{"id":103439,"date":"2021-09-01T00:00:00","date_gmt":"2021-09-01T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/tuyen-thuong-than\/"},"modified":"2023-09-25T00:12:25","modified_gmt":"2023-09-24T17:12:25","slug":"tuyen-thuong-than","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/noi-tiet\/tuyen-thuong-than\/","title":{"rendered":"T\u1ed5ng quan v\u1ec1 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn: 1 s\u1ed1 ch\u1ee9c n\u0103ng, vai tr\u00f2"},"content":{"rendered":"\n

Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ea3n xu\u1ea5t ra c\u00e1c hormon v\u00f4 c\u00f9ng quan tr\u1ecdng trong c\u01a1 th\u1ec3. Nh\u1eefng r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ph\u1ee9c t\u1ea1p v\u00e0 bi\u1ec3u hi\u1ec7n tr\u00ean th\u1ef1c t\u1ebf r\u1ea5t \u0111a d\u1ea1ng. M\u1eddi qu\u00fd \u0111\u1ed9c gi\u1ea3 c\u00f9ng Docosan<\/strong><\/a> t\u00ecm hi\u1ec3u v\u1ec1 gi\u1ea3i ph\u1eabu v\u00e0 sinh l\u00fd ch\u1ee9c n\u0103ng c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn th\u00f4ng qua b\u00e0i vi\u1ebft n\u00e0y.<\/p>\n\n\n\n

Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n

Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 c\u01a1 quan \u0111\u00f4i (c\u00f3 \u1edf hai b\u00ean) tuy c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf nh\u01b0ng \u0111\u00f3ng vai tr\u00f2 s\u1ed1ng c\u00f2n v\u1edbi c\u01a1 th\u1ec3 c\u1ee7a ch\u00fang ta. Ch\u00fang n\u1eb1m \u1edf khoang sau ph\u00fac m\u1ea1c, t\u1ee9c khu v\u1ef1c sau c\u00e1c t\u1ea1ng trong \u1ed5 b\u1ee5ng, g\u1ea7n v\u1ec1 ph\u00eda sau l\u01b0ng h\u01a1n, s\u00e1t v\u1edbi v\u1ecb tr\u00ed c\u1ee7a hai th\u1eadn. M\u1eb7c d\u00f9 c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf nh\u01b0ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 t\u00e1c d\u1ee5ng s\u1ea3n sinh ra hormone cortisol v\u00e0 aldosterone trong c\u01a1 th\u1ec3. N\u1ebfu tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ecb t\u1ed5n th\u01b0\u01a1ng c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn t\u1ed5ng th\u1ec3 s\u1ee9c kh\u1ecfe.<\/p>\n\n\n\n

Gi\u1ea3i ph\u1eabu tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/strong><\/h2>\n\n\n\n

H\u00ecnh th\u1ec3 b\u00ean ngo\u00e0i<\/strong><\/strong><\/h3>\n\n\n\n

B\u00ecnh th\u01b0\u1eddng c\u00f3 hai tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn n\u1eb1m \u1edf hai b\u00ean c\u1ed9t s\u1ed1ng v\u00e0 ngay ph\u00eda tr\u00ean m\u1ed7i th\u1eadn. Ch\u00fang c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 n\u1eb1m s\u00e1t sau l\u01b0ng, \u0111\u01b0\u1ee3c v\u00e2y quanh b\u1edfi nh\u1eefng c\u1ea5u tr\u00fac c\u1ed1 \u0111\u1ecbnh v\u00e0 t\u01b0\u01a1ng \u0111\u1ed1i ch\u1eafc ch\u1eafn nh\u01b0 c\u01a1 ho\u00e0nh, gan, m\u1ea1c th\u1eadn, x\u01b0\u01a1ng s\u01b0\u1eddn, kh\u1ed1i c\u01a1 l\u01b0ng g\u00e1y.<\/p>\n\n\n\n

Tuy g\u1ecdi l\u00e0 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, nh\u01b0ng th\u1eadt s\u1ef1 ch\u1ec9 1\/10 tuy\u1ebfn n\u00e0y n\u1eb1m tr\u00f9m l\u00ean \u0111\u1ea7u tr\u00ean c\u1ee7a th\u1eadn. Ph\u1ea7n c\u00f2n l\u1ea1i th\u00ec n\u1eb1m d\u1ecdc theo b\u1edd trong c\u1ee7a th\u1eadn, ngay ph\u00eda tr\u00ean r\u1ed1n th\u1eadn.<\/p>\n\n\n\n

M\u1ed7i tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn n\u1eb7ng t\u1eeb 3-6 gam \u1edf ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh. Tuy v\u1eady, l\u00fac m\u1edbi sinh tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn h\u01a1i to h\u01a1n. M\u1ed7i tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 m\u00e0u v\u00e0ng x\u00e1m, h\u00ecnh tam gi\u00e1c v\u1edbi ba m\u1eb7t nh\u01b0 m\u1ed9t kim t\u1ef1 th\u00e1p.<\/p>\n\n\n\n

Ngo\u00e0i hai tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u00ecnh th\u01b0\u1eddng, \u0111\u00f4i khi c\u00f3 nh\u1eefng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ph\u1ee5 \u1edf trong \u1ed5 b\u1ee5ng hay trong v\u00f9ng ch\u1eadu.<\/p>\n\n\n\n

