{"id":282342,"date":"2025-08-07T18:01:03","date_gmt":"2025-08-07T11:01:03","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhung-dieu-can-biet-ve-suy-ho-hap-cap\/"},"modified":"2025-11-08T09:47:26","modified_gmt":"2025-11-08T02:47:26","slug":"nhung-dieu-can-biet-ve-suy-ho-hap-cap","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/nhung-dieu-can-biet-ve-suy-ho-hap-cap\/","title":{"rendered":"Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 suy h\u00f4 h\u1ea5p c\u1ea5p"},"content":{"rendered":"\n<h2 class=\"wp-block-heading\">Th\u1ebf n\u00e0o l\u00e0 suy h\u00f4 h\u1ea5p c\u1ea5p <\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Suy h\u00f4 h\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng h\u1ec7 h\u00f4 h\u1ea5p kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng trao \u0111\u1ed5i kh\u00ed theo nhu c\u1ea7u c\u01a1 th\u1ec3 g\u00e2y gi\u1ea3m oxy m\u00e1u ho\u1eb7c t\u0103ng kh\u00ed cacbonic m\u00e1u, d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan, \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra khi t\u1ed5n th\u01b0\u01a1ng 1 trong 4 giai \u0111o\u1ea1n c\u1ee7a qu\u00e1 tr\u00ecnh h\u00f4 h\u1ea5p:&nbsp; Th\u00f4ng kh\u00ed, trao \u0111\u1ed5i kh\u00ed t\u1ea1i ph\u1ed5i, v\u1eadn chuy\u1ec3n kh\u00ed trong m\u00e1u, h\u00f4 h\u1ea5p t\u1ebf b\u00e0o. V\u00ec v\u1eady suy h\u00f4 h\u1ea5p l\u00e0 m\u1ed9t h\u1ed9i ch\u1ee9ng do c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nhau g\u00e2y n\u00ean.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/BAI-3-1410-SUY-HO-HAP-CAP-TINH.jpg\" alt=\"\" class=\"wp-image-175481\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Suy h\u00f4 h\u1ea5p c\u1ea5p \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh 3 nh\u00f3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy h\u00f4 h\u1ea5p do gi\u1ea3m oxy m\u00e1u khi PaO<sub>2<\/sub> d\u01b0\u1edbi 60mmHg khi th\u1edf kh\u00ed ph\u00f2ng<\/li>\n\n\n\n<li>Suy h\u00f4 h\u1ea5p do t\u0103ng CO<sub>2<\/sub> m\u00e1u khi PaCO<sub>2<\/sub> tr\u00ean 50mmHg<\/li>\n\n\n\n<li>Suy h\u00f4 h\u1ea5p th\u1ec3 h\u1ed7n h\u1ee3p khi c\u00f3 k\u00e8m theo c\u1ea3 gi\u1ea3m PaO<sub>2<\/sub> v\u00e0 t\u0103ng PaCO<sub>2<\/sub><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Nguy\u00ean nh\u00e2n<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">B\u1ec7nh c\u1ee7a c\u01a1 quan h\u00f4 h\u1ea5p<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/li>\n\n\n\n<li>B\u1ec7nh t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi nh\u01b0 COPD, hen ph\u1ebf qu\u1ea3n, x\u01a1 h\u00f3a nang, h\u1ed9i ch\u1ee9ng vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n b\u00edt t\u1eafc.<\/li>\n\n\n\n<li>B\u1ec7nh c\u1ee7a nhu m\u00f4 ph\u1ed5i nh\u01b0 :vi\u00eam ph\u1ed5i, \u0111\u1ee5ng gi\u1eadp ph\u1ed5i, xu\u1ea5t huy\u1ebft ph\u1ebf nang, t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i c\u1ea5p li\u00ean quan \u0111\u1ebfn truy\u1ec1n m\u00e1u, t\u00edch t\u1ee5 protein \u1edf ph\u1ebf nang, x\u1eb9p ph\u1ed5i.