{"id":32208,"date":"2022-04-08T16:40:34","date_gmt":"2022-04-08T09:40:34","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=32208"},"modified":"2022-04-08T16:48:40","modified_gmt":"2022-04-08T09:48:40","slug":"tim-hieu-ve-cac-loai-thuoc-thuong-duoc-dung-sau-khi-bi-dot-quy","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/tim-hieu-ve-cac-loai-thuoc-thuong-duoc-dung-sau-khi-bi-dot-quy\/","title":{"rendered":"T\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5"},"content":{"rendered":"

M\u1ed9t v\u00e0i th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 \u0111\u1ed9t qu\u1ef5 v\u00e0 l\u00fd do s\u1eed d\u1ee5ng thu\u1ed1c sau \u0111\u1ed9t qu\u1ef5<\/h2>\n
\u0110\u1ed9t qu\u1ef5 x\u1ea3y ra khi m\u00e1u kh\u00f4ng l\u01b0u th\u00f4ng trong n\u00e3o, g\u00e2y ra t\u00ecnh tr\u1ea1ng kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o n\u00e3o, d\u1eabn \u0111\u1ebfn ch\u1ebft n\u00e3o. Do \u0111\u00f3, h\u1eadu qu\u1ea3 c\u1ee7a \u0111\u1ed9t qu\u1ef5 c\u00f3 th\u1ec3 r\u1ea5t nguy hi\u1ec3m nh\u01b0 t\u1ed5n th\u01b0\u01a1ng n\u00e3o v\u0129nh vi\u1ec5n.<\/p>\n
M\u1ed9t \u0111i\u1ec1u \u0111\u00e1ng lo l\u1eafng l\u00e0 sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5 v\u00e0 h\u1ed3i ph\u1ee5c m\u1ed9t l\u1ea7n, b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5 trong t\u01b0\u01a1ng lai. Tr\u00ean th\u1ef1c t\u1ebf, n\u1ebfu m\u1ed9t ng\u01b0\u1eddi s\u1ed1ng s\u00f3t sau \u0111\u1ed9t qu\u1ef5 l\u1ea7n th\u1ee9 nh\u1ea5t th\u00ec c\u00f3 kho\u1ea3ng 25% -35% nguy c\u01a1 c\u00f3 nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 l\u1ea7n 2. Do \u0111\u00f3, b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd trong vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 n\u00e0y, gi\u00fap ng\u0103n ng\u1eeba \u0111\u1ed9t qu\u1ef5 t\u00e1i ph\u00e1t.<\/p>\n
C\u00e1c b\u1ec7nh l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5 l\u1ea7n n\u1eefa, v\u00ed d\u1ee5 nh\u01b0 huy\u1ebft \u00e1p cao, cholesterol cao v\u00e0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. C\u00e1c thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c k\u00ea bao g\u1ed3m c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c huy\u1ebft \u00e1p cao ho\u1eb7c d\u00f9ng thu\u1ed1c l\u00e0m lo\u00e3ng m\u00e1u, ho\u1eb7c d\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 c\u01a1 b\u1ea3n n\u00e0o v\u1ec1 tim. Vi\u1ec7c s\u1eed d\u1ee5ng v\u00e0 k\u1ebft h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c c\u0103n c\u1ee9 tr\u00ean lo\u1ea1i \u0111\u1ed9t qu\u1ef5 m\u00e0 b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng m\u1eafc ph\u1ea3i. C\u00f3 3 lo\u1ea1i \u0111\u1ed9t qu\u1ef5 ch\u00ednh bao g\u1ed3m:<\/p>\n
\n
Th\u1ee9 nh\u1ea5t: \u0110\u1ed9t qu\u1ef5 do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 l\u00e0 do c\u1ee5c m\u00e1u \u0111\u00f4ng b\u1ecb k\u1eb9t l\u1ea1i trong m\u1ea1ch m\u00e1u n\u00e3o, khi\u1ebfn ng\u0103n c\u1ea3n s\u1ef1 cung c\u1ea5p m\u00e1u cho n\u00e3o. Nh\u1eefng c\u1ee5c m\u00e1u \u0111\u00f4ng n\u00e0y c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb ch\u1ea5t b\u00e9o t\u00edch t\u1ee5 trong m\u1ea1ch m\u00e1u ho\u1eb7c c\u0169ng c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb tim do nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 rung t\u00e2m nh\u0129.<\/li>\n
