{"id":8334,"date":"2019-12-10T22:54:31","date_gmt":"2019-12-10T15:54:31","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/thongtin-suc-khoe-tinh-duc-va-dieu-tri-ung-thu-o-phu-nu\/"},"modified":"2019-12-10T22:54:31","modified_gmt":"2019-12-10T15:54:31","slug":"thongtin-suc-khoe-tinh-duc-va-dieu-tri-ung-thu-o-phu-nu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/thongtin-suc-khoe-tinh-duc-va-dieu-tri-ung-thu-o-phu-nu\/","title":{"rendered":"S\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c v\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 \u1edf ph\u1ee5 n\u1eef"},"content":{"rendered":"<p style=\"text-align: right\"><strong><em>Ng\u01b0\u1eddi d\u1ecbch b\u00e0i: <a href=\"https:\/\/yhoccongdong.com\/profile\/nguyenkhoiquan\/\" target=\"_blank\" rel=\"noopener\">Nguy\u1ec5n Kh\u1edfi Qu\u00e2n<\/a><\/em><\/strong><\/p>\n<p style=\"text-align: right\"><strong><em>Hi\u1ec7u \u0111\u00ednh:<\/em><\/strong> <strong><em>Ths. Bs. <a href=\"https:\/\/yhoccongdong.com\/profile\/nguyen-hai-nam\/\" target=\"_blank\" rel=\"noopener\">Nguy\u1ec5n H\u1ea3i Nam<\/a>, <a href=\"https:\/\/yhoccongdong.com\/profile\/chaulhc\/\" target=\"_blank\" rel=\"noopener\">L\u00ea H\u00e0 C\u1ea3nh Ch\u00e2u<\/a><\/em><\/strong><\/p>\n<p><strong>\u0110\u01b0\u1ee3c ch\u1ea5p thu\u1eadn b\u1edfi Ban bi\u00ean t\u1eadp Cancer.Net, th\u00e1ng 9\/2019<\/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>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i v\u1ec1 th\u1ec3 ch\u1ea5t c\u0169ng nh\u01b0 tinh th\u1ea7n, bao g\u1ed3m c\u1ea3 \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c, nh\u1eefng thay \u0111\u1ed5i n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201ct\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u1ed1i v\u1edbi t\u00ecnh d\u1ee5c\u201d. Ch\u00fang bao g\u1ed3m nh\u1eefng thay \u0111\u1ed5i v\u1ec1 m\u1ee9c \u0111\u1ed9 ham mu\u1ed1n v\u00e0 kh\u1ea3 n\u0103ng ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c.<\/p>\n<p>T\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u1ed1i v\u1edbi t\u00ecnh d\u1ee5c c\u00f3 th\u1ec3 l\u00e0 v\u1ec1 th\u1ec3 ch\u1ea5t, t\u00e2m th\u1ea7n ho\u1eb7c c\u1ea3m x\u00fac. \u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00e2m tr\u1ea1ng, ngo\u1ea1i h\u00ecnh, kh\u1ea3 n\u0103ng, m\u1ee9c \u0111\u1ed9 h\u1ea1nh ph\u00fac, v\u00e0 qua \u0111\u00f3, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c.<\/p>\n<p>Khi bi\u1ebft \u0111\u01b0\u1ee3c lo\u1ea1i ung th\u01b0 ho\u1eb7c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c, h\u00e3y tham v\u1ea5n v\u1edbi nh\u00f3m ch\u0103m s\u00f3c tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb n\u1ebfu c\u00f3 th\u1ec3. H\u1ecd c\u00f3 th\u1ec3 \u0111\u00e1nh gi\u00e1 c\u00e1c tri\u1ec7u ch\u1ee9ng v\u00e0 gi\u1ea3i quy\u1ebft m\u1ed1i quan t\u00e2m c\u1ee7a b\u1ea1n tr\u01b0\u1edbc, trong v\u00e0 sau khi \u0111i\u1ec1u tr\u1ecb. C\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn t\u00ecnh d\u1ee5c c\u0169ng c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t y\u1ebfu t\u1ed1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn quy\u1ebft \u0111\u1ecbnh ch\u1ecdn ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0. N\u1ebfu b\u1ea1n r\u1ea5t quan ng\u1ea1i \u0111\u1ebfn c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n t\u00ecm hi\u1ec3u th\u00eam ph\u01b0\u01a1ng \u00e1n \u0111i\u1ec1u tr\u1ecb kh\u00e1c.