{"id":5978,"date":"2024-11-16T15:50:55","date_gmt":"2024-11-16T08:50:55","guid":{"rendered":"https:\/\/wilimedia.vn\/?p=5978"},"modified":"2024-11-18T00:37:11","modified_gmt":"2024-11-17T17:37:11","slug":"me-bau-bi-dau-dau-8-loai-thuoc-duoc-su-dung","status":"publish","type":"post","link":"https:\/\/wilibd.com\/me-bau-bi-dau-dau-8-loai-thuoc-duoc-su-dung\/","title":{"rendered":"M\u1eb9 B\u1ea7u B\u1ecb \u0110au \u0110\u1ea7u: 8 Lo\u1ea1i Thu\u1ed1c \u0110\u01b0\u1ee3c S\u1eed D\u1ee5ng"},"content":{"rendered":"
Nhi\u1ec1u ch\u1ecb em ph\u1ee5 n\u1eef ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi t\u00ecnh tr\u1ea1ng \u0111au nh\u1ee9c \u0111\u1ea7u k\u00e9o d\u00e0i trong khi mang thai. Tuy nhi\u00ean, m\u1eb9 b\u1ea7u kh\u00f4ng n\u00ean t\u1ef1 \u00fd s\u1eed d\u1ee5ng thu\u1ed1c tr\u1ecb \u0111au \u0111\u1ea7u b\u1eeba b\u00e3i v\u00ec \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a h\u1ecd v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi. Do \u0111\u00f3, lo\u1ea1i thu\u1ed1c n\u00e0o \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi m\u1eb9 b\u1ea7u \u0111au \u0111\u1ea7u? Nh\u1eefng lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au d\u00e0nh cho m\u1eb9 b\u1ea7u t\u1ed1t nh\u1ea5t? Trong b\u00e0i vi\u1ebft n\u00e0y, Wilimedia<\/a> <\/em><\/strong>chia s\u1ebb m\u1ed9t s\u1ed1 c\u00e1ch v\u00e0 lo\u1ea1i thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au \u0111\u1ea7u khi mang thai m\u1ed9t c\u00e1ch an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3.<\/p>\n \u0110au \u0111\u1ea7u khi mang thai th\u01b0\u1eddng l\u00e0 \u0111au \u0111\u1ea7u nguy\u00ean ph\u00e1t, ngh\u0129a l\u00e0 n\u00f3 kh\u00f4ng ph\u1ea3i l\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea5t k\u1ef3 b\u1ec7nh l\u00fd hay r\u1ed1i lo\u1ea1n kh\u00e1c, ho\u1eb7c n\u00f3 thu\u1ed9c c\u00e1c lo\u1ea1i sau:<\/p>\n C\u0103ng th\u1eb3ng chi\u1ebfm kho\u1ea3ng 26% s\u1ed1 tr\u01b0\u1eddng h\u1ee3p \u0111au \u0111\u1ea7u khi mang thai. N\u1ebfu b\u1ea1n \u0111ang g\u1eb7p \u0111au \u0111\u1ea7u k\u00e9o d\u00e0i, n\u1ebfu b\u1ea1n \u0111ang mang thai ho\u1eb7c n\u1ebfu b\u1ea1n \u0111\u00e3 t\u1eebng m\u1eafc b\u1ec7nh migraine tr\u01b0\u1edbc \u0111\u00e2y, h\u00e3y \u0111\u1ebfn th\u0103m b\u00e1c s\u0129. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh migraine s\u1ebd \u00edt g\u1eb7p h\u01a1n khi mang thai. Migraine c\u0169ng li\u00ean quan \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng x\u1ea3y ra \u1edf cu\u1ed1i thai k\u1ef3 ho\u1eb7c sau khi sinh.\u0110au \u0111\u1ea7u th\u1ee9 ph\u00e1t khi mang thai c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t b\u1ec7nh kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng huy\u1ebft \u00e1p.