3.5.

iu tr BPTNMT theo giai on bnh

3.5.1. iu tr BPTNMT theo GOLD 2010
Bng 9.6: Chn on mc v iu tr BPTNMT theo giai on bnh thi k n nh theo GOLD 2010
Giai on I: BPTNMT nh Giai on II: BPTNMT trung bnh Giai on III: BPTNMT nng Giai on IV: BPTNMT rt
nng
FEV1/FVC < 70%, FEV1 80% FEV1/FVC <70% FEV1/FVC <70% FEV1/FVC < 70%
tr s l thuyt. C hoc khng 50% FEV1 < 80% tr s l thuyt. 30% FEV1 < 50% tr s l FEV1 < 30% tr s l thuyt
c triu chng mn tnh (ho, thuyt. hoc c du hiu lm sng
C hoc khng c cc triu chng mn
khc m, kh th). ca suy h hp mn tnh.
tnh (ho, khc m, kh th). Thng c cc triu chng mn
tnh (ho, khc m, kh th).
Trnh cc yu t nguy c nh ht thuc l, bi, ho cht. Gio dc v bnh v cch theo di iu tr, tim phng vaccin cm 1 ln/nm.
Dng cc thuc gin ph qun tc dng ngn khi cn thit (salbutamol, terbutalin, ipratropium hoc theophyllin).
Dng thng xuyn thuc GPQ tc dng ko di. Phc hi chc nng h hp.
Ht corticoid nu cc triu chng v chc nng h hp ci
thin ng k khi dng thuc ny hoc c cc t cp ti pht
3 ln/3 nm.
iu tr oxy di hn ti nh
nu c suy h hp mn
tnh nng. Xt iu tr phu
thut.

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