Th\u1ee9 hai: \u0110\u1ed9t qu\u1ef5 xu\u1ea5t huy\u1ebft x\u1ea3y ra khi m\u1ed9t m\u1ea1ch m\u00e1u trong n\u00e3o b\u1ecb v\u1ee1 v\u00e0 m\u00e1u t\u00edch t\u1ee5 trong n\u00e3o g\u00e2y ch\u1ea3y m\u00e1u b\u00ean trong n\u00e3o.<\/li>\n
Th\u1ee9 ba: C\u00e1c c\u01a1n thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 tho\u00e1ng qua (TIA) \u0111\u00f4i khi \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u01a1n thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9. \u0110\u00e2y kh\u00f4ng ph\u1ea3i l\u00e0 \u0111\u1ed9t qu\u1ef5, nh\u01b0ng l\u00e0 m\u1ed9t l\u1eddi c\u1ea3nh b\u00e1o r\u1eb1ng c\u00f3 th\u1ec3 m\u1eafc nguy c\u01a1 l\u1ea7n 2 r\u1ea5t h\u01a1n. TIA kh\u00f4ng k\u00e9o d\u00e0i nh\u01b0 \u0111\u1ed9t qu\u1ef5, nguy\u00ean nh\u00e2n \u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 v\u00e0 t\u1ef1 bi\u1ebfn m\u1ea5t. Khi m\u1eafc TIA, l\u01b0u l\u01b0\u1ee3ng m\u00e1u trong n\u00e3o b\u1ecb t\u1eafc ngh\u1ebdn trong m\u1ed9t kho\u1ea3ng th\u1eddi gian nh\u1ecf v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nh\u01b0 \u0111\u1ed9t qu\u1ef5 (v\u00ed d\u1ee5: ch\u00f3ng m\u1eb7t, kh\u00f3 gi\u1eef th\u0103ng b\u1eb1ng, t\u00ea m\u1ed9t b\u00ean c\u01a1 th\u1ec3).<\/li>\n<\/ul>\n
Ch\u1ebf \u0111\u1ed9 d\u00f9ng thu\u1ed1c sau \u0111\u1ed9t qu\u1ef5 c\u1ee7a m\u1ed7i ng\u01b0\u1eddi c\u00f3 th\u1ec3 kh\u00e1c nhau. Nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1ed9t qu\u1ef5 ti\u00eau chu\u1ea9n sau \u0111\u00e2y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n.<\/p>\n
$\"\"$
L\u00fd do s\u1eed d\u1ee5ng thu\u1ed1c sau \u0111\u1ed9t qu\u1ef5<\/figcaption><\/figure>\n
Thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u (thu\u1ed1c kh\u00e1ng ti\u1ec3u c\u1ea7u)<\/h2>\n
Ti\u1ec3u c\u1ea7u l\u00e0 nh\u1eefng t\u1ebf b\u00e0o m\u00e1u quan tr\u1ecdng t\u1ea1o th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng \u0111\u1ec3 gi\u00fap c\u1ea7m m\u00e1u. Th\u00f4ng th\u01b0\u1eddng, \u0111\u00f4ng m\u00e1u l\u00e0 m\u1ed9t \u0111i\u1ec1u t\u1ed1t, v\u00ed d\u1ee5 nh\u01b0 khi b\u1ecb \u0111\u1ee9t tay, ti\u1ec3u c\u1ea7u gi\u00fap m\u00e1u \u0111\u00f4ng l\u1ea1i v\u00e0 c\u1ea7m m\u00e1u, tr\u00e1nh m\u1ea5t m\u00e1u qu\u00e1 nhi\u1ec1u. Tuy nhi\u00ean, n\u1ebfu c\u1ee5c m\u00e1u \u0111\u00f4ng h\u00ecnh th\u00e0nh v\u00e0 m\u1eafc k\u1eb9t trong c\u00e1c m\u1ea1ch m\u00e1u n\u00e3o th\u00ec \u0111\u1ed9t qu\u1ef5 c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n
Thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u hay c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 thu\u1ed1c kh\u00e1ng ti\u1ec3u c\u1ea7u gi\u00fap ng\u0103n ng\u1eeba c\u00e1c ti\u1ec3u c\u1ea7u k\u1ebft d\u00ednh v\u1edbi nhau v\u00e0 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. C\u00f3 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u nh\u01b0:<\/p>\n
\n
Aspirin.<\/li>\n
Aspirin \/ dipyridamole (Aggrenox).<\/li>\n
Clopidogrel (Plavix).<\/li>\n
Ticagrelor (Brilinta).<\/li>\n<\/ul>\n
