Rao vat: THUOC CHUA BENH THAP KHOP (VKDT) - VIEM DA KHOP.

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THUOC CHUA BENH THAP KHOP (VKDT) - VIEM DA KHOP.

Tin rao THUOC CHUA BENH THAP KHOP (VKDT) - VIEM DA KHOP duoc dang vao chu de Dich Vu Gia Dinh, khu vuc Ha Noi , the loai Chua xac dinh ngay 22/7/2010 boi Rao Vat. THUOC CHUA BENH THAP KHOP (VKDT) - VIEM DA KHOP da co tat ca 320 luot xem.
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THUOC CHUA BENH THAP KHOP (VKDT)-BENH VIEM DA KHOP
1. Bieu hien lam sang
Viem khop dang thap la mot benh tu mien kha dien hinh o nguoi,
duoi dang viem man tinh o nhieu khop ngoai bien voi bieu hien kha dac
trung: sung, dau khop, cung khop buoi sang va doi xung hai ben. Ngoai
ra, nguoi benh con co cac bieu hien toan than (met moo, xanh xao, sot
gay sut…) va ton thuong cac co quan khac.
Khi co cac dau hieu lam sang neu tren, nguoi benh can duoc gui toi kham
bac si chuyen khoa khop (Rheumatogist) cang som cang tot. Benh nhan se
duoc lam cac xet nghiem va tham do can thiet de chan doan xac dinh, danh
gia tinh trang benh, tien luong benh va chon lua mot chien luoc dieu
tri phu hop de dat hieu qua cao nhat.
Cac xet nghiem va tham do can thiet: Yeu to dang thap (Rheumatoid Fator –
RF) va /hoac anti-CCP*
* Anti-CCP la mot xet nghiem ELISA, nham xac dinh IgG cua mot tu khang
the trong huyet thanh hoac huyet tuong dac hieu voi peptide duoc tong
hop tu gan dang vong, cyclic citrullinated peptide – CCP, no giup cho
chan doan som benh VKDT – RA (2004)
-Toc do mau lang (ESR) va/hoac C-Reactive Protein (CRP).- X quang khop
bi ton thuong (dac biet hai ban tay)
- Danh gia chuc nang khop.Danh gia suc khoe chung va kha nang lam viec
cua nguoi benh.
2. Sinh benh hoc
benh duoc coi nhu la mot benh tu mien kha quan trong va dien hinh o
nguoi. Nhieu bang chung cho thay vai tro quan trong cua cac dap ung mien
dich ca dich the va mien dich qua trung gian te bao, cua cac cytokines
(Interleukine 1, TNF α), cua cac te bao T, cua yeu to co dia (tuoi,
gioi, HLA), cua yeu to tang truong noi sinh… trong co che benh sinh kha
phuc tap cua benh. De viec dieu tri co hieu qua can phai nham vao mot
hay nhieu mat xich cu the trong co che benh sinh de cat dut hoac khong
che vong xoan benh ly phuc tap cua benh.
3. Tieu chuan chan doan
Cho den nay ca the gioi con su dung tieu chuan chan doan lam sang benh
Viem khop dang thap cua ACR 1987 (American College of Rheumatology).
1. Cung khop buoi sang (Morning siffness).
2. Viem khop/Sung phan mem (Arthritis/Soft tissue swelling) o it nhat 3
nhom (trong so 14 nhom khop: khop ngon gan ban tay, khop ban ngon, khop
co tay, khop khuyu, khop goi, khop co chan, khop ban ngon chan 2 ben).
3. Viem (Arthritis) cac khop o tay: khop ngon gan, khop ban ngon, khop
co tay.
4. Doi xung (Symmetrical arthritis)
5. Not thap (Rheumatic Nodules).
6. Tang nong do yeu to dang thap (Rheumatoid factor) trong huyet thanh *
7. Nhung bien doi dac trung cua benh tren X quang (Characteristic
radiographic): voi hinh dai/soi mon/khuyet xuong o ban tay, ban chan/hep
khe khop/dinh khop…
3.Dieu tri bang
thuoc dac hieu VOLTARENT ket hop voi AYUARTIS
1.Ayuartis: voi 100% thanh phan co nguon
goc tu thien nhien giup ngan chan su mat nang luong o he mien dich va
mang bao hoat dich. Chong thoai hoa khop dong thoi tang kha nang nhan
dien cua te bao mien dich Pregnenolone- mot tieu hooc mon co tac dung
