{"id":11212,"date":"2019-06-19T15:58:41","date_gmt":"2019-06-19T08:58:41","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=11212"},"modified":"2019-06-20T16:10:07","modified_gmt":"2019-06-20T09:10:07","slug":"diem-mat-cac-thuoc-dung-trong-dieu-tri-viem-ket-mac-di-ung","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/diem-mat-cac-thuoc-dung-trong-dieu-tri-viem-ket-mac-di-ung\/","title":{"rendered":"\u0110i\u1ec3m m\u1eb7t c\u00e1c thu\u1ed1c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng"},"content":{"rendered":"<h2>B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb ph\u1ea7n \u201c<strong>ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb\u201d t\u1eeb b\u00e0i t\u1ed5ng quan v\u1ec1 vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng c\u1ee7a c\u00e1c t\u00e1c gi\u1ea3 ng\u01b0\u1eddi \u00dd n\u0103m 2013<\/strong>.<\/h2>\n<p>&#8211; C\u00e1c <strong>b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng<\/strong> n\u00f3i chung \u0111\u01b0\u1ee3c sinh ra b\u1edfi ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn c\u1ee7a c\u01a1 th\u1ec3 v\u1edbi m\u1ed9t t\u00e1c nh\u00e2n n\u00e0o \u0111\u00f3 nh\u01b0 ph\u1ea5n hoa, n\u01b0\u1edbc m\u01b0a, th\u1ee9c \u0103n, th\u1eddi ti\u1ebft \u2026 m\u00e0 trong \u0111\u00f3 v\u00f9ng mi m\u1eaft v\u00e0 k\u1ebft m\u1ea1c ch\u1ecbu \u1ea3nh h\u01b0\u1edfng l\u1edbn nh\u1ea5t v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ng\u1ee9a, sung huy\u1ebft, c\u1ed9m, vi\u00eam \u0111\u1ecf, th\u1eadm ch\u00ed ph\u00f9 n\u1ec1 r\u1ea5t n\u1eb7ng. \u0110i\u1ec1u \u0111\u00e1ng bu\u1ed3n nh\u1ea5t v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh n\u00e0y l\u00e0 cho \u0111\u1ebfn nay v\u1eabn kh\u00f4ng c\u00f3 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 c\u0103n nguy\u00ean, c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb hi\u1ec7n t\u1ea1i ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ea9y l\u00f9i tri\u1ec7u ch\u1ee9ng v\u00e0 ph\u00f2ng ng\u1eeba t\u00e1i ph\u00e1t. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng \u201cc\u00f3 b\u1ec7nh th\u00ec v\u00e1i t\u1ee9 ph\u01b0\u01a1ng\u201d \u0111\u1ec3 t\u00ecm ra n\u01a1i \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c d\u1ee9t \u0111i\u1ec3m cho m\u00ecnh nh\u01b0ng lu\u00f4n nh\u1eadn v\u1ec1 s\u1ef1 bu\u1ed3n phi\u1ec1n v\u00ec tri\u1ec7u ch\u1ee9ng lu\u00f4n lu\u00f4n tr\u1edf l\u1ea1i n\u1ebfu ti\u1ebfp x\u00fac ph\u1ea3i c\u0103n nguy\u00ean g\u00e2y ra b\u1ec7nh. Khoa h\u1ecdc ti\u1ebfn b\u1ed9 \u0111\u01b0\u1ee3c \u0111\u1ebfn \u0111\u00e2u th\u00ec ch\u00fang ta \u0111\u00e0nh ch\u1ea5p nh\u1eadn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u0111\u1ebfn \u0111\u00f3 v\u00e0 h\u1ecdc c\u00e1ch l\u00e0m sao \u0111\u1ec3 k\u00e9o d\u00e0i kho\u1ea3ng th\u1eddi gian \u0111\u1ec3 b\u1ec7nh t\u00e1i ph\u00e1t tr\u1edf l\u1ea1i c\u00e0ng l\u00e2u c\u00e0ng t\u1ed1t.