{"id":103442,"date":"2021-09-02T00:00:00","date_gmt":"2021-09-02T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/suy-tuyen-thuong-than\/"},"modified":"2025-09-06T21:30:20","modified_gmt":"2025-09-06T14:30:20","slug":"suy-tuyen-thuong-than","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/noi-tiet\/suy-tuyen-thuong-than\/","title":{"rendered":"Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn: Nguy\u00ean nh\u00e2n, bi\u1ebfn ch\u1ee9ng, v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p><strong>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n. B\u1ec7nh th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n r\u1ea5t m\u01a1 h\u1ed3 v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u n\u00ean th\u01b0\u1eddng ph\u00e1t hi\u1ec7n khi b\u1ec7nh \u0111\u00e3 ti\u1ebfn tri\u1ec3n \u0111\u01b0\u1ee3c m\u1ed9t th\u1eddi gian. <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a> m\u1eddi b\u1ea1n tham kh\u1ea3o b\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec3 bi\u1ebft th\u00eam v\u1ec1 b\u1ec7nh suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/strong><\/p>\r\n\r\n\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-la-gi\">Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 g\u00ec?<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 c\u01a1 quan \u0111\u00f4i (hai b\u00ean c\u01a1 th\u1ec3) n\u1eb1m \u1edf khoang sau ph\u00fac m\u1ea1c. S\u1ee1 d\u0129 c\u00f3 t\u00ean g\u1ecdi nh\u01b0 v\u1eady v\u00ec m\u1ed9t ph\u1ea7n c\u1ee7a n\u00f3 n\u1eb1m ph\u00eda tr\u00ean hai th\u1eadn hai b\u00ean.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn tuy c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf nh\u01b0ng \u0111\u00f3ng vai tr\u00f2 thi\u1ebft y\u1ebfu trong vi\u1ec7c duy tr\u00ec s\u1ef1 s\u1ed1ng c\u00f2n. \u0110\u00f3 l\u00e0 v\u00ec c\u01a1 quan n\u00e0y ch\u1ecbu tr\u00e1ch nhi\u1ec7m cho t\u1ed5ng h\u1ee3p nhi\u1ec1u hormon quan tr\u1ecdng trong c\u01a1 th\u1ec3 nh\u01b0: glucocorticoid, mineralocorticoid, epinephrine, norepinephrine.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, hay suy th\u01b0\u1ee3ng th\u1eadn, l\u00e0 t\u00ecnh tr\u1ea1ng gi\u1ea3m s\u1ea3n xu\u1ea5t glucocorticoid hay mineralocorticoid ho\u1eb7c c\u1ea3 hai. Glucocorticoid \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p t\u1ea1i l\u1edbp b\u00f3 v\u00e0 l\u1edbp l\u01b0\u1edbi, hai l\u1edbp trong c\u00f9ng c\u1ee7a v\u1ecf th\u01b0\u1ee3ng th\u1eadn. Trong khi mineralocorticoid \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p t\u1ea1i l\u1edbp ngo\u00e0i c\u00f9ng, l\u1edbp c\u1ea7u.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-49117\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/suy-tuyen-thuong-than-2.jpg\" alt=\"suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn\" \/>\r\n<figcaption>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 g\u00ec?<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-co-bao-nhieu-lo\u1ea1i\"><strong><strong>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 bao nhi\u00eau lo\u1ea1i?