<\/p>\n<h2><strong>Tri\u1ec7u ch\u1ee9ng v\u00e0 t\u00e1c d\u1ee5ng ph\u1ee5<\/strong><\/h2>\n<p>C\u00e1c v\u1ea5n \u0111\u1ec1 t\u00ecnh d\u1ee5c c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n trong, ngay sau, ho\u1eb7c nhi\u1ec1u n\u0103m sau khi \u0111i\u1ec1u tr\u1ecb. Cho nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe bi\u1ebft v\u1ec1 c\u00e1c tri\u1ec7u ch\u1ee9ng, bao g\u1ed3m c\u1ea3 nh\u1eefng tri\u1ec7u ch\u1ee9ng m\u1edbi ho\u1eb7c nh\u1eefng thay \u0111\u1ed5i c\u1ee7a c\u00e1c tri\u1ec7u ch\u1ee9ng hi\u1ec7n c\u00f3.<\/p>\n<p>Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 t\u00ecnh d\u1ee5c c\u00f3 th\u1ec3 x\u1ea3y ra:<\/p>\n<ul>\n<li>Suy gi\u1ea3m ho\u1eb7c m\u1ea5t ham mu\u1ed1n t\u00ecnh d\u1ee5c<\/li>\n<li>Kh\u00f4ng \u0111\u1ea1t \u0111\u01b0\u1ee3c ho\u1eb7c kh\u00f4ng duy tr\u00ec \u0111\u01b0\u1ee3c h\u01b0ng ph\u1ea5n<\/li>\n<li>Thi\u1ebfu ho\u1eb7c kh\u00f4ng c\u00f3 ch\u1ea5t b\u00f4i tr\u01a1n \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9<\/li>\n<li>Kh\u00f3 kh\u0103n ho\u1eb7c kh\u00f4ng th\u1ec3 \u0111\u1ea1t c\u1ef1c kho\u00e1i<\/li>\n<li>\u0110au khi quan h\u1ec7<\/li>\n<li>\u0110au ho\u1eb7c t\u00ea \u1edf b\u1ed9 ph\u1eadn sinh d\u1ee5c<\/li>\n<\/ul>\n<h2><strong>Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c<\/strong><\/h2>\n<p>Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb d\u01b0\u1edbi \u0111\u00e2y th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng tr\u1ef1c ti\u1ebfp ho\u1eb7c gi\u00e1n ti\u1ebfp \u0111\u1ebfn s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c \u1edf ph\u1ee5 n\u1eef:<\/p>\n<p><strong>X\u1ea1 tr\u1ecb.<\/strong> T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a x\u1ea1 tr\u1ecb th\u01b0\u1eddng g\u00e2y gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c. Ch\u00fang c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Bu\u1ed3n n\u00f4n<\/li>\n<li>N\u00f4n<\/li>\n<li>Ti\u00eau ch\u1ea3y<\/li>\n<\/ul>\n<p>Li\u1ec7u ph\u00e1p x\u1ea1 tr\u1ecb v\u00f9ng khung ch\u1eadu c\u00f3 th\u1ec3 g\u00e2y kh\u00f4, \u0111au nh\u1ee9c \u00e2m \u0111\u1ea1o. Nh\u1eefng t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y c\u00f3 th\u1ec3 k\u00e9o d\u00e0i m\u1ed9t v\u00e0i tu\u1ea7n sau \u0111i\u1ec1u tr\u1ecb. C\u0169ng c\u00f3 th\u1ec3 c\u00f3 h\u00ecnh th\u00e0nh m\u00f4 s\u1eb9o l\u00e0m thu h\u1eb9p ho\u1eb7c co r\u00fat \u00e2m \u0111\u1ea1o. Nh\u1eefng thay \u0111\u1ed5i nh\u01b0 v\u1eady g\u00e2y \u0111au \u0111\u1edbn khi b\u1ea1n t\u00ecnh th\u00e2m nh\u1eadp ho\u1eb7c th\u1eadm ch\u00ed kh\u00f4ng th\u00e2m nh\u1eadp \u0111\u01b0\u1ee3c.