<\/p>\n<p>&#8211; Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean: \u0110\u00e2y \u0111\u01b0\u1ee3c coi l\u00e0 bi\u1ec7n ph\u00e1p h\u1eefu \u00edch nh\u1ea5t \u0111\u1ec3 ph\u00f2ng ng\u1eeba t\u1ea5t c\u1ea3 c\u00e1c d\u1ea1ng b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng t\u00e1i ph\u00e1t tr\u1edf l\u1ea1i, tuy nhi\u00ean, m\u1eaft ch\u00fang ta c\u00f3 di\u1ec7n t\u00edch ti\u1ebfp x\u00fac b\u1ec1 m\u1eb7t l\u1edbn n\u00ean kh\u00f4ng th\u1ec3 tr\u00e1nh kh\u1ecfi vi\u1ec7c ti\u1ebfp x\u00fac c\u1ee7a nh\u00e3n c\u1ea7u v\u1edbi c\u00e1c ch\u1ea5t b\u1ee5i b\u1ea9n trong kh\u00f4ng kh\u00ed. C\u00e1c th\u00e0nh ph\u1ea7n trong n\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o t\u1ea1o ra h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7 v\u00e0 gi\u00fap t\u0103ng c\u01b0\u1eddng t\u00e1c d\u1ee5ng cho l\u1edbp nh\u1ea7y b\u1ea3o v\u1ec7 ngay tr\u01b0\u1edbc k\u1ebft m\u1ea1c. Nh\u1eefng ch\u1ea5t n\u00e0y gi\u00fap l\u00e0m gi\u1ea3m m\u1eadt \u0111\u1ed9 c\u00e1c t\u00e1c nh\u00e2n g\u00e2y b\u1ec7nh v\u00e0 c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam c\u00f3 m\u1eb7t \u1edf b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u b\u1eb1ng c\u00e1ch r\u1eeda tr\u00f4i ch\u00fang. Khi c\u00e1c bi\u1ec7n ph\u00e1p kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c c\u00e1c tri\u1ec7u ch\u1ee9ng, c\u00e1c thu\u1ed1c tra t\u1ea1i ch\u1ed7 ho\u1eb7c theo \u0111\u01b0\u1eddng to\u00e0n th\u00e2n s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m lo\u1ea1i b\u1ecf c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/p>\n<p>&#8211; Tr\u1ecdng t\u00e2m c\u1ee7a vi\u1ec7c ki\u1ec3m so\u00e1t b\u1ec7nh d\u1ecb \u1ee9ng b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u l\u00e0 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng nh\u01b0 c\u00e1c thu\u1ed1c kh\u00e1ng histamine, c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng \u0111a t\u00e1c \u0111\u1ed9ng v\u00e0 c\u00e1c ch\u1ea5t \u1ed5n \u0111\u1ecbnh t\u1ebf b\u00e0o mast.<\/p>\n<ul>\n<li>V\u00ed d\u1ee5: thu\u1ed1c kh\u00e1ng histamine H1 levocabastine c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m nhanh c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u sau khi nh\u1ecf m\u1eaft, nh\u01b0ng ch\u1ec9 duy tr\u00ec \u0111\u01b0\u1ee3c th\u1eddi gian ng\u1eafn, ph\u1ea3i s\u1eed d\u1ee5ng t\u1edbi 4 l\u1ea7n\/ng\u00e0y v\u00e0 g\u00e2y k\u00edch \u1ee9ng m\u1eaft ng\u01b0\u1ee3c tr\u1edf l\u1ea1i khi d\u00f9ng k\u00e9o d\u00e0i. Nh\u1eefng thu\u1ed1c kh\u00e1ng histamin n\u00e0y kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c ti\u1ec1n ch\u1ea5t g\u00e2y vi\u00eam nh\u01b0 prostaglandin hay leucotrien n\u00ean qu\u00e1 tr\u00ecnh vi\u00eam v\u1eabn c\u00f3 th\u1ec3 ti\u1ec1m \u1ea9n sau \u0111\u00f3. \u0110\u1ec3 t\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m ph\u00f9 n\u1ec1, c\u00e1c ch\u1ea5t ch\u1ed1ng sung huy\u1ebft m\u00e0 ch\u1ee7 y\u1ebfu l\u00e0 c\u00e1c ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng co m\u1ea1ch th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p v\u1edbi li\u1ec1u 4 l\u1ea7n\/ng\u00e0y. Tuy nhi\u00ean, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 c\u00f3 c\u1ea3m gi\u00e1c n\u00f3ng r\u00e1t, kim ch\u00e2m khi nh\u1ecf thu\u1ed1c, gi\u00e3n \u0111\u1ed3ng t\u1eed v\u00e0 g\u00e2y ra t\u00ecnh tr\u1ea1ng sung huy\u1ebft b\u1eadt ng\u01b0\u1ee3c tr\u1edf l\u1ea1i ho\u1eb7c vi\u00eam k\u1ebft m\u1ea1c do