{"id":7355,"date":"2024-06-17T13:12:06","date_gmt":"2024-06-17T06:12:06","guid":{"rendered":"https:\/\/jhasim1.com\/?p=7355"},"modified":"2024-06-17T13:18:04","modified_gmt":"2024-06-17T06:18:04","slug":"nhan-biet-thuc-hanh-ban-thuoc-cac-thuoc-khi-dung-pho-bien-hien-nay","status":"publish","type":"post","link":"https:\/\/jhasim1.com\/nhan-biet-thuc-hanh-ban-thuoc-cac-thuoc-khi-dung-pho-bien-hien-nay.html","title":{"rendered":"Nh\u1eadn bi\u1ebft th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c: C\u00e1c thu\u1ed1c kh\u00ed dung ph\u1ed5 bi\u1ebfn hi\u1ec7n nay"},"content":{"rendered":"<p><strong><img decoding=\"async\" class=\"aligncenter wp-image-7358\" src=\"https:\/\/jhasim1.com\/wp-content\/uploads\/2024\/06\/images.jpg\" alt=\"\" width=\"1012\" height=\"490\" srcset=\"https:\/\/jhasim1.com\/wp-content\/uploads\/2024\/06\/images.jpg 318w, https:\/\/jhasim1.com\/wp-content\/uploads\/2024\/06\/images-300x145.jpg 300w\" sizes=\"(max-width: 1012px) 100vw, 1012px\" \/>Trong ch\u01b0\u01a1ng tr\u00ecnh Th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c cho SV Cao \u0111\u1eb3ng D\u01b0\u1ee3c t\u1ea1i HMC M\u1ef9 \u0110\u00ecnh, c\u00e1c em \u0111\u01b0\u1ee3c th\u1ef1c t\u1eadp l\u00e0m quen v\u1edbi c\u00e1c d\u1ea1ng b\u00e0o ch\u1ebf thu\u1ed1c kh\u00ed dung ph\u1ed5 bi\u1ebfn nh\u1ea5t hi\u1ec7n nay. c\u1ee7a Kh\u00ed dung (Aerosol) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p bi\u1ebfn \u0111\u1ed5i thu\u1ed1c th\u00e0nh nh\u1eefng h\u1ea1t ph\u00e2n t\u1eed c\u00f3 \u0111\u01b0\u1eddng k\u00ednh r\u1ea5t nh\u1ecf. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ea1i ch\u1ed7 th\u01b0\u1eddng g\u1eb7p v\u00e0 cho hi\u1ec7u qu\u1ea3 cao.<\/strong><\/p>\n<p>M\u1ee5c \u0111\u00edch ph\u01b0\u01a1ng ph\u00e1p n\u00e0y l\u00e0 \u0111\u01b0a thu\u1ed1c tr\u1ef1c ti\u1ebfp \u0111\u1ebfn n\u01a1i c\u1ea7n t\u00e1c \u0111\u1ed9ng d\u01b0\u1edbi d\u1ea1ng nh\u1eefng h\u1ea1t thu\u1ed1c r\u1ea5t nh\u1ecf. N\u1ebfu h\u1ea1t thu\u1ed1c c\u00e0ng nh\u1ecf th\u00ec c\u00e0ng \u0111i s\u00e2u h\u01a1n xu\u1ed1ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi. Kh\u00ed dung trong b\u1ec7nh tai m\u0169i h\u1ecdng c\u00f3 k\u00edch th\u01b0\u1edbc 10-20 micron \u0111\u1ec3 h\u1ea1n ch\u1ebf l\u1eafng \u0111\u1ecdng thu\u1ed1c \u1edf \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p d\u01b0\u1edbi v\u00e0 g\u00e2y t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n. V\u00ec v\u1eady, khi \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129 v\u00e0 c\u00e1c d\u01b0\u1ee3c s\u0129 chuy\u00ean m\u00f4n, \u0111\u1ec3 tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5 do thu\u1ed1c g\u00e2y ra.