{"id":4029,"date":"2019-03-07T10:13:32","date_gmt":"2019-03-07T03:13:32","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=4029"},"modified":"2019-03-07T10:18:05","modified_gmt":"2019-03-07T03:18:05","slug":"benh-phoi-tac-nghen-man-tinh-copd","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/benh-phoi-tac-nghen-man-tinh-copd\/","title":{"rendered":"B\u1ec6NH PH\u1ed4I T\u1eaeC NGH\u1ebcN M\u1ea0N T\u00cdNH (COPD)"},"content":{"rendered":"

B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD)<\/strong> l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb COPD<\/strong> 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\u1eefng ng\u01b0\u1eddi m\u1eafc COPD c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf khi t\u1eadp th\u1ec3 d\u1ee5c. 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. B\u1ec7nh nh\u00e2n COPD c\u00f3 th\u1ec3 b\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n t\u1eafc ngh\u1ebdn, kh\u00ed ph\u1ebf th\u0169ng ho\u1eb7c c\u1ea3 hai. S\u1ed1 b\u1ec7nh n\u00e0y kh\u00e1c nhau t\u1eeb ng\u01b0\u1eddi n\u00e0y sang ng\u01b0\u1eddi kh\u00e1c. Hen suy\u1ec5n l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1c g\u00e2y h\u1eb9p \u0111\u01b0\u1eddng th\u1edf, khi\u1ebfn \u0111\u00f4i l\u00fac kh\u00f3 th\u1edf, nh\u01b0ng hen kh\u00f4ng \u0111\u01b0\u1ee3c bao g\u1ed3m trong \u0111\u1ecbnh ngh\u0129a c\u1ee7a COPD. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 c\u1ea3 COPD l\u1eabn hen suy\u1ec5n. Vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t lo\u1ea1i COPD, m\u1eb7c d\u00f9 thu\u1eadt ng\u1eef n\u00e0y v\u1eabn \u0111\u01b0\u1ee3c c\u00e1c nh\u00e0 cung c\u1ea5p d\u1ecbch v\u1ee5 ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1eed d\u1ee5ng \u0111\u1ec3 m\u00f4 t\u1ea3 m\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb ho c\u00f3 \u0111\u00e0m trong ba th\u00e1ng trong hai n\u0103m li\u00ean ti\u1ebfp.<\/p>\n

$\"B\u1ec6NH$ <\/p>\n

Vi\u00eam ph\u1ebf qu\u1ea3n t\u1eafc ngh\u1ebdn l\u00e0 g\u00ec?<\/h2>\n
Vi\u00eam ph\u1ebf qu\u1ea3n t\u1eafc ngh\u1ebdn<\/strong> l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 s\u01b0ng m\u1ea1n t\u00ednh l\u00e0m cho b\u00ean trong c\u00e1c \u1ed1ng th\u1edf (\u0111\u01b0\u1eddng th\u1edf) nh\u1ecf h\u01a1n b\u00ecnh th\u01b0\u1eddng. S\u1ef1 thu h\u1eb9p n\u00e0y c\u1ea3n tr\u1edf vi\u1ec7c kh\u00f4ng kh\u00ed tho\u00e1t ra kh\u1ecfi ph\u1ed5i t\u1ed1t v\u00e0 d\u1ec5 d\u00e0ng.<\/p>\n
$\"B\u1ec6NH$ <\/p>\n
Kh\u00ed ph\u1ebf th\u0169ng l\u00e0 g\u00ec?<\/h2>\n
Ph\u1ed5i \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh t\u1eeb h\u01a1n 300 tri\u1ec7u t\u00fai kh\u00ed nh\u1ecf g\u1ecdi l\u00e0 ph\u1ebf nang. Nh\u1eefng t\u00fai kh\u00ed n\u00e0y th\u01b0\u1eddng co gi\u00e3n. Khi b\u1ea1n h\u00edt v\u00e0o, t\u00fai kh\u00ed m\u1edf r\u1ed9ng nh\u01b0 nh\u1eefng qu\u1ea3 b\u00f3ng nh\u1ecf. Th\u1edf ra th\u01b0\u1eddng l\u00e0 th\u1ee5 \u0111\u1ed9ng (kh\u00f4ng m\u1ea5t c\u00f4ng s\u1ee9c) khi ph\u1ebf nang \u0111\u01b0\u1ee3c \u0111\u01b0a v\u1ec1 tr\u1ea1ng th\u00e1i b\u00ecnh th\u01b0\u1eddng, tr\u1edf l\u1ea1i k\u00edch th\u01b0\u1edbc ban \u0111\u1ea7u. Trong kh\u00ed ph\u1ebf th\u0169ng, c\u00e1c v\u00e1ch c\u1ee7a ph\u1ebf nang b\u1ecb t\u1ed5n th\u01b0\u01a1ng v\u00e0 m\u1ea5t t\u00ednh co gi\u00e3n. K\u1ebft qu\u1ea3 l\u00e0 c\u00e1c t\u00fai kh\u00ed kh\u00f4ng \u0111\u01b0a kh\u00ed ra d\u1ec5 d\u00e0ng \u0111\u01b0\u1ee3c n\u1eefa. Kh\u00ed ph\u1ebf th\u0169ng c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n thu h\u1eb9p \u0111\u01b0\u1eddng th\u1edf.<\/p>\n
