{"id":105894,"date":"2023-08-01T00:00:00","date_gmt":"2023-08-01T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/cortisol\/"},"modified":"2023-08-01T00:00:00","modified_gmt":"2023-08-01T00:00:00","slug":"cortisol","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/noi-tiet\/cortisol\/","title":{"rendered":"\u0110i\u1ec3m qua 5 vai tr\u00f2 c\u1ee7a Cortisol \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3 con ng\u01b0\u1eddi"},"content":{"rendered":"\n<p class=\"has-gray-200-background-color has-background\"><strong>Cortisol l\u00e0 m\u1ed9t lo\u1ea1i hormon \u0111\u01b0\u1ee3c ti\u1ebft ra b\u1edfi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 m\u1ed9t lo\u1ea1i hormon ch\u1ed1ng stress c\u1ee7a c\u01a1 th\u1ec3. Tuy nhi\u00ean, cortisol c\u0169ng \u0111\u1ea3m nh\u1eadn nhi\u1ec1u vai tr\u00f2 quan tr\u1ecdng kh\u00e1c. C\u00f9ng <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Doctor c\u00f3 s\u1eb5n<\/a> t\u00ecm hi\u1ec3u nh\u1eefng th\u00f4ng tin xoay quanh lo\u1ea1i hormon n\u00e0y.<\/strong><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Cortisol l\u00e0 g\u00ec?<\/strong><\/h2>\n\n\n\n<p>Hormone cortisol l\u00e0 m\u1ed9t lo\u1ea1i hormon steroid \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p t\u1eeb cholesterol. Trong c\u01a1 th\u1ec3, cortisol \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p t\u1ea1i l\u1edbp gi\u1eefa c\u1ee7a v\u00f9ng v\u1ecf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Hormone cortisol \u0111\u00f3ng vai tr\u00f2 trung t\u00e2m trong qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a glucose v\u00e0 ph\u1ea3n \u1ee9ng c\u1ee7a c\u01a1 th\u1ec3 v\u1edbi c\u0103ng th\u1eb3ng. S\u1ea3n xu\u1ea5t cortisol tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a b\u1edfi tr\u1ee5c h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Vai tr\u00f2 c\u1ee7a cortisol \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3<\/strong><\/h2>\n\n\n\n<p>Th\u1ee5 th\u1ec3 c\u1ee7a hormon cortisol c\u00f3 m\u1eb7t \u1edf h\u1ea7u h\u1ebft c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3. Do \u0111\u00f3, cortisol d\u01b0\u1eddng nh\u01b0 l\u00e0 m\u1ed9t hormon \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn m\u1ecdi h\u1ec7 c\u01a1 quan, bao g\u1ed3m: tim m\u1ea1ch, h\u00f4 h\u1ea5p, sinh s\u1ea3n, c\u01a1 x\u01b0\u01a1ng kh\u1edbp, mi\u1ec5n d\u1ecbch, ph\u1ea3n \u1ee9ng stress,\u2026<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0110\u00e1p \u1ee9ng v\u1edbi stress (c\u0103ng th\u1eb3ng)<\/strong><\/h3>\n\n\n\n<p>Khi g\u1eb7p stress, c\u00e1c t\u00edn hi\u1ec7u th\u1ea7n kinh s\u1ebd k\u00edch th\u00edch tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn gi\u1ea3i ph\u00f3ng c\u00e1c catecholamin (nh\u01b0 epinephrin) \u0111\u1ec3 \u0111\u00e1p \u1ee9ng b\u1eb1ng c\u00e1ch t\u0103ng nh\u1ecbp tim v\u00e0 t\u0103ng h\u00f4 h\u1ea5p. N\u1ebfu c\u01a1 th\u1ec3 v\u1eabn ti\u1ebfp t\u1ee5c c\u1ea3m th\u1ea5y stress, tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ebd \u0111\u01b0\u1ee3c k\u00edch th\u00edch \u0111\u1ec3 ti\u1ebft ra cortisol. Khi \u0111\u00f3, cortisol khi\u1ebfn c\u01a1 th\u1ec3 ti\u1ebfp t\u1ee5c duy tr\u00ec tr\u1ea1ng th\u00e1i c\u1ea3nh gi\u00e1c cao \u0111\u1ed9 b\u1eb1ng c\u00e1ch huy \u0111\u1ed9ng ngu\u1ed3n d\u1ef1 tr\u1eef glucose \u0111\u1ec3 t\u1ea1o n\u0103ng l\u01b0\u1ee3ng, \u1ee9c ch\u1ebf c\u01a1n \u0111au v\u00e0 c\u00e1c h\u1ec7 c\u01a1 quan kh\u00f4ng quan tr\u1ecdng (nh\u01b0 ti\u00eau h\u00f3a), \u0111\u1ed3ng th\u1eddi th\u00fac \u0111\u1ea9y s\u1ef1 t\u0103ng nh\u1ecbp tim, t\u0103ng h\u00f4 h\u1ea5p c\u1ee7a c\u01a1 th\u1ec3.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/cortisol-2.jpg\" alt=\"cortisol\" class=\"wp-image-82884\"\/><figcaption class=\"wp-element-caption\">Cortisol &#8211; \u201chormonehormon ch\u1ed1ng stress\u201d<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u h\u00f2a qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t<\/strong><\/h3>\n\n\n\n<p>Cortisol c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong chuy\u1ec3n h\u00f3a \u0111\u01b0\u1eddng glucose, protein v\u00e0 lipid.