{"id":4791,"date":"2023-12-11T15:04:11","date_gmt":"2023-12-11T08:04:11","guid":{"rendered":"https:\/\/shopabl.com\/?p=4791"},"modified":"2023-12-12T16:06:22","modified_gmt":"2023-12-12T09:06:22","slug":"cap-cuu-thanh-cong-benh-nhan-suy-ho-hap-cap-do-hen-phe-quan-nguy-kich","status":"publish","type":"post","link":"https:\/\/shopabl.com\/cap-cuu-thanh-cong-benh-nhan-suy-ho-hap-cap-do-hen-phe-quan-nguy-kich\/","title":{"rendered":"C\u1ea5p c\u1ee9u th\u00e0nh c\u00f4ng b\u1ec7nh nh\u00e2n suy h\u00f4 h\u1ea5p c\u1ea5p nguy k\u1ecbch do hen ph\u1ebf qu\u1ea3n"},"content":{"rendered":"

V\u00e0o l\u00fac 22h ng\u00e0y 25\/11\/2023 Khoa c\u1ea5p c\u1ee9u \u2013 PK\u0110K B\u00ecnh An ti\u1ebfp nh\u1eadn n\u1eef b\u1ec7nh nh\u00e2n (sn 1976)\u00a0 v\u00e0o ph\u00f2ng c\u1ea5p c\u1ee9u trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf nhi\u1ec1u, t\u00edm t\u00e1i, k\u00edch th\u00edch, co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p, ph\u1ed5i th\u00f4ng kh\u00ed k\u00e9m, n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u gi\u1ea3m c\u00f2n 60%, Huy\u1ebft \u00e1p:170\/110mg, M: 110l\/p, NT: 32l\/p.<\/p>\n

Ngay khi ti\u1ebfp nh\u1eadn b\u1ec7nh nh\u00e2n v\u00e0 th\u0103m kh\u00e1m s\u01a1 b\u1ed9, h\u1ecfi nhanh ti\u1ec1n s\u1eed b\u1ec7nh c\u00e1c b\u00e1c s\u0129 nh\u1eadn bi\u1ebft \u0111\u00e2y l\u00e0 c\u01a1n hen ph\u1ebf qu\u1ea3n \u00e1c t\u00ednh c\u00f3 suy h\u00f4 h\u1ea5p n\u1eb7ng.<\/p>\n

B\u00e1c s\u0129 tr\u1ef1c v\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng \u0111\u00e3 cho b\u1ec7nh nh\u00e2n th\u1edf oxy, phun kh\u00ed dung ventolin, b\u00f3p b\u00f3ng cung c\u1ea5p oxy, ti\u00eam t\u0129nh m\u1ea1ch solumedrol, adrenalin ti\u00eam b\u1eafp.<\/p>\n

Tuy nhi\u00ean t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u1ea3i thi\u1ec7n, b\u1ec7nh nh\u00e2n v\u1eabn t\u00edm t\u00e1i, m\u1ea1ch nhanh nh\u1ecf kh\u00f3 b\u1eaft, oxy trong m\u00e1u gi\u1ea3m h\u01a1n, bn c\u00f3 nguy c\u01a1 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng ng\u01b0ng tim ng\u01b0ng th\u1edf. Ekip c\u1ea5p c\u1ee9u \u0111\u00e3 ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n CPR ( k\u0129 thu\u1eadt h\u1ed3i sinh tim ph\u1ed5i b\u1eb1ng c\u00e1ch \u00e9p tim ngo\u00e0i l\u1ed3ng ng\u1ef1c), \u0111\u1ed3ng th\u1eddi \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p. Sau h\u01a1n 5 ph\u00fat c\u1ea5p c\u1ee9u, b\u1ec7nh nh\u00e2n c\u00f3 m\u1ea1ch r\u00f5, huy\u1ebft \u00e1p: 130\/80 mmHg, duy tr\u00ec adrenalin t\u0129nh m\u1ea1ch, oxy trong m\u00e1u \u0111\u1ea1t 93%. Ngay sau \u0111\u00f3 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c chuy\u1ec3n vi\u1ec7n an to\u00e0n l\u00ean tuy\u1ebfn tr\u00ean \u0111\u1ec3 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb .<\/p>\n

