Thay van tim can trong khi dung SINTROM

Tags: cuc mau dong, ten day du, thuoc chong dong, van tim, tac dung, co the, cac loai, bac si, su dung, dung, khang, biet, thay, thai


Toi da phau thuat thay van tim va dang dung thuoc SINTROM khang dong mau. Vui long cho biet khi su dung thuoc nay toi phai luu y gi khi su dung cac loai thuoc khac? Co the cho toi biet ten day du cac loai thuoc do. (Mot ban doc)

Tra loi cua phong mach online:

- Van tim nhan tao co 2 nhom chinh: nhom van co hoc (lam bang kim loai) va nhom van sinh hoc (Lay tu van tim cua dong vat, thuong la van heo). Van sinh hoc thuong co doi song ngan hon, nhung nguy co tao thanh cuc mau dong it hon nen nguoi mang van sinh hoc khong nhat thiet phai dung thuoc khang dong suot doi. Van co hoc thi nguoc lai, nguy co tao cuc mau dong rat cao nen nguoi mang van loai nay phai dung thuoc khang dong uong (cu the o Viet Nam thuong la Sintrom) suot doi.

Truong hop cua ban toi doan la van tim co hoc (ngay nay nguoi ta thuong dung van co hoc hon, van sinh hoc neu dung chi danh cho nguoi gia). Dieu nay co nghia la ban phai “gan bo” voi thuoc chong dong SINTROM suot doi. Vi vay, viec ban can phai biet ro ve thuoc nay la dieu duong nhien.

- SINTROM (Acenocoumarol) la mot chat chong dong mau co nguon goc tu COUMARIN. Vi vay, SINTROM co cac tuong tac thuoc giong voi thuoc WARFARIN (la thuoc chong dong uong thuong dung o Anh, My):

- Cac thuoc lam tang nong do va/ hoac tac dung cua SINTROM: Acetaminophen (PARACETAMOL thuoc cam), Amiodarone (thuoc chong loan nhip tim), cac thuoc khang tieu cau (ASPIRIN, CLOPIDOGREL), cac loai thuoc chong dong khac (HEPARINE, ENOXAPARINE, CALCIPARINE...), mot so loai khang sinh nhu CIPROFLOXACIN, NORFLOXACIN, OFLOXACIN, TETRACYCLINE, TRIMETHOPRIM, thuoc khang nam nhu KETOCONAZOL, FLUCONAZOL, khang viem non - steroides NSAIDS (VOLTAREL, PIROXICAM...), thuoc ha huyet ap NICARDIPINE, thuoc chong roi loan lipid GEMFIBROZIL, thuoc tri tieu duong nhu SULFONAMIDE, PIOGLITAZONE.

Khi dung SINTROM chung voi cac thuoc tren can than trong vi chung lam tang tac dung chong dong cua SINTROM, co the gay tai bien chay mau. Phai thong bao cho bac si biet ro de theo doi sat va giam lieu lieu thuoc khang dong.

- Cac thuoc lam giam tac dung va/ hoac nong do cua SINTROM: mot so thuoc ngu nhu PHENOBARBITAL, SECOBARBITAL, cac thuoc khac nhu RIFAMPIN (chua lao), PHENYTOIN, CARBAMAZEPINE (thuoc chong co giat), AMIOGLUTETHIMIDE.

Cac thuoc nay trai lai khi dung chung voi SINTROM lai lam giam hieu qua chong dong cua thuoc, co the gay tai bien tao cuc mau dong tai van tim lam ket van, tac van. Phai than trong, bao bac si de theo doi va tang lieu SINTROM neu can.

Ngoai ra mot so loai thuc pham dung hang ngay cung anh huong den tac dung cua SINTROM:

Neu ban la nu, can nho them la SINTROM vao mau co the di qua mang nhau thai va gay di dang cho bao thai hoac gay xuat huyet cho thai nhi.

