{"id":9566,"date":"2023-10-02T14:18:27","date_gmt":"2023-10-02T07:18:27","guid":{"rendered":"https:\/\/43hr.com\/?p=9566"},"modified":"2023-10-02T14:22:02","modified_gmt":"2023-10-02T07:22:02","slug":"mot-so-loai-thuoc-giam-dau-thong-dung-tren-thi-truong","status":"publish","type":"post","link":"https:\/\/43hr.com\/mot-so-loai-thuoc-giam-dau-thong-dung-tren-thi-truong\/","title":{"rendered":"M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au th\u00f4ng d\u1ee5ng tr\u00ean th\u1ecb tr\u01b0\u1eddng"},"content":{"rendered":"

Thu\u1ed1c gi\u1ea3m \u0111au ch\u00ednh l\u00e0 m\u1ed9t trong nh\u1eefng ph\u00e1t minh quan tr\u1ecdng c\u1ee7a ng\u00e0nh y h\u1ecdc hi\u1ec7n \u0111\u1ea1i. Nh\u1edd c\u00f3 thu\u1ed1c gi\u1ea3m \u0111au ch\u00fang ta \u0111\u00e3 kh\u00f4ng c\u00f2n ph\u1ea3i ch\u1ecbu \u0111\u1ef1ng nh\u1eefng c\u01a1n \u0111au th\u1ec3 x\u00e1c do b\u1ec7nh t\u1eadt g\u00e2y ra.<\/p>\n

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Thu\u1ed1c gi\u1ea3m \u0111au \u0111\u01b0\u1ee3c chia l\u00e0m 3 b\u1eadc nh\u01b0 sau:<\/p>\n

B\u1eadc 1:\u00a0Thu\u1ed1c h\u1ea1 s\u1ed1t gi\u1ea3m \u0111au v\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroids (NSAIDS).<\/strong><\/p>\n

-Aspirine 500mg\u00a0\u00a0\u00a0 1vi\u00ean x 4 l\u1ea7n \/ng\u00e0y<\/p>\n

-Paracetamol\u00a0 500mg 1-2 vi\u00ean; 4 -6 gi\u1edd\/ l\u1ea7n T\u1ed1i \u0111a 4000 mg\/ ng\u00e0y<\/p>\n

-Ibuprofen:vi\u00ean 400mg\u00a0\u00a0\u00a0\u00a0 400mg cho m\u1ed7i 4-6 gi\u1edd.T\u1ed1i \u0111a 2400 mg<\/p>\n

-Diclofenac: vi\u00ean 50-75 mg\u00a0 2-3 l\u1ea7n \/ ng\u00e0y<\/p>\n

-Piroxicam: vi\u00ean 10mg\u00a0\u00a0\u00a0\u00a0\u00a0 1-2 l\u1ea7n\/ ng\u00e0y<\/p>\n

-Celecoxib: vi\u00ean 100-200mg 2 l\u1ea7n m\u1ed7i ng\u00e0y<\/p>\n

\"\"<\/p>\n

B\u1eadc 2:\u00a0\u00a0<\/strong><\/p>\n

Codein: vi\u00ean 30mg\u00a0 1-2 vi\u00ean cho m\u1ed7i 3-4 gi\u1edd<\/p>\n

Tramadol: vi\u00ean 50mg 50-100 mg x 3-4 l\u1ea7n m\u1ed7i ng\u00e0y<\/p>\n

Paracetamol 400mg + Dextropropoxyphene 30mg:1vi\u00ean x 4-6 l\u1ea7n\/ ng\u00e0y<\/p>\n

Paracetamol 500 mg+ Codein 30mg:1-2vi\u00ean x 4 l\u1ea7n<\/p>\n

Ultracet (Paracetamol 325mg + Tramadol 37,5mg): 1-2vi\u00ean x 4-6 l\u1ea7n\/ ng\u00e0y<\/p>\n

