Tre tim tai coi chung bi benh tim
Nhung benh tim hay gap o tre Theo bac si Nguyen Hoang Dinh - Truong khoa Phau thuat tim mach (Benh vien Dai hoc Y Duoc, TP.HCM): benh tim bam sinh o tre co hai loai - co tim (co the bi tim tai khi van dong, gang suc...) va khong tim. Trong do, loai khong tim chiem ty le nguoi bi benh nhieu hon. Loai khong tim co nhung benh nhu: thong lien nhi, thong lien that, kenh nhi that, va mot so benh ly o van tim (nhu: ho van tim bam sinh, hep eo dong mach chu...). Con loai co tim chiem khoang 20% trong nhung ca mac benh tim bam sinh. Thuong gap nhat trong benh tim co tim la "tu chung Fallot"; ke do la benh "that phai hai duong thoat"... Tu chung Fallot Benh nhi N.V.T.H (10 tuoi, ngu o TP.HCM) duoc phau thuat chua tu chung Fallot tai Benh vien Dai hoc Y Duoc (TP.HCM) sang 7.11 vua qua. Truoc do, H. thuong bi tinh trang tim tai co the, nguoi hay bi met... Tu chung Fallot gom: thong lien that lon, dong mach chu cuoi ngua tren vach lien that (o nguoi binh thuong van dong mach chu nam ke ben vach lien that), day that phai, hep duong ra o tam that phai (hep dong mach phoi). Trieu chung thuong gap o can benh nay ngay tu luc tre moi duoc sinh ra, do la: co the, tay, chan thuong xuyen bi tim tai (do thieu mau nuoi). Tinh trang tim se tang khi tre khoc, tre van dong; nguoi thuong bi met va hay bi ngat xiu... Dac diem cua tu chung Fallot la moi lan bi met, nguoi benh nam co quap nguoi lai, dung hai tay ep dau goi len nguc thi se do met. Bien chung cua tu chung Fallot co the gom: con tim nang co the dan den tu vong cho tre, viem noi tam mac nhiem trung, suy tim phai, viem phoi, tai bien mach mau nao... Theo cac bac si, viec dieu tri noi khoa (truoc mo) o benh tu chung Fallot chi mang tinh chat tam thoi, giup giam bot cac trieu chung benh, de chuan bi cho dieu tri ngoai khoa - phau thuat. Ve phau thuat chua tri, thuong bac si se dung phuong phap "phau thuat triet de qua duong mo nhi phai va dong mach phoi", day la phuong phap da duoc chung minh co hieu qua, giup bao ton duoc chuc nang cua that phai, bao ton cac la van va vong van dong mach phoi... Thanh Tung |
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Viet Bao
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