\u00a0\u0110au \u0111\u1ea7u khi mang thai c\u00f3 th\u1ec3 kh\u00e1c nhau, ph\u1ee5 thu\u1ed9c v\u00e0o t\u1eebng c\u00e1 nh\u00e2n, v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n \u0110au \u0111\u1ea7u migraine c\u00f3 th\u1ec3 c\u00f2n c\u00f3:<\/strong><\/em><\/p>\n M\u1eb9 b\u1ea7u c\u00f3 th\u1ec3 u\u1ed1ng thu\u1ed1c \u0111au \u0111\u1ea7u do b\u00e1c s\u0129 ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 gi\u1ea3m \u0111au \u0111\u1ea7u cho c\u1ea3 m\u1eb9 v\u00e0 b\u00e9. Vi\u1ec7c ki\u1ec3m so\u00e1t c\u01a1n \u0111au \u0111\u1ea7u c\u1ee7a m\u1eb9 b\u1ea7u l\u00e0 c\u1ea7n thi\u1ebft. V\u00ec \u0111au \u0111\u1ea7u k\u00e9o d\u00e0i l\u00e0m suy gi\u1ea3m s\u1ee9c kh\u1ecfe th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n c\u1ee7a ng\u01b0\u1eddi m\u1eb9, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn thai nhi. Tuy nhi\u00ean, ph\u1ee5 n\u1eef mang thai kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au \u0111\u1ea7u.<\/p>\n M\u1eb9 b\u1ea7u n\u00ean c\u1ea9n th\u1eadn khi s\u1eed d\u1ee5ng thu\u1ed1c, \u0111\u1eb7c bi\u1ec7t l\u00e0 thu\u1ed1c gi\u1ea3m \u0111au, v\u00ec \u0111\u00e2y l\u00e0 giai \u0111o\u1ea1n nh\u1ea1y c\u1ea3m m\u00e0 ph\u00f4i thai v\u1eabn ch\u01b0a l\u00e0m t\u1ed5 ch\u1eafc ch\u1eafn trong t\u1eed cung v\u00e0 vi\u1ec7c u\u1ed1ng thu\u1ed1c kh\u00e1ng sinh v\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gia t\u0103ng nguy c\u01a1 s\u1ea9y thai ho\u1eb7c d\u1ecb t\u1eadt thai nhi.<\/p>\n Thu\u1ed1c m\u00e0 m\u1eb9 b\u1ea7u u\u1ed1ng \u0111\u1ec3 gi\u1ea3m \u0111au \u0111\u1ea7u l\u00e0 g\u00ec? \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p x\u1eed l\u00fd ph\u00f9 h\u1ee3p, b\u00e1c s\u0129 s\u1ebd xem x\u00e9t bi\u1ec3u hi\u1ec7n v\u00e0 ph\u00e2n lo\u1ea1i c\u01a1n \u0111au. Do \u0111\u00f3, tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u t\u00ecm hi\u1ec3u v\u1ec1 c\u00e1c lo\u1ea1i thu\u1ed1c ch\u1eefa \u0111au \u0111\u1ea7u cho m\u1eb9 b\u1ea7u, b\u1ea1n n\u00ean x\u00e1c \u0111\u1ecbnh c\u00e1c v\u1ea5n \u0111\u1ec1 sau:<\/p>\n C\u00e1c lo\u1ea1i \u0111au \u0111\u1ea7u ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef mang thai: Ph\u1ea7n l\u1edbn c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111au \u0111\u1ea7u khi \u0111ang mang thai l\u00e0 ch\u1ee9ng \u0111au \u0111\u1ea7u nguy\u00ean ph\u00e1t, m\u1ed9t s\u1ed1 \u00edt l\u00e0 ch\u1ee9ng \u0111au \u0111\u1ea7u th\u1ee9 ph\u00e1t do t\u0103ng huy\u1ebft \u00e1p. \u0110au \u0111\u1ea7u nguy\u00ean ph\u00e1t bao g\u1ed3m \u0111au \u0111\u1ea7u c\u0103ng th\u1eb3ng, \u0111au \u0111\u1ea7u migraine, \u0111au \u0111\u1ea7u t\u1eebng c\u1ee5m<\/p>\n M\u1eb9 b\u1ea7u th\u01b0\u1eddng c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n sau \u0111\u00e2y khi b\u1ecb \u0111au \u0111\u1ea7u: M\u1ed7i ph\u1ee5 n\u1eef mang thai c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111au \u0111\u1ea7u kh\u00e1c nhau, bao g\u1ed3m \u0111au \u0111\u1ea7u theo t\u1eebng c\u01a1n, \u0111au nh\u1ee9c n\u1eeda \u0111\u1ea7u ho\u1eb7c c\u1ea3 hai b\u00ean \u0111\u1ea7u, \u0111au \u0111\u1ea7u k\u00e8m theo \u0111au m\u1eaft v\u00e0 c\u00e1c lo\u1ea1i \u0111au kh\u00e1c. N\u1ebfu b\u1ecb \u0111au \u0111\u1ea7u migraine, thai ph\u1ee5 c\u00f3 th\u1ec3 b\u1ecb \u0111au \u0111\u1ea7u k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i, s\u1ee3 \u00e1nh s\u00e1ng\u2026<\/p>\n B\u00e1c s\u0129 c\u00f3 th\u1ec3 g\u1ee3i \u00fd c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m \u0111au hi\u1ec7u qu\u1ea3 d\u1ef1a tr\u00ean c\u00e1c bi\u1ec3u hi\u1ec7n \u0111au \u0111\u1ea7u c\u1ee7a thai ph\u1ee5. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 bao g\u1ed3m s\u1eed d\u1ee5ng thu\u1ed1c \u0111au \u0111\u1ea7u cho m\u1eb9 b\u1ea7u ho\u1eb7c c\u00e1c li\u1ec7u ph\u00e1p h\u1ed7 tr\u1ee3 gi\u1ea3m \u0111au kh\u00e1c.<\/p>\n C\u00e1c lo\u1ea1i thu\u1ed1c \u0111au \u0111\u1ea7u kh\u00f4ng k\u00ea \u0111\u01a1n cho m\u1eb9 b\u1ea7u bao g\u1ed3m thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID), paracetamol (hay acetaminophen) v\u00e0 thu\u1ed1c gi\u1ea3m \u0111au Opioid:<\/p>\n B\u00e1c s\u0129 c\u00f3 th\u1ec3 cho ph\u00e9p thai ph\u1ee5 d\u00f9ng paracetamol, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 acetaminophen, \u0111\u1ec3 gi\u1ea3m \u0111au \u0111\u1ea7u. Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c coi l\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef \u0111ang cho con b\u00fa. Paracetamol l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c n\u00ean thai ph\u1ee5 n\u00ean c\u1ea9n th\u1eadn v\u00e0 h\u1ea1n ch\u1ebf s\u1eed d\u1ee5ng n\u00f3 khi kh\u00f4ng c\u1ea7n thi\u1ebft. Theo m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u khoa h\u1ecdc, c\u00e1c lo\u1ea1i thu\u1ed1c m\u00e0 ng\u01b0\u1eddi m\u1eb9 u\u1ed1ng trong thai k\u1ef3 c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc hen suy\u1ec5n, ch\u1eadm ph\u00e1t tri\u1ec3n v\u1eadn \u0111\u1ed9ng v\u00e0 giao ti\u1ebfp, c\u0169ng nh\u01b0 c\u00e1c b\u1ec7nh kh\u00e1c.<\/p>\n Thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID) nh\u01b0 ibuprofen, naproxen v\u00e0 aspirin l\u00e0 nh\u1eefng lo\u1ea1i thu\u1ed1c \u0111au \u0111\u1ea7u cho b\u00e0 b\u1ea7u. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh cho m\u1eb9\u00a0b\u1ea7u s\u1eed d\u1ee5ng m\u1ed9t lo\u1ea1i thu\u1ed1c NSAID trong tam c\u00e1 nguy\u1ec7t th\u1ee9 nh\u1ea5t v\u00e0 th\u1ee9 hai c\u1ee7a thai k\u1ef3 n\u1ebfu c\u1ea7n thi\u1ebft. Sau tu\u1ea7n th\u1ee9 30 c\u1ee7a thai k\u1ef3, kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng nh\u00f3m thu\u1ed1c n\u00e0y v\u00ec ch\u00fang c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng x\u1ea5u \u0111\u1ebfn thai nhi, ch\u1eb3ng h\u1ea1n nh\u01b0 nguy c\u01a1 m\u1eafc c\u00e1c d\u1ecb t\u1eadt b\u1ea9m sinh \u1edf c\u00e1c b\u1ed9 ph\u1eadn quan tr\u1ecdng (th\u1eadn, tim…) ho\u1eb7c thi\u1ebfu \u1ed1i. N\u00f3 bao g\u1ed3m m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c sau:<\/p>\n Thu\u1ed1c aspirin: Thu\u1ed1c aspirin th\u01b0\u1eddng kh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng cho ph\u1ee5 n\u1eef mang thai. B\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c aspirin cho thai ph\u1ee5 c\u00f3 nguy c\u01a1 cao ti\u1ec1n s\u1ea3n gi\u1eadt. M\u1eb9 b\u1ea7u n\u00ean tr\u00e1nh d\u00f9ng aspirin trong ba th\u00e1ng cu\u1ed1i thai k\u1ef3 \u0111\u1ec3 tr\u00e1nh m\u1ea5t nhi\u1ec1u m\u00e1u khi sinh v\u00ec thu\u1ed1c n\u00e0y c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m ch\u1eadm qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u.<\/p>\n T\u00ecnh tr\u1ea1ng an to\u00e0n c\u1ee7a naproxen v\u00e0 ibuprofen so v\u1edbi aspirin: Naproxen v\u00e0 ibuprofen t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n h\u01a1n aspirin. B\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc cho ph\u00e9p s\u1eed d\u1ee5ng hai lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au v\u1edbi li\u1ec1u th\u1ea5p cho thai ph\u1ee5 b\u1ecb \u0111au \u0111\u1ea7u khi thai d\u01b0\u1edbi 20 tu\u1ea7n.