\"tuyen-thuong-than\"
H\u00ecnh th\u1ec3 ngo\u00e0i v\u00e0 h\u00ecnh th\u1ec3 trong c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hai b\u00ean<\/figcaption><\/figure>\n\n\n\n

H\u00ecnh th\u1ec3 trong<\/strong><\/strong><\/strong><\/h3>\n\n\n\n

Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn g\u1ea7n hai ph\u1ea7n ri\u00eang bi\u1ec7t l\u00e0 t\u1ee7y th\u01b0\u1ee3ng th\u1eadn v\u00e0 v\u1ecf th\u01b0\u1ee3ng th\u1eadn. Hai th\u00e0nh ph\u1ea7n n\u00e0y c\u00f3 ngu\u1ed3n g\u1ed1c ph\u00f4i thai h\u1ecdc kh\u00e1c nhau, do \u0111\u00f3 c\u1ea5u t\u1ea1o m\u00f4 h\u1ecdc v\u00e0 ch\u1ee9c n\u0103ng sinh l\u00fd c\u0169ng r\u1ea5t kh\u00e1c nhau.<\/p>\n\n\n\n

    \n
  • V\u1ecf th\u01b0\u1ee3ng th\u1eadn<\/strong> n\u1eb1m b\u00ean ngo\u00e0i v\u00e0 chi\u1ebfm \u0111\u1ebfn 80% kh\u1ed1i l\u01b0\u1ee3ng c\u1ee7a tuy\u1ebfn. V\u00f9ng v\u1ecf th\u01b0\u1ee3ng th\u1eadn th\u1eadt ra kh\u00f4ng ph\u1ea3i m\u1ed9t kh\u1ed1i th\u1ed1ng nh\u1ea5t, n\u00f3 \u0111\u01b0\u1ee3c c\u1ea5u t\u1ea1o b\u1edfi ba l\u1edbp ri\u00eang bi\u1ec7t v\u00e0 s\u1ea3n xu\u1ea5t c\u00e1c hormon c\u00f3 t\u00e1c d\u1ee5ng r\u1ea5t kh\u00e1c nhau, nh\u01b0ng c\u00f3 b\u1ea3n ch\u1ea5t chung \u0111\u1ec1u l\u00e0 c\u00e1c ch\u1ea5t steroid (n\u00ean c\u00f2n g\u1ecdi l\u00e0 steroid th\u01b0\u1ee3ng th\u1eadn). Ba l\u1edbp n\u00e0y l\u00e0 l\u1edbp l\u01b0\u1edbi, l\u1edbp b\u00f3 v\u00e0 l\u1edbp c\u1ea7u.<\/li>\n\n\n\n
  • T\u1ee7y th\u01b0\u1ee3ng th\u1eadn<\/strong> n\u1eb1m b\u00ean trong v\u00e0 ch\u1ec9 chi\u1ebfm 20% kh\u1ed1i l\u01b0\u1ee3ng m\u00f4 tuy\u1ebfn. \u0110\u00e2y l\u00e0 v\u00f9ng chuy\u00ean t\u1ed5ng h\u1ee3p c\u00e1c ch\u1ea5t catecholamine, g\u1ed3m epinephrine (hay adrenaline) v\u00e0 norepinephrine (hay noradrenaline).<\/li>\n<\/ul>\n\n\n\n
    \"tuyen-thuong-than\"<\/figure>\n\n\n\n

    Sinh l\u00fd tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/strong><\/strong><\/h2>\n\n\n\n

    Tuy c\u00f3 k\u00edch th\u00edch nh\u1ecf nh\u01b0ng ch\u1ee9c n\u0103ng c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 r\u1ea5t quan tr\u1ecdng. M\u1ed9t s\u1ed1 hormon do n\u00f3 ti\u1ebft ra c\u00f3 vai tr\u00f2 thi\u1ebft y\u1ebfu \u0111\u1ed1i v\u1edbi s\u1ef1 s\u1ed1ng c\u00f2n.<\/p>\n\n\n\n

    T\u00e1c d\u1ee5ng c\u1ee7a hormon v\u1ecf th\u01b0\u1ee3ng th\u1eadn<\/strong><\/strong><\/strong><\/strong><\/h3>\n\n\n\n

    V\u1ecf th\u01b0\u1ee3ng th\u1eadn g\u1ed3m 3 l\u1edbp. V\u00f9ng trong c\u00f9ng l\u00e0 l\u1edbp l\u01b0\u1edbi, v\u00f9ng \u1edf gi\u1eefa l\u00e0 l\u1edbp b\u00f3. Hai v\u00f9ng n\u00e0y t\u1ed5ng h\u1ee3p c\u00e1c glucocorticoid (corticoid \u0111\u01b0\u1eddng) v\u00e0 androgen tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. V\u00f9ng ngo\u00e0i c\u00f9ng l\u00e0 l\u1edbp c\u1ea7u, chuy\u00ean t\u1ed5ng h\u1ee3p c\u00e1c mineralocorticoid (corticoid kho\u00e1ng).<\/p>\n\n\n\n

