{"id":38833,"date":"2021-11-21T15:38:00","date_gmt":"2021-11-21T08:38:00","guid":{"rendered":"https:\/\/pharmog.com\/wp\/?p=38833"},"modified":"2025-01-07T22:39:13","modified_gmt":"2025-01-07T15:39:13","slug":"pyridostigmine-basori","status":"publish","type":"post","link":"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/","title":{"rendered":"Pyridostigmine &#8211; Basori"},"content":{"rendered":"<p><em>Thu\u1ed1c Basori 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 Basori (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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#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\/pyridostigmine-basori\/#54-thay-the-thuoc\" >5.4 Thay th\u1ebf thu\u1ed1c :<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/#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-20\" href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/#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-21\" href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/#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-22\" href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/#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-23\" href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/#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-24\" href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-basori\/#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\/pyridostigmine\/\"><strong>Pyridostigmine<\/strong><\/a><\/p>\n<p><strong><em>Ph\u00e2n lo\u1ea1i: <\/em><\/strong><em>Thu\u1ed1c kh\u00e1ng cholinesterase, thu\u1ed1c \u0111i\u1ec1u tr\u1ecb nh\u01b0\u1ee3c c\u01a1.<\/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): N07AA02.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c g\u1ed1c:<\/em><\/strong> <a href=\"https:\/\/pharmog.com\/wp\/pyridostigmine-mestinon\/\">Mestinon<\/a>.<\/p>\n<p><strong><em>Bi\u1ec7t d\u01b0\u1ee3c:<\/em><\/strong> Basori<\/p>\n<p><strong><em>H\u00e3ng s\u1ea3n xu\u1ea5t <\/em><\/strong>: Myungmoon Pharm. Co., Ltd.<\/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 60 mg.<\/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>BASORI<\/em><\/strong><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td colspan=\"2\"><em>M\u1ed7i vi\u00ean n\u00e9n c\u00f3 ch\u1ee9a:<\/em><\/td>\n<td><\/td>\n<\/tr>\n<tr>\n<td>Pyridostigmine bromide<\/td>\n<td>&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;&#8230;.<\/td>\n<td>60 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<p><img loading=\"lazy\" decoding=\"async\" width=\"608\" height=\"416\" class=\"wp-image-38834\" src=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/11\/word-image-318.png\" srcset=\"https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/11\/word-image-318.png 608w, https:\/\/pharmog.com\/wp\/wp-content\/uploads\/2021\/11\/word-image-318-300x205.png 300w\" sizes=\"auto, (max-width: 608px) 100vw, 608px\" \/><\/p>\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>Pyridostigmin \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, nh\u01b0 m\u1ed9t thu\u1ed1c \u0111\u1ea3o ngh\u1ecbch ho\u1eb7c \u0111\u1ed1i kh\u00e1ng v\u1edbi c\u00e1c thu\u1ed1c gi\u00e3n c\u01a1 kh\u00f4ng kh\u1eed c\u1ef1c ki\u1ec3u cura.