– Ho\u1ea1t ch\u1ea5t corticoid n\u00e0o c\u00f3 d\u01b0\u1ee3c l\u1ef1c kh\u00e1ng vi\u00eam m\u1ea1nh nh\u1ea5t trong c\u00e1c ch\u1ebf ph\u1ea9m hi\u1ec7n c\u00f3 tr\u00ean th\u1ecb tr\u01b0\u1eddng?<\/h2>\n
+ N\u1ebfu ch\u00fang ta c\u0103n c\u1ee9 v\u00e0o t\u00e1c d\u1ee5ng c\u1ee7a corticoid s\u1eed d\u1ee5ng theo \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 khi s\u1eed d\u1ee5ng t\u1ea1i m\u1eaft th\u00ec \u0111\u00f3 c\u00f3 l\u1ebd s\u1ebd l\u00e0 kh\u00f4ng ch\u00ednh x\u00e1c. L\u00fd do \u0111\u01b0\u1ee3c \u0111\u01b0a ra l\u00e0 kh\u1ea3 n\u0103ng kh\u00e1ng vi\u00eam t\u1ea1i m\u1eaft ph\u1ee5 thu\u1ed9c kh\u00f4ng ch\u1ec9 v\u00e0o \u0111\u1ed9 m\u1ea1nh c\u1ee7a b\u1ea3n th\u00e2n d\u01b0\u1ee3c ch\u1ea5t m\u00e0 c\u00f2n d\u1ef1a v\u00e0o t\u00ednh th\u1ea5m c\u1ee7a thu\u1ed1c v\u00e0o b\u00ean 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). Nh\u1eefng ho\u1ea1t ch\u1ea5t c\u00f3 b\u1ea3n ch\u1ea5t h\u00f3a h\u1ecdc th\u00e2n d\u1ea7u (tan trong d\u1ea7u) s\u1ebd th\u1ea5m t\u1ed1t h\u01a1n so v\u1edbi c\u00e1c ch\u1ea5t th\u00e2n n\u01b0\u1edbc \u1edf m\u1eaft ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng. N\u1ebfu s\u1eafp x\u1ebfp theo th\u1ee9 t\u1ef1 gi\u1ea3m d\u1ea7n v\u1ec1 t\u00ednh th\u1ea5m th\u00ec s\u1ebd l\u00e0 g\u1ed1c acetat > g\u1ed1c alcohol > g\u1ed1c phosphat. C\u00f2n v\u1ec1 m\u1eb7t b\u00e0o ch\u1ebf th\u00ec d\u1ea1ng th\u1ea5m t\u1ed1t nh\u1ea5t l\u00e0 d\u1ea1ng h\u1ed7n d\u1ecbch, sau \u0111\u00f3 \u0111\u1ebfn dung d\u1ecbch, c\u00f2n d\u1ea1ng m\u1ee1 do d\u1ec5 b\u1ecb r\u1eeda tr\u00f4i tr\u01b0\u1edbc khi gi\u1ea3i ph\u00f3ng h\u1ebft thu\u1ed1c n\u00ean \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong b\u00e0o ch\u1ebf.<\/p>\n
+ C\u1ed9ng v\u1edbi nh\u1eefng k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb th\u1ef1c t\u1ebf t\u1eeb c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng, Dr. Chris \u0111\u00e3 \u0111\u01b0a ra k\u1ebft lu\u1eadn v\u1ec1 \u0111\u1ed9 m\u1ea1nh c\u1ee7a t\u1eebng lo\u1ea1i nh\u01b0 sau:<\/p>\n
** H\u1ed7n d\u1ecbch Prednisolon Acetat 1% (Pred-Forte\u00ae 1%) l\u00e0 m\u1ea1nh nh\u1ea5t, ti\u1ebfp \u0111\u00f3 m\u1edbi \u0111\u1ebfn h\u1ed7n d\u1ecbch Dexamethason g\u1ed1c alcohol 0.1% v\u00e0 h\u1ed7n d\u1ecbch Fluorometholon g\u1ed1c alcohol 0.1%.