{"id":104779,"date":"2022-03-21T00:00:00","date_gmt":"2022-03-21T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/thuoc-ha-huyet-ap\/"},"modified":"2022-10-12T00:00:00","modified_gmt":"2022-10-12T00:00:00","slug":"thuoc-ha-huyet-ap","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/kien-thuc-y-te\/thuoc-ha-huyet-ap\/","title":{"rendered":"Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p v\u00e0 nh\u1eefng \u0111i\u1ec1u b\u1ea1n n\u00ean bi\u1ebft"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p b\u00ean c\u1ea1nh vi\u1ec7c thay \u0111\u1ed5i l\u1ed7i s\u1ed1ng l\u00e0nh m\u1ea1nh. Khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p, vi\u1ec7c duy tr\u00ec thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p h\u1eb1ng ng\u00e0y n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi thu\u1ed1c s\u1ebd gi\u00fap ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p b\u1ec7nh nh\u00e2n \u1edf m\u1ee9c t\u1ed1i \u01b0u nh\u1ea5t. M\u1eddi b\u1ea1n \u0111\u1ecdc c\u00f9ng <strong><a href=\"https:\/\/www.docosan.com\/blog\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a><\/strong> t\u00ecm hi\u1ec3u v\u1ec1 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tang-huy\u1ebft-ap-la-gi\">T\u0103ng huy\u1ebft \u00e1p l\u00e0 g\u00ec?<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/thuoc-ha-huyet-ap-1.jpg\" alt=\"\" class=\"wp-image-48704\"\/><figcaption>T\u0103ng huy\u1ebft \u00e1p l\u00e0 g\u00ec?<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng huy\u1ebft \u00e1p l\u00e0 t\u00ecnh tr\u1ea1ng \u00e1p l\u1ef1c m\u00e1u t\u00e1c \u0111\u1ed9ng l\u00ean th\u00e0nh m\u1ea1ch \u0111\u1ec3 \u0111\u01b0a m\u00e1u t\u1eeb tim \u0111i nu\u00f4i d\u01b0\u1ee1ng c\u00e1c m\u00f4 v\u00e0 c\u01a1 quan trong c\u01a1 th\u1ec3 cao h\u01a1n so v\u1edbi b\u00ecnh th\u01b0\u1eddng. C\u00e1c nguy\u00ean nh\u00e2n t\u0103ng huy\u1ebft \u00e1p r\u1ea5t \u0111a d\u1ea1ng, tuy nhi\u00ean trong s\u1ed1 \u0111\u00f3 \u0111a ph\u1ea7n l\u00e0 nguy\u00ean nh\u00e2n v\u00f4 c\u0103n chi\u1ebfm h\u01a1n 90%. M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t ch\u1ec9 chi\u1ebfm t\u1ef7 l\u1ec7 nh\u1ecf 10% tuy nhi\u00ean th\u01b0\u1eddng r\u1ea5t nguy hi\u1ec3m n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t ng\u01b0\u1eddi \u0111\u01b0\u1ee3c coi l\u00e0 m\u1eafc b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p khi huy\u1ebft \u00e1p t\u00e2m thu l\u1edbn h\u01a1n 140 mmHg v\u00e0\/ho\u1eb7c huy\u1ebft \u00e1p t\u00e2m tr\u01b0\u01a1ng l\u1edbn h\u01a1n 90 mmHg, \u0111\u01b0\u1ee3c \u0111o t\u1ea1i ph\u00f2ng kh\u00e1m. Tuy nhi\u00ean \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh ch\u00ednh x\u00e1c t\u00ecnh tr\u1ea1ng t\u0103ng huy\u1ebft \u00e1p, b\u00e1c s\u0129 th\u01b0\u1eddng cho b\u1ec7nh nh\u00e2n theo d\u00f5i huy\u1ebft \u00e1p t\u1ea1i nh\u00e0 th\u00eam v\u00e0i ng\u00e0y. Huy\u1ebft \u00e1p \u0111o t\u1ea1i nh\u00e0 \u0111\u01b0\u1ee3c cho l\u00e0 t\u0103ng khi tr\u1ecb s\u1ed1 huy\u1ebft \u00e1p l\u1edbn h\u01a1n 135\/85 mmHg.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u0103ng huy\u1ebft \u00e1p ngo\u00e0i vi\u1ec7c \u0111em \u0111\u1ebfn nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0 \u0111au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, x\u00e2y x\u1ea9m m\u1eb7t m\u00e0y c\u00f2n khi\u1ebfn b\u1ec7nh nh\u00e2n t\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan \u0111\u00edch nh\u01b0 n\u00e3o b\u1ed9, tim, th\u1eadn, m\u1ea1ch m\u00e1u. Do \u0111\u00f3, huy\u1ebft \u00e1p n\u00ean \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t th\u01b0\u1eddng xuy\u00ean tr\u00e1nh c\u00e1c \u0111\u1ee3t t\u0103ng huy\u1ebft \u00e1p kh\u00f4ng c\u1ea7n thi\u1ebft. Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb h\u1eefu hi\u1ec7u h\u00e0ng \u0111\u1ea7u \u0111\u01b0\u1ee3c b\u00e1c s\u0129 khuy\u00ean khi b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh huy\u1ebft \u00e1p cao.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"m\u1ed9t-s\u1ed1-lo\u1ea1i-thu\u1ed1c-h\u1ea1-huy\u1ebft-ap\">M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Theo Hi\u1ec7p h\u1ed9i Tim m\u1ea1ch Ch\u00e2u \u00c2u, hi\u1ec7n nay c\u00f3 5 nh\u00f3m thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p ch\u00ednh bao g\u1ed3m thu\u1ed1c l\u1ee3i ti\u1ec3u, thu\u1ed1c ch\u1eb9n beta, thu\u1ed1c \u0111\u1ed1i kh\u00e1ng k\u00eanh calci, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n, thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 angiotensin. Tuy nhi\u00ean theo Li\u00ean \u1ee7y ban Qu\u1ed1c gia Hoa K\u1ef3, thu\u1ed1c ch\u1eb9n beta kh\u00f4ng \u0111\u01b0\u1ee3c li\u1ec7t v\u00e0o trong nh\u00f3m c\u00e1c lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb t\u0103ng huy\u1ebft \u00e1p do \u0111\u00f3 ch\u1ec9 c\u00f3 4 nh\u00f3m thu\u1ed1c ch\u00ednh. Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n c\u1ea7n l\u1edbn h\u01a1n 1 nh\u00f3m thu\u1ed1c \u0111\u1ec3 \u0111\u1ea1t huy\u1ebft \u00e1p m\u1ee5c ti\u00eau.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/thuoc-ha-huyet-ap-2.jpg\" alt=\"\" class=\"wp-image-48705\"\/><figcaption>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin c\u01a1 b\u1ea3n v\u1ec1 4 lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p ch\u00ednh theo JNC:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"thu\u1ed1c-l\u1ee3i-ti\u1ec3u\">Thu\u1ed1c l\u1ee3i ti\u1ec3u<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c l\u1ee3i ti\u1ec3u bao g\u1ed3m nhi\u1ec1u lo\u1ea1i kh\u00e1c nhau, ch\u00fang \u0111\u1ec1u c\u00f3 c\u00f4ng d\u1ee5ng l\u1ee3i ti\u1ec3u nh\u01b0ng \u0111\u01b0\u1ee3c b\u00e1c s\u0129 s\u1eed d\u1ee5ng tr\u00ean l\u00e2m s\u00e0ng v\u1edbi nhi\u1ec1u m\u1ee5c \u0111\u00edch kh\u00e1c nhau \u0111i k\u00e8m:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>L\u1ee3i ti\u1ec3u th\u1ea9m th\u1ea5u: Mannitol<\/li><li>\u1ee8c ch\u1ebf Cacbonic Anhydrase<\/li><li>\u1ee8c ch\u1ebf ch\u1ea5t \u0111\u1ed3ng v\u1eadn Natri\/Glucose<\/li><li>L\u1ee3i ti\u1ec3u quai: Furosemide<\/li><li>L\u1ee3i ti\u1ec3u Thiazide<\/li><li>L\u1ee3i ti\u1ec3u ti\u1ebft ki\u1ec7m Kali<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c lo\u1ea1i thu\u1ed1c l\u1ee3i ti\u1ec3u c\u00f3 hi\u1ec7u \u1ee9ng l\u1ee3i ti\u1ec3u kh\u00e1c nhau t\u1eeb y\u1ebfu \u0111\u1ebfn m\u1ea1nh. Trong l\u1ee3i ti\u1ec3u th\u1ea9m th\u1ea5u v\u00e0 l\u1ee3i ti\u1ec3u quai l\u00e0 m\u1ed9t trong hai lo\u1ea1i thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng l\u1ee3i ti\u1ec3u m\u1ea1nh nh\u1ea5t. C\u00e1c thu\u1ed1c l\u1ee3i ti\u1ec3u h\u1ea7u nh\u01b0 s\u1ebd c\u00f3 c\u01a1 ch\u1ebf h\u1ea1n ch\u1ebf h\u1ea5p th\u1ee5 l\u1ea1i n\u01b0\u1edbc \u1edf c\u00e1c \u1ed1ng th\u1eadn, k\u00e8m v\u1edbi \u0111\u00f3 l\u00e0 gia t\u0103ng t\u1ed1c \u0111\u1ed9 l\u1ecdc c\u1ee7a c\u1ea7u th\u1eadn, t\u0103ng l\u01b0u l\u01b0\u1ee3ng m\u00e1u \u0111\u1ebfn th\u1eadn t\u1eeb \u0111\u00f3 gi\u00fap h\u1ea1 huy\u1ebft \u00e1p ng\u01b0\u1eddi b\u1ec7nh. L\u1ee3i ti\u1ec3u l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p \u0111\u01b0\u1ee3c d\u00f9ng kh\u00e1 nhi\u1ec1u tr\u00ean l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"thu\u1ed1c-\u1ee9c-ch\u1ebf-kenh-canxi\">Thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh canxi<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh canxi l\u00e0 m\u1ed9t trong nh\u1eefng lo\u1ea1i thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f3 