{"id":65545,"date":"2023-03-13T12:27:24","date_gmt":"2023-03-13T05:27:24","guid":{"rendered":"https:\/\/asprou.com\/?p=65545"},"modified":"2023-04-06T15:46:33","modified_gmt":"2023-04-06T08:46:33","slug":"cac-dang-thuoc-chuyen-biet-su-dung-trong-dieu-tri-hen-phe-quan-pq","status":"publish","type":"post","link":"https:\/\/asprou.com\/uncategorized-vi\/cac-dang-thuoc-chuyen-biet-su-dung-trong-dieu-tri-hen-phe-quan-pq\/","title":{"rendered":"C\u00c1C D\u1ea0NG THU\u1ed0C CHUY\u00caN BI\u1ec6T S\u1eec D\u1ee4NG TRONG \u0110I\u1ec0U TR\u1eca HEN PH\u1ebe QU\u1ea2N (PQ)"},"content":{"rendered":"\n<p>\u0110\u1eb7t v\u1ea5n \u0111\u1ec1:<\/p>\n\n\n\n<ul><li>Theo \u0111\u1ecbnh ngh\u0129a,Hen PQ l\u00e0 t\u00ecnh tr\u1ea1ng<strong> vi\u00eam m\u1ea1n t\u00ednh<\/strong> c\u1ee7a ph\u1ebf qu\u1ea3n d\u1eabn \u0111\u1ebfn <strong>gia t\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a ph\u1ebf qu\u1ea3n<\/strong> n\u00ean m\u1ed9t k\u00edch th\u00edch d\u00f9 kh\u00f4ng \u0111\u00e1ng k\u1ec3 \u0111\u1ed1i v\u1edbi PQ c\u1ee7a ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng nh\u01b0ng ng\u01b0\u1eddi b\u1ecb hen s\u1ebd \u00a0\u0111\u00e1p \u1ee9ng t\u1ed1i \u0111a ngay t\u1ee9c kh\u1eafc => <strong>co th\u1eaft co tr\u01a1n PQ<\/strong>, t\u0103ng ti\u1ebft d\u1ecbch PQ => t\u1eafc ngh\u1ebdn th\u00f4ng kh\u00ed => xu\u1ea5t hi\u1ec7n c\u01a1n hen c\u1ea5p.<\/li><\/ul>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"400\" height=\"330\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/1-1.png\" alt=\"\" class=\"wp-image-65547\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/1-1.png 400w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/1-1-300x248.png 300w\" sizes=\"(max-width: 400px) 100vw, 400px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/2-1.jpg\" alt=\"\" class=\"wp-image-65548\" width=\"359\" height=\"274\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/2-1.jpg 400w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/2-1-300x229.jpg 300w\" sizes=\"(max-width: 359px) 100vw, 359px\" \/><\/figure>\n\n\n\n<ul><li>T\u1eeb \u0111\u1ecbnh ngh\u0129a Hen PQ, n\u1ed5i b\u1eadt 3 nh\u00f3m thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb hen PQ l\u00e0:<\/li><\/ul>\n\n\n\n<p>. Thu\u1ed1c kh\u00e1ng vi\u00eam corticosteroid<\/p>\n\n\n\n<p>. Thu\u1ed1c \u1ee9c ch\u1ebf c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam (anti-histamin, anti-leucotrien, anti-IgE,\u2026)<\/p>\n\n\n\n<p>. Thu\u1ed1c gi\u00e3n c\u01a1 tr\u01a1n PQ<\/p>\n\n\n\n<p>Trong \u0111\u00f3 thu\u1ed1c kh\u00e1ng vi\u00eam corticosteroid ch\u00ednh l\u00e0 thu\u1ed1c n\u1ec1n t\u1ea3ng trong vi\u1ec7c ki\u1ec3m so\u00e1t b\u1ec7nh v\u00ec \u1ee9c ch\u1ebf s\u1ef1 di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n c\u1ee7a ph\u1ea3n \u1ee9ng vi\u00eam \u0111\u01b0a \u0111\u1ebfn vi\u1ec7c g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng d\u1eabn kh\u00ed nh\u01b0 bong tr\u00f3c bi\u1ec3u m\u00f4 ph\u1ebf qu\u1ea3n, ph\u00f9 n\u1ec1 ni\u00eam m\u1ea1c