{"id":4787,"date":"2023-07-03T07:59:24","date_gmt":"2023-07-03T00:59:24","guid":{"rendered":"https:\/\/yhoccongdong.org\/san-phu-khoa\/muoi-van-de-phu-khoa-thuong-gap-nhat-phu-nu-can-biet-phan-2\/"},"modified":"2024-04-28T15:13:39","modified_gmt":"2024-04-28T08:13:39","slug":"muoi-van-de-phu-khoa-thuong-gap-nhat-phu-nu-can-biet-phan-2","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/san-phu-khoa\/muoi-van-de-phu-khoa-thuong-gap-nhat-phu-nu-can-biet-phan-2\/","title":{"rendered":"M\u01b0\u1eddi v\u1ea5n \u0111\u1ec1 ph\u1ee5 khoa th\u01b0\u1eddng g\u1eb7p nh\u1ea5t ph\u1ee5 n\u1eef c\u1ea7n bi\u1ebft (Ph\u1ea7n 2)"},"content":{"rendered":"

Bi\u00ean d\u1ecbch: Ho\u00e0ng S\u01a1n<\/em><\/strong><\/p>\n

Hi\u1ec7u \u0111\u00ednh: BS. Tr\u01b0\u01a1ng Kh\u00e1nh H\u00f9ng<\/em><\/strong><\/p>\n

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/strong><\/h2>\n

L\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung<\/a> l\u00e0 t\u00ecnh tr\u1ea1ng ni\u00eam m\u1ea1c t\u1eed cung (n\u1ed9i m\u1ea1c t\u1eed cung) ph\u00e1t tri\u1ec3n \u1edf nh\u1eefng v\u1ecb tr\u00ed b\u1ea5t th\u01b0\u1eddng. Nh\u01b0 l\u1edbp c\u01a1 c\u1ee7a t\u1eed cung, bu\u1ed3ng tr\u1ee9ng, \u1ed1ng d\u1eabn tr\u1ee9ng v\u00e0 trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p hi\u1ec7n di\u1ec7n \u1edf ngo\u00e0i khung ch\u1eadu.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng bao g\u1ed3m \u0111au b\u1ee5ng kinh, \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c, ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o nhi\u1ec1u trong v\u00e0 gi\u1eefa c\u00e1c k\u1ef3 kinh, v\u00f4 sinh \u1edf n\u1eef, bu\u1ed3n n\u00f4n, ti\u00eau ch\u1ea3y ho\u1eb7c t\u00e1o b\u00f3n v\u00e0 m\u1ec7t m\u1ecfi trong th\u1eddi k\u1ef3 kinh nguy\u1ec7t.<\/p>\n

Sau khi \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh b\u1ec7nh, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p. Bao g\u1ed3m thu\u1ed1c gi\u1ea3m \u0111au v\u00e0 li\u1ec7u ph\u00e1p hormon nh\u01b0 thu\u1ed1c tr\u00e1nh thai<\/a>, mi\u1ebfng d\u00e1n ho\u1eb7c \u0111\u1eb7t v\u00f2ng tr\u00e1nh thai, thu\u1ed1c tr\u00e1nh thai ch\u1ec9 ch\u1ee9a progestin v\u00e0 danazol – m\u1ed9t lo\u1ea1i steroid t\u1ed5ng h\u1ee3p.<\/p>\n

Trong tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa th\u1ea5t b\u1ea1i, c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt b\u1ea3o t\u1ed3n \u0111\u1ec3 lo\u1ea1i b\u1ecf m\u00f4 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng v\u00f4 sinh c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 sinh s\u1ea3n. Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng, c\u1eaft b\u1ecf t\u1eed cung c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n nh\u01b0 m\u1ed9t ph\u01b0\u01a1ng \u00e1n cu\u1ed1i c\u00f9ng trong th\u1eddi k\u1ef3 sinh \u0111\u1ebb v\u00ec sau khi c\u1eaft b\u1ecf t\u1eed cung, b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng mang thai.<\/p>\n

