{"id":8405,"date":"2019-12-15T05:42:41","date_gmt":"2019-12-14T22:42:41","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/danh-gia-kha-nang-sinh-san-sau-dieu-tri-ung-thu\/"},"modified":"2019-12-15T05:42:41","modified_gmt":"2019-12-14T22:42:41","slug":"danh-gia-kha-nang-sinh-san-sau-dieu-tri-ung-thu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/danh-gia-kha-nang-sinh-san-sau-dieu-tri-ung-thu\/","title":{"rendered":"\u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0"},"content":{"rendered":"

Bi\u00ean d\u1ecbch: Nguy\u1ec5n Th\u1ecb Xu\u00e2n H\u01b0\u01a1ng<\/em><\/strong><\/p>\n

Hi\u1ec7u \u0111\u00ednh: Tr\u1ea7n Th\u1ecb Kim V\u00e2n, L\u00ea H\u00e0 C\u1ea3nh Ch\u00e2u<\/a><\/strong><\/em><\/p>\n

\u0110\u01b0\u1ee3c ch\u1ea5p thu\u1eadn b\u1edfi Ban bi\u00ean t\u1eadp <\/strong>Yhoccongdong.com<\/strong><\/a>, th\u00e1ng 12\/2019<\/strong><\/p>\n

Sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0, b\u1ea1n c\u00f3 th\u1ec3 l\u00e0m m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xem kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n \u0111\u00e3 b\u1ecb \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o. \u0110i\u1ec1u \u0111\u00f3 s\u1ebd gi\u00fap chuy\u00ean gia \u0111\u1ec1 xu\u1ea5t c\u00e1c l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t \u0111\u1ec3 b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 con sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n

Tr\u01b0\u1edbc khi bi\u1ebft k\u1ebft qu\u1ea3 b\u1ea1n n\u00ean chu\u1ea9n b\u1ecb th\u1eadt t\u1ed1t v\u1ec1 th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n – c\u00f3 th\u1ec3 c\u1ea7n v\u00e0i th\u00e1ng ho\u1eb7c th\u1eadm ch\u00ed nhi\u1ec1u n\u0103m. Ng\u01b0\u1eddi y\u00eau, b\u1ea1n b\u00e8, gia \u0111\u00ecnh ho\u1eb7c \u0111\u1ed9i ng\u0169 y t\u1ebf c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 cho b\u1ea1n khi b\u1ea1n nh\u1eadn \u0111\u01b0\u1ee3c k\u1ebft qu\u1ea3.<\/p>\n

X\u00e9t nghi\u1ec7m kh\u1ea3 n\u0103ng sinh s\u1ea3n cho ph\u1ee5 n\u1eef<\/strong><\/h2>\n

Chuy\u00ean gia sinh s\u1ea3n ho\u1eb7c b\u00e1c s\u0129 n\u1ed9i ti\u1ebft sinh s\u1ea3n c\u00f3 th\u1ec3 l\u00e0m m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n sau khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

Hormon k\u00edch th\u00edch nang tr\u1ee9ng (FSH)<\/strong><\/h3>\n

X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111o \u0111\u01b0\u1ee3c n\u1ed3ng \u0111\u1ed9 hormone FSH \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 ti\u1ec1n m\u00e3n kinh. Hormone n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng t\u1eeb tuy\u1ebfn y\u00ean, k\u00edch th\u00edch c\u00e1c nang trong bu\u1ed3ng tr\u1ee9ng v\u00e0 t\u1eeb \u0111\u00f3 s\u1ebd g\u00e2y ra r\u1ee5ng tr\u1ee9ng. N\u1ed3ng \u0111\u1ed9 c\u1ee7a FSH th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111o v\u00e0o v\u00e0i ng\u00e0y \u0111\u1ea7u ti\u00ean c\u1ee7a chu k\u1ef3 kinh nguy\u1ec7t v\u00ec n\u1ed3ng \u0111\u1ed9 c\u1ee7a n\u00f3 thay \u0111\u1ed5i trong su\u1ed1t c\u1ea3 th\u00e1ng.<\/p>\n

Si\u00eau \u00e2m qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o<\/strong><\/h3>\n

