{"id":5240,"date":"2023-02-26T07:17:00","date_gmt":"2023-02-26T15:17:00","guid":{"rendered":"https:\/\/dactrung.com\/blog\/?p=5240"},"modified":"2023-02-26T07:17:00","modified_gmt":"2023-02-26T15:17:00","slug":"toi-di-mo-tim","status":"publish","type":"post","link":"https:\/\/dactrung.com\/blog\/tuy-but\/toi-di-mo-tim\/nhuhoa\/","title":{"rendered":"T\u00f4i \u0110i M\u1ed5 Tim"},"content":{"rendered":"

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Ng\u00e0y \u0111i m\u1ed5, gi\u1edd h\u1eb9n l\u00e0 7 gi\u1edd s\u00e1ng nh\u01b0ng b\u1ec7nh vi\u1ec7n y\u00eau c\u1ea7u \u0111\u1ebfn s\u1edbm hai ti\u1ebfng \u0111\u1ec3 l\u00e0m th\u1ee7 t\u1ee5c. K\u1ebft qu\u1ea3 l\u00e0 ph\u1ea3i \u0111\u1ec3 \u0111\u1ed3ng h\u1ed3 b\u00e1o th\u1ee9c l\u00fac 3 gi\u1edd s\u00e1ng h\u1ea7u c\u00f3 \u0111\u1ee7 th\u1eddi gi\u1edd m\u00e0 t\u1eadp th\u1ec3 d\u1ee5c, t\u1eafm x\u00e0 ph\u00f2ng nh\u01b0 b\u00e1c s\u0129 m\u1ed5 y\u00eau c\u1ea7u, kh\u00f4ng s\u1ee9c d\u1ea7u th\u01a1m, kh\u00f4ng xoa kem d\u01b0\u1ee1ng da, r\u1ed3i xoa “antibiotic ointment” tr\u00ean m\u00f4i v\u00e0 trong m\u0169i tr\u01b0\u1edbc khi r\u1eddi nh\u00e0, v.v.<\/p>\n

Nh\u00f3m b\u00e1c s\u0129 m\u1ed5 tim c\u1ee7a b\u1ec7nh vi\u1ec7n Inova Fairfax Hospital \u0111\u00e3 vi\u1ebft xu\u1ed1ng gi\u1ea5y, d\u1eb7n d\u00f2 c\u1ea9n th\u1eadn m\u1ecdi chuy\u1ec7n c\u0169ng nh\u01b0 \u0111\u01b0a cho m\u1ed9t quy\u1ec3n c\u1ea9m nang \u0111\u1ec3 b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0\u1eddi nh\u00e0 an t\u00e2m trong ca m\u1ed5, c\u0169ng nh\u01b0 hi\u1ec3u r\u00f5 m\u1ecdi giai \u0111o\u1ea1n t\u1eeb c\u00e1c ch\u1ee9ng b\u1ec7nh v\u1ec1 tim, vi\u1ec7c ch\u1eefa tr\u1ecb, th\u1eddi gian b\u00ecnh ph\u1ee5c, th\u1ef1c \u0111\u01a1n n\u00ean theo sau khi m\u1ed5, x\u00e1c su\u1ea5t kh\u1ecfi b\u1ec7nh, x\u00e1c su\u1ea5t t\u1eed vong, v.v.<\/p>\n

B\u1ec7nh vi\u1ec7n y\u00eau c\u1ea7u c\u00f3 \u00edt nh\u1ea5t m\u1ed9t th\u00e2n nh\u00e2n \u0111i theo \u0111\u1ec3 c\u00f3 g\u00ec c\u00f2n l\u00e0m quy\u1ebft \u0111\u1ecbnh thay cho b\u1ec7nh nh\u00e2n. Ph\u1ea7n t\u00f4i ch\u1ec9 c\u00f3 c\u00f4 h\u00e0ng x\u00f3m \u0111i theo, nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1c \u0111\u01b0\u1ee3c c\u1ea3 ba, b\u1ed1n ng\u01b0\u1eddi \u0111i th\u00e1p t\u00f9ng cho l\u00ean tinh th\u1ea7n. T\u00f4i kh\u00f4ng lo l\u1eafng v\u1edbi k\u1ebft qu\u1ea3 v\u1ee5 m\u1ed5 v\u00ec \u0111\u00e3 ch\u1ea5p nh\u1eadn, nh\u01b0ng c\u00f4 h\u00e0ng x\u00f3m ch\u1eafc ch\u1eafn l\u00e0 lo \u0111\u1ebfn m\u1ea5t \u0103n m\u1ea5t ng\u1ee7 c\u1ea3 th\u00e1ng qua, v\u00ec t\u00f4i t\u1eeb ch\u1ed1i kh\u00f4ng ch\u1ecbu \u0111i m\u1ed5 li\u1ec1n sau khi b\u00e1c s\u0129 kh\u00e1m ph\u00e1 l\u00e0 t\u00f4i b\u1ecb ngh\u1eb9t 100% tr\u00ean hai m\u1ea1ch ch\u00ednh (main artery) \u0111\u01b0a m\u00e1u tr\u1edf v\u1ec1 tim. Ch\u01b0a k\u1ec3 v\u1eabn c\u1ed1 \u0111i du l\u1ecbch, d\u00f9 b\u00e1c s\u0129 khuy\u00ean \u1edf nh\u00e0. M\u1ea1ch b\u00ean ph\u1ea3i qu\u1ea3 tim b\u1ecb ngh\u1eb9t l\u00e0m thi\u1ebfu m\u00e1u cung c\u1ea5p cho hai l\u00e1 ph\u1ed5i v\u00e0 \u0111\u00f3 l\u00e0 l\u00fd do hay b\u1ecb ho, s\u01b0ng ph\u1ed5i, b\u1ecb \u00e1ch x\u00ec m\u1ed5i khi kh\u00ed h\u1eadu thay \u0111\u1ed5i, h\u01a1n xa m\u1ed9t ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. B\u00ean tr\u00e1i m\u1ea1ch tr\u01b0\u1edbc qu\u1ea3 tim b\u1ecb ngh\u1eb9t khi\u1ebfn to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n

