{"id":996,"date":"2025-08-06T14:08:31","date_gmt":"2025-08-06T07:08:31","guid":{"rendered":"https:\/\/atlanticmedical.vn\/?p=996"},"modified":"2026-03-17T14:56:41","modified_gmt":"2026-03-17T07:56:41","slug":"tang-can-lien-quan-den-suy-giam-noi-tiet-o-phu-nu","status":"publish","type":"post","link":"https:\/\/atlanticmedical.vn\/en\/tang-can-lien-quan-den-suy-giam-noi-tiet-o-phu-nu\/","title":{"rendered":"T\u0103ng c\u00e2n li\u00ean quan \u0111\u1ebfn suy gi\u1ea3m n\u1ed9i ti\u1ebft \u1edf ph\u1ee5 n\u1eef"},"content":{"rendered":"

Theo m\u1ed9t s\u1ed1 b\u00e0i vi\u1ebft c\u1ee7a ti\u1ebfn s\u0129 Sharleen Sidhu, Tanvi Parikh v\u00e0 c\u00e1c \u0111\u1ed3ng s\u1ef1 tr\u00ean trang Th\u01b0 vi\u1ec7n Y h\u1ecdc Qu\u1ed1c gia M\u1ef9 (National Library of Medicine) cho th\u1ea5y, hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e2n c\u00f3 li\u00ean quan m\u1eadt thi\u1ebft \u0111\u1ebfn s\u1ef1 thay \u0111\u1ed5i n\u1ed9i ti\u1ebft c\u1ee7a c\u01a1 th\u1ec3. Trong khi \u0111\u00f3, c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef r\u1ea5t d\u1ec5 x\u1ea3y ra s\u1ef1 thay \u0111\u1ed5i v\u1ec1 hormone v\u1edbi nhi\u1ec1u nguy\u00ean nh\u00e2n kh\u00e1c nhau, nh\u01b0 d\u1eady th\u00ec, c\u0103ng th\u1eb3ng, mang thai, m\u00e3n kinh\u2026 \u0110\u1ec3 gi\u00fap ch\u1ecb em hi\u1ec3u r\u00f5 h\u01a1n v\u1ec1 c\u01a1 th\u1ec3 m\u00ecnh, b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y c\u1ee7a ch\u00fang t\u00f4i s\u1ebd n\u00f3i r\u00f5 h\u01a1n v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y, h\u00e3y c\u00f9ng theo d\u00f5i nh\u00e9!<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng c\u00e2n \u1edf c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef<\/h2>\n\n\n\n

Hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e2n l\u00e0 s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa n\u0103ng l\u01b0\u1ee3ng n\u1ea1p v\u00e0o v\u00e0 n\u0103ng l\u01b0\u1ee3ng ti\u00eau hao. Trong \u0111\u00f3, n\u0103ng l\u01b0\u1ee3ng n\u1ea1p v\u00e0o qua th\u1ee9c \u0103n nhi\u1ec1u h\u01a1n l\u01b0\u1ee3ng ti\u00eau hao c\u1ee7a c\u01a1 th\u1ec3, d\u1eabn \u0111\u1ebfn c\u00e1c t\u1ebf b\u00e0o t\u1ea1o ra nhi\u1ec1u m\u00f4 m\u1ee1 h\u01a1n. Nhi\u1ec1u th\u1eadp k\u1ef7 qua, c\u00f3 kh\u00f4ng \u00edt nghi\u00ean c\u1ee9u chuy\u00ean s\u00e2u cho th\u1ea5y c\u00e1c hormone c\u00f3 s\u1ef1 li\u00ean quan v\u00f4 c\u00f9ng quan tr\u1ecdng \u0111\u1ed1i v\u1edbi c\u00e2n n\u1eb7ng m\u00e0 c\u1ee5 th\u1ec3 \u1edf \u0111\u00e2y l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e2n.<\/p>\n\n\n\n

