{"id":32886,"date":"2023-05-10T14:09:51","date_gmt":"2023-05-10T07:09:51","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=32886"},"modified":"2023-05-10T14:09:51","modified_gmt":"2023-05-10T07:09:51","slug":"hoi-chung-buong-trung-da-nang-va-van-de-tim-mach","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/05\/10\/hoi-chung-buong-trung-da-nang-va-van-de-tim-mach\/","title":{"rendered":"H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang v\u00e0 v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch"},"content":{"rendered":"

H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang<\/a> (PCOS) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. PCOS \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean l\u00e0 “bu\u1ed3ng tr\u1ee9ng \u0111a nang” do s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c nang bu\u1ed3ng tr\u1ee9ng\u00a0 trong bu\u1ed3ng tr\u1ee9ng. B\u1ec7nh n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 10% ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/strong><\/p>\n

1. \u0110\u1ecbnh ngh\u0129a<\/h2>\n

H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. PCOS \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean l\u00e0 “bu\u1ed3ng tr\u1ee9ng \u0111a nang” do s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c nang bu\u1ed3ng tr\u1ee9ng\u00a0 trong bu\u1ed3ng tr\u1ee9ng. B\u1ec7nh n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 10% ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y ra nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n

PCOS l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y v\u00f4 sinh n\u1eef, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn 6% \u0111\u1ebfn 12% (kho\u1ea3ng 5 tri\u1ec7u) ph\u1ee5 n\u1eef Hoa K\u1ef3 trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n.\u00a0Nh\u01b0ng n\u00f3 c\u00f2n nhi\u1ec1u h\u01a1n th\u1ebf n\u1eefa.\u00a0T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe su\u1ed1t \u0111\u1eddi n\u00e0y ti\u1ebfp t\u1ee5c v\u01b0\u1ee3t xa nh\u1eefng n\u0103m sinh n\u1edf.<\/p>\n

\"h\u1ed9i<\/p>\n

H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang<\/strong><\/p>\n

2. Nguy\u00ean nh\u00e2n<\/h2>\n

Nguy\u00ean nh\u00e2n c\u1ee7a PCOS ch\u01b0a \u0111\u01b0\u1ee3c r\u00f5 r\u00e0ng, tuy nhi\u00ean, c\u00e1c y\u1ebfu t\u1ed1 di truy\u1ec1n, ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng kh\u00f4ng t\u1ed1t v\u00e0 t\u00ecnh tr\u1ea1ng b\u00e9o ph\u00ec \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a b\u1ec7nh n\u00e0y.<\/p>\n

M\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a Vi\u1ec7n Y t\u1ebf Qu\u1ed1c gia Hoa K\u1ef3 cho th\u1ea5y r\u1eb1ng h\u01a1n 50% tr\u01b0\u1eddng h\u1ee3p PCOS c\u00f3 li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng b\u00e9o ph\u00ec. B\u1ec7nh nh\u00e2n b\u00e9o ph\u00ec th\u01b0\u1eddng c\u00f3 m\u1ee9c \u0111\u1ed9 kh\u00e1ng insulin cao, d\u1eabn \u0111\u1ebfn s\u1ea3n xu\u1ea5t n\u1ed9i ti\u1ebft t\u1ed1 androgen t\u0103ng l\u00ean v\u00e0 gi\u1ea3m s\u1ea3n xu\u1ea5t n\u1ed9i ti\u1ebft t\u1ed1 estrogen. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c nang bu\u1ed3ng tr\u1ee9ng v\u00e0 tri\u1ec7u ch\u1ee9ng c\u1ee7a PCOS.<\/p>\n

Ngo\u00e0i ra, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u c\u0169ng cho th\u1ea5y r\u1eb1ng m\u00f4i tr\u01b0\u1eddng v\u00e0 t\u00e1c \u0111\u1ed9ng c\u1ee7a c\u1ea5p \u0111\u1ed9 n\u1ed9i ti\u1ebft t\u1ed1 c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a PCOS. Tuy nhi\u00ean, c\u1ea7n th\u00eam nghi\u00ean c\u1ee9u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh r\u00f5 h\u01a1n c\u00e1c nguy\u00ean nh\u00e2n v\u00e0 c\u01a1 ch\u1ebf ph\u00e1t tri\u1ec3n c\u1ee7a PCOS, t\u1eeb \u0111\u00f3 t\u00ecm ra c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u00f2ng ng\u1eeba v\u00e0 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 cho b\u1ec7nh n\u00e0y.<\/p>\n

