{"id":3578,"date":"2014-04-10T17:00:00","date_gmt":"2014-04-10T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/thong-kinh-dau-bung-kinh\/"},"modified":"2024-04-28T15:23:29","modified_gmt":"2024-04-28T08:23:29","slug":"thong-kinh-dau-bung-kinh","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/thong-kinh-dau-bung-kinh\/","title":{"rendered":"Th\u1ed1ng kinh (\u0111au b\u1ee5ng kinh)"},"content":{"rendered":"<h2 id=\"the-nao-la-thong-kinh\">Th\u1ebf n\u00e0o l\u00e0 th\u1ed1ng kinh?<\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh (c\u00f2n g\u1ecdi l\u00e0 \u0111au b\u1ee5ng kinh) l\u00e0 khi c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi chu k\u1ef3 kinh nguy\u1ec7t. <\/span><\/p>\n<h2 id=\"thong-kinh-co-pho-bien-khong\"><span style=\"line-height: 1.6em\"> Th\u1ed1ng kinh c\u00f3 ph\u1ed5 bi\u1ebfn kh\u00f4ng? <\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ec7nh ph\u1ed5 bi\u1ebfn nh\u1ea5t li\u00ean quan \u0111\u1ebfn kinh nguy\u1ec7t. C\u00f3 \u0111\u1ebfn h\u01a1n m\u1ed9t n\u1eeda ph\u1ee5 n\u1eef b\u1ecb \u0111au 1-2 ng\u00e0y h\u00e0ng th\u00e1ng khi c\u00f3 kinh. <\/span><\/p>\n<h2 id=\"co-bao-nhieu-loai-thong-kinh\"><span style=\"line-height: 1.6em\"> C\u00f3 bao nhi\u00eau lo\u1ea1i th\u1ed1ng kinh? <\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> C\u00f3 hai lo\u1ea1i th\u1ed1ng kinh: <\/span><\/p>\n<ul>\n<li style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh nguy\u00ean ph\u00e1t <\/span><\/li>\n<li style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh th\u1ee9 ph\u00e1t. <\/span><\/li>\n<\/ul>\n<h2 id=\"thong-kinh-nguyen-phat-la-gi\"><span style=\"line-height: 1.6em\"> Th\u1ed1ng kinh nguy\u00ean ph\u00e1t<\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh nguy\u00ean ph\u00e1t l\u00e0 c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi <strong> chu k\u1ef3 kinh nguy\u1ec7t, ti\u1ebfng Anh c\u00f2n g\u1ecdi l\u00e0 &#8220;menstrual cramps&#8221;<\/strong>. <\/span><\/p>\n<h3 id=\"cac-nguyen-nhan-cua-thong-kinh-nguyen-phat\">Nguy\u00ean nh\u00e2n<\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh nguy\u00ean ph\u00e1t l\u00e0 do ch\u1ea5t ho\u00e1 h\u1ecdc t\u1ef1 nhi\u00ean <strong>p<\/strong><strong>rostaglandins <\/strong> g\u00e2y ra. Prostaglandins \u0111\u01b0\u1ee3c s\u1ea3n sinh \u1edf b\u00ean trong <strong> t\u1eed cung<\/strong>. <\/span><\/p>\n<h3 id=\"thong-kinh-nguyen-phat-xay-ra-vao-thoi-diem-nao-cua-ky-kinh\"><span style=\"line-height: 1.6em\"> Th\u1ed1ng kinh nguy\u00ean ph\u00e1t x\u1ea3y ra v\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0o c\u1ee7a k\u1ef3 kinh? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> C\u01a1n \u0111au th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n ngay tr\u01b0\u1edbc khi k\u1ef3 kinh b\u1eaft \u0111\u1ea7u, khi n\u1ed3ng \u0111\u1ed9 <a href=\"http:\/\/vi.wikipedia.org\/wiki\/Prostaglandin\" target=\"_blank\" rel=\"noopener\"> prostaglandins <\/a> \u1edf n\u1ed9i m\u1ea1c t\u1eed cung t\u0103ng l\u00ean. N\u1ed3ng \u0111\u1ed9 n\u00e0y cao nh\u1ea5t v\u00e0o ng\u00e0y \u0111\u1ea7u ti\u00ean c\u1ee7a k\u1ef3 kinh. C\u00f9ng v\u1edbi qu\u00e1 tr\u00ecnh h\u00e0nh kinh, n\u1ed9i m\u1ea1c t\u1eed cung b\u1ecb che l\u1ea5p v\u00e0 n\u1ed3ng \u0111\u1ed9 n\u00e0y gi\u1ea3m \u0111i. C\u01a1n \u0111au th\u01b0\u1eddng gi\u1ea3m \u0111i khi n\u1ed3ng \u0111\u1ed9 prostaglandins gi\u1ea3m. <\/span><\/p>\n<h3 id=\"thong-kinh-nguyen-phat-thuong-bat-dau-o-do-tuoi-nao\"><span style=\"line-height: 1.6em\"> Th\u1ed1ng kinh nguy\u00ean ph\u00e1t th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0o? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u00f4ng th\u01b0\u1eddng th\u1ed1ng kinh nguy\u00ean ph\u00e1t b\u1eaft \u0111\u1ea7u khi ph\u1ee5 n\u1eef b\u1eaft \u0111\u1ea7u c\u00f3 kinh nguy\u1ec7t. \u0110\u1ed1i v\u1edbi nhi\u1ec1u ph\u1ee5 n\u1eef, c\u00e1c c\u01a1n \u0111au s\u1ebd gi\u1ea3m d\u1ea7n c\u00f9ng v\u1edbi tu\u1ed5i. Th\u1ed1ng kinh nguy\u00ean ph\u00e1t c\u0169ng c\u00f3 th\u1ec3 gi\u1ea3m \u0111i sau khi sinh. <\/span><\/p>\n<h2 id=\"the-nao-la-thong-kinh-thu\"><span style=\"line-height: 1.6em\">Th\u1ed1ng kinh th\u1ee9 <\/span> <span style=\"line-height: 31.200000762939453px\"> ph\u00e1t<\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh th\u1ee9 ph\u00e1t x\u1ea3y ra do r\u1ed1i lo\u1ea1n h\u1ec7 sinh s\u1ea3n. N\u00f3 c\u00f3 th\u1ec3 x\u1ea3y ra mu\u1ed9n h\u01a1n so v\u1edbi th\u1ed1ng kinh nguy\u00ean ph\u00e1t. C\u01a1n \u0111au th\u01b0\u1eddng tr\u1edf n\u00ean nhi\u1ec1u h\u01a1n c\u00f9ng v\u1edbi th\u1eddi gian. <\/span><\/p>\n<h3 id=\"thong-kinh-thu-phat-xay-ra-vao-thoi-diem-nao-cua-ky-kinh\"><span style=\"line-height: 1.6em\"> Th\u1ed1ng kinh th\u1ee9 ph\u00e1t x\u1ea3y ra v\u00e0o th\u1eddi \u0111i\u1ec3m n\u00e0o c\u1ee7a k\u1ef3 kinh? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Th\u1ed1ng kinh th\u1ee9 ph\u00e1t th\u01b0\u1eddng k\u00e9o d\u00e0i h\u01a1n c\u00e1c c\u01a1n \u0111au b\u1ee5ng kinh th\u00f4ng th\u01b0\u1eddng. V\u00ed d\u1ee5, n\u00f3 c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u v\u00e0i ng\u00e0y tr\u01b0\u1edbc k\u1ef3 kinh. C\u01a1n \u0111au tr\u1edf n\u00ean n\u1eb7ng h\u01a1n c\u00f9ng v\u1edbi k\u1ef3 kinh v\u00e0 c\u00f3 th\u1ec3 k\u00e9o d\u00e0i sau k\u1ef3 kinh. <\/span><\/p>\n<p style=\"text-align: center\">\n<h3 id=\"cac-nguyen-nhan-cua-thong-kinh-dau-bung-kinh\u00a0thu-phat\">Nguy\u00ean nh\u00e2n<\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> C\u00e1c tr\u01b0\u1eddng h\u1ee3p sau c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y th\u1ed1ng kinh th\u1ee9 ph\u00e1t: <\/span><\/p>\n<ul style=\"margin-left: 40px\">\n<li><span style=\"font-size: 16px\"> <strong> L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong>: trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, l\u1edbp n\u1ed9i m\u1ea1c v\u1ed1n h\u00ecnh th\u00e0nh \u1edf b\u00ean trong t\u1eed cung b\u1ecb l\u1ea1c ch\u1ed7 ra b\u00ean ngo\u00e0i t\u1eed cung, c\u00f3 th\u1ec3 l\u00e0 \u1edf <strong> bu\u1ed3ng tr\u1ee9ng<\/strong>, <strong> \u1ed1ng d\u1eabn tr\u1ee9ng<\/strong>, ph\u00eda sau t\u1eed cung ho\u1eb7c <strong> b\u00e0ng quang <\/strong> (xem b\u00e0i <em><strong>&#8220;<a href=\"https:\/\/yhoccongdong.com\/thongtin\/lac-noi-mac-tu-cung\/\" target=\"_blank\" rel=\"noopener\">L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/a>&#8220;<\/strong><\/em> \u0111\u1ec3 bi\u1ebft th\u00eam chi ti\u1ebft). C\u0169ng gi\u1ed1ng nh\u01b0 l\u1edbp n\u1ed9i m\u1ea1c t\u1eed cung, l\u1edbp n\u1ed9i m\u1ea1c l\u1ea1c ch\u1ed7 c\u00f3 th\u1ec3 g\u00e2y ch\u1ea3y m\u00e1u khi n\u1ed3ng \u0111\u1ed9 hormone cao l\u00ean. Ch\u1ea3y m\u00e1u c\u00f3 th\u1ec3 g\u00e2y \u0111au, nh\u1ea5t l\u00e0 trong k\u1ef3 kinh. <strong> M\u00f4 s\u1eb9o d\u00ednh <\/strong> c\u00f3 th\u1ec3 h\u00ecnh th\u00e0nh trong v\u00f9ng ch\u1eadu t\u1ea1i v\u1ecb tr\u00ed ch\u1ea3y m\u00e1u. C\u00e1c m\u00f4 n\u00e0y c\u00f3 th\u1ec3 l\u00e0m cho c\u00e1c c\u01a1 quan trong v\u00f9ng ch\u1eadu b\u1ecb d\u00ednh v\u00e0o nhau v\u00e0 g\u00e2y \u0111au. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> L\u1ea1c n\u1ed9i m\u1ea1c trong c\u01a1 t\u1eed cung<\/strong>: l\u00e0 tr\u01b0\u1eddng h\u1ee3p l\u1edbp n\u1ed9i m\u1ea1c t\u1eed cung l\u1ea1c ch\u1ed7 v\u00e0o l\u1edbp c\u01a1 c\u1ee7a th\u00e0nh t\u1eed cung. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <strong> U x\u01a1 t\u1eed cung<\/strong>: l\u00e0 tr\u01b0\u1eddng h\u1ee3p m\u00e0 u x\u01a1 h\u00ecnh th\u00e0nh \u1edf b\u00ean ngo\u00e0i hay b\u00ean trong t\u1eed cung ho\u1eb7c ngay trong th\u00e0nh t\u1eed cung (xem b\u00e0i <em><strong>&#8220;<a href=\"https:\/\/yhoccongdong.com\/thongtin\/u-xo-tu-cung\/\" target=\"_blank\" rel=\"noopener\">U x\u01a1 t\u1eed cung<\/a>&#8220;<\/strong><\/em> \u0111\u1ec3 bi\u1ebft th\u00eam chi ti\u1ebft). U x\u01a1 t\u1eed cung c\u00f3 th\u1ec3 g\u00e2y \u0111au. <\/span><\/li>\n<\/ul>\n<h2 id=\"cach-chan-doan-nguyen-nhan-thong-kinh-\u00a0dau-bung-kinh\"><span style=\"line-height: 1.6em\"> C\u00e1ch ch\u1ea9n \u0111o\u00e1n nguy\u00ean nh\u00e2n th\u1ed1ng kinh (\u0111au b\u1ee5ng kinh)? <\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> B\u00e1c s\u0129 ph\u1ee5 khoa s\u1ebd ki\u1ec3m tra b\u1ec7nh \u00e1n, bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 chu k\u1ef3 kinh nguy\u1ec7t v\u00e0 ti\u1ebfn h\u00e0nh <strong><a target=\"_blank\" rel=\"noopener\"> kh\u00e1m ph\u1ee5 khoa <\/a> t\u1ed5ng qu\u00e1t<\/strong>. <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> B\u00e1c s\u0129 c\u0169ng c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh <a href=\"https:\/\/yhoccongdong.com\/thongtin\/sieu-am\/\" target=\"_blank\" rel=\"noopener\"> <strong> si\u00eau \u00e2m <\/strong> <\/a> \u0111\u1ec3 ki\u1ec3m tra. Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh <strong> n\u1ed9i soi \u1ed5 b\u1ee5ng<\/strong>. \u0110\u00e2y l\u00e0 m\u1ed9t lo\u1ea1i ph\u1eabu thu\u1eadt cho ph\u00e9p quan s\u00e1t to\u00e0n b\u1ed9 b\u00ean trong v\u00f9ng ch\u1eadu. <\/span><\/p>\n<h2 id=\"dieu-tri-thong-kinh-nhu-the-nao\"><span style=\"line-height: 1.6em\"> \u0110i\u1ec1u tr\u1ecb th\u1ed1ng kinh nh\u01b0 th\u1ebf n\u00e0o? <\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> B\u00e1c s\u0129 c\u00f3 th\u1ec3 cho thu\u1ed1c gi\u1ea3m \u0111au ho\u1eb7c thu\u1ed1c n\u1ed9i ti\u1ebft, ch\u1eb3ng h\u1ea1n nh\u01b0 thu\u1ed1c tr\u00e1nh thai. Nhi\u1ec1u khi thay \u0111\u1ed5i c\u00e1ch sinh ho\u1ea1t c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au nh\u01b0 t\u1eadp th\u1ec3 d\u1ee5c, t\u0103ng th\u1eddi gian ng\u1ee7 ho\u1eb7c c\u00e1c bi\u1ec7n ph\u00e1p th\u01b0 gi\u00e3n. <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> N\u1ebfu vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c kh\u00f4ng l\u00e0m gi\u1ea3m c\u01a1n \u0111au, b\u00e1c s\u0129 c\u00f3 th\u1ec3 ti\u1ebfn h\u00e0nh c\u00e1c bi\u1ec7n ph\u00e1p \u0111\u1ec3 t\u00ecm nguy\u00ean nh\u00e2n g\u00e2y th\u1ed1ng kinh. C\u00f3 th\u1ec3 s\u1ebd ph\u1ea3i d\u1eabn \u0111\u1ebfn ph\u1eabu thu\u1eadt. Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 ph\u1ea3i k\u1ebft h\u1ee3p nhi\u1ec1u bi\u1ec7n ph\u00e1p. <\/span><\/p>\n<h3 id=\"cac-thuoc-dung-de-dieu-tri-thong-kinh\"><span style=\"line-height: 1.6em\"> C\u00e1c thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> M\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au, g\u1ecdi l\u00e0 thu\u1ed1c kh\u00e1ng vi\u00eam nonsteroid (nonsteroidal anti-inflammatory drugs, vi\u1ebft t\u1eaft l\u00e0 NSAIDs) c\u00f3 t\u00e1c d\u1ee5ng l\u00ean prostaglandins. Ch\u00fang gi\u00fap l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng prostaglandins do c\u01a1 th\u1ec3 s\u1ea3n sinh v\u00e0 do \u0111\u00f3 l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a prostaglandins. Vi\u1ec7c n\u00e0y gi\u00fap l\u00e0m gi\u1ea3m c\u01a1n \u0111au b\u1ee5ng kinh. <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> NSAIDs c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1t nh\u1ea5t n\u1ebfu \u0111\u01b0\u1ee3c d\u00f9ng khi k\u1ef3 kinh ho\u1eb7c khi c\u01a1n \u0111au b\u1eaft \u0111\u1ea7u. Th\u00f4ng th\u01b0\u1eddng thu\u1ed1c n\u00e0y ch\u1ec9 d\u00f9ng cho 1-2 ng\u00e0y. Ph\u1ee5 n\u1eef b\u1ecb b\u1ec7nh m\u00e1u kh\u00f4ng \u0111\u00f4ng, hen suy\u1ec5n, b\u1ecb d\u1ecb \u1ee9ng v\u1edbi aspirin, m\u1eafc c\u00e1c b\u1ec7nh v\u1ec1 gan, b\u1ecb r\u1ed1i lo\u1ea1n d\u1ea1 d\u00e0y ho\u1eb7c lo\u00e9t d\u1ea1 d\u00e0y kh\u00f4ng n\u00ean d\u00f9ng NSAIDs. <\/span><\/p>\n<h3 id=\"cac-bien-phap-tra\"><span style=\"line-height: 1.6em\"> C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1<\/span><span style=\"line-height: 1.6em\">nh thai n\u00e0o c\u00f3 th\u1ec3 gi\u00fap ki\u1ec3m so\u00e1t th\u1ed1ng kinh? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai ch\u1ee9a <a target=\"_blank\" rel=\"noopener\"> <strong> estrogen <\/strong> <\/a> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thuoc-tranh-thai-chi-co-progestin\/\" target=\"_blank\" rel=\"noopener\"> <strong> progestin<\/strong><\/a>\u00a0nh\u01b0 thu\u1ed1c tr\u00e1nh thai, mi\u1ebfng d\u00e1n tr\u00e1nh thai v\u00e0 d\u1ee5ng c\u1ee5 t\u1eed cung, c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh. C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai ch\u1ec9 ch\u1ee9a progestin, v\u00ed d\u1ee5 nh\u01b0 que c\u1ea5y tr\u00e1nh thai ho\u1eb7c thu\u1ed1c ti\u00eam tr\u00e1nh thai c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au b\u1ee5ng kinh. <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dung-cu-tu-cung\/\" target=\"_blank\" rel=\"noopener\"> <strong> D\u1ee5ng c\u1ee5 t\u1eed cung <\/strong> <\/a> c\u00f3 ch\u1ee9a hormone c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh. <\/span><\/p>\n<h3 id=\"cac-thuoc-dung-de-dieu-tri-thong-kinh-do-lac-noi-mac-tu-cung\"><span style=\"line-height: 1.6em\"> C\u00e1c thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh do l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> N\u1ebfu c\u00f3 tri\u1ec7u ch\u1ee9ng ho\u1eb7c n\u1ed9i soi \u1ed5 b\u1ee5ng cho th\u1ea5y nguy\u00ean nh\u00e2n \u0111au b\u1ee5ng kinh l\u00e0 do l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, c\u00f3 th\u1ec3 th\u1eed d\u00f9ng thu\u1ed1c vi\u00ean tr\u00e1nh thai, que c\u1ea5y tr\u00e1nh thai, thu\u1ed1c ti\u00eam