{"id":17747,"date":"2023-04-11T18:01:07","date_gmt":"2023-04-11T11:01:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=17747"},"modified":"2023-04-17T16:36:31","modified_gmt":"2023-04-17T09:36:31","slug":"du-phong","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/du-phong\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn d\u1ef1 ph\u00f2ng vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn"},"content":{"rendered":"

B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4815\/Q\u0110-BYT v\u00e0o 22\/11\/2020 v\u1ec1 vi\u1ec7c ban h\u00e0nh t\u00e0i li\u1ec7u chuy\u00ean m\u00f4n \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn\u201d. H\u01b0\u1edbng d\u1eabn nh\u1ea5n m\u1ea1nh, ti\u00eam ph\u00f2ng c\u00fam \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c d\u1ef1 ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 suy gi\u1ea3m mi\u1ec5n d\u1ecbch…<\/strong><\/p>\n

T\u00e0i li\u1ec7u chuy\u00ean m\u00f4n \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn\u201d \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng t\u1ea1i c\u00e1c c\u01a1 s\u1edf kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh trong c\u1ea3 n\u01b0\u1edbc. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 tr\u00edch d\u1eabn c\u00e1ch d\u1ef1 ph\u00f2ng vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn \u0111\u01b0\u1ee3c ban h\u00e0nh b\u1edfi B\u1ed9 Y t\u1ebf n\u0103m 2020.<\/p>\n

1. C\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng chung<\/strong><\/p>\n

– \u0110i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 c\u00e1c \u1ed5 nhi\u1ec5m khu\u1ea9n v\u00f9ng tai m\u0169i h\u1ecdng, r\u0103ng mi\u1ec7ng.<\/p>\n

– \u0110i\u1ec1u tr\u1ecb qu\u1ea3n l\u00fd t\u1ed1t b\u1ec7nh l\u00fd n\u1ec1n c\u1ee7a b\u1ec7nh nh\u00e2n: \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh, b\u1ec7nh gan th\u1eadn m\u1ea1n t\u00ednh.<\/p>\n

– Lo\u1ea1i b\u1ecf nh\u1eefng k\u00edch th\u00edch c\u00f3 h\u1ea1i: thu\u1ed1c l\u00e1, thu\u1ed1c l\u00e0o, bia r\u01b0\u1ee3u.<\/p>\n

– Gi\u1eef \u1ea5m c\u1ed5 ng\u1ef1c trong m\u00f9a l\u1ea1nh<\/p>\n

– G\u00e2y mi\u1ec5n d\u1ecbch b\u1eb1ng ti\u00eam ch\u1ee7ng vacxin ch\u1ed1ng virus, vi khu\u1ea9n.<\/p>\n

2. Ti\u00eam ph\u00f2ng c\u00fam<\/strong><\/p>\n

C\u00fam A v\u00e0 B l\u00e0 c\u00fam m\u00f9a, g\u00e2y ra c\u00e1c v\u1ee5 d\u1ecbch trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, H5N1, H1N1, H7N9\u2026 Do virus c\u00fam m\u00f9a c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ed9t bi\u1ebfn gen cao v\u00ec v\u1eady ti\u00eam ph\u00f2ng c\u00fam h\u00e0ng n\u0103m \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng ng\u0103n ng\u1eeba nhi\u1ec5m c\u00fam.<\/p>\n

Ti\u00eam ph\u00f2ng c\u00fam \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i c\u00f3 suy gi\u1ea3m mi\u1ec5n d\u1ecbch. Ti\u00eam ph\u00f2ng c\u00fam \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 50 tu\u1ed5i, b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd tim v\u00e0 ph\u1ed5i m\u1ea1n t\u00ednh, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn n\u1eb7ng ho\u1eb7c suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n

\"\"
\u1ea2nh minh h\u1ecda ti\u00eam ch\u1ee7ng vaccine c\u00fam<\/figcaption><\/figure>\n

Ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng c\u00fam<\/strong><\/p>\n

– Tu\u1ed5i tr\u00ean 50.<\/p>\n

– S\u1ed1ng t\u1ea1i nh\u00e0 d\u01b0\u1ee1ng l\u00e3o<\/p>\n

– M\u1eafc b\u1ec7nh tim ph\u1ed5i m\u1ea1n t\u00ednh, b\u1ec7nh chuy\u1ec3n h\u00f3a m\u1ea1n t\u00ednh.<\/p>\n

– Suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n

– B\u1ec7nh nh\u00e2n t\u1eeb 6 th\u00e1ng \u0111\u1ebfn 18 tu\u1ed5i d\u00f9ng aspirin k\u00e9o d\u00e0i.<\/p>\n

– Nh\u00e2n vi\u00ean y t\u1ebf, ch\u1ee7 y\u1ebfu \u0111\u1ec3 tr\u00e1nh l\u00e2y c\u00fam cho c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao.<\/p>\n

– Ng\u01b0\u1eddi th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao.<\/p>\n

3. Ti\u00eam ph\u00f2ng S. pneumoniae<\/strong><\/p>\n

Ti\u00eam v\u1eafc xin ph\u00f2ng\u00a0S. pneumoniae\u00a0<\/em>ph\u00f2ng tr\u00e1nh \u0111\u01b0\u1ee3c 60 \u2013 70% VPMPC\u0110 \u1edf b\u1ec7nh nh\u00e2n suy gi\u1ea3m mi\u1ec5n d\u1ecbch. Theo khuy\u1ebfn c\u00e1o c\u1ee7a BTS:<\/p>\n

Ch\u1ec9 \u0111\u1ecbnh ti\u00eam ph\u00f2ng S. pneumoniae<\/strong><\/p>\n

– B\u1ec7nh tim ph\u1ed5i m\u1ea1n t\u00ednh.<\/p>\n

– \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n

– Nghi\u1ec7n r\u01b0\u1ee3u.<\/p>\n

– B\u1ec7nh gan m\u1ea1n t\u00ednh.<\/p>\n

– D\u00f2 d\u1ecbch n\u00e3o t\u1ee7y.<\/p>\n

– B\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m.<\/p>\n

– C\u1eaft l\u00e1ch.<\/p>\n

– T\u00ecnh tr\u1ea1ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch: nhi\u1ec5m HIV, suy th\u1eadn m\u1ea1n, d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch\u2026<\/p>\n

Khi ti\u00eam l\u1ea7n \u0111\u1ea7u l\u00fac d\u01b0\u1edbi 65 tu\u1ed5i, l\u1ea7n ti\u00eam nh\u1eafc l\u1ea1i s\u1ebd th\u1ef1c hi\u1ec7n sau 5 n\u0103m, n\u1ebfu l\u1ea7n \u0111\u1ea7u ti\u00eam sau tu\u1ed5i 65 kh\u00f4ng c\u1ea7n ti\u00eam nh\u1eafc l\u1ea1i.<\/p>\n

\u0110\u1ed1i v\u1edbi b\u1ec7nh h\u1ed3ng c\u1ea7u h\u00ecnh li\u1ec1m, c\u1eaft l\u00e1ch, t\u00ecnh tr\u1ea1ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch\u2026: n\u1ebfu ti\u00eam m\u0169i \u0111\u1ea7u khi d\u01b0\u1edbi 10 tu\u1ed5i th\u1ef1c hi\u1ec7n ti\u00eam nh\u1eafc l\u1ea1i sau 3 n\u0103m, c\u00f2n n\u1ebfu ti\u00eam m\u0169i \u0111\u1ea7u tr\u00ean 10 tu\u1ed5i th\u1ef1c hi\u1ec7n ti\u00eam nh\u1eafc l\u1ea1i sau 5 n\u0103m.<\/p>\n

4. Cai thu\u1ed1c l\u00e1 \u0111\u1ec3 d\u1ef1 ph\u00f2ng vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng<\/strong><\/p>\n

H\u00fat thu\u1ed1c l\u00e1 ch\u1ee7 \u0111\u1ed9ng ho\u1eb7c th\u1ee5 \u0111\u1ed9ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7aVPMPC\u0110. M\u1eb7t kh\u00e1c, ch\u00fang ta bi\u1ebft r\u1eb1ng h\u00fat thu\u1ed1c g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i v\u1ec1 h\u00ecnh th\u00e1i bi\u1ec3u m\u00f4 c\u1ee7a ni\u00eam m\u1ea1c ph\u1ebf qu\u1ea3n, suy gi\u1ea3m t\u1ebf b\u00e0o l\u00f4ng chuy\u1ec3n v\u00e0 t\u1ebf b\u00e0o ti\u1ebft nh\u1ea7y, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho s\u1ef1 xu\u1ea5t hi\u1ec7n v\u00e0 l\u00e2y lan c\u1ee7a vi khu\u1ea9n tr\u00ean ni\u00eam m\u1ea1c ph\u1ebf qu\u1ea3n.<\/p>\n

