{"id":2212,"date":"2018-11-15T15:51:44","date_gmt":"2018-11-15T08:51:44","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=2212"},"modified":"2025-01-08T22:06:21","modified_gmt":"2025-01-08T15:06:21","slug":"prednisolone","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/prednisolone\/","title":{"rendered":"Prednisolone"},"content":{"rendered":"<p><em>Thu\u1ed1c Prednisolone l\u00e0 thu\u1ed1c g\u00ec ? D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng g\u1ed1c c\u1ee7a Thu\u1ed1c Prednisolone (Th\u00f4ng tin bao g\u1ed3m li\u1ec1u d\u00f9ng, c\u00e1ch d\u00f9ng, ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, th\u1eadn tr\u1ecdng, d\u01b0\u1ee3c l\u00fd&#8230;)<\/em><\/p><div id=\"ez-toc-container\" class=\"ez-toc-v2_0_81 ez-toc-wrap-left counter-hierarchy ez-toc-counter ez-toc-white ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">N\u1ed9i dung ch\u00ednh<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"Toggle Table of Content\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1 eztoc-toggle-hide-by-default' ><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#1-ten-hoat-chat-va-biet-duoc\" >1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#2-dang-bao-che-%e2%80%93-ham-luong\" >2. D\u1ea1ng b\u00e0o ch\u1ebf &#8211; H\u00e0m l\u01b0\u1ee3ng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#3-video-by-pharmog\" >3. Video by Pharmog:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#4-ung-dung-lam-sang\" >4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#41-chi-dinh\" >4.1. Ch\u1ec9 \u0111\u1ecbnh:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#42-lieu-dung-%e2%80%93-cach-dung\" >4.2. Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#43-chong-chi-dinh\" >4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#44-than-trong\" >4.4 Th\u1eadn tr\u1ecdng:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#45-su-dung-cho-phu-nu-co-thai-va-cho-con-bu\" >4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#46-tac-dung-khong-mong-muon-adr\" >4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#47-huong-dan-cach-xu-tri-adr\" >4.7 H\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed tr\u00ed ADR:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#48-tuong-tac-voi-cac-thuoc-khac\" >4.8 T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#49-qua-lieu-va-xu-tri\" >4.9 Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#5-co-che-tac-dung-cua-thuoc\" >5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#51-duoc-luc-hoc\" >5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#52-duoc-dong-hoc\" >5.2. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#53-giai-thich\" >5.3. Gi\u1ea3i th\u00edch:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#54-thay-the-thuoc\" >5.4 Thay th\u1ebf thu\u1ed1c :<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#6-phan-thong-tin-kem-theo-cua-thuoc\" >6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<\/a><ul class='ez-toc-list-level-2' ><li class='ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#61-danh-muc-ta-duoc\" >6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#62-tuong-ky\" >6.2. T\u01b0\u01a1ng k\u1ef5 :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#63-bao-quan\" >6.3. B\u1ea3o qu\u1ea3n:<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#64-thong-tin-khac\" >6.4. Th\u00f4ng tin kh\u00e1c :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#65-tai-lieu-tham-khao\" >6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-1'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/pharmog.com\/wp\/prednisolone\/#7-nguoi-dang-tai-tac-gia\" >7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<\/a><\/li><\/ul><\/nav><\/div>\n\n<h1><span class=\"ez-toc-section\" id=\"1-ten-hoat-chat-va-biet-duoc\"><\/span>1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong><em>Ho\u1ea1t ch\u1ea5t :<\/em> <\/strong><a href=\"https:\/\/pharmog.com\/wp\/prednisolone\/\"><strong>Prednisolone<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c Corticosteroids.<\/em><\/p>\n<p><strong><em>Nh\u00f3m<\/em><\/strong> <strong><em>ph\u00e1p l\u00fd: <\/em><\/strong><em>Thu\u1ed1c k\u00ea \u0111\u01a1n ETC \u2013 (Ethical drugs, prescription drugs, Prescription only medicine)<\/em><\/p>\n<p><strong><em>M\u00e3 ATC<\/em><\/strong> (Anatomical Therapeutic Chemical): A07EA01, C05AA04, D07AA03, D07XA02, H02AB06, R01AD02, S01BA04, S01CB02, S02BA03, S03BA02.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong><\/p>\n<p><strong><em>Thu\u1ed1c Generics:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-pred-forte\/\">Pred Forte<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-predicort\/\">Predicort, Prednisolone tablets BP<\/a> , Renifort, Prednisolone Tablet, Predion DT, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-deltal-amtex-prednisolon-donaipharm-sunapred\/\">Deltal &#8211; Amtex<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-deltal-amtex-prednisolon-donaipharm-sunapred\/\">Prednisolon Donaipharm<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-deltal-amtex-prednisolon-donaipharm-sunapred\/\">Sunapred<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-soluboston-prednisolon-boston\/\">Prednisolon Boston, Soluboston<\/a> , <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-rednison-n\/\">Rednison, Rednison N<\/a>, Prednisonlon Hataphar, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-hydrocolacyl-prednisolone-blue\/\">Hydrocolacyl, Prednisolone Khapharco, Prednisolone Blue<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-nahapharm\/\">Prednisolon Nahapharm<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-usasolu-predni\/\">Usasolu-Predni<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-quanolon\/\">Quanolon<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-cbipreson-prednisolon-tipharco-tiphapred\/\">Cbipreson<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-cbipreson-prednisolon-tipharco-tiphapred\/\">Prednisolon Tipharco, Tiphapred<\/a> , <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-pharbaco\/\">Prednisolon Pharbaco<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-vidipha\/\">Prednisolon Vidipha<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolone-tv-pharm\/\">Prednisolone TV. Pharm<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-vinphaco\/\">Prednisolon Vinphaco<\/a>, Prednisolon , <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-ceteco-prednisolon-ceteco-cenpred-ceteco-pred-ceteco-cenvadia\/\">Ceteco Prednisolon, Ceteco cenpred, Cetecocenpred, Ceteco Pred , Ceteco Cenvadia<\/a>, Prednisolon, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-vacopharm\/\">Prednisolon Vacopharm, Prednisolon sachet<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-dna-pharma\/\">Prednisolon Ngh\u1ec7 An<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-thephaco-hp-prednisolon\/\">Prednisolon Thephaco, HP- Prednisolon<\/a> , <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-sovepred\/\">Sovepred<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prencoid\/\">Prencoid<\/a>, Fufred , AustraPharmMesone Baby,\u00a0 <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prelimax-prednisolon-meyer-soredon-nn\/\">Prelimax, Prednisolon Meyer, Soredon NN<\/a> ,<a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolone-stada\/\">Prednisolone STADA<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolone-stella-predstad\/\">Prednisolone Stella , Predstad<\/a> , <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-solopredni\/\">Solopredni<\/a>, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-cadipredni-kidpredni-robpredni-sp-predni\/\">Cadipredni, SP Predni, Kidpredni, Robpredni, Robpredni sweet, Ytecopredni<\/a>, Prednilone, Dhasolone, Prednisolone Tablet, Preconin Tablets ,Koridone, Predne-VT, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-solupred\/\">Solupred<\/a>, Sunpredmet 1%,\u00a0 Pularon , Prednisolon Tablet , Prednisolone Tablets &#8220;Y.Y.