﻿{"id":161072,"date":"2026-07-30T14:56:19","date_gmt":"2026-07-30T07:56:19","guid":{"rendered":"https:\/\/vnras.com\/drug\/?post_type=product&#038;p=161072"},"modified":"2026-07-30T14:57:41","modified_gmt":"2026-07-30T07:57:41","slug":"vinpara-1g","status":"publish","type":"product","link":"https:\/\/vnras.com\/drug\/vinpara-1g\/","title":{"rendered":"Vinpara 1g"},"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 Vinpara 1g \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00f4ng ty c\u1ed5 ph\u1ea7n d\u01b0\u1ee3c ph\u1ea9m V\u0129nh Ph\u00fac c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh t\u1ea1i Vi\u1ec7t Nam l\u00e0 VD-36170-22<\/b><\/p>\n<h2>Vinpara 1g l\u00e0 g\u00ec?<\/h2>\n<h3>Th\u00e0nh ph\u1ea7n<\/h3>\n<p>Trong m\u1ed7i 10ml <b>dung d\u1ecbch Vinpara 1g<\/b> c\u00f3 ch\u1ee9a:<\/p>\n<ul>\n<li>Paracetamol: 1g<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7<\/li>\n<\/ul>\n<p>D\u1ea1ng b\u00e0o ch\u1ebf: Dung d\u1ecbch \u0111\u1eadm \u0111\u1eb7c pha ti\u00eam truy\u1ec1n<\/p>\n<h3>Tr\u00ecnh b\u00e0y<\/h3>\n<p>S\u0110K: VD-36170-22<\/p>\n<p>Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 5 \u1ed1ng x 10ml<\/p>\n<p>Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n<p>H\u1ea1n s\u1eed d\u1ee5ng: 24 th\u00e1ng<\/p>\n<h2>T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Vinpara 1g<\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Paracetamol (acetaminophen hay N-acetyl-p-aminophenol) l\u00e0 ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh c\u1ee7a phenacetin, c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t t\u01b0\u01a1ng \u0111\u01b0\u01a1ng aspirin \u1edf c\u00f9ng li\u1ec1u nh\u01b0ng h\u1ea7u nh\u01b0 kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam.<\/p>\n<p>Thu\u1ed1c h\u1ea1 s\u1ed1t b\u1eb1ng c\u00e1ch t\u00e1c \u0111\u1ed9ng l\u00ean trung t\u00e2m \u0111i\u1ec1u nhi\u1ec7t \u1edf v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i, gi\u00fap t\u0103ng t\u1ecfa nhi\u1ec7t qua gi\u00e3n m\u1ea1ch v\u00e0 t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u ngo\u1ea1i vi. \u1ede li\u1ec1u \u0111i\u1ec1u tr\u1ecb, paracetamol \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tim m\u1ea1ch, h\u00f4 h\u1ea5p, kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng ho\u1eb7c ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y, kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ti\u1ec3u c\u1ea7u hay th\u1eddi gian ch\u1ea3y m\u00e1u.<\/p>\n<p>Paracetamol th\u01b0\u1eddng \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t khi d\u00f9ng \u0111\u00fang li\u1ec1u. Tuy nhi\u00ean, qu\u00e1 li\u1ec1u (tr\u00ean 10 g) c\u00f3 th\u1ec3 t\u1ea1o ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u1ed9c N-acetyl-benzoquinonimin (NAPQI), g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan n\u1eb7ng, th\u1eadm ch\u00ed t\u1eed vong.<\/p>\n<h3>\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Paracetamol \u0111\u01b0\u1ee3c h\u1ea5p thu v\u00e0 ph\u00e2n b\u1ed1 r\u1ed9ng kh\u1eafp c\u01a1 th\u1ec3, v\u1edbi th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 kho\u1ea3ng 1 L\/kg, kho\u1ea3ng 25% l\u01b0\u1ee3ng thu\u1ed1c trong tu\u1ea7n ho\u00e0n g\u1eafn v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng. Sau khi truy\u1ec1n t\u0129nh m\u1ea1ch 1 g, n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t x\u1ea5p x\u1ec9 30 \u00b5g\/mL.