{"id":148209,"date":"2025-11-13T20:32:40","date_gmt":"2025-11-13T13:32:40","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=148209"},"modified":"2025-11-13T20:33:51","modified_gmt":"2025-11-13T13:33:51","slug":"mireca-50mcg-0-3ml","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/mireca-50mcg-0-3ml\/","title":{"rendered":"Mireca 50mcg\/0.3ml"},"content":{"rendered":"<p><b>Trong b\u00e0i vi\u1ebft n\u00e0y,<\/b><a href=\"https:\/\/vnras.com\/drug\/\"><b> d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng<\/b><\/a><b> gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n thu\u1ed1c Mireca 50mcg\/0.3ml \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi <\/b><b>Roche Diagnostics GmbH <\/b><b>c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VN-13969-11<\/b><\/p>\n<h2>Mireca 50mcg\/0.3ml l\u00e0 thu\u1ed1c g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i<strong> \u1ed1ng ti\u00eam Mireca 50mcg\/0.3ml<\/strong> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Methoxy polyethylene glycol (Epoetin Beta):&#8230;&#8230;&#8230;&#8230;&#8230;.50cmg<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: v\u1eeba \u0111\u1ee7 0.3ml.<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch ti\u00eam \u0111\u00f3ng s\u1eb5n trong \u1ed1ng ti\u00eam<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VN-13969-11<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 1 \u1ed1ng ti\u00eam 0,3ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: \u0110\u1ee9c<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 36 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Mireca 50mcg\/0.3ml<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Th\u00e0nh ph\u1ea7n ho\u1ea1t ch\u1ea5t methoxy polyethylene glycol-epoetin beta trong Mireca 50mcg\/0.3ml c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch qu\u00e1 tr\u00ecnh t\u1ea1o h\u1ed3ng c\u1ea7u b\u1eb1ng c\u00e1ch g\u1eafn v\u00e0o c\u00e1c th\u1ee5 th\u1ec3 erythropoietin tr\u00ean t\u1ebf b\u00e0o g\u1ed1c c\u1ee7a t\u1ee7y x\u01b0\u01a1ng.<\/p>\n<p>Khi c\u01a1 th\u1ec3 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng thi\u1ebfu oxy, erythropoietin t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1eeb th\u1eadn s\u1ebd t\u0103ng l\u00ean \u0111\u1ec3 k\u00edch th\u00edch s\u1ea3n xu\u1ea5t h\u1ed3ng c\u1ea7u. Ho\u1ea1t ch\u1ea5t c\u1ee7a Mireca m\u00f4 ph\u1ecfng c\u01a1 ch\u1ebf n\u00e0y, gi\u00fap c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng sinh h\u1ed3ng c\u1ea7u \u1edf b\u1ec7nh nh\u00e2n b\u1ecb suy th\u1eadn m\u1ea1n, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 hemoglobin v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng thi\u1ebfu m\u00e1u.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>H\u1ea5p thu: Sau khi ti\u00eam d\u01b0\u1edbi da, methoxy \u0111\u01b0\u1ee3c h\u1ea5p thu ch\u1eadm, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 t\u1ed1i \u0111a trong m\u00e1u kho\u1ea3ng sau 3 ng\u00e0y \u1edf ng\u01b0\u1eddi c\u00f3 l\u1ecdc m\u00e1u v\u00e0 sau g\u1ea7n 4 ng\u00e0y \u1edf ng\u01b0\u1eddi ch\u01b0a l\u1ecdc m\u00e1u.<\/p>\n<p>Sinh kh\u1ea3 d\u1ee5ng: Kho\u1ea3ng 60%, thay \u0111\u1ed5i nh\u1eb9 t\u00f9y theo t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n.