{"id":1594,"date":"2014-01-15T17:00:00","date_gmt":"2014-01-15T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/tieu-duong\/cuong-giap\/"},"modified":"2014-01-15T17:00:00","modified_gmt":"2014-01-15T10:00:00","slug":"cuong-giap","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/tieu-duong\/cuong-giap\/","title":{"rendered":"C\u01b0\u1eddng gi\u00e1p"},"content":{"rendered":"<h2>T\u1ed5ng quan<\/h2>\n<h3 id=\"cuong-giap-la-gi\" style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p l\u00e0 g\u00ec?<\/h3>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p (c\u00f2n g\u1ecdi l\u00e0 c\u01b0\u1eddng n\u0103ng tuy\u1ebfn gi\u00e1p) l\u00e0 t\u00ecnh tr\u1ea1ng tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u hormone (n\u1ed9i ti\u1ebft t\u1ed1) thyroxine trong c\u01a1 th\u1ec3. T\u00ecnh tr\u1ea1ng c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ed1c \u0111\u00e1ng k\u1ec3 qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t trong c\u01a1 th\u1ec3. G\u00e2y n\u00ean hi\u1ec7n t\u01b0\u1ee3ng gi\u1ea3m c\u00e2n \u0111\u1ed9t ng\u1ed9t, l\u00e0m tim \u0111\u1eadp nhanh ho\u1eb7c kh\u00f4ng \u0111\u1ec1u. G\u00e2y \u0111\u1ed5 m\u1ed3 h\u00f4i v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u0103ng th\u1eb3ng ho\u1eb7c kh\u00f3 ch\u1ecbu kh\u00e1c.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu b\u1ea1n b\u1ecb c\u01b0\u1eddng gi\u00e1p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng gi\u00e1p v\u00e0 i-\u1ed1t ph\u00f3ng x\u1ea1. \u0110\u1ec3 l\u00e0m ch\u1eadm l\u1ea1i qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t hormone tuy\u1ebfn gi\u00e1p. \u0110\u00f4i khi ti\u1ebfn tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p \u0111\u00f2i h\u1ecfi ph\u1ea3i ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf to\u00e0n b\u1ed9 ho\u1eb7c m\u1ed9t ph\u1ea7n c\u1ee7a tuy\u1ebfn gi\u00e1p. M\u1eb7c d\u00f9 c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 tr\u1edf n\u1eb7ng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. H\u1ea7u h\u1ebft c\u00e1c b\u1ec7nh nh\u00e2n \u0111\u1ec1u c\u00f3 ph\u1ea3n \u1ee9ng t\u1ed1t v\u1edbi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p.<\/p>\n<p style=\"text-align: justify\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-20280 size-full\" src=\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2014\/01\/benh-cuong-giap.jpg\" alt=\"b\u1ec7nh c\u01b0\u1eddng gi\u00e1p\" width=\"660\" height=\"330\" \/><\/p>\n<h2>Tri\u1ec7u ch\u1ee9ng<\/h2>\n<h3 id=\"nhung-trieu-chung-thuong-gap-cua-cuong-giap\" style=\"text-align: justify\">Nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p c\u1ee7a c\u01b0\u1eddng gi\u00e1p<\/h3>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ea5t gi\u1ed1ng v\u1edbi c\u00e1c b\u1ec7nh th\u00f4ng th\u01b0\u1eddng kh\u00e1c. Ch\u00ednh \u0111i\u1ec1u n\u00e0y khi\u1ebfn c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n nh\u1ea7m b\u1ec7nh. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>Gi\u1ea3m c\u00e2n \u0111\u1ed9t ng\u1ed9t (ngay c\u1ea3 khi kh\u1ea9u v\u1ecb, l\u01b0\u1ee3ng c\u0169ng nh\u01b0 lo\u1ea1i th\u1ef1c ph\u1ea9m b\u1ea1n \u0103n v\u00e0o h\u00e0ng ng\u00e0y v\u1eabn kh\u00f4ng \u0111\u1ed5i ho\u1eb7c th\u1eadm ch\u00ed c\u00f3 th\u1ec3 nhi\u1ec1u h\u01a1n)<\/li>\n<li>Nh\u1ecbp tim nhanh (th\u01b0\u1eddng h\u01a1n 100 nh\u1ecbp\/ph\u00fat), \u0111\u1eadp kh\u00f4ng \u0111\u1ec1u (lo\u1ea1n nh\u1ecbp tim), ho\u1eb7c \u0111\u1eadp m\u1ea1nh (\u0111\u00e1nh tr\u1ed1ng ng\u1ef1c)<\/li>\n<li>Th\u00e8m \u0103n<\/li>\n<li>C\u0103ng th\u1eb3ng, lo \u00e2u v\u00e0 b\u1ee9t r\u1ee9t<\/li>\n<li>Run chi:\u00a0 th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n b\u1eb1ng run nh\u1eb9 b\u00e0n tay v\u00e0 c\u00e1c ng\u00f3n tay<\/li>\n<li>\u0110\u1ed5 m\u1ed3 h\u00f4i<\/li>\n<li>C\u00f3 thay \u0111\u1ed5i v\u1ec1 chu k\u1ef3 kinh nguy\u1ec7t<\/li>\n<li>Th\u01b0\u1eddng xuy\u00ean c\u00f3 c\u1ea3m gi\u00e1c n\u00f3ng b\u1ee9c, th\u00edch t\u1eafm n\u01b0\u1edbc l\u1ea1nh<\/li>\n<li>C\u00f3 thay \u0111\u1ed5i v\u1ec1 ho\u1ea1t \u0111\u1ed9ng \u0111\u01b0\u1eddng ru\u1ed9t, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111i ti\u00eau th\u01b0\u1eddng xuy\u00ean h\u01a1n<\/li>\n<li>Tuy\u1ebfn gi\u00e1p t\u0103ng k\u00edch th\u01b0\u1edbc (b\u01b0\u1edbu c\u1ed5), c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n b\u1eb1ng m\u1ed9t kh\u1ed1i ph\u00ecnh to v\u00f9ng c\u1ed5<\/li>\n<li>M\u1ec7t m\u1ecfi, y\u1ebfu c\u01a1<\/li>\n<li>Kh\u00f3 ng\u1ee7<\/li>\n<li>Da m\u1ecfng<\/li>\n<li>T\u00f3c m\u1ecfng, d\u1ec5 b\u1ecb g\u00e3y<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Ng\u01b0\u1eddi l\u1edbn tu\u1ed5i th\u01b0\u1eddng kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u hay tri\u1ec7u ch\u1ee9ng b\u1ec7nh, ho\u1eb7c ch\u1ec9 c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1eb9. V\u00ed d\u1ee5 nh\u01b0 t\u0103ng nh\u1ecbp tim, ch\u1ecbu n\u00f3ng k\u00e9m v\u00e0 d\u1ec5 b\u1ecb m\u1ec7t m\u1ecfi trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u01b0\u1eddng ng\u00e0y. Ngo\u00e0i ra, c\u00e1c lo\u1ea1i thu\u1ed1c thu\u1ed9c nh\u00f3m ch\u1eb9n beta. V\u1ed1n th\u01b0\u1eddng d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p v\u00e0 m\u1ed9t s\u1ed1 b\u1ec7nh kh\u00e1c. C\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111i nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p khi\u1ebfn kh\u00f3 ph\u00e1t hi\u1ec7n b\u1ec7nh h\u01a1n.<\/p>\n<h3 style=\"text-align: justify\"><strong> L\u1ed3i m\u1eaft do b\u1ec7nh Graves <\/strong> <strong> (Grave <\/strong> <strong> s <\/strong> <strong> \u2019 Ophthalmopathy) <\/strong><\/h3>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng l\u1ed3i m\u1eaft (Graves\u2019 Ophthalmopathy). <strong>\u0110\u1eb7c bi\u1ec7t l\u00e0 \u1edf nh\u1eefng ng\u01b0\u1eddi h\u00fat thu\u1ed1c<\/strong>. \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 nh\u00e3n c\u1ea7u b\u1ecb l\u1ec7ch ra kh\u1ecfi qu\u1ef9 \u0111\u1ea1o b\u00ecnh th\u01b0\u1eddng do c\u00e1c m\u00f4 v\u00e0 c\u01a1 sau m\u1eaft b\u1ecb s\u01b0ng l\u00ean. H\u1eadu qu\u1ea3 l\u00e0 nh\u00e3n c\u1ea7u b\u1ecb \u0111\u1ea9y v\u1ec1 ph\u00eda tr\u01b0\u1edbc g\u00e2y n\u00ean h\u00ecnh \u1ea3nh l\u1ed3i m\u1eaft. C\u0169ng do t\u00ecnh tr\u1ea1ng di chuy\u1ec3n ra tr\u01b0\u1edbc n\u00e0y, m\u1eb7t tr\u01b0\u1edbc c\u1ee7a nh\u00e3n c\u1ea7u s\u1ebd r\u1ea5t d\u1ec5 b\u1ecb kh\u00f4. Tri\u1ec7u ch\u1ee9ng l\u1ed3i m\u1eaft th\u01b0\u1eddng t\u1ef1 c\u1ea3i thi\u1ec7n m\u00e0 kh\u00f4ng c\u1ea7n \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p style=\"text-align: justify\">C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a l\u1ed3i m\u1eaft bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>Nh\u00e3n c\u1ea7u b\u1ecb nh\u00f4 ra<\/li>\n<li>M\u1eaft s\u01b0ng ho\u1eb7c \u0111\u1ecf<\/li>\n<li>Th\u01b0\u1eddng xuy\u00ean ch\u1ea3y n\u01b0\u1edbc m\u1eaft ho\u1eb7c kh\u00f3 ch\u1ecbu \u1edf m\u1ed9t ho\u1eb7c c\u1ea3 hai m\u1eaft<\/li>\n<li>M\u1eaft tr\u1edf n\u00ean nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i (nh\u00ecn m\u1ed9t th\u00e0nh hai), b\u1ecb vi\u00eam. Ho\u1eb7c gi\u1ea3m kh\u1ea3 n\u0103ng v\u1eadn nh\u00e3n (chuy\u1ec3n \u0111\u1ed9ng m\u1eaft).