{"id":8331,"date":"2019-12-10T22:36:31","date_gmt":"2019-12-10T15:36:31","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/bao-ton-kha-nang-sinh-san-doi-voi-phu-nu-mac-ung-thu\/"},"modified":"2019-12-10T22:36:31","modified_gmt":"2019-12-10T15:36:31","slug":"bao-ton-kha-nang-sinh-san-doi-voi-phu-nu-mac-ung-thu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/bao-ton-kha-nang-sinh-san-doi-voi-phu-nu-mac-ung-thu\/","title":{"rendered":"B\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0"},"content":{"rendered":"<p style=\"text-align: right;\"><strong><em>Ng\u01b0\u1eddi d\u1ecbch: H\u00e0 Xu\u00e2n Nam<\/em><\/strong><\/p>\n<p style=\"text-align: right;\"><strong><em>Hi\u1ec7u \u0111\u00ednh:<\/em><\/strong> <strong><em>Ths. Bs. Nguy\u1ec5n H\u1ea3i Nam, L\u00ea H\u00e0 C\u1ea3nh Ch\u00e2u<\/em><\/strong><\/p>\n<p><strong>\u0110\u01b0\u1ee3c ch\u1ea5p thu\u1eadn b\u1edfi Ban bi\u00ean t\u1eadp Cancer.Net, th\u00e1ng 4\/2018<\/strong><\/p>\n<p><strong>\u0110\u01b0\u1ee3c ch\u1ea5p thu\u1eadn b\u1edfi Ban bi\u00ean t\u1eadp Yhoccongdong.com, th\u00e1ng 10\/2019<\/strong><\/p>\n<p>R\u1ea5t nhi\u1ec1u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef gi\u1edbi. Kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u00f3 ngh\u0129a l\u00e0 kh\u1ea3 n\u0103ng c\u00f3 th\u1ec3 mang thai. V\u00f4 sinh l\u00e0 t\u00ecnh tr\u1ea1ng kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng mang thai ho\u1eb7c duy tr\u00ec thai k\u1ef3.<\/p>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe. B\u1ea1n n\u00ean h\u1ecfi xem \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n. V\u00e0 h\u1ecfi v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn \u0111\u1ec3 c\u00f3 th\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/strong><\/h2>\n<p>\u1ea2nh h\u01b0\u1edfng c\u1ee7a b\u1ec7nh ung th\u01b0 ho\u1eb7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u0111\u1ebfn v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n x\u1ea3y ra theo 2 c\u00e1ch ch\u00ednh:<\/p>\n<ul>\n<li>T\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan li\u00ean quan \u0111\u1ebfn sinh s\u1ea3n, ch\u1eb3ng h\u1ea1n nh\u01b0 bu\u1ed3ng tr\u1ee9ng, \u1ed1ng d\u1eabn tr\u1ee9ng, t\u1eed cung v\u00e0 c\u1ed5 t\u1eed cung<\/li>\n<li>T\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan li\u00ean quan \u0111\u1ebfn vi\u1ec7c s\u1ea3n xu\u1ea5t hormone, ch\u1eb3ng h\u1ea1n nh\u01b0 bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n<p>Bu\u1ed3ng tr\u1ee9ng l\u01b0u tr\u1eef tr\u1ee9ng c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef. T\u1ed5n th\u01b0\u01a1ng c\u00e1c c\u01a1 quan n\u00e0y c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. D\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng l\u00e0 t\u1ed5ng s\u1ed1 tr\u1ee9ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u1edf c\u1ea3 hai bu\u1ed3ng tr\u1ee9ng. Ngay khi \u0111\u01b0\u1ee3c sinh ra, ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u00e3 c\u00f3 t\u1ea5t c\u1ea3 s\u1ed1 tr\u1ee9ng \u0111\u1ec3 th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng sinh s\u1ea3n. M\u1ed9t khi nh\u1eefng qu\u1ea3 tr\u1ee9ng n\u00e0y b\u1ecb m\u1ea5t, ch\u00fang kh\u00f4ng th\u1ec3 \u0111\u01b0\u1ee3c thay th\u1ebf. M\u1ea5t nh\u1eefng qu\u1ea3 tr\u1ee9ng kh\u1ecfe m\u1ea1nh g\u00e2y v\u00f4 sinh v\u00e0 m\u00e3n kinh s\u1edbm.