    N\u1ebfu v\u1ecf th\u01b0\u1ee3ng th\u1eadn b\u1ecb lo\u1ea1i b\u1ecf ho\u1eb7c kh\u00f4ng c\u00f2n ho\u1ea1t \u0111\u1ed9ng, c\u01a1 th\u1ec3 ph\u1ea3i \u0111\u01b0\u1ee3c b\u1ed5 sung c\u00e1c ch\u1ea5t ngo\u1ea1i sinh c\u00f3 ho\u1ea1t t\u00ednh t\u01b0\u01a1ng t\u1ef1, n\u1ebfu kh\u00f4ng s\u1ebd d\u1eabn \u0111\u1ebfn t\u1eed vong. Nguy\u00ean nh\u00e2n l\u00e0 v\u00ec glucocorticoid v\u00e0 mineralocorticoid n\u1eafm gi\u1eef nhi\u1ec1u vai tr\u00f2 quan tr\u1ecdng \u0111\u1ec3 duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng s\u1ed1ng c\u1ee7a c\u01a1 th\u1ec3. <\/p>\n\n\n\n

    C\u00e1c hormon v\u1ecf th\u01b0\u1ee3ng th\u1eadn t\u00e1c \u0111\u1ed9ng l\u00ean nhi\u1ec1u t\u1ebf b\u00e0o kh\u00e1c nhau theo c\u01a1 ch\u1ebf chung c\u1ee7a ch\u1ea5t steroid l\u00e0 k\u00edch th\u00edch qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p protein c\u1ee7a c\u00e1c t\u1ebf b\u00e0o. Do \u0111\u00f3, c\u00e1c hormon n\u00e0y c\u00f3 c\u00e1c t\u00e1c d\u1ee5ng sinh l\u00fd r\u1ea5t \u0111a d\u1ea1ng v\u00e0 kh\u00e1c bi\u1ec7t, t\u00f9y v\u00e0o \u0111\u1eb7c t\u00ednh c\u1ee7a lo\u1ea1i protein \u0111\u01b0\u1ee3c t\u1ea1o ra. <\/p>\n\n\n\n

    T\u00e1c d\u1ee5ng c\u1ee7a glucocorticoid (s\u1ea3n xu\u1ea5t b\u1edfi l\u1edbp l\u01b0\u1edbi v\u00e0 l\u1edbp b\u00f3 c\u1ee7a v\u1ecf th\u01b0\u1ee3ng th\u1eadn)<\/strong><\/h3>\n\n\n\n
      \n
    • T\u0103ng d\u1ecb h\u00f3a \u0111\u1ea1m, m\u1ee1 \u0111\u1ec3 chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng d\u1ef1 tr\u1eef th\u00e0nh n\u0103ng l\u01b0\u1ee3ng ho\u1ea1t \u0111\u1ed9ng<\/li>\n\n\n\n
    • T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, r\u1ea5t quan tr\u1ecdng khi c\u01a1 th\u1ec3 trong t\u00ecnh tr\u1ea1ng nh\u1ecbn \u0111\u00f3i<\/li>\n\n\n\n
    • Kh\u00e1ng vi\u00eam v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch<\/li>\n\n\n\n
    • Duy tr\u00ec \u0111\u00e1p \u1ee9ng co m\u1ea1ch c\u1ee7a m\u1ea1ch m\u00e1u \u0111\u1ed1i v\u1edbi catecholamine (t\u1eeb t\u1ee7y th\u01b0\u1ee3ng th\u1eadn) \u0111\u1ec3 duy tr\u00ec huy\u1ebft \u00e1p \u1edf m\u1ee9c b\u00ecnh th\u01b0\u1eddng<\/li>\n\n\n\n
    • G\u00e2y \u1ee9c ch\u1ebf h\u00ecnh th\u00e0nh x\u01b0\u01a1ng, do \u0111\u00f3 ng\u01b0\u1eddi s\u1eed d\u1ee5ng qu\u00e1 m\u1ee9c glucocorticoid ngo\u1ea1i sinh (t\u1eeb th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng, thu\u1ed1c) c\u00f3 th\u1ec3 b\u1ecb lo\u00e3ng x\u01b0\u01a1ng<\/li>\n\n\n\n
    • C\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng l\u00ean h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, l\u00e0m gia t\u0103ng th\u1eddi gian th\u1ee9c gi\u1ea5c, gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7<\/li>\n<\/ul>\n\n\n\n

      T\u00e1c d\u1ee5ng c\u1ee7a mineralocorticoid, hay aldosterone, (t\u1ed5ng h\u1ee3p b\u1edfi l\u1edbp c\u1ea7u)<\/strong><\/h3>\n\n\n\n
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      • T\u00e1c \u0111\u1ed9ng l\u00ean h\u1ec7 th\u1ed1ng \u1ed1ng l\u1ecdc c\u1ee7a th\u1eadn (\u1ed1ng l\u01b0\u1ee3n xa v\u00e0 \u1ed1ng g\u00f3p) \u0111\u1ec3 duy tr\u00ec n\u1ed3ng \u0111\u1ed9 c\u00e1c mu\u1ed1i kho\u00e1ng trong m\u00e1u \u1edf m\u1ee9c \u1ed5n \u0111\u1ecbnh<\/li>\n\n\n\n
      • L\u00e0m t\u0103ng t\u00e1i h\u1ea5p thu ion natri \u1edf \u1ed1ng l\u1ecdc c\u1ee7a th\u1eadn tr\u1edf ng\u01b0\u1ee3c l\u1ea1i v\u00e0o m\u00e1u,<\/li>\n\n\n\n
      • L\u00e0m t\u0103ng b\u00e0i ti\u1ebft ion kali v\u00e0 ion hydrogen (H+) v\u00e0o d\u1ecbch l\u00f2ng \u1ed1ng (\u0111\u1ec3 th\u1ea3i ra ngo\u00e0i nh\u01b0 n\u01b0\u1edbc ti\u1ec3u)<\/li>\n\n\n\n
      • Th\u00f4ng qua \u0111\u00f3, n\u1ed3ng \u0111\u1ed9 aldosterone c\u00f3 \u1ea3nh h\u01b0\u1edfng l\u1edbn \u0111\u1ebfn huy\u1ebft \u00e1p, l\u01b0\u1ee3ng d\u1ecbch trong c\u01a1 th\u1ec3, n\u1ed3ng \u0111\u1ed9 kali m\u00e1u v\u00e0 t\u00ecnh tr\u1ea1ng toan ki\u1ec1m c\u1ee7a m\u00e1u<\/li>\n<\/ul>\n\n\n\n