\"\u0110\u1ebfn

\u0110\u1ebfn nay s\u1ee9c kho\u1ebb b\u1ec7nh nh\u00e2n \u0111\u00e3 h\u1ed3i ph\u1ee5c v\u00e0 quay l\u1ea1i Ph\u00f2ng kh\u00e1m B\u00ecnh an t\u00e1i kh\u00e1m v\u00e0 ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb<\/strong><\/p><\/div>\n

Hen ph\u1ebf qu\u1ea3n<\/strong>\u00a0hay c\u00f2n g\u1ecdi l\u00e0 hen suy\u1ec5n l\u00e0 b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng d\u1eabn kh\u00ed. Khi ti\u1ebfp x\u00fac v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch, ph\u1ebf qu\u1ea3n c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1ed1n r\u1ea5t nh\u1ea1y c\u1ea3m s\u1ebd ph\u1ea3n \u1ee9ng m\u1ed9t c\u00e1ch d\u1eef d\u1ed9i, bi\u1ec3u hi\u1ec7n b\u1edfi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ho, t\u1ee9c ng\u1ef1c, kh\u00f2 kh\u00e8. T\u00f9y v\u00e0o m\u1ee9c \u0111\u1ed9 k\u00edch th\u00edch c\u1ee7a c\u00e1c ti\u1ec3u ph\u1ebf qu\u1ea3n v\u00e0 c\u01a1 \u0111\u1ecba b\u1ec7nh nh\u00e2n m\u00e0 bi\u1ec3u hi\u1ec7n b\u1ec7nh \u1edf m\u1ee9c \u0111\u1ed9 n\u1eb7ng nh\u1eb9 kh\u00e1c nhau<\/p>\n

C\u01a1n hen ph\u1ebf qu\u1ea3n \u0111i\u1ec3n h\u00ecnh bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf, kh\u00f2 kh\u00e8 th\u01b0\u1eddng x\u1ea3y ra v\u1ec1 \u0111\u00eam l\u00fac g\u1ea7n s\u00e1ng ho\u1eb7c khi thay \u0111\u1ed5i th\u1eddi ti\u1ebft \u0111\u1ed9t ng\u1ed9t, ho\u1eb7c sau khi ti\u1ebfp x\u00fac v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 d\u1ecb nguy\u00ean. C\u00e1c tri\u1ec7u ch\u1ee9ng b\u00e1o hi\u1ec7u tr\u01b0\u1edbc c\u01a1n hen nh\u01b0 h\u1eaft h\u01a1i, s\u1ed5 m\u0169i, t\u1ee9c ng\u1ef1c, th\u1edf ra kh\u00f3 kh\u0103n. Khi t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf gi\u1ea3m d\u1ea7n, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u00f3 tri\u1ec7u ch\u1ee9ng ho v\u00e0 kh\u1ea1c \u0111\u1eddm tr\u1eafng, d\u00ednh qu\u00e1nh.<\/p>\n

Theo t\u1ed5 ch\u1ee9c y t\u1ebf th\u1ebf gi\u1edbi, s\u1ed1 ca m\u1eafc hen ph\u1ebf qu\u1ea3n ng\u00e0y c\u00e0ng gia t\u0103ng. Con s\u1ed1 ca m\u1eafc \u01b0\u1edbc t\u00ednh hi\u1ec7n nay r\u01a1i v\u00e0o kho\u1ea3ng 400.000 ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. V\u00e0 t\u1ef7 l\u1ec7 t\u1eed vong do hen ph\u1ebf qu\u1ea3n r\u1ea5t cao, ch\u1ec9 \u0111\u1ee9ng sau ung th\u01b0. T\u1ea1i Vi\u1ec7t Nam, hi\u1ec7n nay c\u00f3 kho\u1ea3ng h\u01a1n 4 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc hen suy\u1ec5n, chi\u1ebfm t\u1ef7 l\u1ec7 2-6% d\u00e2n s\u1ed1. Trong \u0111\u00f3, t\u1ef7 l\u1ec7 tr\u1ebb em m\u1eafc hen ph\u1ebf qu\u1ea3n l\u00e0 kho\u1ea3ng 8-10% v\u00e0 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u1edf \u0111\u1ed9 tu\u1ed5i 12-13 tu\u1ed5i<\/p>\n

