{"id":406,"date":"2025-03-31T04:25:50","date_gmt":"2025-03-31T04:25:50","guid":{"rendered":"https:\/\/thubisfmc.duyanhweb.io.vn\/?p=406"},"modified":"2025-03-31T04:25:50","modified_gmt":"2025-03-31T04:25:50","slug":"su-dung-an-toan-thuoc-chong-dong-mau","status":"publish","type":"post","link":"https:\/\/friend.web.biz.vn\/?p=406","title":{"rendered":"S\u1eed d\u1ee5ng An to\u00e0n Thu\u1ed1c Ch\u1ed1ng \u0110\u00f4ng M\u00e1u"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_69_1 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">M\u1ee5c l\u1ee5c<\/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 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Gioi_thieu\" title=\"Gi\u1edbi thi\u1ec7u\">Gi\u1edbi thi\u1ec7u<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Tong_quan_ve_thuoc_chong_dong_mau\" title=\"T\u1ed5ng quan v\u1ec1 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u\">T\u1ed5ng quan v\u1ec1 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Thuoc_chong_dong_mau_truyen_thong\" title=\"Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u truy\u1ec1n th\u1ed1ng\">Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u truy\u1ec1n th\u1ed1ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Thuoc_chong_dong_mau_the_he_moi_NOACs\" title=\"Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u th\u1ebf h\u1ec7 m\u1edbi (NOACs)\">Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u th\u1ebf h\u1ec7 m\u1edbi (NOACs)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Chi_dinh_su_dung\" title=\"Ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng\">Ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Cac_yeu_to_nguy_co_can_can_nhac\" title=\"C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ea7n c\u00e2n nh\u1eafc\">C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ea7n c\u00e2n nh\u1eafc<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Nguy_co_xuat_huyet\" title=\"Nguy c\u01a1 xu\u1ea5t huy\u1ebft\">Nguy c\u01a1 xu\u1ea5t huy\u1ebft<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Nguy_co_tuong_tac_thuoc\" title=\"Nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c\">Nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Huong_dan_su_dung_an_toan\" title=\"H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng an to\u00e0n\">H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng an to\u00e0n<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Tuan_thu_dieu_tri\" title=\"Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb\">Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Theo_doi_va_kiem_tra\" title=\"Theo d\u00f5i v\u00e0 ki\u1ec3m tra\">Theo d\u00f5i v\u00e0 ki\u1ec3m tra<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Che_do_an_uong\" title=\"Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng\">Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Xu_tri_cac_tinh_huong_dac_biet\" title=\"X\u1eed tr\u00ed c\u00e1c t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t\">X\u1eed tr\u00ed c\u00e1c t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Chuan_bi_phau_thuat\" title=\"Chu\u1ea9n b\u1ecb ph\u1eabu thu\u1eadt\">Chu\u1ea9n b\u1ecb ph\u1eabu thu\u1eadt<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Chay_mau_nhe\" title=\"Ch\u1ea3y m\u00e1u nh\u1eb9\">Ch\u1ea3y m\u00e1u nh\u1eb9<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Xuat_huyet_nang\" title=\"Xu\u1ea5t huy\u1ebft n\u1eb7ng\">Xu\u1ea5t huy\u1ebft n\u1eb7ng<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Quan_ly_thuoc_chong_dong_trong_cac_nhom_dac_biet\" title=\"Qu\u1ea3n