{"id":5009,"date":"2019-03-18T20:12:59","date_gmt":"2019-03-18T13:12:59","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5009"},"modified":"2023-09-07T07:35:36","modified_gmt":"2023-09-07T00:35:36","slug":"adverse-reaction","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/adverse-reaction\/","title":{"rendered":"ADVERSE REACTION"},"content":{"rendered":"

H\u00f4m nay m\u00ecnh d\u00e0nh th\u1eddi gian \u0111\u00ednh ch\u00ednh v\u00e0 l\u00e0m r\u00f5 h\u01a1n chuy\u1ec7n ADVERSE REACTION m\u00e0 m\u00ecnh \u0111\u00e3 b\u1ecb m\u1ed9t b\u1ea1n s\u1eeda l\u01b0ng ng\u00e0y h\u00f4m tr\u01b0\u1edbc.<\/h2>\n

V\u00ec b\u00e0i vi\u1ebft n\u00e0y mang h\u01a1i h\u01b0\u1edbng chuy\u00ean ng\u00e0nh h\u01a1i kh\u00f4 khan m\u1ed9t ch\u00fat n\u00ean m\u00ecnh xin k\u1ec3 m\u1ed9t c\u00e2u chuy\u1ec7n c\u01b0\u1eddi tr\u01b0\u1edbc cho \u0111\u1ee1 bu\u1ed3n ng\u1ee7 hen.<\/p>\n

\u1ede x\u00f3m n\u1ecd, c\u00f3 ba anh em ru\u1ed9t \u1edf chung v\u1edbi nhau. Ng\u01b0\u1eddi anh l\u1edbn b\u00e1n d\u00f9, ng\u01b0\u1eddi th\u1ee9 hai b\u00e1n n\u00f3n, c\u00f2n ng\u01b0\u1eddi em \u00fat b\u00e1n kem. Sau v\u00e0i n\u0103m bu\u00f4n b\u00e1n v\u00e0 so s\u00e1nh thu nh\u1eadp h\u1ecd \u0111\u1ec3 \u00fd th\u1ea5y m\u1ed9t chuy\u1ec7n r\u1ea5t l\u1ea1. \u0110\u00f3 l\u00e0 c\u1ee9 m\u1ed7i khi thu nh\u1eadp c\u1ee7a ng\u01b0\u1eddi b\u00e1n n\u00f3n t\u0103ng th\u00ec thu nh\u1eadp c\u1ee7a ng\u01b0\u1eddi b\u00e1n kem c\u0169ng t\u0103ng theo c\u00f2n thu nh\u1eadp c\u1ee7a ng\u01b0\u1eddi b\u00e1n d\u00f9 l\u1ea1i gi\u1ea3m \u0111i. Ng\u01b0\u1ee3c l\u1ea1i, c\u1ee9 m\u1ed7i khi thu nh\u1eadp c\u1ee7a ng\u01b0\u1eddi b\u00e1n d\u00f9 t\u0103ng l\u00ean th\u00ec thu nh\u1eadp c\u1ee7a c\u1ea3 hai ng\u01b0\u1eddi b\u00e1n n\u00f3n v\u00e0 b\u00e1n kem \u0111\u1ec1u gi\u1ea3m xu\u1ed1ng.<\/p>\n

M\u1ed9t h\u00f4m ng\u01b0\u1eddi anh hai b\u00e1n d\u00f9 sau c\u1ea3 tu\u1ea7n li\u00ean ti\u1ebfp \u1ebf \u1ea9m n\u00ean n\u1ed5i kh\u00f9ng ch\u1eedi hai \u00f4ng em: \u201cT\u1ea1i t\u1ee5i b\u00e2y d\u1ee5 d\u1ed7 m\u00e0 ng\u01b0\u1eddi ta \u0111\u1ed5 x\u00f4 \u0111i mua n\u00f3n v\u1edbi mua kem r\u1ed3i kh\u00f4ng th\u00e8m mua d\u00f9 c\u1ee7a tao. B\u1eefa sau \u0111i ch\u1ed7 kh\u00e1c b\u00e1n \u0111i. \u0110\u1eebng c\u00f3 x\u1edb r\u1edb l\u1ea1i g\u1ea7n tao\u201d<\/p>\n

Hai \u00f4ng em c\u0169ng kh\u00f4ng v\u1eeba: \u201cAnh \u0111\u1eebng c\u00f3 v\u00f4 duy\u00ean. \u1ef6 l\u00e0m anh r\u1ed3i mu\u1ed1n n\u00f3i g\u00ec th\u00ec n\u00f3i h\u1ea3?\u201d<\/p>\n

C\u00e3i nhau r\u1ea7n r\u1ea7n m\u1ed9t ch\u1eadp kh\u00f4ng ai ch\u1ecbu ai n\u00ean c\u1ea3 ba m\u1edbi quy\u1ebft \u0111\u1ecbnh c\u00e1 \u0111\u1ed9 v\u1edbi nhau. H\u1ecd c\u00e1 r\u1eb1ng ng\u00e0y h\u00f4m sau hai ng\u01b0\u1eddi em ngh\u1ec9 \u1edf nh\u00e0 nh\u1eadu v\u1edbi nhau, \u0111\u1ec3 m\u1ed9t m\u00ecnh \u00f4ng anh b\u00e1n d\u00f9 \u0111i l\u00e0m th\u00f4i. N\u1ebfu nh\u01b0 anh ta v\u1eabn kh\u00f4ng b\u00e1n \u0111\u01b0\u1ee3c c\u00e2y d\u00f9 n\u00e0o th\u00ec \u0111\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ed7i c\u1ee7a hai ng\u01b0\u1eddi em.<\/p>\n

