{"id":510238,"date":"2025-11-30T07:35:08","date_gmt":"2025-11-30T00:35:08","guid":{"rendered":"https:\/\/hoanghamobile.com\/tin-tuc\/?p=510238"},"modified":"2025-12-01T07:36:50","modified_gmt":"2025-12-01T00:36:50","slug":"khi-dung","status":"publish","type":"post","link":"https:\/\/hoanghamobile.com\/tin-tuc\/khi-dung\/","title":{"rendered":"Kh\u00ed dung l\u00e0 g\u00ec? L\u1ee3i \u00edch, quy tr\u00ecnh v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft"},"content":{"rendered":"

Kh\u00ed dung l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u00f4 h\u1ea5p ph\u1ed5 bi\u1ebfn, gi\u00fap \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i d\u01b0\u1edbi d\u1ea1ng s\u01b0\u01a1ng m\u00f9 m\u1ecbn. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch cho nh\u1eefng ng\u01b0\u1eddi m\u1eafc c\u00e1c b\u1ec7nh nh\u01b0 hen suy\u1ec5n, vi\u00eam ph\u1ebf qu\u1ea3n hay COPD, nh\u1edd kh\u1ea3 n\u0103ng l\u00e0m d\u1ecbu \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p nhanh ch\u00f3ng v\u00e0 hi\u1ec7u qu\u1ea3. Kh\u00f4ng ch\u1ec9 an to\u00e0n, x\u00f4ng kh\u00ed tr\u1ecb li\u1ec7u c\u00f2n gi\u00fap gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c to\u00e0n th\u00e2n, t\u1ed1i \u01b0u h\u00f3a li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. Ng\u00e0y nay, x\u00f4ng kh\u00ed tr\u1ecb li\u1ec7u \u0111ang tr\u1edf th\u00e0nh l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c nhi\u1ec1u b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n tin d\u00f9ng nh\u1edd t\u00ednh ti\u1ec7n l\u1ee3i v\u00e0 hi\u1ec7u qu\u1ea3 cao.\u00a0<\/span><\/p>\n

Kh\u00ed dung l\u00e0 ph\u01b0\u01a1ng ph\u00e1p g\u00ec?<\/span><\/h2>\n

\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p chuy\u1ec3n thu\u1ed1c t\u1eeb d\u1ea1ng l\u1ecfng sang d\u1ea1ng s\u01b0\u01a1ng m\u00f9 m\u1ecbn, \u0111\u1ec3 b\u1ec7nh nh\u00e2n h\u00edt tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p. Nh\u1edd c\u01a1 ch\u1ebf n\u00e0y, thu\u1ed1c d\u1ec5 d\u00e0ng \u0111\u1ebfn c\u00e1c ph\u1ebf nang v\u00e0 kh\u00ed qu\u1ea3n, gi\u00fap gi\u1ea3m vi\u00eam, gi\u00e3n ph\u1ebf qu\u1ea3n v\u00e0 l\u00e0m d\u1ecbu c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf. X\u00f4ng kh\u00ed tr\u1ecb li\u1ec7u ph\u00f9 h\u1ee3p v\u1edbi nhi\u1ec1u \u0111\u1ed1i t\u01b0\u1ee3ng, t\u1eeb tr\u1ebb em, ng\u01b0\u1eddi gi\u00e0 \u0111\u1ebfn nh\u1eefng ng\u01b0\u1eddi kh\u00f3 s\u1eed d\u1ee5ng thu\u1ed1c d\u1ea1ng vi\u00ean hay siro. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh v\u00e0 c\u1ea5p t\u00ednh c\u1ee7a \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, mang l\u1ea1i hi\u1ec7u qu\u1ea3 nhanh v\u00e0 ch\u00ednh x\u00e1c h\u01a1n so v\u1edbi thu\u1ed1c u\u1ed1ng th\u00f4ng th\u01b0\u1eddng.<\/span><\/p>\n

\"khi-dung-2\"<\/picture><\/p>\n

C\u00e1c lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00ed dung<\/span><\/h2>\n

Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n (Bronchodilators): Thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n gi\u00fap l\u00e0m gi\u00e3n c\u01a1 tr\u01a1n \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, gi\u1ea3m co th\u1eaft, c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng kh\u00f3 th\u1edf. \u0110\u00e2y l\u00e0 lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n v\u00e0 COPD. V\u00ed d\u1ee5 th\u01b0\u1eddng g\u1eb7p g\u1ed3m Salbutamol v\u00e0 Terbutaline, th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 c\u1eaft c\u01a1n hen nhanh ch\u00f3ng.<\/span><\/p>\n

Corticoid d\u1ea1ng h\u00edt (Inhaled corticosteroids): Corticoid gi\u00fap gi\u1ea3m vi\u00eam, ph\u00f9 n\u1ec1 v\u00e0 t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf, ki\u1ec3m so\u00e1t c\u00e1c c\u01a1n hen m\u1ea1n t\u00ednh. V\u00ed d\u1ee5: Budesonide, Fluticasone. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng l\u00e2u d\u00e0i \u0111\u1ec3 duy tr\u00ec hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 h\u1ea1n ch\u1ebf c\u00e1c tri\u1ec7u ch\u1ee9ng h\u00f4 h\u1ea5p.<\/span><\/p>\n

Thu\u1ed1c kh\u00e1ng sinh d\u1ea1ng kh\u00ed dung (Inhaled antibiotics): Thu\u1ed1c \u0111\u01b0\u1ee3c h\u00edt tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p \u0111\u1ec3 ti\u00eau di\u1ec7t vi khu\u1ea9n g\u00e2y nhi\u1ec5m tr\u00f9ng ph\u1ed5i. V\u00ed d\u1ee5: Tobramycin, Colistin. Th\u01b0\u1eddng d\u00f9ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng ph\u1ed5i m\u00e3n t\u00ednh ho\u1eb7c n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n x\u01a1 nang.<\/span><\/p>\n

\"khi-dung-3\"<\/picture><\/p>\n

Thu\u1ed1c k\u1ebft h\u1ee3p (Combination therapy): Lo\u1ea1i thu\u1ed1c n\u00e0y k\u1ebft h\u1ee3p gi\u00e3n ph\u1ebf qu\u1ea3n v\u00e0 corticoid d\u1ea1ng h\u00edt, gi\u00fap t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi gi\u1ea3m li\u1ec1u corticoid c\u1ea7n d\u00f9ng. V\u00ed d\u1ee5 ph\u1ed5 bi\u1ebfn l\u00e0 Salmeterol + Fluticasone ho\u1eb7c Formoterol + Budesonide.\u00a0<\/span><\/p>\n

Thu\u1ed1c l\u00e0m lo\u00e3ng \u0111\u1eddm (Mucolytics): Gi\u00fap ph\u00e1 v\u1ee1 c\u1ea5u tr\u00fac \u0111\u1eddm \u0111\u1eb7c, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n d\u1ec5 kh\u1ea1c ra ngo\u00e0i, c\u1ea3i thi\u1ec7n \u0111\u01b0\u1eddng th\u1edf. V\u00ed d\u1ee5: Acetylcysteine, Dornase alfa. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n, x\u01a1 nang ho\u1eb7c nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1eddm \u0111\u1eb7c l\u00e2u ng\u00e0y.<\/span><\/p>\n

Thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng ho\u1eb7c ch\u1ed1ng vi\u00eam kh\u00e1c: V\u00ed d\u1ee5: Cromolyn natri, gi\u00fap gi\u1ea3m ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 ph\u00f2ng ng\u1eeba c\u01a1n hen. Lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng d\u00f9ng cho b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed hen ho\u1eb7c d\u1ecb \u1ee9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/span><\/p>\n

C\u00e1c thi\u1ebft b\u1ecb h\u1ed7 tr\u1ee3 x\u00f4ng kh\u00ed dung ph\u1ed5 bi\u1ebfn hi\u1ec7n nay<\/span><\/h2>\n

