{"id":4207,"date":"2022-04-04T16:36:44","date_gmt":"2022-04-04T09:36:44","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/vien-uong-tranh-thai-ket-hop-huong-dan-bien-phap-tranh-thai\/"},"modified":"2024-03-08T17:29:25","modified_gmt":"2024-03-08T10:29:25","slug":"vien-uong-tranh-thai-ket-hop-huong-dan-bien-phap-tranh-thai","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/vien-uong-tranh-thai-ket-hop-huong-dan-bien-phap-tranh-thai\/","title":{"rendered":"Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p \u2013  H\u01b0\u1edbng d\u1eabn bi\u1ec7n ph\u00e1p tr\u00e1nh thai"},"content":{"rendered":"<p style=\"text-align: right\"><em><strong>Hi\u1ec7u \u0111\u00ednh: TS.BS. Tr\u1ea7n M\u1ea1nh Linh<\/strong><\/em><\/p>\n<p style=\"text-align: right\"><em><strong>Bi\u00ean d\u1ecbch: \u0110o\u00e0n Quang Huy \u2013 V\u00f5 Ng\u1ecdc Anh Th\u01b0<\/strong><\/em><\/p>\n<p>Thu\u1ed1c tr\u00e1nh thai k\u1ebft h\u1ee3p l\u00e0 vi\u00ean u\u1ed1ng ch\u1ee9a c\u00e1c lo\u1ea1i n\u1ed9i ti\u1ebft t\u1ed1 n\u1eef t\u1ed5ng h\u1ee3p g\u1ed3m oestrogen v\u00e0 progesterone, \u0111\u00e2y l\u00e0 c\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 do bu\u1ed3ng tr\u1ee9ng s\u1ea3n xu\u1ea5t.<\/p>\n<p>\u0110i\u1ec1u ki\u1ec7n \u0111\u1ec3 mang thai l\u00e0 khi tinh tr\u00f9ng g\u1eb7p tr\u1ee9ng (no\u00e3n). Do \u0111\u00f3, c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai s\u1ebd nh\u1eb1m m\u1ee5c \u0111\u00edch ng\u0103n tinh tr\u00f9ng g\u1eb7p tr\u1ee9ng ho\u1eb7c ng\u0103n s\u1ef1 r\u1ee5ng tr\u1ee9ng x\u1ea3y ra<\/p>\n<h2><strong>S\u01a1 l\u01b0\u1ee3c v\u1ec1 vi\u00ean u\u1ed1ng k\u1ebft h\u1ee3p <\/strong><\/h2>\n<ul>\n<li>Hi\u1ec7u qu\u1ea3 tr\u00e1nh thai c\u1ee7a vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p \u0111\u1ea1t 99% n\u1ebfu s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch. T\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi \u00edt h\u01a1n 1 trong 100 tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p trong v\u00f2ng 1 n\u0103m c\u00f3 th\u1ec3 s\u1ebd mang thai.<\/li>\n<li>C\u00e1ch d\u00f9ng \u0111\u00fang: u\u1ed1ng m\u1ed7i ng\u00e0y 1 vi\u00ean trong 21 ng\u00e0y r\u1ed3i ngh\u1ec9 thu\u1ed1c 7 ng\u00e0y, sau \u0111\u00f3 b\u1eaft \u0111\u1ea7u l\u1eb7p l\u1ea1i chu k\u1ef3 ti\u1ebfp theo. Trong tu\u1ea7n ngh\u1ec9 thu\u1ed1c s\u1ebd h\u00e0nh kinh.<\/li>\n<li>M\u1ed9t s\u1ed1 lo\u1ea1i vi\u00ean u\u1ed1ng kh\u00f4ng c\u00f3 th\u1eddi gian ngh\u1ec9 thu\u1ed1c ho\u1eb7c th\u1eddi gian ngh\u1ec9 ng\u1eafn h\u01a1n, c\u00f3 th\u1ec3 gi\u1ea3m m\u1ed9t s\u1ed1 t\u00e1c d\u1ee5ng ph\u1ee5. C\u1ea7n th\u1ea3o lu\u1eadn c\u00f9ng b\u00e1c s\u0129 \u0111\u1ec3 ch\u1ecdn lo\u1ea1i ph\u00f9 h\u1ee3p.<\/li>\n<li>C\u1ea7n u\u1ed1ng thu\u1ed1c c\u00f9ng m\u1ed9t khung gi\u1edd c\u1ed1 \u0111\u1ecbnh h\u00e0ng ng\u00e0y. C\u00f3 th\u1ec3 mang thai n\u1ebfu kh\u00f4ng tu\u00e2n th\u1ee7, qu\u00ean u\u1ed1ng thu\u1ed1c, n\u00f4n ho\u1eb7c ti\u00eau ch\u1ea3y n\u1eb7ng.<\/li>\n<li>M\u1ed9t s\u1ed1 thu\u1ed1c l\u00e0m gi\u1ea3m t\u00e1c d\u1ee5ng c\u1ee7a vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p. Trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 n\u1ebfu \u0111ang s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o<\/li>\n<li>Vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p c\u00f3 th\u1ec3 gi\u00fap c\u1ea3i thi\u1ec7n t\u00ecnh tr\u1ea1ng kinh nguy\u1ec7t l\u01b0\u1ee3ng nhi\u1ec1u, \u0111au b\u1ee5ng kinh, h\u1ed9i ch\u1ee9ng ti\u1ec1n kinh nguy\u1ec7t ho\u1eb7c l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/li>\n<li>C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nh\u1eb9 bao g\u1ed3m thay \u0111\u1ed5i t\u00e2m tr\u1ea1ng, bu\u1ed3n n\u00f4n, c\u0103ng ng\u1ef1c v\u00e0 \u0111au \u0111\u1ea7u \u2013 nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y th\u01b0\u1eddng \u1ed5n \u0111\u1ecbnh sau v\u00e0i th\u00e1ng s\u1eed d\u1ee5ng thu\u1ed1c.