﻿{"id":125688,"date":"2025-07-02T22:42:50","date_gmt":"2025-07-02T15:42:50","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=125688"},"modified":"2025-07-24T11:46:46","modified_gmt":"2025-07-24T04:46:46","slug":"gazyva-1000mg-40ml","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/gazyva-1000mg-40ml\/","title":{"rendered":"Gazyva 1000mg\/40ml"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, <a href=\"https:\/\/vnras.com\/drug\/\">d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/a> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Gazyva 1000mg\/40ml \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Roche Diagnostics GmbH c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 400410250323 (S\u0110K c\u0169: QLSP-H03-1134-18)<\/strong><\/p>\n<h2>Gazyva 1000mg\/40ml l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i 40ml <strong>dung d\u1ecbch Gazyva 1000mg\/40ml<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<p>Obinutuzumab\u2026\u2026\u2026\u2026\u2026\u2026\u20261000mg<\/p>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch \u0111\u1eadm \u0111\u1eb7c \u0111\u1ec3 pha dung d\u1ecbch ti\u00eam truy\u1ec1n<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 400410250323 (S\u0110K c\u0169: QLSP-H03-1134-18)<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 l\u1ecd 40ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u0110\u1ee9c\/Th\u1ee5y S\u1ef9<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Gazyva 1000mg\/40ml<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Gazyva 1000mg\/40ml ch\u1ee9a obinutuzumab \u2013 m\u1ed9t kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng nh\u00e2n t\u1ea1o nh\u1eafm v\u00e0o kh\u00e1ng nguy\u00ean CD20 c\u00f3 tr\u00ean b\u1ec1 m\u1eb7t t\u1ebf b\u00e0o lympho B. Khi li\u00ean k\u1ebft v\u1edbi CD20, thu\u1ed1c ho\u1ea1t h\u00f3a c\u00e1c c\u01a1 ch\u1ebf ti\u00eau di\u1ec7t t\u1ebf b\u00e0o \u0111\u00edch, bao g\u1ed3m g\u00e2y ch\u1ebft t\u1ebf b\u00e0o tr\u1ef1c ti\u1ebfp th\u00f4ng qua con \u0111\u01b0\u1eddng n\u1ed9i b\u00e0o, k\u00edch ho\u1ea1t b\u1ed5 th\u1ec3 v\u00e0 \u0111\u1ed9c t\u00ednh t\u1ebf b\u00e0o ph\u1ee5 thu\u1ed9c kh\u00e1ng th\u1ec3 (ADCC), th\u1ef1c b\u00e0o.<\/p>\n<p>V\u1edbi c\u1ea5u tr\u00fac gi\u1ea3m fucose, obinutuzumab t\u0103ng c\u01b0\u1eddng hi\u1ec7u qu\u1ea3 ti\u00eau di\u1ec7t t\u1ebf b\u00e0o B so v\u1edbi rituximab nh\u1edd t\u0103ng \u00e1i l\u1ef1c v\u1edbi th\u1ee5 th\u1ec3 Fc\u03b3RIII. Ngo\u00e0i ra, thu\u1ed1c v\u1eabn duy tr\u00ec kh\u1ea3 n\u0103ng g\u1eafn t\u01b0\u01a1ng t\u1ef1 t\u1ea1i v\u00f9ng epitope CD20 gi\u1ed1ng nh\u01b0 rituximab.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Obinutuzumab \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i theo hai c\u01a1 ch\u1ebf: tuy\u1ebfn t\u00ednh v\u00e0 kh\u00f4ng tuy\u1ebfn t\u00ednh ph\u1ee5 thu\u1ed9c m\u1ee5c ti\u00eau. Khi \u0111i\u1ec1u tr\u1ecb ti\u1ebfn tri\u1ec3n, s\u1ef1 thanh th\u1ea3i kh\u00f4ng tuy\u1ebfn t\u00ednh gi\u1ea3m d\u1ea7n do hi\u1ec7n t\u01b0\u1ee3ng b\u00e3o h\u00f2a ph\u00e2n ph\u1ed1i trung gian \u0111\u00edch. Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 trung b\u00ecnh v\u00e0o kho\u1ea3ng 4.1\u20134.3 l\u00edt.<\/p>\n<p>Th\u1eddi gian b\u00e1n th\u1ea3i k\u00e9o d\u00e0i, dao \u0111\u1ed9ng t\u1eeb 25\u201335 ng\u00e0y t\u00f9y t\u1eebng nh\u00f3m b\u1ec7nh. \u0110\u1ed9 thanh th\u1ea3i kho\u1ea3ng 0,08\u20130,11 l\u00edt\/ng\u00e0y. C\u00e1c th\u00f4ng s\u1ed1 n\u00e0y th\u1ec3 hi\u1ec7n thu\u1ed1c l\u01b0u h\u00e0nh trong h\u1ec7 tu\u1ea7n ho\u00e0n l\u00e2u, duy tr\u00ec n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb \u1ed5n \u0111\u1ecbnh trong th\u1eddi gian d\u00e0i.<\/p>\n<h2>Thu\u1ed1c Gazyva 1000mg\/40ml \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<ol>\n<li>B\u1ea1ch c\u1ea7u lymphocytic m\u1ea1n t\u00ednh (CLL): D\u00f9ng k\u1ebft h\u1ee3p v\u1edbi chlorambucil cho b\u1ec7nh nh\u00e2n ch\u01b0a \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc \u0111\u00f3.<\/li>\n<li>U lympho nang (FL):<\/li>\n<\/ol>\n<ul>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh t\u00e1i ph\u00e1t ho\u1eb7c kh\u00e1ng tr\u1ecb: ph\u1ed1i h\u1ee3p v\u1edbi bendamustine, sau \u0111\u00f3 duy tr\u00ec \u0111\u01a1n tr\u1ecb li\u1ec7u Gazyva.<\/li>\n<li>\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n ch\u01b0a \u0111i\u1ec1u tr\u1ecb: d\u00f9ng chung v\u1edbi c\u00e1c ph\u00e1c \u0111\u1ed3 h\u00f3a tr\u1ecb (bendamustine, CHOP ho\u1eb7c CVP) v\u00e0 ti\u1ebfp t\u1ee5c \u0111\u01a1n tr\u1ecb t\u1ed1i \u0111a 2 n\u0103m n\u1ebfu \u0111\u1ea1t \u0111\u00e1p \u1ee9ng.<\/li>\n<\/ul>\n<figure id=\"attachment_125695\" aria-describedby=\"caption-attachment-125695\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-125695\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/Gazyva-1000mg40ml.jpg\" alt=\"Gazyva 1000mg\/40ml\" width=\"1200\" height=\"800\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/Gazyva-1000mg40ml.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/Gazyva-1000mg40ml-600x400.jpg 600w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/Gazyva-1000mg40ml-768x512.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/07\/Gazyva-1000mg40ml-350x233.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-125695\" class=\"wp-caption-text\">Thu\u1ed1c Gazyva 1000mg\/40ml ch\u1ee9a ho\u1ea1t ch\u1ea5t obinutuzumab, l\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng \u0111i\u1ec1u tr\u1ecb u lympho nang v\u00e0 b\u1ea1ch c\u1ea7u lymphocytic m\u1ea1n t\u00ednh, d\u00f9ng theo \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/figcaption><\/figure>\n<h2>Li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch s\u1eed d\u1ee5ng<\/h2>\n<h3>Li\u1ec1u d\u00f9ng<\/h3>\n<p><span style=\"text-decoration: underline;\"><strong>\u0110\u1ed1i v\u1edbi CLL:<\/strong><\/span><\/p>\n<p>Chu k\u1ef3 1 (28 