{"id":5663,"date":"2025-10-04T01:30:53","date_gmt":"2025-10-03T18:30:53","guid":{"rendered":"https:\/\/beta.bookdentist.vn\/blog\/?p=5663"},"modified":"2025-12-10T08:37:03","modified_gmt":"2025-12-10T01:37:03","slug":"thuoc-te-nho-rang-co-tac-dung-trong-bao-lau","status":"publish","type":"post","link":"https:\/\/bookdentist.vn\/blog\/thuoc-te-nho-rang-co-tac-dung-trong-bao-lau\/","title":{"rendered":"Gi\u1ea3i th\u00edch v\u1ec1 thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng c\u00f3 t\u00e1c d\u1ee5ng trong bao l\u00e2u?"},"content":{"rendered":"

Thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng c\u00f3 t\u00e1c d\u1ee5ng trong bao l\u00e2u<\/i><\/b> l\u00e0 th\u1eafc m\u1eafc th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ai chu\u1ea9n b\u1ecb nh\u1ed5 r\u0103ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 r\u0103ng kh\u00f4n s\u1ed1 8. Lo l\u1eafng l\u1edbn nh\u1ea5t c\u1ee7a nhi\u1ec1u b\u1ec7nh nh\u00e2n l\u00e0 c\u1ea3m gi\u00e1c \u0111au nh\u1ee9c khi b\u00e1c s\u0129 can thi\u1ec7p. Tr\u00ean th\u1ef1c t\u1ebf, v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a thu\u1ed1c t\u00ea, qu\u00e1 tr\u00ecnh nh\u1ed5 r\u0103ng di\u1ec5n ra nh\u1eb9 nh\u00e0ng v\u00e0 h\u1ea7u nh\u01b0 kh\u00f4ng g\u00e2y \u0111au.<\/span><\/i><\/p>\n

Theo th\u1ed1ng k\u00ea c\u1ee7a Hi\u1ec7p h\u1ed9i Nha khoa Hoa K\u1ef3 (American Dental Association – ADA, 2023), c\u00f3 \u0111\u1ebfn 92% b\u1ec7nh nh\u00e2n cho bi\u1ebft h\u1ecd kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au \u0111\u1edbn trong su\u1ed1t qu\u00e1 tr\u00ecnh nh\u1ed5 r\u0103ng khi \u0111\u01b0\u1ee3c g\u00e2y t\u00ea \u0111\u00fang c\u00e1ch. Tuy nhi\u00ean, hi\u1ec7u qu\u1ea3 thu\u1ed1c t\u00ea k\u00e9o d\u00e0i bao l\u00e2u, c\u00f3 \u1ea3nh h\u01b0\u1edfng g\u00ec \u0111\u1ebfn s\u1ee9c kh\u1ecfe, v\u00e0 sau khi nh\u1ed5 r\u0103ng c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c g\u00ec \u0111\u1ec3 gi\u1ea3m \u0111au, ch\u1ed1ng vi\u00eam th\u00ec kh\u00f4ng ph\u1ea3i ai c\u0169ng n\u1eafm r\u00f5.<\/span><\/p>\n

\"\u00a0C\u00f3
C\u00f3 \u0111\u1ebfn 92% b\u1ec7nh nh\u00e2n cho bi\u1ebft h\u1ecd kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au \u0111\u1edbn trong su\u1ed1t qu\u00e1 tr\u00ecnh nh\u1ed5 r\u0103ng khi \u0111\u01b0\u1ee3c g\u00e2y t\u00ea \u0111\u00fang c\u00e1ch<\/figcaption><\/figure>\n

Thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng c\u00f3 t\u00e1c d\u1ee5ng trong bao l\u00e2u?<\/span><\/h2>\n

