{"id":3180,"date":"2018-09-21T07:38:23","date_gmt":"2018-09-20T21:38:23","guid":{"rendered":"https:\/\/sleepandlungcare.com.au\/?p=3180"},"modified":"2026-10-17T15:08:39","modified_gmt":"2026-10-17T04:08:39","slug":"pulmonary-embolism-blood-clot-in-the-lungs","status":"publish","type":"post","link":"https:\/\/sleepandlungcare.com.au\/vi\/pulmonary-embolism-blood-clot-in-the-lungs\/","title":{"rendered":"Thuy\u00ean t\u1eafc ph\u1ed5i (c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i)"},"content":{"rendered":"
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Thuy\u00ean t\u1eafc ph\u1ed5i l\u00e0 g\u00ec?<\/h2>\n\u2014 Thuy\u00ean t\u1eafc ph\u1ed5i (hay “PE”) l\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn \u1edf 1 ho\u1eb7c nhi\u1ec1u m\u1ea1ch m\u00e1u cung c\u1ea5p m\u00e1u cho ph\u1ed5i. Th\u00f4ng th\u01b0\u1eddng, nh\u1eefng t\u1eafc ngh\u1ebdn n\u00e0y do c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh \u1edf n\u01a1i kh\u00e1c r\u1ed3i di chuy\u1ec3n \u0111\u1ebfn ph\u1ed5i g\u00e2y ra. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p, t\u1eafc ngh\u1ebdn c\u0169ng c\u00f3 th\u1ec3 do b\u1ecdt kh\u00ed, nh\u1eefng gi\u1ecdt m\u1ee1 nh\u1ecf ho\u1eb7c c\u00e1c m\u1ea3nh kh\u1ed1i u di chuy\u1ec3n \u0111\u1ebfn ph\u1ed5i g\u00e2y ra.
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T\u1ea1i sao c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1ea1i nguy hi\u1ec3m?<\/h2>\n\u2014 N\u1ebfu m\u1ed9t c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh ho\u1eb7c m\u1eafc k\u1eb9t b\u00ean trong m\u1ea1ch m\u00e1u, n\u00f3 c\u00f3 th\u1ec3 l\u00e0m t\u1eafc m\u1ea1ch v\u00e0 ng\u0103n m\u00e1u \u0111\u1ebfn \u0111\u01b0\u1ee3c n\u01a1i c\u1ea7n \u0111\u1ebfn. Khi \u0111i\u1ec1u \u0111\u00f3 x\u1ea3y ra \u1edf ph\u1ed5i, ph\u1ed5i c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng. \u0110\u1ed9ng m\u1ea1ch trong ph\u1ed5i b\u1ecb t\u1eafc c\u0169ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 th\u1edf v\u00e0 th\u1eadm ch\u00ed d\u1eabn \u0111\u1ebfn t\u1eed vong.\n\nH\u1ea7u h\u1ebft c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i th\u1ef1c ra h\u00ecnh th\u00e0nh \u1edf ch\u00e2n ho\u1eb7c v\u00f9ng ch\u1eadu (n\u01a1i hai ch\u00e2n n\u1ed1i v\u1edbi th\u00e2n m\u00ecnh) r\u1ed3i di chuy\u1ec3n \u0111\u1ebfn ph\u1ed5i. B\u1ea5t k\u1ef3 ai t\u1eebng b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i ho\u1eb7c c\u00f3 nguy c\u01a1 b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u1ec1u n\u00ean bi\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng \u1edf nh\u1eefng v\u00f9ng n\u00e0y.
