{"id":3721,"date":"2015-11-10T20:14:07","date_gmt":"2015-11-10T20:14:07","guid":{"rendered":"https:\/\/lpfch.org\/works-of-heart\/"},"modified":"2024-02-14T14:07:11","modified_gmt":"2024-02-14T14:07:11","slug":"works-of-heart","status":"publish","type":"post","link":"http:\/\/lpfch.org\/vi\/impact-stories\/works-of-heart\/","title":{"rendered":"T\u00e1c ph\u1ea9m c\u1ee7a tr\u00e1i tim"},"content":{"rendered":"

\u0110\u1ed1i v\u1edbi Tawny Aye, vi\u1ec7c sinh \u0111\u1ee9a con \u0111\u1ea7u l\u00f2ng l\u00e0 m\u1ed9t tr\u1ea3i nghi\u1ec7m si\u00eau th\u1ef1c, kh\u00f4ng gi\u1ed1ng nh\u01b0 h\u1ea7u h\u1ebft c\u00e1c b\u00e0 m\u1eb9 kh\u00e1c.<\/p>\n

T\u1ed1i h\u00f4m \u0111\u00f3, th\u00e1ng 2 n\u0103m 2007, c\u00f3 t\u1edbi 14 b\u00e1c s\u0129, y t\u00e1 v\u00e0 c\u00e1c nh\u00e2n vi\u00ean kh\u00e1c t\u1eeb B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford v\u00e0 Trung t\u00e2m Tim m\u1ea1ch Nhi \u0111\u1ed3ng c\u00f3 m\u1eb7t t\u1ea1i ph\u00f2ng sinh c\u00f9ng c\u00f4, ch\u1edd \u0111\u1ee3i Orion ch\u00e0o \u0111\u1eddi. L\u00e0 m\u1ed9t em b\u00e9 c\u00f3 nguy c\u01a1 cao b\u1ecb thi\u1ebfu van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, Orion ch\u1ec9 c\u00f2n m\u1ed9t th\u1eddi gian ng\u1eafn n\u1eefa tr\u01b0\u1edbc khi t\u00ecnh h\u00ecnh tr\u1edf n\u00ean t\u1ed3i t\u1ec7. Kh\u00f4ng ai c\u00f3 th\u1ec3 ph\u00f3 m\u1eb7c tr\u00e1i tim khi\u1ebfm khuy\u1ebft c\u1ee7a c\u1eadu b\u00e9 cho s\u1ed1 ph\u1eadn. C\u1eadu b\u00e9 s\u01a1 sinh c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 d\u00f9ng thu\u1ed1c li\u00ean t\u1ee5c cho \u0111\u1ebfn khi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ph\u00f2ng ph\u1eabu thu\u1eadt tim.<\/p>\n

May m\u1eafn thay, Tawny v\u00e0 ch\u1ed3ng c\u00f4, Bo, \u0111\u00e3 chu\u1ea9n b\u1ecb r\u1ea5t k\u1ef9 cho kho\u1ea3nh kh\u1eafc n\u00e0y. Khi Tawny mang thai \u0111\u01b0\u1ee3c 18 tu\u1ea7n, c\u00f4 \u0111\u00e3 \u0111i x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc di truy\u1ec1n, sau \u0111\u00f3 l\u00e0 si\u00eau \u00e2m \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao, v\u00e0 k\u1ebft qu\u1ea3 cho th\u1ea5y Orion b\u1ecb teo ph\u1ed5i v\u1edbi v\u00e1ch ng\u0103n t\u00e2m th\u1ea5t c\u00f2n nguy\u00ean v\u1eb9n. D\u1ecb t\u1eadt b\u1ea9m sinh hi\u1ebfm g\u1eb7p n\u00e0y \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00ec van tim, n\u01a1i m\u00e1u ch\u1ea3y ra t\u1eeb tim \u0111\u1ebfn ph\u1ed5i c\u1ee7a em b\u00e9, ch\u01b0a bao gi\u1edd ph\u00e1t tri\u1ec3n ho\u00e0n thi\u1ec7n. C\u00e1c b\u00e1c s\u0129 c\u1ee7a Tawny t\u1ea1i Qu\u1eadn Cam, California cho bi\u1ebft h\u1ecd kh\u00f4ng th\u1ec3 l\u00e0m g\u00ec cho \u0111\u1ebfn khi em b\u00e9 ch\u00e0o \u0111\u1eddi. H\u1ecd th\u1eadm ch\u00ed c\u00f2n c\u00f3 v\u1ebb h\u01a1i b\u1ed1i r\u1ed1i tr\u01b0\u1edbc t\u00ecnh h\u00ecnh nghi\u00eam tr\u1ecdng n\u00e0y.<\/p>\n

\u201cB\u00e1c s\u0129 tim m\u1ea1ch \u0111\u1ea7u ti\u00ean c\u1ee7a ch\u00fang t\u00f4i kh\u00f4ng bi\u1ebft v\u1ec1 nh\u1eefng lo\u1ea1i d\u1ecb t\u1eadt tim n\u00e0y v\u00e0 ch\u1ec9 nh\u00ecn th\u1ea5y ch\u00fang trong s\u00e1ch gi\u00e1o khoa\u201d, Bo nh\u1edb l\u1ea1i.<\/p>\n

Gia \u0111\u00ecnh Ayes mu\u1ed1n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chuy\u00ean m\u00f4n n\u00ean \u0111\u00e3 b\u1eaft \u0111\u1ea7u t\u00ecm hi\u1ec3u k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 t\u00ecnh tr\u1ea1ng tim c\u1ee7a con trai m\u00ecnh. Sau khi xem x\u00e9t nhi\u1ec1u b\u1ec7nh vi\u1ec7n nhi chuy\u00ean khoa tim m\u1ea1ch nhi, h\u1ecd \u0111\u00e3 ch\u1ecdn B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford. Trung t\u00e2m Tim m\u1ea1ch Nhi c\u1ee7a ch\u00fang t\u00f4i, do gi\u00e1m \u0111\u1ed1c \u0111i\u1ec1u h\u00e0nh Frank Hanley, Ti\u1ebfn s\u0129 Y khoa, m\u1ed9t b\u00e1c s\u0129 ph\u1eabu thu\u1eadt tim m\u1ea1ch l\u1ed3ng ng\u1ef1c n\u1ed5i ti\u1ebfng v\u00e0 l\u00e0 m\u1ed9t nh\u00e2n v\u1eadt uy t\u00edn trong c\u1ed9ng \u0111\u1ed3ng y khoa, d\u1eabn d\u1eaft, v\u00e0 gi\u00e1m \u0111\u1ed1c Stephen Roth, Ti\u1ebfn s\u0129 Y khoa, Th\u1ea1c s\u0129 Y t\u1ebf C\u00f4ng c\u1ed9ng, m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn tr\u00ean to\u00e0n qu\u1ed1c, n\u1ed5i ti\u1ebfng v\u1edbi vi\u1ec7c ch\u0103m s\u00f3c nh\u1eefng b\u1ec7nh nh\u00e2n n\u1eb7ng nh\u1ea5t v\u00e0 ph\u1ee9c t\u1ea1p nh\u1ea5t tr\u00ean to\u00e0n qu\u1ed1c. Nh\u1edd \u0111\u00f3, trung t\u00e2m c\u1ee7a ch\u00fang t\u00f4i li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c x\u1ebfp h\u1ea1ng l\u00e0 m\u1ed9t trong 15 ch\u01b0\u01a1ng tr\u00ecnh tim m\u1ea1ch nhi khoa h\u00e0ng \u0111\u1ea7u qu\u1ed1c gia theo US News & World Report. <\/p>\n

Gia \u0111\u00ecnh Ayes \u0111\u00e3 r\u1ea5t \u1ea5n t\u01b0\u1ee3ng \u0111\u1ebfn m\u1ee9c \u0111i kh\u1eafp ti\u1ec3u bang.<\/p>\n

