{"id":199,"date":"2023-04-06T15:06:52","date_gmt":"2023-04-06T08:06:52","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=199"},"modified":"2023-04-13T15:08:36","modified_gmt":"2023-04-13T08:08:36","slug":"cac-tien-bo-moi-trong-dieu-tri-benh-hen-suyen","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/06\/cac-tien-bo-moi-trong-dieu-tri-benh-hen-suyen\/","title":{"rendered":"C\u00e1c ti\u1ebfn b\u1ed9 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n"},"content":{"rendered":"<p><strong>B\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p m\u00e3n t\u00ednh, g\u00e2y ra s\u1ef1 co th\u1eaft v\u00e0 h\u1eb9p c\u1ee7a \u0111\u01b0\u1eddng th\u1edf, d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf, ho v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au ng\u1ef1c. Theo Centers for Disease Control and Prevention (CDC), b\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn nh\u1ea5t tr\u00ean th\u1ebf gi\u1edbi, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 235 tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. . B\u1ec7nh hen suy\u1ec5n th\u01b0\u1eddng hi\u1ec7n nay \u0111\u00e3 c\u00f3 m\u1ed9t s\u1ed1 ti\u1ebfn b\u1ed9 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb. C\u00f9ng t\u00ecm hi\u1ec3u v\u1ea5n \u0111\u1ec1 n\u00e0y trong b\u00e0i vi\u1ebft sau.<\/strong><\/p>\n<figure id=\"attachment_202\" aria-describedby=\"caption-attachment-202\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-202 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/871bd4c3-e33e-41f6-aaf2-a4d9fd390395-300x300.jpg\" alt=\"C\u00e1c ti\u1ebfn b\u1ed9 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen\" width=\"300\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/871bd4c3-e33e-41f6-aaf2-a4d9fd390395-300x300.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/871bd4c3-e33e-41f6-aaf2-a4d9fd390395-150x150.jpg 150w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/871bd4c3-e33e-41f6-aaf2-a4d9fd390395-768x768.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/871bd4c3-e33e-41f6-aaf2-a4d9fd390395.jpg 1024w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-202\" class=\"wp-caption-text\">C\u00e1c ti\u1ebfn b\u1ed9 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen<\/figcaption><\/figure>\n<h2>1. Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh hen suy\u1ec5n<\/h2>\n<p>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh hen suy\u1ec5n l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh, k\u1ebft h\u1ee3p v\u1edbi c\u00e1c k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Theo American Academy of Allergy, Asthma &amp; Immunology , c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh hen suy\u1ec5n bao g\u1ed3m kh\u00f3 th\u1edf, ho, \u0111au ng\u1ef1c, v\u00e0 c\u1ea3m gi\u00e1c t\u1ee9c ng\u1ef1c ho\u1eb7c n\u1eb7ng ng\u1ef1c. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n v\u00e0o ban \u0111\u00eam ho\u1eb7c v\u00e0o bu\u1ed5i s\u00e1ng s\u1edbm v\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00edch th\u00edch b\u1edfi c\u00e1c t\u00e1c nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng.<\/p>\n<p>B\u1edfi v\u1eady, \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh hen suy\u1ec5n, c\u00e1c b\u00e1c s\u0129 s\u1eed d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt x\u00e9t nghi\u1ec7m nh\u01b0:<\/p>\n<ul>\n<li>\u0110o l\u01b0u l\u01b0\u1ee3ng kh\u00ed th\u1edf<\/li>\n<li>Th\u1eed nghi\u1ec7m <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/benh-hen-suyen-nhung-dieu-can-biet\/\">d\u1ecb \u1ee9ng<\/a><\/li>\n<li>X\u00e9t nghi\u1ec7m m\u00e1u.