{"id":9374,"date":"2022-07-11T11:21:29","date_gmt":"2022-07-11T04:21:29","guid":{"rendered":"https:\/\/yhoccongdong.org\/ung-thu\/kha-nang-sinh-san-co-thai-va-ung-thu-vu\/"},"modified":"2024-10-17T20:11:48","modified_gmt":"2024-10-17T13:11:48","slug":"kha-nang-sinh-san-co-thai-va-ung-thu-vu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/ung-thu\/kha-nang-sinh-san-co-thai-va-ung-thu-vu\/","title":{"rendered":"Kh\u1ea3 n\u0103ng sinh s\u1ea3n, c\u00f3 thai v\u00e0 ung th\u01b0 v\u00fa"},"content":{"rendered":"<p style=\"text-align: right;\"><strong><em>Ng\u01b0\u1eddi d\u1ecbch: Ho\u00e0ng Thu H\u00e0<\/em><\/strong><\/p>\n<p style=\"text-align: right;\"><strong><em>Ng\u01b0\u1eddi hi\u1ec7u \u0111\u00ednh: BS Nguy\u1ec5n V\u0103n T\u00f9ng (BV K3 T\u00e2n Tri\u1ec1u)<\/em><\/strong><\/p>\n<h2><strong>Gi\u1edbi thi\u1ec7u<\/strong><\/h2>\n<p>Khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea7n t\u00ednh \u0111\u1ebfn vi\u1ec7c li\u1ec7u b\u1ea1n mu\u1ed1n c\u00f3 con trong t\u01b0\u01a1ng lai hay kh\u00f4ng, v\u00ec m\u1ed9t s\u1ed1 \u0111i\u1ec1u tr\u1ecb nh\u01b0 h\u00f3a tr\u1ecb c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng c\u00f3 thai. Trong khi m\u1ed1i lo l\u1eafng ch\u00ednh c\u1ee7a b\u1ea1n ch\u1eafc ch\u1eafn l\u00e0 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, n\u1ebfu vi\u1ec7c c\u00f3 \u0111\u1ee9a con c\u1ee7a ch\u00ednh m\u00ecnh l\u00e0 quan tr\u1ecdng th\u00ec b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n l\u00e0 gi\u00fap ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 v\u00fa c\u00f3 c\u01a1 h\u1ed9i th\u1ee5 thai cao h\u01a1n v\u00e0 c\u00f3 con trong t\u01b0\u01a1ng lai. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 bi\u1ebft ch\u1eafc ch\u1eafn h\u1ecd mu\u1ed1n th\u1eed b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n. Nh\u1eefng ng\u01b0\u1eddi kh\u00e1c th\u00ec l\u1ea1i kh\u00f4ng ch\u1eafc ch\u1eafn v\u1ec1 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u00e0 l\u1ef1a ch\u1ecdn n\u00e0o l\u00e0 t\u1ed1t nh\u1ea5t cho h\u1ecd.<\/p>\n<p>Nam gi\u1edbi \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa c\u00f3 th\u1ec3 mu\u1ed1n th\u1ea3o lu\u1eadn c\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<p><em>\u0110\u1ec3 h\u1ed7 tr\u1ee3 b\u1ea1n \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh, b\u00e0i vi\u1ebft n\u00e0y c\u00f3 c\u00e1c th\u00f4ng tin \u0111\u1ec3 gi\u00fap b\u1ea1n:<\/em><\/p>\n<ul>\n<li>Bi\u1ebft th\u00eam v\u1ec1 c\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n kh\u00e1c nhau.<\/li>\n<li>C\u00e2n nh\u1eafc \u0111i\u1ec1u g\u00ec l\u00e0 quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ea1n hi\u1ec7n t\u1ea1i v\u00e0 trong t\u01b0\u01a1ng lai.<\/li>\n<li>N\u00f3i chuy\u1ec7n v\u1edbi c\u00e1c b\u00e1c s\u0129 ung th\u01b0 v\u00fa v\u00e0 chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n v\u1ec1 c\u00e1c \u0111i\u1ec1u thu\u1eadn l\u1ee3i v\u00e0 kh\u00f3 kh\u0103n c\u1ee7a m\u1ed7i l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/li>\n<\/ul>\n<p>\u0110\u01b0a ra quy\u1ebft \u0111\u1ecbnh v\u1ec1 vi\u1ec7c li\u1ec7u c\u00f3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n hay kh\u00f4ng v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y vi\u1ec7c ch\u1ecbu \u00e1p l\u1ef1c khi \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh nhanh c\u00f3 th\u1ec3 l\u00e0 kh\u00f3 kh\u0103n. N\u00f3i chuy\u1ec7n v\u1edbi ai \u0111\u00f3 v\u1ec1 c\u1ea3m gi\u00e1c c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 l\u00e0 h\u1eefu \u00edch.<\/p>\n<p>M\u1ed9t s\u1ed1 l\u1ef1a ch\u1ecdn \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong b\u00e0i vi\u1ebft n\u00e0y kh\u00f4ng ph\u00f9 h\u1ee3p cho t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef v\u00e0 m\u1ed9t s\u1ed1 c\u00f3 th\u1ec3 kh\u00f4ng c\u00f3 \u1edf m\u1ecdi ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/p>\n<h2><strong>Kh\u1ea3 n\u0103ng sinh s\u1ea3n \u1edf ph\u1ee5 n\u1eef<\/strong><\/h2>\n<p>\u0110\u1ec3 hi\u1ec3u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n, th\u00ec hi\u1ec3u bi\u1ebft m\u1ed9t v\u00e0i \u0111i\u1ec1u c\u01a1 b\u1ea3n v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 l\u00e0 h\u1eefu \u00edch.<\/p>\n<figure id=\"attachment_42109\" aria-describedby=\"caption-attachment-42109\" style=\"width: 698px\" class=\"wp-caption alignnone\"><img fetchpriority=\"high\" decoding=\"async\" class=\" wp-image-42109\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/07\/kha-nang-sinh-san-co-thai-va-ung-thu-vu-1.png\" alt=\"Kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a n\u1eef gi\u1edbi\" width=\"698\" height=\"636\" \/><figcaption id=\"caption-attachment-42109\" class=\"wp-caption-text\">Kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a n\u1eef gi\u1edbi<\/figcaption><\/figure>\n<p>Ph\u1ee5 n\u1eef sinh ra \u0111\u00e3 c\u00f3 nhi\u1ec1u tr\u1ee9ng \u1edf hai bu\u1ed3ng tr\u1ee9ng. Khi \u0111\u1ebfn tu\u1ed5i d\u1eady th\u00ec, s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng s\u1ebd gi\u1ea3m v\u00e0 s\u1ebd ti\u1ebfp t\u1ee5c gi\u1ea3m khi tu\u1ed5i c\u00e0ng l\u1edbn. N\u00f3i chung, ch\u1ea5t l\u01b0\u1ee3ng tr\u1ee9ng c\u0169ng gi\u1ea3m khi ph\u1ee5 n\u1eef l\u1edbn tu\u1ed5i d\u1ea7n, \u0111i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<p>\u00cdt nh\u1ea5t m\u1ed7i th\u00e1ng bu\u1ed3ng tr\u1ee9ng r\u1ee5ng m\u1ed9t tr\u1ee9ng. N\u1ebfu tr\u1ee9ng th\u1ee5 tinh v\u1edbi tinh tr\u00f9ng th\u00ec ph\u1ee5 n\u1eef s\u1ebd c\u00f3 thai v\u00e0 tr\u1ee9ng \u0111\u00e3 th\u1ee5 tinh s\u1ebd t\u1ef1 l\u00e0m t\u1ed5 trong t\u1eed cung. N\u1ebfu tr\u1ee9ng kh\u00f4ng \u0111\u01b0\u1ee3c th\u1ee5 tinh th\u00ec b\u1ea1n c\u00f3 kinh nguy\u1ec7t.<\/p>\n<p>Bu\u1ed3ng tr\u1ee9ng ng\u1eebng r\u1ee5ng tr\u1ee9ng v\u00e0 h\u00e0nh kinh h\u00e0ng th\u00e1ng c\u0169ng d\u1eebng khi ph\u1ee5 n\u1eef \u0111\u1ea1t \u0111\u1ebfn m\u00e3n kinh. Trung b\u00ecnh, h\u1ea7u h\u1ebft ph\u1ee5 n\u1eef \u0111\u1ea1t \u0111\u1ebfn m\u00e3n kinh xung quanh tu\u1ed5i 51, m\u1eb7c d\u00f9 nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u1ee5 n\u1eef c\u00f3 <a href=\"https:\/\/www.cancer.gov\/about-cancer\/causes-prevention\/genetics\/brca-fact-sheet\" target=\"_blank\" rel=\"noopener\">gen ung th\u01b0 v\u00fa (BRCA) b\u1ecb bi\u1ebfn \u0111\u1ed5i<\/a> s\u1ebd m\u00e3n kinh s\u1edbm h\u01a1n.<\/p>\n<p>\u0110\u1ed3 th\u1ecb d\u01b0\u1edbi \u0111\u00e2y cho th\u1ea5y kh\u1ea3 n\u0103ng sinh s\u1ea3n trung b\u00ecnh c\u1ee7a ph\u1ee5 n\u1eef gi\u1ea3m theo tu\u1ed5i cho \u0111\u1ebfn khi \u0111\u1ea1t \u0111\u1ebfn m\u00e3n kinh. T\u1ed1c \u0111\u1ed9 gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n kh\u00e1c nhau \u1edf m\u1ed7i ng\u01b0\u1eddi v\u00e0 s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o b\u1ea1n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p g\u00ec.<\/p>\n<figure id=\"attachment_42110\" aria-describedby=\"caption-attachment-42110\" style=\"width: 704px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\" wp-image-42110\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/07\/kha-nang-sinh-san-co-thai-va-ung-thu-vu-2-300x141-1.png\" alt=\"\u0110\u1ed3 th\u1ecb gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n theo tu\u1ed5i\" width=\"704\" height=\"331\" \/><figcaption id=\"caption-attachment-42110\" class=\"wp-caption-text\">\u0110\u1ed3 th\u1ecb gi\u1ea3m kh\u1ea3 n\u0103ng sinh s\u1ea3n theo tu\u1ed5i<\/figcaption><\/figure>\n<h2><strong>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n xem x\u00e9t trong khi ch\u1ea9n \u0111o\u00e1n v\u00e0 tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h2>\n<h3><strong>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/strong><\/h3>\n<p>M\u1ed9t v\u00e0i ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n trong t\u01b0\u01a1ng lai.<\/p>\n<table>\n<tbody>\n<tr>\n<td width=\"163\"><strong>\u0110i\u1ec1u tr\u1ecb<\/strong><\/td>\n<td width=\"319\"><strong>Nh\u1eefng \u0111i\u1ec1u c\u00f3 th\u1ec3 thay \u0111\u1ed5i<\/strong><\/td>\n<td width=\"320\"><strong>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n xem x\u00e9t<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"163\">H\u00f3a tr\u1ecb<\/td>\n<td width=\"319\">C\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng bu\u1ed3ng tr\u1ee9ng, l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng tr\u1ee9ng. C\u00f3 th\u1ec3 l\u00e0m kinh nguy\u1ec7t d\u1eebng t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n.<\/td>\n<td width=\"320\">Lo\u1ea1i v\u00e0 li\u1ec1u c\u1ee7a c\u00e1c thu\u1ed1c \u0111\u01b0\u1ee3c d\u00f9ng, tu\u1ed5i t\u00e1c v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb.<\/td>\n<\/tr>\n<tr>\n<td width=\"163\">Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft<\/td>\n<td width=\"319\">C\u00f3 th\u1ec3 l\u00e0m kinh nguy\u1ec7t tr\u1edf n\u00ean kh\u00f4ng \u0111\u1ec1u ho\u1eb7c ng\u1eebng trong khi \u0111ang d\u00f9ng thu\u1ed1c. H\u00e0nh kinh n\u00f3i chung s\u1ebd quay tr\u1edf l\u1ea1i khi kh\u00f4ng d\u00f9ng thu\u1ed1c n\u1ed9i ti\u1ebft n\u1eefa. Vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 m\u1ea5t v\u00e0i th\u00e1ng.<\/td>\n<td width=\"320\">\u0110\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb trong 5-10 n\u0103m. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c khuy\u00ean kh\u00f4ng mang thai trong khi d\u00f9ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft.<\/td>\n<\/tr>\n<tr>\n<td width=\"163\">C\u1eaft bu\u1ed3ng tr\u1ee9ng<\/td>\n<td width=\"319\">B\u1ea1n s\u1ebd kh\u00f4ng th\u1ec3 c\u00f3 thai tr\u1eeb khi tr\u1ee9ng ho\u1eb7c ph\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh tr\u01b0\u1edbc khi c\u1eaft bu\u1ed3ng tr\u1ee9ng ho\u1eb7c b\u1ea1n ch\u1ecdn c\u00e1ch s\u1eed d\u1ee5ng tr\u1ee9ng ho\u1eb7c ph\u00f4i \u0111\u01b0\u1ee3c hi\u1ebfn t\u1eb7ng.<\/td>\n<td width=\"320\"><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h4><strong>H\u00f3a tr\u1ecb<\/strong><\/h4>\n<p>H\u00f3a tr\u1ecb l\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00e1 h\u1ee7y c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 b\u1eb1ng c\u00e1ch d\u00f9ng c\u00e1c thu\u1ed1c ch\u1ed1ng ung th\u01b0. Thu\u1ed1c ho\u1ea1t \u0111\u1ed9ng b\u1eb1ng c\u00e1ch can thi\u1ec7p v\u00e0o kh\u1ea3 n\u0103ng t\u1ebf b\u00e0o ung th\u01b0 ph\u00e2n chia v\u00e0 ph\u00e1t tri\u1ec3n. H\u00f3a tr\u1ecb \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u00e1c t\u1ebf b\u00e0o trong to\u00e0n c\u01a1 th\u1ec3 v\u00e0 c\u00f3 th\u1ec3 l\u00e0m t\u1ed5n th\u01b0\u01a1ng bu\u1ed3ng tr\u1ee9ng, \u0111\u1ed3ng th\u1eddi l\u00e0m gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng tr\u1ee9ng.<\/p>\n<p>Nguy c\u01a1 b\u1ea1n g\u1eb7p v\u1ea5n \u0111\u1ec1 v\u1ec1 sinh s\u1ea3n trong t\u01b0\u01a1ng lai ph\u1ee5 thu\u1ed9c v\u00e0o lo\u1ea1i thu\u1ed1c s\u1eed d\u1ee5ng, li\u1ec1u \u0111\u00e3 d\u00f9ng, tu\u1ed5i c\u1ee7a b\u1ea1n v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n<p>Thu\u1ed1c h\u00f3a tr\u1ecb \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u nh\u1ea5t \u0111\u1ebfn bu\u1ed3ng tr\u1ee9ng l\u00e0 m\u1ed9t nh\u00f3m \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 &#8220;c\u00e1c t\u00e1c nh\u00e2n alkyl h\u00f3a&#8221;. M\u1ed9t trong nh\u1eefng thu\u1ed1c n\u00e0y (<a href=\"https:\/\/yhoccongdong.com\/thongtin\/cyclophosphamid-thuoc-alkyl-hoa\/\" target=\"_blank\" rel=\"noopener\">cyclophosphamide<\/a>) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong k\u1ebft h\u1ee3p v\u1edbi c\u00e1c thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p>\u1ea2nh h\u01b0\u1edfng c\u1ee7a m\u1ed9t s\u1ed1 thu\u1ed1c h\u00f3a tr\u1ecb kh\u00e1c nh\u01b0 l\u00e0 c\u00e1c taxane (<a href=\"https:\/\/yhoccongdong.com\/thongtin\/docetaxel-taxotere\/\" target=\"_blank\" rel=\"noopener\">docetaxel<\/a> v\u00e0 <a href=\"https:\/\/yhoccongdong.com\/thongtin\/paclitaxel-taxol\/\" target=\"_blank\" rel=\"noopener\">paclitaxel<\/a>) l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u r\u1ed9ng r\u00e3i, nh\u01b0ng b\u1eb1ng ch\u1ee9ng g\u1ee3i \u00fd r\u1eb1ng c\u00e1c thu\u1ed1c n\u00e0y c\u0169ng s\u1ebd \u1ea3nh h\u01b0\u1edfng l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<p>H\u00f3a tr\u1ecb c\u0169ng c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n kh\u00f4ng c\u00f3 h\u00e0nh kinh, c\u00f3 th\u1ec3 l\u00e0 t\u1ea1m th\u1eddi ho\u1eb7c v\u0129nh vi\u1ec5n. N\u00f3i chung b\u1ea1n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb khi c\u00e0ng tr\u1ebb, \u0111\u1eb7c bi\u1ec7t khi b\u1ea1n d\u01b0\u1edbi 35 tu\u1ed5i, th\u00ec nhi\u1ec1u kh\u1ea3 n\u0103ng l\u00e0 h\u00e0nh kinh s\u1ebd tr\u1edf l\u1ea1i. Ph\u1ee5 n\u1eef tr\u00ean 35 tu\u1ed5i r\u1ea5t c\u00f3 th\u1ec3 m\u1ea5t kh\u1ea3 n\u0103ng sinh s\u1ea3n sau h\u00f3a tr\u1ecb.<\/p>\n<p>C\u00f3 th\u1ec3 kinh nguy\u1ec7t t\u1ea1m th\u1eddi d\u1eebng trong khi \u0111i\u1ec1u tr\u1ecb v\u00e0 kinh nguy\u1ec7t tr\u1edf l\u1ea1i sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb v\u00e0i th\u00e1ng ho\u1eb7c \u0111\u00f4i khi th\u1eadm ch\u00ed v\u00e0i n\u0103m.<\/p>\n<p>N\u1ebfu kinh nguy\u1ec7t tr\u1edf l\u1ea1i sau h\u00f3a tr\u1ecb, m\u00e3n kinh r\u1ea5t c\u00f3 th\u1ec3 x\u1ea3y ra s\u1edbm h\u01a1n (s\u1edbm h\u01a1n t\u1eeb 5 t\u1edbi 10 n\u0103m), ngh\u0129a l\u00e0 b\u1ea1n c\u00f3 th\u1eddi gian ng\u1eafn h\u01a1n \u0111\u1ec3 c\u00f3 th\u1ec3 c\u00f3 thai.<\/p>\n<p>N\u1ebfu h\u00e0nh kinh tr\u1edf l\u1ea1i, th\u00ec c\u0169ng kh\u00f4ng c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n s\u1ebd c\u00f3 th\u1ec3 c\u00f3 thai n\u00ean quan tr\u1ecdng l\u00e0 n\u00f3i chuy\u1ec7n v\u1edbi nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb n\u1ebfu b\u1ea1n lo ng\u1ea1i.<\/p>\n<h4><strong>\u0110i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft<\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ung th\u01b0 v\u00fa \u0111\u01b0\u1ee3c k\u00edch th\u00edch ph\u00e1t tri\u1ec3n b\u1edfi ch\u1ea5t n\u1ed9i ti\u1ebft estrogen, ngh\u0129a l\u00e0 estrogen trong c\u01a1 th\u1ec3 b\u1ea1n gi\u00fap c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 ph\u00e1t tri\u1ec3n. Lo\u1ea1i ung th\u01b0 v\u00fa n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 <strong>d\u01b0\u01a1ng t\u00ednh th\u1ee5 th\u1ec3 n\u1ed9i ti\u1ebft (ER+)<\/strong>. Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft ch\u1eb7n ho\u1eb7c l\u00e0m estrogen kh\u00f4ng \u1ea3nh h\u01b0\u1edfng c\u1ee7a l\u00ean c\u00e1c t\u1ebf b\u00e0o ung th\u01b0 v\u00fa. Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 l\u00e0m gi\u1ea3m c\u01a1 h\u1ed9i ung th\u01b0 quay tr\u1edf l\u1ea1i.<\/p>\n<p><em>M\u1ed9t s\u1ed1 thu\u1ed1c c\u1ee7a li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft \u0111\u01b0\u1ee3c d\u00f9ng ph\u1ed5 bi\u1ebfn cho ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh m\u1eafc ung th\u01b0 v\u00fa l\u00e0:<\/em><\/p>\n<ul>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/tamoxifen\/\" target=\"_blank\" rel=\"noopener\">Tamoxifen<\/a> (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 1)<\/li>\n<li><a href=\"https:\/\/yhoccongdong.com\/thongtin\/goserelin-zoladex\/\" target=\"_blank\" rel=\"noopener\">Goserelin<\/a> (Zoladex)<\/li>\n<li>C\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf aromatase (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 2 &#8211; anastrozole, letrozole v\u00e0 exemestane) \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng c\u00f9ng v\u1edbi goserelin.<\/li>\n<\/ul>\n<p>\u1ede h\u1ea7u h\u1ebft c\u00e1c ph\u1ee5 n\u1eef ti\u1ec1n m\u00e3n kinh u\u1ed1ng <strong>tamoxifen<\/strong>, bu\u1ed3ng tr\u1ee9ng ti\u1ebfp t\u1ee5c ho\u1ea1t \u0111\u1ed9ng. Khi b\u1ea1n b\u1eaft \u0111\u1ea7u u\u1ed1ng tamoxifen, thu\u1ed1c c\u00f3 th\u1ec3 k\u00edch th\u00edch r\u1ee5ng tr\u1ee9ng l\u00e0m cho kh\u1ea3 n\u0103ng c\u00f3 thai c\u1ee7a b\u1ea1n t\u0103ng l\u00ean. Tuy nhi\u00ean kh\u00f4ng khuy\u1ebfn ngh\u1ecb c\u00f3 thai trong khi u\u1ed1ng tamoxifen.<\/p>\n<p>\u0110\u1ed1i v\u1edbi m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef, ti\u1ebfp t\u1ee5c s\u1eed d\u1ee5ng tamoxifen c\u00f3 ngh\u0129a l\u00e0 h\u00e0nh kinh tr\u1edf n\u00ean k\u00e9m \u0111\u1ec1u h\u01a1n, ra kinh \u00edt h\u01a1n ho\u1eb7c h\u00e0nh kinh d\u1eebng kh\u00f4ng ho\u00e0n to\u00e0n. N\u00f3i chung kinh nguy\u1ec7t c\u1ee7a b\u1ea1n s\u1ebd b\u1eaft \u0111\u1ea7u l\u1ea1i m\u1ed9t khi b\u1ea1n ng\u1eebng u\u1ed1ng tamoxifen, ngay c\u1ea3 khi b\u1ea1n ch\u01b0a tr\u1ea3i qua m\u00e3n kinh t\u1ef1 nhi\u00ean trong khi u\u1ed1ng thu\u1ed1c. Tuy nhi\u00ean, c\u00f3 th\u1ec3 b\u1ea1n c\u1ea7n 4 t\u1edbi 5 th\u00e1ng \u0111\u1ec3 kinh nguy\u1ec7t \u0111\u1ec1u \u0111\u1eb7n tr\u1edf l\u1ea1i.<\/p>\n<p><strong>Goserelin<\/strong> l\u00e0m bu\u1ed3ng tr\u1ee9ng ng\u1eebng s\u1ea3n sinh estrogen. N\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u1ebft h\u1ee3p v\u1edbi c\u00e1c li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft kh\u00e1c \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, nh\u01b0 l\u00e0 tamoxifen ho\u1eb7c c\u00e1c ch\u1ea5t \u1ee9c ch\u1ebf aromatase (thu\u1ed1c n\u1ed9i ti\u1ebft b\u1eadc 2).