{"id":25912,"date":"2023-04-22T21:34:07","date_gmt":"2023-04-22T14:34:07","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=25912"},"modified":"2023-04-22T21:34:07","modified_gmt":"2023-04-22T14:34:07","slug":"tuong-tac-thuoc-giua-ibuprofen-va-lisinopril","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/22\/tuong-tac-thuoc-giua-ibuprofen-va-lisinopril\/","title":{"rendered":"T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Ibuprofen v\u00e0 Lisinopril"},"content":{"rendered":"<p><b>Ibuprofen v\u00e0 Lisinopril l\u00e0 hai lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nhau. Tuy nhi\u00ean, khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng nhau, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5. Do \u0111\u00f3, vi\u1ec7c theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c l\u00e0 c\u1ea7n thi\u1ebft khi s\u1eed d\u1ee5ng c\u1ea3 Ibuprofen v\u00e0 Lisinopril \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 gi\u1ea3m nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5.<\/b><\/p>\n<h2><b>1. Th\u00f4ng tin chung v\u1ec1 thu\u1ed1c Ibuprofen<\/b><\/h2>\n<h3><b>1.1 C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ibuprofen l\u00e0 thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID), d\u1eabn xu\u1ea5t t\u1eeb Acid propionic. T\u01b0\u01a1ng t\u1ef1 nh\u01b0 c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng Steroid kh\u00e1c, Ibuprofen c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t v\u00e0 ch\u1ed1ng vi\u00eam. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c l\u00e0 \u1ee9c ch\u1ebf enzym Prostaglandin Synthetase v\u00e0 do \u0111\u00f3 ng\u0103n t\u1ea1o ra Prostaglandin, Thromboxan v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m kh\u00e1c c\u1ee7a enzym cyclooxygenase (COX). Ibuprofen c\u0169ng \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p Prostacyclin \u1edf th\u1eadn v\u00e0 c\u00f3 th\u1ec3 g\u00e2y nguy c\u01a1 \u1ee9 n\u01b0\u1edbc do l\u00e0m gi\u1ea3m d\u00f2ng m\u00e1u t\u1edbi th\u1eadn. C\u1ea7n ph\u1ea3i l\u01b0u \u00fd \u0111\u1ebfn \u0111i\u1ec1u n\u00e0y khi ch\u1ec9 \u0111\u1ecbnh cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 suy th\u1eadn, suy tim, suy gan v\u00e0 c\u00e1c b\u1ec7nh c\u00f3 r\u1ed1i lo\u1ea1n v\u1ec1 th\u1ec3 t\u00edch huy\u1ebft t\u01b0\u01a1ng.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam c\u1ee7a Ibuprofen xu\u1ea5t hi\u1ec7n sau hai ng\u00e0y \u0111i\u1ec1u tr\u1ecb. Ibuprofen c\u00f3 t\u00e1c d\u1ee5ng h\u1ea1 s\u1ed1t m\u1ea1nh h\u01a1n Aspirin, nh\u01b0ng k\u00e9m h\u01a1n Indomethacin. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam t\u1ed1t v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au t\u1ed1t trong \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p thi\u1ebfu ni\u00ean.