{"id":1593,"date":"2026-01-09T00:00:00","date_gmt":"2026-01-09T00:00:00","guid":{"rendered":"http:\/\/ttviet.vn\/dl"},"modified":"2026-01-09T00:00:00","modified_gmt":"2026-01-09T00:00:00","slug":"","status":"publish","type":"post","link":"http:\/\/ytevn.com\/?p=1593","title":{"rendered":"Tr\u1eddi chuy\u1ec3n l\u1ea1nh, gia t\u0103ng b\u1ec7nh nh\u00e2n ph\u1ed5i nh\u1eadp vi\u1ec7n"},"content":{"rendered":"

T\u1ea1i Khoa N\u1ed9i II, B\u1ec7nh vi\u1ec7n Ph\u1ed5i H\u00e0 T\u0129nh<\/a><\/span><\/span>, s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n gia t\u0103ng so v\u1edbi ng\u00e0y th\u01b0\u1eddng, kh\u00f4ng \u00edt b\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, ph\u1ea3i \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i, t\u00e1i \u0111i t\u00e1i l\u1ea1i nhi\u1ec1u l\u1ea7n. \u00d4ng Nguy\u1ec5n V\u0103n Hinh, (73 tu\u1ed5i, tr\u00fa t\u1ea1i <\/span><\/b>th\u00f4n \u0110\u1ea1i V\u01b0\u1eddng, x\u00e3 H\u01b0\u01a1ng S\u01a1n) l\u00e0 m\u1ed9t trong s\u1ed1 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng nguy k\u1ecbch. \u00d4ng Hinh c\u00f3 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) nhi\u1ec1u n\u0103m nay. C\u1ee9 m\u1ed7i khi tr\u1eddi tr\u1edf l\u1ea1nh, \u00f4ng Hinh l\u1ea1i t\u00e1i ph\u00e1t b\u1ec7nh. <\/span><\/span><\/span><\/span><\/span><\/p>\n

“M\u1ed7i khi tr\u1eddi l\u1ea1nh t\u00f4i kh\u00f3 th\u1edf, ho su\u1ed1t ng\u00e0y \u0111\u00eam. N\u0103m n\u00e0o c\u0169ng ph\u1ea3i v\u00e0o vi\u1ec7n v\u00e0i ba l\u1ea7n, c\u00f3 \u0111\u1ee3t m\u1edbi ra \u0111\u01b0\u1ee3c \u00edt h\u00f4m ph\u1ea3i quay l\u1ea1i. B\u00e1c s\u0129 d\u1eb7n ph\u1ea3i gi\u1eef \u1ea5m, u\u1ed1ng thu\u1ed1c \u0111\u1ec1u, nh\u01b0ng ng\u01b0\u1eddi gi\u00e0 ch\u1ec9 c\u1ea7n tr\u1edf tr\u1eddi l\u00e0 ch\u1ecbu kh\u00f4ng n\u1ed5i\u201d, \u00f4ng Hinh cho bi\u1ebft.<\/span><\/span><\/span><\/span><\/span><\/p>\n

\n
\n \"Tr\u1eddi\n <\/div>
\n

B\u00e1c s\u0129 B\u1ec7nh vi\u1ec7n Ph\u1ed5i H\u00e0 T\u0129nh kh\u00e1m, ki\u1ec3m tra s\u1ee9c kh\u1ecfe b\u1ec7nh nh\u00e2n COPD \u0111ang \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa.<\/p>\n<\/figcaption><\/figure>\n

C\u0169ng \u0111ang \u0111i\u1ec1u tr\u1ecb t\u1ea1i vi\u1ec7n, \u00f4ng V.T.H. (68 tu\u1ed5i, tr\u00fa t\u1ea1i th\u00f4n Th\u01b0\u1ee3ng, ph\u01b0\u1eddng Tr\u1ea7n Ph\u00fa) cho bi\u1ebft, kho\u1ea3ng 1 tu\u1ea7n tr\u1edf l\u1ea1i \u0111\u00e2y, th\u1ea5y ho nhi\u1ec1u, ng\u01b0\u1eddi m\u1ec7t m\u1ecfi u\u1ec3 o\u1ea3i, s\u1ee5t c\u00e2n nhanh, \u0111\u1ebfn b\u1ec7nh vi\u1ec7n th\u0103m kh\u00e1m b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n b\u1ecb vi\u00eam ph\u1ed5i, ph\u1ea3i \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c.<\/span><\/p>\n