<\/strong><\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u0111\u01b0\u1ee3c ph\u00e2n th\u00e0nh hai th\u1ec3 t\u00f9y v\u1ecb tr\u00ed c\u1ee7a t\u1ed5n th\u01b0\u01a1ng t\u1ea1i b\u1ea3n th\u00e2n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hay t\u1ea1i v\u1ecb tr\u00ed trung \u01b0\u01a1ng cao h\u01a1n:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li><strong>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t: <\/strong>\u0111\u00e2y l\u00e0 s\u1ef1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ea1i tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, l\u00e0m gi\u1ea3m s\u1ef1 s\u1ea3n xu\u1ea5t cortisol (hormon glucocorticoid) v\u00e0 l\u00e0m t\u0103ng ACTH (m\u1ed9t hormon t\u1eeb v\u1ecb tr\u00ed trung \u01b0\u01a1ng) trong m\u00e1u<\/li>\r\n<li><strong>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t: <\/strong>do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a v\u1ecb tr\u00ed trung \u01b0\u01a1ng trong tr\u1ee5c n\u1ed9i ti\u1ebft c\u1ee7a th\u01b0\u1ee3ng th\u1eadn, \u0111\u00f3 l\u00e0 v\u00f9ng h\u1ea1 \u0111\u1ed3i v\u00e0 tuy\u1ebfn y\u00ean. H\u1eadu qu\u1ea3 l\u00e0 g\u00e2y gi\u1ea3m s\u1ea3n xu\u1ea5t cortisol v\u00e0 n\u1ed3ng \u0111\u1ed9 ACTH m\u00e1u th\u00ec b\u00ecnh th\u01b0\u1eddng ho\u1eb7c th\u1ea5p.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 hai hormon tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn (cortisol v\u00e0 aldosterone) gi\u1eefa hai th\u1ec3 b\u1ec7nh tr\u00ean. C\u1ea3 hai th\u01b0\u1eddng thi\u1ebfu trong suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t, trong khi ch\u1ec9 m\u1ed9t m\u00ecnh cortisol thi\u1ebfu trong suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t. \u0110i\u1ec1u n\u00e0y \u0111\u00e3 d\u1eabn \u0111\u1ebfn m\u1ed9t v\u00e0i s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 tri\u1ec7u ch\u1ee9ng gi\u1eefa hai th\u1ec3 b\u1ec7nh.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"nguyen-nhan-gay-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn\">Nguy\u00ean nh\u00e2n g\u00e2y suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">V\u00ec b\u1ea3n ch\u1ea5t sinh b\u1ec7nh kh\u00e1c nhau gi\u1eefa hai th\u1ec3 b\u1ec7nh c\u1ee7a suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, c\u0103n nguy\u00ean c\u1ee7a m\u1ed7i lo\u1ea1i c\u0169ng kh\u00f4ng gi\u1ed1ng nhau.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"nguyen-nhan-gay-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-nguyen-phat\"><strong><strong><strong>Nguy\u00ean nh\u00e2n g\u00e2y suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t<\/strong><\/strong><\/strong><\/h3>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Suy th\u01b0\u1ee3ng th\u1eadn t\u1ef1 mi\u1ec5n (b\u1ec7nh Addison)<\/li>\r\n<li>C\u00e1c nhi\u1ec5m tr\u00f9ng, trong \u0111\u00f3 lao to\u00e0n th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t<\/li>\r\n<li>Ung th\u01b0 di c\u0103n \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn (t\u1eeb \u1ed5 nguy\u00ean ph\u00e1t \u1edf v\u00fa, ph\u1ed5i, d\u1ea1 d\u00e0y, \u0111\u1ea1i tr\u00e0ng) ho\u1eb7c ung th\u01b0 lymph\u00f4m<\/li>\r\n<li>C\u1eaft b\u1ecf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hai b\u00ean<\/li>\r\n<li>Xu\u1ea5t huy\u1ebft tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hai b\u00ean: ch\u1ea5n th\u01b0\u01a1ng, s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng \u0111\u00f4ng, s\u1ed1c m\u1ea5t m\u00e1u, nhi\u1ec5m tr\u00f9ng ho\u1eb7c ph\u1ecfng r\u1ed9ng<\/li>\r\n<li>B\u1ec7nh di truy\u1ec1n: t\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn b\u1ea9m sinh, t\u0103ng s\u1ea3n th\u01b0\u1ee3ng th\u1eadn nhi\u1ec5m lipid b\u1ea9m sinh, lo\u1ea1n s\u1ea3n ch\u1ea5t tr\u1eafng th\u01b0\u1ee3ng th\u1eadn, h\u1ed9i ch\u1ee9ng Allgrove,&#8230;<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-49118\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/suy-tuyen-thuong-than-3.jpg\" alt=\"suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn\" \/>\r\n<figcaption>Ung