{"id":18292,"date":"2023-02-10T08:03:32","date_gmt":"2023-02-10T01:03:32","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=18292"},"modified":"2023-02-10T08:03:32","modified_gmt":"2023-02-10T01:03:32","slug":"benh-hashimoto-trieu-chung-nguyen-nhan-va-dieu-tri","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2023\/02\/10\/benh-hashimoto-trieu-chung-nguyen-nhan-va-dieu-tri\/","title":{"rendered":"B\u1ec7nh Hashimoto: Tri\u1ec7u ch\u1ee9ng, nguy\u00ean nh\u00e2n v\u00e0 \u0111i\u1ec1u tr\u1ecb"},"content":{"rendered":"<p>B\u1ec7nh Hashimoto\u00a0c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0\u00a0vi\u00eam tuy\u1ebfn gi\u00e1p Hashimoto, vi\u00eam tuy\u1ebfn gi\u00e1p lympho b\u00e0o m\u1ea1n t\u00ednh v\u00e0\u00a0vi\u00eam tuy\u1ebfn gi\u00e1p\u00a0t\u1ef1 mi\u1ec5n m\u1ea1n t\u00ednh.<\/p>\n<h4>Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Hashimoto<\/h4>\n<p>B\u1ec7nh Hashimoto ti\u1ebfn tri\u1ec3n ch\u1eadm qua nhi\u1ec1u n\u0103m. \u1ede giai \u0111o\u1ea1n \u0111\u1ea7u c\u00f3 th\u1ec3 kh\u00f4ng nh\u1eadn th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. S\u1ef1 suy gi\u1ea3m s\u1ea3n xu\u1ea5t hormone tuy\u1ebfn gi\u00e1p c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn b\u1ea5t k\u1ef3 \u0111i\u1ec1u n\u00e0o sau \u0111\u00e2y:<\/p>\n<p>&#8211; M\u1ec7t m\u1ecfi v\u00e0 u\u1ec3 o\u1ea3i<\/p>\n<p>&#8211;\u00a0T\u0103ng c\u00e2n\u00a0m\u1eb7c d\u00f9 c\u1ea3m th\u1ea5y\u00a0ch\u00e1n \u0103n<\/p>\n<p>&#8211; Nh\u1ea1y c\u1ea3m v\u1edbi nhi\u1ec7t \u0111\u1ed9, c\u1ea3m th\u1ea5y l\u1ea1nh<\/p>\n<p>&#8211;\u00a0Bu\u1ed3n ng\u1ee7<\/p>\n<p>&#8211;\u00a0Da kh\u00f4, t\u00f3c kh\u00f4 v\u00e0 m\u1ecfng, m\u00f3ng tay d\u1ec5 g\u00e3y<\/p>\n<p>&#8211;\u00a0T\u00e1o b\u00f3n<\/p>\n<p>&#8211;\u00a0\u0110au c\u01a1, y\u1ebfu c\u01a1, c\u1ee9ng c\u01a1 \u1edf vai v\u00e0 \u0111\u00f9i<\/p>\n<p>&#8211; \u0110au kh\u1edbp v\u00e0 c\u1ee9ng kh\u1edbp<\/p>\n<p>&#8211;\u00a0R\u1ed1i lo\u1ea1n chu k\u1ef3 kinh nguy\u1ec7t\u00a0(th\u01b0\u1eddng l\u00e0 kinh nguy\u1ec7t nhi\u1ec1u) ho\u1eb7c kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/p>\n<p>&#8211; C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tr\u00ed nh\u1edb ho\u1eb7c s\u1ef1 t\u1eadp trung<\/p>\n<p>&#8211; S\u01b0ng tuy\u1ebfn gi\u00e1p (b\u01b0\u1edbu c\u1ed5) ho\u1eb7c\u00a0tuy\u1ebfn gi\u00e1p teo nh\u1ecf l\u1ea1i<\/p>\n<p>&#8211; M\u1eb7t s\u01b0ng\/ ph\u00f9<\/p>\n<p>&#8211; L\u01b0\u1ee1i to l\u00ean<\/p>\n<p>&#8211; Nh\u1ecbp tim ch\u1eadm l\u1ea1i<\/p>\n<figure id=\"attachment_18294\" aria-describedby=\"caption-attachment-18294\" style=\"width: 640px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18294 size-full\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/viem-tuyen-giap-hashimoto-1675066501832719811234.png\" alt=\"\" width=\"640\" height=\"432\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/viem-tuyen-giap-hashimoto-1675066501832719811234.png 640w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/viem-tuyen-giap-hashimoto-1675066501832719811234-300x203.png 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-18294\" class=\"wp-caption-text\">B\u1ec7nh Hashimoto ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef h\u01a1n nam gi\u1edbi.