\u201cCh\u00fang t\u00f4i ho\u00e0n to\u00e0n \u0111\u1ed3ng \u00fd v\u1edbi m\u1ecdi \u0111i\u1ec1u m\u00e0 c\u00e1c b\u00e1c s\u0129 \u1edf \u0111\u00f3 mu\u1ed1n l\u00e0m,\u201d Bo nh\u1edb l\u1ea1i. \u201cTrong khi c\u00e1c b\u00e1c s\u0129 \u1edf Qu\u1eadn Cam n\u00f3i r\u1eb1ng ch\u00fang t\u00f4i ch\u1ec9 c\u1ea7n \u0111\u1ee3i \u0111\u1ebfn khi Orion ch\u00e0o \u0111\u1eddi m\u1edbi gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim c\u1ee7a b\u00e9, th\u00ec c\u00e1c b\u00e1c s\u0129 \u1edf Stanford l\u1ea1i mu\u1ed1n b\u1eaft \u0111\u1ea7u theo d\u00f5i b\u00e9 ngay l\u1eadp t\u1ee9c.\u201d<\/p>\n

\u0110i\u1ec1u \u0111\u00f3 \u0111\u00e3 thuy\u1ebft ph\u1ee5c c\u1eb7p \u0111\u00f4i n\u00e0y thu d\u1ecdn \u0111\u1ed3 \u0111\u1ea1c v\u00e0 chuy\u1ec3n \u0111\u1ebfn Mountain View, California, ch\u1ec9 c\u00e1ch b\u1ec7nh vi\u1ec7n c\u1ee7a ch\u00fang t\u00f4i 15 ph\u00fat l\u00e1i xe.<\/p>\n

Trong v\u00f2ng n\u0103m ng\u00e0y sau khi Orion ch\u00e0o \u0111\u1eddi, c\u00e1c b\u00e1c s\u0129 ph\u1eabu thu\u1eadt c\u1ee7a ch\u00fang t\u00f4i \u0111\u00e3 ph\u1eabu thu\u1eadt \u0111\u1eb7t \u1ed1ng d\u1eabn l\u01b0u v\u00e0 v\u00e1 th\u00f4ng \u0111\u01b0\u1eddng ra ph\u1ed5i \u0111\u1ec3 b\u00e9 c\u00f3 \u0111\u1ee7 m\u00e1u l\u01b0u th\u00f4ng \u0111\u1ebfn ph\u1ed5i. Khi \u0111\u01b0\u1ee3c 18 th\u00e1ng tu\u1ed5i, Orion \u0111\u00e3 tr\u1ea3i qua b\u1ed1n ca ph\u1eabu thu\u1eadt tim h\u1edf \u0111\u1ec3 s\u1eeda ch\u1eefa c\u00e1c c\u1ea5u tr\u00fac tim b\u1ea5t th\u01b0\u1eddng. C\u00e1c b\u00e1c s\u0129 c\u1ee7a b\u00e9, bao g\u1ed3m c\u1ea3 b\u00e1c s\u0129 tim m\u1ea1ch nhi khoa David Axelrod, v\u1eabn ti\u1ebfp t\u1ee5c theo d\u00f5i s\u00e1t sao t\u00ecnh tr\u1ea1ng c\u1ee7a b\u00e9.<\/p>\n

\u0110\u1ed1i v\u1edbi nh\u1eefng tr\u1ebb em nh\u01b0 Orion, kh\u1ea3 n\u0103ng ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ti\u00ean ti\u1ebfn c\u1ee7a Trung t\u00e2m Tim m\u1ea1ch c\u1ee7a ch\u00fang t\u00f4i l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n thi\u1ebft y\u1ebfu trong vi\u1ec7c ch\u0103m s\u00f3c c\u00e1c em, theo Ti\u1ebfn s\u0129 Frandics Chan, Ph\u00f3 Gi\u00e1o s\u01b0 X quang. Chan d\u1eabn \u0111\u1ea7u m\u1ed9t \u0111\u1ed9i ng\u0169 chuy\u00ean gia ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh tim m\u1ea1ch \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn tr\u00ean to\u00e0n qu\u1ed1c, nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 mang \u0111\u1ebfn b\u1ec7nh vi\u1ec7n ch\u00fang t\u00f4i nhi\u1ec1u c\u00f4ng ngh\u1ec7 m\u1edbi \u2014 bao g\u1ed3m MRI, CT, X quang v\u00e0 si\u00eau \u00e2m \u2014 gi\u00fap t\u0103ng c\u01b0\u1eddng an to\u00e0n cho b\u1ec7nh nh\u00e2n v\u00e0 cung c\u1ea5p th\u00f4ng tin m\u1edbi v\u1ec1 b\u1ec7nh tim \u1edf tr\u1ebb em. \u0110\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c th\u00f4ng tin chi ti\u1ebft v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a Orion, nh\u00f3m ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh tim m\u1ea1ch \u0111\u00e3 ti\u1ebfn h\u00e0nh ch\u1ee5p MRI kh\u00f4ng x\u00e2m l\u1ea5n, cung c\u1ea5p h\u00ecnh \u1ea3nh ba chi\u1ec1u v\u1ec1 chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a tim c\u0169ng nh\u01b0 d\u00f2ng m\u00e1u ch\u1ea3y qua tim.<\/p>\n

Khi Orion \u0111\u01b0\u1ee3c 5 tu\u1ed5i, c\u00e1c b\u00e1c s\u0129 quy\u1ebft \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng r\u00f2 r\u1ec9 \u1ed1ng d\u1eabn van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i gi\u1eefa bu\u1ed3ng tim ph\u1ea3i v\u00e0 ph\u1ed5i c\u1ee7a b\u00e9 b\u1eb1ng van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i nh\u00e2n t\u1ea1o MelodyTM. Van n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u1ea5y gh\u00e9p v\u00e0o tim b\u1eb1ng \u1ed1ng th\u00f4ng thay v\u00ec ph\u1eabu thu\u1eadt tim h\u1edf. Orion ch\u1eafc ch\u1eafn \u0111\u00e3 qu\u00e1 ch\u00e1n ng\u00e1n nh\u1eefng ca ph\u1eabu thu\u1eadt nh\u01b0 v\u1eady. <\/p>\n

\u0110\u00f3 ch\u00ednh l\u00e0 l\u00fac Ti\u1ebfn s\u0129 Lynn Peng, b\u00e1c s\u0129 tim m\u1ea1ch can thi\u1ec7p t\u1ea1i Trung t\u00e2m Tim m\u1ea1ch Tr\u1ebb em, xu\u1ea5t hi\u1ec7n.<\/p>\n

\u201cKh\u00f4ng ph\u1ea3i m\u1ecdi th\u1ee9 \u0111\u1ec1u ph\u1ea3i \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa trong ph\u00f2ng ph\u1eabu thu\u1eadt,\u201d Peng l\u01b0u \u00fd. \u201c\u0110\u00f4i khi ch\u00fang t\u00f4i th\u00edch \u00e1p d\u1ee5ng m\u1ed9t th\u1ee7 thu\u1eadt \u00edt x\u00e2m l\u1ea5n h\u01a1n.\u201d<\/p>\n

B\u00e1c s\u0129 Peng gi\u1ea3i th\u00edch r\u1eb1ng can thi\u1ec7p kh\u00f4ng ph\u1eabu thu\u1eadt \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n thi\u1ebft y\u1ebfu trong c\u00e1c li\u1ec7u ph\u00e1p c\u1ee7a trung t\u00e2m. C\u00f4 \u0111\u00e3 c\u1ea5y gh\u00e9p th\u00e0nh c\u00f4ng van MelodyTM m\u1edbi c\u1ee7a Orion t\u1ea1i Ph\u00f2ng Th\u00f4ng tim Nhi, m\u1ed9t ph\u00f2ng th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c trang b\u1ecb thi\u1ebft b\u1ecb ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh d\u00f9ng \u0111\u1ec3 quan s\u00e1t \u0111\u1ed9ng m\u1ea1ch v\u00e0 bu\u1ed3ng tim c\u1ee7a b\u1ec7nh nh\u00e2n. \u1ed0ng th\u00f4ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o ch\u00e2n, c\u1ed5 ho\u1eb7c vai v\u00e0 lu\u1ed3n qua t\u0129nh m\u1ea1ch ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 th\u1ef1c hi\u1ec7n m\u1ecdi thao t\u00e1c, t\u1eeb ch\u1ea9n \u0111o\u00e1n v\u00e0 sinh thi\u1ebft \u0111\u01a1n gi\u1ea3n \u0111\u1ebfn \u0111\u1eb7t stent t\u1eafc ngh\u1ebdn v\u00e0 \u0111\u00f3ng l\u1ed7 th\u00f4ng tim.<\/p>\n

