{"id":142,"date":"2025-11-26T14:24:49","date_gmt":"2025-11-26T14:24:49","guid":{"rendered":"https:\/\/xuongkhopviet.vn\/?p=142"},"modified":"2025-11-27T02:04:37","modified_gmt":"2025-11-27T02:04:37","slug":"lam-dung-corticoid-va-he-luy","status":"publish","type":"post","link":"https:\/\/xuongkhopviet.vn\/?p=142","title":{"rendered":"L\u1ea0M D\u1ee4NG CORTICOID V\u00c0 H\u1ec6 LU\u1ef4"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Ph\u00eda tr\u00ean 2 th\u1eadn c\u00f3 2 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn h\u00ecnh tam gi\u00e1c, k\u00edch th\u01b0\u1edbc nh\u1ecf x\u00edu nh\u01b0 \u0111\u1ea7u \u0111\u0169a. Th\u01b0\u1ee3ng th\u1eadn l\u00e0 tuy\u1ebfn n\u1ed9i ti\u1ebft, n\u00f3 ti\u1ebft ra 1 s\u1ed1 hormon trong \u0111\u00f3 c\u00f3 cortisol ch\u1ecbu tr\u00e1ch nhi\u1ec7m \u0111i\u1ec1u h\u00f2a chuy\u1ec3n h\u00f3a carbohydrate trong c\u01a1 th\u1ec3 (n\u00ean c\u00f2n g\u1ecdi l\u00e0 hormon glucocorticoid \u2013 corticoid chuy\u1ec3n h\u00f3a glucose), v\u00e0 duy tr\u00ec ch\u1ee9c n\u0103ng tim m\u1ea1ch, huy\u1ebft \u00e1p. Ngo\u00e0i ra n\u00f3 c\u00f2n c\u00f3 m\u1ed9t t\u00e1c d\u1ee5ng quan tr\u1ecdng kh\u00e1c l\u00e0 l\u00e0m gi\u1ea3m vi\u00eam v\u00e0 \u1ee9c ch\u1ebf mi\u1ec5n d\u1ecbch.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">D\u1ef1a tr\u00ean \u0111\u1eb7c \u0111i\u1ec3m n\u00e0y, t\u1eeb n\u0103m 1948 ng\u01b0\u1eddi ta \u0111\u00e3 s\u1ea3n xu\u1ea5t ra c\u00e1c lo\u1ea1i thu\u1ed1c glucocorticoid t\u1ed5ng h\u1ee3p c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam m\u1ea1nh \u0111\u1ec3 kh\u1edfi \u0111\u1ea7u l\u00e0 \u0111i\u1ec1u tr\u1ecb vi\u00eam kh\u1edbp r\u1ea5t hi\u1ec7u qu\u1ea3, v\u00e0 ph\u00e1t minh n\u00e0y \u0111\u00e3 gi\u00fap Bs Hench \u0111\u01b0\u1ee3c nh\u1eadn gi\u1ea3i Nobel y h\u1ecdc n\u0103m 1950.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sau th\u1eddi \u0111i\u1ec3m tr\u00ean, c\u00e1c thu\u1ed1c glucocorticoid t\u1ed5ng h\u1ee3p nh\u01b0&nbsp;Prednisolone, Methylprednisolone, Dexamethasone&#8230; \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng r\u1ea5t r\u1ed9ng r\u00e3i trong nhi\u1ec1u l\u0129nh v\u1ef1c c\u1ee7a y h\u1ecdc nh\u01b0 gh\u00e9p t\u1ea1ng, d\u1ecb \u1ee9ng, vi\u00eam kh\u1edbp, hen ph\u1ebf qu\u1ea3n, v\u00e0 c\u1ea3 \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb Covid-19&#8230; nh\u01b0ng b\u1eaft \u0111\u1ea7u t\u1eeb \u0111\u00f3 c\u00f3 s\u1ef1 l\u1ea1m d\u1ee5ng c\u00e1c thu\u1ed1c n\u00e0y, \u01b0\u1edbc t\u00ednh c\u00f3 kho\u1ea3ng 1% d\u00e2n s\u1ed1 M\u1ef9 s\u1eed d\u1ee5ng th\u01b0\u1eddng xuy\u00ean c\u00e1c thu\u1ed1c n\u00e0y.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00ecnh h\u00ecnh tr\u1edf n\u00ean r\u1ea5t t\u1ec7 \u1edf Vi\u1ec7t Nam, khi ai c\u0169ng c\u00f3 th\u1ec3 t\u1ef1 mua \u0111\u01b0\u1ee3c c\u00e1c thu\u1ed1c n\u00e0y, theo \u0111\u01a1n ho\u1eb7c theo m\u00e1ch b\u1ea3o c\u1ee7a ng\u01b0\u1eddi kh\u00e1c, d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb h\u1ea7m b\u00e0 l\u00e0ng c\u00e1c b\u1ec7nh nh\u01b0 vi\u00eam h\u1ecdng, vi\u00eam m\u0169i d\u1ecb \u1ee9ng, vi\u00eam da, \u0111au l\u01b0ng, g\u00fat, tho\u00e1i h\u00f3a kh\u1edbp, vi\u00eam ph\u1ed5i, hen&#8230; d\u01b0\u1edbi c\u00e1c d\u1ea1ng b\u00f4i, h\u00edt, u\u1ed1ng, v\u00e0 ti\u00eam&#8230; m\u00e0 kh\u00f4ng bi\u1ebft r\u1eb1ng c\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 g\u00e2y r\u1ea5t nhi\u1ec1u t\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, t\u0103ng huy\u1ebft \u00e1p, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, \u0111\u1ee5c th\u1ee7y tinh th\u1ec3, lo\u00e3ng x\u01b0\u01a1ng, g\u00e3y x\u01b0\u01a1ng, xu\u1ea5t huy\u1ebft d\u01b0\u1edbi da, ho\u1ea1i t\u1eed ch\u1ecfm x\u01b0\u01a1ng \u0111\u00f9i, h\u1ea1 kali m\u00e1u, d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng, c\u00e1c v\u1ebft lo\u00e9t l\u00e2u li\u1ec1n&#8230; th\u1eadm ch\u00ed l\u00e0 r\u1ed1i lo\u1ea1n t\u00e2m th\u1ea7n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00ecnh h\u00ecnh t\u1ed3i t\u1ec7 h\u01a1n khi g\u1ea7n \u0111\u00e2y c\u00e1c thu\u1ed1c corticoid n\u00e0y \u0111\u01b0\u1ee3c tr\u1ed9n l\u1eabn v\u00e0o nhi\u1ec1u lo\u1ea1i thu\u1ed1c \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o l\u00e0 \u201c\u0111\u00f4ng y\u201d ch\u1eefa b\u00e1ch b\u1ec7nh. Do suy ngh\u0129 thu\u1ed1c \u201c\u0111\u00f4ng y\u201d l\u00e0 l\u00e0nh v\u00e0 an to\u00e0n n\u00ean nhi\u1ec1u ng\u01b0\u1eddi d\u00f9ng v\u00f4 t\u1ed9i v\u1ea1, v\u00e0 sau m\u1ed9t th\u1eddi gian b\u1ecb l\u1ec7 thu\u1ed9c v\u00e0o thu\u1ed1c, \u0111\u1ed3ng ngh\u0129a v\u1edbi c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00e0ng n\u1eb7ng h\u01a1n.<\/p>\n\n\n\n<figure class=\"wp-block-image is-resized\"><img decoding=\"async\" src=\"https:\/\/blogger.googleusercontent.com\/img\/b\/R29vZ2xl\/AVvXsEjpHjLWJ16LskXXiq2-OlZe3_yBZmcwq-jJwPKWcbkA6lCCQgjfuAAuRcMBhafqakjzUYppN4U_46Tsk0jjPnppZ0Dfz3YC1O6XIOKFzpKdQgHCu7w2aTq6r-LXK1o2aCbpho1U86mCdPLl0rVOdBfUbUzAUc6xp3df57vMTfN6oqzFDAv5XcTNj38LYw\/w430-h513\/2802_Cushing.jpg\" alt=\"\" style=\"width:750px;height:auto\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.blogger.com\/blog\/post\/edit\/3895835226438189012\/3925478905698624111#\" target=\"_blank\" rel=\"noopener\"><\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u00f3 \u0111\u1eb7c \u0111i\u1ec3m chung l\u00e0 bi\u1ebfn \u0111\u1ed5i v\u1ec1 h\u00ecnh th\u1ec3 ki\u1ec3m m\u1eb7t tr\u00f2n \u0111\u1ecf, b\u00e9o b\u1ee5ng nh\u01b0ng ch\u00e2n tay l\u1ea1i b\u1ecb teo (h\u00ecnh \u1ea3nh 4 que t\u0103m c\u1eafm v\u00e0o c\u1ee7 khoai), da m\u1ecfng v\u00e0 d\u1ec5 b\u1ecb b\u1ea7m t\u00edm khi va ch\u1ea1m, b\u1ee5ng v\u00e0 \u0111\u00f9i c\u00f3 nhi\u1ec1u v\u1ebft r\u1ea1n da \u0111\u1ecf&#8230;.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">T\u00e1c d\u1ee5ng ph\u1ee5 nguy hi\u1ec3m nh\u1ea5t c\u1ee7a l\u1ea1m d\u1ee5ng corticoid l\u00e0 suy th\u01b0\u1ee3ng th\u1eadn do thu\u1ed1c, v\u1edbi c\u00e1c bi\u1ec3u hi\u1ec7n m\u1ec7t m\u1ecfi th\u01b0\u1eddng xuy\u00ean, huy\u1ebft \u00e1p th\u1ea5p, c\u00f3 th\u1ec3 t\u1ee5t huy\u1ebft \u00e1p, v\u00e0 \u0111\u00e3 c\u00f3 tr\u01b0\u1eddng h\u1ee3p b\u1ecb t\u1eed vong.