{"id":276983,"date":"2023-09-06T10:14:44","date_gmt":"2023-09-06T03:14:44","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/canh-bao-tinh-trang-suy-thuong-than-do-dung-thuoc-nhom-corticoid\/"},"modified":"2025-11-10T11:54:51","modified_gmt":"2025-11-10T04:54:51","slug":"canh-bao-tinh-trang-suy-thuong-than-do-dung-thuoc-nhom-corticoid","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/canh-bao-tinh-trang-suy-thuong-than-do-dung-thuoc-nhom-corticoid\/","title":{"rendered":"C\u1ea3nh b\u00e1o t\u00ecnh tr\u1ea1ng suy th\u01b0\u1ee3ng th\u1eadn do d\u00f9ng thu\u1ed1c nh\u00f3m Corticoid"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><em>B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Ho\u00e0n M\u1ef9 Vinh v\u1eeba ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh n\u1eef 16 tu\u1ed5i v\u1edbi t\u00ecnh tr\u1ea1ng r\u1ea1n da xu\u1ea5t hi\u1ec7n \u1edf nhi\u1ec1u v\u00f9ng c\u1ee7a c\u01a1 th\u1ec3 (d\u00f9 kh\u00f4ng b\u1ecb t\u0103ng c\u00e2n hay c\u00f3 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 da, kh\u00f4ng b\u00f4i thu\u1ed1c, u\u1ed1ng hay ti\u00eam thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh). Tuy nhi\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed vi\u00eam m\u0169i d\u1ecb \u1ee9ng, th\u01b0\u1eddng xuy\u00ean h\u1eaft h\u01a1i ng\u1ea1t m\u0169i v\u00e0 t\u1ef1 \u00fd mua thu\u1ed1c x\u1ecbt m\u0169i v\u1ec1 d\u00f9ng.<\/em><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" src=\"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-content\/uploads\/2025\/11\/image-6-1.png\" alt=\"Suy th\u01b0\u1ee3ng th\u1eadn do l\u1ea1m d\u1ee5ng thu\u1ed1c Corticoid\" class=\"wp-image-136225\"\/><\/figure>\n<\/div>\n\n\n<p class=\"wp-block-paragraph\">ThS.BS. Nguy\u1ec5n Th\u1ecb Th\u00f9y Dung \u2013 Khoa N\u1ed9i c\u1ee7a b\u1ec7nh vi\u1ec7n cho bi\u1ebft, k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 l\u00e2m s\u00e0ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh c\u00f3 t\u00edch m\u1ee1 v\u00f9ng trung t\u00e2m, m\u1eb7t tr\u00f2n v\u00e0 l\u00f4ng r\u1eadm h\u01a1n so v\u1edbi tr\u01b0\u1edbc, xu\u1ea5t hi\u1ec7n nhi\u1ec1u v\u1ebft r\u1ea1n \u0111\u1ecf \u1edf v\u00f9ng \u0111\u00f9i, b\u1eafp ch\u00e2n, b\u1ee5ng. Nghi ng\u1edd ng\u01b0\u1eddi b\u1ec7nh m\u1eb7c h\u1ed9i ch\u1ee9ng Cushing do d\u00f9ng thu\u1ed1c nh\u00f3m glucocorticoid v\u00e0 c\u00f3 th\u1ec3 \u0111\u00e3 b\u1ecb suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn, b\u00e1c s\u0129 ti\u1ebfn h\u00e0nh th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m Cortisol (l\u00e0 hormone c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ea3n xu\u1ea5t), k\u1ebft qu\u1ea3 cho th\u1ea5y Cortisol m\u00e1u gi\u1ea3m th\u1ea5p.