{"id":10366,"date":"2019-06-06T11:58:49","date_gmt":"2019-06-06T04:58:49","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=10366"},"modified":"2019-06-06T11:59:25","modified_gmt":"2019-06-06T04:59:25","slug":"khang-sinh-nho-mat-va-tre-em-trong-benh-viem-ket-mac-thong-thuong","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/khang-sinh-nho-mat-va-tre-em-trong-benh-viem-ket-mac-thong-thuong\/","title":{"rendered":"Kh\u00e1ng sinh nh\u1ecf m\u1eaft v\u00e0 Tr\u1ebb em trong b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c th\u00f4ng th\u01b0\u1eddng"},"content":{"rendered":"

Kh\u00e1ng sinh nh\u1ecf m\u1eaft v\u00e0 Tr\u1ebb em trong b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c th\u00f4ng th\u01b0\u1eddng: D\u00f9ng hay kh\u00f4ng d\u00f9ng?<\/h2>\n
C\u00e2u n\u00f3i \u0111\u00f9a d\u01b0\u1edbi \u0111\u00e2y \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ed5i nguy\u00ean v\u0103n t\u1eeb b\u1ec7nh c\u1ea3m l\u1ea1nh th\u00f4ng th\u01b0\u1eddng s\u1ebd m\u1edf m\u00e0n v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c b\u00e0n lu\u1eadn.<\/p>\n
\u201cN\u1ebfu b\u1ea1n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb vi\u00eam k\u1ebft m\u1ea1c, s\u1ef1 vi\u00eam nhi\u1ec5m s\u1ebd k\u00e9o d\u00e0i m\u1ed9t tu\u1ea7n. C\u00f2n n\u1ebfu b\u1ea1n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh n\u00e0y th\u00ec t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ea1n s\u1ebd k\u00e9o d\u00e0i b\u1ea3y ng\u00e0y.\u201d<\/p>\n
(Nguy\u00ean b\u1ea3n: \u201cIf you don\u2019t treat conjunctivitis, the infection will last a week. If you do treat it, it will last seven days.\u201d\u00a0 https:\/\/www.aao.org\/eyenet\/article\/kids-conjunctivitis-when-to-treat-what-to-use<\/a>)<\/p>\n
– \u0110\u00e2y \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng v\u1ea5n \u0111\u1ec1 th\u01b0\u1eddng g\u00e2y ra tranh c\u00e3i gay g\u1eaft nh\u1ea5t trong ng\u00e0nh nh\u00e3n khoa. \u0110i\u1ec1u tr\u1ecb hay kh\u00f4ng \u0111i\u1ec1u tr\u1ecb vi\u00eam k\u1ebft m\u1ea1c th\u00f4ng th\u01b0\u1eddng b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh, \u0111\u1eb7c bi\u1ec7t khi \u0111\u1ed1i t\u01b0\u1ee3ng l\u00e0 tr\u1ebb em? S\u1ef1 \u0111\u1ed1i ngh\u1ecbch n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c b\u1eaft ngu\u1ed3n t\u1eeb nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c th\u00f4ng th\u01b0\u1eddng. Khi b\u1ec7nh nh\u00e2n l\u1ea7n \u0111\u1ea7u ti\u00ean t\u00ecm \u0111\u1ebfn v\u1edbi b\u00e1c