{"id":82,"date":"2016-02-19T16:49:30","date_gmt":"2016-02-19T09:49:30","guid":{"rendered":"http:\/\/demo.itheme.vn\/itheme231_Vnbestfood\/?p=82"},"modified":"2021-01-06T09:02:26","modified_gmt":"2021-01-06T02:02:26","slug":"benh-vo-sinh-phuong-phap-chua-nhu-the-nao","status":"publish","type":"post","link":"https:\/\/benhvienvietbi.vn\/en\/benh-vo-sinh-phuong-phap-chua-nhu-the-nao\/","title":{"rendered":"[:vi]B\u1ec7nh v\u00f4 sinh – ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa nh\u01b0 th\u1ebf n\u00e0o ?[:en]Tips for the mother when the baby has diarrhea[:]"},"content":{"rendered":"

[:vi]Ngu\u00f4\u0300n: B\u00e1o Ph\u1ee5 n\u1eef<\/strong><\/p>\n

S\u00e1ng 1\/7 t\u1ea1i hai mi\u1ec1n Nam\u00a0– B\u1eafc, h\u1ed9i t\u1ee5\u00a0nh\u1eefng chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong c\u1ea3 n\u01b0\u1edbc v\u1ec1 ch\u1eefa tr\u1ecb v\u00f4 sinh \u0111\u1ec3 t\u01b0 v\u1ea5n cho \u0111\u1ed9c gi\u1ea3 b\u00e1o Ph\u1ee5 n\u1eef TP.HCM.<\/strong><\/p>\n

M\u1eb7c d\u00f9 r\u1ea5t b\u1eadn v\u1edbi c\u00f4ng vi\u1ec7c chuy\u00ean m\u00f4n, c\u0169ng nh\u01b0 vi\u1ec7c n\u1eafm gi\u1eef vai tr\u00f2\u00a0Ph\u00f3 Gi\u00e1m \u0111\u1ed1c BV T\u1eeb D\u0169 TP.HCM\u00a0– TS.BS. CK2 Nguy\u1ec5n B\u00e1 M\u1ef9 Nhi v\u1eabn nhi\u1ec7t t\u00ecnh gi\u1ea3i \u0111\u00e1p t\u1ea5t c\u1ea3 nh\u1eefng th\u1eafc m\u1eafc c\u1ea3 v\u1ec1 ph\u00e1p l\u00fd l\u1eabn chuy\u00ean m\u00f4n cho \u0111\u1ed9c gi\u1ea3 c\u1ee7a b\u00e1o.<\/p>\n

\u0110\u1ed3ng th\u1eddi, ThS-BS L\u00ea Th\u1ecb Minh Ch\u00e2u (Tr\u01b0\u1edfng khoa Hi\u1ebfm mu\u1ed9n B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 TP.HCM) c\u0169ng d\u00e0nh c\u1ea3 bu\u1ed5i s\u00e1ng \u0111\u1ec3 gi\u00fap nh\u1eefng\u00a0gia\u00a0\u0111\u00ecnh\u00a0th\u00eam\u00a0v\u1eefng b\u01b0\u1edbc trong\u00a0h\u00e0nh tr\u00ecnh t\u00ecm ki\u1ebfm m\u1ee5n con!<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, TS-BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 – Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Nam h\u1ecdc v\u00e0 hi\u1ebfm mu\u1ed9n Vi\u1ec7t – B\u1ec9 c\u0169ng\u00a0\u0111\u00e3 tr\u1ea3 l\u1eddi h\u00e0ng lo\u1ea1t nh\u1eefng c\u00e2u h\u1ecfi ti\u00eau bi\u1ec3u nh\u1ea5t m\u00e0 b\u1ea1n \u0111\u1ecdc g\u1eedi \u0111\u1ebfn li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 n\u00e0y.<\/p>\n

“C\u00f3 mu\u00f4n v\u00e0n nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn vi\u1ec7c v\u00f4 sinh, hi\u1ebfm mu\u1ed9n m\u00e0 m\u1ed7i ng\u01b0\u1eddi l\u00e0 m\u1ed7i tr\u01b0\u1eddng h\u1ee3p kh\u00e1c nhau: C\u00f3 th\u1ec3 do ch\u1ed3ng; do v\u1ee3; nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 do c\u1ea3 hai. C\u00f3 nh\u1eefng b\u1ec7nh ch\u1eefa \u0111\u01b0\u1ee3c, ph\u1ea7n l\u1edbn l\u00e0 ch\u1eefa \u0111\u01b0\u1ee3c! Nh\u01b0ng c\u0169ng c\u00f3 nh\u1eefng b\u1ec7nh hi\u1ec7n nay khoa h\u1ecdc b\u1ea5t kh\u1ea3 kh\u00e1ng.<\/p>\n

V\u00ec v\u1eady, n\u1ebfu c\u00e1c b\u1ea1n k\u1ebft h\u00f4n sau m\u1ed9t n\u0103m m\u00e0 ch\u01b0a c\u00f3 con (ho\u1eb7c 6 th\u00e1ng cho nh\u1eefng ph\u1ee5 n\u1eef sau 35 tu\u1ed5i) n\u00ean \u0111\u1ebfn trung t\u00e2m hi\u1ebfm mu\u1ed9n \u0111\u1ec3 ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u0111\u1ec3 b\u00e1c s\u0129 c\u00f3 l\u1eddi khuy\u00ean c\u1ee5 th\u1ec3 cho t\u1eebng c\u1eb7p \u0111\u00f4i”, b\u00e1c s\u0129 V\u1ec7 khuy\u00ean.<\/p>\n

C\u00e2u h\u1ecfi: (Vi\u1ec7t Ti\u1ebfn, 35 tu\u1ed5i, Qu\u1eadn 1, TP.HCM): <\/strong><\/em>Em \u0111\u00e3 b\u01a1m th\u00f4ng v\u00f2i tr\u1ee9ng sau \u0111\u00f3 \u0111\u00e3 k\u00edch tr\u1ee9ng 2 chu k\u00ec r\u1ed3i nh\u01b0ng v\u1eabn ch\u01b0a \u0111\u1eadu thai. Em mu\u1ed1n h\u1ecfi k\u00edch tr\u1ee9ng b\u1eb1ng thu\u1ed1c Clomid t\u1ed1i \u0111a l\u00e0 bao nhi\u00eau chu k\u00ec? -K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft ng\u00e0y 3 chu k\u00ec c\u1ee7a em nh\u01b0 sau: FSH 7mU\/ml;LH 5,1 mU\/ml;Progesterone 0,2 ng\/ml;Estradiol 6pg\/ml. Ng\u00e0y th\u1ee9 27 chu k\u00ec x\u00e9t nghi\u1ec7m Prolactin 12,8 ng\/ml. B\u00e1c s\u0129 cho em \u0111\u01b0\u1ee3c bi\u1ebft nh\u1eefng l\u01b0\u1ee3ng n\u1ed9i ti\u1ebft tr\u00ean em b\u1ecb thi\u1ec1u\/h\u1ee5t g\u00ec n\u1eefa \u1ea1.<\/em><\/p>\n

– Xin h\u1ecfi thu\u1ed1c Progynova 2mg b\u1eaft \u0111\u1ea7u u\u1ed1ng v\u00e0o ng\u00e0y m\u1ea5y chu k\u00ec v\u00e0 u\u1ed1ng \u0111\u1ebfn ng\u00e0y m\u1ea5y th\u00ec ng\u01b0ng \u1ea1. -C\u00f3 kinh l\u01b0\u1ee3ng m\u00e1u r\u1ea5t \u00edt ch\u1ec9 v\u1ecfn v\u1eb9n 2 ng\u00e0y l\u00e0 s\u1ea1ch,hay b\u1ecb \u0111au r\u01b0ng r\u1ee9c b\u1ee5ng d\u01b0\u1edbi r\u1ed1n,d\u00f9ng tay \u1ea5n v\u00e0o th\u1ea5y \u0111au. \u0110i si\u00eau \u00e2m th\u00ec b\u00e1c s\u0129 n\u00f3i b\u00ecnh th\u01b0\u1eddng. K\u00ednh mong b\u00e1c s\u0129 gi\u1ea3i \u0111\u00e1p d\u00f9m. Em xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n!<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> B\u1ea1n \u0111\u00e3 k\u00edch tr\u1ee9ng l\u00e0m IUI nh\u01b0ng b\u1ea1n kh\u00f4ng n\u00f3i c\u00f3 d\u00f9ng FSH hay ch\u1ec9 d\u00f9ng Clomid th\u00f4i. N\u1ebfu d\u00f9ng Clomid th\u00ec kh\u1ea3 n\u0103ng t\u1ea1o n\u00ean no\u00e3n r\u1ea5t \u00edt, th\u01b0\u1eddng ch\u1ec9 1 \u0111\u1ebfn 2 no\u00e3n trong 1 chu k\u1ef3 n\u00ean k\u1ebft qu\u1ea3 c\u1ee7a IUI kh\u00f4ng cao.<\/p>\n

K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft c\u1ee7a b\u1ea1n b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng c\u00f3 g\u00ec \u0111\u1eb7c bi\u1ec7t. C\u00f2n \u0111au v\u00f9ng ti\u1ec3u khung khi h\u00e0nh kinh l\u00e0 chuy\u1ec7n th\u01b0\u1eddng x\u1ea3y ra \u1edf ph\u1ee5 n\u1eef.<\/p>\n

H\u01a1n n\u1eefa, b\u1ea1n \u0111\u00e3 b\u01a1m th\u00f4ng v\u00f2i tr\u1ee9ng, t\u00f4i cho r\u1eb1ng kh\u1ea3 n\u0103ng l\u01b0u th\u00f4ng v\u00f2i tr\u1ee9ng c\u1ee7a b\u1ea1n kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1t. N\u1ebfu b\u1ea1n l\u00e0m IUI kho\u1ea3ng 3-5 chu k\u1ef3 c\u00f3 s\u1eed d\u1ee5ng FSH m\u00e0 kh\u00f4ng k\u1ebft qu\u1ea3 n\u00ean chuy\u1ec3n sang l\u00e0m IVF. Ch\u00fac b\u1ea1n may m\u1eafn.<\/p>\n

C\u00e2u h\u1ecfi (Nguy\u1ec5n Th\u1ecb Sen, 30 tu\u1ed5i): <\/em><\/strong>B\u00e1c s\u0129 cho t\u00f4i h\u1ecfi khi ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 hi\u1ebfm mu\u1ed9n h\u1ecd th\u01b0\u1eddng c\u00f3 t\u00e2m l\u00ed e ng\u1ea1i, kh\u00f4ng h\u1ee3p t\u00e1c v\u1edbi v\u1ee3. V\u1eady ngo\u00e0i bi\u1ec7n ph\u00e1p chuy\u00ean m\u00f4n b\u00e1c s\u0129 c\u00f3 bi\u1ec7n ph\u00e1p t\u00e2m l\u00ed n\u00e0o kh\u00f4ng \u1ea1?<\/em><\/p>\n