<\/p>\n<h2><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/strong><\/h2>\n<p>Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 d\u01b0\u1edbi \u0111\u00e2y \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n:<\/p>\n<p><strong>H\u00f3a tr\u1ecb.<\/strong> H\u00f3a tr\u1ecb li\u1ec7u, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c lo\u1ea1i thu\u1ed1c thu\u1ed9c nh\u00f3m alkylating, c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n:<\/p>\n<ul>\n<li>Busulfan (Busulfex, Myleran)<\/li>\n<li>Carmustine (BiCNU)<\/li>\n<li>Clorambucil (Leukeran)<\/li>\n<li>Cyclophosphamide (Neosar)<\/li>\n<li>Doxorubicin (Adriamycin)<\/li>\n<li>Lomustine (CeeNU)<\/li>\n<li>Mechlorethamine (Mustargen)<\/li>\n<li>Melphalan (Alkeran)<\/li>\n<li>Procarbazine (Matulane)<\/li>\n<\/ul>\n<p><strong>X\u1ea1 tr\u1ecb.<\/strong> X\u1ea1 tr\u1ecb \u1edf nh\u1eefng c\u01a1 quan sau c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n:<\/p>\n<ul>\n<li>V\u00f9ng b\u1ee5ng<\/li>\n<li>X\u01b0\u01a1ng ch\u1eadu<\/li>\n<li>C\u1ed9t s\u1ed1ng d\u01b0\u1edbi<\/li>\n<li>Bu\u1ed3ng tr\u1ee9ng v\u00e0 v\u00f9ng l\u00e2n c\u1eadn<\/li>\n<li>T\u1eed cung<\/li>\n<li>Tuy\u1ebfn y\u00ean<\/li>\n<li>To\u00e0n b\u1ed9 c\u01a1 th\u1ec3, \u0111\u1ec3 gh\u00e9p t\u1ee7y x\u01b0\u01a1ng<\/li>\n<\/ul>\n<p><strong>Ph\u1eabu thu\u1eadt.<\/strong> Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf c\u00e1c c\u01a1 quan sinh d\u1ee5c c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n:<\/p>\n<ul>\n<li>T\u1eed cung, trong ph\u1eabu thu\u1eadt c\u1eaft t\u1eed cung<\/li>\n<li>C\u1ed5 t\u1eed cung, trong ph\u1eabu thu\u1eadt c\u1eaft t\u1eed cung ho\u1eb7c c\u1eaft b\u1ecf c\u1ed5 t\u1eed cung nh\u1eb1m b\u1ea3o t\u1ed3n th\u00e2n t\u1eed cung<\/li>\n<li>C\u1eaft m\u1ed9t ho\u1eb7c c\u1ea3 hai bu\u1ed3ng tr\u1ee9ng, trong ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00f9ng ch\u1eadu c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<h2><strong>L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 trong v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n<\/strong><\/h2>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ebfn kh\u00e1m t\u1ea1i b\u00e1c s\u0129 n\u1ed9i ti\u1ebft sinh s\u1ea3n. \u0110\u00e2y l\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa v\u1ec1 c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn sinh s\u1ea3n, trong s\u1ed1 \u0111\u00f3, s\u1ebd c\u00f3 m\u1ed9t s\u1ed1 b\u00e1c s\u0129 chuy\u00ean v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n trong ung th\u01b0.<\/p>\n<h2><strong>\u0110\u00e1nh gi\u00e1 kinh nguy\u1ec7t v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/h2>\n<p>Ph\u1ee5 n\u1eef c\u00f3 kinh nguy\u1ec7t sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng mang thai. Tuy nhi\u00ean, kinh nguy\u1ec7t kh\u00f4ng ph\u1ea3i l\u00e0 b\u1eb1ng ch\u1ee9ng cho th\u1ea5y b\u1ea1n c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<p>\u1ede m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef, vi\u1ec7c\u00a0\u0111i\u1ec1u tr\u1ecb ung th\u01b0 l\u00e0m ng\u1eebng h\u1eb3n chu k\u1ef3 kinh nguy\u1ec7t. \u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0\u00a0m\u00e3n kinh s\u1edbm, v\u00e0 n\u00f3 g\u00e2y ra v\u00f4 sinh v\u0129nh vi\u1ec5n.