{"id":6351,"date":"2026-10-13T03:14:38","date_gmt":"2026-10-12T20:14:38","guid":{"rendered":"https:\/\/dykhoa.com\/blog\/?p=6351"},"modified":"2026-10-13T03:14:38","modified_gmt":"2026-10-12T20:14:38","slug":"loang-xuong-sau-man-kinh-khi-nao-do-mat-do-xuong","status":"publish","type":"post","link":"https:\/\/dykhoa.com\/blog\/loang-xuong-sau-man-kinh-khi-nao-do-mat-do-xuong\/","title":{"rendered":"Ph\u1ee5 n\u1eef sau m\u00e3n kinh n\u00ean \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng khi n\u00e0o?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Theo khuy\u1ebfn ngh\u1ecb n\u0103m 2025 c\u1ee7a L\u1ef1c l\u01b0\u1ee3ng \u0110\u1eb7c nhi\u1ec7m D\u1ecbch v\u1ee5 D\u1ef1 ph\u00f2ng Hoa K\u1ef3 (USPSTF), ph\u1ee5 n\u1eef t\u1eeb 65 tu\u1ed5i tr\u1edf l\u00ean n\u00ean \u0111\u01b0\u1ee3c t\u1ea7m so\u00e1t lo\u00e3ng x\u01b0\u01a1ng, c\u00f2n ph\u1ee5 n\u1eef \u0111\u00e3 m\u00e3n kinh nh\u01b0ng ch\u01b0a \u0111\u1ebfn 65 tu\u1ed5i n\u00ean \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng s\u1edbm h\u01a1n n\u1ebfu c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 v\u00e0 k\u1ebft qu\u1ea3 \u0111\u00e1nh gi\u00e1 cho th\u1ea5y nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng t\u0103ng (USPSTF, 2025). Ph\u01b0\u01a1ng ph\u00e1p \u0111\u01b0\u1ee3c d\u00f9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 \u0111o h\u1ea5p th\u1ee5 tia X n\u0103ng l\u01b0\u1ee3ng k\u00e9p (DXA) t\u1ea1i kh\u1edbp h\u00e1ng ho\u1eb7c c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng.<\/p>\n\n\n<p class=\"wp-block-paragraph\"><strong>T\u00f3m t\u1eaft nhanh:<\/strong><\/p>\n\n\n<ul class=\"wp-block-list\">\n<li>Lo\u00e3ng x\u01b0\u01a1ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh &#8220;im l\u1eb7ng&#8221; v\u00ec hay kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng cho \u0111\u1ebfn khi g\u00e3y x\u01b0\u01a1ng (NIAMS, n.d.).<\/li>\n\n<li>T\u1eeb 65 tu\u1ed5i: n\u00ean ch\u1ee7 \u0111\u1ed9ng \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng, k\u1ec3 c\u1ea3 khi ch\u01b0a t\u1eebng \u0111au hay g\u00e3y x\u01b0\u01a1ng.<\/li>\n\n<li>\u0110\u00e3 m\u00e3n kinh, d\u01b0\u1edbi 65 tu\u1ed5i: \u0111\u00e1nh gi\u00e1 y\u1ebfu t\u1ed1 nguy c\u01a1 tr\u01b0\u1edbc, n\u1ebfu nguy c\u01a1 t\u0103ng th\u00ec \u0111o DXA.<\/li>\n<\/ul>\n\n\n<h2 class=\"wp-block-heading\">V\u00ec sao ph\u1ee5 n\u1eef sau m\u00e3n kinh c\u1ea7n quan t\u00e2m \u0111\u1ebfn lo\u00e3ng x\u01b0\u01a1ng?