Sau khi l\u00e0m c\u00e1c th\u1ee7 t\u1ee5c gi\u1ea5y t\u1edd x\u00e1c \u0111\u1ecbnh t\u00f4i \u0111\u00fang l\u00e0 b\u1ec7nh nh\u00e2n c\u1ee7a ca m\u1ed5 tim, t\u00f4i \u0111\u01b0\u1ee3c cho v\u00e0o ng\u1ed3i trong ph\u00f2ng ch\u1edd \u0111\u1ec3 y t\u00e1 c\u00e2n \u0111o v\u00e0 h\u1ecfi \u0111\u1ee7 m\u1ecdi chuy\u1ec7n li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe. C\u00e1c b\u00e1c s\u0129, y t\u00e1 trong nh\u00f3m m\u1ed5 l\u1ea7n l\u01b0\u1ee3t xu\u1ea5t hi\u1ec7n v\u00e0 \u0111\u1ebfn b\u1eaft tay c\u00f9ng t\u1ef1 gi\u1edbi thi\u1ec7u. B\u00e1c s\u0129 tr\u01b0\u1edfng nh\u00f3m m\u1ed5 th\u00f4ng b\u00e1o cho bi\u1ebft l\u00e0 v\u1edbi c\u00e1c h\u00ecnh ch\u1ee5p quang tuy\u1ebfn m\u1edbi nh\u1ea5t, ch\u1ee5p hai ng\u00e0y tr\u01b0\u1edbc, cho th\u1ea5y l\u00e0 ngo\u00e0i chuy\u1ec7n hai m\u1ea1ch m\u00e1u b\u1ecb ngh\u1eb9t, qu\u1ea3 tim c\u1ee7a t\u00f4i l\u1ea1i c\u00f3 m\u1ed9t b\u1ecdc tr\u1eafng ch\u1ee9a n\u01b0\u1edbc kh\u00e1 to n\u1eb1m che ph\u00eda tr\u01b0\u1edbc. Do \u0111\u00f3 tr\u01b0\u1edbc khi l\u00e0m c\u00e2u d\u1eabn cho hai m\u1ea1ch m\u00e1u b\u1ecb ngh\u1eb9t, m\u1ed9t b\u00e1c s\u0129 tim kh\u00e1c s\u1ebd ph\u1ea3i c\u1eaft v\u00e0 l\u1ea5y \u0111i c\u00e1i b\u1ecdc tr\u1eafng \u0111\u00f3. Th\u1eddi gian m\u1ea5t th\u00eam cho v\u1ee5 m\u1ed5 c\u00f3 th\u1ec3 l\u00e0 15 ph\u00fat. H\u1ecfi ra m\u1edbi bi\u1ebft l\u00e0 c\u00e1i b\u1ecdc tr\u1eafng \u0111\u00f3 l\u00e0 do b\u1ea9m sinh, kh\u00f4ng ph\u1ea3i ai c\u0169ng c\u00f3. N\u1ebfu kh\u00f4ng c\u00f3 v\u1ee5 m\u1ed5 tim, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 ch\u00e2m kim v\u00e0o v\u00e0 r\u00fat n\u01b0\u1edbc trong b\u1ecdc ra l\u00e0 xong. Nay nh\u00e2n ng\u1ef1c \u0111\u01b0\u1ee3c m\u1edf, b\u00e1c s\u0129 s\u1ebd c\u1eaft b\u1ecf c\u00e1i b\u1ecdc \u0111\u00f3 lu\u00f4n v\u00e0 th\u1eed nghi\u1ec7m xem c\u00f3 b\u1ecb ung th\u01b0 hay nhi\u1ec5m tr\u00f9ng g\u00ec ch\u0103ng.<\/p>\n

T\u00f4i ch\u1ec9 nh\u1edb \u0111\u1ebfn \u0111\u00e2y v\u1edbi c\u00e2u chuy\u1ec7n ch\u1edd \u0111\u1ee3i m\u1ed5 v\u00e0o bu\u1ed5i s\u00e1ng, tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng gi\u1ea3i ph\u1eabu. Khi m\u1edf m\u1eaft ra th\u00ec th\u1ea5y c\u00f4 h\u00e0ng x\u00f3m \u0111ang \u0111\u1ee9ng tr\u01b0\u1edbc m\u1eb7t v\u00e0 qu\u01a1 tay qua l\u1ea1i h\u1ecfi t\u00f4i c\u00f3 bi\u1ebft ai \u0111\u00e2y kh\u00f4ng. T\u00f4i t\u1ee9c c\u01b0\u1eddi qu\u00e1 b\u1ea3o l\u00e0 c\u00f4 ch\u1ee9 ai. Sau \u0111\u00f3 y t\u00e1 xu\u1ea5t hi\u1ec7n cho bi\u1ebft l\u00e0 ca m\u1ed5 c\u1ee7a t\u00f4i \u0111\u00e3 xong v\u1edbi k\u1ebft qu\u1ea3 r\u1ea5t t\u1ed1t, v\u00e0 t\u00f4i \u0111ang \u1edf ph\u00f2ng h\u1ed3i sinh (ICU), r\u1ed3i h\u1ecfi t\u00ean t\u00f4i v\u1edbi ng\u00e0y sinh, v\u00e0 c\u00f3 bi\u1ebft l\u00e0 t\u00f4i \u0111ang \u1edf \u0111\u00e2u kh\u00f4ng. \u0110\u00e2y l\u00e0 h\u1ecd mu\u1ed1n ki\u1ec3m l\u1ea1i l\u00e0 tr\u00ed nh\u1edb c\u1ee7a t\u00f4i c\u00f3 b\u1ecb \u1ea3nh h\u01b0\u1edfng chi kh\u00f4ng v\u1edbi thu\u1ed1c m\u00ea trong v\u1ee5 m\u1ed5.<\/p>\n

Th\u1ea5y t\u00f4i tr\u1ea3 l\u1eddi r\u00f5 r\u00e0ng m\u1ecdi c\u00e2u h\u1ecfi, h\u1ecd an t\u00e2m cho t\u00f4i n\u01b0\u1edbc u\u1ed1ng, \u0111\u1eafp th\u00eam m\u1ec1n \u1ea5m nh\u01b0 t\u00f4i y\u00eau c\u1ea7u. H\u1ecd cho bi\u1ebft l\u00e0 n\u1ebfu t\u00ecnh tr\u1ea1ng ti\u1ebfn tri\u1ec3n kh\u1ea3 quan, t\u00f4i s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n ra ph\u00f2ng b\u00ecnh th\u01b0\u1eddng nh\u01b0ng r\u1ed9ng h\u01a1n v\u00e0o t\u1ed1i nay. Ph\u00f2ng ICU th\u00ec m\u1ed9t y t\u00e1 tr\u00f4ng nom cho m\u1ed9t b\u1ec7nh nh\u00e2n 24\/24, ngo\u00e0i ph\u00f2ng th\u01b0\u1eddng th\u00ec m\u1ed9t y t\u00e1 trung b\u00ecnh tr\u00f4ng 6 b\u1ec7nh nh\u00e2n hay h\u01a1n.<\/p>\n