3. Tri\u1ec7u ch\u1ee9ng<\/h2>\n
    \n
  • M\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng c\u1ee7a PCOS bao g\u1ed3m:<\/li>\n
  • \u00a0Chu k\u1ef3 kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u. Chu k\u1ef3 kinh nguy\u1ec7t l\u00e0 qu\u00e1 tr\u00ecnh t\u1ef1 nhi\u00ean trong qu\u00e1 tr\u00ecnh sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef, nh\u01b0ng \u1edf ph\u1ee5 n\u1eef b\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS), chu k\u1ef3 kinh nguy\u1ec7t th\u01b0\u1eddng b\u1ecb r\u1ed1i lo\u1ea1n. PCOS \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u01a1 ch\u1ebf s\u1ea3n xu\u1ea5t hormone trong c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn s\u1ef1 t\u0103ng s\u1ea3n xu\u1ea5t androgen (n\u1ed9i ti\u1ebft t\u1ed1 nam) v\u00e0 gi\u1ea3m s\u1ea3n xu\u1ea5t estrogen (n\u1ed9i ti\u1ebft t\u1ed1 n\u1eef). \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ee5 thai c\u1ee7a ph\u1ee5 n\u1eef. C\u00e1c b\u1ec7nh nh\u00e2n PCOS c\u00f3 th\u1ec3 c\u00f3 chu k\u1ef3 kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u, th\u1eadm ch\u00ed kh\u00f4ng c\u00f3 kinh nguy\u1ec7t trong nhi\u1ec1u th\u00e1ng li\u00ean ti\u1ebfp. Khi c\u00f3 kinh nguy\u1ec7t, th\u1eddi gian gi\u1eefa c\u00e1c chu k\u1ef3 c\u00f3 th\u1ec3 d\u00e0i h\u01a1n b\u00ecnh th\u01b0\u1eddng ho\u1eb7c ng\u1eafn h\u01a1n. Ngo\u00e0i ra, kinh nguy\u1ec7t c\u00f3 th\u1ec3 r\u1ea5t nhi\u1ec1u ho\u1eb7c r\u1ea5t \u00edt, k\u00e9o d\u00e0i ho\u1eb7c ng\u1eafn g\u1ecdn.<\/li>\n
  • Qu\u00e1 nhi\u1ec1u l\u00f4ng tr\u00ean m\u1eb7t, c\u1eb1m ho\u1eb7c c\u00e1c b\u1ed9 ph\u1eadn c\u1ee7a c\u01a1 th\u1ec3 n\u01a1i \u0111\u00e0n \u00f4ng th\u01b0\u1eddng c\u00f3 l\u00f4ng, g\u1ecdi l\u00e0 “r\u1eadm l\u00f4ng.” Ch\u1ee9ng r\u1eadm l\u00f4ng chi\u1ebfm 70% \u1edf ph\u1ee5 n\u1eef b\u1ecb PCOS. Nguy\u00ean nh\u00e2n l\u00e0 do s\u1ef1 t\u0103ng s\u1ea3n xu\u1ea5t n\u1ed9i ti\u1ebft t\u1ed1 androgen, g\u00e2y ra t\u00ecnh tr\u1ea1ng r\u1ee5ng t\u00f3c v\u00e0 r\u1eadm l\u00f4ng tr\u00ean c\u01a1 th\u1ec3.<\/li>\n
  • M\u1ee5n \u1edf m\u1eb7t, ng\u1ef1c v\u00e0 l\u01b0ng<\/li>\n
  • T\u00f3c m\u1ecfng ho\u1eb7c r\u1ee5ng t\u00f3c tr\u00ean da \u0111\u1ea7u; h\u00f3i \u0111\u1ea7u ki\u1ec3u nam l\u00e0 do s\u1ef1 t\u0103ng s\u1ea3n xu\u1ea5t n\u1ed9i ti\u1ebft t\u1ed1 androgen.<\/li>\n
  • T\u0103ng c\u00e2n ho\u1eb7c kh\u00f3 gi\u1ea3m c\u00e2n.<\/li>\n
  • \u00a0S\u1ea1m da, \u0111\u1eb7c bi\u1ec7t l\u00e0 d\u1ecdc theo c\u00e1c n\u1ebfp nh\u0103n \u1edf c\u1ed5, \u1edf h\u00e1ng v\u00e0 b\u00ean d\u01b0\u1edbi ng\u1ef1c<\/li>\n
  • M\u1ee5n th\u1ecbt, l\u00e0 nh\u1eefng v\u1ea1t nh\u1ecf c\u1ee7a da th\u1eeba \u1edf n\u00e1ch ho\u1eb7c v\u00f9ng c\u1ed5.<\/li>\n<\/ul>\n