S\u00e1ng h\u00f4m sau, ng\u01b0\u1eddi anh h\u1edbn h\u1edf \u0111i l\u00e0m l\u00f2ng th\u1ea7m ngh\u0129 h\u00f4m nay th\u1ebf n\u00e0o c\u0169ng bu\u00f4n may b\u00e1n \u0111\u1eaft v\u00ec \u0111\u00e3 b\u1eaft hai th\u1eb1ng \u00f4n v\u1eadt \u1edf nh\u00e0 \u0111\u01b0\u1ee3c r\u1ed3i. Nh\u01b0ng anh ta ch\u1edd m\u00e3i, ch\u1edd m\u00e3i c\u0169ng kh\u00f4ng th\u1ea5y ai \u0111\u1ebfn mua d\u00f9. \u0110\u1ebfn t\u1ed1i, anh ta tiu ngh\u1ec9u v\u1ec1 nh\u00e0 n\u00f3i v\u1edbi hai ng\u01b0\u1eddi em: \u201c\u1edc, t\u1ee5i b\u00e2y \u0111\u00fang r\u1ed3i. L\u1ed7i kh\u00f4ng ph\u1ea3i c\u1ee7a t\u1ee5i b\u00e2y\u201d
\nHai ng\u01b0\u1eddi em \u0111ang ng\u1ed3i nh\u1eadu \u0111\u1eafc th\u1eafng c\u1ee5ng ly v\u1edbi nhau r\u00f4m r\u1ed1p. Ng\u01b0\u1eddi b\u00e1n n\u00f3n m\u1edbi n\u00f3i v\u1edbi ng\u01b0\u1eddi b\u00e1n kem:<\/p>\n

\u201cM\u00e0y th\u1ea5y kh\u00f4ng. Tao n\u00f3i r\u1ed3i m\u00e0. Gi\u1edd th\u1eb1ng ch\u1ea3 h\u1ebft c\u00e3i ngang r\u1ed3i.\u201d<\/p>\n

\u201c\u1edc, anh ba hay qu\u00e1 ch\u1eebng. T\u1eeb gi\u1edd v\u1ec1 sau m\u00ecnh ph\u1ea3i li\u00ean k\u1ebft l\u1ea1i. \u0110\u1eebng \u0111\u1ec3 th\u1eb1ng ch\u1ea3 b\u1eaft n\u1ea1t n\u1eefa\u201d<\/p>\n

\u201c\u0110\u01b0\u01a1ng nhi\u00ean r\u1ed3i. Ph\u1ea3i li\u00ean k\u1ebft l\u1ea1i m\u1edbi l\u00e0m \u0103n \u0111\u01b0\u1ee3c ch\u1edb. C\u0169ng nh\u1edd ng\u01b0\u1eddi ta mua n\u00f3n c\u1ee7a tao n\u00ean m\u1edbi quay sang mua kem c\u1ee7a m\u00e0y m\u00e0. Mai m\u1ed1t nh\u1edb tr\u1ea3 hoa h\u1ed3ng cho tao nha\u201d<\/p>\n

\u201cAnh ba n\u00f3i g\u00ec k\u1ef3 v\u1eady. T\u1ea1i ng\u01b0\u1eddi ta \u0103n kem c\u1ee7a em xong n\u00ean m\u1edbi quay sang mua n\u00f3n c\u1ee7a anh ba m\u1edbi \u0111\u00fang ch\u1edb\u201d<\/p>\n

\u201cB\u1eady m\u00e0y. T\u1ee5i n\u00f3 mua n\u00f3n tr\u01b0\u1edbc m\u1edbi \u0111i \u0103n kem\u201d<\/p>\n

V\u1eady l\u00e0 hai \u00f4ng em c\u00e3i nhau r\u1ea7n tr\u1eddi th\u00eam m\u1ed9t ch\u1eadp n\u1eefa r\u1ed3i cu\u1ed1i c\u00f9ng quy\u1ebft \u0111\u1ecbnh c\u00e1 \u0111\u1ed9 th\u00eam m\u1ed9t l\u1ea7n n\u1eefa. H\u1ecd c\u00e1 r\u1eb1ng b\u00e2y gi\u1edd hai ng\u01b0\u1eddi chia nhau \u0111i b\u00e1n. Ng\u00e0y h\u00f4m nay th\u00ec ng\u01b0\u1eddi n\u00e0y b\u00e1n r\u1ed3i ng\u00e0y mai th\u00ec ng\u01b0\u1eddi kia b\u00e1n r\u1ed3i so s\u00e1nh thu nh\u1eadp coi sao.<\/p>\n

Ng\u00e0y \u0111\u1ea7u ti\u00ean, \u00f4ng anh ba mang n\u00f3n ra b\u00e1n \u0111\u1ebfn t\u1ed1i v\u1ec1 c\u01b0\u1eddi ha h\u1ea3 th\u1ea3y m\u1ed9t c\u1ecdc ti\u1ec1n tr\u01b0\u1edbc m\u1eb7t \u00f4ng em.<\/p>\n

\u201cTh\u1ea5y ch\u01b0a con. M\u00e0y x\u1ea1o h\u1ea3? Ng\u01b0\u1eddi ta mua n\u00f3n c\u1ee7a tao r\u1ea7n tr\u1eddi \u0111\u00e2u c\u00f3 c\u1ea7n t\u1edbi ba c\u00e2y kem to\u00e0n \u0111\u01b0\u1eddng h\u00f3a h\u1ecdc c\u1ee7a m\u00e0y \u0111\u00e2u. Ch\u1ebft m\u00e0y ch\u01b0a. Ng\u00e0y mai kh\u00f4ng c\u00f3 tao b\u00e1n n\u00f3n l\u00e0 \u0103n kem tr\u1eeb c\u01a1m nghen con\u201d<\/p>\n

Ng\u00e0y h\u00f4m sau \u00f4ng em \u00fat h\u1eadm h\u1ef1c \u0111\u1ea9y xe kem \u0111i b\u00e1n nh\u01b0ng b\u00e1n ch\u01b0a \u0111\u1ebfn chi\u1ec1u th\u00ec \u0111\u00e3 \u0111\u1ea9y xe kem r\u1ed7ng kh\u00f4ng v\u1ec1 c\u01b0\u1eddi ha h\u1ea3 th\u1ea3y m\u1ed9t c\u1ecdc ti\u1ec1n tr\u01b0\u1edbc m\u1eb7t \u00f4ng anh ba.<\/p>\n