<\/p>\n<p>Ph\u00e2n b\u1ed1: Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 trung b\u00ecnh c\u1ee7a methoxy polyethylene glycol-epoetin beta kho\u1ea3ng 5 l\u00edt, cho th\u1ea5y thu\u1ed1c ch\u1ee7 y\u1ebfu khu tr\u00fa trong huy\u1ebft t\u01b0\u01a1ng.<\/p>\n<p>Th\u1ea3i tr\u1eeb: Th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a methoxy polyethylene glycol-epoetin beta d\u00e0i, dao \u0111\u1ed9ng t\u1eeb 5,5\u20136 ng\u00e0y, gi\u00fap duy tr\u00ec t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i v\u00e0 gi\u1ea3m t\u1ea7n su\u1ea5t ti\u00eam. \u0110\u1ed9 thanh th\u1ea3i c\u1ee7a -epoetin beta kho\u1ea3ng 0,5 ml\/gi\u1edd\/kg, \u0111\u00e0o th\u1ea3i ch\u1eadm qua th\u1eadn.<\/p>\n<h2>Thu\u1ed1c Mireca 50mcg\/0.3ml \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Mireca 50mcg\/0.3ml \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u do b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh, bao g\u1ed3m c\u1ea3 b\u1ec7nh nh\u00e2n \u0111ang l\u1ecdc m\u00e1u v\u00e0 ch\u01b0a l\u1ecdc m\u00e1u. Thu\u1ed1c gi\u00fap ph\u1ee5c h\u1ed3i l\u01b0\u1ee3ng hemoglobin v\u1ec1 m\u1ee9c sinh l\u00fd, h\u1ea1n ch\u1ebf nhu c\u1ea7u truy\u1ec1n m\u00e1u v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng.<\/p>\n<figure id=\"attachment_148210\" aria-describedby=\"caption-attachment-148210\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-148210\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Mireca-50mcg0.3ml.jpg\" alt=\"Mireca 50mcg\/0.3ml \" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Mireca-50mcg0.3ml.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Mireca-50mcg0.3ml-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Mireca-50mcg0.3ml-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Mireca-50mcg0.3ml-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2025\/11\/Mireca-50mcg0.3ml-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-148210\" class=\"wp-caption-text\">Thu\u1ed1c Mireca 50mcg\/0.3ml c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh thi\u1ebfu m\u00e1u<\/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>B\u1ec7nh nh\u00e2n ch\u01b0a t\u1eebng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c k\u00edch th\u00edch t\u1ea1o h\u1ed3ng c\u1ea7u (ESA):<\/strong><\/em><\/p>\n<p>Kh\u00f4ng l\u1ecdc m\u00e1u: Li\u1ec1u kh\u1edfi \u0111\u1ea7u 1,2 mcg\/kg m\u1ed7i th\u00e1ng ti\u00eam d\u01b0\u1edbi da, ho\u1eb7c 0,6 mcg\/kg m\u1ed7i 2 tu\u1ea7n (c\u00f3 th\u1ec3 ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c d\u01b0\u1edbi da).<\/p>\n<p>\u0110ang l\u1ecdc m\u00e1u: 0,6 mcg\/kg m\u1ed7i 2 tu\u1ea7n ti\u00eam t\u0129nh m\u1ea1ch ho\u1eb7c d\u01b0\u1edbi da.<\/p>\n<p>N\u1ebfu sau 1 th\u00e1ng hemoglobin t\u0103ng d\u01b0\u1edbi 1 g\/dL, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u th\u00eam 25\u201350%.<\/p>\n<p>N\u1ebfu hemoglobin t\u0103ng tr\u00ean 2 g\/dL trong th\u00e1ng, gi\u1ea3m li\u1ec1u 25\u201350%.<\/p>\n<p>Khi hemoglobin v\u01b0\u1ee3t qu\u00e1 13 g\/dL, ng\u1eebng thu\u1ed1c cho \u0111\u1ebfn khi gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi ng\u01b0\u1ee1ng n\u00e0y, sau \u0111\u00f3 kh\u1edfi \u0111\u1ed9ng l\u1ea1i v\u1edbi 50% li\u1ec1u tr\u01b0\u1edbc \u0111\u00f3.<\/p>\n<p>Kh\u00f4ng \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u nhi\u1ec1u h\u01a1n 1 l\u1ea7n trong 1 th\u00e1ng.