{"id":4177,"date":"2018-09-11T23:55:07","date_gmt":"2018-09-11T16:55:07","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/09\/11\/mot-so-cau-hoi-ve-hen-phe-quan\/"},"modified":"2024-03-04T13:50:51","modified_gmt":"2024-03-04T06:50:51","slug":"mot-so-cau-hoi-ve-hen-phe-quan","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/mot-so-cau-hoi-ve-hen-phe-quan\/","title":{"rendered":"M\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi v\u1ec1 hen ph\u1ebf qu\u1ea3n"},"content":{"rendered":"

D\u01b0\u1edbi \u0111\u00e2y t\u00f4i li\u1ec7t k\u00ea nh\u1eefng c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a ph\u1ee5 huynh khi c\u00f3 con \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n hay nghi ng\u1edd hen ph\u1ebf qu\u1ea3n v\u00e0 c\u00e2u tr\u1ea3 l\u1eddi \u0111\u01a1n gi\u1ea3n, d\u1ec5 hi\u1ec3u nh\u1ea5t. \u0110\u00e2y l\u00e0 nh\u1eefng c\u00e2u h\u1ecfi ph\u00e1t sinh trong th\u1ef1c ti\u1ec5n khi l\u00e0m vi\u1ec7c c\u1ee7a t\u00f4i.<\/p>\n

B\u1ed1 m\u1eb9 kh\u00f4ng b\u1ecb hen, con c\u00f3 b\u1ecb hen kh\u00f4ng?<\/h2>\n

P: Em v\u1edbi ch\u1ed3ng em c\u00f3 b\u1ecb hen \u0111\u00e2u m\u00e0 con em l\u1ea1i b\u1ecb?<\/p>\n

MD: \u0110\u00fang l\u00e0 hen c\u00f3 t\u00ednh gia \u0111\u00ecnh, nh\u01b0ng b\u1ed1 m\u1eb9 kh\u00f4ng b\u1ecb hen con v\u1eabn c\u00f3 th\u1ec3 b\u1ecb b\u00ecnh th\u01b0\u1eddng. N\u1ebfu b\u1ed1 m\u1eb9 b\u1ecb hen m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng th\u00ec b\u00e1c s\u0129 m\u1eebng v\u00ec d\u1ec5 ch\u1ea9n \u0111o\u00e1n. N\u1ebfu kh\u00f4ng th\u00ec b\u00e1c s\u0129 ph\u1ea3i \u0111i \u0111\u01b0\u1eddng v\u00f2ng v\u1ea5t v\u1ea3 h\u01a1n. M\u1ed9t s\u1ed1 b\u1ed1 m\u1eb9 h\u1ed3i nh\u1ecf c\u00f3 bi\u1ec3u hi\u1ec7n hen nh\u01b0ng sau n\u00e0y kh\u00f4ng th\u1ea5y t\u00e1i ph\u00e1t n\u1eefa n\u00ean ngh\u0129 l\u00e0 kh\u00f4ng b\u1ecb.<\/p>\n

H\u1ecfi v\u1ec1 ch\u1ea9n \u0111o\u00e1n hen<\/h2>\n

P: B\u00e9 nh\u00e0 em c\u00f3 b\u00e1c s\u0129 n\u00f3i hen c\u00f3 b\u00e1c s\u0129 n\u00f3i kh\u00f4ng hen, em hoang mang qu\u00e1.?<\/p>\n

MD: v\u1edbi tr\u1ebb d\u01b0\u1edbi 5 tu\u1ed5i, ch\u1ea9n \u0111o\u00e1n hen l\u00e0 m\u1ed9t \u0111i\u1ec1u r\u1ea5t kh\u00f3 kh\u0103n. C\u00f3 1 t\u00e1 b\u1ec7nh c\u00f3 bi\u1ec3u hi\u1ec7n gi\u1ed1ng hen nh\u01b0: vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i kh\u00f2 kh\u00e8, kh\u00f2 kh\u00e8 do si\u00eau vi h\u00f4 h\u1ea5p, tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2026. Ch\u00fang n\u00f3 l\u1eabn l\u1ed9n v\u00e0 \u1ea9n v\u00e0o nhau r\u1ea5t kh\u00f3 t\u00e1ch ra. Cho n\u00ean c\u00e1c b\u00e1c s\u0129 kh\u00f4ng th\u1ed1ng nh\u1ea5t ch\u1ea9n \u0111o\u00e1n l\u00e0 chuy\u1ec7n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

