{"id":8659,"date":"2020-10-05T10:22:58","date_gmt":"2020-10-05T03:22:58","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/phi-dai-tuyen-vu-nam\/"},"modified":"2020-10-05T10:22:58","modified_gmt":"2020-10-05T03:22:58","slug":"phi-dai-tuyen-vu-nam","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/phi-dai-tuyen-vu-nam\/","title":{"rendered":"Ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam"},"content":{"rendered":"<p>B\u00e0i n\u00e0y cung c\u1ea5p th\u00f4ng tin v\u1ec1 b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa \u1edf nam gi\u1edbi, nguy\u00ean nh\u00e2n, ch\u1ea9n \u0111o\u00e1n, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h2><strong>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam gi\u1edbi l\u00e0 g\u00ec?<\/strong><\/h2>\n<p><img fetchpriority=\"high\" decoding=\"async\" class=\"wp-image-35376 size-full aligncenter\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2020\/10\/phi-dai-tuyen-vu-o-nam.jpg\" alt=\"Ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa \u1edf nam\" width=\"660\" height=\"330\" \/><\/p>\n<p>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam gi\u1edbi l\u00e0 t\u00ecnh tr\u1ea1ng nhu m\u00f4 v\u00fa \u1edf nam gi\u1edbi to l\u00ean b\u1ea5t th\u01b0\u1eddng. \u0110\u00e2y l\u00e0 tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn, mang t\u00ednh ch\u1ea5t l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0 v\u00fa) ch\u1ee7 y\u1ebfu \u1ea3nh h\u01b0\u1edfng t\u1edbi con trai \u1edf l\u1ee9a tu\u1ed5i thi\u1ebfu ni\u00ean v\u00e0 nam gi\u1edbi l\u1edbn tu\u1ed5i, nh\u01b0ng c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p \u1edf nam gi\u1edbi \u1edf b\u1ea5t k\u1ef3 l\u1ee9a tu\u1ed5i n\u00e0o.<\/p>\n<p>M\u1eb7c d\u00f9 b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam kh\u00e1 l\u00e0 ph\u1ed5 bi\u1ebfn, nh\u01b0ng n\u00f3 kh\u00f4ng \u0111\u01b0\u1ee3c n\u00f3i t\u1edbi nhi\u1ec1u do h\u1ea7u h\u1ebft m\u1ecdi ng\u01b0\u1eddi, \u0111\u1eb7c bi\u1ec7t l\u00e0 c\u00e1c b\u00e9 trai c\u1ea3m th\u1ea5y ng\u1ea1i ng\u00f9ng khi ph\u1ea3i n\u00f3i v\u1ec1 ch\u1ee9ng b\u1ec7nh n\u00e0y.<\/p>\n<p>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 th\u1ec3 l\u00e0m c\u00e1c b\u00e9 trai tu\u1ed5i thi\u1ebfu ni\u00ean c\u1ea3m th\u1ea5y lo \u00e2u v\u00e0 lo l\u1eafng do kh\u00f4ng hi\u1ec3u bi\u1ebft \u0111\u1ea7y \u0111\u1ee7 v\u1ec1 b\u1ec7nh l\u00fd n\u00e0y. C\u1ee9 ba b\u00e9 trai trong \u0111\u1ed9 tu\u1ed5i n\u00e0y th\u00ec c\u00f3 bi\u1ec3u hi\u1ec7n c\u1ee7a b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa \u1edf m\u1ed9t m\u1ee9c \u0111\u1ed9 nh\u1ea5t \u0111\u1ecbnh. Tuy nhi\u00ean ch\u00edn tr\u00ean m\u01b0\u1eddi tr\u01b0\u1eddng h\u1ee3p s\u1ebd th\u1ea5y tri\u1ec7u ch\u1ee9ng t\u1ef1 c\u1ea3i thi\u1ec7n theo th\u1eddi gian.<\/p>\n<p>Tri\u1ec7u ch\u1ee9ng v\u00e0 k\u00edch c\u1ee1 ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 th\u1ec3 kh\u00e1c nhau \u1edf m\u1ed7i b\u1ec7nh nh\u00e2n: t\u1eeb xu\u1ea5t hi\u1ec7n m\u1ed9t kh\u1ed1i nh\u1ecf b\u1ea5t th\u01b0\u1eddng sau n\u00fam v\u00fa cho \u0111\u1ebfn vi\u1ec7c c\u1ea3 tuy\u1ebfn v\u00fa ph\u00ec \u0111\u1ea1i nh\u01b0 tuy\u1ebfn v\u00fa c\u1ee7a ph\u1ee5 n\u1eef. B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi m\u1ed9t ho\u1eb7c hai v\u00fa. Khi ch\u1ea1m v\u00e0o khu v\u1ef1c n\u00e0y b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 th\u1ea5y nh\u1ea1y c\u1ea3m h\u01a1n ho\u1eb7c \u0111au.<\/p>\n<p>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam th\u1ef1c s\u1ef1 (do m\u00f4 v\u00fa to l\u00ean g\u00e2y ra) kh\u00e1c v\u1edbi s\u1ef1 t\u0103ng l\u00ean c\u1ee7a m\u00f4 m\u1ee1 (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam gi\u1ea3). Tuy nhi\u00ean, b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u0169ng c\u00f3 th\u1ec3 l\u00e0 h\u1ed7n h\u1ee3p c\u1ee7a hai lo\u1ea1i tr\u00ean.