{"id":3991,"date":"2025-12-09T02:53:57","date_gmt":"2025-12-09T02:53:57","guid":{"rendered":"https:\/\/drbarrietan.com\/ngung-tho-khi-ngu-trung-tam-vs-ngung-tho-khi-ngu-do-tac-nghen\/"},"modified":"2026-10-10T07:56:19","modified_gmt":"2026-10-10T07:56:19","slug":"ngung-tho-khi-ngu-trung-tam-vs-ngung-tho-khi-ngu-do-tac-nghen","status":"publish","type":"post","link":"https:\/\/drbarrietan.com\/vi\/ngung-tho-khi-ngu-trung-tam-vs-ngung-tho-khi-ngu-do-tac-nghen\/","title":{"rendered":"Ng\u01b0ng th\u1edf khi ng\u1ee7 trung t\u00e2m vs Ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn"},"content":{"rendered":"\n

S\u1ef1 kh\u00e1c bi\u1ec7t ch\u00ednh gi\u1eefa ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng v\u00e0 ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn n\u1eb1m \u1edf y\u1ebfu t\u1ed1 g\u00e2y gi\u00e1n \u0111o\u1ea1n nh\u1ecbp th\u1edf b\u00ecnh th\u01b0\u1eddng. Trong ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA), \u0111\u01b0\u1eddng th\u1edf b\u1ecb ch\u1eb7n l\u1ea1i m\u1eb7c d\u00f9 c\u01a1 th\u1ec3 v\u1eabn duy tr\u00ec n\u1ed7 l\u1ef1c th\u1edf (n\u1ed7 l\u1ef1c h\u00f4 h\u1ea5p). Ng\u01b0\u1ee3c l\u1ea1i, trong ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng (CSA), n\u00e3o b\u1ed9 kh\u00f4ng ph\u00e1t \u0111i t\u00edn hi\u1ec7u nh\u1ea5t qu\u00e1n \u0111\u1ebfn c\u00e1c c\u01a1 \u0111i\u1ec1u khi\u1ec3n vi\u1ec7c h\u00edt th\u1edf. <\/p>\n\n

Obstructive sleep apnea<\/strong><\/a> occurs when throat muscles relax and tissues around the soft palate, tongue base or epiglottis narrow or block the upper airway during sleep. This can cause loud snoring or gasping. OSA is a common sleep disorder and is more frequent than central sleep apnea.<\/p>\n\n

Central sleep apnea<\/strong><\/a> occurs when signals from the central nervous system that regulate breathing are disrupted. During a central apnea, airflow and breathing effort stop, rather than airflow stopping because the throat is blocked.<\/p>\n\n

Ch\u1ec9 d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 th\u00ec kh\u00f4ng th\u1ec3 ph\u00e2n bi\u1ec7t ch\u00ednh x\u00e1c c\u00e1c ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u00e0y. C\u1ea3 hai \u0111\u1ec1u l\u00e0 c\u00e1c d\u1ea1ng r\u1ed1i lo\u1ea1n nh\u1ecbp th\u1edf khi ng\u1ee7. Vi\u1ec7c th\u1ef1c hi\u1ec7n \u0111a k\u00fd gi\u1ea5c ng\u1ee7 (ki\u1ec3m tra gi\u1ea5c ng\u1ee7) s\u1ebd gi\u00fap \u0111o l\u01b0\u1eddng c\u00e1c ki\u1ec3u th\u1edf \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh lo\u1ea1i b\u1ec7nh v\u00e0 h\u01b0\u1edbng d\u1eabn \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. <\/p>\n\n