<\/li>\n\n\n\n<li>Khuy\u1ebft t\u1eadt c\u01a1 h\u1ecdc c\u1ee7a th\u00e0nh ng\u1ef1c nh\u01b0 g\u00f9 v\u1eb9o c\u1ed9t s\u1ed1ng, d\u1ecb d\u1ea1ng l\u1ed3ng ng\u1ef1c.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">B\u1ec7nh m\u1ea1ch m\u00e1u ph\u1ed5i<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">T\u1eafc m\u1ea1ch m\u00e1u ph\u1ed5i, t\u0103ng \u00e1p ph\u1ed5i, shunt ph\u1ea3i-tr\u00e1i trong ph\u1ed5i (d\u1ecb d\u1ea1ng \u0111\u1ed9ng t\u0129nh m\u1ea1ch ph\u1ed5i).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">B\u1ec7nh c\u1ee7a tim<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u00f9 ph\u1ed5i c\u1ea5p do tim, cung l\u01b0\u1ee3ng tim th\u1ea5p, shunt ph\u1ea3i &#8211; tr\u00e1i trong tim<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">B\u1ec7nh th\u1ea7n kinh c\u01a1<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u01b0\u1ee3c c\u01a1, x\u01a1 c\u1ee9ng c\u1ed9t b\u00ean teo c\u01a1, h\u1ed9i ch\u1ee9ng Guillain-Barr\u00e9, ch\u1ea5n th\u01b0\u01a1ng t\u1ee7y s\u1ed1ng, t\u1ed5n th\u01b0\u01a1ng d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean. \u0110\u1ed9c t\u1ed1 th\u1ea7n kinh nh\u01b0 u\u1ed1n v\u00e1n, ng\u1ed9 \u0111\u1ed9c phospho h\u1eefu c\u01a1, r\u1eafn h\u1ed5 c\u1eafn\u2026 B\u1ec7nh c\u01a1, lo\u1ea1n d\u01b0\u1ee1ng c\u01a1, vi\u00eam \u0111a c\u01a1 ho\u1eb7c vi\u00eam da v\u00e0 c\u01a1, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 ho\u00e0nh.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">B\u1ec7nh h\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ee8c ch\u1ebf trung t\u00e2m h\u00f4 h\u1ea5p do qu\u00e1 li\u1ec1u thu\u1ed1c gi\u1ea3m \u0111au an th\u1ea7n, thu\u1ed1c g\u00e2y nghi\u1ec7n, ki\u1ec1m chuy\u1ec3n ho\u00e1.<br>T\u1ed5n th\u01b0\u01a1ng th\u00e2n n\u00e3o nh\u01b0 kh\u1ed1i cho\u00e1n ch\u1ed7, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, ch\u1ea5n th\u01b0\u01a1ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Do \u0111\u1ed9 cao hay h\u00edt kh\u00ed \u0111\u1ed9c, b\u00e9o ph\u00ec, nhi\u1ec5m khu\u1ea9n huy\u1ebft, toan chuy\u1ec3n h\u00f3a, c\u1ed5 ch\u01b0\u1edbng qu\u00e1 to, h\u1ed9i ch\u1ee9ng khoang \u1ed5 b\u1ee5ng, h\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7, thi\u1ebfu m\u00e1u, Carboxyhemoglobin v\u00e0 t\u0103ng nhu c\u1ea7u chuy\u1ec3n h\u00f3a t\u1ed5 ch\u1ee9c.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Tri\u1ec7u ch\u1ee9ng suy h\u00f4 h\u1ea5p c\u1ea5p<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Kh\u00f3 th\u1edf<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f3 th\u1edf l\u00e0 c\u1ea3m gi\u00e1c kh\u00f3 kh\u0103n ho\u1eb7c kh\u00f4ng tho\u1ea3i m\u00e1i trong khi h\u00edt th\u1edf v\u00ec kh\u00f4ng l\u1ea5y \u0111\u01b0\u1ee3c \u0111\u1ee7 kh\u00f4ng kh\u00ed \u0111\u1ec3 th\u1edf. Kh\u00f3 th\u1edf bi\u1ec3u hi\u1ec7n qua nh\u1ecbp th\u1edf v\u00e0 bi\u00ean \u0111\u1ed9 th\u1edf. Trong suy h\u00f4 h\u1ea5p nh\u1ecbp th\u1edf c\u00f3 th\u1ec3 t\u0103ng ho\u1eb7c gi\u1ea3m.