B\u1ec7nh vi\u00eam v\u00f9ng ch\u1eadu<\/strong><\/h2>\n

L\u00e0 m\u1ed9t lo\u1ea1t c\u00e1c b\u1ec7nh nhi\u1ec5m tr\u00f9ng v\u00e0 vi\u00eam c\u00e1c c\u01a1 quan \u0111\u01b0\u1eddng sinh d\u1ee5c tr\u00ean. Bao g\u1ed3m t\u1eed cung, \u1ed1ng d\u1eabn tr\u1ee9ng, ph\u00fac m\u1ea1c v\u00f9ng ch\u1eadu v\u00e0 c\u00e1c c\u1ea5u tr\u00fac xung quanh. B\u1ec7nh vi\u00eam v\u00f9ng ch\u1eadu l\u00e0 m\u1ed1i nguy hi\u1ec3m s\u1ee9c kh\u1ecfe \u1edf c\u1ea3 n\u01b0\u1edbc ph\u00e1t tri\u1ec3n v\u00e0 \u0111ang ph\u00e1t tri\u1ec3n. B\u1ec7nh c\u0169ng l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 l\u1edbn \u0111\u1ed1i v\u1edbi s\u1ee9c kh\u1ecfe sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef tr\u1ebb.<\/p>\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 bao g\u1ed3m c\u00f3 kinh trong giai \u0111o\u1ea1n thanh thi\u1ebfu ni\u00ean, c\u00f3 nhi\u1ec1u b\u1ea1n t\u00ecnh, kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai v\u00e0 ti\u1ec1n s\u1eed m\u1eafc b\u1ec7nh vi\u00eam v\u00f9ng ch\u1eadu, \u0111\u1eb7t v\u00f2ng tr\u00e1nh thai v\u00e0 khu v\u1ef1c d\u1ecbch t\u1ec5 c\u00f3 t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c cao.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a b\u1ec7nh bao g\u1ed3m \u0111au b\u1ee5ng d\u01b0\u1edbi v\u00e0 v\u00f9ng ch\u1eadu, s\u1ed1t, m\u1ec7t m\u1ecfi v\u00e0 nh\u1ee9c \u0111\u1ea7u, ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng v\u00e0 l\u01b0\u1ee3ng nhi\u1ec1u, \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c, ra d\u1ecbch ti\u1ebft \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng.<\/p>\n

\u0110i\u1ec1u tr\u1ecb bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb kh\u00e1ng sinh sau khi t\u00ecm ra sinh v\u1eadt g\u00e2y b\u1ec7nh.<\/p>\n

Vi\u00eam \u00e2m \u0111\u1ea1o<\/strong><\/h2>\n

L\u00e0 t\u00ecnh tr\u1ea1ng vi\u00eam v\u00e0 nhi\u1ec5m tr\u00f9ng \u1edf \u00e2m \u0111\u1ea1o. B\u1ec7nh th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf c\u00e1c b\u00e9 g\u00e1i, do giai \u0111o\u1ea1n n\u00e0y tr\u1ebb ch\u01b0a c\u00f3 l\u01b0\u1ee3ng estrogen \u0111\u1ee7 nhi\u1ec1u. Do \u0111\u00f3, ch\u01b0a c\u00f3 kh\u1ea3 n\u0103ng b\u1ea3o v\u1ec7 \u00e2m \u0111\u1ea1o c\u1ee7a estrogen v\u00e0 d\u1ec5 b\u1ecb nhi\u1ec5m tr\u00f9ng. Nguy\u00ean nh\u00e2n vi\u00eam \u00e2m \u0111\u1ea1o ph\u1ed5 bi\u1ebfn nh\u1ea5t trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n l\u00e0 nhi\u1ec5m tr\u00f9ng b\u1edfi vi sinh v\u1eadt.<\/p>\n

