{"id":10616,"date":"2013-12-22T17:00:00","date_gmt":"2013-12-22T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/quinin-thuoc-chong-sot-ret\/"},"modified":"2024-03-17T02:41:50","modified_gmt":"2024-03-16T19:41:50","slug":"quinin-thuoc-chong-sot-ret","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/","title":{"rendered":"Quinin &#8211; Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t"},"content":{"rendered":"<div class=\"entry-content\">\n<h2 id=\"ten-chung-quoc-te-quinin\">     T\u00ean chung qu\u1ed1c t\u1ebf Quinin    <\/h2>\n<p>     Quinine    <\/p>\n<h2 id=\"dang-thuoc-va-ham-luong-quinin\">     D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Quinin    <\/h2>\n<p>     Vi\u00ean n\u00e9n quinin sulfat ho\u1eb7c bisulfat 125 mg, 200 mg, 250 mg 300 mg. \u1ed1ng ti\u00eam quinin dihydroclorid ho\u1eb7c quinin hydroclorid 300 mg\/1ml, 600 mg\/2ml, 500 mg\/2 ml.    <\/p>\n<p style=\"text-align: center;\">     <img decoding=\"async\" alt=\"quinin---thuoc-chong-sot-ret\" src=\"\/\/yhoccongdong.org\/Documents\/1449_quinin---thuoc-chong-sot-ret.jpg\" style=\"width: 400px; height: 300px;\"\/>    <\/p>\n<p style=\"text-align: center;\">     <em>      Hi\u0300nh\u00a0Quinin &#8211; Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t     <\/em>    <\/p>\n<h2 id=\"chi-dinh-quinin\">     Ch\u1ec9 \u0111\u1ecbnh Quinin    <\/h2>\n<p>     \u0110i\u1ec1u tr\u1ecb s\u1ed1t r\u00e9t do P. falciparum \u0111a kh\u00e1ng thu\u1ed1c v\u00e0 s\u1ed1t r\u00e9t \u00e1c t\u00ednh.    <\/p>\n<h2 id=\"chong-chi-dinh-quinin\">     Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh Quinin    <\/h2>\n<p>     M\u1eabn c\u1ea3m v\u1edbi quinin v\u00e0 quinidin; \u00f9 tai; vi\u00eam d\u00e2y th\u1ea7n kinh th\u1ecb gi\u00e1c, hemoglobin-ni\u1ec7u.    <\/p>\n<h2 id=\"than-trong-quinin\">     Th\u1eadn tr\u1ecdng Quinin    <\/h2>\n<p>     Nh\u01b0\u1ee3c c\u01a1, c\u00f3 thai (Ph\u1ee5 l\u1ee5c 2); rung nh\u0129-th\u1ea5t, r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n, bl\u1ed1c tim, thi\u1ebfu G6PD; suy th\u1eadn (Ph\u1ee5 l\u1ee5c 4); ph\u00f9 m\u1ea1ch, r\u1ed1i lo\u1ea1n th\u00ednh gi\u00e1c ho\u1eb7c th\u1ecb gi\u00e1c. C\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c (Ph\u1ee5 l\u1ee5c 1). Ph\u1ea3i theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u nhi\u1ec5m \u0111\u1ed9c tim v\u00e0 glu- cose m\u00e1u (khi ti\u00eam t\u0129nh m\u1ea1ch).    <\/p>\n<h2 id=\"lieu-luong-va-cach-dung-quinin\">     Li\u1ec1u l\u01b0\u1ee3ng v\u00e0 c\u00e1ch d\u00f9ng Quinin    <\/h2>\n<p>     Ph\u1ea3i ng\u1eebng quinin ngay khi th\u1ea5y xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng tan huy\u1ebft.    <\/p>\n<p>     <em>      \u0110i\u1ec1u tr\u1ecb s\u1ed1t r\u00e9t th\u1ec3 kh\u00f4ng bi\u1ebfn ch\u1ee9ng:     <\/em>     D\u1ef1 \u00e1n qu\u1ed1c gia ph\u00f2ng ch\u1ed1ng s\u1ed1t r\u00e9t Vi\u1ec7t Nam d\u00f9ng vi\u00ean quinin sulfat 250 mg: 30 mg\/kg\/24 gi\u1edd, trong 7 ng\u00e0y. Ho\u1eb7c d\u00f9ng li\u1ec1u theo b\u1ea3ng sau:    <\/p>\n<p>     <img decoding=\"async\" alt=\"Quinin li\u1ec1u d\u00f9ng\" src=\"\/\/yhoccongdong.org\/Documents\/682_quinin-_lieu-dung.png\" style=\"width: 490px; height: 173px;\"\/>    <\/p>\n<p>     <em>      S\u1ed1t r\u00e9t n\u1eb7ng, \u00e1c t\u00ednh, c\u00f3 bi\u1ebfn ch\u1ee9ng ho\u1eb7c ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 u\u1ed1ng \u0111\u01b0\u1ee3c:     <\/em>     T\u1ed1t nh\u1ea5t l\u00e0 ti\u00eam