{"id":646,"date":"2016-12-16T16:38:25","date_gmt":"2016-12-16T09:38:25","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=646"},"modified":"2021-01-06T08:58:52","modified_gmt":"2021-01-06T01:58:52","slug":"tu-van-ve-dieu-tri-hiem-muon","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/tu-van-ve-dieu-tri-hiem-muon\/","title":{"rendered":"[:vi]TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7: T\u01b0 v\u1ea5n v\u1ec1 \u0111i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n b\u00e1o VNExpress[:]"},"content":{"rendered":"

[:vi]<\/p>\n

B\u00e1c s\u0129 L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7, chuy\u00ean khoa Nam h\u1ecdc v\u00e0 Hi\u1ebfm mu\u1ed9n, t\u01b0 v\u1ea5n v\u1ec1 \u0111i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n.<\/h3>\n

link vnexpress<\/a> ( http:\/\/vnexpress.net\/phong-van-truc-tuyen\/tu-van-ve-dieu-tri-hiem-muon-3266285.html )<\/p>\n

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Ch\u00e0o b\u00e1c s\u0129, 2 v\u1ee3 ch\u1ed3ng ch\u00e1u l\u1ea5y nhau \u0111\u00e3 2 n\u0103m m\u00e0 ch\u01b0a c\u00f3 em b\u00e9, ch\u00fang ch\u00e1u \u0111\u00e3 l\u00e0m t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m:<\/em>
\n– Ch\u1ed3ng: Tinh d\u1ecbch \u0111\u1ed3<\/em>
\n– V\u1ee3: X\u00e9t nghi\u1ec7m t\u1ed5ng qu\u00e1t, n\u1ed9i ti\u1ebft, ch\u1ee5p t\u1eed cung, v\u00f2i tr\u1ee9ng.<\/em>
\nC\u1ea3 2 \u0111\u1ec1u b\u00ecnh th\u01b0\u1eddng. Ch\u00fang ch\u00e1u \u0111\u1ec1u m\u1ea1nh kh\u1ecfe, \u00edt khi b\u1ec7nh t\u1eadt. Ri\u00eang v\u00f2ng kinh th\u00ec ch\u00e1u b\u1ecb th\u1ea5t th\u01b0\u1eddng 2-3 th\u00e1ng. Quan h\u1ec7 trung b\u00ecnh 3 l\u1ea7n m\u1ed9t tu\u1ea7n.\u00a0Cho ch\u00e1u h\u1ecfi c\u00f3 nh\u1eefng kh\u1ea3 n\u0103ng n\u00e0o khi\u1ebfn ch\u00fang ch\u00e1u l\u00e2u c\u00f3 em b\u00e9 nh\u01b0 v\u1eady? Xin n\u00f3i th\u00eam l\u00e0 ch\u00e1u kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ee9ng th\u00fa l\u1eafm trong chuy\u1ec7n ch\u0103n g\u1ed1i d\u00f9 r\u1ea5t ch\u1ee7 \u0111\u1ed9ng t\u00ecm hi\u1ec3u, h\u1ecdc h\u1ecfi, ch\u1ed3ng ch\u00e1u lu\u00f4n l\u1eafng nghe v\u00e0 l\u00e0m theo nh\u1eefng g\u00ec ch\u00e1u y\u00eau c\u1ea7u, nh\u01b0ng kh\u00f4ng hi\u1ec3u sao c\u01a1 th\u1ec3 ch\u00e1u r\u1ea5t kh\u00f3 h\u01b0ng ph\u1ea5n. \u0110i\u1ec1u n\u00e0y c\u00f3 \u1ea3nh h\u01b0\u1edfng g\u00ec \u0111\u1ebfn vi\u1ec7c c\u00f3 em b\u00e9 kh\u00f4ng \u1ea1?<\/em><\/p>\n

B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/p>\n<\/div>\n

Thanh Mai, 31 tu\u1ed5i, Trung V\u0103n<\/div>\n<\/div>\n
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Ch\u00e0o Thanh Mai!<\/p>\n

Theo t\u00e2m s\u1ef1 c\u1ee7a b\u1ea1n th\u00ec c\u00e1c b\u1ea1n b\u1ecb v\u00f4 sinh ti\u00ean ph\u00e1t. V\u00ec v\u00f4 sinh l\u00e0 t\u00ecnh tr\u1ea1ng m\u00e0 c\u1eb7p v\u1ee3 ch\u1ed3ng kh\u00f4ng c\u00f3 thai sau m\u1ed9t n\u0103m chung s\u1ed1ng, quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng h\u1ec1 s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o.<\/p>\n

X\u00e9t nghi\u1ec7m c\u1ee7a hai v\u1ee3 ch\u1ed3ng l\u00e0 b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng t\u00f4i kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft k\u1ebft qu\u1ea3 g\u1ed3m n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c c\u1ee7a v\u1ee3, k\u1ebft qu\u1ea3 si\u00eau \u00e2m ng\u00e0y th\u1ee9 hai chu k\u1ef3. gi\u1eefa chu k\u1ef3, giai \u0111o\u1ea1n ph\u00f3ng no\u00e3n \u0111\u00e1nh gi\u00e1 nang no\u00e3n tr\u01b0\u1edfng th\u00e0nh, AMH… \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. \u0110\u1ed3ng th\u1eddi b\u1ea1n c\u00f3 v\u00f2ng kinh k\u00e9o d\u00e0i 2-3 th\u00e1ng nh\u01b0ng l\u1ea1i kh\u00f4ng m\u00f4 t\u1ea3 m\u00e0u s\u1eafc kinh nguy\u1ec7t \u0111\u1ecf t\u01b0\u01a1i hay \u0111\u1ecf th\u1eabm. N\u1ebfu v\u00f2ng kinh k\u00e9o d\u00e0i 2-3 th\u00e1ng (60-90 ng\u00e0y m\u1ed9t chu k\u1ef3), si\u00eau \u00e2m c\u00f3 nhi\u1ec1u nang k\u00edch th\u01b0\u1edbc 10-12 mm, x\u00e9t nghi\u1ec7m testosterone t\u0103ng cao\u2026th\u00ec c\u00f3 th\u1ec3 b\u1ea1n b\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang. B\u1ec7nh l\u00fd n\u00e0y c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa, d\u00f9ng thu\u1ed1c ho\u1eb7c ph\u1eabu thu\u1eadt n\u1ed9i soi \u0111\u1ed1t \u0111i\u1ec3m bu\u1ed3ng tr\u1ee9ng; ho\u1eb7c th\u1ee5 tinh nh\u00e2n t\u1ea1o – k\u00edch th\u00edch nang no\u00e3n v\u00e0 b\u01a1m tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng – sau l\u1ecdc r\u1eeda v\u00e0o bu\u1ed3ng t\u1eed cung (kho\u1ea3ng 3 chu k\u1ef3). N\u1ebfu ch\u01b0a c\u00f3 k\u1ebft qu\u1ea3, c\u00f3 th\u1ec3 l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Em trai t\u00f4i b\u1ecb b\u1ec7nh 47XXY. C\u00f3 c\u00e1ch n\u00e0o \u0111\u1ec3 em t\u00f4i c\u00f3 con c\u1ee7a ch\u00ednh m\u00ecnh \u0111\u01b0\u1ee3c kh\u00f4ng th\u01b0a b\u00e1c s\u0129?\u00a0R\u1ea5t mong nh\u1eadn \u0111\u01b0\u1ee3c c\u00e2u tr\u1ea3 l\u1eddi c\u1ee7a b\u00e1c s\u0129 v\u00ec gia \u0111\u00ecnh t\u00f4i \u0111ang r\u1ea5t mong m\u1ecfi v\u00e0 hy v\u1ecdng v\u00e0o s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a khoa h\u1ecdc.\u00a0Xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n.<\/em><\/p>\n<\/div>\n