\u201c\u00d4ng th\u1ea5y ch\u01b0a. Tui b\u00e1n h\u1ebft kem lu\u00f4n r\u1ed3i n\u00e8. Ai m\u00e0 c\u1ea7n ba c\u00e1i n\u00f3n c\u1ee7a \u00f4ng \u0111\u00e2u m\u00e0 \u00f4ng x\u1ea1o x\u1ea1o v\u1edbi tui\u201d<\/p>\n

\u00d4ng anh hai nh\u00ecn th\u1ea5y v\u1eady m\u1edbi g\u00e3i \u0111\u1ea7u: \u201c\u1ee6a sao k\u1ef3 v\u1eady c\u00e0? V\u1eady cu\u1ed1i c\u00f9ng l\u00e0 t\u1ea1i sao c\u1ee9 m\u1ed7i l\u1ea7n tao kh\u00f4ng b\u00e1n \u0111\u01b0\u1ee3c d\u00f9 th\u00ec t\u1ee5i b\u00e2y l\u1ea1i b\u00e1n \u0111\u01b0\u1ee3c n\u00f3n v\u1edbi kem c\u00f2n l\u00fac tao b\u00e1n \u0111\u01b0\u1ee3c d\u00f9 th\u00ec t\u1ee5i b\u00e2y l\u1ea1i \u1ebf ch\u1ecfng tr\u01a1? Hay \u00f4ng b\u00e0 ph\u00f9 h\u1ed9 m\u1ea5y anh em m\u00ecnh \u0111\u1ec3 l\u00fac n\u00e0o c\u0169ng c\u00f3 th\u1eb1ng ki\u1ebfm ra ti\u1ec1n cho kh\u00f4ng b\u1ecb ch\u1ebft \u0111\u00f3i?\u201d
\nBa ng\u01b0\u1eddi \u0111ang ng\u1ed3i tr\u1ea7m t\u01b0 suy ngh\u0129 th\u00ec d\u00ec S\u00e1u h\u00e0ng x\u00f3m phe ph\u1ea9y qu\u1ea1t qua ch\u01a1i. Nghe h\u1ebft c\u00e2u chuy\u1ec7n d\u00ec xoay ng\u01b0\u1ee3c c\u00e1n qu\u1ea1t \u0111\u1eadp v\u00f4 \u0111\u1ea7u ba anh em m\u1ed7i ng\u01b0\u1eddi m\u1ed9t c\u00e1i:<\/p>\n

\u201cB\u00e0 n\u1ed9i cha ba c\u00e1i th\u1eb1ng kh\u00f9ng. T\u1ee5i b\u00e2y kh\u00f4ng th\u1ea5y m\u1ea5y b\u1eefa nay tr\u1eddi n\u1eafng n\u00f3ng th\u1ea5y m\u1ee5 n\u1ed9i h\u1ea3? M\u00e0 tr\u1eddi n\u1eafng th\u00ec ng\u01b0\u1eddi ta kho\u00e1i \u0103n kem v\u1edbi mua n\u00f3n \u0111\u1ed9i ch\u1ee9 ai m\u00e0 mua d\u00f9 l\u00e0m chi. B\u1edfi v\u1eady th\u1eb1ng Ba v\u1edbi th\u1eb1ng T\u01b0 m\u1edbi b\u00e1n \u0111\u01b0\u1ee3c n\u00f3n v\u1edbi kem c\u00f2n th\u1eb1ng Hai \u1ebf ch\u1ecfng g\u1ecdng l\u00e0 \u0111\u00fang r\u1ed3i. C\u00f2n l\u00fac tr\u1eddi m\u01b0a th\u00ec l\u1ea1nh th\u1ea5y b\u00e0 th\u00ec ai \u0111i mua kem \u0103n l\u00e0m g\u00ec, v\u1edbi l\u1ea1i \u0111i mua n\u00f3n \u0111\u1ed9i cho n\u00f3 \u01b0\u1edbt nh\u1eb9p h\u1ea3? L\u00fac \u0111\u00f3 ng\u01b0\u1eddi ta m\u1edbi \u0111i mua d\u00f9 n\u00ean th\u1eb1ng Hai m\u1edbi b\u00e1n \u0111\u01b0\u1ee3c d\u00f9 c\u00f2n th\u1eb1ng Ba v\u1edbi th\u1eb1ng T\u01b0 m\u1edbi b\u1ecb \u1ebf \u0111\u00f3. Hi\u1ec3u ch\u01b0a m\u1ea5y th\u1eb1ng \u00f4ng n\u1ed9i?\u201d<\/p>\n

C\u1ea3 ba anh em l\u00fac \u0111\u00f3 m\u1edbi v\u1ee1 l\u1ebd.<\/p>\n

Th\u1eadt ra c\u1ea3 ba anh em m\u1ea5y ng\u00e0y v\u1eeba qua \u0111\u00e3 l\u00e0m m\u1ed9t lo\u1ea1t c\u00e1c nghi\u00ean c\u1ee9u th\u1ed1ng k\u00ea. S\u1ed1 l\u01b0\u1ee3ng m\u0169 \u0111\u1ed9i \u0111\u1ea7u, s\u1ed1 l\u01b0\u1ee3ng d\u00f9, v\u00e0 s\u1ed1 l\u01b0\u1ee3ng c\u00e2y kem b\u00e1n \u0111\u01b0\u1ee3c c\u00f3 m\u1ed1i li\u00ean h\u1ec7 correlation v\u1edbi nhau th\u00ec r\u00f5 r\u1ed3i. V\u00ec c\u1ee9 m\u1ed7i khi s\u1ed1 m\u0169 \u0111\u1ed9i \u0111\u1ea7u v\u00e0 s\u1ed1 c\u00e2y kem b\u00e1n ra t\u0103ng th\u00ec s\u1ed1 l\u01b0\u1ee3ng d\u00f9 gi\u1ea3m v\u00e0 ng\u01b0\u1ee3c l\u1ea1i m\u1ed7i khi s\u1ed1 l\u01b0\u1ee3ng m\u0169 \u0111\u1ed9i \u0111\u1ea7u v\u00e0 s\u1ed1 c\u00e2y kem b\u00e1n ra gi\u1ea3m th\u00ec s\u1ed1 l\u01b0\u1ee3ng d\u00f9 b\u00e1n ra l\u1ea1i t\u0103ng l\u00ean. L\u00fac n\u00e0o c\u0169ng v\u1eady, 1 n\u0103m, 5 n\u0103m, hay 10 n\u0103m sau n\u00f3 v\u1eabn l\u00e0 nh\u01b0 v\u1eady.<\/p>\n

