{"id":7598,"date":"2021-08-11T14:29:12","date_gmt":"2021-08-11T18:29:12","guid":{"rendered":"https:\/\/healthcliner.com\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/"},"modified":"2021-09-17T11:09:48","modified_gmt":"2021-09-17T15:09:48","slug":"tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet","status":"publish","type":"post","link":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/","title":{"rendered":"T\u0103ng huy\u1ebft \u00e1p (Huy\u1ebft \u00e1p cao): Nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft"},"content":{"rendered":"

T\u0103ng huy\u1ebft \u00e1p (HTN), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 huy\u1ebft \u00e1p cao (BP), l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng theo \u0111\u00f3 huy\u1ebft \u00e1p cao. K\u1ebft qu\u1ea3 l\u00e0, l\u1ef1c cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c t\u00e1c \u0111\u1ed9ng ch\u1ed1ng l\u1ea1i c\u00e1c b\u1ee9c t\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u ch\u00ednh kh\u00e1c trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi. Th\u00f4ng th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p \u0111\u1ea1i di\u1ec7n cho c\u00e1c con s\u1ed1 tr\u00ean v\u00e0 d\u01b0\u1edbi. S\u1ed1 tr\u00ean c\u00f9ng l\u00e0 \u00e1p l\u1ef1c t\u00e2m thu (SBP), c\u00f3 ngh\u0129a l\u00e0 l\u1ef1c m\u00e0 tim \u0111\u1ea9y v\u00e0o th\u00e0nh \u0111\u1ed9ng m\u1ea1ch trong m\u1ed7i nh\u1ecbp tim. S\u1ed1 d\u01b0\u1edbi c\u00f9ng l\u00e0 \u00e1p su\u1ea5t t\u00e2m tr\u01b0\u01a1ng (DBP) \u0111\u1ea1i di\u1ec7n cho l\u1ef1c m\u00e0 tim \u0111\u1ea9y v\u00e0o th\u00e0nh \u0111\u1ed9ng m\u1ea1ch \u1edf gi\u1eefa c\u00e1c nh\u1ecbp tim. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p \u0111\u1ea7y \u0111\u1ee7, do \u0111\u00f3 \u0111i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 \u0111o huy\u1ebft \u00e1p v\u00e0o hai ho\u1eb7c ba ng\u00e0y kh\u00e1c nhau. Huy\u1ebft \u00e1p t\u00e2m thu n\u00ean \u0111\u1ecdc 120 mmHg ho\u1eb7c \u00edt h\u01a1n v\u00e0o nh\u1eefng ng\u00e0y n\u00e0y v\u00e0 huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng n\u00ean \u0111\u1ecdc 80 mmHg ho\u1eb7c \u00edt h\u01a1n. M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 ph\u1ed5 bi\u1ebfn c\u1ee7a t\u0103ng huy\u1ebft \u00e1p l\u00e0 b\u1ec7nh t\u1eadt, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh nh\u01b0 ti\u00eau th\u1ee5 nhi\u1ec1u mu\u1ed1i, th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ee9a ch\u1ea5t b\u00e9o chuy\u1ec3n h\u00f3a cao v\u00e0 ch\u1ea5t b\u00e9o b\u00e3o h\u00f2a, v\u00e0 kh\u00f4ng \u0111\u1ee7 l\u01b0\u1ee3ng rau v\u00e0 tr\u00e1i c\u00e2y. Ngo\u00e0i ra, m\u1ed9t c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p do ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u1ee7a HTN, b\u1ec7nh th\u1eadn, tu\u1ed5i gi\u00e0, b\u00e9o ph\u00ec, l\u1ed1i s\u1ed1ng \u00edt v\u1eadn \u0111\u1ed9ng, s\u1eed d\u1ee5ng thu\u1ed1c l\u00e1, r\u01b0\u1ee3u v\u00e0 l\u1ea1m d\u1ee5ng ma t\u00fay.<\/p>\n

