{"id":1647,"date":"2023-04-09T12:07:52","date_gmt":"2023-04-09T05:07:52","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1647"},"modified":"2023-04-29T18:02:19","modified_gmt":"2023-04-29T11:02:19","slug":"ky-thuat-su-dung-may-tao-oxy","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/ky-thuat-su-dung-may-tao-oxy\/","title":{"rendered":"K\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy trong COPD \u1edf tr\u1ebb em"},"content":{"rendered":"

M\u00e1y t\u1ea1o oxy \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p oxy cho b\u1ec7nh nh\u00e2n trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu oxy, suy h\u00f4 h\u1ea5p, suy tim, vv. Trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh \u1edf tr\u1ebb em, m\u00e1y t\u1ea1o oxy c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. Vi\u1ec7c bi\u1ebft k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy l\u00e0 r\u1ea5t quan tr\u1ecdng trong y t\u1ebf v\u00ec n\u00f3 c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111ang nh\u1eadn \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng oxy c\u1ea7n thi\u1ebft v\u00e0 \u0111\u00fang c\u00e1ch. N\u1ebfu s\u1eed d\u1ee5ng sai k\u1ef9 thu\u1eadt ho\u1eb7c kh\u00f4ng th\u1ef1c hi\u1ec7n \u0111\u00fang c\u00e1c bi\u1ec7n ph\u00e1p an to\u00e0n, c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng cho b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

1. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p oxy:<\/h2>\n

M\u00e1y t\u1ea1o oxy c\u00f3 th\u1ec3 cung c\u1ea5p oxy th\u00f4ng qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c nhau, bao g\u1ed3m:<\/p>\n

1.1. M\u00e1y t\u1ea1o oxy d\u1ea1ng li\u00ean t\u1ee5c:<\/h3>\n

M\u00e1y t\u1ea1o oxy d\u1ea1ng li\u00ean t\u1ee5c cung c\u1ea5p oxy \u1edf m\u1ee9c \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 li\u00ean t\u1ee5c. M\u00e1y n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea7n cung c\u1ea5p oxy li\u00ean t\u1ee5c trong m\u1ed9t th\u1eddi gian d\u00e0i.<\/p>\n

1.2. M\u00e1y t\u1ea1o oxy d\u1ea1ng xung:<\/h3>\n

M\u00e1y t\u1ea1o oxy d\u1ea1ng xung cung c\u1ea5p oxy theo chu k\u1ef3, t\u1ea1o ra m\u1ed9t lo\u1ea1t c\u00e1c xung oxy. M\u00e1y n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 gi\u1ea3m thi\u1ec3u kh\u00f3 th\u1edf.<\/p>\n

1.3. M\u00e1y t\u1ea1o oxy di \u0111\u1ed9ng:<\/h3>\n

M\u00e1y t\u1ea1o oxy di \u0111\u1ed9ng l\u00e0 m\u1ed9t lo\u1ea1i m\u00e1y t\u1ea1o oxy nh\u1ecf g\u1ecdn v\u00e0 d\u1ec5 d\u00e0ng mang theo khi \u0111i l\u1ea1i. M\u00e1y n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p oxy cho tr\u1ebb em khi \u0111i h\u1ecdc ho\u1eb7c khi \u0111i du l\u1ecbch.<\/p>\n

2. K\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy<\/h2>\n

Vi\u1ec7c kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 l\u01b0\u1ee3ng oxy cho b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy h\u00f4 h\u1ea5p v\u00e0 c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c. N\u1ebfu s\u1eed d\u1ee5ng sai k\u1ef9 thu\u1eadt, c\u00f3 th\u1ec3 g\u00e2y kh\u00f4 kh\u00ed qu\u1ea3n, l\u00e0m cho b\u1ec7nh nh\u00e2n kh\u00f3 ch\u1ecbu v\u00e0 kh\u00f3 th\u1edf h\u01a1n. Ngo\u00e0i ra, vi\u1ec7c kh\u00f4ng tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p an to\u00e0n khi s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy c\u00f3 th\u1ec3 g\u00e2y ra nguy hi\u1ec3m cho b\u1ec7nh nh\u00e2n v\u00e0 nh\u1eefng ng\u01b0\u1eddi xung quanh, v\u00ed d\u1ee5 nh\u01b0 ch\u00e1y n\u1ed5 v\u00ec oxy l\u00e0 ch\u1ea5t d\u1ec5 ch\u00e1y. Do \u0111\u00f3, vi\u1ec7c bi\u1ebft k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n. C\u00e1c k\u1ef9 thu\u1eadt chi ti\u1ebft \u0111\u1ec3 s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh \u1edf tr\u1ebb em bao g\u1ed3m:<\/p>\n