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Xanh t\u00edm<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Xanh t\u00edm l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng m\u1ed9t v\u00f9ng da v\u00e0 ni\u00eam m\u1ea1c tr\u00ean c\u01a1 th\u1ec3 xu\u1ea5t hi\u1ec7n m\u1ed9t m\u00e0u xanh ho\u1eb7c t\u00edm nh\u1eb9 b\u1ea5t th\u01b0\u1eddng. T\u00ecnh tr\u1ea1ng n\u00e0y xu\u1ea5t hi\u1ec7n do n\u1ed3ng \u0111\u1ed9 oxy trong t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u th\u1ea5p ho\u1eb7c c\u00f3 th\u1ec3 l\u00e0 do ng\u01b0\u1eddi b\u1ec7nh m\u1eafc ph\u1ea3i r\u1ed1i lo\u1ea1n thu n\u1ea1poxy. B\u1ec7nh nh\u00e2n suy h\u00f4 h\u1ea5p s\u1ebd kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n xanh t\u00edm n\u1ebfu thi\u1ebfu m\u00e1u.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tim m\u1ea1ch<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i nh\u1ecbp tim v\u00e0 huy\u1ebft \u00e1p. B\u1ec7nh nh\u00e2n suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 c\u00f3 nh\u1ecbp nhanh xoang, c\u01a1n nh\u1ecbp nhanh (flutter nh\u0129, rung nh\u0129, c\u01a1n nh\u1ecbp nhanh b\u1ed9 n\u1ed1i) v\u00e0 rung th\u1ea5t th\u01b0\u1eddng l\u00e0 bi\u1ec3u hi\u1ec7n cu\u1ed1i c\u00f9ng. Sau \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ng\u01b0ng tim do thi\u1ebfu oxy m\u00e1u n\u1eb7ng ho\u1eb7c t\u0103ng PaCO<sub>2<\/sub> qu\u00e1 m\u1ee9c, c\u1ea7n c\u1ea5p c\u1ee9u ngay.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Tri gi\u00e1c<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 l\u00e0m r\u1ed1i lo\u1ea1n tri gi\u00e1c. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 gi\u00e3y gi\u1ee5a, l\u1eabn l\u1ed9n, li b\u00ec, l\u1edd \u0111\u1edd ho\u1eb7c h\u00f4n m\u00ea.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ph\u1ed5i v\u00e0 c\u00e1c c\u01a1 h\u00f4 h\u1ea5p<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>T\u00f9y theo nguy\u00ean nh\u00e2n g\u00e2y suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 nghe \u0111\u01b0\u1ee3c ran \u1edf ph\u1ed5i ho\u1eb7c c\u00f3 bi\u1ec3u hi\u1ec7n tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, x\u1eb9p ph\u1ed5i\u2026<\/li>\n\n\n\n<li>N\u1ebfu li\u1ec7t c\u01a1 gian s\u01b0\u1eddn s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n l\u1ed3ng ng\u1ef1c x\u1eb9p khi h\u00edt v\u00e0o.<\/li>\n\n\n\n<li>Li\u1ec7t c\u01a1 ho\u00e0nh s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n v\u00f9ng th\u01b0\u1ee3ng v\u1ecb kh\u00f4ng ph\u1ed3ng l\u00ean khi h\u00edt v\u00e0o, c\u01a1 \u1ee9c \u0111\u00f2n ch\u0169m v\u00e0 c\u01a1 thang co k\u00e9o.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Kh\u00ed m\u00e1u \u0111\u1ed9ng m\u1ea1ch<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u01b0\u01a1ng ph\u00e1p gi\u00fap x\u00e1c \u0111\u1ecbnh suy h\u00f4 h\u1ea5p v\u00e0 lo\u1ea1i suy h\u00f4 h\u1ea5p<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Suy h\u00f4 h\u1ea5p gi\u1ea3m oxy khi PaO<sub>2<\/sub> d\u01b0\u1edbi 60mmHg khi th\u1edf kh\u00ed ph\u00f2ng<\/li>\n\n\n\n<li>Suy h\u00f4 h\u1ea5p t\u0103ng CO<sub>2<\/sub> khi PaCO<sub>2<\/sub> tr\u00ean 