{"id":4043,"date":"2023-10-05T09:08:25","date_gmt":"2023-10-05T02:08:25","guid":{"rendered":"https:\/\/baniphar.com\/trieu-chung-o-hoi-va-cach-dieu-tri\/"},"modified":"2023-10-05T09:08:25","modified_gmt":"2023-10-05T02:08:25","slug":"trieu-chung-o-hoi-va-cach-dieu-tri","status":"publish","type":"post","link":"https:\/\/baniphar.com\/en\/trieu-chung-o-hoi-va-cach-dieu-tri\/","title":{"rendered":"Tri\u1ec7u ch\u1ee9ng \u1ee3 h\u01a1i v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"
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C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u1ee3 n\u00f3ng \u0111\u01b0\u1ee3c g\u00e2y ra do s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c c\u00e1c ch\u1ea5t, \u0111\u1eb7c bi\u1ec7t l\u00e0 acid t\u1eeb d\u1ea1 d\u00e0y v\u00e0o th\u1ef1c qu\u1ea3n, g\u00e2y k\u00edch \u1ee9ng b\u1ec1 m\u1eb7t ni\u00eam m\u1ea1c nh\u1ea1y c\u1ea3m c\u1ee7a th\u1ef1c qu\u1ea3n. B\u1ec7nh nh\u00e2n th\u01b0\u1eddng m\u00f4 t\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ch\u1ee9ng \u1ee3 n\u00f3ng \u0111i\u1ec3n h\u00ecnh g\u1ed3m: c\u1ea3m gi\u00e1c n\u00f3ng kh\u00f3 ch\u1ecbu\/\u0111au \u1edf d\u1ea1 d\u00e0y, lan ra sau x\u01b0\u01a1ng \u1ee9c. Qua b\u00e0i vi\u1ebft n\u00e0y, D\u01b0\u1ee3c B\u1eafc Ninh s\u1ebd gi\u1edbi thi\u1ec7u cho b\u1ea1n c\u00e1c tri\u1ec7u ch\u1ee9ng, d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh \u1ee3 h\u01a1i v\u00e0 c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb.<\/strong><\/p>\n

I. Tri\u1ec7u ch\u1ee9ng b\u1ec7nh \u1ee3 h\u01a1i <\/strong><\/h2>\n

C\u1ea3m gi\u00e1c n\u00f3ng kh\u00f3 ch\u1ecbu \u1edf ph\u1ea7n tr\u00ean d\u1ea1 d\u00e0y (th\u01b0\u1ee3ng v\u1ecb) v\u00e0 c\u1ea3m gi\u00e1c n\u00f3ng di chuy\u1ec3n ra sau x\u01b0\u01a1ng \u1ee9c. C\u1ea3m gi\u00e1c \u0111au c\u00f3 th\u1ec3 ch\u1ec9 \u1edf ph\u1ea7n d\u01b0\u1edbi d\u1ea1 d\u00e0y ho\u1eb7c th\u1ec9nh tho\u1ea3ng \u1edf ph\u00eda tr\u00ean b\u00ean ph\u1ea3i d\u1ea1 d\u00e0y h\u01b0\u1edbng t\u1edbi h\u1ecdng, g\u00e2y c\u1ea3m gi\u00e1c v\u1ecb acid \u1edf mi\u1ec7ng.<\/p>\n

Ch\u1ee9ng \u1ee3 n\u00f3ng th\u01b0\u1eddng x\u1ea3y ra khi g\u1eadp ng\u01b0\u1eddi ho\u1eb7c khi n\u1eb1m. X\u1ea3y ra nhi\u1ec1u h\u01a1n \u1edf ng\u01b0\u1eddi th\u1eeba c\u00e2n v\u00e0 t\u0103ng n\u1eb7ng h\u01a1n khi t\u0103ng c\u00e2n. C\u00f3 d\u1ec5 x\u1ea3y ra sau m\u1ed9t b\u1eefa \u0103n no. \u1ee2 h\u01a1i c\u00f3 th\u1ec3 g\u00e2y ra ho\u1eb7c l\u00e0m tr\u1ea7m tr\u1ecdng h\u01a1n ch\u1ee9ng \u1ee3 n\u00f3ng.<\/p>\n