<\/p>\n<p>Chu k\u1ef3 kinh nguy\u1ec7t c\u00f3 th\u1ec3 \u0111\u1ed9t ng\u1ed9t d\u1eebng l\u1ea1i \u0111\u1ed1i v\u1edbi nh\u1eefng ph\u1ee5 n\u1eef ch\u01b0a \u0111\u1ebfn tu\u1ed5i <a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/physical-emotional-and-social-effects-cancer\/managing-physical-side-effects\/menopausal-symptoms-women\">m\u00e3n kinh<\/a>. \u0110\u00e2y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 m\u00e3n kinh s\u1edbm. N\u00f3 c\u00f3 th\u1ec3 bao g\u1ed3m c\u00e1c tri\u1ec7u ch\u1ee9ng d\u01b0\u1edbi \u0111\u00e2y, c\u00f3 th\u1ec3 g\u00f3p ph\u1ea7n l\u00e0m \u0111au khi quan h\u1ec7:<\/p>\n<ul>\n<li>Gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c<\/li>\n<li>Kh\u00f4 \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9<\/li>\n<li>Ng\u1ee9a \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9<\/li>\n<li>K\u00edch th\u00edch \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9<\/li>\n<\/ul>\n<p><strong>H\u00f3a tr\u1ecb.<\/strong> T\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a h\u00f3a tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ham mu\u1ed1n t\u00ecnh d\u1ee5c v\u00e0 h\u00ecnh \u1ea3nh b\u1ea3n th\u00e2n. Ch\u00fang c\u00f3 th\u1ec3 bao g\u1ed3m:<\/p>\n<ul>\n<li>T\u0103ng ho\u1eb7c gi\u1ea3m c\u00e2n<\/li>\n<li>Bu\u1ed3n n\u00f4n<\/li>\n<li>N\u00f4n<\/li>\n<li>Ti\u00eau ch\u1ea3y<\/li>\n<\/ul>\n<p>C\u00e1c lo\u1ea1i h\u00f3a tr\u1ecb \u0111\u01b0\u1ee3c ti\u00eam v\u00e0o v\u00f9ng khung ch\u1eadu ho\u1eb7c b\u00e0ng quang c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 g\u00e2y \u0111au khi quan h\u1ec7 cho \u0111\u1ebfn l\u00fac c\u01a1 th\u1ec3 l\u00e0nh l\u1ea1i.<\/p>\n<p>\u0110\u1ed3ng th\u1eddi, ph\u1ee5 n\u1eef tr\u1ebb c\u00f3 nguy c\u01a1 m\u1ea5t ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng \u0111\u1ed9t ng\u1ed9t. T\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y c\u00f3 th\u1ec3 l\u00e0 t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/p>\n<p><strong>C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c.<\/strong> C\u00e1c lo\u1ea1i thu\u1ed1c kh\u00e1c ngo\u00e0i h\u00f3a tr\u1ecb li\u1ec7u c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m h\u1ee9ng th\u00fa ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c. Ch\u00fang bao g\u1ed3m m\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c gi\u1ea3m \u0111au ho\u1eb7c thu\u1ed1c ch\u1ed1ng tr\u1ea7m c\u1ea3m.<\/p>\n<p><strong>Ph\u1eabu thu\u1eadt ph\u1ee5 khoa.<\/strong> Ph\u1eabu thu\u1eadt tr\u00ean c\u00e1c c\u01a1 quan sinh s\u1ea3n c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn chi\u1ec1u d\u00e0i c\u1ee7a \u00e2m \u0111\u1ea1o, d\u00e2y th\u1ea7n kinh, c\u01a1 v\u00e0 s\u1ef1 c\u1ea5p m\u00e1u. Ph\u1eabu thu\u1eadt c\u0169ng c\u00f3 th\u1ec3 g\u00e2y h\u1eb9p \u00e2m \u0111\u1ea1o ho\u1eb7c g\u00e2y \u0111au v\u00f9ng ch\u1eadu m\u00e3n t\u00ednh. Nh\u1eefng thay \u0111\u1ed5i n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c. Ph\u1ee5 n\u1eef ch\u01b0a \u0111\u1ebfn tu\u1ed5i m\u00e3n kinh s\u1ebd tr\u1ea3i qua th\u1eddi k\u1ef3 m\u00e3n kinh s\u1edbm khi c\u1ea3 hai bu\u1ed3ng tr\u1ee9ng b\u1ecb c\u1eaft b\u1ecf.