{"id":1998,"date":"2025-04-04T16:13:55","date_gmt":"2025-04-04T09:13:55","guid":{"rendered":"https:\/\/baominhhealthcare.com\/?p=1998"},"modified":"2025-04-14T16:39:30","modified_gmt":"2025-04-14T09:39:30","slug":"benh-viem-xoang-la-gi","status":"publish","type":"post","link":"https:\/\/baominhhealthcare.com\/en\/benh-viem-xoang-la-gi\/","title":{"rendered":"B\u1ec7nh vi\u00eam xoang l\u00e0 g\u00ec? Tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"

Vi\u00eam xoang<\/a> l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong t\u00e0i m\u0169i h\u1ecdng m\u1eb7c d\u00f9 th\u01b0\u1eddng kh\u00f4ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 \u00edt g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 ph\u00f2ng ng\u1eeba \u0111\u00fang c\u00e1ch, vi\u00eam xoang c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u00e3n t\u00ednh v\u00e0 g\u00e2y \u1ea3nh h\u01b0\u1edfng kh\u00f4ng nh\u1ecf \u0111\u1ebfn sinh ho\u1ea1t h\u00e0ng ng\u00e0y c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Vi\u00eam xoang l\u00e0 g\u00ec?<\/h2>\n

Vi\u00eam xoang hay vi\u00eam xoang m\u0169i l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m c\u1ee7a c\u00e1c khoang xoang quanh m\u0169i. Xoang l\u00e0 c\u00e1c khoang kh\u00f4ng gian trong x\u01b0\u01a1ng m\u1eb7t, bao quanh m\u0169i, c\u00f3 vai tr\u00f2 l\u00e0m \u1ea9m v\u00e0 l\u00e0m \u1ea5m kh\u00f4ng kh\u00ed h\u00edt v\u00e0o, c\u0169ng nh\u01b0 gi\u00fap gi\u1ea3m tr\u1ecdng l\u01b0\u1ee3ng c\u1ee7a \u0111\u1ea7u. B\u00ecnh th\u01b0\u1eddng, ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh v\u1edbi s\u1ee9c \u0111\u1ec1 kh\u00e1ng t\u1ed1t th\u00ec ni\u00eam m\u1ea1c m\u0169i c\u00f3 kh\u1ea3 n\u0103ng ph\u00f2ng v\u1ec7 b\u1eb1ng c\u00e1ch ti\u1ebft ra c\u00e1c ch\u1ea5t kh\u00e1ng th\u1ec3, enzyme ti\u00eau di\u1ec7t si\u00eau vi v\u00e0 vi khu\u1ea9n.<\/p>\n

\"B\u1ec7nh<\/p>\n

Tuy nhi\u00ean, n\u1ebfu c\u00f3 vi khu\u1ea9n mang \u0111\u1ed9c t\u00ednh cao ho\u1eb7c s\u1ee9c \u0111\u1ec1 kh\u00e1ng y\u1ebfu, vi khu\u1ea9n c\u00f3 th\u1ec3 t\u1ea5n c\u00f4ng v\u00e0o l\u1edbp ni\u00eam m\u1ea1c m\u0169i v\u00e0 ni\u00eam m\u1ea1c soan, g\u00e2y ra ph\u1ea3n \u1ee9ng vi\u00eam. Khi l\u1edbp ni\u00eam m\u1ea1c xoang b\u1ecb vi\u00eam nhi\u1ec5m, d\u1eabn \u0111\u1ebfn s\u1ef1 t\u00edch t\u1ee5 d\u1ecbch nh\u1ea7y, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu nh\u01b0 ngh\u1eb9t m\u0169i, \u0111au \u0111\u1ea7u v\u00e0 ch\u1ea3y n\u01b0\u1edbc m\u0169i.<\/p>\n

Ph\u00e2n lo\u1ea1i vi\u00eam xoang<\/h2>\n

Vi\u00eam xoang \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean th\u1eddi gian v\u00e0 v\u1ecb tr\u00ed c\u1ee7a c\u00e1c xoang b\u1ecb vi\u00eam:<\/p>\n

    \n
  • Vi\u00eam xoang c\u1ea5p t\u00ednh: Th\u01b0\u1eddng di\u1ec5n bi\u1ebfn nhanh v\u00e0 k\u00e9o d\u00e0i trong v\u00f2ng \u00edt h\u01a1n 4 tu\u1ea7n. \u0110\u00e2y l\u00e0 giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a vi\u00eam xoang, th\u01b0\u1eddng do nhi\u1ec5m virus, vi khu\u1ea9n ho\u1eb7c n\u1ea5m.<\/li>\n
  • Vi\u00eam xoang m\u00e3n t\u00ednh: Khi vi\u00eam xoang k\u00e9o d\u00e0i h\u01a1n 12 tu\u1ea7n, kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u c\u1ea3i thi\u1ec7n sau \u0111i\u1ec1u tr\u1ecb, ho\u1eb7c t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, t\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam xoang m\u00e3n t\u00ednh. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do nhi\u1ec5m tr\u00f9ng vi khu\u1ea9n k\u00e9o d\u00e0i, d\u1ecb \u1ee9ng, ho\u1eb7c c\u00e1c y\u1ebfu t\u1ed1 b\u1ea5t th\u01b0\u1eddng kh\u00e1c trong m\u0169i.<\/li>\n<\/ul>\n

    Ngo\u00e0i ra, vi\u00eam xoang c\u00f2n \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean v\u1ecb tr\u00ed c\u1ee7a c\u00e1c xoang b\u1ecb vi\u00eam:<\/p>\n

      \n
    • Xoang n\u1eb1m \u1edf ph\u1ea7n tr\u00ean m\u0169i, g\u1ea7n tr\u00e1n.<\/li>\n
    • Xoang n\u1eb1m \u1edf ph\u00eda tr\u00ean h\u00e0m r\u0103ng, g\u1ea7n g\u00f2 m\u00e1.<\/li>\n
    • Xoang n\u1eb1m \u1edf ph\u00eda d\u01b0\u1edbi m\u1eaft, gi\u1eefa hai m\u1eaft.<\/li>\n
    • Xoang n\u1eb1m s\u00e2u h\u01a1n, g\u1ea7n m\u1eaft.<\/li>\n<\/ul>\n

      Nguy\u00ean nh\u00e2n g\u00e2y vi\u00eam xoang<\/h2>\n

      Vi\u00eam xoang c\u00f3 th\u1ec3 ph\u00e1t sinh t\u1eeb nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, th\u01b0\u1eddng l\u00e0 do s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh t\u1eeb m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i v\u00e0o trong xoang qua l\u1ed7 th\u00f4ng m\u0169i.<\/p>\n

