GIAI PHAU — SINH LY HE TUAN HOAN MUC TIEU HQC TAP 1 Teh by deel tin, ch mck mf che vng aon “aby ele igh sinh oe caine oat ng en tin og mle ono ng 5. Tea dee int cht si in dg mach, Ap in toch che ye bang ot Pep Sng mach, ah ale fn dng mach 4 Taha ceyb An gu an ah nach ah sala oan ta ack 5. Thy de qutnh toi hit mo mh i hia a ten ma ach Talia be tp ‘itp gus (Ding cho ogo Daye sie), Nb xl ba io dye, Ta in in 3 nto 2018 ‘Talia phat y (2021) Bh mn Y oe coat ‘Tait ham undo: ‘Bo mon Sih joe Trains Dae Y HANG, Sinh ep Nak sulin Y oe, 2005, Toner, B Detikso, Principles Anatomy an Phyl, theo, Jon Wie. 2012, |Tv, ace, MAU HE TUAN HOAN TIM Tim bco ab i ‘Tiong oy? “Tim ip 10000 tinny, 35 iu tna, 250) di ng “Ti bon rit ng SOU dl ng GIAI PHAU CUA TIM to hp. 3 8, olny Tvs org he ta sti Ge sb intang they tone dah Diy ight Mp pi ita quan np {ei dng pit 6‘nh th, 3 mate svn, nh, phd), 1,1 Mit dee suron: Trrde tim(trung that truée): tuyén te, Dine micne im lm amg, no ata Pie alsa _3u sn: Toe intranet pm sot st : iments Myth iy cing in S cactinmycn rt om meen ming ph Tim dot ‘hen 7 8 ‘Mit hoanh: Day ching hoanh tim [Mat phdi in gu phi. te ti to ph | tiga ‘oem hv ‘ing 9 10 RONG eta 1Tam that phai B rt Tam that trai 1, Phang vc ie hl, > Pan co ich inh a. Tine en 15 16 1, Phin ng i 2. Phineo veh en nk 5. wn 2k a. Thang 2 ‘Thanh timCo tim 1. Cie pc bp 2.Che wl kn wt a 0 ace I a @ os 19 20 ‘Dong mach nudi tim Dac diém mach vanh +n omg ei 46a og tan coh conti dg tang (bang hy + Matin vo ng ch vc dy a? 2 “Tinh ehbt sinh bye co im B 24Tinh hung phan LAK ning ip ing wi leh heh, thé ining coc, ~ Kich hich otim vi nbong cute 69 hich ng hole naught cc co tim eo (Dinh kt Khing ote t «) ~ Su bién i unm pn ca co tim sau Kh eh ch én sari bi dient ming bo |G domo net a 2.6 oan wo ong a 2. oon amg ome 4G ean hi pte 25 26 Tinh dan truyén_ >in intr th ng da rad ang gen coin vt etna nt "Co in ete na dn eye ang ng vine Ke sha oat dri 02 mang Parijs Se cco tm hs ms). Ns the dla yd keh tin dune Bom via ohip hing, va ng "ki sung ag he pd bit trong gh nt hit én wong pong (oc) IHG théng din truya cia tim rovewane ein sgn separa E 27 28 Tinh tro’ c6 chu ky = Tinh wc yt dig ip ig w Kh ch ch a tin. Nai th vo iid coi ng ou hh tg eh {hc ba tren ging tin cag hag co thins ea front ab, Rik hich vole co tim ag gin hy vo gi ona tim in botn ta, titi ping Hin mbt co Bip pha goings i ha ‘Sau ngs hin ng ion gi gi Ninh eo chu yn im hn eo cig chv ce ih heh rene. 29 30Tinh nhip digu -Timcb ning co p oip ngs chy oh ug beheading tac pan ag dab 70-80 xpi 120-140 Cxphit)~ i ip hea ph ning img = Nab npg ng 6 ns 40-6 pi = Bois ht xg gv 330-40 pit ang peri ang gwd 2040 hie YY nghia tinh chat sinh hoe co’ tim Tina ip it oh hang pin sah din yn min 08 {iby teh Ki corked di dg yaa vin 0 bop ai hing ud = Tah wo chy: im Bing co cimg ki Kh hh ia We 31 32 Chu ky hoat dng eita tim Céc giai dogn céia chu ky tim Chim bgp og et hg en ang mich Tim i eg Singita pit sinh ang ln hp i ted an toa qu ng nh 6 it oh teaeng oan BO = Cock hak timt xed chant in hos ing ng ‘us ‘hin iy hn 0c tin 33 34 ‘Tam ni thu ‘Tam thét th ia sa in don tin bi Co tam neo (pi ro a i crt thc, Apu wong i > ~ hp sum ong n> int " * o ‘an i gi, Van ah tit ang mo Mu de ly xg ten hit Seemed use ‘Apso nu wone mh ng it bar tin bn puke ‘Tam nha 4,1 i, sa 4 tm git ra trong st ian mi ng och im > van ding mach m8 ‘mate chk ti (0. 