<\/p>\n<p>Li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft th\u01b0\u1eddng k\u00e9o d\u00e0i n\u0103m n\u0103m ho\u1eb7c l\u00e2u h\u01a1n. Trong khi b\u1ea1n \u0111ang \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c khuy\u00ean kh\u00f4ng n\u00ean c\u00f3 thai do thu\u1ed1c c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho thai nhi \u0111ang ph\u00e1t tri\u1ec3n. Th\u1eadm ch\u00ed n\u1ebfu b\u1ea1n kh\u00f4ng c\u00f3 h\u00e0nh kinh trong khi b\u1ea1n \u0111ang u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft th\u00ec b\u1ea1n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 thai.<\/p>\n<p>Do kho\u1ea3ng th\u1eddi gian d\u00e0i u\u1ed1ng thu\u1ed1c, c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 c\u00f3 th\u1ec3 che d\u1ea5u c\u00e1c d\u1ea5u hi\u1ec7u c\u1ee7a m\u00e3n kinh t\u1ef1 nhi\u00ean. C\u00f3 th\u1ec3 l\u00e0 ch\u1ec9 \u0111\u1ebfn khi ho\u00e0n th\u00e0nh li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft th\u00ec b\u1ea1n m\u1edbi nh\u1eadn bi\u1ebft \u0111\u01b0\u1ee3c m\u00ecnh \u0111ang b\u1eaft \u0111\u1ea7u m\u00e3n kinh ho\u1eb7c \u0111\u00e3 m\u00e3n kinh.<\/p>\n<p>N\u1ebfu b\u1ea1n mu\u1ed1n c\u00f3 con v\u00e0 b\u1ea1n \u0111ang \u1edf l\u1ee9a tu\u1ed5i 30 ho\u1eb7c \u0111\u1ea7u 40, u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft trong n\u0103m n\u0103m ho\u1eb7c l\u00e2u h\u01a1n c\u00f3 th\u1ec3 l\u00e0 v\u1ea5n \u0111\u1ec1 m\u00e0 b\u1ea1n mu\u1ed1n th\u1ea3o lu\u1eadn v\u1edbi b\u00e1c s\u0129. M\u1ed9t nghi\u00ean c\u1ee9u qu\u1ed1c t\u1ebf \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 POSITIVE (Pregnancy Outcome v\u00e0 Safety of Interrupting Therapy for Women with Endocrine Responsive Breast Cancer) \u0111ang xem x\u00e9t t\u00ednh an to\u00e0n c\u1ee7a vi\u1ec7c ng\u1eaft qu\u00e3ng li\u1ec7u ph\u00e1p n\u1ed9i ti\u1ebft \u0111\u1ec3 c\u1ed1 g\u1eafng c\u00f3 thai.<\/p>\n<h4><strong>C\u1eaft b\u1ecf bu\u1ed3ng tr\u1ee9ng<\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u1eaft b\u1ecf bu\u1ed3ng tr\u1ee9ng nh\u01b0 l\u00e0 m\u1ed9t ph\u1ea7n c\u1ee7a \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, ho\u1eb7c nh\u01b0 l\u00e0 \u0111i\u1ec1u tr\u1ecb gi\u1ea3m nguy c\u01a1 n\u1ebfu h\u1ecd c\u00f3 gen \u0111\u1ed9t bi\u1ebfn nh\u01b0 l\u00e0 <strong>BRCA1<\/strong> ho\u1eb7c <strong>BRCA2<\/strong> (c\u00f3 th\u1ec3 g\u00e2y c\u1ea3 ung th\u01b0 v\u00fa v\u00e0 ung th\u01b0 bu\u1ed3ng tr\u1ee9ng). N\u1ebfu b\u1ea1n c\u00f3 ph\u1eabu thu\u1eadt n\u00e0y th\u00ec b\u1ea1n kh\u00f4ng th\u1ec3 c\u00f3 thai \u0111\u01b0\u1ee3c (tr\u1eeb khi tr\u1ee9ng ho\u1eb7c ph\u00f4i \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt), nh\u01b0ng c\u00f3 th\u1ec3 xem x\u00e9t vi\u1ec7c \u0111\u1ec3 d\u00e0nh tr\u1ee9ng ho\u1eb7c ph\u00f4i trong t\u01b0\u01a1ng lai<\/p>\n<h3><strong>Th\u1ea3o lu\u1eadn kh\u1ea3 n\u0103ng sinh s\u1ea3n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb <\/strong><\/h3>\n<p>M\u1ed9t s\u1ed1 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng c\u00f3 thai trong t\u01b0\u01a1ng lai.<\/p>\n<p>\u0110i\u1ec1u quan tr\u1ecdng l\u00e0 th\u1ea3o lu\u1eadn c\u00e1c lo ng\u1ea1i v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u1edbi nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u01b0\u1edbc khi b\u1ea1n b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p><em>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi b\u1ea1n mu\u1ed1n h\u1ecfi nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb:<\/em><\/p>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a t\u00f4i trong t\u01b0\u01a1ng lai?<\/li>\n<li>C\u00e1c bi\u1ec7n ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a t\u00f4i c\u00f3 tr\u00ec ho\u00e3n vi\u1ec7c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 c\u1ee7a t\u00f4i hay kh\u00f4ng?<\/li>\n<li>T\u00f4i c\u00f3 an to\u00e0n khi u\u1ed1ng c\u00e1c thu\u1ed1c h\u1ed7 tr\u1ee3 sinh s\u1ea3n kh\u00f4ng?<\/li>\n<li>Mang thai trong t\u01b0\u01a1ng lai c\u00f3 l\u00e0m t\u0103ng c\u01a1 h\u1ed9i ung th\u01b0 t\u00e1i ph\u00e1t kh\u00f4ng?<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb ung th\u01b0 c\u1ee7a t\u00f4i c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi s\u1ee9c kh\u1ecfe c\u1ee7a nh\u1eefng \u0111\u1ee9a con trong t\u01b0\u01a1ng lai kh\u00f4ng?<\/li>\n<li>N\u1ebfu t\u00f4i mu\u1ed1n c\u00f3 con, th\u00ec t\u00f4i c\u1ea7n ch\u1edd bao l\u00e2u sau \u0111i\u1ec1u tr\u1ecb \u0111\u1ec3 c\u1ed1 g\u1eafng th\u1ee5 thai?<\/li>\n<\/ul>\n<p>Nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb c\u1ea7n g\u1eedi b\u1ea1n t\u1edbi chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n \u0111\u1ec3 th\u1ea3o lu\u1eadn l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n cho b\u1ea1n. Vi\u1ec7c n\u00e0y c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 kh\u00f4ng tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb cho b\u1ea1n.<\/p>\n<p>H\u00e3y c\u00f3 th\u1eddi gian \u0111\u1ec3 ngh\u0129 c\u00e1c c\u00e2u h\u1ecfi b\u1ea1n mu\u1ed1n h\u1ecfi tr\u01b0\u1edbc bu\u1ed5i h\u1eb9n v\u1edbi chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n. N\u1ebfu b\u1ea1n c\u00f3 ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau, th\u00ec \u0111\u1ec3 h\u1ecd tham d\u1ef1 v\u00e0o cu\u1ed9c th\u1ea3o lu\u1eadn n\u00e0y. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh \u0111\u00fang cho b\u1ea1n.<\/p>\n<p><em>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t s\u1ed1 c\u00e2u h\u1ecfi b\u1ea1n c\u00f3 th\u1ec3 h\u1ecfi chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n:<\/em><\/p>\n<ul>\n<li>T\u00f4i c\u00f3 th\u1ec3 ki\u1ec3m tra li\u1ec7u t\u00f4i c\u00f3 kh\u1ea3 n\u0103ng c\u00f3 thai tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa kh\u00f4ng?<\/li>\n<li>Tu\u1ed5i c\u1ee7a t\u00f4i s\u1ebd \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n?<\/li>\n<li>C\u01a1 h\u1ed9i c\u1ee7a t\u00f4i c\u00f3 thai sau \u0111i\u1ec1u tr\u1ecb l\u00e0 th\u1ebf n\u00e0o?<\/li>\n<li>Sau \u0111i\u1ec1u tr\u1ecb t\u00f4i s\u1ebd ph\u1ea3i ch\u1edd bao l\u00e2u \u0111\u1ec3 bi\u1ebft \u0111\u01b0\u1ee3c t\u00f4i v\u1eabn c\u00f3 th\u1ec3 th\u1ee5 thai?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 c\u1ed1 g\u1eafng b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a t\u00f4i nh\u01b0 th\u1ebf n\u00e0o?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb sinh s\u1ea3n k\u1ec3 c\u1ea3 tr\u1eef \u0111\u00f4ng ph\u00f4i ho\u1eb7c tr\u1ee9ng \u0111\u01b0\u1ee3c kh\u00f4ng?<\/li>\n<li>\u0110i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n g\u1ed3m nh\u1eefng g\u00ec?<\/li>\n<li>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n kh\u00e1c nhau th\u00e0nh c\u00f4ng th\u1ebf n\u00e0o?<\/li>\n<li>T\u00f4i c\u00f3 th\u1ec3 d\u00f9ng tinh tr\u00f9ng hi\u1ebfn t\u1eb7ng \u0111\u01b0\u1ee3c kh\u00f4ng?<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n mu\u1ed1n g\u1eb7p chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n m\u00e0 vi\u1ec7c n\u00e0y kh\u00f4ng \u0111\u01b0\u1ee3c \u0111\u01b0a ra th\u00ec h\u1ecfi b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ho\u1eb7c \u0111i\u1ec1u d\u01b0\u1ee1ng ch\u0103m s\u00f3c v\u00fa c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t sau khi ch\u1ea9n \u0111o\u00e1n \u0111\u1ec3 gi\u1ea3m tr\u00ec ho\u00e3n \u0111i\u1ec1u tr\u1ecb. B\u1ea1n c\u00f3 th\u1ec3 y\u00eau c\u1ea7u \u0111\u01b0\u1ee3c g\u1eedi t\u1edbi ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n c\u00f3 kinh nghi\u1ec7m trong gi\u00fap \u0111\u1ee1 ph\u1ee5 n\u1eef \u0111i\u1ec1u tr\u1ecb ung th\u01b0.<\/p>\n<h3><strong>C\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n tr\u01b0\u1edbc v\u00e0 trong \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h3>\n<p>Hi\u1ec7n c\u00f3 nhi\u1ec1u l\u1ef1a ch\u1ecdn c\u00f3 th\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n v\u00e0 l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng b\u1ea1n c\u00f3 con trong t\u01b0\u01a1ng lai.<\/p>\n<p><em>C\u00e1c l\u1ef1a ch\u1ecdn g\u1ed3m:<\/em><\/p>\n<ul>\n<li>Kh\u00f4ng b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u00e0 b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 ngay l\u1eadp t\u1ee9c.<\/li>\n<li>\u0110\u00f4ng l\u1ea1nh \u2013 ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n tr\u1ee9ng, ph\u00f4i ho\u1eb7c m\u00f4 bu\u1ed3ng tr\u1ee9ng tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/li>\n<li>\u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng \u2013 ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o v\u1ec7 bu\u1ed3ng tr\u1ee9ng trong khi h\u00f3a tr\u1ecb.