TS. BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> Th\u00f4ng th\u01b0\u1eddng \u0111\u00e0n \u00f4ng lu\u00f4n th\u1ec3 hi\u1ec7n s\u1ee9c m\u1ea1nh c\u1ee7a m\u00ecnh, h\u1ea7u nh\u01b0 kh\u00f4ng bao gi\u1edd n\u00f3i v\u1ec1 nh\u1eefng y\u1ebfu k\u00e9m trong m\u1ecdi l\u0129nh v\u1ef1c, k\u1ec3 c\u1ea3 v\u00f4 sinh. Nh\u01b0ng th\u00f4ng th\u01b0\u1eddng, khi \u0111\u1ed1i m\u1eb7t v\u1edbi v\u00f4 sinh th\u00ec ng\u01b0\u1eddi ta hay c\u1edfi m\u1edf, tuy v\u1eady c\u00f3 m\u1ed9t s\u1ed1 \u00edt s\u1ef1 c\u1edfi m\u1edf v\u00e0 h\u1ee3p t\u00e1c kh\u00f4ng cao. Th\u00f4ng th\u01b0\u1eddng c\u00e1c trung t\u00e2m h\u1ed7 tr\u1ee3 sinh s\u1ea3n \u0111\u1ec1u c\u00f3 ph\u00f2ng t\u01b0 v\u1ea5n h\u1ed7 tr\u1ee3 cho nh\u1eefng c\u1eb7p v\u00f4 sinh, hi\u1ebfm mu\u1ed9n.<\/p>\n

N\u1ebfu ch\u1ed3ng b\u1ea1n ho\u1eb7c b\u1ea1n ng\u1ea7n ng\u1ea1i \u0111i kh\u00e1m hi\u1ebfm mu\u1ed9n th\u00ec c\u00f3 th\u1ec3 g\u1eb7p b\u00e1c s\u0129 t\u01b0 v\u1ea5n tr\u01b0\u1edbc khi kh\u00e1m \u0111\u1ec3 b\u00e1c s\u0129 t\u01b0 v\u1ea5n cho ch\u1ed3ng b\u1ea1n v\u1ec1 hi\u1ebfm mu\u1ed9n, ph\u00e2n t\u00edch nh\u1eefng \u0111i\u1ec1u c\u1ea7n thi\u1ebft v\u00e0 nh\u1eefng \u0111i\u1ec1u c\u00f3 l\u1ee3i khi h\u1ee3p t\u00e1c v\u1edbi th\u1ea7y thu\u1ed1c trong qu\u00e1 tr\u00ecnh kh\u00e1m, ch\u1eefa b\u1ec7nh.<\/p>\n

C\u00e2u h\u1ecfi (Nguy\u1ec5n H\u1ea3i H\u00e0, 40 tu\u1ed5i, Ho\u00e0n Ki\u1ebfm, H\u00e0 N\u1ed9i): <\/em><\/strong>Xin ch\u00e0o b\u00e1c s\u0129, t\u00f4i \u0111\u00e3 c\u00f3 m\u1ed9t ch\u00e1u trai nh\u01b0ng v\u1eeba r\u1ed3i ch\u00e1u b\u1ecb tai n\u1ea1n v\u00e0 kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng \u0111i l\u1ea1i. Gia \u0111\u00ecnh t\u00f4i c\u00f3 nguy\u1ec7n v\u1ecdng sinh th\u00eam m\u1ed9t ch\u00e1u n\u1eefa. Tuy nhi\u00ean, t\u00f4i \u0111\u00e3 40 tu\u1ed5i. T\u00f4i t\u1eadp th\u1ec3 d\u1ee5c h\u00e0ng ng\u00e0y, c\u00f3 l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh v\u00e0 \u0111i\u1ec1u \u0111\u1ed9. V\u1eady kh\u1ea3 n\u0103ng th\u1ee5 thai c\u1ee7a t\u00f4i l\u00e0 bao nhi\u00eau ph\u1ea7n tr\u0103m v\u00e0 n\u1ebfu c\u00f3 th\u00ec con c\u1ee7a t\u00f4i c\u00f3 \u1ea3nh h\u01b0\u1edfng g\u00ec kh\u00f4ng?<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 <\/strong>: B\u1ea1n n\u0103m nay \u0111\u00e3 40 tu\u1ed5i, tu\u1ed5i n\u00e0y v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n. T\u00f4i \u0111\u00e3 t\u1eebng ch\u1eefa cho 1 b\u00e1c s\u0129 54 tu\u1ed5i sinh \u0111\u00f4i v\u00e0 2 c\u00f4 c\u0169ng b\u1eb1ng tu\u1ed5i \u0111\u00e3 l\u00e0m m\u1eb9. \u0110\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n, b\u1ea1n c\u1ea7n \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n. Sau khi c\u00f3 k\u1ebft qu\u1ea3, th\u1ea7y thu\u1ed1c chuy\u00ean khoa s\u1ebd t\u01b0 v\u1ea5n cho b\u1ea1n l\u1ef1a ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p n\u00e0o \u0111\u1ec3 c\u00f3 con.<\/p>\n

Ri\u00eang ch\u00e1u b\u00e9 li\u1ec7t n\u1eeda ng\u01b0\u1eddi n\u1ebfu sau n\u00e0y nu\u00f4i d\u01b0\u1ee1ng b\u00ecnh th\u01b0\u1eddng ch\u00e1u v\u1eabn tr\u1edf th\u00e0nh cha sinh h\u1ecdc. Kh\u1ea3 n\u0103ng n\u00e0y trong t\u1ea7m tay c\u1ee7a c\u00e1c nh\u00e0 h\u1ed7 tr\u1ee3 sinh s\u1ea3n. T\u00f4i \u0111\u00e3 t\u1eebng ch\u1eefa cho 1 c\u1eadu li\u1ec7t n\u1eeda ng\u01b0\u1eddi do tai n\u1ea1n giao th\u00f4ng, sau 18 n\u0103m, v\u1eabn c\u00f3 con b\u00ecnh th\u01b0\u1eddng. Ch\u00fac b\u1ea1n may m\u1eafn, ch\u00f3ng c\u00f3 em b\u00e9.<\/p>\n

C\u00e2u h\u1ecfi: (Minh, 28 tu\u1ed5i, Vu\u0303ng Ta\u0300u): <\/strong><\/em>Xin ch\u00e0o b\u00e1c s\u0129. T\u00f4i c\u00f3 gia \u0111\u00ecnh \u0111\u01b0\u1ee3c 1 n\u0103m v\u1eabn sinh ho\u1ea1t b\u00ecnh th\u01b0\u1eddng nh\u01b0ng ch\u01b0a th\u1ea5y c\u00f3 tin vui. C\u00e1ch \u0111\u00e2y 6 th\u00e1ng t\u00f4i c\u00f3 \u0111i kh\u00e1m BV k\u1ebft qu\u1ea3 l\u00e0 k\u00eau b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng b\u1ecb vi\u00eam nhi\u1ec5m, t\u1eed cung r\u1ea5t t\u1ed1t, qua si\u00eau \u00e2m bu\u1ed3ng tr\u1eebng b\u00ecnh th\u01b0\u1eddng. Xin BS cho t\u00f4i l\u1eddi khuy\u00ean v\u00e0 n\u1ebfu \u0111i kh\u00e1m th\u00ec kh\u00e1m nh\u01b0 th\u1ebf n\u00e0o cho ch\u00ednh x\u00e1c a\u0323?<\/em><\/p>\n

TS. BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 <\/strong>: \u0110\u1ec3 c\u00f3 thai tr\u1ee9ng v\u00e0 tinh tr\u00f9ng ph\u1ea3i b\u00ecnh th\u01b0\u1eddng, b\u1ea1n \u0111\u00e3 ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u0111\u01b0\u1ee3c coi l\u00e0 b\u00ecnh th\u01b0\u1eddng nh\u01b0ng kh\u00f4ng bi\u1ebft tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng nh\u01b0 th\u1ebf n\u00e0o, c\u00f3 b\u00ecnh th\u01b0\u1eddng hay kh\u00f4ng?<\/p>\n

\u0110\u1ec3 tr\u1ea3 l\u1eddi c\u00e2u h\u1ecfi, b\u1ea1n c\u1ea7n \u0111\u01b0a ch\u1ed3ng \u0111i ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n. Sau khi c\u00f3 k\u1ebft qu\u1ea3, c\u00e1c th\u1ea7y thu\u1ed1c s\u1ebd c\u00f3 c\u00e2u tr\u1ea3 l\u1eddi ch\u00ednh x\u00e1c cho b\u1ea1n.<\/p>\n

C\u00e2u h\u1ecfi (Minh, 28 tu\u1ed5i, Vu\u0303ng Ta\u0300u): <\/strong>Em n\u0103m nay 32 tu\u1ed5i l\u1eadp gia \u0111\u00ecnh \u0111\u01b0\u1ee3c 2 n\u0103m. N\u0103m 2014, em m\u1ed5 thai ngo\u00e0i t\u1eed cung c\u1eaft v\u00f2i tr\u1ee9ng mang thai b\u00ean tr\u00e1i, \u0111\u1ebfn nay v\u1eabn ch\u01b0a c\u00f3 con tr\u1edf l\u1ea1i. N\u0103m 2015, em c\u00f3 \u0111i kh\u00e1m \u0111\u01b0\u1ee3c b\u00e1c s\u0129 tr\u1ea3 l\u1eddi b\u00ecnh th\u01b0\u1eddng em: t\u1eed cung DAP 29 mm, n\u1ed9i m\u1ea1c 7,9 mm, FSH 5,28mlU\/ml , LH: 4,59mlU\/ml,<\/em><\/p>\n

Testosterone: 0,193 ng\/ml, prolactin: 26,71 ng\/ml, SHBG: 44,44 nmol\/L, estradiol: 42,29pg\/ml, ch\u1ee5p phim t\u1eed cung v\u00f2i tr\u1ee9ng b\u00ecnh th\u01b0\u1eddng nh\u01b0ng m\u00e0 em \u0111\u01b0\u1ee3c c\u00e1c b\u00e1c s\u0129 m\u1ed5 cho em n\u0103m 2014 n\u00f3i l\u00e0 v\u00f2i tr\u1ee9ng c\u1ee7a em d\u00e0i, d\u1ea1o n\u00e0y kinh nguy\u1ec7t c\u1ee7a em c\u0169ng th\u1ea5t th\u01b0\u1eddng si\u00eau \u00e2m h\u00f4m th\u00e1ng 5 th\u00ec \u0111\u01b0\u1ee3c b\u00e1c s\u0129 b\u1ea3o l\u00e0 t\u1eed cung nh\u1ecf v\u00e0 n\u1ed9i m\u1ea1c m\u1ecfng nh\u01b0ng kh\u00f4ng n\u00f3i l\u00e0 bao nhi\u00eau Ch\u1ed3ng: k\u1ebft qu\u1ea3 tinh d\u1ecbch \u0111\u1ed3 Ph: 7,5 , m\u1eadt \u0111\u1ed9: 30 * 10^6,<\/em><\/p>\n

T\u1ed4NG S\u1ed0 TINH TR\u00d9NG : 120 * 10^6, ti\u1ebfn t\u1edbi: 22%, kh\u00f4ng ti\u1ebfn t\u1edbi 11%, kh\u00f4ng di \u0111\u1ed9ng 67%, t\u1ef7 l\u1ec7 s\u1ed1ng 35%,h\u00ecnh d\u1ea1ng b\u00ecnh th\u01b0\u1eddng 4% v\u1eady xin h\u1ecfi b\u00e1c s\u0129 em c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p n\u00e0o l\u00e0 t\u1ed1t nh\u1ea5t. Xin b\u00e1c s\u0129 t\u01b0 v\u1ea5n d\u00f9m em, em xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n!<\/em><\/p>\n

