{"id":6095,"date":"2018-07-29T05:35:43","date_gmt":"2018-07-28T22:35:43","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/29\/phau-thuat-boc-tach-dong-mach-canh\/"},"modified":"2024-03-17T04:21:06","modified_gmt":"2024-03-16T21:21:06","slug":"phau-thuat-boc-tach-dong-mach-canh","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/phau-thuat-boc-tach-dong-mach-canh\/","title":{"rendered":"Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh"},"content":{"rendered":"<h2>T\u1ed5ng quan<\/h2>\n<h3>S\u01a1 l\u01b0\u1ee3c v\u1ec1 ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/h3>\n<p>Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 m\u1ed9t <strong>qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt m\u1ea1ch m\u00e1u<\/strong> th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5. B\u1eb1ng ch\u1ee9ng khoa h\u1ecdc t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y cho th\u1ea5y ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh t\u1eeb 70% tr\u1edf l\u00ean. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb t\u1eafc ngh\u1ebdn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh t\u1eeb 50 \u0111\u1ebfn 69% v\u00e0 m\u1edbi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u0111\u1ed9t qu\u1ef5.<\/p>\n<h3>Ch\u1ee9c n\u0103ng \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/h3>\n<p>C\u00e1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh cung c\u1ea5p m\u00e1u ch\u00ednh cho b\u1ed9 n\u00e3o. \u0110\u1ed9ng m\u1ea1ch c\u1ea3nh n\u1eb1m tr\u00ean hai b\u00ean c\u1ed5 c\u1ee7a b\u1ea1n v\u00e0 k\u00e9o d\u00e0i t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 trong l\u00f2ng ng\u1ef1c \u0111\u1ebfn n\u1ec1n s\u1ecd, cung c\u1ea5p m\u00e1u gi\u00e0u oxy cho n\u00e3o. Ch\u1ea5t b\u00e9o v\u00e0 cholesterol t\u00edch t\u1ee5 h\u00ecnh th\u00e0nh m\u1ea3ng x\u01a1 v\u1eefa g\u00e2y t\u1eafc \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/strong>. S\u1ef1 t\u1eafc ngh\u1ebdn c\u1ee7a \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh trong c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u cung c\u1ea5p cho n\u00e3o, v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111\u1ed9t qu\u1ef5.<\/p>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-10648 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/05\/dong-mach-canh.png\" alt=\"\u0110\u1ed9ng m\u1ea1ch c\u1ea3nh\" width=\"400\" height=\"425\" \/><\/p>\n<p>C\u00e1c m\u1ea3ng x\u01a1 v\u1eefa c\u00f3 th\u1ec3 l\u00e0m d\u00f2ng m\u00e1u ch\u1ea3y b\u1ea5t th\u01b0\u1eddng, c\u00f3 th\u1ec3 l\u00e0m h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. C\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 n\u1eb1m \u1edf ch\u1ed7 h\u1eb9p v\u00e0 l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn t\u1ea5t c\u1ea3 c\u00e1c \u0111\u1ed9ng m\u1ea1ch nh\u1ecf h\u01a1n m\u00e0 n\u00f3 cung c\u1ea5p. Ngo\u00e0i ra, c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 th\u1ec3 di chuy\u1ec3n v\u00e0 k\u1eb9t l\u1ea1i