\n| \u0110\u1eb7c \u0111i\u1ec3m<\/span><\/td>\n | M\u00f4 t\u1ea3<\/span><\/td>\n<\/tr>\n\n| H\u1ea5p thu<\/span><\/td>\n | Nhanh ch\u00f3ng, \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh sau 45 ph\u00fat<\/span><\/td>\n<\/tr>\n\n| Sinh kh\u1ea3 d\u1ee5ng<\/span><\/td>\n | \u00cdt nh\u1ea5t 50%<\/span><\/td>\n<\/tr>\n\n| Ph\u00e2n b\u1ed1<\/span><\/td>\n | G\u1eafn k\u1ebft v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng (98%)<\/span><\/td>\n<\/tr>\n\n| Chuy\u1ec3n h\u00f3a<\/span><\/td>\n | Chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu b\u1edfi gan<\/span><\/td>\n<\/tr>\n\n| Th\u1ea3i tr\u1eeb<\/span><\/td>\n | 50% trong n\u01b0\u1edbc ti\u1ec3u, 46% trong ph\u00e2n<\/span><\/td>\n<\/tr>\n\n| Th\u1eddi gian b\u00e1n th\u1ea3i<\/span><\/td>\n | Clopidogrel: 6 gi\u1edd; Ch\u1ea5t chuy\u1ec3n h\u00f3a: 8 gi\u1edd<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nThu\u1ed1c Dasarab 75mg \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong b\u1ec7nh g\u00ec?<\/span><\/h2>\nD\u1ef1 ph\u00f2ng bi\u1ebfn c\u1ed1 tim m\u1ea1ch:<\/span><\/p>\n\n- Gi\u1ea3m nguy c\u01a1 tai bi\u1ebfn tim m\u1ea1ch sau \u0111\u1ed9t qu\u1ef5, t\u00ecnh tr\u1ea1ng c\u01a1 tim b\u1ecb thi\u1ebfu m\u00e1u nu\u00f4i v\u00e0 ho\u1ea1i t\u1eed, v\u00e0 b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean.<\/span><\/li>\n
- Thay th\u1ebf Aspirin cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng dung n\u1ea1p aspirin.<\/span><\/li>\n<\/ul>\n
\u1ed4n \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng tim m\u1ea1ch:<\/span><\/p>\n\n- Nh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 ST ch\u00eanh l\u00ean<\/span><\/li>\n
- \u0110au tim kh\u00f4ng \u1ed5n \u0111\u1ecbnh<\/span><\/li>\n<\/ul>\n
Ki\u1ec3m so\u00e1t \u0111au th\u1eaft ng\u1ef1c m\u1ea1n t\u00ednh \u0111\u00e3 \u1ed5n \u0111\u1ecbnh:<\/span><\/p>\n\n- Thay th\u1ebf Aspirin cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng dung n\u1ea1p Aspirin.<\/span><\/li>\n
- Ph\u1ed1i h\u1ee3p v\u1edbi Aspirin cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 nguy c\u01a1 cao bi\u1ebfn c\u1ed1 tim m\u1ea1ch.<\/span><\/li>\n<\/ul>\n
Li\u1ec1u d\u00f9ng c\u1ee7a thu\u1ed1c Dasarab 75<\/span><\/h2>\n\n\n\n| \u0110\u1ed1i t\u01b0\u1ee3ng<\/span><\/td>\n | Li\u1ec1u d\u00f9ng<\/span><\/td>\n<\/tr>\n\n| Ng\u01b0\u1eddi l\u1edbn<\/span><\/td>\n | 1 vi\u00ean\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\n| Sau t\u1eafc m\u1ea1ch v\u00e0nh, tai bi\u1ebfn m\u1ea1ch m\u00e1u n\u00e3o; b\u1ec7nh m\u1ea1ch m\u00e1u ngo\u1ea1i bi\u00ean<\/span><\/td>\n | 1 vi\u00ean\/l\u1ea7n\/ng\u00e0y<\/span><\/td>\n<\/tr>\n\nH\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p:<\/span><\/td>\n<\/tr>\n\n\u0110au th\u1eaft ng\u1ef1c kh\u00f4ng \u1ed5n \u0111\u1ecbnh, nh\u1ed3i m\u00e1u c\u01a1 tim kh\u00f4ng c\u00f3 ST ch\u00eanh l\u00ean<\/span><\/td>\n<\/tr>\n\n\n\n- N\u1ebfu can thi\u1ec7p m\u1ea1ch v\u00e0nh<\/span><\/li>\n<\/ul>\n<\/td>\n
