{"id":3387,"date":"2026-08-21T05:23:53","date_gmt":"2026-08-21T05:23:53","guid":{"rendered":"https:\/\/drbarrietan.com\/condition-treatment\/ngung-tho-khi-ngu-do-tac-nghen-osa-o-singapore\/"},"modified":"2026-10-10T07:03:23","modified_gmt":"2026-10-10T07:03:23","slug":"ngung-tho-khi-ngu-do-tac-nghen-osa-o-singapore","status":"publish","type":"condition-treatment","link":"https:\/\/drbarrietan.com\/vi\/condition-treatment\/ngung-tho-khi-ngu-do-tac-nghen-osa-o-singapore\/","title":{"rendered":"Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA) \u1edf Singapore"},"content":{"rendered":"\n

Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA) l\u00e0 g\u00ec?<\/h2>\n\n

Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA) l\u00e0 m\u1ed9t ch\u1ee9ng r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean m\u1ed9t ph\u1ea7n ho\u1eb7c ho\u00e0n to\u00e0n l\u1eb7p \u0111i l\u1eb7p l\u1ea1i trong khi ng\u1ee7. \u1ede ng\u01b0\u1eddi l\u1edbn, nh\u1eefng l\u1ea7n gi\u00e1n \u0111o\u1ea1n nh\u1ecbp th\u1edf n\u00e0y k\u00e9o d\u00e0i t\u1eeb 10 gi\u00e2y tr\u1edf l\u00ean v\u00e0 c\u00f3 th\u1ec3 x\u1ea3y ra nhi\u1ec1u l\u1ea7n trong m\u1ed9t gi\u1edd. OSA c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 oxy trong m\u00e1u. N\u00e3o b\u1ed9 s\u1ebd \u0111\u00e1nh th\u1ee9c b\u1ea1n trong ch\u1ed1c l\u00e1t \u0111\u1ec3 m\u1edf l\u1ea1i \u0111\u01b0\u1eddng th\u1edf. B\u1ea1n c\u00f3 th\u1ec3 kh\u00f4ng nh\u1edb nh\u1eefng l\u1ea7n th\u1ee9c gi\u1ea5c n\u00e0y, nh\u01b0ng s\u1ef1 ph\u00e2n m\u1ea3nh gi\u1ea5c ng\u1ee7 n\u00e0y l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7. <\/p>\n\n

M\u1ed9t nghi\u00ean c\u1ee9u c\u1ed9ng \u0111\u1ed3ng \u01b0\u1edbc t\u00ednh r\u1eb1ng kho\u1ea3ng 1 tr\u00ean 3 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u1edf Singapore b\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf khi ng\u1ee7 t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng. OSA c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u1ea3 nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng b\u1ecb th\u1eeba c\u00e2n; h\u00ecnh d\u1ea1ng h\u00e0m v\u00e0 \u0111\u01b0\u1eddng th\u1edf h\u1eb9p c\u0169ng g\u00f3p ph\u1ea7n g\u00e2y ra r\u1ee7i ro. <\/p>\n\n

N\u1ebfu b\u1ea1n ho\u1eb7c \u0111\u1ed1i t\u00e1c c\u1ee7a b\u1ea1n nh\u1eadn th\u1ea5y ti\u1ebfng ng\u00e1y to k\u00e8m theo c\u00e1c kho\u1ea3ng t\u1ea1m d\u1eebng, th\u1edf h\u1ed5n h\u1ec3n ho\u1eb7c ngh\u1eb9t th\u1edf, ho\u1eb7c n\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y bu\u1ed3n ng\u1ee7 qu\u00e1 m\u1ee9c v\u00e0o ban ng\u00e0y, h\u00e3y \u0111i kh\u00e1m ngay l\u1eadp t\u1ee9c. Kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t n\u00e0o cho ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn. \u0110i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng, nh\u01b0ng th\u01b0\u1eddng c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c li\u00ean t\u1ee5c. <\/p>\n\n

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C\u00e1c lo\u1ea1i ng\u01b0ng th\u1edf khi ng\u1ee7 kh\u00e1c nhau<\/h2>\n\n

Sleep apnea<\/a> can result from a blocked airway, reduced signals from the brain or breathing changes that emerge during treatment:<\/p>\n\n

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Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA)<\/h3>\n\n

\u0110\u00e2y l\u00e0 lo\u1ea1i ng\u01b0ng th\u1edf khi ng\u1ee7 ph\u1ed5 bi\u1ebfn nh\u1ea5t, trong \u0111\u00f3 c\u00e1c c\u01a1 \u1edf ph\u00eda sau c\u1ed5 h\u1ecdng th\u01b0 gi\u00e3n qu\u00e1 m\u1ee9c v\u00e0 g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean. C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m ng\u00e1y to, th\u1edf h\u1ed5n h\u1ec3n khi ng\u1ee7 v\u00e0 bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y. <\/p>\n\n

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Ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng (CSA)<\/h3>\n\n

Central sleep apnea<\/a> occurs when the brain does not send consistent signals to the muscles that control breathing. It may be associated with heart failure, stroke or certain medicines.<\/p>\n\n

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Ng\u01b0ng th\u1edf khi ng\u1ee7 ph\u1ee9c t\u1ea1p (CompSA)<\/h3>\n\n

Complex sleep apnea<\/a>, also called treatment-emergent central sleep apnea, describes central breathing pauses that appear or persist after OSA treatment. Follow-up determines whether they settle or need a change in therapy.<\/p>\n\n

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T\u1ea1i Barrie Tan ENT Head & Neck Surgery, ch\u00fang t\u00f4i \u0111\u00e1nh gi\u00e1 xem c\u00e1c kho\u1ea3ng t\u1ea1m d\u1eebng th\u1edf c\u1ee7a b\u1ea1n c\u00f3 ph\u1ea3i do t\u1eafc ngh\u1ebdn hay kh\u00f4ng v\u00e0 x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p ch\u0103m s\u00f3c ph\u00f9 h\u1ee3p. Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng ho\u1eb7c ph\u1ee9c t\u1ea1p c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa gi\u1ea5c ng\u1ee7. <\/p>\n\n

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C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a OSA l\u00e0 g\u00ec?<\/h2>\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn th\u01b0\u1eddng g\u1eb7p bao g\u1ed3m c\u00e1c kho\u1ea3ng t\u1ea1m d\u1eebng th\u1edf \u0111\u01b0\u1ee3c ng\u01b0\u1eddi kh\u00e1c nh\u1eadn th\u1ea5y v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng sau:<\/p>\n\n

Th\u1edf h\u1ed5n h\u1ec3n ho\u1eb7c Ngh\u1eb9t th\u1edf khi ng\u1ee7<\/strong>Th\u1ee9c d\u1eady \u0111\u1ed9t ng\u1ed9t v\u00e0 th\u1edf h\u1ed5n h\u1ec3n \u0111\u1ec3 l\u1ea5y kh\u00f4ng kh\u00ed do \u0111\u01b0\u1eddng th\u1edf b\u1ecb t\u1eafc ngh\u1ebdn.<\/p>\n\n