      Nhi\u1ec5m tr\u00f9ng virus, vi khu\u1ea9n v\u00e0 n\u1ea5m<\/h3>\n
        \n
      • Virus l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y vi\u00eam xoang c\u1ea5p t\u00ednh, th\u01b0\u1eddng x\u1ea3y ra sau c\u00e1c \u0111\u1ee3t c\u1ea3m l\u1ea1nh ho\u1eb7c c\u00fam.<\/li>\n
      • Khi nhi\u1ec5m tr\u00f9ng virus kh\u00f4ng \u0111\u01b0\u1ee3c c\u01a1 th\u1ec3 lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n, vi khu\u1ea9n c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n v\u00e0 g\u00e2y vi\u00eam xoang k\u00e9o d\u00e0i. C\u00e1c lo\u1ea1i vi khu\u1ea9n ph\u1ed5 bi\u1ebfn bao g\u1ed3m Streptococcus pneumoniae, Haemophilus influenzae, v\u00e0 Moraxella catarrhalis.<\/li>\n
      • \u0110\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 h\u1ec7 mi\u1ec5n d\u1ecbch suy y\u1ebfu, nhi\u1ec5m tr\u00f9ng n\u1ea5m c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra vi\u00eam xoang, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf vi\u00eam xoang m\u00e3n t\u00ednh.<\/li>\n<\/ul>\n

        \"Vi\u00eam<\/p>\n

        D\u1ecb \u1ee9ng v\u00e0 y\u1ebfu t\u1ed1 k\u00edch th\u00edch<\/h3>\n
          \n
        • Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u1edbi ph\u1ea5n hoa, b\u1ee5i m\u1ecbn, n\u1ea5m m\u1ed1c, ho\u1eb7c l\u00f4ng th\u00fa c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u00eam xoang. D\u1ecb \u1ee9ng g\u00e2y vi\u00eam m\u0169i v\u00e0 xoang, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n thu\u1eadn l\u1ee3i cho vi khu\u1ea9n ph\u00e1t tri\u1ec3n.<\/li>\n
        • H\u00edt ph\u1ea3i kh\u00f3i thu\u1ed1c l\u00e1, \u00f4 nhi\u1ec5m kh\u00f4ng kh\u00ed, ho\u1eb7c h\u00f3a ch\u1ea5t m\u1ea1nh c\u00f3 th\u1ec3 l\u00e0m k\u00edch th\u00edch ni\u00eam m\u1ea1c m\u0169i v\u00e0 xoang, d\u1eabn \u0111\u1ebfn vi\u00eam nhi\u1ec5m.<\/li>\n<\/ul>\n

          Y\u1ebfu t\u1ed1 c\u1ea5u tr\u00fac<\/h3>\n
            \n
          • V\u00e1ch ng\u0103n m\u0169i l\u1ec7ch l\u00e0m gi\u1ea3m l\u01b0u th\u00f4ng kh\u00f4ng kh\u00ed qua c\u00e1c xoang, d\u1ec5 g\u00e2y t\u1eafc ngh\u1ebdn v\u00e0 vi\u00eam nhi\u1ec5m.<\/li>\n
          • Nh\u1eefng kh\u1ed1i u l\u00e0nh t\u00ednh trong m\u0169i c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf l\u01b0u th\u00f4ng kh\u00f4ng kh\u00ed v\u00e0 d\u1ecbch nh\u1ea7y, d\u1eabn \u0111\u1ebfn vi\u00eam xoang.<\/li>\n<\/ul>\n

            C\u00e1c b\u1ec7nh l\u00fd li\u00ean quan<\/h2>\n
              \n
            • B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n: axit d\u1ea1 d\u00e0y tr\u00e0o ng\u01b0\u1ee3c l\u00ean m\u0169i c\u00f3 th\u1ec3 g\u00e2y k\u00edch th\u00edch v\u00e0 vi\u00eam nhi\u1ec5m xoang.<\/li>\n
            • C\u00e1c b\u1ec7nh nh\u01b0 vi\u00eam amidan, vi\u00eam thanh qu\u1ea3n c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u00eam xoang.<\/li>\n<\/ul>\n

              Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam xoang<\/h2>\n

              Tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam xoang ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i vi\u00eam xoang v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh. C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed5 bi\u1ebfn bao g\u1ed3m:<\/p>\n

                \n
              • C\u1ea3m gi\u00e1c m\u0169i b\u1ecb t\u1eafc ngh\u1ebdn, kh\u00f3 th\u1edf qua m\u0169i.<\/li>\n
              • N\u01b0\u1edbc m\u0169i c\u00f3 th\u1ec3 trong ho\u1eb7c m\u00e0u v\u00e0ng, xanh t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n vi\u00eam.<\/li>\n
              • \u0110au nh\u1ee9c \u1edf v\u00f9ng tr\u00e1n, g\u00f2 m\u00e1, ho\u1eb7c sau m\u1eaft.<\/li>\n
              • M\u1ea5t c\u1ea3m gi\u00e1c m\u00f9i ho\u1eb7c v\u1ecb.<\/li>\n
              • \u0110\u1eb7c bi\u1ec7t l\u00e0 v\u00e0o ban ng\u00e0y, do d\u1ecbch nh\u1ea7y ch\u1ea3y xu\u1ed1ng h\u1ecdng.<\/li>\n
              • C\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi, s\u1ed1t nh\u1eb9 \u0111\u1ebfn cao t\u00f9y m\u1ee9c \u0111\u1ed9 vi\u00eam.<\/li>\n<\/ul>\n

                Tri\u1ec7u ch\u1ee9ng theo lo\u1ea1i xoang b\u1ecb vi\u00eam<\/h3>\n
                  \n
                • Vi\u00eam xoang tr\u00e1n: \u0111au nh\u1ee9c \u1edf tr\u00e1n, c\u1eaft ngang qua \u0111\u1ea7u.<\/li>\n
                • Vi\u00eam xoang h\u00e0m: \u0111au \u1edf v\u00f9ng g\u00f2 m\u00e1, c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au lan v\u00e0o r\u0103ng h\u00e0m.<\/li>\n
                • Vi\u00eam xoang s\u00e0ng: \u0111au \u1edf gi\u1eefa hai m\u1eaft, c\u00f3 th\u1ec3 k\u00e8m theo s\u01b0ng \u0111\u1ecf k\u1ebft m\u1ea1c.<\/li>\n
                • Vi\u00eam xoang b\u01b0\u1edbm: \u0111au s\u00e2u b\u00ean trong m\u1eaft, c\u00f3 th\u1ec3 g\u00e2y m\u1edd th\u1ecb l\u1ef1c t\u1ea1m th\u1eddi.<\/li>\n<\/ul>\n