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u1ed1i v\u1edbi chuy\u1ec3n h\u00f3a glucose, s\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a cortisol g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng nh\u01b0: \u0111\u1ed1i kh\u00e1ng v\u1edbi insulin (hormon l\u00e0m gi\u1ea3m \u0111\u01b0\u1eddng huy\u1ebft), gi\u1ea3m s\u1ea3n xu\u1ea5t insulin v\u00e0 t\u0103ng glucagon (m\u1ed9t hormon \u0111\u1ed1i kh\u00e1ng insulin kh\u00e1c),&nbsp; t\u0103ng qu\u00e1 tr\u00ecnh t\u00e2n t\u1ea1o \u0111\u01b0\u1eddng v\u00e0 gi\u1ea3m s\u1ef1 t\u1ed5ng h\u1ee3p glycogen t\u1ea1i gan, gi\u1ea3m qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n glucose t\u1eeb m\u00e1u v\u00e0o t\u1ebf b\u00e0o m\u1ee1 v\u00e0 t\u1ebf b\u00e0o c\u01a1,\u2026&nbsp;<\/li>\n\n\n\n<li>V\u1edbi chuy\u1ec3n h\u00f3a protein, cortisol l\u00e0m t\u0103ng ly gi\u1ea3i protein \u1edf c\u01a1.<\/li>\n\n\n\n<li>V\u1edbi chuy\u1ec3n h\u00f3a lipid, cortisol g\u00e2y t\u0103ng ly gi\u1ea3i m\u1ee1 trong c\u00e1c m\u00f4 m\u1ee1, ph\u00f3ng th\u00edch c\u00e1c acid b\u00e9o v\u00e0o m\u00e1u nh\u01b0ng \u0111\u1ed3ng th\u1eddi c\u0169ng t\u0103ng t\u00edch m\u1ee1 m\u1ea1nh.<\/li>\n<\/ul>\n\n\n\n<p>K\u1ebft qu\u1ea3 c\u1ee7a t\u1ed5ng h\u1ee3p nh\u1eefng qu\u00e1 tr\u00ecnh n\u00e0y l\u00e0 vi\u1ec7c cortisol l\u00e0m t\u0103ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng glucose trong m\u00e1u \u0111\u1ec3 gi\u00fap cung c\u1ea5p n\u0103ng l\u01b0\u1ee3ng cho n\u00e3o ho\u1ea1t \u0111\u1ed9ng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>T\u00e1c d\u1ee5ng tr\u00ean ph\u1ea3n \u1ee9ng vi\u00eam v\u00e0 mi\u1ec5n d\u1ecbch<\/strong><\/h3>\n\n\n\n<p>Cortisol c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam do \u1ee9c ch\u1ebf qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p acid arachidonic, d\u1eabn \u0111\u1ebfn \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p c\u00e1c ch\u1ea5t trung gian g\u00e2y vi\u00eam kh\u00e1c. Ngo\u00e0i ra, cortisol c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c \u0111\u1ed9ng trong h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch. Cortisol g\u00e2y ra qu\u00e1 tr\u00ecnh ch\u1ebft theo ch\u01b0\u01a1ng tr\u00ecnh c\u1ee7a c\u00e1c t\u1ebf b\u00e0o T ti\u1ec1n vi\u00eam, \u1ee9c ch\u1ebf s\u1ea3n xu\u1ea5t kh\u00e1ng th\u1ec3 t\u1ebf b\u00e0o B v\u00e0 gi\u1ea3m s\u1ef1 di chuy\u1ec3n c\u1ee7a b\u1ea1ch c\u1ea7u trung t\u00ednh trong qu\u00e1 tr\u00ecnh vi\u00eam, cu\u1ed1i c\u00f9ng d\u1eabn \u0111\u1ebfn suy gi\u1ea3m mi\u1ec5n d\u1ecbch..<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u ch\u1ec9nh huy\u1ebft \u00e1p<\/strong><\/h3>\n\n\n\n<p>Tr\u00ean h\u1ec7 tim m\u1ea1ch, vai tr\u00f2 c\u1ee7a cortisol li\u00ean quan \u0111\u1ebfn vi\u1ec7c duy tr\u00ec huy\u1ebft \u00e1p b\u1eb1ng c\u00e1ch gi\u1eef cho ch\u1ee9c n\u0103ng b\u01a1m m\u00e1u c\u1ee7a tim b\u00ecnh th\u01b0\u1eddng, t\u0103ng kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng giao c\u1ea3m tr\u00ean m\u1ea1ch m\u00e1u (co m\u1ea1ch) v\u00e0 \u0111\u1ed3ng th\u1eddi g\u00e2y gi\u1eef mu\u1ed1i v\u00e0 n\u01b0\u1edbc \u1edf th\u1eadn. Nh\u00ecn chung, n\u1ed3ng \u0111\u1ed9 cortisol t\u0103ng cao c\u00f3 th\u1ec3 g\u00e2y ra huy\u1ebft \u00e1p cao v\u00e0 n\u1ed3ng \u0111\u1ed9 cortisol th\u1ea5p h\u01a1n b\u00ecnh th\u01b0\u1eddng c\u00f3 th\u1ec3 g\u00e2y ra huy\u1ebft \u00e1p th\u1ea5p.