<\/li>\n<\/ul>\n<p>N\u1ebfu b\u1ea1n mu\u1ed1n th\u1ea3o lu\u1eadn c\u00e1ch th\u1ee9c b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n, h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 n\u1ed9i ung th\u01b0 v\u00e0 chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<h3><strong>Quy\u1ebft \u0111\u1ecbnh n\u1ebfu b\u1ea1n mu\u1ed1n b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/strong><\/h3>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, b\u1ea1n s\u1ebd c\u1ea7n quy\u1ebft \u0111\u1ecbnh li\u1ec7u b\u1ea1n c\u00f3 mu\u1ed1n b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n hay kh\u00f4ng. B\u1ea1n c\u00f3 th\u1ec3 c\u00e2n nh\u1eafc b\u1ea1n mu\u1ed1n \u0111i\u1ec1u g\u00ec v\u00e0 \u0111i\u1ec1u g\u00ec l\u00e0m b\u1ea1n lo l\u1eafng v\u1ec1 m\u1ed7i l\u1ef1a ch\u1ecdn. Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 ph\u1ee5 n\u1eef tr\u1ebb \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa \u0111\u1ec1u s\u1ebd c\u00f3 c\u00e1c v\u1ea5n \u0111\u1ec1 sinh s\u1ea3n trong t\u01b0\u01a1ng lai.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef bi\u1ebft r\u1ea5t r\u00f5 r\u00e0ng h\u1ecd mu\u1ed1n c\u00e1i g\u00ec, trong khi nh\u1eefng ng\u01b0\u1eddi kh\u00e1c th\u1ea5y \u0111\u00e2y l\u00e0 th\u1eddi gian kh\u00f3 kh\u0103n \u0111\u1ec3 \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh. T\u00f4n gi\u00e1o v\u00e0 \u0111\u1ee9c tin c\u1ee7a b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u1ea3nh h\u01b0\u1edfng t\u1edbi c\u1ea3m gi\u00e1c c\u1ee7a b\u1ea1n v\u1ec1 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n. \u0110i\u1ec1u quan tr\u1ecdng l\u00e0 ch\u1ecdn c\u00e1i g\u00ec \u0111\u00fang cho b\u1ea1n.<\/p>\n<p>N\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n v\u00e0 t\u00ecm ra l\u1ef1a ch\u1ecdn c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n \u0111i t\u1edbi quy\u1ebft \u0111\u1ecbnh. N\u00f3 c\u0169ng c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n n\u00f3i \u0111i\u1ec1u n\u00e0y m\u1ea1ch l\u1ea1c v\u1edbi ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau (n\u1ebfu b\u1ea1n c\u00f3), nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, gia \u0111\u00ecnh v\u00e0 b\u1ea1n b\u00e8. B\u1ea1n c\u0169ng n\u00ean \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 t\u01b0 v\u1ea5n t\u1ea1i trung t\u00e2m h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/p>\n<p>M\u1ed9t v\u00e0i ph\u1ee5 n\u1eef xem x\u00e9t vi\u1ec7c kh\u00f4ng h\u00f3a tr\u1ecb do h\u1ecd lo ng\u1ea1i v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a h\u1ecd. H\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean gia t\u01b0 v\u1ea5n v\u1ec1 l\u1ee3i \u00edch c\u1ee7a h\u00f3a tr\u1ecb ho\u1eb7c \u1ea3nh h\u01b0\u1edfng m\u00e0 c\u00e1c k\u1ebft h\u1ee3p h\u00f3a tr\u1ecb kh\u00e1c nhau c\u00f3 th\u1ec3 c\u00f3 l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n.<\/p>\n<h4><strong>C\u00e1c nguy c\u01a1 c\u00f3 th\u1ec3<\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 mu\u1ed1n h\u1ecfi chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n nguy c\u01a1 v\u1edbi m\u1ed7i l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n l\u00e0 g\u00ec? Nhi\u1ec1u tr\u1ebb em \u0111\u01b0\u1ee3c sinh ra t\u1eeb ph\u00f4i \u0111\u00f4ng l\u1ea1nh v\u00e0 d\u01b0\u1eddng nh\u01b0 ch\u00fang kh\u00f4ng c\u00f3 b\u1ea5t k\u1ef3 r\u1ee7i ro s\u1ee9c kh\u1ecfe n\u00e0o. Ch\u00fang t\u00f4i ch\u01b0a bi\u1ebft li\u1ec7u c\u00f3 b\u1ea5t k\u1ef3 nguy c\u01a1 n\u00e0o v\u1edbi \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng v\u00e0 m\u00f4 bu\u1ed3ng tr\u1ee9ng do \u0111\u00e2y l\u00e0 c\u00e1c k\u1ef9 thu\u1eadt kh\u00e1 m\u1edbi, nh\u01b0ng c\u00e1c chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n tin r\u1eb1ng nguy c\u01a1 l\u00e0 r\u1ea5t nh\u1ecf.<\/p>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#000000;border-radius:3px\"><div class=\"su-box-title\" style=\"background-color:#333333;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">C\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">\n<ul>\n<li>Kh\u00f4ng b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n<\/li>\n<li>C\u00e1c l\u1ef1a ch\u1ecdn \u0111\u00f4ng l\u1ea1nh: tr\u1ee9ng, ph\u00f4i, m\u00f4 bu\u1ed3ng tr\u1ee9ng*<\/li>\n<li>\u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng**<\/li>\n<\/ul>\n<p>*Nghi\u00ean c\u1ee9u \u0111ang \u1edf giai \u0111o\u1ea1n s\u1edbm<\/p>\n<p>** Nghi\u00ean c\u1ee9u \u0111ang ti\u1ebfn h\u00e0nh xem x\u00e9t t\u00ednh hi\u1ec7u qu\u1ea3<\/p>\n<p>** C\u00f3 th\u1ec3 d\u00f9ng \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng trong khi h\u00f3a tr\u1ecb<\/div><\/div>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#000000;border-radius:3px\"><div class=\"su-box-title\" style=\"background-color:#333333;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">Ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n tr\u01b0\u1edbc c\u1ea5y ph\u00f4i (PGD)<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">Nh\u1eefng ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c bi\u1ebft c\u00f3 th\u1eeba h\u01b0\u1edfng gen b\u1ecb \u0111\u1ed9t bi\u1ebfn l\u00e0m t\u0103ng nguy c\u01a1 ung th\u01b0 v\u00fa v\u00e0 lo l\u1eafng v\u1ec1 vi\u1ec7c chuy\u1ec3n gen \u0111\u1ed9t bi\u1ebfn n\u00e0y sang con c\u00e1i c\u00f3 th\u1ec3 c\u1ea7n n\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean vi\u00ean t\u01b0 v\u1ea5n di truy\u1ec1n v\u1ec1 kh\u1ea3 n\u0103ng ch\u1ea9n \u0111o\u00e1n di truy\u1ec1n tr\u01b0\u1edbc c\u1ea5y ph\u00f4i (PGD). Vi\u1ec7c n\u00e0y g\u1ed3m th\u1ef1c hi\u1ec7n chu k\u1ef3 IVF v\u00e0 ki\u1ec3m tra c\u00e1c ph\u00f4i xem c\u00f3 th\u1eeba h\u01b0\u1edfng gen \u0111\u1ed9t bi\u1ebfn kh\u00f4ng tr\u01b0\u1edbc khi \u0111\u00f4ng l\u1ea1nh ph\u00f4i. Ch\u1ec9 c\u00e1c ph\u00f4i kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi gen \u0111\u1ed9t bi\u1ebfn g\u00e2y ung th\u01b0 v\u00fa l\u00e0 \u0111\u01b0\u1ee3c d\u00f9ng. Th\u1ee7 thu\u1eadt n\u00e0y ch\u1ec9 \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u1edf m\u1ed9t s\u1ed1 ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/div><\/div>\n<h3><strong>Kh\u00f4ng b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n (ch\u1edd v\u00e0 xem)<\/strong><\/h3>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef tr\u1ebb kh\u00f4ng mu\u1ed1n c\u00f3 con ho\u1eb7c ch\u1ecdn b\u1eaft \u0111\u1ea7u \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa v\u00e0 ch\u1edd kh\u1ea3 n\u0103ng sinh s\u1ea3n quay tr\u1edf l\u1ea1i sau khi \u0111i\u1ec1u tr\u1ecb xong. C\u00e1c ph\u1ee5 n\u1eef r\u1ea5t tr\u1ebb mu\u1ed1n duy tr\u00ec kh\u1ea3 n\u0103ng sinh s\u1ea3n sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa c\u00f3 th\u1ec3 mu\u1ed1n th\u1ea3o lu\u1eadn l\u1ef1a ch\u1ecdn n\u00e0y v\u1edbi nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb. Chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n c\u00f3 th\u1ec3 cho b\u1ea1n l\u00e0m m\u1ed9t s\u1ed1 x\u00e9t nghi\u1ec7m m\u00e1u (hoocmon \u1ee9c ch\u1ebf Mullerian \u2013 AMH) v\u00e0 si\u00eau \u00e2m \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa b\u1eaft \u0111\u1ea7u. H\u1ecd c\u0169ng c\u00f3 th\u1ec3 theo d\u00f5i kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n<h3><strong>Quy tr\u00ecnh b\u1ea3o t\u1ed3n sinh s\u1ea3n<\/strong><\/h3>\n<h4><strong>K\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng s\u1ea3n sinh th\u00eam tr\u1ee9ng<\/strong><\/h4>\n<p>Vi\u1ec7c b\u1ea3o t\u1ed3n bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 g\u1ed3m k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng \u0111\u1ec3 t\u0103ng th\u00eam s\u1ea3n sinh tr\u1ee9ng v\u00e0 gi\u00fap tr\u1ee9ng tr\u01b0\u1edfng th\u00e0nh. K\u1ef9 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng. L\u1ea5y th\u00eam \u0111\u01b0\u1ee3c nhi\u1ec1u tr\u1ee9ng s\u1ebd l\u00e0m t\u0103ng c\u01a1 h\u1ed9i c\u00f3 thai trong t\u01b0\u01a1ng lai.<\/p>\n<p>K\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng thi tho\u1ea3ng c\u00f3 th\u1ec3 tr\u00ec ho\u00e3n h\u00f3a tr\u1ecb trong th\u1eddi gian ng\u1eafn. Tuy nhi\u00ean c\u00e1c th\u1ef1c h\u00e0nh h\u1ed7 tr\u1ee3 sinh s\u1ea3n m\u1edbi cho th\u1ea5y r\u1eb1ng c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u b\u1ea3o t\u1ed3n bu\u1ed3ng tr\u1ee9ng v\u00e0o b\u1ea5t c\u1ee9 l\u00fac n\u00e0o trong chu k\u1ef3 kinh nguy\u1ec7t c\u1ee7a ph\u1ee5 n\u1eef (\u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 \u2018b\u1eaft \u0111\u1ea7u ng\u1eabu nhi\u00ean\u2019), v\u00e0 h\u00f3a tr\u1ecb v\u1eabn c\u1ee9 ti\u1ebfp t\u1ee5c theo k\u1ebf ho\u1ea1ch ho\u1eb7c ch\u1ec9 c\u1ea7n tr\u00ec ho\u00e3n t\u1ed1i thi\u1ec3u.<\/p>\n<p>B\u1ea1n s\u1ebd c\u1ea7n ti\u00eam h\u00e0ng ng\u00e0y c\u00e1c ch\u1ea5t n\u1ed9i ti\u1ebft trong kho\u1ea3ng 10-12 ng\u00e0y \u0111\u1ec3 l\u00e0m bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n s\u1ea3n sinh th\u00eam nhi\u1ec1u tr\u1ee9ng h\u01a1n b\u00ecnh th\u01b0\u1eddng.<\/p>\n<p>Vi\u1ec7c ti\u00eam c\u00e1c ch\u1ea5t n\u1ed9i ti\u1ebft l\u00e0m t\u0103ng l\u01b0\u1ee3ng estrogen trong c\u01a1 th\u1ec3. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef lo l\u1eafng v\u1ec1 \u1ea3nh h\u01b0\u1edfng c\u00f3 th\u1ec3 l\u00ean ung th\u01b0 v\u00fa. C\u00e1c nghi\u00ean c\u1ee9u ban \u0111\u1ea7u \u0111\u00e3 cho th\u1ea5y r\u1eb1ng k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng d\u01b0\u1eddng nh\u01b0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng l\u00ean s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a t\u1ebf b\u00e0o ung th\u01b0 v\u00fa, nh\u01b0ng c\u1ea7n nghi\u00ean c\u1ee9u th\u00eam tr\u01b0\u1edbc khi c\u00f3 th\u1ec3 ch\u1ee9ng minh \u0111\u01b0\u1ee3c \u0111i\u1ec1u n\u00e0y.<\/p>\n<p>S\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa nh\u01b0 l\u00e0 letrozole v\u00e0 tamoxifen c\u00f9ng v\u1edbi ti\u00eam c\u00e1c ch\u1ea5t n\u1ed9i ti\u1ebft l\u00e0m t\u0103ng s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng \u0111\u01b0\u1ee3c s\u1ea3n sinh ra v\u00e0 l\u00e0m gi\u1ea3m m\u1ee9c n\u1ed9i ti\u1ebft trong c\u01a1 th\u1ec3 trong khi \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/p>\n<p>B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o \u0111\u1ec3 ki\u1ec3m tra bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n v\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m m\u00e1u. Ch\u1eebng 34-38 gi\u1edd tr\u01b0\u1edbc khi tr\u1ee9ng \u0111\u1ebfn l\u00fac \u0111\u01b0\u1ee3c l\u1ea5y ra b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam m\u0169i n\u1ed9i ti\u1ebft cu\u1ed1i c\u00f9ng \u0111\u1ec3 gi\u00fap tr\u1ee9ng tr\u01b0\u1edfng th\u00e0nh.<\/p>\n<p>Khi tr\u1ee9ng \u0111\u00e3 s\u1eb5n s\u00e0ng s\u1ebd \u0111\u01b0\u1ee3c thu gom th\u00f4ng qua m\u1ed9t kim m\u1ea3nh \u0111i qua th\u00e0nh \u00e2m \u0111\u1ea1o t\u1edbi bu\u1ed3ng tr\u1ee9ng. Th\u1ee7 thu\u1eadt n\u00e0y \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n d\u01b0\u1edbi g\u00e2y t\u00ea ho\u1eb7c g\u00e2y m\u00ea to\u00e0n th\u00e2n.<\/p>\n<p>M\u1ed9t khi giai \u0111o\u1ea1n k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng k\u1ebft th\u00fac v\u00e0 n\u1ebfu th\u00e0nh c\u00f4ng th\u00ec tr\u1ee9ng ho\u1eb7c ph\u00f4i c\u1ee7a b\u1ea1n (tr\u1ee9ng \u0111\u00e3 \u0111\u01b0\u1ee3c th\u1ee5 tinh v\u1edbi tinh tr\u00f9ng) c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh.<\/p>\n<p>Kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c quy tr\u00ecnh \u0111\u00f4ng l\u1ea1nh \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 d\u01b0\u1edbi \u0111\u00e2y hi\u1ec7n c\u00f3 \u1edf m\u1ecdi ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n, v\u00e0 t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u00f3 th\u1ec3 thay \u0111\u1ed5i.<\/p>\n<p>Kh\u00f4ng m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n bu\u1ed3ng tr\u1ee9ng n\u00e0o c\u00f3 th\u1ec3 \u0111\u1ea3m b\u1ea3o b\u1ea1n s\u1ebd c\u00f3 thai v\u00e0 c\u00f3 con sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa. Tuy nhi\u00ean nhi\u1ec1u nghi\u00ean c\u1ee9u v\u1ec1 c\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n \u0111ang \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n, v\u00e0 d\u1eabn t\u1edbi nhi\u1ec1u c\u1ea3i thi\u1ec7n trong c\u00e1c quy tr\u00ecnh hi\u1ec7n c\u00f3.<\/p>\n<h4><strong>\u0110\u00f4ng l\u1ea1nh tr\u1ee9ng<\/strong><\/h4>\n<p>N\u1ebfu b\u1ea1n ch\u01b0a c\u00f3 ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau v\u00e0 kh\u00f4ng mu\u1ed1n d\u00f9ng tinh tr\u00f9ng hi\u1ebfn t\u1eb7ng th\u00ec b\u1ea1n c\u00f3 th\u1ec3 \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng c\u1ee7a b\u1ea1n.<\/p>\n<p>Tr\u1ee9ng \u0111\u00f4ng l\u1ea1nh c\u00f3 th\u1ec3 b\u1ea3o qu\u1ea3n trong 10 n\u0103m ho\u1eb7c h\u01a1n. Sau \u0111\u00f3 tr\u1ee9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c r\u00e3 \u0111\u00f4ng v\u00e0 \u0111\u01b0\u1ee3c th\u1ee5 tinh v\u1edbi tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau ho\u1eb7c c\u1ee7a ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o t\u1eed cung khi b\u1ea1n mu\u1ed1n c\u00f3 thai.<\/p>\n<p>\u0110\u00e2y l\u00e0 th\u1ee7 thu\u1eadt r\u1ea5t tinh x\u1ea3o do tr\u1ee9ng d\u1ec5 b\u1ecb h\u1ecfng trong qu\u00e1 tr\u00ecnh \u0111\u00f4ng l\u1ea1nh v\u00e0 r\u00e3 \u0111\u00f4ng. M\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111\u00f4ng l\u1ea1nh \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 th\u1ee7y tinh h\u00f3a d\u1eabn \u0111\u1ebfn \u00edt tr\u1ee9ng b\u1ecb h\u1ecfng h\u01a1n nh\u01b0ng kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n hi\u1ec7n c\u00f3 k\u1ef9 thu\u1eadt n\u00e0y.<\/p>\n<p>M\u1eb7c d\u1ea7u \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng \u0111ang ng\u00e0y c\u00e0ng th\u00e0nh c\u00f4ng h\u01a1n, t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng hi\u1ec7n gi\u1edd l\u00e0 th\u1ea5p h\u01a1n t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng khi s\u1eed d\u1ee5ng ph\u00f4i \u0111\u00f4ng l\u1ea1nh.<\/p>\n<h4><strong>\u0110\u00f4ng l\u1ea1nh ph\u00f4i \u2013 th\u1ee5 tinh \u1ed1ng nghi\u1ec7m (IVF)<\/strong><\/h4>\n<p><a href=\"https:\/\/yhoccongdong.com\/thongtin\/ivf-thu-tinh-trong-ong-nghiem\/\" target=\"_blank\" rel=\"noopener\">IVF<\/a> g\u1ed3m l\u1ea5y tr\u1ee9ng ra kh\u1ecfi bu\u1ed3ng tr\u1ee9ng c\u1ee7a ph\u1ee5 n\u1eef v\u00e0 tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ee5 tinh b\u1eb1ng tinh tr\u00f9ng trong ph\u00f2ng th\u00ed nghi\u1ec7m \u0111\u1ec3 t\u1ea1o n\u00ean ph\u00f4i.<\/p>\n<p>Ph\u00f4i ti\u1ebfp t\u1ee5c l\u1edbn l\u00ean trong ph\u00f2ng th\u00ed nghi\u1ec7m trong m\u1ed9t t\u1edbi s\u00e1u ng\u00e0y tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh \u0111\u1ec3 s\u1eed d\u1ee5ng sau n\u00e0y. Ph\u00f4i c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh v\u00e0 b\u1ea3o qu\u1ea3n trong 10 n\u0103m ho\u1eb7c l\u00e2u h\u01a1n tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c c\u1ea5y v\u00e0o t\u1eed cung.<\/p>\n<p>M\u1ed9t khi ph\u00f4i \u0111\u01b0\u1ee3c t\u1ea1o ra b\u1eb1ng c\u00e1ch d\u00f9ng tr\u1ee9ng c\u1ee7a b\u1ea1n v\u00e0 tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau th\u00ec ph\u00f4i v\u1ec1 m\u1eb7t ph\u00e1p l\u00fd thu\u1ed9c v\u1ec1 c\u1ea3 hai. C\u1ea3 hai s\u1ebd c\u1ea7n c\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn b\u1ea3o qu\u1ea3n v\u00e0 s\u1eed d\u1ee5ng b\u1ea5t k\u1ef3 ph\u00f4i n\u00e0o. N\u1ebfu b\u1ea1n chia tay trong t\u01b0\u01a1ng lai v\u00e0 ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau c\u1ee7a b\u1ea1n r\u00fat l\u1ea1i s\u1ef1 \u0111\u1ed3ng thu\u1eadn th\u00ec b\u1ea1n s\u1ebd kh\u00f4ng th\u1ec3 d\u00f9ng ph\u00f4i \u0111\u01b0\u1ee3c n\u1eefa v\u00e0 ph\u00f4i s\u1ebd b\u1ecb h\u1ee7y \u0111i. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef \u0111ang trong m\u1ed1i quan h\u1ec7 ch\u1ecdn b\u1ea3o qu\u1ea3n tr\u1ee9ng c\u0169ng nh\u01b0 c\u1ea3 ph\u00f4i \u0111\u1ec3 c\u00f3 l\u1ef1a ch\u1ecdn cho t\u01b0\u01a1ng lai.<\/p>\n<p>Trong m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p tr\u1ee9ng kh\u00f4ng th\u1ee5 tinh \u0111\u01b0\u1ee3c do nh\u1eefng l\u00fd do kh\u00f4ng bi\u1ebft, d\u1eabn \u0111\u1ebfn kh\u00f4ng c\u00f3 ph\u00f4i. B\u01a1m tinh tr\u00f9ng v\u00e0o tr\u1ee9ng (ICSI) \u0111\u00f4i khi c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111\u1ec1 xu\u1ea5t.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111\u1ed9c th\u00e2n ho\u1eb7c c\u00f3 m\u1ed1i quan h\u1ec7 \u0111\u1ed3ng gi\u1edbi th\u00ec b\u1ea1n c\u00f3 th\u1ec3 ch\u1ecdn s\u1eed d\u1ee5ng tinh tr\u00f9ng hi\u1ebfn t\u1eb7ng. Tuy nhi\u00ean t\u00ecm \u0111\u01b0\u1ee3c ng\u01b0\u1eddi hi\u1ebfn ph\u00f9 h\u1ee3p c\u00f3 th\u1ec3 kh\u00f4ng d\u1ec5 d\u00e0ng. Nh\u00e2n vi\u00ean t\u1ea1i khoa h\u1ed7 tr\u1ee3 sinh s\u1ea3n c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn th\u00eam \u0111i\u1ec1u n\u00e0y v\u1edbi b\u1ea1n.<\/p>\n<p>T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a IVF c\u00f3 d\u00f9ng ph\u00f4i \u0111\u00f4ng l\u1ea1nh \u0111\u00e3 v\u00e0 \u0111ang t\u0103ng l\u00ean v\u00e0 n\u00f3 v\u1eabn l\u00e0 c\u00e1ch th\u1ee9c b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u00f3 hi\u1ec7u qu\u1ea3 nh\u1ea5t.<\/p>\n<div class=\"su-box su-box-style-default\" id=\"\" style=\"border-color:#000000;border-radius:3px\"><div class=\"su-box-title\" style=\"background-color:#333333;color:#FFFFFF;border-top-left-radius:1px;border-top-right-radius:1px\">C\u00e1c giai \u0111o\u1ea1n \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng ho\u1eb7c ph\u00f4i<\/div><div class=\"su-box-content su-u-clearfix su-u-trim\" style=\"border-bottom-left-radius:1px;border-bottom-right-radius:1px\">\n<p>C\u00e1c giai \u0111o\u1ea1n n\u00e0y l\u00e0 c\u00e1c b\u01b0\u1edbc t\u1ea1i ph\u00f3ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n n\u1ebfu b\u1ea1n ch\u1ecdn \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng ho\u1eb7c ph\u00f4i. C\u00e1c k\u1ef9 thu\u1eadt n\u00e0y c\u00f3 th\u1ec3 thay \u0111\u1ed5i theo t\u1eebng tr\u01b0\u1eddng h\u1ee3p v\u00e0 ph\u01b0\u01a1ng th\u1ee9c ti\u1ebfp c\u1eadn c\u1ee7a \u0111\u01a1n v\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n \u0111\u1ecba ph\u01b0\u01a1ng.