<\/p>\n<h2><strong>Ph\u00e1t tri\u1ec3n tuy\u1ebfn v\u00fa \u1edf tr\u1ebb nam<\/strong><\/h2>\n<p>M\u00f4 v\u00fa ph\u00e1t tri\u1ec3n trong khi c\u00f2n \u1edf giai \u0111o\u1ea1n b\u00e0o thai. Trong th\u1eddi gian n\u00e0y, tuy\u1ebfn v\u00fa h\u00ecnh th\u00e0nh c\u00e1c \u1ed1ng nh\u00e1nh nh\u1ecf sau n\u00fam v\u00fa. Cho \u0111\u1ebfn b\u00e9 trai \u0111\u1ea1t \u0111\u1ebfn tu\u1ed5i thi\u1ebfu ni\u00ean v\u00e0 d\u1eady th\u00ec th\u00ec m\u00f4 v\u00fa c\u1ee7a ch\u00fang gi\u1ed1ng nh\u01b0 c\u1ee7a b\u00e9 g\u00e1i. Tuy nhi\u00ean, khi ch\u00fang d\u1eady th\u00ec, s\u1ef1 thay \u0111\u1ed5i hormone n\u1ed9i ti\u1ebft t\u0103ng \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a nhu m\u00f4 tuy\u1ebfn v\u00fa.<\/p>\n<p>\u1ede b\u00e9 g\u00e1i, n\u1ed9i ti\u1ebft estrogen l\u00e0m cho tuy\u1ebfn v\u00fa ph\u00e1t tri\u1ec3n v\u00e0 c\u00e1c tuy\u1ebfn s\u1ea3n xu\u1ea5t s\u1eefa (ti\u1ec3u th\u00f9y) h\u00ecnh th\u00e0nh \u1edf cu\u1ed1i \u1ed1ng, n\u00ean v\u00fa ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 s\u1ea3n xu\u1ea5t s\u1eefa v\u00e0 \u0111\u01b0a s\u1eefa t\u1edbi n\u00fam v\u00fa.<\/p>\n<p>B\u00e9 trai c\u0169ng c\u00f3 m\u1ee9c n\u1ed9i ti\u1ebft cao h\u01a1n trong th\u1eddi k\u1ef3 d\u1eady th\u00ec, nh\u01b0ng v\u00e0o cu\u1ed1i tu\u1ed5i thi\u1ebfu ni\u00ean th\u00ec ch\u00fang th\u01b0\u1eddng c\u00f3 m\u1ee9c n\u1ed9i ti\u1ebft testosteron cao h\u01a1n nhi\u1ec1u, l\u00e0m d\u1eebng \u1ea3nh h\u01b0\u1edfng c\u1ee7a estrogen l\u00ean m\u00f4 v\u00fa, v\u00e0 v\u00fa th\u01b0\u1eddng ph\u1eb3ng xu\u1ed1ng.<\/p>\n<h2><strong>Nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam l\u00e0 g\u00ec?<\/strong><\/h2>\n<h3><strong>D\u1eady th\u00ec<\/strong><\/h3>\n<p>D\u1eady th\u00ec \u1edf b\u00e9 trai th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u khi ch\u00fang \u0111\u1ea1t \u0111\u1ebfn l\u1ee9a tu\u1ed5i thi\u1ebfu ni\u00ean. Tuy nhi\u00ean m\u1ed9t s\u1ed1 b\u00e9 trai c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y nhi\u1ec1u thay \u0111\u1ed5i khi ch\u00fang l\u00ean 10 tu\u1ed5i. Khi qu\u00e1 tr\u00ecnh d\u1eady th\u00ec b\u1eaft \u0111\u1ea7u, trong c\u01a1 th\u1ec3 b\u00e9 trai gia t\u0103ng ti\u1ebft estrogen v\u00e0 testosteron. Estrogen k\u00edch th\u00edch v\u00fa ph\u00e1t tri\u1ec3n v\u00e0 testosteron l\u00e0m v\u00fa d\u1eebng ph\u00e1t tri\u1ec3n.<\/p>\n<p>C\u0169ng nh\u01b0 nh\u1eefng thay \u0111\u1ed5i kh\u00e1c g\u1eafn v\u1edbi giai \u0111o\u1ea1n d\u1eady th\u00ec, c\u00e1c b\u00e9 trai c\u00f3 th\u1ec3 nh\u1eadn th\u1ea5y r\u1eb1ng v\u00fa c\u1ee7a ch\u00fang tr\u1edf n\u00ean m\u1ec1m h\u01a1n ho\u1eb7c ph\u00e1t tri\u1ec3n to l\u00ean, l\u00e0 do s\u1ebd c\u00f3 th\u1eddi gian trong khi d\u1eady th\u00ec trong c\u01a1 th\u1ec3 ch\u00fang c\u00f3 nhi\u1ec1u estrogen h\u01a1n testosteron, l\u00e0m m\u00f4 v\u00fa thay \u0111\u1ed5i. N\u1ebfu m\u1ee9c estrogen ti\u1ebfp t\u1ee5c cao h\u01a1n m\u1ee9c testosteron th\u00ec v\u00fa s\u1ebd ph\u00e1t tri\u1ec3n v\u00e0 tr\u1edf n\u00ean to h\u01a1n v\u00e0 d\u1ec5 nh\u1eadn th\u1ea5y h\u01a1n.<\/p>\n<p>\u1ede th\u1eddi \u0111i\u1ec3m kho\u1ea3ng 15 tu\u1ed5i, testosteron b\u1eaft \u0111\u1ea7u \u1ed5n \u0111\u1ecbnh \u1edf m\u1ed9t m\u1ee9c nh\u1ea5t \u0111\u1ecbnh, cao h\u01a1n estrogen, l\u00e0m cho estrogen kh\u00f4ng c\u00f2n \u1ea3nh h\u01b0\u1edfng l\u00ean m\u00f4 v\u00fa n\u1eefa. V\u00e0o l\u00fac nam gi\u1edbi ch\u1eebng 19 tu\u1ed5i th\u00ec v\u00fa nam gi\u1edbi s\u1ebd th\u01b0\u1eddng b\u1eaft \u0111\u1ea7u co l\u1ea1i v\u00e0 d\u1eb9t xu\u1ed1ng.