u1ec7m m\u00e1u <\/strong> . C\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u gi\u00fap ch\u1ea9n \u0111o\u00e1n vi\u00eam m\u1ea1ch bao g\u1ed3m x\u00e9t nghi\u1ec7m \u0111\u00e1nh gi\u00e1 ph\u1ea3n \u1ee9ng vi\u00eam nh\u01b0 t\u1ed1c \u0111\u1ed9 l\u1eafng m\u00e1u v\u00e0 C-reactive protein (CRP). X\u00e9t nghi\u1ec7m c\u00f4ng th\u1ee9c m\u00e1u s\u1ebd cho bi\u1ebft b\u1ea1n c\u00f3 b\u1ecb thi\u1ebfu m\u00e1u kh\u00f4ng. X\u00e9t nghi\u1ec7m t\u00ecm kh\u00e1ng th\u1ec3 &#8211; nh\u01b0 l\u00e0 kh\u00e1ng b\u00e0o t\u01b0\u01a1ng b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n (antineutrophil cytoplasmic antibodies test) s\u1ebd cho th\u1ea5y h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a b\u1ea1n \u0111ang t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o kh\u1ecfe m\u1ea1nh trong c\u01a1 th\u1ec3.<\/li>\n<li><strong> X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u <\/strong> : c\u00e1c b\u1ea5t th\u01b0\u1eddng nh\u01b0 xu\u1ea5t hi\u1ec7n h\u1ed3ng c\u1ea7u v\u00e0 protein l\u01b0\u1ee3ng nhi\u1ec1u trong n\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 l\u00e0 ch\u1ec9 \u0111i\u1ec3m c\u1ee7a b\u1ec7nh l\u00fd. N\u1ebfu vi\u00eam m\u1ea1ch \u0111\u00e3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1eadn, ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh c\u1ee7a b\u1ea1n s\u1ebd x\u1ea5u h\u01a1n.<\/li>\n<li><strong> X\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh <\/strong> : B\u00e1c s\u0129 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u c\u00e1c \u0111\u1ed9ng m\u1ea1ch l\u1edbn nh\u01b0 \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 c\u00e1c nh\u00e1nh c\u1ee7a n\u00f3 c\u00f3 b\u1ecb \u1ea3nh h\u01b0\u1edfng kh\u00f4ng nh\u1edd c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh kh\u00f4ng x\u00e2m l\u1ea5n. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y bao g\u1ed3m X-quang, si\u00eau \u00e2m, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh v\u00e0 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb .<\/li>\n<li><strong> Ch\u1ee5p m\u1ea1ch m\u00e1u c\u1ea3n quang (\u0111\u1ed9ng m\u1ea1ch \u0111\u1ed3) <\/strong> : Trong khi ch\u1ee5p m\u1ea1ch, m\u1ed9t \u1ed1ng th\u00f4ng m\u1ec1m, gi\u1ed1ng nh\u01b0 m\u1ed9t \u1ed1ng h\u00fat, \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o trong l\u00f2ng m\u1ed9t \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch l\u1edbn. Sau \u0111\u00f3, m\u1ed9t lo\u1ea1i thu\u1ed1c nhu\u1ed9m \u0111\u1eb7c bi\u1ec7t (g\u1ecdi l\u00e0 ch\u1ea5t c\u1ea3n quang) s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o \u1ed1ng th\u00f4ng. Khi ch\u1ea5t c\u1ea3n quang l\u1ea5p \u0111\u1ea7y m\u1ea1ch m\u00e1u s\u1ebd ti\u1ebfn h\u00e0nh ch\u1ee5p X-quang. C\u00e1c h\u00ecnh \u1ea3nh c\u1ee7a h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u c\u00f3 th\u1ec3 quan s\u00e1t \u0111\u01b0\u1ee3c tr\u00ean k\u1ebft qu\u1ea3 ch\u1ee5p X-quang.<\/li>\n<li><strong> L\u1ea5y m\u1ed9t \u0111o\u1ea1n m\u1ea1ch m\u00e1u b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m (c\u00f2n g\u1ecdi l\u00e0 sinh thi\u1ebft) <\/strong> . Th\u1ee7 thu\u1eadt \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 nh\u1ecf (l\u00e0m sinh thi\u1ebft) c\u1ee7a m\u1ea1ch m\u00e1u ho\u1eb7c c\u01a1 quan b\u1ecb \u1ea3nh h\u01b0\u1edfng nh\u01b0 da, th\u1eadn, ph\u1ed5i v\u00e0 th\u1ea7n kinh s\u1ebd gi\u00fap b\u00e1c s\u0129 t\u00ecm c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a vi\u00eam m\u1ea1ch t\u1ea1i m\u00f4.