<\/p>\n<p><strong><em>B\u01b0\u1edbc 1:<\/em><\/strong><em> <strong>D\u1eebng chu k\u1ef3 kinh nguy\u1ec7t<\/strong><\/em><\/p>\n<p>Nhi\u1ec1u \u0111\u01a1n v\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n s\u1eed d\u1ee5ng \u201cs\u1ef1 b\u1eaft \u0111\u1ea7u ng\u1eabu nhi\u00ean\u201d ngh\u0129a l\u00e0 \u0111i\u1ec1u tr\u1ecb sinh s\u1ea3n c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1ea1i b\u1ea5t c\u1ee9 th\u1eddi \u0111i\u1ec3m n\u00e0o trong chu k\u1ef3 kinh nguy\u1ec7t. B\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c cho d\u00f9ng m\u1ed9t \u0111\u1ee3t ng\u1eafn thu\u1ed1c \u0111\u1ec3 t\u1ea1m th\u1eddi d\u1eebng chu k\u1ef3 kinh nguy\u1ec7t t\u1ef1 nhi\u00ean, \u0111\u1ec3 tr\u1ee9ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y ra trong khung th\u1eddi gian m\u00e0 chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n y\u00eau c\u1ea7u.<\/p>\n<p><strong><em>B\u01b0\u1edbc 2:<\/em><\/strong><em><strong> L\u00e0m t\u0103ng th\u00eam s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng<\/strong><\/em><\/p>\n<p>M\u1ed9t khi chu k\u1ef3 kinh nguy\u1ec7t t\u1ef1 nhi\u00ean \u0111\u01b0\u1ee3c d\u1eebng l\u1ea1i, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c d\u00f9ng ch\u1ea5t n\u1ed9i ti\u1ebft sinh s\u1ea3n \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 ch\u1ea5t n\u1ed9i ti\u1ebft k\u00edch th\u00edch nang tr\u1ee9ng (FSH). \u0110\u00e2y l\u00e0 m\u0169i ti\u00eam h\u00e0ng ng\u00e0y b\u1ea1n t\u1ef1 ti\u00eam, th\u01b0\u1eddng l\u00e0 trong 10-12 ng\u00e0y. B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c h\u1eb9n v\u1edbi \u0111i\u1ec1u d\u01b0\u1ee1ng l\u00e0 ng\u01b0\u1eddi s\u1ebd th\u1ea3o lu\u1eadn c\u00e1ch th\u1ee9c \u0111\u1ec3 b\u1ea1n t\u1ef1 ti\u00eam.<\/p>\n<p>FSH l\u00e0m t\u0103ng s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng m\u00e0 bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n sinh ra trong m\u1ed9t th\u00e1ng. \u0110i\u1ec1u \u0111\u00f3 c\u00f3 ngh\u0129a l\u00e0 nhi\u1ec1u tr\u1ee9ng h\u01a1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u1ea5y ra v\u00e0 \u0111\u01b0\u1ee3c th\u1ee5 thai. B\u1ea1n c\u0169ng r\u1ea5t c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c nh\u1eadn thu\u1ed1c ung th\u01b0 v\u00fa letrozoel ho\u1eb7c tamoxifen \u0111\u1ec3 l\u00e0m gi\u1ea3m m\u1ee9c estrogen trong c\u01a1 th\u1ec3 b\u1ea1n.<\/p>\n<p><strong><em>B\u01b0\u1edbc 3: Ti\u1ebfn tr\u00ecnh ki\u1ec3m tra<\/em><\/strong><\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c si\u00eau \u00e2m qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o \u0111\u1ec3 ki\u1ec3m tra bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n, v\u00e0 \u0111\u00f4i khi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m m\u00e1u. Ch\u1eebng 34-38 gi\u1edd tr\u01b0\u1edbc khi tr\u1ee9ng \u0111\u1ebfn l\u00fac l\u1ea5y ra, b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c ti\u00eam m\u0169i n\u1ed9i ti\u1ebft cu\u1ed1i c\u00f9ng gi\u00fap tr\u1ee9ng tr\u01b0\u1edfng th\u00e0nh.<\/p>\n<p><strong><em>B\u01b0\u1edbc 4:<\/em><\/strong><em><strong> Ch\u1ecdc h\u00fat<\/strong> <strong>tr\u1ee9ng \u00a0<\/strong><\/em><\/p>\n<p>B\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c g\u00e2y t\u00ea ho\u1eb7c g\u00e2y m\u00ea to\u00e0n th\u00e2n v\u00e0 tr\u1ee9ng c\u1ee7a b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c l\u1ea5y ra b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng m\u1ed9t c\u00e2y kim lu\u1ed3n qua \u00e2m \u0111\u1ea1o v\u00e0 \u0111i v\u00e0o m\u1ed7i bu\u1ed3ng tr\u1ee9ng d\u01b0\u1edbi h\u01b0\u1edbng d\u1eabn si\u00eau \u00e2m. Vi\u1ec7c n\u00e0y m\u1ea5t ch\u1eebng 15-20 ph\u00fat v\u00e0 m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef b\u1ecb chu\u1ed9t r\u00fat sau th\u1ee7 thu\u1eadt n\u00e0y. N\u1ebfu b\u1ea1n mu\u1ed1n th\u00ec tr\u1ee9ng sau \u0111\u00f3 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh.<\/p>\n<p><strong><em>B\u01b0\u1edbc 5<\/em><\/strong><em>: <strong>Th\u1ee5 tinh cho tr\u1ee9ng (n\u1ebfu b\u1ea1n mu\u1ed1n \u0111\u00f4ng l\u1ea1nh ph\u00f4i)<\/strong><\/em><\/p>\n<p>Tr\u1ee9ng \u0111\u00e3 l\u1ea5y ra \u0111\u01b0\u1ee3c tr\u1ed9n v\u1edbi tinh tr\u00f9ng c\u1ee7a ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau ho\u1eb7c c\u1ee7a ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng trong ph\u00f2ng th\u00ed nghi\u1ec7m. Tr\u1ee9ng \u0111\u00e3 th\u1ee5 tinh (ph\u00f4i) ti\u1ebfp t\u1ee5c ph\u00e1t tri\u1ec3n trong ph\u00f2ng th\u00ed nghi\u1ec7m trong m\u1ed9t t\u1edbi s\u00e1u ng\u00e0y tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c \u0111\u00f4ng l\u1ea1nh.<\/p>\n<\/div><\/div>\n<figure id=\"attachment_42111\" aria-describedby=\"caption-attachment-42111\" style=\"width: 693px\" class=\"wp-caption alignnone\"><img decoding=\"async\" class=\" wp-image-42111\" src=\"https:\/\/yhoccongdong.com\/ung-thu\/wp-content\/uploads\/sites\/2\/2022\/07\/kha-nang-sinh-san-co-thai-va-ung-thu-vu-3-300x180-1.png\" alt=\"S\u01a1 \u0111\u1ed3 th\u1eddi gian \u0111\u1ec3 \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng v\u00e0 ph\u00f4i\" width=\"693\" height=\"416\" \/><figcaption id=\"caption-attachment-42111\" class=\"wp-caption-text\">S\u01a1 \u0111\u1ed3 th\u1eddi gian \u0111\u1ec3 \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng v\u00e0 ph\u00f4i<\/figcaption><\/figure>\n<h4><strong>\u0110\u00f4ng l\u1ea1nh m\u00f4 bu\u1ed3ng tr\u1ee9ng<\/strong><\/h4>\n<p>K\u1ef9 thu\u1eadt n\u00e0y \u0111ang trong giai \u0111o\u1ea1n nghi\u00ean c\u1ee9u ban \u0111\u1ea7u v\u00e0 m\u1edbi ch\u1ec9 \u00e1p d\u1ee5ng \u1edf m\u1ed9t s\u1ed1 trung t\u00e2m. N\u00f3 c\u00f3 th\u1ec3 ph\u00f9 h\u1ee3p n\u1ebfu b\u1ea1n kh\u00f4ng c\u00f3 th\u1eddi gian \u0111\u1ec3 \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng ho\u1eb7c ph\u00f4i.<\/p>\n<p>M\u00f4 bu\u1ed3ng tr\u1ee9ng c\u00f3 r\u1ea5t nhi\u1ec1u tr\u1ee9ng ch\u01b0a tr\u01b0\u1edfng th\u00e0nh \u0111\u01b0\u1ee3c l\u1ea5y ra v\u00e0 \u0111\u00f4ng l\u1ea1nh. Sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0, m\u00f4 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c r\u00e3 \u0111\u00f4ng v\u00e0 \u0111\u01b0\u1ee3c c\u1ea5y l\u1ea1i v\u00e0o bu\u1ed3ng tr\u1ee9ng \u0111\u1ec3 b\u1eaft \u0111\u1ea7u th\u1ef1c hi\u1ec7n ch\u1ee9c n\u0103ng v\u00e0 cho ph\u00e9p c\u00f3 thai t\u1ef1 nhi\u00ean, ho\u1eb7c c\u1ea5y v\u00e0o v\u1ecb tr\u00ed kh\u00e1c trong c\u01a1 th\u1ec3 \u0111\u1ec3 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n qu\u00e1 tr\u00ecnh IVF.<\/p>\n<p>\u0110\u00f4ng l\u1ea1nh m\u00f4 bu\u1ed3ng tr\u1ee9ng bao g\u1ed3m ph\u1eabu thu\u1eadt v\u00e0 c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n nh\u01b0 l\u00e0 m\u1ed9t ca m\u1ed5 trong ng\u00e0y. Ph\u1eabu thu\u1eadt ph\u1ea3i \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb h\u00f3a ch\u1ea5t. Y\u00eau c\u1ea7u c\u00f3 l\u1ea7n ph\u1eabu thu\u1eadt n\u1eefa trong t\u01b0\u01a1ng lai \u0111\u1ec3 c\u1ea5y l\u1ea1i m\u00f4 v\u00e0o.<\/p>\n<p>\u0110\u00f4ng l\u1ea1nh m\u00f4 bu\u1ed3ng tr\u1ee9ng kh\u00f4ng ph\u1ea3i l\u00e0 l\u1ef1a ch\u1ecdn cho ph\u1ee5 n\u1eef c\u00f3 nguy c\u01a1 cao ph\u00e1t tri\u1ec3n ung th\u01b0 bu\u1ed3ng tr\u1ee9ng l\u00e0 nh\u1eefng ng\u01b0\u1eddi mang gen <strong>BRCA1<\/strong> ho\u1eb7c <strong>BRCA2<\/strong> b\u1ecb \u0111\u1ed9t bi\u1ebfn.<\/p>\n<p>T\u1eeb tr\u01b0\u1edbc t\u1edbi nay t\u01b0\u01a1ng \u0111\u1ed1i \u00edt em b\u00e9 tr\u00ean th\u1ebf gi\u1edbi \u0111\u01b0\u1ee3c sinh ra b\u1eb1ng k\u1ef9 thu\u1eadt n\u00e0y.<\/p>\n<h3><strong>\u0110i\u1ec1u g\u00ec x\u1ea3y ra \u1edf ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n?<\/strong><\/h3>\n<p>C\u1ea3m th\u1ea5y c\u00f3 ch\u00fat lo l\u1eafng tr\u01b0\u1edbc l\u1ea7n \u0111\u1ea7u ti\u00ean \u0111\u1ebfn ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n l\u00e0 \u0111i\u1ec1u t\u1ef1 nhi\u00ean. N\u1ebfu b\u1ea1n c\u00f3 ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau, th\u00ec n\u00f3i h\u1ecd \u0111i c\u00f9ng b\u1ea1n. B\u1ea1n s\u1ebd c\u00f3 c\u01a1 h\u1ed9i h\u1ecfi nhi\u1ec1u c\u00e2u h\u1ecfi v\u00e0 s\u1ebd \u0111\u01b0\u1ee3c \u0111\u1ec1 ngh\u1ecb c\u00f3 t\u01b0 v\u1ea5n chuy\u00ean s\u00e2u. B\u1ea1n c\u00f3 th\u1ec3 th\u1ea3o lu\u1eadn c\u00e1c l\u1ef1a ch\u1ecdn b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n, th\u00e0nh c\u00f4ng c\u1ee7a b\u1ea5t k\u1ef3 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n n\u00e0o, th\u1ee7 thu\u1eadt g\u1ed3m nh\u1eefng g\u00ec v\u00e0 nguy c\u01a1.