{"id":104575,"date":"2022-02-06T00:00:00","date_gmt":"2022-02-06T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/suy-thuong-than-cap\/"},"modified":"2022-10-11T00:00:00","modified_gmt":"2022-10-11T00:00:00","slug":"suy-thuong-than-cap","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/tiet-nieu\/suy-thuong-than-cap\/","title":{"rendered":"Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p v\u00e0 nh\u1eefng th\u00f4ng tin b\u1ea1n c\u1ea7n bi\u1ebft"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p x\u1ea3y ra do s\u1ef1 thi\u1ebfu h\u1ee5t cortisol, \u0111\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u. H\u00e3y c\u00f9ng\u00a0<a href=\"https:\/\/www.docosan.com\/blog\" target=\"_blank\" rel=\"noreferrer noopener\">Docosan<\/a>\u00a0t\u00ecm hi\u1ec3u v\u1ec1 b\u1ec7nh l\u00fd n\u00e0y trong b\u00e0i vi\u1ebft n\u00e0y nh\u00e9!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"suy-th\u01b0\u1ee3ng-th\u1eadn-c\u1ea5p-la-gi\">Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p l\u00e0 g\u00ec?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng ti\u1ebft ra kho\u1ea3ng 20-30 mg cortisol m\u1ed7i ng\u00e0y, n\u1ebfu l\u01b0\u1ee3ng cortisol \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t \u00edt h\u01a1n c\u00f3 th\u1ec3 g\u00e2y ra c\u01a1n suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p. Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p do thi\u1ebfu cortisol c\u00f3 th\u1ec3 xem nh\u01b0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u. \u0110\u1ee3t c\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra khi \u0111ang \u0111i\u1ec1u tr\u1ecb suy th\u01b0\u1ee3ng th\u1eadn m\u1ea1n t\u00ednh. Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p hay g\u1eb7p do suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t (b\u1ec7nh Addison) nhi\u1ec1u h\u01a1n nguy\u00ean nh\u00e2n th\u1ee9 ph\u00e1t do t\u1ed5n th\u01b0\u01a1ng t\u1eeb tuy\u1ebfn y\u00ean.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u01a1n suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p c\u00f3 th\u1ec3 x\u1ea3y ra do: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh nh\u00e2n suy th\u01b0\u1ee3ng th\u1eadn m\u1ea1n b\u1ecb stress, ch\u1ea5n th\u01b0\u01a1ng, ph\u1eabu thu\u1eadt, nhi\u1ec5m tr\u00f9ng, b\u1ecfng ho\u1eb7c \u0111ang \u0111i\u1ec1u tr\u1ecb thu\u1ed1c. B\u1ec7nh nh\u00e2n c\u1eaft b\u1ecf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 g\u00e2y ra \u0111\u1ee3t c\u1ea5p.<\/li><li>Suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t: suy tuy\u1ebfn y\u00ean do u b\u01b0\u1edbu ch\u00e8n \u00e9p ho\u1eb7c suy tuy\u1ebfn y\u00ean do d\u00f9ng corticoid l\u00e2u d\u00e0i nh\u01b0ng ng\u01b0ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t.