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 tuy\u1ebfn n\u1ed9i ti\u1ebft n\u1eb1m \u1edf c\u1ef1c tr\u00ean c\u1ee7a th\u1eadn, c\u00f3 ch\u1ee9c n\u0103ng ti\u1ebft c\u00e1c hormone \u0111i\u1ec1u h\u00f2a ho\u1ea1t \u0111\u1ed9ng c\u01a1 th\u1ec3. Trong \u0111\u00f3, hormone cortisol c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 hormone ch\u1ed1ng stress c\u1ee7a c\u01a1 th\u1ec3, c\u00f3 vai tr\u00f2 quan tr\u1ecdng trong chuy\u1ec3n h\u00f3a n\u0103ng l\u01b0\u1ee3ng c\u1ee7a c\u00e1c t\u1ebf b\u00e0o, \u1ed5n \u0111\u1ecbnh huy\u1ebft \u0111\u1ed9ng, gi\u1eef c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4i. &nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Trong khi \u0111\u00f3, Glucocroticoid l\u00e0 th\u00e0nh ph\u1ea7n \u0111\u01b0\u1ee3c \u1ee9ng d\u1ee5ng \u0111i\u1ec1u ch\u1ebf nh\u00f3m thu\u1ed1c Corticoid (d\u1ea1ng ti\u00eam, u\u1ed1ng, b\u00f4i da, x\u1ecbt m\u0169i h\u1ecdng) v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng ch\u00ednh l\u00e0: Ch\u1ed1ng vi\u00eam, ch\u1ed1ng d\u1ecb \u1ee9ng, \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch. Nh\u00f3m thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c b\u00e1n r\u1ea5t r\u1ed9ng r\u00e3i v\u00e0 d\u1ec5 mua, n\u00ean ng\u01b0\u1eddi d\u00e2n c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng ti\u1ebfp c\u1eadn. Vi\u1ec7c s\u1eed d\u1ee5ng nh\u00f3m thu\u1ed1c n\u00e0y s\u1ebd gi\u00fap c\u00e1c tri\u1ec7u ch\u1ee9ng vi\u00eam, d\u1ecb \u1ee9ng, m\u1ec7t m\u1ecfi \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n r\u1ea5t nhanh ch\u00f3ng, t\u1eeb \u0111\u00f3, ng\u01b0\u1eddi b\u1ec7nh h\u1ebft \u0111au nhanh, kh\u1ecfe, \u0103n ngon, t\u0103ng c\u00e2n. M\u1ed9t s\u1ed1 b\u1ec7nh c\u00f3 ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c Corticoid s\u1ebd \u0111\u01b0\u1ee3c B\u00e1c s\u0129 k\u00ea \u0111\u01a1n h\u01b0\u1edbng d\u1eabn d\u00f9ng \u0111\u00fang c\u00e1ch \u0111\u1ec3 gi\u1ea3m thi\u1ec3u t\u00e1c d\u1ee5ng ph\u1ee5.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean, c\u00f3 m\u1ed9t s\u1ed1 \u0111\u01a1n v\u1ecb b\u1ea5t ch\u00ednh, l\u1ee3i d\u1ee5ng s\u1ef1 tin t\u01b0\u1edfng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh v\u1edbi thu\u1ed1c Nam, thu\u1ed1c \u0110\u00f4ng y \u0111\u00e3 nghi\u1ec1n thu\u1ed1c Corticoid d\u1ea1ng vi\u00ean th\u00e0nh b\u1ed9t, r\u1ed3i tr\u1ed9n v\u1edbi th\u1ea3o d\u01b0\u1ee3c \u0111\u1ec3 t\u1ea1o th\u00e0nh c\u00e1c g\u00f3i thu\u1ed1c b\u1ed9t ho\u1eb7c vi\u00ean ho\u00e0n t\u00e1n \u0111\u1ec3 b\u00e1n cho ng\u01b0\u1eddi b\u1ec7nh d\u01b0\u1edbi danh ngh\u0129a \u201cthu\u1ed1c gia truy\u1ec1n\u201d. Hay nhi\u1ec1u \u0111\u1ed1i t\u01b0\u1ee3ng kh\u00e1c c\u0169ng l\u1ee3i d\u1ee5ng t\u00e2m l\u00fd n\u00f3ng ru\u1ed9t c\u1ee7a cha m\u1eb9 khi c\u00f3 con b\u1ecb bi\u1ebfng \u0103n \u0111\u1ec3 tr\u1ed9n Corticoid v\u00e0o thu\u1ed1c \u0103n ngon b\u1ea5t ch\u1ea5p h\u1eadu qu\u1ea3 n\u1eb7ng n\u1ec1 cho tr\u1ebb.