{"id":7646,"date":"2021-08-12T01:04:16","date_gmt":"2021-08-12T05:04:16","guid":{"rendered":"https:\/\/healthcliner.com\/phu-khoa-he-thong-sinh-san-nu\/"},"modified":"2021-08-12T01:04:16","modified_gmt":"2021-08-12T05:04:16","slug":"phu-khoa-he-thong-sinh-san-nu","status":"publish","type":"post","link":"https:\/\/healthcliner.com\/vi\/phu-khoa-he-thong-sinh-san-nu\/","title":{"rendered":"Ph\u1ee5 khoa: H\u1ec7 th\u1ed1ng sinh s\u1ea3n n\u1eef"},"content":{"rendered":"

Trong th\u1eddi k\u1ef3 sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef, c\u01a1 th\u1ec3 tr\u1ea3i qua r\u1ea5t nhi\u1ec1u thay \u0111\u1ed5i. Trong th\u1eddi gian n\u00e0y, c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa kh\u00e1c nhau c\u00f3 xu h\u01b0\u1edbng ph\u00e1t sinh theo th\u1eddi gian. R\u1ea5t nhi\u1ec1u ph\u1ee5 n\u1eef ng\u00e0y nay m\u1eafc c\u00e1c b\u1ec7nh ph\u1ee5 khoa c\u1ea3 \u0111\u1eddi. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, t\u00ecnh tr\u1ea1ng b\u1ec7nh nh\u1eb9 v\u00e0 c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh c\u00f3 th\u1ec3 n\u1eb7ng, d\u1eabn \u0111\u1ebfn c\u00e1c bi\u1ebfn ch\u1ee9ng kh\u00e1c nh\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ch\u1ecb em ho\u1eb7c th\u1eadm ch\u00ed l\u00e0 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ch\u1ecb em. Ki\u1ec3m tra s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n c\u0169ng nh\u01b0 th\u0103m kh\u00e1m b\u00e1c s\u0129 k\u1ecbp th\u1eddi c\u00f3 th\u1ec3 ng\u0103n ng\u1eeba c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa, bao g\u1ed3m nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y:<\/p>\n

Lo\u1ea1n s\u1ea3n c\u1ed5 t\u1eed cung<\/strong><\/p>\n

Lo\u1ea1n s\u1ea3n c\u1ed5 t\u1eed cung \u0111\u01b0\u1ee3c c\u00f4ng nh\u1eadn l\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng ti\u1ec1n ung th\u01b0 c\u1ee7a c\u1ed5 t\u1eed cung m\u00e0 nguy\u00ean nh\u00e2n l\u00e0 do vi r\u00fat u nh\u00fa \u1edf ng\u01b0\u1eddi. Th\u00f4ng th\u01b0\u1eddng, ch\u1ee9ng lo\u1ea1n s\u1ea3n x\u1ea3y ra m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 d\u1ea5u hi\u1ec7u n\u00e0o, v\u00e0 do \u0111\u00f3, m\u1ed9t chuy\u1ebfn th\u0103m kh\u00e1m S\u1ea3n ph\u1ee5 khoa h\u00e0ng n\u0103m \u0111\u01b0\u1ee3c khuy\u00ean d\u00f9ng. Sau 21 tu\u1ed5i, c\u0169ng l\u00e0 l\u00fd t\u01b0\u1edfng nh\u1ea5t \u0111\u1ec3 xem x\u00e9t x\u00e9t nghi\u1ec7m ph\u1ebft t\u1ebf b\u00e0o c\u1ed5 t\u1eed cung th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 gi\u00fap s\u00e0ng l\u1ecdc b\u1ea5t k\u1ef3 t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng n\u00e0o. N\u1ebfu ph\u00e1t hi\u1ec7n th\u1ea5y ho\u1ea1t \u0111\u1ed9ng b\u1ea5t th\u01b0\u1eddng c\u1ee7a t\u1ebf b\u00e0o pap smear, m\u1ed9t x\u00e9t nghi\u1ec7m \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 soi c\u1ed5 t\u1eed cung \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb \u0111\u1ec3 ki\u1ec3m tra k\u1ef9 c\u1ed5 t\u1eed cung. Trong m\u1ecdi tr\u01b0\u1eddng h\u1ee3p, ch\u1ee9ng lo\u1ea1n s\u1ea3n c\u1ed5 t\u1eed cung l\u00e0 nh\u1eb9; ph\u1ebft t\u1ebf b\u00e0o c\u1ed5 t\u1eed cung c\u00f3 th\u1ec3 d\u1ec5 d\u00e0ng theo d\u00f5i h\u00e0nh vi c\u1ee7a t\u1ebf b\u00e0o v\u00e0 th\u00f4ng b\u00e1o cho b\u00e1c s\u0129 khi t\u00ecnh tr\u1ea1ng tr\u1edf n\u00ean nghi\u00eam tr\u1ecdng v\u00e0 y\u00eau c\u1ea7u \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Tuy nhi\u00ean, c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p lo\u1ea1n s\u1ea3n c\u1ed5 t\u1eed cung \u1edf m\u1ee9c \u0111\u1ed9 trung b\u00ecnh v\u00e0 ti\u1ebfn tri\u1ec3n y\u00eau c\u1ea7u Th\u1ee7 thu\u1eadt c\u1eaft b\u1ecf ph\u1eabu thu\u1eadt \u0111i\u1ec7n v\u00f2ng \u0111\u1ec3 gi\u00fap sinh thi\u1ebft m\u00f4 c\u1ed5 t\u1eed cung. C\u00f3 th\u1ec3 ki\u1ec3m so\u00e1t ch\u1ee9ng lo\u1ea1n s\u1ea3n c\u1ed5 t\u1eed cung, \u0111\u1eb7c bi\u1ec7t l\u00e0 \u0111\u1ed1i v\u1edbi nh\u1eefng b\u1ec7nh nh\u00e2n \u1edf \u0111\u1ed9 tu\u1ed5i t\u1eeb 9 \u0111\u1ebfn 26. Ngo\u00e0i ra, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ee7ng ng\u1eeba HPV \u0111\u1ec3 gi\u1eef an to\u00e0n cho h\u1ecd kh\u1ecfi b\u1ed1n ch\u1ee7ng vi r\u00fat \u0111\u00e3 bi\u1ebft.<\/p>\n

