{"id":15545,"date":"2026-07-02T14:15:44","date_gmt":"2026-07-02T07:15:44","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=15545"},"modified":"2026-07-02T14:25:37","modified_gmt":"2026-07-02T07:25:37","slug":"di-vat-duong-tho-o-nguoi-lon-dung-chu-quan-sau-mot-con-sac","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=15545","title":{"rendered":"D\u1eca V\u1eacT \u0110\u01af\u1edcNG TH\u1ede \u1ede NG\u01af\u1edcI L\u1edaN: \u0110\u1eeaNG CH\u1ee6 QUAN SAU M\u1ed8T C\u01a0N S\u1eb6C"},"content":{"rendered":"\n

D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf \u1edf ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb m\u1ed9t tai n\u1ea1n r\u1ea5t nh\u1ecf trong b\u1eefa \u0103n, l\u00fac u\u1ed1ng thu\u1ed1c, khi lao \u0111\u1ed9ng, l\u00e0m r\u0103ng ho\u1eb7c ch\u0103m s\u00f3c kh\u00ed qu\u1ea3n t\u1ea1i nh\u00e0. C\u00f3 ng\u01b0\u1eddi may m\u1eafn \u0111\u01b0\u1ee3c l\u1ea5y d\u1ecb v\u1eadt k\u1ecbp th\u1eddi; nh\u01b0ng c\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebfn mu\u1ed9n, \u0111\u00e3 bi\u1ebfn ch\u1ee9ng n\u1eb7ng, \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i v\u00e0 t\u1ed1n k\u00e9m. Sau m\u1ed9t c\u01a1n s\u1eb7c, \u0111i\u1ec1u quan tr\u1ecdng kh\u00f4ng ch\u1ec9 l\u00e0 \u201cc\u00f2n ngh\u1eb9n kh\u00f4ng\u201d, m\u00e0 l\u00e0 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 c\u00f2n ho, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, s\u1ed1t ho\u1eb7c vi\u00eam ph\u1ed5i k\u00e9o d\u00e0i hay kh\u00f4ng.<\/em><\/strong><\/p>\n\n\n

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1. M\u1ed9t tai n\u1ea1n r\u1ea5t nh\u1ecf c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh v\u1ea5n \u0111\u1ec1 l\u1edbn<\/strong><\/p>\n\n\n\n

M\u1ed9t m\u1ea3nh x\u01b0\u01a1ng trong t\u00f4 b\u00fan b\u00f2, m\u1ed9t h\u1ea1t \u0111\u1eadu ph\u1ed9ng, m\u1ed9t vi\u00ean thu\u1ed1c c\u00f2n nguy\u00ean v\u1ecf, m\u1ed9t d\u1ee5ng c\u1ee5 nh\u1ecf khi l\u00e0m r\u0103ng, m\u1ed9t m\u1ea3nh d\u1ee5ng c\u1ee5 v\u1ec7 sinh kh\u00ed qu\u1ea3n t\u1ea1i nh\u00e0, m\u1ed9t mi\u1ebfng b\u00e1nh \u1edf ng\u01b0\u1eddi cao tu\u1ed5i m\u00e0 gia \u0111\u00ecnh kh\u00f4ng bi\u1ebft \u0111\u00e3 r\u01a1i v\u00e0o ph\u1ebf qu\u1ea3n, hay th\u1eadm ch\u00ed m\u1ed9t chi\u1ebfc \u0111inh ng\u01b0\u1eddi th\u1ee3 m\u1ed9c ng\u1eadm trong mi\u1ec7ng khi chu\u1ea9n b\u1ecb \u0111\u00f3ng\u2026 \u0111\u1ec1u c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n\n\n

D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf \u1edf ng\u01b0\u1eddi l\u1edbn \u00edt \u0111\u01b0\u1ee3c nh\u1eafc \u0111\u1ebfn h\u01a1n \u1edf tr\u1ebb em, nh\u01b0ng ng\u01b0\u1eddi l\u1edbn v\u1eabn c\u00f3 nguy c\u01a1 m\u1eafc ph\u1ea3i. \u0110\u00e2y l\u00e0 t\u00ecnh hu\u1ed1ng c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m ngay l\u1eadp t\u1ee9c, ho\u1eb7c bi\u1ec3u hi\u1ec7n c\u00f3 khi r\u1ea5t k\u00edn \u0111\u00e1o, d\u1ec5 b\u1ecb nh\u1ea7m v\u1edbi vi\u00eam ph\u1ebf qu\u1ea3n, hen\/COPD, vi\u00eam ph\u1ed5i k\u00e9o d\u00e0i ho\u1eb7c vi\u00eam ph\u1ed5i t\u00e1i ph\u00e1t trong tr\u01b0\u1eddng h\u1ee3p d\u1ecb v\u1eadt b\u1ecb b\u1ecf qu\u00ean.<\/p>\n\n\n\n

T\u1ea1i Khoa N\u1ed9i H\u00f4 h\u1ea5p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, trong giai \u0111o\u1ea1n 2025 – 2026, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 ti\u1ebfp nh\u1eadn nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf \u1edf ng\u01b0\u1eddi l\u1edbn v\u1edbi ho\u00e0n c\u1ea3nh r\u1ea5t kh\u00e1c nhau: s\u1eb7c x\u01b0\u01a1ng khi \u0103n, s\u1eb7c h\u1ea1t \u0111\u1eadu ph\u1ed9ng, u\u1ed1ng thu\u1ed1c trong b\u00f3ng t\u1ed1i v\u00e0 h\u00edt ph\u1ea3i vi\u00ean thu\u1ed1c c\u00f2n nguy\u00ean v\u1ecf, d\u1ee5ng c\u1ee5 v\u1ec7 sinh kh\u00ed qu\u1ea3n t\u1ea1i nh\u00e0 b\u1ecb g\u00e3y r\u01a1i v\u00e0o \u0111\u01b0\u1eddng th\u1edf, h\u00edt s\u1eb7c x\u01b0\u01a1ng c\u00e1 nh\u01b0ng nh\u1eadp vi\u1ec7n mu\u1ed9n, d\u1ee5ng c\u1ee5 nha khoa r\u01a1i v\u00e0o \u0111\u01b0\u1eddng th\u1edf khi l\u00e0m r\u0103ng, ho\u1eb7c chi\u1ebfc \u0111inh r\u01a1i v\u00e0o \u0111\u01b0\u1eddng th\u1edf do th\u00f3i quen ng\u1eadm \u0111inh khi lao \u0111\u1ed9ng.<\/p>\n\n\n\n

