{"id":137485,"date":"2025-09-08T15:11:35","date_gmt":"2025-09-08T08:11:35","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=137485"},"modified":"2025-09-11T16:28:31","modified_gmt":"2025-09-11T09:28:31","slug":"lipofundin-mct-lct-10","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/lipofundin-mct-lct-10\/","title":{"rendered":"Lipofundin MCT\/LCT 10%"},"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 Lipofundin MCT\/LCT 10% \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi B. Braun Melsungen AG c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 400110020323 (S\u0110K c\u0169: VN-16130-13)<\/strong><\/p>\n<h2>Lipofundin MCT\/LCT 10% l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i <strong>chai Lipofundin MCT\/LCT 10%<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>D\u1ea7u \u0111\u1eadu t\u01b0\u01a1ng tinh luy\u1ec7n: 10 g<\/li>\n<li>Triglycerid chu\u1ed7i trung b\u00ecnh (MCT): 10 g<\/li>\n<li>H\u00e0m l\u01b0\u1ee3ng acid b\u00e9o thi\u1ebft y\u1ebfu:<\/li>\n<li>Acid linoleic: 48 \u2013 58 g\/l<\/li>\n<li>Acid \u03b1-linolenic: 5 \u2013 11 g\/l<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: Glycerol, lecithin tr\u1ee9ng, all-rac-\u03b1-tocopherol, natri oleat v\u00e0 n\u01b0\u1edbc c\u1ea5t pha ti\u00eam.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Nh\u0169 t\u01b0\u01a1ng ti\u00eam truy\u1ec1n<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: 400110020323 (S\u0110K c\u0169: VN-16130-13)<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 Chai x 250ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u0110\u1ee9c<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 24 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Lipofundin MCT\/LCT 10%<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Triglycerid chu\u1ed7i trung b\u00ecnh (MCT): \u0111\u01b0\u1ee3c th\u1ee7y ph\u00e2n v\u00e0 lo\u1ea1i b\u1ecf nhanh h\u01a1n so v\u1edbi triglycerid chu\u1ed7i d\u00e0i, gi\u00fap cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng hi\u1ec7u qu\u1ea3 ngay c\u1ea3 khi b\u1ec7nh nh\u00e2n g\u1eb7p r\u1ed1i lo\u1ea1n trong qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a lipid.<\/p>\n<p>Triglycerid chu\u1ed7i d\u00e0i (LCT): l\u00e0 ngu\u1ed3n duy nh\u1ea5t cung c\u1ea5p acid b\u00e9o kh\u00f4ng b\u00e3o h\u00f2a, c\u00f3 vai tr\u00f2 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb thi\u1ebfu h\u1ee5t acid b\u00e9o thi\u1ebft y\u1ebfu, \u0111\u1ed3ng th\u1eddi ch\u1ec9 \u0111\u00f3ng vai tr\u00f2 b\u1ed5 sung n\u0103ng l\u01b0\u1ee3ng ph\u1ee5.<\/p>\n<p>Phosphatid (lecithin tr\u1ee9ng): ho\u1ea1t \u0111\u1ed9ng nh\u01b0 ch\u1ea5t nh\u0169 h\u00f3a, \u0111\u1ed3ng th\u1eddi tham gia c\u1ea5u t\u1ea1o m\u00e0ng t\u1ebf b\u00e0o, \u0111\u1ea3m b\u1ea3o s\u1ef1 b\u1ec1n v\u1eefng v\u00e0 ch\u1ee9c n\u0103ng sinh h\u1ecdc.<\/p>\n<p>Glycerol: duy tr\u00ec t\u00ednh \u0111\u1eb3ng tr\u01b0\u01a1ng c\u1ee7a dung d\u1ecbch, \u0111\u1ed3ng th\u1eddi tham gia chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng qua con \u0111\u01b0\u1eddng t\u1ed5ng h\u1ee3p glucose, glycogen v\u00e0 triglycerid.