{"id":4562,"date":"2019-03-15T00:31:52","date_gmt":"2019-03-14T17:31:52","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=4562"},"modified":"2019-03-15T00:31:52","modified_gmt":"2019-03-14T17:31:52","slug":"dieu-tri-benh-nhan-dau-that-nguc","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/dieu-tri-benh-nhan-dau-that-nguc\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n \u0111au th\u1eaft ng\u1ef1c"},"content":{"rendered":"

Ca l\u00e2m s\u00e0ng<\/h2>\n

B\u1ec7nh nh\u00e2n nam, 61 tu\u1ed5i, ti\u1ec1n s\u1eed b\u1ec7nh m\u1ea1ch v\u00e0nh, bi\u1ec3u hi\u1ec7n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh khi g\u1eafng s\u1ee9c m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng atorvastatin v\u00e0 aspirin. Huy\u1ebft \u00e1p hi\u1ec7n \u0111o \u0111\u01b0\u1ee3c l\u00e0 142\/76 mmHg, nh\u1ecbp tim \u0111\u1ec1u 80 l\u1ea7n\/ ph\u00fat, n\u1ed3ng \u0111\u1ed9 LDL cholesterol l\u00fac \u0111\u00f3i l\u00e0 65 mg\/dL (gi\u00e1 tr\u1ecb tham chi\u1ebfu <130).<\/p>\n

Thu\u1ed1c n\u00e0o sau \u0111\u00e2y l\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n n\u00e0y?<\/h2>\n

A. Metoprolol
\nB. Lisinopril
\nC. Isosorbide dinitrate
\nD. Candesartan
\nE. Diltiazem<\/p>\n

\u0110\u00e1p \u00e1n: A.<\/h2>\n

\u0110i\u1ec3m m\u1ea5u ch\u1ed1t: Ngo\u00e0i aspirin v\u00e0 statin, thu\u1ed1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o th\u01b0\u1eddng qui cho b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea1ch v\u00e0nh l\u00e0 ch\u1eb9n beta giao c\u1ea3m.<\/p>\n

Gi\u1ea3i th\u00edch chi ti\u1ebft:<\/h3>\n

Ch\u1eb9n beta l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u tay cho b\u1ec7nh nh\u00e2n b\u1ec7nh m\u1ea1ch v\u00e0nh c\u00f3 tri\u1ec7u ch\u1ee9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 k\u00e8m theo t\u0103ng huy\u1ebft \u00e1p. Thu\u1ed1c ch\u1eb9n beta l\u00e0m gi\u1ea3m nhu c\u1ea7u oxy c\u01a1 tim th\u00f4ng qua h\u1ea1 huy\u1ebft \u00e1p, gi\u1ea3m nh\u1ecbp tim v\u00e0 gi\u1ea3m l\u1ef1c co c\u01a1 tim.<\/p>\n

C\u00f3 th\u1ec3 cho th\u00eam c\u00e1c nitrate t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i (nh\u01b0 isosorbide dinitrate v\u00e0 isosorbide mononitrate) v\u00e0 thu\u1ed1c ch\u1eb9n k\u00eanh calci (nh\u01b0 diltiazem) n\u1ebfu thu\u1ed1c ch\u1eb9n beta kh\u00f4ng \u0111\u1ee7 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 ki\u1ec3m so\u00e1t \u0111au th\u1eaft ng\u1ef1c.<\/p>\n

C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf enzyme chuy\u1ec3n angiotensin (nh\u01b0 lisinopril) v\u00e0 \u0111\u1ed1i kh\u00e1ng th\u1ee5 th\u1ec3 angiotensin (nh\u01b0 candesartan) l\u00e0 c\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 h\u1eefu \u00edch \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n t\u0103ng huy\u1ebft \u00e1p k\u00e8m suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i, nh\u01b0ng kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111au ng\u1ef1c. C\u00f2n nhi\u1ec1u tranh c\u00e3i v\u1ec1 t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c n\u00e0y trong l\u00e0m gi\u1ea3m t\u1ea7n su\u1ea5t m\u1eafc m\u1edbi nh\u1ed3i m\u00e1u c\u01a1 tim m\u1ed9t c\u00e1ch \u0111\u1ed9c l\u1eadp v\u1edbi t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n

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Ca l\u00e2m s\u00e0ng B\u1ec7nh nh\u00e2n nam, 61 tu\u1ed5i, ti\u1ec1n s\u1eed b\u1ec7nh m\u1ea1ch v\u00e0nh, bi\u1ec3u hi\u1ec7n \u0111au th\u1eaft ng\u1ef1c \u1ed5n \u0111\u1ecbnh khi g\u1eafng s\u1ee9c m\u1eb7c d\u00f9 \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng atorvastatin v\u00e0 aspirin. Huy\u1ebft \u00e1p hi\u1ec7n \u0111o \u0111\u01b0\u1ee3c l\u00e0 142\/76 mmHg, nh\u1ecbp tim \u0111\u1ec1u 80 l\u1ea7n\/ ph\u00fat, n\u1ed3ng \u0111\u1ed9 LDL cholesterol l\u00fac \u0111\u00f3i l\u00e0 65 […]\n","protected":false},"author":1,"featured_media":4563,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-4562","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\/4562","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=4562"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/4562\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4563"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=4562"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=4562"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=4562"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}