{"id":6130,"date":"2023-04-04T11:59:31","date_gmt":"2023-04-04T04:59:31","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=6130"},"modified":"2024-08-02T15:42:07","modified_gmt":"2024-08-02T08:42:07","slug":"tim-hieu-phuong-phap-dieu-tri-vo-sinh-kha-quan-nhat-hien-nay","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/tim-hieu-phuong-phap-dieu-tri-vo-sinh-kha-quan-nhat-hien-nay\/","title":{"rendered":"T\u00ecm hi\u1ec3u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh kh\u1ea3 quan nh\u1ea5t hi\u1ec7n nay"},"content":{"rendered":"\n

V\u00f4 sinh hi\u1ebfm mu\u1ed9n l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n l\u1edbn g\u00e2y n\u00ean r\u1ea1n n\u1ee9t gia \u0111\u00ecnh. Tuy nhi\u00ean, v\u1edbi s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh ra \u0111\u1eddi \u0111\u00e3 gi\u1ea3i quy\u1ebft ph\u1ea7n n\u00e0o n\u1ed7i lo \u1ea5y cho c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng kh\u00f4ng may r\u01a1i v\u00e0o c\u1ea3nh v\u00f4 sinh hi\u1ebfm mu\u1ed9n. C\u00f9ng B\u1ec7nh vi\u1ec7n Vi\u1ec7t B\u1ec9 t\u00ecm hi\u1ec3u c\u00e1c k\u1ef9 thu\u1eadt h\u1ed7 tr\u1ee3 sinh s\u1ea3n kh\u1ea3 quan hi\u1ec7n nay.\u00a0<\/p>\n\n\n\n

M\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n g\u00e2y v\u00f4 sinh<\/strong><\/h2>\n\n\n\n

Nguy\u00ean nh\u00e2n t\u1eeb ng\u01b0\u1eddi v\u1ee3<\/strong><\/h3>\n\n\n\n

R\u1ed1i lo\u1ea1n r\u1ee5ng tr\u1ee9ng<\/strong><\/h4>\n\n\n\n

T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c g\u00e2y ra b\u1edfi r\u1ea5t nhi\u1ec1u nguy\u00ean nh\u00e2n. M\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn l\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1. Khi tuy\u1ebfn y\u00ean kh\u00f4ng t\u01b0\u01a1ng t\u00e1c v\u1edbi bu\u1ed3ng tr\u1ee9ng v\u00e0 c\u00e1c nang tr\u1ee9ng ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng, s\u1ef1 r\u1ee5ng tr\u1ee9ng s\u1ebd kh\u00f4ng x\u1ea3y ra. M\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft t\u1ed1 th\u01b0\u1eddng g\u00e2y ra b\u1edfi ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng, ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t kh\u00f4ng khoa h\u1ecdc, ho\u1eb7c do c\u00e2n n\u1eb7ng c\u01a1 th\u1ec3, ho\u1eb7c do y\u1ebfu t\u1ed1 di truy\u1ec1n.\u00a0<\/p>\n\n\n\n

T\u1eafc \u1ed1ng d\u1eabn tr\u1ee9ng<\/strong><\/h4>\n\n\n\n

T\u1eafc \u1ed1ng d\u1eabn tr\u1ee9ng<\/a> l\u00e0 nguy\u00ean nh\u00e2n n\u00e0y chi\u1ebfm 25% trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh \u1edf n\u1eef gi\u1edbi. Khi \u1ed1ng d\u1eabn tr\u1ee9ng b\u1ecb t\u1eafc, tr\u1ee9ng s\u1ebd kh\u00f4ng th\u1ec3 di chuy\u1ec3n \u0111\u01b0\u1ee3c t\u1eeb bu\u1ed3ng tr\u1ee9ng xu\u1ed1ng t\u1eed cung. Khi n\u00e0y, kh\u1ea3 n\u0103ng th\u1ee5 thai l\u00e0 b\u1eb1ng 0. T\u00ecnh tr\u1ea1ng g\u00e2y ra t\u1eafc \u1ed1ng d\u1eabn tr\u1ee9ng ch\u1ee7 y\u1ebfu do nhi\u1ec5m khu\u1ea9n, do u x\u01a1 t\u1eed cung ho\u1eb7c c\u00f3 thai ngo\u00e0i t\u1eed cung.\u00a0<\/p>\n\n\n\n

