T

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He Iuon hoon
C|rcu|oIory sysIem
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Chng 5.2. H TUN HON
1. S tin ha ca h tun hon
2. H tun hon ngi
a. Hot ng ca tim
b. Huyt p v tc ca dng mu
c. Chc nng ca mao mch
3. H bch huyt
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$u I|en hoo cuo he Iuon hoon
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$u I|en hoo cuo he Iuon hoon
He Iuon hoon phoI Ir|en Iu don g|on den phuc Iop,
- Iu he Iuon hoon ho den he Iuon hoon k|n
- Iu he Iuon hoon don mou ve I|m moI |on, den he Iuon hoon
kep, mou ve I|m ho| |on.
- Iu I|m 2 ngon o co, 3 ngon o |uong cu, 4 ngon chuo hoon
chnh o bo soI, den cou Ioo bon ngon hoon chnh. 2 Iom IhoI,
2 Iom nh| o ch|m vo Ihu.
He Iuon hoon o nhung dong voI bo c coo doc b|eI o nguo|
|o hoon chnh nhoI
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$u I|en hoo cuo he Iuon hoon
O dong voI don boo. su hop Ihu choI d|nh
duong vo Iho| choI bo duoc Ihuc h|en quo
be moI co Ihe.
O xoong Irong vo g|un dep Ihop he moch
chuo h|nh Ihonh coc choI d|nh duong vo
d|ch co Ihe duoc von chuyen Irong coc
nhonh cuo he I|eu hoo moI coch Ihu dong
nho chuyen dong cuo co Ihe.
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$u I|en hoo cuo he Iuon hoon
O g|un doI do h|nh Ihonh he moch k|n, nhung su vo n
chuyen mou von nho vo o co c chuyen dong cuo co Ihe
vo ruoI, do voy mou choy khong deu. O phon dou xuo I
h|en nh|eu cho phong |en cuo he moch, hooI dong nhu
I|m go| |o I|m s|nh |y.
O chon doI co doon mo ch ho . Iung co co c cho phong,
g|u vo| Iro cuo I|m.
O Ihon me m do xuoI h|en I|m, phon b|eI g|uo dong mo ch
vo I|nh moch.
2
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$u I|en hoo cuo he Iuon hoon
O co I|m ch co ho| ngon gom Iom IhoI vo Iom nh| vo|
moI vong Iuon hoon duy nhoI. O co he Iuon hoon don
g|on, ch co moI vong he Iuon hoon noy mou ch choy
ve I|m moI |on.
I|m 2 ngon o co
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$u I|en hoo cuo he Iuon hoon
O |uong Ihe vo| su d| chuyen |en con, pho|
xuoI h|en vo h|nh Ihonh he Iuon hoon I|m-
pho| vo vong Iuon hoon I|m -co Ihe. I|m
co 3 ngon. ho| Iom nh| vo moI Iom IhoI,
g|uo Iom nh| vo Iom IhoI co voch ngon
chuo hoon chnh nen mou b| pho Iron o
Iom IhoI.
O bo soI song Iren con, ho hop bong pho|,
I|m co 4 ngon, 2 Iom IhoI, 2 Iom nh| Irong
Iom IhoI voch ngon von chuo hoon chnh
nen mou von con b| pho o Irong Iom IhoI.
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$u I|en hoo cuo he Iuon hoon
O ch|m vo dong voI co vu
- I|m co 4 ngon r|eng b|eI, ho| Io m nh| vo ho| Iom IhoI
- Ho| vong Iuon hoon hoon chnh vo r|eng b|eI
- Mou I|nh moch o Io m nh| vo Iom IhoI pho|, mou dong
moch o Iom nh| vo Io m IhoI Iro|
O ch|m, cung dong moch chu vong quo pho|, con
o Ihu cung dong moch chu vong quo Iro|. $o vo|
|uong cu, bo soI Ih| he Iuon hoon cuo ch|m vo Ihu
moI I|nh do| xung.
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Cou Ioo cuo he Iuon hoon
O nguo|, he Iuon hoo n co cou Ioo
hoon chnh boo go m.
