{"id":8698,"date":"2019-04-30T14:43:46","date_gmt":"2019-04-30T07:43:46","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=8698"},"modified":"2019-04-30T14:43:46","modified_gmt":"2019-04-30T07:43:46","slug":"manh-ghep-thong-tin-cua-cac-corticoid-su-dung-trong-nhan-khoa","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/manh-ghep-thong-tin-cua-cac-corticoid-su-dung-trong-nhan-khoa\/","title":{"rendered":"M\u1ea3nh gh\u00e9p th\u00f4ng tin c\u1ee7a c\u00e1c corticoid s\u1eed d\u1ee5ng trong nh\u00e3n khoa."},"content":{"rendered":"

– Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn trong b\u00e0i vi\u1ebft \u201cTOBRADEX \u2013 Nguy hi\u1ec3m gia t\u0103ng khi b\u1ec7nh nh\u00e2n th\u00e0nh b\u00e1c s\u1ef9<\/a>\u201d, c\u00e1c corticoid s\u1eed d\u1ee5ng theo b\u1ea5t k\u1ef3 \u0111\u01b0\u1eddng d\u00f9ng n\u00e0o c\u0169ng c\u1ea7n th\u1eadn tr\u1ecdng v\u00e0 ph\u1ea3i s\u1eed d\u1ee5ng theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9, xin nh\u1ea5n m\u1ea1nh l\u00e0 c\u1ee7a b\u00e1c s\u1ef9 ch\u1ee9 kh\u00f4ng ph\u1ea3i b\u1ea5t k\u1ef3 ai kh\u00e1c. L\u00fd do l\u00e0 c\u00e1c b\u00e1c s\u1ef9 s\u1ebd c\u00e2n b\u1eb1ng l\u1ee3i \u00edch \u2013 nguy c\u01a1 khi s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c ch\u1ee9a nh\u00f3m ho\u1ea1t ch\u1ea5t n\u00e0y. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c nghe c\u1ea3nh b\u00e1o t\u1eeb c\u00e1c ph\u01b0\u01a1ng ti\u1ec7n truy\u1ec1n th\u00f4ng r\u1ed3i lo l\u1eafng nhi\u1ec1u \u0111\u1ebfn m\u1ee9c th\u1ea5y c\u00f3 nh\u00f3m corticoid trong \u0111\u01a1n l\u00e0 t\u1ef1 \u00fd b\u1ecf lu\u00f4n, kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c theo \u0111\u01a1n d\u1eabn \u0111\u1ebfn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1i \u01b0u ho\u1eb7c th\u1ea5t b\u1ea1i. Tuy nhi\u00ean, vi\u1ec7c g\u00ec c\u0169ng c\u00f3 nguy\u00ean do c\u1ee7a n\u00f3 v\u00e0 c\u00f3 m\u1ed9t \u0111i\u1ec1u m\u00e0 m\u1ecdi ng\u01b0\u1eddi ch\u1eafc \u00edt \u0111\u1ec3 \u00fd, \u0111\u00f3 l\u00e0 s\u1ef1 gia t\u0103ng t\u1ea7n su\u1ea5t c\u00f3 m\u1eb7t c\u1ee7a nh\u00f3m corticoid trong \u0111\u01a1n thu\u1ed1c. Ph\u1ea3i th\u1eeba nh\u1eadn nguy\u00ean nh\u00e2n c\u1ee7a vi\u1ec7c n\u00e0y l\u00e0 ch\u00ednh t\u00e2m l\u00fd b\u1ec7nh nh\u00e2n mong s\u1edbm kh\u1ecfi b\u1ec7nh \u0111\u00e3 th\u00fac \u0111\u1ea9y vi\u1ec7c t\u0103ng k\u00ea \u0111\u01a1n thu\u1ed1c c\u00f3 ch\u1ee9a nh\u00f3m corticoid c\u1ee7a c\u00e1c b\u00e1c s\u1ef9. M\u1eb7t l\u1ee3i th\u00ec th\u1ea5y ngay l\u1eadp t\u1ee9c, m\u1eb7t h\u1ea1i th\u00ec d\u1ea7n d\u1ea7n m\u1edbi r\u00f5 n\u00ean g\u1ecdi nh\u00f3m corticoid l\u00e0 \u201ccon dao hai l\u01b0\u1ee1i\u201d c\u0169ng kh\u00f4ng c\u00f3 g\u00ec qu\u00e1 \u0111\u00e1ng.<\/p>\n

