{"id":2052,"date":"2021-08-06T04:30:19","date_gmt":"2021-08-06T04:30:19","guid":{"rendered":"https:\/\/hdzsoft.com\/?p=2052"},"modified":"2021-08-06T04:30:28","modified_gmt":"2021-08-06T04:30:28","slug":"canh-bao-nguy-co-ngo-doc-khi-lam-dung-paracetamol-tu-chua-covid-19","status":"publish","type":"post","link":"https:\/\/hdzsoft.com\/canh-bao-nguy-co-ngo-doc-khi-lam-dung-paracetamol-tu-chua-covid-19\/","title":{"rendered":"C\u1ea2NH B\u00c1O NGUY C\u01a0 NG\u1ed8 \u0110\u1ed8C KHI L\u1ea0M D\u1ee4NG PARACETAMOL T\u1ef0 CH\u1eeeA COVID 19"},"content":{"rendered":"<p><em><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">Tr\u01b0\u1edbc t\u00ecnh h\u00ecnh d\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i \u0111\u00e3 xu\u1ea5t hi\u1ec7n c\u00e1c h\u01b0\u1edbng d\u1eabn kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c v\u1ec1 c\u00e1ch t\u1ef1 ch\u1eefa COVID-19 t\u1ea1i nh\u00e0. Trong s\u1ed1 \u0111\u00f3 c\u00f3 m\u1ed9t h\u01b0\u1edbng d\u1eabn li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c paracetamol \u0111\u1ec3 ch\u1eefa tr\u1ecb tri\u1ec7u ch\u1ee9ng ho, s\u1ed1t, kh\u00f3 th\u1edf, \u0111au nh\u1ee9c, m\u1ea5t v\u1ecb gi\u00e1c&#8230;<\/span><\/em><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">T\u1ea1i Trung t\u00e2m ch\u1ed1ng d\u1ed9c B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai \u0111\u00e3 ti\u1ebfp nh\u1eadn r\u1ea5t nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p b\u1ecb ng\u1ed9 \u0111\u1ed9c do l\u1ea1m d\u1ee5ng thu\u1ed1c h\u1ea1 s\u1ed1t paracetamol \u0111\u1ec3 ch\u1eefa COVID-19. Do \u0111\u00f3, ng\u01b0\u1eddi d\u00e2n n\u00ean c\u1ea9n tr\u1ecdng tr\u01b0\u1edbc c\u00e1c b\u00e0i thu\u1ed1c lan truy\u1ec1n kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i, tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o c\u1ea7n xin \u00fd ki\u1ebfn b\u00e1c s\u0129, kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd s\u1eed d\u1ee5ng.<\/span><\/p>\n<p><strong><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">S\u1eed d\u1ee5ng qu\u00e1 li\u1ec1u paracetamol d\u1ec5 suy gan, co gi\u1eadt&#8230;<\/span><\/strong><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">Paracetamol l\u00e0 thu\u1ed1c thu\u1ed9c di\u1ec7n kh\u00f4ng ph\u1ea3i k\u00ea theo \u0111\u01a1n, c\u00f3 ngh\u0129a l\u00e0 ng\u01b0\u1eddi d\u00e2n c\u00f3 th\u1ec3 t\u1ef1 mua \u1edf c\u00e1c hi\u1ec7u thu\u1ed1c v\u1ec1 \u0111\u1ec3 ch\u1eefa c\u00e1c bi\u1ec3u hi\u1ec7n \u0111au, s\u1ed1t do c\u00e1c nguy\u00ean nh\u00e2n th\u00f4ng th\u01b0\u1eddng ho\u1eb7c x\u1eed tr\u00ed ban \u0111\u1ea7u tr\u01b0\u1edbc khi t\u1edbi b\u1ec7nh vi\u1ec7n. Tr\u00ean th\u1ecb tr\u01b0\u1eddng m\u1ed7i n\u01b0\u1edbc c\u00f3 th\u1ec3 c\u00f3 t\u1edbi h\u00e0ng tr\u0103m bi\u1ec7t d\u01b0\u1ee3c c\u00f3 t\u00ean g\u1ecdi kh\u00e1c nhau c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 paracetamol, trong \u0111\u00f3 v\u1edbi d\u1ea1ng vi\u00ean c\u00f3 h\u00e0m l\u01b0\u1ee3ng paracetamol m\u1ed7i vi\u00ean ph\u1ed5 bi\u1ebfn l\u00e0 500mg. Ngo\u00e0i ra, lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u1edf d\u1ea1ng vi\u00ean \u0111\u1eb7t h\u1eadu m\u00f4n, g\u00f3i b\u1ed9t ho\u1eb7c si-r\u00f4.