{"id":28861,"date":"2023-05-06T12:05:00","date_gmt":"2023-05-06T05:05:00","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=28861"},"modified":"2023-05-06T12:05:00","modified_gmt":"2023-05-06T05:05:00","slug":"11-loai-thuoc-va-chat-bo-sung-co-tac-dung-phu-gay-tang-huyet-ap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/06\/11-loai-thuoc-va-chat-bo-sung-co-tac-dung-phu-gay-tang-huyet-ap\/","title":{"rendered":"11 lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t b\u1ed5 sung c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y t\u0103ng huy\u1ebft \u00e1p"},"content":{"rendered":"<p><strong>Huy\u1ebft \u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi. Tuy nhi\u00ean, nhi\u1ec1u lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t b\u1ed5 sung \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nhau c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0m t\u0103ng huy\u1ebft \u00e1p. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 11 lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t b\u1ed5 sung c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y t\u0103ng huy\u1ebft \u00e1p \u0111\u1ec3 ph\u00f2ng tr\u00e1nh v\u00e0 c\u1ea9n tr\u1ecdng khi s\u1eed d\u1ee5ng<\/strong><\/p>\n<h2><strong>1.Gi\u1edbi thi\u1ec7u chung<\/strong><\/h2>\n<p>Huy\u1ebft \u00e1p l\u00e0 \u00e1p l\u1ef1c c\u1ee7a m\u00e1u \u0111\u1ea9y l\u00ean th\u00e0nh \u0111\u1ed9ng m\u1ea1ch v\u00e0 \u0111\u1ed9ng m\u1ea1ch mang m\u00e1u t\u1eeb tim \u0111\u1ebfn c\u00e1c c\u01a1 quan kh\u00e1c trong c\u01a1 th\u1ec3. M\u1ee9c huy\u1ebft \u00e1p b\u00ecnh th\u01b0\u1eddng l\u00e0 &lt; 120\/80mmHg<\/p>\n<figure id=\"attachment_29214\" aria-describedby=\"caption-attachment-29214\" style=\"width: 301px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-full wp-image-29214\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Tang-huyet-ap.png\" alt=\"T\u0103ng huy\u1ebft \u00e1p\" width=\"301\" height=\"167\" \/><figcaption id=\"caption-attachment-29214\" class=\"wp-caption-text\">T\u0103ng huy\u1ebft \u00e1p<\/figcaption><\/figure>\n<p><span style=\"font-weight: 400;\"><a href=\"https:\/\/www.vinmec.com\/vi\/benh\/tang-huyet-ap-3089\/\">Huy\u1ebft \u00e1p cao<\/a> hay c\u00f2n g\u1ecdi l\u00e0 t\u0103ng huy\u1ebft \u00e1p, l\u00e0 m\u1ee9c huy\u1ebft \u00e1p cao h\u01a1n b\u00ecnh th\u01b0\u1eddng. Huy\u1ebft \u00e1p cao th\u01b0\u1eddng kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ea3nh b\u00e1o do \u0111\u00f3 th\u01b0\u1eddng nguy hi\u1ec3m n\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi v\u00ec huy\u1ebft \u00e1p cao c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho s\u1ee9c kh\u1ecfe b\u1eb1ng c\u00e1ch l\u00e0m t\u1ed5n th\u01b0\u01a1ng nghi\u00eam tr\u1ecdng c\u00e1c c\u01a1 quan nh\u01b0 tim, th\u1eadn, n\u00e3o. C\u1ee5 th\u1ec3, huy\u1ebft \u00e1p cao c\u00f3 th\u1ec3 l\u00e0m \u0111\u1ed9ng m\u1ea1ch k\u00e9m \u0111\u00e0n h\u1ed3i, l\u00e0m gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 oxy \u0111\u1ebfn tim d\u1eabn \u0111\u1ebfn nhi\u1ec1u v\u1ea5n \u0111\u1ec1 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tim m\u1ea1ch bao g\u1ed3m \u0111au tim, suy tim, \u0111au th\u1eaft ng\u1ef1c. Huy\u1ebft \u00e1p cao c\u00f2n c\u00f3 th\u1ec3 khi\u1ebfn c\u00e1c \u0111\u1ed9ng m\u1ea1ch cung c\u1ea5p