{"id":59787,"date":"2023-11-29T23:13:50","date_gmt":"2023-11-29T16:13:50","guid":{"rendered":"https:\/\/hmm88i.com\/drug\/?post_type=product&#038;p=59787"},"modified":"2025-07-24T13:44:02","modified_gmt":"2025-07-24T06:44:02","slug":"thuoc-aginaril-5mg","status":"publish","type":"product","link":"https:\/\/hmm88i.com\/drug\/thuoc-aginaril-5mg\/","title":{"rendered":"Aginaril 5mg"},"content":{"rendered":"<p><b>Trong b\u00e0i vi\u1ebft n\u00e0y, d\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng gi\u1edbi thi\u1ec7u \u0111\u1ebfn c\u00e1c b\u1ea1n s\u1ea3n ph\u1ea9m\u00a0<a href=\"https:\/\/hmm88i.com\/drug\/thuoc-aginaril-5mg\/\">thu\u1ed1c Aginaril 5mg<\/a> do c\u00f4ng ty D\u01b0\u1ee3c ph\u1ea9m Agimexpharm &#8211; Vi\u1ec7t Nam s\u1ea3n xu\u1ea5t v\u00e0 ph\u00e2n ph\u1ed1i v\u1edbi s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh trong n\u01b0\u1edbc l\u00e0 VD-13750-11. Aginaril 5mg \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p v\u00e0 b\u1ec7nh suy tim.\u00a0<\/b><\/p>\n<h2><span style=\"font-weight: 400\">Aginaril 5mg l\u00e0 thu\u1ed1c g\u00ec?<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u00e0nh ph\u1ea7n<\/span><\/h3>\n<p>Trong m\u1ed7i vi\u00ean <b>Aginaril 5mg <\/b>c\u00f3 ch\u1ee9a th\u00e0nh ph\u1ea7n<\/p>\n<ul>\n<li style=\"font-weight: 400\">Enalapril (d\u01b0\u1edbi d\u1ea1ng Enalapril maleat): 5mg.<\/li>\n<li>T\u00e1 d\u01b0\u1ee3c: v\u1eeba \u0111\u1ee7 1 vi\u00ean<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">D\u1ea1ng b\u00e0o ch\u1ebf: Vi\u00ean n\u00e9n bao phim.<\/span><\/p>\n<h3><span style=\"font-weight: 400\">Tr\u00ecnh b\u00e0y<\/span><\/h3>\n<p><span style=\"font-weight: 400\">S\u0110K: VD-13750-11.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Quy c\u00e1ch \u0111\u00f3ng g\u00f3i: H\u1ed9p 3 v\u1ec9 x 10 vi\u00ean<\/span><\/p>\n<p><span style=\"font-weight: 400\">Xu\u1ea5t x\u1ee9: D\u01b0\u1ee3c ph\u1ea9m Agimexpharm &#8211; Vi\u1ec7t Nam<\/span><\/p>\n<h2><span style=\"font-weight: 400\">Aginaril 5mg thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?<\/span><\/h2>\n<h3>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng<\/h3>\n<p>Enalapril thu\u1ed9c nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin (Angiotensin Converting Enzyme Inhibitors \u2013 ACEIs), \u0111\u01b0\u1ee3c ch\u1ea5p thu\u1eadn v\u00e0 s\u1eed d\u1ee5ng trong y khoa v\u1edbi m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd t\u0103ng huy\u1ebft \u00e1p t\u1eeb nh\u1eb9 \u0111\u1ebfn n\u1eb7ng, suy tim sung huy\u1ebft v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i.<\/p>\n<p>Enalaprilat (ch\u1ea5t chuy\u1ec3n h\u00f3a c\u1ee7a enalapril) l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf h\u1ec7 RAA (renin \u2013 angiotensin \u2013 aldosterone) b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf men chuy\u1ec3n ACE theo c\u01a1 ch\u1ebf c\u1ea1nh tranh. \u0110\u00e2y l\u00e0 1 enzyme c\u00f3 t\u00e1c d\u1ee5ng x\u00fac t\u00e1c chuy\u1ec3n \u0111\u1ed5i angiotensin I kh\u00f4ng ho\u1ea1t t\u00ednh th\u00e0nh angiotensin II c\u00f3 ho\u1ea1t t\u00ednh, nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng huy\u1ebft \u00e1p<\/p>\n<p>Ngo\u00e0i ra, Enalapril c\u00f2n tham gia v\u00e0o qu\u00e1 tr\u00ecnh gi\u00e1ng h\u00f3a bradykinin, do \u0111\u00f3 \u1ee9c ch\u1ebf men ACE l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 bradykinin g\u00e2y ho, \u0111\u1ed3ng th\u1eddi g\u00e2y gi\u00e3n m\u1ea1ch g\u00f3p ph\u1ea7n h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>K\u1ebft qu\u1ea3, s\u1eed d\u1ee5ng Enalapril g\u00e2y \u1ee9c ch\u1ebf k\u00edch th\u00edch co m\u1ea1ch, l\u00e0m gi\u00e3n m\u1ea1ch t\u1eeb \u0111\u00f3 l\u00e0m gi\u1ea3m s\u1ee9c c\u1ea3n to\u00e0n b\u1ed9 ngo\u1ea1i vi k\u00e8m theo t\u0103ng nh\u1eb9 ho\u1eb7c kh\u00f4ng t\u0103ng t\u1ea7n s\u1ed1 tim, l\u01b0u l\u01b0\u1ee3ng t\u00e2m thu ho\u1eb7c l\u01b0u l\u01b0\u1ee3ng tim<\/p>\n<p>Thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00ean c\u1ea3 \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch do \u0111\u00f3 cho t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m c\u1ea3 huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng kho\u1ea3ng 10 &#8211; 15%, gi\u1ea3m huy\u1ebft \u00e1p \u1edf c\u1ea3 hai t\u01b0 th\u1ebf n\u1eb1m v\u00e0 ng\u1ed3i.<\/p>\n<h3>D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc<\/h3>\n<p>Sau khi u\u1ed1ng, kho\u1ea3ng 60% li\u1ec1u enalapril \u0111\u01b0\u1ee3c h\u1ea5p thu t\u1eeb \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh c\u1ee7a thu\u1ed1c trong huy\u1ebft thanh \u0111\u1ea1t \u0111\u01b0\u1ee3c trong v\u00f2ng 0,5 &#8211; 1,5 gi\u1edd.<\/p>\n<p>N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a thu\u1ed1c kho\u1ea3ng 11 gi\u1edd. T\u00e1c d\u1ee5ng huy\u1ebft \u0111\u1ed9ng h\u1ecdc k\u00e9o d\u00e0i kho\u1ea3ng 24 gi\u1edd. Th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi h\u1ea5p thu thu\u1ed1c.