<\/p>\n<p>Tuy nhi\u00ean, c\u00f3 th\u1ec3 c\u1ea7n m\u1ed9t kho\u1ea3ng th\u1eddi gian tr\u01b0\u1edbc khi v\u00fa d\u1eb9t xu\u1ed1ng nh\u01b0 b\u00ecnh th\u01b0\u1eddng. N\u1ebfu b\u1ec7nh nh\u00e2n th\u1ea5y \u0111i\u1ec1u n\u00e0y l\u00e0m b\u1ec7nh nh\u00e2n ng\u01b0\u1ee3ng ng\u00f9ng ho\u1eb7c lo l\u1eafng th\u00ec h\u00e3y \u0111i kh\u00e1m b\u00e1c s\u0129 \u0111a khoa. H\u1ecd c\u00f3 th\u1ec3 x\u00e1c nh\u1eadn xem c\u00f3 ph\u1ea3i b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam hay kh\u00f4ng. \u0110\u00f4i khi, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u t\u1edbi ph\u00f2ng kh\u00e1m v\u00fa \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 th\u00eam (xem ph\u1ea7n \u2018\u0110i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i\u2019).<\/p>\n<h3><strong>Gi\u00e0 h\u00f3a<\/strong><\/h3>\n<p>Khi con ng\u01b0\u1eddi gi\u00e0 \u0111i, th\u00ec h\u1ecd c\u00f3 xu h\u01b0\u1edbng c\u00f3 th\u00eam nhi\u1ec1u m\u1ee1 tr\u00ean c\u01a1 th\u1ec3, m\u1ee1 t\u1ea1o n\u00ean estrogen. Ngo\u00e0i ra, do khi nam gi\u1edbi gi\u00e0 \u0111i h\u1ecd s\u1ea3n xu\u1ea5t ra \u00edt testosteron h\u01a1n. K\u1ebft h\u1ee3p gia t\u0103ng estrogen v\u00e0 gi\u1ea3m testosteron c\u00f3 th\u1ec3 l\u00e0m cho v\u00fa tr\u1edf n\u00ean to h\u01a1n.<\/p>\n<p>L\u00ean c\u00e2n khi cao tu\u1ed5i c\u00f3 th\u1ec3 \u0111\u1eb7c bi\u1ec7t d\u1ec5 nh\u1eadn th\u1ea5y \u1edf khu v\u1ef1c v\u00fa, c\u0169ng d\u1eabn \u0111\u1ebfn l\u00e0m v\u00fa to l\u00ean. Hi\u1ec7n t\u01b0\u1ee3ng n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam gi\u1ea3. Nhi\u1ec1u nam gi\u1edbi ch\u1ea5p nh\u1eadn thay \u0111\u1ed5i n\u00e0y nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n kh\u00e1c c\u1ee7a qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a.<\/p>\n<p>N\u1ebfu b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y lo ng\u1ea1i th\u00ec h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 \u0111a khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u t\u1edbi ph\u00f2ng kh\u00e1m chuy\u00ean khoa v\u00fa. (\u0110\u1ecdc th\u00eam trong ph\u1ea7n <em><strong>\u0110i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i sau \u0111i\u1ec1u tr\u1ecb<\/strong><\/em>)<\/p>\n<h3><strong>C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c<\/strong><\/h3>\n<p>C\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam l\u00e0 s\u1ee9c kh\u1ecfe kh\u00f4ng \u1ed5n \u0111\u1ecbnh, m\u1ed9t s\u1ed1 thu\u1ed1c k\u00ea \u0111\u01a1n v\u00e0 thu\u1ed1c b\u1ea5t h\u1ee3p ph\u00e1p, c\u00e1c s\u1ea3n ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c, ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 u\u1ed1ng qu\u00e1 nhi\u1ec1u r\u01b0\u1ee3u.<\/p>\n<p>\u0110\u00f4i khi kh\u00f4ng th\u1ec3 t\u00ecm th\u1ea5y l\u00fd do c\u1ee5 th\u1ec3 v\u00ec sao nam gi\u1edbi ph\u00e1t tri\u1ec3n b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam, nh\u01b0ng kh\u00f4ng bi\u1ebft r\u00f5 nguy\u00ean nh\u00e2n kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb c\u1ee7a b\u1ec7nh.<\/p>\n<h4><strong><em>S\u1ee9c kh\u1ecfe kh\u00f4ng t\u1ed1t<\/em><\/strong><\/h4>\n<p>C\u00f3 nhi\u1ec1u tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd c\u00f3 th\u1ec3 g\u1eafn v\u1edbi b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam, m\u1eb7c d\u1ea7u trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec1u n\u00e0y ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa r\u1ea5t \u00edt khi l\u00e0 tri\u1ec7u ch\u1ee9ng duy nh\u1ea5t. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 h\u00e3y \u0111i kh\u00e1m b\u00e1c s\u0129 \u0111a khoa h\u1ecd s\u1ebd l\u00e0 ng\u01b0\u1eddi \u0111\u00e1nh gi\u00e1 t\u1ea5t c\u1ea3 c\u00e1c tri\u1ec7u ch\u1ee9ng. H\u1ecd c\u00f3 th\u1ec3 gi\u1edbi thi\u1ec7u b\u1ec7nh nh\u00e2n t\u1edbi ph\u00f2ng kh\u00e1m v\u00fa \u0111\u1ec3 x\u00e1c nh\u1eadn l\u00fd do b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam .<\/p>\n<h4><strong><em>Thu\u1ed1c<\/em><\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 thu\u1ed1c (c\u1ea3 thu\u1ed1c b\u1ea5t h\u1ee3p ph\u00e1p v\u00e0 thu\u1ed1c k\u00ea \u0111\u01a1n) c\u00f3 th\u1ec3 g\u00e2y ra b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam, l\u00e0 do ch\u00fang c\u00f3 ch\u1ee9a estrogen l\u00e0m t\u0103ng m\u1ee9c n\u1ed9i ti\u1ebft trong c\u01a1 th\u1ec3. Ho\u1eb7c ph\u1ed5 bi\u1ebfn h\u01a1n l\u00e0 thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng gi\u1ed1ng nh\u01b0 estrogen. M\u1ed9t s\u1ed1 thu\u1ed1c l\u1ea1i ch\u1eb7n vi\u1ec7c s\u1ea3n xu\u1ea5t testosteron l\u00e0m gi\u1ea3m m\u1ee9c testosteron trong c\u01a1 th\u1ec3.<\/p>\n<p>V\u00ed d\u1ee5, c\u1ea7n sa l\u00e0 thu\u1ed1c \u0111\u01b0\u1ee3c cho l\u00e0 g\u00e2y m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft v\u00e0 do v\u1eady c\u00f3 th\u1ec3 l\u00e0 l\u00fd do ph\u00e1t tri\u1ec3n b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam .<\/p>\n<p>M\u1ed9t v\u00e0i lo\u1ea1i thu\u1ed1c kh\u00e1c c\u0169ng c\u00f3 th\u1ec3 l\u00e0m thay \u0111\u1ed5i s\u1ef1 c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft trong c\u01a1 th\u1ec3. C\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c u\u1ed1ng \u0111\u1ec3 l\u00e0m gi\u1ea3m huy\u1ebft \u00e1p cao ho\u1eb7c c\u00e1c b\u1ec7nh tim, m\u1ed9t s\u1ed1 b\u1ec7nh t\u00e2m l\u00fd, vi\u00eam lo\u00e9t d\u1ea1 d\u00e0y, m\u1ed9t s\u1ed1 li\u1ec7u ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00e0 m\u1ed9t s\u1ed1 thu\u1ed1c kh\u00e1ng sinh, c\u0169ng nh\u01b0 c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c u\u1ed1ng \u0111\u1ec3 t\u0103ng c\u01a1 b\u1eafp (steroid t\u0103ng chuy\u1ec3n h\u00f3a) \u0111\u1ec1u c\u00f3 th\u1ec3 l\u00e0 nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam .<\/p>\n<h4><strong><em>C\u00e1c s\u1ea3n ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c<\/em><\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ch\u1ebf ph\u1ea9m b\u1ed5 sung t\u1eeb th\u1ea3o d\u01b0\u1ee3c v\u00e0 c\u00e1c s\u1ea3n ph\u1ea9m ch\u0103m s\u00f3c da c\u00f3 th\u1ec3 c\u00f3 ch\u1ee9a estrogen. Estrogen t\u1eeb c\u00e1c s\u1ea3n ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m t\u0103ng m\u1ee9c n\u1ed9i ti\u1ebft tu\u1ea7n ho\u00e0n trong c\u01a1 th\u1ec3 ho\u1eb7c c\u00f3 \u1ea3nh h\u01b0\u1edfng gi\u1ed1ng nh\u01b0 estrogen. M\u1ed9t khi b\u1ec7nh nh\u00e2n kh\u00f4ng d\u00f9ng c\u00e1c ch\u1ebf ph\u1ea9m n\u00e0y n\u1eefa th\u00ec c\u00e1c \u1ea3nh h\u01b0\u1edfng s\u1ebd d\u1eebng l\u1ea1i v\u00e0 cu\u1ed1i c\u00f9ng l\u00e0 m\u00f4 v\u00fa s\u1ebd tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng.<\/p>\n<h4><strong><em>Th\u1eeba c\u00e2n<\/em><\/strong><\/h4>\n<p>C\u00e0ng nhi\u1ec1u t\u1ebf b\u00e0o m\u1ee1 trong c\u01a1 th\u1ec3 th\u00ec c\u00e0ng s\u1ea3n sinh ra nhi\u1ec1u estrogen, d\u1eabn \u0111\u1ebfn c\u00f3 th\u1ec3 l\u00e0m m\u00f4 v\u00fa ph\u00e1t tri\u1ec3n. Ch\u1ebf \u0111\u1ed9 \u0103n c\u00e2n b\u1eb1ng v\u00e0 t\u1eadp luy\u1ec7n l\u00e0 quan tr\u1ecdng trong duy tr\u00ec c\u00e2n n\u1eb7ng kh\u1ecfe m\u1ea1nh.<\/p>\n<h4><strong><em>\u0110\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n<\/em><\/strong><\/h4>\n<p>U\u1ed1ng \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n qu\u00e1 nhi\u1ec1u \u0111\u00e3 ch\u1ee9ng minh l\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn gan theo nhi\u1ec1u c\u00e1ch \u00a0\u00a0v\u00e0 g\u00e2y ra nhi\u1ec1u b\u1ec7nh l\u00fd. L\u01b0\u1ee3ng l\u1edbn \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n k\u00edch th\u00edch gan v\u00e0 c\u00f3 l\u00e0m m\u1ea5t c\u00e2n b\u1eb1ng n\u1ed9i ti\u1ebft. Testosteron trong m\u00e1u b\u1ecb gi\u1ea3m \u0111i, nh\u01b0ng m\u1ee9c estrogen t\u0103ng l\u00ean (do gan d\u1eebng b\u1ebb g\u00e3y estrogen trong m\u00e1u), ngh\u0129a l\u00e0 m\u00f4 v\u00fa s\u1ebd ph\u00e1t tri\u1ec3n m\u1ea1nh h\u01a1n.