\u0110\u1ec3 theo d\u00f5i t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n m\u1edbi m\u1ed5, t\u00f4i s\u1ebd ph\u1ea3i nh\u1ecbn \u0103n cho \u0111\u1ebfn s\u00e1ng mai, u\u1ed1ng n\u01b0\u1edbc th\u00ec \u0111\u01b0\u1ee3c. V\u00ec th\u1ea5y t\u00f4i \u0111\u00e3 t\u1ec9nh, kh\u00f4ng c\u00f3 qu\u1edd qu\u1ea1ng chi, n\u00ean hai b\u00e0n tay c\u1ee7a t\u00f4i \u0111\u01b0\u1ee3c t\u1ef1 do, kh\u00f4ng b\u1ecb bu\u1ed9c ch\u1eb7t xu\u1ed1ng gi\u01b0\u1eddng nh\u01b0 v\u00e0i b\u1ec7nh nh\u00e2n kh\u00e1c. H\u1ecd ch\u1ec9 y\u00eau c\u1ea7u t\u00f4i n\u1eb1m y\u00ean t\u1ea1i ch\u1ed7, c\u1ea7n chi th\u00ec b\u1ea5m n\u00fat g\u1ecdi y t\u00e1, ngay c\u1ea3 chuy\u1ec7n ti\u00eau ti\u1ec3u.<\/p>\n

C\u00f4 h\u00e0ng x\u00f3m ti\u1ebfp l\u1eddi cho bi\u1ebft l\u00e0 t\u00f4i \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng m\u1ed5 l\u00fac 7 gi\u1edd h\u01a1n ch\u00fat, v\u00e0 \u0111\u1ebfn 10 gi\u1edd 30 th\u00ec c\u00f4 y t\u00e1 trong ph\u00f2ng m\u1ed5 g\u1ecdi ra cho bi\u1ebft l\u00e0 ca m\u1ed5 th\u00e0nh c\u00f4ng, ch\u1ec9 m\u1ea5t c\u00f3 t\u1ed5ng c\u1ed9ng ba ti\u1ebfng r\u01b0\u1ee1i, thay v\u00ec t\u1eeb 4 \u0111\u1ebfn 6 ti\u1ebfng nh\u01b0 d\u1ef1 t\u00ednh. H\u1ecd s\u1ebd \u0111\u01b0a t\u00f4i ra ph\u00f2ng ICU, sau khi \u0111\u00f3ng l\u1ea1i v\u1ebft m\u1ed5 v\u00e0 lau ch\u00f9i s\u1ea1ch s\u1ebd.<\/p>\n

\u0110\u01b0\u1ee3c h\u1ecfi c\u1ea3m th\u1ea5y th\u1ebf n\u00e0o, t\u00f4i cho bi\u1ebft l\u00e0 ng\u1ef1c th\u00ec h\u01a1i \u0111au nh\u01b0ng kh\u00f4ng \u0111\u1ebfn n\u1ed5i ph\u1ea3i la l\u00e0ng, ch\u1ec9 c\u00f3 h\u01a1i kh\u00f3 ch\u1ecbu v\u00ec th\u1ea5y \u1ed1ng c\u1eafm \u0111\u1ea7y ng\u01b0\u1eddi c\u00f9ng c\u00e1c v\u1ebft b\u0103ng. C\u00f4 y t\u00e1 c\u01b0\u1eddi v\u00e0 cho bi\u1ebft l\u00e0 t\u00f4i ph\u1ea3i ch\u1ecbu nh\u01b0 v\u1eady trong nh\u1eefng ng\u00e0y \u1edf b\u1ec7nh vi\u1ec7n ch\u1edd h\u1ed3i ph\u1ee5c. Nh\u01b0ng s\u1ebd \u0111\u01b0\u1ee3c th\u00e1o b\u1ecf ra t\u1eeb t\u1eeb trong v\u00e0i ng\u00e0y s\u1eafp t\u1edbi.<\/p>\n

Nh\u00e2n d\u1ecbp c\u00f4 y t\u00e1 r\u1ea3nh rang v\u00e0 tr\u00f4ng c\u00f4 vui v\u1ebb tr\u1ea3 l\u1eddi c\u00e1c c\u00e2u h\u1ecfi, t\u00f4i b\u00e8n h\u1ecfi th\u0103m v\u1ec1 t\u1eebng v\u1ebft b\u0103ng tr\u00ean ng\u01b0\u1eddi c\u00f9ng nh\u1eefng d\u00e2y \u1ed1ng hi\u1ec7n \u0111ang n\u1ed1i \u0111\u1ea7y ng\u01b0\u1eddi. Nh\u1edd v\u1eady t\u00f4i m\u1edbi li\u00ean k\u1ebft \u0111\u01b0\u1ee3c vi\u1ec7c m\u1ed5 tim c\u1ee7a t\u00f4i, c\u0169ng nh\u01b0 \u00fd ngh\u0129a c\u1ee7a ch\u1eef “open heart surgery” l\u00e0 th\u1ebf n\u00e0o.<\/p>\n

Khi m\u1ed9t m\u1ea1ch m\u00e1u c\u1ee7a tim b\u1ecb ngh\u1eb9t, n\u1ebfu ch\u1ec9 ngh\u1eb9t t\u1eeb 40 \u0111\u1ebfn 60% th\u00ec b\u00e1c s\u0129 s\u1ebd cho b\u1ec7nh nh\u00e2n u\u1ed1ng thu\u1ed1c lo\u1ea3ng m\u00e1u v\u00e0 tr\u1ee3 tim, c\u00f9ng khuy\u1ebfn c\u00e1o c\u1ea3i thi\u1ec7n vi\u1ec7c \u0103n u\u1ed1ng nh\u01b0 \u0103n \u00edt \u0111i, b\u1edbt l\u01b0\u1ee3ng th\u1ecbt \u0111\u1ecf, d\u1ea7u m\u1edf, v.v. N\u1ebfu ngh\u1eb9t t\u1eeb 60% \u0111\u1ebfn 80%, th\u00ec khi l\u00e0m soi tim th\u1eed nghi\u1ec7m, b\u00e1c s\u0129 s\u1ebd b\u01a1m bong b\u00f3ng l\u00e0m th\u00f4ng n\u01a1i b\u1ecb ngh\u1eb9t v\u00e0 sau \u0111\u00f3 \u0111\u1eadt v\u00e0o m\u1ed9t v\u00f2ng xo\u1eafn (stent) h\u1ea7u gi\u00fap m\u1ea1ch m\u00e1u n\u01a1i \u0111\u00f3 v\u1eefng ch\u1eafc h\u01a1n. C\u00f2n n\u1ebfu m\u1ea1ch m\u00e1u b\u1ecb ngh\u1eb9t t\u1eeb 80% \u0111\u1ebfn 100% th\u00ec ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa tr\u1ecb duy nh\u1ea5t hi\u1ec7n nay \u0111\u01b0\u1ee3c hi\u1ec7p h\u1ed9i y khoa ch\u1ea5p nh\u1eadn l\u00e0 d\u00f9ng m\u1ed9t t\u0129nh m\u1ea1ch kh\u00e1c trong ng\u01b0\u1eddi \u0111\u1ec3 c\u00e2u d\u1eabn cho m\u00e1u \u0111i v\u00f2ng qua ch\u1ed7 b\u1ecb ngh\u1eb9t (by-pass surgery).<\/p>\n