\"\"
Hen suy\u1ec5n hay c\u00f2n g\u1ecdi l\u00e0 hen ph\u1ebf qu\u1ea3n l\u00e0 b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn \u1edf n\u01b0\u1edbc ta hi\u1ec7n nay<\/figcaption><\/figure>\n

Nh\u01b0 v\u1eady, \u0111\u00e1p \u00e1n cho c\u00e2u h\u1ecfi hen suy\u1ec5n v\u00e0 hen ph\u1ebf qu\u1ea3n c\u00f3 gi\u1ed1ng nhau kh\u00f4ng l\u00e0 c\u00f3 b\u1ea1n nh\u00e9, \u0111\u00e2y l\u00e0 2 t\u00ean g\u1ecdi kh\u00e1c nhau \u0111\u1ec1u ch\u1ec9 chung m\u1ed9t b\u1ec7nh. Hi\u1ec7n nay, ch\u01b0a c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m b\u1ec7nh hen suy\u1ec5n, ch\u1ec9 c\u00f3 c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, gi\u00fap ki\u1ec3m so\u00e1t b\u1ec7nh. V\u00ec th\u1ebf, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n hi\u1ec3u r\u00f5 v\u1ec1 b\u1ec7nh l\u00fd c\u1ee7a b\u1ea3n th\u00e2n, ki\u1ec3m tra v\u00e0 theo d\u00f5i th\u01b0\u1eddng xuy\u00ean theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n

<\/span>Y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e0m gia t\u0103ng kh\u1edfi ph\u00e1t c\u01a1n hen suy\u1ec5n<\/h2>\n

C\u00f3 nhi\u1ec1u t\u00e1c nh\u00e2n g\u00e2y kh\u1edfi ph\u00e1t c\u01a1n hen suy\u1ec5n, c\u1ee5 th\u1ec3 nh\u01b0 sau:<\/p>\n

<\/span>Kh\u00f3i thu\u1ed1c l\u00e1<\/h3>\n

Ngay c\u1ea3 ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh h\u00edt ph\u1ea3i kh\u00f3i thu\u1ed1c l\u00e1 c\u0169ng kh\u00f4ng t\u1ed1t cho s\u1ee9c kh\u1ecfe, ng\u01b0\u1eddi b\u1ec7nh hen suy\u1ec5n h\u00edt ph\u1ea3i kh\u00f3i thu\u1ed1c s\u1ebd l\u00e0m gia t\u0103ng nguy c\u01a1 kh\u1edfi ph\u00e1t b\u1ec7nh.<\/p>\n

<\/span>M\u1ea1t b\u1ee5i<\/h3>\n

C\u00e1c h\u1ea1t vi b\u1ee5i t\u1eeb ch\u0103n, v\u1ecf g\u1ed1i, v\u1ecf n\u1ec7m, th\u00fa nh\u1ed3i b\u00f4ng ho\u1eb7c nh\u1eefng con b\u1ecd li ti c\u0169ng \u0111\u01b0\u1ee3c coi l\u00e0 y\u1ebfu t\u1ed1 d\u1ecb nguy\u00ean l\u00e0m gia t\u0103ng nguy c\u01a1 kh\u1edfi ph\u00e1t c\u01a1n hen.<\/p>\n

<\/span>\u00d4 nhi\u1ec5m kh\u00f4ng kh\u00ed<\/h3>\n

Kh\u00f4ng kh\u00ed b\u1ecb \u00f4 nhi\u1ec5m do kh\u00ed th\u1ea3i t\u1eeb nh\u00e0 m\u00e1y, xe c\u1ed9. S\u1ed1ng trong m\u00f4i tr\u01b0\u1eddng b\u1ecb \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed n\u1eb7ng c\u0169ng l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e0m gia t\u0103ng nguy c\u01a1 kh\u1edfi ph\u00e1t c\u01a1n hen. V\u00ec th\u1ebf, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n th\u01b0\u1eddng xuy\u00ean c\u1eadp nh\u1eadt ch\u1ec9 s\u1ed1 \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed \u0111\u1ec3 c\u00e2n \u0111\u1ed1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng ngo\u00e0i tr\u1eddi c\u1ee7a b\u1ea3n th\u00e2n.<\/p>\n

