{"id":32095,"date":"2023-05-24T22:24:15","date_gmt":"2023-05-24T15:24:15","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32095"},"modified":"2023-05-25T17:16:45","modified_gmt":"2023-05-25T10:16:45","slug":"anh-huong-cua-thuoc-corticosteroids-den-xuong-ham","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/","title":{"rendered":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m"},"content":{"rendered":"
Thu\u1ed1c corticosteroid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh vi\u00eam v\u00e0 \u0111au. Tuy nhi\u00ean, s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid trong th\u1eddi gian d\u00e0i ho\u1eb7c \u1edf li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng kh\u00e1c nhau \u0111\u1ebfn s\u1ee9c kh\u1ecfe, bao g\u1ed3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c corticosteroid \u0111\u1ebfn s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m, c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn r\u0103ng mi\u1ec7ng v\u00e0 x\u01b0\u01a1ng h\u00e0m c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng corticosteroid trong th\u1eddi gian d\u00e0i, v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c corticosteroid \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng.<\/h5>\n

1. Gi\u1edbi thi\u1ec7u chung v\u1ec1 thu\u1ed1c corticosteroid:<\/h4>\n

Thu\u1ed1c corticosteroid<\/a> l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh vi\u00eam v\u00e0 \u0111au. Thu\u1ed1c n\u00e0y c\u00f3 ch\u1ee9a c\u00e1c hormone t\u01b0\u01a1ng t\u1ef1 corticoid t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Corticosteroid \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u lo\u1ea1i b\u1ec7nh kh\u00e1c nhau, bao g\u1ed3m b\u1ec7nh vi\u00eam, hen suy\u1ec5n, vi\u00eam kh\u1edbp v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Tuy nhi\u00ean, s\u1eed d\u1ee5ng corticosteroid trong th\u1eddi gian d\u00e0i ho\u1eb7c \u1edf li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng kh\u00e1c nhau \u0111\u1ebfn s\u1ee9c kh\u1ecfe to\u00e0n th\u00e2n n\u00f3i chung v\u00e0 s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng n\u00f3i ri\u00eang.<\/p>\n

\"Corticoid
H\u00ecnh \u1ea3nh minh h\u1ecda<\/figcaption><\/figure>\n

2. C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a thu\u1ed1c corticosteroid:<\/h4>\n

Thu\u1ed1c corticosteroid ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch k\u00edch th\u00edch c\u00e1c receptor c\u1ee7a corticoid t\u1ef1 nhi\u00ean trong c\u01a1 th\u1ec3. Thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 gi\u1ea3m vi\u00eam, l\u00e0m gi\u1ea3m ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch v\u00e0 gi\u1ea3m ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng. C\u00e1c thu\u1ed1c corticosteroid c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u1ea3n xu\u1ea5t c\u00e1c ch\u1ea5t g\u00e2y vi\u00eam v\u00e0 l\u00e0m gi\u1ea3m c\u00e1c d\u1ea5u hi\u1ec7u vi\u00eam nh\u01b0 \u0111au, s\u01b0ng v\u00e0 \u0111\u1ecf. C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng n\u00e0y l\u00e0m cho thu\u1ed1c corticosteroid tr\u1edf th\u00e0nh m\u1ed9t l\u1ef1a ch\u1ecdn ph\u1ed5 bi\u1ebfn trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh vi\u00eam v\u00e0 \u0111au.<\/p>\n

3. \u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c corticosteroid \u0111\u1ebfn s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m:<\/h4>\n

3.1. C\u01a1 ch\u1ebf t\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c corticosteroid \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m:<\/h5>\n

Thu\u1ed1c corticosteroid c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn x\u01b0\u01a1ng b\u1eb1ng c\u00e1ch l\u00e0m gi\u1ea3m s\u1ef1 h\u1ea5p th\u1ee5 canxi v\u00e0 t\u1ea1o ra t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn qu\u00e1 tr\u00ecnh h\u00ecnh th\u00e0nh x\u01b0\u01a1ng. Thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a t\u1ebf b\u00e0o x\u01b0\u01a1ng v\u00e0 l\u00e0m gi\u1ea3m \u0111\u1ed9 d\u00e0y c\u1ee7a x\u01b0\u01a1ng h\u00e0m. Vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 canxi c\u1ee7a c\u01a1 th\u1ec3 v\u00e0 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m.<\/p>\n

3.2.C\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m c\u00f3 th\u1ec3 x\u1ea3y ra khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid:<\/h5>\n

Khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid trong th\u1eddi gian d\u00e0i, c\u00f3 th\u1ec3 x\u1ea3y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m, bao g\u1ed3m:<\/p>\n