Xin m\u1edf ngo\u1eb7c \u1edf \u0111\u00e2y \u0111\u1ec3 n\u00f3i v\u1ec1 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p m\u1edbi l\u00e0m th\u00f4ng m\u1ea1ch tim d\u00f9 \u0111\u00e3 b\u1ecb ngh\u1eb9t 100%. Ph\u01b0\u01a1ng ph\u00e1p m\u1edbi n\u00e0y do tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc y khoa Boston \u0111\u1ec1 x\u01b0\u1edbng. H\u1ecd chuy\u1ec1n v\u00e0o m\u00e1u m\u1ed9t lo\u1ea1i thu\u1ed1c l\u00e0m m\u1ec1m ph\u1ea7n b\u1ecb ngh\u1eb9t. Sau \u0111\u00f3 d\u00f9ng c\u00e1c d\u1ee5ng c\u1ee5 th\u00f4ng tim \u0111i \u0111\u1ebfn n\u01a1i b\u1ecb ngh\u1eb9t v\u00e0 d\u00f9ng m\u1ed9t m\u0169i khoan xuy\u00ean qua, r\u1ed3i r\u00fat c\u00e1c ch\u1ea5t d\u01a1 l\u00e0m ngh\u1eb9t ra kh\u1ecfi m\u1ea1ch m\u00e1u. Sau \u0111\u00f3 ch\u1ec9 vi\u1ec7c \u0111\u1eb7t v\u00f2ng xo\u1eafn (stent) v\u00e0o \u0111\u00f3 l\u00e0 xong. M\u1ed9t b\u1ec7nh vi\u1ec7n v\u00f9ng Florida \u0111\u00e3 th\u1eed nghi\u1ec7m v\u00e0 th\u00e0nh c\u00f4ng v\u1edbi 6 b\u1ec7nh nh\u00e2n, nh\u01b0ng kh\u1ed5 c\u00e1i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c chu\u1ea9n nh\u1eadn v\u1edbi h\u1ed9i y khoa Hoa K\u1ef3. M\u00e0 ch\u1ea1y \u0111i xu\u1ed1ng Florida xin \u0111\u01b0\u1ee3c l\u00e0m v\u1eadt th\u00ed nghi\u1ec7m v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng qu\u00e1 kh\u00f3 kh\u0103n cho m\u1ed9t ng\u01b0\u1eddi \u1edf xa, n\u00ean t\u00f4i ch\u00e0o thua.<\/p>\n

N\u1ebfu n\u01a1i b\u1ecb ngh\u1eb9t n\u1eb1m \u1edf tr\u00ean m\u1ed9t m\u1ea1ch kh\u00f4ng quan tr\u1ecdng, v\u00ed d\u1ee5 nh\u01b0 ch\u1ec9 m\u1ed9t ho\u1eb7c hai n\u01a1i \u1edf m\u1ea1ch b\u00ean ph\u1ea3i, b\u00e1c s\u0129 gi\u1ea3i ph\u1ea9u c\u00f3 th\u1ebf \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3i ph\u1eabu vi ti\u1ec3u \u0111\u1ec3 c\u00e2u th\u00f4ng m\u1ea1ch m\u00e1u b\u1eb1ng nh\u01b0ng d\u1ee5ng c\u1ee5 th\u1eadt nh\u1ecf \u0111i k\u00e8m v\u1edbi th\u00e2u h\u00ecnh. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u00e1c s\u0129 kh\u00f4ng c\u1ea7n c\u1eaft m\u1edf l\u1ed3ng ng\u1ef1c b\u1ec7nh nh\u00e2n, kh\u00f4ng c\u1ea7n cho tim ph\u1ed5i ng\u1eebng \u0111\u1eadp, m\u00e0 ch\u1ec9 c\u1ea7n soi ba hay b\u1ed1n l\u1ed5 nh\u1ecf chung quanh khu v\u1ef1c tim b\u1ecb ngh\u1eb9t m\u00e0 th\u00f4i. Nh\u01b0 v\u1eady th\u1eddi gian v\u1ebft m\u1ed5 \u0111\u01b0\u1ee3c l\u00e0nh v\u00e0 s\u1ee9c kh\u1ecfe ph\u1ee5c h\u1ed3i s\u1ebd th\u1eadt nhanh.<\/p>\n

