{"id":6803,"date":"2011-04-12T01:38:06","date_gmt":"2011-04-11T18:38:06","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=6803"},"modified":"2019-07-24T16:15:19","modified_gmt":"2019-07-24T09:15:19","slug":"glucosamin","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/glucosamin\/","title":{"rendered":"Glucosamin"},"content":{"rendered":"

Glucosamine<\/strong><\/a> l\u00e0 m\u1ed9t th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng hi\u1ec7n nay \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o r\u1ea5t nhi\u1ec1u v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng c\u1ee7a n\u00f3 tr\u00ean c\u00e1c b\u1ec7nh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp. Tuy nhi\u00ean th\u1ef1c h\u01b0 \u0111i\u1ec1u n\u00e0y ra sao? Li\u1ec7u glucosamine c\u00f3 th\u1ef1c s\u1ef1 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng x\u01b0\u01a1ng kh\u1edbp hay kh\u00f4ng? \u0110i\u1ec1u n\u00e0y hi\u1ec7n nay v\u1eabn l\u00e0 m\u1ed9t c\u00e2u h\u1ecfi g\u00e2y nhi\u1ec1u tranh c\u00e3i trong gi\u1edbi y khoa.<\/p>\n

Glucosamine l\u00e0 thu\u1ed1c hay th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng?<\/h2>\n
$\"Thu\u1ed1c$
H\u00ecnh \u1ea3nh: Thu\u1ed1c Glucosamin<\/figcaption><\/figure>\n
T\u1ea1i M\u1ef9, C\u1ee5c Qu\u1ea3n l\u00ed Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3 (FDA) kh\u00f4ng c\u00f4ng nh\u1eadn glucosamine l\u00e0 m\u1ed9t thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh. N\u00f3 ch\u1ec9 \u0111\u01b0\u1ee3c coi nh\u01b0 l\u00e0 m\u1ed9t lo\u1ea1i th\u1ef1c ph\u1ea9m b\u1ed5 sung trong ch\u1ebf \u0111\u1ed9 \u0103n. Y\u00eau c\u1ea7u v\u1ec1 b\u1eb1ng ch\u1ee9ng v\u1ec1 \u0111\u1ed9 an to\u00e0n l\u00e0 c\u1ea7n thi\u1ebft, tuy nhi\u00ean b\u1eb1ng ch\u1ee9ng v\u1ec1 t\u00e1c d\u1ee5ng, hi\u1ec7u qu\u1ea3 c\u1ee7a n\u00f3 l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft, mi\u1ec5n l\u00e0 n\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o cho m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/p>\n
T\u1ea1i ch\u00e2u \u00c2u, glucosamine \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u01b0\u1ee3c b\u00e1n d\u01b0\u1edbi d\u1ea1ng ch\u1ee7 y\u1ebfu l\u00e0 glucosamine sulfate. Tuy nhi\u00ean, c\u00e1c h\u01b0\u1edbng d\u1eabn OARSI n\u0103m 2014 \u0111\u00e3 kh\u00f4ng khuy\u1ebfn ngh\u1ecb s\u1eed d\u1ee5ng glucosamine cho m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb, kh\u00f4ng ch\u1eafc ch\u1eafn \u0111\u01b0\u1ee3c li\u1ec7u n\u00f3 c\u00f3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a vi\u00eam kh\u1edbp g\u1ed1i hay kh\u00f4ng.<\/p>\n