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/h4>\n\n\n\n

30 -35 % c\u00e1c ca v\u00f4 sinh \u0111\u1ebfn t\u1eeb nguy\u00ean nh\u00e2n n\u00e0y. Hi\u1ec7n ch\u01b0a x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c c\u0103n nguy\u00ean g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng n\u00e0y. B\u00ecnh th\u01b0\u1eddng trong k\u1ef3 kinh nguy\u1ec7t, l\u1edbp l\u00f3t m\u1eb7t trong c\u1ee7a t\u1eed cung s\u1ebd \u0111\u01b0\u1ee3c t\u1ea1o th\u00e0nh v\u00e0 bong ra m\u1ed7i th\u00e1ng, \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 t\u1ebf b\u00e0o n\u1ed9i m\u1ea1c. L\u1ea1c n\u1ed9i m\u1ea1c x\u1ea3y ra khi nh\u1eefng t\u1ebf b\u00e0o n\u00e0y di chuy\u1ec3n \u0111\u1ebfn m\u1ed9t n\u01a1i kh\u00e1c ngo\u00e0i bu\u1ed3ng t\u1eed cung v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf c\u01a1 th\u1ec3. T\u00ecnh tr\u1ea1ng n\u00e0y g\u00e2y t\u00edch t\u1ee5 m\u00e1u, g\u00e2y d\u00ednh v\u00e0 kh\u00f4ng th\u1ee5 thai \u0111\u01b0\u1ee3c.\u00a0<\/p>\n\n\n\n

Bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOS)<\/strong><\/h4>\n\n\n\n

\u0110\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 r\u1ed1i lo\u1ea1n li\u00ean quan \u0111\u1ebfn m\u1ea5t c\u00e2n b\u1eb1ng hormone v\u00e0 kh\u00e1ng insulin, g\u00e2y n\u00ean c\u00e1c hi\u1ec7n t\u01b0\u1ee3ng b\u1ea5t th\u01b0\u1eddng trong chu k\u00ec. C\u00e1c hi\u1ec7n t\u01b0\u1ee3ng ph\u1ea3i k\u1ec3 t\u00ean \u0111\u00f3 l\u00e0 th\u1eeba c\u00e2n, r\u1eadm l\u00f4ng, m\u1ee5n, l\u00e0m r\u1ee5ng t\u00f3c,.. Tri\u1ec7u ch\u1ee9ng PCOS<\/a> \u1ea3nh h\u01b0\u1edfng t\u1edbi 4 -18 % ph\u1ee5 n\u1eef \u1edf \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb. Th\u01b0\u1eddng nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y r\u1ea5t kh\u00f3 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n.\u00a0<\/p>\n\n\n\n

Suy bu\u1ed3ng tr\u1ee9ng s\u1edbm<\/strong><\/h4>\n\n\n\n

T\u00ecnh tr\u1ea1ng n\u00e0y \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua x\u00e9t nghi\u1ec7m AMH. Ch\u1ec9 s\u1ed1 AMH c\u00e0ng th\u1ea5p, kh\u1ea3 n\u0103ng d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng th\u1ea5p. N\u1ebfu ch\u1ec9 s\u1ed1 AMH th\u1ea5p trong \u0111\u1ed9 tu\u1ed5i d\u01b0\u1edbi 40 c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a suy bu\u1ed3ng tr\u1ee9ng s\u1edbm. Nhi\u1ec1u y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng t\u1edbi bu\u1ed3ng tr\u1ee9ng v\u00e0 tr\u1ee9ng nh\u01b0 m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft, di truy\u1ec1n, \u0111i\u1ec1u tr\u1ecb ung th\u01b0, l\u1ed1i s\u1ed1ng kh\u00f4ng l\u00e0nh m\u1ea1nh, nghi\u1ec7n r\u01b0\u1ee3u bia, m\u00f4i tr\u01b0\u1eddng s\u1ed1ng \u0111\u1ed9c h\u1ea1i.<\/p>\n\n\n\n

\"Suy
Suy bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua x\u00e9t nghi\u1ec7m AMH<\/em> <\/figcaption><\/figure>\n\n\n\n

Nguy\u00ean nh\u00e2n t\u1eeb ng\u01b0\u1eddi ch\u1ed3ng<\/strong><\/h3>\n\n\n\n

L\u01b0\u1ee3ng tinh tr\u00f9ng th\u1ea5p<\/strong><\/h4>\n\n\n\n

Th\u00f3i quen sinh ho\u1ea1t kh\u00f4ng l\u00e0nh m\u1ea1nh, u\u1ed1ng nhi\u1ec1u r\u01b0\u1ee3u bia, h\u00fat thu\u1ed1c, \u00f4 nhi\u1ec5m m\u00f4i tr\u01b0\u1eddng s\u1ed1ng, m\u1eb7c qu\u1ea7n \u00e1o qu\u00e1 ch\u1eadt, s\u1eed d\u1ee5ng h\u00f3a tr\u1ecb,… l\u00e0 nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y n\u00ean t\u00ecnh tr\u1ea1ng n\u00e0y.\u00a0<\/p>\n\n\n\n