T\u00f9y thu\u1ed9c v\u00e0o chi ti\u1ebft c\u1ee7a c\u01a1n \u0111\u1ed9t qu\u1ef5 m\u00e0 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n m\u1ed9t ho\u1eb7c nhi\u1ec1u thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u. Tuy nhi\u00ean, tr\u00ean l\u00e2m s\u00e0ng, Aspirin l\u00e0 thu\u1ed1c n\u1ed5i ti\u1ebfng v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng nh\u1ea5t. B\u1ec7nh nh\u00e2n sau \u0111\u1ed9t qu\u1ef5 nguy\u00ean nh\u00e2n do thi\u1ebfu m\u00e1u c\u1ee5c b\u1ed9 c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng Aspirin ho\u1eb7c c\u00e1c lo\u1ea1i kh\u00e1ng ti\u1ec3u c\u1ea7u kh\u00e1c trong su\u1ed1t ph\u1ea7n \u0111\u1eddi c\u00f2n l\u1ea1i.<\/p>\n
$\"Thu\u1ed1c$
Thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u (thu\u1ed1c kh\u00e1ng ti\u1ec3u c\u1ea7u)<\/figcaption><\/figure>\n
Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/h2>\n
Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 c\u00f2n g\u1ecdi v\u1edbi t\u00ean kh\u00e1c l\u00e0 thu\u1ed1c l\u00e0m lo\u00e3ng m\u00e1u. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng – nh\u01b0ng theo m\u1ed9t c\u00e1ch kh\u00e1c so v\u1edbi thu\u1ed1c kh\u00e1ng ti\u1ec3u c\u1ea7u. N\u1ebfu thu\u1ed1c kh\u00e1ng ti\u1ec3u c\u1ea7u ng\u0103n kh\u00f4ng cho c\u00e1c ti\u1ec3u c\u1ea7u k\u1ebft d\u00ednh v\u1edbi nhau th\u00ec thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u ng\u0103n kh\u00f4ng cho c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u d\u00ednh v\u00e0o nhau.<\/p>\n
M\u1ed9t b\u1ec7nh nh\u00e2n c\u00f3 nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng, ch\u1eb3ng h\u1ea1n nh\u01b0 rung t\u00e2m nh\u0129 th\u00ec c\u00f3 nguy c\u01a1 r\u1ea5t cao m\u00e1u c\u00f3 th\u1ec3 b\u1ecb k\u1eb9t trong tim. Sau m\u1ed9t th\u1eddi gian, nh\u1eefng t\u1ebf b\u00e0o m\u00e1u \u0111\u00f3 c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u k\u1ebft d\u00ednh v\u1edbi nhau v\u00e0 t\u1ea1o th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. N\u1ebfu c\u1ee5c m\u00e1u \u0111\u00f4ng n\u00e0y \u0111\u01b0\u1ee3c b\u01a1m ra kh\u1ecfi tim, n\u00f3 c\u00f3 th\u1ec3 di chuy\u1ec3n v\u00e0 m\u1eafc k\u1eb9t trong c\u00e1c m\u1ea1ch m\u00e1u n\u00e3o th\u00ec r\u1ea5t c\u00f3 th\u1ec3 g\u00e2y ra \u0111\u1ed9t qu\u1ef5. Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 gi\u00fap ng\u0103n ng\u1eeba c\u00e1c lo\u1ea1i c\u1ee5c m\u00e1u \u0111\u00f4ng n\u00e0y h\u00ecnh th\u00e0nh, ho\u1eb7c ch\u1eadm ph\u00e1t tri\u1ec3n h\u01a1n. N\u1ebfu \u0111\u1ed9t qu\u1ef5 c\u00f3 nguy\u00ean nh\u00e2n l\u00e0 do rung nh\u0129, c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/p>\n
M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n bao g\u1ed3m:<\/p>\n
\n
Warfarin (Coumadin, Jantoven)<\/li>\n
Dabigatran (Pradaxa)<\/li>\n
Apixaban (Eliquis)<\/li>\n
Rivaroxaban (Xarelto)<\/li>\n<\/ul>\n
Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm hoi, b\u00e1c s\u0129 c\u00f3 th\u1ec3 y\u00eau c\u1ea7u d\u00f9ng c\u1ea3 thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u. \u0110i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1, bao g\u1ed3m c\u1ea3 lo\u1ea1i \u0111\u1ed9t qu\u1ef5 m\u1eafc ph\u1ea3i.<\/p>\n
Trong c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y, Warfarin v\u00e0 Heparin l\u00e0 nh\u1eefng thu\u1ed1c ph\u1ed5 bi\u1ebfn nh\u1ea5t th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng.<\/p>\n