Sa s\u00e0n ch\u1eadu<\/strong><\/p>\n

C\u00e1c c\u01a1 quan v\u00f9ng ch\u1eadu bao g\u1ed3m \u00e2m \u0111\u1ea1o, b\u00e0ng quang, tr\u1ef1c tr\u00e0ng v\u00e0 t\u1eed cung \u0111\u01b0\u1ee3c gi\u1eef b\u1edfi c\u00e1c d\u00e2y ch\u1eb1ng v\u00e0 c\u00e1c m\u00f4 li\u00ean k\u1ebft trong khung ch\u1eadu. S\u1ef1 suy y\u1ebfu c\u1ee7a c\u00e1c m\u00f4 do m\u00e3n kinh v\u00e0 t\u00e1o b\u00f3n m\u00e3n t\u00ednh c\u00f3 th\u1ec3 khi\u1ebfn th\u00e0nh \u00e2m \u0111\u1ea1o b\u1ecb sa xu\u1ed1ng. T\u01b0\u01a1ng t\u1ef1, c\u0103ng th\u1eb3ng v\u1ec1 th\u1ec3 ch\u1ea5t do mang thai v\u00e0 sinh n\u1edf c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn vi\u1ec7c th\u00e0nh \u00e2m \u0111\u1ea1o b\u1ecb sa xu\u1ed1ng. Khi m\u1ed9t ng\u01b0\u1eddi tr\u1ea3i qua \u0111i\u1ec1u n\u00e0y, c\u00e1c c\u01a1 quan v\u00f9ng ch\u1eadu ph\u00eda sau \u00e2m \u0111\u1ea1o, bao g\u1ed3m b\u00e0ng quang, tr\u1ef1c tr\u00e0ng v\u00e0 t\u1eed cung, s\u1ebd sa xu\u1ed1ng. C\u00f3 nh\u1eefng c\u00e1ch ti\u1ebfp c\u1eadn kh\u00f4ng ph\u1eabu thu\u1eadt nh\u01b0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u s\u00e0n ch\u1eadu ho\u1eb7c m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u00e0 ng\u01b0\u1eddi ta c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc khi \u0111i\u1ec1u tr\u1ecb sa v\u00f9ng ch\u1eadu. S\u1eed d\u1ee5ng ph\u1eabu thu\u1eadt n\u1ed9i soi, \u00e2m \u0111\u1ea1o ho\u1eb7c ph\u1eabu thu\u1eadt b\u1ee5ng \u00edt x\u00e2m l\u1ea5n, ng\u01b0\u1eddi ta c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 s\u1eeda ch\u1eefa l\u00e2u d\u00e0i trong b\u1ea5t k\u1ef3 tr\u01b0\u1eddng h\u1ee3p sa c\u1ed5 t\u1eed cung n\u00e0o.<\/p>\n