<\/p>\n<p>Qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a di\u1ec5n ra ch\u1ee7 y\u1ebfu t\u1ea1i gan th\u00f4ng qua li\u00ean h\u1ee3p v\u1edbi acid glucuronic v\u00e0 acid sulfuric, sau \u0111\u00f3 c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a \u0111\u01b0\u1ee3c th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u. Th\u1eddi gian b\u00e1n th\u1ea3i trung b\u00ecnh t\u1eeb 1,25-3 gi\u1edd, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u1edf ng\u01b0\u1eddi suy gan ho\u1eb7c d\u00f9ng li\u1ec1u \u0111\u1ed9c.<\/p>\n<p>M\u1ed9t l\u01b0\u1ee3ng nh\u1ecf thu\u1ed1c \u0111\u01b0\u1ee3c h\u1ec7 enzym cytochrom P450 chuy\u1ec3n th\u00e0nh N-acetyl-benzoquinonimin (NAPQI). Trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng, NAPQI nhanh ch\u00f3ng b\u1ecb glutathion b\u1ea5t ho\u1ea1t. Tuy nhi\u00ean, khi s\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u, d\u1ef1 tr\u1eef glutathion b\u1ecb c\u1ea1n ki\u1ec7t l\u00e0m NAPQI t\u00edch l\u0169y, t\u1eeb \u0111\u00f3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng v\u00e0 ho\u1ea1i t\u1eed t\u1ebf b\u00e0o gan.<\/p>\n<h2>Thu\u1ed1c Vinpara 1g \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n<p>Paracetamol truy\u1ec1n t\u0129nh m\u1ea1ch \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n c\u00e1c c\u01a1n \u0111au m\u1ee9c \u0111\u1ed9 v\u1eeba (\u0111\u1eb7c bi\u1ec7t \u0111au sau ph\u1eabu thu\u1eadt) v\u00e0 h\u1ea1 s\u1ed1t khi c\u1ea7n d\u00f9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch, ho\u1eb7c khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c \u0111\u01b0\u1eddng d\u00f9ng kh\u00e1c.<\/p>\n<figure id=\"attachment_161077\" aria-describedby=\"caption-attachment-161077\" style=\"width: 1200px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-161077\" src=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Vinpara-1g.jpg\" alt=\"Vinpara 1g\" width=\"1200\" height=\"900\" title=\"\" srcset=\"https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Vinpara-1g.jpg 1200w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Vinpara-1g-533x400.jpg 533w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Vinpara-1g-1067x800.jpg 1067w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Vinpara-1g-768x576.jpg 768w, https:\/\/vnras.com\/drug\/wp-content\/uploads\/2026\/07\/Vinpara-1g-350x263.jpg 350w\" sizes=\"auto, (max-width: 1200px) 100vw, 1200px\" \/><figcaption id=\"caption-attachment-161077\" class=\"wp-caption-text\">Thu\u1ed1c Vinpara 1g c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t<\/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>Vi\u1ec7c l\u1ef1a ch\u1ecdn li\u1ec1u paracetamol truy\u1ec1n t\u0129nh m\u1ea1ch ph\u1ee5 thu\u1ed9c v\u00e0o c\u00e2n n\u1eb7ng v\u00e0 nguy c\u01a1 \u0111\u1ed9c t\u00ednh tr\u00ean gan. \u0110\u1ed1i v\u1edbi tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb c\u00f3 c\u00e2n n\u1eb7ng \u0111\u1ebfn 10kg, li\u1ec1u khuy\u1ebfn c\u00e1o l\u00e0 7,5mg\/kg m\u1ed7i l\u1ea7n, t\u1ed5ng li\u1ec1u trong ng\u00e0y kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 30 mg\/kg.