{"id":5426,"date":"2022-12-27T15:36:38","date_gmt":"2022-12-27T08:36:38","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=5426"},"modified":"2022-12-30T09:18:56","modified_gmt":"2022-12-30T02:18:56","slug":"lac-noi-mac-tu-cung-co-the-gay-vo-sinh-va-dau-hieu-can-di-kham","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/lac-noi-mac-tu-cung-co-the-gay-vo-sinh-va-dau-hieu-can-di-kham\/","title":{"rendered":"L\u1ea0C N\u1ed8I M\u1ea0C T\u1eec CUNG C\u00d3 TH\u1ec2 G\u00c2Y V\u00d4 SINH V\u00c0 D\u1ea4U HI\u1ec6U C\u1ea6N \u0110I KH\u00c1M"},"content":{"rendered":"\n

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. C\u0103n b\u1ec7nh n\u00e0y g\u00e2y nh\u1eefng c\u01a1n \u0111au kh\u00f3 ch\u1ecbu v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ee5 thai \u1edf ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Tuy nhi\u00ean, nhi\u1ec1u ch\u1ecb em v\u1eabn r\u1ea5t ch\u1ee7 quan.<\/strong><\/em><\/h3>\n\n\n\n

V\u1eady l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u00f3 nh\u1eefng \u1ea3nh h\u01b0\u1edfng g\u00ec \u0111\u1ebfn cu\u1ed9c s\u1ed1ng v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ch\u1ecb em ph\u1ee5 n\u1eef. D\u1ea5u hi\u1ec7u c\u1ea3nh b\u00e1o l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u1ea7n \u0111i kh\u00e1m, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb nh\u01b0 th\u1ebf n\u00e0o? M\u1eddi b\u1ea1n \u0111\u1ecdc tham kh\u1ea3o b\u00e0i vi\u1ebft d\u01b0\u1edbi \u0111\u00e2y <\/strong>\u0111\u1ec3 hi\u1ec3u r\u00f5 th\u00eam v\u1ec1 c\u0103n b\u1ec7nh n\u00e0y.<\/p>\n\n\n\n

1. L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 g\u00ec ?<\/strong><\/p>\n\n\n\n

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd l\u00e0nh t\u00ednh \u0111\u1eb7c tr\u01b0ng b\u1edfi s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c tuy\u1ebfn n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 t\u1ed5 ch\u1ee9c \u0111\u1ec7m \u1edf b\u00ean ngo\u00e0i bu\u1ed3ng t\u1eed cung. L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n t\u1ea1i bu\u1ed3ng tr\u1ee9ng v\u00e0 d\u00e2y ch\u1eb1ng t\u1eed cung c\u00f9ng ho\u1eb7c c\u00e1c \u0111i\u1ec3m tr\u00ean ph\u00fac m\u1ea1c ti\u1ec3u khung. Tuy nhi\u00ean, t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf c\u00e1c c\u01a1 quan l\u00e2n c\u1eadn nh\u01b0 \u0111\u01b0\u1eddng ti\u00eau h\u00f3a, ti\u1ebft ni\u1ec7u ho\u1eb7c xa h\u01a1n n\u1eefa.<\/p>\n\n\n\n

\"\"
H\u00ecnh \u1ea3nh l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/em><\/figcaption><\/figure><\/div>\n\n\n\n

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn hay g\u1eb7p h\u00e0ng th\u1ee9 2 trong c\u00e1c b\u1ec7nh l\u00fd ph\u1ee5 khoa, v\u1edbi t\u1ef7 l\u1ec7 1\/10 ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. Ng\u01b0\u1eddi m\u1eafc l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung th\u01b0\u1eddng xuy\u00ean ph\u1ea3i ch\u1ecbu \u0111\u1ef1ng nh\u1eefng c\u01a1n \u0111au b\u1ee5ng trong th\u1eddi k\u1ef3 kinh nguy\u1ec7t v\u00e0 \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c, g\u00e2y \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng \u0111\u1ebfn sinh ho\u1ea1t, ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng v\u00e0 h\u1ea1nh ph\u00fac v\u1ee3 ch\u1ed3ng.<\/p>\n\n\n\n

