{"id":6129,"date":"2018-07-24T15:15:19","date_gmt":"2018-07-24T08:15:19","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/2018\/07\/24\/dieu-tri-tieu-khong-tu-chu\/"},"modified":"2024-03-17T04:21:50","modified_gmt":"2024-03-16T21:21:50","slug":"dieu-tri-tieu-khong-tu-chu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/dieu-tri-tieu-khong-tu-chu\/","title":{"rendered":"\u0110i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7"},"content":{"rendered":"<h2>Ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 l\u00e0 g\u00ec?<\/h2>\n<p>Khi b\u1ea1n c\u00f3 m\u1ed9t c\u01a1n bu\u1ed3n ti\u1ec3u \u0111\u1ed9t ng\u1ed9t v\u00e0 kh\u00f4ng th\u1ec3 ng\u0103n n\u01b0\u1edbc ti\u1ec3u r\u00f2 ra ngo\u00e0i tr\u01b0\u1edbc khi b\u1ea1n v\u00e0o nh\u00e0 v\u1ec7 sinh, tri\u1ec7u ch\u1ee9ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7. Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m s\u1ed1 l\u1ea7n r\u00f2 n\u01b0\u1edbc ti\u1ec3u, s\u1ed1 l\u1ea7n \u0111i ti\u1ec3u v\u00e0 c\u1ea3m gi\u00e1c c\u1ea5p b\u00e1ch mu\u1ed1n \u0111i ti\u1ec3u. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c nh\u01b0 c\u00e1c b\u00e0i t\u1eadp s\u00e0n ch\u1eadu kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n<p>C\u00f3 hai lo\u1ea1i ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7:<\/p>\n<ul>\n<li><strong>Ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do t\u0103ng \u00e1p l\u1ef1c<\/strong> &#8211; \u0111i\u1ec1u n\u00e0y x\u1ea3y ra khi c\u00f3 m\u1ed9t ngo\u1ea1i l\u1ef1c \u0111\u1ed9t ng\u1ed9t t\u00e1c \u0111\u1ed9ng v\u00e0o trong \u1ed5 b\u1ee5ng v\u00e0 v\u00e0o b\u00e0ng quang. \u00c1p l\u1ef1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1edfi c\u00e1c h\u00e0nh \u0111\u1ed9ng nh\u01b0 ho, c\u01b0\u1eddi, h\u1eaft h\u01a1i ho\u1eb7c t\u1eadp th\u1ec3 d\u1ee5c (nh\u01b0 ch\u1ea1y ho\u1eb7c nh\u1ea3y). C\u01a1 s\u00e0n ch\u1eadu b\u1ecb y\u1ebfu s\u1ebd kh\u00f4ng th\u1ec3 n\u00e2ng \u0111\u1ee1 t\u1ed1t b\u00e0ng quang v\u00e0 ni\u1ec7u \u0111\u1ea1o. V\u00ec v\u1eady, d\u01b0\u1edbi t\u00e1c \u0111\u1ed9ng c\u1ee7a nh\u1eefng \u00e1p l\u1ef1c tr\u00ean, b\u00e0ng quang kh\u00f4ng th\u1ec3 ch\u1ed1ng \u0111\u1ee1, d\u1eabn \u0111\u1ebfn r\u00f2 n\u01b0\u1edbc ti\u1ec3u ra ngo\u00e0i. N\u01b0\u1edbc ti\u1ec3u c\u00f3 th\u1ec3 b\u1ecb r\u00f2 l\u01b0\u1ee3ng \u00edt, nh\u01b0ng \u0111\u00f4i khi c\u00f3 th\u1ec3 kh\u00e1 nhi\u1ec1u v\u00e0 l\u00e0m cho b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y x\u1ea5u h\u1ed5. \u0110\u00e2y l\u00e0 lo\u1ea1i ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7. H\u1ea7u h\u1ebft nguy\u00ean nh\u00e2n l\u00e0 do c\u01a1 s\u00e0n ch\u1eadu b\u1ecb y\u1ebfu. C\u01a1 s\u00e0n ch\u1eadu th\u01b0\u1eddng b\u1ecb y\u1ebfu \u0111i do sinh n\u1edf, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ph\u1ee5 n\u1eef sinh nhi\u1ec1u.