{"id":8337,"date":"2019-12-10T23:23:30","date_gmt":"2019-12-10T16:23:30","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/thongtin-moi-quan-tam-ve-bao-ton-kha-nang-sinh-san-o-nam-gioi\/"},"modified":"2019-12-10T23:23:30","modified_gmt":"2019-12-10T16:23:30","slug":"thongtin-moi-quan-tam-ve-bao-ton-kha-nang-sinh-san-o-nam-gioi","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/thongtin-moi-quan-tam-ve-bao-ton-kha-nang-sinh-san-o-nam-gioi\/","title":{"rendered":"M\u1ed1i quan t\u00e2m v\u1ec1 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf nam gi\u1edbi"},"content":{"rendered":"<p style=\"text-align: right\"><strong><em>Ng\u01b0\u1eddi d\u1ecbch: \u0110inh Th\u1ecb Kh\u00e1nh Huy\u1ec1n<\/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 04\/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.\u00a0 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>\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<\/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>Th\u00f4ng qua t\u1ed5n h\u1ea1i \u0111\u1ebfn c\u00e1c tuy\u1ebfn n\u1ed9i ti\u1ebft ho\u1eb7c c\u00e1c c\u01a1 quan li\u00ean quan \u0111\u1ebfn n\u1ed9i ti\u1ebft.\u00a0Ch\u00fang bao g\u1ed3m tinh ho\u00e0n, tuy\u1ebfn gi\u00e1p v\u00e0 tuy\u1ebfn th\u01b0\u1ee3ng th\u1eadn.\u00a0\u0110\u00e2y l\u00e0 c\u00e1c tuy\u1ebfn gi\u1ea3i ph\u00f3ng hormone k\u00edch th\u00edch d\u1eady th\u00ec v\u00e0 ki\u1ec3m so\u00e1t kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/li>\n<li>Th\u00f4ng qua nh\u1eefng thay \u0111\u1ed5i trong ph\u1ea7n n\u00e3o \u0111i\u1ec1u khi\u1ec3n h\u1ec7 th\u1ed1ng n\u1ed9i ti\u1ebft<\/li>\n<\/ul>\n<p>C\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 sinh s\u1ea3n c\u00f3 th\u1ec3 x\u1ea3y ra do nh\u1eefng \u0111i\u1ec1u sau \u0111\u00e2y:<\/p>\n<ul>\n<li>L\u00e0m h\u1ecfng tinh tr\u00f9ng<\/li>\n<li>Gi\u1ea3m s\u1ea3n xu\u1ea5t tinh tr\u00f9ng<\/li>\n<li>Gi\u1ea3m s\u1ea3n xu\u1ea5t tinh d\u1ecbch ho\u1eb7c kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t tinh d\u1ecbch.\u00a0Tinh d\u1ecbch l\u00e0 ch\u1ea5t l\u1ecfng \u0111\u01b0\u1ee3c t\u1ea1o ra trong tuy\u1ebfn ti\u1ec1n li\u1ec7t.\u00a0Tinh d\u1ecbch mang tinh tr\u00f9ng trong quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/li>\n<\/ul>\n<h2>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<\/h2>\n<p>Nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 sau \u0111\u00e3 \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u1ebfn c\u00f3 th\u1ec3 g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 li\u00ean quan \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n:<\/p>\n<p><strong>H\u00f3a tr\u1ecb:<\/strong>\u00a0H\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>Cisplatin (Platinol)<\/li>\n<li>Cyclophosphamide (Neosar)<\/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>\u00a0B\u1ee9c x\u1ea1 c\u00f3 th\u1ec3 gi\u1ebft ch\u1ebft c\u00e1c t\u1ebf b\u00e0o tinh tr\u00f9ng v\u00e0 t\u1ebf b\u00e0o g\u1ed1c t\u1ea1o ra tinh tr\u00f9ng.