{"id":36391,"date":"2023-07-17T09:29:30","date_gmt":"2023-07-17T02:29:30","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?p=36391"},"modified":"2023-07-20T10:11:43","modified_gmt":"2023-07-20T03:11:43","slug":"10-thuoc-tieu-duong-tot-nhat-hien-nay-duoc-chuyen-gia-y-te-khuyen-dung-duoc-si-luu-van-hoang","status":"publish","type":"post","link":"https:\/\/hmm88i.com\/drug\/10-thuoc-tieu-duong-tot-nhat-hien-nay-duoc-chuyen-gia-y-te-khuyen-dung-duoc-si-luu-van-hoang\/","title":{"rendered":"C\u00e1c nh\u00f3m thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay"},"content":{"rendered":"
Ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 b\u1ec7nh l\u00fd chuy\u1ec3n h\u00f3a \u0111ang c\u00f3 xu h\u01b0\u1edbng gia t\u0103ng nhanh v\u1edbi nhi\u1ec1u bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u. Hi\u1ec7n ch\u01b0a c\u00f3 c\u00e1ch \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 nh\u01b0ng ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u1ec3 ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u0103n b\u1ec7nh n\u00e0y. B\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y s\u1ebd cung c\u1ea5p cho b\u1ea1n th\u00f4ng tin v\u1ec1 top 10 lo\u1ea1i thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng t\u1ed1t nh\u1ea5t hi\u1ec7n nay \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia y t\u1ebf h\u00e0ng \u0111\u1ea7u khuy\u00ean d\u00f9ng.<\/b><\/p>\n B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng<\/strong> hay c\u00f2n g\u1ecdi l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong> l\u00e0 c\u0103n b\u1ec7nh m\u00e3n t\u00ednh x\u1ea3y ra do c\u01a1 th\u1ec3 kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. Bi\u1ec3u hi\u1ec7n c\u1ee7a c\u0103n b\u1ec7nh n\u00e0y l\u00e0 t\u00ecnh tr\u1ea1ng \u0111\u01b0\u1eddng m\u00e1u t\u0103ng cao, v\u01b0\u1ee3t ng\u01b0\u1ee1ng 7 mmol\/L l\u00fac \u0111\u00f3i (Theo Hi\u1ec7p h\u1ed9i \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng Hoa K\u1ef3 \u2013 ADA) d\u1eabn t\u1edbi r\u1ed1i lo\u1ea1n v\u1ec1 kh\u1ea3 n\u0103ng chuy\u1ec3n h\u00f3a \u0111\u01b0\u1eddng, \u0111\u1ea1m, m\u1ee1, ch\u1ea5t kho\u00e1ng trong c\u01a1 th\u1ec3.\u00a0<\/span><\/p>\n Hi\u1ec7n nay c\u00f3 2 th\u1ec3 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng ph\u1ed5 bi\u1ebfn l\u00e0:<\/span><\/p>\n – B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1<\/strong>: Do t\u1ebf b\u00e0o t\u1ee5y c\u1ee7a c\u01a1 th\u1ec3 m\u1ea5t kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t insulin n\u00ean c\u1ea7n ph\u1ea3i b\u1ed5 sung insulin h\u1eb1ng ng\u00e0y \u0111\u1ec3 ki\u1ec3m so\u00e1t l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. Ph\u1ea7n l\u1edbn ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1 x\u1ea3y ra \u1edf tr\u1ebb em v\u00e0 nh\u1eefng ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i (th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 d\u01b0\u1edbi 20 tu\u1ed5i).\u00a0<\/span><\/p>\n –\u00a0 B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2<\/strong>: Do c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t kh\u00f4ng \u0111\u1ee7 l\u01b0\u1ee3ng insulin ho\u1eb7c kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng insulin m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng l\u00e0m t\u0103ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u. \u0110\u00e2y l\u00e0 tu\u00fdp ti\u1ec3u \u0111\u01b0\u1eddng b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t, g\u1eb7p nhi\u1ec1u nh\u1ea5t \u1edf ng\u01b0\u1eddi tr\u00ean 40 tu\u1ed5i v\u00e0 c\u00f3 xu h\u01b0\u1edbng d\u1ea7n tr\u1ebb h\u00f3a.