Benh tim
thieu mau cue bo
B
pnh dfing maeh vdnh la mdt trong cae nguyfin nhdn chinh cua suy tim va td vong tim mach, benh tim thieu mdu cue bfi Id mfit trong nhiftig the lam sang cua bfinh mach vanh man tinh I n h hfldng r i t ldn den tuoi thp cung nhfl chit Ifldng eufic sfi'ng cua nhilu ngfldi benh, nhat la ngfl&i ldn tuli. Bilu hifin lam sang chinh cua bfinh Id cdn dau t h i t ngflc In dinh vdi tinh chat dau nhU bi sifi't chdt hodc dfi ndng tren ngUc, cdn dau cfi xu hudng lan ve ben trdi, tang khi ging sfle hoac stress tam ly, giam khi n i m nghi ngtfi hoac ngdm thule. Mfit sfi' tripu ehiftig khdc it gap hodc di kem theo nhu khd thd, va md hfii, h l i hdp ddnh trfi'ng ngUc, tdm ly lo ling hodng sp... Nguyfin nhdn chinh eua tinh trang tren da s l Id do h^u qud cua qua trinh xtf vda dfing mach ldm hep d^ng maeh vdnh tim, khie'n lUtfng mdu dg'n cung cap cho cd tim bi gidm sut ddng k l so vdi binh thu&ng (nfin trudc ddy bfinh nay hay dfldc gpi vdi tgn cu Id thig'u mdu cd tim), ldm ed tim boat dfing trong tinh trang thieu oxy gay ra dau ngUc.Chin dodn bfinh dua vdo trifiu chflng nhu da nfiu tren va ket hdp vdi mdt sd cgn lam sang nhu do difin tdm dl, difin tdm d l ging sdc, sigu dm tim, sigu dm tim gang sdc, xa ky gang sdc va chup ddng mach vdnh. Quan trpng n h i t vdn la dua vdo nhiftig ylu t l nguy cd cua bpnh ddng mach vanh vi dd la can cd de bilt Slf hinh thdnh, phdt t r i l n cua benh, cung nhU gdp phan ldn vdo khau quan ly benh, dieu tri bfinh, gido due bfinh nhdn vd tign lUdng benh.
Cde yfi'u to' nguy cd eua bfinh dfing mach vdnh (ngUdi cd cdng nhilu ylu to trong nhdm dudi day se cd nguy ed mic bfinh mach vanh cang cao):
-ft BS. LY MINH DAO - Tuoi vd gidi tinh: nam trfin 45 tuli, nd trfin 55 tuli hodc nd da mdn kinh
- Cfi hdt thufi'c la, uong qud nhieu thdc udng efi con, dn nhilu d6 bdo ngpt
- Bfio phi hodc thfla can, bfio bung, ldi song it van dfing
- Cd cdc bfinh tdng huye't dp, ddi thdo dddng, r l i loan lipid mdu, bpnh than man kem theo...
Dilu tri bfinh tim thilu mau cue bfi bao gom ede bi^n phdp khdng dung thudc vd dieu tri b i n g thufi'c.
Muc tifiu cua diiu tri Id giam trieu chdUg cd ndng gdy khd chiu eho benh nhan, giam tdt bfinh, phdng ngtfa n h l i mdu cd tim vd td vong, cai thipn chat Idtfng cu^c sing cho bpnh nhan. Cac bifin phdp can thipp nhlm giam Xd vda d^ng maeh ein dp dung cho mpi bfnh nhdn, xdc dinh va dieu tri cac bgnh Idm ndng hdn tinh trang dau t h i t ngUc, diiu ehinh tich cUc lam gilm cdc yfi'u td nguy cd cua bpnh mach vdnh. Cde nhdm thulc sau cin dddc sd dung eho bfinh nhan bpnh tim thifi'u mdu cue bp: chdng ke't tgp tieu cau (aspirin 81mg, elopidogrel 75mg...), thule I n dinh huylt dp (nhlt Id nhdm dc che' men chuyen hoac flc che thu the), thuoc In dinh lipid mdu vd xd vda ddng mach (nhfim statin), thuo'c dan ddng mgch vanh (nhdm nitrat)... Cd t h i tdm t i t ehiln lUde diiu tri bfinh tim thie'u mau cue b§
nhu sau (theo Hipp hfii Tim maeh Hoa Ky):
Aspirin & Anti - anginals (thufi'c chong k i t tap tilu eau vd ehlng dau t h i t ngUc)
Beta - blockers & Blood Pressure (In dinh huylt dp, nhip tim).