ng\u00e0y):<\/p>\n<ul>\n<li>Ng\u00e0y 1: 100 mg<\/li>\n<li>Ng\u00e0y 2: 900 mg<\/li>\n<li>Ng\u00e0y 8 v\u00e0 15: m\u1ed7i l\u1ea7n 1.000 mg<\/li>\n<\/ul>\n<p>C\u00e1c chu k\u1ef3 2\u20136: Ng\u00e0y 1: 1.000 mg<\/p>\n<p><strong><span style=\"text-decoration: underline;\">\u0110\u1ed1i v\u1edbi FL:<\/span><\/strong><\/p>\n<p>Chu k\u1ef3 1 (li\u1ec1u t\u1ea3i): Ng\u00e0y 1, 8, 15: m\u1ed7i l\u1ea7n 1.000 mg<\/p>\n<p>C\u00e1c chu k\u1ef3 ti\u1ebfp theo:<\/p>\n<ul>\n<li>N\u1ebfu d\u00f9ng v\u1edbi bendamustine: 6 chu k\u1ef3 28 ng\u00e0y<\/li>\n<li>N\u1ebfu d\u00f9ng v\u1edbi CHOP: 6 chu k\u1ef3 21 ng\u00e0y, sau \u0111\u00f3 2 chu k\u1ef3 ch\u1ec9 d\u00f9ng Gazyva<\/li>\n<li>N\u1ebfu d\u00f9ng v\u1edbi CVP: 8 chu k\u1ef3 21 ng\u00e0y<\/li>\n<\/ul>\n<p>Sau khi \u0111\u1ea1t \u0111\u00e1p \u1ee9ng, ti\u1ebfp t\u1ee5c \u0111\u01a1n tr\u1ecb li\u1ec7u m\u1ed7i 2 th\u00e1ng trong t\u1ed1i \u0111a 2 n\u0103m.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<ul>\n<li>Ch\u1ec9 d\u00f9ng d\u01b0\u1edbi d\u1ea1ng truy\u1ec1n t\u0129nh m\u1ea1ch qua \u0111\u01b0\u1eddng truy\u1ec1n ri\u00eang bi\u1ec7t.<\/li>\n<li>Kh\u00f4ng ti\u00eam t\u0129nh m\u1ea1ch nhanh ho\u1eb7c ti\u00eam bolus tr\u1ef1c ti\u1ebfp.<\/li>\n<li>T\u1ed1c \u0111\u1ed9 truy\u1ec1n ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng l\u1ea7n truy\u1ec1n v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<li>Ph\u1ea3i truy\u1ec1n thu\u1ed1c t\u1eeb t\u1eeb, b\u1eaft \u0111\u1ea7u t\u1eeb t\u1ed1c \u0111\u1ed9 th\u1ea5p (25\u201350 mg\/gi\u1edd) v\u00e0 t\u0103ng d\u1ea7n n\u1ebfu dung n\u1ea1p t\u1ed1t, t\u1ed1i \u0111a 400 mg\/gi\u1edd.<\/li>\n<li>C\u00f3 th\u1ec3 r\u00fat ng\u1eafn th\u1eddi gian truy\u1ec1n xu\u1ed1ng c\u00f2n 90 ph\u00fat t\u1eeb chu k\u1ef3 2 n\u1ebfu b\u1ec7nh nh\u00e2n dung n\u1ea1p t\u1ed1t \u1edf chu k\u1ef3 \u0111\u1ea7u.<\/li>\n<\/ul>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Gazyva 1000mg\/40ml trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng n\u1eb7ng ho\u1eb7c ph\u1ea3n v\u1ec7 v\u1edbi obinutuzumab hay b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o trong ch\u1ebf ph\u1ea9m.<\/p>\n<p>Kh\u00f4ng d\u00f9ng cho b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng b\u1ecb b\u1ec7nh huy\u1ebft thanh khi s\u1eed d\u1ee5ng obinutuzumab tr\u01b0\u1edbc \u0111\u00e2y.<\/p>\n<h2>L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c<\/h2>\n<h3>Th\u1eadn tr\u1ecdng<\/h3>\n<ul>\n<li>C\u1ea7n theo d\u00f5i s\u00e1t ph\u1ea3n \u1ee9ng li\u00ean quan \u0111\u1ebfn truy\u1ec1n d\u1ecbch, \u0111\u1eb7c bi\u1ec7t \u1edf chu k\u1ef3 \u0111\u1ea7u. C\u00f3 th\u1ec3 x\u1ea3y ra c\u00e1c ph\u1ea3n \u1ee9ng nghi\u00eam tr\u1ecdng, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng.<\/li>\n<li>Theo d\u00f5i c\u00f4ng th\u1ee9c m\u00e1u \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm t\u00ecnh tr\u1ea1ng gi\u1ea3m b\u1ea1ch c\u1ea7u, thi\u1ebfu m\u00e1u, gi\u1ea3m ti\u1ec3u c\u1ea7u.