{"id":5527,"date":"2024-04-12T10:37:43","date_gmt":"2024-04-12T03:37:43","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=5527"},"modified":"2024-04-12T10:43:43","modified_gmt":"2024-04-12T03:43:43","slug":"lieu-phap-noi-tiet-giup-phu-nu-man-kinh-song-vui-song-khoe","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=5527","title":{"rendered":"Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft gi\u00fap ph\u1ee5 n\u1eef m\u00e3n kinh s\u1ed1ng vui, s\u1ed1ng kh\u1ecfe"},"content":{"rendered":"\n

M\u00e3n kinh l\u00e0 m\u1ed9t s\u1ef1 ki\u1ec7n quan tr\u1ecdng v\u00e0 kh\u00f4ng th\u1ec3 tr\u00e1nh kh\u1ecfi c\u1ee7a ph\u1ee5 n\u1eef. \u0110\u00e2y l\u00e0 m\u1ed9t c\u1ed9t m\u1ed1c \u0111\u00e1nh d\u1ea5u v\u00f2ng \u0111\u1eddi sinh s\u1ea3n \u0111\u00e3 d\u1eebng l\u1ea1i. B\u00ean c\u1ea1nh \u0111\u00f3 c\u0169ng l\u00e0 th\u1eddi \u0111i\u1ec3m c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nhi\u1ec1u b\u1ec7nh t\u1eadt. Ch\u00ednh v\u00ec \u0111i\u1ec1u n\u00e0y, ng\u00e0y 11\/04\/2024, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh t\u1ed5 ch\u1ee9c bu\u1ed5i sinh ho\u1ea1t khoa h\u1ecdc v\u1edbi ch\u1ee7 \u0111\u1ec1 \u201cL\u00e0m sao \u0111\u1ec3 m\u00e3n kinh kh\u00f4ng c\u00f2n l\u00e0 n\u1ed7i lo c\u1ee7a ph\u1ee5 n\u1eef\u201d. \u0110\u00e2y l\u00e0 c\u01a1 h\u1ed9i \u0111\u1ec3 c\u00e1c y b\u00e1c s\u0129 c\u00f9ng c\u1eadp nh\u1eadt, chia s\u1ebb nh\u1eefng kinh nghi\u1ec7m trong vi\u1ec7c n\u00e2ng cao th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n cho ph\u1ee5 n\u1eef m\u00e3n kinh.<\/strong><\/p>\n\n\n\n

Ph\u1ee5 n\u1eef m\u00e3n kinh c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch cao g\u1ea5p 2 – 6 l\u1ea7n so v\u1edbi tr\u01b0\u1edbc m\u00e3n kinh<\/strong><\/p>\n\n\n\n

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TS.BS Nguy\u1ec5n H\u1ed3ng Hoa – Ph\u00f3 ch\u1ee7 nhi\u1ec7m B\u1ed9 m\u00f4n S\u1ea3n, \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TPHCM (gi\u1eefa) c\u00f9ng 2 b\u00e1o c\u00e1o vi\u00ean c\u1ee7a bu\u1ed5i sinh ho\u1ea1t khoa h\u1ecdc v\u1edbi ch\u1ee7 \u0111\u1ec1 \u201cL\u00e0m sao \u0111\u1ec3 m\u00e3n kinh kh\u00f4ng c\u00f2n l\u00e0 n\u1ed7i lo c\u1ee7a ph\u1ee5 n\u1eef\u201d<\/figcaption><\/figure><\/div>\n\n\n\n

T\u1ea1i \u0111\u00e2y, TS.BS B\u00f9i Ch\u00ed Th\u01b0\u01a1ng – Tr\u01b0\u1edfng Kh\u1ed1i s\u1ea3n, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh \u0111\u00e3 c\u00f3 nh\u1eefng chia s\u1ebb th\u00fa v\u1ecb v\u00e0 nhi\u1ec1u ki\u1ebfn th\u1ee9c h\u1eefu \u00edch li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 \u201cM\u00e3n kinh \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng ph\u1ee5 n\u1eef\u201d<\/strong>.<\/p>\n\n\n\n

