{"id":707,"date":"2017-02-27T17:10:32","date_gmt":"2017-02-27T10:10:32","guid":{"rendered":"https:\/\/benhvienvietbi.vn\/en\/?p=707"},"modified":"2022-07-01T08:54:02","modified_gmt":"2022-07-01T01:54:02","slug":"vo-sinh-khong-tu-cung","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/vo-sinh-khong-tu-cung\/","title":{"rendered":"[:vi]V\u00f4 sinh do kh\u00f4ng t\u1eed cung[:]"},"content":{"rendered":"

T\u1eed cung (hay d\u1ea1 con) l\u00e0 b\u1ed9 ph\u1eadn sinh \u0111\u1ebb quan tr\u1ecdng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. T\u1eed cung \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh \u1edf b\u1ee5ng d\u01b0\u1edbi v\u00e0 ho\u00e0n ch\u1ec9nh v\u1ec1 c\u1ea5u tr\u00fac ngay khi thai c\u00f2n trong b\u1ee5ng m\u1eb9. T\u1eed cung l\u1edbn d\u1ea7n l\u00ean v\u00e0 thay \u0111\u1ed5i v\u1ec1 \u0111\u1ed9 l\u1edbn c\u0169ng nh\u01b0 h\u00ecnh d\u00e1ng v\u00e0 k\u00edch th\u01b0\u1edbc theo s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Khi tr\u01b0\u1edfng th\u00e0nh t\u1eed cung c\u00f3 k\u00edch th\u01b0\u1edbc trung b\u00ecnh \u00a06 x 4 x 2 cm. B\u00ecnh th\u01b0\u1eddng eo t\u1eed cung d\u00e0i kho\u1ea3ng v\u00e0i milimet nh\u01b0ng khi c\u00f3 thai s\u1ebd gi\u00e3n d\u1ea7n do h\u00ecnh th\u00e0nh \u201c\u0111o\u1ea1n d\u01b0\u1edbi\u201d ( 9 – 10cm).<\/p>\n

Khi c\u00f3 thai t\u1eed cung to d\u1ea7n l\u00ean, dung t\u00edch l\u00fac b\u00ecnh th\u01b0\u1eddng 5ml, thai \u0111\u1ee7 th\u00e1ng c\u00f3 th\u1ec3 t\u1edbi 5000ml th\u1eadm ch\u00ed c\u00f2n h\u01a1n n\u1eefa (t\u0103ng h\u01a1n 1.000 l\u1ea7n). Nh\u1eefng b\u1ea5t th\u01b0\u1eddng \u1edf t\u1eed cung c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y v\u00f4 sinh cho ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Nh\u1eefng b\u1ea5t th\u01b0\u1eddng n\u00e0y c\u00f3 nhi\u1ec1u lo\u1ea1i: c\u00f3 khi l\u00e0 nh\u1eefng d\u1ecb t\u1eadt b\u1ea9m sinh \u1edf ng\u01b0\u1eddi ph\u1ee5 n\u1eef ngay khi c\u00f2n trong b\u00e0o thai; c\u00f3 khi l\u00e0 b\u1ec7nh m\u1eafc ph\u1ea3i \u1edf t\u1eed cung khi\u1ebfn ng\u01b0\u1eddi ph\u1ee5 n\u1eef kh\u00f4ng th\u1ec3 mang thai. M\u1ed9t trong nh\u1eefng b\u1ea5t th\u01b0\u1eddng t\u1eed cung g\u00e2y \u1ea3nh h\u01b0\u1edfng n\u1eb7ng n\u1ec1 \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi ph\u1ee5 n\u1eef l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng t\u1eed cung.<\/p>\n

\"vo-sinh-do-khong-tu-cung\"
\nM\u1ed9t b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh hay g\u1eb7p l\u00e0 h\u1ed9i ch\u1ee9ng Mayer Rokistansky Kuster Hauser (MRKH), m\u1ed9t s\u1ed1 t\u00ean kh\u00e1c d\u00f9ng \u0111\u1ec3 ch\u1ec9 h\u1ed9i ch\u1ee9ng n\u00e0y g\u1ed3m:<\/p>\n

1.B\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh kh\u00f4ng t\u1eed cung:<\/strong><\/p>\n

