{"id":29218,"date":"2023-06-22T15:08:27","date_gmt":"2023-06-22T08:08:27","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29218"},"modified":"2023-06-22T15:08:27","modified_gmt":"2023-06-22T08:08:27","slug":"7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/","title":{"rendered":"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p"},"content":{"rendered":"

Levothyroxine l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p hormone tuy\u1ebfn gi\u00e1p b\u1ecb thi\u1ebfu h\u1ee5t trong c\u01a1 th\u1ec3. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang c\u00e1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 7 l\u1eddi khuy\u00ean quan tr\u1ecdng hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c\u00a0 \u0111i\u1ec1u tr\u1ecb v\u00e0 c\u00e1ch qu\u1ea3n l\u00fd b\u1ec7nh suy gi\u00e1p m\u1ed9t c\u00e1ch t\u1ed1t nh\u1ea5t.<\/strong><\/p>\n

1.T\u00ecm hi\u1ec3u chung v\u1ec1 b\u1ec7nh suy gi\u00e1p<\/strong><\/h2>\n

Suy gi\u00e1p \u0111\u01b0\u1ee3c hi\u1ec3u l\u00e0 b\u1ec7nh l\u00fd x\u1ea3y ra khi tuy\u1ebfn gi\u00e1p kh\u00f4ng\u00a0 s\u1ea3n xu\u1ea5t \u0111\u1ee7 hormone tuy\u1ebfn gi\u00e1p\u00a0 \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3. Tuy\u1ebfn gi\u00e1p l\u00e0 m\u1ed9t tuy\u1ebfn nh\u1ecf h\u00ecnh con b\u01b0\u1edbm \u1edf ph\u00eda tr\u01b0\u1edbc c\u1ed5 v\u00e0 ti\u1ebft ra c\u00e1c hormone tuy\u1ebfn gi\u00e1p gi\u00fap ki\u1ec3m so\u00e1t c\u01a1 th\u1ec3 s\u1eed d\u1ee5ng n\u0103ng l\u01b0\u1ee3ng, do \u0111\u00f3 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tuy\u1ebfn gi\u00e1p \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn g\u1ea7n nh\u01b0 m\u1ecdi c\u01a1 quan trong c\u01a1 th\u1ec3. V\u00ec v\u1eady, n\u1ebfu kh\u00f4ng ti\u1ebft \u0111\u1ee7 l\u01b0\u1ee3ng hormone tuy\u1ebfn gi\u00e1p nhi\u1ec1u ch\u1ee9c n\u0103ng c\u01a1 th\u1ec3 s\u1ebd ho\u1ea1t \u0111\u1ed9ng ch\u1eadm l\u1ea1i. G\u1ea7n 5 trong s\u1ed1 100 ng\u01b0\u1eddi M\u1ef9 t\u1eeb 12 tu\u1ed5i tr\u1edf l\u00ean b\u1ecb suy gi\u00e1p, m\u1eb7c d\u00f9 h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u nh\u1eb9 ho\u1eb7c c\u00f3 \u00edt tri\u1ec7u ch\u1ee9ng r\u00f5 r\u00e0ng.\u00a0<\/span><\/p>\n

\"B\u1ec7nh
B\u1ec7nh suy gi\u00e1p<\/figcaption><\/figure>\n

Ph\u1ee5 n\u1eef c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng m\u1eafc b\u1ec7nh suy gi\u00e1p h\u01a1n nam gi\u1edbi v\u00e0 b\u1ec7nh ph\u1ed5 bi\u1ebfn h\u01a1n \u1edf nh\u1eefng ng\u01b0\u1eddi tr\u00ean 60 tu\u1ed5i. C\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb suy gi\u00e1p n\u1ebfu t\u1eebng c\u00f3 ti\u1ec1n s\u1eed v\u1ec1 tuy\u1ebfn gi\u00e1p (b\u01b0\u1edbu c\u1ed5), \u0111ang \u0111i\u1ec1u tr\u1ecb b\u1eb1ng b\u1ee9c x\u1ea1 ch\u1ed7 tuy\u1ebfn gi\u00e1p, ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh tuy\u1ebfn gi\u00e1p, h\u1ed9i ch\u1ee9ng Turner<\/span><\/p>\n