Tri\u1ec7u ch\u1ee9ng t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

N\u00f3i chung, t\u0103ng huy\u1ebft \u00e1p bi\u1ec3u hi\u1ec7n \u1edf h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi b\u1ecb \u0111au \u0111\u1ea7u, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, epistaxis, suy gi\u1ea3m th\u1ecb l\u1ef1c, m\u1ec7t m\u1ecfi, t\u0103ng nh\u1ecbp tim. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb t\u0103ng huy\u1ebft \u00e1p c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, do \u0111\u00f3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p nh\u01b0 m\u1ed9t k\u1ebb gi\u1ebft ng\u01b0\u1eddi th\u1ea7m l\u1eb7ng. T\u0103ng huy\u1ebft \u00e1p ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng c\u00e1ch \u0111o huy\u1ebft \u00e1p, th\u01b0\u1eddng l\u00e0 m\u1ed9t ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng \u0111au v\u00e0 nhanh ch\u00f3ng.<\/p>\n

C\u00e1c lo\u1ea1i t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

C\u00f3 hai lo\u1ea1i t\u0103ng huy\u1ebft \u00e1p ch\u00ednh. T\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u0103ng huy\u1ebft \u00e1p thi\u1ebft y\u1ebfu, t\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t v\u00e0 t\u0103ng huy\u1ebft \u00e1p \u00e1o tr\u1eafng.<\/p>\n

T\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t ho\u1eb7c thi\u1ebft y\u1ebfu<\/strong><\/p>\n

T\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t ho\u1eb7c thi\u1ebft y\u1ebfu l\u00e0 m\u1ed9t lo\u1ea1i huy\u1ebft \u00e1p cao trong \u0111\u00f3 nguy\u00ean nh\u00e2n c\u1ee7a n\u00f3 kh\u00f4ng r\u00f5 v\u00e0 \u0111\u00f3ng g\u00f3p 95% t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p. Lo\u1ea1i t\u0103ng huy\u1ebft \u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m y t\u1ebf hai ho\u1eb7c ba l\u1ea7n \u0111\u1ebfn v\u0103n ph\u00f2ng b\u00e1c s\u0129 l\u00e2m s\u00e0ng.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn HTN nguy\u00ean ph\u00e1t l\u00e0 s\u1ee9c \u0111\u1ec1 kh\u00e1ng ngo\u1ea1i vi t\u0103ng cao, thay \u0111\u1ed5i m\u00e0ng t\u1ebf b\u00e0o li\u00ean quan \u0111\u1ebfn lipid cao, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng n\u1ed9i m\u00f4, thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 natri ho\u1eb7c canxi, t\u0103nginsulinemia, t\u0103ng \u0111\u1ed9ng h\u1ec7 th\u1ea7n kinh giao c\u1ea3m do s\u1ef1 v\u00f4 c\u1ea3m c\u1ee7a baroreflexes, r\u1ed1i lo\u1ea1n \u0111i\u1ec1u h\u00f2a h\u1ec7 th\u1ed1ng renin-angiotensin, gi\u1ea3m kh\u1ea3 n\u0103ng b\u00e0i ti\u1ebft natri m\u00f4i tr\u01b0\u1eddng, l\u1ed1i s\u1ed1ng v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng.<\/p>\n

T\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t<\/strong><\/p>\n

Lo\u1ea1i t\u0103ng huy\u1ebft \u00e1p n\u00e0y g\u00f3p ph\u1ea7n v\u00e0o 5% c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p. HTN th\u1ee9 ph\u00e1t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0 b\u1ec7nh th\u1eadn m\u00e3n t\u00ednh, th\u1eadn \u0111a nang, b\u1ec7nh c\u1ea3i t\u1ea1o, coarctation \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, h\u1ed9i ch\u1ee9ng Cushing, pheochromocytoma, c\u01b0\u1eddng c\u1eadn gi\u00e1p, ng\u01b0ng th\u1edf khi ng\u1ee7, aldosteronism nguy\u00ean ph\u00e1t, v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 thu\u1ed1c tr\u00e1nh thai, thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) nh\u01b0 Ibuprofen, s\u1eed d\u1ee5ng r\u01b0\u1ee3u m\u00e3n t\u00ednh, u\u1ed1ng qu\u00e1 nhi\u1ec1u caffeine, b\u1ed5 sung th\u1ea3o d\u01b0\u1ee3c nh\u01b0 Ma Huang (ephedra), St. John’s wort, mphetamines.<\/p>\n

