{"id":1615,"date":"2020-07-08T10:49:58","date_gmt":"2020-07-08T03:49:58","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=1615"},"modified":"2020-12-07T14:54:05","modified_gmt":"2020-12-07T07:54:05","slug":"dieu-tri-vo-sinh-do-hoi-chung-buong-trung-da-nang-bang-ky-thuat-noi-soi-dot-diem","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/dieu-tri-vo-sinh-do-hoi-chung-buong-trung-da-nang-bang-ky-thuat-noi-soi-dot-diem\/","title":{"rendered":"\u0110I\u1ec0U TR\u1eca V\u00d4 SINH DO H\u1ed8I CH\u1ee8NG BU\u1ed2NG TR\u1ee8NG \u0110A NANG B\u1eb0NG K\u1ef8 THU\u1eacT N\u1ed8I SOI \u0110\u1ed0T \u0110I\u1ec2M"},"content":{"rendered":"\n
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Bu\u1ed3ng tr\u1ee9ng \u0111a nang l\u00e0 b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n<\/figcaption><\/figure><\/div>\n\n\n\n

H\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng \u0111a nang \u2013 nguy c\u01a1 cao\ng\u00e2y v\u00f4 sinh n\u1eef<\/strong><\/p>\n\n\n\n

H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a\nnang (BT\u0110N) bao g\u1ed3m m\u1ed9t lo\u1ea1t c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft do c\u01b0\u1eddng\nandrogen trong c\u01a1 th\u1ec3 n\u1eef gi\u1edbi. B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t\n(th\u01b0a kinh ho\u1eb7c v\u00f4 kinh), c\u00e1c tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng androgen tr\u00ean l\u00e2m s\u00e0ng (nh\u01b0 r\u1eadm\nl\u00f4ng, m\u1ee5n tr\u1ee9ng c\u00e1,\u2026). Tr\u00ean si\u00eau \u00e2m l\u00e0 h\u00ecnh \u1ea3nh bu\u1ed3ng tr\u1ee9ng c\u00f3 nhi\u1ec1u nang nh\u1ecf, v\u1ecf\nd\u00e0y, th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng t\u0103ng b\u1ea5t th\u01b0\u1eddng. H\u1ed9i ch\u1ee9ng n\u00e0y chi\u1ebfm kho\u1ea3ng 5 \u2013 10%\nph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n.<\/p>\n\n\n\n

Theo th\u1ed1ng k\u00ea cho th\u1ea5y,\ntrong c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh, v\u00f4 sinh n\u1eef chi\u1ebfm 40%. M\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n\nquan tr\u1ecdng g\u00e2y v\u00f4 sinh n\u1eef l\u00e0 do r\u1ed1i lo\u1ea1n qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n nang no\u00e3n v\u00e0\nph\u00f3ng no\u00e3n. Trong \u0111\u00f3, h\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng chi\u1ebfm 75%. \u0110\u00e2y \u0111\u01b0\u1ee3c coi l\u00e0\nm\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a v\u00f4 sinh do kh\u00f4ng r\u1ee5ng tr\u1ee9ng k\u00e9o\nd\u00e0i.<\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb v\u00f4 sinh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111a nang bu\u1ed3ng tr\u1ee9ng<\/strong><\/p>\n\n\n\n

Cho \u0111\u1ebfn hi\u1ec7n t\u1ea1i, ch\u01b0a c\u00f3 nghi\u00ean c\u1ee9u c\u1ee5 th\u1ec3 n\u00e0o kh\u1eb3ng \u0111\u1ecbnh \u0111\u01b0\u1ee3c r\u00f5 r\u00e0ng\nc\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang. Do v\u1eady\nch\u01b0a c\u00f3 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u1eb7c hi\u1ec7u n\u00e0o, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb d\u1ef1a tr\u00ean than phi\u1ec1n ch\u00ednh c\u1ee7a\nng\u01b0\u1eddi b\u1ec7nh. H\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay th\u01b0\u1eddng nh\u1eafm t\u1edbi l\u00e0 \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng c\u01b0\u1eddng\nandrogen ho\u1eb7c l\u00e0 \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh.<\/p>\n\n\n\n

