{"id":1596,"date":"2013-11-11T17:00:00","date_gmt":"2013-11-11T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/tieu-duong\/suy-giap\/"},"modified":"2013-11-11T17:00:00","modified_gmt":"2013-11-11T10:00:00","slug":"suy-giap","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/tieu-duong\/suy-giap\/","title":{"rendered":"Suy gi\u00e1p"},"content":{"rendered":"<h2 style=\"text-align: justify\">T\u1ed5ng quan<\/h2>\n<h3 id=\"suy-giap-la-gi\" style=\"text-align: justify\">Suy gi\u00e1p l\u00e0 g\u00ec?<\/h3>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Suy gi\u00e1p (c\u00f2n g\u1ecdi l\u00e0 thi\u1ec3u n\u0103ng tuy\u1ebfn gi\u00e1p hay nh\u01b0\u1ee3c n\u0103ng tuy\u1ebfn gi\u00e1p) l\u00e0 t\u00ecnh tr\u1ea1ng tuy\u1ebfn gi\u00e1p kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 m\u1ed9t v\u00e0i lo\u1ea1i hormone (n\u1ed9i ti\u1ebft t\u1ed1) quan tr\u1ecdng cho c\u01a1 th\u1ec3. <\/span><\/p>\n<p><img decoding=\"async\" class=\"aligncenter\" style=\"width: 450px;height: 263px\" src=\"\/\/yhoccongdong.org\/Documents\/555_suy-giap.jpg\" alt=\"Suy gi\u00e1p\" \/><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Ph\u1ee5 n\u1eef, \u0111\u1eb7c bi\u1ec7t khi tr\u00ean 60 tu\u1ed5i, c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb suy gi\u00e1p. Suy gi\u00e1p g\u00e2y r\u1ed1i lo\u1ea1n s\u1ef1 c\u00e2n b\u1eb1ng chuy\u1ec3n h\u00f3a trong c\u01a1 th\u1ec3 b\u1ea1n. T\u00ecnh tr\u1ea1ng n\u00e0y hi\u1ebfm khi g\u00e2y tri\u1ec7u ch\u1ee9ng trong giai \u0111o\u1ea1n \u0111\u1ea7u. Tuy nhi\u00ean theo th\u1eddi gian, suy gi\u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe nh\u01b0 b\u00e9o ph\u00ec, \u0111au kh\u1edbp, v\u00f4 sinh v\u00e0 b\u1ec7nh tim. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> \u0110i\u1ec1u \u0111\u00e1ng m\u1eebng l\u00e0 hi\u1ec7n \u0111\u00e3 c\u00f3 c\u00e1c x\u00e9t nghi\u1ec7m gi\u00fap ki\u1ec3m tra kh\u00e1 ch\u00ednh x\u00e1c ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p nh\u1eb1m ch\u1ea9n \u0111o\u00e1n suy gi\u00e1p. M\u1eb7t kh\u00e1c, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p b\u1eb1ng hormone tuy\u1ebfn gi\u00e1p t\u1ed5ng h\u1ee3p th\u01b0\u1eddng \u0111\u01a1n gi\u1ea3n, an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 m\u1ed9t khi \u0111\u00e3 t\u00ecm \u0111\u01b0\u1ee3c li\u1ec1u thu\u1ed1c ph\u00f9 h\u1ee3p v\u1edbi c\u01a1 th\u1ec3 b\u1ea1n. <\/span><\/p>\n<h2>Tri\u1ec7u ch\u1ee9ng<\/h2>\n<h3 id=\"nguoi-bi-suy-giap-co-nhung-trieu-chung-gi\" style=\"text-align: justify\">Ng\u01b0\u1eddi b\u1ecb suy gi\u00e1p c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng g\u00ec?<\/h3>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 thi\u1ebfu h\u1ee5t hormone. Nh\u01b0ng n\u00f3i chung \u0111a ph\u1ea7n di\u1ec5n ti\u1ebfn ch\u1eadm, th\u01b0\u1eddng l\u00e0 trong v\u00e0i n\u0103m. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> L\u00fac \u0111\u1ea7u, b\u1ea1n c\u00f3 l\u1ebd \u00edt khi nh\u1eadn th\u1ea5y c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p. Ch\u1eb3ng h\u1ea1n nh\u01b0 m\u1ec7t m\u1ecfi v\u00e0 t\u0103ng c\u00e2n, ho\u1eb7c b\u1ea1n ch\u1ec9 ngh\u0129 l\u00e0 do l\u1edbn tu\u1ed5i. Th\u1ebf nh\u01b0ng khi s\u1ef1 chuy\u1ec3n h\u00f3a trong c\u01a1 th\u1ec3 b\u1ea1n ti\u1ebfp t\u1ee5c gi\u1ea3m, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh s\u1ebd r\u00f5 r\u00e0ng h\u01a1n. D\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p c\u00f3 th\u1ec3 bao g\u1ed3m: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> M\u1ec7t m\u1ecfi <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Ch\u1ecbu l\u1ea1nh k\u00e9m h\u01a1n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u00e1o b\u00f3n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Da kh\u00f4 <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u0103ng c\u00e2n kh\u00f4ng r\u00f5 l\u00fd do <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Ph\u00f9 m\u1eb7t <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Kh\u00e0n gi\u1ecdng <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Y\u1ebfu c\u01a1 <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u0103ng cholesterol trong m\u00e1u <\/span><\/li>\n<li><span style=\"font-size: 16px\"> \u0110au c\u01a1, c\u0103ng c\u01a1 v\u00e0 c\u1ee9ng c\u01a1 <\/span><\/li>\n<li><span style=\"font-size: 16px\"> \u0110au kh\u1edbp, c\u1ee9ng kh\u1edbp ho\u1eb7c s\u01b0ng kh\u1edbp <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Kinh nguy\u1ec7t nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng hay chu k\u1ef3 kinh nguy\u1ec7t b\u1ea5t th\u01b0\u1eddng <\/span><\/li>\n<li><span style=\"font-size: 16px\"> R\u1ee5ng t\u00f3c <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Nh\u1ecbp tim ch\u1eadm <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Tr\u1ea7m c\u1ea3m <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Gi\u1ea3m tr\u00ed nh\u1edb <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Khi kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p d\u1ea7n d\u1ea7n c\u00f3 th\u1ec3 tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n. Vi\u1ec7c tuy\u1ebfn gi\u00e1p b\u1ecb k\u00edch th\u00edch li\u00ean t\u1ee5c \u0111\u1ec3 gi\u1ea3i ph\u00f3ng th\u00eam hormone b\u00f9 v\u00e0o s\u1ef1 thi\u1ebfu h\u1ee5t do t\u00ecnh tr\u1ea1ng suy gi\u00e1p. C\u00f3 th\u1ec3 l\u00e0m tuy\u1ebfn gi\u00e1p t\u0103ng k\u00edch th\u01b0\u1edbc \u0111\u01b0a \u0111\u1ebfn b\u01b0\u1edbu gi\u00e1p. Ngo\u00e0i ra, b\u1ea1n tr\u1edf n\u00ean d\u1ec5 qu\u00ean h\u01a1n, suy ngh\u0129 ch\u1eadm h\u01a1n, ho\u1eb7c c\u1ea3m th\u1ea5y ch\u00e1n n\u1ea3n. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Ch\u1ee9ng ph\u00f9 ni\u00eam (suy gi\u00e1p ti\u1ebfn tri\u1ec3n), d\u1ea1ng n\u1eb7ng c\u1ee7a suy gi\u00e1p. Tuy hi\u1ebfm g\u1eb7p nh\u01b0ng m\u1ed9t khi x\u1ea3y ra, n\u00f3 c\u00f3 th\u1ec3 \u0111e d\u1ecda t\u00ednh m\u1ea1ng. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m huy\u1ebft \u00e1p th\u1ea5p, gi\u1ea3m h\u00f4 h\u1ea5p, gi\u1ea3m nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3, kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u00e0 th\u1eadm ch\u00ed h\u00f4n m\u00ea. Trong ca b\u1ec7nh n\u1eb7ng, ph\u00f9 ni\u00eam c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong. <\/span><\/p>\n<h2 id=\"suy-giap-o-tre-so-sinh\" style=\"text-align: justify\">Suy gi\u00e1p \u1edf tr\u1ebb s\u01a1 sinh<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> M\u1eb7c d\u00f9 suy gi\u00e1p <strong>ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ee5 n\u1eef trung ni\u00ean v\u00e0 l\u1edbn tu\u1ed5i.<\/strong>\u00a0B\u1ea5t k\u1ef3 ai c\u0169ng c\u00f3 th\u1ec3 b\u1ecb suy gi\u00e1p bao g\u1ed3m c\u1ea3 tr\u1ebb s\u01a1 sinh. Kh\u1edfi \u0111\u1ea7u, m\u1ed9t tr\u1ebb \u0111\u01b0\u1ee3c sinh ra m\u00e0 kh\u00f4ng c\u00f3 tuy\u1ebfn gi\u00e1p ho\u1eb7c tuy\u1ebfn gi\u00e1p ho\u1ea1t \u0111\u1ed9ng k\u00e9m c\u00f3 th\u1ec3 ch\u1ec9 c\u00f3 v\u00e0i d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng nh\u01b0: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> V\u00e0ng da v\u00e0 tr\u00f2ng tr\u1eafng m\u1eaft (b\u1ec7nh v\u00e0ng da). H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p l\u00e0 do gan c\u1ee7a b\u00e9 kh\u00f4ng th\u1ec3 chuy\u1ec3n h\u00f3a bilirubin. M\u1ed9t s\u1ea3n ph\u1ea9m trong qu\u00e1 tr\u00ecnh x\u1eed l\u00fd c\u00e1c t\u1ebf b\u00e0o h\u1ed3ng c\u1ea7u h\u01b0 h\u1ecfng ho\u1eb7c gi\u00e0. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> M\u1eafc ngh\u1eb9n\/s\u1eb7c th\u01b0\u1eddng xuy\u00ean.<\/span><\/li>\n<li><span style=\"font-size: 16px\"> L\u01b0\u1ee1i to, th\u00e8 ra ngo\u00e0i.<\/span><\/li>\n<li><span style=\"font-size: 16px\"> Ph\u00f9 m\u1eb7t.<\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Khi b\u1ec7nh ti\u1ebfn tri\u1ec3n, tr\u1ebb s\u01a1 sinh c\u00f3 th\u1ec3 s\u1ebd kh\u00f3 \u0103n v\u00e0 kh\u00f4ng ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng. B\u00e9 c\u0169ng c\u00f3 th\u1ec3 b\u1ecb: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> T\u00e1o b\u00f3n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Nh\u00e3o c\u01a1 <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Ng\u1ee7 nhi\u1ec1u <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Khi suy gi\u00e1p \u1edf tr\u1ebb s\u01a1 sinh kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. D\u00f9 b\u1ec7nh nh\u1eb9 c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ch\u1eadm ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t v\u00e0 t\u00e2m th\u1ea7n. <\/span><\/p>\n<h2 id=\"suy-giap-o-tre-em-va-thanh-thieu-nien\" style=\"text-align: justify\">Suy gi\u00e1p \u1edf tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> N\u00f3i chung tr\u1ebb em v\u00e0 thanh thi\u1ebfu ni\u00ean b\u1ecb suy gi\u00e1p c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 ng\u01b0\u1eddi l\u1edbn. Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> T\u0103ng tr\u01b0\u1edfng k\u00e9m, d\u1eabn \u0111\u1ebfn v\u00f3c ng\u01b0\u1eddi th\u1ea5p b\u00e9 <\/span><\/li>\n<li><span style=\"font-size: 16px\"> R\u0103ng v\u0129nh vi\u1ec5n ch\u1eadm ph\u00e1t tri\u1ec3n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> D\u1eady th\u00ec mu\u1ed9n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Ph\u00e1t tri\u1ec3n tr\u00ed n\u00e3o k\u00e9m <\/span><\/li>\n<\/ul>\n<h2 id=\"khi-nao-can-di-kham-bac-si\" style=\"text-align: justify\">Khi n\u00e0o c\u1ea7n \u0111i kh\u00e1m b\u00e1c s\u0129?<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> H\u00e3y \u0111i kh\u00e1m b\u00e1c s\u0129 n\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi kh\u00f4ng l\u00fd do. Hay c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a suy gi\u00e1p. Ch\u1eb3ng h\u1ea1n nh\u01b0 da kh\u00f4, nh\u1ee3t nh\u1ea1t, ph\u00f9 m\u1eb7t, t\u00e1o b\u00f3n ho\u1eb7c gi\u1ecdng n\u00f3i kh\u00e0n kh\u00e0n. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> B\u1ea1n c\u0169ng c\u1ea7n g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 ki\u1ec3m tra \u0111\u1ecbnh k\u1ef3 ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p n\u1ebfu b\u1ea1n t\u1eebng ph\u1eabu thu\u1eadt tuy\u1ebfn gi\u00e1p. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng i-\u1ed1t ph\u00f3ng x\u1ea1 v\u00e0 u\u1ed1ng thu\u1ed1c kh\u00e1ng gi\u00e1p, ho\u1eb7c \u0111\u00e3 t\u1eebng x\u1ea1 tr\u1ecb \u1edf v\u00f9ng \u0111\u1ea7u, c\u1ed5 ho\u1eb7c ng\u1ef1c tr\u00ean. Tuy nhi\u00ean, nhi\u1ec1u khi c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0y ch\u1ec9 g\u00e2y b\u1ec7nh suy gi\u00e1p sau v\u00e0i n\u0103m ho\u1eb7c v\u00e0i ch\u1ee5c n\u0103m. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> N\u1ebfu b\u1ea1n c\u00f3 h\u00e0m l\u01b0\u1ee3ng cholesterol trong m\u00e1u cao. H\u00e3y h\u1ecfi b\u00e1c s\u0129 xem nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0 suy gi\u00e1p hay kh\u00f4ng. V\u00e0 n\u1ebfu b\u1ea1n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng hormone, h\u00e3y tu\u00e2n th\u1ee7 l\u1ecbch t\u00e1i kh\u00e1m theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129. L\u00fac ban \u0111\u1ea7u, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 \u0111\u1ea3m b\u1ea3o b\u1ea1n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb \u0111\u00fang li\u1ec1u. Theo th\u1eddi gian, li\u1ec1u l\u01b0\u1ee3ng hormone c\u00f3 th\u1ec3 thay \u0111\u1ed5i. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> <img decoding=\"async\" class=\"aligncenter\" style=\"width: 450px;height: 300px\" src=\"\/\/yhoccongdong.org\/Documents\/556_suy-giap-1.jpg\" alt=\"Suy gi\u00e1p 2\" \/> <\/span><\/p>\n<h2 id=\"nguyen-nhan-nao-gay-benh-suy-giap\" style=\"text-align: justify\">Nguy\u00ean nh\u00e2n n\u00e0o g\u00e2y b\u1ec7nh suy gi\u00e1p?<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> 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) c\u1ee7a b\u1ea1n. Hormone do tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t ra &#8211; triiodothyronine (T3) v\u00e0 thyroxine (T4). C\u00f3 t\u00e1c \u0111\u1ed9ng r\u1ea5t l\u1edbn \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ecdi m\u1eb7t c\u1ee7a qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t trong c\u01a1 th\u1ec3. C\u00e1c hormone n\u00e0y duy tr\u00ec t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a ch\u1ea5t b\u00e9o v\u00e0 carbohydrate. Gi\u00fap ki\u1ec3m so\u00e1t nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1ecbp tim v\u00e0 gi\u00fap \u0111i\u1ec1u ch\u1ec9nh vi\u1ec7c s\u1ea3n xu\u1ea5t protein. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Suy gi\u00e1p x\u1ea3y ra khi tuy\u1ebfn gi\u00e1p kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 hormone. Nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng n\u00e0y. Bao g\u1ed3m b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n, \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p, x\u1ea1 tr\u1ecb, ph\u1eabu thu\u1eadt tuy\u1ebfn gi\u00e1p v\u00e0 m\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c. <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> <strong> B\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n: <\/strong> Vi\u00eam gi\u00e1p Hashimoto \u2013 m\u1ed9t lo\u1ea1i b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n. L\u00e0 nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a suy gi\u00e1p. R\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n x\u1ea3y ra khi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch s\u1ea3n xu\u1ea5t kh\u00e1ng th\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c m\u00f4 c\u1ee7a ch\u00ednh c\u01a1 th\u1ec3 b\u1ea1n. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y l\u00e0 tuy\u1ebfn gi\u00e1p. C\u00e1c nh\u00e0 khoa h\u1ecdc v\u1eabn ch\u01b0a x\u00e1c \u0111\u1ecbnh ch\u1eafc ch\u1eafn t\u1ea1i sao c\u01a1 th\u1ec3 l\u1ea1i s\u1ea3n xu\u1ea5t ra kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i ch\u00ednh n\u00f3. M\u1ed9t s\u1ed1 cho r\u1eb1ng m\u1ed9t lo\u1ea1i virus ho\u1eb7c vi khu\u1ea9n n\u00e0o \u0111\u00f3 \u0111\u00e3 g\u00e2y ra c\u00e1c ph\u1ea3n \u1ee9ng t\u1ef1 mi\u1ec5n d\u1ecbch. Trong khi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c l\u1ea1i ngh\u0129 sai l\u1ec7ch trong th\u00f4ng tin di truy\u1ec1n l\u00e0 nguy\u00ean nh\u00e2n. Tuy nhi\u00ean, kh\u1ea3 n\u0103ng cao nh\u1ea5t \u0111\u01b0a \u0111\u1ebfn b\u1ec7nh t\u1ef1 mi\u1ec5n d\u1ecbch ch\u00ednh l\u00e0 s\u1ef1 ph\u1ed1i h\u1ee3p t\u1eeb nhi\u1ec1u y\u1ebfu t\u1ed1 t\u00e1c \u0111\u1ed9ng. Nh\u01b0ng d\u00f9 nguy\u00ean nh\u00e2n l\u00e0 th\u1ebf n\u00e0o \u0111i n\u1eefa. C\u00e1c kh\u00e1ng th\u1ec3 n\u00e0y \u0111\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t hormone c\u1ee7a tuy\u1ebfn gi\u00e1p. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> \u0110i\u1ec1u tr\u1ecb <\/strong> <strong> c\u01b0\u1eddng gi\u00e1p: <\/strong> B\u1ec7nh nh\u00e2n s\u1ea3n xu\u1ea5t ra qu\u00e1 nhi\u1ec1u hormone tuy\u1ebfn gi\u00e1p (c\u01b0\u1eddng gi\u00e1p). Th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng i\u1ed1t ph\u00f3ng x\u1ea1 v\u00e0 c\u00e1c thu\u1ed1c kh\u00e1ng tuy\u1ebfn gi\u00e1p. \u0110\u1ec3 l\u00e0m gi\u1ea3m vi\u1ec7c s\u1ea3n xu\u1ea5t hormone v\u00e0 b\u00ecnh th\u01b0\u1eddng h\u00f3a ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p. Tuy nhi\u00ean, trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, \u0111i\u1ec1u tr\u1ecb c\u01b0\u1eddng gi\u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn suy gi\u00e1p v\u0129nh vi\u1ec5n. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Ph\u1eabu thu\u1eadt tuy\u1ebfn gi\u00e1p: <\/strong> Ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n ho\u1eb7c m\u1ed9t ph\u1ea7n l\u1edbn tuy\u1ebfn gi\u00e1p. C\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m ho\u1eb7c d\u1eebng h\u1eb3n vi\u1ec7c s\u1ea3n xu\u1ea5t hormone. Trong nh\u1eefng ca b\u1ec7nh nh\u01b0 th\u1ebf, b\u1ea1n s\u1ebd ph\u1ea3i \u0111i\u1ec1u tr\u1ecb b\u1eb1ng hormone tuy\u1ebfn gi\u00e1p su\u1ed1t \u0111\u1eddi. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> X\u1ea1 tr\u1ecb: <\/strong> tia x\u1ea1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00f9ng \u0111\u1ea7u v\u00e0 c\u1ed5 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tuy\u1ebfn gi\u00e1p d\u1eabn \u0111\u1ebfn suy gi\u00e1p. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Thu\u1ed1c: <\/strong> M\u1ed9t s\u1ed1 thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y ra suy gi\u00e1p. V\u00ed d\u1ee5 nh\u01b0 lithium d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n. N\u1ebfu b\u1ea1n \u0111ang u\u1ed1ng thu\u1ed1c. H\u00e3y h\u1ecfi b\u00e1c s\u0129 v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c tr\u00ean tuy\u1ebfn gi\u00e1p. <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> C\u00e1c nguy\u00ean nh\u00e2n \u00edt g\u1eb7p h\u01a1n \u0111\u01b0a \u0111\u1ebfn suy gi\u00e1p bao g\u1ed3m: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> <strong> Suy gi\u00e1p b\u1ea9m sinh: <\/strong> Nhi\u1ec1u tr\u1ebb khi sinh ra \u0111\u00e3 c\u00f3 tuy\u1ebfn gi\u00e1p b\u1ecb khi\u1ebfm khuy\u1ebft ho\u1eb7c kh\u00f4ng c\u00f3 tuy\u1ebfn gi\u00e1p. Trong h\u1ea7u h\u1ebft c\u00e1c ca b\u1ec7nh, tuy\u1ebfn gi\u00e1p ph\u00e1t tri\u1ec3n kh\u00f4ng b\u00ecnh th\u01b0\u1eddng kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n. Nh\u01b0ng \u1edf m\u1ed9t s\u1ed1 tr\u1ebb, b\u1ec7nh ch\u1ec9 d\u1eebng l\u1ea1i \u1edf sai l\u1ec7ch th\u00f4ng tin di truy\u1ec1n ch\u1ee9 kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng. Th\u00f4ng th\u01b0\u1eddng, tr\u1ebb b\u1ecb suy gi\u00e1p b\u1ea9m sinh tr\u00f4ng v\u1eabn b\u00ecnh th\u01b0\u1eddng khi m\u1edbi sinh ra. \u0110\u00f3 l\u00e0 l\u00fd do t\u1ea1i sao ki\u1ec3m tra ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o cho tr\u1ebb s\u01a1 sinh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> R\u1ed1i lo\u1ea1n tuy\u1ebfn y\u00ean: <\/strong> M\u1ed9t nguy\u00ean nh\u00e2n t\u01b0\u01a1ng \u0111\u1ed1i hi\u1ebfm c\u1ee7a suy gi\u00e1p l\u00e0 do tuy\u1ebfn y\u00ean kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p (TSH). Th\u00f4ng th\u01b0\u1eddng l\u00e0 do m\u1ed9t kh\u1ed1i u l\u00e0nh t\u00ednh c\u1ee7a tuy\u1ebfn y\u00ean. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Mang thai: <\/strong> M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef b\u1ecb suy gi\u00e1p trong ho\u1eb7c sau khi mang thai (suy gi\u00e1p sau sinh-postpartum hypothyroidism). Th\u01b0\u1eddng l\u00e0 do c\u01a1 th\u1ec3 h\u1ecd s\u1ea3n xu\u1ea5t kh\u00e1ng th\u1ec3 ch\u1ed1ng l\u1ea1i tuy\u1ebfn gi\u00e1p c\u1ee7a ch\u00ednh m\u00ecnh. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, t\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd l\u00e0m t\u0103ng nguy c\u01a1 s\u1ea9y thai, sinh non v\u00e0 ti\u1ec1n s\u1ea3n gi\u1eadt. M\u1ed9t t\u00ecnh tr\u1ea1ng g\u00e2y t\u0103ng huy\u1ebft \u00e1p c\u1ee7a thai ph\u1ee5 trong ba th\u00e1ng cu\u1ed1i c\u1ee7a thai k\u1ef3. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn thai nhi \u0111ang ph\u00e1t tri\u1ec3n trong b\u1ee5ng m\u1eb9. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Thi\u1ebfu i\u1ed1t <\/strong> <strong> (iodine) <\/strong> <strong> : <\/strong> Kho\u00e1ng vi l\u01b0\u1ee3ng i\u1ed1t, \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y ch\u1ee7 y\u1ebfu trong h\u1ea3i s\u1ea3n, t\u1ea3o bi\u1ec3n, c\u00e2y tr\u1ed3ng tr\u00ean \u0111\u1ea5t gi\u00e0u i\u1ed1t v\u00e0 mu\u1ed1i i\u1ed1t &#8211; r\u1ea5t c\u1ea7n thi\u1ebft cho vi\u1ec7c s\u1ea3n xu\u1ea5t hormone tuy\u1ebfn gi\u00e1p. \u1ede m\u1ed9t s\u1ed1 n\u01a1i tr\u00ean th\u1ebf gi\u1edbi, hi\u1ec7n t\u01b0\u1ee3ng thi\u1ebfu i\u1ed1t kh\u00e1 ph\u1ed5 bi\u1ebfn. Nh\u01b0ng vi\u1ec7c b\u1ed5 sung i\u1ed1t v\u00e0o mu\u1ed1i \u0103n c\u0169ng \u0111\u00e3 \u0111\u01b0\u1ee3c quan t\u00e2m t\u1ea1i Vi\u1ec7t Nam trong th\u1eddi gian g\u1ea7n \u0111\u00e2y. Tuy nhi\u00ean, d\u00f9ng qu\u00e1 nhi\u1ec1u i\u1ed1t c\u0169ng c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p bao g\u1ed3m c\u1ea3 suy gi\u00e1p. <\/span><\/li>\n<\/ul>\n<h2>Ai c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh suy gi\u00e1p?<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> M\u1eb7c d\u00f9 ai c\u0169ng c\u00f3 th\u1ec3 b\u1ecb suy gi\u00e1p, b\u1ea1n c\u00f3 nhi\u1ec1u nguy c\u01a1 m\u1eafc b\u1ec7nh h\u01a1n n\u1ebfu b\u1ea1n: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> L\u00e0 ph\u1ee5 n\u1eef l\u1edbn h\u01a1n 60 tu\u1ed5i <\/span><\/li>\n<li><span style=\"font-size: 16px\"> M\u1eafc b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> C\u00f3 m\u1ed9t ng\u01b0\u1eddi th\u00e2n nh\u01b0 cha m\u1eb9 ho\u1eb7c \u00f4ng b\u00e0 m\u1eafc b\u1ec7nh l\u00fd t\u1ef1 mi\u1ec5n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u1eebng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng i\u1ed1t ph\u00f3ng x\u1ea1 v\u00e0\/ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1ng gi\u00e1p <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u1eebng x\u1ea1 tr\u1ecb \u1edf v\u00f9ng c\u1ed5 ho\u1eb7c ng\u1ef1c tr\u00ean <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u1eebng ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n tuy\u1ebfn gi\u00e1p <\/span><\/li>\n<li><span style=\"font-size: 16px\"> \u0110ang c\u00f3 thai ho\u1eb7c sinh con trong v\u00f2ng s\u00e1u th\u00e1ng qua <\/span><\/li>\n<\/ul>\n<h2>Nh\u1eefng bi\u1ebfn ch\u1ee9ng c\u1ee7a suy gi\u00e1p<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Suy gi\u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> <strong> B\u01b0\u1edbu c\u1ed5: <\/strong> Vi\u1ec7c k\u00edch th\u00edch li\u00ean t\u1ee5c khi\u1ebfn tuy\u1ebfn gi\u00e1p ph\u1ea3i s\u1ea3n xu\u1ea5t nhi\u1ec1u hormone h\u01a1n c\u00f3 th\u1ec3 l\u00e0m tuy\u1ebfn gi\u00e1p t\u0103ng k\u00edch th\u01b0\u1edbc g\u00e2y b\u1ec7nh b\u01b0\u1edbu c\u1ed5. Vi\u00eam gi\u00e1p Hashimoto l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t c\u1ee7a b\u1ec7nh b\u01b0\u1edbu c\u1ed5. M\u1eb7c d\u00f9 nh\u00ecn chung b\u1ec7nh kh\u00f4ng g\u00e2y kh\u00f3 ch\u1ecbu. B\u01b0\u1edbu c\u1ed5 l\u1edbn c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn v\u1ebb ngo\u00e0i c\u1ee7a b\u1ea1n v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng vi\u1ec7c nu\u1ed1t th\u1ee9c \u0103n ho\u1eb7c h\u00f4 h\u1ea5p. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> B\u1ec7nh tim: <\/strong> Suy gi\u00e1p c\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 b\u1ec7nh tim. Ch\u1ee7 y\u1ebfu do h\u00e0m l\u01b0\u1ee3ng lipoprotein t\u1ef7 tr\u1ecdng th\u1ea5p (LDL). V\u1ed1n l\u00e0 c\u00e1c cholesterol &#8220;x\u1ea5u&#8221; \u2013 s\u1ebd t\u0103ng cao khi tuy\u1ebfn gi\u00e1p ho\u1ea1t \u0111\u1ed9ng k\u00e9m. Th\u1eadm ch\u00ed suy gi\u00e1p c\u1eadn l\u00e2m s\u00e0ng, d\u1ea1ng b\u1ec7nh l\u00e0nh t\u00ednh h\u01a1n suy gi\u00e1p. C\u0169ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u1ed5ng n\u1ed3ng \u0111\u1ed9 cholesterol v\u00e0 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a tim. Suy gi\u00e1p c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u00e3n bu\u1ed3ng tim v\u00e0 suy tim. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> C\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe t\u00e2m th\u1ea7n: <\/strong> Tr\u1ea7m c\u1ea3m c\u00f3 th\u1ec3 x\u1ea3y ra s\u1edbm trong suy gi\u00e1p v\u00e0 tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng h\u01a1n theo th\u1eddi gian. Suy gi\u00e1p c\u0169ng c\u00f3 th\u1ec3 l\u00e0m ch\u1eadm ho\u1ea1t \u0111\u1ed9ng ch\u1ee9c n\u0103ng t\u00e2m th\u1ea7n. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> B\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean: <\/strong> Suy gi\u00e1p k\u00e9o d\u00e0i kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng h\u1ec7 th\u1ea7n kinh ngo\u1ea1i bi\u00ean (c\u00e1c d\u00e2y th\u1ea7n kinh truy\u1ec1n th\u00f4ng tin t\u1eeb n\u00e3o v\u00e0 t\u1ee7y s\u1ed1ng t\u1edbi ph\u1ea7n c\u00f2n l\u1ea1i c\u1ee7a c\u01a1 th\u1ec3, v\u00ed d\u1ee5 nh\u01b0 c\u00e1nh tay v\u00e0 ch\u00e2n). C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u1ea7n kinh ngo\u1ea1i bi\u00ean. Bao g\u1ed3m \u0111au, t\u00ea v\u00e0 ng\u1ee9a ran \u1edf v\u00f9ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y y\u1ebfu c\u01a1 ho\u1eb7c m\u1ea5t ki\u1ec3m so\u00e1t v\u1eadn \u0111\u1ed9ng c\u01a1. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Ch\u1ee9ng ph\u00f9 ni\u00eam (suy gi\u00e1p ti\u1ebfn tri\u1ec3n): <\/strong> C\u0103n b\u1ec7nh hi\u1ebfm g\u1eb7p nh\u01b0ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng n\u00e0y l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a m\u1ed9t t\u00ecnh tr\u1ea1ng suy gi\u00e1p k\u00e9o d\u00e0i m\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n. C\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng bao g\u1ed3m ch\u1ecbu l\u1ea1nh r\u1ea5t k\u00e9m, bu\u1ed3n ng\u1ee7, sau \u0111\u00f3 h\u00f4n m\u00ea s\u00e2u v\u00e0 m\u1ea5t tri gi\u00e1c. H\u00f4n m\u00ea do ph\u00f9 ni\u00eam c\u00f3 th\u1ec3 x\u1ea3y ra do thu\u1ed1c gi\u1ea3m \u0111au, nhi\u1ec5m tr\u00f9ng ho\u1eb7c c\u00e1c b\u1ec7nh kh\u00e1c tr\u00ean c\u01a1 th\u1ec3. N\u1ebfu b\u1ea1n c\u00f3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ee7a ph\u00f9 ni\u00eam. B\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb kh\u1ea9n c\u1ea5p ngay l\u1eadp t\u1ee9c. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> V\u00f4 sinh. <\/strong> N\u1ed3ng \u0111\u1ed9 hormone tuy\u1ebfn gi\u00e1p c\u00f3 th\u1ec3 c\u1ea3n tr\u1edf s\u1ef1 r\u1ee5ng tr\u1ee9ng, l\u00e0m suy y\u1ebfu kh\u1ea3 n\u0103ng sinh s\u1ea3n. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n c\u1ee7a suy gi\u00e1p. Ch\u1eb3ng h\u1ea1n nh\u01b0 r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n d\u1ecbch &#8211; c\u0169ng l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n. \u0110i\u1ec1u tr\u1ecb suy gi\u00e1p b\u1eb1ng li\u1ec7u ph\u00e1p thay th\u1ebf hormone tuy\u1ebfn gi\u00e1p. C\u00f3 th\u1ec3 kh\u00f4ng ho\u00e0n to\u00e0n ph\u1ee5c h\u1ed3i \u0111\u01b0\u1ee3c kh\u1ea3 n\u0103ng sinh s\u1ea3n m\u00e0 c\u1ea7n \u0111\u1ebfn c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p kh\u00e1c. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> D\u1ecb t\u1eadt b\u1ea9m sinh. <\/strong> N\u1ebfu m\u1eb9 c\u00f3 b\u1ec7nh tuy\u1ebfn gi\u00e1p m\u00e0 kh\u00f4ng \u0111i\u1ec1u tr\u1ecb. Tr\u1ebb sinh ra s\u1ebd c\u00f3 nguy c\u01a1 d\u1ecb t\u1eadt b\u1ea9m sinh cao h\u01a1n c\u00e1c tr\u1ebb kh\u00e1c v\u00e0 d\u1ec5 b\u1ecb c\u00e1c v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng v\u1ec1 tr\u00ed n\u00e3o v\u00e0 ph\u00e1t tri\u1ec3n. Tr\u1ebb s\u01a1 sinh b\u1ecb suy gi\u00e1p kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi c\u00f3 nguy c\u01a1 k\u00e9m ph\u00e1t tri\u1ec3n c\u1ea3 v\u1ec1 th\u1ec3 ch\u1ea5t l\u1eabn tinh th\u1ea7n. Nh\u01b0ng n\u1ebfu \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong v\u00f2ng v\u00e0i th\u00e1ng \u0111\u1ea7u. C\u01a1 h\u1ed9i ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng c\u1ee7a tr\u1ebb l\u00e0 r\u1ea5t cao. <\/span><\/li>\n<\/ul>\n<h2>Chu\u1ea9n b\u1ecb g\u00ec khi g\u1eb7p b\u00e1c s\u0129<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> 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. Sau \u0111\u00f3 t\u00f9y tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 \u0111\u00f3 c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u b\u1ea1n \u0111\u1ebfn b\u00e1c s\u0129 chuy\u00ean ng\u00e0nh n\u1ed9i ti\u1ebft. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> 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. <\/span><\/p>\n<h2 id=\"nhung-gi-ban-co-the-lam\" style=\"text-align: justify\"><span style=\"font-size: 18px\"> <strong> Nh\u1eefng g\u00ec b\u1ea1n c\u00f3 th\u1ec3 l\u00e0m <\/strong> <\/span><\/h2>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> <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. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Ghi l\u1ea1i b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng n\u00e0o b\u1ea1n \u0111ang g\u1eb7p ph\u1ea3i.\u00a0<\/strong>Bao g\u1ed3m c\u1ea3 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u00f3 v\u1ebb kh\u00f4ng li\u00ean quan \u0111\u1ebfn b\u1ec7nh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Ghi l\u1ea1i c\u00e1c th\u00f4ng tin c\u00e1 nh\u00e2n c\u01a1 b\u1ea3n. <\/strong>Bao g\u1ed3m c\u1ea3 nh\u1eefng c\u0103ng th\u1eb3ng ho\u1eb7c thay \u0111\u1ed5i l\u1edbn trong cu\u1ed9c s\u1ed1ng g\u1ea7n \u0111\u00e2y. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <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 m\u00e0 b\u1ea1n \u0111ang d\u00f9ng. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <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 th\u1ea5y kh\u00f3 kh\u0103n \u0111\u1ec3 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. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> Vi\u1ebft s\u1eb5n c\u00e2u h\u1ecfi \u0111\u1ec3 h\u1ecfi <\/strong> <strong> b\u00e1c s\u0129 c\u1ee7a b\u1ea1n <\/strong> . <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> 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 \u0111\u1ec3 h\u1ecfi b\u00e1c s\u0129 v\u1ec1 suy gi\u00e1p bao g\u1ed3m: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> 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? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Nh\u1eefng nguy\u00ean nh\u00e2n kh\u00e1c l\u00e0 g\u00ec? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u00f4i s\u1ebd c\u1ea7n l\u00e0m nh\u1eefng lo\u1ea1i x\u00e9t nghi\u1ec7m n\u00e0o? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> B\u1ec7nh c\u1ee7a t\u00f4i l\u00e0 t\u1ea1m th\u1eddi hay m\u1ea1n t\u00ednh? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t l\u00e0 g\u00ec? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> 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? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u00f4i c\u00f2n b\u1ecb b\u1ec7nh kh\u00e1c n\u1eefa. L\u00e0m sao \u0111\u1ec3 t\u00f4i \u0111i\u1ec1u tr\u1ecb hai b\u1ec7nh c\u00f9ng l\u00fac? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u00f4i c\u00f3 c\u1ea7n ph\u1ea3i h\u1ea1n ch\u1ebf g\u00ec kh\u00f4ng? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> T\u00f4i c\u00f3 n\u00ean \u0111i kh\u00e1m chuy\u00ean gia kh\u00f4ng? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> 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? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> 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? <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> 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. \u0110\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. <\/span><\/p>\n<h2 id=\"nhung-cau-hoi-bac-si-co-the-hoi-ban\" style=\"text-align: justify\"><span style=\"font-size: 18px\"> <strong> Nh\u1eefng c\u00e2u h\u1ecfi b\u00e1c s\u0129 c\u00f3 th\u1ec3 h\u1ecfi b\u1ea1n <\/strong> <\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> B\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1ebd h\u1ecfi b\u1ea1n m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi nh\u01b0: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> Khi n\u00e0o b\u1ea1n b\u1eaft \u0111\u1ea7u c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> C\u00e1c tri\u1ec7u ch\u1ee9ng x\u1ea3y ra li\u00ean t\u1ee5c hay gi\u00e1n \u0111o\u1ea1n? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ea1n nghi\u00eam tr\u1ecdng \u0111\u1ebfn m\u1ee9c n\u00e0o? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> 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? <\/span><\/li>\n<li><span style=\"font-size: 16px\"> 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? <\/span><\/li>\n<\/ul>\n<h2>X\u00e9t nghi\u1ec7m v\u00e0 ch\u1ea9n \u0111o\u00e1n<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Do suy gi\u00e1p ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i. M\u1ed9t s\u1ed1 b\u00e1c s\u0129 khuy\u00ean ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i n\u00ean x\u00e9t nghi\u1ec7m suy gi\u00e1p trong \u0111\u1ee3t ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 h\u00e0ng n\u0103m. Nhi\u1ec1u b\u00e1c s\u0129 c\u0169ng khuy\u1ebfn c\u00e1o ph\u1ee5 n\u1eef mang thai ho\u1eb7c c\u00f3 k\u1ebf ho\u1ea1ch sinh con n\u00ean x\u00e9t nghi\u1ec7m suy gi\u00e1p. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Th\u00f4ng th\u01b0\u1eddng, b\u00e1c s\u0129 s\u1ebd \u0111\u1ec1 ngh\u1ecb x\u00e9t nghi\u1ec7m suy gi\u00e1p. N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y ng\u00e0y c\u00e0ng m\u1ec7t m\u1ecfi, da kh\u00f4, t\u00e1o b\u00f3n v\u00e0 t\u0103ng c\u00e2n, ho\u1eb7c t\u1eebng c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 tuy\u1ebfn gi\u00e1p v\u00e0 b\u1ecb b\u01b0\u1edbu c\u1ed5. <\/span><\/p>\n<h2 id=\"xet-nghiem-mau\" style=\"text-align: justify\"><span style=\"font-size: 18px\"> <strong> X\u00e9t nghi\u1ec7m m\u00e1u <\/strong> <\/span><\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> B\u1ec7nh suy gi\u00e1p \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m m\u00e1u v\u1ec1 h\u00e0m l\u01b0\u1ee3ng TSH (hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p). V\u00e0 \u0111\u00f4i khi c\u0169ng d\u1ef1a tr\u00ean h\u00e0m l\u01b0\u1ee3ng hormone thyroxine c\u1ee7a tuy\u1ebfn gi\u00e1p. H\u00e0m l\u01b0\u1ee3ng thyroxine th\u1ea5p v\u00e0 h\u00e0m l\u01b0\u1ee3ng TSH cao l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh suy gi\u00e1p. B\u1edfi v\u00ec tuy\u1ebfn y\u00ean ph\u1ea3i s\u1ea3n xu\u1ea5t nhi\u1ec1u TSH h\u01a1n \u0111\u1ec3 k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t nhi\u1ec1u hormone h\u01a1n. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Tr\u01b0\u1edbc \u0111\u00e2y, c\u00e1c b\u00e1c s\u0129 ch\u1ec9 c\u00f3 th\u1ec3 ph\u00e1t hi\u1ec7n b\u1ec7nh suy gi\u00e1p khi c\u00e1c tri\u1ec7u ch\u1ee9ng suy gi\u00e1p \u0111\u00e3 ti\u1ebfn tri\u1ec3n kh\u00e1 nhi\u1ec1u. Nh\u01b0ng v\u1edbi c\u00e1c x\u00e9t nghi\u1ec7m TSH kh\u00e1 nh\u1ea1y hi\u1ec7n nay. B\u00e1c s\u0129 \u0111\u00e3 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh suy gi\u00e1p t\u1eeb r\u1ea5t s\u1edbm. Th\u01b0\u1eddng l\u00e0 tr\u01b0\u1edbc khi b\u1ea1n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng. Do x\u00e9t nghi\u1ec7m TSH l\u00e0 x\u00e9t nghi\u1ec7m s\u00e0ng l\u1ecdc t\u1ed1t nh\u1ea5t. B\u00e1c s\u0129 s\u1ebd ki\u1ec3m tra TSH \u0111\u1ea7u ti\u00ean r\u1ed3i sau \u0111\u00f3 m\u1edbi x\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p n\u1ebfu c\u1ea7n thi\u1ebft. X\u00e9t nghi\u1ec7m TSH c\u0169ng quan tr\u1ecdng trong ch\u1eefa tr\u1ecb suy gi\u00e1p. V\u00ec n\u00f3 gi\u00fap b\u00e1c s\u0129 x\u00e1c \u0111\u1ecbnh \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c l\u00fac ban \u0111\u1ea7u v\u00e0 \u0111i\u1ec1u ch\u1ec9nh d\u1ea7n theo th\u1eddi gian. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Ngo\u00e0i ra, x\u00e9t nghi\u1ec7m TSH c\u00f2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n suy gi\u00e1p c\u1eadn l\u00e2m s\u00e0ng. T\u00ecnh tr\u1ea1ng n\u00e0y kh\u00f4ng c\u00f3 d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng b\u00ean ngo\u00e0i. Bi\u1ec3u hi\u1ec7n ch\u00ednh y\u1ebfu l\u00e0 b\u1ea1n c\u00f3 h\u00e0m l\u01b0\u1ee3ng triiodothyronine v\u00e0 thyroxine trong m\u00e1u b\u00ecnh th\u01b0\u1eddng nh\u01b0ng h\u00e0m l\u01b0\u1ee3ng TSH cao. <\/span><\/p>\n<h2>\u0110i\u1ec1u tr\u1ecb suy gi\u00e1p nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u01a1 b\u1ea3n c\u1ee7a suy gi\u00e1p th\u01b0\u1eddng l\u00e0 b\u1ed5 sung hormone tuy\u1ebfn gi\u00e1p levothyroxin t\u1ed5ng h\u1ee3p h\u00e0ng ng\u00e0y (v\u00ed d\u1ee5 Levothroid, Synthroid v\u00e0 nh\u1eefng thu\u1ed1c kh\u00e1c). Thu\u1ed1c u\u1ed1ng n\u00e0y gi\u00fap ph\u1ee5c h\u1ed3i n\u1ed3ng \u0111\u1ed9 hormone c\u1ea7n thi\u1ebft, \u1ee9c ch\u1ebf c\u00e1c d\u1ea5u hi\u1ec7u v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> M\u1ed9t \u0111\u1ebfn hai tu\u1ea7n sau khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, b\u1ea1n s\u1ebd c\u1ea3m th\u1ea5y \u00edt m\u1ec7t m\u1ecfi h\u01a1n. Thu\u1ed1c c\u0169ng d\u1ea7n d\u1ea7n l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 cholesterol t\u0103ng cao g\u00e2y ra b\u1edfi suy gi\u00e1p \u0111\u1ed3ng th\u1eddi c\u00e2n n\u1eb7ng c\u0169ng d\u1ea7n gi\u1ea3m v\u1ec1 m\u1ee9c b\u00ecnh th\u01b0\u1eddng. \u0110i\u1ec1u tr\u1ecb b\u1eb1ng levothyroxine th\u01b0\u1eddng k\u00e9o d\u00e0i su\u1ed1t \u0111\u1eddi, nh\u01b0ng v\u00ec li\u1ec1u l\u01b0\u1ee3ng hormone b\u1ea1n c\u1ea7n c\u00f3 th\u1ec3 thay \u0111\u1ed5i. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ph\u1ea3i x\u00e9t nghi\u1ec7m h\u00e0m l\u01b0\u1ee3ng TSH h\u00e0ng n\u0103m. <\/span><\/p>\n<h3>X\u00e1c \u0111\u1ecbnh li\u1ec1u th\u00edch h\u1ee3p c\u00f3 th\u1ec3 m\u1ea5t th\u1eddi gian<\/h3>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng ban \u0111\u1ea7u c\u1ee7a levothyroxine. B\u00e1c s\u0129 th\u01b0\u1eddng ki\u1ec3m tra l\u1ea1i h\u00e0m l\u01b0\u1ee3ng TSH trong m\u00e1u b\u1ea1n sau hai \u0111\u1ebfn ba th\u00e1ng. Qu\u00e1 nhi\u1ec1u hormone c\u00f3 th\u1ec3 g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> T\u0103ng s\u1ef1 th\u00e8m \u0103n <\/span><\/li>\n<li><span style=\"font-size: 16px\"> M\u1ea5t ng\u1ee7 <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Tim \u0111\u1eadp nhanh <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Run r\u1ea9y <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> N\u1ebfu b\u1ea1n c\u00f3 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh ho\u1eb7c suy gi\u00e1p n\u1eb7ng, ban \u0111\u1ea7u b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea li\u1ec1u l\u01b0\u1ee3ng hormone nh\u1ecf v\u00e0 d\u1ea7n d\u1ea7n t\u0103ng li\u1ec1u l\u01b0\u1ee3ng. Vi\u1ec7c t\u0103ng d\u1ea7n li\u1ec1u l\u01b0\u1ee3ng n\u00e0y gi\u00fap tim b\u1ea1n \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 th\u00edch nghi v\u1edbi s\u1ef1 t\u0103ng qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Levothyroxine h\u1ea7u nh\u01b0 kh\u00f4ng g\u00e2y ra t\u00e1c d\u1ee5ng ph\u1ee5 khi s\u1eed d\u1ee5ng \u1edf li\u1ec1u l\u01b0\u1ee3ng th\u00edch h\u1ee3p v\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i r\u1ebb ti\u1ec1n. N\u1ebfu b\u1ea1n thay \u0111\u1ed5i th\u01b0\u01a1ng hi\u1ec7u thu\u1ed1c, h\u00e3y