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<\/figure>\n<\/figure>\n\n\n\n<\/a><\/a><\/a>+ T\u00e1c d\u1ee5ng ch\u1eadm:\u00a0<\/p>\n\n\n\n \u00d8 Diprospan (Betamethason dipropionat)<\/p>\n\n\n\n \u00d8 Depo \u2013 Medrol 40 mg (Methyl prednisolone acetate)<\/p>\n\n\n\n <\/a><\/a><\/p>\n\n\n\n 1. B\u1ec7nh l\u00ed ph\u1ea7n m\u1ec1m c\u1ea1nh kh\u1edbp<\/p>\n\n\n\n \u00d8 Vi\u00eam bao g\u00e2n: vi\u00eam bao g\u00e2n g\u1ea5p c\u00e1c ng\u00f3n, vi\u00eam bao g\u00e2n d\u1ea1ng d\u00e0i du\u1ed7i ng\u1eafn ng\u00f3n 1…..<\/p>\n\n\n\n \u00d8 Vi\u00eam \u0111i\u1ec3m b\u00e1m g\u00e2n: vi\u00eam \u0111i\u1ec3m b\u00e1m g\u00e2n l\u1ed3i c\u1ea7u trong v\u00e0 l\u1ed3i c\u1ea7u ngo\u00e0i x\u01b0\u01a1ng c\u00e1nh tay, \u0111i\u1ec3m b\u00e1m g\u00e2n Achille\u2026..<\/p>\n\n\n\n \u00d8 Vi\u00eam s\u1ee5n s\u01b0\u1eddn (h\u1ed9i ch\u1ee9ng Trietze)<\/p>\n\n\n\n \u00d8 Vi\u00eam bao thanh d\u1ecbch: vi\u00eam bao thanh d\u1ecbch m\u1ecfm khu\u1ef7u, vi\u00eam bao thanh d\u1ecbch tr\u01b0\u1edbc x\u01b0\u01a1ng b\u00e1nh ch\u00e8 \u2026 v\u00e0 k\u00e9n ho\u1ea1t d\u1ecbch c\u1ea1nh kh\u1edbp<\/p>\n\n\n\n 2. B\u1ec7nh l\u00ed vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch kh\u1edbp kh\u00f4ng do nhi\u1ec5m khu\u1ea9n v\u00e0 lao<\/p>\n\n\n\n \u00d8 Vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p, vi\u00eam c\u1ed9t s\u1ed1ng d\u00ednh kh\u1edbp, vi\u00eam kh\u1edbp t\u1ef1 ph\u00e1t thi\u1ebfu ni\u00ean, vi\u00eam kh\u1edbp v\u1ea3y n\u1ebfn<\/p>\n\n\n\n \u00d8 C\u00e1c b\u1ec7nh l\u00ed kh\u1edbp vi\u00eam do vi tinh th\u1ec3<\/p>\n\n\n\n \u00d8 Vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch kh\u1edbp c\u1ea5p t\u00ednh do ch\u1ea5n th\u01b0\u01a1ng (d\u1ecbch kh\u1edbp trong )<\/p>\n\n\n\n \u00d8 Vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch kh\u1edbp kh\u00f4ng \u0111\u1eb7c hi\u1ec7u<\/p>\n\n\n\n 3. Tho\u00e1i h\u00f3a kh\u1edbp<\/p>\n\n\n\n CH\u1ed0NG CH\u1ec8 \u0110\u1ecaNH<\/strong>:<\/p>\n\n\n\n – Vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch kh\u1edbp \u2013 NK \u1ed5 kh\u1edbp do nhi\u1ec5m khu\u1ea9n v\u00e0 do lao<\/p>\n\n\n\n – Nhi\u1ec5m khu\u1ea9n, nhi\u1ec5m n\u1ea5m t\u1ea1i ch\u1ed7 ngo\u00e0i da<\/p>\n\n\n\n – \u0110ang m\u1eafc b\u1ec7nh l\u00fd n\u1ed9i khoa n\u1eb7ng: suy tim, suy th\u1eadn, x\u01a1 gan giai \u0111o\u1ea1n n\u1eb7ng, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng ch\u01b0a ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c \u0111\u01b0\u1eddng m\u00e1u ( \u0111\u01b0\u1eddng m\u00e1u \u0111\u00f3i > 7 mmol\/l)<\/p>\n\n\n\n – D\u1ecb \u1ee9ng thu\u1ed1c: ti\u00eam, g\u00e2y t\u00ea<\/p>\n\n\n\n – R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u n\u1eb7ng<\/p>\n\n\n\n – C\u01a1 \u0111\u1ecba suy gi\u1ea3m mi\u1ec5n d\u1ecbch<\/p>\n\n\n\n – C\u00e1c b\u1ec7nh l\u00ed u x\u01b0\u01a1ng kh\u1edbp: u l\u00e0nh t\u00ednh v\u00e0 u \u00e1c t\u00ednh<\/p>\n\n\n\n TH\u1eacN TR\u1eccNG KHI CH\u1ec8 \u0110\u1ecaNH TI\u00caM CORTICOID<\/strong><\/p>\n\n\n\n 1. \u0110ang m\u1eafc c\u00e1c b\u1ec7nh l\u00ed n\u1ed9i khoa kh\u00e1c:<\/p>\n\n\n\n \u00d8 T\u0103ng huy\u1ebft \u00e1p: ki\u1ec3m tra huy\u1ebft \u00e1p tr\u01b0\u1edbc khi ti\u00eam<\/p>\n\n\n\n \u00d8 Suy tim: NYHA 1, NYHA 2<\/p>\n\n\n\n \u00d8 S\u1eed d\u1ee5ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng: ki\u1ec3m tra INR<\/p>\n\n\n\n \u00d8 B\u1ec7nh l\u00ed r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/p>\n\n\n\n \u00d8 \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/p>\n\n\n\n \u00d8 M\u1eafc c\u00e1c b\u1ec7nh l\u00ed suy gi\u1ea3m mi\u1ec5n d\u1ecbch (HIV…)<\/p>\n\n\n\n 2. \u0110ang s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/p>\n\n\n\n HI\u1ec6U QU\u1ea2 TI\u00caM CORTICOID<\/strong><\/p>\n\n\n\n \u00d8 Hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb thay \u0111\u1ed5i ph\u1ee5 thu\u1ed9c v\u00e0o: t\u00ecnh tr\u1ea1ng b\u1ec7nh \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb<\/p>\n\n\n\n \u00d8 Ph\u1ea7n l\u1edbn b\u1ec7nh nh\u00e2n: \u0111au thuy\u00ean gi\u1ea3m ho\u1eb7c kh\u1ecfi ho\u00e0n to\u00e0n trong v\u00f2ng 4 tu\u1ea7n k\u1ec3 t\u1eeb sau khi b\u1eaft \u0111\u1ea7u ti\u00eam thu\u1ed1c<\/p>\n\n\n\n \u00d8 M\u1ed9t s\u1ed1 \u00edt BN: gi\u1ea3m \u0111au ch\u1ec9 t\u1ea1m th\u1eddi, c\u00f3 th\u1ec3 b\u1ecb \u0111au tr\u1edf l\u1ea1i sau v\u00e0i tu\u1ea7n \u2192 ti\u00eam nh\u1eafc l\u1ea1i<\/p>\n\n\n\n T\u00c1C D\u1ee4NG PH\u1ee4 C\u1ee6A TI\u00caM CORTICOID<\/strong><\/p>\n\n\n\n 1. T\u00e1c d\u1ee5ng ph\u1ee5 t\u1ea1i ch\u1ed7 :<\/p>\n\n\n\n \u00d8 Nhi\u1ec5m tr\u00f9ng: (1\/15.000)<\/p>\n\n\n\n \u00d8 L\u1eafng \u0111\u1ecdng tinh th\u1ec3:- L\u00e0 bi\u1ebfn ch\u1ee9ng hay g\u1eb7p. V\u1ecb tr\u00ed can xi h\u00f3a: trong kh\u1edbp, quanh bao kh\u1edbp v\u00e0 trong bao kh\u1edbp. Th\u01b0\u1eddng g\u1eb7p \u1edf kh\u1edbp g\u1ed1i sau ti\u00eam t\u1eeb 2 th\u00e1ng t\u1edbi 1 n\u0103m,th\u01b0\u1eddng kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n\n\n\n \u00d8 L\u1ecdan d\u01b0\u1ee1ng t\u1ed5 ch\u1ee9c xung quanh,teo da,m\u1ea5t s\u1eafc t\u1ed1 da xung quanh ch\u1ed7 ti\u00eam:th\u01b0\u1eddng g\u1eb7p (8%), xu\u1ea5t hi\u1ec7n trong kho\u1ea3ng th\u1eddi gian t\u1eeb 1 \u2013 4 th\u00e1ng sau ti\u00eam. Th\u01b0\u1eddng x\u1ea3y ra tr\u00ean b\u1ec7nh nh\u00e2n vi\u00eam kh\u1edbp t\u1ef1 ph\u00e1t thi\u1ebfu ni\u00ean, tr\u00ean c\u00e1c kh\u1edbp nh\u1ecf,nguy\u00ean nh\u00e2n l\u00e0 do tho\u00e1t steroid ti\u00eam v\u00e0o da.<\/p>\n\n\n\n \u00d8 Ph\u1ea3n \u1ee9ng vi\u00eam t\u1ea1i ch\u1ed7 (1-6%): B\u1ea3n ch\u1ea5t l\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam m\u00e0ng ho\u1ea1t d\u1ecbch x\u1ea3y ra sau ti\u00eam t\u1ea1i kh\u1edbp ho\u1eb7c c\u1ea1nh kh\u1edbp b\u1eb1ng c\u00e1c ch\u1ebf ph\u1ea9m corticoid kh\u00f4ng h\u00f2a tan \u1edf d\u1ea1ng tinh th\u1ec3, t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i ho\u1eb7c trung b\u00ecnh ( Depo-medrol 40 mg). Kh\u1edfi ph\u00e1t trong v\u00f2ng 12 \u2013 24 gi\u1edd sau ti\u00eam v\u00e0 t\u1ef1 h\u1ebft sau 48 t\u1edbi 72 gi\u1edd Kh\u1edbp khu\u1ef7u, c\u1ed5 tay, ng\u00f3n tay,l\u1ed3i c\u1ea7u x\u01b0\u01a1ng c\u00e1nh tay l\u00e0 nh\u1eefng v\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p. C\u1ea7n d\u1eb7n d\u00f2 b\u1ec7nh nh\u00e2n v\u1ec1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n n\u00e0y, v\u00e0 gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n: t\u00e1c d\u1ee5ng n\u00e0y th\u01b0\u1eddng tho\u00e1ng qua v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi k\u1ebft qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.N\u1ebfu \u0111au k\u00e9o d\u00e0i tr\u00ean 72h k\u00e8m theo s\u1ed1t ph\u1ea3i ngh\u0129 \u0111\u1ebfn nhi\u1ec5m tr\u00f9ng.<\/p>\n\n\n\n \u00d8 Xu\u1ea5t huy\u1ebft<\/p>\n\n\n\n \u00d8 Do k\u1ef9 thu\u1eadt ti\u00eam sai: r\u00e1ch m\u1ed9t ph\u1ea7n hay \u0111\u1ee9t g\u00e2n (0,2-10%), t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh.R\u00e1ch g\u00e2n hay x\u1ea3y ra v\u1edbi c\u00e1c g\u00e2n g\u00f3t,g\u00e2n b\u00e1nh ch\u00e8,g\u00e2n nh\u1ecb \u0111\u1ea7u trong v\u00f2ng 2 th\u00e1ng sau ti\u00eam,v\u00ec v\u1eady n\u00ean c\u00e2n nh\u1eafc tr\u01b0\u1edbc khi ch\u1ec9 \u0111\u1ecbnh v\u00e0 kh\u00f4ng \u0111\u00e2m tr\u1ef1c ti\u1ebfp v\u00e0o g\u00e2n<\/p>\n\n\n\n \u00d8 Vi\u00eam da ho\u1ea1i t\u1eed: th\u01b0\u1eddng x\u1ea3y ra sau ti\u00eam kh\u1edbp g\u1ed1i,b\u1ec7nh nh\u00e2n \u0111au b\u1ea7m t\u00edm ho\u1ea1i t\u1eed da r\u1ed9ng,nguy\u00ean nh\u00e2n do ti\u00eam thu\u1ed1c v\u00e0o m\u1ea1ch m\u00e1u<\/p>\n\n\n\n \u00d8 Ph\u00e1 h\u1ee7y c\u1ea5u tr\u00fac kh\u1edbp: c\u00e1c kh\u1edbp th\u01b0\u1eddng g\u1eb7p l\u00e0 g\u1ed1i,h\u00e1ng,khu\u1ef7u do ti\u00eam qu\u00e1 nhi\u1ec1u corticoid v\u00e0o kh\u1edbp v\u1ec1 c\u1ea3 li\u1ec1u l\u01b0\u1ee3ng l\u1eabn th\u1eddi gian.<\/p>\n\n\n\n 2.T\u00e1c d\u1ee5ng to\u00e0n th\u00e2n:<\/p>\n\n\n\n \u00d8 .Ph\u1ea3n \u1ee9ng c\u01b0\u1eddng ph\u1ebf v\u1ecb,d\u1ecb \u1ee9ng,s\u1ed1c ph\u1ea3n v\u1ec7.<\/p>\n\n\n\n \u00d8 H\u1ed9i ch\u1ee9ng Cushing do thu\u1ed1c.B\u1ed1c h\u1ecfa, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n nh\u1eb9.<\/p>\n\n\n\n R\u1ed1i lo\u1ea1n dung n\u1ea1p Glucose, \u0111i\u1ec7n gi\u1ea3i (gi\u1eef n\u01b0\u1edbc-mu\u1ed1i) v\u00e0 r\u1ed1i lo\u1ea1n ph\u00e2n b\u1ed1 m\u1ee1.<\/p>\n\n\n\n T\u0103ng huy\u1ebft \u00e1p.<\/p>\n\n\n\n \u00d8 Ti\u00eau h\u00f3a: t\u1ef7 l\u1ec7 l\u00f3et do corticoid l\u00e0 1-2%<\/p>\n\n\n\n \u00d8 Lo\u00e3ng x\u01b0\u01a1ng da: m\u1ee5n, r\u1eadm l\u00f4ng, r\u1ea1n da, xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da, teo da<\/p>\n\n\n\n \u00d8 M\u1eaft: \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, t\u0103ng nh\u00e3n \u00e1p.<\/p>\n\n\n\n \u00d8 Ch\u1eadm ph\u00e1t tri\u1ec3n (tr\u1ebb em)<\/p>\n\n\n\n M\u1ed9t s\u1ed1 c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c<\/u><\/strong><\/p>\n\n\n\n – Ho\u1ea1i t\u1eed v\u00f4 m\u1ea1ch:<\/em><\/strong> <\/strong>th\u01b0\u1eddng g\u1eb7p \u1edf ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i, \u0111\u1ea7u xa x\u01b0\u01a1ng \u0111\u00f9i, m\u00e2m ch\u00e0y ho\u1eb7c \u0111\u1ea7u tr\u00ean x\u01b0\u01a1ng c\u00e1nh tay. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng do ti\u00eam corticoid nhi\u1ec1u l\u1ea7n t\u1ea1i v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng, v\u1edbi li\u1ec1u t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 160 mg prednisolon, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n trong v\u00f2ng 1 tu\u1ea7n t\u1edbi v\u00e0i th\u00e1ng.