{"id":4476,"date":"2018-07-25T04:55:00","date_gmt":"2018-07-25T04:55:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/11\/11\/nhung-ngo-nhan-ve-coticosteroid-trong-viem-da-di-ung\/"},"modified":"2022-10-11T06:46:55","modified_gmt":"2022-10-11T06:46:55","slug":"phoi-va-duong-ho-hap-2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/phoi-va-duong-ho-hap-2\/","title":{"rendered":"Ph\u1ed5i v\u00e0 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p"},"content":{"rendered":"<p style=\"text-align: justify\">Trong b\u00e0i tr\u00ecnh b\u00e0y n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u m\u1ed9t c\u00e1ch t\u1ed5ng quan nh\u1ea5t v\u1ec1 ph\u1ed5i, ch\u1ee9c n\u0103ng c\u1ee7a ph\u1ed5i v\u00e0 l\u00e0m th\u1ebf n\u00e0o ch\u00fang ta c\u00f3 th\u1ec3 th\u1edf \u0111\u01b0\u1ee3c.<\/p>\n<h2 id=\"phoi-nam-o-dau-trong-co-the\" style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Ph\u1ed5i n\u1eb1m \u1edf \u0111\u00e2u trong c\u01a1 th\u1ec3? <\/span><\/h2>\n<p style=\"text-align: justify\">Ph\u1ed5i n\u1eb1m trong l\u1ed3ng ng\u1ef1c c\u1ea3 \u1edf b\u00ean ph\u1ea3i v\u00e0 b\u00ean tr\u00e1i ch\u00fang ta. Nh\u00ecn t\u1eeb ph\u00eda tr\u01b0\u1edbc, ph\u1ed5i k\u00e9o d\u00e0i t\u1eeb ph\u00eda tr\u00ean x\u01b0\u01a1ng \u0111\u00f2n (x\u01b0\u01a1ng quai xanh) \u1edf ph\u00eda tr\u00ean ng\u1ef1c cho \u0111\u1ebfn ph\u00eda d\u01b0\u1edbi c\u1ee7a x\u01b0\u01a1ng s\u01b0\u1eddn s\u1ed1 6. T\u1eeb ph\u00eda sau, ph\u1ed5i k\u1ebft th\u00fac \u1edf kho\u1ea3ng x\u01b0\u01a1ng s\u01b0\u1eddn s\u1ed1 10. M\u00e0ng ph\u1ed5i (l\u1edbp m\u00e0ng bao ph\u1ee7 c\u1ea3 hai l\u00e1 ph\u1ed5i) c\u00f3 th\u1ec3 k\u00e9o d\u00e0i xu\u1ed1ng \u0111\u1ebfn x\u01b0\u01a1ng s\u01b0\u1eddn s\u1ed1 12. T\u1eeb tr\u01b0\u1edbc ra sau, hai l\u00e1 ph\u1ed5i l\u1ea5p \u0111\u1ea7y khoang ng\u1ef1c nh\u01b0ng \u0111\u01b0\u1ee3c chia t\u00e1ch ra b\u1edfi qu\u1ea3 tim n\u1eb1m \u1edf gi\u1eefa hai l\u00e1 ph\u1ed5i.<\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 432px;height: 500px\" src=\"\/\/yhoccongdong.org\/Documents\/2473_hinh-phoi-1..jpg\" alt=\"H\u00ecnh \u1ea3nh ph\u1ed5i 1\" \/><\/p>\n<p style=\"text-align: justify\">Kh\u00f4ng kh\u00ed theo ch\u00fang ta th\u1edf \u0111i v\u00e0o qua ng\u00e3 m\u0169i, qua \u0111\u01b0\u1eddng h\u1ea7u h\u1ecdng (c\u1ed5 h\u1ecdng) v\u00e0 thanh qu\u1ea3n v\u00e0 sau \u0111\u00f3 xu\u1ed1ng kh\u00ed qu\u1ea3n. Kh\u00ed qu\u1ea3n sau \u0111\u00f3 