{"id":4371,"date":"2018-09-26T14:36:45","date_gmt":"2018-09-26T07:36:45","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khoa-nhi\/2018\/09\/26\/phan-biet-giua-viem-tieu-phe-quan-cap-va-suyen-nhu-nhi-o-tre-duoi-2-tuoi\/"},"modified":"2024-03-04T13:51:10","modified_gmt":"2024-03-04T06:51:10","slug":"phan-biet-giua-viem-tieu-phe-quan-cap-va-suyen-nhu-nhi-o-tre-duoi-2-tuoi","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/nhi-khoa\/phan-biet-giua-viem-tieu-phe-quan-cap-va-suyen-nhu-nhi-o-tre-duoi-2-tuoi\/","title":{"rendered":"Ph\u00e2n bi\u1ec7t gi\u1eefa vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n c\u1ea5p v\u00e0 suy\u1ec5n nh\u0169 nhi \u1edf tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i"},"content":{"rendered":"<p>\u0110\u1ed1i v\u1edbi 1 em b\u00e9 d\u01b0\u1edbi 2 tu\u1ed5i vi\u1ec7c ph\u00e2n bi\u1ec7t suy\u1ec5n v\u00e0 vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n r\u1ea5t kh\u00f3 kh\u0103n. V\u00ec kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 ph\u01b0\u01a1ng ti\u1ec7n c\u1eadn l\u00e2m s\u00e0ng n\u00e0o h\u1eefu \u00edch v\u01b0\u1ee3t tr\u1ed9i.<\/p>\n<h2>Gi\u1ed1ng nhau<\/h2>\n<p>Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng n\u1ed5i b\u1eadt l\u00e0 kh\u00f2 kh\u00e8, th\u1edf nhanh, n\u1eb7ng h\u01a1n th\u00ec r\u00fat l\u00f5m ng\u1ef1c. Th\u01b0\u1eddng \u0111i k\u00e8m theo sau vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean 1 v\u00e0i ng\u00e0y.<\/p>\n<h2>Kh\u00e1c nhau<\/h2>\n<h3>V\u1ec1 c\u01a1 ch\u1ebf g\u00e2y kh\u00f2 kh\u00e8<\/h3>\n<ul>\n<li>Trong b\u1ec7nh suy\u1ec5n, c\u01a1 ch\u1ebf ch\u00ednh g\u00e2y kh\u00f2 kh\u00e8 l\u00e0 <strong>s\u1ef1 co th\u1eaft c\u01a1 tr\u01a1n ph\u1ebf qu\u1ea3n<\/strong>, ngo\u00e0i ra s\u1ef1 ph\u00f9 n\u1ec1 th\u00e0nh ph\u1ebf qu\u1ea3n, s\u1ef1 ti\u1ebft d\u1ecbch trong \u0111\u01b0\u1eddng \u1ed1ng ph\u1ebf qu\u1ea3n g\u00f3p ph\u1ea7n g\u00e2y n\u00ean ti\u1ebfng th\u1edf b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>Trong b\u1ec7nh vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n c\u01a1 ch\u1ebf ch\u00ednh g\u00e2y kh\u00f2 kh\u00e8 l\u00e0 <strong>s\u1ef1 ph\u00f9 n\u1ec1 th\u00e0nh ti\u1ec3u ph\u1ebf qu\u1ea3n v\u00e0 ti\u1ebft \u0111\u00e0m v\u00e0o l\u00f2ng \u1ed1ng<\/strong>, s\u1ef1 co th\u1eaft c\u01a1 tr\u01a1n l\u00e0 th\u1ee9 y\u1ebfu .