C\u01a1 ch\u1ebf c\u1ee7a hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e2n do n\u1ed9i ti\u1ebft \u1edf ph\u1ee5 n\u1eef<\/h2>\n\n\n\n

\u0110\u1ed1i v\u1edbi c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef, c\u00e1c hormone estrogen v\u00e0 progesterone \u1ea3nh h\u01b0\u1edfng r\u1ea5t l\u1edbn \u0111\u1ebfn vi\u1ec7c s\u1ea3n xu\u1ea5t serotonin \u2013 m\u1ed9t ho\u1ea1t ch\u1ea5t d\u1eabn truy\u1ec1n th\u1ea7n kinh t\u1ea1o c\u1ea3m gi\u00e1c d\u1ec5 ch\u1ecbu, th\u01b0 th\u00e1i. Ho\u1ea1t ch\u1ea5t n\u00e0y ngo\u00e0i vi\u1ec7c \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00e2m tr\u1ea1ng, n\u00f3 c\u00f2n li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh trao \u0111\u1ed5i ch\u1ea5t trong c\u01a1 th\u1ec3. Hormone Serotonin khi\u1ebfn c\u01a1 th\u1ec3 ti\u00eau t\u1ed1n \u00edt n\u0103ng l\u01b0\u1ee3ng h\u01a1n, l\u01b0\u1ee3ng calo \u00edt b\u1ecb ti\u00eau hao m\u00e0 thay v\u00e0o \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c l\u01b0u tr\u1eef trong c\u00e1c m\u00f4 m\u1ee1.<\/p>\n\n\n\n

M\u1ed9t m\u1eb7t kh\u00e1c, estrogen c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 h\u00ecnh th\u00e0nh m\u1ee1 d\u01b0\u1edbi da, testosterone l\u00e0m t\u0103ng c\u01a1 b\u1eafp v\u00e0 m\u1ee1 n\u1ed9i t\u1ea1ng. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng gi\u1eefa estrogen v\u00e0 testosterone c\u00f3 th\u1ec3 l\u00e0m t\u0103ng th\u00eam m\u1ee1 th\u1eeba \u1edf v\u00f9ng b\u1ee5ng. Progesterone c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u1ea3m c\u1ea3m gi\u00e1c lo l\u1eafng, khi hormone n\u00e0y b\u1ecb thi\u1ebfu, c\u01a1 th\u1ec3 d\u1ec5 b\u1ecb ch\u00e1n n\u1ea3n, stress v\u00e0 t\u0103ng c\u1ea3m gi\u00e1c th\u00e8m \u0103n.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e2n do n\u1ed9i ti\u1ebft<\/em><\/p>\n\n\n\n


Hi\u1ec7n t\u01b0\u1ee3ng r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn c\u00e2n n\u1eb7ng kh\u00f4ng ph\u1ea3i t\u1ef1 nhi\u00ean xu\u1ea5t hi\u1ec7n \u1edf c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef. T\u00f9y thu\u1ed9c v\u00e0o t\u1eebng giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n, sinh s\u1ea3n m\u00e0 ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u00e0y m\u1edbi x\u1ea3y ra, ch\u1eb3ng h\u1ea1n nh\u01b0 d\u1eady th\u00ec, mang thai, c\u0103ng th\u1eb3ng k\u00e9o d\u00e0i, mang thai, sau sinh, m\u00e3n kinh\u2026<\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n c\u1ee7a r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft theo t\u1eebng giai \u0111o\u1ea1n cu\u1ed9c \u0111\u1eddi c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef<\/h2>\n\n\n\n

