{"id":18235,"date":"2023-02-07T14:17:08","date_gmt":"2023-02-07T07:17:08","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=18235"},"modified":"2023-02-07T14:20:13","modified_gmt":"2023-02-07T07:20:13","slug":"dieu-tri-du-phong-hen-phe-quan-o-tre-trong-thoi-tiet-nom-am","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/02\/07\/dieu-tri-du-phong-hen-phe-quan-o-tre-trong-thoi-tiet-nom-am\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb trong th\u1eddi ti\u1ebft n\u1ed3m \u1ea9m"},"content":{"rendered":"

Th\u1eddi ti\u1ebft t\u1ea1i mi\u1ec1n B\u1eafc ti\u1ebfp t\u1ee5c m\u01b0a ph\u00f9n, nhi\u1ec1u n\u01a1i c\u00f3 s\u01b0\u01a1ng m\u00f9 v\u00e0o s\u00e1ng s\u1edbm, \u0111\u1ed9 \u1ea9m kh\u00f4ng kh\u00ed t\u0103ng cao.\u200f<\/span><\/p>\n

\u200fThS.BS \u0110\u1ed7 H\u1ea1nh Trang (chuy\u00ean khoa Nhi) cho bi\u1ebft, v\u1edbi tr\u1ebb c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, b\u1ecb\u00a0hen ph\u1ebf qu\u1ea3n\u00a0r\u1ea5t d\u1ec5 l\u00ean c\u01a1n hen trong\u00a0th\u1eddi ti\u1ebft n\u1ed3m \u1ea9m\u00a0n\u00e0y, do t\u00e1c \u0111\u1ed9ng c\u1ee7a\u00a0kh\u00f4ng kh\u00ed \u1ea9m, l\u1ea1i th\u00eam t\u00e1c nh\u00e2n n\u1ea5m m\u1ed1c \u1edf ngay trong nh\u00e0 khi\u1ebfn c\u01a1n hen b\u00f9ng ph\u00e1t, g\u00e2y nhi\u1ec1u bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m.<\/span><\/p>\n

Ch\u00ednh v\u00ec v\u1eady,\u00a0\u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n\u00a0r\u1ea5t quan tr\u1ecdng. \u200f<\/span><\/p>\n

\u200f1.\u00a0Hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb em l\u00e0 g\u00ec ?\u200f<\/span><\/h4>\n

\u200fHen ph\u1ebf qu\u1ea3n l\u00e0 b\u1ec7nh\u00a0vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p\u00a0m\u1ea1n t\u00ednh, d\u1eabn t\u1edbi t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 th\u1edf kh\u00f2 kh\u00e8, kh\u00f3 th\u1edf, t\u1ee9c ng\u1ef1c, th\u01b0\u1eddng g\u1eb7p khi ng\u1ee7 ho\u1eb7c g\u1ea7n s\u00e1ng. \u200f<\/span><\/p>\n

\u200fC\u00f3 nhi\u1ec1u y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn c\u0103n b\u1ec7nh n\u00e0y nh\u01b0 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, m\u00f4i tr\u01b0\u1eddng, thay \u0111\u1ed5i th\u1eddi ti\u1ebft\u2026 Hen ph\u1ebf qu\u1ea3n l\u00e0 b\u1ec7nh kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi. Tuy nhi\u00ean, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t b\u1ec7nh \u1ed5n \u0111\u1ecbnh h\u01a1n v\u00e0 tr\u1ebb\u00a0m\u1eafc hen ph\u1ebf qu\u1ea3n\u00a0s\u1ebd c\u00f3 cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n

\"\"
Hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb em.<\/figcaption><\/figure>\n

2. \u0110i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb em\u200f<\/span><\/h4>\n

\u200fTheo ThS. BS \u0110\u1ed7 H\u1ea1nh Trang, BV\u0110H Y H\u00e0 N\u1ed9i,\u00a0<\/span>hen ph\u1ebf qu\u1ea3n l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh \u0111\u01b0\u1eddng th\u1edf, c\u00f3 giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh xen l\u1eabn c\u00e1c \u0111\u1ee3t b\u1ec7nh c\u1ea5p, khi t\u00e1c nh\u00e2n k\u00edch th\u00edch xu\u1ea5t hi\u1ec7n. C\u00e1c t\u00e1c nh\u00e2n k\u00edch th\u00edch bao g\u1ed3m: Nhi\u1ec5m virus \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, kh\u00f3i thu\u1ed1c, m\u1ea1t nh\u00e0, l\u00f4ng ch\u00f3 m\u00e8o, n\u1ea5m m\u1ed1c…<\/p>\n

