{"id":2077,"date":"2020-11-10T12:37:08","date_gmt":"2020-11-10T05:37:08","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=2077"},"modified":"2021-08-16T08:13:45","modified_gmt":"2021-08-16T01:13:45","slug":"cac-dang-benh-ly-tuyen-giap","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2020\/11\/10\/cac-dang-benh-ly-tuyen-giap\/","title":{"rendered":"C\u00e1c d\u1ea1ng b\u1ec7nh l\u00fd tuy\u1ebfn gi\u00e1p"},"content":{"rendered":"\n

Tuy\u1ebfn gi\u00e1p s\u1ea3n sinh hormon chi ph\u1ed1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3 n\u00ean t\u1ed5n th\u01b0\u01a1ng tuy\u1ebfn gi\u00e1p g\u00e2y nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c trong c\u01a1 th\u1ec3. Tuy\u1ebfn gi\u00e1p l\u00e0 m\u1ed9t tuy\u1ebfn nh\u1ecf n\u1eb1m ph\u00eda tr\u01b0\u1edbc c\u1ed5, s\u1ea3n xu\u1ea5t ra hormone T3 v\u00e0 T4. Hormone theo m\u00e1u \u0111i kh\u1eafp c\u00e1c c\u01a1 quan trong c\u01a1 th\u1ec3, chi ph\u1ed1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng nh\u01b0 t\u1ed1c \u0111\u1ed9 \u0111\u1ed1t ch\u00e1y n\u0103ng l\u01b0\u1ee3ng v\u00e0 nh\u1ecbp tim c\u1ee7a b\u1ea1n. Nh\u1eefng ho\u1ea1t \u0111\u1ed9ng n\u00e0y ph\u1ed1i h\u1ee3p v\u1edbi nhau t\u1ea1o n\u00ean qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t. Tuy\u1ebfn gi\u00e1p ho\u1ea1t \u0111\u1ed9ng kh\u00f4ng \u0111\u00fang, l\u01b0\u1ee3ng hormone s\u1ea3n xu\u1ea5t t\u1ea1o ra hi\u1ec7n t\u01b0\u1ee3ng th\u1eeba, thi\u1ebfu l\u00e0m r\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t trong c\u01a1 th\u1ec3. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef nhi\u1ec1u h\u01a1n nam gi\u1edbi.<\/p>\n\n\n\n

R\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p:<\/strong><\/p>\n\n\n\n

T\u0103ng c\u01b0\u1eddng tuy\u1ebfn gi\u00e1p: l\u00e0 nh\u1eefng r\u1ed1i lo\u1ea1n khi\u1ebfn tuy\u1ebfn gi\u00e1p ti\u1ebft nhi\u1ec1u hormone h\u01a1n m\u1ee9c c\u01a1 th\u1ec3 c\u1ea7n. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p c\u1ee7a t\u0103ng n\u0103ng tuy\u1ebfn gi\u00e1p l\u00e0 b\u1ec7nh basedow (c\u01b0\u1eddng gi\u00e1p). Basedow x\u1ea3y ra do r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n d\u1ecbch, khi\u1ebfn h\u1ec7 mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p sinh ra r\u1ea5t nhi\u1ec1u hormone. T\u0103ng n\u0103ng tuy\u1ebfn gi\u00e1p c\u00f2n c\u00f3 th\u1ec3 b\u1ecb g\u00e2y ra b\u1edfi nh\u1eefng kh\u1ed1i u tuy\u1ebfn gi\u00e1p khi\u1ebfn hormone \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t nhi\u1ec1u.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Gi\u1ea3m n\u0103ng tuy\u1ebfn gi\u00e1p l\u00e0 khi tuy\u1ebfn gi\u00e1p kh\u00f4ng ti\u1ebft \u0111\u1ee7 l\u01b0\u1ee3ng hormone m\u00e0 c\u01a1 th\u1ec3 c\u1ea7n. B\u1ec7nh th\u01b0\u1eddng g\u1eb7p l\u00e0 ch\u1ee9ng Hashimoto (vi\u00eam tuy\u1ebfn gi\u00e1p). Hashimoto l\u00e0 ch\u1ee9ng r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n khi h\u1ec7 mi\u1ec5n d\u1ecbch v\u00f4 th\u1ee9c t\u1ea5n c\u00f4ng tuy\u1ebfn gi\u00e1p, g\u00e2y \u1ee9c ch\u1ebf s\u1ef1 ti\u1ebft hormone. Gi\u1ea3m n\u0103ng tuy\u1ebfn gi\u00e1p c\u00f2n do vi\u1ec7c \u0111i\u1ec1u tr\u1ecb t\u0103ng n\u0103ng tuy\u1ebfn gi\u00e1p, x\u1ea1 tr\u1ecb ung th\u01b0, c\u1eaft b\u1ecf tuy\u1ebfn gi\u00e1p.<\/p>\n\n\n\n

Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p, tuy\u1ebfn y\u00ean c\u00f3 v\u1ea5n \u0111\u1ec1 c\u0169ng c\u00f3 th\u1ec3 khi\u1ebfn tuy\u1ebfn gi\u00e1p tr\u1edf n\u00ean k\u00e9m ho\u1ea1t \u0111\u1ed9ng g\u00e2y u tuy\u1ebfn gi\u00e1p. Vi\u00eam tuy\u1ebfn gi\u00e1p ho\u1eb7c ung th\u01b0 tuy\u1ebfn gi\u00e1p.<\/p>\n\n\n\n

C\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a t\u0103ng n\u0103ng tuy\u1ebfn gi\u00e1p<\/strong><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

T\u0103ng n\u0103ng tuy\u1ebfn gi\u00e1p hay c\u00f2n g\u1ecdi l\u00e0 c\u01b0\u1eddng gi\u00e1p. Ban \u0111\u1ea7u, b\u1ea1n s\u1ebd kh\u00f4ng th\u1ea5y b\u1ea5t c\u1ee9 tri\u1ec7u ch\u1ee9ng n\u00e0o c\u1ee7a b\u1ec7nh, b\u1edfi ch\u00fang ti\u1ebfn tri\u1ec3n ch\u1eadm. Nh\u01b0ng theo th\u1eddi gian, khi chu tr\u00ecnh chuy\u1ec3n h\u00f3a di\u1ec5n ra nhanh c\u00f3 th\u1ec3 g\u00e2y n\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n\n\n\n

+ S\u1ee5t c\u00e2n k\u1ec3 c\u1ea3 khi kh\u1ea9u ph\u1ea7n \u0103n kh\u00f4ng \u0111\u1ed5i ho\u1eb7c t\u0103ng l\u00ean.<\/p>\n\n\n\n

+ \u0102n nhi\u1ec1u h\u01a1n b\u00ecnh th\u01b0\u1eddng<\/p>\n\n\n\n

+ Nh\u1ecbp tim nhanh, tim \u0111\u1eadp b\u1ea5t th\u01b0\u1eddng ho\u1eb7c th\u00f3t tim<\/p>\n\n\n\n

+ Lo \u00e2u<\/p>\n\n\n\n

+ Hay c\u00e1u k\u1ec9nh<\/p>\n\n\n\n

+ R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7<\/p>\n\n\n\n

+ Rung tay, ch\u00e2n<\/p>\n\n\n\n

+ T\u0103ng ti\u1ebft m\u1ed3 h\u00f4i<\/p>\n\n\n\n

+ T\u0103ng nh\u1ea1y c\u1ea3m v\u1edbi nhi\u1ec7t \u0111\u1ed9 n\u00f3ng<\/p>\n\n\n\n

+ Y\u1ebfu c\u01a1<\/p>\n\n\n\n

+ Th\u01b0\u1eddng xuy\u00ean \u0111i ngo\u00e0i<\/p>\n\n\n\n

+ K\u1ef3 kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u v\u00e0 m\u00e1u kinh ra \u00edt h\u01a1n.<\/p>\n\n\n\n