                  Tri\u1ec7u ch\u1ee9ng ri\u00eang bi\u1ec7t<\/h3>\n
                    \n
                  • Nh\u1ee9c \u0111au n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u00e0o bu\u1ed5i s\u00e1ng khi ng\u01b0\u1eddi b\u1ec7nh th\u1ee9c d\u1eady.<\/li>\n
                  • Nh\u1ea3y m\u0169i v\u00e0 \u0111au h\u1ecdng do d\u1ecbch nh\u1ea7y ch\u1ea3y xu\u1ed1ng h\u1ecdng.<\/li>\n
                  • \u0110au c\u01a1 v\u00e0 \u0111au x\u01b0\u01a1ng do vi\u00eam nhi\u1ec5m lan r\u1ed9ng \u0111\u1ebfn c\u00e1c c\u01a1 xung quanh khu v\u1ef1c m\u0169i v\u00e0 xoang.<\/li>\n
                  • Tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng: ng\u1ee9a m\u0169i, m\u1eaft \u0111\u1ecf, ch\u1ea3y n\u01b0\u1edbc m\u1eaft.<\/li>\n<\/ul>\n

                    Ch\u1ea9n \u0111o\u00e1n vi\u00eam xoang<\/h2>\n

                    Ch\u1ea9n \u0111o\u00e1n vi\u00eam xoang d\u1ef1a tr\u00ean s\u1ef1 k\u1ebft h\u1ee3p gi\u1eefa c\u00e1c th\u00f4ng tin t\u1eeb tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n, kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc.<\/p>\n

                      \n
                    • B\u00e1c s\u0129 s\u1ebd l\u1eafng nghe v\u00e0 ghi nh\u1eadn c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e0 b\u1ec7nh nh\u00e2n tr\u00ecnh b\u00e0y, bao g\u1ed3m t\u1ea7n su\u1ea5t, m\u1ee9c \u0111\u1ed9 v\u00e0 th\u1eddi gian di\u1ec5n bi\u1ebfn c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/li>\n
                    • B\u00e1c s\u0129 s\u1ebd s\u1edd n\u1eafn c\u00e1c \u0111i\u1ec3m tr\u00ean m\u1eb7t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed \u0111au, gi\u00fap ph\u00e2n bi\u1ec7t lo\u1ea1i xoang b\u1ecb vi\u00eam.<\/li>\n
                    • S\u1eed d\u1ee5ng g\u01b0\u01a1ng m\u0169i ho\u1eb7c n\u1ed9i soi \u0111\u1ec3 quan s\u00e1t b\u00ean trong m\u0169i, ph\u00e1t hi\u1ec7n s\u1ef1 t\u1eafc ngh\u1ebdn, polyp ho\u1eb7c c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam nhi\u1ec5m.<\/li>\n<\/ul>\n

                      \"Chu\u1ea9n<\/p>\n

                      Ph\u01b0\u01a1ng ph\u00e1p h\u00ecnh \u1ea3nh h\u1ecdc<\/h3>\n
                        \n
                      • Ch\u1ee5p C\u1eaft L\u1edbp Xoang (CT Scan): xem h\u00ecnh \u1ea3nh chi ti\u1ebft v\u1ec1 c\u1ea5u tr\u00fac xoang, gi\u00fap ph\u00e1t hi\u1ec7n s\u1ef1 t\u1eafc ngh\u1ebdn, vi\u00eam nhi\u1ec5m ho\u1eb7c s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a polyp.<\/li>\n
                      • Si\u00eau \u00e2m: \u0111\u00f4i khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng vi\u00eam xoang, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em.<\/li>\n
                      • Ch\u1ee5p X-quang: \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng do kh\u1ea3 n\u0103ng ch\u00ednh x\u00e1c th\u1ea5p h\u01a1n so v\u1edbi CT.<\/li>\n<\/ul>\n

                        C\u00e1c x\u00e9t nghi\u1ec7m b\u1ed5 sung<\/h3>\n
                          \n
                        • X\u00e9t nghi\u1ec7m m\u00e1u: \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m trong c\u01a1 th\u1ec3.<\/li>\n
                        • V\u0103n v\u1ec7 vi sinh: trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, m\u1eabu d\u1ecbch nh\u1ea7y t\u1eeb xoang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n vi\u00eam nhi\u1ec5m.<\/li>\n<\/ul>\n

                          \u0110i\u1ec1u tr\u1ecb vi\u00eam xoang<\/h2>\n

                          \u0110i\u1ec1u tr\u1ecb vi\u00eam xoang ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i vi\u00eam, nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a tri\u1ec7u ch\u1ee9ng. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m:<\/p>\n

                          \u0110i\u1ec1u tr\u1ecb n\u1ed9i kh\u00f3a<\/h3>\n
                            \n
                          • S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i kh\u00e1ng sinh nh\u01b0 amoxicillin, doxycycline ho\u1eb7c azithromycin. Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n
                          • Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (nsaids): gi\u1ea3m \u0111au v\u00e0 vi\u00eam, th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng song song v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/li>\n
                          • Thu\u1ed1c x\u1ecbt m\u0169i Corticosteroid: gi\u1ea3m s\u01b0ng v\u00e0 vi\u00eam nhi\u1ec5m trong m\u0169i v\u00e0 xoang. C\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam xoang m\u00e3n t\u00ednh n\u1eb7ng.<\/li>\n
                          • Thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t Paracetamol ho\u1eb7c ibuprofen: gi\u00fap gi\u1ea3m \u0111au v\u00e0 h\u1ea1 s\u1ed1t.<\/li>\n<\/ul>\n

                            \u0110i\u1ec1u tr\u1ecb ngo\u1ea1i khoa<\/h3>\n
                              \n
                            • Ph\u1eabu thu\u1eadt n\u1ed9i soi m\u0169i xoang: khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa kh\u00f4ng hi\u1ec7u qu\u1ea3, ho\u1eb7c khi c\u00f3 s\u1ef1 t\u1eafc ngh\u1ebdn c\u1ea5u tr\u00fac nh\u01b0 v\u00e1ch ng\u0103n m\u0169i l\u1ec7ch, polyp m\u0169i.<\/li>\n
                            • S\u1eed d\u1ee5ng n\u1ed9i soi \u0111\u1ec3 m\u1edf r\u1ed9ng l\u1ed7 th\u00f4ng xoang, lo\u1ea1i b\u1ecf polyp, \u0111i\u1ec1u ch\u1ec9nh c\u1ea5u tr\u00fac m\u0169i nh\u1eb1m c\u1ea3i thi\u1ec7n l\u01b0u th\u00f4ng kh\u00f4ng kh\u00ed v\u00e0 d\u1ecbch nh\u1ea7y.<\/li>\n<\/ul>\n

                              C\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3<\/h3>\n
                                \n
                              • X\u1ecbt m\u0169i mu\u1ed1i sinh l\u00fd: l\u00e0m s\u1ea1ch m\u0169i, lo\u1ea1i b\u1ecf d\u1ecbch nh\u1ea7y v\u00e0 vi khu\u1ea9n, gi\u1ea3m ngh\u1eb9t m\u0169i.<\/li>\n
                              • S\u1eed d\u1ee5ng m\u00e1y h\u01a1i \u1ea9m: gi\u1eef \u1ea9m cho ni\u00eam m\u1ea1c m\u0169i, gi\u1ea3m c\u1ea3m gi\u00e1c kh\u00f4 v\u00e0 kh\u00f3 ch\u1ecbu.<\/li>\n<\/ul>\n

