Thuốc trị hen suyễn đối với phụ nữ mang thai

Thuoc tri hen suyei

Theo thing kfi, cd khoang hdn 8% phu nd

mang thai cd the hi hen suyfin; chdng mpt

phan ba sd phu nd titog bi hen suyfin sfi cfi

cdc trieu chting tang ngng hdn trong thai ky.

Nhiing thfing tin ve thud'c, nha't Id tren internet,

thu&ng nhin manh dfi'n cdc tde dung phu eua thulc

ddi vdi phu nfl mang thai, cfi thi khifi'n cho thai phu

e nggi khi sd dung thufi'c de kilm sodt vd dieu tri

chdng hen suyen.

Viec dimg thufi'c than trpng khi ed thai Id can

thifi't, nhung nfi'u bfinh hen suyin khong dupc tilp tuc

dilu tri, cdc cdn hen suyen bung phdt trong thai ky

se gay tinh trang thie'u oxy, cd the Idm eho thai phu

de bi tien san gidt, sinh thilu thang hode sly thai.

Tre sinh ra ed thi bi nhe cdn, vl sau di bi bfinh tim

mach, hfi hip,...

Do dd, phu nfl ti^g hi hen suyen khi mang thai van

can dupe chan dodn vd tifi'p tuc dilu tri bdng thulc

theo hudng ddn cua thiy thud'c.

Mac du vi ly do y ddc, vipc thd nghiem ddc tinh eua

thud'c trfin thai phu thddng bi han chfi', nhung nhiftig

tdi lifiu nghifin edu gin ddy eho thiy chdng hen suyen

d phu nfl mang thai cd the kiem scat dupe bang nhieu

loai thule tUdng dd'i an todn eho ea me vd thai nhi,

nfi'u thai phu dUtfc cdc thay thufi'c chuyfin khoa chdm

soc va theo ddi chat che trong th&i gian dieu tri.

Phg nO cd thai cin phai biet each sd dung dung dang thudc

khi dung mdi dam bdo hieu qua. Dong thdi, can tranh tidp

xuc vdl cac tac nhdn gdy dj dng

-ft DS. HUYNH VAN NHIEM

TrUdng hpp ngUdi phu nfl da cd trifu chdng bi

hen suyen trudc khi mang thai, khi muln co thai

bode cd diu hieu mang thai, thi nen trao ddi vdi bdc

si dilu tri de xem xfit, nfi'u can thi thay dli thulc,

ehd khfing tu y ngUng dung thud'c, vi cd thi gfiy

nhflng Ctfn hen suyin kich phdt, nguy hilm cho ca

me ldn thai nhi. ,

Hien nay, cdc dang thud'c hit hay phun {inhalersp

sprays), vdi hogt chit thud'c d dang long hay bdt mjn;

thfldng dflpc sd dung hdn Id thule vifin, do tdc dung

nhanh, gidp cdt nhanh cde edn suyen; lieu Iflpng hoat

chat sd dimg cdng hgn ehe, nhd do gidm thilu dddc

cdc tac dung phu.

Cdc thufi'c ufi'ng tri hen suyfin tac dung chdm khong

hipu qua de elt cdn, hdn nfla, cdn cd khd nang gdy

tac dung phu eao hdn, nen ehi dupe kfi ddn dl kilm

sodt bfinh hen suyen Idu dai bode tang nang.

- Thud'c corticoid: thddng dung trong vific ngda ccfti

hen suyfin, ngay nay cd thufi'c corticoid hit hay phun

(dang khi dung hay bpt min, dUdc dung nhilu nhlt)

nhfl budesonid, leclomethason, flutieason,... trong d6,

budesonid td ra an todn hdn ea.

Cde corticoid dgng ufi'ng hay chich, cd thi gdy mOt

sl tdc dung khdng mong mufi'n trfin thai phu vd thai

nhi, ddc bifit Id trong ba thdng dau eua thai ky, nen

thfldng chi dflde bdc si ke ddn cho cde trfldng hop

thgt can thifi't.

- Thud'c gidn phe qudn tdc dung ngdn nhfl albuterol! <

(Ventolin, Proventil), metaproterenol (Alupent),

terbutahn (Bricanyl),.. ed tac dung gidp de thd, lam

giam nhanh cac trifiu chdng hen suyfin. Nhiing thulc

ndy to ra khd an toan cho phu nfl mang thai.

- Thudc gidn phi qudn tdc dung ddi nhfl salmeterol

iSerevent) va formoterol (Foradil), khfing ldm gilm

nhanh eae trifiu chflng, nhflng ed the dfldc kfi ddn dl

kilm sodt lau ddi benh hen suyen. Tuy nhifin, nhiJtig

thufi'c ndy dfii khi lgi eo thi gay ra cdn suyen kich

phdt rat nguy hilm. Cin than trpng, nhat la khi diJng

cho phu nfl mang thai.

Cung CO the kfi't hpp mpt corticoid vdi mfit trong

nhilng thufi'c gian phe quan k l trfin de tang hipu qua

vd ldm gidm tdc dung phu. Vi du: cdc biet dupe Advair,

Symbicort, Seretide.

- Cdc logi thudc tri hen suyin cd diin nhii

theophyllin, cromolyn,... hien ri t han chl sd dung

trfin phu nfl mang thai.

THUOC & SUc KHOE sd512 (15.11.2014)