\n\n- 4 vi\u00ean tr\u01b0\u1edbc khi can thi\u1ec7p \u00edt nh\u1ea5t 2 gi\u1edd, sau \u0111\u00f3 1 vi\u00ean\/ng\u00e0y (ph\u1ed1i h\u1ee3p 75 – 325 mg aspirin\/ng\u00e0y)<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n\n\n- N\u1ebfu kh\u00f4ng d\u00f9ng Aspirin<\/span><\/li>\n<\/ul>\n<\/td>\n
\n\n- 4 – 8 vi\u00ean tr\u01b0\u1edbc can thi\u1ec7p it nh\u1ea5t 24 gi\u1edd, sau \u0111\u00f3 l\u00e0 1 vi\u00ean\/ng\u00e0y, k\u00e9o d\u00e0i \u00edt nh\u1ea5t 12 th\u00e1ng<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\nNh\u1ed3i m\u00e1u c\u01a1 tim c\u00f3 ST ch\u00eanh l\u00ean<\/span><\/td>\n<\/tr>\n\n\n\n- Li\u1ec1u \u0111\u1ea7u ti\u00ean (t\u00f9y ch\u1ecdn)<\/span><\/li>\n<\/ul>\n<\/td>\n
\n\n- 4 – 8 vi\u00ean\/ng\u00e0y n\u1ebfu ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p m\u1ea1ch v\u00e0nh<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n\n\n- Li\u1ec1u duy tr\u00ec<\/span><\/li>\n<\/ul>\n<\/td>\n
\n\n- 1 vi\u00ean\/ng\u00e0y (ph\u1ed1i h\u1ee3p aspirin 75 – 162mg\/ng\u00e0y).\u00a0<\/span><\/li>\n
- Th\u1eddi gian \u0111i\u1ec1u tr\u1ecb < 4 tu\u1ea7n.<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Tr\u1ebb em<\/span><\/td>\n | Ch\u01b0a c\u00f3 th\u00f4ng tin v\u1ec1 li\u1ec1u t\u1ed1i \u01b0u<\/span><\/td>\n<\/tr>\n\n\n\n- Tr\u1ebb < 24 th\u00e1ng<\/span><\/li>\n<\/ul>\n<\/td>\n
\n\n- 0,2 mg\/kg\/ng\u00e0y d\u00f9ng 1 l\u1ea7n\/ng\u00e0y<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n\n\n- \u0110\u1ed1i v\u1edbi tr\u1ebb em > 2 tu\u1ed5i<\/span><\/li>\n<\/ul>\n<\/td>\n
\n\n- Li\u1ec1u l\u01b0\u1ee3ng t\u1ed1i \u01b0u v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh<\/span><\/li>\n<\/ul>\n<\/td>\n<\/tr>\n
\n| Suy th\u1eadn, ng\u01b0\u1eddi cao tu\u1ed5i<\/span><\/td>\n | Vi\u1ec7c ch\u1ec9nh li\u1ec1u kh\u00f4ng c\u1ea7n thi\u1ebft<\/span><\/td>\n<\/tr>\n\n| Suy gan<\/span><\/td>\n | C\u1ea7n th\u00eam nhi\u1ec1u nghi\u00ean c\u1ee9u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 nh\u1ea5t<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\nKh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c Dasarab 75 trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o?