Nhi\u1ec1u b\u1ec7nh nh\u00e2n c\u00f3 th\u00f3i quen s\u1ee3 nu\u1ed1t \u0111\u1ec3 l\u00e0m s\u1ea1ch c\u1ed5 h\u1ecdng. M\u1ed7i khi nu\u1ed1t, kh\u00f4ng kh\u00ed b\u1ecb \u0111\u1ea9y xu\u1ed1ng d\u1ea1 d\u00e0y v\u00e0 l\u00e0m c\u0103ng d\u1ea1 d\u00e0y. \u0110i\u1ec1u n\u00e0y g\u00e2y c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu v\u00e0 c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu n\u00e0y gi\u1ea3m \u0111i khi \u1ee3 xu\u1ea5t hi\u1ec7n sau \u0111\u00f3, nh\u01b0ng ph\u1ea3n \u1ee9ng \u1ee3 l\u1ea1i c\u00f3 khuynh h\u01b0\u1edbng li\u00ean quan \u0111\u1ebfn ph\u1ea3n \u1ee9ng tr\u00e0o ng\u01b0\u1ee3c acid d\u1ea1 d\u00e0y.<\/p>\n

1. C\u01a1n \u0111au nghi\u00eam tr\u1ecdng<\/strong><\/h3>\n

Th\u1ec9nh tho\u1ea3ng nh\u1eefng c\u01a1n \u0111au c\u00f3 th\u1ec3 \u0111\u1ebfn b\u1ea5t ng\u1edd v\u00e0 d\u1eef d\u1ed9i, th\u1eadm ch\u00ed lan ra sau l\u01b0ng v\u00e0 tay. Trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y kh\u00f3 ph\u00e2n bi\u1ec7t v\u1edbi m\u1ed9t c\u01a1n \u0111au tim, do \u0111\u00f3 b\u1ec7nh nh\u00e2n n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129. Th\u1ec9nh tho\u1ea3ng c\u00f3 nh\u1eefng b\u1ec7nh nh\u00e2n nh\u1eadp vi\u00ean v\u1edbi nghi ng\u1edd \u0111au tim nh\u01b0ng h\u00f3a ra l\u00e0 b\u1ecb vi\u00eam th\u1ef1c qu\u1ea3n.<\/p>\n

2. Kh\u00f3 nu\u1ed1t<\/strong><\/h3>\n

Kh\u00f3 nu\u1ed1t ph\u1ea3i \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng. Kh\u00f3 nu\u1ed1t c\u00f3 th\u1ec3 l\u00e0 c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu khi nu\u1ed1t th\u1ee9c \u0103n ho\u1eb7c \u0111\u1ed3 u\u1ed1ng ho\u1eb7c c\u1ea3m gi\u00e1c khi th\u1ee9c \u0103n ho\u1eb7c ch\u1ea5t l\u1ecfng d\u00ednh v\u00e0o th\u1ef1c qu\u1ea3n\/c\u1ed5 h\u1ecdng. C\u1ea3 2 tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u1ea7n ph\u1ea3i \u0111\u1ec1 ngh\u1ecb \u0111i kh\u00e1m. C\u00f3 th\u1ec3 c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu n\u00e0y l\u00e0 t\u00ecnh tr\u1ea1ng th\u1ee9 ph\u00e1t x\u1ea3y ra sau tr\u00e0o ng\u01b0\u1ee3c acid (b\u1ec7nh tr\u00e0o ng\u01b0\u1ee3c d\u1ea1 d\u00e0y-th\u1ef1c qu\u1ea3n)., \u0111\u1eb7c bi\u1ebft x\u1ea3y ra khi nu\u1ed1t \u0111\u1ed3 u\u1ed1ng n\u00f3ng ho\u1eb7c c\u00e1c ch\u1ea5t l\u1ecfng c\u00f3 t\u00ednh k\u00edch \u1ee9ng nh\u01b0 r\u01b0\u1ee3u, n\u01b0\u1edbc tr\u00e1i c\u00e2y. Ti\u1ec1n s\u1eed c\u00f3 c\u1ea3m gi\u00e1c d\u00ednh th\u1ee9c \u0103n khi nu\u1ed1t ho\u1eb7c th\u1ee9c \u0103n d\u01b0\u1eddng nh\u01b0 kh\u00f4ng r\u01a1i xu\u1ed1ng d\u1ea1 d\u00e0y c\u1ea7n ch\u1ec9 \u0111\u1ecbnh \u0111\u01b0\u1ee3c kh\u00e1m b\u00e1c s\u0129 ngay l\u1eadp t\u1ee9c. N\u00f3 c\u00f3 th\u1ec3 do t\u1eafc ngh\u1ebdn th\u1ef1c qu\u1ea3n, v\u00ed d\u1ee5 b\u1edfi m\u1ed9t kh\u1ed1i u.<\/p>\n