Khi m\u1eafc ph\u1ea3i b\u1ec7nh suy gi\u00e1p, c\u00e1c bi\u1ebfn ch\u1ee9ng nghi\u00eam tr\u1ecdng h\u01a1n c\u00f3 th\u1ec3 x\u1ea3y ra bao g\u1ed3m: t\u0103ng l\u01b0\u1ee3ng Cholesterol, h\u00f4n m\u00ea ph\u00f9 ni\u00eam, th\u1eadm ch\u00ed c\u00f3 th\u1ec3 t\u1eed vong<\/span><\/p>\n

Suy gi\u00e1p c\u00f3 nhi\u1ec1u tri\u1ec7u ch\u1ee9ng bi\u1ec3u hi\u1ec7n kh\u00e1c nhau \u1edf nhi\u1ec1u ng\u01b0\u1eddi nh\u01b0 m\u1ec7t m\u1ecfi, t\u0103ng c\u00e2n, \u0111au kh\u1edbp v\u00e0 c\u01a1, da kh\u00f4, kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u, nh\u1ecbp tim ch\u1eadm, tr\u1ea7m c\u1ea3m,…Do suy gi\u00e1p ti\u1ebfn tri\u1ec3n ch\u1eadm n\u00ean c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh c\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n t\u1eeb t\u1eeb trong nhi\u1ec1u th\u00e1ng, th\u1eadm ch\u00ed nhi\u1ec1u n\u0103m. Trong s\u1ed1 c\u00e1c tri\u1ec7u ch\u1ee9ng, m\u1ec7t m\u1ecfi v\u00e0 t\u0103ng c\u00e2n \u0111\u1ed9t ng\u1ed9t l\u00e0 ph\u1ed5 bi\u1ebfn nh\u1ea5t\u00a0<\/span><\/p>\n

C\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n g\u00e2y suy gi\u00e1p xu\u1ea5t ph\u00e1t t\u1eeb: b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh Hashimoto, vi\u00eam tuy\u1ebfn gi\u00e1p, b\u1ea9m sinh, x\u1ea1 tr\u1ecb tuy\u1ebfn gi\u00e1p, s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 tuy\u1ebfn gi\u00e1p<\/span><\/p>\n

Suy gi\u00e1p \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1ch thay th\u1ebf c\u00e1c hormone tuy\u1ebfn gi\u00e1p. Levothyroxine l\u00e0 lo\u1ea1i thu\u1ed1c n\u1ed9i ti\u1ebft tuy\u1ebfn gi\u00e1p \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n d\u1ea1ng vi\u00ean n\u00e9n \u0111\u1ec3 ki\u1ec3m so\u00e1t ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh suy gi\u00e1p\u00a0<\/span><\/p>\n

2.C\u00e1c lo\u1ea1i thu\u1ed1c ph\u1ed5 bi\u1ebfn \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p<\/strong><\/h2>\n

2.1 T\u1ed5ng quan v\u1ec1 thu\u1ed1c Levothyroxine<\/span><\/h3>\n

Levothyroxine<\/a> th\u01b0\u1eddng \u0111\u01b0\u1ee3c coi l\u00e0 thu\u1ed1c l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean cho b\u1ec7nh suy gi\u00e1p<\/span><\/p>\n

\"Levothyroxine\"
Levothyroxine<\/figcaption><\/figure>\n

Ch\u1ec9 \u0111\u1ecbnh: Levothyroxine \u0111\u01b0\u1eddng u\u1ed1ng \u0111\u01b0\u1ee3c FDA ch\u1ea5p thu\u1eadn \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p nguy\u00ean, th\u1ee9 ph\u00e1t v\u00e0 \u1ee9c ch\u1ebf Thyrotropin tuy\u1ebfn y\u00ean \u0111\u1ec3 h\u1ed7 tr\u1ee3 cho ph\u1eabu thu\u1eadt. Ngo\u00e0i ra, thu\u1ed1c ti\u00eam Levothyroxine \u0111\u01b0\u1ee3c ph\u00ea duy\u1ec7t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u00f4n m\u00ea ph\u00f9 ni\u00eam ho\u1eb7c suy gi\u00e1p n\u1eb7ng<\/span><\/p>\n