Pham Bich Thuy, 31 tu\u1ed5i, 26 lo su – Hoan Kiem – Ha noi<\/em><\/div>\n
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B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n<\/div>\n
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Em trai b\u1ea1n x\u00e9t nghi\u1ec7m Karyotype, c\u00f3 k\u1ebft qu\u1ea3 NST 47 (nhi\u1ec5m s\u1eafc th\u1ec3 gi\u1edbi t\u00ednh) XXY. \u00a0\u0110\u00e2y l\u00e0 h\u1ed9i ch\u1ee9ng Klinefelter (Klinerfelter\u2019s Syndrome), \u0111\u01b0\u1ee3c Klinefelter m\u00f4 t\u1ea3 t\u1eeb gi\u1eefa th\u1ebf k\u1ef7 XX. B\u1ec7nh do ng\u01b0\u1eddi nam c\u00f3 h\u00ecnh th\u1ec3 cao l\u1edbn nh\u01b0ng c\u01a1 nh\u1ebdo, t\u00f3c th\u01b0a, v\u00fa to nh\u01b0 v\u00fa thi\u1ebfu n\u1eef; tinh th\u1ea7n tr\u00ec tr\u1ec7, v\u1ebb m\u1eb7t c\u1ee7a nh\u1eefng ng\u01b0\u1eddi n\u00e0y c\u01a1 b\u1ea3n c\u00f3 n\u00e9t \u0111\u1eb7c tr\u01b0ng. H\u1ec7 sinh d\u1ee5c ph\u1ee5 k\u00e9m ph\u00e1t tri\u1ec3n, tinh ho\u00e0n nh\u1ecf, c\u0103ng ch\u1eafc h\u01a1n b\u00ecnh th\u01b0\u1eddng, ham mu\u1ed1n t\u00ecnh d\u1ee5c k\u00e9m. Tinh d\u1ecbch \u0111\u1ed3 th\u01b0\u1eddng azoo (kh\u00f4ng c\u00f3 tinh tr\u00f9ng trong tinh d\u1ecbch). Nh\u1eefng ng\u01b0\u1eddi n\u00e0y khi m\u1edbi tr\u01b0\u1edfng th\u00e0nh c\u00f3 kh\u1ea3 n\u0103ng tinh tr\u00f9ng trong tinh d\u1ecbch nhi\u1ec1u h\u01a1n nh\u1eefng ng\u01b0\u1eddi cao tu\u1ed5i. Trong th\u1ef1c t\u1ebf l\u00e2m s\u00e0ng, t\u00f4i \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb cho h\u1ecd th\u00e0nh c\u00f4ng b\u1eb1ng k\u1ef9 thu\u1eadt th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (ICSI).<\/p>\n

Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng ch\u00fang t\u00f4i ch\u1ec9 g\u1eb7p ng\u01b0\u1eddi b\u1ec7nh ho\u1eb7c ng\u01b0\u1eddi nh\u00e0 \u0111\u1ebfn g\u1eb7p, kh\u00e1m, trao \u0111\u1ed5i v\u1ec1 t\u00ecnh d\u1ee5c v\u00e0 sinh s\u1ea3n. Ng\u01b0\u1eddi th\u00e2n ch\u01b0a hi\u1ec3u c\u1ea7n l\u00e0m g\u00ec khi \u0111\u1ee9a tr\u1ebb b\u1ecb h\u1ed9i ch\u1ee9ng Klinerfelter. B\u1ec7nh l\u00fd c\u00f3 nhi\u1ec1u r\u1ee7i ro nh\u01b0 ch\u1eadm tr\u01b0\u1edfng th\u00e0nh, t\u1ee9 chi y\u1ebfu, c\u01a1 k\u00e9m ph\u00e1t tri\u1ec3n, kh\u1ea3 n\u0103ng h\u1ecdc t\u1eadp v\u00e0 h\u00f2a \u0111\u1ed3ng x\u00e3 h\u1ed9i k\u00e9m, c\u00f3 nh\u1eefng r\u1ee7i ro b\u1ec7nh l\u00fd v\u1ec1 huy\u1ebft h\u1ecdc, t\u0103ng nguy c\u01a1 cancer v\u00fa, \u0111\u1ea7u x\u01b0\u01a1ng v\u00e0 h\u1ea1ch lynpho, b\u1ec7nh l\u00fd ph\u1ed5i\u2026<\/p>\n

Klinerfelter xu\u1ea5t hi\u1ec7n ng\u1eabu nhi\u00ean khi sinh do l\u1ed7i sao ch\u00e9p NST gi\u1edbi t\u00ednh. Trong 46 NST c\u00f3 2 c\u1eb7p NST gi\u1edbi t\u00ednh, XX l\u00e0 ph\u1ee5 n\u1eef; XY l\u00e0 nam gi\u1edbi. Ph\u1ea7n l\u1edbn do sao ch\u00e9p NST X trong m\u1ed7i t\u1ebf b\u00e0o (XXY). S\u1ed1 \u00edt ch\u1ec9 \u1edf m\u1ed9t \u00edt t\u1ebf b\u00e0o (d\u1ea1ng th\u1ec3 kh\u1ea3m – Mosaic klinerfelter syndrome). Em trai b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb m\u1ed9t trong hai th\u1ec3 c\u1ee7a h\u1ed9i ch\u1ee9ng klinerfelter. N\u1ebfu ch\u1ec9 b\u1ecb d\u1ea1ng th\u1ec3 kh\u1ea3m th\u00ec hy v\u1ecdng tr\u1edf th\u00e0nh cha sinh h\u1ecdc r\u1ea5t cao.<\/p>\n

X\u00e9t nghi\u1ec7m tinh d\u1ecbch \u0111\u1ed3 (n\u1ebfu kh\u00f4ng tinh tr\u00f9ng trong tinh d\u1ecbch), v\u1edbi k\u1ef9 thu\u1eadt t\u00ecm tinh tr\u00f9ng t\u1eeb m\u00f4 tinh ho\u00e0n \u1edf nh\u00f3m azoo kh\u00f4ng do \u0111\u01b0\u1eddng d\u1eabn, l\u00e0 hy v\u1ecdng \u0111\u1ec3 em b\u1ea1n tr\u1edf th\u00e0nh cha sinh h\u1ecdc. Tr\u00ean th\u1ef1c nghi\u1ec7m c\u00e1c t\u00e1c gi\u1ea3 s\u1eed d\u1ee5ng t\u1ebf b\u00e0o g\u1ed1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb cho \u0111\u1ed9ng v\u1eadt, k\u1ebft qu\u1ea3 th\u1ef1c nghi\u1ec7m l\u00e0 c\u00f3 th\u1ec3, nh\u01b0ng \u0111\u1ec3 \u1ee9ng d\u1ee5ng tr\u00ean ng\u01b0\u1eddi c\u1ea7n nhi\u1ec1u th\u1ef1c nghi\u1ec7m.<\/p>\n