PQ, b\u1ed9c l\u1ed9 c\u00e1c \u0111\u1ea7u t\u1eadn c\u00f9ng c\u1ee7a d\u00e2y th\u1ea7n kinh, t\u0103ng ti\u1ebft nh\u00e0y nh\u1edbt l\u00e0m b\u00edt t\u1eafc \u0111\u01b0\u1eddng th\u1edf, gia t\u0103ng t\u00ednh m\u1eabn c\u1ea3m \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n\n\n<p>cho \u0111\u1ebfn nay, nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam trong hen ph\u1ebf qu\u1ea3n v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c bi\u1ebft m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c n\u00ean vi\u1ec7c d\u00f9ng thu\u1ed1c ph\u1ea3i \u0111\u01b0\u1ee3c duy tr\u00ec l\u00e2u d\u00e0i. \u00a0<\/p>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/12.png\" alt=\"\" class=\"wp-image-65551\" width=\"336\" height=\"234\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/12.png 343w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/12-300x209.png 300w\" sizes=\"(max-width: 336px) 100vw, 336px\" \/><\/figure>\n\n\n\n<ul><li>Thu\u1ed1c kh\u00e1ng vi\u00eam CORTICOSTEROID \u0111\u01b0\u1ee3c x\u1ebfp l\u00e0 thu\u1ed1c \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u trong vi\u1ec7c kh\u1ed1ng ch\u1ebf t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a \u0111\u01b0\u1eddng th\u1edf do t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ea3 v\u1ec1 th\u1ec3 d\u1ecbch l\u1eabn t\u1ebf b\u00e0o, \u1ee9c ch\u1ebf ph\u1ea3n \u1ee9ng kh\u00e1ng nguy\u00ean-kh\u00e1ng th\u1ec3, \u1ee9c ch\u1ebf s\u1ef1 s\u1ea3n xu\u1ea5t c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam nh\u01b0 prostaglandin, leucotrien, histamin, bradykinin, c\u00e1c cytokine.<\/li><li>T\u1eeb 9 nh\u00f3m t\u00e1c d\u1ee5ng sinh l\u00fd c\u1ee7a corticosteroid tr\u00ean qu\u00e1 trinh chuy\u1ec3n h\u00f3a glucid, protid, lipid, ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, n\u01b0\u1edbc, c\u00f4ng th\u1ee9c m\u00e1u, h\u1ec7 th\u1ea7n kinh, n\u1ed9i ti\u1ebft, tim m\u1ea1ch, ti\u00eau h\u00f3a,\u2026, khi s\u1eed d\u1ee5ng corticoid li\u1ec1u cao v\u00e0 l\u00e2u d\u00e0i, corticosteroid g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n cho b\u1ec7nh nh\u00e2n<\/li><li>\u0110\u1ec3 h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n trong to\u00e0n th\u00e2n c\u1ee7a corticosteroid, k\u1ef9 thu\u1eadt b\u00e0o ch\u1ebf cho ph\u00e9p \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i v\u00e0 c\u00e1c d\u01b0\u1ee3c ph\u1ea9m d\u1ea1ng <strong>kh\u00ed dung<\/strong> \u0111\u00e3 gi\u00fap gi\u1ea3i quy\u1ebft v\u1ea5n \u0111\u1ec1 h\u00f3c b\u00faa n\u00eau tr\u00ean.<\/li><li>Nguy\u00ean t\u1eafc ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c d\u1ea1ng thu\u1ed1c \u0111\u1eb7c bi\u1ec7t n\u00e0y d\u1ef1a tr\u00ean k\u1ef9 thu\u1eadt ph\u00e2n t\u00e1n dung d\u1ecbch ho\u1eb7c r\u1eafn th\u00e0nh nh\u1eefng h\u1ea1t th\u1eadt m\u1ecbn \u0111\u1ec3 khi len l\u1ecfi v\u00e0o c\u00e1c ph\u1ebf qu\u1ea3n kh\u00f4ng k\u00edch th\u00edch c\u00e1c ph\u1ea3n x\u1ea1 t\u1ef1 v\u1ec7 c\u1ee7a \u0111\u01b0\u1eddng th\u1edf nh\u01b0 ph\u1ea3n x\u1ea1 ho ho\u1eb7c co th\u1eaft ph\u1ebf qu\u1ea3n.