{"id":21725,"date":"2023-04-17T13:08:37","date_gmt":"2023-04-17T06:08:37","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=21725"},"modified":"2023-04-18T10:53:08","modified_gmt":"2023-04-18T03:53:08","slug":"dau-bung-do-benh-he-thong-va-chuyen-hoa","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/17\/dau-bung-do-benh-he-thong-va-chuyen-hoa\/","title":{"rendered":"\u0110au b\u1ee5ng do b\u1ec7nh h\u1ec7 th\u1ed1ng v\u00e0 chuy\u1ec3n h\u00f3a: g\u00f3c nh\u00ecn t\u1ed5ng quan"},"content":{"rendered":"<p><strong>\u0110au b\u1ee5ng l\u00e0 nguy\u00ean nh\u00e2n r\u1ea5t hay g\u1eb7p c\u1ee7a b\u1ec7nh nh\u00e2n \u0111i kh\u00e1m \u0111\u1ed1i v\u1edbi th\u1ea7y thu\u1ed1c \u0111a khoa c\u0169ng nh\u01b0 chuy\u00ean khoa. \u0110a s\u1ed1 l\u00e0 c\u00f3 nguy\u00ean nh\u00e2n \u1edf h\u1ec7 ti\u00eau h\u00f3a, m\u1ed9t s\u1ed1 kh\u00e1c hi\u1ebfm g\u1eb7p h\u01a1n, c\u00f3 nguy\u00ean nh\u00e2n ngo\u00e0i h\u1ec7 ti\u00eau h\u00f3a ho\u1eb7c nguy\u00ean nh\u00e2n to\u00e0n th\u1ec3. C\u1ea7n c\u00f3 s\u1ef1 hi\u1ec3u bi\u1ebft t\u01b0\u1eddng t\u1eadn \u0111\u1ec3 tr\u00e1nh nh\u1ea7m l\u1eabn c\u00e1c nguy\u00ean nh\u00e2n. <\/strong><\/p>\n<h2><strong>1. \u0110au b\u1ee5ng do nhi\u1ec5m \u0111\u1ed9c ch\u00ec.<\/strong><\/h2>\n<p>Mu\u1ed1i ch\u00ec c\u00f3 ch\u1ee7 y\u1ebfu trong s\u01a1n, m\u1ef1c vi\u1ebft, c\u00e2y c\u1ecf ch\u1eefa b\u1ec7nh, c\u00e1c ch\u1ea5t m\u00e0u, carbonate, c\u00e1c d\u1ee5ng c\u1ee5 v\u00e0 \u0111\u1ed3 ch\u01a1i l\u00e0 ngu\u1ed3n g\u1ed1c c\u1ee7a nhi\u1ec5m \u0111\u1ed9c ch\u00ec. Ch\u00ec ng\u1ea5m qua ru\u1ed9t, c\u1ed1 \u0111\u1ecbnh \u1edf x\u01b0\u01a1ng v\u00e0 th\u1ea3i qua ph\u00e2n, da, n\u01b0\u1edbc b\u1ecdt v\u00e0 n\u01b0\u1edbc ti\u1ec3u. Ch\u00ec ki\u1ec1m h\u00e3m t\u1ed5ng h\u1ee3p glutathion c\u0169ng nh\u01b0 nhi\u1ec1u men kh\u00e1c tham gia t\u1ed5ng h\u1ee3p heme (ALA synthetase v\u00e0 dehydratase, coproporphyrinogen oxydase, ferrochelatase) d\u1eabn t\u1edbi t\u00edch l\u0169y c\u00e1c porphyrine.<\/p>\n<p>Ng\u1ed9 \u0111\u1ed9c ch\u00ec m\u1ea1n hay g\u1eb7p h\u01a1n ng\u1ed9 \u0111\u1ed9c c\u1ea5p nh\u01b0ng th\u01b0\u1eddng \u00edt \u0111\u01b0\u1ee3c bi\u1ebft v\u00ec s\u1ef1 ti\u1ebfp x\u00fac r\u1ea5t kh\u00f3 nh\u1eadn ra v\u00e0 r\u1ea5t ch\u1eadm, nh\u1ea5t l\u00e0 \u1edf tr\u1ebb em. Tri\u1ec7u ch\u1ee9ng \u0111a d\u1ea1ng v\u00e0 kh\u00f4ng \u0111\u1eb7c hi\u1ec7u, th\u1eddi gian ti\u1ebfp x\u00fac d\u1eabn t\u1edbi ng\u1ed9 \u0111\u1ed9c t\u1eeb 3 \u2013 18 th\u00e1ng. Tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a