{"id":11508,"date":"2018-07-19T12:00:12","date_gmt":"2018-07-19T05:00:12","guid":{"rendered":"https:\/\/yhoccongdong.org\/du-an-khac\/say-thai-lien-tiep\/"},"modified":"2024-03-17T03:14:07","modified_gmt":"2024-03-16T20:14:07","slug":"say-thai-lien-tiep","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/du-an-khac\/say-thai-lien-tiep\/","title":{"rendered":"S\u1ea9y thai li\u00ean ti\u1ebfp"},"content":{"rendered":"

Th\u1ebf n\u00e0o l\u00e0 s\u1ea9y thai li\u00ean ti\u1ebfp<\/h2>\n

S\u1ea9y thai li\u00ean ti\u1ebfp <\/strong> \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 khi b\u1ecb s\u1ea9y thai h\u01a1n 2 l\u1ea7n. Ph\u1ee5 n\u1eef sau 3 l\u1ea7n s\u1ea9y thai n\u00ean \u0111i kh\u00e1m to\u00e0n di\u1ec7n.<\/p>\n

T\u1ec9 l\u1ec7 b\u1ecb s\u1ea9y thai li\u00ean ti\u1ebfp l\u00e0 bao nhi\u00eau?<\/h2>\n

Ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 nh\u1ecf ph\u1ee5 n\u1eef (1%) b\u1ecb s\u1ea9y thai li\u00ean ti\u1ebfp.<\/p>\n

Nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p g\u00e2y ra s\u1ea9y thai li\u00ean ti\u1ebfp<\/h2>\n

Ph\u1ea7n l\u1edbn tr\u01b0\u1eddng h\u1ee3p s\u1ea9y thai (kho\u1ea3ng 60%) x\u1ea3y ra ng\u1eabu nhi\u00ean do ph\u00f4i <\/strong> nh\u1eadn nhi\u1ec5m s\u1eafc th\u1ec3 <\/strong> v\u1edbi s\u1ed1 l\u01b0\u1ee3ng b\u1ea5t th\u01b0\u1eddng trong qu\u00e1 tr\u00ecnh th\u1ee5 thai<\/strong>. Lo\u1ea1i b\u1ea5t th\u01b0\u1eddng di truy\u1ec1n n\u00e0y x\u1ea3y ra ng\u1eabu nhi\u00ean ch\u1ee9 kh\u00f4ng ph\u1ea3i do b\u1ec7nh l\u00fd n\u00e0o g\u00e2y ra. Tuy nhi\u00ean n\u00f3 th\u01b0\u1eddng g\u1eb7p h\u01a1n \u1edf ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i mang thai.<\/p>\n

\n

\"s\u1ea9y<\/p>\n

S\u1ea9y thai li\u00ean ti\u1ebfp c\u00f3 li\u00ean quan \u0111\u1ebfn b\u1ec7nh di truy\u1ec1n hay kh\u00f4ng?<\/h2>\n

Trong m\u1ed9t s\u1ed1 nh\u1ecf tr\u01b0\u1eddng h\u1ee3p s\u1ea9y thai, ng\u01b0\u1eddi ta t\u00ecm th\u1ea5y \u1edf b\u1ed1 ho\u1eb7c m\u1eb9 c\u00f3 hi\u1ec7n t\u01b0\u1ee3ng m\u1ed9t ph\u1ea7n nhi\u1ec5m s\u1eafc th\u1ec3 n\u00e0y b\u1ecb chuy\u1ec3n sang m\u1ed9t nhi\u1ec5m s\u1eafc th\u1ec3 kh\u00e1c. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y g\u1ecdi l\u00e0 chuy\u1ec3n v\u1ecb nhi\u1ec5m s\u1eafc th\u1ec3<\/strong>. Ng\u01b0\u1eddi mang nhi\u1ec5m s\u1eafc th\u1ec3 chuy\u1ec3n v\u1ecb th\u01b0\u1eddng kh\u00f4ng bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng hay b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u01a1 th\u1ec3 n\u00e0o, nh\u01b0ng tr\u1ee9ng<\/strong> hay tinh tr\u00f9ng<\/strong> c\u1ee7a h\u1ecd s\u1ebd mang nhi\u1ec5m s\u1eafc th\u1ec3 b\u1ea5t th\u01b0\u1eddng. N\u1ebfu ph\u00f4i c\u00f3 qu\u00e1 nhi\u1ec1u hay qu\u00e1 \u00edt v\u1eadt li\u1ec7u di truy\u1ec1n, n\u00f3 th\u01b0\u1eddng d\u1eabn \u0111\u1ebfn s\u1ea9y thai.<\/p>\n

B\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u01a1 quan sinh d\u1ee5c c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ea9y thai li\u00ean ti\u1ebfp kh\u00f4ng?<\/h2>\n