l\u1ea1i ph\u00e2n ra hai ph\u1ea7n g\u1ecdi l\u00e0 ph\u1ebf qu\u1ea3n ch\u00ednh \u00a0(bronchi). Ph\u1ebf qu\u1ea3n ch\u00ednh ph\u1ea3i cung c\u1ea5p kh\u00f4ng kh\u00ed \u0111\u1ebfn l\u00e1 ph\u1ed5i ph\u1ea3i. C\u00f2n ph\u1ebf qu\u1ea3n ch\u00ednh tr\u00e1i cung c\u1ea5p kh\u00ed \u0111\u1ebfn l\u00e1 ph\u1ed5i tr\u00e1i. C\u00e1c ph\u1ebf qu\u1ea3n ch\u00ednh n\u00e0y l\u1ea1i ti\u1ebfp t\u1ee5c ph\u00e2n chia th\u00e0nh c\u00e1c nh\u00e1nh nh\u1ecf h\u01a1n. Cu\u1ed1i c\u00f9ng, ph\u1ebf qu\u1ea3n ph\u00e2n chia th\u00e0nh c\u00e1c ti\u1ec3u ph\u1ebf qu\u1ea3n (l\u00e0 c\u00e1c \u1ed1ng d\u1eabn kh\u00ed nh\u1ecf nh\u1ea5t trong ph\u1ed5i). C\u00f3 th\u1ec3 t\u01b0\u1edfng t\u01b0\u1ee3ng h\u1ec7 th\u1ed1ng \u1ed1ng d\u1eabn kh\u00ed n\u00e0y gi\u1ed1ng nh\u01b0 h\u00ecnh \u1ea3nh m\u1ed9t c\u00e1i c\u00e2y l\u1eadt ng\u01b0\u1ee3c l\u1ea1i v\u1eady. Trong \u0111\u00f3 kh\u00ed qu\u1ea3n l\u00e0 th\u00e2n c\u00e2y, c\u00f2n c\u00e1c cu\u1ed1ng ph\u1ed5i, ti\u1ec3u ph\u1ebf qu\u1ea3n l\u00e0 c\u00e1c c\u00e0nh, nh\u00e1nh.<\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">\u1ede ph\u1ea7n t\u1eadn c\u00f9ng c\u1ee7a c\u00e1c ti\u1ec3u ph\u1ebf qu\u1ea3n l\u00e0 c\u00e1c ph\u1ebf nang. Ph\u1ebf nang l\u00e0 nh\u1eefng t\u00fai kh\u00ed nh\u1ecf x\u00edu \u0111\u01b0\u1ee3c l\u00f3t b\u1edfi m\u1ed9t l\u1edbp t\u1ebf b\u00e0o r\u1ea5t m\u1ecfng. Tuy nhi\u00ean ch\u00fang l\u1ea1i \u0111\u01b0\u1ee3c cung c\u1ea5p l\u01b0\u1ee3ng m\u00e1u r\u1ea5t nhi\u1ec1u. V\u00e0 n\u01a1i \u0111\u00e2y, t\u1ea1i nh\u1eefng ph\u1ebf nang nh\u1ecf n\u00e0y l\u00e0 n\u01a1i m\u00e0 kh\u00ed oxy \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 v\u00e0o m\u00e1u c\u00f2n kh\u00ed carbonic (CO2) \u0111\u01b0\u1ee3c th\u1ea3i ra ngo\u00e0i kh\u1ecfi m\u00e1u. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Ph\u1ed5i \u0111\u01b0\u1ee3c ph\u00e2n ra th\u00e0nh nhi\u1ec1u ph\u1ea7n kh\u00e1c nhau th\u00f4ng qua c\u00e1c r\u00e3nh li\u00ean th\u00f9y. C\u00e1c r\u00e3nh li\u00ean th\u00f9y n\u00e0y l\u00e0 ranh gi\u1edbi ph\u00e2n chia nhu m\u00f4 ph\u1ed5i th\u00e0nh c\u00e1c th\u00f9y ph\u1ed5i. L\u00e1 ph\u1ed5i ph\u1ea3i c\u00f3 ba th\u00f9y, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u00f9y tr\u00ean, th\u00f9y gi\u1eefa v\u00e0 th\u00f9y d\u01b0\u1edbi. L\u00e1 ph\u1ed5i tr\u00e1i ch\u1ec9 c\u00f3 hai th\u00f9y, l\u00e0 th\u00f9y tr\u00ean v\u00e0 th\u00f9y d\u01b0\u1edbi. <\/span><\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 510px;height: 609px\" src=\"\/\/yhoccongdong.org\/Documents\/2472_hinh-phoi-2..jpg\" alt=\"H\u00ecnh \u1ea3nh ph\u1ed5i 2\" \/><\/p>\n<h2 id=\"phoi-co-chuc-nang-gi\" style=\"text-align: justify\">Ph\u1ed5i c\u00f3 ch\u1ee9c n\u0103ng g\u00ec?