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C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i l\u00e0 g\u00ec?<\/h2>\n\u2014 C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m:\n
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  • Th\u1edf h\u1ed5n h\u1ec3n, h\u1ee5t h\u01a1i ho\u1eb7c kh\u00f3 th\u1edf<\/li>\n \t
  • \u0110au ng\u1ef1c nh\u00f3i nh\u01b0 dao \u0111\u00e2m khi qu\u00fd v\u1ecb h\u00edt v\u00e0o ho\u1eb7c g\u1eafng s\u1ee9c<\/li>\n \t
  • Ho ho\u1eb7c ho ra m\u00e1u<\/li>\n \t
  • Tim \u0111\u1eadp nhanh<\/li>\n<\/ul>\nN\u1ebfu qu\u00fd v\u1ecb c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o trong s\u1ed1 n\u00e0y, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu ch\u00fang x\u1ea3y ra trong m\u1ed9t th\u1eddi gian ng\u1eafn (v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y) ho\u1eb7c tr\u1edf n\u1eb7ng nhanh ch\u00f3ng,\u00a0h\u00e3y g\u1ecdi 000 \u0111\u1ec3 g\u1ecdi xe c\u1ee9u th\u01b0\u01a1ng<\/span><\/strong>. T\u1ea1i b\u1ec7nh vi\u1ec7n, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh qu\u00fd v\u1ecb c\u00f3 th\u1ef1c s\u1ef1 b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng hay kh\u00f4ng. C\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. \u0110\u00f3 l\u00e0 l\u00fd do t\u1ea1i sao vi\u1ec7c h\u00e0nh \u0111\u1ed9ng nhanh v\u00e0 x\u00e1c \u0111\u1ecbnh s\u1edbm xem c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng hay kh\u00f4ng l\u1ea1i quan tr\u1ecdng.\n
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    C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng \u1edf ch\u00e2n l\u00e0 g\u00ec?<\/h2>\n\u2014 C\u1ee5c m\u00e1u \u0111\u00f4ng \u1edf ch\u00e2n g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o vi\u1ec7c c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh trong c\u00e1c t\u0129nh m\u1ea1ch s\u00e2u \u1edf ch\u00e2n hay trong c\u00e1c t\u0129nh m\u1ea1ch g\u1ea7n b\u1ec1 m\u1eb7t da.\n\nC\u1ee5c m\u00e1u \u0111\u00f4ng trong c\u00e1c t\u0129nh m\u1ea1ch s\u00e2u \u1edf ch\u00e2n (g\u1ecdi l\u00e0 \u201chuy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u\u201d hay \u201cDVT\u201d) l\u00e0 nguy hi\u1ec3m nh\u1ea5t. C\u1ee5c m\u00e1u \u0111\u00f4ng trong t\u0129nh m\u1ea1ch s\u00e2u c\u00f3 th\u1ec3 g\u00e2y ra:\n
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    • S\u01b0ng<\/li>\n \t
    • \u0110au<\/li>\n \t
    • N\u00f3ng v\u00e0 \u0111\u1ecf \u1edf ch\u00e2n b\u1ecb \u1ea3nh h\u01b0\u1edfng<\/li>\n<\/ul>\nC\u1ee5c m\u00e1u \u0111\u00f4ng trong c\u00e1c t\u0129nh m\u1ea1ch g\u1ea7n b\u1ec1 m\u1eb7t da (g\u1ecdi l\u00e0 “t\u0129nh m\u1ea1ch n\u00f4ng”) g\u00e2y \u0111au nhi\u1ec1u h\u01a1n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ecf ho\u1eb7c nhi\u1ec5m tr\u00f9ng. Nh\u1eefng c\u1ee5c m\u00e1u \u0111\u00f4ng n\u00e0y \u0111\u00f4i khi c\u0169ng khi\u1ebfn t\u0129nh m\u1ea1ch c\u1ee9ng l\u1ea1i v\u00e0 n\u1ed5i g\u1ed3 l\u00ean th\u00e0nh nh\u1eefng \u0111\u01b0\u1eddng tr\u00f4ng gi\u1ed1ng nh\u01b0 s\u1ee3i d\u00e2y. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng g\u1eb7p nh\u1ea5t \u1edf c\u00e1c t\u0129nh m\u1ea1ch d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i.\n\nN\u1ebfu qu\u00fd v\u1ecb ngh\u0129 m\u00ecnh c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng \u1edf ch\u00e2n, h\u00e3y g\u1ecdi ngay cho b\u00e1c s\u0129 ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng. C\u1ee5c m\u00e1u \u0111\u00f4ng trong c\u00e1c t\u0129nh m\u1ea1ch g\u1ea7n b\u1ec1 m\u1eb7t da \u00edt nguy hi\u1ec3m h\u01a1n. Nh\u01b0ng c\u1ee5c m\u00e1u \u0111\u00f4ng trong c\u00e1c t\u0129nh m\u1ea1ch s\u00e2u \u1edf ch\u00e2n nghi\u00eam tr\u1ecdng h\u01a1n v\u00e0 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng di chuy\u1ec3n \u0111\u1ebfn ph\u1ed5i h\u01a1n. B\u00e1c s\u0129 ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng c\u00f3 th\u1ec3 l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh qu\u00fd v\u1ecb c\u00f3 th\u1ef1c s\u1ef1 b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng hay kh\u00f4ng v\u00e0 n\u00f3 \u1edf \u0111\u00e2u.
