{"id":17561,"date":"2022-12-31T10:50:58","date_gmt":"2022-12-31T03:50:58","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=17561"},"modified":"2022-12-31T10:50:58","modified_gmt":"2022-12-31T03:50:58","slug":"cach-phong-va-dieu-tri-benh-phoi-tac-nghen-man-tinh-trong-ret-dam","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2022\/12\/31\/cach-phong-va-dieu-tri-benh-phoi-tac-nghen-man-tinh-trong-ret-dam\/","title":{"rendered":"C\u00e1ch ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh trong r\u00e9t \u0111\u1eadm"},"content":{"rendered":"

1. B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 g\u00ec ?<\/b><\/h4>\n

B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh\u00a0l\u00e0 b\u1ec7nh l\u00fd g\u00e2y ra lu\u1ed3ng kh\u00ed b\u1ecb t\u1eafc ngh\u1ebdn t\u1eeb ph\u1ed5i. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb COPD ph\u1ea3i c\u1ed1 g\u1eafng nhi\u1ec1u h\u01a1n \u0111\u1ec3 th\u1edf, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf v\u00e0\/ ho\u1eb7c c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi \u1edf giai \u0111o\u1ea1n s\u1edbm c\u1ee7a b\u1ec7nh, nh\u1ea5t l\u00e0 khi b\u1ec7nh nh\u00e2n t\u1eadp th\u1ec3 d\u1ee5c.<\/p>\n

Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, c\u00f3 th\u1ec3 kh\u00f3 th\u1edf khi th\u1edf ra ho\u1eb7c th\u1eadm ch\u00ed khi h\u00edt v\u00e0o. C\u0103n b\u1ec7nh n\u00e0y th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m, g\u00e2y ra nhi\u1ec1u h\u1ec7 l\u1ee5y nghi\u00eam tr\u1ecdng cho s\u1ee9c kh\u1ecfe nh\u01b0: M\u1ec7t m\u1ecfi, h\u1ea1n ch\u1ebf sinh ho\u1ea1t, ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng gi\u1ea3m s\u00fat, kh\u00f3 th\u1edf, n\u1eb7ng h\u01a1n l\u00e0 suy h\u00f4 h\u1ea5p\u2026<\/p>\n

\"\"
B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u h\u1ec7 l\u1ee5y nghi\u00eam tr\u1ecdng cho ng\u01b0\u1eddi b\u1ec7nh.<\/figcaption><\/figure>\n

2. Nguy\u00ean nh\u00e2n v\u00e0 tri\u1ec7u ch\u1ee9ng<\/b><\/h4>\n

Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh th\u01b0\u1eddng l\u00e0:<\/b><\/i><\/p>\n

–\u00a0H\u00fat thu\u1ed1c l\u00e1\u00a0(ch\u1ee7 \u0111\u1ed9ng v\u00e0 th\u1ee5 \u0111\u1ed9ng): Theo th\u1ed1ng k\u00ea t\u1eeb Hi\u1ec7p h\u1ed9i ph\u1ed5i Hoa K\u1ef3, kho\u1ea3ng 85% \u2013 90% ng\u01b0\u1eddi m\u1eafc b\u1ec7nh t\u1eafc ph\u1ed5i ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 li\u00ean quan \u0111\u1ebfn thu\u1ed1c l\u00e1, bao g\u1ed3m c\u1ea3 nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1 th\u1ee5 \u0111\u1ed9ng. Trong \u0111\u00f3, nguy c\u01a1 t\u1eed vong do b\u1ec7nh COPD c\u1ee7a ng\u01b0\u1eddi h\u00fat thu\u1ed1c cao g\u1ea5p 10 l\u1ea7n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng h\u00fat thu\u1ed1c. C\u00e1c ph\u00e2n t\u1eed kh\u00ed \u0111\u1ed9c h\u1ea1i trong kh\u00f3i thu\u1ed1c l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ph\u00e1 h\u1ee7y c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng th\u1edf, l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng kh\u00ed l\u01b0u th\u00f4ng v\u00e0 kh\u00f4ng h\u1ed3i ph\u1ee5c \u0111\u01b0\u1ee3c d\u1eabn \u0111\u1ebfn b\u1ec7nh COPD.<\/p>\n

– Ng\u01b0\u1eddi l\u00e0m vi\u1ec7c trong\u00a0m\u00f4i tr\u01b0\u1eddng \u0111\u1ed9c h\u1ea1i, \u00f4 nhi\u1ec5m, kh\u00f3i b\u1ee5i, th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t.<\/p>\n

