Luu y khi dung thuoc chua benh tai mui hong

Thứ ba, 05 Tháng tư 2011, 16:43 GMT+7

Thuoc dung trong tai mui hong rat da dang, co the dung theo duong tai cho (nho,  xit, boi) hay toan than (uong, tiem). Tuy nhien, khi dung thuoc dieu tri cac benh ve tai mui hong can chu y toi cac nguy co do thuoc co the xay ra trong qua trinh su dung.

Thuoc dung chua benh tai mui hong  Nen than trong khi dung thuoc trong tai mui hong. Anh: TL

Cac tai bien phan ung toan than

Do tai mui hong la cua ngo duong an, duong tho, co he mach va than kinh rat phong phu nen luon nho khi su dung thuoc, ngay ca khi tai cho cung co the gay tai bien, phan ung nguy hiem. Vi du, cho tre so sinh nho thuoc nho mui loai co mach naphazolin 0,1% da gay tu vong (theo thong bao cua Benh vien Nhi TU). Nguyen nhan do do lan toa va co mach qua manh cua thuoc lam co that cac mach mau nao. Hay dung corticoid qua duong xit mui hay khi dung keo dai se gay xuat huyet duong tieu hoa o nhung nguoi co loet da day, ta trang, tang tien trien cac benh duong ho hap o nhung nguoi co benh duong ho hap, lao phoi.

Cac tai bien, phan ung phu

Vi tai mui hong co he thong than kinh giao cam phong phu nen cac phan ung phu cua thuoc thuong gap deu co lien quan den tai mui hong nhu chong mat, u tai, buon non. Cac phan ung phu cua thuoc nhieu khi kho tranh khoi, neu khong duoc giai thich, can dan se co the gay hau qua nghiem trong. Vi du: khang histamin (khang H1) thuong duoc dung trong viem mui xoang nhung lai co tac dung phu la gay buon ngu. Neu nguoi benh khong biet, hoac khong duoc giai thich ky ve thoi gian uong thuoc co the gay anh huong nghiem trong neu uong  thuoc xong lai lam ngay cong viec can su tinh tao nhu lam viec tren cao, hay lai tau, lai xe.

Gay ton thuong chuc nang cua tai, mui, hong

Tai mui hong la co quan giu nhieu chuc nang quan trong nen can dac biet luu y khi su dung cac thuoc co anh huong xau den chuc nang cua cac co quan nay.

Chuc nang nghe: nhieu truong hop do dung thuoc dan den diec, nguy hai hon neu xay ra voi ba me mang thai de lam cho dua tre bi cam diec sau nay. Khang sinh gay tac dung phu loai nay pho bien nhat la nhom aminozid. Can nho co nhung nguoi man cam thi chi voi mot luong nho nhu rac, nho vao tai cung gay nen diec tiep am, khong co kha nang hoi phuc.

Chuc nang ngui: Cac thuoc nho mui co thuy ngan (Hg) se gay mat ngui, thuong khong hoi phuc.

Gay ton hai niem mac

Niem mac mui xoang voi he thong long - nhay hoat dong rat tinh te. Khi lam thay doi pH, nhiet do, do nhot nhu nho mat ong nguyen chat vao mui se gay ton hai niem mac do do pH va do nhot qua cao.

Cac thuoc dung dai ngay cung gay tac hai lon nhu nho cac thuoc co mach (ephedrin, naphazolin) tuy dung ham luong nhung nhieu lan, keo dai lien tuc se gay viem mui do thuoc.

Gay anh huong den he thong mien dich

Voi tre nho can tao lap he thong mien dich. Viec su dung thuoc khang sinh, ha nhiet trong viem mui hong cap thong thuong lam can tro viec tao he thong mien dich hoac tao he thong mien dich khong hoan chinh. Nguoc lai nho cac loai dich thuoc chua duoc nghien cuu ky (cac dong duoc voi hoa la tuoi) co the se la cach vo hinh dua cac di nguyen vao co the. Neu nho lien tuc thi cac di nguyen nay se tac dong den he thong mien dich va la nguyen nhan gay cac phan ung di ung sau nay.

Gay kich thich phan ung tai cho

Tai mui hong la co quan co bo phan cam giac rat nhay cam, do do cac thuoc dung tai cho phai dam bao khong gay kich ung de tranh ton hai niem mac hoac cac phan ung bat thuong nguy hai den co the. Vi du: nho nuoc toi tuoi ep vao mui, hong de sat khuan se gay nong rat, bong, ton hai niem mac. Thuoc nho tai ve mua lanh hay de trong tu lanh co nhiet do duoi 20 do C, neu nho ngay vao tai se kich thich tien dinh gay chong mat, buon non…

>>> Dieu tri benh tai mui hong khi mang thai

>>> Cho lam dung thuoc xong mui - hong

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