&#8221;, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-prednisolon-mediplantex\/\">Prednisolon Mediplantex<\/a>, Solonic, <a href=\"https:\/\/pharmog.com\/wp\/prednisolone-duo-predni\/\">Duo Predni<\/a><\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h1><span class=\"ez-toc-section\" id=\"2-dang-bao-che-%e2%80%93-ham-luong\"><\/span>2. D\u1ea1ng b\u00e0o ch\u1ebf &#8211; H\u00e0m l\u01b0\u1ee3ng:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong><em>D\u1ea1ng thu\u1ed1c v\u00e0 h\u00e0m l\u01b0\u1ee3ng<\/em><\/strong><\/p>\n<p>Vi\u00ean n\u00e9n: 1 mg, 5 mg.<\/p>\n<p>Vi\u00ean n\u00e9n ph\u00e2n t\u00e1n: 5 mg, 10 mg, 15 mg, 20 mg, 30 mg.<\/p>\n<p>Vi\u00ean nang: 5 mg.<\/p>\n<p>Dung d\u1ecbch u\u1ed1ng, l\u1ecd 5 mg\/5 ml, 15 mg\/5 ml.<\/p>\n<p>H\u1ed7n d\u1ecbch ti\u00eam (prednisolon acetat), l\u1ecd 25 mg\/ml.<\/p>\n<p>Dung d\u1ecbch nh\u1ecf m\u1eaft (prednisolon natri phosphat) 1%.<\/p>\n<p>H\u1ed7n d\u1ecbch nh\u1ecf m\u1eaft (prednisolon acetat), l\u1ecd 5 ml 1%.<\/p>\n<p><strong><em>Thu\u1ed1c tham kh\u1ea3o:<\/em><\/strong><\/p>\n<table>\n<tbody>\n<tr>\n<td colspan=\"2\"><strong><em>PREDNISLONE 5MG TABLETS Y.Y<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n s\u1ee7i b\u1ecdt c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Prednisolone<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>20 mg<\/td>\n<\/tr>\n<tr>\n<td>T\u00e1 d\u01b0\u1ee3c<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>v\u1eeba \u0111\u1ee7 (Xem m\u1ee5c 6.1)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h1><img loading=\"lazy\" decoding=\"async\" class=\"alignnone size-full wp-image-42095\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2018\/11\/Prednisolone-YY.png\" alt=\"\" width=\"467\" height=\"405\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2018\/11\/Prednisolone-YY.png 467w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2018\/11\/Prednisolone-YY-300x260.png 300w\" sizes=\"auto, (max-width: 467px) 100vw, 467px\" \/><\/h1>\n<h1><span class=\"ez-toc-section\" id=\"3-video-by-pharmog\"><\/span>3. Video by Pharmog:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p><strong>[VIDEO D\u01af\u1ee2C L\u00dd]<\/strong><\/p>\n<p>&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;&#8212;<\/p>\n<p>\u25ba K\u1ecbch B\u1ea3n: PharmogTeam<\/p>\n<p>\u25ba Youtube: https:\/\/www.youtube.com\/c\/pharmog<\/p>\n<p>\u25ba Facebook: https:\/\/www.facebook.com\/pharmog\/<\/p>\n<p>\u25ba Group : H\u1ed9i nh\u1eefng ng\u01b0\u1eddi m\u00ea d\u01b0\u1ee3c l\u00fd<\/p>\n<p>\u25ba Instagram : https:\/\/www.instagram.com\/pharmogvn\/<\/p>\n<p>\u25ba Website: pharmog.com<\/p>\n<h1><span class=\"ez-toc-section\" id=\"4-ung-dung-lam-sang\"><\/span>4. \u1ee8ng d\u1ee5ng l\u00e2m s\u00e0ng:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"41-chi-dinh\"><\/span>4.1. Ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prednisolon \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi c\u1ea7n \u0111\u1ebfn t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, ch\u1ed1ng d\u1ecb \u1ee9ng v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch:<\/p>\n<p>D\u1ecb \u1ee9ng: C\u00e1c tr\u01b0\u1eddng h\u1ee3p d\u1ecb \u1ee9ng n\u1eb7ng: Vi\u00eam da d\u1ecb \u1ee9ng, c\u00e1c ph\u1ea3n \u1ee9ng qu\u00e1 m\u1eabn v\u1edbi thu\u1ed1c, vi\u00eam m\u0169i d\u1ecb \u1ee9ng theo m\u00f9a ho\u1eb7c quanh n\u0103m, b\u1ec7nh huy\u1ebft thanh.<\/p>\n<p>B\u1ec7nh da: Vi\u00eam da b\u00f3ng n\u01b0\u1edbc d\u1ea1ng ecpet, vi\u00eam da ti\u1ebfp x\u00fac, v\u1ea3y n\u1ebfn, u s\u00f9i d\u1ea1ng n\u1ea5m, pemphigus, h\u1ed9i ch\u1ee9ng Stevens-Johnson.<\/p>\n<p>B\u1ec7nh n\u1ed9i ti\u1ebft: T\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn b\u1ea5m sinh, t\u0103ng calci huy\u1ebft trong b\u1ec7nh \u00e1c t\u00ednh, vi\u00eam tuy\u1ebfn gi\u00e1p u h\u1ea1t (b\u00e1n c\u1ea5p, kh\u00f4ng c\u00f3 m\u1ee7), suy v\u1ecf th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t ho\u1eb7c th\u1ee9 ph\u00e1t (hydrocortison ho\u1eb7c cortison l\u00e0 thu\u1ed1c l\u1ef1a ch\u1ecdn h\u00e0ng \u0111\u1ea7u, c\u00e1c thu\u1ed1c t\u1ed5ng h\u1ee3p c\u00f3 th\u1ec3 d\u00f9ng k\u1ebft h\u1ee3p v\u1edbi mineralocorticoid).<\/p>\n<p>B\u1ec7nh \u0111\u01b0\u1eddng ti\u00eau h\u00f3a: D\u00f9ng trong giai \u0111o\u1ea1n c\u1ea5p c\u1ee7a b\u1ec7nh Crohn, vi\u00eam k\u1ebft tr\u00e0ng lo\u00e9t.<\/p>\n<p>B\u1ec7nh m\u00e1u: Thi\u1ebfu m\u00e1u tan m\u00e1u t\u1ef1 mi\u1ec5n, thi\u1ebfu m\u00e1u Diamond &#8211; Blackfan, ban xu\u1ea5t huy\u1ebft gi\u1ea3m ti\u1ec3u c\u1ea7u t\u1ef1 ph\u00e1t \u1edf ng\u01b0\u1eddi l\u1edbn, thi\u1ebfu m\u00e1u b\u1ea5t s\u1ea3n, gi\u1ea3m ti\u1ec3u c\u1ea7u th\u1ee9 ph\u00e1t \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n<p>B\u1ec7nh kh\u1ed1i u: B\u1ec7nh b\u1ea1ch c\u1ea7u c\u1ea5p, u lympho.<\/p>\n<p>B\u1ec7nh h\u1ec7 th\u1ea7n kinh: Giai \u0111o\u1ea1n n\u1eb7ng, c\u1ea5p c\u1ee7a b\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c; ph\u00f9 n\u00e3o trong b\u1ec7nh u n\u00e3o nguy\u00ean ph\u00e1t ho\u1eb7c di c\u0103n, th\u1ee7 thu\u1eadt m\u1edf s\u1ecd ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng \u1edf \u0111\u1ea7u.<\/p>\n<p>B\u1ec7nh \u1edf m\u1eaft: Vi\u00eam m\u00e0ng m\u1ea1ch nho v\u00e0 vi\u00eam m\u1eaft kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi corticosteroid t\u1ea1i ch\u1ed7.<\/p>\n<p>Gh\u00e9p c\u01a1 quan: Th\u1ea3i gh\u00e9p c\u01a1 quan \u0111\u1eb7c: c\u1ea5p v\u00e0 m\u1ea1n t\u00ednh.<\/p>\n<p>B\u1ec7nh ph\u1ed5i: Giai \u0111o\u1ea1n n\u1eb7ng c\u1ee7a b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u1ea1n t\u00ednh (COPD); b\u1ec7nh n\u1ea5m <em>Aspergillus<\/em> ph\u1ebf qu\u1ea3n &#8211; ph\u1ed5i d\u1ecb \u1ee9ng; vi\u00eam ph\u1ed5i do h\u00edt ph\u1ea3i c\u00e1c ch\u1ea5t; hen ph\u1ebf qu\u1ea3n; lao ph\u1ed5i b\u00f9ng ph\u00e1t ho\u1eb7c lan t\u1ecfa khi d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi h\u00f3a tr\u1ecb li\u1ec7u ph\u00f9 h\u1ee3p; vi\u00eam ph\u1ed5i do qu\u00e1 m\u1eabn; vi\u00eam ti\u1ec3u ph\u1ebf qu\u1ea3n t\u1ef1 ph\u00e1t t\u1eafc ngh\u1ebdn, vi\u00eam ph\u1ed5i b\u1ea1ch c\u1ea7u \u01b0a eosin t\u1ef1 ph\u00e1t; x\u01a1 h\u00f3a ph\u1ed5i t\u1ef1 ph\u00e1t, vi\u00eam ph\u1ed5i do <em>Pneumocystis carinii <\/em>(PCP) v\u1edbi ch\u1ee9ng gi\u1ea3m oxy huy\u1ebft \u1edf b\u1ec7nh nh\u00e2n HIV(+) \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng kh\u00e1ng sinh ch\u1ed1ng PCP ph\u00f9 h\u1ee3p; b\u1ec7nh sarcoid.<\/p>\n<p>B\u1ec7nh th\u1eadn: G\u00e2y b\u00e0i ni\u1ec7u v\u00e0 l\u00e0m gi\u1ea3m protein ni\u1ec7u trong h\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0 th\u1ec3 t\u1ef1 ph\u00e1t ho\u1eb7c do b\u1ec7nh lupus ban \u0111\u1ecf.