{"id":1340,"date":"2023-04-07T21:56:58","date_gmt":"2023-04-07T14:56:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=1340"},"modified":"2023-04-13T18:34:08","modified_gmt":"2023-04-13T11:34:08","slug":"tong-quan-ve-thuoc-loi-tieu-nhom-thiazid","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/07\/tong-quan-ve-thuoc-loi-tieu-nhom-thiazid\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u00f3m Thiazid"},"content":{"rendered":"<p><strong>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00f9, t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim. C\u00f9ng t\u00ecm hi\u1ec3u nh\u1eefng th\u00f4ng tin chi ti\u1ebft h\u01a1n v\u1ec1 nh\u00f3m thu\u1ed1c n\u00e0y qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y.<\/strong><\/p>\n<h2>1. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h2>\n<ul>\n<li>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf c\u00e1c k\u00eanh \u0111\u1ed3ng v\u1eadn chuy\u1ec3n c\u1ee7a natri v\u00e0 clorid \u1edf \u1ed1ng l\u01b0\u1ee3n xa, d\u1eabn t\u1edbi gi\u1ea3m t\u00e1i h\u1ea5p thu natri v\u00e0 clorid trong d\u1ecbch l\u1ecdc. N\u1ed3ng \u0111\u1ed9 hai ch\u1ea5t n\u00e0y th\u1ea3i ra ngo\u00e0i t\u0103ng l\u00ean d\u1eabn t\u1edbi t\u0103ng th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u,\u00a0t\u1eeb \u0111\u00f3 gi\u1ea3m thi\u1ec3u l\u01b0\u1ee3ng mu\u1ed1i v\u00e0 n\u01b0\u1edbc trong c\u01a1 th\u1ec3, gi\u1ea3m t\u00ecnh tr\u1ea1ng ph\u00f9, gi\u1ea3m huy\u1ebft \u00e1p v\u00e0 gi\u1ea3m t\u1ea3i cho tim.<\/li>\n<li>B\u00ean c\u1ea1nh \u0111\u00f3, thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng t\u0103ng c\u01b0\u1eddng \u0111\u00e1p \u1ee9ng c\u1ee7a c\u01a1 tim, t\u0103ng l\u01b0\u1ee3ng m\u00e1u \u0111\u01b0\u1ee3c b\u01a1m ra, gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng tim m\u1ea1ch. \u0110\u1ed3ng th\u1eddi, thu\u1ed1c c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng gi\u1ea3m s\u1ee9c c\u1ea3n m\u1ea1ch ngo\u1ea1i vi do gi\u00e3n c\u01a1 tr\u01a1n ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch, t\u1eeb \u0111\u00f3 gi\u1ea3m nguy c\u01a1 t\u1eafc ngh\u1ebdn m\u1ea1ch m\u00e1u v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/li>\n<li>Ngo\u00e0i ra, thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid c\u00f2n c\u00f3 kh\u1ea3 n\u0103ng t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn c\u00e1c c\u01a1 ch\u1ebf \u0111i\u1ec1u ti\u1ebft natri v\u00e0 kali trong c\u01a1 th\u1ec3, t\u1eeb \u0111\u00f3 gi\u1ea3m nguy c\u01a1 c\u00e1c r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00e0 gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1eadn.<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/ykhoa.org\/wp-content\/uploads\/2020\/06\/thiazides.png\" alt=\"D\u01b0\u1ee3c l\u00fd] Thu\u1ed1c l\u1ee3i ti\u1ec3u \u203a Y khoa, ykhoa.org, Th\u00f4ng tin c\u1eadp nh\u1eadt ki\u1ebfn th\u1ee9c y khoa m\u1edbi nh\u1ea5t\" width=\"612\" height=\"457\" \/><\/p>\n<p style=\"text-align: center;\">C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u00f3m thiazid<\/p>\n<h2>2. Ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/p>\n<ul>\n<li><strong>\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p:<\/strong> \u0110\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c nh\u01b0 c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf men chuy\u1ec3n h\u00f3a angiotensin (ACEI), c\u00e1c ch\u1ea5t \u0111\u1ed1i v\u1eadn th\u1ee5 th\u1ec3 angiotensin II (ARB), v\u00e0 c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf beta (Beta-blockers).<\/li>\n<li><strong>Gi\u1ea3m ph\u00f9:<\/strong>\u00a0s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m ph\u00f9 do suy tim, suy th\u1eadn, b\u1ec7nh gan ho\u1eb7c b\u1ec7nh l\u00fd kh\u00e1c.<\/li>\n<li style=\"text-align: left;\"><strong>Ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 v\u00e0 c\u00e1c bi\u1ebfn ch\u1ee9ng li\u00ean quan \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p.<\/strong><\/li>\n<li><strong>\u0110\u00e1i th\u00e1o nh\u1ea1t do th\u1eadn.<\/strong><\/li>\n<li><strong>Ph\u00f2ng ng\u1eeba s\u1ecfi th\u1eadn:<\/strong> D\u1ef1 ph\u00f2ng h\u00ecnh th\u00e0nh s\u1ecfi t\u00e1i ph\u00e1t trong t\u0103ng calci ni\u1ec7u v\u00f4 c\u0103n.<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u00f3m thiazid ph\u1ed5 bi\u1ebfn tr\u00ean l\u00e2m s\u00e0ng, bao g\u1ed3m:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/thong-tin-duoc\/su-dung-thuoc-toan\/thuoc-hydrochlorothiazide-cong-dung-chi-dinh-va-luu-y-khi-dung\/\">Hydrochlorothiazide<\/a> (HCTZ)<\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/thong-tin-duoc\/su-dung-thuoc-toan\/chlorthalidone-la-thuoc-gi\/\">Chlorthalidone<\/a><\/li>\n<li><a href=\"https:\/\/www.vinmec.com\/vi\/thuoc\/indapamide-91\/\">Indapamide<\/a><\/li>\n<li>Methylchlothiazid<\/li>\n<\/ul>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter\" src=\"https:\/\/ecommerce.genericartmedicine.com\/upload\/products\/product-photo-12509082022120847.webp\" alt=\"Generic Products | Genericart Online Generic Medicine Shopping\" width=\"477\" height=\"301\" \/><\/p>\n<p style=\"text-align: center;\">Thu\u1ed1c l\u1ee3i ti\u1ec3u Hydrochlorothiazid (HCTZ)<\/p>\n<h2>3.\u00a0 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/h2>\n<h4><strong>3.1. H\u1ea1 kali m\u00e1u:<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">Th\u01b0\u1eddng g\u1eb7p nh\u1ea5t, c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec5m ki\u1ec1m gi\u1ea3m clo m\u00e1u.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u01b0\u01a1ng t\u00e1c g\u00e2y lo\u1ea1n nh\u1ecbp \u1edf BN \u0111ang d\u00f9ng digoxin.<\/span><\/li>\n<\/ul>\n<h4><strong>3.2. H\u1ea1 natri m\u00e1u:<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">Nguy\u00ean nh\u00e2n: t\u0103ng ADH do gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n, gi\u1ea3m kh\u1ea3 n\u0103ng pha lo\u00e3ng c\u1ee7a th\u1eadn, t\u0103ng c\u1ea3m gi\u00e1c kh\u00e1t.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">D\u1ef1 ph\u00f2ng: gi\u1ea3m li\u1ec1u l\u1ee3i ti\u1ec3u v\u00e0 h\u1ea1n ch\u1ebf u\u1ed1ng n\u01b0\u1edbc.<\/span><\/li>\n<\/ul>\n<h4><span style=\"font-weight: 400;\"><strong>3.3. T\u0103ng acid uric m\u00e1u:<\/strong> <\/span><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">Nguy\u00ean nh\u00e2n: Do thiazid c\u1ea1nh tranh b\u00e0i ti\u1ebft v\u1edbi acid uric qua h\u1ec7 th\u1ed1ng b\u00e0i ti\u1ebft acid h\u1eefu c\u01a1.<\/span><\/li>\n<li>C\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c t\u00ecnh tr\u1ea1ng nh\u01b0 s\u1ecfi th\u1eadn, podagra (h\u1ed9i ch\u1ee9ng \u0111au nh\u1ee9c kh\u1edbp g\u00f3t) v\u00e0 b\u1ec7nh gout.