        T\u00e1c d\u1ee5ng c\u1ee7a t\u1ee7y th\u01b0\u1ee3ng th\u1eadn<\/strong><\/strong><\/strong><\/strong><\/strong><\/h3>\n\n\n\n

        T\u1ee7y tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 n\u01a1i t\u1ed5ng h\u1ee3p v\u00e0 ph\u00f3ng th\u00edch c\u00e1c catecholamin v\u00e0o trong m\u00e1u, bao g\u1ed3m 80% l\u00e0 epinephrine (hay adrenaline) v\u00e0 20% l\u00e0 norepinephrine (hay noradrenaline). <\/p>\n\n\n\n

        T\u1ee7y th\u01b0\u1ee3ng th\u1eadn l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a h\u1ec7 th\u1ea7n kinh giao c\u1ea3m. Khi c\u00f3 k\u00edch th\u00edch th\u1ea7n kinh giao c\u1ea3m t\u1edbi t\u1ee7y th\u01b0\u1ee3ng th\u1eadn s\u1ebd g\u00e2y gi\u1ea3i ph\u00f3ng m\u1ed9t l\u01b0\u1ee3ng l\u1edbn epinephrine v\u00e0 norepinephrine v\u00e0o m\u00e1u tu\u1ea7n ho\u00e0n. T\u1eeb \u0111\u00f3, hai hormon n\u00e0y \u0111i \u0111\u1ebfn t\u1ea5t c\u1ea3 c\u00e1c m\u00f4 trong c\u01a1 th\u1ec3. <\/p>\n\n\n\n

        Hai ch\u1ee9c n\u0103ng ch\u00ednh c\u1ee7a t\u1ee7y th\u01b0\u1ee3ng th\u1eadn l\u00e0: <\/p>\n\n\n\n

          \n
        • Huy \u0111\u1ed9ng n\u0103ng l\u01b0\u1ee3ng cho to\u00e0n c\u01a1 th\u1ec3<\/li>\n\n\n\n
        • T\u00e1i ph\u00e2n ph\u1ed1i l\u01b0u l\u01b0\u1ee3ng m\u00e1u t\u1eeb c\u00e1c c\u01a1 quan kh\u00f4ng quan tr\u1ecdng v\u1ec1 c\u00e1c c\u01a1 quan quan tr\u1ecdng nh\u01b0 tim v\u00e0 n\u00e3o<\/li>\n<\/ul>\n\n\n\n

          Do \u0111\u00f3, m\u1ed7i khi c\u01a1 th\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi m\u1ed9t stress tinh th\u1ea7n hay th\u1ec3 ch\u1ea5t n\u00e0o \u0111\u00f3, t\u1ee7y th\u01b0\u1ee3ng th\u1eadn s\u1ebd ti\u1ebft c\u00e1c catecholamin v\u00e0o tu\u1ea7n ho\u00e0n. \u0110\u00e2y l\u00e0 m\u1ed9t c\u01a1 ch\u1ebf sinh l\u00fd gi\u00fap c\u01a1 th\u1ec3 th\u00edch nghi v\u1edbi nh\u1eefng ph\u1ea3n \u1ee9ng k\u00edch th\u00edch, c\u00e1c m\u1ed1i \u0111e d\u1ecda, s\u1ef1 s\u1ee3 h\u00e3i,…<\/p>\n\n\n\n

          Theo \u0111\u00f3, c\u00e1c hormon n\u00e0y c\u0169ng c\u00f3 nh\u1eefng ch\u1ee9c n\u0103ng kh\u00e1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o c\u01a1 th\u1ec3 c\u00f3 m\u1ed9t ngu\u1ed3n n\u0103ng l\u01b0\u1ee3ng d\u1ed3i d\u00e0o \u0111\u1ec3 \u0111\u00e1p \u1ee9ng v\u1edbi c\u00e1c k\u00edch th\u00edch t\u1eeb b\u00ean ngo\u00e0i nh\u01b0:<\/p>\n\n\n\n

            \n
          • T\u0103ng n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng v\u00e0 c\u00e1c acid b\u00e9o trong m\u00e1u, s\u1eb5n s\u00e0ng \u0111\u1ec3 c\u00e1c c\u01a1 quan s\u1eed d\u1ee5ng v\u1edbi m\u1ee9c nhu c\u1ea7u cao h\u01a1n<\/li>\n\n\n\n
          • T\u0103ng nh\u1ecbp tim, t\u0103ng s\u1ee9c co b\u00f3p c\u01a1 tim<\/li>\n\n\n\n
          • T\u0103ng huy\u1ebft \u00e1p t\u00e2m thu<\/li>\n\n\n\n
          • T\u0103ng t\u01b0\u1edbi m\u00e1u cho n\u00e3o, tim<\/li>\n\n\n\n
          • Gi\u00e3n c\u01a1 tr\u01a1n \u1edf ph\u1ebf qu\u1ea3n, t\u1eed cung<\/li>\n<\/ul>\n\n\n\n