<\/span>N\u1ea5m m\u1ed1c<\/h3>\n

N\u1ea5m m\u1ed1c l\u00e0 m\u1ed9t d\u1ecb nguy\u00ean, n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh h\u00edt ph\u1ea3i c\u00f3 th\u1ec3 g\u00e2y ra c\u01a1n hen ph\u1ebf qu\u1ea3n. N\u1ea5m m\u1ed1c th\u01b0\u1eddng ph\u00e1t tri\u1ec3n \u1edf nh\u1eefng n\u01a1i c\u00f3 \u0111\u1ed9 \u1ea9m cao. v\u00ec th\u1ebf, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n d\u1ecdn d\u1eb9p nh\u00e0 th\u01b0\u1eddng xuy\u00ean, lu\u00e2n gi\u1eef nh\u00e0 c\u1eeda th\u00f4ng tho\u00e1ng, v\u00e0 c\u00f3 th\u1ec3 b\u1eadt \u0111i\u1ec1u h\u00f2a kh\u00f4ng kh\u00ed trong nh\u1eefng ng\u00e0y c\u00f3 \u0111\u1ed9 \u1ea9m kh\u00f4ng kh\u00ed cao \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng \u1ea9m m\u1ed1c.<\/p>\n

<\/span>Th\u00fa nu\u00f4i<\/h3>\n

H\u00edt ph\u1ea3i l\u00f4ng th\u00fa nu\u00f4i c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n l\u00e0m kh\u1edfi ph\u00e1t c\u01a1n hen. V\u00ec th\u1ebf, ng\u01b0\u1eddi b\u1ec7nh n\u00ean h\u00fat b\u1ee5i th\u01b0\u1eddng xuy\u00ean, v\u00e0 lau s\u00e0n nh\u00e0 b\u1eb1ng kh\u0103n \u1ea9m h\u00e0ng tu\u1ea7n. \u0110\u1ed3ng th\u1eddi, kh\u00f4ng nu\u00f4i th\u00fa c\u01b0ng trong nh\u00e0 n\u1ebfu \u0111\u00e3 c\u00f3 ti\u1ec1n s\u1eed kh\u1edfi ph\u00e1t c\u01a1n hen khi h\u00edt ph\u1ea3i l\u00f4ng th\u00fa nu\u00f4i.<\/p>\n

<\/span>Gi\u00e1n ho\u1eb7c ph\u00e2n gi\u00e1n<\/h3>\n

M\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ecb \u1ee9ng \u0111\u1eb7c bi\u1ec7t v\u1edbi gi\u00e1n, khi ti\u1ebfp x\u00fac v\u1edbi gi\u00e1n ho\u1eb7c ph\u00e2n gi\u00e1n l\u00e0m kh\u1edfi ph\u00e1t c\u01a1n hen. Nh\u1eefng b\u1ec7nh nh\u00e2n nh\u01b0 v\u1eady c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 lo\u1ea1i b\u1ecf gi\u00e1n trong nh\u00e0 nh\u01b0 d\u1ecdn d\u1eb9p s\u1ea1ch c\u00e1c v\u1ee5n th\u1ee9c \u0103n, qu\u00e9t s\u1ea1ch nh\u1eefng n\u01a1i gi\u00e1n sinh s\u1ed1ng v\u00e0 c\u00f3 th\u1ec3 d\u00f9ng b\u1eaby keo \u0111\u1ec3 lo\u1ea1i b\u1ecf gi\u00e1n.<\/p>\n

<\/span>M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c<\/h3>\n

Tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n c\u0169ng l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0m kh\u1edfi ph\u00e1t c\u01a1n suy\u1ec5n.<\/p>\n

\u0110\u1ed1t nhang, \u0111\u1ed1t g\u1ed7,\u0111\u1ed1t c\u1ecf t\u1ea1o th\u00e0nh h\u1ed7n h\u1ee3p kh\u00ed c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gia t\u0103ng nguy c\u01a1 kh\u1edfi ph\u00e1t c\u01a1n suy\u1ec5n v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi.<\/p>\n

