{"id":3142,"date":"2024-12-21T07:13:42","date_gmt":"2024-12-21T00:13:42","guid":{"rendered":"https:\/\/hienbacsi.com\/?p=3142"},"modified":"2024-12-21T07:13:44","modified_gmt":"2024-12-21T00:13:44","slug":"cap-nhat-dieu-tri-tang-huyet-ap-tren-tap-chi-jama","status":"publish","type":"post","link":"https:\/\/hienbacsi.com\/index.php\/2024\/12\/21\/cap-nhat-dieu-tri-tang-huyet-ap-tren-tap-chi-jama\/","title":{"rendered":"C\u1eadp nh\u1eadt \u0110i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p tr\u00ean t\u1ea1p ch\u00ed JAMA"},"content":{"rendered":"\n

T\u1ea3i mi\u1ec5n ph\u00ed b\u00e0i b\u00e1o:<\/p>\n\n\n\n

https:\/\/drive.google.com\/file\/d\/1G_gFncp9UwpBvILRpv3-tvLB9fc503cp\/view?usp=drive_link<\/a><\/p>\n\n\n\n

ThS BS Tr\u1ea7n H\u1eefu Hi\u1ec1n t\u00f3m t\u1eaft \u00fd ch\u00ednh b\u00e0i b\u00e1o.<\/strong><\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

C\u00e1c bi\u1ec7n ph\u00e1p thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u ti\u00ean cho t\u0103ng huy\u1ebft \u00e1p. Bao g\u1ed3m:<\/strong><\/p>\n\n\n\n

    \n
  • Gi\u1ea3m c\u00e2n.<\/li>\n\n\n\n
  • Gi\u1ea3m l\u01b0\u1ee3ng natri trong ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 b\u1ed5 sung kali.<\/li>\n\n\n\n
  • Th\u1ef1c hi\u1ec7n ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh.<\/li>\n\n\n\n
  • T\u0103ng c\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t.<\/li>\n\n\n\n
  • H\u1ea1n ch\u1ebf ti\u00eau th\u1ee5 r\u01b0\u1ee3u bia.<\/li>\n<\/ul>\n\n\n\n

    \u0110i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o khi c\u00e1c bi\u1ec7n ph\u00e1p thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng kh\u00f4ng \u0111\u1ee7 \u0111\u1ec3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p.<\/strong><\/p>\n\n\n\n

      \n
    • L\u1ef1a ch\u1ecdn thu\u1ed1c t\u00f9y thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1, bao g\u1ed3m m\u1ee9c huy\u1ebft \u00e1p, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tim m\u1ea1ch kh\u00e1c v\u00e0 \u0111\u1eb7c \u0111i\u1ec3m c\u00e1 nh\u00e2n c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n.<\/li>\n\n\n\n
    • C\u00e1c li\u1ec7u ph\u00e1p thu\u1ed1c h\u00e0ng \u0111\u1ea7u bao g\u1ed3m:\n
        \n
      • Thu\u1ed1c l\u1ee3i ti\u1ec3u thiazide ho\u1eb7c t\u01b0\u01a1ng t\u1ef1 thiazide.<\/li>\n\n\n\n
      • Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n (ACE inhibitors) ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 angiotensin II (ARBs).<\/li>\n\n\n\n
      • Thu\u1ed1c ch\u1eb9n k\u00eanh calci (calcium channel blockers).<\/li>\n<\/ul>\n<\/li>\n\n\n\n
      • C\u00e1c thu\u1ed1c h\u00e0ng th\u1ee9 hai, nh\u01b0 thu\u1ed1c \u0111\u1ed1i kh\u00e1ng aldosterone (MRAs) v\u00e0 thu\u1ed1c ch\u1eb9n beta (beta-blockers), c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng khi li\u1ec7u ph\u00e1p h\u00e0ng \u0111\u1ea7u kh\u00f4ng hi\u1ec7u qu\u1ea3 ho\u1eb7c kh\u00f4ng \u0111\u01b0\u1ee3c dung n\u1ea1p t\u1ed1t.<\/li>\n\n\n\n
      • C\u00e1c nh\u00f3m thu\u1ed1c kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, bao g\u1ed3m:\n
          \n
        • Thu\u1ed1c l\u1ee3i ti\u1ec3u gi\u1eef kali.<\/li>\n\n\n\n
        • Thu\u1ed1c l\u1ee3i ti\u1ec3u quai (loop diuretics).<\/li>\n\n\n\n
        • Thu\u1ed1c \u0111\u1ed1i kh\u00e1ng alpha-1.<\/li>\n\n\n\n
        • Thu\u1ed1c ch\u1ee7 v\u1eadn alpha-2 trung \u01b0\u01a1ng (central alpha2-agonists).<\/li>\n\n\n\n
        • Thu\u1ed1c gi\u00e3n m\u1ea1ch tr\u1ef1c ti\u1ebfp (direct vasodilators).<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