<\/li>\n<li>Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p g\u00e2y t\u0103ng c\u00e2n.<\/li>\n<li>Nguy c\u01a1 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 huy\u1ebft kh\u1ed1i v\u00e0 ung th\u01b0 c\u1ed5 t\u1eed cung r\u1ea5t th\u1ea5p.<\/li>\n<li>Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi nh\u1eefng ph\u1ee5 n\u1eef tr\u00ean 35 tu\u1ed5i v\u00e0 h\u00fat thu\u1ed1c l\u00e1, ho\u1eb7c c\u00f3 b\u1ec7nh l\u00fd n\u1ec1n k\u00e8m theo.<\/li>\n<li>Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p kh\u00f4ng b\u1ea3o v\u1ec7 \u0111\u01b0\u1ee3c c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c (STIs) v\u00ec v\u1eady n\u00ean s\u1eed d\u1ee5ng k\u1ebft h\u1ee3p bao cao su \u0111\u1ec3 ph\u00f2ng tr\u00e1nh c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c.<\/li>\n<li>C\u00f3 th\u1ec3 c\u00f3 li\u00ean quan gi\u1eefa vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p v\u00e0 tr\u1ea7m c\u1ea3m nh\u01b0ng c\u00e1c b\u1eb1ng ch\u1ee9ng ch\u01b0a th\u1ed1ng nh\u1ea5t v\u00e0 c\u1ea7n c\u00f3 th\u00eam nghi\u00ean c\u1ee9u.<\/li>\n<\/ul>\n<h2><strong>C\u01a1 ch\u1ebf ho\u1ea1t \u0111\u1ed9ng c\u1ee7a vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p<\/strong><\/h2>\n<h3><strong>C\u01a1 ch\u1ebf tr\u00e1nh thai<\/strong><\/h3>\n<p>Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p ng\u0103n s\u1ef1 r\u1ee5ng tr\u1ee9ng t\u1ea1i bu\u1ed3ng tr\u1ee9ng. T\u00e1c d\u1ee5ng kh\u00e1c:<\/p>\n<ul>\n<li>L\u00e0m d\u00e0y l\u1edbp ch\u1ea5t nh\u1ea7y \u1edf c\u1ed5 t\u1eed cung ng\u0103n tinh tr\u00f9ng th\u00e2m nh\u1eadp v\u00e0o t\u1eed cung v\u00e0 g\u1eb7p tr\u1ee9ng.<\/li>\n<li>L\u00e0m m\u1ecfng l\u1edbp n\u1ed9i m\u1ea1c t\u1eed cung, ng\u0103n c\u1ea3n tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ee5 tinh l\u00e0m t\u1ed5 v\u00e0 ph\u00e1t tri\u1ec3n t\u1ea1i t\u1eed cung.<\/li>\n<\/ul>\n<p>Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p \u0111\u1ea1t hi\u1ec7u qu\u1ea3 h\u01a1n 99% n\u1ebfu s\u1eed d\u1ee5ng \u0111\u00fang c\u00e1ch. M\u1ed9t s\u1ed1 ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai kh\u00e1c c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n, nh\u01b0 \u0111\u1eb7t d\u1ee5ng c\u1ee5 t\u1eed cung, d\u1ee5ng c\u1ee5 t\u1eed cung ch\u1ee9a progesterone, c\u1ea5y que v\u00e0 ti\u00eam thu\u1ed1c tr\u00e1nh thai.<\/p>\n<p>Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p c\u00f3 3 lo\u1ea1i ch\u00ednh:<\/p>\n<h3><strong>Vi\u00ean u\u1ed1ng m\u1ed9t pha 21 ng\u00e0y<\/strong><\/h3>\n<p>\u0110\u00e2y l\u00e0 lo\u1ea1i ph\u1ed5 bi\u1ebfn nh\u1ea5t. M\u1ed7i vi\u00ean thu\u1ed1c tr\u00e1nh thai c\u00f3 c\u00f9ng m\u1ed9t h\u00e0m l\u01b0\u1ee3ng hormon. U\u1ed1ng m\u1ed9t vi\u00ean m\u1ed7i ng\u00e0y trong 21 ng\u00e0y v\u00e0 sau \u0111\u00f3 ngh\u1ec9 7 ng\u00e0y ti\u1ebfp theo. Bi\u1ec7t d\u01b0\u1ee3c nh\u01b0 Microgynon, Marvelon v\u00e0 Yasmin.<\/p>\n<h3><strong>Vi\u00ean u\u1ed1ng theo pha 21 ng\u00e0y<\/strong><\/h3>\n<p>Vi\u00ean u\u1ed1ng g\u1ed3m 2 ho\u1eb7c 3 m\u00e0u kh\u00e1c nhau t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ed7i pha trong m\u1ed9t v\u1ec9 thu\u1ed1c. M\u1ed7i m\u00e0u kh\u00e1c nhau t\u01b0\u01a1ng \u1ee9ng v\u1edbi h\u00e0m l\u01b0\u1ee3ng hormon kh\u00e1c nhau. U\u1ed1ng m\u1ed9t vi\u00ean m\u1ed7i ng\u00e0y trong 21 ng\u00e0y sau \u0111\u00f3 ngh\u1ec9 7 ng\u00e0y ti\u1ebfp theo. Lo\u1ea1i n\u00e0y c\u1ea7n u\u1ed1ng theo \u0111\u00fang tr\u00ecnh t\u1ef1. Bi\u1ec7t d\u01b0\u1ee3c nh\u01b0 Logynon<\/p>\n<h3><strong>Vi\u00ean u\u1ed1ng h\u1eb1ng ng\u00e0y<\/strong><\/h3>\n<p>M\u1ed7i v\u1ec9 thu\u1ed1c c\u00f3 hai lo\u1ea1i vi\u00ean kh\u00e1c nhau: 21 vi\u00ean ho\u1ea1t t\u00ednh v\u00e0 7 vi\u00ean kh\u00f4ng ho\u1ea1t t\u00ednh (gi\u1ea3 d\u01b0\u1ee3c). U\u1ed1ng m\u1ed9t vi\u00ean m\u1ed7i ng\u00e0y trong 28 ng\u00e0y, kh\u00f4ng ngh\u1ec9 gi\u1eefa v\u00e0 c\u1ea7n u\u1ed1ng \u0111\u00fang tr\u00ecnh t\u1ef1 tr\u00ean v\u1ec9 thu\u1ed1c. Bi\u1ec7t d\u01b0\u1ee3c nh\u01b0 Microgynon ED.