{"id":3078,"date":"2025-07-09T10:34:44","date_gmt":"2025-07-09T03:34:44","guid":{"rendered":"https:\/\/thammyvanity.vn\/?p=3078"},"modified":"2026-02-10T16:43:41","modified_gmt":"2026-02-10T09:43:41","slug":"mat-ngu-va-stress-nguyen-nhan-truc-tiep-gay-tang-can-sau-sinh","status":"publish","type":"post","link":"https:\/\/thammyvanity.vn\/en\/mat-ngu-va-stress-nguyen-nhan-truc-tiep-gay-tang-can-sau-sinh\/","title":{"rendered":"M\u1ea5t ng\u1ee7 v\u00e0 stress – M\u1ed1i li\u00ean quan v\u1edbi t\u0103ng c\u00e2n sau sinh."},"content":{"rendered":"

M\u1ea5t ng\u1ee7, stress – v\u1ea5n \u0111\u1ec1 ph\u1ee5 n\u1eef sau sinh ph\u1ea3i \u0111\u1ed1i m\u1eb7t.<\/span><\/h1>\n

Sau qu\u00e1 tr\u00ecnh sinh n\u1edf, nhi\u1ec1u ph\u1ee5 n\u1eef ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7.<\/b> Bi\u1ec3u hi\u1ec7n l\u00e0 kh\u00f3 \u0111i v\u00e0o gi\u1ea5c ng\u1ee7, ng\u1ee7 kh\u00f4ng s\u00e2u gi\u1ea5c, ho\u1eb7c th\u1ee9c gi\u1ea5c nhi\u1ec1u l\u1ea7n trong \u0111\u00eam. T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u1eb7c bi\u1ec7t ph\u1ed5 bi\u1ebfn trong s\u00e1u th\u00e1ng \u0111\u1ea7u sau sinh<\/b>. R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 sau sinh th\u01b0\u1eddng do thay \u0111\u1ed5i n\u1ed9i ti\u1ebft t\u1ed1 \u0111\u1ed9t ng\u1ed9t, c\u1ea3m x\u00fac kh\u00f4ng \u1ed5n \u0111\u1ecbnh. Ngo\u00e0i ra l\u00e0 \u00e1p l\u1ef1c t\u1eeb vi\u1ec7c ch\u0103m s\u00f3c tr\u1ebb s\u01a1 sinh th\u01b0\u1eddng xuy\u00ean ph\u1ea3i th\u1ee9c d\u1eady ban \u0111\u00eam.<\/p>\n

M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef, m\u1ea5t ng\u1ee7<\/b> v\u00e0 s\u1ebd t\u1ef1 c\u1ea3i thi\u1ec7n sau v\u00e0i th\u00e1ng v\u00e0 sinh ho\u1ea1t \u1ed5n \u0111\u1ecbnh h\u01a1n. Tuy nhi\u00ean, kh\u00f4ng \u00edt tr\u01b0\u1eddng h\u1ee3p m\u1ea5t ng\u1ee7 k\u00e9o d\u00e0i, tr\u1edf th\u00e0nh m\u1ea5t ng\u1ee7 m\u1ea1n t\u00ednh<\/b>. M\u1ea5t ng\u1ee7 k\u00e9o d\u00e0i kh\u00f4ng ch\u1ec9 \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn s\u1ee9c kh\u1ecfe th\u1ec3 ch\u1ea5t m\u00e0 c\u00f2n d\u1eabn \u0111\u1ebfn stress, lo \u00e2u, tr\u1ea7m c\u1ea3m sau sinh<\/b>, gi\u1ea3m kh\u1ea3 n\u0103ng t\u1eadp trung, suy gi\u1ea3m tr\u00ed nh\u1edb, v\u00e0 c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n v\u00e0o vi\u1ec7c t\u0103ng c\u00e2n kh\u00f3 ki\u1ec3m so\u00e1t.<\/b><\/p>\n

Nguy\u00ean nh\u00e2n<\/span><\/h2>\n

Tr\u1ebb s\u01a1 sinh th\u01b0\u1eddng ch\u01b0a ph\u00e1t tri\u1ec3n nh\u1ecbp sinh h\u1ecdc ng\u00e0y \u0111\u00eam. \u0110\u00e2y c\u0169ng l\u00e0 l\u00fd do tr\u1ebb th\u01b0\u1eddng th\u1ee9c gi\u1ea5c, qu\u1ea5y kh\u00f3c v\u00e0o ban \u0111\u00eam. C\u00e1c m\u1eb9 b\u1ec9m v\u00ec v\u1eady th\u01b0\u1eddng th\u1ee9c gi\u1ea5c nhi\u1ec1u l\u1ea7n gi\u1eefa \u0111\u00eam, d\u1eabn \u0111\u1ebfn thi\u1ebfu ng\u1ee7, ng\u1ee7 kh\u00f4ng s\u00e2u gi\u1ea5c.<\/span><\/p>\n