<\/p>\n<p>T\u1ef7 l\u1ec7 li\u00ean k\u1ebft gi\u1eefa enalapril v\u00e0 protein huy\u1ebft t\u01b0\u01a1ng \u1edf m\u1ee9c trung b\u00ecnh (50-60%); thu\u1ed1c ph\u00e2n b\u1ed1 trong to\u00e0n b\u1ed9 h\u1ec7 m\u1ea1ch m\u00e1u.<\/p>\n<p>Enalapril b\u1ecb th\u1ee7y ph\u00e2n ph\u1ea7n l\u1edbn khi qua gan, t\u1ea1o th\u00e0nh h\u1ea5t chuy\u1ec3n h\u00f3a mang ho\u1ea1t t\u00ednh enalaprilat. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh c\u1ee7a enalaprilat trong huy\u1ebft thanh xu\u1ea5t hi\u1ec7n trong v\u00f2ng 3 \u0111\u1ebfn 4 gi\u1edd.<\/p>\n<p>S\u1eed d\u1ee5ng m\u1ed9t li\u1ec1u enalapril th\u01b0\u1eddng l\u00e0m cho hi\u1ec7u qu\u1ea3 h\u1ea1 \u00e1p sau kho\u1ea3ng 1 gi\u1edd, hi\u1ec7u qu\u1ea3 t\u1ed1i \u0111a trong 4 &#8211; 6 gi\u1edd v\u00e0 k\u00e9o d\u00e0i trong v\u00f2ng 12 &#8211; 24 gi\u1edd.<\/p>\n<p>T\u00e1c d\u1ee5ng huy\u1ebft \u0111\u1ed9ng c\u1ee7a enalapril b\u1eaft \u0111\u1ea7u ch\u1eadm h\u01a1n v\u00e0 k\u00e9o d\u00e0i h\u01a1n so v\u1edbi captopril. \u1ede ng\u01b0\u1eddi suy tim sung huy\u1ebft, t\u00e1c d\u1ee5ng huy\u1ebft \u0111\u1ed9ng c\u1ee7a enalapril r\u00f5 trong v\u00f2ng 2 &#8211; 4 gi\u1edd v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i 24 gi\u1edd sau khi u\u1ed1ng m\u1ed9t li\u1ec1u.<\/p>\n<p>60% li\u1ec1u d\u00f9ng ban \u0111\u1ea7u b\u1ecb b\u00e0i ti\u1ebft theo n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng ch\u1ea5t chuy\u1ec3n h\u00f3a enalaprilat v\u00e0 enalapril, 1 ph\u1ea7n nh\u1ecf c\u00f2n l\u1ea1i \u0111\u01b0\u1ee3c \u0111\u00e0o th\u1ea3i theo ph\u00e2n.<\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Aginaril 5mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng.<\/p>\n<p>Ph\u00f2ng ng\u1eeba suy tim c\u00f3 tri\u1ec7u ch\u1ee9ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng (ph\u00e2n su\u1ea5t t\u1ed1ng m\u00e1u \u2264 35%).<\/p>\n<h2><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng <\/span><span style=\"font-weight: 400\">thu\u1ed1c Aginaril 5mg<\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Aginaril 5mg<\/span><\/h3>\n<p>Li\u1ec1u l\u01b0\u1ee3ng enalapril ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo dung n\u1ea1p v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n<h4>\u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p<\/h4>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u: Ng\u00e0y u\u1ed1ng 1 l\u1ea7n. M\u1ed7i l\u1ea7n 1-4 vi\u00ean t\u00f9y thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>Trong t\u0103ng huy\u1ebft \u00e1p nh\u1eb9: Li\u1ec1u kh\u1edfi \u0111\u1ea7u khuy\u1ebfn c\u00e1o 1-2 vi\u00ean.<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 h\u1ec7 RAAS \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t m\u1ea1nh th\u00ec c\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u kh\u1edfi \u0111\u1ea7u th\u1ea5p h\u01a1n\u00a0 1 vi\u00ean\/ng\u00e0y do c\u01a1 th\u1ec3 nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u00f3 th\u1ec3 h\u1ea1 huy\u1ebft \u00e1p qu\u00e1 m\u1ee9c v\u1edbi li\u1ec1u kh\u1edfi \u0111\u1ea7u c\u1ee7a ng\u01b0\u1eddi kh\u00e1c.<\/p>\n<p>Ng\u01b0\u1eddi s\u1eed d\u1ee5ng l\u1ee3i ti\u1ec3u li\u1ec1u cao: Li\u1ec1u kh\u1edfi \u0111\u1ea7u 1 vi\u00ean ho\u1eb7c th\u1ea5p h\u01a1n. Li\u1ec1u duy tr\u00ec th\u01b0\u1eddng l\u00e0 4 vi\u00ean\/ng\u00e0y. Li\u1ec1u duy tr\u00ec t\u1ed1i \u0111a l\u00e0 8 vi\u00ean\/ng\u00e0y.<\/p>\n<h4>Suy tim\/lo\u1ea1n n\u0103ng th\u1ea5t tr\u00e1i kh\u00f4ng tri\u1ec7u ch\u1ee9ng<\/h4>\n<p>Li\u1ec1u kh\u1edfi \u0111\u1ea7u: 0.5 vi\u00ean\/l\u1ea7n d\u00f9ng 1 l\u1ea7n trong ng\u00e0y.<\/p>\n<p>N\u1ebfu kh\u00f4ng \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u d\u1ea7n \u0111\u1ebfn li\u1ec1u duy tr\u00ec 4 vi\u00ean\/l\u1ea7n ho\u1eb7c chia th\u00e0nh 2 li\u1ec1u.<\/p>\n<h4>B\u1ec7nh nh\u00e2n suy gan, suy th\u1eadn<\/h4>\n<p>Kh\u00f4ng c\u1ea7n ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n suy gan<\/p>\n<p>Ng\u01b0\u1eddi suy th\u1eadn: li\u1ec1u \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh d\u1ef1a tr\u00ean m\u1ee9c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn, c\u1ee5 th\u1ec3:<\/p>\n<ul>\n<li>30 &lt; Cr<sub>Cl<\/sub> &lt; 80 ml\/ph\u00fa: li\u1ec1u d\u00f9ng l\u00e0 1-2 vi\u00ean\/ng\u00e0y.<\/li>\n<li>10 &lt; CrCl &lt; 30 ml\/ph\u00fat: li\u1ec1u 0.5 vi\u00ean\/ng\u00e0y.<\/li>\n<li>CrCl \u2264 10ml\/ph\u00fat: s\u1eed d\u1ee5ng 01 li\u1ec1u 0.5 vi\u00ean v\u00e0o ng\u00e0y l\u1ecdc m\u00e1u.<\/li>\n<\/ul>\n<p>Ng\u01b0\u1eddi cao tu\u1ed5i: \u0110i\u1ec1u ch\u1ec9nh li\u1ec1u theo ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n<h4>Tr\u1ebb em<\/h4>\n<p>Tr\u1ebb n\u1eb7ng t\u1eeb 20kg-50kg: Li\u1ec1u b\u1eaft \u0111\u1ea7u l\u00e0 0.5 vi\u00ean, d\u00f9ng 1 l\u1ea7n m\u1ed7i ng\u00e0y. N\u1ebfu c\u1ea7n t\u0103ng li\u1ec1u, t\u1ed1i \u0111a l\u00e0 4 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Tr\u1ebb n\u1eb7ng t\u1eeb 50kg tr\u1edf l\u00ean: U\u1ed1ng 1 vi\u00ean\/ l\u1ea7n v\u00e0 u\u1ed1ng 1 l\u1ea7n trong ng\u00e0y. Li\u1ec1u d\u00f9ng t\u1ed1i \u0111a l\u00e0 8 vi\u00ean\/ng\u00e0y.