– Ng\u01b0\u1eddi c\u00f3 khuy\u1ebft t\u1eadt v\u1ec1 gen g\u00e2y thi\u1ebfu h\u1ee5t men alpha 1 antitrypsin, n\u00ean b\u1ec7nh COPD c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i.<\/p>\n

– Nam gi\u1edbi tr\u00ean 40 tu\u1ed5i.<\/p>\n

Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p:<\/b><\/i><\/p>\n

– Kh\u00f3 th\u1edf: Ti\u1ebfn tri\u1ec3n theo th\u1eddi gian, n\u1eb7ng h\u01a1n khi t\u1eadp th\u1ec3 d\u1ee5c.<\/p>\n

– Ho m\u1ea1n t\u00ednh: C\u00f3 th\u1ec3 kh\u00f4ng li\u00ean t\u1ee5c, c\u00f3 khi ch\u1ec9 l\u00e0 ho khan.<\/p>\n

– Kh\u1ea1c \u0111\u00e0m m\u1ea1n t\u00ednh.<\/p>\n

– Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi t\u00e1i di\u1ec5n nh\u01b0 vi\u00eam ph\u1ed5i, vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n\u2026<\/p>\n

\u00a03. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh th\u1ebf n\u00e0o ?<\/h4>\n

3.1. B\u1ecf thu\u1ed1c l\u00e1<\/i><\/h4>\n

\u0110i\u1ec1u tr\u1ecb COPD tr\u01b0\u1edbc nh\u1ea5t v\u00e0 quan tr\u1ecdng nh\u1ea5t \u1edf ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e0 t\u1eeb b\u1ecf h\u00fat thu\u1ed1c. \u0110\u00e3 c\u00f3 thu\u1ed1c v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c \u0111\u1ec3 gi\u00fap \u0111i\u1ec1u tr\u1ecb vi\u1ec7c nghi\u1ec7n nicotine v\u00e0 gi\u00fap b\u1ec7nh nh\u00e2n b\u1ecf thu\u1ed1c l\u00e1. Vi\u1ec7c d\u00f9ng thu\u1ed1c h\u1ed7 tr\u1ee3 cai thu\u1ed1c l\u00e1 gi\u00fap gi\u1ea3m nh\u1eb9 h\u1ed9i ch\u1ee9ng cai thu\u1ed1c v\u00e0 l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 cai thu\u1ed1c th\u00e0nh c\u00f4ng.<\/p>\n

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B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh th\u01b0\u1eddng g\u1eb7p \u1edf nam gi\u1edbi tr\u00ean 40 tu\u1ed5i h\u00fat thu\u1ed1c l\u00e1…<\/figcaption><\/figure>\n

C\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh:\u00a0<\/b><\/i><\/p>\n

-Nicotine thay th\u1ebf:\u00a0<\/i>Lo\u1ea1i n\u00e0y ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i \u1edf b\u1ec7nh nh\u00e2n tim m\u1ea1ch c\u00f3 nguy c\u01a1 cao (v\u1eeba m\u1edbi b\u1ecb nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p). C\u00e1c d\u1ea1ng thu\u1ed1c bao g\u1ed3m d\u1ea1ng x\u1ecbt m\u0169i, h\u1ecdng, vi\u00ean ng\u1eadm, vi\u00ean nhai, mi\u1ebfng d\u00e1n da.<\/p>\n

T\u00e1c d\u1ee5ng ph\u1ee5: G\u00e2y k\u00edch \u1ee9ng da khi d\u00e1n, khi u\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f4 mi\u1ec7ng, n\u1ea5c, kh\u00f3 ti\u00eau…<\/p>\n

-Bupropion:\u00a0<\/i>T\u00e1c d\u1ee5ng t\u0103ng c\u01b0\u1eddng ph\u00f3ng th\u00edch c\u00e1c ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh \u1edf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng gi\u00fap l\u00e0m gi\u1ea3m ham mu\u1ed1n h\u00fat thu\u1ed1c. Thu\u1ed1c kh\u00f4ng d\u00f9ng cho b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, r\u1ed1i lo\u1ea1n h\u00e0nh vi \u0103n u\u1ed1ng, \u0111ang \u0111i\u1ec1u tr\u1ecb cai nghi\u1ec7n r\u01b0\u1ee3u, suy gan n\u1eb7ng. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m m\u1ea5t ng\u1ee7, kh\u00f4 mi\u1ec7ng, nh\u1ee9c \u0111\u1ea7u, k\u00edch \u0111\u1ed9ng, co gi\u1eadt.<\/p>\n

