{"id":5980,"date":"2018-07-24T15:38:02","date_gmt":"2018-07-24T08:38:02","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/24\/ho-ra-mau\/"},"modified":"2024-03-17T04:19:00","modified_gmt":"2024-03-16T21:19:00","slug":"ho-ra-mau","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/ho-ra-mau\/","title":{"rendered":"Ho ra m\u00e1u"},"content":{"rendered":"<p style=\"text-align: justify\">Co\u0301 nhi\u00ea\u0300u nguy\u00ean nh\u00e2n kha\u0301c nhau g\u00e2y ho ra ma\u0301u. N\u00ea\u0301u ba\u0323n ho ra nhi\u1ec1u ma\u0301u thi\u0300 pha\u0309i g\u1ecdi c\u00e2\u0301p c\u01b0\u0301u ngay l\u00e2\u0323p t\u01b0\u0301c. N\u00ea\u0301u ba\u0323n ho ra l\u01b0\u01a1\u0323ng ma\u0301u i\u0301t h\u01a1n va\u0300 kh\u00f4ng bi\u00ea\u0301t nguy\u00ean nh\u00e2n thi\u0300 n\u00ean g\u0103\u0323p ba\u0301c si\u0303 ca\u0300ng s\u01a1\u0301m ca\u0300ng t\u00f4\u0301t. B\u1edfi v\u00ec \u0111\u00f4i khi m\u1ed9t b\u1ec7nh nghi\u00eam tr\u1ecdng nh\u01b0 ung th\u01b0 ph\u1ed5i c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ho ra m\u00e1u. Nguy\u00ean t\u0103\u0301c chung l\u00e0 ch\u00e2\u0309n \u0111oa\u0301n \u0111\u01b0\u01a1\u0323c b\u00ea\u0323nh ca\u0300ng s\u01a1\u0301m thi\u0300 c\u01a1 h\u00f4\u0323i \u0111i\u1ec1u tri\u0323 kho\u0309i ca\u0300ng cao. B\u00e0i sau \u0111\u00e2y s\u1ebd th\u1ea3o lu\u1eadn nh\u1eefng nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ho ra m\u00e1u.<\/p>\n<h2 style=\"text-align: justify\"><strong>Ho ra ma\u0301u la\u0300 gi\u0300?<\/strong><\/h2>\n<p style=\"text-align: justify\">Thu\u1eadt ng\u1eef y khoa c\u1ee7a ho ra ma\u0301u l\u00e0 hemoptysis. Tri\u00ea\u0323u ch\u01b0\u0301ng ho ra ma\u0301u th\u01b0\u01a1\u0300ng li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng b\u00ean trong \u0111\u01b0\u01a1\u0300ng th\u1edf va\u0300 ph\u00f4\u0309i. L\u01b0\u1ee3ng m\u00e1u (\u0111\u1ed9 n\u1eb7ng) trong ho ra m\u00e1u c\u00f3 th\u1ec3 thay \u0111\u1ed5i:<\/p>\n<p style=\"text-align: justify\"><strong>N<\/strong><strong>\u00ea\u0301u ba\u0323n ho ra nhi\u00ea\u0300u ma\u0301u<\/strong><\/p>\n<p style=\"text-align: justify\">\u0110\u00e2y la\u0300 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p c\u1ea5p c\u1ee9u \u2013 \u0111\u0103\u0323c bi\u00ea\u0323t la\u0300 khi m\u00e1u ch\u1ea3y kh\u00f4ng ng\u1eebng va\u0300 b\u1ea1n bi\u0323 m\u00e2\u0301t ma\u0301u nhi\u00ea\u0300u. Ba\u0323n n\u00ean l\u00e2\u0323p t\u01b0\u0301c go\u0323i xe c\u1ee9u th\u01b0\u01a1ng. Tuy nhi\u00ean, t\u00ecnh hu\u1ed1ng na\u0300y r\u1ea5t hi\u1ebfm g\u1eb7p.<\/p>\n<p style=\"text-align: justify\"><strong>N\u00ea\u0301u ba\u0323n ho ra \u00edt m\u00e1u<\/strong><\/p>\n<p style=\"text-align: justify\">Th\u01b0\u01a1\u0300ng ma\u0301u se\u0303 l\u00e2\u0303n v\u01a1\u0301i \u0111a\u0300m. \u0110\u00e2y la\u0300 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p ph\u00f4\u0309 bi\u00ea\u0301n. \u0110\u00f4i khi c\u00f3 m\u1ed9t l\u01b0\u1ee3ng m\u00e1u nh\u1ecf tr\u1ed9n l\u1eabn v\u1edbi \u0111\u00e0m m\u1ed7i khi b\u1ea1n ho. Tuy nhi\u00ean, n\u00ea\u0301u ba\u0323n ho ra ma\u0301u, du\u0300 la\u0300 l\u01b0\u01a1\u0323ng ma\u0301u nho\u0309 \u0111i n\u01b0\u0303a, va\u0300 kh\u00f4ng bi\u00ea\u0301t ro\u0303 nguy\u00ean nh\u00e2n thi\u0300 b\u1ea1n n\u00ean g\u0103\u0323p ba\u0301c si\u0303 s\u1edbm. Ho ra ma\u0301u la\u0300 m\u00f4\u0323t tri\u00ea\u0323u tr\u01b0\u0301ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn m\u1ed9t b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng. Nguy\u00ean t\u1eafc chung l\u00e0 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh c\u00e0ng s\u1edbm. C\u01a1 h\u1ed9i \u0111i\u1ec1u tr\u1ecb gi\u00fap c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng b\u1ec7nh c\u00e0ng cao.