            V\u1edbi \u0111\u1eb7c t\u00ednh n\u00e0y, c\u00e1c catecholamin ngo\u1ea1i sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng r\u1ed9ng r\u00e3i tr\u00ean nhi\u1ec1u l\u0129nh v\u1ef1c quan tr\u1ecdng trong y h\u1ecdc nh\u01b0: \u0111i\u1ec1u tr\u1ecb s\u1ed1c ph\u1ea3n v\u1ec7, ng\u01b0ng tim, gi\u1ea3m co th\u1eaft ph\u1ebf qu\u1ea3n, gi\u1ea3m g\u00f2 t\u1eed cung trong d\u1ecda s\u1ea3y thai,… <\/p>\n\n\n\n

            B\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/strong><\/h2>\n\n\n\n

            Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 vai tr\u00f2 r\u1ea5t l\u1edbn trong vi\u1ec7c c\u00e2n b\u1eb1ng, \u1ed5n \u0111\u1ecbnh s\u1ee9c kh\u1ecfe. Nh\u1eefng t\u1ed5n th\u01b0\u01a1ng \u1edf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u01a1 th\u1ec3. X\u00e9t nghi\u1ec7m u tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u0111\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh, gi\u00fap \u0111i\u1ec1u tr\u1ecb ch\u00ednh x\u00e1c, hi\u1ec7u qu\u1ea3. Nh\u1eefng c\u0103n b\u1ec7nh \u1edf b\u1ed9 ph\u1eadn n\u00e0y c\u00f3 th\u1ec3 l\u00e0: <\/p>\n\n\n\n

            B\u1ec7nh l\u00fd li\u00ean quan v\u1ecf th\u01b0\u1ee3ng th\u1eadn<\/strong><\/h3>\n\n\n\n
              \n
            • Suy v\u1ecf th\u01b0\u1ee3ng th\u1eadn: B\u1ec7nh Addison<\/strong> <\/strong>l\u00e0 m\u1ed9t d\u1ea1ng r\u1ed1i lo\u1ea1n x\u1ea3y ra khi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng hi\u1ec7u qu\u1ea3 v\u00e0 s\u1ea3n xu\u1ea5t kh\u00f4ng \u0111\u1ee7 l\u01b0\u1ee3ng hormone cortisol ho\u1eb7c aldosterone c\u1ea7n thi\u1ebft, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng mu\u1ed1i v\u00e0 n\u01b0\u1edbc c\u1ee7a c\u01a1 th\u1ec3 s\u1ebd b\u1ecb th\u1ea3i ra b\u00ean ngo\u00e0i th\u00f4ng qua n\u01b0\u1edbc ti\u1ec3u v\u00e0 l\u01b0\u1ee3ng kali t\u0103ng nhanh \u0111\u1ebfn m\u1ee9c nguy hi\u1ec3m.B\u1ec7nh c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u01b0: <\/strong>da s\u1ea1m \u0111en, c\u01a1 th\u1ec3 m\u1ec7t nh\u1ecdc, g\u1ea7y, gi\u1ea3m c\u00e2n nhanh ch\u00f3ng, h\u1ea1 huy\u1ebft \u00e1p, bu\u1ed3n n\u00f4n v\u00e0 n\u00f4n, \u0111au b\u1ee5ng\u2026<\/li>\n\n\n\n
            • C\u01b0\u1eddng v\u1ecf th\u01b0\u1ee3ng th\u1eadn:\n
                \n
              • C\u01b0\u1eddng v\u1ecf th\u01b0\u1ee3ng th\u1eadn lo\u1ea1i chuy\u1ec3n h\u00f3a: B\u1ec7nh Cushing <\/strong>( lo\u1ea1i r\u1ed1i lo\u1ea1n hi\u1ebfm g\u1eb7p n\u00e0y x\u1ea3y ra khi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u cortisol v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0: \u00a0V\u00f9ng trung t\u00e2m c\u01a1 th\u1ec3 c\u00f3 t\u00ecnh tr\u1ea1ng t\u00edch t\u1ee5 m\u1ee1, b\u00e9o tr\u00f2n nh\u01b0ng ch\u00e2n tay b\u1ecb nh\u1ecf \u0111i, kh\u1eb3ng khiu, da c\u00f3 nh\u1eefng bi\u1ebfn \u0111\u1ed5i b\u1ea5t th\u01b0\u1eddng: d\u1ec5 b\u1ecb b\u1ea7m m\u00e1u, da m\u1ecfng h\u01a1n b\u00ecnh th\u01b0\u1eddng, c\u00f3 c\u00e1c v\u1ebft r\u1ea1n da m\u00e0u t\u00edm \u0111\u1ecf, l\u00f4ng m\u1ecdc nhi\u1ec1u, huy\u1ebft \u00e1p t\u0103ng cao, m\u1ec7t m\u1ecfi kh\u00f4ng mu\u1ed1n ho\u1ea1t \u0111\u1ed9ng\u2026), b\u1ec7nh Conn<\/strong> ( v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng: th\u01b0\u1eddng xuy\u00ean kh\u00e1t n\u01b0\u1edbc, \u0111i ti\u1ec3u nhi\u1ec1u h\u01a1n, c\u01a1 th\u1ec3 m\u1ec7t m\u1ecfi, hay b\u1ecb chu\u1ed9t r\u00fat, \u0111au nh\u1ee9c \u0111\u1ea7u, r\u1ed1i lo\u1ea1n th\u1ecb gi\u00e1c\u2026)<\/li>\n\n\n\n
              • C\u01b0\u1eddng hormon sinh d\u1ee5c nam c\u1ee7a v\u1ecf th\u01b0\u1ee3ng th\u1eadn (hypercorlicisme andro\u00e9nique)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n

