T\u1eadp th\u1edf \u1edf ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t vi\u1ec7c l\u00e0m quan tr\u1ecdng, nh\u00e2n ng\u00e0y ph\u00f2ng ch\u1ed1ng b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh 16\/11 ch\u00fang ta b\u00e0n v\u1ec1 c\u00e1ch t\u1eadp h\u00f4 h\u1ea5p d\u00e0nh cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ph\u1ed5i n\u00e0y.<\/p>\n
Hi\u1ec3u bi\u1ebft v\u1ec1 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD)<\/strong><\/p>\n B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh, vi\u1ebft t\u1eaft l\u00e0 COPD, l\u00e0 nguy\u00ean nh\u00e2n t\u1eed vong v\u00e0 g\u00e2y t\u00e0n ph\u1ebf c\u00f3 ng\u00e0y c\u00e0ng cao \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i; trong 20 n\u0103m g\u1ea7n \u0111\u00e2y (2000 \u0111\u1ebfn 2023) t\u1ef7 l\u1ec7 t\u1eed vong do COPD t\u0103ng 64% (t\u1eeb 40,7 l\u00ean 66,9\/100.000). T\u1ea1i Vi\u1ec7t Nam, c\u00e1c ca COPD chi\u1ebfm t\u1ef7 l\u1ec7\u00a0 8% \u1edf nam v\u00e0 2% \u1edf n\u1eef t\u1eeb 40 tu\u1ed5i tr\u1edf l\u00ean.<\/p>\n B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i ti\u1ebfn tri\u1ec3n ng\u00e0y c\u00e0ng n\u1eb7ng v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda m\u1ea1ng s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh, b\u1ec7nh g\u00e2y ra kh\u00f3 th\u1edf, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ng\u00e0y c\u00e0ng tr\u1ea7m tr\u1ecdng v\u00e0 g\u00e2y c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng. C\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y s\u1ebd tr\u1ecf n\u00ean kh\u00f3 th\u1ef1c hi\u1ec7n, ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111i l\u00ean c\u1ea7u thang ng\u1eafn ho\u1eb7c x\u00e1ch vali, v\u00e0 th\u1eadm ch\u00ed c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u1eb9 h\u00e0ng ng\u00e0y c\u0169ng kh\u00f3 kh\u0103n. COPD kh\u00f4ng th\u1ec3 ch\u1eefa kh\u1ecfi, nh\u01b0ng \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 gi\u1ea3m nguy c\u01a1 t\u1eed vong.<\/p>\n C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p l\u00e0 ho m\u1ea1n t\u00ednh, k\u00e9o d\u00e0i; c\u00f3 \u0111\u1eddm tr\u1eafng, m\u00e0u v\u00e0ng x\u00e1m, m\u00e0u xanh l\u00e1 c\u00e2y th\u1eadm ch\u00ed \u0111\u00f4i khi \u0111\u1eddm k\u00e8m m\u00e1u; nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 t\u00e1i \u0111i t\u00e1i l\u1ea1i; c\u1ea3m l\u1ea1nh; kh\u00f3 th\u1edf, th\u1edf g\u1ea5p s\u1ee9c, th\u1edf g\u1ea5p; ng\u1ef1c c\u00f3 c\u1ea3m gi\u00e1c th\u1eaft ch\u1eb7t, \u0111au; th\u1edf kh\u00f2 kh\u00e8, m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i; s\u1ed1t nh\u1eb9 v\u00e0 c\u00f3 c\u1ea3m gi\u00e1c \u1edbn l\u1ea1nh.