T\u00e1 d\u01b0\u1ee3c v\u1eeba \u0111\u1ee7.<\/li>\n<\/ul>\nD\u1ea1ng b\u00e0o ch\u1ebf : Vi\u00ean n\u00e9n<\/p>\n
Tr\u00ecnh b\u00e0y<\/h3>\n
S\u0110K: 893110257623<\/p>\n
Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 10 v\u1ec9 x 10 vi\u00ean<\/p>\n
Xu\u1ea5t x\u1ee9: Vi\u1ec7t Nam<\/p>\n
T\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Azenmarol 1<\/h2>\nC\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n
Acenocoumarol l\u00e0 d\u1eabn xu\u1ea5t 4-hydroxycoumarin c\u00f3 ho\u1ea1t t\u00ednh ch\u1ed1ng \u0111\u00f4ng m\u00e1u. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a acenocoumarol l\u00e0 \u1ee9c ch\u1ebf vitamin K epoxide reductase, do \u0111\u00f3 \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh kh\u1eed vitamin K v\u00e0 s\u1ef1 s\u1eb5n c\u00f3 c\u1ee7a vitamin K H2.<\/p>\n
\u0110i\u1ec1u n\u00e0y ng\u0103n c\u1ea3n qu\u00e1 tr\u00ecnh carboxyl h\u00f3a gamma c\u1ee7a c\u00e1c g\u1ed1c axit glutamic g\u1ea7n \u0111\u1ea7u N c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 \u0111\u00f4ng m\u00e1u ph\u1ee5 thu\u1ed9c vitamin K, bao g\u1ed3m c\u00e1c y\u1ebfu t\u1ed1 II, VII, IX v\u00e0 X v\u00e0 c\u00e1c protein ch\u1ed1ng \u0111\u00f4ng m\u00e1u C v\u00e0 S. T\u1eeb \u0111\u00f3 g\u0103n c\u1ea3n s\u1ef1 h\u00ecnh th\u00e0nh thrombin.<\/p>\n
\u0110\u1eb7c \u0111i\u1ec3m d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\nH\u1ea5p thu<\/h4>\n
Acenocoumarol \u0111\u01b0\u1ee3c h\u1ea5p thu nhanh ch\u00f3ng t\u1eeb \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong m\u00e1u sau 2\u20133 gi\u1edd.<\/p>\n
Ph\u00e2n b\u1ed1<\/h4>\n
Li\u00ean k\u1ebft ch\u1eb7t ch\u1ebd v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng.<\/p>\n
Chuy\u1ec3n h\u00f3a<\/h4>\n
Acenocoumarol ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a \u1edf gan qua c\u00e1c enzyme CYP: CYP2C9 hydroxyl h\u00f3a S\u2011acenocoumarol, CYP1A2 v\u00e0 CYP2C19 tham gia chuy\u1ec3n h\u00f3a R\u2011acenocoumarol.<\/p>\n
Th\u1ea3i tr\u1eeb<\/h4>\n
Sau khi u\u1ed1ng, th\u1eddi gian b\u00e1n h\u1ee7y l\u00e0 8\u201311 gi\u1edd.<\/p>\n
Azenmarol 1 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/h2>\n
Azenmarol 1 Acenocoumarol<\/strong>\u00a0\u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong :<\/p>\n\n- D\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch do van tim nh\u00e2n t\u1ea1o, b\u1ec7nh van hai l\u00e1, rung nh\u0129.<\/li>\n
- D\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch sau nh\u1ed3i m\u00e1u c\u01a1 tim.<\/li>\n
- D\u1ef1 ph\u00f2ng ngh\u1ebdn m\u1ea1ch ph\u1ed5i v\u00e0 huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch sau ph\u1eabu thu\u1eadt kh\u1edbp h\u00e1ng ho\u1eb7c \u0111\u1eb7t \u1ed1ng th\u00f4ng.<\/li>\n
- \u0110i\u1ec1u tr\u1ecb huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u v\u00e0 ngh\u1ebdn m\u1ea1ch ph\u1ed5i.<\/li>\n<\/ul>\n
