{"id":140258,"date":"2025-09-29T04:37:32","date_gmt":"2025-09-28T21:37:32","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=140258"},"modified":"2025-09-29T05:25:16","modified_gmt":"2025-09-28T22:25:16","slug":"gomes","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/gomes\/","title":{"rendered":"Gomes"},"content":{"rendered":"<p><strong>Trong b\u00e0i vi\u1ebft n\u00e0y, <\/strong><a href=\"https:\/\/vnras.com\/drug\/\"><strong>d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/strong><\/a><strong> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m thu\u1ed1c <a href=\"https:\/\/vnras.com\/drug\/gomes\/\">Gomes<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 ph\u1ea7n D\u01b0\u1ee3c ph\u1ea9m \u0110\u1ea1t Vi Ph\u00fa, c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-19660-13.<\/strong><\/p>\n<h2>Gomes l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p><strong>Thu\u1ed1c Gomes<\/strong> c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n:<\/p>\n<ul>\n<li>Methylprednisolone v\u1edbi h\u00e0m l\u01b0\u1ee3ng 16mg<\/li>\n<li>Ph\u1ee5 li\u1ec7u v\u0111<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-19660-13<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n<figure id=\"attachment_142243\" aria-describedby=\"caption-attachment-142243\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-142243\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/gomes.jpg\" alt=\"gomes\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/gomes.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/gomes-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/gomes-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/gomes-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/09\/gomes-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-142243\" class=\"wp-caption-text\">Gomes l\u00e0 thu\u1ed1c ch\u1ed1ng d\u1ecb \u1ee9ng, ch\u1ed1ng vi\u00eam<\/figcaption><\/figure>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Gomes<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Methylprednisolone l\u00e0 d\u1eabn xu\u1ea5t 6-alpha-methyl c\u1ee7a Prednisolone, c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam m\u1ea1nh h\u01a1n Prednisolone kho\u1ea3ng 20%. Thu\u1ed1c kh\u00f4ng g\u00e2y gi\u1eef mu\u1ed1i v\u00e0 n\u01b0\u1edbc nhi\u1ec1u do \u0111\u00e3 lo\u1ea1i tr\u1eeb t\u00e1c d\u1ee5ng chuy\u1ec3n h\u00f3a mu\u1ed1i. Hi\u1ec7u l\u1ef1c c\u1ee7a 4mg Methylprednisolone t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 20mg Hydrocortisone.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Sau khi u\u1ed1ng, thu\u1ed1c h\u1ea5p thu t\u1ed1t v\u1edbi sinh kh\u1ea3 d\u1ee5ng kho\u1ea3ng 80%, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t sau 1-2 gi\u1edd. Thu\u1ed1c chuy\u1ec3n h\u00f3a qua gan v\u00e0 th\u1ea3i qua n\u01b0\u1edbc ti\u1ec3u, n\u1eeda \u0111\u1eddi chuy\u1ec3n h\u00f3a kho\u1ea3ng 3 gi\u1edd. T\u00e1c d\u1ee5ng sinh h\u1ecdc k\u00e9o d\u00e0i kho\u1ea3ng 15 ng\u00e0y (\u1ee9c ch\u1ebf tuy\u1ebfn y\u00ean).<\/p>\n<h2>Thu\u1ed1c Gomes tr\u1ecb b\u1ec7nh g\u00ec?<\/h2>\n<p><strong> Thu\u1ed1c Gomes 16mg<\/strong> \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c b\u1ec7nh l\u00fd:<\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, c\u00e1c th\u1ec3 vi\u00eam m\u1ea1ch nh\u01b0 vi\u00eam \u0111\u1ed9ng m\u1ea1ch th\u00e1i d\u01b0\u01a1ng, vi\u00eam quanh \u0111\u1ed9ng m\u1ea1ch.<\/p>\n<p>B\u1ec7nh sarcoid, hen ph\u1ebf qu\u1ea3n.<\/p>\n<p>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng m\u00e3n t\u00ednh.<\/p>\n<p>Thi\u1ebfu m\u00e1u tan m\u00e1u, gi\u1ea3m b\u1ea1ch c\u1ea7u, c\u00e1c b\u1ec7nh d\u1ecb \u1ee9ng n\u1eb7ng v\u00e0 ph\u1ea3n v\u1ec7.