V\u1edbi khoa h\u1ecdc hi\u1ec7n nay, th\u00f4ng th\u01b0\u1eddng khi azoo th\u00ec c\u1eb7p v\u1ee3 ch\u1ed3ng s\u1ebd \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n chi ti\u1ebft nh\u1eb1m l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p kh\u1ea3 d\u0129 \u0111\u1ec3 trong nh\u00e0 c\u00f3 ti\u1ebfng c\u01b0\u1eddi vui.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Tr\u01b0\u1edbc kia em c\u00f3 th\u1eddi gian u\u1ed1ng thu\u1ed1c ng\u1eeba thai 5 n\u0103m li\u00ean t\u1ee5c, \u0111\u00e3 ng\u01b0ng thu\u1ed1c t\u1eeb 2012 v\u00e0 \u0111\u1ebfn nay em v\u1eabn kh\u00f4ng th\u1ec3 c\u00f3 thai. Xin h\u1ecfi li\u1ec7u th\u1eddi gian u\u1ed1ng thu\u1ed1c ng\u1eeba thai li\u00ean t\u1ee5c v\u00e0 l\u00e2u v\u1eady c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng th\u1ee5 thai c\u1ee7a em?\u00a0\u0110i kh\u00e1m th\u00ec b\u00e1c s\u0129 n\u00f3i tr\u1ee9ng t\u1ef1 ti\u00eau sau khi r\u1ee5ng tr\u1ee9ng. Xin h\u1ecfi b\u00e1c s\u0129 em ph\u1ea3i \u0111i\u1ec1u tr\u1ecb th\u1ebf n\u00e0o? Em l\u00e0 nh\u00e2n vi\u00ean v\u0103n ph\u00f2ng n\u00ean kh\u00f4ng c\u00f3 th\u1eddi gian \u0111\u1ec3 \u0111i kh\u00e1m b\u1ec7nh vi\u1ec7n th\u01b0\u1eddng xuy\u00ean.<\/em><\/p>\n<\/div>\n

Suri, 35 tu\u1ed5i, 12 Cong Hoa, Tan Binh<\/em><\/div>\n
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B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n
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Theo trao \u0111\u1ed5i c\u1ee7a b\u1ea1n, b\u1ea1n d\u00f9ng thu\u1ed1c ng\u1eeba thai 5 n\u0103m (t\u1eeb n\u0103m 2007-2012). T\u1eeb n\u0103m 2012 \u0111\u1ebfn nay (2015) \u0111\u00e3 5 n\u0103m m\u00e0 ch\u01b0a c\u00f3 thai l\u1ea1i. Tuy nhi\u00ean, b\u1ea1n kh\u00f4ng n\u00f3i b\u1ea1n bao nhi\u00eau tu\u1ed5i, chu k\u1ef3 kinh nguy\u1ec7t c\u00f3 \u0111\u1ec1u kh\u00f4ng, ch\u1ee5p t\u1eed cung, v\u00f2i tr\u1ee9ng c\u00f3 th\u00f4ng kh\u00f4ng. X\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c th\u1ebf n\u00e0o, si\u00eau \u00e2m v\u00e0 x\u00e9t nghi\u1ec7m AMH \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n ra sao. B\u1ea1n \u0111\u00e3 sinh em b\u00e9 ch\u01b0a, bao nhi\u00eau l\u1ea7n c\u00f3 thai.. V\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 tinh d\u1ecbch \u0111\u1ed3 c\u1ee7a ch\u1ed3ng, kh\u1ea3 n\u0103ng t\u00ecnh d\u1ee5c c\u1ee7a hai b\u1ea1n th\u1ebf n\u00e0o?<\/p>\n

Ch\u00fang t\u00f4i \u0111\u1eb7t ra m\u1ed9t lo\u1ea1t c\u00e2u h\u1ecfi nh\u01b0 v\u1eady, v\u00ec th\u00f4ng th\u01b0\u1eddng nh\u1eefng ng\u01b0\u1eddi d\u1ec5 th\u1ee5 thai m\u1edbi s\u1eed d\u1ee5ng thu\u1ed1c ng\u1eeba thai. Thu\u1ed1c ng\u1eeba thai sau khi ng\u1eebng s\u1eed d\u1ee5ng v\u00e0i chu k\u1ef3 th\u00ec kh\u1ea3 n\u0103ng ph\u00f3ng no\u00e3n tr\u1edf l\u1ea1i b\u00ecnh th\u01b0\u1eddng. B\u1ea1n d\u00f9ng thu\u1ed1c ng\u1eeba thai 5 n\u0103m, nh\u01b0 v\u1eady kinh nguy\u1ec7t \u1ed5n \u0111\u1ecbnh v\u00ec r\u1ed1i lo\u1ea1n c\u00f3 th\u1ec3 \u0111\u00e3 d\u1eebng thu\u1ed1c v\u00e0 s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p kh\u00e1c.<\/p>\n

Sinh s\u1ea3n t\u1ef7 l\u1ec7 thu\u1eadn v\u1edbi tu\u1ed5i t\u00e1c, th\u01b0\u1eddng sau 35 tu\u1ed5i \u1edf ph\u1ee5 n\u1eef ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng b\u1eaft \u0111\u1ea7u gi\u1ea3m, c\u01a1 h\u1ed9i c\u00f3 thai v\u00ec th\u1ebf m\u00e0 gi\u1ea3m theo. N\u1ebfu kinh nguy\u1ec7t l\u1ea1i kh\u00f4ng \u0111\u1ec1u, th\u01b0a v\u00e0 \u00edt, huy\u1ebft \u0111\u1ecf th\u1eabm… th\u00ec kh\u1ea3 n\u0103ng c\u00f3 thai c\u00e0ng gi\u1ea3m.<\/p>\n

Sau 3 n\u0103m ch\u01b0a c\u00f3 thai b\u1ea1n n\u00ean l\u00e0m th\u1ee7 thu\u1eadt ch\u1ee5p t\u1eed cung – v\u00f2i tr\u1ee9ng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u00f4ng c\u1ee7a v\u00f2i tr\u1ee9ng. N\u1ebfu b\u1ea1n k\u1ebf ho\u1ea1ch nhi\u1ec1u l\u1ea7n hay \u0111i\u1ec1u tr\u1ecb vi\u00eam ph\u1ee5 khoa k\u00e9o d\u00e0i, kh\u1ea3 n\u0103ng t\u1eafc v\u00f2i tr\u1ee9ng l\u00e0 c\u00f3 th\u1ec3. N\u1ebfu v\u00f2i tr\u1ee9ng b\u1ecb t\u1eafc, \u1ee9 d\u1ecbch th\u00ec tr\u1ee9ng v\u00e0 tinh tr\u00f9ng kh\u00f4ng th\u1ec3 g\u1eb7p nhau m\u00e0 th\u1ee5 thai \u0111\u01b0\u1ee3c, \u0111\u00e2y c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n v\u00f4 sinh c\u1ee7a b\u1ea1n.<\/p>\n