S\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a ph\u1ebf nang kh\u00f4ng co gi\u00e3n do kh\u00ed ph\u1ebf th\u0169ng v\u00e0 h\u1eb9p \u0111\u01b0\u1eddng th\u1edf do c\u1ea3 vi\u00eam ph\u1ebf qu\u1ea3n t\u1eafc ngh\u1ebdn v\u00e0 kh\u00ed ph\u1ebf th\u0169ng, ng\u0103n ph\u1ed5i \u0111\u01b0a kh\u00ed ra ngo\u00e0i m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u n\u00e0y khi\u1ebfn kh\u00f4ng kh\u00ed b\u1ecb m\u1eafc k\u1eb9t trong ph\u1ed5i. “B\u1eaby kh\u00ed” ho\u1eb7c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng th\u1edf ra ho\u00e0n to\u00e0n, d\u1eabn \u0111\u1ebfn s\u1ef1 gi\u00e3n n\u1edf b\u1ea5t th\u01b0\u1eddng ho\u1eb7c c\u0103ng ph\u00ecnh. Kh\u00f4ng kh\u00ed b\u1ecb m\u1eafc k\u1eb9t th\u01b0\u1eddng xuy\u00ean trong ph\u1ed5i k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c g\u1eafng s\u1ee9c \u0111\u1ec3 th\u1edf d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf.<\/p>\n
$\"B\u1ec6NH$ <\/p>\n
Nguy\u00ean nh\u00e2n g\u00e2y COPD l\u00e0 g\u00ec ?<\/h2>\n
M\u1eb7c d\u00f9 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a COPD l\u00e0 kh\u00f3i thu\u1ed1c l\u00e1<\/strong>, c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c l\u00e0m cho COPD tr\u1edf n\u00ean t\u1ed3i t\u1ec7 h\u01a1n, bao g\u1ed3m ph\u01a1i nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng v\u00e0 y\u1ebfu t\u1ed1 di truy\u1ec1n. V\u00ed d\u1ee5, ti\u1ebfp x\u00fac nhi\u1ec1u v\u1edbi b\u1ee5i t\u1ea1i n\u01a1i l\u00e0m vi\u1ec7c, h\u00f3a ch\u1ea5t v\u00e0 \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed trong nh\u00e0 ho\u1eb7c ngo\u00e0i tr\u1eddi (bao g\u1ed3m kh\u00f3i c\u1ee7i ho\u1eb7c ch\u1ea5t \u0111\u1ed1t sinh kh\u1ed1i) c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y ra COPD.<\/p>\n
M\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00f4ng c\u00f3 nh\u1eefng ph\u01a1i nhi\u1ec5m n\u00e0y m\u00e0 v\u1eabn b\u1ecb COPD. Ch\u00fang t\u00f4i c\u0169ng kh\u00f4ng ho\u00e0n to\u00e0n hi\u1ec3u t\u1ea1i sao m\u1ed9t s\u1ed1 ng\u01b0\u1eddi h\u00fat thu\u1ed1c kh\u00f4ng bao gi\u1edd b\u1ecb COPD v\u00e0 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00f4ng bao gi\u1edd h\u00fat thu\u1ed1c nh\u01b0ng b\u1ecb COPD c\u00f3 l\u1ebb do c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n c\u00f3 vai tr\u00f2 trong vi\u1ec7c ph\u00e1t tri\u1ec3n COPD.<\/p>\n
L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 t\u00f4i bi\u1ebft b\u1ecb COPD?<\/h2>\n