– Tr\u1edf l\u1ea1i v\u1edbi ng\u00e0nh m\u1eaft, c\u00e2u truy\u1ec7n m\u00e0 ad \u0111\u00e3 chia s\u1ebb trong b\u00e0i vi\u1ebft \u201cTOBRADEX \u2013 Nguy hi\u1ec3m gia t\u0103ng khi b\u1ec7nh nh\u00e2n th\u00e0nh b\u00e1c s\u1ef9\u201d \u0111\u00e3 cho th\u1ea5y t\u1ea7m quan tr\u1ecdng c\u1ee7a nh\u00f3m corticoid trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u1ec1 m\u1eaft. Papa ad sau khi s\u1eed d\u1ee5ng Tobradex\u00ae 1 ng\u00e0y v\u1edbi li\u1ec1u 3 l\u1ea7n \u0111\u00e3 th\u1ea5y \u201ckh\u1ecfi\u201d v\u00e0 nh\u1ecf th\u00eam 4 ng\u00e0y n\u1eefa m\u1edbi d\u1eebng thu\u1ed1c. C\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ecb d\u1eadp t\u1eaft v\u00e0 kh\u00f4ng th\u1ea5y tr\u1edf l\u1ea1i n\u1eefa trong v\u00f2ng 1 th\u00e1ng. R\u1ea5t may l\u00e0 papa ad m\u1edbi ch\u1ec9 s\u1eed d\u1ee5ng Tobradex\u00ae l\u1ea7n \u0111\u1ea7u ti\u00ean v\u00e0 c\u01a1 \u0111\u1ecba kh\u1ecfe m\u1ea1nh n\u00ean kh\u00f4ng th\u1ea5y b\u1ecb t\u00e1i ph\u00e1t l\u1ea1i, ch\u1ee9 c\u00f2n \u1edf vi\u1ec7n th\u00ec m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ecb t\u00e1i ph\u00e1t trong kho\u1ea3ng 1-2 tu\u1ea7n sau khi ng\u1eebng thu\u1ed1c n\u00e0y (t\u1ef1 \u00fd mua \u1edf ngo\u00e0i vi\u1ec7n kh\u00f4ng c\u00f3 \u0111\u01a1n). C\u0169ng c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ph\u1ea3n h\u1ed3i v\u1edbi c\u00e1c b\u00e1c s\u1ef9 t\u1ea1i vi\u1ec7n l\u00e0 c\u1ee9 d\u1eebng thu\u1ed1c th\u00ec b\u1ecb l\u1ea1i ngay l\u1eadp t\u1ee9c n\u00ean \u201ct\u00f4i ph\u1ea3i d\u00f9ng li\u00ean t\u1ee5c v\u00e0 ch\u1ec9 d\u00f9ng \u0111\u01b0\u1ee3c lo\u1ea1i thu\u1ed1c n\u00e0y\u201d. (C\u00e1c b\u1ec7nh nh\u00e2n tr\u00ean \u0111\u1ec1u b\u1ecb vi\u00eam k\u1ebft m\u1ea1c ho\u1eb7c gi\u00e1c m\u1ea1c)<\/p>\n