<\/p>\n Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p ph\u1ea3i nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u: Kh\u00f3 th\u1edf \u0111\u1ebfn n\u1ed7i kh\u00f4ng th\u1ec3 n\u00f3i chuy\u1ec7n; m\u00f3ng tay, ch\u00e2n ho\u1eb7c m\u00f4i ng\u01b0\u1eddi b\u1ec7nh chuy\u1ec3n m\u00e0u xanh; n\u1eb7ng h\u01a1n b\u1ec7nh nh\u00e2n l\u01a1 m\u01a1; nh\u1ecbp tim nhanh, r\u1ea5t nhanh.<\/p>\n Khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u b\u1ec7nh, ch\u00fang ta c\u1ea7n \u0111i kh\u00e1m chuy\u00ean khoa s\u1edbm nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng ph\u1ed5i, \u0111o h\u00f4 h\u1ea5p k\u1ebf, ch\u1ee5p X-quang hay CT-scan ng\u1ef1c, kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 c\u00f3 k\u1ebft lu\u1eadn.<\/p>\n M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb l\u00e0 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh, \u0111\u1ea9y l\u00f9i, l\u00e0m ch\u1eadm s\u1ef1 ph\u00e1t tri\u1ec3n b\u1ec7nh, c\u1ea3i thi\u1ec7n g\u1eafng s\u1ee9c, ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb bi\u1ebfn ch\u1ee9ng.<\/p>\n C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng l\u00e0 <\/strong><\/p>\n – S\u1eed d\u1ee5ng thu\u1ed1c: C\u00e1c lo\u1ea1i thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n, long \u0111\u1eddm gi\u00fap ng\u01b0\u1eddi b\u1ec7nh th\u1edf d\u1ec5 d\u00e0ng, thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n gi\u1ea3m vi\u00eam ph\u1ed5i, c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng.<\/p>\n – V\u1eafc xin ph\u00f2ng ng\u1eeba: Ng\u01b0\u1eddi b\u1ec7nh s\u1eed d\u1ee5ng c\u00e1c v\u1eafc xin ph\u00f2ng c\u00fam, thu\u1ed1c ch\u1ee7ng ng\u1eeba ph\u1ebf c\u1ea7u, li\u1ec7u ph\u00e1p oxy.<\/p>\n – Ph\u1eabu thu\u1eadt: L\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cu\u1ed1i c\u00f9ng cho ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh m\u00e0 d\u00f9ng thu\u1ed1c kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3, \u0111i\u1ec3n h\u00ecnh l\u00e0 gh\u00e9p ph\u1ed5i.<\/p>\n Ngo\u00e0i \u0111i\u1ec1u tr\u1ecb ki\u1ec3m so\u00e1t b\u1ec7nh t\u1ed1t th\u00ec h\u00edt v\u00e0o, th\u1edf ra \u0111\u00fang c\u00e1ch \u0111\u01b0\u1ee3c xem l\u00e0 ch\u00eca kh\u00f3a \u0111\u1ec3 h\u1ea1n ch\u1ebf bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh.<\/p>\n H\u00edt th\u1edf \u0111\u00fang c\u00e1ch s\u1ebd khi\u1ebfn ch\u00fang ta c\u1ea3m th\u1ea5y d\u1ec5 th\u1edf v\u00e0 h\u01a1i th\u1edf ph\u00e1t ra m\u1ed9t c\u00e1ch nh\u1eb9 nh\u00e0ng v\u00e0 y\u00ean t\u0129nh. V\u00f9ng b\u1ee5ng c\u1ee7a b\u1ea1n s\u1ebd n\u1edf ra khi m\u1ed7i l\u1ea7n h\u00edt v\u00e0o v\u00e0 co l\u1ea1i theo m\u1ed7i l\u1ea7n th\u1edf ra; th\u1edf b\u1eb1ng c\u01a1 ho\u00e0nh. B\u1ea1n c\u0169ng c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y x\u01b0\u01a1ng s\u01b0\u1eddn c\u1ee7a m\u00ecnh m\u1edf r\u1ed9ng ra \u1edf ph\u00eda tr\u01b0\u1edbc, hai b\u00ean v\u00e0 sau m\u1ed7i l\u1ea7n h\u00edt v\u00e0o.