Azenmarol 1 ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch<\/figcaption><\/figure>\nLi\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Azenmarol 1<\/h2>\n\n- Ng\u00e0y \u0111\u1ea7u : 4\u202fvi\u00ean\/l\u1ea7n, 1\u202fl\u1ea7n\/ng\u00e0y.<\/li>\n
- Ng\u00e0y th\u1ee9 2 : 4\u20138\u202fvi\u00ean\/l\u1ea7n, 1\u202fl\u1ea7n\/ng\u00e0y.<\/li>\n
- Li\u1ec1u duy tr\u00ec : 1\u20138\u202fvi\u00ean\/l\u1ea7n, 1\u202fl\u1ea7n\/ng\u00e0y.<\/li>\n<\/ul>\n
C\u00e1ch d\u00f9ng c\u1ee7a thu\u1ed1c Azenmarol 1<\/h2>\n\n- U\u1ed1ng 1\u202fl\u1ea7n\/ng\u00e0y, c\u00f9ng gi\u1edd c\u1ed1 \u0111\u1ecbnh.<\/li>\n
- C\u00f3 th\u1ec3 u\u1ed1ng c\u00f9ng ho\u1eb7c kh\u00f4ng c\u00f9ng th\u1ee9c \u0103n.<\/li>\n
- Theo d\u00f5i INR th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 hi\u1ec7u ch\u1ec9nh li\u1ec1u.<\/li>\n<\/ul>\n
Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Azenmarol 1 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/h2>\n\n- Kh\u00f4ng d\u00f9ng Azenmarol 1 cho ng\u01b0\u1eddi c\u00f3 m\u1eabn c\u1ea3m v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/li>\n
- Nguy c\u01a1 ch\u1ea3y m\u00e1u cao (lo\u00e9t d\u1ea1 d\u00e0y\u2013t\u00e1 tr\u00e0ng ti\u1ebfn tri\u1ec3n, gi\u00e3n t\u0129nh m\u1ea1ch th\u1ef1c qu\u1ea3n, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, lo\u1ea1n s\u1ea3n m\u00e1u ho\u1eb7c b\u1ea5t k\u1ef3 r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u n\u00e0o).<\/li>\n
- Thi\u1ebfu h\u1ee5t vitamin\u202fC ho\u1eb7c vi\u00eam n\u1ed9i t\u00e2m m\u1ea1c.<\/li>\n
- Suy gan n\u1eb7ng, suy th\u1eadn n\u1eb7ng.<\/li>\n
- T\u0103ng huy\u1ebft \u00e1p kh\u00f4ng ki\u1ec3m so\u00e1t.<\/li>\n
- D\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00f9ng phenylbutazol, NSAID nh\u00f3m pyrazolon, aspirin li\u1ec1u cao, miconazol, chloramphenicol ho\u1eb7c diflunisal.<\/li>\n<\/ul>\n
L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Azenmarol 1<\/h2>\nTh\u1eadn tr\u1ecdng<\/h3>\n\n- U\u1ed1ng li\u1ec1u c\u1ed1 \u0111\u1ecbnh v\u00e0o c\u00f9ng m\u1ed9t th\u1eddi \u0111i\u1ec3m m\u1ed7i ng\u00e0y v\u00e0 x\u00e9t nghi\u1ec7m INR \u0111\u1ecbnh k\u1ef3 t\u1ea1i c\u00f9ng c\u01a1 s\u1edf y t\u1ebf.<\/li>\n
- \u0110i\u1ec1u ch\u1ec9nh ho\u1eb7c ng\u01b0ng thu\u1ed1c khi ph\u1ea3i ph\u1eabu thu\u1eadt c\u00f3 nguy c\u01a1 ch\u1ea3y m\u00e1u.<\/li>\n
- Theo d\u00f5i ch\u1eb7t t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u, \u0111\u1eb7c bi\u1ec7t sau xu\u1ea5t vi\u1ec7n.<\/li>\n
- \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy th\u1eadn nh\u1eb9\u2013v\u1eeba ho\u1eb7c h\u1ea1 protein m\u00e1u.<\/li>\n
- Kh\u00f4ng t\u1ef1 \u00fd ng\u1eebng thu\u1ed1c v\u00e0 tr\u00e1nh d\u00f9ng chung v\u1edbi c\u00e1c thu\u1ed1c ch\u1ee9a lactose \u1edf ng\u01b0\u1eddi kh\u00f4ng dung n\u1ea1p \u0111\u01b0\u1eddng lactose.<\/li>\n<\/ul>\n