{"id":27444,"date":"2023-04-23T21:44:59","date_gmt":"2023-04-23T14:44:59","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=27444"},"modified":"2023-04-23T21:44:59","modified_gmt":"2023-04-23T14:44:59","slug":"uc-che-men-chuyen-suy-tim-man","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/23\/uc-che-men-chuyen-suy-tim-man\/","title":{"rendered":"Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n trong \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n"},"content":{"rendered":"

Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/a> c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n t\u00ednh. <\/span>Ngo\u00e0i ra, thu\u1ed1c n\u00e0y c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh t\u0103ng protein l\u00e0m m\u1ea5t t\u00ednh ch\u1ecbu \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn l\u00e0m m\u1ea5t t\u00ednh \u0111\u01b0\u1eddng v\u00e0 b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh.<\/span><\/span><\/strong><\/p>\n

\"suy
\u00a0 \u00a0 \u00a0 \u00a0 \u00a0\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Suy tim<\/strong><\/span><\/span><\/figcaption><\/figure>\n

1. Gi\u1edbi thi\u1ec7u<\/span><\/span><\/h2>\n

Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE-I) c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf men (enzym) c\u00f3 t\u00e1c d\u1ee5ng chuy\u1ec3n Angiotensin I th\u00e0nh Angiotensin II trong h\u1ec7 th\u1ed1ng RAA, g\u00e2y gi\u1ea3m nhi\u1ec7t \u0111\u1ed9 Angiotensin II v\u00e0 \u0111\u1ed3ng th\u1eddi l\u00e0m t\u0103ng nhi\u1ec7t \u0111\u1ed9 Bradykinin. <\/span>K\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c ACE-I l\u00e0 t\u00e1c \u0111\u1ed9ng \u0111i\u1ec1u ch\u1ec9nh h\u1ec7 th\u1ed1ng RAA, gi\u00fap gi\u00e3n m\u1ea1ch (t\u1ea5t c\u1ea3 c\u00e1c ti\u1ec3u m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch), l\u00e0m gi\u1ea3m c\u1ea3 ti\u1ec1n t\u1ea3i v\u00e0 h\u1eadu t\u1ea3i, gi\u1ea3m g\u00e1nh n\u1eb7ng cho tim.<\/span><\/span><\/p>\n

Tuy nhi\u00ean, thu\u1ed1c ACE-I c\u0169ng c\u00f3 m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 th\u1eadn tr\u1ecdng c\u1ea7n l\u01b0u \u00fd, bao g\u1ed3m:<\/span><\/span><\/p>\n

    \n
  • Huy\u1ebft \u00e1p th\u1ea5p: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m huy\u1ebft \u00e1p, do \u0111\u00f3 kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 huy\u1ebft \u00e1p th\u1ea5p.<\/span><\/span><\/li>\n
  • H\u1ea1ch \u0111\u1ed9ng m\u1ea1ch th\u1eadn hai b\u00ean: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 g\u00e2y ra t\u0103ng nguy\u00ean c\u01a1 suy th\u1eadn v\u00e0 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u, do \u0111\u00f3 kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 c\u01a1 \u0111\u1ed9ng m\u1ea1ch th\u1eadn hai b\u00ean.<\/span><\/span><\/li>\n
  • Ph\u1ee5 n\u1eef c\u00f3 thai: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho thai nhi v\u00e0 \u0111\u01b0\u1ee3c coi l\u00e0 nguy c\u01a1 cao cho thai nhi trong ba th\u00e1ng \u0111\u1ea7u c\u1ee7a thai k\u1ef3, do \u0111\u00f3 kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng ph\u1ee5 n\u1eef c\u00f3 thai.<\/span><\/span><\/li>\n<\/ul>\n

     <\/p>\n

    2. C\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n trong \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh<\/span><\/span><\/h2>\n

    \u0110\u00e2y l\u00e0 m\u1ed9t s\u1ed1 thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE-I) th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh. <\/span>C\u00e1c \u0111\u1ea1i l\u01b0\u1ee3ng ch\u1ec9 \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh l\u00e0 c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 v\u00e0 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh b\u1edfi b\u00e1c s\u0129 d\u1ef1a tr\u00ean t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd, tu\u1ed5i t\u00e1c v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c.<\/span><\/span><\/p>\n