\u0110i\u1ec3m \u0111\u00e1ng m\u1eebng l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u01b0\u1ee3c ghi nh\u1eadn t\u1ea1i Khoa N\u1ed9i H\u00f4 h\u1ea5p \u0111\u00e3 \u0111\u01b0\u1ee3c n\u1ed9i soi ph\u1ebf qu\u1ea3n l\u1ea5y d\u1ecb v\u1eadt th\u00e0nh c\u00f4ng. Nh\u01b0ng b\u00e0i h\u1ecdc l\u1edbn nh\u1ea5t t\u1eeb c\u00e1c ca b\u1ec7nh n\u00e0y kh\u00f4ng ch\u1ec9 l\u00e0 \u201cl\u1ea5y \u0111\u01b0\u1ee3c d\u1ecb v\u1eadt\u201d, m\u00e0 l\u00e0: n\u1ebfu ph\u00e1t hi\u1ec7n mu\u1ed9n, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ph\u1ea3i tr\u1ea3 gi\u00e1 b\u1eb1ng nhi\u1ec5m tr\u00f9ng n\u1eb7ng, x\u1eb9p ph\u1ed5i, \u00e1p-xe ph\u1ed5i, tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i, th\u1eddi gian n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i v\u00e0 g\u00e1nh n\u1eb7ng \u0111i\u1ec1u tr\u1ecb l\u1edbn h\u01a1n r\u1ea5t nhi\u1ec1u.<\/p>\n\n\n\n

2. Kh\u00f4ng ch\u1ec9 l\u00e0 \u201cb\u1ecb h\u00f3c\u201d, d\u1ecb v\u1eadt c\u00f3 th\u1ec3 n\u1eb1m s\u00e2u trong ph\u1ed5i<\/strong><\/p>\n\n\n\n

Nhi\u1ec1u ng\u01b0\u1eddi th\u01b0\u1eddng ngh\u0129 \u201ch\u00f3c\u201d l\u00e0 khi th\u1ee9c \u0103n m\u1eafc \u1edf c\u1ed5 h\u1ecdng, g\u00e2y ngh\u1eb9n ho\u1eb7c kh\u00f3 nu\u1ed1t. D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf l\u00e0 t\u00ecnh hu\u1ed1ng kh\u00e1c: v\u1eadt l\u1ea1 kh\u00f4ng \u0111i xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a m\u00e0 \u0111i nh\u1ea7m v\u00e0o kh\u00ed qu\u1ea3n ho\u1eb7c ph\u1ebf qu\u1ea3n.<\/p>\n\n\n\n

Khi d\u1ecb v\u1eadt r\u01a1i v\u00e0o \u0111\u01b0\u1eddng th\u1edf, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ho s\u1eb7c d\u1eef d\u1ed9i ngay l\u00fac \u0111\u1ea7u. Nh\u01b0ng n\u1ebfu d\u1ecb v\u1eadt nh\u1ecf, r\u01a1i s\u00e2u v\u00e0o ph\u1ebf qu\u1ea3n v\u00e0 kh\u00f4ng l\u00e0m t\u1eafc ho\u00e0n to\u00e0n \u0111\u01b0\u1eddng th\u1edf, c\u01a1n s\u1eb7c ban \u0111\u1ea7u c\u00f3 th\u1ec3 gi\u1ea3m \u0111i. Ng\u01b0\u1eddi b\u1ec7nh t\u01b0\u1edfng r\u1eb1ng \u201c\u0111\u00e3 qua r\u1ed3i\u201d, trong khi d\u1ecb v\u1eadt v\u1eabn c\u00f2n n\u1eb1m l\u1ea1i trong ph\u1ed5i v\u00e0 \u00e2m th\u1ea7m g\u00e2y k\u00edch th\u00edch, \u1ee9 \u0111\u1ecdng \u0111\u00e0m, vi\u00eam nhi\u1ec5m, x\u1eb9p ph\u1ed5i ho\u1eb7c vi\u00eam ph\u1ed5i k\u00e9o d\u00e0i.<\/p>\n\n\n\n

T\u1ea1i Khoa N\u1ed9i H\u00f4 h\u1ea5p, c\u00f3 tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh h\u00edt s\u1eb7c x\u01b0\u01a1ng c\u00e1 nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c ng\u01b0\u1eddi nh\u00e0 ph\u00e1t hi\u1ec7n s\u1edbm. Sau kho\u1ea3ng m\u1ed9t th\u00e1ng, ng\u01b0\u1eddi b\u1ec7nh nh\u1eadp vi\u1ec7n trong t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng n\u1eb7ng, c\u00f3 tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i. D\u1ecb v\u1eadt \u0111\u01b0\u1ee3c l\u1ea5y ra th\u00e0nh c\u00f4ng b\u1eb1ng n\u1ed9i soi ph\u1ebf qu\u1ea3n, nh\u01b0ng do bi\u1ebfn ch\u1ee9ng \u0111\u00e3 x\u1ea3y ra, qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb sau \u0111\u00f3 v\u1eabn k\u00e9o d\u00e0i v\u00e0 ph\u1ee9c t\u1ea1p.<\/p>\n\n\n\n

\u0110\u00e2y l\u00e0 v\u00ed d\u1ee5 r\u1ea5t \u0111i\u1ec3n h\u00ecnh: m\u1ed9t c\u01a1n s\u1eb7c t\u01b0\u1edfng nh\u01b0 \u0111\u00e3 \u201cqua r\u1ed3i\u201d v\u1eabn c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1 n\u1ebfu d\u1ecb v\u1eadt b\u1ecb b\u1ecf s\u00f3t.<\/p>\n\n\n\n

V\u00ec v\u1eady, c\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t hai t\u00ecnh hu\u1ed1ng \u0111\u1ec3 d\u1ec5 nh\u1edb: d\u1ecb v\u1eadt c\u1ea5p t\u00ednh g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf v\u00e0 d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf b\u1ecb b\u1ecf s\u00f3t.<\/p>\n\n\n\n