<\/p>\n<p>\u0110\u1ecdc k\u1ef9 h\u01b0\u1edbng d\u1eabn k\u00e8m theo trong v\u1ec9 thu\u1ed1c. N\u1ebfu c\u00f3 b\u1ea5t k\u1ef3 v\u1ea5n \u0111\u1ec1 th\u1eafc m\u1eafc n\u00e0o, c\u1ea7n li\u00ean h\u1ec7 nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n<p>Ph\u1ea3i u\u1ed1ng thu\u1ed1c theo h\u01b0\u1edbng d\u1eabn, b\u1ecf thu\u1ed1c ho\u1eb7c u\u1ed1ng c\u00f9ng v\u1edbi m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c kh\u00e1c c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 tr\u00e1nh thai<\/p>\n<h3><strong>C\u00e1ch d\u00f9ng vi\u00ean 21 ng\u00e0y \u2013 c\u00e1ch d\u00f9ng chu\u1ea9n<\/strong><\/h3>\n<ul>\n<li>U\u1ed1ng vi\u00ean \u0111\u1ea7u ti\u00ean tr\u00f9ng v\u1edbi ng\u00e0y ch\u00ednh x\u00e1c trong tu\u1ea7n \u0111\u01b0\u1ee3c \u0111\u00e1nh d\u1ea5u tr\u00ean v\u1ec9 thu\u1ed1c, ho\u1eb7c vi\u00ean \u0111\u1ea7u c\u1ee7a m\u00e0u th\u1ee9 nh\u1ea5t (lo\u1ea1i vi\u00ean u\u1ed1ng theo pha).<\/li>\n<li>Ti\u1ebfp t\u1ee5c u\u1ed1ng thu\u1ed1c c\u00f9ng m\u1ed9t th\u1eddi \u0111i\u1ec3m c\u1ed1 \u0111\u1ecbnh h\u00e0ng ng\u00e0y cho \u0111\u1ebfn khi h\u1ebft v\u1ec9 thu\u1ed1c.<\/li>\n<li>Ng\u01b0ng thu\u1ed1c 7 ng\u00e0y (trong th\u1eddi gian n\u00e0y s\u1ebd h\u00e0nh kinh).<\/li>\n<li>B\u1eaft \u0111\u1ea7u v\u1ec9 thu\u1ed1c ti\u1ebfp theo v\u00e0o ng\u00e0y th\u1ee9 8 &#8211; c\u00f9ng ng\u00e0y v\u1edbi ng\u00e0y \u0111\u1ea7u c\u1ee7a tu\u1ea7n \u0111\u1ea7u ti\u00ean u\u1ed1ng thu\u1ed1c, kh\u00f4ng c\u1ea7n quan t\u00e2m \u0111\u1ebfn c\u00f2n hay \u0111\u00e3 s\u1ea1ch kinh.<\/li>\n<\/ul>\n<h3><strong>C\u00e1ch u\u1ed1ng vi\u00ean h\u1eb1ng ng\u00e0y<\/strong><\/h3>\n<ul>\n<li>U\u1ed1ng vi\u00ean \u0111\u1ea7u ti\u00ean t\u1eeb v\u1ecb tr\u00ed \u0111\u00e1nh d\u1ea5u \u201cb\u1eaft \u0111\u1ea7u\u201d tr\u00ean v\u1ec9 thu\u1ed1c . \u0110\u00e2y l\u00e0 vi\u00ean c\u00f3 ho\u1ea1t t\u00ednh.<\/li>\n<li>Ti\u1ebfp t\u1ee5c u\u1ed1ng m\u1ed7i ng\u00e0y c\u00f9ng m\u1ed9t th\u1eddi \u0111i\u1ec3m v\u00e0 \u0111\u00fang theo tr\u00ecnh t\u1ef1 cho \u0111\u1ebfn khi h\u1ebft v\u1ec9 thu\u1ed1c (28 ng\u00e0y).<\/li>\n<li>Trong 7 ng\u00e0y s\u1eed d\u1ee5ng vi\u00ean kh\u00f4ng c\u00f3 ho\u1ea1t t\u00ednh s\u1ebd h\u00e0nh kinh.<\/li>\n<li>B\u1eaft \u0111\u1ea7u v\u1ec9 thu\u1ed1c ti\u1ebfp theo sau khi u\u1ed1ng h\u1ebft v\u1ec9 \u0111\u1ea7u ti\u00ean m\u00e0 kh\u00f4ng c\u1ea7n quan t\u00e2m \u0111\u1ebfn c\u00f2n kinh hay \u0111\u00e3 s\u1ea1ch kinh.<\/li>\n<\/ul>\n<h3><strong>\u0110i\u1ec1u ch\u1ec9nh c\u00e1ch d\u00f9ng<\/strong><\/h3>\n<p>C\u00f3 th\u1ec3 \u0111i\u1ec1u ch\u1ec9nh c\u00e1ch s\u1eed d\u1ee5ng vi\u00ean k\u1ebft h\u1ee3p theo c\u00e1ch ph\u00f9 h\u1ee3p. C\u00f3 th\u1ec3 u\u1ed1ng thu\u1ed1c trong 21 ng\u00e0y v\u00e0 ng\u1eebng trong 4 ng\u00e0y, ho\u1eb7c u\u1ed1ng li\u00ean t\u1ee5c kh\u00f4ng ngh\u1ec9. \u0110\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin, h\u00e3y trao \u0111\u1ed5i c\u00f9ng v\u1edbi b\u00e1c s\u0129.<\/p>\n<h2><strong>Th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p <\/strong><\/h2>\n<p>C\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c v\u00e0o b\u1ea5t k\u1ef3 th\u1eddi \u0111i\u1ec3m n\u00e0o trong chu k\u1ef3 kinh nguy\u1ec7t. C\u00f3 h\u01b0\u1edbng d\u1eabn \u0111\u1eb7c bi\u1ec7t trong tr\u01b0\u1eddng h\u1ee3p sau sinh, sau ph\u00e1 thai ho\u1eb7c s\u1ea9y thai. H\u01b0\u1edbng d\u1eabn c\u0169ng c\u00f3 th\u1ec3 kh\u00e1c n\u1ebfu c\u00f3 chu k\u1ef3 kinh nguy\u1ec7t ng\u1eafn. Tham kh\u1ea3o t\u01b0 v\u1ea5n c\u1ee7a b\u00e1c s\u0129 trong nh\u1eefng t\u00ecnh hu\u1ed1ng \u0111\u00f3. C\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai b\u1ed5 sung trong ng\u00e0y \u0111\u1ea7u s\u1eed d\u1ee5ng thu\u1ed1c \u2013 \u0111i\u1ec1u n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o th\u1eddi \u0111i\u1ec3m b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c trong chu k\u1ef3 kinh nguy\u1ec7t.<\/p>\n<h3><strong>B\u1eaft \u0111\u1ea7u v\u00e0o ng\u00e0y \u0111\u1ea7u ti\u00ean c\u1ee7a chu k\u1ef3 kinh nguy\u1ec7t<\/strong><\/h3>\n<p>N\u1ebfu s\u1eed d\u1ee5ng vi\u00ean k\u1ebft h\u1ee3p v\u00e0o ng\u00e0y \u0111\u1ea7u ti\u00ean trong chu k\u1ef3 kinh nguy\u1ec7t c\u00f3 th\u1ec3 tr\u00e1nh thai v\u00e0 kh\u00f4ng c\u1ea7n b\u1ed5 sung th\u00eam bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00e1c.<\/p>\n<h3><strong>B\u1eaft \u0111\u1ea7u v\u00e0o ng\u00e0y th\u1ee9 5 c\u1ee7a chu k\u1ef3 kinh ho\u1eb7c s\u1edbm h\u01a1n<\/strong><\/h3>\n<p>N\u1ebfu s\u1eed d\u1ee5ng thu\u1ed1c v\u00e0o ng\u00e0y th\u1ee9 5 c\u1ee7a chu k\u1ef3 kinh ho\u1eb7c s\u1edbm h\u01a1n s\u1ebd c\u00f3 th\u1ec3 tr\u00e1nh thai t\u1eeb th\u1eddi \u0111i\u1ec3m \u0111\u00f3.<\/p>\n<h3><strong>B\u1eaft \u0111\u1ea7u sau ng\u00e0y th\u1ee9 5 c\u1ee7a chu k\u1ef3 kinh<\/strong><\/h3>\n<p>Kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 tr\u00e1nh thai ngay l\u1eadp t\u1ee9c v\u00e0 c\u1ea7n bi\u1ec7n ph\u00e1p tr\u00e1nh thai b\u1ed5 sung cho \u0111\u1ebfn khi d\u00f9ng thu\u1ed1c \u0111\u01b0\u1ee3c 7 ng\u00e0y. N\u1ebfu b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c sau ng\u00e0y th\u1ee9 5 c\u1ee7a chu k\u1ef3 kinh, c\u1ea7n ch\u1eafc ch\u1eafn kh\u00f4ng c\u00f3 nguy c\u01a1 mang thai k\u1ec3 t\u1eeb k\u1ef3 kinh cu\u1ed1i. N\u1ebfu kh\u00f4ng ch\u1eafc ch\u1eafn v\u1ec1 kh\u1ea3 n\u0103ng mang thai tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c, c\u1ea7n th\u1eed thai 3 tu\u1ea7n sau l\u1ea7n quan h\u1ec7 t\u00ecnh d\u1ee5c kh\u00f4ng an to\u00e0n cu\u1ed1i c\u00f9ng<\/p>\n<h2><strong>X\u1eed l\u00fd khi qu\u00ean u\u1ed1ng thu\u1ed1c<\/strong><\/h2>\n<p>N\u1ebfu qu\u00ean m\u1ed9t vi\u00ean ho\u1eb7c nhi\u1ec1u vi\u00ean, ho\u1eb7c b\u1eaft \u0111\u1ea7u v\u1ec9 thu\u1ed1c tr\u1ec5 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 tr\u00e1nh thai. Kh\u1ea3 n\u0103ng c\u00f3 thai sau khi qu\u00ean u\u1ed1ng m\u1ed9t hay nhi\u1ec1u vi\u00ean ph\u1ee5 thu\u1ed9c v\u00e0o:<\/p>\n<ul>\n<li>Qu\u00ean u\u1ed1ng thu\u1ed1c khi n\u00e0o<\/li>\n<li>Qu\u00ean u\u1ed1ng bao nhi\u00eau vi\u00ean<\/li>\n<\/ul>\n<p>C\u1ea7n trao \u0111\u1ed5i ngay v\u1edbi b\u00e1c s\u0129 v\u1ec1 c\u00e1ch x\u1eed tr\u00ed n\u1ebfu qu\u00ean u\u1ed1ng thu\u1ed1c.<\/p>\n<h3><strong>N\u00f4n v\u00e0 ti\u00eau ch\u1ea3y<\/strong><\/h3>\n<p>N\u1ebfu n\u00f4n trong v\u00f2ng 3 gi\u1edd sau u\u1ed1ng vi\u00ean k\u1ebft h\u1ee3p, thu\u1ed1c c\u00f3 th\u1ec3 kh\u00f4ng \u0111\u01b0\u1ee3c h\u1ea5p th\u1ee5 ho\u00e0n to\u00e0n v\u00e0o tu\u1ea7n ho\u00e0n. U\u1ed1ng m\u1ed9t vi\u00ean kh\u00e1c ngay l\u1eadp t\u1ee9c v\u00e0 u\u1ed1ng vi\u00ean ti\u1ebfp theo v\u00e0o th\u1eddi gian th\u01b0\u1eddng u\u1ed1ng h\u00e0ng ng\u00e0y.<\/p>\n<p>N\u1ebfu ti\u1ebfp t\u1ee5c n\u00f4n, h\u00e3y s\u1eed d\u1ee5ng m\u1ed9t bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00e1c cho \u0111\u1ebfn khi u\u1ed1ng l\u1ea1i thu\u1ed1c tr\u00e1nh thai trong 7 ng\u00e0y m\u00e0 kh\u00f4ng b\u1ecb n\u00f4n.<\/p>\n<p>Ti\u00eau ch\u1ea3y r\u1ea5t n\u1eb7ng (6 \u0111\u1ebfn 8 l\u1ea7n \u0111i c\u1ea7u ph\u00e2n l\u1ecfng trong 24 gi\u1edd) c\u00f3 ngh\u0129a l\u00e0 vi\u00ean tr\u00e1nh thai kh\u00f4ng ho\u1ea1t \u0111\u1ed9ng hi\u1ec7u qu\u1ea3. Ti\u1ebfp t\u1ee5c u\u1ed1ng thu\u1ed1c nh\u01b0 b\u00ecnh th\u01b0\u1eddng, nh\u01b0ng s\u1eed d\u1ee5ng th\u00eam bi\u1ec7n ph\u00e1p tr\u00e1nh thai b\u1ed5 sung, nh\u01b0 bao cao su, trong l\u00fac b\u1ecb ti\u00eau ch\u1ea3y v\u00e0 2 ng\u00e0y sau h\u1ed3i ph\u1ee5c.