                B\u1ec7nh l\u00fd li\u00ean quan t\u1ee7y th\u01b0\u1ee3ng th\u1eadn<\/strong><\/h3>\n\n\n\n
                  \n
                • Suy t\u1ee7y th\u01b0\u1ee3ng th\u1eadn<\/strong>: Ch\u01b0a th\u1ea5y th\u00f4ng tin v\u1ec1 b\u1ec7nh l\u00fd suy t\u1ee7y th\u01b0\u1ee3ng th\u1eadn.<\/li>\n\n\n\n
                • C\u01b0\u1eddng t\u1ee7y th\u01b0\u1ee3ng th\u1eadn (Phrocromocytom-l\u00e0 lo\u1ea1i kh\u1ed1i u th\u1ea7n kinh n\u1ed9i ti\u1ebft)<\/strong>: g\u00e2y t\u0103ng ti\u1ebft c\u00e1c catecholamin (th\u00f4ng th\u01b0\u1eddng l\u00e0 Adrenalin v\u00e0\/ho\u1eb7c Noradrenalin, hi\u1ebfm g\u1eb7p h\u01a1n l\u00e0 ti\u1ebft dopamin) g\u00e2y t\u0103ng huy\u1ebft \u00e1p n\u1eb7ng v\u00e0 nguy hi\u1ec3m. Ngo\u00e0i ra, th\u1ec9nh tho\u1ea3ng b\u1ecb s\u1ed1t nh\u1eb9, \u00f9 tai, bu\u1ed3n n\u00f4n ho\u1eb7c n\u00f4n, ra m\u1ed3 h\u00f4i, \u00f9 tai\u2026B\u1ec7nh c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n k\u1ecbp th\u1eddi, ch\u1ea9n \u0111o\u00e1n ho\u1eb7c \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang.<\/li>\n<\/ul>\n\n\n\n

                  B\u1ec7nh t\u0103ng s\u1ea3n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh (Congenital adrenal hyperplasia – CAH)<\/strong><\/h3>\n\n\n\n

                  L\u00e0 b\u1ec7nh di truy\u1ec1n, bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh l\u00e0 t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n t\u1ed5ng h\u1ee3p hormon v\u1ecf th\u01b0\u1ee3ng th\u1eadn. Nguy\u00ean nh\u00e2n ch\u00ednh l\u00e0 do \u0111\u1ed9t bi\u1ebfn gen CYP21A2 d\u1eabn \u0111\u1ebfn thi\u1ebfu men 21-hydroxylase. Thi\u1ebfu h\u1ee5t 21-hydroxylase c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c chia th\u00e0nh 2 d\u1ea1ng:<\/p>\n\n\n\n

                    \n
                  • M\u1ea5t mu\u1ed1i<\/li>\n\n\n\n
                  • Nam t\u00ednh h\u00f3a<\/li>\n<\/ul>\n\n\n\n

                    \u1ede c\u1ea3 hai d\u1ea1ng, m\u1ee9c androgen th\u01b0\u1ee3ng th\u1eadn t\u0103ng l\u00ean, g\u00e2y nam t\u00ednh h\u00f3a.<\/p>\n\n\n\n

                    Ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/strong><\/h2>\n\n\n\n

                    Ngay khi c\u01a1 th\u1ec3 c\u00f3 nh\u1eefng tri\u1ec7u ch\u1ee9ng b\u1ea5t th\u01b0\u1eddng \u1edf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111i kh\u00e1m \u0111\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m tra c\u0169ng nh\u01b0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m u tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea7n thi\u1ebft. C\u00e1c bi\u1ec7n ph\u00e1p ch\u1ea9n \u0111o\u00e1n b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh l\u00e0:<\/p>\n\n\n\n

                      \n
                    • X\u00e9t nghi\u1ec7m sinh h\u00f3a m\u00e1u: gi\u00fap \u0111\u1ecbnh l\u01b0\u1ee3ng n\u1ed3ng \u0111\u1ed9 c\u00e1c hormon tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, hormon tuy\u1ebfn y\u00ean, \u0111\u01b0\u1eddng huy\u1ebft, kali, natri\u2026gi\u00fap ch\u1ea9n \u0111o\u00e1n b\u1ec7nh ch\u00ednh x\u00e1c nh\u1ea5t<\/li>\n\n\n\n
                    • X\u00e9t nghi\u1ec7m di truy\u1ec1n: Nh\u1eefng b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn n\u1ebfu c\u00f3 nguy\u00ean nh\u00e2n l\u00e0 y\u1ebfu t\u1ed1 di truy\u1ec1n c\u1ea7n th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m n\u00e0y \u0111\u1ec3 \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. \u0110\u1ed3ng th\u1eddi s\u00e0ng l\u1ecdc b\u1ec7nh l\u00fd v\u1edbi c\u00e1c th\u00e0nh vi\u00ean trong gia \u0111\u00ecnh.<\/li>\n\n\n\n
                    • Ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh: c\u00e1c k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh c\u00f4ng ngh\u1ec7 cao nh\u01b0 CT scan, MRI, PET, si\u00eau \u00e2m, X-quang  gi\u00fap ph\u00e1t hi\u1ec7n v\u00e0 t\u1ea7m so\u00e1t c\u00e1c kh\u1ed1i u v\u1edbi \u0111\u1ed9 ch\u00ednh x\u00e1c cao.<\/li>\n<\/ul>\n\n\n\n

                      T\u00f9y v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 b\u1ec7nh l\u00fd tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn m\u00e0 b\u00e1c s\u0129 s\u1ebd c\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p nh\u1ea5t gi\u00fap ch\u1eefa tr\u1ecb d\u1ee9t \u0111i\u1ec3m c\u0103n b\u1ec7nh. Trong m\u1ed9t v\u00e0i tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 k\u00ea \u0111\u01a1n thu\u1ed1c \u0111i\u1ec1u tr\u1ecb gi\u00fap tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ho\u1ea1t \u0111\u1ed9ng b\u00ecnh th\u01b0\u1eddng tr\u1edf l\u1ea1i nh\u01b0ng c\u0169ng c\u00f3 b\u1ec7nh ph\u1ea3i ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u00e0 kh\u1ed1i u th\u00ec m\u1edbi c\u00f3 th\u1ec3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0o b\u1ea1n c\u0169ng n\u00ean ph\u1ed1i h\u1ee3p \u0111i\u1ec1u tr\u1ecb theo h\u01b0\u1edbng d\u1eabn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t \u0111\u1eb9p, tr\u00e1nh nh\u1eefng bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng.<\/p>\n\n\n\n

                      Ph\u00f2ng ng\u1eeba b\u1ec7nh l\u00fd tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/strong><\/h2>\n\n\n\n

                      \u0110\u1ec3 ng\u0103n ng\u1eeba c\u0169ng nh\u01b0 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, b\u00ean c\u1ea1nh vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129, m\u1ecdi ng\u01b0\u1eddi n\u00ean c\u00f3 l\u1ed1i s\u1ed1ng, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng sinh ho\u1ea1t h\u1ee3p l\u00fd, l\u00e0nh m\u1ea1nh, khoa h\u1ecdc:<\/p>\n\n\n\n

                        \n
                      • Ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng: n\u00ean \u0103n nh\u1eefng th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t dinh d\u01b0\u1ee1ng,th\u1ef1c ph\u1ea9m c\u00f3 nhi\u1ec1u ch\u1ea5t x\u01a1, protein, ch\u1ea5t b\u00e9o t\u1ed1t v\u00e0 vitamin, nh\u1ea5t l\u00e0 vitamin C (xo\u00e0i, t\u00e1o, cam\u2026), vitamin nh\u00f3m B (B5, B6), u\u1ed1ng \u0111\u1ee7 n\u01b0\u1edbc\u2026. Ki\u00eang nh\u1eefng th\u1ef1c ph\u1ea9m ch\u1ee9a \u0111\u01b0\u1eddng, nhi\u1ec1u mu\u1ed1i, c\u00e1c ch\u1ea5t l\u00e0m ng\u1ecdt nh\u00e2n t\u1ea1o (aspartame) v\u00ec nh\u1eefng ch\u1ea5t nh\u01b0 n\u00e0y l\u00e0m g\u00e1nh n\u1eb7ng cho tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn,khi\u1ebfn c\u01a1 th\u1ec3 tr\u1edf n\u00ean m\u1ec7t m\u1ecfi.<\/li>\n\n\n\n
                      • Kh\u00f4ng u\u1ed1ng r\u01b0\u1ee3u bia, h\u00fat thu\u1ed1c l\u00e1<\/li>\n\n\n\n
                      • Ch\u1ebf \u0111\u1ed9 luy\u1ec7n t\u1eadp th\u1ec3 d\u1ee5c: kh\u00f4ng ch\u1ec9 n\u00e2ng cao s\u1ee9c kh\u1ecfe m\u00e0 c\u00f2n t\u0103ng s\u1ee9c \u0111\u1ec1 kh\u00e1ng, gi\u00fap tinh th\u1ea7n tho\u1ea3i m\u00e1i, d\u1ec5 ch\u1ecbu. N\u00ean t\u1eadp nh\u1eefng b\u00e0i t\u1eadp nh\u1eb9 nh\u00e0ng v\u1edbi c\u01b0\u1eddng \u0111\u1ed9 nh\u1eb9 nh\u01b0ng th\u01b0\u1eddng xuy\u00ean nh\u01b0: \u0111i b\u1ed9, yoga, b\u01a1i l\u1ed9i\u2026, kh\u00f4ng n\u00ean t\u1eadp n\u1eb7ng v\u00e0 t\u1eadp nhi\u1ec1u \u0111\u1ec3 tr\u00e1nh c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c th\u00ec d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ec7t m\u1ecfi h\u01a1n.<\/li>\n\n\n\n
                      • N\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng, \u0111\u1eddi s\u1ed1ng tinh th\u1ea7n: gi\u1eef tinh th\u1ea7n tho\u1ea3i m\u00e1i, kh\u00f4ng \u00e1p l\u1ef1c, c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i; \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7: ng\u1ee7 \u0111\u1ee7 gi\u1ea5c, ng\u1ee7 ngon, kh\u00f4ng th\u1ee9c khuya\u2026<\/li>\n\n\n\n
                      • Duy tr\u00ec th\u00f3i quen kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3 \u0111\u1ec3 ki\u1ec3m so\u00e1t t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea3n th\u00e2n, ph\u00e1t hi\u1ec7n s\u1edbm b\u1ec7nh ngay t\u1eeb giai \u0111o\u1ea1n \u0111\u1ea7u \u0111\u1ec3 ch\u1eefa tr\u1ecb<\/li>\n\n\n\n
                      • Khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, c\u1ea7n tu\u00e2n th\u1ee7, th\u1ef1c hi\u1ec7n theo \u0111\u00fang ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u00e1c s\u0129.<\/li>\n<\/ul>\n\n\n\n

