{"id":105899,"date":"2023-07-29T00:00:00","date_gmt":"2023-07-29T00:00:00","guid":{"rendered":"https:\/\/docosan-blog.local\/blog\/uncategorized\/benh-addison\/"},"modified":"2023-09-26T17:45:21","modified_gmt":"2023-09-26T10:45:21","slug":"benh-addison","status":"publish","type":"post","link":"https:\/\/www.docosan.com\/blog\/noi-tiet\/benh-addison\/","title":{"rendered":"B\u1ec7nh Addison l\u00e0 g\u00ec? &#8211; 12 tri\u1ec7u ch\u1ee9ng kh\u00f4ng n\u00ean xem th\u01b0\u1eddng"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">B\u1ec7nh Addison l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh hi\u1ebfm g\u1eb7p, x\u1ea3y ra m\u1ed9t c\u00e1ch \u00e2m th\u1ea7m, dai d\u1eb3ng v\u00e0 kh\u00f3 nh\u1eadn bi\u1ebft. B\u1ec7nh Addison \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hai b\u00ean d\u1eabn \u0111\u1ebfn s\u1ee5t gi\u1ea3m c\u00e1c hormon n\u1ed9i sinh nh\u01b0 cortisol, aldosterone v\u00e0 androgen. B\u1ec7nh Addison c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfn tri\u1ec3n th\u00e0nh nh\u1eefng \u0111\u1ee3t c\u1ea5p v\u00e0 \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng. <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>Doctor c\u00f3 s\u1eb5n<\/strong><\/a> s\u1ebd cung c\u1ea5p cho b\u1ea1n m\u1ed9t s\u1ed1 ki\u1ebfn th\u1ee9c c\u1ea7n thi\u1ebft \u0111\u1ec3 s\u1edbm nh\u1eadn bi\u1ebft\u00a0tri\u1ec7u ch\u1ee9ng b\u1ec7nh Addison v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Addison \u0111\u1ec3 c\u00f3 c\u00e1ch ki\u1ec3m so\u00e1t c\u0103n b\u1ec7nh nguy hi\u1ec3m n\u00e0y.\u00a0<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>B\u1ec7nh Addison l\u00e0 g\u00ec?&nbsp;<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh Addison, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn m\u1eafc ph\u1ea3i, l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh hi\u1ebfm g\u1eb7p x\u1ea3y ra khi c\u01a1 th\u1ec3 kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 m\u1ed9t s\u1ed1 lo\u1ea1i hormone nh\u1ea5t \u0111\u1ecbnh. Trong b\u1ec7nh Addison, v\u1ecf th\u01b0\u1ee3ng th\u1eadn hai b\u00ean b\u1ecb ph\u00e1 h\u1ee7y d\u1eabn \u0111\u1ebfn gi\u1ea3m hormon v\u1ecf th\u01b0\u1ee3ng th\u1eadn, c\u00f3 th\u1ec3 bao g\u1ed3m cortisol, aldosterone v\u00e0 androgen. \u0110\u00e2y l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng kh\u1ea9n c\u1ea5p hi\u1ebfm g\u1eb7p nh\u01b0ng c\u00f3 kh\u1ea3 n\u0103ng \u0111e d\u1ecda \u0111\u1ebfn t\u00ednh m\u1ea1ng.&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\/benh-addison-2.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82577\"\/><figcaption class=\"wp-element-caption\">B\u1ec7nh Addison l\u00e0 g\u00ec?<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Di\u1ec5n bi\u1ebfn ng\u1ea5m ng\u1ea7m c\u1ee7a b\u1ec7nh Addison th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 thi\u1ebfu h\u1ee5t glucocorticoid, sau \u0111\u00f3 l\u00e0 thi\u1ebfu h\u1ee5t mineralocorticoid. Tuy nhi\u00ean, n\u00f3 c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n c\u1ea5p t\u00ednh, th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00edch ho\u1ea1t b\u1edfi b\u1ec7nh xen k\u1ebd. Bi\u1ec3u hi\u1ec7n c\u1ee7a suy th\u01b0\u1ee3ng th\u1eadn ph\u1ee5 thu\u1ed9c v\u00e0o t\u1ed1c \u0111\u1ed9 v\u00e0 m\u1ee9c \u0111\u1ed9 t\u1ed5n th\u01b0\u01a1ng ch\u1ee9c n\u0103ng th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Tri\u1ec7u ch\u1ee9ng b\u1ec7nh Addison<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh Addison l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a t\u1ed5n th\u01b0\u01a1ng c\u1ea3 hai tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn n\u1eb1m tr\u00ean th\u1eadn. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Addison th\u01b0\u1eddng di\u1ec5n ra t\u1eeb t\u1eeb, th\u01b0\u1eddng k\u00e9o d\u00e0i h\u00e0ng th\u00e1ng, m\u01a1 h\u1ed3 v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u. B\u1ec7nh c\u00f3 th\u1ec3 di chuy\u1ec3n ch\u1eadm \u0111\u1ebfn m\u1ee9c nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecf qua c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00fac \u0111\u1ea7u. Sau \u0111\u00f3, m\u1ed9t c\u0103ng th\u1eb3ng, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh t\u1eadt ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng, l\u00e0m cho c\u00e1c tri\u1ec7u ch\u1ee9ng t\u1ed3i t\u1ec7 h\u01a1n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh Addison c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>M\u1ec7t m\u1ecfi m\u00e3n t\u00ednh v\u00e0 y\u1ebfu c\u01a1.