<\/span><\/p>\n Ngo\u00e0i ra c\u00f2n c\u00f3 lo\u1ea1i ti\u1ec3u \u0111\u01b0\u1eddng thai k\u1ef3<\/strong>, l\u00e0 b\u1ec7nh l\u00fd x\u1ea3y ra do s\u1ef1 thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 trong qu\u00e1 tr\u00ecnh mang thai. V\u00e0 t\u1ef1 ch\u1ea5m d\u1ee9t sau khi sinh t\u1eeb 1 – 2 tu\u1ea7n.<\/span><\/p>\n B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng n\u1ebfu nh\u01b0 kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t t\u1ed1t s\u1ebd l\u00e0m gia t\u0103ng c\u00e1c nguy c\u01a1 v\u1ec1 tim m\u1ea1ch, th\u1ea7n kinh, m\u1eaft, th\u1eadn v\u00e0 nhi\u1ec1u b\u1ec7nh l\u00fd nghi\u00eam tr\u1ecdng kh\u00e1c.<\/span><\/p>\n D\u00f9ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng<\/strong> l\u00e0 quy lu\u1eadt t\u1ea5t y\u1ebfu kh\u00f4ng th\u1ec3 tr\u00e1nh kh\u1ecfi c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. Tuy nhi\u00ean, t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng b\u1ec7nh m\u00e0 m\u1ed7i b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c ph\u00f9 h\u1ee3p kh\u00e1c nhau.\u00a0<\/span><\/p>\n Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng<\/strong> \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh hai nh\u00f3m ch\u00ednh: nh\u00f3m insulin v\u00e0 nh\u00f3m h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft th\u00f4ng qua \u0111\u01b0\u1eddng u\u1ed1ng.<\/span><\/p>\n C\u00f3 r\u1ea5t nhi\u1ec1u b\u1ec7nh nh\u00e2n sau khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u1ec1u \u0111\u1eb7t c\u00e2u h\u1ecfi r\u1eb1ng B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng c\u00f3 ch\u1eefa \u0111\u01b0\u1ee3c kh\u00f4ng<\/strong>? Th\u1ef1c t\u1ebf, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 c\u0103n b\u1ec7nh m\u1ea1n t\u00ednh, kh\u00f4ng c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u1ee9t \u0111i\u1ec3m, kh\u00f4ng c\u00f3 m\u1ed9t thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u n\u00e0o, ngh\u0129a l\u00e0 ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i s\u1ed1ng chung v\u1edbi c\u0103n b\u1ec7nh n\u00e0y \u0111\u1ebfn h\u1ebft \u0111\u1eddi. Sau \u0111\u00e2y l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng<\/strong> t\u1ed1t nh\u1ea5t hi\u1ec7n nay \u0111\u01b0\u1ee3c c\u00e1c chuy\u00ean gia y t\u1ebf khuy\u00ean d\u00f9ng.<\/span><\/p>\n Insulin t\u1ef1 nhi\u00ean l\u00e0 m\u1ed9t d\u1ea1ng hormone \u0111\u01b0\u1ee3c c\u00e1c t\u1ebf b\u00e0o beta trong tuy\u1ebfn t\u1ee5y ti\u1ebft ra. Sau m\u1ed7i b\u1eefa \u0103n, c\u00e1c t\u1ebf b\u00e0o beta gi\u1ea3i ph\u00f3ng insulin \u0111\u1ec3 gi\u00fap c\u01a1 th\u1ec3 s\u1eed d\u1ee5ng ho\u1eb7c d\u1ef1 tr\u1eef l\u01b0\u1ee3ng \u0111\u01b0\u1eddng (glucose) \u0111\u00e3 dung n\u1ea1p. N\u1ebfu l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u t\u0103ng cao h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng, insulin s\u1ebd gi\u00fap c\u01a1 th\u1ec3 d\u1ef1 tr\u1eef \u0111\u01b0\u1eddng \u1edf t\u1ebf b\u00e0o gan d\u01b0\u1edbi d\u1ea1ng glycogen. Do \u0111\u00f3, insulin gi\u00fap c\u00e2n b\u1eb1ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u sau c\u00e1c b\u1eefa \u0103n.