{"id":5024,"date":"2019-02-22T01:52:31","date_gmt":"2019-02-21T18:52:31","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/con-ong-dong-mach\/"},"modified":"2024-04-23T16:44:27","modified_gmt":"2024-04-23T09:44:27","slug":"con-ong-dong-mach","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/con-ong-dong-mach\/","title":{"rendered":"C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch"},"content":{"rendered":"<h2 style=\"text-align: justify\">\u1ed0ng \u0111\u1ed9ng m\u1ea1ch l\u00e0 g\u00ec?<\/h2>\n<p style=\"text-align: justify\">\u1ed0ng \u0111\u1ed9ng m\u1ea1ch (DA) l\u00e0 m\u1ed9t m\u1ea1ch m\u00e1u b\u00ecnh th\u01b0\u1eddng trong c\u01a1 th\u1ec3, c\u00f3 nhi\u1ec7m v\u1ee5 k\u1ebft n\u1ed1i hai \u0111\u1ed9ng m\u1ea1ch ch\u00ednh &#8211; \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 v\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u2013 gi\u00fap \u0111\u01b0a m\u00e1u t\u1eeb tim ra nu\u00f4i c\u01a1 th\u1ec3 b\u00e0o thai. \u1ed0ng \u0111\u1ed9ng m\u1ea1ch \u0111\u01b0a m\u00e1u ra kh\u1ecfi ph\u1ed5i, tr\u1ef1c ti\u1ebfp nu\u00f4i c\u01a1 th\u1ec3.<\/p>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter\" style=\"width: 400px;height: 266px\" src=\"\/\/yhoccongdong.org\/Documents\/2957_con-ong-dong-mach...jpg\" alt=\"Con ong dong mach\" width=\"1193\" height=\"792\" \/><\/p>\n<p style=\"text-align: justify\">Khi b\u00e0o thai n\u1eb1m trong b\u1ecdc n\u01b0\u1edbc \u1ed1i, ph\u1ed5i kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u00ec b\u00e9 nh\u1eadn oxygen tr\u1ef1c ti\u1ebfp t\u1eeb nhau thai c\u1ee7a ng\u01b0\u1eddi m\u1eb9. Khi tr\u1ebb s\u01a1 sinh b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng ph\u1ed5i \u0111\u1ec3 th\u1edf, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng c\u00f2n c\u1ea7n thi\u1ebft v\u00e0 th\u01b0\u1eddng b\u00edt l\u1ea1i trong v\u00f2ng 2 ng\u00e0y \u0111\u1ea7u ti\u00ean sau sinh.<\/p>\n<p style=\"text-align: justify\">Tuy nhi\u00ean, khi \u1ed1ng \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng b\u00edt l\u1ea1i s\u1ebd d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c g\u1ecdi t\u00ean l\u00e0 \u201cC\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch\u201d (patent ductus arteriosus \u2013 PDA), khi \u0111\u00f3 m\u00e1u gi\u00e0u oxygen t\u1eeb \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 b\u1ecb tr\u1ed9n l\u1eabn v\u1edbi m\u00e1u ngh\u00e8o oxy trong \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. K\u1ebft qu\u1ea3 l\u00e0 ph\u1ed5i nh\u1eadn qu\u00e1 nhi\u1ec1u m\u00e1u \u0111\u1ed5 v\u1ec1, g\u00e2y t\u0103ng g\u00e1nh cho tim v\u00e0 l\u00e0m t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i.<\/p>\n<h2 id=\"nguyen-nhan\" style=\"text-align: justify\">Nguy\u00ean nh\u00e2n<\/h2>\n<p style=\"text-align: justify\">Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft r\u00f5, nh\u01b0ng c\u00f3 th\u1ec3 do y\u1ebfu t\u1ed1 di truy\u1ec1n.<\/p>\n<p style=\"text-align: justify\">C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb sinh non v\u00e0 g\u1eb7p \u1edf n\u1eef nhi\u1ec1u g\u1ea5p hai l\u1ea7n nam. B\u1ec7nh c\u0169ng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb b\u1ecb h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p s\u01a1 sinh, r\u1ed1i lo\u1ea1n di truy\u1ec1n (nh\u01b0 h\u1ed9i ch\u1ee9ng Down), v\u00e0 tr\u1ebb s\u01a1 sinh c\u00f3 m\u1eb9 m\u1eafc b\u1ec7nh s\u1edfi \u0110\u1ee9c (Rubella) trong khi mang thai.