<\/h2>\n\n\n<p class=\"wp-block-paragraph\">V\u00ec n\u1ed3ng \u0111\u1ed9 estrogen th\u1ea5p sau m\u00e3n kinh l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a lo\u00e3ng x\u01b0\u01a1ng, trong khi b\u1ec7nh th\u01b0\u1eddng di\u1ec5n ti\u1ebfn \u00e2m th\u1ea7m. Vi\u1ec7n Qu\u1ed1c gia v\u1ec1 Vi\u00eam kh\u1edbp, B\u1ec7nh c\u01a1 x\u01b0\u01a1ng v\u00e0 Da Hoa K\u1ef3 (NIAMS) m\u00f4 t\u1ea3 lo\u00e3ng x\u01b0\u01a1ng l\u00e0 t\u00ecnh tr\u1ea1ng m\u1eadt \u0111\u1ed9 v\u00e0 kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng gi\u1ea3m, ho\u1eb7c c\u1ea5u tr\u00fac v\u00e0 \u0111\u1ed9 ch\u1eafc c\u1ee7a x\u01b0\u01a1ng thay \u0111\u1ed5i, khi\u1ebfn x\u01b0\u01a1ng d\u1ec5 g\u00e3y, hay g\u1eb7p nh\u1ea5t \u1edf h\u00e1ng, c\u1ed9t s\u1ed1ng v\u00e0 c\u1ed5 tay. Y\u1ebfu t\u1ed1 nguy c\u01a1 c\u00f2n g\u1ed3m tu\u1ed5i cao, khung x\u01b0\u01a1ng nh\u1ecf, ti\u1ec1n s\u1eed gia \u0111\u00ecnh, thi\u1ebfu canxi ho\u1eb7c vitamin D, \u00edt v\u1eadn \u0111\u1ed9ng, h\u00fat thu\u1ed1c v\u00e0 u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u (NIAMS, n.d.).<\/p>\n\n\n<p class=\"wp-block-paragraph\">Qu\u1ef9 Lo\u00e3ng x\u01b0\u01a1ng Qu\u1ed1c t\u1ebf (IOF) cho bi\u1ebft kho\u1ea3ng 1\/3 ph\u1ee5 n\u1eef v\u00e0 1\/5 nam gi\u1edbi tr\u00ean 50 tu\u1ed5i s\u1ebd b\u1ecb g\u00e3y x\u01b0\u01a1ng do lo\u00e3ng x\u01b0\u01a1ng trong ph\u1ea7n \u0111\u1eddi c\u00f2n l\u1ea1i; ph\u1ee5 n\u1eef t\u1eebng g\u00e3y x\u01b0\u01a1ng h\u00f4ng c\u00f3 t\u1ef7 l\u1ec7 t\u1eed vong cao h\u01a1n 10-20% so v\u1edbi m\u1ee9c d\u1ef1 ki\u1ebfn \u1edf c\u00f9ng \u0111\u1ed9 tu\u1ed5i (IOF, n.d.). USPSTF ghi nh\u1eadn ch\u1ec9 40-60% ng\u01b0\u1eddi g\u00e3y x\u01b0\u01a1ng h\u00f4ng l\u1ea5y l\u1ea1i \u0111\u01b0\u1ee3c kh\u1ea3 n\u0103ng \u0111i l\u1ea1i v\u00e0 sinh ho\u1ea1t nh\u01b0 tr\u01b0\u1edbc (USPSTF, 2025).<\/p>\n\n\n<p class=\"wp-block-paragraph\">T\u1ea1i Vi\u1ec7t Nam, m\u1ed9t nghi\u00ean c\u1ee9u c\u1eaft ngang tr\u00ean 1.227 ng\u01b0\u1eddi \u1edf TP.HCM ghi nh\u1eadn t\u1ef7 l\u1ec7 lo\u00e3ng x\u01b0\u01a1ng \u1edf c\u1ed5 x\u01b0\u01a1ng \u0111\u00f9i c\u1ee7a ph\u1ee5 n\u1eef sau m\u00e3n kinh l\u00e0 29% khi d\u00f9ng thang tham chi\u1ebfu x\u00e2y d\u1ef1ng t\u1eeb ng\u01b0\u1eddi Vi\u1ec7t, v\u00e0 44% khi d\u00f9ng thang tham chi\u1ebfu m\u1eb7c \u0111\u1ecbnh c\u1ee7a m\u00e1y \u0111o (d\u1ef1a tr\u00ean d\u1eef li\u1ec7u ng\u01b0\u1eddi da tr\u1eafng \u1edf M\u1ef9) (Ho-Pham v\u00e0 c\u1ed9ng s\u1ef1, 2011).