TS. BS. L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 <\/strong>: B\u1ea1n b\u1ecb v\u00f4 sinh do ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf 1 b\u00ean v\u00f2i t\u1eed cung v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c t\u1ed1t l\u1eafm l\u00e0m cho kh\u1ea3 n\u0103ng c\u00f3 con t\u1ef1 nhi\u00ean gi\u1ea3m \u0111i. \u0110\u1ec3 c\u00f3 thai, m\u00ecnh khuy\u00ean b\u1ea1n k\u00edch tr\u1ee9ng l\u00e0m IUI kho\u1ea3ng 3-5 chu k\u1ef3, n\u1ebfu kh\u00f4ng k\u1ebft qu\u1ea3 chuy\u1ec3n sang l\u00e0m IVF.<\/p>\n

C\u00e2u h\u1ecfi (Nguy\u1ec5n Th\u1ecb H\u1eb1ng, 29 tu\u1ed5i, qu\u1eadn 9, TP.HCM): <\/strong><\/em>B\u00e1c s\u0129 \u01a1i, cho ch\u00e1u h\u1ecfi 2 v\u1ee3 ch\u1ed3ng ch\u00e1u k\u1ebft h\u00f4n \u0111\u01b0\u1ee3c 4 n\u0103m, 2\u00a0v\u1ee3 ch\u1ed3ng\u00a0ch\u00e1u \u0111\u00e3 \u0111i kh\u00e1m v\u00e0 k\u1ebft qu\u1ea3 l\u00e0 ch\u1ed3ng ch\u00e1u kh\u00f4ng c\u00f3 tinh tr\u00f9ng \u1ea1. Ch\u00e1u mu\u1ed1n h\u1ecfi ch\u1ed3ng ch\u00e1u c\u00f3 kh\u1ea3 n\u0103ng \u0111i\u1ec1u tr\u1ecb kh\u00f4ng \u1ea1?<\/em><\/p>\n

TS. BS. L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> Kh\u00f4ng tinh tr\u00f9ng trong tinh d\u1ecbch (Azoospesmia) l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y v\u00f4 sinh nam, chi\u1ebfm kho\u1ea3ng 20%. Kh\u00f4ng tinh tr\u00f9ng trong tinh d\u1ecbch c\u00f3 th\u1ec3 do tinh ho\u00e0n kh\u00f4ng s\u1ea3n xu\u1ea5t tinh tr\u00f9ng, ho\u1eb7c v\u1eabn s\u1ea3n xu\u1ea5t tinh tr\u00f9ng nh\u01b0ng kh\u00f4ng c\u00f3 \u0111\u01b0\u1eddng d\u1eabn ra ngo\u00e0i. Ng\u01b0\u1eddi ta ph\u00e2n chia th\u00e0nh 2 d\u1ea1ng Azoo do \u0111\u01b0\u1eddng d\u1eabn v\u00e0 kh\u00f4ng do \u0111\u01b0\u1eddng d\u1eabn.<\/p>\n

Th\u00f4ng th\u01b0\u1eddng, kh\u00f4ng tinh tr\u00f9ng trong sinh h\u1ecdc 60% c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh cha sinh h\u1ecdc. Cho n\u00ean b\u1ea1n kh\u00f4ng lo, c\u1ea7n \u0111\u01b0a ch\u1ed3ng \u0111i kh\u00e1m chuy\u00ean khoa, n\u1ebfu \u1edf trong nam \u0111\u1ebfn b\u1ec7nh vi\u1ec7n T\u1eeb D\u0169, n\u1ebfu \u1edf ngo\u00e0i B\u1eafc h\u00e3y \u0111\u1ebfn trung t\u00e2m nam h\u1ecdc hi\u1ebfm mu\u1ed9n Vi\u1ec7t B\u1ec9. Ch\u00fac b\u1ea1n may m\u1eafn!<\/p>\n

C\u00e2u h\u1ecfi (Cao M\u1ef9 Th\u01a1m, 35 tu\u1ed5i, \u0110\u1ed3ng Nai):<\/strong> V\u1ee3 ch\u1ed3ng t\u00f4i \u0111\u00e3 l\u1ea5y nhau 10 n\u0103m nay nh\u01b0ng ch\u01b0a c\u00f3 con. T\u00f4i \u0111\u00e3 ba l\u1ea7n mang thai nh\u01b0ng c\u1ee9 \u0111\u01b0\u1ee3c ba th\u00e1ng l\u00e0 s\u1ea3y. B\u00e1c s\u0129 n\u00f3i do th\u00e0nh t\u1eed cung c\u1ee7a t\u00f4i m\u1ecfng, thai kh\u00f4ng b\u00e1m v\u00e0o \u0111\u01b0\u1ee3c. M\u1ecdi ng\u01b0\u1eddi khuy\u00ean t\u00f4i n\u00ean nh\u1edd ng\u01b0\u1eddi mang thai h\u1ed9 nh\u01b0ng t\u00f4i v\u1eabn mu\u1ed1n t\u1ef1 m\u00ecnh sinh con. Kh\u00f4ng bi\u1ebft b\u1ec7nh c\u1ee7a t\u00f4i c\u00f3 th\u1ec3 ch\u1eefa \u0111\u01b0\u1ee3c kh\u00f4ng? Mong b\u00e1c s\u0129 cho l\u1eddi khuy\u00ean!<\/em><\/p>\n

TS.BS. L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> Theo y h\u1ecdc, b\u1ea1n b\u1ecb s\u1ea3y thay li\u00ean ti\u1ebfp (t\u1eeb 3 l\u1ea7n tr\u1edf l\u00ean). B\u1ec7nh n\u00e0y c\u00f3 nhi\u1ec1u nguy\u00ean nh\u00e2n, th\u00f4ng th\u01b0\u1eddng do b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3, r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c v\u00e0 m\u1ed9t s\u1ed1 nguy\u00ean nh\u00e2n kh\u00e1c. B\u1ea1n c\u1ea7n l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m tr\u01b0\u1edbc khi c\u00f3 thai nh\u01b0 Karyotype c\u1ee7a v\u1ee3, Karyotype, AZF c\u1ee7a ch\u1ed3ng, x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c tr\u01b0\u1edbc v\u00e0 trong khi c\u00f3 thai, y\u1ebfu t\u1ed1 Rh.<\/p>\n

T\u00f4i \u0111\u00e3 t\u1eebng \u0111i\u1ec1u tr\u1ecb cho ph\u1ee5 n\u1eef s\u1ea3y thai li\u00ean ti\u1ebfp 5 l\u1ea7n, hi\u1ec7n \u0111\u00e3 c\u00f3 3 em b\u00e9 (c\u00f3 thai t\u1ef1 nhi\u00ean v\u00e0 sinh b\u00ecnh th\u01b0\u1eddng) hi\u1ec7n c\u00e1c ch\u00e1u ph\u00e1t tri\u1ec3n b\u00ecnh th\u01b0\u1eddng v\u00e0 kh\u1ecfe m\u1ea1nh.<\/p>\n

C\u00e2u h\u1ecfi (Phan Th\u1ecb H\u00f2a Giang, 36 tu\u1ed5i, Long Bi\u00ean, H\u00e0 N\u1ed9i):<\/strong> Ch\u1ed3ng t\u00f4i b\u1ecb y\u1ebfu tinh tr\u00f9ng, \u0111\u00e3 u\u1ed1ng \u0111\u1ee7 lo\u1ea1i thu\u1ed1c nh\u01b0ng v\u1eabn kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng. Gi\u1edd t\u00f4i \u0111\u00e3 36 tu\u1ed5i m\u00e0 v\u1eabn ch\u01b0a c\u00f3 con. T\u00f4i b\u00e0n v\u1edbi ch\u1ed3ng l\u00e0 s\u1ebd \u0111i xin tinh tr\u00f9ng v\u00e0 \u0111\u01b0\u1ee3c anh \u0111\u1ed3ng \u00fd.<\/em><\/p>\n

T\u00f4i kh\u00f4ng mu\u1ed1n xin c\u1ee7a ng\u01b0\u1eddi quen, kh\u00f4ng bi\u1ebft xin t\u1eeb b\u1ec7nh vi\u1ec7n th\u00ec c\u00f3 ph\u1ea3i l\u00e0m nhi\u1ec1u th\u1ee7 t\u1ee5c kh\u00f4ng? Ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng c\u00f3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng? Chi ph\u00ed ra sao? Xin b\u00e1c s\u0129 t\u01b0 v\u1ea5n gi\u00fap.<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> Ch\u1ed3ng b\u1ea1n v\u1edbi ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng k\u00e9m \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa nhi\u1ec1u, kh\u00f4ng k\u1ebft qu\u1ea3. Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 d\u00e3n t\u0129nh m\u1ea1ch tinh, ho\u1eb7c b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3, \u0111\u00e2y l\u00e0 2 nguy\u00ean nh\u00e2n hay g\u1eb7p.<\/p>\n

\u0110\u1ec3 xin tinh tr\u00f9ng b\u01a1m v\u00e0o bu\u1ed3ng t\u1eed cung, th\u00f4ng th\u01b0\u1eddng c\u00f3 r\u1ea5t nhi\u1ec1u th\u1ee7 t\u1ee5c v\u00e0 \u0111\u1eb7c bi\u1ec7t l\u00e0 ph\u1ea3i “\u0110\u1ed5i m\u1eabu” – \u0111i\u1ec1u n\u00e0y \u0111\u00e3 l\u00e0m kh\u00f3 v\u00e0 m\u1ea5t \u0111i c\u01a1 h\u1ed9i l\u00e0m m\u1eb9 c\u1ee7a nhi\u1ec1u ph\u1ee5 n\u1eef.<\/p>\n

\u1ede trung t\u00e2m nam h\u1ecdc hi\u1ebfm mu\u1ed9n Vi\u1ec7t B\u1ec9 ch\u00fang t\u00f4i, kh\u00f4ng ph\u1ea3i \u0111\u1ed5i m\u1eabu tinh tr\u00f9ng, tinh tr\u00f9ng ch\u1ea5t l\u01b0\u1ee3ng t\u1ed1t. N\u1ebfu b\u1ea1n c\u00f3 nhu c\u1ea7u xin h\u00e3y li\u00ean h\u1ec7 v\u1edbi ch\u00fang t\u00f4i.<\/p>\n