<\/p>\n<p>C\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00ed dung, t\u00f9y theo m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb, m\u00e0 l\u1ef1a ch\u1ecdn ph\u00f9 h\u1ee3p v\u1edbi c\u00e1 th\u1ec3 b\u1ec7nh nh\u00e2n. Thu\u1ed1c th\u1edf kh\u00ed dung d\u1ea1ng Corticoid v\u00e0 Corticoid ph\u1ed1i h\u1ee3p v\u1edbi ch\u1ea5t gi\u00e3n ph\u1ebf qu\u1ea3n th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi b\u1ecb vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam h\u1ecdng, vi\u00eam xoang v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng h\u1eaft h\u01a1i, s\u1ed5 m\u0169i, ngh\u1eb9t m\u0169i\u2026 Ngo\u00e0i ra, thu\u1ed1c c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb cho nh\u1eefng b\u1ec7nh nh\u00e2n hen ph\u1ebf qu\u1ea3n ho\u1eb7c b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD). Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea7n tu\u00e2n th\u1ee7 ch\u1eb7t ch\u1ebd ch\u1ec9 \u0111\u1ecbnh c\u1ee7a th\u1ea7y thu\u1ed1c, tr\u00e1nh t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m cho c\u01a1 th\u1ec3.<\/p>\n<figure style=\"width: 1053px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" src=\"https:\/\/tapchibaohiemxahoi.gov.vn\/media\/articles\/images\/phamvanman\/062024\/4e041d16-7e89-437e-83f6-ab095b3bfa97.png\" alt=\"\" width=\"1053\" height=\"632\" \/><figcaption class=\"wp-caption-text\"><em>M\u1ed9t s\u1ed1 d\u1ee5ng c\u1ee5 h\u1ed7 tr\u1ee3 khi d\u00f9ng thu\u1ed1c kh\u00ed dung<\/em><\/figcaption><\/figure>\n<p><strong>Tr\u00ean th\u1ecb tr\u01b0\u1eddng hi\u1ec7n nay c\u00f3 kh\u00e1 nhi\u1ec1u lo\u1ea1i thu\u1ed1c d\u00f9ng cho kh\u00ed dung. Ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 c\u00e1c thu\u1ed1c sau \u0111\u00e2y:<\/strong><\/p>\n<p>Thu\u1ed1c kh\u00ed dung c\u00f3 Corticoid gi\u00fap l\u00e0m gi\u1ea3m s\u01b0ng vi\u00eam, th\u00f4ng tho\u00e1ng c\u00e1c xoang m\u0169i v\u00e0 gi\u1ea3m nguy c\u01a1 bi\u1ebfn ch\u1ee9ng khi m\u1eafc c\u00e1c b\u1ec7nh nh\u01b0: COPD, hen suy\u1ec5n, vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam xoang&#8230; Hay d\u00f9ng l\u00e0 c\u00e1c ho\u1ea1t ch\u1ea5t nh\u01b0 Budesonide d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n v\u00e0 vi\u00eam xoang.Thu\u1ed1c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 6 th\u00e1ng tu\u1ed5i tr\u1edf l\u00ean. M\u1ed9t Corticoid kh\u00e1c l\u00e0 Fluticasone \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n v\u00e0 vi\u00eam m\u0169i d\u1ecb \u1ee9ng. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m vi\u00eam, s\u01b0ng t\u1ea5y v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f3 ch\u1ecbu.<\/p>\n<p>Thu\u1ed1c kh\u00ed dung c\u00f3 Salbutamol l\u00e0 ch\u1ea5t \u0111\u1ed3ng v\u1eadn ch\u1ecdn l\u1ecdc tr\u00ean th\u1ee5 th\u1ec3 Adrenergic beta 2 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c ng\u0103n ng\u1eeba co th\u1eaft ph\u1ebf qu\u1ea3n. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng nhanh trong v\u00f2ng 15 ph\u00fat, l\u00e0m gi\u00e3n ph\u1ebf qu\u1ea3n k\u00e9o d\u00e0i kho\u1ea3ng 4 gi\u1edd. N\u00f3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng th\u1edf c\u00f3 kh\u1ea3 n\u0103ng h\u1ed3i ph\u1ee5c do hen, vi\u00eam ph\u1ebf qu\u1ea3n m\u1ea1n t\u00ednh v\u00e0 kh\u00ed ph\u1ebf th\u0169ng. Salbutamol c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng khi x\u1ea3y ra c\u01a1n hen v\u00e0 ph\u00f2ng ng\u1eeba tr\u01b0\u1edbc c\u00e1c t\u00ecnh hu\u1ed1ng s\u1ebd c\u00f3 khi kh\u1edfi ph\u00e1t c\u01a1n hen. C\u00e1c dung d\u1ecbch kh\u00ed dung c\u00f3 Salbutamol hay d\u00f9ng nh\u01b0 Ventolin.