Tinh tr\u00f9ng y\u1ebfu<\/strong><\/h4>\n\n\n\n

Tinh tr\u00f9ng y\u1ebfu<\/a> bi\u1ec3u hi\u1ec7n \u1edf vi\u1ec7c tinh tr\u00f9ng b\u01a1i kh\u00f4ng \u0111\u00fang c\u00e1ch. Nguy\u00ean nh\u00e2n n\u00e0y chi\u1ebfm t\u1ef7 l\u1ec7 25% c\u00e1c ca ch\u1ea9n \u0111o\u00e1n v\u00f4 sinh.\u00a0<\/p>\n\n\n\n

Kh\u00e1ng th\u1ec3 kh\u00e1ng tinh tr\u00f9ng<\/strong><\/h4>\n\n\n\n

Nam gi\u1edbi c\u00f3 th\u1ec3 t\u1ea1o ra c\u00e1c kh\u00e1ng th\u1ec3 kh\u00e1ng tinh tr\u00f9ng ch\u1ed1ng l\u1ea1i tinh tr\u00f9ng c\u1ee7a b\u1ea3n th\u00e2n. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y x\u1ea3y ra sau khi th\u1ef1c hi\u1ec7n ph\u1eabu thu\u1eadt ( sinh thi\u1ebft, th\u1eaft \u1ed1ng d\u1eabn tinh ) ho\u1eb7c sau khi tinh ho\u00e0n b\u1ecb th\u01b0\u01a1ng ho\u1eb7c l\u00e0 h\u1ec7 qu\u1ea3 c\u1ee7a vi\u00eam ti\u1ec1n li\u1ec7t tuy\u1ebfn. C\u00f3 70% t\u1ed5ng c\u00e1c ca th\u1eaft \u1ed1ng d\u1eabn tinh t\u1ea1o ra hi\u1ec7n t\u01b0\u1ee3ng t\u1ef1 mi\u1ec5n.\u00a0<\/p>\n\n\n\n

\u1ede m\u1ed9t s\u1ed1 n\u1eef gi\u1edbi, h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch t\u1ef1 \u0111\u1ed9ng t\u1ea1o ra kh\u00e1ng th\u1ec3 \u0111\u1ec3 ch\u1ed1ng l\u1ea1i s\u1ef1 th\u00e2m nh\u1eadp c\u1ee7a tinh tr\u00f9ng c\u1ee7a b\u1ea1n \u0111\u1eddi. S\u1ef1 k\u00edch \u1ee9ng c\u1ee7a c\u00e1c m\u00f4 \u00e2m \u0111\u1ea1o v\u1edbi tinh d\u1ecbch d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng m\u1ea9n ng\u1ee9a, vi\u00eam lo\u00e9t\u00a0 ho\u1eb7c c\u1ea3m th\u1ea5y \u0111au khi quan h\u1ec7<\/p>\n\n\n\n

T\u1eafc m\u00e0o tinh<\/strong><\/h4>\n\n\n\n

T\u00ecnh tr\u1ea1ng n\u00e0y x\u1ea3y ra \u0111a ph\u1ea7n l\u00e0 do vi\u00eam nhi\u1ec5m, do m\u1eafc c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c nh\u01b0 b\u1ec7nh l\u1eadu, nhi\u1ec5m khu\u1ea9n virus Chlamydia. C\u00e1c lo\u1ea1i b\u1ec7nh n\u00e0y n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi s\u1ebd g\u00e2y t\u1eafc m\u00e0o tinh v\u00e0 d\u1eabn \u0111\u1ebfn v\u00f4 sinh.\u00a0<\/p>\n\n\n\n

\"T\u1eafc
T\u1eafc m\u00e0o tinh x\u1ea3y ra \u0111a ph\u1ea7n do s\u1ef1 vi\u00eam nhi\u1ec5m<\/em> <\/figcaption><\/figure>\n\n\n\n

C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh kh\u1ea3 quan hi\u1ec7n nay<\/strong><\/h2>\n\n\n\n

Hi\u1ec7n nay, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 sinh s\u1ea3n ph\u1ed5 bi\u1ebfn nh\u1ea5t v\u00e0 \u0111\u1ea1t t\u1ef7 l\u1ec7 \u0111\u1eadu thai cao nh\u1ea5t ph\u1ea3i k\u1ec3 \u0111\u1ebfn hai ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m IVF.\u00a0<\/p>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m – IVF<\/strong><\/h3>\n\n\n\n

