{"id":7544,"date":"2024-06-07T14:54:42","date_gmt":"2024-06-07T07:54:42","guid":{"rendered":"http:\/\/skykery.com\/?p=7544"},"modified":"2024-06-07T15:22:59","modified_gmt":"2024-06-07T08:22:59","slug":"huong-dan-dinh-duong-cho-nguoi-benh-phoi-mo-ke","status":"publish","type":"post","link":"http:\/\/skykery.com\/huong-dan-dinh-duong-cho-nguoi-benh-phoi-mo-ke\/","title":{"rendered":"H\u01af\u1edaNG D\u1eaaN DINH D\u01af\u1ee0NG CHO NG\u01af\u1edcI B\u1ec6NH PH\u1ed4I M\u00d4 K\u1ebc"},"content":{"rendered":"<ol>\n<li><strong>T\u1ed5ng quan v\u1ec1 b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd<\/strong><\/li>\n<\/ol>\n<p>B\u1ec7nh ph\u1ed5i k\u1ebd l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh g\u1ed3m nhi\u1ec1u r\u1ed1i lo\u1ea1n \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i lan t\u1ecfa. Trong h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh ph\u1ed5i k\u1ebd, th\u00e0nh ph\u1ebf nang b\u1ecb th\u00e2m nhi\u1ec5m b\u1edfi c\u00e1c t\u1ebf b\u00e0o vi\u00eam, t\u1ebf b\u00e0o x\u01a1 v\u00e0 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng sinh c\u1ee7a c\u00e1c t\u1ebf b\u00e0o th\u00e0nh ph\u1ebf nang.<\/p>\n<p>Tuy h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i ph\u1ee9c t\u1ea1p v\u1edbi nhi\u1ec1u nh\u00f3m b\u1ec7nh kh\u00e1c nhau nh\u01b0: b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd c\u00f3 c\u0103n nguy\u00ean (do vi\u00eam nhi\u1ec5m, thu\u1ed1c, b\u1ec7nh h\u1ec7 th\u1ed1ng, li\u00ean quan h\u00fat thu\u1ed1c l\u00e1&#8230;), b\u1ec7nh ph\u1ed5i k\u1ebd v\u00f4 c\u0103n hay nh\u1eefng b\u1ec7nh ph\u1ed5i k\u1ebd hi\u1ebfm g\u1eb7p kh\u00e1c, nh\u01b0ng \u0111\u1ec1u c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m chung l\u00e0 c\u00e1c t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 th\u01b0\u1eddng kh\u00f4ng h\u1ed3i ph\u1ee5c v\u00e0 di\u1ec5n ti\u1ebfn n\u1eb7ng d\u1ea7n n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. T\u1eeb \u0111\u00f3 s\u1ebd d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng x\u01a1 h\u00f3a nhu m\u00f4 ph\u1ed5i, l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng trao \u0111\u1ed5i oxy v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u1edf ng\u01b0\u1eddi b\u1ec7nh nh\u01b0 kh\u00f3 th\u1edf, ho, m\u1ec7t m\u1ecfi, \u0111au ng\u1ef1c&#8230;<\/p>\n<p><img loading=\"lazy\" class=\"wp-image-7545 alignleft\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/1.png\" alt=\"\" width=\"272\" height=\"206\" \/><\/p>\n<p><img loading=\"lazy\" class=\"wp-image-7546 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/2.jpg\" alt=\"\" width=\"181\" height=\"238\" \/><\/p>\n<p><strong>\u00a0 \u00a02. B\u1ec7nh ph\u1ed5i k\u1ebd v\u00e0 tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n<\/strong><\/p>\n<p>Theo McFarlane v\u00e0 c\u1ed9ng s\u1ef1, c\u00e1c bi\u1ec3u hi\u1ec7n v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a l\u00e0 bi\u1ebfn ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a b\u1ec7nh X\u01a1 c\u1ee9ng h\u1ec7 th\u1ed1ng (SSc), \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn g\u1ea7n 90% ng\u01b0\u1eddi b\u1ec7nh. C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a t\u1ed5n th\u01b0\u01a1ng th\u1ef1c qu\u1ea3n bao g\u1ed3m nh\u1eefng thay \u0111\u1ed5i vi m\u1ea1ch v\u00e0 vi\u00eam c\u1ee7a c\u01a1 tr\u01a1n th\u1ef1c qu\u1ea3n, d\u00e2y th\u1ea7n kinh v\u00e0 c\u00e1c m\u00f4 li\u00ean k\u1ebft, g\u00f3p ph\u1ea7n g\u00e2y x\u01a1 h\u00f3a v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ef1c qu\u1ea3n. Nhu \u0111\u1ed9ng gi\u1ea3m ho\u1eb7c kh\u00f4ng c\u00f3 \u1edf 2\/3 d\u01b0\u1edbi c\u1ee7a th\u1ef1c qu\u1ea3n khi\u1ebfn b\u1ec7nh nh\u00e2n SSc d\u1ec5 m\u1eafc b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) h\u01a1n. Ngo\u00e0i ra, vi\u1ec7c gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c c\u01a1 th\u1eaft th\u1ef1c qu\u1ea3n d\u01b0\u1edbi (LES) t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho nh\u1eefng thay \u0111\u1ed5i tr\u00e0o ng\u01b0\u1ee3c m\u00e3n t\u00ednh, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c nh\u01b0 vi\u00eam th\u1ef1c qu\u1ea3n tr\u00e0o ng\u01b0\u1ee3c, h\u1eb9p th\u1ef1c qu\u1ea3n v\u00e0 Barrett th\u1ef1c qu\u1ea3n. Kh\u00f4ng nh\u1eefng v\u1eady, s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng tr\u00e0o ng\u01b0\u1ee3c d\u1ecbch acid v\u00e0 kh\u00f4ng acid (non-acid) v\u00e0o ph\u1ed5i, g\u00e2y ra t\u00ecnh tr\u1ea1ng vi\u00eam m\u1ea1n t\u00ednh, x\u01a1 h\u00f3a c\u1ea5u tr\u00fac v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ec7nh l\u00fd X\u01a1 ph\u1ed5i v\u00f4 c\u0103n (IPF). [1]<\/p>\n<p>B\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p v\u00e0 x\u01a1 ph\u1ed5i k\u1ebd do nhi\u1ec1u qu\u00e1 tr\u00ecnh b\u1ec7nh kh\u00e1c nhau. M\u1ed1i quan h\u1ec7 nh\u00e2n qu\u1ea3 v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ee9ng minh r\u00f5 r\u00e0ng nh\u01b0ng m\u1ed9t s\u1ed1 t\u00e1c gi\u1ea3 \u0111\u01b0a ra gi\u1ea3 thuy\u1ebft r\u1eb1ng c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u m\u1ed1i li\u00ean h\u1ec7 ng\u1eabu nhi\u00ean gi\u1eefa GERD v\u00e0 t\u1ed5n th\u01b0\u01a1ng ph\u1ed5i k\u1ebd. [2]<\/p>\n<p><img loading=\"lazy\" class=\" wp-image-7547 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/3.jpg\" alt=\"\" width=\"264\" height=\"189\" \/><\/p>\n<p style=\"text-align: center;\">(<em>Matteo Ghisa et al., <\/em><em>Therapeutics and Clinical Risk Management<\/em> <em>2019 Volume 2019:<\/em><em>15, <\/em><em>Idiopathic pulmonary fibrosis and GERD: links and risks<\/em><em>)<\/em><\/p>\n<p>Trong m\u1ed9t nghi\u00ean c\u1ee9u ti\u1ebfn c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i \u0110\u1ea1i h\u1ecdc Chicago, M\u1ef9 trong v\u00f2ng m\u1ed9t n\u0103m tr\u00ean 44 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n B\u1ec7nh ph\u1ed5i k\u1ebd (16 X\u01a1 ph\u1ed5i v\u00f4 c\u0103n, 10 Sarcoidosis v\u00e0 18 BN m\u1eafc b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd trong b\u1ec7nh m\u00f4 li\u00ean k\u1ebft). Nh\u00f3m t\u00e1c gi\u1ea3 nh\u1eadn th\u1ea5y, b\u1ec7nh l\u00fd tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) th\u01b0\u1eddng x\u1ea3y ra \u1edf kho\u1ea3ng 2\/3 b\u1ec7nh nh\u00e2n m\u1eafc B\u1ec7nh ph\u1ed5i k\u1ebd. Tuy nhi\u00ean, c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a GERD, bao g\u1ed3m c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t sau x\u01b0\u01a1ng \u1ee9c (heartburn), \u1ee3 h\u01a1i, \u1ee3 chua, kh\u00f3 nu\u1ed1t v\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh kh\u00e1c l\u1ea1i c\u00f3 \u0111\u1ed9 nh\u1ea1y v\u00e0 \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u th\u1ea5p. Do \u0111\u00f3, vi\u1ec7c th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng th\u1ef1c qu\u1ea3n (\u0111o nhu \u0111\u1ed9ng th\u1ef1c qu\u1ea3n, \u0111o pH tr\u1edf kh\u00e1ng th\u1ef1c qu\u1ea3n 24 gi\u1edd) l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh GERD \u1edf nh\u00f3m \u0111\u1ed1i t\u01b0\u1ee3ng n\u00e0y. [3]<\/p>\n<p><strong>3. Vai tr\u00f2 c\u1ee7a dinh d\u01b0\u1ee1ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd<\/strong><\/p>\n<p>Dinh d\u01b0\u1ee1ng \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed9t ph\u1ea7n kh\u00f4ng th\u1ec3 thi\u1ebfu trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. C\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y, t\u1ef7 l\u1ec7 suy dinh d\u01b0\u1ee1ng \u1edf ng\u01b0\u1eddi b\u1ec7nh \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd l\u00e0 h\u01a1n 60% [4]. T\u00ecnh tr\u1ea1ng suy dinh d\u01b0\u1ee1ng, bao g\u1ed3m s\u1ee5t