kh\u00f4ng \u0111i\u1ec3n h\u00ecnh v\u00e0 k\u00e9o d\u00e0i bao g\u1ed3m: \u0111au b\u1ee5ng \u00e2m \u1ec9, k\u00e9m \u0103n v\u00e0 ti\u00eau ch\u1ea3y ng\u1eaft qu\u00e3ng. \u0110au b\u1ee5ng ch\u1ec9 th\u1ec3 hi\u1ec7n v\u1ec1 m\u1eb7t l\u00e2m s\u00e0ng b\u1edfi \u0111au b\u1ee5ng th\u1ea5t th\u01b0\u1eddng kh\u00f4ng th\u00edch nghi v\u1edbi th\u1ee9c \u0103n, ti\u00eau ch\u1ea3y, kh\u00e1m b\u1ee5ng kh\u00f4ng th\u1ea5y b\u1ea5t th\u01b0\u1eddng.<\/p>\n<h3><strong>1.1. Ch\u1ea9n \u0111o\u00e1n c\u00f3 th\u1ec3: <\/strong><\/h3>\n<ul>\n<li>Vi\u00eam s\u1ea1m \u1edf l\u1ee3i, \u1edf c\u1ed5 ch\u00e2n r\u0103ng.<\/li>\n<li>\u0110au kh\u1edbp ho\u1eb7c \u0111au c\u01a1.<\/li>\n<li>R\u1ed1i lo\u1ea1n th\u1ea7n kinh lu\u00f4n c\u00f3: \u1edf tr\u1ebb em ch\u1eadm ph\u00e1t tri\u1ec3n tinh th\u1ea7n; \u1edf ng\u01b0\u1eddi l\u1edbn th\u00ec r\u1ed1i lo\u1ea1n kh\u00f4ng \u0111\u1eb7c hi\u1ec7u nh\u01b0 r\u1ed1i lo\u1ea1n tr\u00ed nh\u1edb, r\u1ed1i lo\u1ea1n t\u1eadp trung, d\u1ec5 b\u1ecb k\u00edch th\u00edch, hay lo \u00e2u ho\u1eb7c r\u1ed1i lo\u1ea1n th\u1ea7n kinh ngo\u1ea1i bi\u00ean (ki\u1ec3u r\u1ec5).<\/li>\n<li>T\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh c\u01a1 tim gi\u00e3n ho\u1eb7c thi\u1ebfu m\u00e1u.<\/li>\n<li>B\u1ec7nh th\u1eadn m\u1ea1n.<\/li>\n<li>Thi\u1ebfu m\u00e1u t\u00e1n huy\u1ebft v\u1eeba ph\u1ea3i, h\u1ed3ng c\u1ea7u c\u00f3 h\u1ea1t \u00e1i ki\u1ec1m.<\/li>\n<\/ul>\n<h3><strong>1.2. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh:<\/strong><\/h3>\n<p>\u0110\u1ecbnh l\u01b0\u1ee3ng ch\u00ec trong m\u00e1u (&gt;250mg\/L) v\u00e0 ch\u00ec ni\u1ec7u (&gt;225mg\/L). Tr\u01b0\u1eddng h\u1ee3p nghi ng\u1edd ph\u1ea3i l\u00e0m nghi\u1ec7m ph\u00e1p th\u1ea3i ch\u00ec qua n\u01b0\u1edbc ti\u1ec3u b\u1eb1ng EDTA. T\u0103ng ALA ni\u1ec7u.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb: d\u1ef1 ph\u00f2ng, lo\u1ea1i b\u1ecf c\u00e1c ch\u1ea5t v\u00e0 \u0111\u1ed3 v\u1eadt ch\u1ee9a ch\u00ec. \u0110i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u b\u1eb1ng ch\u1ea5t chelate EDTA.<\/p>\n<h2><strong>2. \u0110au b\u1ee5ng do r\u1ed1i lo\u1ea1n n\u01b0\u1edbc \u0111i\u1ec7n gi\u1ea3i.<\/strong><\/h2>\n<h3><strong>2.1. <a href=\"https:\/\/www.vinmec.com\/vi\/tim-mach\/thong-tin-suc-khoe\/tang-canxi-mau-co-nguy-hiem\/#:~:text=1.,c%E1%BB%A7a%20tim%20m%E1%BA%A1ch%2C%20n%C3%A3o%20b%E1%BB%99.\">T\u0103ng calci m\u00e1u<\/a>.