<\/p>\n<p style=\"text-align: justify\">Trong \u0111a ph\u1ea7n c\u00e1c tr\u01b0\u1eddng h\u1ee3p tr\u1ebb m\u1eafc b\u1ec7nh c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch nh\u01b0ng c\u00f3 c\u1ea5u tr\u00fac tim b\u00ecnh th\u01b0\u1eddng, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch s\u1ebd co l\u1ea1i v\u00e0 t\u1ef1 bi\u1ebfn m\u1ea5t trong v\u00e0i ng\u00e0y \u0111\u1ea7u sau sinh. M\u1ed9t s\u1ed1 \u1ed1ng \u0111\u1ed9ng m\u1ea1ch s\u1ebd t\u1ef1 \u0111\u00f3ng khi tr\u1ebb \u0111\u01b0\u1ee3c m\u1ed9t tu\u1ed5i.<\/p>\n<p style=\"text-align: justify\">\u1ede tr\u1ebb sinh non, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng ti\u1ebfp t\u1ee5c m\u1edf, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu tr\u1ebb c\u00f3 b\u1ec7nh ph\u1ed5i. L\u00fac n\u00e0y c\u1ea7n xem x\u00e9t c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u00f3ng \u1ed1ng \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<p style=\"text-align: justify\">\u1ede tr\u1ebb c\u00f3 d\u1ecb t\u1eadt tim k\u00e8m theo l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1eeb tim \u0111\u1ebfn ph\u1ed5i ho\u1eb7c l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u gi\u00e0u oxygen cho c\u01a1 th\u1ec3, l\u00fac \u1ea5y \u1ed1ng \u0111\u1ed9ng m\u1ea1ch t\u1ed3n d\u01b0 k\u00e9o d\u00e0i c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i \u00edch cho tr\u1ebb, b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea thu\u1ed1c \u0111\u1ec3 gi\u1eef \u1ed1ng \u0111\u1ed9ng m\u1ea1ch ti\u1ebfp t\u1ee5c m\u1edf.<\/p>\n<h2 style=\"text-align: justify\"><strong>Tri\u1ec7u ch\u1ee9ng \u2013 X\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng <\/strong><\/h2>\n<p style=\"text-align: justify\">\u1ede tr\u1ebb c\u00f3 \u1ed1ng \u0111\u1ed9ng m\u1ea1ch l\u1edbn, c\u00f3 th\u1ec3 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li>M\u1ea1ch n\u1ea9y m\u1ea1nh.<\/li>\n<li>Th\u1edf nhanh.<\/li>\n<li>Bi\u1ebfng \u0103n.<\/li>\n<li>Kh\u00f3 th\u1edf.<\/li>\n<li>\u0110\u1ed5 m\u1ed3 h\u00f4i khi \u0103n.<\/li>\n<li>Nhanh m\u1ec7t m\u1ecfi.<\/li>\n<li>T\u0103ng tr\u01b0\u1edfng k\u00e9m<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Khi nghi ng\u1edd tr\u1ebb c\u00f3 b\u1ec7nh PDA, b\u00e1c s\u0129 s\u1ebd s\u1eed d\u1ee5ng \u1ed1ng nghe \u0111\u1ec3 kh\u00e1m \u00e2m th\u1ed5i \u1edf tim \u2013 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb b\u1ecb b\u1ec7nh PDA. Ngo\u00e0i ra c\u00f3 th\u1ec3 c\u1ea7n \u0111\u1ebfn c\u00e1c x\u00e9t nghi\u1ec7m c\u1eadn l\u00e2m s\u00e0ng, nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li>Xquang.<\/li>\n<li>\u0110i\u1ec7n t\u00e2m \u0111\u1ed3. X\u00e9t nghi\u1ec7m \u0111o ho\u1ea1t \u0111\u1ed9ng \u0111i\u1ec7n c\u1ee7a tim v\u00e0 c\u00f3 th\u1ec3 cho th\u1ea5y li\u1ec7u tim c\u00f3 b\u1ecb gi\u00e3n l\u1edbn hay kh\u00f4ng.<\/li>\n<li>Si\u00eau \u00e2m tim. X\u00e9t nghi\u1ec7m s\u1eed d\u1ee5ng s\u00f3ng si\u00eau \u00e2m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd tim. S\u00f3ng ph\u00e1t ra t\u1eeb m\u00e1y d\u1ed9i v\u00e0o c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a tim, th\u00f4ng qua \u0111\u00f3 gi\u00e1n ti\u1ebfp th\u1ea5y \u0111\u01b0\u1ee3c h\u00ecnh \u1ea3nh tim. \u1ede nh\u1eefng tr\u1ebb b\u1ecb c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch, si\u00eau \u00e2m cho th\u1ea5y \u0111\u1ed9 l\u1edbn c\u1ee7a \u1ed1ng \u0111\u1ed9ng m\u1ea1ch v\u00e0 kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a tim.