{"id":10263,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/acid-alendronic-thuoc-chong-loang-xuong\/"},"modified":"2024-03-17T02:32:50","modified_gmt":"2024-03-16T19:32:50","slug":"acid-alendronic-thuoc-chong-loang-xuong","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/acid-alendronic-thuoc-chong-loang-xuong\/","title":{"rendered":"Acid alendronic – Thu\u1ed1c ch\u1ed1ng lo\u00e3ng x\u01b0\u01a1ng"},"content":{"rendered":"

T\u00ean chung qu\u1ed1c t\u1ebf Acid alendronic <\/h2>\n

Alendronic acid <\/p>\n

D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Acid alendronic <\/h2>\n

Vi\u00ean n\u00e9n 5 mg, 10 mg, 40 mg (d\u1ea1ng alen- dronat natri). <\/p>\n

Ch\u1ec9 \u0111\u1ecbnh Acid alendronic <\/h2>\n

\u0110i\u1ec1u tr\u1ecb v\u00e0 d\u1ef1 ph\u00f2ng lo\u00e3ng x\u01b0\u01a1ng \u1edf ph\u1ee5 n\u1eef sau m\u00e3n kinh v\u00e0 lo\u00e3ng x\u01b0\u01a1ng do d\u00f9ng corticosteroid. \u0110i\u1ec1u tr\u1ecb b\u1ec7nh Paget. <\/p>\n

Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Acid alendronic <\/h2>\n

D\u1ecb d\u1ea1ng th\u1ef1c qu\u1ea3n l\u00e0m thu\u1ed1c ch\u1eadm tho\u00e1t ra kh\u1ecfi th\u1ef1c qu\u1ea3n (nh\u01b0 h\u1eb9p t\u00e2m v\u1ecb ho\u1eb7c t\u00e2m v\u1ecb kh\u00f4ng gi\u00e3n), h\u1ea1 calci huy\u1ebft, ph\u1ee5 n\u1eef mang thai (Ph\u1ee5 l\u1ee5c 2), ph\u1ee5 n\u1eef cho con b\u00fa. <\/p>\n

Th\u1eadn tr\u1ecdng Acid alendronic <\/h2>\n

Tai bi\u1ebfn \u1edf th\u1ef1c qu\u1ea3n (vi\u00eam, lo\u00e9t, co ch\u00edt th\u1ef1c qu\u1ea3n) c\u00f3 th\u1ec3 x\u1ea3y ra, \u0111\u1eb7c bi\u1ec7t \u1edf ng\u01b0\u1eddi kh\u00f4ng u\u1ed1ng thu\u1ed1c v\u1edbi m\u1ed9t c\u1ed1c n\u01b0\u1edbc \u0111\u1ea7y (180 – 240 ml) ho\u1eb7c n\u1eb1m sau khi u\u1ed1ng, c\u1ea7n theo d\u00f5i ch\u1eb7t ch\u1ebd. C\u1ea7n th\u1eadn tr\u1ecdng d\u00f9ng alendronat \u1edf ng\u01b0\u1eddi \u0111ang b\u1ecb nh\u1eefng b\u1ec7nh v\u1ec1 \u0111\u01b0\u1eddng ti\u00eau ho\u00e1 (nh\u01b0 kh\u00f3 nu\u1ed1t, c\u00e1c b\u1ec7nh v\u1ec1 th\u1ef1c qu\u1ea3n, vi\u00eam d\u1ea1 d\u00e0y, vi\u00eam ho\u1eb7c lo\u00e9t t\u00e1 tr\u00e0ng). H\u01b0\u1edbng d\u1eabn ng\u01b0\u1eddi b\u1ec7nh b\u1ed5 sung th\u00eam calci v\u00e0 vitamin D n\u1ebfu l\u01b0\u1ee3ng h\u00e0ng ng\u00e0y trong kh\u1ea9u ph\u1ea7n \u0103n kh\u00f4ng \u0111\u1ee7. Trong khi \u0111i\u1ec1u tr\u1ecb, c\u1ea7n theo d\u00f5i calci m\u00e1u. C\u1ea7n lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y lo\u00e3ng x\u01b0\u01a1ng. <\/p>\n

T\u01b0\u01a1ng t\u00e1c thu\u1ed1c Acid alendronic <\/h2>\n

(Ph\u1ee5 l\u1ee5c 1). <\/p>\n

Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Acid alendronic <\/h2>\n

C\u00e1ch d\u00f9ng: <\/em> \u0110\u1ec3 d\u1ec5 h\u1ea5p thu, c\u1ea7n u\u1ed1ng thu\u1ed1c v\u1edbi m\u1ed9t l\u01b0\u1ee3ng l\u1edbn n\u01b0\u1edbc (kho\u1ea3ng 180 – 240 ml, kh\u00f4ng d\u00f9ng n\u01b0\u1edbc kho\u00e1ng) \u00edt nh\u1ea5t 30 ph\u00fat tr\u01b0\u1edbc khi \u0103n, ho\u1eb7c u\u1ed1ng thu\u1ed1c kh\u00e1c. Kh\u00f4ng m\u00fat ho\u1eb7c nhai vi\u00ean thu\u1ed1c. Tr\u00e1nh n\u1eb1m \u00edt nh\u1ea5t 30 ph\u00fat sau khi u\u1ed1ng thu\u1ed1c \u0111\u1ec3 thu\u1ed1c v\u00e0o d\u1ea1 d\u00e0y d\u1ec5 d\u00e0ng v\u00e0 kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng th\u1ef1c qu\u1ea3n. Kh\u00f4ng n\u00ean u\u1ed1ng thu\u1ed1c v\u00e0o l\u00fac \u0111i ng\u1ee7. <\/p>\n