<\/li>\n<\/ul>\n<h3><\/h3>\n<ul>\n<li><strong>Ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do b\u00e0ng quang t\u0103ng k\u00edch th\u00edch<\/strong> (c\u01a1 b\u00e0ng quang ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng \u1ed5n \u0111\u1ecbnh). B\u00ecnh th\u01b0\u1eddng n\u01b0\u1edbc ti\u1ec3u \u0111\u01b0\u1ee3c ch\u1ee9a trong b\u00e0ng quang, khi \u0111\u1ea7y th\u00ec m\u1edbi c\u00f3 c\u1ea3m gi\u00e1c bu\u1ed3n ti\u1ec3u. Tuy nhi\u00ean, trong tr\u01b0\u1eddng h\u1ee3p b\u00e0ng quang t\u0103ng k\u00edch th\u00edch, b\u1ea1n s\u1ebd th\u01b0\u1eddng xuy\u00ean c\u00f3 c\u1ea3m gi\u00e1c m\u1eafc ti\u1ec3u (ti\u1ec3u nh\u1eaft), \u0111i ti\u1ec3u nhi\u1ec1u l\u1ea7n trong ng\u00e0y v\u00e0 v\u00e0i l\u1ea7n ban \u0111\u00eam, v\u00e0 b\u1ecb r\u00f2 n\u01b0\u1edbc ti\u1ec3u khi ch\u01b0a k\u1ecbp \u0111\u1ebfn toilet (ti\u1ec3u s\u00f3n). Khi c\u00f3 ti\u1ec3u g\u1ea5p ho\u1eb7c ti\u1ec3u s\u00f3n, b\u1ea1n th\u01b0\u1eddng c\u00f3 xu h\u01b0\u1edbng \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng, \u0111\u00f4i khi l\u00e0 nhi\u1ec1u l\u1ea7n ban \u0111\u00eam c\u0169ng nh\u01b0 ban ng\u00e0y. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef b\u1ecb r\u00f2 r\u1ec9 n\u01b0\u1edbc ti\u1ec3u khi quan h\u1ec7 t\u00ecnh d\u1ee5c, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong khi c\u1ef1c kho\u00e1i.<\/li>\n<\/ul>\n<p style=\"padding-left: 30px\">Nguy\u00ean nh\u00e2n c\u1ee7a ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 thu\u1ed9c lo\u1ea1i n\u00e0y ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u m\u1ed9t c\u00e1ch \u0111\u1ea7y \u0111\u1ee7. C\u00e1c c\u01a1 b\u00e0ng quang c\u00f3 l\u1ebd \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng, ch\u00fang d\u1ec5 b\u1ecb k\u00edch th\u00edch v\u00e0 co th\u1eaft d\u00f9 b\u1ea1n kh\u00f4ng mu\u1ed1n \u0111i\u1ec1u \u0111\u00f3. \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn th\u1ee9 hai c\u1ee7a ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7.<\/p>\n<p>Ph\u1ea7n ti\u1ebfp theo c\u1ee7a chuy\u00ean \u0111\u1ec1 n\u00e0y xin \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u c\u00e1c <strong>thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7<\/strong> do t\u0103ng \u00e1p l\u1ef1c v\u00e0 do b\u00e0ng quang t\u0103ng k\u00edch th\u00edch. Th\u00f4ng tin v\u1ec1 hai lo\u1ea1i ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 n\u00e0y s\u1ebd d\u00e0nh cho m\u1ed9t chuy\u00ean \u0111\u1ec1 chi ti\u1ebft h\u01a1n.<\/p>\n<pre><em><strong>Xem th\u00eam b\u00e0i\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/tieu-khong-tu-chu\/\" target=\"_blank\" rel=\"noopener\">Ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7<\/a>\u00a0c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/pham-thanh-hoang\/\" target=\"_blank\" rel=\"noopener\">BS. Ph\u1ea1m Thanh Ho\u00e0ng<\/a><\/strong><\/em><\/pre>\n<h2>Khi n\u00e0o th\u00ec ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7?