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang u\u1ed1ng thu\u1ed1c tr\u00e1nh thai th\u00ec b\u1ea1n s\u1ebd \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u d\u1eebng u\u1ed1ng thu\u1ed1c. Tuy nhi\u00ean \u0111i\u1ec1u quan tr\u1ecdng l\u00e0 s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai.<\/p>\n<p>N\u1ebfu b\u1ea1n quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n, b\u1ea1n s\u1ebd c\u1ea7n l\u00e0m v\u00e0i x\u00e9t nghi\u1ec7m, g\u1ed3m c\u00e1c x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 th\u1eed HIV v\u00e0 vi\u00eam gan.<\/p>\n<p>\u0110\u00f4i khi s\u1ebd th\u1ef1c hi\u1ec7n x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 ch\u1ea5t n\u1ed9i ti\u1ebft g\u1ecdi l\u00e0 AMH, b\u1ea1n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c l\u00e0m si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o. C\u00e1c x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 ki\u1ec3m tra kh\u1ea3 n\u0103ng sinh s\u1ea3n hi\u1ec7n th\u1eddi c\u1ee7a b\u1ea1n.<\/p>\n<p>C\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m s\u1ebd gi\u00fap nh\u00f3m h\u1ed7 tr\u1ee3 sinh s\u1ea3n quy\u1ebft \u0111\u1ecbnh xem b\u1ea1n c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n \u0111\u01b0\u1ee3c kh\u00f4ng.<\/p>\n<p>N\u1ebfu b\u1ea1n mu\u1ed1n \u0111\u00f4ng l\u1ea1nh ph\u00f4i, th\u00ec ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau c\u0169ng s\u1ebd c\u1ea7n x\u00e9t nghi\u1ec7m m\u00e1u v\u00e0 l\u1ea5y m\u1eabu tinh tr\u00f9ng.<\/p>\n<p>Tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u b\u1ea5t k\u1ef3 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n n\u00e0o, b\u1ea1n (v\u00e0 ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau) s\u1ebd c\u1ea7n ho\u00e0n th\u00e0nh nhi\u1ec1u b\u1ea3n \u0111\u1ed3ng thu\u1eadn. B\u1ea1n s\u1ebd ph\u1ea3i tuy\u00ean b\u1ed1 tr\u1ee9ng ho\u1eb7c ph\u00f4i \u0111\u01b0\u1ee3c x\u1eed l\u00fd th\u1ebf n\u00e0o n\u1ebfu b\u1ea1n ho\u1eb7c ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau c\u1ee7a b\u1ea1n b\u1ecb ch\u1ebft ho\u1eb7c m\u1ea5t kh\u1ea3 n\u0103ng \u0111\u01b0a ra quy\u1ebft \u0111\u1ecbnh ri\u00eang c\u1ee7a b\u1ea1n.<\/p>\n<h2><strong>Nh\u1eefng \u0111i\u1ec1u c\u1ea7n c\u00e2n nh\u1eafc khi ch\u1ea9n \u0111o\u00e1n v\u00e0 trong khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h2>\n<h3><strong>\u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng trong khi h\u00f3a tr\u1ecb<\/strong><\/h3>\n<p>M\u1ed9t v\u00e0i nghi\u00ean c\u1ee9u \u0111\u00e3 cho th\u1ea5y r\u1eb1ng \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng c\u00f3 th\u1ec3 b\u1ea3o v\u1ec7 bu\u1ed3ng tr\u1ee9ng trong khi h\u00f3a tr\u1ecb do n\u00f3 t\u1ea1m th\u1eddi \u2018\u0111\u00f3ng\u2019 bu\u1ed3ng tr\u1ee9ng (ngh\u0129a l\u00e0 kh\u00f4ng c\u00f3 h\u00e0nh kinh n\u1eefa). \u1ee8c ch\u1ebf bu\u1ed3ng tr\u1ee9ng g\u1ed3m ti\u00eam h\u00e0ng th\u00e1ng thu\u1ed1c nh\u01b0 l\u00e0 Goserelin (Zoladex). B\u1eaft \u0111\u1ea7u ti\u00eam tr\u01b0\u1edbc khi h\u00f3a tr\u1ecb v\u00e0 ti\u1ebfp t\u1ee5c ti\u00eam trong su\u1ed1t \u0111i\u1ec1u tr\u1ecb h\u00f3a tr\u1ecb.<\/p>\n<p>H\u00e0nh kinh s\u1ebd b\u1eaft \u0111\u1ea7u l\u1ea1i trong v\u00f2ng ba t\u1edbi s\u00e1u th\u00e1ng sau khi d\u1eebng \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft, tr\u1eeb khi b\u1ea1n m\u00e3n kinh t\u1ef1 nhi\u00ean trong khi \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, th\u1eadm ch\u00ed n\u1ebfu h\u00e0nh kinh quay tr\u1edf l\u1ea1i th\u00ec \u0111i\u1ec1u \u0111\u00f3 kh\u00f4ng nh\u1ea5t thi\u1ebft c\u00f3 ngh\u0129a l\u00e0 b\u1ea1n \u0111\u00e3 b\u1ea3o t\u1ed3n \u0111\u01b0\u1ee3c kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a m\u00ecnh.<\/p>\n<p>T\u00ednh hi\u1ec7u qu\u1ea3 c\u1ee7a \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng \u0111\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n v\u1eabn c\u00f2n \u0111ang tranh c\u00e3i v\u00e0 kh\u00f4ng th\u1ec3 thay th\u1ebf c\u00e1c ph\u01b0\u01a1ng ph\u00e1p b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n kh\u00e1c nh\u01b0 l\u00e0 \u0111\u00f4ng l\u1ea1nh tr\u1ee9ng v\u00e0 ph\u00f4i. C\u1ea7n nhi\u1ec1u nghi\u00ean c\u1ee9u n\u1eefa \u0111\u1ec3 thi\u1ebft l\u1eadp vai tr\u00f2 c\u1ee7a \u1ee9c ch\u1ebf bu\u1ed3ng tr\u1ee9ng trong khi h\u00f3a tr\u1ecb \u0111\u1ec3 b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n<h3><strong>Tr\u00e1nh thai trong v\u00e0 sau khi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h3>\n<p>Nh\u1eefng ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c khuy\u00ean tr\u00e1nh thai trong khi \u0111ang \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa do \u0111i\u1ec1u tr\u1ecb c\u00f3 th\u1ec3 g\u00e2y h\u1ea1i cho thai nhi t\u1ea1i giai \u0111o\u1ea1n ph\u00e1t tri\u1ec3n s\u1edbm. \u0110i\u1ec1u n\u00e0y c\u00f3 ngh\u0129a r\u1eb1ng n\u1ebfu b\u1ea1n c\u00f3 quan h\u1ec7 t\u00ecnh d\u1ee5c v\u1edbi nam gi\u1edbi, th\u00ec b\u00e1c s\u0129 khuy\u00ean b\u1ea1n d\u00f9ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u00f4ng d\u00f9ng n\u1ed9i ti\u1ebft, nh\u01b0 l\u00e0 bao cao su, bao cao su cho n\u1eef (Femidom) ho\u1eb7c m\u00e0ng ng\u0103n \u00e2m \u0111\u1ea1o.<\/p>\n<p>C\u0169ng c\u00f3 th\u1ec3 d\u00f9ng v\u00f2ng tr\u00e1nh thai (IUD ho\u1eb7c <a href=\"https:\/\/yhoccongdong.com\/thongtin\/dung-cu-dat-tu-cung\/\" target=\"_blank\" rel=\"noopener\">d\u1ee5ng c\u1ee5 \u0111\u1eb7t t\u1eed cung<\/a>). H\u00e3y h\u1ecfi nh\u00f3m b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb do kh\u00f4ng ph\u1ea3i t\u1ea5t c\u1ea3 c\u00e1c lo\u1ea1i \u0111\u1ec1u ph\u00f9 h\u1ee3p cho ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 v\u00fa. Kh\u00f4ng khuy\u00ean d\u00f9ng vi\u00ean thu\u1ed1c tr\u00e1nh thai sau ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa do n\u00f3 ch\u1ee9a ch\u1ea5t n\u1ed9i ti\u1ebft.<\/p>\n<p>Tuy nhi\u00ean, c\u00f3 th\u1ec3 d\u00f9ng vi\u00ean thu\u1ed1c tr\u00e1nh thai kh\u1ea9n c\u1ea5p trong tr\u01b0\u1eddng h\u1ee3p kh\u1ea9n c\u1ea5p do n\u00f3 l\u00e0 li\u1ec1u duy nh\u1ea5t ch\u1ea5t n\u1ed9i ti\u1ebft v\u00e0 \u00edt kh\u1ea3 n\u0103ng \u1ea3nh h\u01b0\u1edfng t\u1edbi ung th\u01b0 v\u00fa.<\/p>\n<p>B\u1ea1n n\u00ean s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai \u0111\u00e1ng tin c\u1eady trong khi \u0111i\u1ec1u tr\u1ecb. Sau \u0111i\u1ec1u tr\u1ecb quy\u1ebft \u0111\u1ecbnh tr\u00e1nh thai s\u1ebd ph\u1ee5 thu\u1ed9c v\u00e0o vi\u1ec7c b\u1ea1n c\u1ea3m th\u1ea5y th\u1ebf n\u00e0o v\u1ec1 c\u00f3 thai.<\/p>\n<h2><strong>Sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa<\/strong><\/h2>\n<h3><strong>L\u00e0m th\u1ebf n\u00e0o \u0111\u1ec3 bi\u1ebft kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a t\u00f4i b\u1ecb \u1ea3nh h\u01b0\u1edfng b\u1edfi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa?<\/strong><\/h3>\n<p>Kh\u00f3 m\u00e0 d\u1ef1 \u0111o\u00e1n ch\u00ednh x\u00e1c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa s\u1ebd \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n. N\u00f3i chung, b\u1ea1n n\u00ean cho l\u00e0 b\u1ea1n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 thai tr\u1eeb khi b\u1ea1n kh\u00f4ng c\u00f3 h\u00e0nh kinh \u00edt nh\u1ea5t m\u1ed9t n\u0103m sau khi ho\u00e0n th\u00e0nh \u0111i\u1ec1u tr\u1ecb n\u1ebfu b\u1ea1n 40 tu\u1ed5i ho\u1eb7c h\u01a1n, ho\u1eb7c hai n\u0103m n\u1ebfu b\u1ea1n d\u01b0\u1edbi 40 tu\u1ed5i. Tuy nhi\u00ean, \u0111\u00e2y l\u00e0 ch\u1ec9 d\u1eabn chung v\u00e0 thay \u0111\u1ed5i cho m\u1ed7i ng\u01b0\u1eddi.<\/p>\n<p>Th\u1eadm ch\u00ed n\u1ebfu h\u00e0nh kinh ch\u01b0a b\u1eaft \u0111\u1ea7u tr\u1edf l\u1ea1i th\u00ec b\u1ea1n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 tr\u1ee9ng v\u00e0 c\u00f3 th\u1ec3 th\u1ee5 thai. Tuy nhi\u00ean n\u1ebfu h\u00e0nh kinh \u0111\u00e3 quay tr\u1edf l\u1ea1i th\u00ec \u0111i\u1ec1u \u0111\u00f3 kh\u00f4ng nh\u1ea5t thi\u1ebft c\u00f3 ngh\u0129a r\u1eb1ng kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n kh\u00f4ng b\u1ecb \u1ea3nh h\u01b0\u1edfng.<\/p>\n<p>Nhi\u1ec1u ph\u1ee5 n\u1eef c\u00f3 thai t\u1ef1 nhi\u00ean sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, nh\u01b0ng n\u1ebfu b\u1ea1n lo l\u1eafng v\u1ec1 kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a m\u00ecnh th\u00ec h\u00e3y y\u00eau c\u1ea7u \u0111\u01b0\u1ee3c g\u1eedi t\u1edbi ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/p>\n<h3><strong>Ki\u1ec3m tra kh\u1ea3 n\u0103ng sinh s\u1ea3n sau \u0111i\u1ec1u tr\u1ecb<\/strong><\/h3>\n<p>Sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb, kh\u00f4ng c\u00f3 c\u00e1ch th\u1ee9c n\u00e0o ho\u00e0n to\u00e0n tin c\u1eady \u0111\u1ec3 ki\u1ec3m tra \u0111i\u1ec1u tr\u1ecb \u0111\u00e3 \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o l\u00ean kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a b\u1ea1n.