Tr\u01b0\u1eddng h\u1ee3p c\u1ee7a t\u00f4i v\u00ec hai n\u01a1i b\u1ecb ngh\u1eb9t \u0111\u1ec1u n\u0103m tr\u00eam m\u1ea1ch ch\u00ednh, m\u1ed9t b\u00ean ph\u1ea3i v\u00e0 m\u1ed9t b\u00ean tr\u00e1i, b\u00e1c s\u0129 cho bi\u1ebft l\u00e0 kh\u00f4ng th\u1ec3 n\u00e0o \u00e1p d\u1ee5ng gi\u1ea3i ph\u1ea9u vi ti\u1ec3u \u0111\u01b0\u1ee3c m\u00e0 ph\u1ea3i \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p th\u00f4ng th\u01b0\u1eddng l\u00e0 h\u1ecd s\u1ebd c\u01b0a x\u01b0\u01a1ng gi\u1eefa hai l\u1ed3ng ng\u1ef1c, r\u1ed3i banh ra (gi\u1ed1ng nh\u01b0 ch\u00fang ta \u0111\u1ed9i chi\u1ebfc xe l\u00ean l\u00fac thay b\u00e1nh xe v\u1eady), \u0111\u1ec3 c\u00f3 th\u1ec3 th\u1ea5y qu\u1ea3 tim r\u00f5 r\u00e0ng. Sau \u0111\u00f3, m\u00e1u s\u1ebd \u0111\u01b0\u1ee3c r\u00fat h\u1ebft ra cho v\u00e0o m\u1ed9t b\u00ecnh ch\u1ee9a, c\u00f9ng l\u00fac c\u00e1c m\u1ea1ch m\u00e1u trong ng\u01b0\u1eddi s\u1ebd \u0111\u01b0\u1ee3c n\u1ed1i v\u00e0o m\u1ed9t c\u00e1i m\u00e1y “heart and lung machine” s\u1ebd b\u01a1m m\u1ed9t dung d\u1ecbch thay th\u1ebf m\u00e1u v\u00e0 kh\u00ed oxy nu\u00f4i d\u01b0\u1ee1ng c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c trong ng\u01b0\u1eddi nh\u01b0 b\u1ed9 \u00f3c, th\u1eadn, gan, v.v. C\u00f2n qu\u1ea3 tim v\u00e0 ph\u1ed5i th\u00ec \u0111\u01b0\u1ee3c cho n\u1eb1m y\u00ean \u0111\u1ec3 b\u00e1c s\u0129 d\u00f9ng m\u1ed9t t\u1ec9nh m\u1ea1ch c\u1eaft d\u01b0\u1edbi ch\u00e2n \u0111em l\u00ean \u0111\u1ec3 c\u00e2u th\u00f4ng qua n\u01a1i b\u1ecb k\u1eb9t. Nh\u1edd c\u00f3 c\u00e1i m\u00e1y “heart and lung machine” n\u00e0y, c\u00f9ng vi\u1ec7c \u0111\u1ec3 qu\u1ea3 tim v\u00e0 ph\u1ed5i b\u1ea5t \u0111\u1ed9ng, vi\u1ec7c c\u00e2u th\u00f4ng m\u1ea1ch m\u00e1u c\u1ee7a qu\u1ea3 tim tr\u1edf n\u00ean d\u1ec5 d\u00e0ng, \u00edt c\u00f3 tai n\u1ea1n x\u00e3y ra b\u1ea5t ng\u1edd \u0111\u01b0a \u0111\u1ebfn chuy\u1ec7n xu\u1ea5t huy\u1ebft, k\u00edch tim, \u0111\u1ee9t m\u1ea1ch m\u00e1u n\u1ea3o, v.v. v\u00e0 \u0111\u01b0a \u0111\u1ebfn t\u1eed vong. \u0110\u00f3 l\u00e0 ch\u01b0a k\u1ec3 vi\u1ec7c g\u00e2y m\u00ea \u0111\u00e3 \u0111\u01b0\u1ee3c d\u00f9ng m\u1ed9t li\u1ec1u nh\u1eb9 h\u01a1n v\u00e0 li\u00ean t\u1ee5c th\u1eb3ng v\u00e0o m\u00e1u, thay v\u00ec m\u1ed9t l\u1ea7n th\u1eadt nhi\u1ec1u khi b\u1eaft \u0111\u00e2u m\u1ed5 r\u00f4i th\u00f4i, \u0111\u00e3 khi\u1ebfn nhi\u1ec1u b\u1ec7nh nh\u00e2n y\u1ebfu trong ng\u01b0\u1eddi \u0111\u00e3 ng\u1ee7 lu\u00f4n kh\u00f4ng d\u1eady n\u1eefa. M\u1eb7c d\u00f9 b\u00e1c s\u0129 m\u1ed5 cho bi\u1ebft x\u00e1c su\u1ea5t t\u1eed vong l\u00e0 1%, nh\u01b0ng theo th\u1ed1ng k\u00ea th\u00ec con s\u1ed1 \u0111\u00f3 th\u1ea5p h\u01a1n nhi\u1ec1u. C\u00f3 th\u1ec3 c\u00f2n th\u1ea5p h\u01a1n m\u1ed9t ph\u1ea7n ng\u00e0n.<\/p>\n

Sau khi \u0111\u00e3 l\u00e0m xong vi\u1ec7c c\u00e2u d\u1eabn m\u1ea1ch m\u00e1u, dung d\u1ecbch n\u01b0\u1edbc bi\u1ec3n c\u00f9ng c\u00e1c \u1ed1ng n\u1ed1i tr\u00ean ng\u01b0\u1eddi b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c r\u00fat ra. M\u00e1u s\u1ebd cho ch\u1ea1y v\u00e0o tr\u1edf l\u1ea1i. Tim v\u00e0 ph\u1ed5i s\u1ebd \u0111\u01b0\u1ee3c k\u00edch th\u00edch cho \u0111\u1eadp tr\u1edf l\u1ea1i t\u1eeb t\u1eeb nh\u01b0 b\u00ecnh th\u01b0\u1eddng. Khung x\u01b0\u01a1ng l\u1ed3ng ng\u1ef1c \u0111\u01b0\u1ee3c cho v\u1ec1 l\u1ea1i v\u1ecb tr\u00ed c\u0169, b\u00e1c s\u0129 s\u1ebd d\u00f9ng m\u1ed9t s\u1ee3i d\u00e2y kim lo\u1ea1i \u0111\u1ec3 n\u1ed1i s\u00e1t hai khung x\u01b0\u01a1ng l\u1ea1i v\u1edbi nhau, c\u00f9ng d\u00f9ng m\u1ed9t lo\u1ea1i keo \u0111\u1eb7c bi\u1ec7t gi\u1eef ch\u1eb7t hai khung x\u01b0\u01a1ng v\u00e0 k\u00edch th\u00edch x\u01b0\u01a1ng t\u0103ng tr\u01b0\u1edfng cho mau l\u00e0nh. S\u1ee3i d\u00e2y kim lo\u1ea1i n\u00e0y kh\u00f4ng c\u00f3 ph\u1ea3n \u1ee9ng v\u1edbi m\u00e1y b\u00e1o \u0111\u1ed9ng n\u01a1i ki\u1ec3m so\u00e1t an ninh \u1edf phi tr\u01b0\u1eddng, v\u1eady c\u00e1c b\u1ea1n \u0111\u1eebng lo nha.<\/p>\n