– H\u00edt s\u1eb7c d\u1ecb v\u1eadt c\u1ea5p t\u00ednh g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf: th\u01b0\u1eddng x\u1ea3y ra ngay sau c\u01a1n s\u1eb7c, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 ho d\u1eef d\u1ed9i, th\u1edf r\u00edt, kh\u00f3 th\u1edf, t\u00edm t\u00e1i, kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c ho\u1eb7c kh\u00f4ng ho \u0111\u01b0\u1ee3c. \u0110\u00e2y l\u00e0 t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng, c\u1ea7n g\u1ecdi 115 ngay. C\u00e1c bi\u1ec7n ph\u00e1p s\u01a1 c\u1ee9u ngh\u1eb9t th\u1edf nh\u01b0 v\u1ed7 l\u01b0ng ho\u1eb7c \u00e9p b\u1ee5ng ki\u1ec3u Heimlich ch\u1ec9 \u00e1p d\u1ee5ng khi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 d\u1ea5u hi\u1ec7u t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf n\u1eb7ng v\u00e0 n\u00ean do ng\u01b0\u1eddi \u0111\u00e3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn th\u1ef1c hi\u1ec7n; n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh v\u1eabn ho \u0111\u01b0\u1ee3c, c\u1ea7n khuy\u1ebfn kh\u00edch ho, theo d\u00f5i s\u00e1t v\u00e0 g\u1ecdi c\u1ea5p c\u1ee9u khi d\u1ea5u hi\u1ec7u n\u1eb7ng xu\u1ea5t hi\u1ec7n. N\u1ed9i dung s\u01a1 c\u1ee9u ngh\u1eb9t th\u1edf n\u00ean \u0111\u01b0\u1ee3c truy\u1ec1n th\u00f4ng ri\u00eang trong m\u1ed9t b\u00e0i h\u01b0\u1edbng d\u1eabn chuy\u00ean bi\u1ec7t.<\/p>\n\n\n\n

– D\u1ecb v\u1eadt b\u1ecf s\u00f3t ho\u1eb7c r\u01a1i s\u00e2u trong ph\u1ebf qu\u1ea3n: c\u01a1n s\u1eb7c ban \u0111\u1ea7u c\u00f3 th\u1ec3 gi\u1ea3m, ng\u01b0\u1eddi b\u1ec7nh v\u1eabn th\u1edf \u0111\u01b0\u1ee3c n\u00ean d\u1ec5 ch\u1ee7 quan. Tuy nhi\u00ean, sau v\u00e0i ng\u00e0y \u0111\u1ebfn v\u00e0i tu\u1ea7n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n ho k\u00e9o d\u00e0i, kh\u00f2 kh\u00e8 m\u1ed9t b\u00ean, \u0111au ng\u1ef1c, s\u1ed1t, ho \u0111\u00e0m, vi\u00eam ph\u1ed5i kh\u00f4ng kh\u1ecfi ho\u1eb7c vi\u00eam ph\u1ed5i t\u00e1i ph\u00e1t \u1edf c\u00f9ng m\u1ed9t v\u1ecb tr\u00ed. \u0110\u00e2y l\u00e0 nh\u00f3m r\u1ea5t c\u1ea7n \u0111\u01b0\u1ee3c ngh\u0129 \u0111\u1ebfn trong chuy\u00ean khoa h\u00f4 h\u1ea5p, v\u00ec n\u1ebfu ch\u1ea9n \u0111o\u00e1n mu\u1ed9n c\u00f3 th\u1ec3 g\u00e2y x\u1eb9p ph\u1ed5i, \u00e1p-xe ph\u1ed5i, gi\u00e3n ph\u1ebf qu\u1ea3n khu tr\u00fa ho\u1eb7c tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i.<\/p>\n\n\n\n

3. T\u1eeb c\u00e1c ca b\u1ec7nh th\u1ef1c t\u1ebf: Nh\u1eefng b\u00e0i h\u1ecdc r\u1ea5t \u0111\u1eddi th\u01b0\u1eddng<\/strong><\/p>\n\n\n\n

D\u1ecb v\u1eadt t\u1eeb b\u1eefa \u0103n h\u1eb1ng ng\u00e0y<\/strong><\/p>\n\n\n\n

X\u01b0\u01a1ng c\u00e1, x\u01b0\u01a1ng th\u1ecbt, h\u1ea1t \u0111\u1eadu ph\u1ed9ng, h\u1ea1t d\u01b0a, h\u1ea1t b\u00ed ho\u1eb7c m\u1ea3nh th\u1ee9c \u0103n c\u1ee9ng c\u00f3 th\u1ec3 b\u1ecb h\u00edt v\u00e0o \u0111\u01b0\u1eddng th\u1edf khi \u0103n nhanh, nhai kh\u00f4ng k\u1ef9, v\u1eeba \u0103n v\u1eeba n\u00f3i chuy\u1ec7n, c\u01b0\u1eddi \u0111\u00f9a ho\u1eb7c ho s\u1eb7c trong l\u00fac \u0103n. Ng\u01b0\u1eddi cao tu\u1ed5i, ng\u01b0\u1eddi c\u00f3 r\u0103ng y\u1ebfu, mang r\u0103ng gi\u1ea3, t\u1eebng \u0111\u1ed9t qu\u1ef5, b\u1ec7nh th\u1ea7n kinh ho\u1eb7c r\u1ed1i lo\u1ea1n nu\u1ed1t c\u1ea7n \u0111\u1eb7c bi\u1ec7t th\u1eadn tr\u1ecdng.<\/p>\n\n\n\n

B\u00e0i h\u1ecdc: \u0103n ch\u1eadm, nhai k\u1ef9, ng\u1ed3i th\u1eb3ng khi \u0103n, h\u1ea1n ch\u1ebf n\u00f3i chuy\u1ec7n ho\u1eb7c c\u01b0\u1eddi \u0111\u00f9a l\u00fac \u0111ang nhai nu\u1ed1t; c\u1ea9n th\u1eadn v\u1edbi c\u00e1c m\u00f3n c\u00f3 x\u01b0\u01a1ng nh\u1ecf, c\u00e1c lo\u1ea1i h\u1ea1t v\u00e0 c\u1ea3 nh\u1eefng th\u1ee9c \u0103n m\u1ec1m d\u1ec5 v\u1ee1 v\u1ee5n nh\u01b0 b\u00e1nh. V\u1edbi ng\u01b0\u1eddi cao tu\u1ed5i ho\u1eb7c ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 r\u1ed1i lo\u1ea1n nu\u1ed1t, gia \u0111\u00ecnh c\u1ea7n ch\u00fa \u00fd h\u01a1n n\u1ebfu sau b\u1eefa \u0103n m\u00e0 ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ed9t ng\u1ed9t ho s\u1eb7c, kh\u00f2 kh\u00e8, kh\u00f3 th\u1edf nh\u1eb9 ho\u1eb7c ho k\u00e9o d\u00e0i b\u1ea5t th\u01b0\u1eddng.<\/em><\/p>\n\n\n\n