<\/li>\n\n\n\n<li>Gi\u1ea3m c\u00e2n v\u00e0 <a href=\"https:\/\/www.docosan.com\/blog\/trieu-chung\/chan-an-la-benh-gi\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">ch\u00e1n \u0103n<\/a>, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ti\u00eau h\u00f3a th\u1ee9c \u0103n.<\/li>\n\n\n\n<li>N\u00e1m, s\u1ea1m da v\u00e0 <a href=\"https:\/\/www.docosan.com\/blog\/da-lieu\/tan-nhang\/\" target=\"_blank\" rel=\"noreferrer noopener nofollow\">t\u00e0n nhang<\/a> tr\u00ean da (da s\u1eabm m\u00e0u \u0111\u1eb7c bi\u1ec7t d\u1ec5 xu\u1ea5t hi\u1ec7n tr\u00ean tr\u00e1n, \u0111\u1ea7u g\u1ed1i v\u00e0 khu\u1ef7u tay ho\u1eb7c d\u1ecdc theo c\u00e1c v\u1ebft s\u1eb9o, n\u1ebfp g\u1ea5p da v\u00e0 n\u1ebfp nh\u0103n).<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p gi\u1ea3m nhi\u1ec1u h\u01a1n khi \u0111\u1ee9ng, \u0111i\u1ec1u n\u00e0y g\u00e2y ch\u00f3ng m\u1eb7t, \u0111\u00f4i khi \u0111\u1ebfn m\u1ee9c ng\u1ea5t x\u1ec9u.<\/li>\n\n\n\n<li>Th\u00e8m mu\u1ed1i (\u0103n m\u1eb7n).<\/li>\n\n\n\n<li>L\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n\n\n\n<li>\u0110au b\u1ee5ng d\u1eef d\u1ed9i, n\u00f4n m\u1eeda v\u00e0 ti\u00eau ch\u1ea3y, d\u1eabn \u0111\u1ebfn m\u1ea5t n\u01b0\u1edbc.<\/li>\n\n\n\n<li>\u0110au c\u01a1 v\u00e0 kh\u1edbp.<\/li>\n\n\n\n<li>C\u00e1u g\u1eaft, kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng \u0111\u1ed1i ph\u00f3 v\u1edbi c\u0103ng th\u1eb3ng.<\/li>\n\n\n\n<li>T\u00e2m tr\u1ea1ng th\u1ea5t th\u01b0\u1eddng, kh\u00f3 ch\u1ecbu v\u00e0 tr\u1ea7m c\u1ea3m.<\/li>\n\n\n\n<li>R\u1ee5ng l\u00f4ng tr\u00ean c\u01a1 th\u1ec3 ho\u1eb7c c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00ecnh d\u1ee5c \u1edf m\u1ed9t s\u1ed1 ng\u01b0\u1eddi.<\/li>\n\n\n\n<li>Kh\u00f4ng dung n\u1ea1p n\u00f3ng ho\u1eb7c l\u1ea1nh.<\/li>\n<\/ul>\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\/benh-addison-3.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82578\"\/><figcaption class=\"wp-element-caption\">H\u1ea1 huy\u1ebft \u00e1p l\u00e0 m\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng b\u1ec7nh Addison<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00ec c\u00e1c tri\u1ec7u ch\u1ee9ng b\u1ec7nh Addison ti\u1ebfn tri\u1ec3n ch\u1eadm n\u00ean ch\u00fang c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn ra cho \u0111\u1ebfn khi m\u1ed9t s\u1ef1 ki\u1ec7n c\u0103ng th\u1eb3ng v\u1ec1 th\u1ec3 ch\u1ea5t, ch\u1eb3ng h\u1ea1n nh\u01b0 m\u1ed9t c\u0103n b\u1ec7nh kh\u00e1c, ph\u1eabu thu\u1eadt ho\u1eb7c tai n\u1ea1n, l\u00e0m c\u00e1c tri\u1ec7u ch\u1ee9ng tr\u1edf n\u00ean tr\u1ea7m tr\u1ecdng h\u01a1n m\u1ed9t c\u00e1ch nhanh ch\u00f3ng. Khi \u0111i\u1ec1u n\u00e0y x\u1ea3y ra, n\u00f3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u1ee7ng ho\u1ea3ng Addison.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110\u1ed1i v\u1edbi m\u1ed9t trong b\u1ed1n ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Addison, \u0111\u00e2y l\u00e0 l\u1ea7n \u0111\u1ea7u ti\u00ean h\u1ecd nh\u1eadn ra m\u00ecnh b\u1ecb b\u1ec7nh. Suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ea5p t\u00ednh hay c\u00f2n g\u1ecdi l\u00e0 kh\u1ee7ng ho\u1ea3ng Addisonian \u0111\u01b0\u1ee3c coi \u0111\u01b0\u1ee3c xem nh\u01b0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p c\u1ea5p c\u1ee9u y t\u1ebf v\u00ec n\u00f3 c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a m\u1ed9t cu\u1ed9c kh\u1ee7ng ho\u1ea3ng Addisonian bao g\u1ed3m<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>S\u1ed1c khi c\u01a1 th\u1ec3 kh\u00f4ng c\u00f3 \u0111\u1ee7 l\u01b0u l\u01b0\u1ee3ng m\u00e1u (huy\u1ebft \u00e1p th\u1ea5p).<\/li>\n\n\n\n<li>Suy nhi\u1ec1u c\u01a1 quan n\u1ebfu kh\u00f4ng th\u1ec3 ph\u1ee5c h\u1ed3i l\u01b0u th\u00f4ng m\u00e1u.<\/li>\n\n\n\n<li>\u0110au xuy\u00ean th\u1ea5u \u0111\u1ed9t ng\u1ed9t \u1edf l\u01b0ng d\u01b0\u1edbi, b\u1ee5ng ho\u1eb7c ch\u00e2n.<\/li>\n\n\n\n<li>N\u00f4n m\u1eeda v\u00e0 <a href=\"https:\/\/www.docosan.com\/blog\/tieu-hoa\/tieu-chay-keo-dai\/\" target=\"_blank\" rel=\"noreferrer noopener\">ti\u00eau ch\u1ea3y n\u1eb7ng<\/a>, sau \u0111\u00f3 l\u00e0 m\u1ea5t n\u01b0\u1edbc.<\/li>\n\n\n\n<li>S\u1ed1t.<\/li>\n\n\n\n<li>C\u01a1 th\u1ec3 y\u1ebfu v\u00e0 m\u1ec7t m\u1ecfi.<\/li>\n\n\n\n<li>Huy\u1ebft \u00e1p th\u1ea5p.<\/li>\n\n\n\n<li>M\u1ea5t \u00fd th\u1ee9c ho\u1eb7c m\u00ea s\u1ea3ng.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh Addison<\/strong><\/h2>\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\/benh-addison-4.