{"id":18663,"date":"2023-04-11T20:47:31","date_gmt":"2023-04-11T13:47:31","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=18663"},"modified":"2023-04-13T15:52:04","modified_gmt":"2023-04-13T08:52:04","slug":"phan-biet-hen-do-di-ung-va-hen-khong-do-di-ung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/11\/phan-biet-hen-do-di-ung-va-hen-khong-do-di-ung\/","title":{"rendered":"Ph\u00e2n bi\u1ec7t hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng"},"content":{"rendered":"

Hen<\/a> l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111a d\u1ea1ng, th\u01b0\u1eddng \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam \u0111\u01b0\u1eddng th\u1edf m\u1ea1n t\u00ednh. \u01af\u1edbc t\u00ednh, tr\u00ean th\u1ebf gi\u1edbi c\u00f3 kho\u1ea3ng 300 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc hen (chi\u1ebfm t\u1ec9 l\u1ec7 4,3%). V\u00e0 d\u1ef1 \u0111o\u00e1n t\u1edbi n\u0103m 2025, con s\u1ed1 n\u00e0y t\u0103ng l\u00ean t\u1edbi 400 tri\u1ec7u. Vi\u1ec7c ph\u00e2n lo\u1ea1i hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft v\u00ec n\u00f3 c\u00f2n li\u00ean quan \u0111\u1ebfn ti\u00ean l\u01b0\u1ee3ng d\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n

1. S\u1ef1 gi\u1ed1ng nhau gi\u1eefa hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng l\u00e0 g\u00ec?<\/h2>\n

1.1 Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n hen bao g\u1ed3m:<\/p>\n

    \n
  • Ho khan (c\u00f3 kh\u1ea1c \u0111\u1eddm tr\u1eafng d\u00ednh)<\/li>\n
  • Kh\u00f2 kh\u00e8 (th\u1edf r\u00edt, c\u00f2 c\u1eed)<\/li>\n
  • T\u1ee9c ng\u1ef1c<\/li>\n
  • Kh\u00f3 th\u1edf<\/li>\n<\/ul>\n

    C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng t\u00e1i \u0111i t\u00e1i l\u1ea1i nhi\u1ec1u l\u1ea7n v\u00e0 th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0 n\u1eb7ng l\u00ean v\u1ec1 \u0111\u00eam v\u00e0 s\u00e1ng.<\/p>\n

    1.2\u00a0 C\u00e1c bi\u1ebfn ch\u1ee9ng<\/h3>\n

    C\u1ea3 hai d\u1ea1ng hen n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 nh\u01b0<\/p>\n

      \n
    • Suy h\u00f4 h\u1ea5p: Ng\u01b0\u1eddi b\u1ec7nh tr\u1edf n\u00ean k\u00edch th\u00edch v\u1eadt v\u00e3, th\u1edf nhanh, nh\u1ecbp tim nhanh, huy\u1ebft \u00e1p t\u1ee5t, c\u00f3 th\u1ec3 c\u00f3 t\u00edm t\u00e1i.<\/li>\n
    • Vi\u00eam ph\u1ed5i: Ho, s\u1ed1t, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, m\u1ec7t m\u1ecfi,…<\/li>\n
    • Suy tim: m\u1ec7t m\u1ecfi, kh\u00f3 th\u1edf, nh\u1ecbp tim nhanh, ch\u00f3ng m\u1eb7t, l\u00fa l\u1eabn, m\u1ea5t t\u1eadp trung,…<\/li>\n<\/ul>\n
      \"H\u00ecnh
      H\u00ecnh \u1ea3nh minh h\u1ecda c\u1ea5u tr\u00fac chung c\u1ee7a ph\u1ebf qu\u1ea3n hen do d\u1ecb \u1ee9ng v\u00e0 kh\u00f4ng do d\u1ecb \u1ee9ng<\/figcaption><\/figure>\n