<\/figcaption><\/figure>\n<h4>Nguy\u00ean nh\u00e2n<\/h4>\n<p>B\u1ec7nh Hashimoto l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n d\u1ecbch. H\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o tuy\u1ebfn gi\u00e1p. C\u00f3 ngh\u0129a l\u00e0 h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 \u0111ang t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o v\u00e0 c\u01a1 quan c\u1ee7a ch\u00ednh n\u00f3. Th\u00f4ng th\u01b0\u1eddng, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch b\u1ea3o v\u1ec7 c\u01a1 th\u1ec3 ch\u1ed1ng l\u1ea1i nhi\u1ec5m tr\u00f9ng do vi khu\u1ea9n, virus v\u00e0 c\u00e1c ch\u1ea5t c\u00f3 h\u1ea1i kh\u00e1c.<\/p>\n<p>Trong b\u1ec7nh Hashimoto, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 t\u1ea5n c\u00f4ng v\u00e0 l\u00e0m h\u1ecfng m\u00f4 tuy\u1ebfn gi\u00e1p. K\u1ebft qu\u1ea3 l\u00e0 tuy\u1ebfn gi\u00e1p b\u1ecb vi\u00eam v\u00e0 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t hormone tuy\u1ebfn gi\u00e1p b\u1ecb t\u1ed5n h\u1ea1i, cu\u1ed1i c\u00f9ng d\u1eabn \u0111\u1ebfn\u00a0suy gi\u00e1p. Nguy\u00ean nh\u00e2n khi\u1ebfn h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ea5n c\u00f4ng c\u00e1c t\u1ebf b\u00e0o tuy\u1ebfn gi\u00e1p l\u00e0 kh\u00f4ng r\u00f5 r\u00e0ng. S\u1ef1 kh\u1edfi \u0111\u1ea7u c\u1ee7a b\u1ec7nh Hashimoto c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn:<\/p>\n<h4>&#8211; Y\u1ebfu t\u1ed1 gen di truy\u1ec1n<\/h4>\n<p>Nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh Hashimoto th\u01b0\u1eddng c\u00f3 ti\u1ec3u s\u1eed gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi nhi\u1ec5m b\u1ec7nh.<\/p>\n<h4>&#8211; Hormone<\/h4>\n<p>So v\u1edbi nam gi\u1edbi, n\u1eef gi\u1edbi c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh nhi\u1ec1u h\u01a1n. V\u00ec th\u1ebf, c\u00e1c hormone gi\u1edbi t\u00ednh c\u0169ng c\u00f3 vai tr\u00f2 quy\u1ebft \u0111\u1ecbnh \u0111\u1ebfn nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh. \u0110\u1eb7c bi\u1ec7t, m\u1ed9t v\u00e0i ph\u1ee5 n\u1eef c\u00f2n m\u1eafc b\u1ec7nh trong\u00a0th\u1eddi k\u1ef3 \u0111\u1ea7u mang thai.<\/p>\n<h4>&#8211; C\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng<\/h4>\n<p>Ch\u1eb3ng h\u1ea1n nh\u01b0 nhi\u1ec5m tr\u00f9ng, c\u0103ng th\u1eb3ng ho\u1eb7c ph\u01a1i nhi\u1ec5m ph\u00f3ng x\u1ea1.<\/p>\n<p>Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0: t\u01b0\u01a1ng t\u00e1c gi\u1eefa c\u00e1c y\u1ebfu t\u1ed1 m\u00f4i tr\u01b0\u1eddng v\u00e0 di truy\u1ec1n; C\u01a1 th\u1ec3 h\u1ea5p th\u1ee5 nhi\u1ec1u\u00a0i-\u1ed1t\u00a0m\u1ed9t c\u00e1ch qu\u00e1 m\u1ee9c cho ph\u00e9p<\/p>\n<h4>Ch\u1ea9n \u0111o\u00e1n<\/h4>\n<p>\u0110\u1ea7u ti\u00ean, d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00ean tr\u00ean v\u00e0 vi\u1ec7c th\u0103m kh\u00e1m tuy\u1ebfn gi\u00e1p \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh xem n\u00f3 c\u00f3 b\u1ecb ph\u00ec \u0111\u1ea1i hay kh\u00f4ng, b\u00e1c s\u0129 c\u00f3 th\u1ec3 d\u00f9ng m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p sau \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n:<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p (TSH): M\u1ee9c TSH cao th\u01b0\u1eddng c\u00f3 ngh\u0129a l\u00e0 tuy\u1ebfn gi\u00e1p kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u1ee7 hormone T4. X\u00e9t nghi\u1ec7m n\u00e0y th\u01b0\u1eddng ph\u00f9 h\u1ee3p nh\u1ea5t v\u1edbi ch\u1ea9n \u0111o\u00e1n suy gi\u00e1p ho\u1eb7c suy gi\u00e1p c\u1eadn l\u00e2m s\u00e0ng.