TS.BS B\u00f9i Ch\u00ed Th\u01b0\u01a1ng cho bi\u1ebft: \u201cL\u00e3o h\u00f3a v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i d\u1eabn \u0111\u1ebfn gi\u1ea3i ph\u00f3ng gonadotropin kh\u00f4ng \u0111\u1ed3ng b\u1ed9 v\u1edbi s\u1ea3n xu\u1ea5t GnRH v\u00e0 suy gi\u1ea3m (LH) t\u1eeb tuy\u1ebfn y\u00ean. Nh\u1eefng thay \u0111\u1ed5i c\u1ee7a h\u1ec7 th\u1ea7n kinh trung \u01b0\u01a1ng n\u00e0y c\u00f9ng v\u1edbi s\u1ef1 thay \u0111\u1ed5i c\u1ee7a bu\u1ed3ng tr\u1ee9ng l\u00e3o h\u00f3a, suy gi\u1ea3m s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a nang no\u00e3n, s\u1ea3n xu\u1ea5t n\u1ed9i ti\u1ebft (inhibin B, AMH v\u00e0 estrogen) v\u00e0 r\u1ee5ng tr\u1ee9ng. \u0110i\u1ec1u n\u00e0y d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n trong chu k\u1ef3.<\/em><\/p>\n\n\n\n

Sau m\u00e3n kinh, bu\u1ed3ng tr\u1ee9ng b\u1ecb c\u1ea1n ki\u1ec7t nang tr\u1ee9ng, s\u1ea3n xu\u1ea5t oestradiol v\u00e0 inhibin B gi\u1ea3m, r\u1ee5ng tr\u1ee9ng v\u00e0 kinh nguy\u1ec7t kh\u00f4ng c\u00f2n x\u1ea3y ra n\u1eefa. T\u1eeb \u0111\u00f3, m\u1ea5t kh\u1ea3 n\u0103ng \u0111\u00e1p \u1ee9ng c\u1ee7a bu\u1ed3ng tr\u1ee9ng v\u1edbi FSH v\u00e0 LH, \u0111\u1ed3ng th\u1eddi m\u1ea5t ph\u1ea3n h\u1ed3i ti\u00eau c\u1ef1c c\u1ee7a oestradiol v\u00e0 inhibin B tr\u00ean \u0111\u01a1n v\u1ecb v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i-tuy\u1ebfn y\u00ean, d\u1eabn \u0111\u1ebfn t\u0103ng s\u1ea3n xu\u1ea5t v\u00e0 gi\u1ea3i ph\u00f3ng GnRH, FSH v\u00e0 LH. FSH t\u0103ng l\u00e0 \u0111\u1eb7c \u0111i\u1ec3m \u0111\u1eb7c bi\u1ec7t c\u1ee7a th\u1eddi k\u1ef3 h\u1eadu m\u00e3n kinh\u201d.<\/em><\/p>\n\n\n\n

M\u00e3n kinh kh\u00f4ng x\u1ea3y ra \u0111\u1ed9t ng\u1ed9t m\u00e0 \u0111\u00e3 c\u00f3 tri\u1ec7u ch\u1ee9ng ti\u1ec1n m\u00e3n kinh t\u1eeb v\u00e0i n\u0103m tr\u01b0\u1edbc nh\u01b0 kinh nguy\u1ec7t tr\u1ed3i s\u1ee5t th\u1ea5t th\u01b0\u1eddng<\/strong> ho\u1eb7c 2 th\u00e1ng m\u1edbi c\u00f3 kinh m\u1ed9t l\u1ea7n.<\/strong><\/p>\n\n\n\n

Tu\u1ed5i th\u1ecd ng\u00e0y nay \u1edf Vi\u1ec7t Nam v\u00e0 c\u1ea3 th\u1ebf gi\u1edbi \u0111\u00e3 t\u0103ng l\u00ean, ph\u1ee5 n\u1eef c\u00f3 tu\u1ed5i th\u1ecd 70 – 80 tu\u1ed5i. D\u00f9 tu\u1ed5i th\u1ecd t\u0103ng nh\u01b0ng g\u1ea7n 100 n\u0103m nay \u0111\u1ed9 tu\u1ed5i m\u00e3n kinh v\u1eabn t\u1eeb 50 tu\u1ed5i<\/strong>. Nh\u01b0 v\u1eady, kho\u1ea3ng 30 n\u0103m sau khi m\u00e3n kinh ng\u01b0\u1eddi ph\u1ee5 n\u1eef ph\u1ea3i ch\u1ed1ng ch\u1ecdi v\u1edbi nhi\u1ec1u b\u1ec7nh t\u1eadt c\u00f3 th\u1ec3 x\u1ea3y ra.<\/p>\n\n\n\n