<\/p>\n<p>\u1ede b\u1ec7nh nhi c\u00f3 c\u00e2n n\u1eb7ng tr\u00ean 10kg \u0111\u1ebfn 50kg, thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng v\u1edbi li\u1ec1u 15mg\/kg\/l\u1ea7n. T\u1ed5ng li\u1ec1u t\u1ed1i \u0111a l\u00e0 60mg\/kg\/ng\u00e0y, nh\u01b0ng kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 2 g\/ng\u00e0y n\u1ebfu c\u00e2n n\u1eb7ng t\u1eeb tr\u00ean 10-33kg, ho\u1eb7c 3g\/ng\u00e0y n\u1ebfu c\u00e2n n\u1eb7ng tr\u00ean 33-50kg.<\/p>\n<p>V\u1edbi ng\u01b0\u1eddi b\u1ec7nh tr\u00ean 50kg, m\u1ed7i l\u1ea7n truy\u1ec1n 1g. Li\u1ec1u t\u1ed1i \u0111a trong 24 gi\u1edd l\u00e0 4g \u1edf ng\u01b0\u1eddi kh\u00f4ng c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y \u0111\u1ed9c gan v\u00e0 gi\u1ea3m xu\u1ed1ng 3g n\u1ebfu c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 suy gan, nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n, suy dinh d\u01b0\u1ee1ng ho\u1eb7c m\u1ea5t n\u01b0\u1edbc.<\/p>\n<p>C\u1ea7n \u0111\u1ea3m b\u1ea3o kho\u1ea3ng c\u00e1ch t\u1ed1i thi\u1ec3u 4 gi\u1edd gi\u1eefa c\u00e1c l\u1ea7n d\u00f9ng thu\u1ed1c. \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn n\u1eb7ng (\u0111\u1ed9 thanh th\u1ea3i creatinin \u2264 30mL\/ph\u00fat), kho\u1ea3ng c\u00e1ch n\u00e0y n\u00ean \u0111\u01b0\u1ee3c k\u00e9o d\u00e0i \u00edt nh\u1ea5t 6 gi\u1edd.<\/p>\n<p>\u1ede ng\u01b0\u1eddi suy gan, nghi\u1ec7n r\u01b0\u1ee3u k\u00e9o d\u00e0i, suy dinh d\u01b0\u1ee1ng ho\u1eb7c m\u1ea5t n\u01b0\u1edbc, t\u1ed5ng li\u1ec1u paracetamol kh\u00f4ng \u0111\u01b0\u1ee3c v\u01b0\u1ee3t qu\u00e1 3g trong 24 gi\u1edd.<\/p>\n<p>T\u00ednh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 tr\u00ean tr\u1ebb sinh non hi\u1ec7n v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c l\u1eadp \u0111\u1ea7y \u0111\u1ee7.<\/p>\n<p>Gi\u1edbi h\u1ea1n li\u1ec1u t\u1ed1i \u0111a n\u00eau tr\u00ean ch\u1ec9 \u00e1p d\u1ee5ng khi ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi b\u1ea5t k\u1ef3 thu\u1ed1c ho\u1eb7c ch\u1ebf ph\u1ea9m n\u00e0o kh\u00e1c c\u00f3 ch\u1ee9a paracetamol.<\/p>\n<h3>C\u00e1ch s\u1eed d\u1ee5ng<\/h3>\n<p>Vinpara 1 g d\u00f9ng \u0111\u1ec3 truy\u1ec1n t\u0129nh m\u1ea1ch sau khi \u0111\u01b0\u1ee3c pha lo\u00e3ng v\u1edbi 100-500 mL dung d\u1ecbch glucose 5% ho\u1eb7c natri clorid 0,9%. Ch\u1ec9 truy\u1ec1n khi dung d\u1ecbch sau pha c\u00f2n trong, kh\u00f4ng xu\u1ea5t hi\u1ec7n ti\u1ec3u ph\u00e2n hay d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng.<\/p>\n<h2>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Vinpara 1g trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n<p>Ng\u01b0\u1eddi d\u1ecb \u1ee9ng v\u1edbi paracetamol, propacetamol hydrochlorid (ch\u1ea5t ti\u1ec1n th\u00e2n c\u1ee7a paracetamol) ho\u1eb7c b\u1ea5t k\u1ef3 t\u00e1 d\u01b0\u1ee3c n\u00e0o c\u00f3 trong <b>Vinpara 1g<\/b><\/p>\n<p>B\u1ec7nh suy gan n\u1eb7ng ho\u1eb7c ch\u1ee9c n\u0103ng t\u1ebf b\u00e0o gan b\u1ecb suy gi\u1ea3m nghi\u00eam tr\u1ecdng<\/p>\n<p>Ng\u01b0\u1eddi c\u00f3 n\u1ed3ng \u0111\u1ed9 enzym glucose-6-phosphat dehydrogenase (G6PD) th\u1ea5p ho\u1eb7c b\u1ecb thi\u1ebfu h\u1ee5t enzym n\u00e0y<\/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>Ki\u1ec3m tra c\u00e1c thu\u1ed1c \u0111ang d\u00f9ng \u0111\u1ec3 tr\u00e1nh ph\u1ed1i h\u1ee3p nhi\u1ec1u ch\u1ebf ph\u1ea9m ch\u1ee9a paracetamol\/propacetamol, l\u00e0m t\u0103ng nguy c\u01a1 qu\u00e1 li\u1ec1u.<\/p>\n<p>Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng \u1edf b\u1ec7nh nh\u00e2n suy gan, suy dinh d\u01b0\u1ee1ng, suy th\u1eadn n\u1eb7ng (ClCr \u2264 30 mL\/ph\u00fat), m\u1ea5t n\u01b0\u1edbc, nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n ho\u1eb7c \u0111ang d\u00f9ng thu\u1ed1c c\u1ea3m \u1ee9ng enzym.