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vi\u1ec7c l\u1ea1m d\u1ee5ng Corticoid k\u00e9o d\u00e0i c\u00f3 th\u1ec3 g\u00e2y nhi\u1ec1u h\u1ec7 l\u1ee5y nguy hi\u1ec3m. \u0110\u00e1ng ch\u00fa \u00fd, ng\u01b0\u1eddi b\u1ec7nh s\u1ebd c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a h\u1ed9i ch\u1ee9ng Cushing v\u1edbi c\u00e1c d\u1ea5u hi\u1ec7u thay \u0111\u1ed5i ng\u1ecdai h\u00ecnh nh\u01b0 b\u00e9o b\u1ee5ng, m\u1eb7t tr\u00f2n, r\u1eadm l\u00f4ng, da m\u1ecfng, \u1eedng \u0111\u1ecf, d\u1ec5 r\u1ea1n da, d\u1ec5 b\u1ea7m t\u00edm, y\u1ebfu c\u01a1. Ngo\u00e0i ra ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, lo\u00e3ng x\u01b0\u01a1ng, r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n kinh, d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng do gi\u1ea3m \u0111\u1ec1 kh\u00e1ng. Nguy hi\u1ec3m h\u01a1n, s\u1eed d\u1ee5ng thu\u1ed1c trong m\u1ed9t th\u1eddi gian d\u00e0i s\u1ebd g\u00e2y \u1ee9c ch\u1ebf tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn d\u1eabn t\u1edbi suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn khi ng\u01b0\u1eddi b\u1ec7nh ng\u01b0ng thu\u1ed1c. T\u00ecnh tr\u1ea1ng n\u00e0y s\u1ebd xu\u1ea5t hi\u1ec7n v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n nh\u01b0: kh\u00f3 ch\u1ecbu, m\u1ec7t m\u1ecfi, u\u1ec3 o\u1ea3i li\u00ean t\u1ee5c, thi\u1ebfu s\u1ee9c s\u1ed1ng, ch\u00e1n \u0103n, \u0111au nh\u1ee9c c\u01a1 x\u01b0\u01a1ng kh\u1edbp, v.v. Th\u1eadm ch\u00ed m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1eb7ng c\u00f3 th\u1ec3 tr\u1ee5y m\u1ea1ch, nhi\u1ec5m tr\u00f9ng n\u1eb7ng, nguy k\u1ecbch t\u00ednh m\u1ea1ng.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hi\u1ec7n nay, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n b\u1ec7nh suy th\u01b0\u1ee3ng th\u1eadn do d\u00f9ng thu\u1ed1c c\u00f3 th\u1ec3 d\u1ef1a v\u00e0o c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m thay \u0111\u1ed5i ngo\u1ea1i h\u00ecnh, ho\u1eb7c c\u0103n c\u1ee9 v\u00e0o vi\u1ec7c ng\u01b0\u1eddi b\u1ec7nh c\u00f3 ti\u1ec1n s\u1eed m\u1eafc c\u00e1c b\u1ec7nh l\u00fd \u0111\u00e3 d\u00f9ng c\u00e1c thu\u1ed1c gia truy\u1ec1n, thu\u1ed1c nghi ng\u1edd l\u00e0 nh\u00f3m corticoid, x\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 ch\u1ec9 s\u1ed1 Cortisol gi\u1ea3m th\u1ea5p (Cortisol m\u00e1u th\u01b0\u1eddng \u0111\u01b0\u1ee3c l\u1ea5y x\u00e9t nghi\u1ec7m v\u00e0o 8 gi\u1edd s\u00e1ng, th\u1ef1c hi\u1ec7n c\u00f9ng v\u1edbi x\u00e9t nghi\u1ec7m ACTH). Ngo\u00e0i ra, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 b\u1ecb h\u1ea1 Kali, h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, v.v.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bi\u1ec7n ph\u00e1p ch\u00ednh \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb suy th\u01b0\u1ee3ng th\u1eadn do thu\u1ed1c v\u1edbi l\u00e0&nbsp;b\u00f9 glucocorticoid.