{"id":20591,"date":"2023-04-18T13:19:03","date_gmt":"2023-04-18T06:19:03","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20591"},"modified":"2023-04-18T14:37:07","modified_gmt":"2023-04-18T07:37:07","slug":"tiep-can-benh-nhan-dot-cap-copd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/","title":{"rendered":"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD"},"content":{"rendered":"<p><strong>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p v\u00e0 gi\u1edbi h\u1ea1n lu\u1ed3ng th\u00f4ng kh\u00ed dai d\u1eb3ng do b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng th\u1edf v\u00e0\/ho\u1eb7c ph\u1ebf\u00a0 nang; th\u01b0\u1eddng do ph\u01a1i nhi\u1ec5m c\u00e1c kh\u00ed \u0111\u1ed9c h\u1ea1i.<\/strong><\/p>\n<figure style=\"width: 599px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"\" src=\"https:\/\/i.imgur.com\/g8lGoYG.png\" alt=\"Minh ho\u1ea1 ph\u1ed5i b\u1ec7nh nh\u00e2n COPD\" width=\"599\" height=\"563\" \/><figcaption class=\"wp-caption-text\">Minh ho\u1ea1 ph\u1ed5i b\u1ec7nh nh\u00e2n COPD<\/figcaption><\/figure>\n<h2><strong>1. \u0110\u1ee3t c\u1ea5p COPD<\/strong><\/h2>\n<p>L\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng bi\u1ebfn \u0111\u1ed5i t\u1eeb giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh c\u1ee7a b\u1ec7nh tr\u1edf n\u00ean x\u1ea5u \u0111\u1ed9t ng\u1ed9t v\u01b0\u1ee3t qu\u00e1 nh\u1eefng giao \u0111\u1ed9ng h\u00e0ng ng\u00e0y c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng: ho, kh\u00f3 th\u1edf, kh\u1ea1c \u0111\u1eddm, \u0111\u00f2i h\u1ecfi ph\u1ea3i thay \u0111\u1ed5i \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng quy c\u1ee7a b\u1ec7nh nh\u00e2n COPD.<\/p>\n<h2><strong>2. Nh\u1eefng ai c\u00f3 nguy c\u01a1 m\u1eafc \u0111\u1ee3t c\u1ea5p COPD?<\/strong><\/h2>\n<ul>\n<li>Nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh \u0111\u1ec1u c\u00f3 nguy c\u01a1 b\u1ecb \u0111\u1ee3t c\u1ea5p<\/li>\n<li>Nh\u1eefng ng\u01b0\u1eddi b\u1ecb COPD c\u00f3 th\u1ec3 c\u00f3 1 ho\u1eb7c 2 \u0111\u1ee3t c\u1ea5p m\u1ed7i n\u0103m v\u00e0 nh\u1eefng \u0111\u1ee3t c\u1ea5p n\u00e0y c\u00f3 xu h\u01b0\u1edbng t\u1ed3i t\u1ec7 h\u01a1n theo th\u1eddi gian<\/li>\n<\/ul>\n<h2><strong>3. Y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u1edfi ph\u00e1t d\u1eabn \u0111\u1ebfn \u0111\u1ee3t c\u1ea5p COPD<\/strong><\/h2>\n<ul>\n<li>H\u00fat thu\u1ed1c ho\u1eb7c th\u01b0\u1eddng xuy\u00ean ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i thu\u1ed1c<\/li>\n<li>S\u1ed1ng v\u00e0 l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng \u00f4 nhi\u1ec5m, nhi\u1ec1u kh\u00f3i b\u1ee5i<\/li>\n<li>Ho c\u00f3 \u0111\u00e0m, th\u1eddi gian m\u1eafc COPD k\u00e9o d\u00e0i<\/li>\n<li>Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i (&gt;40 tu\u1ed5i), ch\u1ee9c n\u0103ng ph\u1ed5i c\u00e0ng suy gi\u1ea3m<\/li>\n<li>Ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng kh\u00e1ng sinh g\u1ea7n \u0111\u00e2y<\/li>\n<li>Nh\u1eadp