Theo Alyssa Dweck, Ti\u1ebfn s\u0129 Y khoa, FACOG, B\u00e1c s\u0129 ph\u1ee5 khoa, Chuy\u00ean gia s\u1ee9c kh\u1ecfe ph\u1ee5 n\u1eef: \u2018\u201cS\u1ef1 lo l\u1eafng v\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a tr\u1ebb s\u01a1 sinh, \u0111\u1eb7c bi\u1ec7t l\u00e0 khi c\u00f3 v\u1ea5n \u0111\u1ec1 y t\u1ebf \u0111\u00e1ng lo ng\u1ea1i, thay \u0111\u1ed5i m\u1ed1i quan h\u1ec7 ho\u1eb7c c\u0103ng th\u1eb3ng v\u1ec1 t\u00e0i ch\u00ednh c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn m\u1ea5t ng\u1ee7.\u201d<\/span><\/p>\n

L\u1ea7n \u0111\u1ea7u l\u00e0m m\u1eb9 khi\u1ebfn nhi\u1ec1u ng\u01b0\u1eddi c\u1ea3m th\u1ea5y \u00e1p l\u1ef1c v\u1ec1 c\u00f4ng vi\u1ec7c v\u00e0 c\u1ea3 t\u00e0i ch\u00ednh gia \u0111\u00ecnh. M\u1ea5t ng\u1ee7 l\u00e2u ng\u00e0y s\u1ebd d\u1eabn \u0111\u1ebfn stress v\u00e0 stress l\u1ea1i khi\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea5t ng\u1ee7 th\u00eam tr\u1ea7m tr\u1ecdng h\u01a1n.\u00a0<\/span><\/p>\n

\"mat-ngu-sau-sinh\"
M\u1ea5t ng\u1ee7 sau sinh – \u0111\u00e2u l\u00e0 nguy\u00ean nh\u00e2n ch\u00ednh?<\/figcaption><\/figure>\n

Sau sinh, n\u1ed3ng \u0111\u1ed9 progesterone v\u00e0 estrogen s\u1ebd gi\u1ea3m m\u1ed9t c\u00e1ch \u0111\u1ed9t ng\u1ed9t. Thay \u0111\u1ed5i n\u00e0y g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng v\u1eadn m\u1ea1ch, \u0111\u1ed5 m\u1ed3 h\u00f4i ban \u0111\u00eam l\u00e0m gi\u00e1n \u0111o\u1ea1n gi\u1ea5c ng\u1ee7. C\u00f9ng v\u1edbi s\u1ef1 dao \u0111\u1ed9ng n\u1ed3ng \u0111\u1ed9 melatonin, m\u1ed9t hormon \u0111\u01b0\u1ee3c ti\u1ebft ra khi tr\u1eddi t\u1ed1i v\u00e0 b\u1ecb \u00e1nh s\u00e1ng \u1ee9c ch\u1ebf, \u0111i\u1ec1u ch\u1ec9nh chu k\u1ef3 th\u1ee9c – ng\u1ee7 gi\u00fap b\u1ea1n \u0111i v\u00e0o gi\u1ea5c ng\u1ee7 ban \u0111\u00eam.<\/span><\/p>\n

V\u00ec sao m\u1ea5t ng\u1ee7 g\u00e2y t\u0103ng c\u00e2n, t\u00edch m\u1ee1?<\/span><\/h2>\n