Nh\u00ecn v\u1ebft m\u1ed5 n\u01a1i ng\u1ef1c d\u00e0i ch\u1eebng 20cm, t\u00f4i th\u1ea5y c\u0169ng h\u01a1i \u1edbn, nh\u01b0ng l\u1ea1 l\u00e0 kh\u00f4ng th\u1ea5y v\u1ebft may hay b\u0103ng l\u1ea1i g\u00ec h\u1ebft. C\u00f4 y t\u00e1 cho bi\u1ebft v\u1ebft may n\u1eb1m \u1edf b\u00ean trong n\u00ean kh\u00f4ng t\u1ea1o th\u00e0nh v\u1ebft s\u1eb9o l\u1edbn nh\u01b0 tr\u01b0\u1edbc. Ngo\u00e0i ra, nh\u1edd m\u00f4i tr\u01b0\u1eddng trong b\u1ec7nh vi\u1ec7n trong s\u1ea1ch, v\u1ebft th\u01b0\u01a1ng kh\u00f4ng c\u1ea7n b\u0103ng l\u1ea1i v\u00e0 nh\u01b0 v\u1eady s\u1ebd mau l\u00e0nh h\u01a1n. B\u00ean d\u01b0\u1edbi v\u1ebft m\u1ed5, t\u00f4i th\u1ea5y c\u00f3 ba c\u00e1i \u1ed1ng \u0111\u01b0\u1eddng k\u00ednh ch\u1eebng 15mm \u0111i v\u00e0o trong ng\u01b0\u1eddi, c\u00f4 y t\u00e1 cho bi\u1ebft \u0111\u00f3 l\u00e0 ba \u1ed1ng h\u00fat gi\u00fap \u0111\u01b0a ra ngo\u00e0i nh\u1eefng huy\u1ebft d\u1ecbch, huy\u1ebft t\u01b0\u01a1ng ch\u1ea3y ra t\u1eeb c\u00e1c v\u1ebft m\u1ed5, c\u1eaft v\u00e1 b\u00ean trong ng\u01b0\u1eddi. Ba c\u00e1i \u1ed1ng n\u00e0y th\u1eadt l\u00e0m phi\u1ec1n t\u00f4i, v\u00ec v\u01b0\u1edbng ch\u00fang b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 n\u00e0o h\u00edt v\u00e0o cho \u0111\u1ea7y ph\u1ed5i, ho\u1eb7c th\u1edf b\u1ee5ng n\u1ebfu mu\u1ed1n. Nh\u00ecn th\u1ea5y \u1ed1ng c\u00e2u th\u00f4ng n\u01b0\u1edbc ti\u1ec3u, c\u00f4 y t\u00e1 cho bi\u1ebft \u0111\u00f3 l\u00e0 th\u1ee7 t\u1ee5c b\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 tr\u00e1nh b\u1ec7nh nh\u00e2n \u0111\u00e1i v\u0103ng tung t\u00f3e trong ph\u00f2ng m\u1ed5, trong l\u00fac ai n\u1ea5y \u0111\u1ec1u b\u1eadn kh\u00f4ng c\u00f3 th\u1eddi gi\u1edd lau ch\u00f9i. \u1ed0ng th\u00f4ng n\u01b0\u1edbc ti\u1ec3u n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c r\u00fat ra v\u00e0o h\u00f4m sau, b\u1ec7nh nh\u00e2n c\u1ea7n u\u1ed1ng n\u01b0\u1edbc cho th\u1eadt nhi\u1ec1u \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i ti\u1ec3u tr\u1edf l\u1ea1i nh\u01b0 b\u00ecnh th\u01b0\u1eddng trong v\u00f2ng 6 ti\u1ebfng, v\u00ec n\u1ebfu kh\u00f4ng h\u1ecd s\u1ebd g\u1eafn tr\u1edf l\u1ea1i v\u00e0 u\u1ed1ng thu\u1ed1c th\u00f4ng ti\u1ec3u th\u00eam v\u00e0i ng\u00e0y n\u1eefa.<\/p>\n

Ng\u00e0y th\u1ee9 nh\u1ea5t sau khi m\u1ed5, t\u00f4i ch\u1ec9 n\u1eb1m tr\u00ean gi\u01b0\u1eddng v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c \u0103n g\u00ec. Qua ng\u00e0y th\u1ee9 hai, h\u1ecd b\u1eaft \u0111\u1ea7u cho \u0103n nh\u1eb9, v\u00e0 b\u1eaft t\u00f4i ph\u1ea3i ra gh\u1ebf ng\u1ed3i, c\u00f9ng khuy\u1ebfn kh\u00edch \u0111i b\u1ed9 chung quanh t\u1ea7ng l\u1ea7u. Ng\u00e0y th\u1ee9 ba, h\u1ecd ch\u1ec9 c\u00e1ch leo thang l\u1ea7u sao cho an to\u00e0n, v\u00e0 gia t\u0103ng s\u1ed1 v\u00f2ng \u0111i b\u1ed9, c\u00f9ng l\u00fac \u0103n u\u1ed1ng nhi\u1ec1u h\u01a1n. Chi\u1ec1u t\u1ed1i ng\u00e0y th\u1ee9 t\u01b0, y t\u00e1 l\u00e0m th\u1ee7 t\u1ee5c cho t\u00f4i v\u1ec1 l\u1ea1i nh\u00e0, sau khi gi\u00fap t\u00f4i t\u1eafm r\u1eefa v\u00e0 ch\u1ec9 d\u1eabn c\u00e1c lau ch\u00f9i c\u00e1c v\u1ebft m\u1ed5 khi v\u1ec1 nh\u00e0. T\u00f4i ph\u1ea3i t\u1eafm v\u00e0 lau ch\u00f9i c\u00e1c v\u1ebft th\u01b0\u01a1ng m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n. C\u00e1c kh\u0103n lau v\u00e0 qu\u1ea7n \u00e1o \u0111\u1ec1u ph\u1ea3i thay m\u1edbi h\u00e0ng ng\u00e0y. H\u00f4m cu\u1ed1i, c\u00f3 nh\u00e2n vi\u00ean th\u1ec3 d\u1ee5c (physical therapist) v\u00e0o ch\u1ec9 d\u1ea9n t\u00f4i c\u00e1ch t\u1eadp th\u1ec3 d\u1ee5c gi\u1edbi h\u1ea1n khi ph\u1ea3i n\u1eb1m tr\u00ean gi\u01b0\u1eddng.<\/p>\n

Khi \u0111ang vi\u1ebft b\u00e0i n\u00e0y, t\u00f4i \u0111\u00e3 v\u1ec1 nh\u00e0 \u0111\u01b0\u1ee3c 6 tu\u1ea7n, xin vi\u1ebft t\u00f3m t\u1eaft \u0111\u1ec3 chia s\u1ebb kinh nghi\u1ec7m qua th\u1eddi gian h\u00f4i ph\u1ee5c.<\/p>\n

Sau khi m\u1ed5 tim, ch\u1eafc ch\u1eafn l\u00e0 ai c\u0169ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o l\u00e0 c\u1ea7n ph\u1ea3i theo c\u00e1ch \u0103n u\u1ed1ng cho m\u1ed9t qu\u1ea3 tim t\u1ed1t l\u00e0nh (Healthy Heart Diet), v\u00e0 ph\u1ea3i u\u1ed1ng k\u00e8m v\u00e0i th\u1ee9 thu\u1ed1c nh\u01b0 thu\u1ed1c lo\u1ea3ng m\u00e1u (Aspirin 81mg ch\u1eb3ng h\u1ea1n), thu\u1ed1c \u0111i\u1ec1u h\u00f2a m\u00e1u, thu\u1ed1c tan m\u1edf, v.v. Sau m\u1ed9t th\u1eddi gian, t\u00f9y theo t\u00ecnh tr\u1ea1ng ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh nh\u00e2n, c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3m ho\u1eb7c b\u1ecf h\u1eb3n.<\/p>\n