\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c c\u1ee7a b\u1ec7nh nh\u00e2n ng\u1eafn h\u01a1n v\u00e0 d\u1ec5 d\u00e0ng h\u01a1n so v\u1edbi sau ph\u1eabu thu\u1eadt. B\u00e1c s\u0129 Peng cho bi\u1ebft, t\u1ed5ng c\u1ed9ng c\u00e1c b\u00e1c s\u0129 tim m\u1ea1ch can thi\u1ec7p c\u1ee7a Trung t\u00e2m Tim m\u1ea1ch Nhi hi\u1ec7n th\u1ef1c hi\u1ec7n 1.100 ca th\u00f4ng tim m\u1ed7i n\u0103m.<\/p>\n

B\u00e0 ca ng\u1ee3i Trung t\u00e2m Tim m\u1ea1ch Tr\u1ebb em l\u00e0 m\u1ed9t trong nh\u1eefng trung t\u00e2m ti\u00ean ti\u1ebfn nh\u1ea5t c\u1ea3 n\u01b0\u1edbc. "Ch\u00fang t\u00f4i c\u00f3 m\u1ed9t s\u1ed1 chuy\u00ean gia \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n nh\u1ea5t th\u1ebf gi\u1edbi. Ch\u00fang t\u00f4i c\u00f3 nh\u1eefng con ng\u01b0\u1eddi kh\u00f4ng ch\u1ec9 th\u00fac \u0111\u1ea9y l\u0129nh v\u1ef1c n\u00e0y m\u00e0 c\u00f2n ti\u00ean phong trong l\u0129nh v\u1ef1c n\u00e0y."<\/p>\n

M\u1ed9t ng\u00e0y sau khi Orion \u0111\u01b0\u1ee3c \u0111\u1eb7t \u1ed1ng th\u00f4ng tim, Bo \u0111\u00e3 chia s\u1ebb tin vui tr\u00ean blog c\u1ee7a gia \u0111\u00ecnh. "Van MelodyTM \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u1eb7t th\u00e0nh c\u00f4ng v\u00e0 ch\u00fang t\u00f4i v\u00f4 c\u00f9ng vui m\u1eebng tr\u01b0\u1edbc k\u1ebft qu\u1ea3 n\u00e0y", anh vi\u1ebft. "Ch\u1ec9 n\u0103m n\u0103m tr\u01b0\u1edbc, khi Orion \u0111\u01b0\u1ee3c \u0111\u1eb7t van \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, kh\u00f4ng c\u00f2n l\u1ef1a ch\u1ecdn n\u00e0o kh\u00e1c ngo\u00e0i ph\u1eabu thu\u1eadt tim h\u1edf. Gi\u1edd \u0111\u00e2y, sau hai ng\u00e0y n\u1eb1m vi\u1ec7n, Orion d\u01b0\u1eddng nh\u01b0 \u0111\u00e3 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng v\u00e0 s\u1eafp \u0111\u01b0\u1ee3c v\u1ec1 nh\u00e0."<\/p>\n

\u0110\u1ed1i v\u1edbi Orion, B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford \u0111\u00e3 t\u1ea1o n\u00ean s\u1ef1 kh\u00e1c bi\u1ec7t l\u1edbn trong ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u00e9, theo l\u1eddi gia \u0111\u00ecnh Ayes. K\u1ec3 t\u1eeb khi \u0111\u01b0\u1ee3c l\u1eafp van tim MelodyTM, m\u1eb9 b\u00e9 n\u00f3i th\u00eam: "Con th\u1eadt tuy\u1ec7t v\u1eddi. Con l\u00e0 m\u1ed9t \u0111\u1ee9a tr\u1ebb 7 tu\u1ed5i b\u00ecnh th\u01b0\u1eddng."<\/p>\n

\u201c\u0110i\u1ec1u ch\u00fang t\u00f4i th\u00edch nh\u1ea5t \u1edf Packard l\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p nh\u1ecbp nh\u00e0ng c\u1ee7a h\u1ecd tr\u00ean m\u1ecdi ph\u01b0\u01a1ng di\u1ec7n,\u201d Bo n\u00f3i. \u201cC\u00e1c b\u00e1c s\u0129 \u0111\u00e3 l\u00e0m vi\u1ec7c \u0103n \u00fd, \u0111i\u1ec1u n\u00e0y gi\u00fap ch\u00fang t\u00f4i hi\u1ec3u r\u00f5 h\u01a1n t\u00ecnh tr\u1ea1ng c\u1ee7a con trai m\u00ecnh.\u201d<\/p>\n

M\u1ed9t th\u00e0nh t\u00edch th\u00e0nh c\u00f4ng <\/h2>\n

Qua nhi\u1ec1u n\u0103m, nh\u1edd s\u1ef1 \u0111\u1ea7u t\u01b0 t\u1eeb c\u1ed9ng \u0111\u1ed3ng t\u1eeb thi\u1ec7n, Trung t\u00e2m Tim m\u1ea1ch Tr\u1ebb em \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t ph\u1ea7n kh\u00f4ng th\u1ec3 thi\u1ebfu c\u1ee7a B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford, v\u1edbi h\u01a1n 250 gi\u1ea3ng vi\u00ean v\u00e0 nh\u00e2n vi\u00ean t\u1eadn t\u1ee5y \u0111\u1ea1i di\u1ec7n cho nhi\u1ec1u chuy\u00ean khoa kh\u00e1c nhau, bao g\u1ed3m tim m\u1ea1ch, ph\u1eabu thu\u1eadt tim m\u1ea1ch l\u1ed3ng ng\u1ef1c, g\u00e2y m\u00ea tim, ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, h\u1ed3i s\u1ee9c tim m\u1ea1ch t\u00edch c\u1ef1c, s\u01a1 sinh, \u0111i\u1ec1u d\u01b0\u1ee1ng, li\u1ec7u ph\u00e1p h\u00f4 h\u1ea5p, v\u00e0 th\u1eadm ch\u00ed c\u1ea3 c\u00f4ng t\u00e1c x\u00e3 h\u1ed9i. M\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u l\u00e0m vi\u1ec7c theo nh\u00f3m v\u00e0 c\u00f3 ki\u1ebfn th\u1ee9c chuy\u00ean s\u00e2u v\u1ec1 t\u1eebng tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

N\u0103m ngo\u00e1i, trung t\u00e2m \u0111\u00e3 ti\u1ebfp nh\u1eadn 6.600 l\u01b0\u1ee3t kh\u00e1m ngo\u1ea1i tr\u00fa v\u00e0 th\u1ef1c hi\u1ec7n h\u01a1n 600 ca ph\u1eabu thu\u1eadt tim t\u1ea1i ch\u1ed7, c\u1ed9ng th\u00eam 500 ca kh\u00e1c v\u1edbi c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh \u0111\u1ed1i t\u00e1c tr\u00ean kh\u1eafp B\u1eafc California. N\u0103m nay, nh\u00f3m \u0111\u00e3 th\u1ef1c hi\u1ec7n 25 ca gh\u00e9p tim nhi khoa, trong t\u1ed5ng s\u1ed1 ch\u1ec9 500 ca gh\u00e9p tim nhi khoa \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n h\u00e0ng n\u0103m tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/p>\n

Ngay c\u1ea3 tr\u01b0\u1edbc khi Trung t\u00e2m Tim m\u1ea1ch Nhi \u0111\u01b0\u1ee3c th\u00e0nh l\u1eadp, Stanford \u0111\u00e3 n\u1ed5i ti\u1ebfng v\u1edbi vi\u1ec7c gh\u00e9p tim. N\u0103m 1968, B\u00e1c s\u0129 Norman Shumway c\u1ee7a Stanford \u0111\u00e3 th\u1ef1c hi\u1ec7n ca gh\u00e9p tim th\u00e0nh c\u00f4ng \u0111\u1ea7u ti\u00ean cho ng\u01b0\u1eddi l\u1edbn tr\u00ean to\u00e0n qu\u1ed1c. Ng\u00e0y nay, \u0111\u1ed9i ng\u0169 nhi khoa ti\u1ebfp t\u1ee5c ph\u00e1t huy b\u1ec1 d\u00e0y l\u1ecbch s\u1eed th\u00e0nh c\u00f4ng \u0111\u00f3.<\/p>\n