<\/p>\n
** Hai ho\u1ea1t ch\u1ea5t n\u00e0y trong th\u1ef1c t\u1ebf r\u1ea5t \u00edt h\u00e0ng th\u01b0\u01a1ng m\u1ea1i v\u00e0 tr\u00ean th\u1ef1c t\u1ebf ch\u1ec9 c\u00f3 h\u1ed7n d\u1ecbch Fluorometholon g\u1ed1c Acetat 0.1% (Flumetholon\u00ae 0.1% c\u1ee7a Santen; FML\u00ae 0.1% c\u1ee7a Allergan v\u00e0 Flarex\u00ae 0.1% c\u1ee7a Alcon) l\u00e0 ph\u1ed5 bi\u1ebfn v\u00e0 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 hi\u1ec7u l\u1ef1c kh\u00e1ng vi\u00eam m\u1ea1nh h\u01a1n g\u1ed1c alcohol c\u00f9ng lo\u1ea1i.<\/p>\n
** Cu\u1ed1i c\u00f9ng y\u1ebfu nh\u1ea5t l\u00e0 dung d\u1ecbch Prednisolon g\u1ed1c phosphate 1% r\u1ed3i dung d\u1ecbch Dexamethason g\u1ed1c phosphat 0.1% (Maxidex\u00ae c\u1ee7a Alcon).<\/p>\n
** C\u00e1c corticoid th\u1ebf h\u1ec7 sau nh\u01b0 Loteprednol etabonat 0.5% (Lotemax c\u1ee7a Bausch&Lomb) hay Rimexolone 1% (Vexol c\u1ee7a Alcon) \u0111\u01b0\u1ee3c coi l\u00e0 corticoid \u201c\u00eam d\u1ecbu\u201d nh\u1ea5t v\u1edbi ho\u1ea1t l\u1ef1c kh\u00e1ng vi\u00eam g\u1ea7n b\u1eb1ng Prednisolon Acetat nh\u01b0ng \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 ch\u1ec9 nh\u01b0 Fluorometholon.<\/p>\n
+ \u0110\u1ecdc \u0111\u1ebfn \u0111\u00e2y th\u00ec ad tin ai c\u0169ng s\u1ebd ng\u1ea1c nhi\u00ean v\u00e0 c\u1ea3m th\u1ea5y h\u01a1i v\u00f4 l\u00fd b\u1edfi c\u00e1c ch\u1ebf ph\u1ea9m ch\u1ee9a Dexamethason hay d\u00f9ng \u0111\u1ec1u c\u00f3 kh\u1ea3 n\u0103ng kh\u00e1ng vi\u00eam m\u1ea1nh m\u1ebd tr\u00ean b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u trong th\u1ef1c t\u1ebf \u0111i\u1ec1u tr\u1ecb. Do v\u1eady, ad xin c\u00f9ng v\u1edbi t\u00e1c gi\u1ea3 c\u0169ng c\u00f3 gi\u1ea3i th\u00edch th\u00eam: th\u1ee9 nh\u1ea5t, n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng s\u1ebd quy\u1ebft \u0111\u1ecbnh lo\u1ea1i \u0111\u00f3 m\u1ea1nh hay y\u1ebfu cho n\u00ean d\u00f9 d\u01b0\u1ee3c l\u1ef1c c\u00f3 m\u1ea1nh \u0111\u1ebfn m\u1ea5y m\u00e0 n\u1ed3ng \u0111\u1ed9 qu\u00e1 th\u1ea5p th\u00ec c\u0169ng kh\u00f4ng b\u1eb1ng d\u01b0\u1ee3c l\u1ef1c y\u1ebfu h\u01a1n nh\u01b0ng n\u1ed3ng \u0111\u1ed9 cao. Th\u1ee9 hai, \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng kh\u00e1ng vi\u00eam th\u00ec ph\u1ea3i \u0111\u00e1nh gi\u00e1 c\u1ea3 b\u00ean trong v\u00e0 b\u00ean ngo\u00e0i nh\u00e3n c\u1ea7u, ngh\u0129a l\u00e0 ho\u1ea1t ch\u1ea5t n\u00e0o c\u00f3 t\u00ednh th\u1ea5m cao th\u00ec s\u1ebd kh\u00e1ng vi\u00eam b\u00ean trong t\u1ed1t h\u01a1n v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ea1nh h\u01a1n.<\/p>\n