S\u1ee5t gi\u1ea3m estrogen d\u1eabn \u0111\u1ebfn c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh<\/em><\/strong> kh\u00f3 ch\u1ecbu nh\u01b0: b\u1ed1c h\u1ecfa, \u0111\u1ed5 m\u1ed3 h\u00f4i (\u0111\u1eb7c bi\u1ec7t l\u00e0 ban \u0111\u00eam), m\u1ea5t ng\u1ee7, r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, r\u1ed1i lo\u1ea1n t\u00e2m l\u00fd; \u1ede giai \u0111o\u1ea1n ti\u1ebfp theo<\/em><\/strong> ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 b\u1ecb kh\u00f4 teo \u00e2m \u0111\u1ea1o, \u0111au khi giao h\u1ee3p, da kh\u00f4, s\u00f3n ti\u1ec3u; Giai \u0111o\u1ea1n l\u1edbn tu\u1ed5i h\u01a1n<\/em><\/strong> s\u1ebd c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 lo\u00e3ng x\u01b0\u01a1ng, x\u01a1 v\u1eefa m\u1ea1ch m\u00e1u, nh\u1ed3i m\u00e1u c\u01a1 tim, b\u1ec7nh l\u00fd tim m\u1ea1ch, quan tr\u1ecdng nh\u1ea5t l\u00e0 b\u1ec7nh Alzheimer,\u2026 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng.<\/p>\n\n\n\n

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TS.BS B\u00f9i Ch\u00ed Th\u01b0\u01a1ng – Tr\u01b0\u1edfng Kh\u1ed1i s\u1ea3n, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh tr\u00ecnh b\u00e0y b\u00e0i b\u00e1o c\u00e1o \u201cM\u00e3n kinh \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng ph\u1ee5 n\u1eef\u201d<\/figcaption><\/figure><\/div>\n\n\n\n

Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 tri\u1ec7u ch\u1ee9ng m\u00e3n kinh \u0111\u1ec1u gi\u1ed1ng nhau. Hai tri\u1ec7u ch\u1ee9ng th\u01b0\u1eddng g\u1eb7p nh\u1ea5t: M\u1ed9t l\u00e0<\/em><\/strong> r\u1ed1i lo\u1ea1n v\u1eadn m\u1ea1ch (\u0111\u1ed5 m\u1ed3 h\u00f4i, b\u1ed1c h\u1ecfa, c\u00e1u g\u1eaft,\u2026), xu\u1ea5t hi\u1ec7n \u1edf 80% ph\u1ee5 n\u1eef v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i \u0111\u1ebfn 8 n\u0103m; Hai l\u00e0<\/em><\/strong> suy gi\u1ea3m ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, xu\u1ea5t hi\u1ec7n t\u1eeb 20 th\u00e1ng tr\u01b0\u1edbc k\u1ef3 kinh cu\u1ed1i.<\/p>\n\n\n\n

Tuy nhi\u00ean, c\u00e1c t\u00ecnh tr\u1ea1ng tr\u00ean ch\u1ec9 l\u00e0 ph\u1ea7n n\u1ed5i c\u1ee7a t\u1ea3ng b\u0103ng tr\u00f4i. Thi\u1ebfu estrogen \u1edf th\u1eddi k\u1ef3 m\u00e3n kinh l\u00e0m cho ph\u1ee5 n\u1eef ph\u1ea3i ch\u1ecbu nhi\u1ec1u b\u1ec7nh t\u1eadt, nguy hi\u1ec3m \u0111\u1ebfn t\u00ednh m\u1ea1ng. Th\u1ee9 nh\u1ea5t l\u00e0 <\/em><\/strong>b\u1ec7nh l\u00fd tim m\u1ea1ch<\/strong> nh\u01b0 b\u1ec7nh \u0111\u1ed9ng m\u1ea1ch v\u00e0nh, nh\u1ed3i m\u00e1u c\u01a1 tim, cao huy\u1ebft \u00e1p\u2026 \u0110\u00e2y l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y t\u1eed vong h\u00e0ng \u0111\u1ea7u \u1edf ph\u1ee5 n\u1eef sau 50 tu\u1ed5i. B\u00ean c\u1ea1nh \u0111\u00f3, trong c\u00f9ng m\u1ed9t nh\u00f3m tu\u1ed5i, ph\u1ee5 n\u1eef m\u00e3n kinh c\u00f3 nguy c\u01a1 m\u1eafc b\u1ec7nh tim m\u1ea1ch cao g\u1ea5p 2 – 6 l\u1ea7n<\/strong> so v\u1edbi tr\u01b0\u1edbc m\u00e3n kinh;<\/p>\n\n\n\n