<\/p>\n<p>Thu\u1ed1c kh\u00ed dung c\u00f3 Ipratropium bromide l\u00e0 thu\u1ed1c kh\u00e1ng Cholinergic t\u00e1c d\u1ee5ng ng\u1eafn, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u00e3n ph\u1ebf qu\u1ea3n, gi\u1ea3m ti\u1ebft d\u1ecbch nh\u1ea7y v\u00e0 ho. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em t\u1eeb 6 tu\u1ed5i tr\u1edf l\u00ean.<\/p>\n<p>Combivent l\u00e0 thu\u1ed1c ph\u1ed1i h\u1ee3p c\u00f3 c\u1ea3 2 ch\u1ea5t n\u00f3i tr\u00ean. M\u1ed7i \u1ed1ng \u0111\u01a1n li\u1ec1u 2,5ml dung d\u1ecbch d\u00f9ng cho kh\u00ed dung ch\u1ee9a Ipratropium bromid (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi 500mcg Ipratropium bromid d\u1ea1ng khan) v\u00e0 Salbutamol sunfat (t\u01b0\u01a1ng \u1ee9ng v\u1edbi 2500mcg Salbutamol d\u1ea1ng Bazo). Combivent dung d\u1ecbch d\u00f9ng cho kh\u00ed dung trong \u1ed1ng \u0111\u01a1n li\u1ec1u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ki\u1ec3m so\u00e1t co th\u1eaft ph\u1ebf qu\u1ea3n c\u00f3 h\u1ed3i ph\u1ee5c do b\u1ec7nh l\u00fd t\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p.<\/p>\n<p>Thu\u1ed1c kh\u00e1ng sinh d\u1ea1ng dung d\u1ecbch x\u00f4ng kh\u00ed dung \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p do vi khu\u1ea9n g\u00e2y ra nh\u01b0: Vi\u00eam ph\u1ebf qu\u1ea3n, vi\u00eam ph\u1ed5i, vi\u00eam amidan&#8230; M\u1ed9t s\u1ed1 thu\u1ed1c hay d\u00f9ng \u0111\u1ec3 kh\u00ed dung cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y l\u00e0 Gentamicin. \u0110\u1eb7c bi\u1ec7t, c\u1ea7n theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 th\u00ednh gi\u00e1c c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, v\u00ec thu\u1ed1c c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y \u0111\u1ed9c tr\u00ean 2 c\u01a1 quan n\u00e0y. Kh\u00e1ng sinh Cloramphenicol c\u1ea7n ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa, ng\u01b0\u1eddi b\u1ecb r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a Porphyrin c\u1ea5p.<\/p>\n<p>N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng d\u1ea1ng kh\u00ed dung cho ng\u01b0\u1eddi b\u1ecb ho \u0111\u1eddm, nh\u1ea5t l\u00e0 tr\u1ebb em b\u1ecb ho \u0111\u1eddm nh\u01b0ng kh\u00f4ng bi\u1ebft c\u00e1ch ho v\u00e0 kh\u1ea1c nh\u1ed5. N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd k\u1ebft h\u1ee3p tinh d\u1ea7u tr\u00e0m, b\u01b0\u1edfi, b\u1ea1c h\u00e0, t\u00eda t\u00f4\u2026 \u0111\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ngh\u1eb9t m\u0169i do c\u1ea3m c\u00fam, c\u1ea3m l\u1ea1nh. N\u01b0\u1edbc mu\u1ed1i sinh l\u00fd l\u00e0 dung d\u1ecbch phun kh\u00ed dung c\u00f3 ch\u1ee9a Natri clorid 0,9%, an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 s\u1eed d\u1ee5ng trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p.