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">C\u00e1c s\u1ea3n ph\u1ea9m thu\u1ed1c c\u00f3 th\u1ec3 ch\u1ee9a paracetamol \u0111\u01a1n thu\u1ea7n ho\u1eb7c ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c nh\u01b0: C\u00e1c ch\u1ea5t d\u1ea1ng thu\u1ed1c phi\u1ec7n (codein, tramadol), kh\u00e1ng histamine (chlorpheniramine), thu\u1ed1c co m\u1ea1ch gi\u00fap gi\u1ea3m ng\u1ea1t m\u0169i (phenylephrine), c\u00e1c thu\u1ed1c gi\u1ea3m ho nh\u01b0 dextromethorphan&#8230;<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">N\u1ebfu d\u00f9ng c\u00f9ng l\u00fac ho\u1eb7c li\u00ean ti\u1ebfp nhi\u1ec1u s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a c\u00f9ng ho\u1ea1t ch\u1ea5t paracetamol (trong tr\u01b0\u1eddng h\u1ee3p th\u1ea5y b\u1ec7nh kh\u00f4ng thuy\u00ean gi\u1ea3m ho\u1eb7c mu\u1ed1n d\u00f9ng nhi\u1ec1u thu\u1ed1c \u0111\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng m\u1ea1nh), d\u1eabn t\u1edbi t\u1ed5ng li\u1ec1u paracetamol h\u1eb1ng ng\u00e0y v\u01b0\u1ee3t qu\u00e1 quy \u0111\u1ecbnh s\u1ebd d\u1eabn t\u1edbi qu\u00e1 li\u1ec1u v\u00e0 ng\u1ed9 \u0111\u1ed9c l\u00fac n\u00e0o kh\u00f4ng bi\u1ebft.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">C\u00e1c bi\u1ec3u hi\u1ec7n ng\u1ed9 \u0111\u1ed9c ban \u0111\u1ea7u th\u01b0\u1eddng k\u00edn \u0111\u00e1o, th\u1eadm ch\u00ed kh\u00f4ng bi\u1ec3u hi\u1ec7n g\u00ec, ho\u1eb7c c\u00f3 th\u1ec3 l\u1eabn v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh g\u00e2y \u0111au, s\u1ed1t. Tuy nhi\u00ean, khi x\u00e9t nghi\u1ec7m s\u1ebd th\u1ea5y men gan t\u0103ng d\u1ea7n, b\u1eaft \u0111\u1ea7u t\u1eeb ng\u00e0y th\u1ee9 2, th\u1ee9 3 tr\u1edf \u0111i.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">V\u1edbi tr\u01b0\u1eddng h\u1ee3p ng\u1ed9 \u0111\u1ed9c do l\u1ea1m d\u1ee5ng thu\u1ed1c th\u00ec t\u1ed5n th\u01b0\u01a1ng gan c\u00f3 th\u1ec3 ch\u1eadm h\u01a1n. Khi b\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 t\u00ecnh tr\u1ea1ng v\u00e0ng da, ch\u00e1n \u0103n&#8230; t\u1ee9c l\u00e0 \u0111\u00e3 mu\u1ed9n. Khi c\u00f3 vi\u00eam gan n\u1eb7ng, ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 b\u1ecb suy gan, h\u00f4n m\u00ea gan, khi \u0111\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong t\u1edbi 50% ho\u1eb7c h\u01a1n.