vi\u1ec7n do COPD trong n\u0103m tr\u01b0\u1edbc<\/li>\n<li>S\u1ed1 l\u01b0\u1ee3ng BC \u00e1i toan trong m\u00e1u &gt; 340 t\u1ebf b\u00e0o\/microlit<\/li>\n<li>\u0110ang s\u1eed thu\u1ed1c theophylin<\/li>\n<li>C\u00f3 1 ho\u1eb7c nhi\u1ec1u b\u1ec7nh \u0111i k\u00e8m. V\u00ed d\u1ee5: b\u1ec7nh tim thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9, suy tim, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng,&#8230;<\/li>\n<\/ul>\n<h2><strong>4. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111\u1ee3t c\u1ea5p COPD<\/strong><\/h2>\n<ul>\n<li><strong>Kh\u1ea1c nhi\u1ec1u \u0111\u00e0m h\u01a1n<\/strong><\/li>\n<li><strong>T\u00ednh ch\u1ea5t \u0111\u1eddm x\u1ea5u \u0111i<\/strong><\/li>\n<li><strong>Kh\u00f3 th\u1edf t\u0103ng<\/strong><\/li>\n<\/ul>\n<p>Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng:<\/p>\n<ul>\n<li>S\u1ed1t<\/li>\n<li>Kh\u00f3 ch\u1ecbu<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>L\u1edd \u0111\u1edd<\/li>\n<li>Th\u1edf r\u00edt<\/li>\n<li>Th\u1eaft ng\u1ef1c,r\u1ed1i lo\u1ea1n nh\u1ecbp, d\u1ea5u hi\u1ec7u c\u1ee7a d\u00e0y th\u1ea5t ph\u1ea3i: ph\u00f9, TM c\u1ed5 n\u1ed5i\u2026<\/li>\n<\/ul>\n<h2><strong>5. Ti\u1ebfp c\u1eadn l\u00e2m s\u00e0ng v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<h3><strong>5.1. H\u1ecfi b\u1ec7nh s\u1eed<\/strong><\/h3>\n<p>B\u1ec7nh nh\u00e2n th\u01b0\u1eddng v\u00e0o vi\u1ec7n v\u1edbi kh\u1edfi ph\u00e1t c\u1ea5p t\u00ednh ho\u1eb7c t\u00ecnh tr\u1ea1ng n\u1eb7ng h\u01a1n c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p nh\u01b0 kh\u00f3 th\u1edf, ho v\u00e0\/ho\u1eb7c ti\u1ebft \u0111\u1eddm trong v\u00e0i gi\u1edd ho\u1eb7c v\u00e0i ng\u00e0y. Nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111\u00f3 c\u1ea7n \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m sau:<\/p>\n<p>Th\u1eddi gian di\u1ec5n ti\u1ebfn c\u1ee7a tri\u1ec7u ch\u1ee9ng<\/p>\n<p>M\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p nh\u01b0: kh\u00f3 th\u1edf khi ngh\u1ec9 ng\u01a1i, kh\u00f3 th\u1edf khi leo c\u1ea7u thang<\/p>\n<p>So s\u00e1nh v\u1edbi m\u1ee9c tri\u1ec7u ch\u1ee9ng ban \u0111\u1ea7u<\/p>\n<p>X\u00e1c \u0111\u1ecbnh t\u00ednh ch\u1ea5t \u0111\u1eddm nh\u01b0: s\u1ed1 l\u01b0\u1ee3ng, m\u00e0u s\u1eafc, m\u1ee7, m\u00e1u<\/p>\n<p>S\u1eed d\u1ee5ng oxy t\u1ea1i nh\u00e0 b\u00e2y gi\u1edd ho\u1eb7c tr\u01b0\u1edbc \u0111\u00e2y<\/p>\n<h3><strong>5.2. H\u1ecfi ti\u1ec1n s\u1eed<\/strong><\/h3>\n<p>&#8211; Ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c l\u00e1 v\u00e0\/ho\u1eb7c s\u1eed d\u1ee5ng vaping.