    \n
  • Lo\u00e3ng x\u01b0\u01a1ng: Vi\u1ec7c s\u1eed d\u1ee5ng corticosteroid trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111\u1ed9 d\u00e0y c\u1ee7a x\u01b0\u01a1ng h\u00e0m v\u00e0 l\u00e0m t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 g\u00e3y x\u01b0\u01a1ng v\u00e0 h\u01b0 h\u1ecfng x\u01b0\u01a1ng.<\/li>\n
  • Osteonecrosis: M\u1ed9t s\u1ed1 ng\u01b0\u1eddi s\u1eed d\u1ee5ng corticosteroid trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 osteonecrosis. \u0110\u00e2y l\u00e0 m\u1ed9t tr\u1ea1ng th\u00e1i m\u00e0 c\u00e1c m\u00f4 x\u01b0\u01a1ng m\u1ea5t \u0111i kh\u1ea3 n\u0103ng t\u1ef1 ph\u1ee5c h\u1ed3i c\u1ee7a ch\u00fang v\u00e0 d\u1eabn \u0111\u1ebfn s\u1ef1 suy gi\u1ea3m ho\u1ea1t \u0111\u1ed9ng c\u1ee7a x\u01b0\u01a1ng h\u00e0m.<\/li>\n<\/ul>\n

    Ngo\u00e0i ra, thu\u1ed1c c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng nh\u01b0:<\/p>\n

      \n
    • T\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng r\u0103ng mi\u1ec7ng<\/li>\n
    • T\u0103ng nguy c\u01a1 vi\u00eam l\u1ee3i v\u00e0 vi\u00eam n\u01b0\u1edbu<\/li>\n
    • T\u00e1c \u0111\u1ed9ng c\u1ee7a corticosteroid \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a r\u0103ng v\u00e0 x\u01b0\u01a1ng h\u00e0m<\/li>\n<\/ul>\n

      4. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb:<\/h4>\n

      4.1. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a corticosteroid \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng:<\/h5>\n
        \n
      • Tu\u00e2n th\u1ee7 \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/li>\n
      • \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng \u0111\u1ec3 b\u1ed5 sung \u0111\u1ee7 canxi v\u00e0 vitamin D.<\/li>\n
      • Th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m.<\/li>\n
      • Ki\u1ec3m tra s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng \u0111\u00fang c\u00e1ch.<\/li>\n
      • H\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid trong th\u1eddi gian d\u00e0i ho\u1eb7c s\u1eed d\u1ee5ng \u1edf li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 th\u1ec3.<\/li>\n<\/ul>\n
        4.2. C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng khi s\u1eed d\u1ee5ng corticosteroid:<\/h5>\n
          \n
        • \u0110i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng v\u00e0 osteonecrosis b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 x\u01b0\u01a1ng v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n
        • \u0110i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 r\u0103ng mi\u1ec7ng nh\u01b0 nhi\u1ec5m tr\u00f9ng r\u0103ng, vi\u00eam n\u01b0\u1edbu v\u00e0 ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng sinh v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p.<\/li>\n
        • \u0110i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 men r\u0103ng v\u00e0 h\u01b0 h\u1ecfng r\u0103ng b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 \u0111\u00e1nh b\u00f3ng r\u0103ng, tr\u00e1m r\u0103ng v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1ee5c h\u1ed3i r\u0103ng.<\/li>\n<\/ul>\n
          4.3. C\u00e1c khuy\u1ebfn ngh\u1ecb c\u1ee7a b\u00e1c s\u0129 nha khoa \u0111\u1ec3 qu\u1ea3n l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng khi s\u1eed d\u1ee5ng corticosteroid:<\/h5>\n
            \n
          • Ki\u1ec3m tra s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng \u0111\u00fang c\u00e1ch.<\/li>\n
          • Tham gia c\u00e1c ch\u01b0\u01a1ng tr\u00ecnh ki\u1ec3m tra s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m v\u00e0 th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng \u0111\u1ec3 t\u0103ng c\u01b0\u1eddng s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m.<\/li>\n
          • Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 n\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o v\u1ec1 s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng, bao g\u1ed3m \u0111au trong v\u00f9ng mi\u1ec7ng ho\u1eb7c r\u0103ng, s\u01b0ng l\u1ee3i, ho\u1eb7c ch\u1ea3y m\u00e1u ch\u00e2n r\u0103ng.<\/li>\n
          • Th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 c\u00e1c t\u00f9y ch\u1ecdn \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng c\u1ee7a corticosteroid \u0111\u1ebfn s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng.<\/li>\n<\/ul>\n

            5. K\u1ebft lu\u1eadn:<\/h4>\n

            T\u1ed5ng k\u1ebft, cortisol l\u00e0 m\u1ed9t hormone steroid t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, c\u00f3 nhi\u1ec1u ch\u1ee9c n\u0103ng quan tr\u1ecdng trong c\u01a1 th\u1ec3, bao g\u1ed3m gi\u1ea3m vi\u00eam, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, duy tr\u00ec huy\u1ebft \u00e1p v\u00e0 gi\u00fap c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i c\u0103ng th\u1eb3ng. Tuy nhi\u00ean, s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng, bao g\u1ed3m lo\u00e3ng x\u01b0\u01a1ng, osteonecrosis, nhi\u1ec5m tr\u00f9ng r\u0103ng, s\u01b0ng l\u1ee3i v\u00e0 h\u01b0 h\u1ecfng r\u0103ng.<\/p>\n