– R\u00f5 r\u00e0ng vi\u1ec7c s\u1eed d\u1ee5ng corticoid trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh v\u1ec1 m\u1eaft l\u00e0 c\u1ea7n thi\u1ebft nh\u01b0ng vi\u1ec7c l\u1ef1a ch\u1ecdn lo\u1ea1i n\u00e0o, cho tr\u01b0\u1eddng h\u1ee3p n\u00e0o, li\u1ec1u d\u00f9ng nh\u01b0 th\u1ebf n\u00e0o v\u00e0 trong bao l\u00e2u c\u0169ng khi\u1ebfn c\u00e1c b\u00e1c s\u1ef9 nh\u00e3n khoa kinh nghi\u1ec7m l\u00e2u n\u0103m ph\u1ea3i \u201c\u0111au \u0111\u1ea7u\u201d c\u00e2n nh\u1eafc. V\u00ed d\u1ee5 nh\u01b0 ch\u1ecdn lo\u1ea1i c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng vi\u00eam m\u1ea1nh nh\u01b0 Dexamethason trong bi\u1ec7t d\u01b0\u1ee3c Tobradex\u00ae th\u00ec ph\u1ea3i ch\u1ea5p nh\u1eadn nguy c\u01a1 g\u1eb7p t\u00e1c d\u1ee5ng ph\u1ee5 nhi\u1ec1u, v\u00e0 ng\u01b0\u1ee3c l\u1ea1i, ch\u1ecdn lo\u1ea1i t\u00e1c d\u1ee5ng kh\u00e1ng vi\u00eam y\u1ebfu h\u01a1n v\u00e0 an to\u00e0n nh\u01b0 Loteprednol trong bi\u1ec7t d\u01b0\u1ee3c Lotemax\u00ae th\u00ec nhi\u1ec1u khi kh\u00f4ng \u0111\u1ea1t y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb. N\u1ebfu ai t\u1eebng c\u00f3 \u0111i\u1ec1u ki\u1ec7n m\u1edf t\u1edd r\u01a1i c\u1ee7a t\u1ea5t c\u1ea3 c\u00e1c ch\u1ebf ph\u1ea9m nh\u1ecf m\u1eaft c\u00f3 ch\u1ee9a nh\u00f3m corticoid th\u00ec s\u1ebd nh\u1eadn th\u1ea5y m\u1ed9t \u0111i\u1ec3m chung tr\u00ean ph\u1ea7n ch\u1ec9 \u0111\u1ecbnh: \u201cC\u00e1c ch\u1ee9ng vi\u00eam c\u00f3 \u0111\u00e1p \u1ee9ng v\u1edbi steroid\u201d r\u1ed3i li\u1ec7t ra m\u1ed9t lo\u1ea1t c\u00e1c th\u1ec3 lo\u1ea1i vi\u00eam xong k\u1ebft m\u1ed9t d\u00f2ng \u201cch\u1ea5p nh\u1eadn nguy c\u01a1 v\u1ed1n c\u00f3 \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng vi\u00eam v\u00e0 ph\u00f9 n\u1ec1\u201d.<\/p>\n

– Khi m\u00e0 ch\u1ec9 \u0111\u1ecbnh \u0111\u00e3 \u201cchung chung\u201d nh\u01b0 v\u1eady th\u00ec k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cho t\u1eebng lo\u1ea1i b\u1ec7nh s\u1ebd ph\u1ee5 thu\u1ed9c r\u1ea5t nhi\u1ec1u v\u00e0o kinh nghi\u1ec7m l\u00e2m s\u00e0ng c\u1ee7a c\u00e1c b\u00e1c s\u1ef9 v\u00e0 m\u1ed9t ph\u1ea7n t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u khoa h\u1ecdc. Ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng, tri\u1ec7u ch\u1ee9ng s\u1ebd t\u00e1i \u0111i t\u00e1i l\u1ea1i v\u00e0 theo th\u1eddi gian s\u1ebd ph\u1ea3i k\u1ebft h\u1ee3p nhi\u1ec1u lo\u1ea1i thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb trong \u0111\u00f3 ch\u1eafc ch\u1eafn s\u1ebd c\u00f3 th\u00eam nh\u00f3m corticoid. L\u00fac n\u00e0y lo\u1ea1i corticoid \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay s\u1ebd th\u01b0\u1eddng l\u00e0 Loteprednol trong bi\u1ec7t d\u01b0\u1ee3c Lotemax\u00ae v\u1edbi l\u00fd do l\u00e0 \u201cho\u1ea1t ch\u1ea5t Loteprednol s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a g\u1ea7n nh\u01b0 ho\u00e0n to\u00e0n th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a d\u1ea1ng acid carboxylic kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh\u201d. Khi kh\u00f4ng c\u00f2n ho\u1ea1t t\u00ednh th\u00ec c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 t\u1ea1i m\u1eaft nh\u01b0 \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng nh\u00e3n \u00e1p\u2026 c\u0169ng s\u1ebd gi\u1ea3m m\u1ea1nh, v\u00e0 \u0111\u00e2y \u0111\u01b0\u1ee3c coi l\u00e0 corticoid \u201can to\u00e0n\u201d nh\u1ea5t trong nh\u00e3n khoa.<\/p>\n