- I|m
- ong moch
- I|nh moch
- He Ihong moo moch
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V| Ir| I|m Irong |ong nguc
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MoI Iruoc
I|m - MoI sou
3
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ong moch d| |en
Cung dong moch chu
ong moch
vonh pho|
ong moch
vonh Iro|
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nh
I|m nom Irong |ong
nguc, |ech ve ph|o
Iro| vo duoc boo boc
bo| boo I|m bong mo
||en keI.
I|m co cou Ioo
khong deu
Iu goc den mom, I|m
do| 12 cm.
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I|m hooI dong nhu moI moy bom
I|m ch|o 2 nuo.
Nuo pho| nhon mou Iu co Ihe ve vo duo |en pho|
Iroo do| kh|.
Nuo Iro| chuo mou d|nh duong vo duo mou d|
nuo| co Ihe.
Nh|
pho|
Nh|
lro|
7hol
pho|
7hol
lro|
Von l|m
G|uo 4 ngon co von phon coch
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Von bo |o
ong
moch
pho|
Von
ho| |o
Cung dong
moch chu
Iom nh| pho|
Ihong vo| Iom IhoI
pho| bo| von 3 |o,
Ioo Ihonh nuo
pho| cuo I|m chuo
mou I|nh moch.
Iom nh| Iro| Ihong
vo| Iom IhoI Iro|
bo| von 2 |o, Ioo
Ihonh nuo Iro|
cuo I|m chuo
mou dong moch.
Nuo Iro| I|m Io hon nuo pho|, ch|em 2J3 I|m. G|uo ho|
Iom nh| |o voch ngon ||en nh|, g|uo ho| Iom IhoI |o
voch ngon ||en IhoI.
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Cou Ioo Irong cuo I|m
Ihonh I|m gom bo |op.
- Iop ngoo| cung |o mong ||en keI mong
- G|uo |o |op co I|m roI phoI Ir|en
- Irong |o |op no| mo
Co I|m co nguon goc Iu co Iron, nhung
|o| co kho nong co ru I nhonh vo monh
nhu co von
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Ihonh Iom nh| duo c cou Io o bo| ho| |op co
Iop ngoo| |o nhung so| co vong hoy co ngong chung cho co
ho| Iom nh|
Iop Irong |o nhung so| co doc r|eng cho Iung Io m nh|
Ihonh Iom IhoI duo c cou Io o bo| bo |op co
Iop ngoo| vo |op Irong cung |o coc co do c hoy x|en , |op
ngoo| mong hon go m co c so| co chung cho co ho| Io m IhoI
Iop g|uo |o co vong, doy hon vo gom co c so| co vong r|eng
cho Iung Io m IhoI.
Iom IhoI pho| doy hon Io m IhoI Iro| khoong 3-5mm
4
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Cou Ioo von I|m
Von I|m. cou Ioo bong mo ||en keI, khong co
moch mou.
MoI dou co d|nh voo mou |o| co Iu Ihonh
Irong cuo Iom IhoI bo| coc so| gon. ou Iu do
Ih| huong xuong buong Iro| vo pho|
Ngoo| ho| |o (Iro|) vo bo |o (pho|) ch|nh, con
co Ihem coc |o phu.
O |o Ihong vo| dong moch pho|, dong moch
chu cung co cou Ioo von, do |o coc von bon
nguyeI hoy von Io ch|m de g|u cho mou
khong choy nguoc |o| Iom IhoI.
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kh| Iom IhoI g|on ro (Iom Iruong), coc von g|uo Iom
IhoI Iom nh| duoc mo. Von ho| |o vo von bo |o.
Coc von ro kho| I|m duoc dong |o|. von dong moch
pho| vo von cung dong moch chu
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kh| Iom IhoI co(Iom Ihu), coc von g|uo Iom IhoI vo
Iom nh| dong |o|. von ho| |o vo von bo |o
Coc von don ro ngoo| I|m duoc mo. Von dong moch
pho| vo cung dong moch chu
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He don Iruyen cuo I|m
I|m co moI he don Iruyen gom coc hoch (nuI)vo
coc bo so|. He Ihong noy con go| |o he Ihong Iu
dong cuo I|m.
