{"id":5957,"date":"2019-04-02T14:06:18","date_gmt":"2019-04-02T07:06:18","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5957"},"modified":"2019-04-02T14:06:18","modified_gmt":"2019-04-02T07:06:18","slug":"cung-nhin-lai-moi-quan-he-giua-vitamin-d-va-du-tru-buong-trung","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/cung-nhin-lai-moi-quan-he-giua-vitamin-d-va-du-tru-buong-trung\/","title":{"rendered":"C\u00f9ng nh\u00ecn l\u1ea1i m\u1ed1i quan h\u1ec7 gi\u1eefa vitamin D v\u00e0 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng"},"content":{"rendered":"<p><strong>Vitamin D<\/strong> gi\u1eef vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4 canxi v\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u1edf c\u01a1 th\u1ec3 ng\u01b0\u1eddi. Ngo\u00e0i ra, vi\u1ec7c xu\u1ea5t hi\u1ec7n c\u00e1c th\u1ee5 th\u1ec3 vitamin D trong c\u00e1c c\u01a1 quan sinh s\u1ea3n nh\u01b0 bu\u1ed3ng tr\u1ee9ng, n\u1ed9i m\u1ea1c t\u1eed cung, tinh ho\u00e0n, v\u00f9ng h\u1ea1 \u0111\u1ed3i v\u00e0 tuy\u1ebfn y\u00ean c\u0169ng gi\u00fap x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c vai tr\u00f2 c\u1ee7a vitamin D trong sinh s\u1ea3n. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y cho r\u1eb1ng vitamin D c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng l\u00ean hormone AMH, nh\u1ea1y c\u1ea3m v\u1edbi c\u00e1c hormone k\u00edch th\u00edch s\u1ef1 ph\u00e1t tri\u1ec3n nang no\u00e3n (FSH) v\u00e0 gi\u00fap gi\u1ea3i ph\u00f3ng progesterone \u1edf ng\u01b0\u1eddi. Ph\u1ee5 n\u1eef trong giai \u0111o\u1ea1n \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n n\u1ebfu cung c\u1ea5p \u0111\u1ea7y \u0111\u1ee7 vitamin D cho t\u1ef7 l\u1ec7 tr\u1ebb sinh s\u1ed1ng cao h\u01a1n (t\u1ef7 s\u1ed1 ch\u00eanh 1,33) so v\u1edbi ng\u01b0\u1eddi thi\u1ebfu ho\u1eb7c kh\u00f4ng cung c\u1ea5p \u0111\u1ee7 vitamin D (Chu v\u00e0 c\u1ed9ng s\u1ef1, 2018). \u0110\u1eb7c bi\u1ec7t, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y t\u1eadp trung t\u00ecm hi\u1ec3u vi\u1ec7c thi\u1ebfu vitamin D t\u00e1c \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn sinh l\u00fd bu\u1ed3ng tr\u1ee9ng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef.<\/p>\n<p>Nghi\u00ean c\u1ee9u \u0111o\u00e0n h\u1ec7 h\u1ed3i c\u1ee9u c\u1ee7a Shapiro v\u00e0 c\u1ed9ng s\u1ef1 (2018) t\u00ecm hi\u1ec3u m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa n\u1ed3ng \u0111\u1ed9 vitamin D v\u00e0 th\u00f4ng s\u1ed1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng \u1edf nh\u00f3m ph\u1ee5 n\u1eef v\u00f4 sinh c\u00f3 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng gi\u1ea3m. Ti\u1ebfn h\u00e0nh \u0111o c\u00e1c th\u00f4ng s\u1ed1 nh\u01b0 25-hydroxy vitamin D (25OH-D), AMH v\u00e0 FSH trong 90 ng\u00e0y v\u00e0 \u0111\u00e1nh gi\u00e1 tr\u00ean 2 nh\u00f3m tu\u1ed5i &lt; 38 tu\u1ed5i v\u00e0 \u2265 38 tu\u1ed5i. AMH \u1edf 3 m\u1ee9c kh\u00e1c