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>T\u00e1c d\u1ee5ng kh\u00e1c<\/strong><\/h3>\n\n\n\n<p>Cortisol c\u0169ng t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng, v\u00f5ng m\u1ea1c, da, \u0111\u01b0\u1eddng ti\u00eau h\u00f3a v\u00e0 ph\u1ed5i c\u1ee7a b\u00e0o thai. \u0110\u1eb7c bi\u1ec7t, cortisol quan tr\u1ecdng trong qu\u00e1 tr\u00ecnh t\u1ed5ng h\u1ee3p ch\u1ea5t ho\u1ea1t \u0111\u1ed9ng b\u1ec1 m\u1eb7t ph\u1ebf nang x\u1ea3y ra trong nh\u1eefng tu\u1ea7n cu\u1ed1i c\u1ee7a thai k\u1ef3. Tr\u1ebb sinh non c\u00f3 th\u1ec3 b\u1ecb h\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p v\u00e0 nh\u1eefng b\u00e0 m\u1eb9 sinh non c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng glucocorticoid \u0111\u1ec3 k\u00edch th\u00edch s\u1ef1 t\u1ed5ng h\u1ee3p ch\u1ea5t ho\u1ea1t \u0111\u1ed9ng b\u1ec1 m\u1eb7t c\u1ee7a thai nhi.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/cortisol-3.jpg\" alt=\"cortisol\" class=\"wp-image-82885\"\/><figcaption class=\"wp-element-caption\">Cortisol t\u00e1c \u0111\u1ed9ng l\u00ean nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau trong c\u01a1 th\u1ec3<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a n\u1ed3ng \u0111\u1ed9 cortisol c\u1ee7a c\u01a1 th\u1ec3<\/strong><\/h2>\n\n\n\n<p>S\u1ef1 gi\u1ea3i ph\u00f3ng qu\u00e1 m\u1ee9c hay thi\u1ebfu h\u1ee5t cortisol \u0111\u1ec1u d\u1eabn t\u1edbi r\u1ed1i lo\u1ea1n \u1edf nhi\u00eau c\u01a1 quan. T\u1ea1i m\u1ed7i th\u1eddi \u0111i\u1ec3m, nhu c\u1ea7u cortisol c\u1ee7a c\u01a1 th\u1ec3 l\u1ea1i kh\u00e1c nhau. Do \u0111\u00f3, s\u1ef1 b\u00e0i ti\u1ebft cortisol lu\u00f4n \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1eb7t ch\u1ebd th\u00f4ng qua c\u00e1c c\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a bao g\u1ed3m c\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a ng\u01b0\u1ee3c tr\u00ean tr\u1ee5c h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u00e0 chu k\u1ef3 ng\u00e0y \u0111\u00eam.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>C\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a ng\u01b0\u1ee3c.<\/strong><\/h3>\n\n\n\n<p>S\u1ef1 gi\u1ea3i ph\u00f3ng cortisol n\u1eb1m d\u01b0\u1edbi s\u1ef1 ki\u1ec3m so\u00e1t c\u1ee7a tr\u1ee5c h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n\n\n<p>Khi c\u00f3 k\u00edch th\u00edch ho\u1eb7c khi n\u1ed3ng \u0111\u1ed9 cortisol h\u1ea1 xu\u1ed1ng th\u1ea5p, v\u00f9ng h\u1ea1 \u0111\u1ed3i s\u1ebd gi\u1ea3i ph\u00f3ng hormon corticotropin \u0111\u1ec3 t\u00e1c \u0111\u1ed9ng l\u00ean th\u00f9y tr\u01b0\u1edbc tuy\u1ebfn y\u00ean. Sau \u0111\u00f3, tuy\u1ebfn n\u00e0y s\u1ebd gi\u1ea3i ph\u00f3ng hormon h\u01b0\u1edbng v\u1ecf th\u01b0\u1ee3ng th\u1eadn v\u00e0 t\u00e1c \u0111\u1ed9ng \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. T\u1ea1i tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, cortisol \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t nh\u1eb1m \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n\n\n\n<p>Tuy nhi\u00ean, khi l\u01b0\u1ee3ng cortisol \u0111\u01b0\u1ee3c ti\u1ebft ra \u1edf m\u1ed9t m\u1ee9c n\u00e0o \u0111\u00f3 s\u1ebd t\u00e1c \u0111\u1ed9ng \u1ee9c ch\u1ebf ng\u01b0\u1ee3c tr\u1edf l\u1ea1i tuy\u1ebfn y\u00ean v\u00e0 v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i, ng\u0103n ch\u1eb7n s\u1ef1 gi\u1ea3i ph\u00f3ng c\u00e1c hormon h\u01b0\u1edbng th\u01b0\u1ee3ng th\u1eadn v\u00e0 corticotropin \u1edf 2 tuy\u1ebfn n\u00e0y.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Nh\u1ecbp ng\u00e0y &#8211; \u0111\u00eam<\/strong><\/h3>\n\n\n\n<p>Tr\u1ee5c h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u0169ng tu\u00e2n theo nh\u1ecbp sinh h\u1ecdc. V\u00e0o bu\u1ed5i s\u00e1ng, c\u01a1 th\u1ec3 c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t t\u1ea1o n\u0103ng l\u01b0\u1ee3ng cho m\u1ed9t ng\u00e0y l\u00e0m vi\u1ec7c, do \u0111\u00f3 n\u1ed3ng \u0111\u1ed9 cortisol s\u1ebd \u0111\u01b0\u1ee3c ti\u1ebft \u0111\u1ec9nh \u0111i\u1ec3m \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3. N\u1ed3ng \u0111\u1ed9 cortisol s\u1ebd gi\u1ea3m d\u1ea7n trong ng\u00e0y v\u00e0 xu\u1ed1ng th\u1ea5p v\u00e0o ban \u0111\u00eam.