{"id":22219,"date":"2023-04-17T11:25:50","date_gmt":"2023-04-17T04:25:50","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22219"},"modified":"2023-04-17T12:35:08","modified_gmt":"2023-04-17T05:35:08","slug":"chi-dinh-tho-oxy-dai-han-tai-nha-cho-benh-nhan-copd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/chi-dinh-tho-oxy-dai-han-tai-nha-cho-benh-nhan-copd\/","title":{"rendered":"Ch\u1ec9 \u0111\u1ecbnh th\u1edf Oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD"},"content":{"rendered":"<p><strong>COPD (Chronic Obstructive Pulmonary Disease &#8211; b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng trao \u0111\u1ed5i kh\u00ed trong ph\u1ed5i. Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh COPD bao g\u1ed3m kh\u00f3 th\u1edf, hO, v\u00e0 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c. Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng oxy \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p. Ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t quan tr\u1ecdng v\u00ec n\u00f3 c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 t\u0103ng tu\u1ed5i th\u1ecd c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n<figure id=\"attachment_22691\" aria-describedby=\"caption-attachment-22691\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-22691 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1271156800-612x612-1-300x200.jpg\" alt=\"Ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t quan tr\u1ecdng\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1271156800-612x612-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1271156800-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22691\" class=\"wp-caption-text\">Ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t quan tr\u1ecdng<\/figcaption><\/figure>\n<h2><b>1. M\u1ee5c ti\u00eau<\/b><\/h2>\n<p>M\u1ee5c ti\u00eau c\u1ee7a vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD l\u00e0 \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong. Tuy nhi\u00ean, m\u1ee5c ti\u00eau chi ti\u1ebft c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3.<\/p>\n<p>M\u1ed9t s\u1ed1 m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3 c\u1ee7a vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>Gi\u1ea3m kh\u00f3 th\u1edf v\u00e0 gi\u1ea3m c\u00f4ng h\u00f4 h\u1ea5p do gi\u1ea3m kh\u00e1ng l\u1ef1c \u0111\u01b0\u1eddng th\u1edf v\u00e0 gi\u1ea3m th\u00f4ng kh\u00ed ph\u00fat: B\u1ec7nh nh\u00e2n COPD th\u01b0\u1eddng c\u00f3 kh\u00e1ng l\u1ef1c \u0111\u01b0\u1eddng th\u1edf t\u0103ng v\u00e0 th\u00f4ng kh\u00ed ph\u00fat gi\u1ea3m do t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf. Th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng trao \u0111\u1ed5i kh\u00ed trong ph\u1ed5i v\u00e0 gi\u1ea3m kh\u00f3 th\u1edf, gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1edf d\u1ec5 d\u00e0ng h\u01a1n.<\/li>\n<li>Gi\u1ea3m t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 t\u1ef7 l\u1ec7 t\u00e2m ph\u1ebf m\u1ea1n: Thi\u1ebfu oxy m\u00e1u m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 t\u00e2m ph\u1ebf m\u1ea1n. Th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy m\u00e1u m\u1ea1n t\u00ednh, gi\u1ea3m hematocrite v\u00e0 c\u1ea3i thi\u1ec7n huy\u1ebft \u0111\u1ed9ng h\u1ecdc ph\u1ed5i, t\u1eeb \u0111\u00f3 gi\u1ea3m t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i v\u00e0 t\u1ef7 l\u1ec7 t\u00e2m ph\u1ebf m\u1ea1n.<\/li>\n<li>C\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng: Vi\u1ec7c gi\u1ea3m kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ph\u1ed5i v\u00e0 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u01b0 ho, kh\u1ea1c, \u0111au ng\u1ef1c c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<li>Gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong: Vi\u1ec7c s\u1eed d\u1ee5ng oxy c\u00f3 th\u1ec3 gi\u1ea3m t\u1ef7 l\u1ec7 t\u1eed vong do t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy m\u00e1u m\u1ea1n t\u00ednh.