{"id":327,"date":"2016-10-17T11:28:38","date_gmt":"2016-10-17T04:28:38","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=327"},"modified":"2016-11-23T19:55:49","modified_gmt":"2016-11-23T12:55:49","slug":"xoan-tinh-hoan","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/xoan-tinh-hoan\/","title":{"rendered":"[:vi]Xo\u1eafn tinh ho\u00e0n[:]"},"content":{"rendered":"

[:vi]Xo\u1eafn tinh ho\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng th\u1eebng tinh b\u1ecb xo\u1eafn l\u1ea1i, l\u00e0m ng\u1eebng tr\u1ec7 ngu\u1ed3n m\u00e1u nu\u00f4i tinh ho\u00e0n, th\u1eddi gian so\u1eafn k\u00e9o d\u00e0i l\u00e0m th\u01b0\u01a1ng t\u1ed5n nhu m\u00f4 tinh ho\u00e0n, th\u01b0\u01a1ng t\u1ed5n t\u1eeb h\u1ed3i ph\u1ee5c \u0111\u1ebfn kh\u00f4ng h\u1ed3i ph\u1ee5c, l\u00e0m m\u1ea5t ch\u1ee9c n\u0103ng tinh ho\u00e0n, \u0111\u1eb7c bi\u1ec7t ch\u1ee9c n\u0103ng sinh tinh tr\u00f9ng.<\/p>\n

B\u1ec7nh g\u1eb7p \u1edf tr\u1ebb em v\u00e0 tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh (12-18 tu\u1ed5i) chi\u1ebfm 65%; g\u1eb7p 1\/4000 tr\u00ean 25 tu\u1ed5i.<\/p>\n

\"xoantinhhoan01\"<\/a><\/p>\n

Tri\u1ec7u ch\u1ee9ng<\/strong><\/p>\n

\u0110au tinh ho\u00e0n d\u1eef d\u1ed9i, \u0111au k\u00e9o d\u00e0i, c\u01a1n \u0111au d\u1ecbu sau 6 h, ph\u1ea3n x\u1ea1 b\u00ecu gi\u1ea3m ho\u1eb7c m\u1ea5t \u0111i. R\u1ea5t nhi\u1ec1u tri\u1ec7u ch\u1ee9ng c\u1ee7a so\u1eafn tinh ho\u00e0n gi\u1ed1ng nh\u01b0 vi\u00eam nhi\u1ec5m tr\u00f9ng m\u00e0o tinh.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n:<\/strong><\/p>\n

B\u1ec7nh nh\u00e2n v\u00e0o vi\u1ec7n v\u1edbi tri\u1ec7u ch\u1ee9ng \u0111au tinh ho\u00e0n \u0111\u1ed9t ng\u1ed9t, d\u1eef d\u1ed9i, ho\u1eb7c khi c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng lo\u1ea1i tr\u1eeb ch\u1ea9n \u0111o\u00e1n vi\u00eam ni\u1ec7u \u0111\u1ea1o hay nhi\u1ec5m khu\u1ea9n ni\u1ec7u.<\/strong><\/p>\n

Si\u00eau \u00e2m Doppler b\u00ecu ph\u00e1t hi\u1ec7n d\u00f2ng m\u00e1u \u0111\u1ed9ng m\u1ea1ch nu\u00f4i tinh ho\u00e0n ng\u1eebng tr\u1ec7 ho\u00e0n to\u00e0n hay gi\u1ea3m. Tuy v\u1eady, n\u1ebfu nghi ng\u1edd xo\u1eafn, g\u1ee1 so\u1eafn ngay l\u1eadp t\u1ee9c \u0111\u1ec3 ng\u1eeba nh\u1ed3i huy\u1ebft tinh ho\u00e0n, g\u00e2y h\u1eadu qu\u1ea3 v\u00f4 sinh sau n\u00e0y (c\u00f3 th\u1ec3 ph\u1ea3i c\u1eaft b\u1ecf tinh ho\u00e0n do ho\u1ea1i t\u1eed \u2013 v\u00ec th\u1eddi gian xo\u1eafn k\u00e9o d\u00e0i). N\u1ebfu tri\u1ec7u ch\u1ee9ng l\u00e2m sang \u0111i\u1ec3n h\u00ecnh, nhi\u1ec1u khi kh\u00f4ng nh\u1ea5t thi\u1ebft ph\u1ea3i ch\u1edd \u0111\u1ee3i si\u00eau \u00e2m- m\u00e0 \u0111\u01b0a ngay b\u1ec7nh nh\u00e2n l\u00ean ph\u00f2ng m\u1ed5- v\u00ec th\u1eddi gian ch\u1edd \u0111\u1ee3i c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng timh ho\u00e0n- \u0111\u1eb7c bi\u1ec7t ch\u1ee9c n\u0103ng sinh tinh.<\/p>\n