<\/p>\n<p>B\u1ec7nh kh\u1edbp v\u00e0 colagen: H\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n (trong giai \u0111o\u1ea1n c\u1ea5p, n\u1eb7ng) c\u1ee7a b\u1ec7nh vi\u00eam kh\u1edbp do g\u00fat c\u1ea5p; trong giai \u0111o\u1ea1n n\u1eb7ng ho\u1eb7c \u0111i\u1ec1u tr\u1ecb duy tr\u00ec trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u1ea5t \u0111\u1ecbnh (\u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn) c\u1ee7a vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp, vi\u00eam da c\u01a1\/ vi\u00eam \u0111a c\u01a1, \u0111au \u0111a c\u01a1 do th\u1ea5p, vi\u00eam \u0111\u1ed9ng m\u1ea1ch th\u00e1i d\u01b0\u01a1ng, vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn, vi\u00eam \u0111a s\u1ee5n t\u00e1i ph\u00e1t, vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, bao g\u1ed3m c\u1ea3 vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p tu\u1ed5i thi\u1ebfu ni\u00ean (m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u1ea7n d\u00f9ng li\u1ec1u th\u1ea5p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb duy tr\u00ec), h\u1ed9i ch\u1ee9ng Siogren, lupus ban \u0111\u1ecf h\u1ec7 th\u1ed1ng, vi\u00eam m\u1ea1ch.<\/p>\n<p>B\u1ec7nh nhi\u1ec5m tr\u00f9ng \u0111\u1eb7c bi\u1ec7t: B\u1ec7nh giun xo\u1eafn \u1edf h\u1ec7 th\u1ea7n kinh ho\u1eb7c c\u01a1 tim, vi\u00eam m\u00e0ng n\u00e3o do lao m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng (ph\u1ea3i d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi h\u00f3a tr\u1ecb li\u1ec7u ch\u1ed1ng lao ph\u00f9 h\u1ee3p).<\/p>\n<h2><span class=\"ez-toc-section\" id=\"42-lieu-dung-%e2%80%93-cach-dung\"><\/span>4.2. Li\u1ec1u d\u00f9ng &#8211; C\u00e1ch d\u00f9ng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><strong><em>C\u00e1ch d\u00f9ng<\/em><\/strong> :<\/p>\n<p>Prednisolon d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. C\u00e1c mu\u1ed1i c\u1ee7a prednisolon c\u00f3 th\u1ec3 c\u00f3 c\u00e1c \u0111\u01b0\u1eddng d\u00f9ng kh\u00e1c.<\/p>\n<p>\u0110\u01b0\u1eddng d\u00f9ng v\u00e0 li\u1ec1u l\u01b0\u1ee3ng prednisolon ph\u1ee5 thu\u1ed9c v\u00e0o b\u1ec7nh c\u1ea7n \u0111i\u1ec1u tr\u1ecb v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh. \u0110\u01b0\u1eddng ti\u00eam th\u01b0\u1eddng d\u00e0nh cho ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng th\u1ec3 u\u1ed1ng \u0111\u01b0\u1ee3c thu\u1ed1c ho\u1eb7c cho c\u00e1c t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u. Sau th\u1eddi k\u1ef3 c\u1ea5p c\u1ee9u ban \u0111\u1ea7u, c\u1ea7n xem x\u00e9t chuy\u1ec3n sang d\u1ea1ng u\u1ed1ng. Li\u1ec1u l\u01b0\u1ee3ng \u0111\u1ed1i v\u1edbi tr\u1ebb nh\u1ecf v\u00e0 tr\u1ebb em ph\u1ea3i d\u1ef1a v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh h\u01a1n l\u00e0 d\u1ef1a m\u1ed9t c\u00e1ch ch\u00ednh x\u00e1c v\u00e0o li\u1ec1u l\u01b0\u1ee3ng ch\u1ec9 d\u1eabn theo tu\u1ed5i, c\u00e2n n\u1eb7ng ho\u1eb7c di\u1ec7n t\u00edch b\u1ec1 m\u1eb7t c\u01a1 th\u1ec3. Li\u1ec1u t\u00ednh theo prednisolon base. Sau khi \u0111\u00e3 \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng mong mu\u1ed1n, c\u1ea7n ph\u1ea3i gi\u1ea3m li\u1ec1u d\u1ea7n d\u1ea7n t\u1edbi m\u1ee9c v\u1eabn duy tr\u00ec \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng l\u00e2m s\u00e0ng th\u00edch h\u1ee3p.<\/p>\n<p>Ph\u1ea3i li\u00ean t\u1ee5c theo d\u00f5i ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u khi c\u1ea7n. Khi b\u1ecb stress trong khi \u0111ang d\u00f9ng corticosteroid (ph\u1eabu thu\u1eadt, nhi\u1ec5m khu\u1ea9n, ch\u1ea5n th\u01b0\u01a1ng) n\u00ean t\u0103ng li\u1ec1u tr\u01b0\u1edbc, trong v\u00e0 sau t\u00ecnh tr\u1ea1ng stress. N\u1ebfu c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb prednisolon u\u1ed1ng trong th\u1eddi gian d\u00e0i, n\u00ean xem x\u00e9t ph\u00e1c \u0111\u1ed3 d\u00f9ng thu\u1ed1c c\u00e1ch nh\u1eadt b\u1ea5t c\u1ee9 khi n\u00e0o c\u00f3 th\u1ec3, d\u00f9ng m\u1ed9t l\u1ea7n duy nh\u1ea5t sau b\u1eefa \u0103n s\u00e1ng, nh\u01b0 v\u1eady s\u1ebd \u00edt \u1ee9c ch\u1ebf tr\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean h\u01a1n, h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c ADR, nh\u01b0ng c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 ki\u1ec3m so\u00e1t \u0111\u1ea7y \u0111\u1ee7. Ti\u1ebfp t\u1ee5c th\u1eed gi\u1ea3m li\u1ec1u v\u00e0 t\u1ed1t nh\u1ea5t l\u00e0 r\u00fat ho\u00e0n to\u00e0n tr\u1ecb li\u1ec7u glucocorticoid. Sau khi \u0111i\u1ec1u tr\u1ecb d\u00e0i ng\u00e0y ph\u1ea3i ng\u1eebng prednisolon d\u1ea7n t\u1eebng b\u01b0\u1edbc.<\/p>\n<p>U\u1ed1ng thu\u1ed1c sau b\u1eefa \u0103n ho\u1eb7c v\u1edbi th\u1ee9c \u0103n ho\u1eb7c s\u1eefa \u0111\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a. T\u0103ng ch\u1ebf \u0111\u1ed9 \u0103n nhi\u1ec1u pyridoxin, vitamin C, vitamin D, folat, calci v\u00e0 phospho.<\/p>\n<p>Theo d\u00f5i c\u00e1c th\u00f4ng s\u1ed1: Huy\u1ebft \u00e1p, glucose huy\u1ebft, c\u00e1c ch\u1ea5t \u0111i\u1ec7n gi\u1ea3i, \u00e1p l\u1ef1c trong m\u1eaft (khi d\u00f9ng tr\u00ean 6 tu\u1ea7n), m\u1eadt \u0111\u1ed9 kho\u00e1ng c\u1ee7a x\u01b0\u01a1ng.<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p><em>\u0110\u01b0\u1eddng u\u1ed1ng:<\/em><\/p>\n<p><em>Tr\u1ebb em:<\/em><\/p>\n<p>Hen ph\u1ebf qu\u1ea3n c\u1ea5p: 1 &#8211; 2 mg\/kg\/ng\u00e0y, chia l\u00e0m 1 &#8211; 2 l\u1ea7n (t\u1ed1i \u0111a 60 mg\/ng\u00e0y), trong 3 &#8211; 10 ng\u00e0y.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i: 0,25 &#8211; 2 mg\/kg\/ng\u00e0y, u\u1ed1ng m\u1ed7i ng\u00e0y m\u1ed9t l\u1ea7n v\u00e0o bu\u1ed5i s\u00e1ng ho\u1eb7c c\u00e1ch ng\u00e0y khi c\u1ea7n \u0111\u1ebf ki\u1ec3m so\u00e1t hen.<\/p>\n<p>Ch\u1ed1ng vi\u00eam v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch: 0,1 &#8211; 2 mg\/kg\/ng\u00e0y, chia l\u00e0m 1 &#8211; 4 l\u1ea7n.<\/p>\n<p>H\u1ed9i ch\u1ee9ng th\u1eadn h\u01b0: Kh\u1edfi \u0111\u1ea7u 2 mg\/kg\/ng\u00e0y ho\u1eb7c 60 mg\/m<sup>2<\/sup>\/ng\u00e0y (t\u1ed1i \u0111a 80 mg\/ng\u00e0y), chia l\u00e0m 1 &#8211; 3 l\u1ea7n, \u0111\u1ebfn khi n\u01b0\u1edbc ti\u1ec3u kh\u00f4ng c\u00f2n protein trong 3 ng\u00e0y li\u00ean ti\u1ebfp ho\u1eb7c trong 4 &#8211; 6 tu\u1ea7n. Sau \u0111\u00f3 d\u00f9ng li\u1ec1u duy tr\u00ec 1 &#8211; 2 mg\/kg ho\u1eb7c 40 mg\/m<sup>2<\/sup>, d\u00f9ng c\u00e1ch ng\u00e0y v\u00e0o bu\u1ed5i s\u00e1ng trong 4 tu\u1ea7n.<\/p>\n<p>Duy tr\u00ec d\u00e0i h\u1ea1n n\u1ebfu t\u00e1i ph\u00e1t th\u01b0\u1eddng xuy\u00ean: 0,5 &#8211; 1,0 mg\/kg, d\u00f9ng c\u00e1ch ng\u00e0y trong 3 &#8211; 6 th\u00e1ng.<\/p>\n<p><em>Ng\u01b0\u1eddi l\u1edbn:<\/em><\/p>\n<p>Li\u1ec1u th\u00f4ng th\u01b0\u1eddng: 5 &#8211; 60 mg\/ng\u00e0y.<\/p>\n<p>B\u1ec7nh x\u01a1 c\u1ee9ng r\u1ea3i r\u00e1c: 200 mg\/ng\u00e0y trong 1 tu\u1ea7n, sau \u0111\u00f3 80 mg d\u00f9ng c\u00e1ch ng\u00e0y trong 1 th\u00e1ng.<\/p>\n<p>Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p: Li\u1ec1u kh\u1edfi \u0111\u1ea7u 5 &#8211; 7,5 mg\/ng\u00e0y, \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u khi c\u1ea7n thi\u1ebft.<\/p>\n<p><em>\u0110\u01b0\u1eddng ti\u00eam:<\/em><\/p>\n<p>Ti\u00eam t\u0129nh m\u1ea1ch, truy\u1ec1n t\u0129nh m\u1ea1ch ho\u1eb7c ti\u00eam b\u1eafp (d\u1ea1ng mu\u1ed1i natri phosphat este).<\/p>\n<p>H\u1ed7n d\u1ecbch n\u01b0\u1edbc prednisolon acetat d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam b\u1eafp c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i, li\u1ec1u m\u1ed7i l\u1ea7n 25 &#8211; 100 mg, 1 &#8211; 2 l\u1ea7n\/tu\u1ea7n.<\/p>\n<p>D\u1ea1ng mu\u1ed1i natri sucinat este c\u0169ng \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam.<\/p>\n<p><em>Ti\u00eam v\u00e0o trong kh\u1edbp:<\/em> Li\u1ec1u 5 &#8211; 25 mg prednisolon acetat. D\u1ea1ng mu\u1ed1i natri phosphat ho\u1eb7c tebutat este c\u0169ng \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o trong kh\u1edbp, trong c\u00e1c t\u1ed5n th\u01b0\u01a1ng ho\u1eb7c ti\u00eam v\u00e0o c\u00e1c m\u00f4 m\u1ec1m.<\/p>\n<p><em>Dung d\u1ecbch\/h\u1ed7n d\u1ecbch nh\u1ecf m\u1eaft:<\/em><\/p>\n<p>Vi\u00eam k\u1ebft m\u1ea1c, t\u1ed5n th\u01b0\u01a1ng gi\u00e1c m\u1ea1c: Tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn nh\u1ecf 1 &#8211; 2 gi\u1ecdt dung d\u1ecbch\/h\u1ed7n d\u1ecbch 1% v\u00e0o t\u00fai k\u1ebft m\u1ea1c m\u1ed7i gi\u1edd v\u00e0o ban ng\u00e0y, m\u1ed7i 2 gi\u1edd v\u00e0o ban \u0111\u00eam \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u01b0\u1ee3c \u0111\u00e1p \u1ee9ng t\u1ed1t, sau \u0111\u00f3 d\u00f9ng 1 gi\u1ecdt m\u1ed7i 4 gi\u1edd.