                                Ph\u00f2ng ng\u1eeba vi\u00eam xoang<\/h2>\n

                                N\u00e2ng cao th\u1ec3 tr\u1ea1ng v\u00e0 t\u0103ng c\u01b0\u1eddng mi\u1ec5n d\u1ecbch<\/h3>\n
                                  \n
                                • Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng h\u1ee3p l\u00fd: cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 vitamin v\u00e0 kho\u00e1ng ch\u1ea5t \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng h\u1ec7 mi\u1ec5n d\u1ecbch.<\/li>\n
                                • T\u1eadp luy\u1ec7n th\u1ec3 thao \u0111\u1ec1u \u0111\u1eb7n: c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3 v\u00e0 kh\u1ea3 n\u0103ng \u0111\u1ec1 kh\u00e1ng c\u1ee7a c\u01a1 th\u1ec3.<\/li>\n<\/ul>\n

                                  V\u1ec7 sinh m\u0169i \u0111\u00fang c\u00e1ch<\/h3>\n
                                    \n
                                  • R\u1eeda m\u0169i th\u01b0\u1eddng xuy\u00ean: \u0111\u1eb7c bi\u1ec7t khi l\u00e0m vi\u1ec7c trong m\u00f4i tr\u01b0\u1eddng nhi\u1ec1u b\u1ee5i b\u1ea9n.<\/li>\n
                                  • S\u1eed d\u1ee5ng kh\u1ea9u trang: khi ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i b\u1ee5i, h\u00f3a ch\u1ea5t m\u1ea1nh ho\u1eb7c trong m\u00f9a hoa ph\u1ea5n.<\/li>\n<\/ul>\n

                                    \"Ph\u00f2ng<\/p>\n

                                    Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi c\u00e1c t\u00e1c nh\u00e2n k\u00edch th\u00edch<\/h3>\n
                                      \n
                                    • H\u1ea1n ch\u1ebf h\u00fat thu\u1ed1c l\u00e1 v\u00e0 ti\u1ebfp x\u00fac v\u1edbi kh\u00f3i thu\u1ed1c: v\u00ec kh\u00f3i thu\u1ed1c l\u00e0m k\u00edch th\u00edch ni\u00eam m\u1ea1c m\u0169i, d\u1ec5 d\u1eabn \u0111\u1ebfn vi\u00eam xoang.<\/li>\n
                                    • Tr\u00e1nh c\u00e1c t\u00e1c nh\u00e2n g\u00e2y d\u1ecb \u1ee9ng nh\u01b0 ph\u1ea5n hoa, b\u1ee5i m\u1ecbn, n\u1ea5m m\u1ed1c v\u00e0 l\u00f4ng th\u00fa.<\/li>\n<\/ul>\n

                                      Ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe h\u00f4 h\u1ea5p<\/h3>\n
                                        \n
                                      • Ti\u00eam ph\u00f2ng vaccines: \u0111\u1eb7c bi\u1ec7t l\u00e0 vaccine c\u00fam v\u00e0 ph\u1ebf c\u1ea7u, gi\u00fap gi\u1ea3m nguy c\u01a1 m\u1eafc c\u00e1c b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/li>\n
                                      • \u0110i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00e1c b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p: \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 vi\u00eam xoang do c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan.<\/li>\n<\/ul>\n

                                        C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ef1 nhi\u00ean v\u00e0 th\u1ef1c ph\u1ea9m h\u1ed7 tr\u1ee3<\/h2>\n

                                        Ngo\u00e0i c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb y t\u1ebf, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p t\u1ef1 nhi\u00ean v\u00e0 th\u1ef1c ph\u1ea9m h\u1ed7 tr\u1ee3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng v\u00e0 t\u0103ng c\u01b0\u1eddng qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c.<\/p>\n

                                          \n
                                        • N\u01b0\u1edbc g\u1eebng t\u01b0\u01a1i: t\u00e1c d\u1ee5ng gi\u1ea3m tri\u1ec7u ch\u1ee9ng vi\u00eam xoang, gi\u1ea3m \u0111\u00e0m, l\u00e0m \u1ea5m c\u01a1 th\u1ec3. L\u1ea5y m\u1ed9t c\u1ee7 g\u1eebng gi\u00e0, \u0111\u1eadp d\u1eadp, rang v\u00e0ng v\u00e0 n\u1ea5u n\u01b0\u1edbc u\u1ed1ng. Ho\u1eb7c l\u1ea5y 10g g\u1eebng kh\u00f4 v\u00e0 20g cam th\u1ea3o, n\u1ea5u n\u01b0\u1edbc u\u1ed1ng s\u00e1ng v\u00e0 t\u1ed1i.<\/li>\n
                                        • Ch\u00e8 b\u1ea1c h\u00e0: gi\u1ea3i nhi\u1ec7t, s\u00e1t khu\u1ea9n, gi\u1ea3m ngh\u1eb9t m\u0169i, vi\u00eam h\u1ecdng. S\u1eed d\u1ee5ng lo\u1ea1i thu\u1ed1c h\u00e3m ho\u1eb7c s\u00f4ng, ho\u1eb7c u\u1ed1ng tinh d\u1ea7u b\u1ea1c h\u00e0 pha v\u1edbi n\u01b0\u1edbc n\u00f3ng.<\/li>\n
                                        • Tr\u00e0 hoa c\u00fac: gi\u1ea3i c\u1ea3m, gi\u1ea3m \u0111au \u0111\u1ea7u, l\u00e0m m\u00e1t c\u01a1 th\u1ec3. L\u1ea5y 50g hoa c\u00fac kh\u00f4, 1,5 l\u00edt n\u01b0\u1edbc, 3 l\u00e1t cam th\u1ea3o, \u0111un s\u00f4i t\u1eeb 3 \u0111\u1ebfn 5 ph\u00fat, th\u00eam \u0111\u01b0\u1eddng ph\u00e8n theo kh\u1ea9u v\u1ecb.<\/li>\n
                                        • M\u00f3n \u0103n t\u1eeb h\u00e0nh v\u00e0 th\u00f4ng b\u1ea1ch: k\u00edch th\u00edch th\u1ea7n kinh, gi\u1ea3m ngh\u1eb9t m\u0169i, ch\u1eefa c\u1ea3m m\u1ea1o. N\u1ea5u ch\u00e1o lo\u00e3ng v\u1edbi 3 c\u1ee7 h\u00e0nh s\u1ed1ng, 3 l\u00e1t g\u1eebng, 100g t\u00eda t\u00f4, 1 tr\u1ee9ng g\u00e0, 1 \u00edt mu\u1ed1i. Ho\u1eb7c n\u1ea5u s\u00f4i 30g h\u00e0nh, 100g g\u1eebng s\u1ed1ng, 100g ch\u00e8 h\u01b0\u01a1ng.<\/li>\n
                                        • M\u00f3n \u0103n v\u00e0 n\u01b0\u1edbc u\u1ed1ng t\u1eeb qu\u1ea3 cam: h\u1ed7 tr\u1ee3 nhu\u1eadn ph\u1ebf, ti\u00eau t\u00edch t\u1ee5, gi\u1ea3i r\u01b0\u1ee3u th\u00f4ng ti\u1ec7n. \u0102n ngay, \u00e9p ho\u1eb7c n\u1ea5u l\u1ea5y n\u01b0\u1edbc u\u1ed1ng. Ho\u1eb7c s\u1eed d\u1ee5ng v\u1ecf cam t\u01b0\u01a1i ho\u1eb7c kh\u00f4, 5-10g \u0111em s\u1eafc n\u01b0\u1edbc u\u1ed1ng.<\/li>\n
                                        • M\u00f3n \u0103n t\u1eeb b\u01b0\u1edfi: gi\u1ea3m \u0111au, ti\u00eau \u0111\u00e0m, gi\u1ea3i \u0111\u1ed9c. Tr\u1ed9n 125g mu\u1ed1i b\u01b0\u1edfi, 30ml m\u1eadt ong, 15ml r\u01b0\u1ee3u g\u1ea1o, c\u00e1ch th\u1ee7y r\u1ed3i u\u1ed1ng \u1ea5m. Ho\u1eb7c d\u00f9ng b\u01b0\u1edfi b\u1ecf v\u1ecf v\u1edbi g\u00e0 tr\u1ed1ng, c\u00e1ch th\u1ee7y \u0111\u1ebfn ch\u00edn.<\/li>\n
                                        • M\u00f3n \u0103n t\u1eeb d\u1ee9a: gi\u00fap thanh nhi\u1ec7t, gi\u1ea3m s\u01b0ng ph\u00f9, h\u1ed7 tr\u1ee3 ti\u00eau \u0111\u00e0m. \u0102n s\u1ed1ng ho\u1eb7c n\u1ea5u ch\u00edn, ng\u00e2m v\u00e0 r\u1eeda b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i tr\u01b0\u1edbc khi \u0103n. Ho\u1eb7c n\u1ea5u nh\u1ecf v\u1edbi th\u1ecbt d\u1ee9a, m\u1eadt ong v\u00e0 n\u01b0\u1edbc, \u0111un l\u1eeda nh\u1ecf v\u00e0 u\u1ed1ng \u1ea5m.<\/li>\n<\/ul>\n