c\u00e2n, m\u1ea5t c\u01a1 v\u00e0 y\u1ebfu c\u01a1) l\u00e0 m\u1ed9t trong nh\u1eefng y\u1ebfu t\u1ed1 ti\u00ean l\u01b0\u1ee3ng n\u1eb7ng [5], c\u00f3 li\u00ean quan \u0111\u1ebfn d\u1ef1 h\u1eadu [6,7,8,9] v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng [10] c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh x\u01a1 ph\u1ed5i v\u00f4 c\u0103n n\u00f3i ri\u00eang v\u00e0 b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd n\u00f3i chung. Do \u0111\u00f3, c\u1ea7n s\u00e0ng l\u1ecdc v\u00e0 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng dinh d\u01b0\u1ee1ng to\u00e0n di\u1ec7n \u1edf t\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd, k\u1ec3 c\u1ea3 m\u1edbi ch\u1ea9n \u0111o\u00e1n hay \u0111ang \u0111i\u1ec1u tr\u1ecb, \u0111\u1ec3 nh\u1eadn di\u1ec7n s\u1edbm v\u00e0 l\u00ean k\u1ebf ho\u1ea1ch can thi\u1ec7p dinh d\u01b0\u1ee1ng hi\u1ec7u qu\u1ea3 v\u00e0 k\u1ecbp th\u1eddi.<\/p>\n<p><strong>4. \u0102n \u0111\u00fang \u2013 s\u1ed1ng kh\u1ecfe c\u00f9ng b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd<\/strong><\/p>\n<p><strong>a. Nhu c\u1ea7u dinh d\u01b0\u1ee1ng:<\/strong><\/p>\n<p>Gi\u1ed1ng v\u1edbi c\u00e1c b\u1ec7nh l\u00fd h\u00f4 h\u1ea5p m\u1ea1n t\u00ednh kh\u00e1c, ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd c\u1ea7n \u0111\u1ea3m b\u1ea3o m\u1ed9t ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng \u0111\u1ea7y \u0111\u1ee7 n\u0103ng l\u01b0\u1ee3ng, \u0111\u1ea1m, vitamin v\u00e0 kho\u00e1ng ch\u1ea5t.<\/p>\n<ul>\n<li>Nhu c\u1ea7u n\u0103ng l\u01b0\u1ee3ng : 30 \u2013 35kcal\/kg\/ng\u00e0y<\/li>\n<li>Nhu c\u1ea7u \u0111\u1ea1m: 0.8 \u2013 1.5g\/kg\/ng\u00e0y, c\u00f3 th\u1ec3 l\u00ean \u0111\u1ebfn 2g\/kg\/ng\u00e0y (c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb)<\/li>\n<li>Vitamin v\u00e0 kho\u00e1ng ch\u1ea5t: li\u1ec1u c\u01a1 b\u1ea3n theo nhu c\u1ea7u khuy\u1ebfn ngh\u1ecb.<\/li>\n<li>Nhu c\u1ea7u vitamin D v\u00e0 Canxi: c\u1ea7n b\u1ed5 sung th\u00eam theo nhu c\u1ea7u khuy\u1ebfn ngh\u1ecb nh\u1eb1m ph\u00f2ng ng\u1eeba lo\u00e3ng x\u01b0\u01a1ng (ng\u01b0\u1eddi b\u1ec7nh d\u00f9ng corticoid th\u01b0\u1eddng xuy\u00ean, l\u1ed1i s\u1ed1ng th\u1ee5 \u0111\u1ed9ng v\u00e0\/ho\u1eb7c \u00edt ti\u1ebfp x\u00fac \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi).<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"alignnone wp-image-7548\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/4.png\" alt=\"\" width=\"249\" height=\"133\" \/> <img loading=\"lazy\" class=\"alignnone wp-image-7549\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/5.png\" alt=\"\" width=\"249\" height=\"133\" \/><\/p>\n<p><strong>b. Dinh d\u01b0\u1ee1ng \u0111\u00fang c\u00e1ch <\/strong><\/p>\n<p><strong><em>Duy tr\u00ec BMI trong m\u1ee9c b\u00ecnh th\u01b0\u1eddng<\/em><\/strong> (18,5 \u2013 22,9 kg\/m2)<\/p>\n<p>Vi\u1ec7c duy tr\u00ec m\u1ee9c c\u00e2n n\u1eb7ng l\u00fd t\u01b0\u1edfng l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh ph\u1ed5i k\u1ebd n\u00f3i ri\u00eang v\u00e0 c\u00e1c b\u1ec7nh l\u00fd m\u00e3n t\u00ednh kh\u00e1c n\u00f3i chung. T\u00ecnh tr\u1ea1ng th\u1eeba c\u00e2n\/ b\u00e9o ph\u00ec c\u00f3 th\u1ec3 t\u1ea1o \u00e1p l\u1ef1c l\u00ean ph\u1ed5i v\u00e0 tim, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi h\u01a1n. Trong khi \u0111\u00f3, thi\u1ebfu c\u00e2n\/ suy dinh d\u01b0\u1ee1ng khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh gi\u1ea3m n\u0103ng l\u01b0\u1ee3ng \u2013 \u0111\u1ea1m n\u1ea1p v\u00e0o, t\u00ecnh tr\u1ea1ng \u0103n u\u1ed1ng k\u00e9m k\u00e9o d\u00e0i d\u1eabn \u0111\u1ebfn v\u00f4 s\u1ed1 h\u1ec7 qu\u1ea3 n\u1eb7ng n\u1ec1, nh\u01b0 teo c\u01a1 teo m\u1ee1, gi\u1ea3m s\u1ee9c c\u01a1 (c\u01a1 ngo\u1ea1i bi\u00ean + c\u01a1 h\u00f4 h\u1ea5p), suy gi\u1ea3m mi\u1ec5n d\u1ecbch, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 