<\/p>\n<p>&#8211; Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a COPD tr\u01b0\u1edbc \u0111\u00f3, ti\u1ec1n s\u1eed \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n COPD<\/p>\n<p><strong>*C\u1ea7n x\u00e1c \u0111\u1ecbnh ti\u1ec1n s\u1eed \u0111\u1ee3t c\u1ea5p tr\u01b0\u1edbc \u0111\u00f3 g\u1ed3m:\u00a0<\/strong><\/p>\n<ul>\n<li>S\u1ed1 l\u01b0\u1ee3ng \u0111\u1ee3t c\u1ea5p<\/li>\n<li>Vi\u1ec7c s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p corticoid to\u00e0n th\u00e2n, kh\u00e1ng sinh trong v\u00f2ng 3 th\u00e1ng tr\u01b0\u1edbc<\/li>\n<li>\u0110\u1ee3t c\u1ea5p c\u1ea7n ph\u1ea3i nh\u1eadp vi\u1ec7n ho\u1eb7c c\u1ea7n th\u1edf oxy<\/li>\n<li>\u0110\u00e1p \u1ee9ng v\u1edbi li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3<\/li>\n<\/ul>\n<p><strong>*Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a \u0111\u1ee3t c\u1ea5p COPD\u00a0<\/strong><\/p>\n<ul>\n<li>T\u1eeb t\u0103ng nh\u1eb9 kh\u00f3 th\u1edf,<\/li>\n<li>C\u00f3 ho\u1eb7c kh\u00f4ng ho,<\/li>\n<li>\u0110\u1ebfn suy h\u00f4 h\u1ea5p v\u1edbi toan h\u00f4 h\u1ea5p c\u1ea5p (ARA) v\u00e0\/ho\u1eb7c gi\u1ea3m oxy m\u00e1u<\/li>\n<\/ul>\n<h3><strong>5.3. Th\u0103m kh\u00e1m th\u1ef1c th\u1ec3<\/strong><\/h3>\n<p><strong>*Nh\u00ecn<\/strong><\/p>\n<ul>\n<li>Th\u1edf kh\u00f2 kh\u00e8, th\u1edf nhanh, th\u1edf ch\u00fam m\u00f4i<\/li>\n<li>Kh\u00f3 n\u00f3i do g\u1eafng s\u1ee9c h\u00f4 h\u1ea5p<\/li>\n<li>S\u1eed d\u1ee5ng c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5<\/li>\n<li>Chuy\u1ec3n \u0111\u1ed9ng ngh\u1ecbch th\u01b0\u1eddng gi\u1eefa ng\u1ef1c v\u00e0 b\u1ee5ng<\/li>\n<li>R\u1ed1i lo\u1ea1n tri gi\u00e1c g\u1ee3i \u00fd \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng CO2 m\u00e1u ho\u1eb7c gi\u1ea3m O2 m\u00e1u<\/li>\n<li>D\u1ea5u hi\u1ec7u suy tim ph\u1ea3i: ph\u00f9 ngo\u1ea1i vi<\/li>\n<\/ul>\n<p><strong>*Nghe<\/strong><\/p>\n<ul>\n<li>Gi\u1ea3m r\u00ec r\u00e0o ph\u1ebf nang<\/li>\n<li>Rale \u1ea9m \u1edf 2 ph\u1ebf tr\u01b0\u1eddng, rale r\u00edt, rale ng\u00e1y<\/li>\n<\/ul>\n<p><strong>*Th\u1ef1c th\u1ec3 kh\u00e1c<\/strong><\/p>\n<ul>\n<li>S\u1ed1t, h\u1ea1 huy\u1ebft \u00e1p<\/li>\n<li>L\u1ed3ng ng\u1ef1c h\u00ecnh th\u00f9ng<\/li>\n<\/ul>\n<h2><strong>6. Ch\u1ea9n \u0111o\u00e1n<\/strong><\/h2>\n<h3><strong>6.1. Ch\u1ea9n \u0111o\u00e1n COPD<\/strong><\/h3>\n<ul>\n<li><strong>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng:<\/strong> ho m\u1ea1n t\u00ednh, kh\u1ea1c \u0111\u00e0m m\u1ea1n t\u00ednh, kh\u00f3 th\u1edf (v\u1ec1 sau c\u00f3 h\u1ed9i ch\u1ee9ng h\u1eb9p ti\u1ec3u ph\u1ebf qu\u1ea3n co th\u1eaft, h\u1ed9i ch\u1ee9ng kh\u00ed ph\u1ebf th\u1ee7ng, h\u1ed9i ch\u1ee9ng vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n)<\/li>\n<li><strong>Y\u1ebfu t\u1ed1 nguy c\u01a1:<\/strong> thu\u1ed1c l\u00e1, ngh\u1ec1 nghi\u1ec7p ti\u1ebfp x\u00fac v\u1edbi ch\u1ea5t \u0111\u1ed9c h\u1ea1i, m\u00f4i tr\u01b0\u1eddng s\u1ed1ng \u00f4 nhi\u1ec5m<\/li>\n<\/ul>\n<p>\u21d2<strong> H\u00f4 h\u1ea5p k\u00fd:<\/strong> ti\u00eau chu\u1ea9n v\u00e0ng ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh: FEV1\/FVC &lt;70% sau test gi\u00e3n ph\u1ebf qu\u1ea3n<\/p>\n<p><strong>\u0110\u1ee3t c\u1ea5p COPD<\/strong> \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi m\u1ed9t s\u1ef1 thay \u0111\u1ed5i c\u1ea5p t\u00ednh c\u1ee7a m\u1ed9t ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a COPD: t\u0103ng ho th\u01b0\u1eddng xuy\u00ean v\u00e0 n\u1eb7ng h\u01a1n, th\u1edf kh\u00f2 kh\u00e8, t\u0103ng s\u1ea3n xu\u1ea5t l\u01b0\u1ee3ng \u0111\u1eddm v\u00e0 ho\u1eb7c thay \u0111\u1ed5i t\u00ednh ch\u1ea5t \u0111\u1eddm, t\u0103ng kh\u00f3 th\u1edf (theo GOLD 2022)<\/p>\n<h3><strong>6.2. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t \u0111\u1ee3t c\u1ea5p c\u1ee7a COPD<\/strong><\/h3>\n<table>\n<tbody>\n<tr>\n<td>&nbsp;<\/p>\n<p><strong>B\u1ec7nh vi\u00eam ph\u1ed5i<\/strong><\/td>\n<td>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 X-quang ng\u1ef1c<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CRP, PCT<\/td>\n<\/tr>\n<tr>\n<td><strong>Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i<\/strong><\/td>\n<td>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 X-quang ng\u1ef1c th\u1eb3ng ho\u1eb7c si\u00eau \u00e2m<\/td>\n<\/tr>\n<tr>\n<td><strong>Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i\u00a0<\/strong><\/td>\n<td>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 X-quang ng\u1ef1c th\u1eb3ng ho\u1eb7c si\u00eau \u00e2m<\/td>\n<\/tr>\n<tr>\n<td><strong>Thuy\u00ean t\u1eafc ph\u1ed5i<\/strong><\/td>\n<td>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 D-dimer v\u00e0\/ho\u1eb7c si\u00eau \u00e2m Doppler m\u1ea1ch m\u00e1u chi d\u01b0\u1edbi<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 CT \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/td>\n<\/tr>\n<tr>\n<td><strong>Ph\u00f9 ph\u1ed5i do c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch<\/strong><\/td>\n<td>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110i\u1ec7n t\u00e2m \u0111\u1ed3 v\u00e0 si\u00eau \u00e2m tim<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Marker sinh h\u1ecdc c\u1ee7a tim<\/td>\n<\/tr>\n<tr>\n<td><strong>R\u1ed1i lo\u1ea1n nh\u1ecbp-Rung nh\u0129\/Cu\u1ed3ng nh\u0129<\/strong><\/td>\n<td>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0110i\u1ec7n t\u00e2m \u0111\u1ed3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><em>(Theo GOLD 2023)<\/em><\/p>\n<h2><strong>7. PH\u00c2N LO\u1ea0I<\/strong><\/h2>\n<h3><strong>7.1. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a \u0111\u1ee3t c\u1ea5p theo Anthonisen\u00a0<\/strong><\/h3>\n<p><strong>T\u0102NG<\/strong><\/p>\n<ul>\n<li>Kh\u00f3 th\u1edf<\/li>\n<li>S\u1ed1 l\u01b0\u1ee3ng \u0111\u1eddm<\/li>\n<li>M\u00e0u \u0111\u1ee5c\/v\u00e0ng h\u01a1n<\/li>\n<\/ul>\n<p><strong>*TYPE I<\/strong><\/p>\n<ul>\n<li>C\u00f3 3 tri\u1ec7u ch\u1ee9ng<\/li>\n<li>Khuy\u1ebfn ngh\u1ecb d\u00f9ng kh\u00e1ng sinh<\/li>\n<\/ul>\n<p><strong>*TYPE II<\/strong><\/p>\n<ul>\n<li>C\u00f3 2 trong 3 tri\u1ec7u ch\u1ee9ng<\/li>\n<li>D\u00f9ng kh\u00e1ng sinh n\u1ebfu m\u00e0u s\u1eafc \u0111\u1eddm kh\u00f4ng t\u1ed1t<\/li>\n<\/ul>\n<p><strong>*TYPE III<\/strong><\/p>\n<p><strong>C\u00f3 m\u1ed9t tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00f3 \u00edt nh\u1ea5t m\u1ed9t trong