Page 119 - Phòng Và Điều Trị Bệnh Đái Tháo Đường
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:rd  khang  thanh  mach,  tang  the  tich  mau  va  kich
                 thich tiet aldosterone.

                    Nhieu cong trinh nghien ciiu chiing minh diidc tac
                 dung  co  ldi  cua  nhom  thuoc  lie  che  men  chuyen
                 angiotensin (ABCD trial; CAPPP; FACET): giam nhoi
                 mau cd tim  63%,  giam tii vong do  moi nguyen nhan
                 62%.  Thuoc  con  co  liu  diem  khong  gay  roi  loan  md
                 mau, diidng mau, acid uric khi dung keo dai.

                    Chi dinh: tang huyet ap; suy tim; nhoi mau cd tim;
                 roi loan chiic nang that trai; benh than do DTD.

                    Chong chi dinh: di ling thuoc; phu mach; hep mach
                 than 2 ben; ciidng aldosteron nguyen phat; co thai tii
                 thang thii 3 trd di.
                    Tac dung phu: ho (0,5-2%); phu chi; tang kali mau;

                 tut huyet ap; dau ngiic; danh trong ngiic; gay protein
                 nieu;  noi  man  do;  thay  doi  vi  giac;  phu  mach-mat,
                 moi,  hong  (1/1000  benh  nhan),  giam  bach  cau/mat
                 bach  cau  hat  (hiem);  suy  gan;  roi  loan  chiic  nang
                 than; liet diidng; ngat; buon non, non, dau bung.

                    Mot so thuoc thiidng gap:
                    Captopril  (Capoten;  Lopril)  vien  25/50mg;  lieu

                 25-450mg.
                    Enalapril (Benalapril; Renitec; Ednyt) vien 5/10/20mg;
                 lieu 2,5-40mg.

                    Lisinopril (Zestril) vien 5mg; lieu 5-40mg.
                    Perindopril (Coversyl) vien 2/4mg; lieu 2-4mg.

                    Quinapril (Accupril) vien 5mg; lieu 5-40mg.


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