<\/p>\n Th\u00f4ng th\u01b0\u1eddng ti\u00eam insulin \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho b\u1ec7nh nh\u00e2n b\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng typI ho\u1eb7c ng\u01b0\u1eddi m\u1eafc ti\u1ec3u \u0111\u01b0\u1eddng typ II kh\u00f4ng \u0111\u00e1p \u1ee9ng khi d\u00f9ng c\u00e1c thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u01b0\u1eddng u\u1ed1ng (k\u1ec3 c\u1ea3 \u0111\u01a1n \u0111\u1ed9c hay ph\u1ed1i k\u1ebft h\u1ee3p)<\/p>\n B\u00fat ti\u00eam Humalog Mix 75\/25 l\u00e0 s\u1ef1 k\u1ebft h\u1ee3p c\u1ee7a hai lo\u1ea1i insulin nh\u00e2n t\u1ea1o: 75% insulin lispro protamine t\u00e1c d\u1ee5ng trung gian v\u00e0 25% insulin lispro t\u00e1c d\u1ee5ng nhanh. S\u1ef1 k\u1ebft h\u1ee3p n\u00e0y s\u1ea3n ph\u1ea9m b\u1eaft \u0111\u1ea7u ho\u1ea1t \u0111\u1ed9ng nhanh h\u01a1n v\u00e0 k\u00e9o d\u00e0i trong th\u1eddi gian d\u00e0i h\u01a1n insulin th\u00f4ng th\u01b0\u1eddng.<\/span><\/p>\n B\u00fat ti\u00eam ti\u1ec3u \u0111\u01b0\u1eddng Humalog Mix 75\/25 KwixPen 100IU\/ml hi\u1ec7n nay \u0111ang \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 250.500\u0111\/c\u00e2y v\u00e0 1.252.500\u0111\/h\u1ed9p 5 c\u00e2y.\u00a0<\/span><\/p>\n C\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c Humalog Mix25 Kwikpen<\/span><\/p>\n –\u00a0 N\u00ean l\u0103n b\u00fat ti\u00eam KwikPen trong l\u00f2ng b\u00e0n tay 10 l\u1ea7n v\u00e0 d\u1ed1c ng\u01b0\u1ee3c 180\u00ba 10 l\u1ea7n ngay tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng \u0111\u1ec3 tr\u1ed9n \u0111\u1ec1u insulin trong h\u1ed7n d\u1ecbch cho \u0111\u1ebfn khi h\u1ed7n d\u1ecbch \u0111\u1ed3ng nh\u1ea5t c\u00f3 m\u00e0u \u0111\u1ee5c ho\u1eb7c tr\u1eafng \u0111\u1ee5c nh\u01b0 s\u1eefa. C\u00f3 th\u1ec3 l\u1eb7p l\u1ea1i quy tr\u00ecnh tr\u00ean cho \u0111\u1ebfn khi c\u00e1c ch\u1ea5t \u0111\u01b0\u1ee3c tr\u1ed9n \u0111\u1ec1u.\u00a0<\/span><\/p>\n – Kh\u00f4ng l\u1eafc m\u1ea1nh \u1ed1ng thu\u1ed1c n\u1ea1p b\u00ean trong b\u00fat ti\u00eam v\u00ec c\u00f3 th\u1ec3 t\u1ea1o ra b\u1ecdt l\u00e0m c\u1ea3n tr\u1edf vi\u1ec7c \u0111\u1ecbnh li\u1ec1u \u0111\u00fang.<\/span><\/p>\n – Ph\u1ea3i ki\u1ec3m tra \u1ed1ng thu\u1ed1c th\u01b0\u1eddng xuy\u00ean v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng n\u1ebfu thu\u1ed1c b\u1ecb v\u00f3n c\u1ee5c ho\u1eb7c c\u00f3 c\u00e1c h\u1ea1t r\u1eafn m\u00e0u tr\u1eafng b\u00e1m \u1edf \u0111\u00e1y ho\u1eb7c th\u00e0nh \u1ed1ng l\u00e0m cho thu\u1ed1c nh\u01b0 b\u1ecb ph\u1ee7 s\u01b0\u01a1ng.<\/span><\/p>\n – Ti\u1ebfn h\u00e0nh ti\u00eam d\u01b0\u1edbi da \u1edf c\u00e1c v\u1ecb tr\u00ed: c\u00e1nh tay, \u0111\u00f9i, m\u00f4ng ho\u1eb7c b\u1ee5ng ngay tr\u01b0\u1edbc b\u1eefa \u0103n t\u1eeb 0-15 ph\u00fat<\/span><\/p>\n B\u00fat ti\u00eam Lantus SoloStar 100IU\/ml \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng \u1edf<\/span><\/p>\n B\u00fat ti\u00eam ti\u1ec3u \u0111\u01b0\u1eddng Lantus SoloStar 100IU\/ml hi\u1ec7n nay \u0111ang \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 295,000\u0111\/c\u00e2y.