M\u1ed9t h\u1ec7 l\u1ee5y n\u1eefa c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u0169ng g\u00e2y g\u00e1nh n\u1eb7ng t\u00e2m l\u00fd cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u00f3 l\u00e0 v\u00f4 sinh. Mong \u01b0\u1edbc \u0111\u01b0\u1ee3c mang thai v\u00e0 sinh ra \u0111\u1eddi nh\u1eefng \u0111\u1ee9a tr\u1ebb kh\u1ecfe m\u1ea1nh c\u00f3 th\u1ec3 r\u1ea5t kh\u00f3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c v\u1edbi b\u1ec7nh nh\u00e2n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

2. Nguy\u00ean nh\u00e2n g\u00e2y l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/p>\n\n\n\n

Nguy\u00ean nh\u00e2n ch\u00ednh d\u1eabn \u0111\u1ebfn l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung cho \u0111\u1ebfn nay v\u1eabn c\u00f2n ch\u01b0a \u0111\u01b0\u1ee3c x\u00e1c \u0111\u1ecbnh. M\u1ed9t gi\u1ea3 thuy\u1ebft \u0111\u01b0\u1ee3c tin c\u1eady nh\u1ea5t \u0111\u00f3 l\u00e0 s\u1ef1 tr\u00e0o ng\u01b0\u1ee3c m\u00e1u kinh v\u00e0o l\u1edbp trung bi\u1ec3u m\u00f4 c\u1ee7a ph\u00fac m\u1ea1c v\u00e0 ph\u00e1t tri\u1ec3n h\u1ec7 th\u1ed1ng m\u1ea1ch m\u00e1u t\u1ea1i \u0111\u00f3 \u0111\u1ec3 cho c\u00e1c m\u1ea3nh ni\u00eam m\u1ea1c t\u1ed3n t\u1ea1i v\u00e0 ph\u00e1t tri\u1ec3n.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

L\u00fd thuy\u1ebft n\u00e0y \u0111\u01b0\u1ee3c \u1ee7ng h\u1ed9 v\u00ec nh\u1eefng ng\u01b0\u1eddi c\u00f3 t\u00ecnh tr\u1ea1ng \u1ee9 m\u00e1u kinh v\u00e0 b\u1ecb tr\u00e0o ng\u01b0\u1ee3c h\u00e0nh kinh v\u00e0o \u1ed5 b\u1ee5ng c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung cao h\u01a1n h\u1eb3n nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng kh\u00e1c. Ngo\u00e0i ra c\u00e1c y\u1ebfu t\u1ed1 nh\u01b0 mi\u1ec5n d\u1ecbch ho\u1eb7c t\u1ea1o m\u1ea1ch s\u1ebd gi\u00fap cho c\u00e1c m\u1ea3nh gh\u00e9p ni\u00eam m\u1ea1c t\u1ed3n t\u1ea1i \u0111\u01b0\u1ee3c.<\/p>\n\n\n\n

M\u1ed9t gi\u1ea3 thuy\u1ebft n\u1eefa c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung li\u00ean quan \u0111\u1ebfn t\u1ebf b\u00e0o g\u1ed1c. Nh\u1eefng t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c t\u1eed cung kh\u00f4ng bi\u1ec7t h\u00f3a ban \u0111\u1ea7u c\u00f3 \u1edf l\u1edbp \u0111\u00e1y c\u1ee7a ni\u00eam m\u1ea1c s\u1ebd \u0111\u01b0\u1ee3c bi\u1ec7t h\u00f3a th\u00e0nh t\u1ebf b\u00e0o bi\u1ec3u m\u00f4, t\u1ebf b\u00e0o \u0111\u1ec7m, t\u1ebf b\u00e0o th\u00e0nh m\u1ea1ch c\u1ee7a ni\u00eam m\u1ea1c t\u1eed cung v\u00e0 s\u1ebd b\u1ecb bong theo m\u1ed7i chu k\u1ef3 kinh. N\u1ebfu c\u00e1c t\u1ebf b\u00e0o g\u1ed1c n\u00e0y b\u1ecb \u0111\u1eb7t nh\u1ea7m sang v\u1ecb tr\u00ed kh\u00e1c do m\u00e1u kinh tr\u00e0o ng\u01b0\u1ee3c, th\u00ec t\u1ebf b\u00e0o g\u1ed1c s\u1ebd h\u00ecnh th\u00e0nh n\u00ean c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