\u0110\u1ec3 tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi n\u00e0y, c\u1ea7n hi\u1ec3u c\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a thu\u1ed1c t\u00ea trong nha khoa. Khi ti\u00eam v\u00e0o v\u00f9ng c\u1ea7n nh\u1ed5 r\u0103ng, thu\u1ed1c t\u00ea s\u1ebd \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n th\u1ea7n kinh ngo\u1ea1i bi\u00ean, khi\u1ebfn c\u00e1c t\u00edn hi\u1ec7u \u0111au kh\u00f4ng \u0111\u01b0\u1ee3c truy\u1ec1n v\u1ec1 n\u00e3o. Nh\u1edd v\u1eady, trong qu\u00e1 tr\u00ecnh nh\u1ed5 r\u0103ng, b\u1ec7nh nh\u00e2n v\u1eabn t\u1ec9nh t\u00e1o, c\u00f3 th\u1ec3 c\u1ea3m nh\u1eadn s\u1ef1 t\u00e1c \u0111\u1ed9ng nh\u01b0 rung, l\u1eafc, nh\u01b0ng kh\u00f4ng th\u1ea5y \u0111au.<\/span><\/p>\n

Th\u1eddi gian duy tr\u00ec c\u1ee7a thu\u1ed1c t\u00ea ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u01a1 \u0111\u1ecba t\u1eebng ng\u01b0\u1eddi. C\u00e1c lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn hi\u1ec7n nay g\u1ed3m Lidocaine, Articaine v\u00e0 Bupivacaine.<\/span><\/p>\n

Th\u1eddi gian t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c lo\u1ea1i thu\u1ed1c t\u00ea th\u01b0\u1eddng d\u00f9ng:<\/span><\/p>\n

    \n
  • Lidocaine 2%: th\u1eddi gian duy tr\u00ec t\u1eeb 1 \u0111\u1ebfn 2 gi\u1edd, th\u01b0\u1eddng d\u00f9ng trong nh\u1eefng ca nh\u1ed5 r\u0103ng \u0111\u01a1n gi\u1ea3n.<\/span><\/li>\n
  • Articaine 4%: th\u1eddi gian k\u00e9o d\u00e0i 2 \u0111\u1ebfn 3 gi\u1edd, c\u00f3 t\u00e1c d\u1ee5ng m\u1ea1nh h\u01a1n v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nh\u1ed5 r\u0103ng kh\u00f4n m\u1ecdc l\u1ec7ch, m\u1ecdc ng\u1ea7m.<\/span><\/li>\n
  • Bupivacaine 0,5%: th\u1eddi gian k\u00e9o d\u00e0i 4 \u0111\u1ebfn 8 gi\u1edd, th\u00edch h\u1ee3p cho nh\u1eefng ca ph\u1eabu thu\u1eadt ph\u1ee9c t\u1ea1p, v\u1ebft m\u1ed5 l\u1edbn, h\u1ea1n ch\u1ebf c\u01a1n \u0111au k\u00e9o d\u00e0i sau khi th\u1ee7 thu\u1eadt k\u1ebft th\u00fac.<\/span><\/li>\n<\/ul>\n

    Theo T\u1ea1p ch\u00ed Dental Anesthesia and Pain Medicine (2022), hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c t\u00ea c\u00f3 th\u1ec3 dao \u0111\u1ed9ng t\u00f9y v\u00e0o t\u1eebng c\u00e1 nh\u00e2n. Trung b\u00ecnh, t\u00e1c d\u1ee5ng duy tr\u00ec t\u1eeb 1 \u0111\u1ebfn 3 gi\u1edd l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t. \u0110\u00e2y l\u00e0 kho\u1ea3ng th\u1eddi gian \u0111\u1ee7 \u0111\u1ec3 b\u00e1c s\u0129 ho\u00e0n th\u00e0nh th\u1ee7 thu\u1eadt nh\u1ed5 r\u0103ng trong \u0111i\u1ec1u ki\u1ec7n an to\u00e0n v\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ea5y \u0111au.<\/span><\/p>\n

    Ti\u00eam thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng c\u00f3 \u1ea3nh h\u01b0\u1edfng g\u00ec kh\u00f4ng?<\/span><\/h2>\n