Th\u1ee9 hai l\u00e0<\/em><\/strong> <\/strong>g\u1eb7p c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a<\/strong> nh\u01b0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, r\u1ed1i lo\u1ea1n m\u1ee1 m\u00e1u\u2026 Thi\u1ebfu estrogen khi m\u00e3n kinh s\u1ebd k\u00edch ho\u1ea1t c\u00e1c t\u1ebf b\u00e0o m\u1ee1 \u1edf t\u1ee7y x\u01b0\u01a1ng l\u00e0m t\u00e1i ph\u00e2n b\u1ed1 m\u1ee1 trong t\u1ea1ng. \u0110\u1eb7c bi\u1ec7t, ng\u01b0\u1eddi h\u1eadu m\u00e3n kinh th\u01b0\u1eddng m\u1ea5t kh\u1ed1i l\u01b0\u1ee3ng c\u01a1, d\u1eabn \u0111\u1ebfn m\u00f4 m\u1ee1 chi\u1ebfm ch\u1ed7, c\u00f9ng v\u1edbi m\u1ec7t m\u1ecfi kh\u00f4ng v\u1eadn \u0111\u1ed9ng v\u00e0 ti\u00eau th\u1ee5 n\u0103ng l\u01b0\u1ee3ng \u00edt h\u01a1n t\u1eeb \u0111\u00f3 ti\u00eau th\u1ee5 oxy gi\u1ea3m, t\u1ed1c \u0111\u1ed9 chuy\u1ec3n h\u00f3a c\u01a1 b\u1ea3n gi\u1ea3m. Hai v\u1ea5n \u0111\u1ec1 n\u00e0y g\u00e2y t\u00e1i ph\u00e2n b\u1ed1 m\u1ee1 trong c\u01a1 th\u1ec3 \u1edf v\u00f9ng trung t\u00e2m (v\u00f9ng b\u1ee5ng), d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a v\u00e0 t\u0103ng c\u00e2n;<\/p>\n\n\n\n

Th\u1ee9 ba l\u00e0<\/em><\/strong> t\u0103ng nguy c\u01a1 lo\u00e3ng x\u01b0\u01a1ng<\/strong> (g\u00e3y x\u01b0\u01a1ng). C\u1ea3 nam v\u00e0 n\u1eef gi\u1edbi khi l\u1edbn tu\u1ed5i \u0111\u1ec1u lo\u00e3ng x\u01b0\u01a1ng. Tuy nhi\u00ean, ph\u1ee5 n\u1eef t\u1eeb 50 – 60 tu\u1ed5i do estrogen gi\u1ea3m, d\u1eabn \u0111\u1ebfn m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng gi\u1ea3m \u0111\u00e1ng k\u1ec3, trong khi m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u1edf nam gi\u1edbi ch\u1ec9 gi\u1ea3m t\u1eeb t\u1eeb;<\/p>\n\n\n\n