Li\u1ec1u d\u00f9ng: <\/em> \u0110i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng cho ph\u1ee5 n\u1eef sau m\u00e3n kinh: U\u1ed1ng 10 mg, 1 l\u1ea7n\/ng\u00e0y. \u0110\u1ec3 d\u1ef1 ph\u00f2ng lo\u00e3ng x\u01b0\u01a1ng \u1edf ph\u1ee5 n\u1eef sau m\u00e3n kinh: U\u1ed1ng 5 mg, 1 l\u1ea7n\/ng\u00e0y. <\/p>\n

D\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb lo\u00e3ng x\u01b0\u01a1ng do d\u00f9ng corticosteroid: <\/em> 5 mg\/ng\u00e0y, v\u1edbi ph\u1ee5 n\u1eef sau m\u00e3n kinh kh\u00f4ng d\u00f9ng li\u1ec7u ph\u00e1p thay th\u1ebf hormon th\u00ec d\u00f9ng li\u1ec1u 10 mg\/ng\u00e0y. <\/p>\n

B\u1ec7nh x\u01b0\u01a1ng Paget: <\/em> Ng\u01b0\u1eddi l\u1edbn 40 mg\/l\u1ea7n\/ng\u00e0y, trong 6 th\u00e1ng. Ng\u01b0\u1eddi cao tu\u1ed5i, suy th\u1eadn nh\u1eb9 ho\u1eb7c v\u1eeba (\u0111\u1ed9 thanh th\u1ea3i creatinin 35 – 60 ml\/ph\u00fat): kh\u00f4ng c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u. <\/p>\n

Suy th\u1eadn n\u1eb7ng (\u0111\u1ed9 thanh th\u1ea3i creatinin < 35 ml\/ph\u00fat): ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh. Suy gan: Ch\u01b0a nghi\u00ean c\u1ee9u, nh\u01b0ng li\u1ec1u kh\u00f4ng c\u1ea7n ph\u1ea3i \u0111i\u1ec1u ch\u1ec9nh. <\/p>\n

T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Acid alendronic <\/h2>\n

C\u00e1c ADR th\u01b0\u1eddng nh\u1eb9 v\u00e0 n\u00f3i chung kh\u00f4ng ph\u1ea3i ng\u1eebng thu\u1ed1c, ADR hay g\u1eb7p nh\u1ea5t khi \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Paget v\u1edbi li\u1ec1u 40 mg\/ng\u00e0y l\u00e0 \u0111\u1ea7y h\u01a1i, tr\u00e0o ng\u01b0\u1ee3c acid, vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n, nu\u1ed1t kh\u00f3, ch\u01b0\u1edbng b\u1ee5ng, vi\u00eam d\u1ea1 d\u00e0y, nh\u1ee9c \u0111\u1ea7u, ban da. \u0110au c\u01a1, kh\u00f3 ch\u1ecbu v\u00e0 s\u1ed1t khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb. C\u1ef1c k\u1ef3 hi\u1ebfm: h\u1ed9i ch\u1ee9ng Stevens-Johnson. <\/p>\n

Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Acid alendronic <\/h2>\n

Tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u th\u01b0\u1eddng \u1edf \u0111\u01b0\u1eddng ti\u00eau ho\u00e1, nh\u01b0 \u1ee3 n\u00f3ng, vi\u00eam th\u1ef1c qu\u1ea3n, vi\u00eam ho\u1eb7c lo\u00e9t d\u1ea1 d\u00e0y. N\u00ean u\u1ed1ng s\u1eefa v\u00e0 c\u00e1c ch\u1ea5t kh\u00e1ng acid \u0111\u1ec3 li\u00ean k\u1ebft alendronat. Kh\u00f4ng g\u00e2y n\u00f4n v\u00e0 \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh ng\u1ed3i th\u1eb3ng \u0111\u1ee9ng \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 k\u00edch \u1ee9ng th\u1ef1c qu\u1ea3n. Th\u1ea9m t\u00e1ch kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3. <\/p>\n

\u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Acid alendronic <\/h2>\n

B\u1ea3o qu\u1ea3n trong bao b\u00ec k\u00edn, \u1edf nhi\u1ec7t \u0111\u1ed9 15 – 30 o <\/sup> C. <\/p>\n<\/p>\n

http:\/\/nidqc.org.vn\/duocthu\/189\/ <\/p>\n","protected":false},"excerpt":{"rendered":"

T\u00ean chung qu\u1ed1c t\u1ebf Acid alendronic. Thu\u1ed1c ch\u1ed1ng lo\u00e3ng x\u01b0\u01a1ng. Thu\u1ed1c gi\u1ea3m \u0111au, h\u1ea1 s\u1ed1t, ch\u1ed1ng vi\u00eam<\/p>\n","protected":false},"author":143,"featured_media":10264,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5377,5379,5316,5560,5378,5317],"tags":[],"series":[],"coauthors":[],"acf":[],"yoast_head":"\nAcid alendronic - Thu\u1ed1c ch\u1ed1ng lo\u00e3ng x\u01b0\u01a1ng - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Acid alendronic - Thu\u1ed1c ch\u1ed1ng lo\u00e3ng x\u01b0\u01a1ng - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/du-an-khac\/acid-alendronic-thuoc-chong-loang-xuong\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Acid alendronic - 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