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82579\"\/><figcaption class=\"wp-element-caption\">Ng\u1eebng corticosteroids \u0111\u1ed9t ng\u1ed9t trong \u0111i\u1ec1u tr\u1ecb hen suy\u1ec5n g\u00e2y suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t&nbsp;<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c <a href=\"https:\/\/www.docosan.com\/blog\/noi-tiet\/tuyen-thuong-than\/\" target=\"_blank\" rel=\"noreferrer noopener\">tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/a> n\u1eb1m ngay ph\u00eda tr\u00ean m\u1ed7i qu\u1ea3 th\u1eadn. Ch\u00fang t\u1ea1o ra c\u00e1c hormone \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c c\u01a1 quan v\u00e0 m\u00f4 tr\u00ean kh\u1eafp c\u01a1 th\u1ec3. C\u00e1c tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn bao g\u1ed3m hai l\u1edbp: l\u00f5i l\u00e0 l\u1edbp b\u00ean trong v\u00e0 v\u1ecf l\u00e0 l\u1edbp ngo\u00e0i. L\u00f5i t\u1ea1o ra c\u00e1c hormone gi\u1ed1ng nh\u01b0 epinephrine, trong khi v\u1ecf ti\u1ebft ra corticosteroid. B\u1ec7nh Addison l\u00e0 do t\u1ed5n th\u01b0\u01a1ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0m gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t c\u00e1c hormone nh\u01b0 cortisol, aldosterone v\u00e0 androgen.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn chia l\u00e0m 2 lo\u1ea1i:<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Suy th\u1eadn nguy\u00ean ph\u00e1t l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn n\u1ed9i t\u1ea1i qua trung gian t\u1ef1 mi\u1ec5n d\u1ecbch (c\u1ea3 thi\u1ebfu h\u1ee5t cortisol v\u00e0 aldosterone). C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>B\u1ec7nh t\u1ef1 mi\u1ec5n<\/li>\n\n\n\n<li><a href=\"https:\/\/www.docosan.com\/blog\/truyen-nhiem\/benh-lao\/\" target=\"_blank\" rel=\"noreferrer noopener\">B\u1ec7nh lao<\/a><\/li>\n\n\n\n<li>Nhi\u1ec5m tr\u00f9ng huy\u1ebft<\/li>\n\n\n\n<li>Cytomegalovirus&nbsp;<\/li>\n\n\n\n<li><a href=\"https:\/\/www.docosan.com\/blog\/truyen-nhiem\/hiv\/\" target=\"_blank\" rel=\"noreferrer noopener\">HIV<\/a><\/li>\n\n\n\n<li>Xu\u1ea5t huy\u1ebft th\u01b0\u1ee3ng th\u1eadn<\/li>\n\n\n\n<li>Th\u00e2m nhi\u1ec5m tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn <\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn y\u00ean t\u1ea1o ra m\u1ed9t lo\u1ea1i hormone g\u1ecdi l\u00e0 hormon v\u1ecf th\u01b0\u1ee3ng th\u1eadn (ACTH). ACTH l\u1ea7n l\u01b0\u1ee3t l\u00e0m cho v\u1ecf th\u01b0\u1ee3ng th\u1eadn t\u1ea1o ra c\u00e1c hormone c\u1ee7a n\u00f3. C\u00f3 kh\u1ed1i u tuy\u1ebfn y\u00ean kh\u00f4ng ph\u1ea3i ung th\u01b0, vi\u00eam v\u00e0 ph\u1eabu thu\u1eadt tuy\u1ebfn y\u00ean c\u00f3 th\u1ec3 khi\u1ebfn tuy\u1ebfn y\u00ean t\u1ea1o ra qu\u00e1 \u00edt ACTH.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Suy gi\u1ea3m th\u1ee9 ph\u00e1t x\u1ea3y ra ph\u1ed5 bi\u1ebfn nh\u1ea5t do s\u1eed d\u1ee5ng steroid ngo\u1ea1i sinh d\u1eabn \u0111\u1ebfn \u1ee9c ch\u1ebf t\u1ed5ng h\u1ee3p ACTH. \u0110\u00f3 l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t ti\u1ebft ACTH ph\u1ee5 thu\u1ed9c v\u00e0o tuy\u1ebfn y\u00ean, d\u1eabn \u0111\u1ebfn gi\u1ea3m s\u1ea3n xu\u1ea5t glucocorticoid. Tuy nhi\u00ean, b\u00e0i ti\u1ebft mineralocorticoid, bao g\u1ed3m aldosterone, v\u1eabn \u1edf m\u1ee9c t\u01b0\u01a1ng \u0111\u1ed1i b\u00ecnh th\u01b0\u1eddng. C\u00e1c tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng x\u1ea3y ra sau khi ng\u1eebng s\u1eed d\u1ee5ng steroid.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nguy\u00ean nh\u00e2n t\u1ea1m th\u1eddi c\u1ee7a suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t x\u1ea3y ra khi nh\u1eefng ng\u01b0\u1eddi d\u00f9ng corticosteroid, ch\u1eb3ng h\u1ea1n nh\u01b0 prednisone, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nh\u01b0 hen suy\u1ec5n ho\u1eb7c vi\u00eam kh\u1edbp, ng\u1eebng d\u00f9ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t thay v\u00ec gi\u1ea3m d\u1ea7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">H\u1ea7u h\u1ebft c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 suy th\u01b0\u1ee3ng th\u1eadn nguy\u00ean ph\u00e1t. Tuy nhi\u00ean, nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy th\u01b0\u1ee3ng th\u1eadn th\u1ee9 ph\u00e1t kh\u00f4ng c\u00f3 l\u00e0n da s\u1eabm m\u00e0u v\u00e0 \u00edt c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb m\u1ea5t n\u01b0\u1edbc nghi\u00eam tr\u1ecdng ho\u1eb7c huy\u1ebft \u00e1p