<\/p>\n<p><em><strong>B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng epoetin ho\u1eb7c darbepoetin:<\/strong><\/em><\/p>\n<p>C\u00f3 th\u1ec3 chuy\u1ec3n sang Mireca theo li\u1ec1u t\u01b0\u01a1ng \u0111\u01b0\u01a1ng. M\u0169i \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o th\u1eddi \u0111i\u1ec3m l\u1ebd ra b\u1ec7nh nh\u00e2n ti\u00eam thu\u1ed1c c\u0169.<\/p>\n<p>Epoetin &lt;8.000 IU\/tu\u1ea7n \u2192 Mireca 120 \u00b5g\/th\u00e1ng (ho\u1eb7c 60 \u00b5g\/2 tu\u1ea7n).<\/p>\n<p>Epoetin 8.000\u201316.000 IU\/tu\u1ea7n \u2192 Mireca 200 \u00b5g\/th\u00e1ng (ho\u1eb7c 100 \u00b5g\/2 tu\u1ea7n).<\/p>\n<p>Epoetin &gt;16.000 IU\/tu\u1ea7n \u2192 Mireca 360 \u00b5g\/th\u00e1ng (ho\u1eb7c 180 \u00b5g\/2 tu\u1ea7n).<\/p>\n<p>Li\u1ec1u c\u00f3 th\u1ec3 thay \u0111\u1ed5i 25% t\u00f9y \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n..<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>Thu\u1ed1c \u0111\u01b0\u1ee3c ti\u00eam d\u01b0\u1edbi da ho\u1eb7c t\u0129nh m\u1ea1ch, t\u00f9y t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng.<\/p>\n<p>\u0110\u01b0\u1eddng ti\u00eam d\u01b0\u1edbi da n\u00ean ch\u1ecdn v\u00f9ng b\u1ee5ng, \u0111\u00f9i ho\u1eb7c c\u00e1nh tay.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c Mireca c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Mireca 50mcg\/0.3ml trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi Methoxy polyethylene glycol v\u00e0 t\u00e1 d\u01b0\u1ee3c c\u00f3 trong <strong>Mireca 50mcg\/0.3ml<\/strong><\/p>\n<p>T\u0103ng huy\u1ebft \u00e1p ngo\u00e0i t\u1ea7m ki\u1ec3m so\u00e1t<\/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 huy\u1ebft \u00e1p: V\u00ec thu\u1ed1c c\u00f3 th\u1ec3 l\u00e0m t\u0103ng huy\u1ebft \u00e1p, c\u1ea7n ki\u1ec3m so\u00e1t ch\u1eb7t tr\u01b0\u1edbc v\u00e0 trong khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>B\u1ed5 sung s\u1eaft: B\u1ec7nh nh\u00e2n c\u00f3 ferritin huy\u1ebft thanh &lt;100 \u00b5g\/L ho\u1eb7c \u0111\u1ed9 b\u00e3o h\u00f2a transferrin &lt;20% c\u1ea7n b\u1ed5 sung s\u1eaft \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ea1o h\u1ed3ng c\u1ea7u t\u1ed1i \u01b0u.<\/p>\n<p>\u0110\u00e1nh gi\u00e1 nguy\u00ean nh\u00e2n kh\u00f4ng \u0111\u00e1p \u1ee9ng: Thi\u1ebfu s\u1eaft, nhi\u1ec5m tr\u00f9ng, m\u1ea5t m\u00e1u m\u1ea1n, thi\u1ebfu vitamin B12 ho\u1eb7c acid folic, x\u01a1 t\u1ee7y hay tan m\u00e1u \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Nguy c\u01a1 PRCA (h\u1ed9i ch\u1ee9ng b\u1ea5t s\u1ea3n d\u00f2ng h\u1ed3ng c\u1ea7u \u0111\u01a1n thu\u1ea7n): N\u1ebfu xu\u1ea5t hi\u1ec7n gi\u1ea3m h\u1ed3ng c\u1ea7u l\u01b0\u1edbi v\u00e0 gi\u1ea3m hemoglobin \u0111\u1ed9t ng\u1ed9t, c\u1ea7n ki\u1ec3m tra kh\u00e1ng th\u1ec3 kh\u00e1ng erythropoietin v\u00e0 ng\u1eebng thu\u1ed1c ngay.<\/p>\n<p>Th\u1eadn tr\u1ecdng \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi c\u00f3 b\u1ec7nh gan n\u1eb7ng, \u0111\u1ed9ng kinh, b\u1ec7nh l\u00fd huy\u1ebft h\u1ecdc, ho\u1eb7c s\u1ed1 l\u01b0\u1ee3ng ti\u1ec3u c\u1ea7u &gt;500\u00d710\u2077\/L.<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng Mireca cho b\u1ec7nh nhi d\u01b0\u1edbi 18 tu\u1ed5i ch\u01b0a \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch do hi\u1ec7n ch\u01b0a c\u00f3 \u0111\u1ee7 d\u1eef li\u1ec7u ch\u1ee9ng minh t\u00ednh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c tr\u00ean nh\u00f3m tu\u1ed5i n\u00e0y.