N\u00f3i ti\u1ebfp th\u00eam ch\u00fat n\u1eefa v\u1ec1 th\u1ed1ng k\u00ea cho b\u1ea1n n\u00e0o t\u00f2 m\u00f2.<\/p>\n

Ng\u01b0\u1eddi ta x\u00e1c \u0111\u1ecbnh \u0111\u1ed9 m\u1ea1nh y\u1ebfu c\u1ee7a m\u1ed1i quan h\u1ec7 correlation b\u1eb1ng h\u1ec7 s\u1ed1 t\u01b0\u01a1ng quan (correlation coefficient), c\u00f3 k\u00fd hi\u1ec7u l\u00e0 r. H\u1ec7 s\u1ed1 r c\u00f3 gi\u00e1 tr\u1ecb t\u1eeb -1 \u0111\u1ebfn 1.<\/p>\n

S\u1ed1 l\u01b0\u1ee3ng m\u0169 v\u00e0 s\u1ed1 l\u01b0\u1ee3ng kem b\u00e1n ra c\u00f3 m\u1ed1i li\u00ean h\u1ec7 correlation v\u1edbi h\u1ec7 s\u1ed1 r d\u01b0\u01a1ng v\u00ec ch\u00fang t\u0103ng c\u00f9ng t\u0103ng v\u00e0 gi\u1ea3m c\u00f9ng gi\u1ea3m v\u1edbi nhau.<\/p>\n

S\u1ed1 l\u01b0\u1ee3ng kem v\u00e0 s\u1ed1 l\u01b0\u1ee3ng d\u00f9 b\u00e1n ra c\u00f3 m\u1ed1i li\u00ean h\u1ec7 correlation v\u1edbi h\u1ec7 s\u1ed1 r \u00e2m v\u00ec khi c\u00e1i n\u00e0y t\u0103ng th\u00ec c\u00e1i kia gi\u1ea3m v\u00e0 ng\u01b0\u1ee3c l\u1ea1i.<\/p>\n

N\u1ebfu r c\u00e0ng g\u1ea7n v\u1edbi 0 th\u00ec m\u1ed1i li\u00ean h\u1ec7 correlation c\u00e0ng y\u1ebfu.
\nNh\u01b0ng m\u00e0 kem, d\u00f9, v\u00e0 m\u0169 l\u1ea1i kh\u00f4ng c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation v\u1edbi nhau.<\/p>\n

T\u1ea1i sao ch\u00fang ta bi\u1ebft \u0111\u01b0\u1ee3c \u0111i\u1ec1u \u0111\u00f3?<\/p>\n

V\u00ec ch\u00fang ta v\u1eeba m\u1edbi quan s\u00e1t ba anh em l\u00e0m m\u1ed9t lo\u1ea1t c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh n\u00f3. C\u00e1c nghi\u00ean c\u1ee9u c\u1ee7a h\u1ecd l\u00e0m l\u00e0 nh\u1eefng nghi\u00ean c\u1ee9u \u0111\u1ed1i ch\u1ee9ng (controlled studies).<\/p>\n

T\u1ea1i sao l\u1ea1i g\u1ecdi l\u00e0 \u0111\u1ed1i ch\u1ee9ng?<\/p>\n

V\u00ec h\u1ecd so s\u00e1nh hai nh\u00f3m ng\u01b0\u1eddi \u0111\u1ec3 \u0111\u1ed1i ch\u1ee9ng v\u1edbi nhau.<\/p>\n

Ng\u00e0y th\u1ee9 nh\u1ea5t, ng\u01b0\u1eddi anh l\u1edbn so s\u00e1nh nh\u00f3m ng\u01b0\u1eddi kh\u00f4ng mua n\u00f3n v\u00e0 kh\u00f4ng \u0103n kem v\u00e0o ng\u00e0y h\u00f4m \u0111\u00f3 do hai ng\u01b0\u1eddi em kh\u00f4ng \u0111i b\u00e1n v\u1edbi nh\u00f3m ng\u01b0\u1eddi c\u00f3 mua n\u00f3n v\u00e0 c\u00f3 \u0103n kem \u1edf nh\u1eefng ng\u00e0y tr\u01b0\u1edbc \u0111\u00f3 \u0111\u1ec3 \u0111\u1ed1i ch\u1ee9ng. V\u00e0 anh ta nh\u1eadn ra l\u00e0 c\u1ea3 hai nh\u00f3m ng\u01b0\u1eddi n\u00e0y \u0111\u1ec1u ch\u1eb3ng ai th\u00e8m mua d\u00f9 c\u1ee7a anh ta c\u1ea3. Do \u0111\u00f3, c\u00e1i chuy\u1ec7n ng\u01b0\u1eddi ta c\u00f3 \u0103n kem v\u00e0 mua n\u00f3n hay kh\u00f4ng ch\u1eb3ng li\u00ean quan g\u00ec \u0111\u1ebfn chuy\u1ec7n mua d\u00f9 c\u1ea3.<\/p>\n

Ng\u00e0y th\u1ee9 hai, ng\u01b0\u1eddi anh th\u1ee9 hai so s\u00e1nh nh\u00f3m ng\u01b0\u1eddi kh\u00f4ng \u0103n kem v\u00e0o ng\u00e0y h\u00f4m \u0111\u00f3 do ng\u01b0\u1eddi em \u00fat kh\u00f4ng \u0111i b\u00e1n v\u1edbi nh\u00f3m ng\u01b0\u1eddi c\u00f3 \u0103n kem \u1edf nh\u1eefng ng\u00e0y tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 nh\u1eadn ra l\u00e0 c\u1ea3 hai nh\u00f3m ng\u01b0\u1eddi n\u00e0y v\u1eabn mua n\u00f3n c\u1ee7a anh ta \u0111\u1ec1u \u0111\u1ec1u. Do \u0111\u00f3, anh ta r\u00fat ra k\u1ebft lu\u1eadn l\u00e0 c\u00e1i chuy\u1ec7n ng\u01b0\u1eddi ta c\u00f3 \u0103n kem hay kh\u00f4ng th\u00ec c\u0169ng ch\u1eb3ng li\u00ean quan g\u00ec \u0111\u1ebfn chuy\u1ec7n mua n\u00f3n c\u1ea3.<\/p>\n