Trong cai thu\u1ed1c l\u00e1, vi\u1ec7c t\u01b0 v\u1ea5n cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u00f3ng vai tr\u00f2 then ch\u1ed1t, c\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 cai gi\u00fap ng\u01b0\u1eddi b\u1ec7nh cai d\u1ec5 d\u00e0ng h\u01a1n.<\/p>\n

4.1. Chi\u1ebfn l\u01b0\u1ee3c t\u01b0 v\u1ea5n ng\u01b0\u1eddi b\u1ec7nh cai thu\u1ed1c l\u00e1<\/strong><\/p>\n

– S\u1eed d\u1ee5ng l\u1eddi khuy\u00ean 5A<\/p>\n

+ Ask – H\u1ecfi: Xem t\u00ecnh tr\u1ea1ng h\u00fat thu\u1ed1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch ph\u00f9 h\u1ee3p.<\/p>\n

+ Advise – Khuy\u00ean: \u0110\u01b0a ra l\u1eddi khuy\u00ean ph\u00f9 h\u1ee3p v\u00e0 \u0111\u1ee7 s\u1ee9c thuy\u1ebft ph\u1ee5c ng\u01b0\u1eddi b\u1ec7nh b\u1ecf h\u00fat thu\u1ed1c.<\/p>\n

+ Assess – \u0110\u00e1nh gi\u00e1: X\u00e1c \u0111\u1ecbnh nhu c\u1ea7u cai thu\u1ed1c th\u1ef1c s\u1ef1 c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

+ Assist – H\u1ed7 tr\u1ee3: gi\u00fap ng\u01b0\u1eddi b\u1ec7nh x\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch cai thu\u1ed1c, t\u01b0 v\u1ea5n, h\u1ed7 tr\u1ee3 v\u00e0 ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c h\u1ed7 tr\u1ee3 cai nghi\u1ec7n thu\u1ed1c l\u00e1 n\u1ebfu c\u1ea7n.<\/p>\n

+ Arrange – S\u1eafp x\u1ebfp: C\u00f3 k\u1ebf ho\u1ea1ch theo d\u00f5i, h\u1ed7 tr\u1ee3 tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh cai \u0111\u01b0\u1ee3c thu\u1ed1c v\u00e0 tr\u00e1nh t\u00e1i nghi\u1ec7n.<\/p>\n

– S\u1eed d\u1ee5ng t\u01b0 v\u1ea5n s\u00e2u: Khi l\u1eddi khuy\u00ean 5A ch\u01b0a \u0111\u1ea1t hi\u1ec7u qu\u1ea3 cai thu\u1ed1c, c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh t\u01b0 v\u1ea5n s\u00e2u cho b\u1ec7nh nh\u00e2n gi\u00fap t\u0103ng t\u1ef7 l\u1ec7 tai thu\u1ed1c l\u00e1 th\u00e0nh c\u00f4ng.<\/p>\n

4.2. Thu\u1ed1c h\u1ed7 tr\u1ee3 cai thu\u1ed1c l\u00e1<\/strong><\/p>\n

D\u00f9ng thu\u1ed1c h\u1ed7 tr\u1ee3 cai thu\u1ed1c l\u00e1 gi\u00fap gi\u1ea3m nh\u1eb9 h\u1ed9i ch\u1ee9ng cai thu\u1ed1c, l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 cai thu\u1ed1c th\u00e0nh c\u00f4ng. C\u00e1c thu\u1ed1c c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh: nicotine thay th\u1ebf, bupropion, varenicline.<\/p>\n

– Nicotine thay th\u1ebf<\/strong><\/p>\n

+ Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i \u1edf b\u1ec7nh nh\u00e2n tim m\u1ea1ch c\u00f3 nguy c\u01a1 cao (v\u1eeba nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p).<\/p>\n