Th\u00f4ng th\u01b0\u1eddng, \u1edf c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef tr\u01b0\u1edfng th\u00e0nh kh\u1ecfe m\u1ea1nh, hi\u1ec7n t\u01b0\u1ee3ng suy gi\u1ea3m n\u1ed9i ti\u1ebft kh\u00f4ng x\u1ea3y ra th\u01b0\u1eddng xuy\u00ean. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 giai \u0111o\u1ea1n ho\u1eb7c v\u1ea5n \u0111\u1ec1 sau c\u00f3 th\u1ec3 khi\u1ebfn n\u1ed9i ti\u1ebft b\u1ecb \u1ea3nh h\u01b0\u1edfng, \u0111i\u1ec3n h\u00ecnh nh\u01b0:<\/p>\n\n\n\n

Tu\u1ed5i d\u1eady th\u00ec:<\/strong> c\u01a1 th\u1ec3 b\u00e9 g\u00e1i b\u1eaft \u0111\u1ea7u s\u1ea3n sinh hormone sinh s\u1ea3n n\u00ean s\u1ef1 \u0111i\u1ec1u ti\u1ebft gi\u1eefa estrogen v\u00e0 progesterone c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c \u1ed5n \u0111\u1ecbnh nh\u01b0 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh.<\/p>\n\n\n\n

C\u0103ng th\u1eb3ng th\u1ea7n kinh k\u00e9o d\u00e0i, m\u1ea5t ng\u1ee7:<\/strong> vi\u1ec7c c\u0103ng th\u1eb3ng th\u1ea7n kinh k\u00e9o d\u00e0i khi\u1ebfn c\u01a1 th\u1ec3 c\u00f3 nhu c\u1ea7u \u0103n nhi\u1ec1u h\u01a1n, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u1ea1i th\u1ee9c \u0103n ch\u1ee9a \u0111\u01b0\u1eddng v\u00e0 ch\u1ea5t b\u00e9o.<\/p>\n\n\n\n

Mang thai:<\/strong> qu\u00e1 tr\u00ecnh mang thai d\u1eabn \u0111\u1ebfn hormone sinh s\u1ea3n b\u1ecb m\u1ea5t c\u00e2n b\u1eb1ng theo t\u1eebng giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n thai nhi. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00e1c y\u1ebfu t\u1ed1 kh\u00e1c nh\u01b0 l\u1ed1i s\u1ed1ng, \u0103n u\u1ed1ng c\u0169ng g\u00f3p ph\u1ea7n g\u00e2y t\u0103ng c\u00e2n trong thai k\u1ef3. M\u1ed9t v\u00e0i ch\u1ecb em b\u1ecb t\u0103ng c\u00e2n trong thai k\u1ef3 k\u00e9o d\u00e0i \u0111\u1ebfn t\u1eadn sau khi sinh con.<\/p>\n\n\n\n

Sau sinh: <\/strong>giai \u0111o\u1ea1n cho con b\u00fa v\u00e0 ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh th\u01b0\u1eddng khi\u1ebfn c\u00e1c m\u1eb9 b\u1ecb m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft. B\u00ean c\u1ea1nh \u0111\u00f3, t\u00ecnh tr\u1ea1ng stress sau sinh c\u0169ng c\u00f3 th\u1ec3 l\u00e0 t\u00e1c nh\u00e2n k\u1ebft h\u1ee3p khi\u1ebfn t\u00ecnh tr\u1ea1ng t\u0103ng c\u00e2n nghi\u00eam tr\u1ecdng h\u01a1n. T\u00e2m l\u00fd \u0103n nhi\u1ec1u \u0111\u1ed3 b\u1ed5 \u0111\u1ec3 \u201ct\u1ed1t s\u1eefa\u201d cho con c\u0169ng khi\u1ebfn m\u1eb9 b\u1ea7u d\u1ec5 m\u1ea5t ki\u1ec3m so\u00e1t c\u00e2n n\u1eb7ng.<\/p>\n\n\n\n

