{"id":3088,"date":"2023-07-17T16:23:35","date_gmt":"2023-07-17T09:23:35","guid":{"rendered":"https:\/\/opfe.vn\/?p=3088"},"modified":"2023-07-17T16:31:24","modified_gmt":"2023-07-17T09:31:24","slug":"cac-phuong-phap-dieu-tri-benh-thien-dau-thong","status":"publish","type":"post","link":"https:\/\/opfe.vn\/index.php\/2023\/07\/17\/cac-phuong-phap-dieu-tri-benh-thien-dau-thong\/","title":{"rendered":"[C\u00c1C PH\u01af\u01a0NG PH\u00c1P \u0110I\u1ec0U TR\u1eca B\u1ec6NH THI\u00caN \u0110\u1ea6U TH\u1ed0NG]"},"content":{"rendered":"\n<h3 class=\"wp-block-heading\">1. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c<\/h3>\n\n\n\n<p><img decoding=\"async\" height=\"16\" width=\"16\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t5d\/1\/16\/26a1.png\" alt=\"\u26a1\ufe0f\"> Thu\u1ed1c nh\u1ecf m\u1eaft k\u00ea \u0111\u01a1n gi\u00fap l\u00e0m h\u1ea1 nh\u00e3n \u00e1p theo 2 c\u01a1 ch\u1ebf l\u00e0 gi\u1ea3m s\u1ea3n xu\u1ea5t ho\u1eb7c t\u0103ng l\u01b0u th\u00f4ng th\u1ee7y d\u1ecbch. C\u00e1c lo\u1ea1i thu\u1ed1c nh\u1ecf m\u1eaft \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn l\u00e0:<br>Nh\u00f3m thu\u1ed1c l\u00e0m t\u0103ng \u0111\u00e0o th\u1ea3i th\u1ee7y d\u1ecbch: Prostaglandin (latanoprost, travoprost, tafluprost), ch\u1ea5t ch\u1ee7 v\u1eadn alpha-adrenergic (apraclonidine, brimonidine), t\u00e1c nh\u00e2n mitotic ho\u1eb7c cholinergic (pilocarpine)\u2026<\/p>\n\n\n\n<p><img decoding=\"async\" height=\"16\" width=\"16\" alt=\"\u26a1\ufe0f\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t5d\/1\/16\/26a1.png\">&nbsp;Nh\u00f3m thu\u1ed1c gi\u1ea3m s\u1ea3n xu\u1ea5t th\u1ee7y d\u1ecbch: Thu\u1ed1c ch\u1eb9n beta giao c\u1ea3m (timolol, betaxolol), ch\u1ea5t \u1ee9c ch\u1ebf anhydrase carbonic (dorzolamide, brinzolamide), thu\u1ed1c \u1ee9c ch\u1ebf Rho kinase (netartsudil)\u2026<\/p>\n\n\n\n<p>(Thi\u00ean \u0111\u1ea7u th\u1ed1ng l\u00e0 b\u1ec7nh m\u1ea1n t\u00ednh n\u00ean b\u1ea1n s\u1ebd ph\u1ea3i d\u00f9ng thu\u1ed1c l\u00e2u d\u00e0i, th\u1eadm ch\u00ed l\u00e0 su\u1ed1t \u0111\u1eddi. \u0110i\u1ec1u n\u00e0y c\u0169ng s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 g\u1eb7p ph\u1ea3i c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c nh\u01b0 \u0111\u1ecf m\u1eaft, s\u01b0ng m\u1eaft, cay m\u1eaft, th\u00e2m qu\u1ea7ng\u2026 ho\u1eb7c t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n nh\u01b0 kh\u00f3 th\u1edf, nh\u1ecbp tim ch\u1eadm l\u1ea1i, h\u1ea1 huy\u1ebft \u00e1p, b\u1ea5t l\u1ef1c, m\u1ec7t m\u1ecfi\u2026)<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">2. Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt<\/h3>\n\n\n\n<p><img decoding=\"async\" height=\"16\" width=\"16\" alt=\"\ud83d\udc49\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t51\/1\/16\/1f449.png\">&nbsp;C\u1eaft b\u00e8 c\u1ee7ng gi\u00e1c m\u1ea1c:<br>Ph\u1eabu thu\u1eadt c\u1eaft b\u00e8 c\u1ee7ng gi\u00e1c m\u1ea1c l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt t\u1ea1o l\u1ed7 r\u00f2, v\u1edbi m\u1ee5c \u0111\u00edch t\u1ea1o m\u1ed9t \u0111\u01b0\u1eddng th\u00f4ng t\u1eeb ti\u1ec1n ph\u00f2ng v\u00e0o khoang d\u01b0\u1edbi k\u1ebft m\u1ea1c gi\u00fap d\u1eabn l\u01b0u th\u1ee7y d\u1ecbch v\u00e0 h\u1ea1 nh\u00e3n \u00e1p.<\/p>\n\n\n\n<p><img decoding=\"async\" height=\"16\" width=\"16\" alt=\"\ud83d\udc49\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t51\/1\/16\/1f449.png\">&nbsp;C\u1ea5y gh\u00e9p \u1ed1ng tho\u00e1t th\u1ee7y d\u1ecbch:<br>S\u1eed d\u1ee5ng m\u1ed9t chi\u1ebfc \u1ed1ng c\u00f3 chi\u1ec1u d\u00e0i kho\u1ea3ng 1.3 cm t\u1eeb ch\u1ea5t li\u1ec7u silicon l\u00e0m \u1ed1ng tho\u00e1t th\u1ee7y d\u1ecbch gh\u00e9p v\u00e0o m\u1eaft b\u1ec7nh nh\u00e2n. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 m\u1ed9t s\u1ed1 h\u1ea1n ch\u1ebf, nh\u01b0 sau m\u1ed5 b\u1ec7nh nh\u00e2n kh\u00e1 kh\u00f3 ch\u1ecbu do ph\u1ea3i b\u0103ng m\u1eaft, v\u00e0 th\u1eddi gian theo d\u00f5i c\u1ea7n t\u1edbi v\u00e0i tu\u1ea7n.<\/p>\n\n\n\n<p><img decoding=\"async\" height=\"16\" width=\"16\" alt=\"\ud83d\udc49\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t51\/1\/16\/1f449.png\">&nbsp;D\u00f9ng tia lazer \u201cm\u1edf \u0111\u01b0\u1eddng\u201d cho th\u1ee7y d\u1ecbch ch\u1ea3y ra ngo\u00e0i d\u1ec5 d\u00e0ng h\u01a1n, gi\u1ea3m nh\u00e3n \u00e1p c\u1ee7a m\u1eaft. C\u00f3 nhi\u1ec1u d\u1ea1ng ph\u1ea9u thu\u1eadt lazer t\u00f9y theo d\u1ea1ng b\u1ec7nh nh\u01b0 Laser trabeculoplasty, Laser ph\u1eabu thu\u1eadt tr\u00f2ng \u0111en, Laser cycloablation\u2026<\/p>\n\n\n\n<p><img loading=\"lazy\" decoding=\"async\" height=\"16\" width=\"16\" src=\"https:\/\/static.xx.fbcdn.net\/images\/emoji.php\/v9\/t1b\/1\/16\/1f53a.png\" alt=\"\ud83d\udd3a\"> M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 c\u00e1c \u01b0u v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang. T\u00f9y v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p. C\u00f3 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1eabu thu\u1eadt nh\u01b0ng b\u1ec7nh l\u1ea1i t\u00e1i ph\u00e1t. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7 quan m\u00e0 c\u1ea7n kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 t\u01b0 v\u1ea5n v\u00e0 theo d\u00f5i. N\u1ebfu kh\u00f4ng theo d\u00f5i v\u00e0 th\u0103m kh\u00e1m th\u01b0\u1eddng xuy\u00ean th\u00ec b\u1ec7nh v\u1eabn c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c g\u00e2y t\u1ed5n h\u1ea1i v\u00e0 d\u1eabn t\u1edbi m\u00f9 l\u00f2a. B\u00ean c\u1ea1nh \u0111\u00f3 c\u0169ng c\u1ea7n c\u00f3 l\u1ed1i s\u1ed1ng v\u00e0 sinh ho\u1ea1t h\u1ee3p l\u00fd, gi\u1eef cho \u0111\u00f4i m\u1eaft kh\u1ecfe m\u1ea1nh, tr\u00e1nh g\u00e2y c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00ean m\u1eaft.<\/p>\n\n\n\n<p><em>Ban bi\u00ean t\u1eadp: OPFE<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>M\u1ed7i ph\u01b0\u01a1ng ph\u00e1p c\u00f3 c\u00e1c \u01b0u v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m ri\u00eang. T\u00f9y v\u00e0o \u0111\u1eb7c \u0111i\u1ec3m c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt ph\u00f9 h\u1ee3p. C\u00f3 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1eabu thu\u1eadt nh\u01b0ng b\u1ec7nh l\u1ea1i t\u00e1i ph\u00e1t. Do \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ee7 quan m\u00e0 c\u1ea7n kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 c\u00e1c b\u00e1c s\u0129 t\u01b0 v\u1ea5n v\u00e0 theo d\u00f5i. N\u1ebfu kh\u00f4ng theo d\u00f5i v\u00e0 th\u0103m kh\u00e1m th\u01b0\u1eddng xuy\u00ean th\u00ec b\u1ec7nh v\u1eabn c\u00f3 th\u1ec3 ti\u1ebfp t\u1ee5c g\u00e2y t\u1ed5n h\u1ea1i v\u00e0 d\u1eabn t\u1edbi m\u00f9 l\u00f2a. B\u00ean c\u1ea1nh \u0111\u00f3 c\u0169ng c\u1ea7n c\u00f3 l\u1ed1i s\u1ed1ng v\u00e0 sinh ho\u1ea1t h\u1ee3p l\u00fd, gi\u1eef cho \u0111\u00f4i m\u1eaft kh\u1ecfe m\u1ea1nh, tr\u00e1nh g\u00e2y c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u00ean m\u1eaft.<\/p>\n","protected":false},"author":9,"featured_media":3089,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[41],"tags":[238,225],"class_list":["post-3088","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe","tag-pp-dieu-tri-benh-thien-dau-thong","tag-thien-dau-thong"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3088","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/comments?post=3088"}],"version-history":[{"count":1,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3088\/revisions"}],"predecessor-version":[{"id":3090,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3088\/revisions\/3090"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/media\/3089"}],"wp:attachment":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/media?parent=3088"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/categories?post=3088"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/tags?post=3088"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}