<\/p>\n<p>\u1ede m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c, chu k\u1ef3 kinh nguy\u1ec7t ch\u1ec9 d\u1eebng l\u1ea1i t\u1ea1m th\u1eddi trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00e0 sau \u0111\u00f3 h\u1ed3i ph\u1ee5c l\u1ea1i. Ph\u1ee5 n\u1eef c\u00f3 kinh nguy\u1ec7t sau h\u00f3a tr\u1ecb v\u1eabn c\u00f3 th\u1ec3 c\u00f3 kh\u1ea3 n\u0103ng mang thai. Ngay c\u1ea3 khi m\u1ed9t ng\u01b0\u1eddi ph\u1ee5 n\u1eef trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u1eabn c\u00f3 kinh nguy\u1ec7t v\u00e0 sau \u0111\u00f3 v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng sinh con c\u0169ng c\u00f3 th\u1ec3 \u0111\u00e3 b\u1ecb gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n ho\u1eb7c b\u1ecb m\u00e3n kinh s\u1edbm.<\/p>\n<p>\u1ede nh\u1eefng ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i ho\u1eb7c ch\u1ecbu li\u1ec1u x\u1ea1 tr\u1ecb ho\u1eb7c li\u1ec1u h\u00f3a ch\u1ea5t l\u1edbn h\u01a1n th\u00ec th\u1eddi gian c\u00f3 kinh tr\u1edf l\u1ea1i th\u01b0\u1eddng d\u00e0i h\u01a1n, v\u00e0 kh\u1ea3 n\u0103ng h\u00e0nh kinh tr\u1edf l\u1ea1i c\u0169ng th\u1ea5p h\u01a1n.<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u l\u00e0m c\u00e1c x\u00e9t nghi\u1ec7m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. X\u00e9t nghi\u1ec7m n\u00e0y bao g\u1ed3m c\u00e1c x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft r\u1ea5t nh\u1ea1y nh\u01b0 hormone kh\u00e1ng M\u00fcllerian.<\/p>\n<p>Tr\u1ebb em v\u00e0 ph\u1ee5 n\u1eef tr\u1ebb th\u01b0\u1eddng c\u00f3 s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng d\u1ef1 tr\u1eef l\u1edbn h\u01a1n so v\u1edbi c\u00e1c ph\u1ee5 n\u1eef nhi\u1ec1u tu\u1ed5i h\u01a1n. H\u1ecd c\u0169ng \u00edt khi b\u1ecb m\u00e3n kinh \u0111\u1ed9t ng\u1ed9t ho\u1eb7c v\u00f4 sinh ngay sau khi ti\u1ebfn h\u00e0nh h\u00f3a tr\u1ecb. Tuy nhi\u00ean, \u0111i\u1ec1u n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 c\u00e1c ph\u1ee5 n\u1eef tr\u1ebb s\u1ebd kh\u00f4ng b\u1ecb v\u00f4 sinh. V\u1edbi x\u1ea1 tr\u1ecb v\u00f9ng ch\u1eadu, v\u00f9ng b\u1ee5ng d\u01b0\u1edbi v\u00e0 h\u00f3a tr\u1ecb li\u1ec1u cao, ngay c\u1ea3 tr\u1ebb em c\u0169ng c\u00f3 th\u1ec3 b\u1ecb m\u00e3n kinh ngay l\u1eadp t\u1ee9c.<\/p>\n<h2><strong>Mang thai sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/strong><\/h2>\n<p>\u0110\u1ec3 c\u00f3 th\u1ec3 mang thai m\u00e0 kh\u00f4ng c\u1ea7n h\u1ed7 tr\u1ee3 sinh s\u1ea3n, b\u1ea1n c\u1ea7n:<\/p>\n<ul>\n<li>C\u00f3 \u00edt nh\u1ea5t m\u1ed9t bu\u1ed3ng tr\u1ee9ng kh\u1ecfe m\u1ea1nh v\u1edbi \u0111\u1ee7 s\u1ed1 tr\u1ee9ng d\u1ef1 tr\u1eef c\u1ea7n thi\u1ebft<\/li>\n<li>M\u1ed9t \u1ed1ng d\u1eabn tr\u1ee9ng kh\u1ecfe m\u1ea1nh<\/li>\n<li>T\u1eed cung kh\u1ecfe m\u1ea1nh \u0111\u1ec3 em b\u00e9 c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n<\/li>\n<li>C\u00f3 \u0111\u1ee7 l\u01b0\u1ee3ng c\u00e1c hormone c\u1ea7n thi\u1ebft<\/li>\n<\/ul>\n<p>Tuy nhi\u00ean, m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u00ean ch\u1edd \u0111\u1ee3i