<\/p>\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng Enalapril cho tr\u1ebb s\u01a1 sinh v\u00e0 tr\u1ebb em c\u00f3 \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn &lt; 30ml\/ph\u00fat\/1,73m2<\/p>\n<h3>Aginaril 5mg c\u00e1ch d\u00f9ng nh\u01b0 th\u1ebf n\u00e0o?<\/h3>\n<p>Aginaril \u0111\u01b0\u1ee3c u\u1ed1ng c\u00f9ng v\u1edbi 1 c\u1ed1c n\u01b0\u1edbc.<\/p>\n<p>Thu\u1ed1c c\u00f3 th\u1ec3 u\u1ed1ng tr\u01b0\u1edbc, trong v\u00e0 sau b\u1eefa \u0103n do th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh kh\u1ea3 d\u1ee5ng c\u1ee7a enalapril<\/p>\n<h2><span style=\"font-weight: 400\">Kh\u00f4ng s\u1eed d\u1ee5ng Aginaril 5mg trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\n<p>D\u1ecb \u1ee9ng ho\u1eb7c qu\u00e1 m\u1eabn v\u1edbi enalapril ho\u1eb7c v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/p>\n<p>Ph\u00f9 m\u1ea1ch khi m\u1edbi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb v\u1edbi c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf ACE n\u00f3i chung.<\/p>\n<p>H\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn hai b\u00ean th\u1eadn ho\u1eb7c h\u1eb9p \u0111\u1ed9ng m\u1ea1ch th\u1eadn \u1edf ng\u01b0\u1eddi ch\u1ec9 c\u00f3 m\u1ed9t th\u1eadn.<\/p>\n<p>H\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7, v\u00e0 b\u1ec7nh c\u01a1 tim t\u1eafc ngh\u1ebdn n\u1eb7ng.<\/p>\n<p>H\u1ea1 huy\u1ebft \u00e1p c\u00f3 tr\u01b0\u1edbc.<\/p>\n<p>Ph\u1ed1i h\u1ee3p v\u1edbi s\u1ea3n ph\u1ea9m ch\u1ee9a aliskiren \u1edf b\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c suy th\u1eadn c\u00f3 GFR d\u01b0\u1edbi 60 ml\/ph\u00fat\/1,73m2.<\/p>\n<p>Ph\u1ee5 n\u1eef c\u00f3 thai \u0111ang \u1edf 6 th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3<\/p>\n<h2><span style=\"font-weight: 400\">L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng Aginaril 5mg <\/span><\/h2>\n<h3><span style=\"font-weight: 400\">Th\u1eadn tr\u1ecdng<\/span><\/h3>\n<p>Th\u1eadn tr\u1ecdng khi ch\u1ec9 \u0111\u1ecbnh enalapril cho nh\u01b0ng b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i, b\u1ec7nh m\u1ea1ch m\u00e1u Collagen, ch\u1ea1y th\u1eadn nh\u00e2n t\u1ea1o v\u1edbi m\u00e0ng l\u1ecdc high flux, h\u1eb9p van \u0111\u1ed9ng m\u1ea1ch ch\u1ee7 ho\u1eb7c \u0111\u1ed9ng m\u1ea1ch th\u1eadn.<\/p>\n<p>Nh\u01b0 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c gi\u00e3n m\u1ea1ch, c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf ACE n\u00ean \u0111\u01b0\u1ee3c c\u1ea3nh b\u00e1o \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n h\u1eb9p van hai l\u00e1 v\u00e0 ngh\u1ebdn d\u00f2ng m\u00e1u ra kh\u1ecfi t\u00e2m th\u1ea5t tr\u00e1i v\u00e0 tr\u00e1nh d\u00f9ng trong tr\u01b0\u1eddng h\u1ee3p s\u1ed1c tim v\u00e0 t\u1eafc ngh\u1ebdn huy\u1ebft \u0111\u1ed9ng \u0111\u00e1ng k\u1ec3.<\/p>\n<p>V\u1edbi ng\u01b0\u1eddi t\u0103ng huy\u1ebft \u00e1p \u0111ang d\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u, n\u1ebfu c\u00f3 th\u1ec3, ng\u1eebng thu\u1ed1c l\u1ee3i ti\u1ec3u 2-3 ng\u00e0y tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u d\u00f9ng enalapril.<\/p>\n<p>C\u00f3 th\u1ec3 x\u1ea3y ra t\u00ecnh tr\u1ea1ng h\u1ea1 huy\u1ebft \u00e1p qu\u00e1 m\u1ee9c, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p: \u0111\u00f9ng thu\u1ed1c l\u1ee3i ti\u1ec3u \u0111\u1ed3ng th\u1eddi, ng\u01b0\u1eddi b\u1ecb gi\u1ea3m th\u1ec3 t\u00edch m\u00e1u, h\u1ea1 natri m\u00e1u.<\/p>\n<p>Th\u1eadn tr\u1ecdng v\u1edbi nguy c\u01a1 t\u0103ng kali m\u00e1u, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n suy th\u1eadn, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c d\u00f9ng thu\u1ed1c g\u00e2y t\u0103ng kali m\u00e1u \u0111\u1ed3ng th\u1eddi.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng \u0111\u1ed3ng th\u1eddi c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ACE v\u00e0 thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 angiotensin II \u1edf b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh th\u1eadn do ti\u1ec3u \u0111\u01b0\u1eddng.<\/p>\n<p>Kh\u00f4ng c\u00f3 kinh nghi\u1ec7m li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng enalapril \u1edf b\u1ec7nh nh\u00e2n v\u1eeba gh\u00e9p th\u1eadn. Do \u0111\u00f3, kh\u00f4ng n\u00ean \u0111i\u1ec1u tr\u1ecb nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y b\u1eb1ng enalapril.<\/p>\n<p>Enalapril n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb b\u1ec7nh m\u1ea1ch m\u00e1u collagen, \u0111ang \u0111i\u1ec1u tr\u1ecb \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch, \u0111i\u1ec1u tr\u1ecb b\u1eb1ng allopurinol ho\u1eb7c procainamid, ho\u1eb7c k\u1ebft h\u1ee3p c\u00e1c y\u1ebfu t\u1ed1 bi\u1ebfn ch\u1ee9ng n\u00e0y, \u0111\u1eb7c bi\u1ec7t n\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn tr\u01b0\u1edbc \u0111\u00f3<\/p>\n<p>Ph\u00f9 m\u1ea1ch \u1edf m\u1eb7t, tay ch\u00e2n, m\u00f4i, l\u01b0\u1ee1i, thanh m\u00f4n v\u00e0\/ho\u1eb7c thanh qu\u1ea3n \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n angiotensin, bao g\u1ed3m enalapril. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u1ea7n ng\u01b0ng d\u00f9ng enalapril ngay l\u1eadp t\u1ee9c v\u00e0 ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i th\u00edch h\u1ee3p \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft ho\u00e0n to\u00e0n tr\u01b0\u1edbc khi b\u1ec7nh nh\u00e2n xu\u1ea5t vi\u1ec7n.<\/p>\n<p>Ngay c\u1ea3 trong tr\u01b0\u1eddng h\u1ee3p s\u01b0ng ph\u00f9 ch\u1ec9 khu tr\u00fa \u1edf l\u01b0\u1ee1i, kh\u00f4ng g\u00e2y suy h\u00f4 h\u1ea5p, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c ti\u1ebfp t\u1ee5c quan s\u00e1t v\u00ec vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng histamin v\u00e0 corticosteroid c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u1ee7.<\/p>\n<p>B\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi ACEIs v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf mTOR (v\u00ed d\u1ee5: temsirolimus, sirolimus, Everolimus) ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf neprilysin c\u00f3 th\u1ec3 t\u0103ng nguy c\u01a1 ph\u00f9 m\u1ea1ch.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng \u0111ang d\u00f9ng thu\u1ed1c u\u1ed1ng tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ho\u1eb7c insulin, n\u00ean ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft \u0111\u1eb7c bi\u1ec7t l\u00e0 trong th\u00e1ng \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p v\u1edbi thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n.<\/p>\n<p>Ho c\u00f3 th\u1ec3 x\u1ea3y ra trong v\u00f2ng v\u00e0i th\u00e1ng \u0111i\u1ec1u tr\u1ecb. Xem x\u00e9t c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y ho tr\u01b0\u1edbc khi ng\u1eebng thu\u1ed1c.<\/p>\n<p>M\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t, gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh ho\u1eb7c gi\u1ea3m b\u1ea1ch c\u1ea7u v\u1edbi gi\u1ea3m s\u1ea3n t\u1ee7y \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o v\u1edbi ACEIs. B\u1ec7nh nh\u00e2n suy th\u1eadn c\u00f3 nguy c\u01a1 cao. Theo d\u00f5i s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f4ng th\u1ee9c m\u00e1u \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y.<\/p>\n<p>Kinh nghi\u1ec7m v\u1ec1 hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n \u1edf tr\u1ebb em t\u0103ng huy\u1ebft \u00e1p &gt; 6 tu\u1ed5i c\u00f2n h\u1ea1n ch\u1ebf, nh\u01b0ng kh\u00f4ng c\u00f3 kinh nghi\u1ec7m trong c\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c. S\u1ed1 li\u1ec7u d\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc h\u1ea1n ch\u1ebf \u1edf tr\u1ebb em tr\u00ean 2 th\u00e1ng tu\u1ed5i. Enalapril kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u1edf tr\u1ebb em trong c\u00e1c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c so v\u1edbi t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>C\u0169ng nh\u01b0 c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf ACE kh\u00e1c, enalapril d\u01b0\u1eddng nh\u01b0 k\u00e9m hi\u1ec7u qu\u1ea3 trong vi\u1ec7c h\u1ea1 huy\u1ebft \u00e1p \u1edf ng\u01b0\u1eddi da \u0111en so v\u1edbi tr\u00ean c\u00e1c nh\u00f3m b\u1ec7nh nh\u00e2n m\u00e0u da kh\u00e1c, c\u00f3 th\u1ec3 l\u00e0 do tr\u1ea1ng th\u00e1i renin th\u1ea5p chi\u1ebfm t\u1ef7 l\u1ec7 cao \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n da \u0111en t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<h3><span style=\"font-weight: 400\">T\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n<table style=\"border-collapse: collapse;width: 100%;height: 229px\">\n<tbody>\n<tr style=\"height: 21px\">\n<td style=\"width: 19.0853%;height: 21px\">R\u1ea5t th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 47.5813%;height: 21px\">R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: Ch\u00f3ng m\u1eb7t.<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1eaft: M\u1edd m\u1eaft.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: Ho.<\/p>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n.<\/p>\n<p>C\u00e1c r\u1ed1i lo\u1ea1n t\u1ed5ng qu\u00e1t v\u00e0 t\u00ecnh tr\u1ea1ng t\u1ea1i ch\u1ed7: Suy nh\u01b0\u1ee3c.<\/td>\n<\/tr>\n<tr style=\"height: 208px\">\n<td style=\"width: 19.0853%;height: 208px\">Th\u01b0\u1eddng g\u1eb7p<\/td>\n<td style=\"width: 47.5813%;height: 208px\">Nhi\u1ec5m tr\u00f9ng: vi\u00eam h\u1ecdng.<\/p>\n<p>Chuy\u1ec3n h\u00f3a: t\u0103ng ho\u1eb7c gi\u1ea3m th\u00e8m \u0103n.<\/p>\n<p>TKTW: tr\u1ea7m c\u1ea3m, r\u1ed1i lo\u1ea1n nh\u00e2n c\u00e1ch, \u00e1c m\u1ed9ng, lo \u00e2u, k\u00edch \u0111\u1ed9ng, gi\u1ea3m ham mu\u1ed1n, nghi\u1ebfn r\u0103ng khi ng\u1ee7, d\u1ecb c\u1ea3m, run, t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1, lo\u1ea1n v\u1ecb gi\u00e1c, gi\u1ea3m t\u1eadp trung.<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: Phi\u1ec1n mu\u1ed9n.