<\/li>\n<\/ul>\n<p>Nh\u1eefng m\u1ee5c ti\u00eau c\u1ee5 th\u1ec3 kh\u00e1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 m\u1ee5c \u0111\u00edch s\u1eed d\u1ee5ng oxy. Vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 v\u00e0 qu\u1ea3n l\u00fd ch\u1eb7t ch\u1ebd \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n.<\/p>\n<h2><b>2. Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h2>\n<p>B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 suy h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh, thi\u1ebfu oxy m\u00e1u:<\/p>\n<p>&#8211; PaO<sub>2\u00a0<\/sub>\u2264 55 mmHg ho\u1eb7c SaO<sub>2\u00a0<\/sub>\u2264 88% tr\u00ean hai m\u1eabu m\u00e1u trong v\u00f2ng 3 tu\u1ea7n, b\u1ec7nh nh\u00e2n trong giai \u0111o\u1ea1n \u1ed5n \u0111\u1ecbnh, \u1edf tr\u1ea1ng th\u00e1i ngh\u1ec9 ng\u01a1i, kh\u00f4ng th\u1edf oxy, \u0111\u00e3 s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u.<\/p>\n<p>&#8211; PaO<sub>2\u00a0<\/sub>t\u1eeb 56 &#8211; 59 mmHg ho\u1eb7c SaO<sub>2\u00a0<\/sub>\u2264 88% k\u00e8m th\u00eam m\u1ed9t trong c\u00e1c bi\u1ec3u hi\u1ec7n:<\/p>\n<p>+ D\u1ea5u hi\u1ec7u suy tim ph\u1ea3i.<\/p>\n<p>+ \u0110a h\u1ed3ng c\u1ea7u (hematocrit &gt; 55%).<\/p>\n<p>+ T\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh (si\u00eau \u00e2m doppler tim&#8230;).<\/p>\n<h2><b>3. L\u01b0u l\u01b0\u1ee3ng, th\u1eddi gian th\u1edf oxy<\/b><\/h2>\n<p>&#8211; L\u01b0u l\u01b0\u1ee3ng oxy: 1-3 l\u00edt\/ph\u00fat, th\u1eddi gian th\u1edf oxy \u00edt nh\u1ea5t 16-18 gi\u1edd\/24 gi\u1edd.<\/p>\n<p>&#8211; \u0110\u00e1nh gi\u00e1 l\u1ea1i kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch sau 30 ph\u00fat \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh l\u01b0u l\u01b0\u1ee3ng oxy nh\u1eb1m \u0111\u1ea1t m\u1ee5c ti\u00eau PaO<sub>2\u00a0<\/sub>t\u1eeb 65 &#8211; 70 mmHg, t\u01b0\u01a1ng \u1ee9ng v\u1edbi SaO<sub>2\u00a0<\/sub>t\u1ed1i \u01b0u l\u00e0 90 &#8211; 92% l\u00fac ngh\u1ec9 ng\u01a1i.<\/p>\n<p>&#8211; \u0110\u1ec3 tr\u00e1nh t\u0103ng CO<sub>2\u00a0<\/sub>m\u00e1u qu\u00e1 m\u1ee9c, khuy\u1ebfn c\u00e1o n\u00ean b\u1eaft \u0111\u1ea7u v\u1edbi l\u01b0u l\u01b0\u1ee3ng th\u1edf oxy \u2264 2 l\u00edt\/ph\u00fat.<\/p>\n<h2><b>4. C\u00e1c ngu\u1ed3n cung c\u1ea5p oxy<\/b><\/h2>\n<p>Bao g\u1ed3m b\u00ecnh oxy, m\u00e1y chi\u1ebft xu\u1ea5t oxy, ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c b\u00ecnh oxy l\u1ecfng.<\/p>\n<p>&#8211; B\u00ecnh oxy c\u1ed5 \u0111i\u1ec3n: c\u1ed3ng k\u1ec1nh v\u00e0 ph\u1ea3i n\u1ea1p th\u01b0\u1eddng xuy\u00ean. Th\u01b0\u1eddng d\u00f9ng l\u00e0m ngu\u1ed3n oxy d\u1ef1 ph\u00f2ng khi m\u1ea5t \u0111i\u1ec7n ho\u1eb7c l\u00fac b\u1ec7nh nh\u00e2n \u0111i ra kh\u1ecfi nh\u00e0.<\/p>\n<p>&#8211; M\u00e1y chi\u1ebft xu\u1ea5t oxy t\u1eeb kh\u00ed tr\u1eddi: thu\u1eadn ti\u1ec7n cho c\u00e1c b\u1ec7nh nh\u00e2n \u00edt ho\u1ea1t \u0111\u1ed9ng.<\/p>\n<h2>5. M\u1ed9t s\u1ed1 l\u01b0u \u00fd khi th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0<\/h2>\n<p>&#8211; Vi\u1ec7c s\u1eed d\u1ee5ng oxy c\u1ea7n \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t ch\u1eb7t ch\u1ebd \u0111\u1ec3 tr\u00e1nh t\u00ecnh tr\u1ea1ng qu\u00e1 li\u1ec1u oxy, g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ec7nh nh\u00e2n c\u00f3 c\u1ea7n ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng oxy v\u00e0 n\u1ed3ng \u0111\u1ed9 oxy c\u1ea7n thi\u1ebft n\u1eefa kh\u00f4ng.<\/p>\n<p>&#8211; Thi\u1ebft b\u1ecb th\u1edf oxy c\u1ea7n \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n v\u00e0 v\u1ec7 sinh \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 s\u1eed d\u1ee5ng.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb th\u1edf oxy v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba t\u00ecnh tr\u1ea1ng qu\u00e1 li\u1ec1u oxy.