Kh\u00e1m l\u00e2m sang t\u00ecm d\u1ea5u hi\u1ec7u Prehn\u2019s kinh \u0111i\u1ec3n \u0111\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t gi\u1eefa \u0111au do xo\u1eafn tinh ho\u00e0n v\u00e0 nguy\u00ean nh\u00e2n kh\u00e1c. Trong xo\u1eafn tinh ho\u00e0n \u0111i\u1ec3n h\u00ecnh, ph\u1ea3n x\u1ea1 b\u00ecu m\u1ea5t, b\u00ecu s\u01b0ng to, c\u00f3 th\u1ec3 n\u1eb1m ngang.<\/p>\n

Si\u00eau \u00e2m Doppler m\u00e0u x\u00e1c \u0111\u1ecbnh d\u00f2ng m\u00e1u \u0111i v\u00e0o tinh ho\u00e0n b\u1ecb xo\u1eafn, ph\u00e2n bi\u1ec7t vi\u00eam m\u00e0o tinh. Ph\u00f3ng x\u1ea1 h\u1ea1t nh\u00e2n l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng trong ch\u1ea9n \u0111o\u00e1n- nh\u01b0ng \u00edt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n.<\/p>\n

X\u00e9t nghi\u1ec7m n\u01b0\u1edbc ti\u1ec3u lo\u1ea1i tr\u1eebnhi\u1ec5m khu\u1ea9n ti\u1ebft ni\u1ec7u.<\/p>\n

M\u1ed5 th\u0103m d\u00f2 \u0111\u00f4i khi c\u0169ng r\u1ea5t c\u1ea7n n\u1ebfu ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh v\u00e0 lo\u1ea1i tr\u1eeb ch\u01b0a \u0111\u01b0\u1ee3c r\u00f5 m\u00e0 kh\u00f4ng th\u1ec3 s\u1eed d\u1ee5ng th\u0103m d\u00f2 kh\u00e1c \u0111\u01b0\u01a1c. N\u1ebfu xo\u1eafn tinh ho\u00e0n m\u00e0 d\u1ea5u hi\u1ec7u kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, khi \u0111\u00f3 c\u1ea7n m\u1ed5 ngay c\u1ea3 khi tinh ho\u00e0n \u0111\u00e3 \u201ct\u1ef1 g\u1ee1 xo\u1eafn\u201d \u0111\u1ec3 c\u1ed1 \u0111\u1ecbnh tinh ho\u00e0n- ng\u1eeba xo\u1eafn t\u00e1i ph\u00e1t.<\/p>\n

\u0110i\u1ec1u tr\u1ecb:<\/strong><\/p>\n

T\u1eeb n\u0103m 1952 Dr. Dean Moheet<\/strong> \u1edf Dallas l\u00e0 ng\u01b0\u1eddi ti\u00ean phong trong can thi\u1ec7p ngo\u1ea1i khoa \u0111\u01a1n gi\u1ea3n, \u00edt x\u00e2m l\u1ea5n \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3. Ph\u1eabu thu\u1eadt c\u1ea5p c\u1ee9u, ch\u1ec9 c\u1ea7n r\u1ea1ch m\u1ed9t l\u1ed7 nh\u1ecf, b\u1ed9c l\u1ed9, g\u1ee1 xo\u1eafn, c\u1ed1 \u0111\u1ecbnh tinh ho\u00e0n v\u1edbi c\u01a1 b\u00ecu. Trong m\u1ed5 c\u00f3 th\u1ec3 kh\u00e2u c\u1ed1 \u0111\u1ecbnh c\u1ea3 2 b\u00ean ng\u1eeba xo\u1eafn t\u00e1i ph\u00e1t.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb trong gi\u1edbi h\u1ea1n th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh c\u00f3 th\u1ec3 ph\u1ea7n l\u1edbn b\u1ea3o t\u1ed3n tinh ho\u00e0n v\u1ec1 ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c c\u0169ng nh\u01b0 sinh s\u1ea3n \u1edf s\u1ed1 \u0111\u00f4ng b\u1ec7nh nh\u00e2n.<\/p>\n

