{"id":29239,"date":"2023-05-03T20:59:27","date_gmt":"2023-05-03T13:59:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29239"},"modified":"2023-05-03T20:59:27","modified_gmt":"2023-05-03T13:59:27","slug":"hit-sac-bieu-hien-lam-sang-va-cac-benh-ly-lien-quan","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/03\/hit-sac-bieu-hien-lam-sang-va-cac-benh-ly-lien-quan\/","title":{"rendered":"H\u00edt s\u1eb7c: bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan"},"content":{"rendered":"<p><strong>H\u00edt s\u1eb7c \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 h\u00edt ph\u1ea3i d\u1ecbch ho\u1eb7c ch\u1ea5t r\u1eafn v\u00e0o sau d\u00e2y thanh \u00e2m v\u00e0 v\u00e0o \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi. H\u00edt s\u1eb7c kh\u00f4ng lu\u00f4n lu\u00f4n l\u00e0 b\u1ec7nh l\u00fd, n\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. Tuy nhi\u00ean, n\u00f3 c\u0169ng li\u00ean quan v\u1edbi nhi\u1ec1u b\u1ec7nh l\u00fd t\u1eeb\u00a0 co th\u1eaft ph\u1ebf qu\u1ea3n t\u1edbi vi\u00eam ph\u1ed5i. V\u1ec1 c\u01a1 ch\u1ebf, h\u00edt s\u1eb7c x\u1ea3y ra do r\u1ed1i lo\u1ea1n nu\u1ed1t d\u1eabn t\u1edbi r\u01a1i c\u00e1c th\u00e0nh ph\u1ea7n t\u1eeb mi\u1ec7ng ho\u1eb7c d\u1ea1 d\u00e0y v\u00e0o \u0111\u01b0\u1eddng th\u1edf.\u00a0<\/strong><\/p>\n<h2>1. D\u1ecbch t\u1ec5 h\u1ecdc v\u00e0 sinh b\u1ec7nh h\u1ecdc.<\/h2>\n<p>T\u1ec9 l\u1ec7 hi\u1ec7n m\u1eafc c\u1ee7a h\u00edt s\u1eb7c kh\u00f3 t\u00ednh to\u00e1n do n\u00f3 th\u01b0\u1eddng kh\u00f4ng tri\u1ec7u ch\u1ee9ng v\u00e0 c\u1ea7n ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean l\u00e2m s\u00e0ng k\u1ebft h\u1ee3p x\u00e9t nghi\u1ec7m. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 5 &#8211; 15% vi\u00eam ph\u1ed5i m\u1eafc ph\u1ea3i c\u1ed9ng \u0111\u1ed3ng li\u00ean quan v\u1edbi h\u00edt s\u1eb7c. M\u1ed9t nghi\u00ean c\u1ee9u l\u1edbn c\u1ee7a Nh\u1eadt B\u1ea3n cho th\u1ea5y c\u00f3 t\u1edbi 80% b\u1ec7nh nh\u00e2n t\u1eeb 70 tu\u1ed5i nh\u1eadp vi\u1ec7n v\u00ec vi\u00eam ph\u1ed5i c\u00f3 h\u00edt s\u1eb7c.<\/p>\n<p>\u1ede ng\u01b0\u1eddi kh\u00f4ng c\u00f3 vi\u00eam ph\u1ed5i,c\u00f3 t\u1edbi 70% ng\u01b0\u1eddi c\u00f3 r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c h\u00edt s\u1eb7c so v\u1edbi 45% \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh.<\/p>\n<p id=\"hl0000221\">M\u1eb7c d\u00f9 h\u00edt s\u1eb7c r\u1ea5t ph\u1ed5 bi\u1ebfn nh\u01b0ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y n\u00f3 th\u01b0\u1eddng b\u1ecb b\u1ecf s\u00f3t. M\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean 59 b\u1ec7nh nh\u00e2n c\u00f3 b\u1eb1ng ch\u1ee9ng h\u00edt s\u1eb7c tr\u00ean sinh thi\u1ebft ph\u1ed5i nh\u01b0ng ch\u1ec9 c\u00f3 9% l\u00e0 \u0111\u01b0\u1ee3c nghi ng\u1edd c\u00f3 h\u00edt s\u1eb7c tr\u01b0\u1edbc sinh thi\u1ebft.