{"id":5027,"date":"2019-02-22T03:31:09","date_gmt":"2019-02-21T20:31:09","guid":{"rendered":"https:\/\/yhoccongdong.org\/nhi-khoa\/thong-lien-that\/"},"modified":"2024-04-23T16:45:41","modified_gmt":"2024-04-23T09:45:41","slug":"thong-lien-that","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/thong-lien-that\/","title":{"rendered":"Th\u00f4ng li\u00ean th\u1ea5t"},"content":{"rendered":"<p style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u00e2\u0301t (TLT) la\u0300 m\u1ed9t da\u0323ng b\u1ec7nh tim b\u00e2\u0309m sinh trong \u0111o\u0301 co\u0301 s\u01b0\u0323 hi\u1ec7n di\u1ec7n cu\u0309a m\u1ed9t l\u00f4\u0303 th\u00f4ng b\u00e2\u0301t th\u01b0\u01a1\u0300ng gi\u01b0\u0303a hai bu\u00f4\u0300ng t\u00e2m th\u00e2\u0301t cu\u0309a tim. \u0110\u00e2y la\u0300 da\u0323ng b\u1ec7nh tim b\u00e2\u0309m sinh th\u01b0\u01a1\u0300ng g\u1eb7p nh\u00e2\u0301t, \u0111a s\u00f4\u0301 b\u1ec7nh nh\u00e2n \u0111\u01b0\u01a1\u0323c ch\u00e2\u0309n \u0111oa\u0301n s\u01a1\u0301m va\u0300 \u0111i\u00ea\u0300u tri\u0323 tha\u0300nh c\u00f4ng v\u01a1\u0301i i\u0301t tai bi\u00ea\u0301n.<\/p>\n<h2 id=\"thong-lien-tha\u0301t-la\u0300-gi\u0300\" style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u00e2\u0301t la\u0300 gi\u0300?<\/h2>\n<p style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u00e2\u0301t (TLT) la\u0300 m\u1ed9t da\u0323ng b\u1ec7nh \u00a0tim b\u00e2\u0309m sinh trong \u0111o\u0301 co\u0301 s\u01b0\u0323 hi\u1ec7n di\u1ec7n cu\u0309a m\u1ed9t l\u00f4\u0303 th\u00f4ng b\u00e2\u0301t th\u01b0\u01a1\u0300ng gi\u01b0\u0303a hai bu\u00f4\u0300ng t\u00e2m th\u00e2\u0301t cu\u0309a tim. \u0110\u00e2y la\u0300 da\u0323ng b\u1ec7nh tim b\u00e2\u0309m sinh th\u01b0\u01a1\u0300ng g\u1eb7p nh\u00e2\u0301t, \u0111a s\u00f4\u0301 b\u1ec7nh nh\u00e2n \u0111\u01b0\u01a1\u0323c ch\u00e2\u0309n \u0111oa\u0301n s\u01a1\u0301m va\u0300 \u0111i\u00ea\u0300u tri\u0323 tha\u0300nh c\u00f4ng v\u01a1\u0301i i\u0301t tai bi\u00ea\u0301n.<\/p>\n<h2 id=\"thong-lien-tha\u0301t-la\u0300-gi\u0300\" style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u00e2\u0301t la\u0300 gi\u0300?<\/h2>\n<p style=\"text-align: justify\">\u0110\u00ea\u0309 hi\u00ea\u0309u ro\u0303 h\u01a1n v\u00ea\u0300 b\u1ec7nh ly\u0301 na\u0300y, tr\u01b0\u01a1\u0301c ti\u00ean chu\u0301ng ta se\u0303 s\u01a1 l\u01b0\u01a1\u0323c qua v\u00ea\u0300 c\u00e2\u0301u tru\u0301c cu\u0309a m\u1ed9t tra\u0301i tim bi\u0300nh th\u01b0\u01a1\u0300ng.<\/p>\n<p style=\"text-align: justify\">Tim co\u0301 t\u00e2\u0301t ca\u0309 4 bu\u00f4\u0300ng: 2 bu\u00f4\u0300ng n\u0103\u0300m \u01a1\u0309 phi\u0301a d\u01b0\u01a1\u0301i co\u0301 nhi\u1ec7m vu\u0323 t\u00f4\u0301ng ma\u0301u ra ngoa\u0300i tim \u0111\u01b0\u01a1\u0323c go\u0323i la\u0300 t\u00e2m th\u00e2\u0301t, 2 bu\u00f4\u0300ng phi\u0301a tr\u00ean nh\u1eadn ma\u0301u tr\u01a1\u0309 v\u00ea\u0300 tim \u0111\u01b0\u01a1\u0323c go\u0323i la\u0300 t\u00e2m nhi\u0303.