<\/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>D\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng<\/p>\n<p><strong><em>Li\u1ec1u d\u00f9ng:<\/em><\/strong><\/p>\n<p><em>Ng\u01b0\u1eddi l\u1edbn:<\/em> Tr\u01b0\u1edbc h\u1ebft d\u00f9ng li\u1ec1u 30 \u0111\u1ebfn 60 mg, 4 gi\u1edd m\u1ed9t l\u1ea7n. Sau \u0111\u00f3, li\u1ec1u duy tr\u00ec th\u01b0\u1eddng d\u00f9ng 600 mg\/ng\u00e0y.<\/p>\n<p><em>Tr\u1ebb em<\/em>: C\u00f3 th\u1ec3 d\u00f9ng li\u1ec1u \u0111\u1ea7u ti\u00ean l\u00e0 30 mg cho tr\u1ebb d\u01b0\u1edbi 6 tu\u1ed5i ho\u1eb7c 60 mg cho tr\u1ebb 6 &#8211; 12 tu\u1ed5i. Li\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c t\u0103ng th\u00eam d\u1ea7n 15 &#8211; 30 mg h\u00e0ng ng\u00e0y, cho \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 mong mu\u1ed1n, nh\u01b0ng t\u1ed5ng li\u1ec1u kh\u00f4ng v\u01b0\u1ee3t qu\u00e1 360 mg\/ng\u00e0y.<\/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>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh d\u00f9ng pyridostigmin \u1edf ng\u01b0\u1eddi \u0111\u00e3 bi\u1ebft c\u00f3 qu\u00e1 m\u1eabn v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng cholinesterase, ho\u1eb7c \u1edf ng\u01b0\u1eddi t\u1eafc ru\u1ed9t v\u00e0 t\u1eafc \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u ki\u1ec3u c\u01a1 h\u1ecdc.<\/p>\n<p>B\u1ec7nh nh\u00e2n b\u1ecb suy\u1ec5n, vi\u00eam ph\u1ebf qu\u1ea3n, vi\u00eam m\u1ed1ng m\u1eaft, c\u01b0\u1eddng gi\u00e1p, r\u1ed1i lo\u1ea1n l\u1ef1c c\u01a1, b\u1ec7nh nh\u00e2n h\u1ed9i ch\u1ee9ng Parkinson.<\/p>\n<p>B\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng thu\u1ed1c gi\u00e3n c\u01a1 kh\u1eed c\u1ef1c (suxamethonium).<\/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>C\u1ea7n d\u00f9ng th\u1eadn tr\u1ecdng pyridostigmin \u1edf ng\u01b0\u1eddi \u0111\u1ed9ng kinh, hen ph\u1ebf qu\u1ea3n, nh\u1ecbp tim ch\u1eadm, m\u1edbi t\u1eafc m\u1ea1ch v\u00e0nh, c\u01b0\u1eddng \u0111\u1ed1i giao c\u1ea3m, c\u01b0\u1eddng tuy\u1ebfn gi\u00e1p, lo\u1ea1n nh\u1ecbp tim ho\u1eb7c lo\u00e9t d\u1ea1 d\u00e0y. Tr\u00e1nh u\u1ed1ng li\u1ec1u l\u1edbn \u1edf nh\u1eefng ng\u01b0\u1eddi m\u1eafc ch\u1ee9ng ru\u1ed9t k\u1ebft to ho\u1eb7c gi\u1ea3m nhu \u0111\u1ed9ng d\u1ea1 d\u00e0y &#8211; ru\u1ed9t.<\/p>\n<p>\u1ede m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, pyridostigmin bromid k\u00e9o d\u00e0i t\u00e1c d\u1ee5ng h\u01a1n mu\u1ed1i c\u1ee7a neostigmin, trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nh\u01b0 v\u1eady th\u01b0\u1eddng hay g\u00e2y c\u00e1c c\u01a1n t\u0103ng ti\u1ebft acetylcholin.