t\u1ea1i c\u00e1c m\u1ea1ch m\u00e1u nh\u1ecf h\u01a1n, g\u1ecdi l\u00e0 <strong>thuy\u00ean t\u1eafc m\u1ea1ch<\/strong>. N\u1ebfu m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng hay m\u1ea3ng x\u01a1 v\u1eefa ng\u0103n c\u1ea3n d\u00f2ng m\u00e1u \u0111\u1ebfn n\u00e3o, n\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111\u1ed9t qu\u1ef5 thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o ho\u1eb7c t\u1eed vong. N\u1ebfu m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng hay m\u1ea3ng x\u01a1 v\u1eefa g\u00e2y t\u1eafc m\u1ed9t \u0111\u1ed9ng m\u1ea1ch nh\u1ecf trong n\u00e3o, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t c\u01a1n thi\u1ebfu m\u00e1u n\u00e3o tho\u00e1ng qua (TIA).<\/p>\n<pre><em><strong>Xem th\u00eam b\u00e0i\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/xo-vua-dong-mach\/\" target=\"_blank\" rel=\"noopener\">X\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch<\/a>\u00a0c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-xuan-ninh\/\" target=\"_blank\" rel=\"noopener\">BS. Nguy\u1ec5n Xu\u00e2n Ninh<\/a>\u00a0v\u00e0\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/pham-nguyen-quy\/\" target=\"_blank\" rel=\"noopener\">TS.BS Ph\u1ea1m Nguy\u00ean Q\u00fay<\/a><\/strong><\/em><\/pre>\n<h3>Ch\u1ee9ng h\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/h3>\n<p>Khi d\u00f2ng m\u00e1u b\u1ecb t\u1eafc ngh\u1ebdn nhi\u1ec1u \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>ch\u1ee9ng h\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/strong>. H\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh c\u00f3 th\u1ec3 g\u00e2y ra t\u0103ng huy\u1ebft \u00e1p. Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m<strong> kh\u00f3 n\u00f3i ho\u1eb7c hi\u1ec3u, m\u00f9 ho\u1eb7c nh\u00ecn m\u1edd \u1edf m\u1ed9t m\u1eaft, v\u00e0 y\u1ebfu ho\u1eb7c t\u00ea \u1edf tay ho\u1eb7c ch\u00e2n<\/strong>. Th\u00f4ng th\u01b0\u1eddng c\u00e1c tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i trong v\u00f2ng 10 \u0111\u1ebfn 20 ph\u00fat, v\u00e0 h\u1ea7u nh\u01b0 lu\u00f4n lu\u00f4n h\u1ebft trong v\u00f2ng m\u1ed9t gi\u1edd. Ngay c\u1ea3 khi t\u1ea5t c\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u00e3 h\u1ebft, t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n n\u00ean g\u1ecdi c\u1ea5p c\u1ee9u 115 ngay l\u1eadp t\u1ee9c \u0111\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 th\u0103m kh\u00e1m.<\/p>\n<p>H\u1eb9p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh th\u01b0\u1eddng kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n m\u1ed9t \u00e2m thanh b\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u1ebfng th\u1ed5i khi nghe \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh c\u1ee7a b\u1ea1n b\u1eb1ng \u1ed1ng nghe.