<\/p>\n<p style=\"text-align: justify\">Bi\u0300nh th\u01b0\u01a1\u0300ng, ma\u0301u sau khi \u0111i nu\u00f4i ca\u0301c c\u01a1 quan trong c\u01a1 th\u00ea\u0309 se\u0303 \u0111\u00f4\u0309 v\u00ea\u0300 t\u00e2m nhi\u0303 pha\u0309i v\u01a1\u0301i n\u00f4\u0300ng \u0111\u00f4\u0323 oxy th\u00e2\u0301p (ma\u0301u \u0111en). L\u01b0\u01a1\u0323ng ma\u0301u na\u0300y se\u0303 \u0111\u00f4\u0309 xu\u00f4\u0301ng t\u00e2m th\u00e2\u0301t pha\u0309i, sau \u0111o\u0301 \u0111\u01b0\u01a1\u0323c b\u01a1m l\u00ean ph\u00f4\u0309i \u0111\u00ea\u0309 nh\u1eadn oxy (ma\u0301u \u0111o\u0309). Sau khi \u0111a\u0303 \u0111\u01b0\u01a1\u0323c g\u0103\u0301n v\u01a1\u0301i oxy, ma\u0301u se\u0303 tr\u01a1\u0309 v\u00ea\u0300 t\u00e2m nhi\u0303 tra\u0301i, r\u00f4\u0300i \u0111\u00ea\u0301n th\u00e2\u0301t tra\u0301i. Ma\u0301u se\u0303 \u0111\u01b0\u01a1\u0323c tim b\u01a1m l\u00ean \u0111\u1ed9ng ma\u0323ch chu\u0309 &#8211; m\u1ed9t ma\u0323ch ma\u0301u l\u01a1\u0301n \u2013 \u0111\u00ea\u0309 ph\u00e2n ph\u00f4\u0301i kh\u0103\u0301p c\u01a1 th\u00ea\u0309.<\/p>\n<p style=\"text-align: justify\">T\u00e2m th\u00e2\u0301t pha\u0309i va\u0300 tra\u0301i \u0111\u01b0\u01a1\u0323c ng\u0103n ca\u0301ch nhau b\u01a1\u0309i m\u1ed9t va\u0301ch go\u0323i la\u0300 va\u0301ch li\u00ean th\u00e2\u0301t.<\/p>\n<p style=\"text-align: justify\">Nh\u01b0\u0303ng tre\u0309 em v\u01a1\u0301i th\u00f4ng li\u00ean th\u1ea5t\u00a0se\u0303 co\u0301 m\u1ed9t l\u00f4\u0303 th\u00f4ng ta\u0323i va\u0301ch li\u00ean th\u00e2\u0301t. Khi tim co bo\u0301p, m\u1ed9t l\u01b0\u01a1\u0323ng ma\u0301u t\u01b0\u0300 th\u00e2\u0301t tra\u0301i (ma\u0301u \u0111\u01b0\u01a1\u0323c ba\u0303o ho\u0300a oxy t\u01b0\u0300 ph\u00f4\u0309i) co\u0301 th\u00ea\u0309 \u0111i qua l\u00f4\u0303 th\u00f4ng na\u0300y va\u0300o t\u00e2m th\u00e2\u0301t pha\u0309i. \u01a0\u0309 t\u00e2m th\u00e2\u0301t pha\u0309i, ma\u0301u gia\u0300u oxy va\u0300 ma\u0301u nghe\u0300o oxy se\u0303 tr\u1ed9n l\u00e2\u0303n v\u01a1\u0301i nhau va\u0300 \u0111\u01b0\u01a1\u0323c b\u01a1m l\u00ean ph\u00f4\u0309i. L\u01b0\u01a1\u0323ng ma\u0301u \u0111i qua l\u00f4\u0303 th\u00f4ng ta\u0323o ra ti\u00ea\u0301ng \u00f4\u0300n, go\u0323i la\u0300 \u00e2m th\u00f4\u0309i. \u00c2m th\u00f4\u0309i na\u0300y co\u0301 th\u00ea\u0309 \u0111\u01b0\u01a1\u0323c nghe th\u00e2\u0301y khi ba\u0301c si\u0303 du\u0300ng \u0111\u00ea\u0301n \u00f4\u0301ng nghe.<\/p>\n<p style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u1ea5t\u00a0co\u0301 th\u00ea\u0309 n\u0103\u0300m \u01a1\u0309 ca\u0301c vi\u0323 tri\u0301 kha\u0301c nhau tr\u00ean va\u0301ch li\u00ean th\u00e2\u0301t va\u0300 ki\u0301ch th\u01b0\u01a1\u0301c cu\u0303ng co\u0301 th\u00ea\u0309 kha\u0301c nhau. Tri\u1ec7u ch\u01b0\u0301ng cu\u0309a th\u00f4ng li\u00ean th\u1ea5t\u00a0cu\u0303ng nh\u01b0 vi\u1ec7c \u0111i\u00ea\u0300u tri\u0323 b\u1ec7nh se\u0303 tu\u0300y thu\u1ed9c va\u0300 ca\u0301c y\u00ea\u0301u t\u00f4\u0301 na\u0300y. Trong m\u1ed9t va\u0300i tr\u01b0\u01a1\u0300ng h\u01a1\u0323p hi\u00ea\u0301m g\u1eb7p, th\u00f4ng li\u00ean th\u1ea5t\u00a0la\u0300 m\u1ed9t ph\u00e2\u0300n cu\u0309a m\u1ed9t loa\u0323i b\u1ec7nh ly\u0301 tim b\u00e2\u0309m sinh ph\u01b0\u0301c ta\u0323p kha\u0301c.