L\u01b0u \u00fd khi d\u00f9ng: B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c n\u00e0y n\u00ean ch\u00fa \u00fd l\u01b0\u1ee3ng vitamin K n\u1ea1p v\u00e0o c\u01a1 th\u1ec3 h\u00e0ng ng\u00e0y. Vitamin K c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c. Ch\u00fa \u00fd khi d\u00f9ng th\u1ef1c ph\u1ea9m gi\u00e0u vitamin K nh\u01b0 s\u00fap l\u01a1, b\u00f4ng c\u1ea3i xanh v\u00e0 rau xanh. Do \u0111\u00f3 b\u1ec7nh nh\u00e2n n\u00ean \u0103n m\u1ed9t l\u01b0\u1ee3ng nh\u01b0 nhau c\u00e1c lo\u1ea1i th\u1ef1c ph\u1ea9m n\u00e0y m\u1ed7i ng\u00e0y \u0111\u1ec3 tr\u00e1nh \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u.<\/p>\n
$\"Thu\u1ed1c$
Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/figcaption><\/figure>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p<\/h2>\n
Huy\u1ebft \u00e1p cao (t\u0103ng huy\u1ebft \u00e1p) c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5. N\u1ebfu huy\u1ebft \u00e1p cao, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea m\u1ed9t ho\u1eb7c nhi\u1ec1u lo\u1ea1i thu\u1ed1c huy\u1ebft \u00e1p sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c huy\u1ebft \u00e1p, b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c chuy\u1ec3n thu\u1ed1c.<\/p>\n
Thu\u1ed1c huy\u1ebft \u00e1p c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n sau \u0111\u1ed9t qu\u1ef5 bao g\u1ed3m:<\/p>\n
\n
Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide (thu\u1ed1c n\u01b0\u1edbc), ch\u1eb3ng h\u1ea1n nh\u01b0 hydrochlorothiazide (Microzide)<\/li>\n
Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE), ch\u1eb3ng h\u1ea1n nh\u01b0 lisinopril (Prinivil, Zestril)<\/li>\n
Thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 Angiotensin II (ARB), ch\u1eb3ng h\u1ea1n nh\u01b0 losartan (Cozaar) v\u00e0 valsartan (Diovan)<\/li>\n<\/ul>\n
Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA) khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 gi\u1eef huy\u1ebft \u00e1p d\u01b0\u1edbi 130\/80 mmHg . M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y r\u1eb1ng vi\u1ec7c gi\u1eef huy\u1ebft \u00e1p d\u01b0\u1edbi con s\u1ed1 n\u00e0y s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 trong t\u01b0\u01a1ng lai.<\/p>\n
$\"Thu\u1ed1c$
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p<\/figcaption><\/figure>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cholesterol cao<\/h2>\n
M\u1ed9t t\u00ecnh tr\u1ea1ng kh\u00e1c s\u1ebd \u0111\u01b0\u1ee3c ki\u1ec3m tra sau khi \u0111\u1ed9t qu\u1ef5 l\u00e0 cholesterol cao. B\u00e1c s\u0129 s\u1ebd \u0111\u1eb7c bi\u1ec7t theo d\u00f5i m\u1ed9t lo\u1ea1i cholesterol c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 \u0111\u00f3 l\u00e0 lipoprotein m\u1eadt \u0111\u1ed9 th\u1ea5p (LDL, ho\u1eb7c cholesterol x\u1ea5u).<\/p>\n
N\u1ebfu LDL tr\u00ean 100 mg \/ dL, AHA khuy\u1ebfn ngh\u1ecb d\u00f9ng atorvastatin 80mg (Lipitor) m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n. N\u1ebfu c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh tim, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n Atorvastatin c\u00f9ng v\u1edbi m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cholesterol kh\u00e1c \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Ezetimibe (Zetia).<\/p>\n