truy\u1ec1n t\u0129nh m\u1ea1ch ch\u1eadm quinin dihydroclorid ho\u1eb7c quinin hydroclorid. Thu\u1ed1c \u0111\u01b0\u1ee3c pha trong dung d\u1ecbch natri clorid 0,9% ho\u1eb7c dung d\u1ecbch glucose 5%. \u0110\u1ec3 truy\u1ec1n t\u0129nh m\u1ea1ch. Li\u1ec1u 20 mg\/kg truy\u1ec1n l\u1ea7n \u0111\u1ea7u. Sau 8 gi\u1edd truy\u1ec1n 10 mg\/kg. C\u00e1c ng\u00e0y sau li\u1ec1u 30 mg\/kg, chia l\u00e0m 3 l\u1ea7n trong ng\u00e0y. \u0110\u1ebfn khi b\u1ec7nh nh\u00e2n t\u1ec9nh chuy\u1ec3n sang ti\u00eam b\u1eafp ho\u1eb7c cho u\u1ed1ng d\u1ea1ng vi\u00ean cho \u0111\u1ee7 li\u1ec1u.    <\/p>\n<p>     Khi ti\u00eam truy\u1ec1n ph\u1ea3i theo d\u00f5i tim m\u1ea1ch li\u00ean t\u1ee5c.    <\/p>\n<p>     <em>      S\u1ed1t r\u00e9t n\u00e3o:     <\/em>     Truy\u1ec1n 20 mg\/kg trong 4 gi\u1edd, r\u1ed3i chuy\u1ec3n sang li\u1ec1u duy tr\u00ec 10 mg\/kg , truy\u1ec1n trong 2 gi\u1edd, c\u1ee9 c\u00e1ch 8 gi\u1edd truy\u1ec1n 1 l\u1ea7n nh\u01b0 v\u1eady, trong 7 ng\u00e0y.    <\/p>\n<p>     Khi chuy\u1ec3n sang \u0111\u01b0\u1eddng u\u1ed1ng, d\u00f9ng li\u1ec1u 10 mg\/kg c\u00e1ch 8 gi\u1edd. Ti\u1ebfp t\u1ee5c \u0111i\u1ec1u tr\u1ecb \u0111\u1ee7 7 ng\u00e0y.    <\/p>\n<p>     <em>      \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh suy th\u1eadn:     <\/em>     Th\u01b0\u1eddng ch\u1ec9 d\u00f9ng thu\u1ed1c 2 ho\u1eb7c 1 l\u1ea7n\/24 gi\u1edd, k\u1ec3 c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh th\u1ea9m t\u00e1ch m\u00e1u, gi\u1ea3m li\u1ec1u, t\u0103ng kho\u1ea3ng c\u00e1ch nh\u01b0 sau:    <\/p>\n<p>     <img decoding=\"async\" alt=\"Quinin kho\u1ea3ng c\u00e1ch li\u1ec1u\" src=\"\/\/yhoccongdong.org\/Documents\/681_quinin-_khoang-cach-lieu.png\" style=\"width: 500px; height: 118px;\"\/>    <\/p>\n<h2 id=\"tac-dung-khong-mong-muon-quinin\">     T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n Quinin    <\/h2>\n<p>     H\u1ed9i ch\u1ee9ng quinin (\u00f9 tai, gi\u1ea3m th\u00ednh l\u1ef1c t\u1ea1m th\u1eddi, nh\u1ee9c \u0111\u1ea7u, bu\u1ed3n n\u00f4n, m\u1edd m\u1eaft ho\u1eb7c r\u1ed1i lo\u1ea1n m\u00e0u s\u1eafc); k\u00edch th\u00edch, m\u00ea s\u1ea3ng, kh\u00f3 th\u1edf; s\u1ed1t; thi\u1ebfu m\u00e1u tan huy\u1ebft, gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t; ngo\u1ea1i ban, m\u1ec1 \u0111ay.    <\/p>\n<h2 id=\"qua-lieu-va-xu-tri-quinin\">     Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed Quinin    <\/h2>\n<\/p>\n<p>     <em>      Tri\u1ec7u ch\u1ee9ng:     <\/em>     Bu\u1ed3n n\u00f4n, n\u00f4n, \u00f9 tai, nh\u1ee9c \u0111\u1ea7u, m\u1edd m\u1eaft, m\u1eaft \u0111\u1ecf, gi\u1ea3m th\u1ecb l\u1ef1c, s\u1ed1t, l\u00fa l\u1eabn, \u0111\u1ed9ng kinh; t\u1ee5t huy\u1ebft \u00e1p, suy tim c\u1ea5p t\u00ednh, t\u00e1n huy\u1ebft n\u1eb7ng; hemoglobin huy\u1ebft\u2026    <\/p>\n<p>     <em>      X\u1eed tr\u00ed:     <\/em>     \u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng, duy tr\u00ec huy\u1ebft \u00e1p, h\u00f4 h\u1ea5p, ch\u1ee9c n\u0103ng th\u1eadn, ch\u1eefa lo\u1ea1n nh\u1ecbp tim. Ph\u00f2ng ho\u1eb7c ph\u1ee5c h\u1ed3i t\u1ed5n th\u01b0\u01a1ng v\u00f5ng m\u1ea1c b\u1eb1ng thu\u1ed1c gi\u00e3n m\u1ea1ch v\u00e0 phong b\u1ebf h\u1ea1ch sao    <\/p>\n<h2 id=\"do-on-dinh-va-bao-quan-quinin\">     \u0110\u1ed9 \u1ed5n \u0111\u1ecbnh v\u00e0 b\u1ea3o qu\u1ea3n Quinin    <\/h2>\n<p>     B\u1ea3o qu\u1ea3n thu\u1ed1c \u1edf nhi\u1ec7t \u0111\u1ed9 ph\u00f2ng, n\u01a1i kh\u00f4, tr\u00e1nh \u00e1nh s\u00e1ng tr\u1ef1c ti\u1ebfp, c\u00e1ch xa n\u01a1i \u1ea9m v\u00e0 n\u00f3ng.    <\/p>\n<\/p>\n<p>     http:\/\/nidqc.org.vn\/duocthu\/343\/    <\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"<p>T\u00ean chung qu\u1ed1c t\u1ebf Quinin Quinine D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng Quinin Vi\u00ean n\u00e9n quinin sulfat ho\u1eb7c bisulfat 125 mg, 200 mg, 250 mg 300 mg. \u1ed1ng ti\u00eam quinin dihydroclorid ho\u1eb7c quinin hydroclorid 300 mg\/1ml, 600 mg\/2ml, 500 mg\/2 ml. Hi\u0300nh\u00a0Quinin &#8211; Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t Ch\u1ec9 \u0111\u1ecbnh Quinin \u0110i\u1ec1u tr\u1ecb s\u1ed1t r\u00e9t do P. [&hellip;]<\/p>\n","protected":false},"author":143,"featured_media":10617,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5360,5316,5391,5439,5363,5317],"tags":[],"series":[],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Quinin - Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t - D\u1ef1 \u00e1n kh\u00e1c<\/title>\n<meta name=\"description\" content=\"Quinin - Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t - 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\/quinin-thuoc-chong-sot-ret\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Quinin - Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:description\" content=\"Quinin - Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t - D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n kh\u00e1c\" \/>\n<meta property=\"article:published_time\" content=\"2013-12-22T10:00:00+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2024-03-16T19:41:50+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6361-thongtin-quinin-thuoc-chong-sot-ret.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"400\" \/>\n\t<meta property=\"og:image:height\" content=\"300\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 ph\u00fat\" \/>\n\t<meta name=\"twitter:label3\" content=\"Vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data3\" content=\"B\u1ed9 Y T\u1ebf\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/\",\"name\":\"Quinin - Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t - D\u1ef1 \u00e1n kh\u00e1c\",\"isPartOf\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6361-thongtin-quinin-thuoc-chong-sot-ret.jpg\",\"datePublished\":\"2013-12-22T10:00:00+00:00\",\"dateModified\":\"2024-03-16T19:41:50+00:00\",\"author\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/#\/schema\/person\/6df2c4823301496b552873b34070404a\"},\"description\":\"Quinin - Thu\u1ed1c ch\u1ed1ng s\u1ed1t r\u00e9t - D\u1ef1 \u00e1n kh\u00e1c\",\"breadcrumb\":{\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/#breadcrumb\"},\"inLanguage\":\"vi\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"vi\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/#primaryimage\",\"url\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6361-thongtin-quinin-thuoc-chong-sot-ret.jpg\",\"contentUrl\":\"https:\/\/yhoccongdong.com\/du-an-khac\/wp-content\/uploads\/sites\/6\/2015\/12\/6361-thongtin-quinin-thuoc-chong-sot-ret.jpg\",\"width\":400,\"height\":300},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/yhoccongdong.com\/du-an-khac\/quinin-thuoc-chong-sot-ret\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Trang ch\u1ee7\",\"item\":\"https:\/\/yhoccongdong.com\/du-an-khac\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Quinin &#8211; 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