<\/p>\n<h2><strong>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n th\u1ebf n\u00e0o?<\/strong><\/h2>\n<p>B\u00e1c s\u0129 \u0111a khoa th\u01b0\u1eddng s\u1ebd \u0111\u1ee7 kh\u1ea3 n\u0103ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh b\u1ec7nh nh\u00e2n c\u00f3 b\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa kh\u00f4ng, nh\u01b0ng c\u00f3 th\u1ec3 h\u1ecd gi\u1edbi thi\u1ec7u b\u1ec7nh nh\u00e2n t\u1edbi ph\u00f2ng kh\u00e1m chuy\u00ean khoa v\u00fa t\u1ea1i \u0111\u00f3 b\u00e1c s\u0129 ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng chuy\u00ean khoa s\u1ebd kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>T\u1ea1i ph\u00f2ng kh\u00e1m, b\u1ec7nh nh\u00e2n s\u1ebd \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m tuy\u1ebfn v\u00fa. Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u1ea7n \u0111\u01b0\u1ee3c l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c \u0111\u1ec3 c\u00f3 th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh. C\u00e1c x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 g\u1ed3m:<\/p>\n<ul>\n<li>Ch\u1ee5p X quang v\u00fa (ch\u1ee5p nh\u0169 \u1ea3nh) v\u00e0\/ho\u1eb7c si\u00eau \u00e2m (s\u1eed d\u1ee5ng s\u00f3ng \u00e2m cao t\u1ea7n \u0111\u1ec3 t\u1ea1o ra h\u00ecnh \u1ea3nh c\u1ee7a tuy\u1ebfn v\u00fa)<\/li>\n<li>Ch\u1ecdc h\u00fat kim nh\u1ecf (FNA) ho\u1eb7c nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 sinh thi\u1ebft l\u00f5i nhu m\u00f4 tuy\u1ebfn v\u00fa. FNA s\u1eed d\u1ee5ng m\u1ed9t kim nh\u1ecf v\u00e0 xi lanh \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu m\u00f4 \u0111\u1ec3 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. Sinh thi\u1ebft l\u00f5i s\u1eed d\u1ee5ng m\u1ed9t kim r\u1ed7ng \u0111\u1ec3 l\u1ea5y m\u1ed9t m\u1eabu nh\u1ecf m\u00f4 v\u00fa \u0111\u1ec3 quan s\u00e1t d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi.<\/li>\n<\/ul>\n<p>Do ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t tri\u1ec7u ch\u1ee9ng c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c, b\u00e1c s\u0129 c\u00f3 th\u1ec3 kh\u00e1m c\u00e1c b\u1ed9 ph\u1eadn kh\u00e1c c\u1ee7a c\u01a1 th\u1ec3 nh\u01b0 l\u00e0 c\u1ed5, b\u1ee5ng v\u00e0 tinh ho\u00e0n. H\u1ecd c\u0169ng c\u00f3 th\u1ec3 y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n l\u00e0m th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m kh\u00e1c, v\u00ed d\u1ee5 x\u00e9t nghi\u1ec7m m\u00e1u.<\/p>\n<h2><strong>\u0110i\u1ec1u tr\u1ecb v\u00e0 theo d\u00f5i<\/strong><\/h2>\n<p>Trong h\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p, b\u1ec7nh nh\u00e2n s\u1ebd kh\u00f4ng c\u1ea7n b\u1ea5t k\u1ef3 \u0111i\u1ec1u tr\u1ecb g\u00ec ho\u1eb7c theo d\u00f5i n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 tri\u1ec7u ch\u1ee9ng b\u1ecb b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam. Tuy nhi\u00ean, \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 b\u1ec7nh nh\u00e2n c\u1ea7n \u0111i kh\u00e1m l\u1ea1i t\u1ea1i b\u00e1c s\u0129 \u0111a khoa n\u1ebfu v\u00fa v\u1eabn ti\u1ebfp t\u1ee5c to l\u00ean v\u00e0 s\u01b0ng \u0111au, ho\u1eb7c n\u1ebfu b\u1ec7nh nh\u00e2n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng m\u1edbi n\u00e0o.<\/p>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ng\u01b0\u1eddi, lo\u1ea1i b\u1ecf nguy\u00ean nh\u00e2n c\u1ee7a b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam (nh\u01b0 l\u00e0 \u0111\u1ed5i thu\u1ed1c, gi\u1ea3m m\u1ee1 d\u01b0 c\u1ee7a c\u01a1 th\u1ec3 ho\u1eb7c gi\u1ea3m l\u01b0\u1ee3ng \u0111\u1ed3 u\u1ed1ng c\u00f3 c\u1ed3n) l\u00e0 t\u1ea5t c\u1ea3 nh\u1eefng \u0111i\u1ec1u c\u1ea7n l\u00e0m \u0111\u1ec3 l\u00e0m m\u00f4 v\u00fa \u0111\u00e3 to l\u00ean co nh\u1ecf l\u1ea1i. Th\u1ec9nh tho\u1ea3ng c\u00f3 th\u1ec3 c\u1ea7n \u0111i\u1ec1u tr\u1ecb thu\u1ed1c ho\u1eb7c r\u1ea5t hi\u1ebfm l\u00e0 ph\u1eabu thu\u1eadt.