nhi\u1ec5m tr\u00f9ng c\u0169ng nh\u01b0 gia t\u0103ng s\u1ed1 l\u1ea7n nh\u1eadp vi\u1ec7n. [11]<\/p>\n<p><img loading=\"lazy\" class=\"wp-image-7550 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/Capture.png\" alt=\"\" width=\"543\" height=\"233\" \/><\/p>\n<p><strong><em>T\u0103ng c\u01b0\u1eddng th\u1ef1c ph\u1ea9m gi\u00e0u \u0111\u1ea1m, rau xanh v\u00e0 tr\u00e1i c\u00e2y t\u01b0\u01a1i<\/em><\/strong><\/p>\n<ul>\n<li>Th\u1ef1c ph\u1ea9m gi\u00e0u \u0111\u1ea1m: th\u1ecbt, c\u00e1, tr\u1ee9ng, s\u1eefa, c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa (yogurt, ph\u00f4 mai,&#8230;), c\u00e1c lo\u1ea1i \u0111\u1eadu,&#8230;<\/li>\n<li>\u01afu ti\u00ean c\u00e1c lo\u1ea1i \u0111\u1ea1m c\u00f3 gi\u00e1 tr\u1ecb sinh h\u1ecdc cao:<\/li>\n<li>\u0110\u1ea1m \u0111\u1ed9ng v\u1eadt c\u00f3 gi\u00e1 tr\u1ecb sinh h\u1ecdc cao h\u01a1n \u0111\u1ea1m th\u1ef1c v\u1eadt<\/li>\n<li>C\u00e2n \u0111\u1ed1i t\u1ef7 l\u1ec7 \u0111\u1ea1m \u0111\u1ed9ng v\u1eadt v\u00e0 \u0111\u1ea1m th\u1ef1c v\u1eadt trong b\u1eefa \u0103n<\/li>\n<li>T\u1ef7 l\u1ec7 \u0111\u1ea1m \u0111\u1ed9ng v\u1eadt\/ t\u1ed5ng l\u01b0\u1ee3ng \u0111\u1ea1m \u2265 30% (ng\u01b0\u1eddi \u2265 20 tu\u1ed5i) (Theo Nhu c\u1ea7u dinh d\u01b0\u1ee1ng khuy\u1ebfn ngh\u1ecb cho ng\u01b0\u1eddi Vi\u1ec7t Nam \u2013 Vi\u1ec7n dinh d\u01b0\u1ee1ng)<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\" wp-image-7551 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/Capture1.png\" alt=\"\" width=\"490\" height=\"254\" \/><\/p>\n<ul>\n<li>B\u1ed5 sung ONS (S\u1ea3n ph\u1ea9m b\u1ed5 sung dinh d\u01b0\u1ee1ng \u0111\u01b0\u1eddng mi\u1ec7ng): n\u0103ng l\u01b0\u1ee3ng chu\u1ea9n \u2013 cao n\u0103ng l\u01b0\u1ee3ng (c\u00e1 th\u1ec3 h\u00f3a).<\/li>\n<li>X\u00e2y d\u1ef1ng kh\u1ed1i c\u01a1 th\u1ec3, ch\u1ed1ng m\u1ea5t c\u01a1 v\u00e0 th\u00fac \u0111\u1ea9y s\u1ef1 l\u00e0nh v\u1ebft th\u01b0\u01a1ng.<\/li>\n<li>C\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng c\u01a1 h\u00f4 h\u1ea5p<\/li>\n<li>Ch\u1ea5t b\u1ed9t \u0111\u01b0\u1eddng: n\u00ean l\u1ef1a ch\u1ecdn c\u00e1c lo\u1ea1i rau xanh v\u00e0 tr\u00e1i c\u00e2y t\u01b0\u01a1i, thay v\u00ec th\u1ef1c ph\u1ea9m ch\u1ebf bi\u1ebfn s\u1eb5n, ch\u1ee9a nhi\u1ec1u \u0111\u01b0\u1eddng \u0111\u01a1n ho\u1eb7c tinh b\u1ed9t.<\/li>\n<\/ul>\n<p><strong>Chia th\u00e0nh nhi\u1ec1u c\u1eed \u0103n nh\u1ecf trong ng\u00e0y (5-6 c\u1eed)<\/strong><\/p>\n<ul>\n<li>Vi\u1ec7c \u0103n qu\u00e1 no c\u00f9ng m\u1ed9t l\u00fac s\u1ebd g\u00e2y \u00e1p l\u1ef1c l\u00ean ph\u1ed5i khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y kh\u00f3 th\u1edf v\u00e0 m\u1ec7t m\u1ecfi h\u01a1n.<\/li>\n<li>\u0102n 3 b\u1eefa ch\u00ednh v\u00e0 th\u00eam 2-3 b\u1eefa ph\u1ee5 gi\u00fap d\u1ea1 d\u00e0y b\u1edbt no c\u0103ng, ng\u01b0\u1eddi b\u1ec7nh c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu h\u01a1n. T\u1eeb \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n trong vi\u1ec7c \u0103n u\u1ed1ng.<\/li>\n<li>\u0110\u1eb7c bi\u1ec7t, kh\u00f4ng \u0103n t\u1ed1i sau 19 gi\u1edd ho\u1eb7c 2-3 ti\u1ebfng tr\u01b0\u1edbc khi \u0111i ng\u1ee7 \u0111\u1ec3 tr\u00e1nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n.<\/li>\n<\/ul>\n<p><strong><em>H\u1ea1n ch\u1ebf l\u01b0\u1ee3ng Natri ti\u00eau th\u1ee5 &lt; 2400mg\/ng\u00e0y<\/em><\/strong><\/p>\n<ul>\n<li>1 mu\u1ed7ng c\u00e0 ph\u00ea mu\u1ed1i \u0103n ch\u1ee9a 2000mg Natri.<\/li>\n<li>Nh\u1eefng th\u1ef1c ph\u1ea9m ch\u1ebf bi\u1ebfn s\u1eb5n ch\u1ee9a nhi\u1ec1u natri: n\u01b0\u1edbc m\u1eafm, n\u01b0\u1edbc t\u01b0\u01a1ng, t\u01b0\u01a1ng c\u00e0, c\u00e1c lo\u1ea1i s\u1ed1t gia v\u1ecb \u01b0\u1edbp th\u1ef1c ph\u1ea9m, tr\u00e1i c\u00e2y \u0111\u00f3ng h\u1ed9p, s\u1ea3n ph\u1ea9m \u0111\u00f4ng l\u1ea1nh&#8230;<\/li>\n<li>Nh\u1eefng th\u1ef1c ph\u1ea9m ch\u01b0a qua ch\u1ebf bi\u1ebfn nh\u01b0 tr\u00e1i c\u00e2y t\u01b0\u01a1i, rau, th\u1ecbt v\u00e0 g\u1ea1o c\u0169ng ch\u1ee9a m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf natri.