D\u1ecb v\u1eadt t\u1eeb thu\u1ed1c: tai n\u1ea1n d\u1ec5 b\u1ecb xem nh\u1eb9<\/strong><\/p>\n\n\n\n

M\u1ed9t t\u00ecnh hu\u1ed1ng r\u1ea5t \u0111\u00e1ng nh\u1edb l\u00e0 ng\u01b0\u1eddi b\u1ec7nh u\u1ed1ng thu\u1ed1c trong b\u00f3ng t\u1ed1i v\u00e0 h\u00edt ph\u1ea3i vi\u00ean thu\u1ed1c c\u00f2n nguy\u00ean v\u1ecf. \u0110\u00e2y l\u00e0 tai n\u1ea1n c\u00f3 th\u1ec3 ph\u00f2ng tr\u00e1nh, nh\u01b0ng c\u00f3 th\u1ec3 x\u1ea3y ra khi u\u1ed1ng thu\u1ed1c v\u1ed9i, u\u1ed1ng l\u00fac bu\u1ed3n ng\u1ee7, u\u1ed1ng khi \u0111ang n\u1eb1m ho\u1eb7c kh\u00f4ng ki\u1ec3m tra k\u1ef9 thu\u1ed1c.<\/p>\n\n\n\n

V\u1ecf thu\u1ed1c c\u00f3 c\u1ea1nh s\u1eafc c\u00f3 th\u1ec3 g\u00e2y tr\u1ea7y x\u01b0\u1edbc, ch\u1ea3y m\u00e1u ho\u1eb7c m\u1eafc k\u1eb9t trong ph\u1ebf qu\u1ea3n. M\u1ed9t s\u1ed1 thu\u1ed1c n\u1ebfu tan trong \u0111\u01b0\u1eddng th\u1edf c\u0169ng c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng, vi\u00eam \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n\n\n

B\u00e0i h\u1ecdc: u\u1ed1ng thu\u1ed1c \u1edf n\u01a1i \u0111\u1ee7 s\u00e1ng, b\u00f3c thu\u1ed1c kh\u1ecfi v\u1ec9 tr\u01b0\u1edbc khi u\u1ed1ng, u\u1ed1ng t\u1eebng vi\u00ean v\u1edbi \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 n\u00ean ng\u1ed3i th\u1eb3ng khi u\u1ed1ng thu\u1ed1c.<\/em><\/p>\n\n\n\n

D\u1ecb v\u1eadt trong lao \u0111\u1ed9ng: th\u00f3i quen nh\u1ecf, nguy c\u01a1 l\u1edbn<\/strong><\/p>\n\n\n\n

M\u1ed9t tr\u01b0\u1eddng h\u1ee3p r\u1ea5t c\u00f3 t\u00ednh c\u1ea3nh b\u00e1o l\u00e0 ng\u01b0\u1eddi th\u1ee3 m\u1ed9c ng\u1eadm \u0111inh trong mi\u1ec7ng \u0111\u1ec3 thao t\u00e1c nhanh h\u01a1n, sau \u0111\u00f3 kh\u00f4ng may h\u00edt s\u1eb7c khi\u1ebfn chi\u1ebfc \u0111inh r\u01a1i v\u00e0o \u0111\u01b0\u1eddng th\u1edf. Trong th\u1ef1c t\u1ebf, nhi\u1ec1u ng\u01b0\u1eddi lao \u0111\u1ed9ng c\u00f3 th\u00f3i quen ng\u1eadm \u0111inh, v\u00edt, kim, t\u0103m, linh ki\u1ec7n ho\u1eb7c k\u1eb9p nh\u1ecf trong mi\u1ec7ng nh\u01b0 m\u1ed9t \u201cb\u00e0n tay th\u1ee9 ba\u201d.<\/p>\n\n\n\n

V\u1edbi c\u00e1c d\u1ecb v\u1eadt kim lo\u1ea1i, s\u1eafc nh\u1ecdn nh\u01b0 \u0111inh, v\u00edt, kim ho\u1eb7c d\u1ee5ng c\u1ee5 nh\u1ecf, nguy c\u01a1 kh\u00f4ng ch\u1ec9 l\u00e0 ho s\u1eb7c. D\u1ecb v\u1eadt c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7y x\u01b0\u1edbc, ch\u1ea3y m\u00e1u, m\u1eafc s\u00e2u v\u00e0o ph\u1ebf qu\u1ea3n, g\u00e2y nhi\u1ec5m tr\u00f9ng ho\u1eb7c l\u00e0m th\u1ee7 thu\u1eadt l\u1ea5y d\u1ecb v\u1eadt kh\u00f3 kh\u0103n h\u01a1n.<\/p>\n\n\n\n

B\u00e0i h\u1ecdc: tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ng\u1eadm \u0111inh, v\u00edt, kim ho\u1eb7c v\u1eadt nh\u1ecf trong mi\u1ec7ng khi l\u00e0m vi\u1ec7c. H\u00e3y d\u00f9ng h\u1ed9p \u0111\u1ef1ng, khay nam ch\u00e2m ho\u1eb7c d\u1ee5ng c\u1ee5 gi\u1eef chuy\u00ean d\u1ee5ng.<\/em><\/p>\n\n\n\n

D\u1ecb v\u1eadt trong nha khoa v\u00e0 th\u1ee7 thu\u1eadt v\u00f9ng mi\u1ec7ng<\/strong><\/p>\n\n\n\n

M\u1ed9t s\u1ed1 ca d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf c\u00f3 li\u00ean quan \u0111\u1ebfn th\u1ee7 thu\u1eadt v\u00f9ng r\u0103ng mi\u1ec7ng. Khi ng\u01b0\u1eddi b\u1ec7nh n\u1eb1m ng\u1eeda, v\u00f9ng thao t\u00e1c n\u1eb1m g\u1ea7n h\u1ecdng; thu\u1ed1c t\u00ea t\u1ea1i ch\u1ed7 ho\u1eb7c an th\u1ea7n n\u1ebfu c\u00f3 c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i ph\u1ea3n x\u1ea1 ho – nu\u1ed1t, l\u00e0m t\u0103ng nguy c\u01a1 nu\u1ed1t ho\u1eb7c h\u00edt s\u1eb7c d\u1ee5ng c\u1ee5, v\u1eadt li\u1ec7u nha khoa; n\u1ebfu m\u1ed9t d\u1ee5ng c\u1ee5 nh\u1ecf ho\u1eb7c v\u1eadt li\u1ec7u nha khoa r\u01a1i kh\u1ecfi tay, v\u1eadt \u0111\u00f3 c\u00f3 th\u1ec3 b\u1ecb nu\u1ed1t xu\u1ed1ng \u0111\u01b0\u1eddng ti\u00eau h\u00f3a ho\u1eb7c nguy hi\u1ec3m h\u01a1n l\u00e0 b\u1ecb h\u00edt v\u00e0o \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n\n\n