<\/p>\n<figure style=\"width: 1046px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" class=\"\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcRJkzSfqBqNwiNJhzrT7xkUr39mtLVzZR0oiQ&amp;s\" alt=\"Kh\u00ed dung l\u00e0 g\u00ec? D\u00f9ng nhi\u1ec1u kh\u00ed dung c\u00f3 t\u1ed1t kh\u00f4ng?\" width=\"1046\" height=\"634\" \/><figcaption class=\"wp-caption-text\"><em>Ph\u1ea3i h\u01b0\u1edbng d\u1eabn B\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch c\u00e1c Thu\u1ed1c Kh\u00ed dung<\/em><\/figcaption><\/figure>\n<p><img decoding=\"async\" class=\"\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcSD3K7o4lIRHvA-FL1yTqegjZEv3M1FVH3WrA&amp;s\" alt=\"Kh\u00ed dung l\u00e0 g\u00ec? S\u1eed d\u1ee5ng m\u00e1y kh\u00ed dung c\u00f3 t\u1ed1t kh\u00f4ng?\" width=\"1047\" height=\"697\" \/><\/p>\n<p>\u0110\u1ec3 th\u1ef1c hi\u00ean vi\u1ec7c d\u00f9ng thu\u1ed1c \u0111\u00fang quy \u0111\u1ecbnh, hi\u1ec7n nay c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p kh\u00ed dung kh\u00e1c nhau nh\u01b0: Kh\u00ed dung b\u1eb1ng \u1ed1ng h\u00edt, kh\u00ed dung b\u1eb1ng \u1ed1ng x\u1ecbt, kh\u00ed dung b\u1eb1ng \u1ed1ng b\u00f3p, kh\u00ed dung b\u1eb1ng m\u00e1y. Trong \u0111\u00f3, kh\u00ed dung b\u1eb1ng m\u00e1y ph\u1ed5 bi\u1ebfn nh\u1ea5t hi\u1ec7n nay, c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng d\u1ec5 d\u00e0ng \u1edf b\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m ho\u1eb7c t\u1ea1i nh\u00e0&#8230; M\u00e1y kh\u00ed dung hi\u1ec7n nay tr\u00ean th\u1ecb tr\u01b0\u1eddng c\u00f3 nhi\u1ec1u lo\u1ea1i, c\u00f3 lo\u1ea1i ph\u00f9 h\u1ee3p v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd tai m\u0169i h\u1ecdng, c\u00f3 lo\u1ea1i ph\u00f9 h\u1ee3p v\u1edbi b\u1ec7nh vi\u00eam ph\u1ebf qu\u1ea3n, b\u1ec7nh ph\u1ed5i.<\/p>\n<p style=\"text-align: right\"><em><strong>ThS.L\u00ea Qu\u1ed1c Th\u1ecbnh &#8211; Gi\u1ea3ng vi\u00ean Khoa D\u01b0\u1ee3c HMC M\u1ef9 \u0110\u00ecnh<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Trong ch\u01b0\u01a1ng tr\u00ecnh Th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c cho SV Cao \u0111\u1eb3ng D\u01b0\u1ee3c t\u1ea1i HMC M\u1ef9 \u0110\u00ecnh, c\u00e1c em \u0111\u01b0\u1ee3c th\u1ef1c t\u1eadp l\u00e0m quen v\u1edbi c\u00e1c d\u1ea1ng b\u00e0o ch\u1ebf thu\u1ed1c kh\u00ed dung ph\u1ed5 bi\u1ebfn nh\u1ea5t hi\u1ec7n nay. c\u1ee7a Kh\u00ed dung (Aerosol) l\u00e0 ph\u01b0\u01a1ng ph\u00e1p bi\u1ebfn \u0111\u1ed5i thu\u1ed1c th\u00e0nh nh\u1eefng h\u1ea1t ph\u00e2n t\u1eed c\u00f3 \u0111\u01b0\u1eddng k\u00ednh r\u1ea5t [&#8230;]\n","protected":false},"author":20,"featured_media":7358,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,2398,1],"tags":[],"class_list":["post-7355","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cao-dang-duoc","category-kien-thuc-y-duoc","category-tin-tuc"],"yoast_head":"\n<title>Nh\u1eadn bi\u1ebft th\u1ef1c h\u00e0nh b\u00e1n thu\u1ed1c: C\u00e1c thu\u1ed1c kh\u00ed dung ph\u1ed5 bi\u1ebfn hi\u1ec7n nay - Tr\u01b0\u1eddng Cao \u0110\u1eb3ng Y H\u00e0 N\u1ed9i<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, 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