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: do \u0111\u01b0\u1ee3c truy\u1ec1n t\u0129nh m\u1ea1ch, sinh kh\u1ea3 d\u1ee5ng \u0111\u1ea1t 100%.<\/p>\n<p>Ph\u00e2n b\u1ed1: n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft thanh ph\u1ee5 thu\u1ed9c li\u1ec1u, t\u1ed1c \u0111\u1ed9 truy\u1ec1n v\u00e0 t\u00ecnh tr\u1ea1ng chuy\u1ec3n h\u00f3a. Acid b\u00e9o chu\u1ed7i trung b\u00ecnh g\u1eafn v\u1edbi albumin \u00edt h\u01a1n acid b\u00e9o chu\u1ed7i d\u00e0i.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: triglycerid nhanh ch\u00f3ng b\u1ecb th\u1ee7y ph\u00e2n th\u00e0nh acid b\u00e9o v\u00e0 glycerol, sau \u0111\u00f3 tham gia qu\u00e1 tr\u00ecnh oxy h\u00f3a t\u1ea1o n\u0103ng l\u01b0\u1ee3ng ho\u1eb7c t\u1ed5ng h\u1ee3p c\u00e1c h\u1ee3p ch\u1ea5t sinh h\u1ecdc.<\/p>\n<p>Th\u1ea3i tr\u1eeb: th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 9 ph\u00fat; s\u1ea3n ph\u1ea9m cu\u1ed1i c\u00f9ng \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a th\u00e0nh CO\u2082 v\u00e0 H\u2082O. B\u00e0i ti\u1ebft qua th\u1eadn kh\u00f4ng \u0111\u00e1ng k\u1ec3.<\/p>\n<h2>Thu\u1ed1c Lipofundin MCT\/LCT 10% \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>B\u1ed5 sung n\u0103ng l\u01b0\u1ee3ng t\u1eeb lipid (\u0111\u1eb7c bi\u1ec7t t\u1eeb MCT \u2013 d\u1ec5 chuy\u1ec3n h\u00f3a).<\/p>\n<p>Cung c\u1ea5p acid b\u00e9o thi\u1ebft y\u1ebfu trong nu\u00f4i d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a to\u00e0n ph\u1ea7n.<\/p>\n<figure id=\"attachment_137492\" aria-describedby=\"caption-attachment-137492\" style=\"width: 1024px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-137492\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lipofundin-MCTLCT-10.jpg\" alt=\"Lipofundin MCTLCT 10%\" width=\"1024\" height=\"700\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lipofundin-MCTLCT-10.jpg 1024w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lipofundin-MCTLCT-10-585x400.jpg 585w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lipofundin-MCTLCT-10-768x525.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/Lipofundin-MCTLCT-10-350x239.jpg 350w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><figcaption id=\"caption-attachment-137492\" class=\"wp-caption-text\">Thu\u1ed1c Lipofundin MCT\/LCT 10% c\u00f3 t\u00e1c d\u1ee5ng cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng v\u00e0 acid b\u00e9o thi\u1ebft y\u1ebfu<\/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><em><strong>Nguy\u00ean t\u1eafc chung:<\/strong><\/em> Li\u1ec1u t\u1ed1i \u0111a trong ng\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng sau khi \u0111\u00e3 t\u0103ng li\u1ec1u t\u1eebng b\u01b0\u1edbc v\u00e0 ph\u1ea3i theo d\u00f5i s\u00e1t kh\u1ea3 n\u0103ng dung n\u1ea1p. Li\u1ec1u l\u01b0\u1ee3ng ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd, c\u00e2n n\u1eb7ng, tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n (bao g\u1ed3m c\u1ea3 tu\u1ed5i thai, tu\u1ed5i sau sinh) v\u00e0 ch\u1ee9c n\u0103ng chuy\u1ec3n h\u00f3a c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n<p><em><strong>Ng\u01b0\u1eddi l\u1edbn<\/strong><\/em><\/p>\n<p>Li\u1ec1u khuy\u1ebfn c\u00e1o t\u1eeb 0,7 \u2013 1,5 g lipid\/kg th\u1ec3 tr\u1ecdng\/ng\u00e0y.