th\u01b0 di c\u0103n \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn khi\u1ebfn v\u1ecb tr\u00ed n\u00e0y b\u1ecb t\u1ed5n th\u01b0\u01a1ng<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"nguyen-nhan-gay-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-th\u1ee9-phat\"><strong><strong><strong><strong>Nguy\u00ean nh\u00e2n g\u00e2y suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t<\/strong><\/strong><\/strong><\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y \u1ee9c ch\u1ebf l\u00ean tr\u1ee5c n\u1ed9i ti\u1ebft h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; th\u01b0\u1ee3ng th\u1eadn:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Ngu\u1ed3n g\u1ed1c ngo\u1ea1i sinh (d\u00f9ng corticoid l\u00e2u ng\u00e0y)\u00a0<\/li>\r\n<li>N\u1ed9i sinh (h\u1ed9i ch\u1ee9ng Cushing)<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Nh\u1eefng sang th\u01b0\u01a1ng t\u1ea1i v\u00f9ng h\u1ea1 \u0111\u1ed3i v\u00e0 tuy\u1ebfn y\u00ean<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>U tuy\u1ebfn y\u00ean ho\u1eb7c ung th\u01b0 di c\u0103n, vi\u00eam tuy\u1ebfn y\u00ean, chi\u1ebfu x\u1ea1 tuy\u1ebfn y\u00ean<\/li>\r\n<li>U s\u1ecd h\u1ea7u, nang Rathkle<\/li>\r\n<li>Nhi\u1ec5m tr\u00f9ng: lao, n\u1ea5m, actinomycosis, nhi\u1ec5m Nocardia<\/li>\r\n<li>S\u1ef1 c\u1ed1 v\u1ec1 m\u1ea1ch m\u00e1u trong h\u1ed9i ch\u1ee9ng Sheehan<\/li>\r\n<li>Sau can thi\u1ec7p c\u1eaft b\u1ecf u tuy\u1ebfn y\u00ean<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 do sarcoid, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, thi\u1ebfu \u0111\u01a1n \u0111\u1ed9c ACTH.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn\">Tri\u1ec7u ch\u1ee9ng suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/h2>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-nguyen-phat\"><strong><strong><strong>Tri\u1ec7u ch\u1ee9ng suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t<\/strong><\/strong><\/strong><\/h3>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">N\u1ed5i b\u1eadt nh\u1ea5t l\u00e0 s\u1ef1 suy nh\u01b0\u1ee3c to\u00e0n b\u1ed9 th\u1ec3 ch\u1ea5t, tinh th\u1ea7n, sinh d\u1ee5c. B\u1ec7nh kh\u1edfi ph\u00e1t th\u1ea7m l\u1eb7ng v\u1edbi nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh n\u00ean th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n mu\u1ed9n.<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Y\u1ebfu m\u1ec7t<\/li>\r\n<li>Ch\u00e1n \u0103n, bu\u1ed3n n\u00f4n, n\u00f4n \u00f3i, t\u00e1o b\u00f3n\u2026<\/li>\r\n<li>S\u1ee5t c\u00e2n<\/li>\r\n<li>S\u1ea1m da ni\u00eam<\/li>\r\n<li>Ch\u00f3ng m\u1eb7t<\/li>\r\n<li>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng<\/li>\r\n<li>Thay \u0111\u1ed5i c\u1ea3m x\u00fac, suy ngh\u0129 ch\u1eadm ch\u1ea1p, c\u00f3 khi tr\u1ea7m c\u1ea3m<\/li>\r\n<li>Suy nh\u01b0\u1ee3c sinh d\u1ee5c r\u00f5 \u1edf n\u1eef: b\u1ea5t l\u1ef1c, l\u00e3nh c\u1ea3m, v\u00f4 kinh, th\u01b0a l\u00f4ng mu, l\u00f4ng n\u00e1ch<\/li>\r\n<li>B\u1ea1ch bi\u1ebfn<\/li>\r\n<li>\u0110au c\u01a1, co c\u1ee9ng c\u01a1, v\u1ecdp b\u1ebb, \u0111au kh\u1edbp<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Nh\u1eefng ng\u01b0\u1eddi suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn kh\u00f4ng ho\u00e0n to\u00e0n th\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f3 th\u1ec3 m\u1edd nh\u1ea1t h\u01a1n.