<\/span><\/p>\n C\u00e1ch d\u00f9ng thu\u1ed1c Lantus SoloStar 100IU\/ml<\/span><\/p>\n Kh\u00e1c v\u1edbi ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 1, \u1edf ng\u01b0\u1eddi b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2, tuy\u1ebfn t\u1ee5y v\u1eabn s\u1ea3n xu\u1ea5t \u0111\u01b0\u1ee3c insulin n\u00ean ban \u0111\u1ea7u, ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, t\u1eadp luy\u1ec7n \u0111\u1ec3 \u1ed5n \u0111\u1ecbnh \u0111\u01b0\u1eddng huy\u1ebft. V\u1eady ng\u01b0\u1eddi b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 <\/span>khi n\u00e0o ph\u1ea3i u\u1ed1ng thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng<\/b>?<\/span><\/p>\n Th\u00f4ng th\u01b0\u1eddng, ng\u01b0\u1eddi ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh thu\u1ed1c u\u1ed1ng khi \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i tr\u00ean 9, \u0111\u01b0\u1eddng huy\u1ebft sau \u0103n cao 14-15 mmol\/l v\u00e0 HbA1c tr\u00ean 7.5% trong khi ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 v\u1eadn \u0111\u1ed9ng th\u1ec3 l\u1ef1c b\u1ecb th\u1ea5t b\u1ea1i<\/span><\/p>\n Diamicron MR 30mg l\u00e0 thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t t\u1ea1i Ph\u00e1p<\/p>\n Diamicron MR 30mg l\u00e0 thu\u1ed1c tr\u1ecb ti\u1ec3u \u0111\u01b0\u1eddng \u0111\u1ea7u ti\u00ean c\u1ee7a Ph\u00e1p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. S\u1ea3n ph\u1ea9m \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n v\u1edbi th\u00e0nh ph\u1ea7n ch\u00ednh l\u00e0 Gliclazide. \u0110\u00e2y l\u00e0 thu\u1ed1c thu\u1ed9c nh\u00f3m sulfonylurea, c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft do k\u00edch th\u00edch b\u00e0i ti\u1ebft insulin, t\u0103ng s\u1eed d\u1ee5ng glucose c\u1ee7a t\u1ebf b\u00e0o, t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.\u00a0<\/span><\/p>\nT\u00ecm hi\u1ec3u v\u1ec1 b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/h2>\n
B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng l\u00e0 b\u1ec7nh g\u00ec?\u00a0<\/span><\/h3>\n

T\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng<\/span><\/h3>\n
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Ph\u00e2n lo\u1ea1i nh\u00f3m thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng trong \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay <\/span><\/h2>\n
Thu\u1ed1c ti\u00eam insulin: ch\u1ec9 \u0111\u1ecbnh v\u00e0 l\u01b0u \u00fd khi s\u1eed d\u1ee5ng<\/span><\/h3>\n
Insulin t\u00e1c d\u1ee5ng nhanh: B\u00fat ti\u00eam Humalog Mix 75\/25 KwixPen<\/span><\/h4>\n

\n\n
\n \u01afu \u0111i\u1ec3m<\/td>\n Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n \n \n \n
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Insulin t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i: B\u00fat ti\u00eam Lantus SoloStar 100IU\/ml<\/span><\/h4>\n

\n\n
\n \u01afu \u0111i\u1ec3m<\/td>\n Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n \n \n \n
\n \n
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C\u00e1c lo\u1ea1i thu\u1ed1c ti\u1ec3u \u0111\u01b0\u1eddng d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng<\/span><\/h3>\n
Nh\u00f3m sulfonylur\u00ea: Thu\u1ed1c Diamicron MR 30mg ch\u1ee9a Gliclazide\u00a0 <\/span>
<\/h4>\n\n\n
\n \u01afu \u0111i\u1ec3m<\/td>\n Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/td>\n<\/tr>\n \n \n \n
\n \n