<\/p>\n<p>Kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 2 g lipid\/kg th\u1ec3 tr\u1ecdng\/ng\u00e0y, ngo\u1ea1i tr\u1eeb c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t c\u1ea7n nhi\u1ec1u n\u0103ng l\u01b0\u1ee3ng ho\u1eb7c b\u1ec7nh nh\u00e2n c\u00f3 kh\u1ea3 n\u0103ng s\u1eed d\u1ee5ng ch\u1ea5t b\u00e9o t\u0103ng cao (nh\u01b0 trong ung th\u01b0).<\/p>\n<p>V\u1edbi b\u1ec7nh nh\u00e2n nu\u00f4i d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch d\u00e0i h\u1ea1n t\u1ea1i nh\u00e0 (&gt; 6 th\u00e1ng) ho\u1eb7c h\u1ed9i ch\u1ee9ng ru\u1ed9t ng\u1eafn, t\u1ed5ng l\u01b0\u1ee3ng lipid kh\u00f4ng n\u00ean v\u01b0\u1ee3t 1 g\/kg\/ng\u00e0y.<\/p>\n<p>V\u00ed d\u1ee5: b\u1ec7nh nh\u00e2n n\u1eb7ng 70 kg c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng t\u1ed1i \u0111a 700 ml Lipofundin MCT\/LCT 20% m\u1ed7i ng\u00e0y (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 2 g\/kg).<\/p>\n<p><em><strong>Tr\u1ebb s\u01a1 sinh non th\u00e1ng, s\u01a1 sinh \u0111\u1ee7 th\u00e1ng v\u00e0 tr\u1ebb t\u1eadp \u0111i<\/strong><\/em><\/p>\n<p>N\u00ean b\u1eaft \u0111\u1ea7u b\u1eb1ng li\u1ec1u th\u1ea5p, t\u0103ng d\u1ea7n m\u1ed7i ng\u00e0y t\u1eeb 0,5 \u2013 1 g\/kg\/ng\u00e0y \u0111\u1ec3 theo d\u00f5i n\u1ed3ng \u0111\u1ed9 triglycerid huy\u1ebft t\u01b0\u01a1ng, gi\u1ea3m nguy c\u01a1 t\u0103ng lipid m\u00e1u.<\/p>\n<p>Li\u1ec1u t\u1ed1i \u0111a khuy\u1ebfn c\u00e1o: 3 g\/kg\/ng\u00e0y, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 t\u0103ng t\u1edbi 4 g\/kg\/ng\u00e0y.<\/p>\n<p>Nh\u0169 t\u01b0\u01a1ng lipid ph\u1ea3i \u0111\u01b0\u1ee3c truy\u1ec1n li\u00ean t\u1ee5c trong v\u00f2ng 24 gi\u1edd.<\/p>\n<p><em><strong>Tr\u1ebb em v\u00e0 tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean<\/strong><\/em><\/p>\n<p>Li\u1ec1u d\u00f9ng t\u1ed1i \u0111a th\u01b0\u1eddng l\u00e0 2 \u2013 3 g\/kg\/ng\u00e0y.<\/p>\n<h3>T\u1ed1c \u0111\u1ed9 truy\u1ec1n<\/h3>\n<p>C\u1ea7n b\u1eaft \u0111\u1ea7u truy\u1ec1n v\u1edbi t\u1ed1c \u0111\u1ed9 th\u1ea5p nh\u1ea5t. Trong 15 ph\u00fat \u0111\u1ea7u ti\u00ean, t\u1ed1c \u0111\u1ed9 ch\u1ec9 n\u00ean b\u1eb1ng 50% t\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a d\u1ef1 ki\u1ebfn.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd trong su\u1ed1t qu\u00e1 tr\u00ecnh truy\u1ec1n \u0111\u1ec3 ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi c\u00e1c ph\u1ea3n \u1ee9ng kh\u00f4ng mong mu\u1ed1n.<\/p>\n<p>T\u1ed1c \u0111\u1ed9 t\u1ed1i \u0111a theo nh\u00f3m tu\u1ed5i:<\/p>\n<ul>\n<li>Ng\u01b0\u1eddi l\u1edbn: \u2264 0,15 g\/kg\/gi\u1edd (v\u1edbi b\u1ec7nh nh\u00e2n 70 kg t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 52,5 ml Lipofundin MCT\/LCT 20%\/gi\u1edd, t\u1ee9c 10,5 g lipid\/gi\u1edd).<\/li>\n<li>Tr\u1ebb s\u01a1 sinh non th\u00e1ng, s\u01a1 sinh \u0111\u1ee7 th\u00e1ng, tr\u1ebb t\u1eadp \u0111i: \u2264 0,17 g\/kg\/gi\u1edd.<\/li>\n<li>Tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean: \u2264 0,13 g\/kg\/gi\u1edd.<\/li>\n<\/ul>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng b\u1eb1ng \u0111\u01b0\u1eddng truy\u1ec1n t\u0129nh m\u1ea1ch.