Nh\u1eefng tri\u1ec7u ch\u1ee9ng k\u00e8m theo c\u00f3 th\u1ec3 x\u01b0\u01a1ng y\u1ebfu d\u1ec5 g\u00e3y. T\u0103ng n\u0103ng tuy\u1ebfn gi\u00e1p \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn x\u01b0\u01a1ng tr\u01b0\u1edbc khi b\u1ea1n c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a s\u1ef1 r\u1ed1i lo\u1ea1n ch\u1ee9c ph\u1eadn c\u1ee7a nhi\u1ec1u c\u01a1 quan kh\u00e1c. \u0110\u1eb7c bi\u1ec7t, ph\u1ee5 n\u1eef \u0111\u00e3 m\u00e3n kinh s\u1ebd c\u00f3 r\u1ee7i ro cao h\u01a1n \u0111\u1ed1i v\u1edbi ch\u1ee9ng lo\u00e3ng x\u01b0\u01a1ng.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n c\u1ee7a gi\u1ea3m n\u0103ng tuy\u1ebfn gi\u00e1p<\/strong><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ng\u01b0\u1ee3c l\u1ea1i v\u1edbi c\u01b0\u1eddng gi\u00e1p, suy gi\u00e1p l\u00e0 t\u00ecnh tr\u1ea1ng suy gi\u1ea3m ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p. Tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n ch\u1eadm trong nhi\u1ec1u n\u0103m. Ban \u0111\u1ea7u, b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y m\u1ec7t m\u1ecfi v\u00e0 u\u1ec3 o\u1ea3i. Sau \u0111\u00f3, c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee5 th\u1ec3 s\u1ebd xu\u1ea5t hi\u1ec7n khi s\u1ef1 chuy\u1ec3n h\u00f3a di\u1ec5n ra ch\u1eadm l\u1ea1i.<\/p>\n\n\n\n

+ T\u0103ng c\u00e2n m\u1eb7c d\u00f9 b\u1ea1n kh\u00f4ng \u0103n nhi\u1ec1u<\/p>\n\n\n\n

+ T\u0103ng nh\u1ea1y c\u1ea3m v\u1edbi l\u1ea1nh<\/p>\n\n\n\n

+ Ch\u1ee9ng t\u00e1o b\u00f3n<\/p>\n\n\n\n

+ Y\u1ebfu c\u01a1<\/p>\n\n\n\n

+ \u0110au c\u01a1 v\u00e0 kh\u1edbp<\/p>\n\n\n\n

+ Tr\u1ea7m c\u1ea3m<\/p>\n\n\n\n

+ R\u1ea5t m\u1ec7t m\u1ecfi<\/p>\n\n\n\n

+ Da kh\u00f4 v\u00e0 t\u00e1i<\/p>\n\n\n\n

+ M\u1eb7t ph\u00f9 n\u1ec1<\/p>\n\n\n\n

+ Gi\u1ecdng kh\u00e0n<\/p>\n\n\n\n

+ Nguy\u1ec7t san \u00edt m\u00e1u ho\u1eb7c kh\u00f4ng c\u00f3 kinh nguy\u1ec7t.<\/p>\n\n\n\n

B\u00ean c\u1ea1nh \u0111\u00f3, b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb t\u0103ng cholesterol trong m\u00e1u, t\u1eeb \u0111\u00f3 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n c\u1ee7a u tuy\u1ebfn gi\u00e1p<\/strong><\/p>\n\n\n\n

B\u1ea1n c\u00f3 th\u1ec3 t\u1ef1 ki\u1ec3m tra kh\u1ed1i u b\u1eb1ng c\u00e1ch \u0111\u1ee9ng th\u1eb3ng tr\u01b0\u1edbc g\u01b0\u01a1ng, ng\u1eeda c\u1eb1m nh\u1eb9 l\u00ean tr\u00ean. Ki\u1ec3m tra 2 b\u00ean kh\u00ed qu\u1ea3n d\u01b0\u1edbi y\u1ebft h\u1ea7u \u0111\u1ec3 t\u00ecm b\u01b0\u1edbu. N\u1ebfu b\u01b0\u1edbu chuy\u1ec3n \u0111\u1ed9ng l\u00ean xu\u1ed1ng khi b\u1ea1n nu\u1ed1t n\u01b0\u1edbc b\u1ecdt, c\u00f3 th\u1ec3 b\u1ea1n \u0111\u00e3 m\u1eafc u tuy\u1ebfn gi\u00e1p.<\/p>\n\n\n\n

C\u00e1ch kh\u00e1c \u0111\u1ec3 b\u1ea1n ki\u1ec3m tra kh\u1ed1i u tuy\u1ebfn gi\u00e1p v\u1edbi ch\u1ec9 m\u1ed9t c\u1ed1c n\u01b0\u1edbc. \u0110\u1ee9ng th\u1eb3ng tr\u01b0\u1edbc g\u01b0\u01a1ng, u\u1ed1ng n\u01b0\u1edbc v\u00e0 ki\u1ec3m tra ph\u1ea7n c\u1ed5. Khi b\u1ea1n u\u1ed1ng n\u01b0\u1edbc, kh\u1ed1i u s\u1ebd di chuy\u1ec3n l\u00ean xu\u1ed1ng v\u00e0 b\u1ea1n d\u1ec5 d\u00e0ng nh\u1eadn th\u1ea5y n\u00f3.<\/p>\n\n\n\n

