{"id":37720,"date":"2024-05-05T23:38:29","date_gmt":"2024-05-05T16:38:29","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=37720"},"modified":"2025-07-30T22:00:53","modified_gmt":"2025-07-30T15:00:53","slug":"di-ung-thuoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2024\/05\/05\/di-ung-thuoc\/","title":{"rendered":"D\u1ecb \u1ee9ng thu\u1ed1c"},"content":{"rendered":"

D\u1eca \u1ee8NG THU\u1ed0C<\/strong><\/h2>\n

1. \u0110\u1ecbnh Ngh\u0129a v\u00e0 Ph\u00e2n Lo\u1ea1i D\u1ecb \u1ee8ng Thu\u1ed1c<\/h3>\n

1.1 \u0110\u1ecbnh Ngh\u0129a<\/h4>\n

D\u1ecb \u1ee9ng thu\u1ed1c l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i c\u1ee7a thu\u1ed1c x\u1ea3y ra qua h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau khi d\u00f9ng thu\u1ed1c v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n \u0111a d\u1ea1ng v\u00e0 kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u l\u01b0\u1ee3ng. D\u1ecb \u1ee9ng thu\u1ed1c th\u01b0\u1eddng x\u1ea3y ra sau khi h\u1ec7 mi\u1ec5n d\u1ecbch \u0111\u00e3 \u201cc\u1ea3m \u1ee9ng\u201d v\u1edbi thu\u1ed1c trong m\u1ed9t kho\u1ea3ng th\u1eddi gian, t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng khi ti\u1ebfp x\u00fac l\u1ea1i.<\/p>\n

\"L\u00e0m<\/p>\n

H\u00ecnh \u1ea3nh b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng thu\u1ed1c<\/h4>\n

1.2 Ph\u00e2n Lo\u1ea1i<\/h4>\n

D\u1ecb \u1ee9ng thu\u1ed1c \u0111\u01b0\u1ee3c ph\u00e2n lo\u1ea1i d\u1ef1a tr\u00ean t\u1ed1c \u0111\u1ed9 xu\u1ea5t hi\u1ec7n ph\u1ea3n \u1ee9ng v\u00e0 c\u01a1 ch\u1ebf mi\u1ec5n d\u1ecbch:<\/p>\n

    \n
  • Theo t\u1ed1c \u0111\u1ed9 xu\u1ea5t hi\u1ec7n:<\/strong>\n
      \n
    • C\u1ea5p t\u00ednh<\/em>: Ph\u1ea3n \u1ee9ng trong v\u00f2ng 1 gi\u1edd (s\u1ed1c ph\u1ea3n v\u1ec7, ph\u00f9 Quincke).<\/li>\n
    • B\u00e1n c\u1ea5p<\/em>: Trong ng\u00e0y \u0111\u1ea7u (ngo\u1ea1i ban s\u1ea9n h\u1ea1t).<\/li>\n
    • Mu\u1ed9n<\/em>: V\u00e0i ng\u00e0y ho\u1eb7c v\u00e0i tu\u1ea7n sau khi d\u00f9ng thu\u1ed1c (vi\u00eam m\u1ea1ch d\u1ecb \u1ee9ng).<\/li>\n<\/ul>\n<\/li>\n
    • Theo c\u01a1 ch\u1ebf mi\u1ec5n d\u1ecbch<\/strong> (theo Gell v\u00e0 Coombs):\n
        \n
      • Type I<\/em>: Ph\u1ea3n \u1ee9ng ki\u1ec3u ph\u1ea3n v\u1ec7, qua kh\u00e1ng th\u1ec3 IgE.<\/li>\n
      • Type II<\/em>: Ph\u1ea3n \u1ee9ng \u0111\u1ed9c t\u1ebf b\u00e0o, qua kh\u00e1ng th\u1ec3 IgG, IgM.<\/li>\n
      • Type III<\/em>: Ph\u1ea3n \u1ee9ng ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch, th\u01b0\u1eddng g\u00e2y vi\u00eam t\u1ea1i c\u00e1c m\u00f4.<\/li>\n
      • Type IV<\/em>: Ph\u1ea3n \u1ee9ng mu\u1ed9n qua t\u1ebf b\u00e0o T, g\u00e2y t\u1ed5n th\u01b0\u01a1ng t\u1ea1i ch\u1ed7.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n