Gi\u1ea5c ng\u1ee7 kh\u00f4ng y\u00ean<\/strong>Th\u01b0\u1eddng xuy\u00ean tr\u1eb1n tr\u1ecdc v\u00e0 c\u1ea3m gi\u00e1c ng\u1ee7 kh\u00f4ng ph\u1ee5c h\u1ed3i<\/p>\n\n

Th\u1ee9c gi\u1ea5c \u0111\u1ed9t ng\u1ed9t<\/strong>Th\u01b0\u1eddng xuy\u00ean th\u1ee9c gi\u1ea5c do kh\u00f3 th\u1edf<\/p>\n\n

\u0110au \u0111\u1ea7u v\u00e0o bu\u1ed5i s\u00e1ng<\/strong>\u0110au \u0111\u1ea7u khi th\u1ee9c d\u1eady, c\u00f3 th\u1ec3 do nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau<\/p>\n\n

Bu\u1ed3n ng\u1ee7 qu\u00e1 m\u1ee9c v\u00e0o ban ng\u00e0y<\/strong>M\u1ec7t m\u1ecfi k\u00e9o d\u00e0i v\u00e0 bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y. B\u1ea1n c\u00f3 th\u1ec3 ng\u1ee7 thi\u1ebfp \u0111i m\u1ed9t c\u00e1ch v\u00f4 th\u1ee9c. <\/p>\n\n

Kh\u00f3 t\u1eadp trung<\/strong>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ef1 t\u1eadp trung, tr\u00ed nh\u1edb v\u00e0 ch\u1ee9c n\u0103ng nh\u1eadn th\u1ee9c do ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 k\u00e9m<\/p>\n\n

D\u1ec5 c\u00e1u g\u1eaft v\u00e0 Thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng<\/strong>Gia t\u0103ng s\u1ef1 c\u00e1u g\u1eaft, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng v\u00e0 th\u1eadm ch\u00ed l\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m ho\u1eb7c lo \u00e2u<\/p>\n\n

Loud Snoring<\/strong>Snoring<\/a> is common, but not everyone who snores has obstructive sleep apnea.<\/p>\n\n

Gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c<\/strong>Gi\u1ea3m h\u1ee9ng th\u00fa v\u1edbi c\u00e1c ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c do m\u1ec7t m\u1ecfi v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1<\/p>\n\n

Kh\u00f4 mi\u1ec7ng ho\u1eb7c \u0110au h\u1ecdng khi th\u1ee9c d\u1eady<\/strong>H\u1ec7 qu\u1ea3 c\u1ee7a vi\u1ec7c th\u1edf b\u1eb1ng mi\u1ec7ng trong khi ng\u1ee7<\/p>\n\n

Ti\u1ec3u \u0111\u00eam & \u0110\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam<\/strong>Th\u01b0\u1eddng xuy\u00ean \u0111i ti\u1ec3u \u0111\u00eam (nocturia) v\u00e0 \u0111\u1ed5 m\u1ed3 h\u00f4i \u0111\u00eam c\u0169ng r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a OSA \u1edf ng\u01b0\u1eddi l\u1edbn th\u01b0\u1eddng xuy\u00ean b\u1ecb th\u1ee9c gi\u1ea5c<\/p>\n\n

Bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y<\/strong>T\u00ecnh tr\u1ea1ng bu\u1ed3n ng\u1ee7 qu\u00e1 m\u1ee9c v\u00e0o ban ng\u00e0y g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c l\u00e1i xe ho\u1eb7c hi\u1ec7u su\u1ea5t c\u00f4ng vi\u1ec7c c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m s\u1edbm<\/p>\n\n

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R\u1ee7i ro & Bi\u1ebfn ch\u1ee9ng c\u1ee7a OSA<\/h2>\n\n

Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe ngo\u00e0i vi\u1ec7c gi\u00e1n \u0111o\u1ea1n gi\u1ea5c ng\u1ee7 v\u00e0 ng\u00e1y, bao g\u1ed3m:<\/p>\n\n

B\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh<\/strong>T\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim do n\u1ed3ng \u0111\u1ed9 oxy th\u1ea5p trong th\u1eddi gian d\u00e0i trong khi ng\u1ee7<\/p>\n\n

Bi\u1ebfn ch\u1ee9ng khi ph\u1eabu thu\u1eadt<\/strong>T\u0103ng nguy c\u01a1 bi\u1ebfn ch\u1ee9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p trong v\u00e0 sau khi g\u00e2y m\u00ea. H\u00e3y th\u00f4ng b\u00e1o cho \u0111\u1ed9i ng\u0169 ph\u1eabu thu\u1eadt n\u1ebfu b\u1ea1n b\u1ecb OSA. <\/p>\n\n

B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2<\/strong>Kh\u1ea3 n\u0103ng ph\u00e1t tri\u1ec3n kh\u00e1ng insulin v\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2 cao h\u01a1n<\/p>\n\n

Huy\u1ebft \u00e1p cao<\/strong>C\u00e1c \u0111\u1ee3t thi\u1ebfu oxy th\u01b0\u1eddng xuy\u00ean c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn huy\u1ebft \u00e1p cao<\/p>\n\n

\u0110au tim<\/strong>T\u0103ng nguy c\u01a1 nh\u1ed3i m\u00e1u c\u01a1 tim do c\u0103ng th\u1eb3ng m\u00e3n t\u00ednh l\u00ean h\u1ec7 tim m\u1ea1ch<\/p>\n\n

Tr\u1ea7m c\u1ea3m<\/strong>R\u1ed1i lo\u1ea1n t\u00e2m tr\u1ea1ng v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1ea7m c\u1ea3m do ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7 k\u00e9m v\u00e0 m\u1ec7t m\u1ecfi m\u00e3n t\u00ednh<\/p>\n\n

M\u1ec7t m\u1ecfi ban ng\u00e0y<\/strong>M\u1ec7t m\u1ecfi dai d\u1eb3ng v\u00e0 thi\u1ebfu n\u0103ng l\u01b0\u1ee3ng do r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf khi ng\u1ee7, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe, ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng<\/p>\n\n

\u0110\u1ed9t qu\u1ef5<\/strong>T\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 do dao \u0111\u1ed9ng huy\u1ebft \u00e1p v\u00e0 n\u1ed3ng \u0111\u1ed9 oxy<\/p>\n\n

Suy tim<\/strong>OSA c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam c\u00e1c t\u00ecnh tr\u1ea1ng tim hi\u1ec7n c\u00f3 v\u00e0 g\u00f3p ph\u1ea7n g\u00e2y suy tim<\/p>\n\n

C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 gan<\/strong>Kh\u1ea3 n\u0103ng g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan v\u00e0 b\u1ec7nh gan nhi\u1ec5m m\u1ee1<\/p>\n\n

Lo\u1ea1n nh\u1ecbp tim<\/strong>T\u0103ng nguy c\u01a1 nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, bao g\u1ed3m c\u1ea3 rung t\u00e2m nh\u0129<\/p>\n\n