                                          \"C\u00e1ch<\/p>\n

                                          C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a vi\u00eam xoang<\/h2>\n

                                          M\u1eb7c d\u00f9 vi\u00eam xoang th\u01b0\u1eddng \u00edt g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, nh\u01b0ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p, b\u1ec7nh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00ecnh tr\u1ea1ng nguy hi\u1ec3m:<\/p>\n

                                            \n
                                          • Vi\u00eam x\u01b0\u01a1ng t\u1ee7y: g\u00e2y nhi\u1ec5m tr\u00f9ng lan r\u1ed9ng t\u1eeb xoang \u0111\u1ebfn x\u01b0\u01a1ng m\u1eb7t.<\/li>\n
                                          • Vi khu\u1ea9n t\u1eeb xoang c\u00f3 th\u1ec3 l\u00e2y lan \u0111\u1ebfn h\u1ed1c m\u1eaft, g\u00e2y vi\u00eam m\u1ea1c ho\u1eb7c \u00e1p xe m\u1eaft.<\/li>\n
                                          • Nhi\u1ec5m tr\u00f9ng t\u1eeb xoang c\u00f3 th\u1ec3 lan v\u00e0o c\u00e1c khoang trong s\u1ecd, g\u00e2y ra nh\u1eefng bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng.<\/li>\n
                                          • Nhi\u1ec5m tr\u00f9ng lan r\u1ed9ng \u0111\u1ebfn m\u00e0ng n\u00e3o, c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/li>\n<\/ul>\n

                                            M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u00eam xoang v\u00e0 c\u00e1c b\u1ec7nh h\u00f4 h\u1ea5p kh\u00e1c<\/h2>\n

                                            Vi\u00eam xoang (vi\u00eam c\u00e1c xoang c\u1ea1nh m\u0169i) kh\u00f4ng ch\u1ec9 g\u00e2y \u0111au \u0111\u1ea7u, ngh\u1eb9t m\u0169i m\u00e0 c\u00f2n li\u00ean quan m\u1eadt thi\u1ebft \u0111\u1ebfn nhi\u1ec1u b\u1ec7nh h\u00f4 h\u1ea5p kh\u00e1c. Gi\u1edbi chuy\u00ean m\u00f4n t\u1eeb l\u00e2u \u0111\u00e3 xem \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u00e0 d\u01b0\u1edbi nh\u01b0 m\u1ed9t h\u1ec7 th\u1ed1ng \u201c\u0111\u01b0\u1eddng th\u1edf th\u1ed1ng nh\u1ea5t\u201d \u2013 vi\u00eam nhi\u1ec5m \u1edf v\u00f9ng m\u0169i xoang c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ebf qu\u1ea3n, ph\u1ed5i v\u00e0 h\u1ecdng, v\u00e0 ng\u01b0\u1ee3c l\u1ea1i.<\/p>\n

                                            Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y ng\u01b0\u1eddi m\u1eafc b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u00f3 xu h\u01b0\u1edbng d\u1ec5 m\u1eafc c\u00e1c b\u1ec7nh \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi h\u01a1n v\u00e0 ng\u01b0\u1ee3c l\u1ea1i. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1i nh\u00ecn chuy\u00ean s\u00e2u v\u1ec1 m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa vi\u00eam xoang v\u1edbi hen suy\u1ec5n, vi\u00eam ph\u1ebf qu\u1ea3n v\u00e0 vi\u00eam h\u1ecdng m\u00e3n t\u00ednh, c\u00f9ng nh\u1eefng nguy c\u01a1 n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n

