{"id":20937,"date":"2024-06-27T05:31:25","date_gmt":"2024-06-27T05:31:25","guid":{"rendered":"https:\/\/f55.01f.myftpupload.com\/coronary-artery-disease-surgery\/"},"modified":"2024-12-23T09:43:38","modified_gmt":"2024-12-23T09:43:38","slug":"coronary-artery-disease-surgery","status":"publish","type":"page","link":"https:\/\/mdvisitclinic.com\/vi\/cardiology-second-opinion\/coronary-artery-disease-surgery\/","title":{"rendered":"Ph\u1eabu thu\u1eadt b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh"},"content":{"rendered":"\t\t
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Ph\u1eabu thu\u1eadt b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t
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Gi\u1ea3i th\u00edch ph\u1eabu thu\u1eadt b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, bao g\u1ed3m c\u00e1c ho\u1ea1t \u0111\u1ed9ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt v\u00e0 sau ph\u1eabu thu\u1eadt <\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t
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B\u00e1c s\u0129 tim m\u1ea1ch \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u1ea1n v\u00e0 y t\u00e1 c\u1ee7a anh \u1ea5y s\u1ebd g\u1eb7p b\u1ea1n qua video \u0111\u1ec3 xem x\u00e9t k\u1ebft qu\u1ea3 \u00fd ki\u1ebfn th\u1ee9 hai c\u1ee7a b\u1ea1n. Anh \u1ea5y s\u1ebd tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi c\u1ee7a b\u1ea1n. N\u1ebfu ph\u1eabu thu\u1eadt l\u00e0 c\u1ea7n thi\u1ebft, v\u00e0 b\u1ea1n \u0111ang xem x\u00e9t ph\u1eabu thu\u1eadt t\u1ea1i Hoa K\u1ef3, h\u00e3y ch\u1eafc ch\u1eafn \u0111\u1ec3 cho anh \u1ea5y bi\u1ebft. <\/p>\n

\u0110\u1ecdc b\u00ean d\u01b0\u1edbi \u0111\u1ec3 hi\u1ec3u chi ti\u1ebft v\u1ec1 qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt.<\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t

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Tr\u1eebu t\u01b0\u1ee3ng<\/p>\n

Ph\u1eabu thu\u1eadt b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 c\u1ea3i thi\u1ec7n l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn tim \u1edf b\u1ec7nh nh\u00e2n CAD n\u1eb7ng, n\u01a1i t\u00edch t\u1ee5 m\u1ea3ng b\u00e1m trong \u0111\u1ed9ng m\u1ea1ch v\u00e0nh h\u1ea1n ch\u1ebf l\u01b0u l\u01b0\u1ee3ng m\u00e1u. C\u00e1c ph\u1eabu thu\u1eadt ph\u1ed5 bi\u1ebfn cho CAD bao g\u1ed3m gh\u00e9p b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CABG) v\u00e0 can thi\u1ec7p m\u1ea1ch v\u00e0nh qua da (PCI), ch\u1eb3ng h\u1ea1n nh\u01b0 nong m\u1ea1ch v\u00e0 \u0111\u1eb7t stent. <\/p>\n