<\/li>\n<\/ul>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> \u0110I\u1ec0U TR\u1eca <\/strong> <\/span> <\/span><\/p>\n<h2 id=\"dieu-tri-viem-mach-nhu-the-nao\">\u0110i\u1ec1u tr\u1ecb vi\u00eam m\u1ea1ch nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho vi\u00eam m\u1ea1ch ph\u1ee5 thu\u1ed9c v\u00e0o th\u1ec3 lo\u1ea1i, \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh v\u00e0 t\u00ecnh tr\u1ea1ng s\u1ee9c c\u1ee7a b\u1ea1n. M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 lo\u1ea1i vi\u00eam m\u1ea1ch c\u00f3 th\u1ec3 t\u1ef1 gi\u1edbi h\u1ea1n v\u00e0 bi\u1ebfn m\u1ea5t nh\u01b0 ban xu\u1ea5t huy\u1ebft Henoch &#8211; Schonlein, nh\u01b0ng m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1c c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><strong> Thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u1ea1ch bao g\u1ed3m: <\/strong><\/p>\n<ul>\n<li><strong> Steroid \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng vi\u00eam <\/strong> . Corticosteroid t\u00f9y v\u00e0o li\u1ec1u l\u01b0\u1ee3ng d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho nhi\u1ec1u lo\u1ea1i vi\u00eam m\u1ea1ch nh\u01b0 prednisone ho\u1eb7c methylprednisolone (Medrol), \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng vi\u00eam. T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a corticoid c\u00f3 th\u1ec3 nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t khi d\u00f9ng thu\u1ed1c trong th\u1eddi gian d\u00e0i. T\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 bao g\u1ed3m t\u0103ng c\u00e2n, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 lo\u00e3ng x\u01b0\u01a1ng. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c k\u00ea toa li\u1ec1u steroid th\u1ea5p nh\u1ea5t m\u00e0 v\u1eabn \u0111\u1ee7 \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh.<\/li>\n<li><strong> Thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t mi\u1ec5n d\u1ecbch <\/strong> . Tr\u01b0\u1eddng h\u1ee3p vi\u00eam m\u1ea1ch n\u1eb7ng ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ea7y \u0111\u1ee7 v\u1edbi corticosteroid c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u1ed9c t\u1ebf b\u00e0o \u0111\u1ec3 ti\u00eau di\u1ec7t c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch g\u00e2y ra ph\u1ea3n \u1ee9ng vi\u00eam. Nh\u00f3m thu\u1ed1c n\u00e0y bao g\u1ed3m azathioprine (Azasan, Imuran) v\u00e0 cyclophosphamide (Cytoxan). M\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1c gi\u00fap l\u00e0m \u1ed5n \u0111\u1ecbnh c\u00e1c ph\u1ea3n \u1ee9ng vi\u00eam c\u1ee7a h\u1ec7 mi\u1ec5n d\u1ecbch l\u00e0 rituximab (Rituxan). Thu\u1ed1c n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u00ea chu\u1ea9n d\u00f9ng chung v\u1edbi corticosteroid \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb vi\u00eam \u0111a m\u1ea1ch trong b\u1ec7nh u h\u1ea1t Wegener v\u00e0 vi\u00eam nhi\u1ec1u m\u1ea1ch nh\u1ecf (microscopic polyangiitis). C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u c\u0169ng \u0111\u00e3 s\u1eed d\u1ee5ng th\u00e0nh c\u00f4ng c\u00e1c lo\u1ea1i thu\u1ed1c l\u00e0m thay \u0111\u1ed5i \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch trong \u0111i\u1ec1u tr\u1ecb vi\u00eam m\u1ea1ch. C\u00e1c lo\u1ea1i thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0ng v\u1eabn c\u00f2n \u0111ang ti\u1ebfp t\u1ee5c \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 bao g\u1ed3m mycophenolate (Cellcept), infliximab (Remicade), adalimumab (Humira) v\u00e0 Anakinra (Kineret).<\/li>\n<\/ul>\n<p><span style=\"color: #ff0000;\"> <span style=\"font-size: 20px;\"> <strong> TH\u00cdCH NGHI V\u00c0 H\u1ed6 TR\u1ee2 <\/strong> <\/span> <\/span><\/p>\n<p>Nh\u00ecn chung vi\u00eam m\u1ea1ch \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm th\u00ec ti\u00ean l\u01b0\u1ee3ng th\u01b0\u1eddng t\u1ed1t. M\u1ed9t trong nh\u1eefng th\u00e1ch th\u1ee9c l\u1edbn nh\u1ea5t l\u00e0 b\u1ea1n ph\u1ea3i \u0111\u1ed1i m\u1eb7t l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. M\u1ed9t s\u1ed1 g\u1ee3i \u00fd sau \u0111\u00e2y c\u00f3 th\u1ec3 gi\u00fap \u00edch cho b\u1ea1n:<\/p>\n<ul>\n<li><strong> Hi\u1ec3u bi\u1ebft t\u00ecnh tr\u1ea1ng b\u1ec7nh c\u1ee7a b\u1ea1n <\/strong> . T\u00ecm hi\u1ec3u t\u1ea5t c\u1ea3 m\u1ecdi th\u1ee9 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 v\u1ec1 vi\u00eam m\u1ea1ch v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb. Bi\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a lo\u1ea1i thu\u1ed1c m\u00e0 b\u1ea1n \u0111ang d\u00f9ng v\u00e0 b\u00e1o cho b\u00e1c s\u0129 b\u1ea5t k\u1ef3 thay \u0111\u1ed5i n\u00e0o trong s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n. B\u1ea1n n\u00ean theo d\u00f5i v\u00e0 t\u00e1i kh\u00e1m theo l\u1ecbch h\u1eb9n c\u1ee7a b\u00e1c s\u0129.