Vi\u00eam \u00e2m \u0111\u1ea1o<\/a> do Trichomonas l\u00e0 do vi khu\u1ea9n Trichomonas vagis g\u00e2y ra. B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng ti\u1ebft d\u1ecbch \u00e2m \u0111\u1ea1o l\u01b0\u1ee3ng nhi\u1ec1u, g\u00e2y kh\u00f3 ch\u1ecbu, k\u00edch th\u00edch v\u00e0 ng\u1ee9a xung quanh \u00e2m \u0111\u1ea1o, \u0111i ti\u1ec3u \u0111au, t\u0103ng t\u1ea7n su\u1ea5t \u0111i ti\u1ec3u. Xu\u1ea5t hi\u1ec7n kh\u00ed h\u01b0 lo\u00e3ng, m\u00e0u v\u00e0ng xanh, c\u00f3 b\u1ecdt, c\u00f3 m\u00f9i h\u00f4i r\u1ea5t kh\u00f3 ch\u1ecbu. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng vi\u00ean Metronidazole 200mg ba l\u1ea7n m\u1ed7i ng\u00e0y trong m\u1ed9t tu\u1ea7n.<\/p>\n

Vi\u00eam \u00e2m \u0111\u1ea1o do n\u1ea5m Candida hay c\u00f2n g\u1ecdi l\u00e0 b\u1ec7nh monilasis do sinh v\u1eadt Candida albicans g\u00e2y ra. B\u1ec7nh nh\u00e2n c\u00f3 t\u00ecnh tr\u1ea1ng ti\u1ebft d\u1ecbch \u00e2m \u0111\u1ea1o k\u00e8m theo ng\u1ee9a \u00e2m h\u1ed9, \u00e2m \u0111\u1ea1o d\u1eef d\u1ed9i, \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c. Xu\u1ea5t hi\u1ec7n kh\u00ed h\u01b0 \u0111\u1eb7c, c\u00f3 m\u00e0u tr\u1eafng s\u1eefa, v\u00f3n c\u1ee5c, th\u01b0\u1eddng d\u00ednh v\u00e0o th\u00e0nh \u00e2m \u0111\u1ea1o.<\/p>\n

Vi\u1ec7c \u0111i\u1ec1u tr\u1ecb bao g\u1ed3m s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 nystatin, clotrimazole ho\u1eb7c miconazole \u1edf d\u1ea1ng kem ho\u1eb7c thu\u1ed1c \u0111\u1eb7t \u00e2m \u0111\u1ea1o. B\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111\u1eb7t v\u00f2ng n\u00e2ng pessary \u1edf v\u1ecb tr\u00ed cao trong \u00e2m \u0111\u1ea1o khi \u0111i ng\u1ee7 trong hai tu\u1ea7n li\u00ean ti\u1ebfp.<\/p>\n

M\u00e3n kinh<\/strong><\/h2>\n

M\u00e3n kinh l\u00e0 g\u00ec?<\/strong><\/h3>\n

M\u00e3n kinh l\u00e0 th\u1eddi k\u1ef3 ng\u01b0\u1eddi ph\u1ee5 n\u1eef ch\u1ea5m d\u1ee9t v\u0129nh vi\u1ec5n chu k\u1ef3 kinh nguy\u1ec7t cho \u0111\u1ebfn khi k\u1ebft th\u00fac cu\u1ed9c \u0111\u1eddi. M\u00e3n kinh x\u1ea3y ra do bu\u1ed3ng tr\u1ee9ng gi\u1ea3m ch\u1ee9c n\u0103ng ho\u1ea1t \u0111\u1ed9ng. Th\u1eddi k\u1ef3 m\u00e3n kinh \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn sau khi ng\u1eebng kinh nguy\u1ec7t trong m\u01b0\u1eddi hai th\u00e1ng li\u00ean t\u1ee5c m\u00e0 kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 b\u1ec7nh l\u00fd n\u00e0o kh\u00e1c. \u0110\u1ed9 tu\u1ed5i m\u00e3n kinh dao \u0111\u1ed9ng trong kho\u1ea3ng 45-55 tu\u1ed5i.<\/p>\n

\u1ea2nh h\u01b0\u1edfng c\u1ee7a m\u00e3n kinh l\u00ean c\u01a1 th\u1ec3<\/strong><\/h3>\n