thu\u1ed1c khi s\u1eed d\u1ee5ng k\u00e9o d\u00e0i \u0111\u00e3 h\u1ea1n ch\u1ebf th\u1eddi gian s\u1eed d\u1ee5ng c\u1ee7a s\u1ef1 ph\u1ed1i h\u1ee3p n\u00e0y (kh\u00f4ng n\u00ean qu\u00e1 07 ng\u00e0y) v\u00e0 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb glaucoma g\u00f3c h\u1eb9p. C\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a k\u1ebft h\u1ee3p n\u00e0y g\u1ed3m c\u00e1c anh em nh\u00e0 Vrohto (tr\u1eeb lo\u1ea1i Dry Eye kh\u00f4ng c\u00f3 v\u00e0 lo\u1ea1i Vitamin ch\u1ec9 c\u00f3 kh\u00e1ng histamin), Daigaku\u00ae c\u1ee7a h\u00e3ng Santen, Opcon-A\u00ae c\u1ee7a h\u00e3ng Bausch&amp;Lomb.<\/li>\n<li>C\u00e1c ch\u1ea5t \u1ed5n \u0111\u1ecbnh t\u1ebf b\u00e0o mast c\u00f3 c\u01a1 ch\u1ebf ch\u01b0a r\u00f5 v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111ang hi\u1ec7n h\u1eefu n\u00ean th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng l\u00e0m thu\u1ed1c ph\u00f2ng ng\u1eeba s\u1ef1 ph\u00e1 v\u1ee1 t\u1ebf b\u00e0o mast khi c\u00f3 nguy c\u01a1 ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean g\u00e2y b\u1ec7nh. Nh\u00f3m thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 nh\u1ecf tr\u1ef1c ti\u1ebfp v\u00e0o m\u1eaft v\u00e0 th\u00edch h\u1ee3p v\u1edbi c\u00e1c th\u1ec3 b\u1ec7nh n\u1eb7ng. Nh\u01b0\u1ee3c \u0111i\u1ec3m l\u1edbn nh\u1ea5t l\u00e0 c\u1ea7n ph\u1ea3i c\u00f3 li\u1ec1u t\u1ea3i kho\u1ea3ng 2 tu\u1ea7n tr\u01b0\u1edbc khi ti\u1ebfp x\u00fac v\u1edbi d\u1ecb nguy\u00ean th\u00ec m\u1edbi c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n ng\u1eeba tri\u1ec7u ch\u1ee9ng. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecf thu\u1ed1c v\u00e0 chuy\u1ec3n sang c\u00e1c lo\u1ea1i c\u00f3 \u0111\u00e1p \u1ee9ng ngay. S\u1ea3n ph\u1ea9m hay \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u1ee7a nh\u00f3m n\u00e0y l\u00e0 Alegysal\u00ae c\u1ee7a h\u00e3ng Santen ch\u1ee9a pemirolast kali 0.1%.<\/li>\n<li>Trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, c\u00e1c thu\u1ed1c \u0111a t\u00e1c \u0111\u1ed9ng \u0111\u00e3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u nh\u01b0 olopatadine (Pataday\u00ae c\u1ee7a Alcon), ketotifen (Zaditen\u00ae c\u1ee7a Novartis), azelastine, epinastine (Relestat\u00ae c\u1ee7a Allergan), v\u00e0 bepostatine v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng nh\u01b0 \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 histamine, \u1ed5n \u0111\u1ecbnh t\u1ebf b\u00e0o mast, v\u00e0 gi\u1ea3m h\u00f3a \u1ee9ng \u0111\u1ed9ng b\u1ea1ch c\u1ea7u \u01b0a eosin. V\u00ed d\u1ee5 c\u1ee5 th\u1ec3 v\u1edbi epinastine l\u00e0 ho\u1ea1t ch\u1ea5t n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean c\u1ea3 th\u1ee5 th\u1ec3 H1 v\u00e0 H2, c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i cho vi\u1ec7c gi\u1ea3m ph\u00f9 n\u1ec1 \u0111\u1ed3ng th\u1eddi c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng \u1ed5n \u0111\u1ecbnh t\u1ebf b\u00e0o mast v\u00e0 ch\u1ed1ng vi\u00eam. Nh\u1eefng thu\u1ed1c n\u00e0y \u0111\u00e3 tr\u1edf th\u00e0nh s\u1ef1 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay \u0111\u1ec3 d\u1eadp ngay l\u1eadp t\u1ee9c nh\u1eefng tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu cho b\u1ec7nh nh\u00e2n b\u1ecb vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng.<\/li>\n<\/ul>\n<p>&#8211; Khi nh\u1eefng t\u00e1c nh\u00e2n k\u1ec3 tr\u00ean v\u1eabn kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7 \u0111\u1ed1i v\u1edbi vi\u1ec7c ki\u1ec3m so\u00e1t qu\u00e1 tr\u00ecnh vi\u00eam do d\u1ecb \u1ee9ng, nh\u1eefng ch\u1ea5t kh\u00e1ng vi\u00eam s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Nh\u1eefng ch\u1ea5t kh\u00e1ng vi\u00eam kh\u00f4ng corticoid (NSAIDs) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p \u0111\u1ec3 l\u00e0m gi\u1ea3m sung huy\u1ebft k\u1ebft m\u1ea1c v\u00e0 ng\u1ee9a, do c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1eb7c hi\u1ec7u v\u1edbi c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam prostaglandin D2 v\u00e0 E2. C\u00e1c s\u1ea3n ph\u1ea9m ch\u1ed1ng vi\u00eam kh\u00f4ng corticoid nh\u1ecf m\u1eaft th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng t\u1ea1i Vi\u1ec7t Nam l\u00e0 Indocollyre\u00ae c\u1ee7a Bausch&amp;Lomb; Bronuck\u00ae c\u1ee7a Senju; Nevanac\u00ae c\u1ee7a Alcon; Acuvail\u00ae c\u1ee7a Allergan.<\/p>\n<p>&#8211; C\u00e1c ch\u1ea5t kh\u00e1ng vi\u00eam corticoid nh\u1ecf m\u1eaft c\u00f3 t\u00e1c d\u1ee5ng m\u1ea1nh \u0111\u1ed1i v\u1edbi nhi\u1ec1u th\u1ec3 b\u1ec7nh n\u1eb7ng c\u1ee7a b\u1ec7nh d\u1ecb \u1ee9ng b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u trong c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u1ea5p t\u00ednh v\u00e0 m\u00e3n t\u00ednh nh\u1edd t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u00e0 \u1ee9c ch\u1ebf t\u0103ng tr\u01b0\u1edfng. Nh\u1eefng ch\u1ea5t n\u00e0y c\u00f3 r\u1ea5t nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ch\u1eadm l\u00e0nh v\u1ebft th\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t, t\u0103ng nh\u00e3n \u00e1p v\u00e0 g\u00e2y ra \u0111\u1ee5c th\u1ee7y tinh th\u1ec3. Do v\u1eady, ch\u00fang ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u1eddi gian ng\u1eafn (t\u1ed1i \u0111a 2 tu\u1ea7n); tuy nhi\u00ean n\u1ebfu ph\u1ea3i s\u1eed d\u1ee5ng d\u00e0i h\u01a1n th\u00ec b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c khuy\u00ean n\u00ean ki\u1ec3m tra m\u1eaft th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 v\u00e0 t\u0103ng nh\u00e3n \u00e1p. C\u00e1c corticoid d\u1ea1ng x\u1ecbt m\u0169i c\u00f3 hi\u1ec7u qu\u1ea3 cao \u0111\u1ed1i v\u1edbi b\u1ec7nh vi\u00eam m\u0169i d\u1ecb \u1ee9ng nh\u01b0ng hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng th\u00ec v\u1eabn c\u00f2n kh\u00f4ng th\u1ed1ng nh\u1ea5t. M\u1ed9t s\u1ed1 ch\u1ebf ph\u1ea9m ch\u1ee9a corticoid \u0111\u01a1n \u0111\u1ed9c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng l\u00e0 Lotemax\u00ae c\u1ee7a Bausch&amp;Lomb, Flumetholon\u00ae 0.02 v\u00e0 0.1% c\u1ee7a Santen, Pred-Forte\u00ae c\u1ee7a Allergan v\u00e0 Maxidex\u00ae c\u1ee7a Alcon.