Hi\u1ec7n nay, x\u00f4ng kh\u00ed tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua nhi\u1ec1u thi\u1ebft b\u1ecb kh\u00e1c nhau, ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u v\u00e0 kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng c\u1ee7a t\u1eebng \u0111\u1ed1i t\u01b0\u1ee3ng. M\u00e1y x\u00f4ng kh\u00ed c\u1ea7m tay l\u00e0 l\u1ef1a ch\u1ecdn ti\u1ec7n l\u1ee3i, nh\u1ecf g\u1ecdn, d\u1ec5 s\u1eed d\u1ee5ng t\u1ea1i nh\u00e0, th\u00edch h\u1ee3p cho tr\u1ebb em v\u00e0 ng\u01b0\u1eddi gi\u00e0. M\u00e1y x\u00f4ng kh\u00ed b\u00e0n th\u01b0\u1eddng c\u00f3 c\u00f4ng su\u1ea5t l\u1edbn h\u01a1n, t\u1ea1o s\u01b0\u01a1ng m\u00f9 li\u00ean t\u1ee5c, ph\u00f9 h\u1ee3p cho c\u00e1c c\u01a1 s\u1edf y t\u1ebf ho\u1eb7c gia \u0111\u00ecnh c\u00f3 nhi\u1ec1u ng\u01b0\u1eddi d\u00f9ng.\u00a0<\/span><\/p>\n

\"khi-dung-4\"<\/picture><\/p>\n

Ngo\u00e0i ra, b\u00ecnh x\u1ecbt x\u00f4ng kh\u00ed d\u1ea1ng m\u1eb7t n\u1ea1 gi\u00fap thu\u1ed1c ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. M\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i c\u00f2n trang b\u1ecb c\u00f4ng ngh\u1ec7 si\u00eau \u00e2m ho\u1eb7c \u00e1p l\u1ef1c kh\u00ed n\u00e9n, gi\u00fap h\u1ea1t thu\u1ed1c m\u1ecbn, th\u1ea9m th\u1ea5u s\u00e2u h\u01a1n v\u00e0o ph\u1ebf nang. Khi l\u1ef1a ch\u1ecdn thi\u1ebft b\u1ecb, c\u1ea7n c\u00e2n nh\u1eafc y\u1ebfu t\u1ed1 tu\u1ed5i t\u00e1c, t\u00ecnh tr\u1ea1ng b\u1ec7nh v\u00e0 t\u1ea7n su\u1ea5t s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u.<\/span><\/p>\n

Tr\u01b0\u1eddng h\u1ee3p n\u00e0o n\u00ean \u00e1p d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p kh\u00ed dung?<\/span><\/h2>\n

X\u00f4ng thu\u1ed1c h\u00f4 h\u1ea5p l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p hi\u1ec7u qu\u1ea3, \u0111\u1eb7c bi\u1ec7t khi thu\u1ed1c d\u1ea1ng u\u1ed1ng ho\u1eb7c vi\u00ean kh\u00f4ng \u0111\u00e1p \u1ee9ng nhanh. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u01b0 hen suy\u1ec5n c\u1ea5p ho\u1eb7c m\u1ea1n t\u00ednh, gi\u00fap c\u1eaft c\u01a1n nhanh ch\u00f3ng v\u00e0 gi\u1ea3m kh\u00f3 th\u1edf. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n vi\u00eam ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i, COPD c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng x\u00f4ng kh\u00ed \u0111\u1ec3 c\u1ea3i thi\u1ec7n l\u01b0u th\u00f4ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 gi\u1ea3m vi\u00eam. X\u00f4ng kh\u00ed h\u00f4 h\u1ea5p c\u0169ng h\u1eefu \u00edch cho nh\u1eefng ng\u01b0\u1eddi kh\u00f3 nu\u1ed1t ho\u1eb7c tr\u1ebb em ch\u01b0a h\u1ee3p t\u00e1c u\u1ed1ng thu\u1ed1c, nh\u1edd vi\u1ec7c h\u00edt thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o ph\u1ed5i. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p n\u1eb7ng, vi\u1ec7c x\u00f4ng kh\u00ed k\u1ebft h\u1ee3p thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c thu\u1ed1c l\u00e0m lo\u00e3ng \u0111\u1eddm c\u0169ng \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

\"khi-dung-5\"<\/picture><\/p>\n

Nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng ph\u00f9 h\u1ee3p \u0111\u1ec3 x\u00f4ng kh\u00ed dung<\/span><\/h2>\n