                                            Vi\u00eam xoang v\u00e0 hen suy\u1ec5n<\/h3>\n

                                            Hen suy\u1ec5n (hen ph\u1ebf qu\u1ea3n) v\u00e0 vi\u00eam xoang th\u01b0\u1eddng \u0111\u1ed3ng h\u00e0nh c\u00f9ng nhau. C\u00e1c th\u1ed1ng k\u00ea y khoa ghi nh\u1eadn t\u1ef7 l\u1ec7 l\u1edbn b\u1ec7nh nh\u00e2n hen suy\u1ec5n c\u0169ng b\u1ecb vi\u00eam xoang. C\u1ee5 th\u1ec3, kho\u1ea3ng 40\u201360% tr\u1ebb em b\u1ecb hen c\u00f3 d\u1ea5u hi\u1ec7u vi\u00eam xoang m\u00e3n t\u00ednh tr\u00ean phim X-quang. M\u1ed9t nghi\u00ean c\u1ee9u t\u1ea1i Trung Qu\u1ed1c n\u0103m 2024 cho th\u1ea5y 23,8% b\u1ec7nh nh\u00e2n vi\u00eam xoang m\u1ea1n (kh\u00f4ng c\u00f3 polyp m\u0169i) \u0111\u1ed3ng th\u1eddi m\u1eafc hen ph\u1ebf qu\u1ea3n. Ng\u01b0\u1ee3c l\u1ea1i, nh\u1eefng ng\u01b0\u1eddi hen suy\u1ec5n c\u0169ng d\u1ec5 b\u1ecb vi\u00eam m\u0169i xoang; gi\u1edbi chuy\u00ean m\u00f4n khuy\u1ebfn c\u00e1o t\u1ea5t c\u1ea3 b\u1ec7nh nh\u00e2n hen n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m tra xem c\u00f3 vi\u00eam xoang k\u00e8m theo hay kh\u00f4ng.<\/p>\n

                                            C\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng hai chi\u1ec1u: Vi\u00eam xoang l\u00e0m ni\u00eam m\u1ea1c m\u0169i xoang s\u01b0ng vi\u00eam, d\u1ecbch nh\u1ea7y \u1ee9 \u0111\u1ecdng v\u00e0 c\u00f3 th\u1ec3 ch\u1ea3y xu\u1ed1ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi. D\u1ecbch m\u0169i ch\u1ea3y sau (post-nasal drip) t\u1eeb vi\u00eam xoang l\u00e0 t\u00e1c nh\u00e2n k\u00edch th\u00edch \u0111\u01b0\u1eddng th\u1edf, g\u00e2y ho v\u00e0 vi\u00eam h\u1ecdng, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 kh\u1edfi ph\u00e1t c\u01a1n hen suy\u1ec5n \u1edf ng\u01b0\u1eddi c\u00f3 c\u01a1 \u0111\u1ecba hen. Ni\u00eam m\u1ea1c xoang vi\u00eam c\u0169ng gi\u1ea3i ph\u00f3ng c\u00e1c ch\u1ea5t g\u00e2y vi\u00eam lan t\u1ecfa theo m\u00e1u, l\u00e0m t\u0103ng ph\u1ea3n \u1ee9ng co th\u1eaft ph\u1ebf qu\u1ea3n \u2013 t\u1ee9c l\u00e0 \u0111\u01b0\u1eddng th\u1edf c\u1ee7a ng\u01b0\u1eddi hen tr\u1edf n\u00ean nh\u1ea1y c\u1ea3m v\u00e0 co th\u1eaft nhi\u1ec1u h\u01a1n.<\/p>\n

                                            Th\u1ef1c t\u1ebf, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c vi\u00eam xoang \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh gi\u00fap gi\u1ea3m ph\u1ea3n \u1ee9ng ph\u1ebf qu\u1ea3n qu\u00e1 m\u1ee9c v\u00e0 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng hen. Ng\u01b0\u1ee3c l\u1ea1i, hen suy\u1ec5n kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t khi\u1ebfn b\u1ec7nh nh\u00e2n ph\u1ea3i th\u1edf b\u1eb1ng mi\u1ec7ng nhi\u1ec1u, kh\u00f4ng kh\u00ed kh\u00f4ng \u0111\u01b0\u1ee3c l\u00e0m \u1ea5m v\u00e0 \u1ea9m nh\u01b0 khi qua m\u0169i, d\u1ec5 d\u1eabn \u0111\u1ebfn kh\u00f4 v\u00e0 vi\u00eam ni\u00eam m\u1ea1c m\u0169i xoang. Th\u00eam v\u00e0o \u0111\u00f3, vi\u00eam \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi l\u00e2u ng\u00e0y c\u00f3 th\u1ec3 l\u00e0m suy y\u1ebfu h\u1ec7 mi\u1ec5n d\u1ecbch t\u1ea1i ch\u1ed7, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi\u00eam xoang b\u00f9ng ph\u00e1t.<\/p>\n

                                            H\u1ec7 qu\u1ea3 l\u00e2m s\u00e0ng: S\u1ef1 \u201cb\u1eaft tay\u201d gi\u1eefa hen v\u00e0 vi\u00eam xoang khi\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m s\u00fat r\u00f5 r\u1ec7t. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng xuy\u00ean ngh\u1eb9t m\u0169i, kh\u00f3 th\u1edf kh\u00f2 kh\u00e8 v\u1ec1 \u0111\u00eam, gi\u1ea5c ng\u1ee7 b\u1ecb gi\u00e1n \u0111o\u1ea1n do c\u1ea3 xoang v\u00e0 ph\u1ed5i \u0111\u1ec1u c\u00f3 v\u1ea5n \u0111\u1ec1. Tin t\u1ed1t l\u00e0 n\u1ebfu \u0111i\u1ec1u tr\u1ecb vi\u00eam xoang hi\u1ec7u qu\u1ea3, ki\u1ec3m so\u00e1t hen suy\u1ec5n c\u0169ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n. C\u00e1c b\u00e1c s\u0129 k\u1ebft lu\u1eadn r\u1eb1ng ch\u1eefa vi\u00eam xoang c\u00f3 th\u1ec3 gi\u00fap \u1ed5n \u0111\u1ecbnh b\u1ec7nh hen v\u00e0 ng\u0103n ch\u1eb7n c\u00e1c \u0111\u1ee3t hen c\u1ea5p. V\u00ec v\u1eady, trong ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n dai d\u1eb3ng, b\u00e1c s\u0129 th\u01b0\u1eddng \u0111\u1ed3ng th\u1eddi xem x\u00e9t b\u1ec7nh l\u00fd xoang c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

                                            Vi\u00eam xoang v\u00e0 vi\u00eam ph\u1ebf qu\u1ea3n<\/h3>\n

                                            Vi\u00eam ph\u1ebf qu\u1ea3n l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m \u0111\u01b0\u1eddng d\u1eabn kh\u00ed l\u1edbn (ph\u1ebf qu\u1ea3n) \u1edf ph\u1ed5i, th\u01b0\u1eddng do virus g\u00e2y ra. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p vi\u00eam ph\u1ebf qu\u1ea3n kh\u1edfi ph\u00e1t sau m\u1ed9t \u0111\u1ee3t c\u1ea3m l\u1ea1nh ho\u1eb7c vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean. C\u00e1c chuy\u00ean gia ch\u1ec9 ra r\u1eb1ng virus g\u00e2y vi\u00eam xoang c\u0169ng c\u00f3 th\u1ec3 g\u00e2y vi\u00eam ph\u1ebf qu\u1ea3n c\u1ea5p. Th\u1ef1c t\u1ebf, m\u1ed9t nhi\u1ec5m tr\u00f9ng h\u00f4 h\u1ea5p tr\u00ean nh\u01b0 c\u00fam hay c\u1ea3m c\u00f3 th\u1ec3 lan xu\u1ed1ng \u0111\u01b0\u1eddng th\u1edf d\u01b0\u1edbi, d\u1eabn \u0111\u1ebfn vi\u00eam ph\u1ebf qu\u1ea3n \u2013 hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201ch\u1ed9i ch\u1ee9ng xoang \u2013 ph\u1ebf qu\u1ea3n\u201d trong y v\u0103n.<\/p>\n