M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y khi c\u01a1 th\u1ec3 thi\u1ebfu ng\u1ee7, hormone <\/span>ghrelin<\/b> s\u1ebd t\u0103ng cao, trong khi hormone <\/span>leptin<\/b> l\u1ea1i gi\u1ea3m xu\u1ed1ng. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng n\u00e0y khi\u1ebfn m\u1eb9 b\u1ec9m c\u00f3 xu h\u01b0\u1edbng \u0103n nhi\u1ec1u h\u01a1n. \u0110\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c m\u00f3n \u0103n nhanh, \u0111\u1ed3 ng\u1ecdt ho\u1eb7c th\u1ef1c ph\u1ea9m gi\u00e0u ch\u1ea5t b\u00e9o \u2013 v\u1ed1n ch\u1ee9a nhi\u1ec1u “calo r\u1ed7ng”.<\/span><\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, thi\u1ebfu ng\u1ee7 k\u00e9o d\u00e0i g\u00e2y c\u0103ng th\u1eb3ng, stress c\u0169ng l\u00e0 nguy\u00ean nh\u00e2n l\u00e0m t\u0103ng cortisol, m\u1ed9t hormone do tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn ti\u1ebft ra khi c\u01a1 th\u1ec3 g\u1eb7p c\u0103ng th\u1eb3ng. M\u1ee9c cortisol t\u0103ng k\u00e9o d\u00e0i s\u1ebd l\u00e0m thay \u0111\u1ed5i chuy\u1ec3n h\u00f3a, c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u00edch l\u0169y m\u1ee1.<\/span><\/p>\n

\"mat-ngu-sau-sinh\"
M\u1ea5t ng\u1ee7 sau sinh v\u00e0 nh\u1eefng h\u1ec7 qu\u1ea3 kh\u00f4n l\u01b0\u1eddng<\/figcaption><\/figure>\n

Khi qu\u00e1 c\u0103ng th\u1eb3ng, c\u00e1c m\u1eb9 b\u1ec9m th\u01b0\u1eddng t\u00ecm \u0111\u1ebfn \u0111\u1ed3 \u0103n nh\u01b0 m\u1ed9t c\u00e1ch \u0111\u1ec3 gi\u1ea3i t\u1ecfa c\u1ea3m x\u00fac. Do \u0111\u00f3, \u0103n u\u1ed1ng kh\u00f4ng theo nhu c\u1ea7u th\u1ef1c s\u1ef1 c\u1ee7a c\u01a1 th\u1ec3 s\u1ebd d\u1eabn \u0111\u1ebfn t\u0103ng c\u00e2n nhanh ch\u00f3ng m\u00e0 kh\u00f4ng k\u1ecbp ki\u1ec3m so\u00e1t.<\/span><\/p>\n

M\u1ed1i li\u00ean h\u1ec7 gi\u1eefa c\u0103ng th\u1eb3ng sau sinh – m\u1ea5t ng\u1ee7 v\u00e0 vi\u1ec7c duy tr\u00ec c\u00e2n n\u1eb7ng \u1edf ph\u1ee5 n\u1eef.<\/span><\/h2>\n

Th\u1eddi gian ng\u1ee7 sau sinh \u0111\u01b0\u1ee3c t\u1ef1 b\u00e1o c\u00e1o d\u01b0\u1edbi d\u1ea1ng s\u1ed1 gi\u1edd ng\u1ee7. Nhi\u1ec1u ph\u1ee5 n\u1eef sau sinh th\u01b0\u1eddng xuy\u00ean th\u1ee9c gi\u1ea5c v\u00e0o ban \u0111\u00eam d\u1eabn \u0111\u1ebfn gi\u1ea5c ng\u1ee7 b\u1ecb ng\u1eaft qu\u00e3ng ho\u1eb7c r\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng gi\u1ea5c ng\u1ee7.<\/span><\/p>\n

R\u1ed1i lo\u1ea1n gi\u1ea5c ng\u1ee7 l\u00e0 m\u1ed9t bi\u1ec3u hi\u1ec7n c\u1ee7a ch\u1ee9ng tr\u1ea7m c\u1ea3m n\u1eb7ng \u1edf ng\u01b0\u1eddi l\u1edbn v\u00e0 c\u00f3 m\u1ed1i li\u00ean h\u1ec7 hai chi\u1ec1u m\u1ea1nh m\u1ebd gi\u1eefa nh\u1eefng thay \u0111\u1ed5i v\u1ec1 gi\u1ea5c ng\u1ee7 v\u00e0 ch\u1ee9ng tr\u1ea7m c\u1ea3m.<\/span><\/p>\n

Ph\u1ee5 n\u1eef m\u1edbi m\u1eafc ch\u1ee9ng tr\u1ea7m c\u1ea3m sau sinh c\u00f3 nguy c\u01a1 t\u0103ng c\u00e2n tr\u00ean 5 kg g\u1ea5p 2,5 l\u1ea7n so v\u1edbi ph\u1ee5 n\u1eef kh\u00f4ng b\u1ecb tr\u1ea7m c\u1ea3m trong th\u1eddi k\u1ef3 mang thai v\u00e0 sau sinh.\u00a0<\/span><\/p>\n