<\/p>\n<p><em>D\u00f9ng t\u1ea1i ch\u1ed7:<\/em> (prednisolon acetat v\u00e0 prednisolon natri phosphat) \u0111i\u1ec1u tr\u1ecb vi\u00eam v\u00e0 d\u1ecb \u1ee9ng \u1edf m\u1eaft ho\u1eb7c tai, th\u01b0\u1eddng d\u00f9ng d\u1ea1ng nh\u1ecf gi\u1ecdt 0,5 &#8211; 1%.<\/p>\n<p><em>D\u00f9ng \u0111\u01b0\u1eddng tr\u1ef1c tr\u00e0ng:<\/em> (prednisolon metasulfobenzoat natri ho\u1eb7c prednisolon natri phosphat). Th\u1ee5t h\u1eadu m\u00f4n 20 mg prednisolon\/100 ml ho\u1eb7c \u0111\u1ea1n 5 mg prednisolon.<\/p>\n<p><em>Ng\u01b0\u1eddi cao tu\u1ed5i:<\/em> D\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 hi\u1ec7u qu\u1ea3.<\/p>\n<p><em>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u \u1edf b\u1ec7nh nh\u00e2n c\u01b0\u1eddng gi\u00e1p:<\/em> C\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft t\u0103ng li\u1ec1u prednisolon \u0111\u1ec3 \u0111\u1ea1t \u0111\u1ee7 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p><em>Th\u1ea9m t\u00e1ch m\u00e1u:<\/em> D\u00f9ng m\u1ed9t li\u1ec1u sau khi th\u1ea9m t\u00e1ch m\u00e1u.<\/p>\n<p><em>Th\u1ea9m ph\u00e2n m\u00e0ng b\u1ee5ng:<\/em> Kh\u00f4ng c\u1ea7n b\u1ed5 sung li\u1ec1u.<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"43-chong-chi-dinh\"><\/span>4.3. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Qu\u00e1 m\u1eabn v\u1edbi prednisolon ho\u1eb7c b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a ch\u1ebf ph\u1ea9m.<\/p>\n<p>Vi\u00eam gi\u00e1c m\u1ea1c c\u1ea5p do <em>Herpes simplex.<\/em><\/p>\n<p>\u0110ang d\u00f9ng v\u1eafc xin virus s\u1ed1ng ho\u1eb7c gi\u1ea3m \u0111\u1ed9c l\u1ef1c (khi d\u00f9ng nh\u1eefng li\u1ec1u corticosteroid g\u00e2y \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch).<\/p>\n<p>Nhi\u1ec5m n\u1ea5m to\u00e0n th\u00e2n.<\/p>\n<p>Th\u1ee7y \u0111\u1eadu.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"44-than-trong\"><\/span>4.4 Th\u1eadn tr\u1ecdng:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng glucocorticoid trong th\u1eddi gian d\u00e0i, ph\u1ea3i ki\u1ec3m tra \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, huy\u1ebft \u00e1p, ch\u1ee5p X quang ph\u1ed5i v\u00e0 c\u1ed9t s\u1ed1ng, l\u00e0m test dung n\u1ea1p glucose v\u00e0 \u0111\u00e1nh gi\u00e1 ch\u1ee9c n\u0103ng tr\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; th\u01b0\u1ee3ng th\u1eadn (HPA) cho t\u1ea5t c\u1ea3 c\u00e1c b\u1ec7nh nh\u00e2n. Prednisolon c\u00f3 th\u1ec3 g\u00e2y t\u0103ng n\u0103ng v\u1ecf th\u01b0\u1ee3ng th\u1eadn ho\u1eb7c \u1ee9c ch\u1ebf tr\u1ee5c HPA, \u0111\u1eb7c bi\u1ec7t \u1edf tr\u1ebb em ho\u1eb7c nh\u1eefng b\u1ec7nh nh\u00e2n d\u00f9ng li\u1ec1u cao trong th\u1eddi gian d\u00e0i. Khi ng\u1eebng thu\u1ed1c ph\u1ea3i th\u1eadn tr\u1ecdng v\u00e0 gi\u1ea3m t\u1eeb t\u1eeb. Theo d\u00f5i ch\u1eb7t nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng corticosteroid to\u00e0n th\u00e2n chuy\u1ec3n sang d\u00f9ng d\u1ea1ng h\u00edt v\u00ec c\u00f3 th\u1ec3 b\u1ecb thi\u1ebfu h\u1ee5t hormon ho\u1eb7c khi ng\u1eebng thu\u1ed1c, k\u1ec3 c\u1ea3 t\u0103ng c\u00e1c tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng, \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ng\u01b0\u1eddi d\u00f9ng prednisolon &gt; 20 mg\/ng\u00e0y.<\/p>\n<p>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra khi ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t sau th\u1eddi gian d\u00e0i \u0111i\u1ec1u tr\u1ecb ho\u1eb7c khi c\u00f3 stress (n\u1ebfu c\u00f3 stress x\u1ea3y ra nhi\u1ec1u th\u00e1ng sau khi ng\u1eebng \u0111i\u1ec1u tr\u1ecb, v\u1eabn ph\u1ea3i d\u00f9ng l\u1ea1i hormon). Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh s\u1eafp \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 ph\u1ea3i d\u00f9ng b\u1ed5 sung glucocorticoid v\u00ec \u0111\u00e1p \u1ee9ng b\u00ecnh th\u01b0\u1eddng v\u1edbi stress \u0111\u00e3 b\u1ecb gi\u1ea3m s\u00fat do s\u1ef1 \u1ee9c ch\u1ebf tr\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; th\u01b0\u1ee3ng th\u1eadn.<\/p>\n<p>Li\u1ec1u cao corticosteroid c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh c\u01a1 c\u1ea5p, th\u01b0\u1eddng g\u1eb7p \u1edf b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n d\u1eabn truy\u1ec1n th\u1ea7n kinh &#8211; c\u01a1, c\u00f3 th\u1ec3 g\u1eb7p \u1edf c\u01a1 m\u1eaft v\u00e0\/ ho\u1eb7c c\u01a1 h\u00f4 h\u1ea5p. Ph\u1ea3i theo d\u00f5i creatin kinase. D\u00f9ng corticosteroid c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n, bao g\u1ed3m \u1ee9c ch\u1ebf, s\u1ea3ng kho\u00e1i, m\u1ea5t ng\u1ee7, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng v\u00e0 nh\u00e2n c\u00e1ch. C\u00f3 th\u1ec3 l\u00e0m n\u1eb7ng th\u00eam c\u00e1c r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n \u0111\u00e3 c\u00f3 t\u1eeb tr\u01b0\u1edbc.<\/p>\n<p>D\u00f9ng corticosteroid k\u00e9o d\u00e0i c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nhi\u1ec5m tr\u00f9ng th\u1ee9 ph\u00e1t, che l\u1ea5p nhi\u1ec5m tr\u00f9ng c\u1ea5p (bao g\u1ed3m nhi\u1ec5m n\u1ea5m), l\u00e0m k\u00e9o d\u00e0i ho\u1eb7c n\u1eb7ng th\u00eam t\u00ecnh tr\u1ea1ng nhi\u1ec5m virus, ho\u1eb7c gi\u1ea3m \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c v\u1eafc xin.<\/p>\n<p>Kh\u00f4ng n\u00ean d\u00f9ng \u0111i\u1ec1u tr\u1ecb nhi\u1ec5m <em>Herpes simplex<\/em> \u1edf m\u1eaft, s\u1ed1t r\u00e9t th\u1ec3 n\u00e3o ho\u1eb7c vi\u00eam gan virus. Theo d\u00f5i ch\u1eb7t nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc lao ti\u1ec1m t\u00e0ng v\u00e0\/ho\u1eb7c c\u00f3 ph\u1ea3n \u1ee9ng TB. D\u00f9ng h\u1ea1n ch\u1ebf trong lao th\u1ec3 ho\u1ea1t \u0111\u1ed9ng, ch\u1ec9 d\u00f9ng khi ph\u1ed1i h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c ch\u1ed1ng lao.<\/p>\n<p>D\u00f9ng corticosteroid k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y b\u1ec7nh gl\u00f4c\u00f4m, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh th\u1ecb gi\u00e1c (kh\u00f4ng ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb vi\u00eam th\u1ea7n kinh th\u1ecb gi\u00e1c), nh\u00ecn m\u1edd v\u00e0 gi\u1ea3m th\u1ecb tr\u01b0\u1eddng, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 d\u01b0\u1edbi bao sau. D\u00f9ng sau ph\u1eabu thu\u1eadt th\u1ee7y tinh th\u1ec3 c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm li\u1ec1n v\u1ebft m\u1ed5 ho\u1eb7c t\u0103ng ch\u1ea3y m\u00e1u.<\/p>\n<p>\u0110\u00e3 c\u00f3 b\u00e1o c\u00e1o \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i b\u1eb1ng corticosteroid l\u00e0m ph\u00e1t tri\u1ec3n sarcom Kaposi, xem x\u00e9t ng\u1eebng \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>S\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u1edf nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh tuy\u1ebfn gi\u00e1p, suy gan, suy th\u1eadn, b\u1ec7nh tim m\u1ea1ch, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, gl\u00f4c\u00f4m, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, nh\u01b0\u1ee3c c\u01a1, c\u00f3 nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng, nguy c\u01a1 co gi\u1eadt ho\u1eb7c b\u1ec7nh \u1edf \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (vi\u00eam t\u00fai th\u1eeba, lo\u00e9t d\u1ea1 d\u00e0y, lo\u00e9t t\u00e1 tr\u00e0ng, vi\u00eam lo\u00e9t k\u1ebft tr\u00e0ng). D\u00f9ng th\u1eadn tr\u1ecdng sau nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p.