3. S\u1ef1 tr\u00e0o ng\u01b0\u1ee3c (Regurgitation)<\/strong><\/h3>\n

Tr\u00e0o ng\u01b0\u1ee3c c\u00f3 th\u1ec3 k\u00e8m ch\u1ee9ng kh\u00f3 nu\u1ed1t. N\u00f3 x\u1ea3y ra khi th\u1ee9c \u0103n \u0111\u00e3 \u0103n b\u1ecb d\u00ednh v\u00e0o th\u1ef1c qu\u1ea3n v\u00e0 b\u1ecb n\u00f4n\/\u1ee3 tr\u1edf l\u1ea1i m\u00e0 kh\u00f4ng \u0111i v\u00e0o \u0111\u01b0\u1ee3c d\u1ea1 d\u00e0y. \u0110i\u1ec1u n\u00e0y x\u1ea3y ra do s\u1ef1 t\u1eafc ngh\u1ebdn c\u01a1 h\u1ecdc trong th\u1ef1c qu\u1ea3n. Tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra b\u1edfi ung th\u01b0 ho\u1eb7c may m\u1eafn h\u01a1n b\u1edfi nh\u1eefng nguy\u00ean nh\u00e2n \u00edt nghi\u00eam tr\u1ecdng h\u01a1n nh\u01b0 h\u1eb9p \u1ed1ng ti\u00eau h\u00f3a. H\u1eb9p \u1ed1ng ti\u00eau h\u00f3a b\u1ecb g\u00e2y n\u00ean b\u1edfi t\u00ecnh tr\u1ea1ng k\u00e9o d\u00e0i c\u1ee7a tr\u00e0o ng\u01b0\u1ee3c acid c\u00f9ng v\u1edbi vi\u00eam th\u1ef1c qu\u1ea3n.<\/p>\n

T\u00ecnh tr\u1ea1ng vi\u00eam li\u00ean t\u1ee5c th\u1ef1c qu\u1ea3n t\u1ea1o c\u00e1c s\u1eb9o l\u00e0m h\u1eb9p \u0111\u01b0\u1eddng th\u1ef1c qu\u1ea3n. V\u1ea5n \u0111\u1ec1 n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng l\u00e0m gi\u00e3n th\u1ef1c qu\u1ea3n d\u00f9ng n\u1ed9i soi s\u1ee3i quang . Tuy nhi\u00ean, vi\u1ec7c ki\u1ec3m tra v\u00e0 x\u00e9t nghi\u1ec7m y khoa chuy\u00ean s\u00e2u h\u01a1n l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y l\u00ean s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c.<\/p>\n

II. Khi n\u00e0o ng\u01b0\u1eddi b\u1ecb \u1ee3 h\u01a1i c\u1ea7n \u0111i kh\u00e1m b\u00e1c s\u0129<\/strong><\/h2>\n

N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u00e1p \u1ee9ng sau \u0111i\u1ec1u tr\u1ecb 1 tu\u1ea7n, b\u1ec7nh nh\u00e2n n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129:<\/p>\n

– Kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c thu\u1ed1c kh\u00e1ng acid.<\/p>\n

– C\u1ea3m gi\u00e1c \u0111au lan ra c\u00e1nh tay.<\/p>\n

– Kh\u00f3 nu\u1ed1t<\/p>\n

– \u1ee2\/n\u00f4n<\/p>\n

– X\u1ea3y ra trong th\u1eddi gian d\u00e0i<\/p>\n

– M\u1ee9c \u0111\u1ed9 n\u1eb7ng t\u0103ng d\u1ea7n<\/p>\n

– Tr\u1ebb em<\/p>\n

III. \u0110i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng \u1ee3 h\u01a1i<\/strong><\/h2>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u1ee3 n\u00f3ng \u0111\u00e1p \u1ee9ng t\u1ed1t v\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c thu\u1ed1c kh\u00f4ng k\u00ea \u0111\u01a1n, v\u00e0 d\u01b0\u1ee3c s\u0129 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c cung c\u1ea5p c\u00e1c l\u1eddi khuy\u00ean thi\u1ebft th\u1ef1c v\u1ec1 c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 t\u00e1i ph\u00e1t. C\u00e1c d\u01b0\u1ee3c s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 chuy\u00ean m\u00f4n \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n hay kh\u00f4ng vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng acid\/alginat, kh\u00e1ng H2 ho\u1eb7c \u1ee9c ch\u1ebf b\u01a1m proton (PPI) (omeprazole, pantoprazole, rabeprazole) nh\u01b0 \u0111i\u1ec1u tr\u1ecb \u0111\u1ea7u tay.<\/p>\n