<\/p>\n\n\n<h2 class=\"wp-block-heading\">Khuy\u1ebfn ngh\u1ecb \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng hi\u1ec7n nay l\u00e0 g\u00ec?<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Khuy\u1ebfn ngh\u1ecb chia theo hai nh\u00f3m, \u00e1p d\u1ee5ng cho ng\u01b0\u1eddi ch\u01b0a \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n lo\u00e3ng x\u01b0\u01a1ng v\u00e0 ch\u01b0a t\u1eebng g\u00e3y x\u01b0\u01a1ng do ch\u1ea5n th\u01b0\u01a1ng nh\u1eb9.<\/p>\n\n\n<h3 class=\"wp-block-heading\">Ph\u1ee5 n\u1eef t\u1eeb 65 tu\u1ed5i tr\u1edf l\u00ean<\/h3>\n\n\n<p class=\"wp-block-paragraph\">USPSTF khuy\u1ebfn ngh\u1ecb t\u1ea7m so\u00e1t lo\u00e3ng x\u01b0\u01a1ng cho m\u1ecdi ph\u1ee5 n\u1eef t\u1eeb 65 tu\u1ed5i, x\u1ebfp m\u1ee9c B, ngh\u0129a l\u00e0 c\u00f3 l\u1ee3i \u00edch r\u00f2ng \u1edf m\u1ee9c v\u1eeba ph\u1ea3i v\u1edbi \u0111\u1ed9 ch\u1eafc ch\u1eafn v\u1eeba ph\u1ea3i (USPSTF, 2025). M\u1ed9t b\u00e0i t\u01b0 v\u1ea5n tr\u00ean VnExpress, d\u1eabn l\u1eddi k\u1ef9 thu\u1eadt vi\u00ean B\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Y D\u01b0\u1ee3c TP.HCM, c\u0169ng khuy\u00ean nh\u00f3m n\u00e0y \u0111o \u0111\u1ecbnh k\u1ef3 d\u00f9 ch\u01b0a \u0111au hay g\u00e3y x\u01b0\u01a1ng (M\u1ef9 \u00dd, 2026).<\/p>\n\n\n<h3 class=\"wp-block-heading\">Ph\u1ee5 n\u1eef \u0111\u00e3 m\u00e3n kinh nh\u01b0ng d\u01b0\u1edbi 65 tu\u1ed5i<\/h3>\n\n\n<p class=\"wp-block-paragraph\">V\u1edbi nh\u00f3m n\u00e0y, USPSTF \u0111\u1ec1 xu\u1ea5t c\u00e1ch ti\u1ebfp c\u1eadn hai b\u01b0\u1edbc. B\u01b0\u1edbc m\u1ed9t l\u00e0 xem c\u00f3 y\u1ebfu t\u1ed1 nguy c\u01a1 hay kh\u00f4ng, v\u00ed d\u1ee5 nh\u1eb9 c\u00e2n, cha ho\u1eb7c m\u1eb9 t\u1eebng g\u00e3y x\u01b0\u01a1ng h\u00f4ng, h\u00fat thu\u1ed1c, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u. N\u1ebfu c\u00f3, b\u00e1c s\u0129 d\u00f9ng c\u00f4ng c\u1ee5 \u0111\u00e1nh gi\u00e1 nguy c\u01a1 nh\u01b0 FRAX, OST ho\u1eb7c ORAI; khi nguy c\u01a1 t\u0103ng m\u1edbi chuy\u1ec3n sang \u0111o DXA (USPSTF, 2025). \u1ede Vi\u1ec7t Nam, m\u00e3n kinh s\u1edbm v\u00e0 t\u1eebng g\u00e3y x\u01b0\u01a1ng c\u0169ng \u0111\u01b0\u1ee3c xem l\u00e0 l\u00fd do \u0111\u1ec3 ki\u1ec3m tra s\u1edbm (M\u1ef9 \u00dd, 2026).<\/p>\n\n\n<h2 class=\"wp-block-heading\">\u0110o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eb1ng c\u00e1ch n\u00e0o v\u00e0 ch\u1ec9 s\u1ed1 T ngh\u0129a l\u00e0 g\u00ec?