B\u1ec7nh nh\u00e2n n\u00ean c\u1ed1 g\u1eafng gi\u1eef LDL c\u1ee7a m\u00ecnh d\u01b0\u1edbi 70 mg\/ dL l\u00e0 t\u1ed1t nh\u1ea5t.<\/p>\n
$\"Thu\u1ed1c$
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb cholesterol cao<\/figcaption><\/figure>\n
Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/h2>\n
B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 \u0111\u1ed9t qu\u1ef5 do \u0111\u00f3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u gi\u00fap gi\u1ea3m nguy c\u01a1 n\u00e0y. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng hi\u1ec7n t\u1ea1i sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5, \u0111\u1eb7c bi\u1ec7t ng\u01b0\u1eddi b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng lo\u1ea1i 2.<\/p>\n
C\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c v\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng kh\u00e1c nhau.<\/p>\n
Thu\u1ed1c \u0111i\u1ec1u h\u00f2a nh\u1ecbp tim<\/h2>\n
Rung nh\u0129 l\u00e0 t\u00ecnh tr\u1ea1ng nh\u1ecbp tim kh\u00f4ng \u0111\u1ec1u, c\u00f3 th\u1ec3 khi\u1ebfn m\u00e1u \u0111\u1ecdng l\u1ea1i trong tim v\u00e0 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng. B\u1ecb b\u1ec7nh c\u00f3 th\u1ec3 khi\u1ebfn nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5 cao g\u1ea5p 5 l\u1ea7n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 d\u00f9ng thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t nh\u1ecbp tim ho\u1eb7c nh\u1ecbp tim c\u1ee7a m\u00ecnh \u0111\u1ec3 gi\u00fap tim kh\u00f4ng \u0111\u1eadp qu\u00e1 nhanh.<\/p>\n
\u0110\u1ec3 gi\u00fap nh\u1ecbp tim kh\u00f4ng qu\u00e1 nhanh, b\u00ean c\u1ea1nh d\u00f9ng thu\u1ed1c huy\u1ebft \u00e1p, c\u00f3 th\u1ec3 d\u00f9ng digoxin (Cardoxin, Digitek, Lanoxin ).<\/p>\n
Thu\u1ed1c \u0111\u1ec3 ki\u1ec3m so\u00e1t nh\u1ecbp tim c\u00f3 th\u1ec3 c\u1ea7n thu\u1ed1c ch\u1eb9n k\u00eanh Natri. V\u00ed d\u1ee5 Quinidine, Flecainide ( Tambocor ) ho\u1eb7c propafenone ( Rythmol ). Ho\u1eb7c thu\u1ed1c ch\u1eb9n k\u00eanh Kali, v\u00ed d\u1ee5 sotalol ( Betapace, Sorine ) v\u00e0 Amiodarone (Cordarone, Pacerone ).<\/p>\n
Thu\u1ed1c kh\u00e1c cho c\u00e1c t\u00ecnh tr\u1ea1ng sau \u0111\u1ed9t qu\u1ef5<\/h2>\n
\u0110\u1ed9t qu\u1ef5 c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i c\u00e1c di ch\u1ee9ng trong qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c. C\u00e1c di ch\u1ee9ng ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i \u0111\u1ed9t qu\u1ef5 m\u1eafc ph\u1ea3i, m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng. C\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea th\u00eam c\u00e1c thu\u1ed1c kh\u00e1c sau \u0111\u1ed9t qu\u1ef5 nh\u01b0:<\/p>\n
Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m: Tr\u1ea7m c\u1ea3m ho\u1eb7c lo l\u1eafng qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 g\u1eb7p sau \u0111\u1ed9t qu\u1ef5. Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 c\u01a1 ch\u1ebf l\u00e0 \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu serotonin c\u00f3 ch\u1ecdn l\u1ecdc th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng nh\u1ea5t nh\u01b0 Citalopram (Celexa), Fluoxetine (Prozac, Rapiflux ),\u00a0 Sertraline (Zoloft ).<\/p>\n