C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng: Levothyroxine (T4) l\u00e0 phi\u00ean b\u1ea3n t\u1ed5ng h\u1ee3p c\u1ee7a hormone tuy\u1ebfn gi\u00e1p t\u1ef1 nhi\u00ean c\u1ee7a c\u01a1 th\u1ec3. Th\u00f4ng th\u01b0\u1eddng, v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i ti\u1ebft ra hormone gi\u1ea3i ph\u00f3ng thyrotropin (TRH), sau \u0111\u00f3 k\u00edch th\u00edch tuy\u1ebfn y\u00ean tr\u01b0\u1edbc ti\u1ebft ra hormone k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p (TSH) v\u00e0 k\u00edch th\u00edch tuy\u1ebfn gi\u00e1p ti\u1ebft ra 80% thyroxine (T4), 20% L-triiodothyronine (T3). 50% thyroxine (T4) \u0111\u01b0\u1ee3c chuy\u1ec3n \u0111\u1ed5i th\u00e0nh ch\u1ea5t chuy\u1ec3n h\u00f3a c\u00f3 ho\u1ea1t t\u00ednh L-triiodothyronine (T3). C\u00e1c hormone tuy\u1ebfn gi\u00e1p sau \u0111\u00f3 ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch li\u00ean k\u1ebft v\u1edbi c\u00e1c protein th\u1ee5 th\u1ec3 tuy\u1ebfn gi\u00e1p c\u00f3 trong nh\u00e2n t\u1ebf b\u00e0o. Khi \u0111\u00e3 \u1edf b\u00ean trong nh\u00e2n, c\u00e1c hormone tuy\u1ebfn gi\u00e1p \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn qu\u00e1 tr\u00ecnh phi\u00ean m\u00e3 ADN \u0111\u1ec3 t\u0103ng chuy\u1ec3n h\u00f3a c\u01a1 th\u1ec3 b\u1eb1ng c\u00e1ch t\u0103ng t\u00e2n t\u1ea1o glucose, t\u1ed5ng h\u1ee3p protein, huy \u0111\u1ed9ng d\u1ef1 tr\u1eef glycogen v\u00e0 c\u00e1c ch\u1ee9c n\u0103ng kh\u00e1c. Do \u0111\u00f3, Levothyroxine (LT4) ho\u1ea1t \u0111\u1ed9ng t\u01b0\u01a1ng t\u1ef1 qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t T4 n\u1ed9i sinh c\u1ee7a c\u01a1 th\u1ec3 b\u1edfi tuy\u1ebfn gi\u00e1p<\/span><\/p>\n

T\u00e1c d\u1ee5ng ph\u1ee5: ph\u1ea3n \u1ee9ng d\u1ecb \u1ee9ng, ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i v\u1edbi tim m\u1ea1ch (c\u01a1n \u0111au th\u1eaft ng\u1ef1c, nh\u1ecbp tim nhanh, \u0111\u00e1nh tr\u1ed1ng ng\u1ef1c, lo\u1ea1n nh\u1ecbp tim, nh\u1ed3i m\u00e1u c\u01a1 tim, rung t\u00e2m nh\u0129), ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i v\u1edbi th\u1ea7n kinh (lo l\u1eafng, m\u1ea5t ng\u1ee7), ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i \u0111\u01b0\u1eddng ti\u00eau h\u00f3a (ti\u00eau ch\u1ea3y, n\u00f4n, gi\u1ea3m c\u00e2n), ph\u1ea3n \u1ee9ng c\u00f3 h\u1ea1i cho da li\u1ec5u (ph\u00e1t ban, ch\u1ea3y m\u1ed3 h\u00f4i,…)<\/span><\/p>\n

Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: b\u1ec7nh nh\u00e2n c\u01b0\u1eddng gi\u00e1p, r\u1ed1i lo\u1ea1n nh\u1ecbp tim t\u00edch c\u1ef1c, vi\u00eam c\u01a1 tim c\u1ea5p t\u00ednh, nhi\u1ec5m \u0111\u1ed9c gi\u00e1p, suy th\u01b0\u1ee3ng th\u1eadn ch\u01b0a \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb, nh\u1ed3i m\u00e1u c\u01a1 tim c\u1ea5p<\/span><\/p>\n

2.2 C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c\u00a0<\/span><\/h3>\n

Ngo\u00e0i Levothyroxine, Liothyronine ho\u1eb7c tuy\u1ebfn gi\u00e1p kh\u00f4 (Armour Thyroid) th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e2n nh\u1eafc s\u1eed d\u1ee5ng n\u1ebfu Levothyroxine kh\u00f4ng ph\u00e1t huy t\u00e1c d\u1ee5ng. Tuy nhi\u00ean, FDA ho\u1eb7c Hi\u1ec7p h\u1ed9i tuy\u1ebfn gi\u00e1p Hoa K\u1ef3\u00a0 kh\u00f4ng khuy\u1ebfn ngh\u1ecb c\u00e1c lo\u1ea1i thu\u1ed1c tuy\u1ebfn gi\u00e1p kh\u00f4<\/span><\/p>\n