<\/p>\n<p>Khi s\u1eed d\u1ee5ng pyridostigmin \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, c\u1ea7n nh\u1edb r\u1eb1ng, v\u1edbi c\u00f9ng m\u1ed9t li\u1ec1u thu\u1ed1c kh\u00e1ng cholinesterase, c\u00f3 th\u1ec3 c\u00f3 nh\u1eefng \u0111\u00e1p \u1ee9ng kh\u00e1c nhau \u1edf nh\u1eefng nh\u00f3m c\u01a1 ri\u00eang bi\u1ec7t: g\u00e2y y\u1ebfu \u1edf m\u1ed9t nh\u00f3m c\u01a1 n\u00e0y trong khi \u0111\u00f3 l\u1ea1i l\u00e0m t\u0103ng l\u1ef1c c\u01a1 \u1edf nh\u00f3m kh\u00e1c. Nh\u1eefng c\u01a1 \u1edf c\u1ed5 v\u00e0 c\u00e1c c\u01a1 nhai v\u00e0 nu\u1ed1t th\u01b0\u1eddng l\u00e0 nh\u00f3m c\u01a1 \u0111\u1ea7u ti\u00ean b\u1ecb y\u1ebfu \u0111i khi d\u00f9ng thu\u1ed1c qu\u00e1 li\u1ec1u. Ph\u1ea3i \u0111o dung t\u00edch s\u1ed1ng b\u1ea5t c\u1ee9 khi n\u00e0o t\u0103ng li\u1ec1u \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c kh\u00e1ng cholinesterase nh\u1eb1m \u0111\u1ea3m b\u1ea3o t\u1ed1t ch\u1ee9c n\u0103ng h\u00f4 h\u1ea5p.<\/p>\n<p>Pyridostigmin qua \u0111\u01b0\u1ee3c nhau thai v\u00e0 b\u00e0i ti\u1ebft v\u00e0o s\u1eefa m\u1eb9. V\u00ec th\u1ebf ph\u1ea3i s\u1eed d\u1ee5ng th\u1eadn tr\u1ecdng \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi mang thai v\u00e0 cho con b\u00fa.<\/p>\n<p>S\u1eed d\u1ee5ng thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng ti\u1ebft cholin ho\u1eb7c t\u00e1c d\u1ee5ng gi\u1ed1ng nh\u01b0 atropin ph\u1ea3i h\u1ebft s\u1ee9c c\u1ea9n th\u1eadn, khi ng\u01b0\u1eddi b\u1ec7nh c\u0169ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng pyridostigmin v\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 b\u1ecb che l\u1ea5p b\u1edfi pyridostigmin, ho\u1eb7c ng\u01b0\u1ee3c l\u1ea1i, c\u00e1c tri\u1ec7u ch\u1ee9ng d\u00f9ng pyridostigmin qu\u00e1 li\u1ec1u c\u0169ng c\u00f3 th\u1ec3 b\u1ecb che l\u1ea5p b\u1edfi atropin v\u00e0 c\u00e1c thu\u1ed1c gi\u1ed1ng atropin.<\/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<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>Thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 ch\u00f3ng m\u1eb7t, co \u0111\u1ed3ng t\u1eed, m\u1edd m\u1eaft&#8230;l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng l\u00e1i xe v\u00e0 v\u1eadn h\u00e0nh m\u00e1y m\u00f3c. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n kh\u00f4ng n\u00ean l\u00e0m nh\u1eefng c\u00f4ng vi\u1ec7c n\u00e0y khi \u0111ang d\u00f9ng thu\u1ed1c.<\/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: C<\/p>\n<p>US FDA pregnancy category: C<\/p>\n<p><em>Th\u1eddi k\u1ef3 mang thai:<\/em><\/p>\n<p>T\u00ednh an to\u00e0n c\u1ee7a pyridostigmin \u1edf ng\u01b0\u1eddi mang thai v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh, nh\u01b0ng nh\u1eefng thu\u1ed1c kh\u00e1ng cholinesterase c\u00f3 th\u1ec3 g\u00e2y k\u00edch th\u00edch t\u1eed cung v\u00e0 g\u00e2y \u0111\u1ebb non khi ti\u00eam t\u0129nh m\u1ea1ch cho ng\u01b0\u1eddi mang thai g\u1ea7n k\u1ef3 sinh. Tuy nhi\u00ean, pyridostigmin \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong thai k\u1ef3 m\u00e0 kh\u00f4ng g\u00e2y d\u1ecb d\u1ea1ng cho thai.<\/p>\n<p>\u00d0\u00e3 quan s\u00e1t \u0111\u01b0\u1ee3c y\u1ebfu c\u01a1 t\u1ea1m th\u1eddi \u1edf kho\u1ea3ng 10 &#8211; 20% tr\u1ebb s\u01a1 sinh, do m\u1eb9 \u0111\u00e3 d\u00f9ng thu\u1ed1c kh\u00e1ng cholinesterase \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n<p>V\u00ec v\u1eady, vi\u1ec7c s\u1eed d\u1ee5ng pyridostigmin cho ng\u01b0\u1eddi mang thai c\u1ea7n ph\u1ea3i c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u00e0 nguy h\u1ea1i cho m\u1eb9 v\u00e0 con.