{"id":10018,"date":"2023-12-26T13:23:15","date_gmt":"2023-12-26T06:23:15","guid":{"rendered":"https:\/\/jovarq.com\/?p=10018"},"modified":"2023-12-26T13:24:30","modified_gmt":"2023-12-26T06:24:30","slug":"5-tac-dung-phu-thuong-gap-cua-thuoc-giam-dau-can-luu-y","status":"publish","type":"post","link":"https:\/\/jovarq.com\/5-tac-dung-phu-thuong-gap-cua-thuoc-giam-dau-can-luu-y\/","title":{"rendered":"5 t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au c\u1ea7n l\u01b0u \u00fd"},"content":{"rendered":"
Thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 lo\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ea5t ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, nh\u01b0ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 ng\u01b0\u1eddi d\u00f9ng c\u1ea7n l\u01b0u \u00fd\u2026<\/p>\n
\u0110au l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c kh\u00f4ng h\u1ec1 d\u1ec5 ch\u1ecbu, t\u1eeb \u0111au b\u1ee5ng kinh, \u0111au \u0111\u1ea7u ho\u1eb7c b\u1ea5t k\u1ef3 c\u01a1n \u0111au n\u00e0o kh\u00e1c tr\u00ean c\u01a1 th\u1ec3. Thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 th\u1ec3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 ch\u1ecbu v\u00e0 tho\u1ea3i m\u00e1i h\u01a1n.<\/p>\n
C\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au, th\u00f4ng th\u01b0\u1eddng nh\u1ea5t nh\u01b0 paracetamol, c\u00e1c thu\u1ed1c nh\u00f3m NSAID (gi\u1ea3m \u0111au ch\u1ed1ng vi\u00eam kh\u00f4ng steroid) nh\u01b0 ibuprofen, aspirin\u2026 \u0111\u1ebfn c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au m\u1ea1nh h\u01a1n c\u1ea7n k\u00ea \u0111\u01a1n nh\u01b0 c\u00e1c opioid…<\/p>\n
<\/p>\n
M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au th\u01b0\u1eddng g\u1eb7p<\/strong><\/p>\n – \u0110au d\u1ea1 d\u00e0y:<\/strong> \u0110\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au, \u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) nh\u01b0 ibuprofen v\u00e0 aspirin. NSAID c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y, d\u1eabn \u0111\u1ebfn kh\u00f3 ti\u00eau, \u1ee3 chua v\u00e0 th\u1eadm ch\u00ed lo\u00e9t\u2026<\/p>\n – C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn:<\/strong> Vi\u1ec7c s\u1eed d\u1ee5ng NSAID trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho th\u1eadn, \u0111\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi \u0111\u00e3 m\u1eafc c\u00e1c b\u1ec7nh v\u1ec1 th\u1eadn t\u1eeb tr\u01b0\u1edbc. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 th\u1eadm ch\u00ed l\u00e0 suy th\u1eadn trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng.<\/p>\n – T\u1ed5n th\u01b0\u01a1ng gan:<\/strong> Acetaminophen (paracetamol) l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au ph\u1ed5 bi\u1ebfn c\u00f3 trong nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n, c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho gan n\u1ebfu d\u00f9ng qu\u00e1 li\u1ec1u ho\u1eb7c trong th\u1eddi gian d\u00e0i. Nguy c\u01a1 n\u00e0y t\u0103ng l\u00ean khi u\u1ed1ng c\u00f9ng v\u1edbi r\u01b0\u1ee3u.<\/p>\n – Bu\u1ed3n ng\u1ee7 v\u00e0 ch\u00f3ng m\u1eb7t:<\/strong> Nhi\u1ec1u lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au, bao g\u1ed3m opioid v\u00e0 m\u1ed9t s\u1ed1 NSAID, c\u00f3 th\u1ec3 g\u00e2y bu\u1ed3n ng\u1ee7 v\u00e0 ch\u00f3ng m\u1eb7t. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng ph\u00e1n \u0111o\u00e1n v\u00e0 ph\u1ed1i h\u1ee3p, l\u00e0m t\u0103ng nguy c\u01a1 tai n\u1ea1n v\u00e0 t\u00e9 ng\u00e3 cho ng\u01b0\u1eddi d\u00f9ng.