1.Congenital absence of the uterus and vagina (CAUV)<\/p>\n

2.Genital renal ear syndrome (GRES)<\/p>\n

3.Mullerian agenesis<\/p>\n

4.Mullerian aplasia<\/p>\n

5.Mullerian dysgenesis<\/p>\n

6.Rokitansky syndrome<\/p>\n

Nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn h\u1ed9i ch\u1ee9ng n\u00e0y v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c hi\u1ec3u bi\u1ebft r\u00f5 r\u00e0ng, tuy nhi\u00ean n\u00f3 kh\u00f4ng li\u00ean quan \u0111\u1ebfn b\u1ea5t th\u01b0\u1eddng gene hay nhi\u1ec5m s\u1eafc th\u1ec3. T\u1ef7 l\u1ec7 g\u1eb7p 1\/4500 tr\u1ebb g\u00e1i sinh ra (M\u1ef9). B\u1ec7nh nh\u00e2n ph\u00e1t tri\u1ec3n th\u1ec3 ch\u1ea5t b\u00ecnh th\u01b0\u1eddng nh\u01b0ng \u0111\u1ebfn kh\u00e1m b\u1ec7nh v\u00ec t\u00ecnh tr\u1ea1ng d\u1eady th\u00ec mu\u1ed9n hay kh\u00f4ng c\u00f3 kinh nguy\u1ec7t nguy\u00ean ph\u00e1t, qua th\u0103m kh\u00e1m v\u00e0 l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m: si\u00eau \u00e2m,\u00a0 ch\u1ee5p MRI ph\u00e1t hi\u1ec7n th\u1ea5y kh\u00f4ng c\u00f3 \u00e2m \u0111\u1ea1o ho\u1eb7c \u00e2m \u0111\u1ea1o ng\u1eafn, c\u00f3 ho\u1eb7c kh\u00f4ng c\u00f3 t\u1eed cung k\u00e8m theo.Trong khi \u0111\u00f3 bu\u1ed3ng tr\u1ee9ng 2 b\u00ean b\u00ecnh th\u01b0\u1eddng v\u1ec1 k\u00edch th\u01b0\u1edbc v\u00e0 ch\u1ee9c n\u0103ng.<\/p>\n

L\u1ee9a tu\u1ed5i ch\u1ea9n \u0111o\u00e1n trung b\u00ecnh t\u1eeb 16-18 tu\u1ed5i. MRKH c\u00f3 th\u1ec3 c\u00f3 \u00e2m \u0111\u1ea1o ho\u1eb7c \u00e2m \u0111\u1ea1o ng\u1eafn k\u00e8m theo c\u00f3 t\u1eed cung nh\u1ecf ho\u1eb7c kh\u00f4ng c\u00f3 t\u1eed cung, m\u1ed9t s\u1ed1 ch\u1ec9 c\u00f3 1 b\u00ean th\u1eadn. Trong tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng c\u00f3 \u00e2m \u0111\u1ea1o nh\u01b0ng c\u00f3 t\u1eed cung b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 t\u1ea1o h\u00ecnh \u00e2m \u0111\u1ea1o v\u00e0 c\u00f3 th\u1ec3 c\u00f3 thai b\u00ecnh th\u01b0\u1eddng \u0111\u01b0\u1ee3c. Nh\u01b0ng n\u1ebfu kh\u00f4ng c\u00f3 t\u1eed cung ho\u1eb7c t\u1eed cung nhi t\u00ednh th\u00ec ng\u01b0\u1eddi \u0111\u00f3 kh\u00f4ng th\u1ec3 mang thai \u0111\u01b0\u1ee3c. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y ph\u1ea3i l\u00e0m th\u1ee5 tinh \u1ed1ng nghi\u1ec7m l\u1ea5y tr\u1ee9ng ra v\u00e0 nh\u1edd ng\u01b0\u1eddi kh\u00e1c mang thai h\u1ed9. M\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt c\u1ea5y gh\u00e9p t\u1eed cung.<\/p>\n

2.Kh\u00f4ng t\u1eed cung m\u1eafc ph\u1ea3i sau ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung:<\/strong><\/p>\n