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Nguy\u00ean nh\u00e2n c\u1ee7a OSA l\u00e0 g\u00ec?<\/h2>\n\n

Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn x\u1ea3y ra khi c\u00e1c c\u01a1 c\u1ed5 h\u1ecdng th\u01b0 gi\u00e3n khi\u1ebfn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean b\u1ecb h\u1eb9p l\u1ea1i ho\u1eb7c x\u1eb9p xu\u1ed1ng trong khi ng\u1ee7. Mang thai, suy gi\u00e1p v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng c\u0169ng c\u00f3 li\u00ean quan \u0111\u1ebfn OSA. C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c bao g\u1ed3m: <\/p>\n\n

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C\u00e2n n\u1eb7ng v\u00e0 B\u00e9o ph\u00ec<\/strong>C\u00e2n n\u1eb7ng d\u01b0 th\u1eeba, \u0111\u1eb7c bi\u1ec7t l\u00e0 quanh v\u00f9ng c\u1ed5, c\u00f3 th\u1ec3 ch\u00e8n \u00e9p \u0111\u01b0\u1eddng th\u1edf v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 x\u1eb9p \u0111\u01b0\u1eddng th\u1edf khi ng\u1ee7. M\u1ee1 b\u1ee5ng c\u0169ng l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1. <\/p>\n\n

\u0110\u01b0\u1eddng h\u00f4 h\u1ea5p b\u1ecb t\u1eafc ngh\u1ebdn<\/strong>C\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac ho\u1eb7c t\u1eafc ngh\u1ebdn li\u00ean quan \u0111\u1ebfn m\u0169i, l\u01b0\u1ee1i ho\u1eb7c v\u00f2m mi\u1ec7ng m\u1ec1m c\u00f3 th\u1ec3 g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/p>\n\n

Amidan ho\u1eb7c adenoids b\u1ecb s\u01b0ng<\/strong>Amidan ph\u00ec \u0111\u1ea1i c\u00f3 th\u1ec3 l\u00e0m t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf tr\u1ebb em.<\/p>\n\n

Swollen adenoids<\/strong>T\u01b0\u01a1ng t\u1ef1 nh\u01b0 amidan s\u01b0ng t\u1ea5y, adenoids m\u1edf r\u1ed9ng c\u0169ng c\u00f3 th\u1ec3 ch\u1eb7n lu\u1ed3ng kh\u00f4ng kh\u00ed v\u00e0 g\u00f3p ph\u1ea7n g\u00e2y ra OSA.<\/p>\n\n

Nasal Obstruction<\/strong>Chronic congestion or a deviated septum<\/a> can restrict nasal airflow.<\/p>\n\n

Tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u0111\u01b0\u1eddng th\u1edf y\u1ebfu<\/strong>Gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u00f3 th\u1ec3 khi\u1ebfn c\u00e1c m\u00f4 m\u1ec1m x\u1eb9p v\u00e0o trong khi ng\u1ee7.<\/p>\n\n

H\u00e0m l\u1eb9m<\/strong>H\u00e0m nh\u1ecf h\u01a1n ho\u1eb7c b\u1ecb l\u1eb9m c\u00f3 th\u1ec3 l\u00e0m h\u1eb9p \u0111\u01b0\u1eddng th\u1edf v\u00e0 t\u0103ng nguy c\u01a1 t\u1eafc ngh\u1ebdn.<\/p>\n\n

S\u1eed d\u1ee5ng r\u01b0\u1ee3u bia & H\u00fat thu\u1ed1c<\/strong>R\u01b0\u1ee3u l\u00e0m gi\u00e3n c\u00e1c c\u01a1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, trong khi h\u00fat thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y vi\u00eam v\u00e0 gi\u1eef n\u01b0\u1edbc \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean.<\/p>\n\n

S\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n<\/strong>C\u00e1c lo\u1ea1i thu\u1ed1c an th\u1ea7n, bao g\u1ed3m benzodiazepine v\u00e0 opioid, c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf khi ng\u1ee7. H\u00e3y y\u00eau c\u1ea7u b\u00e1c s\u0129 k\u00ea \u0111\u01a1n xem x\u00e9t l\u1ea1i c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y. <\/p>\n\n

Di truy\u1ec1n<\/strong>C\u1ea5u tr\u00fac gi\u1ea3i ph\u1eabu v\u00e0 c\u00e1c ki\u1ec3u ki\u1ec3m so\u00e1t c\u01a1 di truy\u1ec1n th\u01b0\u1eddng t\u1eadp trung theo gia \u0111\u00ecnh, khi\u1ebfn ti\u1ec1n s\u1eed gia \u0111\u00ecnh tr\u1edf th\u00e0nh m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a OSA.<\/p>\n\n

Tu\u1ed5i t\u00e1c, Nam gi\u1edbi v\u00e0 Ph\u1ee5 n\u1eef sau m\u00e3n kinh<\/strong>Khi b\u1ea1n gi\u00e0 \u0111i v\u00e0 n\u1ed9i ti\u1ebft t\u1ed1 thay \u0111\u1ed5i, \u0111\u01b0\u1eddng th\u1edf c\u1ee7a b\u1ea1n d\u1ec5 b\u1ecb x\u1eb9p h\u01a1n, v\u00ec v\u1eady nguy c\u01a1 cao h\u01a1n \u1edf nam gi\u1edbi v\u00e0 ph\u1ee5 n\u1eef sau m\u00e3n kinh.<\/p>\n\n

Ngh\u1eb9t m\u0169i m\u00e3n t\u00ednh<\/strong>T\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn m\u0169i k\u00e9o d\u00e0i th\u00fac \u0111\u1ea9y vi\u1ec7c th\u1edf b\u1eb1ng mi\u1ec7ng v\u00e0 \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf \u00e2m, l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng x\u1eb9p \u0111\u01b0\u1eddng th\u1edf.<\/p>\n\n

C\u00e1c \u0111\u1eb7c \u0111i\u1ec3m s\u1ecd m\u1eb7t c\u1ee5 th\u1ec3<\/strong>H\u00e0m d\u01b0\u1edbi nh\u1ecf, v\u00f2m mi\u1ec7ng cao ho\u1eb7c h\u1ed1c m\u0169i h\u1eb9p l\u00e0m gi\u1ea3m kh\u00f4ng gian \u0111\u01b0\u1eddng th\u1edf v\u00e0 d\u1ec5 d\u1eabn \u0111\u1ebfn t\u1eafc ngh\u1ebdn.<\/p>\n\n

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OSA \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n\n

M\u1ed9t nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 qua \u0111\u00eam gi\u00fap x\u00e1c nh\u1eadn ch\u1ea9n \u0111o\u00e1n ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn v\u00e0 \u0111o l\u01b0\u1eddng m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng. \u0110\u00e1nh gi\u00e1 c\u0169ng bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng, ti\u1ec1n s\u1eed y t\u1ebf v\u00e0 c\u00e1c ph\u00e1t hi\u1ec7n th\u1ef1c th\u1ec3 c\u1ee7a b\u1ea1n: <\/p>\n\n

