{"id":4321,"date":"2014-11-10T17:00:00","date_gmt":"2014-11-10T10:00:00","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/khoet-chop-co-tu-cung-bang-vong-dien-leep\/"},"modified":"2024-04-29T00:17:04","modified_gmt":"2024-04-28T17:17:04","slug":"khoet-chop-co-tu-cung-bang-vong-dien-leep","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/khoet-chop-co-tu-cung-bang-vong-dien-leep\/","title":{"rendered":"Kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (LEEP)"},"content":{"rendered":"<h2 id=\"the-nao-la-khoet-chop-co-tu-cung-bang-vong-dien-loop-electrosurgical-excision-procedure-leep-va-chi-dinh-thuc-hien\">    Th\u1ebf n\u00e0o l\u00e0 kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (Loop electrosurgical excision procedure (LEEP)) v\u00e0 ch\u1ec9 \u0111\u1ecbnh th\u1ef1c hi\u1ec7n?   <\/h2>\n<\/p>\n<p>    N\u1ebfu b\u1ea1n c\u00f3 k\u1ebft qu\u1ea3 t\u1ea7m so\u00e1t ung th\u01b0 c\u1ed5 t\u1eed cung b\u1ea5t th\u01b0\u1eddng, b\u00e1c s\u0129 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ea1n ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (LEEP) nh\u01b0 m\u1ed9t ph\u1ea7n trong qu\u00e1 tr\u00ecnh \u0111\u00e1nh gi\u00e1 ho\u1eb7c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb. LEEP l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng t\u1eeb c\u1ed5 t\u1eed cung b\u1eb1ng c\u00e1ch d\u00f9ng m\u1ed9t v\u00f2ng \u0111i\u1ec7n (LOOP) m\u1ea3nh c\u00f3 ch\u1ee9c n\u0103ng gi\u1ed1ng nh\u01b0 m\u1ed9t con dao ph\u1eabu thu\u1eadt. D\u00f2ng \u0111i\u1ec7n s\u1ebd \u0111\u01b0\u1ee3c d\u1eabn qua v\u00f2ng n\u00e0y v\u00e0 c\u1eaft \u0111i m\u1ed9t l\u1edbp m\u1ecfng c\u1ee7a c\u1ed5 t\u1eed cung (c\u00f2n g\u1ecdi l\u00e0 kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung).   <\/p>\n<p style=\"text-align: center;\">    <img decoding=\"async\" alt=\"Kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (LEEP)\" src=\"\/\/yhoccongdong.org\/Documents\/2227_khoet-chop-co-tu-cung-bang-vong-dien-leep.jpg\"\/>   <\/p>\n<p style=\"text-align: center;\">    <em>     Kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n &#8211;\u00a0LEEP\u00a0(Ngu\u1ed3n \u1ea3nh:\u00a0hopkinsmedicine.org)    <\/em>   <\/p>\n<h2 id=\"khoet-chop-co-tu-cung-bang-vong-dien-leep\u00a0duoc-thuc-hien-nhu-the-nao\">    Kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (LEEP)\u00a0\u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n nh\u01b0 th\u1ebf n\u00e0o?   <\/h2>\n<\/p>\n<p>    LEEP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n khi b\u1ea1n kh\u00f4ng h\u00e0nh kinh \u0111\u1ec3 c\u00f3 th\u1ec3 quan s\u00e1t c\u1ed5 t\u1eed cung m\u1ed9t c\u00e1ch r\u00f5 r\u00e0ng h\u01a1n. Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, LEEP \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ea1i ph\u00f2ng m\u1ea1ch c\u1ee7a b\u00e1c s\u0129. Th\u1ee7 thu\u1eadt ch\u1ec9 k\u00e9o d\u00e0i v\u00e0i ph\u00fat.   <\/p>\n<p>    Khi ti\u1ebfn h\u00e0nh th\u1ee7 thu\u1eadt, b\u1ea1n s\u1ebd n\u1eb1m ng\u1eeda v\u00e0 \u0111\u1eb7t ch\u00e2n l\u00ean gi\u00e1 \u0111\u1ee1 ch\u00e2n. Sau \u0111\u00f3, b\u00e1c s\u0129 s\u1ebd \u0111\u1eb7t m\u1ed9t m\u1ecf v\u1ecbt v\u00e0o \u00e2m \u0111\u1ea1o c\u1ee7a b\u1ea1n gi\u1ed1ng nh\u01b0 khi b\u1ea1n \u0111i kh\u00e1m ph\u1ee5 khoa. Thu\u1ed1c t\u00ea t\u1ea1i ch\u1ed7 s\u1ebd \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m c\u1ea3m gi\u00e1c \u0111au. Thu\u1ed1c s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o v\u1ecb tr\u00ed c\u1ed5 t\u1eed cung n\u01a1i d\u1ef1 \u0111\u1ecbnh c\u1eaft. B\u1ea1n s\u1ebd c\u1ea3m th\u1ea5y nh\u00f3i m\u1ed9t ch\u00fat, sau \u0111\u00f3 l\u00e0 c\u1ea3m gi\u00e1c \u0111au \u00e2m \u1ec9 ho\u1eb7c co r\u00fat. V\u00f2ng \u0111i\u1ec7n s\u1ebd \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o c\u1ed5 t\u1eed cung th\u00f4ng qua \u00e2m \u0111\u1ea1o. V\u00f2ng \u0111i\u1ec7n c\u00f3 nhi\u1ec1u k\u00edch c\u1ee1 v\u00e0 h\u00ecnh d\u1ea1ng, lo\u1ea1i \u0111\u01b0\u1ee3c ch\u1ecdn s\u1eed d\u1ee5ng s\u1ebd t\u00f9y thu\u1ed9c v\u00e0o c\u1ed5 t\u1eed cung c\u1ee7a b\u1ea1n v\u00e0 k\u00edch th\u01b0\u1edbc t\u1ed5n th\u01b0\u01a1ng c\u1ea7n c\u1eaft. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y mu\u1ed1n ng\u1ea5t trong qu\u00e1 tr\u00ecnh th\u1ef1c hi\u1ec7n. N\u1ebfu b\u1ea1n c\u1ea3m th\u1ea5y v\u1eady, b\u00e1o ngay cho b\u00e1c s\u0129.   <\/p>\n<p>    Sau khi th\u1ee7 thu\u1eadt ho\u00e0n t\u1ea5t, m\u1ed9t lo\u1ea1i b\u1ed9t h\u1ed3 s\u1ebd \u0111\u01b0\u1ee3c b\u00f4i l\u00ean c\u1ed5 t\u1eed cung \u0111\u1ec3 l\u00e0m ng\u01b0ng xu\u1ea5t huy\u1ebft. Ph\u01b0\u01a1ng ph\u00e1p \u0111\u1ed1t \u0111i\u1ec7n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 c\u1ea7m m\u00e1u. M\u00f4 \u0111\u01b0\u1ee3c l\u1ea5y ra s\u1ebd \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u1ea9n \u0111o\u00e1n.   <\/p>\n<\/p>\n<h2 id=\"nhung-nguy-co-cua-leep\">    Nh\u1eefng nguy c\u01a1 c\u1ee7a LEEP?   <\/h2>\n<\/p>\n<p>    Nguy c\u01a1 ph\u1ed5 bi\u1ebfn nh\u1ea5t trong 3 tu\u1ea7n \u0111\u1ea7u sau khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt LEEP l\u00e0 xu\u1ea5t huy\u1ebft n\u1eb7ng. N\u1ebfu b\u1ea1n b\u1ecb xu\u1ea5t huy\u1ebft n\u1eb7ng, g\u1ecdi cho b\u00e1c s\u0129 c\u1ee7a b\u1ea1n. B\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n s\u1eed d\u1ee5ng nhi\u1ec1u h\u1ed3 \u0111\u1ec3 b\u00f4i v\u00e0o c\u1ed5 t\u1eed cung h\u01a1n m\u1edbi c\u00f3 th\u1ec3 gi\u00fap c\u1ea7m m\u00e1u \u0111\u01b0\u1ee3c.   <\/p>\n<p>    LEEP c\u00f3 th\u1ec3 l\u00e0m t\u0103ng nguy c\u01a1 cho c\u00e1c l\u1ea7n mang thai sau. M\u1eb7c d\u00f9 h\u1ea7u h\u1ebft ph\u1ee5 n\u1eef kh\u00f4ng g\u1eb7p ph\u1ea3i bi\u1ebfn ch\u1ee9ng g\u00ec, v\u1eabn c\u00f3 s\u1ef1 gia t\u0103ng nh\u1eb9 nguy c\u01a1 sinh non ho\u1eb7c sinh con nh\u1eb9 c\u00e2n. Trong v\u00e0i tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm, c\u1ed5 t\u1eed cung b\u1ecb h\u1eb9p l\u1ea1i sau th\u1ee7 thu\u1eadt. S\u1ef1 h\u1eb9p c\u1ed5 t\u1eed cung n\u00e0y c\u00f3 th\u1ec3 g\u00e2y ra nh\u1eefng b\u1ea5t th\u01b0\u1eddng v\u1ec1 kinh nguy\u1ec7t. H\u1eb9p c\u1ed5 t\u1eed cung c\u0169ng c\u00f3 th\u1ec3 khi\u1ebfn vi\u1ec7c th\u1ee5 thai g\u1eb7p kh\u00f3 kh\u0103n.   <\/p>\n<\/p>\n<h2 id=\"can-luu-y-gi-trong-giai-doan-phuc-hoi-sau-thu-thuat\">    C\u1ea7n l\u01b0u \u00fd g\u00ec trong giai \u0111o\u1ea1n ph\u1ee5c h\u1ed3i sau th\u1ee7 thu\u1eadt?   <\/h2>\n<\/p>\n<p>    Sau khi th\u1ef1c hi\u1ec7n th\u1ee7 thu\u1eadt, b\u1ea1n c\u00f3 th\u1ec3 c\u00f3:   <\/p>\n<ul style=\"margin-left: 40px;\">\n<li>     D\u1ecbch \u00e2m \u0111\u1ea1o h\u1ed3ng, l\u1ecfng    <\/li>\n<li>     Co th\u1eaft nh\u1eb9    <\/li>\n<li>     D\u1ecbch \u00e2m \u0111\u1ea1o n\u00e2u \u2013 \u0111en (do h\u1ed3 b\u00f4i g\u00e2y n\u00ean)    <\/li>\n<\/ul>\n<p>    C\u1ea7n \u00edt tu\u1ea7n \u0111\u1ec3 c\u1ed5 t\u1eed cung l\u00e0nh h\u1eb3n. Trong khi c\u1ed5 t\u1eed cung \u0111ang l\u00e0nh, b\u1ea1n kh\u00f4ng n\u00ean \u0111\u1eb7t b\u1ea5t c\u1ee9 th\u1ee9 g\u00ec v\u00e0o \u00e2m \u0111\u1ea1o, nh\u01b0 l\u00e0 tampon ho\u1eb7c n\u01b0\u1edbc. B\u1ea1n kh\u00f4ng n\u00ean quan h\u1ec7. B\u00e1c s\u0129 s\u1ebd b\u1ea3o b\u1ea1n khi n\u00e0o an to\u00e0n \u0111\u1ec3 th\u1ef1c hi\u1ec7n nh\u1eefng \u0111i\u1ec1u tr\u00ean.   <\/p>\n<p>    B\u1ea1n n\u00ean li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 n\u1ebfu b\u1ea1n g\u1eb7p ph\u1ea3i nh\u1eefng v\u1ea5n \u0111\u1ec1 sau:   <\/p>\n<ul style=\"margin-left: 40px;\">\n<li>     H\u00e0nh kinh ra nhi\u1ec1u m\u00e1u (nhi\u1ec1u h\u01a1n nh\u1eefng l\u1ea7n h\u00e0nh kinh b\u00ecnh th\u01b0\u1eddng)    <\/li>\n<li>     Xu\u1ea5t huy\u1ebft ra c\u1ee5c m\u00e1u \u0111\u00f4ng    <\/li>\n<li>     \u0110au b\u1ee5ng nhi\u1ec1u    <\/li>\n<\/ul>\n<h2 id=\"co-can-tai-kham-khong\">    C\u00f3 c\u1ea7n t\u00e1i kh\u00e1m kh\u00f4ng?   <\/h2>\n<\/p>\n<p>    Sau th\u1ee7 thu\u1eadt, b\u1ea1n c\u1ea7n g\u1eb7p b\u00e1c s\u0129 \u0111\u1ec3 t\u00e1i kh\u00e1m. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m ung th\u01b0 c\u1ed5 t\u1eed cung \u0111\u1ec3 ch\u1eafc ch\u1eafn r\u1eb1ng m\u1ecdi t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng \u0111\u00e3 \u0111\u01b0\u1ee3c lo\u1ea1i b\u1ecf v\u00e0 kh\u00f4ng t\u00e1i ph\u00e1t. N\u1ebfu b\u1ea1n c\u00f3 m\u1ed9t k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m b\u1ea5t th\u01b0\u1eddng kh\u00e1c, b\u1ea1n c\u1ea7n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb th\u00eam.   <\/p>\n<p>    B\u1ea1n c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 c\u1ed5 t\u1eed cung lu\u00f4n trong t\u00ecnh tr\u1ea1ng t\u1ed1t b\u1eb1ng c\u00e1ch:   <\/p>\n<ul style=\"margin-left: 40px;\">\n<li>     Kh\u00e1m ph\u1ee5 khoa v\u00e0 x\u00e9t nghi\u1ec7m t\u1ea7m so\u00e1t ung th\u01b0 th\u01b0\u1eddng xuy\u00ean.    <\/li>\n<li>     Ng\u1eebng h\u00fat thu\u1ed1c l\u00e1 \u2013 thu\u1ed1c l\u00e1 l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 c\u1ed5 t\u1eed cung.    <\/li>\n<li>     Gi\u1ea3m s\u1ed1 b\u1ea1n t\u00ecnh v\u00e0 s\u1eed d\u1ee5ng bao cao su \u0111\u1ec3 tr\u00e1nh c\u00e1c b\u1ec7nh l\u00e2y qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c    <\/li>\n<\/ul>\n<p>    <span style=\"color:#006400;\">     <span style=\"font-size:18px;\">      <strong>       Ch\u00fa gi\u1ea3i      <\/strong>     <\/span>    <\/span>   <\/p>\n<\/p>\n<p>    <strong>     B\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c    <\/strong>   : C\u00e1c b\u1ec7nh l\u00e2y lan th\u00f4ng qua ti\u1ebfp x\u00fac t\u00ecnh d\u1ee5c, bao g\u1ed3m Chlamydia, l\u1eadu, nhi\u1ec5m tr\u00f9ng papillomavirus \u1edf ng\u01b0\u1eddi, m\u1ee5n r\u1ed9p, giang mai, v\u00e0 nhi\u1ec5m HIV (nguy\u00ean nh\u00e2n g\u00e2y h\u1ed9i ch\u1ee9ng suy gi\u1ea3m mi\u1ec5n d\u1ecbch m\u1eafc ph\u1ea3i (AIDS))   <\/p>\n<p>    <strong>     C\u1ed5 t\u1eed cung    <\/strong>   : Ph\u1ea7n m\u1edf ra c\u1ee7a t\u1eed cung v\u00e0o ph\u1ea7n tr\u00ean c\u1ee7a \u00e2m \u0111\u1ea1o.   <\/p>\n<p>    <strong>     \u0110\u1ed1t \u0111i\u1ec7n    <\/strong>   : M\u1ed9t th\u1ee7 thu\u1eadt s\u1eed d\u1ee5ng c\u00e1c d\u1ee5ng c\u1ee5 c\u00f3 d\u00f2ng \u0111i\u1ec7n ch\u1ea1y qua \u0111\u1ec3 ph\u00e1 h\u1ee7y m\u00f4.   <\/p>\n<p>    <strong>     M\u1ecf v\u1ecbt    <\/strong>   : M\u1ed9t d\u1ee5ng c\u1ee5 s\u1eed d\u1ee5ng \u0111\u1ec3 m\u1edf c\u00e1c th\u00e0nh c\u1ee7a \u00e2m \u0111\u1ea1o. gi\u00fap nh\u00ecn th\u1ea5y c\u1ed5 t\u1eed cung.   <\/p>\n<p>    <strong>     Thu\u1ed1c t\u00ea t\u1ea1i ch\u1ed7    <\/strong>   : S\u1eed d\u1ee5ng \u0111\u1ec3 gi\u1ea3m \u0111au \u1edf m\u1ed9t b\u1ed9 ph\u1eadn c\u01a1 th\u1ec3.   <\/p>\n<\/p>\n<p>    <strong>     N\u1ebfu c\u00f3 b\u1ea5t k\u00ec th\u1eafc m\u1eafc g\u00ec, h\u00e3y li\u00ean h\u1ec7 v\u1edbi b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 khoa c\u1ee7a b\u1ea1n    <\/strong>   <\/p>\n<\/p>\n<p>    <span style=\"color:#006400;\">     <span style=\"font-size:18px;\">      <strong>       T\u00e0i li\u1ec7u tham kh\u1ea3o      <\/strong>     <\/span>    <\/span>   <\/p>\n<p>    <a href=\"http:\/\/www.acog.org\/Patients\/FAQs\/Loop-Electrosurgical-Excision-Procedure-LEEP\" target=\"_blank\" rel=\"noopener\">     http:\/\/www.acog.org\/Patients\/FAQs\/Loop-Electrosurgical-Excision-Procedure-LEEP    <\/a>   <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (LEEP) l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p lo\u1ea1i b\u1ecf t\u1ebf b\u00e0o b\u1ea5t th\u01b0\u1eddng t\u1eeb c\u1ed5 t\u1eed cung b\u1eb1ng c\u00e1ch d\u00f9ng m\u1ed9t v\u00f2ng \u0111i\u1ec7n (LOOP) m\u1ea3nh c\u00f3 ch\u1ee9c n\u0103ng gi\u1ed1ng nh\u01b0 m\u1ed9t con dao ph\u1eabu thu\u1eadt.<\/p>\n","protected":false},"author":174,"featured_media":4322,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5194],"tags":[],"series":[1711],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Kho\u00e9t ch\u00f3p c\u1ed5 t\u1eed cung b\u1eb1ng v\u00f2ng \u0111i\u1ec7n (LEEP) - D\u1ef1 \u00e1n S\u1ea3n Ph\u1ee5 Khoa<\/title>\n<meta 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