Xo\u1eafn tinh ho\u00e0n l\u00e0 c\u1ea5p c\u1ee9u ngo\u1ea1i khoa, c\u1ea7n ph\u1eabu thu\u1eadt t\u1ee9c th\u00ec . Trong v\u00f2ng 6h l\u00e0 c\u01a1 h\u1ed9i v\u00e0ng c\u1ee7a \u0111i\u1ec1u tr\u1ecb; trong 12h th\u00e0nh c\u00f4ng 75%; trong 24h th\u00e0nh c\u00f4ng 20%; sau 24h h\u1ea7u nh\u01b0 kh\u00f4ng hi\u1ec7u qu\u1ea3, c\u00e1c t\u1ebf b\u00e0o nhu m\u00f4 ch\u1ebft, c\u1ea7n c\u1eaft b\u1ecf \u0111\u1ec3 tr\u00e1nh ho\u1ea1i th\u01b0.<\/p>\n

S\u1ed1 \u00edt c\u00f3 th\u1ec3 \u201ct\u1ef1 g\u1ee1 xo\u1eafn\u201d ho\u1eb7c g\u1ee1 xo\u1eafn b\u1eb1ng tay. Th\u1ee7 thu\u1eadt l\u00e0m cho b\u1ec7nh nh\u00e2n \u0111au gi\u1ea3m nhi\u1ec1u, k\u1ebft qu\u1ea3 \u0111\u1ebfn 26,5%<\/p>\n

K\u1ef9 thu\u1eadt:<\/strong><\/p>\n

Th\u00ec 1:<\/strong> R\u1ea1ch da, theo tr\u1ee5c d\u1ecdc b\u00ecu d\u00e0i 4-5cm. R\u1ea1ch ti\u1ebfp c\u01a1 v\u00e0 m\u1edf bao tr\u1eafng, b\u1ed9c l\u1ed9 tinh ho\u00e0n. \u0110\u00e1nh m\u1ee9c \u0111\u1ed9 th\u01b0\u01a1ng t\u1ed5n tinh ho\u00e0n ( T\u00edm, t\u00edm \u0111en hay ho\u1ea1i t\u1eed).<\/p>\n

Th\u00ec 2<\/strong>: G\u1ee1 xo\u1eafn theo chi\u1ec1u ng\u01b0\u1ee3c c\u1ee7a xo\u1eafn, tr\u00ean l\u00e2m s\u00e0ng ch\u00fangt\u00f4i g\u1eb7p xo\u1eafn 1 v\u00f2ng ho\u1eb7c 2 v\u00f2ng; sau g\u1ee1 xo\u1eafn \u0111\u1eafp g\u1ea1c \u1ea5m c\u00f3 t\u1ea9m lidocain 0,025%trong v\u00f2ng 15-30 ph\u00fat sau \u0111\u00e1nh gi\u00e1 m\u1ee9c d\u1ed9 ph\u1ee5c h\u1ed3i c\u1ee7a tinh ho\u00e0n.<\/p>\n

Th\u00ec 3:<\/strong> X\u1eed tr\u00ed th\u01b0\u01a1ng t\u1ed5n \u1edf nhu m\u00f4: N\u1ebfu tinh ho\u00e0n t\u00edm ho\u1eb7c t\u00edm \u0111en (th\u01b0\u1eddng sau xo\u1eafn 6-12h) m\u1edf bao tr\u1eafng, r\u1eeda s\u1ea1ch nhu m\u00f4 b\u1eb1ng ti\u00eam th\u1ea5m v\u00e0o nhu m\u00f4 tinh ho\u00e0n dung d\u1ecbch lidocain 0,025% x 20-50ml. Th\u01b0\u1eddng l\u00e0 m\u00e1u \u0111en ho\u1eb7c m\u00e1u c\u1ee5c s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ea9y ra, nhu m\u00f4 c\u00f3 th\u1ec3 h\u1ed3i ph\u1ee5c- chuy\u1ec3n sang m\u00e0u h\u1ed3ng d\u1ea7n, \u0111\u1ed9ng m\u1ea1ch tinh \u0111\u1eadp tr\u1edf l\u1ea1i. N\u1ebfu nhu m\u00f4 v\u1eabn t\u00edm \u0111en ho\u1eb7c ho\u1ea1i t\u1eed th\u00ec ti\u1ebfn h\u00e0nh c\u1eaft b\u1ecf tinh ho\u00e0n.<\/p>\n