-Varenicline:\u00a0<\/i>C\u00f3\u00a0t\u00e1c d\u1ee5ng gi\u1ea3m tri\u1ec7u ch\u1ee9ng khi cai thu\u1ed1c l\u00e1 v\u00e0 gi\u1ea3m s\u1ea3ng kho\u00e1i khi h\u00fat thu\u1ed1c. T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p l\u00e0 bu\u1ed3n n\u00f4n, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, \u00e1c m\u1ed9ng,\u00a0tr\u1ea7m c\u1ea3m, thay \u0111\u1ed5i h\u00e0nh vi. Kh\u00f4ng d\u00f9ng thu\u1ed1c tr\u00ean b\u1ec7nh nh\u00e2n suy th\u1eadn n\u1eb7ng.<\/p>\n

3.2. C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh<\/i><\/b><\/h4>\n

-Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n:\u00a0<\/i>C\u00e1c thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c coi l\u00e0 n\u1ec1n t\u1ea3ng trong \u0111i\u1ec1u tr\u1ecb COPD. \u01afu ti\u00ean c\u00e1c lo\u1ea1i\u00a0thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n\u00a0t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i, d\u00f9ng \u0111\u01b0\u1eddng phun h\u00edt ho\u1eb7c\u00a0kh\u00ed dung. M\u1ed9t s\u1ed1 lo\u1ea1i c\u00f3 th\u1ec3 k\u1ec3 t\u00ean nh\u01b0 SABA, LABA, ICS\u2026 Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 \u0111\u01b0\u1eddng d\u00f9ng c\u1ee7a c\u00e1c thu\u1ed1c n\u00e0y t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 v\u00e0 giai \u0111o\u1ea1n b\u1ec7nh.<\/p>\n

-Corticoid d\u1ea1ng h\u00edt:\u00a0<\/i>\u0110<\/span>\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n cho nh\u1eefng ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean c\u00f3 \u0111\u1ee3t t\u1eafc ngh\u1ebdn c\u1ea5p t\u00ednh kh\u00f3 th\u1edf ph\u1ea3i nh\u1eadp vi\u1ec7n, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed hen ho\u1eb7c t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan trong m\u00e1u. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 nh\u00f3m thu\u1ed1c c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5, n\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n th\u1eadn tr\u1ecdng v\u00e0 d\u00f9ng theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n

-Corticoid \u0111\u01b0\u1eddng u\u1ed1ng:\u00a0<\/i>Thu\u1ed1c corticoid \u0111\u01b0\u1eddng u\u1ed1ng\u00a0th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng cho nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh giai \u0111o\u1ea1n mu\u1ed9n. \u0110i\u1ec1u tr\u1ecb ng\u1eafn ng\u00e0y b\u1eb1ng thu\u1ed1c corticoid \u0111\u01b0\u1eddng u\u1ed1ng c\u00f3 t\u00e1c d\u1ee5ng gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh di\u1ec5n ti\u1ebfn tr\u1ea7m tr\u1ecdng h\u01a1n.<\/p>\n

Tuy nhi\u00ean, n\u1ebfu s\u1eed d\u1ee5ng corticoid \u0111\u01b0\u1eddng u\u1ed1ng trong th\u1eddi gian d\u00e0i c\u00f3 nguy c\u01a1 g\u00e2y ra nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n nguy hi\u1ec3m nh\u01b0:\u00a0Lo\u00e3ng x\u01b0\u01a1ng,\u00a0\u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng c\u00e2n, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng\u2026 Do \u0111\u00f3, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh b\u1eb1ng corticoid \u0111\u01b0\u1eddng u\u1ed1ng ph\u1ea3i tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n

-Thu\u1ed1c kh\u00e1ng sinh:\u00a0<\/i>Thu\u1ed1c kh\u00e1ng sinh th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n COPD c\u00f3 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng nhi\u1ec5m tr\u00f9ng nh\u01b0: Ho c\u00f3 \u0111\u1eddm \u0111\u1ee5c, s\u1ed1t\u2026 khi\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ec7nh di\u1ec5n ti\u1ebfn x\u1ea5u h\u01a1n. Thu\u1ed1c kh\u00e1ng sinh c\u00f3 vai tr\u00f2 ti\u00eau di\u1ec7t vi khu\u1ea9n g\u00e2y b\u1ec7nh. Tuy nhi\u00ean, thu\u1ed1c kh\u00e1ng sinh kh\u00f4ng \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh.<\/p>\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy t\u1ea1i b\u1ec7nh vi\u1ec7n ho\u1eb7c \u1edf nh\u00e0 n\u1ebfu b\u00e1c s\u0129 th\u1ea5y c\u1ea7n thi\u1ebft. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb COPD n\u1eb7ng ho\u1eb7c ti\u1ebfn tri\u1ec3n c\u00f3 th\u1ec3 c\u00f3 n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u th\u1ea5p. T\u00ecnh tr\u1ea1ng n\u00e0y, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thi\u1ebfu oxy m\u00e1u, c\u00f3 th\u1ec3 x\u1ea3y ra ngay c\u1ea3 khi b\u1ea1n kh\u00f4ng c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf ho\u1eb7c c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c. M\u1ee5c ti\u00eau c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 l\u00e0m gi\u1ea3m kh\u00f3 th\u1edf c\u0169ng nh\u01b0 nguy c\u01a1 suy h\u00f4 h\u1ea5p, h\u1ea1 oxy m\u00e1u.<\/p>\n

