{"id":3671,"date":"2013-12-01T17:00:00","date_gmt":"2013-12-01T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/thuoc-tranh-thai-chi-co-progestin\/"},"modified":"2024-03-04T15:45:32","modified_gmt":"2024-03-04T08:45:32","slug":"thuoc-tranh-thai-chi-co-progestin","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/thuoc-tranh-thai-chi-co-progestin\/","title":{"rendered":"Thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 Progestin"},"content":{"rendered":"

Thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 progestin l\u00e0 g\u00ec? <\/strong> <\/span><\/h2>\n

L\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c vi\u00ean tr\u00e1nh thai ch\u1ec9 c\u00f3 duy nh\u1ea5t th\u00e0nh ph\u1ea7n progestin. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “mini-pill”. B\u00ecnh th\u01b0\u1eddng, c\u00f3 hai lo\u1ea1i thu\u1ed1c tr\u00e1nh thai n\u1ed9i ti\u1ebft cho ph\u1ee5 n\u1eef: Lo\u1ea1i estrogen v\u00e0 progestin (progestin l\u00e0 m\u1ed9t d\u1ea1ng t\u1ed5ng h\u1ee3p c\u1ee7a progesterone). V\u00ec lo\u1ea1i mini-pill n\u00e0y ch\u1ec9 ch\u1ee9a progestin ch\u1ee9 kh\u00f4ng ch\u1ee9a estrogen, n\u00ean t\u00e1c d\u1ee5ng ph\u1ee5 s\u1ebd \u00edt h\u01a1n. <\/span><\/p>\n

\"Thu\u1ed1c<\/p>\n

C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 progestin? <\/strong> <\/span><\/h2>\n

Thu\u1ed1c tr\u00e1nh thai n\u00e0y c\u00f3 3 c\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng. \u0110\u1ea7u ti\u00ean, nh\u01b0 nh\u1eefng thu\u1ed1c vi\u00ean tr\u00e1nh thai b\u00ecnh th\u01b0\u1eddng kh\u00e1c, thu\u1ed1c ch\u1ec9 c\u00f3 progestin l\u00e0m cho c\u01a1 th\u1ec3 “ngh\u0129\u2019\u2019 r\u1eb1ng b\u1ea1n \u0111ang c\u00f3 thai v\u00e0 l\u00e0m bu\u1ed3ng tr\u1ee9ng ng\u01b0ng ph\u00f3ng th\u00edch tr\u1ee9ng. Th\u1ee9 hai, vi\u00ean \u2018mini-pill\u2019 g\u00e2y m\u1ed9t s\u1ed1 thay \u0111\u1ed5i \u1edf t\u1eed cung (n\u01a1i thai nhi ph\u00e1t tri\u1ec3n), l\u00e0m cho t\u1eed cung thay \u0111\u1ed5i theo chi\u1ec1u h\u01b0\u1edbng kh\u00f4ng thu\u1eadn l\u1ee3i cho s\u1ef1 l\u00e0m t\u1ed5 c\u1ee7a ph\u00f4i thai, th\u1eadm ch\u00ed ngay c\u1ea3 khi \u0111\u00e3 r\u1ee5ng tr\u1ee9ng. V\u00e0 th\u1ee9 ba, vi\u00ean thu\u1ed1c ch\u1ec9 c\u00f3 progestin l\u00e0m ch\u1ea5t nh\u1ea7y gi\u1eefa t\u1eed cung v\u00e0 \u00e2m \u0111\u1ea1o <\/a> tr\u1edf n\u00ean d\u00e0y v\u00e0 \u0111\u1eb7c (t\u1eed cung th\u00f4ng ra b\u00ean ngo\u00e0i qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o). Tinh tr\u00f9ng ph\u1ea3i m\u1ea5t r\u1ea5t nhi\u1ec1u th\u1eddi gian \u0111\u1ec3 v\u01b0\u1ee3t qua l\u1edbp ch\u1ea5t nh\u1ea7y d\u00e0y \u0111\u1eb7c n\u00e0y m\u1edbi c\u00f3 th\u1ec3 ti\u1ebfp x\u00fac \u0111\u01b0\u1ee3c v\u1edbi tr\u1ee9ng. <\/span><\/p>\n

Thu\u1ed1c tr\u00e1nh thai progestin c\u00f3 t\u1ed1t h\u01a1n <\/strong> c\u00e1c lo\u1ea1i thu\u1ed1c tr\u00e1nh thai kh\u00e1c kh\u00f4ng? <\/strong> <\/span><\/h2>\n