<\/p>\n<h3 id=\"hl0000239\">1.1. Y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a h\u00edt s\u1eb7c.<\/h3>\n<p>B\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng c\u1ee7a nhi\u1ec1u c\u01a1 quan c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 h\u00edt s\u1eb7c. \u0110\u00f3 l\u00e0 c\u00e1c b\u1ec7nh l\u00e0m r\u1ed1i lo\u1ea1n tr\u1ea1ng th\u00e1i \u00fd th\u1ee9c (\u0111\u1ed9t qu\u1ef5, m\u1ea5t tr\u00ed nh\u1edb, \u0111\u1ed9ng kinh), b\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng, b\u1ea5t th\u01b0\u1eddng c\u1ee7a thanh qu\u1ea3n (\u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n g\u1ea7n \u0111\u00e2y ho\u1eb7c li\u1ec7t d\u00e2y thanh \u00e2m), <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/hit-sac-chu-phau-cac-bien-phap-phong-ngua\/\">ph\u1eabu thu\u1eadt\/x\u1ea1 tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3<\/a>, r\u1ed1i lo\u1ea1n c\u1ea3u th\u1ef1c qu\u1ea3n g\u00e2y kh\u00f3 kh\u0103n cho th\u1ee9c \u0103n v\u00e0 n\u01b0\u1edbc b\u1ecdt \u0111i xu\u1ed1ng, r\u1ed1i lo\u1ea1n nhu \u0111\u1ed9ng d\u1ea1 d\u00e0y c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 h\u00edt s\u1eb7c.<\/p>\n<ul>\n<li>B\u1ec7nh l\u00fd th\u1ea7n kinh: \u0111\u1ed9t qu\u1ef5, Parkinson, \u0111a x\u01a1 t\u1ee7y, nh\u01b0\u1ee3c c\u01a1, b\u1ec7nh l\u00fd n\u00e3o, b\u1ec7nh l\u00fd ng\u01b0ng th\u1edf trung \u01b0\u01a1ng.<\/li>\n<li>B\u1ec7nh l\u00fd c\u1ed9t s\u1ed1ng: ph\u1eabu thu\u1eadt v\u00f9ng c\u1ed5 g\u1ea7n \u0111\u00e2y, gai x\u01b0\u01a1ng.<\/li>\n<li>B\u1ec7nh l\u00fd thanh qu\u1ea3n: \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n g\u1ea7n \u0111\u00e2y, \u0111\u1eb7t sonde d\u1ea1 d\u00e0y, ph\u1eabu thu\u1eadt, c\u1ee9ng h\u00e0m, kh\u00f4 n\u01b0\u1edbc b\u1ecdt, ng\u01b0ng th\u1edf khi ng\u1ee7.<\/li>\n<li>Th\u1ef1c qu\u1ea3n: ch\u00edt h\u1eb9p, m\u00e0ng th\u1ef1c qu\u1ea3n, gi\u1ea3m nhu \u0111\u1ed9ng, co th\u1eaft t\u00e2m v\u1ecb, tr\u00e0o ng\u01b0\u1ee3c, d\u00f2 kh\u00ed th\u1ef1c qu\u1ea3n, t\u00fai th\u1eeba.<\/li>\n<li>D\u1ea1 d\u00e0y: ch\u1eadm nhu \u0111\u1ed9ng, b\u00e9o ph\u00ec, t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ra d\u1ea1 d\u00e0y, c\u00f3 thai.<\/li>\n<\/ul>\n<h2>2. C\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng c\u1ee7a h\u00edt s\u1eb7c.<\/h2>\n<h3>2.1. R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng d\u00e2y thanh \u00e2m.