Trung t\u00e2m Tim m\u1ea1ch Nhi khoa ph\u00e1t tri\u1ec3n m\u1ea1nh m\u1ebd d\u1ef1a tr\u00ean kh\u00e1i ni\u1ec7m khu v\u1ef1c h\u00f3a ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nhi khoa, m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 mang l\u1ea1i d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c ph\u1ed1i h\u1ee3p v\u00e0 to\u00e0n di\u1ec7n t\u1ed1t nh\u1ea5t c\u00f3 th\u1ec3 cho tr\u1ebb em c\u00f3 nhu c\u1ea7u y t\u1ebf ph\u1ee9c t\u1ea1p. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ec9 ra r\u1eb1ng c\u00e1c nh\u00e2n vi\u00ean ch\u0103m s\u00f3c s\u1ebd chuy\u00ean m\u00f4n h\u00f3a v\u00e0 th\u00e0nh c\u00f4ng h\u01a1n nhi\u1ec1u khi h\u1ecd \u0111i\u1ec1u tr\u1ecb m\u1ed9t l\u01b0\u1ee3ng l\u1edbn c\u00e1c ca b\u1ec7nh ph\u1ee9c t\u1ea1p t\u1ea1i c\u00e1c trung t\u00e2m chuy\u00ean khoa khu v\u1ef1c nh\u01b0 ch\u00fang t\u00f4i\u2014do \u0111\u00f3, Trung t\u00e2m Tim m\u1ea1ch c\u1ee7a ch\u00fang t\u00f4i c\u00f3 t\u1ef7 l\u1ec7 s\u1ed1ng s\u00f3t l\u00ean \u0111\u1ebfn 98% sau ph\u1eabu thu\u1eadt tim.<\/p>\n

H\u01a1n n\u1eefa, v\u1edbi c\u00e1c \u0111\u1ed1i t\u00e1c v\u00e0 ph\u00f2ng kh\u00e1m tr\u00ean kh\u1eafp B\u1eafc California, m\u1ea1ng l\u01b0\u1edbi r\u1ed9ng kh\u1eafp c\u1ee7a Trung t\u00e2m Tim m\u1ea1ch c\u1ee7a ch\u00fang t\u00f4i cho ph\u00e9p b\u1ec7nh nh\u00e2n nh\u1eadn \u0111\u01b0\u1ee3c d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c v\u00e0 k\u1ebft qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i nh\u01b0 khi \u0111\u1ebfn Stanford, m\u00e0 v\u1eabn g\u1ea7n nh\u00e0. Trung t\u00e2m Tim m\u1ea1ch Nhi khoa ch\u1ecbu tr\u00e1ch nhi\u1ec7m th\u1ef1c hi\u1ec7n kho\u1ea3ng 80% ca ph\u1eabu thu\u1eadt tim nhi khoa v\u00e0 100% ca gh\u00e9p tim nhi khoa t\u1ea1i B\u1eafc California.<\/p>\n

L\u00e0 gi\u1ea3ng vi\u00ean t\u1ea1i Khoa Y \u0110\u1ea1i h\u1ecdc Stanford, c\u00e1c b\u00e1c s\u0129 c\u1ee7a ch\u00fang t\u00f4i c\u0169ng ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u v\u1ec1 b\u1ec7nh tim \u1edf tr\u1ebb em, sau \u0111\u00f3 \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn cho b\u1ec7nh nh\u00e2n ho\u1eb7c c\u00e1c k\u1ef9 thu\u1eadt ph\u00f2ng ng\u1eeba. Trung t\u00e2m hi\u1ec7n \u0111ang tham gia 20 th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 \u0111\u00e3 n\u1ed9p h\u01a1n 150 b\u00e0i b\u00e1o \u0111\u1ec3 xu\u1ea5t b\u1ea3n tr\u00ean c\u00e1c t\u1ea1p ch\u00ed \u0111\u01b0\u1ee3c b\u00ecnh duy\u1ec7t ch\u1ec9 trong n\u0103m qua. T\u1ecda l\u1ea1c t\u1ea1i trung t\u00e2m Thung l\u0169ng Silicon, c\u00e1c b\u00e1c s\u0129 v\u00e0 nh\u00e0 nghi\u00ean c\u1ee9u c\u1ee7a ch\u00fang t\u00f4i kh\u00f4ng ch\u1ec9 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb nh\u1eefng ti\u1ebfn b\u1ed9 khoa h\u1ecdc v\u00e0 c\u00f4ng ngh\u1ec7 sinh h\u1ecdc c\u1ee7a \u0110\u1ea1i h\u1ecdc Stanford m\u00e0 c\u00f2n t\u1eeb nh\u1eefng \u0111\u1ed5i m\u1edbi c\u00f4ng ngh\u1ec7. V\u00e0 b\u1ec7nh nh\u00e2n c\u1ee7a ch\u00fang t\u00f4i c\u0169ng v\u1eady.<\/p>\n

Trung t\u00e2m Tim m\u1ea1ch Nhi \u0111\u00e3 th\u00e0nh c\u00f4ng \u0111\u1ebfn m\u1ee9c hi\u1ec7n \u0111ang l\u00ean k\u1ebf ho\u1ea1ch m\u1edf r\u1ed9ng, n\u00e2ng c\u00f4ng su\u1ea5t t\u1eeb 20 l\u00ean 36 gi\u01b0\u1eddng t\u1ea1i khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch (CVICU) v\u00e0 t\u1eeb 20 l\u00ean 26 gi\u01b0\u1eddng t\u1ea1i khoa Tim m\u1ea1ch. B\u1ec7nh vi\u1ec7n c\u0169ng s\u1ebd c\u00f3 th\u00eam s\u00e1u ph\u00f2ng ph\u1eabu thu\u1eadt m\u1edbi trong khu\u00f4n vi\u00ean r\u1ed9ng 521.000 foot vu\u00f4ng (kho\u1ea3ng 5.100 m\u00e9t vu\u00f4ng) khi kh\u00e1nh th\u00e0nh v\u00e0o n\u0103m 2017, gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn cho c\u00e1c ca ph\u1eabu thu\u1eadt tim v\u00e0 gh\u00e9p tim c\u1ee9u s\u1ed1ng b\u1ec7nh nh\u00e2n. Ngo\u00e0i ra, ch\u00fang t\u00f4i \u0111ang x\u00e2y d\u1ef1ng m\u1ed9t ph\u00f2ng th\u00f4ng tim hi\u1ec7n \u0111\u1ea1i v\u00e0 m\u1edf r\u1ed9ng n\u0103ng l\u1ef1c ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh ti\u00ean ti\u1ebfn.<\/p>\n

\u201cVi\u1ec7c m\u1edf r\u1ed9ng Trung t\u00e2m Tim m\u1ea1ch c\u1ee7a ch\u00fang t\u00f4i \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c ng\u00e0y c\u00e0ng nhi\u1ec1u tr\u1ebb em m\u1eafc c\u00e1c b\u1ec7nh tim ph\u1ee9c t\u1ea1p, c\u0169ng nh\u01b0 s\u1ed1 l\u01b0\u1ee3ng ng\u01b0\u1eddi l\u1edbn s\u1ed1ng s\u00f3t sau b\u1ec7nh tim b\u1ea9m sinh, s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn m\u1ed9t trong nh\u1eefng ch\u01b0\u01a1ng tr\u00ecnh ti\u00ean ti\u1ebfn nh\u1ea5t n\u01b0\u1edbc M\u1ef9\u201d, Roth, tr\u01b0\u1edfng khoa tim m\u1ea1ch nhi, gi\u1ea3i th\u00edch. \u201cNhi\u1ec1u tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn s\u1ed1ng s\u00f3t sau b\u1ec7nh tim b\u1ea9m sinh \u0111\u00e3 h\u1ebft l\u1ef1a ch\u1ecdn \u1edf n\u01a1i kh\u00e1c.\u201d<\/p>\n