l\u00fd thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng trong c\u00e1c nh\u00f3m \u0111\u1eb7c bi\u1ec7t\">Qu\u1ea3n l\u00fd thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng trong c\u00e1c nh\u00f3m \u0111\u1eb7c bi\u1ec7t<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Nguoi_cao_tuoi\" title=\"Ng\u01b0\u1eddi cao tu\u1ed5i\">Ng\u01b0\u1eddi cao tu\u1ed5i<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Phu_nu_mang_thai\" title=\"Ph\u1ee5 n\u1eef mang thai\">Ph\u1ee5 n\u1eef mang thai<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Benh_nhan_suy_than\" title=\"B\u1ec7nh nh\u00e2n suy th\u1eadn\">B\u1ec7nh nh\u00e2n suy th\u1eadn<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Giao_duc_benh_nhan\" title=\"Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n\">Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Nhan_biet_dau_hieu_canh_bao\" title=\"Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o\">Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Phong_ngua_chan_thuong\" title=\"Ph\u00f2ng ng\u1eeba ch\u1ea5n th\u01b0\u01a1ng\">Ph\u00f2ng ng\u1eeba ch\u1ea5n th\u01b0\u01a1ng<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-24\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Tuong_tac_thuoc_va_thuc_pham\" title=\"T\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 th\u1ef1c ph\u1ea9m\">T\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 th\u1ef1c ph\u1ea9m<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-25\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Theo_doi_va_danh_gia\" title=\"Theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1\">Theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-26\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Danh_gia_dinh_ky\" title=\"\u0110\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3\">\u0110\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-27\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Ghi_chep_va_theo_doi\" title=\"Ghi ch\u00e9p v\u00e0 theo d\u00f5i\">Ghi ch\u00e9p v\u00e0 theo d\u00f5i<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-28\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Ket_luan\" title=\"K\u1ebft lu\u1eadn\">K\u1ebft lu\u1eadn<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-29\" href=\"https:\/\/friend.web.biz.vn\/?p=406\/#Khuyen_nghi\" title=\"Khuy\u1ebfn ngh\u1ecb\">Khuy\u1ebfn ngh\u1ecb<\/a><\/li><\/ul><\/nav><\/div>\n<h2><span class=\"ez-toc-section\" id=\"Gioi_thieu\"><\/span>Gi\u1edbi thi\u1ec7u<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c quan tr\u1ecdng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong y h\u1ecdc \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n huy\u1ebft kh\u1ed1i. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng. B\u00e0i vi\u1ebft n\u00e0y s\u1ebd cung c\u1ea5p th\u00f4ng tin to\u00e0n di\u1ec7n v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng an to\u00e0n c\u00e1c thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tong_quan_ve_thuoc_chong_dong_mau\"><\/span>T\u1ed5ng quan v\u1ec1 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch can thi\u1ec7p v\u00e0o qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u t\u1ef1 nhi\u00ean c\u1ee7a c\u01a1 th\u1ec3, gi\u00fap ng\u0103n ng\u1eeba s\u1ef1 h\u00ecnh th\u00e0nh c\u00e1c c\u1ee5c m\u00e1u \u0111\u00f4ng kh\u00f4ng mong mu\u1ed1n. C\u00f3 hai nh\u00f3m ch\u00ednh:<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Thuoc_chong_dong_mau_truyen_thong\"><\/span>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u