C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn c\u1ee7a COPD bao g\u1ed3m kh\u00f3 th\u1edf khi ngh\u1ec9 ng\u01a1i ho\u1eb7c khi ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t, ho, kh\u00f2 kh\u00e8, m\u1ec7t m\u1ecfi v\u00e0\/ ho\u1eb7c ti\u1ebft ra ch\u1ea5t nh\u1ea7y dai d\u1eb5ng. N\u1ebfu b\u1ea1n c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y, b\u1ea1n n\u00ean n\u00f3i chuy\u1ec7n v\u1edbi B\u00e1c s\u0129. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi m\u1eafc COPD s\u1edbm c\u00f3 th\u1ec3 kh\u00f4ng nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u00e0y. Nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc COPD n\u00ean \u0111\u01b0\u1ee3c l\u00e0m c\u00e1c x\u00e9t ngi\u1ec7m.<\/p>\n
B\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n th\u1ef1c hi\u1ec7n th\u1eed nghi\u1ec7m ki\u1ec3m tra h\u01a1i th\u1edf (ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ed5i) \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u00f4 h\u1ea5p k\u00fd. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111o kh\u1ea3 n\u0103ng th\u1edf ra c\u1ee7a b\u1ea1n v\u00e0 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n xem \u0111\u01b0\u1eddng th\u1edf c\u1ee7a b\u1ea1n c\u00f3 b\u1ecb h\u1eb9p hay kh\u00f4ng. (Xem t\u1edd th\u00f4ng tin b\u1ec7nh nh\u00e2n c\u1ee7a ATS v\u1ec1 Ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ed5i).<\/p>\n
L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 B\u00e1c s\u0129 bi\u1ebft m\u1ed9t ng\u01b0\u1eddi b\u1ecb COPD?<\/h2>\n
B\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n COPD d\u1ef1a tr\u00ean s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m. X\u00e9t nghi\u1ec7m quan tr\u1ecdng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed9t ng\u01b0\u1eddi b\u1ecb COPD l\u00e0 h\u00f4 h\u1ea5p k\u00fd.<\/p>\n
Nh\u1eefng thay \u0111\u1ed5i c\u1ee7a COPD c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u00ecn th\u1ea5y tr\u00ean X-quang ng\u1ef1c ho\u1eb7c CT scan ng\u1ef1c. Khi B\u00e1c s\u0129 \u0111\u00e3 x\u00e1c \u0111\u1ecbnh r\u1eb1ng b\u1ea1n b\u1ecb COPD, h\u1ecd c\u00f3 th\u1ec3 y\u00eau c\u1ea7u c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ea1n khi ng\u1ee7 v\u00e0 khi v\u1eadn \u0111\u1ed9ng. Bao g\u1ed3m c\u1ea3 vi\u1ec7c xem x\u00e9t m\u1ee9c \u0111\u1ed9 b\u00e3o h\u00f2a oxy c\u1ee7a b\u1ea1n.<\/p>\n
COPD \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\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\u1ea1n b\u1ecf thu\u1ed1c l\u00e1.<\/p>\n
\u0110\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin v\u1ec1 vi\u1ec7c cai thu\u1ed1c l\u00e1, xem th\u00f4ng tin cho b\u1ec7nh nh\u00e2n c\u1ee7a ATS thu\u1ed1c l\u00e1. Thu\u1ed1c gi\u00fap l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a COPD v\u00e0 \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u1ee3t b\u00f9ng ph\u00e1t c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u00e1c \u0111\u1ee3t k\u1ecbch ph\u00e1t). V\u1ed1n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t th\u00eam ch\u1ee9c n\u0103ng ph\u1ed5i. C\u00e1c nh\u00f3m thu\u1ed1c bao g\u1ed3m nh\u1eefng nh\u00f3m d\u00f9ng \u0111\u1ec3 m\u1edf r\u1ed9ng \u0111\u01b0\u1eddng th\u1edf (thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n), gi\u1ea3m s\u01b0ng \u1edf \u0111\u01b0\u1eddng th\u1edf (thu\u1ed1c ch\u1ed1ng vi\u00eam, nh\u01b0 steroid) v\u00e0\/ ho\u1eb7c \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng (kh\u00e1ng sinh).<\/p>\n