<\/li>\n<\/ul>\n<h3 style=\"text-align: justify\"><strong> Khi n\u00e0o c\u1ea7n \u0111i <\/strong> <strong> kh\u00e1m <\/strong> <strong> b\u00e1c s\u0129 <\/strong> ?<\/h3>\n<p style=\"text-align: justify\">H\u00e3y \u0111i kh\u00e1m b\u00e1c s\u0129 n\u1ebfu b\u1ea1n th\u1ea5y m\u00ecnh b\u1ecb gi\u1ea3m c\u00e2n. M\u00e0 kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n, tim \u0111\u1eadp nhanh, \u0111\u1ed5 m\u1ed3 h\u00f4i b\u1ea5t th\u01b0\u1eddng, s\u01b0ng \u1edf c\u1ed5 ho\u1eb7c c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c li\u00ean quan \u0111\u1ebfn c\u01b0\u1eddng gi\u00e1p nh\u01b0 \u0111\u00e3 \u0111\u1ec1 c\u1eadp \u1edf tr\u00ean. B\u1ea1n n\u00ean l\u01b0u \u00fd m\u00f4 t\u1ea3 cho b\u00e1c s\u0129 t\u1ea5t c\u1ea3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng m\u00e0 b\u1ea1n \u0111\u1ec3 \u00fd th\u1ea5y. B\u1edfi v\u00ec nhi\u1ec1u d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u1ef1 v\u1edbi nh\u1eefng b\u1ec7nh th\u00f4ng th\u01b0\u1eddng kh\u00e1c.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu \u0111\u00e3 ho\u1eb7c \u0111ang \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p. B\u1ea1n n\u00ean th\u01b0\u1eddng xuy\u00ean \u0111i t\u00e1i kh\u00e1m \u0111\u1ec3 b\u00e1c s\u0129 c\u00f3 th\u1ec3 theo d\u00f5i li\u00ean t\u1ee5c t\u00ecnh tr\u1ea1ng c\u01a1 th\u1ec3 b\u1ea1n.<\/p>\n<h2>Nguy\u00ean nh\u00e2n<\/h2>\n<h3 style=\"text-align: justify\">Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y c\u01b0\u1eddng gi\u00e1p?<\/h3>\n<p style=\"text-align: justify\">M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd nh\u01b0 b\u1ec7nh Graves (hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh Basedow), u \u0111\u1ed9c tuy\u1ebfn gi\u00e1p (toxic adenoma), b\u01b0\u1edbu gi\u00e1p \u0111\u1ed9c \u0111a nh\u00e2n (Plummer\u2019s disease, toxic multinodular goiter) v\u00e0 vi\u00eam tuy\u1ebfn gi\u00e1p \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng c\u01b0\u1eddng gi\u00e1p.<\/p>\n<p style=\"text-align: justify\">Tuy\u1ebfn gi\u00e1p l\u00e0 m\u1ed9t tuy\u1ebfn nh\u1ecf h\u00ecnh b\u01b0\u1edbm n\u1eb1m \u1edf tr\u01b0\u1edbc c\u1ed5, ngay d\u01b0\u1edbi qu\u1ea3 t\u00e1o Adam (tr\u00e1i kh\u1ebf). M\u1eb7c d\u00f9 nh\u1eb9 h\u01a1n 28 gram (~ 1 ounce). Ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tuy\u1ebfn gi\u00e1p c\u00f3 t\u00e1c \u0111\u1ed9ng r\u1ea5t l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n. Ph\u1ea7n l\u1edbn c\u00e1c qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t trong c\u01a1 th\u1ec3 \u0111\u1ec1u \u0111\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a b\u1edfi hormone gi\u00e1p tr\u1ea1ng.<\/p>\n<p style=\"text-align: justify\">Tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t hai lo\u1ea1i hormone ch\u00ednh, thyroxine (T-4) v\u00e0 triiodothyronine (T-3). Hai hormone n\u00e0y c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1ea5t c\u1ea3 c\u00e1c t\u1ebf b\u00e0o trong c\u01a1 th\u1ec3. Ch\u00fang gi\u00fap duy tr\u00ec t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a ch\u1ea5t b\u00e9o v\u00e0 carbohydrate. Gi\u00fap \u0111i\u1ec1u ch\u1ec9nh th\u00e2n nhi\u1ec7t, \u1ea3nh h\u01b0\u1edfng t\u1edbi nh\u1ecbp tim v\u00e0 \u0111i\u1ec1u ch\u1ec9nh vi\u1ec7c t\u1ed5ng h\u1ee3p c\u00e1c lo\u1ea1i protein trong c\u01a1 th\u1ec3. Tuy\u1ebfn gi\u00e1p c\u0169ng s\u1ea3n xu\u1ea5t calcitonin. M\u1ed9t lo\u1ea1i hormone gi\u00fap \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng canxi trong m\u00e1u.<\/p>\n<h3 style=\"text-align: justify\"><strong> C\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a ho\u1ea1t \u0111\u1ed9ng tuy\u1ebfn gi\u00e1p <\/strong><\/h3>\n<p style=\"text-align: justify\">T\u1ed1c \u0111\u1ed9 s\u1ea3n xu\u1ea5t v\u00e0 ph\u00f3ng th\u00edch hai hormone T-4 v\u00e0 T-3. \u0110\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1edfi tuy\u1ebfn y\u00ean v\u00e0 v\u00f9ng n\u00e3o \u0111i\u1ec1u khi\u1ec3n th\u00e2n nhi\u1ec7t (c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 trung t\u00e2m \u0111i\u1ec1u nhi\u1ec7t. L\u00e0 v\u00f9ng n\u00e3o n\u1eb1m \u1edf ph\u1ea7n th\u1ea5p c\u1ee7a b\u1ed9 n\u00e3o. C\u00f3 vai tr\u00f2 nh\u01b0 m\u1ed9t nhi\u1ec7t k\u1ebf gi\u00e1m s\u00e1t th\u00e2n nhi\u1ec7t c\u1ee7a ch\u00fang ta).<\/p>\n<p style=\"text-align: justify\">V\u00f9ng n\u00e3o \u0111i\u1ec1u khi\u1ec3n th\u00e2n nhi\u1ec7t s\u1ebd truy\u1ec1n t\u00edn hi\u1ec7u t\u1edbi tuy\u1ebfn y\u00ean. \u0110\u1ec3 n\u01a1i n\u00e0y t\u1ea1o ra m\u1ed9t lo\u1ea1i hormone g\u1ecdi l\u00e0 hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p (TSH). Tuy\u1ebfn y\u00ean sau \u0111\u00f3 s\u1ebd ti\u1ebft ra m\u1ed9t l\u01b0\u1ee3ng TSH ph\u00f9 h\u1ee3p t\u00f9y thu\u1ed9c v\u00e0o l\u01b0\u1ee3ng T-4 v\u00e0 T-3 trong m\u00e1u. N\u1ebfu l\u01b0\u1ee3ng T-4 v\u00e0 T-3 trong m\u00e1u kh\u00f4ng \u0111\u1ee7, l\u01b0\u1ee3ng TSH s\u1ebd \u0111\u01b0\u1ee3c t\u0103ng t\u1ed5ng h\u1ee3p. N\u1ebfu l\u01b0\u1ee3ng T-4 v\u00e0 T-3 trong m\u00e1u \u0111ang th\u1eeba, l\u01b0\u1ee3ng TSH khi \u0111\u00f3 s\u1ebd gi\u1ea3m xu\u1ed1ng. Sau \u0111\u00f3, t\u00f9y v\u00e0o l\u01b0\u1ee3ng TSH nh\u1eadn \u0111\u01b0\u1ee3c, tuy\u1ebfn gi\u00e1p s\u1ebd \u0111i\u1ec1u ch\u1ec9nh l\u01b0\u1ee3ng T-4 v\u00e0 T-3 ti\u1ebft ra. Nh\u1eefng b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p l\u00e0m t\u0103ng ph\u00f3ng th\u00edch qu\u00e1 nhi\u1ec1u hormone T-4 v\u00e0 T-3. S\u1ebd khi\u1ebfn m\u1ee9c TSH trong m\u00e1u lu\u00f4n \u1edf d\u01b0\u1edbi m\u1ee9c b\u00ecnh th\u01b0\u1eddng. Ng\u01b0\u1ee3c l\u1ea1i, nh\u1eefng b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng t\u1ea1o hormone T-4 v\u00e0 T-3. S\u1ebd khi\u1ebfn m\u1ee9c TSH trong m\u00e1u lu\u00f4n duy tr\u00ec \u1edf m\u1ee9c cao.<\/p>\n<h3 style=\"text-align: justify\"><strong> Nh\u1eefng l\u00fd do g\u00e2y n\u00ean s\u1ef1 d\u01b0 th\u1eeba thyroxine (T-4) <\/strong><\/h3>\n<p style=\"text-align: justify\">Th\u00f4ng th\u01b0\u1eddng, hormone gi\u00e1p tr\u1ea1ng ch\u1ec9 \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t m\u1ed9t l\u01b0\u1ee3ng v\u1eeba \u0111\u1ee7 cho c\u01a1 th\u1ec3. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 t\u00ecnh hu\u1ed1ng, tuy\u1ebfn gi\u00e1p l\u1ea1i t\u1ed5ng h\u1ee3p ra qu\u00e1 nhi\u1ec1u hormone T-4 ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong> B\u1ec7nh <\/strong> <strong> Graves <\/strong> <strong> ( <\/strong> <strong> b\u1ec7nh Basedow <\/strong> <strong> ): <\/strong> \u0111\u00e2y l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n trong \u0111\u00f3 c\u00e1c kh\u00e1ng th\u1ec3. \u0110\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch s\u1ebd k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p ti\u1ebft ra qu\u00e1 nhi\u1ec1u hormone T-4. <strong>B\u1ec7nh Graves l\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a c\u01b0\u1eddng gi\u00e1p<\/strong>. Th\u00f4ng th\u01b0\u1eddng, h\u1ec7 th\u1ed1ng mi\u1ec5n nhi\u1ec5m c\u1ee7a ch\u00fang ta s\u1ebd t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3. B\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i c\u00e1c lo\u1ea1i virus, vi khu\u1ea9n v\u00e0 c\u00e1c ch\u1ea5t l\u1ea1 \u0111\u1ebfn t\u1eeb m\u00f4i tr\u01b0\u1eddng b\u00ean ngo\u00e0i. Kh\u00f4ng cho ch\u00fang x\u00e2m nh\u1eadp v\u00e0o b\u00ean trong c\u01a1 th\u1ec3. Trong b\u1ec7nh n\u00e0y, c\u00e1c kh\u00e1ng th\u1ec3 s\u1ebd t\u1ea5n c\u00f4ng tuy\u1ebfn gi\u00e1p. \u0110\u00f4i khi t\u1ea5n c\u00f4ng c\u00e1c m\u00f4 sau m\u1eaft (b\u1ec7nh c\u1ea3nh l\u1ed3i m\u1eaft &#8211; Graves&#8217; ophthalmopathy) v\u00e0 da (th\u01b0\u1eddng l\u00e0 \u1edf ph\u1ea7n ph\u00eda d\u01b0\u1edbi \u0111\u1ea7u g\u1ed1i, ph\u00eda tr\u00ean m\u00f4 c\u01a1 c\u1eb3ng ch\u00e2n (b\u1ec7nh c\u1ea3nh vi\u00eam da &#8211; Graves\u2019 dermopathy)). C\u00e1c nh\u00e0 khoa h\u1ecdc v\u1eabn ch\u01b0a th\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh Graves. M\u1eb7c d\u00f9 h\u1ecd \u0111\u00e3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 &#8211; m\u1ed9t trong s\u1ed1 \u0111\u00f3 l\u00e0 y\u1ebfu t\u1ed1 di truy\u1ec1n. C\u00f3 g\u00f3p ph\u1ea7n g\u00e2y n\u00ean c\u0103n b\u1ec7nh n\u00e0y.<\/li>\n<li><strong> C\u00e1c <\/strong> <strong> nh\u00e2n gi\u00e1p ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c (v\u00ed d\u1ee5 nh\u01b0 u \u0111\u1ed9c tuy\u1ebfn gi\u00e1p, b\u01b0\u1edbu gi\u00e1p \u0111\u1ed9c \u0111a nh\u00e2n): <\/strong> b\u1ec7nh n\u00e0y x\u1ea3y ra khi m\u1ed9t ho\u1eb7c nhi\u1ec1u kh\u1ed1i u tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u hormone T-4. Kh\u1ed1i u tuy\u1ebfn (adenoma) l\u00e0 m\u1ed9t kh\u1ed1i u l\u00e0nh c\u1ee7a tuy\u1ebfn gi\u00e1p xu\u1ea5t hi\u1ec7n. Khi m\u1ed9t ph\u1ea7n c\u1ee7a tuy\u1ebfn t\u1ef1 t\u1ea1o v\u00e1ch b\u1ecdc n\u00f3 l\u1ea1i v\u00e0 t\u00e1ch bi\u1ec7t ra kh\u1ecfi ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a tuy\u1ebfn. C\u00f3 th\u1ec3 l\u00e0m tuy\u1ebfn gi\u00e1p to l\u00ean. Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c u tuy\u1ebfn \u0111\u1ec1u s\u1ea3n xu\u1ea5t d\u01b0 th\u1eeba T-4. Cho \u0111\u1ebfn nay, nguy\u00ean nh\u00e2n khi\u1ebfn cho m\u1ed9t v\u00e0i u tuy\u1ebfn t\u1ed5ng h\u1ee3p qu\u00e1 m\u1ee9c hormone v\u1eabn ch\u01b0a x\u00e1c \u0111\u1ecbnh r\u00f5.<\/li>\n<li><strong> Vi\u00eam tuy\u1ebfn gi\u00e1p: <\/strong> \u0110\u00f4i khi tuy\u1ebfn gi\u00e1p c\u00f3 th\u1ec3 b\u1ecb vi\u00eam m\u00e0 kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. T\u00ecnh tr\u1ea1ng vi\u00eam n\u00e0y khi\u1ebfn hormone tuy\u1ebfn gi\u00e1p \u0111ang d\u1ef1 tr\u1eef b\u00ean trong tuy\u1ebfn \u0111\u01b0\u1ee3c ph\u00f3ng th\u00edch v\u00e0o m\u00e1u. M\u1ed9t lo\u1ea1i hi\u1ebfm g\u1eb7p c\u1ee7a vi\u00eam tuy\u1ebfn gi\u00e1p, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 vi\u00eam tuy\u1ebfn gi\u00e1p b\u00e1n c\u1ea5p (subacute thyroiditis). C\u00f3 th\u1ec3 g\u00e2y \u0111au tuy\u1ebfn gi\u00e1p. C\u00e1c lo\u1ea1i vi\u00eam kh\u00e1c th\u01b0\u1eddng kh\u00f4ng g\u00e2y \u0111au \u0111\u1edbn v\u00e0 \u0111\u00f4i khi x\u1ea3y ra sau thai k\u1ef3 (vi\u00eam tuy\u1ebfn gi\u00e1p sau sinh- postpartum thyroiditis).<\/li>\n<\/ul>\n<h2 id=\"yeu-to-nao-lam-tang-nguy-co-bi-cuong-giap\" style=\"text-align: justify\">Y\u1ebfu t\u1ed1 n\u00e0o l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb c\u01b0\u1eddng gi\u00e1p?<\/h2>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p, \u0111\u1eb7c bi\u1ec7t l\u00e0 l\u1ed3i m\u1eaft, c\u00f3 xu h\u01b0\u1edbng di truy\u1ec1n trong gia \u0111\u00ecnh v\u00e0 ph\u1ed5 bi\u1ebfn \u1edf <strong>n\u1eef gi\u1edbi h\u01a1n \u1edf nam gi\u1edbi<\/strong>. N\u1ebfu m\u1ed9t th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh c\u00f3 b\u1ec7nh v\u1ec1 tuy\u1ebfn gi\u00e1p. H\u00e3y h\u1ecfi \u00fd ki\u1ebfn b\u00e1c s\u0129 \u0111\u1ec3 xem \u0111i\u1ec1u \u0111\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n. V\u00e0 \u0111\u1ec3 xem b\u00e1c s\u0129 c\u00f3 khuy\u00ean b\u1ea1n theo d\u00f5i ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p hay kh\u00f4ng.<\/p>\n<h2 id=\"nhung-bien-chung-cua-cuong-giap\" style=\"text-align: justify\">Nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p<\/h2>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng nh\u01b0 sau:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong> B\u1ec7nh tim: <\/strong> m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng n\u1eb7ng n\u1ec1 nh\u1ea5t c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 li\u00ean quan tim m\u1ea1ch. C\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y bao g\u1ed3m nh\u1ecbp tim nhanh (\u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n nh\u1ecbp tim c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 rung nh\u0129). V\u00e0 b\u1ec7nh suy tim \u1ee9 huy\u1ebft (\u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 tim kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 m\u00e1u l\u01b0u th\u00f4ng \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3). C\u00e1c bi\u1ebfn ch\u1ee9ng n\u00e0y th\u01b0\u1eddng c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c khi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p.<\/li>\n<li><strong> X\u01b0\u01a1ng <\/strong> <strong> d\u1ec5 g\u00e3y<\/strong><strong>: <\/strong> c\u01b0\u1eddng gi\u00e1p n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 l\u00e0m cho x\u01b0\u01a1ng d\u1ec5 g\u00e3y v\u00e0 y\u1ebfu (lo\u00e3ng x\u01b0\u01a1ng). \u0110\u1ed9 ch\u1eafc c\u1ee7a x\u01b0\u01a1ng ph\u1ee5 thu\u1ed9c m\u1ed9t ph\u1ea7n v\u00e0o l\u01b0\u1ee3ng canxi v\u00e0 c\u00e1c kho\u00e1ng ch\u1ea5t kh\u00e1c c\u00f3 \u1edf trong x\u01b0\u01a1ng. Qu\u00e1 nhi\u1ec1u hormone tuy\u1ebfn gi\u00e1p s\u1ebd c\u1ea3n tr\u1edf qu\u00e1 tr\u00ecnh h\u1ea5p th\u1ee5 canxi v\u00e0o x\u01b0\u01a1ng c\u1ee7a c\u01a1 th\u1ec3.<\/li>\n<li><strong> B\u1ec7nh v\u1ec1 m\u1eaft: <\/strong> nh\u1eefng ng\u01b0\u1eddi b\u1ecb l\u1ed3i m\u1eaft s\u1ebd c\u00f3 c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 m\u1eaft b\u1ecb ph\u1ed3ng l\u00ean, \u0111\u1ecf ho\u1eb7c s\u01b0ng, nh\u1ea1y c\u1ea3m v\u1edbi \u00e1nh s\u00e1ng, nh\u00ecn m\u1edd ho\u1eb7c nh\u00ecn \u0111\u00f4i. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng. V\u00e0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t th\u1ecb l\u1ef1c ho\u00e0n to\u00e0n.<\/li>\n<li><strong> Da b\u1ecb \u0111\u1ecf v\u00e0 s\u01b0ng: <\/strong> trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm g\u1eb7p, nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh Graves. C\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn \u0111\u1ebfn th\u1ec3 t\u1ed5n th\u01b0\u01a1ng da (Graves&#8217; dermopathy) bao g\u1ed3m c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0 da b\u1ecb m\u1ea9n \u0111\u1ecf v\u00e0 s\u01b0ng t\u1ea5y. Th\u01b0\u1eddng l\u00e0 \u1edf ph\u1ea7n da c\u01a1 c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n.