M\u1ed9t gi\u1ea3 thuy\u1ebft kh\u00e1c li\u00ean quan \u0111\u1ebfn s\u1ef1 di chuy\u1ec3n qua \u0111\u01b0\u1eddng b\u1ea1ch huy\u1ebft v\u00e0 m\u1ea1ch m\u00e1u. C\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c quan s\u00e1t \u0111\u01b0\u1ee3c t\u1ea1i c\u00e1c c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft ti\u1ec1n ti\u00eau l\u00e0 m\u1ed9t b\u1eb1ng ch\u1ee9ng cho s\u1ef1 di chuy\u1ec3n th\u00f4ng qua con \u0111\u01b0\u1eddng b\u1ea1ch huy\u1ebft v\u00e0 gi\u1ea3i th\u00edch s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung \u1edf nh\u1eefng v\u1ecb tr\u00ed r\u1ea5t l\u1ea1 nh\u01b0 h\u00e1ng hay c\u00e1c v\u1ecb tr\u00ed sau ph\u00fac m\u1ea1c.<\/p>\n\n\n\n

M\u1ed9t gi\u1ea3 thuy\u1ebft li\u00ean quan \u0111\u1ebfn d\u1ecb s\u1ea3n khoang t\u1ea1ng, theo \u0111\u00f3 c\u00e1c ph\u00fac m\u1ea1c th\u00e0nh c\u00f3 th\u1ec3 th\u00f4ng qua c\u00e1c qu\u00e1 tr\u00ecnh bi\u1ebfn \u0111\u1ed5i d\u1ecb s\u1ea3n th\u00e0nh c\u00e1c t\u1ed5 ch\u1ee9c c\u00f3 c\u1ea5u tr\u00fac m\u00f4 h\u1ecdc t\u01b0\u01a1ng t\u1ef1 nh\u01b0 ni\u00eam m\u1ea1c t\u1eed cung. L\u00fd thuy\u1ebft n\u00e0y gi\u1ea3i th\u00edch \u0111\u01b0\u1ee3c v\u00ec sao nh\u1eefng em b\u00e9 g\u00e1i ch\u01b0a c\u00f3 h\u00e0nh kinh v\u1eabn c\u00f3 th\u1ec3 c\u00f3 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 c\u1ea3 nam gi\u1edbi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng estrogen v\u00e0 c\u1eaft b\u1ecf tinh ho\u00e0n do ung th\u01b0 ti\u1ec1n li\u1ec7t tuy\u1ebfn c\u0169ng c\u00f3 t\u1ed5n th\u01b0\u01a1ng d\u1ea1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u m\u1edbi \u0111\u00e2y v\u1ec1 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung cho th\u1ea5y b\u1ec7nh l\u00fd \u0111\u01b0\u1ee3c quy \u0111\u1ecbnh b\u1edfi gen (\u0111a gen).<\/p>\n\n\n\n

Kh\u1ea3 n\u0103ng h\u00ecnh th\u00e0nh c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung \u0111\u01b0\u1ee3c quy\u1ebft \u0111\u1ecbnh ngay t\u1eeb khi c\u00f2n l\u00e0 b\u00e0o thai trong b\u1ee5ng m\u1eb9. Ngo\u00e0i ra c\u00f3 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ef1 xu\u1ea5t hi\u1ec7n c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung \u0111ang \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 cho k\u1ebft qu\u1ea3 ban \u0111\u1ea7u nh\u01b0:<\/p>\n\n\n\n

Nh\u1eefng \u0111\u1ee9a tr\u1ebb s\u01a1 sinh non th\u00e1ng, nh\u1eb9 c\u00e2n <2500g t\u0103ng nguy c\u01a1 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00ean g\u1ea5p 1,8 l\u1ea7n so v\u1edbi tr\u1ebb s\u01a1 sinh c\u00e2n n\u1eb7ng b\u00ecnh th\u01b0\u1eddng; <1500g t\u0103ng nguy c\u01a1 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung d\u1ea1ng th\u00e2m nhi\u1ec5m s\u00e2u. Hay tr\u1ebb s\u01a1 sinh g\u00e1i c\u00f3 xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o c\u00f3 nguy c\u01a1 m\u1eafc l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

Ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI) c\u00f3 t\u01b0\u01a1ng quan ng\u01b0\u1ee3c chi\u1ec1u v\u1edbi xu\u1ea5t hi\u1ec7n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung nh\u01b0 nh\u1eefng ng\u01b0\u1eddi g\u1ea7y th\u01b0\u1eddng t\u0103ng nguy c\u01a1 m\u1eafc l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung h\u01a1n ng\u01b0\u1eddi b\u00e9o ph\u00ec.<\/p>\n\n\n\n

3. D\u1ea5u hi\u1ec7u \u0111i\u1ec3n h\u00ecnh c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/p>\n\n\n\n

Hai d\u1ea5u hi\u1ec7u quan tr\u1ecdng hay \u0111\u01b0\u1ee3c nh\u1eafc \u0111\u1ebfn c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 \u0111au b\u1ee5ng kinh v\u00e0 \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c. Ng\u00e0y nay, c\u00f3 th\u1ec3 th\u1ea5y c\u00e1c bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh r\u1ea5t \u0111a d\u1ea1ng v\u1edbi nhi\u1ec1u d\u1ea5u hi\u1ec7u to\u00e0n th\u00e2n th\u01b0\u1eddng b\u1ecb b\u1ecf s\u00f3t nh\u01b0: m\u1ec7t m\u1ecfi, m\u1ea5t ng\u1ee7, tr\u1ea7m c\u1ea3m, stress\u2026<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

T\u00f9y theo v\u1ecb tr\u00ed t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c xu\u1ea5t hi\u1ec7n m\u00e0 c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd nh\u01b0:<\/p>\n\n\n\n

\u0110au:<\/em> C\u00f3 th\u1ec3 bi\u1ec3u hi\u1ec7n \u0111au ti\u1ec3u khung m\u1ea1n t\u00ednh kh\u00f4ng c\u00f3 t\u00ednh chu k\u00ec ho\u1eb7c c\u01a1n \u0111au b\u1ee5ng kinh tr\u01b0\u1edbc khi h\u00e0nh kinh t\u1eeb 24-48 gi\u1edd. Ho\u1eb7c \u0111au khi giao h\u1ee3p, th\u01b0\u1eddng do c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c \u1edf v\u00e1ch tr\u1ef1c tr\u00e0ng- \u00e2m \u0111\u1ea1o ho\u1eb7c d\u00e2y ch\u1eb1ng t\u1eed cung c\u00f9ng ho\u1eb7c \u1edf t\u00fai c\u00f9ng sau. Ngo\u00e0i ra c\u00f3 th\u1ec3 \u0111au khi \u0111\u1ea1i ti\u1ec7n, ti\u1ec3u ti\u1ec7n, ho\u1eb7c \u0111au th\u00e0nh b\u1ee5ng.<\/p>\n\n\n\n

C\u00e1c c\u01a1n \u0111au n\u00e0y c\u00f3 li\u00ean quan \u0111\u1ebfn c\u00e1c cytokines ti\u1ec1n vi\u00eam ho\u1eb7c do prostaglandin \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng t\u1eeb c\u00e1c t\u1ed5 ch\u1ee9c l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. B\u1ea3n th\u00e2n t\u1ea1i c\u00e1c t\u1ed5 ch\u1ee9c c\u00f3 t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, c\u00e1c d\u00e2y th\u1ea7n kinh c\u0169ng lan t\u1edbi nhi\u1ec1u h\u01a1n.<\/p>\n\n\n\n

C\u00e1c d\u1ea5u hi\u1ec7u c\u00f3 th\u1ec3 g\u1eb7p li\u00ean quan \u0111\u1ebfn v\u1ecb tr\u00ed xu\u1ea5t hi\u1ec7n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung nh\u01b0: \u0111au khi \u0111i \u0111\u1ea1i ti\u1ec7n, ph\u1ed1i h\u1ee3p v\u1edbi t\u00e1o b\u00f3n, ti\u00eau ch\u1ea3y hay ra m\u00e1u khi \u0111\u1ea1i ti\u1ec7n.<\/p>\n\n\n\n