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\u0110\u00e1nh gi\u00e1 ti\u1ec1n s\u1eed y t\u1ebf<\/h3>\n\n

Xem x\u00e9t chi ti\u1ebft ti\u1ec1n s\u1eed b\u1ec7nh c\u1ee7a b\u1ec7nh nh\u00e2n, bao g\u1ed3m th\u00f3i quen ng\u1ee7, c\u00e1c tri\u1ec7u ch\u1ee9ng ban ng\u00e0y v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 l\u1ed1i s\u1ed1ng, c\u00f3 th\u1ec3 cung c\u1ea5p nh\u1eefng manh m\u1ed1i quan tr\u1ecdng cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n

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Kh\u00e1m s\u1ee9c kh\u1ecfe<\/h3>\n\n

B\u00e1c s\u0129 tai m\u0169i h\u1ecdng s\u1ebd kh\u00e1m m\u0169i, h\u1ecdng, c\u1ed5 v\u00e0 mi\u1ec7ng \u0111\u1ec3 t\u00ecm c\u00e1c m\u00f4 b\u1ecb ph\u00ec \u0111\u1ea1i ho\u1eb7c c\u00e1c t\u00ecnh tr\u1ea1ng h\u1eb9p kh\u00e1c. N\u1ed9i soi m\u0169i b\u1eb1ng \u1ed1ng m\u1ec1m c\u00f3 th\u1ec3 gi\u00fap \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean. <\/p>\n\n

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Nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 t\u1ea1i nh\u00e0 (HST)<\/h3>\n\n

Home Sleep Study s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb di \u0111\u1ed9ng \u0111\u1ec3 ghi l\u1ea1i l\u01b0u l\u01b0\u1ee3ng kh\u00ed, n\u1ed7 l\u1ef1c th\u1edf, n\u1ed3ng \u0111\u1ed9 oxy v\u00e0 nh\u1ecbp tim. Ki\u1ec3m tra t\u1ea1i nh\u00e0 c\u00f3 th\u1ec3 thu\u1eadn ti\u1ec7n h\u01a1n v\u00e0 \u00edt t\u1ed1n k\u00e9m h\u01a1n so v\u1edbi nghi\u00ean c\u1ee9u t\u1ea1i ph\u00f2ng th\u00ed nghi\u1ec7m gi\u1ea5c ng\u1ee7. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng ng\u01b0\u1eddi l\u1edbn nghi ng\u1edd m\u1eafc OSA t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng v\u00e0 kh\u00f4ng c\u00f3 c\u00e1c t\u00ecnh tr\u1ea1ng y t\u1ebf ph\u1ee9c t\u1ea1p \u0111\u00e1ng k\u1ec3. M\u1ed9t s\u1ed1 thi\u1ebft b\u1ecb \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c th\u1ef1c thay v\u00e0o \u0111\u00f3 k\u1ebft h\u1ee3p \u0111o tr\u01b0\u01a1ng l\u1ef1c \u0111\u1ed9ng m\u1ea1ch ngo\u1ea1i vi v\u1edbi theo d\u00f5i oxy v\u00e0 chuy\u1ec3n \u0111\u1ed9ng. <\/p>\n\n

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\u0110a gi\u1ea5c ng\u1ee7 (PSG)<\/h3>\n\n

\u0110a k\u00fd gi\u1ea5c ng\u1ee7 (PSG) l\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u t\u1ea1i ph\u00f2ng th\u00ed nghi\u1ec7m gi\u1ea5c ng\u1ee7 qua \u0111\u00eam. N\u00f3 ghi l\u1ea1i ho\u1ea1t \u0111\u1ed9ng c\u1ee7a n\u00e3o, chuy\u1ec3n \u0111\u1ed9ng c\u1ee7a m\u1eaft, nh\u1ecbp tim, l\u01b0u l\u01b0\u1ee3ng kh\u00ed qua m\u0169i v\u00e0 mi\u1ec7ng, n\u1ed7 l\u1ef1c th\u1edf v\u00e0 n\u1ed3ng \u0111\u1ed9 oxy, gi\u00fap ph\u00e2n bi\u1ec7t OSA v\u1edbi c\u00e1c r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 kh\u00e1c. <\/p>\n\n

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\u0110o oxy<\/h3>\n\n

\u0110o n\u1ed3ng \u0111\u1ed9 oxy qua \u0111\u00eam \u0111o \u0111\u1ed9 b\u00e3o h\u00f2a oxy li\u00ean t\u1ee5c trong khi ng\u1ee7 \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c \u0111\u1ee3t s\u1ee5t gi\u1ea3m g\u1ee3i \u00fd c\u00e1c c\u01a1n ng\u01b0ng th\u1edf. Ch\u1ec9 ri\u00eang ph\u00e9p \u0111o n\u1ed3ng \u0111\u1ed9 oxy kh\u00f4ng th\u1ec3 x\u00e1c nh\u1eadn ho\u1eb7c lo\u1ea1i tr\u1eeb OSA. <\/p>\n\n

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C\u00e1ch ch\u00fang t\u00f4i l\u1ef1a ch\u1ecdn b\u00e0i ki\u1ec3m tra<\/h3>\n\n

STOP-BANG gi\u00fap s\u00e0ng l\u1ecdc nguy c\u01a1 OSA. Thang \u0111i\u1ec3m bu\u1ed3n ng\u1ee7 Epworth \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y. C\u1ea3 hai b\u1ea3ng c\u00e2u h\u1ecfi \u0111\u1ec1u kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n OSA. PSG \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb khi k\u1ebft qu\u1ea3 ki\u1ec3m tra t\u1ea1i nh\u00e0 l\u00e0 \u00e2m t\u00ednh, kh\u00f4ng r\u00f5 r\u00e0ng ho\u1eb7c kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7, ho\u1eb7c khi c\u00f3 b\u1ec7nh tim ho\u1eb7c ph\u1ed5i nghi\u00eam tr\u1ecdng, nghi ng\u1edd ng\u01b0ng th\u1edf trung \u01b0\u01a1ng ho\u1eb7c m\u1ea5t ng\u1ee7 tr\u1ea7m tr\u1ecdng khi\u1ebfn vi\u1ec7c ki\u1ec3m tra t\u1ea1i nh\u00e0 kh\u00f4ng ph\u00f9 h\u1ee3p. Ki\u1ec3m tra t\u1ea1i nh\u00e0 c\u1ea7n c\u00f3 s\u1ef1 gi\u00e1m s\u00e1t y t\u1ebf v\u00e0 di\u1ec5n gi\u1ea3i b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa y h\u1ecdc gi\u1ea5c ng\u1ee7. H\u00e3y s\u1eafp x\u1ebfp t\u00e1i kh\u00e1m \u0111\u1ec3 xem x\u00e9t k\u1ebft qu\u1ea3 c\u1ee7a b\u1ea1n, bao g\u1ed3m Ch\u1ec9 s\u1ed1 Ng\u01b0ng th\u1edf – Gi\u1ea3m th\u1edf (AHI) v\u00e0 Ch\u1ec9 s\u1ed1 Gi\u1ea3m b\u00e3o h\u00f2a Oxy (ODI). <\/p>\n\n