3.C\u00e1ch s\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p \u0111\u00fang c\u00e1ch\u00a0<\/strong><\/h2>\n

3.1 C\u00f9ng m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p<\/span><\/h3>\n

N\u1ed3ng \u0111\u1ed9 hormone trong h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c thay th\u1ebf tuy\u1ebfn gi\u00e1p c\u00f3 th\u1ec3 kh\u00e1c nhau m\u1ed9t ch\u00fat. V\u00ec l\u00fd do n\u00e0y t\u1ed1t nh\u1ea5t n\u00ean ch\u1ecdn thu\u1ed1c c\u00f3 ngu\u1ed3n g\u1ed1c t\u1eeb c\u00f9ng nh\u00e0 s\u1ea3n xu\u1ea5t v\u00e0 kh\u00f4ng n\u00ean chuy\u1ec3n t\u1eeb lo\u1ea1i thu\u1ed1c n\u00e0y sang lo\u1ea1i thu\u1ed1c kh\u00e1c m\u00e0 kh\u00f4ng tham kh\u1ea3o \u00fd ki\u1ebfn t\u1eeb c\u00e1c chuy\u00ean gia y t\u1ebf. M\u1ed7i lo\u1ea1i thu\u1ed1c t\u1eeb m\u1ed9t nh\u00e0 s\u1ea3n xu\u1ea5t c\u00f3 m\u1ed9t m\u00e0u v\u00e0\/ho\u1eb7c \u0111\u00e1nh d\u1ea5u ri\u00eang n\u00ean ph\u1ea3i \u0111\u1ea3m b\u1ea3o xem x\u00e9t k\u1ef9 nh\u00e3n hi\u1ec7u \u0111\u1ec3 tr\u00e1nh nh\u1ea7m l\u1eabn<\/span><\/p>\n

3.2 S\u1eed d\u1ee5ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p khi b\u1ee5ng \u0111\u00f3i\u00a0<\/span><\/h3>\n

M\u1ed9t s\u1ed1 lo\u1ea1i th\u1ef1c ph\u1ea9m, ch\u1eb3ng h\u1ea1n nh\u01b0 b\u00e1nh m\u00ec nguy\u00ean h\u1ea1t, \u0111u \u0111\u1ee7 v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a \u0111\u1eadu n\u00e0nh, c\u00f3 th\u1ec3 ng\u0103n c\u01a1 th\u1ec3 h\u1ea5p th\u1ee5 \u0111\u1ee7 l\u01b0\u1ee3ng thu\u1ed1c. \u0110i\u1ec1u t\u01b0\u01a1ng t\u1ef1 c\u0169ng x\u1ea3y ra v\u1edbi c\u00e0 ph\u00ea, n\u01b0\u1edbc \u00e9p tr\u00e1i c\u00e2y v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m l\u00e0m t\u1eeb s\u1eefa. \u0110\u00f3 l\u00e0 l\u00fd do t\u1ea1i sao u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft t\u1ed1 tuy\u1ebfn gi\u00e1p khi b\u1ee5ng \u0111\u00f3i l\u00e0 r\u1ea5t quan tr\u1ecdng. T\u1ed1t nh\u1ea5t l\u00e0 u\u1ed1ng h\u1ea7u h\u1ebft c\u00e1c lo\u1ea1i thu\u1ed1c tuy\u1ebfn gi\u00e1p v\u00e0o bu\u1ed5i s\u00e1ng khi b\u1ee5ng \u0111\u00f3i \u2013 l\u00fd t\u01b0\u1edfng l\u00e0 30 ph\u00fat \u0111\u1ebfn 1 gi\u1edd tr\u01b0\u1edbc b\u1eefa \u0103n \u0111\u1ea7u ti\u00ean trong ng\u00e0y. M\u1eb7c kh\u00e1c, n\u1ebfu li\u1ec1u \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng v\u00e0o bu\u1ed5i s\u00e1ng kh\u00f4ng ph\u00e1t huy t\u1ed1t, thay v\u00e0o \u0111\u00f3 b\u1ec7nh nh\u00e2n n\u00ean d\u00f9ng thu\u1ed1c tr\u01b0\u1edbc khi \u0111i ng\u1ee7 v\u00ec c\u01a1 th\u1ec3 h\u1ea5p th\u1ee5 thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p \u1ed5n \u0111\u1ecbnh khi d\u00f9ng \u00edt nh\u1ea5t sau 2 gi\u1edd sau b\u1eefa \u0103n cu\u1ed1i c\u00f9ng trong ng\u00e0y<\/span><\/p>\n