<\/h3>\n<p>L\u00e0 t\u00ecnh tr\u1ea1ng n\u1ebfp thanh \u00e2m \u0111\u00f3ng ng\u1eaft qu\u00e3ng trong th\u00ec h\u00edt v\u00e0o thay v\u00ec m\u1edf ra ho\u00e0n to\u00e0n, g\u00e2y kh\u00f3 th\u1edf v\u00e0 n\u1eb7ng s\u1ebd g\u00e2y th\u1edf r\u00edt. C\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan nh\u01b0: ch\u1ea5t k\u00edch \u1ee9ng t\u1eeb m\u00f4i tr\u01b0\u1eddng, stress, b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD), tr\u00e0o ng\u01b0\u1ee3c h\u1ea7u thanh qu\u1ea3n (LPR), l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a tr\u00e0o ng\u01b0\u1ee3c th\u00e0nh ph\u1ea7n c\u1ee7a d\u1ea1 d\u00e0y l\u00ean h\u1ea7u\/thanh qu\u1ea3n.<\/p>\n<p>C\u01a1 ch\u1ebf c\u1ee7a m\u1ed1i quan h\u1ec7 nh\u00e2n qu\u1ea3 gi\u1eefa tr\u00e0o ng\u01b0\u1ee3c v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng d\u00e2y thanh \u0111\u00f3 l\u00e0 s\u1ef1 t\u1ed5n th\u01b0\u01a1ng l\u1eb7p l\u1ea1i c\u1ee7a thanh qu\u1ea3n d\u1ea7n d\u1ea7n l\u00e0m lu m\u1edd ph\u1ea3n x\u1ea1 \u0111\u00f3ng n\u1eafp thanh m\u00f4n. R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng d\u00e2y thanh th\u01b0\u1eddng k\u00e8m kh\u00f3 th\u1edf, nu\u1ed1t kh\u00f3, v\u00e0 nguy c\u01a1 h\u00edt s\u1eb7c.<\/p>\n<h3>2.2. H\u00edt d\u1ecb v\u1eadt.<\/h3>\n<p>H\u00edt d\u1ecb v\u1eadt th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em. \u00cdt g\u1eb7p \u1edf ng\u01b0\u1eddi l\u1edbn, c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u1eb1ng kh\u00f2 kh\u00e8, kh\u00f3 th\u1edf, ho m\u1ea1n t\u00ednh v\u00e0\/ho\u1eb7c ho ra m\u00e1u. X quang cho th\u1ea5y \u0111\u1eadm \u0111\u1ed9 c\u1ee7a d\u1ecb v\u1eadt k\u00e8m x\u1eb9p ph\u1ed5i. Do \u0111\u00f3, c\u1ea7n nghi ng\u1edd \u0111\u1ec3 tr\u00e1nh ch\u1ea9n \u0111o\u00e1n s\u00f3t.<\/p>\n<p>X\u1eed tr\u00ed b\u1eb1ng n\u00f4i soi ph\u1ebf qu\u1ea3n \u1ed1ng m\u1ec1m l\u1ea5y d\u1ecb v\u1eadt cho th\u1ea5y t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng \u0111\u1ebfn 90%. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm, c\u1ea7n n\u1ed9i soi \u1ed1ng c\u1ee9ng ho\u1eb7c ph\u1eabu thu\u1eadt l\u1ea5y d\u1ecb v\u1eadt.<\/p>\n<h3 id=\"hl0000266\">2.3. B\u1ec7nh l\u00fd \u0111\u01b0\u1eddng th\u1edf.<\/h3>\n<p>H\u00edt s\u1eb7c c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh l\u00fd \u0111\u01b0\u1eddng th\u1edf \u0111a d\u1ea1ng, bi\u1ec3u hi\u1ec7n v\u1edbi ho, co th\u1eaft ph\u1ebf qu\u1ea3n, v\u00e0 h\u1ed9i ch\u1ee9ng gi\u1ed1ng hen. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t hen. Th\u00eam v\u00e0o \u0111\u00f3, n\u00f3 c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi t\u1eeb vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n \u0111\u1ebfn d\u00e3n ph\u1ebf qu\u1ea3n.<\/p>\n<p id=\"hl0000267\"><strong>Hen ph\u1ebf qu\u1ea3n.<\/strong><\/p>\n<ul>\n<li>C\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y s\u1ef1 li\u00ean quan gi\u1eefa h\u00edt s\u1eb7c v\u00e0 GERD ki\u1ec3m so\u00e1t k\u00e9m, v\u00e0 v\u1edbi \u0111\u1ee3t hen c\u1ea5p. M\u1ed9t nghi\u00ean c\u1ee9u tr\u00ean 78 b\u1ec7nh nh\u00e2n r\u1eeda ph\u1ebf qu\u1ea3n ph\u1ebf quan cho th\u1ea5y 59% b\u1ec7nh nh\u00e2n c\u00f3 pepsin trong d\u1ecbch r\u1eeda, nh\u01b0ng n\u00f3 kh\u00f4ng li\u00ean quan v\u1edbi m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a \u0111\u1ee3t hen c\u1ea5p ho\u1eb7c ch\u1ee9c n\u0103ng ph\u1ed5i.