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/cortisol-4.jpg\" alt=\"cortisol\" class=\"wp-image-82886\"\/><figcaption class=\"wp-element-caption\">N\u1ed3ng \u0111\u1ed9 cortisol lu\u00f4n \u0111\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a \u0111\u1ec3 ph\u00f9 h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>X\u00e9t nghi\u1ec7m n\u00e0o li\u00ean quan \u0111\u1ebfn cortisol<\/strong>?<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Khi n\u00e0o c\u1ea7n x\u00e9t nghi\u1ec7m cortisol?<\/strong><\/h3>\n\n\n\n<p>C\u00f3 3 lo\u1ea1i x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 cortisol l\u00e0 x\u00e9t nghi\u1ec7m cortisol trong m\u00e1u, trong n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c trong n\u01b0\u1edbc b\u1ecdt. Tuy nhi\u00ean, ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u1eabn l\u00e0 x\u00e9t nghi\u1ec7m cortisol trong m\u00e1u. N\u1ed3ng \u0111\u1ed9 cortisol qu\u00e1 cao ho\u1eb7c qu\u00e1 th\u1ea5p ph\u1ea3n \u00e1nh vi\u1ec7c b\u1ec7nh nh\u00e2n \u0111ang c\u00f3 m\u1ed9t t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Nh\u1eefng r\u1ed1i lo\u1ea1n n\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p>B\u00e1c s\u0129 s\u1ebd ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 cortisol m\u00e1u trong tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd h\u1ed9i ch\u1ee9ng Cushing (t\u0103ng cortisol qu\u00e1 m\u1ee9c) ho\u1eb7c suy th\u01b0\u1ee3ng th\u1eadn (gi\u1ea3m cortisol qu\u00e1 m\u1ee9c).<\/p>\n\n\n\n<p>Ngo\u00e0i ra, trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u1ea5p c\u1ee9u v\u1edbi tri\u1ec7u ch\u1ee9ng t\u1ee5t huy\u1ebft \u00e1p, n\u00f4n \u00f3i n\u1eb7ng n\u1ec1, \u0111au b\u1ee5ng d\u1eef d\u1ed9i, ti\u00eau ch\u1ea3y, d\u1ea5u m\u1ea5t n\u01b0\u1edbc tr\u00ean da r\u00f5, l\u01a1 m\u01a1, l\u00fa l\u1eabn, m\u00ea man,\u2026 b\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh x\u00e9t nghi\u1ec7m cortisol \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh c\u00f3 ph\u1ea3i c\u01a1n suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p hay kh\u00f4ng.&nbsp;<\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/cortisol-5.jpg\" alt=\"cortisol\" class=\"wp-image-82887\"\/><figcaption class=\"wp-element-caption\">X\u00e9t nghi\u1ec7m cortisol m\u00e1u \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cortisol&nbsp;<\/strong><\/h3>\n\n\n\n<p>K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m cortisol s\u1ebd thay \u0111\u1ed5i t\u00f9y thu\u1ed9c v\u00e0o \u0111\u1ed9 tu\u1ed5i, th\u1eddi \u0111i\u1ec3m x\u00e9t nghi\u1ec7m, m\u1ee9c \u0111\u1ed9 c\u0103ng th\u1eb3ng v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c m\u00e0 b\u1ea1n \u0111\u00e3 d\u00f9ng tr\u01b0\u1edbc \u0111\u00f3,\u2026 Do \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd c\u00e2n nh\u1eafc v\u00e0 gi\u1ea3i th\u00edch k\u1ebft qu\u1ea3 d\u1ef1a tr\u00ean th\u00f4ng s\u1ed1 x\u00e9t nghi\u1ec7m v\u00e0 t\u00ecnh h\u00ecnh th\u1ef1c t\u1ebf c\u1ee7a b\u1ea1n, t\u00f9y tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 s\u1ebd c\u1ea7n ph\u1ed1i h\u1ee3p v\u1edbi m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m kh\u00e1c n\u1eefa.<\/p>\n\n\n\n<p>Th\u00f4ng th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 n\u1ed3ng \u0111\u1ed9 cortisol trong m\u00e1u b\u00ecnh th\u01b0\u1eddng dao \u0111\u1ed9ng \u1edf 5 &#8211; 23 mcg\/dL (ho\u1eb7c 138 &#8211; 635 nmol\/L theo chu\u1ea9n SI) v\u00e0o bu\u1ed5i s\u00e1ng 8h \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>N\u1ed3ng \u0111\u1ed9 cortisol cao qu\u00e1 m\u1ee9c<\/strong><\/h3>\n\n\n\n<p>N\u1ed3ng \u0111\u1ed9 cortisol cao trong c\u00e1c b\u1ec7nh l\u00fd\/ t\u00ecnh tr\u1ea1ng sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kh\u1ed1i u \u1edf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn d\u1eabn \u0111\u1ebfn s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u cortisol<\/li>\n\n\n\n<li>Kh\u1ed1i u trong tuy\u1ebfn y\u00ean d\u1eabn \u0111\u1ebfn s\u1ea3n xu\u1ea5t qu\u00e1 m\u1ee9c hormon h\u01b0\u1edbng v\u1ecf th\u01b0\u1ee3ng th\u1eadn, k\u00edch th\u00edch s\u1ea3n