m\u1ed9t th\u1eddi gian tr\u01b0\u1edbc khi mang thai, v\u00e0 kho\u1ea3ng th\u1eddi gian n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o:<\/p>\n<ul>\n<li>Lo\u1ea1i v\u00e0 giai \u0111o\u1ea1n ung th\u01b0<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb<\/li>\n<li>\u0110\u1ed9 tu\u1ed5i c\u1ee7a b\u1ec7nh nh\u00e2n<\/li>\n<\/ul>\n<p>V\u00ed d\u1ee5, ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111i\u1ec1u tr\u1ecb theo li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft t\u1ed1 c\u1ea7n tr\u00ec ho\u00e3n mang thai trong m\u1ed9t th\u1eddi gian.<\/p>\n<p>Tr\u00ec ho\u00e3n mang thai c\u0169ng c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n, b\u1edfi s\u1ed1 tr\u1ee9ng d\u1ef1 tr\u1eef gi\u1ea3m d\u1ea7n theo th\u1eddi gian. V\u00ec v\u1eady, n\u00ean c\u00e2n nh\u1eafc c\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n sinh s\u1ea3n.<\/p>\n<p>Tham kh\u1ea3o th\u00eam \u0111\u1ec3 bi\u1ebft c\u00f3 con sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n<h2><strong>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n sinh s\u1ea3n<\/strong><\/h2>\n<p>Hi\u1ec7p h\u1ed9i Ung th\u01b0 Hoa K\u1ef3 (ASCO) khuy\u1ebfn c\u00e1o t\u1ea5t c\u1ea3 c\u00e1c ph\u1ee5 n\u1eef b\u1ecb ung th\u01b0 n\u00ean tham v\u1ea5n v\u1edbi b\u00e1c s\u0129 v\u1ec1 nguy c\u01a1 v\u00f4 sinh v\u00e0 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c ti\u1ebfn h\u00e0nh \u0111i\u1ec1u tr\u1ecb. N\u1ebfu l\u1ef1a ch\u1ecdn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n sinh s\u1ea3n, b\u1ea1n n\u00ean n\u00f3i chuy\u1ec7n v\u1edbi c\u00e1c chuy\u00ean gia v\u1ec1 l\u0129nh v\u1ef1c n\u00e0y ngay c\u1ea3 khi kh\u00f4ng ch\u1eafc ch\u1eafn mu\u1ed1n c\u00f3 con trong t\u01b0\u01a1ng lai.<\/p>\n<p>Ph\u01b0\u01a1ng ph\u00e1p<strong>\u00a0<\/strong>b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef\u00a0\u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn d\u1ef1a tr\u00ean:<\/p>\n<ul>\n<li>\u0110\u1ed9 tu\u1ed5i<\/li>\n<li>T\u00ecnh tr\u1ea1ng s\u1ee9c kh\u1ecfe c\u1ee7a ng\u01b0\u1eddi ph\u1ed1i ng\u1eabu<\/li>\n<li>S\u1ef1 tr\u01b0\u1edfng th\u00e0nh v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 sinh d\u1ee5c<\/li>\n<li>Nguy\u1ec7n v\u1ecdng c\u00e1 nh\u00e2n<\/li>\n<\/ul>\n<p>ASCO khuy\u1ebfn c\u00e1o c\u00e1c ph\u01b0\u01a1ng ph\u00e1p<strong>\u00a0<\/strong>b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef\u00a0bao g\u1ed3m:<\/p>\n<p><strong>\u0110\u00f4ng l\u1ea1nh ph\u00f4i<\/strong><strong>.<\/strong> \u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p\u00a0b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef\u00a0th\u00e0nh c\u00f4ng nh\u1ea5t, c\u00f2n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1ee5 tinh nh\u00e2n t\u1ea1o. Ng\u01b0\u1eddi ph\u1ee5 n\u1eef u\u1ed1ng thu\u1ed1c k\u00edch tr\u1ee9ng trong hai tu\u1ea7n, sau \u0111\u00f3 tr\u1ee9ng s\u1ebd \u0111\u01b0\u1ee3c l\u1ea5y ra, th\u1ee5 tinh trong ph\u00f2ng th\u00ed nghi\u1ec7m r\u1ed3i \u0111\u00f4ng l\u1ea1nh \u0111\u1ec3 d\u00e0nh cho sau n\u00e0y.<\/p>\n<p><strong>\u0110\u00f4ng l\u1ea1nh no\u00e3n (tr\u1ee9ng ch\u01b0a th\u1ee5 tinh)<\/strong><strong>.