P: V\u1eady c\u00f3 c\u00e1ch n\u00e0o kh\u1eb3ng \u0111\u1ecbnh ch\u1eafc ch\u1eafn b\u1ecb hen kh\u00f4ng?<\/p>\n

MD: Ti\u00eau chu\u1ea9n v\u00e0ng l\u00e0 \u0111o ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p b\u1eb1ng h\u00f4 h\u1ea5p k\u00ed. Tuy nhi\u00ean ph\u01b0\u01a1ng ph\u00e1p n\u00e0y ch\u1ec9 \u00e1p d\u1ee5ng \u0111\u01b0\u1ee3c v\u1edbi tr\u1ebb l\u1edbn tr\u00ean 7-8 tu\u1ed5i bi\u1ebft h\u1ee3p t\u00e1c t\u1ed1t. C\u00f2n tr\u1ebb nh\u1ecf th\u00ec kh\u00f4ng th\u1ec3. V\u1edbi tr\u1ebb tr\u00ean 2 tu\u1ed5i c\u00f3 th\u1ec3 d\u00f9ng m\u00e1y \u0111o dao \u0111\u1ed9ng xung k\u00ed (IOS) n\u1ebfu d\u01b0\u01a1ng t\u00ednh g\u1ee3i \u00fd hen, nh\u01b0ng \u00e2m t\u00ednh c\u0169ng kh\u00f4ng gi\u00fap lo\u1ea1i tr\u1eeb hen. V\u00e0 n\u00f3 ph\u1ee5 thu\u1ed9c r\u1ea5t l\u1edbn v\u00e0o ng\u01b0\u1eddi \u0111o v\u00e0 kh\u1ea3 n\u0103ng h\u1ee3p t\u00e1c c\u1ee7a b\u00e9. Ph\u01b0\u01a1ng ph\u00e1p ph\u1ebf th\u00e2n k\u00ed c\u00f3 th\u1ec3 d\u00f9ng cho tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i nh\u01b0ng y\u00eau c\u1ea7u g\u00e2y m\u00ea v\u00e0 \u1edf Vi\u1ec7t Nam hi\u1ec7n ch\u01b0a c\u00f3.<\/p>\n

P: Tr\u1ebb nh\u1ecf kh\u00f3 nh\u01b0 v\u1eady th\u00ec ph\u1ea3i l\u00e0m sao?<\/p>\n

MD: C\u00e1ch t\u1ed1t nh\u1ea5t l\u00e0 \u0111\u1ec3 tr\u1ebb \u0111\u01b0\u1ee3c theo d\u00f5i b\u1edfi c\u00f9ng 1 b\u00e1c s\u0129, vi\u1ec7c theo d\u00f5i em b\u00e9 nhi\u1ec1u n\u0103m th\u00e1ng bi\u1ebft \u0111\u01b0\u1ee3c ki\u1ec3u kh\u00f2 kh\u00e8 c\u1ee7a tr\u1ebb l\u00e0 quan tr\u1ecdng nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n hen tr\u1ebb nh\u1ecf, ch\u1ee9 kh\u00f4ng ph\u1ea3i tr\u00f4ng ch\u1edd v\u00e0o m\u00e1y m\u00f3c.<\/p>\n

P: Tr\u1ebb nh\u1ecf x\u00edu c\u0169ng b\u1ecb b\u1ec7nh hen sao b\u00e1c s\u0129?<\/p>\n

MD: Tu\u1ed5i n\u00e0o c\u0169ng c\u00f3 th\u1ec3 b\u1ecb h\u1ebft, ch\u1ec9 l\u00e0 c\u00e0ng nh\u1ecf c\u00e0ng kh\u00f3 ch\u1ea9n \u0111o\u00e1n th\u00f4i<\/p>\n

P: sSao em th\u1ea5y b\u00e2y gi\u1edd nhi\u1ec1u tr\u1ebb b\u1ecb hen v\u1eady b\u00e1c s\u0129?<\/p>\n