    Ngo\u00e0i nh\u1eefng tri\u1ec7u ch\u1ee9ng nh\u01b0 r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, r\u1eadm l\u00f4ng v\u00e0 kh\u00f3 th\u1ee5 thai, PCOS c\u00f2n t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y, ph\u1ee5 n\u1eef b\u1ecb PCOS c\u00f3 nguy c\u01a1 cao h\u01a1n m\u1eafc b\u1ec7nh tim m\u1ea1ch do m\u1ee9c \u0111\u1ed9 t\u0103ng c\u00e2n v\u00e0 t\u00ecnh tr\u1ea1ng b\u00e9o ph\u00ec. PCOS c\u00f3 th\u1ec3 l\u00e0m t\u0103ng m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 insulin trong c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t, ti\u1ec1n \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng cho c\u00e1c c\u01a1 quan v\u00e0 d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c.<\/p>\n

    4. \u0110i\u1ec1u tr\u1ecb<\/h2>\n

    L\u00e0 m\u1ed9t b\u1ec7nh n\u1ed9i ti\u1ebft t\u1ed1 ph\u1ee9c t\u1ea1p, tuy nhi\u00ean, kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng c\u1ea7n s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb. B\u00ean c\u1ea1nh vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c, b\u1ec7nh nh\u00e2n PCOS c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00f4ng d\u00f9ng thu\u1ed1c \u0111\u1ec3 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n

      \n
    • Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng: B\u1ec7nh nh\u00e2n PCOS c\u1ea7n thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, bao g\u1ed3m t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean v\u00e0 \u0103n u\u1ed1ng l\u00e0nh m\u1ea1nh. T\u1eadp th\u1ec3 d\u1ee5c gi\u00fap gi\u1ea3m m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 insulin trong c\u01a1 th\u1ec3, gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 b\u1ec7nh tim m\u1ea1ch. \u0102n u\u1ed1ng l\u00e0nh m\u1ea1nh gi\u00fap gi\u1ea3m m\u1ee9c \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 gi\u1ea3m t\u00ecnh tr\u1ea1ng b\u00e9o ph\u00ec, gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c tri\u1ec7u ch\u1ee9ng PCOS.<\/li>\n
    • Gi\u1ea3m c\u0103ng th\u1eb3ng: C\u0103ng th\u1eb3ng c\u00f3 th\u1ec3 l\u00e0m t\u0103ng s\u1ea3n xu\u1ea5t n\u1ed9i ti\u1ebft t\u1ed1 androgen, g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a PCOS. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m c\u0103ng th\u1eb3ng nh\u01b0 yoga, th\u1ef1c h\u00e0nh mindfulness, hay t\u1eadp trung v\u00e0o c\u00e1c ho\u1ea1t \u0111\u1ed9ng gi\u1ea3i tr\u00ed.<\/li>\n
    • Gi\u1ea3m s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a hormone: S\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m c\u00f3 ch\u1ee9a hormone nh\u01b0 thu\u1ed1c tr\u00e1nh thai c\u00f3 th\u1ec3 g\u00e2y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 c\u00e2n b\u1eb1ng hormone trong c\u01a1 th\u1ec3. B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 thay \u0111\u1ed5i ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai ho\u1eb7c s\u1eed d\u1ee5ng c\u00e1c s\u1ea3n ph\u1ea9m kh\u00f4ng c\u00f3 ch\u1ee9a hormone.<\/li>\n
    • \u0110i\u1ec1u ch\u1ec9nh gi\u1ea3m c\u00e2n: B\u1ec7nh nh\u00e2n PCOS n\u00ean gi\u1ea3m c\u00e2n \u0111\u1ec3 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng v\u00e0 b\u1ec7nh tim m\u1ea1ch. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p gi\u1ea3m c\u00e2n l\u00e0nh m\u1ea1nh nh\u01b0 \u0103n u\u1ed1ng \u0111\u00fang c\u00e1ch v\u00e0 t\u1eadp th\u1ec3 d\u1ee5c c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng PCOS.<\/li>\n<\/ul>\n","protected":false},"excerpt":{"rendered":"

      H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. PCOS \u0111\u01b0\u1ee3c \u0111\u1eb7t t\u00ean l\u00e0 “bu\u1ed3ng tr\u1ee9ng \u0111a nang” do s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a c\u00e1c nang bu\u1ed3ng tr\u1ee9ng\u00a0 trong bu\u1ed3ng tr\u1ee9ng. B\u1ec7nh n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 10% ph\u1ee5 n\u1eef trong […]<\/p>\n","protected":false},"author":7,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[7,33],"tags":[],"yoast_head":"\nH\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang v\u00e0 v\u1ea5n \u0111\u1ec1 tim m\u1ea1ch - Vinmec<\/title>\n<meta name=\"description\" content=\"H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS) l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. 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