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Hach xoang nh
(SA) node
Hach nhthat
(AV) node
8o H|s
Coc so|
Furk|nje
Hoch
ke|Ih-F|ock
Hoch
Aschoff-Ioworo
CAC AC INH CUA CO IIM
Nho he Ihong coc hoch nuI
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Hoch xoong nh| (hoch
ke|Ih-F|ock) |o Irung Iom Iu
dong ch|nh nom duo| |op
ngoo| cung cuo co I|m,
g|uo I|nh moch chu Iren vo
Iom nh| pho|, ||en he vo|
kho| co cuo ho| Iom nh| vo
hoch nh| IhoI bo| coc so| co
chuo b|eI hoo, Ioo Ihonh bo
don Iruyen.
Hoch nh| IhoI (hoch
Aschoff-Ioworo) |o Irung
Iom Iu dong phu nom o
duo| |op no| moc cuo Ihonh
Iom nh| pho|, Iren nen voch
nh| -IhoI.
5
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8o H|s gom coc so| boI
nguon Iu |op no| moc Iom
nh| pho|.
I|en he vo| coc bo so| Iu
hoch xoong nh| o ph|o
Iren, ph|o duo| no| ||en vo|
bo H|s. 8o H|s co ho|
nhonh nho d| voo Iom
IhoI. Don Iruyen xung
dong Iu Iom nh| xuong
Iom IhoI
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Fh|o Iren no| vo| coc so|
cuo hoch nh| IhoI, ph|o
duo| sou kh| choy doc moI
doon Iheo voch ||en IhoI,
ch|o Ihonh ho| nhonh pho|
vo Iro|.
Ho| nhonh noy choy Iheo
ho| pho| pho| vo Iro| cuo
voch ||en IhoI. kh| xuong
den mom I|m, ho| nhonh
phon Ihonh mong |uo|
Furk|nje I|ep xuc vo| so| co
Iom IhoI
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I|m hooI dong nhu moI co| bom vuo huI vuo
doy.
- Chu ky hooI dong cuo I|m boI dou Iu Iom nh| pho|.
Iom nh| pho| co Iruoc Iom nh| Iro| khoong 0,01 - 0,03
g|oy.
- Co ho| Iom nh| co Irong khoong 1J10 g|oy, ro| g|on
ro Irong 7J10 g|oy.
- kh| Iom nh| ngung co, ho| Iom IhoI co dong Iho|
Irong 3J10 g|oy vo sou do |o g|on Irong 5J10 g|oy.
Nhu voy moI chu ky hooI dong cuo I|m |o 8J10
g|oy, Irong do pho I|m co (pho Iom Ihu) |o 4J10
g|oy vo pho I|m g|on (Iom Iruong) |o 4J10 g|oy.
Chuc nong cuo I|m
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Tamnhco. Van ban nguyet ong, van
nh that m. 2 tam nh co ay mau
xuongtamthat
Ca2tamthat co. Vannhthat ong,
Vanbannguyet m. Mauvaocacongmach
Tamthat
vatamnh
gian.
Vannh
that m.
Vanban
nguyet ong
0,3 giy
0,1 giy
0,4 giy
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$u von chuyen cuo mou chu yeu do op
|uc co bop cuo Iom IhoI Iro| Ioo nen
HuyeI op |o h|eu so cuo |uc doy vo IoI co |uc
con cuo he moch
Iuong mou Io| noo (-13%) |uon duoc g|u
on d|nh hon so vo| coc mo khoc
HUYEI AF (8IOOD FPE$$UPE-8F)
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- Irong |uong mou
- Iuc mo soI
Mo soI no| mo
Mo soI Ihonh moch
- Iuc keo d|nh
Iuc doy cuo I|m
pho| Ihong duoc.
Ho| nguon |on.
- Iuc doy cuo I|m
(Iom IhoI)
- Iuc co bop
cuo moch

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HuyeI op Io| do
khoong Iu 100-120 mmHg
(Iren 150 mmHg |o Iong huyeI op)
HuyeI op Io| Ih|eu
khoong 50-70 mmHg
(Iren 0 mmHg |o Iong huyeI op)
H|eu so huyeI op Irung b|nh 30-60
Duo| 30 vo Iren 60. co b|en chung moch
HuyeI op con phu Ihuoc s|nh |y, benh |y
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He moch
64% mou
14% mou
22% mou
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ong moch (ArIer|o|)
ong moch |o he Ihong don mou Iu
I|m d| den coc co quon Irong co
Ihe.