– Nh\u01b0ng an to\u00e0n kh\u00f4ng \u0111\u1ed3ng ngh\u0129a v\u1edbi t\u1ed1i \u01b0u trong \u0111i\u1ec1u tr\u1ecb. Nh\u01b0 \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng, \u0111\u00e1p \u1ee9ng v\u1edbi corticoid s\u1ebd gi\u1ea3m d\u1ea7n v\u00e0 c\u1ea7n ph\u1ea3i chuy\u1ec3n l\u00ean lo\u1ea1i corticoid c\u00f3 t\u00e1c d\u1ee5ng kh\u00e1ng vi\u00eam m\u1ea1nh h\u01a1n, ngh\u0129a l\u00e0 ph\u1ea3i ch\u1ea5p nh\u1eadn r\u1ee7i ro xu\u1ea5t hi\u1ec7n t\u00e1c d\u1ee5ng ph\u1ee5 nhi\u1ec1u. Hay nh\u01b0 \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ecb vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o, c\u00e1c thu\u1ed1c ch\u1ee9a corticoid kh\u00e1ng vi\u00eam m\u1ea1nh nh\u01b0 Dexamethason hay Betamethason s\u1ebd \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay v\u00e0 c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i th\u00ec m\u1edbi c\u00f3 k\u1ebft qu\u1ea3 cao. Ch\u00fang ta n\u00ean th\u00f4ng c\u1ea3m r\u1eb1ng c\u00e1c b\u00e1c s\u1ef9 \u0111\u00e3 ch\u1ea5p nh\u1eadn nguy c\u01a1 b\u1ec7nh nh\u00e2n s\u1ebd b\u1ecb t\u0103ng nh\u00e3n \u00e1p ho\u1eb7c \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 \u0111\u1ec3 ng\u0103n c\u00e1c bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m h\u01a1n t\u1eeb b\u1ec7nh vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o hay vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng n\u1eb7ng. C\u0169ng c\u00f3 th\u1ec3 hi\u1ec3u th\u00f4 thi\u1ec3n l\u00e0 tr\u01b0\u1edbc sau g\u00ec c\u0169ng b\u1ecb m\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n kh\u00f4ng v\u00ec b\u1ec7nh th\u00ec c\u0169ng v\u00ec thu\u1ed1c nh\u01b0ng c\u00e1c b\u00e1c s\u1ef9 s\u1ebd l\u1ef1a ch\u1ecdn \u0111\u1ec3 k\u00e9o d\u00e0i th\u00eam kho\u1ea3ng th\u1eddi gian \u201cc\u00f2n nh\u00ecn th\u1ea5y \u0111\u01b0\u1ee3c\u201d cho b\u1ec7nh nh\u00e2n.<\/p>\n