<\/li>\n<\/ul>\n<h3>V\u1ec1 nguy\u00ean nh\u00e2n<\/h3>\n<ul>\n<li>Hen ph\u1ebf qu\u1ea3n xu\u1ea5t hi\u1ec7n tr\u00ean m\u1ed9t em b\u00e9 c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, c\u00f3 t\u00ednh ch\u1ea5t gia \u0111\u00ecnh m\u1ea1nh m\u1ebd. Em b\u00e9 \u0111\u01b0\u1ee3c th\u1eeba h\u01b0\u1edfng gen g\u00e2y b\u1ec7nh, gen n\u00e0y quy \u0111\u1ecbnh r\u1eb1ng \u0111\u01b0\u1eddng th\u1edf (ph\u1ebf qu\u1ea3n) c\u1ee7a em b\u00e9 r\u1ea5t nh\u1ea1y c\u1ea3m v\u00e0 d\u1ec5 b\u1ecb co th\u1eaft, t\u00e1c nh\u00e2n g\u00e2y co th\u1eaft th\u00ec t\u00f9y thu\u1ed9c v\u00e0o ki\u1ec3u h\u00ecnh hen. \u1ede tr\u1ebb em \u0111a s\u1ed1 t\u00e1c nh\u00e2n n\u00e0y l\u00e0 do nhi\u1ec5m si\u00eau vi h\u00f4 h\u1ea5p tr\u00ean. Ngo\u00e0i ra c\u00f3 th\u1ec3 do g\u1eafng s\u1ee9c, kh\u00f3i b\u1ee5i\u2026..<\/li>\n<li>Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n do virus g\u00e2y ra, h\u00e0ng \u0111\u1ea7u l\u00e0 virus h\u1ee3p b\u00e0o h\u00f4 h\u1ea5p (RSV) v\u00e0 1 s\u1ed1 lo\u00e0i virus kh\u00e1c .<\/li>\n<\/ul>\n<h3>V\u1ec1 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb<\/h3>\n<p>Hen ph\u1ebf qu\u1ea3n th\u01b0\u1eddng \u0111\u00e1p \u1ee9ng r\u1ea5t t\u1ed1t v\u1edbi thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n (salbutamol) trong khi vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n h\u1ea7u nh\u01b0 kh\u00f4ng ho\u1eb7c r\u1ea5t \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi salbutamol. V\u00ec v\u1eady n\u1ebfu em b\u00e9 c\u00f3 \u0111\u00e1p \u1ee9ng v\u1edbi kh\u00ed dung ventolint r\u1ea5t t\u1ed1t, h\u00e3y c\u00e2n nh\u1eafc ch\u1ea9n \u0111o\u00e1n hen thay v\u00ec vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n v\u00e0 h\u1ecfi th\u00eam c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c.<\/p>\n<h3>V\u1ec1 ti\u00ean l\u01b0\u1ee3ng<\/h3>\n<p>Hen ph\u1ebf qu\u1ea3n n\u1ebfu kh\u00f4ng ki\u1ec3m so\u00e1t, t\u00ecm v\u00e0 lo\u1ea1i tr\u1eeb c\u00e1c trigger k\u00edch ho\u1ea1t hen th\u00ec s\u1ebd t\u00e1i ph\u00e1t th\u01b0\u1eddng xuy\u00ean<\/p>\n<p>Vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n l\u00e0 b\u1ec7nh c\u1ea5p t\u00ednh t\u1eebng \u0111\u1ee3t, sau 2 tu\u1ed5i h\u1ea7u nh\u01b0 kh\u00f4ng b\u1ecb n\u1eefa.<\/p>\n<h2>C\u00f3 s\u1ef1 nh\u1eadp nh\u1eb1ng gi\u1eefa hen ph\u1ebf qu\u1ea3n v\u00e0 vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n, kh\u00f2 kh\u00e8 do si\u00eau vi th\u00fac \u0111\u1ea9y (virus induced wheezing)<\/h2>\n<p>Th\u1ef1c s\u1ef1 li\u1ec7u vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n, kh\u00f2 kh\u00e8 do si\u00eau vi th\u00fac \u0111\u1ea9y c\u00f3 chuy\u1ec3n th\u00e0nh b\u1ec7nh hen sau n\u00e0y hay kh\u00f4ng ?