s\u1ef9 v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au m\u1eaft, \u0111\u1ecf m\u1eaft, ch\u1ea3y n\u01b0\u1edbc m\u1eaft, c\u1ed9m, ng\u1ee9a\u2026 , c\u00e1c b\u00e1c s\u1ef9 th\u01b0\u1eddng r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c ngay nguy\u00ean nh\u00e2n do vi khu\u1ea9n, vi r\u00fat hay vi n\u1ea5m (tr\u1eeb nh\u1eefng d\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh c\u1ee7a ch\u1ee7ng \u0111\u00f3).<\/p>\n
– Gi\u1ea3 s\u1eed nguy\u00ean nh\u00e2n do vi khu\u1ea9n th\u00ec vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh ngay l\u00e0 h\u1ee3p l\u00fd. Nh\u01b0ng n\u1ebfu nguy\u00ean nh\u00e2n do vi r\u00fat ho\u1eb7c vi n\u1ea5m th\u00ec r\u00f5 r\u00e0ng kh\u00e1ng sinh s\u1ebd kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t vi r\u00fat v\u00e0 r\u1ea5t \u00edt kh\u00e1ng sinh c\u00f3 t\u00e1c d\u1ee5ng di\u1ec7t vi n\u1ea5m (hi\u1ec7n t\u1ea1i \u0111\u1ed1i v\u1edbi ng\u00e0nh m\u1eaft th\u00ec kh\u00f4ng c\u00f3 ch\u1ebf ph\u1ea9m kh\u00e1ng sinh th\u01b0\u01a1ng m\u1ea1i n\u00e0o c\u00f3 kh\u1ea3 n\u0103ng n\u00e0y). V\u1eady th\u00ec d\u00f9ng kh\u00e1ng sinh \u1edf tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 gi\u00e1 tr\u1ecb g\u00ec kh\u00f4ng?<\/p>\n
+ Lu\u1ed3ng quan \u0111i\u1ec3m th\u1ee9 nh\u1ea5t: d\u00f9ng kh\u00e1ng sinh trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y ch\u1ec9 l\u00e0m gia t\u0103ng nguy c\u01a1 xu\u1ea5t hi\u1ec7n c\u00e1c ch\u1ee7ng vi khu\u1ea9n kh\u00e1ng kh\u00e1ng sinh, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em, nguy c\u01a1 s\u1ebd cao h\u01a1n n\u1ebfu ti\u1ebfp x\u00fac nhi\u1ec1u v\u00e0 t\u1eeb r\u1ea5t s\u1edbm. B\u1ec7nh do vi r\u00fat th\u00ec th\u01b0\u1eddng s\u1ebd t\u1ef1 kh\u1ecfi trong kho\u1ea3ng m\u1ed9t \u0111\u1ebfn hai tu\u1ea7n, ch\u1ec9 c\u1ea7n r\u1eeda s\u1ea1ch b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd v\u00e0 \u0103n u\u1ed1ng c\u00e1c th\u1ef1c ph\u1ea9m gi\u00fap l\u00e0m t\u0103ng s\u1ee9c \u0111\u1ec1 kh\u00e1ng l\u00e0 \u1ed5n. N\u1ebfu do vi n\u1ea5m th\u00ec ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng n\u1ea5m m\u1edbi gi\u00fap b\u1ec7nh thuy\u00ean gi\u1ea3m.<\/p>\n