n\u00f3i cho b\u00e1c s\u0129 bi\u1ebft \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ea1n v\u1eabn nh\u1eadn \u0111\u01b0\u1ee3c \u0111\u00fang li\u1ec1u l\u01b0\u1ee3ng. Ngo\u00e0i ra, kh\u00f4ng b\u1ecf li\u1ec1u ho\u1eb7c ng\u01b0ng d\u00f9ng thu\u1ed1c ngay sau khi b\u1ea1n c\u1ea3m th\u1ea5y kh\u1ecfe h\u01a1n b\u1edfi v\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p s\u1ebd d\u1ea7n d\u1ea7n tr\u1edf l\u1ea1i. <\/span><\/p>\n<h3>H\u1ea5p thu th\u00edch h\u1ee3p c\u1ee7a levothyroxine<\/h3>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> M\u1ed9t s\u1ed1 thu\u1ed1c, ch\u1ea5t b\u1ed5 sung hay th\u1eadm ch\u00ed m\u1ed9t s\u1ed1 th\u1ef1c ph\u1ea9m c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng h\u1ea5p th\u1ee5 levothyroxine. H\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn b\u00e1c s\u0129. N\u1ebfu b\u1ea1n \u0103n nhi\u1ec1u c\u00e1c s\u1ea3n ph\u1ea9m \u0111\u1eadu n\u00e0nh ho\u1eb7c nhi\u1ec1u ch\u1ea5t x\u01a1 ho\u1eb7c b\u1ea1n d\u00f9ng thu\u1ed1c kh\u00e1c, ch\u1eb3ng h\u1ea1n nh\u01b0: <\/span><\/p>\n<ul style=\"text-align: justify\">\n<li><span style=\"font-size: 16px\"> Thu\u1ed1c b\u1ed5 sung s\u1eaft <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Cholestyramine <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Nh\u00f4m hydroxit, \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong m\u1ed9t s\u1ed1 thu\u1ed1c kh\u00e1ng acid <\/span><\/li>\n<li><span style=\"font-size: 16px\"> Thu\u1ed1c b\u1ed5 sung canxi <\/span><\/li>\n<\/ul>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> N\u1ebfu b\u1ea1n b\u1ecb suy gi\u00e1p c\u1eadn l\u00e2m s\u00e0ng, h\u00e3y th\u1ea3o lu\u1eadn vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u1edbi b\u00e1c s\u0129. Khi h\u00e0m l\u01b0\u1ee3ng TSH ch\u1ec9 t\u0103ng nh\u1eb9. C\u00f3 th\u1ec3 vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng hormone tuy\u1ebfn gi\u00e1p s\u1ebd kh\u00f4ng c\u00f3 \u00edch g\u00ec, th\u1eadm ch\u00ed c\u00f2n c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i. Ng\u01b0\u1ee3c l\u1ea1i, khi h\u00e0m l\u01b0\u1ee3ng TSH cao h\u01a1n. Hormone tuy\u1ebfn gi\u00e1p c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n h\u00e0m l\u01b0\u1ee3ng cholesterol. Kh\u1ea3 n\u0103ng co b\u00f3p c\u1ee7a tim c\u0169ng nh\u01b0 c\u1ea3i thi\u1ec7n m\u1ee9c n\u0103ng l\u01b0\u1ee3ng cho c\u01a1 th\u1ec3. <\/span><\/p>\n<h2>Thu\u1ed1c thay th\u1ebf<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> M\u1eb7c d\u00f9 h\u1ea7u h\u1ebft c\u00e1c b\u00e1c s\u0129 khuy\u00ean d\u00f9ng thyroxine t\u1ed5ng h\u1ee3p. Hi\u1ec7n c\u00f3 chi\u1ebft xu\u1ea5t t\u1ef1 nhi\u00ean ch\u1ee9a hormone tuy\u1ebfn gi\u00e1p t\u1eeb l\u1ee3n. C\u00e1c chi\u1ebft xu\u1ea5t t\u1ef1 nhi\u00ean n\u00e0y ch\u1ee9a c\u1ea3 thyroxine v\u00e0 triiodothyronine. Trong khi thu\u1ed1c tuy\u1ebfn gi\u00e1p t\u1ed5ng h\u1ee3p ch\u1ec9 ch\u1ee9a thyroxine, c\u00f2n triiodothyronine m\u00e0 c\u01a1 th\u1ec3 c\u1ea7n th\u00ec \u0111\u01b0\u1ee3c chuy\u1ec3n h\u00f3a t\u1eeb thyroxine. <\/span><\/p>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> Chi\u1ebft xu\u1ea5t t\u1ef1 nhi\u00ean n\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c b\u00e1n theo toa. Kh\u00f4ng n\u00ean nh\u1ea7m l\u1eabn c\u00e1c chi\u1ebft xu\u1ea5t n\u00e0y v\u1edbi d\u1ecbch n\u1ed9i ti\u1ebft c\u00f4 \u0111\u1eb7c b\u00e1n t\u1ea1i c\u00e1c c\u1eeda h\u00e0ng th\u1ef1c ph\u1ea9m t\u1ef1 nhi\u00ean. \u1ede Hoa K\u1ef3, nh\u1eefng d\u1ecbch n\u1ed9i ti\u1ebft c\u00f4 \u0111\u1eb7c n\u00e0y kh\u00f4ng n\u1eb1m trong s\u1ef1 qu\u1ea3n l\u00fd c\u1ee7a C\u1ee5c Qu\u1ea3n l\u00fd Th\u1ef1c ph\u1ea9m v\u00e0 D\u01b0\u1ee3c ph\u1ea9m Hoa K\u1ef3. N\u00ean hi\u1ec7u qu\u1ea3 v\u00e0 \u0111\u1ed9 tinh khi\u1ebft c\u1ee7a ch\u00fang kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o \u0111\u1ea3m. <\/span><\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p style=\"text-align: justify\"><span style=\"font-size: 16px\"> <a href=\"http:\/\/www.mayoclinic.com\/health\/hypothyroidism\/DS00353\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.mayoclinic.com\/health\/hypothyroidism\/DS00353 <\/a> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suy gi\u00e1p (c\u00f2n g\u1ecdi l\u00e0 thi\u1ec3u n\u0103ng tuy\u1ebfn gi\u00e1p hay nh\u01b0\u1ee3c n\u0103ng tuy\u1ebfn gi\u00e1p) l\u00e0 t\u00ecnh tr\u1ea1ng tuy\u1ebfn gi\u00e1p kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 m\u1ed9t v\u00e0i lo\u1ea1i hormone (n\u1ed9i ti\u1ebft t\u1ed1) quan tr\u1ecdng cho c\u01a1 th\u1ec3.<\/p>\n","protected":false},"author":201,"featured_media":1597,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[979,980,981,983,984,985,986,987,982],"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>Suy gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng<\/title>\n<meta name=\"description\" content=\"Suy 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\/suy-giap\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Suy gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:description\" content=\"Suy gi\u00e1p - D\u1ef1 \u00e1n Ti\u1ec3u \u0110\u01b0\u1eddng\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/suy-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=\"2013-11-11T10:00:00+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/tieu-duong\/wp-content\/uploads\/sites\/5\/2013\/11\/suy-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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