T\u1ea1i sao ph\u1ea3i x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c, AMH v\u00e0 si\u00eau \u00e2m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng? Qua k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m th\u1ea7y thu\u1ed1c s\u1ebd tr\u1ea3 l\u1eddi b\u1ea1n kh\u1ea3 n\u0103ng th\u1ee5 thai c\u1ee7a b\u1ea1n th\u1ebf n\u00e0o.<\/p>\n

\u0110\u1ec3 th\u1ee5 thai ph\u1ea3i c\u00f3 no\u00e3n v\u00e0 tinh tr\u00f9ng b\u00ecnh th\u01b0\u1eddng. N\u00ean ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n cho ch\u1ed3ng l\u00e0 \u0111i\u1ec1u c\u1ea7n thi\u1ebft. Ch\u1ec9 c\u1ea7n ki\u1ec3m tra tinh d\u1ecbch \u0111\u1ed3 xem b\u00ecnh th\u01b0\u1eddng hay kh\u00f4ng.<\/p>\n

Trong th\u1ef1c h\u00e0nh h\u00e0ng ng\u00e0y ch\u00fang t\u00f4i g\u1eb7p r\u1ea5t nhi\u1ec1u c\u1eb7p v\u1ee3 ch\u1ed3ng ch\u1eadm sinh con, ch\u1ec9 t\u1eadp trung cho kh\u00e1m v\u00e0 \u0111i\u1ec1u tr\u1ecb ng\u01b0\u1eddi v\u1ee3, nh\u01b0ng nhi\u1ec1u n\u0103m kh\u00f4ng k\u1ebft qu\u1ea3. Khi ki\u1ec3m tra ng\u01b0\u1eddi ch\u1ed3ng c\u00f3 ng\u01b0\u1eddi tinh tr\u00f9ng y\u1ebfu, th\u1eadm ch\u00ed Azoo (tuy \u0111\u00e3 sinh con).<\/p>\n

Hy v\u1ecdng b\u1ea1n c\u00f3 tin vui sau khi ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u0111\u1ea7y \u0111\u1ee7 c\u1ea3 v\u1ee3 v\u00e0 ch\u1ed3ng.<\/p>\n<\/div>\n

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V\u1ee3 ch\u1ed3ng em c\u01b0\u1edbi m\u1ed9t n\u0103m r\u1ed3i m\u00e0 ch\u01b0a c\u00f3 em b\u00e9. \u0110i kh\u00e1m th\u00ec \u0111\u01b0\u1ee3c bi\u1ebft ch\u1ed3ng tinh tr\u00f9ng h\u01a1i y\u1ebfu (l\u1edbn h\u01a1n m\u1ee9c min m\u1ed9t ch\u00fat), c\u00f2n em c\u00f3 ch\u1ec9 s\u1ed1 LH, AMH cao (c\u00f3 d\u1ea5u hi\u1ec7u c\u1ee7a bu\u1ed3ng tr\u1ee9ng \u0111a nang). E \u0111ang ph\u1ea3i u\u1ed1ng thu\u1ed1c k\u00edch tr\u1ee9ng th\u00e1ng th\u1ee9 hai r\u1ed3i. B\u00e1c s\u0129 c\u00f3 th\u1ec3 t\u01b0 v\u1ea5n cho em ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb, lo\u1ea1i thu\u1ed1c n\u00e0o \u0111\u1ec3 t\u0103ng cao kh\u1ea3 n\u0103ng th\u1ee5 thai cho v\u1ee3 ch\u1ed3ng em v\u1edbi \u1ea1. Mong b\u00e1c s\u0129 c\u00f3 th\u1ec3 tr\u1ea3 l\u1eddi chi ti\u1ebft gi\u00fap em \u1ea1.\u00a0Em c\u1ea3m \u01a1n b\u00e1c s\u0129 nhi\u1ec1u.<\/em><\/p>\n<\/div>\n

Khuyen Nguyen, 27 tu\u1ed5i, Ho\u00e0ng Mai, H\u00e0 N\u1ed9i<\/em><\/div>\n<\/div>\n
B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n
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Nguy\u00ean nh\u00e2n v\u00f4 sinh c\u00f3 th\u1ec3 do v\u1ee3, do ch\u1ed3ng ho\u1eb7c do c\u1ea3 hai. Theo t\u00e2m s\u1ef1 c\u1ee7a b\u1ea1n th\u00ec kh\u1ea3 n\u0103ng hi\u1ebfm mu\u1ed9n c\u1ee7a b\u1ea1n do c\u1ea3 hai.<\/p>\n

Ch\u1ed3ng b\u1ea1n tinh tr\u00f9ng y\u1ebfu, c\u1ea7n kh\u00e1m l\u00e2m s\u00e0ng, x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c\u2026 Kh\u00e1m l\u00e2m s\u00e0ng \u0111\u1ec3 bi\u1ebft xem hai tinh ho\u00e0n c\u00f3 b\u00ecnh th\u01b0\u1eddng kh\u00f4ng, c\u1ea3 hai c\u00f3 \u1edf trong b\u00ecu kh\u00f4ng hay ch\u1ec9 c\u00f3 m\u1ed9t, c\u00f3 b\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch th\u1eebng tinh kh\u00f4ng.<\/p>\n

B\u1ea1n x\u00e9t nghi\u1ec7m c\u00f3 LH v\u00e0 AMH cao\u2026 nh\u01b0ng chu k\u1ef3 bao nhi\u00eau ng\u00e0y, c\u00f3 \u0111\u1ec1u kh\u00f4ng, huy\u1ebft \u0111\u1ecf t\u01b0\u01a1i hay \u0111\u1ecf th\u1eabm, th\u1ed1ng kinh hay kh\u00f4ng, kh\u1ea3 n\u0103ng t\u00ecnh d\u1ee5c c\u1ee7a v\u1ee3 ch\u1ed3ng th\u1ebf n\u00e0o, v\u00ec t\u00ecnh d\u1ee5c ph\u1ea3n \u00e1nh kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n

\u0110\u1ec3 t\u01b0 v\u1ea5n chi ti\u1ebft, hi\u1ec7u qu\u1ea3, b\u1ea1n c\u1ea7n kh\u00e1m chuy\u00ean khoa t\u00ecm nguy\u00ean nh\u00e2n c\u1ee5 th\u1ec3. Sau \u0111\u00f3 th\u1ea7y thu\u1ed1c s\u1ebd t\u01b0 v\u1ea5n cho b\u1ea1n ch\u1ecdn l\u1ef1a ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p, hi\u1ec7u qu\u1ea3 cho c\u1ea3 hai v\u1ee3 ch\u1ed3ng.<\/p>\n<\/div>\n