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      C\u00f3 x\u00e9t nghi\u1ec7m n\u00e0o \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i kh\u00f4ng?<\/h2>\n\u2014 C\u00f3. C\u00f3 m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m m\u00e0 c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed9t ng\u01b0\u1eddi c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i hay kh\u00f4ng. C\u00e1c x\u00e9t nghi\u1ec7m ph\u1ed5 bi\u1ebfn nh\u1ea5t bao g\u1ed3m:\n
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      • X\u00e9t nghi\u1ec7m m\u00e1u D-dimer \u2013 D-dimer l\u00e0 m\u1ed9t ch\u1ea5t c\u00f3 trong m\u00e1u. L\u01b0\u1ee3ng D-dimer th\u01b0\u1eddng t\u0103ng l\u00ean \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i. X\u00e9t nghi\u1ec7m m\u00e1u n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n c\u00f9ng v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c.<\/li>\n \t
      • Ch\u1ee5p CT m\u1ea1ch m\u00e1u ph\u1ed5i (c\u00f2n g\u1ecdi l\u00e0 CT-PA) \u2013 Ch\u1ee5p CT m\u1ea1ch m\u00e1u ph\u1ed5i l\u00e0 m\u1ed9t lo\u1ea1i X-quang \u0111\u1eb7c bi\u1ec7t c\u00f3 s\u1eed d\u1ee5ng m\u00e1y vi t\u00ednh. Trong x\u00e9t nghi\u1ec7m n\u00e0y, thu\u1ed1c c\u1ea3n quang \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o 1 t\u0129nh m\u1ea1ch c\u1ee7a qu\u00fd v\u1ecb. Thu\u1ed1c c\u1ea3n quang hi\u1ec7n l\u00ean tr\u00ean phim X-quang v\u00e0 c\u00f3 th\u1ec3 cho th\u1ea5y c\u00f3 m\u1ea1ch m\u00e1u n\u00e0o b\u1ecb t\u1eafc hay kh\u00f4ng.<\/li>\n \t
      • X\u1ea1 h\u00ecnh th\u00f4ng kh\u00ed\/t\u01b0\u1edbi m\u00e1u ph\u1ed5i (c\u00f2n g\u1ecdi l\u00e0 x\u1ea1 h\u00ecnh V\/Q) \u2013 Trong x\u00e9t nghi\u1ec7m n\u00e0y, qu\u00fd v\u1ecb h\u00edt v\u00e0o m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf ch\u1ea5t ph\u00f3ng x\u1ea1. Qu\u00fd v\u1ecb c\u0169ng \u0111\u01b0\u1ee3c ti\u00eam m\u1ed9t ch\u1ea5t c\u1ea3n quang ph\u00f3ng x\u1ea1 v\u00e0o 1 t\u0129nh m\u1ea1ch. Sau \u0111\u00f3 c\u00e1c b\u00e1c s\u0129 xem c\u00e1c ch\u1ea5t kh\u00e1c nhau hi\u1ec7n l\u00ean nh\u01b0 th\u1ebf n\u00e0o tr\u00ean h\u00ecnh ch\u1ee5p. H\u00ecnh ch\u1ee5p c\u00f3 th\u1ec3 cho th\u1ea5y 1 trong c\u00e1c \u0111\u1ed9ng m\u1ea1ch trong ph\u1ed5i c\u00f3 b\u1ecb t\u1eafc hay kh\u00f4ng.<\/li>\n \t
      • Ch\u1ee5p m\u1ea1ch m\u00e1u ph\u1ed5i \u2013 Trong x\u00e9t nghi\u1ec7m n\u00e0y, m\u1ed9t \u1ed1ng nh\u1ecf g\u1ecdi l\u00e0 “\u1ed1ng th\u00f4ng” \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o 1 trong c\u00e1c t\u0129nh m\u1ea1ch l\u1edbn trong c\u01a1 th\u1ec3 qu\u00fd v\u1ecb, th\u01b0\u1eddng l\u00e0 1 t\u0129nh m\u1ea1ch \u1edf ch\u00e2n. Sau \u0111\u00f3 c\u00e1c b\u00e1c s\u0129 nh\u1eb9 nh\u00e0ng \u0111\u1ea9y \u1ed1ng n\u00e0y l\u00ean ng\u1ef1c \u0111\u1ebfn v\u1ecb tr\u00ed c\u00e1c m\u1ea1ch m\u00e1u ch\u00ednh c\u1ee7a ph\u1ed5i. Khi \u1ed1ng \u0111\u00e3 v\u00e0o \u0111\u00fang v\u1ecb tr\u00ed, c\u00e1c b\u00e1c s\u0129 ti\u00eam thu\u1ed1c c\u1ea3n quang hi\u1ec7n l\u00ean tr\u00ean phim X-quang.<\/li>\n<\/ul>\n

