{"id":35436,"date":"2023-06-22T15:03:08","date_gmt":"2023-06-22T08:03:08","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35436"},"modified":"2023-06-22T15:03:08","modified_gmt":"2023-06-22T08:03:08","slug":"tuong-tac-thuoc-giua-amiodaron-va-moxifloxacin","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/tuong-tac-thuoc-giua-amiodaron-va-moxifloxacin\/","title":{"rendered":"T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Amiodaron v\u00e0 Moxifloxacin\u00a0"},"content":{"rendered":"<p><b>Amiodaron v\u00e0 Moxifloxacin l\u00e0 hai lo\u1ea1i thu\u1ed1c \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 s\u1eed d\u1ee5ng c\u00f9ng l\u00fac, nh\u1eefng t\u01b0\u01a1ng t\u00e1c kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 g\u00e2y \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi d\u00f9ng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u00fap b\u1ea1n hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 t\u01b0\u01a1ng t\u00e1c gi\u1eefa Amiodaron v\u00e0 Moxifloxacin, c\u00e1ch \u1ea3nh h\u01b0\u1edfng c\u1ee7a t\u01b0\u01a1ng t\u00e1c n\u00e0y \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 c\u00e1ch tr\u00e1nh nh\u1eefng t\u00e1c \u0111\u1ed9ng kh\u00f4ng mong mu\u1ed1n.<\/b><\/p>\n<h2><b>1.Gi\u1edbi thi\u1ec7u chung v\u1ec1 thu\u1ed1c Amiodaron\u00a0<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">Amiodaron l\u00e0 m\u1ed9t d\u1eabn xu\u1ea5t c\u1ee7a Benzofuran v\u00e0 l\u00e0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m III \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nh\u1ecbp nhanh th\u1ea5t t\u00e1i ph\u00e1t kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u1ec1 huy\u1ebft \u0111\u1ed9ng v\u00e0 rung th\u1ea5t t\u00e1i ph\u00e1t.\u00a0<\/span><\/p>\n<figure id=\"attachment_35437\" aria-describedby=\"caption-attachment-35437\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-35437\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/Amiodaron-\u2013-thuoc-chong-loan-nhip-300x140.png\" alt=\"Amiodaron \u2013 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp\" width=\"300\" height=\"140\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/Amiodaron-\u2013-thuoc-chong-loan-nhip-300x140.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/Amiodaron-\u2013-thuoc-chong-loan-nhip.png 374w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-35437\" class=\"wp-caption-text\">Amiodaron \u2013 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp<\/figcaption><\/figure>\n<h3><span style=\"font-weight: 400;\">1.1 Ch\u1ec9 \u0111\u1ecbnh\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">C\u00e1c ch\u1ec9 \u0111\u1ecbnh \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn khi s\u1eed d\u1ee5ng Amiodaron: (1) Rung th\u1ea5t t\u00e1i ph\u00e1t (VF), (2) Nh\u1ecbp nhanh th\u1ea5t kh\u00f4ng \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng t\u00e1i ph\u00e1t (VT). FDA nh\u1ea5n m\u1ea1nh r\u1eb1ng thu\u1ed1c n\u00e0y ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nh\u1eefng t\u00ecnh tr\u1ea1ng n\u00e0y khi ch\u00fang \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e2m s\u00e0ng v\u00e0 kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi li\u1ec1u \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng c\u1ee7a c\u00e1c thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp kh\u00e1c ho\u1eb7c khi b\u1ec7nh nh\u00e2n kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1ee3c c\u00e1c thu\u1ed1c kh\u00e1c<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1.2 C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng\u00a0<\/span><\/h3>\n<p><a href=\"https:\/\/www.vinmec.com\/vi\/thuoc\/amiodarone-139\/\"><span style=\"font-weight: 400;\">Amiodaron <\/span><\/a><span style=\"font-weight: 400;\">\u0111\u01b0\u1ee3c