<\/strong><\/h3>\n<p>T\u0103ng calci m\u00e1u \u0111\u00f4i khi g\u00e2y \u0111au b\u1ee5ng gi\u1ea3 ngo\u1ea1i khoa k\u00e8m theo n\u00f4n, bu\u1ed3n n\u00f4n, t\u00e1o b\u00f3n, tr\u01b0\u1edbng h\u01a1i. Tri\u1ec7u ch\u1ee9ng to\u00e0n th\u00e2n: ch\u00e1n \u0103n, m\u1ec7t m\u1ecfi, h\u1ed9i ch\u1ee9ng \u0111\u00e1i nhi\u1ec1u, \u0103n nhi\u1ec1u, t\u00e2m th\u1ea7n kinh (h\u1ed3i h\u1ee3p, n\u00f4n, k\u00edch th\u00edch, h\u1ea1 huy\u1ebft \u00e1p, m\u1ea5t \u0111\u1ecbnh h\u01b0\u1edbng), tim m\u1ea1ch (nh\u1ecbp nhanh xoang, PR k\u00e9o d\u00e0i, ST ng\u1eafn). Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng calci m\u00e1u ch\u1ee7 y\u1ebfu l\u00e0 ung th\u01b0 x\u01b0\u01a1ng v\u00e0 c\u01b0\u1eddng c\u1eadn gi\u00e1p. \u0110\u1ee9ng tr\u01b0\u1edbc vi\u00eam t\u1ee5y c\u1ea5p v\u00e0 s\u1ecfi th\u1eadn ph\u1ea3i ngh\u0129 \u0111\u1ebfn t\u0103ng calci m\u00e1u.<\/p>\n<h3><strong>2.2. <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/suc-khoe-tong-quat\/nguyen-nhan-va-anh-huong-cua-ha-kali-mau\/\">H\u1ea1 kali m\u00e1u<\/a>.<\/strong><\/h3>\n<p>\u0110au b\u1ee5ng \u1edf \u0111\u00e2y l\u00e0 th\u1ee9 ph\u00e1t do r\u1ed1i lo\u1ea1n v\u1eadn \u0111\u1ed9ng ru\u1ed9t, c\u00f3 th\u1ec3 k\u00e8m t\u00e1o b\u00f3n, gi\u1ea3m co b\u00f3p d\u1ea1 d\u00e0y, gi\u1ea3 t\u1eafc ru\u1ed9t, m\u1ecfi c\u01a1, r\u1ed1i lo\u1ea1n nh\u1ecbp c\u00f3 th\u1ec3 nhanh th\u1ea5t ho\u1eb7c rung th\u1ea5t. Ch\u1ea9n \u0111o\u00e1n theo 3 nh\u00f3m nguy\u00ean nh\u00e2n: gi\u1ea3m nh\u1eadp, m\u1ea5t qau \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (n\u00f4n, ti\u00eau ch\u1ea3y), m\u1ea5t qua th\u1eadn. C\u00f3 th\u1ec3 k\u00e8m theo h\u1ea1 magnesium m\u00e1u.<\/p>\n<h2><strong>3. \u0110au b\u1ee5ng do nguy\u00ean nh\u00e2n th\u1ea7n kinh.<\/strong><\/h2>\n<h3><strong>3.1. \u0110\u1ed9ng kinh ti\u00eau h\u00f3a.<\/strong><\/h3>\n<ul>\n<li><strong>\u00a0<\/strong>Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, ch\u1ea9n \u0111o\u00e1n kh\u00f3 \u1edf ng\u01b0\u1eddi l\u1edbn. N\u00f3 tham gia v\u00e0o c\u00e1c c\u01a1n \u0111\u1ed9ng kinh c\u1ee5c b\u1ed9 c\u1ee7a th\u00f9y th\u00e1i d\u01b0\u01a1ng.<\/li>\n<li>Tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a b\u1eaft \u0111\u1ea7u \u0111\u1ed9t ng\u1ed9t b\u1edfi \u0111au b\u1ee5ng. \u0110au b\u1ee5ng th\u01b0\u1eddng \u1edf th\u01b0\u1ee3ng v\u1ecb nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 \u1edf n\u01a1i kh\u00e1c. N\u00f4n, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y, r\u1ed1i lo\u1ea1n v\u1eadn m\u1ea1ch (xanh t\u00e1i, v\u00e3 m\u1ed3 h\u00f4i). Ch\u1ea9n \u0111o\u00e1n d\u1ec5 d\u00e0ng khi tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a