<\/p>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb thu\u1ed1c<\/strong><\/h3>\n<p>Th\u1ec9nh tho\u1ea3ng b\u00e1c s\u0129 chuy\u00ean khoa c\u00f3 th\u1ec3 g\u1ee3i \u00fd b\u1ec7nh nh\u00e2n \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c. C\u00e1c thu\u1ed1c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam \u00a0l\u00e0:<\/p>\n<ul>\n<li>Tamoxifen<\/li>\n<li>Danazol<\/li>\n<li>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf aromatase (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 2 \u2013 r\u1ea5t hi\u1ebfm khi d\u00f9ng)<\/li>\n<\/ul>\n<p>M\u1eb7c d\u1ea7u kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c \u0111i\u1ec1u tr\u1ecb n\u00e0y \u0111\u1ec1u \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p \u0111\u1ec3 d\u00f9ng cho b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam, ch\u00fang \u0111\u01b0\u1ee3c ch\u1ee9ng minh l\u00e0 h\u1eefu \u00edch trong \u0111i\u1ec1u tr\u1ecb. B\u00e1c s\u0129 s\u1ebd khuy\u00ean b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m \u0111\u1ecbnh k\u1ef3 \u0111\u1ec1u \u0111\u1eb7n n\u1ebfu b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n b\u1ea5t k\u1ef3 thu\u1ed1c n\u00e0o trong c\u00e1c thu\u1ed1c n\u00e0y.<\/p>\n<p>Kh\u00f4ng c\u00f3 h\u01b0\u1edbng d\u1eabn n\u00e0o c\u1ee5 th\u1ec3 v\u1ec1 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa, tuy nhi\u00ean tamoxifen th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng. Trong khi b\u1ec7nh nh\u00e2n s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 lo\u1ea1i thu\u1ed1c n\u00e0o, b\u1ec7nh nh\u00e2n c\u0169ng c\u00f3 th\u1ec3 g\u1eb7p c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5, n\u00ean thu\u1ed1c ch\u1ec9 n\u00ean \u0111\u01b0\u1ee3c u\u1ed1ng sau khi b\u1ec7nh nh\u00e2n \u0111\u00e3 th\u1ea3o lu\u1eadn k\u1ef9 c\u00e0ng v\u1ec1 c\u00e1c l\u1ee3i \u00edch v\u00e0 r\u1ee7i ro c\u1ee7a ch\u00fang v\u1edbi b\u00e1c s\u0129 chuy\u00ean khoa.<\/p>\n<h4><strong><em>Tamoxifen<\/em><\/strong><\/h4>\n<p>Tamoxifen th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft ung th\u01b0 v\u00fa. Tuy nhi\u00ean c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng minh r\u1eb1ng n\u00f3 c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam \u00a0\u00a0b\u1eb1ng c\u00e1ch l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng estrogen trong c\u01a1 th\u1ec3 v\u00e0 l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a v\u00fa \u1edf nam gi\u1edbi. Thu\u1ed1c \u0111\u01b0\u1ee3c u\u1ed1ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n v\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd \u0111\u01b0a ra ch\u1ec9 \u0111\u1ecbnh v\u1ec1 li\u1ec1u u\u1ed1ng v\u00e0 d\u00f9ng u\u1ed1ng trong bao l\u00e2u. Thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 v\u00e0i t\u00e1c d\u1ee5ng ph\u1ee5 g\u1ed3m bu\u1ed3n n\u00f4n v\u00e0 gi\u1ea3m h\u1ee9ng th\u00fa t\u00ecnh d\u1ee5c.<\/p>\n<p>B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 \u0111\u1ecdc cu\u1ed1n <strong>Tamoxifen<\/strong> \u0111\u1ec3 c\u00f3 th\u00eam th\u00f4ng tin v\u1ec1 t\u00e1c d\u1ee5ng ph\u1ee5 c\u1ee7a thu\u1ed1c.