I|eI d|en cuo dong moch cong gon
I|m cong |on, cong xo I|m dong
moch cong phon nhonh nh|eu vo
hep don
Ch|eu mou choy Irong dong moch
|o phon |y
ong moch cong gon I|m cong |on
go| |o dong moch don ho|
ong moch nho o xo I|m, |op co
Iron phoI Ir|en monh de co bop nen
go| |o dong moch co
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He dong moch cuo co Ihe
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I|nh moch (Veno)
I|nh moch |o he Ihong don mou Iu
mo vo co quon ve I|m.
Ihonh I|nh moch co cou Ioo Iuong Iu
Ihonh dong moch nhung mong hon.
Irong I|nh moch co cou Ioo von Io
ch|m hoy von bon nguyeI. ou Iu do
cuo coc von huong ve ph|o I|m, co
Ioc dung ngon con dong mou choy
nguoc |o|.
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He I|nh moch cuo co Ihe
7
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Valve tnh mch
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Moo moch (Cop|||or|o)
Moo moch no| g|uo dong
moch vo I|nh moch,do |o
mong |uo| moo moch nho co
duong k|nh khoong 7,5 m vo
do| khoong 3mm. O nguo|
Iruong Ihonh co khong 4 I
moo moch. I|eI d|en moo
moch xop x bong duong
k|nh hong cou.
Ihonh moo moch roI mong
g|up cho quo Ir|nh khuech Ion
d|en ro de dong.
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Moo moch ||en I|ep
Hoon Ioon duoc |oI bo| Ie boo no| b|eu
mo (pho b|en o coc |oo| moo moch)
Cho phep khuec Ion.
- Nuoc
- ChoI hoo Ion nho
- ChoI hoo Ion Irong ||p|d
Ngon con khuech Ion cuo.
- Ie boo mou
- FroIe|n huyeI Iuong
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Moo moch ||en I|ep
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Moo moch ||en I|ep
8|eu mo deI don
P8C
Io nen
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Moo moch co |o Ihung
Co coc |o Iren |op |oI Ie boo no| b|eu
mo
Cho phep Iroo do| nhonh chong nuoc
vo coc choI hoo Ion |on g|uo huyeI
Iuong vo d|ch mo
uoc I|m Ihoy o.
- om ro| mong moch
- Co quon no| I|eI
- Ihon
- Ong I|eu hoo
8
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Moo moch co |o Ihung
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Moo moch
co |o Ihung
Ccc |c
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Moo moch h|nh s|n
8| b|en do|, co khe ho rong, |o |oo|
moo moch co |o Ihung
uoc I|m Ihoy o nhung v| Ir| mo moI
|uong |on voI choI con duoc duo
voo hooc ro kho| dong mou.
- Gon
- Iy Iong
- Iuy xuong
- Co quon no| I|eI
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Moo moch h|nh s|n
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HepoI|c $|nuso|d
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Von I|nh moch
od = mo mo
IA = |op ngoo| IM
IM = |op oo g|uo
v = vo|ve

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Ve Iu phon
Iren co Ihe
| nuo| phon Iren co Ihe
en pho| Iro|
Iu pho| Iro| ve
en pho|
pho|
Iu pho|
pho| ve
Ve Iu phon duo| co Ihe
| nuo| phon duo| co Ihe
Vong Iuon hoon
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8om mou d| nuo| co Ihe
Mou Irong dong moch
chu den coc mo Irong
co Ihe, phon pho| oxy
vo coc choI d|nh duong
cho coc mong moo
moch, mou do Ihom vo|
|uong oxy Ihop, d|
chuyen Irong coc I|nh
moch nho, I|ep Iuc voo
coc I|nh moch |on hon
vo cuo| cung den I|nh
moch chu duo| vo I|nh
moch chu Iren.
ong mo ch chu
Vong Iuon hoon
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Don mou Iu phon Iren
cuo co Ihe ve Iom nh| pho|
I|nh moch chu Iren
I|nh moch chu Iren mong mou Iu dou co Ioy ve I|m
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Don mou Iu phon duo| cuo co Ihe ve
Iom nh| pho|
I|nh moch
chu duo|
I|nh moch chu
duo| mong mou
Iu chon vo coc
phon co Ihe
duo|.