<\/p>\n<p>Nh\u1eefng lo\u1ea1i x\u1ea1 tr\u1ecb sau c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n:<\/p>\n<ul>\n<li>X\u1ea1 tr\u1ecb to\u00e0n b\u1ed9 c\u01a1 th\u1ec3 \u0111\u1ec3 c\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng<\/li>\n<li>X\u1ea1 tr\u1ecb h\u01b0\u1edbng v\u00e0o ph\u1ea7n gi\u1eefa c\u01a1 th\u1ec3, bao g\u1ed3m b\u1ee5ng, x\u01b0\u01a1ng ch\u1eadu, ph\u1ea7n d\u01b0\u1edbi c\u1ed9t s\u1ed1ng v\u00e0 tinh ho\u00e0n.<\/li>\n<li>X\u1ea1 tr\u1ecb \u0111\u1ebfn tuy\u1ebfn y\u00ean trong n\u00e3o<\/li>\n<\/ul>\n<p><strong>Ph\u1eabu thu\u1eadt:\u00a0<\/strong>Ph\u1eabu thu\u1eadt c\u1eaft b\u1ecf c\u00e1c 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>Tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/li>\n<li>B\u00e0ng quang<\/li>\n<li>M\u1ed9t tinh ho\u00e0n ho\u1eb7c c\u1ea3 hai tinh ho\u00e0n<\/li>\n<\/ul>\n<p>Ngo\u00e0i ra, ph\u1eabu thu\u1eadt \u0111\u1ec3 lo\u1ea1i b\u1ecf c\u00e1c h\u1ea1ch b\u1ea1ch huy\u1ebft v\u00f9ng ch\u1eadu c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<h2>S\u1ef1 thay \u0111\u1ed5i kh\u1ea3 n\u0103ng sinh s\u1ea3n trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0<\/h2>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 nam gi\u1edbi, \u0111i\u1ec1u tr\u1ecb ung th\u01b0 d\u1eabn \u0111\u1ebfn v\u00f4 sinh v\u0129nh vi\u1ec5n.\u00a0\u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c, vi\u1ec7c \u0111i\u1ec1u tr\u1ecb d\u1eebng ho\u1eb7c l\u00e0m ch\u1eadm kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t tinh tr\u00f9ng trong nhi\u1ec1u n\u0103m.\u00a0Sau \u0111\u00f3, kh\u1ea3 n\u0103ng n\u00e0y c\u00f3 th\u1ec3 tr\u1edf l\u1ea1i, m\u1eb7c d\u00f9 c\u00f3 th\u1ec3 kh\u00f4ng gi\u1ed1ng nh\u01b0 tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n<p>C\u00e1c y\u1ebfu t\u1ed1 li\u00ean quan \u0111\u1ebfn vi\u1ec7c l\u00e0m t\u0103ng nguy c\u01a1 c\u1ee7a c\u00e1c v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n:<\/p>\n<ul>\n<li>Nh\u1eadn li\u1ec1u x\u1ea1 tr\u1ecb ho\u1eb7c h\u00f3a tr\u1ecb cao h\u01a1n<\/li>\n<li>C\u00f3 v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n t\u1eeb tr\u01b0\u1edbc<\/li>\n<li>L\u1edbn tu\u1ed5i, tr\u00ean 40 tu\u1ed5i (m\u1eb7c d\u00f9 v\u00f4 sinh do \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 x\u1ea3y ra \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i)<\/li>\n<\/ul>\n<p>Nh\u1eefng c\u1eadu b\u00e9 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc tu\u1ed5i d\u1eady th\u00ec c\u00f3 th\u1ec3 b\u1ecb t\u1ed5n th\u01b0\u01a1ng tinh tr\u00f9ng \u00edt h\u01a1n.\u00a0Tuy nhi\u00ean, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb m\u1ea1nh h\u01a1n v\u1eabn c\u00f3 th\u1ec3 g\u00e2y v\u00f4 sinh v\u0129nh vi\u1ec5n trong t\u01b0\u01a1ng lai, v\u00ed d\u1ee5 nh\u01b0 h\u00f3a tr\u1ecb li\u1ec7u cho c\u1ea5y gh\u00e9p t\u1ee7y x\u01b0\u01a1ng.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m kh\u1ea3 n\u0103ng l\u00e0m cha.\u00a0Tuy nhi\u00ean, vi\u1ec7c mang thai v\u1eabn c\u00f3 th\u1ec3 x\u1ea3y ra.\u00a0Nhi\u1ec1u b\u00e1c s\u0129 khuy\u00ean n\u00ean \u0111\u1ee3i s\u00e1u th\u00e1ng tr\u01b0\u1edbc khi c\u1ed1 g\u1eafng l\u00e0m cha.