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T\u00f4i c\u00f3 c\u1eadu em v\u1ee3 \u0111\u00e3 l\u1ea5y v\u1ee3 h\u01a1n m\u1ed9t n\u0103m, c\u1ea3 2 v\u1ee3 ch\u1ed3ng em \u1ea5y \u0111\u1ec1u kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai g\u00ec m\u00e0 \u0111\u1ebfn nay v\u1eabn ch\u01b0a c\u00f3 thai. H\u00f4m tr\u01b0\u1edbc c\u1eadu em \u0111i kh\u00e1m th\u00ec k\u1ebft qu\u1ea3 l\u00e0 kh\u00f4ng c\u00f3 tinh tr\u00f9ng ( h\u1ed3i nh\u1ecf c\u1eadu \u1ea5y c\u00f3 b\u1ecb quai b\u1ecb). V\u1eady xin h\u1ecfi b\u00e1c s\u0129 c\u00f3 c\u00e1ch n\u00e0o \u0111\u1ec3 em \u1ea5y c\u00f3 con kh\u00f4ng \u1ea1?<\/em><\/p>\n<\/div>\n

L\u00ea l\u01b0u, 44 tu\u1ed5i<\/em><\/div>\n<\/div>\n<\/div>\n
B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n
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Theo t\u00e2m s\u1ef1 c\u1ee7a b\u1ea1n, em b\u1ea1n b\u1ecb v\u00f4 sinh l\u00e0 do kh\u00f4ng tinh tr\u00f9ng trong tinh d\u1ecbch (azoospermia). Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh c\u00f3 nhi\u1ec1u: Tinh ho\u00e0n \u1ea9n, tinh ho\u00e0n l\u1ea1c ch\u1ed7, h\u1ed9i ch\u1ee9ng klinerfelter (XXY), xu\u1ea5t tinh ng\u01b0\u1ee3c ho\u00e0n to\u00e0n, kh\u00f4ng \u1ed1ng d\u1eabn tinh b\u1ea9m sinh, h\u1eadu quai b\u1ecb.<\/p>\n

Trong th\u1ef1c h\u00e0nh h\u00e0ng ng\u00e0y, t\u00f4i g\u1eb7p v\u00f4 sinh do nam gi\u1edbi trong \u0111\u00f3 c\u00f3 kho\u1ea3ng 20% kh\u00f4ng c\u00f3 tinh tr\u00f9ng trong tinh d\u1ecbch. Khi ch\u1ea9n \u0111o\u00e1n l\u00e0 azoo th\u00ec b\u1ea1n \u0111\u1eebng m\u1ea5t hy v\u1ecdng, v\u00ec azoo c\u00f3 th\u1ec3 do \u0111\u01b0\u1eddng d\u1eabn chi\u1ebfm kho\u1ea3ng h\u01a1n 40% (t\u1eafc \u1ed1ng d\u1eabn tinh, sau tri\u1ec7t s\u1ea3n, vi\u00eam t\u1eafc, d\u1ea1ng g\u1eb7p nhi\u1ec1u nh\u1ea5t l\u00e0 kh\u00f4ng \u1ed1ng d\u1eabn tinh b\u1ea9m sinh). C\u00f3 ngh\u0129a l\u00e0 tinh ho\u00e0n v\u1eabn s\u1ea3n xu\u1ea5t tinh tr\u00f9ng nh\u01b0ng \u0111\u01b0\u1eddng d\u1eabn tinh tr\u00f9ng t\u1eeb tinh ho\u00e0n ra ngo\u00e0i b\u1ecb t\u1eafc; ho\u1eb7c azoo kh\u00f4ng do \u0111\u01b0\u1eddng d\u1eabn.<\/p>\n

Ti\u1ec1n s\u1eed c\u1ee7a em b\u1ea1n b\u1ecb quai b\u1ecb t\u1eeb khi c\u00f2n b\u00e9. Trong th\u1ef1c t\u1ebf ch\u00fang t\u00f4i g\u1eb7p nhi\u1ec1u ng\u01b0\u1eddi b\u1ecb quai b\u1ecb, x\u00e9t nghi\u1ec7m azoo nh\u01b0ng k\u1ebft h\u1ee3p kh\u00f4ng \u1ed1ng d\u1eabn tinh.\u00a0N\u1ebfu azoo kh\u00f4ng do \u0111\u01b0\u1eddng d\u1eabn c\u00f3 th\u1ec3 t\u00ecm tinh tr\u00f9ng t\u1eeb m\u00f4 tinh ho\u00e0n b\u1eb1ng k\u1ef9 thu\u1eadt vi ph\u1eabu (TESE).<\/p>\n

N\u1ebfu kh\u00e1m l\u00e2m s\u00e0ng hai tinh ho\u00e0n b\u1ecb teo nh\u1ecf, c\u0103ng ch\u1eafc, tinh d\u1ecbch \u0111\u1ed3 azoo. TESE kh\u00f4ng c\u00f3 tinh tr\u00f9ng trong m\u00f4 tinh ho\u00e0n, th\u00ec kh\u1ea3 n\u0103ng tr\u1edf th\u00e0nh Cha sinh h\u1ecdc l\u00e0 kh\u00f4ng th\u1ec3.<\/p>\n

\u0110\u1ec3 tr\u1ea3 l\u1eddi ch\u00ednh x\u00e1c kh\u1ea3 n\u0103ng c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh cha sinh h\u1ecdc hay l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111\u00f3 \u0111\u1ec3 c\u00f3 con, em b\u1ea1n c\u1ea7n khi kh\u00e1m chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u00e0 c\u00f3 ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa tr\u1ecb \u0111\u00fang nh\u1ea5t.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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B\u00e1c s\u0129 cho ch\u00e1u h\u1ecfi, ch\u00e1u b\u1ecb ti\u1ec1n s\u1eed thai l\u01b0u t\u1ef1 nhi\u00ean 6 l\u1ea7n, trong \u0111\u00f3 5 l\u1ea7n thai l\u01b0u l\u00fac 7-8 tu\u1ea7n c\u00f3 tim thai r\u1ed3i m\u1ea5t tim thai v\u00e0 m\u00e3i kh\u00f4ng c\u00f3 tim thai. L\u1ea7n g\u1ea7n \u0111\u00e2y nh\u1ea5t l\u00e0 ch\u00e1u b\u1ecb l\u01b0u l\u00fac 20 tu\u1ea7n do b\u1ecb r\u1ed1i lo\u1ea1n tu\u1ea7n ho\u00e0n d\u00e2y r\u1ed1n, b\u00e1nh rau, thai c\u0169ng b\u1ecb ph\u00e1t tri\u1ec3n ch\u1eadm t\u1eeb h\u1ed3i tu\u1ea7n th\u1ee9 8, v\u1eabn c\u1ee9 l\u1edbn t\u1edbi tu\u1ea7n 20 r\u1ed3i l\u01b0u, l\u00fac 20 tu\u1ea7n thai ph\u00e1t tri\u1ec3n t\u01b0\u01a1ng \u0111\u01b0\u01a1ng 16 tu\u1ea7n. V\u1eeba r\u1ed3i ch\u1ed3ng ch\u00e1u x\u00e9t nghi\u1ec7m tinh d\u1ecbch \u0111\u1ed3 t\u1ea1i vi\u1ec7n C, th\u00ec t\u1ef7 l\u1ec7 tinh tr\u00f9ng b\u00ecnh th\u01b0\u1eddng l\u00e0 2%, c\u00f2n l\u1ea1i l\u00e0 b\u1ea5t th\u01b0\u1eddng \u0111\u1ea7u, c\u1ed5, \u0111u\u00f4i. B\u00e1c s\u0129 cho ch\u00e1u h\u1ecfi li\u1ec7u c\u00f3 ph\u1ea3i tinh tr\u00f9ng b\u1ea5t th\u01b0\u1eddng nhi\u1ec1u n\u00ean c\u00f3 kh\u1ea3 n\u0103ng tinh tr\u00f9ng b\u1ea5t th\u01b0\u1eddng \u0111\u00f3 th\u1ee5 thai \u0111\u01b0\u1ee3c v\u00e0 g\u00e2y l\u01b0u kh\u00f4ng \u1ea1? V\u1ee3 ch\u1ed3ng ch\u00e1u x\u00e9t nghi\u1ec7m \u0111\u1ec1u kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n, ngo\u00e0i x\u00e9t nghi\u1ec7m tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng ch\u00e1u b\u1ecb d\u1ecb t\u1eadt nhi\u1ec1u, trong c\u00e1c l\u1ea7n mang thai, ch\u00e1u \u0111\u1ec1u d\u00f9ng thu\u1ed1c h\u1ed7 tr\u1ee3 ti\u00eam, \u0111\u1eb7t, u\u1ed1ng \u0111\u1ee7 c\u1ea3 m\u00e0 v\u1eabn kh\u00f4ng th\u00e0nh c\u00f4ng. Ch\u00e1u xin c\u1ea3m \u01a1n \u1ea1.<\/em><\/p>\n<\/div>\n