B\u00e0i h\u1ecdc: ng\u01b0\u1eddi b\u1ec7nh n\u00ean b\u00e1o v\u1edbi nha s\u0129 n\u1ebfu m\u00ecnh d\u1ec5 s\u1eb7c, ho nhi\u1ec1u, c\u00f3 b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, r\u1ed1i lo\u1ea1n nu\u1ed1t, t\u1eebng \u0111\u1ed9t qu\u1ef5 ho\u1eb7c t\u1eebng c\u00f3 tai bi\u1ebfn s\u1eb7c. C\u00e1c c\u01a1 s\u1edf th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt v\u00f9ng mi\u1ec7ng c\u1ea7n ch\u00fa \u00fd bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba r\u01a1i d\u1ee5ng c\u1ee5, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao.<\/em><\/p>\n\n\n\n

D\u1ecb v\u1eadt \u1edf ng\u01b0\u1eddi m\u1edf kh\u00ed qu\u1ea3n ho\u1eb7c ch\u0103m s\u00f3c \u0111\u01b0\u1eddng th\u1edf t\u1ea1i nh\u00e0<\/strong><\/p>\n\n\n\n

\u1ede ng\u01b0\u1eddi b\u1ec7nh c\u00f3 m\u1edf kh\u00ed qu\u1ea3n ho\u1eb7c c\u1ea7n ch\u0103m s\u00f3c \u0111\u01b0\u1eddng th\u1edf l\u00e2u d\u00e0i, d\u1ecb v\u1eadt c\u00f3 th\u1ec3 l\u00e0 m\u1ea3nh d\u1ee5ng c\u1ee5 v\u1ec7 sinh kh\u00ed qu\u1ea3n b\u1ecb g\u00e3y, v\u1eadt t\u01b0 kh\u00f4ng ph\u00f9 h\u1ee3p ho\u1eb7c b\u1ed9 ph\u1eadn nh\u1ecf r\u01a1i v\u00e0o \u0111\u01b0\u1eddng th\u1edf trong qu\u00e1 tr\u00ecnh thao t\u00e1c.<\/p>\n\n\n\n

B\u00e0i h\u1ecdc: ng\u01b0\u1eddi ch\u0103m s\u00f3c c\u1ea7n \u0111\u01b0\u1ee3c nh\u00e2n vi\u00ean y t\u1ebf h\u01b0\u1edbng d\u1eabn \u0111\u1ea7y \u0111\u1ee7, ki\u1ec3m tra d\u1ee5ng c\u1ee5 tr\u01b0\u1edbc v\u00e0 sau khi s\u1eed d\u1ee5ng, kh\u00f4ng d\u00f9ng v\u1eadt t\u01b0 \u0111\u00e3 h\u01b0 h\u1ecfng, n\u1ee9t g\u00e3y ho\u1eb7c kh\u00f4ng \u0111\u00fang lo\u1ea1i. N\u1ebfu sau ch\u0103m s\u00f3c c\u00f3 ho s\u1eb7c, kh\u00f3 th\u1edf, ch\u1ea3y m\u00e1u ho\u1eb7c b\u1ea5t th\u01b0\u1eddng h\u00f4 h\u1ea5p, c\u1ea7n \u0111\u01b0a ng\u01b0\u1eddi b\u1ec7nh \u0111i kh\u00e1m ngay.<\/em><\/p>\n\n\n\n

4. Khi n\u00e0o l\u00e0 c\u1ea5p c\u1ee9u, khi n\u00e0o c\u1ea7n \u0111i kh\u00e1m h\u00f4 h\u1ea5p?<\/strong><\/p>\n\n\n\n

Sau m\u1ed9t c\u01a1n s\u1eb7c, kh\u00f4ng n\u00ean ch\u1ec9 h\u1ecfi \u201cc\u00f2n ngh\u1eb9n kh\u00f4ng\u201d. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i ph\u00e2n bi\u1ec7t: ng\u01b0\u1eddi b\u1ec7nh \u0111ang ngh\u1eb9t th\u1edf c\u1ea5p t\u00ednh c\u1ea7n c\u1ea5p c\u1ee9u ngay, hay d\u1ecb v\u1eadt c\u00f3 th\u1ec3 \u0111\u00e3 r\u01a1i s\u00e2u v\u00e0o ph\u1ebf qu\u1ea3n v\u00e0 g\u00e2y tri\u1ec7u ch\u1ee9ng k\u00e9o d\u00e0i v\u1ec1 sau.<\/p>\n\n\n\n

Ng\u01b0\u1eddi d\u00e2n c\u1ea7n x\u1eed tr\u00ed theo m\u1ee9c \u0111\u1ed9 n\u1eb7ng:<\/p>\n\n\n\n