            Vi\u1ec7c qu\u1ea3n l\u00fd v\u00e0 ch\u0103m s\u00f3c x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng trong qu\u00e1 tr\u00ecnh s\u1eed d\u1ee5ng corticosteroid r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 gi\u1ea3m t\u00e1c \u0111\u1ed9ng ti\u00eau c\u1ef1c \u0111\u1ebfn s\u1ee9c kh\u1ecfe n\u00e0y. C\u00e1c bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb g\u1ed3m tu\u00e2n th\u1ee7 \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng v\u00e0 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp th\u1ec3 d\u1ee5c nh\u1eb9 nh\u00e0ng, ki\u1ec3m tra s\u1ee9c kh\u1ecfe r\u0103ng mi\u1ec7ng \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u0103m s\u00f3c r\u0103ng mi\u1ec7ng \u0111\u00fang c\u00e1ch.<\/p>\n","protected":false},"excerpt":{"rendered":"

            Thu\u1ed1c corticosteroid l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh vi\u00eam v\u00e0 \u0111au. Tuy nhi\u00ean, s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid trong th\u1eddi gian d\u00e0i ho\u1eb7c \u1edf li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c \u0111\u1ed9ng kh\u00e1c nhau \u0111\u1ebfn s\u1ee9c kh\u1ecfe, bao g\u1ed3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m v\u00e0 r\u0103ng mi\u1ec7ng. […]<\/p>\n","protected":false},"author":29,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[28,32],"tags":[],"yoast_head":"\n\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m - Vinmec<\/title>\n<meta name=\"description\" content=\"X\u01b0\u01a1ng h\u00e0m ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nghi\u1ec7m tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid k\u00e9o d\u00e0i, trong b\u00e0i vi\u1ebft n\u00e0y h\u00e3y t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng,....\" \/>\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=\"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m - Vinmec\" \/>\n<meta property=\"og:description\" content=\"X\u01b0\u01a1ng h\u00e0m ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nghi\u1ec7m tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid k\u00e9o d\u00e0i, trong b\u00e0i vi\u1ebft n\u00e0y h\u00e3y t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng,....\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-05-24T15:24:15+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-05-25T10:16:45+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cdn.benhvienthucuc.vn\/wp-content\/uploads\/2021\/05\/corticoid-co-nguy-co-gay-loang-xuong-2-500x333.jpg\" \/>\n<meta name=\"author\" content=\"Quang Mai Duy\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Quang Mai Duy\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/\",\"name\":\"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m - Vinmec\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-05-24T15:24:15+00:00\",\"dateModified\":\"2023-05-25T10:16:45+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e\"},\"description\":\"X\u01b0\u01a1ng h\u00e0m ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nghi\u1ec7m tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid k\u00e9o d\u00e0i, trong b\u00e0i vi\u1ebft n\u00e0y h\u00e3y t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng,....\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e\",\"name\":\"Quang Mai Duy\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g\",\"caption\":\"Quang Mai Duy\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/maiduyquang091002gmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m - Vinmec","description":"X\u01b0\u01a1ng h\u00e0m ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nghi\u1ec7m tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid k\u00e9o d\u00e0i, trong b\u00e0i vi\u1ebft n\u00e0y h\u00e3y t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng,....","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m - Vinmec","og_description":"X\u01b0\u01a1ng h\u00e0m ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nghi\u1ec7m tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid k\u00e9o d\u00e0i, trong b\u00e0i vi\u1ebft n\u00e0y h\u00e3y t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng,....","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/","og_site_name":"Vinmec","article_published_time":"2023-05-24T15:24:15+00:00","article_modified_time":"2023-05-25T10:16:45+00:00","og_image":[{"url":"https:\/\/cdn.benhvienthucuc.vn\/wp-content\/uploads\/2021\/05\/corticoid-co-nguy-co-gay-loang-xuong-2-500x333.jpg"}],"author":"Quang Mai Duy","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Quang Mai Duy","Est. reading time":"6 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/","name":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m - Vinmec","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-05-24T15:24:15+00:00","dateModified":"2023-05-25T10:16:45+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e"},"description":"X\u01b0\u01a1ng h\u00e0m ch\u1ecbu \u1ea3nh h\u01b0\u1edfng nghi\u1ec7m tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c corticosteroid k\u00e9o d\u00e0i, trong b\u00e0i vi\u1ebft n\u00e0y h\u00e3y t\u00ecm hi\u1ec3u c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng,....","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/24\/anh-huong-cua-thuoc-corticosteroids-den-xuong-ham\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"\u1ea2nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c Corticosteroids \u0111\u1ebfn x\u01b0\u01a1ng h\u00e0m"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/e6eb3267ea37be18800119bd4207ec4e","name":"Quang Mai Duy","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/2fc51988ee2197b6a99fd6883c9d3f6f?s=96&d=mm&r=g","caption":"Quang Mai Duy"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/maiduyquang091002gmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/32095"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/29"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=32095"}],"version-history":[{"count":1,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/32095\/revisions"}],"predecessor-version":[{"id":32103,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/32095\/revisions\/32103"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=32095"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=32095"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=32095"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}