+ Lu\u1ed3ng quan \u0111i\u1ec3m th\u1ee9 hai: d\u00f9ng kh\u00e1ng sinh s\u1ebd gi\u00fap ng\u0103n ng\u1eeba nguy c\u01a1 b\u1ed9i nhi\u1ec5m vi khu\u1ea9n do tr\u1ebb nh\u1ecf ch\u01b0a \u00fd th\u1ee9c \u0111\u01b0\u1ee3c vi\u1ec7c ph\u1ea3i h\u1ea1n ch\u1ebf d\u1ee5i m\u1eaft do ng\u1ee9a, c\u1ed9m m\u1eaft, d\u1eabn \u0111\u1ebfn l\u00e0m t\u1ed5n th\u01b0\u01a1ng n\u1eb7ng h\u01a1n b\u1ec1 m\u1eb7t k\u1ebft m\u1ea1c, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho vi khu\u1ea9n c\u01a1 h\u1ed9i x\u00e2m nh\u1eadp. \u0110i\u1ec1u n\u00e0y r\u1ea5t c\u00f3 gi\u00e1 tr\u1ecb v\u1edbi c\u00e1c n\u01b0\u1edbc c\u00f3 m\u00f4i tr\u01b0\u1eddng s\u1ed1ng k\u00e9m v\u1ec7 sinh, \u00f4 nhi\u1ec5m, kh\u00ed h\u1eadu \u1ea9m th\u1ea5p. \u0110\u1ed3ng th\u1eddi, gi\u00fap \u0111\u1ea9y nhanh t\u1ed1c \u0111\u1ed9 l\u00e0nh b\u1ec7nh h\u01a1n kho\u1ea3ng n\u1eeda ng\u00e0y so v\u1edbi vi\u1ec7c kh\u00f4ng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh (https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/17585426<\/a>).<\/p>\n

– Hi\u1ec7n nay, v\u1ea5n \u0111\u1ec1 tranh c\u00e3i n\u00e0y c\u00f3 xu h\u01b0\u1edbng l\u00e0 \u201cth\u00e0 gi\u1ebft nh\u1ea7m c\u00f2n h\u01a1n b\u1ecf s\u00f3t\u201d v\u00e0 \u201cc\u1ea3 nh\u00e0 c\u00f9ng vui\u201d.<\/h2>\n
V\u1ebf \u0111\u1ea7u ti\u00ean c\u00f3 \u00fd ngh\u0129a l\u00e0 th\u00e0 c\u1ee9 ph\u1ee7 \u0111\u1ea7u t\u1ea5n c\u00f4ng b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh ngay \u0111\u1ec3 lo\u1ea1i b\u1ecf b\u1edbt nguy c\u01a1 b\u1ec7nh ti\u1ebfn tri\u1ec3n n\u1eb7ng h\u01a1n do \u0111\u1ed9c t\u00ednh c\u1ee7a nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh l\u1eabn t\u00e1c h\u1ea1i c\u1ee7a vi\u1ec7c b\u1ed9i nhi\u1ec5m. \u1ede v\u1ebf th\u1ee9 hai \u2013\u201cc\u1ea3 nh\u00e0 c\u00f9ng vui\u201d, b\u1ec7nh nh\u00e2n khi \u0111\u1ebfn kh\u00e1m lu\u00f4n mong c\u00f3 c\u00e1i g\u00ec \u0111\u00f3 \u0111\u1ec3 mang v\u1ec1, n\u1ebfu b\u00e1c s\u1ef9 b\u1ea3o kh\u00f4ng c\u1ea7n ph\u1ea3i d\u00f9ng thu\u1ed1c th\u00ec ch\u1eb3ng may m\u1ea5t nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 t\u1ef1 kh\u1ecfi ho\u1eb7c b\u1ecb n\u1eb7ng h\u01a1n, b\u00e1c s\u1ef9 s\u1ebd m\u1ea5t lu\u00f4n s\u1ef1 tin t\u01b0\u1edfng c\u1ee7a b\u1ec7nh nh\u00e2n. Do v\u1eady, trong ho\u00e0n c\u1ea3nh \u0111\u00f3 b\u00e1c s\u1ef9 th\u01b0\u1eddng s\u1ebd k\u00ea kh\u00e1ng sinh \u0111\u1ec3 ng\u01b0\u1eddi nh\u00e0 v\u00e0 b\u1ec7nh nh\u00e2n y\u00ean t\u00e2m, \u0111\u1eb7c bi\u1ec7t l\u00e0 v\u1edbi tr\u1ebb nh\u1ecf th\u00ec ng\u01b0\u1eddi nh\u00e0 l\u1ea1i c\u00e0ng s\u1ed1t ru\u1ed9t. B\u00e1c s\u1ef9 k\u00ea \u0111\u01a1n th\u00ec c\u00e1c h\u00e3ng thu\u1ed1c c\u0169ng \u201cvui\u201d v\u00ec b\u00e1n \u0111\u01b0\u1ee3c nhi\u1ec1u thu\u1ed1c. \u201cC\u1ea3 nh\u00e0 c\u00f9ng vui\u201d l\u00e0 nh\u01b0 v\u1eady.<\/p>\n