    M\u1ed9t trong nh\u1eefng lo l\u1eafng ph\u1ed5 bi\u1ebfn c\u1ee7a b\u1ec7nh nh\u00e2n l\u00e0 ti\u00eam thu\u1ed1c t\u00ea li\u1ec7u c\u00f3 g\u00e2y nguy hi\u1ec3m cho s\u1ee9c kh\u1ecfe hay kh\u00f4ng. Th\u1ef1c t\u1ebf, c\u00e1c lo\u1ea1i thu\u1ed1c t\u00ea nha khoa \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u, ki\u1ec3m nghi\u1ec7m nghi\u00eam ng\u1eb7t v\u00e0 s\u1eed d\u1ee5ng trong h\u00e0ng tri\u1ec7u ca ti\u1ec3u ph\u1eabu r\u0103ng mi\u1ec7ng tr\u00ean to\u00e0n th\u1ebf gi\u1edbi.<\/span><\/p>\n

    T\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p<\/b><\/p>\n

      \n
    • C\u1ea3m gi\u00e1c t\u00ea c\u1ee9ng m\u00f4i, m\u00e1, l\u01b0\u1ee1i trong v\u00e0i gi\u1edd sau ti\u00eam. \u0110\u00e2y l\u00e0 ph\u1ea3n \u1ee9ng b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng g\u00e2y h\u1ea1i.<\/span><\/li>\n
    • C\u1ea3m gi\u00e1c h\u01a1i cho\u00e1ng, bu\u1ed3n n\u00f4n ho\u1eb7c nh\u1ee9c \u0111\u1ea7u nh\u1eb9, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi qu\u00e1 lo l\u1eafng tr\u01b0\u1edbc khi nh\u1ed5 r\u0103ng.<\/span><\/li>\n
    • V\u1ecb \u0111\u1eafng kh\u00f3 ch\u1ecbu trong khoang mi\u1ec7ng do thu\u1ed1c lan xu\u1ed1ng h\u1ea7u h\u1ecdng.<\/span><\/li>\n<\/ul>\n

      Bi\u1ebfn ch\u1ee9ng hi\u1ebfm g\u1eb7p<\/b><\/p>\n

      Theo b\u00e1o c\u00e1o c\u1ee7a British Dental Journal (2021), bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng do thu\u1ed1c t\u00ea ch\u1ec9 chi\u1ebfm d\u01b0\u1edbi 0,1% t\u1ed5ng s\u1ed1 ca. Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p c\u00f3 th\u1ec3 bao g\u1ed3m:<\/span><\/p>\n

        \n
      • D\u1ecb \u1ee9ng thu\u1ed1c t\u00ea v\u1edbi bi\u1ec3u hi\u1ec7n n\u1ed5i m\u1ec1 \u0111ay, kh\u00f3 th\u1edf ho\u1eb7c s\u1ed1c ph\u1ea3n v\u1ec7.<\/span><\/li>\n
      • R\u1ed1i lo\u1ea1n tim m\u1ea1ch n\u1ebfu d\u00f9ng li\u1ec1u cao tr\u00ean b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh l\u00fd tim m\u1ea1ch n\u1eb7ng.<\/span><\/li>\n
      • Nhi\u1ec5m tr\u00f9ng t\u1ea1i v\u1ecb tr\u00ed ti\u00eam n\u1ebfu quy tr\u00ecnh v\u00f4 khu\u1ea9n kh\u00f4ng \u0111\u1ea3m b\u1ea3o.<\/span><\/li>\n<\/ul>\n

        Nh\u01b0 v\u1eady, c\u00f3 th\u1ec3 kh\u1eb3ng \u0111\u1ecbnh thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng an to\u00e0n n\u1ebfu \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang li\u1ec1u v\u00e0 \u0111\u00fang k\u1ef9 thu\u1eadt b\u1edfi b\u00e1c s\u0129 chuy\u00ean khoa. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n khai b\u00e1o \u0111\u1ea7y \u0111\u1ee7 ti\u1ec1n s\u1eed b\u1ec7nh l\u00fd, d\u1ecb \u1ee9ng thu\u1ed1c v\u00e0 thu\u1ed1c \u0111ang s\u1eed d\u1ee5ng \u0111\u1ec3 b\u00e1c s\u0129 c\u00f3 ph\u01b0\u01a1ng \u00e1n ph\u00f9 h\u1ee3p.<\/span><\/p>\n

        Thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng bao l\u00e2u h\u1ebft t\u00e1c d\u1ee5ng?<\/span><\/h2>\n

        Th\u00f4ng th\u01b0\u1eddng, thu\u1ed1c t\u00ea s\u1ebd tan d\u1ea7n sau 2 \u0111\u1ebfn 3 gi\u1edd. L\u00fac n\u00e0y, v\u00f9ng m\u00f4i, m\u00e1 v\u00e0 l\u01b0\u1ee1i kh\u00f4ng c\u00f2n t\u00ea, ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u1ea1i. Khi thu\u1ed1c t\u00ea m\u1ea5t t\u00e1c d\u1ee5ng, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y \u0111au nh\u1ee9c ho\u1eb7c \u00ea bu\u1ed1t t\u1ea1i v\u1ecb tr\u00ed nh\u1ed5.<\/span><\/p>\n

        \u0110\u1ec3 ki\u1ec3m so\u00e1t c\u01a1n \u0111au, b\u00e1c s\u0129 th\u01b0\u1eddng k\u00ea th\u00eam c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0:<\/span><\/p>\n

          \n
        • Thu\u1ed1c gi\u1ea3m \u0111au: Paracetamol, Ibuprofen.<\/span><\/li>\n
        • Thu\u1ed1c kh\u00e1ng vi\u00eam: Alpha Chymotrypsin, Meloxicam.<\/span><\/li>\n
        • Kh\u00e1ng sinh: s\u1eed d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/span><\/li>\n<\/ul>\n

          Nh\u1edd s\u1ef1 ph\u1ed1i h\u1ee3p n\u00e0y, c\u01a1n \u0111au \u0111\u01b0\u1ee3c kh\u1ed1ng ch\u1ebf hi\u1ec7u qu\u1ea3, gi\u00fap b\u1ec7nh nh\u00e2n h\u1ed3i ph\u1ee5c thu\u1eadn l\u1ee3i. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean t\u1ef1 \u00fd u\u1ed1ng th\u00eam thu\u1ed1c gi\u1ea3m \u0111au ngo\u00e0i \u0111\u01a1n, v\u00ec c\u00f3 th\u1ec3 g\u00e2y t\u01b0\u01a1ng t\u00e1c ho\u1eb7c qu\u00e1 li\u1ec1u.<\/span><\/p>\n

          Gi\u1ea3i \u0111\u00e1p th\u1eafc m\u1eafc v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c khi nh\u1ed5 r\u0103ng<\/span><\/h2>\n

          Ngo\u00e0i thu\u1ed1c t\u00ea, b\u1ec7nh nh\u00e2n c\u0169ng th\u01b0\u1eddng quan t\u00e2m \u0111\u1ebfn c\u00e1c lo\u1ea1i thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c b\u00e1c s\u0129 k\u00ea \u0111\u01a1n sau khi nh\u1ed5 r\u0103ng. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c h\u1ee3p l\u00fd gi\u00fap ki\u1ec3m so\u00e1t \u0111au, gi\u1ea3m s\u01b0ng v\u00e0 ng\u0103n ng\u1eeba bi\u1ebfn ch\u1ee9ng.<\/span><\/p>\n

          C\u00e1c nh\u00f3m thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea<\/b><\/p>\n

            \n
          • Thu\u1ed1c gi\u1ea3m \u0111au h\u1ea1 s\u1ed1t: Paracetamol, Ibuprofen, Diclofenac.<\/span><\/li>\n
          • Kh\u00e1ng sinh: Amoxicillin, Azithromycin, Clindamycin.<\/span><\/li>\n
          • Thu\u1ed1c ch\u1ed1ng vi\u00eam v\u00e0 ch\u1ed1ng ph\u00f9 n\u1ec1: Alpha Chymotrypsin, Prednisolone.<\/span><\/li>\n
          • Dung d\u1ecbch s\u00fac mi\u1ec7ng s\u00e1t khu\u1ea9n: Chlorhexidine 0,12%.<\/span><\/li>\n<\/ul>\n