Th\u1ee9 t\u01b0 l\u00e0<\/em><\/strong> r\u1ed1i lo\u1ea1n nh\u1eadn th\u1ee9c<\/strong> nh\u01b0 gi\u1ea3m tr\u00ed nh\u1edb, gi\u1ea3m ch\u00fa \u00fd, thi\u1ebfu t\u1eadp trung, suy ngh\u0129 ch\u1eadm ch\u1ea1p v\u00e0 hay qu\u00ean, \u0111\u1eb7c bi\u1ec7t l\u00e0 b\u1ec7nh Alzheimer,\u2026 Trong nghi\u00ean c\u1ee9u v\u1ec1 s\u1ee9c kh\u1ecfe ph\u1ee5 n\u1eef qu\u1ed1c gia (SWAN) t\u1ea1i M\u1ef9 v\u1edbi 16.065 ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i t\u1eeb 40 – 55 tu\u1ed5i cho th\u1ea5y, nh\u1eefng thay \u0111\u1ed5i nh\u1eadn th\u1ee9c x\u1ea3y ra mu\u1ed9n sau m\u00e3n kinh li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a, kh\u00f4ng li\u00ean quan \u0111\u1ebfn m\u00e3n kinh. Do \u0111\u00f3, mu\u1ed1n ph\u1ee5c h\u1ed3i nh\u1eadn th\u1ee9c ph\u1ea3i b\u1ed5 sung n\u1ed9i ti\u1ebft s\u1edbm, c\u00f2n \u0111\u1ebfn 60 tu\u1ed5i tr\u1edf l\u00ean, khi \u0111\u00e3 xu\u1ea5t hi\u1ec7n t\u00ecnh tr\u1ea1ng nh\u1edb nh\u1edb qu\u00ean qu\u00ean m\u00e0 b\u1ed5 sung n\u1ed9i ti\u1ebft b\u1ec7nh s\u1ebd tr\u1ea7m tr\u1ecdng h\u01a1n.<\/p>\n\n\n\n

Khi l\u1edbn tu\u1ed5i s\u1ebd m\u00e3n kinh, m\u00e0 l\u00e3o h\u00f3a v\u00e0 m\u00e3n kinh \u0111\u1ec1u d\u1eabn \u0111\u1ebfn ph\u1ea3n \u1ee9ng vi\u00eam. Ph\u1ea3n \u1ee9ng vi\u00eam<\/strong> c\u00f3 2 xu h\u01b0\u1edbng l\u00e0: r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng th\u1ea7n kinh <\/strong>g\u00e2y suy gi\u1ea3m nh\u1eadn th\u1ee9c v\u00e0 l\u1eafng \u0111\u1ecdng Beta Amyloid<\/strong> d\u1eabn \u0111\u1ebfn b\u1ec7nh Alzheimer, sa s\u00fat tr\u00ed tu\u1ec7. \u0110\u1eb7c bi\u1ec7t, m\u00e3n kinh l\u00e0m t\u00e1i ph\u00e2n b\u1ed1 m\u1ee1 (t\u1ea1o m\u1ee1), d\u1eabn \u0111\u1ebfn \u0111\u1ec1 kh\u00e1ng insulin t\u1eeb \u0111\u00f3 g\u00e2y ra b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng type 2.<\/p>\n\n\n\n

TS.BS B\u00f9i Ch\u00ed Th\u01b0\u01a1ng nh\u1ea5n m\u1ea1nh: \u201cM\u00e3n kinh l\u00e0 m\u1ed9t ph\u1ea7n t\u1ea5t y\u1ebfu c\u1ee7a cu\u1ed9c s\u1ed1ng. \u0110\u1ed9 tu\u1ed5i m\u00e3n kinh t\u1ea1i Vi\u1ec7t nam t\u1eeb 48 – 52 tu\u1ed5i. Khi \u0111\u00f3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef s\u1ebd g\u1eb7p nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe, v\u00ec v\u1eady c\u1ea7n l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p \u0111\u1ec3 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng cho ng\u01b0\u1eddi ph\u1ee5 n\u1eef\u201d.<\/em><\/p>\n\n\n\n

Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft m\u00e3n kinh \u0111em hi\u1ec7u qu\u1ea3 v\u00e0 t\u00ednh an to\u00e0n<\/strong><\/p>\n\n\n\n