<\/span><\/h2>\nKh\u00f4ng s\u1eed d\u1ee5ng Dasarab 75mg<\/strong> n\u1ebfu b\u1ea1n b\u1ecb d\u1ecb \u1ee9ng v\u1edbi Clopidogrel ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c.<\/span><\/p>\nKh\u00f4ng s\u1eed d\u1ee5ng Dasarab 75 n\u1ebfu b\u1ea1n \u0111ang g\u1eb7p t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng nh\u01b0 ch\u1ea3y m\u00e1u d\u1ea1 d\u00e0y ru\u1ed9t, xu\u1ea5t huy\u1ebft v\u00f5ng m\u1ea1c ho\u1eb7c xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd.<\/span><\/p>\nKh\u00f4ng s\u1eed d\u1ee5ng Dasarab 75 n\u1ebfu b\u1ea1n b\u1ecb suy gan n\u1eb7ng.<\/span><\/p>\nL\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t khi s\u1eed d\u1ee5ng thu\u1ed1c Dasarab 75<\/span><\/h2>\nTh\u1eadn tr\u1ecdng<\/h3>\nCh\u1ea3y m\u00e1u:<\/span><\/p>\n\n- L\u00e0m k\u00e9o d\u00e0i th\u1eddi gian c\u1ea7m m\u00e1u<\/span><\/li>\n
- Th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng cho ng\u01b0\u1eddi b\u1ec7nh d\u1ec5 b\u1ecb xu\u1ea5t huy\u1ebft<\/span><\/li>\n
- C\u1ea3nh b\u00e1o ng\u01b0\u1eddi b\u1ec7nh v\u1ec1 kh\u1ea3 n\u0103ng ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 x\u1ea3y ra.<\/span><\/li>\n<\/ul>\n
Th\u1ee7 thu\u1eadt ngo\u1ea1i khoa:<\/span><\/p>\n\n- D\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c Dasarab 75 tr\u01b0\u1edbc 5 ng\u00e0y n\u1ebfu ph\u1ea3i m\u1ed5<\/span><\/li>\n<\/ul>\n
Huy\u1ebft h\u1ecdc:<\/span><\/p>\n\n- Ph\u00e2n t\u00edch s\u1ed1 l\u01b0\u1ee3ng h\u1ed3ng c\u1ea7u v\u00e0 c\u00e1c ch\u1ec9 s\u1ed1 m\u00e1u kh\u00e1c<\/span><\/li>\n
- Kh\u1ea3 n\u0103ng xu\u1ea5t huy\u1ebft do ti\u1ec3u c\u1ea7u gi\u1ea3m<\/span><\/li>\n<\/ul>\n
Kh\u1ea3 n\u0103ng \u0111\u1ed9t qu\u1ef5 t\u00e1i di\u1ec5n:<\/span><\/p>\n\n- T\u0103ng nguy c\u01a1 t\u00e1i ph\u00e1t n\u1ebfu k\u1ebft h\u1ee3p v\u1edbi aspirin.<\/span><\/li>\n<\/ul>\n
Ch\u1ea3y m\u00e1u ti\u00eau h\u00f3a:<\/span><\/p>\n\n- C\u1ea9n tr\u1ecdng khi d\u00f9ng cho ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u1ed5n th\u01b0\u01a1ng d\u1ea1 d\u00e0y ru\u1ed9t<\/span><\/li>\n<\/ul>\n
B\u1ec7nh m\u00e1u kh\u00f3 \u0111\u00f4ng b\u1ea9m sinh, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c Dasarab 75 c\u1ea7n \u0111\u01b0\u1ee3c theo d\u00f5i ch\u1eb7t ch\u1ebd b\u1edfi \u0111\u1ed9i ng\u0169 y t\u1ebf chuy\u00ean nghi\u1ec7p.<\/span><\/p>\nNh\u00f3m ng\u01b0\u1eddi c\u00f3 kh\u1ea3 n\u0103ng chuy\u1ec3n h\u00f3a CYP2C19 y\u1ebfu c\u1ea7n l\u01b0u \u00fd khi s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y.