<\/span><\/li>\n<\/ul>\n<figure id=\"attachment_23760\" aria-describedby=\"caption-attachment-23760\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-23760\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Ibuprofen-1-300x200.jpg\" alt=\"Ibuprofen\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Ibuprofen-1-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Ibuprofen-1.jpg 768w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-23760\" class=\"wp-caption-text\">Ibuprofen<\/figcaption><\/figure>\n<h3><b>1.2 Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Gi\u1ea3m \u0111au v\u00e0 ch\u1ed1ng vi\u00eam t\u1eeb nh\u1eb9 \u0111\u1ebfn v\u1eeba: Trong m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0 \u0111au \u0111\u1ea7u, \u0111au r\u0103ng. D\u00f9ng Ibuprofen c\u00f3 th\u1ec3 gi\u1ea3m b\u1edbt li\u1ec1u thu\u1ed1c ch\u1ee9a thu\u1ed1c phi\u1ec7n trong \u0111i\u1ec1u tr\u1ecb \u0111au sau \u0111\u1ea1i ph\u1eabu thu\u1eadt hay \u0111au do ung th\u01b0. Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p thi\u1ebfu ni\u00ean.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">H\u1ea1 s\u1ed1t \u1edf tr\u1ebb em.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Ch\u1ee9ng c\u00f2n \u1ed1ng \u0111\u1ed9ng m\u1ea1ch (PDA) \u1edf tr\u1ebb s\u01a1 sinh thi\u1ebfu th\u00e1ng, d\u01b0\u1edbi 34 tu\u1ea7n.<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">\u0110au b\u1ee5ng kinh.<\/span><\/li>\n<\/ul>\n<h3><b>1.3 T\u00e1c d\u1ee5ng ph\u1ee5<\/b><\/h3>\n<p><b><i>Th\u01b0\u1eddng g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> S\u1ed1t, m\u1ecfi m\u1ec7t, ch\u01b0\u1edbng b\u1ee5ng, bu\u1ed3n n\u00f4n, n\u00f4n, nh\u1ee9c \u0111\u1ea7u, hoa m\u1eaft ch\u1ed1ng m\u1eb7t, m\u1ea9n ng\u1ee9a, ngo\u1ea1i ban.<\/span><\/p>\n<p><b><i>\u00cdt g\u1eb7p:<\/i><\/b><span style=\"font-weight: 400;\"> Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, vi\u00eam m\u0169i, n\u1ed5i m\u00e0y \u0111ay, \u0111au b\u1ee5ng, ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y \u2013 ru\u1ed9t, l\u00e0m lo\u00e9t d\u1ea1 d\u00e0y ti\u1ebfn tri\u1ec3n, l\u01a1 m\u01a1, m\u1ea5t ng\u1ee7, \u00f9 tai, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c, th\u00ednh l\u1ef1c gi\u1ea3m, th\u1eddi gian ch\u1ea3y m\u00e1u k\u00e9o d\u00e0i.<\/span><\/p>\n<p><b><i>Hi\u1ebfm g\u1eb7p: <\/i><\/b><span style=\"font-weight: 400;\">Ph\u00f9, n\u1ed5i ban, h\u1ed9i ch\u1ee9ng Stevens \u2013 Johnson, r\u1ee5ng t\u00f3c, h\u1ea1 natri, tr\u1ea7m c\u1ea3m, vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n v\u00e0 h\u00f4n m\u00ea, nh\u00ecn m\u1edd, r\u1ed1i lo\u1ea1n m\u00e0u s\u1eafc, gi\u1ea3m th\u1ecb l\u1ef1c do ng\u1ed9 \u0111\u1ed9c thu\u1ed1c, gi\u1ea3m b\u1ea1ch c\u1ea7u, gi\u1ea3m ti\u1ec3u c\u1ea7u, gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, t\u0103ng b\u1ea1ch c\u1ea7u \u01b0a \u00e1i toan, gi\u1ea3m b\u1ea1ch c\u1ea7u h\u1ea1t, thi\u1ebfu m\u00e1u, r\u1ed1i lo\u1ea1n co b\u00f3p t\u00fai m\u1eadt, c\u00e1c th\u1eed nghi\u1ec7m th\u0103m d\u00f2 ch\u1ee9c n\u0103ng gan b\u1ea5t th\u01b0\u1eddng, nhi\u1ec5m \u0111\u1ed9c gan. Vi\u00eam ru\u1ed9t ho\u1ea1i t\u1eed, h\u1ed9i ch\u1ee9ng Crohn, vi\u00eam t\u1ee5y, vi\u00eam b\u00e0ng quang, \u0111\u00e1i ra m\u00e1u, suy th\u1eadn c\u1ea5p, vi\u00eam th\u1eadn k\u1ebd, h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0, nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng.<\/span><\/p>\n<h2><b>2. Th\u00f4ng tin chung v\u1ec1 thu\u1ed1c Lisinopril<\/b><\/h2>\n<h3><b>2.1 C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Lisinopril l\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf c\u1ea1nh tranh enzym chuy\u1ec3n Angiotensin v\u00e0 l\u00e0 m\u1ed9t d\u1eabn ch\u1ea5t Lysin c\u00f3 c\u1ea5u tr\u00fac t\u01b0\u01a1ng t\u1ef1 Enalapril v\u1edbi t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i. Enzym chuy\u1ec3n Angiotensin l\u00e0 enzym n\u1ed9i sinh c\u00f3 vai tr\u00f2 chuy\u1ec3n Angiotensin I th\u00e0nh Angiotensin II. Angiotensin I t\u0103ng trong m\u1ed9t s\u1ed1 b\u1ec7nh nh\u01b0 suy tim v\u00e0 b\u1ec7nh th\u1eadn, do \u0111\u00e1p \u1ee9ng v\u1edbi t\u0103ng Renin. Angiotensin II c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch t\u0103ng tr\u01b0\u1edfng c\u01a1 tim, g\u00e2y tim to (ph\u00ec \u0111\u1ea1i c\u01a1 tim), v\u00e0 t\u00e1c d\u1ee5ng co m\u1ea1ch, g\u00e2y t\u0103ng huy\u1ebft \u00e1p. Thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 Angiotensin II v\u00e0 Aldosteron do \u0111\u00f3 l\u00e0m gi\u1ea3m \u1ee9 Natri v\u00e0 n\u01b0\u1edbc, l\u00e0m gi\u00e3n m\u1ea1ch ngo\u1ea1i vi, gi\u1ea3m s\u1ee9c c\u1ea3n ngo\u1ea1i vi \u1edf c\u1ea3 \u0111\u1ea1i tu\u1ea7n ho\u00e0n v\u00e0 tu\u1ea7n ho\u00e0n ph\u1ed5i. Ngo\u00e0i ra, thu\u1ed1c c\u00f2n \u1ea3nh h\u01b0\u1edfng t\u1edbi h\u1ec7 th\u1ed1ng Kallikrein \u2013 Kinin, l\u00e0m gi\u1ea3m s\u1ef1 ph\u00e2n h\u1ee7y c\u1ee7a Bradykinin, d\u1eabn \u0111\u1ebfn t\u0103ng n\u1ed3ng \u0111\u1ed9 Bradykinin, \u0111\u00e2y ch\u00ednh l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0 ph\u00f9 m\u1ea1ch v\u00e0 ho k\u00e9o d\u00e0i c\u1ee7a c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf enzym chuy\u1ec3n.<\/span><\/p>\n<figure id=\"attachment_26648\" aria-describedby=\"caption-attachment-26648\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-26648\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Lisinopril-300x188.jpg\" alt=\"Lisinopril\" width=\"300\" height=\"188\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Lisinopril-300x188.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Lisinopril-768x480.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Lisinopril.jpg 800w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-26648\" class=\"wp-caption-text\">Lisinopril<\/figcaption><\/figure>\n<h3><b>2.2 Ch\u1ec9 \u0111\u1ecbnh<\/b><\/h3>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/tai-sao-phai-dieu-tri-huyet-ap-cao\/\">\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/a>: D\u00f9ng \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00e1c nh\u01b0 thu\u1ed1c l\u1ee3i ti\u1ec3u Thiazid, thu\u1ed1c ch\u1eb9n Alpha ho\u1eb7c ch\u1eb9n k\u00eanh Calci.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb suy tim: D\u00f9ng k\u1ebft h\u1ee3p Lisinopril v\u1edbi c\u00e1c glycosid tim v\u00e0 c\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb suy tim sung huy\u1ebft cho ng\u01b0\u1eddi b\u1ec7nh \u0111\u00e3 d\u00f9ng glycosid tim ho\u1eb7c thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u01a1n thu\u1ea7n m\u00e0 kh\u00f4ng \u0111\u1ee1. Nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh: D\u00f9ng ph\u1ed1i h\u1ee3p Lisinopril v\u1edbi c\u00e1c thu\u1ed1c l\u00e0m tan huy\u1ebft kh\u1ed1i, Aspirin, v\u00e0\/ho\u1eb7c c\u00e1c thu\u1ed1c ch\u1eb9n Beta \u0111\u1ec3 c\u1ea3i thi\u1ec7n th\u1eddi gian s\u1ed1ng \u1edf ng\u01b0\u1eddi b\u1ec7nh nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p c\u00f3 huy\u1ebft \u0111\u1ed9ng \u1ed5n \u0111\u1ecbnh. N\u00ean d\u00f9ng Lisinopril ngay trong v\u00f2ng 24 gi\u1edd sau c\u01a1n nh\u1ed3i m\u00e1u c\u01a1 tim x\u1ea3y ra.