th\u1ea5p. H\u1ecd c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb <a href=\"https:\/\/www.docosan.com\/blog\/noi-tiet\/ha-duong-huyet\/\" target=\"_blank\" rel=\"noreferrer noopener\">h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ch\u1ea9n \u0111o\u00e1n b\u1ec7nh Addison<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh Addison \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng nhi\u1ec1u x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 h\u00ecnh \u1ea3nh \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c nh\u1eadn t\u00ecnh tr\u1ea1ng suy th\u01b0\u1ee3ng th\u1eadn. Ch\u1ea9n \u0111o\u00e1n th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u1eaft \u0111\u1ea7u d\u1ef1a tr\u00ean s\u1ef1 xu\u1ea5t hi\u1ec7n c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1eadn bi\u1ebft, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u0103ng s\u1eafc t\u1ed1, m\u1ec7t m\u1ecfi v\u00e0 th\u00e8m mu\u1ed1i (b\u1ed9 ba tri\u1ec7u ch\u1ee9ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u1ed5 \u0111i\u1ec3n). <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u1ede nh\u1eefng ng\u01b0\u1eddi kh\u00e1c, x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ecbnh k\u1ef3 c\u00f3 th\u1ec3 cho th\u1ea5y nh\u1eefng b\u1ea5t th\u01b0\u1eddng g\u1ee3i \u00fd v\u1ec1 b\u1ec7nh, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c \u0111\u1ee3t h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, h\u1ea1 natri m\u00e1u v\u00e0 h\u1ea1 kali m\u00e1u t\u00e1i ph\u00e1t kh\u00f4ng gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>X\u00e9t nghi\u1ec7m cortisol huy\u1ebft thanh<\/strong> <\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">X\u00e9t nghi\u1ec7m cortisol huy\u1ebft thanh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 cortisol trong m\u00e1u c\u1ee7a b\u1ea1n. M\u1ee9c cortisol th\u1ea5p (&lt; 3 mcg\/dL) l\u00e0 \u0111\u1ee7 \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n suy th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>&gt;18 microgam\/dL = B\u00ecnh th\u01b0\u1eddng<\/li>\n\n\n\n<li>&lt;3 microgam\/dL = Suy th\u01b0\u1ee3ng th\u1eadn<\/li>\n\n\n\n<li>&nbsp;&nbsp;3-19 microgam\/dL \/dL = Kh\u00f4ng r\u00f5 r\u00e0ng v\u00e0 n\u00ean \u0111\u00e1nh gi\u00e1 th\u00eam<\/li>\n<\/ul>\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\/benh-addison-5.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82580\"\/><figcaption class=\"wp-element-caption\">X\u00e9t nghi\u1ec7m Cortisol huy\u1ebft thanh&nbsp;<\/figcaption><\/figure>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Th\u1eed nghi\u1ec7m k\u00edch th\u00edch ACTH<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1eed d\u1ee5ng m\u1ed9t ACTH t\u1ed5ng h\u1ee3p \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 Cosyntropin (tetracosactide). Th\u1eed nghi\u1ec7m so s\u00e1nh m\u1ee9c \u0111\u1ed9 cortisol tr\u01b0\u1edbc v\u00e0 sau khi ti\u00eam ACTH. Gi\u00e1 tr\u1ecb cortisol t\u1eeb 7 mcg\/dL tr\u1edf l\u00ean l\u00fac ban \u0111\u1ea7u t\u0103ng l\u00ean 20 microgam tr\u00ean m\u1ed7i decilit (mcg\/dL) tr\u1edf l\u00ean trong 30 \u0111\u1ebfn 60 ph\u00fat s\u1ebd lo\u1ea1i tr\u1eeb nguy\u00ean nh\u00e2n do suy th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c nghi\u00ean c\u1ee9u v\u1ec1 t\u1ef1 kh\u00e1ng th\u1ec3 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 ph\u00e1t hi\u1ec7n c\u00e1c protein, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 kh\u00e1ng th\u1ec3 21-hydroxylase, li\u00ean quan \u0111\u1ebfn vi\u00eam tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn t\u1ef1 mi\u1ec5n d\u1ecbch.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c x\u00e9t nghi\u1ec7m h\u00ecnh \u1ea3nh nh\u01b0 si\u00eau \u00e2m, ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) v\u00e0 ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb ( MRI) s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ki\u1ec3m tra xem c\u00f3 b\u1ea5t k\u1ef3 b\u1ea5t th\u01b0\u1eddng n\u00e0o \u1edf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hay kh\u00f4ng.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tra b\u1ed5 sung \u0111\u1ec3 lo\u1ea1i tr\u1eeb t\u1ea5t c\u1ea3 c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y suy th\u01b0\u1ee3ng th\u1eadn. C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c c\u00f3 th\u1ec3 bao g\u1ed3m c\u01b0\u1eddng gi\u00e1p (tuy\u1ebfn gi\u00e1p ho\u1ea1t \u0111\u1ed9ng qu\u00e1 m\u1ee9c), ung th\u01b0 h\u1ea1ch, ch\u00e1n \u0103n t\u00e2m th\u1ea7n, b\u1ec7nh hemochromatosis (qu\u00e1 t\u1ea3i s\u1eaft) v\u00e0 \u1ee9c ch\u1ebf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn do \u0111i\u1ec1u tr\u1ecb b\u1eb1ng corticosteroid.