Roth, c\u0169ng l\u00e0 gi\u00e1o s\u01b0 nhi khoa tim m\u1ea1ch t\u1ea1i Tr\u01b0\u1eddng Y khoa \u0110\u1ea1i h\u1ecdc Stanford, cho bi\u1ebft hi\u1ec7n nay nhu c\u1ea7u v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb chuy\u00ean s\u00e2u cho c\u00e1c b\u1ec7nh tim b\u1ea9m sinh v\u00e0 m\u1eafc ph\u1ea3i cao h\u01a1n bao gi\u1edd h\u1ebft.<\/p>\n

\u00d4ng cho bi\u1ebft: \u201cCh\u00fang t\u00f4i c\u00f3 uy t\u00edn x\u1ee9ng \u0111\u00e1ng v\u1ec1 tinh th\u1ea7n l\u00e0m vi\u1ec7c nh\u00f3m chuy\u00ean nghi\u1ec7p, c\u00f4ng c\u1ee5 v\u00e0 c\u00f4ng ngh\u1ec7 ti\u00ean ti\u1ebfn, c\u0169ng nh\u01b0 \u0111\u1ed9i ng\u0169 b\u00e1c s\u0129 v\u00e0 ch\u0103m s\u00f3c c\u00f3 tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n v\u00e0 kinh nghi\u1ec7m cao nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi\u201d.<\/p>\n

Ti\u1ebfn s\u0129 Chandra Ramamoorthy, ng\u01b0\u1eddi \u0111\u1ee9ng \u0111\u1ea7u nh\u00f3m g\u1ed3m 11 b\u00e1c s\u0129 g\u00e2y m\u00ea tim, t\u00e1n th\u00e0nh \u0111i\u1ec1u \u0111\u00f3.<\/p>\n

\u201cB\u1ec7nh nh\u00e2n tim nhi khoa th\u01b0\u1eddng r\u1ea5t ph\u1ee9c t\u1ea1p,\u201d b\u00e0 n\u00f3i. \u201cNhi\u1ec1u tr\u1ebb c\u00f2n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd kh\u00f4ng li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch ngo\u00e0i b\u1ec7nh tim. C\u00e1c em th\u01b0\u1eddng c\u00f3 nhi\u1ec1u b\u00e1c s\u0129, bao g\u1ed3m c\u1ea3 b\u00e1c s\u0129 nhi khoa t\u1eeb b\u1ea5t c\u1ee9 n\u01a1i n\u00e0o c\u00e1c em s\u1ed1ng. Ch\u00fang t\u00f4i ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n t\u1eeb kh\u1eafp n\u01a1i tr\u00ean th\u1ebf gi\u1edbi, \u0111i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch ch\u1eb7t ch\u1ebd v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c b\u00ean li\u00ean quan.\u201d<\/p>\n

Ramamoorthy cho bi\u1ebft c\u00f3 c\u00e1c cu\u1ed9c h\u1ecdp h\u00e0ng tu\u1ea7n, n\u01a1i gi\u1ea3ng vi\u00ean v\u00e0 nh\u00e2n vi\u00ean th\u1ea3o lu\u1eadn v\u1ec1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n, v\u00e0 c\u00f9ng nhau x\u00e2y d\u1ef1ng m\u1ed9t chi\u1ebfn l\u01b0\u1ee3c th\u1ed1ng nh\u1ea5t, bao g\u1ed3m c\u1ea3 c\u00e1c b\u00e1c s\u0129 g\u00e2y m\u00ea, nh\u1eefng ng\u01b0\u1eddi chuy\u00ean ch\u0103m s\u00f3c tr\u1ebb em m\u1eafc b\u1ec7nh tim. C\u00e1c b\u00e1c s\u0129 g\u00e2y m\u00ea tim \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng, s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m \u0111au an to\u00e0n v\u00e0 gi\u00fap tr\u1ebb tho\u1ea3i m\u00e1i trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n, \u0111\u1eb7t \u1ed1ng th\u00f4ng tim v\u00e0 c\u00e1c th\u1ee7 thu\u1eadt kh\u00e1c. Trong ph\u00f2ng ph\u1eabu thu\u1eadt, c\u00e1c b\u00e1c s\u0129 g\u00e2y m\u00ea ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c th\u00e0nh vi\u00ean trong nh\u00f3m v\u00e0 ki\u1ec3m so\u00e1t c\u00e1c ch\u1ee9c n\u0103ng sinh t\u1ed3n nh\u01b0 huy\u1ebft \u00e1p, nhi\u1ec7t \u0111\u1ed9, ch\u1ee9c n\u0103ng tim v\u00e0 n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u. M\u1ed7i b\u1ec7nh nh\u00e2n l\u00e0 duy nh\u1ea5t v\u00e0 vi\u1ec7c qu\u1ea3n l\u00fd g\u00e2y m\u00ea \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a \u0111\u1ec3 mang l\u1ea1i s\u1ef1 ch\u0103m s\u00f3c t\u1ed1t nh\u1ea5t.<\/p>\n

\u201c\u0110\u00f3 l\u00e0 m\u1ed9t chuy\u00ean m\u00f4n,\u201d Ramamoorthy n\u00f3i. \u201cC\u00e1c b\u00e1c s\u0129 g\u00e2y m\u00ea tim \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n v\u00e0 an to\u00e0n b\u1ec7nh nh\u00e2n l\u00e0 \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u c\u1ee7a ch\u00fang t\u00f4i. Ch\u00fang t\u00f4i kh\u00f4ng ch\u1ec9 n\u00f3i v\u1ec1 nh\u1eefng ng\u01b0\u1eddi r\u1ea5t tr\u1ebb m\u1eafc b\u1ec7nh n\u1eb7ng, m\u00e0 c\u1ea3 nh\u1eefng nhu c\u1ea7u c\u1ea3m x\u00fac c\u1ee7a tr\u1ebb c\u0169ng c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 ch\u1ee9ng s\u1ee3 b\u1ecb g\u00e2y m\u00ea. B\u1ea1n ph\u1ea3i linh ho\u1ea1t v\u00e0 c\u00f3 c\u1ea3 ph\u01b0\u01a1ng \u00e1n 'A' l\u1eabn ph\u01b0\u01a1ng \u00e1n 'B'.\u201d<\/p>\n

Y\u00eau c\u1ea7u chuy\u00ean m\u00f4n <\/h2>\n

K\u1ebf ho\u1ea1ch duy nh\u1ea5t c\u1ee7a Karen Vargas l\u00e0 t\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 cho c\u00f4 con g\u00e1i 3 tu\u1ed5i c\u1ee7a m\u00ecnh, Kate Zuno. L\u00fac 1 tu\u1ed5i, s\u1ee9c kh\u1ecfe c\u1ee7a Kate kh\u00f4ng \u1ed5n \u0111\u1ecbnh. C\u00f4 b\u00e9 b\u1ecb t\u00e1o b\u00f3n v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng c\u00fam, bao g\u1ed3m kh\u00f3 th\u1edf. C\u00e1c b\u00e1c s\u0129 \u0111\u1ecba ph\u01b0\u01a1ng \u1edf Ukiah, California ngh\u0129 r\u1eb1ng c\u00f4 b\u00e9 b\u1ecb nhi\u1ec5m virus. Nh\u01b0ng tr\u1ef1c gi\u00e1c m\u00e1ch b\u1ea3o Vargas r\u1eb1ng \u0111\u00f3 l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh nghi\u00eam tr\u1ecdng h\u01a1n. M\u1eb9 c\u1ee7a Vargas \u0111\u1ed3ng \u00fd, th\u00fac gi\u1ee5c c\u00f4 \u0111\u01b0a Kate \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u \u0111\u1ec3 l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m.<\/p>\n

Vargas nh\u1edb l\u1ea1i: \u201cL\u1ea7n n\u00e0y khi \u0111\u01b0a con b\u00e9 \u0111i, t\u00f4i \u0111\u00e3 n\u00f3i v\u1edbi nh\u00e2n vi\u00ean r\u1eb1ng t\u00f4i s\u1ebd kh\u00f4ng r\u1eddi \u0111i cho \u0111\u1ebfn khi t\u00ecm ra nguy\u00ean nh\u00e2n khi\u1ebfn Kate b\u1ecb b\u1ec7nh\u201d, b\u00e0 tin ch\u1eafc r\u1eb1ng con g\u00e1i m\u00ecnh b\u1ecb hen suy\u1ec5n.<\/p>\n