Vi\u00ean tr\u00e1nh thai ch\u1ec9 c\u00f3 progestin t\u1ed1t h\u01a1n c\u00e1c lo\u1ea1i thu\u1ed1c tr\u00e1nh thai b\u00ecnh th\u01b0\u1eddng kh\u00e1c n\u1ebfu s\u1eed d\u1ee5ng trong nh\u1eefng tr\u01b0\u1eddng h\u1ee3p \u0111ang cho con b\u00fa v\u00ec lo\u1ea1i thu\u1ed1c n\u00e0y s\u1ebd kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn qu\u00e1 tr\u00ecnh s\u1ea3n xu\u1ea5t s\u1eefa (estrogen l\u00e0m gi\u1ea3m ch\u1ea5t l\u01b0\u1ee3ng v\u00e0 s\u1ed1 l\u01b0\u1ee3ng s\u1eefa). <\/span><\/p>\n

Lo\u1ea1i n\u00e0y c\u0169ng an to\u00e0n h\u01a1n c\u00e1c lo\u1ea1i thu\u1ed1c tr\u00e1nh thai b\u00ecnh th\u01b0\u1eddng trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p nh\u01b0 \u1edf ph\u1ee5 n\u1eef tr\u00ean 35 tu\u1ed5i, nh\u1eefng tr\u01b0\u1eddng h\u1ee3p h\u00fat thu\u1ed1c l\u00e1, t\u0103ng huy\u1ebft \u00e1p, b\u00e9o ph\u00ec v\u00e0 c\u00f3 ti\u1ec1n s\u1eed c\u00e1c b\u1ec7nh v\u1ec1 \u0111\u00f4ng m\u00e1u. <\/span><\/p>\n

Vi\u00ean tr\u00e1nh thai th\u00f4ng th\u01b0\u1eddng l\u00e0m cho m\u1ed9t v\u00e0i ph\u1ee5 n\u1eef b\u1ecb \u0111au d\u1ea1 d\u00e0y hay \u0111au \u0111\u1ea7u nhi\u1ec1u. Trong khi \u0111\u00f3, vi\u00ean ch\u1ec9 c\u00f3 progestin th\u01b0\u1eddng kh\u00f4ng g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y. <\/span><\/p>\n

S\u1eed d\u1ee5ng vi\u00ean tr\u00e1nh thai progestin v\u1eabn c\u00f3 th\u1ec3 c\u00f3 thai? <\/span><\/h2>\n

Kh\u00f4ng c\u00f3 bi\u1ec7n ph\u00e1p tr\u00e1nh thai n\u00e0o l\u00e0 ho\u00e0n h\u1ea3o c\u1ea3, th\u1eadm ch\u00ed ngay c\u1ea3 khi \u0111\u00e3 s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch. Kho\u1ea3ng 2 \u0111\u1ebfn 3 ph\u1ee5 n\u1eef trong s\u1ed1 100 tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch vi\u00ean tr\u00e1nh thai ch\u1ec9 c\u00f3 progestin v\u1eabn c\u00f3 th\u1ec3 c\u00f3 thai. Nguy c\u01a1 c\u00f3 thai n\u00e0y l\u00e0 gi\u1ed1ng nhau \u1edf h\u1ea7u h\u1ebft c\u00e1c thu\u1ed1c tr\u00e1nh thai th\u00f4ng th\u01b0\u1eddng. V\u1edbi vi\u00ean ch\u1ec9 c\u00f3 progestin, \u0111i\u1ec1u r\u1ea5t quan tr\u1ecdng l\u00e0 ph\u1ea3i u\u1ed1ng \u0111\u00fang gi\u1edd h\u00e0ng ng\u00e0y. N\u1ebfu kh\u00f4ng u\u1ed1ng \u0111\u00fang gi\u1edd h\u00e0ng ng\u00e0y, nguy c\u01a1 c\u00f3 thai s\u1ebd t\u0103ng l\u00ean. N\u00ean nh\u1edb r\u1eb1ng c\u1ea3 hai lo\u1ea1i vi\u00ean u\u1ed1ng tr\u00e1nh thai \u0111\u1ec1u mang l\u1ea1i hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n ch\u1ec9 s\u1eed d\u1ee5ng bao cao su. <\/span><\/p>\n

Nh\u01b0\u1ee3c \u0111i\u1ec3m c\u1ee7a vi\u00ean tr\u00e1nh thai progestin? <\/strong> <\/span><\/h2>\n

C\u00f3 th\u1ec3 b\u1ecb ra m\u00e1u nh\u1eb9 gi\u1eefa chu k\u1ef3 trong v\u00e0i th\u00e1ng \u0111\u1ea7u khi b\u1ea1n b\u1eaft \u0111\u1ea7u u\u1ed1ng vi\u00ean tr\u00e1nh thai progestin. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y kh\u00f3 ch\u1ecbu nh\u01b0ng kh\u00f4ng c\u00f3 nguy c\u01a1 n\u00e0o \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe. D\u1ea5u hi\u1ec7u n\u00e0y c\u00f3 th\u1ec3 ng\u1eebng khi d\u00f9ng thu\u1ed1c \u0111\u01b0\u1ee3c v\u00e0i th\u00e1ng. N\u1ebfu m\u00e1u ra nhi\u1ec1u khi\u1ebfn b\u1ea1n lo l\u1eafng, h\u00e3y trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u1ef9. <\/span><\/p>\n