c\u01a1 ch\u1ebf \u1ee9c ch\u1ebf c\u00e1c k\u00eanh canxi l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 canxi trong t\u1ebf b\u00e0o c\u01a1 tim t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn huy\u1ebft \u00e1p, s\u1ee9c co b\u00f3p c\u01a1 tim, nh\u1ecbp tim gi\u1ea3m. Thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh canxi \u1ea3nh h\u01b0\u1edfng ch\u1ee7 y\u1ebfu l\u00ean c\u00e1c ti\u1ec3u \u0111\u1ed9ng m\u1ea1ch, \u0111\u01b0\u1ee3c chia l\u00e0m hai nh\u00f3m ch\u00ednh:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Thu\u1ed1c t\u00e1c \u0111\u1ed9ng ch\u1ee7 y\u1ebfu l\u00ean m\u1ea1ch m\u00e1u (nh\u00f3m DPH): nifedipine, felodipine, amlodipine, nicardipine.<\/li><li>Thu\u1ed1c t\u00e1c \u0111\u1ed9ng ch\u1ee7 y\u1ebfu l\u00ean tim (nh\u00f3m non-DPH): verapamil, diltiazem<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c \u1ee9c ch\u1ebf k\u00eanh canxi ngo\u00e0i t\u00e1c d\u1ee5ng l\u00e0 m\u1ed9t thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y n\u1eb7ng h\u01a1n t\u00ecnh tr\u1ea1ng suy tim, nh\u1ecbp ch\u1eadm xoang, block nh\u0129 th\u1ea5t, \u0111\u1ecf b\u1eebng m\u1eb7t, \u0111au \u0111\u1ea7u, ph\u00f9 ngo\u1ea1i bi\u00ean. Do thu\u1ed1c c\u1ea7n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng d\u01b0\u1edbi ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 tr\u00e1nh t\u1ef1 \u00fd s\u1eed d\u1ee5ng. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh khi qu\u00e1 m\u1eabn v\u1edbi b\u1ea5t k\u1ef3 th\u00e0nh ph\u1ea7n n\u00e0o c\u1ee7a thu\u1ed1c, nh\u1ecbp ch\u1eadm hay h\u1ed9i ch\u1ee9ng suy n\u00fat xoang (\u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u00f3m non-DPH).<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"thu\u1ed1c-\u1ee9c-ch\u1ebf-men-chuy\u1ec3n\">Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n l\u00e0 m\u1ed9t thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p c\u00f3 t\u00e1c d\u1ee5ng theo c\u01a1 ch\u1ebf \u1ee9c ch\u1ebf men ACE, gi\u00fap ng\u0103n s\u1ef1 t\u1ea1o th\u00e0nh Angiotensin-II t\u1eeb Angiotensin-I, t\u1eeb \u0111\u00f3 gi\u1ea3m t\u00ecnh tr\u1ea1ng co m\u1ea1ch v\u00e0 b\u00e0i ti\u1ebft Aldosterol gi\u00fap h\u1ea1 huy\u1ebft \u00e1p, t\u0103ng nh\u1eb9 kali m\u00e1u, m\u1ea5t natri v\u00e0 n\u01b0\u1edbc. B\u00ean c\u1ea1nh \u0111\u00f3, thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n c\u00f2n c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ph\u00e1 h\u1ee7y bradikinin &#8211; m\u1ed9t ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng d\u00e3n m\u1ea1ch &#8211; g\u00e2y t\u00edch t\u1ee5 bradykinin, gi\u1ea3i ph\u00f3ng NO v\u00e0 prostaglandin t\u1ea1o t\u00e1c d\u1ee5ng d\u00e3n m\u1ea1ch c\u1ee7a thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 thu\u1ed9c h\u1ea1 huy\u1ebf \u00e1p thu\u1ed9c nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n bao g\u1ed3m: Captopril, Enalapril, Lisinopril, Perindopril, Ramipril, Enalaprilat. Trong \u0111\u00f3 ch\u1ec9 c\u00f3 m\u1ed7i Enalaprilat d\u00f9ng \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch c\u00f2n t\u1ea5t c\u1ea3 c\u00e1c thu\u1ed1c c\u00f2n l\u1ea1i \u0111\u1ec1u d\u00f9ng \u0111\u01b0\u1eddng u\u1ed1ng. Thu\u1ed1c ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef \u0111ang mang thai v\u00e0 b\u1ec7nh nh\u00e2n c\u00f3 b\u1ec7nh m\u1ea1ch m\u00e1u th\u1eadn. Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u00e2y ho khan do t\u0103ng bradykinin v\u00e0 t\u1ee5t huy\u1ebft \u00e1p n\u00ean th\u1eadn tr\u1ecdng khi d\u00f9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c \u1ee9c ch\u1ebf men chuy\u1ec3n \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p t\u0103ng huy\u1ebft \u00e1p, suy tim, \u0111au th\u1eaft ng\u1ef1c, sau nh\u1ed3i m\u00e1u c\u01a1 tim, ti\u1ec3u \u0111\u1ea1m \u1edf b\u1ec7nh nh\u00e2n c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. \u0110\u1eb7c bi\u1ec7t \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef mang thai v\u00e0 cho con b\u00fa kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng do c\u00f3 th\u1ec3 g\u00e2y t\u1ee5t huy\u1ebft \u00e1p v\u00e0 gi\u1ea3m t\u1ea1o n\u01b0\u1edbc ti\u1ec3u \u1edf thai nhi, g\u00e2y qu\u00e1i thai v\u00e0 t\u1eed vong.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"thu\u1ed1c-\u1ee9c-ch\u1ebf-th\u1ee5-th\u1ec3-angiotensin-ii\">Thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Angiotensin-II<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c c\u00f3 t\u00e1c d\u1ee5ng ng\u0103n Angiotensin-II g\u1eafn v\u00e0o th\u1ee5 th\u1ec3 c\u1ee7a ch\u00ednh n\u00f3 t\u1eeb \u0111\u00f3 g\u00e2y d\u00e3n m\u1ea1ch, gi\u1ea3m b\u00e0i ti\u1ebft Aldosterol, gi\u1ea3m t\u00e1i h\u1ea5p thu Natri \u1edf \u1ed1ng l\u01b0\u1ee3n xa. \u0110\u1eafc bi\u1ec7t thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Angiotensin-II kh\u00f4ng l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 bradykinin do \u0111\u00f3 kh\u00f4ng ho\u1eb7c r\u1ea5t \u00edt g\u00e2y ho khan. M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c thu\u1ed9c nh\u00f3m thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 Angiotensin-II bao g\u1ed3m: Candersartan, Valsartan, Telmisartan, Losartan, Irbersartan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p n\u00ean \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng d\u01b0\u1edbi s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa Tim m\u1ea1ch. Tr\u00e1nh tr\u01b0\u1eddng h\u1ee3p t\u1ef1 \u00fd s\u1eed d\u1ee5ng thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p t\u1ea1i nh\u00e0 b\u1edfi ch\u00fang ta kh\u00f4ng th\u1ec3 l\u01b0\u1eddng tr\u01b0\u1edbc \u0111\u01b0\u1ee3c c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 m\u00e0 thu\u1ed1c c\u00f3 th\u1ec3 mang l\u1ea1i. Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p s\u1ebd h\u1ed7 tr\u1ee3 b\u1ec7nh nh\u00e2n ki\u1ec3m so\u00e1t huy\u1ebft \u00e1p n\u1ebfu nh\u01b0 \u0111\u01b0\u1ee3c d\u00f9ng li\u1ec1u ph\u00f9 h\u1ee3p, th\u01b0\u1eddng xuy\u00ean.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho ng\u01b0\u1eddi m\u1eafc b\u1ec7nh t\u0103ng huy\u1ebft \u00e1p b\u00ean c\u1ea1nh vi\u1ec7c thay \u0111\u1ed5i l\u1ed7i s\u1ed1ng l\u00e0nh m\u1ea1nh. Khi ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c b\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n t\u0103ng huy\u1ebft \u00e1p, vi\u1ec7c duy tr\u00ec thu\u1ed1c h\u1ea1 huy\u1ebft \u00e1p h\u1eb1ng ng\u00e0y n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1edfi thu\u1ed1c s\u1ebd [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":95264,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[13,185],"tags":[],"class_list":["post-104779","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kien-thuc-y-te","category-tim-mach"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/thuoc-ha-huyet-ap-2-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/03\/thuoc-ha-huyet-ap-2-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104779","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=104779"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104779\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/95264"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104779"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104779"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104779"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}