+ Gi\u1ea3i th\u00edch th\u00ec nh\u01b0 v\u1eady nh\u01b0ng ch\u1eafc ch\u1eafn m\u1ecdi ng\u01b0\u1eddi v\u1eabn ch\u01b0a th\u1ea5y th\u1ecfa m\u00e3n v\u1edbi c\u00e2u tr\u1ea3 l\u1eddi. N\u1ebfu trong \u0111i\u1ec1u ki\u1ec7n ph\u00f2ng th\u00ed nghi\u1ec7m v\u00e0 tr\u00ean b\u1ec1 m\u1eb7t gi\u00e1c m\u1ea1c kh\u00f4ng b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u00ec \u0111\u1ed9 m\u1ea1nh c\u00f3 th\u1ec3 s\u1ebd ch\u00ednh x\u00e1c nh\u01b0 \u0111\u1ec1 c\u1eadp. Nh\u01b0ng th\u1eed h\u1ecfi c\u00f3 m\u1ea5y ai m\u00e0 m\u1eaft kh\u00f4ng b\u1ecb l\u00e0m sao t\u1ef1 nhi\u00ean \u0111i tra thu\u1ed1c corticoid v\u00e0o m\u1eaft? Th\u1ef1c t\u1ebf l\u00e0 khi k\u1ebft m\u1ea1c ho\u1eb7c gi\u00e1c m\u1ea1c b\u1ecb t\u1ed5n th\u01b0\u01a1ng th\u00ec s\u1ebd l\u00e0m thay \u0111\u1ed5i t\u1ea1m th\u1eddi c\u1ea5u tr\u00fac b\u1ec1 m\u1eb7t c\u1ee7a v\u00f9ng \u0111\u00f3 d\u1eabn \u0111\u1ebfn t\u0103ng t\u00ednh th\u1ea5m thu\u1ed1c k\u1ec3 c\u1ea3 v\u1edbi nh\u1eefng d\u01b0\u1ee3c ch\u1ea5t ho\u1eb7c d\u1ea1ng b\u00e0o ch\u1ebf \u00edt th\u1ea5m s\u00e2u, l\u00e0m t\u0103ng \u0111\u1ed9 m\u1ea1nh c\u1ee7a ho\u1ea1t ch\u1ea5t \u0111\u00f3. \u0110\u00e2y c\u0169ng l\u00e0 l\u1eddi l\u00fd gi\u1ea3i t\u1ea1i sao m\u1ed7i thu\u1ed1c l\u1ea1i \u0111\u00e1p \u1ee9ng kh\u00e1c nhau tr\u00ean t\u1eebng m\u1eb7t b\u1ec7nh, t\u1eebng c\u00e1 th\u1ec3 ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n
– N\u00ean s\u1eed d\u1ee5ng lo\u1ea1i corticoid n\u00e0o v\u00e0 ch\u1ebf \u0111\u1ed9 li\u1ec1u t\u1ea1i m\u1eaft nh\u01b0 th\u1ebf n\u00e0o cho hi\u1ec7u qu\u1ea3?<\/h2>\n
+ T\u00e1c gi\u1ea3 c\u0169ng \u0111\u01b0a ra r\u1ea5t nhi\u1ec1u l\u1eddi khuy\u00ean h\u1ee3p l\u00fd:<\/p>\n
** S\u1eed d\u1ee5ng \u0111\u00fang lo\u1ea1i: v\u1edbi nh\u1eefng t\u00ecnh tr\u1ea1ng vi\u00eam b\u1ec1 m\u1eb7t nh\u00e3n c\u1ea7u nh\u1eb9 v\u00e0 trung b\u00ecnh nh\u01b0 vi\u00eam k\u1ebft m\u1ea1c d\u1ecb \u1ee9ng, vi\u00eam th\u01b0\u1ee3ng c\u1ee7ng m\u1ea1c th\u00ec c\u00e1c lo\u1ea1i nh\u01b0 Fluorometholon 0.1% hay Loteprednol 0.5% n\u00ean l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u tay. C\u00f2n v\u1edbi nh\u1eefng t\u00ecnh tr\u1ea1ng vi\u00eam n\u1eb7ng v\u00e0 s\u00e2u h\u01a1n th\u00ec Prednisolon Acetat 1% l\u00e0 l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u, tr\u1eeb tr\u01b0\u1eddng h\u1ee3p c\u00f3 ti\u1ec1n s\u1eed glaucoma th\u00ec m\u1edbi c\u00e2n nh\u1eafc sang c\u00e1c lo\u1ea1i \u00edt g\u00e2y t\u0103ng nh\u00e3n \u00e1p h\u01a1n.