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y t\u01b0\u01a1ng t\u1ef1 v\u1edbi \u0111\u00f4ng l\u1ea1nh ph\u00f4i, ch\u1ec9 kh\u00e1c l\u00e0 tr\u1ee9ng ch\u01b0a \u0111\u01b0\u1ee3c th\u1ee5 tinh. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y \u00e1p d\u1ee5ng cho nh\u1eefng ph\u1ee5 n\u1eef ch\u01b0a ch\u1ed3ng, v\u00e0 t\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng th\u1ea5p h\u01a1n m\u1ed9t ch\u00fat so v\u1edbi \u0111\u00f4ng l\u1ea1nh ph\u00f4i.<\/p>\n<p><strong>Ph\u1eabu thu\u1eadt<\/strong>\u00a0<strong>b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/strong> M\u1ed9t s\u1ed1 ph\u1eabu thu\u1eadt c\u1ed5 t\u1eed cung ho\u1eb7c bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<ul>\n<li>Ph\u1eabu thu\u1eadt ung th\u01b0 c\u1ed5 t\u1eed cung: \u0111\u00f4i khi ph\u1eabu thu\u1eadt vi\u00ean ch\u1ec9 c\u1eaft b\u1ecf c\u1ed5 t\u1eed cung m\u00e0 v\u1eabn gi\u1eef nguy\u00ean t\u1eed cung. \u0110i\u1ec1u n\u00e0y cho ph\u00e9p ng\u01b0\u1eddi ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 sinh con qua ph\u1eabu thu\u1eadt l\u1ea5y thai (C-section). \u0110\u00e2y l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn cho nh\u1eefng ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 c\u1ed5 t\u1eed cung \u1edf giai \u0111o\u1ea1n s\u1edbm.<\/li>\n<li>Ph\u1eabu thu\u1eadt ung th\u01b0 bu\u1ed3ng tr\u1ee9ng: \u0111\u00f4i khi ch\u1ec9 c\u1ea7n c\u1eaft b\u1ecf m\u1ed9t b\u00ean bu\u1ed3ng tr\u1ee9ng, \u00e1p d\u1ee5ng cho nh\u1eefng ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 giai \u0111o\u1ea1n s\u1edbm khu tr\u00fa \u1edf m\u1ed9t b\u00ean bu\u1ed3ng tr\u1ee9ng. \u0110i\u1ec1u n\u00e0y gi\u00fap b\u1ea3o t\u1ed3n b\u00ean bu\u1ed3ng tr\u1ee9ng kh\u1ecfe m\u1ea1nh \u0111\u1ec3 sinh s\u1ea3n v\u00e0 tr\u00e1nh b\u1ecb m\u00e3n kinh s\u1edbm.<\/li>\n<\/ul>\n<p><strong>X\u1ea1 tr\u1ecb b\u1ea3o t\u1ed3n bu\u1ed3ng tr\u1ee9ng<\/strong><strong>.<\/strong> M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ch\u1ec9 c\u1ea7n x\u1ea1 tr\u1ecb m\u1ed9t b\u00ean bu\u1ed3ng tr\u1ee9ng, v\u00e0 \u0111i\u1ec1u n\u00e0y gi\u00fap b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n. M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p kh\u00e1c l\u00e0 c\u1ed1 \u0111\u1ecbnh bu\u1ed3ng tr\u1ee9ng, ph\u1eabu thu\u1eadt vi\u00ean s\u1ebd di chuy\u1ec3n m\u1ed9t ho\u1eb7c c\u1ea3 hai bu\u1ed3ng tr\u1ee9ng sao cho tia x\u1ea1 kh\u00f4ng th\u1ec3 chi\u1ebfu v\u00e0o, sau \u0111\u00f3 \u0111\u1eb7t ch\u00fang l\u1ea1i v\u1ecb tr\u00ed c\u0169 sau khi x\u1ea1 tr\u1ecb xong. Tuy nhi\u00ean, c\u00e1ch n\u00e0y kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng th\u00e0nh c\u00f4ng. X\u1ea1 tr\u1ecb kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng ch\u00ednh x\u00e1c v\u00e0 v\u1eabn c\u00f3 th\u1ec3 chi\u1ebfu v\u00e0o bu\u1ed3ng tr\u1ee9ng c\u0169ng nh\u01b0 m\u1ea1ch c\u1ea5p m\u00e1u cho bu\u1ed3ng tr\u1ee9ng.