<\/p>\n<p><em>Th\u1eddi k\u1ef3 cho con b\u00fa:<\/em><\/p>\n<p>Pyridostigmin b\u00e0i ti\u1ebft m\u1ed9t ph\u1ea7n v\u00e0o s\u1eefa m\u1eb9, v\u00ec v\u1eady kh\u00f4ng n\u00ean d\u00f9ng khi cho con b\u00fa.<\/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>T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n hay g\u1eb7p nh\u1ea5t l\u00e0 n\u00f4n. T\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n th\u01b0\u1eddng li\u00ean quan t\u1edbi qu\u00e1 li\u1ec1u v\u00e0 th\u01b0\u1eddng thu\u1ed9c 2 ki\u1ec3u: C\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng muscarin v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ed1ng nicotin.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a qu\u00e1 li\u1ec1u trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u01b0\u1ee3c c\u01a1 l\u00e0 l\u00e0m t\u0103ng y\u1ebfu c\u01a1.<\/p>\n<p><em>Th\u01b0\u1eddng g\u1eb7p, ADR &gt; 1\/100<\/em><\/p>\n<p>To\u00e0n th\u00e2n: T\u0103ng ti\u1ebft m\u1ed3 h\u00f4i, ch\u00e1n \u0103n.<\/p>\n<p>Tu\u1ea7n ho\u00e0n: Nh\u1ecbp tim ch\u1eadm, nh\u01b0ng th\u1ec9nh tho\u1ea3ng l\u1ea1i nh\u1ecbp tim nhanh.<\/p>\n<p>Ti\u00eau h\u00f3a: Bu\u1ed3n n\u00f4n, n\u00f4n, \u1ec9a ch\u1ea3y, t\u0103ng nhu \u0111\u1ed9ng, \u0111au b\u1ee5ng, ti\u1ebft n\u01b0\u1edbc b\u1ecdt.<\/p>\n<p>H\u00f4 h\u1ea5p: T\u0103ng ti\u1ebft d\u1ecbch, co th\u1eaft ph\u1ebf qu\u1ea3n, vi\u00eam m\u0169i.<\/p>\n<p>Th\u1ea7n kinh: Y\u1ebfu c\u01a1, li\u1ec7t nh\u1eb9, co gi\u1eadt, co c\u1ee9ng c\u01a1 c\u1ee5c b\u1ed9.<\/p>\n<p>Ti\u1ebft ni\u1ec7u &#8211; sinh d\u1ee5c: Ti\u1ec3u ti\u1ec7n kh\u00f4ng ch\u1ee7 \u0111\u1ed9ng.<\/p>\n<p>M\u1eaft: Co \u0111\u1ed3ng t\u1eed, t\u0103ng ti\u1ebft n\u01b0\u1edbc m\u1eaft, m\u1edd m\u1eaft, vi\u00eam k\u1ebft m\u1ea1c.<\/p>\n<p><em>\u00cdt g\u1eb7p, 1\/1000 &lt; ADR &lt; 1\/100<\/em><\/p>\n<p>To\u00e0n th\u00e2n: Ch\u00f3ng m\u1eb7t.<\/p>\n<p>Tu\u1ea7n ho\u00e0n: T\u0103ng huy\u1ebft \u00e1p ho\u1eb7c h\u1ea1 huy\u1ebft \u00e1p.<\/p>\n<p>Th\u1ea7n kinh trung \u01b0\u01a1ng: Thao th\u1ee9c, m\u1ea5t ng\u1ee7.<\/p>\n<p><em>Hi\u1ebfm g\u1eb7p, ADR &lt; 1\/1000<\/em><\/p>\n<p>Da: Ngo\u1ea1i ban, r\u1ee5ng t\u00f3c.<\/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>Ng\u1eebng s\u1eed d\u1ee5ng thu\u1ed1c. V\u1edbi c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t l\u1ee3i nh\u1eb9, th\u01b0\u1eddng ch\u1ec9 c\u1ea7n ng\u1eebng thu\u1ed1c. Tr\u01b0\u1eddng h\u1ee3p m\u1eabn c\u1ea3m n\u1eb7ng ho\u1eb7c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, c\u1ea7n ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 (gi\u1eef tho\u00e1ng kh\u00ed v\u00e0 d\u00f9ng epinephrin, th\u1edf oxygen, d\u00f9ng kh\u00e1ng histamin, corticoid&#8230;).