{"id":29403,"date":"2023-05-07T17:43:34","date_gmt":"2023-05-07T10:43:34","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=29403"},"modified":"2023-05-07T17:43:34","modified_gmt":"2023-05-07T10:43:34","slug":"hoi-chung-ngung-tho-khi-ngu-va-tinh-trang-mat-can-bang-hormone","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/07\/hoi-chung-ngung-tho-khi-ngu-va-tinh-trang-mat-can-bang-hormone\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 v\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7\u00a0l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p hi\u1ec7n nay, c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nguy hi\u1ec3m v\u00e0 c\u1ea3 nh\u1eefng bi\u1ebfn ch\u1ee9ng t\u1eed vong.
\n<\/strong><\/p>\n

1. H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 l\u00e0 g\u00ec?<\/strong><\/h1>\n

H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 (OSA \u2013 Obstructive Sleep Apnea)<\/strong>\u00a0<\/a>l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 3-7% d\u00e2n s\u1ed1 tr\u01b0\u1edfng th\u00e0nh v\u00e0 1-3% tr\u1ebb em tr\u00ean to\u00e0n th\u1ebf gi\u1edbi. Theo B\u1ed9 Y t\u1ebf Vi\u1ec7t Nam, t\u1ef7 l\u1ec7 ng\u01b0\u1eddi m\u1eafc OSA \u1edf Vi\u1ec7t Nam \u0111ang t\u0103ng cao v\u00e0 \u01b0\u1edbc t\u00ednh kho\u1ea3ng 5 \u2013 10% d\u00e2n s\u1ed1. T\u00ecnh tr\u1ea1ng ng\u01b0ng th\u1edf khi ng\u1ee7 g\u00e2y ra s\u1ef1 gi\u00e1n \u0111o\u1ea1n c\u1ee7a gi\u1ea5c ng\u1ee7, g\u00e2y m\u1ea5t ng\u1ee7 v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n

OSA \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh b\u1edfi ph\u00e9p \u0111o s\u1ed1 l\u1ea7n ng\u01b0ng th\u1edf ho\u1eb7c gi\u1ea3m h\u00f4 h\u1ea5p d\u01b0\u1edbi m\u1ed9t m\u1ee9c ng\u01b0\u1ee1ng nh\u1ea5t \u0111\u1ecbnh trong m\u1ed9t gi\u1ea5c ng\u1ee7 \u0111\u01b0\u1ee3c ghi nh\u1eadn tr\u00ean c\u00e1c thi\u1ebft b\u1ecb gi\u00e1m s\u00e1t. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a OSA bao g\u1ed3m ng\u1ee7 kh\u00f4ng ngon gi\u1ea5c, ng\u1ee7 nhi\u1ec1u l\u1ea7n trong ng\u00e0y, m\u1ea5t tr\u00ed nh\u1edb v\u00e0 kh\u00f3 t\u1eadp trung trong ng\u00e0y, \u0111au \u0111\u1ea7u, m\u1ec7t m\u1ecfi v\u00e0 kh\u00f3 th\u1edf. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, OSA c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe nghi\u00eam tr\u1ecdng nh\u01b0 t\u0103ng huy\u1ebft \u00e1p, b\u1ec7nh tim v\u00e0 \u0111\u1ed9t qu\u1ef5.<\/p>\n

\"H\u1ed9i
H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7<\/figcaption><\/figure>\n

2. T\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone l\u00e0 g\u00ec?<\/h1>\n

M\u1ea5t c\u00e2n b\u1eb1ng hormone l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng b\u1ea5t th\u01b0\u1eddng v\u1ec1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a c\u00e1c tuy\u1ebfn n\u1ed9i ti\u1ebft, khi\u1ebfn cho s\u1ea3n l\u01b0\u1ee3ng v\u00e0 l\u01b0\u1ee3ng hormone trong c\u01a1 th\u1ec3 kh\u00f4ng \u0111\u00e1p \u1ee9ng \u0111\u01b0\u1ee3c nhu c\u1ea7u th\u1ef1c t\u1ebf c\u1ee7a c\u01a1 th\u1ec3. T\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe, nh\u01b0 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng, suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u00e2m l\u00fd, suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, suy gi\u1ea3m ch\u1ee9c n\u0103ng tuy\u1ebfn gi\u00e1p, t\u0103ng huy\u1ebft \u00e1p, suy gi\u1ea3m ch\u1ee9c n\u0103ng tuy\u1ebfn y\u00ean, suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn, v\u00e0 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe kh\u00e1c.<\/p>\n

3.M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 v\u00e0 <\/strong>M\u1ea5t c\u00e2n b\u1eb1ng Hormone<\/strong><\/h1>\n