B\u1eadc 3: L\u00e0 c\u00e1c thu\u1ed1c Opioid m\u1ea1nh nh\u01b0:<\/strong><\/p>\n

-Morphine li\u1ec1u u\u1ed1ng kh\u1edfi \u0111\u1ea7u 5-10mg x 6 l\u1ea7n\/ ng\u00e0y ( N\u1ebfu s\u1eed d\u1ee5ng b\u1eb1ng \u0111\u01b0\u1eddng ti\u00eam th\u00ec li\u1ec1u b\u1eb1ng 1\/3 li\u1ec1u d\u00f9ng cho \u0111\u01b0\u1eddng u\u1ed1ng ). N\u1ebfu c\u1ea7n ph\u1ea3i t\u0103ng li\u1ec1u th\u00ec m\u1ed7i l\u1ea7n n\u00ean t\u0103ng 5 mg cho \u0111\u1ebfn khi \u0111\u1ea1t k\u1ebft qu\u1ea3 mong mu\u1ed1n<\/p>\n

-Methadol<\/p>\n

-Fentanyl :Mi\u1ebfng d\u00e1n 25\u00b5g, 50 \u00b5g, 75 \u00b5g, 100 \u00b5g. Mi\u1ebfng d\u00e1n c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i 72 gi\u1edd, thu\u1ed1c ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng sau khi d\u00e1n mi\u1ebfng \u0111\u1ea7u ti\u00ean 10-12 gi\u1edd n\u00ean kh\u00f4ng d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p \u0111au c\u1ea5p t\u00ednh.<\/p>\n

-Oxycodone<\/p>\n

-Hydromorphone\u2026<\/p>\n

Ngo\u00e0i ra c\u00f2n c\u00f3 C\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 ch\u1ed1ng \u0111au:<\/p>\n

-Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh: D\u00f9ng trong \u0111au do nguy\u00ean nh\u00e2n th\u1ea7n kinh ho\u1eb7c \u0111au h\u1ed7n h\u1ee3p.<\/p>\n

+Gabapentin: vi\u00ean 300mg. Kh\u1edfi \u0111\u1ea7u 2 vi\u00ean\/ ng\u00e0y li\u1ec1u t\u1ed1i \u0111a 3600mg\/ng\u00e0y.<\/p>\n

+Pregabalin: vi\u00ean 75 mg 1vi\u00ean x 2 l\u1ea7n\/ng\u00e0y.<\/p>\n

+Carbamazepine: vi\u00ean 200mg x 2-4 l\u1ea7n\/ ng\u00e0y.<\/p>\n

+Valproic acid: vi\u00ean 200mg li\u1ec1u kh\u1edfi \u0111\u1ea7u 10-15 mg\/kg, t\u1ed1i \u0111a 30mg\/kg c\u00e2n n\u1eb7ng.<\/p>\n

Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m:<\/p>\n

Amitriptyline: vi\u00ean 25mg u\u1ed1ng t\u1ed1i.<\/p>\n

Corticosteroid: Dexamethasone, Prednisone, Methylprednisolone.<\/p>\n

 <\/p>\n

TR\u01af\u1edcNG CAO \u0110\u1eb2NG Y D\u01af\u1ee2C H\u00c0 N\u1ed8I<\/strong><\/p>\n

Tr\u01b0\u1eddng Cao \u0111\u1eb3ng Y D\u01b0\u1ee3c H\u00e0 N\u1ed9i \u0111\u01b0\u1ee3c B\u1ed9 L\u0110TB&XH l\u1ef1a ch\u1ecdn 3 ng\u00e0nh: D\u01af\u1ee2C \u2013 \u0110I\u1ec0U D\u01af\u1ee0NG \u2013 H\u1ed8 SINH l\u00e0 3 ng\u00e0nh tr\u1ecdng \u0111i\u1ec3m qu\u1ed1c gia;<\/em><\/p>\n

\u0110\u1ecba ch\u1ec9:<\/p>\n