truy\u1ec1n th\u1ed1ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Warfarin (Coumadin)<\/li>\n<li>Heparin kh\u00f4ng ph\u00e2n \u0111o\u1ea1n<\/li>\n<li>Heparin tr\u1ecdng l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p (LMWH)<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Thuoc_chong_dong_mau_the_he_moi_NOACs\"><\/span>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u th\u1ebf h\u1ec7 m\u1edbi (NOACs)<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Dabigatran (Pradaxa)<\/li>\n<li>Rivaroxaban (Xarelto)<\/li>\n<li>Apixaban (Eliquis)<\/li>\n<li>Edoxaban (Lixiana)<\/li>\n<\/ul>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-407 aligncenter\" src=\"https:\/\/thubisfmc.duyanhweb.io.vn\/wp-content\/uploads\/tt1-1.webp\" alt=\"\" width=\"1024\" height=\"641\" srcset=\"https:\/\/friend.web.biz.vn\/wp-content\/uploads\/tt1-1.webp 1024w, https:\/\/friend.web.biz.vn\/wp-content\/uploads\/tt1-1-600x376.webp 600w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/><\/p>\n<h2><span class=\"ez-toc-section\" id=\"Chi_dinh_su_dung\"><\/span>Ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ol>\n<li>Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (DVT)<\/li>\n<li>Ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb thuy\u00ean t\u1eafc ph\u1ed5i (PE)<\/li>\n<li>Ph\u00f2ng ng\u1eeba \u0111\u1ed9t qu\u1ef5 \u1edf b\u1ec7nh nh\u00e2n rung nh\u0129<\/li>\n<li>Sau ph\u1eabu thu\u1eadt thay van tim<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng m\u1ea1ch v\u00e0nh c\u1ea5p<\/li>\n<li>Ph\u00f2ng ng\u1eeba bi\u1ebfn ch\u1ee9ng huy\u1ebft kh\u1ed1i \u1edf b\u1ec7nh nh\u00e2n n\u1eb1m vi\u1ec7n k\u00e9o d\u00e0i<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Cac_yeu_to_nguy_co_can_can_nhac\"><\/span>C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ea7n c\u00e2n nh\u1eafc<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng, c\u1ea7n \u0111\u00e1nh gi\u00e1 k\u1ef9 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1:<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Nguy_co_xuat_huyet\"><\/span>Nguy c\u01a1 xu\u1ea5t huy\u1ebft<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Ti\u1ec1n s\u1eed xu\u1ea5t huy\u1ebft<\/li>\n<li>Tu\u1ed5i cao (&gt;75 tu\u1ed5i)<\/li>\n<li>Suy th\u1eadn ho\u1eb7c suy gan<\/li>\n<li>Huy\u1ebft \u00e1p cao kh\u00f4ng ki\u1ec3m so\u00e1t<\/li>\n<li>S\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi thu\u1ed1c ch\u1ed1ng k\u1ebft t\u1eadp ti\u1ec3u c\u1ea7u<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u b\u1ea9m sinh<\/li>\n<\/ul>\n<h3><span class=\"ez-toc-section\" id=\"Nguy_co_tuong_tac_thuoc\"><\/span>Nguy c\u01a1 t\u01b0\u01a1ng t\u00e1c thu\u1ed1c<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ul>\n<li>Kh\u00e1ng sinh<\/li>\n<li>Thu\u1ed1c ch\u1ed1ng n\u1ea5m<\/li>\n<li>Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAIDs)<\/li>\n<li>C\u00e1c thu\u1ed1c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn cytochrome P450<\/li>\n<\/ul>\n<h2><span class=\"ez-toc-section\" id=\"Huong_dan_su_dung_an_toan\"><\/span>H\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng an to\u00e0n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Tuan_thu_dieu_tri\"><\/span>Tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>U\u1ed1ng thu\u1ed1c \u0111\u00fang gi\u1edd v\u00e0 \u0111\u00fang li\u1ec1u<\/li>\n<li>Kh\u00f4ng t\u1ef1 \u00fd ng\u1eebng thu\u1ed1c<\/li>\n<li>Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 n\u1ebfu qu\u00ean u\u1ed1ng thu\u1ed1c<\/li>\n<li>Mang theo th\u1ebb