T\u1eadp trung v\u00e0o v\u1ea5n \u0111\u1ec1 \u201cLi\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft l\u00e0m g\u00ec \u0111\u1ec3 n\u00e2ng cao th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n cho ph\u1ee5 n\u1eef m\u00e3n kinh?\u201d<\/strong>, <\/strong>BS.CK2 D\u01b0\u01a1ng Ng\u1ecdc Di\u1ec7p – Ph\u00f3 tr\u01b0\u1edfng khoa S\u1ea3n ph\u1ee5, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh <\/strong>cho r\u1eb1ng: <\/strong>\u201cVi\u1ec7c x\u00e1c \u0111\u1ecbnh th\u1eddi \u0111i\u1ec3m b\u1ed5 sung estrogen v\u00e0 l\u1ef1a ch\u1ecdn ch\u1ebf ph\u1ea9m, th\u1eddi gian s\u1eed d\u1ee5ng l\u00e0 c\u1ea3 m\u1ed9t ngh\u1ec7 thu\u1eadt, \u0111\u00f2i h\u1ecfi b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa ph\u1ea3i l\u1eafng nghe nh\u1eefng tr\u0103n tr\u1edf, kh\u00f3 kh\u0103n c\u1ee7a c\u00e1c ch\u1ecb em, c\u0169ng nh\u01b0 th\u0103m kh\u00e1m \u0111\u1ea7y \u0111\u1ee7, to\u00e0n \u0111i\u1ec7n, t\u1ea7m so\u00e1t ung th\u01b0 v\u00e0 \u0111\u01b0a ra li\u1ec7u ph\u00e1p h\u1eefu hi\u1ec7u gi\u00fap ch\u1ecb em ph\u1ee5 n\u1eef s\u1ed1ng vui, s\u1ed1ng kh\u1ecfe v\u00e0 s\u1ed1ng c\u00f3 \u00edch cho c\u1ed9ng \u0111\u1ed3ng\u201d.<\/em><\/p>\n\n\n\n

T\u00f9y theo t\u1eebng c\u00e1 th\u1ec3, \u0111\u1eb7c \u0111i\u1ec3m sinh l\u00fd, kinh t\u1ebf x\u00e3 h\u1ed9i, c\u0169ng nh\u01b0 tr\u00ecnh \u0111\u1ed9 v\u00e0 l\u1ed1i s\u1ed1ng m\u00e0 m\u1ed7i ng\u01b0\u1eddi ph\u1ee5 n\u1eef s\u1ebd c\u00f3 nh\u1eefng bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n ti\u1ec1n m\u00e3n kinh kh\u00e1c nhau. Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft m\u00e3n kinh<\/strong> (Menopausal hormone therapy – MHT) lu\u00f4n lu\u00f4n c\u00f3 l\u1ee3i \u00edch<\/strong> v\u00e0 nguy c\u01a1<\/strong>. Tuy nhi\u00ean, n\u1ebfu l\u1ee3i \u00edch nhi\u1ec1u h\u01a1n nguy c\u01a1 th\u00ec v\u1eabn c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc \u0111\u1ec3 s\u1eed d\u1ee5ng.<\/p>\n\n\n\n

\"\"
BS.CK2 D\u01b0\u01a1ng Ng\u1ecdc Di\u1ec7p – Ph\u00f3 tr\u01b0\u1edfng khoa S\u1ea3n ph\u1ee5, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh c\u1eadp nh\u1eadt c\u00e1c th\u00f4ng tin li\u00ean quan \u0111\u1ebfn \u201cLi\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft l\u00e0m g\u00ec \u0111\u1ec3 n\u00e2ng cao th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n cho ph\u1ee5 n\u1eef m\u00e3n kinh?\u201d<\/figcaption><\/figure><\/div>\n\n\n\n

L\u1ee3i \u00edch<\/strong> t\u1eeb vi\u1ec7c s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft m\u00e3n kinh (MHT) l\u00e0 gi\u1ea3m r\u00f5 r\u1ec7t c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ti\u1ec1n m\u00e3n kinh v\u00e0 gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh l\u00fd th\u1eddi k\u1ef3 m\u00e3n kinh nh\u01b0: C\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng v\u1eadn m\u1ea1ch, ni\u1ec7u d\u1ee5c, t\u00e2m tr\u1ea1ng v\u00e0 c\u1ea3m x\u00fac; Gi\u1ea3m lo\u00e3ng x\u01b0\u01a1ng v\u00e0 g\u00e3y x\u01b0\u01a1ng; C\u1ea3i thi\u1ec7n sa s\u00fat tr\u00ed tu\u1ec7, gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh Alzheimer; C\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng c\u1ee7a kh\u1edbp; Gi\u1ea3m nguy c\u01a1 m\u1eafc b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, ung th\u01b0 \u0111\u1ea1i tr\u00e0ng, b\u1ec7nh l\u00fd tim m\u1ea1ch.<\/p>\n\n\n\n