Sau th\u1eddi k\u1ef3 m\u00e3n kinh<\/a>, c\u00e1c c\u01a1 quan sinh s\u1ea3n gi\u1ea3m k\u00edch th\u01b0\u1edbc. Ngo\u00e0i ra, ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 m\u1ea5t kho\u1ea3ng 3-5% kh\u1ed1i l\u01b0\u1ee3ng x\u01b0\u01a1ng m\u1ed7i n\u0103m. T\u1eeb \u0111\u00f3 d\u1ec5 d\u1eabn \u0111\u1ebfn t\u00ecnh tr\u1ea1ng lo\u00e3ng x\u01b0\u01a1ng. Ph\u1ee5 n\u1eef m\u00e3n kinh t\u0103ng nguy c\u01a1 m\u1eafc b\u1ec7nh l\u00fd tim m\u1ea1ch. Tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c tr\u01b0ng c\u1ee7a m\u00e3n kinh l\u00e0 b\u1ed1c h\u1ecfa. B\u1ed1c h\u1ecfa \u0111\u01b0\u1ee3c mi\u00eau t\u1ea3 b\u1edfi c\u1ea3m gi\u00e1c n\u00f3ng \u0111\u1ed9t ng\u1ed9t sau \u0111\u00f3 \u0111\u1ed5 m\u1ed3 h\u00f4i \u0111\u1ea7m \u0111\u00eca. Ph\u1ee5 n\u1eef d\u1ec5 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng kh\u00f3 ch\u1ecbu, nh\u1ee9c \u0111\u1ea7u, m\u1ea5t ng\u1ee7, d\u1ec5 n\u1ed5i n\u00f3ng v\u00e0 tr\u1ea7m c\u1ea3m.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng kh\u00e1c bao g\u1ed3m \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c, gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c, nhi\u1ec5m tr\u00f9ng v\u00e0 kh\u00f4 \u00e2m \u0111\u1ea1o, \u0111i ti\u1ec3u \u0111au, ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u t\u00e1i ph\u00e1t. T\u1ea5t c\u1ea3 nh\u1eefng thay \u0111\u1ed5i n\u00e0y x\u1ea3y ra do s\u1ef1 thi\u1ebfu h\u1ee5t estrogen sau th\u1eddi k\u1ef3 m\u00e3n kinh.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng \u1edf \u00e2m \u0111\u1ea1o \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u b\u1eb1ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft t\u1ed1 t\u1ea1i ch\u1ed7 (li\u1ec7u ph\u00e1p hooc-m\u00f4n). Li\u1ec7u ph\u00e1p n\u00e0y \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n.<\/p>\n

C\u00e1c tri\u1ec7u ch\u1ee9ng tim m\u1ea1ch c\u00f3 th\u1ec3 c\u1ea7n li\u1ec7u ph\u00e1p hooc-m\u00f4n to\u00e0n th\u00e2n \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng tu\u00e2n th\u1ee7 nghi\u00eam ng\u1eb7t theo c\u00e1c khuy\u1ebfn c\u00e1o. C\u00e1c li\u1ec7u ph\u00e1p ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n trong th\u1eddi gian ng\u1eafn nh\u1ea5t c\u00f3 th\u1ec3 v\u1edbi li\u1ec1u l\u01b0\u1ee3ng th\u1ea5p nh\u1ea5t. T\u1eeb \u0111\u00f3 gi\u00fap tr\u00e1nh c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 nghi\u00eam tr\u1ecdng nh\u01b0 h\u00ecnh th\u00e0nh c\u1ee5c m\u00e1u \u0111\u00f4ng (huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch) v\u00e0 ung th\u01b0 v\u00fa.<\/p>\n