<\/p>\n<h2>Chu\u1ea9n b\u1ecb ph\u1eabu thu\u1eadt<\/h2>\n<p>Tr\u01b0\u1edbc khi x\u00e1c \u0111\u1ecbnh b\u1ea1n c\u1ea7n ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, b\u00e1c s\u0129 s\u1ebd th\u0103m kh\u00e1m to\u00e0n di\u1ec7n cho b\u1ea1n. Nh\u1eefng ng\u01b0\u1eddi sau \u0111\u00e2y c\u00f3 nguy c\u01a1 x\u1ea3y ra bi\u1ebfn ch\u1ee9ng cao h\u01a1n sau ph\u1eabu thu\u1eadt n\u00e0y:<\/p>\n<ul>\n<li>\u0110\u00e3 b\u1ecb \u0111\u1ed9t qu\u1ef5, nh\u1ea5t l\u00e0 \u0111\u1ed9t qu\u1ef5 l\u1edbn kh\u00f4ng ph\u1ee5c h\u1ed3i.<\/li>\n<li>B\u1ecb c\u01a1n \u0111au tim trong v\u00f2ng s\u00e1u th\u00e1ng qua.<\/li>\n<li>Suy tim sung huy\u1ebft.<\/li>\n<li>Huy\u1ebft \u00e1p cao kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.<\/li>\n<li>\u0110au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/li>\n<li>C\u00f3 b\u1ec7nh nghi\u00eam tr\u1ecdng, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh tim m\u1ea1ch ho\u1eb7c b\u1ec7nh ph\u1ed5i n\u1eb7ng.<\/li>\n<li>Ung th\u01b0 lan r\u1ed9ng k\u00ec v\u1ecdng s\u1ed1ng d\u01b0\u1edbi 2 n\u0103m.<\/li>\n<li>M\u1ea3ng x\u01a1 v\u1eefa kh\u00f4ng th\u1ec3 ti\u1ebfp c\u1eadn trong ph\u1eabu thu\u1eadt.<\/li>\n<li>T\u1eafc ngh\u1ebdn nghi\u00eam tr\u1ecdng trong c\u00e1c m\u1ea1ch m\u00e1u kh\u00e1c cung c\u1ea5p m\u00e1u cho n\u00e3o, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh \u1edf ph\u00eda b\u00ean kia<\/li>\n<li>T\u1eafc ngh\u1ebdn m\u1edbi sau ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng c\u1ea3nh tr\u01b0\u1edbc \u0111\u00f3 \u1edf c\u00f9ng b\u00ean.<\/li>\n<li>B\u1ec7nh Alzheimer ho\u1eb7c c\u00e1c r\u1ed1i lo\u1ea1n n\u00e3o b\u1ed9 \u0111ang ti\u1ebfn tri\u1ec3n kh\u00e1c.<\/li>\n<li>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/li>\n<\/ul>\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u x\u00e9t nghi\u1ec7m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn. Nh\u1eefng x\u00e9t nghi\u1ec7m n\u00e0y bao g\u1ed3m:<\/p>\n<p><strong>Ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch n\u00e3o<\/strong> (c\u00f2n g\u1ecdi l\u00e0 ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch \u0111\u1ed1t s\u1ed1ng, ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh)<\/p>\n<p>\u0110\u1ed9ng m\u1ea1ch kh\u00f4ng th\u1ea5y \u0111\u01b0\u1ee3c khi ch\u1ee5p x-quang, v\u00ec th\u1ebf c\u1ea7n d\u00f9ng thu\u1ed1c c\u1ea3n quang. B\u1ea1n \u0111\u01b0\u1ee3c g\u00e2y t\u00ea t\u1ea1i ch\u1ed7, lu\u1ed3n kim v\u00e0o \u0111\u1ed9ng m\u1ea1ch, th\u01b0\u1eddng l\u00e0 \u1edf ch\u00e2n. M\u1ed9t \u1ed1ng th\u00f4ng (d\u00e0i, h\u1eb9p, m\u1ec1m) \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u0111\u1ed9ng m\u1ea1ch c\u1ee7a b\u1ea1n. Sau \u0111\u00f3 \u0111\u01b0\u1ee3c lu\u1ed3n qua c\u00e1c m\u1ea1ch ch\u00ednh c\u1ee7a v\u00f9ng b\u1ee5ng v\u00e0 ng\u1ef1c cho \u0111\u1ebfn khi n\u00f3 \u0111\u01b0\u1ee3c \u0111\u1eb7t \u0111\u00fang trong c\u00e1c \u0111\u1ed9ng m\u1ea1ch \u1edf c\u1ed5. Qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u01b0\u1ee3c theo d\u00f5i tr\u00ean m\u00e0n hu\u1ef3nh quang. Sau \u0111\u00f3 c\u00e1c ch\u1ea5t c\u1ea3n quang \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o v\u00f9ng c\u1ed5 qua \u1ed1ng th\u00f4ng, v\u00e0 ch\u1ee5p x-quang. M\u1ea1ch, huy\u1ebft \u00e1p, v\u00e0 nh\u1ecbp th\u1edf \u0111\u01b0\u1ee3c theo d\u00f5i trong su\u1ed1t qu\u00e1 tr\u00ecnh n\u00e0y. Nguy c\u01a1 c\u1ee7a quy tr\u00ecnh n\u00e0y bao g\u1ed3m:<\/p>\n<ul>\n<li>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi thu\u1ed1c c\u1ea3n quang.