<\/p>\n<p style=\"text-align: justify\">Nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng kha\u0301c co\u0301 th\u00ea\u0309 xa\u0309y ra cu\u0300ng lu\u0301c v\u01a1\u0301i ho ra ma\u0301u. La\u0300 ho, \u0111au ng\u01b0\u0323c, kh\u00f3 th\u1edf, s\u00f4\u0301t, ca\u0309m th\u00e2\u0301y kh\u00f4ng kho\u0309e, kho\u0300 khe\u0300 ho\u0103\u0323c nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng kha\u0301c cu\u0309a ph\u00f4\u0309i. Bi\u1ec3u hi\u1ec7n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c c\u00f3 th\u1ec3 gi\u00fap ch\u1ec9 ra nguy\u00ean nh\u00e2n ho ra m\u00e1u. \u0110\u00f4i khi ban \u0111\u1ea7u ch\u1ec9 c\u00f3 ho ra m\u00e1u \u0111\u01a1n \u0111\u1ed9c m\u00e0 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00e0o kh\u00e1c.<\/p>\n<h2 style=\"text-align: justify\"><strong>Hi\u00ea\u0309u bi\u00ea\u0301t v\u00ea\u0300 \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u1ea5p va\u0300 ph\u00f4\u0309i<\/strong><\/h2>\n<p style=\"text-align: justify\">Trong l\u1ed3ng ng\u01b0\u0323c co\u0301 hai la\u0301 ph\u00f4\u0309i \u2013 m\u1ed9t \u01a1\u0309 b\u00ean pha\u0309i va\u0300 m\u00f4\u0323t \u01a1\u0309 b\u00ean tra\u0301i. Tim n\u0103\u0300m \u01a1\u0309 gi\u01b0\u0303a hai la\u0301 ph\u00f4\u0309i.<\/p>\n<p style=\"text-align: justify\">Kh\u00f4ng khi\u0301 chu\u0301ng ta hi\u0301t va\u0300o se\u0303 qua mu\u0303i, di chuy\u00ea\u0309n qua ho\u0323ng (h\u1ea7u), qua thanh qu\u1ea3n va\u0300 \u0111i va\u0300o khi\u0301 qua\u0309n. Khi\u0301 qua\u0309n \u0111\u01b0\u01a1\u0323c chia la\u0300m hai ph\u00e2\u0300n go\u0323i la\u0300 ph\u1ebf qu\u1ea3n. Ph\u1ebf qu\u1ea3n chi\u0301nh b\u00ean pha\u0309i se\u0303 cung c\u00e2\u0301p khi\u0301 cho ph\u00f4\u0309i b\u00ean pha\u0309i. Ph\u1ebf qu\u1ea3n ch\u00ednh b\u00ean tra\u0301i se\u0303 cung c\u00e2\u0301p khi\u0301 cho ph\u00f4\u0309i b\u00ean tra\u0301i. Sau \u0111\u00f3, c\u00e1c ph\u1ebf qu\u1ea3n ch\u00ednh n\u00e0y s\u1ebd ph\u00e2n chia th\u00e0nh nh\u1eefng ph\u1ebf qu\u1ea3n nh\u1ecf h\u01a1n. Cu\u1ed1i c\u00f9ng, c\u00e1c ph\u1ebf qu\u1ea3n ph\u00e2n chia th\u00e0nh nh\u1eefng ti\u1ec3u ph\u1ebf qu\u1ea3n \u2013 l\u00e0 nh\u1eefng \u0111\u01b0\u1eddng d\u1eabn kh\u00ed nh\u1ecf nh\u1ea5t trong ph\u1ed5i. H\u1ec7 th\u1ed1ng \u1ed1ng d\u1eabn kh\u00ed c\u00f3 th\u1ec3 so s\u00e1nh nh\u01b0 m\u1ed9t c\u00e1i c\u00e2y \u00fap ng\u01b0\u1ee3c. V\u01a1\u0301i khi\u0301 qua\u0309n la\u0300 th\u00e2n c\u00e2y chi\u0301nh, c\u00e1c ph\u00ea\u0301 qua\u0309n v\u00e0 c\u00e1c ti\u1ec3u ph\u00ea\u0301 qua\u0309n la\u0300 nh\u01b0\u0303ng nha\u0301nh c\u00e2y. Thu\u00e2\u0323t ng\u01b0\u0303 y khoa cho t\u00e2\u0301t ca\u0309 ca\u0301c \u00f4\u0301ng d\u00e2\u0303n khi\u0301 na\u0300y la\u0300 \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p.