\u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 mong mu\u1ed1n \u0111i\u1ec1u\ntr\u1ecb v\u00f4 sinh, c\u00e1c li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng theo h\u01b0\u1edbng ph\u00f9 h\u1ee3p v\u1edbi tr\u1ea1ng\nth\u00e1i sinh l\u00fd c\u1ee7a c\u01a1 th\u1ec3 nh\u1ea5t.<\/p>\n\n\n\n

Thu\u1ed1c h\u1ed7 tr\u1ee3 sinh s\u1ea3n Clomiphene citrate \u0111\u01b0\u1ee3c xem l\u00e0 l\u1ef1a ch\u1ecdn \u0111\u1ea7u ti\u00ean t\u1ea1o s\u1ef1 ph\u00f3ng no\u00e3n tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 h\u1ed9i ch\u1ee9ng BT\u0110N. Tuy nhi\u00ean c\u00f3 \u0111\u1ebfn 20-40% tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1 kh\u00e1ng clomiphene citrate. \u0110\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1ng clomiphene citrate, ch\u1ec9 \u0111\u1ecbnh gonadotrophins \u0111\u1ec3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c cho l\u00e0 l\u1ef1a ch\u1ecdn th\u1ee9 hai. Nh\u01b0ng \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n m\u1eafc BT\u0110N, bu\u1ed3ng tr\u1ee9ng r\u1ea5t nh\u1ea1y c\u1ea3m, \u0111\u00f2i h\u1ecfi ph\u1ea3i theo d\u00f5i s\u00e1t tr\u00e1nh nguy c\u01a1 qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng v\u00e0 \u0111a thai.<\/p>\n\n\n\n

G\u1ea7n \u0111\u00e2y, ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng\ntr\u1ee9ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn nh\u01b0 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn th\u1ee9 hai \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n kh\u00e1ng\nclomiphene citrate. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y t\u1ea1o ra s\u1ef1 r\u1ee5ng tr\u1ee9ng \u0111\u1ec1u \u0111\u1eb7n v\u1edbi nguy c\u01a1 \u0111a\nthai v\u00e0 qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng r\u1ea5t th\u1ea5p. B\u00ean c\u1ea1nh \u0111\u00f3, nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u1ec1 kh\u00e1ng v\u1edbi\nclomiphene citrate tr\u01b0\u1edbc \u0111\u00f3 l\u1ea1i tr\u1edf n\u00ean nh\u1ea1y c\u1ea3m v\u1edbi thu\u1ed1c n\u00e0y sau khi \u0111\u01b0\u1ee3c n\u1ed9i\nsoi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng. Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a ph\u1eabu thu\u1eadt l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb x\u00e2m\nl\u1ea5n v\u00e0 c\u00f3 th\u1ec3 g\u00e2y d\u00ednh. <\/p>\n\n\n\n

K\u1ef9\nthu\u1eadt n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng<\/strong><\/p>\n\n\n\n

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H\u00ecnh 2 H\u00ecnh \u1ea3nh qu\u00e1 tr\u00ecnh m\u1ed5 n\u1ed9i soi bu\u1ed3ng tr\u1ee9ng <\/figcaption><\/figure><\/div>\n\n\n\n