TS.BS. L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> B\u1ea1n \u0111\u00e3 c\u1eaft v\u00f2i tr\u1ee9ng 2 b\u00ean, c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n v\u00f4 sinh do 2 v\u00f2i tr\u1ee9ng. C\u00e1ch duy nh\u1ea5t \u0111\u1ec3 tr\u1edf th\u00e0nh m\u1eb9 \u0111\u00f3 l\u00e0 th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m. K\u1ebft qu\u1ea3 th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m ph\u1ee5 thu\u1ed9c v\u00e0o tr\u1ee9ng v\u00e0 tinh tr\u00f9ng, c\u00f3 ngh\u0129a l\u00e0 ph\u1ee5 thu\u1ed9c v\u00e0o v\u1ee3 v\u00e0 ch\u1ed3ng.C\u00e2u h\u1ecfi (L\u00ea Th\u1ecb To\u00e0n, 39 tu\u1ed5i, Bi\u00ean H\u00f2a, \u0110\u1ed3ng Nai): <\/strong>Ch\u00e0o b\u00e1c s\u0129! T\u00f4i b\u1ecb b\u1ecb t\u1eafc v\u00f2i tr\u1ee9ng ph\u1ea3i m\u1ed5 th\u00f4ng n\u00ean kh\u00f3 th\u1ee5 thai t\u1ef1 nhi\u00ean. V\u00ec th\u1ebf, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 khuy\u00ean n\u00ean l\u00e0m th\u1ee5 tinh nh\u00e2n t\u1ea1o (IUI). Sau khi th\u1ef1c hi\u1ec7n ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, t\u00f4i \u0111\u00e3 th\u1ee5 thai nh\u01b0ng \u0111\u00e1ng bu\u1ed3n l\u00e0 l\u1ea1i b\u1ecb ch\u1eeda ngo\u00e0i t\u1eed cung. Bi k\u1ecbch h\u01a1n l\u00e0 t\u00f4i b\u1ecb v\u1ee1 v\u00f2i tr\u1ee9ng, ph\u1ea3i c\u1eaft c\u1ea3 hai b\u00ean. B\u00e2y gi\u1edd t\u00f4i mu\u1ed1n c\u00f3 con th\u00ec ph\u1ea3i l\u00e0m th\u1ebf n\u00e0o? C\u1eaft h\u1ebft v\u00f2i tr\u1ee9ng th\u00ec li\u1ec7u t\u00f4i c\u00f3 c\u00f2n tr\u1ee9ng \u0111\u1ec3 l\u1ea5y ra l\u00e0m th\u1ee5 tinh nh\u00e2n t\u1ea1o r\u1ed3i c\u1ea5y ph\u00f4i v\u00e0o ng\u01b0\u1eddi n\u1eefa kh\u00f4ng? R\u1ea5t mong b\u00e1c s\u0129 cho l\u1eddi khuy\u00ean.<\/em><\/p>\n

Theo th\u1ed1ng k\u00ea c\u1ee7a h\u1ed9i n\u1ed9i ti\u1ebft v\u00e0 sinh s\u1ea3n Hoa K\u1ef3 trong n\u0103m 2013, h\u01a1n 400 ngh\u00ecn chu k\u1ef3 l\u00e0m IVF, t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng l\u00e0 20% (b\u1ebf tr\u1ebb v\u1ec1 nh\u00e0).<\/p>\n

Th\u00f4ng th\u01b0\u1eddng, ph\u1ea3i l\u00e0m \u0111\u01b0\u1ee3c 3 \u0111\u1ebfn 5 chu k\u1ef3 n\u00ean b\u1ea1n khi l\u00e0m IVF b\u1ea1n h\u00e3y ki\u00ean tr\u00ec v\u00ec c\u00f3 ng\u01b0\u1eddi th\u00e0nh c\u00f4ng ngay, nh\u01b0ng c\u0169ng c\u00f3 ng\u01b0\u1eddi 7, 8 l\u1ea7n m\u1edbi \u0111\u01b0\u1ee3c. T\u00f4i \u0111\u00e3 g\u1eb7p c\u00f3 ng\u01b0\u1eddi l\u00e0m 8 l\u1ea7n, \u0111\u1ebfn l\u1ea7n th\u1ee9 9 m\u1edbi th\u00e0nh c\u00f4ng.<\/p>\n

C\u00e2u h\u1ecfi (Nguy\u1ec5n Th\u1ee5c Tr\u00e2m, 30 tu\u1ed5i, Ninh Ki\u1ec1u, C\u1ea7n Th\u01a1): <\/strong>T\u00f4i mang gen g\u00ec \u0111\u00f3 m\u00e0 khi sinh con ra d\u1ec5 b\u1ecb b\u1ec7nh tan m\u00e1u b\u1ea9m sinh Thalassemia. Ch\u00e1u \u0111\u1ea7u c\u1ee7a t\u00f4i mang b\u1ec7nh, r\u1ea5t kh\u1ed5 s\u1edf, th\u00e1ng n\u00e0o c\u0169ng ph\u1ea3i truy\u1ec1n m\u00e1u.<\/em><\/p>\n

Gi\u1edd t\u00f4i mu\u1ed1n sinh ch\u00e1u th\u1ee9 hai nh\u01b0ng s\u1ebd kh\u00f4ng d\u00f9ng tr\u1ee9ng c\u1ee7a t\u00f4i m\u00e0 xin tr\u1ee9ng t\u1eeb b\u1ec7nh vi\u1ec7n kh\u00f4ng bi\u1ebft c\u00f3 \u0111\u01b0\u1ee3c kh\u00f4ng? Xin b\u00e1c s\u0129 cho bi\u1ebft chi ph\u00ed, t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng. L\u00e0m nh\u01b0 v\u1eady \u0111\u1ee9a tr\u1ebb sinh ra ch\u1eafc ch\u1eafn s\u1ebd kh\u00f4ng mang b\u1ec7nh ph\u1ea3i kh\u00f4ng? Li\u1ec7u c\u00f3 c\u00e1ch n\u00e0o gi\u00fap ch\u1ecdn l\u1ecdc tr\u1ee9ng c\u1ee7a t\u00f4i kh\u00f4ng mang gen \u0111\u1ec3 t\u00f4i c\u00f3 th\u1ec3 t\u1ef1 sinh con kh\u00f4ng? Xin t\u01b0 v\u1ea5n gi\u00fap t\u00f4i. Ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n b\u00e1c s\u0129.<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> \u0110\u00e2y l\u00e0 m\u1ed9t d\u1ea1ng b\u1ec7nh di truy\u1ec1n \u1ea9n. \u0110\u1ec3 c\u00f3 con kh\u00f4ng m\u1eafc b\u1ec7nh n\u00e0y, ng\u01b0\u1eddi m\u1eb9 c\u1ea7n ph\u1ea3i l\u00e0m th\u1ee5 tinh \u1ed1ng nghi\u1ec7m, v\u00e0 tr\u01b0\u1edbc khi chuy\u1ec3n ph\u00f4i ng\u01b0\u1eddi m\u1eb9 ph\u1ea3i l\u00e0m PGD ho\u1eb7c PGS – t\u1ee9c l\u00e0 ch\u1ea9n \u0111o\u00e1n gen c\u1ee7a ph\u00f4i tr\u01b0\u1edbc khi chuy\u1ec3n v\u00e0o bu\u1ed3ng t\u1eed cung \u0111\u1ec3 lo\u1ea1i tr\u1eeb nh\u1eefng ph\u00f4i b\u1ec7nh l\u00fd v\u00e0 gi\u1eef l\u1ea1i nh\u1eefng ph\u00f4i b\u00ecnh th\u01b0\u1eddng. V\u00e0 ch\u1ec9 chuy\u1ec3n nh\u1eefng ph\u00f4i b\u00ecnh th\u01b0\u1eddng n\u00e0y \u0111\u1ec3 lo\u1ea1i tr\u1eeb b\u1ec7nh Thalassemia.<\/p>\n

Nh\u01b0 v\u1eady, tr\u01b0\u1eddng h\u1ee3p c\u1ee7a b\u1ea1n n\u00ean l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m v\u00e0 s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt PGD ho\u1eb7c PGS. Ch\u00fac b\u1ea1n c\u00f3 m\u1ed9t \u0111\u1ee9a con nh\u01b0 mong mu\u1ed1n.<\/p>\n

C\u00e2u h\u1ecfi (Phan Di\u1ec7u H\u00e0, 33 tu\u1ed5i, B\u00ecnh Ch\u00e1nh, TP.HCM):<\/strong> V\u1ee3 ch\u1ed3ng t\u00f4i b\u1ecb hi\u1ebfm mu\u1ed9n n\u00ean quy\u1ebft \u0111\u1ecbnh th\u1ee5 tinh nh\u00e2n t\u1ea1o. B\u00e1c s\u0129 c\u00f3 n\u00f3i s\u1ebd tr\u1eef ph\u00f4i \u0111\u1ec3 n\u1ebfu t\u00f4i mu\u1ed1n sinh th\u00eam con th\u00ec s\u1ebd d\u00f9ng ph\u00f4i \u0111\u00f3. T\u00f4i mu\u1ed1n h\u1ecfi tr\u1eef ph\u00f4i nh\u01b0 v\u1eady th\u00ec c\u00f3 \u0111\u1ea3m b\u1ea3o kh\u00f4ng? Con sinh ra li\u1ec7u c\u00f3 b\u1ecb \u1ea3nh h\u01b0\u1edfng g\u00ec kh\u00f4ng? N\u00ean tr\u1eef ph\u00f4i hay khi n\u00e0o mu\u1ed1n c\u00f3 con ti\u1ebfp th\u00ec l\u1ea1i l\u00e0m th\u1ee5 tinh nh\u00e2n t\u1ea1o? Xin b\u00e1c s\u0129 t\u01b0 v\u1ea5n gi\u00fap.<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7:<\/strong> B\u00e1c s\u0129 t\u01b0 v\u1ea5n cho b\u1ea1n l\u00e0 th\u1ee5 tinh \u1ed1ng nghi\u1ec7m ch\u1ee9 kh\u00f4ng ph\u1ea3i l\u00e0 th\u1ee5 tinh nh\u00e2n t\u1ea1o, v\u00ec ch\u1ec9 c\u00f3 th\u1ee5 tinh \u1ed1ng nghi\u1ec7m m\u1edbi ch\u1ecdc h\u00fat tr\u1ee9ng, t\u1ea1o ph\u00f4i v\u00e0 tr\u1eef \u0111\u01b0\u1ee3c. Th\u00f4ng th\u01b0\u1eddng ng\u01b0\u1eddi ra chuy\u1ec3n ph\u00f4i t\u01b0\u01a1i, n\u1ebfu c\u00f2n d\u01b0 ph\u00f4i t\u1ed1t s\u1ebd \u0111\u01b0\u1ee3c tr\u1eef l\u1ea1i. Nh\u1eefng em b\u00e9 \u0111\u01b0\u1ee3c sinh ra t\u1eeb ph\u00f4i tr\u1eef v\u00e0 ph\u00f4i t\u01b0\u01a1i c\u0169ng nh\u01b0 c\u00f3 thai t\u1ef1 nhi\u00ean kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t nhau v\u00ec tr\u00ed tu\u1ec7 v\u00e0 h\u00ecnh th\u00e1i(qua nghi\u00ean c\u1ee9u c\u1ee7a c\u00e1c nh\u00e0 h\u1ed7 tr\u1ee3 sinh s\u1ea3n tr\u00ean th\u1ebf gi\u1edbi), n\u00ean b\u1ea1n y\u00ean t\u00e2m ch\u1ea5t l\u01b0\u1ee3ng t\u1eeb nh\u1eefng \u0111\u1ee9a con sinh ra t\u1eeb ph\u00f4i tr\u1eef.<\/p>\n

Tinh tr\u00f9ng c\u00f3 th\u1ec3 tr\u1eef \u0111\u01b0\u1ee3c nhi\u1ec1u n\u0103m, th\u1eadm ch\u00ed 50 n\u0103m nh\u01b0ng ph\u00f4i th\u00ec n\u00ean chuy\u1ec3n s\u1edbm tr\u01b0\u1edbc 2 n\u0103m.<\/p>\n