<\/div>\n\n
\u0110\u1eb7c \u0111i\u1ec3m<\/strong><\/td>Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn (OSA)<\/strong><\/td>Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng (CSA)<\/strong><\/td><\/tr>
V\u1ea5n \u0111\u1ec1 ch\u00ednh<\/td>\u0110\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean b\u1ecb h\u1eb9p ho\u1eb7c x\u1eb9p xu\u1ed1ng.<\/td>T\u00edn hi\u1ec7u \u0111i\u1ec1u khi\u1ec3n nh\u1ecbp th\u1edf b\u1ecb gi\u00e1n \u0111o\u1ea1n.<\/td><\/tr>
N\u1ed7 l\u1ef1c trong c\u01a1n ng\u01b0ng th\u1edf<\/td>C\u00e1c c\u01a1 h\u00f4 h\u1ea5p v\u1eabn ti\u1ebfp t\u1ee5c c\u1ed1 g\u1eafng l\u1ea5y kh\u00f4ng kh\u00ed v\u00e0o.<\/td>Kh\u00f4ng c\u00f3 n\u1ed7 l\u1ef1c th\u1edf trong l\u00fac t\u1ea1m d\u1eebng.<\/td><\/tr>
C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p<\/td>Ng\u00e1y, th\u1edf h\u1ed5n h\u1ec3n, gi\u1ea5c ng\u1ee7 b\u1ecb gi\u00e1n \u0111o\u1ea1n v\u00e0 bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y.<\/td>T\u1ea1m d\u1eebng th\u1edf, th\u1ee9c d\u1eady trong t\u00ecnh tr\u1ea1ng h\u1ee5t h\u01a1i v\u00e0 bu\u1ed3n ng\u1ee7 v\u00e0o ban ng\u00e0y. C\u00f3 th\u1ec3 c\u00f3 ti\u1ebfng ng\u00e1y. <\/td><\/tr>
Ki\u1ec3m tra gi\u1ea5c ng\u1ee7<\/td>Ki\u1ec3m tra t\u1ea1i nh\u00e0 cho m\u1ed9t s\u1ed1 ng\u01b0\u1eddi l\u1edbn \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh, ho\u1eb7c \u0111a k\u00fd gi\u1ea5c ng\u1ee7 t\u1ea1i ph\u00f2ng kh\u00e1m.<\/td>\u0110a k\u00fd gi\u1ea5c ng\u1ee7 t\u1ea1i ph\u00f2ng kh\u00e1m th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u01a1n.<\/td><\/tr>
Tr\u1ecdng t\u00e2m \u0111i\u1ec1u tr\u1ecb<\/td>Gi\u1eef cho \u0111\u01b0\u1eddng th\u1edf lu\u00f4n m\u1edf b\u1eb1ng m\u00e1y CPAP, d\u1ee5ng c\u1ee5 nha khoa ho\u1eb7c ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/td>Gi\u1ea3i quy\u1ebft nguy\u00ean nh\u00e2n g\u1ed1c r\u1ec5 v\u00e0 cung c\u1ea5p h\u1ed7 tr\u1ee3 h\u00f4 h\u1ea5p ph\u00f9 h\u1ee3p.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n
<\/div>\n\n

Nguy\u00ean nh\u00e2n v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/h2>\n\n

Nguy\u00ean nh\u00e2n v\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y ng\u01b0ng th\u1edf khi ng\u1ee7 ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<\/p>\n\n

Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng th\u1eeba c\u00e2n, chu vi v\u00f2ng c\u1ed5 l\u1edbn v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 v\u1ec1 gi\u1ea3i ph\u1eabu g\u00f3p ph\u1ea7n g\u00e2y t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean. T\u00ecnh tr\u1ea1ng n\u00e0y c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf nh\u1eefng ng\u01b0\u1eddi kh\u00f4ng b\u1ecb th\u1eeba c\u00e2n. Cao huy\u1ebft \u00e1p v\u00e0 ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 th\u01b0\u1eddng \u0111i k\u00e8m v\u1edbi OSA. <\/p>\n\n

Ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn suy tim sung huy\u1ebft, \u0111\u1ed9t qu\u1ef5, s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au nh\u00f3m opioid ho\u1eb7c \u1edf \u0111\u1ed9 cao l\u1edbn. \u0110\u00f4i khi, ng\u01b0\u1eddi b\u1ec7nh m\u1eafc ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng m\u00e0 kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Tu\u1ed5i cao v\u00e0 gi\u1edbi t\u00ednh nam l\u00e0 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 cho c\u1ea3 hai lo\u1ea1i, nh\u01b0ng ti\u1ec1n s\u1eed gia \u0111\u00ecnh, h\u00fat thu\u1ed1c v\u00e0 s\u1eed d\u1ee5ng r\u01b0\u1ee3u bia th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ea3o lu\u1eadn nhi\u1ec1u h\u01a1n li\u00ean quan \u0111\u1ebfn OSA. <\/p>\n\n

\u0110\u1ed1i v\u1edbi OSA, vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc \u0111\u1ec3 gi\u1ea3m c\u00e2n n\u1ebfu b\u1ea1n b\u1ecb th\u1eeba c\u00e2n v\u00e0 tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u tr\u01b0\u1edbc khi ng\u1ee7 c\u00f3 th\u1ec3 gi\u00fap \u00edch. T\u01b0 th\u1ebf ng\u1ee7 nghi\u00eang c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u1eafc ngh\u1ebdn trong tr\u01b0\u1eddng h\u1ee3p nh\u1ecbp th\u1edf tr\u1edf n\u00ean t\u1ec7 h\u01a1n khi n\u1eb1m ng\u1eeda. Tuy nhi\u00ean, nh\u1eefng bi\u1ec7n ph\u00e1p n\u00e0y kh\u00f4ng gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c c\u00e1c nguy\u00ean nh\u00e2n ti\u1ec1m \u1ea9n c\u1ee7a ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng. <\/p>\n\n