\u0110au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh<\/strong><\/p>\n

M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 xu h\u01b0\u1edbng b\u1ecb \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh do c\u00e1c v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe bao g\u1ed3m l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, h\u1ed9i ch\u1ee9ng ru\u1ed9t k\u00edch th\u00edch, h\u1ed9i ch\u1ee9ng \u0111au b\u00e0ng quang, r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u01a1 s\u00e0n ch\u1eadu v\u00e0 u x\u01a1 t\u1eed cung. \u0110au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh l\u00e0 m\u1ed9t c\u01a1n \u0111au dai d\u1eb3ng gi\u1eefa r\u1ed1n v\u00e0 x\u01b0\u01a1ng mu v\u00e0 k\u00e9o d\u00e0i trong th\u1eddi gian k\u00e9o d\u00e0i h\u01a1n s\u00e1u th\u00e1ng. Th\u00f4ng th\u01b0\u1eddng, \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh v\u01b0\u1ee3t qu\u00e1 nh\u1eefng kh\u00f3 ch\u1ecbu \u0111i k\u00e8m v\u1edbi nh\u1eefng c\u01a1n \u0111au b\u1ee5ng kinh kh\u00f4ng th\u01b0\u1eddng xuy\u00ean \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef. \u0110au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh t\u1eeb nh\u1eb9 v\u00e0 \u0111au \u0111\u1ebfn \u0111\u1ed9t ng\u1ed9t v\u00e0 \u0111au nh\u00f3i. Ngo\u00e0i ra, \u0111\u1ea7u v\u00e0o t\u1eeb c\u00e1c m\u00f4 c\u1ee7a h\u1ec7 th\u1ed1ng sinh s\u1ea3n t\u01b0\u01a1ng t\u00e1c v\u1edbi \u00e1p l\u1ef1c m\u00f4i tr\u01b0\u1eddng v\u00e0 ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt tr\u01b0\u1edbc \u0111\u00f3, l\u00e0m cho h\u1ec7 th\u1ed1ng x\u1eed l\u00fd \u0111au b\u00e1o c\u00e1o \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh.<\/p>\n

C\u00f3 nhi\u1ec1u ngu\u1ed3n kh\u00e1c nhau g\u00e2y ra \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh v\u00e0 do \u0111\u00f3, c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb kh\u00e1c nhau \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n b\u1eb1ng c\u00e1c li\u1ec7u ph\u00e1p kh\u00f4ng ph\u1eabu thu\u1eadt, bao g\u1ed3m c\u00e1c b\u00e0i t\u1eadp s\u00e0n ch\u1eadu. B\u00e0i t\u1eadp gi\u00fap t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh c\u01a1 b\u1eafp, h\u1ed7 tr\u1ee3 cho c\u1ea3 c\u00e1c c\u01a1 quan v\u00f9ng ch\u1eadu v\u00e0 b\u00e0ng quang. \u0110i\u1ec1u ch\u1ec9nh ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng v\u00e0 h\u00e0nh vi l\u00e0 nh\u1eefng bi\u1ec7n ph\u00e1p t\u1ef1 l\u1ef1c \u0111\u01a1n gi\u1ea3n gi\u00fap ki\u1ec3m so\u00e1t c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u00e0n ch\u1eadu. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn t\u00edch h\u1ee3p nh\u01b0 ch\u00e2m c\u1ee9u c\u0169ng \u0111ang \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong vi\u1ec7c ki\u1ec3m so\u00e1t c\u00e1c r\u1ed1i lo\u1ea1n s\u00e0n ch\u1eadu. Li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c, v\u1eadt l\u00fd tr\u1ecb li\u1ec7u v\u00f9ng ch\u1eadu v\u00e0 li\u1ec7u ph\u00e1p hormone c\u0169ng \u0111\u00f3ng m\u1ed9t vai tr\u00f2 quan tr\u1ecdng trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb v\u00e0 ki\u1ec3m so\u00e1t ch\u1ee9ng \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh. Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c th\u1ee7 t\u1ee5c ph\u1eabu thu\u1eadt ti\u00ean ti\u1ebfn \u0111\u00e3 gi\u00fap \u0111i\u1ec1u tr\u1ecb \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh. C\u00e1c th\u1ee7 t\u1ee5c y t\u1ebf bao g\u1ed3m s\u1eeda ch\u1eefa sa, ph\u1eabu thu\u1eadt s\u00f3n ti\u1ec3u, t\u00e1i t\u1ea1o trinh ti\u1ebft, c\u1eaft b\u1ecf c\u01a1, c\u1eaft t\u1eed cung, ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n t\u1eed cung, n\u1ed9i soi b\u00e0ng quang v\u00e0 ph\u1eabu thu\u1eadt n\u1ed9i soi.<\/p>\n