N\u0103m 2013, nh\u00e0 s\u1ea3n xu\u1ea5t\u00a0Rexall Sundown, Inc. v\u00e0 NBTY, Inc. \u0111\u00e3 \u0111\u1ed3ng \u00fd tr\u1ea3 2 tri\u1ec7u \u0111\u00f4 la \u0111\u1ec3 gi\u1ea3i quy\u1ebft khi\u1ebfu n\u1ea1i c\u1ee7a ng\u01b0\u1eddi ti\u00eau d\u00f9ng li\u00ean quan \u0111\u1ebfn t\u1eeb ng\u1eef tr\u00ean bao b\u00ec chai glucosamine \u0111\u01b0\u1ee3c b\u00e1n \u1edf Costco d\u01b0\u1edbi nh\u00e3n Kirkland. Th\u00e1ng 8\/2012, m\u1ed9t v\u1ee5 ki\u1ec7n t\u1eadp th\u1ec3 t\u1ea1i New York li\u00ean quan \u0111\u1ebfn vi\u1ec7c 21st Century Healthcare, Inc. \u0111\u00e3 qu\u1ea3ng c\u00e1o sai s\u1ef1 th\u1eadt r\u1eb1ng b\u1ed5 sung \u201cGlucosamine 750 Chondroitin 600 Triple Strength\u201d trong ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng gi\u00fap ph\u1ee5c h\u1ed3i s\u1ee5n b\u1ecb m\u1ea5t.<\/p>\n
M\u1ed9t s\u1ed1 b\u1eb1ng ch\u1ee9ng v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a glucosamine g\u00e2y tranh c\u00e3i. V\u00ed d\u1ee5, m\u1ed9t b\u1ea3n \u0111\u00e1nh gi\u00e1 2008-2009 v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c nghi\u00ean c\u1ee9u b\u1ed5 sung glucosamine cho ng\u1ef1a \u0111\u00e3 cho th\u1ea5y h\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c c\u00e1c ti\u00eau chu\u1ea9n th\u00f4ng th\u01b0\u1eddng v\u00e0 m\u1eafc c\u00e1c l\u1ed7i c\u01a1 b\u1ea3n, bao g\u1ed3m kh\u00f4ng ki\u1ec3m tra c\u00e1c th\u00e0nh ph\u1ea7n ch\u00ednh c\u00f3 \u0111\u01b0\u1ee3c n\u00f3i r\u00f5 hay kh\u00f4ng, thi\u1ebfu c\u00e1c nh\u00f3m ki\u1ec3m so\u00e1t ho\u1eb7c ph\u00e9p \u0111o c\u01a1 s\u1edf th\u00edch h\u1ee3p, m\u1eabu qu\u00e1 nh\u1ecf v\u00e0 b\u1ecf qua c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y ho\u1eb7c s\u1ef1 thi\u1ebfu s\u00f3t t\u1ef1 hi\u1ec3n nhi\u00ean. H\u1ea7u h\u1ebft c\u00e1c nghi\u00ean c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi c\u00e1c nh\u00e0 s\u1ea3n xu\u1ea5t, tr\u00ean c\u00e1c s\u1ea3n ph\u1ea9m m\u00e0 h\u1ecd s\u1ea3n xu\u1ea5t th\u01b0\u01a1ng m\u1ea1i, ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 h\u1ed7 tr\u1ee3 cho c\u00e1c tuy\u00ean b\u1ed1 v\u1ec1 l\u1ee3i \u00edch \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho ti\u1ebfp th\u1ecb s\u1ea3n ph\u1ea9m.<\/p>\n
Th\u1eed nghi\u1ec7m GAIT<\/h2>\n
$\"Glucosamin$
H\u00ecnh \u1ea3nh: Glucosamin c\u00f3 t\u00e1c d\u1ee5ng tr\u00ean kh\u1edbp g\u1ed1i<\/figcaption><\/figure>\n
GAIT (Glucosamine\/Chondroitin Arthritis Intervention) l\u00e0 th\u1eed nghi\u1ec7m \u0111\u01b0\u1ee3c Vi\u1ec7n Y t\u1ebf Qu\u1ed1c gia c\u1ee7a Hoa K\u1ef3 t\u00e0i tr\u1ee3 12.5 tri\u1ec7u \u0111\u00f4 la \u0111\u1ec3 ki\u1ec3m tra t\u00e1c d\u1ee5ng c\u1ee7a glucosamine v\u00e0 chondroitin tr\u00ean vi\u00eam kh\u1edbp g\u1ed1i, \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh trong giai \u0111o\u1ea1n 2006-2010. Th\u1eed nghi\u1ec7m \u0111a trung t\u00e2m, m\u00f9 \u0111\u00f4i, ki\u1ec3m so\u00e1t gi\u1ea3 d\u01b0\u1ee3c v\u00e0 k\u00e9o d\u00e0i 6 th\u00e1ng n\u00e0y cho th\u1ea5y glucosamine c\u1ed9ng v\u1edbi chondroitin kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111\u00e1ng k\u1ec3 tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam kh\u1edbp c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u. Nghi\u00ean c\u1ee9u n\u00e0y, ngo\u00e0i vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t gi\u1ea3 d\u01b0\u1ee3c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng, c\u00f2n