<\/p>\n<p>\u1ede nh\u00f3m b\u1ec7nh nh\u00e2n cao tu\u1ed5i ho\u1eb7c c\u00f3 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng gan, li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng v\u1eabn \u0111\u01b0\u1ee3c duy tr\u00ec, kh\u00f4ng c\u1ea7n thay \u0111\u1ed5i<\/p>\n<h3>T\u00e1c d\u1ee5ng ph\u1ee5<\/h3>\n<p>C\u00e1c ph\u1ea3n \u1ee9ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 t\u0103ng huy\u1ebft \u00e1p, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi c\u00f3 b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh.<\/p>\n<p>M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p \u0111au \u0111\u1ea7u nh\u1eb9 ho\u1eb7c tho\u00e1ng qua trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>T\u00ecnh tr\u1ea1ng huy\u1ebft kh\u1ed1i m\u1ea1ch m\u00e1u hi\u1ebfm khi x\u1ea3y ra, th\u01b0\u1eddng li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng hemoglobin qu\u00e1 nhanh.<\/p>\n<p>Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c c\u00f3 th\u1ec3 g\u1eb7p nh\u01b0ng \u00edt ph\u1ed5 bi\u1ebfn, ch\u1ee7 y\u1ebfu bi\u1ec3u hi\u1ec7n b\u1eb1ng ph\u00e1t ban ho\u1eb7c ng\u1ee9a.<\/p>\n<p>Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p r\u1ea5t hi\u1ebfm, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n b\u1ec7nh n\u00e3o do t\u0103ng huy\u1ebft \u00e1p khi huy\u1ebft \u00e1p t\u0103ng cao \u0111\u1ed9t ng\u1ed9t.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>Hi\u1ec7n ch\u01b0a ghi nh\u1eadn t\u01b0\u01a1ng t\u00e1c c\u00f3 \u00fd ngh\u0129a l\u00e2m s\u00e0ng gi\u1eefa Mireca v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c.<\/p>\n<p>Ph\u00e2n t\u00edch d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc nh\u00f3m b\u1ec7nh nh\u00e2n cho th\u1ea5y vi\u1ec7c d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00e1c thu\u1ed1c th\u00f4ng th\u01b0\u1eddng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn hi\u1ec7u qu\u1ea3 ho\u1eb7c qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a c\u1ee7a Mireca.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>Hi\u1ec7n nay, ch\u01b0a c\u00f3 \u0111\u1ea7y \u0111\u1ee7 th\u00f4ng tin l\u00e2m s\u00e0ng v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng Mireca tr\u00ean ph\u1ee5 n\u1eef \u0111ang mang thai. C\u00e1c k\u1ebft qu\u1ea3 th\u1eed nghi\u1ec7m tr\u00ean \u0111\u1ed9ng v\u1eadt cho th\u1ea5y thu\u1ed1c kh\u00f4ng g\u00e2y d\u1ecb t\u1eadt b\u1ea9m sinh, kh\u00f4ng l\u00e0m t\u1ed5n h\u1ea1i \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ph\u00f4i ho\u1eb7c thai. Tuy nhi\u00ean, vi\u1ec7c d\u00f9ng thu\u1ed1c trong giai \u0111o\u1ea1n n\u00e0y ch\u1ec9 n\u00ean ti\u1ebfn h\u00e0nh khi th\u1eadt s\u1ef1 c\u1ea7n thi\u1ebft v\u00e0 khi b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh r\u1eb1ng l\u1ee3i \u00edch \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi m\u1eb9 cao h\u01a1n nguy c\u01a1 ti\u1ec1m \u1ea9n \u0111\u1ed1i v\u1edbi thai nhi.<\/p>\n<p>\u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa, hi\u1ec7n ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c li\u1ec7u thu\u1ed1c c\u00f3 \u0111\u01b0\u1ee3c b\u00e0i ti\u1ebft qua s\u1eefa m\u1eb9 \u1edf ng\u01b0\u1eddi hay kh\u00f4ng. D\u1eef li\u1ec7u nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt ch\u1ec9 ra r\u1eb1ng ho\u1ea1t ch\u1ea5t c\u1ee7a Mireca c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong s\u1eefa. Do \u0111\u00f3, c\u1ea7n c\u00e2n nh\u1eafc k\u1ef9 gi\u1eefa vi\u1ec7c ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb cho m\u1eb9 v\u00e0 vi\u1ec7c duy tr\u00ec cho con b\u00fa, \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng \u00e1n an to\u00e0n v\u00e0 ph\u00f9 h\u1ee3p nh\u1ea5t.