C\u00e1c c\u1ea3m x\u00fac \u0111\u1ed9t ng\u1ed9t nh\u01b0 lo l\u1eafng, bu\u1ed3n, s\u1ee3 h\u00e3i, stress c\u0169ng c\u00f3 th\u1ec3 l\u00e0m kh\u1edfi ph\u00e1t c\u01a1n hen ph\u1ebf qu\u1ea3n.<\/p>\n

S\u1eed d\u1ee5ng thu\u1ed1c aspirin, th\u1ef1c ph\u1ea9m c\u00f3 ch\u1ee9a ch\u1ea5t b\u1ea3o qu\u1ea3n sulfite nh\u01b0 t\u00f4m, bia r\u01b0\u1ee3u, d\u01b0a chua, hoa qu\u1ea3 kh\u00f4 ho\u1eb7c s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 gia v\u1ecb c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c ki\u1ec3m so\u00e1t kh\u1edfi ph\u00e1t c\u01a1n hen suy\u1ec5n.<\/p>\n

<\/span>Hen suy\u1ec5n c\u00f3 g\u00e2y bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m kh\u00f4ng?<\/h2>\n

Hen suy\u1ec5n l\u00e0 b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn th\u01b0\u1eddng g\u1eb7p, n\u1ebfu kh\u00f4ng can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe nh\u01b0:<\/p>\n

<\/span>Kh\u00ed ph\u1ebf th\u0169ng<\/h3>\n

T\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra do kh\u00ed b\u1ecb \u1ee9 \u0111\u1ecdng trong l\u1ed3ng ng\u1ef1c l\u00e2u ng\u00e0y, l\u00e0m gi\u1ea3m s\u1ef1 \u0111\u00e0n h\u1ed3i c\u1ee7a ph\u1ebf nang, th\u1edf ra \u00edt n\u00ean kh\u00ed c\u1eb7n ng\u00e0y c\u00e0ng t\u0103ng. Khi l\u01b0\u1ee3ng kh\u00ed c\u1eb7n ng\u00e0y c\u00e0ng t\u0103ng, th\u1ec3 t\u00edch ph\u1ed5i gi\u1ea3m xu\u1ed1ng do ph\u1ebf nang b\u1ecb ph\u00e1 v\u1ee1 c\u1ea5u tr\u00fac s\u1ebd l\u00e0m gia t\u0103ng t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf khi g\u1eafng s\u1ee9c c\u1ee7a b\u1ec7nh nh\u00e2n, l\u00e2u d\u1ea7n l\u00e0m t\u0103ng nguy c\u01a1 suy tim.<\/p>\n

<\/span>T\u00e2m ph\u1ebf m\u1ea1n<\/h3>\n

\u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a hen ph\u1ebf qu\u1ea3n, do ph\u1ed5i t\u1ed5n th\u01b0\u01a1ng l\u00e2u ng\u00e0y l\u00e0m tim ph\u1ea3i ho\u1ea1t \u0111\u1ed9ng nhi\u1ec1u h\u01a1n \u0111\u1ec3 b\u01a1m m\u00e1u l\u00ean ph\u1ed5i. L\u00e2u d\u1ea7n, c\u01a1 tim ph\u1ea3i ho\u1ea1t \u0111\u1ed9ng qu\u00e1 s\u1ee9c s\u1ebd l\u00e0m gi\u00e3n d\u1ea7n c\u01a1 tim v\u00e0 g\u00e2y ra suy tim. Khi \u0111\u00e3 c\u00f3 bi\u1ebfn ch\u1ee9ng t\u00e2m ph\u1ebf m\u1ea1n th\u00ec ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u tri\u1ec7u ch\u1ee9ng nh\u01b0 kh\u00f3 th\u1edf, ph\u00f9 ch\u00e2n, \u0111au t\u1ee9c v\u00f9ng gan, gan to, t\u0129nh m\u1ea1ch c\u1ed5 n\u1ed5i.<\/p>\n

<\/span>Bi\u1ebfn d\u1ea1ng l\u1ed3ng ng\u1ef1c v\u00e0 ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t \u1edf tr\u1ebb nh\u1ecf<\/h3>\n