<\/p>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter\" style=\"width: 400px;height: 270px\" src=\"\/\/yhoccongdong.org\/Documents\/2969_thong-lien-that.jpg\" alt=\"Th\u00f4ng li\u00ean th\u1ea5t\" width=\"468\" height=\"341\" \/><\/p>\n<h2 id=\"nguyen-nhan-cu\u0309a-thong-lien-tha\u0301t\" style=\"text-align: justify\">Nguy\u00ean nh\u00e2n cu\u0309a th\u00f4ng li\u00ean th\u00e2\u0301t?<\/h2>\n<p style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u1ea5t\u00a0xu\u00e2\u0301t hi\u1ec7n trong qua\u0301 tri\u0300nh pha\u0301t tri\u00ea\u0309n cu\u0309a thai nhi va\u0300 bi\u00ea\u0309u hi\u1ec7n sau khi sanh. Trong nh\u01b0\u0303ng tu\u00e2\u0300n \u0111\u00e2\u0300u sau khi thu\u0323 thai, tim \u0111\u01b0\u01a1\u0323c hi\u0300nh tha\u0300nh t\u01b0\u0300 m\u1ed9t \u00f4\u0301ng l\u01a1\u0301n, sau \u0111o\u0301 ph\u00e2n chia ra tha\u0300nh nh\u01b0\u0303ng ph\u00e2\u0300n sau na\u0300y se\u0303 pha\u0301t tri\u00ea\u0309n tha\u0300nh ca\u0301c va\u0301ch va\u0300 ca\u0301c bu\u00f4\u0300ng tim. N\u00ea\u0301u co\u0301 m\u1ed9t b\u00e2\u0301t th\u01b0\u01a1\u0300ng xu\u00e2\u0301t hi\u1ec7n trong qua\u0301 tri\u0300nh na\u0300y, no\u0301 co\u0301 th\u00ea\u0309 ta\u0323o ra m\u1ed9t l\u00f4\u0303 th\u00f4ng tr\u00ean va\u0301ch li\u00ean th\u00e2\u0301t g\u00e2y n\u00ean th\u00f4ng li\u00ean th\u00e2\u0301t sau na\u0300y.<\/p>\n<p style=\"text-align: justify\">Trong m\u1ed9t va\u0300i tr\u01b0\u01a1\u0300ng h\u01a1\u0323p, khuynh h\u01b0\u01a1\u0301ng hi\u0300nh tha\u0300nh th\u00f4ng li\u00ean th\u1ea5t\u00a0co\u0301 th\u00ea\u0309 do b\u00e2\u0301t th\u01b0\u01a1\u0300ng v\u00ea\u0300 gen do s\u01b0\u0323 th\u00eam hay b\u01a1\u0301t m\u1ed9t nhi\u00ea\u0303m s\u0103\u0301c th\u00ea\u0309. Tuy nhi\u00ean, ph\u00e2\u0300n l\u01a1\u0301n tr\u01b0\u01a1\u0300ng h\u01a1\u0323p kh\u00f4ng xa\u0301c \u0111i\u0323nh \u0111\u01b0\u01a1\u0323c nguy\u00ean nh\u00e2n.<\/p>\n<h2>Y\u1ebfu t\u1ed1 nguy c\u01a1<\/h2>\n<p>C\u00e1c y\u00ea\u0301u t\u00f4\u0301 sau \u0111\u00e2y trong th\u1eddi gian mang thai c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 sinh con v\u1edbi m\u1ed9t khuy\u1ebft t\u1eadt tim trong \u0111o\u0301 co\u0301 th\u00f4ng li\u00ean th\u1ea5t.<\/p>\n<ul>\n<li>Me\u0323 nhi\u1ec5m Rubella trong khi mang thai l\u00e0m t\u0103ng nguy c\u01a1 d\u1ecb t\u1eadt tim c\u1ee7a thai nhi. Virus rubella qua nhau thai v\u00e0 l\u00e2y lan qua h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n m\u1ea1ch m\u00e1u thai nhi g\u00e2y t\u00f4\u0309n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan, bao g\u1ed3m c\u1ea3 tim.<\/li>\n<li>B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00f3 ki\u1ec3m so\u00e1t.\u00a0B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u1ee7a ng\u01b0\u1eddi m\u1eb9 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t s\u1ebd \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u thai nhi, g\u00e2y ra nhi\u1ec1u hi\u1ec7u \u1ee9ng g\u00e2y h\u1ea1i cho pha\u0301t tri\u00ea\u0309n cu\u0309a thai nhi.<\/li>\n<li>Me\u0323 s\u01b0\u0309 du\u0323ng ma t\u00fay ho\u1eb7c u\u1ed1ng r\u01b0\u1ee3u ho\u1eb7c ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t \u0111\u1ed9 ha\u0323i, pho\u0301ng xa\u0323\u00a0 trong khi mang thai.