<\/p>\n<p><strong>Ph\u1eabu thu\u1eadt \u0111\u1ea1i tr\u1ef1c tr\u00e0ng ho\u1eb7c b\u00e0ng quang.<\/strong> \u0110\u00f4i khi b\u1ec7nh nh\u00e2n c\u1ea7n ph\u1ea3i ph\u1eabu thu\u1eadt lo\u1ea1i b\u1ecf m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 \u0111\u1ea1i tr\u00e0ng, tr\u1ef1c tr\u00e0ng ho\u1eb7c b\u00e0ng quang. Vi\u1ec7c c\u1eaft b\u1ecf n\u00e0y c\u00f3 th\u1ec3 y\u00eau c\u1ea7u ph\u1ea3i l\u00e0m h\u1eadu m\u00f4n nh\u00e2n t\u1ea1o ho\u1eb7c l\u1ed7 ti\u1ec3u nh\u00e2n t\u1ea1o sau \u0111\u00f3. <a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/how-cancer-treated\/surgery\/types-ostomy\/colostomy\">H\u1eadu m\u00f4n nh\u00e2n t\u1ea1o<\/a> l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt m\u1edf m\u1ed9t l\u1ed7 tr\u00ean b\u1ec1 m\u1eb7t c\u01a1 th\u1ec3 \u0111\u1ec3 \u0111\u01b0a ph\u00e2n ra ngo\u00e0i. L\u1ed7 ti\u1ec3u nh\u00e2n t\u1ea1o l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt m\u1edf \u0111\u01b0\u1eddng \u0111\u01b0a n\u01b0\u1edbc ti\u1ec3u ra kh\u1ecfi c\u01a1 th\u1ec3. C\u1ea3 hai ph\u1eabu thu\u1eadt tr\u00ean c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ednh d\u1ee5c v\u00e0 ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c.<\/p>\n<p><strong>Ph\u1eabu thu\u1eadt ung th\u01b0 v\u00fa.<\/strong> M\u1ea5t m\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 v\u00fa c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u00ecnh \u1ea3nh c\u01a1 th\u1ec3. Ngo\u00e0i ra, ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 l\u00e0m bi\u1ebfn \u0111\u1ed5i ho\u1eb7c m\u1ea5t ho\u00e0n to\u00e0n c\u1ea3m gi\u00e1c c\u1ee7a v\u00fa.<\/p>\n<p><strong>Li\u1ec7u ph\u00e1p hormone ho\u1eb7c n\u1ed9i ti\u1ebft.<\/strong> Ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1ng estrogen c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c tri\u1ec7u ch\u1ee9ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 khi m\u00e3n kinh. Bao g\u1ed3m:<\/p>\n<ul>\n<li>N\u00f3ng b\u1eebng<\/li>\n<li>Kh\u00f4 \u00e2m \u0111\u1ea1o v\u00e0 \u00e2m h\u1ed9<\/li>\n<li>\u0110au khi giao h\u1ee3p v\u00e0 g\u1ea7n g\u0169i t\u00ecnh d\u1ee5c<\/li>\n<li>Gi\u1ea3m ham mu\u1ed1n t\u00ecnh d\u1ee5c<\/li>\n<\/ul>\n<h2><strong>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 c\u1ea3m x\u00fac v\u00e0 t\u00ecnh d\u1ee5c<\/strong><\/h2>\n<p>S\u1ee9c kh\u1ecfe t\u00e2m tr\u00ed \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong t\u00ecnh d\u1ee5c. C\u00f3 nhi\u1ec1u <a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/managing-emotions\" target=\"_blank\" rel=\"noopener\">c\u1ea3m x\u00fac<\/a> v\u00e0 t\u00ecnh tr\u1ea1ng li\u00ean quan \u0111\u1ebfn c\u0103n b\u1ec7nh ung th\u01b0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c, nh\u01b0:<\/p>\n<ul>\n<li><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/videos\/young-adults-cancer\/fear-recurrence\" target=\"_blank\" rel=\"noopener\">S\u1ee3 t\u00e1i ph\u00e1t<\/a>, ngh\u0129a l\u00e0 s\u1ef1 tr\u1edf l\u1ea1i c\u1ee7a