{"id":1410,"date":"2020-01-03T16:39:33","date_gmt":"2020-01-03T09:39:33","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=1410"},"modified":"2021-04-22T09:13:03","modified_gmt":"2021-04-22T02:13:03","slug":"buong-trung-da-nang-nguyen-nhan-quan-trong-gay-vo-sinh-nu","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/buong-trung-da-nang-nguyen-nhan-quan-trong-gay-vo-sinh-nu\/","title":{"rendered":"Bu\u1ed3ng tr\u1ee9ng \u0111a nang \u2013 nguy\u00ean nh\u00e2n quan tr\u1ecdng g\u00e2y v\u00f4 sinh n\u1eef"},"content":{"rendered":"\n

V\u00f4 sinh \u1edf n\u1eef gi\u1edbi \u0111ang l\u00e0 v\u1ea5n \u0111\u1ec1 nghi\u00eam tr\u1ecdng hi\u1ec7n nay. Do c\u1ea5u t\u1ea1o c\u01a1 quan sinh d\u1ee5c n\u1eef, m\u00e0 c\u00e1c b\u1ec7nh ph\u1ee5 khoa \u1edf n\u1eef gi\u1edbi c\u00f3 t\u1ec9 l\u1ec7 m\u1eafc cao h\u01a1n v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh c\u0169ng \u0111a d\u1ea1ng h\u01a1n \u1edf nam gi\u1edbi. Trong \u0111\u00f3 b\u1ec7nh \u0111a nang bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c cho l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y v\u00f4 sinh n\u1eef.<\/p>\n\n\n\n

\"\"
H\u00ecnh \u1ea3nh 1: H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang<\/figcaption><\/figure><\/div>\n\n\n\n

Nh\u1eefng \u0111i\u1ec1u ki\u1ec7n c\u01a1 b\u1ea3n \u0111\u1ec3 qu\u00e1 tr\u00ecnh th\u1ee5 thai th\u00e0nh c\u00f4ng bao g\u1ed3m:<\/h3>\n\n\n\n
  1. C\u00f3 s\u1ef1 ph\u00e1t tri\u1ec3n nang no\u00e3n v\u00e0 ph\u00f3ng no\u00e3n<\/li>
  2. C\u00f3 s\u1ef1 s\u1ea3n xu\u1ea5t tinh tr\u00f9ng \u0111\u1ea3m b\u1ea3o ch\u1ea5t l\u01b0\u1ee3ng <\/li>
  3. Tinh tr\u00f9ng g\u1eb7p \u0111\u01b0\u1ee3c no\u00e3n<\/li>
  4. S\u1ef1 th\u1ee5 tinh, l\u00e0m t\u1ed5 v\u00e0 ph\u00e1t tri\u1ec3n t\u1ea1i t\u1eed cung cho \u0111\u1ebfn \u0111\u1ee7 tr\u00ean 37 tu\u1ea7n. <\/li><\/ol>\n\n\n\n

    Khi c\u00f3 r\u1ed1i lo\u1ea1n b\u1ea5t k\u1ef3 kh\u00e2u n\u00e0o trong chu\u1ed7i c\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh s\u1ea3n n\u00e0y \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 th\u1ee5 thai th\u1ea5t b\u1ea1i. H\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng g\u00e2y ra s\u1ef1 b\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n nang no\u00e3n v\u00e0 gi\u1ea3m ho\u1eb7c kh\u00f4ng ph\u00f3ng no\u00e3n. Do v\u1eady m\u00e0 qu\u00e1 tr\u00ecnh th\u1ee5 thai kh\u00f4ng \u0111\u01b0\u1ee3c x\u1ea3y ra. Theo th\u1ed1ng k\u00ea cho th\u1ea5y, v\u00f4 sinh \u1edf n\u1eef gi\u1edbi chi\u1ebfm 40% c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh. Trong c\u00e1c nguy\u00ean nh\u00e2n v\u00f4 sinh do kh\u00f4ng ph\u00f3ng no\u00e3n, nguy\u00ean nh\u00e2n do h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang chi\u1ebfm t\u1edbi 75%. T\u1ec9 l\u1ec7 m\u1eafc b\u1ec7nh cao k\u00e8m kh\u1ea3 n\u0103ng g\u00e2y v\u00f4 sinh c\u1ee7a b\u1ec7nh l\u1edbn l\u00e0m cho \u0111a nang bu\u1ed3ng tr\u1ee9ng c\u00e0ng th\u00eam \u0111\u00e1ng lo ng\u1ea1i.<\/p>\n\n\n\n