            L\u1ef1a ch\u1ecdn thu\u1ed1c ph\u1ee5 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ec7nh nh\u00e2n, \u0111\u1ed9 ph\u1ee9c t\u1ea1p c\u1ee7a ca nh\u1ed5 r\u0103ng v\u00e0 ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng. B\u1ec7nh nh\u00e2n tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u00fd mua thu\u1ed1c b\u00ean ngo\u00e0i, m\u00e0 n\u00ean tu\u00e2n th\u1ee7 \u0111\u00fang \u0111\u01a1n k\u00ea c\u1ee7a b\u00e1c s\u0129.<\/span><\/p>\n

            U\u1ed1ng thu\u1ed1c g\u00ec sau khi nh\u1ed5 r\u0103ng s\u1ed1 8?<\/b><\/p>\n

            Nh\u1ed5 r\u0103ng s\u1ed1 8, hay r\u0103ng kh\u00f4n, th\u01b0\u1eddng ph\u1ee9c t\u1ea1p h\u01a1n c\u00e1c r\u0103ng kh\u00e1c do v\u1ecb tr\u00ed kh\u00f3, ch\u00e2n r\u0103ng m\u1ecdc l\u1ec7ch ho\u1eb7c m\u1ecdc ng\u1ea7m. Sau khi nh\u1ed5, v\u1ebft th\u01b0\u01a1ng l\u1edbn v\u00e0 c\u00f3 nguy c\u01a1 vi\u00eam nhi\u1ec5m cao h\u01a1n.<\/span><\/p>\n

            Th\u00f4ng th\u01b0\u1eddng, b\u00e1c s\u0129 s\u1ebd k\u00ea \u0111\u01a1n g\u1ed3m:<\/span><\/p>\n

              \n
            • Kh\u00e1ng sinh: Amoxicillin, Cephalexin. N\u1ebfu b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng Penicillin th\u00ec thay b\u1eb1ng Erythromycin.<\/span><\/li>\n
            • Thu\u1ed1c gi\u1ea3m \u0111au: Paracetamol ho\u1eb7c Paracetamol k\u1ebft h\u1ee3p Codeine.<\/span><\/li>\n
            • Thu\u1ed1c kh\u00e1ng vi\u00eam v\u00e0 ch\u1ed1ng ph\u00f9 n\u1ec1: Alpha Chymotrypsin, NSAIDs.<\/span><\/li>\n
            • S\u00fac mi\u1ec7ng s\u00e1t khu\u1ea9n: Chlorhexidine.<\/span><\/li>\n<\/ul>\n
              \"M\u1ed9t
              M\u1ed9t l\u01b0u \u00fd quan tr\u1ecdng l\u00e0 kh\u00f4ng d\u00f9ng Aspirin sau khi nh\u1ed5 r\u0103ng, b\u1edfi thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y k\u00e9o d\u00e0i th\u1eddi gian ch\u1ea3y m\u00e1u.<\/figcaption><\/figure>\n

              U\u1ed1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 nh\u1ed5 r\u0103ng \u0111\u01b0\u1ee3c kh\u00f4ng?<\/b><\/p>\n

              \u0110\u00e2y l\u00e0 c\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh tim m\u1ea1ch ho\u1eb7c c\u00f3 nguy c\u01a1 huy\u1ebft kh\u1ed1i \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng. Theo Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Hoa K\u1ef3 (AHA, 2022), b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng v\u1eabn c\u00f3 th\u1ec3 nh\u1ed5 r\u0103ng nh\u01b0ng ph\u1ea3i \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd.<\/span><\/p>\n

              \u0110i\u1ec1u ki\u1ec7n c\u1ea7n thi\u1ebft:<\/span><\/p>\n

                \n
              • Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 bi\u1ebft lo\u1ea1i thu\u1ed1c v\u00e0 li\u1ec1u l\u01b0\u1ee3ng \u0111ang s\u1eed d\u1ee5ng, v\u00ed d\u1ee5 warfarin, aspirin, clopidogrel.<\/span><\/li>\n
              • Th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 ch\u1ec9 s\u1ed1 INR tr\u01b0\u1edbc khi nh\u1ed5 r\u0103ng.<\/span><\/li>\n
              • Nh\u1ed5 r\u0103ng t\u1ea1i c\u01a1 s\u1edf y t\u1ebf uy t\u00edn, c\u00f3 kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t bi\u1ebfn ch\u1ee9ng ch\u1ea3y m\u00e1u.<\/span><\/li>\n<\/ul>\n