                        Kh\u00f4ng n\u00ean t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c, nh\u1ea5t l\u00e0 thu\u1ed1c corticoid v\u00ec \u0111\u00e2y l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. T\u1ed1t nh\u1ea5t, n\u1ebfu ph\u1ea3i d\u00f9ng thu\u1ed1c h\u00e3y tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129.<\/p>\n\n\n\n

                        T\u1ed5ng k\u1ebft<\/strong><\/strong><\/strong><\/h2>\n\n\n\n

                        Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 m\u1ed9t t\u1ea1ng nh\u1ecf, c\u00f3 \u1edf hai b\u00ean, n\u1eb1m \u1edf khoang sau ph\u00fac m\u1ea1c. Ch\u00fang \u0111\u00f3ng vai tr\u00f2 thi\u1ebft y\u1ebfu cho s\u1ef1 s\u1ed1ng c\u00f2n c\u1ee7a ch\u00fang ta. C\u1ea5u t\u1ea1o c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn bao g\u1ed3m nhi\u1ec1u ph\u1ea7n v\u00e0 l\u1edbp v\u1edbi nh\u1eefng \u0111\u1eb7c \u0111i\u1ec3m m\u00f4 h\u1ecdc v\u00e0 sinh l\u00fd r\u1ea5t kh\u00e1c nhau. Nh\u1eefng r\u1ed1i lo\u1ea1n li\u00ean quan tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn do \u0111\u00f3 m\u00e0 c\u0169ng v\u00f4 c\u00f9ng ph\u1ee9c t\u1ea1p v\u00e0 nguy hi\u1ec3m.<\/p>\n\n\n\n

                        \n\n\n\n

                        B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o t\u1eeb b\u00e1c s\u0129 v\u00e0 c\u00e1c ngu\u1ed3n t\u01b0 li\u1ec7u \u0111\u00e1ng tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Tuy nhi\u00ean, Docosan Team khuy\u1ebfn kh\u00edch b\u1ec7nh nh\u00e2n h\u00e3y t\u00ecm v\u00e0 \u0111\u1eb7t l\u1ecbch h\u1eb9n v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/em><\/p>\n\n\n\n\n\n

                          \n
                        • GS. TS. BS. Nguy\u1ec5n Quang Quy\u1ec1n. B\u00e0i gi\u1ea3ng Gi\u1ea3i ph\u1eabu h\u1ecdc. \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh<\/li>\n\n\n\n
                        • PGS. TS. BS. Tr\u1ea7n V\u0103n Ng\u1ecdc. Sinh l\u00fd h\u1ecdc y khoa. \u0110\u1ea1i h\u1ecdc Y d\u01b0\u1ee3c Th\u00e0nh ph\u1ed1 H\u1ed3 Ch\u00ed Minh<\/li>\n\n\n\n
                        • TS. BS. Phan Ng\u1ecdc Ti\u1ebfn. Sinh l\u00fd h\u1ecdc y khoa T\u1eadp 2. \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch<\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"

                          Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ea3n xu\u1ea5t ra c\u00e1c hormon v\u00f4 c\u00f9ng quan tr\u1ecdng trong c\u01a1 th\u1ec3. Nh\u1eefng r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ph\u1ee9c t\u1ea1p v\u00e0 bi\u1ec3u hi\u1ec7n tr\u00ean th\u1ef1c t\u1ebf r\u1ea5t \u0111a d\u1ea1ng. M\u1eddi qu\u00fd \u0111\u1ed9c gi\u1ea3 c\u00f9ng Docosan t\u00ecm hi\u1ec3u v\u1ec1 gi\u1ea3i ph\u1eabu v\u00e0 sinh l\u00fd ch\u1ee9c n\u0103ng c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn […]<\/p>\n","protected":false},"author":7,"featured_media":87112,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[516],"tags":[],"class_list":["post-103439","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-noi-tiet"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/Tuyen-thuong-than-571x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/07\/Tuyen-thuong-than.jpg","author_info":{"display_name":"D\u01b0\u1ee3c s\u0129, Th\u1ea1c s\u0129 Nguy\u1ec5n Th\u1ecb Thanh T\u00fa","author_link":"https:\/\/www.docosan.com\/blog\/author\/tunguyen\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103439","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=103439"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103439\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/87112"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103439"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103439"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103439"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}