          Theo d\u00f5i huy\u1ebft \u00e1p v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p \u0111\u1ea1t m\u1ee5c ti\u00eau.<\/strong><\/p>\n\n\n\n

            \n
          • Vi\u1ec7c theo d\u00f5i c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p gi\u1eefa \u0111o huy\u1ebft \u00e1p t\u1ea1i ph\u00f2ng kh\u00e1m v\u00e0 \u0111o huy\u1ebft \u00e1p t\u1ea1i nh\u00e0.<\/li>\n\n\n\n
          • Li\u1ec1u thu\u1ed1c n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh d\u1ef1a tr\u00ean c\u00e1c k\u1ebft qu\u1ea3 \u0111o huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n\n\n\n

            T\u0103ng huy\u1ebft \u00e1p kh\u00e1ng tr\u1ecb<\/strong> \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 huy\u1ebft \u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t d\u00f9 \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng \u00edt nh\u1ea5t ba lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p kh\u00e1c nhau v\u1edbi li\u1ec1u t\u1ed1i \u01b0u.<\/p>\n\n\n\n

              \n
            • Qu\u1ea3n l\u00fd t\u0103ng huy\u1ebft \u00e1p kh\u00e1ng tr\u1ecb c\u1ea7n x\u1eed l\u00fd c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb, t\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 c\u00e1c nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t g\u00e2y t\u0103ng huy\u1ebft \u00e1p.<\/li>\n<\/ul>\n\n\n\n

              Gi\u1ea3i quy\u1ebft c\u00e1c y\u1ebfu t\u1ed1 x\u00e3 h\u1ed9i li\u00ean quan \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u0169ng c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n vi\u1ec7c ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p.<\/strong><\/p>\n\n\n\n

                \n
              • \u0110i\u1ec1u n\u00e0y bao g\u1ed3m vi\u1ec7c k\u1ebft n\u1ed1i b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c ngu\u1ed3n l\u1ef1c \u0111\u1ec3 gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 nh\u01b0 thi\u1ebfu b\u1ea3o hi\u1ec3m y t\u1ebf, kh\u00f3 kh\u0103n trong ti\u1ebfp c\u1eadn ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe v\u00e0 l\u1ef1a ch\u1ecdn th\u1ef1c ph\u1ea9m l\u00e0nh m\u1ea1nh.<\/li>\n<\/ul>\n\n\n\n

                Ch\u0103m s\u00f3c d\u1ef1a tr\u00ean \u0111\u1ed9i ng\u0169 y t\u1ebf<\/strong>, bao g\u1ed3m s\u1ef1 h\u1ee3p t\u00e1c gi\u1eefa b\u00e1c s\u0129 v\u00e0 c\u00e1c chuy\u00ean gia y t\u1ebf kh\u00e1c, c\u00f3 th\u1ec3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c qu\u1ea3n l\u00fd t\u0103ng huy\u1ebft \u00e1p.<\/p>\n\n\n\n

                T\u1ed1i \u01b0u h\u00f3a s\u1ef1 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb l\u00e0 y\u1ebfu t\u1ed1 quan tr\u1ecdng \u0111\u1ec3 ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p th\u00e0nh c\u00f4ng.<\/strong><\/p>\n\n\n\n

                  \n
                • C\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ef1 tu\u00e2n th\u1ee7 c\u00f3 th\u1ec3 bao g\u1ed3m:\n
                    \n
                  • Gi\u00e1o d\u1ee5c b\u1ec7nh nh\u00e2n.<\/li>\n\n\n\n
                  • \u0110\u01a1n gi\u1ea3n h\u00f3a ph\u00e1c \u0111\u1ed3 d\u00f9ng thu\u1ed1c.<\/li>\n\n\n\n
                  • C\u00e1c can thi\u1ec7p h\u1ed7 tr\u1ee3 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

                    T\u1ea3i mi\u1ec5n ph\u00ed b\u00e0i b\u00e1o: https:\/\/drive.google.com\/file\/d\/1G_gFncp9UwpBvILRpv3-tvLB9fc503cp\/view?usp=drive_link ThS BS Tr\u1ea7n H\u1eefu Hi\u1ec1n t\u00f3m t\u1eaft \u00fd ch\u00ednh b\u00e0i b\u00e1o. C\u00e1c bi\u1ec7n ph\u00e1p thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u…<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[131],"tags":[133,79],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/3142"}],"collection":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/comments?post=3142"}],"version-history":[{"count":1,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/3142\/revisions"}],"predecessor-version":[{"id":3146,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/posts\/3142\/revisions\/3146"}],"wp:attachment":[{"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/media?parent=3142"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/categories?post=3142"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/hienbacsi.com\/index.php\/wp-json\/wp\/v2\/tags?post=3142"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}