{"id":20796,"date":"2023-04-19T19:44:14","date_gmt":"2023-04-19T12:44:14","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20796"},"modified":"2023-04-20T15:34:43","modified_gmt":"2023-04-20T08:34:43","slug":"hoi-chung-ngung-tho-khi-ngu-tac-nghen","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/hoi-chung-ngung-tho-khi-ngu-tac-nghen\/","title":{"rendered":"Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn"},"content":{"rendered":"<p><strong>H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p li\u00ean quan \u0111\u1ebfn gi\u1ea5c ng\u1ee7. Trong \u0111\u00f3 H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn l\u00e0 m\u1ed9t th\u1ec3 h\u1ebft s\u1ee9c quan tr\u1ecdng. Ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd n\u00e0y.\u00a0<\/strong><\/p>\n<h2><b>1. Ng\u1eebng th\u1edf khi ng\u1ee7 l\u00e0 g\u00ec ?<\/b><\/h2>\n<p>H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 ng\u1eebng th\u1edf t\u1eebng l\u00fac khi ng\u1ee7 trong th\u1eddi gian t\u1eeb 10 gi\u00e2y tr\u1edf l\u00ean, d\u1eabn \u0111\u1ebfn gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u, sau \u0111\u00f3 \u0111\u1ed9ng t\u00e1c h\u00f4 h\u1ea5p ho\u1ea1t \u0111\u1ed9ng tr\u1edf l\u1ea1i th\u01b0\u1eddng ph\u1ed1i h\u1ee3p v\u1edbi s\u1ef1 th\u1ee9c d\u1eady ng\u1eafn.<\/p>\n<h2><b>2. Ph\u00e2n lo\u1ea1i\u00a0<\/b><\/h2>\n<ul>\n<li>Ng\u1eebng th\u1edf t\u1eafc ngh\u1ebdn: th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, bi\u1ec3u hi\u1ec7n s\u1ef1 ng\u1eebng lu\u1ed3ng kh\u00ed th\u1edf do t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u00e0 c\u00e1c c\u1eed \u0111\u1ed9ng ng\u1ef1c &#8211; b\u1ee5ng \u0111\u01b0\u1ee3c duy tr\u00ec.<\/li>\n<li>Ng\u1eebng th\u1edf trung \u01b0\u01a1ng: \u00edt g\u1eb7p, bi\u1ec3u hi\u1ec7n s\u1ef1 ng\u1eebng lu\u1ed3ng kh\u00ed qua m\u0169i, mi\u1ec7ng v\u00e0 kh\u00f4ng c\u00f3 c\u1eed \u0111\u1ed9ng ng\u1ef1c v\u00e0 b\u1ee5ng do trung t\u00e2m h\u00f4 h\u1ea5p kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng. B\u1ec7nh th\u01b0\u1eddng c\u00f3 k\u1ebft h\u1ee3p v\u1edbi b\u1ec7nh l\u00fd th\u1ea7n kinh c\u01a1.<\/li>\n<li>Ng\u1eebng th\u1edf h\u1ed7n h\u1ee3p: ph\u1ed1i h\u1ee3p hai lo\u1ea1i tr\u00ean.\n<p><figure id=\"attachment_20807\" aria-describedby=\"caption-attachment-20807\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-20807\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ngung-tho-khi-ngu-300x200.jpg\" alt=\"Minh-hoa-ngung-tho-khi-ngu\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ngung-tho-khi-ngu-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Anh-ngung-tho-khi-ngu.jpg 760w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-20807\" class=\"wp-caption-text\">Minh h\u1ecda ng\u1eebng th\u1edf khi ng\u1ee7<\/figcaption><\/figure><\/li>\n<\/ul>\n<h2>3. H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn<\/h2>\n<p><b>3.1. Y\u1ebfu t\u1ed1 nguy c\u01a1<\/b><\/p>\n<ul>\n<li>\u00a0B\u00e9o ph\u00ec.