<\/li>\n<li>C\u00e1c khuy\u1ebfn c\u00e1o v\u1ec1 qu\u1ea3n l\u00fd hen g\u1ea7n \u0111\u00e2y khuy\u00ean n\u00ean \u0111\u00e1nh gi\u00e1 GERD \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n hen ki\u1ec3m so\u00e1t k\u00e9m, \u0111\u1eb7c bi\u1ec7t khi c\u00f3 tri\u1ec7u ch\u1ee9ng v\u1ec1 \u0111\u00eam, ngay c\u1ea3 b\u1ec7nh nh\u00e2n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a GERD.<\/li>\n<\/ul>\n<p><strong>Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n v\u00e0 d\u00e3n ph\u1ebf qu\u1ea3n.<\/strong><\/p>\n<ul>\n<li>H\u00edt s\u1eb7c c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n ra b\u1edfi vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n c\u1ee7a ph\u1ed5i ho\u1eb7c d\u00e3n ph\u1ebf qu\u1ea3n (d\u00e0y v\u00e0 d\u00e3n kh\u00f4ng h\u1ed3i ph\u1ee5c \u0111\u01b0\u1eddng th\u1edf).<\/li>\n<li>M\u1ed9t lo\u1ea1t ca b\u1ec7nh \u1edf Mayo Clinic \u0111\u00e3 m\u00f4 t\u1ea3 20 ca vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n lan t\u1ecfa do h\u00edt s\u1eb7c, ph\u1ea7n l\u1edbn \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u1edd sinh thi\u1ebft ph\u1ed5i.<\/li>\n<li>H\u00ecnh \u1ea3nh ch\u1ee5p c\u1eaft l\u1edbp (CT) \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao s\u1ebd cho th\u1ea5y c\u00e1c vi n\u1ed1t n\u1eb1m k\u1eb9t trong c\u00e2y ph\u1ebf qu\u1ea3n, k\u00e8m v\u1edbi thay \u0111\u1ed5i vi\u00eam th\u00e0nh \u0111\u01b0\u1eddng th\u1edf.<\/li>\n<li>Nh\u01b0 v\u1eady, ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o b\u1ec7nh s\u1eed h\u00edt s\u1eb7c c\u00f9ng v\u1edbi d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh tr\u00ean CT ho\u1eb7c sinh thi\u1ebft ph\u1ed5i.<\/li>\n<li>D\u00e3n ph\u1ebf qu\u1ea3n do h\u00edt th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em v\u00e0 b\u00e1o c\u00e1o cho th\u1ea5y chi\u1ebfm t\u1edbi 10% d\u00e3n ph\u1ebf qu\u1ea3n kh\u00f4ng x\u01a1 nang \u1edf tr\u1ebb em. C\u00e1c nghi\u00ean c\u1ee9u l\u1edbn \u1edf ng\u01b0\u1eddi l\u1edbn cho th\u1ea5y ch\u1ec9 kho\u1ea3ng 1 &#8211; 4% d\u00e3n ph\u1ebf qu\u1ea3n li\u00ean quan v\u1edbi h\u00edt.<\/li>\n<li>C\u00e1c d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh c\u1ee7a d\u00e3n ph\u1ebf qu\u1ea3n tr\u00ean CT l\u00e0: d\u00e3n ph\u1ebf qu\u1ea3n c\u1ee7a th\u00f9y d\u01b0\u1edbi l\u00e0 \u01b0u th\u1ebf, d\u00e3n th\u1ef1c qu\u1ea3n, ho\u1eb7c tho\u00e1t v\u1ecb ho\u00e0nh.