        C\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\u2014 C\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c l\u00e0m tan c\u1ee5c m\u00e1u \u0111\u00f4ng ho\u1eb7c ng\u0103n c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1edbn th\u00eam. M\u1ed9t s\u1ed1 thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o t\u0129nh m\u1ea1ch, trong khi nh\u1eefng thu\u1ed1c kh\u00e1c \u1edf d\u1ea1ng ti\u00eam ho\u1eb7c vi\u00ean u\u1ed1ng. H\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i ban \u0111\u1ea7u \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n.\n\nSau khi xu\u1ea5t vi\u1ec7n, nh\u1eefng ng\u01b0\u1eddi t\u1eebng b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho d\u00f9ng thu\u1ed1c \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u1ee5c m\u00e1u \u0111\u00f4ng trong t\u01b0\u01a1ng lai. C\u00e1c thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “thu\u1ed1c kh\u00e1ng \u0111\u00f4ng,” “thu\u1ed1c l\u00e0m lo\u00e3ng m\u00e1u,” ho\u1eb7c “thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.” H\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u \u0111\u01b0\u1ee3c cho d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng d\u1ea1ng vi\u00ean trong \u00edt nh\u1ea5t 3 th\u00e1ng (v\u00e0 th\u01b0\u1eddng l\u00e0 l\u00e2u h\u01a1n). M\u1ed9t s\u1ed1 ng\u01b0\u1eddi \u0111\u01b0\u1ee3c cho d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng ti\u00eam d\u01b0\u1edbi da, g\u1ecdi l\u00e0 heparin. Vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i trong v\u00e0i ng\u00e0y \u0111\u1ea7u sau khi v\u1ec1 nh\u00e0, ho\u1eb7c l\u00e2u h\u01a1n n\u1ebfu v\u00ec l\u00fd do n\u00e0o \u0111\u00f3 h\u1ecd kh\u00f4ng th\u1ec3 u\u1ed1ng thu\u1ed1c vi\u00ean.\n\nThu\u1ed1c ch\u1ed1ng \u0111\u00f4ng kh\u00f4ng l\u00e0m tan c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u00e3 c\u00f3, nh\u01b0ng ch\u00fang ng\u0103n kh\u00f4ng cho c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1edbn th\u00eam. Ch\u00fang c\u0169ng gi\u00fap ng\u0103n h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng m\u1edbi. Vi\u1ec7c d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng trong v\u00e0i th\u00e1ng l\u00e0 quan tr\u1ecdng v\u00ec n\u00f3 cho c\u01a1 th\u1ec3 th\u1eddi gian \u0111\u1ec3 l\u00e0m tan c\u1ee5c m\u00e1u \u0111\u00f4ng c\u0169. \u0110i\u1ec1u n\u00e0y c\u0169ng quan tr\u1ecdng v\u00ec nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng c\u00f3 nguy c\u01a1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng kh\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong v\u00e0i th\u00e1ng \u0111\u1ea7u.\n\nC\u00f3 m\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng kh\u00e1c nhau \u1edf d\u1ea1ng vi\u00ean u\u1ed1ng.\n\nN\u1ebfu b\u00e1c s\u0129 cho qu\u00fd v\u1ecb d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, h\u00e3y d\u00f9ng thu\u1ed1c \u0111\u00fang theo ch\u1ec9 d\u1eabn. N\u1ebfu qu\u00fd v\u1ecb qu\u00ean ho\u1eb7c b\u1ecf l\u1ee1 m\u1ed9t li\u1ec1u, h\u00e3y g\u1ecdi cho b\u00e1c s\u0129 \u0111\u1ec3 bi\u1ebft c\u1ea7n l\u00e0m g\u00ec. Khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, qu\u00fd v\u1ecb s\u1ebd c\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u. N\u1ebfu qu\u00fd v\u1ecb \u0111ang d\u00f9ng warfarin, qu\u00fd v\u1ecb s\u1ebd