{"id":15902,"date":"2026-07-27T07:53:44","date_gmt":"2026-07-27T00:53:44","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=15902"},"modified":"2026-07-27T08:06:43","modified_gmt":"2026-07-27T01:06:43","slug":"thuoc-dang-hit-trong-dieu-tri-hen-va-benh-phoi-tac-nghen-man-tinh-dung-dung-moi-co-hieu-qua","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=15902","title":{"rendered":"THU\u1ed0C D\u1ea0NG H\u00cdT TRONG \u0110I\u1ec0U TR\u1eca HEN V\u00c0 B\u1ec6NH PH\u1ed4I T\u1eaeC NGH\u1ebcN M\u1ea0N T\u00cdNH: D\u00d9NG \u0110\u00daNG M\u1edaI C\u00d3 HI\u1ec6U QU\u1ea2"},"content":{"rendered":"\r\n<p class=\"wp-block-paragraph\"><strong>\u0110\u00fang thu\u1ed1c, \u0111\u00fang d\u1ee5ng c\u1ee5, \u0111\u00fang k\u1ef9 thu\u1eadt v\u00e0 \u0111\u00fang l\u1ecbch d\u00f9ng<\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Thu\u1ed1c d\u1ea1ng h\u00edt gi\u1eef vai tr\u00f2 trung t\u00e2m trong \u0111i\u1ec1u tr\u1ecb hen v\u00e0 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) v\u00ec \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u01b0\u1eddng th\u1edf. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c \u0111\u1ed3ng th\u1eddi v\u00e0o vi\u1ec7c ch\u1ecdn \u0111\u00fang thu\u1ed1c v\u00e0 d\u1ee5ng c\u1ee5, d\u00f9ng \u0111\u00fang k\u1ef9 thu\u1eadt v\u00e0 tu\u00e2n th\u1ee7 \u0111\u00fang l\u1ecbch. Kh\u00f4ng c\u00f3 m\u1ed9t c\u00e1ch h\u00edt chung cho m\u1ecdi thi\u1ebft b\u1ecb: b\u00ecnh x\u1ecbt \u0111\u1ecbnh li\u1ec1u th\u01b0\u1eddng c\u1ea7n ph\u1ed1i h\u1ee3p b\u1ea5m thu\u1ed1c v\u1edbi m\u1ed9t nh\u1ecbp h\u00edt v\u00e0o ch\u1eadm v\u00e0 s\u00e2u; d\u1ee5ng c\u1ee5 h\u00edt b\u1ed9t kh\u00f4 th\u01b0\u1eddng c\u1ea7n h\u00edt v\u00e0o nhanh, m\u1ea1nh v\u00e0 s\u00e2u sau khi \u0111\u00e3 chu\u1ea9n b\u1ecb li\u1ec1u; d\u1ee5ng c\u1ee5 phun s\u01b0\u01a1ng h\u1ea1t m\u1ecbn v\u00e0 c\u00e1c thi\u1ebft b\u1ecb kh\u00e1c c\u00f3 h\u01b0\u1edbng d\u1eabn ri\u00eang. V\u00ec v\u1eady, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn theo \u0111\u00fang lo\u1ea1i d\u1ee5ng c\u1ee5 \u0111ang s\u1eed d\u1ee5ng.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tr\u01b0\u1edbc khi h\u00edt thu\u1ed1c, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n x\u00e1c \u0111\u1ecbnh \u0111\u00fang thu\u1ed1c v\u00e0 m\u1ee5c \u0111\u00edch s\u1eed d\u1ee5ng, chu\u1ea9n b\u1ecb li\u1ec1u theo h\u01b0\u1edbng d\u1eabn c\u1ee7a thi\u1ebft b\u1ecb v\u00e0 ki\u1ec3m tra b\u1ed9 \u0111\u1ebfm li\u1ec1u n\u1ebfu c\u00f3. Khi h\u00edt, th\u01b0\u1eddng c\u1ea7n th\u1edf ra nh\u1eb9 nh\u00e0ng tr\u00e1nh xa mi\u1ec7ng ng\u1eadm, ng\u1eadm k\u00edn m\u00f4i, h\u00edt theo t\u1ed1c \u0111\u1ed9 ph\u00f9 h\u1ee3p v\u1edbi d\u1ee5ng c\u1ee5 v\u00e0 n\u00edn th\u1edf v\u00e0i gi\u00e2y. Sau khi d\u00f9ng thu\u1ed1c c\u00f3 