Dieu tri benh thieu mau co tim

Tags: Tran Van Thiet, Thieu Mau Co Tim, bang phuong phap nao, benh thieu mau, dong mach vanh, dieu tri, bac si, co the, tri benh, dau nguc, con dau, thuoc, hien, dung, dinh


Khi co bat ky dau hieu nao nghi ngo benh thieu mau co tim, can den bac si chuyen khoa tim mach de duoc chan doan chinh xac. Anh minh hoa

Toi nam nay 50 tuoi. Cach day 2 thang toi bi dau du doi o nguc trai. Sau khi di kham dien tim thi cac bac si chuan doan bi thieu mau co tim. Hien tai toi dang dung thuoc theo chi dan cua bac si. Xin hoi benh thieu mau co tim cua toi co the dieu tri cham dut hoan toan duoc khong va neu co thi bang phuong phap nao thua bac si? (Tran Van Thiet)

Tra loi:

Trieu chung thuong gap nhat cua thieu mau co tim la dau nguc. Tuy nhien, khong phai tat ca cac truong hop dau nguc deu do thieu mau co tim. Dau nguc co the do dau o thanh nguc vi bi chan thuong, viem day than kinh lien suon, viem khop sun suon… Dau nguc cung co the do dau o phoi hoac mang phoi, dau o thuc quan, tam vi da day, dau do boc tach dong mach chu…

Voi truong hop dau nguc do thieu mau co tim, con goi la con dau that nguc, thong thuong benh nhan se dau o vung giua nguc sau xuong uc, lan len ham, vai va canh tay trai. Con dau thuong xuat hien khi gang suc the luc hoac khi xuc dong. Thoi gian dau thuong keo dai khoang 5-10 phut.

Con dau se giam khi ban nghi ngoi hoac ngam thuoc gian mach vanh. Trong con dau benh nhan thuong cam thay rat met, co the kem theo va mo hoi, cam giac buon non... Neu con dau keo dai hon 20 phut thi nguy co nhoi mau co tim rat cao. Trong mot so truong hop khong dien hinh, benh nhan co the cam thay met tung con ma khong dau hoac dau it.

Dieu tri

De dieu tri thieu mau co tim co rat nhieu phuong phap, mot trong nhung phuong phap do la dieu tri noi khoa. Betaloc la mot trong nhung loai thuoc dieu tri benh thieu mau co tim. Thuoc co tac dung uc che thu cam the beta giao cam, do vay co tac dung lam giam nhip tim, giam muc do tieu thu oxy cua co tim, gay gian dong mach vanh. Do vay, day la nhom thuoc rat tot de dieu tri benh thieu mau co tim. Tuy nhien, thuoc nay cung co nhieu chong chi dinh nhu bi co that phe quan (hen phe quan, benh phoi phe quan tac nghen man tinh...), tac nghen duong dan truyen nhi that cap 2 tro len, suy tim, nhip tim qua cham. Khi da dung cac thuoc nhom uc che beta, mot dieu dac biet can chu y la khong nen dung thuoc dot ngot, vi co the lam xuat hien lai cac trieu chung thieu mau co tim, thuong la nang hon, tham chi co the gay dot tu. Trong nhung truong hop phai ngung thuoc thi can giam lieu dan dan sau do moi ngung han.

Khi da su dung thuoc, bac nen dung keo dai va khong bao gio duoc dung thuoc dot ngot. Hien nay, co rat nhieu phuong phap de chan doan xac dinh va dieu tri benh thieu mau co tim, vi du nhu lam nghiem phap gang suc, lam xa hinh tuoi mau co tim va chup dong mach vanh (co the chup bang may cat lop 64 lat cat hoac co the chup dong mach vanh qua da). Khi da xac dinh duoc thuong ton dong mach vanh qua phuong phap chup, co the lua chon phuong phap dieu tri phu hop nhu can thiep nong va dat stent dong mach vanh cho ket qua rat tot. Do vay, neu co dieu kien, bac nen di kham tai cac co so co chuyen khoa tim mach de co the xac dinh duoc chac chan bac co bi benh thieu mau co tim hay khong va co phuong phap dieu tri tich cuc hon.

Che do sinh hoat

- Chon mot che do an thich hop, it mo, it duong, giam muoi - Tang cuong an rau va nhung thuc an chua chat xo, bo sung Vitamin voi luong thich hop, an it thit ma thay thit bang ca, tranh dung cac chat kich thich ( ruou nang, cafe,..).

- Tang cuong hoat dong the luc, luyen tap the duc, the thao (phu hop voi tuoi va the luc).

- Tranh cac stress va cac yeu to bat loi cua moi truong song tac dong den suc khoe the chat va tinh than.

Loi khuyen cua bac si

Chan doan benh thieu mau co tim doi hoi phai tien hanh nhieu kham nghiem, kiem tra khac nhau, chang han nhu: do dien tam do, lam nghiem phap gang suc, xa hinh tuoi mau co tim, chup mach vanh… Vi the, khi co bat ky dau hieu nao nghi ngo benh thieu mau co tim, can den bac si chuyen khoa tim mach de duoc chan doan chinh xac, tuyet doi khong tu doan benh va mua thuoc uong tai nha ma khong co chi dinh cua bac si.

(Thong tin tu van sau day chi mang tinh tham khao - khong tu y chua benh theo thong tin nay)


Chuc bac suc khoe!

“Tu dien Y Duoc truc tuyen http://www.thuocbietduoc.com.vn


D.H.T

Viet Bao

Tìm hiểu: Tran Van Thiet, Thieu Mau Co Tim, bang phuong phap nao, benh thieu mau, dong mach vanh, dieu tri, bac si, co the, tri benh, dau nguc, con dau, thuoc, hien, dung, dinh
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