<\/p>\n<p style=\"text-align: justify\">T\u00e2\u0323n cu\u0300ng cu\u0309a nh\u01b0\u0303ng ti\u1ec3u ph\u00ea\u0301 qua\u0309n nho\u0309 nh\u00e2\u0301t la\u0300 ph\u00ea\u0301 nang. Ph\u00ea\u0301 nang la\u0300 nh\u01b0\u0303ng tu\u0301i khi\u0301 c\u01b0\u0323c nho\u0309 \u0111\u01b0\u01a1\u0323c l\u00f3t b\u01a1\u0309i m\u1ed9t l\u01a1\u0301p t\u00ea\u0301 ba\u0300o r\u1ea5t mo\u0309ng. C\u00e1c ph\u1ebf nang c\u0169ng \u0111\u01b0\u1ee3c cung c\u00e2\u0301p ma\u0301u r\u00e2\u0301t d\u1ed3i d\u00e0o. C\u00e1c ph\u00ea\u0301 nang nho\u0309 la\u0300 n\u01a1i trao \u0111\u00f4\u0309i khi\u0301 \u2013 khi\u0301 oxy se\u0303 t\u01b0\u0300 \u0111\u00e2y \u0111i va\u0300o ma\u0301u va\u0300 khi\u0301 cacbonic (CO<sub>2<\/sub>) se\u0303 t\u1eeb ma\u0301u \u0111i ra.<\/p>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"alignnone size-full wp-image-9818 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/03\/duong-ho-hap-va-phoi.jpg\" alt=\"\u0110\u01b0\u1eddng h\u00f4 h\u1ea5p v\u00e0 ph\u1ed5i\" width=\"432\" height=\"500\" \/><\/p>\n<h2 style=\"text-align: justify\"><strong>Nh\u01b0\u0303ng nguy\u00ean nh\u00e2n cu\u0309a ho ra ma\u0301u<\/strong><\/h2>\n<p style=\"text-align: justify\"><strong>Nhi<\/strong><strong>\u00ea\u0303m tru\u0300ng<\/strong><\/p>\n<p style=\"text-align: justify\">Nhi\u00ea\u0303m tru\u0300ng \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u1ea5p (ph\u1ebf qu\u1ea3n) \u0111\u01b0\u1ee3c go\u0323i la\u0300 vi\u00eam ph\u00ea\u0301 qua\u0309n c\u00e2\u0301p, va\u0300 nhi\u00ea\u0303m tru\u0300ng nhu m\u00f4 ph\u00f4\u0309i \u0111\u01b0\u1ee3c go\u0323i la\u0300 vi\u00eam ph\u00f4\u0309i. C\u00f3 l\u1ebd la\u0300 nh\u01b0\u0303ng nguy\u00ean nh\u00e2n ph\u00f4\u0309 bi\u00ea\u0301n nh\u00e2\u0301t g\u00e2y ho ra ma\u0301u. Tuy nhi\u00ean, nhi\u00ea\u0303m tru\u0300ng b\u00e2\u0301t c\u01b0\u0301 n\u01a1i \u0111\u00e2u trong \u0111\u01b0\u1eddng h\u00f4 h\u00e2\u0301p c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y ho ra ma\u0301u. \u0110i\u1ec3n h\u00ecnh l\u00e0 ma\u0301u l\u00e2\u0303n v\u01a1\u0301i \u0111a\u0300m. Ngo\u00e0i ra, th\u01b0\u1eddng c\u00f3 nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng kha\u0301c li\u00ean quan \u0111\u00ea\u0301n nhi\u00ea\u0303m tru\u0300ng nh\u01b0 s\u00f4\u0301t va\u0300 ho. Ho ra m\u00e1u s\u1ebd h\u1ebft khi nhi\u00ea\u0303m tru\u0300ng d\u01b0\u0301t h\u0103\u0309n. C\u00e1c x\u00e9t nghi\u1ec7m l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft n\u1ebfu ch\u1eafc ch\u1eafn ho ra m\u00e1u l\u00e0 do nhi\u1ec5m tr\u00f9ng v\u00e0 h\u1ebft sau khi kh\u1ecfi nhi\u1ec5m tr\u00f9ng.<\/p>\n<p style=\"text-align: justify\"><strong>Lao ph\u1ed5i<\/strong>\u00a0c\u0169ng la\u0300 m\u00f4\u0323t nguy\u00ean nh\u00e2n cu\u0309a vi\u00ea\u0323c ho ra ma\u0301u.<\/p>\n<p style=\"text-align: justify\"><strong>Ung th\u01b0<\/strong><\/p>\n<p style=\"text-align: justify\">H\u00e2\u0300u h\u00ea\u0301t ung th\u01b0 ph\u1ed5i pha\u0301t sinh t\u01b0\u0300 ca\u0301c t\u00ea\u0301 ba\u0300o bi\u1ec3u m\u00f4 ph\u00ea\u0301 qua\u0309n. M\u00f4\u0323t trong nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng s\u01a1\u0301m nh\u00e2\u0301t c\u1ee7a ung th\u01b0 ph\u00f4\u0309i la\u0300 ho ra ma\u0301u ho\u0103\u0323c ho \u0111a\u0300m v\u01b0\u1edbng ma\u0301u. Th\u00e2\u0323m chi\u0301 \u0111\u00e2y co\u0301 th\u00ea\u0309 la\u0300 tri\u00ea\u0323u ch\u01b0\u0301ng \u0111\u00e2\u0300u ti\u00ean tr\u01b0\u01a1\u0301c khi xu\u00e2\u0301t hi\u00ea\u0323n ca\u0301c tri\u00ea\u0323u ch\u01b0\u0301ng kha\u0301c. Ph\u00e2\u0300n l\u01a1\u0301n ung th\u01b0 ph\u00f4\u0309i xu\u1ea5t hi\u1ec7n \u01a1\u0309 ng\u01b0\u01a1\u0300i tr\u00ean 50 tu\u00f4\u0309i. Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 nh\u01b0\u0303ng ng\u01b0\u01a1\u0300i hu\u0301t thu\u00f4\u0301c la\u0301. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 ph\u1ed5i co\u0301 th\u00ea\u0309 x\u1ea3y ra \u1edf ng\u01b0\u01a1\u0300i tre\u0309 tu\u00f4\u0309i va\u0300 kh\u00f4ng hu\u0301t thu\u00f4\u0301c l\u00e1.<\/p>\n<p style=\"text-align: justify\"><strong>Gia\u0303n ph\u00ea\u0301 qua\u0309n<\/strong><\/p>\n<p style=\"text-align: justify\">Gia\u0303n ph\u00ea\u0301 qua\u0309n la\u0300 s\u01b0\u0323 gia\u0303n r\u00f4\u0323ng b\u00e2\u0301t th\u01b0\u01a1\u0300ng cu\u0309a m\u00f4\u0323t ho\u1eb7c nhi\u1ec1u \u0111\u01b0\u1eddng d\u1eabn kh\u00ed. Nhi\u00ea\u0300u ch\u00e2\u0301t nh\u00e0y ti\u0301ch tu\u0323 \u01a1\u0309 ca\u0301c \u0111\u01b0\u01a1\u0300ng d\u1eabn kh\u00ed b\u00e2\u0301t th\u01b0\u01a1\u0300ng na\u0300y va\u0300 g\u00e2y ra nguy c\u01a1 nhi\u00ea\u0303m tru\u0300ng. Tri\u00ea\u0323u ch\u01b0\u0301ng chu\u0309 y\u00ea\u0301u la\u0300 ho nhi\u00ea\u0300u \u0111a\u0300m. Ba\u0323n cu\u0303ng co\u0301 th\u00ea\u0309 ho ra i\u0301t ma\u0301u t\u01b0\u0300 ca\u0301c \u0111\u01b0\u01a1\u0300ng d\u1eabn kh\u00ed bi\u0323 vi\u00eam. T\u00ecnh hu\u1ed1ng \u0111i\u1ec3n h\u00ecnh l\u00e0 b\u1ea1n ch\u1ec9 th\u1ec9nh tho\u1ea3ng ho ra \u00edt m\u00e1u nh\u01b0ng \u0111\u00f4i khi ba\u0323n co\u0301 th\u00ea\u0309 ho ra l\u01b0\u01a1\u0323ng ma\u0301u nhi\u00ea\u0300u h\u01a1n. Co\u0301 nhi\u00ea\u0300u nguy\u00ean nh\u00e2n kh\u00e1c nhau cu\u0309a gia\u0303n ph\u00ea\u0301 qua\u0309n. Vi\u0301 du\u0323 nh\u01b0, nhi\u00ea\u0303m tru\u0300ng ph\u00f4\u0309i n\u0103\u0323ng tr\u01b0\u01a1\u0301c \u0111\u00e2y, m\u00f4\u0323t s\u00f4\u0301 b\u00ea\u0323nh di truy\u00ea\u0300n va\u0300 m\u00f4\u0323t s\u00f4\u0301 tr\u01b0\u01a1\u0300ng h\u01a1\u0323p kha\u0301c c\u00f3 th\u1ec3 g\u00e2y t\u00f4\u0309n ha\u0323i \u0111\u00ea\u0301n m\u00f4\u0323t ph\u00e2\u0300n cu\u0309a \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p.<\/p>\n<p style=\"text-align: justify\"><strong>H\u00edt d\u1ecb v\u1eadt ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng<\/strong><\/p>\n<p style=\"text-align: justify\">C\u00e1c d\u1ecb v\u1eadt b\u1ecb h\u00edt s\u1eb7c co\u0301 th\u00ea\u0309 g\u00e2y t\u00f4\u0309n th\u01b0\u01a1ng \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p va\u0300 d\u00e2\u0303n \u0111\u00ea\u0301n ho ra ma\u0301u. Vi\u0301 du\u0323 nh\u01b0 ca\u0301c em be\u0301 nho\u0309 h\u00edt s\u1eb7c ha\u0323t \u0111\u00e2\u0323u ph\u00f4\u0323ng ho\u0103\u0323c m\u00f4\u0323t mo\u0301n \u0111\u00f4\u0300 ch\u01a1i nho\u0309. Ca\u0301c loa\u0323i ch\u00e2\u0301n th\u01b0\u01a1ng kha\u0301c \u1edf ph\u00f4\u0309i ho\u0103\u0323c \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p co\u0301 th\u00ea\u0309 g\u00e2y ho ra ma\u0301u.<\/p>\n<p style=\"text-align: justify\"><strong>Thuy\u00ean t\u1eafc ph\u1ed5i<\/strong><\/p>\n<p style=\"text-align: justify\">Thuy\u00ean t\u1eafc ph\u1ed5i l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng nghi\u00eam tr\u1ecdng \u0111e d\u1ecda t\u00ednh m\u1ea1ng. Thuy\u00ean t\u1eafc ph\u1ed5i la\u0300 do s\u01b0\u0323 t\u1eafc nghe\u0303n ma\u0323ch ma\u0301u \u01a1\u0309 ph\u00f4\u0309i. Nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng chi\u0301nh th\u01b0\u01a1\u0300ng la\u0300 \u0111au ng\u01b0\u0323c va\u0300 kho\u0301 th\u01a1\u0309, nh\u01b0ng ho ra ma\u0301u cu\u0303ng co\u0301 th\u00ea\u0309 xa\u0309y ra.