<\/li>\n<\/ul>\n<section id=\"hl0000270\">\n<section id=\"hl0000286\"><\/section>\n<\/section>\n<section id=\"hl0000274\">\n<section id=\"hl0000286\">\n<p id=\"hl0000296\"><strong>Vi\u00eam ph\u1ed5i h\u00edt.\u00a0<\/strong><\/p>\n<p>C\u00f3 2 bi\u1ec3u hi\u1ec7n ch\u00ednh c\u1ee7a h\u00edt s\u1eb7c \u1edf nhu m\u00f4 ph\u1ed5i: vi\u00eam ph\u1ed5i h\u00edt, li\u00ean quan v\u1edbi nhi\u1ec5m tr\u00f9ng do c\u00e1c vi sinh v\u1eadt \u0111\u1eb7c hi\u1ec7u v\u00e0 vi\u00eam ph\u1ed5i h\u00f3a h\u1ecdc, l\u00e0 ph\u1ea3n \u1ee9ng vi\u00eam \u0111\u00e1p \u1ee9ng v\u1edbi ch\u1ea5t h\u00edt.<\/p>\n<ul>\n<li>Vi\u00eam ph\u1ed5i h\u00edt kh\u00f3 ph\u00e2n bi\u1ec7t v\u1ec1 bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u1edbi vi\u00eam ph\u1ed5i kh\u00f4ng do h\u00edt. Y\u1ebfu t\u1ed1 nguy c\u01a1 g\u1ed3m: tu\u1ed5i cao, BMI th\u1ea5p, nhi\u1ec1u b\u1ec7nh \u0111\u1ed3ng m\u1eafc, gi\u1ea3m ch\u1ee9c n\u0103ng c\u01a1 quan. Vi\u00eam ph\u1ed5i h\u00edt c\u00f3 t\u1ec9 l\u1ec7 t\u1eed vong cao h\u01a1n, t\u00e1i ph\u00e1t nhi\u1ec1u h\u01a1n vi\u00eam ph\u1ed5i c\u1ed9ng \u0111\u1ed3ng. <em>Nghi ng\u1edd khi CT cho th\u1ea5y \u0111\u00e1m m\u1edd ph\u00eda sau ph\u1ed5i v\u00e0 m\u1edd d\u1ea1ng \u1ed5, \u1edf ngo\u1ea1i vi, ho\u1eb7c \u0111\u00f4ng \u0111\u1eb7c quanh ph\u1ebf qu\u1ea3n \u1ea3nh h\u01b0\u1edfng 1 ho\u1eb7c nhi\u1ec1u ph\u00e2n th\u00f9y (kh\u00e1c v\u1edbi vi\u00eam ph\u1ed5i th\u00f9y), d\u1ea5u d\u00e0y th\u00e0nh v\u00e0 h\u00ecnh \u1ea3nh k\u00ednh m\u1edd.\u00a0<\/em><\/li>\n<li>Gi\u1eef v\u1ec7 sinh mi\u1ec7ng gi\u1ea3m nguy c\u01a1 vi\u00eam ph\u1ed5i h\u00edt.<\/li>\n<li>Vi\u00eam ph\u1ed5i h\u00f3a h\u1ecdc (pneumonitis) li\u00ean quan v\u1edbi h\u00edt l\u01b0\u1ee3ng l\u1edbn d\u1ecbch v\u1ecb acid. \u0110\u00e2y l\u00e0 b\u1ec7nh l\u00fd kh\u00f4ng nhi\u1ec5m do acid t\u1ee5 t\u1eadp c\u00e1c t\u1ebf b\u00e0o vi\u00eam \u0111\u1ebfn ph\u1ed5i g\u00e2y vi\u00eam. Th\u01b0\u1eddng x\u1ea3y ra l\u00fac g\u00e2y m\u00ea nh\u01b0ng c\u0169ng g\u1eb7p trong qu\u00e1 li\u1ec1u thu\u1ed1c v\u00e0 ch\u0103m s\u00f3c t\u1ea1i nh\u00e0 \u0111i\u1ec1u d\u01b0\u1ee1ng. T\u1ec9 l\u1ec7 m\u1eafc th\u1ea5p &lt;1%. Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng g\u1ed3m: kh\u00f3 th\u1edf, gi\u1ea3m oxy m\u00e1u, tim nhanh, ran n\u1ed5, ng\u00e1y lan t\u1ecfa, c\u1ea5y th\u01b0\u1eddng kh\u00f4ng c\u00f3 vi khu\u1ea9n m\u1ecdc.<\/li>\n<\/ul>\n<section id=\"hl0000356\"><strong>Vi\u00eam ph\u1ed5i do lipid ngo\u1ea1i sinh.\u00a0<\/strong><\/section>\n<section>H\u00edt ph\u1ea3i c\u00e1c ch\u1ea5t lipid c\u00f3 th\u1ec3 l\u1eafng \u0111\u1ecdng lipid trong nhu m\u00f4 ph\u1ed5i g\u00e2y vi\u00eam ph\u1ed5i lipid. Th\u01b0\u1eddng g\u1eb7p do h\u00edt ph\u1ea3i c\u00e1c thu\u1ed1c d\u1ea7u nh\u01b0 nhu\u1eadn tr\u01b0\u1eddng, thu\u1ed1c h\u00edt d\u1ea1ng d\u1ea7u), ch\u1ea5t t\u01b0\u01a1ng ph\u1ea3n, ho\u1eb7c d\u1ea7u trong th\u1ee9c \u0103n.