U x\u01a1 t\u1eed cung<\/strong><\/p>\n

U x\u01a1 t\u1eed cung \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn l\u00e0 kh\u1ed1i u l\u00e0nh t\u00ednh ph\u1ed5 bi\u1ebfn \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ee5 n\u1eef v\u00e0 c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 u x\u01a1 t\u1eed cung ho\u1eb7c u c\u01a1. C\u00e1c kh\u1ed1i u \u0111\u01b0\u1ee3c bi\u1ebft l\u00e0 ph\u00e1t tri\u1ec3n trong t\u1eed cung c\u1ee7a ph\u1ee5 n\u1eef trong nh\u1eefng n\u0103m sinh \u0111\u1ebb. Nh\u1eefng kh\u1ed1i u x\u01a1 n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra kh\u00e1c nhau v\u00e0 \u1edf c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c nhau c\u1ee7a t\u1eed cung. Nguy\u00ean nh\u00e2n ch\u00ednh c\u1ee7a u x\u01a1 t\u1eed cung v\u1eabn ch\u01b0a r\u00f5 r\u00e0ng; tuy nhi\u00ean, n\u1ed9i ti\u1ebft t\u1ed1, ti\u1ec1n s\u1eed gia \u0111\u00ecnh v\u00e0 mang thai l\u00e0 m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a u x\u01a1 t\u1eed cung. B\u1ec7nh nh\u00e2n c\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u1eb9 c\u1ee7a u x\u01a1 t\u1eed cung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ti\u1ebfp c\u1eadn kh\u00f4ng ph\u1eabu thu\u1eadt. Thuy\u00ean t\u1eafc kh\u1ed1i u x\u01a1 t\u1eed cung l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00f4ng ph\u1eabu thu\u1eadt bao g\u1ed3m vi\u1ec7c ng\u0103n ch\u1eb7n ngu\u1ed3n cung c\u1ea5p m\u00e1u th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a kh\u1ed1i u x\u01a1 t\u1eed cung b\u1eb1ng c\u00e1ch ti\u00eam c\u00e1c ch\u1ea5t g\u00e2y t\u1eafc m\u1ea1ch. \u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft t\u1ed1 nh\u01b0 s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai c\u00f3 th\u1ec3 gi\u00fap thu nh\u1ecf k\u00edch th\u01b0\u1edbc kh\u1ed1i u x\u01a1 t\u1eed cung v\u00e0 gi\u1ea3m thi\u1ec3u c\u00e1c tri\u1ec7u ch\u1ee9ng. U x\u01a1 t\u1eed cung c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf th\u00f4ng qua m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 c\u1eaft b\u1ecf c\u01a1 t\u1eed cung. Trong th\u1ee7 thu\u1eadt n\u00e0y, c\u00e1c kh\u1ed1i u x\u01a1 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf m\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u1eed cung. C\u1eaft b\u1ecf t\u1eed cung l\u00e0 m\u1ed9t th\u1ee7 t\u1ee5c ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c kh\u1ed1i u x\u01a1 t\u1eed cung. Qu\u00e1 tr\u00ecnh n\u00e0y bao g\u1ed3m vi\u1ec7c lo\u1ea1i b\u1ecf ho\u00e0n to\u00e0n t\u1eed cung c\u00f9ng v\u1edbi c\u00e1c kh\u1ed1i u x\u01a1.<\/p>\n

Ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7<\/strong><\/p>\n

S\u00f3n ti\u1ec3u l\u00e0 s\u1ef1 thi\u1ebfu ki\u1ec3m so\u00e1t trong vi\u1ec7c th\u1ea3i n\u01b0\u1edbc ti\u1ec3u. V\u1ea5n \u0111\u1ec1 c\u00f3 th\u1ec3 do t\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe t\u1ea1m th\u1eddi nh\u01b0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u g\u00e2y ra. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, s\u00f3n ti\u1ec3u c\u00f3 th\u1ec3 do nh\u1eefng thay \u0111\u1ed5i v\u1ec1 c\u01a1 v\u00e0 d\u00e2y th\u1ea7n kinh xung quanh b\u00e0ng quang. Ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c chia th\u00e0nh hai lo\u1ea1i, \u0111\u00f3 l\u00e0 ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t c\u0103ng th\u1eb3ng v\u00e0 ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t. Kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c c\u0103ng th\u1eb3ng khi\u1ebfn ng\u01b0\u1eddi ta m\u1ea5t n\u01b0\u1edbc ti\u1ec3u trong qu\u00e1 tr\u00ecnh ho\u1ea1t \u0111\u1ed9ng th\u1ec3 ch\u1ea5t nh\u01b0 c\u01b0\u1eddi, ho v\u00e0 h\u1eaft h\u01a1i.<\/p>\n

M\u1eb7t kh\u00e1c, ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t li\u00ean quan \u0111\u1ebfn vi\u1ec7c th\u1ea3i ra n\u01b0\u1edbc ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c v\u1edbi c\u1ea3m gi\u00e1c \u0111i ti\u1ec3u r\u1eafn v\u00e0 \u0111\u1ed9t ng\u1ed9t; li\u1ec7u ph\u00e1p h\u00e0nh vi, b\u00e0i t\u1eadp Kegel v\u00e0 v\u1eadt l\u00fd tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 b\u1eb1ng c\u00e1ch t\u0103ng c\u01b0\u1eddng s\u1ee9c m\u1ea1nh cho s\u00e0n ch\u1eadu, do \u0111\u00f3 t\u0103ng kh\u1ea3 n\u0103ng ki\u1ec3m so\u00e1t. Estrogen \u00e2m \u0111\u1ea1o c\u0169ng c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7. Ngo\u00e0i ra, t\u00f9y thu\u1ed9c v\u00e0o lo\u1ea1i ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t m\u00e0 m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m co th\u1eaft b\u00e0ng quang. Ngo\u00e0i ra c\u00f2n c\u00f3 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt c\u00f3 s\u1eb5n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ch\u1ee9ng ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7, v\u00ed d\u1ee5 nh\u01b0 qu\u1ea5n gi\u1eefa ni\u1ec7u \u0111\u1ea1o.<\/p>\n

R\u1ed1i lo\u1ea1n kinh nguy\u1ec7t<\/strong><\/p>\n

Ra m\u00e1u kinh k\u00e9o d\u00e0i, ch\u1ea3y m\u00e1u khi giao h\u1ee3p, ch\u1ea3y m\u00e1u gi\u1eefa c\u00e1c k\u1ef3 kinh v\u00e0 \u0111au b\u1ee5ng kinh c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t \u1edf ph\u1ee5 n\u1eef, \u0111\u1eb7c bi\u1ec7t l\u00e0 nh\u1eefng ng\u01b0\u1eddi \u0111ang trong \u0111\u1ed9 tu\u1ed5i h\u00e0nh kinh. T\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a v\u1ea5n \u0111\u1ec1 chu k\u1ef3 kinh nguy\u1ec7t, c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p can thi\u1ec7p y t\u1ebf c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng; h\u1ea7u h\u1ebft c\u00e1c r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t bao g\u1ed3m l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang, polyp n\u1ed9i m\u1ea1c t\u1eed cung, ch\u1ea3y m\u00e1u t\u1eed cung do r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng, n\u1eb7ng v\u00e0 t\u0103ng s\u1ea3n n\u1ed9i m\u1ea1c t\u1eed cung ho\u1eb7c ung th\u01b0. Vi\u1ec7c ch\u1ea9n \u0111o\u00e1n r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t s\u1ebd x\u00e1c \u0111\u1ecbnh ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p y t\u1ebf n\u00e0o s\u1ebd \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng. C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t bao g\u1ed3m thu\u1ed1c ch\u1ed1ng vi\u00eam kh\u00f4ng steroid (NSAID), c\u1ea5y gh\u00e9p progesterone, thu\u1ed1c theo toa, mi\u1ebfng d\u00e1n ho\u1eb7c v\u00f2ng \u00e2m \u0111\u1ea1o, progesterone v\u00e0 d\u1ee5ng c\u1ee5 t\u1eed cung. Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt c\u0169ng c\u00f3 s\u1eb5n cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t. Ch\u00fang bao g\u1ed3m c\u1eaft b\u1ecf n\u1ed9i m\u1ea1c t\u1eed cung, c\u1eaft b\u1ecf t\u1eed cung, thuy\u00ean t\u1eafc kh\u1ed1i u x\u01a1 t\u1eed cung v\u00e0 n\u1ed9i soi t\u1eed cung; C\u00e1c th\u1ee7 thu\u1eadt x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u1eefng v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe n\u00e0y, th\u1eddi gian h\u1ed3i ph\u1ee5c ng\u1eafn l\u00e0 m\u1ed9t l\u1ee3i th\u1ebf b\u1ed5 sung.<\/p>\n