3.3 Kh\u00f4ng u\u1ed1ng thu\u1ed1c trong v\u00f2ng 4 gi\u1edd sau khi u\u1ed1ng thu\u1ed1c b\u1ed5 sung ho\u1eb7c thu\u1ed1c kh\u00e1ng acid c\u00f3 ch\u1ee9a S\u1eaft, Nh\u00f4m ho\u1eb7c Canxi<\/span><\/h3>\n

C\u00e1c kho\u00e1ng ch\u1ea5t nh\u01b0 s\u1eaft, nh\u00f4m v\u00e0 canxi c\u00f3 th\u1ec3 li\u00ean k\u1ebft v\u1edbi Levothyroxine do \u0111\u00f3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn vi\u1ec7c h\u1ea5p thu Levothyroxine \u0111\u1ea1t n\u1ed3ng \u0111\u1ed9 \u0111i\u1ec1u tr\u1ecb. V\u1eady n\u00ean c\u1ea7n s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c kh\u00e1ng acid ho\u1eb7c c\u00e1c kho\u00e1ng ch\u1ea5t sau \u00edt nh\u1ea5t 4 gi\u1edd s\u1eed d\u1ee5ng Levothyroxine<\/span><\/p>\n

3.4 Tr\u00e1nh t\u1ef1 \u00fd b\u1ed5 sung c\u00e1c ch\u1ea5t h\u1ed7 tr\u1ee3 ho\u1eb7c th\u1ea3o d\u01b0\u1ee3c trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p<\/span><\/h3>\n

Tuy\u1ebfn gi\u00e1p l\u00e0 m\u1ed9t b\u1ed9 ph\u1eadn quan tr\u1ecdng trong c\u01a1 th\u1ec3, s\u1ea3n xu\u1ea5t hormone tuy\u1ebfn gi\u00e1p \u0111\u1ec3 \u0111i\u1ec1u ti\u1ebft c\u00e1c ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u01a1 th\u1ec3. \u0110\u1ec3 s\u1ea3n xu\u1ea5t hormone tuy\u1ebfn gi\u00e1p, c\u1ea7n m\u1ed9t s\u1ed1 lo\u1ea1i vitamin v\u00e0 kho\u00e1ng ch\u1ea5t. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c h\u1ed7 tr\u1ee3 tuy\u1ebfn gi\u00e1p ho\u1eb7c c\u00e1c ch\u1ea5t b\u1ed5 sung th\u1ea3o d\u01b0\u1ee3c m\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 ch\u1ea5p thu\u1eadn c\u1ee7a c\u00e1c chuy\u00ean gia y t\u1ebf c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng. Do \u0111\u00f3, \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb tuy\u1ebfn gi\u00e1p, b\u1ec7nh nh\u00e2n c\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn t\u1eeb c\u00e1c chuy\u00ean gia tr\u01b0\u1edbc khi s\u1eed d\u1ee5ng ch\u1ea5t b\u1ed5 sung\u00a0<\/span><\/p>\n

3.5 D\u00f9ng thu\u1ed1c trong v\u00e0i tu\u1ea7n \u0111\u1ec3 thu\u1ed1c ph\u00e1t huy h\u1ebft t\u00e1c d\u1ee5ng\u00a0<\/span><\/h3>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng suy gi\u00e1p c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu v\u00e0 th\u00f4ng th\u01b0\u1eddng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p m\u1ea5t m\u1ed9t th\u1eddi gian \u0111\u1ec3 \u0111\u1ea1t hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb. C\u1ee5 th\u1ec3, m\u1ea5t t\u1eeb \u200b\u200b1 \u0111\u1ebfn 2 tu\u1ea7n \u0111\u1ec3 Liothyronine \u0111\u1ea1t m\u1ee9c t\u1ed1i \u01b0u, Armor Thyroid m\u1ea5t nhi\u1ec1u th\u1eddi gian h\u01a1n m\u1ed9t ch\u00fat kho\u1ea3ng 2 \u0111\u1ebfn 3 tu\u1ea7n v\u00e0 Levothyroxine c\u00f3 th\u1ec3 m\u1ea5t t\u1eeb \u200b\u200b4 \u0111\u1ebfn 6 tu\u1ea7n \u0111\u1ec3 gi\u1ea3m tri\u1ec7u ch\u1ee9ng ho\u00e0n to\u00e0n. Do \u0111\u00f3, trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111\u1ebfn x\u00e9t nghi\u1ec7m m\u00e1u th\u01b0\u1eddng xuy\u00ean khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c \u0111\u1ec3 theo d\u00f5i li\u1ec1u l\u01b0\u1ee3ng v\u00e0 \u0111\u1ea3m b\u1ea3o hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb\u00a0<\/span><\/p>\n