<\/p>\n<p>&#8211; C\u00e1c li\u1ec7u ph\u00e1p can thi\u1ec7p v\u00e0o qu\u00e1 tr\u00ecnh mi\u1ec5n d\u1ecbch c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e0n lu\u1eadn \u0111\u1ebfn t\u1eeb nh\u1eefng n\u0103m 1911 v\u00e0 \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ed1i v\u1edbi vi\u1ec7c ki\u1ec3m so\u00e1t l\u00e2u d\u00e0i b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng. M\u1eb7c d\u00f9 nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u00e3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 li\u1ec7u ph\u00e1p n\u00e0y \u0111\u01b0\u1ee3c d\u00e0nh ch\u1ee7 y\u1ebfu \u0111\u1ed1i v\u1edbi m\u0169i h\u01a1n l\u00e0 m\u1eaft, hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi m\u1eaft c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh b\u1edfi m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u kh\u00e1c. M\u1eb7t kh\u00e1c, \u0111\u00e1p \u1ee9ng mi\u1ec5n d\u1ecbch \u0111\u1ed1i v\u1edbi vi\u1ec7c ki\u1ec3m so\u00e1t kh\u00e1ng nguy\u00ean th\u01b0\u1eddng r\u1ea5t kh\u00f3 \u0111o\u00e1n v\u00e0 ch\u00ednh b\u1ea3n th\u00e2n li\u1ec7u ph\u00e1p l\u1ea1i g\u00e2y ra t\u00e1c \u0111\u1ed9ng \u0111\u1ed1i v\u1edbi to\u00e0n th\u00e2n, m\u1ee9c \u0111\u1ed9 v\u00e0 t\u1ea7n su\u1ea5t s\u1ebd t\u00f9y v\u00e0o lo\u1ea1i kh\u00e1ng nguy\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t. Th\u00f4ng th\u01b0\u1eddng, c\u00e1c thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c ti\u00eam d\u01b0\u1edbi da nh\u01b0ng g\u1ea7n \u0111\u00e2y d\u1ea1ng u\u1ed1ng \u0111ang c\u00f3 xu th\u1ebf \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nhi\u1ec1u h\u01a1n. Gi\u00e1 tr\u1ecb c\u1ee7a d\u1ea1ng u\u1ed1ng \u0111\u1ed1i v\u1edbi b\u1ec7nh d\u1ecb \u1ee9ng b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u c\u1ea7n ph\u1ea3i \u0111\u00e1nh gi\u00e1 th\u00eam v\u00ec ch\u00fang th\u01b0\u1eddng c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t h\u01a1n v\u1edbi v\u1ecb tr\u00ed m\u0169i h\u01a1n l\u00e0 m\u1eaft.<\/p>\n<p>&#8211; Cu\u1ed1i c\u00f9ng, c\u00e1c thu\u1ed1c kh\u00e1ng histamine \u0111\u01b0\u1eddng u\u1ed1ng c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng c\u1ee7a m\u0169i v\u00e0 m\u1eaft. Nh\u1eefng thu\u1ed1c th\u1ebf h\u1ec7 hai \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch h\u01a1n th\u1ebf h\u1ec7 m\u1ed9t do \u00edt t\u00e1c d\u1ee5ng g\u00e2y bu\u1ed3n ng\u1ee7 nh\u01b0ng l\u1ea1i c\u00f3 th\u1ec3 g\u00e2y ra kh\u00f4 m\u1eaft nhi\u1ec1u h\u01a1n, d\u1ec5 l\u00e0m t\u1ed5n th\u01b0\u01a1ng h\u00e0ng r\u00e0o b\u1ea3o v\u1ec7 t\u1eeb phim n\u01b0\u1edbc m\u1eaft khi\u1ebfn tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng b\u1ecb n\u1eb7ng h\u01a1n. Do v\u1eady, nhi\u1ec1u chuy\u00ean gia khuy\u1ebfn kh\u00edch vi\u1ec7c s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p th\u00eam m\u1ed9t n\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o s\u1ebd mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n.<\/p>\n<p>Nh\u00e0 thu\u1ed1c chuy\u00ean khoa m\u1eaft HD H\u00e0 N\u1ed9i c\u00f3 b\u00e1n c\u00e1c thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng:<\/p>\n<p>+ Alegysal\u00ae 5ml (L\u1ecd ch\u1ee9a pemirolast 0.1%) c\u1ee7a h\u00e3ng Santen, s\u1ea3n xu\u1ea5t t\u1ea1i Nh\u1eadt v\u1edbi t\u00e1c d\u1ee5ng \u1ed5n \u0111\u1ecbnh t\u1ebf b\u00e0o mast. Gi\u00e1 b\u00e1n: 82.