\u00a0\u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 cho ph\u00e9p tinh tr\u00f9ng \u0111\u1ee7 th\u1eddi gian \u0111\u1ec3 s\u1eeda ch\u1eefa ho\u1eb7c \u0111\u01b0\u1ee3c l\u00e0m s\u1ea1ch kh\u1ecfi c\u01a1 th\u1ec3.\u00a0H\u1ecfi b\u00e1c s\u0129 v\u1ec1 khung th\u1eddi gian t\u1ed1t nh\u1ea5t cho b\u1ea1n.<\/p>\n<h2>L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 trong v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n<\/h2>\n<p>Xem x\u00e9t g\u1eb7p m\u1eb7t b\u00e1c s\u0129 n\u1ed9i ti\u1ebft sinh s\u1ea3n.\u00a0\u0110\u00e2y l\u00e0 m\u1ed9t b\u00e1c s\u0129 chuy\u00ean v\u1ec1 c\u00e1c \u0111i\u1ec1u ki\u1ec7n \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n.\u00a0V\u00e0 m\u1ed9t s\u1ed1 b\u00e1c s\u0129 n\u1ed9i ti\u1ebft sinh s\u1ea3n chuy\u00ean v\u1ec1 c\u00e1c v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n li\u00ean quan \u0111\u1ebfn ung th\u01b0.<\/p>\n<h2>Khuy\u1ebfn ngh\u1ecb v\u1ec1 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/h2>\n<p>Hi\u1ec7p h\u1ed9i Ung th\u01b0 l\u00e2m s\u00e0ng Hoa K\u1ef3 (ASCO) khuy\u1ebfn ngh\u1ecb t\u1ea5t c\u1ea3 nam gi\u1edbi m\u1eafc b\u1ec7nh ung th\u01b0 th\u1ea3o lu\u1eadn v\u1ec1 nguy c\u01a1 v\u00f4 sinh v\u00e0 l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u1edbi b\u00e1c s\u0129 c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t, tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0.\u00a0N\u1ebfu b\u1ea1n quan t\u00e2m \u0111\u1ebfn vi\u1ec7c b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n, b\u1ea1n n\u00ean y\u00eau c\u1ea7u \u0111\u1ec3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u \u0111\u1ebfn g\u1eb7p chuy\u00ean gia v\u1ec1 sinh s\u1ea3n, ngay c\u1ea3 khi b\u1ea1n kh\u00f4ng ch\u1eafc ch\u1eafn li\u1ec7u b\u1ea1n c\u00f3 mu\u1ed1n c\u00f3 con trong t\u01b0\u01a1ng lai hay kh\u00f4ng.<\/p>\n<p>C\u00e1c l\u1ef1a ch\u1ecdn c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o m\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1:<\/p>\n<ul>\n<li>Tu\u1ed5i c\u1ee7a b\u1ea1n<\/li>\n<li>S\u1ef1 tr\u01b0\u1edfng th\u00e0nh v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 t\u00ecnh d\u1ee5c<\/li>\n<li>T\u00ecnh tr\u1ea1ng v\u1ec1 m\u1ed1i quan h\u1ec7 c\u1ee7a b\u1ea1n, ch\u1eb3ng h\u1ea1n nh\u01b0 c\u00f3 m\u1ed9t b\u1ea1n t\u00ecnh n\u1eef \u0111\u1ec3 cung c\u1ea5p tr\u1ee9ng<\/li>\n<li>C\u1ea3m nh\u1eadn c\u1ee7a b\u1ea1n v\u1ec1 c\u00e1c th\u1ee7 thu\u1eadt c\u1ee5 th\u1ec3<\/li>\n<\/ul>\n<p>C\u00e1c khuy\u1ebfn ngh\u1ecb c\u1ee7a ASCO \u0111\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n bao g\u1ed3m:<\/p>\n<p><strong>Ng\u00e2n h\u00e0ng tinh tr\u00f9ng<\/strong>: Th\u1ee7 thu\u1eadt n\u00e0y li\u00ean quan \u0111\u1ebfn vi\u1ec7c \u0111\u00f4ng l\u1ea1nh v\u00e0 l\u01b0u tr\u1eef tinh d\u1ecbch.\u00a0\u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n t\u1ed1t nh\u1ea5t tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb, v\u00ec c\u00f3 nguy c\u01a1 t\u1ed5n th\u01b0\u01a1ng di truy\u1ec1n cao h\u01a1n trong tinh tr\u00f9ng \u0111\u01b0\u1ee3c thu th\u1eadp sau khi \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 b\u1eaft \u0111\u1ea7u.\u00a0\u0110\u00e0n \u00f4ng c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng tinh d\u1ecbch sau \u0111\u00f3.