50mmHg<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1c c\u1eadn l\u00e2m s\u00e0ng kh\u00e1c t\u00ecm nguy\u00ean nh\u00e2n<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>C\u00f4ng th\u1ee9c m\u00e1u, NT \u2013 Pro BNP<\/li>\n\n\n\n<li>X-quang ng\u1ef1c th\u1eb3ng<\/li>\n\n\n\n<li>\u0110i\u1ec7n tim, Si\u00eau \u00e2m Doppler tim<\/li>\n\n\n\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh l\u1ed3ng ng\u1ef1c<\/li>\n\n\n\n<li>Ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh ho\u1eb7c C\u1ed9ng h\u01b0\u1edfng t\u1eeb s\u1ecd n\u00e3o<\/li>\n\n\n\n<li>\u0110o \u0111i\u1ec7n c\u01a1, ch\u1ecdc d\u1ecbch n\u00e3o t\u1ee7y&#8230;<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb <\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Khai th\u00f4ng \u0111\u01b0\u1eddng th\u1edf<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Ph\u1ea3i nhanh ch\u00f3ng \u0111\u1ea3m b\u1ea3o t\u00ecnh tr\u1ea1ng th\u00f4ng kh\u00ed th\u1ecfa \u0111\u00e1ng cho b\u1ec7nh nh\u00e2n b\u1eb1ng c\u00e1ch:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>N\u00e2ng h\u00e0m, \u0111\u1eb7t \u0111\u1ea7u ng\u1eeda ra sau \u0111\u1ec3 \u0111\u01b0\u1eddng th\u1edf \u0111\u01b0\u1ee3c th\u1eb3ng nh\u1ea5t, k\u00e9o l\u01b0\u1ee1i khi l\u01b0\u1ee1i t\u1ee5t<\/li>\n\n\n\n<li>L\u1ea5y b\u1ecf d\u1ecb v\u1eadt trong d\u01b0\u1eddng h\u00f4 h\u1ea5p, h\u00fat s\u1ea1ch \u0111\u00e0m r\u00e3i trong kh\u00ed ph\u1ebf qu\u1ea3n<\/li>\n\n\n\n<li>\u0110\u1eb7t n\u1ed9i kh\u00ed qu\u1ea3n kh\u1ea9n c\u1ea5p khi b\u1ec7nh nh\u00e2n b\u1ecb suy h\u00f4 h\u1ea5p c\u1ea5p m\u1ee9c \u0111\u1ed9 nguy k\u1ecbch, c\u00f3 gi\u1ea3m oxy<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Li\u1ec7u ph\u00e1p oxy<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 r\u1ea5t nhi\u1ec1u c\u00e1ch \u0111\u1ec3 \u0111\u01b0a oxy v\u00e0o ph\u1ed5i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, t\u00f9y theo m\u1ee9c \u0111\u1ed9 b\u1ec7nh m\u00e0 b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh li\u1ec7u ph\u00e1p oxy ph\u00f9 h\u1ee3p.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u1edf oxy qua \u1ed1ng th\u00f4ng m\u0169i: \u1ed0ng nh\u1ef1a g\u1eafn v\u1edbi b\u00ecnh oxy \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o m\u0169i c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/li>\n\n\n\n<li>Th\u1edf oxy qua m\u1eb7t n\u1ea1 c\u00f3 t\u00fai d\u1ef1 tr\u1eef: Ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c \u0111eo m\u1eb7t n\u1ea1 g\u1eafn v\u00e0o t\u00fai kh\u00ed \u0111\u1ec3 l\u01b0\u1ee3ng oxy v\u00e0o ph\u1ed5i nhi\u1ec1u h\u01a1n.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">(\u0110\u01b0\u1ee3c \u00e1p d\u1ee5ng k<em>hi c\u00e1c bi\u1ec7n ph\u00e1p tr\u00ean th\u1ea5t b\u1ea1i<ins>)<\/ins><\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o kh\u00f4ng x\u00e2m nh\u1eadp \u00e1p l\u1ef1c d\u01b0\u01a1ng: M\u00e1y th\u1edf h\u1ed7 tr\u1ee3 th\u00f4ng kh\u00ed cho b\u1ec7nh nh\u00e2n qua m\u1eb7t n\u1ea1 (m\u0169i, m\u0169i mi\u1ec7ng)<\/li>\n\n\n\n<li>Th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o