H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 v\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone c\u00f3 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. C\u00e1c hormone nh\u01b0 ghrelin, leptin, insulin v\u00e0 cortisol \u0111\u1ec1u li\u00ean quan \u0111\u1ebfn h\u1ed9i ch\u1ee9ng ng\u1eebng th\u1edf khi ng\u1ee7 v\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone. Ghrelin l\u00e0 hormone \u0111\u00f3i, gi\u00fap c\u01a1 th\u1ec3 c\u1ea3m th\u1ea5y \u0111\u00f3i v\u00e0 k\u00edch th\u00edch c\u1ea3m gi\u00e1c th\u00e8m \u0103n. Leptin l\u00e0 hormone no, gi\u00fap c\u01a1 th\u1ec3 c\u1ea3m th\u1ea5y no v\u00e0 gi\u1ea3m c\u1ea3m gi\u00e1c th\u00e8m \u0103n. Insulin l\u00e0 hormone gi\u00fap \u0111i\u1ec1u h\u00f2a n\u1ed3ng \u0111\u1ed9 \u0111\u01b0\u1eddng trong m\u00e1u. Cortisol l\u00e0 hormone gi\u00fap c\u01a1 th\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi stress.<\/p>\n

H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 c\u00f3 th\u1ec3 g\u00e2y ra s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng hormone, \u0111\u1eb7c bi\u1ec7t l\u00e0 ghrelin v\u00e0 leptin. Khi ng\u1ee7 kh\u00f4ng \u0111\u1ee7 gi\u1ea5c, c\u01a1 th\u1ec3 s\u1ebd s\u1ea3n xu\u1ea5t nhi\u1ec1u ghrelin h\u01a1n, gi\u00fap k\u00edch th\u00edch c\u1ea3m gi\u00e1c \u0111\u00f3i v\u00e0 th\u00e8m \u0103n, g\u00e2y ra s\u1ef1 t\u0103ng c\u00e2n. \u0110\u1ed3ng th\u1eddi, c\u01a1 th\u1ec3 c\u0169ng s\u1ebd s\u1ea3n xu\u1ea5t \u00edt leptin h\u01a1n, gi\u1ea3m kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t c\u1ea3m gi\u00e1c no v\u00e0 d\u1eabn \u0111\u1ebfn s\u1ef1 t\u0103ng c\u00e2n.<\/p>\n

Ngo\u00e0i ra, h\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y ra m\u1ea5t c\u00e2n b\u1eb1ng hormone insulin v\u00e0 cortisol, g\u00e2y ra s\u1ef1 t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng v\u00e0 t\u0103ng huy\u1ebft \u00e1p.<\/p>\n

4.\u0110\u1ed1i t\u01b0\u1ee3ng nguy c\u01a1 b\u1ec7nh Ng\u1eebng th\u1edf khi ng\u1ee7<\/h1>\n
\n

Ng\u01b0ng th\u1edf khi ng\u1ee7 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, nh\u01b0ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t l\u00e0 \u1edf tu\u1ed5i trung ni\u00ean, t\u0103ng d\u1ea7n theo tu\u1ed5i, nam nhi\u1ec1u h\u01a1n n\u1eef.<\/p>\n

Nh\u1eefng ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 cao b\u1ecb ng\u01b0ng th\u1edf khi ng\u1ee7 n\u1ebfu c\u00f3: b\u00e9o ph\u00ec (nguy c\u01a1 b\u1ecb ng\u01b0ng th\u1edf khi ng\u1ee7 g\u1ea5p 3 l\u1ea7n ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng); b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u1ea5u tr\u00fac \u0111\u01b0\u1eddng h\u00f4 h\u1ea5p tr\u00ean (ph\u00ec \u0111\u1ea1i amidan, h\u00e0m nh\u1ecf, h\u00e0m ra sau, l\u01b0\u1ee1i qu\u00e1 to, t\u1eafc m\u0169i\u2026); nghi\u1ec7n r\u01b0\u1ee3u, s\u1eed d\u1ee5ng thu\u1ed1c an th\u1ea7n, ch\u1ea5t g\u00e2y nghi\u1ec7n; trong gia \u0111\u00ecnh c\u00f3 ng\u01b0\u1eddi b\u1ecb ng\u01b0ng th\u1edf khi ng\u1ee7; \u0111ang m\u1eafc c\u00e1c b\u1ec7nh nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, nh\u01b0\u1ee3c gi\u00e1p, suy tim, b\u1ec7nh m\u1ea1ch m\u00e1u n\u00e3o.<\/p>\n

Ng\u01b0\u1eddi b\u1ecb ng\u01b0ng th\u1edf khi ng\u1ee7 c\u00f3 nhi\u1ec1u kh\u1ea3 n\u0103ng b\u1ecb m\u1eafc c\u00e1c b\u1ec7nh l\u00fd nh\u01b0: t\u0103ng huy\u1ebft \u00e1p, r\u1ed1i lo\u1ea1n nh\u1ecbp tim, suy tim; m\u1eafc b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u n\u00e3o, t\u0103ng h\u1ed3ng c\u1ea7u trong m\u00e1u, th\u1eadm ch\u00ed t\u1eed vong. Ngo\u00e0i ra vi\u1ec7c ng\u1ee7 ng\u00e0y qu\u00e1 m\u1ee9c c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn tai n\u1ea1n lao \u0111\u1ed9ng, tai n\u1ea1n giao th\u00f4ng, gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n<\/div>\n