<\/p>\n
** \u0110\u00e1nh m\u1ea1nh, \u0111\u00e1nh nhanh: li\u1ec1u th\u00f4ng th\u01b0\u1eddng ch\u00fang ta hay s\u1eed d\u1ee5ng l\u00e0 3-4 l\u1ea7n\/ng\u00e0y nh\u01b0ng theo t\u00e1c gi\u1ea3 \u0111\u1ec1 c\u1eadp l\u00e0 ch\u00fang ta c\u00f3 th\u1ec3 t\u0103ng l\u00ean 2 gi\u1edd 1 l\u1ea7n ho\u1eb7c th\u1eadm ch\u00ed 1 gi\u1edd 1 l\u1ea7n trong nh\u1eefng ng\u00e0y \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 d\u1eadp nhanh c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam, \u0111\u1eb7c bi\u1ec7t h\u1eefu \u00edch khi vi\u00eam trung b\u00ecnh ho\u1eb7c n\u1eb7ng tr\u1eeb tr\u01b0\u1eddng h\u1ee3p vi\u00eam do vi khu\u1ea9n ho\u1eb7c vi r\u00fat. (\u0110o\u1ea1n n\u00e0y th\u00ec ad th\u1ea5y n\u00ean d\u00f9ng li\u1ec1u th\u01b0\u1eddng quy v\u1eabn an to\u00e0n h\u01a1n v\u00ec kh\u00f3 x\u00e1c \u0111\u1ecbnh vi\u00eam do nguy\u00ean nh\u00e2n n\u00e0o \u0111\u01b0\u1ee3c ngay v\u00e0o nh\u1eefng ng\u00e0y \u0111\u1ea7u kh\u1edfi b\u1ec7nh).<\/p>\n
** Gi\u1ea3m li\u1ec1u h\u1ee3p l\u00fd: \u0111\u00e2y l\u00e0 v\u1ea5n \u0111\u1ec1 c\u00e1c b\u00e1c s\u1ef9 th\u01b0\u1eddng c\u00f3 quan \u0111i\u1ec3m kh\u00e1c nhau. M\u1ed9t s\u1ed1 b\u00e1c s\u1ef9 cho r\u1eb1ng c\u00f3 th\u1ec3 d\u1eebng ngay \u0111\u01b0\u1ee3c m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i gi\u1ea3m li\u1ec1u d\u1ea7n d\u1ea7n trong khi m\u1ed9t s\u1ed1 b\u00e1c s\u1ef9 l\u1ea1i ch\u1ecdn ng\u01b0\u1ee3c l\u1ea1i l\u00e0 gi\u1ea3m t\u1eeb t\u1eeb tr\u01b0\u1edbc khi d\u1eebng h\u1eb3n. Quan \u0111i\u1ec3m c\u1ee7a t\u00e1c gi\u1ea3 l\u00e0 n\u00ean gi\u1ea3m 1\/2 s\u1ed1 li\u1ec1u ban \u0111\u1ea7u sau khi vi\u00eam \u0111\u00e3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t r\u1ed3i l\u1ea1i gi\u1ea3m ti\u1ebfp 1\/2 cho \u0111\u1ebfn khi d\u1eebng h\u1eb3n trong kho\u1ea3ng th\u1eddi gian d\u1ef1 t\u00ednh \u0111i\u1ec1u tr\u1ecb. V\u00ed d\u1ee5 n\u1ebfu d\u1ef1 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng 15 ng\u00e0y th\u00ec chia ra 5 ng\u00e0y \u0111\u1ea7u d\u00f9ng li\u1ec1u 4 l\u1ea7n\/ng\u00e0y, 5 ng\u00e0y ti\u1ebfp theo d\u00f9ng li\u1ec1u 2 l\u1ea7n\/ng\u00e0y v\u00e0 5 ng\u00e0y cu\u1ed1i s\u1ebd l\u00e0 1 l\u1ea7n\/ng\u00e0y. C\u00e1ch n\u00e0y \u0111\u01b0\u1ee3c cho l\u00e0 s\u1ebd h\u1ea1n ch\u1ebf vi\u1ec7c t\u00e1i ph\u00e1t tr\u1edf l\u1ea1i tri\u1ec7u ch\u1ee9ng vi\u00eam h\u01a1n so v\u1edbi d\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t. Th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng t\u1ea1i vi\u1ec7n ad cho xu h\u01b0\u1edbng k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb \u0111\u00fang nh\u01b0 v\u1eady.