<\/h2>\n\n\n<p class=\"wp-block-paragraph\">DXA l\u00e0 ph\u01b0\u01a1ng ph\u00e1p chu\u1ea9n, \u0111o \u1edf kh\u1edbp h\u00e1ng ho\u1eb7c c\u1ed9t s\u1ed1ng th\u1eaft l\u01b0ng, d\u00f9ng li\u1ec1u tia X th\u1ea5p (USPSTF, 2025). K\u1ebft qu\u1ea3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c b\u00e1o b\u1eb1ng ch\u1ec9 s\u1ed1 T (T-score), t\u1ee9c l\u00e0 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng c\u1ee7a b\u1ea1n ch\u00eanh bao nhi\u00eau \u0111\u1ed9 l\u1ec7ch chu\u1ea9n so v\u1edbi ng\u01b0\u1eddi tr\u1ebb kh\u1ecfe m\u1ea1nh. Theo \u0111\u1ecbnh ngh\u0129a c\u1ee7a WHO n\u0103m 1994 \u0111\u01b0\u1ee3c USPSTF d\u1eabn l\u1ea1i, lo\u00e3ng x\u01b0\u01a1ng l\u00e0 khi ch\u1ec9 s\u1ed1 T b\u1eb1ng ho\u1eb7c th\u1ea5p h\u01a1n \u00e2m 2,5.<\/p>\n\n\n<p class=\"wp-block-paragraph\">C\u00f3 hai l\u01b0u \u00fd. Th\u1ee9 nh\u1ea5t, thi\u1ebft b\u1ecb \u0111o \u1edf g\u00f3t ch\u00e2n ch\u1ec9 d\u00f9ng \u0111\u1ec3 s\u00e0ng l\u1ecdc s\u01a1 b\u1ed9, k\u1ebft qu\u1ea3 b\u1ea5t th\u01b0\u1eddng v\u1eabn c\u1ea7n \u0111o DXA chu\u1ea9n (M\u1ef9 \u00dd, 2026). Th\u1ee9 hai, thang tham chi\u1ebfu \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea9n \u0111o\u00e1n: nghi\u00ean c\u1ee9u \u1edf TP.HCM cho th\u1ea5y thang m\u1eb7c \u0111\u1ecbnh c\u1ee7a m\u00e1y c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n qu\u00e1 m\u1ee9c lo\u00e3ng x\u01b0\u01a1ng \u1edf ng\u01b0\u1eddi Vi\u1ec7t (Ho-Pham v\u00e0 c\u1ed9ng s\u1ef1, 2011). USPSTF c\u0169ng l\u01b0u \u00fd ph\u1ee5 n\u1eef ch\u00e2u \u00c1 c\u00f3 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng th\u1ea5p h\u01a1n ph\u1ee5 n\u1eef da tr\u1eafng nh\u01b0ng nguy c\u01a1 g\u00e3y x\u01b0\u01a1ng l\u1ea1i th\u1ea5p h\u01a1n. V\u00ec v\u1eady, k\u1ebft qu\u1ea3 n\u00ean \u0111\u01b0\u1ee3c b\u00e1c s\u0129 di\u1ec5n gi\u1ea3i c\u00f9ng c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 kh\u00e1c.<\/p>\n\n\n<h2 class=\"wp-block-heading\">Bao l\u00e2u n\u00ean \u0111o l\u1ea1i m\u1ed9t l\u1ea7n?<\/h2>\n\n\n<p class=\"wp-block-paragraph\">Ch\u01b0a c\u00f3 kho\u1ea3ng c\u00e1ch chung cho m\u1ecdi ng\u01b0\u1eddi, v\u00ec b\u1eb1ng ch\u1ee9ng v\u1ec1 t\u1ea7n su\u1ea5t \u0111o l\u1ea1i c\u00f2n h\u1ea1n ch\u1ebf (USPSTF, 2025). Th\u1eddi gian chuy\u1ec3n sang lo\u00e3ng x\u01b0\u01a1ng ng\u1eafn h\u01a1n \u1edf ng\u01b0\u1eddi l\u1edbn tu\u1ed5i v\u00e0 ng\u01b0\u1eddi c\u00f3 ch\u1ec9 s\u1ed1 T ban \u0111\u1ea7u th\u1ea5p: kho\u1ea3ng 17 n\u0103m \u0111\u1ec3 