{"id":103357,"date":"2021-08-20T00:00:00","date_gmt":"2021-08-20T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/hormone-tuyen-giap\/"},"modified":"2023-06-01T00:00:00","modified_gmt":"2023-06-01T00:00:00","slug":"hormone-tuyen-giap","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/noi-tiet\/hormone-tuyen-giap\/","title":{"rendered":"Hormone tuy\u1ebfn gi\u00e1p v\u00e0 nh\u1eefng th\u00f4ng tin c\u1ea7n bi\u1ebft"},"content":{"rendered":"\n

C\u00f3 r\u1ea5t nhi\u1ec1u hormone tham gia \u0111i\u1ec1u ch\u1ec9nh nhi\u1ec1u ch\u1ee9c n\u0103ng c\u1ee7a c\u01a1 th\u1ec3 trong \u0111\u00f3, hormone tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 c\u00f3 t\u00e1c \u0111\u1ed9ng r\u00f5 r\u1ec7t tr\u00ean h\u1ea7u h\u1ebft h\u1ec7 c\u01a1 quan. Nh\u1eefng r\u1ed1i lo\u1ea1n do thi\u1ebfu ho\u1eb7c th\u1eeba hormone tuy\u1ebfn gi\u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. \u0110\u1ec3 ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh, h\u00e3y c\u00f9ng Doctor c\u00f3 s\u1eb5n<\/strong><\/a> t\u00ecm hi\u1ec3u m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p, c\u0169ng nh\u01b0 t\u00e1c d\u1ee5ng c\u1ee7a hormone tuy\u1ebfn gi\u00e1p \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3 \u0111\u1ec3 c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c c\u00e1c d\u1ea5u hi\u1ec7u khi c\u00f3 s\u1ef1 thay \u0111\u1ed5i hormone tuy\u1ebfn gi\u00e1p nh\u00e9.<\/p>\n\n\n\n

T\u1ed5ng quan v\u1ec1 hormone tuy\u1ebfn gi\u00e1p v\u00e0 s\u1ea3n xu\u1ea5t<\/strong><\/h2>\n\n\n\n

Hormone tuy\u1ebfn gi\u00e1p g\u1ecdi t\u1eaft l\u00e0 hormone gi\u00e1p \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p t\u1eeb c\u00e1c t\u1ebf b\u00e0o bi\u1ec3u m\u00f4 tuy\u1ebfn gi\u00e1p v\u00e0 \u0111\u01b0\u1ee3c d\u1ef1 tr\u1eef trong c\u00e1c nang gi\u00e1p.<\/p>\n\n\n\n

\"hormone-tuyen-giap\"
Tuy\u1ebfn gi\u00e1p n\u1eb1m \u1edf ph\u00eda tr\u01b0\u1edbc kh\u00ed qu\u1ea3n<\/em><\/figcaption><\/figure>\n\n\n\n

Hai hormone gi\u00e1p ho\u1ea1t \u0111\u1ed9ng l\u00e0 triiodothyronine (T3<\/strong>) v\u00e0 tetraiodothyronine hay c\u00f2n g\u1ecdi l\u00e0 thyroxine (T4<\/strong>).<\/p>\n\n\n\n

M\u1eb7c d\u00f9 T3 ho\u1ea1t \u0111\u1ed9ng h\u01a1n T4, nh\u01b0ng h\u1ea7u h\u1ebft hormone r\u1eddi kh\u1ecfi tuy\u1ebfn gi\u00e1p l\u1ea1i l\u00e0 T4 (chi\u1ebfm \u0111\u1ebfn 90%). T3 v\u00e0 T4 l\u01b0u h\u00e0nh trong m\u00e1u v\u1eeba \u1edf d\u1ea1ng k\u1ebft h\u1ee3p v\u1edbi protein huy\u1ebft t\u01b0\u01a1ng v\u1eeba \u1edf d\u1ea1ng t\u1ef1 do. Khi \u0111\u1ebfn m\u00f4 \u0111\u00edch, T4 \u0111\u01b0\u1ee3c chuy\u1ec3n th\u00e0nh T3.<\/p>\n\n\n\n