                Nh\u01b0 v\u1eady, b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u v\u1eabn nh\u1ed5 r\u0103ng \u0111\u01b0\u1ee3c nh\u01b0ng ph\u1ea3i \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u00e0 gi\u00e1m s\u00e1t nghi\u00eam ng\u1eb7t b\u1edfi b\u00e1c s\u0129.<\/span><\/p>\n

                Nh\u1ed5 r\u0103ng u\u1ed1ng kh\u00e1ng sinh g\u00ec?<\/b><\/p>\n

                Trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng kh\u00e1ng sinh \u0111\u1ec3 ng\u0103n ng\u1eeba nhi\u1ec5m tr\u00f9ng sau khi nh\u1ed5 r\u0103ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1ed5 r\u0103ng kh\u00f4n ho\u1eb7c nh\u1eefng r\u0103ng c\u00f3 t\u00ecnh tr\u1ea1ng vi\u00eam nhi\u1ec5m.<\/span><\/p>\n

                C\u00e1c lo\u1ea1i kh\u00e1ng sinh th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea:<\/span><\/p>\n

                  \n
                • Amoxicillin k\u1ebft h\u1ee3p Clavulanic acid: c\u00f3 ph\u1ed5 r\u1ed9ng, hi\u1ec7u qu\u1ea3 cao trong ki\u1ec3m so\u00e1t vi khu\u1ea9n.<\/span><\/li>\n
                • Azithromycin: l\u1ef1a ch\u1ecdn thay th\u1ebf khi b\u1ec7nh nh\u00e2n d\u1ecb \u1ee9ng v\u1edbi nh\u00f3m Penicillin.<\/span><\/li>\n
                • Clindamycin: d\u00f9ng cho tr\u01b0\u1eddng h\u1ee3p nhi\u1ec5m tr\u00f9ng n\u1eb7ng, vi\u00eam lan t\u1ecfa.<\/span><\/li>\n<\/ul>\n

                  Th\u1eddi gian u\u1ed1ng kh\u00e1ng sinh th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 5 \u0111\u1ebfn 7 ng\u00e0y. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u00fang ph\u00e1c \u0111\u1ed3, kh\u00f4ng t\u1ef1 \u00fd d\u1eebng thu\u1ed1c gi\u1eefa ch\u1eebng \u0111\u1ec3 tr\u00e1nh kh\u00e1ng thu\u1ed1c.<\/span><\/p>\n

                  U\u1ed1ng kh\u00e1ng sinh tr\u01b0\u1edbc khi nh\u1ed5 r\u0103ng c\u00f3 \u0111\u01b0\u1ee3c kh\u00f4ng?<\/b><\/p>\n

                  M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ngh\u0129 r\u1eb1ng u\u1ed1ng kh\u00e1ng sinh tr\u01b0\u1edbc khi nh\u1ed5 r\u0103ng s\u1ebd ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y kh\u00f4ng c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng.<\/span><\/p>\n

                  Theo khuy\u1ebfn c\u00e1o c\u1ee7a Trung t\u00e2m Ki\u1ec3m so\u00e1t v\u00e0 Ph\u00f2ng ng\u1eeba D\u1ecbch b\u1ec7nh Hoa K\u1ef3 (CDC, 2021), ch\u1ec9 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao nh\u01b0 b\u1ec7nh tim m\u1ea1ch, ti\u1ec3u \u0111\u01b0\u1eddng, suy gi\u1ea3m mi\u1ec5n d\u1ecbch m\u1edbi c\u1ea7n d\u00f9ng kh\u00e1ng sinh d\u1ef1 ph\u00f2ng tr\u01b0\u1edbc nh\u1ed5 r\u0103ng. Vi\u1ec7c t\u1ef1 \u00fd u\u1ed1ng kh\u00e1ng sinh c\u00f3 th\u1ec3 g\u00e2y t\u00ecnh tr\u1ea1ng kh\u00e1ng thu\u1ed1c, l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb v\u1ec1 sau.<\/span><\/p>\n