2.1.<\/strong>Ung th\u01b0 ph\u1ee5 khoa:<\/strong> m\u1ed9t s\u1ed1 ung th\u01b0 ph\u1ee5 khoa nh\u01b0 ung th\u01b0 t\u1eed cung hay c\u1ed5 t\u1eed cung – ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t. Ngo\u00e0i ra ung th\u01b0 bu\u1ed3ng tr\u1ee9ng b\u1ec7nh nh\u00e2n bu\u1ed9c ph\u1ea3i c\u1eaft b\u1ecf c\u1ea3 t\u1eed cung v\u00e0 bu\u1ed3ng tr\u1ee9ng 2 b\u00ean.<\/p>\n

2.2.U\u00a0x\u01a1 t\u1eed cung(UXTC): c<\/strong>\u1eaft b\u1ecf t\u1eed cung ch\u1ec9 \u0111\u1ecbnh trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p UXTC\u00a0 k\u00edch th\u01b0\u1edbc l\u1edbn (>5cm), ch\u1ea3y m\u00e1u k\u00e9o d\u00e0i, thi\u1ebfu m\u00e1u n\u1eb7ng, \u0111au v\u00f9ng ch\u1eadu hay \u00e1p l\u1ef1c b\u00e0ng quang. Ch\u1ec9 \u0111\u1ecbnh kh\u00e1 ch\u1eb7t ch\u1ebd \u0111\u1eb7c bi\u1ec7t \u1edf nh\u1eefng ph\u1ee5 n\u1eef v\u1eabn c\u00f2n nhu c\u1ea7u sinh con.<\/p>\n

2.3.Adenomyosis: <\/strong>G\u00e2y t\u00ecnh tr\u1ea1ng vi\u00eam d\u00ednh, x\u01a1 h\u00f3a t\u1eed cung kh\u00f4ng h\u1ed3i ph\u1ee5c, c\u00f3 th\u1ec3 k\u00e8m them \u0111au b\u1ee5ng kinh, \u0111au v\u00f9ng ch\u1eadu nhi\u1ec1u \u1ea3nh h\u01b0\u1edfng tr\u1ea7m tr\u1ecdng t\u1edbi sinh ho\u1ea1t c\u1ee7a b\u1ec7nh nh\u00e2n. Khi vi\u1ec7c \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa ho\u1eb7c ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n kh\u00f4ng c\u1ea3i thi\u1ec7n bu\u1ed9c ph\u1ea3i c\u1eaft b\u1ecf t\u1eed cung.<\/p>\n

2.4.Sa t\u1eed\u00a0cung.<\/strong>\u00a0Sa t\u1eed cung v\u00e0o \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 x\u1ea3y ra khi c\u00e1c d\u00e2y ch\u1eb1ng h\u1ed7 tr\u1ee3 v\u00e0 c\u00e1c m\u00f4 suy y\u1ebfu. Sa t\u1eed cung c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7, \u00e1p l\u1ef1c v\u00f9ng ch\u1eadu ho\u1eb7c g\u1eb7p kh\u00f3 kh\u0103n v\u1edbi nhu \u0111\u1ed9ng ru\u1ed9t. C\u1eaft b\u1ecf t\u1eed cung c\u00f3 th\u1ec3 l\u00e0 c\u1ea7n thi\u1ebft \u0111\u1ec3 \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1eeda ch\u1eefa th\u1ecfa \u0111\u00e1ng nh\u1eefng \u0111i\u1ec1u ki\u1ec7n n\u00e0y.<\/p>\n

2.5.Ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o k\u00e9o d\u00e0i.<\/strong>\u00a0N\u1ebfu kinh nguy\u1ec7t r\u1ea5t n\u1eb7ng n\u1ec1, kh\u00f4ng th\u01b0\u1eddng xuy\u00ean ho\u1eb7c k\u00e9o d\u00e0i m\u1ed7i chu k\u1ef3, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung c\u00f3 th\u1ec3 mang l\u1ea1i c\u1ee9u tr\u1ee3 khi ch\u1ea3y m\u00e1u kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c.<\/p>\n