Cholesterol & Cigarettes (ehlng tang md mdu vd khfing thud'c Id)
Diet & Diabetes (Che dp dn hdp ly vd dieu tri, kilm sodt hode phong ngda dai thdo dudng)
Education & Exercise (gido due eho bfinh nhdn vd c h l dp luyen tap hdp ly)
Dli vdi thulc y hpc el truyin thudng ehi cfi tdc dung h i trtf thgm vdi Tay y trong dieu tri bgnh tim thifi'u mdu cue bO, giup ben thanh mgch (nhuHoa hde);
giam md mdu (cd xUdc, ha thu fi, tdi, khddng hodng,...);
IflU thdng khi huylt, chdng t i e nghen trong ldng mach (dan sam, tam t h i t , huynh ky, dao nhdn, h i n g boa,...);
ha dp, ldi tilu (phue linh, la lot, md dl, trach ta,...), ddn etf trdn mach mau gidp giam dau (xuyen khung, bach thUdc, dUdng quy, cau dang, ieh mdu,...).
D i l u trj k h o n g d u n g thud'c
- Gidm md, e h i t beo bdo hda, nfii tang dfing vdt, nen dn nhilu cd vd ede loai rau eu qua, trdi cdy, ngu efi'c vda giup ehdng oxy hda, phdng xtf vfla dfing mach THU6C & SUC KHOE sd514 (15.12.2014)
ONgdy 30.11.2014, Hipp hgi Dfldc Hd Npi vd Hfii cdc nhd thud'c Ha Nfii da phdi hop to chde sinh hoat khoa hpc vdi chu di "Xu the phdt trien edng nghifip dupe the gidi va vai trd dUdc si cfing dong".
Trong nhflng nam qua ta ehu trpng den vific thue hien cac qui dinh vi ThUc hanh t i t vd da dgt dUde nhiJng thdnh tich ddng ke;
gop phan thay doi bfi mdt cac xi nghipp dUdc pham. NhUng vdi sfl gia nhap Hifip dinh ThUdng mgi The gidi hay Hipp dinh TTP, ngdnh dUde cd the gdp khd khdn, thdm ehi cd the thua ngay trfin san nha. Vi vdy, doanh nghipp dddc can ed k l hogch ddi ban, n i m bat ede thufi'c slp h i t ban quyin, chuin bi nghifin cdu va hd sd dang ky thufi'c d l khi ban quyin vda hfi't han ta efi the dua ngay mdt hdng generic dd ra thi trUdng.
Vl luu thdng, trong giai doan tdi phli gidm bdt cdc khdu trung gian.
Hipn dgi hda hg thfi'ng phdn phd'i.
NgU&i dUdc si phai phdt huy tot vai trd cua minh dd'i vdi cpng ding, tu vin td't eho ngUdi tifiu dung.
•ft XUAN HUNG
ONgay 6.12.2014, Bp Y t l da phli hdp vdi To chde Y t l T h i gidi to ehdc Hdi nghi trien khai Chien lupc quoe gia phat t r i l n ngdnh DUdc Vifit Nam giai doan dfi'n nam 2020 va tam nhin de'n nam 2030.
Muc tifiu eu t h i d i n nam 2020 la 100% thudc dUtfc cung flng kip
thdi cho nhu cau phdng bfinh, chfla bpnh; phan dau san xud't dfldc 20%
nhu cau nguyfin lieu eho san xuit thudc trong nUde, thulc san xuit trong nudc chie'm 80% tdng gid tri thule tigu thu trong nam. Den nam 2030 dgt muc tifiu thud'c sdn xuat trong nudc ctf ban ddp dng nhu cau sd dung, san xuit dUtfc thulc chuyfin khoa dac tri, chu ddng sdn xuit vdc xin, sinh pham cho phdng chdng dieh bfinh, san xuit dupe nguyen lifiu ldm thufi'c...
-ft NGQC H6NG ONgdy 1.12.2014, Vien Dinh dfldng da trien khai ngay vi ehit dinh dfldng ndm 2014, nham nhan manh t i m quan trpng eua viec ngan ngfla thilu hut vi chat dinh dudng cho tr^ em dfldi 5 tuoi. Theo dieu tra eua Vign Dinh dufing cho thay, d nflde ta che' dp dn diln hinh eua tre sd sinh vd tre nhd khdng eung eip du ndng lUtfng, chat dinh dUdng
va vi chit dinh dfldng cho tre em di CO sfl tang trddng va phdt trien to'i Uu. Ty lp suy dinh dudng t h i t h i p cdi d tre em dfldi 5 tuoi la 25,9%
(ed 4 be thi cd hdn 1 be hi suy dinh dfldng thap cfii), do vdy khfing the dat mdc phdt trien to'i da.