<\/p>\n<p>Do nguy c\u01a1 c\u00f3 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n, n\u00ean ph\u1ea3i s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng corticosteroid to\u00e0n th\u00e2n cho ng\u01b0\u1eddi cao tu\u1ed5i, v\u1edbi li\u1ec1u th\u1ea5p nh\u1ea5t v\u00e0 trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c.<\/p>\n<p>Kh\u00f4ng b\u0103ng k\u00edn tr\u00ean t\u1ed5n th\u01b0\u01a1ng c\u00f3 d\u1ecbch r\u1ec9 ho\u1eb7c \u0111ang \u01b0\u1edbt v\u00e0 ph\u1ea3i th\u1eadn tr\u1ecdng khi b\u0103ng k\u00edn.<\/p>\n<p>Ng\u1eebng thu\u1ed1c n\u1ebfu c\u00f3 k\u00edch \u1ee9ng da ho\u1eb7c vi\u00eam da ti\u1ebfp x\u00fac. Kh\u00f4ng d\u00f9ng \u1edf b\u1ec7nh nh\u00e2n b\u1ecb gi\u1ea3m tu\u1ea7n ho\u00e0n \u1edf da.<\/p>\n<p>Th\u01b0\u1eddng xuy\u00ean theo d\u00f5i s\u1ef1 t\u0103ng tr\u01b0\u1edfng v\u00e0 ph\u00e1t tri\u1ec3n \u1edf tr\u1ebb em.<\/p>\n<p><strong>T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c tr\u00ean ng\u01b0\u1eddi l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/strong><\/p>\n<p>C\u1ea7n th\u1eadn tr\u1ecdng khi s\u1eed d\u1ee5ng cho c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"45-su-dung-cho-phu-nu-co-thai-va-cho-con-bu\"><\/span>4.5 S\u1eed d\u1ee5ng cho ph\u1ee5 n\u1eef c\u00f3 thai v\u00e0 cho con b\u00fa:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>X\u1ebfp h\u1ea1ng c\u1ea3nh b\u00e1o<\/em><\/p>\n<p>AU TGA pregnancy category: A<\/p>\n<p>US FDA pregnancy category: C\/D<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>Prednisolon qua \u0111\u01b0\u1ee3c nhau thai v\u00e0 c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m cho thai khi d\u00f9ng \u1edf ph\u1ee5 n\u1eef mang thai. C\u00e1c nghi\u00ean c\u1ee9u tr\u00ean \u0111\u1ed9ng v\u1eadt v\u00e0 tr\u00ean ng\u01b0\u1eddi g\u1ee3i \u00fd r\u1eb1ng d\u00f9ng corticosteroid trong 3 th\u00e1ng \u0111\u1ea7u c\u1ee7a th\u1eddi k\u1ef3 mang thai l\u00e0m t\u0103ng nguy c\u01a1 s\u1ee9t m\u00f4i, h\u1edf h\u00e0m \u1ebfch, gi\u1ea3m t\u0103ng tr\u01b0\u1edfng thai trong t\u1eed cung v\u00e0 gi\u1ea3m tr\u1ecdng l\u01b0\u1ee3ng khi sinh. D\u00f9ng corticosteroid cho ng\u01b0\u1eddi m\u1eb9 trong th\u1eddi k\u1ef3 mang thai c\u00f3 th\u1ec3 g\u00e2y thi\u1ec3u n\u0103ng th\u01b0\u1ee3ng th\u1eadn \u1edf tr\u1ebb s\u01a1 sinh.<\/p>\n<p>N\u1ebfu d\u00f9ng prednisolon trong th\u1eddi k\u1ef3 mang thai ho\u1eb7c b\u1eaft \u0111\u1ea7u c\u00f3 thai khi \u0111ang d\u00f9ng thu\u1ed1c, ph\u1ea3i b\u00e1o tr\u01b0\u1edbc cho b\u1ec7nh nh\u00e2n m\u1ed1i nguy hi\u1ec3m \u0111\u1ed1i v\u1edbi thai. N\u00f3i chung, s\u1eed d\u1ee5ng corticosteroid \u1edf ng\u01b0\u1eddi mang thai \u0111\u00f2i h\u1ecfi ph\u1ea3i c\u00e2n nh\u1eafc l\u1ee3i \u00edch c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c so v\u1edbi nh\u1eefng r\u1ee7i ro c\u00f3 th\u1ec3 x\u1ea3y ra v\u1edbi m\u1eb9 v\u00e0 con.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Prednisolon ti\u1ebft v\u00e0o s\u1eefa m\u1eb9 v\u1edbi n\u1ed3ng \u0111\u1ed9 trong s\u1eefa b\u1eb1ng 5 &#8211; 25% n\u1ed3ng \u0111\u1ed9 trong huy\u1ebft thanh m\u1eb9, b\u1eb1ng kho\u1ea3ng 0,14% li\u1ec1u d\u00f9ng h\u00e0ng ng\u00e0y c\u1ee7a m\u1eb9. N\u00ean c\u1ea5n th\u1eadn khi d\u00f9ng prednisolon cho ng\u01b0\u1eddi cho con b\u00fa. M\u1eb9 d\u00f9ng li\u1ec1u cao corticosteroid trong th\u1eddi gian d\u00e0i c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u0103ng tr\u01b0\u1edfng, ph\u00e1t tri\u1ec3n c\u1ee7a tr\u1ebb b\u00fa m\u1eb9 v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ea3n xu\u1ea5t corticosteroid n\u1ed9i sinh. Ph\u1ea3i c\u00e2n nh\u1eafc l\u1ee3i \u00edch\/nguy c\u01a1 cho c\u1ea3 m\u1eb9 v\u00e0 con. N\u1ebfu bu\u1ed9c ph\u1ea3i d\u00f9ng prednisolon cho ng\u01b0\u1eddi \u0111ang cho con b\u00fa, ph\u1ea3i d\u00f9ng li\u1ec1u th\u1ea5p nh\u1ea5t \u0111\u1ee7 \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng.<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"46-tac-dung-khong-mong-muon-adr\"><\/span>4.6 T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n (ADR):<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>ADR th\u01b0\u1eddng x\u1ea3y ra nhi\u1ec1u nh\u1ea5t khi d\u00f9ng prednisolon li\u1ec1u cao v\u00e0 d\u00e0i ng\u00e0y. ADR th\u01b0\u1eddng g\u1eb7p c\u1ee7a corticosteroid bao g\u1ed3m \u1ee9 d\u1ecbch, thay \u0111\u1ed5i dung n\u1ea1p glucose, t\u0103ng huy\u1ebft \u00e1p, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng v\u00e0 h\u00e0nh vi, k\u00edch th\u00edch \u0103n ngon v\u00e0 t\u0103ng c\u00e2n.<\/p>\n<p>Prednisolon \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p prostaglandin v\u00e0 nh\u01b0 v\u1eady l\u00e0m m\u1ea5t t\u00e1c d\u1ee5ng c\u1ee7a prostaglandin tr\u00ean \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, t\u1ee9c l\u00e0 l\u00e0m m\u1ea5t t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ti\u1ebft acid d\u1ea1 d\u00e0y v\u00e0 b\u1ea3o v\u1ec7 ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y. Nhi\u1ec1u ADR c\u00f3 li\u00ean quan \u0111\u1ebfn t\u00e1c d\u1ee5ng n\u00e0y c\u1ee7a glucocorticoid.<\/p>\n<p><em>D\u1ea1ng d\u00f9ng \u1edf m\u1eaft:<\/em><\/p>\n<p>N\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a: H\u1ed9i ch\u1ee9ng d\u1ea1ng Cushing (hi\u1ebfm g\u1eb7p).<\/p>\n<p>M\u1eaft: Sung huy\u1ebft k\u1ebft m\u1ea1c, vi\u00eam k\u1ebft m\u1ea1c, lo\u00e9t gi\u00e1c m\u1ea1c, ch\u1eadm li\u1ec1n v\u1ebft th\u01b0\u01a1ng, gl\u00f4c\u00f4m, t\u0103ng \u00e1p l\u1ef1c trong m\u1eaft, vi\u00eam gi\u00e1c m\u1ea1c, m\u1ea5t s\u1ef1 \u0111i\u1ec1u ti\u1ebft, t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh th\u1ecb gi\u00e1c, gi\u00e3n \u0111\u1ed3ng t\u1eed, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3 d\u01b0\u1edbi bao sau, sa mi, nhi\u1ec5m khu\u1ea9n m\u1eaft th\u1ee9 ph\u00e1t.<\/p>\n<p><em>D\u1ea1ng u\u1ed1ng:<\/em><\/p>\n<p>Ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng: Ph\u1ea3n \u1ee9ng ph\u1ea3n v\u1ec7, ph\u00f9 m\u1ea1ch.<\/p>\n<p>Tim m\u1ea1ch: B\u1ec7nh c\u01a1 tim, suy tim sung huy\u1ebft, ph\u00f9, ph\u00f9 m\u1eb7t, t\u0103ng huy\u1ebft \u00e1p, nh\u1ecbp tim ch\u1eadm, ng\u1eebng tim, lo\u1ea1n nh\u1ecbp tim, suy tu\u1ea7n ho\u00e0n, ngh\u1ebdn m\u1ea1ch m\u1ee1, b\u1ec7nh c\u01a1 tim ph\u00ec \u0111\u1ea1i \u1edf tr\u1ebb \u0111\u1ebb non, \u0111\u1ee9t c\u01a1 tim sau nh\u1ed3i m\u00e1u c\u01a1 tim m\u1edbi x\u1ea3y ra, ph\u00f9 ph\u1ed5i, ng\u1ea5t, nh\u1ecbp tim nhanh, huy\u1ebft kh\u1ed1i ngh\u1ebdn m\u1ea1ch, vi\u00eam t\u0129nh m\u1ea1ch huy\u1ebft kh\u1ed1i, vi\u00eam m\u1ea1ch.<\/p>\n<p>TKTW: Co gi\u1eadt, \u0111au \u0111\u1ea7u, m\u1ea5t ng\u1ee7, kh\u00f3 ch\u1ecbu, t\u00ecnh tr\u1ea1ng k\u00edch \u0111\u1ed9ng, t\u0103ng \u00e1p l\u1ef1c trong s\u1ecd v\u1edbi ph\u00f9 gai th\u1ecb (gi\u1ea3 u n\u00e3o), lo\u1ea1n t\u00e2m th\u1ea7n, m\u1ec7t m\u1ecfi, tr\u1ea7m c\u1ea3m, kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u1ec1 c\u1ea3m x\u00fac, tr\u1ea1ng th\u00e1i khoan kho\u00e1i (h\u01b0ng ph\u1ea5n), vi\u00eam m\u00e0ng n\u00e3o, vi\u00eam d\u00e2y th\u1ea7n kinh, b\u1ec7nh v\u1ec1 th\u1ea7n kinh, li\u1ec7t chi d\u01b0\u1edbi, d\u1ecb c\u1ea3m, thay \u0111\u1ed5i nh\u00e2n c\u00e1ch, r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c.<\/p>\n<p>Da: V\u1ebft th\u00e2m t\u00edm, ban \u0111\u1ecf \u1edf m\u1eb7t, r\u1eadm l\u00f4ng, \u0111\u1ed1m xu\u1ea5t huy\u1ebft v\u00e0 b\u1ea7m m\u00e1u, \u1ee9c ch\u1ebf ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c test th\u1eed tr\u00ean da, m\u1ecfng da, m\u00e0y \u0111ay, tr\u1ee9ng c\u00e1, vi\u00eam da d\u1ecb \u1ee9ng, teo da, da \u0111\u1ea7u kh\u00f4, ph\u00f9, t\u0103ng ho\u1eb7c gi\u1ea3m s\u1eafc t\u1ed1, t\u0103ng ti\u1ebft m\u1ed3 h\u00f4i, ch\u1eadm li\u1ec1n v\u1ebft th\u01b0\u01a1ng, ph\u00e1t ban, \u00e1p-xe v\u00f4 khu\u1ea9n, v\u00e2n tr\u00ean da, t\u00f3c th\u01b0a.