<\/p>\n<figure id=\"attachment_18293\" aria-describedby=\"caption-attachment-18293\" style=\"width: 640px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-18293 size-full\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/tuyen-giap-hashimoto-1675067482009295149919.jpg\" alt=\"\" width=\"640\" height=\"427\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/tuyen-giap-hashimoto-1675067482009295149919.jpg 640w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/tuyen-giap-hashimoto-1675067482009295149919-300x200.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-18293\" class=\"wp-caption-text\">H\u00e3y \u0111\u1ebfn ngay c\u01a1 s\u1edf y t\u1ebf n\u1ebfu b\u1ea1n nh\u1eadn th\u1ea5y b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng vi\u00eam tuy\u1ebfn gi\u00e1p Hashimoto n\u00e0o ho\u1eb7c c\u1ea3m th\u1ea5y nh\u01b0 m\u00ecnh \u0111ang c\u00f3 c\u00e1c b\u1ec7nh v\u1ec1 tuy\u1ebfn gi\u00e1p.<\/figcaption><\/figure>\n<p>&#8211; X\u00e9t nghi\u1ec7m T4 (thyroxine): M\u1ee9c T4 th\u1ea5p cho th\u1ea5y ng\u01b0\u1eddi \u0111\u00f3 b\u1ecb suy gi\u00e1p.<\/p>\n<p>&#8211; X\u00e9t nghi\u1ec7m kh\u00e1ng th\u1ec3 tuy\u1ebfn gi\u00e1p: S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a kh\u00e1ng th\u1ec3 cho th\u1ea5y nguy c\u01a1 ph\u00e1t tri\u1ec3n b\u1ec7nh suy gi\u00e1p Hashimoto cao h\u01a1n.<\/p>\n<p>C\u00f3 th\u1ec3 b\u1ea1n s\u1ebd kh\u00f4ng c\u1ea7n c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh Hashimoto. Tuy nhi\u00ean, n\u1ebfu b\u00e1c s\u0129 nghi ng\u1edd b\u1ec7nh Hashimoto nh\u01b0ng b\u1ea1n kh\u00f4ng c\u00f3 kh\u00e1ng th\u1ec3 kh\u00e1ng tuy\u1ebfn gi\u00e1p trong m\u00e1u, b\u1ea1n s\u1ebd d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p si\u00eau \u00e2m tuy\u1ebfn gi\u00e1p. H\u00ecnh \u1ea3nh si\u00eau \u00e2m c\u00f3 th\u1ec3 cho th\u1ea5y k\u00edch th\u01b0\u1edbc tuy\u1ebfn gi\u00e1p v\u00e0 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m kh\u00e1c c\u1ee7a b\u1ec7nh Hashimoto. Si\u00eau \u00e2m c\u0169ng c\u00f3 th\u1ec3 lo\u1ea1i tr\u1eeb c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y ph\u00ec \u0111\u1ea1i tuy\u1ebfn gi\u00e1p. Ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00e1c nh\u00e2n tuy\u1ebfn gi\u00e1p hay c\u00f3 c\u00e1c kh\u1ed1i u \u1edf v\u00f9ng c\u1ed5 hay kh\u00f4ng.