c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/strong><\/p>\n<ul>\n<li>M\u1ed9t \u0111\u1ee3t nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u00e1ch \u0111\u00e2y 5 ng\u00e0y<\/li>\n<li>T\u0103ng th\u1edf kh\u00f2 kh\u00e8<\/li>\n<li>T\u0103ng ho<\/li>\n<li>S\u1ed1t ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n<\/li>\n<li>Nh\u1ecbp tim t\u0103ng<\/li>\n<li>T\u1ea7n s\u1ed1 th\u1edf t\u0103ng h\u01a1n 20%<\/li>\n<li>Kh\u00f4ng c\u1ea7n d\u00f9ng kh\u00e1ng sinh<\/li>\n<\/ul>\n<h3><strong>7.2. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a \u0111\u1ee3t c\u1ea5p theo m\u1ee9c \u0111\u1ed9 suy h\u00f4 h\u1ea5p theo GOLD 2023<\/strong><\/h3>\n<table>\n<tbody>\n<tr>\n<td>&nbsp;<\/p>\n<p><strong>Y\u1ebfu t\u1ed1<\/strong><\/td>\n<td><strong>Kh\u00f4ng suy h\u00f4 h\u1ea5p<\/strong><\/td>\n<td><strong>Suy h\u00f4 h\u1ea5p c\u1ea5p-kh\u00f4ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng<\/strong><\/td>\n<td><strong>Suy h\u00f4 h\u1ea5p c\u1ea5p-\u0111e d\u1ecda t\u00ednh m\u1ea1ng<\/strong><\/td>\n<\/tr>\n<tr>\n<td><strong>Tri gi\u00e1c<\/strong><\/td>\n<td>Kh\u00f4ng thay \u0111\u1ed5i tri gi\u00e1c<\/td>\n<td>Kh\u00f4ng thay \u0111\u1ed5i tri gi\u00e1c<\/td>\n<td>Thay \u0111\u1ed5i tri gi\u00e1c (k\u00edch th\u00edch, l\u01a1 m\u01a1)<\/td>\n<\/tr>\n<tr>\n<td><strong>TST<\/strong><\/td>\n<td>20-30l\/p<\/td>\n<td>&gt;30l\/p<\/td>\n<td>&gt;30l\/p<\/td>\n<\/tr>\n<tr>\n<td><strong>C\u01a1 h\u00f4 h\u1ea5p ph\u1ee5<\/strong><\/td>\n<td>Kh\u00f4ng<\/td>\n<td>C\u00f3<\/td>\n<td>C\u00f3<\/td>\n<\/tr>\n<tr>\n<td><strong>M\u1ee9c FiO2 khi d\u00f9ng Venturi<\/strong><\/td>\n<td>24-35%<\/td>\n<td>&gt;35%<\/td>\n<td>&gt;40%<\/td>\n<\/tr>\n<tr>\n<td><strong>PaCO2<\/strong><\/td>\n<td>35-45mmHg<\/td>\n<td>50-60mmHg<\/td>\n<td>60mmHg (pH&lt;7,25)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><strong>\u00a08. <\/strong><a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/xu-tri-dot-cap-cua-benh-phoi-tac-nghen-man-tinh\/\"><strong>X\u1eed tr\u00ed v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ee3t c\u1ea5p COPD<\/strong><\/a><\/h2>\n<h3><strong>8.1.Nguy\u00ean t\u1eafc \u0111i\u1ec1u tr\u1ecb\u00a0<\/strong><\/h3>\n<ul>\n<li>Gi\u1ea3m t\u1eafc ngh\u1ebdn ph\u1ebf qu\u1ea3n<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb c\u00e1c y\u1ebfu t\u1ed1 \u0111\u1ee3t c\u1ea5p g\u00e2y n\u00ean<\/li>\n<li>\u0110\u1ea3m b\u1ea3o \u0111\u1ed9 b\u00e3o h\u00f2a oxy<\/li>\n<li>Gi\u1ea3i quy\u1ebft c\u00e1c bi\u1ebfn ch\u1ee9ng<\/li>\n<\/ul>\n<h3><strong>8.2. \u0110i\u1ec1u tr\u1ecb chung \u0111\u1ee3t c\u1ea5p COPD<\/strong><\/h3>\n<p><strong>C\u00e1c nh\u00f3m thu\u1ed1c:<\/strong><\/p>\n<ul>\n<li>Gi\u00e3n ph\u1ebf qu\u1ea3n t\u00e1c d\u1ee5ng ng\u1eafn Beta2 adrenergic +\/- Anticholinergic h\u00edt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0 thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n \u0111\u1ea7u tay<\/li>\n<li>Corticoid to\u00e0n th\u00e2n (ICS)<\/li>\n<li>Kh\u00e1ng sinh<\/li>\n<li>Thu\u1ed1c