<\/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>C\u00e1c aminoglycosid (gentamicin, kanamycin, neomycin, streptomycin): D\u00f9ng \u0111\u01b0\u1eddng ti\u00eam li\u1ec1u cao c\u00f3 th\u1ec3 g\u00e2y k\u00e9o d\u00e0i ho\u1eb7c l\u00e0m t\u0103ng nguy c\u01a1 ngh\u1ebdn th\u1ea7n kinh c\u01a1.<\/p>\n<p>Nh\u00f3m ch\u1eb9n beta: Pyridostigmin v\u00e0 c\u00e1c thu\u1ed1c ch\u1eb9n beta c\u00f3 th\u1ec3 g\u00e2y ch\u1eadm nh\u1ecbp tim, th\u1ea5p huy\u1ebft \u00e1p, c\u00f3 th\u1ec3 g\u00e2y t\u00e1c \u0111\u1ed9ng hi\u1ec7p \u0111\u1ed3ng.<\/p>\n<p>Edrophonium: T\u0103ng \u0111\u1ed9c t\u00ednh khi s\u1eed d\u1ee5ng ph\u1ed1i h\u1ee3p.<\/p>\n<p>C\u00e1c kh\u00e1ng sinh quinolon (ciprofloxacin, norfloxacin): M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p cho th\u1ea5y, nh\u1eefng thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 th\u1ec3 hi\u1ec7n t\u00e1c \u0111\u1ed9ng \u1ee9c ch\u1ebf th\u1ea7n kinh c\u01a1, \u0111\u1eb7c bi\u1ec7t \u1edf b\u1ec7nh nh\u00e2n b\u1ecb nh\u01b0\u1ee3c c\u01a1.<\/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><em>D\u1ea5u hi\u1ec7u v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a qu\u00e1 li\u1ec1u (c\u01a1n t\u0103ng ti\u1ebft acetylcholin)<\/em><\/p>\n<p>T\u00e1c d\u1ee5ng muscarinic: \u00d0au qu\u1eb7n b\u1ee5ng, t\u0103ng nhu \u0111\u1ed9ng ru\u1ed9t, \u1ec9a ch\u1ea3y, bu\u1ed3n n\u00f4n, n\u00f4n, t\u0103ng ti\u1ebft n\u01b0\u1edbc b\u1ecdt v\u00e0 d\u1ecbch ph\u1ebf qu\u1ea3n, to\u00e1t m\u1ed3 h\u00f4i, co \u0111\u1ed3ng t\u1eed.<\/p>\n<p>T\u00e1c d\u1ee5ng nicotinic: Y\u1ebfu c\u01a1, co c\u1ee9ng c\u01a1 c\u1ee5c b\u1ed9 v\u00e0 chu\u1ed9t r\u00fat.<\/p>\n<p>Th\u1ea7n kinh trung \u01b0\u01a1ng: K\u00edch \u0111\u1ed9ng, thao th\u1ee9c, m\u1ea5t ph\u1ea3n x\u1ea1, n\u00f3i l\u00edu nh\u00edu.<\/p>\n<p>Tu\u1ea7n ho\u00e0n: Ch\u1eadm nh\u1ecbp tim, h\u1ea1 huy\u1ebft \u00e1p, ng\u1eebng tim.<\/p>\n<p>Ti\u00eau h\u00f3a: C\u00e1c tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a x\u1ea3y ra s\u1edbm nh\u1ea5t sau khi u\u1ed1ng thu\u1ed1c: ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, n\u00f4n, chu\u1ed9t r\u00fat b\u1ee5ng, \u1ec9a ch\u1ea3y.<\/p>\n<p><em>\u0110i\u1ec1u tr\u1ecb:<\/em><\/p>\n<p>Ng\u1eebng thu\u1ed1c ngay l\u1eadp t\u1ee9c. Nh\u1eefng t\u00e1c d\u1ee5ng muscarinic l\u00e0 n\u1eb7ng nh\u1ea5t v\u00e0 c\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t ch\u00fang b\u1eb1ng atropin (2 mg, ti\u00eam t\u0129nh m\u1ea1ch, sau \u0111\u00f3 ti\u00eam b\u1eafp, c\u1ee9 2 &#8211; 4 gi\u1edd m\u1ed9t l\u1ea7n, t\u00f9y theo c\u1ea7n thi\u1ebft, \u0111\u1ec3 gi\u1ea3m kh\u00f3 th\u1edf), nh\u01b0ng ph\u1ea3i tr\u00e1nh qu\u00e1 li\u1ec1u atropin.<\/p>\n<p>Nh\u1eefng t\u00e1c d\u1ee5ng tr\u00ean c\u01a1 x\u01b0\u01a1ng sau qu\u00e1 li\u1ec1u pyridostigmin kh\u00f4ng d\u1ecbu b\u1edbt khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng atropin.<\/p>\n<p>Ng\u01b0\u1eddi b\u1ec7nh ng\u1ed9 \u0111\u1ed9c do d\u00f9ng thu\u1ed1c kh\u00e1ng cholinesterase kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng aminophylin, morphin, phenothiazin, thu\u1ed1c an th\u1ea7n kinh, reserpin, sucinylcholin, theophylin ho\u1eb7c kh\u00f4ng \u0111\u01b0\u1ee3c truy\u1ec1n m\u1ed9t l\u01b0\u1ee3ng d\u1ecbch l\u1edbn.