{"id":987,"date":"2018-11-29T15:09:29","date_gmt":"2018-11-29T08:09:29","guid":{"rendered":"http:\/\/vitamin.demo.xemwebmau.com\/?p=987"},"modified":"2019-12-26T16:08:54","modified_gmt":"2019-12-26T09:08:54","slug":"dung-thuoc-tri-dau-nhuc-xuong-khop-can-luu-y-gi","status":"publish","type":"post","link":"https:\/\/vitamin.webmaudep.net\/?p=987","title":{"rendered":"D\u00d9NG THU\u1ed0C TR\u1eca \u0110AU NH\u1ee8C X\u01af\u01a0NG KH\u1edaP C\u1ea6N L\u01afU \u00dd G\u00cc"},"content":{"rendered":"

D\u00f9ng thu\u1ed1c tr\u1ecb \u0111au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp c\u1ea7n l\u01b0u \u00fd g\u00ec?<\/strong><\/span><\/p>\n

Th\u1eddi ti\u1ebft n\u1eafng n\u00f3ng, \u0111\u1ed9 \u1ea9m kh\u00f4ng kh\u00ed cao, s\u1ef1 thay \u0111\u1ed5i nhi\u1ec7t \u0111\u1ed9 \u0111\u1ed9t ng\u1ed9t… khi\u1ebfn cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1eb5n c\u00e1c b\u1ec7nh l\u00fd c\u01a1 x\u01b0\u01a1ng kh\u1edbp g\u1eb7p c\u00e1c c\u01a1n \u0111au nh\u1ee9c khi\u1ebfn h\u1ecd ph\u1ea3i d\u00f9ng t\u1edbi thu\u1ed1c. V\u1eady d\u00f9ng thu\u1ed1c trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n l\u01b0u \u00fd g\u00ec?<\/strong><\/p>\n

\u0110\u1ed1i v\u1edbi nh\u1eefng ch\u1ee9ng v\u1eb9o c\u1ed5, \u0111au vai g\u00e1y, \u0111au l\u01b0ng<\/a> c\u1ea5p<\/strong><\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y th\u01b0\u1eddng g\u1eb7p do l\u1ea1nh, do xoay v\u1eb7n c\u1ed5 g\u00e1y th\u1eaft l\u01b0ng \u0111\u1ed9t ng\u1ed9t, do t\u01b0 th\u1ebf lao \u0111\u1ed9ng, sinh ho\u1ea1t, n\u1eb1m ng\u1ed3i l\u1ec7ch v\u1eb9o… C\u00e1c c\u01a1n \u0111au th\u01b0\u1eddng k\u00e8m co c\u1ee9ng c\u01a1 v\u00f9ng vai g\u00e1y, l\u01b0ng, th\u1eaft l\u01b0ng. \u0110\u1ec3 l\u00e0m gi\u1ea3m \u0111au trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u b\u1eb1ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au h\u1ea1 s\u1ed1t c\u00f3 ch\u1ee9a paracetamol<\/a>. Khi t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n th\u00ec c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t trong c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au ph\u1ed1i h\u1ee3p nh\u01b0: C\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p gi\u1eefa paracetamol + codein (opiod), paracetamol +\u00a0 gabapentin (thu\u1ed1c gi\u1ea3m \u0111au th\u1ea7n kinh), paracetamol + ibuprofen\u00a0 (thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam)… Ho\u1eb7c c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au kh\u00e1ng vi\u00eam kh\u00f4ng steroid nh\u01b0 indomethacin, naproxen, piroxicam… C\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c tr\u00ean v\u1edbi nh\u00f3m c\u00e1c thu\u1ed1c gi\u00e3n c\u01a1 v\u00e2n (nh\u01b0 tolperison), c\u00e1c vitamin<\/a> nh\u00f3m B t\u00f9y theo t\u00ecnh tr\u1ea1ng \u0111au c\u1ee5 th\u1ec3 c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 do b\u00e1c s\u0129 k\u00ea \u0111\u01a1n \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Khi b\u1ecb \u0111au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp c\u1ea5p \u0111\u1ec3 nhanh ch\u00f3ng ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng \u0111au, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng t\u00ecm \u0111\u1ebfn c\u00e1c thu\u1ed1c ph\u1ed1i h\u1ee3p c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au nhanh, m\u1ea1nh. Tuy nhi\u00ean, vi\u1ec7c d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ph\u1ea3i \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd, tu\u00e2n th\u1ee7 \u0111\u00fang ph\u00e1c \u0111\u1ed3, \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh, \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng, tr\u00e1nh l\u1ea1m d\u1ee5ng v\u00ec c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe.<\/p>\n