N\u0103m 1935, Stein v\u00e0 Leventhal l\u00e0 nh\u1eefng\nt\u00e1c gi\u1ea3 \u0111\u1ea7u ti\u00ean \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u1eabu thu\u1eadt h\u1edf x\u1ebb bu\u1ed3ng tr\u1ee9ng\n(r\u1ea1ch m\u1ed9t \u0111\u01b0\u1eddng \u1edf bu\u1ed3ng tr\u1ee9ng) cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p bu\u1ed3ng tr\u1ee9ng \u0111a nang (BT\u0110N)\nnh\u1eb1m m\u1ee5c \u0111\u00edch \u0111i\u1ec1u ho\u00e0 chu k\u1ef3 kinh nguy\u1ec7t v\u00e0 th\u1ee5 thai. Tuy nhi\u00ean do nh\u1eefng bi\u1ebfn\nch\u1ee9ng sau ph\u1eabu thu\u1eadt nh\u01b0 g\u00e2y d\u00ednh bu\u1ed3ng tr\u1ee9ng qu\u00e1 n\u1eb7ng n\u1ec1. Ph\u01b0\u01a1ng ph\u00e1p h\u1edf x\u1ebb bu\u1ed3ng\ntr\u1ee9ng \u0111\u00e3 kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng.
\nV\u00e0o nh\u1eefng n\u0103m 1980s, nh\u1eefng ti\u1ebfn b\u1ed9 v\u01b0\u1ee3t b\u1eadc v\u1ec1 k\u1ef9 thu\u1eadt n\u1ed9i soi \u1ed5 b\u1ee5ng v\u00e0\nph\u01b0\u01a1ng ph\u00e1p c\u1ea3i ti\u1ebfn an to\u00e0n h\u01a1n l\u00e0 k\u1ef9 thu\u1eadt \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng \u0111\u00e3 \u0111em l\u1ea1i hi\u1ec7u\nqu\u1ea3 b\u1ea5t ng\u1edd trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. <\/p>\n\n\n\n

Ng\u01b0\u1eddi ta th\u1ea5y r\u1eb1ng \u0111i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt n\u1ed9i soi kh\u00f4ng ch\u1ec9 r\u1ebb ti\u1ec1n v\u00e0 \u0111\u01a1n gi\u1ea3n h\u01a1n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u00e1c ch\u1ea5t k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng, m\u00e0 c\u00f2n lo\u1ea1i tr\u1eeb \u0111\u01b0\u1ee3c nguy c\u01a1 bi\u1ebfn ch\u1ee9ng qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng v\u00e0 mang \u0111a thai. \u0110\u1ed3ng th\u1eddi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u0169ng kh\u00f4ng c\u1ea7n ph\u1ea3i theo d\u00f5i n\u1ed9i ti\u1ebft v\u00e0 si\u00eau \u00e2m nh\u01b0 li\u1ec7u tr\u00ecnh s\u1eed d\u1ee5ng thu\u1ed1c. H\u01a1n n\u1eefa, c\u00e1c b\u00e1o c\u00e1o c\u0169ng cho th\u1ea5y ph\u01b0\u01a1ng ph\u00e1p n\u00e0y t\u1ecf ra \u01b0u vi\u1ec7t v\u01b0\u1ee3t b\u1eadc so v\u1edbi k\u1ef9 thu\u1eadt h\u1edf x\u1ebb bu\u1ed3ng tr\u1ee9ng \u1edf nh\u1eefng n\u0103m tr\u01b0\u1edbc \u0111\u00f3 nh\u1edd gi\u1ea3m bi\u1ebfn ch\u1ee9ng d\u00ednh xu\u1ed1ng c\u00f2n r\u1ea5t th\u1ea5p.<\/p>\n\n\n\n

C\u01a1\nch\u1ebf t\u00e1c \u0111\u1ed9ng c\u1ee7a ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n

Ch\u01b0a c\u00f3 m\u1ed9t nghi\u00ean c\u1ee9u r\u00f5 r\u00e0ng v\u1ec1 c\u01a1 ch\u1ebf\nt\u00e1c \u0111\u1ed9ng c\u1ee7a k\u1ef9 thu\u1eadt n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng. Tuy nhi\u00ean c\u00f3 m\u1ed9t s\u1ed1 gi\u1ea3\nthuy\u1ebft kh\u00e1 h\u1ee3p l\u00fd nh\u01b0 sau:<\/p>\n\n\n\n

