{"id":21922,"date":"2023-04-19T17:21:05","date_gmt":"2023-04-19T10:21:05","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21922"},"modified":"2023-04-20T16:28:43","modified_gmt":"2023-04-20T09:28:43","slug":"giao-duc-xu-tri-hen-theo-huong-dan-cua-bo-y-te","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/19\/giao-duc-xu-tri-hen-theo-huong-dan-cua-bo-y-te\/","title":{"rendered":"Gi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf"},"content":{"rendered":"

Hen l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd<\/a> ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Hen l\u00e0 m\u1ed9t b\u1ec7nh c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i. Do \u0111\u00f3, gi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 n\u00e2ng cao nh\u1eadn th\u1ee9c v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi. B\u1ec7nh nh\u00e2n hen n\u00ean \u0111\u01b0\u1ee3c b\u00e1c s\u0129 h\u01b0\u1edbng d\u1eabn v\u00e0 hu\u1ea5n luy\u1ec7n \u0111\u1ec3 c\u00f3 th\u1ec3 t\u1ef1 x\u1eed tr\u00ed hen m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3.<\/strong><\/p>\n

\"Gi\u00e1o
Gi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen l\u00e0 vi\u1ec7c r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb hen ph\u1ebf qu\u1ea3n<\/figcaption><\/figure>\n

1. Hu\u1ea5n luy\u1ec7n k\u1ef9 n\u0103ng s\u1eed d\u1ee5ng hi\u1ec7u qu\u1ea3 c\u00e1c b\u00ecnh h\u00edt<\/h2>\n

Hu\u1ea5n luy\u1ec7n k\u1ef9 n\u0103ng s\u1eed d\u1ee5ng hi\u1ec7u qu\u1ea3 c\u00e1c b\u00ecnh h\u00edt l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u00fap c\u00e1c b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c b\u1ec7nh ph\u1ed5i nh\u01b0 hen, vi\u00eam ph\u1ebf qu\u1ea3n, ho\u1eb7c b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD) c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh m\u1ed9t c\u00e1ch t\u1ed1t nh\u1ea5t.<\/p>\n

H\u1ea7u h\u1ebft (t\u1edbi 80%) b\u1ec7nh nh\u00e2n hen s\u1eed d\u1ee5ng b\u00ecnh h\u00edt kh\u00f4ng hi\u1ec7u qu\u1ea3, t\u1eeb \u0111\u00f3 khi\u1ebfn hen \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t k\u00e9m, t\u0103ng nguy c\u01a1 b\u1ecb \u0111\u1ee3t c\u1ea5p v\u00e0 t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c. Th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc sau \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng hi\u1ec7u qu\u1ea3 b\u00ecnh h\u00edt:<\/p>\n

–\u00a0Ch\u1ecdn b\u00ecnh h\u00edt:\u00a0<\/b>ph\u00f9 h\u1ee3p nh\u1ea5t cho t\u1eebng b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi ch\u1ec9 \u0111\u1ecbnh, xem x\u00e9t ho\u1ea1t ch\u1ea5t thu\u1ed1c, kh\u1ea3 n\u0103ng d\u00f9ng \u0111\u00fang c\u1ee7a b\u1ec7nh nh\u00e2n, gi\u00e1 th\u00e0nh; n\u1ebfu d\u00f9ng b\u00ecnh h\u00edt \u0111\u1ecbnh li\u1ec1u (pMDI), c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh th\u00eam bu\u1ed3ng \u0111\u1ec7m cho b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 \u0111\u1ed3ng b\u1ed9 tay b\u00f3p mi\u1ec7ng h\u00edt.<\/p>\n

–\u00a0Ki\u1ec3m tra k\u1ef9 thu\u1eadt h\u00edt<\/b>: c\u1ee7a b\u1ec7nh nh\u00e2n t\u1ea1i m\u1ed7i l\u1ea7n t\u00e1i kh\u00e1m, nh\u1eafc b\u1ec7nh nh\u00e2n mang theo b\u00ecnh h\u00edt v\u00e0 y\u00eau c\u1ea7u h\u1ecd h\u00edt th\u1ef1c t\u1ebf \u0111\u1ec3 xem h\u1ecd h\u00edt c\u00f3 \u0111\u00fang k\u1ef9 thu\u1eadt kh\u00f4ng.<\/p>\n