\"\"<\/p>\n

V\u00ed d\u1ee5, c\u00e1c thu\u1ed1c gi\u1ea3m \u0111au c\u00f3 th\u00e0nh ph\u1ea7n paracetamol c\u00f3 th\u1ec3 l\u00e0m t\u0103ng men gan; c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam gi\u1ea3m \u0111au kh\u00f4ng steroid c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 tr\u00ean h\u1ec7 ti\u00eau h\u00f3a v\u00e0\/ho\u1eb7c \u0111\u1ed1i v\u1edbi tim m\u1ea1ch n\u00ean c\u1ea7n d\u00f9ng v\u1edbi li\u1ec1u l\u01b0\u1ee3ng th\u1ea5p nh\u1ea5t, trong th\u1eddi gian ng\u1eafn nh\u1ea5t theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, ng\u01b0\u1eddi b\u1ec7nh tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng.<\/p>\n

Kh\u00f4ng n\u00ean ph\u1ed1i h\u1ee3p c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam v\u1edbi nhau v\u00ec s\u1ef1 ph\u1ed1i h\u1ee3p n\u00e0y ch\u1ec9 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 kh\u00f4ng thay \u0111\u1ed5i hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. N\u00ean u\u1ed1ng thu\u1ed1c sau \u0103n v\u00e0 c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c b\u1ea3o v\u1ec7 d\u1ea1 d\u00e0y \u0111\u1ec3 gi\u1ea3m t\u00e1c d\u1ee5ng ph\u1ee5 do thu\u1ed1c kh\u00e1ng vi\u00eam<\/a> g\u00e2y ra.<\/p>\n

Ngo\u00e0i ra, trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au nh\u1ee9c n\u00e0y th\u01b0\u1eddng k\u1ebft h\u1ee3p v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c nh\u01b0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u, xoa n\u1eafn b\u1ea5m huy\u1ec7t. C\u1ea7n ngh\u1ec9 ng\u01a1i \u0111\u1ec3 c\u01a1 v\u00f9ng c\u1ed9t s\u1ed1ng \u0111\u01b0\u1ee3c th\u1ea3 l\u1ecfng th\u01b0 gi\u00e3n. Gi\u1eef \u1ea5m, ch\u01b0\u1eddm \u1ea5m n\u1ebfu \u0111au – co c\u01a1 do l\u1ea1nh, ch\u00fa \u00fd c\u00e1c t\u01b0 th\u1ebf lao \u0111\u1ed9ng sinh ho\u1ea1t ph\u00f9 h\u1ee3p.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u1edbp vi\u00eam m\u1ea1n t\u00ednh<\/strong><\/p>\n

C\u00e1c b\u1ec7nh nh\u01b0 b\u1ec7nh vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, c\u00e1c ch\u1ee9ng vi\u00eam do tho\u00e1i h\u00f3a kh\u1edbp<\/a>, c\u00e1c c\u01a1n \u0111au nh\u1ee9c c\u01a1 kh\u1edbp l\u00e0 do t\u00ecnh tr\u1ea1ng vi\u00eam c\u1ea5p t\u00ednh, th\u01b0\u1eddng k\u00e8m theo s\u01b0ng n\u00f3ng \u1edf c\u00e1c kh\u1edbp. Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb c\u00f3 vai tr\u00f2 quan tr\u1ecdng nh\u1eb1m ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng vi\u00eam \u0111au. C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ch\u00ednh g\u1ed3m: C\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam kh\u00f4ng steroid (ibuprofen, naproxen, piroxicam…). C\u00e1c thu\u1ed1c nh\u00f3m corticoid nh\u01b0 betamethazone, dexamethazone… C\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c nh\u00f3m gi\u1ea3m \u0111au h\u1ea1 s\u1ed1t, gi\u1ea3m \u0111au ph\u1ed1i h\u1ee3p, thu\u1ed1c gi\u00e3n c\u01a1 gi\u00fap t\u0103ng t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au v\u00e0 gi\u1ea3m li\u1ec1u thu\u1ed1c kh\u00e1ng vi\u00eam.<\/p>\n