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C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb OSA<\/h2>\n\n

\u0110i\u1ec1u tr\u1ecb ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng, tri\u1ec7u ch\u1ee9ng, c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng th\u1edf v\u00e0 c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00e1c. M\u00e1y th\u1edf \u00e1p l\u1ef1c d\u01b0\u01a1ng li\u00ean t\u1ee5c (CPAP) th\u01b0\u1eddng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t cho OSA t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng. S\u1edf th\u00edch v\u00e0 kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1ed9t c\u00e1ch nh\u1ea5t qu\u00e1n c\u1ee7a b\u1ea1n c\u0169ng r\u1ea5t quan tr\u1ecdng: <\/p>\n\n

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Qu\u1ea3n l\u00fd c\u00e2n n\u1eb7ng theo l\u1ed1i s\u1ed1ng<\/h3>\n\n

Gi\u1ea3m c\u00e2n c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn n\u1ebfu b\u1ea1n b\u1ecb th\u1eeba c\u00e2n ho\u1eb7c b\u00e9o ph\u00ec. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn b\u1ecb b\u00e9o ph\u00ec, vi\u1ec7c gi\u1ea3m c\u00e2n c\u00f3 h\u1ed7 tr\u1ee3 b\u1eb1ng thu\u1ed1c c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t sau khi \u0111\u00e1nh gi\u00e1 y t\u1ebf. Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, bao g\u1ed3m t\u1eadp th\u1ec3 d\u1ee5c, h\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia tr\u01b0\u1edbc khi ng\u1ee7, c\u00e1c chi\u1ebfn l\u01b0\u1ee3c v\u1ec1 t\u01b0 th\u1ebf v\u00e0 li\u1ec7u ph\u00e1p ch\u1ee9c n\u0103ng c\u01a1 (c\u00e1c b\u00e0i t\u1eadp mi\u1ec7ng v\u00e0 h\u1ecdng), c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 qu\u00e1 tr\u00ecnh ch\u0103m s\u00f3c. C\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y kh\u00f4ng thay th\u1ebf ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb OSA \u0111\u00e3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n v\u00e0 kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng m\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 \u0111\u00e1nh gi\u00e1 l\u1ea1i. Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd sau khi gi\u1ea3m c\u00e2n c\u00f3 th\u1ec3 gi\u00fap duy tr\u00ec s\u1ef1 c\u1ea3i thi\u1ec7n. <\/p>\n\n

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Li\u1ec7u ph\u00e1p t\u01b0 th\u1ebf<\/h3>\n\n

N\u1eb1m ng\u1eeda khi ng\u1ee7 c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng OSA. Li\u1ec7u ph\u00e1p t\u01b0 th\u1ebf s\u1eed d\u1ee5ng c\u00e1c thi\u1ebft b\u1ecb \u0111\u1ecbnh v\u1ecb ho\u1eb7c c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c \u0111\u1ec3 khuy\u1ebfn kh\u00edch n\u1eb1m nghi\u00eang khi nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 c\u1ee7a b\u1ea1n cho th\u1ea5y t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn x\u1ea3y ra ch\u1ee7 y\u1ebfu khi b\u1ea1n n\u1eb1m ng\u1eeda. <\/p>\n\n

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Thi\u1ebft b\u1ecb v\u00e0 thi\u1ebft b\u1ecb mi\u1ec7ng t\u00f9y ch\u1ec9nh<\/h3>\n\n

C\u00e1c thi\u1ebft b\u1ecb r\u0103ng mi\u1ec7ng \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf ri\u00eang, c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thi\u1ebft b\u1ecb \u0111\u1ea9y h\u00e0m d\u01b0\u1edbi gi\u00fap \u0111\u1ecbnh v\u1ecb l\u1ea1i h\u00e0m d\u01b0\u1edbi \u0111\u1ec3 gi\u1eef cho \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean lu\u00f4n m\u1edf. Ch\u00fang c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh, ho\u1eb7c nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 dung n\u1ea1p li\u1ec7u ph\u00e1p CPAP ho\u1eb7c th\u00edch m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p thay th\u1ebf. C\u00e1c \u0111\u1ed1i t\u00e1c nha khoa s\u1ebd l\u1eafp \u0111\u1eb7t v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c thi\u1ebft b\u1ecb r\u0103ng mi\u1ec7ng, k\u00e8m theo m\u1ed9t nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 l\u1eb7p l\u1ea1i \u0111\u1ec3 x\u00e1c nh\u1eadn hi\u1ec7u qu\u1ea3 v\u00e0 ki\u1ec3m tra c\u00e1c thay \u0111\u1ed5i v\u1ec1 h\u00e0m ho\u1eb7c kh\u1edbp c\u1eafn. <\/p>\n\n

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Thu\u1ed1c th\u00f4ng m\u0169i<\/h3>\n\n

\u0110i\u1ec1u tr\u1ecb m\u0169i c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ngh\u1eb9t m\u0169i v\u00e0 c\u1ea3i thi\u1ec7n s\u1ef1 tho\u1ea3i m\u00e1i khi s\u1eed d\u1ee5ng CPAP, nh\u01b0ng b\u1ea3n th\u00e2n n\u00f3 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c t\u00ecnh tr\u1ea1ng x\u1eb9p h\u1ecdng. Ch\u1ec9 s\u1eed d\u1ee5ng thu\u1ed1c x\u1ecbt th\u00f4ng m\u0169i trong th\u1eddi gian ng\u1eafn, v\u00ec s\u1eed d\u1ee5ng k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0m t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn tr\u1ea7m tr\u1ecdng h\u01a1n. Vi\u00eam m\u0169i d\u1ecb \u1ee9ng c\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c x\u1ecbt m\u0169i steroid thay th\u1ebf. <\/p>\n\n

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Li\u1ec7u ph\u00e1p \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf d\u01b0\u01a1ng li\u00ean t\u1ee5c (CPAP)<\/h3>\n\n