<\/li>\n<li><strong> C\u01a1n b\u00e3o gi\u00e1p tr\u1ea1ng: <\/strong> \u0111\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p tr\u1edf n\u1eb7ng m\u1ed9t c\u00e1ch \u0111\u1ed9t ng\u1ed9t. D\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 s\u1ed1t, nh\u1ecbp tim nhanh v\u00e0 th\u1eadm ch\u00ed m\u00ea s\u1ea3ng. N\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra, b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf ngay l\u1eadp t\u1ee9c.<\/li>\n<\/ul>\n<p style=\"text-align: justify\"><strong> Chu\u1ea9n b\u1ecb g\u00ec tr\u01b0\u1edbc khi g\u1eb7p b\u00e1c s\u0129?<\/strong><\/p>\n<p style=\"text-align: justify\">Th\u00f4ng th\u01b0\u1eddng b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c kh\u00e1m v\u1edbi b\u00e1c s\u0129 gia \u0111\u00ecnh ho\u1eb7c b\u00e1c s\u0129 \u0111a khoa tr\u01b0\u1edbc. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ebfn ngay m\u1ed9t b\u00e1c s\u0129 chuy\u00ean ng\u00e0nh n\u1ed9i ti\u1ebft. N\u1ebfu c\u00f3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1ec1 m\u1eaft. B\u1ea1n c\u00f3 th\u1ec3 \u0111i g\u1eb7p ngay m\u1ed9t b\u00e1c s\u0129 nh\u00e3n khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n ch\u1eefa tr\u1ecb.<\/p>\n<p style=\"text-align: justify\">D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 th\u00f4ng tin \u0111\u1ec3 gi\u00fap b\u1ea1n s\u1eb5n s\u00e0ng cho bu\u1ed5i kh\u00e1m b\u1ec7nh v\u00e0 bi\u1ebft nh\u1eefng g\u00ec b\u1ea1n c\u00f3 th\u1ec3 mong \u0111\u1ee3i t\u1eeb b\u00e1c s\u0129.<\/p>\n<p style=\"text-align: justify\"><strong> Nh\u1eefng <\/strong> <strong> \u0111i\u1ec1u <\/strong> <strong> b\u1ea1n c\u00f3 th\u1ec3 l\u00e0m <\/strong><\/p>\n<ul style=\"text-align: justify\">\n<li><strong> T\u00ecm hi\u1ec3u k\u1ef9 v\u1ec1 nh\u1eefng th\u1ee7 t\u1ee5c c\u1ea7n l\u00e0m tr\u01b0\u1edbc bu\u1ed5i kh\u00e1m b\u1ec7nh. <\/strong> Khi \u0111\u1eb7t l\u1ecbch kh\u00e1m, h\u00e3y nh\u1edb h\u1ecfi v\u1ec1 c\u00e1c th\u1ee7 t\u1ee5c b\u1ea1n c\u1ea7n l\u00e0m tr\u01b0\u1edbc ng\u00e0y kh\u00e1m b\u1ec7nh.<\/li>\n<li><strong> Ghi l\u1ea1i <\/strong> <strong> t\u1ea5t c\u1ea3 c\u00e1c <\/strong> <strong> tri\u1ec7u ch\u1ee9ng <\/strong> <strong> m\u00e0 <\/strong> <strong> b\u1ea1n \u0111ang <\/strong> <strong> c\u00f3.<\/strong>\u00a0Bao g\u1ed3m c\u1ea3 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u00f3 v\u1ebb kh\u00f4ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh.<\/li>\n<li><strong> Ghi l\u1ea1i c\u00e1c th\u00f4ng tin c\u00e1 nh\u00e2n c\u01a1 b\u1ea3n.\u00a0<\/strong>Bao g\u1ed3m c\u1ea3 nh\u1eefng sang ch\u1ea5n t\u00e2m l\u00fd ho\u1eb7c thay \u0111\u1ed5i l\u1edbn trong cu\u1ed9c s\u1ed1ng g\u1ea7n \u0111\u00e2y.<\/li>\n<li><strong> Li\u1ec7t k\u00ea danh s\u00e1ch t\u1ea5t c\u1ea3 thu\u1ed1c men <\/strong> c\u0169ng nh\u01b0 b\u1ea5t k\u1ef3 lo\u1ea1i vitamin hay ch\u1ea5t b\u1ed5 sung n\u00e0o m\u00e0 b\u1ea1n \u0111ang d\u00f9ng.<\/li>\n<li><strong> \u0110i c\u00f9ng m\u1ed9t th\u00e0nh vi\u00ean gia \u0111\u00ecnh ho\u1eb7c b\u1ea1n b\u00e8 <\/strong> <strong> n\u1ebfu c\u00f3 th\u1ec3<\/strong>. \u0110\u00f4i khi b\u1ea1n s\u1ebd g\u1eb7p kh\u00f3 kh\u0103n khi c\u1ed1 nh\u1edb h\u1ebft t\u1ea5t c\u1ea3 c\u00e1c th\u00f4ng tin nh\u1eadn \u0111\u01b0\u1ee3c trong l\u00fac kh\u00e1m b\u1ec7nh. Ng\u01b0\u1eddi \u0111i c\u00f9ng c\u00f3 th\u1ec3 s\u1ebd nh\u1edb m\u1ed9t v\u00e0i th\u1ee9 m\u00e0 b\u1ea1n b\u1ecb qu\u00ean.<\/li>\n<li><strong> Vi\u1ebft s\u1eb5n <\/strong> <strong> nh\u1eefng <\/strong> <strong> c\u00e2u h\u1ecfi \u0111\u1ec3 h\u1ecfi <\/strong> <strong> b\u00e1c s\u0129 <\/strong> .<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Vi\u1ec7c chu\u1ea9n b\u1ecb danh s\u00e1ch c\u00e1c c\u00e2u c\u1ea7n h\u1ecfi s\u1ebd gi\u00fap b\u1ea1n t\u1eadn d\u1ee5ng t\u1ed1i \u0111a th\u1eddi gian g\u1eb7p b\u00e1c s\u0129. M\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi c\u01a1 b\u1ea3n li\u00ean quan c\u01b0\u1eddng gi\u00e1p m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0a ra cho b\u00e1c s\u0129 bao g\u1ed3m:<\/p>\n<ul style=\"text-align: justify\">\n<li>Nguy\u00ean nh\u00e2n ch\u00ednh g\u00e2y ra tri\u1ec7u ch\u1ee9ng ho\u1eb7c t\u00ecnh tr\u1ea1ng n\u00e0y l\u00e0 g\u00ec?<\/li>\n<li>Nh\u1eefng nguy\u00ean nh\u00e2n kh\u00e1c l\u00e0 g\u00ec?<\/li>\n<li>T\u00f4i s\u1ebd c\u1ea7n l\u00e0m nh\u1eefng lo\u1ea1i x\u00e9t nghi\u1ec7m n\u00e0o?<\/li>\n<li>B\u1ec7nh c\u1ee7a t\u00f4i l\u00e0 t\u1ea1m th\u1eddi hay m\u1ea1n t\u00ednh?<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t l\u00e0 g\u00ec?<\/li>\n<li>C\u00f2n ph\u01b0\u01a1ng ph\u00e1p n\u00e0o kh\u00e1c ngo\u00e0i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u00e1c s\u0129 v\u1eeba \u0111\u01b0a ra kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f2n b\u1ecb b\u1ec7nh kh\u00e1c n\u1eefa. L\u00e0m sao \u0111\u1ec3 t\u00f4i ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb hai b\u1ec7nh c\u00f9ng l\u00fac?<\/li>\n<li>T\u00f4i c\u00f3 c\u1ea7n ph\u1ea3i h\u1ea1n ch\u1ebf g\u00ec kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 n\u00ean \u0111i kh\u00e1m chuy\u00ean gia kh\u00f4ng?<\/li>\n<li>C\u00f3 lo\u1ea1i thu\u1ed1c generic n\u00e0o c\u00f3 th\u1ec3 thay th\u1ebf thu\u1ed1c m\u00e0 b\u00e1c s\u0129 \u0111ang k\u00ea cho t\u00f4i kh\u00f4ng?<\/li>\n<li>C\u00f3 t\u00e0i li\u1ec7u n\u00e0o v\u1ec1 b\u1ec7nh n\u00e0y m\u00e0 t\u00f4i c\u00f3 th\u1ec3 \u0111em v\u1ec1 nh\u00e0 xem kh\u00f4ng? B\u00e1c s\u0129 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u trang web n\u00e0o cho t\u00f4i kh\u00f4ng?<\/li>\n<\/ul>\n<p style=\"text-align: justify\">Ngo\u00e0i nh\u1eefng c\u00e2u h\u1ecfi m\u00e0 b\u1ea1n \u0111\u00e3 chu\u1ea9n b\u1ecb s\u1eb5n s\u00e0ng \u0111\u1ec3 h\u1ecfi b\u00e1c s\u0129, \u0111\u1eebng ng\u1ea7n ng\u1ea1i \u0111\u1eb7t c\u00e2u h\u1ecfi trong bu\u1ed5i kh\u00e1m b\u1ec7nh b\u1ea5t c\u1ee9 l\u00fac n\u00e0o b\u1ea1n c\u1ea3m th\u1ea5y kh\u00f4ng hi\u1ec3u \u0111i\u1ec1u g\u00ec \u0111\u00f3.<\/p>\n<p style=\"text-align: justify\"><strong> Nh\u1eefng c\u00e2u h\u1ecfi b\u00e1c s\u0129 c\u00f3 th\u1ec3 h\u1ecfi b\u1ea1n <\/strong><\/p>\n<p style=\"text-align: justify\">B\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1ebd h\u1ecfi b\u1ea1n m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li>Khi n\u00e0o b\u1ea1n b\u1eaft \u0111\u1ea7u c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng?<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra li\u00ean t\u1ee5c hay gi\u00e1n \u0111o\u1ea1n?<\/li>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n nghi\u00eam tr\u1ecdng \u0111\u1ebfn m\u1ee9c n\u00e0o?<\/li>\n<li>C\u00f3 b\u1ea5t k\u1ef3 \u0111i\u1ec1u g\u00ec c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00f4ng?<\/li>\n<li>C\u00f3 \u0111i\u1ec1u g\u00ec c\u00f3 th\u1ec3 l\u00e0m c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ed3i t\u1ec7 th\u00eam kh\u00f4ng?<\/li>\n<li>C\u00f3 ng\u01b0\u1eddi n\u00e0o trong gia \u0111\u00ecnh c\u1ee7a b\u1ea1n c\u00f3 b\u1ec7nh v\u1ec1 tuy\u1ebfn gi\u00e1p kh\u00f4ng?