b\u1ec7nh ung th\u01b0<\/li>\n<li>C\u1ea3m gi\u00e1c b\u1ea5t l\u1ef1c, bu\u1ed3n b\u00e3 hay th\u1ea5t v\u1ecdng<\/li>\n<li>C\u1ea3m th\u1ea5y ti\u00eau c\u1ef1c v\u1ec1 s\u1ef1 thay \u0111\u1ed5i c\u1ee7a c\u01a1 th\u1ec3<\/li>\n<li><a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/managing-emotions\/managing-stress\" target=\"_blank\" rel=\"noopener\">C\u0103ng th\u1eb3ng<\/a><\/li>\n<li><a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/managing-emotions\/depression\" target=\"_blank\" rel=\"noopener\">Sa s\u00fat tinh th\u1ea7n<\/a><\/li>\n<li><a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/managing-emotions\/anxiety\" target=\"_blank\" rel=\"noopener\">Lo \u00e2u<\/a><\/li>\n<li>Xung \u0111\u1ed9t trong m\u1ed1i quan h\u1ec7 ho\u1eb7c thi\u1ebfu s\u1ef1 giao ti\u1ebfp<\/li>\n<\/ul>\n<p>Ngay c\u1ea3 b\u1ea1n t\u00ecnh c\u0169ng c\u00f3 th\u1ec3 tr\u1ea3i qua nh\u1eefng th\u00e1ch th\u1ee9c s\u1ee9c kh\u1ecfe tinh th\u1ea7n nh\u01b0 tr\u00ean. Vi\u1ec7c <a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/talking-with-family-and-friends\/talking-about-cancer\/talking-with-your-spouse-or-partner-about-cancer\" target=\"_blank\" rel=\"noopener\">th\u1ea3o lu\u1eadn v\u1ec1 t\u00ecnh d\u1ee5c v\u00e0 s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c v\u1edbi b\u1ea1n t\u00ecnh<\/a> v\u00e0 chia s\u1ebb b\u1ea5t k\u1ef3 r\u00e0o c\u1ea3n n\u00e0o \u0111\u1ed1i v\u1edbi s\u1ef1 th\u00e2n m\u1eadt l\u00e0 r\u1ea5t quan tr\u1ecdng.<\/p>\n<h2><strong>Ki\u1ec3m so\u00e1t c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5<\/strong><\/h2>\n<p>Gi\u1ea3m nh\u1eb9 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn t\u00ecnh d\u1ee5c l\u00e0 m\u1ed9t ph\u1ea7n quan tr\u1ecdng trong ch\u0103m s\u00f3c ung th\u01b0. Nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 \u0111\u1ec1 xu\u1ea5t nhi\u1ec1u c\u00e1ch gi\u00fap qu\u1ea3n l\u00fd c\u00e1c tri\u1ec7u ch\u1ee9ng. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 v\u00ed d\u1ee5:<\/p>\n<p><strong>Kem d\u01b0\u1ee1ng \u1ea9m \u00e2m \u0111\u1ea1o.<\/strong> Nh\u1eefng s\u1ea3n ph\u1ea9m n\u00e0y kh\u00f4ng c\u00f3 n\u1ed9i ti\u1ebft t\u1ed1, kh\u00f4ng c\u1ea7n k\u00ea \u0111\u01a1n. Ch\u00fang cung c\u1ea5p \u0111\u1ed9 \u1ea9m cho \u00e2m \u0111\u1ea1o v\u00e0 c\u0169ng c\u00f3 th\u1ec3 d\u00f9ng cho c\u1ea3 \u00e2m h\u1ed9. \u0110i\u1ec1u n\u00e0y c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe \u00e2m \u0111\u1ea1o v\u00e0\/ho\u1eb7c \u00e2m h\u1ed9, gi\u00fap b\u1ea1n tho\u1ea3i m\u00e1i trong ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c. N\u00ean s\u1eed d\u1ee5ng 3 \u0111\u1ebfn 5 l\u1ea7n m\u1ed7i tu\u1ea7n. \u0110\u1ec3 h\u1ea5p thu t\u1ed1t nh\u1ea5t, h\u00e3y s\u1eed d\u1ee5ng ch\u00fang v\u00e0o l\u00fac l\u00ean gi\u01b0\u1eddng \u0111i ng\u1ee7.<\/p>\n<p><strong>Ch\u1ea5t b\u00f4i tr\u01a1n \u00e2m \u0111\u1ea1o.<\/strong> \u0110\u00e2y l\u00e0 nh\u1eefng s\u1ea3n ph\u1ea9m c\u00f3 g\u1ed1c n\u01b0\u1edbc, silicon, ho\u1eb7c d\u1ea7u. Ch\u00fang l\u00e0m gi\u1ea3m ma s\u00e1t \u00e2m \u0111\u1ea1o \u0111\u1ec3 t\u0103ng tho\u1ea3i m\u00e1i v\u00e0 kho\u00e1i c\u1ea3m khi ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c.