    \n
  • G\u1ecdi c\u1ea5p c\u1ee9u 115 ngay n\u1ebfu sau c\u01a1n s\u1eb7c ng\u01b0\u1eddi b\u1ec7nh t\u00edm t\u00e1i, kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c, kh\u00f4ng ho \u0111\u01b0\u1ee3c, kh\u00f3 th\u1edf d\u1eef d\u1ed9i, th\u1edf r\u00edt nhi\u1ec1u, l\u01a1 m\u01a1 ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u ngh\u1eb9t th\u1edf.<\/li>\n\n\n\n
  • \u0110i kh\u00e1m chuy\u00ean khoa h\u00f4 h\u1ea5p s\u1edbm n\u1ebfu c\u00f3 c\u01a1n s\u1eb7c r\u00f5 r\u00e0ng khi \u0103n, u\u1ed1ng thu\u1ed1c, l\u00e0m r\u0103ng, lao \u0111\u1ed9ng ho\u1eb7c ch\u0103m s\u00f3c kh\u00ed qu\u1ea3n t\u1ea1i nh\u00e0, k\u1ec3 c\u1ea3 khi c\u01a1n ngh\u1eb9n ban \u0111\u1ea7u \u0111\u00e3 gi\u1ea3m.<\/li>\n\n\n\n
  • Sau c\u01a1n s\u1eb7c v\u1eabn c\u00f2n ho k\u00e9o d\u00e0i, kh\u00f2 kh\u00e8, \u0111au ng\u1ef1c, ho ra m\u00e1u, s\u1ed1t, ho \u0111\u00e0m ho\u1eb7c c\u1ea3m gi\u00e1c kh\u00f3 th\u1edf b\u1ea5t th\u01b0\u1eddng.<\/li>\n\n\n\n
  • Vi\u00eam ph\u1ed5i k\u00e9o d\u00e0i, vi\u00eam ph\u1ed5i t\u00e1i ph\u00e1t \u1edf c\u00f9ng m\u1ed9t v\u1ecb tr\u00ed ho\u1eb7c \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n, hen, vi\u00eam ph\u1ed5i nh\u01b0ng kh\u00f4ng c\u1ea3i thi\u1ec7n nh\u01b0 mong \u0111\u1ee3i; \u0111\u00e2y l\u00e0 t\u00ecnh hu\u1ed1ng c\u1ea7n ngh\u0129 \u0111\u1ebfn d\u1ecb v\u1eadt b\u1ecb b\u1ecf s\u00f3t.<\/li>\n\n\n\n
  • Ng\u01b0\u1eddi b\u1ec7nh thu\u1ed9c nh\u00f3m nguy c\u01a1 cao: cao tu\u1ed5i, r\u1ed1i lo\u1ea1n nu\u1ed1t, b\u1ec7nh th\u1ea7n kinh, sau \u0111\u1ed9t qu\u1ef5, sa s\u00fat tr\u00ed tu\u1ec7, d\u00f9ng thu\u1ed1c an th\u1ea7n, u\u1ed1ng r\u01b0\u1ee3u bia, b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, m\u1edf kh\u00ed qu\u1ea3n ho\u1eb7c ch\u0103m s\u00f3c \u0111\u01b0\u1eddng th\u1edf t\u1ea1i nh\u00e0.<\/li>\n\n\n\n
  • <\/li>\n<\/ul>\n\n\n\n

    L\u01b0u \u00fd c\u1ea5p c\u1ee9u: Kh\u00f4ng ph\u1ea3i ai c\u0169ng may m\u1eafn \u0111\u1ebfn b\u1ec7nh vi\u1ec7n k\u1ecbp \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u1ee9u. N\u1ebfu sau khi s\u1eb7c ng\u01b0\u1eddi b\u1ec7nh t\u00edm t\u00e1i, kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c, kh\u00f4ng ho \u0111\u01b0\u1ee3c, kh\u00f3 th\u1edf d\u1eef d\u1ed9i ho\u1eb7c l\u01a1 m\u01a1, c\u1ea7n g\u1ecdi c\u1ea5p c\u1ee9u 115 ngay. Trong t\u00ecnh hu\u1ed1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf n\u1eb7ng, ng\u01b0\u1eddi \u0111\u00e3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn s\u01a1 c\u1ee9u c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc theo khuy\u1ebfn c\u00e1o c\u1ea5p c\u1ee9u, nh\u01b0 v\u1ed7 l\u01b0ng v\u00e0 \u00e9p b\u1ee5ng ki\u1ec3u Heimlich \u1edf ng\u01b0\u1eddi l\u1edbn ph\u00f9 h\u1ee3p; n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh v\u1eabn c\u00f2n ho hi\u1ec7u qu\u1ea3, c\u1ea7n khuy\u1ebfn kh\u00edch ho v\u00e0 theo d\u00f5i s\u00e1t. N\u1ed9i dung n\u00e0y kh\u00f4ng thay th\u1ebf vi\u1ec7c \u0111i kh\u00e1m khi sau c\u01a1n s\u1eb7c v\u1eabn c\u00f2n ho, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, s\u1ed1t ho\u1eb7c vi\u00eam ph\u1ed5i k\u00e9o d\u00e0i.<\/p>\n\n\n\n

    5. Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb: kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o X-quang c\u0169ng th\u1ea5y d\u1ecb v\u1eadt<\/strong><\/p>\n\n\n\n

    Kh\u00f4ng ph\u1ea3i m\u1ecdi d\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf \u0111\u1ec1u hi\u1ec7n r\u00f5 tr\u00ean phim X-quang. X\u01b0\u01a1ng nh\u1ecf, th\u1ee9c \u0103n, h\u1ea1t, v\u1ecf thu\u1ed1c ho\u1eb7c m\u1ed9t s\u1ed1 v\u1eadt li\u1ec7u kh\u00f4ng c\u1ea3n quang c\u00f3 th\u1ec3 kh\u00f3 ph\u00e1t hi\u1ec7n. T\u00f9y thu\u1ed9c v\u00e0o k\u1ebft qu\u1ea3 kh\u00e1m l\u00e2m s\u00e0ng, b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh ch\u1ee5p CT ng\u1ef1c \u0111\u1ec3 t\u00ecm d\u1ecb v\u1eadt, x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed v\u00e0 \u0111\u00e1nh gi\u00e1 bi\u1ebfn ch\u1ee9ng nh\u01b0 x\u1eb9p ph\u1ed5i, vi\u00eam ph\u1ed5i sau t\u1eafc ngh\u1ebdn, \u00e1p-xe ph\u1ed5i ho\u1eb7c tr\u00e0n d\u1ecbch – tr\u00e0n m\u1ee7 m\u00e0ng ph\u1ed5i.<\/p>\n\n\n\n

    N\u1ed9i soi ph\u1ebf qu\u1ea3n l\u00e0 ph\u01b0\u01a1ng ph\u00e1p quan tr\u1ecdng \u0111\u1ec3 quan s\u00e1t tr\u1ef1c ti\u1ebfp \u0111\u01b0\u1eddng th\u1edf v\u00e0 l\u1ea5y d\u1ecb v\u1eadt. T\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 l\u1ef1a ch\u1ecdn n\u1ed9i soi ph\u1ebf qu\u1ea3n \u1ed1ng m\u1ec1m ho\u1eb7c \u1ed1ng c\u1ee9ng, ph\u1ed1i h\u1ee3p c\u00e1c d\u1ee5ng c\u1ee5 chuy\u00ean bi\u1ec7t \u0111\u1ec3 g\u1eafp d\u1ecb v\u1eadt. L\u1ef1a ch\u1ecdn n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc, h\u00ecnh d\u1ea1ng, v\u1ecb tr\u00ed d\u1ecb v\u1eadt, m\u1ee9c \u0111\u1ed9 nguy hi\u1ec3m, t\u00ecnh tr\u1ea1ng h\u00f4 h\u1ea5p c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u00e0 kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n\n\n