Thai k\u1ef3, \u0103n ki\u00eang, c\u0103ng th\u1eb3ng, suy gan v\u00e0 suy th\u1eadn \u0111\u1ec1u l\u00e0m gi\u1ea3m vi\u1ec7c chuy\u1ec3n T4 th\u00e0nh T3, c\u00f2n b\u00e9o ph\u00ec l\u00e0m t\u0103ng chuy\u1ec3n T4 th\u00e0nh T3, t\u1ee9c l\u00e0 t\u0103ng l\u01b0\u1ee3ng hormone d\u1ea1ng ho\u1ea1t \u0111\u1ed9ng.<\/p>\n\n\n\n

Vi\u1ec7c s\u1ea3n xu\u1ea5t hormone c\u1ee7a tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1edfi tuy\u1ebfn y\u00ean<\/strong> trong n\u00e3o. Tuy\u1ebfn y\u00ean ti\u1ebft ra hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p (Thyroid stimulating hormone vi\u1ebft t\u1eaft l\u00e0 TSH<\/strong>). L\u01b0\u1ee3ng TSH m\u00e0 tuy\u1ebfn y\u00ean ti\u1ebft v\u00e0o m\u00e1u ph\u1ee5 thu\u1ed9c v\u00e0o l\u01b0\u1ee3ng hormone gi\u00e1p<\/strong> trong c\u01a1 th\u1ec3. <\/p>\n\n\n\n

N\u1ebfu tuy\u1ebfn y\u00ean c\u1ea3m nh\u1eadn \u0111\u01b0\u1ee3c l\u01b0\u1ee3ng hormone gi\u00e1p th\u1ea5p, th\u00ec n\u00f3 s\u1ebd s\u1ea3n xu\u1ea5t nhi\u1ec1u TSH h\u01a1n \u0111\u1ec3 y\u00eau c\u1ea7u tuy\u1ebfn gi\u00e1p s\u1ea3n xu\u1ea5t nhi\u1ec1u h\u01a1n. \u0110\u1ebfn khi T4 trong m\u00e1u v\u01b0\u1ee3t qu\u00e1 m\u1ed9t m\u1ee9c nh\u1ea5t \u0111\u1ecbnh, qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t TSH c\u1ee7a tuy\u1ebfn y\u00ean s\u1ebd ng\u1eebng l\u1ea1i. B\u1eb1ng c\u00e1ch n\u00e0y, tuy\u1ebfn y\u00ean ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c vi\u1ec7c s\u1ea3n xu\u1ea5t hormone c\u1ee7a tuy\u1ebfn gi\u00e1p.<\/p>\n\n\n\n

T\u00e1c d\u1ee5ng c\u1ee7a hormone tuy\u1ebfn gi\u00e1p<\/strong><\/h2>\n\n\n\n

V\u00ec hormone gi\u00e1p t\u00e1c \u0111\u1ed9ng l\u00ean h\u1ea7u h\u1ebft t\u1ebf b\u00e0o c\u00f3 nh\u00e2n trong c\u01a1 th\u1ec3 n\u00ean t\u00e1c d\u1ee5ng c\u1ee7a ch\u00fang r\u1ea5t \u0111a d\u1ea1ng. C\u00e1c t\u00e1c d\u1ee5ng c\u1ee7a hormone tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c tr\u00ecnh b\u00e0y nh\u01b0 sau:<\/p>\n\n\n\n