tr\u00e1nh thai ho\u1eb7c d\u1ee5ng c\u1ee5 t\u1eed cung ch\u1ee9a hormone, \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh. Ch\u1ea5t \u0111\u1ed3ng v\u1eadn c\u1ee7a <strong> hormone gi\u1ea3i ph\u00f3ng gonadotropin <\/strong> c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng \u0111\u1ec3 gi\u1ea3m \u0111au. C\u00e1c thu\u1ed1c n\u00e0y c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 nh\u01b0 lo\u00e3ng x\u01b0\u01a1ng, l\u00e0m n\u00f3ng ng\u01b0\u1eddi v\u00e0 kh\u00f4 \u00e2m \u0111\u1ea1o. Ch\u00fang th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho m\u1ed9t th\u1eddi gian nh\u1ea5t \u0111\u1ecbnh. V\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c n\u00e0y ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh cho tr\u1ebb em trong \u0111\u1ed9 tu\u1ed5i tr\u01b0\u1edfng th\u00e0nh, tr\u1eeb nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111\u1eb7c bi\u1ec7t khi kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p n\u00e0o kh\u00e1c c\u00f3 t\u00e1c d\u1ee5ng. <\/span><\/p>\n<h3 id=\"cac-phuong-phap-khac-giup-giam-thong-kinh\"><span style=\"line-height: 1.6em\"> C\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c gi\u00fap gi\u1ea3m th\u1ed1ng kinh? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m th\u1ed1ng kinh. Vitamin B1 ho\u1eb7c thu\u1ed1c b\u1ed5 sung magie c\u00f3 th\u1ec3 h\u1eefu \u00edch, nh\u01b0ng ch\u01b0a c\u00f3 b\u1eb1ng ch\u1ee9ng khoa h\u1ecdc c\u1ee5 th\u1ec3 cho th\u1ea5y ch\u00fang th\u1ef1c s\u1ef1 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh. Ch\u00e2m c\u1ee9u c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au b\u1ee5ng kinh ph\u1ea7n n\u00e0o. <\/span><\/p>\n<h2 id=\"khi-nao-thi-phuong-phap-thuyen-tac-dong-mach-tu-cung-uae-duoc-su-dung-de-dieu-tri-thong-kinh\"><span style=\"line-height: 1.6em\"> Khi n\u00e0o th\u00ec ph\u01b0\u01a1ng ph\u00e1p thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung (UAE) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh? <\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> N\u1ebfu u x\u01a1 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y th\u1ed1ng kinh th\u00ec ph\u01b0\u01a1ng ph\u00e1p thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung (UAE) c\u0169ng c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng. <\/span><\/p>\n<h3 id=\"phuong-phap-thuyen-tac-dong-mach-tu-cung-la-the-nao\"><span style=\"line-height: 1.6em\"> Ph\u01b0\u01a1ng ph\u00e1p thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung l\u00e0 th\u1ebf n\u00e0o? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> Trong ph\u01b0\u01a1ng ph\u00e1p n\u00e0y, m\u1ea1ch m\u00e1u d\u1eabn \u0111\u1ebfn t\u1eed cung \u0111\u01b0\u1ee3c l\u00e0m t\u1eafc ngh\u1ebdn b\u1eb1ng c\u00e1c h\u1ea1t nh\u1ecf, \u0111\u1ed3ng ngh\u0129a v\u1edbi vi\u1ec7c d\u00f2ng m\u00e1u nu\u00f4i u x\u01a1 c\u0169ng b\u1ecb t\u1eafc ngh\u1ebdn. M\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa v\u1edbi ph\u01b0\u01a1ng ph\u00e1p n\u00e0y. <\/span><\/p>\n<h3 id=\"cac-bien-chung-di-kem-phuong-phap-thuyen-tac-dong-mach-tu-cung\"><span style=\"line-height: 1.6em\"> C\u00e1c bi\u1ebfn ch\u1ee9ng \u0111i k\u00e8m ph\u01b0\u01a1ng ph\u00e1p thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung? <\/span><\/h3>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> C\u00e1c