<\/li>\n<li>M\u1eb7c d\u00f9 hi\u1ebfm, \u1ed1ng th\u00f4ng c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c tr\u00f3c m\u1ed9t m\u1ea3nh c\u1ee7a th\u00e0nh \u0111\u1ed9ng m\u1ea1ch, m\u1ea3nh \u0111\u00f3 c\u00f3 th\u1ec3 g\u00e2y t\u1eafc m\u1ea1ch m\u00e1u d\u1eabn t\u1edbi \u0111\u1ed9t qu\u1ef5<\/li>\n<li>M\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng ho\u1eb7c t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u \u1edf n\u01a1i \u0111\u00e2m kim c\u00f3 th\u1ec3 l\u00e0m t\u1eafc ngh\u1ebdn m\u1ed9t ph\u1ea7n d\u00f2ng m\u00e1u \u0111\u1ebfn ch\u00e2n.<\/li>\n<\/ul>\n<p><strong>Si\u00eau \u00e2m Duplex \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/strong><\/p>\n<p>Si\u00eau \u00e2m \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n m\u1ea3ng x\u01a1 v\u1eefa, c\u1ee5c m\u00e1u \u0111\u00f4ng, ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c \u1ea3nh h\u01b0\u1edfng t\u1edbi l\u01b0u l\u01b0\u1ee3ng m\u00e1u trong \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh. Si\u00eau \u00e2m r\u1ea5t \u0111\u00e1ng tin c\u1eady trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh h\u1eb9p nh\u01b0ng kh\u00f4ng \u0111\u00e1nh gi\u00e1 ch\u00ednh x\u00e1c m\u1ee9c \u0111\u1ed9 h\u1eb9p. B\u1edfi v\u00ec \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 h\u1eb9p, quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb kh\u00f4ng th\u1ec3 ch\u1ec9 d\u1ef1a tr\u00ean si\u00eau \u00e2m.<\/p>\n<p>Gel tan trong n\u01b0\u1edbc \u0111\u01b0\u1ee3c b\u00f4i tr\u00ean da t\u1ea1i n\u01a1i \u0111\u1eb7t \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m t\u1ea7n s\u1ed1 cao. Gel gi\u00fap d\u1eabn truy\u1ec1n s\u00f3ng \u00e2m \u0111\u1ebfn b\u1ec1 m\u1eb7t da c\u1ee7a b\u1ea1n. Khi s\u00f3ng si\u00eau \u00e2m \u0111\u01b0\u1ee3c ph\u00e1t ra s\u1ebd thu \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh c\u1ee7a c\u00e1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh v\u00e0 c\u00e1c h\u00ecnh d\u1ea1ng s\u00f3ng. X\u00e9t nghi\u1ec7m n\u00e0y kh\u00f4ng x\u00e2m l\u1ea5n v\u00e0 kh\u00f4ng \u0111au v\u00e0 ch\u01b0a ghi nh\u1eadn nguy c\u01a1 g\u00ec.<\/p>\n<p>Th\u1eed nghi\u1ec7m b\u1ed5 sung c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<p><strong>Ch\u1ee5p m\u1ea1ch m\u00e1u c\u1ed9ng h\u01b0\u1edfng t\u1eeb<\/strong><strong> (MRA)<\/strong><\/p>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t c\u00e1ch kh\u1ea3o s\u00e1t kh\u00f4ng x\u00e2m l\u1ea5n b\u1eb1ng m\u00e1y ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb. C\u00e1c h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c d\u1ef1ng l\u1ea1i b\u1eb1ng m\u00e1y t\u00ednh cho ra h\u00ecnh \u1ea3nh h\u1ec7 \u0111\u1ed9ng m\u1ea1ch \u1edf \u0111\u1ea7u v\u00e0 c\u1ed5. Kh\u00f4ng c\u1ea7n thu\u1ed1c c\u1ea3n quang, nh\u01b0ng m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 \u00e1m \u1ea3nh s\u1ee3 ch\u1eadt h\u1eb9p khi v\u00e0o trong m\u00e1y ch\u1ee5p.