    C\u00e1c thu\u1ed1c ACE-I n\u00e0y c\u00f3 nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m ri\u00eang nh\u01b0 sau:<\/span><\/span><\/p>\n

      \n
    • Captopril: Captopril 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 \u0111\u1ec3 suy tim m\u1ea1n t\u00ednh. <\/span>Thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n t\u00ednh v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 m\u1ec7t m\u1ecfi, kh\u00f3 th\u1edf, ph\u00f9 ch\u00e2n v\u00e0 \u0111au ng\u1ef1c. <\/span>Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng l\u00e0 6,25 mg, d\u00f9ng 3 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1ed1i \u0111a 50 mg\/ng\u00e0y.<\/span><\/span><\/li>\n
    • Enalapril: \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong suy tim m\u1ea1n t\u00ednh. <\/span>Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng l\u00e0 2,5 mg, d\u00f9ng 2 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1ed1i \u0111a 20-40 mg\/ng\u00e0y.<\/span><\/span><\/li>\n
    • Lisinopril: \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, suy tim m\u1ea1n t\u00ednh v\u00e0 b\u1ec7nh th\u1eadn l\u00e0m kh\u00e1ng \u0111\u01b0\u1eddng. <\/span>Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u01b0\u1eddng l\u00e0 2,5-5 mg, d\u00f9ng 1 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1ed1i \u0111a 20-35 mg\/ng\u00e0y.<\/span><\/span><\/li>\n
    • Perindopril:. <\/span>Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u01b0\u1eddng l\u00e0 2,5-5 mg, d\u00f9ng 1 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1ed1i \u0111a 10-20 mg\/ng\u00e0y.<\/span><\/span><\/li>\n
    • Ramipril:. <\/span>Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng l\u00e0 2,5 mg, d\u00f9ng 2 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u t\u1ed1i \u0111a 5 mg\/ng\u00e0y.<\/span><\/span><\/li>\n
    • Trandolapril:Li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u00f4ng th\u01b0\u1eddng l\u00e0 0,5 mg, \u0111\u01b0\u1ee3c d\u00f9ng 1 l\u1ea7n m\u1ed7i ng\u00e0y v\u00e0 c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u l\u00ean t\u1ed1i \u0111a 4 mg\/ng\u00e0y.<\/span><\/span><\/li>\n<\/ul>\n

      3. S\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/span><\/span><\/h2>\n

      \u0110\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE-I) hi\u1ec7u qu\u1ea3, b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u00e0 c\u00e1c h\u01b0\u1edbng d\u1eabn sau:<\/span><\/span><\/p>\n

