{"id":6688,"date":"2024-05-19T05:17:55","date_gmt":"2024-05-18T22:17:55","guid":{"rendered":"https:\/\/jhasim1.com\/?p=6688"},"modified":"2024-05-19T05:18:03","modified_gmt":"2024-05-18T22:18:03","slug":"sinh-vien-duoc-k22-va-kien-thuc-chuyen-mon-thuc-hanh-ban-thuoc","status":"publish","type":"post","link":"https:\/\/jhasim1.com\/sinh-vien-duoc-k22-va-kien-thuc-chuyen-mon-thuc-hanh-ban-thuoc.html","title":{"rendered":"Sinh vi\u00ean D\u01b0\u1ee3c K22 v\u00e0 ki\u1ebfn th\u1ee9c chuy\u00ean m\u00f4n th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c"},"content":{"rendered":"

Hi\u1ec7n nay c\u00e1c l\u1edbp Sinh vi\u00ean Cao \u0111\u1eb3ng D\u01b0\u1ee3c K22 \u0111ang h\u1ecdc m\u00f4n Th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c 1. Trong n\u1ed1i dung m\u00f4n h\u1ecdc, ph\u1ea7n b\u00e0i t\u1eadp th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c c\u00f3 b\u00e0i li\u00ean quan \u0111\u1ebfn B\u1ec7nh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp ” C\u00e1c thu\u1ed1c th\u00f4ng d\u1ee5ng khi \u0111i\u1ec1u tr\u1ecb Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m”. ThS L\u00ea Qu\u1ed1c Th\u1ecbnh c\u00f3 b\u00e0i vi\u1ebft sau \u0111\u00e2y b\u1ed5 sung ki\u1ebfn th\u1ee9c chuy\u00ean m\u00f4n D\u01b0\u1ee3c l\u00e2m s\u00e0ng cho c\u00e1c D\u01b0\u1ee3c s\u0129 t\u01b0\u01a1ng lai:<\/em><\/span><\/p>\n

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M\u1ed9t nh\u00f3m Sinh vi\u00ean D\u01b0\u1ee3c K21 trong gi\u1edd h\u1ecdc Th\u1ef1c h\u00e0nh ph\u00e2n t\u00edch t\u00ecnh hu\u1ed1ng hay g\u1eb7p t\u1ea1i Nh\u00e0 thu\u1ed1c<\/em><\/figcaption><\/figure>\n

M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m<\/strong><\/span><\/p>\n

Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m l\u00e0 t\u00ecnh tr\u1ea1ng nh\u00e2n nh\u1ea7y c\u1ee7a \u0111\u0129a \u0111\u1ec7m tho\u00e1t ra kh\u1ecfi v\u1ecb tr\u00ed th\u00f4ng th\u01b0\u1eddng, ch\u00e8n \u00e9p l\u00ean d\u00e2y th\u1ea7n kinh v\u00e0 t\u1ee7y s\u1ed1ng, khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh g\u1eb7p ph\u1ea3i c\u00e1c c\u01a1n \u0111au nh\u1ee9c d\u1eef d\u1ed9i k\u00e8m c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c.<\/strong><\/p>\n

Khi g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng n\u00e0y, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n t\u1edbi ngay c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c b\u1ec7nh. T\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh, th\u1ec3 tr\u1ea1ng c\u1ee7a t\u1eebng ng\u01b0\u1eddi v\u00e0 m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb, th\u1ea7y thu\u1ed1c s\u1ebd l\u1ef1a ch\u1ecdn c\u00e1ch ch\u1eefa tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m ph\u00f9 h\u1ee3p v\u1edbi t\u1eebng c\u00e1 th\u1ec3.<\/p>\n

<\/p>\n

Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m ch\u1ec9 l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn b\u00ean c\u1ea1nh ph\u01b0\u01a1ng ph\u00e1p v\u1eadt l\u00fd tr\u1ecb li\u1ec7u r\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 kh\u00f4ng c\u1ea7n d\u00f9ng thu\u1ed1c. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt n\u1ebfu t\u00ecnh tr\u1ea1ng l\u00e2m s\u00e0ng cho ph\u00e9p v\u00e0 kh\u00f4ng c\u00f2n s\u1ef1 l\u1ef1a ch\u1ecdn n\u00e0o kh\u00e1c.<\/strong><\/p>\n