T\u0103ng huy\u1ebft \u00e1p \u00e1o kho\u00e1c tr\u1eafng<\/strong><\/p>\n

\u0110\u00f3 l\u00e0 s\u1ef1 gia t\u0103ng huy\u1ebft \u00e1p khi b\u1ec7nh nh\u00e2n \u0111\u1ebfn v\u0103n ph\u00f2ng b\u00e1c s\u0129 l\u00e2m s\u00e0ng. Huy\u1ebft \u00e1p b\u1ea5t th\u01b0\u1eddng n\u00e0y th\u01b0\u1eddng l\u00e0 do lo l\u1eafng ho\u1eb7c kh\u00f3 ch\u1ecbu khi nh\u00ecn th\u1ea5y m\u1ed9t b\u00e1c s\u0129 l\u00e2m s\u00e0ng m\u1eb7c \u00e1o kho\u00e1c tr\u1eafng. M\u1eb7c d\u00f9 \u0111\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nh\u01b0ng n\u00f3 th\u01b0\u1eddng che gi\u1ea5u ch\u1ea9n \u0111o\u00e1n th\u1ef1c t\u1ebf v\u1ec1 t\u0103ng huy\u1ebft \u00e1p. Tuy nhi\u00ean, ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7y \u0111\u1ee7 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ph\u00e2n bi\u1ec7t n\u00f3 v\u1edbi t\u0103ng huy\u1ebft \u00e1p th\u1ef1c s\u1ef1.<\/p>\n

Ph\u00e2n lo\u1ea1i t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

T\u0103ng huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 ho\u1eb7c ch\u1ec9 s\u1ed1 thu \u0111\u01b0\u1ee3c t\u1eeb \u0111o huy\u1ebft \u00e1p b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u00e1y \u0111o huy\u1ebft \u00e1p t\u00ednh b\u1eb1ng milim\u00e9t th\u1ee7y ng\u00e2n (mmHg) l\u00e0 \u0111\u01a1n v\u1ecb \u0111o l\u01b0\u1eddng ti\u00eau chu\u1ea9n. C\u00f3 b\u1ed1n (4) lo\u1ea1i huy\u1ebft \u00e1p \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n

Huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng l\u00e0 khi huy\u1ebft \u00e1p t\u00e2m thu (SBP) t\u1eeb 120 mmHg tr\u1edf xu\u1ed1ng v\u00e0 huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng (DBP) t\u1eeb 80 mmHg tr\u1edf xu\u1ed1ng. Huy\u1ebft \u00e1p cao l\u00e0 khi SBP n\u1eb1m trong kho\u1ea3ng t\u1eeb 120 mmHg \u0111\u1ebfn 129 mmHg v\u00e0 DBP nh\u1ecf h\u01a1n 80 mmHg. T\u0103ng huy\u1ebft \u00e1p giai \u0111o\u1ea1n 1 l\u00e0 khi SBP n\u1eb1m trong kho\u1ea3ng t\u1eeb 130 mmHg \u0111\u1ebfn 139 mmHg v\u00e0 DBP n\u1eb1m trong kho\u1ea3ng t\u1eeb 80 mmHg \u0111\u1ebfn 89 mmHg. H\u01a1n n\u1eefa, t\u0103ng huy\u1ebft \u00e1p giai \u0111o\u1ea1n 2 l\u00e0 khi SBP b\u1eb1ng ho\u1eb7c l\u1edbn h\u01a1n 140 mmHg v\u00e0 DBP t\u01b0\u01a1ng \u0111\u01b0\u01a1ng ho\u1eb7c l\u1edbn h\u01a1n 90 mmHg.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

