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Thong tin nay chi mang tinh giao duc. Khong phai loi khuyen y te. Luon tham kham bac si chuyen khoa.
Hen suyen anh huong den hon 300 trieu nguoi tren toan the gioi. Tim hieu ve lieu phap theo bac GINA, cac loai ong hit, thuoc sinh hoc va ke hoach hanh dong.
Hen suyen la mot benh viem man tinh cua duong ho hap duoc dac trung boi tac nghen luong khi thay doi, tang phan ung phe quan va viem nen. No anh huong den uoc tinh 339 trieu nguoi tren toan the gioi, la mot trong nhung benh ho hap man tinh pho bien nhat. Mac du khong the chua khoi, hen suyen co the duoc kiem soat hieu qua voi duoc tri lieu thich hop va chien luoc tu quan ly.
Hen suyen khong phai la mot benh duy nhat ma la mot hoi chung di truyen voi nhieu kieu hinh. Hen suyen di ung (atopic) la loai pho bien nhat, dac biet o tre em, duoc thuc day boi cac phan ung qua trung gian IgE. Hen suyen khong di ung co the duoc kich hoat boi nhiem trung, van dong, khong khi lanh hoac o nhiem. Hen suyen tang bach cau ai toan dac trung boi bach cau ai toan tang cao.
Cac yeu to khoi phat pho bien bao gom di nguyen, nhiem trung ho hap, tap the duc, khoi thuoc la va mot so thuoc. Trieu chung co dien la tho kho tho episodic, kho tho, chat nguc va ho. Cac dau hieu canh bao bao gom khong the noi thanh cau hoan chinh va do bao hoa oxy duoi 92%.
Chan doan dua tren tien su lam sang phu hop cong voi chung minh khach quan ve han che luong khi tho ra thay doi. Do chuc nang ho hap la tieu chuan vang. Theo doi PEF co gia tri cho tu kiem soat.
GINA to chuc dieu tri thanh nam bac. Bac 1: ICS-formoterol khi can o lieu thap. Bac 2: ICS hang ngay lieu thap (vi du budesonide 200-400 mcg/ngay). Bac 3: ICS-LABA lieu thap. Bac 4: ICS-LABA lieu trung binh, co the them tiotropium hoac montelukast. Bac 5: ICS-LABA lieu cao cong them cac lieu phap bo sung bao gom thuoc sinh hoc.
SABA nhu salbutamol la thuoc cap cuu truyen thong. Tuy nhien, GINA hien khong khuyen cao SABA don doc khong co ICS. Corticosteroid hit (ICS) la nen tang cua lieu phap kiem soat. LABA nhu formoterol luon duoc su dung ket hop voi ICS. Montelukast co the duoc them nhu lieu phap ho tro.
Omalizumab (khang IgE) la thuoc sinh hoc dau tien duoc chap thuan — giam dot cap khoang 50% trong hen suyen di ung. Trong thai ky, hen suyen khong kiem soat nguy hiem hon thuoc. Budesonide la ICS uu tien trong thai ky. Salbutamol van an toan lam thuoc cat con.
De biet them thong tin, hay xem cac trang PillsCard: salbutamol, fluticasone, budesonide, formoterol, montelukast, tiotropium, omalizumab va prednisone. Luon tham khao y kien bac si hoac duoc si truoc khi thay doi thuoc hen suyen.
Bai viet nay chi mang tinh giao duc. Khong phai loi khuyen y te. Luon tham kham bac si.
Dr. Mark Richter is a board-certified internal medicine physician with a focus on preventive care and chronic disease management. He contributes evidence-based health content to help readers make informed decisions about their wellbeing.
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