<\/p>\n<p><strong>Ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI)<\/strong><\/p>\n<p>\u0110\u00e2y l\u00e0 m\u1ed9t x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n cho ra h\u00ecnh \u1ea3nh ba chi\u1ec1u v\u00f9ng \u0111\u1ea7u, s\u1eed d\u1ee5ng t\u1eeb t\u00ednh m\u1ea1nh m\u1ebd v\u00e0 c\u00f4ng ngh\u1ec7 m\u00e1y t\u00ednh.<\/p>\n<h2><strong>Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh<\/strong><\/h2>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y m\u00ea to\u00e0n th\u00e2n ho\u1eb7c c\u1ee5c b\u1ed9 tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt. Trong th\u1ee7 thu\u1eadt n\u00e0y, b\u00e1c s\u0129 ph\u1eabu thu\u1eadt m\u1ed5 \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh c\u1ee7a b\u1ea1n v\u00e0 lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 c\u1eaft l\u1ecdc. Lo\u1ea1i b\u1ecf c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa m\u1edf r\u1ed9ng \u0111\u1ed9ng m\u1ea1ch, gi\u00fap ph\u1ee5c h\u1ed3i l\u01b0u l\u01b0\u1ee3ng m\u00e1u b\u00ecnh th\u01b0\u1eddng. \u0110\u1ed9ng m\u1ea1ch s\u1ebd \u0111\u01b0\u1ee3c kh\u00e2u b\u1eb1ng ch\u1ec9 ho\u1eb7c m\u1ea3nh gh\u00e9p. Ph\u1eabu thu\u1eadt th\u01b0\u1eddng m\u1ea5t kho\u1ea3ng hai gi\u1edd. B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb \u0111au \u1edf v\u1ebft r\u1ea1ch \u1edf c\u1ed5 v\u00e0 m\u1ed9t kh\u00f3 nu\u1ed1t trong v\u00e0i ng\u00e0y \u0111\u1ea7u sau khi ph\u1eabu thu\u1eadt. H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t vi\u1ec7n sau v\u00e0i ng\u00e0y, v\u00e0 tr\u1edf l\u1ea1i l\u00e0m vi\u1ec7c, th\u01b0\u1eddng l\u00e0 trong v\u00f2ng m\u1ed9t th\u00e1ng. B\u1ea1n n\u00ean tr\u00e1nh l\u00e1i xe v\u00e0 h\u1ea1n ch\u1ebf c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t trong m\u1ed9t v\u00e0i tu\u1ea7n sau ph\u1eabu thu\u1eadt.<\/p>\n<p>C\u0169ng nh\u01b0 v\u1edbi b\u1ea5t k\u1ef3 lo\u1ea1i ph\u1eabu thu\u1eadt kh\u00e1c, c\u00f3 th\u1ec3 c\u00f3 bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n v\u1edbi ph\u1eabu thu\u1eadt \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh. Kho\u1ea3ng 1-3% c\u00f3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 sau ph\u1eabu thu\u1eadt. M\u1ed9t bi\u1ebfn ch\u1ee9ng kh\u00e1 hi\u1ebfm l\u00e0 t\u00e1i t\u1eafc ngh\u1ebdn c\u1ee7a \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, g\u1ecdi l\u00e0 t\u00e1i h\u1eb9p, c\u00f3 th\u1ec3 x\u1ea3y ra sau n\u00e0y, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1. T\u00ea \u1edf m\u1eb7t ho\u1eb7c l\u01b0\u1ee1i do t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh t\u1ea1m th\u1eddi hi\u1ebfm khi x\u1ea3y ra, th\u01b0\u1eddng kh\u1ecfi trong v\u00f2ng m\u1ed9t th\u00e1ng