{"id":22239,"date":"2023-04-16T17:44:56","date_gmt":"2023-04-16T10:44:56","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=22239"},"modified":"2023-04-17T14:12:30","modified_gmt":"2023-04-17T07:12:30","slug":"tai-bien-cua-tho-may-khong-xam-nhap-o-benh-nhan-copd","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/16\/tai-bien-cua-tho-may-khong-xam-nhap-o-benh-nhan-copd\/","title":{"rendered":"Tai bi\u1ebfn c\u1ee7a th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD"},"content":{"rendered":"<p><strong>COPD l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, g\u00e2y ra t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf. Bi\u1ec7n ph\u00e1p th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp (non-invasive ventilation &#8211; NIV) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n cho b\u1ec7nh nh\u00e2n COPD trong tr\u01b0\u1eddng h\u1ee3p kh\u00f3 th\u1edf n\u1eb7ng ho\u1eb7c suy h\u00f4 h\u1ea5p. M\u1eb7c d\u00f9 th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n COPD (b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh), nh\u01b0ng v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 tai bi\u1ebfn c\u00f3 th\u1ec3 x\u1ea3y ra.<\/strong><\/p>\n<h2><b>1.\u00a0 Tai bi\u1ebfn v\u00e0 x\u1eed tr\u00ed<\/b><\/h2>\n<p><strong>&#8211; \u00dd th\u1ee9c:<\/strong> c\u1ea7n theo d\u00f5i \u00fd th\u1ee9c xem b\u1ec7nh nh\u00e2n c\u00f3 t\u1ec9nh kh\u00f4ng (h\u00f4n m\u00ea: nguy\u00ean nh\u00e2n toan h\u00f4 h\u1ea5p, suy h\u00f4 h\u1ea5p ti\u1ebfn tri\u1ec3n n\u1eb7ng l\u00ean&#8230;), n\u1ebfu b\u1ec7nh nh\u00e2n h\u00f4n m\u00ea, x\u1eed tr\u00ed \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n th\u1edf m\u00e1y x\u00e2m nh\u1eadp.<\/p>\n<p><strong>&#8211; T\u1ee5t huy\u1ebft \u00e1p<\/strong><\/p>\n<p>+ Theo d\u00f5i huy\u1ebft \u00e1p.<\/p>\n<p>+ X\u1eed tr\u00ed t\u1ee5t huy\u1ebft \u00e1p: truy\u1ec1n d\u1ecbch, d\u00f9ng thu\u1ed1c v\u1eadn m\u1ea1ch n\u1ebfu c\u1ea7n.<\/p>\n<figure id=\"attachment_22416\" aria-describedby=\"caption-attachment-22416\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"wp-image-22416 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1445008331-612x612-1-300x200.jpg\" alt=\"T\u1ee5t huy\u1ebft \u00e1p l\u00e0 tai bi\u1ebfn c\u1ee7a th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1445008331-612x612-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/istockphoto-1445008331-612x612-1.jpg 612w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-22416\" class=\"wp-caption-text\">T\u1ee5t huy\u1ebft \u00e1p l\u00e0 tai bi\u1ebfn c\u1ee7a th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD<\/figcaption><\/figure>\n<p><strong>&#8211; Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i<\/strong><\/p>\n<p>+ Bi\u1ec3u hi\u1ec7n: b\u1ec7nh nh\u00e2n ch\u1ed1ng m\u00e1y, SpO<sub>2\u00a0<\/sub>t\u1ee5t, tr\u00e0n kh\u00ed d\u01b0\u1edbi da, kh\u00e1m ph\u1ed5i c\u00f3 d\u1ea5u hi\u1ec7u tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i.<\/p>\n<p>+ X\u1eed tr\u00ed: \u0111\u1eb7t d\u1eabn l\u01b0u m\u00e0ng ph\u1ed5i c\u1ea5p c\u1ee9u.