<\/p>\n<p style=\"text-align: justify\"><strong>C\u00e1c v\u1ea5n \u0111\u1ec1 \u1edf tim v\u00e0 m\u1ea1ch m\u00e1u <\/strong><\/p>\n<p style=\"text-align: justify\">Suy tim n\u1eb7ng c\u00f3 th\u00ea\u0309 d\u00e2\u0303n \u0111\u00ea\u0301n vi\u00ea\u0323c ti\u0301ch tu\u0323 di\u0323ch trong ph\u00f4\u0309i. Tri\u00ea\u0323u ch\u01b0\u0301ng chi\u0301nh th\u01b0\u01a1\u0300ng la\u0300 kho\u0301 th\u01a1\u0309 nh\u01b0ng c\u00f3 th\u1ec3 ho \u0111\u00e0m b\u1ecdt ho\u1eb7c \u0111\u00e0m h\u1ed3ng co\u0301 ma\u0301u. Nh\u01b0\u0303ng b\u00ea\u0323nh ma\u0323ch ma\u0301u hi\u00ea\u0301m g\u1eb7p cu\u0303ng co\u0301 th\u00ea\u0309 g\u00e2y xu\u1ea5t huy\u1ebft trong ph\u00f4\u0309i ho\u0103\u0323c trong \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p.<\/p>\n<p style=\"text-align: justify\"><strong>Vi\u00eam v\u00e0 t\u00edch t\u1ee5 b\u1ea5t th\u01b0\u1eddng \u1edf m\u00f4<\/strong><\/p>\n<p style=\"text-align: justify\">M\u00f4\u0323t s\u00f4\u0301 b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 g\u00e2y vi\u00eam ho\u0103\u0323c s\u1ea3n xu\u1ea5t ra ca\u0301c ch\u00e2\u0301t b\u1ea5t th\u01b0\u1eddng ti\u0301ch tu\u0323 trong m\u00f4 \u1edf nh\u1eefng ph\u1ea7n kh\u00e1c nhau c\u1ee7a c\u01a1 th\u1ec3. \u0110\u00f4i khi nh\u01b0\u0303ng b\u1ec7nh l\u00fd na\u0300y a\u0309nh h\u01b0\u01a1\u0309ng \u0111\u00ea\u0301n nhu m\u00f4 ph\u00f4\u0309i ho\u0103\u0323c \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p. C\u00e1c m\u00f4 b\u1ecb vi\u00eam ho\u1eb7c m\u00f4 b\u1ea5t th\u01b0\u1eddng trong \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p ho\u0103\u0323c ph\u00f4\u0309i co\u0301 th\u00ea\u0309 xu\u1ea5t huy\u1ebft h\u1ebft l\u1ea7n n\u00e0y \u0111\u1ebfn l\u1ea7n kh\u00e1c va\u0300 g\u00e2y ho ra ma\u0301u. Ca\u0301c b\u00ea\u0323nh \u0111o\u0301 bao g\u00f4\u0300m<strong> h\u00f4\u0323i ch\u01b0\u0301ng Goodpasture<\/strong>, b\u1ec7nh \u1ee9 s\u1eaft \u1edf ph\u1ed5i, u h\u1ea1t Wegener, vi\u00eam ph\u1ed5i lupus v\u00e0 s\u1ecfi ph\u1ebf qu\u1ea3n. Ghi chu\u0301: nh\u1eefng b\u1ec7nh l\u00fd n\u00e0y r\u00e2\u0301t hi\u00ea\u0301m g\u1eb7p va\u0300 th\u01b0\u01a1\u0300ng ba\u0323n se\u0303 co\u0301 nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng kha\u0301c ngoa\u0300i vi\u00ea\u0323c ho ra ma\u0301u.<\/p>\n<p style=\"text-align: justify\"><strong>Nguy\u00ean nh\u00e2n kh\u00f4ng \u0111\u01b0\u01a1\u0323c xa\u0301c \u0111i\u0323nh ro\u0303<\/strong><\/p>\n<p style=\"text-align: justify\">Cho du\u0300 \u0111a\u0303 ti\u00ea\u0301n ha\u0300nh ca\u0301c xe\u0301t nghi\u00ea\u0323m nh\u01b0ng c\u1ee9 ta\u0301m ng\u01b0\u01a1\u0300i ho ra ma\u0301u thi\u0300 c\u00f3 m\u1ed9t ng\u01b0\u1eddi kh\u00f4ng ti\u0300m \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n. Tr\u01b0\u1eddng h\u1ee3p n\u00e0y go\u0323i la\u0300 ho ra ma\u0301u kh\u00f4ng ro\u0303 nguy\u00ean nh\u00e2n.