<\/li>\n<li>Do \u0111\u00f3, trong ch\u1ebf \u0111\u1ed9 \u0103n, n\u00ean h\u1ea1n ch\u1ebf d\u00f9ng th\u1ef1c ph\u1ea9m ch\u1ebf bi\u1ebfn s\u1eb5n v\u00e0 n\u00eam n\u1ebfm ph\u00f9 h\u1ee3p.<\/li>\n<\/ul>\n<p><strong><em>B\u1ed5 sung ch\u1ea5t x\u01a1 trong ch\u1ebf \u0111\u1ed9 \u0103n<\/em><\/strong><\/p>\n<p>Ch\u1ea5t x\u01a1 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe,\u00a0gi\u00fap \u0111i\u1ec1u h\u00f2a ti\u00eau h\u00f3a, ki\u1ec3m so\u00e1t cholesterol v\u00e0 \u1ed5n \u0111\u1ecbnh l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. Ch\u1ea5t x\u01a1 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong l\u00faa m\u00ec nguy\u00ean h\u1ea1t, y\u1ebfn m\u1ea1ch, tr\u00e1i c\u00e2y, c\u00e1c lo\u1ea1i rau c\u1ee7 v\u00e0 \u0111\u1eadu. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t x\u01a1 l\u1ea1i g\u00e2y sinh h\u01a1i nhi\u1ec1u, l\u00e0m tri\u1ec7u ch\u1ee9ng kh\u00f3 th\u1edf c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n. V\u00ec v\u1eady, c\u1ea7n ch\u1ecdn l\u1ef1a lo\u1ea1i v\u00e0 l\u01b0\u1ee3ng th\u1ef1c ph\u1ea9m ph\u00f9 h\u1ee3p.<\/p>\n<p><strong><em>H\u1ea1n ch\u1ebf nh\u1eefng th\u1ef1c ph\u1ea9m sinh h\u01a1i<\/em><\/strong><\/p>\n<p>H\u1ea1n ch\u1ebf nh\u1eefng th\u1ef1c ph\u1ea9m sinh h\u01a1i, bao g\u1ed3m: t\u00e1o, \u0111\u1eadu, b\u00f4ng c\u1ea3i xanh, b\u1eafp c\u1ea3i, l\u00faa m\u00ec, h\u00e0nh t\u1ecfi, c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb s\u1eefa, th\u1ef1c ph\u1ea9m l\u00ean men, \u0111\u1ed3 u\u1ed1ng c\u00f3 ga, bia, k\u1eb9o cao su hay \u0111\u1ed3 \u0103n ch\u1ee9a nhi\u1ec1u ch\u1ea5t b\u00e9o.<\/p>\n<p><img loading=\"lazy\" class=\"wp-image-7552 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/7.jpg\" alt=\"\" width=\"293\" height=\"697\" srcset=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/7.jpg 800w, http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/7-323x768.jpg 323w, http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/7-768x1826.jpg 768w, http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/7-646x1536.jpg 646w\" sizes=\"(max-width: 293px) 100vw, 293px\" \/><\/p>\n<p><strong><em>H\u1ea1n ch\u1ebf th\u1ef1c ph\u1ea9m g\u00e2y t\u0103ng ti\u1ebft acid d\u1ea1 d\u00e0y<\/em><\/strong><\/p>\n<ul>\n<li>Th\u1ee9c \u0103n\/ th\u1ee9c u\u1ed1ng chua, cay<\/li>\n<li>Th\u1ef1c ph\u1ea9m ch\u1ee9a nhi\u1ec1u ch\u1ea5t b\u00e9o no (m\u00f3n chi\u00ean, s\u1eefa nguy\u00ean b\u00e9o&#8230;)<\/li>\n<li>C\u00e0 ph\u00ea (caffein)<\/li>\n<li>Chocolate<\/li>\n<li>Tr\u00e1i c\u00e2y h\u1ecd cam qu\u00fdt<\/li>\n<li>C\u00e0 chua, h\u00e0nh, t\u1ecfi<\/li>\n<li>Th\u1ef1c ph\u1ea9m l\u00ean men, \u0111\u00f3ng h\u1ed9p<\/li>\n<li>Bia r\u01b0\u1ee3u<\/li>\n<li>N\u01b0\u1edbc u\u1ed1ng c\u00f3 gas<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"wp-image-7553 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/9.png\" alt=\"\" width=\"134\" height=\"131\" \/><\/p>\n<p>Ngo\u00e0i ra, \u0111\u1ec3 ki\u1ec3m so\u00e1t b\u1ec7nh l\u00fd tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y th\u1ef1c qu\u1ea3n (GERD) hi\u1ec7u qu\u1ea3 h\u01a1n, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n l\u01b0u \u00fd m\u1ed9t s\u1ed1 \u0111i\u1ec1u sau:<\/p>\n<ul>\n<li>Chia th\u00e0nh nhi\u1ec1u c\u1eed \u0103n nh\u1ecf trong ng\u00e0y (5-6 b\u1eefa), tr\u00e1nh \u0103n qu\u00e1 no.<\/li>\n<li>Kh\u00f4ng \u0103n t\u1ed1i sau 19 gi\u1edd ho\u1eb7c 2-3 ti\u1ebfng tr\u01b0\u1edbc khi \u0111i ng\u1ee7.<\/li>\n<li>H\u1ea1n ch\u1ebf n\u1eb1m \u00edt nh\u1ea5t 2 gi\u1edd sau khi \u0103n.