M\u1ed9t \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u00e2m \u0111\u1ea1o \u0111\u1ec3 ki\u1ec3m tra c\u1ea5u tr\u00fac c\u1ee7a c\u00e1c c\u01a1 quan sinh s\u1ea3n nh\u01b0 c\u1ed5 t\u1eed cung, t\u1eed cung, \u1ed1ng d\u1eabn tr\u1ee9ng v\u00e0 bu\u1ed3ng tr\u1ee9ng.<\/p>\n

S\u1ed1 l\u01b0\u1ee3ng nang tr\u1ee9ng (AFC)<\/strong><\/h3>\n

M\u1ed9t \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u00e2m \u0111\u1ea1o \u0111\u1ec3 \u0111\u1ebfm s\u1ed1 l\u01b0\u1ee3ng nang trong bu\u1ed3ng tr\u1ee9ng. M\u1ed7i nang ch\u1ee9a m\u1ed9t qu\u1ea3 tr\u1ee9ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh.<\/p>\n

Anti-M\u00fcllerian hormone (AMH)<\/strong><\/h3>\n

X\u00e9t nghi\u1ec7m m\u00e1u n\u00e0y \u0111o AMH, m\u1ed9t lo\u1ea1i hormone \u0111\u01b0\u1ee3c ti\u1ebft ra t\u1eeb t\u00fai tr\u1ee9ng \u0111ang ph\u00e1t tri\u1ec3n (nang tr\u1ee9ng). N\u1ed3ng \u0111\u1ed9 AMH trong m\u00e1u c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef l\u00e0 \u01b0\u1edbc t\u00ednh s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng c\u00f2n l\u1ea1i trong bu\u1ed3ng tr\u1ee9ng.<\/p>\n

Th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng<\/strong><\/h3>\n

M\u1ed9t \u0111\u1ea7u d\u00f2 si\u00eau \u00e2m \u0111\u01b0\u1ee3c \u0111\u01b0a v\u00e0o \u00e2m \u0111\u1ea1o cho bi\u1ebft th\u1ec3 t\u00edch c\u1ee7a bu\u1ed3ng tr\u1ee9ng. Th\u00f4ng th\u01b0\u1eddng kho\u1ea3ng 10 mL. Nh\u1eefng ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng d\u01b0\u1edbi 4 mL th\u01b0\u1eddng g\u1eb7p kh\u00f3 kh\u0103n khi mang thai.<\/p>\n

Estrogen (oestradiol)<\/strong><\/h3>\n

L\u00e0 1 lo\u1ea1i hormone \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t b\u1edfi bu\u1ed3ng tr\u1ee9ng. \u1ede ph\u1ee5 n\u1eef, n\u1ed3ng \u0111\u1ed9 oestradiol l\u00e0 m\u1ed9t d\u1ea5u hi\u1ec7u c\u1ee7a r\u1ee5ng tr\u1ee9ng.<\/p>\n

Hormone luteinising (LH)<\/strong><\/h3>\n

X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 LH. Hormone n\u00e0y k\u00edch th\u00edch gi\u1ea3i ph\u00f3ng tr\u1ee9ng. N\u1ed3ng \u0111\u1ed9 LH cao trong m\u00e1u c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a b\u1ec7nh suy bu\u1ed3ng tr\u1ee9ng nguy\u00ean ph\u00e1t<\/a>.<\/p>\n

Ki\u1ec3m tra kh\u1ea3 n\u0103ng sinh s\u1ea3n cho nam gi\u1edbi<\/strong><\/h2>\n

Sau khi \u0111i\u1ec1u tr\u1ecb, b\u1ea1n c\u00f3 th\u1ec3 c\u01b0\u01a1ng c\u1ee9ng v\u00e0 xu\u1ea5t tinh, nh\u01b0ng \u0111i\u1ec1u n\u00e0y kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n

Hormon k\u00edch th\u00edch nang tr\u1ee9ng (FSH)<\/strong><\/h3>\n

X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111o FSH. Hormone n\u00e0y \u0111\u01b0\u1ee3c gi\u1ea3i ph\u00f3ng t\u1eeb tuy\u1ebfn y\u00ean. \u1ede nam gi\u1edbi, FSH k\u00edch th\u00edch s\u1ea3n xu\u1ea5t tinh tr\u00f9ng. N\u1ed3ng \u0111\u1ed9 FSH t\u0103ng l\u00ean trong giai \u0111o\u1ea1n d\u1eady th\u00ec v\u00e0 thay \u0111\u1ed5i su\u1ed1t c\u1ea3 ng\u00e0y.<\/p>\n