<\/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>Theo c\u00e1c d\u1eef li\u1ec7u hi\u1ec7n c\u00f3, Mireca kh\u00f4ng g\u00e2y t\u00e1c \u0111\u1ed9ng r\u00f5 r\u1ec7t l\u00ean s\u1ef1 t\u1ec9nh t\u00e1o ho\u1eb7c ph\u1ea3n x\u1ea1 v\u1eadn \u0111\u1ed9ng. Ng\u01b0\u1eddi d\u00f9ng thu\u1ed1c v\u1eabn c\u00f3 th\u1ec3 l\u00e1i xe v\u00e0 \u0111i\u1ec1u khi\u1ec3n m\u00e1y m\u00f3c b\u00ecnh th\u01b0\u1eddng, tr\u1eeb khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng kh\u00e1c.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Thu\u1ed1c c\u00f3 \u0111\u1ed9 an to\u00e0n cao v\u00e0 dung n\u1ea1p t\u1ed1t ngay c\u1ea3 trong kho\u1ea3ng li\u1ec1u \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng.. Khi s\u1eed d\u1ee5ng li\u1ec1u cao qu\u00e1 m\u1ee9c, c\u00f3 th\u1ec3 x\u1ea3y ra hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng sinh h\u1ed3ng c\u1ea7u qu\u00e1 m\u1ee9c v\u00e0 t\u0103ng hemoglobin nhanh.<\/p>\n<p>Bi\u1ec7n ph\u00e1p x\u1eed l\u00fd l\u00e0 t\u1ea1m ng\u01b0ng thu\u1ed1c cho \u0111\u1ebfn khi n\u1ed3ng \u0111\u1ed9 hemoglobin tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng. N\u1ebfu c\u1ea7n thi\u1ebft v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 l\u1ea5y m\u00e1u t\u0129nh m\u1ea1ch \u0111\u1ec3 gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Mireca 50mcg\/0.3ml \u1edf n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t (&lt;30\u2103), tr\u00e1nh \u00e1nh n\u1eafng qu\u00e1 m\u1ea1nh t\u1eeb m\u1eb7t tr\u1eddi<\/p>\n<p>Kh\u00f4ng \u0111\u1ec3 Mireca 50mcg\/0.3ml trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Mireca 50mcg\/0.3ml khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Curran MP, McCormack PL (2008). Methoxy polyethylene glycol-epoetin beta: a review of its use in the management of anaemia associated with chronic kidney disease. Drugs. Truy c\u1eadp ng\u00e0y 13 th\u00e1ng 11 n\u0103m 2025 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18484803\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/18484803\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Mireca 50mcg\/0.3ml ch\u1ee9a methoxy polyethylene glycol-epoetin beta, l\u00e0 thu\u1ed1c thu\u1ed9c nh\u00f3m k\u00edch th\u00edch t\u1ea1o h\u1ed3ng c\u1ea7u, d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb thi\u1ebfu m\u00e1u \u1edf ng\u01b0\u1eddi b\u1ecb b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh.<\/p>\n","protected":false},"author":1,"featured_media":148214,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-148209","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\/148209","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=148209"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/148214"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=148209"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=148209"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=148209"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}