V\u00e0o m\u00f9a l\u1ea1nh, t\u1ea1i B\u1ec7nh vi\u1ec7n Ph\u1ed5i H\u00e0 T\u0129nh, s\u1ed1 b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n do c\u00e1c b\u1ec7nh l\u00fd ph\u1ed5i m\u1ea1n t\u00ednh th\u01b0\u1eddng t\u0103ng t\u1eeb 30 – 40%. Trung b\u00ecnh ng\u00e0y, b\u1ec7nh vi\u1ec7n ti\u1ebfp nh\u1eadn kho\u1ea3ng g\u1ea7n 100 b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb n\u1ed9i tr\u00fa, nh\u01b0ng th\u1eddi \u0111i\u1ec3m n\u00e0y \u0111\u00e3 t\u0103ng l\u00ean g\u1ea7n 140 b\u1ec7nh nh\u00e2n, ch\u1ee7 y\u1ebfu l\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed b\u1ec7nh COPD, hen ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i t\u00e1i di\u1ec5n. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng n\u1eb7ng, ph\u1ea3i h\u1ed7 tr\u1ee3 b\u1eb1ng oxy, d\u00f9ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n, th\u1edf m\u00e1y kh\u00f4ng x\u00e2m nh\u1eadp \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u01a1n hen, c\u01a1n kh\u00f3 th\u1edf.<\/span><\/span><\/span><\/span><\/span><\/p>\n

\n
\n \"Tr\u1eddi\n <\/div>
\n

B\u00e1c s\u0129 h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n th\u1edf kh\u00ed dung thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n.<\/p>\n<\/figcaption><\/figure>\n

Tr\u01b0\u1edbc th\u1ef1c tr\u1ea1ng \u0111\u00f3, B\u1ec7nh vi\u1ec7n Ph\u1ed5i H\u00e0 T\u0129nh ch\u1ee7 \u0111\u1ed9ng b\u1ed1 tr\u00ed nh\u00e2n l\u1ef1c, thu\u1ed1c men, trang thi\u1ebft b\u1ecb \u0111\u1ea7y \u0111\u1ee7, duy tr\u00ec tr\u1ef1c c\u1ea5p c\u1ee9u \u0111\u1ea3m b\u1ea3o ti\u1ebfp nh\u1eadn v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

B<\/span><\/span>\u1ec7nh vi\u1ec7n ti\u1ebfp t\u1ee5c duy tr\u00ec hi\u1ec7u qu\u1ea3 ph\u00f2ng Qu\u1ea3n l\u00fd b\u1ec7nh nh\u00e2n COPD v\u00e0 hen ph\u1ebf qu\u1ea3n v\u1edbi \u0111\u1ea7y \u0111\u1ee7 nh\u00e2n l\u1ef1c, trang thi\u1ebft b\u1ecb v\u00e0 thu\u1ed1c thi\u1ebft y\u1ebfu. Hi\u1ec7n c\u00f3 g\u1ea7n 400 b\u1ec7nh nh\u00e2n tr\u00ean to\u00e0n t\u1ec9nh \u0111\u1ecbnh k\u1ef3 \u0111\u1ebfn nh\u1eadn thu\u1ed1c v\u00e0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb t\u1ea1i b\u1ec7nh vi\u1ec7n, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a c\u00e1c \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb c\u1ea5p ph\u1ea3i nh\u1eadp vi\u1ec7n do b\u1ec7nh g\u00e2y ra.<\/span><\/span><\/span><\/span><\/span><\/p>\n

\n
\n \"Tr\u1eddi\n <\/div>
\n

B\u1ec7nh nh\u00e2n ch\u1ee5p X.quang ki\u1ec3m tra ph\u1ed5i.<\/p>\n<\/figcaption><\/figure>\n