<\/h2>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do t\u0103ng \u00e1p l\u1ef1c, Duloxetine c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh n\u1ebfu c\u00e1c b\u00e0i t\u1eadp s\u00e0n ch\u1eadu kh\u00f4ng gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng. Thu\u1ed1c c\u0169ng \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng \u1edf nh\u1eefng ph\u1ee5 n\u1eef kh\u00f4ng mu\u1ed1n tr\u1ea3i qua ph\u1eabu thu\u1eadt, ho\u1eb7c \u1edf nh\u1eefng ph\u1ee5 n\u1eef c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe kh\u00f4ng ph\u00f9 h\u1ee3p \u0111\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt.<\/p>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do b\u00e0ng quang t\u0103ng k\u00edch th\u00edch (d\u1eabn \u0111\u1ebfn ti\u1ec3u nh\u1eaft, ti\u1ec3u s\u00f3n), tr\u01b0\u1edbc ti\u00ean ph\u1ea3i \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p l\u1ed1i s\u1ed1ng (v\u00ed d\u1ee5, gi\u1ea3m Caffeine v\u00e0 r\u01b0\u1ee3u) v\u00e0 luy\u1ec7n t\u1eadp c\u01a1 b\u00e0ng quang. N\u1ebfu nh\u1eefng bi\u1ec7n ph\u00e1p n\u00e0y v\u1eabn kh\u00f4ng c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a b\u00e0ng quang, th\u00ec l\u00fac n\u00e0y thu\u1ed1c m\u1edbi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh.<\/p>\n<h2>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7<\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"size-full wp-image-11001 aligncenter\" src=\"\/\/yhoccongdong.com\/wp-content\/uploads\/2016\/06\/thuoc-dieu-tri-tieu-khong-tu-chu.jpg\" alt=\"thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7\" width=\"288\" height=\"216\" \/><\/p>\n<p>M\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb l\u00e0 \u0111\u1ec3 gi\u1ea3m s\u1ed1 l\u1ea7n r\u00f2 n\u01b0\u1edbc ti\u1ec3u, s\u1ed1 l\u1ea7n \u0111i ti\u1ec3u v\u00e0 c\u1ea3m gi\u00e1c c\u1ea5p b\u00e1ch ph\u1ea3i \u0111i ti\u1ec3u.<\/p>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do t\u0103ng \u00e1p l\u1ef1c th\u00ec c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c Duloxetine. Duloxetine th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m. Tuy nhi\u00ean, thu\u1ed1c n\u00e0y c\u0169ng cho th\u1ea5y c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do t\u0103ng \u00e1p l\u1ef1c, t\u00e1c d\u1ee5ng n\u00e0y ri\u00eang bi\u1ec7t v\u1edbi hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb tr\u1ea7m c\u1ea3m. C\u01a1 ch\u1ebf c\u1ee7a Duloxetine l\u00e0 t\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c ch\u1ea5t g\u1ecdi l\u00e0 Serotonin v\u00e0 Noradrenaline (Norepinephrine) trong c\u01a1 th\u1ec3. \u0110\u00e2y l\u00e0 nh\u1eefng ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng truy\u1ec1n c\u00e1c xung th\u1ea7n kinh \u0111\u1ebfn c\u00e1c c\u01a1. T\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c ch\u1ea5t n\u00e0y l\u00e0m k\u00edch th\u00edch c\u00e1c c\u01a1 xung quanh ni\u1ec7u \u0111\u1ea1o co th\u1eaft m\u1ea1nh h\u01a1n.