<\/p>\n<p>N\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a: Gi\u1ea3m dung n\u1ea1p carbohydrat, h\u1ed9i ch\u1ee9ng Cushing, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, gi\u1ea3m t\u0103ng tr\u01b0\u1edfng \u1edf tr\u1ebb em, t\u0103ng glucose huy\u1ebft, nhi\u1ec5m ki\u1ec1m gi\u1ea3m kali huy\u1ebft, gi\u1eef natri, \u1ee9 d\u1ecbch, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, c\u00e2n b\u1eb1ng nitrogen \u00e2m t\u00ednh, \u1ee9c ch\u1ebf tr\u1ee5c tuy\u1ebfn y\u00ean &#8211; th\u01b0\u1ee3ng th\u1eadn, l\u1eafng \u0111\u1ecdng m\u1ee1 b\u1ea5t th\u01b0\u1eddng, kh\u00f4ng \u0111\u00e1p \u1ee9ng c\u1ee7a tuy\u1ebfn y\u00ean v\u00e0 v\u1ecf th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t (\u0111\u1eb7c bi\u1ec7t trong c\u00e1c t\u00ecnh tr\u1ea1ng stress nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng, ph\u1eabu thu\u1eadt ho\u1eb7c b\u1ec7nh).<\/p>\n<p>Ti\u00eau h\u00f3a: Ch\u01b0\u1edbng b\u1ee5ng, kh\u00f3 ti\u00eau, bu\u1ed3n n\u00f4n, n\u1ea5c, vi\u00eam t\u1ee5y, lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng c\u00f3 th\u1ec3 th\u1ee7ng ho\u1eb7c xu\u1ea5t huy\u1ebft, vi\u00eam lo\u00e9t th\u1ef1c qu\u1ea3n.<\/p>\n<p>Gan: T\u0103ng ho\u1ea1t \u0111\u1ed9 enzym gan trong huy\u1ebft thanh (th\u01b0\u1eddng ph\u1ee5c h\u1ed3i khi ng\u1eebng thu\u1ed1c), gan to.<\/p>\n<p>Th\u1ea7n kinh &#8211; c\u01a1 v\u00e0 x\u01b0\u01a1ng: \u0110au kh\u1edbp, ho\u1ea1i t\u1eed v\u00f4 khu\u1ea9n (\u0111\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay\/x\u01b0\u01a1ng \u0111\u00f9i), g\u00e3y x\u01b0\u01a1ng, gi\u1ea3m kh\u1ed1i c\u01a1, y\u1ebfu c\u01a1, b\u1ec7nh c\u01a1, lo\u00e3ng x\u01b0\u01a1ng, \u0111\u1ee9t g\u00e2n.<\/p>\n<p>M\u1eaft: \u0110\u1ee5c th\u1ee7y tinh th\u1ec3 d\u01b0\u1edbi bao sau, l\u1ed3i m\u1eaft, ph\u00f9 mi m\u1eaft, gl\u00f4c\u00f4m, t\u0103ng \u00e1p l\u1ef1c trong m\u1eaft, k\u00edch \u1ee9ng m\u1eaft.<\/p>\n<p>H\u00f4 h\u1ea5p: Ch\u1ea3y m\u00e1u cam.<\/p>\n<p>Sinh s\u1ea3n: Thay \u0111\u1ed5i s\u1ef1 di \u0111\u1ed9ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng.<\/p>\n<p>T\u00ecnh tr\u1ea1ng chung: T\u0103ng ngon mi\u1ec7ng, t\u0103ng c\u00e2n.<\/p>\n<p><em>Th\u00f4ng b\u00e1o cho B\u00e1c s\u0129 nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n g\u1eb7p ph\u1ea3i khi s\u1eed d\u1ee5ng thu\u1ed1c.<\/em><\/p>\n<h2><span class=\"ez-toc-section\" id=\"47-huong-dan-cach-xu-tri-adr\"><\/span>4.7 H\u01b0\u1edbng d\u1eabn c\u00e1ch x\u1eed tr\u00ed ADR:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Sau \u0111i\u1ec1u tr\u1ecb d\u00e0i ng\u00e0y v\u1edbi glucocorticoid, c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra \u1ee9c ch\u1ebf tr\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; th\u01b0\u1ee3ng th\u1eadn, do \u0111\u00f3 b\u1eaft bu\u1ed9c ph\u1ea3i gi\u1ea3m li\u1ec1u glucocorticoid t\u1eebng b\u01b0\u1edbc m\u1ed9t, thay v\u00ec ng\u1eebng \u0111\u1ed9t ng\u1ed9t. C\u00f3 th\u1ec3 \u00e1p d\u1ee5ng qui tr\u00ecnh gi\u1ea3m li\u1ec1u c\u1ee7a prednisolon l\u00e0: C\u1ee9 3 \u0111\u1ebfn 7 ng\u00e0y gi\u1ea3m 2,5 &#8211; 5 mg, cho \u0111\u1ebfn khi \u0111\u1ea1t li\u1ec1u sinh l\u00fd prednisolon x\u1ea5p x\u1ec9 5 mg. N\u1ebfu b\u1ec7nh x\u1ea5u \u0111i khi gi\u1ea3m thu\u1ed1c, t\u0103ng li\u1ec1u prednisolon v\u00e0 sau \u0111\u00f3 gi\u1ea3m li\u1ec1u prednisolon t\u1eeb t\u1eeb h\u01a1n.<\/p>\n<p>\u00c1p d\u1ee5ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb tr\u00e1nh d\u00f9ng li\u00ean t\u1ee5c v\u1edbi nh\u1eefng li\u1ec1u thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng d\u01b0\u1ee3c l\u00fd. D\u00f9ng m\u1ed9t li\u1ec1u duy nh\u1ea5t trong ng\u00e0y g\u00e2y \u00edt ADR h\u01a1n d\u00f9ng nh\u1eefng li\u1ec1u chia nh\u1ecf trong ng\u00e0y, v\u00e0 li\u1ec7u ph\u00e1p c\u00e1ch nh\u1eadt l\u00e0 bi\u1ec7n ph\u00e1p t\u1ed1t \u0111\u1ec3 gi\u1ea3m thi\u1ec3u s\u1ef1 \u1ee9c ch\u1ebf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u00e0 gi\u1ea3m thi\u1ec3u nh\u1eefng ADR kh\u00e1c. Trong li\u1ec7u ph\u00e1p c\u00e1ch nh\u1eadt, c\u1ee9 hai ng\u00e0y m\u1ed9t l\u1ea7n d\u00f9ng m\u1ed9t li\u1ec1u duy nh\u1ea5t, v\u00e0o bu\u1ed5i s\u00e1ng.<\/p>\n<p>D\u1ef1 ph\u00f2ng lo\u00e9t d\u1ea1 d\u00e0y v\u00e0 t\u00e1 tr\u00e0ng b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00e1ng histamin H<sub>2 <\/sub>ho\u1eb7c c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf b\u01a1m proton khi d\u00f9ng li\u1ec1u cao corticosteroid to\u00e0n th\u00e2n.<\/p>\n<p>T\u1ea5t c\u1ea3 ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n v\u1edbi glucocorticoid \u0111\u1ec1u c\u1ea7n d\u00f9ng th\u00eam calcitonin, calcitriol v\u00e0 b\u1ed5 sung calci \u0111\u1ec3 d\u1ef1 ph\u00f2ng lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"48-tuong-tac-voi-cac-thuoc-khac\"><\/span>4.8 T\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p><em>Tr\u00e1nh ph\u1ed1i h\u1ee3p:<\/em> Tr\u00e1nh d\u00f9ng \u0111\u1ed3ng th\u1eddi prednisolon v\u1edbi natalizumab, c\u00e1c v\u1eafc xin s\u1ed1ng.<\/p>\n<p><em>T\u0103ng t\u00e1c d\u1ee5ng\/\u0111\u1ed9c t\u00ednh:<\/em><\/p>\n<p>Prednisolon c\u00f3 th\u1ec3 l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9\/t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf acetylcholinesterase, amphotericin B, cyclosporin, c\u00e1c thu\u1ed1c l\u1ee3i ni\u1ec7u quai, c\u00e1c thu\u1ed1c l\u1ee3i ni\u1ec7u thiazid, natalizumab, c\u00e1c thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (c\u1ea3 lo\u1ea1i \u1ee9c ch\u1ebf COX kh\u00f4ng ch\u1ecdn l\u1ecdc v\u00e0 \u1ee9c ch\u1ebf ch\u1ecdn l\u1ecdc COX 2), c\u00e1c v\u1eafc xin s\u1ed1ng, warfarin.<\/p>\n<p>N\u1ed3ng \u0111\u1ed9\/t\u00e1c d\u1ee5ng c\u1ee7a prednisolon c\u00f3 th\u1ec3 b\u1ecb t\u0103ng b\u1edfi: C\u00e1c thu\u1ed1c ch\u1ed1ng n\u1ea5m (d\u1eabn xu\u1ea5t nh\u00f3m azol d\u00f9ng \u0111\u01b0\u1eddng to\u00e0n th\u00e2n), aprepitant, c\u00e1c thu\u1ed1c ch\u1eb9n k\u00eanh calci (kh\u00f4ng thu\u1ed9c nh\u00f3m dihydropyridin), cyclosporin, c\u00e1c d\u1eabn xu\u1ea5t estrogen, fluconazol, fosaprepitant, kh\u00e1ng sinh nh\u00f3m macrolid, c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf d\u1eabn truy\u1ec1n th\u1ea7n kinh c\u01a1 (lo\u1ea1i kh\u00f4ng kh\u1eed c\u1ef1c), c\u00e1c kh\u00e1ng sinh nh\u00f3m quinolon, c\u00e1c salicylat, trastuzumab.<\/p>\n<p><em>Gi\u1ea3m t\u00e1c d\u1ee5ng:<\/em><\/p>\n<p>Prednisolon c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9\/t\u00e1c d\u1ee5ng c\u1ee7a c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, calcitriol, corticorelin, isoniazid, c\u00e1c salicylat, c\u00e1c v\u1eafc xin (b\u1ea5t ho\u1ea1t).<\/p>\n<p>N\u1ed3ng \u0111\u1ed9\/t\u00e1c d\u1ee5ng c\u1ee7a prednisolon c\u00f3 th\u1ec3 b\u1ecb gi\u1ea3m b\u1edfi: aminoglutethimid, c\u00e1c thu\u1ed1c kh\u00e1ng acid, c\u00e1c barbiturat, c\u00e1c ch\u1ea5t g\u1eafn acid m\u1eadt, echinacea, primidon, c\u00e1c d\u1eabn xu\u1ea5t rifamicin, phenytoin, carbamazepin.<\/p>\n<p>D\u00f9ng c\u00f9ng digitalis c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 lo\u1ea1n nh\u1ecbp tim do h\u1ea1 kali huy\u1ebft.<\/p>\n<p>Ph\u1ea3i theo d\u00f5i ch\u1eb7t khi d\u00f9ng c\u00f9ng c\u00e1c thu\u1ed1c c\u0169ng l\u00e0m gi\u1ea3m kali huy\u1ebft.<\/p>\n<p>Prednisolon c\u00f3 th\u1ec3 g\u00e2y t\u0103ng glucose huy\u1ebft, do \u0111\u00f3 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c ch\u1ed1ng \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/p>\n<p>Tr\u00e1nh d\u00f9ng \u0111\u1ed3ng th\u1eddi prednisolon v\u1edbi thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid v\u00ec c\u00f3 th\u1ec3 g\u00e2y lo\u00e9t d\u1ea1 d\u00e0y.