BS.CKI \u0110inh V\u0103n Tu\u1ea5n, Ph\u00f3 tr\u01b0\u1edfng khoa N\u1ed9i II, B\u1ec7nh vi\u1ec7n Ph\u1ed5i H\u00e0 T\u0129nh, ng\u01b0\u1eddi cao tu\u1ed5i, \u0111\u1eb7c bi\u1ec7t ng\u01b0\u1eddi tr\u00ean 65 tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 b\u1ec7nh n\u1ec1n nh\u01b0 b\u1ec7nh COPD, hen ph\u1ebf qu\u1ea3n, b\u1ec7nh tim m\u1ea1ch, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng nguy c\u01a1 m\u1eafc vi\u00eam ph\u1ed5i n\u1eb7ng t\u0103ng l\u00ean. Nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu l\u00e0 do khi tr\u1eddi l\u1ea1nh, th\u1eddi ti\u1ebft thay \u0111\u1ed5i, ni\u00eam m\u1ea1c h\u1ecdng, ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p b\u1ecb thi\u1ebfu \u0111\u1ed9 \u1ea9m, gi\u1ea3m kh\u1ea3 n\u0103ng lo\u1ea1i b\u1ecf vi khu\u1ea9n, virus v\u00e0 b\u1ee5i b\u1ea9n. Nhi\u1ec1u lo\u1ea1i virus ph\u00e1t tri\u1ec3n m\u1ea1nh h\u01a1n trong \u0111i\u1ec1u ki\u1ec7n l\u1ea1nh \u1ea9m, l\u00e0m gia t\u0103ng c\u00e1c b\u1ec7nh l\u00fd nh\u01b0 hen ph\u1ebf qu\u1ea3 v\u00e0 b\u1ec7nh COPD. V\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n COPD, c\u1ea7n tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb h\u00e0ng ng\u00e0y v\u00e0 khi xu\u1ea5t hi\u1ec7n c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 ho nhi\u1ec1u h\u01a1n, kh\u1ea1c \u0111\u1eddm nhi\u1ec1u, s\u1ed1t ho\u1eb7c kh\u00f3 th\u1edf t\u0103ng, ph\u1ea3i \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf ngay \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

\n
\n \"Tr\u1eddi\n <\/div>
\n

\u0110o ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p, ki\u1ec3m tra ph\u1ed5i cho b\u1ec7nh nh\u00e2n.<\/p>\n<\/figcaption><\/figure>\n

B\u00e1c s\u0129 Tu\u1ea5n khuy\u1ebfn c\u00e1o, ng\u01b0\u1eddi cao tu\u1ed5i c\u1ea7n \u0111\u01b0\u1ee3c quan t\u00e2m \u0111\u1eb7c bi\u1ec7t trong m\u00f9a \u0111\u00f4ng. Gi\u1eef \u1ea5m, \u0103n \u0111\u1ee7, ng\u1ee7 ngon, v\u1eadn \u0111\u1ed9ng h\u1ee3p l\u00fd l\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p \u0111\u01a1n gi\u1ea3n nh\u01b0ng r\u1ea5t hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ph\u00f2ng b\u1ec7nh.<\/p>\n

\u0110\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe trong m\u00f9a \u0111\u00f4ng, ng\u01b0\u1eddi d\u00e2n n\u00ean gi\u1eef \u1ea5m c\u01a1 th\u1ec3 \u0111\u00fang c\u00e1ch, m\u1eb7c \u1ea5m khi s\u00e1ng s\u1edbm v\u00e0 t\u1ed1i, gi\u1eef \u1ea5m c\u1ed5, ng\u1ef1c, b\u00e0n tay, b\u00e0n ch\u00e2n. Gi\u1eef m\u00f4i tr\u01b0\u1eddng s\u1ed1ng s\u1ea1ch, th\u00f4ng tho\u00e1ng, tr\u00e1nh \u1ea9m m\u1ed1c, kh\u00f4ng \u0111\u1ed1t than trong ph\u00f2ng k\u00edn, d\u1ecdn d\u1eb9p ch\u0103n m\u00e0n \u0111\u1ecbnh k\u1ef3. B\u1ea3o v\u1ec7 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p b\u1eb1ng vi\u1ec7c \u0111eo kh\u1ea9u trang khi ra ngo\u00e0i, tr\u00e1nh xa kh\u00f3i thu\u1ed1c, thu\u1ed1c l\u00e0o, u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc. T\u0103ng c\u01b0\u1eddng \u0103n rau xanh, tr\u00e1i c\u00e2y, h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia, t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng.<\/p>\n