Th\u00ec 4.<\/strong> Kh\u00e2u ph\u1ee5c h\u1ed3i bao tr\u1eafng v\u00e0 c\u00e1c th\u00e0nh ph\u1ea7n c\u01a1 b\u00ecu- d\u1eabn l\u01b0u tr\u01b0\u1edbc khi kh\u00e2u da.<\/p>\n

Sau m\u1ed5 24-36h r\u00fat d\u1eabn l\u01b0u \u2013 B\u1ec7nh nh\u00e2n ra vi\u1ec7n<\/p>\n

Sau 2 th\u00e1ng \u0111\u1ebfn ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n (n\u1ebfu c\u00f3 nhu c\u1ea7u sinh s\u1ea3n).<\/p>\n

So\u1eafn tinh ho\u00e0n l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd nguy hi\u1ec3m, tuy \u00edt g\u1eb7p nh\u01b0ng nguy h\u1ea1i. N\u1ebfu b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm, \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p, k\u1ecbp th\u1eddi, s\u1ebd g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng, c\u00f3 th\u1ec3 ph\u1ea3i c\u1eaft b\u1ecf tinh ho\u00e0n, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn sinh s\u1ea3n sau n\u00e0y.[:]<\/p>\n","protected":false},"excerpt":{"rendered":"

[:vi]Xo\u1eafn tinh ho\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng th\u1eebng tinh b\u1ecb xo\u1eafn l\u1ea1i, l\u00e0m ng\u1eebng tr\u1ec7 ngu\u1ed3n m\u00e1u nu\u00f4i tinh ho\u00e0n, th\u1eddi gian so\u1eafn k\u00e9o d\u00e0i l\u00e0m th\u01b0\u01a1ng t\u1ed5n nhu m\u00f4 tinh ho\u00e0n, th\u01b0\u01a1ng t\u1ed5n t\u1eeb h\u1ed3i ph\u1ee5c \u0111\u1ebfn kh\u00f4ng h\u1ed3i ph\u1ee5c, l\u00e0m m\u1ea5t ch\u1ee9c n\u0103ng tinh ho\u00e0n, \u0111\u1eb7c bi\u1ec7t ch\u1ee9c n\u0103ng sinh tinh tr\u00f9ng.
\nB\u1ec7nh g\u1eb7p \u1edf tr\u1ebb em v\u00e0 tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh (12-18 tu\u1ed5i) chi\u1ebfm 65%; g\u1eb7p 1\/4000 tr\u00ean 25 tu\u1ed5i[:]<\/p>\n","protected":false},"author":3,"featured_media":530,"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":[46,38],"tags":[],"class_list":["post-327","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cac-benh-ly-nam-hoc","category-nam-khoa"],"acf":[],"yoast_head":"\n[:vi]Xo\u1eafn tinh ho\u00e0n[:] - 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\/xoan-tinh-hoan\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:vi]Xo\u1eafn tinh ho\u00e0n[:] - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"[:vi]Xo\u1eafn tinh ho\u00e0n l\u00e0 t\u00ecnh tr\u1ea1ng th\u1eebng tinh b\u1ecb xo\u1eafn l\u1ea1i, l\u00e0m ng\u1eebng tr\u1ec7 ngu\u1ed3n m\u00e1u nu\u00f4i tinh ho\u00e0n, th\u1eddi gian so\u1eafn k\u00e9o d\u00e0i l\u00e0m th\u01b0\u01a1ng t\u1ed5n nhu m\u00f4 tinh ho\u00e0n, th\u01b0\u01a1ng t\u1ed5n t\u1eeb h\u1ed3i ph\u1ee5c \u0111\u1ebfn kh\u00f4ng h\u1ed3i ph\u1ee5c, l\u00e0m m\u1ea5t ch\u1ee9c n\u0103ng tinh ho\u00e0n, \u0111\u1eb7c bi\u1ec7t ch\u1ee9c n\u0103ng sinh tinh tr\u00f9ng. 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