Vi\u1ec7c d\u00f9ng thu\u1ed1c ch\u1eefa tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m b\u1edbt tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu v\u00e0 d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c. M\u1ed9t s\u1ed1 nh\u00f3m thu\u1ed1c hay d\u00f9ng l\u00e0:<\/p>\n

– Thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng d\u1ee5ng hay d\u00f9ng nh\u1ea5t l\u00e0 Paracetamol. Thu\u1ed1c n\u00e0y ch\u1ec9 ph\u00f9 h\u1ee3p v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u01a1n \u0111au \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 t\u1edbi trung b\u00ecnh. Paracetamol hay b\u1ecb l\u1ea1m d\u1ee5ng \u0111\u1ec3 ch\u1eefa c\u00e1c c\u01a1n \u0111au c\u1ea5p. Tuy nhi\u00ean, ch\u00fa \u00fd li\u1ec1u l\u01b0\u1ee3ng v\u00e0 kho\u1ea3ng c\u00e1ch d\u00f9ng thu\u1ed1c \u0111\u1ec3 tr\u00e1nh ng\u1ed9 \u0111\u1ed9c, \u1ea3nh h\u01b0\u1edfng t\u1edbi d\u1ea1 d\u00e0y, gan, th\u1eadn\u2026<\/p>\n

– Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng Steroid (NSAID) \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p c\u01a1n \u0111au kh\u00f4ng c\u1ea3i thi\u1ec7n khi d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng th\u01b0\u1eddng. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng v\u1eeba gi\u1ea3m \u0111au, v\u1eeba gi\u1ea3m vi\u00eam s\u01b0ng \u1edf v\u1ecb tr\u00ed \u0111\u0129a \u0111\u1ec7m. C\u0169ng nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng qu\u00e1 li\u1ec1u. Bi\u1ebfn ch\u1ee9ng qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 k\u1ec3 t\u1edbi l\u00e0 vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, xu\u1ea5t huy\u1ebft d\u1ea1 d\u00e0y, suy gi\u1ea3m th\u1ecb l\u1ef1c.<\/p>\n

C\u00e1c lo\u1ea1i thu\u1ed1c hay d\u00f9ng v\u00e0 kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n (b\u1ec7nh nh\u00e2n t\u1ef1 mua \u1edf nh\u00e0 thu\u1ed1c) nh\u01b0: Ibuprofen (Motrin, Advil) ho\u1eb7c Naproxen (Aleve, Naprosyn)… s\u1ebd gi\u00fap gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m s\u01b0ng. Tuy nhi\u00ean, c\u1ea7n l\u01b0u \u00fd kh\u00f4ng d\u00f9ng nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y li\u00ean t\u1ee5c h\u01a1n 10 ng\u00e0y m\u00e0 kh\u00f4ng tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129.
\nKhi s\u1eed d\u1ee5ng v\u1edbi s\u1ed1 l\u01b0\u1ee3ng l\u1edbn ho\u1eb7c trong m\u1ed9t th\u1eddi gian d\u00e0i, c\u00e1c NSAID hay Paracetamol c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim ho\u1eb7c ch\u1ea3y m\u00e1u, c\u0169ng nh\u01b0 \u1ea3nh h\u01b0\u1edfng t\u1edbi d\u1ea1 d\u00e0y, gan, th\u1eadn… NSAID g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 n\u1ebfu s\u1eed d\u1ee5ng l\u00e2u d\u00e0i v\u00e0 kh\u00f4ng ki\u1ec3m s\u00e1t ch\u1eb7t ch\u1ebd v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng.<\/p>\n