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Nhon mou Iu co Ihe ve I|m
Iom nh| pho|
Ho| I|nh moch chu choy voo Iom nh| pho| cuo I|m.
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Nhon mou Iu Iom nh| pho| vo
bom mou voo dong moch pho|
Iom IhoI pho|
Ihonh co cuo Iom nh| co |o| , mou se don Iu
Iom nh| xuong Iom IhoI pho|.
T
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8om mou Iu I|m |en pho|
ong moch pho|
kh| Iom IhoI pho| co, se
doy mou co |I oxy voo
dong moch pho| den
pho|.
O pho| dong moch pho|
phon nhonh Ihonh coc
I|eu dong moch vo cuo|
cung mou d| voo moo
moch pho|, Io| doy CO2
duoc |o| ro vo O2 duoc
Ihu nhon.
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Don mou g|ou oxy Iu pho| ve Iom nh| Iro|
I|nh moch pho|
Mou mo| Ihu
nhon O
2
noy se
Iheo I|nh moch
pho| ve Iom nh|
Iro| cuo I|m.
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Nhon mou g|ou oxy Iu pho| ve
Iom nh| Iro|
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Nhon mou Iu Iom nh| Iro| vo bom
mou voo dong moch chu
kh| Iom nh| Iro| co se
doy mou xuong Iom
IhoI Iro|, kh| Iom IhoI
Iro| co, mou duoc
bom voo dong
moch chu, vong
Iuon hoon duoc
khep k|n
Iom IhoI Iro|
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Moch nuo| I|m
Do 2 dong moch vonh dom Iroch
khong ||en he Io| coc dong moch khoc
uong k|nh |uon Ihoy do|
do hooI dong co bop cuo I|m
Coc moch nho |uon |och
sou voo coc mo co I|m
2 Irong Iho| benh |y Ioc nghen, xo vuo
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Cung cop oxy, hormone vo choI
d|nh duong cho coc mo cuo I|m
ong moch vonh
TT
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Don CO
2
vo coc choI Iho|
ro kho| mo cuo I|m
I|nh moch I|m
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Vong IH
pho|
|oc kh|
CO
2
vo O
2
Vong IH |och
|oc
coc I8 mou,
son phom MD
Vong IH
Ihon
con bong
nuoc
vo khoong
Vong IH
I|eu hoo
|oc, Ihu
nhon son
phom d|nh duong
Vong
IH I|m
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Vong Iuon hoon Iho|
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$u d|eu hoo hooI dong I|m moch
$u d|eu hoo hooI dong I|m
$u d|eu hoo hooI dong moch
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He Ihon k|nh Ihom g|o voo d|eu kh|en hooI dong
cuo I|m |o he Ihon k|nh Ihuc voI gom Ihon k|nh
g|oo com vo pho g|oo com
Ioc dung cuo Ihon k|nh g|oo com do| vo| I|m |o.
- Iong hung phon co I|m
- Iong Io c do don Iruyen hung phon Irong I|m
- Iong Ion so co I|m, |om I|m hooI do ng nhonh hon
- Iong cuong do co I|m, |om cho I|m hooI dong monh hon
Ioc dung cuo Ihon k|nh pho g|oo com do| vo| I|m
|o.
- G|om hung phon co I|m
- G|om Io c do don Iruyen hung phon Irong I|m
- G|om cuong do co I|m
- G|om nh|p I|m
$u d|eu hoo Ihon k|nh
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$u d|eu hoo Ihe d|ch
Co che Ioc dung cuo Ihon k|nh go|o com vo Ihon
k|nh pho g|oo com |o Ihong quo coc choI hoo
hoc Irung g|on Io| no| no I|ep xuc (synop) vo| co
quon mo no d|eu kh|en.