+ C\u00e1c d\u1ea1ng thu\u1ed1c: d\u1ea1ng x\u1ecbt m\u0169i, h\u1ecdng, vi\u00ean ng\u1eadm, vi\u00ean nhai, mi\u1ebfng d\u00e1n da.<\/p>\n

+ Th\u1eddi gian d\u00f9ng thu\u1ed1c t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u1ec7n thu\u1ed1c l\u00e1 (m\u1ee9c \u0111\u1ed9 ph\u1ee5 thu\u1ed9c nicotine): th\u00f4ng th\u01b0\u1eddng t\u1eeb 2-4 th\u00e1ng, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i h\u01a1n.<\/p>\n

+ T\u00e1c d\u1ee5ng ph\u1ee5: G\u00e2y k\u00edch \u1ee9ng da khi d\u00e1n, khi u\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y kh\u00f4 mi\u1ec7ng, n\u1ea5c, kh\u00f3 ti\u00eau,…<\/p>\n

– Bupropion<\/strong><\/p>\n

+ Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: Kh\u00f4ng d\u00f9ng cho b\u1ec7nh nh\u00e2n \u0111\u1ed9ng kinh, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, r\u1ed1i lo\u1ea1n h\u00e0nh vi \u0103n u\u1ed1ng, d\u00f9ng thu\u1ed1c nh\u00f3m IMAO, \u0111ang \u0111i\u1ec1u tr\u1ecb cai nghi\u1ec7n r\u01b0\u1ee3u, suy gan n\u1eb7ng.<\/p>\n

+ Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 7 – 9 tu\u1ea7n, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i 6 th\u00e1ng.<\/p>\n

+ Li\u1ec1u c\u1ed1 \u0111\u1ecbnh kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 300 mg\/ng\u00e0y:<\/p>\n

    \n
  • Tu\u1ea7n \u0111\u1ea7u: 150 mg\/ng\u00e0y u\u1ed1ng bu\u1ed5i s\u00e1ng;<\/li>\n
  • T\u1eeb tu\u1ea7n 2 – 9: 300mg\/ng\u00e0y chia 2 l\u1ea7n.<\/li>\n<\/ul>\n

    + T\u00e1c d\u1ee5ng ph\u1ee5: m\u1ea5t ng\u1ee7, kh\u00f4 mi\u1ec7ng, nh\u1ee9c \u0111\u1ea7u, k\u00edch \u0111\u1ed9ng, co gi\u1eadt.<\/p>\n

    – Varenicline<\/strong><\/p>\n

    + Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh t\u01b0\u01a1ng \u0111\u1ed1i khi suy th\u1eadn n\u1eb7ng (thanh th\u1ea3i Creatinine < 30ml\/ph\u00fat)<\/p>\n

    + Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb 12 tu\u1ea7n, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn 6 th\u00e1ng.<\/p>\n

    + Li\u1ec1u \u0111i\u1ec1u tr\u1ecb:<\/p>\n

      \n
    • Ng\u00e0y 1 \u0111\u1ebfn 3: 0,5mg\/ng\u00e0y u\u1ed1ng bu\u1ed5i s\u00e1ng;<\/li>\n
    • Ng\u00e0y 4 \u0111\u1ebfn 7: 1mg\/ng\u00e0y chia 2 l\u1ea7n s\u00e1ng-chi\u1ec1u;<\/li>\n
    • Tu\u1ea7n 2 \u0111\u1ebfn 12: 2mg\/ng\u00e0y chia 2 l\u1ea7n s\u00e1ng-chi\u1ec1u.<\/li>\n<\/ul>\n

      + T\u00e1c d\u1ee5ng ph\u1ee5: bu\u1ed3n n\u00f4n, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7, \u00e1c m\u1ed9ng, tr\u1ea7m c\u1ea3m, thay \u0111\u1ed5i h\u00e0nh vi.<\/p>\n

      Nh\u1eefng \u0111i\u1ec3m c\u1ea7n nh\u1edb khi d\u1ef1 ph\u00f2ng vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng<\/strong><\/p>\n