<\/p>\n<p><strong>\u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng. <\/strong>\u0110\u00e2y l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p th\u0103m d\u00f2 \u0111\u1ec3 b\u1ea3o t\u1ed3n sinh s\u1ea3n, b\u1eb1ng c\u00e1ch d\u00f9ng hormone \u1ee9c ch\u1ebf ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 tr\u1ee9ng, tr\u00e1nh c\u00e1c \u1ea3nh h\u01b0\u1edfng b\u1edfi \u0111i\u1ec1u tr\u1ecb. Tuy v\u1eady, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u ch\u01b0a ch\u1ee9ng minh \u0111\u01b0\u1ee3c hi\u1ec7u qu\u1ea3 c\u1ee7a ph\u01b0\u01a1ng ph\u00e1p n\u00e0y v\u00e0 ch\u00fang th\u01b0\u1eddng kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn kh\u00edch khi m\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n sinh s\u1ea3n ti\u00eau chu\u1ea9n kh\u00e1c c\u00f3 s\u1eb5n.<\/p>\n<p><strong>B\u1ea3o t\u1ed3n m\u00f4 bu\u1ed3ng tr\u1ee9ng<\/strong><strong>.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u1ea7n ph\u1eabu thu\u1eadt l\u1ea5y m\u00f4 bu\u1ed3ng tr\u1ee9ng ra v\u00e0 l\u00e0m \u0111\u00f4ng l\u1ea1nh, sau \u0111\u00f3 c\u1ea5y gh\u00e9p tr\u1edf l\u1ea1i khi ho\u00e0n th\u00e0nh qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 l\u1ebd l\u00e0 l\u1ef1a ch\u1ecdn duy nh\u1ea5t \u0111\u1ed1i v\u1edbi c\u00e1c b\u00e9 g\u00e1i khi kh\u00f4ng th\u1ec3 ti\u1ebfn h\u00e0nh \u0111\u00f4ng l\u1ea1nh ph\u00f4i ho\u1eb7c \u0111\u00f4ng l\u1ea1nh no\u00e3n.<\/p>\n<p>\u0110\u00e3 c\u00f3 nhi\u1ec1u ph\u1ee5 n\u1eef mang thai b\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p tr\u00ean v\u00e0 ch\u00fang v\u1eabn \u0111ang \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n t\u1eebng ng\u00e0y.<\/p>\n<p>Tham kh\u1ea3o th\u00eam khuy\u1ebfn c\u00e1o b\u1ea3o t\u1ed3n sinh s\u1ea3n t\u1ea1i website c\u1ee7a ASCO.<\/p>\n<h2><strong>C\u00e2n nh\u1eafc ch\u1ecdn l\u1ef1a bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n sinh s\u1ea3n<\/strong><\/h2>\n<p>Kh\u00f4ng ph\u1ea3i ph\u01b0\u01a1ng ph\u00e1p\u00a0b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n\u00a0n\u00e0o c\u0169ng ph\u00f9 h\u1ee3p v\u1edbi t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi. H\u00e3y c\u00e2n nh\u1eafc nh\u1eefng \u0111i\u1ec1u sau:<\/p>\n<ul>\n<li>Chi ph\u00ed cho ph\u01b0\u01a1ng ph\u00e1p mu\u1ed1n l\u1ef1a ch\u1ecdn<\/li>\n<li>T\u1ec9 l\u1ec7 th\u00e0nh c\u00f4ng gi\u1eefa c\u00e1c ph\u01b0\u01a1ng ph\u00e1p<\/li>\n<li>C\u00e1c \u1ea3nh h\u01b0\u1edfng t\u00e2m l\u00fd t\u1edbi b\u1ec7nh nh\u00e2n, khi b\u1ec7nh nh\u00e2n \u0111ang trong giai \u0111o\u1ea1n \u0111\u1ea7y c\u0103ng th\u1eb3ng.<\/li>\n<\/ul>\n<p>B\u1ea1n c\u1ea7n tham v\u1ea5n v\u1edbi b\u00e1c s\u0129 khi quy\u1ebft \u0111\u1ecbnh b\u1ea3o t\u1ed3n sinh s\u1ea3n.<\/p>\n<h2><strong>C\u00e1c c\u00e2u h\u1ecfi b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 h\u1ecfi tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb<\/strong><\/h2>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 tham kh\u1ea3o m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi d\u01b0\u1edbi \u0111\u00e2y \u0111\u1ec3 h\u1ecfi b\u00e1c s\u0129:<\/p>\n<ul>\n<li>Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb s\u1ebd \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n<li>Kh\u1ea3 n\u0103ng v\u00f4 sinh l\u00e0 t\u1ea1m th\u1eddi hay v\u0129nh vi\u1ec5n?<\/li>\n<li>C\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00e0o \u00edt \u1ea3nh h\u01b0\u1edfng h\u01a1n kh\u00f4ng?<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n sinh s\u1ea3n n\u00e0o th\u00edch h\u1ee3p nh\u1ea5t?