C\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 li\u00ean quan \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p. Ch\u00fang bao g\u1ed3m tu\u1ed5i t\u00e1c, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng lipid m\u00e1u, h\u00fat thu\u1ed1c, b\u00e9o ph\u00ec, u\u1ed1ng r\u01b0\u1ee3u qu\u00e1 m\u1ee9c, suy th\u1eadn v\u00e0 gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng nephron, di truy\u1ec1n, ch\u1ee7ng t\u1ed9c, l\u01b0\u1ee3ng mu\u1ed1i qu\u00e1 m\u1ee9c v\u00e0 thi\u1ebfu ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

Ch\u1ea9n \u0111o\u00e1n \u0111\u1ea7y \u0111\u1ee7 l\u00e0 r\u1ea5t quan tr\u1ecdng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p. Sau \u0111\u00e2y l\u00e0 m\u1ed9t v\u00e0i x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n c\u1ea7n thi\u1ebft tr\u01b0\u1edbc khi thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng \u0111i\u1ec1u tr\u1ecb (TLC) ho\u1eb7c \u0111i\u1ec1u tr\u1ecb d\u01b0\u1ee3c l\u00fd. \u0110i\u1ec7n t\u00e2m \u0111\u1ed3, \u0111\u01b0\u1eddng huy\u1ebft; hemoglobin, hematocrit, b\u1ea3ng h\u00f3a h\u1ecdc ho\u00e0n ch\u1ec9nh \u0111\u1eb7c bi\u1ec7t l\u00e0 kali huy\u1ebft thanh, canxi, magi\u00ea, ph\u00e2n t\u00edch n\u01b0\u1edbc ti\u1ec3u ho\u00e0n ch\u1ec9nh, creatinine, t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn \u01b0\u1edbc t\u00ednh, x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan, hemoglobin glycosylated (hemoglobin A1c) v\u00e0 b\u1ea3ng lipid nh\u1ecbn \u0103n (nhanh 9 \u0111\u1ebfn 12 gi\u1edd). Ngo\u00e0i ra, theo d\u00f5i huy\u1ebft \u00e1p c\u1ea5p c\u1ee9u v\u00e0 si\u00eau \u00e2m tim.<\/p>\n

Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ti\u1ec7n ng\u0103n ng\u1eeba huy\u1ebft \u00e1p cao. M\u1ed9t c\u00e1 nh\u00e2n c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y b\u1eb1ng c\u00e1ch tr\u00e1nh h\u1ea7u h\u1ebft c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 s\u1eeda \u0111\u1ed5i li\u00ean quan \u0111\u1ebfn huy\u1ebft \u00e1p cao. Do \u0111\u00f3, \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p cao bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb phi d\u01b0\u1ee3c ph\u1ea9m v\u00e0 \u0111i\u1ec1u tr\u1ecb d\u01b0\u1ee3c l\u00fd.<\/p>\n

\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p phi d\u01b0\u1ee3c ph\u1ea9m<\/strong><\/p>\n

\u0110\u00f3 l\u00e0 m\u1ed9t can thi\u1ec7p theo \u0111\u00f3 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00f4ng li\u00ean quan \u0111\u1ebfn \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p cao. N\u00f3 bao g\u1ed3m duy tr\u00ec tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 th\u00edch h\u1ee3p: ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI 18,5 -24,9 kg \/ m2), \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang \u0111\u1ec3 ng\u0103n ch\u1eb7n ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang t\u0103ng huy\u1ebft \u00e1p (DASH), Ch\u1ebf \u0111\u1ed9 \u0103n ki\u00eang m\u00f4 h\u00ecnh th\u1ef1c ph\u1ea9m USDA ho\u1eb7c ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA). Ngo\u00e0i ra, h\u1ea1n ch\u1ebf natri trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng d\u01b0\u1edbi 2,4 g m\u1ed7i ng\u00e0y, t\u0103ng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t v\u00e0 gi\u1ea3m ti\u00eau th\u1ee5 r\u01b0\u1ee3u. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n trong vi\u1ec7c ng\u0103n ng\u1eeba t\u0103ng huy\u1ebft \u00e1p \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ecb huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng v\u00e0 huy\u1ebft \u00e1p t\u0103ng nh\u1eb9.<\/p>\n