Bi\u1ebfn d\u1ea1ng l\u1ed3ng ng\u1ef1c l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em b\u1ecb hen ph\u1ebf qu\u1ea3n. S\u1ef1 t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf l\u00e2u d\u00e0i l\u00e0m t\u00edch t\u1ee5 kh\u00ed trong l\u1ed3ng ng\u1ef1c. Khi tr\u1ebb l\u1edbn l\u00ean, l\u1ed3ng ng\u1ef1c s\u1ebd c\u0103ng tr\u00f2n thay v\u00ec k\u00e9o d\u00e0i ra nh\u01b0 sinh l\u00fd b\u00ecnh th\u01b0\u1eddng, \u0111\u01b0\u1eddng k\u00ednh tr\u01b0\u1edbc sau v\u00e0 tr\u00e1i ph\u1ea3i g\u1ea7n nh\u01b0 b\u1eb1ng nhau, x\u01b0\u01a1ng \u1ee9c b\u1ecb nh\u00f4 l\u00ean ph\u00eda tr\u01b0\u1edbc.<\/p>\n

C\u00e1c c\u01a1n hen ph\u1ebf qu\u1ea3n di\u1ec5n ra th\u01b0\u1eddng xuy\u00ean, c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng th\u1edf b\u1ecb \u1ea3nh h\u01b0\u1edfng l\u00e0m tr\u1ebb b\u1ecb kh\u00f3 th\u1edf li\u00ean t\u1ee5c s\u1ebd g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 c\u1ee7a tr\u1ebb. Gi\u1ea5c ng\u1ee7 b\u1ecb r\u1ed1i lo\u1ea1n s\u1ebd g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c s\u1ea3n sinh ho\u00f3c m\u00f4n t\u0103ng tr\u01b0\u1edfng. Ngo\u00e0i ra, hi\u1ec7n t\u01b0\u1ee3ng kh\u00f3 th\u1edf s\u1ebd l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t c\u1ee7a tr\u1ebb, t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t.<\/p>\n

<\/span>Nhi\u1ec5m khu\u1ea9n h\u00f4 h\u1ea5p<\/h3>\n

Bi\u1ebfn ch\u1ee9ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra \u1edf c\u00e1c \u0111\u1ee3t giao m\u00f9a, thay \u0111\u1ed5i th\u1eddi ti\u1ebft, \u0111\u1ed9 \u1ea9m kh\u00f4ng kh\u00ed cao l\u00e0m vi khu\u1ea9n, virus d\u1ec5 t\u1ea5n c\u00f4ng g\u00e2y b\u1ec7nh h\u01a1n. \u0110\u1eb7c bi\u1ec7t, b\u1ec7nh hen ph\u1ebf qu\u1ea3n c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng co th\u1eaft ph\u1ebf qu\u1ea3n, t\u0103ng ti\u1ebft \u0111\u1eddm d\u00e3i c\u00e0ng t\u1ea1o m\u00f4i tr\u01b0\u1eddng thu\u1eadn l\u1ee3i cho vi khu\u1ea9n, virus ph\u00e1t tri\u1ec3n sinh s\u00f4i t\u1ed1t h\u01a1n. Ch\u00ednh v\u00ec th\u1ebf, c\u00e1c vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u01b0 vi\u00eam nhi\u1ec5m tai m\u0169i h\u1ecdng, vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n hen ph\u1ebf qu\u1ea3n.<\/p>\n

<\/span>X\u1eb9p ph\u1ed5i<\/h3>\n

X\u1eb9p ph\u1ed5i l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n hen ph\u1ebf qu\u1ea3n, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb em. T\u00ecnh tr\u1ea1ng x\u1eb9p ph\u1ed5i c\u00f3 th\u1ec3 kh\u1ecfi ho\u1eb7c kh\u00f4ng h\u1ed3i ph\u1ee5c ho\u00e0n to\u00e0n khi c\u01a1n hen \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t \u1ed5n \u0111\u1ecbnh. \u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng r\u1ea5t nhi\u1ec1u \u0111\u1ebfn kh\u1ea3 n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a tr\u1ebb sau n\u00e0y.<\/p>\n