<\/li>\n<\/ul>\n<p>Theo b\u00e0i b\u00e1o c\u1ee7a t\u1ea1p ch\u00ed Allergy, Asthma &amp; Immunology Research, \u0111o l\u01b0u l\u01b0\u1ee3ng kh\u00ed th\u1edf l\u00e0 c\u00f4ng c\u1ee5 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111\u00e1ng tin c\u1eady cho b\u1ec7nh hen suy\u1ec5n. Trong \u0111\u00f3, th\u1eed nghi\u1ec7m d\u1ecb \u1ee9ng c\u00f3 \u0111\u1ed9 ch\u00ednh x\u00e1c cao trong vi\u1ec7c x\u00e1c \u0111\u1ecbnh c\u00e1c t\u00e1c nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng g\u00e2y ra b\u1ec7nh hen suy\u1ec5n. Ngo\u00e0i ra, c\u00e1c b\u00e1c s\u0129 c\u00f2n ti\u1ebfn h\u00e0nh ki\u1ec3m tra th\u0103m d\u00f2 ch\u1ee9c n\u0103ng th\u00f4ng kh\u00ed ph\u1ed5i \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng th\u00f4ng kh\u00ed c\u1ee7a b\u1ec7nh nh\u00e2n. Theo b\u00e0i b\u00e1o c\u1ee7a t\u1ea1p ch\u00ed American Family Physician, c\u00e1c k\u1ef9 thu\u1eadt ki\u1ec3m tra th\u0103m d\u00f2 ch\u1ee9c n\u0103ng th\u00f4ng kh\u00ed ph\u1ed5i bao g\u1ed3m \u0111o l\u01b0u l\u01b0\u1ee3ng kh\u00ed th\u1edf, \u0111o dung t\u00edch ph\u1ed5i.<\/p>\n<p>Tuy nhi\u00ean, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n n\u00e0y c\u0169ng c\u00f3 nh\u01b0\u1ee3c \u0111i\u1ec3m, nh\u01b0 kh\u00f4ng ch\u00ednh x\u00e1c 100% v\u00e0 kh\u00f4ng ph\u1ea3i l\u00e0 ph\u01b0\u01a1ng ph\u00e1p duy nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh hen suy\u1ec5n. B\u1edfi v\u1eady, c\u00e1c b\u00e1c s\u0129 c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n kh\u00e1c nhau \u0111\u1ec3 \u0111\u01b0a ra k\u1ebft lu\u1eadn ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c.<\/p>\n<h2>2. C\u00e1c nghi\u00ean c\u1ee9u m\u1edbi nh\u1ea5t v\u00e0 ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n<\/h2>\n<p>B\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tr\u0103m tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y \u0111\u00e3 cho th\u1ea5y ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n v\u00e0 \u0111\u01b0a ra nh\u1eefng hy v\u1ecdng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh.<\/p>\n<h3>2.1. Thu\u1ed1c ti\u00eam dupilumab trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n<\/h3>\n<p>Theo nghi\u00ean c\u1ee9u c\u1ee7a t\u1ea1p ch\u00ed The Lancet Respiratory Medicine, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1edbi s\u1eed d\u1ee5ng thu\u1ed1c ti\u00eam dupilumab \u0111\u00e3 cho th\u1ea5y hi\u1ec7u qu\u1ea3 trong vi\u1ec7c gi\u1ea3m tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh hen suy\u1ec5n v\u00e0 gi\u1ea3m nguy c\u01a1 ti\u1ebfn tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng. Thu\u1ed1c dupilumab \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m vi\u00eam trong \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 t\u0103ng c\u01b0\u1eddng ch\u1ee9c n\u0103ng \u0111\u01b0\u1eddng th\u1edf. Nghi\u00ean c\u1ee9u n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u00ean 1.902 b\u1ec7nh nh\u00e2n m\u1eafc hen suy\u1ec5n v\u00e0 k\u1ebft qu\u1ea3 cho th\u1ea5y, nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng thu\u1ed1c dupilumab \u0111\u00e3 gi\u1ea3m \u0111\u01b0\u1ee3c t\u1ea7n su\u1ea5t c\u00e1c c\u01a1n kh\u00f3 th\u1edf v\u00e0 t\u0103ng c\u01b0\u1eddng kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb c\u1ee7a c\u00e1c thu\u1ed1c kh\u00e1c.