<\/p>\n<h4><strong><em>Danazol<\/em><\/strong><\/h4>\n<p>Danazol \u0111\u01b0\u1ee3c c\u1ea5p ph\u00e9p \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 g\u00e2y \u0111au v\u00e0 t\u0103ng nh\u1ea1y c\u1ea3m tuy\u1ebfn v\u00fa. Thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch l\u00e0m gi\u1ea3m estrogen \u0111\u01b0\u1ee3c s\u1ea3n xu\u1ea5t ra trong tinh ho\u00e0n, l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc c\u1ee7a v\u00fa v\u00e0 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng. Thu\u1ed1c \u0111\u01b0\u1ee3c u\u1ed1ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n v\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd cho b\u1ec7nh nh\u00e2n bi\u1ebft li\u1ec1u v\u00e0 ph\u1ea3i u\u1ed1ng thu\u1ed1c trong bao l\u00e2u. Thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 t\u00e1c d\u1ee5ng ph\u1ee5 g\u1ed3m l\u00ean c\u00e2n, n\u1ed5i m\u1ee5n v\u00e0 thay \u0111\u1ed5i gi\u1ecdng n\u00f3i.<\/p>\n<h4><strong><em>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf aromaatse (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 2)<\/em><\/strong><\/h4>\n<p>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf aromatase l\u00e0 c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u g\u1ee3i \u00fd r\u1eb1ng thu\u1ed1c c\u00f3 th\u1ec3 c\u00f3 l\u1ee3i \u00edch trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam, nh\u01b0ng c\u1ea7n th\u00eam c\u00e1c nghi\u00ean c\u1ee9u \u0111\u1ec3 ch\u1ee9ng minh. C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf aromatase \u0111\u01b0\u1ee3c u\u1ed1ng d\u01b0\u1edbi d\u1ea1ng vi\u00ean n\u00e9n v\u00e0 b\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd cho b\u1ec7nh nh\u00e2n bi\u1ebft li\u1ec1u v\u00e0 ph\u1ea3i u\u1ed1ng thu\u1ed1c trong bao l\u00e2u. T\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 g\u1ed3m \u0111au kh\u1edbp v\u00e0 gi\u1ea3m s\u1ef1 ch\u1eafc kh\u1ecfe c\u1ee7a x\u01b0\u01a1ng, cho d\u00f9 c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o kho\u1ea3ng d\u00e0i th\u1eddi gian b\u1ec7nh nh\u00e2n \u00a0u\u1ed1ng thu\u1ed1c.<\/p>\n<h3><strong>Ph\u1eabu thu\u1eadt<\/strong><\/h3>\n<p>N\u00f3i chung ph\u1eabu thu\u1eadt s\u1ebd ch\u1ec9 \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c. Ph\u1eabu thu\u1eadt c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem x\u00e9t n\u1ebfu b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam kh\u00f4ng c\u1ea3i thi\u1ec7n khi thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng ho\u1eb7c \u0111i\u1ec1u tr\u1ecb thu\u1ed1c, ho\u1eb7c n\u1ebfu b\u1ec7nh nh\u00e2n b\u1ecb m\u1eafc ch\u1ee9ng n\u00e0y trong th\u1eddi gian d\u00e0i v\u00e0 n\u00f3 \u1ea3nh h\u01b0\u1edfng t\u1edbi ch\u1ea5t l\u01b0\u1ee3ng s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n<p>B\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd th\u1ea3o lu\u1eadn c\u00e1c nguy c\u01a1 c\u1ee7a ph\u1eabu thu\u1eadt v\u1edbi b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc khi b\u1ec7nh nh\u00e2n quy\u1ebft \u0111\u1ecbnh ph\u1eabu thu\u1eadt.<\/p>\n<p>Ph\u1eabu thu\u1eadt ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam kh\u00f4ng ph\u1ea3i m\u1ed9t ph\u1eabu thu\u1eadt \u0111\u01a1n gi\u1ea3n \u0111\u01a1n gi\u1ea3n. Lo\u1ea1i ph\u1eabu thu\u1eadt s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc c\u1ee7a v\u00fa b\u1ecb ph\u00ec \u0111\u1ea1i v\u00e0 l\u01b0\u1ee3ng da th\u1eeba l\u1ea1i. M\u1ee5c \u0111\u00edch l\u00e0 kh\u00f4i ph\u1ee5c k\u00edch th\u01b0\u1edbc ng\u1ef1c nam gi\u1edbi b\u00ecnh th\u01b0\u1eddng v\u00e0 \u0111\u00f4i khi kh\u00f4ng ph\u1ea3i ch\u1ec9 m\u1ed9t l\u1ea7n ph\u1eabu thu\u1eadt l\u00e0 xong.<\/p>\n<p>C\u00f3 th\u1ec3 c\u00f3 nhi\u1ec1u ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n ri\u00eang r\u1ebd ho\u1eb7c ph\u1ed1i h\u1ee3p. B\u00e1c s\u0129 chuy\u00ean khoa s\u1ebd \u0111\u00e1nh gi\u00e1 r\u1ea5t c\u1ea9n th\u1eadn tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh c\u00e1c k\u1ef9 thu\u1eadt th\u00edch h\u1ee3p nh\u1ea5t cho b\u1ec7nh nh\u00e2n.