x\u00e2m nh\u1eadp: M\u00e1y th\u1edf h\u1ed7 tr\u1ee3 thu\u00f4ng kh\u00ed cho b\u1ec7nh nh\u00e2n qua n\u1ed9i kh\u00ed qu\u1ea3n khi bi\u1ec7n ph\u00e1p th\u00f4ng kh\u00ed nh\u00e2n t\u1ea1o kh\u00f4ng x\u00e2m nh\u1eadp c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ho\u1eb7c th\u1ea5t b\u1ea1i<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">\u0110i\u1ec1u tr\u1ecb thu\u1ed1c<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u1eb1m \u0111i\u1ec1u tr\u1ecb nguy\u00ean nh\u00e2n ho\u1eb7c c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng, g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Thu\u1ed1c kh\u00e1ng sinh: D\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c nhi\u1ec5m tr\u00f9ng \u1edf ph\u1ed5i nh\u01b0 vi\u00eam ph\u1ed5i.<\/li>\n\n\n\n<li>Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n: Gi\u00fap m\u1edf \u0111\u01b0\u1eddng th\u1edf, ho\u1eb7c \u0111i\u1ec1u tr\u1ecb c\u00e1c c\u01a1n hen suy\u1ec5n.<\/li>\n\n\n\n<li>Corticoid: \u0110i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam \u0111\u01b0\u1eddng th\u1edf.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ch\u1ecdc d\u1eabn l\u01b0u trong tr\u00e0n kh\u00ed<del> <\/del>, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i \u0111\u1ec3 gi\u1ea3i \u00e1p<\/li>\n\n\n\n<li>H\u1ed7 tr\u1ee3 dinh d\u01b0\u1ee1ng<\/li>\n\n\n\n<li>V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/li>\n\n\n\n<li>Ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng ph\u1ed5i<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Ph\u00f2ng ng\u1eeba<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y suy h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh \u0111\u1ec1u c\u00f3 th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, trong tr\u01b0\u1eddng h\u1ee3p suy h\u00f4 h\u1ea5p do vi\u00eam ph\u1ed5i v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng th\u1edf kh\u00e1c, m\u1ed7i ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 c\u00e1ch ph\u00f2ng tr\u00e1nh d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 b\u1ea3o v\u1ec7 ph\u1ed5i c\u1ee7a m\u00ecnh:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p gi\u1eef cho ph\u1ed5i kh\u1ecfe m\u1ea1nh nh\u01b0 kh\u00f4ng h\u00fat thu\u1ed1c l\u00e1, h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia, kh\u00f4ng l\u1ea1m d\u1ee5ng thu\u1ed1c khi kh\u00f4ng c\u00f3 ch\u1ec9 \u0111\u1ecbnh t\u1eeb b\u00e1c s\u0129.<\/li>\n\n\n\n<li>Tu\u00e2n th\u1ee7 \u0111\u00fang ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 khi b\u1ea1n m\u1eafc b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) ho\u1eb7c c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c.