<\/p>\n<h3>2.2. Thu\u1ed1c kh\u00e1ng th\u1ec3 kh\u00e1ng IgE<\/h3>\n<p>M\u1ed9t nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y c\u1ee7a t\u1ea1p ch\u00ed Journal of Allergy and Clinical Immunology c\u0169ng \u0111\u00e3 cho th\u1ea5y, vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i thu\u1ed1c kh\u00e1ng th\u1ec3 kh\u00e1ng IgE c\u00f3 th\u1ec3 gi\u1ea3m t\u1ea7n su\u1ea5t c\u00e1c c\u01a1n kh\u00f3 th\u1edf v\u00e0 gi\u1ea3m nguy c\u01a1 ti\u1ebfn tri\u1ec3n c\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a b\u1ec7nh hen suy\u1ec5n. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n<h3>2.3. Vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t<\/h3>\n<p>C\u00e1c nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y c\u0169ng \u0111ang t\u1eadp trung v\u00e0o vi\u1ec7c t\u00ecm hi\u1ec3u v\u1ec1 vai tr\u00f2 c\u1ee7a vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t v\u00e0 di truy\u1ec1n trong b\u1ec7nh hen suy\u1ec5n. Theo m\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a t\u1ea1p ch\u00ed Nature Communications, vi khu\u1ea9n \u0111\u01b0\u1eddng ru\u1ed9t c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh hen suy\u1ec5n v\u00e0 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n c\u1ea7n ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng ru\u1ed9t.<\/p>\n<p>Tuy nhi\u00ean, c\u00e1c nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y v\u1eabn c\u00f2n r\u1ea5t nhi\u1ec1u v\u1ea5n \u0111\u1ec1 c\u1ea7n \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft v\u00e0 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u \u0111\u1ec3 t\u00ecm ra nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t cho b\u1ec7nh hen suy\u1ec5n.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111\u01b0\u1ee3c quan t\u00e2m trong l\u0129nh v\u1ef1c y h\u1ecdc. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a chuy\u00ean gia y t\u1ebf v\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 k\u1ef9 l\u01b0\u1ee1ng v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 hi\u1ec7u qu\u1ea3. T\u00f3m l\u1ea1i, c\u00e1c nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y \u0111\u00e3 cho th\u1ea5y ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n v\u00e0 \u0111\u01b0a ra nh\u1eefng hy v\u1ecdng cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh.<\/p>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><strong>HOTLINE<\/strong><\/a>\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dich-2019-ncov\/thong-tin-suc-khoe\/co-nen-tri-hoan-viec-tiem-chung-trong-dot-dich-covid-19\/\"><strong>T\u1ea0I \u0110\u00c2Y<\/strong><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean\u00a0<a href=\"https:\/\/www.vinmec.com\/myvinmec\/\">\u1ee9ng d\u1ee5ng MyVinmec<\/a> \u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.\u00a0 https:\/\/youtu.be\/8Joue5pqKeM<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p m\u00e3n t\u00ednh, g\u00e2y ra s\u1ef1 co th\u1eaft v\u00e0 h\u1eb9p c\u1ee7a \u0111\u01b0\u1eddng th\u1edf, d\u1eabn \u0111\u1ebfn kh\u00f3 th\u1edf, ho v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u1ea3m gi\u00e1c \u0111au ng\u1ef1c. Theo Centers for Disease Control and Prevention (CDC), b\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c ti\u1ebfn b\u1ed9 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh hen suy\u1ec5n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn, C\u00e1c nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y \u0111\u00e3 cho th\u1ea5y ti\u1ebfn b\u1ed9 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n.\" \/>\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=\"C\u00e1c ti\u1ebfn b\u1ed9 m\u1edbi trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hen suy\u1ec5n - 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