<\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi ph\u1ed1i h\u1ee3p paracetamol v\u1edbi isoniazid ho\u1eb7c thu\u1ed1c ch\u1ed1ng co gi\u1eadt v\u00ec kh\u1ea3 n\u0103ng l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh tr\u00ean gan, nh\u1ea5t l\u00e0 khi s\u1eed d\u1ee5ng li\u1ec1u v\u01b0\u1ee3t khuy\u1ebfn c\u00e1o.<\/p>\n<p>C\u1ea7n h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n nh\u1eadn bi\u1ebft v\u00e0 theo d\u00f5i c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ea3nh b\u00e1o c\u1ee7a ph\u1ea3n \u1ee9ng da nghi\u00eam tr\u1ecdng trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>Ng\u01b0\u1eddi t\u1eebng g\u1eb7p ph\u1ea3n \u1ee9ng da nghi\u00eam tr\u1ecdng do paracetamol kh\u00f4ng n\u00ean d\u00f9ng l\u1ea1i thu\u1ed1c v\u00e0 c\u1ea7n th\u00f4ng b\u00e1o ti\u1ec1n s\u1eed n\u00e0y cho nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n<h3>Vinpara 1g t\u00e1c d\u1ee5ng ph\u1ee5 ch\u00ednh<\/h3>\n<p>Hi\u1ebfm g\u1eb7p: M\u1ec7t m\u1ecfi, t\u0103ng n\u1ed3ng \u0111\u1ed9 enzym gan trong m\u00e1u, h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>R\u1ea5t hi\u1ebfm g\u1eb7p: Ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn (t\u1eeb ph\u00e1t ban da, n\u1ed5i m\u1ec1 \u0111ay \u0111\u1ebfn s\u1ed1c ph\u1ea3n v\u1ec7 &#8211; c\u1ea7n ng\u1eebng \u0111i\u1ec1u tr\u1ecb ngay), gi\u1ea3m ti\u1ec3u c\u1ea7u, h\u1ea1 b\u1ea1ch c\u1ea7u v\u00e0 b\u1ea1ch c\u1ea7u trung t\u00ednh.<\/p>\n<h3>T\u01b0\u01a1ng t\u00e1c<\/h3>\n<p>C\u00e2n nh\u1eafc \u0111i\u1ec1u ch\u1ec9nh gi\u1ea3m li\u1ec1u paracetamol n\u1ebfu c\u1ea7n khi ph\u1ed1i h\u1ee3p v\u1edbi probenecid, s\u1ef1 th\u1ea3i tr\u1eeb c\u1ee7a paracetamol c\u00f3 th\u1ec3 gi\u1ea3m do thu\u1ed1c n\u00e0y \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh li\u00ean h\u1ee3p v\u1edbi acid glucuronic<\/p>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi salicylamid c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m k\u00e9o d\u00e0i th\u1eddi gian b\u00e1n th\u1ea3i c\u1ee7a paracetamol, t\u1eeb \u0111\u00f3 l\u00e0m thu\u1ed1c l\u01b0u l\u1ea1i trong c\u01a1 th\u1ec3 l\u00e2u h\u01a1n.<\/p>\n<p>\u1ede b\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u01b0\u1eddng u\u1ed1ng, d\u00f9ng paracetamol v\u1edbi li\u1ec1u 4 g\/ng\u00e0y li\u00ean t\u1ee5c t\u1eeb 4 ng\u00e0y tr\u1edf l\u00ean c\u00f3 th\u1ec3 g\u00e2y t\u0103ng nh\u1eb9 ch\u1ec9 s\u1ed1 INR. Do \u0111\u00f3, c\u1ea7n theo d\u00f5i INR trong su\u1ed1t th\u1eddi gian ph\u1ed1i h\u1ee3p v\u00e0 ti\u1ebfp t\u1ee5c gi\u00e1m s\u00e1t kho\u1ea3ng 1 tu\u1ea7n sau khi ng\u1eebng paracetamol.<\/p>\n<h3>L\u01b0u \u00fd cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa<\/h3>\n<p>\u0110\u1ed9 an to\u00e0n c\u1ee7a paracetamol \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi hi\u1ec7n ch\u01b0a c\u00f3 k\u1ebft lu\u1eadn \u0111\u1ea7y \u0111\u1ee7, v\u00ec v\u1eady ph\u1ee5 n\u1eef mang thai ch\u1ec9 n\u00ean d\u00f9ng thu\u1ed1c Vinpara trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1c s\u0129 \u0111\u00e1nh gi\u00e1 l\u00e0 th\u1ef1c s\u1ef1 c\u1ea7n thi\u1ebft.