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">Tri\u1ec7u ch\u01b0\u0301ng th\u00f4ng li\u00ean th\u00e2\u0301t<\/h2>\n<p style=\"text-align: justify\">Th\u00f4ng li\u00ean th\u1ea5t\u00a0th\u01b0\u01a1\u0300ng \u0111\u01b0\u01a1\u0323c ba\u0301c si\u0303 pha\u0301t hi\u1ec7n trong nh\u01b0\u0303ng tu\u00e2\u0300n \u0111\u00e2\u0300u sau khi sanh b\u0103\u0300ng nh\u01b0\u0303ng xe\u0301t nghi\u1ec7m th\u01b0\u01a1\u0300ng quy. Ba\u0301c si\u0303 co\u0301 th\u00ea\u0309 pha\u0301t hi\u1ec7n \u00e2m th\u00f4\u0309i, ti\u00ea\u0301ng ta\u0323o ra do do\u0300ng ma\u0301u di chuy\u00ea\u0309n t\u01b0\u0300 t\u00e2m th\u00e2\u0301t tra\u0301i sang t\u00e2m th\u00e2\u0301t pha\u0309i. \u00c2m th\u00f4\u0309i na\u0300y co\u0301 nh\u01b0\u0303ng \u0111\u1eb7c \u0111i\u00ea\u0309m ri\u00eang bi\u1ec7t giu\u0301p ba\u0301c si\u0303 co\u0301 th\u00ea\u0309 ph\u00e2n bi\u1ec7t \u0111\u01b0\u01a1\u0323c v\u01a1\u0301i \u00e2m th\u00f4\u0309i trong ca\u0301c b\u1ec7nh ly\u0301 kha\u0301c.<\/p>\n<p style=\"text-align: justify\">Ki\u0301ch th\u01b0\u01a1\u0301c l\u00f4\u0303 th\u00f4ng va\u0300 vi\u0323 tri\u0301 cu\u0309a no\u0301 tr\u00ean va\u0301ch li\u00ean th\u00e2\u0301t quy\u00ea\u0301t \u0111i\u0323nh tri\u1ec7u ch\u01b0\u0301ng cu\u0309a b\u1ec7nh. Nh\u01b0\u0303ng tr\u01b0\u01a1\u0300ng h\u01a1\u0323p th\u00f4ng li\u00ean th\u1ea5t\u00a0nho\u0309 th\u01b0\u01a1\u0300ng kh\u00f4ng g\u00e2y ra tri\u1ec7u ch\u01b0\u0301ng, va\u0300 co\u0301 th\u00ea\u0309 t\u01b0\u0323 \u0111o\u0301ng la\u0323i. Nh\u01b0\u0303ng \u0111\u01b0\u0301a tre\u0309 l\u01a1\u0301n co\u0301 th\u00f4ng li\u00ean th\u1ea5t\u00a0nho\u0309 th\u01b0\u01a1\u0300ng kh\u00f4ng co\u0301 tri\u1ec7u ch\u01b0\u0301ng gi\u0300 kha\u0301c ngoa\u0300i \u00e2m th\u00f4\u0309i \u0111\u01b0\u01a1\u0323c pha\u0301t hi\u1ec7n qua vi\u1ec7c nghe tim. Do \u0111o\u0301 chu\u0301ng c\u00e2\u0300n \u0111\u01b0\u01a1\u0323c \u0111i kha\u0301m \u0111\u00ea\u0300u \u0111\u1eb7n \u0111\u00ea\u0309 theo do\u0303i ch\u0103\u0301c ch\u0103\u0301n b\u1ec7nh kh\u00f4ng g\u00e2y ra v\u00e2\u0301n \u0111\u00ea\u0300 gi\u0300.<\/p>\n<p>Nh\u01b0\u0303ng tr\u01b0\u01a1\u0300ng h\u01a1\u0323p th\u00f4ng li\u00ean th\u1ea5t\u00a0trung bi\u0300nh ho\u1eb7c l\u01a1\u0301n kh\u00f4ng \u0111\u01b0\u01a1\u0323c \u0111i\u00ea\u0300u tri\u0323 s\u01a1\u0301m co\u0301 th\u00ea\u0309 g\u00e2y ra nhi\u00ea\u0300u tri\u1ec7u ch\u01b0\u0301ng \u0111a\u0301ng k\u00ea\u0309. Nh\u01b0\u0303ng \u0111\u01b0\u0301a be\u0301 se\u0303 th\u01a1\u0309 nhanh, kho\u0301 th\u01a1\u0309, \u0111\u00f4\u0309 m\u00f4\u0300 h\u00f4i khi bu\u0301 va\u0300 th\u01b0\u01a1\u0300ng se\u0303 t\u0103ng c\u00e2n ch\u1eadm h\u01a1n nh\u01b0\u0303ng \u0111\u01b0\u0301a tre\u0309 cu\u0300ng l\u01b0\u0301a.<\/p>\n<p>Nh\u01b0\u0303ng tri\u1ec7u ch\u01b0\u0301ng nh\u01b0 v\u1eady chi\u0309 ra r\u0103\u0300ng th\u00f4ng li\u00ean th\u1ea5t\u00a0se\u0303 kh\u00f4ng t\u01b0\u0323 \u0111o\u0301ng va\u0300 c\u00e2\u0300n pha\u0309i \u0111\u01b0\u01a1\u0323c ph\u00e2\u0303u thu\u1eadt. Ph\u00e2\u0303u thu\u1eadt n\u00ean \u0111\u01b0\u01a1\u0323c th\u01b0\u0323c hi\u1ec7n trong 3 tha\u0301ng \u0111\u00e2\u0300u \u0111\u00ea\u0309 ng\u0103n ng\u01b0\u0300a ca\u0301c bi\u00ea\u0301n ch\u01b0\u0301ng cu\u0309a b\u1ec7nh. Tr\u01b0\u01a1\u0301c khi ph\u00e2\u0303u thu\u1eadt ba\u0301c si\u0303 se\u0303 cho thu\u00f4\u0301c \u0111\u00ea\u0309 la\u0300m gia\u0309m tri\u1ec7u ch\u01b0\u0301ng b\u1ec7nh.