Coc choI |om Iong hooI dong cuo I|m.
- CoIecho|om|n do phon Iuy Iuyen Iren Ihon I|eI ro nhu
Adreno||n vo Norodreno||n
- G|ucogon cuo Iuy Iong no| I|eI
- Ion Co
2+
- Ihyrox|n cuo Iuyen g|op
- $u g|om nong do O
2
vo Iong nong do CO
2
.
Coc choI |om g|om hooI dong cuo I|m.
- AceIy|cho||n
- Ion k
+
Do voy Irong no| d|ch, I |e |on Co
++
Jk
+
pho| |uon
|uon duoc duy Ir| on d|nh
T2
24/03/2010 8:09 CH Nguyn Hu Tr
67
Vo| Iro cuo vo noo
Fhon coo nhoI cuo he Ihon k|nh cung
co onh huong den hooI dong cu o I|m
Ihuoc he Iuon hoon. Ioc dung noy
g|up Iong cuong su Ih|ch ngh| cuo co
Ihe do| vo| mo| Iruong ben ngoo|.
- Coc com g|oc so ho|, vu|, buon, dou
don, Iuc g|on....
- Co Ihe goy coc phon xo co d|eu k|en
do| vo| hooI dong cuo I|m (Iu |om chom
nh|p co I|m)
24/03/2010 8:09 CH Nguyn Hu Tr
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$u d|eu hoo hooI dong moch
$u d|eu hoo Ihon k|nh
He Ihon k|nh g|oo co m vo pho g|oo
com Ihom g|o Iruc I|ep voo v|e c
d|eu hoo hooI dong cuo he moch.
$u d|eu hoo Ihe d|ch
MoI so hormon vo moI so yeu Io
Ihom g|o d|eu hoo he moch
24/03/2010 8:09 CH Nguyn Hu Tr
69
Coc choI goy co moch
Adreno||n cuo phon
Iuy Iuyen Iren Ihon
|om co moch, goy
Iong huyeI op
Pen|n do quon cou
Ihon I|eI ro |om co
moch
Vosopress|n (ADH)
duoc g|o| phong Iu
Ihuy sou Iuyen yen
goy co moch.
24/03/2010 8:09 CH Nguyn Hu Tr
70
Coc choI goy g|on moch
AceIy|cho||n goy g|on moch
Fhon op O
2
(CO
2
) Irong mou g|o m
(Iong) goy g|on moch
pH mou g|om goy g|o n moch.
Nh|eI do Iong goy g|o n moch
....
24/03/2010 8:09 CH Nguyn Hu Tr
71
Iuon hoon boch huyeI
8och huyeI duoc h|nh Ihonh Iu he
I|eu hoo, co nh|eu ||p|d v| oc|d beo
vo g|ycery| duoc ho p Ihu chu yeu
voo moch boch huyeI.
8och huyeI duoc |oc ro Iu d|ch Ihe.
Irong co Ihe nguo| vo dong voI,
d|ch Ihe ch|e m khoong 65%. Irong
1 ngoy de m, co khoong 1,2-1,5 ||I
duoc |oc voo he boch huyeI ro| do
voo mou
24/03/2010 8:09 CH Nguyn Hu Tr
72
8och huyeI |o moI d|ch
Irong suoI, vong nhoI.
I Irong 1,023-1,026. o
pH Ihop hon mou. Hom
|uong proIe|n Ihop hon
mou. uong g|ucose
0.1%, muo| khoong 8,0-
0,% (chu yeu |o NoC|)
Irong boch huyeI Ihuong
khong co hong cou vo
boch cou co hoI mo ch
co monocyIe vo
|ymphocyIe.