<\/p>\n
** Ki\u1ec3m so\u00e1t nh\u00e3n \u00e1p: v\u1ea5n \u0111\u1ec1 t\u0103ng nh\u00e3n \u00e1p khi d\u00f9ng corticoid t\u1ea1i m\u1eaft t\u1eeb ng\u00e0y th\u1ee9 10 tr\u1edf l\u00ean c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 x\u1eed l\u00fd c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng qu\u00e1 ng\u01b0\u1ee1ng b\u00ecnh th\u01b0\u1eddng b\u1eb1ng c\u00e1c thu\u1ed1c h\u1ea1 nh\u00e3n \u00e1p theo c\u01a1 ch\u1ebf ch\u1eb9n beta, \u1ee9c ch\u1ebf men CA ho\u1eb7c k\u00edch th\u00edch alpha giao c\u1ea3m. Ch\u00fa \u00fd l\u00e0 kh\u00f4ng d\u00f9ng nh\u00f3m prostaglandin \u0111\u1ec3 h\u1ea1 nh\u00e3n \u00e1p do nguy c\u01a1 l\u00e0m n\u1eb7ng tr\u1edf l\u1ea1i t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ee7a b\u1ec7nh nh\u00e2n. Sau khi t\u00ecnh tr\u1ea1ng vi\u00eam \u0111\u00e3 \u1ed5n \u0111\u1ecbnh th\u00ec c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc chuy\u1ec3n sang lo\u1ea1i corticoid \u201cy\u1ebfu\u201d h\u01a1n m\u00e0 \u00edt g\u00e2y t\u0103ng nh\u00e3n \u00e1p. (Th\u1ee9 t\u1ef1 \u00edt g\u00e2y t\u0103ng nh\u00e3n \u00e1p: Fluorometholon < Loteprednol < Prednisolon < Dexamethason)<\/p>\n
** X\u00e0i h\u00e0ng \u201chi\u1ec7u\u201d: t\u00e1c gi\u1ea3 c\u00f3 nh\u1eafc \u0111\u1ebfn vi\u1ec7c n\u00ean s\u1eed d\u1ee5ng h\u00e0ng bi\u1ec7t d\u01b0\u1ee3c v\u1edbi l\u00fd do l\u00e0 c\u00e1c ti\u00eau ch\u00ed ch\u1ea5t l\u01b0\u1ee3ng thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ea3m b\u1ea3o nh\u01b0 \u0111\u1ed9 pH, t\u00ednh th\u1ea5m, \u0111\u1ed9 h\u00f2a tan\u2026 \u0110o\u1ea1n n\u00e0y ad c\u0169ng \u0111\u1ed3ng \u00fd v\u1edbi t\u00e1c gi\u1ea3 v\u00ec vi\u1ec7c b\u00e0o ch\u1ebf \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn r\u1ea5t l\u1edbn \u0111\u1ebfn t\u00e1c d\u1ee5ng c\u1ee7a nh\u00f3m thu\u1ed1c n\u00e0y, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi d\u00f9ng t\u1ea1i m\u1eaft th\u00ec k\u1ef9 thu\u1eadt b\u00e0o ch\u1ebf nhi\u1ec1u l\u00fac c\u00f2n gi\u00e1 tr\u1ecb h\u01a1n c\u1ea3 b\u1ea3n th\u00e2n d\u01b0\u1ee3c ch\u1ea5t.<\/p>\n
+ Trong b\u00e0i c\u1ee7a t\u00e1c gi\u1ea3 c\u00f3 v\u1ebb nh\u01b0 \u00edt nh\u1eafc \u0111\u1ebfn ho\u1ea1t ch\u1ea5t Dexamethason hay Betamethason do nh\u01b0\u1ee3c \u0111i\u1ec3m c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0ng kh\u00f4ng th\u1ec3 ph\u1ee7 nh\u1eadn gi\u00e1 tr\u1ecb c\u1ee7a ho\u1ea1t ch\u1ea5t n\u00e0y khi c\u00e1c corticoid kh\u00e1c \u0111\u00e1p \u1ee9ng k\u00e9m ho\u1eb7c kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi t\u00ecnh tr\u1ea1ng vi\u00eam, \u0111\u1eb7c bi\u1ec7t nh\u01b0 vi\u00eam m\u00e0ng b\u1ed3 \u0111\u00e0o.<\/p>\n