C\u00e2u h\u1ecfi (Ng\u1ecdc Di\u1ec7p, 28 tu\u1ed5i, \u0110\u1ed3ng Nai): <\/strong>B\u00e1c s\u0129 cho em h\u1ecfi, em v\u00e0 ch\u1ed3ng l\u1ea5y nhau \u0111\u01b0\u1ee3c g\u1ea7n 3 n\u0103m r\u1ed3i, kh\u00f4ng d\u00f9ng bi\u1ec7n ph\u00e1p ph\u00f2ng ch\u1ed1ng nh\u01b0ng cho t\u1edbi gi\u1edd v\u1eabn ch\u01b0a c\u00f3 t\u00edn hi\u1ec7u g\u00ec. Ch\u1ed3ng em v\u1eabn kh\u1ecfe m\u1ea1nh b\u00ecnh th\u01b0\u1eddng v\u00e0 em c\u0169ng v\u1eady. \u0110i kh\u00e1m th\u00ec h\u1ecd b\u1ea3o c\u1ea3 2 \u0111\u1ec1u kh\u00f4ng c\u00f3 v\u1ea5n \u0111\u1ec1 g\u00ec. Em \u0111ang r\u1ea5t hoang mang \u1ea1!<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7:<\/strong> V\u00f4 sinh c\u00f3 th\u1ec3 nguy\u00ean nh\u00e2n do v\u1ee3, chi\u1ebfm 40%, ch\u1ed3ng 30% v\u00e0 k\u1ebft h\u1ee3p gi\u1eefa v\u1ee3 v\u00e0 ch\u1ed3ng l\u00e0 20%, kh\u00f4ng r\u00f5 nguy\u00ean nh\u00e2n kho\u1ea3ng 10%. Th\u1ef1c ra nh\u1eefng nguy\u00ean nh\u00e2n m\u00e0 y h\u1ecdc ch\u01b0a bi\u1ebft r\u00f5 – b\u1ea1n \u0111\u01b0\u1ee3c x\u1ebfp v\u00e0o nh\u1eefng nh\u00f3m nguy\u00ean nh\u00e2n n\u00e0y. \u0110\u1ec3 tr\u1edf th\u00e0nh cha m\u1eb9 sinh h\u1ecdc b\u1ea1n n\u00ean l\u00e0m IUI n\u1ebfu ch\u01b0a k\u1ebft qu\u1ea3 chuy\u1ec3n sang l\u00e0m IVF. Ch\u00fac v\u1ee3 ch\u1ed3ng b\u1ea1n nhanh c\u00f3 ti\u1ebfng c\u01b0\u1eddi tr\u1ebb th\u01a1.<\/p>\n

C\u00e2u h\u1ecfi (Nguy\u1ec5n H\u1ea3i Thanh, 43 tu\u1ed5i, qu\u1eadn 7, TP.HCM): <\/strong>Ch\u00e0o b\u00e1c s\u0129! V\u1ee3 ch\u1ed3ng t\u00f4i \u0111\u00e3 c\u00f3 1 b\u00e9 n\u0103m nay 12 tu\u1ed5i. T\u00f4i mu\u1ed1n sinh th\u00eam con th\u1ee9 hai m\u00e0 m\u00e3i v\u1eabn kh\u00f4ng th\u1ea5y c\u00f3 tin vui. T\u00f4i \u0111\u00e3 \u0111i kh\u00e1m th\u00ec b\u00e1c s\u0129 n\u00f3i t\u00f4i g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 n\u1ed9i ti\u1ebft, ph\u1ea3i u\u1ed1ng thu\u1ed1c \u0111i\u1ec1u tr\u1ecb. T\u00f4i u\u1ed1ng thu\u1ed1c \u0111\u1ebfn nay \u0111\u00e3 5 th\u00e1ng v\u1eabn ch\u01b0a \u0111\u1eadu thai. T\u00f4i mu\u1ed1n h\u1ecfi, c\u00f3 ph\u1ea3i t\u00f4i kh\u00f4ng th\u1ec3 th\u1ee5 thai t\u1ef1 nhi\u00ean v\u00e0 ph\u1ea3i l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m hay kh\u00f4ng. Mong b\u00e1c s\u0129 t\u01b0 v\u1ea5n gi\u00fap!<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 : <\/strong>Theo ch\u1ea9n \u0111o\u00e1n, b\u1ea1n b\u1ecb v\u00f4 sinh th\u1ee9 ph\u00e1t nh\u01b0ng nguy\u00ean nh\u00e2n ch\u1ec9 do v\u1ee3 hay k\u1ebft h\u1ee3p c\u1ea3 ch\u1ed3ng? N\u1ebfu nh\u01b0 nguy\u00ean nh\u00e2n do c\u1ea3 2 th\u00ec b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung ho\u1eb7c c\u00f3 thai t\u1ef1 nhi\u00ean k\u1ebft qu\u1ea3 kh\u00f4ng cao. B\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c kh\u00e1m chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0a ra ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb cho c\u1ea3 v\u1ee3, ch\u1ed3ng hay s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m. Ch\u00fac b\u1ea1n may m\u1eafn.<\/p>\n

C\u00e2u h\u1ecfi (T\u1ea1 Th\u1ecb Thu H\u00e0, 31 tu\u1ed5i, Qu\u1eadn 3, TP.HCM): <\/strong>T\u00f4i c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 bu\u1ed3ng tr\u1ee9ng n\u00ean kh\u00f4ng th\u1ec3 th\u1ee5 thai \u0111\u01b0\u1ee3c. Hi\u1ec7n t\u1ea1i, v\u1ee3 ch\u1ed3ng t\u00f4i \u0111\u00e3 t\u00ecm \u0111\u01b0\u1ee3c ng\u01b0\u1eddi \u0111\u1ed3ng \u00fd cho tr\u1ee9ng. T\u00f4i mu\u1ed1n h\u1ecfi b\u00e1c s\u0129 li\u1ec7u n\u00ean l\u1ea5y tr\u1ee9ng c\u1ee7a ng\u01b0\u1eddi quen bi\u1ebft hay xin c\u1ee7a b\u1ec7nh vi\u1ec7n? C\u00e1ch n\u00e0o \u0111\u1ea3m b\u1ea3o v\u00e0 c\u00f3 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng cao h\u01a1n? Mong nh\u1eadn \u0111\u01b0\u1ee3c l\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129.<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7: <\/strong>Ch\u00e0o b\u1ea1n, cho v\u00e0 xin tr\u1ee9ng l\u00e0 vi\u1ec7c th\u01b0\u1eddng x\u1ea3y ra \u1edf c\u00e1c trung t\u00e2m h\u1ed7 tr\u1ee3 sinh s\u1ea3n, v\u1ea5n \u0111\u1ec1 n\u00e0y \u0111\u01b0\u1ee3c lu\u1eadt ph\u00e1p c\u00e1c n\u01b0\u1edbc cho ph\u00e9p trong \u0111\u00f3 c\u00f3 Vi\u1ec7t Nam. T\u1ec9 l\u1ec7 c\u00f3 thai hay th\u00e0nh c\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o ch\u1ea5t l\u01b0\u1ee3ng tr\u1ee9ng v\u00e0 tinh tr\u00f9ng. Tr\u1ee9ng \u1edf ng\u01b0\u1eddi hi\u1ebfn tr\u1ebb (tu\u1ed5i d\u01b0\u1edbi 35) c\u00f3 chu k\u1ef3 kinh nguy\u1ec7t b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng b\u1ec7nh l\u00fd to\u00e0n th\u00e2n th\u00ec t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng tr\u1ee9ng c\u1ee7a ng\u01b0\u1eddi m\u1eb9 b\u00ecnh th\u01b0\u1eddng v\u00e0 cao h\u01a1n nhi\u1ec1u so v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u1ea5t th\u01b0\u1eddng v\u1ec1 bu\u1ed3ng tr\u1ee9ng c\u00e0 cao tu\u1ed5i.<\/p>\n

Nh\u01b0 v\u1eady, l\u1ef1a ch\u1ecdn xin tr\u1ee9ng c\u1ee7a b\u1ea1n trong khi tr\u1ee9ng c\u1ee7a b\u1ea1n kh\u00f4ng th\u1ec3 th\u1ee5 tinh \u0111\u01b0\u1ee3c l\u00e0 s\u1ef1 hi\u1ec3u bi\u1ebft s\u00e2u s\u1eafc v\u1ec1 khoa h\u1ecdc v\u00e0 vi\u1ec7c l\u00e0m hi\u1ec7u qu\u1ea3, ch\u1ea5t l\u01b0\u1ee3ng. Ch\u00fac b\u1ea1n nhanh c\u00f3 ti\u1ebfng c\u01b0\u1eddi tr\u1ebb th\u01a1 trong nh\u00e0!<\/p>\n

C\u00e2u h\u1ecfi (V\u0169 Thanh T\u00f9ng, 37 tu\u1ed5i, Tp H\u1ed3 Ch\u00ed Minh): <\/strong>Ch\u00e0o b\u00e1c s\u0129, c\u00e1ch \u0111\u00e2y 4 th\u00e1ng t\u00f4i c\u00f3 \u0111i kh\u00e1m chuy\u00ean khoa nam h\u1ecdc \u1edf m\u1ed9t b\u1ec7nh vi\u1ec7n TPHCM, c\u00f3 k\u1ebft q\u1ee7a x\u00e9t nghi\u1ec7m tinh d\u1ecbch \u0111\u1ed3 nh\u01b0 sau.th\u1ec3 t\u00edch 3,5ml,ly gi\u1ea3i 20ph\u00fat, pH 7.3, m\u1eadt \u0111\u1ed9 21\u00d710^6TT\/ml, di \u0111\u1ed9ng A ti\u1ebfn t\u1edd. V\u1edbi k\u1ebft qu\u1ea3 n\u00e0y, t\u00f4i c\u00f3 kh\u1ea3 n\u0103ng v\u00f4 sinh kh\u00f4ng?<\/em>
\nTS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 :<\/strong> Th\u00f4ng th\u01b0\u1eddng, nh\u1eefng ng\u01b0\u1eddi tr\u1ebb nh\u01b0 b\u1ea1n ch\u01b0a c\u00f3 gia \u0111\u00ecnh tinh tr\u00f9ng c\u00f3 1 \u0111\u1ed9 g\u1ea5p \u0111\u00f4i ho\u1eb7c g\u1ea5p 3 l\u1ea7n v\u00e0 v\u1eadn \u0111\u1ed9ng t\u1ed1t (A+B=25+25= t\u1ed1i thi\u1ec3u 50%). B\u1ea1n \u0111ang c\u00f2n tr\u1ebb, ch\u01b0a c\u00f3 gia \u0111\u00ecnh \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00f3 b\u1ecb v\u00f4 sinh hay kh\u00f4ng n\u00ean ki\u00eang xu\u1ea5t tinh 3-5 h\u00f4m, ki\u1ec3m tra l\u1ea1i tinh d\u1ecbch \u0111\u1ed3.<\/p>\n

N\u1ebfu nh\u01b0 k\u1ebft qu\u1ea3 kh\u00f4ng thay \u0111\u1ed5i, ho\u1eb7c thay \u0111\u1ed5i kh\u00f4ng \u0111\u00e1ng k\u1ec3, b\u1ea1n n\u00ean \u0111\u1ebfn b\u1ec7nh vi\u1ec7n B\u00ecnh d\u00e2n \u0111\u1ec3 ki\u1ec3m tra l\u1ea1i. T\u00ecm nguy\u00ean nh\u00e2n g\u00e2y b\u1ec7nh sau \u0111\u00f3 c\u00e1c b\u00e1c s\u0129 s\u1ebd \u0111\u01b0a ra ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 ng\u1eeba v\u00f4 sinh sau n\u00e0y cho b\u1ea1n.<\/p>\n