M\u1ed9t t\u00e1c d\u1ee5ng ph\u1ed5 bi\u1ebfn c\u1ee7a vi\u00ean tr\u00e1nh thai progestin l\u00e0 hay g\u00e2y c\u1ea3m gi\u00e1c \u0111\u00f3i, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n t\u0103ng c\u00e2n. T\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y s\u1ebd ch\u1ea5m d\u1ee9t khi b\u1ea1n ng\u01b0ng s\u1eed d\u1ee5ng thu\u1ed1c. \u0110au t\u1ee9c ng\u1ef1c c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra. <\/span><\/p>\n

Gi\u1ed1ng nh\u01b0 c\u00e1c lo\u1ea1i thu\u1ed1c u\u1ed1ng tr\u00e1nh thai kh\u00e1c, vi\u00ean tr\u00e1nh thai progestin ph\u1ea3i \u0111\u01b0\u1ee3c u\u1ed1ng tr\u01b0\u1edbc \u0111\u00f3 m\u1ed9t th\u00e1ng m\u1edbi c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00e1nh thai. V\u00ec v\u1eady, trong th\u00e1ng \u0111\u1ea7u ti\u00ean, ph\u1ea3i c\u1ea7n s\u1eed d\u1ee5ng th\u00eam nh\u1eefng bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00e1c\u00a0nh\u01b0 l\u00e0 bao cao su. <\/span><\/p>\n

Vi\u00ean tr\u00e1nh thai progestin \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u1ed1t nh\u1ea5t n\u1ebfu b\u1ea1n u\u1ed1ng \u0111\u00fang gi\u1edd m\u1ed7i ng\u00e0y. Gi\u1edd u\u1ed1ng thu\u1ed1c l\u00e0 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi vi\u00ean tr\u00e1nh thai progestin h\u01a1n nh\u1eefng lo\u1ea1i u\u1ed1ng tr\u00e1nh thai kh\u00e1c. N\u1ebfu u\u1ed1ng thu\u1ed1c mu\u1ed9n h\u01a1n 3 gi\u1edd b\u1eaft bu\u1ed9c ph\u1ea3i u\u1ed1ng ngay l\u1eadp t\u1ee9c v\u00e0 s\u1eed d\u1ee5ng th\u00eam bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00e1c (bao cao su) trong v\u00f2ng 48 gi\u1edd. <\/span><\/p>\n

N\u1ebfu qu\u00ean u\u1ed1ng m\u1ed9t ng\u00e0y, ph\u1ea3i s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai th\u1ee9 2 cho h\u1ebft chu k\u1ef3 \u0111\u00f3 (cho \u0111\u1ebfn chu k\u1ef3 kinh nguy\u1ec7t ti\u1ebfp theo). Kh\u00f4ng th\u1ec3 u\u1ed1ng 2 vi\u00ean v\u00e0o ng\u00e0y ti\u1ebfp theo nh\u01b0 c\u00e1ch u\u1ed1ng cho lo\u1ea1i thu\u1ed1c tr\u00e1nh thai th\u00f4ng th\u01b0\u1eddng. <\/span><\/p>\n

C\u0169ng gi\u1ed1ng nh\u01b0 thu\u1ed1c tr\u00e1nh thai kh\u00e1c, vi\u00ean tr\u00e1nh thai progestin c\u0169ng kh\u00f4ng th\u1ec3 ph\u00f2ng ng\u1eeba \u0111\u01b0\u1ee3c nh\u1eefng b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c (STIs).<\/span><\/p>\n

Xem th\u00eam b\u00e0i Nh\u1eefng \u0111i\u1ec1u c\u1ea7n bi\u1ebft v\u1ec1 thu\u1ed1c tr\u00e1nh thai<\/a><\/pre>\n
T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
  http:\/\/familydoctor.org\/familydoctor\/en\/prevention-wellness\/sex-birth-control\/birth-control\/progestin-only-contraceptives.html <\/a> <\/span><\/p>\n","protected":false},"excerpt":{"rendered":"
Thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 Progestin l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c vi\u00ean tr\u00e1nh thai ch\u1ec9 c\u00f3 duy nh\u1ea5t th\u00e0nh ph\u1ea7n progestin. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 “mini-pill”.<\/p>\n","protected":false},"author":69,"featured_media":3672,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5187],"tags":[4217,4562,4207],"series":[2883],"coauthors":[],"acf":[],"yoast_head":"\nThu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 Progestin - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"Thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 Progestin l\u00e0 m\u1ed9t lo\u1ea1i thu\u1ed1c vi\u00ean tr\u00e1nh thai ch\u1ec9 c\u00f3 duy nh\u1ea5t th\u00e0nh ph\u1ea7n progestin. 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