coi l\u00e0 thu\u1ed1c ch\u1ed1ng lo\u1ea1n nh\u1ecbp nh\u00f3m III v\u00e0 ch\u1eb7n d\u00f2ng Kali g\u00e2y t\u00e1i c\u1ef1c c\u01a1 tim trong giai \u0111o\u1ea1n th\u1ee9 ba c\u1ee7a \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tim. T\u1eeb \u0111\u00f3, thu\u1ed1c l\u00e0m t\u0103ng th\u1eddi gian c\u1ee7a \u0111i\u1ec7n th\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u0169ng nh\u01b0 th\u1eddi gian tr\u01a1 hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u00e1c t\u1ebf b\u00e0o c\u01a1 tim (t\u1ebf b\u00e0o c\u01a1). Do \u0111\u00f3, t\u00ednh d\u1ec5 b\u1ecb k\u00edch th\u00edch c\u1ee7a t\u1ebf b\u00e0o c\u01a1 tim \u0111\u01b0\u1ee3c gi\u1ea3m b\u1edbt, ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb nh\u1ecbp tim b\u1ea5t th\u01b0\u1eddng. Ngo\u00e0i ra, Amiodaron c\u0169ng can thi\u1ec7p v\u00e0o ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c th\u1ee5 th\u1ec3 Beta-adrenergic, k\u00eanh Natri v\u00e0 k\u00eanh Canxi d\u1eabn \u0111\u1ebfn m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1.3 T\u00e1c d\u1ee5ng ph\u1ee5\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">B\u00ean c\u1ea1nh t\u00e1c d\u1ee5ng c\u1ea7n thi\u1ebft, thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n. M\u1eb7c d\u00f9 kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 x\u1ea3y ra, nh\u01b0ng n\u1ebfu ch\u00fang x\u1ea3y ra, ch\u00fang c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn: ho, ch\u00f3ng m\u1eb7t, s\u1ed1t nh\u1eb9, t\u00ea ho\u1eb7c ng\u1ee9a ran, run tay, chuy\u1ec3n \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng ph\u1ee5 \u00edt ph\u1ed5 bi\u1ebfn: kh\u00f4 m\u1eaft, nh\u00ecn m\u1edd ho\u1eb7c qu\u1ea7ng s\u00e1ng xanh lam nh\u00ecn th\u1ea5y xung quanh c\u00e1c v\u1eadt th\u1ec3, nh\u1ecbp tim nhanh ho\u1eb7c kh\u00f4ng \u0111\u1ec1u, kh\u00f3 ng\u1ee7, \u0111\u1ed5 m\u1ed3 h\u00f4i, s\u01b0ng b\u00e0n ch\u00e2n ho\u1eb7c c\u1eb3ng ch\u00e2n, \u0111au v\u00e0 s\u01b0ng \u1edf b\u00ecu<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">T\u00e1c d\u1ee5ng hi\u1ebfm g\u1eb7p: ph\u00e1t ban da, m\u1eaft ho\u1eb7c da v\u00e0ng\u00a0<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">1.4 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Amiodaron ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb block tim \u0111\u1ed9 hai ho\u1eb7c \u0111\u1ed9 ba kh\u00f4ng c\u00f3 m\u00e1y t\u1ea1o nh\u1ecbp tim v\u00e0 bao g\u1ed3m nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb k\u00edch th\u00edch s\u1edbm (<a href=\"http:\/\/noithathoaphat.in\/ctv\/wp-admin\/post-new.php\">h\u1ed9i ch\u1ee9ng Wolff-Parkinson-White<\/a>) v\u00e0 rung t\u00e2m nh\u0129 \u0111\u1ed3ng th\u1eddi. Ngo\u00e0i ra, n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 kho\u1ea3ng QT k\u00e9o d\u00e0i ban \u0111\u1ea7u<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">1.5 Li\u1ec1u d\u00f9ng<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng u\u1ed1ng<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Li\u1ec1u ban \u0111\u1ea7u: 800 \u0111\u1ebfn 1600 mg u\u1ed1ng m\u1ed7i ng\u00e0y trong 1 \u0111\u1ebfn 3 tu\u1ea7n (\u0111\u00f4i khi l\u00e2u h\u01a1n) cho \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t r\u1ed1i lo\u1ea1n nh\u1ecbp tim \u0111\u1ea7y \u0111\u1ee7 ho\u1eb7c n\u1ebfu t\u00e1c d\u1ee5ng ph\u1ee5 tr\u1edf n\u00ean n\u1ed5i b\u1eadt, sau \u0111\u00f3 chuy\u1ec3n sang li\u1ec1u \u0111i\u1ec1u ch\u1ec9nh. \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u 600 \u0111\u1ebfn 800 mg u\u1ed1ng m\u1ed7i ng\u00e0y trong 1 th\u00e1ng v\u00e0 duy tr\u00ec 400 mg u\u1ed1ng m\u1ed7i ng\u00e0y<\/span><\/li>\n<\/ul>\n<h2><b>2. T\u1ed5ng quan v\u1ec1 thu\u1ed1c Moxifloxacin\u00a0<\/b><\/h2>\n<p><a href=\"https:\/\/www.vinmec.com\/en\/thuoc\/moxifloxacin-uong-tiem-30\/\"><span