h\u1ed7 tr\u1ee3 v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh \u0111\u1ed3ng m\u1eafc<\/li>\n<\/ul>\n<h3><strong>8.2.1 \u0110i\u1ec1u tr\u1ecb \u0111\u1ee3t c\u1ea5p m\u1ee9c \u0111\u1ed9 nh\u1eb9<\/strong><\/h3>\n<p><strong>C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0<\/strong><\/p>\n<ol>\n<li>C\u00f3 th\u1ec3 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh<\/li>\n<li>T\u0103ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng<\/li>\n<li>H\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c<\/li>\n<\/ol>\n<p>N\u1ebfu tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng x\u1ea5u \u0111i ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb th\u00ec c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 l\u1ea1i<\/p>\n<h3><strong>8.2.2 \u0110i\u1ec1u tr\u1ecb \u0111\u1ee3t c\u1ea5p m\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/strong><\/h3>\n<p><strong>C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 ho\u1eb7c y t\u1ebf c\u01a1 s\u1edf<\/strong><\/p>\n<ol>\n<li>D\u00f9ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n \u0111\u01b0\u1eddng h\u00edt<\/li>\n<\/ol>\n<ul>\n<li>K\u00edch th\u00edch Beta 2 giao c\u1ea3m, x\u1ecbt m\u1ed7i l\u1ea7n 2 &#8211; 3 nh\u00e1t, 3 &#8211; 4 gi\u1edd\/l\u1ea7n<\/li>\n<li>Thu\u1ed1c \u1ee9c ch\u1ebf ph\u00f3 giao c\u1ea3m (Ipratropium) x\u1ecbt<\/li>\n<li>Theophyllin: c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c k\u00edch th\u00edch Beta 2 giao c\u1ea3m n\u1ebfu b\u1ec7nh nh\u00e2n v\u1eabn c\u00f2n co th\u1eaft nhi\u1ec1u<\/li>\n<\/ul>\n<ol start=\"2\">\n<li>V\u1eadn \u0111\u1ed9ng tr\u1ecb li\u1ec7u h\u00f4 h\u1ea5p: ch\u1ee7 y\u1ebfu l\u00e0 h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n ho \u0111\u1ec3 th\u1ea3i \u0111\u1eddm. C\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c l\u00e0m lo\u00e3ng \u0111\u1eddm<\/li>\n<li>Kh\u00e1ng sinh: d\u00f9ng khi b\u1ec7nh nh\u00e2n c\u00f3 s\u1ed1t, ho\u1eb7c \u0111\u1eddm \u0111\u1ee5c, ho\u1eb7c c\u00f3 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh t\u0103ng. D\u00f9ng kh\u00e1ng sinh nh\u00f3m betalactam (nh\u00f3m amino-penicillin ho\u1eb7c cephalosporin th\u1ebf h\u1ec7 1, 2) ph\u1ed1i h\u1ee3p v\u1edbi 1 aminozide (gentamycin) ho\u1eb7c macrolide<\/li>\n<\/ol>\n<h3><strong>8.2.3 \u0110i\u1ec1u tr\u1ecb \u0111\u1ee3t c\u1ea5p m\u1ee9c \u0111\u1ed9 trung b\u00ecnh<\/strong><\/h3>\n<p><strong>\u0110i\u1ec1u tr\u1ecb t\u1ea1i tuy\u1ebfn t\u1ec9nh ho\u1eb7c tuy\u1ebfn trung \u01b0\u01a1ng ho\u1eb7c c\u00e1c c\u01a1 s\u1edf y t\u1ebf c\u00f3 ngu\u1ed3n l\u1ef1c th\u00edch h\u1ee3p<\/strong><\/p>\n<ol>\n<li>Theo d\u00f5i m\u1ea1ch huy\u1ebft \u00e1p, nh\u1ecbp th\u1edf, SpO2<\/li>\n<li>\u00a0 \u00a0\u00a0Th\u1edf oxy 1-2 l\u00edt\/ph\u00fat sao cho SpO2 \u0111\u1ea1t 88-92%. N\u00ean l\u00e0m kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch \u0111\u1ec3 l\u00e0m c\u01a1 s\u1edf \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u oxy.