B\u00e1c s\u0129 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n m\u1eafc Hypothalamic hypogonadism (HH) – suy sinh d\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i. Ng\u01b0\u1eddi b\u1ec7nh ph\u1ea3i d\u00f9ng thu\u1ed1c thay th\u1ebf testosterone ti\u00eam b\u1eafp h\u00e0ng ng\u00e0y. Sau hai th\u00e1ng \u0111i\u1ec1u tr\u1ecb theo ph\u00e1c \u0111\u1ed3 n\u00e0y, b\u1ec7nh nh\u00e2n t\u00e1i kh\u00e1m cho bi\u1ebft c\u01a1 th\u1ec3 c\u00f3 nhi\u1ec1u thay \u0111\u1ed5i, c\u1ea3m gi\u00e1c nhi\u1ec1u n\u0103ng l\u01b0\u1ee3ng h\u01a1n, l\u00f4ng sinh d\u1ee5c ph\u00e1t tri\u1ec3n nhanh, gi\u1ecdng n\u00f3i \u1ed3m h\u01a1n.<\/p>\n
Hypothalamic hypogonadism (HH) hay suy sinh d\u1ee5c v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i, l\u00e0 t\u00ecnh tr\u1ea1ng v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i ho\u1eb7c tuy\u1ebfn y\u00ean s\u1ea3n xu\u1ea5t \u00edt ho\u1eb7c kh\u00f4ng s\u1ea3n xu\u1ea5t hormone gonadotropins khi\u1ebfn qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n gi\u1edbi t\u00ednh \u1edf nam gi\u1edbi c\u00f3 th\u1ec3 b\u1ecb d\u1eebng ho\u1eb7c ch\u1eadm l\u1ea1i, hay g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n, ham mu\u1ed1n t\u00ecnh d\u1ee5c th\u1ea5p.<\/p>\n
Bi\u1ec3u hi\u1ec7n suy sinh d\u1ee5c r\u1ea5t kh\u00e1c nhau \u1edf tr\u1ebb em v\u00e0 ng\u01b0\u1eddi l\u1edbn. Th\u00f4ng th\u01b0\u1eddng, tr\u1ebb ch\u1eadm ph\u00e1t tri\u1ec3n gi\u1edbi t\u00ednh nh\u01b0 tinh ho\u00e0n v\u00e0 d\u01b0\u01a1ng v\u1eadt kh\u00f4ng to, gi\u1ecdng n\u00f3i tr\u1ea7m h\u01a1n v\u00e0 l\u00f4ng m\u1eb7t. Nam gi\u1edbi kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng ng\u1eedi, t\u1ea7m v\u00f3c th\u1ea5p, m\u1ea5t h\u1ee9ng th\u00fa v\u1edbi t\u00ecnh d\u1ee5c (ham mu\u1ed1n t\u00ecnh d\u1ee5c), n\u1eef gi\u1edbi b\u1ecb v\u00f4 kinh. Nam gi\u1edbi c\u0169ng d\u1ec5 m\u1ea5t kh\u1ed1i l\u01b0\u1ee3ng c\u01a1, t\u0103ng c\u00e2n, thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng,…<\/p>\n
C\u00e1ch duy nh\u1ea5t \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ea1n c\u00f3 suy sinh d\u1ee5c hay kh\u00f4ng l\u00e0 x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 testosterone m\u00e1u (x\u00e9t nghi\u1ec7m v\u00e0o bu\u1ed5i s\u00e1ng \u0111\u1ec3 c\u00f3 k\u1ebft qu\u1ea3 ch\u00ednh x\u00e1c). N\u1ebfu ph\u00e1t hi\u1ec7n m\u1ee9c testosterone th\u1ea5p, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 FSH v\u00e0 LH \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y suy sinh d\u1ee5c.<\/p>\n
Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ph\u1ea3i ch\u1ee5p MRI \u0111\u1ea7u \u0111\u1ec3 ki\u1ec3m tra c\u00e1c b\u1ea5t th\u01b0\u1eddng gi\u1ea3i ph\u1eabu ti\u1ec1m \u1ea9n c\u1ee7a v\u00f9ng d\u01b0\u1edbi \u0111\u1ed3i v\u00e0 tuy\u1ebfn y\u00ean. C\u00e1c x\u00e9t nghi\u1ec7m b\u1ed5 sung bao g\u1ed3m ki\u1ec3m tra m\u00e1u nh\u01b0 s\u1eaft, hormone tuy\u1ebfn gi\u00e1p, Prolactin, cortisol, GnRH, x\u00e9t nghi\u1ec7m di truy\u1ec1n.<\/p>\n
Qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb suy sinh d\u1ee5c ph\u1ea3i \u0111\u01b0\u1ee3c b\u00e1c s\u0129 theo d\u00f5i ch\u1eb7t ch\u1ebd. Ng\u01b0\u1eddi b\u1ec7nh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng li\u1ec7u ph\u00e1p thay th\u1ebf testosterone (TRT), th\u01b0\u1eddng d\u01b0\u1edbi d\u1ea1ng ti\u00eam ho\u1eb7c mi\u1ebfng d\u00e1n testosterone gi\u1ea3i ph\u00f3ng ch\u1eadm, li\u1ec7u ph\u00e1p thay th\u1ebf gonadotropins (GRT). Nam gi\u1edbi m\u1eafc b\u1ec7nh c\u00f3 nguy\u1ec7n v\u1ecdng gi\u1eef ch\u1ee9c n\u0103ng sinh s\u1ea3n s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam gonadotropin m\u00e0ng \u0111\u1ec7m.<\/p>\n
B\u00e1c s\u0129 khuy\u1ebfn c\u00e1o ng\u01b0\u1eddi g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n, ham mu\u1ed1n t\u00ecnh d\u1ee5c th\u1ea5p c\u1ea7n \u0111\u1ebfn c\u01a1 s\u1edf y t\u1ebf \u0111\u1ec3 kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm.<\/p>\n
H\u00e0 N\u1ed9i Nam thanh ni\u00ean 21 tu\u1ed5i b\u1ecb suy sinh d\u1ee5c d\u01b0\u1edbi \u0111\u1ed3i, sau hai th\u00e1ng \u0111\u01b0\u1ee3c b\u00e1c s\u0129 Khoa Nam h\u1ecdc, B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y H\u00e0 N\u1ed9i \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 c\u1ea3i thi\u1ec7n \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n nam t\u00ednh. Ng\u00e0y 3\/8, c\u00e1c b\u00e1c s\u0129 cho bi\u1ebft l\u00f4ng sinh d\u1ee5c b\u1ec7nh nh\u00e2n k\u00e9m ph\u00e1t tri\u1ec3n, tinh … <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"_links":{"self":[{"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/posts\/1028"}],"collection":[{"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/comments?post=1028"}],"version-history":[{"count":2,"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/posts\/1028\/revisions"}],"predecessor-version":[{"id":2018,"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/posts\/1028\/revisions\/2018"}],"wp:attachment":[{"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/media?parent=1028"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/categories?post=1028"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nghethuatlamtinh.com\/wp-json\/wp\/v2\/tags?post=1028"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nMinh An
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