C\u00e1c lo\u1ea1i ph\u1eabu thu\u1eadt CAD<\/strong><\/p>\n

    \n
  1. Gh\u00e9p b\u1eafc c\u1ea7u \u0111\u1ed9ng m\u1ea1ch v\u00e0nh (CABG):<\/strong>\n
      \n
    • Th\u1ee7 t\u1ee5c<\/strong>: B\u00e1c s\u0129 ph\u1eabu thu\u1eadt t\u1ea1o ra m\u1ed9t \u0111\u01b0\u1eddng v\u00f2ng xung quanh c\u00e1c \u0111\u1ed9ng m\u1ea1ch b\u1ecb ch\u1eb7n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ea1ch m\u00e1u t\u1eeb m\u1ed9t b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3.<\/li>\n
    • M\u1ee5c \u0111\u00edch<\/strong>: \u0110\u1ec3 kh\u00f4i ph\u1ee5c l\u01b0u l\u01b0\u1ee3ng m\u00e1u b\u00ecnh th\u01b0\u1eddng \u0111\u1ebfn c\u01a1 tim.<\/li>\n<\/ul>\n<\/li>\n
    • Can thi\u1ec7p m\u1ea1ch v\u00e0nh qua da (PCI):<\/strong>\n
        \n
      • Angioplasty<\/strong>: M\u1ed9t qu\u1ea3 b\u00f3ng \u0111\u01b0\u1ee3c b\u01a1m c\u0103ng b\u00ean trong \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 m\u1edf r\u1ed9ng n\u00f3.<\/li>\n
      • \u0110\u1eb7t stent<\/strong>: M\u1ed9t \u1ed1ng l\u01b0\u1edbi nh\u1ecf (stent) \u0111\u01b0\u1ee3c \u0111\u1eb7t trong \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 gi\u1eef cho n\u00f3 m\u1edf.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

        Ho\u1ea1t \u0111\u1ed9ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/strong><\/p>\n

          \n
        1. \u0110\u00e1nh gi\u00e1 y t\u1ebf<\/strong>:\n
            \n
          • Tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 tim m\u1ea1ch v\u00e0 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt<\/strong>: Th\u1ea3o lu\u1eadn chi ti\u1ebft v\u1ec1 quy tr\u00ecnh, r\u1ee7i ro, l\u1ee3i \u00edch v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn thay th\u1ebf.<\/li>\n
          • X\u00e9t nghi\u1ec7m tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/strong>: \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 (ECG), si\u00eau \u00e2m tim, x\u00e9t nghi\u1ec7m c\u0103ng th\u1eb3ng, x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 ch\u1ee5p \u0111\u1ed9ng m\u1ea1ch v\u00e0nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tim v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1eafc ngh\u1ebdn \u0111\u1ed9ng m\u1ea1ch.<\/li>\n<\/ul>\n<\/li>\n
          • Thu\u1ed1c<\/strong>:\n
              \n
            • \u0110\u00e1nh gi\u00e1 thu\u1ed1c<\/strong>: Th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c hi\u1ec7n t\u1ea1i v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/li>\n
            • \u0110i\u1ec1u ch\u1ec9nh thu\u1ed1c tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/strong>: H\u01b0\u1edbng d\u1eabn ti\u1ebfp t\u1ee5c, ng\u1eebng ho\u1eb7c \u0111i\u1ec1u ch\u1ec9nh c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 thu\u1ed1c l\u00e0m lo\u00e3ng m\u00e1u, thu\u1ed1c h\u1ea1 cholesterol v\u00e0 thu\u1ed1c huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n<\/li>\n
            • \u0110i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng<\/strong>:\n
                \n
              • H\u1ea1n ch\u1ebf ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee5 th\u1ec3, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n \u00edt natri v\u00e0 \u00edt ch\u1ea5t b\u00e9o, \u0111\u1ec3 t\u1ed1i \u01b0u h\u00f3a s\u1ee9c kh\u1ecfe tim m\u1ea1ch tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt.<\/li>\n
              • Cai thu\u1ed1c l\u00e1<\/strong>: Ng\u1eebng h\u00fat thu\u1ed1c \u0111\u1ec3 c\u1ea3i thi\u1ec7n k\u1ebft qu\u1ea3 ph\u1eabu thu\u1eadt v\u00e0 s\u1ee9c kh\u1ecfe tim m\u1ea1ch t\u1ed5ng th\u1ec3.<\/li>\n<\/ul>\n<\/li>\n
              • Chu\u1ea9n b\u1ecb b\u1ec7nh vi\u1ec7n<\/strong>:\n
                  \n
                • Nh\u1eadp vi\u1ec7n<\/strong>: Hi\u1ec3u r\u00f5 quy tr\u00ecnh nh\u1eadp vi\u1ec7n v\u00e0 mang theo c\u00e1c gi\u1ea5y t\u1edd, v\u1eadt d\u1ee5ng c\u00e1 nh\u00e2n c\u1ea7n thi\u1ebft.<\/li>\n
                • S\u1ef1 \u0111\u1ed3ng \u00fd \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o<\/strong>: K\u00fd c\u00e1c m\u1eabu ch\u1ea5p thu\u1eadn th\u1eeba nh\u1eadn s\u1ef1 hi\u1ec3u bi\u1ebft v\u1ec1 th\u1ee7 t\u1ee5c v\u00e0 r\u1ee7i ro c\u1ee7a n\u00f3.<\/li>\n<\/ul>\n<\/li>\n
                • H\u01b0\u1edbng d\u1eabn tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/strong>:\n
                    \n
                  • Nh\u1ecbn \u0103n<\/strong>: Kh\u00f4ng \u0103n ho\u1eb7c u\u1ed1ng trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt.<\/li>\n
                  • V\u1ec7 sinh<\/strong>: H\u01b0\u1edbng d\u1eabn t\u1eafm v\u00e0 c\u00f3 th\u1ec3 c\u1ea1o v\u00f9ng ph\u1eabu thu\u1eadt \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                    Ho\u1ea1t \u0111\u1ed9ng sau ph\u1eabu thu\u1eadt<\/strong><\/p>\n