    B\u1ec7nh nh\u00e2n b\u1ecb h\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u01b0ng \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng:<\/h3>\n\n\n\n
    • R\u1ed1i lo\u1ea1n kinh nguy\u1ec7t: C\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a s\u1ef1 r\u1ee5ng tr\u1ee9ng l\u00e0 nh\u1edd hai hormone ch\u00ednh l\u00e0 FSH v\u00e0 LH. FSH k\u00edch th\u00edch s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a nang tr\u1ee9ng. LH k\u00edch th\u00edch tr\u1ee9ng ch\u00edn, r\u1ee5ng, h\u00ecnh th\u00e0nh v\u00e0 duy tr\u00ec ho\u1ea1t \u0111\u1ed9ng c\u1ee7a th\u1ec3 v\u00e0ng. S\u1ef1 gia t\u0103ng androgen l\u00e0m m\u1ea5t c\u00e2n b\u1eb1ng t\u1ef7 l\u1ec7 LH\/FSH g\u00e2y ra r\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh  tr\u01b0\u1edfng th\u00e0nh c\u1ee7a nang no\u00e3n v\u00e0 s\u1ef1 ph\u00f3ng no\u00e3n. Ng\u01b0\u1eddi b\u1ec7nh tr\u00ean l\u00e2m s\u00e0ng bi\u1ec3u hi\u1ec7n th\u01b0a kinh (chu k\u00ec kinh nguy\u1ec7t >35 ng\u00e0y ho\u1eb7c c\u00f3 kinh <8 l\u1ea7n\/ n\u0103m) ho\u1eb7c v\u00f4 kinh (kh\u00f4ng c\u00f3 kinh >6 th\u00e1ng).<\/li>
    • R\u1eadm l\u00f4ng: C\u01b0\u1eddng androgen khi\u1ebfn nang l\u00f4ng ph\u00e1t tri\u1ec3n. Tuy l\u00e0 ph\u1ee5 n\u1eef nh\u01b0ng l\u00f4ng tay, l\u00f4ng ch\u00e2n, l\u00f4ng mu b\u1ec7nh nh\u00e2n ph\u00e1t tri\u1ec3n kh\u00e1 nhi\u1ec1u. Th\u1eadm ch\u00ed b\u1ec7nh nh\u00e2n c\u00f2n c\u00f3 nhi\u1ec1u l\u00f4ng tr\u00ean c\u1ea3 m\u1eb7t, c\u1ed5, b\u1ee5ng, h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/li>
    • Xu\u1ea5t hi\u1ec7n h\u00ecnh \u1ea3nh bu\u1ed3ng tr\u1ee9ng \u0111a nang tr\u00ean si\u00eau \u00e2m: Tr\u00ean h\u00ecnh \u1ea3nh si\u00eau \u00e2m bu\u1ed3ng tr\u1ee9ng c\u00f3 h\u01a1n 12 nang no\u00e3n c\u00f3 k\u00edch th\u01b0\u1edbc t\u1eeb 2-9 mm tr\u00ean m\u1ed9t m\u1eb7t c\u1eaft, bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 t\u0103ng th\u1ec3 t\u00edch (>10ml).<\/li><\/ul>\n\n\n\n
      \"\"
      H\u00ecnh \u1ea3nh 2: R\u1eadm l\u00f4ng tay do c\u01b0\u1eddng androgen<\/figcaption><\/figure><\/div>\n\n\n\n