<\/p>\n<p>Nh\u01b0\u0303ng tre\u0309 bi\u0323 th\u00f4ng li\u00ean th\u1ea5t\u00a0co\u0301 nguy c\u01a1 cao bi\u0323 vi\u00eam n\u1ed9i t\u00e2m ma\u0323c nhi\u00ea\u0303m tru\u0300ng (VNTMNT) sau na\u0300y, m\u1ed9t ti\u0300nh tra\u0323ng nhi\u00ea\u0303m tru\u0300ng l\u01a1\u0301p lo\u0301t m\u1eb7t trong cu\u0309a tim (n\u1ed9i ma\u0323c). VNTMNT xa\u0309y ra khi vi khu\u00e2\u0309n trong do\u0300ng ma\u0301u \u0111\u00ea\u0301n ba\u0301m va\u0300o va\u0300 g\u00e2y nhi\u00ea\u0303m tru\u0300ng l\u01a1\u0301p n\u1ed9i ma\u0323c tim. Vi khu\u00e2\u0309n lu\u00f4n lu\u00f4n hi\u1ec7n di\u1ec7n trong mi\u1ec7ng chu\u0301ng ta, m\u1ed9t s\u00f4\u0301 l\u01b0\u01a1\u0323ng nho\u0309 vi khu\u00e2\u0309n co\u0301 th\u00ea\u0309 x\u00e2m nh\u1eadp va\u0300o trong ma\u0301u khi chu\u0301ng ta nhai ho\u1eb7c \u0111a\u0301nh r\u0103ng. Ca\u0301ch t\u00f4\u0301t nh\u00e2\u0301t \u0111\u00ea\u0309 pho\u0300ng ng\u01b0\u0300a VNTMNT \u0111o\u0301 la\u0300 v\u1ec7 sinh r\u0103ng mi\u1ec7ng \u0111u\u0301ng ca\u0301ch ha\u0300ng nga\u0300y va\u0300 \u0111i kha\u0301m nha si\u0303 \u0111\u00ea\u0300u \u0111\u1eb7n. Kh\u00f4ng khuy\u00ea\u0301n ca\u0301o b\u1ec7nh nh\u00e2n th\u00f4ng li\u00ean th\u1ea5t\u00a0s\u01b0\u0309 du\u0323ng kha\u0301ng sinh pho\u0300ng ng\u01b0\u0300a khi la\u0300m thu\u0309 thu\u1eadt nha khoa, ngoa\u0323i tr\u01b0\u0300 6 tha\u0301ng \u0111\u00e2\u0300u sau khi ph\u00e2\u0303u thu\u1eadt.<\/p>\n<h2>Ch\u00e2\u0309n \u0111oa\u0301n th\u00f4ng li\u00ean th\u00e2\u0301t<\/h2>\n<p>N\u00ea\u0301u con ba\u0323n \u0111\u01b0\u01a1\u0323c pha\u0301t hi\u1ec7n co\u0301 \u00e2m th\u00f4\u0309i \u01a1\u0309 tim, ba\u0301c si\u0303 se\u0303 khuy\u00ean ba\u0323n \u0111\u01b0a be\u0301 \u0111\u00ea\u0301n g\u1eb7p chuy\u00ean gia v\u00ea\u0300 tim ma\u0323ch, ng\u01b0\u01a1\u0300i se\u0303 giu\u0301p ch\u00e2\u0309n \u0111oa\u0301n va\u0300 \u0111i\u00ea\u0300u tri\u0323 ca\u0301c ti\u0300nh tra\u0323ng b\u1ec7nh ly\u0301 tim ma\u0323ch cu\u0309a be\u0301.<\/p>\n<p>Ngoa\u0300i nh\u01b0\u0303ng th\u0103m kha\u0301m th\u01b0\u01a1\u0300ng quy, ba\u0301c si\u0303 tim ma\u0323ch se\u0303 khai tha\u0301c v\u00ea\u0300 ca\u0301c ti\u00ea\u0300n s\u01b0\u0309 b\u1ec7nh ly\u0301 cu\u0309a be\u0301. N\u00ea\u0301u nghi ng\u01a1\u0300 th\u00f4ng li\u00ean th\u1ea5t, con ba\u0323n se\u0303 \u0111\u01b0\u01a1\u0323c cho th\u01b0\u0323c hi\u1ec7n m\u1ed9t s\u00f4\u0301 xe\u0301t nghi\u1ec7m sau:<\/p>\n<ul>\n<li>X- quang ph\u00f4\u0309i<\/li>\n<li>\u0110i\u1ec7n t\u00e2m \u0111\u00f4\u0300<\/li>\n<li>Si\u00eau \u00e2m tim &#8211; ph\u01b0\u01a1ng pha\u0301p du\u0300ng so\u0301ng \u00e2m \u0111\u00ea\u0309 ta\u0323o ra hi\u0300nh a\u0309nh c\u00e2\u0301u tru\u0301c tim cu\u0303ng nh\u01b0 hoa\u0323t \u0111\u1ed9ng do\u0300ng ma\u0301u trong tim. \u0110\u00e2y