Ch\u00ednh v\u00ec v\u1eady, m\u1ee5c \u0111\u00edch c\u1ee7a d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb em l\u00e0 ki\u1ec3m so\u00e1t qu\u00e1 tr\u00ecnh vi\u00eam, \u0111\u1ed3ng th\u1eddi gi\u1ea3m ph\u1ea3n \u1ee9ng qu\u00e1 m\u1ee9c c\u1ee7a \u0111\u01b0\u1eddng th\u1edf \u0111\u1ed1i v\u1edbi t\u00e1c nh\u00e2n k\u00edch th\u00edch. T\u1eeb \u0111\u00f3, gi\u00fap tr\u1ebb m\u1eafc hen ph\u1ebf qu\u1ea3n:\u200f<\/p>\n

    \n
  • \u200fGi\u1ea3m ho v\u1ec1 \u0111\u00eam;\u200f<\/i><\/span><\/li>\n
  • \u200fDuy tr\u00ec ch\u1ee9c n\u0103ng ph\u1ed5i b\u00ecnh th\u01b0\u1eddng;\u200f<\/i><\/span><\/li>\n
  • \u200fKi\u1ec3m so\u00e1t c\u01a1n hen c\u1ea5p t\u00ednh;\u200f<\/i><\/span><\/li>\n
  • \u200fH\u1ea1n ch\u1ebf t\u1edbi m\u1ee9c th\u1ea5p nh\u1ea5t t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1ee3t hen c\u1ea5p t\u00ednh;\u200f<\/i><\/span><\/li>\n
  • \u200fNg\u0103n ng\u1eeba v\u00e0 gi\u1ea3m b\u1edbt t\u1ed5n th\u01b0\u01a1ng \u0111\u01b0\u1eddng th\u1edf.<\/i>\u200f<\/span><\/li>\n<\/ul>\n

    \u200fN\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng, m\u1ed7i l\u1ea7n l\u00ean c\u01a1n hen c\u1ea5p t\u00ednh, tr\u1ebb c\u00f3 th\u1ec3 ph\u1ea3i nh\u1eadp vi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb\u00a0thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n\u00a0v\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam corticosteroid (prednisolon ho\u1eb7c solumedrol) li\u1ec1u cao t\u1eeb 7-10 ng\u00e0y v\u00e0 c\u00f3 nguy c\u01a1 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 l\u00ean to\u00e0n th\u00e2n.\u200f<\/span><\/p>\n

    \u200f3. Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb \u200f<\/span><\/h4>\n

    \u200fNguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb em bao g\u1ed3m:\u200f<\/span><\/p>\n

      \n
    • \u200fD\u00f9ng thu\u1ed1c gi\u1ea3m vi\u00eam v\u00e0 gi\u00e3n c\u01a1 tr\u01a1n \u0111\u01b0\u1eddng th\u1edf \u0111\u1ec3 ki\u1ec3m so\u00e1t tri\u1ec7u ch\u1ee9ng, t\u0103ng c\u01b0\u1eddng ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p;\u200f<\/i><\/span><\/li>\n
    • \u200fThu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c d\u00f9ng h\u1eb1ng ng\u00e0y v\u00e0 trong m\u1ed9t th\u1eddi gian d\u00e0i;\u200f<\/i><\/span><\/li>\n
    • \u200fTu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, kh\u00f4ng t\u1ef1 \u00fd t\u0103ng, gi\u1ea3m ho\u1eb7c ng\u1eebng thu\u1ed1c khi ch\u01b0a c\u00f3 \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/i><\/span><\/li>\n<\/ul>\n
      \"\"
      Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n mang l\u1ea1i nh\u1eefng l\u1ee3i \u00edch r\u00f5 r\u00e0ng.<\/figcaption><\/figure>\n

      4. C\u00e1c thu\u1ed1c th\u01b0\u1eddng d\u00f9ng d\u1ef1 ph\u00f2ng ki\u1ec3m so\u00e1t hen ph\u1ebf qu\u1ea3n\u200f<\/span><\/h4>\n

      \u200f4.1\u00a0Corticoid d\u1ea1ng h\u00edt<\/i>\u200f<\/span><\/h4>\n

      \u200fC\u00e1c thu\u1ed1c corticoid d\u1ea1ng h\u00edt (budesonide, fluticasone, beclomethasone) l\u00e0 l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u trong \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng ki\u1ec3m so\u00e1t hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb em. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m tri\u1ec7u ch\u1ee9ng hen, gi\u1ea3m c\u00e1c \u0111\u1ee3t c\u1ea5p t\u00ednh, gi\u1ea3m s\u1ed1 l\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c c\u1eaft c\u01a1n hen, \u0111\u1ed3ng th\u1eddi c\u00f2n gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ph\u1ed5i…\u200f<\/span><\/p>\n