xu\u1ea5t cortisol<\/li>\n\n\n\n<li>C\u00e1c kh\u1ed1i u s\u1ea3n xu\u1ea5t hormon h\u01b0\u1edbng th\u01b0\u1ee3ng th\u1eadn l\u1ea1c ch\u1ed7<\/li>\n\n\n\n<li>Stress (stress t\u00e2m l\u00fd ho\u1eb7c stress do ch\u1ea5n th\u01b0\u01a1ng)<\/li>\n\n\n\n<li>T\u0103ng huy\u1ebft \u00e1p<\/li>\n\n\n\n<li>C\u01b0\u1eddng gi\u00e1p<\/li>\n\n\n\n<li>Ph\u1ee5 n\u1eef mang thai<\/li>\n<\/ul>\n\n\n\n<p>N\u1ed3ng \u0111\u1ed9 cortisol cao g\u00e2y ra t\u00ecnh tr\u1ea1ng g\u1ecdi chung l\u00e0 h\u1ed9i ch\u1ee9ng Cushing, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n \u0111i\u1ec3n h\u00ecnh nh\u01b0 t\u0103ng c\u00e2n (b\u00e9o b\u1ee5ng), da m\u1ecfng, d\u1ec5 t\u1ed5n th\u01b0\u01a1ng, ch\u1eadm li\u1ec1n s\u1eb9o, d\u1ec5 nhi\u1ec5m tr\u00f9ng, m\u1eb7t tr\u0103ng r\u1eb1m, g\u00f9 tr\u00e2u, t\u0103ng huy\u1ebft \u00e1p, lo\u00e3ng x\u01b0\u01a1ng, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t (n\u1eef), <a href=\"https:\/\/www.docosan.com\/blog\/nam-khoa\/bi-roi-loan-cuong-duong\/\" target=\"_blank\" rel=\"noreferrer noopener\">r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng<\/a> (nam), d\u1ec5 k\u00edch \u0111\u1ed9ng, gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c,\u2026<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>N\u1ed3ng \u0111\u1ed9 cortisol th\u1ea5p qu\u00e1 m\u1ee9c<\/strong><\/h3>\n\n\n\n<p>N\u1ed3ng \u0111\u1ed9 cortisol th\u1ea5p c\u00f3 th\u1ec3 do m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh Addison (suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t)<\/li>\n\n\n\n<li>Suy tuy\u1ebfn y\u00ean l\u00e0m gi\u1ea3m s\u1ea3n xu\u1ea5t hormon h\u01b0\u1edbng th\u01b0\u1ee3ng th\u1eadn trong tr\u1ee5c h\u1ea1 \u0111\u1ed3i &#8211; tuy\u1ebfn y\u00ean &#8211; tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/li>\n\n\n\n<li>H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n\n\n\n<li>Suy ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p&nbsp;<\/li>\n\n\n\n<li>B\u1ec7nh gan<\/li>\n\n\n\n<li>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c nh\u01b0 phenytoin hay thu\u1ed1c androgen<\/li>\n<\/ul>\n\n\n\n<p>N\u1ed3ng \u0111\u1ed9 cortisol th\u1ea5p bi\u1ec3u hi\u1ec7n m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng tr\u00ean l\u00e2m s\u00e0ng nh\u01b0 s\u1ee5t c\u00e2n, m\u1ea5t n\u01b0\u1edbc, y\u1ebfu m\u1ec7t, t\u0103ng s\u1eafc t\u1ed1 da \u1edf c\u00e1c v\u00f9ng da nhi\u1ec1u n\u1ebfp g\u1ea5p, gi\u1ea3m l\u00f4ng\/t\u00f3c, h\u1ea1 huy\u1ebft \u00e1p, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, v\u00f4 kinh (n\u1eef), b\u1ed3n ch\u1ed3n, c\u00e1u g\u1eaft, kh\u00f4ng ch\u1ecbu \u0111\u01b0\u1ee3c l\u1ea1nh,\u2026<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Thu\u1ed1c ch\u1ee9a cortisol<\/strong> l\u00e0 thu\u1ed1c n\u00e0o?<\/h2>\n\n\n\n<p>Thu\u1ed1c ch\u1ee9a cortisol hay c\u00e1c d\u1eabn xu\u1ea5t t\u1ed5ng h\u1ee3p c\u1ee7a cortisol (g\u1ecdi chung l\u00e0 corticoid) \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t nh\u00f3m thu\u1ed1c kh\u00f4ng th\u1ec3 thay th\u1ebf trong nhi\u1ec1u b\u1ec7nh l\u00fd. C\u00e1c corticoid th\u01b0\u1eddng g\u1eb7p tr\u00ean th\u1ecb tr\u01b0\u1eddng bao g\u1ed3m: prednison, methylprednisolon, dexamethason, betamethason, hydrocortison v\u1edbi nhi\u1ec1u d\u1ea1ng b\u00e0o ch\u1ebf kh\u00e1c nhau.<\/p>\n\n\n\n<p>Corticoid c\u00f3 nhi\u1ec1u c\u00f4ng d\u1ee5ng: gi\u00fap gi\u1ea3m vi\u00eam (kh\u00e1ng vi\u00eam), ng\u0103n c\u00e1c ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c (c\u00f2n g\u1ecdi l\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch), c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1, ch\u1ed1ng stress, t\u0103ng h\u01b0ng c\u1ea3m (cho n\u00ean corticoid \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o lo\u1ea1i thu\u1ed1c doping, c\u1ea5m c\u00e1c v\u1eadn \u0111\u1ed9ng vi\u00ean s\u1eed d\u1ee5ng). \u0110\u1eb7c bi\u1ec7t, \u0111\u00e1p \u1ee9ng c\u1ee7a corticoid th\u01b0\u1eddng x\u1ea3y ra nhanh n\u00ean r\u1ea5t h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng nghi\u00eam tr\u1ecdng, \u0111\u1ed9t ng\u1ed9t v\u00e0 gi\u00fap c\u01a1 th\u1ec3 c\u1ea3m th\u1ea5y gi\u1ea3m \u0111au nhanh ch\u00f3ng.