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Bo ng nhi mu c tim trong gii vn phng Gia nh Sc khe Th t, 16/10/2013 08:00 GMT+7

Bo ng nhi mu c tim trong gii vn phng

Nu nh ri lon mu m git dn mch mu th nhi mu c tim c th cp mng sng trong pht chc. Gii vn phng ngi nhiu, t vn ng d mc bnh ny. Cc nh khoa hc ch ra rng, nhng ngi hay phi ngi c ngy c nguy c b mc bnh tim rt cao. Nghin cu ti Australia t nm 2006-2012 thc hin vi 200.000 ngi cho thy: Nhng ngi ngi trn 11 gi mi ngy c nguy c t vong cao gn gp i so vi ngi ngi di 4 gi mt ngy. Ngi phi ngi hn 23 gi mt tun c nguy c t vong v bnh tim ln hn 64% so vi nhng ngi ch ngi khong 11 gi mi tun.

Ngi nhiu, c th suy yu, ngi gy vn l i tng c nguy c cao b ri lon m mu dn n nhi mu c tim. Ti Vit Nam, t l ngi b nhi mu c tim tng vt trong nhng nm gn y, trung bnh nm sau cao hn nm trc t 15-20%. Theo Gio s Phm Gia Khi - Ch tch Hi Tim mch Vit Nam, nhi mu c tim xy ra khi mt nhnh ng mch vnh b tc, lp tc mu nui dng khng n c v gy tn thng hoc hoi t vng c tim di . Nhi mu c tim c biu hin lm sng nh: au, tc ngc, sau xng c, au nghing sang bn tri mt cht, c th lan ln c, cnh tay, vai, ngn tay, hoc c khi thy mt mi, nhp tim bt thng v v m hi... Nhiu trng hp bnh xy ra nhng khng c triu chng c th. iu ng s trong bnh nhi mu c tim l khi xy ra triu chng th sc khe gp nguy, ng mch b tc nghn hn 70%. Hin nay bnh nhi mu c tim ang tr ha. Ngy cng nhiu bnh nhn xp x 30 tui, ngi khng bo, thm ch c xem l gy cng vn b ri lon m... chnh hu qu ca s bt thng trong sinh hot, Gio s Khi cho bit. Tin s - bc s L Thy Ti cng cho rng ban u nhiu ngi ngh c ln tui mi b nhi mu c tim do qu trnh lo ha tn cng, th nhng thc t hin nay, cn bnh nguy him ny m rng ra tt c cc i tng. Thng k cho thy ngi Vit Nam n tht gp 5 ln cch y 10 nm. y l iu v cng nguy him l v chng ta np vo c th rt nhiu cht bo bo ha. Bn cnh , li sng cng thay i, chng ta s dng cc thit b c gii rt nhiu, bc ra khi nh l chng ta ln xe my, ln xe hi, n ch lm vic th ngi my lnh v ngi im mt ch, ht thuc l, hay n nhu... Tt c nhng iu gp phn to ln ri lon m trong c th, b ni. Ri lon chuyn ha cc thnh phn m mu din ra rt m thm v thng khng c triu chng r rng. C n 90% trng hp nhi mu c tim l do bin chng ca mng x va.

Tng cholesterol trong mu l nguyn nhn ch yu ca qu trnh x va v dn lm hp cc ng mch cung cp mu cho tim. c bit, khi c cholesterol v triglyceride cng gia tng, nguy c ny cao hn gp nhiu ln v thc y nhanh hn qu trnh x va ng mch, dn n thiu mu c tim, nguy him hn l nhi mu c tim, Gio s Khi gii thch. Theo , cholesterol trong mu cao s lng ng b mt ni m v lp c trn, to nn nhng mng x va, lm hp v tc mch mu, d hnh thnh cc mu ng. Ngi c lng cholesterol trong mu cao c t l mc bnh mch vnh v nguy c nhi mu c tim cao gp 2 -3 ln so vi ngi bnh thng. Chnh v kh nhn bit, kh phng nga m tnh trng ri lon m mu ang c T chc Y t Th gii cnh bo l mt trong nhng bnh mn tnh khng ly nguy him nht. Cng theo Gio s Khi, a s ngi b ri lon m mu c nguyn nhn th pht do ch n ung, ch sinh hot, cng vic cng thng (stress), do s dng thuc v bin chng ca mt s bnh... c bit, t sau tui 30, chc nng ca cc t bo ni chung b suy gim, chuyn ha c bn gim lm tng nguy c ri lon m mu. Khi , cc receptor t bo c nhim v tip nhn LDL (l nhng chic xe chuyn ch cholesterol n t bo) km hot ng, vic tip nhn gim hn i th nng cholesterol trong mu lp tc tng ln, gy nn ri lon m mu, lm hnh thnh cc mng x va ng mch. Cholesterol c tng hp t thc n chim 20%, cn n 80% l do c th t tng hp bng ng ni sinh. V th, khi c th suy yu, t bo gim hot ng, kh nng chuyn ha km, ng thi s tng hp gan gp ri lon, cholesterol khng c s dng ngy cng tch ly trong mch mu. iu ny l gii ti sao nhiu ngi n va phi, khng n nhiu, thm ch gy g, cn tr nhng c th vn c th b ri lon m mu.

FAZ cha GDL-5 thin nhin gip tng s hnh thnh cc receptor t bo, ci thin vic vn chuyn LDL vo trong t bo v thc y s chuyn ho cholesterol, gip t bo s dng cholesterol hiu qu. Qua , GDL-5 lm gim ng k s lng LDL, ng thi tng s lng HDL trong mu. Vn l nu ba n khng c cholesterol l khng c, bi y l thnh phn rt cn cho c th. Ch 1g m cung cp 9 calo, nhiu hn gp i cc cht m, ng. V th, quan trng l chng ta n nh th no v bn trong c th s t chuyn ha ra sao, Gio s Khi nhn mnh. Tin s Ti b sung: Khi c th suy yu, nguy c mc ri lon m mu v ti pht l thng trc nn y c xem l mt cn bnh mn tnh, phi chung sng sut i. Ung thuc gim cholesterol ch l i ph, vn phi iu ha cc thnh phn m mu mt cch t nhin, an ton. Bi v nu ung lu di th li dn n thiu ht cholesterol nn rt nguy him. Khuynh hng d phng v iu tr hin nay l s dng tho dc thin nhin c tc dng iu ha cholesterol, n nh cc thnh phn m mu nhm gi lng cholesterol mc cn thit cho

hot ng hng ngy ca c th. V vy, khuynh hng ny mang tnh hiu qu v an ton khi s dng lu di. phng trnh ri lon m mu v nhi mu c tim, Tin s Ti khuyn, ngoi thay i ch n ung, cn c li sng lnh mnh, vn ng thng xuyn. Tt nht l n c, u nnh, tht g b m, b da v tng lng rau xanh, tri cy mu , v chua. Tng cng tp luyn th lc tng hm lng HDL c tc dng bo v tim mch. Nu HDL tng 1,2 mg% th gim c 3% nguy c bnh tim mch. ng thi, c th b sung chit xut thin nhin an ton nh GDL-5 gip iu ha cholesterol v cc thnh phn m mu triglyceride, LDL, HDL... Nghin cu tng hp M trn 30.000 bnh nhn cho thy, s dng GDL-5 lin tc trong 4-8 tun gip kim sot tt tng lng cholesterol ton phn v cc thnh phn m mu trong c th. Thu Ngn Gi chia s, cu hi t vn ti y hoc v doisong@vnexpress.net