<\/p>\n<h4>\u0110i\u1ec1u tr\u1ecb<\/h4>\n<p>Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Hashimoto th\u01b0\u1eddng ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c tuy\u1ebfn gi\u00e1p c\u00f3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng \u0111\u1ee7 \u0111\u1ec3 g\u00e2y suy gi\u00e1p hay kh\u00f4ng. N\u1ebfu b\u1ea1n kh\u00f4ng b\u1ecb suy gi\u00e1p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ecdn c\u00e1ch \u0111\u01a1n gi\u1ea3n l\u00e0 ki\u1ec3m tra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 n\u1ed3ng \u0111\u1ed9 hormone tuy\u1ebfn gi\u00e1p c\u1ee7a b\u1ea1n th\u01b0\u1eddng xuy\u00ean. Nh\u1eefng ng\u01b0\u1eddi b\u1ec7nh b\u1ecb vi\u00eam tuy\u1ebfn gi\u00e1p Hashimoto m\u1ea1n t\u00ednh c\u1ea7n ph\u1ea3i x\u00e1c \u0111\u1ecbnh chung s\u1ed1ng v\u1edbi b\u1ec7nh c\u1ea3 \u0111\u1eddi b\u1edfi t\u1ea5t c\u1ea3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec1u kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 b\u1ec7nh.<\/p>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh hi\u1ec7n nay bao g\u1ed3m:<\/p>\n<p>&#8211; D\u00f9ng hormone thay th\u1ebf: Hormone thay th\u1ebf \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p Hashimoto g\u00e2y ra t\u00ecnh tr\u1ea1ng suy gi\u00e1p. Thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111i\u1ec3n h\u00ecnh L-thyroxine (levothyroxine) nh\u1eb1m \u1ee9c ch\u1ebf v\u00e0 \u0111i\u1ec1u ch\u1ec9nh s\u1ef1 suy gi\u00e1p.<\/p>\n<p>&#8211; S\u1eed d\u1ee5ng Corticoid:\u00a0 Khi s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y ph\u1ea3i c\u00f3 ch\u1ec9 \u0111\u1ecbnh t\u1eeb b\u00e1c s\u0129 b\u1edfi n\u00f3 c\u00f3 th\u1ec3 \u0111\u1ec3 l\u1ea1i nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 n\u1ebfu s\u1eed d\u1ee5ng li\u1ec1u cao hay trong th\u1eddi gian d\u00e0i.<\/p>\n<p>&#8211; Ph\u1eabu thu\u1eadt: \u0110\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh trong tr\u01b0\u1eddng h\u1ee3p b\u01b0\u1edbu gi\u00e1p to g\u00e2y ch\u00e8n \u00e9p ho\u1eb7c khi\u1ebfn ng\u01b0\u1eddi b\u1ec7nh \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd, t\u1ef1 ti khi b\u01b0\u1edbu to n\u1eb1m \u1edf c\u1ed5.<\/p>\n<figure id=\"attachment_18295\" aria-describedby=\"caption-attachment-18295\" style=\"width: 640px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-18295\" src=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/hashimoto-16750668351421170968232.jpg\" alt=\"\" width=\"640\" height=\"424\" srcset=\"https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/hashimoto-16750668351421170968232.jpg 640w, https:\/\/cdcangiang.vn\/wp-content\/uploads\/2023\/02\/hashimoto-16750668351421170968232-300x199.jpg 300w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-18295\" class=\"wp-caption-text\">\u0110\u00f4i khi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a Hashimoto c\u00f3 th\u1ec3 b\u1ecb b\u1ecf qua trong thai k\u1ef3 v\u00ec \u0111\u1ec1u c\u00f3 d\u1ea5u hi\u1ec7u m\u1ec7t m\u1ecfi v\u00e0 t\u0103ng c\u00e2n.<\/figcaption><\/figure>\n<h4>Dinh d\u01b0\u1ee1ng \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o \u0111\u1ebfn b\u1ec7nh Hashimoto ?