H\u00f3a ra, Kate \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n kh\u00f4ng ph\u1ea3i b\u1ecb hen suy\u1ec5n, m\u00e0 l\u00e0 b\u1ec7nh c\u01a1 tim gi\u00e3n, m\u1ed9t c\u0103n b\u1ec7nh khi\u1ebfn c\u01a1 tim Kate d\u1ea7n suy y\u1ebfu. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u00f2i h\u1ecfi chuy\u00ean m\u00f4n, v\u00e0 c\u00e1c b\u00e1c s\u0129 t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi Benioff UCSF Oakland, n\u01a1i Vargas cu\u1ed1i c\u00f9ng \u0111\u00e3 \u0111\u01b0a con g\u00e1i m\u00ecnh \u0111\u1ebfn, cho r\u1eb1ng B\u1ec7nh vi\u1ec7n Nhi Lucile Packard Stanford l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t cho Kate.<\/p>\n

Nh\u00f3m nghi\u00ean c\u1ee9u t\u1ea1i Trung t\u00e2m Tim m\u1ea1ch Nhi c\u1ee7a ch\u00fang t\u00f4i mu\u1ed1n t\u00ecm hi\u1ec3u nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 g\u00e2y ra b\u1ec7nh c\u01a1 tim v\u00e0 \u0111\u00e3 ti\u1ebfn h\u00e0nh m\u1ed9t lo\u1ea1t c\u00e1c x\u00e9t nghi\u1ec7m tim m\u1ea1ch, b\u1ec7nh truy\u1ec1n nhi\u1ec5m, di truy\u1ec1n v\u00e0 chuy\u1ec3n h\u00f3a. Cu\u1ed1i c\u00f9ng, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n Kate m\u1eafc m\u1ed9t ch\u1ee9ng r\u1ed1i lo\u1ea1n ty th\u1ec3 hi\u1ebfm g\u1eb7p, bi\u1ec3u hi\u1ec7n h\u1ea7u h\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf tim.<\/p>\n

Trong hai n\u0103m, c\u00e1c b\u00e1c s\u0129 c\u1ee7a ch\u00fang t\u00f4i \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb cho Kate b\u1eb1ng thu\u1ed1c v\u00e0 theo d\u00f5i s\u00e1t sao. Nh\u01b0ng th\u00e1ng Ba v\u1eeba qua, s\u1ee9c kh\u1ecfe c\u1ee7a c\u00f4 \u1ea5y chuy\u1ec3n bi\u1ebfn x\u1ea5u. Nguy\u00ean nh\u00e2n ban \u0111\u1ea7u \u0111\u01b0\u1ee3c cho l\u00e0 do c\u00fam d\u1ea1 d\u00e0y th\u1ef1c ch\u1ea5t l\u00e0 suy tim m\u1ea5t b\u00f9. Khi t\u00ecnh tr\u1ea1ng c\u1ee7a c\u00f4 \u1ea5y nhanh ch\u00f3ng tr\u1edf n\u1eb7ng, Kate \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o Khoa H\u1ed3i s\u1ee9c Tim m\u1ea1ch v\u00e0 \u0111\u01b0\u1ee3c \u0111\u1eb7t m\u00e1y trao \u0111\u1ed5i oxy qua m\u00e0ng ngo\u00e0i c\u01a1 th\u1ec3 (ECMO) \u0111\u1ec3 h\u1ed7 tr\u1ee3 c\u01a1 h\u1ecdc, thay th\u1ebf ch\u1ee9c n\u0103ng c\u1ee7a c\u1ea3 tim v\u00e0 ph\u1ed5i.<\/p>\n

B\u00e1c s\u0129 tim m\u1ea1ch c\u1ee7a c\u00f4, Beth Kaufman, cho bi\u1ebft h\u1ecd ph\u1ea3i \u0111\u01b0a ra nh\u1eefng quy\u1ebft \u0111\u1ecbnh kh\u00f3 kh\u0103n li\u00ean quan \u0111\u1ebfn c\u00e1c li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n. N\u1ebfu kh\u00f4ng, Kate s\u1ebd ch\u1ebft. Khuy\u1ebfn c\u00e1o l\u00e0 gh\u00e9p tim l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t cho c\u00f4.<\/p>\n

"'Li\u1ec7u c\u00f4 \u1ea5y c\u00f3 kh\u1ecfe l\u1ea1i kh\u00f4ng?' l\u00e0 c\u00e2u h\u1ecfi duy nh\u1ea5t c\u1ee7a t\u00f4i", Vargas n\u00f3i. H\u00e0i l\u00f2ng v\u1edbi c\u00e2u tr\u1ea3 l\u1eddi, Vargas \u0111\u1ed3ng \u00fd \u0111\u01b0a t\u00ean Kate v\u00e0o danh s\u00e1ch ch\u1edd gh\u00e9p tim to\u00e0n qu\u1ed1c.<\/p>\n

Trong v\u00e0i th\u00e1ng, Kate s\u1ed1ng trong b\u1ec7nh vi\u1ec7n nh\u1edd m\u1ed9t thi\u1ebft b\u1ecb c\u1ea7u n\u1ed1i gh\u00e9p tim, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Berlin Heart, gi\u00fap c\u00f4 b\u00e9 s\u1ed1ng s\u00f3t cho \u0111\u1ebfn khi c\u00f3 tim hi\u1ebfn t\u1eb7ng. May m\u1eafn cho nh\u1eefng tr\u1ebb em nh\u01b0 Kate, ch\u01b0\u01a1ng tr\u00ecnh Li\u1ec7u ph\u00e1p Tim m\u1ea1ch Ti\u00ean ti\u1ebfn Nhi khoa c\u1ee7a Trung t\u00e2m Tim m\u1ea1ch ch\u00fang t\u00f4i \u0111\u00e3 c\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n v\u01b0\u1ee3t b\u1eadc trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, v\u00e0 l\u00e0 c\u01a1 s\u1edf duy nh\u1ea5t \u1edf B\u1eafc California cung c\u1ea5p d\u1ecbch v\u1ee5 qu\u1ea3n l\u00fd suy tim ti\u00ean ti\u1ebfn nhi khoa v\u00e0 gh\u00e9p tim. Trung t\u00e2m Tim m\u1ea1ch c\u1ee7a ch\u00fang t\u00f4i c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng n\u01a1i \u0111\u1ea7u ti\u00ean ki\u1ebfn ngh\u1ecb FDA cho ph\u00e9p s\u1eed d\u1ee5ng Berlin Heart t\u1ea1i Hoa K\u1ef3 v\u00e0 gi\u1eef k\u1ef7 l\u1ee5c v\u1ec1 th\u1eddi gian h\u1ed7 tr\u1ee3 tim nhi khoa d\u00e0i nh\u1ea5t \u1edf B\u1eafc M\u1ef9 v\u1edbi thi\u1ebft b\u1ecb n\u00e0y, v\u1edbi 234 ng\u00e0y.<\/p>\n

May m\u1eafn thay, Kate kh\u00f4ng ph\u1ea3i ch\u1edd \u0111\u1ee3i l\u00e2u nh\u01b0 v\u1eady. Tr\u00e1i tim hi\u1ebfn t\u1eb7ng c\u1ee7a c\u00f4 \u0111\u00e3 \u0111\u1ebfn v\u00e0o ng\u00e0y 20 th\u00e1ng 6. Kate \u0111\u00e3 \u0111\u01b0\u1ee3c gh\u00e9p tim, do b\u00e1c s\u0129 ph\u1eabu thu\u1eadt Katsuhide Maeda v\u00e0 b\u00e1c s\u0129 Olaf Reinhartz th\u1ef1c hi\u1ec7n, v\u00e0 th\u1ebf gi\u1edbi d\u01b0\u1eddng nh\u01b0 \u0111\u00e3 kh\u00e1c \u0111\u1ed1i v\u1edbi Vargas.<\/p>\n