<\/li>\n<li>C\u00e1c b\u1ea5t th\u01b0\u1eddng v\u00f9ng h\u00e0m m\u1eb7t, ph\u1ea7n m\u1ec1m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean: x\u01b0\u01a1ng h\u00e0m ng\u1eafn, ph\u1ea7n \u0111\u00e1y m\u1eb7t r\u1ed9ng, ph\u00ec \u0111\u1ea1i cu\u1ed1ng l\u01b0\u1ee1i, ph\u00ec \u0111\u1ea1i amidal.<\/li>\n<li>\u00a0Hi\u1ec7n \u0111ang h\u00fat thu\u1ed1c.<\/li>\n<li>\u00a0Ph\u00ec \u0111\u1ea1i cu\u1ed1n m\u0169i, sung huy\u1ebft m\u0169i.<\/li>\n<\/ul>\n<p><b>3.2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh<\/b><\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh khi \u0111\u00e1p \u1ee9ng c\u00e1c ti\u00eau chu\u1ea9n sau:<\/p>\n<ul>\n<li>Bu\u1ed3n ng\u1ee7 ban ng\u00e0y kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1c l\u00fd do kh\u00e1c.<\/li>\n<li>\u00a0C\u00f3 hai ho\u1eb7c nhi\u1ec1u h\u01a1n c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/li>\n<\/ul>\n<p>&#8211; Ng\u1eebng th\u1edf ho\u1eb7c th\u1edf g\u1ea5p trong khi ng\u1ee7.<\/p>\n<p>&#8211; Th\u1ee9c d\u1eady nhi\u1ec1u l\u1ea7n trong gi\u1ea5c ng\u1ee7.<\/p>\n<p>&#8211; Ng\u1ee7 ch\u1eadp ch\u1eddn.<\/p>\n<p>&#8211; M\u1ec7t m\u1ecfi, ng\u1ee7 g\u1eadt v\u00e0o ban ng\u00e0y.<\/p>\n<p>&#8211; M\u1ea5t t\u1eadp trung.<\/p>\n<ul>\n<li>K\u1ebft qu\u1ea3 c\u1ee7a \u0111a k\u00fd h\u00f4 h\u1ea5p khi ng\u1ee7 ho\u1eb7c \u0111a k\u00fd gi\u1ea5c ng\u1ee7: xu\u1ea5t hi\u1ec7n 5 &#8211; 10 l\u1ea7n\/gi\u1edd ho\u1eb7c nhi\u1ec1u h\u01a1n c\u01a1n ng\u1eebng \/gi\u1ea3m th\u1edf trong th\u1eddi gian m\u1ed9t gi\u1edd ho\u1eb7c s\u1ed1 c\u01a1n ng\u1eebng\/gi\u1ea3m th\u1edf khi ng\u1ee7 tr\u00ean 30 l\u1ea7n.<\/li>\n<li>\u00a0Ba c\u00e2u h\u1ecfi gi\u00fap ch\u1ea9n \u0111o\u00e1n h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf: trong th\u00e1ng qua b\u1ea1n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau \u0111\u00e2y xu\u1ea5t hi\u1ec7n khi ng\u1ee7 kh\u00f4ng:<\/li>\n<\/ul>\n<p>&#8211; Th\u1edf ph\u00ec ph\u00f2, th\u1edf h\u1ed5n h\u1ec3n.<\/p>\n<p>&#8211; Ng\u00e1y to.<\/p>\n<p>&#8211; Ng\u1eebng th\u1edf, ng\u1ea1t th\u1edf.<\/p>\n<ul>\n<li>Khi nghi ng\u1edd b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 ti\u1ebfp t\u1ee5c khai th\u00e1c c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf v\u00e0 \u0111o th\u1ec3 t\u00edch v\u00f2ng c\u1ed5.<\/li>\n<\/ul>\n<p><b>3.3. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a b\u1ec7nh<\/b><\/p>\n<p>Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 n\u1eb7ng th\u01b0\u1eddng d\u1ef1a v\u00e0o ch\u1ec9 s\u1ed1 AHI (Apnea Hypoapnea Index &#8211; Hay c\u00f2n g\u1ecdi l\u00e0 ch\u1ec9 s\u1ed1 ng\u1eebng th\u1edf &#8211; gi\u1ea3m th\u1edf).<\/p>\n<ul>\n<li>M\u1ee9c \u0111\u1ed9 nh\u1eb9: Ch\u1ec9 s\u1ed1 AHI t\u1eeb 5 &#8211; 15 l\u1ea7n\/gi\u1edd, kho\u1ea3ng th\u1eddi gian xu\u1ea5t hi\u1ec7n \u0111\u1ed9 b\u00e3o h\u00f2a oxy d\u01b0\u1edbi 90% chi\u1ebfm \u00edt h\u01a1n 5% th\u1eddi gian ng\u1ee7.<\/li>\n<li>M\u1ee9c \u0111\u1ed9 trung b\u00ecnh: Ch\u1ec9 s\u1ed1 AHI t\u1eeb 15 &#8211; 30 l\u1ea7n\/gi\u1edd, kho\u1ea3ng th\u1eddi gian xu\u1ea5t hi\u1ec7n \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u1ee9c d\u01b0\u1edbi 90% chi\u1ebfm 5% &#8211; 20% th\u1eddi gian ng\u1ee7.<\/li>\n<li>M\u1ee9c \u0111\u1ed9 n\u1eb7ng: Ch\u1ec9 s\u1ed1 AHI tr\u00ean 30, kho\u1ea3ng th\u1eddi gian xu\u1ea5t hi\u1ec7n \u0111\u1ed9 b\u00e3o h\u00f2a oxy m\u1ee9c d\u01b0\u1edbi 90% chi\u1ebfm tr\u00ean 20% th\u1eddi gian ng\u1ee7.<\/li>\n<\/ul>\n<p><b>3.4. Bi\u1ebfn ch\u1ee9ng<\/b><\/p>\n<ul>\n<li>B\u1ec7nh nh\u00e2n th\u01b0\u1eddng ng\u1ee7 g\u1eadt, c\u00f3 nguy c\u01a1 tai n\u1ea1n xe c\u1ed9 cao.<\/li>\n<li>Gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng: gi\u1ea3m tr\u00ed nh\u1edb, m\u1ea5t t\u1eadp trung, m\u1ec7t m\u1ecfi k\u00e9o d\u00e0i, thay \u0111\u1ed5i t\u00ednh t\u00ecnh,&#8230;<\/li>\n<li>Nguy c\u01a1 tim m\u1ea1ch<\/li>\n<\/ul>\n<p>&#8211; T\u0103ng huy\u1ebft \u00e1p do t\u0103ng ho\u1ea1t t\u00ednh giao c\u1ea3m g\u00e2y ra do gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u.<\/p>\n<p>&#8211; Nh\u1ed3i m\u00e1u c\u01a1 tim, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, suy tim.<\/p>\n<p>&#8211; T\u0103ng nguy c\u01a1 t\u1eed vong \u1edf b\u1ec7nh nh\u00e2n tim m\u1ea1ch c\u00f3 h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf.<\/p>\n<p>&#8211; T\u0103ng nguy c\u01a1 b\u1ecb tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o.<\/p>\n<p>&#8211; T\u00ecnh tr\u1ea1ng b\u1ec7nh \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng kh\u00f3 ki\u1ec3m so\u00e1t v\u00e0 xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng kh\u00e1ng insulin.<\/p>\n<p><b>3.5. \u0110i\u1ec1u tr\u1ecb<\/b><\/p>\n<p><b><i>3.5.1 \u0110i\u1ec1u tr\u1ecb n\u1ed9i khoa<\/i><\/b><\/p>\n<ul>\n<li><i>Thay \u0111\u1ed5i h\u00e0nh vi<\/i><\/li>\n<\/ul>\n<p>&#8211; T\u1eadp th\u00f3i quen \u0111i ng\u1ee7 s\u1edbm v\u00e0 \u0111\u00fang gi\u1edd.<\/p>\n<p>&#8211; T\u01b0 th\u1ebf n\u1eb1m nghi\u00eang khi ng\u1ee7.<\/p>\n<p>&#8211; Gi\u1ea3m c\u00e2n.<\/p>\n<p>&#8211; Kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u.