<\/p>\n<p><em>T\u01b0\u01a1ng t\u00e1c v\u1edbi r\u01b0\u1ee3u\/dinh d\u01b0\u1ee1ng\/th\u1ea3o d\u01b0\u1ee3c:<\/em><\/p>\n<p>R\u01b0\u1ee3u: Tr\u00e1nh d\u00f9ng r\u01b0\u1ee3u (do c\u00f3 th\u1ec3 t\u0103ng k\u00edch \u1ee9ng ni\u00eam m\u1ea1c d\u1ea1 d\u00e0y).<\/p>\n<p>Th\u1ee9c \u0103n: Prednisolon \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ea5p thu calci. H\u1ea1n ch\u1ebf d\u00f9ng cafein.<\/p>\n<p>Th\u1ea3o d\u01b0\u1ee3c: St John\u2019s wort c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 prednisolon. Tr\u00e1nh ti\u1ebfp x\u00fac v\u1edbi vu\u1ed1t m\u00e8o, echinacea (do c\u00f3 \u0111\u1eb7c t\u00ednh k\u00edch th\u00edch mi\u1ec5n d\u1ecbch).<\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h2><span class=\"ez-toc-section\" id=\"49-qua-lieu-va-xu-tri\"><\/span>4.9 Qu\u00e1 li\u1ec1u v\u00e0 x\u1eed tr\u00ed:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u00f9ng k\u00e9o d\u00e0i prednisolon c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng t\u00e2m th\u1ea7n, m\u1eb7t tr\u00f2n, l\u1eafng \u0111\u1ecdng m\u1ee1 b\u1ea5t th\u01b0\u1eddng, \u1ee9 d\u1ecbch, \u0103n nhi\u1ec1u, t\u0103ng c\u00e2n, r\u1eadm l\u00f4ng, tr\u1ee9ng c\u00e1, v\u00e2n da, b\u1ea7m m\u00e1u, t\u0103ng ti\u1ebft m\u1ed3 h\u00f4i, nhi\u1ec5m s\u1eafc t\u1ed1 da, da v\u1ea3y kh\u00f4, t\u00f3c th\u01b0a, t\u0103ng huy\u1ebft \u00e1p, nh\u1ecbp tim nhanh, vi\u00eam t\u0129nh m\u1ea1ch huy\u1ebft kh\u1ed1i, gi\u1ea3m s\u1ee9c \u0111\u1ec1 kh\u00e1ng v\u1edbi nhi\u1ec5m tr\u00f9ng, c\u00e2n b\u1eb1ng nitrogen \u00e2m t\u00ednh, ch\u1eadm li\u1ec1n v\u1ebft th\u01b0\u01a1ng v\u00e0 x\u01b0\u01a1ng, \u0111au \u0111\u1ea7u, y\u1ebfu m\u1ec7t, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh n\u1eb7ng h\u01a1n, b\u1ec7nh th\u1ea7n kinh, lo\u00e3ng x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng, lo\u00e9t d\u1ea1 d\u00e0y &#8211; t\u00e1 tr\u00e0ng, gi\u1ea3m dung n\u1ea1p glucose, h\u1ea1 kali huy\u1ebft v\u00e0 suy th\u01b0\u1ee3ng th\u1eadn.<\/p>\n<p>Gan to v\u00e0 ch\u01b0\u1edbng b\u1ee5ng \u0111\u00e3 g\u1eb7p \u1edf tr\u1ebb em.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u c\u1ea5p<\/em>: R\u1eeda d\u1ea1 d\u00e0y ho\u1eb7c g\u00e2y n\u00f4n ngay l\u1eadp t\u1ee9c, sau \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng v\u00e0 h\u1ed7 tr\u1ee3.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb qu\u00e1 li\u1ec1u m\u1ea1n<\/em> \u1edf b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh n\u1eb7ng ph\u1ea3i ti\u1ebfp t\u1ee5c d\u00f9ng steroid, c\u00f3 th\u1ec3 gi\u1ea3m li\u1ec1u prednisolon t\u1ea1m th\u1eddi ho\u1eb7c lu\u00e2n phi\u00ean ng\u00e0y \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h1><span class=\"ez-toc-section\" id=\"5-co-che-tac-dung-cua-thuoc\"><\/span>5. C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"51-duoc-luc-hoc\"><\/span>5.1. D\u01b0\u1ee3c l\u1ef1c h\u1ecdc:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prednisolon l\u00e0 m\u1ed9t steroid v\u1ecf th\u01b0\u1ee3ng th\u1eadn t\u1ed5ng h\u1ee3p v\u1edbi c\u00e1c \u0111\u1eb7c t\u00ednh ch\u1ee7 y\u1ebfu c\u1ee7a m\u1ed9t glucocorticoid. M\u1ed9t s\u1ed1 \u0111\u1eb7c t\u00ednh n\u00e0y t\u1ea1o ra t\u00e1c d\u1ee5ng sinh l\u00fd c\u1ee7a glucocorticoid n\u1ed9i sinh. C\u00e1c t\u00e1c d\u1ee5ng c\u1ee7a prednisolon l\u00e0 do \u0111\u1eb7c t\u00ednh glucocorticoid bao g\u1ed3m: T\u0103ng t\u1ed5ng h\u1ee3p glycogen, t\u0103ng tr\u1eef glycogen \u1edf gan, \u1ee9c ch\u1ebf s\u1eed d\u1ee5ng glucose, \u0111\u1ed1i kh\u00e1ng ho\u1ea1t t\u00ednh c\u1ee7a insulin, t\u0103ng d\u1ecb h\u00f3a protein d\u1eabn t\u1edbi c\u00e2n b\u1eb1ng nitrogen \u00e2m t\u00ednh, ph\u00e2n ph\u1ed1i l\u1ea1i ch\u1ea5t b\u00e9o trong c\u01a1 th\u1ec3, t\u0103ng h\u1ee7y lipid, t\u0103ng t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ea7u th\u1eadn d\u1eabn \u0111\u1ebfn t\u0103ng th\u1ea3i tr\u1eeb urat trong n\u01b0\u1edbc ti\u1ec3u (b\u00e0i ti\u1ebft creatinin kh\u00f4ng thay \u0111\u1ed5i), gi\u1ea3m h\u1ea5p thu calci \u1edf ru\u1ed9t v\u00e0 t\u0103ng th\u1ea3i tr\u1eeb calci qua th\u1eadn. Prednisolon l\u00e0m gi\u1ea3m b\u1ea1ch c\u1ea7u \u01b0a acid v\u00e0 t\u1ebf b\u00e0o lympho nh\u01b0ng k\u00edch th\u00edch t\u1ea1o h\u1ed3ng c\u1ea7u \u1edf t\u1ee7y x\u01b0\u01a1ng v\u00e0 b\u1ea1ch c\u1ea7u \u0111a nh\u00e2n trung t\u00ednh. \u1edf li\u1ec1u sinh l\u00fd, c\u00e1c corticosteroid d\u00f9ng \u0111\u1ec3 thay th\u1ebf s\u1ef1 thi\u1ebfu h\u1ee5t hormon n\u1ed9i sinh.<\/p>\n<p>C\u00e1c t\u00e1c d\u1ee5ng kh\u00e1c c\u1ee7a glucocorticoid ch\u1ec9 c\u00f3 \u0111\u01b0\u1ee3c khi d\u00f9ng c\u00e1c li\u1ec1u \u0111i\u1ec1u tr\u1ecb cao h\u01a1n li\u1ec1u sinh l\u00fd (li\u1ec1u d\u01b0\u1ee3c l\u00fd). \u1edf c\u00e1c li\u1ec1u n\u00e0y, thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng cho c\u1ea3 m\u1ee5c \u0111\u00edch \u0111i\u1ec1u tr\u1ecb v\u00e0 ch\u1ea9n \u0111o\u00e1n, do kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf s\u1ef1 b\u00e0i ti\u1ebft b\u00ecnh th\u01b0\u1eddng c\u1ee7a c\u00e1c hormon th\u01b0\u1ee3ng th\u1eadn. \u1edf c\u00e1c li\u1ec1u d\u01b0\u1ee3c l\u00fd, glucocorticoid c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam, \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch v\u00e0 t\u00e1c d\u1ee5ng l\u00ean h\u1ec7 th\u1ed1ng m\u00e1u v\u00e0 lymph\u00f4, d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u1ea1m th\u1eddi trong nhi\u1ec1u b\u1ec7nh kh\u00e1c nhau.<\/p>\n<p>Prednisolon \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh vi\u00eam (ph\u00f9, l\u1eafng \u0111\u1ecdng fibrin, gi\u00e3n mao m\u1ea1ch, di chuy\u1ec3n b\u1ea1ch c\u1ea7u v\u00e0 \u0111\u1ea1i th\u1ef1c b\u00e0o v\u00e0o \u1ed5 vi\u00eam) v\u00e0 giai \u0111o\u1ea1n sau c\u1ee7a l\u00e0nh s\u1eb9o v\u1ebft th\u01b0\u01a1ng (t\u0103ng sinh mao m\u1ea1ch, l\u1eafng \u0111\u1ecdng colagen, h\u00ecnh th\u00e0nh s\u1eb9o).<\/p>\n<p>Prednisolon \u1ee9c ch\u1ebf h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch do l\u00e0m gi\u1ea3m ho\u1ea1t t\u00ednh v\u00e0 th\u1ec3 t\u00edch c\u1ee7a h\u1ec7 th\u1ed1ng lymph\u00f4, gi\u1ea3m t\u1ebf b\u00e0o lymph\u00f4, gi\u1ea3m globulin mi\u1ec5n d\u1ecbch v\u00e0 n\u1ed3ng \u0111\u1ed9 b\u1ed5 th\u1ec3, gi\u1ea3m ph\u1ee9c h\u1ee3p mi\u1ec5n d\u1ecbch qua c\u00e1c m\u00e0ng v\u00e0 c\u00f3 th\u1ec3 b\u1edfi l\u00e0m gi\u1ea3m ph\u1ea3n \u1ee9ng c\u1ee7a m\u00f4 v\u1edbi t\u01b0\u01a1ng t\u00e1c kh\u00e1ng nguy\u00ean &#8211; kh\u00e1ng th\u1ec3.<\/p>\n<p>Prednisolon c\u00f3 th\u1ec3 k\u00edch th\u00edch b\u00e0i ti\u1ebft c\u00e1c th\u00e0nh ph\u1ea7n kh\u00e1c nhau c\u1ee7a d\u1ecbch d\u1ea1 d\u00e0y. Prednisolon c\u00f3 ho\u1ea1t t\u00ednh mineralocorticoid y\u1ebfu, t\u0103ng gi\u1eef natri v\u00e0 l\u00e0m m\u1ea5t kali trong t\u1ebf b\u00e0o, c\u00f3 th\u1ec3 d\u1eabn t\u1edbi \u1ee9 \u0111\u1ecdng natri v\u00e0 t\u0103ng huy\u1ebft \u00e1p.<\/p>\n<p>Tr\u1ecb li\u1ec7u glucocorticoid kh\u00f4ng ch\u1eefa kh\u1ecfi b\u1ec7nh v\u00e0 hi\u1ebfm khi \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh nh\u01b0 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ea7u ti\u00ean trong \u0111i\u1ec1u tr\u1ecb, th\u01b0\u1eddng l\u00e0 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 v\u1edbi c\u00e1c tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh kh\u00e1c.<\/p>\n<p>T\u00e1c d\u1ee5ng c\u1ee7a prednisolon d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng so v\u1edbi c\u00e1c glucocorticoid kh\u00e1c: 5 mg prednisolon c\u00f3 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 4 mg methylprednisolon ho\u1eb7c triamcinolon, 0,75 mg dexamethason, 0,6 mg betamethason v\u00e0 20 mg hydrocortison.