{"id":54540,"date":"2021-03-29T21:02:52","date_gmt":"2021-03-29T21:02:52","guid":{"rendered":"http:\/\/demo.dentalvibe.com\/dental-glossary\/oral-sedation-sedation-dentistry\/"},"modified":"2021-04-08T22:29:40","modified_gmt":"2021-04-08T22:29:40","slug":"oral-sedation-sedation-dentistry","status":"publish","type":"dental-glossary","link":"https:\/\/dentalvibe.com\/vi\/dental-glossary\/oral-sedation-sedation-dentistry\/","title":{"rendered":"Thu\u1ed1c an th\u1ea7n b\u1eb1ng mi\u1ec7ng"},"content":{"rendered":"

Nha khoa an th\u1ea7n b\u1eb1ng mi\u1ec7ng l\u00e0 m\u1ed9t quy tr\u00ecnh y t\u1ebf bao g\u1ed3m vi\u1ec7c qu\u1ea3n l\u00fd c\u00e1c lo\u1ea1i thu\u1ed1c an th\u1ea7n th\u00f4ng qua \u0111\u01b0\u1eddng u\u1ed1ng, th\u00f4ng th\u01b0\u1eddng \u0111\u1ec3 h\u1ed7 tr\u1ee3 m\u1ed9t quy tr\u00ecnh nha khoa v\u00e0 gi\u1ea3m b\u1edbt lo l\u1eafng cho b\u1ec7nh nh\u00e2n li\u00ean quan \u0111\u1ebfn tr\u1ea3i nghi\u1ec7m n\u00e0y. An th\u1ea7n b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u01b0\u1ee3c coi l\u00e0 m\u1ed9t trong nh\u1eefng k\u1ef9 thu\u1eadt c\u00f3 s\u1eb5n c\u1ee7a nha khoa an th\u1ea7n c\u00f3 \u00fd th\u1ee9c, c\u00f9ng v\u1edbi an th\u1ea7n kh\u00ed v\u00e0 an th\u1ea7n t\u0129nh m\u1ea1ch c\u00f3 \u00fd th\u1ee9c.<\/span><\/p>\n

Benzodiazepine th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 triazolam. Triazolam th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ecdn v\u00ec t\u00e1c d\u1ee5ng kh\u1edfi ph\u00e1t nhanh v\u00e0 th\u1eddi gian t\u00e1c \u0111\u1ed9ng h\u1ea1n ch\u1ebf. Li\u1ec1u b\u1eaft \u0111\u1ea7u th\u01b0\u1eddng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n kho\u1ea3ng m\u1ed9t gi\u1edd tr\u01b0\u1edbc cu\u1ed9c h\u1ecdp nha khoa. \u0110i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 bao g\u1ed3m vi\u1ec7c d\u00f9ng th\u00eam li\u1ec1u v\u00e0o \u0111\u00eam tr\u01b0\u1edbc khi l\u00e0m th\u1ee7 thu\u1eadt, \u0111\u1ec3 gi\u1ea3m b\u1edbt ch\u1ee9ng m\u1ea5t ng\u1ee7 do lo l\u1eafng. Qu\u00e1 tr\u00ecnh n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea5p nh\u1eadn l\u00e0 an to\u00e0n, v\u1edbi li\u1ec1u l\u01b0\u1ee3ng hi\u1ec7u qu\u1ea3 th\u1ea5p h\u01a1n m\u1ee9c \u0111\u1ee7 \u0111\u1ec3 l\u00e0m suy y\u1ebfu h\u00f4 h\u1ea5p.<\/span><\/p>\n

C\u00f3 nhi\u1ec1u h\u00ecnh th\u1ee9c v\u00e0 m\u1ee9c \u0111\u1ed9 an th\u1ea7n kh\u00e1c nhau, t\u1eeb thu\u1ed1c an th\u1ea7n Nitrous Oxide (c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m d\u1ecbu) \u0111\u1ebfn Thu\u1ed1c g\u00e2y m\u00ea t\u1ed5ng qu\u00e1t (k\u00edch th\u00edch gi\u1ea5c ng\u1ee7 tr\u1ecdn v\u1eb9n). Thu\u1ed1c an th\u1ea7n \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u1ea1i di\u1ec7n cho m\u1ed9t h\u00ecnh th\u1ee9c an th\u1ea7n t\u1ec9nh t\u00e1o (c\u00f3 ngh\u0129a l\u00e0 b\u1ec7nh nh\u00e2n t\u1ec9nh t\u00e1o) s\u1eed d\u1ee5ng thu\u1ed1c u\u1ed1ng \u0111\u1ec3 k\u00edch th\u00edch b\u1ea7u kh\u00f4ng kh\u00ed th\u01b0 gi\u00e3n, g\u00e2y m\u00ea v\u00e0 tr\u1ea1ng th\u00e1i h\u01a1i bu\u1ed3n ng\u1ee7.<\/span><\/p>\n