C\u00e2u h\u1ecfi (M\u1ef9 Li\u00ean- G\u00f2 V\u1ea5p – TP. HCM (M\u1ef9 Li\u00ean, 37 tu\u1ed5i, Tp. HCM): <\/strong>Tr\u01b0\u1edbc \u0111\u00e2y \u00f4ng x\u00e3 em b\u1ecb gi\u00e3n t\u0129nh m\u1ea1ch tinh, \u0111\u00e3 m\u1ed5 t\u1ea1i t\u1ea1i BV B\u00ecnh D\u00e2n, sau th\u1eddi gian theo d\u00f5i nh\u01b0ng kh\u00f4ng th\u1ec3 c\u00f3 con t\u1ef1 nhi\u00ean ,V\u1ee3 ch\u1ed3ng em \u0111\u00e3 l\u00e0m th\u1ee5 tinh \u1ed1ng nghi\u1ec7m v\u00e0 c\u00f3 01 b\u00e9 sinh n\u0103m 2012 , \u0111\u00e3 h\u1ebft ph\u00f4i tr\u1eef.<\/em><\/p>\n

N\u0103m 2013, em c\u00f3 thai t\u1ef1 nhi\u00ean nh\u01b0ng thai b\u1ecb b\u00e1m v\u1ebft m\u1ed5 c\u0169, ph\u1ea3i \u0111i\u1ec1u tr\u1ecb h\u1ee7y thai t\u1ea1i BV T\u1eeb D\u0169. Gi\u1eefa nam 2014, em l\u1ea1i c\u00f3 thai t\u1ef1 nhi\u00ean nh\u01b0ng \u0111\u1ebfn 6-7 tu\u1ea7n ko th\u1ea5y tim thai n\u00ean ph\u1ea3i b\u1ecf.<\/em><\/p>\n

Tinh d\u1ecbch \u0111\u1ed3 c\u1ee7a ch\u1ed3ng em kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n t\u1ed1t d\u00f9 \u0111\u00e3 u\u1ed1ng nhi\u1ec1u lo\u1ea1i thu\u1ed1c + \u0103n u\u1ed1ng theo ch\u1ec9 d\u1eabn c\u1ee7a BS.<\/em><\/p>\n

K\u1ebft qu\u1ea3 sau nhi\u1ec1u n\u0103m l\u00e0m x\u00e9t nghi\u1ec7m, v\u1eabn nh\u01b0 sau: PR : 32, NP: 10, IM: 58, Ti le song: 65, hinh dang binh thuong : 0, K\u1ebft lu\u1eadn: Tinh tr\u00f9ng b\u1ea5t th\u01b0\u1eddng \u0111\u1ea7u 95%: \u0111\u1ea7u c\u00f3 h\u00ecnh qu\u1ea3 l\u00ea, c\u00f3 \u00edt ho\u1eb7c kh\u00f4ng c\u00f3 acrosome, nhi\u1ec1u kh\u00f4ng b\u00e0o.<\/em><\/p>\n

V\u1ee3 ch\u1ed3ng em \u0111\u00e3 37 tu\u1ed5i v\u00e0 mu\u1ed1n c\u00f3 th\u00eam con n\u00ean t\u1eeb \u0111\u1ea7u n\u0103m 2015 \u0111\u1ebfn nay em v\u1eabn theo nh\u1edd BS canh no\u00e3n , 1 BS th\u00ec b\u1ea3o v\u1eabn c\u00f3 thai t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c, nh\u01b0ng BS kh\u00e1c b\u1ea3o ph\u1ea3i l\u00e0m TTON v\u00e0 kh\u00f4ng th\u1ec3 c\u00f3 thai t\u1ef1 nhi\u00ean<\/em>.<\/p>\n

V\u1eady k\u00ednh nh\u1edd BS V\u1ec7 v\u00e0 \u00ea k\u00edp hi\u1ebfm mu\u1ed1n v\u00f4 sinh xem v\u00e0 t\u01b0 v\u1ea5n cho v\u1ee3 ch\u1ed3ng em c\u00e1ch \u0111i\u1ec1u tr\u1ecb t\u1ed1t nh\u1ea5t \u1ea1! V\u1ee3 ch\u1ed3ng em xin ch\u00e2n th\u00e0nh c\u1ea3m \u01a1n v\u00e0 ch\u00fac s\u1ee9c kh\u1ecfe \u0111\u1ebfn c\u00e1c b\u00e1c s\u0129!<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7<\/strong>: Ch\u00e0o b\u1ea1n, ch\u1ed3ng b\u1ea1n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n l\u00e0 v\u1ed1 sinh do gi\u00e3n tinh m\u1ea1ch tinh \u0111\u00e3 m\u1ed5 t\u1ea1i b\u1ec7nh vi\u1ec7n B\u00ecnh D\u00e2n k\u1ebft qu\u1ea3 b\u1ea1n \u0111\u00e3 c\u00f3 thai 2 l\u1ea7n nh\u01b0ng kh\u00f4ng \u0111\u01b0\u1ee3c theo nh\u01b0 \u00fd mu\u1ed1n. Ph\u1eabu thu\u1eadt gi\u00e3n t\u00ednh m\u1ea1ch tinh cho k\u1ebft qu\u1ea3 th\u00e0nh c\u00f4ng r\u1ea5t cao, t\u00f4i \u0111\u00e3 t\u1eebng m\u1ed5 cho h\u01a1n 2000 ca, c\u00f3 gia \u0111\u00ecnh t\u00f4i m\u1ed5 cho c\u1ea3 2 anh em \u0111\u1ec1u c\u00f3 con sau \u0111\u00f3, nh\u01b0ng tinh d\u1ecbch \u0111\u1ed3 c\u1ee7a ch\u1ed3ng b\u1ea1n kh\u00f4ng thay \u0111\u1ed5i nhi\u1ec1u sau m\u1ed5, c\u00f3 th\u1ec3 b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3 ho\u1eb7c nguy\u00ean nh\u00e2n n\u00e0o \u0111\u00f3.<\/p>\n

K\u1ebft qu\u1ea3 tinh d\u1ecbch \u0111\u1ed3 tinh tr\u00f9ng c\u00f3 h\u00ecnh d\u1ea1ng b\u00ecnh th\u01b0\u1eddng r\u1ea5t \u00edt, n\u00ean th\u1ea7y thu\u1ed1c khuy\u00ean b\u1ea1n l\u00e0m th\u1ee5 tinh \u1ed1ng nghi\u1ec7m b\u1eb1ng k\u1ef9 thu\u1eadt ICSI, c\u00e1c nh\u00e2n vi\u00ean ph\u00f2ng Lap s\u1ebd ch\u1ecdn \u0111\u01b0\u1ee3c tinh tr\u00f9ng c\u00f3 h\u00ecnh th\u00e1i b\u00ecnh th\u01b0\u1eddng \u0111\u1ec3 ti\u00eam tinh tr\u00f9ng v\u00e0o tr\u1ee9ng. \u0110\u1ed3ng th\u1eddi, b\u1ea1n n\u00ean s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt PGD ho\u1eb7c PGS \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ph\u00f4i b\u00ecnh th\u01b0\u1eddng hay b\u1ea5t th\u01b0\u1eddng. V\u00e0 c\u00e1c th\u1ea7y thu\u1ed1c ch\u1ec9 chuy\u1ec3n ph\u00f4i b\u00ecnh th\u01b0\u1eddng v\u00e0o t\u1eed cung cho b\u1ea1n.<\/p>\n

Nh\u01b0 th\u1ebf, sinh em b\u00e9 m\u1edbi b\u00ecnh th\u01b0\u1eddng, ch\u00fac v\u1ee3 ch\u1ed3ng b\u1ea1n may m\u1eafn.<\/p>\n

C\u00e2u h\u1ecfi (Ngo\u0323c Mi, 33 tu\u1ed5i, Tha\u0301i Bi\u0300nh):<\/strong> Em \u0111\u00e3 c\u00f3 1 con g\u00e1i 7 tu\u1ed5i. B\u00e2y gi\u1edd mu\u1ed1n sinh ch\u00e1u th\u1ee9 2 nh\u01b0ng kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u. Th\u00e1ng tr\u01b0\u1edbc ng\u00e0y th\u1ee9 70 em \u0111i si\u00eau \u00e2m tr\u1ee9ng, tr\u1ee9ng kho\u1ea3ng 20mm th\u00ec h\u00f4m sau l\u1ea1i b\u1ecb kinh nguy\u1ec7t. C\u00f2n th\u00e1ng n\u00e0y t\u1eeb ng\u00e0y th\u1ee9 15 \u0111\u1ebfn ng\u00e0y th\u1ee9 30 si\u00eau \u00e2m nang v\u1eabn nh\u1ecf.<\/em><\/p>\n

Sau \u0111\u00f3 em \u0111i kh\u1ea5m b\u00e1c s\u0129 k\u00ea cho u\u1ed1ng thu\u1ed1c Duphaston 10mg, u\u1ed1ng 1 vi\u00ean\/ ng\u00e0y. Em \u0111\u00e3 u\u1ed1ng h\u1ebft 10 ng\u00e0y m\u00e0 ch\u01b0a th\u1ea5y d\u1ea5u hi\u1ec7u kinh nguy\u1ec7t. Hi\u1ec7n t\u1ea1i cho \u0111\u1ebfn h\u00f4m nay l\u00e0 40 ng\u00e0y ch\u01b0a c\u00f3 kinh. Em \u0111ang r\u1ea5t lo l\u1eafng n\u00ean mong b\u00e1c s\u0129 t\u01b0 v\u1ea5n xem c\u00f3 c\u00e1ch n\u00e0o \u0111\u1ec3 c\u00f3 thai s\u1edbm nh\u1ea5t. C\u1ea3m \u01a1n b\u00e1c s\u0129<\/em><\/p>\n

TS.BS. L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7:<\/strong> Theo k\u1ec3, b\u1ea1n b\u1ecb v\u00f4 sinh th\u1ee9 ph\u00e1t do b\u1ea5t th\u01b0\u1eddng v\u1ec1 ph\u00f3ng no\u00e3n, hay n\u00f3i c\u00e1ch kh\u00e1c, b\u1ea5t th\u01b0\u1eddng v\u1ec1 bu\u1ed3ng tr\u1ee9ng, c\u00f3 th\u1ec3 do h\u1ed9i tr\u1ee9ng, bu\u1ed3n tr\u1ee9ng \u0111a nang (PCOS), ho\u1eb7c r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 sinh d\u1ee5c.<\/p>\n

\u0110\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u1ea7n ph\u1ea3i t\u00ecm nguy\u00ean nh\u00e2n, v\u00ec chu k\u1ef3 kinh nguy\u1ec7t c\u1ee7a b\u1ea1n kh\u00f4ng \u0111\u1ec1u, k\u00e9o d\u00e0i 90 ng\u00e0y (t\u1ee9c 3 th\u00e1ng), tr\u01b0\u1edbc h\u1ebft ph\u1ea3i t\u1ea1o chu k\u1ef3 kinh nguy\u1ec7t cho \u0111\u1ec1u th\u00f4ng th\u01b0\u1eddng v\u00e0i ba chu k\u1ef3 \u0111\u1ec1u \u0111\u1eb7n, sau \u0111\u00f3 k\u00edch tr\u1ee9ng c\u00f3 th\u1ec3 quan h\u1ec7 ho\u1eb7c b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung. Sau khi b\u01a1m tinh tr\u00f9ng kho\u1ea3ng 3-5 chu k\u1ef3 kh\u00f4ng k\u1ebft qu\u1ea3 h\u00e3y l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m.<\/p>\n