Tu\u00e2n l\u1ec5 \u0111\u00e2u ti\u00ean v\u1ec1 nh\u00e0, ch\u1eafc ch\u1eafn r\u1ea5t l\u00e0 kh\u00f3 kh\u0103n cho b\u1ec7nh nh\u00e2n v\u00ec c\u1eed \u0111\u1ed9ng chi c\u0169ng \u0111\u1ec1u l\u00e0m \u0111au ng\u1ef1c, m\u1eb7c qu\u1ea7n \u00e1o c\u0169ng kh\u00f3, l\u00e0m b\u1ebfp c\u0169ng kh\u00f4ng xong, khi\u00eang v\u1eadt chi n\u1eb7ng h\u01a1n 3 pounds c\u0169ng kh\u00f4ng cho, v.v. Cho n\u00ean vi\u1ec7c c\u1ea7n ng\u01b0\u1eddi th\u00e2n, hay thu\u00ea ng\u01b0\u1eddi ph\u1ee5 gi\u00fap, hay v\u00e0o \u1edf trong Rehab Center l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft.<\/p>\n

T\u1eeb tu\u1ea7n th\u1ee9 hai tr\u1edf \u0111i l\u00e0 \u0111\u1edf h\u01a1n v\u00ec \u0111\u00e3 quen d\u1ea7n, nh\u01b0ng b\u1ec7nh nh\u00e2n c\u0169ng c\u1ea7n tr\u00e1nh vi\u1ec7c khi\u00eang n\u1eb7ng, c\u00e1c ho\u1ea1t \u0111\u1ed9ng n\u1eb7ng n\u1ec1 nh\u01b0 c\u1eaft c\u1ecf, l\u00e0m v\u01b0\u1eddn, v.v.<\/p>\n

Sau khi m\u1ed5 tim, vi\u1ec7c t\u1eadp th\u1ec3 d\u1ee5c c\u0169ng b\u1ecb gi\u1edbi h\u1ea1n, c\u00e1c b\u00e1c s\u0129 tim c\u0169ng nh\u01b0 nh\u01b0 c\u00e1c chuy\u00ean vi\u00ean th\u1ec3 d\u1ee5c \u0111\u1ec1u khuy\u1ebfn c\u00e1o b\u1ec7nh nh\u00e2n n\u00ean \u0111i b\u1ed9 c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t. M\u1ed7i ng\u00e0y t\u1eeb 2 \u0111\u1ebfn 3 d\u1eb7m (3 \u0111\u1ebfn 5km). D\u0129 nhi\u00ean \u0111i d\u01b0\u1edbi tr\u1eddi n\u1eafng \u1ea5m th\u00ec c\u00e0ng t\u1ed1t h\u01a1n n\u1eefa.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1 nh\u00e2n t\u00f4i, vi\u1ec7c \u0103n u\u1ed1ng ki\u00eang khem, l\u00e0m vi\u1ec7c v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c b\u1ecb gi\u1edbi h\u1ea1n c\u0169ng kh\u00f4ng c\u00f3 chi kh\u00f3 kh\u0103n. Vi\u1ec7c duy nh\u1ea5t l\u00e0m t\u00f4i m\u1ec7t nh\u1ea5t l\u00e0 chuy\u1ec7n ch\u1ec9 \u0111\u01b0\u1ee3c n\u1eb1m ng\u1eeda m\u00e0 ng\u1ee7. B\u00e1c s\u0129 khuy\u1ebfn c\u00e1o l\u00e0 kh\u00f4ng n\u00ean n\u1eb1m nghi\u00eang, l\u00fd do l\u00e0 c\u1ea7n ch\u1edd cho hai khung x\u01b0\u01a1ng s\u01b0\u1eddn l\u00e0nh l\u1eb7n tr\u1edf l\u1ea1i. Vi\u1ec7c tr\u1edf m\u00ecnh, khi\u00eang n\u1eb7ng c\u00f3 th\u1ec3 s\u1ebd l\u00e0m cho hai khung x\u01b0\u01a1ng b\u1ecb l\u1ec7ch, c\u1ea7n phai \u0111i\u1ec1u ch\u1ec9nh, v\u00e0 l\u00e0m th\u01a1i gian ph\u1ee5c h\u1ed3i l\u00e2u h\u01a1n. M\u00e0 th\u1eddi gian c\u1ea7n thi\u1ebft cho hai khung x\u01b0\u01a1ng n\u1ed1i li\u1ec1n tr\u1edf l\u1ea1i l\u00e0 t\u1eeb 6 \u0111\u1ebfn 12 tu\u1ea7n. M\u1ed7i t\u1ed1i nhi\u1ec1u khi t\u00f4i ch\u1ec9 ng\u1ee7 \u0111\u01b0\u1ee3c hai hay ba ti\u1ebfng r\u1ed3i th\u1ee9c lu\u00f4n, v\u00ec n\u1eb1m nhi\u1ec1u qu\u00e1 n\u00f3ng l\u01b0ng c\u00f2n kh\u1ed5 h\u01a1n. \u0110\u1ec3 qua th\u1eddi gi\u1edd, t\u00f4i quay ra t\u1eadp Thi\u1ec1n, hay \u0111i b\u1ed9 v\u00f2ng quanh trong ph\u00f2ng. Th\u1eadt kh\u1ed5 cho ai ph\u1ea3i ng\u1ee7 c\u00f9ng ph\u00f2ng. Ngo\u00e0i ra, thu\u1ed1c g\u00e2y m\u00ea Anesthesia \u0111\u00f4i khi l\u00e0m cho b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y l\u1ea1nh hay n\u00f3ng b\u1ea5t th\u01b0\u1eddng, ng\u01b0\u1ee3c l\u1ea1i v\u1edbi th\u1eddi ti\u1ebft, v\u00e0 vi\u1ec7c n\u00e0y c\u00f3 th\u1ebf k\u00e9o d\u00e0i t\u1eeb m\u1ed9t \u0111\u1ebfn hai th\u00e1ng.<\/p>\n

Do vi\u1ec7c khung x\u01b0\u01a1ng s\u01b0\u1eddn c\u1ea7n \u00edt nh\u1ea5t l\u00e0 t\u1eeb 6 \u0111\u1ebfn 12 tu\u1ea7m m\u1edbi l\u00e0nh l\u1eb7n, b\u00e1c s\u0129 m\u1ed5 t\u00ecm khuy\u00ean b\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean l\u00e1i xe trong v\u00f2ng 6 tu\u1ea7n. M\u1ed7i khi \u0111i \u0111\u00e2u th\u00ec ch\u1ec9 n\u00ean ng\u1ed3i \u1edf b\u0103ng gh\u1ebf sau. L\u00fd do l\u00e0 khung x\u01b0\u01a1ng ng\u1ef1c c\u00f2n y\u1ebfu, m\u00e0 l\u1edf c\u00f3 tai n\u1ea1n xe c\u1ed9 x\u00e3y ra c\u00e1i t\u00fai h\u01a1i (airbag) bung ra c\u00f3 th\u1ec3 \u0111\u1eadp m\u1ea1nh v\u00e0o ng\u1ef1c l\u00e0m cho khung x\u01b0\u01a1ng b\u1ecb l\u1ec7ch d\u1ec5 d\u00e0ng.<\/p>\n