<\/li>\n<li>K\u00ea cao \u0111\u1ea7u gi\u01b0\u1eddng ho\u1eb7c s\u1eed d\u1ee5ng g\u1ed1i ch\u1ed1ng tr\u00e0o ng\u01b0\u1ee3c v\u00e0 n\u1eb1m nghi\u00eang tr\u00e1i s\u1ebd gi\u00fap h\u1ea1n ch\u1ebf t\u00ecnh tr\u1ea1ng tr\u00e0o ng\u01b0\u1ee3c.<\/li>\n<li>H\u1ea1n ch\u1ebf th\u1ee9c \u0103n nhi\u1ec1u ch\u1ea5t b\u00e9o (\u0111\u1eb7c bi\u1ec7t l\u00e0 ch\u1ea5t b\u00e9o no, transfat)<\/li>\n<li>H\u1ea1n ch\u1ebf nh\u1eefng th\u1ef1c ph\u1ea9m g\u00e2y tr\u00e0o ng\u01b0\u1ee3c.<\/li>\n<\/ul>\n<p><strong><em>H\u1ea1n ch\u1ebf r\u01b0\u1ee3u bia, c\u00e0 ph\u00ea<\/em><\/strong><\/p>\n<p><strong><em>Ng\u01b0ng h\u00fat thu\u1ed1c l\u00e1<\/em><\/strong><\/p>\n<p><strong><em>Nh\u1eefng \u201cm\u1eb9o\u201d \u0103n u\u1ed1ng gi\u00fap h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/em><\/strong><\/p>\n<p>Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n B\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd: ti\u00eau ch\u1ea3y, bu\u1ed3n n\u00f4n, \u0103n kh\u00f4ng ngon\/ s\u1ee5t c\u00e2n. [11]<\/p>\n<p><strong>\u00a0Ti\u00eau ch\u1ea3y<\/strong><\/p>\n<ul>\n<li>Chia th\u00e0nh nhi\u1ec1u c\u1eed \u0103n nh\u1ecf trong ng\u00e0y<\/li>\n<li>B\u1ed5 sung th\u00eam ch\u1ea5t x\u01a1 h\u00f2a tan -&gt; h\u1ea5p thu b\u1edbt n\u01b0\u1edbc trong ph\u00e2n\n<ul>\n<li>Th\u1ef1c ph\u1ea9m: y\u1ebfn m\u1ea1ch, c\u00e0 r\u1ed1t, khoai t\u00e2y, khoai lang, c\u00e1c lo\u1ea1i \u0111\u1eadu (\u0111\u1eadu n\u00e0nh, \u0111\u1eadu ph\u1ed9ng), xo\u00e0i, d\u00e2u, \u0111\u00e0o, l\u00ea&#8230;<\/li>\n<li>S\u1ea3n ph\u1ea9m b\u1ed5 sung d\u1ea1ng b\u1ed9t h\u00f2a tan<\/li>\n<\/ul>\n<\/li>\n<li>Tr\u00e1nh th\u1ee9c \u0103n chi\u00ean x\u00e0o nhi\u1ec1u d\u1ea7u m\u1ee1<\/li>\n<li>Tr\u00e1nh \u0103n\/ u\u1ed1ng nhi\u1ec1u \u0111\u1ed3 ng\u1ecdt: b\u00e1nh, k\u1eb9o, n\u01b0\u1edbc ng\u1ecdt, soda, n\u01b0\u1edbc tr\u00e1i c\u00e2y<\/li>\n<li>Tr\u00e1nh th\u1ef1c ph\u1ea9m g\u00e2y \u0111\u1ea7y h\u01a1i<\/li>\n<li>B\u1ed5 sung d\u1ecbch \u1edf gi\u1eefa c\u00e1c b\u1eefa \u0103n \u0111\u1ec3 tr\u00e1nh m\u1ea5t n\u01b0\u1edbc do ti\u00eau ch\u1ea3y<\/li>\n<li>Tr\u00e1nh th\u1ef1c ph\u1ea9m\/ \u0111\u1ed3 u\u1ed1ng c\u00f3 t\u00e1c d\u1ee5ng nhu\u1eadn tr\u00e0ng. VD: m\u1eadn, t\u00e1o, \u0111u \u0111\u1ee7&#8230;<\/li>\n<li>V\u1eabn c\u00f3 th\u1ec3 u\u1ed1ng s\u1eefa n\u1ebfu tr\u01b0\u1edbc \u0111\u00f3 kh\u00f4ng b\u1ecb ti\u00eau ch\u1ea3y do s\u1eefa. M\u1ed9t s\u1ed1 c\u00e1 nh\u00e2n s\u1ebd g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng kh\u00f4ng dung n\u1ea1p lactose t\u1ea1m th\u1eddi trong giai \u0111o\u1ea1n ti\u00eau ch\u1ea3y c\u1ea5p t\u00ednh.<\/li>\n<li>Tr\u00e1nh s\u1eed d\u1ee5ng \u1ed1ng h\u00fat v\u00ec c\u00f3 th\u1ec3 g\u00e2y \u0111\u1ea7y h\u01a1i (ch\u01b0\u1edbng b\u1ee5ng) v\u00e0 chu\u1ed9t r\u00fat.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"wp-image-7554 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/10.png\" alt=\"\" width=\"202\" height=\"151\" \/><\/p>\n<p><strong>Bu\u1ed3n n\u00f4n<\/strong><\/p>\n<ul>\n<li>Chia th\u00e0nh 5-6 c\u1eed\/ng\u00e0y -&gt; tr\u00e1nh \u0111\u1ec3 d\u1ea1 d\u00e0y \u1edf tr\u1ea1ng th\u00e1i r\u1ed7ng<\/li>\n<li>\u0102n m\u1ed9t \u00edt b\u00e1nh quy gi\u00f2n (cracker), b\u00e1nh m\u00ec sandwich m\u1ed7i khi c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n<\/li>\n<li>\u0102n nh\u1eefng th\u1ef1c ph\u1ea9m d\u1ec5 ti\u00eau<\/li>\n<li>Tr\u00e1nh th\u1ee9c \u0103n chi\u00ean x\u00e0o nhi\u1ec1u d\u1ea7u m\u1ee1<\/li>\n<li>L\u1ef1a ch\u1ecdn nh\u1eefng ngu\u1ed3n \u0111\u1ea1m \u00edt b\u00e9o (low-fat protein): th\u1ecbt g\u00e0, \u0111\u1eadu h\u1ee7&#8230;<\/li>\n<li>\u0110\u1ed1i v\u1edbi th\u1ee9c u\u1ed1ng (n\u01b0\u1edbc l\u1ecdc, n\u01b0\u1edbc tr\u00e1i c\u00e2y, s\u1eefa&#8230;): nh\u1ea5m nh\u00e1p, u\u1ed1ng t\u1eebng ng\u1ee5m nh\u1ecf.