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Thuốc cao huyết áp ở phụ nữ mang thai  

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08:01 19/01/2018

Phụ nữ bị cao huyết áp đều có thể mang thai và sinh nở bình thường nếu họ kiểm soát được huyết áp tốt và được theo dõi chặt chẽ. Đặc biệt là chế dộ sử dụng thuốc điều trị.. [..]

 

Phụ nữ bị cao huyết áp đều có thể mang thai và sinh nở bình thường nếu họ kiểm soát được huyết áp tốt  và được theo dõi chặt chẽ. Đặc biệt là chế dộ sử dụng thuốc điều trị tăng huyết áp. Có một sốt loại thuốc điều trị cao huyết áp phụ nữ mang thai không nên sử dụng, nhưng bên cạch đấy cũng có thuốc phụ nữ mang thai sử dụng được. Hãy tìm hiểu bài viết dưới đây về các loại thuốc điều trị tăng huyết áp khi mang thai được sử dụng và không được sử dụng.

1) Thuốc cao huyết áp ở phụ nữ được sử dụng

Các thuốc cao huyết áp sau đây là những thuốc được ưu tiên chọn lựa chọn hàng đầu trong điều trị cao huyết áp ở phụ nữ mang thai, do những thuốc này có tính an toàn, không gây những tác hại cho thai nhi và thai phụ.

+ Methyldopa ( aldomet): thuốc cao huyết áp tác động trên hệ thần kinh trung ương: được chỉ định điều trị cao huyết áp và cao huyết áp ở thai phụ. Thuốc thường ở dạng viên với hàm lượng 250mg hoặc 500mg.

+ Labetalol ( trandate): thuốc cao huyết áp chẹn đồng thời ức chế thụ thể ở mạch ngoại vi, làm giảm sức cản ngoại vi gây hạ huyết áp. Thuốc dùng an toàn cho thai phụ. Thuốc có thể ở dạng viên thường với hàm lượng 100mg hoặc 200mg hay ở dạng thuốc tiêm

+ Hydralazin ( apresolin): thuốc giãn mạch và giảm sức cản ngoại vi nên có tác dụng hạ huyết áp. Thường dùng dưới dạng thuốc tiêm qua đường tĩnh mạch trong điều trị cao huyết áp cấp ở thai phụ

2) Loại thuốc không được sử dụng

Các thuốc cao huyết áp thuốc các nhóm sau đây không được sử dụng trong điều trị cao huyết áp ở phụ nữ mang thai, do các thuốc này khi vào cơ thể sẽ vượt qua nhau thai gây tác hại cho thai nhi như: hạ huyết áp, vô niệu, suy thận… và nghiêm trọng hơn là gây ra dị dạng, thậm chí thai nhi tử vong.

+ Nhóm thuốc ức chế men chuyển ( ACE) như: captopril, enalapril..

+ Nhóm thuốc đối kháng canxi như: nifedipin, amlodipin..

+ Nhóm thuốc chẹn như: atenolol, propanolol..

+ Nhóm thuốc đối kháng thụ thể angiotensin như: losartan, ibersartan…

+ Nhóm thuốc lợi tiểu như: furosemid, hydrochlorothiazi.


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  • Hiện tượng bóc tách túi thai  09:04 26/04/2018
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  • Các biện pháp phá thai  08:03 12/03/2018

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