10% ph\u1ee5 n\u1eef c\u00f3 m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u00ecnh th\u01b0\u1eddng ti\u1ebfn tri\u1ec3n th\u00e0nh lo\u00e3ng x\u01b0\u01a1ng, so v\u1edbi kho\u1ea3ng 5 n\u0103m \u1edf nh\u00f3m c\u00f3 ch\u1ec9 s\u1ed1 T t\u1eeb \u00e2m 1,99 \u0111\u1ebfn \u00e2m 1,50 (USPSTF, 2025). L\u1ecbch \u0111o l\u1ea1i v\u00ec th\u1ebf n\u00ean d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 l\u1ea7n \u0111\u1ea7u v\u00e0 t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129.<\/p>\n\n\n<h2 class=\"wp-block-heading\">L\u00e0m g\u00ec \u0111\u1ec3 gi\u1eef x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe sau m\u00e3n kinh?<\/h2>\n\n\n<p class=\"wp-block-paragraph\">L\u1ed1i s\u1ed1ng v\u1eabn l\u00e0 n\u1ec1n t\u1ea3ng. NIAMS khuy\u00ean t\u1eadp c\u00e1c b\u00e0i ch\u1ecbu s\u1ee9c n\u1eb7ng c\u1ee7a c\u01a1 th\u1ec3 nh\u01b0 \u0111i b\u1ed9, \u0103n u\u1ed1ng \u0111\u1ee7 canxi v\u00e0 vitamin D, kh\u00f4ng h\u00fat thu\u1ed1c, u\u1ed1ng r\u01b0\u1ee3u v\u1eeba ph\u1ea3i v\u00e0 d\u00f9ng thu\u1ed1c ph\u00f2ng g\u00e3y x\u01b0\u01a1ng n\u1ebfu \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n (NIAMS, n.d.). N\u1ebfu b\u1ea1n ng\u1ed3i nhi\u1ec1u, b\u00e0i <a href=\"https:\/\/dykhoa.com\/blog\/ngoi-nhieu-co-hai-du-tap-the-duc\/\">ng\u1ed3i nhi\u1ec1u c\u00f3 h\u1ea1i d\u00f9 v\u1eabn t\u1eadp th\u1ec3 d\u1ee5c<\/a> c\u00f3 th\u00eam g\u1ee3i \u00fd; c\u00f2n v\u1edbi vitamin D, c\u00f3 th\u1ec3 \u0111\u1ecdc b\u00e0i <a href=\"https:\/\/dykhoa.com\/blog\/kem-chong-nang-co-gay-thieu-vitamin-d\/\">kem ch\u1ed1ng n\u1eafng c\u00f3 g\u00e2y thi\u1ebfu vitamin D kh\u00f4ng<\/a>.<\/p>\n\n\n<p class=\"wp-block-paragraph\">T\u1ea7m so\u00e1t c\u00f3 \u00fd ngh\u0129a v\u00ec c\u00f3 th\u1ec3 d\u1eabn t\u1edbi \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. Theo t\u1ed5ng h\u1ee3p c\u1ee7a USPSTF, t\u1ea7m so\u00e1t gi\u00fap gi\u1ea3m kho\u1ea3ng 5 ca g\u00e3y x\u01b0\u01a1ng h\u00f4ng tr\u00ean m\u1ed7i 1.000 ng\u01b0\u1eddi trong 3,7-5 n\u0103m, v\u00e0 nh\u00f3m thu\u1ed1c bisphosphonate gi\u00fap gi\u1ea3m kho\u1ea3ng m\u1ed9t n\u1eeda nguy c\u01a1 g\u00e3y \u0111\u1ed1t s\u1ed1ng (USPSTF, 2025). H\u00e3y c\u1ea9n tr\u1ecdng v\u1edbi qu\u1ea3ng c\u00e1o th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng h\u1ee9a &#8220;\u0111\u1ea3o ng\u01b0\u1ee3c lo\u00e3ng x\u01b0\u01a1ng&#8221;; b\u00e0i <a href=\"https:\/\/dykhoa.com\/blog\/vi-sao-tin-gia-suc-khoe-lan-nhanh-tren-mang-xa-hoi\/\">v\u00ec sao tin gi\u1ea3 s\u1ee9c kh\u1ecfe lan nhanh tr\u00ean m\u1ea1ng x\u00e3 h\u1ed9i<\/a> gi\u1ea3i th\u00edch v\u00ec sao nh\u1eefng l\u1eddi h\u1ee9a nh\u01b0 v\u1eady d\u1ec5 thuy\u1ebft ph\u1ee5c.