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: Nh\u1ee9c \u0111\u1ea7u, ng\u1ea5t, thay \u0111\u1ed5i v\u1ecb gi\u00e1c.<\/p>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1: Ti\u00eau ch\u1ea3y, \u0111au b\u1ee5ng.<\/p>\n<p>R\u1ed1i lo\u1ea1n tim m\u1ea1ch: \u0110au ng\u1ef1c, r\u1ed1i lo\u1ea1n nh\u1ecbp, \u0111au th\u1eaft ng\u1ef1c, nh\u1ecbp tim nhanh.<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u: H\u1ea1 huy\u1ebft \u00e1p (bao g\u1ed3m h\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng).<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: Kh\u00f3 th\u1edf.<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: Ph\u00e1t ban, qu\u00e1 m\u1eabn c\u1ea3m\/ph\u00f9 m\u1ea1ch: Ph\u00f9 m\u1eb7t, tay ch\u00e2n, m\u00f4i, l\u01b0\u1ee1i, thanh m\u00f4n v\u00e0\/ho\u1eb7c thanh qu\u1ea3n \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o.<\/p>\n<p>C\u00e1c r\u1ed1i lo\u1ea1n t\u1ed5ng qu\u00e1t v\u00e0 t\u00ecnh tr\u1ea1ng t\u1ea1i ch\u1ed7: M\u1ec7t m\u1ecfi.<\/p>\n<p>X\u00e9t nghi\u1ec7m: T\u0103ng kali m\u00e1u, t\u0103ng creatinin huy\u1ebft thanh<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.0853%\">\u00cdt g\u1eb7p<\/td>\n<td style=\"width: 47.5813%\">R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: Thi\u1ebfu m\u00e1u (bao g\u1ed3m c\u1ea3 thi\u1ebfu m\u00e1u b\u1ea5t s\u1ea3n v\u00e0 tan m\u00e1u).<\/p>\n<p>R\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 dinh d\u01b0\u1ee1ng: H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: Nh\u1ea7m l\u1eabn, c\u0103ng th\u1eb3ng, m\u1ea5t ng\u1ee7.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ea7n kinh: Bu\u1ed3n ng\u1ee7, d\u1ecb c\u1ea3m, ch\u00f3ng m\u1eb7t.<\/p>\n<p>R\u1ed1i lo\u1ea1n tai v\u00e0 m\u00ea cung: \u00d9 tai.<\/p>\n<p>R\u1ed1i lo\u1ea1n tim m\u1ea1ch: \u0110\u00e1nh tr\u1ed1ng ng\u1ef1c, nh\u1ed3i m\u00e1u c\u01a1 tim ho\u1eb7c tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o, c\u00f3 th\u1ec3 l\u00e0 th\u1ee9 ph\u00e1t do h\u1ea1 huy\u1ebft \u00e1p qu\u00e1 m\u1ee9c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao.<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u: \u0110\u1ecf b\u1eebng, h\u1ea1 huy\u1ebft \u00e1p th\u1ebf \u0111\u1ee9ng.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: S\u1ed5 m\u0169i, vi\u00eam h\u1ecdng v\u00e0 kh\u00e0n gi\u1ecdng, co th\u1eaft ph\u1ebf qu\u1ea3n\/hen suy\u1ec5n.<\/p>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1: T\u1eafc ru\u1ed9t, vi\u00eam t\u1ee5y, n\u00f4n m\u1eeda, kh\u00f3 ti\u00eau, t\u00e1o b\u00f3n, bi\u1ebfng \u0103n, k\u00edch \u1ee9ng d\u1ea1 d\u00e0y, kh\u00f4 mi\u1ec7ng, lo\u00e9t d\u1ea1 d\u00e0y t\u00e1 tr\u00e0ng.<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: To\u00e1t m\u1ed3 h\u00f4i, ng\u1ee9a, n\u1ed5i m\u1ec1 \u0111ay, r\u1ee5ng t\u00f3c.<\/p>\n<p>R\u1ed1i lo\u1ea1n c\u01a1 x\u01b0\u01a1ng v\u00e0 m\u00f4 li\u00ean k\u1ebft: Co c\u1ee9ng c\u01a1 (v\u1ecdp b\u1ebb).<\/p>\n<p>R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u: R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1eadn, suy th\u1eadn, protein ni\u1ec7u.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng sinh s\u1ea3n v\u00e0 tuy\u1ebfn v\u00fa: Li\u1ec7t d\u01b0\u01a1ng.<\/p>\n<p>C\u00e1c r\u1ed1i lo\u1ea1n t\u1ed5ng qu\u00e1t v\u00e0 t\u00ecnh tr\u1ea1ng t\u1ea1i ch\u1ed7: Suy nh\u01b0\u1ee3c, s\u1ed1t.<\/p>\n<p>X\u00e9t nghi\u1ec7m: T\u0103ng ur\u00ea m\u00e1u, h\u1ea1 natri m\u00e1u.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.0853%\">Hi\u1ebfm g\u1eb7p<\/td>\n<td style=\"width: 47.5813%\">R\u1ed1i lo\u1ea1n m\u00e1u v\u00e0 h\u1ec7 b\u1ea1ch huy\u1ebft: Gi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh, gi\u1ea3m hemoglobin, gi\u1ea3m hematocrit, gi\u1ea3m ti\u1ec3u c\u1ea7u, m\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t, gi\u1ea3m t\u1ee7y x\u01b0\u01a1ng, thi\u1ebfu m\u00e1u b\u1ea5t s\u1ea3n, b\u1ec7nh h\u1ea1ch b\u1ea1ch huy\u1ebft, b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch.<\/p>\n<p>R\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n: Gi\u1ea5c m\u01a1 b\u1ea5t th\u01b0\u1eddng, r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<\/p>\n<p>R\u1ed1i lo\u1ea1n m\u1ea1ch m\u00e1u: Hi\u1ec7n t\u01b0\u1ee3ng Raynaud.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u00f4 h\u1ea5p, l\u1ed3ng ng\u1ef1c v\u00e0 trung th\u1ea5t: Th\u00e2m nhi\u1ec5m ph\u1ed5i, vi\u00eam m\u0169i, vi\u00eam ph\u1ebf nang d\u1ecb \u1ee9ng\/vi\u00eam ph\u1ed5i t\u0103ng b\u1ea1ch c\u1ea7u \u01b0a eosin.<\/p>\n<p>R\u1ed1i lo\u1ea1n ti\u00eau ho\u00e1: Vi\u00eam mi\u1ec7ng\/lo\u00e9t mi\u1ec7ng, vi\u00eam l\u01b0\u1ee1i.<\/p>\n<p>R\u1ed1i lo\u1ea1n gan m\u1eadt: Suy gan, vi\u00eam gan \u2013 ho\u1eb7c l\u00e0 t\u1ebf b\u00e0o gan ho\u1eb7c \u1ee9 m\u1eadt, vi\u00eam gan bao g\u1ed3m ho\u1ea1i t\u1eed, \u1ee9 m\u1eadt (bao g\u1ed3m v\u00e0ng da).