B\u1ec7nh <\/strong>kh\u00ed h\u01b0<\/strong><\/h2>\n

B\u1ec7nh kh\u00ed h\u01b0 \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 d\u1ecbch ti\u1ebft \u00e2m \u0111\u1ea1o qu\u00e1 m\u1ee9c. Kh\u00ed h\u01b0 th\u01b0\u1eddng ra nhi\u1ec1u nh\u01b0ng ch\u01b0a g\u00e2y vi\u00eam nhi\u1ec5m. S\u1ef1 b\u00e0i ti\u1ebft d\u01b0 th\u1eeba n\u00e0y c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c b\u1eb1ng c\u00e1ch nh\u1eefng v\u1ebft m\u00e0u nhu\u1ed9m tr\u00ean \u0111\u1ed3 l\u00f3t (m\u00e0u v\u00e0ng n\u00e2u khi s\u1ea5y kh\u00f4). Ho\u1eb7c b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y c\u1ea7n s\u1eed d\u1ee5ng th\u00eam b\u0103ng v\u1ec7 sinh. B\u1ec7nh kh\u00f4ng g\u00e2y nhi\u1ec5m tr\u00f9ng v\u00e0 kh\u00f4ng c\u00f3 m\u00f9i h\u00f4i, kh\u00f4ng g\u00e2y k\u00edch \u1ee9ng v\u00e0 kh\u00f4ng g\u00e2y ng\u1ee9a. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra m\u1ed9t c\u00e1ch b\u00ecnh th\u01b0\u1eddng trong th\u1eddi k\u1ef3 d\u1eady th\u00ec, r\u1ee5ng tr\u1ee9ng v\u00e0 xung quanh ng\u00e0y c\u1ee7a chu k\u1ef3 kinh nguy\u1ec7t.<\/p>\n

Ngo\u00e0i ra, b\u1ec7nh c\u0169ng c\u00f3 th\u1ec3 x\u1ea3y ra trong th\u1eddi k\u1ef3 mang thai v\u00e0 h\u01b0ng ph\u1ea5n t\u00ecnh d\u1ee5c. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh kh\u00ed h\u01b0 x\u1ea3y ra \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n sa t\u1eed cung, t\u1eed cung ng\u1ea3 sau, vi\u00eam v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh v\u00e0 s\u1eed d\u1ee5ng thu\u1ed1c tr\u00e1nh thai.<\/p>\n

Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o t\u00f9y t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee5 th\u1ec3 v\u00e0 duy tr\u00ec v\u1ec7 sinh c\u00e1 nh\u00e2n.<\/p>\n

\u0110au khi quan h\u1ec7 t\u00ecnh d\u1ee5c<\/strong><\/h2>\n

\u0110au khi quan h\u1ec7 t\u00ecnh d\u1ee5c c\u00f2n g\u1ecdi l\u00e0 \u0111au khi giao h\u1ee3p, ngh\u0129a l\u00e0 h\u00e0nh \u0111\u1ed9ng giao h\u1ee3p kh\u00f3 kh\u0103n ho\u1eb7c \u0111au \u0111\u1edbn. Giao h\u1ee3p \u0111au l\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c ph\u1ed5 bi\u1ebfn nh\u1ea5t.<\/p>\n

Nguy\u00ean nh\u00e2n c\u00f3 th\u1ec3 do \u00e2m \u0111\u1ea1o h\u1eb9p, m\u00e0ng trinh d\u00e0y, nhi\u1ec5m tr\u00f9ng \u00e2m h\u1ed9. Ngo\u00e0i ra, c\u00f2n c\u00f3 b\u1ec7nh ni\u1ec7u \u0111\u1ea1o, vi\u00eam \u00e2m \u0111\u1ea1o, l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, vi\u00eam v\u00f9ng ch\u1eadu v.v.<\/p>\n

C\u00e1ch ch\u1eefa tr\u1ecb ph\u1ee5 thu\u1ed9c v\u00e0o nguy\u00ean nh\u00e2n g\u00e2y ra b\u1ec7nh. Th\u00f4ng th\u01b0\u1eddng, t\u01b0 v\u1ea5n cho c\u1ea3 hai \u0111\u1ed1i t\u00e1c v\u1ec1 th\u1ef1c h\u00e0nh t\u00ecnh d\u1ee5c ph\u00f9 h\u1ee3p s\u1ebd gi\u00fap l\u00e0m gi\u1ea3m c\u00e1c tri\u1ec7u ch\u1ee9ng.<\/p>\n