<\/p>\n<p>M\u1ed9t nh\u00f3m thu\u1ed1c kh\u00e1c v\u1edbi Duloxetine, g\u1ecdi l\u00e0 Antimuscarinics (c\u00f2n g\u1ecdi l\u00e0 thu\u1ed1c kh\u00e1ng Cholinergic), \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ti\u1ec3u s\u00f3n. Ch\u00fang c\u00f3 nhi\u1ec1u lo\u1ea1i kh\u00e1c nhau v\u00e0 nhi\u1ec1u th\u01b0\u01a1ng hi\u1ec7u kh\u00e1c nhau. Bao g\u1ed3m c\u00e1c lo\u1ea1i thu\u1ed1c c\u1ed5 \u0111i\u1ec3n nh\u01b0 Oxybutynin, Tolterodine v\u00e0 Flavoxate c\u0169ng nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c m\u1edbi h\u01a1n nh\u01b0 Darifenacin, Fesoterodine, Propiverine, Solifenacin v\u00e0 Trospium. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch ng\u0103n ch\u1eb7n c\u00e1c xung th\u1ea7n kinh \u0111\u1ebfn b\u00e0ng quang, l\u00e0m gi\u00e3n c\u00e1c c\u01a1 b\u00e0ng quang, do \u0111\u00f3 t\u0103ng s\u1ee9c ch\u1ee9a c\u1ee7a b\u00e0ng quang. M\u1ed9t s\u1ed1 thu\u1ed1c kh\u00e1c \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u01a1n l\u00e0 Estrogen gel \/ kem b\u00f4i l\u00ean \u00e2m \u0111\u1ea1o, ho\u1eb7c Desmopressin.<\/p>\n<h3><\/h3>\n<p>Mirabegron l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn kh\u00e1c \u0111\u00f4i khi \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng <strong>ti\u1ec3u s\u00f3n<\/strong>. Thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch k\u00edch th\u00edch c\u00e1c th\u1ee5 th\u1ec3 beta3 trong b\u00e0ng quang. \u0110i\u1ec1u n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng gi\u00e3n c\u00e1c c\u01a1 c\u1ee7a b\u00e0ng quang.<\/p>\n<pre><em><strong>Xem th\u00eam b\u00e0i\u00a0<a href=\"https:\/\/yhoccongdong.com\/thongtin\/tieu-son\/\" target=\"_blank\" rel=\"noopener\">ti\u1ec3u s\u00f3n<\/a>\u00a0c\u1ee7a\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/diep-the-bao-tram\/\" target=\"_blank\" rel=\"noopener\">BS. Di\u1ec7p Th\u1ebf B\u1ea3o Tr\u00e2m<\/a>\u00a0v\u00e0\u00a0<a href=\"https:\/\/yhoccongdong.com\/profile\/pham-bao-ngoc\/\" target=\"_blank\" rel=\"noopener\">BS. Ph\u1ea1m B\u1ea3o Ng\u1ecdc<\/a><\/strong><\/em><\/pre>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 propantheline v\u00e0 thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ba v\u00f2ng tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ti\u1ec3u s\u00f3n. Tuy nhi\u00ean, hi\u1ec7n nay kh\u00f4ng c\u00f2n s\u1eed d\u1ee5ng n\u1eefa v\u00ec t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a ch\u00fang.<\/p>\n<p>Duloxetine c\u00f3 d\u1ea1ng vi\u00ean nang u\u1ed1ng. Antimuscarinics c\u00f3 d\u1ea1ng nh\u01b0 vi\u00ean nang, vi\u00ean n\u00e9n ho\u1eb7c thu\u1ed1c d\u00e1n. M\u1ed9t s\u1ed1 lo\u1ea1i Antimuscarinic c\u00f3 d\u1ea1ng vi\u00ean n\u00e9n ho\u1eb7c vi\u00ean nang gi\u1ea3i ph\u00f3ng ch\u1eadm. \u0110i\u1ec1u n\u00e0y ch\u1ec9 c\u00f3 \u00fd ngh\u0129a l\u00e0 thu\u1ed1c \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch v\u00e0o trong c\u01a1 th\u1ec3 trong m\u1ed9t th\u1eddi gian d\u00e0i h\u01a1n v\u00e0 do \u0111\u00f3 b\u1ea1n kh\u00f4ng c\u1ea7n ph\u1ea3i u\u1ed1ng thu\u1ed1c nhi\u1ec1u l\u1ea7n trong ng\u00e0y.