<\/p>\n\n\n\n – Vi\u00eam m\u00e0ng n\u00e3o v\u00f4 khu\u1ea9n: <\/em><\/strong>do ti\u00eam corticoid v\u00e0o trong \u1ed1ng s\u1ed1ng khi ti\u00eam ngo\u00e0i m\u00e0ng c\u1ee9ng ho\u1eb7c kh\u1edbp li\u00ean m\u1ea5u sau<\/p>\n\n\n\n + Tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i <\/em>do ti\u00eam \u0111i\u1ec3m b\u00e1m g\u00e2n x\u01b0\u01a1ng b\u1ea3 vai<\/p>\n\n\n\n + T\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh hi\u1ec3n<\/em> khi ti\u00eam kh\u1edbp g\u1ed1i \u0111\u01b0\u1eddng gi\u1eefa: bi\u1ec3u hi\u1ec7n b\u1eb1ng \u0111au, d\u1ecb c\u1ea3m \u1edf m\u1eb7t trong g\u1ed1i, \u0111\u00f9i v\u00e0 c\u1eb3ng ch\u00e2n<\/p>\n\n\n\n + Vi\u00eam c\u00e2n m\u1ea1c ho\u1ea1i t\u1eed<\/em>, ho\u1ea1i th\u01b0 sinh h\u01a1i, vi\u00eam x\u01b0\u01a1ng t\u1ee7y x\u01b0\u01a1ng<\/p>\n\n\n\n + U h\u1ea1t m\u00e0ng ho\u1ea1t d\u1ecbch<\/em><\/p>\n\n\n\n \u1ee8NG D\u1ee4NG TI\u00caM CORTICOID N\u1ed8I KH\u1edaP TH\u1ebe N\u00c0O CHO \u0110\u00daNG<\/strong><\/p>\n\n\n\n 1.Kh\u00e1m s\u00e0ng l\u1ecdc b\u1ec7nh l\u00fd n\u1ec1n,khai th\u00e1c ti\u1ec1n s\u1eed d\u1ecb \u1ee9ng tr\u01b0\u1edbc khi ch\u1ec9 \u0111\u1ecbnh ti\u00eam <\/strong>corticoid.<\/strong><\/p>\n\n\n\n 2.V\u1edbi hydrocortisone acetat ti\u00eam 3 l\u1ea7n m\u1ed7i \u0111\u1ee3t,m\u1ed7i l\u1ea7n c\u00e1ch nhau 3-5 ng\u00e0y.Disprospan v\u00e0 Depo-medrol ti\u00eam t\u1ed1i \u0111a 2 l\u1ea7n m\u1ed7i \u0111\u1ee3t,kho\u1ea3ng c\u00e1ch gi\u1eefa 2 m\u0169i l\u00e0 7 \u0111\u1ebfn 10 ng\u00e0y.S\u1ed1 \u0111\u1ee3t ti\u00eam thu\u1ed1c v\u00e0 m\u00f4 quanh kh\u1edbp kh\u00f4ng qu\u00e1 3 \u0111\u1ee3t m\u1ed7i n\u0103m.Tu\u00e2n th\u1ee7 li\u1ec1u l\u01b0\u1ee3ng c\u1ee7a m\u1ed7i l\u1ea7n ti\u00eam.Kh\u00f4ng ti\u00eam qu\u00e1 li\u1ec1u n\u1ebfu l\u00e2m s\u00e0ng kh\u00f4ng c\u1ea3i thi\u1ec7n-c\u00f3 th\u1ec3 thay b\u1eb1ng s\u1ea3n ph\u1ea9m kh\u00e1c ho\u1eb7c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/strong><\/p>\n\n\n\n 3.Gi\u1ea3i th\u00edch v\u1edbi b\u1ec7nh nh\u00e2n bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 x\u1ea3y ra sau ti\u00eam v\u00e0 d\u1eb7n d\u00f2:Ph\u1ea3n \u1ee9ng \u0111au sau ti\u00eam x\u1ea3y trong v\u00f2ng 48h \u0111\u1ea7u,b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 d\u00f9ng gi\u1ea3m \u0111au \u0111\u01b0\u1eddng u\u1ed1ng h\u1ed7 tr\u1ee3,n\u1ebfu ng\u00e0y th\u1ee9 4 c\u00f2n \u0111au k\u00e8m s\u1ed1t th\u00ec t\u00e1i kh\u00e1m.Gi\u1eef kh\u00f4 v\u1ecb tr\u00ed ti\u00eam \u00edt nh\u1ea5t 6h.B\u1ec7nh nh\u00e2n c\u1ea7n h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng \u00edt nh\u1ea5t 3 ng\u00e0y sau ti\u00eam.