    \n
  • T\u0103ng t\u1ec9 l\u1ec7 trao \u0111\u1ed5i ch\u1ea5t c\u01a1 b\u1ea3n<\/strong>: l\u00e0m t\u0103ng t\u1ec9 l\u1ec7 trao \u0111\u1ed5i ch\u1ea5t l\u00e0m t\u0103ng ti\u00eau th\u1ee5 oxy v\u00e0 n\u0103ng l\u01b0\u1ee3ng, t\u0103ng t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a, t\u0103ng sinh nhi\u1ec7t n\u00ean th\u00e2n nhi\u1ec7t t\u0103ng. \u0110\u00e2y l\u00e0 t\u00e1c \u0111\u1ed9ng r\u00f5 r\u00e0ng v\u00e0 hi\u1ec7u qu\u1ea3 nh\u1ea5t c\u1ee7a hormone gi\u00e1p.<\/li>\n\n\n\n
  • Chuy\u1ec3n h\u00f3a<\/strong>: th\u00fac \u0111\u1ea9y qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p c\u00e1c enzyme chuy\u1ec3n h\u00f3a, g\u00e2y ra c\u00e1c t\u00e1c \u0111\u1ed9ng:\n
      \n
    • \u0110\u1ed1i v\u1edbi glucid<\/em>: hormone gi\u00e1p g\u00f3p ph\u1ea7n k\u00edch th\u00edch t\u1ee5y t\u0103ng b\u00e0i ti\u1ebft insulin. Ngo\u00e0i ra, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y t\u0103ng h\u1ea5p thu glucose t\u1eeb \u1ed1ng ti\u00eau h\u00f3a, t\u0103ng t\u00e2n t\u1ea1o \u0111\u01b0\u1eddng.<\/li>\n\n\n\n
    • \u0110\u1ed1i v\u1edbi lipid<\/em>: hormone gi\u00e1p l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 cholesterol, phospholipid v\u00e0 triglycerid trong huy\u1ebft t\u01b0\u01a1ng. Cho n\u00ean trong suy gi\u00e1p, n\u1ed3ng \u0111\u1ed9 c\u00e1c ch\u1ea5t n\u00e0y t\u0103ng l\u00e0m ph\u00e1t tri\u1ec3n b\u1ec7nh x\u01a1 v\u1eefa \u0111\u1ed9ng m\u1ea1ch.<\/li>\n\n\n\n
    • \u0110\u1ed1i v\u1edbi protein<\/em>: hormone gi\u00e1p l\u00e0m t\u0103ng t\u1ed5ng h\u1ee3p protein gi\u00fap c\u01a1 th\u1ec3 ph\u00e1t tri\u1ec3n. Nh\u01b0ng n\u1ebfu hormone gi\u00e1p nhi\u1ec1u qu\u00e1 m\u1ee9c th\u00ec s\u1ebd gi\u1ea3m ngu\u1ed3n protein d\u1ef1 tr\u1eef trong c\u01a1 l\u00e0m gi\u1ea3m kh\u1ed1i l\u01b0\u1ee3ng c\u01a1.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

      V\u1edbi nh\u1eefng t\u00e1c d\u1ee5ng \u0111\u1ebfn chuy\u1ec3n h\u00f3a nh\u01b0 tr\u00ean, vi\u1ec7c t\u0103ng hay gi\u1ea3m hormone gi\u00e1p \u0111\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e2n n\u1eb7ng v\u00e0 th\u00e2n nhi\u1ec7t. C\u1ee5 th\u1ec3:<\/p>\n\n\n\n

      T\u0103ng hormone gi\u00e1p ( C\u01b0\u1eddng gi\u00e1p ) th\u01b0\u1eddng gi\u1ea3m c\u00e2n n\u1eb7ng, s\u1ee3 n\u00f3ng.<\/strong><\/p>\n\n\n\n

      Gi\u1ea3m hormone gi\u00e1p ( Suy gi\u00e1p ) th\u00ec t\u0103ng c\u00e2n, s\u1ee3 l\u1ea1nh.<\/strong><\/p>\n\n\n\n