<\/h2>\n<p style=\"text-align: justify\">Ch\u1ee9c n\u0103ng ch\u00ednh c\u1ee7a ph\u1ed5i l\u00e0 gi\u00fap oxy trong kh\u00f4ng kh\u00ed ch\u00fang ta h\u00edt th\u1edf, \u0111i v\u00e0o t\u1ebf b\u00e0o m\u00e1u (h\u1ed3ng c\u1ea7u). Sau \u0111\u00f3 t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u mang oxy \u0111i kh\u1eafp c\u01a1 th\u1ec3. \u0110\u1ec3 cung c\u1ea5p cho c\u00e1c t\u1ebf b\u00e0o trong c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng s\u1eed d\u1ee5ng. Ph\u1ed5i c\u0169ng gi\u00fap c\u01a1 th\u1ec3 lo\u1ea1i b\u1ecf kh\u00ed CO2 khi ch\u00fang ta th\u1edf ra. Nh\u1eefng vai tr\u00f2 kh\u00e1c \u0111\u01b0\u1ee3c \u0111\u1ea3m nhi\u1ec7m b\u1edfi ph\u1ed5i c\u00f3 th\u1ec3 k\u1ec3 \u0111\u1ebfn nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li>\u0110i\u1ec1u ch\u1ec9nh \u0111\u1ed9 pH m\u00e1u (khi m\u00e1u nhi\u1ec5m toan ho\u1eb7c ki\u1ec1m) b\u1eb1ng c\u00e1ch gia t\u0103ng ho\u1eb7c l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng CO2<\/li>\n<li>L\u1ecdc c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng nh\u1ecf \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh trong t\u0129nh m\u1ea1ch<\/li>\n<li>L\u1ecdc c\u00e1c b\u00f3ng kh\u00ed c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong m\u00e1u<\/li>\n<li>Chuy\u1ec3n h\u00f3a m\u1ed9t lo\u1ea1i ch\u1ea5t h\u00f3a h\u1ecdc trong m\u00e1u v\u1edbi t\u00ean g\u1ecdi angiotensin I th\u00e0nh angiotensin II, v\u1ed1n r\u1ea5t quan tr\u1ecdng trong vi\u1ec7c ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n<h2 id=\"nguyen-ly-hoat-dong-cua-phoi-va-dong-tac-hit-tho\" style=\"text-align: justify\">Nguy\u00ean l\u00fd ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ph\u1ed5i v\u00e0 \u0111\u1ed9ng t\u00e1c h\u00edt th\u1edf<\/h2>\n<p style=\"text-align: justify\">H\u00edt th\u1edf hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 qu\u00e1 tr\u00ecnh h\u00f4 h\u1ea5p. \u0110\u00f3 l\u00e0 qu\u00e1 tr\u00ecnh \u0111\u1ec3 kh\u00f4ng kh\u00ed c\u00f3 th\u1ec3 \u0111i v\u00e0o trong ph\u1ed5i d\u1ef1a tr\u00ean s\u1ef1 ch\u00eanh l\u1ec7ch v\u1ec1 \u00e1p su\u1ea5t kh\u00f4ng kh\u00ed gi\u1eefa ph\u1ed5i v\u00e0 m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i. Kh\u00f4ng kh\u00ed v\u1ec1 b\u1ea3n ch\u1ea5t g\u1ed3m nhi\u1ec1u c\u00e1c h\u1ea1t ph\u00e2n t\u1eed nh\u1ecf, bao g\u1ed3m c\u1ea3 oxy.