<\/p>\n\n\n<h2 class=\"wp-block-heading\">C\u00e2u h\u1ecfi th\u01b0\u1eddng g\u1eb7p<\/h2>\n\n\n<h3 class=\"wp-block-heading\">\u0110au l\u01b0ng, \u0111au kh\u1edbp c\u00f3 ph\u1ea3i d\u1ea5u hi\u1ec7u lo\u00e3ng x\u01b0\u01a1ng?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">Kh\u00f4ng nh\u1ea5t thi\u1ebft. \u0110au l\u01b0ng hay \u0111au kh\u1edbp \u0111\u01a1n thu\u1ea7n ch\u01b0a \u0111\u1ee7 \u0111\u1ec3 k\u1ebft lu\u1eadn lo\u00e3ng x\u01b0\u01a1ng (M\u1ef9 \u00dd, 2026). Tuy v\u1eady, \u0111au l\u01b0ng d\u1eef d\u1ed9i \u0111\u1ed9t ng\u1ed9t, gi\u1ea3m chi\u1ec1u cao ho\u1eb7c l\u01b0ng c\u00f2ng c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u g\u00e3y l\u00fan \u0111\u1ed1t s\u1ed1ng v\u00e0 c\u1ea7n \u0111i kh\u00e1m (NIAMS, n.d.).<\/p>\n\n\n<h3 class=\"wp-block-heading\">Nam gi\u1edbi c\u00f3 c\u1ea7n \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng kh\u00f4ng?<\/h3>\n\n\n<p class=\"wp-block-paragraph\">USPSTF cho r\u1eb1ng b\u1eb1ng ch\u1ee9ng ch\u01b0a \u0111\u1ee7 \u0111\u1ec3 khuy\u1ebfn ngh\u1ecb hay ph\u1ea3n \u0111\u1ed1i t\u1ea7m so\u00e1t \u1edf nam gi\u1edbi, n\u00ean quy\u1ebft \u0111\u1ecbnh d\u1ef1a tr\u00ean trao \u0111\u1ed5i gi\u1eefa b\u00e1c s\u0129 v\u00e0 ng\u01b0\u1eddi b\u1ec7nh (USPSTF, 2025). M\u1ed9t s\u1ed1 h\u01b0\u1edbng d\u1eabn g\u1ee3i \u00fd c\u00e2n nh\u1eafc \u0111o t\u1eeb 70 tu\u1ed5i (M\u1ef9 \u00dd, 2026).<\/p>\n\n\n<h2 class=\"wp-block-heading\">\u0110i\u1ec1u g\u00ec n\u00ean nh\u1edb?<\/h2>\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu b\u1ea1n t\u1eeb 65 tu\u1ed5i, h\u00e3y ch\u1ee7 \u0111\u1ed9ng h\u1ecfi b\u00e1c s\u0129 v\u1ec1 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng b\u1eb1ng DXA. N\u1ebfu \u0111\u00e3 m\u00e3n kinh nh\u01b0ng ch\u01b0a \u0111\u1ebfn 65, h\u00e3y r\u00e0 l\u1ea1i c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 nh\u01b0 nh\u1eb9 c\u00e2n, h\u00fat thu\u1ed1c, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u, d\u00f9ng corticoid hay cha m\u1eb9 t\u1eebng g\u00e3y x\u01b0\u01a1ng h\u00f4ng. \u0110\u1eebng ch\u1edd g\u00e3y x\u01b0\u01a1ng m\u1edbi \u0111i ki\u1ec3m tra, m\u1ed9t th\u00f3i quen \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch trong b\u00e0i <a