3.6 Th\u1eadn tr\u1ecdng v\u1ec1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p\u00a0<\/span><\/h3>\n

H\u1ea7u h\u1ebft c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c n\u1ed9i ti\u1ebft t\u1ed1 tuy\u1ebfn gi\u00e1p x\u1ea3y ra khi li\u1ec1u l\u01b0\u1ee3ng s\u1eed d\u1ee5ng qu\u00e1 v\u01b0\u1ee3t qu\u00e1 li\u1ec1u khuy\u1ebfn c\u00e1o. M\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5 th\u01b0\u1eddng g\u1eb7p m\u00e0 b\u1ec7nh nh\u00e2n \u00edt \u0111\u1ec3 \u00fd: lo l\u1eafng, \u0111\u1ed5 m\u1ed3 h\u00f4i, m\u1ea5t ng\u1ee7, gi\u1ea3m c\u00e2n b\u1ea5t th\u01b0\u1eddng,…N\u1ebfu c\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y x\u1ea3y ra, b\u1ec7nh nh\u00e2n n\u00ean \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 ho\u1eb7c c\u00e1c chuy\u00ean gia y t\u1ebf \u0111\u1ec3 ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 thu\u1ed1c trong m\u00e1u\u00a0<\/span><\/p>\n

3.7 Kh\u00f4ng t\u1ef1 \u00fd ng\u01b0ng d\u00f9ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p\u00a0<\/span><\/h3>\n

Li\u1ec7u ph\u00e1p thay th\u1ebf tuy\u1ebfn gi\u00e1p l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb k\u00e9o d\u00e0i cho h\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb suy gi\u00e1p. V\u00ec v\u1eady, n\u1ebfu ng\u01b0ng d\u00f9ng thu\u1ed1c \u0111\u1ed9t ng\u1ed9t, ch\u1ee9ng suy gi\u00e1p s\u1ebd t\u00e1i ph\u00e1t v\u00e0 kh\u00f4ng ch\u1ec9 g\u00e2y ra nhi\u1ec1u tri\u1ec7u ch\u1ee9ng nh\u01b0 c\u00e1u k\u1ec9nh, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng, ch\u1ee9ng m\u1ea5t tr\u00ed nh\u1edb m\u00e0 c\u00f2n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 tim m\u1ea1ch.\u00a0<\/span><\/p>\n