<\/div>\n\n
\"Nguyên<\/figure>\n\n
<\/div>\n\n

C\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e0 g\u00ec?<\/h2>\n\n

Tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u1ea3 hai lo\u1ea1i bao g\u1ed3m gi\u00e1n \u0111o\u1ea1n nh\u1ecbp th\u1edf, gi\u1ea5c ng\u1ee7 ch\u1eadp ch\u1eddn, \u0111au \u0111\u1ea7u v\u00e0o bu\u1ed5i s\u00e1ng v\u00e0 bu\u1ed3n ng\u1ee7 qu\u00e1 m\u1ee9c v\u00e0o ban ng\u00e0y. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn th\u01b0\u1eddng ng\u00e1y to, b\u1ecb ngh\u1eb9n ho\u1eb7c th\u1edf h\u1ed5n h\u1ec3n v\u00e0o ban \u0111\u00eam v\u00e0 th\u1ee9c d\u1eady v\u1edbi t\u00ecnh tr\u1ea1ng kh\u00f4 mi\u1ec7ng. Ng\u01b0\u1eddi ng\u1ee7 c\u00f9ng c\u00f3 th\u1ec3 ch\u1ee9ng ki\u1ebfn nh\u1eefng l\u00fac t\u1ea1m d\u1eebng th\u1edf v\u00e0 k\u1ebft th\u00fac b\u1eb1ng m\u1ed9t ti\u1ebfng kh\u1ecbt m\u0169i. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c th\u1ee9c gi\u1ea5c k\u00e8m theo kh\u00f3 th\u1edf ho\u1eb7c kh\u00f3 duy tr\u00ec gi\u1ea5c ng\u1ee7. Ti\u1ebfng ng\u00e1y c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi CSA, v\u00ec v\u1eady s\u1ef1 hi\u1ec7n di\u1ec7n hay v\u1eafng m\u1eb7t c\u1ee7a ti\u1ebfng \u1ed3n kh\u00f4ng gi\u00fap x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n. C\u00e1c \u1ea3nh h\u01b0\u1edfng kh\u00e1c c\u00f3 s\u1ef1 tr\u00f9ng l\u1eb7p bao g\u1ed3m m\u1ec7t m\u1ecfi v\u00e0o ban ng\u00e0y, gi\u1ea3m kh\u1ea3 n\u0103ng t\u1eadp trung, d\u1ec5 c\u00e1u g\u1eaft v\u00e0 t\u00e2m tr\u1ea1ng sa s\u00fat. <\/p>\n\n

<\/div>\n\n

Khi n\u00e0o n\u00ean g\u1eb7p chuy\u00ean gia tai m\u0169i h\u1ecdng<\/h2>\n\n

See an ENT specialist if you snore<\/a>, stop breathing during sleep, or have nasal congestion or a crowded throat.<\/p>\n\n

B\u1ea1n c\u0169ng n\u00ean \u0111i kh\u00e1m n\u1ebfu b\u1ecb cao huy\u1ebft \u00e1p kh\u00f3 ki\u1ec3m so\u00e1t, rung t\u00e2m nh\u0129, ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 ho\u1eb7c t\u00ecnh tr\u1ea1ng bu\u1ed3n ng\u1ee7 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c l\u00e1i xe v\u00e0 c\u00f4ng vi\u1ec7c. Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng l\u00e1i xe khi bu\u1ed3n ng\u1ee7. B\u00e1c s\u0129 Barrie Tan c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean c\u1ee7a b\u1ea1n v\u00e0 \u0111i\u1ec1u ph\u1ed1i c\u00e1c x\u00e9t nghi\u1ec7m gi\u1ea5c ng\u1ee7 ph\u00f9 h\u1ee3p. Tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd m\u1eafc ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng c\u0169ng c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa y h\u1ecdc gi\u1ea5c ng\u1ee7 v\u00e0 t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n, c\u00f3 th\u1ec3 c\u1ea7n th\u00eam b\u00e1c s\u0129 chuy\u00ean khoa tim m\u1ea1ch ho\u1eb7c th\u1ea7n kinh. <\/p>\n\n

<\/div>\n\n
\"Ngưng<\/figure>\n","protected":false},"excerpt":{"rendered":"

So s\u00e1nh ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 trung \u01b0\u01a1ng v\u00e0 ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 do t\u1eafc ngh\u1ebdn: t\u00ecm hi\u1ec3u s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, ki\u1ec3m tra gi\u1ea5c ng\u1ee7 v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f9ng v\u1edbi Barrie Tan ENT t\u1ea1i Singapore.<\/p>\n","protected":false},"author":2,"featured_media":3995,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_joinchat":[],"footnotes":""},"categories":[160,155,161],"tags":[],"page-category":[145,141],"class_list":["post-3991","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-csa","category-ngung-tho-khi-ngu","category-osa","page-category-csa","page-category-sleep-apnea"],"acf":[],"yoast_head":"\nNg\u01b0ng th\u1edf khi ng\u1ee7 trung t\u00e2m vs Ng\u01b0ng th\u1edf khi 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