Kh\u00f4ng gi\u1ed1ng nh\u01b0 kh\u00e1ng sinh, h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb COPD n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n m\u1ed7i ng\u00e0y, th\u01b0\u1eddng l\u00e0 su\u1ed1t \u0111\u1eddi. Gi\u1eef cho kh\u1ecfe m\u1ea1nh l\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c. Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, r\u1eeda tay th\u01b0\u1eddng xuy\u00ean, ti\u00eam v\u1eafc-xin c\u00fam h\u00e0ng n\u0103m v\u00e0 ti\u00eam v\u1eafc-xin vi\u00eam ph\u1ed5i khi B\u00e1c s\u0129 \u0111\u1ec1 ngh\u1ecb. \u1ede m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, COPD c\u0169ng c\u00f3 th\u1ec3 g\u00e2y gi\u1ea3m kh\u00ed trong m\u00e1u.<\/p>\n
N\u1ebfu \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c cho th\u00eam oxy. Kh\u00f3 th\u1edf kh\u00f4ng n\u00ean nh\u1ea7m l\u1eabn v\u1edbi m\u1ee9c oxy th\u1ea5p. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb COPD c\u00f3 th\u1ec3 kh\u00f3 th\u1edf ngay c\u1ea3 khi h\u1ecd c\u00f3 oxy t\u1ed1t. Do \u0111\u00f3, kh\u00f3 th\u1edf kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng l\u00e0 m\u1ed9t ch\u1ec9 \u0111\u1ecbnh t\u1ed1t cho vi\u1ec7c b\u1ea1n c\u1ea7n s\u1eed d\u1ee5ng oxy (Xem t\u1edd th\u00f4ng tin b\u1ec7nh nh\u00e2n ATS v\u1ec1 kh\u00f3 th\u1edf).<\/p>\n
Dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd v\u00e0 gi\u1eef g\u00ecn th\u1ec3 h\u00ecnh t\u1ed1t c\u0169ng quan tr\u1ecdng kh\u00f4ng ch\u1ec9 \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng m\u00e0 c\u00f2n cho ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ea1n. Ch\u01b0\u01a1ng tr\u00ecnh ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ph\u1ed5i cung c\u1ea5p vi\u1ec7c th\u1ec3 d\u1ee5c c\u00f3 gi\u00e1m s\u00e1t v\u00e0 gi\u00e1o d\u1ee5c cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p v\u00e0 n\u00ean l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n cho b\u1ea5t c\u1ee9 ai m\u1eafc b\u1ec7nh COPD.<\/p>\n
C\u00e1c nh\u00f3m h\u1ed7 tr\u1ee3 c\u1ed9ng \u0111\u1ed3ng c\u00f3 th\u1ec3 cung c\u1ea5p h\u01b0\u1edbng d\u1eabn v\u00e0 c\u01a1 h\u1ed9i cho b\u1ec7nh nh\u00e2n COPD v\u00e0 nh\u1eefng ng\u01b0\u1eddi ch\u0103m s\u00f3c h\u1ecd b\u1eb1ng c\u00e1ch chia s\u1ebb kinh nghi\u1ec7m c\u1ee7a h\u1ecd v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c b\u1ecb COPD v\u00e0 gia \u0111\u00ecnh.<\/p>\n
Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, c\u00e1c ph\u1eabu thu\u1eadt nh\u01b0 ph\u1eabu thu\u1eadt gi\u1ea3m th\u1ec3 t\u00edch ph\u1ed5i ho\u1eb7c gh\u00e9p ph\u1ed5i c\u00f3 th\u1ec3 l\u00e0 nh\u1eefng l\u1ef1a ch\u1ecdn \u0111\u1ec3 xem x\u00e9t (Xem t\u1edd th\u00f4ng tin v\u1ec1 b\u1ec7nh nh\u00e2n c\u1ee7a ATS v\u1ec1 ph\u1eabu thu\u1eadt cho COPD v\u00e0 gh\u00e9p ph\u1ed5i).<\/p>\n
COPD c\u00f3 th\u1ec3 ch\u1eefa tr\u1ecb d\u1ee9t \u0111i\u1ec3m hay kh\u00f4ng ?<\/h2>\n