<\/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>Pyridostigmin bromid l\u00e0 m\u1ed9t h\u1ee3p ch\u1ea5t amoni b\u1eadc b\u1ed1n g\u00e2y \u1ee9c ch\u1ebf ho\u1ea1t t\u00ednh enzym cholinesterase c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng neostigmin, nh\u01b0ng t\u00e1c d\u1ee5ng xu\u1ea5t hi\u1ec7n ch\u1eadm v\u00e0 k\u00e9o d\u00e0i h\u01a1n, v\u00ec th\u1ebf thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng ch\u1ee7 y\u1ebfu trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1. Kho\u1ea3ng c\u00e1ch gi\u1eefa c\u00e1c li\u1ec1u c\u1ee7a pyridostigmin d\u00e0i h\u01a1n so v\u1edbi neostigmin, t\u1ea1o thu\u1eadn l\u1ee3i trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1.<\/p>\n<p>V\u00ec th\u1ebf c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p pyridostigmin v\u1edbi neostigmin trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u01b0\u1ee3c c\u01a1, th\u00ed d\u1ee5 d\u00f9ng pyridostigmin trong ng\u00e0y v\u00e0 t\u1ed1i, neostigmin d\u00f9ng v\u00e0o bu\u1ed5i s\u00e1ng.<\/p>\n<p>Thu\u1ed1c g\u00e2y \u0111\u00e1p \u1ee9ng cholinergic to\u00e0n th\u00e2n bao g\u1ed3m t\u0103ng tr\u01b0\u01a1ng l\u1ef1c c\u01a1 x\u01b0\u01a1ng v\u00e0 c\u01a1 ru\u1ed9t, co \u0111\u1ed3ng t\u1eed, co th\u1eaft t\u1eed cung, co th\u1eaft ph\u1ebf qu\u1ea3n, ch\u1eadm nh\u1ecbp tim, t\u0103ng ti\u1ebft \u1edf c\u00e1c tuy\u1ebfn ngo\u1ea1i ti\u1ebft.<\/p>\n<p>Pyridostigmin c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng cholin tr\u1ef1c ti\u1ebfp tr\u00ean c\u01a1 x\u01b0\u01a1ng.<\/p>\n<p><strong><em>C\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng: <\/em><\/strong><\/p>\n<p>Pyridostigmine l\u00e0 ch\u1ea5t \u1ee9c ch\u1ebf cholinesterase t\u1ea1i khe synape, do \u0111\u00f3 l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh ph\u00e2n h\u1ee7y acetylcholine. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng neostigmine, nh\u01b0ng t\u00e1c d\u1ee5ng kh\u1edfi \u0111\u1ea7u nh\u1eb9 nh\u00e0ng, ch\u1eadm h\u01a1n v\u00e0 k\u00e9o d\u00e0i h\u01a1n; v\u00e0 gi\u1ea3m t\u1eeb t\u1eeb t\u00e1c d\u1ee5ng cholinergic.<\/p>\n<p>Pyridostigmine c\u00f3 t\u00e1c d\u1ee5ng \u0111\u1ed1i kh\u00e1ng c\u01a1 b\u1eb1ng c\u00e1ch gi\u00e3n c\u01a1 kh\u00f4ng kh\u1eed c\u1ef1c. N\u00f3 c\u00f3 t\u00e1c d\u1ee5ng h\u1ee3p l\u1ef1c v\u1edbi gi\u00e3n c\u01a1 kh\u1eed c\u1ef1c<\/p>\n<p>Pyridostigmine \u0111\u01b0\u1ee3c h\u1ea5p thu qua \u0111\u01b0\u1eddng ti\u00eau h\u00f3a hi\u1ec7u qu\u1ea3 h\u01a1n v\u00e0 \u00edt g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 l\u00ean \u0111\u01b0\u1eddng d\u1ea1 d\u00e0y \u2013 ru\u1ed9t h\u01a1n so v\u1edbi neostigmine.<\/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>Pyridostigmin ph\u00e2n b\u1ed1 \u1edf d\u1ecbch ngo\u1ea1i b\u00e0o. Thu\u1ed1c kh\u00f4ng v\u00e0o \u0111\u01b0\u1ee3c h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Thu\u1ed1c qua nhau thai v\u00e0 l\u00e0m gi\u1ea3m ho\u1ea1t t\u00ednh cholinesterase huy\u1ebft t\u01b0\u01a1ng thai nhi sau khi u\u1ed1ng thu\u1ed1c li\u1ec1u cao.