 <\/p>\n

\u00a0<\/span><\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Levothyroxine l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 cung c\u1ea5p hormone tuy\u1ebfn gi\u00e1p b\u1ecb thi\u1ebfu h\u1ee5t trong c\u01a1 th\u1ec3. Tuy nhi\u00ean, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c n\u00e0y c\u1ea7n \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u00fang c\u00e1ch \u0111\u1ec3 \u0111\u1ea3m b\u1ea3o an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3. Trong b\u00e0i vi\u1ebft n\u00e0y, ch\u00fang ta s\u1ebd t\u00ecm hi\u1ec3u v\u1ec1 7 l\u1eddi khuy\u00ean quan […]<\/p>\n","protected":false},"author":54,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[12],"tags":[],"yoast_head":"\n7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p<\/title>\n<meta name=\"description\" content=\"7 l\u1eddi khuy\u00ean quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Levothyroxine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p gi\u00fap mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u\" \/>\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=\"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p\" \/>\n<meta property=\"og:description\" content=\"7 l\u1eddi khuy\u00ean quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Levothyroxine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p gi\u00fap mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u\" \/>\n<meta property=\"og:url\" content=\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/\" \/>\n<meta property=\"og:site_name\" content=\"Vinmec\" \/>\n<meta property=\"article:published_time\" content=\"2023-06-22T08:08:27+00:00\" \/>\n<meta property=\"og:image\" content=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Benh-suy-giap-300x178.png\" \/>\n<meta name=\"author\" content=\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/\",\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/\",\"name\":\"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p\",\"isPartOf\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\"},\"datePublished\":\"2023-06-22T08:08:27+00:00\",\"dateModified\":\"2023-06-22T08:08:27+00:00\",\"author\":{\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/55407b7fd81e248fc677fffab3aac771\"},\"description\":\"7 l\u1eddi khuy\u00ean quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Levothyroxine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p gi\u00fap mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u\",\"breadcrumb\":{\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/noithathoaphat.in\/ctv\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#website\",\"url\":\"https:\/\/noithathoaphat.in\/ctv\/\",\"name\":\"Vinmec\",\"description\":\"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/55407b7fd81e248fc677fffab3aac771\",\"name\":\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/\",\"url\":\"http:\/\/2.gravatar.com\/avatar\/2cb6fe9c8b954a7fbd43938a66c2c4b9?s=96&d=mm&r=g\",\"contentUrl\":\"http:\/\/2.gravatar.com\/avatar\/2cb6fe9c8b954a7fbd43938a66c2c4b9?s=96&d=mm&r=g\",\"caption\":\"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi\"},\"url\":\"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/nguyenngocthoainhigmail-com\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p","description":"7 l\u1eddi khuy\u00ean quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Levothyroxine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p gi\u00fap mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p","og_description":"7 l\u1eddi khuy\u00ean quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Levothyroxine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p gi\u00fap mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u","og_url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/","og_site_name":"Vinmec","article_published_time":"2023-06-22T08:08:27+00:00","og_image":[{"url":"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Benh-suy-giap-300x178.png"}],"author":"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi","Est. reading time":"8 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/","url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/","name":"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p","isPartOf":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#website"},"datePublished":"2023-06-22T08:08:27+00:00","dateModified":"2023-06-22T08:08:27+00:00","author":{"@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/55407b7fd81e248fc677fffab3aac771"},"description":"7 l\u1eddi khuy\u00ean quan tr\u1ecdng khi s\u1eed d\u1ee5ng thu\u1ed1c Levothyroxine \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh suy gi\u00e1p gi\u00fap mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1i \u01b0u","breadcrumb":{"@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/"]}]},{"@type":"BreadcrumbList","@id":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/22\/7-loi-khuyen-khi-dung-thuoc-nhu-levothyroxine-cho-benh-suy-giap\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/noithathoaphat.in\/ctv\/"},{"@type":"ListItem","position":2,"name":"7 l\u1eddi khuy\u00ean khi d\u00f9ng thu\u1ed1c nh\u01b0 Levothyroxine cho b\u1ec7nh suy gi\u00e1p"}]},{"@type":"WebSite","@id":"https:\/\/noithathoaphat.in\/ctv\/#website","url":"https:\/\/noithathoaphat.in\/ctv\/","name":"Vinmec","description":"H\u1ec7 th\u1ed1ng Y t\u1ebf Vinmec","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/noithathoaphat.in\/ctv\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/55407b7fd81e248fc677fffab3aac771","name":"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/noithathoaphat.in\/ctv\/#\/schema\/person\/image\/","url":"http:\/\/2.gravatar.com\/avatar\/2cb6fe9c8b954a7fbd43938a66c2c4b9?s=96&d=mm&r=g","contentUrl":"http:\/\/2.gravatar.com\/avatar\/2cb6fe9c8b954a7fbd43938a66c2c4b9?s=96&d=mm&r=g","caption":"Nguy\u1ec5n Ng\u1ecdc Tho\u1ea1i Nhi"},"url":"http:\/\/noithathoaphat.in\/ctv\/index.php\/author\/nguyenngocthoainhigmail-com\/"}]}},"_links":{"self":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29218"}],"collection":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/users\/54"}],"replies":[{"embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/comments?post=29218"}],"version-history":[{"count":3,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29218\/revisions"}],"predecessor-version":[{"id":35441,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/posts\/29218\/revisions\/35441"}],"wp:attachment":[{"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/media?parent=29218"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/categories?post=29218"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/noithathoaphat.in\/ctv\/index.php\/wp-json\/wp\/v2\/tags?post=29218"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}