corticosteroid d\u1ea1ng h\u00edt (ICS &#8211; inhaled corticosteroid), c\u1ea7n s\u00fac h\u1ecdng k\u1ef9 b\u1eb1ng n\u01b0\u1edbc r\u1ed3i nh\u1ed5 b\u1ecf \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 n\u1ea5m mi\u1ec7ng v\u00e0 kh\u00e0n ti\u1ebfng. Thi\u1ebft b\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c v\u1ec7 sinh, b\u1ea3o qu\u1ea3n v\u00e0 thay th\u1ebf theo h\u01b0\u1edbng d\u1eabn ri\u00eang; kh\u00f4ng t\u1ef1 ng\u00e2m r\u1eeda m\u1ecdi lo\u1ea1i d\u1ee5ng c\u1ee5 v\u00ec m\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb b\u1ed9t kh\u00f4 c\u1ea7n tr\u00e1nh \u1ea9m.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">K\u1ef9 thu\u1eadt h\u00edt c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra b\u1eb1ng thao t\u00e1c th\u1ef1c t\u1ebf, kh\u00f4ng ch\u1ec9 h\u1ecfi ng\u01b0\u1eddi b\u1ec7nh c\u00f3 bi\u1ebft d\u00f9ng hay kh\u00f4ng. Nh\u00e2n vi\u00ean y t\u1ebf n\u00ean l\u00e0m m\u1eabu, sau \u0111\u00f3 m\u1eddi ng\u01b0\u1eddi b\u1ec7nh th\u1ef1c hi\u1ec7n l\u1ea1i b\u1eb1ng ch\u00ednh d\u1ee5ng c\u1ee5 \u0111ang d\u00f9ng ho\u1eb7c d\u1ee5ng c\u1ee5 m\u1eabu &#8211; ph\u01b0\u01a1ng ph\u00e1p teach-back (h\u01b0\u1edbng d\u1eabn r\u1ed3i ki\u1ec3m tra l\u1ea1i b\u1eb1ng c\u00e1ch ng\u01b0\u1eddi b\u1ec7nh t\u1ef1 l\u00e0m). K\u1ef9 thu\u1eadt n\u00ean \u0111\u01b0\u1ee3c r\u00e0 so\u00e1t \u1edf m\u1ed7i c\u01a1 h\u1ed9i ph\u00f9 h\u1ee3p, \u0111\u1eb7c bi\u1ec7t khi m\u1edbi k\u00ea d\u1ee5ng c\u1ee5, sau khi \u0111\u1ed5i thi\u1ebft b\u1ecb, khi b\u1ec7nh ki\u1ec3m so\u00e1t k\u00e9m, c\u00f3 \u0111\u1ee3t c\u1ea5p ho\u1eb7c xu\u1ea5t hi\u1ec7n t\u00e1c d\u1ee5ng ph\u1ee5. T\u1ea1i l\u1ea7n t\u00e1i kh\u00e1m, ng\u01b0\u1eddi b\u1ec7nh n\u00ean th\u1ef1c hi\u1ec7n l\u1ea1i k\u1ef9 thu\u1eadt; n\u1ebfu thu\u1eadn ti\u1ec7n, c\u00f3 th\u1ec3 mang d\u1ee5ng c\u1ee5 h\u00edt \u0111ang s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ed1i chi\u1ebfu.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Vi\u1ec7c l\u1ef1a ch\u1ecdn d\u1ee5ng c\u1ee5 h\u00edt c\u1ea7n \u0111\u01b0\u1ee3c c\u00e1 nh\u00e2n h\u00f3a theo kh\u1ea3 n\u0103ng ph\u1ed1i h\u1ee3p tay &#8211; mi\u1ec7ng, l\u1ef1c h\u00edt, s\u1ee9c c\u1ea7m n\u1eafm, th\u1ecb l\u1ef1c, nh\u1eadn th\u1ee9c, s\u1edf th\u00edch, kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn v\u00e0 chi ph\u00ed. N\u1ebfu d\u00f9ng b\u00ecnh x\u1ecbt \u0111\u1ecbnh li\u1ec1u, bu\u1ed3ng \u0111\u1ec7m c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n vi\u1ec7c \u0111\u01b0a thu\u1ed1c v\u00e0o ph\u1ed5i v\u00e0, v\u1edbi corticosteroid d\u1ea1ng h\u00edt, gi\u00fap gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5 t\u1ea1i mi\u1ec7ng &#8211; h\u1ecdng khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh. N\u00ean h\u1ea1n ch\u1ebf d\u00f9ng qu\u00e1 nhi\u1ec1u lo\u1ea1i d\u1ee5ng c\u1ee5 kh\u00e1c nhau n\u1ebfu c\u00f3 l\u1ef1a ch\u1ecdn t\u01b0\u01a1ng \u0111\u01b0\u01a1ng, v\u00ec c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nh\u1ea7m l\u1eabn. Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng t\u1ef1 \u0111\u1ed5i thu\u1ed1c ho\u1eb7c \u0111\u1ed5i d\u1ee5ng c\u1ee5 ch\u1ec9 v\u00ec h\u00ecnh d\u1ea1ng, m\u00e0u s\u1eafc hay c\u1ea3m gi\u00e1c phun kh\u00e1c nhau.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 d\u1ea5u hi\u1ec7u cho th\u1ea5y c\u1ea7n ki\u1ec3m tra l\u1ea1i k\u1ef9 thu\u1eadt ho\u1eb7c k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb g\u1ed3m: b\u1ec7nh ch\u01b0a \u1ed5n d\u00f9 d\u00f9ng thu\u1ed1c; ph\u1ea3i d\u00f9ng thu\u1ed1c gi\u1ea3m tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng xuy\u00ean; ho ho\u1eb7c kh\u00f2 kh\u00e8 ngay sau khi h\u00edt; kh\u00e0n ti\u1ebfng, \u0111au r\u00e1t h\u1ecdng ho\u1eb7c n\u1ea5m mi\u1ec7ng; kh\u00f4ng ch\u1eafc d\u1ee5ng c\u1ee5 n\u00e0o d\u00f9ng duy tr\u00ec v\u00e0 d\u1ee5ng c\u1ee5 n\u00e0o d\u00f9ng khi c\u00f3 tri\u1ec7u ch\u1ee9ng; ho\u1eb7c kh\u00f4ng bi\u1ebft thi\u1ebft b\u1ecb c\u00f2n li\u1ec1u hay \u0111\u00e3 h\u1ebft. Trong m\u1ed9t s\u1ed1 ph\u00e1c \u0111\u1ed3 hen, c\u00f9ng m\u1ed9t thu\u1ed1c h\u00edt ph\u1ed1i h\u1ee3p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh cho c\u1ea3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng; ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n th\u1ef1c hi\u1ec7n \u0111\u00fang k\u1ebf ho\u1ea1ch c\u00e1 nh\u00e2n, kh\u00f4ng suy \u0111o\u00e1n theo m\u00e0u ho\u1eb7c h\u00ecnh d\u1ea1ng c\u1ee7a b\u00ecnh.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong>Tr\u01b0\u1edbc khi k\u1ebft lu\u1eadn thu\u1ed1c kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c c\u00e2n nh\u1eafc t\u0103ng b\u1eadc \u0111i\u1ec1u tr\u1ecb, c\u1ea7n ki\u1ec3m tra k\u1ef9 thu\u1eadt s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5, m\u1ee9c \u0111\u1ed9 tu\u00e2n th\u1ee7, kh\u1ea3 n\u0103ng ti\u1ebfp c\u1eadn thu\u1ed1c v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 l\u00e0m b\u1ec7nh ch\u01b0a ki\u1ec3m so\u00e1t. D\u00f9ng \u0111\u00fang thu\u1ed1c l\u00e0 c\u1ea7n thi\u1ebft; d\u00f9ng \u0111\u00fang d\u1ee5ng c\u1ee5, \u0111\u00fang k\u1ef9 thu\u1eadt v\u00e0 \u0111\u00fang l\u1ecbch m\u1edbi gi\u00fap thu\u1ed1c ph\u00e1t huy hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u.<\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><strong><em>TS.BS. L\u00ea Th\u1ecb Thu H\u01b0\u01a1ng<\/em><\/strong><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><em>Tuy\u00ean b\u1ed1 mi\u1ec5n tr\u1eeb tr\u00e1ch nhi\u1ec7m: B\u00e0i vi\u1ebft nh\u1eb1m m\u1ee5c \u0111\u00edch gi\u00e1o d\u1ee5c s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng, kh\u00f4ng thay th\u1ebf vi\u1ec7c th\u0103m kh\u00e1m, ch\u1ea9n \u0111o\u00e1n ho\u1eb7c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3. Ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng t\u1ef1 \u00fd b\u1eaft \u0111\u1ea7u, ng\u01b0ng ho\u1eb7c thay \u0111\u1ed5i thu\u1ed1c d\u1ef1a ri\u00eang tr\u00ean n\u1ed9i dung b\u00e0i vi\u1ebft; h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 ho\u1eb7c nh\u00e2n vi\u00ean y t\u1ebf ph\u1ee5 tr\u00e1ch.<\/em><\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\"><em>Ngu\u1ed3n chuy\u00ean m\u00f4n ch\u00ednh: B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam &#8211; H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb hen ph\u1ebf qu\u1ea3n ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean (Q\u0110 1851\/Q\u0110-BYT, 2020) v\u00e0 H\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n, \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (Q\u0110 2131\/Q\u0110-BYT, 2026); Chi\u1ebfn l\u01b0\u1ee3c to\u00e0n c\u1ea7u v\u1ec1 qu\u1ea3n l\u00fd v\u00e0 d\u1ef1 ph\u00f2ng hen c\u1eadp nh\u1eadt 2026 (GINA 2026); Chi\u1ebfn l\u01b0\u1ee3c to\u00e0n c\u1ea7u v\u1ec1 ch\u1ea9n \u0111o\u00e1n, qu\u1ea3n l\u00fd v\u00e0 d\u1ef1 ph\u00f2ng COPD c\u1eadp nh\u1eadt 2026 (GOLD 2026).<\/em><\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u00fang thu\u1ed1c, \u0111\u00fang d\u1ee5ng c\u1ee5, \u0111\u00fang k\u1ef9 thu\u1eadt v\u00e0 \u0111\u00fang l\u1ecbch d\u00f9ng Thu\u1ed1c d\u1ea1ng h\u00edt gi\u1eef vai tr\u00f2 trung t\u00e2m trong \u0111i\u1ec1u tr\u1ecb hen v\u00e0 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) v\u00ec \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u01b0\u1eddng th\u1edf. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb ph\u1ee5 thu\u1ed9c \u0111\u1ed3ng th\u1eddi v\u00e0o vi\u1ec7c ch\u1ecdn \u0111\u00fang thu\u1ed1c [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":15904,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"footnotes":"","_members_access_role":[],"_members_access_error":""},"categories":[56],"tags":[254],"class_list":["post-15902","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-tuc","tag-qlhcopd"],"aioseo_notices":[],"aioseo_head":"\n\t\t<!-- All in One SEO 4.9.10 - aioseo.com -->\n\t<meta name=\"description\" content=\"\u0110\u00fang thu\u1ed1c, \u0111\u00fang d\u1ee5ng c\u1ee5, \u0111\u00fang k\u1ef9 thu\u1eadt v\u00e0 \u0111\u00fang l\u1ecbch d\u00f9ng Thu\u1ed1c d\u1ea1ng h\u00edt gi\u1eef vai tr\u00f2 trung t\u00e2m trong \u0111i\u1ec1u tr\u1ecb hen v\u00e0 b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD) v\u00ec \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp v\u00e0o \u0111\u01b0\u1eddng th\u1edf. 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