    T\u1eeb kinh nghi\u1ec7m th\u1ef1c t\u1ebf c\u1ee7a Khoa N\u1ed9i H\u00f4 h\u1ea5p, vi\u1ec7c g\u1eafp d\u1ecb v\u1eadt an to\u00e0n ph\u1ee5 thu\u1ed9c nhi\u1ec1u v\u00e0o ba y\u1ebfu t\u1ed1: ngh\u0129 \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n s\u1edbm; \u0111\u1ecbnh v\u1ecb d\u1ecb v\u1eadt ch\u00ednh x\u00e1c v\u00e0 \u00ea-k\u00edp n\u1ed9i soi c\u00f3 \u0111\u1ee7 kinh nghi\u1ec7m, d\u1ee5ng c\u1ee5 ph\u00f9 h\u1ee3p \u0111\u1ec3 x\u1eed tr\u00ed. V\u1edbi d\u1ecb v\u1eadt s\u1eafc nh\u1ecdn nh\u01b0 x\u01b0\u01a1ng c\u00e1, \u0111inh, v\u00edt, d\u1ee5ng c\u1ee5 nha khoa ho\u1eb7c m\u1ea3nh nh\u1ef1a c\u1ee9ng, th\u1ee7 thu\u1eadt kh\u00f4ng ch\u1ec9 l\u00e0 \u201cg\u1eafp ra\u201d, m\u00e0 c\u00f2n ph\u1ea3i ki\u1ec3m so\u00e1t nguy c\u01a1 ch\u1ea3y m\u00e1u, t\u1ed5n th\u01b0\u01a1ng ph\u1ebf qu\u1ea3n, r\u01a1i d\u1ecb v\u1eadt s\u00e2u h\u01a1n ho\u1eb7c suy h\u00f4 h\u1ea5p trong qu\u00e1 tr\u00ecnh can thi\u1ec7p.<\/p>\n\n\n\n

    Ng\u01b0\u1eddi d\u00e2n kh\u00f4ng n\u00ean t\u1ef1 x\u1eed tr\u00ed b\u1eb1ng c\u00e1ch m\u00f3c h\u1ecdng, nu\u1ed1t c\u01a1m, u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, t\u1ef1 d\u00f9ng thu\u1ed1c ho ho\u1eb7c t\u1ef1 d\u00f9ng kh\u00e1ng sinh k\u00e9o d\u00e0i \u0111\u1ec3 \u201cch\u1edd kh\u1ecfi\u201d. Nh\u1eefng c\u00e1ch n\u00e0y c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ch\u1ea9n \u0111o\u00e1n ho\u1eb7c khi\u1ebfn t\u00ecnh tr\u1ea1ng n\u1eb7ng h\u01a1n.<\/p>\n\n\n\n

    6. Ph\u00f2ng ng\u1eeba: B\u1eaft \u0111\u1ea7u t\u1eeb nh\u1eefng th\u00f3i quen r\u1ea5t nh\u1ecf<\/strong><\/p>\n\n\n\n

    Khi \u0103n, n\u00ean \u0103n ch\u1eadm, nhai k\u1ef9, ng\u1ed3i th\u1eb3ng, tr\u00e1nh n\u00f3i chuy\u1ec7n ho\u1eb7c c\u01b0\u1eddi \u0111\u00f9a khi \u0111ang nhai nu\u1ed1t; \u0111\u1eb7c bi\u1ec7t c\u1ea9n th\u1eadn v\u1edbi c\u00e1, th\u1ecbt c\u00f3 x\u01b0\u01a1ng nh\u1ecf v\u00e0 c\u00e1c lo\u1ea1i h\u1ea1t.<\/p>\n\n\n\n

    Khi u\u1ed1ng thu\u1ed1c, c\u1ea7n u\u1ed1ng \u1edf n\u01a1i \u0111\u1ee7 s\u00e1ng, ki\u1ec3m tra k\u1ef9 thu\u1ed1c, b\u00f3c thu\u1ed1c kh\u1ecfi v\u1ec9, u\u1ed1ng t\u1eebng vi\u00ean v\u1edbi \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 kh\u00f4ng u\u1ed1ng thu\u1ed1c khi \u0111ang n\u1eb1m ho\u1eb7c \u0111ang bu\u1ed3n ng\u1ee7.<\/p>\n\n\n\n

    Khi l\u00e0m vi\u1ec7c v\u1edbi v\u1eadt nh\u1ecf nh\u01b0 \u0111inh, v\u00edt, kim, t\u0103m, linh ki\u1ec7n, tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng ng\u1eadm trong mi\u1ec7ng; n\u00ean d\u00f9ng h\u1ed9p \u0111\u1ef1ng, khay \u0111\u1ef1ng, khay nam ch\u00e2m ho\u1eb7c d\u1ee5ng c\u1ee5 gi\u1eef chuy\u00ean d\u1ee5ng.<\/p>\n\n\n\n

    Khi l\u00e0m r\u0103ng ho\u1eb7c th\u1ee7 thu\u1eadt v\u00f9ng mi\u1ec7ng, ng\u01b0\u1eddi b\u1ec7nh n\u00ean th\u00f4ng b\u00e1o n\u1ebfu c\u00f3 b\u1ec7nh ph\u1ed5i m\u1ea1n t\u00ednh, ho nhi\u1ec1u, d\u1ec5 s\u1eb7c, r\u1ed1i lo\u1ea1n nu\u1ed1t ho\u1eb7c t\u1eebng b\u1ecb s\u1eb7c. C\u01a1 s\u1edf th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt c\u1ea7n ch\u00fa \u00fd bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba r\u01a1i d\u1ee5ng c\u1ee5 v\u00e0o h\u1ecdng.<\/p>\n\n\n\n

    Ng\u01b0\u1eddi b\u1ec7nh c\u00f3 m\u1edf kh\u00ed qu\u1ea3n c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c b\u1eb1ng d\u1ee5ng c\u1ee5 ph\u00f9 h\u1ee3p, ki\u1ec3m tra v\u1eadt t\u01b0 tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng v\u00e0 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn b\u1edfi nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n\n\n\n

    Th\u00f4ng \u0111i\u1ec7p t\u1eeb Khoa N\u1ed9i H\u00f4 h\u1ea5p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/em><\/strong><\/p>\n\n\n\n