<\/p>\n<p>Th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 bi\u1ebft th\u00eam th\u00f4ng tin n\u1ebfu t\u00ecnh tr\u1ea1ng n\u00f4n ho\u1eb7c ti\u00eau ch\u1ea3y v\u1eabn ti\u1ebfp t\u1ee5c<\/p>\n<h2><strong>\u0110\u1ed1i t\u01b0\u1ee3ng s\u1eed d\u1ee5ng <\/strong><\/h2>\n<p>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng thu\u1ed1c \u0111\u1ebfn khi m\u00e3n kinh n\u1ebfu kh\u00f4ng c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh v\u00e0 kh\u00f4ng h\u00fat thu\u1ed1c. Tuy nhi\u00ean, vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p kh\u00f4ng th\u00edch h\u1ee3p cho t\u1ea5t c\u1ea3 m\u1ecdi ph\u1ee5 n\u1eef. C\u1ea7n tham kh\u1ea3o \u00fd ki\u1ebfn c\u1ee7a nh\u00e2n vi\u00ean y t\u1ebf.<\/p>\n<p>Thu\u1ed1c vi\u00ean kh\u00f4ng ph\u00f9 h\u1ee3p trong tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul>\n<li>\u0111ang mang thai<\/li>\n<li>h\u00fat thu\u1ed1c l\u00e1 v\u00e0 35 tu\u1ed5i tr\u1edf l\u00ean<\/li>\n<li>ng\u1eebng h\u00fat thu\u1ed1c d\u01b0\u1edbi m\u1ed9t n\u0103m v\u00e0 35 tu\u1ed5i tr\u1edf l\u00ean<\/li>\n<li>th\u1eeba c\u00e2n<\/li>\n<li>s\u1eed d\u1ee5ng m\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c<\/li>\n<\/ul>\n<p>Thu\u1ed1c tr\u00e1nh thai k\u1ebft h\u1ee3p c\u0169ng kh\u00f4ng ph\u00f9 h\u1ee3p n\u1ebfu \u0111ang ho\u1eb7c \u0111\u00e3 t\u1eebng m\u1eafc b\u1ec7nh sau:<\/p>\n<ul>\n<li>huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch, v\u00ed d\u1ee5 nh\u01b0 \u1edf ch\u00e2n ho\u1eb7c \u1edf ph\u1ed5i<\/li>\n<li>\u0111\u1ed9t qu\u1ef5 ho\u1eb7c nh\u1eefng b\u1ec7nh g\u00e2y h\u1eb9p \u0111\u1ed9ng m\u1ea1ch<\/li>\n<li>gia \u0111\u00ecnh c\u00f3 th\u00e0nh vi\u00ean b\u1ecb huy\u1ebft kh\u1ed1i d\u01b0\u1edbi 45 tu\u1ed5i<\/li>\n<li>b\u1ea5t th\u01b0\u1eddng v\u1ec1 tim ho\u1eb7c b\u1ec7nh tim, bao g\u1ed3m c\u1ea3 t\u0103ng huy\u1ebft \u00e1p<\/li>\n<li>\u0111au n\u1eeda \u0111\u1ea7u nghi\u00eam tr\u1ecdng, \u0111\u1eb7c bi\u1ec7t l\u00e0 k\u00e8m theo c\u00e1c ti\u1ec1n tri\u1ec7u<\/li>\n<li>ung th\u01b0 v\u00fa<\/li>\n<li>b\u1ec7nh v\u1ec1 t\u00fai m\u1eadt ho\u1eb7c gan<\/li>\n<li>b\u1ec7nh \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng c\u00f3 bi\u1ebfn ch\u1ee9ng ho\u1eb7c \u0111\u00e3 b\u1ecb \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng tr\u00ean 20 n\u0103m<\/li>\n<\/ul>\n<h3><strong>Sau khi sinh <\/strong><\/h3>\n<p>N\u1ebfu v\u1eeba m\u1edbi sinh con v\u00e0 \u0111ang kh\u00f4ng cho con b\u00fa, sau khi kh\u00e1m, c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c v\u00e0o ng\u00e0y th\u1ee9 21 sau khi sinh nh\u01b0ng c\u1ea7n ph\u1ea3i \u0111\u1ebfn b\u00e1c s\u0129 ki\u1ec3m tra. Hi\u1ec7u qu\u1ea3 tr\u00e1nh thai ngay khi b\u1eaft \u0111\u1ea7u d\u00f9ng thu\u1ed1c.<\/p>\n<p>N\u1ebfu b\u1eaft \u0111\u1ea7u u\u1ed1ng mu\u1ed9n h\u01a1n 21 ng\u00e0y sau sinh, c\u1ea7n c\u00f3 bi\u1ec7n ph\u00e1p tr\u00e1nh thai h\u1ed7 tr\u1ee3 (nh\u01b0 bao cao su) trong 7 ng\u00e0y ti\u1ebfp theo.<\/p>\n<p>N\u1ebfu \u0111ang cho con b\u00fa, kh\u00f4ng n\u00ean u\u1ed1ng vi\u00ean k\u1ebft h\u1ee3p cho \u0111\u1ebfn 6 tu\u1ea7n sau sinh<\/p>\n<h3><strong>Sau s\u1ea9y thai ho\u1eb7c ph\u00e1 thai<\/strong><\/h3>\n<p>N\u1ebfu s\u1ea9y thai ho\u1eb7c ph\u00e1 thai, b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c sau 5 ng\u00e0y v\u00e0 hi\u1ec7u qu\u1ea3 tr\u00e1nh thai ngay khi d\u00f9ng thu\u1ed1c. N\u1ebfu b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c sau khi s\u1ea9y thai ho\u1eb7c ph\u00e1 thai mu\u1ed9n h\u01a1n 5 ng\u00e0y, c\u1ea7n s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai h\u1ed7 tr\u1ee3 cho \u0111\u1ebfn khi u\u1ed1ng thu\u1ed1c \u0111\u01b0\u1ee3c 7 ng\u00e0y.