c\u00f3 s\u1eed d\u1ee5ng c\u1ea3 m\u1ed9t thu\u1ed1c gi\u1ea3m \u0111au k\u00ea toa \u0111\u01b0\u1ee3c FDA ph\u00ea duy\u1ec7t l\u00e0 celecoxib. C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u ph\u00e1t hi\u1ec7n ra r\u1eb1ng nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c kh\u00f4ng t\u1ed1t h\u01a1n c\u0169ng kh\u00f4ng k\u00e9m h\u01a1n so v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng glucosamine, glucosamine k\u1ebft h\u1ee3p v\u1edbi chondroitin ho\u1eb7c gi\u1ea3 d\u01b0\u1ee3c. Tuy nhi\u00ean, \u1edf ph\u00e2n nh\u00f3m c\u00f3 \u0111au t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng, ng\u01b0\u1eddi ta nh\u1eadn th\u1ea5y s\u1eed d\u1ee5ng glucosamine v\u00e0 chondroitin k\u1ebft h\u1ee3p c\u00f3 hi\u1ec7u qu\u1ea3 (25% s\u1ed1 b\u1ec7nh nh\u00e2n) gi\u1ea3m \u0111au cao h\u01a1n celecoxib ho\u1eb7c glucosamine v\u00e0 chodroitin d\u00f9ng \u0111\u01a1n l\u1ebb. Do k\u00edch th\u01b0\u1edbc m\u1eabu nh\u1ecf (kho\u1ea3ng 250 ng\u01b0\u1eddi), \u0111i\u1ec1u n\u00e0y v\u1eabn c\u1ea7n x\u00e1c nh\u1eadn th\u00eam. Nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y chondroitin sulfate kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111\u00e1ng k\u1ec3 trong gi\u1ea3m s\u01b0ng kh\u1edbp, tr\u00e0n d\u1ecbch kh\u1edbp ho\u1eb7c c\u1ea3 hai. Nh\u1eefng nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 ra glucosamine v\u00e0 chondroitin kh\u00f4ng l\u00e0m gi\u1ea3m \u0111au vi\u00eam x\u01b0\u01a1ng kh\u1edbp hi\u1ec7u qu\u1ea3, m\u1eb7c d\u00f9 \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho b\u1ec7nh nh\u00e2n \u0111au t\u1eeb trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng.<\/p>\n
Trong m\u1ed9t nghi\u00ean c\u1ee9u ti\u1ebfp theo, 572 b\u1ec7nh nh\u00e2n t\u1eeb th\u1eed nghi\u1ec7m GAIT ti\u1ebfp t\u1ee5c b\u1ed5 sung glucosamine v\u00e0 chondroitin trong v\u00f2ng 2 n\u0103m. Sau 2 n\u0103m b\u1ed5 sung \u0111\u01a1n l\u1ebb ho\u1eb7c k\u1ebft h\u1ee3p, ng\u01b0\u1eddi ta th\u1ea5y kh\u00f4ng thu \u0111\u01b0\u1ee3c l\u1ee3i \u00edch g\u00ec trong vi\u1ec7c l\u00e0m ch\u1eadm s\u1ef1 m\u1ea5t s\u1ee5n, s\u1ef1 m\u1ea5t d\u1ea7n b\u1ec1 r\u1ed9ng khoang kh\u1edbp so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c. Trong m\u1ed9t nghi\u00ean c\u1ee9u theo d\u00f5i trong 2 n\u0103m kh\u00e1c, kh\u00f4ng quan s\u00e1t th\u1ea5y s\u1ef1 gi\u1ea3m \u0111au \u0111\u00e1ng k\u1ec3 ho\u1eb7c ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng khi so s\u00e1nh glucosamine v\u00e0 chondroitin v\u1edbi gi\u1ea3 d\u01b0\u1ee3c ho\u1eb7c celecoxib. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 m\u1ed1i quan h\u1ec7 c\u1ee7a c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u v\u1edbi Pfizer <\/em>(nh\u00e0 ph\u00e1t tri\u1ec3n celecoxib) \u0111\u00e3 \u0111\u1eb7t ra c\u00e2u h\u1ecfi t\u00ednh h\u1ee3p l\u1ec7 c\u1ee7a nghi\u00ean c\u1ee9u.<\/p>\n