\u0110\u1ed1i v\u1edbi b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 m\u1ed9t s\u1ed1 ch\u1ec9 \u0111\u1ecbnh ngo\u1ea1i khoa, ch\u1eb3ng h\u1ea1n nh\u01b0 ph\u1eabu thu\u1eadt gi\u1ea3m th\u1ec3 t\u00edch ph\u1ed5i ho\u1eb7c gh\u00e9p ph\u1ed5i, c\u00f3 th\u1ec3 h\u1eefu \u00edch trong vi\u1ec7c gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi b\u1ecb kh\u00ed ph\u1ebf th\u0169ng ti\u1ebfn tri\u1ec3n.<\/p>\n

4.Ph\u00f2ng ng\u1eeba COPD th\u1ebf n\u00e0o ?<\/b><\/h4>\n

B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. Do \u0111\u00f3, n\u00ean:<\/p>\n

– Th\u01b0\u1eddng xuy\u00ean d\u1ecdn d\u1eb9p, v\u1ec7 sinh, l\u00e0m s\u1ea1ch m\u1ecdi ng\u00f3c ng\u00e1ch trong nh\u00e0 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o m\u00f4i tr\u01b0\u1eddng trong l\u00e0nh.<\/p>\n

– \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n COPD, tr\u00e1nh s\u1eed d\u1ee5ng nh\u1eefng th\u1ef1c ph\u1ea9m c\u00f3 nguy c\u01a1 g\u00e2y d\u1ecb \u1ee9ng, t\u1ea1o n\u00ean c\u00e1c c\u01a1n ho khan v\u00e0 th\u1eadm ch\u00ed g\u00e2y kh\u00f3 th\u1edf nh\u01b0 t\u00f4m, cua, c\u00e1 tanh, rau c\u00f3 t\u00ednh l\u1ea1nh, c\u00e1c gia v\u1ecb cay, h\u1ea1n ch\u1ebf \u0103n mu\u1ed1i. N\u00ean b\u1ed5 sung nh\u1eefng th\u1ef1c ph\u1ea9m gi\u00e0u protein, vitamin v\u00e0 ch\u1ea5t x\u01a1 nh\u01b0 th\u1ecbt, rau c\u1ee7 c\u00f3 m\u00e0u s\u1eafc t\u01b0\u01a1i s\u00e1ng, s\u1eefa chua, pho m\u00e1t\u2026<\/p>\n

– B\u1ecb b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c \u0111\u1ee3t c\u1ea5p c\u1ee7a COPD. Ti\u00eam vaccine l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb ph\u00f2ng ng\u1eeba c\u00e1c \u0111\u1ee3t c\u1ea5p c\u1ee7a COPD. C\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0 vaccine ph\u1ebf c\u1ea7u khu\u1ea9n, vaccine c\u00fam, vaccine ho g\u00e0\u2026<\/p>\n

Ngu\u1ed3n B\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

1. B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 g\u00ec ? B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh\u00a0l\u00e0 b\u1ec7nh l\u00fd g\u00e2y ra lu\u1ed3ng kh\u00ed b\u1ecb t\u1eafc ngh\u1ebdn t\u1eeb ph\u1ed5i. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb COPD ph\u1ea3i c\u1ed1 g\u1eafng nhi\u1ec1u h\u01a1n \u0111\u1ec3 th\u1edf, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf v\u00e0\/ ho\u1eb7c c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi \u1edf giai \u0111o\u1ea1n […]<\/p>\n","protected":false},"author":3,"featured_media":17562,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-17561","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17561","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=17561"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17561\/revisions"}],"predecessor-version":[{"id":17564,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17561\/revisions\/17564"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/17562"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=17561"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=17561"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=17561"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}