m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2><strong>Nong v\u00e0 \u0111\u1eb7t stent \u0111<\/strong><strong>\u1ed9ng m\u1ea1ch c\u1ea3nh<\/strong><\/h2>\n<p>M\u1ed9t h\u00ecnh th\u1ee9c \u0111i\u1ec1u tr\u1ecb thay th\u1ebf m\u1edbi l\u00e0 nong v\u00e0 \u0111\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh, h\u1ee9a h\u1eb9n cho nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 qu\u00e1 cao khi ph\u1eabu thu\u1eadt. \u0110\u1eb7t stent \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt \u0111\u1eb7t \u1ed1ng kim lo\u1ea1i d\u1ea1ng l\u01b0\u1edbi nh\u1ecf v\u00e0o b\u00ean trong \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh c\u1ee7a b\u1ea1n \u0111\u1ec3 t\u0103ng l\u01b0u l\u01b0\u1ee3ng d\u00f2ng m\u00e1u b\u1ecb ngh\u1ebdn b\u1edfi m\u1ea3ng x\u01a1 v\u1eefa. C\u00e1c stent \u0111\u01b0\u1ee3c \u0111\u1eb7t sau m\u1ed9t th\u1ee7 t\u1ee5c g\u1ecdi l\u00e0 nong m\u1ea1ch, trong \u0111\u00f3 c\u00e1c b\u00e1c s\u0129 \u0111\u01b0a m\u1ed9t \u1ed1ng th\u00f4ng c\u00f3 b\u00f3ng t\u1edbi ch\u1ed7 \u0111\u1ed9ng m\u1ea1ch b\u1ecb h\u1eb9p. C\u00e1c b\u00f3ng \u0111\u01b0\u1ee3c b\u01a1m v\u00e0 \u00e9p v\u00e0o c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa, l\u00e0m ph\u1eb3ng v\u00e0 t\u00e1i th\u00f4ng \u0111\u1ed9ng m\u1ea1ch. Stent \u0111\u1ed9ng m\u1ea1ch ho\u1ea1t \u0111\u1ed9ng nh\u01b0 gi\u00e0n gi\u00e1o \u0111\u1ec3 n\u00e2ng \u0111\u1ee1 c\u00e1c \u0111\u1ed9ng m\u1ea1ch kh\u1ecfi b\u1ecb h\u1eb9p l\u1ea1i sau khi th\u1ee7 thu\u1eadt ho\u00e0n t\u1ea5t.<\/p>\n<p>B\u1ea1n t\u1ec9nh t\u00e1o trong su\u1ed1t qu\u00e1 tr\u00ecnh n\u00e0y, v\u00e0 th\u01b0\u1eddng xu\u1ea5t vi\u1ec7n v\u00e0o ng\u00e0y h\u00f4m sau. H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng khi h\u1ecd v\u1ec1 \u0111\u1ebfn nh\u00e0.<\/p>\n<p>C\u00f3 m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng ti\u1ec1m \u1ea9n khi \u0111i\u1ec1u tr\u1ecb n\u1ed9i m\u1ea1ch. C\u00e1c nguy c\u01a1 nghi\u00eam tr\u1ecdng nh\u1ea5t khi \u0111\u1eb7t stent l\u00e0 thuy\u00ean t\u1eafc m\u1ea1ch n\u00e3o, g\u00e2y ra do m\u1ea3ng x\u01a1 v\u1eefa b\u1ecb tr\u00f3c ra t\u1eeb ch\u1ed7 h\u1eb9p, g\u00e2y t\u1eafc m\u1ed9t \u0111\u1ed9ng m\u1ea1ch trong n\u00e3o, g\u00e2y ra m\u1ed9t c\u01a1n \u0111\u1ed9t qu\u1ef5. Nh\u1eefng r\u1ee7i ro \u0111\u01b0\u1ee3c gi\u1ea3m thi\u1ec3u khi s\u1eed d\u1ee5ng b\u1ed9 l\u1ecdc nh\u1ecf g\u1ecdi l\u00e0 thi\u1ebft b\u1ecb b\u1ea3o v\u1ec7 t\u1eafc m\u1ea1ch khi nong m\u1ea1ch v\u00e0 \u0111\u1eb7t stent. Ngo\u00e0i ra c\u00f2n c\u00f3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 do m\u1ed9t m\u1ea3nh c\u1ee7a c\u00e1c m\u1ea3ng x\u01a1 v\u1eefa l\u1ecfng l\u1ebbo ho\u1eb7c m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng l\u00e0m t\u1eafc m\u1ed9t \u0111\u1ed9ng m\u1ea1ch trong ho\u1eb7c ngay sau khi ph\u1eabu thu\u1eadt.