bi\u1ebfn ch\u1ee9ng bao g\u1ed3m vi\u00eam, \u0111au v\u00e0 ch\u1ea3y m\u00e1u. <\/span><\/p>\n<h2 id=\"khi-nao-thi-can-phau-thuat-de-dieu-tri-thong-kinh\"><span style=\"line-height: 1.6em\"> Khi n\u00e0o th\u00ec c\u1ea7n ph\u1eabu thu\u1eadt \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh? <\/span><\/h2>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> N\u1ebfu c\u00e1c bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb th\u1ed1ng kinh \u0111\u1ec1u kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng, c\u00f3 th\u1ec3 s\u1ebd ph\u1ea3i d\u00f9ng \u0111\u1ebfn ph\u1eabu thu\u1eadt. Tu\u1ef3 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n c\u1ee7a c\u01a1n \u0111au m\u00e0 s\u1ebd d\u00f9ng c\u00e1c lo\u1ea1i ph\u1eabu thu\u1eadt kh\u00e1c nhau. <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> N\u1ebfu u x\u01a1 l\u00e0 nguy\u00ean nh\u00e2n g\u00e2y th\u1ed1ng kinh th\u00ec c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf ch\u00fang. N\u1ebfu l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung l\u00e0 nguy\u00ean nh\u00e2n th\u00ec c\u00f3 th\u1ec3 ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf m\u00f4 b\u1ec7nh. M\u00f4 b\u1ec7nh c\u00f3 th\u1ec3 t\u00e1i ph\u00e1t sau ph\u1eabu thu\u1eadt, nh\u01b0ng vi\u1ec7c ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m \u0111au trong m\u1ed9t th\u1eddi gian. S\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai ch\u1ee9a hormone ho\u1eb7c c\u00e1c thu\u1ed1c kh\u00e1c sau khi ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 tr\u00e1nh ho\u1eb7c \u0111\u1ea9y l\u00f9i s\u1ef1 t\u00e1i ph\u00e1t c\u01a1n \u0111au. <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> <a href=\"https:\/\/yhoccongdong.com\/thongtin\/cat-tu-cung\/\" target=\"_blank\" rel=\"noopener\"> <strong> Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung <\/strong> <\/a> c\u00f3 th\u1ec3 ph\u1ea3i th\u1ef1c hi\u1ec7n n\u1ebfu nh\u01b0 c\u00e1c bi\u1ec7n ph\u00e1p kh\u00e1c kh\u00f4ng c\u00f3 t\u00e1c d\u1ee5ng v\u00e0 b\u1ec7nh n\u1eb7ng. Th\u01b0\u1eddng th\u00ec \u0111\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p cu\u1ed1i c\u00f9ng ph\u1ea3i d\u00f9ng \u0111\u1ebfn. <\/span><\/p>\n<p><strong> <span style=\"font-size: 20px\"> <span style=\"line-height: 1.6em\"> Ch\u00fa gi\u1ea3i <\/span> <\/span> <\/strong><\/p>\n<ul style=\"margin-left: 40px\">\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Ch\u1ea5t \u0111\u1ed3ng v\u1eadn (ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng t\u01b0\u01a1ng t\u1ef1) c\u1ee7a hormone gi\u1ea3i ph\u00f3ng gonadotropin<\/strong><\/span>: l\u00e0 lo\u1ea1i thu\u1ed1c d\u00f9ng \u0111\u1ec3 ng\u0103n ch\u1eb7n \u1ea3nh h\u01b0\u1edfng c\u1ee7a c\u00e1c hormone nh\u1ea5t \u0111\u1ecbnh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> B\u00e0ng quang<\/strong><\/span>: l\u00e0 c\u01a1 quan ch\u1ee9a n\u01b0\u1edbc ti\u1ec3u. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/span>: l\u00e0 b\u1ec7nh m\u00e0 n\u1ed9i m\u1ea1c t\u1eed cung b\u1ecb l\u1ea1c ch\u1ed7 ra b\u00ean ngo\u00e0i t\u1eed cung, th\u01b0\u1eddng l\u00e0 tr\u00ean bu\u1ed3ng tr\u1ee9ng, \u1ed1ng d\u1eabn tr\u1ee9ng ho\u1eb7c c\u00e1c c\u01a1 quan kh\u00e1c trong v\u00f9ng ch\u1eadu. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Bu\u1ed3ng tr\u1ee9ng<\/strong><\/span>: l\u00e0 hai tuy\u1ebfn n\u1eb1m hai b\u00ean c\u1ea1nh t\u1eed cung ch\u1ee9a tr\u1ee9ng v\u00e0 s\u1ea3n xu\u1ea5t c\u00e1c hormone. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Chu k\u1ef3 kinh nguy\u1ec7t<\/strong><\/span>: l\u00e0 qu\u00e1 tr\u00ecnh t\u1ed1ng xu\u1ea5t m\u00e1u v\u00e0 m\u00f4 t\u1eeb t\u1eed cung ra ngo\u00e0i h\u00e0ng th\u00e1ng, x\u1ea3y ra khi ng\u01b0\u1eddi ph\u1ee5 n\u1eef kh\u00f4ng th\u1ee5 thai. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Th\u1ed1ng kinh<\/strong><\/span>: c\u00f2n g\u1ecdi l\u00e0 \u0111au b\u1ee5ng kinh, l\u00e0 c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n trong th\u1eddi gian h\u00e0nh kinh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Estrogen<\/strong><\/span>: m\u1ed9t lo\u1ea1i hormone n\u1eef do bu\u1ed3ng tr\u1ee9ng s\u1ea3n sinh ra. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Kh\u00e1m ph\u1ee5 khoa t\u1ed5ng qu\u00e1t<\/strong><\/span>: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ki\u1ec3m tra c\u01a1 quan sinh d\u1ee5c n\u1eef. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> M\u00f4 s\u1eb9o d\u00ednh<\/strong><\/span>: l\u00e0 m\u00f4 s\u1eb9o l\u00e0m b\u1ec1 m\u1eb7t c\u00e1c c\u01a1 quan d\u00ednh li\u1ec1n v\u1edbi nhau. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> \u1ed0ng d\u1eabn tr\u1ee9ng<\/strong><\/span>: l\u00e0 \u1ed1ng d\u1eabn tr\u1ee9ng t\u1eeb bu\u1ed3ng tr\u1ee9ng \u0111\u1ebfn t\u1eed cung. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf t\u1eed cung<\/strong><\/span>: l\u00e0 ph\u1eabu thu\u1eadt l\u1ea5y b\u1ecf t\u1eed cung. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Progestin<\/strong><\/span>: l\u00e0 d\u1ea1ng t\u1ed5ng h\u1ee3p c\u1ee7a progesterone, g\u1ea7n gi\u1ed1ng v\u1edbi d\u1ea1ng do c\u01a1 th\u1ec3 s\u1ea3n sinh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Prostaglandins<\/strong><\/span>: l\u00e0 ch\u1ea5t ho\u00e1 h\u1ecdc do c\u01a1 th\u1ec3 s\u1ea3n sinh ra, c\u00f3 nhi\u1ec1u t\u00e1c d\u1ee5ng nh\u01b0 l\u00e0m c\u01a1 th\u00e0nh t\u1eed cung co th\u1eaft g\u00e2y ra c\u01a1n \u0111au b\u1ee5ng kinh. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Si\u00eau \u00e2m<\/strong><\/span>: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p d\u00f9ng s\u00f3ng \u00e2m \u0111\u1ec3 ki\u1ec3m tra n\u1ed9i t\u1ea1ng. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> Soi \u1ed5 b\u1ee5ng<\/strong><\/span>: l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt d\u00f9ng m\u1ed9t d\u1ee5ng c\u1ee5 g\u1ecdi l\u00e0 k\u00ednh soi, \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o v\u00f9ng ch\u1eadu qua nh\u1eefng \u0111\u01b0\u1eddng r\u1ea1ch da nh\u1ecf. K\u00ednh soi n\u00e0y \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 quan s\u00e1t c\u00e1c c\u01a1 quan trong v\u00f9ng ch\u1eadu. C\u00e1c d\u1ee5ng c\u1ee5 kh\u00e1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi k\u00ednh soi \u0111\u1ec3 ph\u1eabu thu\u1eadt. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> T\u1eed cung<\/strong><\/span>: l\u00e0 m\u1ed9t c\u01a1 quan n\u1eb1m trong v\u00f9ng ch\u1eadu n\u1eef gi\u1edbi, ch\u1ee9a v\u00e0 nu\u00f4i d\u01b0\u1ee1ng thai nhi trong qu\u00e1 tr\u00ecnh mang thai. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> L\u1ea1c n\u1ed9i m\u1ea1c trong c\u01a1 t\u1eed cung<\/strong><\/span>: l\u00e0 tr\u01b0\u1eddng h\u1ee3p l\u1edbp n\u1ed9i m\u1ea1c b\u00ean trong t\u1eed cung b\u1ecb l\u1ea1c ch\u1ed7 \u0111\u1ebfn l\u1edbp c\u01a1 c\u1ee7a th\u00e0nh t\u1eed cung. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> D\u1ee5ng c\u1ee5 t\u1eed cung<\/strong><\/span>: l\u00e0 m\u1ed9t d\u1ee5ng c\u1ee5 nh\u1ecf \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00e0o b\u00ean trong t\u1eed cung \u0111\u1ec3 ph\u00f2ng tr\u00e1nh thai. <\/span><\/li>\n<li><span style=\"font-size: 16px\"> <span style=\"color: #800080\"> <strong> U x\u01a1 t\u1eed cung<\/strong><\/span>: l\u00e0 u l\u00e0nh t\u00ednh ph\u00e1t tri\u1ec3n \u1edf l\u1edbp c\u01a1 c\u1ee7a t\u1eed cung. <\/span><\/li>\n<\/ul>\n<p><span style=\"font-size: 20px\"> <strong> Ch\u00fa \u00fd: <\/strong> <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> <strong> N\u1ebfu b\u1ea1n c\u00f3 th\u00eam th\u1eafc m\u1eafc, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 ph\u1ee5 khoa <\/strong> <\/span><\/p>\n<p style=\"margin-left: 40px\"><span style=\"font-size: 16px\"> B\u00e0i n\u00e0y \u0111\u01b0\u1ee3c thi\u1ebft k\u1ebf \u0111\u1ec3 tr\u1ee3 gi\u00fap b\u1ec7nh nh\u00e2n, ch\u1ee9 kh\u00f4ng m\u00f4 t\u1ea3 to\u00e0n b\u1ed9 qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb c\u1ea7n thi\u1ebft v\u00e0 do \u0111\u00f3 kh\u00f4ng n\u00ean b\u1ecf qua c\u00e1c ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c c\u00f3 th\u1ec3. Tu\u1ef3 thu\u1ed9c v\u00e0o t\u00ecnh tr\u1ea1ng c\u1ee7a t\u1eebng b\u1ec7nh nh\u00e2n, \u0111i\u1ec1u ki\u1ec7n c\u1ee7a c\u01a1 s\u1edf y t\u1ebf m\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 c\u00f3 thay \u0111\u1ed5i. <\/span><\/p>\n<p><span style=\"font-size: 20px\"> <strong> T\u00e0i li\u1ec7u tham kh\u1ea3o <\/strong> <\/span><\/p>\n<p><a href=\"http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq046.pdf?dmc=1&amp;ts=20140214T1027261154\" target=\"_blank\" rel=\"noopener\"> http:\/\/www.acog.org\/~\/media\/For%20Patients\/faq046.pdf?dmc=1&amp;ts=20140214T1027261154 <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Th\u1ed1ng kinh (c\u00f2n g\u1ecdi l\u00e0 \u0111au b\u1ee5ng kinh) l\u00e0 khi c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi chu k\u1ef3 kinh nguy\u1ec7t. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh&#8230;<\/p>\n","protected":false},"author":158,"featured_media":3579,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5381],"tags":[4418,4479,4477,4478],"series":[1239],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Th\u1ed1ng kinh (\u0111au b\u1ee5ng kinh) - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Th\u1ed1ng kinh (c\u00f2n g\u1ecdi l\u00e0 \u0111au b\u1ee5ng kinh) l\u00e0 khi c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi chu k\u1ef3 kinh nguy\u1ec7t. C\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/yhoccongdong.com\/san-phu-khoa\/thong-kinh-dau-bung-kinh\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Th\u1ed1ng kinh (\u0111au b\u1ee5ng kinh) - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"Th\u1ed1ng kinh (c\u00f2n g\u1ecdi l\u00e0 \u0111au b\u1ee5ng kinh) l\u00e0 khi c\u01a1n \u0111au xu\u1ea5t hi\u1ec7n c\u00f9ng v\u1edbi chu k\u1ef3 kinh nguy\u1ec7t. 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