<\/p>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i ung th\u01b0 nh\u01b0 leukemia c\u1ea5p, u lympho, ung th\u01b0 v\u00fa, ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n<p>H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 nguy\u00ean ph\u00e1t.<\/p>\n<h2>Li\u1ec1u d\u00f9ng-C\u00e1ch d\u00f9ng Gomes<\/h2>\n<h3>Li\u1ec1u d\u00f9ng Gomes<\/h3>\n<p>T\u00f9y theo tr\u01b0\u1eddng h\u1ee3p m\u00e0 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh li\u1ec1u d\u00f9ng kh\u00e1c nhau, d\u01b0\u1edbi \u0111\u00e2y l\u00e0 li\u1ec1u d\u00f9ng tham kh\u1ea3o.<\/p>\n<p>Vi\u00eam th\u1ea5p kh\u1edbp: 4-16mg\/ng\u00e0y t\u00f9y m\u1ee9c \u0111\u1ed9 n\u1eb7ng.<\/p>\n<p>Hen ph\u1ebf qu\u1ea3n: 64-100mg\/ng\u00e0y.<\/p>\n<p>Vi\u00eam da to\u00e0n th\u00e2n, s\u1ed1t th\u1ea5p kh\u1edbp \u00e1c t\u00ednh: 48mg\/ng\u00e0y.<\/p>\n<p>D\u1ecb \u1ee9ng, b\u1ec7nh v\u1ec1 m\u1eaft: 12-40mg\/ng\u00e0y.<\/p>\n<p>Lupus ban \u0111\u1ecf to\u00e0n th\u00e2n: 20-100mg\/ng\u00e0y.<\/p>\n<p>B\u1ec7nh v\u1ec1 m\u00e1u, b\u1ea1ch c\u1ea7u, u lympho \u00e1c t\u00ednh: 16-100mg\/ng\u00e0y.<\/p>\n<p>Vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng: 16-60mg\/ng\u00e0y.<\/p>\n<h3>C\u00e1ch d\u00f9ng<\/h3>\n<p>Thu\u1ed1c Gomes d\u00f9ng \u0111\u1ec3 u\u1ed1ng, c\u00f3 th\u1ec3 u\u1ed1ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Gomes trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng Gomes cho ng\u01b0\u1eddi m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o trong thu\u1ed1c.<\/p>\n<p>Ng\u01b0\u1eddi \u0111ang d\u00f9ng vaccine s\u1ed1ng, ho\u1eb7c nhi\u1ec5m khu\u1ea9n n\u1eb7ng kh\u00f4ng \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh \u0111\u1eb7c hi\u1ec7u.<\/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>Kh\u00f4ng ng\u01b0ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t n\u1ebfu d\u00f9ng li\u1ec1u cao v\u00e0 k\u00e9o d\u00e0i.<\/p>\n<p>Corticosteroid c\u00f3 th\u1ec3 che l\u1ea5p tri\u1ec7u ch\u1ee9ng nhi\u1ec5m khu\u1ea9n, l\u00e0m suy gi\u1ea3m mi\u1ec5n d\u1ecbch, d\u1ec5 l\u00e0m t\u00e1i ho\u1ea1t \u0111\u1ed9ng c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng ti\u1ec1m \u1ea9n nh\u01b0 lao, s\u1ed1t r\u00e9t.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi d\u00f9ng cho b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh n\u1ec1n: lo\u00e3ng x\u01b0\u01a1ng, cao huy\u1ebft \u00e1p, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh t\u00e2m th\u1ea7n, t\u0103ng nh\u00e3n \u00e1p, suy gan, suy th\u1eadn, \u0111\u1ed9ng kinh, lo\u00e9t d\u1ea1 d\u00e0y, nh\u01b0\u1ee3c c\u01a1.<\/p>\n<p>Tr\u1ebb em d\u00f9ng thu\u1ed1c c\u00f3 th\u1ec3 b\u1ecb ch\u1eadm ph\u00e1t tri\u1ec3n, c\u1ea7n theo d\u00f5i k\u1ef9 v\u00e0 s\u1eed d\u1ee5ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129.<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5 Gomes<\/h3>\n<p><span style=\"font-size: 14.4px;\">Th\u01b0\u1eddng g\u1eb7p: M\u1ea5t ng\u1ee7, k\u00edch \u0111\u1ed9ng th\u1ea7n kinh, t\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n, kh\u00f3 ti\u00eau, r\u1eadm l\u00f4ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, \u0111au kh\u1edbp, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, gl\u00f4c\u00f4m, ch\u1ea3y m\u00e1u cam.<\/span><\/p>\n<p>\u00cdt g\u1eb7p: Ch\u00f3ng m\u1eb7t, co gi\u1eadt, lo\u1ea1n th\u1ea7n, nh\u1ee9c \u0111\u1ea7u, ph\u00f9, t\u0103ng huy\u1ebft \u00e1p, tr\u1ee9ng c\u00e1, teo da, th\u00e2m t\u00edm, y\u1ebfu c\u01a1, lo\u00e3ng x\u01b0\u01a1ng, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng.<\/p>\n<h3>L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/h3>\n<p>C\u00f3 th\u1ec3 d\u00f9ng trong thai k\u1ef3 nh\u01b0ng ph\u1ea3i th\u1eadn tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t v\u1edbi li\u1ec1u cao ho\u1eb7c k\u00e9o d\u00e0i.