K\u1ef9 thu\u1eadt \u0111\u1ed1t \u0111i\u1ec3m can thi\u1ec7p l\u00e0m ph\u00e1 h\u1ee7y\nm\u00f4 \u0111\u1ec7m g\u00e2y tho\u00e1t d\u1ecbch ch\u1ee9a androgen v\u00e0 inhibin \u1edf bu\u1ed3ng tr\u1ee9ng, do \u0111\u00f3 lo\u1ea1i b\u1ecf \u0111\u01b0\u1ee3c\nch\u1ea5t \u1ee9c ch\u1ebf r\u1ee5ng tr\u1ee9ng, t\u1ea1o \u0111i\u1ec1u ki\u1ec7n cho qu\u00e1 tr\u00ecnh ph\u00e1t tri\u1ec3n v\u00e0 ph\u00f3ng no\u00e3n.<\/p>\n\n\n\n

K\u1ef9\nthu\u1eadt th\u1ef1c hi\u1ec7n<\/strong><\/p>\n\n\n\n

Quy t\u1eafc \u201ct\u1ee9 qu\u00fd\u201d \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o s\u1eed d\u1ee5ng\ntrong k\u1ef9 thu\u1eadt n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng \u0111a nang: t\u1ea1o 4 \u0111i\u1ec3m \u0111\u1ed1t, \u0111\u1ed9 s\u00e2u c\u1ee7a\nm\u1ed7i \u0111i\u1ec3m \u0111\u1ed1t 4mm, s\u1eed d\u1ee5ng d\u00f2ng \u0111i\u1ec7n 40w, th\u1eddi gian \u0111\u1ed1t 4 gi\u00e2y. <\/p>\n\n\n\n

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H\u00ecnh 2 K\u1ef9 thu\u1eadt n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng \u0111a nang <\/figcaption><\/figure><\/div>\n\n\n\n

Sau khi kh\u1ea3o s\u00e1t bu\u1ed3ng t\u1eed cung v\u00e0 hai\nv\u00f2i tr\u1ee9ng, c\u1ed1 \u0111\u1ecbnh bu\u1ed3ng tr\u1ee9ng b\u1eb1ng k\u1ec1m, d\u00f9ng monopolar kim (d\u00e0i 15mm, \u0111\u01b0\u1eddng\nk\u00ednh 0,9 mm c\u1ee7a Karl Storz, Germany) ch\u1ecdc vu\u00f4ng g\u00f3c v\u1edbi b\u1ec1 m\u1eb7t bu\u1ed3ng tr\u1ee9ng ng\u1eabu\nnhi\u00ean, v\u1edbi d\u00f2ng \u0111i\u1ec7n 40W, th\u1eddi gian m\u1ed7i l\u1ed7 kho\u1ea3ng 4 gi\u00e2y. Ngay sau khi \u0111\u1ed1t \u0111i\u1ec3m\nt\u01b0\u1edbi n\u01b0\u1edbc l\u00ean bu\u1ed3ng tr\u1ee9ng \u0111\u1ec3 l\u00e0m gi\u1ea3m s\u1ef1 ch\u00e1y lan c\u1ee7a d\u00f2ng \u0111i\u1ec7n.<\/p>\n\n\n\n

B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c kh\u00e1m v\u00e0 t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi\nxu\u1ea5t vi\u1ec7n. H\u1eb9n si\u00eau \u00e2m no\u00e3n v\u00e0o ng\u00e0y th\u1ee9 7 sau khi \u0111\u1ed1t \u0111i\u1ec3m \u0111\u1ed1i v\u1edbi th\u00e1ng \u0111\u1ea7u\nti\u00ean sau ph\u1eabu thu\u1eadt v\u00e0 ng\u00e0y th\u1ee9 7 c\u1ee7a chu k\u1ef3 kinh \u0111\u1ed1i v\u1edbi nh\u1eefng th\u00e1ng sau. Si\u00eau\n\u00e2m b\u1eb1ng \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o c\u00e1ch m\u1ed7i l\u1ea7n 3 ng\u00e0y, khi \u0111\u01b0\u1eddng k\u00ednh nang no\u00e3n \u0111\u1ea1t t\u1edbi\n15mm s\u1ebd h\u1eb9n si\u00eau \u00e2m m\u1ed7i ng\u00e0y.<\/p>\n\n\n\n