<\/p>\n<p style=\"text-align: justify\">Gi\u1ea3 d\u1ee5 n\u1ebfu c\u00e1c h\u1ea1t ph\u00e2n t\u1eed n\u00e0y \u0111\u01b0\u1ee3c t\u1eadp trung v\u00e0o h\u1ebft trong m\u1ed9t chi\u1ebfc b\u00ecnh, ch\u00fang s\u1ebd t\u1ea1o m\u1ed9t l\u1ef1c \u0111\u1ea9y l\u00ean th\u00e0nh b\u00ecnh. \u201cL\u1ef1c \u0111\u1ea9y\u201d n\u00e0y ch\u00ednh l\u00e0 th\u1ee9 m\u00e0 ch\u00fang ta g\u1ecdi l\u00e0 \u201c\u00e1p su\u1ea5t\u201d. N\u1ebfu nh\u01b0 k\u00edch th\u01b0\u1edbc c\u1ee7a b\u00ecnh v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng kh\u00ed kh\u00f4ng thay \u0111\u1ed5i, \u00e1p su\u1ea5t trong b\u00ecnh s\u1ebd kh\u00f4ng thay \u0111\u1ed5i. \u00c1p su\u1ea5t trong b\u00ecnh c\u00f3 th\u1ec3 thay \u0111\u1ed5i n\u1ebfu k\u00edch th\u01b0\u1edbc c\u1ee7a b\u00ecnh ph\u00ecnh to ra trong khi kh\u1ed1i l\u01b0\u1ee3ng kh\u00f4ng kh\u00ed kh\u00f4ng thay \u0111\u1ed5i, l\u00fac n\u00e0y \u00e1p su\u1ea5t s\u1ebd gi\u1ea3m. L\u00fd do l\u00e0 b\u1edfi s\u1ed1 h\u1ea1t ph\u00e2n t\u1eed b\u00ean trong b\u00ecnh \u00edt h\u01a1n \u1edf b\u00ean ngo\u00e0i. Khi m\u1edf n\u1eafp b\u00ecnh, kh\u00f4ng kh\u00ed s\u1ebd tr\u00e0n v\u00e0o, l\u00e0m cho \u00e1p su\u1ea5t trong b\u00ecnh c\u00e2n b\u1eb1ng v\u1edbi b\u00ean ngo\u00e0i.<\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i kh\u00f4ng kh\u00ed s\u1ea1ch v\u00e0o ph\u1ed5i c\u0169ng di\u1ec5n ra v\u1edbi nguy\u00ean l\u00fd t\u01b0\u01a1ng t\u1ef1. \u0110\u1ec3 c\u00f3 th\u1ec3 h\u00edt kh\u00ed v\u00e0o, ph\u1ed5i ph\u1ea3i l\u1edbn h\u01a1n. \u0110i\u1ec1u n\u00e0y l\u00e0m gi\u1ea3m \u00e1p su\u1ea5t trong ph\u1ed5i so v\u1edbi m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i. Kh\u00f4ng kh\u00ed s\u1ebd tr\u00e0n v\u00e0o ph\u1ed5i \u0111\u1ec3 l\u00e0m cho \u00e1p su\u1ea5t c\u00e2n b\u1eb1ng- \u0111\u00f3 l\u00e0 ch\u00ednh l\u00e0 h\u00edt v\u00e0o. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">K\u00edch th\u01b0\u1edbc c\u1ee7a ph\u1ed5i thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o c\u00e1ch m\u00e0 b\u1ea1n huy \u0111\u1ed9ng n\u00f3. C\u01a1 th\u1ec3 ch\u00fang ta c\u00f3 m\u1ed9t nh\u00f3m c\u00e1c c\u01a1 \u0111\u1eb7c bi\u1ec7t \u0111\u1ec3 gi\u00fap cho ph\u1ed5i gia t\u0103ng k\u00edch th\u01b0\u1edbc. M\u1ed9t trong nh\u1eefng c\u01a1 \u1ea3nh h\u01b0\u1edfng ch\u00ednh \u0111\u1ebfn qu\u00e1 tr\u00ecnh h\u00f4 h\u1ea5p \u0111\u00f3 l\u00e0 c\u01a1 ho\u00e0nh. C\u01a1 ho\u00e0nh \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y \u1edf ngay ph\u00eda d\u01b0\u1edbi ph\u1ed5i v\u00e0 c\u00f3 h\u00ecnh d\u1ea1ng gi\u1ed1ng m\u00e1i v\u00f2m. Khi c\u01a1 n\u00e0y co l\u1ea1i (b\u00f3 ch\u1eb7t h\u01a1n), n\u00f3 ph\u1eb3ng h\u01a1n v\u00e0 l\u00e0m cho ph\u1ed5i gia t\u0103ng k\u00edch th\u01b0\u1edbc. Trong qu\u00e1 tr\u00ecnh v\u1eadn \u0111\u1ed9ng, c\u01a1 ho\u00e0nh ph\u1eb3ng h\u01a1n so v\u1edbi khi ngh\u1ec9 ng\u01a1i. \u0110i\u1ec1u n\u00e0y gi\u00fap cho ph\u1ed5i n\u1edf l\u1edbn h\u01a1n v\u00e0 nhi\u1ec1u kh\u00f4ng kh\u00ed \u0111i v\u00e0o h\u01a1n. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Qu\u00e1 tr\u00ecnh th\u1edf ra v\u1ec1 c\u01a1 b\u1ea3n l\u00e0 ng\u01b0\u1ee3c l\u1ea1i v\u1edbi qu\u00e1 tr\u00ecnh h\u00edt v\u00e0o, ngo\u1ea1i tr\u1eeb vi\u1ec7c \u0111\u00e2y th\u01b0\u1eddng l\u00e0 qu\u00e1 tr\u00ecnh th\u1ee5 \u0111\u1ed9ng. C\u00f3 ngh\u0129a l\u00e0 kh\u00f4ng c\u1ea7n \u0111\u1ebfn s\u1ef1 co th\u1eaft c\u1ee7a c\u00e1c c\u01a1. Qu\u00e1 tr\u00ecnh th\u1edf ra c\u0169ng ph\u1ee5 thu\u1ed9c v\u00e0o s\u1ef1 ch\u00eanh l\u1ec7ch \u00e1p su\u1ea5t kh\u00f4ng kh\u00ed gi\u1eefa ph\u1ed5i v\u00e0 m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i. Tuy nhi\u00ean, trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, \u00e1p su\u1ea5t \u1edf trong ph\u1ed5i l\u1edbn h\u01a1n \u1edf b\u00ean ngo\u00e0i, l\u00e0m cho kh\u00f4ng kh\u00ed b\u1ecb \u0111\u1ea9y ra. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Ph\u1ed5i ti\u1ebfp nh\u1eadn m\u00e1u \u0111\u00e3 b\u1ecb kh\u1eed oxy (thi\u1ebfu oxy) t\u1eeb tim th\u00f4ng qua c\u00e1c m\u1ea1ch m\u00e1u g\u1ecdi l\u00e0 \u0111\u1ed9ng m\u1ea1ch ph\u1ed5i. M\u00e1u b\u1ecb kh\u1eed oxy \u0111\u01b0\u01a1c \u0111\u01b0a \u0111\u1ebfn c\u00e1c ph\u1ebf nang. T\u1ea1i \u0111\u00e2y, oxy trong kh\u00f4ng kh\u00ed \u0111\u00e3 \u0111\u01b0\u1ee3c d\u1eabn v\u00e0o th\u00f4ng qua c\u00e1c ph\u1ebf qu\u1ea3n v\u00e0 ti\u1ec3u ph\u1ebf qu\u1ea3n s\u1ebd \u0111i qua l\u1edbp m\u00e0ng t\u1ebf b\u00e0o m\u1ecfng trong ph\u1ebf nang. M\u1ed9t ch\u1ea5t h\u00f3a h\u1ecdc trong m\u00e1u v\u1edbi t\u00ean g\u1ecdi l\u00e0 haemoglobin, c\u00f3 \u00e1i l\u1ef1c cao v\u1edbi