\u201cCon g\u00e1i t\u00f4i nh\u01b0 \u0111ang b\u1eaft \u0111\u1ea7u m\u1ed9t cu\u1ed9c s\u1ed1ng ho\u00e0n to\u00e0n m\u1edbi v\u1eady,\u201d Vargas, ng\u01b0\u1eddi \u0111\u00e3 tr\u1edf v\u1ec1 s\u1ed1ng \u1edf Ukiah v\u00e0 r\u1ea1ng r\u1ee1 t\u1ef1 h\u00e0o khi Kate d\u1ea7n v\u1eefng v\u00e0ng tr\u00ean \u0111\u00f4i ch\u00e2n nh\u1ecf b\u00e9 c\u1ee7a m\u00ecnh, chia s\u1ebb. \u201cT\u00f4i r\u1ea5t h\u00e1o h\u1ee9c \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y t\u01b0\u01a1ng lai c\u1ee7a con b\u00e9. Con b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c ch\u01a1i th\u1ec3 thao. Con b\u00e9 s\u1ebd kh\u00f4ng c\u00f2n b\u1ea5t k\u1ef3 h\u1ea1n ch\u1ebf n\u00e0o. Con b\u00e9 s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m m\u1ed9t \u0111\u1ee9a tr\u1ebb b\u00ecnh th\u01b0\u1eddng, nh\u01b0 con b\u00e9 x\u1ee9ng \u0111\u00e1ng \u0111\u01b0\u1ee3c h\u01b0\u1edfng.\u201d<\/p>\n

S\u1ef1 l\u1ef1a ch\u1ecdn r\u00f5 r\u00e0ng <\/h2>\n

Seville Spearman, \u0111\u1ebfn t\u1eeb DeKalb, Illinois, c\u0169ng c\u1ea3m \u01a1n Trung t\u00e2m Tim m\u1ea1ch Tr\u1ebb em v\u00ec cu\u1ed9c s\u1ed1ng m\u1edbi c\u1ee7a con trai m\u00ecnh. Hai n\u0103m tr\u01b0\u1edbc, con trai c\u00f4, Jordan Ervin, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc h\u1ed9i ch\u1ee9ng Williams, m\u1ed9t r\u1ed1i lo\u1ea1n nhi\u1ec5m s\u1eafc th\u1ec3 ch\u1ec9 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ed9t trong 10.000 ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. C\u0103n b\u1ec7nh n\u00e0y g\u00e2y ra c\u00e1c khuy\u1ebft t\u1eadt tim v\u00e0 m\u1ea1ch m\u00e1u nghi\u00eam tr\u1ecdng, b\u00ean c\u1ea1nh c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. \u0110\u1ed1i v\u1edbi Jordan, l\u00fac \u0111\u00f3 5 tu\u1ed5i, \u0111\u00f3 l\u00e0 t\u00ecnh tr\u1ea1ng h\u1eb9p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, nhi\u1ec1u v\u00f9ng h\u1eb9p \u1edf c\u00e1c nh\u00e1nh c\u1ee7a \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, g\u00e2y ra t\u0103ng \u00e1p ph\u1ed5i v\u00e0 khi\u1ebfn n\u1eeda tim ph\u1ea3i c\u1ee7a c\u1eadu b\u00e9 kh\u00f3 b\u01a1m m\u00e1u v\u00e0o ph\u1ed5i \u0111\u1ec3 l\u1ea5y oxy.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng l\u00e0 s\u1eed d\u1ee5ng m\u1ed9t qu\u1ea3 b\u00f3ng nh\u1ecf \u0111\u1ec3 nong \u0111\u1ed9ng m\u1ea1ch. Tuy nhi\u00ean, v\u00ec Jordan b\u1ecb t\u1eafc ngh\u1ebdn nhi\u1ec1u ch\u1ed7 - 12 ch\u1ed7 \u1edf ph\u1ed5i tr\u00e1i v\u00e0 14 ch\u1ed7 \u1edf ph\u1ed5i ph\u1ea3i - Seville v\u00e0 ch\u1ed3ng c\u00f4, Charles, \u0111\u01b0\u1ee3c th\u00f4ng b\u00e1o r\u1eb1ng c\u1ea7n ph\u1ea3i th\u1ef1c hi\u1ec7n nhi\u1ec1u th\u1ee7 thu\u1eadt v\u00e0 v\u1eabn c\u00f3 th\u1ec3 kh\u00f4ng hi\u1ec7u qu\u1ea3. Sau \u0111\u00f3, c\u00f4 nghe n\u00f3i v\u1ec1 ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 Frank Hanley, ng\u01b0\u1eddi n\u1ed5i ti\u1ebfng kh\u1eafp th\u1ebf gi\u1edbi v\u1edbi vi\u1ec7c th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 ca ph\u1eabu thu\u1eadt tim nhi khoa ph\u1ee9c t\u1ea1p nh\u1ea5t. Tr\u00ean th\u1ef1c t\u1ebf, Hanley l\u00e0 ng\u01b0\u1eddi ti\u00ean phong trong m\u1ed9t th\u1ee7 thu\u1eadt g\u1ecdi l\u00e0 \u0111\u01a1n ti\u00eau, m\u1ed9t ph\u1eabu thu\u1eadt trong \u0111\u00f3 \u00f4ng t\u00e1i t\u1ea1o \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u1edf tr\u1ebb em kh\u00f4ng c\u00f3 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i th\u1ef1c s\u1ef1 ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i k\u00e9m ph\u00e1t tri\u1ec3n nghi\u00eam tr\u1ecdng. \u0110\u1ed1i v\u1edbi Seville v\u00e0 Charles, Hanley v\u00e0 chuy\u00ean m\u00f4n c\u1ee7a \u00f4ng v\u1ec1 ph\u1eabu thu\u1eadt \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i l\u00e0 l\u1ef1a ch\u1ecdn hi\u1ec3n nhi\u00ean.<\/p>\n

Seville cho bi\u1ebft: \u201cCh\u00fang t\u00f4i kh\u00f4ng th\u1ea5y c\u00f3 l\u00fd do g\u00ec ph\u1ea3i th\u1ef1c hi\u1ec7n nhi\u1ec1u th\u1ee7 thu\u1eadt b\u01a1m b\u00f3ng bay khi ch\u00fang t\u00f4i c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n t\u1ea5t c\u1ea3 c\u00f9ng m\u1ed9t l\u00fac v\u00e0 m\u00e3i m\u00e3i\u201d.<\/p>\n

C\u1ea3 hai \u0111\u1ec1u l\u00e0 nghi\u00ean c\u1ee9u sinh, Seville v\u00e0 Charles, \u0111\u00e3 d\u00e0nh v\u00e0i th\u00e1ng ti\u1ebfp theo \u0111\u1ec3 g\u00e2y qu\u1ef9 chuy\u1ec3n \u0111\u1ebfn California v\u00e0 t\u00ecm m\u1ed9t c\u0103n nh\u00e0 cho thu\u00ea ng\u1eafn h\u1ea1n cho h\u1ecd v\u00e0 ba ng\u01b0\u1eddi con kh\u00e1c. V\u00e0o ng\u00e0y 10 th\u00e1ng 12 n\u0103m 2014, Hanley \u0111\u00e3 t\u00e1i t\u1ea1o \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i ch\u00ednh v\u00e0 c\u00e1c nh\u00e1nh c\u1ee7a n\u00f3 trong tim c\u1ee7a Jordan trong m\u1ed9t ca ph\u1eabu thu\u1eadt k\u00e9o d\u00e0i t\u00e1m gi\u1edd. <\/p>\n

\u201cH\u1ecd n\u00f3i v\u1edbi ch\u00fang t\u00f4i r\u1eb1ng vi\u1ec7c \u0111\u00f3 r\u1ea5t nguy hi\u1ec3m v\u00e0 ch\u00fang t\u00f4i r\u1ea5t s\u1ee3,\u201d Seville nh\u1edb l\u1ea1i. \u201cNh\u01b0ng s\u1ef1 h\u1ed7 tr\u1ee3 m\u00e0 ch\u00fang t\u00f4i nh\u1eadn \u0111\u01b0\u1ee3c t\u1eeb c\u00e1c nh\u00e2n vi\u00ean th\u1eadt s\u1ef1 v\u00f4 c\u00f9ng h\u1eefu \u00edch. N\u00f3 \u0111\u00e3 gi\u00fap t\u00ecnh h\u00ecnh kh\u00f3 kh\u0103n tr\u1edf n\u00ean d\u1ec5 d\u00e0ng h\u01a1n.\u201d<\/p>\n