<\/p>\n<p>H\u00fat m\u1ee1 th\u1eeba (m\u1ed9t th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt trong \u0111\u00f3 m\u1ee1 \u0111\u01b0\u1ee3c l\u1ea5y ra t\u1eeb khu v\u1ef1c v\u00fa b\u1ecb \u1ea3nh h\u01b0\u1edfng) l\u00e0 m\u1ed9t trong nh\u1eefng th\u1ee7 thu\u1eadt ph\u1ed5 bi\u1ebfn nh\u1ea5t. B\u1ea3n th\u00e2n ph\u1eabu thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01a1n \u0111\u1ed9c ho\u1eb7c \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ed3ng th\u1eddi v\u1edbi ph\u1eabu thu\u1eadt gi\u1ea3m k\u00edch th\u01b0\u1edbc v\u00fa (\u0111\u00f4i khi g\u1ecdi l\u00e0 ph\u1eabu thu\u1eadt t\u1ea1o h\u00ecnh ng\u1ef1c). C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n gi\u1ea3m k\u00edch th\u01b0\u1edbc v\u00fa m\u00e0 kh\u00f4ng c\u1ea7n h\u00fat m\u1ee1 th\u1eeba.<\/p>\n<p>Do t\u1ea5t c\u1ea3 c\u00e1c th\u1ee7 thu\u1eadt n\u00e0y \u0111\u1ec3 l\u1ea1i m\u1ed9t s\u1ed1 m\u00f4 v\u00fa, n\u00ean b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 th\u1ec3 b\u1ecb t\u00e1i ph\u00e1t.<\/p>\n<h2><strong>B\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y th\u1ebf n\u00e0o? <\/strong><\/h2>\n<p>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam c\u00f3 th\u1ec3 g\u00e2y cho b\u1ec7nh nh\u00e2n c\u1ea3m gi\u00e1c bu\u1ed3n ch\u00e1n, ng\u01b0\u1ee3ng ng\u00f9ng v\u00e0 t\u1ef1 c\u00f4 l\u1eadp cho nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb m\u1eafc ch\u1ee9ng b\u1ec7nh n\u00e0y.<\/p>\n<p>B\u00e9 trai khi b\u01b0\u1edbc qua tu\u1ed5i d\u1eady th\u00ec v\u00e0 ph\u1ea3i \u0111\u1ed1i m\u1eb7t v\u1edbi nh\u1eefng thay \u0111\u1ed5i c\u01a1 th\u1ec3 kh\u00e1c c\u00f3 th\u1ec3 th\u1ea5y \u0111\u1eb7c bi\u1ec7t kh\u00f3 th\u1ea3o lu\u1eadn v\u1edbi b\u1ea5t k\u1ef3 ai v\u1ec1 vi\u1ec7c v\u00fa c\u1ee7a ch\u00fang \u0111ang to l\u00ean v\u00e0 \u0111au. K\u1ebft qu\u1ea3 l\u00e0 b\u00e9 trai tu\u1ed5i thi\u1ebfu ni\u00ean th\u01b0\u1eddng kh\u00f4ng \u0111\u1ee7 ki\u1ebfn th\u1ee9c \u0111\u1ec3 nh\u1eadn bi\u1ebft r\u00f5 b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn n\u00e0y.<\/p>\n<p>Nam gi\u1edbi l\u1edbn tu\u1ed5i h\u01a1n c\u00f3 th\u1ec3 lo r\u1eb1ng nh\u1eefng thay \u0111\u1ed5i \u1edf v\u00fa l\u00e0 d\u1ea5u hi\u1ec7u c\u1ee7a ung th\u01b0. B\u1ecb b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam kh\u00f4ng l\u00e0m t\u0103ng nguy c\u01a1 ph\u00e1t tri\u1ec3n <a href=\"https:\/\/yhoccongdong.com\/thongtin\/ung-thu-vu\/\" target=\"_blank\" rel=\"noopener\">ung th\u01b0 v\u00fa,<\/a> nh\u01b0ng \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 hi\u1ec3u bi\u1ebft v\u1ec1 tuy\u1ebfn v\u00fa c\u1ee7a ch\u00ednh m\u00ecnh. H\u00e3y quay tr\u1edf l\u1ea1i kh\u00e1m b\u00e1c s\u0129 \u0111a khoa n\u1ebfu b\u1ec7nh nh\u00e2n nh\u1eadn th\u1ea5y b\u1ea5t k\u1ef3 thay \u0111\u1ed5i n\u00e0o kh\u00f4ng k\u1ec3 \u0111\u1ebfn nh\u1eefng thay \u0111\u1ed5i n\u00e0y x\u1ea3y ra s\u1edbm hay mu\u1ed9n sau khi \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc b\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam .<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc155_gynaecomastia_2018_web_0.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc155_gynaecomastia_2018_web_0.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>B\u1ec7nh ph\u00ec \u0111\u1ea1i tuy\u1ebfn v\u00fa nam gi\u1edbi l\u00e0 t\u00ecnh tr\u1ea1ng nhu m\u00f4 v\u00fa \u1edf nam gi\u1edbi to l\u00ean b\u1ea5t th\u01b0\u1eddng. \u0110\u00e2y l\u00e0 tr\u1ea1ng th\u00e1i b\u1ec7nh l\u00fd kh\u00e1 ph\u1ed5 bi\u1ebfn, mang t\u00ednh ch\u1ea5t l\u00e0nh t\u00ednh (kh\u00f4ng ph\u1ea3i ung th\u01b0 v\u00fa).<\/p>\n","protected":false},"author":548,"featured_media":8660,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2460,2594],"tags":[3347,3342,3348,3349,2569,3345],"series":[1428],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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