Ng\u00e0y th\u1ee9 ba, ng\u01b0\u1eddi em \u00fat so s\u00e1nh nh\u00f3m ng\u01b0\u1eddi kh\u00f4ng mua n\u00f3n ng\u00e0y h\u00f4m \u0111\u00f3 do ng\u01b0\u1eddi anh th\u1ee9 hai kh\u00f4ng \u0111i b\u00e1n v\u1edbi nh\u00f3m ng\u01b0\u1eddi c\u00f3 mua n\u00f3n \u1edf nh\u1eefng ng\u00e0y tr\u01b0\u1edbc \u0111\u00f3 v\u00e0 nh\u1eadn ra l\u00e0 c\u1ea3 hai nh\u00f3m ng\u01b0\u1eddi n\u00e0y v\u1eabn c\u1ee9 mua kem c\u1ee7a anh ta \u0103n \u00e0o \u00e0o. Do \u0111\u00f3, anh ta r\u00fat ra k\u1ebft lu\u1eadn l\u00e0 c\u00e1i chuy\u1ec7n ng\u01b0\u1eddi ta c\u00f3 mua n\u00f3n hay kh\u00f4ng th\u00ec c\u0169ng ch\u1eb3ng li\u00ean quan g\u00ec \u0111\u1ebfn chuy\u1ec7n \u0103n kem c\u1ea3.<\/p>\n

Cu\u1ed1i c\u00f9ng h\u1ecd nh\u1eadn ra l\u00e0 ch\u1eb3ng c\u00f3 c\u00e1i g\u00ec g\u00e2y ra c\u00e1i g\u00ec c\u1ea3. C\u1ea3 ba kh\u00f4ng c\u00f3 c\u00e1i n\u00e0o c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation v\u1edbi c\u00e1i n\u00e0o. \u0110\u1ebfn khi d\u00ec S\u00e1u \u0111i qua gi\u1ea3ng gi\u1ea3i th\u00ec ba anh em m\u1edbi bi\u1ebft l\u00e0 c\u1ea3 ba c\u00e1i d\u00f9, kem, v\u00e0 n\u00f3n \u0111\u1ec1u c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation v\u1edbi m\u1ed9t y\u1ebfu t\u1ed1 m\u00e0 h\u1ecd kh\u00f4ng ph\u00e1t hi\u1ec7n ra \u0111\u01b0\u1ee3c: \u0111\u00f3 l\u00e0 th\u1eddi ti\u1ebft.<\/p>\n

Th\u1ef1c t\u1ebf c\u01a1 th\u1ec3 con ng\u01b0\u1eddi c\u00f2n ph\u1ee9c t\u1ea1p h\u01a1n r\u1ea5t nhi\u1ec1u l\u1ea7n so v\u1edbi m\u1ea5y c\u00e1i d\u00f9, kem, n\u00f3n n\u1eefa n\u00ean c\u00e1c nh\u00e0 khoa h\u1ecdc c\u1ee9 ph\u1ea3i th\u1ef1c hi\u1ec7n h\u1ebft nghi\u00ean c\u1ee9u n\u00e0y \u0111\u1ebfn nghi\u00ean c\u1ee9u kh\u00e1c \u0111\u1ec3 ph\u00e1t hi\u1ec7n ra nh\u1eefng m\u1ed1i quan h\u1ec7 ki\u1ec3u n\u00e0y. Ch\u1ee9 kh\u00f4ng c\u00f3 ai l\u00fd lu\u1eadn theo c\u00e1i ki\u1ec3u l\u00e0 \u201cTr\u1ebb m\u1edbi sinh ra kh\u00f4ng \u0103n u\u1ed1ng g\u00ec h\u1ebft, ch\u1ec9 b\u00fa s\u1eefa m\u1eb9 v\u00e0 ch\u00edch vaccine th\u00f4i n\u00ean t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i b\u1ec7nh kh\u1ec9 gi\u00f3 g\u00ec \u0111\u00f3 \u0111\u1ec1u l\u00e0 do vaccine h\u1ebft\u201d nh\u01b0 c\u00e1c th\u00e1nh \u0111\u00e2u.<\/p>\n

R\u1ed3i, b\u00e2y gi\u1edd m\u00ecnh quay l\u1ea1i v\u1ee5 Adverse Reaction nhen.<\/h2>\n

\u0110\u00e2y l\u00e0 ph\u1ea7n m\u00ecnh nh\u1ea7m l\u1eabn v\u00e0 \u0111\u00e3 b\u1ecb s\u1eeda l\u01b0ng ng\u00e0y h\u00f4m tr\u01b0\u1edbc. M\u00ecnh vi\u1ebft l\u1ea1i nh\u01b0ng s\u1ebd gi\u1eef nguy\u00ean b\u00e0i vi\u1ebft g\u1ed1c trong v\u00f2ng 24 gi\u1edd t\u1edbi r\u1ed3i m\u1edbi th\u00eam ph\u1ea7n \u0111\u00ednh ch\u00ednh n\u00e0y v\u00e0o \u0111\u1ec3 c\u00e1c b\u1ea1n c\u00f3 c\u01a1 s\u1edf so s\u00e1nh l\u00e0 b\u00e0i c\u0169 sai ch\u1ed7 n\u00e0o.<\/p>\n