\u0110\u00e0nh r\u1eb1ng, trong r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t c\u0169ng c\u00f3 \u0111i\u1ec1u k\u1ef3 l\u1ea1, t\u00f4i \u0111\u00e3 g\u1eb7p 1 tr\u01b0\u1eddng h\u1ee3p 38 tu\u1ed5i, l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u1ebfn kh\u00e1m l\u00e0 ng\u00e0y th\u1ee9 40 chu k\u1ef3, sau khi si\u00eau \u00e2m c\u00f3 nang no\u00e3n 22 mm, x\u00e9t nghi\u1ec7m Eestradion 800 \u0111\u01a1n v\u1ecb, d\u00f9ng thu\u1ed1c ph\u00f3ng no\u00e3n 36 gi\u1edd sau b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung, k\u1ebft qu\u1ea3 sinh em b\u00e9 trai kh\u1ecfe m\u1ea1nh.<\/p>\n

\"\"<\/p>\n\n\n\n\n
\"TS.BS<\/td>\n<\/tr>\n
Bs V\u1ec7 nh\u1eadn l\u00e0m cha \u0111\u1ee1 \u0111\u1ea7u 2 b\u00e9 song sinh Ho\u00e0ng H\u1ea3i – Ho\u00e0ng \u0110\u1ee9c. B\u1ed1 V\u1ec7 b\u00ean 2 b\u00e9 ng\u00e0y sinh nh\u1eadt tr\u00f2n 2 tu\u1ed5i.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

C\u00e2u h\u1ecfi (V\u00f5 Th\u1ecb T\u00e2n Ch\u00e2u, 36 tu\u1ed5i, Qu\u1eadn 12, TP.HCM): <\/strong>Th\u01b0a b\u00e1c s\u0129! T\u00f4i b\u1ecb h\u01b0 thai 3 l\u1ea7n. C\u1ea3 hai \u0111\u00e3 l\u00e0m x\u00e9t nghi\u1ec7m t\u00ecm nguy\u00ean nh\u00e2n: – V\u1ee3 b\u1ecb \u0111a nang bu\u1ed3ng tr\u1ee9ng; – Ch\u1ed3ng b\u1ecb b\u1ea5t th\u01b0\u1eddng c\u1eb7p nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 9.<\/em><\/p>\n

B\u00e1c s\u0129 t\u01b0 v\u1ea5n b\u1ea3o nguy\u00ean nh\u00e2n h\u01b0 thai 90% l\u00e0 do b\u1ea5t th\u01b0\u1eddng c\u1eb7p nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 9. B\u00e1c s\u0129 t\u01b0 v\u1ea5n gi\u00fap v\u1edbi b\u1ea5t th\u01b0\u1eddng c\u1ee7a 2 v\u1ee3 ch\u1ed3ng. Kh\u1ea3 n\u0103ng c\u00f3 thai th\u00e0nh c\u00f4ng l\u00e0 bao nhi\u00eau ph\u1ea7n tr\u0103m.<\/em><\/p>\n

\u0110\u1ec3 c\u00f3 \u0111\u01b0\u1ee3c con th\u00ec hai v\u1ee3 ch\u1ed3ng n\u00ean l\u00e0m g\u00ec? C\u00e1m \u01a1n!<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 : <\/strong>B\u1ea1n b\u1ecb s\u1ea3y thai li\u00ean ti\u1ebfp, nguy\u00ean nh\u00e2n l\u00e0 do b\u1ea5t th\u01b0\u1eddng c\u1eb7p nhi\u1ec5m s\u1eafc th\u1ec3 s\u1ed1 9 c\u1ee7a ch\u1ed3ng. V\u00e0 y\u1ebfu t\u1ed1 k\u1ebft h\u1ee3p \u0111\u00f3 l\u00e0 bu\u1ed3ng tr\u1ee9ng \u0111a nang c\u1ee7a b\u1ea1n, trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng h\u00e0ng ng\u00e0y, ch\u00fang t\u00f4i \u0111\u00e3 th\u00e0nh c\u00f4ng nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p do b\u1ea5t th\u01b0\u1eddng nhi\u1ec5m s\u1eafc th\u1ec3 nh\u01b0 vi chuy\u1ec3n \u0111o\u1ea1n, thi\u1ebfu h\u1ee5t \u0111o\u1ea1n nh\u1ecf c\u1ee7a nhi\u1ec5m s\u1eafc th\u1ec3.<\/p>\n

Nh\u01b0ng nh\u1eefng tr\u01b0\u1eddng h\u1ee3p s\u1ea3y thai 3 l\u1ea7n tr\u1edf l\u00ean ch\u00fang t\u00f4i khuy\u00ean n\u00ean l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt PGD ho\u1eb7c PGS \u0111\u1ec3 l\u1ef1a ch\u1ecdn ph\u00f4i v\u00e0 lo\u1ea1i tr\u1eeb nh\u1eefng ph\u00f4i b\u1ea5t th\u01b0\u1eddng. C\u00f2n tr\u01b0\u1eddng h\u1ee3p kh\u00f4ng l\u00e0m \u1ed1ng nghi\u1ec7m v\u00e0 s\u1eed d\u1ee5ng k\u1ef9 thu\u1eadt PGD v\u00e0 PGS th\u00ec n\u00ean n\u00ean xin tinh tr\u00f9ng. Xin tinh tr\u00f9ng l\u00e0 \u0111i\u1ec1u kh\u00f4ng ai mong mu\u1ed1n k\u1ec3 c\u1ea3 th\u1ea7y thu\u1ed1c. Nh\u01b0ng trong tr\u01b0\u1eddng h\u1ee3p b\u1ea5t kh\u1ea3 kh\u00e1ng \u0111\u1ec3 c\u00f3 em b\u00e9 th\u00ec ch\u00fang ta ph\u1ea3i ch\u1ea5p nh\u1eadn.<\/p>\n

C\u00e2u h\u1ecfi (Huy Hoa\u0300ng, 36 tu\u1ed5i, Ba Vi\u0300): <\/strong>T\u00f4i b\u1ecb nhi\u1ec5m HIV c\u00f2n v\u1ee3 th\u00ec kh\u00f4ng ,v\u1ee3 ch\u1ed3ng t\u00f4i mu\u1ed1n c\u00f3 1 \u0111\u1ee9a con ,nghe n\u00f3i c\u00f3 ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc r\u1eeda tinh tr\u00f9ng gi\u00fap ng\u01b0\u1eddi v\u1ee3 mang thai m\u00e0 ng\u01b0\u1eddi v\u1ee3 v\u00e0 thai nhi kh\u00f4ng b\u1ecb nhi\u1ec5m. N\u1ebfu c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n \u0111\u01b0\u1ee3c xin cho h\u1ecfi chi ph\u00ed hi\u1ec7n nay l\u00e0 bao nhi\u00eau?<\/em><\/p>\n

TS.BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7:<\/strong> B\u1ecb HIV tr\u1edf th\u00e0nh cha sinh h\u1ecdc hay kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o nhi\u1ec1u y\u1ebfu t\u1ed1: HIV \u1edf giai \u0111o\u1ea1n n\u00e0o hay \u0111\u00e3 chuy\u1ec3n sang AIDS. V\u00e0 ng\u01b0\u1eddi v\u1ee3 c\u00f3 b\u00ecnh th\u01b0\u1eddng hay kh\u00f4ng.<\/p>\n

V\u1ea5n \u0111\u1ec1 n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nhi\u1ec1u n\u0103m nay, c\u1ea7n ph\u1ea3i c\u00f3 k\u1ebft qu\u1ea3 tinh d\u1ecbch \u0111\u1ed3. N\u1ebfu tinh d\u1ecbch \u0111\u1ed3 b\u00ecnh th\u01b0\u1eddng, ng\u01b0\u1eddi ch\u1ed3ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb duy tr\u00ec b\u1eb1ng thu\u1ed1c ART, x\u00e9t nghi\u1ec7m HIV trong m\u00e1u n\u1ebfu cho ph\u00e9p c\u00f3 th\u1ec3 b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung hay th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m b\u1eb1ng k\u1ef9 thu\u1eadt kinh \u0111i\u1ec3n.[:en]Diarrhea (TC) is a very common disease in children, especially in developing countries, TC is the leading cause of morbidity and mortality in children. in developing countries it is estimated that up to 1.3 thousand million children have diarrhea and 4 million children under age 5 die of diarrhea every year. Of which 80% of deaths occur in children under 2 years old. The main cause of death is due to body water and electrolytes lost. Diarrhea is the leading cause of malnutrition, affecting the growth of children. Diarrhoea is a global health problem, the economic burden for developing countries.<\/p>\n