<\/p>\n<p>D\u00f9 c\u00f3 ti\u1ebft qua s\u1eefa m\u1eb9 nh\u01b0ng l\u01b0\u1ee3ng paracetamol ghi nh\u1eadn \u0111\u01b0\u1ee3c l\u00e0 c\u1ef1c k\u1ef3 th\u1ea5p, c\u00e1c ghi nh\u1eadn l\u00e2m s\u00e0ng \u1edf tr\u1ebb b\u00fa m\u1eb9 sau sinh kh\u00f4ng ph\u00e1t hi\u1ec7n b\u1ea5t k\u1ef3 \u1ea3nh h\u01b0\u1edfng x\u1ea5u n\u00e0o.<\/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>Kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn th\u1ecb gi\u00e1c v\u00e0 th\u1ea7n kinh c\u1ee7a Vinpara 1g ch\u01b0a \u0111\u01b0\u1ee3c ghi nh\u1eadn cho \u0111\u1ebfn nay<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng paracetamol v\u01b0\u1ee3t qu\u00e1 li\u1ec1u khuy\u1ebfn c\u00e1o c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng gan nghi\u00eam tr\u1ecdng, bao g\u1ed3m vi\u00eam gan t\u1ed1i c\u1ea5p, suy gan, vi\u00eam gan \u1ee9 m\u1eadt ho\u1eb7c vi\u00eam gan ti\u00eau t\u1ebf b\u00e0o. Nguy c\u01a1 n\u00e0y t\u0103ng l\u00ean \u1edf ng\u01b0\u1eddi cao tu\u1ed5i, tr\u1ebb nh\u1ecf, ng\u01b0\u1eddi c\u00f3 b\u1ec7nh l\u00fd gan, nghi\u1ec7n r\u01b0\u1ee3u m\u1ea1n t\u00ednh, suy dinh d\u01b0\u1ee1ng k\u00e9o d\u00e0i ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c c\u1ea3m \u1ee9ng enzym. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng, t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n<p>Trong giai \u0111o\u1ea1n \u0111\u1ea7u sau khi qu\u00e1 li\u1ec1u (th\u01b0\u1eddng trong v\u00f2ng 24 gi\u1edd), ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 bu\u1ed3n n\u00f4n, n\u00f4n, ch\u00e1n \u0103n, xanh xao v\u00e0 \u0111au v\u00f9ng b\u1ee5ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c x\u1eed tr\u00ed k\u1ecbp th\u1eddi, t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 ti\u1ebfn tri\u1ec3n th\u00e0nh ho\u1ea1i t\u1eed gan kh\u00f4ng h\u1ed3i ph\u1ee5c, suy ch\u1ee9c n\u0103ng gan, nhi\u1ec5m toan chuy\u1ec3n h\u00f3a, b\u1ec7nh n\u00e3o gan, h\u00f4n m\u00ea.<\/p>\n<p>C\u00e1c b\u1ea5t th\u01b0\u1eddng x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u ghi nh\u1eadn sau 12-48 gi\u1edd, \u0111i\u1ec3n h\u00ecnh l\u00e0 t\u0103ng n\u1ed3ng \u0111\u1ed9 AST, ALT, LDH, bilirubin k\u00e8m gi\u1ea3m ch\u1ec9 s\u1ed1 prothrombin. Bi\u1ec3u hi\u1ec7n t\u1ed5n th\u01b0\u01a1ng gan tr\u00ean l\u00e2m s\u00e0ng th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n r\u00f5 sau kho\u1ea3ng 48 gi\u1edd v\u00e0 \u0111\u1ea1t m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng nh\u1ea5t v\u00e0o ng\u00e0y th\u1ee9 4-6 sau khi d\u00f9ng qu\u00e1 li\u1ec1u.<\/p>\n<p>X\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh n\u1ed3ng \u0111\u1ed9 paracetamol trong m\u00e1u n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n s\u1edbm nh\u1ea5t c\u00f3 th\u1ec3 nh\u1eb1m \u0111\u00e1nh gi\u00e1 nguy c\u01a1 ng\u1ed9 \u0111\u1ed9c v\u00e0 l\u1ef1a ch\u1ecdn h\u01b0\u1edbng x\u1eed tr\u00ed ph\u00f9 h\u1ee3p.<\/p>\n<p>N-acetylcystein (NAC) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 thu\u1ed1c gi\u1ea3i \u0111\u1ed9c, c\u00f3 th\u1ec3 d\u00f9ng theo \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c truy\u1ec1n t\u0129nh m\u1ea1ch, hi\u1ec7u qu\u1ea3 b\u1ea3o v\u1ec7 gan cao nh\u1ea5t khi kh\u1edfi tr\u1ecb trong 10 gi\u1edd \u0111\u1ea7u sau qu\u00e1 li\u1ec1u. N\u1ebfu d\u00f9ng mu\u1ed9n h\u01a1n, v\u1eabn c\u1ea7n ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb theo ch\u1ec9 \u0111\u1ecbnh k\u00e9o d\u00e0i h\u01a1n.