8). = Madu tag io wong ng mich 35 36Tam trong, ~ Gia don ny i i ico thi git ac nym oi a gis). + Apso tim titi du git sg (ng van ng mosh. Tm tip te git 1m psa er tht gid vi dha i lam me va ath. ~©ubi ho ky my 34 mgm tir ni xg 18 thd gim cin mau thm nb sing ti Nt, Luu lugng tim Lag ng i om vo dg gh rong pt pit. La mg in rl ng le Toi phi Laing tim tiahhe cng he: = 05 (21k mg, 14 i th, 14 dim) “Tenge gl nt i org i 0-60» 70min 75 da ng tong Abang 45S ph Phin beg (EF) (6th i ttle bt rm 37 38 Dign tm a8 (ECG- ElectroCardioGram) Biéu hign bén ngoai chu ky tim Sa = m—~f 7 eg rN Phin xa mitt: dn an es tong im sing > Phin xa Got: din manh ving hugng vi hate Co Keo anh ee ‘ang rong 6 bung Kieh hich ty X lam im ngimg dp, >Kichthich abt gt nitm mac mai hong ney me bing et wy ging tim, 43 44 Co ché thé dich Mormon thong hn tein pre). 13 vA an tng ip + Clcio:cle wong mang im ing tng ect, al eng na "gam gin noon cin im ny ang ig Nag 8 02 v8 C02: CO? mute, 02m gm im in dp shasta ewe = Ni se hip in ng a Bt ip i ii Digu hoa tai tim ‘ide ho ngay ttl thong qua lt Starling {ee co bp tim 81th vi di cia scot ude ico, tc I nu lagng mu dn vim eng nid him co Bp cng anh 45 46 GIAI PHAU - SINH LY DONG MACH a7 484. Béng mach “La pnt tog: Cnc to 201i to le 40 900 eng mech oo ‘tna mech enn amuse coiuegbien et ane OM C2 Un Deni. DM oh Tou meniniymang nse {en mg ate ‘Samoa =a 49 50 ‘jc tinh sinh ly thanh dGng mach Dic tinh sinh If thinh dong mach > Tah in i > Tinhco tit: Last ch am cho thin bag moh nrg an i i bi bin dang = Do on i quik = Bgngmach nla cai si chan? agin Ta nga dia di cing it Lado che eb sic tram thank dng mach co a dite dung ci ‘hd kin = Dang mach nd. miduco tron? -Bidu hd ug ma dn co quan vi did hoa hay dp. sa 52 HUYET AP DONG MACH Miu cy tong dng mach v6 mot p sult it inh go I huyét . = Mu chiy dupe ong dag mph kt qua auc 8p: Ie ly mau da tm vl lye cn ea ng mach, + Lue iy atm da thing ste cin eda bog mach nén miu chy ue rng ng mach vi mt ev pst oh inh Cac loai huyét 4p HUA ch a pst bu coat wang ch in do dave wong, loan ng A im tr, tn tp hae vo Wye eacotin = Be: Ome. ‘11 agin hd iW gi it ii + 118mg bn hp nb ih vg ea git s 56 Cre i i ic yeu tb dnb bwong t61 huyée dp iu hda tudn hoan ding mach [_rA-c om tame Resi cin atv) > Coch hina, amen anes = thin au > coctdinich sccm - ‘bu gl, Tin win hd ich mau) x hb cite 57 58 Co ché than kinh diéu hoa dong mach ‘Chyd thing qua tao ci a hn in vt += He gio ch ey o mac a chi yu. Ki heh py co BM v itu DM Lim ting HA. HE gio ei py ian och ki bt vine. goed py it mach én ng he ugg mic. HE ph gio cm val ro hing un rome + Comseh nto, mich vn + Gin mach ya nue bot mach go vi co quan abi ang Co ché thé dich digu hoa dgng mach > Yeah ly coma Aten v raed iy thong i Gy co gc ng HA. {Adrenalin so och i gan mach no, mh vo vn, Tang HA, sits + Noradeai o myc dn the Ting HA tm th ven ng, He cnn angiotensin: co mach, tha imi mo tng it osteo ‘isoptessn (ADH :aniieschormone): 9 meh THA 59 60Co ché thé dich digu hoa déng mach > utbaty gn mah “Bin eng th ig mh nt hn man moc 48 “sginte: coma yt mach gi hn ean mach ob Hsin: 6h itch moe dane it ch in hl ‘mach do d9 lim pm iA ao A eee + ANP rl marae epi doi hb tv BNP Baie pile) ey fa hunt ip doe dng in co ton nh nc Eamon Res Beak ml oq ey vast Co ché thé dich di > cheba hia ne hoa dong mech ng fon tng p60 2 Hom, Ng on en itn meh = Nag on Mg tng: yt ach ing 02 mi, CO? tne yn meh 61 62 Phan xa diéu hoa huyét ap > Phin xacim thy dp sult Ki HA kg tego eh psu DM chi ang DM) ‘Eheim im HA bo mack ok eh ay ‘Phin x cim Oy bia ee: Eh