<\/p>\n Trong su\u1ed1t thai k\u1ef3, m\u1eb9 b\u1ea7u n\u00ean tr\u00e1nh s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au opioid nh\u01b0 tramadol, codein, dihydrocodeine v\u00e0 morphin. C\u00e1c lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au n\u00e0y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho thai ph\u1ee5 ch\u1ec9 khi c\u1ea7n thi\u1ebft d\u01b0\u1edbi s\u1ef1 ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd c\u1ee7a b\u00e1c s\u0129.<\/p>\n B\u00e1c s\u0129 c\u1ea7n k\u00ea \u0111\u01a1n cho m\u1eb9 b\u1ea7u c\u00e1c lo\u1ea1i thu\u1ed1c sau:<\/strong><\/p>\n \u0110\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c \u0111au \u0111\u1ea7u cho b\u00e0 b\u1ea7u an to\u00e0n, h\u00e3y l\u01b0u \u00fd nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y:<\/p>\n M\u1eb7c d\u00f9 \u0111au \u0111\u1ea7u l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a vi\u1ec7c mang thai, nh\u01b0ng c\u00f3 m\u1ed9t s\u1ed1 c\u00e1ch \u0111\u1ec3 gi\u1ea3m \u0111au. \u0110\u1ec3 ch\u1ecdn h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129:<\/p>\n M\u1eb9 b\u1ea7u\u00a0n\u00ean s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m so\u00e1t c\u01a1n \u0111au kh\u00f4ng d\u00f9ng thu\u1ed1c tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng thu\u1ed1c \u0111au \u0111\u1ea7u. Ph\u01b0\u01a1ng ph\u00e1p ph\u1ed5 bi\u1ebfn \u0111\u1ec3 gi\u00fap ph\u1ee5 n\u1eef mang thai gi\u1ea3m \u0111au \u0111\u1ea7u bao g\u1ed3m:<\/p>\n Khi mang thai m\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c, c\u00e1c thai ph\u1ee5 n\u00ean:<\/p>\nM\u1ed9t S\u1ed1 Lo\u1ea1i \u0110au \u0110\u1ea7u Ph\u1ed5 Bi\u1ebfn Khi Mang Thai:<\/strong><\/h2>\n
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Thu\u1ed1c \u0110au \u0110\u1ea7u C\u00f3 \u0110\u01b0\u1ee3c Cho M\u1eb9 B\u1ea7u U\u1ed1ng Kh\u00f4ng?<\/strong><\/h2>\n
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M\u1eb9 B\u1ea7u S\u1eed D\u1ee5ng Lo\u1ea1i Thu\u1ed1c N\u00e0o?<\/strong><\/h2>\n
9 Lo\u1ea1i Thu\u1ed1c \u0110au \u0110\u1ea7u Cho M\u1eb9 B\u1ea7u Kh\u00f4ng K\u00ea \u0110\u01a1n:<\/strong><\/h2>\n
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\u0110i\u1ec1u Tr\u1ecb \u0110au \u0110\u1ea7u Cho M\u1eb9 B\u1ea7u Theo Toa:<\/strong><\/h2>\n
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L\u01b0u \u00dd Khi D\u00f9ng Thu\u1ed1c Tr\u1ecb \u0110au \u0110\u1ea7u Cho M\u1eb9 B\u1ea7u:<\/strong><\/h2>\n
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D\u1ea5u Hi\u1ec7u \u0110au \u0110\u1ea7u Khi Mang Thai Tr\u1edf N\u00ean Nghi\u00eam Tr\u1ecdng:<\/strong><\/h2>\n
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C\u00e1ch Kh\u00f4ng D\u00f9ng Thu\u1ed1c \u0110\u1ec3 Gi\u1ea3m \u0110au \u0110\u1ea7u Cho M\u1eb9 B\u1ea7u:<\/strong><\/h2>\n
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M\u1ed9t S\u1ed1 C\u00e1ch \u0110\u1ec3 Gi\u1ea3m \u0110au \u0110\u1ea7u Khi Mang Thai:<\/strong><\/h2>\n
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K\u1ebft Lu\u1eadn:<\/strong><\/h2>\n