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u0110i\u1ec1u tr\u1ecb b\u1ec7nh Addison<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eadn bi\u1ebft s\u1edbm b\u1ec7nh Addison \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng \u0111\u1ec3 ki\u1ec3m so\u00e1t suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. C\u01a1n Addison l\u00e0 m\u1ed9t tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p nghi\u00eam tr\u1ecdng v\u1ec1 n\u1ed9i ti\u1ebft; c\u1ea7n ph\u1ea3i nh\u1eadn bi\u1ebft v\u00e0 \u0111i\u1ec1u tr\u1ecb ngay l\u1eadp t\u1ee9c. N\u1ebfu b\u1ea1n kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Addison, c\u01a1n kh\u1ee7ng ho\u1ea3ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Giai \u0111o\u1ea1n c\u1ea5p t\u00ednh<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t b\u1ec7nh nh\u00e2n b\u1ecb kh\u1ee7ng ho\u1ea3ng Addisonian c\u1ea7n nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>H\u1ed3i s\u1ee9c truy\u1ec1n d\u1ecbch \u0111\u1ec3 ph\u1ee5c h\u1ed3i th\u1ec3 t\u00edch n\u1ed9i m\u1ea1ch b\u1eb1ng n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd t\u0129nh m\u1ea1ch (IV)<\/li>\n\n\n\n<li>Dextrose \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/li>\n\n\n\n<li>\u0110i\u1ec1u ch\u1ec9nh s\u1ef1 thi\u1ebfu h\u1ee5t hormone, c\u1ea3 glucocorticoid v\u00e0 mineralocorticoid<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft t\u1ed1 ngay l\u1eadp t\u1ee9c l\u00e0 s\u1eed d\u1ee5ng hydrocortison<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ecbch truy\u1ec1n ban \u0111\u1ea7u l\u00e0 n\u01b0\u1edbc mu\u1ed1i sinh l\u00fd , sau \u0111\u00f3 l\u00e0 glucose 5% trong n\u01b0\u1edbc mu\u1ed1i \u0111\u1eb3ng tr\u01b0\u01a1ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 n\u00e2ng huy\u1ebft \u00e1p k\u1ecbp th\u1eddi<\/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\/benh-addison-6.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82581\"\/><figcaption class=\"wp-element-caption\">Hydrocortison l\u00e0 li\u1ec7u ph\u00e1p thay th\u1ebf hormon n\u1ed9i sinh<\/figcaption><\/figure>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Li\u1ec1u ban \u0111\u1ea7u: 100 mg ti\u00eam t\u0129nh m\u1ea1ch nhanh<\/li>\n\n\n\n<li>Ti\u1ebfp theo: 50-100 mg ti\u00eam t\u0129nh m\u1ea1ch c\u1ee9 sau 6 gi\u1edd trong v\u00f2ng 24 gi\u1edd<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">V\u00ec li\u1ec1u l\u01b0\u1ee3ng n\u00e0y c\u00f3 ho\u1ea1t t\u00ednh mineralocorticoid \u0111\u00e1ng k\u1ec3, n\u00ean c\u00e1c mineralocorticoid nh\u01b0 fludrocortisone l\u00e0 kh\u00f4ng c\u1ea7n thi\u1ebft trong giai \u0111o\u1ea1n c\u1ea5p t\u00ednh. Trong khi \u0111\u00f3, Prednisone v\u00e0 dexamethasone c\u00f3 \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh mineralocorticoid. <\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Giai \u0111o\u1ea1n duy tr\u00ec<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">B\u1ec7nh Addison c\u1ea7n \u0111i\u1ec1u tr\u1ecb su\u1ed1t \u0111\u1eddi b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1 thay th\u1ebf. \u0110i\u1ec1u tr\u1ecb duy tr\u00ec nh\u1eb1m cung c\u1ea5p m\u1ed9t s\u1ef1 thay th\u1ebf \u0111\u1ec3 duy tr\u00ec m\u1ee9c glucocorticoid v\u00e0 mineralocorticoid sinh l\u00fd. C\u00e1c li\u1ec1u th\u00f4ng th\u01b0\u1eddng nh\u01b0 sau;<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Glucocorticoid<\/strong><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hydrocortisone 5-25 mg\/ng\u00e0y (c\u00f3 th\u1ec3 chia l\u00e0m 2 &#8211; 3 l\u1ea7n)<\/li>\n\n\n\n<li>Prednisone 3-5 mg\/ng\u00e0y<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Li\u1ec1u n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh theo \u0111\u00e1p \u1ee9ng <a href=\"https:\/\/www.docosan.com\/blog\/kien-thuc-y-te\/lam-sang\/\" target=\"_blank\" rel=\"noreferrer noopener\">l\u00e2m s\u00e0ng<\/a> v\u00e0 b\u00ecnh th\u01b0\u1eddng h\u00f3a c\u00e1c b\u1ea5t th\u01b0\u1eddng \u0111i\u1ec7n gi\u1ea3i. \u0110\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5, n\u00ean \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u \u0111\u1ebfn li\u1ec1u th\u1ea5p nh\u1ea5t c\u00f3 th\u1ec3 \u0111\u1ec3 ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng, \u0111\u1ea3m b\u1ea3o b\u1ec7nh nh\u00e2n kh\u1ecfe v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng.\u00a0<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><strong>Mineralocorticoid<\/strong><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Fludrocortisone: 0,05 &#8211; 0,2 mg m\u1ed7i ng\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Fludrocortisone n\u00ean \u0111\u01b0\u1ee3c d\u00f9ng v\u1edbi li\u1ec1u l\u01b0\u1ee3ng \u0111\u1ee7 \u0111\u1ec3 gi\u1eef m\u1ee9c renin huy\u1ebft t\u01b0\u01a1ng trong ph\u1ea1m vi tham chi\u1ebfu. Li\u1ec1u l\u01b0\u1ee3ng mineralocorticoid n\u00ean \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 gi\u1ea3i quy\u1ebft m\u1ee9c \u0111\u1ed9 c\u0103ng th\u1eb3ng. H\u01a1n n\u1eefa, vi\u1ec7c x\u00e1c \u0111\u1ecbnh v\u00e0 \u0111i\u1ec1u tr\u1ecb c\u00e1c nguy\u00ean nh\u00e2n c\u01a1 b\u1ea3n nh\u01b0 nhi\u1ec5m tr\u00f9ng huy\u1ebft l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1i \u01b0u. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e1c \u0111i\u1ec1u ki\u1ec7n li\u00ean quan c\u0169ng n\u00ean \u0111\u01b0\u1ee3c cung c\u1ea5p.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>C\u00e2n nh\u1eafc trong \u0111i\u1ec1u tr\u1ecb<\/strong><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh Addison, s\u1ef1 ti\u1ebft glucocorticoid kh\u00f4ng t\u0103ng khi b\u1ecb c\u0103ng th\u1eb3ng. Do \u0111\u00f3, trong tr\u01b0\u1eddng h\u1ee3p b\u1ecb s\u1ed1t, nhi\u1ec5m tr\u00f9ng ho\u1eb7c c\u00e1c b\u1ec7nh kh\u00e1c, n\u00ean t\u0103ng li\u1ec1u hydrocortison \u0111\u1ec3 b\u00f9 \u0111\u1eafp cho ph\u1ea3n \u1ee9ng c\u0103ng th\u1eb3ng c\u00f3 th\u1ec3 x\u1ea3y ra. N\u00f3i chung, li\u1ec1u l\u01b0\u1ee3ng th\u00f4ng th\u01b0\u1eddng \u0111\u1ed1i v\u1edbi c\u0103ng th\u1eb3ng g\u1ea5p 2-3 l\u1ea7n li\u1ec1u l\u01b0\u1ee3ng duy tr\u00ec h\u00e0ng ng\u00e0y.<\/li>\n\n\n\n<li>B\u1ec7nh nh\u00e2n d\u00f9ng rifampicin c\u1ea7n t\u0103ng li\u1ec1u hydrocortison, v\u00ec n\u00f3 l\u00e0m t\u0103ng \u0111\u1ed9 thanh th\u1ea3i c\u1ee7a hydrocortison.<\/li>\n\n\n\n<li>Hormon tuy\u1ebfn gi\u00e1p c\u00f3 th\u1ec3 l\u00e0m t\u0103ng thanh th\u1ea3i cortisol \u1edf gan, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra m\u1ed9t cu\u1ed9c kh\u1ee7ng ho\u1ea3ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn. Thay th\u1ebf glucocorticoid c\u00f3 kh\u1ea3 n\u0103ng b\u00ecnh th\u01b0\u1eddng h\u00f3a hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p.<\/li>\n\n\n\n<li>\u1ede nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o nh\u1ea1t \u0111\u1ed3ng th\u1eddi, li\u1ec7u ph\u00e1p glucocorticoid c\u00f3 th\u1ec3 l\u00e0m tr\u1ea7m tr\u1ecdng th\u00eam b\u1ec7nh \u0111\u00e1i th\u00e1o nh\u1ea1t. Cortisol l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u1ea3i ph\u00f3ng n\u01b0\u1edbc t\u1ef1 do v\u00e0 thi\u1ebfu h\u1ee5t cortisol c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba \u0111a ni\u1ec7u.<\/li>\n\n\n\n<li><a href=\"https:\/\/www.docosan.com\/blog\/phu-san\/dau-hieu-mang-thai\/\" target=\"_blank\" rel=\"noreferrer noopener\">Mang thai<\/a>, \u0111\u1eb7c bi\u1ec7t l\u00e0 trong tam c\u00e1 nguy\u1ec7t th\u1ee9 ba, l\u00e0m t\u0103ng nhu c\u1ea7u corticosteroid.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Bi\u1ebfn ch\u1ee9ng b\u1ec7nh Addison<\/strong><\/h2>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>Kh\u1ee7ng ho\u1ea3ng Addisonian<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu b\u1ea1n m\u1eafc b\u1ec7nh Addison kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, b\u1ea1n c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n m\u1ed9t cu\u1ed9c kh\u1ee7ng ho\u1ea3ng Addisonian do c\u01a1 th\u1ec3 b\u1ecb c\u0103ng th\u1eb3ng, ch\u1eb3ng h\u1ea1n nh\u01b0 ch\u1ea5n th\u01b0\u01a1ng, nhi\u1ec5m tr\u00f9ng ho\u1eb7c b\u1ec7nh t\u1eadt. Th\u00f4ng th\u01b0\u1eddng, tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn t\u1ea1o ra l\u01b0\u1ee3ng cortisol g\u1ea5p hai ho\u1eb7c ba l\u1ea7n b\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi c\u0103ng th\u1eb3ng v\u1ec1 th\u1ec3 ch\u1ea5t. Khi b\u1ecb suy th\u01b0\u1ee3ng th\u1eadn, vi\u1ec7c kh\u00f4ng th\u1ec3 t\u0103ng l\u01b0\u1ee3ng cortisol \u0111\u01b0\u1ee3c t\u1ea1o ra do c\u0103ng th\u1eb3ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ed9t cu\u1ed9c kh\u1ee7ng ho\u1ea3ng Addisonian. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">M\u1ed9t cu\u1ed9c kh\u1ee7ng ho\u1ea3ng addisonian d\u1eabn \u0111\u1ebfn huy\u1ebft \u00e1p th\u1ea5p, l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u th\u1ea5p v\u00e0 n\u1ed3ng \u0111\u1ed9 kali trong m\u00e1u cao. T\u00ecnh hu\u1ed1ng n\u00e0y g\u00e2y \u0111e d\u1ecda t\u00ednh m\u1ea1ng v\u00e0 \u0111\u00f2i h\u1ecfi s\u1ef1 ch\u0103m s\u00f3c y t\u1ebf ngay l\u1eadp t\u1ee9c.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><strong>C\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n kh\u00e1c<\/strong><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">C\u00e1c nghi\u00ean c\u1ee9u cho r\u1eb1ng nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Addison th\u01b0\u1eddng m\u1eafc c\u00e1c b\u1ec7nh t\u1ef1 mi\u1ec5n li\u00ean quan.<\/p>\n\n\n\n<figure class=\"wp-block-image size-full is-resized\"><img decoding=\"async\" src=\"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/07\/benh-addison-7.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82582\" style=\"width:700px;height:466px\"\/><figcaption class=\"wp-element-caption\">B\u1ec7nh t\u1ef1 mi\u1ec5n<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>Ph\u00f2ng ng\u1eeba b\u1ec7nh Addison<\/strong><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng th\u1ec3 ng\u0103n ng\u1eeba b\u1ec7nh Addison nh\u01b0ng c\u00f3 nhi\u1ec1u c\u00e1ch \u0111\u1ec3 tr\u00e1nh c\u01a1n kh\u1ee7ng ho\u1ea3ng Addison:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>\u0110\u1ebfn g\u1eb7p b\u00e1c s\u0129 c\u1ee7a b\u1ea1n n\u1ebfu b\u1ea1n lu\u00f4n c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi ho\u1eb7c y\u1ebfu ho\u1eb7c \u0111ang gi\u1ea3m c\u00e2n m\u00e0 kh\u00f4ng c\u1ea7n c\u1ed1 g\u1eafng. H\u1ecfi v\u1ec1 t\u00ecnh tr\u1ea1ng thi\u1ebfu h\u1ee5t tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/li>\n\n\n\n<li>N\u1ebfu b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh Addison, h\u00e3y h\u1ecfi b\u00e1c s\u0129 nh\u1eefng vi\u1ec7c c\u1ea7n l\u00e0m khi b\u1ea1n b\u1ecb b\u1ec7nh. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n h\u1ecdc c\u00e1ch t\u0103ng li\u1ec1u corticosteroid.<\/li>\n\n\n\n<li>N\u1ebfu b\u1ea1n b\u1ecb \u1ed1m n\u1eb7ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu b\u1ea1n b\u1ecb n\u00f4n v\u00e0 kh\u00f4ng th\u1ec3 u\u1ed1ng thu\u1ed1c, h\u00e3y \u0111\u1ebfn ph\u00f2ng c\u1ea5p c\u1ee9u.<\/li>\n\n\n\n<li>M\u1ed9t s\u1ed1 ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Addison lo l\u1eafng v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng c\u1ee7a hydrocortison ho\u1eb7c prednisone. Tuy nhi\u00ean, nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Addison kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a glucocorticoid li\u1ec1u cao. \u0110\u00f3 l\u00e0 b\u1edfi v\u00ec li\u1ec1u l\u01b0\u1ee3ng quy \u0111\u1ecbnh thay th\u1ebf s\u1ed1 l\u01b0\u1ee3ng c\u00f2n thi\u1ebfu.<\/li>\n\n\n\n<li>N\u1ebfu b\u1ea1n d\u00f9ng cortisone, h\u00e3y nh\u1edb theo d\u00f5i th\u01b0\u1eddng xuy\u00ean v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o li\u1ec1u l\u01b0\u1ee3ng c\u1ee7a b\u1ea1n kh\u00f4ng qu\u00e1 cao.<\/li>\n\n\n\n<li>Tr\u00e1nh l\u1ea1m d\u1ee5ng c\u00e1c thu\u1ed1c corticosteroid, ch\u1eb3ng h\u1ea1n nh\u01b0 prednisone, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh nh\u01b0 <a href=\"https:\/\/www.docosan.com\/blog\/ho-hap\/hen-suyen\/\" target=\"_blank\" rel=\"noreferrer noopener\">hen suy\u1ec5n<\/a> ho\u1eb7c vi\u00eam kh\u1edbp, ng\u1eebng d\u00f9ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t thay v\u00ec gi\u1ea3m d\u1ea7n.<\/li>\n<\/ul>\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\/benh-addison-8.jpg\" alt=\"b\u1ec7nh addison\" class=\"wp-image-82583\"\/><figcaption class=\"wp-element-caption\">\u0110\u1ebfn g\u1eb7p b\u00e1c s\u0129 khi c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ec7nh Addison<\/figcaption><\/figure>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p <\/strong><\/h2>\n\n\n<div id=\"rank-math-faq\" class=\"rank-math-block\">\n<div class=\"rank-math-list \">\n<div id=\"faq-question-1695724841515\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Addison<\/strong>?<\/h4>\n<div class=\"rank-math-answer \">\n\n<p>Thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Addison g\u1ed3m c\u00e1c li\u1ec7u ph\u00e1p thay th\u1ebf hormon nh\u01b0 Hydrocortison, Prednisolon, Fludrocortisone.