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>C\u01a1 ch\u1ebf ch\u1ed1ng vi\u00eam: \u1ed4n \u0111\u1ecbnh m\u00e0ng lysosom c\u1ee7a b\u1ea1ch c\u1ea7u, ng\u0103n c\u1ea3n gi\u1ea3i ph\u00f3ng c\u00e1c hydrolase acid ph\u00e1 h\u1ee7y t\u1eeb b\u1ea1ch c\u1ea7u, \u1ee9c ch\u1ebf t\u1eadp trung \u0111\u1ea1i th\u1ef1c b\u00e0o t\u1ea1i \u1ed5 vi\u00eam, l\u00e0m gi\u1ea3m k\u1ebft d\u00ednh b\u1ea1ch c\u1ea7u v\u1edbi n\u1ed9i m\u00f4 mao m\u1ea1ch, l\u00e0m gi\u1ea3m t\u00ednh th\u1ea9m th\u00e0nh m\u1ea1ch v\u00e0 h\u00ecnh th\u00e0nh ph\u00f9, gi\u1ea3m th\u00e0nh ph\u1ea7n b\u1ed5 th\u1ec3, \u0111\u1ed1i kh\u00e1ng v\u1edbi ho\u1ea1t t\u00ednh c\u1ee7a histamin v\u00e0 gi\u1ea3i ph\u00f3ng kinin, gi\u1ea3m t\u0103ng sinh nguy\u00ean b\u00e0o s\u1ee3i, l\u1eafng \u0111\u1ecdng collagen v\u00e0 h\u00ecnh th\u00e0nh s\u1eb9o \u1edf giai \u0111o\u1ea1n sau v\u00e0 c\u00f3 th\u1ec3 b\u1edfi c\u00e1c c\u01a1 ch\u1ebf kh\u00e1c ch\u01b0a bi\u1ebft r\u00f5.<\/p>\n<p><strong>[XEM T\u1ea0I \u0110\u00c2Y]<\/strong><\/p>\n<h2><span class=\"ez-toc-section\" id=\"52-duoc-dong-hoc\"><\/span>5.2. D\u01b0\u1ee3c \u0111\u1ed9ng h\u1ecdc:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Prednisolon \u0111\u01b0\u1ee3c h\u1ea5p thu d\u1ec5 d\u00e0ng t\u1eeb \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, sinh kh\u1ea3 d\u1ee5ng ph\u1ee5 thu\u1ed9c v\u00e0o t\u1ed1c \u0111\u1ed9 h\u00f2a tan n\u1ebfu u\u1ed1ng vi\u00ean n\u00e9n. N\u1ed3ng \u0111\u1ed9 \u0111\u1ec9nh trong huy\u1ebft t\u01b0\u01a1ng \u0111\u1ea1t \u0111\u01b0\u1ee3c t\u1eeb 1 &#8211; 2 gi\u1edd sau khi u\u1ed1ng. Prednisolon li\u00ean k\u1ebft v\u1edbi protein kho\u1ea3ng 65 &#8211; 91%, gi\u1ea3m \u1edf ng\u01b0\u1eddi cao tu\u1ed5i. Th\u1ec3 t\u00edch ph\u00e2n b\u1ed1 c\u1ee7a thu\u1ed1c l\u00e0 0,22 &#8211; 0,7 l\u00edt\/kg.<\/p>\n<p>Prednisolon \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a ch\u1ee7 y\u1ebfu \u1edf gan, nh\u01b0ng c\u0169ng \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a trong h\u1ea7u h\u1ebft c\u00e1c m\u00f4, th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh. Th\u1ea3i tr\u1eeb ch\u1ee7 y\u1ebfu qua n\u01b0\u1edbc ti\u1ec3u d\u01b0\u1edbi d\u1ea1ng c\u00e1c ch\u1ea5t chuy\u1ec3n h\u00f3a t\u1ef1 do ho\u1eb7c sulfat v\u00e0 glucuronid li\u00ean h\u1ee3p. N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a prednisolon kho\u1ea3ng 3,6 gi\u1edd. Th\u1eddi gian t\u00e1c d\u1ee5ng 18 &#8211; 36 gi\u1edd.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"53-giai-thich\"><\/span>5.3. Gi\u1ea3i th\u00edch:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"54-thay-the-thuoc\"><\/span>5.4 Thay th\u1ebf thu\u1ed1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Ch\u01b0a c\u00f3 th\u00f4ng tin. \u0110ang c\u1eadp nh\u1eadt.<\/p>\n<p><strong><em>*L\u01b0u \u00fd:<\/em><\/strong><\/p>\n<p><strong><em>C\u00e1c th\u00f4ng tin v\u1ec1 thu\u1ed1c tr\u00ean Pharmog.com ch\u1ec9 mang t\u00ednh ch\u1ea5t tham kh\u1ea3o &#8211; Khi d\u00f9ng thu\u1ed1c c\u1ea7n tuy\u1ec7t \u0111\u1ed1i tu\u00e2n theo theo h\u01b0\u1edbng d\u1eabn c\u1ee7a B\u00e1c s\u0129 <\/em><\/strong><\/p>\n<p><strong><em>Ch\u00fang t\u00f4i kh\u00f4ng ch\u1ecbu tr\u00e1ch nhi\u1ec7m v\u1ec1 b\u1ea5t c\u1ee9 h\u1eadu qu\u1ea3 n\u00e0o x\u1ea3y ra do t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c d\u1ef1a theo c\u00e1c th\u00f4ng tin tr\u00ean Pharmog.com<\/em><\/strong><\/p>\n<p><script src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-5528370293090692\" async=\"\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display: block; text-align: center;\" data-ad-layout=\"in-article\" data-ad-format=\"fluid\" data-ad-client=\"ca-pub-5528370293090692\" data-ad-slot=\"8909623906\"><\/ins><script> (adsbygoogle = window.adsbygoogle || []).push({}); <\/script><\/p>\n<h1><span class=\"ez-toc-section\" id=\"6-phan-thong-tin-kem-theo-cua-thuoc\"><\/span>6. Ph\u1ea7n th\u00f4ng tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<h2><span class=\"ez-toc-section\" id=\"61-danh-muc-ta-duoc\"><\/span>6.1. Danh m\u1ee5c t\u00e1 d\u01b0\u1ee3c:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>&#8230;.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"62-tuong-ky\"><\/span>6.2. T\u01b0\u01a1ng k\u1ef5 :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng \u00e1p d\u1ee5ng.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"63-bao-quan\"><\/span>6.3. B\u1ea3o qu\u1ea3n:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>B\u1ea3o qu\u1ea3n trong \u0111\u1ed3 \u0111\u1ef1ng k\u00edn, \u1edf nhi\u1ec7t \u0111\u1ed9 15 &#8211; 30 <sup>o<\/sup>C. Tr\u00e1nh \u00e1nh s\u00e1ng. Tr\u00e1nh \u0111\u1ec3 \u0111\u00f4ng l\u1ea1nh.<\/p>\n<p>Dung d\u1ecbch prednisolon v\u00e0 c\u00e1c d\u1eabn xu\u1ea5t kh\u00f4ng \u1ed5n \u0111\u1ecbnh b\u1edfi nhi\u1ec7t, kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng n\u1ed3i h\u1ea5p.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"64-thong-tin-khac\"><\/span>6.4. Th\u00f4ng tin kh\u00e1c :<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Kh\u00f4ng c\u00f3.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"65-tai-lieu-tham-khao\"><\/span>6.5 T\u00e0i li\u1ec7u tham kh\u1ea3o:<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>D\u01b0\u1ee3c Th\u01b0 Qu\u1ed1c Gia Vi\u1ec7t Nam<\/p>\n<h1><span class=\"ez-toc-section\" id=\"7-nguoi-dang-tai-tac-gia\"><\/span>7. Ng\u01b0\u1eddi \u0111\u0103ng t\u1ea3i \/T\u00e1c gi\u1ea3:<span class=\"ez-toc-section-end\"><\/span><\/h1>\n<p>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c s\u01b0u t\u1ea7m ho\u1eb7c vi\u1ebft b\u1edfi: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-tac-gia-bac-sy-do-my-linh\/\">B\u00e1c s\u0129 nhi khoa &#8211; \u0110\u1ed7 M\u1ef9 Linh.<\/a><\/p>\n<p>Ki\u1ec3m duy\u1ec7t , hi\u1ec7u \u0111\u00ednh v\u00e0 \u0111\u0103ng t\u1ea3i: <a href=\"https:\/\/pharmog.com\/wp\/thong-tin-ve-pharmog-team\/\">PHARMOG TEAM<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Prednisolone l\u00e0 thu\u1ed1c g\u00ec ? D\u01b0\u1edbi \u0111\u00e2y l\u00e0 n\u1ed9i dung t\u1edd h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng g\u1ed1c c\u1ee7a Thu\u1ed1c Prednisolone (Th\u00f4ng tin bao g\u1ed3m li\u1ec1u d\u00f9ng, c\u00e1ch d\u00f9ng, ch\u1ec9 \u0111\u1ecbnh, ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh, th\u1eadn tr\u1ecdng, d\u01b0\u1ee3c l\u00fd&#8230;) 1. T\u00ean ho\u1ea1t ch\u1ea5t v\u00e0 bi\u1ec7t d\u01b0\u1ee3c: Ho\u1ea1t ch\u1ea5t : Prednisolone Ph\u00e2n lo\u1ea1i: Thu\u1ed1c Corticosteroids. Nh\u00f3m ph\u00e1p l\u00fd: [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":42094,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[2],"tags":[1668],"class_list":["post-2212","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-thuoc-a-z","tag-prednisolone"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/2212","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/users\/8612"}],"replies":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/comments?post=2212"}],"version-history":[{"count":3,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/2212\/revisions"}],"predecessor-version":[{"id":42096,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/2212\/revisions\/42096"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/42094"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=2212"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=2212"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=2212"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}