– Ch\u00ednh v\u00ec th\u1ebf, c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c coi l\u00e0 s\u1ef1 g\u1ee3i \u00fd h\u1eefu \u00edch nh\u1ea5t cho vi\u1ec7c \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh l\u1ef1a ch\u1ecdn corticoid c\u1ee7a c\u00e1c b\u00e1c s\u1ef9. \u0110i\u1ec3n h\u00ecnh nh\u01b0 n\u0103m 2016, c\u00e1c t\u00e1c gi\u1ea3 ng\u01b0\u1eddi Trung Qu\u1ed1c \u0111\u00e3 ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u tr\u00ean 60 b\u1ec7nh nh\u00e2n \u0111\u1ec3 ch\u1ec9 ra m\u1ee9c \u0111\u1ed9 kh\u00e1ng vi\u00eam v\u00e0 d\u1ef1 ph\u00f2ng nhi\u1ec5m khu\u1ea9n sau ph\u1eabu thu\u1eadt thay th\u1ee7y tinh th\u1ec3 Phaco l\u00e0 T\u01af\u01a0NG \u0110\u01af\u01a0NG nhau gi\u1eefa m\u1ed9t b\u00ean l\u00e0 s\u1eed d\u1ee5ng Tobramycin 0.3% + Dexamethason 0.1% (k\u1ebft h\u1ee3p trong bi\u1ec7t d\u01b0\u1ee3c Tobradex\u00ae) li\u1ec1u 4 l\u1ea7n\/ng\u00e0y v\u00e0 m\u1ed9t b\u00ean l\u00e0 s\u1eed d\u1ee5ng Levofloxacin 0.5% (bi\u1ec7t d\u01b0\u1ee3c Cravit\u00ae) li\u1ec1u 4 l\u1ea7n\/ng\u00e0y + Fluorometholon 0.1% (bi\u1ec7t d\u01b0\u1ee3c Flumetholon\u00ae) li\u1ec1u 6 l\u1ea7n\/ng\u00e0y trong 1 tu\u1ea7n. Kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea gi\u1eefa hai nh\u00f3m v\u1ec1 c\u00e1c ch\u1ec9 s\u1ed1 nh\u01b0 \u0111\u1ed9 d\u1ea7y gi\u00e1c m\u1ea1c, ch\u1ec9 s\u1ed1 flare (m\u1ed9t ch\u1ec9 s\u1ed1 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 vi\u00eam trong ti\u1ec1n ph\u00f2ng (kho\u1ea3ng kh\u00f4ng gian gi\u1eefa gi\u00e1c m\u1ea1c v\u00e0 m\u1eb7t tr\u01b0\u1edbc th\u1ee7y tinh th\u1ec3)), m\u1ee9c \u0111\u1ed9 t\u0103ng nh\u00e3n \u00e1p c\u0169ng nh\u01b0 c\u00e1c ch\u1ec9 s\u1ed1 tri\u1ec7u ch\u1ee9ng kh\u00e1c. Tuy nhi\u00ean trong nh\u00f3m s\u1eed d\u1ee5ng Dexamethason th\u00ec th\u1ea5y c\u00f3 2\/30 b\u1ec7nh nh\u00e2n b\u1ecb t\u0103ng nh\u00e3n \u00e1p nghi do corticoid. M\u1eb7c d\u00f9 \u0111\u00e2y ch\u1ec9 l\u00e0 m\u1ed9t nghi\u00ean c\u1ee9u v\u1edbi c\u1ee1 m\u1eabu nh\u1ecf nh\u01b0ng ch\u1eafc ch\u1eafn c\u0169ng g\u00f3p ph\u1ea7n v\u00e0o s\u1ef1 c\u00e2n nh\u1eafc c\u1ee7a c\u00e1c b\u00e1c s\u1ef9 khi l\u1ef1a ch\u1ecdn corticoid cho b\u1ec7nh nh\u00e2n sau ph\u1eabu thu\u1eadt Phaco. (Ngu\u1ed3n\u00a0 https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC5145090\/<\/a> )<\/p>\n

– T\u00f3m l\u1ea1i, m\u1ed7i lo\u1ea1i corticoid \u0111\u1ec1u c\u00f3 gi\u00e1 tr\u1ecb s\u1eed d\u1ee5ng trong t\u1eebng tr\u01b0\u1eddng h\u1ee3p nh\u1ea5t \u0111\u1ecbnh. V\u00e0 kh\u00f4ng ai ngo\u00e0i c\u00e1c b\u00e1c s\u1ef9 l\u00e0 ng\u01b0\u1eddi c\u00f3 th\u1ec3 \u0111\u1ee9ng ra ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1edbi vi\u1ec7c l\u1ef1a ch\u1ecdn lo\u1ea1i corticoid ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi b\u1ec7nh nh\u00e2n. Ch\u1ec9 c\u00f3 \u0111i\u1ec1u, khi m\u1ed9t s\u1ed1 b\u1ec7nh ch\u01b0a th\u1ec3 \u201ckh\u1ecfi \u0111\u01b0\u1ee3c ngay\u201d k\u1ec3 c\u1ea3 c\u00f3 d\u00f9ng corticoid th\u00ec ng\u01b0\u1eddi b\u1ec7nh n\u00ean ki\u00ean tr\u00ec v\u00e0 th\u0103m kh\u00e1m th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u00e1c s\u1ef9 ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho m\u00ecnh. C\u00f3 nh\u01b0 v\u1eady th\u00ec n\u1ed7i \u00e1m \u1ea3nh mang t\u00ean \u201ccorticoid\u201d m\u1edbi \u0111\u01b0\u1ee3c gi\u1ea3i t\u1ecfa trong cu\u1ed9c s\u1ed1ng th\u01b0\u1eddng ng\u00e0y.<\/p>\n