        \n
      • H\u1ec7 tim m\u1ea1ch<\/strong>: hormone gi\u00e1p hi\u1ec7p \u0111\u1ed3ng v\u1edbi catecholamine \u1edf t\u1ebf b\u00e0o c\u01a1 tim l\u00e0m t\u0103ng nh\u1ecbp tim, t\u0103ng s\u1ee9c co b\u00f3p c\u01a1 tim v\u00e0 k\u1ebft qu\u1ea3 l\u00e0 t\u0103ng cung l\u01b0\u1ee3ng tim.<\/li>\n<\/ul>\n\n\n\n
          \n
        • H\u1ec7 h\u00f4 h\u1ea5p<\/strong>: hormone gi\u00e1p l\u00e0m t\u0103ng cung l\u01b0\u1ee3ng tim v\u00e0 t\u0103ng th\u00f4ng kh\u00ed gi\u00fap t\u0103ng v\u1eadn chuy\u1ec3n oxy \u0111\u1ebfn m\u00f4 ph\u00f9 h\u1ee3p v\u1edbi s\u1ef1 t\u0103ng ti\u00eau th\u1ee5 oxy c\u1ee7a t\u1ebf b\u00e0o.<\/li>\n<\/ul>\n\n\n\n
            \n
          • H\u1ec7 ti\u00eau h\u00f3a<\/strong>: t\u0103ng ti\u1ebft c\u00e1c d\u1ecbch ti\u00eau h\u00f3a v\u00e0 nhu \u0111\u1ed9ng ru\u1ed9t. V\u00ec th\u1ebf, c\u01b0\u1eddng gi\u00e1p th\u01b0\u1eddng ti\u00eau ch\u1ea3y, suy gi\u00e1p th\u01b0\u1eddng t\u00e1o b\u00f3n.<\/li>\n<\/ul>\n\n\n\n
              \n
            • H\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng<\/strong>: hormone gi\u00e1p c\u00f3 nhi\u1ec1u t\u00e1c \u0111\u1ed9ng l\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng v\u00e0 thay \u0111\u1ed5i theo tu\u1ed5i.\n
                \n
              • Trong giai \u0111o\u1ea1n b\u00e0o thai<\/em>, hormone gi\u00e1p c\u1ea7n thi\u1ebft cho s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. Suy gi\u00e1p trong giai \u0111o\u1ea1n n\u00e0y l\u00e0m ch\u1eadm ph\u00e1t tri\u1ec3n t\u00e2m th\u1ea7n. Nh\u01b0 v\u1eady, vi\u1ec7c t\u1ea7m so\u00e1t suy gi\u00e1p \u1edf tr\u1ebb s\u01a1 sinh l\u00e0 b\u1eaft bu\u1ed9c. N\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm th\u00ec \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p thay th\u1ebf hormone cho th\u1ea5y hi\u1ec7u qu\u1ea3 t\u1ed1t.<\/li>\n\n\n\n
              • \u1ede ng\u01b0\u1eddi l\u1edbn<\/em>, hormone gi\u00e1p c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00e2m tr\u1ea1ng. Suy gi\u00e1p g\u00e2y ra t\u00ecnh tr\u1ea1ng th\u1edd \u01a1, c\u1eed \u0111\u1ed9ng ch\u1eadm ch\u1ea1p, bu\u1ed3n r\u1ea7u, gi\u1ea3m tr\u00ed nh\u1edb, ch\u1eadm n\u00f3i v\u00e0 bu\u1ed3n ng\u1ee7. C\u01b0\u1eddng gi\u00e1p d\u1ec5 b\u1ecb k\u00edch th\u00edch, c\u00e1u g\u1eaft v\u00e0 run c\u01a1 nhanh nh\u1eb9.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n
                  \n
                • T\u0103ng tr\u01b0\u1edfng<\/strong>: c\u00e1c hormone gi\u00e1p c\u00f9ng v\u1edbi hormone t\u0103ng tr\u01b0\u1edfng k\u00edch th\u00edch t\u1ea1o x\u01b0\u01a1ng v\u00e0 tr\u01b0\u1edfng th\u00e0nh x\u01b0\u01a1ng. \u1ede ng\u01b0\u1eddi b\u1ecb suy gi\u00e1p, x\u01b0\u01a1ng s\u1ebd nh\u1ecf h\u01a1n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi c\u00f9ng tu\u1ed5i.<\/li>\n\n\n\n
                • Sinh d\u1ee5c<\/strong>: hormone gi\u00e1p \u0111i\u1ec1u h\u00f2a ch\u1ee9c n\u0103ng sinh s\u1ea3n \u1edf n\u1eef v\u00e0 nam b\u1eb1ng c\u00e1ch \u0111i\u1ec1u h\u00f2a chu k\u1ef3 ph\u00f3ng no\u00e3n v\u00e0 sinh tinh. Thi\u1ebfu hay th\u1eeba hormone tuy\u1ebfn gi\u00e1p \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng sinh d\u1ee5c. \u0110\u1ed1i v\u1edbi n\u1eef, b\u1ea5t th\u01b0\u1eddng hormone gi\u00e1p g\u00e2y r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t.<\/li>\n<\/ul>\n\n\n\n