<\/p>\n<p>Gia t\u0103ng \u0111\u1ed9t ng\u1ed9t l\u01b0u l\u01b0\u1ee3ng m\u00e1u qua \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh b\u1ecb h\u1eb9p tr\u01b0\u1edbc \u0111\u00f3 v\u00e0o c\u00e1c \u0111\u1ed9ng m\u1ea1ch n\u00e3o c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft n\u00e3o. C\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c bao g\u1ed3m t\u00e1i h\u1eb9p v\u00e0 gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 nh\u1ecbp tim ng\u1eafn h\u1ea1n.<\/p>\n<p>M\u1eb7c d\u00f9 ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 nh\u01b0ng n\u00f3 kh\u00f4ng l\u00e0m m\u1ea3ng x\u01a1 v\u1eefa ng\u1eebng ph\u00e1t tri\u1ec3n. \u0110\u1ec3 ng\u0103n ch\u1eb7n c\u00e1c \u0111\u1ed9ng m\u1ea1ch x\u01a1 c\u1ee9ng l\u1ea1i, nh\u1eefng l\u1eddi khuy\u00ean s\u1ee9c kh\u1ecfe sau \u0111\u00e2y c\u00f3 th\u1ec3 gi\u00fap \u00edch:<\/p>\n<ul>\n<li>\u0102n th\u1ef1c ph\u1ea9m \u00edt ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a, Cholesterol v\u00e0 calo<\/li>\n<li>T\u1eadp th\u1ec3 d\u1ee5c t\u1eadp th\u01b0\u1eddng xuy\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00f3 l\u1ee3i cho tim m\u1ea1ch nh\u01b0 \u0111i b\u1ed9<\/li>\n<li>Duy tr\u00ec tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 l\u00fd t\u01b0\u1edfng c\u1ee7a b\u1ea1n<\/li>\n<li>Tr\u00e1nh h\u00fat thu\u1ed1c<\/li>\n<li>Th\u1ea3o lu\u1eadn v\u1ec1 thu\u1ed1c gi\u1ea3m cholesterol v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n<\/li>\n<li>Th\u0103m kh\u00e1m b\u00e1c s\u0129 tr\u01b0\u1edbc khi b\u1ea1n th\u1ef1c hi\u1ec7n b\u1ea5t k\u1ef3 ch\u01b0\u01a1ng tr\u00ecnh t\u1eadp luy\u1ec7n n\u00e0o.<\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"http:\/\/www.aans.org\/en\/Patient%20Information\/Conditions%20and%20Treatments\/Cartoid%20Endarterectomy%20and%20Stenosis.aspx\" target=\"_blank\" rel=\"noopener\">http:\/\/www.aans.org\/en\/Patient%20Information\/Conditions%20and%20Treatments\/Cartoid%20Endarterectomy%20and%20Stenosis.aspx<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt m\u1ea1ch m\u00e1u th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5. <\/p>\n","protected":false},"author":74,"featured_media":6096,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5251,4025,5148,5214,5215],"tags":[4545],"series":[1731],"coauthors":[2348],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt m\u1ea1ch m\u00e1u th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/phau-thuat-boc-tach-dong-mach-canh\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Ph\u1eabu thu\u1eadt b\u00f3c t\u00e1ch n\u1ed9i m\u1ea1c \u0111\u1ed9ng m\u1ea1ch c\u1ea3nh l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt m\u1ea1ch m\u00e1u th\u00f4ng th\u01b0\u1eddng c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/phau-thuat-boc-tach-dong-mach-canh\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2018-07-28T22:35:43+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T21:21:06+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2016\/05\/phau-thuat-boc-tach-dong-manh-canh.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS. 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