Thu\u1ed1c gi\u1ea3m \u0111au trung \u01b0\u01a1ng: B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111au nh\u1ee9c trong c\u01a1 th\u1ec3 sau khi \u0111\u1ed9t qu\u1ef5. Thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng c\u00f3 th\u1ec3 l\u00e0 amitriptyline – m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m, ho\u1eb7c lamotrigine – m\u1ed9t lo\u1ea1i thu\u1ed1c ch\u1ed1ng co gi\u1eadt .<\/p>\n
Th\u1ef1c ph\u1ea9m b\u1ed5 sung cho ng\u01b0\u1eddi lo\u00e3ng x\u01b0\u01a1ng: Sau c\u01a1n \u0111\u1ee3t qu\u1ef5 c\u00f3 th\u1ec3 d\u1ec5 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb b\u1ea1n b\u1ed5 sung canxi v\u00e0 vitamin D v\u00e0 c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u1ec3 gi\u1eef cho x\u01b0\u01a1ng c\u1ee7a b\u1ea1n ch\u1eafc kh\u1ecfe.<\/p>\n
Thu\u1ed1c ch\u1ed1ng co th\u1eaft c\u01a1: M\u1ed9t c\u01a1n \u0111\u1ed9t qu\u1ef5 c\u00f3 th\u1ec3 khi\u1ebfn c\u01a1 b\u1ecb co c\u1ee9ng. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam m\u1ed9t li\u1ec1u \u0111\u1ed9c t\u1ed1 botulinum (Botox) v\u00e0o c\u01a1 b\u1ecb \u1ea3nh h\u01b0\u1edfng ho\u1eb7c d\u00f9ng thu\u1ed1c k\u00ea \u0111\u01a1n thu\u1ed1c \u0111\u1ec3 gi\u1ea3m co th\u1eaft v\u00e0 chu\u1ed9t r\u00fat.<\/p>\n
D\u00f9ng thu\u1ed1c bao l\u00e2u sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5?<\/h2>\n
\u0110i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t c\u1ea7n bi\u1ebft v\u1ec1 \u0111\u1ed9t qu\u1ef5 l\u00e0 c\u00f3 r\u1ea5t nhi\u1ec1u lo\u1ea1i do c\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau v\u00e0 x\u1ea3y ra \u1edf c\u00e1c ph\u1ea7n kh\u00e1c nhau c\u1ee7a n\u00e3o b\u1ed9. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c l\u00e0m r\u1ea5t nhi\u1ec1u x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi thi\u1ebft l\u1eadp k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb, bao g\u1ed3m thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng v\u00e0 d\u00f9ng thu\u1ed1c trong m\u1ed9t kho\u1ea3ng th\u1eddi gian.<\/p>\n
M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ec9 c\u1ea7n d\u00f9ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c trong v\u00e0i th\u00e1ng. C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c d\u00f9ng trong nhi\u1ec1u n\u0103m sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5. C\u0169ng c\u00f3 th\u1ec3 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi s\u1ebd s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c l\u00e2u d\u00e0i. B\u1ec7nh nh\u00e2n n\u00ean tu\u00e2n th\u1ee7 l\u1ecbch ki\u1ec3m tra c\u00e1c x\u00e9t nghi\u1ec7m do b\u00e1c s\u0129 \u0111\u1ec1 ngh\u1ecb. C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y s\u1ebd gi\u00fap h\u1ecd quy\u1ebft \u0111\u1ecbnh n\u00ean ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c trong bao l\u00e2u.<\/p>\n
N\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u00e3 \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n thu\u1ed1c cho c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, c\u00f3 th\u1ec3 d\u00f9ng ch\u00fang l\u00e2u d\u00e0i. Nh\u1eefng t\u00ecnh tr\u1ea1ng kh\u00e1c n\u00e0y th\u01b0\u1eddng m\u00e3n t\u00ednh v\u00e0 th\u01b0\u1eddng ph\u1ea3i \u0111i\u1ec1u tr\u1ecb su\u1ed1t \u0111\u1eddi.<\/p>\n