href=\"https:\/\/dykhoa.com\/blog\/vi-sao-nguoi-viet-van-cho-dau-moi-di-kham\/\">v\u00ec sao ng\u01b0\u1eddi Vi\u1ec7t v\u1eabn &#8220;ch\u1edd \u0111au m\u1edbi \u0111i kh\u00e1m&#8221;<\/a>. B\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ecdc ti\u1ebfp b\u00e0i <a href=\"https:\/\/dykhoa.com\/blog\/tien-man-kinh-man-kinh-khi-nao-can-di-kham\/\">ti\u1ec1n m\u00e3n kinh v\u00e0 m\u00e3n kinh: khi n\u00e0o n\u00ean \u0111i kh\u00e1m<\/a> v\u00e0 <a href=\"https:\/\/dykhoa.com\/blog\/tam-soat-ung-thu-vu-tu-bao-nhieu-tuoi\/\">t\u1ea7m so\u00e1t ung th\u01b0 v\u00fa t\u1eeb bao nhi\u00eau tu\u1ed5i<\/a> trong <a href=\"https:\/\/dykhoa.com\/blog\/ban-linh-diu-dang\/\">chuy\u00ean \u0111\u1ec1 B\u1ea3n l\u0129nh d\u1ecbu d\u00e0ng<\/a> c\u1ee7a Dy Khoa Blog nh\u00e2n Ng\u00e0y Ph\u1ee5 n\u1eef Vi\u1ec7t Nam 20\/10.<\/p>\n\n\n<p class=\"wp-block-paragraph\"><em>B\u00e0i vi\u1ebft mang t\u00ednh th\u00f4ng tin, kh\u00f4ng thay th\u1ebf t\u01b0 v\u1ea5n y khoa c\u00e1 nh\u00e2n. H\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 c\u00f3 k\u1ebf ho\u1ea1ch \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng ph\u00f9 h\u1ee3p v\u1edbi b\u1ea1n.<\/em><\/p>\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0110\u00f4i l\u1eddi gi\u1edbi thi\u1ec7u<\/strong><\/p>\n\n\n<p class=\"wp-block-paragraph\">B\u00e0i vi\u1ebft n\u00e0y \u0111\u01b0\u1ee3c t\u1ed5ng h\u1ee3p b\u1edfi Nguy\u1ec5n Ho\u00e0ng Anh Khoa (<a href=\"https:\/\/dykhoa.com\/blog\/dy-khoa-la-ai\/\">Dy Khoa<\/a>), gi\u1ea3ng vi\u00ean Khoa Quan h\u1ec7 c\u00f4ng ch\u00fang v\u00e0 Truy\u1ec1n th\u00f4ng, Tr\u01b0\u1eddng \u0110\u1ea1i h\u1ecdc V\u0103n Lang, v\u00e0 l\u00e0 ng\u01b0\u1eddi t\u1ed1t nghi\u1ec7p Th\u1ea1c s\u0129 Truy\u1ec1n th\u00f4ng Khoa h\u1ecdc v\u00e0 Thu h\u00fat C\u00f4ng ch\u00fang (Science Communication and Public Engagement) t\u1ea1i Universiti Malaya (UM), Malaysia. \u0110\u00e2y l\u00e0 l\u0129nh v\u1ef1c chuy\u00ean m\u00f4n c\u1ed1t l\u00f5i m\u00e0 anh \u0111\u01b0\u1ee3c \u0111\u00e0o t\u1ea1o b\u00e0i b\u1ea3n v\u00e0 ti\u1ebfp t\u1ee5c theo \u0111u\u1ed5i trong nghi\u00ean c\u1ee9u, gi\u1ea3ng d\u1ea1y v\u00e0 th\u1ef1c h\u00e0nh ngh\u1ec1 nghi\u1ec7p.<\/p>\n\n\n<p class=\"wp-block-paragraph\">N\u1ebfu b\u1ea1n th\u1ea5y b\u00e0i vi\u1ebft c\u00f3 sai s\u00f3t ho\u1eb7c mu\u1ed1n g\u00f3p \u00fd, vui l\u00f2ng g\u1eedi email v\u1ec1 hi@dykhoa.com.