<\/span>Suy h\u00f4 h\u1ea5p<\/h3>\n

\u0110\u00e2y l\u00e0 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong n\u1ebfu g\u1eb7p nh\u1eefng c\u01a1n hen n\u1eb7ng m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t. Khi g\u1eb7p c\u01a1n hen \u00e1c t\u00ednh m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p \u0111i\u1ec1u tr\u1ecb s\u1edbm b\u1ec7nh nh\u00e2n s\u1ebd g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf li\u00ean t\u1ee5c, da, m\u00f4i, ni\u00eam m\u1ea1c t\u00edm, toan h\u00f3a m\u00e1u, \u0111\u00f4i khi x\u1ea3y ra ng\u1eebng th\u1edf khi ng\u1ee7, ph\u1ea3i th\u1edf m\u00e1y h\u1ed7 tr\u1ee3.<\/p>\n

\"\"
Suy h\u00f4 h\u1ea5p\u00a0l\u00e0 bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a b\u1ec7nh l\u00fd hen suy\u1ec5n<\/figcaption><\/figure>\n

<\/span>Bi\u1ebfn ch\u1ee9ng do \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n<\/h3>\n

C\u00f3 nhi\u1ec1u b\u1ec7nh nh\u00e2n hen suy\u1ec5n c\u00f3 t\u00ecnh tr\u1ea1ng l\u1ea1m d\u1ee5ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u01b0 thu\u1ed1c ch\u1ed1ng vi\u00eam, corticoid. N\u1ebfu b\u1ec7nh nh\u00e2n t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c tr\u00ean kh\u00f4ng \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng, h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng nh\u01b0 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng, lo\u00e3ng x\u01b0\u01a1ng, h\u1ed9i ch\u1ee9ng cushing. B\u00ean c\u1ea1nh \u0111\u00f3, s\u1eed d\u1ee5ng qu\u00e1 nhi\u1ec1u c\u00e1c thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n trong \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n c\u00f2n c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n nh\u1ecbp tim, n\u1eb7ng c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong \u0111\u1ed9t ng\u1ed9t ho\u1eb7c m\u1eafc ch\u1ee9ng ph\u1ed5i \u1ee9c ch\u1ebf.<\/p>\n

<\/span>Ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n hen suy\u1ec5n nh\u01b0 n\u00e0o?<\/h2>\n

V\u1edbi nh\u1eefng th\u00f4ng tin b\u00ean tr\u00ean, b\u1ea1n \u0111\u00e3 n\u1eafm r\u00f5 c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi b\u1ec7nh nh\u00e2n hen suy\u1ec5n nh\u01b0 n\u00e0o. V\u00ec th\u1ebf, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c m\u1ed9t c\u00e1ch c\u1ea9n th\u1eadn \u0111\u1ec3 h\u1ea1n ch\u1ebf kh\u1edfi ph\u00e1t c\u00e1c c\u01a1n hen c\u0169ng l\u00e0 m\u1ed9t c\u00e1ch \u0111\u1ec3 ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh. Khi ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n hen suy\u1ec5n, b\u1ea1n c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 th\u00f4ng tin sau:<\/p>\n