\u0110\u00e1i kh\u00f3, \u0111\u00e1i r\u1eaft, \u0111au v\u00f9ng tr\u00ean mu, \u0111\u00e1i m\u00e1u c\u00f3 th\u1ec3 g\u1eb7p khi t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c xu\u1ea5t hi\u1ec7n t\u1ea1i b\u00e0ng quang. N\u1ebfu xu\u1ea5t hi\u1ec7n t\u1ea1i ni\u1ec7u qu\u1ea3n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn gi\u00e3n t\u1eafc \u0111\u00e0i b\u1ec3 th\u1eadn, ni\u1ec7u qu\u1ea3n v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n\n\n\n

T\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung t\u1ea1i l\u1ed3ng ng\u1ef1c c\u0169ng c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n, c\u00e1c d\u1ea5u hi\u1ec7u c\u01a1n \u0111au vai v\u00e0 \u0111au ng\u1ef1c theo t\u00ednh chu k\u1ef3, ho ra m\u00e1u, tr\u00e0n kh\u00ed m\u00e0ng ph\u1ed5i th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n b\u00ean ph\u1ea3i.<\/p>\n\n\n\n

4. L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u00f3 g\u00e2y v\u00f4 sinh ?<\/strong><\/p>\n\n\n\n

T\u1ef7 l\u1ec7 b\u1ec7nh nh\u00e2n v\u00f4 sinh c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh l\u00fd l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung chi\u1ebfm t\u1ef7 l\u1ec7 20-30%. C\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung d\u1eabn t\u1edbi d\u00ednh ti\u1ec3u khung bi\u1ebfn \u0111\u1ed5i gi\u1ea3i ph\u1eabu ti\u1ec3u khung l\u00e0m loa v\u00f2i kh\u00f4ng \u0111\u00f3n \u0111\u01b0\u1ee3c no\u00e3n ch\u00edn v\u00e0 kh\u00f4ng \u0111\u01b0a no\u00e3n di chuy\u1ec3n v\u1ec1 bu\u1ed3ng t\u1eed cung \u0111\u01b0\u1ee3c do v\u00f2i t\u1eed cung t\u1eafc d\u00ednh. \u0110\u00e2y l\u00e0 nh\u1eefng \u1ea3nh h\u01b0\u1edfng c\u01a1 h\u1ecdc d\u1ec5 quan s\u00e1t th\u1ea5y.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Ngo\u00e0i ra, l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u00f2n l\u00e0m bi\u1ebfn \u0111\u1ed5i s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a nang no\u00e3n, qu\u00e1 tr\u00ecnh ph\u00f3ng no\u00e3n, ch\u1ea5t l\u01b0\u1ee3ng no\u00e3n v\u00e0 ph\u00f4i v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ph\u00f4i v\u00e0 qu\u00e1 tr\u00ecnh l\u00e0m t\u1ed5. T\u1ea5t c\u1ea3 qu\u00e1 tr\u00ecnh n\u00e0y \u0111\u1ec1u b\u1ecb \u1ea3nh h\u01b0\u1edfng v\u00e0 d\u1eabn \u0111\u1ebfn v\u00f4 sinh.<\/p>\n\n\n\n

M\u1ed9t nghi\u00ean c\u1ee9u cho th\u1ea5y, kh\u1ea3 n\u0103ng th\u1ee5 thai t\u1ef7 l\u1ec7 ngh\u1ecbch m\u1ee9c \u0111\u1ed9 n\u1eb7ng c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung: th\u1ec3 nh\u1eb9 kh\u1ea3 n\u0103ng th\u1ee5 thai t\u00ednh theo th\u00e1ng l\u00e0 8,7%; th\u1ec3 trung b\u00ecnh l\u00e0 3,2%; v\u1edbi th\u1ec3 n\u1eb7ng kh\u1ea3 n\u0103ng th\u1ee5 thai b\u1eb1ng kh\u00f4ng.<\/p>\n\n\n\n

Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n \u1edf th\u1ec3 n\u1eb7ng n\u1ebfu \u0111\u01b0\u1ee3c l\u00e0m th\u1ee5 tinh \u1ed1ng nghi\u1ec7m th\u00ec kh\u1ea3 n\u0103ng l\u00e0m t\u1ed5 v\u00e0 t\u1ef7 l\u1ec7 c\u00f3 thai c\u0169ng k\u00e9m h\u01a1n so v\u1edbi b\u1ec7nh nh\u00e2n th\u1ec3 nh\u1eb9.<\/p>\n\n\n\n