<\/p>\n<p>C\u1ee9 100 tr\u1ebb \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n khi d\u01b0\u1edbi 2 tu\u1ed5i th\u00ec c\u00f3 \u0111\u1ebfn 30 tr\u1ebb trong s\u1ed1 n\u00e0y sau n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 hen, v\u1eady th\u00ec vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n, kh\u00f2 kh\u00e8 do si\u00eau vi l\u1eb7p \u0111i l\u1eb7p l\u1ea1i l\u00e0m thay \u0111\u1ed5i c\u1ea5u tr\u00fac, thay \u0111\u1ed5i t\u00ednh m\u1eabn c\u1ea3m, mi\u1ec5n d\u1ecbch t\u1ea1i ch\u1ed7 c\u1ee7a \u0111\u01b0\u1eddng th\u1edf d\u1eabn t\u1edbi b\u1ec7nh hen th\u1ef1c s\u1ef1 hay l\u00e0 30 tr\u1ebb \u0111\u00f3 b\u1ecb hen ph\u1ebf qu\u1ea3n nh\u01b0ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u1ea7m?<\/p>\n<p>Ng\u01b0\u1eddi ta th\u1ea5y c\u00f3 nh\u1eefng em b\u00e9 kh\u00f4ng h\u1ec1 c\u00f3 ti\u1ec1n s\u1eed gia \u0111\u00ecnh, kh\u00f4ng c\u00f3 c\u01a1 \u0111\u1ecba d\u1ecb \u1ee9ng, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c sau n\u00e0y \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n hen. R\u00f5 r\u00e0ng c\u00f3 1 m\u1ed1i li\u00ean quan c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m r\u00f5 h\u01a1n trong th\u1eddi gian t\u1edbi.<\/p>\n<h2>Khi n\u00e0o n\u00ean ch\u1ea9n \u0111o\u00e1n hen? khi n\u00e0o n\u00ean ch\u1ea9n \u0111o\u00e1n vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n?<\/h2>\n<p>V\u1eady trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, khi n\u00e0o n\u00ean ch\u1ea9n \u0111o\u00e1n hen? Khi n\u00e0o n\u00ean ch\u1ea9n \u0111o\u00e1n vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n?<\/p>\n<p>N\u1ebfu em b\u00e9 \u0111\u1ed9t ng\u1ed9t l\u00ean c\u01a1n ho, kh\u00f2 kh\u00e8 sau khi g\u1eafng s\u1ee9c, c\u01b0\u1eddi to, h\u00edt ph\u1ea3i kh\u00f3i b\u1ee5i\u2026 h\u1ebft tri\u1ec7u ch\u1ee9ng sau khi d\u00f9ng salbutamol, tr\u01b0\u1edbc \u0111\u00f3 kh\u00f4ng h\u1ec1 c\u00f3 bi\u1ec3u hi\u1ec7n vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean (ho, s\u1ed5 m\u0169i, ngh\u1eb9t m\u0169i) th\u00ec kh\u1ea3 n\u0103ng cao \u0111\u00f3 l\u00e0 hen.<\/p>\n<p>Kh\u00f2 kh\u00e8 l\u1ea7n \u0111\u1ea7u sau vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, kh\u00f4ng ho\u1eb7c \u00edt \u0111\u00e1p \u1ee9ng v\u1edbi salbutamol th\u00ec h\u00e3y ch\u1ea9n \u0111o\u00e1n vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n. N\u1ebfu \u0111\u00e1p \u1ee9ng r\u1ea5t t\u1ed1t v\u1edbi salbutamol b\u1ea1n v\u1eabn n\u00ean ch\u1ea9n \u0111o\u00e1n vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n, v\u00e0 \u0111\u1ec3 h\u00e9 1 c\u00e1nh c\u1eeda cho hen b\u1eb1ng c\u00e2u: &#8220;ch\u01b0a lo\u1ea1i tr\u1eeb hen ph\u1ebf qu\u1ea3n c\u01a1n \u0111\u1ea7u&#8221;. Khi \u0111\u00f3 vi\u1ec7c khai th\u00e1c k\u0129 ti\u1ec1n s\u1eed gia \u0111\u00ecnh, ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng c\u1ee7a b\u00e9 s\u1ebd c\u00f3 \u00fd ngh\u0129a, v\u00ec l\u00e0 c\u01a1n \u0111\u1ea7u n\u00ean ta kh\u00f4ng th\u1ec3 bi\u1ebft xu h\u01b0\u1edbng kh\u00f2 kh\u00e8 t\u00e1i ph\u00e1t trong th\u1eddi gian sau n\u00e0y s\u1ebd nh\u01b0 th\u1ebf n\u00e0o.