<\/p>\n – G\u00e2y nghi\u1ec7n:<\/strong> Thu\u1ed1c gi\u1ea3m \u0111au opioid, ch\u1eb3ng h\u1ea1n nh\u01b0 morphine v\u00e0 codeine, c\u00f3 t\u00ednh g\u00e2y nghi\u1ec7n cao v\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn l\u1ec7 thu\u1ed9c. \u0110\u00e2y c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y trong th\u1eddi gian d\u00e0i, ngay c\u1ea3 khi h\u1ecd \u0111ang l\u00e0m theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ti\u1ec1m \u1ea9n kh\u00e1c c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au bao g\u1ed3m:<\/em><\/strong><\/p>\n M\u1ed9t tr\u00ecnh tr\u1ea1ng hi\u1ebfm g\u1eb7p nh\u01b0ng nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 h\u1ed9i ch\u1ee9ng DRESS. M\u1edbi \u0111\u00e2y c\u01a1 quan y t\u1ebf c\u1ee7a \u1ea4n \u0110\u1ed9 \u0111\u00e3 \u0111\u01b0a ra c\u1ea3nh b\u00e1o v\u1ec1 h\u1ed9i ch\u1ee9ng DRESS \u0111\u1ed1i v\u1edbi thu\u1ed1c gi\u1ea3m \u0111au meftal (v\u1edbi th\u00e0nh ph\u1ea7n l\u00e0 axit mefenamic, m\u1ed9t th\u00e0nh vi\u00ean c\u1ee7a nh\u00f3m thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid \u2013 NSAID, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u01a1n \u0111au nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh).<\/p>\n H\u1ed9i ch\u1ee9ng n\u00e0y l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra khi d\u00f9ng qu\u00e1 li\u1ec1u thu\u1ed1c meftal. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng vi\u00eam da v\u00e0 ph\u00e1t ban, g\u00e2y h\u1ea1i cho c\u00e1c c\u01a1 quan n\u1ed9i t\u1ea1ng trong c\u01a1 th\u1ec3, c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n M\u1eb7c d\u00f9 thu\u1ed1c gi\u1ea3m \u0111au r\u1ea5t c\u1ea7n thi\u1ebft, nh\u01b0ng ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 cho ng\u01b0\u1eddi d\u00f9ng. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ph\u1ea3i nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c nh\u1eefng nh\u01b0\u1ee3c \u0111i\u1ec3m ti\u1ec1m \u1ea9n n\u00e0y tr\u01b0\u1edbc khi d\u00f9ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o. N\u00f3 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ec7 ti\u00eau h\u00f3a v\u00e0 c\u00e1c c\u01a1 quan kh\u00e1c nh\u01b0 th\u1eadn, gan…<\/p>\n L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au an to\u00e0n?<\/strong><\/p>\n Kh\u00f4ng ph\u1ea3i ai c\u0169ng g\u1eb7p ph\u1ea3i nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a t\u00e1c d\u1ee5ng ph\u1ee5 c\u0169ng kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng c\u00e1 nh\u00e2n, lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 li\u1ec1u l\u01b0\u1ee3ng. Do \u0111\u00f3, t\u1ed1t nh\u1ea5t n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129 tr\u01b0\u1edbc khi d\u00f9ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au n\u00e0o \u0111\u1ec3 gi\u00fap b\u1ea1n ch\u1ecdn lo\u1ea1i thu\u1ed1c ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a v\u00e0 t\u01b0 v\u1ea5n cho b\u1ea1n c\u00e1ch d\u00f9ng thu\u1ed1c an to\u00e0n.<\/p>\n Nh\u1eefng l\u1eddi khuy\u00ean c\u1ea7n nh\u1edb tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au:<\/p>\n B\u1eb1ng c\u00e1ch nh\u1eadn th\u1ee9c \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 ti\u1ec1m \u1ea9n c\u1ee7a thu\u1ed1c gi\u1ea3m \u0111au, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh s\u00e1ng su\u1ed1t v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng ch\u00fang v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c b\u01b0\u1edbc \u0111\u1ec3 gi\u1ea3m thi\u1ec3u r\u1ee7i ro.<\/p>\n \n","protected":false},"excerpt":{"rendered":" Thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 lo\u1ea1i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ea5t ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, nh\u01b0ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 ng\u01b0\u1eddi d\u00f9ng c\u1ea7n l\u01b0u \u00fd\u2026 \u0110au l\u00e0 m\u1ed9t c\u1ea3m gi\u00e1c kh\u00f4ng h\u1ec1 d\u1ec5 ch\u1ecbu,…<\/p>\n","protected":false},"author":11,"featured_media":10019,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[26],"tags":[],"class_list":["post-10018","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kien-thuc-nganh-y"],"yoast_head":"\n\n
\n