<\/p>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-49119\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/suy-tuyen-thuong-than-4.jpg\" alt=\"suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn\" \/>\r\n<figcaption>S\u1ee5t c\u00e2n kh\u00f4ng r\u00f5 nguy\u00ean do l\u00e0 tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-th\u1ee9-phat\"><strong><strong><strong>Tri\u1ec7u ch\u1ee9ng suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t<\/strong><\/strong><\/strong><\/h3>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Kh\u00e1c v\u1edbi suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t, b\u1ec7nh nh\u00e2n suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t kh\u00f4ng s\u1ea1m da ni\u00eam, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft r\u1ea5t th\u01b0\u1eddng g\u1eb7p v\u00e0 h\u1ea1 natri m\u00e1u.\u00a0<\/li>\r\n<li>N\u1ebfu suy tuy\u1ebfn y\u00ean th\u00ec s\u1ebd k\u00e8m v\u1edbi thi\u1ebfu hormon c\u1ee7a c\u00e1c tr\u1ee5c kh\u00e1c m\u00e0 tuy\u1ebfn y\u00ean s\u1ea3n xu\u1ea5t v\u00e0 \u0111i\u1ec1u h\u00f2a. Hay n\u00f3i c\u00e1ch kh\u00e1c, suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n \u1edf nhi\u1ec1u c\u01a1 quan kh\u00e1c n\u1eefa.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"bi\u1ebfn-ch\u1ee9ng-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn\">Bi\u1ebfn ch\u1ee9ng suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>C\u01a1n suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea5p<\/li>\r\n<li>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft n\u1eb7ng<\/li>\r\n<li>H\u00f4n m\u00ea<\/li>\r\n<li>R\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i<\/li>\r\n<li>Th\u1eadm ch\u00ed t\u1eed vong<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"ch\u1ea9n-doan-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn\">Ch\u1ea9n \u0111o\u00e1n suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u0111\u01b0\u1ee3c d\u1ef1a tr\u00ean s\u1ef1 h\u1ecfi b\u1ec7nh k\u1ef9 c\u00e0ng c\u1ee7a b\u00e1c s\u0129 v\u1ec1 ti\u1ec1n s\u1eed b\u1ec7nh c\u1ee7a b\u1ea3n th\u00e2n b\u1ec7nh nh\u00e2n v\u00e0 gia \u0111\u00ecnh, c\u00e1c tri\u1ec7u ch\u1ee9ng khi\u1ebfn b\u1ec7nh nh\u00e2n kh\u00f3 ch\u1ecbu ph\u1ea3i \u0111i kh\u00e1m, k\u1ebft h\u1ee3p v\u1edbi th\u0103m kh\u00e1m h\u1ec7 th\u1ed1ng v\u00e0 kh\u00f4ng th\u1ec3 thi\u1ebfu x\u00e1c \u0111\u1ecbnh n\u1ed3ng \u0111\u1ed9 hormon trong m\u00e1u.\u00a0<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 c\u1ea7n thi\u1ebft cho ch\u1ea9n \u0111o\u00e1n:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Cortisol m\u00e1u<\/li>\r\n<li>ACTH m\u00e1u<\/li>\r\n<li>Test Corticosyn\/Synacthen<\/li>\r\n<li>Test h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft b\u1eb1ng insulin<\/li>\r\n<li>T\u1ef1 kh\u00e1ng th\u1ec3 th\u01b0\u1ee3ng th\u1eadn<\/li>\r\n<li>C\u00f4ng th\u1ee9c m\u00e1u<\/li>\r\n<li>\u0110i\u1ec7n gi\u1ea3i \u0111\u1ed3<\/li>\r\n<li>Glucose m\u00e1u<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-49120\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/suy-tuyen-thuong-than-5.jpg\" alt=\"suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn\" \/>\r\n<figcaption>X\u00e9t nghi\u1ec7m m\u00e1u ch\u1ea9n \u0111o\u00e1n suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">T\u00f9y tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc th\u00eam c\u00e1c c\u00f4ng c\u1ee5 h\u00ecnh \u1ea3nh h\u1ecdc \u0111\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n: X-quang ph\u1ed5i, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT scan) b\u1ee5ng, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) tuy\u1ebfn y\u00ean.