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Suy th\u01b0\u1ee3ng th\u1eadn do thu\u1ed1c corticoid: Li\u1ec7u c\u00f3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c kh\u00f4ng ?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong><br><\/strong>B\u00ecnh th\u01b0\u1eddng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn \u0111\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a b\u1edfi tuy\u1ebfn y\u00ean, tuy\u1ebfn y\u00ean ti\u1ebft ra hormon ACTH k\u00edch th\u00edch tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn t\u0103ng s\u1ea3n xu\u1ea5t Cortisol, v\u00e0 khi n\u1ed3ng \u0111\u1ed9 Cortisol trong m\u00e1u cao s\u1ebd ph\u00e1t t\u00edn hi\u1ec7u l\u00ean tuy\u1ebfn y\u00ean \u0111\u1ec3 tuy\u1ebfn y\u00ean bi\u1ebft v\u00e0 gi\u1ea3m ti\u1ebft ACTH, v\u00e0 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ebd \u0111\u01b0\u1ee3c gi\u1ea3m xu\u1ed1ng. Ng\u01b0\u1ee3c l\u1ea1i khi n\u1ed3ng \u0111\u1ed9 cortisol m\u00e1u gi\u1ea3m ho\u1eb7c khi c\u01a1 th\u1ec3 c\u1ea7n nhi\u1ec1u cortisol (nh\u01b0 khi b\u1ecb \u1ed1m, s\u1ed1t hay stress&#8230;) th\u00ec tuy\u1ebfn y\u00ean s\u1ebd ti\u1ebft ra nhi\u1ec1u ACTH h\u01a1n \u0111\u1ec3 k\u00edch th\u00edch tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ho\u1ea1t \u0111\u1ed9ng m\u1ea1nh h\u01a1n, t\u0103ng ti\u1ebft cortisol \u0111\u1ec3 \u0111\u00e1p \u1ee9ng nhu c\u1ea7u c\u1ee7a c\u01a1 th\u1ec3.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Khi s\u1eed d\u1ee5ng qu\u00e1 nhi\u1ec1u thu\u1ed1c glucocorticoid th\u00ec n\u1ed3ng \u0111\u1ed9 corticoid (c\u00f3 c\u1ea5u tr\u00fac t\u01b0\u01a1ng \u0111\u1ed1i gi\u1ed1ng v\u1edbi Cortisol) t\u0103ng cao trong m\u00e1u s\u1ebd ph\u00e1t t\u00edn hi\u1ec7u (th\u1ef1c ch\u1ea5t l\u00e0 \u1ee9c ch\u1ebf) \u0111\u1ec3 tuy\u1ebfn y\u00ean kh\u00f4ng ti\u1ebft ra hormon ACTH n\u1eefa, h\u1eadu qu\u1ea3 l\u00e0 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ebd kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng. N\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y k\u00e9o d\u00e0i th\u00ec tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn s\u1ebd b\u1ecb teo, v\u00e0 khi c\u01a1 th\u1ec3 c\u1ea7n n\u00f3 s\u1ebd kh\u00f4ng th\u1ec3 ti\u1ebft ra Cortisol \u0111\u01b0\u1ee3c n\u1eefa. Khi \u0111\u00f3 c\u01a1 th\u1ec3 s\u1ebd r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng suy th\u01b0\u1ee3ng th\u1eadn. L\u01b0u \u00fd l\u00e0 l\u1ea1m d\u1ee5ng thu\u1ed1c corticoid c\u00f3 th\u1ec3 g\u00e2y suy th\u01b0\u1ee3ng th\u1eadn r\u1ea5t s\u1edbm, ch\u1ec9 sau 2 tu\u1ea7n d\u00f9ng thu\u1ed1c, v\u00e0 nguy c\u01a1 g\u00e2y suy th\u01b0\u1ee3ng th\u1eadn n\u1eb7ng n\u1ebfu d\u00f9ng thu\u1ed1c li\u1ec1u cao, d\u00f9ng \u0111\u01b0\u1eddng ti\u00eam, d\u00f9ng nhi\u1ec1u l\u1ea7n trong ng\u00e0y, d\u00f9ng li\u00ean t\u1ee5c trong th\u1eddi gian d\u00e0i, d\u00f9ng c\u00e1c thu\u1ed1c t\u00e1c d\u1ee5ng m\u1ea1nh nh\u01b0 Dexamethasone (r\u1ea5t hay c\u00f3 trong c\u00e1c thu\u1ed1c \u0111\u00f4ng y tr\u00e1 h\u00ecnh)&#8230;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Qu\u00e1 