      2. S\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng<\/h2>\n

      2.1 Y\u1ebfu t\u1ed1 nguy c\u01a1<\/h3>\n

      Hen do d\u1ecb \u1ee9ng th\u01b0\u1eddng kh\u1edfi ph\u00e1t t\u1eeb khi c\u00f2n nh\u1ecf tu\u1ed5i k\u00e8m theo c\u00f3 ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd atopy (vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam da c\u01a1 \u0111\u1ecba,…) ho\u1eb7c ti\u1ec1n s\u1eed gia \u0111\u00ecnh c\u00f3 c\u00e1c b\u1ec7nh l\u00fd d\u1ecb \u1ee9ng<\/p>\n

      Hen kh\u00f4ng do d\u1ecb \u1ee9ng th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, kh\u00f4ng k\u00e8m theo ti\u1ec1n s\u1eed c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng c\u1ee7a b\u1ea3n th\u00e2n v\u00e0 gia \u0111\u00ecnh. M\u1eb7t kh\u00e1c, nh\u1eefng ng\u01b0\u1eddi m\u1eafc th\u1ec3 b\u1ec7nh n\u00e0y th\u01b0\u1eddng do vi\u00eam ph\u1ebf qu\u1ea3n, do h\u00fat thu\u1ed1c, kh\u00ed ph\u1ebf th\u0169ng,…<\/p>\n

      2.2 K\u1ebft qu\u1ea3 c\u1eadn l\u00e2m s\u00e0ng<\/h3>\n

      \u00a0X\u00e9t nghi\u1ec7m \u0111\u1eddm:<\/strong><\/p>\n

        \n
      • Hen do d\u1ecb \u1ee9ng: C\u00f3 t\u0103ng b\u1ea1ch c\u1ea7u \u00e1i toan<\/li>\n
      • Hen kh\u00f4ng do d\u1ecb \u1ee9ng: C\u00f3 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh, \u00edt b\u1ea1ch c\u1ea7u \u00e1i toan v\u00e0 m\u1ed9t s\u1ed1 t\u1ebf b\u00e0o vi\u00eam<\/li>\n<\/ul>\n

        \u0110\u1ecbnh l\u01b0\u1ee3ng IgE to\u00e0n ph\u1ea7n:\u00a0<\/strong><\/p>\n

        K\u1ebft qu\u1ea3 \u0111\u1ecbnh l\u01b0\u1ee3ng IgE to\u00e0n ph\u1ea7n trong hen do d\u1ecb \u1ee9ng s\u1ebd th\u01b0\u1eddng t\u0103ng cao. Ng\u01b0\u1ee3c l\u1ea1i, \u0111\u1ed1i v\u1edbi hen kh\u00f4ng do d\u1ecb \u1ee9ng, k\u1ebft qu\u1ea3 \u0111\u1ecbnh l\u01b0\u1ee3ng IgE th\u01b0\u1eddng kh\u00f4ng t\u0103ng.<\/p>\n

        3. T\u1ea1i sao l\u1ea1i ph\u1ea3i ph\u00e2n bi\u1ec7t 2 th\u1ec3 b\u1ec7nh tr\u00ean?<\/h2>\n

        Nh\u01b0 \u0111\u00e3 n\u00f3i \u1edf ph\u1ea7n ti\u00eau \u0111\u1ec1, vi\u1ec7c ph\u00e2n lo\u1ea1i nh\u01b0 v\u1eady nh\u1eb1m m\u1ee5c \u0111\u00edch ti\u00ean l\u01b0\u1ee3ng \u0111i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng b\u1ec7nh.<\/p>\n

        3.1 \u0110i\u1ec1u tr\u1ecb<\/h3>\n

        \u0110i\u1ec1u tr\u1ecb hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m tu\u1ed5i, m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh, t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe chung v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 c\u00e1 nh\u00e2n kh\u00e1c. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 \u0111i\u1ec3m kh\u00e1c nhau trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb 2 th\u1ec3 b\u1ec7nh n\u00e0y. Tuy nhi\u00ean t\u00f4i xin l\u01b0u \u00fd r\u1eb1ng th\u00f4ng tin n\u00e0y ch\u1ec9 mang t\u00ednh ch\u1ea5t chung v\u00e0 kh\u00f4ng th\u1ec3 \u00e1p d\u1ee5ng cho m\u1ecdi tr\u01b0\u1eddng h\u1ee3p:<\/p>\n