<\/p>\n T\u1eadp th\u1edf c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n t\u1ea1i nh\u00e0 t\u1eeb 5 \u0111\u1ebfn 10 ph\u00fat v\u00e0 3 \u0111\u1ebfn 4 l\u1ea7n m\u1ed7i ng\u00e0y. Khi ch\u00fang t\u00e1 \u0111\u00e3 quen v\u1edbi vi\u1ec7c t\u1eadp th\u1edf th\u00ec c\u01a1 th\u1ec3 s\u1ebd c\u1ea3m th\u1ea5y kh\u1ecfe m\u1ea1nh, t\u1ef1 nhi\u00ean h\u01a1n. T\u1eadp th\u1edf th\u01b0\u1eddng c\u00f3 2 b\u00e0i th\u1edf c\u01a1 ho\u00e0nh v\u00e0 th\u1edf ho kh\u1ea1c.<\/p>\n 1. B\u00e0i t\u1eadp th\u1edf c\u01a1 ho\u00e0nh khi n\u1eb1m:<\/strong><\/p>\n N\u1eb1m ng\u1eeda, \u0111\u1ea7u g\u1ed1i cong v\u00e0 k\u00ea th\u00eam m\u1ed9t chi\u1ebfc g\u1ed1i d\u01b0\u1edbi \u0111\u1ea7u.<\/p>\n \u0110\u1eb7t th\u00eam m\u1ed9t chi\u1ebfc g\u1ed1i d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u00e2n.<\/p>\n \u0110\u1eb7t m\u1ed9t tay l\u00ean ng\u1ef1c tr\u00ean v\u00e0 tay kia \u0111\u1eb7t b\u00ean d\u01b0\u1edbi khung x\u01b0\u01a1ng s\u01b0\u1eddn \u0111\u1ec3 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a c\u01a1 ho\u00e0nh.<\/p>\n H\u00edt v\u00e0o t\u1eeb t\u1eeb b\u1eb1ng m\u0169i, c\u1ea3m th\u1ea5y b\u1ee5ng c\u0103ng ra \u00e1p s\u00e1t v\u00e0o tay.<\/p>\n Gi\u1eef b\u00e0n tay tr\u00ean ng\u1ef1c c\u1ee7a m\u00ecnh c\u00e0ng y\u00ean c\u00e0ng t\u1ed1t.<\/p>\n V\u1eadn \u0111\u1ed9ng c\u01a1 b\u1ee5ng v\u00e0 k\u00e9o ch\u00fang v\u1ec1 ph\u00eda c\u1ed9t s\u1ed1ng khi th\u1edf ra b\u1eb1ng c\u00e1ch m\u00edm m\u00f4i.<\/p>\n M\u1ed9t l\u1ea7n n\u1eefa, gi\u1eef y\u00ean tay tr\u00ean ng\u1ef1c tr\u00ean c\u00e0ng nhi\u1ec1u c\u00e0ng t\u1ed1t.<\/p>\n Ti\u1ebfp t\u1ee5c th\u1edf nh\u01b0 v\u1eady trong su\u1ed1t th\u1eddi gian b\u1ea1n th\u1ef1c hi\u1ec7n b\u00e0i t\u1eadp.<\/p>\n 2. T\u1eadp th\u1edf b\u1eb1ng c\u00e1ch ho kh\u1ea1c ch\u1ee7 \u0111\u1ed9ng: <\/strong><\/p>\n Sau khi \u0111\u00e3 th\u00e0nh th\u1ee5c k\u1ef9 thu\u1eadt th\u1edf b\u1eb1ng c\u01a1 ho\u00e0nh khi n\u1eb1m, ch\u00fang ta c\u00f3 th\u1ec3 th\u1eed k\u1ef9 thu\u1eadt t\u1eadp th\u1edf b\u1eb1ng c\u00e1ch ho kh\u1ea1c ch\u1ee7 \u0111\u1ed9ng:<\/p>\n \u00a0Chu\u1ea9n b\u1ecb h\u00edt th\u1edf b\u1ee5ng v\u00e0 ch\u00fam m\u00f4i k\u1ebft h\u1ee3p 5 nh\u1ecbp tr\u01b0\u1edbc v\u00e0 sau khi ho.<\/p>\n \u00a0H\u00edt v\u00e0o s\u00e2u sau \u0111\u00f3 \u00e9p ng\u1ef1c v\u00e0 b\u1ee5ng th\u1edf m\u1ea1nh ra g\u1eb1n h\u01a1i \u0111\u1ec3 k\u00edch th\u00edch ho.