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">Ngo\u00e0i ra, khi l\u1ea1m d\u1ee5ng paracetamol c\u00f3 th\u1ec3 d\u1eabn t\u1edbi co m\u1ea1ch, xu\u1ea5t hi\u1ec7n c\u01a1n t\u0103ng huy\u1ebft \u00e1p, \u0111au tim, g\u00e2y m\u00ea s\u1ea3ng, \u1ea3o gi\u00e1c, t\u00e1o b\u00f3n, t\u1eafc ru\u1ed9t, co gi\u1eadt, lo\u1ea1n nh\u1ecbp tim&#8230; V\u1edbi tr\u1ebb nh\u1ecf, c\u00e1c th\u00e0nh ph\u1ea7n k\u1ebft h\u1ee3p c\u1ee7a thu\u1ed1c n\u00e0y \u0111\u1ec1u c\u00f3 nguy c\u01a1 g\u00e2y th\u1edf y\u1ebfu, ng\u1eebng th\u1edf.<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-2056 size-large\" src=\"https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/1-2-1024x768.png\" alt=\"\" width=\"800\" height=\"600\" srcset=\"https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/1-2-1024x768.png 1024w, https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/1-2-300x225.png 300w, https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/1-2-768x576.png 768w, https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/1-2-1536x1152.png 1536w, https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/1-2.png 1600w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p><strong><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">Kh\u00f4ng t\u1ef1 \u00fd mua thu\u1ed1c \u0111i\u1ec1u tr\u1ecb<\/span><\/strong><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">H\u00e0m l\u01b0\u1ee3ng paracetamol t\u1ed1i \u0111a v\u1edbi ng\u01b0\u1eddi Vi\u1ec7t Nam c\u00f3 th\u1ec3 tr\u1ea1ng trung b\u00ecnh v\u00e0 kh\u00f4ng c\u00f3 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 l\u00e0 kh\u00f4ng qu\u00e1 3 gram\/24 gi\u1edd v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, v\u00e0 tr\u1ebb em 15mg\/kg c\u00e2n n\u1eb7ng cho m\u1ed7i l\u1ea7n. B\u1ec7nh nh\u00e2n kh\u00f4ng s\u1eed d\u1ee5ng qu\u00e1 6 l\u1ea7n\/24 gi\u1edd. Tuy nhi\u00ean, tr\u00ean th\u1ef1c t\u1ebf c\u00e1c b\u00e1c s\u0129 khi k\u00ea thu\u1ed1c cho ng\u01b0\u1eddi b\u1ec7nh tr\u01b0\u1edfng th\u00e0nh ch\u1ec9 k\u00ea 1-1,5 gram paracetamol cho m\u1ed7i 24 gi\u1edd (t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 2-3 vi\u00ean lo\u1ea1i h\u00e0m l\u01b0\u1ee3ng 500mg). T\u1ed1t nh\u1ea5t l\u00e0 d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 th\u1ec3.<\/span><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">\u0110\u1ec3 s\u1eed d\u1ee5ng paracetamol an to\u00e0n, v\u1edbi ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, m\u1ed7i ng\u00e0y ch\u1ec9 n\u00ean d\u00f9ng 2 \u0111\u1ebfn 3 vi\u00ean paracetamol lo\u1ea1i 500mg. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n bi\u1ebft r\u00f5 t\u00ean v\u00e0 th\u00e0nh ph\u1ea7n c\u00e1c thu\u1ed1c \u0111ang d\u00f9ng v\u00e0 d\u00f9ng \u0111\u00fang h\u01b0\u1edbng d\u1eabn. Lu\u00f4n lu\u00f4n ch\u00fa \u00fd \u0111\u1ebfn c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c \u0111ang d\u00f9ng (\u0111\u1eb7c bi\u1ec7t m\u1ed9t s\u1ed1 thu\u1ed1c ch\u1eefa b\u1ec7nh lao ho\u1eb7c \u0111\u1ed9ng kinh l\u00e0m t\u0103ng \u0111\u1ed9c t\u00ednh c\u1ee7a paracetamol) v\u00e0 th\u1ec3 tr\u1ea1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 b\u1ecb ng\u1ed9 \u0111\u1ed9c paracetamol (nh\u01b0 ng\u01b0\u1eddi l\u1ea1m d\u1ee5ng r\u01b0\u1ee3u, g\u1ea7y y\u1ebfu, suy nh\u01b0\u1ee3c, \u0103n k\u00e9m, nhi\u1ec5m tr\u00f9ng n\u1eb7ng ho\u1eb7c c\u00e1c b\u1ec7nh g\u00e2y suy m\u00f2n).