Ngo\u00e0i c\u00e1c thu\u1ed1c d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng, m\u1ed9t s\u1ed1 thu\u1ed1c d\u00f9ng ngo\u00e0i b\u00f4i xoa, cao d\u00e1n c\u0169ng \u00edt nhi\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3m \u0111au vi\u00eam \u0111\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111au m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn v\u1eeba.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u1edbp vi\u00eam m\u1ea1n t\u00ednh nh\u01b0 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, di\u1ec5n bi\u1ebfn k\u00e9o d\u00e0i, t\u00e1i ph\u00e1t c\u1ea5p t\u00ednh nhi\u1ec1u \u0111\u1ee3t, kh\u00f3 ki\u1ec3m so\u00e1t v\u00e0 kh\u00f4ng th\u1ec3 \u0111i\u1ec1u tr\u1ecb kh\u1ecfi ho\u00e0n to\u00e0n n\u00ean nhi\u1ec1u b\u1ec7nh nh\u00e2n th\u01b0\u1eddng b\u1ecb ch\u00e1n n\u1ea3n, b\u1ecf \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111i\u1ec1u tr\u1ecb c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng ch\u00ednh th\u1ed1ng khi\u1ebfn t\u00ecnh tr\u1ea1ng b\u1ec7nh ng\u00e0y c\u00e0ng n\u1eb7ng, bi\u1ebfn d\u1ea1ng kh\u1edbp nghi\u00eam tr\u1ecdng. V\u00ec v\u1eady, ngo\u00e0i vi\u1ec7c ki\u1ec3m so\u00e1t \u0111au nh\u1ee9c \u0111\u1ee3t c\u1ea5p, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c nh\u00f3m t\u00e1c \u0111\u1ed9ng v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh nh\u01b0 c\u00e1c thu\u1ed1c methotrexat, sulfasalazin… nh\u1eb1m d\u1ea7n ki\u1ec3m so\u00e1t v\u00e0 gi\u1ea3m d\u1ea7n ph\u1ee5 thu\u1ed9c thu\u1ed1c kh\u00e1ng vi\u00eam v\u00e0 corticoid. Nh\u00f3m thu\u1ed1c n\u00e0y t\u00e1c d\u1ee5ng ch\u1eadm n\u00ean c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng vi\u00eam v\u00e0 ph\u1ea3i ki\u00ean tr\u00ec v\u00e0 tu\u00e2n th\u1ee7 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n

\u0110\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u1edbp vi\u00eam tho\u00e1i h\u00f3a, c\u00e1c thu\u1ed1c ch\u1ed1ng tho\u00e1i h\u00f3a t\u00e1c d\u1ee5ng ch\u1eadm nh\u01b0 glucosamine, chondroitin, collagen type II… c\u0169ng c\u00f3 vai tr\u00f2 quan tr\u1ecdng gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh ti\u1ebfn tri\u1ec3n.<\/p>\n

B\u00ean c\u1ea1nh nh\u1eefng ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb truy\u1ec1n th\u1ed1ng, hi\u1ec7n nay v\u1edbi nh\u1eefng ti\u1ebfn b\u1ed9 c\u1ee7a y sinh h\u1ecdc, \u0111\u00e3 c\u00f3 c\u00e1c thu\u1ed1c sinh h\u1ecdc \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd kh\u1edbp vi\u00eam m\u1ea1n t\u00ednh (vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp, vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn), c\u00e1c li\u1ec7u ph\u00e1p d\u1ecbch kh\u1edbp nh\u00e2n t\u1ea1o, huy\u1ebft t\u01b0\u01a1ng gi\u00e0u ti\u1ec3u c\u1ea7u t\u1ef1 th\u00e2n, t\u1ebf b\u00e0o g\u1ed1c \u0111i\u1ec1u tr\u1ecb tho\u00e1i h\u00f3a kh\u1edbp \u0111ang \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 l\u00e0 nh\u1eefng b\u01b0\u1edbc \u0111\u1ed9t ph\u00e1 ngo\u1ea1n m\u1ee5c, m\u1edf ra nh\u1eefng hy v\u1ecdng ki\u1ec3m so\u00e1t v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ed1t h\u01a1n c\u00e1c b\u1ec7nh l\u00fd x\u01b0\u01a1ng kh\u1edbp<\/a>.<\/p>\n

Ngu\u1ed3n: Suckhoedoisong.vn \u2013 Ng\u00e0y 28\/7\/2018 \u2013 Bs Ph\u1ea1m Quang Thu\u1eadn<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

D\u00f9ng thu\u1ed1c tr\u1ecb \u0111au nh\u1ee9c x\u01b0\u01a1ng kh\u1edbp c\u1ea7n l\u01b0u \u00fd g\u00ec? Th\u1eddi ti\u1ebft n\u1eafng n\u00f3ng, \u0111\u1ed9 \u1ea9m kh\u00f4ng kh\u00ed cao, s\u1ef1 thay \u0111\u1ed5i nhi\u1ec7t \u0111\u1ed9 \u0111\u1ed9t ng\u1ed9t… khi\u1ebfn cho nh\u1eefng ng\u01b0\u1eddi c\u00f3 s\u1eb5n c\u00e1c b\u1ec7nh l\u00fd c\u01a1 x\u01b0\u01a1ng kh\u1edbp g\u1eb7p c\u00e1c c\u01a1n \u0111au nh\u1ee9c khi\u1ebfn h\u1ecd ph\u1ea3i d\u00f9ng t\u1edbi thu\u1ed1c. V\u1eady d\u00f9ng thu\u1ed1c trong tr\u01b0\u1eddng […]\n","protected":false},"author":45,"featured_media":988,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[41,2],"tags":[221,217,220,219,218],"_links":{"self":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts\/987"}],"collection":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/users\/45"}],"replies":[{"embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=987"}],"version-history":[{"count":2,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts\/987\/revisions"}],"predecessor-version":[{"id":1485,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/posts\/987\/revisions\/1485"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=\/wp\/v2\/media\/988"}],"wp:attachment":[{"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=987"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=987"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vitamin.webmaudep.net\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=987"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}