<\/p>\n<p>Khi u\u1ed1ng, thu\u1ed1c th\u01b0\u1eddng c\u00f3 t\u00e1c d\u1ee5ng sau 30 &#8211; 45 ph\u00fat v\u00e0 k\u00e9o d\u00e0i trong 3 &#8211; 6 gi\u1edd. Khi ti\u00eam t\u0129nh m\u1ea1ch, l\u1ef1c c\u01a1 t\u0103ng l\u00ean sau 2 &#8211; 5 ph\u00fat v\u00e0 s\u1ef1 c\u1ea3i thi\u1ec7n c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c trong 2 &#8211; 3 gi\u1edd \u1edf ph\u1ea7n l\u1edbn ng\u01b0\u1eddi b\u1ec7nh. Sau khi ti\u00eam b\u1eafp, thu\u1ed1c b\u1eaft \u0111\u1ea7u c\u00f3 t\u00e1c d\u1ee5ng trong v\u00f2ng 15 ph\u00fat.<\/p>\n<p>N\u1eeda \u0111\u1eddi th\u1ea3i tr\u1eeb c\u1ee7a thu\u1ed1c l\u00e0 1,49 gi\u1edd \u0111\u1ed1i v\u1edbi ti\u00eam b\u1eafp v\u00e0 1,5 &#8211; 4,25 gi\u1edd, khi u\u1ed1ng..<\/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<p><span style=\"font-size: 2em; font-weight: bold;\">6. Ph\u1ea7n th\u00f4ng <\/span><span style=\"font-size: 2em; font-weight: bold;\">tin k\u00e8m theo c\u1ee7a thu\u1ed1c:<\/span><\/p>\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>T\u00e1 \u0111\u01b0\u1ee3c: T\u00ecnh b\u1ed9t ng\u00f4, acid silic khan nh\u1eb9, L-HPC, PVP K30, magnesi stearat..<\/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 c\u00f3.<\/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>N\u01a1i kh\u00f4 r\u00e1o, tr\u00e1nh \u00e1nh s\u00e1ng, nhi\u1ec7t \u0111\u1ed9 kh\u00f4ng qu\u00e1 30\u00b0C<\/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<p>HDSD Thu\u1ed1c Basori do c\u00f4ng ty Myungmoon Pharm. Co., Ltd \u2013 H\u00e0n Qu\u1ed1c s\u1ea3n xu\u1ea5t (2015).<\/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<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c Basori 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 Basori (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 : Pyridostigmine Ph\u00e2n lo\u1ea1i: Thu\u1ed1c kh\u00e1ng cholinesterase, thu\u1ed1c \u0111i\u1ec1u [&hellip;]<\/p>\n","protected":false},"author":8612,"featured_media":38834,"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":[419],"tags":[1597],"class_list":["post-38833","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-biet-duoc","tag-pyridostigmine"],"_links":{"self":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/38833","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=38833"}],"version-history":[{"count":1,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/38833\/revisions"}],"predecessor-version":[{"id":38835,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/posts\/38833\/revisions\/38835"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media\/38834"}],"wp:attachment":[{"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/media?parent=38833"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/categories?post=38833"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pharmog.com\/wp\/wp-json\/wp\/v2\/tags?post=38833"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}