MD: \u0110\u00fang, x\u00e3 h\u1ed9i c\u00e0ng gi\u00e0u c\u00f3, ph\u00e1t tri\u1ec3n c\u00e1c b\u1ec7nh d\u1ecb, \u1ee9ng mi\u1ec5n d\u1ecbch trong \u0111\u00f3 c\u00f3 hen ng\u00e0y c\u00e0ng t\u0103ng l\u00ean. c\u00e1c b\u1ec7nh truy\u1ec1n nhi\u1ec5m ng\u00e0y c\u00e0ng gi\u1ea3m \u0111i. c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng: ch\u00e0m, hen\u2026 trong gi\u1edbi nh\u00e0 gi\u00e0u l\u00e0 r\u1ea5t ph\u1ed5 bi\u1ebfn.<\/p>\n

H\u1ecfi v\u1ec1 \u0111i\u1ec1u tr\u1ecb hen<\/h2>\n

P: N\u1ebfu b\u1ecb hen m\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb c\u00f3 sao kh\u00f4ng b\u00e1c s\u0129?<\/p>\n

MD: Nguy c\u01a1 m\u1ed9t c\u01a1n hen n\u1eb7ng ph\u1ea3i nh\u1eadp vi\u1ec7n, nguy c\u01a1 c\u01a1n hen \u00e1c t\u00ednh d\u1eabn t\u1edbi t\u1eed vong l\u00e0 lu\u00f4n hi\u1ec7n h\u1eefu. V\u1edbi hen dai d\u1eb3ng \u1ea3nh h\u01b0\u1edfng r\u1ea5t l\u1edbn t\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t c\u0169ng nh\u01b0 tr\u00ed tu\u1ec7 c\u1ee7a tr\u1ebb. Theo th\u1eddi gian ch\u1ee9c n\u0103ng ph\u1ed5i s\u1ebd gi\u1ea3m \u0111i. S\u1ef1 t\u1ed1n k\u00e9m th\u1eddi gian, ti\u1ec1n b\u1ea1c, \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00f4ng vi\u1ec7c v\u00e0 h\u1ecdc h\u00e0nh n\u1ebfu c\u1ee9 \u0111i ch\u1eefa ho\u00e0i.<\/p>\n

P: Hen c\u00f3 ch\u1eefa kh\u1ecfi \u0111\u01b0\u1ee3c kh\u00f4ng b\u00e1c s\u0129?<\/p>\n

MD: N\u1ebfu \u0111\u00fang l\u00e0 hen, cho \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m hi\u1ec7n t\u1ea1i kh\u00f4ng ai c\u00f3 kh\u1ea3 n\u0103ng ch\u1eefa kh\u1ecfi. V\u00ec c\u00f3 nh\u1eefng s\u1ef1 kh\u00e1c bi\u1ec7t trong b\u1ed9 gen c\u1ee7a ng\u01b0\u1eddi b\u1ecb hen v\u00e0 ng\u01b0\u1eddi kh\u00f4ng b\u1ecb hen v\u00e0 gen th\u00ec kh\u00f4ng thay \u0111\u1ed5i<\/p>\n

P: V\u1eady t\u1ea1i sao nhi\u1ec1u b\u00e9 sau 6 tu\u1ed5i l\u00e0 h\u1ebft kh\u00f3 kh\u00e8 v\u1eady b\u00e1c s\u0129?<\/p>\n