<\/p>\n<h3>Nh\u1eefng lo\u1ea1i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh<\/h3>\n<p>Nh\u01b0 \u0111\u00e3 th\u1ea3o lu\u1eadn \u1edf tr\u00ean, Duloxetine th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do t\u0103ng \u00e1p l\u1ef1c.<\/p>\n<p>\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb ti\u1ec3u s\u00f3n, Oxybutynin (m\u1ed9t lo\u1ea1i Antimuscarinic) th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ea7u ti\u00ean. N\u1ebfu b\u1ea1n c\u00f3 qu\u00e1 nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 khi d\u00f9ng thu\u1ed1c n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ecdn m\u1ed9t thu\u1ed1c Antimuscarinic kh\u00e1c nh\u01b0 Darifenacin, Fesoterodine, Propiverine, Solifenacin, Tolterodine, ho\u1eb7c Trospium. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n Oxybutynin d\u1ea1ng ph\u00f3ng th\u00edch ch\u1eadm ho\u1eb7c d\u1ea1ng mi\u1ebfng d\u00e1n da \u0111\u1ec3 gi\u00fap gi\u1ea3m b\u1edbt t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n<p>Propiverine \u0111\u00f4i khi \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn n\u1ebfu b\u1ea1n b\u1ecb ti\u1ec3u nh\u1eaft nh\u01b0ng kh\u00f4ng c\u00f3 ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7.<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng Mirabegron n\u1ebfu kh\u00f4ng th\u1ec3 d\u00f9ng Antimuscarinic.<\/p>\n<p>C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c \u00edt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u01a1n l\u00e0 Oestrogen \u0111\u1eb7t \u00e2m \u0111\u1ea1o v\u00e0 Desmopressin. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n b\u1edfi m\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa. Oestrogen \u0111\u1eb7t \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho nh\u1eefng ph\u1ee5 n\u1eef v\u1eeba m\u1edbi tr\u1ea3i qua th\u1eddi k\u1ef3 m\u00e3n kinh v\u00e0 Desmopressin \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111i ti\u1ec3u th\u01b0\u1eddng xuy\u00ean v\u00e0o ban \u0111\u00eam v\u00e0 d\u01b0\u1edbi 65 tu\u1ed5i.<\/p>\n<h3>M\u1ee9c \u0111\u1ed9 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7?<\/h3>\n<p>\u0110\u1ed1i v\u1edbi duloxetine, m\u1ed9t nghi\u00ean c\u1ee9u cho th\u1ea5y, kho\u1ea3ng 6 tr\u00ean 10 ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb v\u1edbi Duloxetine, s\u1ed1 l\u1ea7n r\u00f2 n\u01b0\u1edbc ti\u1ec3u gi\u1ea3m \u0111i m\u1ed9t n\u1eeda so v\u1edbi th\u1eddi \u0111i\u1ec3m tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c. V\u00ec v\u1eady, ph\u1ea3i th\u1eeba nh\u1eadn r\u1eb1ng, Duloxetine kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ch\u1eefa kh\u1ecfi ho\u00e0n to\u00e0n ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 m\u00e0 ch\u1ec9 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng b\u1ec7nh. Tuy nhi\u00ean, khi d\u00f9ng Duloxetine ph\u1ea3i k\u1ebft h\u1ee3p v\u1edbi c\u00e1c b\u00e0i t\u1eadp s\u00e0n ch\u1eadu m\u1edbi c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t, h\u01a1n l\u00e0 d\u00f9ng thu\u1ed1c \u0111\u01a1n \u0111\u1ed9c.