Hormone luteinising (LH) v\u00e0 testosterone<\/strong><\/h3>\n

X\u00e9t nghi\u1ec7m m\u00e1u c\u00f3 th\u1ec3 \u0111o n\u1ed3ng \u0111\u1ed9 LH v\u00e0 testosterone. LH r\u1ea5t quan tr\u1ecdng \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n, v\u00ec n\u00f3 gi\u00fap duy tr\u00ec l\u01b0\u1ee3ng testosterone t\u1eeb tinh ho\u00e0n. N\u00f3 c\u0169ng gi\u00fap s\u1ea3n xu\u1ea5t tinh tr\u00f9ng, t\u0103ng kh\u1ed1i l\u01b0\u1ee3ng c\u01a1 b\u1eafp v\u00e0 ham mu\u1ed1n t\u00ecnh d\u1ee5c.<\/p>\n

Gi\u1ed1ng nh\u01b0 nhi\u1ec1u hormone trong c\u01a1 th\u1ec3, n\u1ed3ng \u0111\u1ed9 LH v\u00e0 testosterone s\u1ebd thay \u0111\u1ed5i v\u00e0o c\u00e1c th\u1eddi \u0111i\u1ec3m kh\u00e1c nhau trong ng\u00e0y. N\u1ed3ng \u0111\u1ed9 c\u1ee7a n\u00f3 cao nh\u1ea5t v\u00e0o bu\u1ed5i s\u00e1ng, v\u00ec v\u1eady t\u1ed1t nh\u1ea5t b\u1ea1n n\u00ean ki\u1ec3m tra v\u00e0o bu\u1ed5i s\u00e1ng s\u1edbm. M\u1ed9t \u0111i\u1ec1u quan tr\u1ecdng n\u1eefa l\u00e0 tr\u01b0\u1edbc khi ki\u1ec3m tra b\u1ea1n kh\u00f4ng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u1ea7n sa, v\u00ec \u0111i\u1ec1u n\u00e0y s\u1ebd l\u00e0m gi\u1ea3m n\u1ed3ng \u0111\u1ed9 LH v\u00e0 testosterone.<\/p>\n

Ph\u00e2n t\u00edch tinh d\u1ecbch (s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng)<\/strong><\/h3>\n

Th\u1eed nghi\u1ec7m n\u00e0y cho bi\u1ebft b\u1ea1n \u0111ang c\u00f3 bao nhi\u00eau tinh tr\u00f9ng, c\u00f3 kh\u1ecfe m\u1ea1nh hay kh\u00f4ng v\u00e0 ch\u00fang ho\u1ea1t \u0111\u1ed9ng nh\u01b0 th\u1ebf n\u00e0o. B\u1ea1n s\u1ebd \u0111i v\u00e0o m\u1ed9t ph\u00f2ng ri\u00eang v\u00e0 th\u1ee7 d\u00e2m cho \u0111\u1ebfn khi xu\u1ea5t tinh v\u00e0o m\u1ed9t h\u1ed9p nh\u1ecf. M\u1eabu tinh d\u1ecbch \u0111\u01b0\u1ee3c g\u1eedi \u0111\u1ebfn ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u1ec3 ph\u00e2n t\u00edch. K\u1ebft qu\u1ea3 s\u1ebd gi\u00fap chuy\u00ean gia sinh s\u1ea3n x\u00e1c \u0111\u1ecbnh li\u1ec7u b\u1ea1n c\u00f3 c\u1ea7n tr\u1ee3 gi\u00fap \u0111\u1ec3 th\u1ee5 thai hay kh\u00f4ng.<\/p>\n

N\u1ebfu b\u1ea1n l\u01b0u tr\u1eef tinh tr\u00f9ng trong ng\u00e2n h\u00e0ng tinh tr\u00f9ng tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0, b\u00e1c s\u0129 c\u00f3 th\u1ec3 so s\u00e1nh m\u1eabu n\u00e0y v\u1edbi m\u1eabu tinh tr\u00f9ng c\u1ee7a b\u1ea1n sau khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n

