Bnh tim mch: khi lc, tn gi v li ch cha tr ThS o Duy An, Trng Phng khm Sng Tr, Tp HCM

B bnh m khng bit bnh g, cha tr ra sao th qu l thit thi cho ngi bnh. Hin nay, bnh tim mch ang l i dch; v vy, thng tin c bn v loi bnh l ny cho ngi bnh v ngi nh l cn thit. I.Bnh tim mch l g ? Bnh tim mch l bnh l ca qu tim v h thng mch mu (ng mch, mao mch v tnh mch) gm cc bnh chnh sau:

Nhm bnh ca qu tim v mch mu 1. Bnh ca tim gm cc nhm bnh sau: 1.1 Bnh tim bm sinh. 1.2 Bnh c tim v vim c tim. 1.3 Suy tim cp hoc suy tim mn. 1.4 Bnh van tim nh hp hoc h van tim hoc sa van tim. 1.5 Bnh mng tim nh vim, trn dch mng tim. 1.6 Bnh l in hc tim, c cc nhm nh sau: Ri lon nhp tim cc loi nh rung nh, rung tht, cung nh, cung tht, nhp nhanh trn tht. Ri lon dn truyn nh blc cc loi. 2. Bnh h thng mch mu gm cc nhm bnh sau: 2.1 Bnh ng mch, chia ra cc bnh nh sau: Tng huyt p. H huyt p. X va ng mch. Cc bin chng ca tng huyt p v x va ng mch: -Bnh tim thiu mu cc b. -Nhi mu c tim.

-Tai bin mch no nh nhi mu no, xut huyt no. -Bnh ng mch ngoi vi.

2.2 Bnh l mao mch v tnh mch, chia ra: - Gin tnh mch, gin mao mch. - Vim tnh mch. - Thuyn tc tnh mch. - Tr.

3. Cc bnh tim mch khc nh: 3.1 Tm ph mn. 3.2 Thuyn tc mch phi. 3.3 Bnh h thng bch huyt. 3.4 Hi chng chuyn ha. 3.5 U nhy nh tri. 3.6 Xu v ngt. 3.7 Bnh l ni khoa sau can thip tim mch (bnh van tim nhn to, ti hp ng mch vnh)...

Hnh 1. H ng mch, tnh mch chnh ca c th. Tt c bnh ny u do thy thuc chuyn khoa chn on; cc danh t m ngi bnh t gi hoc phng theo u khng chnh xc v gy hoang mang cho bn thn ngi bnh cng nh ngi nh. II. Li ch iu tr bnh tim mch. 1. Bnh tim mch l bnh l trng din cho nn iu tr thng ko di. Khng may l ngi bnh b bnh tim mch nhng rt may mn l bnh c thuc cha v rt hiu qu. 2. Thuc i vi bnh tim mch c th v nh cm n hng ngy; tuy nhin, im khc c bn l ngi bnh khng c t ng dng thuc nh n cm m phi c thy thuc chuyn khoa hng dn. 3. Vic dng thuc ng hng dn gip kim sot tt bnh tim mch, lm cho ngi bnh thoi mi, phn ln c th tip tc sng v lm vic tt, t phi nhp vin, t bin chng do bnh tim mch v nu c bin chng th cng nh nhng hn v im quan trng l tui th ca ngi bnh tng ln r rt so vi ngi khng c iu tr. 4. Bn cnh dng thuc, ngi bnh cn thc hin bin php khng dng thuc nh n nht, ung t nc, rn luyn th lc thng xuyn, b ht thuc l, bnh thn vi cuc sng; thy thuc chuyn khoa s

hng dn c th tu loi bnh tim mch. iu chc chn l bin php khng dng thuc gip ngi bnh kho hn, dng thuc c hiu qu hn v tit kim chi ph hn (chi ph ny vn tn km do iu tr bnh lu di), i khi ch vi bin php ny m bnh n nh v d tng huyt p nh. 5. i sng tt ln, ngi bnh nn hp tc cht ch vi thy thuc chuyn khoa m mnh tin tng, kin tr iu tr. Tn km cho qu trnh iu tr lu di tnh ra khng bng tin gii quyt hu qu ca bnh tim mch v i khi ngi bnh phi tr gi bng tnh mng, v d cht t ngt do tng huyt p m khng iu tr. Y hc chng minh vic iu tr bnh tim mch ng lm tng tui th ngi bnh v l bin php tit kim nht! III. Cn lu g khi iu tr bnh tim mch? 1. Thuc tim mch phi do thy thuc chuyn khoa ch nh, ngi bnh khng nn t tin dng hoc mua theo toa c. 2. Vic tng, gim, i thuc hoc ngng thuc do thy thuc chuyn khoa ch nh tu theo din tin ca bnh cho nn ngi bnh khng c t lm cc khu ny. 3. Bn cnh tc dng cha bnh, thuc gy ra mt vi kh chu cho ngi bnh, gi l tc dng bt li ca thuc; khi xy ra cc triu chng y, ngi bnh khng nn t x l m phi lin h ngay vi thy thuc iu chnh. 4. iu tr tt cng nh theo di bnh tim mch, thy thuc cho ngi bnh lm mt s xt nghim cn thit; ngi bnh khng nn t i hoc khng i xt nghim. 5. Khi b bnh khc, i khm chuyn khoa khc hoc dng thuc khng cn n, ngi bnh phi thng bo cho bc s hoc ngi bn thuc tnh trng bnh tim mch cng nh thuc mnh ang dng. Tt c lu trn nhm gip ci thin tnh trng tim mch ngi bnh, gim chi ph iu tr v c gng gip ngi bnh ho nhp vi cng ng. IV. Ni iu tr. V l bnh trng din, nn bnh tim mch thch hp iu tr ti ni ngi bnh c tr. Mt s bnh l tim mch ni-ngoi khoa nh bnh tim bm sinh, bnh van tim hu thp, xut huyt no cn khoan ly mu t, hp ng mch vnh cn can thip ngoi khoa- nhng bnh ny nn iu tr ti cc tuyn chuyn khoa tim mch chuyn su nh Vin Tim thnh ph H Ch Minh, Vin Tim mch quc gia Vit Nam H Ni. Cho d iu tr can thip chuyn su th iu tr ni khoa tip tc vn rt quan trng, ngi bnh nn hi k thy thuc iu tr cho mnh cch thc iu tr, theo di bnh sau khi can thip sc khe tim mch ci thin tt nht, ch bao gi ng nhn bnh khi.