{"id":381,"date":"2016-10-22T10:55:51","date_gmt":"2016-10-22T03:55:51","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=381"},"modified":"2024-07-04T15:04:09","modified_gmt":"2024-07-04T08:04:09","slug":"nguy-co-khi-thu-tinh-trong-ong-nghiem","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/nguy-co-khi-thu-tinh-trong-ong-nghiem\/","title":{"rendered":"[:vi]Nguy c\u01a1 khi th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m[:]"},"content":{"rendered":"<p>[:vi]<\/p>\n<h2 data-field=\"sapo\">Ph\u1ee5 n\u1eef b\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang d\u1ec5 b\u1ecb qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng khi th\u1ef1c hi\u1ec7n th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m<\/h2>\n<ul>\n<li>\n<h4 class=\"entry-title\"><a class=\"arial\" href=\"https:\/\/benhvienvietbi.vn\/en\/8-lam-tuong-ve-thu-tinh-trong-ong-nghiem-ivf\/\">8 l\u1ea7m t\u01b0\u1edfng v\u1ec1 th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (IVF)<\/a><\/h4>\n<\/li>\n<\/ul>\n<p>Th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (TTTON) hi\u1ec7n \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh c\u00f3 hi\u1ec7u qu\u1ea3, \u0111em l\u1ea1i hy v\u1ecdng cho nh\u1eefng c\u1eb7p v\u1ee3 ch\u1ed3ng hi\u1ebfm mu\u1ed9n. M\u1ed9t chu k\u1ef3 TTTON th\u01b0\u1eddng bao g\u1ed3m c\u00e1c b\u01b0\u1edbc sau: k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng, ch\u1ecdc h\u00fat tr\u1ee9ng, th\u1ee5 tinh gi\u1eefa tr\u1ee9ng v\u00e0 tinh tr\u00f9ng, nu\u00f4i c\u1ea5y ph\u00f4i trong m\u00f4i tr\u01b0\u1eddng v\u00e0 chuy\u1ec3n ph\u00f4i v\u00e0o bu\u1ed3ng t\u1eed cung. T\u1ea1i B\u1ec7nh vi\u1ec7n Ph\u1ee5 s\u1ea3n T\u1eeb D\u0169, hi\u1ec7n t\u1ec9 l\u1ec7 c\u00f3 thai b\u1eb1ng TTTON kho\u1ea3ng 30%-35%. Tuy TTTON th\u01b0\u1eddng \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t k\u1ef9 thu\u1eadt t\u01b0\u01a1ng \u0111\u1ed1i an to\u00e0n nh\u01b0ng ph\u1ee5 n\u1eef khi tham gia v\u00e0o ch\u01b0\u01a1ng tr\u00ecnh n\u00e0y v\u1eabn c\u00f3 th\u1ec3 g\u1eb7p m\u1ed9t s\u1ed1 nguy c\u01a1 nh\u01b0 th\u1ee5 tinh th\u1ea5t b\u1ea1i, qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng, \u0111a thai hay thai ngo\u00e0i t\u1eed cung.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-500 aligncenter\" src=\"https:\/\/benhvienvietbi.vn\/en\/wp-content\/uploads\/2016\/10\/phat-hien-y-hoc-2-300x169.jpg\" alt=\"phat-hien-y-hoc-2\" width=\"634\" height=\"357\" \/><\/p>\n<p>&nbsp;<\/p>\n<p><b>T\u00e2m l\u00fd th\u1ea5t b\u1ea1i<\/b><br \/>\nTh\u1ea5t b\u1ea1i trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t g\u00e1nh n\u1eb7ng v\u1ec1 m\u1eb7t t\u00e2m l\u00fd cho ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf kh\u00e2u k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng, d\u1eabn \u0111\u1ebfn kh\u00f4ng c\u00f3 ho\u1eb7c c\u00f3 \u00edt nang. Th\u1ed1ng k\u00ea cho th\u1ea5y khi ch\u1ec9 c\u00f3 2-3 nang no\u00e3n ph\u00e1t tri\u1ec3n, t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a chu k\u1ef3 \u0111\u00f3 r\u1ea5t th\u1ea5p. T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i, l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, b\u1ea5t th\u01b0\u1eddng, n\u1ed9i ti\u1ebft&#8230; Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, \u1edf nh\u1eefng chu k\u1ef3 sau, c\u00f3 th\u1ec3 t\u0103ng li\u1ec1u thu\u1ed1c k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng ho\u1eb7c thay \u0111\u1ed5i ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, xin tr\u1ee9ng c\u00f3 th\u1ec3 l\u00e0 gi\u1ea3i ph\u00e1p cu\u1ed1i c\u00f9ng.