T\u00e1c gi\u1ea3 ch\u00ednh c\u1ee7a th\u1eed nghi\u1ec7m GAIT, Allen D. Sawitzke,\u00a0b\u00e1c s\u0129 y khoa, \u0111\u00e3 b\u00e0y t\u1ecf s\u1ef1 th\u1ea5t v\u1ecdng c\u1ee7a m\u00ecnh v\u1ec1 nh\u1eefng ph\u00e1t hi\u1ec7n kh\u00f4ng c\u00f4ng b\u1eb1ng b\u1ea5t ng\u1edd c\u1ee7a th\u1eed nghi\u1ec7m v\u00ec nh\u01b0ng h\u1ea1n ch\u1ebf \u0111\u00e1ng k\u1ec3, th\u1eed nghi\u1ec7m GAIT kh\u00f4ng \u0111\u1ee7 s\u1ee9c m\u1ea1nh \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh li\u1ec7u glucosamine v\u00e0 chondroitin c\u00f3 \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a kh\u1edbp g\u1ed1i hay kh\u00f4ng.<\/p>\n
Nghi\u00ean c\u1ee9u LEGS<\/h2>\n
$\"glucosamine$
H\u00ecnh \u1ea3nh: Thu\u1ed1c c\u00f3 s\u1ef1 k\u1ebft h\u1ee3p glucosamine sulfate v\u00e0 chondroitin sulfate<\/figcaption><\/figure>\n
Nghi\u00ean c\u1ee9u LEGS (Long-term Evaluation of Glucosamine Sulfate) k\u00e9o d\u00e0i t\u1eeb n\u0103m 2007 \u0111\u1ebfn 2011 \u0111\u1ec3 ki\u1ec3m tra xem li\u1ec7u glucosamine sulfate, chondroitin sulfate ho\u1eb7c k\u1ebft h\u1ee3p c\u1ea3 hai c\u00f3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au kh\u1edbp g\u1ed1i trong vi\u00eam kh\u1edbp hay kh\u00f4ng. 502 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c theo d\u00f5i trong v\u00f2ng 2 n\u0103m. C\u00e1c k\u1ebft qu\u1ea3 l\u00e0 s\u1ef1 ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh, \u0111\u01b0\u1ee3c \u0111o b\u1eb1ng \u0111\u1ed9 h\u1eb9p khe kh\u1edbp (JSN) v\u00e0 \u0111\u1ed9 \u0111au \u0111\u1ea7u g\u1ed1i (VAS). Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 l\u00e0m gi\u1ea3m JSN m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf nh\u01b0ng c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea (0.1 mm) trong 2 n\u0103m so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c nh\u01b0ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 JSN gi\u1eefa nh\u00f3m \u0111i\u1ec1u tr\u1ecb n\u00e0y v\u1edbi c\u00e1c nh\u00f3m \u0111i\u1ec1u tr\u1ecb kh\u00e1c v\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c nhau v\u1ec1 \u0111\u1ed9 \u0111au \u0111\u1ea7u g\u1ed1i gi\u1eefa c\u00e1c nh\u00f3m. T\u00f3m l\u1ea1i, ng\u01b0\u1eddi ta kh\u00f4ng t\u00ecm ra l\u1ee3i \u00edch gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111\u00e1ng k\u1ec3 khi s\u1eed d\u1ee5ng glucosamine v\u00e0 chondroitin.<\/p>\n
T\u1ed5ng k\u1ebft t\u00e1c d\u1ee5ng c\u1ee7a\u00a0Glucosamine<\/h2>\n
$\"Glucosamine$
H\u00ecnh \u1ea3nh: Glucosamine h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd tho\u00e1i h\u00f3a kh\u1edbp<\/figcaption><\/figure>\n
R\u1ea5t kh\u00f3 \u0111\u1ec3 c\u00f3 th\u1ec3 k\u1ebft lu\u1eadn l\u00e0 li\u1ec7u glucosamine (v\u00e0 c\u00f9ng v\u1edbi chondroitin) c\u00f3 th\u1ef1c s\u1ef1 gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng li\u00ean quan \u0111\u1ebfn vi\u00eam v\u00e0 tho\u00e1i h\u00f3a kh\u1edbp hay kh\u00f4ng. Trong khi c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng tr\u01b0\u1edbc \u0111\u00f3 ch\u1ec9 ra t\u00e1c d\u1ee5ng c\u1ee7a glucosamine th\u01b0\u1eddng \u0111\u01b0\u1ee3c t\u00e0i tr\u1ee3 