{"id":29056,"date":"2024-11-13T16:42:31","date_gmt":"2024-11-13T09:42:31","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=29056"},"modified":"2024-11-13T16:42:31","modified_gmt":"2024-11-13T09:42:31","slug":"bai-06-11-24","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/11\/13\/bai-06-11-24\/","title":{"rendered":"COPD: K\u1ebb th\u00f9 \u00e2m th\u1ea7m \u0111e d\u1ecda l\u00e1 ph\u1ed5i"},"content":{"rendered":"<p style=\"text-align: justify;\"><strong><em><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD)\u00a0 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 t\u1eafc ngh\u1ebdn l\u01b0u th\u00f4ng kh\u00ed trong ph\u1ed5i. COPD dai d\u1eb3ng v\u00e0 ti\u1ebfn tri\u1ec3n n\u1eb7ng d\u1ea7n theo th\u1eddi gian v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda m\u1ea1ng s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi. Theo T\u1ed5 ch\u1ee9c Y t\u1ebf Th\u1ebf gi\u1edbi (WHO) n\u0103m 2019, COPD l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong \u0111\u1ee9ng th\u1ee9 ba tr\u00ean to\u00e0n th\u1ebf gi\u1edbi, g\u00e2y ra 3,23 tri\u1ec7u ca t\u1eed vong, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 5,8% s\u1ed1 ng\u01b0\u1eddi t\u1eed vong. T\u1ea1i Vi\u1ec7t Nam, t\u1ef7 l\u1ec7 t\u1eed vong do COPD l\u00e0 35.800 ng\u01b0\u1eddi, \u0111\u1ee9ng th\u1ee9 3 trong c\u00e1c b\u1ec7nh g\u00e2y t\u1eed vong sau \u0111\u1ed9t qu\u1ef5 v\u00e0 nh\u1ed3i m\u00e1u c\u01a1 tim. B\u1ec7nh n\u00e0y g\u00e2y ra kh\u00f3 th\u1edf k\u00e9o d\u00e0i, l\u00e0m c\u1ea3n tr\u1edf kh\u1ea3 n\u0103ng tham gia v\u00e0o c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y nh\u01b0 \u0111i b\u1ed9, leo c\u1ea7u thang, ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 l\u00e0m vi\u1ec7c nh\u00e0. \u1ea2nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u01b0a h\u1ecd v\u00e0o tr\u1ea1ng th\u00e1i lo \u00e2u v\u00e0 tr\u1ea7m c\u1ea3m.<\/span><\/em><\/strong><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>S\u1ef1 nguy h\u1ea1i c\u1ee7a b\u1ec7nh COPD \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u0111\u00e3 m\u1eafc b\u1ec7nh T\u0103ng huy\u1ebft \u00e1p, \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">T\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng tim m\u1ea1ch: B\u1ec7nh nh\u00e2n m\u1eafc COPD c\u00f3 nguy c\u01a1 cao h\u01a1n v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch nh\u01b0 b\u1ec7nh l\u00fd \u0111\u1ed9ng m\u1ea1ch v\u00e0nh v\u00e0 suy tim. Vi\u00eam m\u00e3n t\u00ednh, thi\u1ebfu oxy, v\u00e0 \u00e1p l\u1ef1c l\u00ean tim l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 g\u00f3p ph\u1ea7n.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Kh\u00f3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p: COPD c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng c\u0103ng th\u1eb3ng cho c\u01a1 th\u1ec3, g\u00e2y ra s\u1ef1 t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh giao c\u1ea3m, t\u1eeb \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng huy\u1ebft \u00e1p.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Gia t\u0103ng vi\u00eam: COPD l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd vi\u00eam m\u00e3n t\u00ednh v\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam trong c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn vi\u1ec7c ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng huy\u1ebft trong \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng: Kh\u00f3 th\u1edf trong COPD th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn \u00edt v\u1eadn \u0111\u1ed9ng h\u01a1n, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ki\u1ec3m so\u00e1t tr\u1ecdng l\u01b0\u1ee3ng v\u00e0 m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft trong \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">Nguy c\u01a1 nhi\u1ec5m tr\u00f9ng cao h\u01a1n: B\u1ec7nh nh\u00e2n COPD c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p cao h\u01a1n, v\u00e0 s\u1ef1 nhi\u1ec5m tr\u00f9ng n\u00e0y c\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, th\u01b0\u1eddng l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft.<\/span><\/p>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>Tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a COPD<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>Ho c\u00f3 \u0111\u1eddm<\/strong>: L\u00e0 tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e1, th\u01b0\u1eddng ph\u00e1t tri\u1ec3n t\u1eeb tu\u1ed5i 40-50.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>Kh\u00f3 th\u1edf<\/strong>: Tri\u1ec7u ch\u1ee9ng n\u00e0y ti\u1ebfn tri\u1ec3n d\u1ea7n d\u1ea7n, xu\u1ea5t hi\u1ec7n khi g\u1eafng s\u1ee9c, d\u1ec5 b\u1ecb tr\u1ea7m tr\u1ecdng h\u01a1n khi c\u00f3 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. N\u00f3 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n r\u00f5 r\u00e0ng h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi t\u1eeb tu\u1ed5i 50-60.