      \u200fKhi d\u00f9ng n\u00ean tu\u00e2n th\u1ee7 ch\u1ec9 \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. Tr\u1ebb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc gi\u1ea3m li\u1ec1u sau khi \u0111\u00e3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u01a1n hen trong \u00edt nh\u1ea5t 3 th\u00e1ng li\u00ean ti\u1ebfp. Tuy nhi\u00ean, cha m\u1eb9 kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd gi\u1ea3m ho\u1eb7c ng\u1eebng thu\u1ed1c khi ch\u01b0a c\u00f3 \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129. \u200f<\/span><\/p>\n

      \u200f4.2 Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i\u00a0<\/i>\u200f<\/span><\/h4>\n

      \u200fThu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p c\u00f9ng corticoid d\u1ea1ng h\u00edt \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 ki\u1ec3m so\u00e1t c\u01a1n hen, \u0111\u1ed3ng th\u1eddi gi\u1ea3m nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 ho\u1eb7c nh\u1eddn thu\u1ed1c do s\u1eed d\u1ee5ng k\u00e9o d\u00e0i. \u200f<\/span><\/p>\n

      \u200fFormoterol v\u00e0 salmeterol l\u00e0 hai lo\u1ea1i thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n thu\u1ed9c nh\u00f3m c\u01b0\u1eddng beta 2 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb. Trong \u0111\u00f3, thu\u1ed1c formoterol \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen \u1edf tr\u1ebb l\u1edbn h\u01a1n 6 tu\u1ed5i, c\u00f2n thu\u1ed1c salmeterol \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u1edf tr\u1ebb h\u01a1n 4 tu\u1ed5i.\u200f<\/span><\/p>\n

      \u200f4.3 Thu\u1ed1c kh\u00e1ng leukotrien<\/i>\u200f<\/span><\/h4>\n

      \u200fC\u00e1c thu\u1ed1c kh\u00e1ng leukotrien (montelukast, zafirlukast v\u00e0 zileuton) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u01a1n l\u1ebb ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c corticoid d\u1ea1ng h\u00edt trong \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n. Thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, c\u00f3 nhi\u1ec1u h\u00e0m l\u01b0\u1ee3ng kh\u00e1c nhau \u0111\u1ec3 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng ph\u00f9 h\u1ee3p cho nhi\u1ec1u nh\u00f3m tu\u1ed5i.\u200f<\/span><\/p>\n

      \u200f\u0110\u1ec3 \u0111\u1ea3m b\u1ea3o vi\u1ec7c d\u00f9ng thu\u1ed1c d\u1ef1 ph\u00f2ng hen ph\u1ebf qu\u1ea3n \u1edf tr\u1ebb an to\u00e0n, hi\u1ec7u qu\u1ea3, c\u1ea7n l\u01b0u \u00fd tu\u00e2n th\u1ee7 ch\u1ec9 \u0111\u1ecbnh v\u00e0 h\u01b0\u1edbng d\u1eabn d\u00f9ng thu\u1ed1c c\u1ee7a b\u00e1c s\u0129. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 m\u1ed9t tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng n\u00e0o x\u1ea3y ra sau khi s\u1eed d\u1ee5ng thu\u1ed1c, c\u1ea7n li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 c\u00f3 h\u01b0\u1edbng x\u1eed tr\u00ed k\u1ecbp th\u1eddi.\/.<\/span><\/p>\n

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

      Th\u1eddi ti\u1ebft t\u1ea1i mi\u1ec1n B\u1eafc ti\u1ebfp t\u1ee5c m\u01b0a ph\u00f9n, nhi\u1ec1u n\u01a1i c\u00f3 s\u01b0\u01a1ng m\u00f9 v\u00e0o s\u00e1ng s\u1edbm, \u0111\u1ed9 \u1ea9m kh\u00f4ng kh\u00ed t\u0103ng cao.\u200f \u200fThS.BS \u0110\u1ed7 H\u1ea1nh Trang (chuy\u00ean khoa Nhi) cho bi\u1ebft, v\u1edbi tr\u1ebb c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, b\u1ecb\u00a0hen ph\u1ebf qu\u1ea3n\u00a0r\u1ea5t d\u1ec5 l\u00ean c\u01a1n hen trong\u00a0th\u1eddi ti\u1ebft n\u1ed3m \u1ea9m\u00a0n\u00e0y, do t\u00e1c \u0111\u1ed9ng c\u1ee7a\u00a0kh\u00f4ng kh\u00ed […]<\/p>\n","protected":false},"author":3,"featured_media":18236,"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-18235","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\/18235","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=18235"}],"version-history":[{"count":0,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18235\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/18236"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18235"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18235"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18235"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}