– M\u1ed9t s\u1ed1 thu\u1ed1c gi\u1ea3m \u0111au g\u00e2y nghi\u1ec7n nh\u01b0 Codein ho\u1eb7c Oxycodone-Acetaminophen (Percocet) v\u00e0 Morphin c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng l\u1ef1a ch\u1ecdn ng\u1eafn h\u1ea1n n\u1ebfu nh\u1eefng thu\u1ed1c th\u00f4ng th\u01b0\u1eddng kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng. V\u00ec \u0111\u1eb7c t\u00ednh g\u00e2y nghi\u1ec7n, n\u00ean lo\u1ea1i thu\u1ed1c n\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1eddi gian ng\u1eafn v\u1edbi m\u1ee5c \u0111\u00edch gi\u1ea3m \u0111au cho ng\u01b0\u1eddi b\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m trong tr\u01b0\u1eddng h\u1ee3p c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 c\u01a1n \u0111au.<\/p>\n

– Nh\u00f3m thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au th\u1ea7n kinh bao g\u1ed3m: Amitriptyline (Elavil, Vanatrip), Duloxetine (Cymbalta), Gabapentin (Neurontin), Pregabalin (Lyrica), Tramadol (Ultram). C\u00e1c thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m ch\u00e8n \u00e9p d\u00e2y th\u1ea7n kinh t\u1ecda, gi\u00fap h\u1ea1n ch\u1ebf c\u00e1c c\u01a1n \u0111au \u1edf d\u00e2y th\u1ea7n kinh. Tuy nhi\u00ean, nh\u00f3m thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 g\u00e2y ch\u00f3ng m\u1eb7t v\u00e0 bu\u1ed3n ng\u1ee7. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea7n tu\u00e2n th\u1ee7 v\u1ec1 li\u1ec1u l\u01b0\u1ee3ng, th\u1eddi gian d\u00f9ng thu\u1ed1c ph\u1ea3i ngh\u1ec9 ng\u01a1i, kh\u00f4ng \u0111\u01b0\u1ee3c l\u00e0m c\u00e1c vi\u1ec7c kh\u00e1c \u0111\u1ec3 tr\u00e1nh nh\u1eefng h\u1eadu qu\u1ea3 \u0111\u00e1ng ti\u1ebfc trong x\u1eed l\u00fd c\u00f4ng vi\u1ec7c.<\/p>\n

– Nh\u00f3m thu\u1ed1c gi\u00e3n c\u01a1 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m b\u1edbt t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c kh\u00f3 ch\u1ecbu khi \u0111\u0129a \u0111\u1ec7m b\u1ecb tho\u00e1t v\u1ecb g\u00e2y co th\u1eaft c\u01a1. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u00e3n c\u01a1 d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u1ea7n \u0111\u00e1p \u1ee9ng th\u00eam c\u00e1c y\u00eau c\u1ea7u kh\u00e1c l\u00e0 kh\u00f4ng l\u00e0m qu\u00e1 y\u1ebfu l\u1ef1c c\u01a1, \u00edt \u1ee9c ch\u1ebf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng- hay d\u00f9ng l\u00e0 Diazepam, Metaxalone\u2026<\/p>\n

– Thu\u1ed1c t\u0103ng t\u00e1i t\u1ea1o bao myelin hay d\u00f9ng nh\u01b0 Uridine, Cytidine \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m \u0111\u1ed1t s\u1ed1ng c\u1ed5 ho\u1eb7c \u0111\u00f4t s\u1ed1ng l\u01b0ng L4, L5. Thu\u1ed1c t\u00e1c \u0111\u1ed9ng l\u00ean d\u00e2y th\u1ea7n kinh ngo\u1ea1i bi\u00ean b\u1ecb nh\u00e2n nh\u1ea7y \u0111\u0129a \u0111\u1ec7m ch\u00e8n \u00e9p, gi\u00fap t\u00e1i t\u1ea1o bao myelin bao quanh, b\u1ea3o v\u1ec7 s\u1ee3i d\u00e2y th\u1ea7n kinh.<\/p>\n