–\u00a0S\u1eeda l\u1ed7i k\u1ef9 thu\u1eadt h\u00edt:\u00a0<\/b>ph\u00e1t hi\u1ec7n l\u1ed7i khi h\u00edt c\u1ee7a b\u1ec7nh nh\u00e2n, minh h\u1ecda l\u1ea1i b\u01b0\u1edbc \u0111\u00f3, y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n l\u1ea1i \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m b\u1ec7nh nh\u00e2n \u0111\u00e3 s\u1eeda \u0111\u01b0\u1ee3c l\u1ed7i k\u1ef9 thu\u1eadt h\u00edt \u0111\u00f3.<\/p>\n

–\u00a0B\u1ea3o \u0111\u1ea3m:\u00a0<\/b>r\u1eb1ng b\u00e1c s\u0129 ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng minh h\u1ecda \u0111\u00fang k\u1ef9 thu\u1eadt h\u00edt cho b\u1ec7nh nh\u00e2n d\u1ef1a tr\u00ean c\u00e1c b\u01b0\u1edbc \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea tr\u00ean t\u1edd b\u01b0\u1edbm ph\u00e1t cho b\u1ec7nh nh\u00e2n. S\u1eed d\u1ee5ng c\u00e1c b\u00ecnh h\u00edt m\u1eabu t\u01b0\u01a1ng \u1ee9ng \u0111\u1ec3 minh h\u1ecda cho b\u1ec7nh nh\u00e2n.<\/p>\n

2. Tu\u00e2n th\u1ee7 vi\u1ec7c d\u00f9ng thu\u1ed1c v\u00e0 l\u1eddi khuy\u00ean kh\u00e1c<\/h2>\n

\u00cdt nh\u1ea5t 50% ng\u01b0\u1eddi l\u1edbn kh\u00f4ng d\u00f9ng thu\u1ed1c ki\u1ec3m so\u00e1t hen li\u00ean t\u1ee5c theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, t\u1ec9 l\u1ec7 n\u00e0y cao h\u01a1n nhi\u1ec1u \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n \u00edt c\u00f3 tri\u1ec7u ch\u1ee9ng hen. Kh\u00f4ng d\u00f9ng thu\u1ed1c ki\u1ec3m so\u00e1t hen theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 s\u1ebd khi\u1ebfn hen kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u00e0 \u0111\u1ee3t c\u1ea5p hen v\u1eabn x\u1ea3y ra.<\/p>\n

Ki\u1ec3m tra tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb:\u00a0<\/b>h\u1ecfi b\u1ec7nh nh\u00e2n xem h\u1ecd c\u00f3 d\u00f9ng thu\u1ed1c ki\u1ec3m so\u00e1t hen m\u1ed7i ng\u00e0y ho\u1eb7c theo \u0111\u01a1n thu\u1ed1c hay ch\u1ec9 d\u00f9ng khi c\u00f3 tri\u1ec7u ch\u1ee9ng; ki\u1ec3m tra s\u1ed1 nh\u00e1t ho\u1eb7c s\u1ed1 b\u00ecnh h\u00edt thu\u1ed1c ki\u1ec3m so\u00e1t hen c\u00f2n l\u1ea1i \u0111\u1ec3 bi\u1ebft b\u1ec7nh nh\u00e2n c\u00f3 tu\u00e2n th\u1ee7 t\u1ed1t hay kh\u00f4ng; t\u00ecm hi\u1ec3u l\u00fd do t\u1ea1i sao b\u1ec7nh nh\u00e2n kh\u00f4ng d\u00f9ng thu\u1ed1c ki\u1ec3m so\u00e1t hen li\u00ean t\u1ee5c; h\u1ecfi xem b\u1ec7nh nh\u00e2n mu\u1ed1n \u0111i\u1ec1u ch\u1ec9nh thu\u1ed1c ki\u1ec3m so\u00e1t hen nh\u01b0 th\u1ebf n\u00e0o.<\/p>\n