M\u1eb7c d\u00f9 v\u1eady, MHT v\u1eabn c\u00f3 m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n<\/strong> nh\u01b0: c\u0103ng t\u1ee9c v\u00fa, ch\u00f3ng m\u1eb7t, xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng v\u00e0 c\u00f3 nguy c\u01a1 ung th\u01b0 v\u00fa, b\u1ec7nh tim m\u1ea1ch.<\/p>\n\n\n\n

BS.CK2 D\u01b0\u01a1ng Ng\u1ecdc Di\u1ec7p chia s\u1ebb: \u201cCh\u1ecb em c\u1ee9 ngh\u0129 m\u00e3n kinh l\u00e0 di\u1ec5n ti\u1ebfn t\u1ef1 nhi\u00ean v\u00e0 lo ng\u1ea1i ung th\u01b0 v\u00fa, ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung n\u00ean ch\u1ea5p nh\u1eadn s\u1ed1ng chung v\u1edbi nh\u1eefng kh\u00f3 ch\u1ecbu, r\u1ed1i lo\u1ea1n c\u1ee7a c\u01a1 th\u1ec3. B\u00ean c\u1ea1nh \u0111\u00f3, c\u00f2n ng\u1ea1i b\u00e0y t\u1ecf c\u00e1c v\u1ea5n \u0111\u1ec1 t\u1ebf nh\u1ecb v\u1edbi nh\u00e2n vi\u00ean y t\u1ebf, \u0111\u00e2y ch\u00ednh l\u00e0 r\u00e0o c\u1ea3n trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb\u201d.<\/em><\/p>\n\n\n\n

Ngo\u00e0i ra, BS D\u01b0\u01a1ng Ng\u1ecdc Di\u1ec7p c\u0169ng nh\u1ea5n m\u1ea1nh, kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng<\/strong> n\u1ed9i ti\u1ebft m\u00e3n kinh v\u1edbi nh\u1eefng ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n c\u0103n ung th\u01b0 v\u00fa; ti\u1ec1n c\u0103n v\u1ec1 b\u1ec7nh m\u1ea1ch v\u00e0nh, huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch, \u0111\u1ed9t qu\u1ef5, c\u01a1n thi\u1ebfu m\u00e1u n\u00e3o tho\u00e1ng qua; b\u1ec7nh gan c\u1ea5p; c\u00f3 xu\u1ea5t huy\u1ebft t\u1eed cung b\u1ea5t th\u01b0\u1eddng v\u00e0 c\u00f3 nguy c\u01a1 ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

Khi quy\u1ebft \u0111\u1ecbnh s\u1eed d\u1ee5ng MHT cho b\u1ec7nh nh\u00e2n, ph\u1ea3i lu\u00f4n lu\u00f4n th\u0103m kh\u00e1m \u0111\u1ea7y \u0111\u1ee7, to\u00e0n di\u1ec7n, l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t v\u00e0 c\u00e2n nh\u1eafc gi\u1eefa l\u1ee3i \u00edch v\u1edbi nguy c\u01a1. Khi xu\u1ea5t hi\u1ec7n y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ea7n t\u01b0 v\u1ea5n \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n v\u00e0 ng\u01b0ng s\u1eed d\u1ee5ng li\u1ec7u ph\u00e1p n\u00e0y.<\/p>\n\n\n\n

\u201c\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb m\u00e3n kinh, y\u1ebfu t\u1ed1 \u0111\u1ea7u ti\u00ean l\u00e0 thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng<\/strong>, s\u1ed1ng g\u1ea7n g\u0169i v\u1edbi thi\u00ean nhi\u00ean, suy ngh\u0129 t\u00edch c\u1ef1c, v\u1eadn \u0111\u1ed9ng nhi\u1ec1u v\u00e0 c\u00f3 th\u1ec3 b\u1ed5 sung c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb thi\u00ean nhi\u00ean <\/strong>nh\u01b0 c\u00e1c lo\u1ea1i \u0111\u1eadu\u2026 Cu\u1ed1i c\u00f9ng, m\u1edbi ngh\u0129 \u0111\u1ebfn li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft<\/strong>.<\/em><\/p>\n\n\n\n