<\/li>\n<li>Tr\u00e1nh xa m\u00f9i h\u00f4i\/ m\u00f9i th\u1ef1c ph\u1ea9m khi n\u1ea5u n\u01b0\u1edbng. Nh\u1edd ng\u01b0\u1eddi kh\u00e1c n\u1ea5u \u0103n n\u1ebfu c\u00f3 th\u1ec3.<\/li>\n<li>\u0110\u1ed3 \u0103n l\u1ea1nh s\u1ebd gi\u00fap l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n so v\u1edbi th\u1ee9c \u0103n n\u00f3ng.<\/li>\n<li>Ng\u1ed3i ngh\u1ec9 ng\u01a1i sau khi \u0103n \u00edt nh\u1ea5t 1 ti\u1ebfng (xem TV, \u0111\u1ecdc s\u00e1ch b\u00e1o, tr\u00f2 chuy\u1ec7n v\u1edbi ng\u01b0\u1eddi th\u00e2n, ch\u01a1i v\u1edbi th\u00fa nu\u00f4i&#8230;) s\u1ebd gi\u00fap qu\u00ean \u0111i c\u1ea3m gi\u00e1c bu\u1ed3n n\u00f4n.<\/li>\n<li>\u0110\u1eebng \u00e9p b\u1ea3n th\u00e2n \u0103n nh\u1eefng m\u00f3n \u0103n y\u00eau th\u00edch khi c\u1ea3m th\u1ea5y bu\u1ed3n n\u00f4n =&gt; c\u00f3 th\u1ec3 d\u1eabn t\u1edbi ch\u00e1n gh\u00e9t m\u00f3n \u0103n.<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"wp-image-7555 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/11.jpg\" alt=\"\" width=\"301\" height=\"169\" \/><\/p>\n<p><strong>\u0102n kh\u00f4ng ngon\/ s\u1ee5t c\u00e2n<\/strong><\/p>\n<ul>\n<li>\u0102n \u0111\u00fang b\u1eefa, kh\u00f4ng ch\u1edd \u0103n khi c\u1ea3m th\u1ea5y \u0111\u00f3i<\/li>\n<li>\u0102n th\u00eam nhi\u1ec1u c\u1eed ph\u1ee5, xen k\u1ebd gi\u1eefa c\u1eed ch\u00ednh (bao g\u1ed3m 5-6 c\u1eed\/ng\u00e0y)<\/li>\n<li>L\u00ean k\u1ebf ho\u1ea1ch \u0103n u\u1ed1ng ph\u00f9 h\u1ee3p (c\u00e1 th\u1ec3 h\u00f3a)<\/li>\n<li>Thay \u0111\u1ed5i \u0111a d\u1ea1ng c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m v\u00e0 tr\u00ecnh b\u00e0y m\u00f3n \u0103n b\u1eaft m\u1eaft -&gt; k\u00edch th\u00edch c\u1ea3m gi\u00e1c ngon mi\u1ec7ng<\/li>\n<li>N\u00eam n\u1ebfm ph\u00f9 h\u1ee3p kh\u1ea9u v\u1ecb<\/li>\n<li>B\u1ed5 sung ONS: n\u0103ng l\u01b0\u1ee3ng chu\u1ea9n\/ cao n\u0103ng l\u01b0\u1ee3ng (c\u00e1 th\u1ec3 h\u00f3a).<\/li>\n<\/ul>\n<p><img loading=\"lazy\" class=\"wp-image-7556 aligncenter\" src=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/12.jpg\" alt=\"\" width=\"245\" height=\"163\" srcset=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/12.jpg 843w, http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/12-768x512.jpg 768w\" sizes=\"(max-width: 245px) 100vw, 245px\" \/><\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/strong><\/p>\n<ol>\n<li><em>McFarlane et al., Rheumatology (Sunnyvale) 2018, Gastrointestinal Manifestations of Systemic Sclerosis<\/em><\/li>\n<li><em>Matteo Ghisa et al., Therapeutics and Clinical Risk Management 2019 Volume 2019:15, Idiopathic pulmonary fibrosis and GERD: links and risks<\/em><\/li>\n<li><em>Renato Vianna et al., Gastroenterol. 48 (2)June\u00a02011, Interstitial lung disease and gastroesophageal reflux disease<\/em><\/li>\n<li><em> Alarc\u00f3n-Dionet, I.A. Osuna-Padilla et al. Nutritional status and body composition in female patients with interstitial lung diseases. Clinical Nutrition Open Science Volume 54, April 20204; 41:50.<\/em><\/li>\n<li><em>Nishiyama O, Yamazaki R, Sano H, et al. Fat-free mass index predicts survival in patients with idiopathic pulmonary fibrosis. Respirology 2017; 22: 480\u2013485.<\/em><\/li>\n<li><em>Jouneau S, Crestani B, Thibault R, et al. Analysis of body mass index, weight loss and progression of idiopathic pulmonary fibrosis. Respir Res 2020; 21: 312.<\/em><\/li>\n<li><em>Nakatsuka Y, Handa T, Kokosi M, et al. The clinical significance of body weight loss in idiopathic pulmonary fibrosis patients. Respiration 2018; 96: 338\u2013347.<\/em><\/li>\n<li><em>Nolan CM, Maddocks M, Maher TM, et al. Gait speed and prognosis in patients with idiopathic pulmonary fibrosis: a prospective cohort study. Eur Respir J 2019; 53: 1801186.<\/em><\/li>\n<li><em>Suzuki Y, Aono Y, Kono M, et al. Cause of mortality and sarcopenia in patients with idiopathic pulmonary fibrosis receiving antifibrotic therapy. Respirology 2021; 26: 171\u2013179.