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1695724851405\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>B\u1ec7nh Addison c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>B\u1ec7nh Addison c\u1ea7n \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, n\u1ebfu b\u1ea1n kh\u00f4ng \u0111\u01b0\u1ee3c nh\u1eadn bi\u1ebft v\u00e0 \u0111i\u1ec1u tr\u1ecb, c\u01a1n kh\u1ee7ng ho\u1ea3ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 g\u00e2y t\u1eed vong.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1695724861092\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>V\u00ec sao b\u1ec7nh Addison?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>B\u1ec7nh Addison l\u00e0 do t\u1ed5n th\u01b0\u01a1ng tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0m gi\u00e1n \u0111o\u1ea1n qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t c\u00e1c hormone nh\u01b0 cortisol, aldosterone v\u00e0 androgen.<\/p>\n\n<\/div>\n<\/div>\n<div id=\"faq-question-1695724872308\" class=\"rank-math-list-item\">\n<h4 class=\"rank-math-question \"><strong>Ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Addison?<\/strong><\/h4>\n<div class=\"rank-math-answer \">\n\n<p>S\u1eed d\u1ee5ng n\u1ed9i ti\u1ebft t\u1ed1 thay th\u1ebf nh\u1eb1m duy tr\u00ec m\u1ee9c glucocorticoid v\u00e0 mineralocorticoid sinh l\u00fd.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">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. N\u1ebfu b\u1ea1n ho\u1eb7c ng\u01b0\u1eddi th\u00e2n c\u1ee7a b\u1ea1n c\u00f3 nhu c\u1ea7u t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 b\u1ec7nh Addison , xin vui l\u00f2ng \u0111\u1eb7t l\u1ecbch kh\u00e1m v\u1edbi b\u00e1c s\u0129 tr\u00ean <a href=\"https:\/\/www.docosan.com\/\" target=\"_blank\" rel=\"noreferrer noopener\"><strong>docosan.com<\/strong><\/a>.<\/p>\n\n\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/www.mayoclinic.org\/diseases-conditions\/addisons-disease\/symptoms-causes\/syc-20350293\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.mayoclinic.org\/diseases-conditions\/addisons-disease\/symptoms-causes\/syc-20350293<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441994\/\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK441994\/<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.webmd.com\/a-to-z-guides\/understanding-addisons-disease-symptoms\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.webmd.com\/a-to-z-guides\/understanding-addisons-disease-symptoms<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.medicalnewstoday.com\/articles\/186236\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.medicalnewstoday.com\/articles\/186236<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/www.verywellhealth.com\/addisons-disease-symptoms-cause-diagnosis-treatment-4172782\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.verywellhealth.com\/addisons-disease-symptoms-cause-diagnosis-treatment-4172782<\/a><\/li>\n<\/ul>\n\n\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Addison l\u00e0 m\u1ed9t c\u0103n b\u1ec7nh hi\u1ebfm g\u1eb7p, x\u1ea3y ra m\u1ed9t c\u00e1ch \u00e2m th\u1ea7m, dai d\u1eb3ng v\u00e0 kh\u00f3 nh\u1eadn bi\u1ebft. B\u1ec7nh Addison \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn hai b\u00ean d\u1eabn \u0111\u1ebfn s\u1ee5t gi\u1ea3m c\u00e1c hormon n\u1ed9i sinh nh\u01b0 cortisol, aldosterone v\u00e0 androgen. B\u1ec7nh Addison c\u00f3 kh\u1ea3 n\u0103ng ti\u1ebfn tri\u1ec3n th\u00e0nh nh\u1eefng [&hellip;]<\/p>\n","protected":false},"author":19,"featured_media":109724,"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-105899","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\/benh-addison-1-600x400.jpg","featured_image_src_square":"https:\/\/www.docosan.com\/blog\/wp-content\/uploads\/2023\/08\/benh-addison-1-600x533.jpg","author_info":{"display_name":"D\u01b0\u1ee3c S\u0129 V\u00f5 Ng\u1ecdc Th\u1ea3o","author_link":"https:\/\/www.docosan.com\/blog\/author\/thaovo\/"},"_links":{"self":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105899","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\/19"}],"replies":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/comments?post=105899"}],"version-history":[{"count":0,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/posts\/105899\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media\/109724"}],"wp:attachment":[{"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/media?parent=105899"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/categories?post=105899"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.docosan.com\/blog\/wp-json\/wp\/v2\/tags?post=105899"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}