<\/li>\n<\/ul>\n<h2>X\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h2>\n<h3 id=\"chan-doan-cuong-giap-the-nao\" style=\"text-align: justify\">Ch\u1ea9n \u0111o\u00e1n c\u01b0\u1eddng gi\u00e1p th\u1ebf n\u00e0o?<\/h3>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p sau:<\/p>\n<p style=\"text-align: justify\"><strong> Ti\u1ec1n s\u1eed b\u1ec7nh v\u00e0 kh\u00e1m l\u00e2m s\u00e0ng <\/strong><\/p>\n<p style=\"text-align: justify\">Trong qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 kh\u00e1m \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 run nh\u1eb9 ng\u00f3n tay khi \u1edf t\u01b0 th\u1ebf du\u1ed7i, t\u0103ng ph\u1ea3n x\u1ea1, nh\u1eefng thay \u0111\u1ed5i c\u1ee7a m\u1eaft, da \u1ea9m, n\u00f3ng. Ngo\u00e0i ra, b\u00e1c s\u0129 c\u0169ng s\u1ebd kh\u00e1m tuy\u1ebfn gi\u00e1p trong l\u00fac b\u1ea1n th\u1ef1c hi\u1ec7n \u0111\u1ed9ng t\u00e1c nu\u1ed1t.<\/p>\n<p style=\"text-align: justify\"><strong> X\u00e9t nghi\u1ec7m m\u00e1u <\/strong><\/p>\n<p style=\"text-align: justify\">C\u00f3 th\u1ec3 x\u00e1c \u0111\u1ecbnh t\u00ecnh tr\u1ea1ng c\u01b0\u1eddng gi\u00e1p b\u1eb1ng c\u00e1c x\u00e9t nghi\u1ec7m \u0111o l\u01b0\u1ee3ng thyroxine v\u00e0 TSH trong m\u00e1u. N\u1ebfu k\u1ebft qu\u1ea3 cho th\u1ea5y h\u00e0m l\u01b0\u1ee3ng c\u1ee7a hormone thyroxine cao trong khi h\u00e0m l\u01b0\u1ee3ng TSH (hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p) th\u1ea5p ho\u1eb7c d\u01b0\u1edbi ng\u01b0\u1ee1ng ph\u00e1t hi\u1ec7n. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 tuy\u1ebfn gi\u00e1p \u0111ang ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c. H\u00e0m l\u01b0\u1ee3ng TSH trong m\u00e1u r\u1ea5t quan tr\u1ecdng do hormone n\u00e0y c\u00f3 nhi\u1ec7m v\u1ee5 ph\u00e1t t\u00edn hi\u1ec7u cho tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t ra thyroxine. C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u1eb7c bi\u1ec7t c\u1ea7n thi\u1ebft \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi l\u1edbn tu\u1ed5ii. V\u00ec nh\u1eefng tri\u1ec7u ch\u1ee9ng th\u00f4ng th\u01b0\u1eddng c\u1ee7a c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 kh\u00f4ng xu\u1ea5t hi\u1ec7n r\u00f5 r\u00e0ng \u1edf ng\u01b0\u1eddi gi\u00e0.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu x\u00e9t nghi\u1ec7m m\u00e1u cho th\u1ea5y b\u1ea1n b\u1ecb c\u01b0\u1eddng gi\u00e1p. B\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ngh\u1ecb m\u1ed9t trong nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p x\u00e9t nghi\u1ec7m sau \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh l\u00fd do t\u1ea1i sao tuy\u1ebfn gi\u00e1p l\u1ea1i ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c:<\/p>\n<p style=\"text-align: justify\"><strong> X\u00e9t nghi\u1ec7m h\u1ea5p thu i-\u1ed1t ph\u00f3ng x\u1ea1 <\/strong><\/p>\n<p style=\"text-align: justify\">B\u1ea1n s\u1ebd u\u1ed1ng m\u1ed9t li\u1ec1u nh\u1ecf i-\u1ed1t ph\u00f3ng x\u1ea1 (radioiodine). Theo th\u1eddi gian, l\u01b0\u1ee3ng i-\u1ed1t n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c t\u1eadp trung trong tuy\u1ebfn gi\u00e1p. V\u00ec tuy\u1ebfn gi\u00e1p s\u1ebd ph\u1ea3i s\u1eed d\u1ee5ng i-\u1ed1t \u0111\u1ec3 s\u1ea3n xu\u1ea5t hormone thyroxine. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ki\u1ec3m tra sau 2, 6 ho\u1eb7c 24 gi\u1edd sau \u0111\u00f3 &#8211; v\u00e0 \u0111\u00f4i khi l\u00e0 c\u1ea3 ba th\u1eddi \u0111i\u1ec3m. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh l\u01b0\u1ee3ng i-\u1ed1t m\u00e0 tuy\u1ebfn gi\u00e1p \u0111\u00e3 h\u1ea5p th\u1ee5.<\/p>\n<p style=\"text-align: justify\">N\u1ebfu k\u1ebft qu\u1ea3 cho th\u1ea5y i-\u1ed1t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 nhi\u1ec1u h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a l\u00e0 tuy\u1ebfn gi\u00e1p \u0111ang s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u thyroxine. Nguy\u00ean nh\u00e2n th\u01b0\u1eddng do m\u1ed9t trong hai b\u1ec7nh: b\u1ec7nh Graves ho\u1eb7c do c\u00e1c nh\u00e2n gi\u00e1p ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c. Ng\u01b0\u1ee3c l\u1ea1i, n\u1ebfu b\u1ea1n c\u00f3 tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p v\u00e0 l\u01b0\u1ee3ng i-\u1ed1t ph\u00f3ng x\u1ea1 \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 l\u1ea1i th\u1ea5p h\u01a1n m\u1ee9c b\u00ecnh th\u01b0\u1eddng. B\u1ea1n c\u00f3 th\u1ec3 b\u1ecb vi\u00eam tuy\u1ebfn gi\u00e1p (thyroiditis).<\/p>\n<p style=\"text-align: justify\">N\u1ebfu g\u1ea7n \u0111\u00e2y b\u1ea1n c\u00f3 ch\u1ee5p X-quang ho\u1eb7c ch\u1ee5p c\u1eaft l\u1edbp \u0111i\u1ec7n to\u00e1n (CT scanner) m\u00e0 trong qu\u00e1 tr\u00ecnh chu\u1ea9n b\u1ecb b\u1ea1n \u0111\u01b0\u1ee3c ti\u00eam ch\u1ea5t c\u1ea3n quang. B\u1ea1n n\u00ean n\u00f3i cho b\u00e1c s\u0129 bi\u1ebft. B\u1edfi v\u00ec k\u1ebft qu\u1ea3 c\u1ee7a x\u00e9t nghi\u1ec7m i-\u1ed1t ph\u00f3ng x\u1ea1 c\u00f3 th\u1ec3 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y.<\/p>\n<p style=\"text-align: justify\">Bi\u1ebft \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y ra t\u00ecnh tr\u1ea1ng c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 gi\u00fap b\u00e1c s\u0129 c\u00f3 k\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p h\u01a1n. X\u00e9t nghi\u1ec7m h\u1ea5p thu i-\u1ed1t ph\u00f3ng x\u1ea1 kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu l\u1eafm. M\u1eb7c d\u00f9 b\u1ea1n s\u1ebd h\u1ea5p th\u1ee5 m\u1ed9t l\u01b0\u1ee3ng ph\u00f3ng x\u1ea1 nh\u1ecf v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a m\u00ecnh.<\/p>\n<p style=\"text-align: justify\"><strong> B\u1ee9c x\u1ea1 \u0111\u1ed3 <\/strong> <strong> tuy\u1ebfn gi\u00e1p (Thyroid scan) <\/strong><\/p>\n<p style=\"text-align: justify\">\u0110\u1ea7u ti\u00ean b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam m\u1ed9t \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 v\u00e0o t\u0129nh m\u1ea1ch b\u00ean trong khu\u1ef7u tay ho\u1eb7c \u0111\u00f4i khi v\u00e0o m\u1ea1ch m\u00e1u tr\u00ean b\u00e0n tay c\u1ee7a b\u1ea1n. Sau \u0111\u00f3 b\u1ea1n s\u1ebd n\u1eb1m l\u00ean tr\u00ean b\u00e0n ch\u1ee5p, \u0111\u1ea7u h\u01a1i ng\u1eeda v\u1ec1 ph\u00eda sau. Trong l\u00fac m\u1ed9t m\u00e1y \u1ea3nh \u0111\u1eb7c bi\u1ec7t ch\u1ee5p \u1ea3nh tuy\u1ebfn gi\u00e1p v\u00e0 hi\u1ec3n th\u1ecb k\u1ebft qu\u1ea3 l\u00ean m\u1ed9t m\u00e0n h\u00ecnh m\u00e1y t\u00ednh.<\/p>\n<p style=\"text-align: justify\">Th\u1eddi gian c\u1ea7n thi\u1ebft cho qu\u00e1 tr\u00ecnh ch\u1ee5p c\u00f3 th\u1ec3 kh\u00e1c nhau. T\u00f9y thu\u1ed9c v\u00e0o th\u1eddi gian m\u00e0 \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 \u0111i t\u1edbi tuy\u1ebfn gi\u00e1p. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y h\u01a1i kh\u00f3 ch\u1ecbu \u1edf c\u1ed5 v\u00e0 s\u1ebd h\u1ea5p th\u1ee5 m\u1ed9t l\u01b0\u1ee3ng ph\u00f3ng x\u1ea1 nh\u1ecf v\u00e0o c\u01a1 th\u1ec3 c\u1ee7a m\u00ecnh.