{"id":25726,"date":"2023-04-22T19:50:58","date_gmt":"2023-04-22T12:50:58","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25726"},"modified":"2023-04-22T19:50:58","modified_gmt":"2023-04-22T12:50:58","slug":"huong-dan-su-dung-thuoc-giam-dau-cho-benh-nhan-ung-thu","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/huong-dan-su-dung-thuoc-giam-dau-cho-benh-nhan-ung-thu\/","title":{"rendered":"H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0"},"content":{"rendered":"

\u0110au l\u00e0 tri\u1ec7u ch\u1ee9ng r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng\u00a0\u1edf b\u1ec7nh nh\u00e2n ung th\u01b0. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au cho b\u1ec7nh nh\u00e2n. Trong \u0111\u00f3, s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb quan tr\u1ecdng cho b\u1ec7nh nh\u00e2n ung th\u01b0, gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au c\u1ea7n tu\u00e2n theo h\u01b0\u1edbng d\u1eabn c\u1ee7a chuy\u00ean gia y t\u1ebf.<\/strong><\/p>\n

1. Vai tr\u00f2 thu\u1ed1c gi\u1ea3m \u0111au v\u1edbi b\u1ec7nh nh\u00e2n ung th\u01b0<\/h2>\n

Thu\u1ed1c gi\u1ea3m \u0111au \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0, thu\u1ed1c gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au v\u00e0 c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n. Ki\u1ec3m so\u00e1t \u0111au kh\u00f4ng t\u1ed1t tr\u00ean ng\u01b0\u1eddi b\u1ec7nh ung th\u01b0 s\u1ebd c\u00f3 t\u00e1c \u0111\u1ed9ng x\u1ea5u \u0111\u1ebfn t\u00e2m l\u00fd b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh. V\u00ec v\u1eady, \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au<\/a> \u0111\u01b0\u1ee3c xem l\u00e0 \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u v\u1edbi b\u1ec7nh nh\u00e2n ung th\u01b0. S\u1ef1 \u0111au \u0111\u1edbn qu\u00e1 m\u1ee9c c\u00f3 th\u1ec3 l\u00e0 l\u00fd do \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh v\u00e0 gia \u0111\u00ecnh quy\u1ebft \u0111\u1ecbnh ng\u1eebng m\u1ecdi \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m c\u01a1n \u0111au c\u1ea5p t\u00ednh v\u00e0 m\u1ea1n t\u00ednh \u1edf b\u1ec7nh nh\u00e2n. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au ngo\u00e0i t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au c\u00f2n gi\u00fap c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ec7nh nh\u00e2n t\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y, n\u00e2ng cao tinh th\u1ea7n v\u00e0 gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au.<\/p>\n

\"hinh-anh-minh-hoa-con-dau\"
H\u00ecnh \u1ea3nh minh h\u1ecda c\u01a1n \u0111au<\/figcaption><\/figure>\n

2. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0<\/h2>\n

C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n ung th\u01b0 bao g\u1ed3m c\u00e1c nh\u00f3m thu\u1ed1c opioid, thu\u1ed1c kh\u00f4ng opioid v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/p>\n

2.1. C\u00e1c thu\u1ed1c opioid<\/h3>\n

C\u00e1c thu\u1ed1c nh\u01b0 morphine, oxycodone, fentanyl v\u00e0 hydromorphone thu\u1ed9c nh\u00f3m opioid \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t trong \u0111i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. C\u00e1c thu\u1ed1c opioid ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch k\u1ebft h\u1ee3p v\u1edbi c\u00e1c receptor opioid trong h\u1ec7 th\u1ed1ng th\u1ea7n kinh trung \u01b0\u01a1ng gi\u00fap l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

C\u00e1c thu\u1ed1c opioid c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 bu\u1ed3n ng\u1ee7, t\u00e1o b\u00f3n, kh\u00f3 th\u1edf v\u00e0 bu\u1ed3n n\u00f4n. Do \u0111\u00f3, c\u1ea7n ph\u1ea3i theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u00e2n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c cho ph\u00f9 h\u1ee3p t\u00ecnh tr\u1ea1ng ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ed9c l\u1eadp ho\u1eb7c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c nh\u01b0 acetaminophen ho\u1eb7c ibuprofen \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au.<\/p>\n

2.2. C\u00e1c thu\u1ed1c kh\u00f4ng opioid<\/h3>\n

Acetaminophen v\u00e0 ibuprofen thu\u1ed9c nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng opioid. Ch\u00fang c\u0169ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. C\u00e1c thu\u1ed1c n\u00e0y th\u01b0\u1eddng ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p \u0111au nh\u1eb9 ho\u1eb7c v\u1eeba.<\/p>\n

2.3. C\u00e1c thu\u1ed1c kh\u00e1c<\/h3>\n

C\u00e1c thu\u1ed1c nh\u01b0 gabapentin v\u00e0 pregabalin c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0.<\/p>\n

Ngo\u00e0i ra, c\u00e1c ch\u1ea5t b\u1ed5 sung canxi v\u00e0 vitamin D c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0 khi b\u1ec7nh nh\u00e2n c\u00f3 thi\u1ebfu h\u1ee5t canxi ho\u1eb7c vitamin D.<\/p>\n

Tuy nhi\u00ean, c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u00e1nh c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n.<\/p>\n

3. Nguy\u00ean t\u1eafc s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0<\/h2>\n

\u0110\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3, c\u1ea7n ph\u1ea3i n\u1eafm r\u00f5 nguy\u00ean t\u1eafc s\u1eed d\u1ee5ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n:<\/p>\n