\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh kh\u00e1 ph\u1ed5 bi\u1ebfn. IVF g\u1ecdi t\u00ean \u0111\u1ea7y \u0111\u1ee7 l\u00e0 In Vitro Fertilization, th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m. Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, tinh tr\u00f9ng s\u1ebd \u0111\u01b0\u1ee3c th\u1ee5 thai v\u1edbi tr\u1ee9ng b\u00ean trong \u1ed1ng nghi\u1ec7m. Ph\u00f4i t\u1ea1o th\u00e0nh t\u1eeb s\u1ef1 th\u1ee5 tinh n\u00e0y s\u1ebd \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc v\u00e0 chuy\u1ec3n v\u00e0o bu\u1ed3ng tr\u1ee9ng. \u0110\u00e2y l\u00e0 gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u nh\u1ea5t khi ph\u01b0\u01a1ng ph\u00e1p IUI \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh kh\u00f4ng th\u00e0nh c\u00f4ng.\u00a0<\/p>\n\n\n\n

\"IVF
IVF l\u00e0 gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u nh\u1ea5t khi ph\u01b0\u01a1ng ph\u00e1p IUI \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh kh\u00f4ng th\u00e0nh c\u00f4ng<\/em> <\/figcaption><\/figure>\n\n\n\n

Ph\u01b0\u01a1ng ph\u00e1p b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung IUI<\/strong><\/h3>\n\n\n\n

IUI g\u1ecdi \u0111\u1ea7y \u0111\u1ee7 l\u00e0 Intrauterine Insemination, th\u1ee5 tinh nh\u00e2n t\u1ea1o. V\u1edbi k\u1ef9 thu\u1eadt n\u00e0y, tinh tr\u00f9ng s\u1ebd \u0111\u01b0\u1ee3c b\u01a1m v\u00e0o bu\u1ed3ng t\u1eed cung b\u1eb1ng m\u1ed9t \u1ed1ng th\u00f4ng nh\u1ecf, m\u1ec1m, m\u1ea3nh \u0111i qua c\u1ed5 t\u1eed cung. Tinh tr\u00f9ng s\u1ebd \u0111\u01b0\u1ee3c l\u1ecdc r\u1eeda tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o bu\u1ed3ng t\u1eed cung. \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p gi\u00fap r\u00fat ng\u1eafn th\u1eddi gian tinh tr\u00f9ng g\u1eb7p tr\u1ee9ng, t\u0103ng c\u01a1 h\u1ed9i th\u1ee5 thai.<\/p>\n\n\n\n

\"Ph\u01b0\u01a1ng
Ph\u01b0\u01a1ng ph\u00e1p b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung IUI<\/em> <\/figcaption><\/figure>\n\n\n\n

T\u1ed5ng k\u1ebft<\/strong><\/h2>\n\n\n\n

S\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i khi\u1ebfn v\u1ea5n \u0111\u1ec1 v\u00f4 sinh kh\u00f4ng c\u00f2n l\u00e0 m\u1ed1i lo l\u1edbn c\u1ee7a c\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng kh\u00f4ng may r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng v\u00f4 sinh hi\u1ebfm mu\u1ed9n. Tuy v\u1eady, chi ph\u00ed b\u1ecf ra \u0111\u1ec3 kh\u00e1m m\u1ed7i ca b\u1ec7nh l\u00e0 kh\u00f4ng h\u1ec1 nh\u1ecf. B\u1edfi v\u1eady, vi\u1ec7c c\u00e2n nh\u1eafc l\u1ef1a ch\u1ecdn c\u00e1c ph\u00f2ng kh\u00e1m, b\u1ec7nh vi\u1ec7n uy t\u00edn l\u00e0 \u0111i\u1ec1u h\u1ebft s\u1ee9c c\u1ea7n thi\u1ebft. B\u1ec7nh vi\u1ec7n Vi\u1ec7t B\u1ec9 t\u1ef1 tin l\u00e0 n\u01a1i \u0111\u01b0a ra cho b\u1ea1n gi\u1ea3i ph\u00e1p t\u1ed1i \u01b0u v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cao. Li\u00ean h\u1ec7 ngay B\u1ec7nh vi\u1ec7n Vi\u1ec7t B\u1ec9 \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 t\u01b0 v\u1ea5n n\u1ebfu b\u1ea1n c\u00f3 nhu c\u1ea7u. <\/p>\n","protected":false},"excerpt":{"rendered":"

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