                  X\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p<\/strong><\/h2>\n\n\n\n

                  C\u00e1c b\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p khi c\u00f3 nghi ng\u1edd tuy\u1ebfn gi\u00e1p c\u1ee7a b\u1ea1n ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c (c\u01b0\u1eddng gi\u00e1p) ho\u1eb7c k\u00e9m ho\u1ea1t \u0111\u1ed9ng (suy gi\u00e1p); theo d\u00f5i \u0111i\u1ec1u tr\u1ecb; kh\u1ea3o s\u00e1t ho\u1ea1t \u0111\u1ed9ng tr\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i – tuy\u1ebfn y\u00ean – tuy\u1ebfn gi\u00e1p; qu\u1ea3n l\u00fd ung th\u01b0 bi\u1ec3u m\u00f4 tuy\u1ebfn gi\u00e1p,\u2026<\/p>\n\n\n\n

                  X\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111o hormone gi\u00e1p s\u1eb5n c\u00f3 v\u00e0 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ed9ng r\u00e3i. Tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i x\u00e9t nghi\u1ec7m n\u00e0o c\u0169ng h\u1eefu \u00edch, t\u00f9y v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ea1n m\u00e0 b\u00e1c s\u0129 s\u1ebd c\u00f3 ch\u1ecdn l\u1ef1a ph\u00f9 h\u1ee3p v\u00e0 ph\u1ed1i h\u1ee3p c\u00e1c k\u1ebft qu\u1ea3 \u0111\u1ec3 bi\u1ec7n lu\u1eadn v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n.<\/p>\n\n\n\n