theo sau b\u1edfi tri\u1ec7u ch\u1ee9ng th\u1ea7n kinh, t\u1ea1o n\u00ean c\u01a1n \u0111\u1ed9ng kinh th\u00f9y th\u00e1i d\u01b0\u01a1ng (\u1ea3o gi\u00e1c v\u1ec1 gi\u00e1c quan, co c\u1ee9ng gi\u1eadt \u00bd m\u1eb7t, \u0111i ki\u1ec3u bravais Jackson. Ch\u1ea9n \u0111o\u00e1n kh\u00f3 khi ch\u1ec9 c\u00f3 tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a \u0111\u01a1n \u0111\u1ed9c, l\u00fac \u0111\u00f3 d\u1ef1a v\u00e0o ti\u1ec1n s\u1eed v\u00e0 c\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ed9ng kinh. Ti\u1ebfn tri\u1ec3n \u0111au gi\u1ed1ng nhau: b\u1eaft \u0111\u1ea7u \u0111\u1ed9t ng\u1ed9t, ng\u1eafn, m\u1ea5t \u0111i nhanh, lan t\u1eeb ph\u1ea7n d\u01b0\u1edbi \u1ed1ng ti\u00eau h\u00f3a l\u00ean th\u01b0\u1ee3ng v\u1ecb, c\u00f3 th\u1ec3 th\u1ef1c qu\u1ea3n.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1eb1ng \u0111i\u1ec7n n\u00e3o \u0111\u1ed3 v\u1edbi test nh\u1ea1y c\u1ea3m.<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb th\u1eed b\u1eb1ng tegrenol trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p ch\u1ee5p CT n\u00e3o b\u00ecnh th\u01b0\u1eddng.<\/li>\n<\/ul>\n<h3><strong>3.2. Migraine \u1ed5 b\u1ee5ng.<\/strong><\/h3>\n<p>Th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb em, hi\u1ebfm \u1edf ng\u01b0\u1eddi l\u1edbn. \u0110au b\u1ee5ng \u0111\u1ed9t ng\u1ed9t kh\u00f4ng lan, k\u00e9o d\u00e0i 1 \u2013 3 ng\u00e0y, ph\u1ed1i h\u1ee3p r\u1ed1i lo\u1ea1n v\u1eadn m\u1ea1ch, ch\u00e1n \u0103n, n\u00f4n, bu\u1ed3n n\u00f4n. \u0110au \u0111\u1ea7u g\u1eb7p trong 50% tr\u01b0\u1eddng h\u1ee3p, theo sau l\u00e0 bi\u1ec3u hi\u1ec7n ti\u00eau h\u00f3a.<\/p>\n<h2><strong>4. \u0110au b\u1ee5ng do b\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft.<\/strong><\/h2>\n<h3><strong>4.1. Suy th\u01b0\u1ee3ng th\u1eadn c\u1ea5p.<\/strong><\/h3>\n<ul>\n<li>\u0110au th\u01b0\u1ee3ng v\u1ecb r\u1ed3i lan ra kh\u1eafp b\u1ee5ng, k\u00e8m bu\u1ed3n n\u00f4n, n\u00f4n, ti\u00eau l\u1ecfng, \u0111\u00f4i khi ph\u00e2n c\u00f3 m\u00e1u.<\/li>\n<li>D\u1ec5 nh\u1ea7m v\u1edbi \u0111au b\u1ee5ng ngo\u1ea1i khoa (h\u1ea1 huy\u1ebft \u00e1p, \u0111au b\u1ee5ng, r\u1ed1i lo\u1ea1n \u00fd th\u1ee9c, m\u1ea5t n\u01b0\u1edbc v\u00e0 s\u1ed1t).<\/li>\n<li>Na m\u00e1u h\u1ea1, K m\u00e1u t\u0103ng, \u0111\u00f4i khi h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft.<\/li>\n<li>Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh d\u1ef1a v\u00e0o \u0111\u1ecbnh l\u01b0\u1ee3ng cortisol huy\u1ebft t\u01b0\u01a1ng v\u00e0 \u0111\u00e1p \u1ee9ng \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u (cortison, h\u1ed3i ph\u1ee5c kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n). C\u1ea7n t\u00ecm y\u1ebfu t\u1ed1 thu\u1eadn l\u1ee3i v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u: nhi\u1ec5m khu\u1ea9n, ch\u1ea5n th\u01b0\u01a1ng, m\u1ed5, stress t\u00e2m th\u1ea7n, kh\u00ed h\u1eadu qu\u00e1 n\u00f3ng, ng\u1eebng \u0111\u1ed9t ng\u1ed9t corticoid. Ch\u1ee7 y\u1ebfu \u0111i\u1ec1u tr\u1ecb d\u1ef1 ph\u00f2ng, \u0103n mu\u1ed1i (v\u1edbi th\u1ec3 Addison), t\u0103ng li\u1ec1u hydrocortison trong nhi\u1ec5m tr\u00f9ng ho\u1eb7c stress.<\/li>\n<\/ul>\n<h3><strong>4.2. \u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng.<\/strong><\/h3>\n<ul>\n<li>\u0110\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 toan ceton th\u01b0\u1eddng g\u1eb7p \u0111au th\u01b0\u1ee3ng v\u1ecb ho\u1eb7c to\u00e0n \u1ed5 b\u1ee5ng, \u0111\u00f4i khi gi\u1ea3 \u0111au b\u1ee5ng ngo\u1ea1i khoa, nh\u1ea5t l\u00e0 \u1edf tr\u1ebb em. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u1ed1i h\u1ee3p (h\u00f4n m\u00ea, kh\u00f3 th\u1edf nhanh s\u00e2u, m\u1ea5t n\u01b0\u1edbc), tri\u1ec7u ch\u1ee9ng t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft (ti\u1ec3u nhi\u1ec1u, s\u1ee5t c\u00e2n).<\/li>\n<\/ul>\n<ul>\n<li>C\u00e1c tri\u1ec7u ch\u1ee9ng tr\u00ean c\u1eadn l\u00e2m s\u00e0ng: t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft, ceton m\u00e1u d\u01b0\u01a1ng t\u00ednh, ceton ni\u1ec7u d\u01b0\u01a1ng t\u00ednh, toan chuy\u1ec3n h\u00f3a t\u0103ng anion gap.<\/li>\n<\/ul>\n<ul>\n<li>\u0110au b\u1ee5ng th\u00e0nh b\u1ee5ng c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, ng\u01b0\u1eddi cao tu\u1ed5i v\u00e0 ng\u01b0\u1eddi \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2 hay g\u1eb7p h\u01a1n. X\u1ea3y ra \u0111\u1ed9t ng\u1ed9t, \u0111au n\u1eeda tr\u00ean b\u1ee5ng ho\u1eb7c n\u1eeda v\u00f2ng th\u1eaft l\u01b0ng. Kh\u00e1m th\u1ea5y r\u1ed1i lo\u1ea1n c\u1ea3m gi\u00e1c khi \u1ea5n ho\u1eb7c ch\u1ecdc v\u00e0o th\u00e0nh b\u1ee5ng. Ch\u00fang li\u00ean quan t\u1eafc m\u1ea1ch nu\u00f4i d\u00e2y th\u1ea7n kinh d\u1eabn t\u1edbi kh\u00f4ng d\u1eabn truy\u1ec1n \u0111\u01b0\u1ee3c.<\/li>\n<\/ul>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng b\u1eb1ng rivotril ho\u1eb7c anafranil.<\/li>\n<\/ul>\n<h3><strong>4.3. C\u00e1c b\u1ec7nh n\u1ed9i ti\u1ebft kh\u00e1c.<\/strong><\/h3>\n<ul>\n<li>U t\u1ee7y th\u01b0\u1ee3ng th\u1eadn: \u0111au b\u1ee5ng k\u00e8m v\u1edbi c\u01a1n t\u0103ng huy\u1ebft \u00e1p, do kh\u1ed1i u x\u00e2m nh\u1eadp v\u00e0o \u0111\u00e1m r\u1ed1i d\u01b0\u01a1ng ho\u1eb7c thi\u1ebfu m\u00e1u ru\u1ed9t. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o l\u00e2m s\u00e0ng, \u0111\u1ecbnh l\u01b0\u1ee3ng catecholamin v\u00e0 d\u1eabn xu\u1ea5t methoxyle trong m\u00e1u v\u00e0 h\u00ecnh \u1ea3nh h\u1ecdc.<\/li>\n<\/ul>\n<ul>\n<li>Suy gi\u00e1p: \u0111au b\u1ee5ng do gi\u1ea3m nhu \u0111\u1ed9ng ru\u1ed9t, ch\u1ea9n \u0111o\u00e1n d\u1ef1a v\u00e0o \u0111\u1ecbnh l\u01b0\u1ee3ng TSH.<\/li>\n<\/ul>\n<ul>\n<li>Nhi\u1ec5m \u0111\u1ed9c gi\u00e1p: tri\u1ec7u ch\u1ee9ng ti\u00eau h\u00f3a c\u00f3 th\u1ec3 nh\u1ea7m l\u00e0 b\u1ec7nh \u00e1c t\u00ednh trong \u1ed5 b\u1ee5ng (g\u1ea7y, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y) ho\u1eb7c b\u1ee5ng ngo\u1ea1i khoa (n\u00f4n, \u0111au b\u1ee5ng, ti\u00eau ch\u1ea3y, s\u1ed1t).<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o: <\/strong><\/p>\n<p>Maser C, Toset A, Roman S. Gastrointestinal manifestations of endocrine disease. World J Gastroenterol. 2006 May 28;12(20):3174-9.<\/p>\n<p>B\u1ec7nh h\u1ecdc n\u1ed9i khoa, Tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i, NXB Y h\u1ecdc.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110au b\u1ee5ng l\u00e0 nguy\u00ean nh\u00e2n r\u1ea5t hay g\u1eb7p c\u1ee7a b\u1ec7nh nh\u00e2n \u0111i kh\u00e1m \u0111\u1ed1i v\u1edbi th\u1ea7y thu\u1ed1c \u0111a khoa c\u0169ng nh\u01b0 chuy\u00ean khoa. \u0110a s\u1ed1 l\u00e0 c\u00f3 nguy\u00ean nh\u00e2n \u1edf h\u1ec7 ti\u00eau h\u00f3a, m\u1ed9t s\u1ed1 kh\u00e1c hi\u1ebfm g\u1eb7p h\u01a1n, c\u00f3 nguy\u00ean nh\u00e2n ngo\u00e0i h\u1ec7 ti\u00eau h\u00f3a ho\u1eb7c nguy\u00ean nh\u00e2n to\u00e0n th\u1ec3. C\u1ea7n c\u00f3 s\u1ef1 hi\u1ec3u [&hellip;]<\/p>\n","protected":false},"author":69,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[5,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110au b\u1ee5ng do b\u1ec7nh h\u1ec7 th\u1ed1ng v\u00e0 chuy\u1ec3n h\u00f3a: g\u00f3c nh\u00ecn t\u1ed5ng quan - Vinmec<\/title>\n<meta name=\"description\" content=\"\u0110a s\u1ed1 \u0111au b\u1ee5ng do nguy\u00ean nh\u00e2n \u1edf h\u1ec7 ti\u00eau h\u00f3a, m\u1ed9t s\u1ed1 kh\u00e1c hi\u1ebfm g\u1eb7p h\u01a1n, c\u00f3 nguy\u00ean nh\u00e2n ngo\u00e0i h\u1ec7 ti\u00eau h\u00f3a ho\u1eb7c nguy\u00ean nh\u00e2n to\u00e0n th\u1ec3.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110au b\u1ee5ng do b\u1ec7nh h\u1ec7 th\u1ed1ng v\u00e0 chuy\u1ec3n h\u00f3a: g\u00f3c nh\u00ecn t\u1ed5ng quan - 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