Ng\u00e0y r\u1ee5ng tr\u1ee9ng \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh h\u1ed3i c\u1ee9u\ntr\u00ean si\u00eau \u00e2m khi c\u00f3 c\u00e1c h\u00ecnh \u1ea3nh nh\u01b0: nang bi\u1ebfn m\u1ea5t hay gi\u1ea3m k\u00edch th\u01b0\u1edbc, b\u1edd\nnang m\u1edd \u0111i, xu\u1ea5t hi\u1ec7n ph\u1ea3n \u00e2m d\u00e0y trong nang ho\u1eb7c c\u00f3 d\u1ecbch c\u00f9ng \u0111\u1ed3. V\u00e0 x\u00e1c \u0111\u1ecbnh\nb\u1eb1ng \u0111\u1ecbnh l\u01b0\u1ee3ng progesteron huy\u1ebft t\u01b0\u01a1ng ng\u00e0y 21 v\u00f2ng kinh \u2265 10 ng\/ml.<\/p>\n\n\n\n

X\u00e1c \u0111\u1ecbnh c\u00f3 thai l\u00e2m s\u00e0ng khi Quickstick (+) v\u00e0 si\u00eau \u00e2m c\u00f3 t\u00fai thai trong l\u00f2ng t\u1eed cung. Th\u1eddi gian theo d\u00f5i sau ph\u1eabu thu\u1eadt m\u1ed5 n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m l\u00e0 3 – 6 th\u00e1ng.<\/p>\n\n\n\n

Nh\u1eefng\nthay \u0111\u1ed5i sau \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng<\/strong><\/p>\n\n\n\n

Thay \u0111\u1ed5i th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng: Ngay sau khi\nph\u1eabu thu\u1eadt, th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng t\u0103ng t\u1ea1m th\u1eddi v\u00e0 sau \u0111\u00f3 gi\u1ea3m xu\u1ed1ng.<\/p>\n\n\n\n

Thay \u0111\u1ed5i n\u1ed3ng \u0111\u1ed9 LH: N\u1ed3ng \u0111\u1ed9 LH trong\nm\u00e1u t\u0103ng ngay sau ph\u1eabu thu\u1eadt r\u1ed3i sau \u0111\u00f3 c\u0169ng gi\u1ea3m xu\u1ed1ng. T\u1ea7n s\u1ed1 c\u1ee7a nh\u1ecbp LH\nkh\u00f4ng \u0111\u1ed5i nh\u01b0ng bi\u00ean \u0111\u1ed9 nh\u1ecbp LH gi\u1ea3m nhi\u1ec1u.<\/p>\n\n\n\n

Thay \u0111\u1ed5i gi\u00e1n ti\u1ebfp l\u00ean tr\u1ee5c tuy\u1ebfn y\u00ean \u2013\nbu\u1ed3ng tr\u1ee9ng: S\u1ef1 \u0111\u00e1p \u1ee9ng tuy\u1ebfn y\u00ean v\u1edbi GnRH gi\u1ea3m r\u00f5 r\u1ec7t ngay sau m\u1ed5 4 ng\u00e0y, v\u00e0\nti\u1ebfp t\u1ee5c gi\u1ea3m sau 6 tu\u1ea7n ti\u1ebfp theo. <\/p>\n\n\n\n

N\u1ed3ng \u0111\u1ed9 Androgen trong bu\u1ed3ng tr\u1ee9ng v\u00e0\ntrong m\u00e1u gi\u1ea3m nhi\u1ec1u. So v\u1edbi tr\u01b0\u1edbc m\u1ed5, n\u1ed3ng \u0111\u1ed9 testosterone to\u00e0n ph\u1ea7n v\u00e0 t\u1ef1 do\ngi\u1ea3m 40 \u2013 50%.<\/p>\n\n\n\n

Ch\u1ec9 s\u1ed1 LH\/FSH t\u1ef1 \u0111i\u1ec1u ch\u1ec9nh tr\u1edf l\u1ea1i b\u00ecnh\nth\u01b0\u1eddng, ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng. 80% b\u1ec7nh nh\u00e2n tham gia m\u1ed5 c\u00f3\nv\u00f2ng kinh \u0111\u1ec1u v\u00e0 ph\u00f3ng no\u00e3n.<\/p>\n\n\n\n