<\/p>\n<p>\u00c1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 t\u00f9y theo tri\u1ec7u ch\u1ee9ng v\u00e0 m\u1ee9c \u0111\u1ed9 \u1ea3nh h\u01b0\u1edfng tr\u00ean l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<p>C\u1ea7n ki\u1ec3m tra ch\u1ee9c n\u0103ng gan l\u1eb7p l\u1ea1i trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb (th\u01b0\u1eddng m\u1ed7i 24 gi\u1edd). Ph\u1ea7n l\u1edbn tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n men gan sau 1-2 tu\u1ea7n, nh\u01b0ng b\u1ec7nh nh\u00e2n suy gan n\u1eb7ng c\u00f3 th\u1ec3 ph\u1ea3i xem x\u00e9t gh\u00e9p gan.<\/p>\n<h3>B\u1ea3o qu\u1ea3n<\/h3>\n<p>Gi\u1eef Vinpara 1g \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 Vinpara 1g trong t\u1ea7m v\u1edbi tr\u1ebb em<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Vinpara 1g khi qu\u00e1 h\u1ea1n cho ph\u00e9p<\/p>\n<h2>Thu\u1ed1c Vinpara 1g gi\u00e1 bao nhi\u00eau? b\u00e1n \u1edf \u0111\u00e2u?<\/h2>\n<p>Vinpara 1g hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, gi\u00e1 thu\u1ed1c Vinpara 1g c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. 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<p>Tr\u01b0\u1eddng h\u1ee3p Vinpara 1g t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, 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 Vinpara 1g nh\u01b0:<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/paracetamol-kabi-1000mg\/\">Paracetamol Kabi 1000mg <\/a>c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Paracetamol 1000mg, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi C\u00d4NG TY C\u1ed4 PH\u1ea6N FRESENIUS KABI VI\u1ec6T NAM, \u0111i\u1ec1u tr\u1ecb \u0111au v\u00e0 h\u1ea1 s\u1ed1t<\/p>\n<p><a href=\"https:\/\/vnras.com\/drug\/mucomucil-300mg-3ml\/\">Mucomucil 300mg\/3ml<\/a> c\u00f3 th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Paracetamol 300mg\/3ml, \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi Esseti Farmaceutici S.r.l, \u0111i\u1ec1u tr\u1ecb \u0111au v\u00e0 h\u1ea1 s\u1ed1t<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p>Duggan ST, Scott LJ (2009). Intravenous paracetamol (acetaminophen). Drugs. Truy c\u1eadp ng\u00e0y 30 th\u00e1ng 7 n\u0103m 2026 t\u1eeb: <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/19192939\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/19192939\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Vinpara 1g l\u00e0 dung d\u1ecbch truy\u1ec1n t\u0129nh m\u1ea1ch ch\u1ee9a paracetamol, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh gi\u1ea3m \u0111au m\u1ee9c \u0111\u1ed9 v\u1eeba v\u00e0 h\u1ea1 s\u1ed1t khi kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng \u0111\u01b0\u1eddng u\u1ed1ng ho\u1eb7c c\u00e1c \u0111\u01b0\u1eddng d\u00f9ng kh\u00e1c.<\/p>\n","protected":false},"author":1,"featured_media":161074,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-161072","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\/161072","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=161072"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/161074"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=161072"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_cat?post=161072"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/product_tag?post=161072"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}