C\u1ea7n ch\u1ee7 \u0111\u1ed9ng ti\u00eam ph\u00f2ng vaccine c\u00fam m\u00f9a, ph\u1ebf c\u1ea7u cho ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 ng\u01b0\u1eddi c\u00f3 b\u1ec7nh m\u1ea1n t\u00ednh. \u0110\u1ecbnh k\u1ef3 kh\u00e1m s\u1edbm khi c\u00f3 tri\u1ec7u ch\u1ee9ng ho k\u00e9o d\u00e0i, kh\u00f3 th\u1edf, m\u1ec7t b\u1ea5t th\u01b0\u1eddng. Vi\u1ec7c ch\u1ee7 \u0111\u1ed9ng ph\u00f2ng b\u1ec7nh kh\u00f4ng ch\u1ec9 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh v\u01b0\u1ee3t qua m\u00f9a \u0111\u00f4ng an to\u00e0n, m\u00e0 c\u00f2n g\u00f3p ph\u1ea7n gi\u1ea3m \u00e1p l\u1ef1c cho c\u00e1c c\u01a1 s\u1edf y t\u1ebf. Ch\u1ee7 \u0111\u1ed9ng b\u1ea3o v\u1ec7 l\u00e1 ph\u1ed5i ch\u00ednh l\u00e0 c\u00e1ch thi\u1ebft th\u1ef1c nh\u1ea5t \u0111\u1ec3 b\u1ea3o v\u1ec7 s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a m\u1ed7i ng\u01b0\u1eddi trong m\u00f9a l\u1ea1nh.<\/p>\n

\n \"Tr\u1eddi<\/a>C\u1eadn T\u1ebft, b\u1ec7nh nh\u00e2n gh\u00e9p ph\u1ed5i song song \u0111\u1ea7u ti\u00ean xu\u1ea5t vi\u1ec7n, tr\u1edf v\u1ec1 cu\u1ed9c s\u1ed1ng b\u00ecnh th\u01b0\u1eddng<\/a><\/p>\n

SK\u0110S – Ng\u00e0y 29\/12, khi n\u0103m \u1ea4t T\u1ef5 s\u1eafp kh\u00e9p l\u1ea1i, m\u1ed9t trong hai b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c gh\u00e9p ph\u1ed5i song song m\u1edbi \u0111\u00e2y \u0111\u00e3 \u0111\u01b0\u1ee3c xu\u1ea5t vi\u1ec7n, ch\u1ecb \u0111\u01b0\u1ee3c tr\u1edf l\u1ea1i v\u1edbi cu\u1ed9c s\u1ed1ng sinh ho\u1ea1t h\u1eb1ng ng\u00e0y.<\/p>\n<\/div>\n

<\/p>\n","protected":false},"excerpt":{"rendered":"

T\u1ea1i Khoa N\u1ed9i II, B\u1ec7nh vi\u1ec7n Ph\u1ed5i H\u00e0 T\u0129nh, s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n nh\u1eadp vi\u1ec7n gia t\u0103ng so v\u1edbi ng\u00e0y th\u01b0\u1eddng, kh\u00f4ng \u00edt b\u1ec7nh nh\u00e2n trong t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf, ph\u1ea3i \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i, t\u00e1i \u0111i t\u00e1i l\u1ea1i nhi\u1ec1u l\u1ea7n. \u00d4ng Nguy\u1ec5n V\u0103n Hinh, (73 tu\u1ed5i, tr\u00fa t\u1ea1i th\u00f4n \u0110\u1ea1i V\u01b0\u1eddng, x\u00e3 H\u01b0\u01a1ng S\u01a1n) […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4],"tags":[],"class_list":["post-1593","post","type-post","status-publish","format-standard","hentry","category-tin-y-te"],"_links":{"self":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1593","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1593"}],"version-history":[{"count":0,"href":"http:\/\/ytevn.com\/index.php?rest_route=\/wp\/v2\/posts\/1593\/revisions"}],"wp:attachment":[{"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1593"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1593"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/ytevn.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1593"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}