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn\">\u0110i\u1ec1u tr\u1ecb suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">T\u00f9y tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng m\u1ed9t ho\u1eb7c nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p sau \u0111\u00e2y:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>\u0110i\u1ec1u tr\u1ecb thay th\u1ebf b\u1eb1ng glucocorticoid su\u1ed1t \u0111\u1eddi<\/li>\r\n<li>\u0110i\u1ec1u tr\u1ecb thay th\u1ebf b\u1eb1ng mineralocorticoid n\u1ebfu suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t n\u1eb7ng<\/li>\r\n<li>\u0110i\u1ec1u tr\u1ecb c\u01a1n suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p nh\u01b0: b\u00f9 \u0111\u1ee7 d\u1ecbch, \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec7n gi\u1ea3i, glucose m\u00e1u<\/li>\r\n<li>X\u1eed tr\u00ed khi c\u00f3 stress (ph\u1eabu thu\u1eadt, nhi\u1ec5m tr\u00f9ng, ch\u1ea5n th\u01b0\u01a1ng\u2026): t\u0103ng li\u1ec1u hydrocortisone (m\u1ed9t glucocorticoid)<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" class=\"wp-image-49121\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/suy-tuyen-thuong-than-6.jpg\" alt=\"suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn\" \/>\r\n<figcaption>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u1eb1ng ph\u1eabu thu\u1eadt<\/figcaption>\r\n<\/figure>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"b\u1ec7nh-vi\u1ec7n-phong-kham-n\u1ed9i-ti\u1ebft-n\u1ed9i-t\u1ed5ng-h\u1ee3p\">B\u1ec7nh vi\u1ec7n, ph\u00f2ng kh\u00e1m <a href=\"https:\/\/www.docosan.com\/blog\/noi-tiet\/\" target=\"_blank\" rel=\"noreferrer noopener\">n\u1ed9i ti\u1ebft<\/a> &#8211; n\u1ed9i t\u1ed5ng h\u1ee3p<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>B\u1ec7nh vi\u1ec7n qu\u1ed1c t\u1ebf City &#8211; City International Clinic &#8211; Q. B\u00ecnh T\u00e2n<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><iframe style=\"height: 330px;\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/371?book=1&amp;utm_source=embed-widget\" width=\"100%\" frameborder=\"0\"><\/iframe><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Vigor Health &#8211; Q.3<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><iframe style=\"height: 330px;\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/395?book=1&amp;utm_source=embed-widget\" width=\"100%\" frameborder=\"0\"><\/iframe><\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Ph\u00f2ng kh\u00e1m \u0111a khoa Saigon Healthcare &#8211; Q.10<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p><iframe style=\"height: 330px;\" src=\"https:\/\/www.docosan.com\/widget\/clinic-info\/423?book=1&amp;utm_source=embed-widget\" width=\"100%\" frameborder=\"0\"><\/iframe><\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\" id=\"k\u1ebft-lu\u1eadn\">K\u1ebft lu\u1eadn<\/h2>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn kh\u00f4ng c\u00f3 bi\u1ec3u hi\u1ec7n \u0111\u1eb7c tr\u01b0ng, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u00f3 c\u1ea3m gi\u00e1c m\u1ec7t m\u1ecfi, ch\u00e1n \u0103n, s\u1ea1m da, &#8230; N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m s\u1edbm th\u00ec b\u1ec7nh s\u1ebd ti\u1ebfn tri\u1ec3n x\u1ea5u c\u00f3 th\u1ec3 \u0111\u1ea9y b\u1ec7nh nh\u00e2n v\u00e0o t\u00ecnh tr\u1ea1ng nguy c\u1ea5p, th\u1eadm ch\u00ed t\u1eed vong. \u0110\u1ec3 ch\u1ee7 \u0111\u1ed9ng ch\u1eefa b\u1ec7nh h\u00e3y kh\u00e1m s\u1ee9c kh\u1ecfe v\u00e0 x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ecbnh k\u1ef3 t\u1ea1i c\u00e1c c\u01a1 s\u1edf y t\u1ebf \u0111\u01b0\u1ee3c g\u1ee3i \u00fd tr\u00ean \u0111\u00e2y.