<\/p>\n<p>&#8211; Tr\u00e1nh s\u1eed d\u1ee5ng thu\u1ed1c ng\u1ee7, thu\u1ed1c an th\u1ea7n, thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh&#8230;v\u00e0o ban \u0111\u00eam.<\/p>\n<p>&#8211; Tr\u00e1nh u\u1ed1ng c\u00e1c ch\u1ea5t k\u00edch th\u00edch (caf\u00ea) v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c v\u00e0o ban \u0111\u00eam.<\/p>\n<ul>\n<li><i>Thi\u1ebft b\u1ecb trong mi\u1ec7ng<\/i><\/li>\n<\/ul>\n<p>&#8211; S\u1eed d\u1ee5ng thi\u1ebft b\u1ecb trong mi\u1ec7ng l\u00e0 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 \u1edf c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 h\u00e0m d\u01b0\u1edbi nh\u1ecf v\u00e0 \u0111\u01b0a ra sau. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u1edf c\u00e1c b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh \u1edf giai \u0111o\u1ea1n nh\u1eb9 v\u00e0 v\u1eeba.<\/p>\n<p>&#8211; T\u00e1c d\u1ee5ng: gi\u1eef h\u00e0m d\u01b0\u1edbi v\u00e0 l\u01b0\u1ee1i ra ph\u00eda tr\u01b0\u1edbc, gi\u1eef v\u00f2m h\u1ea7u l\u00ean tr\u00ean nh\u01b0 v\u1eady ng\u0103n c\u1ea3n s\u1ef1 \u0111\u00f3ng l\u1ea1i c\u1ee7a \u0111\u01b0\u1eddng th\u1edf.<\/p>\n<ul>\n<li><i>Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp v\u1edbi \u00e1p l\u1ef1c d\u01b0\u01a1ng li\u00ean t\u1ee5c (CPAP &#8211; Continuous positive airway pressure)<\/i><\/li>\n<\/ul>\n<p>&#8211; L\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay, k\u1ef9 thu\u1eadt kh\u00f4ng x\u00e2m nh\u1eadp, l\u00e0m gi\u1ea3m s\u1ed1 l\u1ea7n ng\u1eebng th\u1edf, c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1ea7n kinh t\u00e2m th\u1ea7n \u1edf b\u1ec7nh nh\u00e2n h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf t\u1eafc ngh\u1ebdn khi ng\u1ee7.<\/p>\n<p>&#8211; CPAP v\u1edbi t\u00ednh n\u0103ng cung c\u1ea5p kh\u00ed li\u00ean t\u1ee5c cho \u0111\u01b0\u1eddng th\u1edf s\u1ebd ng\u0103n ng\u1eeba nguy c\u01a1 x\u1eb9p \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong l\u00fac ng\u1ee7 v\u00e0 t\u00ecnh tr\u1ea1ng co gi\u00e3n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean y\u1ebfu.<\/p>\n<p>&#8211; \u00c1p l\u1ef1c CPAP t\u1ed1i \u01b0u \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi k\u1ebft qu\u1ea3 \u0111o \u0111a k\u00fd gi\u1ea5c ng\u1ee7. Th\u00f4ng th\u01b0\u1eddng v\u1edbi \u00e1p l\u1ef1c 5 &#8211; 20 cmH<sub>2<\/sub>0 l\u00e0 \u0111\u1ee7 gi\u00fap lo\u1ea1i tr\u1eeb c\u01a1n ng\u1eebng th\u1edf, lo\u1ea1i tr\u1eeb tri\u1ec7u ch\u1ee9ng ng\u00e1y v\u00e0 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng gi\u1ea3m \u0111\u1ed9 b\u00e3o h\u00f2a oxy hemoglobin \u1edf m\u1ecdi t\u01b0 th\u1ebf v\u00e0 trong giai \u0111o\u1ea1n ng\u1ee7 REM.