        \u0110i\u1ec1u tr\u1ecb hen do d\u1ecb \u1ee9ng:<\/strong><\/p>\n

          \n
        • \u0110\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng hen do d\u1ecb \u1ee9ng, b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng histamine nh\u01b0 loratadine, cetirizine ho\u1eb7c fexofenadine.<\/li>\n
        • N\u1ebfu tri\u1ec7u ch\u1ee9ng hen do d\u1ecb \u1ee9ng tr\u1ea7m tr\u1ecdng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng histamine v\u00e0 thu\u1ed1c kh\u00e1ng d\u1ecb \u1ee9ng k\u1ebft h\u1ee3p ho\u1eb7c s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid \u0111\u1ec3 gi\u1ea3m vi\u00eam. \u0110\u1eb7c bi\u1ec7t, \u1edf d\u1ea1ng hen n\u00e0y \u0111\u00e1p \u1ee9ng r\u1ea5t t\u1ed1t v\u1edbi Beclomethason, Budesonid,… (c\u00e1c thu\u1ed1c thu\u1ed9c nh\u00f3m ICS)<\/li>\n<\/ul>\n

          \u0110i\u1ec1u tr\u1ecb hen kh\u00f4ng do d\u1ecb \u1ee9ng:<\/strong><\/p>\n

            \n
          • \u0110i\u1ec1u tr\u1ecb hen kh\u00f4ng do d\u1ecb \u1ee9ng th\u01b0\u1eddng bao g\u1ed3m s\u1eed d\u1ee5ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n nh\u01b0 albuterol ho\u1eb7c levalbuterol \u0111\u1ec3 gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng hen.<\/li>\n
          • \u00a0N\u1ebfu hen kh\u00f4ng do d\u1ecb \u1ee9ng li\u00ean quan \u0111\u1ebfn vi\u00eam ph\u1ebf qu\u1ea3n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng vi\u00eam nh\u01b0 prednisone ho\u1eb7c methylprednisolone \u0111\u1ec3 gi\u1ea3m vi\u00eam v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng hen.<\/li>\n
          • N\u1ebfu m\u1ee9c \u0111\u1ed9 n\u1eb7ng l\u00e0 nghi\u00eam tr\u1ecdng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng oxy \u0111\u1ec3 gi\u00fap \u0111\u00e1p \u1ee9ng nhu c\u1ea7u oxy h\u00f3a c\u1ee7a c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n

            3.2 D\u1ef1 ph\u00f2ng<\/h3>\n

            C\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng hen do d\u1ecb \u1ee9ng bao g\u1ed3m:<\/strong><\/p>\n

              \n
            • Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi c\u00e1c t\u00e1c nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng: Ng\u01b0\u1eddi b\u1ecb hen do d\u1ecb \u1ee9ng n\u00ean tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng nh\u01b0 ph\u1ea5n hoa, m\u1ea1t nh\u00e0, b\u1ee5i, h\u00f3a ch\u1ea5t.<\/li>\n
            • Gi\u1eef cho m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd: V\u1ec7 sinh th\u01b0\u1eddng xuy\u00ean v\u00e0 gi\u1eef cho m\u00f4i tr\u01b0\u1eddng xung quanh lu\u00f4n s\u1ea1ch s\u1ebd \u0111\u1ec3 gi\u1ea3m thi\u1ec3u vi khu\u1ea9n v\u00e0 c\u00e1c ch\u1ea5t g\u00e2y d\u1ecb \u1ee9ng.<\/li>\n
            • \u0110i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng v\u00e0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng: H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m g\u00e2y d\u1ecb \u1ee9ng, t\u0103ng c\u01b0\u1eddng ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng hen.<\/li>\n<\/ul>\n