5. Ch\u1ea9n \u0111o\u00e1n nh\u01b0 th\u1ebf n\u00e0o ?<\/strong><\/p>\n\n\n\n

\u0110\u1ed1i v\u1edbi b\u1ec7nh l\u00fd l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, th\u1eddi gian t\u1eeb khi xu\u1ea5t hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111\u1ea7u ti\u00ean \u0111\u1ebfn khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb th\u01b0\u1eddng m\u1ea5t m\u1ed9t kho\u1ea3ng th\u1eddi gian trung b\u00ecnh l\u00e0 7 n\u0103m.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

Qu\u00e1 tr\u00ecnh ch\u1ea9n \u0111o\u00e1n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u0169ng c\u00f3 nh\u1eefng thay \u0111\u1ed5i \u0111\u00e1ng k\u1ec3. Tr\u01b0\u1edbc kia, gi\u1ea3i ph\u1eabu b\u1ec7nh l\u00e0 ti\u00eau chu\u1ea9n v\u00e0ng \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. Sau \u0111\u00f3 theo Hi\u1ec7p h\u1ed9i S\u1ea3n ph\u1ee5 khoa Hoa K\u1ef3 ACOG (2014), ch\u1ec9 c\u1ea7n quan s\u00e1t c\u00e1c t\u1ed5n th\u01b0\u01a1ng c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung th\u00f4ng qua n\u1ed9i soi \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 ho\u00e0n to\u00e0n ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

H\u01b0\u1edbng d\u1eabn c\u1ee7a hi\u1ec7p h\u1ed9i Sinh s\u1ea3n v\u00e0 Ph\u00f4i thai Ch\u00e2u \u00c2u ESRHE (2013) nh\u1eadn \u0111\u1ecbnh, si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

Cho \u0111\u1ebfn th\u1eddi \u0111i\u1ec3m hi\u1ec7n nay, Hi\u1ec7p h\u1ed9i L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung Ch\u00e2u \u00c1 -Th\u00e1i B\u00ecnh D\u01b0\u01a1ng 2019 \u0111\u1ec1 xu\u1ea5t, d\u1ef1a v\u00e0o t\u00ednh ch\u1ea5t \u0111au chu k\u1ef3 \u0111i\u1ec3n h\u00ecnh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. Ng\u01b0\u1eddi b\u1ec7nh xu\u1ea5t hi\u1ec7n c\u00e1c c\u01a1n \u0111au b\u1ee5ng kinh c\u00f3 t\u00ednh chu k\u1ef3 c\u00f3 th\u1ec3 l\u00e0m th\u1eed nghi\u1ec7m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c tr\u00e1nh thai trong 3 chu k\u1ef3 li\u00ean ti\u1ebfp n\u1ebfu c\u00e1c c\u01a1n \u0111au m\u1ea5t \u0111i c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n b\u1ec7nh nh\u00e2n m\u1eafc l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm cho ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n

G\u1ea7n \u0111\u00e2y, tr\u00ean th\u1ebf gi\u1edbi c\u0169ng \u0111ang th\u1eed nghi\u1ec7m test n\u01b0\u1edbc b\u1ecdt \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n s\u1edbm l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n

6. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/p>\n\n\n\n

\u0110i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung nh\u1eb1m 2 m\u1ee5c \u0111\u00edch ch\u00ednh l\u00e0 ch\u1eefa \u0111au v\u00e0 v\u00f4 sinh, v\u1edbi 3 m\u1ee5c ti\u00eau: \u0111i\u1ec1u tr\u1ecb nh\u1eb1m gi\u1ea3m ti\u1ebfn tri\u1ec3n c\u1ee7a t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung; b\u1ea3o t\u1ed3n sinh s\u1ea3n, ph\u00f2ng ng\u1eeba ti\u1ebfn tri\u1ec3n \u0111au m\u1ea1n t\u00ednh.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