1. Thu\u1ed1c kh\u00e1ng acid<\/strong><\/h3>\n

C\u00e1c kh\u00e1ng acid c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 trong ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u1ee3 n\u00f3ng v\u00e0 tr\u00e0o ng\u01b0\u1ee3c, v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng h\u01a1n khi k\u1ebft h\u1ee3p v\u1edbi m\u1ed9t alginat.<\/p>\n

2. Thu\u1ed1c Alginat<\/strong><\/h3>\n

Thu\u1ed1c alginat t\u1ea1o th\u00e0nh c\u00e1c m\u1ea3ng n\u1eb1m tr\u00ean b\u1ec1 m\u1eb7t d\u1ea1 d\u00e0y v\u00e0 ng\u0103n c\u1ea3n s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c. M\u1ed9t s\u1ed1 alginat ch\u1ee9a natri bicarbonate, khi k\u1ebft h\u1ee3p v\u1edbi acid s\u1ebd gi\u1ea3i ph\u00f3ng carbon dioxid trong d\u1ea1 d\u00e0y, l\u00e0m n\u1ed5i c\u00e1c m\u1ea3ng tr\u00ean b\u1ec1 m\u1eb7t d\u1ea1 d\u00e0y.<\/p>\n

3. Kh\u00e1ng H2 (famotidine v\u00e0 ranitidine)<\/strong><\/h3>\n

Famotidin v\u00e0 ranitidine c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n ch\u1ee9ng kh\u00f3 ti\u00eau, ch\u1ee9ng t\u0103ng acid v\u00e0 \u1ee3 n\u00f3ng \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 tr\u1ebb em tr\u00ean 16 tu\u1ed5i. H\u1ea1n ch\u1ebf \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n kh\u00f4ng t\u1ef1 \u00fd \u0111i\u1ec1u tr\u1ecb d\u00e0i h\u1ea1n.<\/p>\n

C\u00e1c kh\u00e1ng H2 c\u00f3 t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i (\u0111\u1ebfn 8-9 ti\u1ebfng) v\u00e0 kh\u1edfi ph\u00e1t t\u00e1c d\u1ee5ng l\u00e2u h\u01a1n c\u00e1c kh\u00e1ng acid. \u1ede nh\u1eefng b\u1ec7nh nh\u00e2n m\u00e0 th\u1ee9c \u0103n l\u00e0 y\u1ebfu t\u1ed5 kh\u1edfi ph\u00e1t \u1ee3 n\u00f3ng, kh\u00e1ng H2 n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng tr\u01b0\u1edbc \u0103n 1 ti\u1ebfng. C\u00e1c kh\u00e1ng H2 c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 ph\u00f2ng b\u1ec7nh \u1ee3 n\u00f3ng v\u1ec1 \u0111\u00eam. \u0110au \u0111\u1ea7u, ch\u00f3ng m\u1eb7t, ti\u00eau ch\u1ea3y v\u00e0 ph\u00e1t ban da \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn nh\u01b0 l\u00e0 c\u00e1c t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n nh\u01b0ng kh\u00f4ng ph\u1ed5 bi\u1ebfn.<\/p>\n

4. \u1ee8c ch\u1ebf b\u01a1m proton (PPI)<\/strong><\/h3>\n

Omeprazole, pantoprazole v\u00e0 rabeprazole c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u1ee3 n\u00f3ng c\u00f3 k\u00e8m tr\u00e0o ng\u01b0\u1ee3c \u1edf ng\u01b0\u1eddi l\u1edbn. PPI \u0111\u01b0\u1ee3c xem nh\u01b0 l\u00e0 m\u1ed9t trong s\u1ed1 c\u00e1c thu\u1ed1c c\u00f3 hi\u1ec7u qu\u1ea3 nh\u1ea5t l\u00e0m gi\u1ea3m \u1ee3 n\u00f3ng. C\u00f3 th\u1ebf m\u1ea5t m\u1ed9t ng\u00e0y ho\u1eb7c h\u01a1n \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 \u0111\u1ea7y \u0111\u1ee7. Trong th\u1eddi gian n\u00e0y, b\u1ec7nh nh\u00e2n v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111ang ti\u1ebfn tri\u1ec3n c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u0111\u1ed3ng th\u1eddi thu\u1ed1c kh\u00e1ng acid. PPI ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch c\u1ea3n tr\u1edf s\u1ef1 ti\u1ebft acid \u1edf d\u1ea1 d\u00e0y.<\/p>\n