              C\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng cho hen kh\u00f4ng do d\u1ecb \u1ee9ng:<\/strong><\/p>\n

                \n
              • Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi c\u00e1c ch\u1ea5t k\u00edch th\u00edch: K\u00edch th\u00edch nh\u01b0 h\u00f3a ch\u1ea5t, kh\u00f3i, b\u1ee5i, thu\u1ed1c l\u00e1, th\u1ef1c ph\u1ea9m ho\u1eb7c \u0111\u1ed9ng v\u1eadt c\u00f3 th\u1ec3 k\u00edch th\u00edch \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 g\u00e2y ra hen.<\/li>\n
              • Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: C\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nh\u01b0 vi\u00eam ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i c\u0169ng c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y ra hen kh\u00f4ng. Do \u0111\u00f3, th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba b\u1ec7nh l\u00fd n\u00e0y nh\u01b0 tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi ng\u01b0\u1eddi b\u1ec7nh, duy tr\u00ec v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng s\u1ea1ch s\u1ebd, t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe b\u1eb1ng c\u00e1ch \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 dinh d\u01b0\u1ee1ng v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean c\u0169ng l\u00e0 bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng hen kh\u00f4ng do d\u1ecb \u1ee9ng<\/li>\n
              • \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p k\u1ecbp th\u1eddi: N\u1ebfu b\u1ecb c\u00e1c b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n hen<\/li>\n<\/ul>\n

                L\u01b0u \u00fd r\u1eb1ng c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng n\u00e0y ch\u1ec9 l\u00e0 khuy\u1ebfn ngh\u1ecb chung v\u00e0 kh\u00f4ng thay th\u1ebf cho l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129. N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi ho\u1eb7c lo ng\u1ea1i n\u00e0o li\u00ean quan \u0111\u1ebfn b\u1ec7nh hen kh\u00f4ng, h\u00e3y h\u1ecfi \u00fd ki\u1ebfn \u200b\u200bc\u1ee7a b\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia y t\u1ebf.<\/p>\n

                 <\/p>\n

                 <\/p>\n

                 <\/p>\n

                <\/div>\n
                <\/div>\n","protected":false},"excerpt":{"rendered":"

                Hen l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111a d\u1ea1ng, th\u01b0\u1eddng \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng vi\u00eam \u0111\u01b0\u1eddng th\u1edf m\u1ea1n t\u00ednh. \u01af\u1edbc t\u00ednh, tr\u00ean th\u1ebf gi\u1edbi c\u00f3 kho\u1ea3ng 300 tri\u1ec7u ng\u01b0\u1eddi m\u1eafc hen (chi\u1ebfm t\u1ec9 l\u1ec7 4,3%). V\u00e0 d\u1ef1 \u0111o\u00e1n t\u1edbi n\u0103m 2025, con s\u1ed1 n\u00e0y t\u0103ng l\u00ean t\u1edbi 400 tri\u1ec7u. Vi\u1ec7c ph\u00e2n lo\u1ea1i hen do d\u1ecb \u1ee9ng […]<\/p>\n","protected":false},"author":26,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"\nPh\u00e2n bi\u1ec7t hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng - Vinmec<\/title>\n<meta name=\"description\" content=\"Hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng d\u1ef1a v\u00e0o c\u00e1c y\u1ebfu t\u1ed1 kh\u1edfi ph\u00e1t, l\u00e2m s\u00e0ng, c\u1eadn l\u00e2m s\u00e0ng v\u1edbi m\u1ee5c \u0111\u00edch ti\u00ean l\u01b0\u1ee3ng d\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.\" \/>\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=\"Ph\u00e2n bi\u1ec7t hen do d\u1ecb \u1ee9ng v\u00e0 hen kh\u00f4ng do d\u1ecb \u1ee9ng - 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