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh th\u1eadn do \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/span><\/p>\n<h3><b>2.3 T\u00e1c d\u1ee5ng ph\u1ee5<\/b><\/h3>\n<p><b><i>Th\u01b0\u1eddng g\u1eb7p: <\/i><\/b><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, ho khan k\u00e9o d\u00e0i.<\/span><\/p>\n<p><b><i>\u00cdt g\u1eb7p: <\/i><\/b><span style=\"font-weight: 400;\">Bu\u1ed3n n\u00f4n, m\u1ea5t v\u1ecb gi\u00e1c, ti\u00eau\u00a0 ch\u1ea3y, h\u1ea1 huy\u1ebft \u00e1p, ban da, r\u00e1t s\u1ea7n, m\u00e0y \u0111ay c\u00f3 th\u1ec3 ng\u1ee9a ho\u1eb7c kh\u00f4ng, m\u1ec7t m\u1ecfi, protein ni\u1ec7u, s\u1ed1t ho\u1eb7c \u0111au kh\u1edbp.<\/span><\/p>\n<p><b><i>Hi\u1ebfm g\u1eb7p: <\/i><\/b><span style=\"font-weight: 400;\">Ph\u00f9 m\u1ea1ch, t\u0103ng Kali huy\u1ebft, l\u00fa l\u1eabn, k\u00edch \u0111\u1ed9ng, c\u1ea3m gi\u00e1c t\u00ea b\u00ec ho\u1eb7c nh\u01b0 kim ch\u00e2m \u1edf m\u00f4i, tay, ch\u00e2n. Th\u1edf ng\u1eafn, kh\u00f3 th\u1edf, \u0111au ng\u1ef1c, vi\u00eam \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean, gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t, \u0111\u1ed9c v\u1edbi gan, v\u00e0ng da, \u1ee9 m\u1eadt, ho\u1ea1i t\u1eed gan v\u00e0 t\u1ed5n th\u01b0\u01a1ng t\u1ebf b\u00e0o gan, vi\u00eam t\u1ee5y.<\/span><\/p>\n<h2><b>3. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Ibuprofen v\u00e0 Lisinopril<\/b><\/h2>\n<h3><b>3.1 C\u01a1 ch\u1ebf<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">T\u01b0\u01a1ng t\u00e1c gi\u1eefa hai thu\u1ed1c n\u00e0y x\u1ea3y ra 2 c\u01a1 ch\u1ebf ch\u00ednh:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">NSAID l\u00e0m gi\u1ea3m qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p Prostaglandin th\u1eadn g\u00e2y gi\u00e3n m\u1ea1ch d\u1eabn \u0111\u1ebfn gi\u1ea3m t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n g\u00e2y t\u0103ng huy\u1ebft \u00e1p. Ngo\u00e0i ra, NSAID c\u00f3 th\u1ec3 g\u00e2y gi\u1eef n\u01b0\u1edbc, \u0111i\u1ec1u n\u00e0y c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn huy\u1ebft \u00e1p. (1)<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">S\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi NSAID v\u00e0 thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a hai thu\u1ed1c n\u00e0y l\u00ean nhau, d\u1eabn \u0111\u1ebfn l\u00e0m suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n l\u1edbn tu\u1ed5i ho\u1eb7c b\u1ecb suy gi\u1ea3m th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n (bao g\u1ed3m c\u1ea3 nh\u1eefng ng\u01b0\u1eddi \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c l\u1ee3i ti\u1ec3u) ho\u1eb7c c\u00f3 ch\u1ee9c n\u0103ng th\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng. (2)<\/span><\/li>\n<\/ul>\n<p><i><span style=\"font-weight: 400;\">T\u01b0\u01a1ng t\u00e1c n\u00e0y d\u1ef1 ki\u1ebfn \u200b\u200bs\u1ebd kh\u00f4ng x\u1ea3y ra v\u1edbi li\u1ec1u th\u1ea5p (v\u00ed d\u1ee5 Aspirin li\u1ec1u th\u1ea5p) ho\u1eb7c s\u1eed d\u1ee5ng NSAID ng\u1eafn h\u1ea1n kh\u00f4ng li\u00ean t\u1ee5c.