V\u00ec v\u1eady, \u0111i\u1ec1u tr\u1ecb ph\u1eabu th\u1eadt kh\u00f4ng ph\u1ea3i l\u00e0 c\u00e1ch th\u1ee9c \u0111i\u1ec1u tr\u1ecb l\u00fd t\u01b0\u1edfng v\u00ec n\u1ebfu mu\u1ed1n \u0111i\u1ec1u tr\u1ecb tri\u1ec7t \u0111\u1ec3 \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c l\u1ea5y b\u1ecf to\u00e0n b\u1ed9 c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung \u1edf kh\u1eafp n\u01a1i. \u0110i\u1ec1u n\u00e0y r\u1ea5t kh\u00f3 v\u00ec c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung th\u01b0\u1eddng r\u1ea5t d\u00ednh, c\u1eaft b\u1ecf h\u1ebft c\u00e1c t\u1ed5n th\u01b0\u01a1ng th\u01b0\u1eddng kh\u00f3 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi c\u00e1c tai bi\u1ebfn sau m\u1ed5 nh\u01b0 h\u1eb9p ni\u1ec7u qu\u1ea3n ho\u1eb7c r\u00f2 ni\u1ec7u qu\u1ea3n v\u00e0o \u1ed5 ph\u00fac m\u1ea1c\u2026<\/p>\n\n\n\n

V\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung t\u1ea1i bu\u1ed3ng tr\u1ee9ng, c\u00e0ng c\u1ed1 l\u1ea5y h\u1ebft t\u1ed5n th\u01b0\u01a1ng \u0111\u1ec3 tr\u00e1nh t\u00e1i ph\u00e1t th\u00ec s\u1ebd l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng c\u00e1c nang tr\u1ee9ng l\u00e0nh, gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng d\u1eabn t\u1edbi v\u00f4 sinh v\u00e0 m\u00e3n kinh s\u1edbm.<\/p>\n\n\n\n

V\u1edbi c\u00e1c t\u1ed5n th\u01b0\u01a1ng s\u00e2u th\u00e2m nhi\u1ec5m v\u00e0o b\u00e0ng quang, \u0111\u1ea1i tr\u00e0ng ho\u1eb7c th\u00e0nh ch\u1eadu s\u1ebd l\u00e0 tr\u1edf ng\u1ea1i l\u1edbn cho c\u00e1c nh\u00e0 ph\u1eabu thu\u1eadt ph\u1ee5 khoa, c\u00e1c tai bi\u1ebfn trong v\u00e0 sau m\u1ed5 kh\u00f4ng hi\u1ebfm. N\u1ebfu kh\u00f4ng l\u1ea5y b\u1ecf \u0111\u01b0\u1ee3c h\u1ebft c\u00e1c t\u1ed5n th\u01b0\u01a1ng l\u1ea1c n\u1ed9i m\u1ea1c th\u00ec nguy c\u01a1 t\u00e1i ph\u00e1t r\u1ea5t cao v\u00e0 ng\u01b0\u1eddi b\u1ec7nh l\u1ea1i ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi vi\u1ec7c ti\u1ebfp t\u1ee5c ph\u1eabu thu\u1eadt nhi\u1ec1u l\u1ea7n ti\u1ebfp theo.<\/p>\n\n\n\n

Ch\u00ednh v\u00ec v\u1eady xu h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung hi\u1ec7n nay l\u00e0 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa, h\u1ea1n ch\u1ebf t\u1ed1i \u0111a ph\u1eabu thu\u1eadt. Ng\u01b0\u1eddi b\u1ec7nh ch\u1ec9 n\u00ean ph\u1eabu thu\u1eadt khi c\u00f3 k\u1ebf ho\u1ea1ch c\u00f3 thai v\u00e0 sinh con ngay sau \u0111\u00f3, h\u1ea1n ch\u1ebf \u0111\u01b0\u1ee3c s\u1ed1 l\u1ea7n m\u1ed5 t\u1ed1i \u0111a, c\u1ed1 g\u1eafng ch\u1ec9 m\u1ed5 m\u1ed9t l\u1ea7n l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung trong cu\u1ed9c \u0111\u1eddi.<\/p>\n\n\n\n