<\/p>\n<p>Tr\u01b0\u1edbc khi ti\u00eam truy\u1ec1n, c\u1ea7n l\u1eafc nh\u1eb9 chai thu\u1ed1c.<\/p>\n<p>Nh\u0169 t\u01b0\u01a1ng lipid c\u00f3 th\u1ec3 truy\u1ec1n qua t\u0129nh m\u1ea1ch ngo\u1ea1i bi\u00ean, ho\u1eb7c d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi dung d\u1ecbch acid amin v\u00e0 carbohydrate th\u00f4ng qua \u0111\u1ea7u n\u1ed1i ch\u1eef Y\/\u0111\u1ea7u n\u1ed1i th\u00f4ng, \u0111\u1eb7t c\u00e0ng g\u1ea7n v\u1ecb tr\u00ed truy\u1ec1n c\u00e0ng t\u1ed1t.<\/p>\n<p>Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng k\u00e9o d\u00e0i 1 \u2013 2 tu\u1ea7n. Tuy nhi\u00ean, n\u1ebfu b\u1ec7nh nh\u00e2n c\u1ea7n nu\u00f4i d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch k\u00e9o d\u00e0i, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng l\u00e2u h\u01a1n v\u1edbi \u0111i\u1ec1u ki\u1ec7n ph\u1ea3i \u0111\u01b0\u1ee3c gi\u00e1m s\u00e1t y khoa nghi\u00eam ng\u1eb7t.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Lipofundin MCT\/LCT 10% trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Qu\u00e1 m\u1eabn v\u1edbi protein tr\u1ee9ng, \u0111\u1eadu t\u01b0\u01a1ng, \u0111\u1eadu ph\u1ed9ng ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u00f3 trong <strong>dung d\u1ecbch Lipofundin MCT\/LCT 10%<\/strong><\/p>\n<p>T\u0103ng lipid m\u00e1u n\u1eb7ng.<\/p>\n<p>R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u tr\u1ea7m tr\u1ecdng.<\/p>\n<p>Suy gan n\u1eb7ng, \u1ee9 m\u1eadt trong gan.<\/p>\n<p>Suy th\u1eadn n\u1eb7ng kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p thay th\u1ebf th\u1eadn.<\/p>\n<p>T\u1eafc ngh\u1ebdn huy\u1ebft kh\u1ed1i c\u1ea5p, thuy\u00ean t\u1eafc m\u1ee1.<\/p>\n<p>Xu\u1ea5t huy\u1ebft n\u1ed9i t\u1ea1ng n\u1eb7ng.<\/p>\n<p>Nhi\u1ec5m toan chuy\u1ec3n h\u00f3a.<\/p>\n<p>C\u00e1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh chung v\u1edbi nu\u00f4i d\u01b0\u1ee1ng ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a nh\u01b0: s\u1ed1c, tu\u1ea7n ho\u00e0n kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nhi\u1ec5m khu\u1ea9n huy\u1ebft n\u1eb7ng, h\u00f4n m\u00ea ch\u01b0a r\u00f5 nguy\u00ean nh\u00e2n, giai \u0111o\u1ea1n c\u1ea5p c\u1ee7a nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c \u0111\u1ed9t qu\u1ef5, r\u1ed1i lo\u1ea1n d\u1ecbch \u2013 \u0111i\u1ec7n gi\u1ea3i ch\u01b0a ki\u1ec3m so\u00e1t, suy tim m\u1ea5t b\u00f9, ph\u00f9 ph\u1ed5i c\u1ea5p.<\/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<p>Theo d\u00f5i th\u01b0\u1eddng xuy\u00ean n\u1ed3ng \u0111\u1ed9 triglycerid trong m\u00e1u khi truy\u1ec1n. N\u1ebfu &gt;4,6 mmol\/l c\u1ea7n gi\u1ea3m t\u1ed1c \u0111\u1ed9 truy\u1ec1n; n\u1ebfu &gt;11,4 mmol\/l ph\u1ea3i ng\u1eebng truy\u1ec1n.<\/p>\n<p>\u0110i\u1ec1u ch\u1ec9nh r\u1ed1i lo\u1ea1n d\u1ecbch, \u0111i\u1ec7n gi\u1ea3i, c\u00e2n b\u1eb1ng acid\u2013base tr\u01b0\u1edbc khi d\u00f9ng.<\/p>\n<p>Trong nu\u00f4i d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n, c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi dung d\u1ecbch carbohydrate, acid amin, vitamin, ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i v\u00e0 vi l\u01b0\u1ee3ng.