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd v\u00e0 t\u00ecnh tr\u1ea1ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng corticoid bao g\u1ed3m: hen suy\u1ec5n, d\u1ecb \u1ee9ng, ch\u00e0m, ph\u00e1t ban, b\u1ec7nh ph\u1ed5i t\u1eafc ngh\u1ebdn m\u00e3n t\u00ednh (COPD), b\u1ec7nh vi\u00eam ru\u1ed9t, b\u1ec7nh Crohn, vi\u00eam lo\u00e9t \u0111\u1ea1i tr\u00e0ng, b\u1ec7nh \u0111a x\u01a1 c\u1ee9ng, b\u1ec7nh lupus, b\u1ec7nh Addison, <a href=\"https:\/\/www.docosan.com\/blog\/co-xuong-khop\/viem-khop-dang-thap\/\">vi\u00eam kh\u1edbp d\u1ea1ng <\/a><a href=\"https:\/\/www.docosan.com\/blog\/co-xuong-khop\/viem-khop-dang-thap\/\" target=\"_blank\" rel=\"noreferrer noopener\">t<\/a><a href=\"https:\/\/www.docosan.com\/blog\/co-xuong-khop\/viem-khop-dang-thap\/\">h\u1ea5p<\/a>, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c gh\u00e9p t\u1ea1ng,\u2026<\/p>\n\n\n\n<p>Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng corticoid l\u00e2u d\u00e0i c\u00f3 th\u1ec3 l\u00e0m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 s\u1ea3n xu\u1ea5t hormon cortisol c\u1ee7a c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng tr\u00ean nhi\u1ec1u c\u01a1 quan kh\u00e1c nhau nh\u01b0: t\u0103ng c\u00e2n, y\u1ebfu c\u01a1, m\u1edd m\u1eaft, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, suy gi\u1ea3m mi\u1ec5n d\u1ecbch, lo\u00e3ng x\u01b0\u01a1ng, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, t\u0103ng huy\u1ebft \u00e1p, \u0111au d\u1ea1 d\u00e0y, b\u1ed3n ch\u1ed3n, kh\u00f3 ng\u1ee7, gi\u1eef n\u01b0\u1edbc v\u00e0 ph\u00f9,\u2026 S\u1eed d\u1ee5ng corticoid ng\u1eafn ng\u00e0y s\u1ebd an to\u00e0n h\u01a1n nh\u01b0ng v\u1eabn c\u00f3 r\u1ee7i ro. Do \u0111\u00f3 khi s\u1eed d\u1ee5ng c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ee3p l\u00fd, tr\u00e1nh l\u1ea1m d\u1ee5ng corticoid ch\u1ec9 v\u00ec nh\u1eefng t\u00e1c d\u1ee5ng t\u1ee9c th\u00ec m\u00e0 thu\u1ed1c mang l\u1ea1i.<\/p>\n\n\n\n<p>M\u1ed9t s\u1ed1 khuy\u1ebfn c\u00e1o chung \u0111\u01b0\u1ee3c \u0111\u01b0a ra nh\u1eb1m h\u1ea1n ch\u1ebf t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a corticoid nh\u01b0 sau:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1eed d\u1ee5ng corticoid khi c\u1ea7n thi\u1ebft v\u1edbi li\u1ec1u th\u1ea5p c\u00f3 hi\u1ec7u qu\u1ea3.<\/li>\n\n\n\n<li>S\u1eed d\u1ee5ng d\u1ea1ng b\u00e0o ch\u1ebf ph\u00f9 h\u1ee3p \u0111\u1ec3 tr\u00e1nh c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n.<\/li>\n\n\n\n<li>Th\u1eadn tr\u1ecdng khi gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u1eebng \u0111i\u1ec1u tr\u1ecb: kh\u00f4ng gi\u1ea3m li\u1ec1u ho\u1eb7c ng\u1eebng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t \u0111\u1ec3 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1eddi gian ph\u1ee5c h\u1ed3i kh\u1ea3 n\u0103ng ti\u1ebft cortisol b\u00ecnh th\u01b0\u1eddng, tr\u00e1nh c\u00e1c bi\u1ebfn ch\u1ee9ng do c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u1ee7 cortisol..<\/li>\n\n\n\n<li>\u0110\u1ec1 ph\u00f2ng c\u00e1c nguy c\u01a1 nhi\u1ec5m tr\u00f9ng.<\/li>\n\n\n\n<li>Kh\u00e1m m\u1eaft \u0111\u1ecbnh k\u1ef3 t\u1ea1i c\u00e1c ph\u00f2ng kh\u00e1m uy t\u00edn.<\/li>\n\n\n\n<li>Gi\u1eef cho x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe b\u1eb1ng c\u00e1ch v\u1eadn \u0111\u1ed9ng h\u1ee3p l\u00fd, b\u1ed5 sung canxi v\u00e0 vitamin D khi c\u1ea7n thi\u1ebft.<\/li>\n\n\n\n<li>C\u1ea9n th\u1eadn tr\u01b0\u1edbc c\u00e1c d\u1ea5u hi\u1ec7u gi\u1eef n\u01b0\u1edbc (v\u00ed d\u1ee5 nh\u01b0 s\u01b0ng m\u1eaft c\u00e1 ch\u00e2n).<\/li>\n<\/ul>\n\n\n\n<p>L\u01b0u \u00fd, ng\u01b0\u1eddi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ef1 \u00fd s\u1eed d\u1ee5ng thu\u1ed1c khi ch\u01b0a c\u00f3 s\u1ef1 cho ph\u00e9p c\u1ee7a b\u00e1c s\u0129 chuy\u00ean khoa. Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c b\u1eeba b\u00e3i ho\u1eb7c kh\u00f4ng \u0111\u00fang c\u00e1ch c\u00f3 th\u1ec3 khi\u1ebfn thu\u1ed1c sai t\u00e1c d\u1ee5ng, t\u1eeb \u0111\u00f3 g\u00e2y ra m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng t\u1ed1t cho s\u1ee9c kh\u1ecfe, nghi\u00eam tr\u1ecdng h\u01a1n l\u00e0 khi\u1ebfn b\u1ec7nh t\u00ecnh tr\u1edf n\u00ean n\u1eb7ng n\u1ec1 h\u01a1n.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<h2 class=\"wp-block-heading\">C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p\u00a0<\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1690872710596\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110\u1ecbnh l\u01b0\u1ee3ng cortisol l\u00e0 g\u00ec?u003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng cortisol l\u00e0 x\u00e1c \u0111\u1ecbnh n\u1ed3ng \u0111\u1ed9 cortisol trong m\u00e1u, n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c n\u01b0\u1edbc b\u1ecdt t\u00f9y theo lo\u1ea1i x\u00e9t nghi\u1ec7m.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1690872714868\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eCortisol l\u00e0 x\u00e9t nghi\u1ec7m g\u00ec?u003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>L\u00e0 x\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh n\u1ed3ng \u0111\u1ed9 cortisol trong m\u00e1u, n\u01b0\u1edbc ti\u1ec3u ho\u1eb7c n\u01b0\u1edbc b\u1ecdt nh\u1eb1m gi\u00fap ch\u1ea9n \u0111o\u00e1n m\u1ed9t s\u1ed1 b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1690872722977\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eCortisol c\u00f3 t\u00e1c d\u1ee5ng g\u00ec?u003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Cortisol \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t hormonehormon ch\u1ed1ng stress, ngo\u00e0i ra cortisol c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m t\u0103ng huy\u1ebft \u00e1p, t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, ch\u1ed1ng vi\u00eam v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1690872730901\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eCortisol m\u00e1u b\u00ecnh th\u01b0\u1eddngu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Th\u00f4ng th\u01b0\u1eddng, ch\u1ec9 s\u1ed1 n\u1ed3ng \u0111\u1ed9 cortisol trong m\u00e1u b\u00ecnh th\u01b0\u1eddng dao \u0111\u1ed9ng \u1edf 5 &#8211; 23 mcg\/dL (ho\u1eb7c 138 &#8211; 635 nmol\/L theo chu\u1ea9n SI) v\u00e0o bu\u1ed5i s\u00e1ng 8h \u1edf ng\u01b0\u1eddi l\u1edbn.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1690872753044\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003eCortisol l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebftu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Cortisol c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft th\u00f4ng qua nhi\u1ec1u c\u01a1 ch\u1ebf: \u0111\u1ed1i kh\u00e1ng v\u1edbi insulin,\u00a0 t\u0103ng qu\u00e1 tr\u00ecnh t\u00e2n t\u1ea1o \u0111\u01b0\u1eddng v\u00e0 gi\u1ea3m s\u1ef1 t\u1ed5ng h\u1ee3p glycogen t\u1ea1i gan, gi\u1ea3m qu\u00e1 tr\u00ecnh v\u1eadn chuy\u1ec3n glucose t\u1eeb m\u00e1u v\u00e0o t\u1ebf b\u00e0o m\u1ee1 v\u00e0 t\u1ebf b\u00e0o c\u01a1<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1690872764735\" class=\"rank-math-list-item\">\n<h5 class=\"rank-math-question \">u003cstrongu003e\u0110i\u1ec1u tr\u1ecb t\u0103ng cortisol m\u00e1uu003c\/strongu003e<\/h5>\n<div class=\"rank-math-answer \">\n\n<p>Trong ch\u1ee9ng t\u0103ng cortisol m\u00e1u, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111i\u1ec7n gi\u1ea3i, b\u1ed5 sung thu\u1ed1c \u1ee9c ch\u1ebf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ho\u1eb7c thu\u1ed1c \u1ee9c ch\u1ebf th\u1ee5 th\u1ec3 glucocorticoid, ngo\u00e0i ra trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft c\u00f3 th\u1ec3 c\u1ea7n ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf kh\u1ed1i u.