nhau l\u00e0 0,5 ng\/ml; 1,0 ng\/ml v\u00e0 5,0 ng\/ml. K\u1ebft qu\u1ea3 cho th\u1ea5y m\u1ee9c AMH v\u00e0 FSH kh\u00f4ng kh\u00e1c nhau gi\u1eefa ph\u1ee5 n\u1eef b\u1ecb thi\u1ebfu vitamin D v\u00e0 ng\u01b0\u1eddi c\u00f3 vitamin D b\u00ecnh th\u01b0\u1eddng. V\u00e0 kh\u00f4ng c\u00f3 m\u1ed1i t\u01b0\u01a1ng quan gi\u1eefa m\u1ee9c 25OH-D v\u1edbi c\u00e1c th\u00f4ng s\u1ed1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng.<\/p>\n<p>Nh\u01b0 v\u1eady, nghi\u00ean c\u1ee9u gi\u00fap cung c\u1ea5p d\u1eef li\u1ec7u l\u00e2m s\u00e0ng v\u1ec1 m\u1ed1i t\u01b0\u01a1ng quan c\u1ee7a vitamin D v\u00e0 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng \u1edf ph\u1ee5 n\u1eef v\u00f4 sinh. Sau khi t\u1ed5ng h\u1ee3p c\u00e1c nghi\u00ean c\u1ee9u c\u1ee7a Fabris v\u00e0 c\u1ed9ng s\u1ef1 (2017), Drakopoulous v\u00e0 c\u1ed9ng s\u1ef1 (2017), n\u1ed3ng \u0111\u1ed9 vitamin D d\u01b0\u1eddng nh\u01b0 kh\u00f4ng t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp \u0111\u1ebfn c\u00e1c th\u00f4ng s\u1ed1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. Tuy nhi\u00ean c\u1ea7n nghi\u00ean c\u1ee9u th\u00eam vai tr\u00f2 c\u1ee7a vitamin D trong sinh l\u00fd bu\u1ed3ng tr\u1ee9ng v\u00e0 c\u00e1c r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng \u1edf ph\u1ee5 n\u1eef v\u00f4 sinh.<\/p>\n<p>Ngu\u1ed3n: Revisiting the relationship between vitamin D and ovarian reserve. Fertility and Sterility\/ 10.1016\/j.fertnstert.2018.07.001. Link\u00a0<a href=\"https:\/\/www.fertstert.org\/article\/S0015-0282(18)30565-X\/abstract\" rel=\"noopener\">https:\/\/www.fertstert.org\/article\/S0015-0282(18)30565-X\/abstract<\/a><\/p>\n<p>L\u00ea Th\u1ecb Thu Th\u1ea3o &#8211; Chuy\u00ean vi\u00ean ph\u00f4i h\u1ecdc IVFMD T\u00e2n B\u00ecnh<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Vitamin D gi\u1eef vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c duy tr\u00ec c\u00e2n b\u1eb1ng n\u1ed9i m\u00f4 canxi v\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng \u1edf c\u01a1 th\u1ec3 ng\u01b0\u1eddi. Ngo\u00e0i ra, vi\u1ec7c xu\u1ea5t hi\u1ec7n c\u00e1c th\u1ee5 th\u1ec3 vitamin D trong c\u00e1c c\u01a1 quan sinh s\u1ea3n nh\u01b0 bu\u1ed3ng tr\u1ee9ng, n\u1ed9i m\u1ea1c t\u1eed cung, tinh ho\u00e0n, v\u00f9ng h\u1ea1 \u0111\u1ed3i v\u00e0 tuy\u1ebfn y\u00ean [&#8230;]\n","protected":false},"author":1,"featured_media":4023,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5957","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5957","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=5957"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5957\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/4023"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=5957"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=5957"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=5957"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}