oxy, haemoglobin li\u00ean k\u1ebft ch\u1eb7t ch\u1ebd v\u1edbi oxy trong t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u, cho ph\u00e9p v\u1eadn chuy\u1ec3n oxy \u0111i theo m\u1ea1ch m\u00e1u. C\u00f9ng l\u00fac oxy \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n \u0111i, th\u00ec CO2 b\u1ecb th\u1ea3i ra ngo\u00e0i m\u00e1u \u0111\u1ec3 v\u00e0o ph\u1ebf nang, v\u00e0 \u0111\u01b0\u1ee3c th\u1edf ra ngo\u00e0i. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Khi m\u00e1u \u0111i qua ph\u1ed5i v\u00e0 \u0111\u01b0\u1ee3c cung c\u1ea5p oxy, n\u00f3 \u0111\u01b0\u1ee3c l\u00e0 g\u1ecdi l\u00e0 m\u00e1u gi\u00e0u oxy (m\u00e1u \u0111\u1ecf). M\u00e1u n\u00e0y s\u1ebd quay tr\u1edf l\u1ea1i tim th\u00f4ng qua c\u00e1c t\u0129nh m\u1ea1ch ph\u1ed5i. T\u1ea1i \u0111\u00e2y, m\u00e1u gi\u00e0u oxy s\u1ebd \u0111\u01b0\u1ee3c b\u01a1m \u0111i kh\u1eafp c\u01a1 th\u1ec3. Oxy \u0111\u01b0\u1ee3c v\u1eadn chuy\u1ec3n nh\u1edd c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u s\u1ebd \u0111\u01b0\u1ee3c c\u00e1c t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3 s\u1eed d\u1ee5ng. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Nh\u1ecbp th\u1edf c\u01a1 b\u1ea3n \u0111\u01b0\u1ee3c \u0111i\u1ec1u khi\u1ec3n b\u1edfi b\u1ed9 n\u00e3o. Ch\u00ednh x\u00e1c l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a n\u00e3o b\u1ed9, g\u1ecdi l\u00e0 th\u00e2n n\u00e3o (brain stem). T\u1ea1i \u0111\u00e2y c\u00f3 m\u1ed9t v\u00f9ng \u0111\u1eb7c bi\u1ec7t, d\u00e0nh ri\u00eang \u0111\u1ec3 duy tr\u00ec nh\u1ecbp th\u1edf. C\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh t\u1ea1i khu v\u1ef1c n\u00e0y t\u1ea1o ra c\u00e1c xung \u0111i\u1ec7n. Nh\u1eefng xung \u0111i\u1ec7n \u0111\u00f3 \u0111i\u1ec1u khi\u1ec3n qu\u00e1 tr\u00ecnh co th\u1eaft c\u1ee7a c\u01a1 ho\u00e0nh v\u00e0 c\u00e1c nh\u00f3m c\u01a1 kh\u00e1c li\u00ean quan \u0111\u1ebfn h\u00f4 h\u1ea5p. T\u1ea5t c\u1ea3 nh\u1eefng vi\u1ec7c n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n kh\u00f4ng t\u1ef1 \u00fd. Tuy nhi\u00ean, nh\u1eefng ph\u1ea7n kh\u00e1c c\u1ee7a n\u00e3o b\u1ed9 c\u00f3 th\u1ec3 t\u1ea1m quy\u1ec1n c\u1ee7a th\u00e2n n\u00e3o m\u1ed9t c\u00e1ch t\u1ea1m th\u1eddi. \u0110\u00f3 l\u00e0 l\u00fd do t\u1ea1i sao ch\u00fang ta c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u00fd th\u1ee9c \u0111\u1ec3 gi\u1eef h\u01a1i th\u1edf (ng\u1eebng h\u00edt th\u1edf) ho\u1eb7c thay \u0111\u1ed5i nh\u1ecbp th\u1edf. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">Trong khi b\u1ed9 n\u00e3o \u0111i\u1ec1u khi\u1ec3n nh\u1ecbp th\u1edf c\u01a1 b\u1ea3n, n\u00f3 c\u0169ng ti\u1ebfp nh\u1eadn c\u00e1c th\u00f4ng tin t\u1eeb c\u1ea3m th\u1ee5 quan tr\u00ean kh\u1eafp c\u01a1 th\u1ec3. C\u00e1c c\u1ea3m th\u1ee5 quan n\u00e0y ch\u00ednh l\u00e0 c\u00e1c t\u1ebf b\u00e0o th\u1ea7n kinh, cung c\u1ea5p th\u00f4ng tin \u1ea3nh h\u01b0\u1edfng t\u1ea7n s\u1ed1 v\u00e0 \u0111\u1ed9 s\u00e2u c\u1ee7a h\u01a1i th\u1edf. Nh\u1eefng c\u1ea3m th\u1ee5 quan ch\u00ednh s\u1ebd theo d\u00f5i n\u1ed3ng \u0111\u1ed9 CO2 trong m\u00e1u. Khi n\u1ed3ng \u0111\u1ed9 n\u00e0y t\u0103ng l\u00ean, c\u1ea3m th\u1ee5 quan s\u1ebd g\u1eedi xung \u0111i\u1ec7n \u0111\u1ebfn n\u00e3o b\u1ed9. Xung \u0111i\u1ec7n n\u00e0y s\u1ebd khi\u1ebfn n\u00e3o b\u1ed9 g\u1eedi th\u00eam nhi\u1ec1u t\u00edn hi\u1ec7u \u0111i\u1ec7n \u0111\u1ebfn c\u00e1c nh\u00f3m c\u01a1 li\u00ean quan \u0111\u1ebfn h\u00edt th\u1edf. H\u01a1i th\u1edf s\u1ebd s\u00e2u v\u00e0 nhanh h\u01a1n, gi\u00fap th\u1ea3i ra nhi\u1ec1u CO2 h\u01a1n. Khi \u0111\u00f3 n\u1ed3ng \u0111\u1ed9 CO2 trong m\u00e1u gi\u1ea3m xu\u1ed1ng, c\u00e1c c\u1ea3m th\u1ee5 quan s\u1ebd ng\u1eebng g\u1eedi t\u00edn hi\u1ec7u v\u1ec1 n\u00e3o b\u1ed9. <\/span><\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 524px;height: 567px\" src=\"\/\/yhoccongdong.org\/Documents\/2471_hinh-phoi-3..jpg\" alt=\"H\u00ecnh \u1ea3nh minh h\u1ecda ph\u1ed5i\" \/><\/p>\n<h2 id=\"mot-vai-roi-loan-lien-quan-den-duong-ho-hap-phoi-va-long-nguc\" style=\"text-align: justify\">M\u1ed9t v\u00e0i r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p, ph\u1ed5i v\u00e0 l\u1ed3ng ng\u1ef1c<\/h2>\n<ul style=\"text-align: justify\">\n<li>Hen suy\u1ec5n<\/li>\n<li>B\u1ec7nh Bornholm (b\u1ec7nh do virus coxsackie type B g\u00e2y ra)<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/gian-phe-quan\/\" target=\"_blank\" rel=\"noopener\">Gi\u00e3n ph\u1ebf qu\u1ea3n<\/a><\/li>\n<li>Ung th\u01b0 ph\u1ed5i<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/copd-benh-phoi-tac-nghen-man-tinh\/\" target=\"_blank\" rel=\"noopener\">B\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh<\/a><\/li>\n<li>X\u01a1 nang<\/li>\n<li>N\u1ea5c c\u1ee5t<\/li>\n<li>X\u01a1 ph\u1ed5i nguy\u00ean ph\u00e1t<\/li>\n<li>Tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i<\/li>\n<li>Vi\u00eam m\u1ee7 m\u00e0ng