– C\u00e1c thu\u1ed1c b\u1ed5 th\u1ea7n kinh nh\u01b0 vitamin B1, B6, B12. \u0110\u00e2y l\u00e0 c\u00e1c vitamin c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t cho h\u1ec7 th\u1ea7n kinh, h\u1ed7 tr\u1ee3 gi\u1ea3m \u0111au, t\u00ea b\u00ec do d\u00e2y th\u1ea7n kinh b\u1ecb nh\u00e2n nh\u1ea7y ch\u00e8n \u00e9p. Nh\u00f3m thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng l\u00e2u d\u00e0i \u0111\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh li\u00ean quan \u0111\u1ebfn th\u1ea7n kinh.<\/p>\n

– M\u1ed9t s\u1ed1 d\u1ea1ng thu\u1ed1c gi\u1ea3m \u0111au t\u1ea1i ch\u1ed7, d\u00f9ng \u0111\u1ec3 t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean v\u00f9ng b\u1ecb \u0111au do tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m. Tuy nhi\u00ean, ch\u00fang ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng \u1edf v\u00f9ng nh\u1ecf. Tr\u01b0\u1edbc khi b\u00f4i ho\u1eb7c d\u00e1n c\u1ea7n ph\u1ea3i v\u1ec7 sinh v\u00f9ng d\u00f9ng thu\u1ed1c s\u1ea1ch s\u1ebd, \u0111\u1ea3m b\u1ea3o r\u1eeda s\u1ea1ch tay sau khi d\u00f9ng thu\u1ed1c. Tr\u00ean th\u1ecb tr\u01b0\u1eddng nh\u00e0 thu\u1ed1c c\u00f3 b\u00e1n c\u00e1c lo\u1ea1i nh\u01b0 kem Capsaicin, Gel, mi\u1ebfng d\u00e1n Lidocain\u2026<\/p>\n

C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m c\u00f3 nhi\u1ec1u lo\u1ea1i kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 t\u1ef1 mua t\u1ea1i nh\u00e0 thu\u1ed1c. Tuy nhi\u00ean, khi s\u1eed d\u1ee5ng b\u1ea5t c\u1ee9 lo\u1ea1i thu\u1ed1c n\u00e0o, k\u1ec3 c\u1ea3 c\u00e1c thu\u1ed1c d\u00e2n gian, y h\u1ecdc c\u1ed5 truy\u1ec1n\u2026 ng\u01b0\u1eddi b\u1ec7nh n\u00ean tham kh\u1ea3o \u00fd ki\u1ec1n c\u1ee7a c\u00e1c th\u1ea7y thu\u1ed1c chuy\u00ean khoa \u0111\u1ec3 d\u00f9ng thu\u1ed1c c\u00f3 ki\u1ec3m so\u00e1t.<\/p>\n

M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p t\u1ef1 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng t\u1ea1i nh\u00e0 b\u1eb1ng c\u00e1c d\u1ee5ng c\u1ee5 nh\u01b0 \u0111ai \u0111eo l\u01b0ng, \u0111ai d\u00e2y treo k\u00e9o gi\u00e3n c\u1ed9t s\u1ed1ng, ngh\u1ec9 ng\u01a1i\u2026 c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch v\u00e0 khoa h\u1ecdc \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb t\u1ed1t cho ng\u01b0\u1eddi b\u1ecb tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m.<\/p>\n

ThS.L\u00ea Qu\u1ed1c Th\u1ecbnh – Gi\u1ea3ng vi\u00ean Khoa D\u01b0\u1ee3c<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Hi\u1ec7n nay c\u00e1c l\u1edbp Sinh vi\u00ean Cao \u0111\u1eb3ng D\u01b0\u1ee3c K22 \u0111ang h\u1ecdc m\u00f4n Th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c 1. Trong n\u1ed1i dung m\u00f4n h\u1ecdc, ph\u1ea7n b\u00e0i t\u1eadp th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c c\u00f3 b\u00e0i li\u00ean quan \u0111\u1ebfn B\u1ec7nh v\u1ec1 x\u01b0\u01a1ng kh\u1edbp ” C\u00e1c thu\u1ed1c th\u00f4ng d\u1ee5ng khi \u0111i\u1ec1u tr\u1ecb Tho\u00e1t v\u1ecb \u0111\u0129a \u0111\u1ec7m”. 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