{"id":17660,"date":"2023-01-06T09:09:47","date_gmt":"2023-01-06T02:09:47","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=17660"},"modified":"2023-01-06T09:11:12","modified_gmt":"2023-01-06T02:11:12","slug":"thuoc-nao-giam-dau-cho-benh-nhan-viem-xuong-khop","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/01\/06\/thuoc-nao-giam-dau-cho-benh-nhan-viem-xuong-khop\/","title":{"rendered":"Thu\u1ed1c n\u00e0o gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n vi\u00eam x\u01b0\u01a1ng kh\u1edbp ?"},"content":{"rendered":"

Vi\u00eam x\u01b0\u01a1ng kh\u1edbp\u00a0l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ra t\u00ecnh tr\u1ea1ng khuy\u1ebft t\u1eadt v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi m\u1eafc. Ngo\u00e0i ph\u1eabu thu\u1eadt thay kh\u1edbp, hi\u1ec7n kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o “ch\u1eefa kh\u1ecfi” cho b\u1ec7nh vi\u00eam kh\u1edbp v\u00e0 h\u1ea7u h\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u t\u1eadp trung v\u00e0o vi\u1ec7c gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au.<\/p>\n

V\u00ec v\u1eady, m\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb l\u00e0 ki\u1ec3m so\u00e1t c\u01a1n \u0111au t\u1ed1i \u01b0u v\u00e0 b\u1ea3o t\u1ed3n ch\u1ee9c n\u0103ng c\u1ee7a kh\u1edbp, t\u1eeb \u0111\u00f3 ph\u00e1 v\u1ee1 v\u00f2ng lu\u1ea9n qu\u1ea9n \u0111au \u0111\u1edbn, m\u1ea5t v\u1eadn \u0111\u1ed9ng, d\u1eabn \u0111\u1ebfn t\u00e0n t\u1eadt. \u0110\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c m\u1ee5c ti\u00eau n\u00e0y, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 kh\u00f4ng d\u00f9ng thu\u1ed1c, d\u00f9ng thu\u1ed1c v\u00e0 n\u1ebfu c\u1ea7n thi\u1ebft \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt…<\/p>\n

\"\"
Ki\u1ec3m so\u00e1t c\u00e1c c\u01a1n \u0111au l\u00e0 m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb ch\u00ednh c\u1ee7a b\u1ec7nh nh\u00e2n vi\u00eam x\u01b0\u01a1ng kh\u1edbp.<\/figcaption><\/figure>\n

M\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au vi\u00eam kh\u1edbp, nh\u01b0ng thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c ch\u1eefa \u0111\u01b0\u1ee3c b\u1ec7nh.<\/strong><\/em><\/p><\/blockquote>\n

1. C\u00e1c\u00a0thu\u1ed1c gi\u1ea3m \u0111au\u00a0vi\u00eam x\u01b0\u01a1ng kh\u1edbp<\/h4>\n

Gi\u1ea3m \u0111au \u1edf b\u1ec7nh nh\u00e2n \u0111au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p. Thu\u1ed1c gi\u1ea3m \u0111au ho\u1eb7c\/v\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam l\u00e0 m\u1ed9t ph\u1ea7n thi\u1ebft y\u1ebfu v\u00e0 mang l\u1ea1i hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean vi\u1ec7c k\u00ea \u0111\u01a1n thu\u1ed1c gi\u1ea3m \u0111au c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn tr\u00ean t\u1eebng ng\u01b0\u1eddi b\u1ec7nh, c\u00e1c lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u00e0 b\u1ec7nh l\u00fd \u0111i k\u00e8m… \u0111\u1ec3 tr\u00e1nh c\u00e1c t\u01b0\u01a1ng t\u00e1c b\u1ea5t l\u1ee3i.<\/p>\n

–Paracetamol<\/b><\/i>: Paracetamol l\u00e0 thu\u1ed1c khuy\u1ebfn ngh\u1ecb \u0111\u1ea7u ti\u00ean cho \u0111au li\u00ean quan \u0111\u1ebfn vi\u00eam kh\u1edbp t\u1eeb nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh v\u00ec t\u00ednh an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t, m\u1eb7c d\u00f9 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi c\u00f3 th\u1ec3 b\u1ecb d\u1ecb \u1ee9ng thu\u1ed1c v\u00e0 qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho gan. V\u00ec v\u1eady, \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd l\u00e0 ph\u1ea3i d\u00f9ng thu\u1ed1c \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 ho\u1eb7c nh\u00e0 s\u1ea3n xu\u1ea5t ghi trong h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n