ph\u1ea1m th\u1ecb mai, 30 tu\u1ed5i, h\u00e0 \u0111\u00f4ng, h\u00e0 n\u1ed9i<\/em><\/div>\n<\/div>\n
B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n
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B\u1ea1n b\u1ecb s\u1ea3y thai li\u00ean t\u1ee5c (b\u1ecb 3 l\u1ea7n tr\u1edf l\u00ean), nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 t\u1eeb ng\u01b0\u1eddi ch\u1ed3ng b\u1ecb b\u1ea5t th\u01b0\u1eddng tinh tr\u00f9ng (nhi\u1ec5m s\u1eafc th\u1ec3 Y \u0111\u1ee9t \u0111o\u1ea1n, vi chuy\u1ec3n \u0111o\u1ea1n) ho\u1eb7c ng\u01b0\u1eddi v\u1ee3 b\u1ecb b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3. Ch\u1ed3ng b\u1ea1n c\u00f3 t\u1ef7 l\u1ec7 tinh tr\u00f9ng ch\u1ec9 2% h\u00ecnh d\u1ea1ng b\u00ecnh th\u01b0\u1eddng. Nh\u01b0 v\u1eady c\u00f3 t\u1edbi h\u01a1n 90% tinh tr\u00f9ng c\u00f3 h\u00ecnh d\u1ea1ng b\u1ea5t th\u01b0\u1eddng… Tinh tr\u00f9ng b\u00ecnh th\u01b0\u1eddng c\u00f3 \u0111\u1ea7u h\u00ecnh oval, \u0111u\u00f4i d\u00e0i. Khi b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 \u0111\u1ea7u d\u1ecb d\u1ea1ng, th\u1eadm ch\u00ed \u0111\u1ea7u nh\u1ecdn (tinh tr\u00f9ng c\u00f3 \u0111\u1ea7u nh\u01b0 \u0111\u1ea7u m\u0169 \u0111inh- Pinhead) th\u00e2n bi\u1ebfn d\u1ea1ng, \u0111u\u00f4i cong queo, hai \u0111u\u00f4i…<\/p>\n

\u0110\u1ec3 x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n s\u1ea3y thai, b\u1ea1n c\u1ea7n l\u00e0m x\u00e9t nghi\u1ec7m Karyotype cho c\u1ea3 hai v\u1ee3 ch\u1ed3ng v\u00e0 l\u00e0m ph\u00e2n t\u00edch AZF ( Azoospermia Factor) cho ch\u1ed3ng. N\u1ebfu x\u00e9t nghi\u1ec7m c\u00f3 b\u1ea5t th\u01b0\u1eddng v\u1ec1 GENE th\u00ec c\u1ea7n t\u01b0 v\u1ea5n \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p c\u00f3 thai.<\/p>\n

Khi th\u1ee5 thai t\u1ef1 nhi\u00ean kh\u00f3 x\u00e1c \u0111\u1ecbnh tinh tr\u00f9ng n\u00e0o \u201c\u0111\u01b0\u1ee3c ch\u1ecdn\u201d l\u00e0 b\u00ecnh th\u01b0\u1eddng. Mu\u1ed1n c\u00f3 thai n\u00ean ch\u1ecdn k\u1ef9 thu\u1eadt ICSI ( ch\u1ecdn tinh tr\u00f9ng c\u00f3 h\u00ecnh th\u00e1i b\u00ecnh th\u01b0\u1eddng, kho\u1ebb b\u01a1m v\u00e0o t\u01b0\u01a1ng b\u00e0o no\u00e3n). H\u00ecnh th\u00e1i b\u00ean ngo\u00e0i kh\u00f4ng ph\u1ea3i l\u00e0 y\u1ebfu t\u1ed1 quy\u1ebft \u0111\u1ecbnh tinh tr\u00f9ng b\u1ea5t th\u01b0\u1eddng hay kh\u00f4ng, nh\u01b0ng khi l\u1ef1a ch\u1ecdn k\u1ef9 thu\u1eadt n\u00e0y kh\u1ea3 n\u0103ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a thai s\u1ebd gi\u1ea3m. Sau khi c\u00f3 thai ph\u1ea3i \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c, h\u1ed7 thai t\u1ed1t th\u00ec kh\u1ea3 n\u0103ng sinh s\u1ed1ng s\u1ebd \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n.\u00a0Ch\u00fac c\u00e1c b\u1ea1n may m\u1eafn.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Hai v\u1ee3 ch\u1ed3ng em n\u0103m nay 37 tu\u1ed5i, hi\u1ec7n ch\u01b0a c\u00f3 con, \u0111\u00e3 c\u01b0\u1edbi 10 n\u0103m ch\u01b0a x\u1ea3y thai l\u1ea7n n\u00e0o. Ch\u1ed3ng l\u00e0m t\u00e0i x\u1ebf \u00f4t\u00f4 7 ch\u1ed7, m\u1ed9t ng\u00e0y ch\u1ea1y kho\u1ea3ng 70 km, em th\u00ec l\u00e0m gi\u00e1o vi\u00ean. V\u1ec1 ph\u1ea7n em c\u00f3 \u0111\u1ebfn B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 kh\u00e1m ki\u1ec3m tra th\u00ec b\u00ecnh th\u01b0\u1eddng. Nh\u01b0ng v\u1ec1 ph\u00eda ch\u1ed3ng, l\u00fac 17 tu\u1ed5i c\u00f3 c\u1eaft m\u1ed9t tr\u00e1i th\u1eadn (do suy th\u1eadn), hi\u1ec7n t\u1ea1i nhu c\u1ea7u ham mu\u1ed1n r\u1ea5t th\u1ea5p (m\u1ed7i th\u00e1ng m\u1ed9t l\u1ea7n). Kh\u00f4ng bi\u1ebft l\u00e0 m\u1ea5t \u0111i m\u1ed9t tr\u00e1i th\u1eadn c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng v\u00e0 kh\u1ea3 n\u0103ng ham mu\u1ed1n kh\u00f4ng. Mu\u1ed1n ki\u1ec3m tra ch\u1ed3ng em c\u00f3 tinh tr\u00f9ng hay kh\u00f4ng th\u00ec ph\u1ea3i l\u00e0m nh\u1eefng th\u1ee7 t\u1ee5c x\u00e9t nghi\u1ec7m n\u00e0o, \u1edf \u0111\u00e2u, chi ph\u00ed bao nhi\u00eau? Kh\u1ea3 n\u0103ng ham mu\u1ed1n r\u1ea5t th\u1ea5p, v\u00ec v\u1eady em kh\u00f4ng canh \u0111\u01b0\u1ee3c khi tr\u1ee9ng r\u1ee5ng \u0111\u1ec3 quan h\u1ec7. Hi\u1ec7n nay em mu\u1ed1n nu\u00f4i c\u1ea5y b\u00ean ngo\u00e0i \u0111em v\u00e0o t\u1eed cung. Chi ph\u00ed bao nhi\u00eau?<\/em><\/p>\n<\/div>\n