\u00a0<\/section>\n<section>H\u00ecnh \u1ea3nh h\u1ecdc \u0111a d\u1ea1ng: \u0111\u00f4ng \u0111\u1eb7c, k\u00ednh m\u1edd, l\u01b0\u1edbi n\u1ed1t, d\u00e0y th\u00e0nh ph\u1ebf qu\u1ea3n, t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng kh\u1ed1i. \u0110\u00f4ng \u0111\u1eb7c \u0111a th\u00f9y v\u00e0 2 b\u00ean. \u0110\u1eb7c tr\u01b0ng l\u00e0 hi\u1ec7n di\u1ec7n \u0111\u00f4ng \u0111\u1eb7c v\u1edbi v\u00f9ng th\u00e2m nhi\u1ec5m m\u1ee1 (\u221217 to \u2212114 Hounsfield units).<\/section>\n<section>\n<section id=\"hl0000356\">\n<p id=\"hl0000358\"><strong>B\u1ec7nh m\u00f4 k\u1ebd ph\u1ed5i:\u00a0<\/strong><\/p>\n<p>C\u00f3 nhi\u1ec1u d\u1ea1ng x\u01a1 ph\u1ed5i li\u00ean quan h\u00edt, nh\u01b0 vi\u00eam ph\u1ed5i t\u1ed5 ch\u1ee9c h\u00f3a, x\u01a1 ph\u1ed5i v\u00f4 c\u0103n.<\/p>\n<p><strong>Nhi\u1ec5m Mycobacteria ngo\u00e0i lao (<i>Mycobacterium abscessus<\/i>\u00a0and\u00a0<i>M. fortuitum).<\/i><\/strong><\/p>\n<p>Y v\u0103n cho th\u1ea5y vi\u00eam ph\u1ed5i lipoid l\u00e0m t\u0103ng tr\u01b0\u1edfng vi khu\u1ea9n Mycobacteria. B\u00ean c\u1ea1nh \u0111\u00f3, co th\u1eaft t\u00e2m v\u1ecb c\u0169ng t\u0103ng nguy c\u01a1 nhi\u1ec5m Mycobacteria ngo\u00e0i lao.<\/p>\n<\/section>\n<section id=\"hl0000367\">T\u00e0i li\u1ec7u tham kh\u1ea3o:\u00a0<\/section>\n<section>Murray &amp; Nadel&#8217;s textbook of respiratory medicine.\u00a0<\/section>\n<section><\/section>\n<\/section>\n<div id=\"f0020\" class=\"inline-image figure\">\n<figure>\n<div class=\"image-width-override j-image-for-image-view\">\n<div class=\"sized-image-container placeholder\"><\/div>\n<\/div>\n<\/figure>\n<\/div>\n<\/section>\n<section id=\"hl0000304\"><\/section>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>H\u00edt s\u1eb7c \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 s\u1ef1 h\u00edt ph\u1ea3i d\u1ecbch ho\u1eb7c ch\u1ea5t r\u1eafn v\u00e0o sau d\u00e2y thanh \u00e2m v\u00e0 v\u00e0o \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi. H\u00edt s\u1eb7c kh\u00f4ng lu\u00f4n lu\u00f4n l\u00e0 b\u1ec7nh l\u00fd, n\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. Tuy nhi\u00ean, n\u00f3 c\u0169ng li\u00ean quan v\u1edbi nhi\u1ec1u b\u1ec7nh l\u00fd t\u1eeb\u00a0 co th\u1eaft ph\u1ebf qu\u1ea3n [&hellip;]<\/p>\n","protected":false},"author":69,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>H\u00edt s\u1eb7c: bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u00edt s\u1eb7c ch\u1ea5t r\u1eafn ho\u1eb7c l\u1ecfng v\u00e0o \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi, c\u00f3 th\u1ec3 g\u1eb7p \u1edf ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh. 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