      \u0110a nang bu\u1ed3ng tr\u1ee9ng g\u00e2y ra r\u1ea5t nhi\u1ec1u h\u1ec7 l\u1ee5y. S\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng hormone c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c r\u1ed1i lo\u1ea1n chuy\u1ec3n h\u00f3a l\u00e0m t\u0103ng nguy c\u01a1 c\u00e1c b\u1ec7nh v\u1ec1 m\u1ea1ch v\u00e0nh v\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng typ 2. \u0110\u1eb7c bi\u1ec7t, \u0111a nang bu\u1ed3ng tr\u1ee9ng c\u00f2n l\u00e0 th\u1ee7 ph\u1ea1m ch\u00ednh g\u00e2y v\u00f4 sinh \u1edf n\u1eef gi\u1edbi. S\u1edf d\u0129 nguy\u00ean nh\u00e2n c\u1ed1t l\u00f5i c\u1ee7a v\u1ea5n \u0111\u1ec1 n\u00e0y l\u00e0 do s\u1ef1 s\u1ea3n xu\u1ea5t qu\u00e1 nhi\u1ec1u androgen trong c\u01a1 th\u1ec3. Androgen g\u00e2y t\u00e1c \u0111\u1ed9ng l\u00ean s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a bu\u1ed3ng tr\u1ee9ng. L\u1edbp v\u1ecf \u0111\u1ec7m c\u1ee7a bu\u1ed3ng tr\u1ee9ng d\u00e0y h\u01a1n, do \u0111\u00f3 tr\u1ee9ng kh\u00f3 tho\u00e1t kh\u1ecfi l\u1edbp v\u1ecf m\u00e0 tho\u00e1t ra ngo\u00e0i di\u1ec5n ra hi\u1ec7n t\u01b0\u1ee3ng ph\u00f3ng no\u00e3n \u0111\u01b0\u1ee3c. Tinh tr\u00f9ng kh\u00f4ng th\u1ec3 g\u1eb7p tr\u1ee9ng n\u1ebfu hi\u1ec7n t\u01b0\u1ee3ng ph\u00f3ng no\u00e3n kh\u00f4ng x\u1ea3y ra. H\u01a1n n\u1eefa, androgen c\u00f2n t\u00e1c \u0111\u1ed9ng l\u00ean c\u01a1 ch\u1ebf \u0111i\u1ec1u h\u00f2a n\u1ed9i ti\u1ebft trong c\u01a1 th\u1ec3 g\u00e2y ra t\u00ecnh tr\u1ea1ng m\u1ea5t c\u00e2n b\u1eb1ng c\u00e1c hormone \u0111i\u1ec1u h\u00f2a s\u1ef1 ph\u00e1t tri\u1ec3n v\u00e0 r\u1ee5ng c\u1ee7a tr\u1ee9ng. G\u00e2y ra t\u00ecnh tr\u1ea1ng c\u00e1c nang no\u00e3n th\u01b0\u1eddng b\u1ecb r\u1ed7ng, ho\u1eb7c s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng nhi\u1ec1u nh\u01b0ng tr\u1ee9ng l\u1ea1i kh\u00f4ng ch\u00edn, trong tr\u1ee9ng r\u1ed7ng n\u00ean kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng th\u1ee5 thai. <\/p>\n\n\n\n