<\/p>\n<p style=\"text-align: justify\">\u0110\u00f4i khi b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p scan tuy\u1ebfn gi\u00e1p v\u00e0o x\u00e9t nghi\u1ec7m h\u1ea5p thu i-\u1ed1t ph\u00f3ng x\u1ea1. Trong tr\u01b0\u1eddng h\u1ee3p \u0111\u00f3, i-\u1ed1t ph\u00f3ng x\u1ea1 m\u00e0 b\u1ea1n u\u1ed1ng s\u1ebd \u0111\u1ed3ng th\u1eddi c\u0169ng l\u00e0 \u0111\u1ed3ng v\u1ecb ph\u00f3ng x\u1ea1 gi\u00fap ch\u1ee5p \u1ea3nh tuy\u1ebfn gi\u00e1p.<\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb<\/h2>\n<h3 id=\"phuong-phap-dieu-tri-cuong-giap\" style=\"text-align: justify\">Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p<\/h3>\n<p style=\"text-align: justify\">C\u00f3 m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p. Vi\u1ec7c l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p ph\u00f9 h\u1ee3p t\u00f9y thu\u1ed9c v\u00e0o tu\u1ed5i t\u00e1c, \u0111i\u1ec1u ki\u1ec7n th\u1ec3 ch\u1ea5t c\u1ee7a b\u1ec7nh nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a b\u1ec7nh t\u00ecnh:<\/p>\n<p style=\"text-align: justify\"><strong> D\u00f9ng i-\u1ed1t ph\u00f3ng x\u1ea1 <\/strong><\/p>\n<p style=\"text-align: justify\">B\u1ea1n s\u1ebd u\u1ed1ng i-\u1ed1t ph\u00f3ng x\u1ea1 \u0111\u1ec3 i-\u1ed1t \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 v\u00e0o tuy\u1ebfn gi\u00e1p. Gi\u00fap tuy\u1ebfn n\u00e0y nh\u1ecf l\u1ea1i v\u00e0 c\u00e1c tri\u1ec7u ch\u1ee9ng gi\u1ea3m d\u1ea7n, th\u01b0\u1eddng trong kho\u1ea3ng 3-6 th\u00e1ng. Bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y s\u1ebd l\u00e0m cho ho\u1ea1t \u0111\u1ed9ng tuy\u1ebfn gi\u00e1p gi\u1ea3m \u0111i \u0111\u00e1ng k\u1ec3 (suy gi\u00e1p). Do \u0111\u00f3, b\u1ea1n c\u00f3 th\u1ec3 ph\u1ea3i u\u1ed1ng thu\u1ed1c m\u1ed7i ng\u00e0y \u0111\u1ec3 thay th\u1ebf thyroxine b\u1ecb s\u1ee5t gi\u1ea3m. Ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng i-\u1ed1t ph\u00f3ng x\u1ea1 \u0111\u00e3 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb h\u01a1n 60 n\u0103m qua v\u00e0 nh\u00ecn chung kh\u00e1 an to\u00e0n.<\/p>\n<p style=\"text-align: justify\"><strong> Thu\u1ed1c kh\u00e1ng gi\u00e1p <\/strong><\/p>\n<p style=\"text-align: justify\">Lo\u1ea1i thu\u1ed1c n\u00e0y l\u00e0m gi\u1ea3m d\u1ea7n c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p. B\u1eb1ng c\u00e1ch ng\u0103n kh\u00f4ng cho tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t d\u01b0 th\u1eeba hormone thyroxine n\u1eefa. M\u1ed9t s\u1ed1 thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng bao g\u1ed3m propylthiouracil v\u00e0 methimazole (Tapazole). C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u c\u1ea3i thi\u1ec7n sau 6-12 tu\u1ea7n d\u00f9ng thu\u1ed1c. Nh\u01b0ng vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c kh\u00e1ng gi\u00e1p th\u01b0\u1eddng c\u1ea7n duy tr\u00ec \u00edt nh\u1ea5t m\u1ed9t n\u0103m v\u00e0 \u0111\u00f4i khi l\u00e2u h\u01a1n. \u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n, c\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 t\u00ecnh tr\u1ea1ng c\u01b0\u1eddng gi\u00e1p. Nh\u01b0ng \u1edf m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n kh\u00e1c c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t.<\/p>\n<p style=\"text-align: justify\">C\u1ea3 hai lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u1ec1u c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 \u1ea3nh h\u01b0\u1edfng kh\u00e1 nhi\u1ec1u \u0111\u1ebfn ch\u1ee9c n\u0103ng gan, v\u00e0 \u0111\u00f4i khi c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. Trong \u0111\u00f3, propylthiouracil l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y ra nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p t\u1ed5n th\u01b0\u01a1ng gan h\u01a1n h\u1eb3n methimazole. Do \u0111\u00f3 b\u1ea1n ch\u1ec9 n\u00ean d\u00f9ng thu\u1ed1c n\u00e0y n\u1ebfu nh\u01b0 c\u01a1 th\u1ec3 b\u1ea1n kh\u00f4ng dung n\u1ea1p methimazole. M\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi b\u1ecb d\u1ecb \u1ee9ng v\u1edbi hai lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 b\u1ecb ph\u00e1t ban da, n\u1ed5i m\u1ec1 \u0111ay, s\u1ed1t ho\u1eb7c \u0111au kh\u1edbp. Ngo\u00e0i ra, thu\u1ed1c kh\u00e1ng gi\u00e1p c\u0169ng c\u00f3 th\u1ec3 l\u00e0m cho c\u01a1 th\u1ec3 b\u1ea1n d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng h\u01a1n th\u00f4ng th\u01b0\u1eddng.<\/p>\n<p style=\"text-align: justify\"><strong> Thu\u1ed1c <\/strong> <strong> ch\u1eb9n beta ( <\/strong> <strong> beta blocker <\/strong> <strong> ) <\/strong><\/p>\n<p style=\"text-align: justify\">Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cao huy\u1ebft \u00e1p. Ch\u00fang s\u1ebd kh\u00f4ng l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng hormone tuy\u1ebfn gi\u00e1p trong c\u01a1 th\u1ec3. Nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m tri\u1ec7u ch\u1ee9ng tim \u0111\u1eadp qu\u00e1 nhanh v\u00e0 gi\u00fap ng\u0103n ng\u1eeba t\u00ecnh tr\u1ea1ng \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c. Do \u0111\u00f3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea toa nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y \u0111\u1ec3 gi\u00fap b\u1ea1n c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu h\u01a1n. Cho \u0111\u1ebfn khi l\u01b0\u1ee3ng hormone thyroxine trong c\u01a1 th\u1ec3 tr\u1edf v\u1ec1 g\u1ea7n m\u1ee9c b\u00ecnh th\u01b0\u1eddng. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c thu\u1ed9c lo\u1ea1i n\u00e0y bao g\u1ed3m m\u1ec7t m\u1ecfi, nh\u1ee9c \u0111\u1ea7u, \u0111au b\u1ee5ng, t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y ho\u1eb7c ch\u00f3ng m\u1eb7t.<\/p>\n<p style=\"text-align: justify\"><strong> Ph\u1eabu thu\u1eadt tuy\u1ebfn gi\u00e1p <\/strong><\/p>\n<p style=\"text-align: justify\">N\u1ebfu b\u1ea1n \u0111ang mang thai, ho\u1eb7c kh\u00f4ng dung n\u1ea1p v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1ng gi\u00e1p. Ho\u1eb7c kh\u00f4ng mu\u1ed1n hay kh\u00f4ng th\u1ec3 d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb i-\u1ed1t ph\u00f3ng x\u1ea1. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i ch\u1ecdn c\u00e1ch ph\u1eabu thu\u1eadt tuy\u1ebfn gi\u00e1p. Tuy nhi\u00ean tr\u01b0\u1eddng h\u1ee3p n\u00e0y r\u1ea5t hi\u1ebfm khi x\u1ea3y ra.<\/p>\n<p style=\"text-align: justify\">Khi ph\u1eabu thu\u1eadt tuy\u1ebfn gi\u00e1p, b\u00e1c s\u0129 s\u1ebd lo\u1ea1i b\u1ecf ph\u1ea7n l\u1edbn tuy\u1ebfn gi\u00e1p c\u1ee7a b\u1ea1n. R\u1ee7i ro c\u1ee7a ph\u1eabu thu\u1eadt n\u00e0y bao g\u1ed3m t\u1ed5n th\u01b0\u01a1ng d\u00e2y thanh \u00e2m v\u00e0 tuy\u1ebfn c\u1eadn gi\u00e1p. B\u1ed1n tuy\u1ebfn nh\u1ecf n\u1eb1m \u1edf m\u1eb7t sau c\u1ee7a tuy\u1ebfn gi\u00e1p gi\u00fap ki\u1ec3m so\u00e1t h\u00e0m l\u01b0\u1ee3ng canxi trong m\u00e1u. Ngo\u00e0i ra, b\u1ea1n s\u1ebd c\u1ea7n ph\u1ea3i \u0111i\u1ec1u tr\u1ecb su\u1ed1t \u0111\u1eddi v\u1edbi levothyroxine (Levoxyl, Synthroid. Ho\u1eb7c nh\u1eefng thu\u1ed1c kh\u00e1c c\u00f9ng nh\u00f3m) \u0111\u1ec3 cung c\u1ea5p cho c\u01a1 th\u1ec3 h\u00e0m l\u01b0\u1ee3ng thyroxine c\u1ea7n thi\u1ebft. N\u1ebfu tuy\u1ebfn c\u1eadn gi\u00e1p c\u0169ng b\u1ecb c\u1eaft \u0111i. B\u1ea1n s\u1ebd ph\u1ea3i d\u00f9ng th\u00eam thu\u1ed1c gi\u1eef c\u00e2n b\u1eb1ng h\u00e0m l\u01b0\u1ee3ng canxi trong m\u00e1u.