<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: H\u1ed3ng ban \u0111a d\u1ea1ng, h\u1ed9i ch\u1ee9ng Stevens-Johnson, vi\u00eam da tr\u00f3c v\u1ea3y, ho\u1ea1i t\u1eed bi\u1ec3u b\u00ec nhi\u1ec5m \u0111\u1ed9c, pemphigus, \u0111\u1ecf da.<\/p>\n<p>R\u1ed1i lo\u1ea1n th\u1eadn v\u00e0 ti\u1ebft ni\u1ec7u: \u00cdt n\u01b0\u1edbc ti\u1ec3u.<\/p>\n<p>R\u1ed1i lo\u1ea1n h\u1ec7 th\u1ed1ng sinh s\u1ea3n v\u00e0 tuy\u1ebfn v\u00fa: To v\u00fa \u0111\u00e0n \u00f4ng.<\/p>\n<p>X\u00e9t nghi\u1ec7m: T\u0103ng men gan, t\u0103ng bilirubin huy\u1ebft thanh.<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 19.0853%\">Ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c t\u1ea7n su\u1ea5t<\/td>\n<td style=\"width: 47.5813%\">R\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft: H\u1ed9i ch\u1ee9ng ti\u1ebft hormon ch\u1ed1ng b\u00e0i ni\u1ec7u kh\u00f4ng ph\u00f9 h\u1ee3p (SIADH).<\/p>\n<p>R\u1ed1i lo\u1ea1n da v\u00e0 m\u00f4 d\u01b0\u1edbi da: M\u1ed9t tri\u1ec7u ch\u1ee9ng ph\u1ee9c t\u1ea1p \u0111\u00e3 \u0111\u01b0\u1ee3c b\u00e1o c\u00e1o c\u00f3 th\u1ec3 bao g\u1ed3m m\u1ed9t s\u1ed1 ho\u1eb7c t\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y: S\u1ed1t, vi\u00eam thanh m\u1ea1c, vi\u00eam m\u1ea1ch m\u00e1u, \u0111au c\u01a1\/vi\u00eam c\u01a1, \u0111au kh\u1edbp\/vi\u00eam kh\u1edbp, ANA d\u01b0\u01a1ng t\u00ednh, t\u0103ng ESR, t\u0103ng b\u1ea1ch c\u1ea7u \u01b0a eosin v\u00e0 t\u0103ng b\u1ea1ch c\u1ea7u. Ph\u00e1t ban, nh\u1ea1y c\u1ea3m \u00e1nh s\u00e1ng ho\u1eb7c c\u00e1c bi\u1ec3u hi\u1ec7n ngo\u00e0i da kh\u00e1c c\u00f3 th\u1ec3 x\u1ea3y ra.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h3><span style=\"font-weight: 400\">T\u01b0\u01a1ng t\u00e1c<\/span><\/h3>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef Kali ho\u1eb7c thu\u1ed1c b\u1ed5 sung Kali: C\u00f3 th\u1ec3 l\u00e0m t\u0103ng kali huy\u1ebft thanh.<\/p>\n<p>Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazid ho\u1eb7c l\u1ee3i ti\u1ec3u quai: \u0110i\u1ec1u tr\u1ecb b\u1eb1ng l\u1ee3i ti\u1ec3u li\u1ec1u cao tr\u01b0\u1edbc khi d\u00f9ng Aginaril 5mg, c\u00f3 th\u1ec3 g\u00e2y s\u1ee5t gi\u1ea3m th\u1ec3 t\u00edch ho\u1eb7c nguy c\u01a1 h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>Lithi: T\u0103ng \u0111\u1ed9c t\u00ednh c\u1ee7a Lithi trong huy\u1ebft thanh.<\/p>\n<p>Thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m 3 v\u00f2ng, thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n, thu\u1ed1c g\u00e2y m\u00ea: T\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>NSAID g\u1ed3m c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc COX-2: L\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c Aginaril<\/p>\n<p>V\u00e0ng: G\u00e2y ph\u1ea3n \u1ee9ng nitritoid<\/p>\n<p>Thu\u1ed1c \u1ee9c ch\u1ebf mTOR:T\u0103ng nguy c\u01a1 ph\u00f9 m\u1ea1ch.<\/p>\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng: Nguy c\u01a1 t\u1ee5t \u0111\u01b0\u1eddng huy\u1ebft.<\/p>\n<p>R\u01b0\u1ee3u: L\u00e0m t\u0103ng t\u00e1c d\u1ee5ng h\u1ea1 huy\u1ebft \u00e1p c\u1ee7a thu\u1ed1c<\/p>\n<h3><span style=\"font-weight: 400\">L\u01b0u \u00fd khi s\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 b\u00e0 m\u1eb9 cho con b\u00fa<\/span><\/h3>\n<h4>Ph\u1ee5 n\u1eef mang thai<\/h4>\n<p>Gi\u1ed1ng c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf ACE kh\u00e1c, enalapril c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh v\u00e0 t\u1eed vong cho thai nhi v\u00e0 tr\u1ebb s\u01a1 sinh khi ng\u01b0\u1eddi m\u1eb9 mang thai s\u1eed d\u1ee5ng thu\u1ed1c.<\/p>\n<p>S\u1eed d\u1ee5ng thu\u1ed1c trong 3 th\u00e1ng gi\u1eefa v\u00e0 3 th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh d\u1eabn \u0111\u1ebfn ch\u1ebft thai v\u00e0 t\u1ed5n th\u01b0\u01a1ng cho tr\u1ebb s\u01a1 sinh, g\u1ed3m: H\u1ea1 huy\u1ebft \u00e1p, gi\u1ea3m s\u1ea3n s\u1ecd s\u01a1 sinh, suy th\u1eadn h\u1ed3i ph\u1ee5c ho\u1eb7c kh\u00f4ng h\u1ed3i ph\u1ee5c v\u00e0 t\u1eed vong.<\/p>\n<p>Ph\u1ea3i ng\u1eebng d\u00f9ng enalapril c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau khi ph\u00e1t hi\u1ec7n c\u00f3 thai.<\/p>\n<p>Ph\u1ee5 n\u1eef c\u00f3 kh\u1ea3 n\u0103ng mang thai ho\u1eb7c \u0111ang s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00ean tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u1ef9 c\u1ea9n th\u1eadn tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c n\u00e0y.<\/p>\n<h4>Ph\u1ee5 n\u1eef cho con b\u00fa<\/h4>\n<p>Enalapril b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9. V\u1edbi li\u1ec1u \u0111i\u1ec1u tr\u1ecb th\u00f4ng th\u01b0\u1eddng, nguy c\u01a1 v\u1ec1 t\u00e1c d\u1ee5ng c\u00f3 h\u1ea1i cho tr\u1ebb b\u00fa s\u1eefa m\u1eb9 r\u1ea5t th\u1ea5p.<\/p>\n<h3>\u1ea2nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0ng m\u00e1y m\u00f3c<\/h3>\n<p>Ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng v\u1ec1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a thu\u1ed1c l\u00ean kh\u1ea3 n\u0103ng l\u00e1i xe, v\u1eadn h\u00e0nh m\u00e1y m\u00f3c, tuy nhi\u00ean, n\u00ean th\u1eadn tr\u1ecdng v\u00ec trong th\u1eddi gian u\u1ed1ng thu\u1ed1c c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, m\u1ec7t m\u1ecfi.