Link b\u00e0i vi\u1ebft g\u1ed1c \u1edf \u0111\u00e2y:<\/p>\n

M\u00ecnh hy v\u1ecdng \u0111\u00e2y s\u1ebd l\u00e0 b\u00e0i h\u1ecdc cho m\u00ecnh v\u00e0 r\u1ea5t mong nh\u1eefng b\u1ea1n c\u00f3 chuy\u00ean m\u00f4n, kinh nghi\u1ec7m n\u1ebfu c\u00f3 l\u01b0\u1edbt qua nh\u1eefng b\u00e0i vi\u1ebft n\u00e0y th\u1ea5y m\u00ecnh c\u00f3 g\u00ec sai th\u00ec c\u1ee9 vi\u1ec7c nh\u1eafc nh\u1edf.<\/p>\n

Tr\u01b0\u1edbc ti\u00ean c\u00e1c b\u1ea1n ph\u1ea3i hi\u1ec3u kh\u00e1i ni\u1ec7m Adverse Event v\u00e0 Adverse Reaction l\u00e0 g\u00ec.<\/p>\n

Theo FDA \u0111\u1ecbnh ngh\u0129a th\u00ec Adverse Event l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u, bi\u1ec3u hi\u1ec7n, tri\u1ec7u ch\u1ee9ng c\u00f3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, b\u1ea5t k\u1ec3 l\u00e0 n\u00f3 c\u00f3 m\u1ed1i quan h\u1ec7 causation hay kh\u00f4ng.<\/p>\n

Adverse Reaction l\u00e0 nh\u1eefng d\u1ea5u hi\u1ec7u, bi\u1ec3u hi\u1ec7n, tri\u1ec7u ch\u1ee9ng c\u00f3 m\u1ed1i quan h\u1ec7 causation \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n

N\u00f3i theo to\u00e1n h\u1ecdc th\u00ec Adverse Reaction l\u00e0 t\u1eadp h\u1ee3p con c\u1ee7a Adverse Event. Adverse Event l\u00e0 t\u1ea5t c\u1ea3 nh\u1eefng d\u1ea5u hi\u1ec7u, bi\u1ec3u hi\u1ec7n, tri\u1ec7u ch\u1ee9ng c\u00f3 m\u1ed1i li\u00ean h\u1ec7 correlation v\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c. Tuy nhi\u00ean, trong s\u1ed1 \u0111\u00f3, ch\u1ec9 c\u00f3 nh\u1eefng lo\u1ea1i c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation m\u1edbi \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o nh\u00f3m Adverse Reaction th\u00f4i.
\nNh\u01b0 v\u1eady th\u00ec m\u1ecdi vi\u1ec7c r\u00f5 r\u00e0ng qu\u00e1 r\u1ed3i, \u0111\u00fang kh\u00f4ng b\u1ea1n?<\/p>\n

Ch\u00ednh FDA c\u0169ng \u0111\u00e3 c\u00f3 khuy\u1ebfn c\u00e1o r\u1eb1ng c\u00e1c h\u00e3ng d\u01b0\u1ee3c kh\u00f4ng n\u00ean gom h\u1ebft t\u1ea5t c\u1ea3 c\u00e1c adverse event \u0111\u1ec3 \u0111\u01b0a v\u00e0o m\u1ee5c ADVERSE REACTION.<\/h2>\n

C\u00e1c b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ecdc quy \u0111\u1ecbnh n\u00e0y \u1edf \u0111\u00e2y:\u00a0https:\/\/www.fda.gov\/downloads\/drugs\/guidancecomplianceregulatoryinformation\/guidances\/ucm075057.pdf<\/a><\/p>\n

Ho\u1eb7c c\u00e1c b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 xem ph\u1ea7n \u0111\u01b0\u1ee3c t\u00f4 \u0111\u1eadm \u1edf trong h\u00ecnh \u0111\u00ednh k\u00e8m theo b\u00e0i vi\u1ebft n\u00e0y.<\/p>\n

Tuy nhi\u00ean, cu\u1ed9c \u0111\u1eddi kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng m\u00e0u h\u1ed3ng nh\u01b0 v\u1eady.<\/p>\n

Vi\u1ec7c x\u00e1c \u0111\u1ecbnh, nh\u1eadn di\u1ec7n \u0111\u00e2u l\u00e0 Adverse Reaction v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c c\u00e1c nh\u00e0 qu\u1ea3n l\u00fd quy \u0111\u1ecbnh r\u00f5 r\u00e0ng v\u00e0 r\u1ea5t d\u1ec5 l\u00e0m m\u1ecdi ng\u01b0\u1eddi l\u1ea7m l\u1eabn.<\/p>\n

N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n ra d\u1ef1a v\u00e0o nh\u1eefng nghi\u00ean c\u1ee9u v\u1ec1 d\u01b0\u1ee3c h\u1ecdc v\u00e0 \u0111\u1ed9c h\u1ecdc tr\u00ean c\u00e1c con v\u1eadt c\u0169ng nh\u01b0 c\u00e1c nghi\u00ean c\u1ee9u th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng tr\u01b0\u1edbc khi thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u01b0a ra th\u1ecb tr\u01b0\u1eddng. Nh\u1eefng ph\u1ea3n \u1ee9ng n\u00e0y th\u00ec ch\u1eafc ch\u1eafn l\u00e0 c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation v\u1edbi thu\u1ed1c r\u1ed3i.<\/p>\n

Tuy nhi\u00ean, ngo\u00e0i nh\u1eefng ph\u1ea3n \u1ee9ng c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation r\u00f5 r\u00e0ng \u0111\u00f3 th\u00ec danh s\u00e1ch trong ph\u1ea7n ADVERSE REACTION c\u1ee7a package insert c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i ra th\u00eam sau khi thu\u1ed1c \u0111\u01b0\u1ee3c \u0111\u01b0a ra ngo\u00e0i th\u1ecb tr\u01b0\u1eddng d\u1ef1a v\u00e0o c\u00e1c post market studies. L\u00fac n\u00e0y th\u00ec m\u1ecdi vi\u1ec7c b\u1eaft \u0111\u1ea7u r\u1ed1i. L\u00fd do l\u00e0 v\u00ec n\u00f3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u00ean m\u1ed9t l\u01b0\u1ee3ng ng\u01b0\u1eddi r\u1ea5t l\u1edbn.<\/p>\n

