{"id":3291,"date":"2024-02-23T19:55:50","date_gmt":"2024-02-23T12:55:50","guid":{"rendered":"https:\/\/ykhoataynguyen.com\/site\/?p=3291"},"modified":"2024-02-23T19:55:50","modified_gmt":"2024-02-23T12:55:50","slug":"%f0%9d%99%8d%f0%9d%99%aa%f0%9d%99%a3%f0%9d%99%9c-%f0%9d%99%a3%f0%9d%99%9di-%f0%9d%99%a0e%f0%9d%99%a2-%f0%9d%99%83o%f0%9d%99%9e-%f0%9d%99%98%f0%9d%99%9du%f0%9d%99%a3%f0%9d%99%9c-%f0%9d%99%92","status":"publish","type":"post","link":"https:\/\/ykhoataynguyen.com\/site\/%f0%9d%99%8d%f0%9d%99%aa%f0%9d%99%a3%f0%9d%99%9c-%f0%9d%99%a3%f0%9d%99%9di-%f0%9d%99%a0e%f0%9d%99%a2-%f0%9d%99%83o%f0%9d%99%9e-%f0%9d%99%98%f0%9d%99%9du%f0%9d%99%a3%f0%9d%99%9c-%f0%9d%99%92\/","title":{"rendered":"\ud835\ude4d\ud835\ude6a\ud835\ude63\ud835\ude5c \ud835\ude63\ud835\ude5d\u0129 \ud835\ude60\u00e8\ud835\ude62 \ud835\ude43\u1ed9\ud835\ude5e \ud835\ude58\ud835\ude5d\u1ee9\ud835\ude63\ud835\ude5c \ud835\ude52\ud835\ude64\ud835\ude61\ud835\ude5b\ud835\ude5b-\ud835\ude4b\ud835\ude56\ud835\ude67\ud835\ude60\ud835\ude5e\ud835\ude63\ud835\ude68\ud835\ude64\ud835\ude63-\ud835\ude52\ud835\ude5d\ud835\ude5e\ud835\ude69\ud835\ude5a (\ud835\ude52\ud835\ude4b\ud835\ude52)"},"content":{"rendered":"
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\"\ud83c\udf3b\"<\/span>[\ud835\ude4d\ud835\ude6a\ud835\ude63\ud835\ude5c \ud835\ude63\ud835\ude5d\u0129 \ud835\ude60\u00e8\ud835\ude62 \ud835\ude43\u1ed9\ud835\ude5e \ud835\ude58\ud835\ude5d\u1ee9\ud835\ude63\ud835\ude5c \ud835\ude52\ud835\ude64\ud835\ude61\ud835\ude5b\ud835\ude5b-\ud835\ude4b\ud835\ude56\ud835\ude67\ud835\ude60\ud835\ude5e\ud835\ude63\ud835\ude68\ud835\ude64\ud835\ude63-\ud835\ude52\ud835\ude5d\ud835\ude5e\ud835\ude69\ud835\ude5a (\ud835\ude52\ud835\ude4b\ud835\ude52)]\"\ud83c\udf3b\"<\/span><\/div>\n<\/div>\n
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\"\u270d\ufe0f\"<\/span>H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White (WPW) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd b\u1ea9m sinh trong \u0111\u00f3 t\u1ed3n t\u1ea1i \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n b\u1ea5t th\u01b0\u1eddng gi\u1eefa t\u00e2m nh\u0129 v\u00e0 t\u00e2m th\u1ea5t. 1\/5 s\u1ed1 ng\u01b0\u1eddi m\u1eafc WPW s\u1ebd k\u00e8m theo rung nh\u0129 v\u00ec xung \u0111\u1ed9ng \u0111i theo \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 xu\u1ed1ng t\u00e2m th\u1ea5t m\u00e0 kh\u00f4ng \u0111i qua n\u00fat nh\u0129 th\u1ea5t (AV). Nh\u1ecbp kh\u00f4ng \u0111\u1ec1u v\u00e0 t\u1ea7n s\u1ed1 v\u01b0\u1ee3t qu\u00e1 200 l\u1ea7n\/ph\u00fat. Ph\u1ee9c h\u1ee3p QRS gi\u00e3n r\u1ed9ng v\u00e0 kh\u00f4ng gi\u1ed1ng nhau do kh\u1eed c\u1ef1c t\u00e2m th\u1ea5t b\u1ea5t th\u01b0\u1eddng. Tuy nhi\u00ean, tr\u1ee5c v\u1eabn \u1ed5n \u0111\u1ecbnh v\u00e0 kh\u00f4ng gi\u1ed1ng nh\u01b0 nh\u1ecbp nhanh th\u1ea5t \u0111a d\u1ea1ng (polymorphic VT).<\/div>\n
\"\ud83d\udc49\"<\/span>\u0110i\u1ec1u tr\u1ecb:<\/div>\n
\"\ud83d\udca5\"<\/span>\u0110i\u1ec1u tr\u1ecb \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh bao g\u1ed3m c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u1ed9i khoa nh\u01b0 ibutilide ho\u1eb7c Procainamide, ho\u1eb7c s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp tr\u1ef1c ti\u1ebfp.<\/div>\n
Trong tr\u01b0\u1eddng h\u1ee3p huy\u1ebft \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh, s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp \u0111\u1ed3ng b\u1ed9 kh\u1ea9n c\u1ea5p \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o. Thu\u1ed1c kh\u00e1ng \u0111\u00f4ng nh\u01b0 warfarin ho\u1eb7c heparin n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n b\u1ecb rung nh\u0129, ngo\u1ea1i tr\u1eeb nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u cao h\u01a1n.<\/div>\n