<\/p>\n<p style=\"text-align: justify\"><strong> L\u1ed3i m\u1eaft do b\u1ec7nh Graves <\/strong><\/p>\n<p style=\"text-align: justify\">N\u1ebfu b\u1ec7nh gi\u00e1p l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1eaft. B\u1ea1n c\u00f3 th\u1ec3 t\u1ef1 ch\u1eefa c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1eb9 b\u1eb1ng c\u00e1ch tr\u00e1nh gi\u00f3 v\u00e0 \u0111\u00e8n qu\u00e1 s\u00e1ng, s\u1eed d\u1ee5ng n\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o v\u00e0 gel b\u00f4i tr\u01a1n. Tuy nhi\u00ean, n\u1ebfu tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh n\u1eb7ng h\u01a1n, b\u00e1c s\u0129 c\u00f3 th\u1ec3 khuy\u00ean b\u1ea1n n\u00ean \u0111i\u1ec1u tr\u1ecb b\u1eb1ng corticosteroid, nh\u01b0 prednisone. \u0110\u1ec3 l\u00e0m c\u00e1c m\u00f4 \u0111\u1eb1ng sau nh\u00e3n c\u1ea7u b\u1edbt s\u01b0ng. \u0110\u00f4i khi c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u1eaft nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong> Ph\u1eabu thu\u1eadt gi\u1ea3m \u00e1p h\u1ed1c m\u1eaft <\/strong> <strong> : <\/strong> trong ph\u1eabu thu\u1eadt n\u00e0y, b\u00e1c s\u0129 lo\u1ea1i b\u1ecf x\u01b0\u01a1ng gi\u1eefa h\u1ed1c m\u1eaft v\u00e0 xoang m\u0169i (ph\u1ea7n kh\u00f4ng gian b\u00ean c\u1ea1nh h\u1ed1c m\u1eaft). Sau khi ph\u1eabu thu\u1eadt, t\u1ea7m nh\u00ecn s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n v\u00e0 \u0111\u00f4i m\u1eaft c\u1ee7a b\u1ea1n s\u1ebd c\u00f3 th\u1ec3 tr\u1edf v\u1ec1 v\u1ecb tr\u00ed b\u00ecnh th\u01b0\u1eddng nh\u1edd ph\u1ea7n kh\u00f4ng gian m\u1edbi n\u00e0y. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 bi\u1ebfn ch\u1ee9ng, ch\u1eb3ng h\u1ea1n nh\u01b0 nh\u00ecn \u0111\u00f4i, c\u00f3 th\u1ec3 v\u1eabn c\u00f2n ho\u1eb7c c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n sau khi ph\u1eabu thu\u1eadt (n\u1ebfu tr\u01b0\u1edbc \u0111\u00f3 ch\u01b0a c\u00f3 tri\u1ec7u ch\u1ee9ng n\u00e0y).<\/li>\n<li><strong> Ph\u1eabu thu\u1eadt c\u01a1 m\u1eaft: <\/strong> \u0110\u00f4i khi nh\u1eefng m\u00f4 s\u1eb9o g\u00e2y ra b\u1edfi b\u1ec7nh Graves c\u00f3 th\u1ec3 l\u00e0m cho m\u1ed9t ho\u1eb7c nhi\u1ec1u c\u01a1 m\u1eaft tr\u1edf n\u00ean qu\u00e1 ng\u1eafn. Khi\u1ebfn nh\u00e3n c\u1ea7u l\u1ec7ch kh\u1ecfi v\u1ecb tr\u00ed c\u00e2n b\u1eb1ng, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng nh\u00ecn \u0111\u00f4i. Ph\u1eabu thu\u1eadt c\u01a1 m\u1eaft c\u00f3 th\u1ec3 gi\u00fap ch\u1ec9nh l\u1ea1i t\u00ecnh tr\u1ea1ng nh\u00ecn \u0111\u00f4i b\u1eb1ng c\u00e1ch c\u1eaft \u0111i nh\u1eefng c\u01a1 b\u1ecb \u1ea3nh h\u01b0\u1edfng tr\u00ean nh\u00e3n c\u1ea7u v\u00e0 n\u1ed1i v\u00e0o l\u1ea1i \u1edf m\u1ed9t v\u1ecb tr\u00ed xa h\u01a1n. M\u1ee5c \u0111\u00edch c\u1ee7a cu\u1ed9c ph\u1eabu thu\u1eadt l\u00e0 \u0111\u1ec3 m\u1eaft h\u1ebft b\u1ecb nh\u00ecn \u0111\u00f4i khi \u0111\u1ecdc v\u00e0 nh\u00ecn th\u1eb3ng v\u1ec1 ph\u00eda tr\u01b0\u1edbc. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ea1n c\u00f3 th\u1ec3 ph\u1ea3i \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt nhi\u1ec1u l\u1ea7n \u0111\u1ec3 c\u00f3 th\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 mong mu\u1ed1n.<\/li>\n<\/ul>\n<h2>L\u1ed1i s\u1ed1ng v\u00e0 bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c<\/h2>\n<p style=\"text-align: justify\">M\u1ed9t khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh s\u1ebd gi\u1ea3m d\u1ea7n v\u00e0 b\u1ea1n s\u1ebd b\u1eaft \u0111\u1ea7u c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu h\u01a1n. Nh\u1eefng bi\u1ec7n ph\u00e1p sau c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n mau ph\u1ee5c h\u1ed3i h\u01a1n n\u1eefa:<\/p>\n<p style=\"text-align: justify\"><strong> H\u1ecfi b\u00e1c s\u0129 v\u1ec1 vi\u1ec7c b\u1ed5 sung ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng <\/strong><\/p>\n<p style=\"text-align: justify\">N\u1ebfu hi\u1ec7n t\u1ea1i b\u1ea1n b\u1ecb s\u1ee5t c\u00e2n \u0111\u00e1ng k\u1ec3 ho\u1eb7c teo c\u01a1. B\u1ea1n n\u00ean b\u1ed5 sung th\u00eam n\u0103ng l\u01b0\u1ee3ng v\u00e0 protein v\u00e0o ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a m\u00ecnh. B\u00e1c s\u0129 ho\u1eb7c chuy\u00ean gia dinh d\u01b0\u1ee1ng c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n l\u1eadp k\u1ebf ho\u1ea1ch cho b\u1eefa \u0103n. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ea1n s\u1ebd kh\u00f4ng c\u1ea7n ph\u1ea3i ti\u1ebfp t\u1ee5c b\u1ed5 sung ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u01b0\u1eddng gi\u00e1p d\u1ea7n m\u1ea5t \u0111i.<\/p>\n<p style=\"text-align: justify\">Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng c\u00e2n. Do \u0111\u00f3, h\u1ecdc c\u00e1ch \u0103n u\u1ed1ng h\u1ee3p l\u00fd c\u00f3 \u00fd ngh\u0129a r\u1ea5t quan tr\u1ecdng. Trong vi\u1ec7c gi\u00fap b\u1ea1n h\u1ea5p thu \u0111\u01b0\u1ee3c nhi\u1ec1u ch\u1ea5t dinh d\u01b0\u1ee1ng nh\u1ea5t m\u00e0 kh\u00f4ng ph\u1ea3i \u0103n qu\u00e1 nhi\u1ec1u calori. Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ecb b\u1ec7nh c\u01b0\u1eddng gi\u00e1p c\u0169ng c\u1ea7n ph\u1ea3i ki\u1ec3m so\u00e1t h\u00e0m l\u01b0\u1ee3ng natri v\u00e0 canxi m\u00e0 c\u01a1 th\u1ec3 h\u1ea5p thu h\u00e0ng ng\u00e0y.<\/p>\n<p style=\"text-align: justify\"><strong> Cung c\u1ea5p <\/strong> <strong> \u0111\u1ee7 canxi <\/strong> <strong> v\u00e0 vitamin D <\/strong><\/p>\n<p style=\"text-align: justify\">C\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 l\u00e0m cho x\u01b0\u01a1ng b\u1ecb m\u1ecfng \u0111i. Do \u0111\u00f3, c\u01a1 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c cung c\u1ea5p \u0111\u1ee7 l\u01b0\u1ee3ng canxi c\u1ea7n thi\u1ebft m\u1ed7i ng\u00e0y \u0111\u1ec3 gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh lo\u00e3ng x\u01b0\u01a1ng. Vi\u1ec7n Y h\u1ecdc khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh \u0111\u1ed9 tu\u1ed5i 19-50 v\u00e0 nam gi\u1edbi \u0111\u1ed9 tu\u1ed5i 51-70 c\u1ea7n h\u1ea5p th\u1ee5 1.000 milligram (mg) canxi m\u1ed7i ng\u00e0y. \u0110\u1ed1i v\u1edbi ph\u1ee5 n\u1eef \u0111\u1ed9 tu\u1ed5i 51 tr\u1edf l\u00ean ho\u1eb7c \u0111\u00e0n \u00f4ng \u0111\u1ed9 tu\u1ed5i 71 tr\u1edf l\u00ean, l\u01b0\u1ee3ng canxi c\u1ea7n thi\u1ebft l\u00e0 1.200 mg m\u1ed9t ng\u00e0y. Vi\u1ec7n Y h\u1ecdc c\u0169ng khuy\u1ebfn c\u00e1o l\u01b0\u1ee3ng vitamin D c\u1ea7n thi\u1ebft\u00a0 m\u1ed7i ng\u00e0y theo \u0111\u01a1n v\u1ecb qu\u1ed1c t\u1ebf (IU). L\u00e0 600 IU cho ng\u01b0\u1eddi \u1edf \u0111\u1ed9 tu\u1ed5i 19-70 v\u00e0 800 IU cho ng\u01b0\u1eddi l\u1edbn \u0111\u1ed9 tu\u1ed5i 71 tu\u1ed5i tr\u1edf l\u00ean. H\u00e3y th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 v\u1ec1 c\u00e1c h\u01b0\u1edbng d\u1eabn th\u00edch h\u1ee3p cho ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng h\u00e0ng ng\u00e0y c\u1ee7a b\u1ea1n.