<\/span><\/i><\/p>\n<h3><b>3.2 T\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng Ibuprofen v\u00e0 Lisinopril c\u00f9ng nhau<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u0103ng huy\u1ebft \u00e1p<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/span><\/li>\n<\/ul>\n<h3><b>3.3 Bi\u1ec7n ph\u00e1p x\u1eed l\u00fd t\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Ibuprofen v\u00e0 Lisinopril<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">B\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n \u0111\u1ed3ng th\u1eddi k\u00e9o d\u00e0i (h\u01a1n 1 tu\u1ea7n) v\u1edbi NSAID n\u00ean \u0111\u01b0\u1ee3c theo d\u00f5i huy\u1ebft \u00e1p ch\u1eb7t ch\u1ebd h\u01a1n sau khi b\u1eaft \u0111\u1ea7u<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ng\u1eebng ho\u1eb7c thay \u0111\u1ed5i li\u1ec1u l\u01b0\u1ee3ng c\u1ee7a NSAID.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ch\u1ee9c n\u0103ng th\u1eadn c\u0169ng n\u00ean \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 trong th\u1eddi gian d\u00f9ng thu\u1ed1c k\u00e9o d\u00e0i.\u00a0<\/span><\/p>\n<h3><b>3.4 M\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c t\u1eeb nhi\u1ec1u ngu\u1ed3n kh\u00e1c nhau<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Drugs bank: V\u1eeba ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">WebMD:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">(1): Nghi\u00eam tr\u1ecdng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">(2): V\u1eeba ph\u1ea3i<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Medscape:\u00a0<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">(1): Nghi\u00eam tr\u1ecdng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">(2): V\u1eeba ph\u1ea3i<\/span><\/li>\n<\/ul>\n<h2><b>4. K\u1ebft lu\u1eadn t\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Ibuprofen v\u00e0 Lisinopril<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Ibuprofen v\u00e0 Lisinopril c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00ednh \u0111\u1ed9c c\u1ee7a nhau v\u00e0 d\u1eabn \u0111\u1ebfn suy th\u1eadn, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi gi\u00e0 ho\u1eb7c thi\u1ebfu n\u01b0\u1edbc. Vi\u1ec7c s\u1eed d\u1ee5ng c\u1ea3 hai lo\u1ea1i thu\u1ed1c c\u00f9ng nhau c\u1ea7n \u0111\u01b0\u1ee3c h\u1ebft s\u1ee9c c\u1ea9n tr\u1ecdng v\u00e0 theo d\u00f5i t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n. N\u1ebfu c\u1ea7n thi\u1ebft, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c ho\u1eb7c thay \u0111\u1ed5i thu\u1ed1c \u0111\u1ec3 tr\u00e1nh t\u01b0\u01a1ng t\u00e1c n\u00e0y.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Ngu\u1ed3n: D\u01b0\u1ee3c th\u01b0 Qu\u1ed1c gia Vi\u1ec7t Nam, Drug.com<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ibuprofen v\u00e0 Lisinopril l\u00e0 hai lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nhau. Tuy nhi\u00ean, khi \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng nhau, ch\u00fang c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5. Do \u0111\u00f3, vi\u1ec7c [&hellip;]<\/p>\n","protected":false},"author":53,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Ibuprofen v\u00e0 Lisinopril - Vinmec<\/title>\n<meta name=\"description\" content=\"Ibuprofen v\u00e0 Lisinopril l\u00e0 hai lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nhau. 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