<\/li>\n<li>Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n:<\/li>\n<\/ol>\n<ul>\n<li>Kh\u00ed dung thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n nh\u00f3m c\u01b0\u1eddng beta 2 adrenergic ho\u1eb7c d\u1ea1ng k\u1ebft h\u1ee3p c\u01b0\u1eddng beta 2 adrenergic v\u1edbi kh\u00e1ng cholinergic.<\/li>\n<li>N\u1ebfu kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00ed dung th\u00ec d\u00f9ng salbutamol, terbutaline truy\u1ec1n t\u0129nh m\u1ea1ch v\u1edbi li\u1ec1u 0,5 &#8211; 2mg\/gi\u1edd, \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c theo \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n. Truy\u1ec1n b\u1eb1ng b\u01a1m ti\u00eam \u0111i\u1ec7n ho\u1eb7c m\u00e1y truy\u1ec1n d\u1ecbch.<\/li>\n<\/ul>\n<ol start=\"4\">\n<li>Thu\u1ed1c corticoid:<\/li>\n<\/ol>\n<ul>\n<li>Methylprednisolon 1-2 mg\/kg\/ng\u00e0y ti\u00eam t\u0129nh m\u1ea1ch. Th\u1eddi gian d\u00f9ng th\u00f4ng th\u01b0\u1eddng kh\u00f4ng qu\u00e1 5-7 ng\u00e0y.<\/li>\n<\/ul>\n<ol start=\"5\">\n<li>Thu\u1ed1c kh\u00e1ng sinh:<\/li>\n<\/ol>\n<ul>\n<li>Cefotaxim 1-2g x 3 l\u1ea7n\/ng\u00e0y ho\u1eb7c ceftriaxon 2g\/ l\u1ea7n x 1-2 l\u1ea7n\/ng\u00e0y ho\u1eb7c ceftazidim 1-2g x 3 l\u1ea7n\/ng\u00e0y; ph\u1ed1i h\u1ee3p v\u1edbi nh\u00f3m aminoglycosid 15mg\/kg\/ng\u00e0y ho\u1eb7c quinolon (levofloxacin 750mg\/ng\u00e0y, moxifloxacin 400mg\/ng\u00e0y&#8230;).<\/li>\n<\/ul>\n<p><strong>Ngu\u1ed3n t\u00e0i li\u1ec7u<\/strong><\/p>\n<ul>\n<li>B\u1ec7nh h\u1ecdc n\u1ed9i khoa Tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c Hu\u1ebf2019<\/li>\n<li>GOLD 2023<\/li>\n<li>BYT: H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh 2018<\/li>\n<li>Uptodate: Management of infection in exacerbations of chronic obstructive pulmonary disease<\/li>\n<li>UPTODATE: COPD exacerbations: Clinical manifestations and evaluation<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p v\u00e0 gi\u1edbi h\u1ea1n lu\u1ed3ng th\u00f4ng kh\u00ed dai d\u1eb3ng do b\u1ea5t th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng th\u1edf v\u00e0\/ho\u1eb7c ph\u1ebf\u00a0 nang; th\u01b0\u1eddng do ph\u01a1i nhi\u1ec5m c\u00e1c kh\u00ed \u0111\u1ed9c h\u1ea1i. 1. \u0110\u1ee3t [&hellip;]<\/p>\n","protected":false},"author":6,"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>Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD - Vinmec<\/title>\n<meta name=\"description\" content=\"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p\" \/>\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=\"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD - Vinmec\" \/>\n<meta property=\"og:description\" content=\"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-04-18T06:19:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-18T07:37:07+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/i.imgur.com\/g8lGoYG.png\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"7 