<\/span><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"aligncenter wp-image-2055 size-large\" src=\"https:\/\/hdzsoft.com\/wp-content\/uploads\/2021\/08\/2-2-1024x768.png\" alt=\"\" width=\"800\" height=\"600\" \/><\/p>\n<p><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">Theo c\u00e1c chuy\u00ean gia y t\u1ebf, c\u00e1c b\u1ec7nh nh\u00e2n nhi\u1ec5m COVID-19 \u0111\u1ec1u c\u00f3 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng nh\u01b0 ho, s\u1ed1t. Ng\u01b0\u1eddi d\u00e2n kh\u00f4ng t\u1ef1 \u00fd mua thu\u1ed1c \u0111\u1ec3 d\u1ef1 tr\u1eef, t\u1ef1 \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0 theo c\u00e1c th\u00f4ng tin ch\u01b0a c\u00f3 h\u01b0\u1edbng d\u1eabn ch\u00ednh th\u1ee9c t\u1eeb B\u1ed9 Y t\u1ebf. Kh\u00f4ng ch\u1ec9 l\u00e0 ng\u01b0\u1eddi t\u1eeb v\u00f9ng d\u1ecbch v\u1ec1 m\u00e0 b\u1ea5t k\u1ef3 ai khi c\u00f3 tri\u1ec7u ch\u1ee9ng ho, s\u1ed1t&#8230; n\u00ean li\u00ean h\u1ec7 ngay v\u1edbi c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn k\u1ecbp th\u1eddi.<\/span><\/p>\n<p><strong><span style=\"font-family: 'times new roman', times, serif; font-size: 14pt; color: #000000;\">TS.BS. Nguy\u1ec5n Trung Nguy\u00ean (Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Ch\u1ed1ng \u0111\u1ed9c &#8211; B\u1ec7nh vi\u1ec7n B\u1ea1ch Mai)<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tr\u01b0\u1edbc t\u00ecnh h\u00ecnh d\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i \u0111\u00e3 xu\u1ea5t hi\u1ec7n c\u00e1c h\u01b0\u1edbng d\u1eabn kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c v\u1ec1 c\u00e1ch t\u1ef1 ch\u1eefa COVID-19 t\u1ea1i nh\u00e0. Trong s\u1ed1 \u0111\u00f3 c\u00f3 m\u1ed9t h\u01b0\u1edbng d\u1eabn li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c paracetamol \u0111\u1ec3 ch\u1eefa tr\u1ecb tri\u1ec7u ch\u1ee9ng ho, s\u1ed1t, kh\u00f3 th\u1edf, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[35],"tags":[92,93,91],"acf":[],"yoast_head":"\n<title>C\u1ea2NH B\u00c1O NGUY C\u01a0 NG\u1ed8 \u0110\u1ed8C KHI L\u1ea0M D\u1ee4NG PARACETAMOL T\u1ef0 CH\u1eeeA COVID 19 - B\u1ec7nh vi\u1ec7n M\u1eaft H\u00e0 N\u1ed9i<\/title>\n<meta name=\"description\" content=\"Tr\u01b0\u1edbc t\u00ecnh h\u00ecnh d\u1ecbch COVID-19 \u0111ang di\u1ec5n bi\u1ebfn ph\u1ee9c t\u1ea1p, tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i \u0111\u00e3 xu\u1ea5t hi\u1ec7n c\u00e1c h\u01b0\u1edbng d\u1eabn kh\u00f4ng r\u00f5 ngu\u1ed3n g\u1ed1c v\u1ec1 c\u00e1ch t\u1ef1 ch\u1eefa COVID-19 t\u1ea1i nh\u00e0. 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