                  T\u00f3m l\u1ea1i, kh\u00e1ng sinh ch\u1ec9 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tr\u01b0\u1edbc nh\u1ed5 r\u0103ng khi c\u00f3 ch\u1ec9 \u0111\u1ecbnh r\u00f5 r\u00e0ng t\u1eeb b\u00e1c s\u0129.<\/span><\/p>\n

                  Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1eb7c bi\u1ec7t nh\u01b0 \u0111ang d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u ho\u1eb7c c\u00f3 b\u1ec7nh l\u00fd n\u1ec1n c\u1ea7n \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m k\u1ef9 c\u00e0ng v\u00e0 nh\u1ed5 r\u0103ng t\u1ea1i c\u01a1 s\u1edf y t\u1ebf uy t\u00edn. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, t\u1eeb thu\u1ed1c t\u00ea \u0111\u1ebfn kh\u00e1ng sinh, c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n.<\/span><\/p>\n

                  Ch\u00eca kh\u00f3a quan tr\u1ecdng nh\u1ea5t gi\u00fap nh\u1ed5 r\u0103ng di\u1ec5n ra nh\u1eb9 nh\u00e0ng v\u00e0 kh\u00f4ng bi\u1ebfn ch\u1ee9ng l\u00e0 l\u1ef1a ch\u1ecdn nha khoa uy t\u00edn, b\u00e1c s\u0129 gi\u00e0u kinh nghi\u1ec7m v\u00e0 khai b\u00e1o \u0111\u1ea7y \u0111\u1ee7 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n

                  Thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng c\u00f3 t\u00e1c d\u1ee5ng trong bao l\u00e2u<\/b> t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, nh\u01b0ng th\u01b0\u1eddng duy tr\u00ec t\u1eeb 1 \u0111\u1ebfn 3 gi\u1edd. Trong kho\u1ea3ng th\u1eddi gian n\u00e0y, b\u1ec7nh nh\u00e2n ho\u00e0n to\u00e0n tho\u1ea3i m\u00e1i, kh\u00f4ng c\u1ea3m th\u1ea5y \u0111au. Sau khi thu\u1ed1c t\u00ea h\u1ebft t\u00e1c d\u1ee5ng, b\u00e1c s\u0129 s\u1ebd k\u00ea th\u00eam thu\u1ed1c gi\u1ea3m \u0111au, kh\u00e1ng vi\u00eam v\u00e0 kh\u00e1ng sinh \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng s\u01b0ng \u0111au v\u00e0 ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

                  Thu\u1ed1c t\u00ea nh\u1ed5 r\u0103ng c\u00f3 t\u00e1c d\u1ee5ng trong bao l\u00e2u l\u00e0 th\u1eafc m\u1eafc th\u01b0\u1eddng g\u1eb7p \u1edf nh\u1eefng ai chu\u1ea9n b\u1ecb nh\u1ed5 r\u0103ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 r\u0103ng kh\u00f4n s\u1ed1 8. Lo l\u1eafng l\u1edbn nh\u1ea5t c\u1ee7a nhi\u1ec1u b\u1ec7nh nh\u00e2n l\u00e0 c\u1ea3m gi\u00e1c \u0111au nh\u1ee9c khi b\u00e1c s\u0129 can thi\u1ec7p. Tr\u00ean th\u1ef1c t\u1ebf, v\u1edbi s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a…<\/p>\n","protected":false},"author":1,"featured_media":5665,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[83],"tags":[],"class_list":["post-5663","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nho-rang-an-toan"],"_links":{"self":[{"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/posts\/5663","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/comments?post=5663"}],"version-history":[{"count":1,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/posts\/5663\/revisions"}],"predecessor-version":[{"id":5666,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/posts\/5663\/revisions\/5666"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/media\/5665"}],"wp:attachment":[{"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/media?parent=5663"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/categories?post=5663"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bookdentist.vn\/blog\/wp-json\/wp\/v2\/tags?post=5663"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}