Th\u1eddi k\u1ef3 ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh: <\/strong>\u1edf giai \u0111o\u1ea1n m\u00e3n kinh, vi\u1ec7c s\u1ea3n xu\u1ea5t hormone sinh s\u1ea3n b\u1ecb suy gi\u1ea3m \u0111\u00e1ng k\u1ec3, \u0111\u00e2y c\u0169ng l\u00e0 b\u00e1o hi\u1ec7u cho kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf ph\u1ee5 n\u1eef \u0111ang d\u1ea7n k\u1ebft th\u00fac.<\/p>\n\n\n\n

C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c: <\/strong>b\u1ec7nh v\u1ec1 tuy\u1ebfn gi\u00e1p, d\u00f9ng thu\u1ed1c tr\u00e1nh thai, h\u1ed9i ch\u1ee9ng Cushing c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u0103ng c\u00e2n do gi\u1ea3m n\u1ed9i ti\u1ebft.<\/p>\n\n\n\n

\"\"<\/figure>\n\n\n\n

Nguy\u00ean nh\u00e2n g\u00e2y r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft l\u00e0m t\u0103ng c\u00e2n n\u1eb7ng \u1edf ph\u1ee5 n\u1eef<\/em><\/p>\n\n\n\n

Nh\u1eefng nguy\u00ean nh\u00e2n t\u0103ng c\u00e2n kh\u00e1c \u1edf ph\u1ee5 n\u1eef<\/h2>\n\n\n\n

Ngo\u00e0i nguy\u00ean nh\u00e2n c\u1ee7a t\u0103ng c\u00e2n do r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft \u0111\u00e3 n\u00f3i \u1edf tr\u00ean, c\u01a1 th\u1ec3 ph\u1ee5 n\u1eef c\u00f2n t\u0103ng c\u00e2n do m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c, bao g\u1ed3m:<\/p>\n\n\n\n

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  • Ng\u1ed3i m\u1ed9t ch\u1ed7, \u00edt v\u1eadn \u0111\u1ed9ng: <\/strong>trong cu\u1ed9c s\u1ed1ng hi\u1ec7n \u0111\u1ea1i, kh\u00f4ng \u00edt ch\u1ecb em ph\u1ee5 n\u1eef c\u00f3 c\u00f4ng vi\u1ec7c l\u00e0 nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng, \u00edt v\u1eadn \u0111\u1ed9ng. Khi c\u01a1 th\u1ec3 \u00edt nhu c\u1ea7u ti\u00eau hao calo nh\u01b0ng l\u01b0\u1ee3ng th\u1ef1c ph\u1ea9m ti\u00eau th\u1ee5 v\u1eabn \u1edf m\u1ee9c cao, th\u00ec s\u1ed1 calo d\u01b0 th\u1eeba s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n sang t\u00edch tr\u1eef \u1edf c\u00e1c m\u00f4 m\u1ee1.<\/li>\n\n\n\n
  • Gi\u1eef n\u01b0\u1edbc do b\u1ec7nh v\u1ec1 tim, th\u1eadn ho\u1eb7c gan: <\/strong>t\u0103ng c\u00e2n nhanh c\u00f3 th\u1ec3 do c\u00e1c t\u1ebf b\u00e0o \u0111ang gi\u1eef n\u01b0\u1edbc. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ph\u00f9 n\u1ec1 v\u00e0 ch\u1ee7 y\u1ebfu x\u1ea3y ra \u1edf ch\u00e2n tay, m\u1eb7t ho\u1eb7c b\u1ee5ng. T\u00ecnh tr\u1ea1ng t\u0103ng c\u00e2n b\u1ea5t th\u01b0\u1eddng n\u00e0y th\u01b0\u1eddng kh\u00e1 nguy hi\u1ec3m do n\u00f3 c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c b\u1ec7nh nh\u01b0 suy tim, b\u1ec7nh th\u1eadn, gan ho\u1eb7c \u0111ang d\u00f9ng thu\u1ed1c. V\u00ec th\u1ebf, c\u1ea7n g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 th\u0103m kh\u00e1m khi c\u01a1 th\u1ec3 c\u00f3 d\u1ea5u hi\u1ec7u t\u0103ng c\u00e2n b\u1ea5t th\u01b0\u1eddng.<\/li>\n\n\n\n
  • D\u00f9ng thu\u1ed1c: <\/strong>m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c g\u00e2y t\u00edch n\u01b0\u1edbc nh\u01b0 nh\u00f3m thu\u1ed1c corticosteroid, thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m ho\u1eb7c thu\u1ed1c ch\u1ed1ng lo\u1ea1n th\u1ea7n c\u00f3 th\u1ec3 g\u00e2y t\u00edch n\u01b0\u1edbc, l\u00e0m t\u0103ng c\u00e2n.<\/li>\n<\/ul>\n\n\n\n