<\/p>\n<ul>\n<li><i>Th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp th\u00f4ng kh\u00ed \u00e1p l\u1ef1c d\u01b0\u01a1ng v\u1edbi h\u1ec7 th\u1ed1ng hai \u00e1p l\u1ef1c (BiPAP- Bilevel positive airway pressure)<\/i>: Kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 nhi\u1ec1u h\u01a1n so v\u1edbi s\u1eed d\u1ee5ng CPAP, ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p CPAP v\u00e0 b\u1ec7nh nh\u00e2n kh\u00f3 th\u1edf ra hay \u0111au ng\u1ef1c do c\u0103ng ph\u1ed3ng ng\u1ef1c qu\u00e1 m\u1ee9c.<\/li>\n<\/ul>\n<p><b><i>3.5.2 \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/i><\/b><\/p>\n<ul>\n<li><i>Ch\u1ec9 \u0111\u1ecbnh:<\/i>\u00a0B\u1ec7nh nh\u00e2n kh\u00f4ng c\u1ea3i thi\u1ec7n v\u1edbi c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa ho\u1eb7c kh\u00f4ng mu\u1ed1n \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa l\u00e2u d\u00e0i c\u1ea7n xem x\u00e9t \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i khoa.<\/li>\n<li><i>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt:<\/i><\/li>\n<\/ul>\n<p>&#8211; Ph\u1eabu thu\u1eadt m\u0169i: t\u00e1i t\u1ea1o v\u00e1ch m\u0169i, gi\u1ea3i ph\u1eabu xoang.<\/p>\n<p>&#8211; C\u1eaft amidan: khi c\u00f3 amidan ph\u00ec \u0111\u1ea1i.<\/p>\n<p>&#8211; Ph\u1eabu thu\u1eadt ch\u1ec9nh s\u1eeda l\u01b0\u1ee1i g\u00e0, v\u00f2m h\u1ea7u, h\u1ecdng, l\u01b0\u1ee1i.<\/p>\n<p>&#8211; Ph\u1eabu thu\u1eadt l\u00e0m nh\u00f4 ra tr\u01b0\u1edbc x\u01b0\u01a1ng h\u00e0m d\u01b0\u1edbi v\u00e0 c\u01a1 c\u1eb1m l\u01b0\u1ee1i.<\/p>\n<p>&#8211; Ph\u1eabu thu\u1eadt treo x\u01b0\u01a1ng m\u00f3ng.<\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/dieu-tri-tang-ap-dong-mach-phoi\/#:~:text=T%C4%83ng%20%C3%A1p%20%C4%91%E1%BB%99ng%20m%E1%BA%A1ch%20ph%E1%BB%95i%20x%E1%BA%A3y%20ra%20khi%20%C3%A1p%20l%E1%BB%B1c,ch%C3%A2n%2C%20ng%E1%BA%A5t%2C...\">\u0110i\u1ec1u tr\u1ecb t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i<\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n \u0111\u1eb7c tr\u01b0ng c\u1ee7a b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p li\u00ean quan \u0111\u1ebfn gi\u1ea5c ng\u1ee7. Trong \u0111\u00f3 H\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn l\u00e0 m\u1ed9t th\u1ec3 h\u1ebft s\u1ee9c quan tr\u1ecdng. Ch\u00fang ta h\u00e3y c\u00f9ng t\u00ecm hi\u1ec3u v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh [&hellip;]<\/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":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn<\/title>\n<meta name=\"description\" content=\"Ng\u1eebng th\u1edf khi ng\u1ee7 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n c\u1ee7a b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p li\u00ean quan \u0111\u1ebfn gi\u1ea5c ng\u1ee7. 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