T\u1ea7m quan tr\u1ecdng c\u1ee7a vi\u1ec7c kh\u00e1m ph\u1ee5 khoa<\/strong><\/h2>\n

Vi\u1ec7c th\u0103m kh\u00e1m l\u00e2m s\u00e0ng cho b\u1ec7nh nh\u00e2n ph\u1ee5 khoa c\u1ea7n k\u1ef9 l\u01b0\u1ee1ng v\u00e0 t\u1ec9 m\u1ec9. \u0110i\u1ec1u n\u00e0y bao g\u1ed3m vi\u1ec7c khai th\u00e1c b\u1ec7nh s\u1eed v\u00e0 th\u0103m kh\u00e1m l\u00e2m s\u00e0ng chuy\u00ean s\u00e2u.<\/p>\n

Kh\u00e1m ph\u1ee5 khoa<\/a> bao g\u1ed3m kh\u00e1m v\u00fa, kh\u00e1m b\u1ee5ng v\u00e0 kh\u00e1m v\u00f9ng ch\u1eadu. Bao g\u1ed3m c\u1ea3 kh\u00e1m c\u01a1 quan sinh d\u1ee5c ngo\u00e0i, th\u0103m \u00e2m \u0111\u1ea1o v\u00e0 c\u1ed5 t\u1eed cung v\u00e0 kh\u00e1m tr\u1ef1c tr\u00e0ng.<\/p>\n

T\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef c\u00f3 ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c n\u00ean \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc. B\u1eaft \u0111\u1ea7u t\u1eeb 21 tu\u1ed5i tr\u1edf l\u00ean ho\u1eb7c sau 3 n\u0103m quan h\u1ec7 t\u00ecnh d\u1ee5c qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o. S\u00e0ng l\u1ecdc ph\u1ee5 khoa n\u00ean \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n h\u00e0ng n\u0103m cho \u0111\u1ebfn khi 30 tu\u1ed5i. Sau \u0111\u00f3, th\u1ef1c hi\u1ec7n c\u00e1ch nhau 2-3 n\u0103m m\u1ed9t l\u1ea7n sau ba l\u1ea7n x\u00e9t nghi\u1ec7m ph\u1ebft t\u1ebf b\u00e0o \u00e2m t\u00ednh h\u00e0ng n\u0103m li\u00ean ti\u1ebfp.<\/p>\n

C\u1ed5 t\u1eed cung v\u00e0 \u00e2m \u0111\u1ea1o \u0111\u01b0\u1ee3c th\u01b0\u1eddng \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m t\u1ebf b\u00e0o h\u1ecdc b\u1eb1ng ph\u1ebft t\u1ebf b\u00e0o \u0111\u1ec3 t\u1ea7m so\u00e1t.<\/p>\n

Kh\u00e1m s\u00e0ng l\u1ecdc gi\u00fap b\u00e1c s\u0129 gi\u1ea3i th\u00edch cho b\u1ec7nh nh\u00e2n v\u1ec1 l\u1ee3i \u00edch c\u1ee7a vi\u1ec7c duy tr\u00ec l\u1ed1i s\u1ed1ng l\u00e0nh m\u1ea1nh. Ngo\u00e0i ra gi\u00fap gi\u1ea3m thi\u1ec3u r\u1ee7i ro v\u1ec1 s\u1ee9c kh\u1ecfe v\u00e0 x\u00e1c \u0111\u1ecbnh c\u00e1c tr\u01b0\u1eddng h\u1ee3p m\u1eafc b\u1ec7nh l\u00e2y truy\u1ec1n qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c, ung th\u01b0 v\u00fa, ung th\u01b0 c\u1ed5 t\u1eed cung ho\u1eb7c ung th\u01b0 n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n

Ch\u1ea9n \u0111o\u00e1n s\u1edbm gi\u00fap \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 v\u00e0 ti\u00ean l\u01b0\u1ee3ng t\u1ed1t h\u01a1n.<\/p>\n

L\u1eddi khuy\u00ean s\u1ee9c kh\u1ecfe<\/strong><\/h2>\n