– S\u1ef1 th\u1eadt l\u00e0 n\u1ebfu b\u00e1c s\u1ef9 n\u00e0o c\u0169ng c\u00f3 quan \u0111i\u1ec3m nh\u01b0 v\u1eady th\u00ec \u201cvui \u1edf hi\u1ec7n t\u1ea1i, thi\u1ec7t h\u1ea1i v\u1ec1 sau\u201d.<\/h2>\n
M\u1ee9c \u0111\u1ed9 kh\u00e1ng kh\u00e1ng sinh c\u00f3 l\u1ebd kh\u00f4ng c\u1ea7n ph\u1ea3i n\u00f3i nhi\u1ec1u v\u00ec \u0111\u01b0\u1ee3c nh\u1eafc \u0111\u1ebfn th\u01b0\u1eddng xuy\u00ean \u1edf t\u1ea5t c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n th\u00f4ng tin \u0111\u1ea1i ch\u00fang. B\u1ea1n \u0111\u00e3 bao gi\u1edd h\u00ecnh dung \u0111\u1ebfn m\u1ed9t ng\u00e0y m\u00e0 m\u1ed9t ch\u1ee7ng vi khu\u1ea9n \u201c\u1ea5t \u01a1\u201d n\u00e0o \u0111\u00f3 m\u00e0 \u0111\u00e1ng l\u1ebd ra ph\u1ea3i di\u1ec7t \u0111\u01b0\u1ee3c r\u1ea5t d\u1ec5 d\u00e0ng s\u1ebd l\u00e0m h\u1ecfng m\u1eaft con b\u1ea1n v\u00ec kh\u00f4ng c\u00f2n lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh n\u00e0o c\u00f3 hi\u1ec7u qu\u1ea3 n\u1eefa? Ch\u00ednh v\u00ec th\u1ebf, \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c th\u00f4ng th\u01b0\u1eddng n\u00e0y, m\u1ed9t s\u1ed1 b\u00e1c s\u1ef9 d\u0169ng c\u1ea3m, l\u1ef1a ch\u1ecdn c\u00e1ch ch\u1ec9 cho b\u1ec7nh nh\u00e2n r\u1eeda m\u1eaft b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd r\u1ed3i \u0111\u1ec3 b\u1ec7nh nh\u00e2n t\u1ef1 theo d\u00f5i t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh trong v\u00f2ng v\u00e0i ng\u00e0y (ba ng\u00e0y), n\u1ebfu t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u1ea3i thi\u1ec7n th\u00ec m\u1edbi c\u00e2n nh\u1eafc \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng kh\u00e1ng sinh.<\/p>\n
– Ph\u1ea7n k\u1ebft b\u00e0i ad xin \u0111\u01b0a ra c\u00e2u tr\u1ea3 l\u1eddi v\u1ec1 lo\u1ea1i thu\u1ed1c kh\u00e1ng sinh nh\u1ecf m\u1eaft n\u00e0o d\u00f9ng \u0111\u01b0\u1ee3c cho tr\u1ebb em?<\/h2>\n
V\u1ec1 m\u1eb7t l\u00fd thuy\u1ebft, n\u1ed3ng \u0111\u1ed9 c\u1ee7a c\u00e1c thu\u1ed1c kh\u00e1ng sinh khi b\u00e0o ch\u1ebf \u1edf d\u1ea1ng nh\u1ecf m\u1eaft \u0111\u1ec1u th\u1ea5p h\u01a1n r\u1ea5t nhi\u1ec1u (kho\u1ea3ng v\u00e0i tr\u0103m l\u1ea7n) so v\u1edbi \u0111\u01b0\u1eddng u\u1ed1ng to\u00e0n th\u00e2n n\u00ean l\u01b0\u1ee3ng thu\u1ed1c n\u1ebfu th\u1ea5m \u0111\u01b0\u1ee3c v\u00e0o to\u00e0n th\u00e2n s\u1ebd kh\u00f4ng \u0111\u00e1ng k\u1ec3 v\u00e0 th\u1ef1c s\u1ef1 r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng nguy hi\u1ec3m g\u00ec \u0111\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf. D\u1ef1a