<\/li><li>Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn b\u00ecnh th\u01b0\u1eddng ch\u01b0a ghi nh\u1eadn b\u1ec7nh l\u00fd tr\u01b0\u1edbc \u0111\u00e2y c\u00f3 th\u1ec3 g\u1eb7p \u0111\u1ee3t c\u1ea5p do xu\u1ea5t huy\u1ebft tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ho\u1eb7c c\u00f3 s\u1ef1 t\u1ea1o th\u00e0nh huy\u1ebft kh\u1ed1i. Ngo\u00e0i ra c\u00f2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3 nguy\u00ean nh\u00e2n nhi\u1ec5m tr\u00f9ng huy\u1ebft do n\u00e3o m\u00f4 c\u1ea7u, ph\u1ebf c\u1ea7u, t\u1ee5 c\u1ea7u, li\u00ean c\u1ea7u.<\/li><li>Ch\u1ee5p phim \u0111\u1ed9ng m\u1ea1ch ho\u1eb7c t\u0129nh m\u1ea1ch th\u1eadn, th\u01b0\u1ee3ng th\u1eadn c\u00f3 thu\u1ed1c c\u1ea3n quang c\u0169ng ti\u1ec1m \u1ea9n nguy c\u01a1 g\u00e2y tai bi\u1ebfn huy\u1ebft t\u1eafc d\u1eabn t\u1edbi xu\u1ea5t huy\u1ebft. B\u1ec7nh nh\u00e2n \u0111ang \u0111i\u1ec1u tr\u1ecb v\u1edbi thu\u1ed1c kh\u00e1ng \u0111\u00f4ng c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i \u0111\u1ee3t c\u1ea5p.<\/li><li>H\u1ed9i ch\u1ee9ng Debre Fibriger (thi\u1ebfu men 21 hydroxylase) th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, bi\u1ec3u hi\u1ec7n b\u1eb1ng h\u1ed9i ch\u1ee9ng m\u1ea5t mu\u1ed1i, m\u1ea5t n\u01b0\u1edbc, ti\u00eau ch\u1ea3y, n\u00f4n \u00f3i, tr\u1ee5y m\u1ea1ch k\u00e8m theo v\u1edbi tri\u1ec7u ch\u1ee9ng nam h\u00f3a x\u1ea3y ra sau sinh.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Cortisol trong c\u01a1 th\u1ec3 c\u00f3 r\u1ea5t nhi\u1ec1u t\u00e1c d\u1ee5ng, thi\u1ebfu cortisol s\u1ebd \u0111\u01b0a \u0111\u1ebfn suy ch\u1ee9c n\u0103ng \u0111a c\u01a1 quan: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>T\u1ee5t huy\u1ebft \u00e1p do gi\u1ea3m tr\u01b0\u01a1ng l\u1ef1c m\u1ea1ch m\u00e1u, c\u01a1 ch\u1ebf c\u00f3 th\u1ec3 do s\u1ef1 gi\u1ea3m \u0111\u00e1p \u1ee9ng c\u1ee7a tim v\u00e0 m\u1ea1ch m\u00e1u \u0111\u1ed1i v\u1edbi cortisol v\u00e0 m\u1ed9t ph\u1ea7n do gi\u1ea3m kh\u1ea3 n\u0103ng gi\u1eef natri b\u1edfi th\u1eadn. <\/li><li>Thi\u1ebfu cortisol n\u00ean th\u1eadn kh\u00f4ng th\u1ea3i \u0111\u01b0\u1ee3c ho\u00e0n to\u00e0n n\u01b0\u1edbc, l\u00e0m gi\u1ea3m natri m\u00e1u g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng \u1ee9c ch\u1ebf h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng. <\/li><li>Thi\u1ebfu ho\u1ea1t t\u00ednh c\u1ee7a corticoid kho\u00e1ng tr\u00ean th\u1eadn c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kali m\u00e1u, toan chuy\u1ec3n h\u00f3a. Gi\u1ea3m kh\u1ea3 n\u0103ng t\u00e2n sinh \u0111\u01b0\u1eddng g\u00e2y ra h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft l\u00fac \u0111\u00f3i. T\u0103ng \u0111a nh\u00e2n \u00e1i toan, t\u0103ng s\u1ea3n xu\u1ea5t b\u1ea1ch c\u1ea7 lympho. <\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/suy-thuong-than-cap-1.jpg\" alt=\"\" class=\"wp-image-45153\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"tri\u1ec7u-ch\u1ee9ng-c\u1ee7a-suy-tuy\u1ebfn-th\u01b0\u1ee3ng-th\u1eadn-c\u1ea5p\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea5p<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Tri\u1ec7u ch\u1ee9ng c\u1ee7a suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p g\u00e2y ra do s\u1ef1 gi\u1ea3m cortisol. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0a \u0111\u1ebfn nhi\u1ec1u tri\u1ec7u ch\u1ee9ng kh\u00f4ng \u0111\u1eb7c hi\u1ec7u v\u00e0 c\u0169ng ch\u01b0a ho\u00e0n to\u00e0n gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c v\u1ec1 m\u1eb7t c\u01a1 ch\u1ebf nh\u01b0 y\u1ebfu m\u1ec7t, v\u00f4 c\u1ea3m, ch\u00e1n \u0103n, n\u00f4n \u00f3i, \u0111au b\u1ee5ng, s\u1ed1t (kh\u00f4ng do y\u1ebfu t\u1ed1 nhi\u1ec5m tr\u00f9ng).<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>B\u1ec7nh nh\u00e2n c\u00f3 t\u1ed5ng tr\u1ea1ng suy s\u1ee5p, m\u1ec7t m\u1ecfi nhi\u1ec1u. <\/li><li>C\u00f3 th\u1ec3 cho\u00e1ng n\u1eb7ng, m\u1ea1ch nhanh y\u1ebfu, ti\u1ebfng tim nh\u1ecf d\u1ea7n. Nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 cao c\u0169ng th\u01b0\u1eddng g\u1eb7p v\u00e0 c\u00f3 th\u1ec3 do nhi\u1ec5m tr\u00f9ng \u0111i k\u00e8m.<\/li><li>R\u1ed1i lo\u1ea1n tri gi\u00e1c, huy\u1ebft \u00e1p th\u1ea5p, h\u1ea1 huy\u1ebft \u00e1p t\u01b0 th\u1ebf.<\/li><li>Ch\u00e1n \u0103n, bu\u1ed3n \u00f3i, \u00f3i m\u1eeda v\u00e0 \u0111au b\u1ee5ng h\u1ea7u nh\u01b0 lu\u00f4n hi\u1ec7n di\u1ec7n. <\/li><li>Tri\u1ec7u ch\u1ee9ng \u0111au b\u1ee5ng c\u00f3 th\u1ec3 n\u1eb7ng v\u00e0 g\u00e2y nh\u1ea7m l\u1eabn v\u1edbi nguy\u00ean nh\u00e2n \u0111au b\u1ee5ng ngo\u1ea1i khoa.<\/li><li>B\u1ec7nh nh\u00e2n Addison (suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t) th\u01b0\u1eddng c\u00f3 bi\u1ec3u hi\u1ec7n s\u1ea1m da to\u00e0n th\u00e2n ho\u1eb7c \u1edf g\u1ea7n c\u00e1c r\u00e3nh nh\u01b0 \u1edf l\u00f2ng b\u00e0n tay, l\u00f2ng b\u00e0n ch\u00e2n, n\u00fam v\u00fa, m\u00f4i, l\u1ee3i ni\u00eam&#8230;<\/li><li>Trong suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p th\u1ee9 ph\u00e1t b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 tr\u00ean nh\u01b0ng kh\u00f4ng c\u00f3 da xanh xao, ngo\u00e0i ra c\u00f2n c\u00f3 th\u00eam suy gi\u1ea3m ch\u1ee9c n\u0103ng sinh l\u00fd, m\u1ea5t kinh, r\u1ee5ng l\u00f4ng, da tr\u1eafng nh\u01b0 s\u00e1p, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy gi\u00e1p, r\u1ed1i lo\u1ea1n th\u1ecb tr\u01b0\u1eddng m\u1eaft\u2026<\/li><li>B\u1ec7nh nh\u00e2n n\u1ebfu d\u00f9ng cortisol l\u00e2u ng\u00e0y th\u1ec3 xu\u1ea5t hi\u1ec7n h\u1ed9i ch\u1ee9ng cushing.<\/li><\/ul>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/suy-thuong-than-cap-2.jpg\" alt=\"\" class=\"wp-image-45154\"\/><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"di\u1ec1u-tr\u1ecb-suy-th\u01b0\u1ee3ng-th\u1eadn-c\u1ea5p\">\u0110i\u1ec1u tr\u1ecb suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110i\u1ec1u tr\u1ecb c\u01a1n suy th\u01b0\u1ee3ng th\u1ea5p l\u00e0 m\u1ed9t \u0111i\u1ec1u tr\u1ecb c\u1ea5p c\u1ee9u kh\u00f4ng n\u00ean tr\u00ec ho\u00e3n, c\u1ea7n ch\u1ea9n \u0111o\u00e1n b\u1ec7nh s\u1edbm nh\u1ea5t \u0111\u1ec3 kh\u1eb3ng \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111\u1ec1 ra ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. N\u1ebfu \u0111\u01b0\u1ee3c nghi ng\u1edd suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi v\u00e0 nhanh ch\u00f3ng, v\u00ec s\u1ef1 ch\u1eadm tr\u1ec5 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed vong. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"x\u1eed-tri-trong-giai-do\u1ea1n-c\u1ea5p-tinh\"><strong>X\u1eed tr\u00ed trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu nghi ng\u1edd b\u1ec7nh nh\u00e2n m\u1eafc ph\u1ea3i suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p, c\u1ea7n l\u1ea5y m\u00e1u \u0111\u1ecbnh l\u01b0\u1ee3ng cortisol v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay b\u1eb1ng hydrocortison 100 &#8211; 300 mg truy\u1ec1n t\u0129nh m\u1ea1ch v\u00e0 l\u1eafp d\u1ecbch truy\u1ec1n n\u01b0\u1edbc mu\u1ed1i \u0111\u1eb3ng tr\u01b0\u01a1ng (NaCl) kh\u00f4ng c\u1ea7n ch\u1edd k\u1ebft qu\u1ea3. Sau \u0111\u00f3 c\u00f3 th\u1ec3 d\u00f9ng hydrocorson phosphat hay hydrocortison succinat  \u0111\u01b0\u1eddng t\u0129nh m\u1ea1ch. Hydrocortison 50 &#8211; 100 mg\/ m\u1ed7i gi\u1edd c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh k\u00e9o d\u00e0i su\u1ed1t ng\u00e0y \u0111\u1ea7u ti\u00ean. Ng\u00e0y th\u1ee9 2 hydrocortison \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh v\u1edbi li\u1ec1u 50 &#8211; 100 mg\/m\u1ed7i 8 gi\u1edd. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110i\u1ec1u tr\u1ecb trong nh\u1eefng ng\u00e0y ti\u1ebfp theo c\u1ea7n d\u1ef1a theo m\u1ed7i t\u00ecnh hu\u1ed1ng l\u00e2m s\u00e0ng c\u1ee5 th\u1ec3, ph\u00f9 h\u1ee3p v\u1edbi t\u00ecnh tr\u1ea1ng h\u1ed3i ph\u1ee5c v\u00e0 \u0111\u00e1p \u1ee9ng c\u1ee7a b\u1ec7nh nh\u00e2n. Nhi\u1ec5m khu\u1ea9n th\u01b0\u1eddng l\u00e0 y\u1ebfu t\u1ed1 g\u00e2y kh\u1edfi ph\u00e1t \u0111\u1ee3t c\u1ea5p c\u1ee7a suy th\u01b0\u1ee3ng th\u1eadn n\u00ean c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng kh\u00e1ng sinh theo kinh nghi\u1ec7m trong l\u00fac ch\u1edd k\u1ebft qu\u1ea3 l\u1ea7n c\u1ea5y \u0111\u1ea7u ti\u00ean n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng nhi\u1ec5m tr\u00f9ng n\u1eb7ng nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft. N\u1ebfu c\u00f3 t\u00ecnh tr\u1ea1ng h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft c\u1ea7n \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c.&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"x\u1eed-tri-trong-giai-do\u1ea1n-h\u1ed3i-ph\u1ee5c\"><strong>X\u1eed tr\u00ed trong giai \u0111o\u1ea1n h\u1ed3i ph\u1ee5c<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00ed b\u1ec7nh nh\u00e2n c\u00f3 d\u1ea5u hi\u1ec7u h\u1ed3i ph\u1ee5c, c\u00f3 th\u1ec3 \u0103n \u0111\u01b0\u1ee3c b\u1eb1ng \u0111\u01b0\u1eddng mi\u1ec7ng, d\u00f9ng hydrocortison u\u1ed1ng 10 &#8211; 20 mg\/ 6 gi\u1edd v\u00e0 gi\u1ea3m li\u1ec1u duy tr\u00ec \u1edf m\u1ee9c ph\u00f9 h\u1ee3p theo ph\u00e1c \u0111\u1ed3. Vi\u1ec7c ch\u1ec9 \u0111\u1ecbnh d\u00f9ng thu\u1ed1c k\u00e9o d\u00e0i cho b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc v\u00e0 \u0111\u01b0a ra li\u1ec1u ph\u00f9 h\u1ee3p. B\u1ec7nh nh\u00e2n \u0111\u00e3 c\u00f3 m\u1ed9t \u0111\u1ee3t c\u1ea5p suy th\u01b0\u1ee3ng th\u1eadn c\u1ea7n ph\u1ea3i th\u0103m d\u00f2 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 suy th\u01b0\u1ee3ng th\u1eadn v\u1ec1 l\u00e2u d\u00e0i v\u00e0 t\u00ecm nguy\u00ean nh\u00e2n n\u1ebfu \u0111i\u1ec1u ki\u1ec7n cho ph\u00e9p.