Li\u1ec7u ph\u00e1p CPAP cung c\u1ea5p kh\u00f4ng kh\u00ed c\u00f3 \u00e1p su\u1ea5t th\u00f4ng qua m\u1eb7t n\u1ea1 m\u0169i, g\u1ed1i m\u0169i ho\u1eb7c m\u1eb7t n\u1ea1 to\u00e0n m\u1eb7t \u0111\u1ec3 gi\u1eef cho \u0111\u01b0\u1eddng th\u1edf lu\u00f4n m\u1edf trong khi ng\u1ee7. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u00e0ng \u0111\u1ea7u cho OSA t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng v\u00e0 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u00edch cho OSA m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng g\u00e2y kh\u00f3 ch\u1ecbu. H\u00e3y s\u1eed d\u1ee5ng m\u00e1y b\u1ea5t c\u1ee9 khi n\u00e0o b\u1ea1n ng\u1ee7, k\u1ec3 c\u1ea3 nh\u1eefng gi\u1ea5c ng\u1ee7 ng\u1eafn. Vi\u1ec7c s\u1eed d\u1ee5ng nh\u1ea5t qu\u00e1n c\u00f3 th\u1ec3 c\u1ea7n th\u1eddi gian th\u1ef1c h\u00e0nh. N\u1ebfu vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng CPAP g\u00e2y kh\u00f3 ch\u1ecbu, h\u00e3y \u0111i kh\u00e1m l\u1ea1i tr\u01b0\u1edbc khi ng\u1eebng s\u1eed d\u1ee5ng. Ch\u00fang t\u00f4i gi\u00fap \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ed9 kh\u00edt c\u1ee7a m\u1eb7t n\u1ea1, t\u00ecnh tr\u1ea1ng r\u00f2 r\u1ec9, c\u00e0i \u0111\u1eb7t \u0111\u1ed9 \u1ea9m v\u00e0 \u00e1p su\u1ea5t. <\/p>\n\n

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Ph\u1eabu thu\u1eadt<\/h3>\n\n

If non-surgical options do not work or CPAP cannot be tolerated, surgical treatment may be considered according to the site of upper airway collapse. Options include uvulopalatopharyngoplasty (UPPP), tonsillectomy<\/a> or adenoid removal, and maxillomandibular advancement (MMA).\u00a0<\/p>\n\n

UPPP removes or reshapes soft tissues around the soft palate. Drug-induced sleep endoscopy may help locate the collapse before surgery. Selected patients may also be assessed for an implanted hypoglossal nerve stimulator, which helps move the tongue forward during sleep.\u00a0<\/a><\/p>\n\n

Septoplasty<\/a> or turbinoplasty<\/a> may improve nasal breathing and CPAP tolerance, but usually does not cure obstructive sleep apnea alone. Surgery has risks and may leave residual OSA, so follow-up and sometimes repeat sleep testing are needed.<\/p>\n\n

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Tr\u1ebb em v\u00e0 OSA<\/h2>\n\n

In children, enlarged tonsils and adenoids commonly cause OSA. Paediatric obstructive sleep apnea<\/a> can affect behaviour, school performance and growth. Assessment may include a sleep study, followed by discussion of treatment such as adenotonsillectomy when appropriate. Children’s test results and treatment needs differ from adults’.<\/p>\n\n

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Ph\u00f2ng ng\u1eeba v\u00e0 sinh ho\u1ea1t h\u00e0ng ng\u00e0y<\/h2>\n\n

V\u1ec7 sinh gi\u1ea5c ng\u1ee7 \u0111\u00fang c\u00e1ch bao g\u1ed3m m\u1ed9t l\u1ecbch tr\u00ecnh ng\u1ee7 \u0111\u1ec1u \u0111\u1eb7n. Duy tr\u00ec c\u00e2n n\u1eb7ng h\u1ee3p l\u00fd, tr\u00e1nh r\u01b0\u1ee3u bia g\u1ea7n gi\u1edd \u0111i ng\u1ee7 v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng m\u0169i k\u1ecbp th\u1eddi. Th\u1ea3o lu\u1eadn v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n v\u1edbi b\u00e1c s\u0129 k\u00ea \u0111\u01a1n thay v\u00ec t\u1ef1 \u00fd ng\u1eebng thu\u1ed1c. T\u00e1i kh\u00e1m \u0111\u1ecbnh k\u1ef3 gi\u00fap duy tr\u00ec l\u1ee3i \u00edch v\u00e0 x\u00e1c \u0111\u1ecbnh nh\u1eefng thay \u0111\u1ed5i v\u1ec1 tri\u1ec7u ch\u1ee9ng ho\u1eb7c c\u00e2n n\u1eb7ng. <\/p>\n\n

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C\u00e1c c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p v\u1ec1 OSA<\/h2>\n\n

\u0110i\u1ec1u g\u00ec x\u1ea3y ra n\u1ebfu ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb?<\/h3>\n\n

OSA kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 huy\u1ebft \u00e1p cao, b\u1ec7nh tim, \u0111\u1ed9t qu\u1ef5, ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2 v\u00e0 suy gi\u1ea3m nh\u1eadn th\u1ee9c. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y m\u1ec7t m\u1ecfi m\u00e3n t\u00ednh, hi\u1ec7u su\u1ea5t c\u00f4ng vi\u1ec7c k\u00e9m v\u00e0 nguy c\u01a1 tai n\u1ea1n giao th\u00f4ng cao h\u01a1n. <\/p>\n\n

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C\u00f3 c\u00e1c m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng kh\u00e1c nhau c\u1ee7a ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 kh\u00f4ng?<\/h3>\n\n

C\u00f3. \u1ede ng\u01b0\u1eddi l\u1edbn, ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i l\u00e0 nh\u1eb9, trung b\u00ecnh ho\u1eb7c n\u1eb7ng b\u1eb1ng Ch\u1ec9 s\u1ed1 Ng\u01b0ng th\u1edf – Gi\u1ea3m th\u1edf (AHI). Ch\u1ec9 s\u1ed1 n\u00e0y \u0111\u1ebfm c\u00e1c kho\u1ea3ng t\u1ea1m d\u1eebng th\u1edf ho\u00e0n to\u00e0n (ng\u01b0ng th\u1edf) v\u00e0 gi\u1ea3m m\u1ed9t ph\u1ea7n (gi\u1ea3m th\u1edf) m\u1ed7i gi\u1edd ng\u1ee7: <\/p>\n\n

    \n
  • Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn m\u1ee9c \u0111\u1ed9 nh\u1eb9: 5 \u0111\u1ebfn 14 \u0111\u1ee3t m\u1ed7i gi\u1edd<\/li>\n\n\n\n
  • Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn m\u1ee9c \u0111\u1ed9 trung b\u00ecnh: 15 \u0111\u1ebfn 29 \u0111\u1ee3t m\u1ed7i gi\u1edd<\/li>\n\n\n\n
  • Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn m\u1ee9c \u0111\u1ed9 n\u1eb7ng: 30 \u0111\u1ee3t tr\u1edf l\u00ean m\u1ed7i gi\u1edd<\/li>\n<\/ul>\n\n
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    Khi n\u00e0o t\u00f4i n\u00ean g\u1eb7p chuy\u00ean gia OSA \u1edf Singapore?<\/h3>\n\n