\u00a0C\u00e1c l\u1ef1a ch\u1ecdn bao g\u1ed3m th\u1ee5 tinh trong t\u1eed cung v\u00e0 th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (IVF).<\/p>\n<p>V\u1edbi IVF, m\u1ed9t chuy\u00ean gia y t\u1ebf thu th\u1eadp tr\u1ee9ng c\u1ee7a ph\u1ee5 n\u1eef.\u00a0C\u00e1c tinh tr\u00f9ng \u0111\u00e3 l\u01b0u tr\u1eef tr\u01b0\u1edbc \u0111\u00f3 \u0111\u01b0\u1ee3c cho th\u1ee5 tinh v\u1edbi nh\u1eefng qu\u1ea3 tr\u1ee9ng n\u00e0y t\u1ea1i ph\u00f2ng th\u00ed nghi\u1ec7m.\u00a0Sau \u0111\u00f3, ph\u00f4i \u0111\u01b0\u1ee3c \u0111\u1eb7t trong c\u01a1 th\u1ec3 c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef \u0111\u1ec3 ph\u00e1t tri\u1ec3n.<\/p>\n<p>Ng\u00e2n h\u00e0ng tinh tr\u00f9ng l\u00e0 m\u1ed9t l\u1ef1a ch\u1ecdn cho h\u1ea7u h\u1ebft \u0111\u00e0n \u00f4ng sau tu\u1ed5i d\u1eady th\u00ec.\u00a0M\u1ed9t ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng c\u00f3 th\u1ec3 l\u00e0m cha m\u1ed9t \u0111\u1ee9a tr\u1ebb th\u1eadm ch\u00ed v\u1edbi m\u1ed9t \u00edt tinh tr\u00f9ng.\u00a0\u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n th\u00f4ng qua m\u1ed9t th\u1ee7 thu\u1eadt \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ti\u00eam tinh tr\u00f9ng v\u00e0o tr\u1ee9ng (ICSI).\u00a0Trong ICSI, m\u1ed9t tinh tr\u00f9ng \u0111\u01b0\u1ee3c ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o tr\u1ee9ng thu \u0111\u01b0\u1ee3c trong IVF.<\/p>\n<p><strong>M\u00f4 tinh ho\u00e0n \u0111\u00f4ng l\u1ea1nh<\/strong>:<strong>\u00a0<\/strong>C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u v\u1eabn \u0111ang nghi\u00ean c\u1ee9u th\u1ee7 thu\u1eadt n\u00e0y, c\u1ea7n th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0.\u00a0N\u00f3 d\u00e0nh cho nh\u1eefng c\u1eadu b\u00e9 ch\u01b0a qua tu\u1ed5i d\u1eady th\u00ec.\u00a0Th\u1ee7 thu\u1eadt li\u00ean quan \u0111\u1ebfn vi\u1ec7c c\u1eaft, \u0111\u00f4ng l\u1ea1nh v\u00e0 l\u01b0u tr\u1eef m\u00f4 tinh ho\u00e0n.\u00a0M\u00f4 n\u00e0y ch\u1ee9a c\u00e1c t\u1ebf b\u00e0o g\u1ed1c m\u00e0 sau n\u00e0y c\u00f3 th\u1ec3 tr\u1edf th\u00e0nh tinh tr\u00f9ng.\u00a0C\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u \u0111ang nghi\u00ean c\u1ee9u l\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 kh\u00f4i ph\u1ee5c kh\u1ea3 n\u0103ng s\u1ea3n xu\u1ea5t tinh tr\u00f9ng v\u1edbi m\u00f4 tinh ho\u00e0n.<\/p>\n<p><strong>Li\u1ec7u ph\u00e1p hormon<\/strong>:<strong>\u00a0<\/strong>Li\u1ec7u ph\u00e1p hormon kh\u00f4ng hi\u1ec7u qu\u1ea3 \u0111\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf nam gi\u1edbi.<\/p>\n<p>\u0110\u1ecdc th\u00eam v\u1ec1\u00a0<a href=\"https:\/\/www.asco.org\/practice-guidelines\/quality-guidelines\/guidelines\/patient-and-survivor-care#\/9661\" target=\"_blank\" rel=\"noopener\">c\u00e1c khuy\u1ebfn ngh\u1ecb c\u1ee7a ASCO \u0111\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/a>\u00a0, \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y tr\u00ean trang web c\u1ee7a ASCO.<\/p>\n<h2>B\u1ea3o v\u1ec7 kh\u1ea3 n\u0103ng sinh s\u1ea3n trong qu\u00e1 tr\u00ecnh x\u1ea1 tr\u1ecb<\/h2>\n<p>H\u1ea7u h\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb.\u00a0Tuy nhi\u00ean, n\u1ebfu b\u1ea1n \u0111ang \u0111\u01b0\u1ee3c x\u1ea1 tr\u1ecb, nh\u00f3m ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 tinh ho\u00e0n kh\u1ecfi b\u1ee9c x\u1ea1.\u00a0M\u1ee5c \u0111\u00edch l\u00e0 \u0111\u1ec3 ng\u0103n ch\u1eb7n thi\u1ec7t h\u1ea1i tinh tr\u00f9ng.\u00a0\u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 x\u1ea3y ra n\u1ebfu ung th\u01b0 n\u1eb1m \u1edf m\u1ed9t ph\u1ea7n kh\u00e1c c\u1ee7a khung ch\u1eadu.<\/p>\n<h2>\u0110\u00e1nh gi\u00e1 c\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n sinh s\u1ea3n<\/h2>\n<p>Nh\u1eefng l\u1ef1a ch\u1ecdn cho vi\u1ec7c b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n kh\u00f4ng ph\u00f9 h\u1ee3p v\u1edbi t\u1ea5t c\u1ea3 m\u1ecdi ng\u01b0\u1eddi.\u00a0H\u00e3y xem x\u00e9t c\u00e1c y\u1ebfu t\u1ed1 sau:<\/p>\n<ul>\n<li>B\u1ea3o hi\u1ec3m y t\u1ebf c\u00f3 th\u1ec3 kh\u00f4ng chi tr\u1ea3 chi ph\u00ed cho c\u00e1c th\u1ee7 thu\u1eadt b\u1ea3o t\u1ed3n sinh s\u1ea3n<\/li>\n<li>Hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00e1c th\u1ee7 thu\u1eadt b\u1ea3o t\u1ed3n kh\u00e1c nhau.<\/li>\n<li>Vi\u1ec7c b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u00f3 th\u1ec3 g\u00e2y th\u00eam c\u0103ng th\u1eb3ng cho b\u1ea1n<\/li>\n<\/ul>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c h\u01b0\u1edfng l\u1ee3i t\u1eeb vi\u1ec7c\u00a0t\u01b0 v\u1ea5n\u00a0cho c\u00e1c quy\u1ebft \u0111\u1ecbnh li\u00ean quan \u0111\u1ebfn kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<p>Truy c\u1eadp web: <a href=\"https:\/\/www.cancer.net\/coping-with-cancer\/finding-social-support-and-information\/counseling\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/coping-with-cancer\/finding-social-support-and-information\/counseling<\/a><\/p>\n<h2>C\u00e2u h\u1ecfi \u0111\u1ec3 h\u1ecfi \u0111\u1ed9i ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe<\/h2>\n<p>C\u00e2n nh\u1eafc h\u1ecfi nh\u1eefng c\u00e2u h\u1ecfi sau tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb:<\/p>\n<ul>\n<li>M\u1ed7i l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb c\u00f3 nguy c\u01a1 v\u00f4 sinh g\u00ec?<\/li>\n<li>C\u00f3 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 n\u00e0o kh\u00e1c c\u00f3 nguy c\u01a1 th\u1ea5p h\u01a1n kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 nh\u1eefng l\u1ef1a ch\u1ecdn n\u00e0o \u0111\u1ec3 b\u1ea3o v\u1ec7 kh\u1ea3 n\u0103ng sinh s\u1ea3n?<\/li>\n<li>C\u00f3 l\u1ef1a ch\u1ecdn n\u00e0o khi\u1ebfn tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb?\u00a0N\u1ebfu v\u1eady, l\u1ef1a ch\u1ecdn n\u00e0y \u1ea3nh h\u01b0\u1edfng ra sao \u0111\u1ebfn c\u01a1 h\u1ed9i ph\u1ee5c h\u1ed3i c\u1ee7a t\u00f4i?<\/li>\n<li>C\u00f3 ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n n\u00e0o khi\u1ebfn cho (c\u00e1c) ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u1ee7a t\u00f4i k\u00e9m hi\u1ec7u qu\u1ea3?<\/li>\n<li>C\u00f3 l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n n\u00e0o l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 c\u00f3 th\u1ec3 quay tr\u1edf l\u1ea1i?