Trong qu\u00e1 tr\u00ecnh ph\u1eabu thu\u1eadt, Hanley v\u00e0 nh\u00f3m c\u1ee7a \u00f4ng \u0111\u00e3 \u0111\u1eb7t Jordan v\u00e0o tr\u1ea1ng th\u00e1i duy tr\u00ec s\u1ef1 s\u1ed1ng, t\u00e1ch \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i ph\u1ea3i v\u00e0 tr\u00e1i c\u1ee7a anh, sau \u0111\u00f3 n\u1ed1i c\u00e1c \u0111\u1ed9ng m\u1ea1ch ch\u00ednh v\u00e0 nh\u00e1nh ban \u0111\u1ea7u, c\u0169ng nh\u01b0 c\u00e1c \u0111\u1ed9ng m\u1ea1ch nh\u00e1nh c\u1ea5p hai v\u00e0 c\u1ea5p ba, n\u01a1i c\u00f3 26 ch\u1ed7 t\u1eafc ngh\u1ebdn. M\u1ed7i ch\u1ed7 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa ho\u1eb7c v\u00e1 b\u1eb1ng m\u00f4 ng\u01b0\u1eddi.<\/p>\n

Nh\u1edd ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, ch\u1ee9ng t\u0103ng huy\u1ebft \u00e1p ph\u1ed5i c\u1ee7a Jordan \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1eefa kh\u1ecfi v\u00e0 anh \u1ea5y \u0111\u00e3 tr\u1edf v\u1ec1 nh\u00e0 \u1edf Illinois\u2014v\u00e0o \u0111\u00fang d\u1ecbp Gi\u00e1ng sinh\u2014v\u1edbi \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i b\u00ecnh th\u01b0\u1eddng. <\/p>\n

Ca ph\u1eabu thu\u1eadt c\u1ee7a Jordan l\u00e0 m\u1ed9t trong h\u01a1n 540 ca ph\u1eabu thu\u1eadt t\u00e1i t\u1ea1o \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i m\u00e0 Hanley \u0111\u00e3 th\u1ef1c hi\u1ec7n t\u1ea1i B\u1ec7nh vi\u1ec7n Nhi \u0111\u1ed3ng Lucile Packard Stanford cho tr\u1ebb em m\u1eafc c\u00e1c d\u1ecb t\u1eadt tim ph\u1ee9c t\u1ea1p \u1edf tr\u1ebb em, v\u1edbi k\u1ebft qu\u1ea3 v\u01b0\u1ee3t tr\u1ed9i. Nh\u1edd t\u00e0i n\u0103ng, s\u1ee9c b\u1ec1n v\u00e0 kinh nghi\u1ec7m, Hanley c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn m\u1ed9t giai \u0111o\u1ea1n ti\u00ean ti\u1ebfn n\u00e0y \u0111\u1ec3 gi\u1ea3m t\u1ed5ng th\u1eddi gian n\u1eb1m vi\u1ec7n cho b\u1ec7nh nh\u00e2n, gi\u1ea3m s\u1ed1 l\u1ea7n ph\u1ea3i ng\u1eebng tim \u0111\u1ec3 ph\u1eabu thu\u1eadt s\u1eeda ch\u1eefa, v\u00e0 kh\u1eafc ph\u1ee5c c\u00e1c v\u1ea5n \u0111\u1ec1 tr\u01b0\u1edbc khi ch\u00fang tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n ho\u1eb7c kh\u00f4ng th\u1ec3 s\u1eeda ch\u1eefa.<\/p>\n

"Ch\u00fang t\u00f4i ch\u1eafc ch\u1eafn \u0111ang \u0111i \u0111\u1ea7u trong l\u0129nh v\u1ef1c ph\u1eabu thu\u1eadt n\u00e0y", Hanley, Ti\u1ebfn s\u0129 Y khoa Lawrence Crowley, Gi\u00e1o s\u01b0 S\u1ee9c kh\u1ecfe Tr\u1ebb em v\u00e0 Gi\u00e1o s\u01b0 Ph\u1eabu thu\u1eadt Tim m\u1ea1ch t\u1ea1i Khoa Y, \u0110\u1ea1i h\u1ecdc Stanford, cho bi\u1ebft. "Jordan s\u1ebd c\u00f3 tu\u1ed5i th\u1ecd ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng."<\/p>\n

\u201cTr\u01b0\u1edbc \u0111\u00e2y, t\u00f4i kh\u00f4ng bi\u1ebft Jordan c\u00f3 s\u1ed1ng \u0111\u01b0\u1ee3c \u0111\u1ebfn sinh nh\u1eadt th\u1ee9 b\u1ea3y hay kh\u00f4ng,\u201d Seville n\u00f3i. \u201cG\u1ea7n m\u1ed9t n\u0103m sau, th\u1eb1ng b\u00e9 c\u00f3 th\u1ec3 ch\u1ea1y xa h\u01a1n v\u00e0 nhanh h\u01a1n tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt v\u00e0 ch\u1ec9 th\u1ec9nh tho\u1ea3ng ph\u1ea3i d\u00f9ng m\u00e1y th\u1edf. M\u1ecdi th\u1ee9 \u0111\u00e3 tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng v\u00e0 \u0111\u00e1m m\u00e2y \u0111en bao tr\u00f9m ch\u00fang t\u00f4i \u0111\u00e3 bi\u1ebfn m\u1ea5t. Tuy nhi\u00ean, gia \u0111\u00ecnh ch\u00fang t\u00f4i kh\u00f4ng coi b\u1ea5t c\u1ee9 \u0111i\u1ec1u g\u00ec l\u00e0 hi\u1ec3n nhi\u00ean.\u201d<\/p>\n

T\u1ea1i Trung t\u00e2m Tim m\u1ea1ch Tr\u1ebb em, c\u00e1c nh\u00e2n vi\u00ean \u0111\u1ec1u \u0111\u1ed3ng \u00fd r\u1eb1ng h\u1ecd mu\u1ed1n m\u1ecdi tr\u1ebb em\u2014nh\u01b0 Orion, Kate v\u00e0 Jordan\u2014\u0111\u1ec1u \u0111\u01b0\u1ee3c ti\u1ebfp c\u1eadn v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ti\u00ean ti\u1ebfn c\u1ee7a b\u1ec7nh vi\u1ec7n v\u00e0 c\u00f3 c\u01a1 h\u1ed9i c\u00f3 m\u1ed9t cu\u1ed9c s\u1ed1ng kh\u1ecfe m\u1ea1nh h\u01a1n.<\/p>\n

B\u00e0i vi\u1ebft n\u00e0y l\u1ea7n \u0111\u1ea7u ti\u00ean xu\u1ea5t hi\u1ec7n trong \u1ea5n b\u1ea3n M\u00f9a thu n\u0103m 2015 c\u1ee7a Tin t\u1ee9c tr\u1ebb em Lucile Packard<\/a>.<\/em><\/p>","protected":false},"excerpt":{"rendered":"

Sinh \u0111\u1ee9a con \u0111\u1ea7u l\u00f2ng l\u00e0 m\u1ed9t tr\u1ea3i nghi\u1ec7m si\u00eau th\u1ef1c \u0111\u1ed1i v\u1edbi Tawny Aye\u2014v\u00e0 kh\u00f4ng gi\u1ed1ng nh\u01b0 h\u1ea7u h\u1ebft c\u00e1c b\u00e0 m\u1eb9 kh\u00e1c. Bu\u1ed5i t\u1ed1i th\u00e1ng Hai h\u00f4m \u0111\u00f3\u2026<\/p>","protected":false},"author":17,"featured_media":3722,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[148],"class_list":["post-3721","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-in-the-news","health_topic-heart"],"acf":[],"yoast_head":"\nWorks of Heart - Lucile Packard Foundation for Children's Health<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/lpfch.org\/vi\/impact-stories\/works-of-heart\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Works of Heart\" \/>\n<meta property=\"og:description\" content=\"Giving birth to her first child was a surreal experience for Tawny Aye—and not the way it is for most mothers. 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