<\/li>\n<li>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 l\u00e0m tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb kh\u00f4ng? N\u1ebfu c\u00f3, n\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng ph\u1ee5c h\u1ed3i nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n sinh s\u1ea3n c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1edbi nguy c\u01a1 t\u00e1i ph\u00e1t ung th\u01b0 hay kh\u00f4ng?<\/li>\n<li>C\u00f3 n\u00ean n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 n\u1ed9i ti\u1ebft sinh s\u1ea3n kh\u00f4ng?<\/li>\n<li>Nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng n\u00e0o s\u1eb5n c\u00f3?<\/li>\n<li>N\u01a1i c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 c\u00e1c v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n?<\/li>\n<li>N\u01a1i c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ee1 vi\u1ec7c n\u00f3i chuy\u1ec7n v\u1edbi b\u1ea1n t\u00ecnh v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n?<\/li>\n<li>Sau khi \u0111i\u1ec1u tr\u1ecb, l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 bi\u1ebft ch\u1ee9c n\u0103ng sinh s\u1ea3n \u0111\u00e3 h\u1ed3i ph\u1ee5c?<\/li>\n<\/ul>\n<h2><strong>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/dating-sex-and-reproduction\/fertility-concerns-and-preservation-women\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/navigating-cancer-care\/dating-sex-and-reproduction\/fertility-concerns-and-preservation-women<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u1ea5t nhi\u1ec1u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef gi\u1edbi. <\/p>\n","protected":false},"author":289,"featured_media":5623,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3168],"tags":[2699,2476],"series":[2015,2016],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>B\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng<\/title>\n<meta name=\"description\" content=\"R\u1ea5t nhi\u1ec1u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef gi\u1edbi.\" \/>\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\/ung-thu\/bao-ton-kha-nang-sinh-san-doi-voi-phu-nu-mac-ung-thu\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"B\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u0111\u1ed1i v\u1edbi ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 - Y H\u1ecdc C\u1ed9ng \u0110\u1ed3ng\" \/>\n<meta property=\"og:description\" content=\"R\u1ea5t nhi\u1ec1u c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf n\u1eef gi\u1edbi.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/bao-ton-kha-nang-sinh-san-doi-voi-phu-nu-mac-ung-thu\/\" \/>\n<meta property=\"og:site_name\" content=\"D\u1ef1 \u00e1n Ung Th\u01b0\" \/>\n<meta property=\"article:author\" content=\"http:\/\/www.facebook.com\/nam.haxuan.5\" \/>\n<meta property=\"article:published_time\" content=\"2019-12-10T15:36:31+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2019\/12\/u-lympho-hodgkin-o-tre-em-cham-soc-theo-doi-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"660\" \/>\n\t<meta property=\"og:image:height\" content=\"330\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"BS. 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