<\/li>\n<li>\u0110\u1ea3m b\u1ea3o b\u00f9 \u0111\u1ee7 n\u01b0\u1edbc v\u00e0 d\u00f9ng thu\u1ed1c d\u1ef1 ph\u00f2ng h\u1ea1 acid uric \u1edf b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao h\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u.<\/li>\n<li>C\u00e2n nh\u1eafc t\u1ea1m ng\u1eebng c\u00e1c thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p tr\u01b0\u1edbc khi truy\u1ec1n \u0111\u1ec3 tr\u00e1nh t\u1ee5t huy\u1ebft \u00e1p trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/li>\n<li>V\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh k\u00e9o d\u00e0i, n\u00ean d\u1ef1 ph\u00f2ng b\u1eb1ng thu\u1ed1c kh\u00e1ng sinh, kh\u00e1ng n\u1ea5m, kh\u00e1ng virus n\u1ebfu c\u1ea7n thi\u1ebft.<\/li>\n<\/ul>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<ul>\n<li>Ph\u1ea3n \u1ee9ng li\u00ean quan \u0111\u1ebfn truy\u1ec1n d\u1ecbch<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>S\u1ed1t<\/li>\n<li>Gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh<\/li>\n<li>Gi\u1ea3m b\u1ea1ch c\u1ea7u<\/li>\n<li>Gi\u1ea3m b\u1ea1ch c\u1ea7u lympho<\/li>\n<li>Gi\u1ea3m ti\u1ec3u c\u1ea7u<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean<\/li>\n<li>Vi\u00eam ph\u1ed5i<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng Herpesvirus<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng huy\u1ebft<\/li>\n<li>Nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/li>\n<li>T\u00e1o b\u00f3n<\/li>\n<li>Ti\u00eau ch\u1ea3y<\/li>\n<li>Bu\u1ed3n n\u00f4n, n\u00f4n<\/li>\n<li>\u0110au c\u01a1 x\u01b0\u01a1ng<\/li>\n<li>\u0110au kh\u1edbp<\/li>\n<li>\u0110au \u0111\u1ea7u<\/li>\n<li>M\u1ea5t ng\u1ee7<\/li>\n<li>Ng\u1ee9a<\/li>\n<li>Ph\u00e1t ban<\/li>\n<li>Gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n<\/li>\n<li>T\u0103ng men gan (AST, ALT)<\/li>\n<li>H\u1ea1 phosphat m\u00e1u<\/li>\n<li>H\u1ea1 canxi m\u00e1u<\/li>\n<li>T\u0103ng acid uric m\u00e1u<\/li>\n<li>T\u0103ng\/gi\u1ea3m natri, kali m\u00e1u<\/li>\n<li>Gi\u1ea3m albumin m\u00e1u<\/li>\n<li>Gi\u1ea3m protein m\u00e1u<\/li>\n<li>H\u1ed9i ch\u1ee9ng ly gi\u1ea3i kh\u1ed1i u<\/li>\n<li>\u0110\u00f4ng m\u00e1u r\u1ea3i r\u00e1c n\u1ed9i m\u1ea1ch (DIC)<\/li>\n<\/ul>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Hi\u1ec7n ch\u01b0a c\u00f3 th\u00f4ng tin v\u1ec1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c c\u1ee7a <strong>dung d\u1ecbch ti\u00eam truy\u1ec1n Gazyva 1000mg\/40ml<\/strong><\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<ul>\n<li>Ph\u1ee5 n\u1eef mang thai: Obinutuzumab c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng t\u1ebf b\u00e0o B \u1edf thai nhi v\u00e0 t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng s\u01a1 sinh. Kh\u00f4ng c\u00f3 d\u1eef li\u1ec7u l\u00e2m s\u00e0ng \u1edf ng\u01b0\u1eddi, nh\u01b0ng c\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt ghi nh\u1eadn nguy c\u01a1 mi\u1ec5n d\u1ecbch suy gi\u1ea3m sau sinh.