<\/em><\/li>\n<li><em>Kanjrawi AA, Mathers L, Webster S, et al. Nutritional status and quality of life in interstitial lung disease: a prospective cohort study. BMC Pulm Med 2021; 21: 51 <\/em><\/li>\n<li><em>ILD Nutrition Manual: General Guidelines for Eating Healthy; University of California San Francisco<\/em><\/li>\n<li><em>Nhu c\u1ea7u dinh d\u01b0\u1ee1ng khuy\u1ebfn ngh\u1ecb cho ng\u01b0\u1eddi Vi\u1ec7t Nam, Vi\u1ec7n dinh d\u01b0\u1ee1ng (B\u1ed9 Y t\u1ebf)<\/em><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ed5ng quan v\u1ec1 b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd B\u1ec7nh ph\u1ed5i k\u1ebd l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh g\u1ed3m nhi\u1ec1u r\u1ed1i lo\u1ea1n \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i lan t\u1ecfa. Trong h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh ph\u1ed5i k\u1ebd, th\u00e0nh ph\u1ebf nang b\u1ecb th\u00e2m nhi\u1ec5m b\u1edfi c\u00e1c t\u1ebf b\u00e0o vi\u00eam, t\u1ebf b\u00e0o x\u01a1 v\u00e0 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng sinh [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":7556,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[162],"tags":[],"acf":[],"yoast_head":"\r\n<title>H\u01af\u1edaNG D\u1eaaN DINH D\u01af\u1ee0NG CHO NG\u01af\u1edcI B\u1ec6NH PH\u1ed4I M\u00d4 K\u1ebc - B\u1ec7nh vi\u1ec7n Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/title>\r\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\r\n<link rel=\"canonical\" href=\"http:\/\/skykery.com\/huong-dan-dinh-duong-cho-nguoi-benh-phoi-mo-ke\/\" \/>\r\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\r\n<meta property=\"og:type\" content=\"article\" \/>\r\n<meta property=\"og:title\" content=\"H\u01af\u1edaNG D\u1eaaN DINH D\u01af\u1ee0NG CHO NG\u01af\u1edcI B\u1ec6NH PH\u1ed4I M\u00d4 K\u1ebc - B\u1ec7nh vi\u1ec7n Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch\" \/>\r\n<meta property=\"og:description\" content=\"T\u1ed5ng quan v\u1ec1 b\u1ec7nh ph\u1ed5i m\u00f4 k\u1ebd B\u1ec7nh ph\u1ed5i k\u1ebd l\u00e0 m\u1ed9t nh\u00f3m b\u1ec7nh g\u1ed3m nhi\u1ec1u r\u1ed1i lo\u1ea1n \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u1ed5n th\u01b0\u01a1ng nhu m\u00f4 ph\u1ed5i lan t\u1ecfa. Trong h\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh ph\u1ed5i k\u1ebd, th\u00e0nh ph\u1ebf nang b\u1ecb th\u00e2m nhi\u1ec5m b\u1edfi c\u00e1c t\u1ebf b\u00e0o vi\u00eam, t\u1ebf b\u00e0o x\u01a1 v\u00e0 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng sinh [&hellip;]\" \/>\r\n<meta property=\"og:url\" content=\"http:\/\/skykery.com\/huong-dan-dinh-duong-cho-nguoi-benh-phoi-mo-ke\/\" \/>\r\n<meta property=\"og:site_name\" content=\"B\u1ec7nh vi\u1ec7n Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch\" \/>\r\n<meta property=\"article:published_time\" content=\"2024-06-07T07:54:42+00:00\" \/>\r\n<meta property=\"article:modified_time\" content=\"2024-06-07T08:22:59+00:00\" \/>\r\n<meta property=\"og:image\" content=\"http:\/\/skykery.com\/wp-content\/uploads\/2024\/06\/12.jpg\" \/>\r\n\t<meta property=\"og:image:width\" content=\"843\" \/>\r\n\t<meta property=\"og:image:height\" content=\"562\" \/>\r\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\r\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\r\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"L\u01b0\u01a1ng \u0110\u1eb7ng Thanh Vy\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"20 ph\u00fat\" \/>\r\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebSite\",\"@id\":\"http:\/\/skykery.com\/#website\",\"url\":\"http:\/\/skykery.com\/\",\"name\":\"B\u1ec7nh vi\u1ec7n Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch\",\"description\":\"Ph\u00e1t tri\u1ec3n - 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