b\u1edfi c\u00e1c c\u00f4ng ty s\u1ea3n xu\u1ea5t glucosamine v\u00e0 m\u1eafc ph\u1ea3i nhi\u1ec1u sai l\u1ea7m nghi\u00eam tr\u1ecdng trong ph\u00e2n t\u00edch th\u1ed1ng k\u00ea, ch\u00fang ta c\u00f3 quy\u1ec1n nghi ng\u1edd v\u1ec1 t\u00ednh x\u00e1c th\u1ef1c c\u1ee7a c\u00e1c th\u1eed nghi\u1ec7m n\u00e0y. Hai th\u1eed nghi\u1ec7m \u0111\u01b0\u1ee3c n\u00eau \u1edf tr\u00ean l\u00e0 hai th\u1eed nghi\u1ec7m l\u1edbn v\u00e0 n\u1ed5i ti\u1ebfng v\u1ec1 nghi\u00ean c\u1ee9u t\u00e1c d\u1ee5ng c\u1ee7a glucosamine tr\u00ean vi\u00eam v\u00e0 tho\u00e1i h\u00f3a kh\u1edbp, tuy r\u1eb1ng th\u1eddi gian th\u1eed nghi\u1ec7m l\u00e0 \u0111\u1ee7 l\u00e2u nh\u01b0ng s\u1ed1 m\u1eabu v\u1eabn kh\u00f4ng \u0111\u1ee7 l\u1edbn \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u01b0a ra m\u1ed9t k\u1ebft lu\u1eadn ch\u00ednh x\u00e1c v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y. V\u00ec ch\u01b0a ch\u1ee9ng minh \u0111\u01b0\u1ee3c t\u00e1c d\u1ee5ng c\u1ee7a glucosamine n\u00ean FDA v\u1eabn ch\u1ec9 x\u1ebfp n\u00f3 l\u00e0 th\u1ef1c ph\u1ea9m b\u1ed5 sung (hay t\u1ea1i Vi\u1ec7t Nam l\u00e0 th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng) ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c v\u00e0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng thay th\u1ebf thu\u1ed1c ch\u1eefa b\u1ec7nh, c\u00f3 th\u1ec3 mua m\u00e0 kh\u00f4ng c\u1ea7n b\u00e1c s\u0129 k\u00ea \u0111\u01a1n. Ng\u01b0\u1eddi b\u1ec7nh b\u1ecb vi\u00eam hay tho\u00e1i h\u00f3a kh\u1edbp c\u1ea7n c\u00e2n nh\u1eafc th\u1eadt k\u0129 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng s\u1ea3n ph\u1ea9m c\u00f3 th\u00e0nh ph\u1ea7n n\u00e0y v\u00ec kh\u00f4ng ch\u1eafc li\u1ec7u thu\u1ed1c c\u00f3 th\u1ef1c s\u1ef1 c\u00f3 t\u00e1c d\u1ee5ng hay kh\u00f4ng.<\/p>\n","protected":false},"excerpt":{"rendered":"
Glucosamine l\u00e0 m\u1ed9t th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng hi\u1ec7n nay \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o r\u1ea5t nhi\u1ec1u v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng c\u1ee7a n\u00f3 tr\u00ean c\u00e1c b\u1ec7nh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp. Tuy nhi\u00ean th\u1ef1c h\u01b0 \u0111i\u1ec1u n\u00e0y ra sao? Li\u1ec7u glucosamine c\u00f3 th\u1ef1c s\u1ef1 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng x\u01b0\u01a1ng kh\u1edbp hay kh\u00f4ng? \u0110i\u1ec1u n\u00e0y hi\u1ec7n […]\n","protected":false},"author":1,"featured_media":6805,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6803","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\/6803","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=6803"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/6803\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/6805"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=6803"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=6803"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=6803"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}