&nbsp;Tuy nhi\u00ean, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb&nbsp;glucocorticoid&nbsp;l\u00fac n\u00e0y c\u1ea7n c\u00f3 s\u1ef1 ki\u1ec3m so\u00e1t v\u1ec1 li\u1ec1u d\u00f9ng v\u00e0 c\u00e1ch d\u00f9ng, tr\u00e1nh t\u00e1c d\u1ee5ng ph\u1ee5. B\u00e1c s\u0129 c\u1ea7n l\u1eadp k\u1ebf ho\u1ea1ch gi\u00fap ng\u01b0\u1eddi b\u1ec7nh cai thu\u1ed1c c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, \u0111\u1ec3 kh\u00f4i ph\u1ee5c t\u1eebng ph\u1ea7n ch\u1ee9c n\u0103ng c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Suy th\u01b0\u1ee3ng th\u1eadn do d\u00f9ng Corticoid&nbsp;l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng trong c\u1ed9ng \u0111\u1ed3ng, g\u00e2y suy m\u00f2n s\u1ee9c kh\u1ecfe v\u1ec1 l\u00e2u d\u00e0i. \u0110\u1ec3 ph\u00f2ng tr\u00e1nh b\u1ec7nh, ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c k\u00ea toa s\u1eed d\u1ee5ng&nbsp;Corticoid&nbsp;\u0111\u00fang ch\u1ec9 \u0111\u1ecbnh, tu\u00e2n th\u1ee7 li\u1ec1u v\u00e0 l\u01b0\u1ee3ng, tr\u00e1nh l\u1ea1m d\u1ee5ng, kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng c\u00e1c lo\u1ea1i thu\u1ed1c kh\u00f4ng r\u00f5 th\u00e0nh ph\u1ea7n, ngu\u1ed3n g\u1ed1c, v\u1eeba kh\u00f4ng gi\u00fap \u0111i\u1ec1u tr\u1ecb b\u1ec7nh, v\u1eeba c\u00f3 th\u1ec3 g\u00e2y nguy hi\u1ec3m \u0111\u1ebfn s\u1ee9c kh\u1ecfe.<\/p>\n\n\n\n<p class=\"has-text-align-left wp-block-paragraph\"><strong><em>Th\u1ea1c s\u0129 B\u00e1c s\u0129 Nguy\u1ec5n Th\u1ecb Th\u00f9y Dung \u2013 Khoa N\u1ed9i t\u1ed5ng qu\u00e1t, b\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Ho\u00e0n M\u1ef9 Vinh<\/em><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>M\u1ecdi th\u00f4ng tin chi ti\u1ebft xin vui l\u00f2ng li\u00ean h\u1ec7<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Ho\u00e0n M\u1ef9 Vinh \u2013 S\u1ed1 99, Ph\u1ea1m \u0110\u00ecnh To\u00e1i, tp. Vinh, Ngh\u1ec7 An.<\/em><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><em>Hotline: 02383 968 888<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh vi\u1ec7n Qu\u1ed1c t\u1ebf Ho\u00e0n M\u1ef9 Vinh v\u1eeba ti\u1ebfp nh\u1eadn ng\u01b0\u1eddi b\u1ec7nh n\u1eef 16 tu\u1ed5i v\u1edbi t\u00ecnh tr\u1ea1ng r\u1ea1n da xu\u1ea5t hi\u1ec7n \u1edf nhi\u1ec1u v\u00f9ng c\u1ee7a c\u01a1 th\u1ec3 (d\u00f9 kh\u00f4ng b\u1ecb t\u0103ng c\u00e2n hay c\u00f3 c\u00e1c b\u1ec7nh l\u00fd v\u1ec1 da, kh\u00f4ng b\u00f4i thu\u1ed1c, u\u1ed1ng hay ti\u00eam thu\u1ed1c \u0111i\u1ec1u tr\u1ecb b\u1ec7nh). Tuy nhi\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u00f3 [&hellip;]<\/p>\n","protected":false},"author":15,"featured_media":276984,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-276983","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-vinh___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/276983","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=276983"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/276983\/revisions"}],"predecessor-version":[{"id":305545,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/276983\/revisions\/305545"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/276984"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=276983"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=276983"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=276983"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}