<\/p>\n<p><strong>V\u1eadt l\u00fd tr\u1ecb li\u1ec7u s\u00e0n ch\u1eadu.<\/strong> Tr\u1ecb li\u1ec7u n\u00e0y d\u00e0nh cho ph\u1ee5 n\u1eef c\u00f3 c\u01a1 s\u00e0n ch\u1eadu co qu\u00e1 ch\u1eb7t ho\u1eb7c qu\u00e1 y\u1ebfu. C\u00e1c b\u00e0i t\u1eadp th\u00fac \u0111\u1ea9y gi\u00e3n c\u01a1 v\u00e0 t\u0103ng s\u1ef1 v\u1eefng ch\u1eafc c\u01a1 b\u1eafp. Do \u0111\u00f3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap gi\u1ea3m \u0111au khi quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/p>\n<p><strong>Thi\u1ebft b\u1ecb gi\u00fap gi\u00e3n \u00e2m \u0111\u1ea1o (vaginal dilators).<\/strong> Nh\u1eefng thi\u1ebft b\u1ecb n\u00e0y k\u00e9o d\u00e0i \u00e2m \u0111\u1ea1o v\u00e0 gi\u1ea3m \u0111\u1ed9 ch\u1eb7t. N\u00f3 gi\u00fap nh\u1eefng ph\u1ee5 n\u1eef b\u1ecb \u0111au khi quan h\u1ec7 c\u1ea3m th\u1ea5y tho\u1ea3i m\u00e1i h\u01a1n. Thi\u1ebft b\u1ecb gi\u00e3n \u00e2m \u0111\u1ea1o c\u00f3 nhi\u1ec1u \u0111\u01b0\u1eddng k\u00ednh (chi\u1ec1u r\u1ed9ng) kh\u00e1c nhau. B\u1ea1n c\u00f3 th\u1ec3 t\u0103ng k\u00edch th\u01b0\u1edbc s\u1eed d\u1ee5ng khi c\u1ea3m th\u1ea5y \u00e2m \u0111\u1ea1o \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n. Thi\u1ebft b\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi c\u00e1c b\u00e0i t\u1eadp v\u1eadt l\u00ed tr\u1ecb li\u1ec7u s\u00e0n ch\u1eadu. M\u00e1y rung c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng nh\u01b0 m\u1ed9t thi\u1ebft b\u1ecb gi\u00e3n \u00e2m \u0111\u1ea1o, h\u01a1n n\u1eefa c\u00f2n gi\u00fap c\u1ea3i thi\u1ec7n d\u00f2ng m\u00e1u.<\/p>\n<p><strong>Estrogen \u0111\u1eb7t \u00e2m \u0111\u1ea1o li\u1ec1u th\u1ea5p.<\/strong> \u0110\u1eb7t v\u00f2ng estrogen, thoa kem ho\u1eb7c d\u00f9ng thu\u1ed1c d\u1ea1ng vi\u00ean gi\u00fap cung c\u1ea5p estrogen cho \u00e2m \u0111\u1ea1o. Estrogen gi\u00fap ph\u1ee5c h\u1ed3i s\u1ee9c kh\u1ecfe \u00e2m \u0111\u1ea1o v\u00e0 l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn n\u1ebfu ch\u1ea5t d\u01b0\u1ee1ng \u1ea9m kh\u00f4ng ch\u1ee9a n\u1ed9i ti\u1ebft t\u1ed1 v\u00e0 ch\u1ea5t b\u00f4i tr\u01a1n kh\u00f4ng hi\u1ec7u qu\u1ea3. H\u00e3y h\u1ecfi nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ee7a b\u1ea1n nh\u1eefng lo\u1ea1i thu\u1ed1c n\u00e0y c\u00f3 ph\u00f9 h\u1ee3p v\u1edbi b\u1ea1n hay kh\u00f4ng.<\/p>\n<p><strong>Didehydroepiandrosterone ti\u00eam \u00e2m \u0111\u1ea1o (DHEA).<\/strong> Ph\u01b0\u01a1ng ph\u00e1p n\u00e0y gi\u00fap \u0111i\u1ec1u tr\u1ecb \u0111au ho\u1eb7c kh\u00f4 \u00e2m \u0111\u1ea1o m\u00e0 kh\u00f4ng l\u00e0m t\u0103ng n\u1ed3ng \u0111\u1ed9 estrogen. \u0110\u00e2y l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn t\u1ed1t cho ph\u1ee5 n\u1eef m\u1eafc nh\u1eefng d\u1ea1ng ung th\u01b0 nh\u1ea1y c\u1ea3m v\u1edbi estrogen.<\/p>\n<p><strong>Lidocain \u00e2m \u0111\u1ea1o<\/strong>. D\u00f9ng lidocain \u1edf l\u1ed7 ngo\u00e0i \u00e2m \u0111\u1ea1o ngay tr\u01b0\u1edbc khi ho\u1ea1t \u0111\u1ed9ng t\u00ecnh d\u1ee5c gi\u00fap gi\u1ea3m \u0111au v\u00e0 t\u0103ng tho\u1ea3 m\u00e3n.