    L\u1eddi khuy\u00ean c\u1ee7a chuy\u00ean gia v\u1ec1 c\u00e1ch gi\u1ea3m c\u00e2n t\u1ea1i nh\u00e0 an to\u00e0n<\/h2>\n\n\n\n

    Th\u00f4ng th\u01b0\u1eddng, c\u00f3 ba c\u1ea5p \u0111\u1ed9 \u0111i\u1ec1u ch\u1ec9nh c\u00e2n n\u1eb7ng, bao g\u1ed3m thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, d\u00f9ng thu\u1ed1c thay th\u1ebf (theo ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129) v\u00e0 d\u00f9ng d\u01b0\u1ee3c ph\u1ea9m h\u1ed7 tr\u1ee3 k\u1ebft h\u1ee3p v\u1edbi ph\u1eabu thu\u1eadt. N\u1ebfu ch\u1ecb em mu\u1ed1n gi\u1ea3m c\u00e2n t\u1ea1i nh\u00e0, l\u1ef1a ch\u1ecdn \u0111i\u1ec1u ch\u1ec9nh l\u1ed1i s\u1ed1ng lu\u00f4n \u0111\u01b0\u1ee3c \u01b0u ti\u00ean h\u00e0ng \u0111\u1ea7u. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, vi\u1ec7c k\u1ebft h\u1ee3p ph\u01b0\u01a1ng ph\u00e1p thay \u0111\u1ed5i ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, luy\u1ec7n t\u1eadp c\u00f3 th\u1ec3 k\u1ebft h\u1ee3p c\u00f9ng c\u00e1c d\u01b0\u1ee3c ph\u1ea9m h\u1ed7 tr\u1ee3, c\u1ee5 th\u1ec3 nh\u01b0 sau:<\/p>\n\n\n\n

    Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh h\u01a1n<\/h2>\n\n\n\n

    Thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, c\u00e1ch \u0103n u\u1ed1ng v\u00e0 v\u1eadn \u0111\u1ed9ng \u0111\u1ec3 \u0111i\u1ec1u ch\u1ec9nh hi\u1ec7n t\u01b0\u1ee3ng t\u0103ng c\u00e2n l\u00e0 c\u00e1ch \u00edt r\u1ee7i ro nh\u1ea5t nh\u01b0ng l\u1ea1i \u0111\u00f2i h\u1ecfi k\u1ef7 lu\u1eadt t\u1ef1 gi\u00e1c cao. Tuy nhi\u00ean, l\u1ee3i \u00edch to l\u1edbn c\u1ee7a m\u1ed9t l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh kh\u00f4ng ch\u1ec9 d\u1eebng l\u1ea1i \u1edf vi\u1ec7c gi\u1ea3m c\u00e2n an to\u00e0n m\u00e0 n\u00f3 c\u00f2n gi\u00fap c\u01a1 th\u1ec3 kh\u1ecfe m\u1ea1nh h\u01a1n, \u00edt b\u1ec7nh t\u1eadt h\u01a1n. C\u01a1 b\u1ea3n, ch\u1ecb em c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c \u0111i\u1ec1u ch\u1ec9nh xoay quanh v\u1ec1:<\/p>\n\n\n\n