Thu\u1ed1c u\u1ed1ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 An th\u1ea7n trong b\u1ed9 m\u00f4n Nha khoa c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb m\u1ed9t nh\u00f3m thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 benzodiazepines. Ngo\u00e0i t\u00e1c d\u1ee5ng th\u00f4i mi\u00ean v\u00e0 l\u00e0m d\u1ecbu c\u1ee7a thu\u1ed1c n\u00e0y, n\u00f3 g\u00e2y ra m\u1ee9c \u0111\u1ed9 m\u1ea5t tr\u00ed nh\u1edb nh\u1ecf h\u01a1n \u0111\u1ed1i v\u1edbi h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 nh\u1edb l\u1ea1i r\u1ea5t \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 g\u00ec kh\u00e1c v\u1ec1 l\u1ea7n kh\u00e1m r\u0103ng c\u1ee7a h\u1ecd.<\/span><\/p>\n

\u0110\u1ed1i v\u1edbi ng\u01b0\u1eddi l\u1edbn Halcion (triazolam) l\u00e0 lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn v\u00ec n\u00f3 ho\u1ea1t \u0111\u1ed9ng nhanh ch\u00f3ng, mang l\u1ea1i m\u1ee9c \u0111\u1ed9 th\u01b0 gi\u00e3n s\u00e2u s\u1eafc v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng \u0111\u1eb7c bi\u1ec7t th\u01b0\u1eddng k\u00e9o d\u00e0i trong 1,5-2 gi\u1edd. Triazolam l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c c\u00f3 m\u1ed9t h\u1ed3 s\u01a1 theo d\u00f5i d\u00e0i c\u00f3 nhi\u1ec1u c\u00e1ch s\u1eed d\u1ee5ng (\u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n r\u1ed9ng r\u00e3i nh\u1ea5t cho ch\u1ee9ng b\u1ed3n ch\u1ed3n).<\/span><\/p>\n

So v\u1edbi G\u00e2y m\u00ea T\u1ed5ng qu\u00e1t n\u01a1i b\u1ea1n ho\u00e0n to\u00e0n b\u1ecb l\u00e3ng qu\u00ean, kh\u00f4ng th\u1ec3 \u0111\u00e1p \u1ee9ng v\u00e0 th\u01b0\u1eddng kh\u00f4ng c\u00f3 xung \u0111\u1ed9ng b\u1ea3o v\u1ec7 \u0111i\u1ec3n h\u00ecnh. Thu\u1ed1c an th\u1ea7n b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng cho ph\u00e9p b\u1ea1n ph\u1ea3n \u1ee9ng v\u1edbi c\u00e1c h\u01b0\u1edbng d\u1eabn v\u00e0 duy tr\u00ec nh\u1ecbp th\u1edf c\u1ee7a ch\u00ednh m\u00ecnh.<\/span><\/p>\n

M\u1eb7c d\u00f9 Triazolam c\u1ef1c k\u1ef3 an to\u00e0n, nh\u01b0ng n\u00f3 c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c. Halcion kh\u00f4ng \u0111\u01b0\u1ee3c tr\u1ed9n v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c c\u1ee5 th\u1ec3 kh\u00e1c nh\u01b0 thu\u1ed1c an th\u1ea7n kh\u00e1c ho\u1eb7c r\u01b0\u1ee3u. H\u01a1n n\u1eefa, kh\u00f4ng d\u00f9ng thu\u1ed1c n\u00e0y v\u1edbi thu\u1ed1c kh\u00e1ng sinh ho\u1eb7c n\u01b0\u1edbc \u00e9p nho (ho\u1eb7c c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a n\u01b0\u1edbc \u00e9p b\u01b0\u1edfi). N\u1ebfu b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi n\u00e0o v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n c\u00f3 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 \u0111ang nh\u1eadn \u0111\u01b0\u1ee3c v\u00e0 c\u00e1ch h\u1ecd c\u00f3 th\u1ec3 tr\u1ea3 l\u1eddi v\u1edbi Halcion, vui l\u00f2ng h\u1ecfi\u2026<\/span><\/p>\n

