{"id":735,"date":"2023-04-09T10:27:00","date_gmt":"2023-04-09T03:27:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=735"},"modified":"2023-04-13T16:12:46","modified_gmt":"2023-04-13T09:12:46","slug":"viem-phoi-tho-may-tai-khoa-hoi-suc-tich-cuc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/09\/viem-phoi-tho-may-tai-khoa-hoi-suc-tich-cuc\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 vi\u00eam ph\u1ed5i th\u1edf m\u00e1y t\u1ea1i khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c"},"content":{"rendered":"

Vi\u00eam ph\u1ed5i th\u1edf m\u00e1y<\/em> (VAP)\u00a0 l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb nhi\u1ec5m tr\u00f9ng. \u0110\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n, B\u00e1c s\u0129 s\u1eed d\u1ee5ng m\u00e1y th\u1edf \u0111\u1ec3 cung c\u1ea5p oxy v\u00e0 gi\u00fap ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n.<\/strong><\/p>\n

1.Gi\u1edbi thi\u1ec7u v\u1ec1 vi\u00eam ph\u1ed5i th\u1edf m\u00e1y<\/strong><\/h2>\n

Vi\u00eam ph\u1ed5i th\u1edf m\u00e1y<\/em>\u00a0(VAP) \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a \u00edt nh\u1ea5t 48 gi\u1edd sau \u0111\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb nhi\u1ec5m tr\u00f9ng. \u0110\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n, B\u00e1c s\u0129 s\u1eed d\u1ee5ng m\u00e1y th\u1edf \u0111\u1ec3 cung c\u1ea5p oxy v\u00e0 gi\u00fap ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n.<\/p>\n

Trong khoa h\u1ed3i s\u1ee9c, l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 ch\u00ednh \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n. Vi\u1ec7c s\u1eed d\u1ee5ng m\u00e1y th\u1edf trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra t\u1ed5n th\u01b0\u01a1ng cho ph\u1ed5i v\u00e0 t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng. \u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 l\u00e0 r\u1ea5t nghi\u00eam tr\u1ecdng, bao g\u1ed3m t\u1eed vong v\u00e0 k\u00e9o d\u00e0i th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng sau khi xu\u1ea5t vi\u1ec7n.<\/p>\n

Do \u0111\u00f3, nghi\u00ean c\u1ee9u v\u1ec1 nguy c\u01a1 tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c l\u00e0 r\u1ea5t quan tr\u1ecdng. Vi\u1ec7c t\u00ecm hi\u1ec3u v\u00e0 \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m thi\u1ec3u nguy c\u01a1 tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c, \u0111\u1ed3ng th\u1eddi t\u0103ng c\u01b0\u1eddng ch\u0103m s\u00f3c v\u00e0 gi\u00e1m s\u00e1t b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c v\u00e0 \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, v\u1eabn c\u00f2n nhi\u1ec1u th\u00e1ch th\u1ee9c v\u00e0 h\u01b0\u1edbng nghi\u00ean c\u1ee9u trong t\u01b0\u01a1ng lai \u0111\u1ec3 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c bi\u1ebfn ch\u1ee9ng.<\/p>\n

2.Nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam ph\u1ed5i th\u1edf m\u00e1y tr\u00ean b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c<\/h2>\n

C\u00e1c y\u1ebfu t\u1ed1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong qu\u00e1 tr\u00ecnh th\u1edf m\u00e1y bao g\u1ed3m th\u1ec3 t\u00edch kh\u00ed l\u01b0u th\u00f4ng qu\u00e1 cao, th\u1eddi gian th\u1edf m\u00e1y qu\u00e1 d\u00e0i, t\u1ea7n s\u1ed1 th\u1edf\u00a0 qu\u00e1 nhanh ho\u1eb7c qu\u00e1 ch\u1eadm . Ngo\u00e0i ra, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i m\u00e1y th\u1edf kh\u00f4ng ph\u00f9 h\u1ee3p ho\u1eb7c kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o tr\u00ec \u0111\u1ecbnh k\u1ef3 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i. Theo nghi\u00ean c\u1ee9u c\u1ee7a Trung t\u00e2m ki\u1ec3m so\u00e1t v\u00e0 ph\u00f2ng ng\u1eeba d\u1ecbch b\u1ec7nh Hoa K\u1ef3, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb th\u1edf m\u00e1y kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 g\u00e2y ra t\u1eed vong ho\u1eb7c t\u00ecnh tr\u1ea1ng suy h\u00f4 h\u1ea5p n\u1eb7ng h\u01a1n. Do \u0111\u00f3, vi\u1ec7c gi\u1ea3m thi\u1ec3u c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong qu\u00e1 tr\u00ecnh th\u1edf m\u00e1y l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c.<\/p>\n

Nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam ph\u1ed5i do vi khu\u1ea9n v\u00e0 virus l\u00e0 nh\u1eefng nguy\u00ean nh\u00e2n trong h\u1ed3i s\u1ee9c. Vi khu\u1ea9n v\u00e0 virus c\u00f3 th\u1ec3 t\u1ea5n c\u00f4ng v\u00e0o ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n.Vi khu\u1ea9n ph\u1ed5 bi\u1ebfn g\u00e2y nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam ph\u1ed5i bao g\u1ed3m Streptococcus pneumoniae, Haemophilus influenzae v\u00e0 Staphylococcus aureus. C\u00e1c virus nh\u01b0 influenza v\u00e0 virus corona c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam ph\u1ed5i.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam ph\u1ed5i bao g\u1ed3m tu\u1ed5i cao, ti\u1ec1n s\u1eed h\u00fat thu\u1ed1c, b\u1ec7nh l\u00fd tim m\u1ea1ch, b\u1ec7nh th\u1eadn, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, v\u00e0 h\u1ec7 mi\u1ec5n d\u1ecbch suy gi\u1ea3m.<\/p>\n

3.Bi\u1ebfn ch\u1ee9ng c\u1ee7a vi\u00eam ph\u1ed5i th\u1edf m\u00e1y<\/h2>\n

Vi\u00eam ph\u1ed5i th\u1edf m\u00e1y c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n, bao g\u1ed3m\u00a0 suy tim, suy th\u1eadn, v\u00e0 nhi\u1ec5m tr\u00f9ng huy\u1ebft. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3, c\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong cho b\u1ec7nh nh\u00e2n. Vi\u1ec7c gi\u1ea3m thi\u1ec3u c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong qu\u00e1 tr\u00ecnh th\u1edf m\u00e1y v\u00e0 s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n.<\/p>\n

4.C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba vi\u00eam ph\u1ed5i th\u1edf m\u00e1y<\/h2>\n

Vi\u00eam ph\u1ed5i th\u1edf m\u00e1y l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 ch\u00ednh trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c v\u00e0 \u0111\u00f2i h\u1ecfi c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3. \u0110\u1ec3 ph\u00f2ng ng\u1eeba c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c bi\u1ec7n ph\u00e1p v\u1ec7 sinh c\u00e1 nh\u00e2n v\u00e0 v\u1ec7 sinh m\u00f4i tr\u01b0\u1eddng, \u0111\u1ed3ng th\u1eddi s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb b\u1ea3o v\u1ec7 khi ti\u1ebfp x\u00fac v\u1edbi b\u1ec7nh nh\u00e2n nhi\u1ec5m tr\u00f9ng.<\/p>\n

\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ea7n s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p nh\u01b0 s\u1eed d\u1ee5ng m\u00e1y th\u1edf \u0111\u1ec3 h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p, s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c thu\u1ed1c kh\u00e1ng virus \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m tr\u00f9ng, \u0111\u1ed3ng th\u1eddi s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 kh\u00e1c nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t.<\/p>\n

Ngo\u00e0i ra, c\u1ea7n gi\u1ea3m thi\u1ec3u c\u00e1c y\u1ebfu t\u1ed1 g\u00e2y t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i trong qu\u00e1 tr\u00ecnh th\u1edf m\u00e1y b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb th\u1edf m\u00e1y ph\u00f9 h\u1ee3p v\u00e0 \u0111i\u1ec1u ch\u1ec9nh th\u1ec3 tr\u1ea1ng b\u1ec7nh nh\u00e2n. Vi\u1ec7c \u0111\u01b0a ra c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u hi\u1ec7u qu\u1ea3 l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng v\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n cho b\u1ec7nh nh\u00e2n h\u1ed3i s\u1ee9c.<\/p>\n

B\u1ec7nh vi\u1ec7n \u0110a khoa Qu\u1ed1c t\u1ebf Vinmec<\/strong><\/a> \u0111\u00e3 \u0111\u01b0a h\u1ec7 th\u1ed1ng m\u00e1y m\u00f3c, thi\u1ebft b\u1ecb x\u00e9t nghi\u1ec7m hi\u1ec7n \u0111\u1ea1i \u0111\u1ea1t chu\u1ea9n v\u00e0o c\u00f4ng t\u00e1c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n, v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn vi\u00eam ph\u1ed5i th\u1edf m\u00e1y.<\/p>\n","protected":false},"excerpt":{"rendered":"

Vi\u00eam ph\u1ed5i th\u1edf m\u00e1y (VAP)\u00a0 l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n b\u1ecb t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c b\u1ecb nhi\u1ec5m tr\u00f9ng. \u0110\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p c\u1ee7a b\u1ec7nh nh\u00e2n, B\u00e1c s\u0129 s\u1eed d\u1ee5ng m\u00e1y th\u1edf \u0111\u1ec3 cung c\u1ea5p oxy v\u00e0 gi\u00fap ph\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n. 1.Gi\u1edbi thi\u1ec7u v\u1ec1 […]<\/p>\n","protected":false},"author":7,"featured_media":739,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[23,33],"tags":[3],"yoast_head":"\nT\u1ed5ng quan v\u1ec1 vi\u00eam ph\u1ed5i th\u1edf m\u00e1y t\u1ea1i khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u00eam ph\u1ed5i th\u1edf m\u00e1y t\u1ea1i khoa h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c l\u00e0 v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u1eb7p. 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