Vi\u1ec7c xu\u1ed1ng c\u00e2n ch\u1eafc ch\u1eafn l\u00e0 kh\u00f4ng tr\u00e1nh kh\u1ecfi \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi h\u01a1i n\u1eb7ng c\u00e2n. Nh\u1ea5t l\u00e0 khi \u00e1p d\u1ee5ng c\u00e1ch \u0103n theo \u0111\u1ec1 ngh\u1ecb Healthy Heart Diet, c\u00f9ng l\u00fac u\u1ed1ng thu\u1ed1c ti\u00eau m\u1edf. \u0110\u1ebfn nay t\u00f4i \u0111\u00e3 s\u1ee5t 20 pounds, sau 6 tu\u1ea7n. C\u00f2n m\u1ed9t ng\u01b0\u1eddi gi\u00e1m \u0111\u1ed1c trong s\u1edf c\u1ee7a t\u00f4i \u0111\u00e3 s\u1ee5t t\u1ed5ng c\u1ed9ng l\u00e0 35 pounds. \u00d4ng ta \u0111\u00e3 c\u1ea3m th\u1ea5y kh\u1ecfe h\u01a1n th\u1eadt nhi\u1ec1u so v\u1edbi tr\u01b0\u1edbc, l\u00e0m vi\u1ec7c dai s\u1ee9c h\u01a1n, v.v.<\/p>\n

Ch\u1eafc c\u00e1c b\u1ea1n c\u0169ng hi\u1ebfu k\u1ef3 mu\u1ed1n bi\u1ebft ph\u00ed t\u1ed5n c\u1ee7a vi\u1ec7c m\u1ed5 tim n\u00e0y l\u00e0 bao nhi\u00eau. Ba tu\u1ea7n sau khi v\u1ec1 nh\u00e0, t\u00f4i nh\u1eadn \u0111\u01b0\u1ee3c b\u1ea3n b\u00e1o c\u00e1o c\u1ee7a h\u00e3ng b\u1ea3o hi\u1ec3m cho bi\u1ebft ph\u00ed t\u1ed5n m\u00e0 h\u1ecd \u0111\u00e3 thanh to\u00e1n v\u1edbi nh\u00e0 th\u01b0\u01a1ng l\u00e0 $70,000. T\u00f4i v\u00e0 b\u1ea1n h\u1eefu \u0111\u1ec1u ng\u1ea1c nhi\u00ean l\u00e0 sao r\u1ebb qu\u00e1. V\u00ec so v\u1edbi v\u00e0i ng\u01b0\u1eddi quen c\u0169ng m\u1ed5 tim \u1edf Cali, ph\u00ed t\u1ed5n \u0111\u00e3 g\u1ea7n g\u1ea5p ba. \u0110\u00e2y l\u00e0 kh\u00f4ng t\u00ednh c\u00e1c chi ph\u00ed \u0111\u1ebfn vi\u1ec7c soi tim tr\u01b0\u1edbc \u0111\u00f3. D\u0129 nhi\u00ean ph\u00ed t\u1ed5n cho vi\u1ec7c c\u1ea5p c\u1ee9u m\u1ed9t ng\u01b0\u1eddi b\u1ecb k\u00edch tim (heart attack) c\u1ea7n xe c\u1ee9u c\u1ea5p ch\u1ecf v\u00e0o b\u1ec7nh vi\u1ec7n, r\u1ed3i ph\u1ea3i l\u00e0m soi tim, r\u1ed3i t\u00ecm m\u1ed9t nh\u00f3m b\u00e1c s\u0129 tim l\u00e0m ca m\u1ed5 kh\u1ea9n c\u1ea5p, t\u1ed5ng s\u1ed1 ti\u1ec1n ch\u1eafc ch\u1eafn l\u00e0 v\u01b0\u1ee3t qua con s\u1ed1 $100,000 d\u1ec5 d\u00e0ng. T\u00f9y theo b\u1ea3o hi\u1ec3m s\u1ee9c kh\u1ecfe m\u00e0 m\u1ed7i ng\u01b0\u1eddi \u0111\u00e3 ch\u1ecdn, b\u1ec7nh nh\u00e2n \u0111\u00f4i khi ch\u1ec9 ph\u1ea3i tr\u1ea3 10%, 20%, hay 50% t\u1ed5ng s\u1ed1 ph\u00ed t\u1ed5n.<\/p>\n

V\u00e0i d\u00f2ng chia s\u1ebb tin t\u1ee9c v\u1ec1 v\u1ee5 m\u1ed5 tim c\u00f9ng c\u00e1c b\u1ea1n, c\u1ea7u mong m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u d\u1ed3i d\u00e0o s\u1ee9c kh\u1ecfe, kh\u00f4ng ph\u1ea3i tr\u1ea3i qua m\u1ed9t cu\u1ed9c gi\u1ea3i ph\u1eabu tim nh\u01b0 t\u00f4i. M\u00e0 n\u1ebfu c\u00f3, th\u00ec c\u0169ng kh\u00f4ng c\u00f3 chi qu\u00e1 lo.<\/p>\n","protected":false},"excerpt":{"rendered":"

Ng\u00e0y \u0111i m\u1ed5, gi\u1edd h\u1eb9n l\u00e0 7 gi\u1edd s\u00e1ng nh\u01b0ng b\u1ec7nh vi\u1ec7n y\u00eau c\u1ea7u \u0111\u1ebfn s\u1edbm hai ti\u1ebfng \u0111\u1ec3 l\u00e0m th\u1ee7 t\u1ee5c. K\u1ebft qu\u1ea3 l\u00e0 ph\u1ea3i \u0111\u1ec3 \u0111\u1ed3ng h\u1ed3 b\u00e1o th\u1ee9c l\u00fac 3 gi\u1edd s\u00e1ng h\u1ea7u c\u00f3 \u0111\u1ee7 th\u1eddi gi\u1edd m\u00e0 t\u1eadp th\u1ec3 d\u1ee5c, t\u1eafm…<\/p>\n","protected":false},"author":4,"featured_media":4510,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[4],"tags":[],"post_series":[],"class_list":["post-5240","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tuy-but"],"acf":[],"_links":{"self":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts\/5240","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/comments?post=5240"}],"version-history":[{"count":1,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts\/5240\/revisions"}],"predecessor-version":[{"id":5241,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/posts\/5240\/revisions\/5241"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/media\/4510"}],"wp:attachment":[{"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/media?parent=5240"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/categories?post=5240"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/tags?post=5240"},{"taxonomy":"post_series","embeddable":true,"href":"https:\/\/dactrung.com\/blog\/wp-json\/wp\/v2\/post_series?post=5240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}