B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u t\u01b0 v\u1ea5n t\u1eeb d\u01b0\u1ee3c s\u0129 ho\u1eb7c b\u00e1c s\u0129 y t\u1ebf c\u1ee7a b\u1ea1n. B\u1ea1n kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng Halcion n\u1ebfu b\u1ea1n b\u1ecb b\u1ec7nh gan ho\u1eb7c th\u1eadn, n\u1ebfu b\u1ea1n \u0111ang mang thai ho\u1eb7c cho con b\u00fa, ho\u1eb7c n\u1ebfu b\u1ea1n \u0111ang c\u00f3 ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng ho\u1eb7c qu\u00e1 m\u1eabn c\u1ea3m v\u1edbi benzodiazepine. Vui l\u00f2ng ki\u1ec3m tra v\u1edbi b\u00e1c s\u0129 nh\u00e3n khoa c\u1ee7a b\u1ea1n tr\u01b0\u1edbc khi d\u00f9ng Halcion n\u1ebfu b\u1ea1n b\u1ecb b\u1ea5t k\u1ef3 b\u1ec7nh t\u0103ng nh\u00e3n \u00e1p n\u00e0o. B\u00e1c s\u0129 c\u0169ng c\u1ea7n hi\u1ec3u li\u1ec7u b\u1ea1n c\u00f3 kh\u00f3 ng\u1ee7, b\u1ec7nh ph\u1ed5i hay suy nh\u01b0\u1ee3c hay kh\u00f4ng.<\/span><\/p>\n

V\u00e0o ng\u00e0y ph\u1eabu thu\u1eadt:<\/b><\/h3>\n

\u0110\u1ebfn v\u0103n ph\u00f2ng m\u1ed9t gi\u1edd tr\u01b0\u1edbc cu\u1ed9c h\u1eb9n c\u1ee7a b\u1ea1n. Khi \u0111\u1ebfn n\u01a1i, huy\u1ebft \u00e1p v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u quan tr\u1ecdng s\u1ebd \u0111\u01b0\u1ee3c x\u00e1c minh v\u00e0 b\u1ea1n s\u1ebd ph\u1ea3i u\u1ed1ng m\u1ed9t vi\u00ean thu\u1ed1c (0,25mg). N\u1ebfu b\u1ea1n kh\u00f4ng c\u1ea3m th\u1ea5y \u0111\u1ee7 tho\u1ea3i m\u00e1i tr\u01b0\u1edbc cu\u1ed9c h\u1eb9n, c\u00f3 th\u1ec3 cung c\u1ea5p m\u1ed9t li\u1ec1u th\u1ee9 hai kh\u00e1c. \u0110i\u1ec1u c\u1ea7n thi\u1ebft l\u00e0 b\u1ea1n ph\u1ea3i hi\u1ec3u li\u1ec7u ph\u00e1p b\u1ea1n s\u1ebd nh\u1eadn \u0111\u01b0\u1ee3c, c\u00e1c l\u1ef1a ch\u1ecdn thay th\u1ebf v\u00e0 t\u1ea5t c\u1ea3 c\u00e1c kho\u1ea3n ph\u00ed li\u00ean quan tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c an th\u1ea7n.<\/span><\/p>\n

Nha s\u0129 s\u1ebd ph\u1ea3i c\u00f3 s\u1ef1 \u0111\u1ed3ng \u00fd c\u1ee7a b\u1ea1n tr\u01b0\u1edbc khi c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n; v\u00e0 y\u00eau c\u1ea7u b\u1ea1n k\u00fd v\u00e0o m\u1ed9t k\u1ebf ho\u1ea1ch ch\u0103m s\u00f3c y t\u1ebf v\u00e0 \u0111\u01a1n cho ph\u00e9p b\u1eb1ng v\u0103n b\u1ea3n\u2026 V\u00ec nh\u1eefng l\u00fd do d\u1ec5 hi\u1ec3u, b\u1ea5t k\u1ef3 c\u00e2u h\u1ecfi n\u00e0o b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c gi\u1ea3i quy\u1ebft khi b\u1ea1n kh\u00f4ng d\u00f9ng thu\u1ed1c an th\u1ea7n v\u00e0 tr\u01b0\u1edbc cu\u1ed9c h\u1eb9n.<\/span><\/p>\n

N\u1ebfu cu\u1ed9c h\u1eb9n c\u1ee7a b\u1ea1n di\u1ec5n ra qu\u00e1 ng\u1eafn, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i \u1edf l\u1ea1i v\u0103n ph\u00f2ng \u0111\u1ec3 ki\u1ec3m tra cho \u0111\u1ebfn khi nha s\u0129 cho ph\u00e9p b\u1ea1n r\u1eddi \u0111i. Nha s\u0129 s\u1ebd \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n v\u00e0 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ea1n \u0111\u00e3 th\u1ee9c d\u1eady, t\u1ec9nh t\u00e1o, \u1ed5n \u0111\u1ecbnh v\u00e0 c\u00e1c t\u00e1c d\u1ee5ng sau \u0111\u00e2y c\u1ee7a thu\u1ed1c an th\u1ea7n l\u00e0 nh\u1eb9 v\u00e0 gi\u1ea3m d\u1ea7n. Vui l\u00f2ng d\u1ef1 \u0111\u1ecbnh \u1edf v\u0103n ph\u00f2ng trong 2,5-3 gi\u1edd v\u00e0 s\u1eb5n s\u00e0ng \u1edf l\u1ea1i m\u1ed9t kho\u1ea3ng th\u1eddi gian k\u00e9o d\u00e0i n\u1ebfu c\u1ea7n thi\u1ebft.<\/span><\/p>\n