<\/p>\n<p>Thu\u1ed1c Antimuscarinic \u0111\u01b0\u1ee3c cho l\u00e0 \u0111\u1ec1u c\u00f3 hi\u1ec7u qu\u1ea3 nh\u01b0 nhau. Ch\u00fang c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u01b0ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3. M\u1ee9c \u0111\u1ed9 c\u1ea3i thi\u1ec7n kh\u00e1c nhau gi\u1eefa ng\u01b0\u1eddi n\u00e0y v\u1edbi ng\u01b0\u1eddi kh\u00e1c. B\u1ea1n c\u00f3 th\u1ec3 \u00edt \u0111i ti\u1ec3u h\u01a1n, \u00edt r\u00f2 r\u1ec9 n\u01b0\u1edbc ti\u1ec3u h\u01a1n v\u00e0 \u00edt b\u1ecb ti\u1ec3u nh\u1eaft h\u01a1n. Tuy nhi\u00ean, n\u00f3 kh\u00f4ng \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 cao trong \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng n\u1ebfu ch\u1ec9 d\u00f9ng thu\u1ed1c \u0111\u01a1n \u0111\u1ed9c.<\/p>\n<h3>Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng l\u00e0 bao l\u00e2u?<\/h3>\n<p>Duloxetine th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng \u0111i\u1ec1u tr\u1ecb trong kho\u1ea3ng m\u1ed9t th\u00e1ng; sau \u0111\u00f3, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 xem c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 c\u1ea3i thi\u1ec7n h\u01a1n kh\u00f4ng. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 c\u1ea3i thi\u1ec7n, Duloxetine s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c d\u00f9ng v\u00e0 \u0111\u00e1nh gi\u00e1 l\u1ea1i sau m\u1ed7i v\u00e0i th\u00e1ng \u0111\u1ec3 xem thu\u1ed1c c\u00f3 c\u00f2n hi\u1ec7u qu\u1ea3. B\u00e1c s\u0129 c\u00f3 th\u1ec3 quy\u1ebft \u0111\u1ecbnh ng\u1eebng \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng c\u1ea3i thi\u1ec7n. N\u1ebfu ng\u1eebng u\u1ed1ng Duloxetine, th\u00ec n\u00ean ng\u01b0ng t\u1eeb t\u1eeb &#8211; v\u00ed d\u1ee5, trong 1-2 tu\u1ea7n. Kh\u00f4ng bao gi\u1edd ng\u1eebng u\u1ed1ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t b\u1edfi v\u00ec b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng \u00a0nh\u01b0 ch\u00f3ng m\u1eb7t, c\u1ea3m gi\u00e1c \u1ed1m (bu\u1ed3n n\u00f4n) v\u00e0 nh\u1ee9c \u0111\u1ea7u.<\/p>\n<p>\u0110\u1ed1i v\u1edbi Antimuscarinics, m\u1ed9t ph\u00e1c \u0111\u1ed3 chung l\u00e0 \u0111i\u1ec1u tr\u1ecb thu\u1ed1c trong m\u1ed9t th\u00e1ng ho\u1eb7c l\u00e2u h\u01a1n. N\u1ebfu thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n \u0111\u1ec3 ti\u1ebfp t\u1ee5c cho \u0111\u1ebfn s\u00e1u th\u00e1ng ho\u1eb7c l\u00e2u h\u01a1n v\u00e0 sau \u0111\u00f3 d\u1eebng thu\u1ed1c \u0111\u1ec3 xem c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 th\u1ebf n\u00e0o khi kh\u00f4ng d\u00f9ng thu\u1ed1c. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t sau khi b\u1ea1n ng\u01b0ng thu\u1ed1c. N\u1ebfu k\u1ebft h\u1ee3p m\u1ed9t li\u1ec7u tr\u00ecnh thu\u1ed1c c\u00f9ng t\u1eadp luy\u1ec7n b\u00e0ng quang, th\u00ec ti\u00ean l\u01b0\u1ee3ng l\u00e2u d\u00e0i t\u1ed1t h\u01a1n v\u00e0 tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 \u00edt b\u1ecb t\u00e1i ph\u00e1t l\u1ea1i khi b\u1ea1n ng\u1eebng thu\u1ed1c. Vi\u1ec7c ti\u1ebfp t\u1ee5c d\u00f9ng thu\u1ed1c Antimuscarinic n\u00ean \u0111\u01b0\u1ee3c xem x\u00e9t l\u1ea1i m\u1ed7i 4-6 tu\u1ea7n cho \u0111\u1ebfn khi c\u00e1c tri\u1ec7u ch\u1ee9ng \u1ed5n \u0111\u1ecbnh v\u00e0 sau \u0111\u00f3 m\u1ed7i 6-12 th\u00e1ng.<\/p>\n<h3>Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c<\/h3>\n<h4>Duloxetine<\/h4>\n<p>Theo c\u00e1c b\u00e1o c\u00e1o th\u00ec h\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 bu\u1ed3n n\u00f4n, kh\u00f4 mi\u1ec7ng, m\u1ec7t m\u1ecfi v\u00e0 t\u00e1o b\u00f3n. C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra trong tu\u1ea7n \u0111\u1ea7u ti\u00ean \u0111i\u1ec1u tr\u1ecb nh\u01b0ng h\u1ea7u h\u1ebft m\u1ea5t \u0111i sau v\u00e0i tu\u1ea7n. N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng gi\u1ea3m, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u ho\u1eb7c xem x\u00e9t ng\u1eebng \u0111i\u1ec1u tr\u1ecb. M\u1ed9t s\u1ed1 ng\u01b0\u1eddi d\u00f9ng Duloxetine c\u00f3 t\u0103ng nh\u1eb9 huy\u1ebft \u00e1p. N\u1ebfu b\u1ea1n \u0111\u00e3 b\u1ecb t\u0103ng huy\u1ebft \u00e1p ho\u1eb7c b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch kh\u00e1c, b\u00e1c s\u0129 s\u1ebd \u0111o huy\u1ebft \u00e1p c\u1ee7a b\u1ea1n th\u01b0\u1eddng xuy\u00ean v\u00e0 xem x\u00e9t ng\u1eebng \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00f3 nh\u1eefng v\u1ea5n \u0111\u1ec1 lo ng\u1ea1i.<\/p>\n<h4>Antimuscarinic<\/h4>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 l\u00e0 kh\u00e1 ph\u1ed5 bi\u1ebfn v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y nh\u01b0ng th\u01b0\u1eddng nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 ch\u1ea5p nh\u1eadn \u0111\u01b0\u1ee3c. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 kh\u00f4 mi\u1ec7ng v\u00e0 ch\u1ec9 c\u1ea7n u\u1ed1ng n\u01b0\u1edbc th\u01b0\u1eddng xuy\u00ean, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c bao g\u1ed3m kh\u00f4 m\u1eaft, t\u00e1o b\u00f3n v\u00e0 nh\u00ecn m\u1edd. Tuy nhi\u00ean, c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 s\u1ef1 kh\u00e1c nhau v\u00e0 n\u1ebfu m\u1ed9t lo\u1ea1i thu\u1ed1c g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f3 ch\u1ecbu, th\u00ec c\u00f3 th\u1ec3 khi \u0111\u1ed5i sang m\u1ed9t thu\u1ed1c kh\u00e1c s\u1ebd t\u1ed1t h\u01a1n.<\/p>\n<h4>Mirabegron<\/h4>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 m\u1ea1ch nhanh v\u00e0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ec3u. T\u00e1c d\u1ee5ng ph\u1ee5 kh\u00e1c hi\u1ebfm g\u1eb7p h\u01a1n bao g\u1ed3m kh\u00f3 ti\u00eau, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c v\u00e0 t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<ul>\n<li>\u0110\u1ec3 bi\u1ebft \u0111\u1ea7y \u0111\u1ee7 danh s\u00e1ch c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5, xem t\u1edd r\u01a1i th\u00f4ng tin \u0111i k\u00e8m v\u1edbi thu\u1ed1c.