    H\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn n\u1ebfu b\u1ea1n ng\u00e1y to, th\u1edf h\u1ed5n h\u1ec3n ho\u1eb7c ngh\u1eb9t th\u1edf v\u00e0o ban \u0111\u00eam, bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y m\u1eb7c d\u00f9 \u0111\u00e3 ng\u1ee7 \u0111\u1ee7 gi\u1ea5c, ho\u1eb7c b\u1ecb \u0111au \u0111\u1ea7u v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 k\u00e9m t\u1eadp trung. N\u1ebfu \u0111\u1ed1i t\u00e1c c\u1ee7a b\u1ea1n nh\u1eadn th\u1ea5y b\u1ea1n ng\u1eebng th\u1edf khi ng\u1ee7, h\u00e3y \u0111\u1eb7t l\u1ecbch h\u1eb9n s\u1edbm. <\/p>\n\n

    <\/div>\n\n

    Ph\u00f2ng kh\u00e1m OSA \u1edf Singapore th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i ki\u1ec3m tra gi\u1ea5c ng\u1ee7 nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n\n

    T\u1ea1i Singapore, c\u00e1c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng Home Sleep Study (HST) ho\u1eb7c nghi\u00ean c\u1ee9u t\u1ea1i ph\u00f2ng th\u00ed nghi\u1ec7m gi\u1ea5c ng\u1ee7 (\u0111a k\u00fd gi\u1ea5c ng\u1ee7). B\u00e1c s\u0129 s\u1ebd \u0111\u1ec1 xu\u1ea5t l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n. K\u1ebft qu\u1ea3 th\u01b0\u1eddng c\u00f3 sau v\u00e0i ng\u00e0y. <\/p>\n\n

    <\/div>\n\n

    Ph\u1eabu thu\u1eadt OSA c\u00f3 \u0111\u01b0\u1ee3c b\u1ea3o hi\u1ec3m ho\u1eb7c Medisave \u1edf Singapore chi tr\u1ea3 kh\u00f4ng?<\/h3>\n\n

    MediSave c\u00f3 th\u1ec3 chi tr\u1ea3 cho c\u00e1c th\u1ee7 t\u1ee5c ph\u1eabu thu\u1eadt \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n, t\u00f9y thu\u1ed9c v\u00e0o gi\u1edbi h\u1ea1n r\u00fat ti\u1ec1n. Ph\u1ea1m vi b\u1ea3o hi\u1ec3m ph\u1ee5 thu\u1ed9c v\u00e0o h\u1ee3p \u0111\u1ed3ng c\u1ee7a b\u1ea1n v\u00e0 c\u00e1c y\u00eau c\u1ea7u ph\u00ea duy\u1ec7t. Tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt, h\u00e3y h\u1ecfi ph\u00f2ng kh\u00e1m v\u00e0 c\u00f4ng ty b\u1ea3o hi\u1ec3m c\u1ee7a b\u1ea1n \u0111\u1ec3 x\u00e1c nh\u1eadn t\u00ednh \u0111\u1ee7 \u0111i\u1ec1u ki\u1ec7n, chi ph\u00ed d\u1ef1 ki\u1ebfn v\u00e0 b\u1ea5t k\u1ef3 kho\u1ea3n ti\u1ec1n n\u00e0o b\u1ea1n c\u1ea7n t\u1ef1 thanh to\u00e1n. <\/p>\n\n

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    T\u00f4i n\u00ean mong \u0111\u1ee3i \u0111i\u1ec1u g\u00ec trong l\u1ea7n kh\u00e1m \u0111\u1ea7u ti\u00ean \u0111\u1ebfn ph\u00f2ng kh\u00e1m OSA?<\/h3>\n\n

    Trong l\u1ea7n th\u0103m kh\u00e1m \u0111\u1ea7u ti\u00ean, b\u00e1c s\u0129 s\u1ebd xem x\u00e9t s\u1ee9c kh\u1ecfe t\u1ed5ng th\u1ec3, c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ea5c ng\u1ee7, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o li\u00ean quan \u0111\u1ebfn r\u0103ng ho\u1eb7c h\u00e0m. Kh\u00e1m \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean gi\u00fap x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng t\u1eafc ngh\u1ebdn c\u00f3 th\u1ec3 x\u1ea3y ra. H\u00e3y mang theo b\u1ea5t k\u1ef3 k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 n\u00e0o tr\u01b0\u1edbc \u0111\u00f3, danh s\u00e1ch thu\u1ed1c c\u1ee7a b\u1ea1n v\u00e0 b\u00e1o c\u00e1o s\u1eed d\u1ee5ng CPAP n\u1ebfu c\u00f3, \u0111\u1ec3 c\u00e1c ph\u00e1t hi\u1ec7n n\u00e0y c\u00f3 th\u1ec3 h\u01b0\u1edbng d\u1eabn k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ea1n. <\/p>\n\n

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    C\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t n\u00e0o gi\u1eefa CPAP v\u00e0 APAP kh\u00f4ng, v\u00e0 lo\u1ea1i n\u00e0o ph\u00f9 h\u1ee3p v\u1edbi t\u00f4i?<\/h3>\n\n

    C\u00f3. M\u00e1y th\u1edf \u00e1p l\u1ef1c d\u01b0\u01a1ng li\u00ean t\u1ee5c (CPAP) cung c\u1ea5p m\u1ed9t m\u1ee9c \u00e1p su\u1ea5t c\u1ed1 \u0111\u1ecbnh \u0111\u1ec3 gi\u1eef cho \u0111\u01b0\u1eddng th\u1edf lu\u00f4n m\u1edf, trong khi APAP \u0111i\u1ec1u ch\u1ec9nh \u00e1p su\u1ea5t trong m\u1ed9t ph\u1ea1m vi nh\u1ea5t \u0111\u1ecbnh d\u1ef1a tr\u00ean nh\u1ecbp th\u1edf c\u1ee7a b\u1ea1n. APAP h\u1eefu \u00edch n\u1ebfu \u00e1p su\u1ea5t thay \u0111\u1ed5i trong \u0111\u00eam ho\u1eb7c khi thay \u0111\u1ed5i t\u01b0 th\u1ebf. CPAP th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean khi \u0111\u00e3 bi\u1ebft m\u1ed9t m\u1ee9c \u00e1p su\u1ea5t \u0111i\u1ec1u tr\u1ecb duy nh\u1ea5t ho\u1eb7c khi c\u00e1c t\u00ecnh tr\u1ea1ng y t\u1ebf khi\u1ebfn c\u00e1c c\u00e0i \u0111\u1eb7t \u1ed5n \u0111\u1ecbnh tr\u1edf n\u00ean an to\u00e0n h\u01a1n. Ch\u00fang t\u00f4i s\u1ebd gi\u00fap b\u1ea1n d\u00f9ng th\u1eed ch\u1ebf \u0111\u1ed9 mang l\u1ea1i cho b\u1ea1n s\u1ef1 ki\u1ec3m so\u00e1t t\u1ed1t nh\u1ea5t v\u1edbi \u00edt n\u1ed7 l\u1ef1c nh\u1ea5t. <\/p>\n\n

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    T\u1ea1i sao t\u00f4i th\u1ee9c d\u1eady \u0111\u1ec3 \u0111i ti\u1ec3u v\u00e0o ban \u0111\u00eam, v\u00e0 n\u00f3 c\u00f3 li\u00ean quan \u0111\u1ebfn OSA kh\u00f4ng?<\/h3>\n\n