FDA c\u00f3 l\u1eadp ra h\u1eb3n m\u1ed9t h\u1ec7 th\u1ed1ng \u0111\u1ec3 cho m\u1ecdi ng\u01b0\u1eddi v\u00e0o b\u00e1o c\u00e1o c\u00e1c Adverse Event m\u00e0 h\u1ecd g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c. H\u1ec7 th\u1ed1ng n\u00e0y g\u1ecdi l\u00e0 Medwatch v\u00e0 h\u1ec7 th\u1ed1ng c\u01a1 s\u1edf d\u1eef li\u1ec7u l\u01b0u tr\u1eef c\u00e1c adverse event c\u1ee7a thu\u1ed1c l\u00e0 FAERS (FDA\u2019s Adverse Event Reporting System). Tuy nhi\u00ean, t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u \u0111\u01b0\u1ee3c quy\u1ec1n b\u00e1o c\u00e1o l\u00ean h\u1ec7 th\u1ed1ng n\u00e0y, bao g\u1ed3m b\u00e1c s\u0129, d\u01b0\u1ee3c s\u0129, b\u1ec7nh nh\u00e2n, v\u00e0 nh\u00e0 s\u1ea3n xu\u1ea5t. D\u1ef1a v\u00e0o \u0111\u00f3 m\u00e0 FDA s\u1ebd \u0111\u01b0a ra nh\u1eefng quy\u1ebft \u0111\u1ecbnh c\u1ea7n thi\u1ebft bu\u1ed9c c\u00e1c nh\u00e0 s\u1ea3n xu\u1ea5t thu\u1ed1c ph\u1ea3i thay \u0111\u1ed5i n\u1ed9i dung package insert cho ph\u00f9 h\u1ee3p.<\/p>\n

V\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c \u0111\u1eb7t ra l\u00e0 ai s\u1ebd l\u00e0 ng\u01b0\u1eddi quy\u1ebft \u0111\u1ecbnh t\u00ednh ch\u00ednh x\u00e1c c\u1ee7a c\u00e1c Adverse Event n\u00e0y khi m\u00e0 t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi \u0111\u1ec1u c\u00f3 th\u1ec3 g\u1eedi b\u00e1o c\u00e1o l\u00ean h\u1ec7 th\u1ed1ng?<\/p>\n

Ngo\u00e0i ra, c\u00e1c c\u00f4ng ty d\u01b0\u1ee3c c\u0169ng s\u1ebd nh\u1eadn c\u00e1c b\u00e1o c\u00e1o v\u1ec1 adverse event t\u1eeb ng\u01b0\u1eddi s\u1eed d\u1ee5ng \u1edf kh\u1eafp n\u01a1i tr\u00ean th\u1ebf gi\u1edbi g\u1eedi v\u1ec1.<\/p>\n

Khi c\u00e1c c\u00f4ng ty n\u00e0y nh\u1eadn th\u1ea5y r\u1eb1ng c\u00f3 h\u01a1i nhi\u1ec1u b\u00e1o c\u00e1o v\u1ec1 m\u1ed9t ph\u1ea3n \u1ee9ng n\u00e0o \u0111\u00f3, v\u1edbi c\u00e1i ho\u00e0n c\u1ea3nh tranh t\u1ed1i tranh s\u00e1ng n\u00e0y c\u1ed9ng v\u1edbi vi\u1ec7c c\u00e1c lu\u1eadt s\u01b0 nh\u01b0 nh\u1eefng con s\u00f3i ch\u1edd m\u1ed3i \u0111ang \u0111\u1ee9ng \u0111\u1ea7y tr\u01b0\u1edbc c\u1eeda, h\u1ecd s\u1ebd ch\u1eadc l\u01b0\u1ee1i r\u1ed3i th\u00eam c\u00e1c ph\u1ea3n \u1ee9ng n\u00e0y v\u00e0o m\u1ee5c ADVERSE REACTION m\u00e0 b\u1ecf l\u01a1 l\u1eddi khuy\u1ebfn c\u00e1o c\u1ee7a FDA \u0111\u1ec3 l\u1ee1 c\u00f3 chuy\u1ec7n g\u00ec th\u00ec c\u00f2n c\u00f3 c\u00e1i \u0111\u1ec3 b\u1ea3o v\u1ec7 m\u00ecnh tr\u01b0\u1edbc t\u00f2a. L\u00fd do r\u1ea5t \u0111\u01a1n gi\u1ea3n, n\u1ebfu th\u00eam v\u00e0o danh s\u00e1ch m\u1ed9t c\u00e1i t\u00ean m\u00e0 ng\u01b0\u1eddi d\u00f9ng kh\u00f4ng b\u1ecb g\u00ec th\u00ec ch\u1eb3ng ai b\u1ecb l\u00e0m sao c\u1ea3. Nh\u01b0ng n\u1ebfu kh\u00f4ng th\u00eam v\u00e0o m\u00e0 ng\u01b0\u1eddi d\u00f9ng b\u1ecb \u0111\u00fang c\u00e1i ph\u1ea3n \u1ee9ng \u0111\u00f3 r\u1ed3i \u0111\u00e2m \u0111\u01a1n \u0111i ki\u1ec7n th\u00ec \u0111\u00f3 l\u00e0 m\u1ed9t th\u1ea3m h\u1ecda.<\/p>\n

Do \u0111\u00f3, theo \u0111\u00fang \u0111\u1ecbnh ngh\u0129a c\u1ee7a FDA th\u00ec nh\u1eefng g\u00ec \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o m\u1ee5c Adverse Reaction \u0111\u1ec1u ph\u1ea3i c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation v\u1edbi thu\u1ed1c. Tuy nhi\u00ean, trong th\u1ef1c t\u1ebf th\u00ec kh\u00f4ng h\u1eb3n nh\u01b0 v\u1eady. \u0110\u00f4i khi ch\u00fang ch\u1ec9 l\u00e0 nh\u1eefng Adverse Event c\u00f3 m\u1ed1i li\u00ean h\u1ec7 correlation, th\u1eadm ch\u00ed r\u1ea5t y\u1ebfu v\u1edbi thu\u1ed1c m\u00e0 th\u00f4i.<\/p>\n