Khi b\u1ea1n \u0111\u00e3 ho\u00e0n th\u00e0nh v\u00e0 tr\u1edf v\u1ec1 nh\u00e0, h\u00e3y d\u1ef1 \u0111o\u00e1n r\u1eb1ng b\u1ea1n s\u1ebd c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 c\u00f3 th\u1ec3 ng\u1ee7 l\u1ea1i. T\u00e1c \u0111\u1ed9ng c\u1ee7a thu\u1ed1c an th\u1ea7n s\u1ebd m\u1ea5t h\u01a1n 10 gi\u1edd \u0111\u1ec3 bi\u1ebfn m\u1ea5t ho\u00e0n to\u00e0n kh\u1ecfi h\u1ec7 th\u1ed1ng c\u1ee7a ch\u00ednh b\u1ea1n. B\u1ea1n s\u1ebd kh\u00f4ng th\u1ec3 l\u00e1i xe h\u1ee3p ph\u00e1p trong th\u1eddi gian n\u00e0y n\u1eefa.<\/span><\/p>\n

Trong th\u1eddi gian n\u00e0y, \u0111i\u1ec1u t\u1ed1t nh\u1ea5t n\u00ean l\u00e0m l\u00e0 nh\u1edd ai \u0111\u00f3 \u0111i c\u00f9ng b\u1ea1n \u0111\u1ec3 cung c\u1ea5p d\u1ecbch v\u1ee5 gi\u1eef tr\u1ebb d\u1ef1 ph\u00f2ng v\u00e0 c\u00e1c tr\u1ee3 gi\u00fap kh\u00e1c theo y\u00eau c\u1ea7u.<\/span><\/p>\n

Th\u00f4ng tin th\u00eam:<\/b><\/h3>\n

KH\u00d4NG d\u00f9ng b\u1eefa t\u1ed1i nhi\u1ec1u \/ nhi\u1ec1u trong nhi\u1ec1u gi\u1edd tr\u01b0\u1edbc khi ho\u1ea1t \u0111\u1ed9ng. M\u1eb7c d\u00f9 b\u1ea1n n\u00ean gi\u1eef t\u1ec9nh t\u00e1o v\u00e0 t\u1ec9nh t\u00e1o, c\u00e1c nha s\u0129 d\u1ef1 t\u00ednh kh\u1ea3 n\u0103ng b\u1ea1n c\u00f3 th\u1ec3 tr\u1edf n\u00ean an th\u1ea7n h\u01a1n m\u1ee9c c\u1ea7n thi\u1ebft.<\/span><\/p>\n

M\u1ed9t b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c an th\u1ea7n nhi\u1ec1u ho\u1eb7c kh\u00f4ng t\u1ec9nh t\u00e1o kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ph\u1ea3n \u1ee9ng m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean v\u1edbi nh\u1eefng nguy c\u01a1 ti\u1ec1m \u1ea9n nh\u01b0 b\u1ec7nh t\u1eadt. Nh\u1ecbn \u0103n l\u00e0m gi\u1ea3m nguy c\u01a1 bu\u1ed3n n\u00f4n v\u00e0 h\u00fat c\u00e1c ch\u1ea5t trong d\u1ea1 d\u00e0y trong ph\u1ed5i v\u00e0 l\u00e0m cho thu\u1ed1c d\u1ec5 \u0111o\u00e1n h\u01a1n.<\/span><\/p>","protected":false},"author":2,"featured_media":0,"parent":0,"template":"","dental-glossary-categories":[4516,4531,4543],"class_list":["post-54540","dental-glossary","type-dental-glossary","status-publish","hentry","dental-glossary-categories-all","dental-glossary-categories-o","dental-glossary-categories-terms-and-procedures"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54540","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary"}],"about":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/types\/dental-glossary"}],"author":[{"embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/users\/2"}],"version-history":[{"count":0,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary\/54540\/revisions"}],"wp:attachment":[{"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/media?parent=54540"}],"wp:term":[{"taxonomy":"dental-glossary-categories","embeddable":true,"href":"https:\/\/dentalvibe.com\/vi\/wp-json\/wp\/v2\/dental-glossary-categories?post=54540"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}