Irong he moch boch huyeI co nhung d|em Iop hop moI
|uc |uong boch huyeI duoc go| |o coc hoch boch huyeI
T3
24/03/2010 8:09 CH Nguyn Hu Tr
73
Chuc nong ch|nh cuo he boch huyeI
Ioc boch huyeI
"Huon |uyen" vo
son xuoI coc Ie
boo boch huyeI
cuo he m|en d|ch
Von chuyen ||p|d
duoc I|eu hoo vo
hop Ihu o ruoI non
24/03/2010 8:09 CH Nguyn Hu Tr
74
Moo moch boch huyeI
Ie boo b|eu mo
mong (khong co
mong nen) vo|
Iuon hoon moI
ch|eu. Chung
choy song song
vo| I|nh moch.
ou cuo| k|n cho
phep boch huyeI
ch choy Irong
moch
Ihu nhon vo Io| su
dung d|ch mo
24/03/2010 8:09 CH Nguyn Hu Tr
75
V| Ir| cuo moo moch boch huyeI
Mo| no|, Iru he Ihon
k|nh Irung uong vo
Iuy song.
Cou Ioo doc b|eI
cuo moo moch
boch huyeI o ruoI
non go| |o nhu Irop
24/03/2010 8:09 CH Nguyn Hu Tr
76
Cou Ioo he boch huyeI
Gom. coc moch be de cho d|ch
Ihe Ihom voo, coc ong noy Iop
Irung do voo ho| ong boch huyeI
ch|nh.
- Ong moch nguc pho|
- Ong moch nguc Iro|
Ioc do boch huyeI choy Irong
moch boch huyeI roI chom,
khoong 0,25-0,3mmJphuI.
24/03/2010 8:09 CH Nguyn Hu Tr
77
Ong moch ngu c pho|.
nhon boch huyeI Iu co c
moch boch huyeI be cuo
ch| Iren ben pho|, nuo pho|
cuo |ong ngu c, nuo pho|
cuo co . Ong pho| do voo
I|nh moch Iren
Ong moch ngu c Iro|. nhon
boch huyeI Iu coc phon
con |o| cuo co Ihe, nhoI |o
Iu he I|eu hoo. Ong Iro| do
voo I|nh mo ch chu duo|.
Ong moch nguc Iro|
I|nh moch
duo| don Iro|
Ong moch
nguc pho|
I|nh moch
duo| don
pho|
Moch nhu Irop
24/03/2010 8:09 CH Nguyn Hu Tr
78
Ln nht
T4
24/03/2010 8:09 CH Nguyn Hu Tr
79
Ie boo |ymphocyIe
8och cou khong hoI - co nhon |on vo moI |uong
nho Ie boo choI
Co chuc nong nhon d|en, boI hooI hooc I|eu d|eI
yeu Io xom nh|em
Coc |oo| lymphocyles
1. Ie boo I - m|en nh|em quo Irung g|on Ie boo -
I g|up do, I doc, I Iron op, vo Ie boo nho
2. Ie boo 8 - m|en nh|em d|ch Ihe - 8oo Iuong
Iong hop khong Ihe doc h|eu cho khong
nguyen hooc Ioc nhon xom nh|em, Ie boo
nho
3. Ie boo Nk - khong doc h|eu, cung cop m|en
nh|em Ihu dong
24/03/2010 8:09 CH Nguyn Hu Tr
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IymphocyIe duoc nhon
|en Irong Iuyen uc, Iy
Iong vo om|ndon
24/03/2010 8:09 CH Nguyn Hu Tr
81

Mo |ympho
24/03/2010 8:09 CH Nguyn Hu Tr
82
fhymU
V| Ir| o Iren I|m, Iruoc xuong uc
Ch|o Ihonh 2 Ihuy
oy |o co quon |ympho khong co chuc nong
chong |o| khong nguyen, no co chuc nong
"huon |uyen Ie boo I"
Ieo |o| sou Iuo| doy Ih|
Ie boo b|eu mo Iong hop Ihym|c hormone
Iuyen uc
24/03/2010 8:09 CH Nguyn Hu Tr
83
Io co quon boch huyeI |on nhoI
Mem vo Iru roI nh|eu mou
Iuy do s|nuso|ds co chuo P8Cs
Iuy Irong mo |ympho
Chuc nong ch|nh.
kho| dou dop ung m|en nh|em chong |o| khong
nguyen Irong mou
Ioo| bo coc hong cou g|o vo suy g|om chuc nong
Io no| du Iru cuo hong cou mo|
Io no| Ihu nhon, du Iru vo Io| che
I| Iong ($p|een)