MD: \u0110\u00fang nh\u01b0 v\u1eady, c\u00f3 1 s\u1ed1 m\u1ed1c th\u1eddi gian m\u00e0 b\u00e1c s\u0129 v\u00e0 ph\u1ee5 huynh mong \u0111\u1ee3i \u0111\u1ec3 nh\u1eefng c\u01a1n kh\u00f2 kh\u00e8 bi\u1ebfn m\u1ea5t \u0111\u00f3 l\u00e0: 3 tu\u1ed5i, 6 tu\u1ed5i, d\u1eady th\u00ec. Nh\u1eefng em b\u00e9 khi \u0111\u1ebfn m\u1ed1c tu\u1ed5i n\u00e0y th\u00ec th\u1ea5y h\u1ebft kh\u00f2 kh\u00e8 c\u00f3 th\u1ec3 kh\u00f4ng ph\u1ea3i b\u1ec7nh hen nh\u01b0ng b\u1ecb ch\u1ea9n \u0111o\u00e1n nh\u1ea7m l\u00e0 hen. Nh\u01b0ng c\u0169ng c\u00f3 nh\u1eefng em b\u00e9 \u0111\u00fang l\u00e0 hen nh\u01b0ng khi b\u00e9 c\u00e0ng l\u1edbn l\u00ean, c\u01a1 th\u1ec3 ho\u00e0n thi\u1ec7n, h\u1ec7 mi\u1ec5n d\u1ecbch \u1ed5n \u0111\u1ecbnh, h\u1ec7 n\u1ed9i ti\u1ebft thay \u0111\u1ed5i, b\u00e9 \u00edt b\u1ecb b\u1ec7nh h\u01a1n, n\u1ebfu c\u00f3 b\u1ec7nh c\u0169ng nh\u1eb9 n\u00ean hen kh\u00f4ng c\u00f3 c\u01a1 h\u1ed9i b\u00f9ng ph\u00e1t. ta bi\u1ebft r\u1eb1ng \u0111a s\u1ed1 tr\u1ebb con c\u01a1n hen theo sau b\u1ec7nh vi\u00eam h\u00f4 h\u1ea5p tr\u00ean, nh\u01b0ng c\u00e0ng l\u1edbn tr\u1ebb c\u00e0ng \u00edt b\u1ecb c\u1ea3m c\u00fam, c\u1ea3m l\u1ea1nh n\u00ean kh\u00f4ng c\u00f3 c\u01a1 h\u1ed9i b\u00f9ng ph\u00e1t hen. Nh\u01b0ng khi v\u1ec1 gi\u00e0, c\u01a1 th\u1ec3 suy y\u1ebfu, mi\u1ec5n d\u1ecbch k\u00e9m, m\u00f4i tr\u01b0\u1eddng \u00f4 nhi\u1ec5m, h\u00fat thu\u1ed1c l\u00e1 hay c\u00f3 thai.. th\u00ec kh\u00f4ng n\u00f3i tr\u01b0\u1edbc \u0111\u01b0\u1ee3c.<\/p>\n

P: Con em c\u0169ng b\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng, c\u00f3 m\u1ed1i li\u00ean quan n\u00e0o v\u1edbi hen kh\u00f4ng bs?<\/p>\n

MD: C\u00f3, r\u1ea5t ch\u1eb7t ch\u1ebd l\u00e0 \u0111\u1eb1ng kh\u00e1c. Hen v\u1ec1 b\u1ea3n ch\u1ea5t l\u00e0 1 b\u1ec7nh d\u1ecb \u1ee9ng. M\u1ed9t em b\u00e9 c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng \u0111\u01b0\u1ee3c quy \u0111\u1ecbnh b\u1edfi b\u1ed9 gen. N\u1ebfu gen \u0111\u00f3 quy \u0111\u1ecbnh d\u1ecb \u1ee9ng \u1edf kh\u00fac d\u01b0\u1edbi th\u00ec l\u00e0 b\u1ec7nh hen, kh\u00fac tr\u00ean g\u00e2y ra vi\u00eam m\u0169i d\u1ecb \u1ee9ng, ngo\u00e0i da th\u00ec g\u00e2y ch\u00e0m, m\u1ec1 \u0111ay\u2026..<\/p>\n

P: M\u1ed7i l\u1ea7n con em kh\u00f2 kh\u00e8 l\u00e0 l\u1ea1i phun kh\u00ed dung ventolin, v\u1eady phun nhi\u1ec1u ventolin c\u00f3 sao kh\u00f4ng b\u00e1c s\u0129?<\/p>\n