\u0110i\u1ec1u tr\u1ecb d\u01b0\u1ee3c l\u00fd t\u0103ng huy\u1ebft \u00e1p<\/strong><\/p>\n

Can thi\u1ec7p d\u01b0\u1ee3c l\u00fd li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c (thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p) \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb huy\u1ebft \u00e1p cao. C\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 thu\u1ed1c \u1ee9c ch\u1ebf enzyme chuy\u1ec3n \u0111\u1ed5i angiotensin (ACEIs): Lisinopril v\u00e0 Enalapril; ch\u1eb9n th\u1ee5 th\u1ec3 angiotensin II (ARBs): Telmisartan v\u00e0 Losartan; thu\u1ed1c ch\u1eb9n k\u00eanh canxi (CCB): Amlodipine v\u00e0 Nifedipine; thu\u1ed1c ch\u1eb9n beta (BBs) c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u00e1c nh\u00e2n ch\u1eb7n beta-adrenergic: Metoprolol v\u00e0 Carvedilol; thu\u1ed1c \u1ee9c ch\u1ebf renin: Aliskiren; thu\u1ed1c gi\u00e3n m\u1ea1ch ngo\u1ea1i vi: Hydralazine v\u00e0 Minoxidil; thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u01b0 thiazides: Hydrochlorothiazide v\u00e0 Chlorthalidone; thu\u1ed1c l\u1ee3i ti\u1ec3u v\u00f2ng l\u1eb7p: Furosemide v\u00e0 Torsemide; thu\u1ed1c l\u1ee3i ti\u1ec3u ti\u1ebft ki\u1ec7m kali: Spironolactone v\u00e0 Eplerenone l\u00e0 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/p>\n