<\/p>\n<p>Nguy c\u01a1 ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn tuy hi\u1ebfm nh\u01b0ng v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra. N\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u d\u1ecb \u1ee9ng (s\u1ed1t, r\u00e9t run, ph\u00e1t ban, kh\u00f3 th\u1edf) c\u1ea7n ng\u01b0ng truy\u1ec1n ngay.<\/p>\n<p>B\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a lipid (suy th\u1eadn, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, vi\u00eam t\u1ee5y, suy gi\u00e1p, suy gan, nhi\u1ec5m khu\u1ea9n huy\u1ebft) c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 hi\u1ec7u ch\u1ec9nh li\u1ec1u.<\/p>\n<p>\u1ede tr\u1ebb s\u01a1 sinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 tr\u1ebb non th\u00e1ng, c\u1ea7n gi\u00e1m s\u00e1t n\u1ed3ng \u0111\u1ed9 triglycerid v\u00e0 bilirubin do nguy c\u01a1 t\u0103ng bilirubin huy\u1ebft.<\/p>\n<p>Kh\u00f4ng tr\u1ed9n thu\u1ed1c v\u1edbi c\u00e1c dung d\u1ecbch kh\u00f4ng t\u01b0\u01a1ng th\u00edch \u0111\u1ec3 tr\u00e1nh t\u00e1ch pha ho\u1eb7c k\u1ebft t\u1ee7a.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng \u1edf ng\u01b0\u1eddi cao tu\u1ed5i c\u00f3 b\u1ec7nh l\u00fd k\u00e8m theo nh\u01b0 suy tim, suy th\u1eadn.<\/p>\n<p>Lipofundin MCT\/LCT ch\u1ee9a natri &lt;1 mmol\/l (23 mg\/l), coi nh\u01b0 kh\u00f4ng c\u00f3 natri.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>Trong qu\u00e1 tr\u00ecnh d\u00f9ng Lipofundin\u00ae MCT\/LCT, m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n, m\u1eb7c d\u00f9 hi\u1ebfm n\u1ebfu tu\u00e2n th\u1ee7 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 h\u01b0\u1edbng d\u1eabn an to\u00e0n:<\/p>\n<p>M\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: R\u1ea5t hi\u1ebfm th\u1ea5y hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng \u0111\u00f4ng m\u00e1u; ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5 t\u1ea7n su\u1ea5t nh\u01b0ng c\u00f3 th\u1ec3 g\u1eb7p gi\u1ea3m ti\u1ec3u c\u1ea7u ho\u1eb7c gi\u1ea3m b\u1ea1ch c\u1ea7u.<\/p>\n<p>Mi\u1ec5n d\u1ecbch: Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1eb7ng c\u00f3 th\u1ec3 x\u1ea3y ra, bao g\u1ed3m s\u1ed1c ph\u1ea3n v\u1ec7, n\u1ed5i m\u1ea9n, ph\u00f9 n\u1ec1 \u1edf m\u1eb7t, mi\u1ec7ng ho\u1eb7c thanh qu\u1ea3n.<\/p>\n<p>Chuy\u1ec3n h\u00f3a \u2013 dinh d\u01b0\u1ee1ng: M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ghi nh\u1eadn t\u0103ng lipid m\u00e1u, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, nhi\u1ec5m toan chuy\u1ec3n h\u00f3a ho\u1eb7c nhi\u1ec5m xeton, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn li\u1ec1u cao ho\u1eb7c khi qu\u00e1 li\u1ec1u.<\/p>\n<p>Th\u1ea7n kinh: \u0110au \u0111\u1ea7u, c\u1ea3m gi\u00e1c bu\u1ed3n ng\u1ee7 (r\u1ea5t hi\u1ebfm).<\/p>\n<p>Tim m\u1ea1ch \u2013 m\u1ea1ch m\u00e1u: C\u00f3 th\u1ec3 g\u1eb7p t\u0103ng ho\u1eb7c h\u1ea1 huy\u1ebft \u00e1p, \u0111\u1ecf b\u1eebng.<\/p>\n<p>H\u00f4 h\u1ea5p: Kh\u00f3 th\u1edf, t\u00edm t\u00e1i (r\u1ea5t hi\u1ebfm).<\/p>\n<p>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n.