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p>Tr\u00ean \u0111\u00e2y l\u00e0 nh\u1eefng th\u00f4ng tin t\u1ed5ng quan v\u1ec1 vai tr\u00f2 c\u1ee7a cortisol \u0111\u1ed1i v\u1edbi c\u01a1 th\u1ec3, k\u00e8m theo \u0111\u00f3, t\u00e1c gi\u1ea3 c\u0169ng mu\u1ed1n cung c\u1ea5p th\u00eam ki\u1ebfn th\u1ee9c v\u1ec1 nh\u1eefng kh\u00eda c\u1ea1nh kh\u00e1c xoay quanh lo\u1ea1i hormon r\u1ea5t quan tr\u1ecdng n\u00e0y. Hy v\u1ecdng b\u1ea1n \u0111\u1ecdc s\u1ebd t\u00ecm th\u1ea5y nh\u1eefng th\u00f4ng tin m\u00e0 b\u1ea1n mong mu\u1ed1n t\u1ea1i b\u00e0i vi\u1ebft n\u00e0y.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p><em>B\u00e0i vi\u1ebft \u0111\u01b0\u1ee3c Doctor c\u00f3 s\u1eb5n tham kh\u1ea3o t\u1eeb \u00fd ki\u1ebfn c\u1ee7a b\u00e1c s\u0129 c\u0169ng nh\u01b0 c\u00e1c ngu\u1ed3n th\u00f4ng tin tin c\u1eady trong v\u00e0 ngo\u00e0i n\u01b0\u1edbc. Docosan Team khuy\u1ebfn kh\u00edch b\u1ea1n h\u00e3y t\u00ecm v\u00e0 <\/em><a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><em>\u0111\u1eb7t l\u1ecbch kh\u00e1m<\/em><\/a><em> v\u1edbi b\u00e1c s\u0129 c\u00f3 chuy\u00ean m\u00f4n \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u t\u0103ng ho\u1eb7c gi\u1ea3m n\u1ed3ng \u0111\u1ed9 cortisol trong c\u01a1 th\u1ec3.<\/em><\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4263906\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4263906\/<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538239\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK538239\/<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK26\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK26\/<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/322330\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.medicalnewstoday.com\/articles\/322330<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/corticosteroids\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.medicalnewstoday.com\/articles\/corticosteroids<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.webmd.com\/a-to-z-guides\/what-is-cortisol\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.webmd.com\/a-to-z-guides\/what-is-cortisol<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/emedicine.medscape.com\/article\/2088826-overview\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/emedicine.medscape.com\/article\/2088826-overview<\/a>\u00a0<\/li>\n\n\n\n<li><a href=\"https:\/\/www.mayoclinic.org\/steroids\/art-20045692\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">https:\/\/www.mayoclinic.org\/steroids\/art-20045692<\/a>\u00a0<\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>Cortisol l\u00e0 m\u1ed9t lo\u1ea1i hormon \u0111\u01b0\u1ee3c ti\u1ebft ra b\u1edfi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 m\u1ed9t lo\u1ea1i hormon ch\u1ed1ng stress c\u1ee7a c\u01a1 th\u1ec3. Tuy nhi\u00ean, cortisol c\u0169ng \u0111\u1ea3m nh\u1eadn nhi\u1ec1u vai tr\u00f2 quan tr\u1ecdng kh\u00e1c. C\u00f9ng Doctor c\u00f3 s\u1eb5n t\u00ecm hi\u1ec3u nh\u1eefng th\u00f4ng tin xoay quanh lo\u1ea1i hormon n\u00e0y. Cortisol l\u00e0 g\u00ec? Hormone [&hellip;]<\/p>\n","protected":false},"author":33,"featured_media":109707,"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-105894","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\/2023\/08\/cortisol-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/cortisol-1-600x533.jpg","author_info":{"display_name":"Nguy\u1ec5n Thu\u1ef3 Linh","author_link":"https:\/\/www.docosan.com\/blog\/author\/nguyenthuylinh\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105894","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\/33"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105894"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105894\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/109707"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105894"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105894"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}