                                            T\u01b0\u01a1ng t\u00e1c hai chi\u1ec1u: Khi b\u1ecb vi\u00eam xoang, d\u1ecbch m\u1ee7 v\u00e0 vi tr\u00f9ng t\u1eeb c\u00e1c xoang c\u00f3 th\u1ec3 ch\u1ea3y xu\u1ed1ng c\u1ed5 h\u1ecdng v\u00e0 h\u00edt v\u00e0o ph\u1ebf qu\u1ea3n, l\u00e0m b\u00f9ng ph\u00e1t vi\u00eam ph\u1ebf qu\u1ea3n ho\u1eb7c vi\u00eam ph\u1ed5i k\u1ebf ph\u00e1t. \u0110\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em, vi\u00eam m\u0169i xoang m\u1ea1n t\u00ednh k\u00e9o d\u00e0i c\u00f3 th\u1ec3 khi\u1ebfn tr\u1ebb ho dai d\u1eb3ng, d\u1ec5 b\u1ecb vi\u00eam ph\u1ebf qu\u1ea3n t\u00e1i \u0111i t\u00e1i l\u1ea1i.<\/p>\n

                                            Ng\u01b0\u1ee3c l\u1ea1i, vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n (th\u01b0\u1eddng g\u1eb7p \u1edf ng\u01b0\u1eddi h\u00fat thu\u1ed1c l\u00e2u n\u0103m) l\u00e0m t\u1ed5n th\u01b0\u01a1ng h\u1ec7 l\u00f4ng chuy\u1ec3n v\u00e0 ni\u00eam m\u1ea1c \u0111\u01b0\u1eddng th\u1edf, khi\u1ebfn ch\u1ee9c n\u0103ng l\u00e0m s\u1ea1ch c\u1ee7a m\u0169i xoang suy gi\u1ea3m v\u00e0 d\u1ec5 d\u1eabn \u0111\u1ebfn vi\u00eam xoang. Ho nhi\u1ec1u trong vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n c\u0169ng t\u1ea1o \u00e1p l\u1ef1c thay \u0111\u1ed5i \u0111\u1ed9t ng\u1ed9t \u1edf h\u1ed1c xoang v\u00e0 tai gi\u1eefa, c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n g\u00e2y vi\u00eam tai v\u00e0 vi\u00eam xoang th\u1ee9 ph\u00e1t.<\/p>\n

                                            B\u1eb1ng ch\u1ee9ng d\u1ecbch t\u1ec5: Nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u tr\u00ean 7.393 ng\u01b0\u1eddi Na Uy trong 5 n\u0103m \u0111\u00e3 ghi nh\u1eadn nh\u1eefng ng\u01b0\u1eddi b\u1ecb vi\u00eam xoang m\u1ea1n c\u00f3 nguy c\u01a1 cao ph\u00e1t tri\u1ec3n vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh h\u01a1n nh\u00f3m kh\u00f4ng b\u1ecb vi\u00eam xoang. M\u1eb7c d\u00f9 nghi\u00ean c\u1ee9u n\u00e0y d\u1ef1a tr\u00ean b\u1ea3ng c\u00e2u h\u1ecfi t\u1ef1 b\u00e1o c\u00e1o c\u1ee7a ng\u01b0\u1eddi d\u00e2n v\u00e0 c\u1ea7n th\u00eam b\u1eb1ng ch\u1ee9ng kh\u1eb3ng \u0111\u1ecbnh, k\u1ebft qu\u1ea3 cho th\u1ea5y m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd gi\u1eefa hai b\u1ec7nh l\u00fd: vi\u00eam xoang m\u1ea1n t\u00ednh c\u00f3 th\u1ec3 l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n.<\/p>\n

                                            Trong vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh, \u0111\u1eb7c bi\u1ec7t l\u00e0 th\u1ec3 COPD, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u0111\u1ed3ng th\u1eddi b\u1ecb vi\u00eam m\u0169i xoang m\u1ea1n, polyp m\u0169i ho\u1eb7c vi\u00eam m\u0169i d\u1ecb \u1ee9ng \u2013 t\u1ea5t c\u1ea3 c\u00f9ng t\u1ed3n t\u1ea1i v\u00e0 t\u01b0\u01a1ng t\u00e1c ph\u1ee9c t\u1ea1p. \u0110i\u1ec1u n\u00e0y \u0111\u00f2i h\u1ecfi c\u00e1ch ti\u1ebfp c\u1eadn \u0111i\u1ec1u tr\u1ecb to\u00e0n di\u1ec7n c\u1ea3 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean v\u00e0 d\u01b0\u1edbi, thay v\u00ec t\u00e1ch bi\u1ec7t t\u1eebng c\u01a1 quan.<\/p>\n

                                            Vi\u00eam xoang v\u00e0 vi\u00eam h\u1ecdng m\u00e3n t\u00ednh<\/h3>\n

                                            Vi\u00eam h\u1ecdng m\u00e3n t\u00ednh (\u0111au h\u1ecdng k\u00e9o d\u00e0i, t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n) c\u00f3 m\u1ed1i li\u00ean h\u1ec7 m\u1eadt thi\u1ebft v\u1edbi vi\u00eam xoang, ch\u1ee7 y\u1ebfu qua c\u01a1 ch\u1ebf ch\u1ea3y d\u1ecbch m\u0169i sau. Khi xoang b\u1ecb vi\u00eam, d\u1ecbch nh\u1ea7y \u1ee9 \u0111\u1ecdng ch\u1ea3y ng\u01b0\u1ee3c xu\u1ed1ng th\u00e0nh h\u1ecdng li\u00ean t\u1ee5c, l\u00e0m ni\u00eam m\u1ea1c h\u1ecdng lu\u00f4n trong t\u00ecnh tr\u1ea1ng b\u1ecb k\u00edch th\u00edch, d\u1eabn \u0111\u1ebfn \u0111au r\u00e1t v\u00e0 s\u01b0ng vi\u00eam m\u00e3n t\u00ednh.<\/p>\n