T\u0103ng huy\u1ebft \u00e1p ho\u1eb7c huy\u1ebft \u00e1p cao l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe tim m\u1ea1ch nghi\u00eam tr\u1ecdng v\u00e0 n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u1ea3m th\u1ecb l\u1ef1c d\u1eabn \u0111\u1ebfn m\u00f9 l\u00f2a, suy th\u1eadn, \u0111\u1ed9t qu\u1ef5, \u0111au tim, suy tim ho\u1eb7c th\u1eadm ch\u00ed t\u1eed vong. HTN \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t k\u1ebb gi\u1ebft ng\u01b0\u1eddi th\u1ea7m l\u1eb7ng v\u00ec h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng, v\u00e0 do \u0111\u00f3, kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u1ea7y \u0111\u1ee7 b\u1ec7nh c\u1ee7a h\u1ecd. Do \u0111\u00f3, thu\u1ed1c v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng \u0111i\u1ec1u tr\u1ecb, \u0111\u1eb7c bi\u1ec7t l\u00e0 k\u1ebft h\u1ee3p, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y hi\u1ec7u qu\u1ea3 h\u01a1n. Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p th\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch th\u01b0 gi\u00e3n c\u00e1c m\u1ea1ch m\u00e1u, do \u0111\u00f3 l\u00e0m gi\u1ea3m huy\u1ebft \u00e1p. Tuy nhi\u00ean, t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p l\u00e0 h\u1ea1 huy\u1ebft \u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ng\u00e3. Ngo\u00e0i ra, m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u0103ng huy\u1ebft \u00e1p (HTN), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 huy\u1ebft \u00e1p cao (BP), l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng theo \u0111\u00f3 huy\u1ebft \u00e1p cao. K\u1ebft qu\u1ea3 l\u00e0, l\u1ef1c cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c t\u00e1c \u0111\u1ed9ng ch\u1ed1ng l\u1ea1i c\u00e1c b\u1ee9c t\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u ch\u00ednh kh\u00e1c trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi. Th\u00f4ng th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p \u0111\u1ea1i […]<\/p>\n","protected":false},"author":1,"featured_media":63311,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[110],"tags":[],"class_list":{"0":"post-7598","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-suc-khoe-gia-dinh"},"yoast_head":"\nT\u0103ng huy\u1ebft \u00e1p (Huy\u1ebft \u00e1p cao): Nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft - Healthcliner<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u0103ng huy\u1ebft \u00e1p (Huy\u1ebft \u00e1p cao): Nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft - Healthcliner\" \/>\n<meta property=\"og:description\" content=\"T\u0103ng huy\u1ebft \u00e1p (HTN), c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 huy\u1ebft \u00e1p cao (BP), l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng theo \u0111\u00f3 huy\u1ebft \u00e1p cao. K\u1ebft qu\u1ea3 l\u00e0, l\u1ef1c cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c t\u00e1c \u0111\u1ed9ng ch\u1ed1ng l\u1ea1i c\u00e1c b\u1ee9c t\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u ch\u00ednh kh\u00e1c trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi. 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K\u1ebft qu\u1ea3 l\u00e0, l\u1ef1c cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c t\u00e1c \u0111\u1ed9ng ch\u1ed1ng l\u1ea1i c\u00e1c b\u1ee9c t\u01b0\u1eddng \u0111\u1ed9ng m\u1ea1ch v\u00e0 c\u00e1c m\u1ea1ch m\u00e1u ch\u00ednh kh\u00e1c trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi. Th\u00f4ng th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 huy\u1ebft \u00e1p \u0111\u1ea1i […]","og_url":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/","og_site_name":"Healthcliner","article_publisher":"https:\/\/business.facebook.com\/Healthcliner","article_published_time":"2021-08-11T18:29:12+00:00","article_modified_time":"2021-09-17T15:09:48+00:00","og_image":[{"width":1000,"height":667,"url":"https:\/\/healthcliner.com\/wp-content\/uploads\/2023\/06\/shutterstock_2302437399.jpg","type":"image\/jpeg"}],"author":"Alfred Amaechi, DNP-FNP","twitter_card":"summary_large_image","twitter_creator":"@healthcliner","twitter_site":"@healthcliner","twitter_misc":{"Written by":"Alfred Amaechi, DNP-FNP","Est. reading time":"12 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/#article","isPartOf":{"@id":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/"},"author":{"name":"Alfred Amaechi, DNP-FNP","@id":"https:\/\/healthcliner.com\/vi\/#\/schema\/person\/25afea9c4c38e50d96f0a082932b7e98"},"headline":"T\u0103ng huy\u1ebft \u00e1p (Huy\u1ebft \u00e1p cao): Nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft","datePublished":"2021-08-11T18:29:12+00:00","dateModified":"2021-09-17T15:09:48+00:00","mainEntityOfPage":{"@id":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/"},"wordCount":2349,"publisher":{"@id":"https:\/\/healthcliner.com\/vi\/#organization"},"image":{"@id":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/#primaryimage"},"thumbnailUrl":"https:\/\/healthcliner.com\/wp-content\/uploads\/2023\/06\/shutterstock_2302437399.jpg","articleSection":["S\u1ee9c kh\u1ecfe gia \u0111\u00ecnh"],"inLanguage":"vi-VN"},{"@type":"WebPage","@id":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/","url":"https:\/\/healthcliner.com\/vi\/tang-huyet-ap-huyet-ap-cao-nhung-dieu-ban-can-biet\/","name":"T\u0103ng huy\u1ebft \u00e1p (Huy\u1ebft \u00e1p cao): Nh\u1eefng \u0111i\u1ec1u b\u1ea1n c\u1ea7n bi\u1ebft - 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