<\/p>\n<h2><strong>\u01afu \u0111i\u1ec3m v\u00e0 nh\u01b0\u1ee3c \u0111i\u1ec3m<\/strong><\/h2>\n<p>M\u1ed9t s\u1ed1 \u01b0u \u0111i\u1ec3m bao g\u1ed3m:<\/p>\n<ul>\n<li>kh\u00f4ng l\u00e0m gi\u00e1n \u0111o\u1ea1n quan h\u1ec7 t\u00ecnh d\u1ee5c<\/li>\n<li>k\u1ef3 kinh nguy\u1ec7t \u0111\u1ec1u, h\u00e0nh kinh l\u01b0\u1ee3ng v\u1eeba ph\u1ea3i v\u00e0 \u00edt \u0111au h\u01a1n<\/li>\n<li>gi\u1ea3m nguy c\u01a1 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng, t\u1eed cung v\u00e0 ru\u1ed9t gi\u00e0<\/li>\n<li>gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng ti\u1ec1n kinh nguy\u1ec7t<\/li>\n<li>\u0111\u00f4i khi gi\u1ea3m m\u1ee5n tr\u1ee9ng c\u00e1<\/li>\n<li>b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i b\u1ec7nh vi\u00eam v\u00f9ng ch\u1eadu<\/li>\n<li>gi\u1ea3m nguy c\u01a1 u x\u01a1, u nang bu\u1ed3ng tr\u1ee9ng v\u00e0 b\u1ec7nh v\u00fa kh\u00f4ng ph\u1ea3i ung th\u01b0<\/li>\n<\/ul>\n<p>M\u1ed9t s\u1ed1 nh\u01b0\u1ee3c \u0111i\u1ec3m:<\/p>\n<ul>\n<li>c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 t\u1ea1m th\u1eddi \u1edf l\u1ea7n \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng nh\u01b0 \u0111au \u0111\u1ea7u, bu\u1ed3n n\u00f4n<\/li>\n<li>c\u0103ng t\u1ee9c ng\u1ef1c v\u00e0 thay \u0111\u1ed5i c\u1ea3m x\u00fac &#8211; n\u1ebfu nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y kh\u00f4ng bi\u1ebfn m\u1ea5t sau v\u00e0i th\u00e1ng, c\u00f3 th\u1ec3 c\u1ea7n \u0111\u1ed5i lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/li>\n<li>c\u00f3 th\u1ec3 g\u00e2y t\u0103ng huy\u1ebft \u00e1p<\/li>\n<li>kh\u00f4ng b\u1ea3o v\u1ec7 ch\u1ed1ng l\u1ea1i c\u00e1c b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c<\/li>\n<li>ch\u1ea3y m\u00e1u \u0111\u1ed9t ng\u1ed9t v\u00e0 nh\u1ecf gi\u1ecdt th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n trong v\u00e0i th\u00e1ng \u0111\u1ea7u ti\u00ean s\u1eed d\u1ee5ng thu\u1ed1c<\/li>\n<li>c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng nguy c\u01a1 m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh nghi\u00eam tr\u1ecdng nh\u01b0 huy\u1ebft kh\u1ed1i v\u00e0 ung th\u01b0 v\u00fa<\/li>\n<\/ul>\n<h3><strong>T\u01b0\u01a1ng t\u00e1c thu\u1ed1c <\/strong><\/h3>\n<p>M\u1ed9t s\u1ed1 lo\u1ea1i thu\u1ed1c t\u01b0\u01a1ng t\u00e1c v\u1edbi vi\u00ean thu\u1ed1c k\u1ebft h\u1ee3p g\u00e2y gi\u1ea3m t\u00e1c d\u1ee5ng tr\u00e1nh thai. M\u1ed9t s\u1ed1 t\u01b0\u01a1ng t\u00e1c \u0111\u01b0\u1ee3c li\u1ec7t k\u00ea b\u00ean d\u01b0\u1edbi, nh\u01b0ng danh s\u00e1ch n\u00e0y kh\u00f4ng \u0111\u1ea7y \u0111\u1ee7. N\u1ebfu mu\u1ed1n ki\u1ec3m tra c\u00e1c lo\u1ea1i thu\u1ed1c \u0111ang d\u00f9ng c\u00f3 an to\u00e0n khi d\u00f9ng c\u00f9ng vi\u00ean thu\u1ed1c k\u1ebft h\u1ee3p hay kh\u00f4ng, c\u00f3 th\u1ec3:<\/p>\n<ul>\n<li>h\u1ecfi nh\u00e2n vi\u00ean y t\u1ebf<\/li>\n<li>\u0111\u1ecdc t\u1edd th\u00f4ng tin d\u00e0nh cho b\u1ec7nh nh\u00e2n k\u00e8m v\u1ec9 thu\u1ed1c<\/li>\n<\/ul>\n<h4><strong>Thu\u1ed1c kh\u00e1ng sinh<\/strong><\/h4>\n<p>Thu\u1ed1c kh\u00e1ng sinh rifampicin v\u00e0 rifabutin (\u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111i\u1ec1u tr\u1ecb b\u1ec7nh lao v\u00e0 vi\u00eam m\u00e0ng n\u00e3o) l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p. C\u00e1c kh\u00e1ng sinh kh\u00e1c kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng n\u00e0y.<\/p>\n<p>N\u1ebfu \u0111ang k\u00ea \u0111\u01a1n rifampicin ho\u1eb7c rifabutin, n\u00ean \u0111\u1ed5i sang m\u1ed9t bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00e1c. N\u1ebfu kh\u00f4ng, c\u1ea7n s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai h\u1ed7 tr\u1ee3 (nh\u01b0 bao cao su) khi d\u00f9ng thu\u1ed1c kh\u00e1ng sinh v\u00e0 m\u1ed9t th\u1eddi gian ng\u1eafn sau \u0111\u00f3. N\u00ean trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n th\u00eam.