C\u00e1i danh s\u00e1ch nh\u1eefng ph\u1ea3n \u1ee9ng v\u1edbi thu\u1ed1c trong m\u1ee5c Adverse Reaction th\u1eadt ch\u1ea5t ch\u1ec9 l\u00e0 \u0111\u00f2n \u0111\u00e1nh ph\u1ee7 \u0111\u1ea7u, bao v\u00e2y c\u1ee7a c\u00e1c c\u00f4ng ty d\u01b0\u1ee3c \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u00e1p l\u00fd m\u00e0 th\u00f4i.<\/p>\n

\u0110\u00f3 l\u00e0 l\u00fd do v\u00ec sao \u1edf b\u00e0i g\u1ed1c, m\u00ecnh c\u00f3 n\u00f3i r\u1eb1ng nh\u1eefng ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i c\u00f3 m\u1ed1i li\u00ean h\u1ec7 causation v\u1edbi thu\u1ed1c th\u1eadt ra n\u1eb1m \u1edf m\u1ee5c WARNING c\u00f2n nh\u1eefng ph\u1ea3n \u1ee9ng ch\u1ec9 c\u00f3 m\u1ed1i li\u00ean h\u1ec7 correlation v\u1edbi thu\u1ed1c n\u1eb1m \u1edf m\u1ee5c ADVERSE REACTION.<\/p>\n

CH\u00da TH\u00cdCH H\u00ccNH<\/h2>\n

H\u00ecnh 1: \u0110\u00e2y l\u00e0 h\u00ecnh \u0111\u01b0\u1ee3c ch\u1ee5p \u1edf trang s\u1ed1 2 trong b\u1ed9 t\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn so\u1ea1n th\u1ea3o m\u1ee5c Adverse Reaction c\u1ee7a FDA trong \u0111\u00f3 c\u00f3 khuy\u1ebfn c\u00e1o r\u00f5 c\u00e1c c\u00f4ng ty d\u01b0\u1ee3c n\u00ean tr\u00e1nh \u0111em h\u1ebft t\u1ea5t c\u1ea3 c\u00e1c Adverse Event, trong \u0111\u00f3 c\u00f3 c\u1ea3 nh\u1eefng event \u00edt g\u1eb7p, x\u1ea3y ra khi kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c ho\u1eb7c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng li\u00ean quan \u0111\u1ebfn thu\u1ed1c. Tuy nhi\u00ean, v\u00ec \u0111\u1ec3 b\u1ea3o v\u1ec7 m\u00ecnh tr\u01b0\u1edbc t\u00f2a, c\u00e1c c\u00f4ng ty th\u01b0\u1eddng hay ph\u1edbt l\u1edd khuy\u1ebfn c\u00e1o n\u00e0y.<\/p>\n

H\u00ecnh 2: H\u00ecnh m\u1ed9t package insert v\u1edbi danh s\u00e1ch d\u00e0i d\u1eb1ng d\u1eb7c c\u00e1c adverse event ch\u1eb3ng c\u00f3 m\u1ed1i li\u00ean quan causation n\u00e0o v\u1edbi thu\u1ed1c nh\u01b0ng v\u1eabn \u0111\u01b0\u1ee3c c\u00e1c h\u00e3ng d\u01b0\u1ee3c \u0111\u01b0a v\u00e0o cho ch\u1eafc \u0103n.<\/p>\n

T\u00c0I LI\u1ec6U THAM KH\u1ea2O<\/h2>\n

FDA (January 2006). Guidance for Industry \u2013 Adverse Reactions Section of Labeling for Human Prescription Drug and Biological Products<\/p>\n

\u2013 Content and Format. \u0110\u01b0\u1ee3c l\u1ea5y t\u1eeb:\u00a0https:\/\/www.fda.gov\/\u2026\/guidancecompl\u2026\/guidances\/ucm075057.pdf<\/a><\/p>\n

FDA (April 01, 2018). Investigational New Drug Application. \u0110\u01b0\u1ee3c l\u1ea5y t\u1eeb:\u00a0https:\/\/www.accessdata.fda.gov\/\u2026\/cfdocs\/cfcfr\/cfrsearch.cfm\u2026<\/a><\/p>\n

FDA (June 04, 2018). Questions and Answers on FDA\u2019s Adverse Event Reporting System (FAERS). \u0110\u01b0\u1ee3c l\u1ea5y t\u1eeb:\u00a0https:\/\/www.fda.gov\/\u2026\/Survei\u2026\/AdverseDrugEffects\/default.htm<\/a><\/p>\n

Overton, A. (Jan 20, 2019). Is it an Adverse Event or an Adverse Drug Reaction? \u0110\u01b0\u1ee3c l\u1ea5y t\u1eeb:\u00a0http:\/\/www.ask-cato.com\/is-it-an-adverse-event-or-an-adver\u2026\/<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

H\u00f4m nay m\u00ecnh d\u00e0nh th\u1eddi gian \u0111\u00ednh ch\u00ednh v\u00e0 l\u00e0m r\u00f5 h\u01a1n chuy\u1ec7n ADVERSE REACTION m\u00e0 m\u00ecnh \u0111\u00e3 b\u1ecb m\u1ed9t b\u1ea1n s\u1eeda l\u01b0ng ng\u00e0y h\u00f4m tr\u01b0\u1edbc. V\u00ec b\u00e0i vi\u1ebft n\u00e0y mang h\u01a1i h\u01b0\u1edbng chuy\u00ean ng\u00e0nh h\u01a1i kh\u00f4 khan m\u1ed9t ch\u00fat n\u00ean m\u00ecnh xin k\u1ec3 m\u1ed9t c\u00e2u chuy\u1ec7n c\u01b0\u1eddi tr\u01b0\u1edbc cho \u0111\u1ee1 bu\u1ed3n ng\u1ee7 hen. \u1ede […]\n","protected":false},"author":1,"featured_media":5010,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5009","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\/5009","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=5009"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5009\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5010"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=5009"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=5009"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=5009"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}