<\/p>\n<h3>Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed<\/h3>\n<p>Qu\u00e1 li\u1ec1u: T\u00e0i li\u1ec7u v\u1ec1 qu\u00e1 li\u1ec1u c\u1ee7a enalapril \u1edf ng\u01b0\u1eddi c\u00f2n h\u1ea1n ch\u1ebf.<\/p>\n<p>\u0110\u1eb7c \u0111i\u1ec3m n\u1ed5i b\u1eadt c\u1ee7a qu\u00e1 li\u1ec1u enalapril l\u00e0 h\u1ea1 huy\u1ebft \u00e1p n\u1eb7ng.<\/p>\n<p>X\u1eed tr\u00ed: Khi x\u1ea3y ra qu\u00e1 li\u1ec1u, n\u00ean ng\u1eebng \u0111i\u1ec1u tr\u1ecb b\u1eb1ng enalapril v\u00e0 theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh ch\u1eb7t ch\u1ebd, \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3 nh\u01b0 g\u00e2y n\u00f4n, r\u1eeda d\u1ea1 d\u00e0y, truy\u1ec1n t\u0129nh m\u1ea1ch huy\u1ebft t\u01b0\u01a1ng v\u00e0 natri clorid \u0111\u1ec3 duy tr\u00ec huy\u1ebft \u00e1p v\u00e0 \u0111i\u1ec1u tr\u1ecb m\u1ea5t c\u00e2n b\u1eb1ng \u0111i\u1ec7n gi\u1ea3i. Th\u1ea9m t\u00e1ch m\u00e1u c\u00f3 th\u1ec3 lo\u1ea1i enalapril kh\u1ecfi tu\u1ea7n ho\u00e0n.<\/p>\n<h3><span style=\"font-weight: 400\">B\u1ea3o qu\u1ea3n<\/span><\/h3>\n<p>B\u1ea3o qu\u1ea3n n\u01a1i kh\u00f4 r\u00e1o, tho\u00e1ng m\u00e1t, tr\u00e1nh \u00e1nh n\u1eafng tr\u1ef1c ti\u1ebfp, nhi\u1ec7t \u0111\u1ed9 b\u1ea3o qu\u1ea3n d\u01b0\u1edbi 30 \u0111\u1ed9 C<\/p>\n<h2><span style=\"font-weight: 400\">Thu\u1ed1c Aginaril 5mg gi\u00e1 bao nhi\u00eau? mua \u1edf \u0111\u00e2u?<\/span><\/h2>\n<p><span style=\"font-weight: 400\">Thu\u1ed1c Aginaril 5mg hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c b\u00e1n t\u1ea1i Nh\u00e0 thu\u1ed1c D\u01b0\u1ee3c s\u0129 L\u01b0u V\u0103n Ho\u00e0ng, <strong>gi\u00e1 thu\u1ed1c Aginaril 5mg<\/strong> c\u00f3 th\u1ec3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadp t\u1ea1i \u0111\u1ea7u trang. Hi\u1ec7n nay, nh\u00e0 thu\u1ed1c ch\u00fang t\u00f4i h\u1ed7 tr\u1ee3 giao h\u00e0ng to\u00e0n qu\u1ed1c. Qu\u00fd kh\u00e1ch h\u00e0ng c\u00f3 th\u1ec3 li\u00ean h\u1ec7 qua s\u1ed1 hotline 0868 552 633 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ecbp th\u1eddi.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Tr\u01b0\u1eddng h\u1ee3p thu\u1ed1c <\/span><span style=\"font-weight: 400\">Aginaril 5mg <\/span><span style=\"font-weight: 400\">t\u1ea1m th\u1eddi h\u1ebft h\u00e0ng, qu\u00fd kh\u00e1ch c\u00f3 th\u1ec3 tham kh\u1ea3o c\u00e1c thu\u1ed1c kh\u00e1c c\u1ee7a nh\u00e0 thu\u1ed1c c\u00f3 c\u00f4ng d\u1ee5ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0:\u00a0<\/span><\/p>\n<ol>\n<li>Thu\u1ed1c<a href=\"https:\/\/hmm88i.com\/drug\/enalapril\/\"> Enalapril Domesco<\/a> \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi c\u00f4ng ty c\u1ed5 ph\u1ea7n xu\u1ea5t nh\u1eadp kh\u1ea9u Y t\u1ebf Domesco.l\u00e0 thu\u1ed1c thu\u1ed9c nh\u00f3m thu\u1ed1c tim m\u1ea1ch, \u0111\u01b0\u1ee3c b\u00e0o ch\u1ebf d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n, th\u01b0\u1eddng d\u00f9ng ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n, do b\u1ec7nh l\u00ed th\u1eadn, b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 suy tim c\u00e1c m\u1ee9c \u0111\u1ed9 v\u1edbi th\u00e0nh ph\u1ea7n Enalapril 10mg.<\/li>\n<li><a href=\"https:\/\/hmm88i.com\/drug\/thuoc-enaplus-hct-5-12-5\/\">Thu\u1ed1c Enaplus HCT 5\/12.5<\/a> l\u00e0 thu\u1ed1c k\u1ebft h\u1ee3p Enalapril v\u00e0 Hydrochlorothiazide, h\u1ed9p 3 v\u1ec9 x 10 vi\u00ean c\u1ee7a D\u01b0\u1ee3c ph\u1ea9m Stella \u2013 Vi\u1ec7t Nam. Thu\u1ed1c hi\u1ec7n \u0111ang c\u00f3 s\u1ed1 \u0111\u0103ng k\u00fd l\u01b0u h\u00e0nh trong n\u01b0\u1edbc l\u00e0 VD-34906-20 v\u00e0 \u0111\u01b0\u1ee3c b\u00e1n v\u1edbi gi\u00e1 95,000\/ h\u1ed9p 30 vi\u00ean.<\/li>\n<\/ol>\n<h2><span style=\"font-weight: 400\">Aginaril 5mg c\u00f3 t\u1ed1t kh\u00f4ng? T\u1ea1i sao n\u00ean l\u1ef1a ch\u1ecdn Aginaril 5mg ?<\/span><\/h2>\n<table style=\"width: 91.8647%\">\n<tbody>\n<tr>\n<td style=\"text-align: center;width: 66.18%\"><span style=\"font-weight: 400\">\u01afu \u0111i\u1ec3m<\/span><\/td>\n<td style=\"text-align: center;width: 73.864%\"><span style=\"font-weight: 400\">Nh\u01b0\u1ee3c \u0111i\u1ec3m<\/span><\/td>\n<\/tr>\n<tr>\n<td style=\"width: 66.18%\">Thu\u1ed1c Aginaril 5mg d\u1ea1ng vi\u00ean \u0111\u00f3ng v\u1ec9 n\u00ean b\u1ea3o qu\u1ea3n thu\u1eadn ti\u1ec7n v\u00e0 mang theo ng\u01b0\u1eddi ti\u1ec7n l\u1ee3i.<\/p>\n<p>Enalapril thu\u1ed9c nh\u00f3m \u1ee9c ch\u1ebf men chuy\u1ec3n ACE, \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft v\u00e0 suy tim sung huy\u1ebft, v\u1edbi th\u1eddi gian kh\u1edfi ph\u00e1t s\u1edbm v\u00e0 hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i.