<\/li><\/ul>\n\n\n\n<ul><li>N\u1ebfu toa thu\u1ed1c c\u1ee7a b\u00e1c s\u0129 k\u00ea cho b\u1ec7nh nh\u00e2n l\u00e0 d\u1ea1ng u\u1ed1ng th\u00ec s\u1ebd \u0111\u01a1n gi\u1ea3n h\u01a1n r\u1ea5t nhi\u1ec1u so v\u1edbi vi\u1ec7c k\u00ea toa cho b\u1ec7nh nh\u00e2n m\u1ed9t b\u00ecnh x\u1ecbt \u0111\u1ecbnh li\u1ec1u ho\u1eb7c m\u1ed9t b\u00ecnh h\u00edt b\u1ed9t kh\u00f4 v\u00ec khi k\u00ea toa cho b\u1ec7nh nh\u00e2n Hen PQ m\u1ed9t b\u00ecnh thu\u1ed1c pMDI hay m\u1ed9t DPI , chuy\u00ean vi\u00ean y t\u1ebf c\u1ea7n th\u00eam th\u1eddi gian cho b\u1ec7nh nh\u00e2n, c\u00f2n b\u1ec7nh nh\u00e2n \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn v\u00e0 c\u00f4ng s\u1ee9c \u0111\u1ec3 h\u01b0\u1edbng d\u1eabn v\u00e0 thu\u1ed9c c\u00e1c b\u01b0\u1edbc k\u1ef9 thu\u1eadt<\/li><li>C\u00e1c d\u1ea1ng ph\u1ed5 bi\u1ebfn l\u00e0 c\u00e1c b\u00ecnh x\u1ecbt \u0111\u1ecbnh li\u1ec1u (pMDI &#8211; <strong>p<\/strong>ressurized <strong><u>M<\/u><\/strong>etered <strong><u>D<\/u><\/strong>ose <strong><u>I<\/u><\/strong>nhaler); v\u00e0 thu\u1ed1c th\u00f4ng qua m\u00e1y x\u00f4ng kh\u00ed dung (nebulizer) c\u00f3 s\u1ef1 t\u0103ng c\u01b0\u1eddng l\u1ef1c \u0111\u1ea9y \u0111\u1ec3 h\u1ed7 tr\u1ee3 cho b\u1ec7nh nh\u00e2n b\u1ecb kh\u00f3 th\u1edf h\u00edt v\u00e0o ph\u1ed5i \u0111\u01b0\u1ee3c nhi\u1ec1u thu\u1ed1c h\u01a1n.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/4-1-1024x569.jpg\" alt=\"\" class=\"wp-image-65550\" width=\"283\" height=\"157\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/4-1-1024x569.jpg 1024w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/4-1-300x167.jpg 300w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/4-1-768x427.jpg 768w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/4-1.jpg 1080w\" sizes=\"(max-width: 283px) 100vw, 283px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/3-2.jpg\" alt=\"\" class=\"wp-image-65552\" width=\"292\" height=\"196\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/3-2.jpg 600w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/3-2-300x201.jpg 300w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/3-2-370x247.jpg 370w\" sizes=\"(max-width: 292px) 100vw, 292px\" \/><\/figure>\n\n\n\n<ul><li>Hi\u1ec7n nay c\u00e1c d\u1ea1ng d\u1ee5ng c\u1ee5 n\u00e0y ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn th\u00e0nh nhi\u1ec1u ch\u1ebf ph\u1ea9m thu\u1eadn ti\u1ec7n mang \u0111i, t\u0103ng t\u1ec9 l\u1ec7 thu\u1ed1c h\u00edt v\u00e0o ph\u1ed5i \u0111\u01b0\u1ee3c nhi\u1ec1u h\u01a1n nh\u01b0 d\u1ea1ng Respimat d\u00f9ng l\u1ef1c n\u00e9n c\u1ee7a l\u00f2 xo v\u00ed nh\u01b0 m\u1ed9t nebulizer nh\u1ecf g\u1ecdn m\u00e0 b\u1ec7nh nh\u00e2n thu\u1eadn ti\u1ec7n khi mang theo b\u00ean m\u00ecnh. &nbsp;<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"294\" height=\"274\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/5-1.jpg\" alt=\"\" class=\"wp-image-65553\"\/><\/figure>\n\n\n\n<ul><li>Ngo\u00e0i ra, b\u00ecnh h\u00edt b\u1ed9t kh\u00f4 (DPI- Dry Powder Inhaler) c\u0169ng l\u00e0 m\u1ed9t d\u1ea1ng thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i: \u0111\u00e2y l\u00e0 d\u1ea1ng thu\u1ed1c r\u1eafn, nh\u01b0ng \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u1ec1n m\u1ecbn \u0111\u1ebfn m\u1ee9c kh\u00f4ng g\u00e2y ph\u1ea3n \u1ee9ng t\u1ef1 v\u1ec7 c\u1ee7a \u0111\u01b0\u1eddng th\u1edf.