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/\",\"name\":\"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD - Vinmec\",\"isPartOf\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-04-18T06:19:03+00:00\",\"dateModified\":\"2023-04-18T07:37:07+00:00\",\"author\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6\"},\"description\":\"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD\"}]},{\"@type\":\"WebSite\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6\",\"name\":\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g\",\"caption\":\"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/phamvanhoa1612gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD - Vinmec","description":"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD - Vinmec","og_description":"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/","og_site_name":"Vinmec","article_published_time":"2023-04-18T06:19:03+00:00","article_modified_time":"2023-04-18T07:37:07+00:00","og_image":[{"url":"https:\/\/i.imgur.com\/g8lGoYG.png"}],"author":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy","Est. reading time":"7 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/","name":"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD - Vinmec","isPartOf":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-04-18T06:19:03+00:00","dateModified":"2023-04-18T07:37:07+00:00","author":{"@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6"},"description":"B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) l\u00e0 m\u1ed9t b\u1ec7nh kh\u00e1 ph\u1ed5 bi\u1ebfn, c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c; c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m l\u00e0 tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/18\/tiep-can-benh-nhan-dot-cap-copd\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"Ti\u1ebfp c\u1eadn b\u1ec7nh nh\u00e2n \u0111\u1ee3t c\u1ea5p COPD"}]},{"@type":"WebSite","@id":"http:\/\/noithathoaphat.in\/ctv\/#website","url":"http:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"http:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/93244bcbae85b37711d0dde67f41b5f6","name":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"http:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g","contentUrl":"http:\/\/1.gravatar.com\/avatar\/1b748902abde9a821c917fe33912a06a?s=96&d=mm&r=g","caption":"Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/phamvanhoa1612gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/20591"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=20591"}],"version-history":[{"count":4,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/20591\/revisions"}],"predecessor-version":[{"id":27542,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/20591\/revisions\/27542"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=20591"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=20591"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=20591"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}