2.1. Ki\u1ec3m tra thi\u1ebft b\u1ecb<\/h3>\n

Tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy, b\u1ea1n c\u1ea7n ki\u1ec3m tra thi\u1ebft b\u1ecb \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng n\u00f3 \u0111ang ho\u1ea1t \u0111\u1ed9ng t\u1ed1t v\u00e0 \u0111\u1ee7 oxy \u0111\u1ec3 cung c\u1ea5p cho tr\u1ebb. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 l\u1ed7i n\u00e0o v\u1ec1 thi\u1ebft b\u1ecb, h\u00e3y li\u00ean h\u1ec7 v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3.<\/p>\n

2.2. K\u1ebft n\u1ed1i \u1ed1ng d\u1eabn oxy<\/h3>\n

K\u1ebft n\u1ed1i \u1ed1ng d\u1eabn oxy v\u00e0o m\u00e1y t\u1ea1o oxy v\u00e0 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c k\u1ebft n\u1ed1i \u0111ang \u0111\u01b0\u1ee3c c\u00e0i \u0111\u1eb7t ch\u1eb7t ch\u1ebd. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 r\u00f2 r\u1ec9 n\u00e0o, h\u00e3y ki\u1ec3m tra k\u1ebft n\u1ed1i v\u00e0 s\u1eeda ch\u1eefa n\u00f3 n\u1ebfu c\u1ea7n thi\u1ebft.<\/p>\n

2.3. \u0110i\u1ec1u ch\u1ec9nh l\u01b0u l\u01b0\u1ee3ng oxy<\/h3>\n

\u0110i\u1ec1u ch\u1ec9nh l\u01b0u l\u01b0\u1ee3ng oxy theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf. L\u01b0u l\u01b0\u1ee3ng oxy c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p, v\u00ec v\u1eady h\u00e3y \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111\u00fang c\u00e1ch s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy.<\/p>\n

2.4. \u0110\u1eb7t m\u00e1y t\u1ea1o oxy<\/h3>\n

\u0110\u1eb7t m\u00e1y t\u1ea1o oxy \u1edf m\u1ed9t v\u1ecb tr\u00ed an to\u00e0n v\u00e0 tho\u00e1ng m\u00e1t \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng kh\u00f4ng c\u00f3 nguy c\u01a1 ch\u00e1y n\u1ed5 ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 kh\u00e1c li\u00ean quan \u0111\u1ebfn an to\u00e0n.<\/p>\n

2.5. Theo d\u00f5i oxy huy\u1ebft<\/h3>\n

Theo d\u00f5i oxy huy\u1ebft c\u1ee7a tr\u1ebb theo h\u01b0\u1edbng d\u1eabn c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf. \u0110o l\u01b0\u1eddng oxy huy\u1ebft c\u1ee7a tr\u1ebb th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng tr\u1ebb \u0111ang nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u1ee7 l\u01b0\u1ee3ng oxy c\u1ea7n thi\u1ebft.<\/p>\n

2.6. S\u1eed d\u1ee5ng thi\u1ebft b\u1ecb b\u1ea3o v\u1ec7<\/h3>\n

S\u1eed d\u1ee5ng m\u1eb7t n\u1ea1 ho\u1eb7c kh\u1ea9u trang \u0111\u1ec3 b\u1ea3o v\u1ec7 tr\u1ebb kh\u1ecfi nhi\u1ec5m khu\u1ea9n v\u00e0 b\u1ee5i b\u1ea9n. H\u00e3y \u0111\u1ea3m b\u1ea3o r\u1eb1ng m\u1eb7t n\u1ea1 ho\u1eb7c kh\u1ea9u trang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch v\u00e0 \u0111\u01b0\u1ee3c thay th\u1ebf \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng.<\/p>\n

2.7 Gi\u00e1m s\u00e1t tr\u1ebb<\/h3>\n

Gi\u00e1m s\u00e1t tr\u1ebb khi s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 theo d\u00f5i c\u00e1c b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng m\u00e1y \u1edf tr\u1ebb.<\/p>\n

2.8. \u0110\u1ed9 \u1ea9m<\/h3>\n

Vi\u1ec7c l\u00e0m \u1ea9m oxy \u0111\u01b0\u1ee3c cung c\u1ea5p b\u1edfi m\u00e1y t\u1ea1o oxy l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 ng\u0103n kh\u00f4 kh\u00ed qu\u1ea3n c\u1ee7a tr\u1ebb, g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 l\u00e0m cho tr\u1ebb kh\u00f3 th\u1edf h\u01a1n. C\u00f3 th\u1ec3 l\u00e0m \u1ea9m b\u1eb1ng c\u00e1ch k\u1ebft n\u1ed1i b\u00ecnh l\u00e0m \u1ea9m v\u00e0o m\u00e1y t\u1ea1o oxy. N\u01b0\u1edbc trong b\u00ecnh s\u1ebd th\u00eam \u0111\u1ed9 \u1ea9m v\u00e0o oxy tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c cung c\u1ea5p cho tr\u1ebb. B\u00ecnh l\u00e0m \u1ea9m c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111\u1ed5 l\u1ea1i n\u01b0\u1edbc khi c\u1ea7n.<\/p>\n