    Th\u01b0\u1eddng xuy\u00ean \u0111i ti\u1ec3u \u0111\u00eam, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 nocturia, r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf ng\u01b0\u1eddi m\u1eafc OSA. C\u00e1c kho\u1ea3ng t\u1ea1m d\u1eebng th\u1edf l\u1eb7p \u0111i l\u1eb7p l\u1ea1i c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 l\u00e0m t\u0103ng s\u1ea3n xu\u1ea5t n\u01b0\u1edbc ti\u1ec3u v\u00e0 g\u00e2y ph\u00e2n m\u1ea3nh gi\u1ea5c ng\u1ee7, khi\u1ebfn b\u1ea1n nh\u1eadn bi\u1ebft r\u00f5 h\u01a1n c\u00e1c t\u00edn hi\u1ec7u t\u1eeb b\u00e0ng quang. V\u00ec ch\u1ee9ng ti\u1ec3u \u0111\u00eam c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn ti\u1ec1n li\u1ec7t, ti\u1ec3u \u0111\u01b0\u1eddng ho\u1eb7c l\u01b0\u1ee3ng ch\u1ea5t l\u1ecfng n\u1ea1p v\u00e0o bu\u1ed5i t\u1ed1i, ch\u00fang t\u00f4i s\u1ebd xem x\u00e9t b\u1ee9c tranh t\u1ed5ng th\u1ec3 v\u00e0 \u0111\u01b0a ra l\u1eddi khuy\u00ean ph\u00f9 h\u1ee3p. <\/p>\n\n

    <\/div>\n\n

    OSA c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 nh\u1ecbp tim nh\u01b0 rung t\u00e2m nh\u0129 kh\u00f4ng?<\/h3>\n\n

    OSA c\u00f3 li\u00ean quan \u0111\u1ebfn ch\u1ee9ng rung t\u00e2m nh\u0129. \u0110i\u1ec1u tr\u1ecb OSA gi\u00fap c\u1ea3i thi\u1ec7n nh\u1ecbp th\u1edf v\u00e0o ban \u0111\u00eam, nh\u01b0ng kh\u00f4ng thay th\u1ebf cho vi\u1ec7c \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n nh\u1ecbp tim. N\u1ebfu b\u1ea1n b\u1ecb \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c ho\u1eb7c c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 nh\u1ecbp tim \u0111\u00e3 bi\u1ebft, h\u00e3y cho ch\u00fang t\u00f4i bi\u1ebft. Ch\u00fang t\u00f4i s\u1ebd ph\u1ed1i h\u1ee3p v\u1edbi b\u00e1c s\u0129 tim m\u1ea1ch c\u1ee7a b\u1ea1n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh c\u00e1c k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb gi\u1ea5c ng\u1ee7 v\u00e0 tim m\u1ea1ch. <\/p>\n\n

    <\/div>\n\n

    T\u00f4i n\u00ean t\u00e1i kh\u00e1m bao l\u00e2u sau khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng CPAP ho\u1eb7c thi\u1ebft b\u1ecb r\u0103ng mi\u1ec7ng?<\/h3>\n\n

    T\u00e1i kh\u00e1m s\u1edbm gi\u00fap b\u1ea1n th\u00edch nghi v\u1edbi li\u1ec7u ph\u00e1p CPAP ho\u1eb7c c\u00e1c thi\u1ebft b\u1ecb r\u0103ng mi\u1ec7ng. Ch\u00fang t\u00f4i th\u01b0\u1eddng ki\u1ec3m tra l\u1ea1i sau 2 \u0111\u1ebfn 4 tu\u1ea7n \u0111\u1ec3 tinh ch\u1ec9nh \u0111\u1ed9 kh\u00edt c\u1ee7a m\u1eb7t n\u1ea1, c\u00e0i \u0111\u1eb7t \u0111\u1ed9 \u1ea9m v\u00e0 \u00e1p su\u1ea5t, sau \u0111\u00f3 ki\u1ec3m tra l\u1ea1i sau kho\u1ea3ng 3 th\u00e1ng \u0111\u1ec3 x\u00e1c nh\u1eadn s\u1ef1 c\u1ea3i thi\u1ec7n \u1ed5n \u0111\u1ecbnh. Sau \u0111\u00f3, ch\u00fang t\u00f4i s\u1ebd ki\u1ec3m tra sau m\u1ed7i 6 \u0111\u1ebfn 12 th\u00e1ng, ho\u1eb7c s\u1edbm h\u01a1n n\u1ebfu t\u00ecnh tr\u1ea1ng bu\u1ed3n ng\u1ee7 quay tr\u1edf l\u1ea1i. \u0110\u1ed1i v\u1edbi c\u00e1c thi\u1ebft b\u1ecb r\u0103ng mi\u1ec7ng, h\u00e3y chu\u1ea9n b\u1ecb cho vi\u1ec7c chu\u1ea9n \u0111\u1ed9 do nha s\u0129 th\u1ef1c hi\u1ec7n qua nhi\u1ec1u l\u1ea7n th\u0103m kh\u00e1m v\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u gi\u1ea5c ng\u1ee7 l\u1eb7p l\u1ea1i sau khi thi\u1ebft b\u1ecb \u0111\u01b0\u1ee3c thi\u1ebft l\u1eadp. H\u00e3y mang theo m\u00e1y CPAP ho\u1eb7c thi\u1ebft b\u1ecb r\u0103ng mi\u1ec7ng c\u1ee7a b\u1ea1n khi \u0111\u1ebfn h\u1eb9n \u0111\u1ec3 ch\u00fang t\u00f4i c\u00f3 th\u1ec3 xem x\u00e9t vi\u1ec7c s\u1eed d\u1ee5ng v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c \u0111i\u1ec1u ch\u1ec9nh ch\u00ednh x\u00e1c. <\/p>\n","protected":false},"excerpt":{"rendered":"

    T\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn, c\u00e1c b\u00e0i ki\u1ec3m tra gi\u1ea5c ng\u1ee7 v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. B\u00e1c s\u0129 Barrie Tan th\u1ef1c hi\u1ec7n \u0111\u00e1nh gi\u00e1 tai m\u0169i h\u1ecdng t\u1ea1i B\u1ec7nh vi\u1ec7n Gleneagles, Singapore. <\/p>\n","protected":false},"author":2,"featured_media":3388,"parent":0,"menu_order":0,"template":"","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"page-category":[137,136],"class_list":["post-3387","condition-treatment","type-condition-treatment","status-publish","has-post-thumbnail","hentry","page-category-osa","page-category-snoring"],"acf":[],"yoast_head":"\nNg\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA): Tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb t\u1ea1i Singapore<\/title>\n<meta name=\"description\" content=\"T\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn, c\u00e1c b\u00e0i ki\u1ec3m tra gi\u1ea5c ng\u1ee7 v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb. 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