<\/p>\n<h2>6. Bi\u1ebfn ch\u1ee9ng do th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 kh\u00f4ng \u0111\u00fang c\u00e1ch<\/h2>\n<p>M\u1eb7c d\u00f9 vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh th\u1edf oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n COPD, nh\u01b0ng n\u00f3 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c qu\u1ea3n l\u00fd \u0111\u00fang c\u00e1ch. M\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 bao g\u1ed3m:<\/p>\n<ul>\n<li>T\u00ecnh tr\u1ea1ng qu\u00e1 li\u1ec1u oxy: Vi\u1ec7c s\u1eed d\u1ee5ng oxy qu\u00e1 nhi\u1ec1u ho\u1eb7c kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng qu\u00e1 li\u1ec1u oxy, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ch\u00f3ng m\u1eb7t, bu\u1ed3n n\u00f4n, ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 t\u1eed vong.<\/li>\n<li>Suy gi\u1ea3m ch\u1ee9c n\u0103ng ph\u1ed5i: Vi\u1ec7c s\u1eed d\u1ee5ng oxy qu\u00e1 l\u00e2u d\u00e0i v\u00e0 kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 g\u00e2y ra suy gi\u1ea3m ch\u1ee9c n\u0103ng ph\u1ed5i, do s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c m\u00f4 ph\u1ed5i t\u0103ng l\u00ean trong khi kh\u00f4ng \u0111\u1ee7 oxy \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u00fang.<\/li>\n<li>Kh\u00f3 th\u1edf t\u0103ng: S\u1eed d\u1ee5ng oxy qu\u00e1 nhi\u1ec1u ho\u1eb7c kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf t\u0103ng.<\/li>\n<li>T\u0103ng \u00e1p l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i: S\u1eed d\u1ee5ng oxy qu\u00e1 l\u00e2u d\u00e0i v\u00e0 kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng \u00e1p \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i, l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m c\u1ee7a b\u1ec7nh COPD.<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p: N\u1ebfu kh\u00f4ng v\u1ec7 sinh v\u00e0 b\u1ea3o qu\u1ea3n c\u00e1c thi\u1ebft b\u1ecb oxy \u0111\u00fang c\u00e1ch, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, do vi khu\u1ea9n ho\u1eb7c c\u00e1c ch\u1ea5t \u0111\u1ed9c h\u1ea1i \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n trong thi\u1ebft b\u1ecb.<\/li>\n<li>C\u0103ng th\u1eb3ng t\u00e2m l\u00fd: S\u1eed d\u1ee5ng oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u1ea3m gi\u00e1c b\u1ea5t an ho\u1eb7c lo l\u1eafng, \u0111\u1eb7c bi\u1ec7t n\u1ebfu b\u1ec7nh nh\u00e2n ph\u1ea3i s\u1eed d\u1ee5ng oxy li\u00ean t\u1ee5c trong th\u1eddi gian d\u00e0i.<\/li>\n<\/ul>\n<p>Do \u0111\u00f3, \u0111\u1ec3 tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n khi s\u1eed d\u1ee5ng oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0, b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129, v\u1ec7 sinh v\u00e0 b\u1ea3o qu\u1ea3n thi\u1ebft b\u1ecb oxy \u0111\u00fang c\u00e1ch, v\u00e0 th\u01b0\u1eddng xuy\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra v\u00e0 theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n","protected":false},"excerpt":{"rendered":"<p>COPD (Chronic Obstructive Pulmonary Disease &#8211; b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh) l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf v\u00e0 gi\u1ea3m kh\u1ea3 n\u0103ng trao \u0111\u1ed5i kh\u00ed trong ph\u1ed5i. Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a b\u1ec7nh COPD bao g\u1ed3m kh\u00f3 th\u1edf, hO, v\u00e0 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00e1c. Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, b\u1ec7nh nh\u00e2n [&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>Ch\u1ec9 \u0111\u1ecbnh th\u1edf Oxy d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 cho b\u1ec7nh nh\u00e2n COPD - Vinmec<\/title>\n<meta name=\"description\" content=\"Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i s\u1eed d\u1ee5ng oxy \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p. 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