M\u1ed9t s\u1ed1 b\u1ea5t th\u01b0\u1eddng b\u1ea9m sinh \u1edf t\u1eed cung c\u00f3 li\u00ean quan \u0111\u1ebfn s\u1ea9y thai li\u00ean ti\u1ebfp. C\u00f3 nhi\u1ec1u lo\u1ea1i b\u1ea5t th\u01b0\u1eddng nh\u01b0ng d\u1ea1ng ph\u1ed5 bi\u1ebfn nh\u1ea5t l\u00e0 t\u1eed cung c\u00f3 v\u00e1ch ng\u0103n. Trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y t\u1eed cung b\u1ecb chia l\u00e0m hai ng\u0103n b\u1edfi m\u1ed9t v\u00e1ch ng\u0103n.<\/p>\n

H\u1ed9i ch\u1ee9ng Asherman, l\u00e0 h\u1ed9i ch\u1ee9ng m\u00f4 d\u00ednh <\/strong> v\u00e0 s\u1eb9o h\u00ecnh th\u00e0nh trong t\u1eed cung, c\u0169ng c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn s\u1ea9y thai li\u00ean ti\u1ebfp m\u00e0 s\u1ef1 s\u1ea9y thai li\u00ean ti\u1ebfp n\u00e0y x\u1ea3y ra th\u1eadm ch\u00ed tr\u01b0\u1edbc khi ng\u01b0\u1eddi ph\u1ee5 n\u1eef bi\u1ebft l\u00e0 m\u00ecnh c\u00f3 thai. U x\u01a1 v\u00e0 polyp, hai d\u1ea1ng u l\u00e0nh t\u00ednh (kh\u00f4ng ung th\u01b0) h\u00ecnh th\u00e0nh trong t\u1eed cung, c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n g\u00e2y s\u1ea9y thai li\u00ean ti\u1ebfp.<\/p>\n

C\u00f3 lo\u1ea1i b\u1ec7nh n\u00e0o l\u00e0m t\u0103ng nguy c\u01a1 b\u1ecb s\u1ea9y thai li\u00ean ti\u1ebfp kh\u00f4ng?<\/h2>\n

C\u00f3 m\u1ed9t s\u1ed1 b\u1ec7nh \u1edf ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb s\u1ea9y thai. H\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid <\/strong> (ti\u1ebfng Anh l\u00e0 “antiphospholipid syndrome”, vi\u1ebft t\u1eaft l\u00e0 “APS”) l\u00e0 m\u1ed9t lo\u1ea1i r\u1ed1i lo\u1ea1n t\u1ef1 mi\u1ec5n <\/strong> do h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch m\u1eafc sai l\u1ea7m m\u00e0 s\u1ea3n sinh ra kh\u00e1ng th\u1ec3 <\/strong> ch\u1ed1ng l\u1ea1i c\u00e1c ch\u1ea5t li\u00ean quan \u0111\u1ebfn qu\u00e1 tr\u00ecnh \u0111\u00f4ng m\u00e1u. APS c\u00f3 th\u1ec3 g\u00e2y ra s\u1ea9y thai li\u00ean ti\u1ebfp v\u00e0 thai ch\u1ebft l\u01b0u. M\u1ed9t lo\u1ea1i b\u1ec7nh kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn s\u1ea9y thai l\u00e0 \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng<\/strong><\/a>. B\u1ec7nh n\u00e0y \u0111\u01b0\u1ee3c bi\u1ec3u hi\u1ec7n b\u1eb1ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng (\u0111\u01b0\u1eddng glucose ) cao trong m\u00e1u. Ph\u1ee5 n\u1eef mang b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng, nh\u1ea5t l\u00e0 khi b\u1ec7nh kh\u00f4ng \u0111\u01b0\u1ee3c ch\u1eefa tr\u1ecb c\u1ea9n th\u1eadn, th\u01b0\u1eddng c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb s\u1ea9y thai cao h\u01a1n. Ph\u1ee5 n\u1eef b\u1ecb h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang <\/strong><\/a> c\u0169ng c\u00f3 kh\u1ea3 n\u0103ng b\u1ecb s\u1ea9y thai cao h\u01a1n.<\/p>\n

S\u1ea9y thai li\u00ean ti\u1ebfp kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n c\u00f3 th\u01b0\u1eddng g\u1eb7p kh\u00f4ng?<\/h2>\n

Kho\u1ea3ng 50-75% s\u1ed1 ph\u1ee5 n\u1eef b\u1ecb s\u1ea9y thai li\u00ean ti\u1ebfp kh\u00f4ng t\u00ecm \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n. C\u00f3 th\u1ec3 t\u00ecm ra \u0111\u1ea7u m\u1ed1i g\u00e2y b\u1ec7nh nh\u01b0ng kh\u00f4ng th\u1ec3 t\u00ecm ra \u0111\u01b0\u1ee3c c\u00e2u tr\u1ea3 l\u1eddi ch\u00ednh x\u00e1c ho\u00e0n to\u00e0n.<\/p>\n

C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0o c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y s\u1ea9y thai li\u00ean ti\u1ebfp?<\/h2>\n