-ft HONG T H U
O Trfldc nguy cd bfinh dieh hgch cd the xam nhdp tfl nudc ngodi vdo Vifit Nam, chiiu ngdy 2.12.2014, Bp Y te t l ehdc hop Ban chi dgo phfing chfi'ng benh dich hach vdi sU tham gia cua dai dign cde Bfi, nganh vd mpt so' tinh efi cda khiu, cang biln. Van de dupc n h i n mgnh tai eufic hpp ndy Id tang cUdng kilm sodt chufit trfin cdc tau thuy vi qua nhiing vu dich trudc ddy eho thiy, nhtftig ca benh dich hach diu tign d Viet Nam la do ehupt mang mam bfinh td cac tau thuy td nUde ngoai vdo.
-ftNGQCHdNG l^lxHANH PHO HO CHI MINH
O Ngdy 6.12.2014, Hoi Dudc hoe TP.HCM to chde Dai hoi dgi bilu Hfii Dude hoc TP.HCM nhifim ky VI (2014 - 2019).
Dai hdi da thfing qua bdo cdo t i n g ke't hogt dfing Hpi nhiem ky V (2009 - 2014) va phUdng hudng hogt dfing nbi^m ky VI, ddng thdi biu Ban chap hdnh nhifim ky mdi gdm 67 dupe si, PGS.TS. Pham Khdnh Phong Lan tie'p tuc dddc tin nhiem la Chu tieh Hpi.
-ft PHUONG MAI
va rdi loan md mdu, vda cd chit xd gidp gid cholesterol xiu vd dao thai ra ngoai.
- Thulc la: ngimg hut lam giam dang ke nguy Cd td vong do bfinh mach vanh vd ban chfi' dfltfc nhflng bie'n chflng trfin maeh mdu vi thud'c Id Id mdt ye'u to' gay xd vfla ddng maeh va co thdt dpng mach rl't mgnh lam hep ddng mach vdnh. Cdc hda c h i t trong khdi thudc cdn ldm tdng p h i n xa giao elm, tdng d l khdng insulin (lam tdng nguy ed mac bfinh ddi thdo dddng), bfio phi nOi tang vd tdng tien t r i l n cua b§nh thdn man, chua k l dfi'n tdng nguy cd b§nh p h l i tdc nghen man tinh vd nguy hiem n h i t Id ung thu p h l i .
- Rfltfu: ufi'ng vfla phdi vdi thdc udng cd nong dp c6n thap dudi 15%, mii ngay ufi'ng khoing 30ml rUtfu vang cd tdc dung bao vg tim mgch, uing qud nhieu gay tde dung cd hai vdi tim mgch.
THUOC & S0C KHOE so 514 (15.12.2014)
- Vdn d^ng the lUC: luyen tgp diu dan hang ngdy, moi ngay khoang 30 phut, theo nguyen tic ddng nhieu cd diii d l bdt dung cd tim, t i t nhat la di bfi nhanh hodc ehay bp nhe nhdng, c6 the kit hpp tdp Yoga, dddng sinh (thu gidn, thd 4 th&i), khfing tgp ede bdi tgp ndng, gang sflc.
- Bdt stress tinh elm, gid thdi dp tinh t h i n thich hdp, lge quan, trdnh cdng t h i n g t h i n kinh.
- Hgn c h l muli natri, n h i t Id bfinh nhdn cd kem tdng huye't dp: dung dudi 6g mudi/ngdy (tUdng dUdng 1 muong cd phe mud'i). Giam muli vdi muc dich giam ganh ndng tai dich Ifin cd tim.
- Giam cdn ngng: bing e h l dp dn vd tap luy^n, dUa BMI ve mdc Iy tudng trong khoing 18 - 23kg/
m^. Vdng bung nfin dudi 90em d nam vd dddi 80em d nfl. Giam edn khfing chi ngdn ngfla sU tiln trien cda nhieu bfinh ly tim mgeh, ma cdn phfing dUde nhilu benh xUtfng khdp khac, nhd't la vdi ngddi Idn tuoi. ^