<\/p>\n<h4><strong>Thu\u1ed1c ch\u1ed1ng \u0111\u1ed9ng kinh, HIV, v\u00e0 St John&#8217;s wort<\/strong><\/h4>\n<p>Vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p c\u00f3 th\u1ec3 t\u01b0\u01a1ng t\u00e1c v\u1edbi c\u00e1c lo\u1ea1i thu\u1ed1c c\u00f3 ch\u1ee9a ho\u1ea1t ch\u1ea5t t\u0103ng ho\u1ea1t t\u00ednh x\u00fac t\u00e1c c\u1ee7a enzyme. Nh\u1eefng ho\u1ea1t ch\u1ea5t n\u00e0y l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 ph\u00e2n h\u1ee7y c\u00e1c hormone t\u1ea1i gan, l\u00e0m gi\u1ea3m hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c.<\/p>\n<p>V\u00ed d\u1ee5 v\u1ec1 ch\u1ea5t ho\u1ea1t ch\u1ea5t t\u0103ng ho\u1ea1t t\u00ednh x\u00fac t\u00e1c c\u1ee7a enzyme:<\/p>\n<ul>\n<li>thu\u1ed1c \u0111\u1ed9ng kinh carbamazepine, oxcarbazepine, phenytoin, phenobarbital, primidone v\u00e0 topiramate<\/li>\n<li>St John&#8217;s wort (c\u00e2y Ban \u00c2u, m\u1ed9t lo\u1ea1i th\u1ea3o d\u01b0\u1ee3c)<\/li>\n<li>thu\u1ed1c kh\u00e1ng vi-r\u00fat s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb HIV (nghi\u00ean c\u1ee9u cho th\u1ea5y c\u00f3 t\u01b0\u01a1ng t\u00e1c gi\u1eefa nh\u1eefng thu\u1ed1c n\u00e0y v\u00e0 vi\u00ean tr\u00e1nh thai ch\u1ec9 ch\u1ee9a progestin v\u00e0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ef1 an to\u00e0n v\u00e0 hi\u1ec7u qu\u1ea3 c\u1ee7a thu\u1ed1c tr\u00e1nh thai c\u00f3 th\u00e0nh ph\u1ea7n progestin)<\/li>\n<\/ul>\n<p>B\u00e1c s\u0129 c\u00f3 th\u1ec3 t\u01b0 v\u1ea5n s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai thay th\u1ebf ho\u1eb7c h\u1ed7 tr\u1ee3 khi \u0111ang d\u00f9ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o tr\u00ean.<\/p>\n<h2><strong>Nh\u1eefng nguy c\u01a1 khi d\u00f9ng vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p<\/strong><\/h2>\n<p>M\u1ed9t s\u1ed1 nguy c\u01a1 li\u00ean quan \u0111\u1ebfn s\u1eed d\u1ee5ng vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p. Tuy nhi\u00ean, nh\u1eefng nguy c\u01a1 n\u00e0y l\u00e0 th\u1ea5p.<\/p>\n<h3><strong>Huy\u1ebft kh\u1ed1i<\/strong><\/h3>\n<p>Estrogen trong thu\u1ed1c t\u0103ng nguy c\u01a1 huy\u1ebft kh\u1ed1i. N\u1ebfu c\u1ee5c m\u00e1u \u0111\u00f4ng ph\u00e1t tri\u1ec3n, c\u00f3 th\u1ec3 g\u00e2y ra:<\/p>\n<ul>\n<li>huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch s\u00e2u (\u1edf ch\u00e2n)<\/li>\n<li>thuy\u00ean t\u1eafc ph\u1ed5i (c\u1ee5c m\u00e1u \u0111\u00f4ng trong ph\u1ed5i c\u1ee7a b\u1ea1n)<\/li>\n<li>\u0110\u1ed9t qu\u1ef5<\/li>\n<li>Nh\u1ed3i m\u00e1u c\u01a1 tim<\/li>\n<\/ul>\n<p>Nguy c\u01a1 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng l\u00e0 r\u1ea5t nh\u1ecf, nh\u01b0ng b\u00e1c s\u0129 s\u1ebd ki\u1ec3m tra c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 tr\u01b0\u1edbc khi k\u00ea \u0111\u01a1n.<\/p>\n<h3><strong>Ung th\u01b0<\/strong><\/h3>\n<p>Vi\u00ean tr\u00e1nh thai k\u1ebft h\u1ee3p c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 ti\u1ebfn tri\u1ec3n ung th\u01b0 v\u00fa, ung th\u01b0 c\u1ed5 t\u1eed cung, nh\u01b0ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m nguy c\u01a1 ph\u00e1t tri\u1ec3n ung th\u01b0 t\u1eed cung, ung th\u01b0 bu\u1ed3ng tr\u1ee9ng v\u00e0 ung th\u01b0 ru\u1ed9t.<\/p>\n<p>Tuy nhi\u00ean, 10 n\u0103m sau khi ng\u1eebng u\u1ed1ng thu\u1ed1c, nguy c\u01a1 ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 c\u1ed5 t\u1eed cung s\u1ebd tr\u1edf v\u1ec1 nh\u01b0 ph\u1ee5 n\u1eef b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h2>Vi\u00ean thu\u1ed1c k\u1ebft h\u1ee3p c\u00f3 \u1edf \u0111\u00e2u?<\/h2>\n<p>Nh\u1eefng n\u01a1i c\u00f3 th\u1ec3 ti\u1ebfp c\u1eadn bi\u1ec7n ph\u00e1p tr\u00e1nh thai bao g\u1ed3m:<\/p>\n<ul>\n<li>ph\u00f2ng kh\u00e1m tr\u00e1nh thai c\u1ed9ng \u0111\u1ed3ng<\/li>\n<li>m\u1ed9t s\u1ed1 ph\u00f2ng kh\u00e1m sinh d\u1ee5c (GUM)<\/li>\n<li>ph\u00f2ng kh\u00e1m s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c &#8211; cung c\u1ea5p d\u1ecbch v\u1ee5 tr\u00e1nh thai v\u00e0 x\u00e9t nghi\u1ec7m STI<\/li>\n<li>b\u00e1c s\u0129 gia \u0111\u00ecnh ho\u1eb7c y t\u00e1<\/li>\n<li>m\u1ed9t s\u1ed1 d\u1ecbch v\u1ee5 d\u00e0nh cho thanh ni\u00ean<\/li>\n<\/ul>\n<h2><strong>\u0110\u1ed5i lo\u1ea1i thu\u1ed1c tr\u00e1nh thai ph\u1ed1i h\u1ee3p kh\u00e1c?