Xem x\u00e9t c\u00e1c bi\u1ec7n ph\u00e1p sau \u0111\u1ec3 t\u0103ng t\u00ednh tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ki\u1ec3m so\u00e1t hen b\u1eb1ng ICS:\u00a0<\/b>gi\u1ea3i th\u00edch b\u1ea3n ch\u1ea5t c\u1ee7a hen l\u00e0 b\u1ec7nh m\u1ea1n t\u00ednh; gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n hen r\u1eb1ng ki\u1ec3m so\u00e1t ho\u00e0n to\u00e0n l\u00e0 d\u00f9ng thu\u1ed1c ki\u1ec3m so\u00e1t hen \u0111\u1ec1u \u0111\u1eb7n \u0111\u1ec3 tri\u1ec7u ch\u1ee9ng hen kh\u00f4ng xu\u1ea5t hi\u1ec7n ch\u1ee9 kh\u00f4ng ph\u1ea3i \u0111\u1ee3i c\u00f3 tri\u1ec7u ch\u1ee9ng m\u1edbi d\u00f9ng thu\u1ed1c c\u1eaft c\u01a1n hen; gi\u1ea3i th\u00edch s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ki\u1ec3m so\u00e1t hen \u0111\u1ec1u \u0111\u1eb7n v\u00e0 l\u00e2u d\u00e0i \u0111\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c b\u1ec7nh hen.<\/p>\n

3. Hu\u1ea5n luy\u1ec7n t\u1ef1 x\u1eed tr\u00ed hen theo h\u01b0\u1edbng d\u1eabn<\/h2>\n

Ch\u01b0\u01a1ng tr\u00ecnh hu\u1ea5n luy\u1ec7n t\u1ef1 x\u1eed tr\u00ed hen theo h\u01b0\u1edbng d\u1eabn hi\u1ec7u qu\u1ea3 s\u1ebd gi\u00fap gi\u1ea3m s\u1eed d\u1ee5ng d\u1ecbch v\u1ee5 y t\u1ebf kh\u1ea9n c\u1ea5p, c\u1ea3i thi\u1ec7n m\u1ee9c \u0111\u1ed9 ki\u1ec3m so\u00e1t hen, c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng v\u00e0 t\u00ecnh hu\u1ed1ng kh\u00e1c nhau, nh\u01b0ng kh\u00f4ng l\u00e0m t\u0103ng chi ph\u00ed \u0111i\u1ec1u tr\u1ecb hen. Ch\u01b0\u01a1ng tr\u00ecnh g\u1ed3m c\u00f3 3 th\u00e0nh ph\u1ea7n sau:<\/p>\n

T\u1ef1 theo d\u00f5i tri\u1ec7u ch\u1ee9ng v\u00e0\/ho\u1eb7c l\u01b0u l\u01b0\u1ee3ng \u0111\u1ec9nh:\u00a0<\/b>b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 t\u1ef1 theo d\u00f5i tri\u1ec7u ch\u1ee9ng hen c\u1ee7a m\u00ecnh v\u00e0 t\u1ef1 x\u1eed tr\u00ed khi tri\u1ec7u ch\u1ee9ng tr\u1edf n\u1eb7ng. Nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f3 nh\u1eadn bi\u1ebft khi n\u00e0o tri\u1ec7u ch\u1ee9ng hen tr\u1edf n\u1eb7ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn d\u00f9ng l\u01b0u l\u01b0\u1ee3ng \u0111\u1ec9nh k\u1ebf \u0111\u1ec3 theo d\u00f5i.<\/p>\n