G\u1ea7n \u0111\u00e2y, m\u1ed9t v\u1ea5n \u0111\u1ec1 \u0111\u01b0\u1ee3c \u0111\u1ed3ng thu\u1eadn l\u1edbn trong \u0111i\u1ec1u tr\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung ch\u00ednh l\u00e0 c\u00e1 th\u1ec3 h\u00f3a \u0111i\u1ec1u tr\u1ecb, v\u00ec kh\u00f4ng c\u00f3 m\u1ed9t ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb n\u00e0o c\u00f3 th\u1ec3 \u0111\u1ea1i di\u1ec7n cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3. V\u00ec v\u1eady, b\u1ec7nh nh\u00e2n c\u1ea7n \u0111\u01b0\u1ee3c b\u00e1c s\u0129 th\u0103m kh\u00e1m, theo d\u00f5i v\u00e0 c\u00e2n nh\u1eafc bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u00edch h\u1ee3p nh\u1ea5t.<\/p>\n\n\n\n

L\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129<\/strong>
\u0110\u1ec3 ph\u00e1t hi\u1ec7n v\u00e0 \u0111i\u1ec1u tr\u1ecb s\u1edbm l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, ch\u1ecb em ph\u1ee5 n\u1eef n\u1ebfu c\u00f3 d\u1ea5u hi\u1ec7u \u0111au b\u1ee5ng kinh v\u00e0 \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c th\u00ec n\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n s\u1ea3n ph\u1ee5 khoa \u0111\u1ec3 kh\u00e1m v\u00e0 c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, ng\u0103n ng\u1eeba nh\u1eefng h\u1eadu qu\u1ea3 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 ch\u1ee9c n\u0103ng sinh s\u1ea3n.
Ch\u1ecb em c\u1ea7n l\u01b0u \u00fd, khi c\u00f3 d\u1ea5u hi\u1ec7u \u0111au b\u1ee5ng kinh kh\u00f4ng n\u00ean ch\u1ee7 quan ch\u1ec9 d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au m\u00e0 kh\u00f4ng \u0111i kh\u00e1m t\u00ecm nguy\u00ean nh\u00e2n \u0111\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb. Vi\u1ec7c d\u00f9ng thu\u1ed1c gi\u1ea3m \u0111au ch\u1ec9 c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng ch\u1ee9 kh\u00f4ng ng\u0103n ch\u1eb7n \u0111\u01b0\u1ee3c ti\u1ebfn tri\u1ec3n c\u1ee7a b\u1ec7nh. M\u1eb7t kh\u00e1c, vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au k\u00e9o d\u00e0i c\u00f2n c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng t\u00e1c d\u1ee5ng kh\u00f4ng mong mu\u1ed1n, th\u1eadm ch\u00ed c\u0169ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng mang thai.<\/p>\n\n\n\n

Ngu\u1ed3n B\u00e1o S\u1ee9c kh\u1ecfe & \u0110\u1eddi s\u1ed1ng: https:\/\/suckhoedoisong.vn\/lac-noi-mac-tu-cung-co-the-gay-vo-sinh-va-dau-hieu-can-di-kham-169221120213647132.htm<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. C\u0103n b\u1ec7nh n\u00e0y g\u00e2y nh\u1eefng c\u01a1n \u0111au kh\u00f3 ch\u1ecbu v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ee5 thai \u1edf ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Tuy nhi\u00ean, nhi\u1ec1u ch\u1ecb em v\u1eabn r\u1ea5t ch\u1ee7 quan.<\/p>\n","protected":false},"author":3,"featured_media":4340,"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":[90,75,22],"tags":[],"class_list":["post-5426","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nguyen-nhan-vo-sinh","category-tin-tuc","category-vo-sinh-hiem-muon"],"acf":[],"yoast_head":"\nL\u1ea0C N\u1ed8I M\u1ea0C T\u1eec CUNG C\u00d3 TH\u1ec2 G\u00c2Y V\u00d4 SINH V\u00c0 D\u1ea4U HI\u1ec6U C\u1ea6N \u0110I KH\u00c1M - 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\/lac-noi-mac-tu-cung-co-the-gay-vo-sinh-va-dau-hieu-can-di-kham\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u1ea0C N\u1ed8I M\u1ea0C T\u1eec CUNG C\u00d3 TH\u1ec2 G\u00c2Y V\u00d4 SINH V\u00c0 D\u1ea4U HI\u1ec6U C\u1ea6N \u0110I KH\u00c1M - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n. 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