Thu\u1eadt ng\u1eef m\u1ea1n t\u00ednh, trong b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh, c\u00f3 ngh\u0129a l\u00e0 n\u00f3 t\u1ed3n t\u1ea1i trong m\u1ed9t th\u1eddi gian d\u00e0i. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a COPD \u0111\u00f4i khi \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n khi m\u1ed9t ng\u01b0\u1eddi ng\u1eebng h\u00fat thu\u1ed1c, d\u00f9ng thu\u1ed1c th\u01b0\u1eddng xuy\u00ean, v\u00e0\/ ho\u1eb7c tham gia ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ph\u1ed5i.<\/p>\n
Tuy nhi\u00ean, ph\u1ed5i v\u1eabn b\u1ecb h\u01b0 h\u1ea1i v\u00e0 kh\u00f4ng bao gi\u1edd c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng. Do \u0111\u00f3, COPD l\u00e0 m\u1ed9t b\u1ec7nh su\u1ed1t \u0111\u1eddi. Kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi c\u00f3 th\u1ec3 kh\u00f4ng bao gi\u1edd bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n, nh\u01b0ng m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 h\u1ecdc c\u00e1ch ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh v\u00e0 ti\u1ebfp t\u1ee5c s\u1ed1ng m\u1ed9t cu\u1ed9c s\u1ed1ng tr\u1ecdn v\u1eb9n.<\/p>\n
C\u00e1c b\u01b0\u1edbc h\u00e0nh \u0111\u1ed9ng<\/h2>\n
Ng\u1eebng h\u00fat thu\u1ed1c v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i thu\u1ed1c.
\n\u2714 H\u1ecfi B\u00e1c s\u0129 c\u1ee7a b\u1ea1n n\u1ebfu b\u1ecb ho ho\u1eb7c kh\u00f3 th\u1edf k\u00e9o d\u00e0i kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.
\n\u2714 H\u1ecfi B\u00e1c s\u0129 c\u1ee7a b\u1ea1n v\u1ec1 vi\u1ec7c ki\u1ec3m tra ch\u1ee9c n\u0103ng ph\u1ed5i b\u1eb1ng h\u00f4 h\u1ea5p k\u00fd.<\/p>\n
Ngu\u1ed3n t\u00e0i li\u1ec7u<\/h2>\n
American Thoracic Society www.livebetter.org (Live Better with Pulmonary Rehab)<\/p>\n
Fact sheets on: breathlessness, influenza, oxygen therapy, pulmonary function tests, pulmonary rehabilitation, pulse oximetry, surgery, tobacco, transplantation, tobacco. COPD Foundation<\/p>\n
\u2022 http:\/\/www.copdfoundation.org\/What-is-COPD\/Understanding-COPD\/What-is-COPD.aspx<\/a><\/p>\n
National Heart Lung & Blood Institute\u00a0 http:\/\/www.nhlbi.nih.gov\/health\/health-topics\/topics\/copd\/<\/a><\/p>\n
American Lung Association http:\/\/www.lung.org\/lung-disease\/copd\/about-copd\/understanding-copd.html<\/a><\/p>\n
The Pulmonary Education and Research Foundation: PERF https:\/\/perf2ndwind.org<\/p>\n
B\u00e0i vi\u1ebft n\u00e0y \u0111\u01b0\u1ee3c d\u1ecbch v\u1edbi s\u1ef1 cho ph\u00e9p c\u1ee7a H\u1ed9i L\u1ed3ng Ng\u1ef1c Hoa K\u1ef3 trong lo\u1ea1t b\u00e0i th\u00f4ng tin d\u00e0nh cho b\u1ec7nh nh\u00e2n.<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. 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\u1eefng ng\u01b0\u1eddi m\u1eafc COPD c\u00f3 […]\n","protected":false},"author":1,"featured_media":4036,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4029","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4029","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=4029"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4029\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4036"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4029"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4029"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4029"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}