K\u1ebf ho\u1ea1ch h\u00e0nh \u0111\u1ed9ng hen:\u00a0<\/b>h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n c\u00e1ch t\u1ea1m th\u1eddi thay \u0111\u1ed5i \u0111i\u1ec1u tr\u1ecb khi tri\u1ec7u ch\u1ee9ng v\u00e0\/ho\u1eb7c l\u01b0u l\u01b0\u1ee3ng \u0111\u1ec9nh thay \u0111\u1ed5i. K\u1ebf ho\u1ea1ch h\u00e0nh \u0111\u1ed9ng n\u00e0y c\u0169ng h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n khi n\u00e0o v\u00e0 c\u00e1ch li\u00ean l\u1ea1c b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c c\u01a1 s\u1edf y t\u1ebf.<\/p>\n

Kh\u00e1m \u0111\u1ecbnh k\u1ef3:\u00a0<\/b>trong m\u1ed7i l\u1ea7n kh\u00e1m, b\u00e1c s\u0129 c\u1ea7n: \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ki\u1ec3m so\u00e1t hen, t\u1ea7n su\u1ea5t \u0111\u1ee3t c\u1ea5p v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y \u0111\u1ee3t c\u1ea5p, m\u1ee9c \u0111\u1ed9 \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb hi\u1ec7n t\u1ea1i, b\u1ec7nh \u0111\u1ed3ng m\u1eafc; \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 c\u1ea3n tr\u1edf tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, ki\u1ec3m tra k\u1ef9 thu\u1eadt h\u00edt v\u00e0 s\u1eeda l\u1ed7i n\u1ebfu c\u00f3, c\u1eadp nh\u1eadt k\u1ebf ho\u1ea1ch h\u00e0nh \u0111\u1ed9ng hen n\u1ebfu c\u1ea7n; gi\u00e1o d\u1ee5c cho b\u1ec7nh nh\u00e2n v\u1ec1 b\u1ec7nh hen v\u00e0 gi\u1ea3i \u0111\u00e1p c\u00e1c th\u1eafc m\u1eafc c\u1ee7a b\u1ec7nh nh\u00e2n n\u1ebfu c\u00f3.<\/p>\n

T\u00f3m l\u1ea1i, gi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen kh\u00f4ng ch\u1ec9 gi\u00fap n\u00e2ng cao nh\u1eadn th\u1ee9c v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00fd m\u00e0 c\u0169ng gi\u00fap gi\u1ea3m b\u1edbt chi ph\u00ed \u0111i\u1ec1u tr\u1ecb v\u00e0 ti\u1ebft ki\u1ec7m ngu\u1ed3n l\u1ef1c y t\u1ebf. N\u1ebfu m\u1ecdi ng\u01b0\u1eddi hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 hen v\u00e0 bi\u1ebft c\u00e1ch ph\u00f2ng ng\u1eeba v\u00e0 qu\u1ea3n l\u00fd t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh, th\u00ec c\u00e1c tr\u01b0\u1eddng h\u1ee3p hen \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd gi\u1ea3m thi\u1ec3u t\u1ed1i \u0111a chi ph\u00ed v\u00e0 m\u1ea5t m\u00e1t v\u1ec1 s\u1ee9c kh\u1ecfe. V\u00ec v\u1eady, gi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00fd n\u00e0y \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi, n\u00e2ng cao nh\u1eadn th\u1ee9c c\u1ee7a c\u1ed9ng \u0111\u1ed3ng v\u00e0 ti\u1ebft ki\u1ec7m ngu\u1ed3n l\u1ef1c y t\u1ebf.<\/p>\n

Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"

Hen l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Hen l\u00e0 m\u1ed9t b\u1ec7nh c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb l\u00e2u d\u00e0i. Do \u0111\u00f3, gi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 n\u00e2ng cao nh\u1eadn th\u1ee9c v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c \u0111\u1ed9ng c\u1ee7a b\u1ec7nh l\u00fd […]<\/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":"\nGi\u00e1o d\u1ee5c x\u1eed tr\u00ed hen theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u1ed9 Y t\u1ebf - Vinmec<\/title>\n<meta name=\"description\" content=\"Hen l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00e0ng tri\u1ec7u ng\u01b0\u1eddi tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. 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