th\u01b0\u01a1\u0300ng la\u0300 ph\u01b0\u01a1ng pha\u0301p \u0111\u00e2\u0300u tay giu\u0301p ch\u00e2\u0309n \u0111oa\u0301n th\u00f4ng li\u00ean th\u1ea5t<\/li>\n<li>Th\u00f4ng tim \u2013 ph\u01b0\u01a1ng pha\u0301p na\u0300y th\u01b0\u01a1\u0300ng chi\u0309 \u0111\u01b0\u01a1\u0323c th\u01b0\u0323c hi\u1ec7n khi nh\u01b0\u0303ng xe\u0301t nghi\u1ec7m tr\u00ean kh\u00f4ng cung c\u00e2\u0301p \u0111u\u0309 th\u00f4ng tin c\u00e2\u0300n thi\u00ea\u0301t v\u00ea\u0300 th\u00f4ng li\u00ean th\u1ea5t<\/li>\n<\/ul>\n<h2>\u0110i\u00ea\u0300u tri\u0323 th\u00f4ng li\u00ean th\u00e2\u0301t<\/h2>\n<p>M\u1ed9t khi th\u00f4ng li\u00ean th\u1ea5t\u00a0\u0111\u01b0\u01a1\u0323c ch\u00e2\u0309n \u0111oa\u0301n, vi\u1ec7c \u0111i\u00ea\u0300u tri\u0323 se\u0303 tu\u0300y thu\u1ed9c va\u0300o tu\u00f4\u0309i cu\u0309a tre\u0309, vi\u0323 tri\u0301 va\u0300 ki\u0301ch th\u01b0\u01a1\u0301c l\u00f4\u0303 th\u00f4ng. Tr\u01b0\u01a1\u0300ng h\u01a1\u0323p th\u00f4ng li\u00ean th\u1ea5t\u00a0nho\u0309, kh\u00f4ng tri\u1ec7u ch\u01b0\u0301ng co\u0301 th\u00ea\u0309 chi\u0309 c\u00e2\u0300n theo do\u0303i th\u01b0\u01a1\u0300ng xuy\u00ean ma\u0300 kh\u00f4ng c\u00e2\u0300n \u0111i\u00ea\u0300u tri\u0323 gi\u0300 \u0111\u1eb7c hi\u1ec7u. H\u00e2\u0300u h\u00ea\u0301t tr\u01b0\u01a1\u0300ng h\u01a1\u0323p, th\u00f4ng li\u00ean th\u1ea5t\u00a0nho\u0309 se\u0303 t\u01b0\u0323 \u0111o\u0301ng ma\u0300 kh\u00f4ng c\u00e2\u0300n ph\u00e2\u0303u thu\u1eadt. M\u1ed9t s\u00f4\u0301 tre\u0309 l\u00f4\u0303 th\u00f4ng kh\u00f4ng t\u01b0\u0323 \u0111o\u0301ng nh\u01b0ng cu\u0303ng kh\u00f4ng l\u01a1\u0301n th\u00eam. Nh\u01b0\u0303ng \u0111\u01b0\u0301a tre\u0309 v\u01a1\u0301i th\u00f4ng li\u00ean th\u1ea5t\u00a0nho\u0309 kh\u00f4ng t\u01b0\u0323 \u0111o\u0301ng nhi\u0300n chung kh\u00f4ng bi\u0323 ha\u0323n ch\u00ea\u0301 hoa\u0323t \u0111\u1ed9ng.<\/p>\n<p>Tre\u0309 v\u01a1\u0301i th\u00f4ng li\u00ean th\u1ea5t\u00a0v\u01b0\u0300a ho\u1eb7c l\u01a1\u0301n c\u00e2\u0300n \u0111\u01b0\u01a1\u0323c ph\u00e2\u0303u thu\u1eadt. \u0110a s\u00f4\u0301 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p, ph\u00e2\u0303u thu\u1eadt \u0111\u01b0\u01a1\u0323c th\u01b0\u0323c hi\u1ec7n trong nh\u01b0\u0303ng tu\u00e2\u0300n \u0111\u00e2\u0300u ti\u00ean. \u0110\u00ea\u0309 ti\u00ea\u0301n ha\u0300nh ph\u00e2\u0303u thu\u1eadt, ba\u0301c si\u0303 se\u0303 ra\u0323ch m\u1ed9t \u0111\u01b0\u01a1\u0300ng do\u0323c gi\u01b0\u0303a ng\u01b0\u0323c \u0111\u00ea\u0309 b\u1ed9c l\u1ed9 tra\u0301i tim, m\u1ed9t ma\u0301y tim ph\u00f4\u0309i nh\u00e2n ta\u0323o se\u0303 duy tri\u0300 tu\u00e2\u0300n hoa\u0300n cu\u0309a tre\u0309 trong khi ba\u0301c si\u0303 va\u0301 l\u00f4\u0303 th\u00f4ng la\u0323i. Ph\u00e2\u0303u thu\u1eadt vi\u00ean co\u0301 th\u00ea\u0309 kh\u00e2u tr\u01b0\u0323c ti\u00ea\u0301p l\u00f4\u0303 th\u00f4ng ho\u1eb7c \u0111\u0103\u0301p m\u1ed9t ma\u0309nh v\u1eadt li\u1ec7u nh\u00e2n ta\u0323o l\u00ean l\u00f4\u0303 th\u00f4ng va\u0300 kh\u00e2u no\u0301 la\u0323i. Nhi\u0300n chung, l\u00f4\u0303 th\u00f4ng se\u0303 \u0111o\u0301ng hoa\u0300n toa\u0300n sau 6 tha\u0301ng ph\u00e2\u0303u thu\u1eadt.