<\/strong><\/p>\n\n\n\n 4.\u0110i\u1ec1u tr\u1ecb c\u0103n nguy\u00ean b\u1ec7nh (v\u00ed d\u1ee5 gout,vi\u00eam kh\u1edbp d\u1ea1ng th\u1ea5p,tho\u00e1i ho\u00e1 kh\u1edbp,…) b\u1eb1ng c\u00e1c thu\u1ed1c \u0111\u1eb7c hi\u1ec7u,t\u01b0 v\u1ea5n ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng sinh ho\u1ea1t v\u1eadn \u0111\u1ed9ng ph\u00f9 h\u1ee3p \u0111\u1ec3 tr\u00e1nh t\u00e1i ph\u00e1t \u0111\u1eb7c bi\u1ec7t v\u1edbi c\u00e1c b\u1ec7nh l\u00fd g\u00e2n c\u01a1.T\u01b0 v\u1ea5n \u0111\u1ec3 b\u1ec7nh nh\u00e2n hi\u1ec3u r\u00f5 ti\u00eam corticoid ch\u1ec9 l\u00e0 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ch\u1ee9 kh\u00f4ng c\u00f3 \u00fd ngh\u0129a l\u00e2u d\u00e0i trong gi\u1ea3i quy\u1ebft tri\u1ec7t \u0111\u1ec3 c\u0103n nguy\u00ean g\u00e2y b\u1ec7nh.<\/strong><\/p>\n\n\n\n 5. B\u1ed5 sung c\u00e1c s\u1ea3n ph\u1ea9m d\u01b0\u1ee1ng kh\u1edbp,canxi sau ti\u00eam corticoid \u0111\u1ec3 h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a corticoid<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" Ti\u00eam corticoid \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd x\u01b0\u01a1ng kh\u1edbp m\u1ee5c \u0111\u00edch gi\u00fap gi\u1ea3m tri\u1ec7u ch\u1ee9ng nhanh ch\u00f3ng,c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng v\u1eadn \u0111\u1ed9ng c\u1ee7a g\u00e2n c\u01a1 kh\u1edbp.Tuy nhi\u00ean c\u1ea7n tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t ch\u1ec9 \u0111\u1ecbnh,ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh,li\u1ec1u l\u01b0\u1ee3ng \u0111\u1ec3 tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m do l\u1ea1m d\u1ee5ng corticoid.<\/p>\n","protected":false},"author":1,"featured_media":140,"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":"","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":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center 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<\/figure>\n\n\n\n![\"\"\/](\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEiR-0jvPE1dLmSFvCqau0qLf05DVjZGQl0tREkCEB1RTl8hSTrCudoAQORZ85nv6llarO5vSDGEjQB32n5j8Ed43zVxNztFGbcrhapl_939OnWTXOnEyn4vxS52d5ZhDL3KrGflnTc8KOcbyPFlbLf5EyjL1uZ5RTmbEMWVVOcIHaZ3Z1UkzGUoguZk4Q\/w291-h180\/dispro.jpg\")
<\/figure>\n\n\n\n
CH\u1ec8 \u0110\u1ecaNH<\/strong>:<\/p>\n\n\n\n