$\"D\u00f9ng$
D\u00f9ng thu\u1ed1c bao l\u00e2u sau khi b\u1ecb \u0111\u1ed9t qu\u1ef5?<\/figcaption><\/figure>\n
\u0110i\u1ec1u g\u00ec x\u1ea3y ra n\u1ebfu ng\u1eebng d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sau \u0111\u1ed9t qu\u1ef5?<\/h2>\n
N\u1ebfu ng\u1eebng d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb sau \u0111\u1ed9t qu\u1ef5 m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a chuy\u00ean gia, \u0111i\u1ec1u \u0111\u00f3 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb \u0111\u1ed9t qu\u1ef5 kh\u00e1c. \u0110\u1eebng ng\u1eebng d\u00f9ng thu\u1ed1c tr\u1eeb khi c\u00f3 s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129. N\u1ebfu b\u1ec7nh nh\u00e2n \u0111ang g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f3 ch\u1ecbu, h\u00e3y cho b\u00e1c s\u0129 bi\u1ebft \u0111\u1ec3 nghi\u00ean c\u1ee9u v\u00e0 \u0111\u1ec1 xu\u1ea5t c\u00e1c c\u00e1ch \u0111\u1ec3 gi\u1ea3m b\u1edbt nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y m\u00e0 kh\u00f4ng c\u1ea7n ng\u1eebng ho\u00e0n to\u00e0n thu\u1ed1c.<\/p>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
\n
T\u00e1c gi\u1ea3 Timothy Aungst, PharmD (Ng\u00e0y \u0111\u0103ng 24 th\u00e1ng 11 n\u0103m 2021). What Medications Are Usually Prescribed After Having a Stroke?<\/a>, GoodRx. Truy c\u1eadp ng\u00e0y 8 th\u00e1ng 4 n\u0103m 2022<\/li>\n
T\u00e1c gi\u1ea3 Barbara Brody (Ng\u00e0y \u0111\u0103ng 28 th\u00e1ng 2 n\u0103m 2022).<\/span> What Meds Do You Need to Take After a Stroke?<\/a>, WebMD. Truy c\u1eadp ng\u00e0y 8 th\u00e1ng 4 n\u0103m 2022\u00a0<\/span><\/li>\n
D\u01b0\u1ee3c s\u0129 Nguy\u1ec5n Minh Anh (Ng\u00e0y \u0111\u0103ng 1 th\u00e1ng 4 n\u0103m 2022). Thu\u1ed1c Ch\u1ed1ng \u0110\u1ed9t Qu\u1ef5 (Tai Bi\u1ebfn M\u1ea1ch M\u00e1u N\u00e3o) Hi\u1ec7u Qu\u1ea3 Nh\u1ea5t<\/a>. Truy c\u1eadp ng\u00e0y 8 th\u00e1ng 4 n\u0103m 2022<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
M\u1ed9t v\u00e0i th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 \u0111\u1ed9t qu\u1ef5 v\u00e0 l\u00fd do s\u1eed d\u1ee5ng thu\u1ed1c sau \u0111\u1ed9t qu\u1ef5 \u0110\u1ed9t qu\u1ef5 x\u1ea3y ra khi m\u00e1u kh\u00f4ng l\u01b0u th\u00f4ng trong n\u00e3o, g\u00e2y ra t\u00ecnh tr\u1ea1ng kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 oxy v\u00e0 ch\u1ea5t dinh d\u01b0\u1ee1ng \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o n\u00e3o, d\u1eabn \u0111\u1ebfn ch\u1ebft n\u00e3o. Do \u0111\u00f3, h\u1eadu qu\u1ea3 […]\n","protected":false},"author":1,"featured_media":32209,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-32208","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\/32208","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=32208"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/32208\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/32209"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=32208"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=32208"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=32208"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}