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/6-1.jpg\" alt=\"\" class=\"wp-image-65554\" width=\"323\" height=\"215\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/6-1.jpg 1020w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/6-1-300x200.jpg 300w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/6-1-768x512.jpg 768w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/6-1-370x247.jpg 370w\" sizes=\"(max-width: 323px) 100vw, 323px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/7-1.jpg\" alt=\"\" class=\"wp-image-65555\" width=\"333\" height=\"222\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/7-1.jpg 1020w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/7-1-300x200.jpg 300w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/7-1-768x512.jpg 768w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/7-1-370x247.jpg 370w\" sizes=\"(max-width: 333px) 100vw, 333px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large is-resized\"><img loading=\"lazy\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/8.png\" alt=\"\" class=\"wp-image-65556\" width=\"375\" height=\"269\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/8.png 835w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/8-300x214.png 300w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/8-768x549.png 768w\" sizes=\"(max-width: 375px) 100vw, 375px\" \/><\/figure>\n\n\n\n<ul><li>Tuy nhi\u00ean, mu\u1ed1n \u0111\u1ea1t hi\u1ec7u qu\u1ea3 khi s\u1eed d\u1ee5ng d\u1ea1ng pMDI, trong c\u00e1c b\u01b0\u1edbc th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt, c\u1ea7n ch\u00fa \u00fd nhi\u1ec1u nh\u1ea5t v\u00e0o b\u01b0\u1edbc khi nh\u1ea5n \u0111\u00e1y b\u00ecnh x\u1ecbt \u0111\u1ec3 ph\u00f3ng th\u00edch m\u1ed9t li\u1ec1u thu\u1ed1c th\u00ec b\u1ec7nh nh\u00e2n \u0111\u1ed3ng th\u1eddi ph\u1ea3i h\u00edt s\u00e2u v\u00e0o =&gt; b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c chuy\u00ean vi\u00ean y t\u1ebf h\u01b0\u1edbng d\u1eabn thu\u1ea7n th\u1ee5c c\u00e1c b\u01b0\u1edbc n\u00e0y =&gt; hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"240\" height=\"210\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/9.jpg\" alt=\"\" class=\"wp-image-65557\"\/><\/figure>\n\n\n\n<ul><li>Hai \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00f3 kh\u0103n khi tu\u00e2n th\u1ee7 b\u01b0\u1edbc k\u1ef9 thu\u1eadt n\u00e0y l\u00e0 tr\u1ebb nh\u1ecf v\u00e0 ng\u01b0\u1eddi cao tu\u1ed5i => n\u1ebfu kh\u00f4ng k\u1ebft h\u1ee3p \u0111\u01b0\u1ee3c b\u01b0\u1edbc k\u1ef9 thu\u1eadt \u201c tay b\u00f3p- mi\u1ec7ng h\u00edt\u201d th\u00ec d\u00f9 d\u01b0\u1ee3c