                      \n
                    1. Ch\u0103m s\u00f3c sau ph\u1eabu thu\u1eadt ngay l\u1eadp t\u1ee9c<\/strong>:\n
                        \n
                      • Ph\u00f2ng h\u1ed3i s\u1ee9c<\/strong>: Theo d\u00f5i ban \u0111\u1ea7u trong ph\u00f2ng h\u1ed3i s\u1ee9c ho\u1eb7c ph\u00f2ng ch\u0103m s\u00f3c \u0111\u1eb7c bi\u1ec7t (ICU) ngay sau khi ph\u1eabu thu\u1eadt.<\/li>\n
                      • Qu\u1ea3n l\u00fd \u0111au<\/strong>: Qu\u1ea3n l\u00fd thu\u1ed1c gi\u1ea3m \u0111au.<\/li>\n
                      • Theo d\u00f5i<\/strong>: Theo d\u00f5i ch\u1eb7t ch\u1ebd ch\u1ee9c n\u0103ng tim, huy\u1ebft \u00e1p v\u00e0 n\u1ed3ng \u0111\u1ed9 oxy.<\/li>\n<\/ul>\n<\/li>\n
                      • Th\u1eddi gian n\u1eb1m vi\u1ec7n<\/strong>:\n
                          \n
                        • Theo d\u00f5i th\u01b0\u1eddng xuy\u00ean<\/strong>: Theo d\u00f5i li\u00ean t\u1ee5c c\u00e1c d\u1ea5u hi\u1ec7u quan tr\u1ecdng, ch\u1ee9c n\u0103ng tim v\u00e0 c\u00e1c v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt.<\/li>\n
                        • V\u1eadn \u0111\u1ed9ng v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng<\/strong>: Huy \u0111\u1ed9ng s\u1edbm v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u \u0111\u1ec3 ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng nh\u01b0 c\u1ee5c m\u00e1u \u0111\u00f4ng v\u00e0 b\u1eaft \u0111\u1ea7u qu\u00e1 tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng.<\/li>\n
                        • Ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng<\/strong>: Qu\u1ea3n l\u00fd v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt, bao g\u1ed3m b\u1ea5t k\u1ef3 \u1ed1ng ng\u1ef1c ho\u1eb7c \u1ed1ng d\u1eabn l\u01b0u.<\/li>\n<\/ul>\n<\/li>\n
                        • Ch\u0103m s\u00f3c t\u1ea1i nh\u00e0<\/strong>:\n
                            \n
                          • Ch\u0103m s\u00f3c v\u1ebft th\u01b0\u01a1ng<\/strong>: H\u01b0\u1edbng d\u1eabn gi\u1eef cho v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt s\u1ea1ch s\u1ebd v\u00e0 kh\u00f4 r\u00e1o.<\/li>\n
                          • Thu\u1ed1c<\/strong>: Ti\u1ebfp t\u1ee5c c\u00e1c lo\u1ea1i thu\u1ed1c theo toa nh\u01b0 thu\u1ed1c l\u00e0m lo\u00e3ng m\u00e1u, thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n v\u00e0 statin.<\/li>\n
                          • Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 dinh d\u01b0\u1ee1ng<\/strong>: Th\u1ef1c hi\u1ec7n theo c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh cho tim \u0111\u1ec3 h\u1ed7 tr\u1ee3 ph\u1ee5c h\u1ed3i v\u00e0 ng\u0103n ng\u1eeba c\u00e1c v\u1ea5n \u0111\u1ec1 trong t\u01b0\u01a1ng lai.<\/li>\n<\/ul>\n<\/li>\n
                          • Ch\u0103m s\u00f3c theo d\u00f5i<\/strong>:\n
                              \n