Nguy\u1ec5n Th\u1ecb Tuy\u1ebft Nhung, 37 tu\u1ed5i, s\u1ed1 10 Tr\u1ea7n N\u00e3o qu\u1eadn 2, TPHCM<\/em><\/div>\n<\/div>\n<\/div>\n
B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n
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B\u1ea1n \u0111\u00e3 kh\u00e1m t\u1ea1i B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 k\u1ebft qu\u1ea3 b\u00ecnh th\u01b0\u1eddng, nh\u01b0 v\u1eady nguy\u00ean nh\u00e2n v\u00f4 sinh c\u1ee7a hai b\u1ea1n c\u00f3 th\u1ec3 do ch\u1ed3ng. V\u00ec ti\u1ec1n s\u1eed c\u1eaft m\u1ed9t qu\u1ea3 th\u1eadn m\u00e0 \u0110\u00f4ng y quan ni\u1ec7m th\u1eadn ch\u1ee7 g\u00e2n c\u1ed1t, g\u00e2n c\u1ed1t c\u00f3 t\u1ed1t th\u00ec kh\u1ea3 n\u0103ng t\u00ecnh d\u1ee5c m\u1edbi t\u1ed1t. Nh\u01b0 v\u1eady \u0111\u1ec3 k\u1ebft lu\u1eadn chu\u1ea9n m\u1ef1c kh\u1ea3 n\u0103ng sinh s\u1ea3n ng\u01b0\u1eddi ch\u1ed3ng c\u1ea7n ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n. Tr\u01b0\u1edbc khi l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m b\u1ea1n c\u0169ng c\u1ea7n ph\u1ea3i ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n cho ch\u1ed3ng.<\/p>\n

Tr\u01b0\u1edbc h\u1ebft, b\u1ea1n ki\u1ec3m tra tinh d\u1ecbch \u0111\u1ed3 xem c\u00f3 tinh tr\u00f9ng trong tinh d\u1ecbch kh\u00f4ng, t\u1ed1t hay kh\u00f4ng sau \u0111\u00f3 th\u1ea7y thu\u1ed1c m\u1edbi t\u01b0 v\u1ea5n b\u1ea1n c\u1ea7n l\u00e0m g\u00ec. B\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ebfn c\u00e1c b\u1ec7nh vi\u1ec7n uy t\u00edn ho\u1eb7c trung t\u00e2m hi\u1ebfm mu\u1ed9n \u0111\u1ec3 \u0111\u01b0\u1ee3c kh\u00e1m ch\u1eefa.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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V\u1ee3 ch\u1ed3ng em \u0111\u00e3 k\u1ebft h\u00f4n 4 n\u0103m, v\u00e0o th\u00e1ng 2\/2014 ch\u00fang em c\u00f3 l\u00ean BV T\u1eeb D\u0169 kh\u00e1m hi\u1ebfm mu\u1ed9n v\u00e0 cho k\u1ebft qu\u1ea3 l\u00e0 tinh tr\u00f9ng ch\u1ed3ng em b\u1ea5t \u0111\u1ed9ng. Xin cho em h\u1ecfi c\u00f3 c\u00e1ch n\u00e0o \u0111i\u1ec1u tr\u1ecb nh\u01b0 d\u00f9ng thu\u1ed1c m\u00e0 kh\u00f4ng c\u1ea7n ph\u1ea3i th\u1ee5 tinh \u1ed1ng nghi\u1ec7m kh\u00f4ng?<\/em><\/p>\n<\/div>\n

Phan Th\u1ecb T\u00fa Anh, 30 tu\u1ed5i, T\u00e2n Ch\u00e2u-An Giang<\/em><\/div>\n
B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n<\/div>\n
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V\u1ee3 ch\u1ed3ng b\u1ea1n b\u1ecb v\u00f4 sinh do tinh tr\u00f9ng b\u1ea5t \u0111\u1ed9ng ( No- moving).\u00a0Tinh tr\u00f9ng b\u1ea5t \u0111\u1ed9ng l\u00e0 thu\u1eadt ng\u1eef ch\u1ec9 tinh tr\u00f9ng trong tinh d\u1ecbch kh\u00f4ng chuy\u1ec3n \u0111\u1ed9ng \u0111\u01b0\u1ee3c. B\u00ecnh th\u01b0\u1eddng sau giao h\u1ee3p tinh tr\u00f9ng \u0111\u01b0\u1ee3c ph\u00f3ng v\u00e0o \u00e2m \u0111\u1ea1o ng\u01b0\u1eddi ph\u1ee5 n\u1eef , t\u1eeb \u0111\u00f3 di chuy\u1ec3n qua c\u1ed5 t\u1eed cung, t\u1eed cung v\u00e0o v\u00f2i tr\u1ee9ng, g\u1eb7p no\u00e3n v\u00e0 th\u1ee5 tinh th\u00e0nh ph\u00f4i. Hi\u1ec7n t\u01b0\u1ee3ng th\u1ee5 tinh th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf 1\/3 ngo\u00e0i v\u00f2i tr\u1ee9ng, sau th\u1ee5 tinh ph\u00f4i s\u1ebd di chuy\u1ec3n d\u1ea7n v\u00e0o bu\u1ed3ng t\u1eed cung- th\u01b0\u1eddng sau 2 tu\u1ea7n.\u00a0 N\u1ebfu tinh tr\u00f9ng b\u1ea5t \u0111\u1ed9ng ho\u00e0n to\u00e0n th\u00ec sau giao h\u1ee3p tinh tr\u00f9ng ch\u1ec9 n\u1eb1m trong \u00e2m \u0111\u1ea1o v\u00e0 th\u1ea3i ra ngo\u00e0i.<\/p>\n

Tinh tr\u00f9ng b\u1ea5t \u0111\u1ed9ng do c\u00e1c axon \u1edf c\u1ed5 tinh tr\u00f9ng khi\u1ebfm khuy\u1ebft, c\u00e1c l\u00f4ng v\u1eadn \u0111\u1ed9ng (ch\u1ec9 nh\u00ecn qua k\u00ednh hi\u1ec3n vi \u0111i\u1ec7n t\u1eed) b\u1ecb thi\u1ebfu ho\u1eb7c kh\u00f4ng c\u00f3 l\u00e0m cho tinh tr\u00f9ng kh\u00f4ng chuy\u1ec3n \u0111\u1ed9ng \u0111\u01b0\u1ee3c.<\/p>\n