<\/p>\n<p>\u1ede m\u1ee9c li\u1ec1u 10-40mg\/ng\u00e0y, Enalapril \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00ean h\u1ea7u h\u1ebft tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p nguy\u00ean ph\u00e1t v\u00e0 t\u0103ng huy\u1ebft \u00e1p th\u1ee9 ph\u00e1t<\/p>\n<p>C\u00f3 hi\u1ec7u qu\u1ea3 l\u00e0m gi\u00e3n m\u1ea1ch \u0111\u1ed1i v\u1edbi c\u1ea3 \u0111\u1ed9ng m\u1ea1ch v\u00e0 t\u0129nh m\u1ea1ch do \u0111\u00f3 cho t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m c\u1ea3 huy\u1ebft \u00e1p t\u00e2m thu v\u00e0 t\u00e2m tr\u01b0\u01a1ng kho\u1ea3ng 10 &#8211; 15%, hi\u1ec7u qu\u1ea3 \u0111\u1ed1i v\u1edbi c\u1ea3 hai t\u01b0 th\u1ebf n\u1eb1m v\u00e0 ng\u1ed3i<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng \u00edt g\u1eb7p; \u0111a s\u1ed1 \u1edf m\u1ee9c \u0111\u1ed9 nh\u1eb9 v\u00e0 trung b\u00ecnh, th\u01b0\u1eddng t\u1ef1 kh\u1ecfi v\u00e0 kh\u00f4ng g\u00e2y di ch\u1ee9ng tr\u00ean c\u01a1 th\u1ec3.<\/p>\n<p>Enalapril gi\u00fap c\u1ea3i thi\u1ec7u ch\u1ee9c n\u0103ng tim m\u1ea1ch v\u00e0 t\u00ecnh tr\u1ea1ng tr\u00ean l\u00e2m s\u00e0ng l\u00e2u d\u00e0i \u1edf b\u1ec7nh nh\u00e2n suy tim sung huy\u1ebft khi \u0111\u00e3 kh\u00e1ng v\u1edbi tr\u1ecb li\u1ec7u th\u00f4ng th\u01b0\u1eddng<\/p>\n<p>\u0110\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi D\u01b0\u1ee3c ph\u1ea9m Agimexpharm, l\u00e0 h\u00e3ng d\u01b0\u1ee3c ph\u1ea9m m\u1ea1nh v\u1ec1 l\u0129nh v\u1ef1c tim m\u1ea1ch v\u00e0 n\u1ed9i ti\u1ebft; d\u00e2y chuy\u1ec1n s\u1ea3n xu\u1ea5t \u0111\u1ea1t chu\u1ea9n GMP hi\u1ec7n \u0111\u1ea1i. Agimexpharm cung c\u1ea5p s\u1ea3n ph\u1ea9m ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 c\u00f3 hi\u1ec7u qu\u1ea3 cai.<\/td>\n<td style=\"width: 73.864%\">H\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf \u0111\u01b0\u1ee3c ghi nh\u1eadn l\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5 hay g\u1eb7p nh\u1ea5t c\u1ee7a thu\u1ed1c.<\/p>\n<p>S\u1eed d\u1ee5ng thu\u1ed1c trong 3 th\u00e1ng gi\u1eefa v\u00e0 3 th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh d\u1eabn \u0111\u1ebfn ch\u1ebft thai v\u00e0 t\u1ed5n th\u01b0\u01a1ng cho tr\u1ebb s\u01a1 sinh<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2><span style=\"font-weight: 400\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/span><\/h2>\n<ol>\n<li style=\"font-weight: 400\">T\u00e1c gi\u1ea3 P A Todd, R C Heel (\u0110\u0103ng ng\u00e0y th\u00e1ng 3 n\u0103m 1986). <em>Enalapril. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in hypertension and congestive heart failure<\/em>. Truy c\u1eadp ng\u00e0y 29 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/3011386\/\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/3011386\/<\/a><\/li>\n<li>Medsafe (Ng\u00e0y \u0111\u0103ng: Ng\u00e0y 01 th\u00e1ng 06 n\u0103m 2023). <em>Reminder: ACE inhibitor-induced angioedema can be fatal<\/em>. Truy c\u1eadp ng\u00e0y 29 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/www.medsafe.govt.nz\/profs\/PUArticles\/June2023\/Reminder-ACE-inhibitor-induced-angioedema-can-be-fatal.html\" rel=\"noopener\">https:\/\/www.medsafe.govt.nz\/profs\/PUArticles\/June2023\/Reminder-ACE-inhibitor-induced-angioedema-can-be-fatal.html<\/a><\/li>\n<li>Nori J L Smeets v\u00e0 c\u1ed9ng s\u1ef1 (Ng\u00e0y \u0111\u0103ng: ng\u00e0y 21 th\u00e1ng 8 n\u0103m 2022). P<em>harmacology of enalapril in children: a review<\/em>. Truy c\u1eadp ng\u00e0y 29 th\u00e1ng 11 n\u0103m 2023 t\u1eeb <a href=\"https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1359644620303366\" rel=\"noopener\">https:\/\/www.sciencedirect.com\/science\/article\/pii\/S1359644620303366<\/a><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">T\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng Aginaril 5mg do nh\u00e0 s\u1ea3n xu\u1ea5t cung c\u1ea5p, xem th\u00eam t\u1ea1i \u0111\u00e2y.<\/span><\/li>\n<\/ol>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Aginaril 5mg l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p, d\u1ef1 ph\u00f2ng v\u00e0 \u0111i\u1ec1u tr\u1ecb suy tim, h\u1ed9p 3 v\u1ec9 x 10 vi\u00ean do D\u01b0\u1ee3c ph\u1ea9m Agimexpharm s\u1ea3n xu\u1ea5t<\/p>\n","protected":false},"author":490,"featured_media":59788,"comment_status":"open","ping_status":"closed","template":"","meta":{"_acf_changed":false},"product_cat":[89],"product_tag":[],"class_list":{"0":"post-59787","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-thuoc","8":"first","9":"instock","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"acf":[],"_links":{"self":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product\/59787","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/types\/product"}],"author":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/users\/490"}],"replies":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/comments?post=59787"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/media\/59788"}],"wp:attachment":[{"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/media?parent=59787"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product_cat?post=59787"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/hmm88i.com\/drug\/wp-json\/wp\/v2\/product_tag?post=59787"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}