                            • C\u00e1c cu\u1ed9c h\u1eb9n theo l\u1ecbch tr\u00ecnh<\/strong>: Theo d\u00f5i th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u00e1c s\u0129 tim m\u1ea1ch v\u00e0 b\u00e1c s\u0129 ph\u1eabu thu\u1eadt \u0111\u1ec3 theo d\u00f5i s\u1ef1 ph\u1ee5c h\u1ed3i v\u00e0 gi\u1ea3i quy\u1ebft b\u1ea5t k\u1ef3 m\u1ed1i quan t\u00e2m n\u00e0o.<\/li>\n
                            • Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim<\/strong>: Ghi danh v\u00e0o m\u1ed9t ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng tim \u0111\u1ec3 h\u1ed7 tr\u1ee3 ph\u1ee5c h\u1ed3i th\u00f4ng qua t\u1eadp th\u1ec3 d\u1ee5c, gi\u00e1o d\u1ee5c v\u00e0 t\u01b0 v\u1ea5n c\u00f3 gi\u00e1m s\u00e1t.<\/li>\n
                            • Theo d\u00f5i c\u00e1c bi\u1ebfn ch\u1ee9ng<\/strong>: Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m tr\u00f9ng, ch\u1ea3y m\u00e1u ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn tim ho\u1eb7c c\u00e1c v\u1ecb tr\u00ed ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n<\/li>\n
                            • Qu\u1ea3n l\u00fd d\u00e0i h\u1ea1n<\/strong>:\n
                                \n
                              • \u0110i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng<\/strong>: \u00c1p d\u1ee5ng l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh cho tim, bao g\u1ed3m ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, qu\u1ea3n l\u00fd c\u0103ng th\u1eb3ng v\u00e0 cai thu\u1ed1c l\u00e1.<\/li>\n
                              • Ch\u0103m s\u00f3c y t\u1ebf li\u00ean t\u1ee5c<\/strong>: Ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u00e1c s\u0129 tim m\u1ea1ch \u0111\u1ec3 theo d\u00f5i s\u1ee9c kh\u1ecfe tim m\u1ea1ch v\u00e0 qu\u1ea3n l\u00fd b\u1ea5t k\u1ef3 t\u00ecnh tr\u1ea1ng tim m\u1edbi ho\u1eb7c \u0111ang di\u1ec5n ra n\u00e0o.<\/li>\n
                              • Tu\u00e2n th\u1ee7 thu\u1ed1c<\/strong>: Ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c theo toa \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 huy\u1ebft \u00e1p cao, cholesterol cao v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng.<\/li>\n<\/ul>\n<\/li>\n<\/ol>\n

                                Hi\u1ec3u \u0111\u01b0\u1ee3c c\u00e1c chi ti\u1ebft c\u1ee5 th\u1ec3 c\u1ee7a ph\u1eabu thu\u1eadt CAD c\u1ee5 th\u1ec3 c\u1ee7a b\u1ea1n, bao g\u1ed3m c\u00e1c r\u1ee7i ro ti\u1ec1m \u1ea9n v\u00e0 k\u1ebft qu\u1ea3 mong \u0111\u1ee3i, l\u00e0 r\u1ea5t quan tr\u1ecdng. Lu\u00f4n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 h\u01b0\u1edbng d\u1eabn c\u00e1 nh\u00e2n. <\/p>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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                                \n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\"\"\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"

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