<\/p>\n<p>M\u1ed9t s\u00f4\u0301 loa\u0323i th\u00f4ng li\u00ean th\u1ea5t\u00a0co\u0301 th\u00ea\u0309 \u0111\u01b0\u01a1\u0323c \u0111o\u0301ng b\u0103\u0300ng th\u00f4ng tim. M\u1ed9t \u00f4\u0301ng th\u00f4ng mo\u0309ng, co da\u0303n \u0111\u01b0\u01a1\u0323c \u0111\u01b0a va\u0300o trong ma\u0323ch ma\u0301u \u01a1\u0309 \u0111u\u0300i va\u0300 lu\u00f4\u0300n \u0111\u1ebfn tim. Ba\u0301c si\u0303 tim ma\u0323ch se\u0303 lu\u00f4\u0300n \u00f4\u0301ng th\u00f4ng va\u0300o trong tim \u0111\u00ea\u0309 \u0111o l\u01b0u l\u01b0\u01a1\u0323ng ma\u0301u, a\u0301p su\u00e2\u0301t va\u0300 n\u00f4\u0300ng \u0111\u1ed9 oxy trong ca\u0301c bu\u00f4\u0300ng tim. Sau \u0111o\u0301, m\u1ed9t thi\u00ea\u0301t bi\u0323 chuy\u00ean du\u0323ng \u0111\u01b0\u01a1\u0323c \u0111\u01b0a va\u0300o l\u00f4\u0303 th\u00f4ng, sau khi \u0111\u01b0\u01a1\u0323c bung ra se\u0303 bi\u0301t 2 \u0111\u00e2\u0300u cu\u0309a l\u00f4\u0303 th\u00f4ng va\u0300 \u0111o\u0301ng hoa\u0300n toa\u0300n th\u00f4ng li\u00ean th\u1ea5t\u00a0la\u0323i. Sau khi \u0111\u01b0\u01a1\u0323c can thi\u1ec7p \u0111o\u0301ng l\u00f4\u0303 th\u00f4ng tha\u0300nh c\u00f4ng, \u0111\u01b0\u0301a be\u0301 se\u0303 kh\u00f4ng co\u0300n tri\u1ec7u ch\u01b0\u0301ng n\u01b0\u0303a.<\/p>\n<h2>Ch\u0103m so\u0301c tre\u0309 bi\u0323 th\u00f4ng li\u00ean th\u00e2\u0301t<\/h2>\n<p>M\u1ed9t s\u00f4\u0301 tre\u0309 \u0111\u01b0\u01a1\u0323c k\u00ea thu\u00f4\u0301c \u0111\u00ea\u0309 la\u0300m gia\u0309m tri\u1ec7u ch\u01b0\u0301ng tr\u01b0\u01a1\u0301c khi ph\u00e2\u0303u thu\u1eadt. Nh\u01b0\u0303ng tr\u01b0\u01a1\u0300ng h\u01a1\u0323p th\u00f4ng li\u00ean th\u1ea5t\u00a0l\u01a1\u0301n co\u0301 th\u00ea\u0309 xu\u00e2\u0301t vi\u1ec7n trong vo\u0300ng 4-5 nga\u0300y sau ph\u00e2\u0303u thu\u1eadt n\u00ea\u0301u kh\u00f4ng co\u0301 v\u00e2\u0301n \u0111\u00ea\u0300 gi\u0300.<\/p>\n<p>H\u00e2\u0300u h\u00ea\u0301t tr\u01b0\u01a1\u0300ng h\u01a1\u0323p, tre\u0309 em \u0111\u01b0\u01a1\u0323c ph\u00e2\u0303u thu\u1eadt se\u0303 phu\u0323c h\u00f4\u0300i nhanh cho\u0301ng nh\u01b0ng v\u00e2\u0303n c\u00e2\u0300n pha\u0309i theo do\u0303i th\u01b0\u01a1\u0300ng xuy\u00ean \u0111\u00ea\u0309 pha\u0301t hi\u1ec7n ca\u0301c d\u00e2\u0301u hi\u1ec7u b\u00e2\u0301t th\u01b0\u01a1\u0300ng. Tre\u0309 co\u0301 th\u00ea\u0309 \u0111\u01b0\u01a1\u0323c si\u00eau \u00e2m la\u0323i \u0111\u00ea\u0309 ch\u0103\u0301c ch\u0103\u0301n l\u00f4\u0303 th\u00f4ng \u0111\u01b0\u01a1\u0323c \u0111o\u0301ng la\u0323i hoa\u0300n toa\u0300n.<\/p>\n<p>Nh\u01b0\u0303ng tri\u1ec7u ch\u01b0\u0301ng g\u01a1\u0323i y\u0301 co\u0301 v\u00e2\u0301n \u0111\u00ea\u0300 bao g\u00f4\u0300m:<\/p>\n<ul>\n<li>Da quanh mi\u1ec7ng, m\u00f4i va\u0300 l\u01b0\u01a1\u0303i xanh ho\u1eb7c h\u01a1i ti\u0301m<\/li>\n<li>Cha\u0301n \u0103n<\/li>\n<li>T\u0103ng c\u00e2n ch\u1eadm ho\u1eb7c su\u0323t c\u00e2n<\/li>\n<li>Tre\u0309 ch\u1eadm, gia\u0309m v\u1eadn \u0111\u1ed9ng<\/li>\n<li>S\u00f4\u0301t ke\u0301o da\u0300i<\/li>\n<li>V\u00ea\u0301t m\u00f4\u0309 s\u01b0ng, \u0111au va\u0300 cha\u0309y mu\u0309<\/li>\n<\/ul>\n<p>Th\u00f4ng ba\u0301o cho ba\u0301c si\u0303 b\u00e2\u0301t