m\u00e1u v\u00e0 oxy cho n\u00e3o b\u1ecb v\u1ee1 ho\u1eb7c b\u1ecb t\u1eafc ngh\u1ebdn g\u00e2y \u0111\u1ed9t qu\u1ef5. \u01af\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 46% ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh b\u1ecb t\u0103ng huy\u1ebft \u00e1p m\u00e0 kh\u00f4ng ph\u00e1t hi\u1ec7n v\u00e0 ch\u01b0a \u0111\u1ebfn m\u1ed9t n\u1eeda s\u1ed1 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh (42%) b\u1ecb t\u0103ng huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb. C\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn b\u1ec7nh cao huy\u1ebft \u00e1p bao g\u1ed3m l\u1ed1i s\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh, b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, b\u00e9o ph\u00ec,&#8230;Trong s\u1ed1 \u0111\u00f3, nhi\u1ec1u lo\u1ea1i thu\u1ed1c, c\u00e1c ch\u1ea5t b\u1ed5 sung v\u00e0 nhi\u1ec1u ch\u1ea5t kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y t\u0103ng huy\u1ebft \u00e1p nh\u01b0 t\u00e1c d\u1ee5ng ph\u1ee5 n\u1ebfu s\u1eed d\u1ee5ng trong th\u1eddi gian d\u00e0i\u00a0<\/span><\/p>\n<h2><strong>2.C\u00e1c lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t b\u1ed5 sung ph\u1ed5 bi\u1ebfn c\u00f3 th\u1ec3 g\u00e2y t\u0103ng huy\u1ebft \u00e1p<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">D\u01b0\u1edbi \u0111\u00e2y l\u00e0 10 lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p. N\u1ebfu s\u1eed d\u1ee5ng nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y ch\u1ec9 trong m\u1ed9t th\u1eddi gian ng\u1eafn, huy\u1ebft \u00e1p c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i nh\u01b0 c\u0169 sau khi ng\u1eebng d\u00f9ng thu\u1ed1c<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.1 Thu\u1ed1c th\u00f4ng m\u0169i\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c thu\u1ed1c th\u00f4ng m\u0169i nh\u01b0 Pseudoephedrine c\u00f3 th\u1ec3 khi\u1ebfn tim \u0111\u1eadp nhanh h\u01a1n g\u00e2y t\u0103ng huy\u1ebft \u00e1p. Pseudoephedrine \u0111\u01b0\u1eddng u\u1ed1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam m\u0169i v\u00e0 ch\u1ea3y n\u01b0\u1edbc m\u0169i. Trong vi\u00eam m\u0169i d\u1ecb \u1ee9ng, c\u00e1c t\u1ebf b\u00e0o mi\u1ec5n d\u1ecbch k\u00edch ho\u1ea1t c\u00f9ng lo\u1ea1i ph\u1ea3n \u1ee9ng \u1edf m\u0169i, xoang v\u00e0 c\u1ed5 h\u1ecdng. Pseudoephedrine l\u00e0m co m\u1ea1ch m\u00e1u \u1edf m\u0169i v\u00e0 xoang do \u0111\u00f3 l\u00e0m gi\u1ea3m s\u01b0ng v\u00e0 h\u00fat d\u1ecbch trong m\u0169i \u0111\u1ec3 l\u00e0m th\u00f4ng tho\u00e1ng \u0111\u01b0\u1eddng th\u1edf. Tuy nhi\u00ean, lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c l\u00e0m co m\u1ea1ch m\u00e1u kh\u1eafp c\u01a1 th\u1ec3, t\u1eeb \u0111\u00f3 l\u00e0m t\u0103ng \u00e1p l\u1ef1c m\u00e1u l\u00ean th\u00e0nh m\u1ea1ch v\u00e0 g\u00e2y t\u0103ng huy\u1ebft \u00e1p. Do \u0111\u00f3, c\u1ea7n tr\u00e1nh ho\u1eb7c th\u1eadn tr\u1ecdng v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 ch\u1ee9a Pseudoephedrine nh\u01b0 Phenylephrine PE (Sudafed PE) v\u00e0 Ephedrine (Bronkaid, Primatene) n\u1ebfu \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb t\u0103ng huy\u1ebft \u00e1p \u0111\u1ec3 kh\u00f4ng l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam t\u00ecnh tr\u1ea1ng b\u1ec7nh<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.2. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c k\u00edch th\u00edch (Amphetamine)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nhi\u1ec1u lo\u1ea1i thu\u1ed1c theo toa d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng r\u1ed1i lo\u1ea1n t\u0103ng \u0111\u1ed9ng gi\u1ea3m ch\u00fa \u00fd (ADHD) l\u00e0 ch\u1ea5t k\u00edch th\u00edch bao g\u1ed3m h\u1ed7n h\u1ee3p mu\u1ed1i Amphetamine (Adderall), Methylphenidate (Ritalin) v\u00e0 Methylphenidate ER (Concerta). C\u1ee5 th\u1ec3, Methylphenidate (MPH) ng\u0103n ch\u1eb7n kh\u00f4ng c\u1ea1nh tranh vi\u1ec7c t\u00e1i h\u1ea5p thu Dopamine v\u00e0 Noradrenaline v\u00e0o \u0111\u1ea7u cu\u1ed1i b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n ch\u1ea5t v\u1eadn chuy\u1ec3n Dopamine (DAT) v\u00e0 ch\u1ea5t v\u1eadn chuy\u1ec3n Noradrenaline (NAT), l\u00e0m t\u0103ng m\u1ee9c \u0111\u1ed9 Dopamine v\u00e0 Noradrenaline trong khe h\u1edf ti\u1ebfp h\u1ee3p v\u00e0 Noradrenaline t\u1ea1o ra s\u1ef1 co m\u1ea1ch trong m\u1ea1ch m\u00e1u b\u1eb1ng c\u00e1ch k\u00edch th\u00edch hai th\u1ee5 th\u1ec3 Alpha-1 v\u00e0 Alpha-2 sau synap g\u00e2y t\u0103ng huy\u1ebft \u00e1p<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.3 Thu\u1ed1c tr\u00e1nh thai c\u00f3 ch\u1ee9a Estrogen\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Estrogen l\u00e0 m\u1ed9t th\u00e0nh ph\u1ea7n ph\u1ed5 bi\u1ebfn trong thu\u1ed1c tr\u00e1nh thai v\u00e0 Estrogen \u0111\u01b0\u1ee3c ch\u1ee9ng minh k\u00edch ho\u1ea1t h\u1ec7 th\u1ed1ng Renin-Angiotensin-Aldosterone (RAAS), t\u1eeb \u0111\u00f3 l\u00e0m co m\u1ea1ch v\u00e0 gi\u1eef th\u1ec3 t\u00edch d\u1eabn \u0111\u1ebfn t\u0103ng huy\u1ebft \u00e1p. V\u00ec v\u1eady s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai kh\u00f4ng \u0111\u01b0\u1ee3c cho l\u00e0 l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t khi \u0111ang m\u1eafc b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.4 Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAIDs)<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nhi\u1ec1u lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au kh\u00f4ng k\u00ea \u0111\u01a1n (OTC) thu\u1ed9c nh\u00f3m NSAID nh\u01b0 Ibuprofen (Advil, Motrin) v\u00e0 Naproxen (Aleve) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean d\u1ec5 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng huy\u1ebft \u00e1p cao. C\u01a1 ch\u1ebf \u0111\u01b0\u1ee3c gi\u1ea3i th\u00edch nh\u01b0 sau: Prostaglandin \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4i tim m\u1ea1ch v\u00e0 khi \u00e1p l\u1ef1c m\u00e1u l\u00ean th\u00e0nh m\u1ea1ch cao Prostaglandin th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh gi\u00e3n m\u1ea1ch v\u00e0 t\u0103ng c\u01b0\u1eddng b\u00e0i ti\u1ebft Natri. C\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) ng\u0103n ch\u1eb7n s\u1ef1 t\u1ed5ng h\u1ee3p Prostaglandin do \u0111\u00f3 c\u1ea3n tr\u1edf qu\u00e1 tr\u00ecnh ki\u1ec3m so\u00e1t h\u1ec7 th\u1ed1ng tu\u1ea7n ho\u00e0n v\u00e0 d\u1ec5 l\u00e0m nghi\u00eam tr\u1ecdng t\u00ecnh tr\u1ea1ng cao huy\u1ebft \u00e1p<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.5 Steroid \u0111\u01b0\u1eddng u\u1ed1ng v\u00e0 \u0111\u01b0\u1eddng ti\u00eam\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c thu\u1ed1c thu\u1ed9c