th\u00f4ng tin v\u1ec1 vi\u1ec7c \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Theo_doi_va_kiem_tra\"><\/span>Theo d\u00f5i v\u00e0 ki\u1ec3m tra<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>X\u00e9t nghi\u1ec7m INR \u0111\u1ecbnh k\u1ef3 (\u0111\u1ed1i v\u1edbi warfarin)<\/li>\n<li>Ki\u1ec3m tra ch\u1ee9c n\u0103ng th\u1eadn v\u00e0 gan<\/li>\n<li>Theo d\u00f5i c\u00e1c d\u1ea5u hi\u1ec7u xu\u1ea5t huy\u1ebft<\/li>\n<li>\u0110\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Che_do_an_uong\"><\/span>Ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n \u1ed5n \u0111\u1ecbnh (\u0111\u1eb7c bi\u1ec7t v\u1edbi vitamin K khi d\u00f9ng warfarin)<\/li>\n<li>Tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u bia<\/li>\n<li>U\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc<\/li>\n<li>Th\u1eadn tr\u1ecdng v\u1edbi th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng v\u00e0 th\u1ea3o d\u01b0\u1ee3c<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Xu_tri_cac_tinh_huong_dac_biet\"><\/span>X\u1eed tr\u00ed c\u00e1c t\u00ecnh hu\u1ed1ng \u0111\u1eb7c bi\u1ec7t<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Chuan_bi_phau_thuat\"><\/span>Chu\u1ea9n b\u1ecb ph\u1eabu thu\u1eadt<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/li>\n<li>Tu\u00e2n th\u1ee7 h\u01b0\u1edbng d\u1eabn ng\u1eebng thu\u1ed1c tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/li>\n<li>C\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb c\u1ea7u n\u1ed1i b\u1eb1ng heparin<\/li>\n<li>L\u00ean k\u1ebf ho\u1ea1ch t\u00e1i s\u1eed d\u1ee5ng thu\u1ed1c sau ph\u1eabu thu\u1eadt<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Chay_mau_nhe\"><\/span>Ch\u1ea3y m\u00e1u nh\u1eb9<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>\u00c1p l\u1ef1c tr\u1ef1c ti\u1ebfp l\u00ean v\u1ecb tr\u00ed ch\u1ea3y m\u00e1u<\/li>\n<li>Theo d\u00f5i s\u00e1t t\u00ecnh tr\u1ea1ng<\/li>\n<li>Li\u00ean h\u1ec7 b\u00e1c s\u0129 n\u1ebfu ch\u1ea3y m\u00e1u k\u00e9o d\u00e0i<\/li>\n<li>Ghi nh\u1eadn th\u1eddi gian v\u00e0 m\u1ee9c \u0111\u1ed9 ch\u1ea3y m\u00e1u<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Xuat_huyet_nang\"><\/span>Xu\u1ea5t huy\u1ebft n\u1eb7ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Ng\u1eebng thu\u1ed1c ngay l\u1eadp t\u1ee9c<\/li>\n<li>T\u00ecm ki\u1ebfm h\u1ed7 tr\u1ee3 y t\u1ebf kh\u1ea9n c\u1ea5p<\/li>\n<li>C\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ed1i kh\u00e1ng<\/li>\n<li>Theo d\u00f5i s\u00e1t c\u00e1c d\u1ea5u hi\u1ec7u sinh t\u1ed3n<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Quan_ly_thuoc_chong_dong_trong_cac_nhom_dac_biet\"><\/span>Qu\u1ea3n l\u00fd thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng trong c\u00e1c nh\u00f3m \u0111\u1eb7c bi\u1ec7t<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Nguoi_cao_tuoi\"><\/span>Ng\u01b0\u1eddi cao tu\u1ed5i<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u ph\u00f9 h\u1ee3p<\/li>\n<li>Theo d\u00f5i s\u00e1t c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5<\/li>\n<li>\u0110\u00e1nh gi\u00e1 nguy c\u01a1 t\u00e9 ng\u00e3<\/li>\n<li>Ki\u1ec3m tra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c th\u01b0\u1eddng xuy\u00ean<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Phu_nu_mang_thai\"><\/span>Ph\u1ee5 n\u1eef mang thai<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Tr\u00e1nh s\u1eed d\u1ee5ng warfarin trong tam c\u00e1 nguy\u1ec7t \u0111\u1ea7u<\/li>\n<li>\u01afu ti\u00ean s\u1eed d\u1ee5ng heparin<\/li>\n<li>Theo d\u00f5i s\u00e1t thai nhi<\/li>\n<li>L\u00ean