    D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf \u1edf ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb nh\u1eefng t\u00ecnh hu\u1ed1ng r\u1ea5t \u0111\u1eddi th\u01b0\u1eddng: m\u1ed9t b\u1eefa \u0103n, m\u1ed9t mi\u1ebfng b\u00e1nh \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, m\u1ed9t vi\u00ean thu\u1ed1c, m\u1ed9t thao t\u00e1c l\u00e0m r\u0103ng, m\u1ed9t d\u1ee5ng c\u1ee5 ch\u0103m s\u00f3c kh\u00ed qu\u1ea3n ho\u1eb7c m\u1ed9t th\u00f3i quen lao \u0111\u1ed9ng t\u01b0\u1edfng nh\u01b0 v\u00f4 h\u1ea1i.<\/p>\n\n\n\n

    Qua c\u00e1c ca b\u1ec7nh th\u1ef1c t\u1ebf t\u1ea1i Khoa N\u1ed9i H\u00f4 h\u1ea5p, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh, c\u00f3 th\u1ec3 th\u1ea5y: n\u1ed9i soi ph\u1ebf qu\u1ea3n c\u00f3 th\u1ec3 gi\u00fap l\u1ea5y d\u1ecb v\u1eadt th\u00e0nh c\u00f4ng trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, nh\u01b0ng th\u00e0nh c\u00f4ng c\u1ee7a th\u1ee7 thu\u1eadt kh\u00f4ng x\u00f3a \u0111i c\u00e1i gi\u00e1 c\u1ee7a s\u1ef1 ch\u1eadm tr\u1ec5. M\u1ed9t d\u1ecb v\u1eadt b\u1ecb b\u1ecf s\u00f3t c\u00f3 th\u1ec3 k\u00e9o theo nhi\u1ec5m tr\u00f9ng n\u1eb7ng, n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i, g\u00e1nh n\u1eb7ng \u0111i\u1ec1u tr\u1ecb l\u1edbn h\u01a1n cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh.<\/p>\n\n\n\n

    Sau m\u1ed9t c\u01a1n s\u1eb7c, h\u00e3y ph\u00e2n bi\u1ec7t hai t\u00ecnh hu\u1ed1ng. N\u1ebfu ng\u01b0\u1eddi b\u1ec7nh t\u00edm t\u00e1i, kh\u00f4ng n\u00f3i \u0111\u01b0\u1ee3c, kh\u00f4ng ho \u0111\u01b0\u1ee3c ho\u1eb7c kh\u00f3 th\u1edf d\u1eef d\u1ed9i, \u0111\u00f3 l\u00e0 c\u1ea5p c\u1ee9u. N\u1ebfu c\u01a1n s\u1eb7c t\u01b0\u1edfng nh\u01b0 \u0111\u00e3 qua nh\u01b0ng sau \u0111\u00f3 c\u00f2n ho, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, s\u1ed1t, ho \u0111\u00e0m, kh\u00f2 kh\u00e8 ho\u1eb7c vi\u00eam ph\u1ed5i k\u00e9o d\u00e0i, c\u1ea7n \u0111i kh\u00e1m chuy\u00ean khoa h\u00f4 h\u1ea5p s\u1edbm v\u00ec d\u1ecb v\u1eadt c\u00f3 th\u1ec3 \u0111\u00e3 r\u01a1i s\u00e2u v\u00e0o ph\u1ebf qu\u1ea3n.<\/p>\n\n\n\n

    \u0110\u1eebng d\u00f9ng mi\u1ec7ng \u0111\u1ec3 gi\u1eef nh\u1eefng v\u1eadt nh\u1ecf. \u0110\u1eebng u\u1ed1ng thu\u1ed1c trong b\u00f3ng t\u1ed1i. \u0110\u1eebng ch\u1ee7 quan sau m\u1ed9t c\u01a1n s\u1eb7c.<\/p>\n\n\n\n

    T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n

      \n
    1. BMJ Best Practice. Foreign body aspiration. Updated April 29, 2026.<\/li>\n\n\n\n
    2. Sehgal IS, Dhooria S, Ram B, et al.Foreign body inhalation in the adult population: experience of 25,998 bronchoscopies and systematic review of the literature. Respiratory Care. 2015;60(10):1438\u20131448.<\/li>\n\n\n\n
    3. Hewlett JC, Rickman OB, Lentz RJ, Prakash UB, Maldonado F. Foreign body aspiration in adult airways: therapeutic approach. J Thorac Dis. 2017 Sep;9(9):3398-3409. doi: 10.21037\/jtd.2017.06.137.<\/li>\n\n\n\n
    4. Ng J, Kim S, Chang B, et al. Clinical features and treatment outcomes of airway foreign body aspiration in adults. J Thorac Dis. 2019;11(3):1056-1064. doi: 10.21037\/jtd.2018.12.130.<\/li>\n\n\n\n
    5. Chi J, Bai Y. Bronchoscopic management of airway foreign bodies in adults: a narrative educational review. Front Med (Lausanne). 2026;13:1779715. doi: 10.3389\/fmed.2026.1779715.<\/li>\n\n\n\n
    6. Huh JY. Foreign body aspirations in dental clinics: a narrative review. J Dent Anesth Pain Med. 2022 Jun;22(3):161-174<\/li>\n\n\n\n
    7. American Heart Association. Adult Foreign-Body Airway Obstruction Algorithm. 2025.<\/li>\n<\/ol>\n\n\n\n

      TS.BS L\u00ea Th\u1ecb Thu H\u01b0\u01a1ng, Tr\u01b0\u1edfng Khoa N\u1ed9i H\u00f4 h\u1ea5p – B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh<\/em><\/strong><\/p>\n\n\n\n

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

      D\u1ecb v\u1eadt \u0111\u01b0\u1eddng th\u1edf \u1edf ng\u01b0\u1eddi l\u1edbn c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eeb m\u1ed9t tai n\u1ea1n r\u1ea5t nh\u1ecf trong b\u1eefa \u0103n, l\u00fac u\u1ed1ng thu\u1ed1c, khi lao \u0111\u1ed9ng, l\u00e0m r\u0103ng ho\u1eb7c ch\u0103m s\u00f3c kh\u00ed qu\u1ea3n t\u1ea1i nh\u00e0. C\u00f3 ng\u01b0\u1eddi may m\u1eafn \u0111\u01b0\u1ee3c l\u1ea5y d\u1ecb v\u1eadt k\u1ecbp th\u1eddi; nh\u01b0ng c\u0169ng c\u00f3 tr\u01b0\u1eddng h\u1ee3p \u0111\u1ebfn mu\u1ed9n, \u0111\u00e3 bi\u1ebfn ch\u1ee9ng 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