-NSAID\u00a0(thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid):\u00a0<\/b><\/i>C\u00e1c thu\u1ed1c NSAID l\u00e0m gi\u1ea3m vi\u00eam, s\u01b0ng kh\u1edbp v\u00e0 c\u1ee9ng kh\u1edbp. Th\u00f4ng th\u01b0\u1eddng, NSAID ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau khi \u0111\u00e3 d\u00f9ng paracetamol m\u00e0 kh\u00f4ng hi\u1ec7u qu\u1ea3.<\/p>\n

C\u00e1c h\u01b0\u1edbng d\u1eabn khuy\u1ebfn ngh\u1ecb n\u1ebfu s\u1eed d\u1ee5ng paracetamol kh\u00f4ng mang l\u1ea1i t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, NSAID n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3 \u0111\u1ec3 tr\u00e1nh ho\u1eb7c gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra li\u00ean quan \u0111\u1ebfn NSAID bao g\u1ed3m\u00a0\u0111au d\u1ea1 d\u00e0y, lo\u00e9t d\u1ea1 d\u00e0y, c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch (bao g\u1ed3m t\u0103ng nguy c\u01a1 \u0111au tim v\u00e0 \u0111\u1ed9t qu\u1ef5,\u00a0huy\u1ebft \u00e1p cao\u00a0v\u00e0 suy tim), c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 th\u1eadn v\u00e0 t\u1ed5n th\u01b0\u01a1ng gan.<\/p>\n

\"\"
Thu\u1ed1c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au vi\u00eam kh\u1edbp, nh\u01b0ng thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng ph\u1ea3i l\u00e0 thu\u1ed1c ch\u1eefa \u0111\u01b0\u1ee3c b\u1ec7nh.<\/figcaption><\/figure>\n

NSAID kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho nh\u1eefng ng\u01b0\u1eddi b\u1ecb lo\u00e9t d\u1ea1 d\u00e0y, kh\u00f3 ti\u00eau ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 d\u1ea1 d\u00e0y kh\u00e1c ho\u1eb7c nh\u1eefng ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed \u0111au th\u1eaft ng\u1ef1c, \u0111au tim ho\u1eb7c \u0111\u1ed9t qu\u1ef5. N\u00ean s\u1eed d\u1ee5ng thu\u1ed1c th\u1eadn tr\u1ecdng \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh hen suy\u1ec5n, ng\u01b0\u1eddi gi\u00e0 (tr\u00ean 75 tu\u1ed5i) v\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111ang m\u1eafc c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c v\u00ec thu\u1ed1c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn ho\u1eb7c t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/p>\n

C\u00e1c NSAID ph\u1ed5 bi\u1ebfn bao g\u1ed3m ibuprofen,\u00a0diclofenac, naproxen\u2026<\/p>\n

–\u00a0Thu\u1ed1c gi\u1ea3m \u0111au opioid:\u00a0<\/b><\/i>Opioid \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng c\u01a1n \u0111au nghi\u00eam tr\u1ecdng ho\u1eb7c m\u00e3n t\u00ednh, bao g\u1ed3m c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 codeine, tramadol, morphine v\u00e0 pethidine.<\/p>\n

Opioid ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch g\u1eafn v\u00e0o c\u00e1c protein c\u1ee5 th\u1ec3 v\u00e0 ng\u0103n ch\u1eb7n c\u00e1c th\u00f4ng \u0111i\u1ec7p \u0111au \u0111\u1ebfn n\u00e3o. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 bao g\u1ed3m\u00a0t\u00e1o b\u00f3n, bu\u1ed3n n\u00f4n, n\u00f4n v\u00e0 bu\u1ed3n ng\u1ee7. Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y nghi\u1ec7n v\u00e0 l\u1ec7 thu\u1ed9c v\u00ec v\u1eady thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 gi\u00e1m s\u00e1t c\u1ee7a chuy\u00ean gia y t\u1ebf.<\/p>\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u01b0\u1ee3c l\u00fd kh\u00e1c bao g\u1ed3m thu\u1ed1c t\u00e1c d\u1ee5ng ch\u1eadm \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp, bao g\u1ed3m glucosamine sulphate, chondroitin sulphate, diacerhein v\u00e0 ti\u00eam\u00a0glucocorticoid\u00a0trong kh\u1edbp…<\/p>\n