c\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ki\u1ec3m tra t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u c\u1ee7a m\u00ecnh. N\u1ebfu c\u00f3 thay \u0111\u1ed5i v\u1ec1 t\u00ecnh tr\u1ea1ng b\u1ec7nh ho\u1eb7c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u. \u1ede li\u1ec1u kh\u00f4ng \u0111\u00fang, thu\u1ed1c c\u00f3 th\u1ec3 m\u1ea5t t\u00e1c d\u1ee5ng ho\u1eb7c d\u1eabn \u0111\u1ebfn ch\u1ea3y m\u00e1u nghi\u00eam tr\u1ecdng. Tr\u00ean th\u1ef1c t\u1ebf, ch\u1ea3y m\u00e1u l\u00e0 m\u1ed9t nguy c\u01a1 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, v\u00ec v\u1eady qu\u00fd v\u1ecb v\u00e0 b\u00e1c s\u0129 c\u0169ng n\u00ean lu\u00f4n theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u ch\u1ea3y m\u00e1u.\n\nNh\u1eefng ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 d\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng, ho\u1eb7c kh\u00f4ng \u0111\u1ea1t \u0111\u1ee7 hi\u1ec7u qu\u1ea3 t\u1eeb thu\u1ed1c, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch kh\u00e1c. C\u00e1ch n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “l\u01b0\u1edbi l\u1ecdc t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi” (c\u00f2n g\u1ecdi l\u00e0 l\u01b0\u1edbi l\u1ecdc IVC). T\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi l\u00e0 t\u0129nh m\u1ea1ch l\u1edbn \u0111\u01b0a m\u00e1u t\u1eeb ch\u00e2n v\u00e0 n\u1eeda d\u01b0\u1edbi c\u01a1 th\u1ec3 tr\u1edf v\u1ec1 tim. L\u01b0\u1edbi l\u1ecdc IVC \u0111\u01b0\u1ee3c \u0111\u1eb7t b\u00ean trong t\u0129nh m\u1ea1ch ch\u1ee7 d\u01b0\u1edbi. Ch\u00fang l\u1ecdc v\u00e0 gi\u1eef l\u1ea1i b\u1ea5t k\u1ef3 c\u1ee5c m\u00e1u \u0111\u00f4ng l\u1edbn n\u00e0o h\u00ecnh th\u00e0nh \u1edf ph\u00eda d\u01b0\u1edbi v\u1ecb tr\u00ed \u0111\u1eb7t l\u01b0\u1edbi l\u1ecdc. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb \u0111\u1eb7t 1 trong nh\u1eefng l\u01b0\u1edbi l\u1ecdc n\u00e0y cho qu\u00fd v\u1ecb n\u1ebfu:\n
          \n \t
        • Qu\u00fd v\u1ecb kh\u00f4ng th\u1ec3 d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u1ed9t c\u00e1ch an to\u00e0n<\/li>\n \t
        • Qu\u00fd v\u1ecb v\u1eabn h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng ngay c\u1ea3 khi \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/li>\n \t
        • Qu\u00fd v\u1ecb g\u1eb7p v\u1ea5n \u0111\u1ec1 ch\u1ea3y m\u00e1u nguy hi\u1ec3m khi \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/li>\n \t
        • B\u00e1c s\u0129 chuy\u00ean khoa c\u1ee7a qu\u00fd v\u1ecb x\u00e1c \u0111\u1ecbnh m\u1ed9t l\u00fd do \u0111\u1eb7c bi\u1ec7t kh\u00e1c \u0111\u1ec3 c\u00e2n nh\u1eafc \u0111\u1eb7t l\u01b0\u1edbi l\u1ecdc sau khi \u0111\u00e1nh gi\u00e1 l\u1ee3i \u00edch v\u00e0 nguy c\u01a1 c\u00f3 th\u1ec3 c\u00f3<\/li>\n<\/ul>\nTrong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, m\u1ed9t ng\u01b0\u1eddi c\u00f3 c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u1ee7 nghi\u00eam tr\u1ecdng \u0111\u1ec3 g\u00e2y t\u1ee5t huy\u1ebft \u00e1p v\u00e0 th\u1eadm ch\u00ed l\u00e0 s\u1ed1c. (S\u1ed1c l\u00e0 khi huy\u1ebft \u00e1p xu\u1ed1ng qu\u00e1 th\u1ea5p v\u00e0 kh\u00f4ng \u0111\u1ee7 m\u00e1u \u0111\u1ebfn \u0111\u01b0\u1ee3c c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 c\u1ee7a c\u01a1 th\u1ec3.) N\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c \u0111\u1ec3 l\u00e0m tan c\u1ee5c m\u00e1u \u0111\u00f4ng. Thu\u1ed1c n\u00e0y \u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thu\u1ed1c “ph\u00e1 c\u1ee5c m\u00e1u \u0111\u00f4ng”, v\u00e0 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o qua \u1ed1ng th\u00f4ng (m\u1ed9t \u1ed1ng nh\u1ecf lu\u1ed3n v\u00e0o t\u0129nh m\u1ea1ch). Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u00e1c b\u00e1c s\u0129 s\u1ebd ph\u1eabu thu\u1eadt \u0111\u1ec3 l\u1ea5y c\u1ee5c m\u00e1u \u0111\u00f4ng ra.
          <\/br>\n

          T\u00f4i c\u00f3 th\u1ec3 t\u1ef1 l\u00e0m g\u00ec \u0111\u1ec3 ph\u00f2ng ng\u1eeba c\u1ee5c m\u00e1u \u0111\u00f4ng kh\u00f4ng?<\/h2>\n\u2014 C\u00f3. \u0110\u00f4i khi m\u1ecdi ng\u01b0\u1eddi h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng v\u00ec \u0111\u00e3 ng\u1ed3i y\u00ean qu\u00e1 l\u00e2u. V\u00ed d\u1ee5, nh\u1eefng ng\u01b0\u1eddi \u0111i c\u00e1c chuy\u1ebfn bay d\u00e0i c\u00f3 nguy c\u01a1 b\u1ecb c\u1ee5c m\u00e1u \u0111\u00f4ng cao h\u01a1n. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u0111i\u1ec1u qu\u00fd v\u1ecb c\u00f3 th\u1ec3 l\u00e0m \u0111\u1ec3 gi\u00fap ph\u00f2ng ng\u1eeba c\u1ee5c m\u00e1u \u0111\u00f4ng trong chuy\u1ebfn bay d\u00e0i:\n
            \n \t
          • \u0110\u1ee9ng d\u1eady v\u00e0 \u0111i l\u1ea1i c\u1ee9 m\u1ed7i 1 \u0111\u1ebfn 2 gi\u1edd<\/li>\n \t
          • Kh\u00f4ng h\u00fat thu\u1ed1c ngay tr\u01b0\u1edbc chuy\u1ebfn \u0111i<\/li>\n \t
          • M\u1eb7c qu\u1ea7n \u00e1o r\u1ed9ng r\u00e3i, tho\u1ea3i m\u00e1i<\/li>\n \t
          • Thay \u0111\u1ed5i t\u01b0 th\u1ebf khi ng\u1ed3i, v\u00e0 th\u01b0\u1eddng xuy\u00ean c\u1eed \u0111\u1ed9ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n<\/li>\n \t
          • U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc<\/li>\n \t
          • Mang v\u1edb \u00e1p l\u1ef1c d\u00e0i \u0111\u1ebfn \u0111\u1ea7u g\u1ed1i<\/li>\n \t
          • Tr\u00e1nh r\u01b0\u1ee3u bia v\u00e0 c\u00e1c thu\u1ed1c g\u00e2y bu\u1ed3n ng\u1ee7, v\u00ec ch\u00fang c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng \u0111i l\u1ea1i c\u1ee7a qu\u00fd v\u1ecb<\/li>\n<\/ul>

            C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/h2>\n

            C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i l\u00e0 g\u00ec?<\/h3>\n

            C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m kh\u00f3 th\u1edf, \u0111au nh\u00f3i ng\u1ef1c khi h\u00edt v\u00e0o, ho ho\u1eb7c ho ra m\u00e1u, v\u00e0 tim \u0111\u1eadp nhanh. H\u00e3y g\u1ecdi 000 \u0111\u1ec3 g\u1ecdi xe c\u1ee9u th\u01b0\u01a1ng n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y xu\u1ea5t hi\u1ec7n \u0111\u1ed9t ng\u1ed9t.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"