<\/li>\n<\/ul>\n<h2 id=\"dieu-tri\" style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb<\/h2>\n<p style=\"text-align: justify\">Ba bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>S\u1eed d\u1ee5ng thu\u1ed1c.<\/li>\n<li>\u0110\u1eb7t catheter.<\/li>\n<li>Ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">B\u00e1c s\u0129 s\u1ebd quy\u1ebft \u0111\u1ecbnh \u0111\u00f3ng \u1ed1ng \u0111\u1ed9ng m\u1ea1ch khi k\u00edch th\u01b0\u1edbc \u1ed1ng \u0111\u1ed9ng m\u1ea1ch \u0111\u1ee7 l\u1edbn, khi\u1ebfn l\u01b0\u1ee3ng m\u00e1u v\u1ec1 tim qu\u00e1 nhi\u1ec1u, l\u00e0m tim gi\u00e3n n\u1edf.<\/p>\n<p style=\"text-align: justify\">\u1ed0ng \u0111\u1ed9ng m\u1ea1ch c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u00f3ng \u0111\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng tim (vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c), \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u1edbp n\u1ed9i t\u00e2m m\u1ea1c, l\u1edbp n\u1ed9i m\u1ea1c m\u1ea1ch m\u00e1u. B\u1ec7nh vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c nguy hi\u1ec3m v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/kidshealth.org\/PageManager.jsp?dn=American_Academy_of_Family_Physicians&amp;lic=44&amp;ps=107&amp;cat_id=141&amp;article_set=87529\" target=\"_blank\" rel=\"noopener\">http:\/\/kidshealth.org\/PageManager.jsp?dn=American_Academy_of_Family_Physicians&amp;lic=44&amp;ps=107&amp;cat_id=141&amp;article_set=87529 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Khi tr\u1ebb s\u01a1 sinh b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng ph\u1ed5i \u0111\u1ec3 th\u1edf, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng c\u00f2n c\u1ea7n thi\u1ebft v\u00e0 th\u01b0\u1eddng b\u00edt l\u1ea1i trong v\u00f2ng 2 ng\u00e0y \u0111\u1ea7u ti\u00ean sau sinh. Tuy nhi\u00ean, khi \u1ed1ng \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng b\u00edt l\u1ea1i s\u1ebd d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c g\u1ecdi t\u00ean l\u00e0 &#8220;C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch&#8221;.<\/p>\n","protected":false},"author":133,"featured_media":5025,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6076],"tags":[],"series":[3912],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Khi tr\u1ebb s\u01a1 sinh b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng ph\u1ed5i \u0111\u1ec3 th\u1edf, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng c\u00f2n c\u1ea7n thi\u1ebft v\u00e0 th\u01b0\u1eddng b\u00edt l\u1ea1i trong v\u00f2ng 2 ng\u00e0y \u0111\u1ea7u ti\u00ean sau sinh.\" \/>\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\/nhi-khoa\/con-ong-dong-mach\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Khi tr\u1ebb s\u01a1 sinh b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng ph\u1ed5i \u0111\u1ec3 th\u1edf, \u1ed1ng \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng c\u00f2n c\u1ea7n thi\u1ebft v\u00e0 th\u01b0\u1eddng b\u00edt l\u1ea1i trong v\u00f2ng 2 ng\u00e0y \u0111\u1ea7u ti\u00ean sau sinh.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/con-ong-dong-mach\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/kimtu.trinhhoang\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-21T18:52:31+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-23T09:44:27+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2015\/11\/con-ong-dong-mach.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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