c\u01b0\u0301 tri\u1ec7u ch\u01b0\u0301ng na\u0300o trong ca\u0301c tri\u1ec7u ch\u01b0\u0301ng k\u00ea\u0309 tr\u00ean sau ph\u00e2\u0303u thu\u1eadt \u0111o\u0301ng l\u00f4\u0303 th\u00f4ng<\/p>\n<p>Khi m\u1ed9t \u0111\u01b0\u0301a tre\u0309 \u0111\u01b0\u01a1\u0323c ch\u00e2\u0309n \u0111oa\u0301n th\u00f4ng li\u00ean th\u1ea5t, \u0111i\u00ea\u0300u na\u0300y lu\u00f4n la\u0300 m\u1ed9t s\u01b0\u0323 lo l\u0103\u0301ng cho b\u00f4\u0301 me\u0323 chu\u0301ng. Nh\u01b0ng tin t\u00f4\u0301t la\u0300, \u0111\u00e2y la\u0300 m\u1ed9t b\u1ec7nh ly\u0301 co\u0301 th\u00ea\u0309 \u0111\u01b0\u01a1\u0323c \u0111i\u00ea\u0300u tri\u0323 r\u00e2\u0301t hi\u1ec7u qua\u0309. H\u00e2\u0300u h\u00ea\u0301t tre\u0309 em \u0111\u01b0\u01a1\u0323c \u0111i\u00ea\u0300u tri\u0323 tha\u0300nh c\u00f4ng va\u0300 co\u0301 cu\u1ed9c s\u00f4\u0301ng kho\u0309e ma\u0323nh bi\u0300nh th\u01b0\u01a1\u0300ng v\u00ea\u0300 sau.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/kidshealth.org\/parent\/medical\/heart\/vsd.html\" target=\"_blank\" rel=\"noopener\">http:\/\/kidshealth.org\/parent\/medical\/heart\/vsd.html <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Th\u00f4ng li\u00ean th\u1ea5t l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh tim b\u1ea9m sinh trong \u0111\u00f3 c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t l\u1ed7 th\u00f4ng b\u1ea5t th\u01b0\u1eddng gi\u1eefa hai bu\u1ed3ng t\u00e2m th\u1ea5t c\u1ee7a tim. \u0110\u00e2y l\u00e0 d\u1ea1ng b\u1ec7nh tim b\u1ea9m sinh th\u01b0\u1eddng g\u1eb7p nh\u1ea5t.<\/p>\n","protected":false},"author":137,"featured_media":5028,"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>Th\u00f4ng li\u00ean th\u1ea5t - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Th\u00f4ng li\u00ean th\u1ea5t l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh tim b\u1ea9m sinh trong \u0111\u00f3 c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t l\u1ed7 th\u00f4ng b\u1ea5t th\u01b0\u1eddng gi\u1eefa hai bu\u1ed3ng t\u00e2m th\u1ea5t c\u1ee7a tim.\" \/>\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\/thong-lien-that\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Th\u00f4ng li\u00ean th\u1ea5t - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Th\u00f4ng li\u00ean th\u1ea5t l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh tim b\u1ea9m sinh trong \u0111\u00f3 c\u00f3 s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a m\u1ed9t l\u1ed7 th\u00f4ng b\u1ea5t th\u01b0\u1eddng gi\u1eefa hai bu\u1ed3ng t\u00e2m th\u1ea5t c\u1ee7a tim.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/thong-lien-that\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Nhi Khoa\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/van_u18@yahoo.com\" \/>\n<meta property=\"article:published_time\" content=\"2019-02-21T20:31:09+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-04-23T09:45:41+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/nhi-khoa\/wp-content\/uploads\/sites\/3\/2015\/11\/thong-lien-that.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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