{"id":26871,"date":"2023-05-02T18:08:16","date_gmt":"2023-05-02T11:08:16","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=26871"},"modified":"2023-05-02T18:08:16","modified_gmt":"2023-05-02T11:08:16","slug":"di-ung-cortisol-nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/02\/di-ung-cortisol-nguyen-nhan-trieu-chung-dieu-tri-tuong-tac-thuoc\/","title":{"rendered":"D\u1ecb \u1ee9ng Cortisol: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb, t\u01b0\u01a1ng t\u00e1c thu\u1ed1c"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">\u00a0<strong>D\u1ecb \u1ee9ng Cortisol l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 nghi\u00ean c\u1ee9u trong l\u0129nh v\u1ef1c y t\u1ebf. Cortisol l\u00e0 m\u1ed9t hormone steroid \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn v\u1edbi t\u00ean g\u1ecdi hormone stress. Tuy nhi\u00ean, cortisol c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3, v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng n\u1ebfu m\u1ee9c \u0111\u1ed9 cortisol trong c\u01a1 th\u1ec3 qu\u00e1 cao ho\u1eb7c qu\u00e1 th\u1ea5p. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u th\u00eam v\u1ec1 d\u1ecb \u1ee9ng cortisol, c\u00e1c nguy\u00ean nh\u00e2n v\u00e0 tri\u1ec7u ch\u1ee9ng, v\u00e0 c\u00e1ch \u0111i\u1ec1u tr\u1ecb.\u00a0<\/strong> \u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/p>\n<figure style=\"width: 545px\" class=\"wp-caption aligncenter\"><img decoding=\"async\" loading=\"lazy\" src=\"https:\/\/i.imgur.com\/i6HscYa.png\" alt=\"D\u1ecb \u1ee9ng Cortisol\u00a0\" width=\"545\" height=\"364\" \/><figcaption class=\"wp-caption-text\">D\u1ecb \u1ee9ng Cortisol<\/figcaption><\/figure>\n<h2><b>1. \u0110\u1ecbnh ngh\u0129a v\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a d\u1ecb \u1ee9ng Cortisol<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">D\u1ecb \u1ee9ng cortisol l\u00e0 ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch c\u1ee7a c\u01a1 th\u1ec3 \u0111\u1ed1i v\u1edbi cortisol, khi c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u ho\u1eb7c qu\u00e1 \u00edt cortisol. C\u00e1c nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a d\u1ecb \u1ee9ng cortisol bao g\u1ed3m:<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>1.1. C\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/strong>: C\u00e1c b\u1ec7nh l\u00fd nh\u01b0 suy gi\u1ea3m tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, u tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, ho\u1eb7c vi\u00eam tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 g\u00e2y ra s\u1ea3n xu\u1ea5t cortisol qu\u00e1 \u00edt ho\u1eb7c qu\u00e1 nhi\u1ec1u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>1.2. S\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c<\/strong>: C\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 steroid c\u00f3 th\u1ec3 g\u00e2y ra s\u1ea3n xu\u1ea5t cortisol qu\u00e1 \u00edt ho\u1eb7c qu\u00e1 nhi\u1ec1u.<\/span><\/p>\n<p><span style=\"font-weight: 400;\"><strong>1.3. Stress<\/strong>: Stress c\u00f3 th\u1ec3 l\u00e0m t\u0103ng s\u1ea3n xu\u1ea5t cortisol, d\u1eabn \u0111\u1ebfn d\u1ecb \u1ee9ng cortisol.<\/span><\/p>\n<h2><b>2. Tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecb \u1ee9ng Cortisol<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecb \u1ee9ng cortisol c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 s\u1ea3n xu\u1ea5t cortisol c\u1ee7a c\u01a1 th\u1ec3. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecb \u1ee9ng cortisol do s\u1ea3n xu\u1ea5t cortisol qu\u00e1 \u00edt bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">M\u1ec7t m\u1ecfi<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Gi\u1ea3m c\u00e2n<\/span><\/li>\n<li><span style=\"font-weight: 400;\">Huy\u1ebft \u00e1p th\u1ea5p<\/span><\/li>\n<li><span style=\"font-weight: 400;\">C\u0103ng th\u1eb3ng<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecb \u1ee9ng cortisol do s\u1ea3n xu\u1ea5t cortisol qu\u00e1 nhi\u1ec1u bao g\u1ed3m:<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400;\">T\u0103ng c\u00e2n<\/span><\/li>\n<li><span style=\"font-weight: 400;\">\u0110au \u0111\u1ea7u<\/span><\/li>\n<li><span style=\"font-weight: 400;\">R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u0103ng huy\u1ebft \u00e1p<\/span><\/li>\n<li><span style=\"font-weight: 400;\">T\u0103ng \u0111\u01b0\u1eddng huy\u1ebft<\/span><\/li>\n<\/ul>\n<h2><b>3. \u0110i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng Cortisol<\/b><\/h2>\n<h3><b>3.1. S\u1eed d\u1ee5ng thu\u1ed1c<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng cortisol, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c steroid \u0111\u1ec3 t\u0103ng s\u1ea3n xu\u1ea5t cortisol ho\u1eb7c gi\u1ea3m s\u1ea3n xu\u1ea5t cortisol t\u00f9y thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh. C\u00e1c lo\u1ea1i thu\u1ed1c steroid \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 t\u0103ng s\u1ea3n xu\u1ea5t cortisol bao g\u1ed3m hydrocortisone, prednisone v\u00e0 dexamethasone. Nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng d\u01b0\u1edbi d\u1ea1ng thu\u1ed1c u\u1ed1ng ho\u1eb7c ti\u00eam.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">N\u1ebfu s\u1ea3n xu\u1ea5t cortisol qu\u00e1 nhi\u1ec1u, c\u00e1c b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 ketoconazole ho\u1eb7c metyrapone \u0111\u1ec3 gi\u1ea3m s\u1ea3n xu\u1ea5t cortisol.<\/span><\/p>\n<h3><b>3.2. Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Ngo\u00e0i vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u0169ng c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng cortisol. Vi\u1ec7c gi\u1ea3m stress, t\u1eadp th\u1ec3 d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n v\u00e0 \u0103n u\u1ed1ng \u0111\u1ea7y \u0111\u1ee7 v\u00e0 c\u00e2n b\u1eb1ng c\u00f3 th\u1ec3 gi\u00fap c\u01a1 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh s\u1ea3n xu\u1ea5t cortisol.<\/span><\/p>\n<h3><b>3.3. \u0110i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">N\u1ebfu d\u1ecb \u1ee9ng cortisol l\u00e0 do c\u00e1c b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, c\u00e1c b\u00e1c s\u0129 c\u1ea7n \u0111i\u1ec1u tr\u1ecb b\u1ec7nh l\u00fd g\u1ed1c \u0111\u1ec3 gi\u00fap c\u01a1 th\u1ec3 s\u1ea3n xu\u1ea5t cortisol b\u00ecnh th\u01b0\u1eddng h\u01a1n.<\/span><\/p>\n<h3><b>3.4. Theo d\u00f5i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c theo d\u00f5i v\u00e0 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c l\u00e0 r\u1ea5t quan tr\u1ecdng khi \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng cortisol. C\u00e1c b\u00e1c s\u0129 s\u1ebd theo d\u00f5i m\u1ee9c \u0111\u1ed9 cortisol trong c\u01a1 th\u1ec3 \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u thu\u1ed1c sao cho ph\u00f9 h\u1ee3p.<\/span><\/p>\n<h3><b>3.5. \u0110i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c<\/b><\/h3>\n<p><span style=\"font-weight: 400;\">Ngo\u00e0i c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u00ednh c\u1ee7a d\u1ecb \u1ee9ng cortisol, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i c\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c nh\u01b0 m\u1ea5t n\u01b0\u1edbc, r\u1ed1i lo\u1ea1n \u0111i\u1ec7n gi\u1ea3i v\u00e0 suy tim. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y, b\u00e1c s\u0129 c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c nh\u01b0 natri clorua ho\u1eb7c thu\u1ed1c gi\u00e3n m\u1ea1ch.