<\/p>\n<p style=\"text-align: justify\"><strong> B\u1ec7nh l\u1ed3i nh\u00e3n c\u1ea7u <\/strong><br \/>\nN\u1ebfu b\u1ea1n c\u00f3 l\u1ed3i m\u1eaft ho\u1eb7c t\u1ed5n th\u01b0\u01a1ng da do b\u1ec7nh Graves. Nh\u1eefng c\u00e1ch sau \u0111\u00e2y c\u00f3 th\u1ec3 gi\u00fap l\u00e0m m\u1eaft ho\u1eb7c da b\u1ea1n c\u1ea3m th\u1ea5y d\u1ec5 ch\u1ecbu h\u01a1n:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong> \u00c1p <\/strong> <strong> g\u1ea1c m\u00e1t l\u00ean \u0111\u00f4i m\u1eaft: <\/strong> \u0111\u1ed9 \u1ea9m c\u1ee7a g\u1ea1c c\u00f3 th\u1ec3 gi\u00fap m\u1eaft c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n.<\/li>\n<li><strong> \u0110eo k\u00ednh r\u00e2m: <\/strong> khi m\u1eaft b\u1ecb l\u1ed3i ra, ch\u00fang s\u1ebd tr\u1edf n\u00ean nh\u1ea1y c\u1ea3m h\u01a1n v\u1edbi tia c\u1ef1c t\u00edm v\u00e0 \u00e1nh s\u00e1ng m\u1eb7t tr\u1eddi. \u0110eo k\u00ednh r\u00e2m v\u1eeba gi\u00fap b\u1ea3o v\u1ec7 m\u1eaft kh\u00f4ng b\u1ecb m\u1eb7t tr\u1eddi chi\u1ebfu s\u00e1ng, v\u1eeba gi\u00fap b\u1ea1n tr\u00e1nh gi\u00f3 b\u1ee5i.<\/li>\n<li><strong> S\u1eed d\u1ee5ng thu\u1ed1c nh\u1ecf m\u1eaft <\/strong> <strong> d\u01b0\u1ee1ng \u1ea9m (n\u01b0\u1edbc m\u1eaft nh\u00e2n t\u1ea1o) <\/strong> <strong> : <\/strong> thu\u1ed1c nh\u1ecf m\u1eaft c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m kh\u00f4 m\u1eaft v\u00e0 ng\u1ee9a m\u1eaft. Tuy nhi\u00ean, ch\u1ec9 n\u00ean d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u1ecf m\u1eaft kh\u00f4ng ch\u1ee9a ch\u1ea5t ch\u1ed1ng \u0111\u1ecf m\u1eaft.<\/li>\n<li><strong> N\u00e2ng cao \u0111\u1ea7u gi\u01b0\u1eddng: <\/strong> gi\u1eef \u0111\u1ea7u cao h\u01a1n so v\u1edbi ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a c\u01a1 th\u1ec3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m s\u01b0ng v\u00e0 c\u0169ng gi\u1ea3m b\u1edbt \u00e1p l\u1ef1c l\u00ean \u0111\u00f4i m\u1eaft.<\/li>\n<li><strong> S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i kem <\/strong> <strong> thoa da lo\u1ea1i <\/strong> <strong> kh\u00f4ng c\u1ea7n k\u00ea toa: <\/strong> c\u00e1c lo\u1ea1i kem c\u00f3 ch\u1ee9a hydrocortisone (Cortaid v\u00e0 c\u00e1c lo\u1ea1i t\u01b0\u01a1ng t\u1ef1 c\u00f9ng nh\u00f3m). C\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111\u1ecf da, gi\u1ea3m da s\u01b0ng \u1edf ph\u00eda tr\u00ean c\u1eb3ng ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n c\u1ee7a b\u1ea1n. H\u00e3y h\u1ecfi c\u00e1c d\u01b0\u1ee3c s\u0129 trong nh\u00e0 thu\u1ed1c \u0111\u1ec3 c\u00f3 th\u1ec3 ch\u1ecdn \u0111\u01b0\u1ee3c lo\u1ea1i thu\u1ed1c ph\u00f9 h\u1ee3p nh\u1ea5t cho m\u00ecnh.<\/li>\n<\/ul>\n<h2>C\u00e1ch \u0111\u1ed1i ph\u00f3 v\u00e0 bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3<\/h2>\n<p style=\"text-align: justify\">N\u1ebfu b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1ecb c\u01b0\u1eddng gi\u00e1p. \u0110i\u1ec1u quan tr\u1ecdng nh\u1ea5t l\u00e0 ph\u1ea3i \u0111\u01b0\u1ee3c ch\u0103m s\u00f3c y t\u1ebf k\u1ecbp th\u1eddi. Ngo\u00e0i chuy\u1ec7n b\u1ea1n v\u00e0 b\u00e1c s\u0129 ph\u1ea3i ch\u1ecdn l\u1ef1a \u0111\u1ec3 t\u00ecm ra m\u1ed9t ph\u01b0\u01a1ng c\u00e1ch \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd nh\u1ea5t. C\u00f3 m\u1ed9t s\u1ed1 th\u1ee9 m\u00e0 b\u1ea1n c\u00f3 th\u1ec3 t\u1ef1 l\u00e0m \u0111\u1ec3 gi\u00fap qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb d\u1ec5 ch\u1ecbu h\u01a1n c\u0169ng nh\u01b0 qu\u00e1 tr\u00ecnh h\u1ed3i ph\u1ee5c di\u1ec5n ra nhanh ch\u00f3ng h\u01a1n, ch\u1eb3ng h\u1ea1n nh\u01b0:<\/p>\n<ul style=\"text-align: justify\">\n<li><strong> Th\u01b0\u1eddng xuy\u00ean t\u1eadp th\u1ec3 d\u1ee5c<\/strong>: T\u1eadp th\u1ec3 d\u1ee5c gi\u00fap b\u1ea1n c\u1ea3m th\u1ea5y t\u1ef1 tin h\u01a1n; \u0111\u1ed3ng th\u1eddi c\u0169ng g\u00f3p ph\u1ea7n c\u1ea3i thi\u1ec7n c\u01a1 b\u1eafp v\u00e0 h\u1ec7 tu\u1ea7n ho\u00e0n. C\u00e1c b\u00e0i t\u1eadp th\u1ec3 l\u1ef1c gi\u00fap n\u00e9n x\u01b0\u01a1ng (weight-bearing exercise, nh\u1eefng v\u1eadn \u0111\u1ed9ng khi\u1ebfn c\u01a1 th\u1ec3 mang s\u1ee9c n\u1eb7ng. Ch\u1eb3ng h\u1ea1n nh\u01b0 \u0111i b\u1ed9, yoga&#8230;) kh\u00e1 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ecb b\u1ec7nh Graves do n\u00f3 gi\u00fap ng\u01b0\u1eddi b\u1ec7nh duy tr\u00ec m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng. T\u1eadp th\u1ec3 d\u1ee5c c\u0169ng c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n gi\u1ea3m s\u1ef1 th\u00e8m \u0103n. \u0110\u1ed3ng th\u1eddi gi\u00fap b\u1ea1n c\u1ea3m th\u1ea5y n\u0103ng \u0111\u1ed9ng h\u01a1n trong c\u00e1c ho\u1ea1t \u0111\u1ed9ng h\u00e0ng ng\u00e0y.<\/li>\n<li><strong> \u00c1p d\u1ee5ng c\u00e1c k\u1ef9 thu\u1eadt th\u01b0 gi\u00e3n: <\/strong> c\u00e1c k\u1ef9 thu\u1eadt th\u01b0 gi\u00e3n gi\u00fap b\u1ea1n duy tr\u00ec m\u1ed9t c\u00e1ch nh\u00ecn t\u00edch c\u1ef1c trong cu\u1ed9c s\u1ed1ng. \u0110\u1eb7c bi\u1ec7t khi ph\u1ea3i \u0111\u1ed1i ph\u00f3 v\u1edbi b\u1ec7nh t\u1eadt. Ri\u00eang \u0111\u1ed1i v\u1edbi b\u1ec7nh Graves th\u00ec c\u00e1c sang ch\u1ea5n t\u00e2m l\u00fd c\u0169ng ch\u00ednh l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1. V\u00ec v\u1eady, b\u1ea1n n\u00ean h\u1ecdc c\u00e1ch \u0111\u1ec3 th\u01b0 gi\u00e3n v\u00e0 \u0111\u1ea1t s\u1ef1 c\u00e2n b\u1eb1ng trong cu\u1ed9c s\u1ed1ng. Gi\u00fap b\u1ea1n duy tr\u00ec m\u1ed9t tinh th\u1ea7n minh m\u1eabn trong m\u1ed9t th\u00e2n th\u1ec3 kh\u1ecfe m\u1ea1nh.<\/li>\n<\/ul>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><a href=\"http:\/\/www.mayoclinic.com\/health\/hyperthyroidism\/DS00344\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.mayoclinic.com\/health\/hyperthyroidism\/DS00344 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>C\u01b0\u1eddng gi\u00e1p (c\u00f2n g\u1ecdi l\u00e0 c\u01b0\u1eddng n\u0103ng tuy\u1ebfn gi\u00e1p) l\u00e0 t\u00ecnh tr\u1ea1ng tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u hormone (n\u1ed9i ti\u1ebft t\u1ed1) thyroxine trong c\u01a1 th\u1ec3. T\u00ecnh tr\u1ea1ng c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ed1c \u0111\u00e1ng k\u1ec3 qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t trong c\u01a1 th\u1ec3.<\/p>\n","protected":false},"author":201,"featured_media":1593,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[972,973,975,976,977,978,974],"series":[948],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u01b0\u1eddng gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng<\/title>\n<meta name=\"description\" content=\"C\u01b0\u1eddng gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/tieu-duong\/cuong-giap\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u01b0\u1eddng gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:description\" content=\"C\u01b0\u1eddng gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/cuong-giap\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"article:author\" content=\"http:\/\/facebook.com\/nqthucphuong\" \/>\n<meta property=\"article:published_time\" content=\"2014-01-15T10:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2014\/01\/benh-cuong-giap.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"TS. 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