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/suy-thuong-than-cap-3.jpg\" alt=\"\" class=\"wp-image-45155\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">C\u1ea3m \u01a1n b\u1ea1n \u0111\u00e3 t\u00ecm \u0111\u1ecdc b\u00e0i vi\u1ebft \u201cSuy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p v\u00e0 nh\u1eefng th\u00f4ng tin b\u1ea1n c\u1ea7n bi\u1ebft&#8221;. Suy th\u01b0\u1ee3ng th\u1eadn l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd hay g\u1eb7p trong chuy\u00ean khoa n\u1ed9i ti\u1ebft. C\u0103n b\u1ec7nh n\u00e0y v\u1eabn c\u00f2n m\u1edbi m\u1ebb \u0111\u1ed1i v\u1edbi nhi\u1ec1u ng\u01b0\u1eddi tuy nhi\u00ean l\u1ea1i r\u1ea5t nguy hi\u1ec3m n\u1ebfu kh\u00f4ng ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi. Ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n ph\u1ea3i \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf g\u1ea7n nh\u1ea5t \u0111\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 x\u1eed tr\u00ed, tr\u00e1nh g\u00e2y bi\u1ebfn ch\u1ee9ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>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.<\/em><\/p>\n\n\n\n<hr class=\"wp-block-separator\"\/>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><em>Ngu\u1ed3n tham kh\u1ea3o:&nbsp;<a href=\"http:\/nhs.uk\/\" target=\"_blank\" rel=\"noreferrer noopener\">NHS<\/a><\/em><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p x\u1ea3y ra do s\u1ef1 thi\u1ebfu h\u1ee5t cortisol, \u0111\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng c\u1ea5p c\u1ee9u. H\u00e3y c\u00f9ng\u00a0Docosan\u00a0t\u00ecm hi\u1ec3u v\u1ec1 b\u1ec7nh l\u00fd n\u00e0y trong b\u00e0i vi\u1ebft n\u00e0y nh\u00e9! Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p l\u00e0 g\u00ec? Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn trong \u0111i\u1ec1u ki\u1ec7n b\u00ecnh th\u01b0\u1eddng ti\u1ebft ra kho\u1ea3ng 20-30 mg cortisol m\u1ed7i ng\u00e0y, n\u1ebfu [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":94075,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[309],"tags":[],"class_list":["post-104575","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tiet-nieu"],"acf":[],"featured_image_src":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/suy-thuong-than-cap-4-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2022\/02\/suy-thuong-than-cap-4-600x533.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\/104575","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=104575"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/104575\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/94075"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=104575"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=104575"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=104575"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}