<\/p>\n<p>Gan \u2013 m\u1eadt: M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ch\u01b0a r\u00f5 t\u1ea7n su\u1ea5t ghi nh\u1eadn \u1ee9 m\u1eadt ho\u1eb7c thay \u0111\u1ed5i ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng gan.<\/p>\n<p>Da v\u00e0 m\u00f4 d\u01b0\u1edbi da: Ph\u00e1t ban \u0111\u1ecf, v\u00e3 m\u1ed3 h\u00f4i.<\/p>\n<p>C\u01a1 \u2013 x\u01b0\u01a1ng \u2013 kh\u1edbp: \u0110au l\u01b0ng, \u0111au x\u01b0\u01a1ng, \u0111au ng\u1ef1c ho\u1eb7c v\u00f9ng th\u1eaft l\u01b0ng.<\/p>\n<p>T\u1ea1i v\u1ecb tr\u00ed ti\u00eam truy\u1ec1n: C\u00f3 th\u1ec3 g\u1eb7p s\u1ed1t, \u1edbn l\u1ea1nh, r\u00e9t run, ho\u1eb7c bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ed9i ch\u1ee9ng qu\u00e1 t\u1ea3i ch\u1ea5t b\u00e9o.<\/p>\n<p>Tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i, c\u1ea7n ng\u1eebng truy\u1ec1n ngay. N\u1ebfu ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng tr\u1edf l\u1ea1i, ph\u1ea3i theo d\u00f5i s\u00e1t, \u0111\u1eb7c bi\u1ec7t trong th\u1eddi gian \u0111\u1ea7u v\u00e0 ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 n\u1ed3ng \u0111\u1ed9 triglycerid m\u00e1u.<\/p>\n<p>H\u1ed9i ch\u1ee9ng qu\u00e1 t\u1ea3i ch\u1ea5t b\u00e9o: C\u00f3 th\u1ec3 x\u1ea3y ra khi qu\u00e1 li\u1ec1u ho\u1eb7c khi kh\u1ea3 n\u0103ng th\u1ea3i tr\u1eeb triglycerid b\u1ecb suy gi\u1ea3m. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng \u0111i k\u00e8m t\u0103ng triglycerid m\u00e1u, s\u1ed1t, gan to, v\u00e0ng da, l\u00e1ch to, thi\u1ebfu m\u00e1u, r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, tan m\u00e1u, men gan t\u0103ng v\u00e0 c\u00f3 th\u1ec3 h\u00f4n m\u00ea. Bi\u1ec3u hi\u1ec7n th\u01b0\u1eddng h\u1ed3i ph\u1ee5c sau khi ng\u1eebng truy\u1ec1n.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>V\u1edbi Heparin: Khi d\u00f9ng li\u1ec1u l\u00e2m s\u00e0ng, heparin c\u00f3 th\u1ec3 gi\u1ea3i ph\u00f3ng lipoprotein lipase v\u00e0o m\u00e1u, ban \u0111\u1ea7u l\u00e0m t\u0103ng tho\u00e1i h\u00f3a lipid trong huy\u1ebft t\u01b0\u01a1ng, sau \u0111\u00f3 t\u1ea1m th\u1eddi l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh thanh th\u1ea3i triglycerid.<\/p>\n<p>V\u1edbi d\u1eabn xu\u1ea5t coumarin: D\u1ea7u \u0111\u1eadu t\u01b0\u01a1ng ch\u1ee9a m\u1ed9t l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf vitamin K1, n\u1ed3ng \u0111\u1ed9 n\u00e0y trong Lipofundin\u00ae MCT\/LCT th\u01b0\u1eddng kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi t\u00e1c d\u1ee5ng ch\u1ed1ng \u0111\u00f4ng c\u1ee7a c\u00e1c thu\u1ed1c nh\u00f3m coumarin. Tuy nhi\u00ean, c\u1ea7n theo d\u00f5i t\u00ecnh tr\u1ea1ng \u0111\u00f4ng m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>T\u01b0\u01a1ng k\u1ef5: Kh\u00f4ng s\u1eed d\u1ee5ng Lipofundin\u00ae MCT\/LCT l\u00e0m dung d\u1ecbch d\u1eabn truy\u1ec1n cho c\u00e1c thu\u1ed1c ho\u1eb7c dung d\u1ecbch \u0111i\u1ec7n gi\u1ea3i kh\u00e1c, tr\u1eeb khi \u0111\u00e3 ki\u1ec3m ch\u1ee9ng t\u00ednh \u1ed5n \u0111\u1ecbnh v\u00e0 t\u01b0\u01a1ng h\u1ee3p. Ch\u1ec9 \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p khi nu\u00f4i d\u01b0\u1ee1ng t\u0129nh m\u1ea1ch to\u00e0n ph\u1ea7n trong \u0111i\u1ec1u ki\u1ec7n ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Trong thai k\u1ef3: Hi\u1ec7n ch\u01b0a c\u00f3 \u0111\u1ee7 d\u1eef li\u1ec7u v\u1ec1 vi\u1ec7c d\u00f9ng Lipofundin\u00ae MCT\/LCT cho ph\u1ee5 n\u1eef mang thai. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt c\u0169ng ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5 nguy c\u01a1 \u0111\u1ed1i v\u1edbi h\u1ec7 sinh s\u1ea3n. Vi\u1ec7c nu\u00f4i d\u01b0\u1ee1ng qua \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft trong th\u1eddi k\u1ef3 mang thai, nh\u01b0ng thu\u1ed1c ch\u1ec9 \u0111\u01b0\u1ee3c d\u00f9ng khi s\u1ef1 c\u00e2n nh\u1eafc c\u1ee7a b\u00e1c s\u0129<\/p>\n<p>Th\u1eddi k\u1ef3 cho con b\u00fa: M\u1ed9t ph\u1ea7n th\u00e0nh ph\u1ea7n ho\u1eb7c ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 th\u1ec3 \u0111i v\u00e0o s\u1eefa m\u1eb9, nh\u01b0ng \u1edf li\u1ec1u \u0111i\u1ec1u tr\u1ecb ch\u01b0a ghi nh\u1eadn \u1ea3nh h\u01b0\u1edfng tr\u00ean tr\u1ebb b\u00fa m\u1eb9. Tuy nhi\u00ean, nh\u00ecn chung c\u00e1c b\u00e0 m\u1eb9 \u0111ang ph\u1ea3i nu\u00f4i d\u01b0\u1ee1ng b\u1eb1ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o kh\u00f4ng cho con b\u00fa.<\/p>\n<p>Kh\u1ea3 n\u0103ng sinh s\u1ea3n: Ch\u01b0a c\u00f3 d\u1eef li\u1ec7u \u1edf ng\u01b0\u1eddi. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt kh\u00f4ng cho th\u1ea5y \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\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>Thu\u1ed1c kh\u00f4ng g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng t\u1eadp trung ho\u1eb7c ph\u1ea3n x\u1ea1, do \u0111\u00f3 kh\u00f4ng t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn vi\u1ec7c l\u00e1i xe hay v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Tri\u1ec7u ch\u1ee9ng: Qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 g\u00e2y t\u0103ng triglycerid m\u00e1u, nhi\u1ec5m toan chuy\u1ec3n h\u00f3a, v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p xu\u1ea5t hi\u1ec7n h\u1ed9i ch\u1ee9ng qu\u00e1 t\u1ea3i ch\u1ea5t b\u00e9o.<\/p>\n<p>X\u1eed tr\u00ed: Ng\u1eebng truy\u1ec1n ngay l\u1eadp t\u1ee9c khi c\u00f3 d\u1ea5u hi\u1ec7u qu\u00e1 li\u1ec1u. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ti\u1ebfp theo ph\u1ee5 thu\u1ed9c v\u00e0o tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Sau khi t\u00ecnh tr\u1ea1ng c\u1ea3i thi\u1ec7n, c\u00f3 th\u1ec3 xem x\u00e9t truy\u1ec1n l\u1ea1i v\u1edbi t\u1ed1c \u0111\u1ed9 ch\u1eadm h\u01a1n v\u00e0 c\u1ea7n theo d\u00f5i s\u00e1t.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef thu\u1ed1c \u1edf nhi\u1ec7t \u0111\u1ed9 kh\u00f4ng qu\u00e1 25\u00b0C, tr\u00e1nh \u0111\u00f4ng l\u1ea1nh.<\/p>\n<p>\u0110\u1eb7t chai trong h\u1ed9p carton \u0111\u1ec3 h\u1ea1n ch\u1ebf \u00e1nh s\u00e1ng chi\u1ebfu tr\u1ef1c ti\u1ebfp.<\/p>\n<p>Ch\u1ec9 s\u1eed d\u1ee5ng m\u1ed9t l\u1ea7n, ph\u1ea7n thu\u1ed1c d\u01b0 ph\u1ea3i lo\u1ea1i b\u1ecf.<\/p>\n<p>Tr\u01b0\u1edbc khi truy\u1ec1n, \u0111\u1ec3 dung d\u1ecbch t\u1ef1 tr\u1edf v\u1ec1 nhi\u1ec7t \u0111\u1ed9 ph\u00f2ng, kh\u00f4ng s\u1eed d\u1ee5ng thi\u1ebft b\u1ecb h\u00e2m n\u00f3ng nh\u01b0 l\u00f2 vi s\u00f3ng.