<\/strong><\/h2>\n<p>N\u1ebfu mu\u1ed1n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n v\u1ec1 vi\u1ec7c thay \u0111\u1ed5i lo\u1ea1i thu\u1ed1c tr\u00e1nh thai, h\u00e3y \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129 (chuy\u00ean vi\u00ean k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh) ho\u1eb7c ph\u00f2ng kh\u00e1m s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c.<\/p>\n<p>Khi \u0111\u1ed5i thu\u1ed1c, kh\u00f4ng n\u00ean ngh\u1ec9 gi\u1eefa c\u00e1c v\u1ec9 thu\u1ed1c, n\u00ean b\u1eaft \u0111\u1ea7u u\u1ed1ng lo\u1ea1i thu\u1ed1c m\u1edbi ngay l\u1eadp t\u1ee9c ho\u1eb7c \u0111\u1ee3i \u0111\u1ebfn ng\u00e0y h\u00f4m sau khi u\u1ed1ng<\/p>\n<p>vi\u00ean cu\u1ed1i c\u00f9ng c\u1ee7a v\u1ec9 thu\u1ed1c c\u0169.<\/p>\n<p>C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai thay th\u1ebf trong qu\u00e1 tr\u00ecnh chuy\u1ec3n \u0111\u1ed5i v\u00ec vi\u00ean thu\u1ed1c m\u1edbi c\u00f3 th\u1ec3 c\u1ea7n th\u1eddi gian ng\u1eafn \u0111\u1ec3 ph\u00e1t huy t\u00e1c d\u1ee5ng.<\/p>\n<h2><strong>Tr\u01b0\u1eddng h\u1ee3p d\u01b0\u1edbi 16 tu\u1ed5i<\/strong><\/h2>\n<p>C\u00e1c d\u1ecbch v\u1ee5 tr\u00e1nh thai mi\u1ec5n ph\u00ed v\u00e0 \u0111\u01b0\u1ee3c b\u1ea3o m\u1eadt, k\u1ec3 c\u1ea3 \u0111\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi d\u01b0\u1edbi 16 tu\u1ed5i.<\/p>\n<p>Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p d\u01b0\u1edbi 16 tu\u1ed5i v\u00e0 mu\u1ed1n tr\u00e1nh thai, b\u00e1c s\u0129 s\u1ebd kh\u00f4ng b\u00e1o cho cha m\u1eb9 (ho\u1eb7c ng\u01b0\u1eddi ch\u0103m s\u00f3c) sau khi t\u01b0 v\u1ea5n \u0111\u1ea7y \u0111\u1ee7 c\u00e1c th\u00f4ng tin c\u0169ng nh\u01b0 quy\u1ebft \u0111\u1ecbnh c\u1ee7a \u0111\u1ed1i t\u01b0\u1ee3ng mong mu\u1ed1n tr\u00e1nh thai.<\/p>\n<p>C\u00e1c b\u00e1c s\u0129 l\u00e0m vi\u1ec7c theo nh\u1eefng nguy\u00ean t\u1eafc nghi\u00eam ng\u1eb7t khi ti\u1ebfp x\u00fac v\u1edbi nh\u1eefng ng\u01b0\u1eddi d\u01b0\u1edbi 16 tu\u1ed5i v\u00e0 s\u1ebd khuy\u1ebfn kh\u00edch nh\u1eefng ng\u01b0\u1eddi tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00e2n nh\u1eafc trao \u0111\u1ed5i v\u1edbi cha m\u1eb9 nh\u01b0ng kh\u00f4ng b\u1eaft bu\u1ed9c.<\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, nh\u00e2n vi\u00ean y t\u1ebf c\u00f3 th\u1ec3 c\u1ea7n ph\u1ea3i th\u00f4ng tin cho nh\u1eefng b\u00ean li\u00ean quan n\u1ebfu nghi ng\u1edd b\u1ecb h\u00e3m h\u1ea1i, nh\u01b0 b\u1ecb l\u1ea1m d\u1ee5ng, v\u1ea5n \u0111\u1ec1 n\u00e0y r\u1ea5t nghi\u00eam tr\u1ecdng v\u00e0 b\u00e1c s\u0129 th\u01b0\u1eddng s\u1ebd th\u1ea3o lu\u1eadn v\u1edbi nh\u1eefng ng\u01b0\u1eddi d\u01b0\u1edbi 16 tu\u1ed5i tr\u01b0\u1edbc khi \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/www.nhs.uk\/conditions\/contraception\/combined-contraceptive-pill\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nhs.uk\/conditions\/contraception\/combined-contraceptive-pill\/<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Thu\u1ed1c tr\u00e1nh thai k\u1ebft h\u1ee3p l\u00e0 vi\u00ean u\u1ed1ng ch\u1ee9a c\u00e1c lo\u1ea1i n\u1ed9i ti\u1ebft t\u1ed1 n\u1eef t\u1ed5ng h\u1ee3p g\u1ed3m oestrogen v\u00e0 progesterone, \u0111\u00e2y l\u00e0 c\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 do bu\u1ed3ng tr\u1ee9ng s\u1ea3n xu\u1ea5t.<\/p>\n","protected":false},"author":122,"featured_media":4208,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5187],"tags":[4206],"series":[2292],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p \u2013 H\u01b0\u1edbng d\u1eabn bi\u1ec7n ph\u00e1p tr\u00e1nh thai - D\u1ef1 \u00e1n S\u1ea3n Ph\u1ee5 Khoa<\/title>\n<meta name=\"description\" content=\"Vi\u00ean u\u1ed1ng tr\u00e1nh thai k\u1ebft h\u1ee3p \u2013 H\u01b0\u1edbng d\u1eabn bi\u1ec7n ph\u00e1p 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