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 76.760\u0111<\/p>\n<figure id=\"attachment_5926\" aria-describedby=\"caption-attachment-5926\" style=\"width: 599px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-5926\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/alegysal_nho_mat.jpg\" alt=\"Alegysal\" width=\"599\" height=\"599\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/alegysal_nho_mat.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/alegysal_nho_mat-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/alegysal_nho_mat-150x150.jpg 150w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/alegysal_nho_mat-300x300.jpg 300w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/alegysal_nho_mat-100x100.jpg 100w\" sizes=\"auto, (max-width: 599px) 100vw, 599px\" \/><figcaption id=\"caption-attachment-5926\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c Alegysal<\/figcaption><\/figure>\n<p>+ Relestat\u00ae 5ml (L\u1ecd ch\u1ee9a epinastine 0.05%) c\u1ee7a h\u00e3ng Allergan, s\u1ea3n xu\u1ea5t t\u1ea1i Ireland v\u1edbi \u0111a t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng. Gi\u00e1 b\u00e1n: 80.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 74.841\u0111<\/p>\n<figure id=\"attachment_11213\" aria-describedby=\"caption-attachment-11213\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11213\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Relestat.jpg\" alt=\"Relestat\" width=\"600\" height=\"600\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Relestat.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Relestat-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Relestat-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Relestat-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Relestat-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11213\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c Relestat<\/figcaption><\/figure>\n<p>+ Lotemax\u00ae 5ml (L\u1ecd ch\u1ee9a loteprednol 0.5%) c\u1ee7a h\u00e3ng Bausch&amp;Lomb, s\u1ea3n xu\u1ea5t t\u1ea1i M\u1ef9 v\u1edbi t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam corticoid. Gi\u00e1 b\u00e1n: 230.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 219.500\u0111<\/p>\n<figure id=\"attachment_8700\" aria-describedby=\"caption-attachment-8700\" style=\"width: 599px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\" wp-image-8700\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax.jpg\" alt=\"Lotemax\u00ae 5ml\" width=\"599\" height=\"599\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax.jpg 450w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax-100x100.jpg 100w\" sizes=\"auto, (max-width: 599px) 100vw, 599px\" \/><figcaption id=\"caption-attachment-8700\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c Lotemax\u00ae 5ml<\/figcaption><\/figure>\n<p>+ Restasis\u00ae (H\u1ed9p 30 \u1ed1ng 0.3ml ch\u1ee9a cyclosporine A 0.05%) c\u1ee7a h\u00e3ng Allergan, s\u1ea3n xu\u1ea5t t\u1ea1i Ireland v\u1edbi t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. Gi\u00e1 b\u00e1n: 575.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 537.180\u0111<\/p>\n<figure id=\"attachment_11214\" aria-describedby=\"caption-attachment-11214\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11214\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Restasis.jpg\" alt=\"Restasis\" width=\"600\" height=\"600\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Restasis.