<\/li>\n<li>Kh\u00f4ng ti\u00eam v\u1eafc-xin s\u1ed1ng cho tr\u1ebb s\u01a1 sinh ti\u1ebfp x\u00fac v\u1edbi thu\u1ed1c trong t\u1eed cung cho \u0111\u1ebfn khi ch\u1ee9c n\u0103ng mi\u1ec5n d\u1ecbch h\u1ed3i ph\u1ee5c.<\/li>\n<li>Ph\u1ee5 n\u1eef cho con b\u00fa: Kh\u00f4ng r\u00f5 thu\u1ed1c c\u00f3 ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 hay kh\u00f4ng. D\u1ef1a tr\u00ean d\u1eef li\u1ec7u t\u1eeb \u0111\u1ed9ng v\u1eadt, c\u1ea7n ng\u01b0ng cho con b\u00fa trong su\u1ed1t qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 \u00edt nh\u1ea5t 6 th\u00e1ng sau li\u1ec1u cu\u1ed1i c\u00f9ng.<\/li>\n<li>Tr\u00e1nh thai: Ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n c\u1ea7n \u00e1p d\u1ee5ng bi\u1ec7n ph\u00e1p ng\u1eeba thai hi\u1ec7u qu\u1ea3 trong th\u1eddi gian d\u00f9ng thu\u1ed1c v\u00e0 6 th\u00e1ng sau \u0111\u00f3.<\/li>\n<\/ul>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c<\/h3>\n<p>Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c. Tuy nhi\u00ean, n\u1ebfu xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi sau khi truy\u1ec1n thu\u1ed1c, b\u1ec7nh nh\u00e2n n\u00ean tr\u00e1nh l\u00e0m c\u00e1c c\u00f4ng vi\u1ec7c c\u1ea7n s\u1ef1 t\u1ec9nh t\u00e1o cho \u0111\u1ebfn khi c\u1ea3m th\u1ea5y b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u1ea1i.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Hi\u1ec7n ch\u01b0a ghi nh\u1eadn tr\u01b0\u1eddng h\u1ee3p qu\u00e1 li\u1ec1u n\u00e0o tr\u00ean ng\u01b0\u1eddi trong c\u00e1c nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng. N\u1ebfu qu\u00e1 li\u1ec1u x\u1ea3y ra, c\u1ea7n ng\u1eebng thu\u1ed1c ngay l\u1eadp t\u1ee9c v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 ph\u00f9 h\u1ee3p t\u00f9y theo bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<ul>\n<li>Gi\u1eef Gazyva 1000mg\/40ml \u1edf n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t (2-8\u2103), tr\u00e1nh \u00e1nh n\u1eafng qu\u00e1 m\u1ea1nh t\u1eeb m\u1eb7t tr\u1eddi<\/li>\n<li>Kh\u00f4ng \u0111\u1ec3 Gazyva 1000mg\/40ml trong t\u1ea7m v\u1edbi tr\u1ebb em<\/li>\n<li>Kh\u00f4ng s\u1eed d\u1ee5ng Gazyva 1000mg\/40ml khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/li>\n<\/ul>\n<h2>Thu\u1ed1c Gazyva 1000mg\/40ml gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Gazyva 1000mg\/40ml hi\u1ec7n \u0111\u01b0\u1ee3c nh\u1eadp kh\u1ea9u v\u00e0 b\u00e1n l\u01b0u h\u00e0nh t\u1ea1i th\u1ecb tr\u01b0\u1eddng trong n\u01b0\u1edbc \u1edf c\u00e1c qu\u1ea7y\/nh\u00e0 thu\u1ed1c kh\u00e1c nhau, gi\u00e1 thu\u1ed1c Gazyva 1000mg\/40ml d\u00f9ng \u0111\u1ec3 tham kh\u1ea3o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u00fang t\u00f4i cung c\u1ea5p ngay \u0111\u1ea7u trang ho\u1eb7c n\u1ebfu \u0111ang trong qu\u00e1 tr\u00ecnh c\u1eadp nh\u1eadt l\u1ea1i gi\u00e1, qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Owen CJ, Stewart DA (2015). Obinutuzumab for the treatment of patients with previously untreated chronic