<\/li>\n<\/ul>\n<h3>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh c\u1ee7a thu\u1ed1c<\/h3>\n<p>Nh\u00ecn chung, h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi c\u00f3 th\u1ec3 d\u00f9ng nh\u1eefng thu\u1ed1c n\u00e0y. Tuy nhi\u00ean, c\u00f3 m\u1ed9t s\u1ed1 ng\u01b0\u1eddi kh\u00f4ng th\u1ec3 d\u00f9ng.<\/p>\n<p>Duloxetine kh\u00f4ng d\u00f9ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng v\u1ec1 th\u1eadn, gan, t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t, ho\u1eb7c \u0111ang d\u00f9ng m\u1ed9t s\u1ed1 thu\u1ed1c nh\u1ea5t \u0111\u1ecbnh &#8211; v\u00ed d\u1ee5, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf monoamine oxidase.<\/p>\n<p>Antimuscarinics kh\u00f4ng n\u00ean d\u00f9ng cho nh\u1eefng ng\u01b0\u1eddi c\u00f3:<\/p>\n<ul>\n<li>Nh\u01b0\u1ee3c c\u01a1. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng m\u00e0 c\u00e1c c\u01a1 tr\u1edf n\u00ean d\u1ec5 m\u1ec7t m\u1ecfi v\u00e0 y\u1ebfu.<\/li>\n<li>V\u1ea5n \u0111\u1ec1 b\u00e0ng quang n\u1eb7ng ho\u1eb7c \u1ee9 n\u01b0\u1edbc ti\u1ec3u (c\u01a1 th\u1ec3 gi\u1eef l\u1ea1i n\u01b0\u1edbc ti\u1ec3u)<\/li>\n<li>Ru\u1ed9t vi\u00eam nhi\u1ec5m n\u1eb7ng (vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng).<\/li>\n<li>T\u1eafc ru\u1ed9t<\/li>\n<li>B\u1ec7nh t\u0103ng nh\u00e3n \u00e1p g\u00f3c \u0111\u00f3ng kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c<\/li>\n<li>\u0110\u1ec3 bi\u1ebft \u0111\u1ea7y \u0111\u1ee7 danh s\u00e1ch ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh nh\u1eefng thu\u1ed1c n\u00e0y, xem t\u1edd r\u01a1i th\u00f4ng tin \u0111i k\u00e8m v\u1edbi thu\u1ed1c.<\/li>\n<\/ul>\n<h2>T\u00f4i c\u00f3 th\u1ec3 t\u1ef1 mua thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 kh\u00f4ng?<\/h2>\n<p><strong>KH\u00d4NG<\/strong> &#8211; b\u1ea1n kh\u00f4ng th\u1ec3 t\u1ef1 \u00fd mua tr\u1eeb khi c\u00f3 \u0111\u01a1n thu\u1ed1c c\u1ee7a b\u00e1c s\u0129 v\u00e0 d\u01b0\u1ee3c s\u0129 c\u1ea5p thu\u1ed1c.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"http:\/\/patient.info\/health\/medicines-for-urinary-urgency-and-incontinence\" target=\"_blank\" rel=\"noopener\">http:\/\/patient.info\/health\/medicines-for-urinary-urgency-and-incontinence<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p> \u0110i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 l\u00e0 \u0111\u1ec3 gi\u1ea3m s\u1ed1 l\u1ea7n r\u00f2 n\u01b0\u1edbc ti\u1ec3u, s\u1ed1 l\u1ea7n \u0111i ti\u1ec3u v\u00e0 c\u1ea3m gi\u00e1c c\u1ea5p b\u00e1ch ph\u1ea3i \u0111i ti\u1ec3u.<\/p>\n","protected":false},"author":177,"featured_media":6130,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5154,3354,5148,5149,5150],"tags":[3435,3436,4561],"series":[889],"coauthors":[800],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110i\u1ec1u tr\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" 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