{"id":3338,"date":"2024-04-17T08:46:32","date_gmt":"2024-04-17T08:46:32","guid":{"rendered":"https:\/\/nhakhoaucare.org\/?p=3338"},"modified":"2024-04-17T08:46:32","modified_gmt":"2024-04-17T08:46:32","slug":"cao-huyet-ap-co-dieu-tri-rang-mieng-duoc-khong","status":"publish","type":"post","link":"https:\/\/tbdots.com\/cao-huyet-ap-co-dieu-tri-rang-mieng-duoc-khong\/","title":{"rendered":"Cao huy\u1ebft \u00e1p c\u00f3 \u0111i\u1ec1u tr\u1ecb r\u0103ng mi\u1ec7ng \u0111\u01b0\u1ee3c kh\u00f4ng?"},"content":{"rendered":"<ol>\n<li><strong>\u1ede m\u1ee9c huy\u1ebft \u00e1p n\u00e0o th\u00ec n\u00ean tr\u00ec ho\u00e3n vi\u1ec7c ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng t\u1ef1 ch\u1ecdn?<\/strong><\/li>\n<\/ol>\n<p>N\u00ean tr\u00ec ho\u00e3n vi\u1ec7c ch\u0103m s\u00f3c nha khoa n\u1ebfu huy\u1ebft \u00e1p t\u00e2m thu \u2265 180 mm Hg v\u00e0\/ho\u1eb7c huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng t\u1eeb 110 mm Hg tr\u1edf l\u00ean. Chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 theo d\u00f5i. N\u1ebfu b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 tri\u1ec7u ch\u1ee9ng, h\u00e3y chuy\u1ec3n \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c ngay l\u1eadp t\u1ee9c.<\/p>\n<ol start=\"2\">\n<li><strong>C\u00f3 th\u1ec3 ho\u1eb7c n\u00ean \u0111i\u1ec1u tr\u1ecb nha khoa kh\u1ea9n c\u1ea5p cho b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c?<\/strong><\/li>\n<\/ol>\n<p>\u0110i\u1ec1u tr\u1ecb nha khoa kh\u1ea9n c\u1ea5p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 \u0111au, nhi\u1ec5m tr\u00f9ng ho\u1eb7c ch\u1ea3y m\u00e1u. Nha s\u0129 ph\u1ea3i so s\u00e1nh l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c \u0111i\u1ec1u tr\u1ecb nh\u01b0 v\u1eady v\u1edbi nh\u1eefng r\u1ee7i ro. B\u1ec7nh nh\u00e2n ph\u1ea3i \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd v\u1edbi s\u1ef1 t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129 v\u00e0 \u0111\u01b0\u1ee3c theo d\u00f5i c\u1ea9n th\u1eadn \u00edt nh\u1ea5t b\u1eb1ng ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p trong khi ph\u1eabu thu\u1eadt. C\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c nh\u01b0 theo d\u00f5i \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch v\u00e0 thu\u1ed1c an th\u1ea7n oxit nit\u01a1 c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Ngo\u00e0i vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u nha khoa, c\u1ea7n ph\u1ea3i h\u1ebft s\u1ee9c c\u1ea9n th\u1eadn \u0111\u1ec3 gi\u1ea3m b\u1edbt c\u0103ng th\u1eb3ng v\u00e0 lo l\u1eafng cho b\u1ec7nh nh\u00e2n.<\/p>\n<ol start=\"3\">\n<li><strong>Nh\u1eefng l\u01b0u \u00fd \u0111i\u1ec1u tr\u1ecb nha khoa cho b\u1ec7nh nh\u00e2n b\u1ecb \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c c\u00f3 ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim (MI) trong v\u00f2ng 30 ng\u00e0y qua l\u00e0 g\u00ec?<\/strong><\/li>\n<\/ol>\n<p>N\u00ean tr\u00e1nh \u0111i\u1ec1u tr\u1ecb nha khoa ch\u1ecdn l\u1ecdc \u1edf b\u1ec7nh nh\u00e2n b\u1ecb \u0111au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh ho\u1eb7c \u0111\u00e3 b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim trong v\u00f2ng 30 ng\u00e0y qua. N\u1ebfu vi\u1ec7c ch\u0103m s\u00f3c l\u00e0 th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u1ee7a b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n \u0111\u1ec3 gi\u00fap x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch. Vi\u1ec7c ch\u0103m s\u00f3c n\u00ean \u0111\u01b0\u1ee3c gi\u1edbi h\u1ea1n \u1edf vi\u1ec7c ki\u1ec3m so\u00e1t c\u01a1n \u0111au, nhi\u1ec5m tr\u00f9ng v\u00e0\/ho\u1eb7c ch\u1ea3y m\u00e1u. N\u1ebfu c\u00f3 th\u1ec3, h\u00e3y chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn ph\u00f2ng kh\u00e1m nha khoa c\u1ee7a b\u1ec7nh vi\u1ec7n.