C\u1eaft \u0111\u1ed1t b\u1eb1ng k\u1ef9 thu\u1eadt \u00e1p \u0111\u00f4ng (Cryoablation) ho\u1eb7c c\u1eaft \u0111\u1ed1t b\u1eb1ng n\u0103ng l\u01b0\u1ee3ng t\u1ea7n s\u1ed1 radio l\u00e0 ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n tr\u1ebb tu\u1ed5i h\u01a1n khi nh\u1ecbp tim kh\u00f4ng th\u1ec3 ki\u1ec3m so\u00e1t b\u1eb1ng can thi\u1ec7p b\u1eb1ng thu\u1ed1c ho\u1eb7c s\u1ed1c \u0111i\u1ec7n chuy\u1ec3n nh\u1ecbp.<\/div>\n
\"\u274c\"<\/span>\"\u26d4\ufe0f\"<\/span>\"\u274c\"<\/span>Rung nh\u0129 kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u00e0m t\u1eafc ngh\u1ebdn n\u00fat nh\u0129 th\u1ea5t AV (nh\u01b0 thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c ch\u1eb9n k\u00eanh canxi, adenosine) b\u1edfi v\u00ec nh\u1eefng thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gia t\u0103ng d\u1eabn truy\u1ec1n qua \u0111\u01b0\u1eddng ph\u1ee5, s\u1ebd l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 t\u1ea7n s\u1ed1 th\u1ea5t v\u00e0 ti\u1ebfn tri\u1ec3n th\u00e0nh nh\u1ecbp nhanh th\u1ea5t ho\u1eb7c rung th\u1ea5t! Trong h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White, \u0111i\u1ec1u tr\u1ecb nh\u1eb1m m\u1ee5c \u0111\u00edch lo\u1ea1i b\u1ecf con \u0111\u01b0\u1eddng ph\u1ee5, th\u01b0\u1eddng \u0111\u1ea1t \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch c\u1eaft \u0111\u1ed1t con \u0111\u01b0\u1eddng ph\u1ee5 b\u1eb1ng n\u0103ng l\u01b0\u1ee3ng c\u00f3 t\u1ea7n s\u1ed1 radio.<\/div>\n
\"\"<\/div>\n<\/div>\n
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Ngu\u1ed3n b\u00e0i vi\u1ebft v\u00e0 \u1ea3nh: Th\u1ea7y Nguy\u1ec5n V\u0103n Long – B\u1ed9 M\u00f4n N\u1ed9i – TNU<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

[\ud835\ude4d\ud835\ude6a\ud835\ude63\ud835\ude5c \ud835\ude63\ud835\ude5d\u0129 \ud835\ude60\u00e8\ud835\ude62 \ud835\ude43\u1ed9\ud835\ude5e \ud835\ude58\ud835\ude5d\u1ee9\ud835\ude63\ud835\ude5c \ud835\ude52\ud835\ude64\ud835\ude61\ud835\ude5b\ud835\ude5b-\ud835\ude4b\ud835\ude56\ud835\ude67\ud835\ude60\ud835\ude5e\ud835\ude63\ud835\ude68\ud835\ude64\ud835\ude63-\ud835\ude52\ud835\ude5d\ud835\ude5e\ud835\ude69\ud835\ude5a (\ud835\ude52\ud835\ude4b\ud835\ude52)] H\u1ed9i ch\u1ee9ng Wolff-Parkinson-White (WPW) l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd b\u1ea9m sinh trong \u0111\u00f3 t\u1ed3n t\u1ea1i \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n b\u1ea5t th\u01b0\u1eddng gi\u1eefa t\u00e2m nh\u0129 v\u00e0 t\u00e2m th\u1ea5t. 1\/5 s\u1ed1 ng\u01b0\u1eddi m\u1eafc WPW s\u1ebd k\u00e8m theo rung nh\u0129 v\u00ec xung \u0111\u1ed9ng \u0111i theo \u0111\u01b0\u1eddng d\u1eabn truy\u1ec1n ph\u1ee5 xu\u1ed1ng t\u00e2m th\u1ea5t m\u00e0 …<\/p>\n","protected":false},"author":11,"featured_media":3292,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[51],"tags":[],"class_list":["post-3291","post","type-post","status-publish","format-standard","has-post-thumbnail","","category-noi-khoa"],"_links":{"self":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3291","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/users\/11"}],"replies":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/comments?post=3291"}],"version-history":[{"count":1,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3291\/revisions"}],"predecessor-version":[{"id":3293,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/posts\/3291\/revisions\/3293"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media\/3292"}],"wp:attachment":[{"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/media?parent=3291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/categories?post=3291"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ykhoataynguyen.com\/site\/wp-json\/wp\/v2\/tags?post=3291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}