<\/li>\n<li>T\u00f4i c\u00f3 n\u00ean n\u00f3i chuy\u1ec7n v\u1edbi m\u1ed9t b\u00e1c s\u0129 chuy\u00ean v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb?<\/li>\n<li>C\u00f3 nh\u1eefng th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng n\u00e0o c\u00f3 s\u1eb5n?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 t\u00ecm h\u1ed7 tr\u1ee3 \u0111\u1ec3 \u0111\u1ed1i ph\u00f3 v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n \u1edf \u0111\u00e2u?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 t\u00ecm tr\u1ee3 gi\u00fap cho c\u00e1c cu\u1ed9c tr\u00f2 chuy\u1ec7n v\u1edbi \u0111\u1ed1i t\u00e1c c\u1ee7a m\u00ecnh v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf \u0111\u00e2u?<\/li>\n<li>L\u00e0m sao t\u00f4i bi\u1ebft m\u00ecnh c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0?<\/li>\n<\/ul>\n<h2>Th\u00eam th\u00f4ng tin<\/h2>\n<p><a href=\"https:\/\/www.cancer.net\/node\/25240\" 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\/node\/28071\" target=\"_blank\" rel=\"noopener\">Video truy\u1ec1n \u0111\u1ed9ng l\u1ef1c: Kh\u1ea3 n\u0103ng sinh s\u1ea3n cho thanh thi\u1ebfu ni\u00ean m\u1eafc b\u1ec7nh ung th\u01b0<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/node\/29111\" target=\"_blank\" rel=\"noopener\">C\u00f3 con sau ung th\u01b0: H\u1ed7 tr\u1ee3 sinh s\u1ea3n v\u00e0 c\u00e1c l\u1ef1a ch\u1ecdn kh\u00e1c<\/a><\/p>\n<p><a href=\"https:\/\/www.cancer.net\/node\/29101\" target=\"_blank\" rel=\"noopener\">B\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf tr\u1ebb em b\u1ecb ung th\u01b0<\/a><\/p>\n<h2>T\u00e0i li\u1ec7u b\u1ed5 sung<\/h2>\n<p><span style=\"text-decoration: underline\"><strong>Kh\u1ea3 n\u0103ng sinh s\u1ea3n cho nam gi\u1edbi<\/strong><\/span><\/p>\n<p><a href=\"https:\/\/www.livestrong.org\/we-can-help\/livestrong-fertility\" target=\"_blank\" rel=\"noopener\">https:\/\/www.livestrong.org\/we-can-help\/livestrong-fertility<\/a><\/p>\n<p><a href=\"https:\/\/www.savemyfertility.org\/\" target=\"_blank\" rel=\"noopener\">https:\/\/www.savemyfertility.org\/<\/a><\/p>\n<p><strong>H\u1ed7 tr\u1ee3 x\u00e2y d\u1ef1ng gia \u0111\u00ecnh<\/strong><\/p>\n<p><a href=\"http:\/\/www.thesamfund.org\/get-help\/resources\/family-building-support\/\" target=\"_blank\" rel=\"noopener\">http:\/\/www.thesamfund.org\/get-help\/resources\/family-building-support\/<\/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\/fertility-concerns-and-preservation-men\" target=\"_blank\" rel=\"noopener\">https:\/\/www.cancer.net\/navigating-cancer-care\/dating-sex-and-reproduction\/fertility-concerns-and-preservation-men<\/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.\u00a0<\/p>\n","protected":false},"author":62,"featured_media":5406,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3168],"tags":[2699],"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>M\u1ed1i quan t\u00e2m v\u1ec1 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf nam gi\u1edbi - 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.\u00a0\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link 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