<\/p>\n<p style=\"text-align: justify\">Vi\u0300 v\u00e2\u0323y, \u01a1\u0309 m\u00f4\u0323t s\u00f4\u0301 ng\u01b0\u01a1\u0300i nguy\u00ean nh\u00e2n ho ra m\u00e1u v\u00e2\u0303n co\u0300n la\u0300 m\u00f4\u0323t bi\u0301 \u00e2\u0309n. Trong nh\u01b0\u0303ng tr\u01b0\u01a1\u0300ng h\u01a1\u0323p n\u00e0y, co\u0301 th\u00ea\u0309 la\u0300 do m\u00f4\u0323t ma\u0323ch ma\u0301u nho\u0309 bi\u0323 v\u01a1\u0303 va\u0300 xu\u1ea5t huy\u1ebft tho\u00e1ng qua \u2013 g\u1ea7n gi\u1ed1ng nh\u01b0 trong cha\u0309y ma\u0301u mu\u0303i. Tuy nhi\u00ean, \u0111\u1eebng bao gi\u1edd v\u1ed9i k\u1ebft lu\u1eadn s\u1ebd kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n. <strong>Pha\u0309i lu\u00f4n<\/strong> g\u0103\u0323p ba\u0301c si\u0303 n\u00ea\u0301u ba\u0323n ho ra ma\u0301u m\u00e0 kh\u00f4ng bi\u1ebft nguy\u00ean nh\u00e2n. Ch\u1ec9 \u0111\u01b0\u1ee3c ch\u00e2\u0309n \u0111oa\u0301n ho ra ma\u0301u kh\u00f4ng ro\u0303 nguy\u00ean nh\u00e2n m\u1ed9t khi \u0111\u00e3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n nghi\u00eam tr\u1ecdng kh\u00e1c.<\/p>\n<h2 style=\"text-align: justify\"><strong>Ba\u0323n n\u00ean la\u0300m gi\u0300 n\u00ea\u0301u ho ra ma\u0301u?<\/strong><\/h2>\n<p style=\"text-align: justify\">Nh\u01b0 \u0111a\u0303 tri\u0300nh ba\u0300y \u01a1\u0309 tr\u00ean:<\/p>\n<ul style=\"text-align: justify\">\n<li>N\u00ea\u0301u ho ra nhi\u00ea\u0300u ma\u0301u, ba\u0323n n\u00ean go\u0323i xe c\u01b0\u0301u th\u01b0\u01a1ng, vi\u0300 \u0111\u00e2y la\u0300 m\u00f4\u0323t c\u1ea5p c\u1ee9u y khoa.<\/li>\n<li>N\u00ea\u0301u ho m\u1ed9t l\u1ea7n ho\u1eb7c nhi\u1ec1u l\u1ea7n ra \u00edt m\u00e1u v\u00e0 ba\u0323n kh\u00f4ng bi\u00ea\u0301t nguy\u00ean nh\u00e2n thi\u0300 n\u00ean g\u0103\u0323p ba\u0301c si\u0303 kha\u0301m ngay.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\"><strong>Ba\u0301c si\u0303 kha\u0301m gi\u0300 va\u0300 xe\u0301t nghi\u00ea\u0323m gi\u0300 se\u0303 \u0111\u01b0\u01a1\u0323c ti\u00ea\u0301n ha\u0300nh?<\/strong><\/h2>\n<p style=\"text-align: justify\">Ba\u0301c si\u0303 th\u01b0\u01a1\u0300ng hay ho\u0309i nh\u01b0\u0303ng c\u00e2u ho\u0309i kha\u0301c nhau v\u00ea\u0300 vi\u00ea\u0323c ho ra ma\u0301u va\u0300 ho\u0309i ba\u0323n co\u0301 nh\u01b0\u0303ng tri\u00ea\u0323u ch\u01b0\u0301ng kha\u0301c \u0111i ke\u0300m hay kh\u00f4ng. B\u00e1c s\u0129 c\u0169ng s\u1ebd kh\u00e1m cho b\u1ea1n. M\u00f4\u0323t trong nh\u01b0\u0303ng vi\u00ea\u0323c \u0111\u00e2\u0300u ti\u00ean ma\u0300 ba\u0301c si\u0303 c\u00f4\u0301 g\u0103\u0301ng ti\u0300m hi\u00ea\u0309u la\u0300 \u201cM\u00e1u n\u00e0y c\u00f3 th\u1eadt s\u1ef1 xu\u1ea5t ph\u00e1t t\u1eeb \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p ho\u1eb7c ph\u00f4\u0309i hay kh\u00f4ng?\u201d. \u0110\u00f4i khi r\u00e2\u0301t kho\u0301 \u0111\u00ea\u0309 bi\u00ea\u0301t ch\u0103\u0301c \u0111\u01b0\u01a1\u0323c \u0111i\u00ea\u0300u na\u0300y. Ho ra m\u00e1u th\u1ef1c s\u1ef1 \u2013 la\u0300 ho ra ma\u0301u xu\u1ea5t ph\u00e1t t\u01b0\u0300 v\u1ecb tr\u00ed n\u00e0o \u0111\u00f3 cu\u0309a ph\u00f4\u0309i ho\u0103\u0323c \u0111\u01b0\u01a1\u0300ng h\u00f4 h\u00e2\u0301p phi\u0301a d\u01b0\u01a1\u0301i thanh qua\u0309n. Nh\u01b0ng \u0111\u00f4i khi r\u00e2\u0301t kho\u0301 \u0111\u00ea\u0309 x\u00e1c \u0111\u1ecbnh ngu\u1ed3n g\u1ed1c c\u1ee7a ma\u0301u la\u0300:<\/p>\n<ul style=\"text-align: justify\">\n<li>N\u00f4n ra m\u00e1u \u2013 t\u1ee9c la\u0300 khi ma\u0301u \u0111\u01b0\u01a1\u0323c n\u00f4n ra nh\u01b0ng cu\u0303ng pha\u0309i chu\u0301 y\u0301 r\u0103\u0300ng vi\u1ec7c n\u00f4n \u00f3i cu\u0303ng co\u0301 th\u1ec3 l\u00e0m b\u1ea1n ho.