nh\u00f3m Corticosteroid (Steroid) nh\u01b0 Prednisone, Dexamethasone v\u00e0 Methylprednisolone \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng vi\u00eam, ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh nhi\u1ec5m tr\u00f9ng. M\u1ed9t trong s\u1ed1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 khi s\u1eed d\u1ee5ng nh\u00f3m Steroid trong th\u1eddi gian d\u00e0i ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 t\u0103ng huy\u1ebft \u00e1p. Nguy\u00ean nh\u00e2n do c\u00e1c thu\u1ed1c Corticosteroid c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch qu\u00e1 m\u1ee9c th\u1ee5 th\u1ec3 Mineralocorticoid n\u00ean gi\u1eef n\u01b0\u1edbc nhi\u1ec1u v\u00e0 gi\u1eef Natri \u1edf th\u1eadn g\u00e2y t\u0103ng huy\u1ebft \u00e1p<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.6 M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 huy\u1ebft \u00e1p cao bao g\u1ed3m: ch\u1ea5t \u1ee9c ch\u1ebf t\u00e1i h\u1ea5p thu Serotonin v\u00e0 Norepinephrine (SNRI) nh\u01b0 Venlafaxine (Effexor), thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m kh\u00f4ng \u0111i\u1ec3n h\u00ecnh nh\u01b0 Bupropion (Wellbutrin XL) v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng. Venlafaxine l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 Norepinephrine v\u00e0 t\u0103ng c\u01b0\u1eddng ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh Noradrenergic m\u00e0 Norepinephrine th\u00fac \u0111\u1ea9y s\u1ef1 co m\u1ea1ch l\u00e0m t\u0103ng \u00e1p l\u1ef1c m\u00e1u l\u00ean th\u00e0nh m\u1ea1ch\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.7 Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe nh\u01b0 t\u00e2m th\u1ea7n ph\u00e2n li\u1ec7t v\u00e0 r\u1ed1i lo\u1ea1n l\u01b0\u1ee1ng c\u1ef1c, \u0111\u00f4i khi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng tr\u1ea7m c\u1ea3m. Nhi\u1ec1u lo\u1ea1i thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m bao g\u1ed3m nh\u01b0 Aripiprazole (Abilify), Lurasidone (Latuda) v\u00e0 Clozapine (Clozaril) c\u0169ng g\u00e2y t\u0103ng huy\u1ebft \u00e1p nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.8 M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Nhi\u1ec1u lo\u1ea1i thu\u1ed1c mi\u1ec5n d\u1ecbch nh\u01b0 Cyclosporin (Sandimmune) v\u00e0 Tacrolimus (Prograf) d\u1ec5 d\u1eabn \u0111\u1ebfn t\u00e1c d\u1ee5ng ph\u1ee5 t\u0103ng huy\u1ebft \u00e1p do \u0111\u1ec1u g\u00e2y ra s\u1ef1 co m\u1ea1ch lan r\u1ed9ng trong tu\u1ea7n ho\u00e0n h\u1ec7 th\u1ed1ng v\u00e0 t\u0103ng huy\u1ebft \u00e1p \u0111\u1ed9ng m\u1ea1ch<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.9 M\u1ed9t s\u1ed1 ch\u1ebf ph\u1ea9m sinh h\u1ecdc kh\u00e1c<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c thu\u1ed1c sinh h\u1ecdc nh\u01b0 Adalimumab (Humira), Infliximab (Remicade) v\u00e0 Abatacept (Orencia) \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u lo\u1ea1i b\u1ec7nh t\u1eeb c\u00e1c v\u1ea5n \u0111\u1ec1 t\u1ef1 mi\u1ec5n \u0111\u1ebfn Cholesterol cao v\u00e0 lo\u00e3ng x\u01b0\u01a1ng. M\u1eb7c d\u00f9 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb cao nh\u01b0ng v\u1eabn g\u00e2y nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 trong \u0111\u00f3 t\u0103ng huy\u1ebft \u00e1p th\u01b0\u1eddng \u00edt x\u1ea3y ra nh\u01b0ng v\u1eabn t\u1ed3n