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 ch\u00ednh d\u1eabn \u0111\u1ebfn COPD<\/strong><\/span><\/p>\n<ul style=\"text-align: justify;\">\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>H\u00fat thu\u1ed1c l\u00e1<\/strong>: Nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u d\u1eabn \u0111\u1ebfn COPD. H\u00fat thu\u1ed1c kh\u00f4ng ch\u1ec9 l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u00f4 ph\u1ed5i m\u00e0 c\u00f2n k\u00edch th\u00edch vi\u00eam nhi\u1ec5m, l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng t\u1ef1 ph\u1ee5c h\u1ed3i c\u1ee7a ph\u1ed5i. Th\u1eadm ch\u00ed, vi\u1ec7c ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i thu\u1ed1c th\u1ee5 \u0111\u1ed9ng c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c t\u01b0\u01a1ng t\u1ef1.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>\u00d4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng<\/strong>: Nh\u1eefng ng\u01b0\u1eddi s\u1ed1ng trong nh\u1eefng khu v\u1ef1c \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed ho\u1eb7c l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng ti\u1ebfp x\u00fac v\u1edbi h\u00f3a ch\u1ea5t \u0111\u1ed9c h\u1ea1i d\u1ec5 c\u00f3 nguy c\u01a1 m\u1eafc COPD h\u01a1n. B\u1ee5i, kh\u00f3i v\u00e0 c\u00e1c h\u1ea1t \u00f4 nhi\u1ec5m t\u00edch l\u0169y trong ph\u1ed5i c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng t\u1ed5n th\u01b0\u01a1ng kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>Di truy\u1ec1n<\/strong>: M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p COPD c\u00f3 nguy\u00ean nh\u00e2n di truy\u1ec1n, ch\u1eb3ng h\u1ea1n nh\u01b0 thi\u1ebfu h\u1ee5t protein alpha-1 antitrypsin. Protein n\u00e0y c\u00f3 nhi\u1ec7m v\u1ee5 b\u1ea3o v\u1ec7 ph\u1ed5i kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng, v\u00ec v\u1eady, khi thi\u1ebfu h\u1ee5t, nguy c\u01a1 b\u1ecb COPD t\u0103ng l\u00ean.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>Tu\u1ed5i t\u00e1c<\/strong>: Nguy c\u01a1 m\u1eafc COPD c\u0169ng t\u0103ng theo tu\u1ed5i t\u00e1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 c\u00f3 ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c. Qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a t\u1ef1 nhi\u00ean c\u0169ng khi\u1ebfn c\u00e1c m\u00f4 ph\u1ed5i tr\u1edf n\u00ean y\u1ebfu h\u01a1n v\u00e0 \u00edt \u0111\u00e0n h\u1ed3i h\u01a1n.<\/span><\/li>\n<li><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\"><strong>Ngh\u1ec1 nghi\u1ec7p<\/strong>: M\u1ed9t s\u1ed1 ngh\u1ec1 nghi\u1ec7p nh\u01b0 x\u00e2y d\u1ef1ng, khai th\u00e1c m\u1ecf, ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe (y t\u1ebf) v\u00e0 s\u1ea3n xu\u1ea5t (ngh\u1ec1 nghi\u1ec7p trong l\u0129nh v\u1ef1c x\u00e2y d\u1ef1ng, khai th\u00e1c m\u1ecf, h\u00f3a ch\u1ea5t) c\u00f3 th\u1ec3 \u0111\u1ea9y cao nguy c\u01a1 m\u1eafc COPD do ph\u1ea3i ti\u1ebfp x\u00fac th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u1ee5i, h\u00f3a ch\u1ea5t, ho\u1eb7c kh\u00f3i.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify;\"><span style=\"font-family: 'times new roman', times, serif; font-size: 18pt;\">B\u1ec7nh COPD c\u1ea7n ph\u00e1t hi\u1ec7n s\u1edbm \u0111\u1ec3 ki\u1ec3m so\u00e1t kh\u00f4ng \u0111\u1ec3 b\u1ec7nh ph\u00e1t tri\u1ec3n \u0111\u1ebfn giai \u0111o\u1ea1n n\u1eb7ng g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. N\u00ean m\u1ecdi ng\u01b0\u1eddi c\u1ea7n c\u00f3 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh, ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd, duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c th\u01b0\u1eddng xuy\u00ean v\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 6 th\u00e1ng\/l\u1ea7n kh\u00f4ng nh\u1eefng gi\u00fap ph\u00e1t hi\u1ec7n b\u1ec7nh l\u00fd k\u1ecbp th\u1eddi m\u00e0 c\u00f2n l\u00e0 c\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 b\u1ea1n duy tr\u00ec s\u1ee9c kh\u1ecfe l\u00e2u d\u00e0i.\/.<\/span><\/p>\n<p style=\"text-align: right;\"><strong><em><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt;\">CN. Nguy\u1ec5n Kh\u00e1nh Duy &#8211; Trung t\u00e2m Ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt An Giang<\/span><\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD)\u00a0 l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng, \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 t\u1eafc ngh\u1ebdn l\u01b0u th\u00f4ng kh\u00ed trong ph\u1ed5i. COPD dai d\u1eb3ng v\u00e0 ti\u1ebfn tri\u1ec3n n\u1eb7ng d\u1ea7n theo th\u1eddi gian v\u00e0 c\u00f3 th\u1ec3 \u0111e d\u1ecda m\u1ea1ng s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c can thi\u1ec7p k\u1ecbp th\u1eddi. Theo T\u1ed5 ch\u1ee9c Y [&hellip;]<\/p>\n","protected":false},"author":72,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[349,322],"tags":[],"class_list":["post-29056","post","type-post","status-publish","format-standard","hentry","category-bai-viet-dat-hang","category-cham-nhuan-but"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/29056","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\/72"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=29056"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/29056\/revisions"}],"predecessor-version":[{"id":29057,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/29056\/revisions\/29057"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=29056"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=29056"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=29056"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}