<\/p>\n<h2>Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n hen ph\u1ebf qu\u1ea3n cho tr\u1ebb em d\u01b0\u1edbi 5 tu\u1ed5i theo khuy\u1ebfn cao H\u1ed9i Nhi khoa Vi\u1ec7t Nam<\/h2>\n<p>Khi th\u1ecfa m\u00e3n 5 ti\u00eau chu\u1ea9n sau:<\/p>\n<ol>\n<li>Kh\u00f2 kh\u00e8, ho t\u00e1i \u0111i t\u00e1i l\u1ea1i<\/li>\n<li>H\u1ed9i ch\u1ee9ng t\u00e1c ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf: l\u00e2m s\u00e0ng c\u00f3 rale ng\u00e1y, rale r\u00edt do b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh. (IOS (+))<\/li>\n<li>C\u00f3 \u0111\u00e1p \u1ee9ng thu\u1ed1c gi\u00e3n ph\u1ebf qu\u1ea3n v\u00e0 ho\u1eb7c \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb th\u1eed b\u1eb1ng corticoid x\u1ecbt (4 &#8211; 8 tu\u1ea7n) x\u1ea5u \u0111i khi ng\u01b0ng thu\u1ed1c<\/li>\n<li>C\u00f3 ti\u1ec1n s\u1eed b\u1ea3n th\u00e2n hay gia \u0111\u00ecnh d\u1ecb \u1ee9ng v\u00e0 c\u00f3 y\u1ebfu t\u1ed1 kh\u1edfi ph\u00e1t<\/li>\n<li>\u0110\u00e3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n g\u00e2y kh\u00f2 kh\u00e8 kh\u00e1c.<\/li>\n<\/ol>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.facebook.com\/diendannhikhoa\/posts\/667983256732531\" target=\"_blank\" rel=\"noopener\">https:\/\/www.facebook.com\/diendannhikhoa\/posts\/667983256732531<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110\u1ed1i v\u1edbi 1 em b\u00e9 d\u01b0\u1edbi 2 tu\u1ed5i vi\u1ec7c ph\u00e2n bi\u1ec7t suy\u1ec5n v\u00e0 vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n r\u1ea5t kh\u00f3 kh\u0103n. V\u00ec kh\u00f4ng c\u00f3 b\u1ea5t c\u1ee9 ph\u01b0\u01a1ng ti\u1ec7n c\u1eadn l\u00e2m s\u00e0ng n\u00e0o h\u1eefu \u00edch v\u01b0\u1ee3t tr\u1ed9i.<\/p>\n","protected":false},"author":14,"featured_media":4373,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[6104],"tags":[5628,4175,5809,4828],"series":[3454],"coauthors":[2652],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Ph\u00e2n bi\u1ec7t gi\u1eefa vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n c\u1ea5p v\u00e0 suy\u1ec5n nh\u0169 nhi \u1edf tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i - D\u1ef1 \u00e1n Nhi Khoa<\/title>\n<meta name=\"description\" content=\"Ph\u00e2n bi\u1ec7t gi\u1eefa vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n c\u1ea5p v\u00e0 suy\u1ec5n nh\u0169 nhi \u1edf tr\u1ebb d\u01b0\u1edbi 2 tu\u1ed5i - D\u1ef1 \u00e1n Nhi Khoa\" 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