        \n
      • Tu\u00e2n th\u1ee7 tu\u00e2n theo l\u01b0\u1ee3ng v\u00e0 l\u1ecbch tr\u00ecnh: B\u1ec7nh nh\u00e2n c\u1ea7n u\u1ed1ng thu\u1ed1c \u0111\u00fang tu\u00e2n theo l\u01b0\u1ee3ng v\u00e0 \u0111\u00fang l\u1ecbch tr\u00ecnh theo ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129. <\/span>Kh\u00f4ng n\u00ean t\u0103ng ho\u1eb7c gi\u1ea3m li\u1ec1u l\u01b0\u1ee3ng ho\u1eb7c ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c m\u1ed9t c\u00e1ch \u0111\u1ed9t ng\u1ed9t m\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/span><\/span><\/li>\n
      • U\u1ed1ng thu\u1ed1c \u0111\u00fang gi\u1edd: B\u1ec7nh nh\u00e2n c\u1ea7n u\u1ed1ng thu\u1ed1c \u0111\u00fang gi\u1edd m\u1ed7i ng\u00e0y \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c. <\/span>N\u1ebfu b\u1ec7nh nh\u00e2n qu\u00ean u\u1ed1ng thu\u1ed1c, n\u00ean u\u1ed1ng ngay khi nh\u1edb v\u00e0 ti\u1ebfp t\u1ee5c l\u1ecbch tr\u00ecnh u\u1ed1ng thu\u1ed1c nh\u01b0 b\u00ecnh th\u01b0\u1eddng.<\/span><\/span><\/li>\n
      • Kh\u00f4ng u\u1ed1ng thu\u1ed1c c\u00f9ng v\u1edbi th\u1ef1c ph\u1ea9m: Thu\u1ed1c ACE-I n\u00ean \u0111\u01b0\u1ee3c u\u1ed1ng c\u00e1ch m\u1ed9t gi\u1edd tr\u01b0\u1edbc ho\u1eb7c hai gi\u1edd sau khi \u0103n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o h\u1ea5p thu thu\u1ed1c t\u1ed1t nh\u1ea5t. <\/span>B\u1ec7nh nh\u00e2n n\u00ean tu\u00e2n th\u1ee7 c\u00e1c h\u01b0\u1edbng d\u1eabn ch\u1ec9 c\u1ee7a b\u00e1c s\u0129 v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c.<\/span><\/span><\/li>\n
      • Th\u01b0\u1eddng xuy\u00ean theo d\u00f5i s\u1ee9c kh\u1ecfe: B\u1ec7nh nh\u00e2n c\u1ea7n theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u00ecnh v\u00e0 k\u1ef3 ki\u1ec3m tra s\u1ee9c kh\u1ecfe v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 kh\u00f4ng g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5.<\/span><\/span><\/li>\n
      • Kh\u00f4ng u\u1ed1ng thu\u1ed1c chung v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c: B\u1ec7nh nh\u00e2n n\u00ean th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111ang s\u1eed d\u1ee5ng, bao g\u1ed3m c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00f4ng y\u00eau c\u1ea7u \u0111\u01a1n thu\u1ed1c ho\u1eb7c c\u00e1c lo\u1ea1i th\u1ea3o d\u01b0\u1ee3c. <\/span>Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c, do \u0111\u00f3 b\u1ec7nh nh\u00e2n c\u1ea7n tu\u00e2n th\u1ee7 c\u00e1c ch\u1ec9 d\u1eabn c\u1ee7a b\u00e1c s\u0129 v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c.<\/span><\/span><\/li>\n
      • Th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra c\u00e1c ch\u1ec9 s\u1ed1 s\u1ee9c kh\u1ecfe: C\u00e1c ch\u1ec9 s\u1ed1 s\u1ee9c kh\u1ecfe nh\u01b0 huy\u1ebft \u00e1p, \u0111\u01b0\u1eddng huy\u1ebft, n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u, ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 ch\u1ee9c n\u0103ng gan c\u1ea7n \u0111\u01b0\u1ee3c ki\u1ec3m tra th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng v\u00e0 t\u00e1c h\u1ea1i c\u1ee7a thu\u1ed1c ACE-I \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n.<\/span><\/span><\/li>\n<\/ul>\n

        B\u1ec7nh nh\u00e2n c\u1ea7n th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 bi\u1ebft th\u00eam chi ti\u1ebft v\u00e0 l\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c ACE-I \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb.<\/span><\/span><\/p>\n

        4. T\u00e1c d\u1ee5ng chuy\u1ec3n ch\u1ebf \u0111\u1ed9 \u1ee9c ch\u1ebf ph\u1ee5 d\u01b0\u1ee3c<\/span><\/span><\/h2>\n

        Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE-I) c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, bao g\u1ed3m:<\/span><\/span><\/p>\n

          \n
        • Ho: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 g\u00e2y ho \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n. <\/span>Tuy nhi\u00ean, ho th\u01b0\u1eddng l\u00e0 m\u1ed9t t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9 v\u00e0 kh\u00f4ng \u0111\u00e1ng k\u1ec3.<\/span><\/span><\/li>\n
        • Huy\u1ebft \u00e1p th\u1ea5p: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m huy\u1ebft \u00e1p \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n v\u00e0 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi, hoa m\u1eaft, bu\u1ed3n n\u00f4n v\u00e0 \u0111au \u0111\u1ea7u.<\/span><\/span><\/li>\n
        • T\u0103ng kali trong m\u00e1u: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 suy th\u1eadn ho\u1eb7c \u0111ang s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c l\u1ee3i ti\u1ec3u.<\/span><\/span><\/li>\n
        • Suy th\u1eadn: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 g\u00e2y t\u0103ng nguy c\u01a1 suy th\u1eadn \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng suy th\u1eadn tr\u01b0\u1edbc \u0111\u00f3.<\/span><\/span><\/li>\n
        • T\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean h\u1ec7 ti\u00eau h\u00f3a: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 g\u00e2y ra bu\u1ed3n n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, n\u1ed1t ru\u1ed3i v\u00e0 kh\u00f3 ti\u00eau \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n.<\/span><\/span><\/li>\n
        • Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: Thu\u1ed1c ACE-I c\u00f3 th\u1ec3 g\u00e2y ra ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, bao g\u1ed3m ph\u00e1t ban, bu\u1ed3n n\u00f4n v\u00e0 kh\u00f3 th\u1edf.<\/span><\/span><\/li>\n<\/ul>\n