\u0110\u1ec3 t\u00ecm ra nguy\u00ean nh\u00e2n g\u00e2y s\u1ea9y thai li\u00ean ti\u1ebfp, b\u00e1c s\u0129 s\u1ebd h\u1ecfi ti\u1ec1n s\u1eed y khoa v\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p mang thai tr\u01b0\u1edbc \u0111\u00e2y. C\u00f3 th\u1ec3 b\u00e1c s\u0129 s\u1ebd y\u00eau c\u1ea7u kh\u00e1m t\u1ed5ng qu\u00e1t, bao g\u1ed3m c\u1ea3 kh\u00e1m ph\u1ee5 khoa.<\/strong> B\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 s\u1ebd ph\u1ea3i l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra xem c\u00f3 v\u1ea5n \u0111\u1ec1 g\u00ec v\u1edbi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch hay kh\u00f4ng. X\u00e9t nghi\u1ec7m x\u00e1c \u0111\u1ecbnh b\u1ed9 nhi\u1ec5m s\u1eafc th\u1ec3 <\/strong> ho\u1eb7c x\u00e9t nghi\u1ec7m microarray <\/strong> c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n di truy\u1ec1n. C\u00e1c x\u00e9t nghi\u1ec7m v\u1ec1 h\u00ecnh \u1ea3nh c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 ki\u1ec3m tra xem t\u1eed cung c\u00f3 b\u1ea5t th\u01b0\u1eddng g\u00ec kh\u00f4ng.<\/p>\n

N\u1ebfu \u0111\u00e3 x\u00e1c \u0111\u1ecbnh \u0111\u01b0\u1ee3c nguy\u00ean nh\u00e2n, c\u00f3 c\u00e1ch \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb s\u1ea9y thai li\u00ean ti\u1ebfp kh\u00f4ng?<\/h2>\n

N\u1ebfu t\u00ecm ra nguy\u00ean nh\u00e2n g\u00e2y s\u1ea9y thai li\u00ean ti\u1ebfp, b\u00e1c s\u0129 c\u00f3 th\u1ec3 \u0111\u1ec1 ra bi\u1ec7n ph\u00e1p ch\u1eefa tr\u1ecb.<\/p>\n

N\u1ebfu ph\u00e1t hi\u1ec7n b\u1ecb chuy\u1ec3n v\u1ecb nhi\u1ec5m s\u1eafc th\u1ec3, t\u00f4i ph\u1ea3i l\u00e0m g\u00ec?<\/h2>\n

N\u1ebfu b\u1ecb chuy\u1ec3n v\u1ecb nhi\u1ec5m s\u1eafc th\u1ec3, b\u1ea1n n\u00ean \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 t\u01b0 v\u1ea5n v\u1ec1 di truy\u1ec1n. K\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m di truy\u1ec1n s\u1ebd cho bi\u1ebft b\u1ea1n c\u00f3 nh\u1eefng l\u1ef1a ch\u1ecdn n\u00e0o. Ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m <\/strong> v\u1edbi x\u00e9t nghi\u1ec7m di truy\u1ec1n \u0111\u1eb7c bi\u1ec7t g\u1ecdi l\u00e0 ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n ti\u1ec1n c\u1ea5y ph\u00f4i <\/strong> c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 lo\u1ea1i b\u1ecf ph\u00f4i b\u1ea5t th\u01b0\u1eddng.<\/p>\n

C\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 c\u01a1 quan sinh d\u1ee5c \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ra sao?<\/h2>\n

C\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt \u0111i\u1ec1u ch\u1ec9nh \u0111\u1ec3 t\u0103ng kh\u1ea3 n\u0103ng mang thai th\u00e0nh c\u00f4ng. V\u00ed d\u1ee5, v\u00e1ch ng\u0103n trong t\u1eed cung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf.<\/p>\n

N\u1ebfu t\u00f4i b\u1ecb h\u1ed9i ch\u1ee9ng kh\u00e1ng phospholipid, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c kh\u00f4ng?<\/h2>\n

Ph\u1ee5 n\u1eef b\u1ecb h\u1ed9i ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 s\u1ebd \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n d\u00f9ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, nh\u01b0 heparin, v\u00e0 \u0111\u00f4i khi c\u00f9ng v\u1edbi aspirin li\u1ec1u th\u1ea5p, trong su\u1ed1t qu\u00e1 tr\u00ecnh mang thai v\u00e0 v\u00e0i tu\u1ea7n sau \u0111\u00f3. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 gi\u00fap l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng mang thai th\u00e0nh c\u00f4ng \u1edf nh\u1eefng ph\u1ee5 n\u1eef n\u00e0y.<\/p>\n

T\u00f4i c\u00f3 c\u01a1 h\u1ed9i \u0111\u1eadu thai kh\u00f4ng sau khi t\u00f4i b\u1ecb li\u00ean ti\u1ebfp s\u1ea9y thai m\u00e0 kh\u00f4ng ph\u00e1t hi\u1ec7n ra nguy\u00ean nh\u00e2n?<\/h2>\n

Kho\u1ea3ng 65% s\u1ed1 ph\u1ee5 n\u1eef sau v\u00e0i l\u1ea7n s\u1ea9y thai th\u00ec c\u00f3 th\u1ec3 \u0111\u1eadu thai th\u00e0nh c\u00f4ng.<\/p>\n

Gi\u1ea3i th\u00edch thu\u1eadt ng\u1eef<\/span><\/span><\/h2>\n