{"id":12147,"date":"2018-09-30T02:38:17","date_gmt":"2018-09-29T19:38:17","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky\/"},"modified":"2018-09-30T02:38:17","modified_gmt":"2018-09-29T19:38:17","slug":"bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky\/","title":{"rendered":"B\u00f9ng ph\u00e1t hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u li\u00ean quan t\u1edbi Cannabinoid (c\u1ea7n sa) t\u1ed5ng h\u1ee3p t\u1ea1i Hoa K\u1ef3"},"content":{"rendered":"<p><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-24102 size-full\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/09\/bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky-1.jpg\" alt=\"b\u00f9ng ph\u00e1t hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u li\u00ean quan t\u1edbi cannabinoid (c\u1ea7n sa) t\u1ed5ng h\u1ee3p t\u1ea1i Hoa K\u1ef3\" width=\"660\" height=\"330\" \/><\/p>\n<p style=\"text-align: justify\">V\u00e0o th\u00e1ng 3 v\u00e0 th\u00e1ng 4 n\u0103m 2018, h\u01a1n 150 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf Illinois v\u1edbi r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 xu\u1ea5t huy\u1ebft t\u1ea1ng. T\u00ednh \u0111\u1ebfn ng\u00e0y 13 th\u00e1ng 7 n\u0103m 2018, t\u1ed5ng s\u1ed1 255 tr\u01b0\u1eddng h\u1ee3p r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 8 ca t\u1eed vong \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<br \/>\nC\u00e1c b\u00e1c s\u0129 v\u00e0 t\u1ed5 ch\u1ee9c y t\u1ebf c\u00f4ng c\u1ed9ng \u0111\u00e3 t\u00ecm ki\u1ebfm v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa hi\u1ec7n t\u01b0\u1ee3ng b\u00ed \u1ea9n n\u00e0y v\u1edbi vi\u1ec7c d\u00f9ng cannabinoid t\u1ed5ng h\u1ee3p. C\u00e1c x\u00e9t nghi\u1ec7m s\u01a1 b\u1ed9<span class=\"text_exposed_show\">\u00a0v\u1ec1 m\u1eabu huy\u1ebft thanh b\u1ec7nh nh\u00e2n v\u00e0 m\u1eabu thu\u1ed1c gi\u00fap ph\u00e1t hi\u1ec7n m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng: <strong>cannabinoid t\u1ed5ng h\u1ee3p \u0111\u01b0\u1ee3c tr\u1ed9n v\u1edbi brodifacoum<\/strong>, m\u1ed9t d\u1eabn xu\u1ea5t bromophenyl c\u1ee7a warfarin. D\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u nghi\u00eam tr\u1ecdng v\u00e0 k\u00e9o d\u00e0i \u1edf ng\u01b0\u1eddi d\u00f9ng.<br \/>\n<strong>Brodifacoum l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i thu\u1ed1c di\u1ec7t chu\u1ed9t<\/strong> th\u00e0nh c\u00f4ng v\u00ec chu k\u1ef3 b\u00e1n r\u00e3 c\u1ef1c k\u1ef3 d\u00e0i (kho\u1ea3ng 16 \u0111\u1ebfn 36 ng\u00e0y \u1edf ng\u01b0\u1eddi). Ch\u00fang \u0111\u00e3 \u0111\u01b0\u1ee3c tr\u1ed9n chung v\u1edbi Cannabinoid \u0111\u1ec3 t\u0103ng th\u1eddi gian &#8220;ph\u00ea thu\u1ed1c&#8221; (b\u1eb1ng c\u00e1ch ng\u0103n c\u1ea3n vi\u1ec7c \u0111\u00e0o th\u1ea3i thu\u1ed1c). Nh\u01b0ng th\u1eadt ra ch\u00fang c\u00f3 th\u1ec3 l\u00e0m m\u00e1u kh\u00f3 \u0111\u00f4ng, c\u00f3 th\u1ec3 k\u00e9o d\u00e0i t\u1eeb 9 th\u00e1ng tr\u1edf l\u00ean. Do s\u1ef1 can thi\u1ec7p k\u00e9o d\u00e0i c\u1ee7a thu\u1ed1c v\u1edbi ho\u1ea1t \u0111\u1ed9ng men vitamin K epoxide reductase.<\/span><\/p>\n<div class=\"text_exposed_show\">\n<p style=\"text-align: justify\">\u0110i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n b\u1ecb ch\u1ea3y m\u00e1u do brodifacoum bao g\u1ed3m truy\u1ec1n ngay l\u1eadp t\u1ee9c c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u ph\u1ee5 thu\u1ed9c vitamin K v\u00e0 s\u1eed d\u1ee5ng c\u00e1c ch\u1ea5t c\u00f4 \u0111\u1eb7c ph\u1ee9c h\u1ee3p prothrombin ho\u1eb7c fresh-frozen plasma v\u00e0 ti\u00eam t\u0129nh m\u1ea1ch vitamin K. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y th\u00ec \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng kh\u00f3 kh\u0103n h\u01a1n r\u1ea5t nhi\u1ec1u v\u00ec y\u00eau c\u1ea7u theo d\u00f5i tr\u01b0\u1eddng k\u1ef3, d\u00f9ng nhi\u1ec1u Vitamin K h\u01a1n (d\u1eabn \u0111\u1ebfn g\u00e1nh n\u1eb7ng t\u00e0i ch\u00ednh), ch\u01b0a k\u1ec3 \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 b\u1ecf \u0111i\u1ec1u tr\u1ecb v\u00e0 t\u00e1i nghi\u1ec7n.<br \/>\nNghe n\u00f3i \u1edf Vi\u1ec7t Nam c\u00f3 nh\u00f3m k\u00edn h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n ung th\u01b0 x\u00e0i <strong>C\u1ea7n Sa<\/strong> ch\u1eefa b\u1ec7nh \u0111\u1ed9 v\u00e0i ng\u00e0n ng\u01b0\u1eddi. Kh\u00f4ng bi\u1ebft c\u00f3 nh\u1eadp c\u00e1i n\u00e0y v\u1ec1 kh\u00f4ng n\u00ean m\u00ecnh d\u1ecbch ra c\u1ea3nh b\u00e1o.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1807652\" target=\"_blank\" rel=\"noopener nofollow\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1807652<\/a><\/li>\n<li><a href=\"https:\/\/l.facebook.com\/l.php?u=https%3A%2F%2Fwww.nejm.org%2Fdoi%2Ffull%2F10.1056%2FNEJMe1810418&amp;h=AT3PxsNohbiJhb7cYNQGB8yMT1PRrsI6oyPlGGzzcVd-dWedbHU7k83vbiItGYub5XW3hrYX5vR-0Cs2DRcE1TSaVQViqs3m0FetyiuP2E-J7hZBg6yrQLHX6hY0sYrbhCfLfkT0husjZgnEN21w\" target=\"_blank\" rel=\"noopener nofollow\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMe1810418<\/a><\/li>\n<\/ol>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>V\u00e0o th\u00e1ng 3 v\u00e0 th\u00e1ng 4 n\u0103m 2018, h\u01a1n 150 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf Illinois v\u1edbi r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 xu\u1ea5t huy\u1ebft t\u1ea1ng.<\/p>\n","protected":false},"author":108,"featured_media":12146,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[3864,2996,3865,3866],"series":[3817],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u00f9ng ph\u00e1t hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u li\u00ean quan t\u1edbi Cannabinoid (c\u1ea7n sa) t\u1ed5ng h\u1ee3p t\u1ea1i Hoa K\u1ef3 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"V\u00e0o th\u00e1ng 3 v\u00e0 th\u00e1ng 4 n\u0103m 2018, h\u01a1n 150 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf Illinois v\u1edbi r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 xu\u1ea5t huy\u1ebft t\u1ea1ng.\" \/>\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\/ung-thu\/bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u00f9ng ph\u00e1t hi\u1ec7n t\u01b0\u1ee3ng ch\u1ea3y m\u00e1u li\u00ean quan t\u1edbi Cannabinoid (c\u1ea7n sa) t\u1ed5ng h\u1ee3p t\u1ea1i Hoa K\u1ef3 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"V\u00e0o th\u00e1ng 3 v\u00e0 th\u00e1ng 4 n\u0103m 2018, h\u01a1n 150 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u01b0a \u0111\u1ebfn c\u00e1c b\u1ec7nh vi\u1ec7n \u1edf Illinois v\u1edbi r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u v\u00e0 xu\u1ea5t huy\u1ebft t\u1ea1ng.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/beequy\" \/>\n<meta property=\"article:published_time\" content=\"2018-09-29T19:38:17+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2018\/09\/bung-phat-hien-tuong-chay-mau-lien-quan-toi-cannabinoid-can-sa-tong-hop-tai-hoa-ky-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS.TS. 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