Bi\u1ec3u hi\u1ec7n c\u1ee7a ung th\u01b0 tuy\u1ebfn gi\u00e1p<\/strong><\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n m\u1eafc ung th\u01b0 tuy\u1ebfn gi\u00e1p b\u1ecb u tuy\u1ebfn gi\u00e1p v\u00e0 kh\u00f4ng h\u1ec1 xu\u1ea5t hi\u1ec7n tri\u1ec7u ch\u1ee9ng. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n li\u1ec7u b\u1ea1n c\u00f3 m\u1eafc ung th\u01b0 tuy\u1ebfn gi\u00e1p hay kh\u00f4ng, b\u00e1c s\u0129 ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m r\u00f5 r\u00e0ng. M\u1ed9t s\u1ed1 \u00edt b\u1ec7nh nh\u00e2n b\u1ecb ung th\u01b0 tuy\u1ebfn gi\u00e1p s\u1ebd c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ec7nh. N\u1ebfu kh\u1ed1i u \u0111\u1ee7 l\u1edbn, n\u00f3 c\u00f3 th\u1ec3 g\u00e2y ra s\u01b0ng \u1edf c\u1ed5, ch\u1ed7 b\u1ecb s\u01b0ng c\u00f3 th\u1ec3 g\u00e2y ra \u0111au \u0111\u1edbn khi nu\u1ed1t ho\u1eb7c th\u1edf. V\u00e0i ng\u01b0\u1eddi c\u00f3 th\u1ec3 s\u1ebd b\u1ecb kh\u00e0n gi\u1ecdng.<\/p>\n\n\n\n

T\u00f3m l\u1ea1i, c\u00e1c b\u1ec7nh v\u1ec1 tuy\u1ebfn gi\u00e1p h\u1ea7u h\u1ebft \u0111\u1ec1u kh\u00f4ng th\u1ec3 ph\u00f2ng tr\u00e1nh. C\u00e1ch t\u1ed1t nh\u1ea5t \u0111\u1ec3 ng\u0103n ng\u1eeba \u0111\u00f3 l\u00e0 ki\u1ec3m tra s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3. N\u1ebfu b\u1ea1n ph\u00e1t hi\u1ec7n th\u1ea5y nh\u1eefng b\u1ea5t th\u01b0\u1eddng \u1edf c\u1ed5, ho\u1eb7c c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 n\u00e0o v\u1ec1 s\u1ee9c kh\u1ecfe, c\u00f9ng c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1ee3c n\u1ebfu \u1edf tr\u00ean, b\u1ea1n n\u00ean g\u1eb7p b\u00e1c s\u0129 ngay. Vi\u1ec7c ph\u00e1t hi\u1ec7n v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p ch\u1eefa tr\u1ecb s\u1edbm s\u1ebd gi\u00fap ng\u0103n ng\u1eeba b\u1ec7nh di\u1ec5n ti\u1ebfn n\u1eb7ng h\u01a1n.\/.<\/p>\n\n\n\n

Ths. Bs. L\u00ea Minh Uy \u2013 PG\u0110 Trung t\u00e2m Ki\u1ec3m so\u00e1t b\u1ec7nh t\u1eadt An Giang<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Tuy\u1ebfn gi\u00e1p s\u1ea3n sinh hormon chi ph\u1ed1i c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3 n\u00ean t\u1ed5n th\u01b0\u01a1ng tuy\u1ebfn gi\u00e1p g\u00e2y nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c trong c\u01a1 th\u1ec3. Tuy\u1ebfn gi\u00e1p l\u00e0 m\u1ed9t tuy\u1ebfn nh\u1ecf n\u1eb1m ph\u00eda tr\u01b0\u1edbc c\u1ed5, s\u1ea3n xu\u1ea5t ra hormone T3 v\u00e0 T4. Hormone theo m\u00e1u \u0111i kh\u1eafp c\u00e1c c\u01a1 quan […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[3,127],"tags":[180],"class_list":["post-2077","post","type-post","status-publish","format-standard","hentry","category-duoc-my-pham","category-tai-lieu-y-hoc","tag-tuyen-giap"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2077","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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=2077"}],"version-history":[{"count":2,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2077\/revisions"}],"predecessor-version":[{"id":8336,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/2077\/revisions\/8336"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=2077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=2077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=2077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}