<\/li>\n\n\n\n<li>Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, sinh ho\u1ea1t l\u00e0nh m\u1ea1nh nh\u01b0 ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khoa h\u1ecdc, cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 ch\u1ea5t dinh d\u01b0\u1ee1ng; t\u1eadp luy\u1ec7n th\u1ec3 d\u1ee5c, th\u1ec3 thao; ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd; c\u00e2n b\u1eb1ng c\u1ea3m x\u00fac, h\u1ea1n ch\u1ebf c\u0103ng th\u1eb3ng \u0111\u1ec3 c\u00f3 gi\u1ea5c ng\u1ee7 ch\u1ea5t l\u01b0\u1ee3ng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">T\u1ea7m so\u00e1t<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Suy h\u00f4 h\u1ea5p c\u1ea5p t\u00ednh l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng y t\u1ebf nghi\u00eam tr\u1ecdng c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m r\u1ed1i lo\u1ea1n tri gi\u00e1c, th\u1edf nhanh, kh\u00f3 th\u1edf, xanh t\u00edm. B\u1ec7nh nh\u00e2n c\u1ea7n nh\u1eadp vi\u1ec7n ngay khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u \u0111\u1ea7u ti\u00ean c\u1ee7a suy h\u00f4 h\u1ea5p \u0111\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh n\u1eb7ng h\u01a1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi BS. Th\u1ea1ch S\u00f4 R\u00e2y Da, khoa C\u1ea5p C\u1ee9u, B\u1ec7nh vi\u1ec7n Ho\u00e0n M\u1ef9 C\u1eedu Long.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><em>H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed h\u1ed3i s\u1ee9c t\u00edch c\u1ef1c B\u1ed9 Y T\u1ebf (Ban h\u00e0nh k\u00e8m theo Quy\u1ebft \u0111\u1ecbnh s\u1ed1 1493\/Q\u0110-BYT ng\u00e0y 22\/4\/2015)<\/em><\/li>\n\n\n\n<li><em>B\u00e0i gi\u1ea3ng H\u1ed3i s\u1ee9c C\u1ea5p c\u1ee9u \u2013 Ch\u1ed1ng \u0111\u1ed9c sau \u0111\u1ea1i h\u1ecdc, Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c C\u1ea7n Th\u01a1<\/em><\/li>\n\n\n\n<li><em>B\u00e0i gi\u1ea3ng H\u1ed3i s\u1ee9c C\u1ea5p c\u1ee9u \u2013 Ch\u1ed1ng \u0111\u1ed9c, \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TP. H\u1ed3 Ch\u00ed Minh<\/em><\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>Th\u1ebf n\u00e0o l\u00e0 suy h\u00f4 h\u1ea5p c\u1ea5p Suy h\u00f4 h\u1ea5p l\u00e0 t\u00ecnh tr\u1ea1ng h\u1ec7 h\u00f4 h\u1ea5p kh\u00f4ng \u0111\u1ee7 kh\u1ea3 n\u0103ng trao \u0111\u1ed5i kh\u00ed theo nhu c\u1ea7u c\u01a1 th\u1ec3 g\u00e2y gi\u1ea3m oxy m\u00e1u ho\u1eb7c t\u0103ng kh\u00ed cacbonic m\u00e1u, d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 quan, \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Suy h\u00f4 h\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y [&hellip;]<\/p>\n","protected":false},"author":14,"featured_media":273127,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1745],"tags":[],"class_list":["post-282342","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-cuu-long"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282342","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=282342"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282342\/revisions"}],"predecessor-version":[{"id":295830,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/282342\/revisions\/295830"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/273127"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=282342"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=282342"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=282342"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}