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng cortisol \u0111\u00f2i h\u1ecfi s\u1ef1 theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf. B\u1ec7nh nh\u00e2n c\u1ea7n th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra s\u1ee9c kho\u1ebb v\u00e0 tu\u00e2n th\u1ee7 \u0111\u1ea7y \u0111\u1ee7 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t.<\/span><\/p>\n<h2><b>4. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/b><\/h2>\n<p><span style=\"font-weight: 400;\">D\u1ecb \u1ee9ng cortisol l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn s\u1ef1 s\u1ea3n xu\u1ea5t c\u1ee7a hormone cortisol. \u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh, c\u00e1c b\u00e1c s\u0129 th\u01b0\u1eddng s\u1eed d\u1ee5ng <a href=\"https:\/\/www.vinmec.com\/vi\/thong-tin-duoc\/su-dung-thuoc-toan\/corticoid-co-trong-nhung-loai-thuoc-nao-cach-nhan-biet\/\">c\u00e1c lo\u1ea1i thu\u1ed1c steroid<\/a> \u0111\u1ec3 t\u0103ng ho\u1eb7c gi\u1ea3m s\u1ea3n xu\u1ea5t cortisol, tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch.<\/span><\/p>\n<h3><strong>4.1. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa thu\u1ed1c steroid v\u00e0 thu\u1ed1c kh\u00e1ng sinh trong d\u1ecb \u1ee9ng Cortisol<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00e1ng sinh v\u00e0 thu\u1ed1c steroid \u0111\u1ed3ng th\u1eddi c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c. Thu\u1ed1c kh\u00e1ng sinh c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c steroid v\u00e0 ng\u01b0\u1ee3c l\u1ea1i, thu\u1ed1c steroid c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c kh\u00e1ng sinh. V\u00ec v\u1eady, n\u1ebfu b\u1ec7nh nh\u00e2n ph\u1ea3i s\u1eed d\u1ee5ng c\u1ea3 hai lo\u1ea1i thu\u1ed1c, c\u00e1c b\u00e1c s\u0129 c\u1ea7n theo d\u00f5i s\u00e1t sao \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c cho ph\u00f9 h\u1ee3p.<\/span><\/p>\n<h3><strong>4.2. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa thu\u1ed1c steroid v\u00e0 thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c steroid \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c. Thu\u1ed1c steroid c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ch\u1ea3y m\u00e1u, trong khi \u0111\u00f3, thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng l\u1ea1i c\u00f3 t\u00e1c d\u1ee5ng ng\u01b0\u1ee3c l\u1ea1i, l\u00e0m gi\u1ea3m nguy c\u01a1 ch\u1ea3y m\u00e1u. Do \u0111\u00f3, khi s\u1eed d\u1ee5ng c\u1ea3 hai lo\u1ea1i thu\u1ed1c, c\u00e1c b\u00e1c s\u0129 c\u1ea7n theo d\u00f5i s\u00e1t sao \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o r\u1eb1ng b\u1ec7nh nh\u00e2n kh\u00f4ng g\u1eb7p ph\u1ea3i c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 ch\u1ea3y m\u00e1u.<\/span><\/p>\n<h3><strong>4.3. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa thu\u1ed1c steroid v\u00e0 thu\u1ed1c kh\u00e1ng histamin<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c steroid \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c kh\u00e1ng histamin c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c. Thu\u1ed1c steroid c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c kh\u00e1ng histamin, d\u1eabn \u0111\u1ebfn vi\u1ec7c tri\u1ec7u ch\u1ee9ng d\u1ecb \u1ee9ng kh\u00f4ng \u0111\u01b0\u1ee3c gi\u1ea3m \u0111\u00e1ng k\u1ec3. Do \u0111\u00f3, khi s\u1eed d\u1ee5ng c\u1ea3 hai lo\u1ea1i thu\u1ed1c, b\u00e1c s\u0129 c\u1ea7n \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng c\u1ee7a t\u1eebng lo\u1ea1i thu\u1ed1c \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb.<\/span><\/p>\n<h3><strong>4.4. T\u01b0\u01a1ng t\u00e1c thu\u1ed1c gi\u1eefa thu\u1ed1c steroid v\u00e0 thu\u1ed1c \u0111au \u0111\u1ea7u<\/strong><\/h3>\n<p><span style=\"font-weight: 400;\">Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c steroid \u0111\u1ed3ng th\u1eddi v\u1edbi thu\u1ed1c \u0111au \u0111\u1ea7u c\u00f3 th\u1ec3 g\u00e2y ra t\u01b0\u01a1ng t\u00e1c thu\u1ed1c. Thu\u1ed1c steroid c\u00f3 th\u1ec3 l\u00e0m t\u0103ng t\u00e1c d\u1ee5ng c\u1ee7a thu\u1ed1c \u0111au \u0111\u1ea7u, d\u1eabn \u0111\u1ebfn nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 kh\u00f4ng mong mu\u1ed1n. Do \u0111\u00f3, khi s\u1eed d\u1ee5ng c\u1ea3 hai lo\u1ea1i thu\u1ed1c, b\u00e1c s\u0129 c\u1ea7n theo d\u00f5i s\u00e1t sao \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh li\u1ec1u l\u01b0\u1ee3ng thu\u1ed1c cho ph\u00f9 h\u1ee3p.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Trong t\u1ea5t c\u1ea3 c\u00e1c tr\u01b0\u1eddng h\u1ee3p, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c trong \u0111i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng cortisol \u0111\u00f2i h\u1ecfi s\u1ef1 theo d\u00f5i ch\u1eb7t ch\u1ebd v\u00e0 s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf. B\u1ec7nh nh\u00e2n c\u1ea7n th\u01b0\u1eddng xuy\u00ean ki\u1ec3m tra s\u1ee9c kho\u1ebb v\u00e0 tu\u00e2n th\u1ee7 \u0111\u1ea7y \u0111\u1ee7 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129 \u0111\u1ec3 tr\u00e1nh g\u1eb7p ph\u1ea3i t\u01b0\u01a1ng t\u00e1c thu\u1ed1c v\u00e0 \u0111\u1ea1t \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3 t\u1ed1t nh\u1ea5t trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh.<\/span><\/p>\n<p><b>K\u1ebft lu\u1eadn<\/b><\/p>\n<p><span style=\"font-weight: 400;\">D\u1ecb \u1ee9ng Cortisol l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 quan tr\u1ecdng v\u00e0 \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m trong l\u0129nh v\u1ef1c y t\u1ebf. C\u00e1c nguy\u00ean nh\u00e2n v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a d\u1ecb \u1ee9ng cortisol c\u00f3 th\u1ec3 kh\u00e1c nhau t\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 s\u1ea3n xu\u1ea5t cortisol c\u1ee7a c\u01a1 th\u1ec3. \u0110i\u1ec1u tr\u1ecb d\u1ecb \u1ee9ng cortisol ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 c\u1ee7a b\u1ec7nh, v\u00e0 c\u00f3 th\u1ec3 bao g\u1ed3m s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c v\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng. Vi\u1ec7c nghi\u00ean c\u1ee9u v\u00e0 hi\u1ec3u r\u00f5 v\u1ec1 d\u1ecb \u1ee9ng cortisol l\u00e0 r\u1ea5t c\u1ea7n thi\u1ebft \u0111\u1ec3 gi\u00fap cho ch\u0103m s\u00f3c v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n hi\u1ec7u qu\u1ea3.<\/span><\/p>\n<p><b>Ngu\u1ed3n tham kh\u1ea3o:<\/b><\/p>\n<ul>\n<li>Corticoid c\u00f3 trong nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0o? C\u00e1ch nh\u1eadn bi\u1ebft &#8211; Vinmec.com<\/li>\n<li>\n<p class=\"LC20lb MBeuO DKV0Md\">Corticoid l\u00e0 g\u00ec? Corticoid c\u00f3 l\u1ee3i hay c\u00f3 h\u1ea1i? &#8211; Vinmec<\/p>\n<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"<p>\u00a0D\u1ecb \u1ee9ng Cortisol l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 nghi\u00ean c\u1ee9u trong l\u0129nh v\u1ef1c y t\u1ebf. Cortisol l\u00e0 m\u1ed9t hormone steroid \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, th\u01b0\u1eddng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn v\u1edbi t\u00ean g\u1ecdi hormone stress. Tuy nhi\u00ean, cortisol c\u0169ng c\u00f3 t\u00e1c d\u1ee5ng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[73,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>D\u1ecb \u1ee9ng Cortisol: Nguy\u00ean nh\u00e2n, tri\u1ec7u ch\u1ee9ng, \u0111i\u1ec1u tr\u1ecb, t\u01b0\u01a1ng t\u00e1c thu\u1ed1c<\/title>\n<meta name=\"description\" content=\"thu\u1ed1c d\u1ecb \u1ee9ng Cortisol l\u00e0 m\u1ed9t ch\u1ee7 \u0111\u1ec1 \u0111ang \u0111\u01b0\u1ee3c quan t\u00e2m v\u00e0 nghi\u00ean c\u1ee9u trong l\u0129nh v\u1ef1c y t\u1ebf. 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