H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang<\/strong><\/p>\n

\u0110\u00e2y l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1 th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ph\u1ee5 n\u1eef trong th\u1eddi k\u1ef3 sinh s\u1ea3n. Ph\u1ee5 n\u1eef g\u1eb7p t\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 chu k\u1ef3 kinh nguy\u1ec7t k\u00e9o d\u00e0i ho\u1eb7c d\u01b0 th\u1eeba n\u1ed9i ti\u1ebft t\u1ed1 nam \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 androgen. Bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n m\u1ed9t s\u1ed1 b\u1ed9 s\u01b0u t\u1eadp ch\u1ea5t l\u1ecfng v\u00e0 nh\u1ecf, do \u0111\u00f3, kh\u00f4ng th\u1ec3 gi\u1ea3i ph\u00f3ng tr\u1ee9ng. Nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u c\u1ee7a h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 c\u00f3 th\u1ec3 g\u00e2y ra ch\u00fang, ch\u1eb3ng h\u1ea1n nh\u01b0 y\u1ebfu t\u1ed1 di truy\u1ec1n, th\u1eeba insulin, vi\u00eam m\u1ee9c \u0111\u1ed9 th\u1ea5p v\u00e0 d\u01b0 th\u1eeba androgen. Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang t\u1eadp trung v\u00e0o vi\u1ec7c ki\u1ec3m so\u00e1t c\u00e1c m\u1ed1i quan t\u00e2m c\u1ee7a m\u1ed9t ng\u01b0\u1eddi nh\u01b0 r\u1eadm l\u00f4ng, b\u00e9o ph\u00ec, m\u1ee5n tr\u1ee9ng c\u00e1 v\u00e0 v\u00f4 sinh. \u0110i\u1ec1u tr\u1ecb c\u1ee5 th\u1ec3 c\u1ee7a PCOS li\u00ean quan \u0111\u1ebfn vi\u1ec7c thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng c\u1ee7a m\u1ed9t ng\u01b0\u1eddi, ch\u1eb3ng h\u1ea1n nh\u01b0 gi\u1ea3m c\u00e2n. Ngo\u00e0i ra c\u00f2n c\u00f3 m\u1ed9t s\u1ef1 can thi\u1ec7p y t\u1ebf c\u00f3 th\u1ec3 gi\u00fap \u0111i\u1ec1u ch\u1ec9nh chu k\u1ef3 kinh nguy\u1ec7t do PCOS g\u00e2y ra, ch\u1eb3ng h\u1ea1n nh\u01b0 k\u1ebft h\u1ee3p thu\u1ed1c tr\u00e1nh thai v\u00e0 li\u1ec7u ph\u00e1p progestin.<\/p>\n