tr\u00ecnh n\u00e0y gi\u1ed1ng nh\u01b0 m\u1ed9t ng\u01b0\u1eddi t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c cho r\u1ea5t nhi\u1ec1u ti\u1ec1n th\u00ec s\u1ebd sinh th\u00f3i quen l\u01b0\u1eddi bi\u1ebfng, ng\u1ee7 nhi\u1ec1u, v\u00e0 m\u1ea5t kh\u1ea3 n\u0103ng lao \u0111\u1ed9ng khi c\u1ea7n. Nh\u1eefng ng\u01b0\u1eddi n\u00e0y, n\u1ebfu b\u1ecb nhi\u1ec5m khu\u1ea9n, th\u00ec r\u1ea5t d\u1ec5 b\u1ecb shock v\u00e0 tr\u1ee5y tim m\u1ea1ch r\u1ed3i t\u1eed vong n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0110i\u1ec1u tr\u1ecb suy th\u01b0\u1ee3ng th\u1eadn do thu\u1ed1c gi\u1ed1ng nh\u01b0 qu\u00e1 tr\u00ecnh cai nghi\u1ec7n thu\u1ed1c phi\u1ec7n. \u0110\u1ea7u ti\u00ean c\u1ea7n ng\u1eebng ngay c\u00e1c thu\u1ed1c corticoid \u0111ang d\u00f9ng v\u00e0 \u0111\u1ed5i sang lo\u1ea1i thu\u1ed1c nh\u1eb9 nh\u1ea5t, \u00edt g\u00e2y \u1ee9c ch\u1ebf tuy\u1ebfn y\u00ean nh\u1ea5t l\u00e0 Hydrocortisone v\u1edbi li\u1ec1u v\u1eeba \u0111\u1ee7 cho c\u01a1 th\u1ec3 c\u1ea7n. \u0110\u1ed3ng th\u1eddi ph\u1ea3i \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd \u0111i k\u00e8m, b\u1ec7nh l\u00fd l\u00e0 nguy\u00ean nh\u00e2n khi\u1ebfn ng\u01b0\u1eddi ta t\u00ecm \u0111\u1ebfn Corticoid.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tuy nhi\u00ean do tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn c\u00f3 th\u1ec3 \u0111\u00e3 b\u1ecb teo n\u00ean th\u1eddi gian \u0111\u00e1nh th\u1ee9c v\u00e0 ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng s\u1ebd m\u1ea5t nhi\u1ec1u th\u1eddi gian, c\u0169ng nh\u01b0 ng\u01b0\u1eddi \u0111ang quen sung s\u01b0\u1edbng v\u00e0 kh\u00f4ng ph\u1ea3i l\u00e0m g\u00ec m\u00e0 b\u00e2y gi\u1edd b\u1ecb b\u1eaft \u0111i lao \u0111\u1ed9ng n\u1eb7ng l\u1ea1i v\u1eady. Nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy nh\u1eb9 c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c sau 6-12 th\u00e1ng, suy n\u1eb7ng c\u1ea7n 2-3 n\u0103m, nh\u01b0ng c\u0169ng c\u00f3 nh\u1eefng ng\u01b0\u1eddi b\u1ecb suy th\u01b0\u1ee3ng th\u1eadn v\u0129nh vi\u1ec5n.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">L\u01b0u \u00fd suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn l\u00e0 b\u1ec7nh n\u1ed9i ti\u1ebft, kh\u00f4ng ph\u1ea3i l\u00e0 b\u1ec7nh th\u1eadn, n\u00ean ng\u01b0\u1eddi b\u1ec7nh c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb t\u1ea1i chuy\u00ean khoa N\u1ed9i ti\u1ebft.<\/p>\n\n\n\n<p class=\"has-text-align-right wp-block-paragraph\">                                                                                        TS.BS NGUY\u1ec4N QUANG B\u1ea2Y-B\u1ec6NH VI\u1ec6N B\u1ea0CH MAI<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Corticoid \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1ea7n d\u01b0\u1ee3c ch\u1eefa b\u00e1ch b\u1ec7nh trong d\u00e2n gian.S\u1eed d\u1ee5ng corticoid b\u1eeba b\u00e3i g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe,\u0111\u1eb7c bi\u1ec7t c\u00f3 th\u1ec3 d\u1eabn t\u1edbi suy tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn v\u0129nh 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