C\u00e1c b\u00e1c s\u0129 n\u00ean cho s\u1eed d\u1ee5ng \u1edf c\u1eeda s\u1ed5 an to\u00e0n (d\u01b0\u1edbi 60 tu\u1ed5i v\u00e0 m\u00e3n kinh d\u01b0\u1edbi 10 n\u0103m). Ch\u1ecdn c\u00e1c ch\u1ebf ph\u1ea9m estrogen, progestogen (t\u1eeb c\u00e2y t\u1ef3 gi\u1ea3i) c\u00f3 ngu\u1ed3n g\u1ed1c t\u1ef1 nhi\u00ean v\u00ec c\u00f3 c\u00f3 b\u1ea3n ch\u1ea5t gi\u1ed1ng v\u1edbi progestogen trong c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef, gi\u00fap h\u1ea1n ch\u1ebf th\u1ea5p nh\u1ea5t nguy c\u01a1 ung th\u01b0 v\u00fa, ng\u0103n ng\u1eeba t\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 \u00edt \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn b\u1ec7nh l\u00fd tim m\u1ea1ch do \u00edt gi\u1eef mu\u1ed1i v\u00e0 \u00edt gi\u1eef n\u01b0\u1edbc. D\u00e1n qua da v\u00e0 d\u00f9ng qua ng\u00e3 \u00e2m \u0111\u1ea1o l\u00e0 2 \u0111\u01b0\u1eddng d\u00f9ng an to\u00e0n nh\u1ea5t cho ch\u1ecb em ph\u1ee5 n\u1eef\u201d<\/em> – BS.CK2 D\u01b0\u01a1ng Ng\u1ecdc Di\u1ec7p khuy\u1ebfn c\u00e1o.<\/p>\n\n\n\n

Nh\u01b0 v\u1eady, li\u1ec7u ph\u00e1p trong n\u1ed9i ti\u1ebft m\u00e3n kinh \u0111\u1ebfn hi\u1ec7n t\u1ea1i c\u00f3 hi\u1ec7u qu\u1ea3 v\u00e0 c\u00f3 t\u00ednh an to\u00e0n. V\u1ea5n \u0111\u1ec1 c\u00e1 th\u1ec3 h\u00f3a trong \u0111i\u1ec1u tr\u1ecb s\u1ebd gi\u00fap gi\u1ea3m nguy c\u01a1 ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung. B\u00ean c\u1ea1nh \u0111\u00f3, n\u00ean l\u1ef1a ch\u1ecdn c\u00e1c s\u1ea3n ph\u1ea9m t\u1eeb thi\u00ean nhi\u00ean v\u00e0 k\u1ebft h\u1ee3p thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng v\u1edbi ch\u1ebf \u0111\u1ed9 dinh d\u01b0\u1ee1ng s\u1ebd \u0111em l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1t.<\/p>\n\n\n\n

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Ngu\u1ed3n: Alo B\u00e1c s\u0129<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

M\u00e3n kinh l\u00e0 m\u1ed9t s\u1ef1 ki\u1ec7n quan tr\u1ecdng v\u00e0 kh\u00f4ng th\u1ec3 tr\u00e1nh kh\u1ecfi c\u1ee7a ph\u1ee5 n\u1eef. \u0110\u00e2y l\u00e0 m\u1ed9t c\u1ed9t m\u1ed1c \u0111\u00e1nh d\u1ea5u v\u00f2ng \u0111\u1eddi sinh s\u1ea3n \u0111\u00e3 d\u1eebng l\u1ea1i. B\u00ean c\u1ea1nh \u0111\u00f3 c\u0169ng l\u00e0 th\u1eddi \u0111i\u1ec3m c\u01a1 th\u1ec3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nhi\u1ec1u b\u1ec7nh t\u1eadt. Ch\u00ednh v\u00ec \u0111i\u1ec1u n\u00e0y, ng\u00e0y 11\/04\/2024, 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