style=\"font-weight: 400;\">Moxifloxacin <\/span><\/a><span style=\"font-weight: 400;\">l\u00e0 m\u1ed9t lo\u1ea1i kh\u00e1ng sinh Fluoroquinolon ch\u1ed1ng l\u1ea1i vi khu\u1ea9n trong c\u01a1 th\u1ec3<\/span><\/p>\n<figure id=\"attachment_35438\" aria-describedby=\"caption-attachment-35438\" style=\"width: 300px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" class=\"size-medium wp-image-35438\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/Moxifloxacin-\u2013-khang-sinh-thuoc-nhom-Fluoroquinolon-300x146.png\" alt=\"Moxifloxacin \u2013 kh\u00e1ng sinh thu\u1ed9c nh\u00f3m Fluoroquinolon\" width=\"300\" height=\"146\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/Moxifloxacin-\u2013-khang-sinh-thuoc-nhom-Fluoroquinolon-300x146.png 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/Moxifloxacin-\u2013-khang-sinh-thuoc-nhom-Fluoroquinolon.png 425w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-35438\" class=\"wp-caption-text\">Moxifloxacin \u2013 kh\u00e1ng sinh thu\u1ed9c nh\u00f3m Fluoroquinolon<\/figcaption><\/figure>\n<h3><span style=\"font-weight: 400;\">2.1 Ch\u1ec9 \u0111\u1ecbnh\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Moxifloxacin \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u lo\u1ea1i b\u1ec7nh nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n v\u00e0 s\u1ebd kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh nhi\u1ec5m virus\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.2 C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Moxifloxacin l\u00e0 m\u1ed9t ch\u1ea5t di\u1ec7t khu\u1ea9n, ph\u1ee5 thu\u1ed9c v\u00e0o n\u1ed3ng \u0111\u1ed9, ch\u1ed1ng nhi\u1ec5m tr\u00f9ng. N\u00f3 can thi\u1ec7p v\u00e0o s\u1ef1 s\u1ed1ng c\u1ee7a vi khu\u1ea9n b\u1eb1ng c\u00e1ch li\u00ean k\u1ebft v\u1edbi DNA gyrase (Topoisomerase II) v\u00e0 Topoisomerase IV, c\u00e1c enzym thi\u1ebft y\u1ebfu c\u1ee7a vi khu\u1ea9n tham gia v\u00e0o qu\u00e1 tr\u00ecnh sao ch\u00e9p, d\u1ecbch m\u00e3, s\u1eeda ch\u1eefa v\u00e0 t\u00e1i t\u1ed5 h\u1ee3p Acid Deoxyribonucleic. DNA gyrase \u0111\u01b0\u1ee3c m\u00e3 h\u00f3a b\u1edfi gen gyr A v\u00e0 gyr B, trong khi Topoisomerase IV \u0111\u01b0\u1ee3c m\u00e3 h\u00f3a b\u1edfi Par C (grl A) v\u00e0 pare (grl B). Vi\u1ec7c \u1ee9c ch\u1ebf m\u1ed9t trong hai lo\u1ea1i enzym n\u00e0y \u0111\u1ec1u d\u1eabn \u0111\u1ebfn c\u00e1i ch\u1ebft c\u1ee7a vi khu\u1ea9n<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.3 T\u00e1c d\u1ee5ng ph\u1ee5\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Moxifloxacin c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng: bu\u1ed3n n\u00f4n, n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, t\u00e1o b\u00f3n, \u1ee3 n\u00f3ng. Ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c khi c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng sau: ti\u00eau ch\u1ea3y n\u1eb7ng, ph\u00e1t ban, ng\u1ee9a, bong tr\u00f3c ho\u1eb7c ph\u1ed3ng r\u1ed9p da, s\u1ed1t, s\u01b0ng m\u1eaft mi\u1ec7ng, kh\u00f3 th\u1edf, kh\u00f3 nu\u1ed1t, ng\u1ea5t x\u1ec9u ho\u1eb7c m\u1ea5t \u00fd th\u1ee9c, b\u1ea7m t\u00edm, ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng, \u0111au \u0111\u1ed9t ng\u1ed9t \u1edf ng\u1ef1c, d\u1ea1 d\u00e0y ho\u1eb7c l\u01b0ng<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.4 Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Thu\u1ed1c kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u: ti\u00eau ch\u1ea3y do nhi\u1ec5m vi khu\u1ea9n Clostridium difficile, ti\u1ec3u \u0111\u01b0\u1eddng, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p, l\u01b0\u1ee3ng Kali trong m\u00e1u th\u1ea5p, ng\u01b0\u1ee1ng co gi\u1eadt th\u1ea5p, t\u00ecnh tr\u1ea1ng c\u00f3 \u00e1p su\u1ea5t ch\u1ea5t l\u1ecfng cao trong n\u00e3o, th\u1ea7n kinh ngo\u1ea1i vi, nh\u01b0\u1ee3c c\u01a1, r\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng, xo\u1eafn \u0111\u1ec9nh,&#8230;<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">2.5 Li\u1ec1u d\u00f9ng<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">\u0110\u01b0\u1eddng u\u1ed1ng<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Li\u1ec1u khuy\u1ebfn c\u00e1o c\u1ee7a thu\u1ed1c cho ng\u01b0\u1eddi l\u1edbn \u0111\u1ed1i v\u1edbi h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i nhi\u1ec5m tr\u00f9ng l\u00e0 400 mg m\u1ed7i ng\u00e0y. Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb dao \u0111\u1ed9ng t\u1eeb 5 \u0111\u1ebfn 21 ng\u00e0y, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i nhi\u1ec5m tr\u00f9ng<\/span><\/li>\n<\/ul>\n<h2><b>3. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Amiodaron v\u00e0 Moxifloxacin\u00a0<\/b><\/h2>\n<h3><span style=\"font-weight: 400;\">3.1 M\u1ee9c \u0111\u1ed9 t\u01b0\u01a1ng t\u00e1c theo c\u00e1c ngu\u1ed3n\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Medscape Interaction: Nghi\u00eam tr\u1ecdng\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Micromedex Interaction: Nghi\u00eam tr\u1ecdng\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Lexicomp: Nghi\u00eam tr\u1ecdng\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">3.2 C\u01a1 ch\u1ebf t\u01b0\u01a1ng t\u00e1c\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">T\u01b0\u01a1ng t\u00e1c thu\u1ed1c \u2013 thu\u1ed1c theo c\u01a1 ch\u1ebf d\u01b0\u1ee3c l\u1ef1c h\u1ecdc: Hi\u1ec7p \u0111\u1ed3ng t\u0103ng t\u00e1c d\u1ee5ng<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">3.3 H\u1eadu qu\u1ea3\u00a0<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">T\u0103ng nguy c\u01a1 k\u00e9o d\u00e0i kho\u1ea3ng QT, xo\u1eafn \u0111\u1ec9nh\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">3.4 C\u00e1ch x\u1eed tr\u00ed<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1ed1i h\u1ee3p \u1edf c\u00e1c b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng QT k\u00e9o d\u00e0i do di truy\u1ec1n ho\u1eb7c m\u1eafc ph\u1ea3i<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Tr\u00ean c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n kh\u00e1c, t\u1ed1t nh\u1ea5t n\u00ean tr\u00e1nh ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c n\u00e0y. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft ph\u1ed1i h\u1ee3p c\u1ea7n \u0111\u00e1nh gi\u00e1 c\u1ea9n th\u1eadn nguy c\u01a1\/l\u1ee3i \u00edch v\u00e0 l\u01b0\u1ee3ng gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tr\u00ean t\u1eebng b\u1ec7nh nh\u00e2n, \u0111\u1eb7c bi\u1ec7t l\u00e0 r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i (h\u1ea1 Kali m\u00e1u, h\u1ea1 Magie m\u00e1u, h\u1ea1 Calci m\u00e1u), nh\u1ecbp tim ch\u1eadm, n\u1eef gi\u1edbi tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh k\u00ea \u0111\u01a1n.<\/span><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Amiodaron v\u00e0 Moxifloxacin l\u00e0 hai lo\u1ea1i thu\u1ed1c \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 s\u1eed d\u1ee5ng c\u00f9ng l\u00fac, nh\u1eefng t\u01b0\u01a1ng t\u00e1c kh\u00f4ng mong mu\u1ed1n c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 g\u00e2y \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi d\u00f9ng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd gi\u00fap b\u1ea1n hi\u1ec3u r\u00f5 h\u01a1n [&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>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa Amiodaron v\u00e0 Moxifloxacin\u00a0 - Vinmec<\/title>\n<meta name=\"description\" content=\"Amiodaron v\u00e0 Moxifloxacin l\u00e0 hai lo\u1ea1i thu\u1ed1c \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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