<\/li>\n<li><strong> Cai thu\u1ed1c l\u00e1 <\/strong> . N\u00ean cai thu\u1ed1c l\u00e1 ho\u1eb7c c\u00e1c d\u1ea1ng kh\u00e1c c\u1ee7a thu\u1ed1c l\u00e1. B\u1ea1n c\u00f3 th\u1ec3 t\u00ecm ki\u1ebfm s\u1ef1 h\u1ed7 tr\u1ee3 cai thu\u1ed1c l\u00e1 \u1edf c\u00e1c trung t\u00e2m cai thu\u1ed1c l\u00e1, c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p c\u00e1c li\u1ec7u ph\u00e1p t\u00e2m l\u00fd v\u00e0 s\u1eed d\u1ee5ng ch\u1ebf ph\u1ea9m thay th\u1ebf nicotin (n\u1ebfu c\u1ea7n).<\/li>\n<li><strong> Ch\u1ecdn m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh <\/strong> . Dinh d\u01b0\u1ee1ng t\u1ed1t c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n ng\u0103n ng\u1eeba c\u00e1c nguy c\u01a1 do t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng, t\u0103ng huy\u1ebft \u00e1p v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. B\u1ea1n n\u00ean ch\u1ecdn m\u1ed9t ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng gi\u00e0u c\u00e1c lo\u1ea1i tr\u00e1i c\u00e2y t\u01b0\u01a1i v\u00e0 rau qu\u1ea3, ng\u0169 c\u1ed1c nguy\u00ean h\u1ea1t, s\u1eefa \u00edt ch\u1ea5t b\u00e9o c\u0169ng nh\u01b0 th\u1ecbt n\u1ea1c v\u00e0 c\u00e1. H\u00e3y h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c b\u1ed5 sung vitamin D ho\u1eb7c canxi n\u1ebfu b\u1ea1n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng corticosteroid .<\/li>\n<li><strong> T\u1eadp th\u1ec3 d\u1ee5c h\u1eb1ng ng\u00e0y <\/strong> . C\u00e1c v\u1eadn \u0111\u1ed9ng th\u01b0\u1eddng xuy\u00ean nh\u01b0 \u0111i b\u1ed9, c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba m\u1ea5t x\u01b0\u01a1ng, cao huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng khi \u0111i\u1ec1u tr\u1ecb v\u1edbi corticosteroid. Th\u1ec3 d\u1ee5c c\u0169ng c\u00f3 \u00edch cho tim v\u00e0 ph\u1ed5i. Ngo\u00e0i ra, nhi\u1ec1u ng\u01b0\u1eddi \u0111\u00e3 nh\u1eadn th\u1ea5y r\u1eb1ng t\u1eadp th\u1ec3 d\u1ee5c gi\u00fap h\u1ecd c\u1ea3i thi\u1ec7n t\u00e2m l\u00fd v\u00e0 c\u1ea3m th\u1ea5y h\u1ea1nh ph\u00fac h\u01a1n. N\u1ebfu b\u1ea1n ch\u01b0a quen t\u1eadp th\u1ec3 d\u1ee5c, h\u00e3y b\u1eaft \u0111\u1ea7u t\u1eeb t\u1eeb v\u00e0 t\u0103ng d\u1ea7n. B\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n l\u00ean m\u1ed9t k\u1ebf ho\u1ea1ch t\u1eadp luy\u1ec7n ph\u00f9 h\u1ee3p v\u1edbi b\u1ea3n th\u00e2n.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/www.mayoclinic.com\/health\/vasculitis\/DS00513\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.mayoclinic.com\/health\/vasculitis\/DS00513 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vi\u00eam m\u1ea1ch m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u. Vi\u00eam m\u1ea1ch g\u00e2y ra c\u00e1c thay \u0111\u1ed5i tr\u00ean th\u00e0nh m\u1ea1ch m\u00e1u, bao g\u1ed3m d\u00e0y l\u00ean, suy y\u1ebfu, ch\u00edt h\u1eb9p.<\/p>\n","protected":false},"author":112,"featured_media":5025,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3835,5246,5164,5148,5245],"tags":[4104,4105,4106],"series":[1534],"coauthors":[6707],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00eam m\u1ea1ch m\u00e1u - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Vi\u00eam m\u1ea1ch m\u00e1u l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a c\u00e1c m\u1ea1ch m\u00e1u. 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