<\/h4>\n<p>Tuy\u1ebfn gi\u00e1p s\u1eed d\u1ee5ng i-\u1ed1t, m\u1ed9t kho\u00e1ng ch\u1ea5t trong m\u1ed9t s\u1ed1 lo\u1ea1i th\u1ef1c ph\u1ea9m, \u0111\u1ec3 t\u1ea1o ra c\u00e1c hormone tuy\u1ebfn gi\u00e1p. Tuy nhi\u00ean, n\u1ebfu b\u1ea1n m\u1eafc b\u1ec7nh Hashimoto ho\u1eb7c c\u00e1c d\u1ea1ng r\u1ed1i lo\u1ea1n tuy\u1ebfn gi\u00e1p t\u1ef1 mi\u1ec5n kh\u00e1c, b\u1ea1n c\u00f3 th\u1ec3 nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 h\u1ea1i c\u1ee7a i-\u1ed1t. \u0102n th\u1ef1c ph\u1ea9m c\u00f3 l\u01b0\u1ee3ng l\u1edbn i-\u1ed1t, ch\u1eb3ng h\u1ea1n nh\u01b0 t\u1ea3o b\u1eb9 ho\u1eb7c c\u00e1c lo\u1ea1i rong bi\u1ec3n kh\u00e1c, v\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c gi\u00e0u i-\u1ed1t c\u00f3 th\u1ec3 g\u00e2y suy gi\u00e1p ho\u1eb7c l\u00e0m cho b\u1ec7nh n\u1eb7ng h\u01a1n. U\u1ed1ng b\u1ed5 sung i-\u1ed1t c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1.<\/p>\n<p>Nh\u1eefng ng\u01b0\u1eddi m\u1eafc b\u1ec7nh Hashimoto c\u1ea7n l\u01b0u \u00fd nh\u1eefng lo\u1ea1i th\u1ef1c ph\u1ea9m v\u00e0 \u0111\u1ed3 u\u1ed1ng \u0111\u1ec3 h\u1ea1n ch\u1ebf ho\u1eb7c tr\u00e1nh. B\u00ean c\u1ea1nh \u0111\u00f3 v\u1eabn c\u1ea7n b\u1ed5 sung i-\u1ed1t li\u1ec1u l\u01b0\u1ee3ng ph\u00f9 h\u1ee3p.<\/p>\n<p>Tuy nhi\u00ean, n\u1ebfu b\u1ea1n \u0111ang mang thai, b\u1ea1n c\u1ea7n b\u1ed5 sung \u0111\u1ee7 i-\u1ed1t. V\u00ec thai nhi nh\u1eadn \u0111\u01b0\u1ee3c i-\u1ed1t t\u1eeb ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng c\u1ee7a b\u1ea1n. Qu\u00e1 nhi\u1ec1u i-\u1ed1t c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c v\u1ea5n \u0111\u1ec1, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u1ec7nh b\u01b0\u1edbu c\u1ed5 \u1edf tr\u1ebb s\u01a1 sinh. N\u1ebfu b\u1ea1n \u0111ang mang thai, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 l\u01b0\u1ee3ng i-\u1ed1t b\u1ea1n c\u1ea7n.\/.<\/p>\n<p style=\"text-align: right;\"><em><strong>Ngu\u1ed3n b\u00e1o S\u1ee9c kh\u1ecfe &amp; \u0110\u1eddi s\u1ed1ng<\/strong><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh Hashimoto\u00a0c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0\u00a0vi\u00eam tuy\u1ebfn gi\u00e1p Hashimoto, vi\u00eam tuy\u1ebfn gi\u00e1p lympho b\u00e0o m\u1ea1n t\u00ednh v\u00e0\u00a0vi\u00eam tuy\u1ebfn gi\u00e1p\u00a0t\u1ef1 mi\u1ec5n m\u1ea1n t\u00ednh. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh Hashimoto B\u1ec7nh Hashimoto ti\u1ebfn tri\u1ec3n ch\u1eadm qua nhi\u1ec1u n\u0103m. \u1ede giai \u0111o\u1ea1n \u0111\u1ea7u c\u00f3 th\u1ec3 kh\u00f4ng nh\u1eadn th\u1ea5y c\u00e1c d\u1ea5u hi\u1ec7u ho\u1eb7c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh. S\u1ef1 suy gi\u1ea3m s\u1ea3n [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":18294,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[303,1],"tags":[],"class_list":["post-18292","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18292","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=18292"}],"version-history":[{"count":1,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18292\/revisions"}],"predecessor-version":[{"id":18296,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/18292\/revisions\/18296"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/18294"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=18292"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=18292"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=18292"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}