3.H\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb:<\/strong><\/p>\n

Nh\u1eefng ph\u1ee5 n\u1eef kh\u00f4ng t\u1eed cung b\u1ea9m sinh hay m\u1eafc ph\u1ea3i n\u1ebfu c\u00f2n nhu c\u1ea7u sinh s\u1ea3n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 hi v\u1ecdng n\u1ebfu ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng b\u00ecnh. H\u1ecd c\u00f3 th\u1ec3 l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m v\u00e0 nh\u1edd ng\u01b0\u1eddi kh\u00e1c mang thai h\u1ed9 ho\u1eb7c c\u1ea5y gh\u00e9p t\u1eed cung t\u1eeb t\u1eed cung hi\u1ebfn t\u1eb7ng. Tuy c\u00f2n nhi\u1ec1u h\u1ea1n ch\u1ebf trong m\u1ed7i ph\u01b0\u01a1ng ph\u00e1p nh\u01b0ng c\u0169ng l\u00e0 \u0111i\u1ec3m s\u00e1ng mang \u0111\u1ebfn nh\u1eefng hi v\u1ecdng cho c\u00e1c phu n\u1eef k\u00e9m may m\u1eafn c\u00f3 th\u1ec3 c\u00f3 con b\u1eb1ng ch\u00ednh ngu\u1ed3n tr\u1ee9ng c\u1ee7a m\u00ecnh.<\/p>\n

\u00a0TS.BS. L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

[:vi]T\u1eed cung (hay d\u1ea1 con) l\u00e0 b\u1ed9 ph\u1eadn sinh \u0111\u1ebb quan tr\u1ecdng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. T\u1eed cung \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh \u1edf b\u1ee5ng d\u01b0\u1edbi v\u00e0 ho\u00e0n ch\u1ec9nh v\u1ec1 c\u1ea5u tr\u00fac ngay khi thai c\u00f2n trong b\u1ee5ng m\u1eb9. T\u1eed cung l\u1edbn d\u1ea7n l\u00ean v\u00e0 thay \u0111\u1ed5i v\u1ec1 \u0111\u1ed9 l\u1edbn c\u0169ng nh\u01b0 h\u00ecnh d\u00e1ng v\u00e0 k\u00edch th\u01b0\u1edbc theo s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Khi tr\u01b0\u1edfng th\u00e0nh t\u1eed cung c\u00f3 k\u00edch th\u01b0\u1edbc trung b\u00ecnh 6 x 4 x 2 cm. B\u00ecnh th\u01b0\u1eddng eo t\u1eed cung d\u00e0i kho\u1ea3ng v\u00e0i milimet nh\u01b0ng khi c\u00f3 thai s\u1ebd gi\u00e3n d\u1ea7n do h\u00ecnh th\u00e0nh \u201c\u0111o\u1ea1n d\u01b0\u1edbi\u201d ( 9 – 10cm).[:]<\/p>\n","protected":false},"author":3,"featured_media":708,"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":[24,2,22],"tags":[],"class_list":["post-707","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nguyen-nhan","category-thu-tinh-trong-ong-nghiem-ivf","category-vo-sinh-hiem-muon"],"acf":[],"yoast_head":"\n[:vi]V\u00f4 sinh do kh\u00f4ng t\u1eed cung[:] - 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\/vo-sinh-khong-tu-cung\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:vi]V\u00f4 sinh do kh\u00f4ng t\u1eed cung[:] - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"[:vi]T\u1eed cung (hay d\u1ea1 con) l\u00e0 b\u1ed9 ph\u1eadn sinh \u0111\u1ebb quan tr\u1ecdng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. T\u1eed cung \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh \u1edf b\u1ee5ng d\u01b0\u1edbi v\u00e0 ho\u00e0n ch\u1ec9nh v\u1ec1 c\u1ea5u tr\u00fac ngay khi thai c\u00f2n trong b\u1ee5ng m\u1eb9. T\u1eed cung l\u1edbn d\u1ea7n l\u00ean v\u00e0 thay \u0111\u1ed5i v\u1ec1 \u0111\u1ed9 l\u1edbn c\u0169ng nh\u01b0 h\u00ecnh d\u00e1ng v\u00e0 k\u00edch th\u01b0\u1edbc theo s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. Khi tr\u01b0\u1edfng th\u00e0nh t\u1eed cung c\u00f3 k\u00edch th\u01b0\u1edbc trung b\u00ecnh 6 x 4 x 2 cm. 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