<\/p>\n \u00a0Nh\u1edd ng\u01b0\u1eddi v\u1ed7 l\u01b0ng m\u1ed7i khi ho \u0111\u1ec3 gi\u00fap long \u0111\u1eddm.<\/p>\n \u00a0Ho 3 – 5 l\u1ea7n ho\u1eb7c khi m\u1ec7t th\u00ec d\u1eebng l\u1ea1i.<\/p>\n \u00a0Ho kh\u1ea1c \u0111\u1ebfn khi n\u00e0o l\u1ea5y \u0111\u01b0\u1ee3c \u0111\u1eddm ra th\u00ec ng\u01b0ng.<\/p>\n \u00a0M\u1ed7i ng\u00e0y n\u00ean ho kh\u1ea1c \u0111\u1eddm 1-2 l\u1ea7n ( bu\u1ed5i s\u00e1ng v\u00e0 tr\u01b0\u1edbc khi \u0111i ng\u1ee7). U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc \u0111\u1ec3 d\u1ec5 kh\u1ea1c \u0111\u1eddm.<\/p>\n 3. T\u1eadp th\u1edf b\u1eb1ng c\u00e1ch v\u1eadn \u0111\u1ed9ng th\u1ec3 d\u1ee5c: <\/strong><\/p>\n \u00a0H\u00e0ng ng\u00e0y \u0111i b\u1ed9 nhanh (\u0111i b\u1ed9 nhanh nh\u1ea5t c\u00f3 th\u1ec3 nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea1y, kh\u00f4ng c\u1ea7n g\u1eafng s\u1ee9c qu\u00e1 m\u1ee9c).<\/p>\n \u00a0Th\u1eddi gian \u0111i kho\u1ea3ng 30 ph\u00fat, v\u00e0o th\u1eddi gian m\u00e1t m\u1ebb bu\u1ed5i s\u00e1ng ho\u1eb7c bu\u1ed5i t\u1ed1i, khu v\u1ef1c tho\u1ea3i m\u00e1i tho\u00e1ng m\u00e1t v\u00e0 an to\u00e0n.<\/p>\n B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t b\u1ec7nh ch\u1eefa kh\u00f4ng h\u1ebft n\u00ean ch\u00fang ta c\u1ea7n t\u1eadp th\u1edf \u0111\u1ec3 s\u1ed1ng chung v\u1edbi b\u1ec7nh.\/.<\/p>\n Ths.Bs L\u00ea Minh Uy – Ph\u00f3 Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m KSBT An Giang<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" T\u1eadp th\u1edf \u1edf ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t vi\u1ec7c l\u00e0m quan tr\u1ecdng, nh\u00e2n ng\u00e0y ph\u00f2ng ch\u1ed1ng b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh 16\/11 ch\u00fang ta b\u00e0n v\u1ec1 c\u00e1ch t\u1eadp h\u00f4 h\u1ea5p d\u00e0nh cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh ph\u1ed5i n\u00e0y. Hi\u1ec3u bi\u1ebft v\u1ec1 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) B\u1ec7nh ph\u1ed5i t\u1eafc […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[308],"tags":[],"class_list":["post-23764","post","type-post","status-publish","format-standard","hentry","category-tin-khoa-tt-gdsk"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/23764","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=23764"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/23764\/revisions"}],"predecessor-version":[{"id":23765,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/23764\/revisions\/23765"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=23764"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=23764"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=23764"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}