ch\u1ea5t th\u1eadt s\u1ef1 t\u1ed1t th\u00ec c\u0169ng kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"225\" height=\"225\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/10.jpg\" alt=\"\" class=\"wp-image-65558\" srcset=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/10.jpg 225w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/10-150x150.jpg 150w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/10-175x175.jpg 175w, https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/10-165x165.jpg 165w\" sizes=\"(max-width: 225px) 100vw, 225px\" \/><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" width=\"241\" height=\"209\" src=\"https:\/\/asprou.com\/wp-content\/uploads\/2023\/03\/11.jpg\" alt=\"\" class=\"wp-image-65559\"\/><\/figure>\n\n\n\n<ul><li>Tr\u01b0\u1edbc \u0111\u00e2y, \u0111\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf &lt; 5 tu\u1ed5i, th\u01b0\u1eddng g\u1eb7p kh\u00f3 khi s\u1eed d\u1ee5ng pMDI s\u1ebd chuy\u1ec3n \u0111\u1ed5i sang d\u1ea1ng u\u1ed1ng th\u00ec ng\u00e0y nay, pMDI c\u00f9ng v\u1edbi bu\u1ed3ng \u0111\u1ec7m (spacer) \u0111\u00e3 gi\u00fap c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng nh\u01b0 tr\u1ebb em c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb m\u00e0 kh\u00f4ng ph\u1ea3i chuy\u1ec3n \u0111\u1ed5i th\u00e0nh d\u1ea1ng u\u1ed1ng \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi vi\u1ec7c ph\u1ea3i duy tr\u00ec \u0111i\u1ec1u tr\u1ecb b\u1eb1ng corticosteroid..<\/li><li>B\u00ecnh h\u00edt b\u1ed9t kh\u00f4 (DPI) c\u0169ng c\u00f3 nh\u1eefng \u01b0u \u0111i\u1ec3m nh\u01b0: \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i v\u1edbi m\u1ed9t li\u1ec1u l\u01b0\u1ee3ng r\u1ea5t th\u1ea5p so v\u1edbi d\u1ea1ng u\u1ed1ng, kh\u00f4ng c\u00f3 ch\u1ea5t b\u1ea3o qu\u1ea3n, kh\u00f4ng c\u00f3 t\u00e1 d\u01b0\u1ee3c,\u2026n\u00ean h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 cho b\u1ec7nh nh\u00e2n.<\/li><li>Tuy nhi\u00ean, d\u1ea1ng DPI c\u0169ng v\u01b0\u1edbng ph\u1ea3i v\u1ea5n \u0111\u1ec1: b\u1ec7nh nh\u00e2n ph\u1ea3i d\u00f9ng l\u1ef1c h\u00edt c\u1ee7a m\u00ecnh m\u1edbi h\u00fat \u0111\u01b0\u1ee3c thu\u1ed1c t\u1eeb b\u00ecnh thu\u1ed1c v\u00e0o ph\u1ed5i, li\u1ec1u thu\u1ed1c qu\u00e1 nh\u1ecf n\u00ean kh\u00f4ng bi\u1ebft thu\u1ed1c \u0111\u00e3 v\u00e0o ph\u1ed5i hay ch\u01b0a,\u2026.<\/li><\/ul>\n\n\n\n<p>K\u1ebft lu\u1eadn:<\/p>\n\n\n\n<ul><li>Vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c d\u1ea1ng ch\u1ebf ph\u1ea9m \u0111\u1eb7c bi\u1ec7t \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i l\u00e0 m\u1ed9t s\u1ef1 ti\u1ebfn b\u1ed9 v\u01b0\u1ee3t b\u1ef1c trong l\u0129nh v\u1ef1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Hen PQ v\u1edbi l\u01b0\u1ee3ng thu\u1ed1c \u0111\u01b0a tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i \u0111\u1ea3m b\u1ea3o \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 th\u1ea5p h\u01a1n nhi\u1ec1u l\u1ea7n so v\u1edbi \u0111\u01b0\u1eddng to\u00e0n th\u00e2n. (TD: vi\u00ean u\u1ed1ng