                  \"hormone-tuyen-giap\"
                  X\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p<\/figcaption><\/figure>\n\n\n\n
                    \n
                  • Thyroxine (T4) to\u00e0n ph\u1ea7n<\/strong>: g\u1ed3m T4 t\u1ef1 do v\u00e0 T4 g\u1eafn v\u1edbi protein. X\u00e9t nghi\u1ec7m d\u00f9ng \u0111\u1ec3 t\u00ecm suy gi\u00e1p v\u00e0 c\u01b0\u1eddng gi\u00e1p, v\u00e0 \u0111\u1ec3 theo d\u00f5i \u0111i\u1ec1u tr\u1ecb c\u00e1c r\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p. T4 th\u1ea5p \u0111\u01b0\u1ee3c xem l\u00e0 suy gi\u00e1p, trong khi m\u1ee9c T4 cao c\u00f3 th\u1ec3 cho th\u1ea5y c\u01b0\u1eddng gi\u00e1p. Ph\u1ea1m vi b\u00ecnh th\u01b0\u1eddng cho m\u1ed9t ng\u01b0\u1eddi l\u1edbn: 5,0 – 12,0 \u03bcg\/dL.<\/li>\n\n\n\n
                  • Free T4 (FT4)<\/strong>: d\u1ea1ng T4 t\u1ef1 do trong m\u00e1u d\u1ec5 d\u00e0ng \u0111i v\u00e0o t\u1ebf b\u00e0o n\u00ean c\u00f3 th\u1ec3 cho bi\u1ebft tuy\u1ebfn gi\u00e1p \u0111ang ho\u1ea1t \u0111\u1ed9ng th\u1ebf n\u00e0o v\u00e0 \u0111\u01b0\u1ee3c \u01b0a d\u00f9ng trong x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p h\u01a1n T4 to\u00e0n ph\u1ea7n ( do k\u1ebft qu\u1ea3 T4 to\u00e0n ph\u1ea7n d\u1ec5 b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi thu\u1ed1c, mang thai, hormone sinh d\u1ee5c, b\u1ec7nh gan,\u2026). Gi\u00e1 tr\u1ecb FT4 b\u00ecnh th\u01b0\u1eddng \u1edf ng\u01b0\u1eddi l\u1edbn trong kho\u1ea3ng 0,7 – 1,9 ng\/dL.<\/li>\n\n\n\n
                  • Triiodothyronine (T3) to\u00e0n ph\u1ea7n:<\/strong> t\u01b0\u01a1ng t\u1ef1 nh\u01b0 T4 to\u00e0n ph\u1ea7n. Ph\u1ea1m vi b\u00ecnh th\u01b0\u1eddng: 80 – 220 ng\/dL. B\u1ec7nh nh\u00e2n c\u01b0\u1eddng gi\u00e1p th\u01b0\u1eddng c\u00f3 T3 to\u00e0n ph\u1ea7n t\u0103ng cao h\u01a1n T4. X\u00e9t nghi\u1ec7m T3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n c\u01b0\u1eddng gi\u00e1p v\u00e0 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 n\u1eb7ng. M\u1eb7t kh\u00e1c, m\u1ee9c \u0111\u1ed9 T3 gi\u1ea3m mu\u1ed9n trong suy gi\u00e1p n\u00ean kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng th\u01b0\u1eddng quy \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 tuy\u1ebfn gi\u00e1p k\u00e9m ho\u1ea1t \u0111\u1ed9ng.<\/li>\n\n\n\n
                  • Free T3 (FT3): t\u01b0\u01a1ng t\u1ef1 FT4<\/strong>, nh\u01b0ng th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1ng tin c\u1eady (v\u00ec T3 l\u01b0u h\u00e0nh trong m\u00e1u r\u1ea5t \u00edt).<\/li>\n\n\n\n
                  • Thyroid stimulating hormone (TSH)<\/strong>:\n
                      \n
                    • Nh\u1eefng thay \u0111\u1ed5i c\u1ee7a TSH c\u00f3 th\u1ec3 coi nh\u01b0 m\u1ed9t “h\u1ec7 th\u1ed1ng c\u1ea3nh b\u00e1o s\u1edbm” – x\u1ea3y ra tr\u01b0\u1edbc khi hormone tuy\u1ebfn gi\u00e1p tr\u1edf n\u00ean qu\u00e1 cao ho\u1eb7c qu\u00e1 th\u1ea5p. C\u00e1c x\u00e9t nghi\u1ec7m ban \u0111\u1ea7u \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn \u0111\u1ec3 t\u1ea7m so\u00e1t b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 tuy\u1ebfn gi\u00e1p l\u00e0 TSH v\u00e0 FT4, nh\u1eb1m gi\u00fap x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ea5t th\u01b0\u1eddng ph\u00e1t sinh t\u1eeb tuy\u1ebfn gi\u00e1p, tuy\u1ebfn y\u00ean, ho\u1eb7c v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i.<\/li>\n\n\n\n
                    • \u1ede h\u1ea7u h\u1ebft nh\u1eefng ng\u01b0\u1eddi kh\u1ecfe m\u1ea1nh, gi\u00e1 tr\u1ecb TSH b\u00ecnh th\u01b0\u1eddng 0,5 – 5,0 mIU\/L, c\u00f3 ngh\u0129a l\u00e0 tuy\u1ebfn gi\u00e1p \u0111ang ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

                      N\u1ebfu b\u1ea1n \u0111ang chu\u1ea9n b\u1ecb cho x\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p, h\u00e3y n\u00f3i v\u1edbi b\u00e1c s\u0129 v\u1ec1 t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i thu\u1ed1c, th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng b\u1ea1n \u0111ang d\u00f9ng, b\u1ea1n c\u00f3 \u0111ang mang thai kh\u00f4ng v\u00e0 b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o v\u1ec1 tuy\u1ebfn gi\u00e1p \u0111\u00e3 bi\u1ebft tr\u01b0\u1edbc \u0111\u00f3. \u0110i\u1ec1u n\u00e0y s\u1ebd \u0111\u1ea3m b\u1ea3o gi\u1ea3i th\u00edch ch\u00ednh x\u00e1c nh\u1ea5t c\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m.<\/p>\n\n\n\n

                      X\u00e9t nghi\u1ec7m hormone tuy\u1ebfn gi\u00e1p \u1edf \u0111\u00e2u?<\/h2>\n\n\n\n
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                      • H\u1ec7 th\u1ed1ng Trung t\u00e2m ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u00e9t nghi\u1ec7m y khoa Diag – 16 chi nh\u00e1nh TPHCM<\/li>\n<\/ul>\n\n\n\n