<\/p>\n<p><strong>Thay th\u1ebf hoocmon.<\/strong> \u0110\u00e2y l\u00e0 c\u00e1ch hi\u1ec7u qu\u1ea3 nh\u1ea5t \u0111\u1ec3 qu\u1ea3n l\u00fd c\u00e1c c\u01a1n n\u00f3ng b\u1eebng \u0111\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef. Tuy nhi\u00ean, nh\u1eefng ai \u0111ang m\u1eafc ung th\u01b0 ph\u1ea3i \u0111i\u1ec1u tr\u1ecb v\u1edbi hormone ho\u1eb7c li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft c\u00f3 th\u1ec3 kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi li\u1ec7u ph\u00e1p thay th\u1ebf hormone. V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p n\u00e0y, c\u00e1c lo\u1ea1i thu\u1ed1c nh\u01b0 paroxetine (nhi\u1ec1u t\u00ean th\u01b0\u01a1ng m\u1ea1i), venlafaxine (Effexor<sup>\u00ae<\/sup>), gabapentin (Neurontin<sup>\u00ae<\/sup>) v\u00e0 clonidine (Catapres<sup>\u00ae<\/sup>, Kapvay<sup>\u00ae<\/sup>) c\u0169ng c\u00f3 th\u1ec3 gi\u00fap ch\u1eefa c\u00e1c c\u01a1n n\u00f3ng b\u1eebng. Tuy nhi\u00ean, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 nh\u1eefng l\u1ef1a ch\u1ecdn n\u00e0y. H\u00e3y h\u1ecfi v\u1ec1 nh\u1eefng r\u1ee7i ro v\u00e0 l\u1ee3i \u00edch mang l\u1ea1i.<\/p>\n<p>Th\u01b0\u1eddng th\u00ec c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb tr\u00ean \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi nhau \u0111\u1ec3 c\u1ea3i thi\u1ec7n s\u1ef1 tho\u1ea3i m\u00e1i v\u00e0 kho\u00e1i c\u1ea3m t\u00ecnh d\u1ee5c.<\/p>\n<p>Ngo\u00e0i ra, nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n gi\u1ea3i quy\u1ebft c\u00e1c \u1ea3nh h\u01b0\u1edfng c\u1ee7a s\u1ee9c kh\u1ecfe t\u00e2m tr\u00ed l\u00ean kh\u1ea3 n\u0103ng t\u00ecnh d\u1ee5c. <a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/finding-social-support-and-information\/online-communities-support\" target=\"_blank\" rel=\"noopener\">Nh\u1eefng ngu\u1ed3n h\u1ed7 tr\u1ee3<\/a> c\u00f3 th\u1ec3 g\u1ed3m:<\/p>\n<ul>\n<li>Gi\u00e1o d\u1ee5c<\/li>\n<li><a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/finding-social-support-and-information\/counseling\" target=\"_blank\" rel=\"noopener\">T\u01b0 v\u1ea5n<\/a><\/li>\n<li><a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/finding-support-and-information\/support-groups\" target=\"_blank\" rel=\"noopener\">C\u00e1c nh\u00f3m h\u1ed7 tr\u1ee3<\/a><\/li>\n<li>Gi\u1edbi thi\u1ec7u b\u1ea1n v\u1edbi c\u00e1c ngu\u1ed3n l\u1ef1c c\u1ed9ng \u0111\u1ed3ng<\/li>\n<\/ul>\n<p>Th\u00f4ng tin n\u00e0y d\u1ef1a tr\u00ean c\u00e1c khuy\u1ebfn c\u00e1o c\u1ee7a ASCO v\u1ec1 <a href=\"https:\/\/www.asco.org\/practice-guidelines\/quality-guidelines\/guidelines\/patient-and-survivor-care#\/28976\" target=\"_blank\" rel=\"noopener\">gi\u1ea3i quy\u1ebft c\u00e1c v\u1ea5n \u0111\u1ec1 t\u00ecnh d\u1ee5c \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ung th\u01b0<\/a>. Xin l\u01b0u \u00fd r\u1eb1ng li\u00ean k\u1ebft n\u00e0y s\u1ebd \u0111\u01b0a b\u1ea1n \u0111\u1ebfn m\u1ed9t trang web ASCO.