<br \/>\nC\u00f3 th\u1ec3 d\u00f9ng khi cho con b\u00fa, tuy nhi\u00ean c\u0169ng c\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng l\u00e2u d\u00e0i ho\u1eb7c li\u1ec1u cao.<\/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>Hi\u1ec7n ch\u01b0a c\u00f3 b\u00e1o c\u00e1o r\u00f5 r\u00e0ng v\u1ec1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe ho\u1eb7c v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Ch\u01b0a c\u00f3 b\u00e1o c\u00e1o.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/h3>\n<p>Methylprednisolone \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c enzym cytochrom P450, l\u00e0m thay \u0111\u1ed5i chuy\u1ec3n h\u00f3a c\u1ee7a nhi\u1ec1u thu\u1ed1c nh\u01b0 Ciclosporin, Erythromycin, Phenobarbital, Phenytoin, Carbamazepin, Ketoconazol, Rifampicin. M\u1ed9t s\u1ed1 thu\u1ed1c nh\u01b0 Phenobarbital, Rifampin v\u00e0 c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u g\u00e2y gi\u1ea3m kali huy\u1ebft c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a Methylprednisolone.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, do \u0111\u00f3 b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u insulin.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Thu\u1ed1c n\u00ean \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n n\u01a1i kh\u00f4 r\u00e1o, m\u00e1t m\u1ebb d\u01b0\u1edbi 30\u00b0C, tr\u00e1nh \u00e1nh s\u00e1ng tr\u1ef1c ti\u1ebfp v\u00e0 \u0111\u1ec3 xa t\u1ea7m tay tr\u1ebb em.<\/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 Gomes nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/medlon-4\/\" data-mil=\"139353\">Medlon 4<\/a> ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Methylprednisolon, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty C\u1ed5 Ph\u1ea7n D\u01b0\u1ee3c H\u1eadu Giang, \u0111i\u1ec1u tr\u1ecb lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p.<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/methylprednisolon-16mg-vidipha\/\" data-mil=\"139353\">Methylprednisolon 16mg Vidipha<\/a> ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Methylprednisolon, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Chi nh\u00e1nh c\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m trung \u01b0\u01a1ng Vidipha t\u1ea1i B\u00ecnh D\u01b0\u01a1ng, \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p class=\"heading-title\">Methylprednisolone protects oligodendrocytes but not neurons after spinal cord injury. J Neurosci. Truy c\u1eadp ng\u00e0y 20 th\u00e1ng 9 n\u0103m 2025 t\u1eeb <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2748666\/\" rel=\"noopener\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC2748666\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gomes l\u00e0 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c b\u1ec7nh l\u00fd bao g\u1ed3m vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, c\u00e1c th\u1ec3 vi\u00eam m\u1ea1ch nh\u01b0 vi\u00eam \u0111\u1ed9ng m\u1ea1ch th\u00e1i d\u01b0\u01a1ng, vi\u00eam quanh \u0111\u1ed9ng m\u1ea1ch.<\/p>\n","protected":false},"author":1,"featured_media":142245,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-140258","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\/140258","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=140258"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/142245"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=140258"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=140258"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=140258"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}