<\/p>\r\n<p>\u0110\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe to\u00e0n di\u1ec7n, b\u1ed5 sung c\u00e1c vitamin v\u00e0 kho\u00e1ng ch\u1ea5t b\u1eb1ng <a href=\"https:\/\/cares.docosan.com\/products\/vien-uong-bo-sung-vitamin-diavit?utm_source=docosanblog&amp;utm_medium=thuc-pham-bao-ve-suc-khoe-diavit&amp;utm_campaign=blogpage&amp;utm_id=mega\" target=\"_blank\" rel=\"noopener\">DIAVIT<\/a> c\u00f3 th\u1ec3 gi\u00fap b\u1ea3o v\u1ec7 t\u1ebf b\u00e0o kh\u1ecfi t\u1ed5n th\u01b0\u01a1ng oxy h\u00f3a v\u00e0 h\u1ed7 tr\u1ee3 ch\u1ee9c n\u0103ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\r\n\r\n\r\n\r\n<p class=\"wp-block-paragraph\">C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 d\u00e0nh th\u1eddi gian \u0111\u1ec3 \u0111\u1ecdc v\u00e0 t\u00ecm hi\u1ec3u b\u1ec7nh suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn t\u1ea1i Docosan. Ch\u00fang t\u00f4i r\u1ea5t vinh h\u1ea1nh ch\u00e0o \u0111\u00f3n v\u00e0 nh\u1eadn \u0111\u01b0\u1ee3c s\u1ef1 t\u00edn nhi\u1ec7m t\u1eeb c\u00e1c b\u1ea1n.<\/p>\r\n\r\n\r\n<hr class=\"wp-block-separator\" \/>\r\n\r\n\r\n<p class=\"wp-block-paragraph\">B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c tham kh\u1ea3o 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 t\u1ea1i Docosan \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb.<\/p>\r\n\r\n\r\n\r\n\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>PGS. TS. BSCKII. Tr\u1ea7n Th\u1ecb Kh\u00e1nh T\u01b0\u1eddng. Tri\u1ec7u ch\u1ee9ng h\u1ecdc &#8211; b\u1ec7nh h\u1ecdc n\u1ed9i khoa 2020. \u0110\u1ea1i h\u1ecdc Y khoa Ph\u1ea1m Ng\u1ecdc Th\u1ea1ch.<\/li>\r\n<li><a href=\"https:\/\/www.hopkinsmedicine.org\/health\/conditions-and-diseases\/underactive-adrenal-glands--addisons-disease#:~:text=Adrenal%20insufficiency%20occurs%20when%20the,and%20carbohydrates%20in%20your%20body.\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">Adrenal Insufficiency (Addison&#8217;s Disease) &#8211; Johns Hopkins Medicine<\/a><\/li>\r\n<\/ul>\r\n","protected":false},"excerpt":{"rendered":"<p>Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n. B\u1ec7nh th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n r\u1ea5t m\u01a1 h\u1ed3 v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u n\u00ean th\u01b0\u1eddng ph\u00e1t hi\u1ec7n khi b\u1ec7nh \u0111\u00e3 ti\u1ebfn tri\u1ec3n \u0111\u01b0\u1ee3c m\u1ed9t th\u1eddi gian. Docosan m\u1eddi b\u1ea1n tham kh\u1ea3o b\u00e0i vi\u1ebft n\u00e0y \u0111\u1ec3 bi\u1ebft th\u00eam v\u1ec1 b\u1ec7nh suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n","protected":false},"author":7,"featured_media":89581,"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-103442","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\/09\/suy-tuyen-thuong-than-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2021\/09\/suy-tuyen-thuong-than-1-600x533.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\/103442","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=103442"}],"version-history":[{"count":6,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103442\/revisions"}],"predecessor-version":[{"id":175223,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/103442\/revisions\/175223"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/89581"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=103442"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=103442"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=103442"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}