<\/p>\n<ol start=\"4\">\n<li><strong>B\u1ec7nh nh\u00e2n b\u1ecb \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh (nh\u1eb9) v\u00e0 c\u00f3 ti\u1ec1n s\u1eed nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb an to\u00e0n t\u1ea1i ph\u00f2ng kh\u00e1m nha khoa kh\u00f4ng?<\/strong><\/li>\n<\/ol>\n<p>B\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 nguy c\u01a1 trung b\u00ecnh g\u1eb7p ph\u1ea3i c\u00e1c bi\u1ebfn ch\u1ee9ng chu ph\u1eabu do c\u00e1c th\u1ee7 thu\u1eadt nha khoa. \u0110i\u1ec1u tr\u1ecb nha khoa c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ho\u00e0n th\u00e0nh v\u1edbi m\u1ed9t s\u1ed1 \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec1u tr\u1ecb, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c cu\u1ed9c h\u1eb9n ng\u1eafn v\u00e0o bu\u1ed5i s\u00e1ng, v\u1ecb tr\u00ed gh\u1ebf tho\u1ea3i m\u00e1i, ghi l\u1ea1i c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, c\u00f3 s\u1eb5n nitroglycerin, s\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n \u0111\u01b0\u1eddng u\u1ed1ng n\u1ebfu c\u1ea7n, s\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n oxit nit\u01a1-oxy n\u1ebfu c\u1ea7n, hi\u1ec7u qu\u1ea3 t\u1ea1i ch\u1ed7 t\u1ed1t. g\u00e2y m\u00ea (gi\u1edbi h\u1ea1n l\u01b0\u1ee3ng epinephrine kh\u00f4ng qu\u00e1 hai h\u1ed9p ch\u1ee9a 1:100.000 epinephrine) v\u00e0 ki\u1ec3m so\u00e1t c\u01a1n \u0111au sau ph\u1eabu thu\u1eadt.<\/p>\n<ol start=\"5\">\n<li><strong>\u0110\u1ed1i v\u1edbi th\u1ee7 thu\u1eadt nha khoa n\u00e0o th\u00ec vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh tr\u01b0\u1edbc \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 c\u00f3 nguy c\u01a1 vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c?<\/strong><\/li>\n<\/ol>\n<ul>\n<li>Nh\u1ed5 r\u0103ng<\/li>\n<li>C\u00e1c th\u1ee7 thu\u1eadt nha chu bao g\u1ed3m ph\u1eabu thu\u1eadt, c\u1ea1o v\u00f4i r\u0103ng v\u00e0 l\u00e1m l\u00e1ng b\u1ec1 m\u1eb7t g\u1ed1c r\u0103ng<\/li>\n<li>C\u1ea5y gh\u00e9p implant<\/li>\n<li>N\u1ed9i nha ho\u1eb7c ph\u1eabu thu\u1eadt c\u1eaft ch\u00f3p r\u0103ng<\/li>\n<li>\u0110\u1eb7t ban \u0111\u1ea7u c\u00e1c kh\u00e2u ch\u1ec9nh nha<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u1ede m\u1ee9c huy\u1ebft \u00e1p n\u00e0o th\u00ec n\u00ean tr\u00ec ho\u00e3n vi\u1ec7c ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng t\u1ef1 ch\u1ecdn? N\u00ean tr\u00ec ho\u00e3n vi\u1ec7c ch\u0103m s\u00f3c nha khoa n\u1ebfu huy\u1ebft \u00e1p t\u00e2m thu \u2265 180 mm Hg v\u00e0\/ho\u1eb7c huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng t\u1eeb 110 mm Hg tr\u1edf l\u00ean. Chuy\u1ec3n b\u1ec7nh nh\u00e2n \u0111\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 theo d\u00f5i. N\u1ebfu b\u1ec7nh [&#8230;]\n","protected":false},"author":2,"featured_media":3339,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3338","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kien-thuc-nha-khoa"],"_links":{"self":[{"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/posts\/3338"}],"collection":[{"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/comments?post=3338"}],"version-history":[{"count":1,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/posts\/3338\/revisions"}],"predecessor-version":[{"id":3340,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/posts\/3338\/revisions\/3340"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/media\/3339"}],"wp:attachment":[{"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/media?parent=3338"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/categories?post=3338"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tbdots.com\/wp-json\/wp\/v2\/tags?post=3338"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}