      Hi\u1ec7n nay ch\u01b0a c\u00f3 ph\u01b0\u01a1ng th\u1ee9c \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c hi\u1ec7u cho b\u1ec7nh nh\u00e2n bu\u1ed3ng tr\u1ee9ng \u0111a nang. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng nh\u1eafm t\u1edbi m\u1ee5c \u0111\u00edch l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng androgen hay \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh. Th\u01b0\u1eddng s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p kich th\u00edch bu\u1ed3ng tr\u1ee9ng v\u00e0 can thi\u1ec7p ngo\u1ea1i khoa \u0111\u1ec3 h\u01b0\u1edbng t\u1edbi \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh cho b\u1ec7nh nh\u00e2n m\u1eafc h\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng. Ng\u01b0\u1eddi ta c\u00e0ng hy v\u1ecdng k\u00edch th\u00edch ph\u00f3ng no\u00e3n sao cho g\u1ea7n v\u1edbi t\u00ecnh tr\u1ea1ng b\u1ec7nh l\u00fd c\u1ee7a b\u1ec7nh nh\u00e2n nh\u1ea5t. C\u1ee5 th\u1ec3 l\u00e0 g\u00e2y ph\u00f3ng \u0111\u01a1n no\u00e3n \u0111\u1ec3 tr\u00e1nh c\u00e1c nguy c\u01a1 qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng v\u00e0 mang \u0111a thai. Do b\u1ec7nh nh\u00e2n m\u1eafc bu\u1ed3ng tr\u1ee9ng \u0111a nang c\u00f3 bu\u1ed3ng tr\u1ee9ng kh\u00e1 nh\u1ea1y c\u1ea3m, n\u00ean vi\u1ec7c \u0111i\u1ec1u tr\u1ecb c\u00e0ng th\u00eam th\u1eadn tr\u1ecdng. B\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 t\u01b0 v\u1ea5n k\u0129 c\u00e0ng v\u1ec1 t\u00ecnh tr\u1ea1ng c\u1ee7a m\u00ecnh, tin t\u01b0\u1edfng v\u00e0 tuy\u1ec7t \u0111\u1ed1i tu\u00e2n th\u1ee7 li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb.
      <\/p>\n","protected":false},"excerpt":{"rendered":"

      Khi c\u00f3 r\u1ed1i lo\u1ea1n b\u1ea5t k\u1ef3 kh\u00e2u n\u00e0o trong chu\u1ed7i c\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh s\u1ea3n \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 th\u1ee5 thai th\u1ea5t b\u1ea1i. H\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng g\u00e2y ra s\u1ef1 b\u1ea5t th\u01b0\u1eddng ph\u00e1t tri\u1ec3n nang no\u00e3n v\u00e0 gi\u1ea3m ho\u1eb7c kh\u00f4ng ph\u00f3ng no\u00e3n. Do v\u1eady m\u00e0 qu\u00e1 tr\u00ecnh th\u1ee5 thai kh\u00f4ng \u0111\u01b0\u1ee3c x\u1ea3y ra.<\/p>\n","protected":false},"author":3,"featured_media":1413,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[86,90,84,88,22,94],"tags":[],"class_list":["post-1410","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kham-tien-hon-nhan","category-nguyen-nhan-vo-sinh","category-suc-khoe-sinh-san","category-tu-van-sinh-con","category-vo-sinh-hiem-muon","category-vo-sinh-do-buong-trung-da-nang"],"acf":[],"yoast_head":"\nBu\u1ed3ng tr\u1ee9ng \u0111a nang \u2013 nguy\u00ean nh\u00e2n quan tr\u1ecdng g\u00e2y v\u00f4 sinh n\u1eef - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/benhvienvietbi.vn\/en\/buong-trung-da-nang-nguyen-nhan-quan-trong-gay-vo-sinh-nu\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Bu\u1ed3ng tr\u1ee9ng \u0111a nang \u2013 nguy\u00ean nh\u00e2n quan tr\u1ecdng g\u00e2y v\u00f4 sinh n\u1eef - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"Khi c\u00f3 r\u1ed1i lo\u1ea1n b\u1ea5t k\u1ef3 kh\u00e2u n\u00e0o trong chu\u1ed7i c\u00e1c ho\u1ea1t \u0111\u1ed9ng sinh s\u1ea3n \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ef1 th\u1ee5 thai th\u1ea5t b\u1ea1i. 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