\"loi-khuyen-cho-me-khi-be-bi-tieu-chay\"<\/p>\n

To shorten the duration of diarrhea, reduce the rate of malnutrition and mortality, the enrichment of water and electrolytes by mouth and reasonable diet plays an important role. Nurturing work promoting early recovery intestinal mucosa, pancreatic function and the production of enzymes in the microvilli charidase disac makes digestive function, nutrient absorption rebounded.
\nDiarrhea is children starting acute diarrhea, loose stools or splashing, days> 3 times, lasting no longer than 14 days (usually less than 7 days).
\nThe cause of the risk factors of diarrhea
\nThe danger elements
\nFresh:
\nMost episodes of acute diarrhea occur in the first 2 years of life, the highest among children 6-11 months of age, this age children begin to move to eat crab, passive antibodies from mother to decrease, resistance no active.
\nNutritional status:
\nMalnourished children susceptible to diarrhea, diarrhea episode lasts, vulnerable to death, especially in children with severe malnutrition.
\nImmunocompromised status:
\nChildren with temporary immunosuppression following measles, chicken pox …
\nThe eating habits unreasonable:
\nBottle feeding: bottles easily contaminated by enteric bacteria, hardly washed, breastfeeding does not go away so long bacteria to grow easily cause diarrhea.
\n+ Children not breastfed in the first 6 months, especially not feeding colostrum immediately after birth.
\n+ Food contaminated by the cook, not cooked or cooked so long contaminated or spoiled food has been processed before.
\nDrinking water contaminated by polluted water, drinking unboiled water.
\nNot washing your hands after going outside, do not wash their hands before preparing food for children.
\nManure treatment is not good.
\nReason:
\n– Due to the virus:
\nRotavirus is a major cause of diarrhea in children, accounting for 60%. At least one third of all children under age 2 are at least one round of Rotavirus diarrhea.
\nOther viruses: adenovirus, Norwalk virus also caused diarrhea.
\n– Due to bacteria
\n– E. coli: Causes 25% of acute diarrhea
\n– Shigella dysentery bacillary dysentery is the causative agent in 60% of the capital round
\n– Salmonella not cause typhoid
\n– Campylobacter jejuni
\n– The cholera bacterium Vibrio cholerae 01
\n– Do parasites:
\nEntamoeba hitolytica
\nGiardia lambia
\nCryptosporidium
\nThe consequences of diarrhea: Dehydration and electrolyte, reducing the volume of circulation leads to heart attacks and possibly death.
\nIn treating diarrhea the most important thing is hydrate, electrolytes and diet of the children.
\nWater and electrolyte recovery
\nDepending on the degree of dehydration that treatment at home or take them to the health facilities.
\n– Dehydration A degree (mild dehydration) treated at home by giving the child to drink more than usual with ORS solution, boiled water or liquids derived from foods such as rice water salt-water rice roasted, coffee remains water + salt, water banana, sapodilla …
\n– Dehydration level B (moderate dehydration) Children need to be treated at the medical facility. The best treatment is to drink ORS, the number of translations needed to drink after each stool are:
\nChildren under 2 years old: 50-100 ml
\nChildren 2-10 years: 100-200 ml
\nChildren 10 years and over to drink to your needs: The need for children to drink fluids during the first 4 hours can be calculated as follows: Number of service (ml) = Weight (kg) x 75.
\nChildren drink way
\nChildren <2 years of age to drink sips from a cup.
\nIf the child vomits, wait 10 minutes and then continue to drink, but to drink more slowly, drinking spoons apart 2-3 minutes.
\nAfter 4 hours reassess dehydration if severe dehydration appear (dehydration degrees C) needs to take the child to the hospital for rehabilitation of water and electrolytes intravenously (infusion).
\nThe fluids used in the treatment of diarrhea:
\n-. ORS (orerol) or hydride
\nIs the best solution to treat dehydration (1 ORS packets containing: Glucose: 20 g, 3.5 g of sodium chloride, potassium chloride 1.5g, 2.5g sodium bicarbonate).
\nMixing ORS solution: Wash your hands with soap and clean water before brewing. Pour the flour in a jar or package in clean warm area, measuring 1 liter of boiled water poured into the container, carefully picking until the powder is completely dissolved, cover the baby bottle to drink for 24 hours. Pour away the solution containing more than 24 hours and had to challenge the new solution.
\nOr use small packet types, each mixed with 200ml pack for your child to drink slowly
\nIf tablets hydride or powder package: 1 V or 1 sachet mixed with 200ml for children drank slowly
\nCan be used for the enrichment of liquid water and electrolyte-made at home are as follows:
\nCongee salt
\nUse one handful of rice (50g), 1 pinch of salt (3.5 g) and 6 rice bowl of clean water, boil jelly, drink filtered through to children gradually.
\n– Roasted salted rice water
\n50 g roasted rice, 1 tablespoon salt coffee standing (3.5 g) + 6 digestion rice bowl of water, filtered through drink prices children gradually.
\n– Water banana, sapodilla
\nBanana or fruit sapodilla 5 grind or crush with 1 liter of boiled water, 1 tablespoon salt gotten (3.5 g) for children to drink slowly.
\nSevere dehydration cases children: Children struggle or li stimulus packages, drinking water vomit, pee less, cry no tears, wrinkled skin, sunken eyes, dry lips to the child immediately to health facilities to infusion
\nShould supplement probiotics infant to quickly stop the diarrhea, improve digestive health. For those not yet infected infant probiotics will help prevent diarrhea baby very good, especially the yeast contains 2 elements Probiotic and Prebiotic.
\nDiet when the child has diarrhea
\nAlthough the duration of acute diarrhea, the process can reduce the absorption of food than usual, but the amount absorbed from the intestine is still around 60%, so during diarrhea need to eat enough servings, not force children to fast, abstinence, the body weight will continue to grow at a rate of almost normal. If children do not eat enough dietary weight loss will lead to malnutrition.[:]<\/p>\n","protected":false},"excerpt":{"rendered":"

[:vi](B\u00e1o ph\u1ee5 n\u1eef)S\u00e1ng 1\/7, t\u1ea1i hai mi\u1ec1n Nam \u2013 B\u1eafc, h\u1ed9i t\u1ee5 nh\u1eefng chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong c\u1ea3 n\u01b0\u1edbc v\u1ec1 ch\u1eefa tr\u1ecb v\u00f4 sinh \u0111\u1ec3 t\u01b0 v\u1ea5n cho \u0111\u1ed9c gi\u1ea3 b\u00e1o Ph\u1ee5 n\u1eef TP.HCM. \u0110\u1ed3ng th\u1eddi, ThS-BS L\u00ea Th\u1ecb Minh Ch\u00e2u (Tr\u01b0\u1edfng khoa Hi\u1ebfm mu\u1ed9n B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 TP.HCM) c\u0169ng d\u00e0nh c\u1ea3 bu\u1ed5i s\u00e1ng \u0111\u1ec3 gi\u00fap nh\u1eefng gia \u0111\u00ecnh th\u00eam v\u1eefng b\u01b0\u1edbc trong h\u00e0nh tr\u00ecnh t\u00ecm ki\u1ebfm m\u1ee5n con!<\/p>\n

B\u00ean c\u1ea1nh \u0111\u00f3, TS-BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 – Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Nam h\u1ecdc v\u00e0 hi\u1ebfm mu\u1ed9n Vi\u1ec7t – B\u1ec9 c\u0169ng \u0111\u00e3 tr\u1ea3 l\u1eddi h\u00e0ng lo\u1ea1t nh\u1eefng c\u00e2u h\u1ecfi ti\u00eau bi\u1ec3u nh\u1ea5t m\u00e0 b\u1ea1n \u0111\u1ecdc g\u1eedi \u0111\u1ebfn li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 n\u00e0y.[:en]Only a little variation would make chicken warehouse becomes “captured rice” superior! With this repository, you do not just have chicken with ginger warehouse as usual, but also many other unique flavors: sour of tamarind, lemongrass and sesame fried fragrant, slightly spicy pepper, five spice powder concentrations bit … Pads chicken hunter sauce soft brown shirt match, thinking has cravings![:]<\/p>\n","protected":false},"author":1,"featured_media":545,"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":[19,33,32,34,2],"tags":[],"class_list":["post-82","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bao-chi-noi-ve-ong","category-dap-ung-buong-trung-kem","category-quy-trinh-ivf","category-suy-buong-trung","category-thu-tinh-trong-ong-nghiem-ivf"],"acf":[],"yoast_head":"\n[:vi]B\u1ec7nh v\u00f4 sinh - ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa nh\u01b0 th\u1ebf n\u00e0o ?[:en]Tips for the mother when the baby has diarrhea[:] - 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\/benh-vo-sinh-phuong-phap-chua-nhu-the-nao\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"[:vi]B\u1ec7nh v\u00f4 sinh - ph\u01b0\u01a1ng ph\u00e1p ch\u1eefa nh\u01b0 th\u1ebf n\u00e0o ?[:en]Tips for the mother when the baby has diarrhea[:] - VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"og:description\" content=\"[:vi](B\u00e1o ph\u1ee5 n\u1eef)S\u00e1ng 1\/7, t\u1ea1i hai mi\u1ec1n Nam \u2013 B\u1eafc, h\u1ed9i t\u1ee5 nh\u1eefng chuy\u00ean gia h\u00e0ng \u0111\u1ea7u trong c\u1ea3 n\u01b0\u1edbc v\u1ec1 ch\u1eefa tr\u1ecb v\u00f4 sinh \u0111\u1ec3 t\u01b0 v\u1ea5n cho \u0111\u1ed9c gi\u1ea3 b\u00e1o Ph\u1ee5 n\u1eef TP.HCM. \u0110\u1ed3ng th\u1eddi, ThS-BS L\u00ea Th\u1ecb Minh Ch\u00e2u (Tr\u01b0\u1edfng khoa Hi\u1ebfm mu\u1ed9n B\u1ec7nh vi\u1ec7n T\u1eeb D\u0169 TP.HCM) c\u0169ng d\u00e0nh c\u1ea3 bu\u1ed5i s\u00e1ng \u0111\u1ec3 gi\u00fap nh\u1eefng gia \u0111\u00ecnh th\u00eam v\u1eefng b\u01b0\u1edbc trong h\u00e0nh tr\u00ecnh t\u00ecm ki\u1ebfm m\u1ee5n con! B\u00ean c\u1ea1nh \u0111\u00f3, TS-BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 - Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Nam h\u1ecdc v\u00e0 hi\u1ebfm mu\u1ed9n Vi\u1ec7t - B\u1ec9 c\u0169ng \u0111\u00e3 tr\u1ea3 l\u1eddi h\u00e0ng lo\u1ea1t nh\u1eefng c\u00e2u h\u1ecfi ti\u00eau bi\u1ec3u nh\u1ea5t m\u00e0 b\u1ea1n \u0111\u1ecdc g\u1eedi \u0111\u1ebfn li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 n\u00e0y.[:en]Only a little variation would make chicken warehouse becomes "captured rice" superior! With this repository, you do not just have chicken with ginger warehouse as usual, but also many other unique flavors: sour of tamarind, lemongrass and sesame fried fragrant, slightly spicy pepper, five spice powder concentrations bit ... Pads chicken hunter sauce soft brown shirt match, thinking has cravings![:]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/benhvienvietbi.vn\/en\/benh-vo-sinh-phuong-phap-chua-nhu-the-nao\/\" \/>\n<meta property=\"og:site_name\" content=\"VIET \u2013 BI SPECIALIZED HOSPITAL IN ANDROLOGY AND INFERTILITY\" \/>\n<meta property=\"article:published_time\" content=\"2016-02-19T09:49:30+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-01-06T02:02:26+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/benhvienvietbi.vn\/en\/wp-content\/uploads\/2016\/02\/ts.bs-le-vuong-van-ve-benh-vo-sinh-hiem-muon-da-phan-chua-duoc_11741987.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"480\" \/>\n\t<meta property=\"og:image:height\" content=\"640\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"admin\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"\u0110\u01b0\u1ee3c vi\u1ebft b\u1edfi\" \/>\n\t<meta name=\"twitter:data1\" content=\"admin\" \/>\n\t<meta name=\"twitter:label2\" content=\"\u01af\u1edbc t\u00ednh th\u1eddi gian \u0111\u1ecdc\" \/>\n\t<meta name=\"twitter:data2\" content=\"40 ph\u00fat\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/benhvienvietbi.vn\/en\/benh-vo-sinh-phuong-phap-chua-nhu-the-nao\/\",\"url\":\"https:\/\/benhvienvietbi.vn\/en\/benh-vo-sinh-phuong-phap-chua-nhu-the-nao\/\",\"name\":\"[:vi]B\u1ec7nh v\u00f4 sinh - 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B\u00ean c\u1ea1nh \u0111\u00f3, TS-BS L\u00ea V\u01b0\u01a1ng V\u0103n V\u1ec7 - Gi\u00e1m \u0111\u1ed1c Trung t\u00e2m Nam h\u1ecdc v\u00e0 hi\u1ebfm mu\u1ed9n Vi\u1ec7t - B\u1ec9 c\u0169ng \u0111\u00e3 tr\u1ea3 l\u1eddi h\u00e0ng lo\u1ea1t nh\u1eefng c\u00e2u h\u1ecfi ti\u00eau bi\u1ec3u nh\u1ea5t m\u00e0 b\u1ea1n \u0111\u1ecdc g\u1eedi \u0111\u1ebfn li\u00ean quan \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 n\u00e0y.[:en]Only a little variation would make chicken warehouse becomes \"captured rice\" superior! With this repository, you do not just have chicken with ginger warehouse as usual, but also many other unique flavors: sour of tamarind, lemongrass and sesame fried fragrant, slightly spicy pepper, five spice powder concentrations bit ... 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