2.9. Ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p oxy<\/h3>\n

C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 cung c\u1ea5p oxy cho tr\u1ebb, bao g\u1ed3m \u1ed1ng d\u1eabn oxy m\u0169i, kh\u1ea9u trang oxy v\u00e0 \u1ed1ng d\u1eabn oxy m\u0169i cao l\u01b0u. L\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p oxy s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i, c\u1ee1 v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a tr\u1ebb, c\u0169ng nh\u01b0 l\u01b0u l\u01b0\u1ee3ng oxy \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. Nh\u00e0 cung c\u1ea5p ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe s\u1ebd quy\u1ebft \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p oxy t\u1ed1t nh\u1ea5t cho tr\u1ebb v\u00e0 cung c\u1ea5p h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng.<\/p>\n

\"K\u1ef9
K\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy<\/figcaption><\/figure>\n

3.10. Bi\u1ec7n ph\u00e1p an to\u00e0n<\/h3>\n

R\u1ea5t quan tr\u1ecdng \u0111\u1ec3 tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p an to\u00e0n khi s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy. M\u00e1y n\u00ean \u0111\u01b0\u1ee3c gi\u1eef xa c\u00e1c ngu\u1ed3n nhi\u1ec7t nh\u01b0 b\u1ebfp v\u00e0 l\u00f2 s\u01b0\u1edfi v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng g\u1ea7n c\u00e1c ng\u1ecdn l\u1eeda ho\u1eb7c v\u1eadt d\u1ee5ng h\u00fat thu\u1ed1c. Vi\u1ec7c h\u00fat thu\u1ed1c n\u00ean b\u1ecb c\u1ea5m trong khu v\u1ef1c s\u1eed d\u1ee5ng m\u00e1y. M\u00e1y n\u00ean \u0111\u01b0\u1ee3c r\u00fat ph\u00edch c\u1eafm khi kh\u00f4ng s\u1eed d\u1ee5ng v\u00e0 \u0111\u01b0\u1ee3c b\u1ea3o d\u01b0\u1ee1ng th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ho\u1ea1t \u0111\u1ed9ng an to\u00e0n.<\/p>\n

4. \u0110\u00e0o t\u1ea1o v\u00e0 gi\u00e1o d\u1ee5c<\/h2>\n

Nh\u00e0 cung c\u1ea5p ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ea7n gi\u00e1o d\u1ee5c cho cha m\u1eb9 v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy v\u00e0 t\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c tu\u00e2n th\u1ee7 l\u01b0u l\u01b0\u1ee3ng oxy v\u00e0 ph\u01b0\u01a1ng ph\u00e1p cung c\u1ea5p \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. S\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch c\u1ee7a m\u00e1y v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p an to\u00e0n c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 th\u00fac \u0111\u1ea9y s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a tr\u1ebb. Nh\u00e0 cung c\u1ea5p ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 ng\u01b0\u1eddi ch\u0103m s\u00f3c c\u1ea7n ph\u1ed1i h\u1ee3p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o s\u1eed d\u1ee5ng m\u00e1y an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n

Tr\u00ean \u0111\u00e2y l\u00e0 nh\u1eefng k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh \u1edf tr\u1ebb em. Tuy nhi\u00ean, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 an to\u00e0n cho b\u1ec7nh nh\u00e2n, vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 kinh nghi\u1ec7m v\u00e0 \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

M\u00e1y t\u1ea1o oxy \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p oxy cho b\u1ec7nh nh\u00e2n trong tr\u01b0\u1eddng h\u1ee3p thi\u1ebfu oxy, suy h\u00f4 h\u1ea5p, suy tim, vv. Trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh \u1edf tr\u1ebb em, m\u00e1y t\u1ea1o oxy c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a […]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[15,33],"tags":[],"yoast_head":"\nK\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy trong COPD \u1edf tr\u1ebb em - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c bi\u1ebft k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec n\u00f3 c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n \u0111ang nh\u1eadn \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng oxy c\u1ea7n thi\u1ebft v\u00e0 \u0111\u00fang c\u00e1ch.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"K\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng m\u00e1y t\u1ea1o oxy trong COPD \u1edf tr\u1ebb em - 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