<\/li>\n<li>Ho ra ma\u0301u gia\u0309 \u2013 t\u1ee9c la\u0300 khi ma\u0301u t\u01b0\u0300 m\u00f4\u0323t n\u01a1i na\u0300o \u0111o\u0301 trong mi\u00ea\u0323ng ho\u0103\u0323c mu\u0303i cha\u0309y ra r\u00f4\u0300i cha\u0309y xu\u00f4\u0301ng phi\u0301a sau ho\u0323ng khi\u00ea\u0301n ba\u0323n ho. Ch\u1eb3ng h\u1ea1n nh\u01b0 cha\u0309y ma\u0301u mu\u0303i.<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Sau khi ba\u0301c si\u0303 kha\u0301m xong, th\u01b0\u01a1\u0300ng thi\u0300 se\u0303 bi\u00ea\u0301t \u0111\u01b0\u01a1\u0323c nguy\u00ean nh\u00e2n va\u0300 ba\u0301c si\u0303 se\u0303 cho l\u01a1\u0300i khuy\u00ean n\u00ean la\u0300m gi\u0300 ti\u00ea\u0301p theo. Ca\u0301c xe\u0301t nghi\u00ea\u0323m co\u0301 th\u00ea\u0309 c\u00e2\u0300n thi\u00ea\u0301t ho\u0103\u0323c kh\u00f4ng.<\/p>\n<p style=\"text-align: justify\">Tuy nhi\u00ean, n\u00ea\u0301u \u0111a\u0303 xa\u0301c minh \u0111\u00fang l\u00e0 ho ra m\u00e1u m\u00e0 nguy\u00ean nh\u00e2n kh\u00f4ng r\u00f5 thi\u0300 ba\u0301c si\u0303 se\u0303 cho ba\u0323n la\u0300m th\u00eam m\u00f4\u0323t ho\u0103\u0323c nhi\u00ea\u0300u xe\u0301t nghi\u00ea\u0323m kha\u0301c. Ca\u0301c xe\u0301t nghi\u00ea\u0323m na\u0300y se\u0303 kha\u0301c nhau tuy\u0300 va\u0300o nguy\u00ean nh\u00e2n nghi ng\u01a1\u0300 (th\u01b0\u01a1\u0300ng d\u01b0\u0323a tr\u00ean ca\u0301c tri\u00ea\u0323u ch\u01b0\u0301ng kh\u00e1c c\u1ee7a b\u1ea1n). C\u00e1c x\u00e9t nghi\u1ec7m sau \u0111\u00e2y th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc m\u1ed9t tr\u01b0\u1eddng h\u1ee3p ho ra m\u00e1u kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c:<\/p>\n<p style=\"text-align: justify\"><strong>X-quang ph\u00f4\u0309i<\/strong><\/p>\n<p style=\"text-align: justify\">X-quang th\u01b0\u01a1\u0300ng la\u0300 m\u00f4\u0323t xe\u0301t nghi\u00ea\u0323m nhanh va\u0300 d\u00ea\u0303 ti\u00ea\u0301n ha\u0300nh. \u0110o\u0301 co\u0301 th\u00ea\u0309 la\u0300 t\u00e2\u0301t ca\u0309 nh\u01b0\u0303ng gi\u0300 c\u00e2\u0300n \u0111\u00ea\u0309 ch\u00e2\u0309n \u0111oa\u0301n b\u00ea\u0323nh. Tuy nhi\u00ean, X-quang th\u01b0\u01a1\u0300ng c\u00f3 m\u1eb7t h\u1ea1n ch\u1ebf. Nh\u01b0\u0303ng xe\u0301t nghi\u00ea\u0323m kha\u0301c c\u00f3 th\u1ec3 c\u00e2\u0300n thi\u1ebft n\u00ea\u0301u ch\u00e2\u0309n \u0111oa\u0301n v\u1eabn kh\u00f4ng ro\u0303 t\u01b0\u0300 h\u00ecnh \u1ea3nh X-quang th\u01b0\u1eddng.<\/p>\n<p style=\"text-align: justify\"><strong>CT scan<\/strong><\/p>\n<p style=\"text-align: justify\">CT scan la\u0300 x\u00e9t nghi\u1ec7m X-quang chuy\u00ean bi\u1ec7t. No\u0301 co\u0301 th\u00ea\u0309 cung c\u1ea5p nh\u1eefng h\u00ecnh \u1ea3nh kh\u00e1 r\u00f5 r\u00e0ng cu\u0309a ca\u0301c b\u00f4\u0323 ph\u00e2\u0323n b\u00ean trong c\u01a1 th\u00ea\u0309. \u0110\u0103\u0323c bi\u00ea\u0323t, no\u0301 kh\u1ea3o s\u00e1t r\u1ea5t t\u1ed1t h\u00ecnh \u1ea3nh c\u1ee7a m\u00f4 m\u1ec1m trong c\u01a1 th\u1ec3 m\u00e0 tr\u00ean h\u00ecnh X-quang th\u01b0\u1eddng kh\u00f4ng th\u1ea5y r\u00f5.