<br \/>\nTh\u1ea5t b\u1ea1i c\u00f2n c\u00f3 th\u1ec3 do kh\u00f4ng c\u00f3 ph\u00f4i \u0111\u1ec3 chuy\u1ec3n. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 l\u00e0 do th\u1ee5 tinh b\u1ea5t th\u01b0\u1eddng ho\u1eb7c kh\u00f4ng c\u00f3 th\u1ee5 tinh. Ngo\u00e0i ra, th\u1ee5 tinh v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra b\u00ecnh th\u01b0\u1eddng, ph\u00f4i \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh nh\u01b0ng ng\u01b0ng ph\u00e1t tri\u1ec3n. Kh\u00f4ng \u00edt tr\u01b0\u1eddng h\u1ee3p sau chuy\u1ec3n ph\u00f4i v\u1eabn kh\u00f4ng c\u00f3 thai v\u00ec th\u1ea5t b\u1ea1i trong qu\u00e1 tr\u00ecnh l\u00e0m t\u1ed5 (ph\u00f4i kh\u00f4ng b\u00e1m \u0111\u01b0\u1ee3c v\u00e0o ni\u00eam m\u1ea1c t\u1eed cung). \u0110\u1ed1i v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, h\u01b0\u1edbng gi\u1ea3i quy\u1ebft c\u00f3 th\u1ec3 l\u00e0 th\u1ee5 tinh b\u1eb1ng ti\u00eam tinh tr\u00f9ng v\u00e0o tr\u1ee9ng (ICSI) ho\u1eb7c t\u0103ng s\u1ed1 l\u01b0\u1ee3ng ph\u00f4i chuy\u1ec3n. Nghi\u00ean c\u1ee9u cho th\u1ea5y \u0111\u1ed1i v\u1edbi k\u1ef9 thu\u1eadt ICSI, t\u1ec9 l\u1ec7 tr\u1ee9ng th\u1ee5 tinh t\u0103ng cao h\u01a1n, \u0111\u1eb7c bi\u1ec7t trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng k\u00e9m. Ngo\u00e0i ra, v\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p li\u00ean ti\u1ebfp th\u1ea5t b\u1ea1i m\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 do ch\u1ea5t l\u01b0\u1ee3ng c\u1ee7a tr\u1ee9ng, gi\u1ea3i ph\u00e1p cu\u1ed1i c\u00f9ng l\u00e0 xin tr\u1ee9ng t\u1eeb nh\u1eefng ng\u01b0\u1eddi c\u00f2n tr\u1ebb.<br \/>\n<b>Qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng v\u00e0 \u0111a thai<\/b><br \/>\nT\u00ecnh tr\u1ea1ng \u0111\u00e1p \u1ee9ng qu\u00e1 m\u1ee9c c\u1ee7a bu\u1ed3ng tr\u1ee9ng v\u1edbi thu\u1ed1c k\u00edch th\u00edch v\u00e0 l\u00e0 m\u1ed9t trong nh\u1eefng nguy c\u01a1 th\u01b0\u1eddng g\u1eb7p nh\u1ea5t c\u1ee7a k\u1ef9 thu\u1eadt h\u1ed7 tr\u1ee3 sinh s\u1ea3n. Ph\u1ee5 n\u1eef b\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang l\u00e0 m\u1ed9t trong nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng d\u1ec5 b\u1ecb qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng. Trong tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n c\u00f3 nguy c\u01a1 cao, chu k\u1ef3 TTTON c\u00f3 th\u1ec3 t\u1ea1m ng\u01b0ng (kh\u00f4ng ti\u00eam hCG v\u00e0 kh\u00f4ng ch\u1ecdc h\u00fat tr\u1ee9ng). Trong nh\u1eefng chu k\u1ef3 ti\u1ebfp theo, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1ea3m li\u1ec1u k\u00edch th\u00edch ho\u1eb7c \u0111\u01b0\u1ee3c theo d\u00f5i s\u00e1t h\u01a1n. Qu\u00e1 tr\u00ecnh k\u00edch bu\u1ed3ng tr\u1ee9ng c\u00f2n c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf giai \u0111o\u1ea1n mu\u1ed9n, khi ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 thai, do hCG \u0111\u01b0\u1ee3c ti\u1ebft ra t\u1eeb thai nhi. \u0110\u1ec3 d\u1ef1 ph\u00f2ng t\u00ecnh tr\u1ea1ng n\u00e0y, ph\u00f4i h\u00ecnh th\u00e0nh s\u1ebd kh\u00f4ng \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o chu k\u1ef3 \u0111\u00f3 m\u00e0 \u0111\u01b0\u1ee3c tr\u1eef