t\u1ea1i \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.10 Testosterone<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Trong c\u00e1c nghi\u00ean c\u1ee9u, n\u1ed3ng \u0111\u1ed9 Testosterone th\u1ea5p t\u1ec9 l\u1ec7 thu\u1eadn v\u1edbi v\u1edbi nguy c\u01a1 t\u0103ng huy\u1ebft \u00e1p \u1edf nh\u1eefng ng\u01b0\u1eddi tham gia \u1edf \u0111\u1ed9 tu\u1ed5i &lt;65 ho\u1eb7c BMI &lt;24. Trong c\u01a1 th\u1ec3 con ng\u01b0\u1eddi, c\u00e1c m\u1ea1ch m\u00e1u v\u00e0 t\u1ebf b\u00e0o c\u01a1 tim c\u00f3 c\u00e1c th\u1ee5 th\u1ec3 b\u00e1m v\u00e0o Testosterone, Testosterone c\u00f3 th\u1ec3 k\u00edch th\u00edch ho\u1ea1t \u0111\u1ed9ng c\u1ee7a h\u1ec7 th\u1ed1ng th\u1ea7n kinh t\u00e2m tr\u01b0\u01a1ng c\u0169ng g\u00e2y ra s\u1ef1 co b\u00f3p c\u1ee7a m\u1ea1ch m\u00e1u, d\u1eabn \u0111\u1ebfn gi\u1ea3m l\u01b0u l\u01b0\u1ee3ng m\u00e1u v\u00e0 t\u0103ng huy\u1ebft \u00e1p<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.11 Th\u1ea3o d\u01b0\u1ee3c b\u1ed5 sung\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c lo\u1ea1i th\u1ea3o m\u1ed9c \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 c\u00f3 nguy c\u01a1 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 t\u0103ng huy\u1ebft \u00e1p: ma ho\u00e0ng, nh\u00e2n s\u00e2m, cam th\u1ea3o, John\u2019s wort,&#8230;<\/span><\/p>\n<h2><strong>3.K\u1ebft lu\u1eadn\u00a0<\/strong><\/h2>\n<p><span style=\"font-weight: 400;\">M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, ch\u1ea5t b\u1ed5 sung v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1c c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 huy\u1ebft \u00e1p cao. Nh\u01b0ng c\u0169ng c\u00f3 nhi\u1ec1u lo\u1ea1i thu\u1ed1c v\u00e0 m\u1ed9t s\u1ed1 ch\u1ea5t b\u1ed5 sung c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m huy\u1ebft \u00e1p c\u1ee7a b\u1ec7nh nh\u00e2n v\u00ec v\u1eady c\u1ea7n c\u00e2n nh\u1eafc v\u00e0 b\u00e1o cho d\u01b0\u1ee3c s\u0129 tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u00e1nh l\u00e0m nghi\u00eam tr\u1ecdng t\u00ecnh tr\u1ea1ng t\u0103ng huy\u1ebft \u00e1p\u00a0<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Huy\u1ebft \u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng ch\u1ec9 s\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a con ng\u01b0\u1eddi. Tuy nhi\u00ean, nhi\u1ec1u lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t b\u1ed5 sung \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nhau c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0m t\u0103ng huy\u1ebft \u00e1p. Trong b\u00e0i vi\u1ebft n\u00e0y, [&hellip;]<\/p>\n","protected":false},"author":54,"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>11 lo\u1ea1i thu\u1ed1c v\u00e0 ch\u1ea5t b\u1ed5 sung c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y t\u0103ng huy\u1ebft \u00e1p<\/title>\n<meta name=\"description\" content=\"Nhi\u1ec1u lo\u1ea1i thu\u1ed1c v\u00e0 c\u00e1c ch\u1ea5t b\u1ed5 sung \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ea1t hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tri nhi\u1ec1u lo\u1ea1i b\u1ec7nh kh\u00e1c nhau nh\u01b0ng g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 t\u0103ng huy\u1ebft \u00e1p\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" 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