Nh\u1eefng thay \u0111\u1ed5i n\u1ed9i ti\u1ebft sau m\u1ed5 x\u1ea3y ra\nnhanh v\u00e0 cho hi\u1ec7u qu\u1ea3 k\u00e9o d\u00e0i sau nhi\u1ec1u n\u0103m.<\/p>\n\n\n\n

K\u1ebft\nqu\u1ea3 ph\u1eabu thu\u1eadt<\/strong><\/p>\n\n\n\n

Qua s\u1ed1 li\u1ec7u t\u1eeb nghi\u00ean c\u1ee9u N\u1ed8I SOI \u0110\u1ed0T \u0110I\u1ec2M\nBU\u1ed2NG TR\u1ee8NG \u1ede B\u1ec6NH NH\u00c2N V\u00d4 SINH C\u00d3 H\u1ed8I CH\u1ee8NG BU\u1ed2NG TR\u1ee8NG \u0110A NANG n\u0103m 2006 b\u01b0\u1edbc\n\u0111\u1ea7u cho th\u1ea5y n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng hi\u1ec7u qu\u1ea3 g\u00e2y r\u1ee5ng tr\u1ee9ng l\u00e0 61,4% v\u00e0\nc\u00f3 thai l\u00e2m s\u00e0ng chi\u1ebfm t\u1ef7 l\u1ec7 17,6% \u1edf ph\u1ee5 n\u1eef v\u00f4 sinh c\u00f3 r\u1ed1i lo\u1ea1n r\u1ee5ng tr\u1ee9ng do h\u1ed9i\nch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang.<\/p>\n","protected":false},"excerpt":{"rendered":"

H\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng \u0111a nang \u2013 nguy c\u01a1 cao g\u00e2y v\u00f4 sinh n\u1eef H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (BT\u0110N) bao g\u1ed3m m\u1ed9t lo\u1ea1t c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft do c\u01b0\u1eddng androgen trong c\u01a1 th\u1ec3 n\u1eef gi\u1edbi. B\u1ec7nh \u0111\u1eb7c tr\u01b0ng b\u1edfi t\u00ecnh tr\u1ea1ng r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t (th\u01b0a kinh ho\u1eb7c […]<\/p>\n","protected":false},"author":3,"featured_media":1616,"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":[90,84,94],"tags":[],"class_list":["post-1615","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nguyen-nhan-vo-sinh","category-suc-khoe-sinh-san","category-vo-sinh-do-buong-trung-da-nang"],"acf":[],"yoast_head":"\n\u0110I\u1ec0U TR\u1eca V\u00d4 SINH DO H\u1ed8I CH\u1ee8NG BU\u1ed2NG TR\u1ee8NG \u0110A NANG B\u1eb0NG K\u1ef8 THU\u1eacT N\u1ed8I SOI \u0110\u1ed0T \u0110I\u1ec2M - 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\/dieu-tri-vo-sinh-do-hoi-chung-buong-trung-da-nang-bang-ky-thuat-noi-soi-dot-diem\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110I\u1ec0U TR\u1eca V\u00d4 SINH DO H\u1ed8I CH\u1ee8NG BU\u1ed2NG TR\u1ee8NG \u0110A NANG B\u1eb0NG K\u1ef8 THU\u1eacT N\u1ed8I SOI \u0110\u1ed0T \u0110I\u1ec2M - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"H\u1ed9i ch\u1ee9ng \u0111a nang bu\u1ed3ng tr\u1ee9ng \u0111a nang \u2013 nguy c\u01a1 cao g\u00e2y v\u00f4 sinh n\u1eef H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (BT\u0110N) bao g\u1ed3m m\u1ed9t lo\u1ea1t c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft do c\u01b0\u1eddng androgen trong c\u01a1 th\u1ec3 n\u1eef gi\u1edbi. 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