            A pulmonary embolism (PE) is a blockage in one or more of the blood vessels that carry blood to the lungs, most often caused by a blood clot that has travelled from the legs or pelvis. Because a clot in the lungs can be life-threatening, sudden breathlessness, sharp chest pain or coughing up blood needs […]<\/p>\n","protected":false},"author":11,"featured_media":3336,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"rs_blank_template":"","rs_page_bg_color":"","slide_template_v7":"","footnotes":""},"categories":[6],"tags":[],"class_list":["post-3180","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-respiratory-disorders"],"acf":[],"yoast_head":"\nPulmonary Embolism Symptoms | Blood Clot in the Lungs<\/title>\n<meta name=\"description\" content=\"Pulmonary embolism is a blood clot in the lungs and a medical emergency. Learn the warning symptoms, tests and treatment, and when to call an ambulance.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/sleepandlungcare.com.au\/vi\/pulmonary-embolism-blood-clot-in-the-lungs\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pulmonary Embolism Symptoms | Blood Clot in the Lungs\" \/>\n<meta property=\"og:description\" content=\"Pulmonary embolism is a blood clot in the lungs and a medical emergency. Learn the warning symptoms, tests and treatment, and when to call an ambulance.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/sleepandlungcare.com.au\/vi\/pulmonary-embolism-blood-clot-in-the-lungs\/\" \/>\n<meta property=\"og:site_name\" content=\"Sleep and Lung Care\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-20T21:38:23+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-10-17T04:08:39+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/sleepandlungcare.com.au\/wp-content\/uploads\/2018\/09\/Blood-clots-in-the-lungs-e1537832674412.png\" \/>\n\t<meta property=\"og:image:width\" content=\"315\" \/>\n\t<meta property=\"og:image:height\" content=\"299\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Dr Bassem Dawood\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"Dr Bassem Dawood\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 ph\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/\"},\"author\":{\"name\":\"Dr Bassem Dawood\",\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/#\\\/schema\\\/person\\\/6060241fc8d6417952b47589f3e7f337\"},\"headline\":\"Pulmonary embolism (blood clot in the lungs)\",\"datePublished\":\"2018-09-20T21:38:23+00:00\",\"dateModified\":\"2026-10-17T04:08:39+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/\"},\"wordCount\":1542,\"publisher\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/wp-content\\\/uploads\\\/2018\\\/09\\\/Blood-clots-in-the-lungs-e1537832674412.png\",\"articleSection\":[\"Respiratory Disorders\"],\"inLanguage\":\"vi\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/\",\"url\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/\",\"name\":\"Pulmonary Embolism Symptoms | Blood Clot in the Lungs\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/vi\\\/pulmonary-embolism-blood-clot-in-the-lungs\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/sleepandlungcare.com.au\\\/wp-content\\\/uploads\\\/2018\\\/09\\\/Blood-clots-in-the-lungs-e1537832674412.png\",\"datePublished\":\"2018-09-20T21:38:23+00:00\",\"dateModified\":\"2026-10-17T04:08:39+00:00\",\"description\":\"Pulmonary embolism is a blood clot in the lungs and a medical emergency. 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