      \u0110\u1ec3 d\u1ef1 ph\u00f2ng VPC\u0110 c\u1ea7n<\/strong><\/p>\n

      –\u00a0\u0110i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 c\u00e1c \u1ed5 nhi\u1ec5m khu\u1ea9n v\u00f9ng tai m\u0169i h\u1ecdng, r\u0103ng mi\u1ec7ng, qu\u1ea3n l\u00fd tri\u1ec7t \u0111\u1ec3 c\u00e1c b\u1ec7nh l\u00fd n\u1ec1n c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

      –\u00a0Gi\u1eef \u1ea5m c\u1ed5 ng\u1ef1c trong m\u00f9a l\u1ea1nh, lo\u1ea1i b\u1ecf k\u00edch th\u00edch c\u00f3 h\u1ea1i: r\u01b0\u1ee3u bia, thu\u1ed1c l\u00e1<\/p>\n

      –\u00a0Ti\u00eam ph\u00f2ng c\u00fam 1 n\u0103m\/l\u1ea7n \u1edf ng\u01b0\u1eddi > 50 tu\u1ed5i, ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh l\u00fd tim ph\u1ed5i m\u1ea1n t\u00ednh, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, suy th\u1eadn n\u1eb7ng, suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n

      –\u00a0Ti\u00eam ph\u00f2ng ph\u1ebf c\u1ea7u: 5 n\u0103m\/l\u1ea7n khi ti\u00eam l\u1ea7n \u0111\u1ea7u d\u01b0\u1edbi 65 tu\u1ed5i, n\u1ebfu l\u1ea7n \u0111\u1ea7u ti\u00eam > 65 tu\u1ed5i th\u00ec kh\u00f4ng c\u1ea7n nh\u1eafc l\u1ea1i, ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi m\u1eafc b\u1ec7nh tim ph\u1ed5i m\u1ea1n, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, nghi\u1ec7n r\u01b0\u1ee3u, b\u1ec7nh gan m\u1ea1n t\u00ednh, d\u00f2 d\u1ecbch n\u00e3o t\u1ee7y, c\u1eaft l\u00e1ch, suy gi\u1ea3m mi\u1ec5n d\u1ecbch.<\/p>\n

      –\u00a0T\u01b0 v\u1ea5n cai thu\u1ed1c l\u00e1 v\u1edbi chi\u1ebfn l\u01b0\u1ee3c t\u01b0 v\u1ea5n ng\u1eafn 5A (H\u1ecfi \u2013 Khuy\u00ean \u2013 \u0110\u00e1nh gi\u00e1 \u2013 H\u1ed7 tr\u1ee3 – S\u1eafp x\u1ebfp) ho\u1eb7c t\u01b0 v\u1ea5n s\u00e2u. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi\u1ec7n thu\u1ed1c l\u00e1 th\u1ef1c th\u1ec3 m\u1ee9c \u0111\u1ed9 n\u1eb7ng, c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c h\u1ed7 tr\u1ee3 cai thu\u1ed1c, bao g\u1ed3m nicotin thay th\u1ebf, Bupropion ho\u1eb7c Varenicline.<\/p>\n

      Ngu\u1ed3n<\/strong>: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn c\u1ee7a B\u1ed9 Y t\u1ebf 2020.<\/p>\n","protected":false},"excerpt":{"rendered":"

      B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4815\/Q\u0110-BYT v\u00e0o 22\/11\/2020 v\u1ec1 vi\u1ec7c ban h\u00e0nh t\u00e0i li\u1ec7u chuy\u00ean m\u00f4n \u201cH\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn\u201d. H\u01b0\u1edbng d\u1eabn nh\u1ea5n m\u1ea1nh, ti\u00eam ph\u00f2ng c\u00fam \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c d\u1ef1 ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i, […]<\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nH\u01b0\u1edbng d\u1eabn d\u1ef1 ph\u00f2ng vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh Quy\u1ebft \u0111\u1ecbnh s\u1ed1 4815\/Q\u0110-BYT v\u00e0o 22\/11\/2020 nh\u1ea5n m\u1ea1nh ti\u00eam ph\u00f2ng c\u00fam \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong d\u1ef1 ph\u00f2ng b\u1ec7nh vi\u00eam ph\u1ed5i\" \/>\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=\"H\u01b0\u1edbng d\u1eabn d\u1ef1 ph\u00f2ng vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng \u1edf ng\u01b0\u1eddi l\u1edbn - 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