giam san xuat khang the tu sinh, giam dau, giam xung khop, chong tu
mien, giam dang ke su pha huy khop xuong.Lieu dung :04 vien/ngay .AYURTIS nhap khau tu An Do
2.Voltarent: chua muoi natri diclofenac la mot chat khong steroid co
tac dung chong thap khop, giam dau, chong viem va ha nhiet.
Qua cac thu nghiem, nguoi ta thay rang co che tac
dung chu yeu cua diclofenac la gay uc che qua trinh sinh tong hop
prostaglandine. Prostaglandine dong vai tro chinh trong viec gay viem
nhiem, dau va sot.
Trong benh thap khop, cac dac tinh chong viem, giam
dau cua Voltaren da duoc chung minh qua cac thu nghiem lam sang, thuoc
co tac dung giam dau trong cac trieu chung nhu : dau khi nghi, dau khi
di chuyen, co cung vao buoi sang, hay truong hop sung tay cac khop, cung
nhu cai thien cac chuc nang cua khop.
Trong viem sau chan thuong va sau phau thuat,
Voltaren lam giam nhanh cac con dau tu phat hay khi van dong, va giam
sung do viem va chan thuong.
Thuoc Voltaren dac biet thich hop cho viec dieu tri
ban dau cac benh thap khop do viem va thoai hoa, cung nhu trong cac tinh
trang viem dau co nguon goc khong do thap khop.
Chi dinh
Dieu tri dai han cac trieu chung trong :
- viem thap khop man tinh, nhat la viem da khop dang
thap, viem xuong khop va viem cung khop cot song hay trong nhung hoi
chung lien ket nhu hoi chung Fiessiger-Leroy-Reiter va thap khop trong
benh vay nen.
- benh cung khop gay dau va tan phe.
Dieu tri trieu chung ngan han cac con cap tinh cua :
- benh thap khop va ton thuong cap tinh sau chan
thuong cua he van dong nhu viem quanh khop vai cang tay, viem gan, viem
bao hoat dich, viem mang hoat dich, viem gan bao hoat dich.
- viem khop vi tinh the.- benh khop.- dau that lung,
dau re than kinh nang.- con thong phong cap tinh.
Hoi chung dau cot song. Benh thap ngoai khop.Giam
dau sau mo.Con migrain.Con dau quan than, quan mat.
Giam dau sau phau thuat hoac chan thuong nhu phau
thuat nha khoa hay chinh hinh.
Cac tinh trang dau va/hoac viem trong phu khoa, nhu
dau bung kinh hay viem phan phu. La thuoc ho tro trong benh viem nhiem
tai, mui, hong, nhu viem hong amidan, viem tai. Theo nguyen tac tri lieu
chung, nen ap dung nhung bien phap thich hop de dieu tri benh goc. Sot
don thuan khong phai la mot chi dinh dieu tri.
Chong chi dinh:Loet
da day, qua man cam voi hoat chat. Giong nhu voi tat ca cac thuoc khang
viem khong steroid khac, chong chi dinh Voltaren cho benh nhan da biet
la bi hen phe quan, noi me day, viem mui cap khi dung acid
acetylsalicylic hoac cac chat uc che tong hop prostaglandine khac.
Lieu dung va cach dung:
Duong uong :
Uong thuoc trong cac bua an.Lieu tan cong : 150
mg/ngay, chia lam 3 lan neu su dung vien tan trong ruot, chia lam 2 lan
neu su dung vien phong thich cham 75 mg.Lieu duy tri : 75-100 mg/ngay,
chia lam 1-3 lan.
Trung tam Tu van va phan phoi san pham
Benh vien da khoa Song Thuong -Ts Thienquang: DT :0972690610
Nha phan phoi :Cong ty Phu Hai : DT 02403856218
Website http://www.thuocchuabenh.net/-
Emall : thacsythienquang@yahoo.com.vn
Website: http://vatgia.com/thacsythienquang
Trung tam Tu van va phan phoi san pham Tai TP Ha Noi :
Phong kham chuyen khoa -Thac sy ,bac sy Nguyen Huy Cuong Pho Thai Ha - Dong Da – HN
Thuoc co ban tai cac chuyen khoa BV tuyen trung
uong
CHUYEN HANG TAN TAY KHACH HANG TREN TOAN QUOC




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