HA pdm (mini) ning 60, be CO, von Hong mag sic heh he rz aha cam h(n DM exe BM i) Phitsinh xen ag tu v8 hh no Ke heh tng co mach Lin fing HA Phan xa digu hoa huyét ap Phin cht tts i ma vim ish th gti an eg vo hm thc eh ‘sung dng rng tn ag dp hin mo tng ong ht to cm, tinge cope in. 63 GIAI PHAU - SINH LY TINH MACH > clu oda eh Tah mht Kew DM TM nh av mt hn eh Shing kém B40, = BM ign c62 TM ikem 6567 68 ‘Neguyén nhan tuan hoan TM "84cm ini Mu chy de wane TM chi ick sulindac ta ~ Apulia timo radi mach dng 1-1 mle tim pit Omg -> do smh trong mh in Ste niet ti ~ As mong tn hmong tn ng moi ‘og tnt th ch im, ‘Neuyén nhén tudn hoin TM >Do ste hat cia bog age. + Ap suit im tong lbng ng lim ee ah mach nm trong feng nave giana, ht mau amd tim > Anh hg cia cova van TM. Cog de nh mach he dan a mi chy wong ak mac = Nh ah mach 6 van nén mu chy ti m0 v8 tim, hiding p su TM 25mg, dmg I én 9Ommtig 69 ‘Nguyén nhan tuén hoan TM. Do dingmach ‘MB dg mac on ha nh mach Rem cing nim rong mb sa Kh dip eg mach ¢p nuh nach, dba meh wong teh mach. Anh huong ca tre pe Bet ng wong vee Sah tan ot oh ge és Sinh ly tuan hoan TM > Ay ye TA rong: oe TM un ten pst sh pW Omit Sw 5) + ALTA tng syn, uyén a vr dh qu iim tng oo ALTA git: mit, ‘Sanghi ing im, psu a pha Om ng bung Dm. ving 4 chan 8-30mmnFg ongso mw 39 6 aim va ig nm nSinh ly tudn hoan TM Chit ning chia mba a ‘TM.6tnh itn a0, tinh mach 6m gia rng ahh. 64Eng omg miu nm rong 8 TM, dy md 8 cn bing nb ms ‘i ml 20% tg omg mu maa ho in dy bi the. Sinh ly tuan hoan TM tube hoan TH Lin hag ma TM vt en quan ps tr oi pi Apu p Omi a wong ma tn omg vim Bi kin sin i os gm i ing his og 2 én Amigo B ™ Diéu hoa tuan hoan tinh mach ‘Ta coh tag eo it sheng dotcom an ail ono ‘Yeu co TM: tanh arent iain, GIAI PHAU - SINH LY MAO MACH + Vb iy git ag, ng 40, 4m. C0, ain 5 76 Dic diém cu tric hg mao mach Tain hoa mao mach con oi vit in 1H tng ao mach gm mong geht gd de ag mach va ih eh +L ol ia qu ta a 8 cl p0a nd va mb. Dinh 50-7002 (1017 mao mach) ee Oo 7 78m= ys bas y a 80 Phan loai mao mech ‘ac diém tuan hon mao mach "lao wach in. + Ansa aia is BM mm, TM Ome ‘COTS ni m8 vl ming dy én ye, kin ‘Mao mach thing nm "Td 90 nem eg 1 hing id mao mach i ca thn aye ng ‘Mao macs 65 thao mi vd ming iy moo mph bu xan) C16 thing 01 ng m0 v3 mang ey “Lang bg nang Khong de. TB i md kg itn be hos od tabn Khas (ga, y xv, Meh, situco quan ni) + Cleimao mich gine 6 en Tp did int eo vie tao ah ole Lag nuh mao meh: 86 Bi ug ea ot + Tbe 6 chy ptt: dang ah ma mach (1 8 nhih. Mu chy wong mao mesh tee at qung, hi han, Ki chim pha hue v6 be 9 it ‘hon ep Khong 80 in vine di chu cin uy tong), ‘Duong kinh cia cle maomych khong 67 naomt,p 20a ong kink pha ne Phy the vo pf be chat tai mao mach As Trao ‘lu mao BNE deh v4 ce eh NE MM ea ene = Blu mio TM 910 ce «dupe hp th, nas’ cts” 10 oe beh ant 86 iu hda tun hodn mao mgch theo co ehé TK “Ting qual TK gia cl (aren v oradkealin). Kch heh a, (coco) ech p2(g2n 9), Adrenalin: he dng revepor Noradenalin: he ng ecepor = Respir coin, eh poi Receptor eon, bb gc ti, Receptor 2: mich ao, ch inh co wom ph quiet ia ha 85 ‘Trao déi chat tai mao mach Mao mach hg cho pnt weg ag Hn 6 pon Tyo mao och ga ho prt tm un 87 iéu hda tun hoan mao mach theo co ché the dich lg 02 rong det ya quan tog on a en nao mh Kh 02 dh gm lm inc ng ase m0 ‘och O2 rg i oe Ning CO; mig ma gi vn eed ch tung and ich he ongum co bi ae mao moh Hsin rand protagnin ly git co hi rte man anh - Seon ly omic 89 88