<\/p>\n<p><strong>&#8211; Nhi\u1ec5m khu\u1ea9n li\u00ean quan th\u1edf m\u00e1y:<\/strong> c\u1ea7n tu\u00e2n th\u1ee7 tri\u1ec7t \u0111\u1ec3 c\u00e1c nguy\u00ean t\u1eafc v\u00f4 khu\u1ea9n b\u1ec7nh vi\u1ec7n \u0111\u1ec3 d\u1ef1 ph\u00f2ng. \u0110i\u1ec1u tr\u1ecb kh\u00e1ng sinh s\u1edbm v\u00e0 theo nguy\u00ean t\u1eafc xu\u1ed1ng thang khi xu\u1ea5t hi\u1ec7n nhi\u1ec5m khu\u1ea9n.<\/p>\n<p><strong>&#8211; Lo\u00e9t\/xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a do stress: d\u1ef1 ph\u00f2ng b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton.<\/strong><\/p>\n<p><strong>&#8211; Theo d\u00f5i b\u1ec7nh nh\u00e2n<\/strong><\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n dung n\u1ea1p t\u1ed1t, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ea3i thi\u1ec7n:<\/p>\n<p>+ T\u1ea7n s\u1ed1 th\u1edf &lt; 30 CK\/ph.<\/p>\n<p>+ T\u1ea7n s\u1ed1 tim &lt; 120 CK\/ph.<\/p>\n<p>+ Kh\u00f4ng lo\u1ea1n nh\u1ecbp tim.<\/p>\n<p>+ Kh\u00f4ng c\u00f2n c\u1ea3m gi\u00e1c kh\u00f3 th\u1edf, kh\u00f4ng co k\u00e9o c\u01a1 h\u00f4 h\u1ea5p ph\u1ee5.<\/p>\n<p>+ N\u1ebfu SpO<sub>2\u00a0<\/sub>&gt; 90%, duy tr\u00ec c\u00e1c th\u00f4ng s\u1ed1, \u0111i\u1ec1u ch\u1ec9nh m\u1ee9c FiO<sub>2\u00a0<\/sub>th\u1ea5p nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n dung n\u1ea1p m\u00e1y kh\u00f4ng t\u1ed1t, SpO<sub>2\u00a0<\/sub>&lt; 90%:<\/p>\n<p>+ T\u0103ng EPAP 2-3, ch\u1ec9nh Fi02 gi\u1eef SpO<sub>2\u00a0<\/sub>&gt; 90%.<\/p>\n<p>+ \u0110\u00e1nh gi\u00e1 l\u1ea1i Mask, thay hay \u0111i\u1ec1u ch\u1ec9nh n\u1ebfu c\u1ea7n.<\/p>\n<p>+ N\u1ebfu c\u00f3 bi\u1ec3u hi\u1ec7n y\u1ebfu c\u01a1, t\u0103ng IPAP 2-3 cmH<sub>2<\/sub>O.<\/p>\n<p>+ N\u1ebfu SpO<sub>2\u00a0<\/sub>&lt; 90 %: t\u0103ng IPAP, EPAP l\u00ean 3 cmH<sub>2<\/sub>O.<\/p>\n<h2><b>2. \u0110\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp<\/b><\/h2>\n<p>Theo d\u00f5i b\u1ec7nh nh\u00e2n, \u00fd th\u1ee9c, c\u00e1c ch\u1ec9 s\u1ed1 s\u1ed1ng, ch\u1ec9 s\u1ed1 SpO<sub>2<\/sub>.<\/p>\n<p>&#8211; Hi\u1ec7u qu\u1ea3 t\u1ed1t: b\u1ec7nh nh\u00e2n ra kh\u1ecfi t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p v\u00e0 kh\u00f4ng c\u00f2n ch\u1ec9 \u0111\u1ecbnh th\u1edf m\u00e1y.<\/p>\n<p>&#8211; Th\u00f4ng kh\u00ed kh\u00f4ng x\u00e2m nh\u1eadp kh\u00f4ng hi\u1ec7u qu\u1ea3: sau 60 ph\u00fat TKNTKXN, c\u00e1c th\u00f4ng s\u1ed1 PaCO<sub>2\u00a0<\/sub>ti\u1ebfp t\u1ee5c t\u0103ng v\u00e0 PaO<sub>2\u00a0<\/sub>ti\u1ebfp t\u1ee5c gi\u1ea3m ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ti\u1ebfp t\u1ee5c x\u1ea5u \u0111i.<\/p>\n<p>+ Xu\u1ea5t hi\u1ec7n ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh.<\/p>\n<p>+ B\u1ec7nh nh\u00e2n kh\u00f3 ch\u1ecbu, kh\u00f4ng dung n\u1ea1p.<\/p>\n<p>+ T\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n khi \u0111\u00f3 c\u1ea7n k\u1ecbp th\u1eddi ch\u1ec9 \u0111\u1ecbnh \u0111\u1eb7t \u1ed1ng n\u1ed9i kh\u00ed qu\u1ea3n v\u00e0 ti\u1ebfn h\u00e0nh th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o x\u00e2m nh\u1eadp.