l\u1ea1nh v\u00e0 chuy\u1ec3n l\u1ea1i v\u00e0o t\u1eed cung trong c\u00e1c chu k\u1ef3 ti\u1ebfp theo. Ngo\u00e0i ra, k\u1ef9 thu\u1eadt \u201cNu\u00f4i tr\u1ee9ng trong \u1ed1ng nghi\u1ec7m\u201d, v\u1edbi l\u1ee3i \u0111i\u1ec3m l\u00e0 kh\u00f4ng ph\u1ea3i s\u1eed d\u1ee5ng hCG, c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng nh\u01b0 m\u1ed9t bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n thu\u1ed9c nh\u00f3m nguy c\u01a1 qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n v\u1edbi h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang.<br \/>\nC\u00f2n \u0111a thai l\u00e0 t\u00ecnh tr\u1ea1ng c\u00f3 nhi\u1ec1u h\u01a1n m\u1ed9t thai c\u00f9ng l\u00fac ph\u00e1t tri\u1ec3n trong t\u1eed cung. Kh\u00f4ng nh\u01b0 trong c\u00e1c chu k\u1ef3 t\u1ef1 nhi\u00ean khi ch\u1ec9 c\u00f3 1 ph\u00f4i (ho\u1eb7c th\u1ec9nh tho\u1ea3ng 2) c\u00f3 m\u1eb7t trong l\u00f2ng t\u1eed cung, trong c\u00e1c chu k\u1ef3 TTTON, \u0111\u1ec3 b\u1ea3o \u0111\u1ea3m t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng, nhi\u1ec1u h\u01a1n m\u1ed9t ph\u00f4i s\u1ebd \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o t\u1eed cung. Do \u0111\u00f3, t\u1ec9 l\u1ec7 \u0111a thai th\u01b0\u1eddng t\u0103ng cao h\u01a1n so v\u1edbi c\u00e1c chu k\u1ef3 t\u1ef1 nhi\u00ean, thay \u0111\u1ed5i t\u1eeb 19% \u0111\u1ebfn 42%, t\u00f9y theo tu\u1ed5i c\u1ee7a ng\u01b0\u1eddi v\u1ee3. Hi\u1ec7n nay, \u0111\u1ec3 gi\u1ea3m t\u1ec9 l\u1ec7 \u0111a thai, chuy\u1ec3n ph\u00f4i v\u00e0o giai \u0111o\u1ea1n tr\u1ec5, ng\u00e0y 5 sau th\u1ee5 tinh, \u0111\u01b0\u1ee3c xem l\u00e0 m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p ph\u00f2ng ng\u1eeba c\u00f3 hi\u1ec7u qu\u1ea3. Tuy nhi\u00ean, trong k\u1ef9 thu\u1eadt n\u00e0y, nguy c\u01a1 kh\u00f4ng c\u00f3 ph\u00f4i \u0111\u1ec3 chuy\u1ec3n (do tho\u00e1i h\u00f3a, ng\u01b0ng ph\u00e1t tri\u1ec3n trong qu\u00e1 tr\u00ecnh nu\u00f4i c\u1ea5y) th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n. Gi\u1ea3m thi\u1ec3u s\u1ed1 l\u01b0\u1ee3ng ph\u00f4i chuy\u1ec3n \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ti\u00ean l\u01b0\u1ee3ng t\u1ed1t c\u0169ng l\u00e0 m\u1ed9t h\u01b0\u1edbng \u0111ang \u0111\u01b0\u1ee3c xem x\u00e9t. Ngo\u00e0i ra, k\u1ef9 thu\u1eadt gi\u1ea3m thai, th\u00f4ng qua h\u01b0\u1edbng d\u1eabn c\u1ee7a si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o, c\u0169ng l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ec3 gi\u1ea3m t\u1ec9 l\u1ec7 \u0111a thai \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng \u1edf nhi\u1ec1u trung t\u00e2m tr\u00ean th\u1ebf gi\u1edbi v\u00e0 \u1edf VN.[:]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[:vi]Ph\u1ee5 n\u1eef b\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang d\u1ec5 b\u1ecb qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng khi th\u1ef1c hi\u1ec7n th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m[:]<\/p>\n","protected":false},"author":3,"featured_media":500,"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":[36,396,84,2],"tags":[],"class_list":["post-381","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ivf-hien-dai","category-kien-thuc","category-suc-khoe-sinh-san","category-thu-tinh-trong-ong-nghiem-ivf"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.0 - 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