\u00a0<\/span><\/p>\nDasarab t\u00e1c d\u1ee5ng ph\u1ee5<\/span><\/h3>\n\n\n\n| H\u1ec7 c\u01a1 quan<\/span><\/td>\n | R\u1ea5t th\u01b0\u1eddng g\u1eb7p\u00a0<\/span><\/td>\n | Th\u01b0\u1eddng g\u1eb7p\u00a0<\/span><\/td>\n | \u00cdt g\u1eb7p<\/span><\/td>\n<\/tr>\n\n| Ti\u00eau h\u00f3a<\/span><\/td>\n | Ti\u00eau h\u00f3a b\u1ecb r\u1ed1i lo\u1ea1n, \u0111au b\u1ee5ng, n\u00f4n, bi\u1ebfng \u0103n, vi\u00eam d\u1ea1 d\u00e0y, kh\u00f3 \u0111i ti\u00eau<\/span><\/td>\n | Kh\u00f3 \u0111i ngo\u00e0i, xu\u1ea5t huy\u1ebft ti\u00eau h\u00f3a, n\u00f4n<\/span><\/td>\n | Vi\u00eam t\u1ee5y<\/span><\/td>\n<\/tr>\n\n| Tim m\u1ea1ch<\/span><\/td>\n | \u0110au t\u1ee9c ng\u1ef1c, huy\u1ebft \u00e1p cao, ph\u00f9 m\u1ea1ch<\/span><\/td>\n | Rung t\u00e2m nh\u0129, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, suy tim, ng\u1ea5t<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| H\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng<\/span><\/td>\n | Nh\u1ee9c \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ki\u1ec7t s\u1ee9c, nh\u1ee9c m\u1ecfi to\u00e0n th\u00e2n<\/span><\/td>\n | S\u1ed1t, kh\u00f3 ng\u1ee7, ch\u00f3ng m\u1eb7t, lo l\u1eafng<\/span><\/td>\n | Xu\u1ea5t huy\u1ebft n\u1ed9i s\u1ecd<\/span><\/td>\n<\/tr>\n\n| Da<\/span><\/td>\n | Ng\u1ee9a, ph\u00e1t ban<\/span><\/td>\n | Ch\u00e0m<\/span><\/td>\n | D\u1ecb \u1ee9ng<\/span><\/p>\n Ph\u1ea3n v\u1ec7<\/span><\/p>\nPh\u00e1t ban<\/span><\/p>\nPh\u00f9 m\u1ea1ch<\/span><\/p>\nH\u1ed3ng ban \u0111a d\u1ea1ng nhi\u1ec5m s\u1eafc<\/span><\/p>\nNhi\u1ec5m \u0111\u1ed9c ho\u1ea1i t\u1eed da<\/span><\/p>\nH\u1ed9i ch\u1ee9ng Stevens-Johnson<\/span><\/td>\n<\/tr>\n\n| N\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a<\/span><\/td>\n | T\u0103ng cholesterol m\u00e1u<\/span><\/td>\n | T\u0103ng uric m\u00e1u, g\u00fat<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Ti\u1ebft ni\u1ec7u<\/span><\/td>\n | Vi\u00eam \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u<\/span><\/td>\n | Vi\u00eam b\u00e0ng quang<\/span><\/td>\n | <\/td>\n<\/tr>\n | \n| Huy\u1ebft h\u1ecdc<\/span><\/td>\n | Ch\u1ea3y m\u00e1u, ban \u0111\u1ecf, ch\u1ea3y m\u00e1u m\u0169i<\/span><\/td>\n | Thi\u1ebfu m\u00e1u, ch\u1ea3y m\u00e1u<\/span><\/td>\n | M\u1ea5t b\u1ea1ch c\u1ea7u h\u1ea1t<\/span><\/p>\n Thi\u1ebfu m\u00e1u<\/span><\/p>\nGi\u1ea3m ti\u1ec3u c\u1ea7u<\/span><\/p>\nXu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u<\/span><\/p>\nGi\u1ea3m b\u1ea1ch c\u1ea7u trung t\u00ednh n\u1eb7ng<\/span><\/td>\n<\/tr>\n\n| Gan<\/span><\/td>\n | B\u1ea5t th\u01b0\u1eddng ch\u1ee9c n\u0103ng gan<\/span><\/td>\n | <\/td>\n | Suy gan c\u1ea5p<\/span><\/p>\n T\u0103ng bilirubin huy\u1ebft<\/span><\/p>\nVi\u00eam gan<\/span><\/td>\n<\/tr>\n\n | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |