Nguy cơ ngộ độc khi dùng thuốc bổ thông thường

<html> <head> <meta http-equiv='Content-Type' content='text/html; charset=utf-8'> <title> </title> </head> <div><span style="font-size: small; "><span style="font-family: Arial; ">&nbsp;</span></span></div> <div style="text-align: center; "><span style="font-size: small; "><span style="font-family: Arial; "><strong><span style="color: rgb(0, 0, 255); ">Nguy c&#417 ng&#7897 &#273&#7897c khi d&ugrave;ng thu&#7889c b&#7893 th&ocirc;ng th&#432&#7901ng</span></strong></span></span></div> <div style="text-align: center; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><em>Nguy c&#417 xu&#7845t hi&#7879n ph&#7843n &#7913ng c&oacute; h&#7841i c&#7911a thu&#7889c (Adverse Drug Reaction - ADR) l&agrave; h&#7853u qu&#7843 kh&ocirc;ng th&#7875 tr&aacute;nh kh&#7887i khi d&ugrave;ng thu&#7889c, c&oacute; r&#7845t nhi&#7873u nguy&ecirc;n nh&acirc;n l&agrave;m xu&#7845t hi&#7879n ADR, trong &#273&oacute; c&oacute; m&#7897t nguy&ecirc;n nh&acirc;n c&#7847n ph&#7843i nh&#7855c t&#7899i &#273&oacute; l&agrave; t&#432&#417ng t&aacute;c gi&#7919a c&aacute;c thu&#7889c v&#7899i nhau. &#272&#7863c bi&#7879t l&agrave; lo&#7841i thu&#7889c b&#7893 sung h&agrave;ng ng&agrave;y l&#7841i &#273ang &iacute;t &#273&#432&#7907c quan t&acirc;m.</em></span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><strong>Vitamin A</strong></span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Vitamin A l&agrave; d&#7841ng vitamin tan trong d&#7847u, c&oacute; vai tr&ograve; r&#7845t quan tr&#7885ng &#273&#7889i v&#7899i c&#417 th&#7875 gi&uacute;p t&#7871 b&agrave;o th&#7921c hi&#7879n ho&#7841t &#273&#7897ng sao ch&eacute;p b&igrave;nh th&#432&#7901ng, c&#7847n thi&#7871t cho s&#7913c kh&#7887e th&#7883 gi&aacute;c, gi&uacute;p c&aacute;c t&#7871 b&agrave;o trong m&#7897t lo&#7841t c&#7845u tr&uacute;c c&#7911a m&#7855t lu&ocirc;n kh&#7887e m&#7841nh. Ngo&agrave;i ra, n&oacute; c&ograve;n r&#7845t quan tr&#7885ng &#273&#7889i v&#7899i s&#7921 t&#259ng tr&#432&#7903ng v&agrave; ph&aacute;t tri&#7875n b&igrave;nh th&#432&#7901ng c&#7911a ph&ocirc;i thai v&agrave; thai nhi, c&#7847n thi&#7871t cho ch&#7913c n&#259ng sinh s&#7843n.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Tuy nhi&ecirc;n, b&ecirc;n c&#7841nh nh&#7919ng &#432u &#273i&#7875m n&#7871u nh&#432 s&#7917 d&#7909ng kh&ocirc;ng &#273&uacute;ng c&aacute;ch, ch&uacute;ng ta s&#7869 g&#7863p ph&#7843i nh&#7919ng t&aacute;c d&#7909ng b&#7845t l&#7907i c&#7911a vitamin A m&agrave; &#273i&#7875n h&igrave;nh l&agrave; t&igrave;nh tr&#7841ng vi&ecirc;m gan c&#7845p ho&#7863c m&#7841n do d&ugrave;ng li&#7873u cao k&eacute;o d&agrave;i, &#273&#7863c bi&#7879t v&#7899i tr&#7867 em. &#7902 tr&#7867 em, c&oacute; hai l&yacute; do d&#7877 d&#7851n t&#7899i ng&#7897 &#273&#7897c vitamin A, &#273&oacute; l&agrave; tr&#7867 &#273ang u&#7889ng s&#7919a c&ocirc;ng th&#7913c (b&#7903i v&igrave; b&#7843n th&acirc;n trong s&#7919a c&ocirc;ng th&#7913c m&agrave; b&eacute; &#273ang d&ugrave;ng &#273&atilde; c&oacute; m&#7897t l&#432&#7907ng vitamin A ph&ugrave; h&#7907p) v&agrave; tr&#7867 &#273&#432&#7907c b&agrave; m&#7865 cho u&#7889ng c&aacute;c lo&#7841i vitamin b&#7893 sung kh&aacute;c m&agrave; kh&ocirc;ng bi&#7871t trong thu&#7889c b&#7893 sung n&agrave;y c&#361ng c&oacute; l&#432&#7907ng vitamin A. T&#7845t c&#7843 t&igrave;nh hu&#7889ng n&agrave;y n&#7871u ti&#7871p t&#7909c b&#7893 sung m&agrave; kh&ocirc;ng c&oacute; &yacute; ki&#7871n c&#7911a b&aacute;c s&#297 s&#7869 d&#7851n t&#7899i t&igrave;nh tr&#7841ng t&iacute;ch t&#7909 vitamin A trong gan.</span></span></div> <div style="text-align: justify; ">&nbsp;</div> <div style="text-align: center; "><img width="400" height="262" alt="" src="supplements.jpg" /></div> <div style="text-align: center; "><em><font face="Arial" size="2"><span style="font-size: small; ">&nbsp;N&ecirc;n b&#7893 sung vitamin qua th&#7921c ph&#7849m s&#7869 tr&aacute;nh &#273&#432&#7907c nguy c&#417 ng&#7897 &#273&#7897c.</span></font></em></div> <div style="text-align: center; ">&nbsp;</div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">C&#7847n l&#432u &yacute; m&#7897t s&#7889 t&#432&#417ng t&aacute;c thu&#7889c c&oacute; th&#7875 x&#7843y ra nh&#432 d&ugrave;ng vitamin A v&#7899i c&aacute;c thu&#7889c h&#7841 huy&#7871t &aacute;p c&oacute; th&#7875 l&agrave;m t&#259ng t&aacute;c d&#7909ng c&#7911a c&aacute;c thu&#7889c n&agrave;y v&agrave; d&#7851n t&#7899i h&#7841 huy&#7871t &aacute;p qu&aacute; m&#7913c; d&ugrave;ng vitamin A c&ugrave;ng thu&#7889c tr&aacute;nh thai s&#7869 l&agrave;m gi&#7843m t&aacute;c d&#7909ng c&#7911a thu&#7889c tr&aacute;nh thai; d&ugrave;ng vitamin A v&#7899i thu&#7889c ch&#7889ng &#273&ocirc;ng s&#7869 l&agrave;m t&#259ng nguy c&#417 ch&#7843y m&aacute;u.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><strong>&nbsp;</strong></span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><strong>Vitamin D</strong></span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Vitamin D l&agrave; m&#7897t vitamin c&oacute; vai tr&ograve; h&#7871t s&#7913c quan tr&#7885ng &#273&#7889i v&#7899i c&#417 th&#7875 ng&#432&#7901i. Tuy v&#7853y, u&#7889ng nhi&#7873u vitamin D qu&aacute; kh&ocirc;ng t&#7889t cho c&#417 th&#7875, th&#7853m ch&iacute; l&agrave; g&acirc;y nguy h&#7841i. D&ugrave;ng vitamin D li&#7873u cao d&agrave;i ng&agrave;y g&acirc;y t&iacute;ch l&#361y thu&#7889c, l&agrave;m t&#259ng calci trong m&aacute;u, g&acirc;y m&#7879t m&#7887i, ch&aacute;n &#259n, n&ocirc;n, ti&ecirc;u ch&#7843y, &#273au nh&#7913c x&#432&#417ng kh&#7899p. Ngo&agrave;i ra c&ograve;n c&oacute; th&#7875 g&acirc;y t&#7893n th&#432&#417ng th&#7853n, t&#259ng huy&#7871t &aacute;p.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Tr&#7867 s&#417 sinh, tr&#7867 nh&#7887 r&#7845t nh&#7841y c&#7843m v&#7899i s&#7921 th&#7915a vitamin D. Tr&#7867 em d&#432&#7899i 1 tu&#7893i cho &#259n c&aacute;c h&#7895n h&#7907p thay th&#7871 s&#7919a m&#7865 c&oacute; b&#7893 sung vitamin D &#7903 li&#7873u kh&ocirc;ng th&iacute;ch h&#7907p v&#7899i l&#7913a tu&#7893i c&oacute; th&#7875 b&#7883 th&#7915a vitamin n&agrave;y. Vi&#7879c b&#7893 sung th&#432&#7901ng xuy&ecirc;n vitamin D v&#7899i li&#7873u &gt; 400 IU/ng&agrave;y cho tr&#7867 d&#432&#7899i 1 tu&#7893i kh&#7887e m&#7841nh l&agrave;m t&#259ng canxi trong m&aacute;u, th&#7853m ch&iacute; c&ograve;n c&oacute; th&#7875 g&acirc;y suy th&#7853n v&agrave; t&#7917 vong. Tr&#7867 nh&#7887 b&#7883 ng&#7897 &#273&#7897c vitamin D s&#7869 bi&#7871ng &#259n, bu&#7891n n&ocirc;n v&agrave; &oacute;i m&#7917a. Tr&#7867 lu&ocirc;n kh&aacute;t n&#432&#7899c v&agrave; ti&#7875u nhi&#7873u. Ng&#7897 &#273&#7897c vitamin D &#7903 tr&#7867 th&#432&#7901ng do cha m&#7865 t&ugrave;y ti&#7879n cho u&#7889ng d&agrave;i ng&agrave;y c&aacute;c lo&#7841i thu&#7889c b&#7893 sung vitamin v&agrave; ch&#7845t kho&aacute;ng, trong &#273&oacute; c&oacute; ch&#7913a vitamin D li&#7873u cao ho&#7863c cho tr&#7867 u&#7889ng c&ugrave;ng l&uacute;c c&aacute;c lo&#7841i thu&#7889c c&oacute; ch&#7913a vitamin D.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Ngo&agrave;i ra c&#7847n l&#432u &yacute;, vitamin D c&oacute; th&#7875 l&agrave;m gi&#7843m hi&#7879u qu&#7843 c&#7911a thu&#7889c l&agrave;m h&#7841 cholesterol khi c&ugrave;ng s&#7917 d&#7909ng. D&ugrave;ng vitamin D li&#7873u cao c&ugrave;ng v&#7899i m&#7897t lo&#7841i thu&#7889c l&#7907i ti&#7875u c&oacute; th&#7875 d&#7851n &#273&#7871n t&#259ng &#273&agrave;o th&#7843i calci qua n&#432&#7899c ti&#7875u d&#7851n t&#7899i s&#7887i th&#7853n.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><strong><br type="_moz" /> </strong></span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><strong>Calci</strong></span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Calci l&agrave; ch&#7845t c&#7847n thi&#7871t cho s&#7921 ph&aacute;t tri&#7875n c&#7911a b&#7897 x&#432&#417ng. Tuy nhi&ecirc;n, khi b&#7893 sung calci c&#7847n l&#432u &yacute;: &#273&#7875 calci h&#7845p th&#7909 t&#7889t c&#7847n ph&#7843i c&oacute; vitamin D, vitamin D c&oacute; nhi&#7873u trong b&#417, s&#7919a, tr&#7913ng, gan... t&#7855m n&#7855ng l&agrave; ngu&#7891n cung c&#7845p vitamin D quan tr&#7885ng cho c&#417 th&#7875.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">B&ecirc;n c&#7841nh c&aacute;c &#432u &#273i&#7875m, khi b&#7893 sung calci c&#7847n h&#7871t s&#7913c l&#432u &yacute;, chia nh&#7887 li&#7873u v&agrave; u&#7889ng v&#7899i nhi&#7873u n&#432&#7899c; n&#7871u s&#7917 d&#7909ng c&ugrave;ng c&aacute;c th&#7921c ph&#7849m b&#7893 sung kh&aacute;c c&#361ng c&oacute; calci s&#7869 d&#7877 d&#7851n t&#7899i nguy c&#417 g&acirc;y t&aacute;o b&oacute;n ho&#7863c d&#7877 k&#7871t t&#7911a g&acirc;y s&#7887i th&#7853n. &#272&#7863c bi&#7879t v&#7899i nh&#7919ng ng&#432&#7901i &#273ang b&#7893 sung calci m&agrave; c&oacute; ch&#7871 &#273&#7897 &#259n nhi&#7873u &#273&#7841m s&#7869 l&agrave;m gia t&#259ng l&#432&#7907ng b&agrave;i ti&#7871t calci qua n&#432&#7899c ti&#7875u v&agrave; do &#273&oacute; d&#7851n t&#7899i s&#7887i th&#7853n. Ngo&agrave;i ra, n&#7871u u&#7889ng calci m&agrave; c&oacute; s&#7917 d&#7909ng cafein v&agrave; nicotin c&#361ng l&agrave; m&#7897t t&aacute;c nh&acirc;n l&agrave;m t&#259ng l&#432&#7907ng th&#7843i calci qua &#273&#432&#7901ng n&#432&#7899c ti&#7875u.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">L&#432u &yacute;: Calci c&oacute; th&#7875 l&agrave;m gi&#7843m s&#7921 h&#7845p thu c&#7911a c&#417 th&#7875 &#273&#7889i v&#7899i nhi&#7873u lo&#7841i thu&#7889c, bao g&#7891m c&#7843 thu&#7889c theo toa lo&atilde;ng x&#432&#417ng &#273&#432&#7907c g&#7885i l&agrave; bisphosphonates, thu&#7889c kh&aacute;ng sinh tetracycline fluoroquinolone v&agrave; levothyroxine.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">N&#7871u kh&ocirc;ng c&#7849n th&#7853n khi d&ugrave;ng calci chung v&#7899i c&aacute;c lo&#7841i thu&#7889c kh&aacute;c, b&#7841n c&oacute; th&#7875 b&#7883 s&#7887i do c&aacute;c thu&#7889c t&aacute;c d&#7909ng v&#7899i nhau g&acirc;y k&#7871t t&#7911a.</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; ">Ch&iacute;nh v&igrave; s&#7921 &ldquo;l&#7907i b&#7845t c&#7853p h&#7841i&rdquo; nh&#432 tr&ecirc;n, n&ecirc;n khi s&#7917 d&#7909ng thu&#7889c &#273&#7875 &#273i&#7873u tr&#7883, ph&#7843i c&acirc;n nh&#7855c gi&#7919a l&#7907i &iacute;ch v&agrave; nguy c&#417 c&#7911a thu&#7889c &#273&#7875 l&#7921a ch&#7885n thu&#7889c ph&ugrave; h&#7907p v&#7899i &#273&#7863c &#273i&#7875m b&#7879nh nh&acirc;n v&agrave; t&igrave;nh tr&#7841ng b&#7879nh t&#7853t. N&#7871u hi&#7875u bi&#7871t &#273&#7847y &#273&#7911 v&#7873 thu&#7889c s&#7917 d&#7909ng, &#273&#7863c &#273i&#7875m ng&#432&#7901i b&#7879nh v&agrave; c&aacute;c y&#7871u t&#7889 &#7843nh h&#432&#7903ng l&agrave;m t&#259ng nguy c&#417 ADR th&igrave; c&oacute; th&#7875 h&#7841n ch&#7871 &#273&#432&#7907c ADR. Tuy&#7879t &#273&#7889i kh&ocirc;ng n&ecirc;n t&#7921 &yacute; d&ugrave;ng thu&#7889c, ch&#7881 d&ugrave;ng thu&#7889c khi c&oacute; &yacute; ki&#7871n c&#7911a b&aacute;c s&#297.&nbsp;</span></span></div> <div style="text-align: justify; "><span style="font-size: small; "><span style="font-family: Arial; "><br type="_moz" /> </span></span></div> <div style="text-align: right; "><span style="font-size: small; "><span style="font-family: Arial; "><strong>&nbsp; ThS.NGUY&#7876N B&#7840CH &#272&#7856NG</strong></span></span></div> <div style="text-align: right; "><span style="font-size: small; "><span style="font-family: Arial; "><em>Theo S&#7913c kh&#7887e v&agrave; &#273&#7901i s&#7889ng</em></span></span></div> <div style="text-align: right; "><span style="font-size: small; "><span style="font-family: Arial; "><br /> </span></span></div> <div><span style="font-size: small; "><span style="font-family: Arial; "><br /> </span></span></div> <div>&nbsp;</div> </html>

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