k\u1ebf ho\u1ea1ch chuy\u1ec3n d\u1ea1 an to\u00e0n<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Benh_nhan_suy_than\"><\/span>B\u1ec7nh nh\u00e2n suy th\u1eadn<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>\u0110i\u1ec1u ch\u1ec9nh li\u1ec1u theo m\u1ee9c \u0111\u1ed9 suy th\u1eadn<\/li>\n<li>Theo d\u00f5i ch\u1ee9c n\u0103ng th\u1eadn th\u01b0\u1eddng xuy\u00ean<\/li>\n<li>C\u00e2n nh\u1eafc chuy\u1ec3n \u0111\u1ed5i thu\u1ed1c n\u1ebfu c\u1ea7n<\/li>\n<li>Tr\u00e1nh c\u00e1c thu\u1ed1c \u0111\u1ed9c th\u1eadn<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Giao_duc_benh_nhan\"><\/span>Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Nhan_biet_dau_hieu_canh_bao\"><\/span>Nh\u1eadn bi\u1ebft d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Ch\u1ea3y m\u00e1u b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>B\u1ea7m t\u00edm d\u1ec5 d\u00e0ng<\/li>\n<li>Ph\u00e2n \u0111en ho\u1eb7c c\u00f3 m\u00e1u<\/li>\n<li>\u0110au \u0111\u1ea7u d\u1eef d\u1ed9i<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Phong_ngua_chan_thuong\"><\/span>Ph\u00f2ng ng\u1eeba ch\u1ea5n th\u01b0\u01a1ng<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Tr\u00e1nh c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u00f3 nguy c\u01a1 ch\u1ea5n th\u01b0\u01a1ng cao<\/li>\n<li>S\u1eed d\u1ee5ng b\u00e0n ch\u1ea3i \u0111\u00e1nh r\u0103ng m\u1ec1m<\/li>\n<li>C\u1ea9n th\u1eadn khi c\u1eaft m\u00f3ng tay<\/li>\n<li>\u0110\u1ea3m b\u1ea3o m\u00f4i tr\u01b0\u1eddng s\u1ed1ng an to\u00e0n<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Tuong_tac_thuoc_va_thuc_pham\"><\/span>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 th\u1ef1c ph\u1ea9m<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Ki\u1ec3m tra v\u1edbi b\u00e1c s\u0129 tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c m\u1edbi<\/li>\n<li>Tr\u00e1nh c\u00e1c th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng ch\u01b0a \u0111\u01b0\u1ee3c ki\u1ec3m ch\u1ee9ng<\/li>\n<li>Duy tr\u00ec ch\u1ebf \u0111\u1ed9 \u0103n \u1ed5n \u0111\u1ecbnh<\/li>\n<li>Ghi ch\u00e9p l\u1ea1i c\u00e1c ph\u1ea3n \u1ee9ng b\u1ea5t th\u01b0\u1eddng<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Theo_doi_va_danh_gia\"><\/span>Theo d\u00f5i v\u00e0 \u0111\u00e1nh gi\u00e1<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<h3><span class=\"ez-toc-section\" id=\"Danh_gia_dinh_ky\"><\/span>\u0110\u00e1nh gi\u00e1 \u0111\u1ecbnh k\u1ef3<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Ki\u1ec3m tra hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb<\/li>\n<li>\u0110\u00e1nh gi\u00e1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5<\/li>\n<li>C\u1eadp nh\u1eadt k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb<\/li>\n<li>Xem x\u00e9t vi\u1ec7c \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u<\/li>\n<\/ol>\n<h3><span class=\"ez-toc-section\" id=\"Ghi_chep_va_theo_doi\"><\/span>Ghi ch\u00e9p v\u00e0 theo d\u00f5i<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<ol>\n<li>Ghi l\u1ea1i th\u1eddi gian u\u1ed1ng thu\u1ed1c<\/li>\n<li>Theo d\u00f5i c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng<\/li>\n<li>L\u01b0u gi\u1eef k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m<\/li>\n<li>Ghi nh\u1eadn c\u00e1c t\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/li>\n<\/ol>\n<h2><span class=\"ez-toc-section\" id=\"Ket_luan\"><\/span>K\u1ebft lu\u1eadn<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>S\u1eed d\u1ee5ng an to\u00e0n thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng \u0111\u00f2i h\u1ecfi s\u1ef1 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa b\u00e1c s\u0129 v\u00e0 b\u1ec7nh nh\u00e2n. Vi\u1ec7c tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, theo d\u00f5i s\u00e1t v\u00e0 nh\u1eadn bi\u1ebft c\u00e1c d\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 v\u00e0 an to\u00e0n trong \u0111i\u1ec1u tr\u1ecb. Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u00fang c\u00e1ch, nh\u1eadn bi\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 v\u00e0 bi\u1ebft c\u00e1ch x\u1eed tr\u00ed c\u00e1c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p l\u00e0 nh\u1eefng y\u1ebfu t\u1ed1 then ch\u1ed1t \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Khuyen_nghi\"><\/span>Khuy\u1ebfn ngh\u1ecb<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<ol>\n<li>Lu\u00f4n mang theo th\u00f4ng tin v\u1ec1 vi\u1ec7c \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng<\/li>\n<li>Duy tr\u00ec l\u1ecbch h\u1eb9n kh\u00e1m \u0111\u1ecbnh k\u1ef3 v\u1edbi b\u00e1c s\u0129<\/li>\n<li>Th\u00f4ng b\u00e1o cho c\u00e1c nh\u00e2n vi\u00ean y t\u1ebf v\u1ec1 vi\u1ec7c \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng tr\u01b0\u1edbc khi th\u1ef1c hi\u1ec7n b\u1ea5t k\u1ef3 th\u1ee7 thu\u1eadt y t\u1ebf n\u00e0o<\/li>\n<li>X\u00e2y d\u1ef1ng k\u1ebf ho\u1ea1ch d\u1ef1 ph\u00f2ng cho c\u00e1c t\u00ecnh hu\u1ed1ng kh\u1ea9n c\u1ea5p<\/li>\n<li>Gi\u1eef li\u00ean l\u1ea1c th\u01b0\u1eddng xuy\u00ean v\u1edbi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe<\/li>\n<\/ol>\n<p>Vi\u1ec7c s\u1eed d\u1ee5ng an to\u00e0n thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng l\u00e0 m\u1ed9t qu\u00e1 tr\u00ecnh \u0111\u00f2i h\u1ecfi s\u1ef1 cam k\u1ebft v\u00e0 ph\u1ed1i h\u1ee3p ch\u1eb7t ch\u1ebd gi\u1eefa nhi\u1ec1u b\u00ean li\u00ean quan. V\u1edbi s\u1ef1 hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7 v\u00e0 tu\u00e2n th\u1ee7 c\u00e1c nguy\u00ean t\u1eafc an to\u00e0n, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c l\u1ee3i \u00edch t\u1ed1i \u0111a t\u1eeb vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng trong khi gi\u1ea3m thi\u1ec3u c\u00e1c r\u1ee7i ro c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Gi\u1edbi thi\u1ec7u Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c quan tr\u1ecdng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong y h\u1ecdc \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n huy\u1ebft kh\u1ed1i. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng, th\u1eadm ch\u00ed \u0111e d\u1ecda t\u00ednh m\u1ea1ng. B\u00e0i<\/p>\n","protected":false},"author":1,"featured_media":408,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[40,1],"tags":[],"class_list":["post-406","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noi-khoa","category-tin-tuc"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.2 (Yoast SEO v23.7) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>S\u1eed d\u1ee5ng An to\u00e0n Thu\u1ed1c Ch\u1ed1ng \u0110\u00f4ng M\u00e1u - Friend Medical Clinic<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"S\u1eed d\u1ee5ng An to\u00e0n Thu\u1ed1c Ch\u1ed1ng \u0110\u00f4ng M\u00e1u\" \/>\n<meta property=\"og:description\" content=\"Gi\u1edbi thi\u1ec7u Thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u l\u00e0 m\u1ed9t nh\u00f3m thu\u1ed1c quan tr\u1ecdng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i trong y h\u1ecdc \u0111\u1ec3 ng\u0103n ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n huy\u1ebft kh\u1ed1i. 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