Salbutamol 2mg\/ l\u1ea7n ; h\u00edt 2 li\u1ec1u pMDI Salbutamol 100 mcg\/ li\u1ec1u : 40 mcg =&gt; th\u1ea5p h\u01a1n 50 l\u1ea7n)<\/li><li>V\u1edbi t\u00f4n ch\u1ec9 \u0111i\u1ec1u tr\u1ecb b\u00ean c\u1ea1nh hi\u1ec7u qu\u1ea3 c\u1ea7n ph\u1ea3i h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 cho b\u1ec7nh nh\u00e2n, ng\u00e0nh c\u00f4ng nghi\u1ec7p D\u01b0\u1ee3c \u0111\u00e3 kh\u00f4ng ng\u1eebng s\u00e1ng t\u1ea1o c\u00e1c d\u1ea1ng thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i, chuy\u00ean vi\u00ean y t\u1ebf kh\u00f4ng qu\u1ea3n ng\u1ea1i \u0111\u1ea7u t\u01b0 th\u00eam ch\u00fat th\u1eddi gian v\u00e0 c\u00f4ng s\u1ee9c \u0111\u1ec3 t\u1eadp cho b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c th\u00e0nh th\u1ee5c trong k\u1ef9 thu\u1eadt d\u00f9ng c\u00e1c d\u1ea1ng kh\u00ed dung, b\u1ec7nh vi\u1ec7n v\u00e0 khoa H\u00f4 H\u1ea5p t\u1ed5 ch\u1ee9c c\u00e1c c\u00e2u l\u1ea1c b\u1ed9 b\u1ec7nh nh\u00e2n Hen PQ,\u2026 \u0111\u1ec3 gi\u00fap th\u1ef1c hi\u1ec7n th\u1eadt t\u1ed1t vi\u1ec7c <strong>ki\u1ec3m so\u00e1t b\u1ec7nh Hen PQ m\u1ed9t c\u00e1ch hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n<\/strong>.<\/li><li>S\u1eed d\u1ee5ng \u0111\u00fang v\u00e0 thu\u1ea7n th\u1ee5c k\u1ef9 thu\u1eadt c\u00e1c d\u01b0\u1ee3c ph\u1ea9m d\u1ea1ng \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i quy\u1ebft \u0111\u1ecbnh g\u1ea7n 50% hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c v\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129.<\/li><\/ul>\n\n\n\n<p>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/p>\n\n\n\n<p><a href=\"https:\/\/www.boehringer-ingelheim.com\/working-together\/partnering-interests\/respiratory-diseases\">https:\/\/www.boehringer-ingelheim.com\/working-together\/partnering-interests\/respiratory-diseases<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.sun-med.com\/products\/?product-category=respiratory\">https:\/\/www.sun-med.com\/products\/?product-category=respiratory<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/www.astrazeneca.com\/our-therapy-areas\/respiratory-and-immunology.html\">https:\/\/www.astrazeneca.com\/our-therapy-areas\/respiratory-and-immunology.html<\/a><\/p>\n\n\n\n<p>B\u1ed8 M\u00d4N D\u01af\u1ee2C L\u00cd &#8211; D\u01af\u1ee2C L\u00c2M S\u00c0NG &#8211; HIU<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1eb7t v\u1ea5n \u0111\u1ec1: Theo \u0111\u1ecbnh ngh\u0129a,Hen PQ l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh c\u1ee7a ph\u1ebf qu\u1ea3n d\u1eabn \u0111\u1ebfn gia t\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a ph\u1ebf qu\u1ea3n n\u00ean m\u1ed9t k\u00edch th\u00edch d\u00f9 [&hellip;]<\/p>\n","protected":false},"author":82,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":""},"categories":[1796,267,2267,100],"tags":[],"yoast_head":"\n<title>C\u00c1C D\u1ea0NG THU\u1ed0C CHUY\u00caN BI\u1ec6T S\u1eec D\u1ee4NG TRONG \u0110I\u1ec0U TR\u1eca HEN PH\u1ebe QU\u1ea2N (PQ) - 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