<\/p>\n\n\n<details class=\"wp-block-details dk-refs is-layout-flow wp-block-details-is-layout-flow\"><summary>T\u00e0i li\u1ec7u tham kh\u1ea3o (5 ngu\u1ed3n)<\/summary>\n<ul class=\"wp-block-list\">\n<li>Ho-Pham, L. T., Nguyen, U. D. T., Pham, H. N., Nguyen, N. D., &amp; Nguyen, T. V. (2011). Reference ranges for bone mineral density and prevalence of osteoporosis in Vietnamese men and women. <em>BMC Musculoskeletal Disorders, 12<\/em>, 182. https:\/\/doi.org\/10.1186\/1471-2474-12-182<\/li>\n\n<li>International Osteoporosis Foundation. (n.d.). <em>Epidemiology<\/em>. https:\/\/www.osteoporosis.foundation\/health-professionals\/fragility-fractures\/epidemiology<\/li>\n\n<li>M\u1ef9 \u00dd. (2026, ng\u00e0y 2 th\u00e1ng 9). <em>Ai c\u1ea7n \u0111o lo\u00e3ng x\u01b0\u01a1ng?<\/em> VnExpress. https:\/\/vnexpress.net\/ai-can-do-loang-xuong-5115729.html<\/li>\n\n<li>National Institute of Arthritis and Musculoskeletal and Skin Diseases. (n.d.). <em>Osteoporosis<\/em>. https:\/\/www.niams.nih.gov\/health-topics\/osteoporosis<\/li>\n\n<li>US Preventive Services Task Force. (2025). Screening for osteoporosis to prevent fractures: US Preventive Services Task Force recommendation statement. <em>JAMA, 333<\/em>(6), 498-508. https:\/\/doi.org\/10.1001\/jama.2024.27154 (b\u1ea3n c\u00f4ng khai: https:\/\/www.uspreventiveservicestaskforce.org\/uspstf\/recommendation\/osteoporosis-screening)<\/li>\n<\/ul>\n<\/details>\n","protected":false},"excerpt":{"rendered":"<p>T\u1eeb 65 tu\u1ed5i hay s\u1edbm h\u01a1n? Khuy\u1ebfn ngh\u1ecb m\u1edbi v\u1ec1 \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng sau m\u00e3n kinh, c\u00e1ch \u0111\u1ecdc ch\u1ec9 s\u1ed1 T v\u00e0 nh\u1eefng \u0111i\u1ec1u gi\u00fap x\u01b0\u01a1ng ch\u1eafc kh\u1ecfe.<\/p>\n","protected":false},"author":1,"featured_media":6367,"comment_status":"open","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[4,11],"tags":[696,695,756,757,729,739],"class_list":["post-6351","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-khoa-hoc-cong-nghe-doi-song","category-suc-khoe","tag-20-10","tag-ban-linh-diu-dang","tag-do-mat-do-xuong","tag-loang-xuong","tag-man-kinh","tag-suc-khoe-phu-nu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>\u0110o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng sau m\u00e3n kinh: khi n\u00e0o n\u00ean l\u00e0m?<\/title>\n<meta name=\"description\" content=\"Khi n\u00e0o n\u00ean \u0111o m\u1eadt \u0111\u1ed9 x\u01b0\u01a1ng sau m\u00e3n kinh? 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