lymphocytic leukemia: overview and perspective. Ther Adv Hematol. Truy c\u1eadp ng\u00e0y 2 th\u00e1ng 7 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4530370\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC4530370\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"chat-item flx chat-item-audit chat-item-spacing --s1 \">\n<div class=\"chat-content flx flx-col flx-cell chat-content-audit\">\n<div id=\"bb_msg_id_1745215618994\" class=\"chat-message chat-message-v2 wrap-message rotate-container -send-time -reaction\" data-component=\"bubble-message\">\n<div class=\"message-wrapper\">\n<div class=\"message-content-wrapper\">\n<div class=\"message-content-render focused-background\">\n<div class=\" ani__you card shadow-bubble message-frame focused-item focused-item--has-border\" data-component=\"message-content-view\" data-qid=\"6526489343233@1745215618994_2927807804509807650_g7376324001377441502\">\n<div class=\"\" data-id=\"div_DisabledTargetEventLayer\">\n<div class=\"message-action\">\n<div id=\"text-mCntr_6526489343233-1745215618994-2927807804509807650-g7376324001377441502\" class=\"text-message__container\" data-id=\"div_ReceivedMsg_Text\">\n<div>\n<div class=\"overflow-hidden\" data-component=\"message-text-content\"><span style=\"color: #e14d43;\"><strong><span class=\"text\">CH\u00daNG T\u00d4I KH\u00d4NG KINH DOANH S\u1ea2N PH\u1ea8M, B\u00c0I VI\u1ebeT CH\u1ec8 MANG T\u00cdNH CH\u1ea4T THAM KH\u1ea2O V\u00c0 CUNG C\u1ea4P TH\u00d4NG TIN CHO KH\u00c1CH H\u00c0NG T\u00ccM HI\u1ec2U<\/span><\/strong><\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<div class=\"message-reaction-container message-reaction-container-v2 has-reacts has-send-time show-react-btn always-display \">\n<div class=\"reacts-list reaction-shadow \" data-id=\"div_ReceivedMsg.ReactList\">\n<div class=\"react-icon-list\"><\/div>\n<\/div>\n<div id=\"reaction-btn-6526489343233\" data-id=\"btn_ReceivedMsg_React\">\n<div class=\"emoji-list-wrapper hide-elist\">\n<div class=\"reaction-emoji-bottom\"><span style=\"color: #555555; font-size: 14.4px;\">Thu\u1ed1c Gazyva 1000mg\/40ml ch\u1ee9a ho\u1ea1t ch\u1ea5t obinutuzumab, l\u00e0 kh\u00e1ng th\u1ec3 \u0111\u01a1n d\u00f2ng \u0111i\u1ec1u tr\u1ecb u lympho nang v\u00e0 b\u1ea1ch c\u1ea7u lymphocytic m\u1ea1n t\u00ednh, d\u00f9ng theo \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"author":1,"featured_media":125694,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-125688","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product\/125688","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"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=125688"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/125694"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=125688"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=125688"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=125688"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}