3.1 Tu\u00e2n th\u1ee7 \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh, li\u1ec1u l\u01b0\u1ee3ng, kho\u1ea3ng c\u00e1ch c\u1ee7a thu\u1ed1c<\/h3>\n

C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0 s\u1eed d\u1ee5ng t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 \u0111au c\u1ee7a b\u1ec7nh nh\u00e2n. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea7n ph\u1ea3i tu\u00e2n th\u1ee7 li\u1ec1u l\u01b0\u1ee3ng v\u00e0 th\u1eddi gian s\u1eed d\u1ee5ng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh b\u1edfi b\u00e1c s\u0129.<\/p>\n

3.2. \u0110i\u1ec1u tr\u1ecb gi\u1ea3m \u0111au theo b\u1eadc<\/h3>\n

Tr\u1eeb khi b\u1ec7nh nh\u00e2n \u0111au n\u1eb7ng, \u0111i\u1ec1u tr\u1ecb ban \u0111\u1ea7u th\u01b0\u1eddng d\u00f9ng nh\u1eefng thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng g\u00e2y nghi\u1ec7n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u, n\u1ebfu c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u d\u1ea7n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c li\u1ec1u c\u00f3 hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au trong gi\u1edbi h\u1ea1n cho ph\u00e9p c\u1ee7a thu\u1ed1c. Khi t\u0103ng li\u1ec1u t\u1ed1i \u0111a m\u00e0 kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 gi\u1ea3m \u0111au ph\u1ea3i t\u0103ng b\u1eadc \u0111i\u1ec1u tr\u1ecb \u0111au b\u1eb1ng c\u00e1ch t\u1eebng b\u01b0\u1edbc s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au g\u00e2y nghi\u1ec7n theo h\u01b0\u1edbng d\u1eabn b\u00e1c s\u0129.<\/p>\n

3.3. \u0110i\u1ec1u tr\u1ecb \u0111au ph\u1ea3i c\u1ee5 th\u1ec3 tr\u00ean t\u1eebng b\u1ec7nh nh\u00e2n kh\u00e1c nhau<\/h3>\n

Li\u1ec1u \u0111\u00fang l\u00e0 li\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au cho b\u1ec7nh nh\u00e2n. Kh\u00f4ng c\u00f3 c\u00f4ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb n\u00e0o \u0111\u1ec3 d\u00f9ng chung cho t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n<\/p>\n

3.4. Theo d\u00f5i t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c<\/h3>\n

C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 bu\u1ed3n ng\u1ee7, t\u00e1o b\u00f3n, kh\u00f3 th\u1edf v\u00e0 bu\u1ed3n n\u00f4n. Do \u0111\u00f3, c\u1ea7n theo d\u00f5i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c cho t\u1eebng b\u1ec7nh nh\u00e2n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n trong \u0111i\u1ec1u tr\u1ecb.<\/p>\n

3.5. Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00e3 h\u1ebft h\u1ea1n s\u1eed d\u1ee5ng<\/h3>\n

Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00e3 h\u1ebft h\u1ea1n s\u1eed d\u1ee5ng c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 gi\u1ea3m hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/p>\n

3.6. B\u1ea3o qu\u1ea3n thu\u1ed1c \u0111\u00fang c\u00e1ch<\/h3>\n

C\u00e1c thu\u1ed1c gi\u1ea3m \u0111au c\u1ea7n \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n \u0111\u00fang c\u00e1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb. C\u00e1c thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c b\u1ea3o qu\u1ea3n \u1edf n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t v\u00e0 tr\u00e1nh ti\u1ebfp x\u00fac tr\u1ef1c ti\u1ebfp v\u1edbi \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi.<\/p>\n

Tr\u00ean \u0111\u00e2y l\u00e0 c\u00e1c nguy\u00ean t\u1eafc c\u01a1 b\u1ea3n khi s\u1eed d\u1ee5ng thu\u1ed1c cho b\u1ec7nh nh\u00e2n ung th\u01b0.<\/p>\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang c\u00e1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.<\/p>\n

4. K\u1ebft lu\u1eadn<\/h2>\n

Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb \u0111au cho b\u1ec7nh nh\u00e2n ung th\u01b0. C\u00f3 nhi\u1ec1u nh\u00f3m thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho b\u1ec7nh nh\u00e2n, bao g\u1ed3m nh\u00f3m opioid, kh\u00f4ng opioid v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1c. B\u00e1c s\u0129 c\u1ea7n l\u1ef1a ch\u1ecdn lo\u1ea1i thu\u1ed1c v\u00e0 li\u1ec1u l\u01b0\u1ee3ng ph\u00f9 h\u1ee3p m\u1ee9c \u0111\u1ed9 \u0111au v\u00e0 t\u00ecnh tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c c\u1ea7n ph\u1ea3i tu\u00e2n th\u1ee7 \u0111\u00fang quy \u0111\u1ecbnh \u0111\u1ec3 tr\u00e1nh c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n.<\/p>\n","protected":false},"excerpt":{"rendered":"

\u0110au l\u00e0 tri\u1ec7u ch\u1ee9ng r\u1ea5t ph\u1ed5 bi\u1ebfn v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng\u00a0\u1edf b\u1ec7nh nh\u00e2n ung th\u01b0. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u0111au cho b\u1ec7nh nh\u00e2n. 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