Ch\u00fang \u1ee9c ch\u1ebf giai \u0111o\u1ea1n cu\u1ed1i c\u1ee7a vi\u1ec7c s\u1ea3n sinh acid d\u1ea1 d\u00e0y b\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf enzyme ATPase Kali-Hydrogen \u1edf t\u1ebf b\u00e0o th\u00e0nh d\u1ea1 d\u00e0y (c\u00f2n \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 b\u01a1m proton). Omeprazole v\u00e0 rabeprazole \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p l\u00e0 m\u1ed9t thu\u1ed1c OTC \u1edf d\u1ea1ng vi\u00ean n\u00e9n 10mg, pantoprazol 20mg, li\u1ec1u \u0111\u01b0\u1ee3c th\u1ec3 hi\u1ec7n tr\u00ean b\u1ea3ng sau:<\/p>\n

H\u00e0m l\u01b0\u1ee3ng v\u00e0 li\u1ec1u d\u00f9ng c\u1ee7a c\u00e1c PPI d\u1ea1ng OTC<\/em><\/strong><\/p>\n\n\n\n\n\n\n\n
<\/th>\nH\u00e0m l\u01b0\u1ee3ng<\/th>\nLi\u1ec1u h\u1eb1ng ng\u00e0y<\/th>\n<\/tr>\n<\/thead>\n
Omeprazole<\/td>\n10 mg<\/td>\n20 mg<\/td>\n<\/tr>\n
Pantoprazole<\/td>\n20 mg<\/td>\n20 mg<\/td>\n<\/tr>\n
Rabeprazole<\/td>\n10 mg<\/td>\n20 mg<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

Nh\u1eefng b\u1ec7nh nh\u00e2n \u0111ang d\u00f9ng PPI n\u00ean \u0111\u01b0\u1ee3c khuy\u00ean tr\u00e1nh d\u00f9ng kh\u00e1ng H2 c\u00f9ng l\u00fac.C\u00e1c vi\u00ean thu\u1ed1c n\u00ean \u0111\u01b0\u1ee3c nu\u1ed1t tr\u1ecdn v\u1edbi nhi\u1ec1u n\u01b0\u1edbc tr\u01b0\u1edbc b\u1eefa \u0103n. \u0110i\u1ec1u quan trong l\u00e0 c\u00e1c vi\u00ean thu\u1ed1c kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ebb ho\u1eb7c nhai. R\u01b0\u1ee3u v\u00e0 th\u1ee9c \u0103n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 h\u1ea5p thu c\u1ee7a PPI. N\u1ebfu kh\u00f4ng l\u00e0m gi\u1ea3m \u0111\u01b0\u1ee3c tri\u1ec7u ch\u1ee9ng trong 2 tu\u1ea7n, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u01b0\u01a1c \u0111\u1ec1 ngh\u1ecb \u0111\u1ebfn kh\u00e1m b\u00e1c s\u0129. PPIkh\u00f4ng n\u00ean \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong th\u1eddi gian thai k\u00ec v\u00e0 cho con b\u00fa. Bu\u1ed3n ng\u1ee7, g\u00e2y l\u01a1 m\u01a1 l\u00e0 ADR \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn nh\u01b0ng hi\u1ebfm g\u1eb7p. \u0110i\u1ec1u tr\u1ecb v\u1edbi PPI c\u00f3 th\u1ec3 g\u00e2y k\u1ebft qu\u1ea3 \u00e2m t\u00ednh gi\u1ea3 khi test h\u01a1i th\u1edf \u0111\u1ec3 ph\u00e1t hi\u1ec7n vi khu\u1ea9n Helicobacter.<\/p>\n

Tham kh\u1ea3o s\u1ea3n ph\u1ea9m Curcumin nguy\u00ean ch\u1ea5t Baniphar<\/strong> gi\u00fap \u0111i\u1ec1u tr\u1ecb b\u1ec7nh d\u1ea1 d\u00e0y, \u1ee3 h\u01a1i \u1ee3 chua, \u0111\u1ea9y m\u1ea1nh qu\u00e1 tr\u00ecnh l\u00e0m l\u00e0nh v\u1ebft lo\u00e9t<\/p>\n

\"\"\"\"<\/p>\n

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