N\u1ebfu c\u00f3 gen ung th\u01b0<\/strong><\/h3>\n

M\u1ed9t s\u1ed1 \u00edt ng\u01b0\u1eddi c\u00f3 nguy c\u01a1 m\u1eafc m\u1ed9t s\u1ed1 b\u1ec7nh ung th\u01b0 nh\u1ea5t \u0111\u1ecbnh, ch\u1eb3ng h\u1ea1n nh\u01b0 ung th\u01b0 v\u00fa, ung th\u01b0 bu\u1ed3ng tr\u1ee9ng ho\u1eb7c ru\u1ed9t, v\u00ec h\u1ecd mang m\u1ed9t gen b\u1ecb bi\u1ebfn \u0111\u1ed5i. B\u1ea1n c\u00f3 th\u1ec3 trao \u0111\u1ed5i v\u1edbi b\u00e1c s\u0129 ho\u1eb7c nh\u00e2n vi\u00ean t\u01b0 v\u1ea5n di truy\u1ec1n v\u1ec1 nguy c\u01a1 di truy\u1ec1n ung th\u01b0 c\u1ee7a tr\u1ebb.<\/p>\n

N\u1ebfu b\u1ea1n c\u00f3 m\u1ed9t gen b\u1ecb bi\u1ebfn \u0111\u1ed5i, b\u1ea1n h\u00e3y l\u00e0m x\u00e9t nghi\u1ec7m ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n ti\u1ec1n c\u1ea5y gh\u00e9p (PGD). Trong ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n ti\u1ec1n c\u1ea5y gh\u00e9p, ph\u1ee5 n\u1eef tr\u1ea3i qua chu k\u1ef3 th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m (IVF). Trong khi ph\u00f4i \u0111ang ph\u00e1t tri\u1ec3n th\u00ec m\u1ed9t v\u00e0i t\u1ebf b\u00e0o \u0111\u01b0\u1ee3c l\u1ea5y ra kh\u1ecfi m\u1ed7i ph\u00f4i v\u00e0 \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m di truy\u1ec1n. Ch\u1ec9 c\u00f3 ph\u00f4i kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o t\u1eed cung c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef, l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng gen b\u1ecb bi\u1ebfn \u0111\u1ed5i kh\u00f4ng \u0111\u01b0\u1ee3c truy\u1ec1n v\u00e0o \u0111\u1ee9a tr\u1ebb. B\u1ea1n c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn v\u1ec1 l\u1ef1a ch\u1ecdn n\u00e0y v\u1edbi chuy\u00ean gia sinh s\u1ea3n c\u1ee7a b\u1ea1n.<\/p>\n

N\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 ti\u1ec1n s\u1eed gia \u0111\u00ecnh m\u1eafc b\u1ec7nh ung th\u01b0, h\u00e3y \u0111\u1ebfn trung t\u00e2m ung th\u01b0 gia \u0111\u00ecnh \u0111\u1ec3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n. \u0110\u1ec3 t\u00ecm m\u1ed9t ph\u00f2ng kh\u00e1m ung th\u01b0 gia \u0111\u00ecnh, h\u00e3y truy c\u1eadp trang web c\u1ee7a H\u1ed9i \u0111\u1ed3ng Ung th\u01b0 \u00dac t\u1ea1i Cancer.org.au<\/a> v\u00e0 t\u00ecm ki\u1ebfm “ph\u00f2ng kh\u00e1m ung th\u01b0 gia \u0111\u00ecnh”.<\/p>\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/h2>\n

https:\/\/www.cancervic.org.au\/living-with-cancer\/common-side-effects\/fertility\/assessing-fertility-after-treatment.html<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xem kh\u1ea3 n\u0103ng sinh s\u1ea3n sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0, t\u1eeb \u0111\u00f3 c\u00f3 nh\u1eefng l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t \u0111\u1ec3 c\u00f3 con sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n","protected":false},"author":248,"featured_media":8406,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[3188],"tags":[2699],"series":[2036],"coauthors":[],"acf":[],"yoast_head":"\n\u0110\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 - D\u1ef1 \u00e1n Ung Th\u01b0<\/title>\n<meta name=\"description\" content=\"M\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 xem kh\u1ea3 n\u0103ng sinh s\u1ea3n sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0, t\u1eeb \u0111\u00f3 c\u00f3 nh\u1eefng l\u1ef1a ch\u1ecdn t\u1ed1t nh\u1ea5t 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