ph\u1ed5i<\/li>\n<li>Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i<\/li>\n<li>B\u1ec7nh sarcoid (sarcoidosis)<\/li>\n<li>Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7<\/li>\n<\/ul>\n<h2 id=\"mot-vai-benh-viem-nhiem-cua-duong-ho-hap\" style=\"text-align: justify\">M\u1ed9t v\u00e0i b\u1ec7nh vi\u00eam nhi\u1ec5m c\u1ee7a \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p<\/h2>\n<ul style=\"text-align: justify\">\n<li>Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n<\/li>\n<li>Vi\u00eam ph\u1ebf qu\u1ea3n<\/li>\n<li>C\u1ea3m c\u00fam<\/li>\n<li>Ho<\/li>\n<li>Vi\u00eam n\u1eafp thanh qu\u1ea3n<\/li>\n<li>Vi\u00eam ph\u1ed5i do Legionnaires<\/li>\n<li>Vi\u00eam ph\u1ed5i<\/li>\n<li>Vi\u00eam xoang<\/li>\n<li>Vi\u00eam h\u1ecdng<\/li>\n<li>Vi\u00eam ami\u0111an<\/li>\n<li>Lao ph\u1ed5i<\/li>\n<li>Nhi\u1ec5m khu\u1ea9n \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean<\/li>\n<li>B\u1ec7nh ho g\u00e0<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"line-height: 1.6em\">H\u00ecnh b\u00ean d\u01b0\u1edbi m\u00f4 t\u1ea3 m\u1ed9t s\u1ed1 b\u1ed9 ph\u1eadn c\u1ee7a \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p t\u01b0\u01a1ng quan v\u1edbi c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng th\u01b0\u1eddng g\u1eb7p: <\/span><\/p>\n<p style=\"text-align: justify\"><img decoding=\"async\" class=\"aligncenter\" style=\"width: 560px;height: 550px\" src=\"\/\/yhoccongdong.org\/Documents\/2469_hinh-phoi-4..jpg\" alt=\"H\u00ecnh m\u00f4 t\u1ea3 m\u1ed9t s\u1ed1 b\u1ed9 ph\u1eadn c\u1ee7a ph\u1ed5i v\u00e0 c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng th\u01b0\u1eddng g\u1eb7p\" \/><\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/www.patient.co.uk\/health\/the-lungs-and-respiratory-tract\" target=\"_blank\" rel=\"noopener\">http:\/\/www.patient.co.uk\/health\/the-lungs-and-respiratory-tract <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft s\u1ebd gi\u00fap ch\u00fang ta t\u00ecm hi\u1ec3u m\u1ed9t c\u00e1ch t\u1ed5ng quan nh\u1ea5t v\u1ec1 ph\u1ed5i, ch\u1ee9c n\u0103ng c\u1ee7a ph\u1ed5i v\u00e0 l\u00e0m th\u1ebf n\u00e0o ch\u00fang ta c\u00f3 th\u1ec3 th\u1edf \u0111\u01b0\u1ee3c.<\/p>\n","protected":false},"author":240,"featured_media":4481,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3703,1],"tags":[],"series":[1342],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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