          N\u1ebfu b\u1ec7nh nh\u00e2n g\u1eb7p ph\u1ea3i b\u1ea5t k\u1ef3 t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0o khi s\u1eed d\u1ee5ng thu\u1ed1c ACE-I, c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng ho\u1eb7c thay \u0111\u1ed5i lo\u1ea1i thu\u1ed1c n\u1ebfu c\u1ea7n.<\/span><\/span><\/p>\n

          5. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/span><\/span><\/h2>\n

          Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE-I) c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c. <\/span>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 t\u01b0\u01a1ng t\u00e1c c\u1ea7n l\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n:<\/span><\/span><\/p>\n

            \n
          • Thu\u1ed1c ch\u1ed1ng ung th\u01b0: C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng ung th\u01b0 nh\u01b0 cyclophosphamide ho\u1eb7c doxorubicin c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c ACE-I \u0111\u1ed1i v\u1edbi tim m\u1ea1ch.<\/span><\/span><\/li>\n
          • Thu\u1ed1c l\u1ee3i ti\u1ec3u: Khi s\u1eed d\u1ee5ng thu\u1ed1c ACE-I c\u00f9ng v\u1edbi thu\u1ed1c l\u1ee3i ti\u1ec3u nh\u01b0 furosemide ho\u1eb7c hydrochlorothiazide, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 t\u0103ng kali trong m\u00e1u v\u00e0 suy th\u1eadn.<\/span><\/span><\/li>\n
          • Thu\u1ed1c gi\u1ea3m \u0111au: Thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (NSAID) nh\u01b0 ibuprofen ho\u1eb7c naproxen c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c ACE-I v\u00e0 t\u0103ng nguy c\u01a1 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 huy\u1ebft \u00e1p th\u1ea5p.<\/span><\/span><\/li>\n
          • Thu\u1ed1c kh\u00e1ng sinh: Thu\u1ed1c kh\u00e1ng sinh nh\u00f3m tetracycline nh\u01b0 doxycycline c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c ACE-I.<\/span><\/span><\/li>\n
          • Thu\u1ed1c kh\u00e1ng \u0111\u00f4ng m\u00e1u: Khi s\u1eed d\u1ee5ng thu\u1ed1c ACE-I gi\u1ed1ng v\u1edbi thu\u1ed1c kh\u00e1ng \u0111\u00f4ng m\u00e1u nh\u01b0 warfarin, c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u.<\/span><\/span><\/li>\n<\/ul>\n

            Ngo\u00e0i ra, c\u00f2n nhi\u1ec1u lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi thu\u1ed1c ACE-I. <\/span>B\u1ec7nh nh\u00e2n c\u1ea7n th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c \u0111ang s\u1eed d\u1ee5ng, bao g\u1ed3m c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00f4ng y\u00eau c\u1ea7u \u0111\u01a1n thu\u1ed1c ho\u1eb7c c\u00e1c lo\u1ea1i th\u1ea3o d\u01b0\u1ee3c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb.<\/span><\/span><\/p>\n

             <\/p>\n","protected":false},"excerpt":{"rendered":"

            Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n t\u00ednh. Ngo\u00e0i ra, thu\u1ed1c n\u00e0y c\u00f2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh t\u0103ng protein l\u00e0m m\u1ea5t t\u00ednh ch\u1ecbu \u0111\u01b0\u1eddng, b\u1ec7nh th\u1eadn l\u00e0m m\u1ea5t […]<\/p>\n","protected":false},"author":25,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nThu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n trong \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n - Vinmec<\/title>\n<meta name=\"description\" content=\"Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n ti\u00ean l\u01b0\u1ee3ng v\u00e0 gi\u1ea3m tri\u1ec7u ch\u1ee9ng \u1edf b\u1ec7nh nh\u00e2n suy tim m\u1ea1n t\u00ednh\" \/>\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=\"Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n trong \u0111i\u1ec1u tr\u1ecb suy tim m\u1ea1n - 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