        2. C\u00e1c Nh\u00f3m Thu\u1ed1c S\u1eed D\u1ee5ng trong \u0110i\u1ec1u Tr\u1ecb D\u1ecb \u1ee8ng Thu\u1ed1c<\/h3>\n

        2.1 Corticoid<\/h4>\n

        Corticoid nh\u01b0 hydrocortison, methylprednisolon c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, th\u01b0\u1eddng d\u00f9ng cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t trong s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n

        2.2 Kh\u00e1ng Histamin H1<\/h4>\n

        C\u00e1c thu\u1ed1c kh\u00e1ng histamin (v\u00ed d\u1ee5: chlorpheniramin, cetirizin) gi\u00fap gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ph\u00f9 n\u1ec1, n\u1ed5i ban \u0111\u1ecf. Kh\u00e1ng histamin hi\u1ec7u qu\u1ea3 trong c\u00e1c ph\u1ea3n \u1ee9ng c\u1ea5p t\u00ednh v\u00e0 d\u00f9ng nh\u01b0 bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 trong s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n

        2.3 Adrenalin v\u00e0 Noradrenalin<\/h4>\n

        Adrenalin (epinephrine) l\u00e0 thu\u1ed1c quan tr\u1ecdng trong \u0111i\u1ec1u tr\u1ecb s\u1ed1c ph\u1ea3n v\u1ec7, c\u00f3 t\u00e1c d\u1ee5ng k\u00edch th\u00edch tim v\u00e0 co m\u1ea1ch, duy tr\u00ec huy\u1ebft \u00e1p. Noradrenalin c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng t\u0103ng huy\u1ebft \u00e1p nh\u01b0ng kh\u00f4ng t\u00e1c \u0111\u1ed9ng l\u00ean ph\u1ebf qu\u1ea3n nh\u01b0 adrenalin.<\/p>\n

        3. Nguy\u00ean T\u1eafc X\u1eed Tr\u00ed Khi B\u1ecb D\u1ecb \u1ee8ng Thu\u1ed1c<\/h3>\n
          \n
        • Ng\u1eebng thu\u1ed1c g\u00e2y d\u1ecb \u1ee9ng<\/strong> v\u00e0 x\u1eed tr\u00ed tri\u1ec7u ch\u1ee9ng nh\u01b0 d\u00f9ng thu\u1ed1c tr\u1ee3 tim, ch\u1ed1ng d\u1ecb \u1ee9ng.<\/li>\n
        • T\u0103ng c\u01b0\u1eddng ch\u1ee9c n\u0103ng gan, th\u1eadn<\/strong> b\u1eb1ng c\u00e1ch truy\u1ec1n d\u1ecbch.<\/li>\n
        • Ch\u1ed1ng b\u1ed9i nhi\u1ec5m<\/strong> n\u1ebfu c\u00f3, ch\u1ecdn kh\u00e1ng sinh an to\u00e0n.<\/li>\n
        • N\u00e2ng \u0111\u1ee1 s\u1ee9c kh\u1ecfe<\/strong> cho b\u1ec7nh nh\u00e2n b\u1eb1ng dinh d\u01b0\u1ee1ng v\u00e0 gi\u1eef v\u1ec7 sinh c\u00e1 nh\u00e2n.<\/li>\n<\/ul>\n

          4. C\u00e1ch X\u1eed Tr\u00ed S\u1ed1c Ph\u1ea3n V\u1ec7<\/h3>\n

          S\u1ed1c ph\u1ea3n v\u1ec7 l\u00e0 ph\u1ea3n \u1ee9ng nguy hi\u1ec3m nh\u1ea5t trong d\u1ecb \u1ee9ng thu\u1ed1c, c\u1ea7n ph\u1ea3i x\u1eed tr\u00ed nhanh v\u00e0 \u0111\u00fang c\u00e1ch:<\/p>\n