tr\u00ean l\u00fd thuy\u1ebft nh\u01b0 v\u1eady, c\u00f3 th\u1ec3 n\u00f3i thu\u1ed1c kh\u00e1ng sinh nh\u1ecf m\u1eaft n\u00e0o c\u0169ng c\u00f3 th\u1ec3 nh\u1ecf an to\u00e0n \u0111\u01b0\u1ee3c cho tr\u1ebb nh\u1ecf (tr\u1eeb lo\u1ea1i k\u1ebft h\u1ee3p s\u1eb5n corticoid). Nh\u01b0ng khi m\u1ed9t thu\u1ed1c ra th\u1ecb tr\u01b0\u1eddng, \u0111\u1ec3 \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 s\u1eed d\u1ee5ng an to\u00e0n tr\u00ean tr\u1ebb em th\u01b0\u1eddng r\u1ea5t kh\u00f3, v\u00e0 nhi\u1ec1u khi c\u00e1c b\u1ea1n s\u1ebd g\u1eb7p c\u00f9ng m\u1ed9t ho\u1ea1t ch\u1ea5t nh\u01b0ng ch\u1ebf ph\u1ea9m n\u00e0y cho ph\u00e9p s\u1eed d\u1ee5ng cho tr\u1ebb em, ch\u1ebf ph\u1ea9m kia l\u1ea1i kh\u00f4ng. V\u00ed d\u1ee5 nh\u01b0 bi\u1ec7t d\u01b0\u1ee3c Vigamox\u00ae c\u1ee7a h\u00e3ng Novartis c\u00f3 nghi\u00ean c\u1ee9u an to\u00e0n cho tr\u1ebb em tr\u00ean 1 tu\u1ed5i nh\u01b0ng m\u1ed9t s\u1ed1 s\u1ea3n ph\u1ea9m b\u00ecnh d\u00e2n (h\u00e0ng generic) kh\u00e1c ph\u1ea3i ghi l\u00e0 th\u1eadn tr\u1ecdng ho\u1eb7c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho tr\u1ebb em. Bi\u1ec7t d\u01b0\u1ee3c Tobrex\u00ae c\u1ee7a Novartis hay Cravit 0.5\u00ae c\u1ee7a Santen th\u1eadm ch\u00ed c\u00f2n \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t \u1edf m\u1ed9t s\u1ed1 n\u01b0\u1edbc l\u00e0 s\u1eed d\u1ee5ng an to\u00e0n tr\u00ean c\u1ea3 tr\u1ebb s\u01a1 sinh. Nh\u01b0ng d\u00f9 l\u00e0 \u1edf b\u1ea5t c\u1ee9 \u0111\u00e2u th\u00ec ng\u01b0\u1eddi quy\u1ebft \u0111\u1ecbnh ch\u1ecdn kh\u00e1ng sinh n\u00e0o cho con b\u1ea1n lu\u00f4n lu\u00f4n ph\u1ea3i l\u00e0 B\u00c1C S\u1ef8, do v\u1eady m\u1ecdi ng\u01b0\u1eddi l\u00e0m \u01a1n \u0111\u1eebng \u0111\u1ecdc tr\u00ean m\u1ea1ng r\u1ed3i t\u1ef1 mua thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cho con v\u00ec l\u1ee3i \u00edch c\u1ee7a ch\u00ednh con b\u1ea1n sau n\u00e0y.<\/p>\n
Nh\u00e0 thu\u1ed1c chuy\u00ean khoa m\u1eaft HD H\u00e0 N\u1ed9i c\u00f3 b\u00e1n m\u1ed9t s\u1ed1 lo\u1ea1i kh\u00e1ng sinh nh\u1ecf m\u1eaft:<\/h2>\n
+ Cravit\u00ae 0.5% (L\u1ecd 5ml ch\u1ee9a Levofloxacin 0.5%) c\u1ee7a h\u00e3ng Santen, s\u1ea3n xu\u1ea5t t\u1ea1i Nh\u1eadt. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 88.515\u0111. Gi\u00e1 b\u00e1n: 94.000\u0111<\/p>\n
+ CRAVIT\u00ae 1.5% (L\u1ecd 5ml ch\u1ee9a Levofloxacin 1.5%) c\u1ee7a h\u00e3ng Santen, s\u1ea3n xu\u1ea5t t\u1ea1i Nh\u1eadt. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 116.000\u0111. Gi\u00e1 b\u00e1n: 121.000\u0111<\/p>\n