<\/p>\n<p>Ch\u1ec9 d\u00f9ng khi nh\u0169 t\u01b0\u01a1ng c\u00f2n nguy\u00ean v\u1eb9n, m\u00e0u tr\u1eafng s\u1eefa \u0111\u1ed3ng nh\u1ea5t, kh\u00f4ng c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng t\u00e1ch l\u1edbp ho\u1eb7c h\u01b0 h\u1ecfng bao b\u00ec.<\/p>\n<p>Khi truy\u1ec1n chung v\u1edbi c\u00e1c dung d\u1ecbch kh\u00e1c qua \u0111\u1ea7u n\u1ed1i ch\u1eef Y, c\u1ea7n ki\u1ec3m tra k\u1ef9 t\u00ednh t\u01b0\u01a1ng h\u1ee3p, \u0111\u1eb7c bi\u1ec7t v\u1edbi dung d\u1ecbch ch\u1ee9a ion h\u00f3a tr\u1ecb hai nh\u01b0 canxi ho\u1eb7c magi\u00ea.<\/p>\n<p>N\u1ebfu s\u1ea3n ph\u1ea9m b\u1ecb \u0111\u00f4ng l\u1ea1nh ho\u1eb7c c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng ph\u1ea3i h\u1ee7y b\u1ecf.<\/p>\n<h2>S\u1ea3n ph\u1ea9m t\u01b0\u01a1ng t\u1ef1<\/h2>\n<p>Qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c s\u1ea3n ph\u1ea9m kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f9ng ho\u1ea1t ch\u1ea5t v\u00e0 t\u00e1c d\u1ee5ng v\u1edbi Lipofundin MCT\/LCT 10% nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/smoflipid-20\/\">Smoflipid 20%<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Triglycerid, D\u00e2\u0300u \u0111\u00e2\u0323u na\u0300nh tinh,&#8230; \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Fresenius Kabi Austria GmbH, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 b\u1ed5 sung n\u0103ng l\u01b0\u1ee3ng v\u00e0 acid b\u00e9o c\u1ea7n thi\u1ebft cho c\u01a1 th\u1ec3<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/combilipid-mct-peri-injection-375\/\">Combilipid MCT Peri injection 375<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Triglycerid, acid amin, lipid&#8230; \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi JW Life Science Corporation, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 b\u1ed5 sung n\u0103ng l\u01b0\u1ee3ng v\u00e0 acid b\u00e9o c\u1ea7n thi\u1ebft cho c\u01a1 th\u1ec3<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Laufs U, Parhofer KG, Ginsberg HN, Hegele RA (2020). Clinical review on triglycerides. Eur Heart J. Truy c\u1eadp ng\u00e0y 8 th\u00e1ng 9 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6938588\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6938588\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Lipofundin MCT\/LCT 10% l\u00e0 nh\u0169 t\u01b0\u01a1ng ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch, \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u1ea7n trong li\u1ec7u ph\u00e1p nu\u00f4i d\u01b0\u1ee1ng b\u1ed5 sung n\u0103ng l\u01b0\u1ee3ng v\u00e0 acid b\u00e9o thi\u1ebft y\u1ebfu ngo\u00e0i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a<\/p>\n","protected":false},"author":1,"featured_media":137487,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-137485","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\/137485","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=137485"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/137487"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=137485"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=137485"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=137485"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}