V\u1ec1 \u0111i\u1ec1u tr\u1ecb: Hi\u1ec7n nay khoa h\u1ecdc h\u1ea7u nh\u01b0 ch\u01b0a c\u00f3 c\u00e1ch \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u1edf nh\u1eefng ng\u01b0\u1eddi c\u00f3 tinh tr\u00f9ng b\u1ecb b\u1ea5t \u0111\u1ed9ng ho\u00e0n to\u00e0n \u0111\u1ec3 c\u00f3 thai t\u1ef1 nhi\u00ean. Ch\u00fang t\u00f4i \u0111\u00e3 t\u1eebng \u0111i\u1ec1u tr\u1ecb cho b\u1ec7nh nh\u00e2n c\u00f3 tinh tr\u00f9ng b\u1ea5t \u0111\u1ed9ng ho\u00e0n to\u00e0n 12-15 tri\u1ec7u\/ml, sau pohaaux thu\u1eadt gi\u00e3n t\u0129nh m\u1ea1ch tinh k\u1ebft h\u1ee3p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa 2 n\u0103m s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng l\u00ean 60-65 tri\u1ec7u\/ml ( t\u00f9y t\u1eebng th\u1eddi \u0111i\u1ec3m ki\u1ec3m tra). Nh\u01b0ng tinh tr\u00f9ng v\u1eabn b\u1ea5t \u0111\u1ed9ng ho\u00e0n to\u00e0n.<\/p>\n

Tinh tr\u00f9ng ch\u1ebft th\u00ec b\u1ea5t \u0111\u1ed9ng, nh\u01b0ng kh\u00f4ng c\u00f3 ngh\u0129a tinh tr\u00f9ng b\u1ea5t \u0111\u1ed9ng l\u00e0 tinh tr\u00f9ng ch\u1ebft. B\u1eb1ng k\u1ef9 thu\u1eadt trong ph\u00f2ng Lab c\u1ee7a trung t\u00e2m H\u1ed7 tr\u1ee3 sinh s\u1ea3n, c\u00e1c k\u1ef9 thu\u1eadt vi\u00ean s\u1ebd ch\u1ecdn \u0111\u01b0\u1ee3c tinh tr\u00f9ng s\u1ed1ng. C\u00e1ch duy nh\u1ea5t c\u1ee7a b\u1ea1n \u0111\u1ec3 tr\u1edf th\u00e0nh cha sinh h\u1ecdc l\u00e0 th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m b\u1eb1ng k\u1ef9 thu\u1eadt IVF\/ ICSI.<\/p>\n

Ch\u00fac b\u1ea1n may m\u1eafn!<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

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Xin h\u1ecfi v\u1ee3 ch\u1ed3ng em c\u00f3 m\u1ed9t ch\u00e1u trai nay \u0111\u00e3 6 tu\u1ed5i. 2 n\u0103m nay kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o m\u00e0 kh\u00f4ng c\u00f3 thai. \u0110i kh\u00e1m \u1edf BV T\u1eeb D\u0169 b\u00e1c s\u0129 n\u00f3i kh\u00f4ng c\u00f3 g\u00ec v\u00e0 v\u1ee3 ch\u1ed3ng \u0111\u00e3 m\u1ed9t l\u1ea7n th\u1ef1c hi\u1ec7n IUI m\u00e0 c\u0169ng kh\u00f4ng c\u00f3 thai. Xin h\u1ecfi t\u1ea1i sao,c\u00f3 c\u00e1ch n\u00e0o kh\u00e1c hi\u1ec7u qu\u1ea3 h\u01a1n kh\u00f4ng?<\/em><\/p>\n<\/div>\n

nguy\u00ean v\u0103n c\u00f4ng, 34 tu\u1ed5i, ngh\u0129a ch\u00e1nh .tp qu\u00e3ng ng\u00e3i<\/em><\/div>\n<\/div>\n
B\u00e1c s\u0129 V\u1ec7 tr\u1ea3 l\u1eddi<\/strong><\/div>\n
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Theo t\u00e2m s\u1ef1 c\u1ee7a b\u1ea1n, sau hai n\u0103m quan h\u1ec7 m\u00e0 kh\u00f4ng d\u00f9ng b\u1ea5t k\u1ef3 bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o, \u0111\u00e3 th\u1ef1c hi\u1ec7n k\u1ef9 thu\u1eadt IUI m\u1ed9t l\u1ea7n t\u1ea1i B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 ( C\u01a1 s\u1edf kh\u00e1m ch\u1eefa v\u00f4 sinh uy t\u00edn cao). Nh\u01b0 v\u1eady, b\u1ea1n b\u1ecb v\u00f4 sinh th\u1ee9 ph\u00e1t kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n.<\/p>\n

Ch\u00fang T\u00f4i khuy\u00ean b\u1ea1n n\u00ean l\u00e0m IUI ba chu k\u1ef3 c\u00f3 k\u00edch tr\u1ee9ng, n\u1ebfu kh\u00f4ng k\u1ebft qu\u1ea3 th\u00ec n\u00ean l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m.<\/p>\n

Ch\u00fac v\u1ee3 ch\u1ed3ng b\u1ea1n may m\u1eafn.<\/p>\n

Xin ch\u00e0o \u0111\u1ed9c gi\u1ea3 VnExpress.<\/p>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n

[:]<\/p>\n","protected":false},"excerpt":{"rendered":"

[:vi]Ch\u00e0o b\u00e1c s\u0129, 2 v\u1ee3 ch\u1ed3ng ch\u00e1u l\u1ea5y nhau \u0111\u00e3 2 n\u0103m m\u00e0 ch\u01b0a c\u00f3 em b\u00e9, ch\u00fang ch\u00e1u \u0111\u00e3 l\u00e0m t\u1ea5t c\u1ea3 c\u00e1c x\u00e9t nghi\u1ec7m:
\n– Ch\u1ed3ng: Tinh d\u1ecbch \u0111\u1ed3
\n– V\u1ee3: X\u00e9t nghi\u1ec7m t\u1ed5ng qu\u00e1t, n\u1ed9i ti\u1ebft, ch\u1ee5p t\u1eed cung, v\u00f2i tr\u1ee9ng.
\nC\u1ea3 2 \u0111\u1ec1u b\u00ecnh th\u01b0\u1eddng. Ch\u00fang ch\u00e1u \u0111\u1ec1u m\u1ea1nh kh\u1ecfe, \u00edt khi b\u1ec7nh t\u1eadt. Ri\u00eang v\u00f2ng kinh th\u00ec ch\u00e1u b\u1ecb th\u1ea5t th\u01b0\u1eddng 2-3 th\u00e1ng. Quan h\u1ec7 trung b\u00ecnh 3 l\u1ea7n m\u1ed9t tu\u1ea7n. Cho ch\u00e1u h\u1ecfi c\u00f3 nh\u1eefng kh\u1ea3 n\u0103ng n\u00e0o khi\u1ebfn ch\u00fang ch\u00e1u l\u00e2u c\u00f3 em b\u00e9 nh\u01b0 v\u1eady? 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