Nh\u1eefng ph\u1ee5 n\u1eef kh\u00e1c nhau tr\u00ean kh\u1eafp th\u1ebf gi\u1edbi \u0111ang ph\u1ea3i v\u1eadt l\u1ed9n v\u1edbi m\u1ed9t trong hai v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa. May m\u1eafn thay, c\u00f3 nh\u1eefng l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb cho m\u1ed9t trong hai v\u1ea5n \u0111\u1ec1 gia ph\u1ea3. \u0110\u1ed1i v\u1edbi b\u1ea5t k\u1ef3 ph\u1ee5 n\u1eef n\u00e0o c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 ph\u1ee5 khoa, vi\u1ec7c ki\u1ec3m so\u00e1t t\u00ecnh h\u00ecnh b\u1eaft \u0111\u1ea7u b\u1eb1ng c\u00e1ch hi\u1ec3u t\u00ecnh tr\u1ea1ng c\u1ee7a h\u1ecd. \u0110i\u1ec1u n\u00e0y ch\u1ec9 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi m\u1ed9t ng\u01b0\u1eddi l\u00e0m vi\u1ec7c v\u1edbi m\u1ed9t chuy\u00ean gia. H\u1eb9n kh\u00e1m \u00edt nh\u1ea5t m\u1ed9t l\u1ea7n m\u1ed9t n\u0103m l\u00e0 r\u1ea5t quan tr\u1ecdng v\u00ec n\u00f3 gi\u00fap ph\u00e1t hi\u1ec7n b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa n\u00e0o c\u00f3 th\u1ec3 nh\u1eb9 v\u00e0 kh\u00f4ng \u0111\u01b0\u1ee3c ch\u00fa \u00fd. T\u00ecm ki\u1ebfm s\u1ef1 gi\u00fap \u0111\u1ee1 t\u1eeb c\u00e1c chuy\u00ean gia c\u0169ng gi\u00fap m\u1ed9t ng\u01b0\u1eddi t\u00ecm ki\u1ebfm s\u1ef1 can thi\u1ec7p y t\u1ebf th\u00edch h\u1ee3p theo v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa m\u00e0 h\u1ecd c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i. C\u00f3 m\u1ed9t lo\u1ea1t c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb cho c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa kh\u00e1c nhau v\u00e0 vi\u1ec7c t\u00ecm ki\u1ebfm ph\u01b0\u01a1ng th\u1ee9c ph\u00f9 h\u1ee3p v\u1edbi v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n b\u1eaft \u0111\u1ea7u b\u1eb1ng vi\u1ec7c g\u1eb7p b\u00e1c s\u0129 chuy\u00ean khoa. M\u1ed9t b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd h\u1ecfi v\u1ec1 ti\u1ec1n s\u1eed b\u1ec7nh c\u1ee7a m\u1ed9t ng\u01b0\u1eddi v\u00e0 ti\u1ebfn h\u00e0nh m\u1ed9t cu\u1ed9c ki\u1ec3m tra th\u00edch h\u1ee3p \u0111\u1ec3 gi\u00fap ph\u00e1t tri\u1ec3n lo\u1ea1i thu\u1ed1c th\u00edch h\u1ee3p.<\/p>\n","protected":false},"excerpt":{"rendered":"

Trong th\u1eddi k\u1ef3 sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef, c\u01a1 th\u1ec3 tr\u1ea3i qua r\u1ea5t nhi\u1ec1u thay \u0111\u1ed5i. Trong th\u1eddi gian n\u00e0y, c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa kh\u00e1c nhau c\u00f3 xu h\u01b0\u1edbng ph\u00e1t sinh theo th\u1eddi gian. R\u1ea5t nhi\u1ec1u ph\u1ee5 n\u1eef ng\u00e0y nay m\u1eafc c\u00e1c b\u1ec7nh ph\u1ee5 khoa c\u1ea3 \u0111\u1eddi. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, t\u00ecnh […]<\/p>\n","protected":false},"author":1,"featured_media":63598,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_crdt_document":"","tdm_status":"","tdm_grid_status":"","footnotes":""},"categories":[112],"tags":[],"class_list":{"0":"post-7646","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-suc-khoe-phu-nu"},"yoast_head":"\nPh\u1ee5 khoa: H\u1ec7 th\u1ed1ng sinh s\u1ea3n n\u1eef - Healthcliner<\/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:\/\/healthcliner.com\/vi\/phu-khoa-he-thong-sinh-san-nu\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ph\u1ee5 khoa: H\u1ec7 th\u1ed1ng sinh s\u1ea3n n\u1eef - Healthcliner\" \/>\n<meta property=\"og:description\" content=\"Trong th\u1eddi k\u1ef3 sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef, c\u01a1 th\u1ec3 tr\u1ea3i qua r\u1ea5t nhi\u1ec1u thay \u0111\u1ed5i. Trong th\u1eddi gian n\u00e0y, c\u00e1c v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa kh\u00e1c nhau c\u00f3 xu h\u01b0\u1edbng ph\u00e1t sinh theo th\u1eddi gian. R\u1ea5t nhi\u1ec1u ph\u1ee5 n\u1eef ng\u00e0y nay m\u1eafc c\u00e1c b\u1ec7nh ph\u1ee5 khoa c\u1ea3 \u0111\u1eddi. 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