Ch\u1ee7 \u0111\u1ec1 n\u00e0y th\u1ef1c s\u1ef1 r\u1ed9ng v\u1edbi nhi\u1ec1u ng\u01b0\u1eddi l\u00e0m trong ng\u00e0nh m\u1eaft n\u00ean l\u00e2u l\u00e2u ad s\u1ebd quay l\u1ea1i \u0111\u1ec3 c\u00f9ng b\u00e0n lu\u1eadn th\u00eam v\u1ec1 c\u00e1c lo\u1ea1i corticoid tr\u00ean c\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c nhau.<\/p>\n

Nh\u00e0 thu\u1ed1c Chuy\u00ean Khoa M\u1eaft HD H\u00e0 N\u1ed9i c\u00f3 b\u00e1n c\u00e1c thu\u1ed1c c\u00f3 ch\u1ee9a corticoid \u0111\u01a1n ch\u1ea5t:<\/p>\n

+ Flumetholon\u00ae 5ml (ch\u1ee9a Fluorometholon 0.1%) do h\u00e3ng Santen \u2013 Nh\u1eadt s\u1ea3n xu\u1ea5t. Gi\u00e1 b\u00e1n: 32.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 30.072\u0111<\/p>\n

H\u00ecnh \u1ea3nh: thu\u1ed1c Flumetholon<\/figcaption><\/figure>\n
+ Pred-Forte\u00ae 5ml (ch\u1ee9a Prednisolon 1%) do h\u00e3ng Allergan \u2013 Ireland s\u1ea3n xu\u1ea5t. Gi\u00e1 b\u00e1n: 36.000\u0111. Gi\u00e1 nh\u1eadp (gi\u00e1 tr\u00fang th\u1ea7u to\u00e0n qu\u1ed1c): 33.987\u0111<\/p>\n
$\"Pred-Forte\u00ae$
H\u00ecnh \u1ea3nh: thu\u1ed1c Pred-Forte\u00ae 5ml<\/figcaption><\/figure>\n
+ Lotemax\u00ae 5ml (ch\u1ee9a Loteprednol 0.5%) do h\u00e3ng Bausch&Lomb \u2013 M\u1ef9 s\u1ea3n xu\u1ea5t. 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
$\"Lotemax\u00ae$
H\u00ecnh \u1ea3nh: thu\u1ed1c Lotemax\u00ae 5ml<\/figcaption><\/figure>\n
Xin 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
T\u00e1c gi\u1ea3: Th\u1ea1c s\u0129 – D\u01b0\u1ee3c s\u0129 Tr\u1ea7n H\u1ea3i \u0110\u00f4ng.<\/p>\n
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– Nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u0111\u1ebfn trong b\u00e0i vi\u1ebft \u201cTOBRADEX \u2013 Nguy hi\u1ec3m gia t\u0103ng khi b\u1ec7nh nh\u00e2n th\u00e0nh b\u00e1c s\u1ef9\u201d, c\u00e1c corticoid s\u1eed d\u1ee5ng theo b\u1ea5t k\u1ef3 \u0111\u01b0\u1eddng d\u00f9ng n\u00e0o c\u0169ng c\u1ea7n th\u1eadn tr\u1ecdng v\u00e0 ph\u1ea3i s\u1eed d\u1ee5ng theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u1ef9, xin nh\u1ea5n m\u1ea1nh l\u00e0 c\u1ee7a b\u00e1c s\u1ef9 ch\u1ee9 kh\u00f4ng ph\u1ea3i […]\n","protected":false},"author":1,"featured_media":8702,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8698","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\/8698","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=8698"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/8698\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/8702"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=8698"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=8698"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=8698"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}