<\/p>\n<h2><strong>C\u00e1c ngu\u1ed3n li\u00ean quan<\/strong><\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/dating-sex-and-reproduction\/sexual-health-and-cancer-treatment-women\" target=\"_blank\" rel=\"noopener\">H\u1eb9n h\u00f2, T\u00ecnh d\u1ee5c v\u00e0 Sinh s\u1ea3n<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/dating-sex-and-reproduction\/sexual-health-and-cancer-treatment-women\" target=\"_blank\" rel=\"noopener\">N\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 s\u1ee9c kh\u1ecfe t\u00ecnh d\u1ee5c<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/navigating-cancer-care\/videos\/young-adults-cancer\/dating-and-sexuality\" target=\"_blank\" rel=\"noopener\">Video th\u00eam \u0111\u1ed9ng l\u1ef1c: H\u1eb9n h\u00f2 v\u00e0 t\u00ecnh d\u1ee5c<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/physical-emotional-and-social-effects-cancer\/managing-physical-side-effects\/menopausal-symptoms-women\" target=\"_blank\" rel=\"noopener\">T\u00e1c d\u1ee5ng ph\u1ee5<\/a><\/p>\n<h2><strong>Th\u00f4ng tin th\u00eam<\/strong><\/h2>\n<p><a href=\"https:\/\/www.aasect.org\/referral-directory\" target=\"_blank\" rel=\"noopener\">Hi\u1ec7p h\u1ed9i c\u00e1c nh\u00e0 Gi\u00e1o d\u1ee5c, C\u1ed1 v\u1ea5n v\u00e0 Tr\u1ecb li\u1ec7u T\u00ecnh d\u1ee5c Hoa K\u1ef3: T\u00ecm ki\u1ebfm m\u1ed9t chuy\u00ean gia<\/a><\/p>\n<p><a href=\"https:\/\/www1.statusplus.net\/sp\/isswsh\/find-a-provider\/\" target=\"_blank\" rel=\"noopener\">Hi\u1ec7p h\u1ed9i qu\u1ed1c t\u1ebf v\u1ec1 Nghi\u00ean c\u1ee9u Ph\u1ee5 n\u1eef v\u1ec1 S\u1ee9c kh\u1ecfe T\u00ecnh d\u1ee5c: T\u00ecm ki\u1ebfm nh\u00e0 cung c\u1ea5p<\/a><\/p>\n<p><a href=\"https:\/\/www.livestrong.org\/we-can-help\/finishing-treatment\/female-sexual-health-after-cancer\" target=\"_blank\" rel=\"noopener\">S\u1ed1ng kho\u1ebb: S\u1ee9c kh\u1ecfe T\u00ecnh d\u1ee5c Ph\u1ee5 n\u1eef sau Ung th\u01b0<\/a><\/p>\n<p><a href=\"https:\/\/ptl.womenshealthapta.org\/\" target=\"_blank\" rel=\"noopener\">Hi\u1ec7p h\u1ed9i V\u1eadt l\u00fd tr\u1ecb li\u1ec7u S\u1ee9c kh\u1ecfe Ph\u1ee5 n\u1eef M\u1ef9: T\u00ecm ki\u1ebfm m\u1ed9t Nh\u00e0 V\u1eadt l\u00fd tr\u1ecb li\u1ec7u<\/a><\/p>\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\/sexual-health-and-cancer-treatment-women\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/navigating-cancer-care\/dating-sex-and-reproduction\/sexual-health-and-cancer-treatment-women<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i v\u1ec1 th\u1ec3 ch\u1ea5t c\u0169ng nh\u01b0 tinh th\u1ea7n, bao g\u1ed3m c\u1ea3 \u0111\u1eddi s\u1ed1ng t\u00ecnh d\u1ee5c, nh\u1eefng thay \u0111\u1ed5i n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u201ct\u00e1c d\u1ee5ng ph\u1ee5 \u0111\u1ed1i v\u1edbi t\u00ecnh d\u1ee5c\u201d.<\/p>\n","protected":false},"author":373,"featured_media":5342,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3168],"tags":[3169,2476],"series":[2015,2016],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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