<\/li>\n<\/ul>\n<h4><strong>3.4. T\u0103ng calci m\u00e1u<\/strong><\/h4>\n<ul>\n<li>Nguy\u00ean nh\u00e2n: gi\u1ea3m b\u00e0i ti\u1ebft calci v\u00e0o n\u01b0\u1edbc ti\u1ec3u, gi\u00fap l\u01b0\u1ee3ng calci trong m\u00e1u t\u0103ng l\u00ean.<\/li>\n<li>C\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe nh\u01b0 \u0111au x\u01b0\u01a1ng, ti\u1ec3u \u0111\u01b0\u1eddng, d\u1ecb t\u1eadt tim, v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/li>\n<\/ul>\n<h4><strong>3.5. T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">X\u1ea3y ra \u1edf li\u1ec1u cao (li\u1ec1u HCTZ &gt; 50 mg\/ng\u00e0y).<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Nguy\u00ean nh\u00e2n: gi\u1ea3m b\u00e0i ti\u1ebft insulin (do k\u00edch th\u00edch k\u00eanh K+ nh\u1ea1y <\/span>c\u1ea3m v\u1edbi ATP tr\u00ean t\u1ebf b\u00e0o B), gi\u1ea3m s\u1eed d\u1ee5ng glucose t\u1ea1i c\u00e1c m\u00f4.<\/li>\n<li><span style=\"font-weight: 400;\">T\u0103ng nguy c\u01a1 v\u1edbi h\u1ea1 kali m\u00e1u.<\/span><\/li>\n<\/ul>\n<h4><strong>3.6. C\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n kh\u00e1c<\/strong><\/h4>\n<ul>\n<li><span style=\"font-weight: 400;\">Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, vi\u00eam da to\u00e0n th\u00e2n,&#8230;<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u0103ng LDL, cholesterol to\u00e0n ph\u1ea7n, triglycerid.<\/span><\/li>\n<li><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng ch\u1ee7 y\u1ebfu do gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n.<\/span><\/li>\n<\/ul>\n<h2>4. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh<\/h2>\n<p>M\u1eb7c d\u00f9 thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 gi\u1ea3m ph\u00f9, tuy nhi\u00ean, n\u00f3 c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid:<\/p>\n<ul>\n<li>Qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n c\u1ee7a thu\u1ed1c.<\/li>\n<li>Suy gan n\u1eb7ng.<\/li>\n<li>Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn n\u1eb7ng.<\/li>\n<li>B\u1ec7nh l\u00fd Addison (suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn).<\/li>\n<li>Qu\u00e1 m\u1eabn v\u1edbi sulfonamid.<\/li>\n<li>Ph\u1ee5 n\u1eef c\u00f3 thai ho\u1eb7c \u0111ang cho con b\u00fa.<\/li>\n<li>Ng\u01b0\u1eddi b\u1ecb t\u0103ng acid uric ho\u1eb7c b\u1ec7nh gout.<\/li>\n<li>B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng lithium.<\/li>\n<\/ul>\n<p>Ngo\u00e0i c\u00e1c tr\u01b0\u1eddng h\u1ee3p ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh tr\u00ean, b\u1ec7nh nh\u00e2n n\u00ean th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 v\u1ec1 b\u1ea5t k\u1ef3 thu\u1ed1c ho\u1eb7c ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng b\u1ed5 sung n\u00e0o \u0111ang s\u1eed d\u1ee5ng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o x\u1ea3y ra khi s\u1eed d\u1ee5ng thu\u1ed1c, b\u1ec7nh nh\u00e2n c\u1ea7n li\u00ean h\u1ec7 ngay v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n<h2>5. T\u1ed5ng k\u1ebft<\/h2>\n<p>T\u1ed5ng k\u1ebft l\u1ea1i, thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, ph\u00f9 v\u00e0 suy tim. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng gi\u1eefa l\u1ee3i \u00edch v\u00e0 t\u00e1c h\u1ea1i c\u1ee7a n\u00f3. B\u1ec7nh nh\u00e2n v\u00e0 chuy\u00ean gia y t\u1ebf n\u00ean l\u01b0u \u00fd nh\u1eefng \u0111i\u1ec3m sau \u0111\u00e2y khi s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid.<\/p>\n<h4>5.1. \u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n:<\/h4>\n<ul>\n<li>C\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/li>\n<li>Th\u01b0\u1eddng xuy\u00ean theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a m\u00ecnh v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn, ch\u1ee9c n\u0103ng gan v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 sinh h\u00f3a kh\u00e1c.<\/li>\n<li>N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o, c\u1ea7n li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/li>\n<\/ul>\n<h4>5.2. \u0110\u1ed1i v\u1edbi c\u00e1c chuy\u00ean gia y t\u1ebf:<\/h4>\n<ul>\n<li>C\u1ea7n c\u00e2n nh\u1eafc k\u1ef9 l\u01b0\u1ee1ng vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn, ch\u1ee9c n\u0103ng gan, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, b\u1ec7nh tuy\u1ebfn gi\u00e1p v\u00e0 b\u1ec7nh tim m\u1ea1ch.<\/li>\n<li>N\u00ean h\u01b0\u1edbng d\u1eabn b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng, \u0111\u00fang th\u1eddi gian v\u00e0 \u0111\u00fang c\u00e1ch th\u1ee9c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c v\u00e0 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5.<\/li>\n<li>C\u1ea7n th\u01b0\u1eddng xuy\u00ean theo d\u00f5i s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n khi s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/li>\n<\/ul>\n<p>\u0110\u1ec3 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ea1i vi\u1ec7n, Qu\u00fd kh\u00e1ch vui l\u00f2ng b\u1ea5m s\u1ed1 hotline\u00a0ho\u1eb7c \u0111\u1eb7t l\u1ecbch tr\u1ef1c ti\u1ebfp\u00a0<a class=\"appointment-button link-in-body\" href=\"https:\/\/www.vinmec.com\/vi\/dangkykham\/\"><b class=\"link-in-body\">T\u1ea0I \u0110\u00c2Y<\/b><\/a>. T\u1ea3i v\u00e0 \u0111\u1eb7t l\u1ecbch kh\u00e1m t\u1ef1 \u0111\u1ed9ng tr\u00ean <a class=\"link-in-body\" href=\"https:\/\/www.vinmec.com\/myvinmec\/\" target=\"_blank\" rel=\"noopener\">\u1ee9ng d\u1ee5ng MyVinmec<\/a>\u00a0\u0111\u1ec3 qu\u1ea3n l\u00fd, theo d\u00f5i l\u1ecbch v\u00e0 \u0111\u1eb7t h\u1eb9n m\u1ecdi l\u00fac m\u1ecdi n\u01a1i ngay tr\u00ean \u1ee9ng d\u1ee5ng.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00f9, t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim. C\u00f9ng t\u00ecm hi\u1ec3u nh\u1eefng th\u00f4ng tin chi ti\u1ebft h\u01a1n v\u1ec1 nh\u00f3m thu\u1ed1c n\u00e0y qua b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y. 1. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch \u1ee9c [&hellip;]<\/p>\n","protected":false},"author":32,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u1ed5ng quan v\u1ec1 thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u00f3m Thiazid - Vinmec<\/title>\n<meta name=\"description\" content=\"Thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u00f3m thiazid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00f9, t\u0103ng huy\u1ebft \u00e1p v\u00e0 suy tim.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"T\u1ed5ng quan v\u1ec1 thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u00f3m Thiazid - 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