    \n
  • Trang b\u1ecb \u0111\u1ee7, \u0111\u00fang nh\u1eefng ki\u1ebfn th\u1ee9c v\u1ec1 b\u1ec7nh hen \u0111\u1ec3 ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c t\u1ed1t nh\u1ea5t.<\/li>\n
  • \u0110\u1ecdc k\u0129 c\u00e1c h\u01b0\u1edbng d\u1eabn v\u1ec1 ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c c\u1ee7a b\u00e1c s\u0129, c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 tham gia c\u00e1c l\u1edbp t\u1eadp hu\u1ea5n v\u1ec1 k\u1ef9 n\u0103ng c\u01a1 b\u1ea3n trong ki\u1ec3m so\u00e1t c\u01a1n hen.<\/li>\n
  • C\u1ea7n chu\u1ea9n b\u1ecb s\u1eb5n c\u00e1c thu\u1ed1c gi\u00fap c\u1eaft c\u01a1n hen trong nh\u00e0 \u0111\u1ec3 x\u1eed tr\u00ed c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00ean c\u01a1n hen suy\u1ec5n b\u1ea5t ng\u1edd.<\/li>\n
  • Theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a c\u01a1n hen, n\u1ebfu th\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng tri\u1ec7u ch\u1ee9ng b\u1ec7nh n\u1eb7ng c\u1ea7n chuy\u1ec3n ngay \u0111\u1ebfn b\u1ec7nh vi\u1ec7n \u0111\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 can thi\u1ec7p, x\u1eed l\u00fd.<\/li>\n
  • \u0110\u01b0a b\u1ec7nh nh\u00e2n t\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 theo \u0111\u00fang l\u1ecbch h\u1eb9n c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh t\u1ed1t nh\u1ea5t.<\/li>\n
  • Khuy\u1ebfn kh\u00edch ng\u01b0\u1eddi b\u1ec7nh r\u00e8n luy\u1ec7n th\u1ec3 d\u1ee5c th\u1ec3 thao \u0111i\u1ec1u \u0111\u1ed9, ph\u00f9 h\u1ee3p v\u1edbi th\u1ec3 tr\u1ea1ng s\u1ee9c kh\u1ecfe \u0111\u1ec3 r\u00e8n luy\u1ec7n th\u1ec3 tr\u1ea1ng t\u1ed1t h\u01a1n.<\/li>\n
  • \u0110\u1ed9ng vi\u00ean ng\u01b0\u1eddi b\u1ec7nh b\u1ecf thu\u1ed1c l\u00e1 n\u1ebfu c\u00f3 h\u00fat thu\u1ed1c v\u00e0 tr\u00e1nh ph\u01a1i nhi\u1ec5m th\u1ee5 \u0111\u1ed9ng v\u1edbi kh\u00f3i thu\u1ed1c.<\/li>\n
  • X\u00e2y d\u1ef1ng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh cho b\u1ec7nh nh\u00e2n, \u0103n nhi\u1ec1u rau c\u1ee7, tr\u00e1i c\u00e2y t\u01b0\u01a1i, tr\u00e1nh xa c\u00e1c th\u1ef1c ph\u1ea9m c\u00f3 nguy c\u01a1 g\u00e2y d\u1ecb \u1ee9ng cho ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n
  • D\u1ecdn d\u1eb9p nh\u00e0 c\u1eeda s\u1ea1ch s\u1ebd, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi nh\u1eefng d\u1ecb nguy\u00ean nh\u01b0 kh\u00f3i b\u1ee5i, n\u1ea5m m\u1ed1c, l\u00f4ng th\u00fa nu\u00f4i, d\u00e1n,\u2026<\/li>\n<\/ul>\n

    V\u1edbi nh\u1eefng th\u00f4ng tin m\u00e0 b\u00e0i vi\u1ebft cung c\u1ea5p th\u00ec \u0111\u00e1p \u00e1n cho c\u00e2u h\u1ecfi hen suy\u1ec5n v\u00e0 hen ph\u1ebf qu\u1ea3n c\u00f3 gi\u1ed1ng nhau kh\u00f4ng l\u00e0 c\u00f3 b\u1ea1n nh\u00e9. B\u1ea1n c\u1ea7n trang b\u1ecb n\u1eafm r\u00f5 nh\u1eefng ki\u1ebfn th\u1ee9c v\u1ec1 b\u1ec7nh v\u00e0 hi\u1ec3u r\u00f5 c\u00e1c l\u01b0u \u00fd khi ch\u0103m s\u00f3c b\u1ec7nh nh\u00e2n \u0111\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh hen suy\u1ec5n (hen ph\u1ebf qu\u1ea3n) ki\u1ec3m so\u00e1t b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c t\u1ed1t h\u01a1n.<\/p>\n","protected":false},"excerpt":{"rendered":"

    V\u00e0o l\u00fac 22h ng\u00e0y 25\/11\/2023 Khoa c\u1ea5p c\u1ee9u \u2013 PK\u0110K B\u00ecnh An ti\u1ebfp nh\u1eadn n\u1eef b\u1ec7nh nh\u00e2n (sn 1976)\u00a0 v\u00e0o<\/p>\n","protected":false},"author":2,"featured_media":4794,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[6,8],"tags":[],"_links":{"self":[{"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/posts\/4791"}],"collection":[{"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/comments?post=4791"}],"version-history":[{"count":6,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/posts\/4791\/revisions"}],"predecessor-version":[{"id":4806,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/posts\/4791\/revisions\/4806"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/media\/4794"}],"wp:attachment":[{"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/media?parent=4791"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/categories?post=4791"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/shopabl.com\/wp-json\/wp\/v2\/tags?post=4791"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}