Vi vay trong thoi gian dung thuoc tot nhat la nen dung chung voi thuoc ngua thai de tranh co thai. Neu muon co thai thi phai bao cho bac si dieu tri de ngung ngay SINTROM va neu can thi chuyen sang thuoc khang dong loai khac (Heparin).

- Uong ruou : tuc thoi thi lam giam chuyen hoa chat SINTROM, gay tang tac dung chong dong co the lam de chay mau. Nguoc lai neu uong ruou deu dan hang ngay se lam tang chuyen hoa SINTROM nen lam giam tac dung cua thuoc.

- Cac loai thuoc bo chua vitamin K hay thuc an co nhieu vitamin K (Bong cai xanh, gan bo hay heo, tra xanh), Coenzyme 10 (chat ho tro he tuan hoan) lam giam tac dung cua thuoc. Nguoc lai Vitamin E lam tang tac dung cua thuoc.

- Can han che dung nhieu mot so loai thao moc nhu Linh lang (co nhieu vitamin K), mang tay, cac loai cai (cai bap, sup-lo, cu cai, cai xoong..), rau diep, toi, sam, cay bach qua (Ginko), tra xanh, cay mong meo, hat de... vi chung co the lam giam tac dung cua thuoc.

Noi chung che do an uong anh huong nhieu den tac dung cua SINTROM. Vi vay mot khi ban da dieu chinh duoc lieu thuoc SINTROM dat hieu qua chong dong nhu mong muon, thi khong nen thay doi thoi quen va che do an nua.

Nguoi ta dieu chinh lieu thuoc SINTROM dua vao chi so INR (international normalized ratio), va phai xet nghiem mau moi biet duoc INR. Tuy theo loai benh ma chi so INR can thiet khac nhau: vi du nhu van dong mach chu co hoc can INR tu 2 – 3 trong khi van 2 la co hoc can INR tu 2,5 – 3,5. Neu INR khong dat toi nguong muc tieu thi se de bi cuc mau dong lam ket van, con neu cao qua muc tieu thi se de bi ... chay mau (nang nhat la chay mau nao).

Do do khi dieu tri voi SINTROM ban can theo doi bac si va thu mau dinh ky (trung binh 1 thang / lan). Viec tang giam lieu thuoc SINTROM phai do cac bac si tim mach quyet dinh, ban khong duoc tu y thay doi lieu thuoc. Neu trong luc dung thuoc ma bi chay mau (mau rang, mau cam, bam mau tren da...) thi co the da dung qua lieu, hay thay tuc nguc, kho tho thi coi chung bi mau dong lam ket van : ca 2 truong hop nay ban can tuc toc di kham bac si tim mach ngay.

Than men chao ban.

BS VU NGOC HUY - Khoa Tim mach can thiep - BV CHO RAY

Ban co nhung thac mac ve suc khoe cua minh ma khong biet hoi ai. Ban can duoc tu van cho nhung thac mac ve suc khoe cua minh, cua nguoi than... Phong mach Online cua TT se giup ban giai dap 1.001 thac mac ve suc khoe. Moi thac mac ve suc khoe xin gui ve dia chi email:

De chinh xac ve noi dung, van de can hoi, xin ban doc vui long go co dau (font chu unicode). Xin chan thanh cam on!

B.CHAU thuc hien

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Tìm hiểu: cuc mau dong, ten day du, thuoc chong dong, van tim, tac dung, co the, cac loai, bac si, su dung, dung, khang, biet, thay, thai

Xem Bản Tiếng Việt Có Dấu: Thay van tim, cẩn trọng khi dùng SINTROM

Ban co the doc ban tieng Viet co dau cua bai viet Thay van tim, cẩn trọng khi dùng SINTROM bang cach nhan chuot vao duong dan tren.

Lien he ve tin Thay van tim can trong khi dung SINTROM

Nhan xet, hay lien he ve tin Thay van tim can trong khi dung SINTROM co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Thay van tim can trong khi dung SINTROM de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

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Xem tiep ... Tin suc khoe
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