M\u1ed7i b\u00e1c s\u1ef9 \u0111i\u1ec1u tr\u1ecb l\u00e0 m\u1ed7i quan \u0111i\u1ec3m nh\u01b0ng kh\u00f4ng th\u1ec3 ph\u1ee7 nh\u1eadn r\u1eb1ng nh\u1eefng th\u00f4ng tin khoa h\u1ecdc trong ng\u00e0nh \u0111\u1ec1u n\u00ean \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc l\u1ef1a ch\u1ecdn \u0111\u1ec3 l\u00e0m sao cho ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng b\u1ec7nh nh\u00e2n, mang l\u1ea1i k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u nh\u1ea5t.<\/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:<\/h2>\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 + 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 + 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 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 <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" T\u1ed5ng quan v\u1ec1 c\u00e1c corticoid s\u1eed d\u1ee5ng trong nh\u00e3n khoa t\u1eeb b\u00e1c s\u1ef9 Chris J. Cakanac, Vi\u1ec7n H\u00e0n L\u00e2m Kh\u00fac X\u1ea1 Nh\u00e3n Khoa M\u1ef9. – Ch\u1ee7 \u0111\u1ec1 v\u1ec1 s\u1eed d\u1ee5ng corticoid t\u1ea1i ch\u1ed7 cho ng\u00e0nh m\u1eaft v\u1ed1n \u0111\u01b0\u1ee3c b\u00e0n lu\u1eadn t\u1eeb c\u00e1ch \u0111\u00e2y nhi\u1ec1u n\u0103m (nh\u1eefng n\u0103m 1940) t\u1ea1i c\u00e1c n\u01b0\u1edbc ph\u00e1t tri\u1ec3n. Do t\u00ednh […]\n","protected":false},"author":1,"featured_media":8988,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-8987","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\/8987","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=8987"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/8987\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/8988"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=8987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=8987"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=8987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}![\"Flumetholon\"](\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/05\/flumetholon_002.jpg\" "\\"\\"")
![\"Pred-Forte\u00ae](\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Pred_Forte.jpg\" "\\"\\"")
![\"Lotemax\u00ae](\"https:\/\/www.vnras.com\/drug\/wp-content\/uploads\/2019\/04\/Lotemax.jpg\" "\\"\\"")