+ Vigamox\u00ae (L\u1ecd 5ml ch\u1ee9a Moxifloxacin 0.5%) c\u1ee7a h\u00e3ng Alcon-Novartis, s\u1ea3n xu\u1ea5t t\u1ea1i M\u1ef9. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 90.000\u0111. Gi\u00e1 b\u00e1n: 96.000\u0111<\/p>\n
+ Oflovid\u00ae n\u01b0\u1edbc (L\u1ecd 5ml ch\u1ee9a Ofloxacin 0.3%) c\u1ee7a h\u00e3ng Santen, s\u1ea3n xu\u1ea5t t\u1ea1i Nh\u1eadt. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 55.873\u0111. Gi\u00e1 b\u00e1n: 59.000\u0111<\/p>\n
+ Oflovid\u00ae m\u1ee1 (Tu\u00fdp 3.5g ch\u1ee9a Ofloxacin 0.3%) c\u1ee7a h\u00e3ng Santen, s\u1ea3n xu\u1ea5t t\u1ea1i Nh\u1eadt. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 74.530\u0111. Gi\u00e1 b\u00e1n: 79.000\u0111<\/p>\n
+ Tobrex\u00ae n\u01b0\u1edbc (L\u1ecd 5ml ch\u1ee9a Tobramycin 0.3%) c\u1ee7a h\u00e3ng Alcon-Novartis, s\u1ea3n xu\u1ea5t t\u1ea1i B\u1ec9. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 40.000\u0111. Gi\u00e1 b\u00e1n: 42.000\u0111<\/p>\n
C\u1ea3m \u01a1n qu\u00fd kh\u00e1ch \u0111\u00e3 \u0111\u1ecdc b\u00e0i v\u00e0 mong nh\u1eadn \u0111\u01b0\u1ee3c nhi\u1ec1u s\u1ef1 chia s\u1ebb t\u1eeb m\u1ecdi ng\u01b0\u1eddi.
\nThs. Ds. Tr\u1ea7n H\u1ea3i \u0110\u00f4ng<\/p>\n
<\/p>\n","protected":false},"excerpt":{"rendered":"
Kh\u00e1ng sinh nh\u1ecf m\u1eaft v\u00e0 Tr\u1ebb em trong b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c th\u00f4ng th\u01b0\u1eddng: D\u00f9ng hay kh\u00f4ng d\u00f9ng? C\u00e2u n\u00f3i \u0111\u00f9a d\u01b0\u1edbi \u0111\u00e2y \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ed5i nguy\u00ean v\u0103n t\u1eeb b\u1ec7nh c\u1ea3m l\u1ea1nh th\u00f4ng th\u01b0\u1eddng s\u1ebd m\u1edf m\u00e0n v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c b\u00e0n lu\u1eadn. \u201cN\u1ebfu b\u1ea1n kh\u00f4ng \u0111i\u1ec1u tr\u1ecb vi\u00eam k\u1ebft m\u1ea1c, s\u1ef1 vi\u00eam nhi\u1ec5m s\u1ebd k\u00e9o […]\n","protected":false},"author":1,"featured_media":10369,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-10366","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/10366","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=10366"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/10366\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/10369"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=10366"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=10366"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=10366"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}