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Restasis-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Restasis-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Restasis-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Restasis-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11214\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c Restasis<\/figcaption><\/figure>\n<p>+ Pataday\u00ae 2.5ml (L\u1ecd ch\u1ee9a olopatadine 0.2%) c\u1ee7a h\u00e3ng Alcon-Novartis, s\u1ea3n xu\u1ea5t t\u1ea1i M\u1ef9 v\u1edbi \u0111a t\u00e1c d\u1ee5ng ch\u1ed1ng d\u1ecb \u1ee9ng. Gi\u00e1 b\u00e1n: 137.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 131.100\u0111<\/p>\n<figure id=\"attachment_11215\" aria-describedby=\"caption-attachment-11215\" style=\"width: 600px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-11215\" src=\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Pataday.jpg\" alt=\"Pataday\" width=\"600\" height=\"600\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Pataday.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Pataday-280x280.jpg 280w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Pataday-400x400.jpg 400w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Pataday-350x350.jpg 350w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2019\/06\/Pataday-100x100.jpg 100w\" sizes=\"auto, (max-width: 600px) 100vw, 600px\" \/><figcaption id=\"caption-attachment-11215\" class=\"wp-caption-text\">H\u00ecnh \u1ea3nh: thu\u1ed1c Pataday<\/figcaption><\/figure>\n<p>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.<\/p>\n<p>T\u00e1c gi\u1ea3: Th\u1ea1c s\u0129 &#8211; D\u01b0\u1ee3c s\u0129 Tr\u1ea7n H\u1ea3i \u0110\u00f4ng<\/p>\n<p>(Th\u00f4ng tin tham kh\u1ea3o: <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3640929\/\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3640929\/<\/a> )<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb ph\u1ea7n \u201cph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb\u201d t\u1eeb b\u00e0i t\u1ed5ng quan v\u1ec1 vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng c\u1ee7a c\u00e1c t\u00e1c gi\u1ea3 ng\u01b0\u1eddi \u00dd n\u0103m 2013. &#8211; C\u00e1c b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng n\u00f3i chung \u0111\u01b0\u1ee3c sinh ra b\u1edfi ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn c\u1ee7a c\u01a1 th\u1ec3 v\u1edbi m\u1ed9t t\u00e1c [&#8230;]\n","protected":false},"author":1,"featured_media":5925,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-11212","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\/11212","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=11212"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/11212\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5925"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=11212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=11212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=11212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}