<\/p>\n<h2><b>3. Bi\u1ebfn ch\u1ee9ng<\/b><\/h2>\n<p>&#8211; Ch\u01b0\u1edbng b\u1ee5ng do kh\u00ed l\u1ecdt v\u00e0o d\u1ea1 d\u00e0y.<\/p>\n<p>&#8211; S\u1eb7c v\u00e0o ph\u1ed5i.<\/p>\n<p>&#8211; \u00d9 tai.<\/p>\n<p>&#8211; H\u1edf quanh m\u1eb7t n\u1ea1, vi\u00eam k\u1ebft m\u1ea1c do kh\u00ed th\u1ed5i nhi\u1ec1u v\u00e0o m\u1eaft b\u1ec7nh nh\u00e2n.<\/p>\n<p>&#8211; B\u1ec7nh nh\u00e2n s\u1ee3 kho\u1ea3ng k\u00edn v\u00e0 kh\u00f4ng th\u00edch nghi v\u1edbi mask.<\/p>\n<p>&#8211; Lo\u00e9t, ho\u1ea1i t\u1eed s\u1ed1ng m\u0169i do \u00e1p l\u1ef1c.<\/p>\n<p>&#8211; Kh\u00f4 \u0111\u1eddm do kh\u00f4ng l\u00e0m \u1ea9m.<\/p>\n<p>&#8211; Ch\u1ea5n th\u01b0\u01a1ng \u00e1p l\u1ef1c: tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i.<\/p>\n<p>&#8211; Gi\u1ea3m cung l\u01b0\u1ee3ng tim do gi\u1ea3m tu\u1ea7n ho\u00e0n tr\u1edf v\u1ec1.<\/p>\n<h2>4. C\u00e1ch ph\u00f2ng ng\u1eeba tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD<\/h2>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 c\u00e1ch ph\u00f2ng ng\u1eeba tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD:<\/p>\n<p>&#8211; \u0110\u1ea3m b\u1ea3o v\u1ec7 sinh c\u00e1 nh\u00e2n: Vi khu\u1ea9n l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD. Vi\u1ec7c \u0111\u1ea3m b\u1ea3o v\u1ec7 sinh c\u00e1 nh\u00e2n cho b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng tay s\u00e1t khu\u1ea9n, \u0111eo kh\u1ea9u trang v\u00e0 c\u1ea3i thi\u1ec7n v\u1ec7 sinh tay c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m nguy c\u01a1 tai bi\u1ebfn.<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p kh\u00e1c: \u0110\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 s\u1eed d\u1ee5ng m\u00e1y th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp v\u00e0 gi\u1ea3m nguy c\u01a1 tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD, c\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p kh\u00e1c nh\u01b0 m\u00e1y bi\u1ebfn \u00e1p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng.<\/p>\n<p>&#8211; Th\u1ef1c hi\u1ec7n gi\u1ea3m thi\u1ec3u th\u1eddi gian s\u1eed d\u1ee5ng m\u00e1y th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp: Th\u1eddi gian s\u1eed d\u1ee5ng m\u00e1y th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp c\u00e0ng d\u00e0i, nguy c\u01a1 tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD c\u00e0ng cao. V\u00ec v\u1eady, vi\u1ec7c gi\u1ea3m thi\u1ec3u th\u1eddi gian s\u1eed d\u1ee5ng m\u00e1y th\u1edf kh\u00f4ng x\u00e2m nh\u1eadp b\u1eb1ng c\u00e1ch th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p kh\u00e1c v\u00e0 ti\u1ebfn h\u00e0nh \u0111\u00e1nh gi\u00e1 th\u01b0\u1eddng xuy\u00ean v\u1ec1 kh\u1ea3 n\u0103ng th\u1edf t\u1ef1 nhi\u00ean c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<p>&#8211; T\u0103ng c\u01b0\u1eddng ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng: B\u1ec7nh nh\u00e2n COPD th\u01b0\u1eddng c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch y\u1ebfu, do \u0111\u00f3 vi\u1ec7c cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng v\u00e0 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m gi\u00e0u dinh d\u01b0\u1ee1ng gi\u00fap t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch v\u00e0 gi\u1ea3m nguy c\u01a1 tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp.<\/p>\n<p>&#8211; Th\u1ef1c hi\u1ec7n th\u01b0\u1eddng xuy\u00ean v\u1ec7 sinh r\u0103ng mi\u1ec7ng: Vi khu\u1ea9n \u1edf r\u0103ng mi\u1ec7ng c\u00f3 th\u1ec3 lan truy\u1ec1n \u0111\u1ebfn ph\u1ed5i v\u00e0 g\u00e2y ra tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD. Vi\u1ec7c th\u1ef1c hi\u1ec7n v\u1ec7 sinh r\u0103ng mi\u1ec7ng th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0111\u00fang c\u00e1ch s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 l\u00e2y nhi\u1ec5m.<\/p>\n<p>Tr\u00ean \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 c\u00e1ch ph\u00f2ng ng\u1eeba tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD. Tuy nhi\u00ean, vi\u1ec7c ph\u00f2ng ng\u1eeba tai bi\u1ebfn th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp l\u00e0 m\u1ed9t c\u00f4ng vi\u1ec7c \u0111\u00f2i h\u1ecfi s\u1ef1 c\u1ea9n tr\u1ecdng v\u00e0 chuy\u00ean m\u00f4n, do \u0111\u00f3 vi\u1ec7c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<p>T\u00f3m l\u1ea1i, vi\u1ec7c s\u1eed d\u1ee5ng th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp cho b\u1ec7nh nh\u00e2n COPD c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u01b0a ra d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n c\u1ee5 th\u1ec3 v\u00e0 theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9 chuy\u00ean khoa h\u00f4 h\u1ea5p. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd \u0111\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi c\u00e1c tai bi\u1ebfn n\u1ebfu c\u00f3.<\/p>\n<p>Ngu\u1ed3n tham kh\u1ea3o: B\u1ed9 Y t\u1ebf<\/p>\n<p><iframe loading=\"lazy\" title=\"B\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh c\u00f3 \u0111\u01b0\u1ee3c ti\u00eam v\u1eafc xin COVID-19?|BS Nguy\u1ec5n Ng\u1ecdc B\u00e1ch,Vinmec Times City\" width=\"500\" height=\"281\" src=\"https:\/\/www.youtube.com\/embed\/NuMQXyCAQpg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" allowfullscreen><\/iframe><\/p>\n","protected":false},"excerpt":{"rendered":"<p>COPD l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, g\u00e2y ra t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf. Bi\u1ec7n ph\u00e1p th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp (non-invasive ventilation &#8211; NIV) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n cho b\u1ec7nh nh\u00e2n COPD trong tr\u01b0\u1eddng h\u1ee3p kh\u00f3 th\u1edf n\u1eb7ng ho\u1eb7c suy h\u00f4 h\u1ea5p. M\u1eb7c [&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>Tai bi\u1ebfn c\u1ee7a th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u1edf b\u1ec7nh nh\u00e2n COPD<\/title>\n<meta name=\"description\" content=\"Bi\u1ec7n ph\u00e1p th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n cho b\u1ec7nh nh\u00e2n COPD. 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