            \n
          • Ph\u1ee5c h\u1ed3i c\u00e1c ch\u1ee9c n\u0103ng s\u1ed1ng<\/strong> nh\u01b0 \u0111\u1ea3m b\u1ea3o h\u00f4 h\u1ea5p, h\u1ed3i s\u1ee9c tim m\u1ea1ch.<\/li>\n
          • Ng\u0103n c\u1ea3n s\u1ef1 x\u00e2m nh\u1eadp c\u1ee7a kh\u00e1ng nguy\u00ean<\/strong> b\u1eb1ng c\u00e1ch l\u00e0m ch\u1eadm s\u1ef1 h\u1ea5p thu c\u1ee7a thu\u1ed1c \u0111\u00e3 g\u00e2y ph\u1ea3n \u1ee9ng.<\/li>\n
          • Ng\u0103n ch\u1eb7n ph\u1ea3n \u1ee9ng mu\u1ed9n<\/strong> b\u1eb1ng corticoid.<\/li>\n<\/ul>\n

            5. Ph\u00f2ng Ng\u1eeba D\u1ecb \u1ee8ng Thu\u1ed1c<\/h3>\n
              \n
            • Tuy\u00ean truy\u1ec1n<\/strong> c\u00e1ch d\u00f9ng thu\u1ed1c an to\u00e0n cho ng\u01b0\u1eddi d\u00e2n, khuy\u1ebfn c\u00e1o kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c.<\/li>\n
            • \u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi k\u00ea \u0111\u01a1n<\/strong>: H\u1ecfi k\u1ef9 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n, h\u1ea1n ch\u1ebf k\u1ebft h\u1ee3p nhi\u1ec1u thu\u1ed1c.<\/li>\n
            • D\u01b0\u1ee3c s\u0129 l\u00e2m s\u00e0ng<\/strong>: Cung c\u1ea5p th\u00f4ng tin v\u00e0 h\u01b0\u1edbng d\u1eabn nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u d\u1ecb \u1ee9ng, \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng thu\u1ed1c.<\/li>\n<\/ul>\n

              Ngu\u1ed3n tham kh\u1ea3o: B\u00e0i gi\u1ea3ng D\u01b0\u1ee3c l\u00e2m s\u00e0ng – Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n

              N\u1ed9i dung \u0111\u01b0\u1ee3c bi\u00ean t\u1eadp b\u1edfi:<\/p>\n

              Phan L\u00ea Th\u00f9y Trang – Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n

              Nguy\u1ec5n H\u00f9ng Nh\u1eadt Duy \u2013 Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n

              Ng\u00f4 Th\u1ecb Th\u00f9y Trang – Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n

              T\u00f4 Th\u1ecb Thanh Th\u00fay – Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc K\u1ef9 thu\u1eadt Y-D\u01b0\u1ee3c \u0110\u00e0 N\u1eb5ng<\/p>\n

               <\/p>\n

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

              D\u1eca \u1ee8NG THU\u1ed0C 1. \u0110\u1ecbnh Ngh\u0129a v\u00e0 Ph\u00e2n Lo\u1ea1i D\u1ecb \u1ee8ng Thu\u1ed1c 1.1 \u0110\u1ecbnh Ngh\u0129a D\u1ecb \u1ee9ng thu\u1ed1c l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i c\u1ee7a thu\u1ed1c x\u1ea3y ra qua h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau khi d\u00f9ng thu\u1ed1c v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n \u0111a d\u1ea1ng v\u00e0 kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u l\u01b0\u1ee3ng. […]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[32],"tags":[],"yoast_head":"\nD\u1ecb \u1ee9ng thu\u1ed1c - Vinmec<\/title>\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=\"D\u1ecb \u1ee9ng thu\u1ed1c - Vinmec\" \/>\n<meta property=\"og:description\" content=\"D\u1eca \u1ee8NG THU\u1ed0C 1. \u0110\u1ecbnh Ngh\u0129a v\u00e0 Ph\u00e2n Lo\u1ea1i D\u1ecb \u1ee8ng Thu\u1ed1c 1.1 \u0110\u1ecbnh Ngh\u0129a D\u1ecb \u1ee9ng thu\u1ed1c l\u00e0 m\u1ed9t ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i c\u1ee7a thu\u1ed1c x\u1ea3y ra qua h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3, th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n sau khi d\u00f9ng thu\u1ed1c v\u1edbi nh\u1eefng bi\u1ec3u hi\u1ec7n \u0111a d\u1ea1ng v\u00e0 kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o li\u1ec1u l\u01b0\u1ee3ng. 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