<\/p>\n<p style=\"text-align: justify\"><strong>N\u00f4\u0323i soi ph\u00ea\u0301 qua\u0309n<\/strong><\/p>\n<p style=\"text-align: justify\">N\u00f4\u0323i soi ph\u00ea\u0301 qua\u0309n la\u0300 m\u00f4\u0323t th\u1ee7 thu\u1eadt \u0111\u00ea\u0309 ba\u0301c si\u0303 co\u0301 th\u00ea\u0309 quan s\u00e1t ca\u0301c \u0111\u01b0\u01a1\u0300ng d\u1eabn kh\u00ed l\u01a1\u0301n (khi\u0301 qua\u0309n va\u0300 ph\u00ea\u0301 qua\u0309n). N\u00f4\u0323i soi ph\u00ea\u0301 qua\u0309n \u1ed1ng m\u1ec1m la\u0300 thi\u00ea\u0301t bi\u0323 th\u01b0\u01a1\u0300ng \u0111\u01b0\u01a1\u0323c s\u1eed d\u1ee5ng. \u0110o\u0301 la\u0300 m\u00f4\u0323t \u00f4\u0301ng soi mo\u0309ng va\u0300 m\u1ec1m d\u1ebbo. No\u0301 chi\u0309 da\u0300y c\u01a1\u0303 b\u0103\u0300ng c\u00e2y vi\u00ea\u0301t chi\u0300. Thi\u00ea\u0301t bi\u0323 n\u00f4\u0323i soi \u0111\u01b0\u01a1\u0323c \u0111\u01b0a qua mu\u0303i ho\u0103\u0323c mi\u00ea\u0323ng, \u0111i xu\u00f4\u0301ng phi\u0301a sau ho\u0323ng, va\u0300o khi\u0301 qua\u0309n, va\u0300 di chuy\u00ea\u0309n xu\u00f4\u0301ng ph\u00ea\u0301 qua\u0309n. \u0110\u00e8n soi cho phe\u0301p chi\u00ea\u0301u sa\u0301ng xung quanh ch\u1ed7 \u1ed1ng soi g\u1ea5p kh\u00fac va\u0300 nh\u01a1\u0300 \u0111o\u0301 ma\u0300 ba\u0301c si\u0303 co\u0301 th\u00ea\u0309 nhi\u0300n th\u00e2\u0301y ro\u0303 b\u00ean trong \u0111\u01b0\u01a1\u0300ng d\u1eabn kh\u00ed.<\/p>\n<p style=\"text-align: justify\"><strong>Xe\u0301t nghi\u00ea\u0323m ma\u0301u<\/strong><\/p>\n<p style=\"text-align: justify\">M\u00f4\u0323t loa\u0323t ca\u0301c xe\u0301t nghi\u00ea\u0323m ma\u0301u co\u0301 th\u00ea\u0309 giu\u0301p ch\u00e2\u0309n \u0111oa\u0301n ca\u0301c b\u00ea\u0323nh kha\u0301c nhau.<\/p>\n<p style=\"text-align: justify\"><strong>Ca\u0301c xe\u0301t nghi\u00ea\u0323m kha\u0301c<\/strong><\/p>\n<p style=\"text-align: justify\">Ca\u0301c xe\u0301t nghi\u00ea\u0323m kha\u0301c ph\u01b0\u0301c ta\u0323p h\u01a1n co\u0301 th\u00ea\u0309 \u0111\u01b0\u01a1\u0323c ti\u00ea\u0301n ha\u0300nh n\u00ea\u0301u ch\u00e2\u0309n \u0111oa\u0301n b\u00ea\u0323nh ho\u0103\u0323c m\u01b0\u0301c \u0111\u00f4\u0323 nghi\u00eam tro\u0323ng cu\u0309a b\u00ea\u0323nh v\u00e2\u0303n ch\u01b0a \u0111\u01b0\u01a1\u0323c la\u0300m ro\u0303 du\u0300 ca\u0301c xe\u0301t nghi\u00ea\u0323m no\u0301i tr\u00ean \u0111a\u0303 \u0111\u01b0\u01a1\u0323c ti\u00ea\u0301n ha\u0300nh.<\/p>\n<h2 style=\"text-align: justify\"><strong>\u0110i\u1ec1u tr\u1ecb ho ra m\u00e1u<\/strong><\/h2>\n<p style=\"text-align: justify\">Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y ho ra m\u00e1u.<\/p>\n<h2 style=\"text-align: justify\"><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/patient.info\/health\/coughing-up-blood-haemoptysis\" target=\"_blank\" rel=\"noopener\">http:\/\/patient.info\/health\/coughing-up-blood-haemoptysis<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Co\u0301 nhi\u00ea\u0300u nguy\u00ean nh\u00e2n kha\u0301c nhau g\u00e2y ho ra ma\u0301u. N\u00ea\u0301u ba\u0323n ho ra nhi\u1ec1u ma\u0301u thi\u0300 pha\u0309i g\u1ecdi c\u00e2\u0301p c\u01b0\u0301u ngay l\u00e2\u0323p t\u01b0\u0301c. N\u00ea\u0301u ba\u0323n ho ra l\u01b0\u01a1\u0323ng ma\u0301u i\u0301t h\u01a1n va\u0300 kh\u00f4ng bi\u00ea\u0301t nguy\u00ean nh\u00e2n thi\u0300 n\u00ean g\u0103\u0323p ba\u0301c si\u0303 ca\u0300ng s\u01a1\u0301m ca\u0300ng t\u00f4\u0301t. <\/p>\n","protected":false},"author":176,"featured_media":5981,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5148,5209,5149,5290,4440],"tags":[4452,4453,4454,4455],"series":[2225],"coauthors":[2238],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ho ra m\u00e1u - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Co\u0301 nhi\u00ea\u0300u nguy\u00ean nh\u00e2n kha\u0301c nhau g\u00e2y ho ra ma\u0301u. 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