5.C\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh Ng\u1eebng th\u1edf khi ng\u1ee7<\/h1>\n
\n

C\u00e1ch ch\u1eefa tr\u1ecb ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 s\u1ebd \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh t\u00f9y theo t\u00ecnh tr\u1ea1ng y t\u1ebf c\u1ee7a t\u1eebng. B\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i h\u1ed9i ch\u1ea9n v\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa kh\u00e1c nh\u01b0 chuy\u00ean khoa Tai M\u0169i H\u1ecdng, Tim m\u1ea1ch, y t\u00e1 v\u00e0 k\u1ef9 thu\u1eadt vi\u00ean. K\u1ebf ho\u1ea1ch \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n c\u00f3 th\u1ec3 ph\u1ed1i h\u1ee3p c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u01b0\u1edbi \u0111\u00e2y:<\/p>\n

    \n
  • Li\u1ec7u ph\u00e1p \u00e1p l\u1ef1c \u0111\u01b0\u1eddng th\u1edf d\u01b0\u01a1ng li\u00ean t\u1ee5c.<\/li>\n
  • \u0110eo n\u1eb9p h\u00e0m.<\/li>\n
  • Ph\u1eabu thu\u1eadt.<\/li>\n
  • Gi\u1ea3m c\u00e2n.<\/li>\n
  • Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng.<\/li>\n<\/ul>\n<\/div>\n

    6.Ph\u00f2ng ng\u1eeba H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7<\/h1>\n
    \n

    \u0110\u1ec3 ph\u00f2ng ng\u1eeba h\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7, nh\u1eefng tr\u01b0\u1eddng th\u1eeba c\u00e2n b\u00e9o ph\u00ec th\u00ec vi\u1ec7c gi\u1ea3m c\u00e2n kh\u00f4ng ch\u1ec9 quan tr\u1ecdng v\u1edbi h\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 m\u00e0 c\u00f2n v\u1edbi c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c nh\u01b0 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a, m\u1ee1 m\u00e1u, huy\u1ebft \u00e1p… C\u00f2n nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 k\u00e8m theo b\u1ea5t th\u01b0\u1eddng v\u1ec1 gi\u1ea3i ph\u1eabu nh\u01b0 b\u1ea5t th\u01b0\u1eddng h\u00e0m m\u1eb7t, l\u01b0\u1ee1i g\u00e0 r\u1ee7 qu\u00e1 th\u1ea5p c\u1ea7n c\u00f3 can thi\u1ec7p v\u1ec1 chuy\u00ean khoa.<\/p>\n

    Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u00f3 th\u1ec3 l\u00e0m nh\u1eb9 b\u1edbt tri\u1ec7u ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7: gi\u1ea3m c\u00e2n n\u1eb7ng (gi\u1ea3m c\u00e2n r\u1ea5t quan tr\u1ecdng v\u00ec c\u00f3 th\u1ec3 gi\u1ea3m \u0111\u1ed9 n\u1eb7ng ho\u1eb7c c\u00f3 th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c ng\u01b0ng th\u1edf khi ng\u1ee7); tr\u00e1nh u\u1ed1ng r\u01b0\u1ee3u; ng\u01b0ng c\u00e1c thu\u1ed1c an th\u1ea7n v\u00e0 ch\u1ea5t g\u00e2y nghi\u1ec7n; ng\u01b0ng thu\u1ed1c l\u00e1; thay \u0111\u1ed5i t\u01b0 th\u1ebf ng\u1ee7 (quay \u0111\u1ea7u gi\u01b0\u1eddng l\u00ean cao 10cm, tr\u00e1nh n\u1eb1m g\u1ed1i cao; m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n b\u1ecb ng\u01b0ng th\u1edf khi ng\u1ee7 nh\u1eb9 hay ng\u00e1y to c\u00f3 th\u1ec3 \u00edt b\u1ecb v\u1ea5n \u0111\u1ec1 v\u1ec1 h\u00f4 h\u1ea5p khi n\u1eb1m nghi\u00eang).<\/p>\n<\/div>\n","protected":false},"excerpt":{"rendered":"

    H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7\u00a0l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p hi\u1ec7n nay, c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y nguy hi\u1ec3m v\u00e0 c\u1ea3 nh\u1eefng bi\u1ebfn ch\u1ee9ng t\u1eed vong. 1. H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 l\u00e0 g\u00ec? H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 (OSA \u2013 Obstructive Sleep Apnea)\u00a0l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ed5 bi\u1ebfn trong c\u1ed9ng \u0111\u1ed3ng, \u1ea3nh […]<\/p>\n","protected":false},"author":45,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[20,80,32],"tags":[],"yoast_head":"\nH\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 v\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng ng\u01b0ng th\u1edf khi ng\u1ee7 v\u00e0 t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng hormone c\u00f3 m\u1ed1i li\u00ean h\u1ec7 ch\u1eb7t ch\u1ebd v\u1edbi nhau. 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