MD: M\u1ed9t khi b\u00e9 \u0111\u00e3 kh\u00f2 kh\u00e8 kh\u00f3 th\u1edf vi\u1ec7c phun kh\u00ed dung ventolin l\u00e0 c\u1ea7n thi\u1ebft. Tuy nhi\u00ean n\u1ebfu l\u1ea1m d\u1ee5ng t\u1ee9c l\u00e0 kh\u00f4ng kh\u00f2 kh\u00e8 m\u00e0 c\u1ee9 h\u1ec5 th\u1ea5y ho c\u00e1i l\u00e0 phun th\u00ec nguy c\u01a1 nh\u1eddn thu\u1ed1c. \u0110\u1ebfn khi th\u1ef1c s\u1ef1 kh\u00f3 th\u1edf phun ventolin hi\u1ec7u qu\u1ea3 s\u1ebd k\u00e9m \u0111i, khi \u0111\u00f3 ph\u1ea3i d\u00f9ng thu\u1ed1c n\u1eb7ng \u0111\u00f4 h\u01a1n.<\/p>\n

P: V\u1eady c\u00f3 c\u00e1ch n\u00e0o ch\u1eefa d\u1ee9t \u0111i\u1ec3m hen kh\u00f4ng b\u00e1c s\u0129?<\/p>\n

MD: T\u00f9y m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a m\u1ed7i c\u01a1n hen, t\u00f9y m\u1ee9c \u0111\u1ed9 t\u00e1i ph\u00e1t c\u00f3 th\u01b0\u1eddng xuy\u00ean hay kh\u00f4ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u01b0a b\u00e9 v\u00e0o ph\u00e1c \u0111\u1ed3 d\u1ef1 ph\u00f2ng hen b\u1eb1ng c\u00e1c thu\u1ed1c x\u1ecbt m\u1ed7i ng\u00e0y. M\u1ee5c \u0111\u00edch c\u1ee7a d\u00f9ng thu\u1ed1c d\u1ef1 ph\u00f2ng l\u00e0 k\u00e9o gi\u00e3n th\u1eddi gian m\u1ed7i \u0111\u1ee3t kh\u00f2 kh\u00e8, gi\u1ea3m \u0111\u1ed9 n\u1eb7ng n\u1ebfu b\u1ecb t\u00e1i ph\u00e1t v\u00e0 l\u00ed t\u01b0\u1edfng l\u00e0 kh\u00f4ng b\u1ecb t\u00e1i ph\u00e1t. \u0110\u1ed3ng th\u1eddi ch\u1edd \u0111\u1ee3i c\u00e1c m\u1ed1c tu\u1ed5i \u0111\u00e3 n\u00eau.<\/p>\n

P: Thu\u1ed1c d\u1ef1 ph\u00f2ng d\u00f9ng trong bao l\u00e2u v\u1eady b\u00e1c s\u0129?<\/p>\n

MD: N\u1ebfu d\u00f9ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n, t\u1ee9c l\u00e0 \u0111i\u1ec1u tr\u1ecb th\u1eed th\u00ec 3 th\u00e1ng. Tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i c\u00f3 th\u1ec3 d\u00f9ng 1 \u0111\u1ee3t 3 th\u00e1ng. C\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c th\u01b0\u1eddng d\u00e0i h\u01a1n c\u00f3 th\u1ec3 9 th\u00e1ng- 1 n\u0103m n\u1ebfu ki\u1ec3m so\u00e1t t\u1ed1t<\/p>\n

P: D\u00f9ng thu\u1ed1c d\u1ef1 ph\u00f2ng l\u00e2u v\u1eady b\u00e9 c\u00f3 sao kh\u00f4ng b\u00e1c s\u0129?<\/p>\n

MD: C\u00f3 1 v\u00e0i t\u00e1c d\u1ee5ng ph\u1ee5 ch\u1eb3ng h\u1ea1n n\u1ea5m mi\u1ec7ng, hay gi\u1ea3m chi\u1ec1u cao 1 ch\u00fat. Nh\u01b0ng t\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u \u0111\u00f3 so v\u1edbi l\u1ee3i \u00edch m\u00e0 n\u00f3 thu \u0111\u01b0\u1ee3c th\u00ec kh\u00f4ng c\u00f3 ngh\u0129a l\u00ed g\u00ec c\u1ea3. Do \u0111\u00f3 khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh th\u00ec n\u00ean tu\u00e2n th\u1ee7.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n

https:\/\/www.facebook.com\/diendannhikhoa\/posts\/686633231534200?__tn__=K-R<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

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