                                            B\u1ec7nh nh\u00e2n vi\u00eam xoang m\u1ea1n th\u01b0\u1eddng k\u00e8m theo tri\u1ec7u ch\u1ee9ng ho khan ho\u1eb7c ho c\u00f3 \u0111\u1eddm v\u1ec1 s\u00e1ng s\u1edbm, c\u1ea3m gi\u00e1c v\u01b0\u1edbng h\u1ecdng do d\u1ecbch ch\u1ea3y v\u00e0 ph\u1ea3i kh\u1ea1c nh\u1ed5 th\u01b0\u1eddng xuy\u00ean. L\u00e2u ng\u00e0y, ni\u00eam m\u1ea1c h\u1ecdng d\u00e0y l\u00ean v\u00e0 k\u00e9m nh\u1ea1y c\u1ea3m v\u1edbi \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng, h\u00ecnh th\u00e0nh vi\u00eam h\u1ecdng h\u1ea1t (m\u1ed9t d\u1ea1ng vi\u00eam h\u1ecdng m\u1ea1n t\u00ednh qu\u00e1 ph\u00e1t).<\/p>\n

                                            Chi\u1ec1u ng\u01b0\u1ee3c l\u1ea1i, vi\u00eam h\u1ecdng m\u1ea1n t\u00ednh \u2013 \u0111\u1eb7c bi\u1ec7t n\u1ebfu do tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y ho\u1eb7c do nhi\u1ec5m khu\u1ea9n \u1ed5 vi\u00eam amidan \u2013 c\u00f3 th\u1ec3 khi\u1ebfn vi\u00eam m\u0169i xoang kh\u00f3 kh\u1ecfi. Vi khu\u1ea9n t\u1eeb \u1ed5 vi\u00eam h\u1ecdng (nh\u01b0 vi\u00eam amidan h\u1ed1c m\u1ee7 m\u00e3n) c\u00f3 th\u1ec3 lan l\u00ean m\u0169i xoang, g\u00e2y t\u00e1i nhi\u1ec5m sau m\u1ed7i \u0111\u1ee3t \u0111i\u1ec1u tr\u1ecb.<\/p>\n

                                            M\u1eb7t kh\u00e1c, ng\u01b0\u1eddi b\u1ecb vi\u00eam h\u1ecdng m\u1ea1n th\u01b0\u1eddng th\u1edf b\u1eb1ng mi\u1ec7ng nhi\u1ec1u h\u01a1n (do ngh\u1eb9t m\u0169i), khi\u1ebfn kh\u00f4ng kh\u00ed kh\u00f4 kh\u00f4ng l\u1ecdc qua m\u0169i l\u00e0m ni\u00eam m\u1ea1c m\u0169i xoang d\u1ec5 b\u1ecb k\u00edch th\u00edch v\u00e0 nhi\u1ec5m tr\u00f9ng. Nh\u01b0 v\u1eady, vi\u00eam xoang v\u00e0 vi\u00eam h\u1ecdng m\u00e3n t\u00ednh c\u00f3 th\u1ec3 t\u1ea1o th\u00e0nh v\u00f2ng l\u1eb7p b\u1ec7nh l\u00fd: xoang vi\u00eam g\u00e2y h\u1ecdng vi\u00eam v\u00e0 ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu kh\u00f4ng gi\u1ea3i quy\u1ebft g\u1ed1c r\u1ec5 th\u00ec c\u1ea3 hai \u0111\u1ec1u d\u1ec5 t\u00e1i ph\u00e1t.<\/p>\n

                                            Tri\u1ec7u ch\u1ee9ng g\u1ee3i \u00fd: B\u1ec7nh nh\u00e2n vi\u00eam xoang k\u00e8m vi\u00eam h\u1ecdng m\u00e3n th\u01b0\u1eddng c\u00f3 nh\u1eefng \u0111\u1ee3t \u0111au h\u1ecdng t\u00e1i \u0111i t\u00e1i l\u1ea1i, nu\u1ed1t v\u01b0\u1edbng, h\u01a1i th\u1edf h\u00f4i do d\u1ecbch m\u1ee7 xoang ch\u1ea3y xu\u1ed1ng. Bu\u1ed5i s\u00e1ng ng\u1ee7 d\u1eady, c\u1ed5 h\u1ecdng kh\u00f4 r\u00e1t v\u00e0 ph\u1ea3i kh\u1ea1c \u0111\u1eddm xanh v\u00e0ng.<\/p>\n

                                            N\u1ebfu n\u1ed9i soi h\u1ecdng s\u1ebd th\u1ea5y c\u00e1c h\u1ea1t lympho n\u1ed5i l\u00ean (vi\u00eam h\u1ecdng h\u1ea1t) do k\u00edch th\u00edch m\u1ea1n t\u00ednh. Trong khi \u0111\u00f3, nh\u1eefng ng\u01b0\u1eddi vi\u00eam h\u1ecdng m\u1ea1n do tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y \u2013 th\u1ef1c qu\u1ea3n hay do m\u00f4i tr\u01b0\u1eddng \u00f4 nhi\u1ec5m c\u0169ng c\u00f3 nguy c\u01a1 cao b\u1ecb vi\u00eam xoang v\u00e0 vi\u00eam m\u0169i d\u1ecb \u1ee9ng k\u00e8m theo, b\u1edfi ni\u00eam m\u1ea1c h\u1ecdng m\u0169i th\u00f4ng nhau v\u00e0 c\u00f9ng ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c y\u1ebfu t\u1ed1 k\u00edch th\u00edch.<\/p>\n

                                            Vi\u00eam xoang c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n v\u00e0 x\u1eed l\u00fd k\u1ecbp th\u1eddi. Nh\u1eadn th\u1ee9c v\u1ec1 nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh. \u0110\u1ec3 \u0111\u1ea3m b\u1ea3o ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3, kh\u00e1m chuy\u00ean khoa t\u00e0i m\u0169i h\u1ecdng l\u00e0 c\u1ea7n thi\u1ebft.<\/p>\n","protected":false},"excerpt":{"rendered":"

                                            Vi\u00eam xoang l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong t\u00e0i m\u0169i h\u1ecdng m\u1eb7c d\u00f9 th\u01b0\u1eddng kh\u00f4ng \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 \u00edt g\u00e2y ra c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, nh\u01b0ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 ph\u00f2ng ng\u1eeba \u0111\u00fang c\u00e1ch, vi\u00eam xoang c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t nhi\u1ec1u l\u1ea7n, d\u1eabn \u0111\u1ebfn t\u00ecnh…<\/p>\n","protected":false},"author":2,"featured_media":2009,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[36],"tags":[],"class_list":["post-1998","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tin-y-khoa"],"acf":[],"_links":{"self":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts\/1998","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/comments?post=1998"}],"version-history":[{"count":3,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts\/1998\/revisions"}],"predecessor-version":[{"id":2015,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/posts\/1998\/revisions\/2015"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/media\/2009"}],"wp:attachment":[{"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/media?parent=1998"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/categories?post=1998"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/baominhhealthcare.com\/en\/wp-json\/wp\/v2\/tags?post=1998"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}