2. L\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c<\/h4>\n
    \n
  • \u00a0Lu\u00f4n \u0111\u1ecdc nh\u00e3n v\u00e0 d\u00f9ng thu\u1ed1c theo ch\u1ec9 d\u1eabn.<\/i><\/li>\n
  • \u00a0C\u1ea7n t\u00ecm hi\u1ec3u nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra.<\/i><\/li>\n
  • \u00a0Th\u00f4ng b\u00e1o v\u1edbi b\u00e1c s\u0129 v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111ang d\u00f9ng, bao g\u1ed3m c\u1ea3 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1ebfu c\u00f3.<\/i><\/li>\n
  • \u00a0C\u1ea9n th\u1eadn khi d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n, k\u1ec3 c\u1ea3 th\u1ea3o d\u01b0\u1ee3c v\u00e0\u00a0<\/i>thu\u1ed1c b\u1ed5 sung<\/i>, v\u00ec m\u1ed9t s\u1ed1 lo\u1ea1i c\u00f3 th\u1ec3 g\u00e2y ra v\u1ea5n \u0111\u1ec1 n\u1ebfu d\u00f9ng c\u00f9ng nhau.<\/i><\/li>\n
  • \u00a0Kh\u00f4ng chia s\u1ebb \u0111\u01a1n thu\u1ed1c ho\u1eb7c d\u00f9ng theo \u0111\u01a1n thu\u1ed1c c\u1ee7a ng\u01b0\u1eddi kh\u00e1c.<\/i><\/li>\n
  • N\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh d\u00f9ng thu\u1ed1c c\u1ea7n th\u00f4ng b\u00e1o ngay v\u1edbi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb.<\/i><\/li>\n<\/ul>\n

    3.\u00a0T\u1eadp th\u1ec3 d\u1ee5c\u00a0c\u0169ng l\u00e0 li\u1ec1u thu\u1ed1c gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 cho ng\u01b0\u1eddi b\u1ec7nh vi\u00eam x\u01b0\u01a1ng kh\u1edbp<\/h4>\n

    T\u1eadp th\u1ec3 d\u1ee5c c\u00f3 th\u1ec3 gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c trong vi\u1ec7c ki\u1ec3m so\u00e1t s\u1edbm b\u1ec7nh vi\u00eam x\u01b0\u01a1ng kh\u1edbp. Nhi\u1ec1u nghi\u00ean c\u1ee9u c\u0169ng ch\u1ec9 ra r\u1eb1ng t\u1eadp th\u1ec3 d\u1ee5c c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam. C\u00e1c t\u00e1c d\u1ee5ng c\u00f3 l\u1ee3i bao g\u1ed3m: C\u01a1 b\u1eafp kh\u1ecfe h\u01a1n \u0111\u1ec3 b\u1ea3o v\u1ec7 kh\u1edbp, gi\u1ea3m m\u1ec7t m\u1ecfi, gi\u1ea3m tr\u1ea7m c\u1ea3m, t\u0103ng m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng…<\/p>\n

    Nh\u1eefng b\u00e0i t\u1eadp l\u00fd t\u01b0\u1edfng nh\u1ea5t bao g\u1ed3m c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u01b0\u1eddng \u0111\u1ed9 th\u1ea5p nh\u01b0 \u0111i b\u1ed9, \u0111\u1ea1p xe ho\u1eb7c b\u01a1i l\u1ed9i, gi\u00fap \u00edch cho s\u1ee9c kh\u1ecfe tim ph\u1ed5i v\u00e0 s\u1ee9c b\u1ec1n th\u1ec3 ch\u1ea5t. C\u00e1c b\u00e0i t\u1eadp chuy\u1ec3n \u0111\u1ed9ng nh\u01b0\u00a0yoga ho\u1eb7c th\u00e1i c\u1ef1c quy\u1ec1n c\u0169ng r\u1ea5t h\u1eefu \u00edch trong vi\u1ec7c duy tr\u00ec s\u1ef1 linh ho\u1ea1t v\u00e0 x\u00e2y d\u1ef1ng kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 b\u1eafp, \u0111\u1ed3ng th\u1eddi quan tr\u1ecdng nh\u1ea5t l\u00e0 t\u0103ng c\u01b0\u1eddng c\u01a1 b\u1eafp h\u1ed7 tr\u1ee3 c\u00e1c kh\u1edbp b\u1ecb vi\u00eam.\/.<\/p>\n

    Ngu\u1ed3n B\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng<\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

    Vi\u00eam x\u01b0\u01a1ng kh\u1edbp\u00a0l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y ra t\u00ecnh tr\u1ea1ng khuy\u1ebft t\u1eadt v\u00e0 gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi m\u1eafc. Ngo\u00e0i ph\u1eabu thu\u1eadt thay kh\u1edbp, hi\u1ec7n kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p n\u00e0o “ch\u1eefa kh\u1ecfi” cho b\u1ec7nh vi\u00eam kh\u1edbp v\u00e0 h\u1ea7u h\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec1u t\u1eadp trung v\u00e0o vi\u1ec7c gi\u1ea3m c\u00e1c tri\u1ec7u […]<\/p>\n","protected":false},"author":3,"featured_media":17662,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303],"tags":[],"class_list":["post-17660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=17660"}],"version-history":[{"count":3,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17660\/revisions"}],"predecessor-version":[{"id":17665,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/17660\/revisions\/17665"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/17662"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=17660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=17660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=17660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}