<\/p>\n<p>B\u1ea1n kh\u00f4ng th\u1ec3 th\u1ea5y ngay l\u1eadp t\u1ee9c sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb l\u00e0 b\u1ea1n v\u1eabn c\u00f3 kh\u1ea3 n\u0103ng th\u1ee5 thai. \u0110\u00f4i khi b\u1ea1n c\u00f3 th\u1ec3 ph\u1ea3i ch\u1edd ba t\u1edbi s\u00e1u th\u00e1ng sau khi h\u00f3a tr\u1ecb k\u1ebft th\u00fac tr\u01b0\u1edbc khi c\u00f3 th\u1ec3 x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 ch\u1ea5t n\u1ed9i ti\u1ebft.<\/p>\n<p>\u0110\u1ec3 ki\u1ec3m tra ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n, chuy\u00ean gia s\u0129 h\u1ed7 tr\u1ee3 sinh s\u1ea3n s\u1ebd h\u1ecfi v\u1ec1 chu k\u1ef3 kinh nguy\u1ec7t c\u1ee7a b\u1ea1n, h\u00e0nh kinh \u0111\u00e3 b\u1eaft \u0111\u1ea7u tr\u1edf l\u1ea1i ch\u01b0a v\u00e0 li\u1ec7u b\u1ea1n c\u00f3 b\u1ea5t k\u1ef3 tri\u1ec7u ch\u1ee9ng m\u00e3n kinh kh\u00f4ng. C\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n m\u1ed9t lo\u1ea1t x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 ch\u1ea5t n\u1ed9i ti\u1ebft \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 FSH. C\u00e1c k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m c\u00f3 th\u1ec3 cho th\u1ea5y b\u1ea1n \u0111\u00e3 tr\u1ea3i qua m\u00e3n kinh hay ch\u01b0a. \u0110\u00f4i khi m\u1ed9t x\u00e9t nghi\u1ec7m m\u00e1u c\u0169ng s\u1ebd \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n \u0111\u1ec3 ki\u1ec3m tra n\u1ed3ng \u0111\u1ed9 ch\u1ea5t n\u1ed9i ti\u1ebft g\u1ecdi l\u00e0 AMH do x\u00e9t nghi\u1ec7m n\u00e0y c\u00f3 th\u1ec3 cho th\u00eam th\u00f4ng tin ch\u00ednh x\u00e1c h\u01a1n v\u1ec1 ho\u1ea1t \u0111\u1ed9ng c\u1ee7a bu\u1ed3ng tr\u1ee9ng. C\u0169ng c\u00f3 th\u1ec3 th\u1ef1c hi\u1ec7n si\u00eau \u00e2m bu\u1ed3ng tr\u1ee9ng \u1edf m\u1ed9t s\u1ed1 ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111ang u\u1ed1ng tamoxifen, c\u00f3 th\u1ec3 x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 ch\u1ea5t n\u1ed9i ti\u1ebft. Tuy nhi\u00ean chuy\u00ean gia h\u1ed7 tr\u1ee3 sinh s\u1ea3n c\u00f3 th\u1ec3 khuy\u1ebfn ngh\u1ecb b\u1ea1n d\u1eebng u\u1ed1ng tamoxifen trong m\u1ed9t v\u00e0i tu\u1ea7n tr\u01b0\u1edbc khi x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft do c\u00f3 lo ng\u1ea1i r\u1eb1ng tamoxifen c\u00f3 th\u1ec3 l\u00e0m cho k\u1ebft qu\u1ea3 k\u00e9m tin c\u1eady.<\/p>\n<p>Th\u1eadm ch\u00ed khi kh\u1ea3 n\u0103ng sinh s\u1ea3n tr\u1edf l\u1ea1i sau h\u00f3a tr\u1ecb, m\u00e3n kinh c\u00f3 kh\u1ea3 n\u0103ng x\u1ea3y ra s\u1edbm h\u01a1n. Ph\u1ee5 n\u1eef \u0111\u01b0\u1ee3c h\u00f3a tr\u1ecb th\u01b0\u1eddng \u0111\u01b0\u1ee3c g\u1eedi t\u1edbi ph\u00f2ng kh\u00e1m h\u1ed7 tr\u1ee3 sinh s\u1ea3n sau s\u00e1u th\u00e1ng c\u1ed1 g\u1eafng c\u00f3 thai t\u1ef1 nhi\u00ean kh\u00f4ng th\u00e0nh c\u00f4ng do c\u00f3 th\u1ec3 \u0111\u00e3 m\u00e3n kinh s\u1edbm. M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u1ed1 g\u1eafng c\u00f3 thai s\u1eed d\u1ee5ng KIT d\u1ef1 \u0111o\u00e1n r\u1ee5ng tr\u1ee9ng \u0111\u01b0\u1ee3c b\u00e1n \u1edf hi\u1ec7u thu\u1ed1c \u0111\u1ec3 t\u00ecm ra khi n\u00e0o h\u1ecd r\u1ee5ng tr\u1ee9ng. N\u1ebfu b\u1ea1n c\u00f3 kinh nguy\u1ec7t th\u00ec \u0111\u00e2y c\u00f3 th\u1ec3 l\u00e0 c\u00e1ch nhanh \u0111\u1ec3 ki\u1ec3m tra b\u1ea1n c\u00f3 th\u1ec3 r\u1ee5ng tr\u1ee9ng v\u00e0 khi n\u00e0o b\u1ea1n r\u1ee5ng tr\u1ee9ng.<\/p>\n<h3><strong>Mang thai sau khi m\u1eafc ung th\u01b0 v\u00fa <\/strong><\/h3>\n<p>\u0110\u1ed1i v\u1edbi nhi\u1ec1u ph\u1ee5 n\u1eef, quy\u1ebft \u0111\u1ecbnh c\u1ed1 g\u1eafng th\u1ee5 thai sau ch\u1ea9n \u0111o\u00e1n ung th\u01b0 v\u00fa l\u00e0 kh\u00f3 kh\u0103n.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 thai v\u00e0 c\u00f3 em b\u00e9 sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng r\u1eb1ng nguy c\u01a1 ung th\u01b0 quay tr\u1edf l\u1ea1i t\u0103ng l\u00ean. C\u0169ng kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng c\u00f3 b\u1ea5t k\u1ef3 nguy c\u01a1 s\u1ee9c kh\u1ecfe n\u00e0o \u0111\u1ed1i v\u1edbi tr\u1ebb em sinh ra sau \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa.<\/p>\n<p>Nhi\u1ec1u chuy\u00ean gia khuy\u00ean ph\u1ee5 n\u1eef ch\u1edd \u00edt nh\u1ea5t hai n\u0103m tr\u01b0\u1edbc khi th\u1ee5 thai, l\u00e0 do kh\u1ea3 n\u0103ng ung th\u01b0 quay tr\u1edf l\u1ea1i c\u00f3 th\u1ec3 gi\u1ea3m \u0111i theo th\u1eddi gian, v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 nguy c\u01a1 l\u1edbn nh\u1ea5t trong hai n\u0103m \u0111\u1ea7u sau ch\u1ea9n \u0111o\u00e1n.<\/p>\n<p>Ch\u1edd \u0111\u1ee3i th\u1eddi gian d\u00e0i n\u00e0y c\u00f3 l\u1ebd kh\u00f4ng th\u00edch h\u1ee3p cho m\u1ecdi ph\u1ee5 n\u1eef. N\u1ebfu b\u1ea1n ngh\u0129 v\u1ec1 vi\u1ec7c th\u1ee5 thai tr\u01b0\u1edbc giai \u0111o\u1ea1n 2 n\u0103m th\u00ec h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 c\u1ee7a b\u1ea1n. H\u1ecd c\u00f3 th\u1ec3 gi\u00fap b\u1ea1n c\u00f3 l\u1ef1a ch\u1ecdn s\u00e1ng su\u1ed1t. B\u1ea1n c\u00f3 th\u1ec3 mu\u1ed1n th\u1ea3o lu\u1eadn nguy c\u01a1 b\u1ec7nh t\u00e1i ph\u00e1t c\u0169ng nh\u01b0 c\u00e1c y\u1ebfu t\u1ed1 c\u00f3 li\u00ean quan kh\u00e1c, g\u1ed3m c\u1ea3 tu\u1ed5i v\u00e0 b\u1ea1n \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb nh\u1eefng g\u00ec v\u00e0 b\u1ea5t k\u1ef3 \u0111i\u1ec1u g\u00ec \u0111ang di\u1ec5n ra.<\/p>\n<p>N\u1ebfu b\u1ea1n \u0111\u01b0\u1ee3c u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft, th\u01b0\u1eddng u\u1ed1ng trong 5 t\u1edbi 10 n\u0103m, l\u00fac \u0111\u00f3 b\u1ea1n c\u00f3 th\u1ec3 \u0111\u1ed1i m\u1eb7t v\u1edbi m\u00e3n kinh t\u1ef1 nhi\u00ean. Do v\u1eady m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ch\u1ecdn ng\u1eebng \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft n\u1ebfu h\u1ecd c\u1ed1 g\u1eafng th\u1ee5 thai.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef b\u1eaft \u0111\u1ea7u u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft tr\u1edf l\u1ea1i sau khi sinh em b\u00e9 n\u1ebfu h\u1ecd c\u00f3 th\u1ec3 th\u1ee5 thai. N\u1ebfu u\u1ed1ng thu\u1ed1c n\u1ed9i ti\u1ebft d\u00e0i ng\u00e0y l\u00e0m b\u1ea1n lo ng\u1ea1i th\u00ec h\u00e3y n\u00f3i chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 \u0111\u1ec3 b\u00e1c s\u0129 c\u00f3 th\u1ec3 t\u01b0 v\u1ea5n th\u00eam cho b\u1ea1n. N\u1ebfu b\u1ea1n \u0111ang c\u00f3 k\u1ebf ho\u1ea1ch mang thai sau khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft th\u00ec t\u1ed1t nh\u1ea5t l\u00e0 ch\u1edd \u00edt nh\u1ea5t 2 th\u00e1ng \u0111\u1ec3 thu\u1ed1c \u0111i ra h\u1ebft kh\u1ecfi c\u01a1 th\u1ec3 b\u1ea1n.<\/p>\n<p>Ph\u1ee5 n\u1eef kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn ngh\u1ecb c\u00f3 thai trong khi \u0111i\u1ec1u tr\u1ecb h\u00f3a tr\u1ecb.<\/p>\n<p>Li\u1ec7u ph\u00e1p tr\u00fang \u0111\u00edch <a href=\"https:\/\/yhoccongdong.com\/thongtin\/thong-tin-chung-ve-trastuzumab\/\" target=\"_blank\" rel=\"noopener\">trastuzumab<\/a> (Herceptin) th\u00f4ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb trong m\u1ed9t n\u0103m v\u00e0 \u0111\u01b0\u1ee3c cho l\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi kh\u1ea3 n\u0103ng sinh s\u1ea3n. Tuy nhi\u00ean b\u1ea1n n\u00ean tr\u00e1nh c\u00f3 thai trong khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng Trastuzumab v\u00e0 trong \u00edt nh\u1ea5t b\u1ea3y th\u00e1ng sau \u0111i\u1ec1u tr\u1ecb k\u1ebft th\u00fac, do kh\u1ea3 n\u0103ng g\u00e2y h\u1ea1i t\u1edbi thai nhi \u0111ang ph\u00e1t tri\u1ec3n.<\/p>\n<h4><strong>Hi\u1ebfn t\u1eb7ng tr\u1ee9ng<\/strong><\/h4>\n<p>N\u1ebfu bu\u1ed3ng tr\u1ee9ng c\u1ee7a b\u1ea1n b\u1ecb t\u1ed5n th\u01b0\u01a1ng b\u1edfi \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa, th\u00ec b\u1ea1n c\u00f3 th\u1ec3 c\u00f3 thai b\u1eb1ng c\u00e1ch s\u1eed d\u1ee5ng tr\u1ee9ng \u0111\u01b0\u1ee3c hi\u1ebfn t\u1eb7ng. Tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ee5 tinh v\u1edbi tinh tr\u00f9ng t\u1eeb ch\u1ed3ng\/ng\u01b0\u1eddi y\u00eau ho\u1eb7c ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng v\u00e0 ph\u00f4i \u0111\u01b0\u1ee3c chuy\u1ec3n v\u00e0o t\u1eed cung c\u1ee7a ng\u01b0\u1eddi hy v\u1ecdng c\u00f3 thai.<\/p>\n<p>Th\u1ee7 thu\u1eadt bao g\u1ed3m d\u00f9ng thu\u1ed1c n\u1ed9i ti\u1ebft trong ch\u1eebng 2 tu\u1ea7n \u0111\u1ec3 chu\u1ea9n b\u1ecb cho t\u1eed cung nh\u1eadn ph\u00f4i. Thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng ti\u1ebfp t\u1edbi 12 tu\u1ea7n n\u1ebfu c\u00f3 thai. C\u00f3 lo ng\u1ea1i r\u1eb1ng c\u00e1c thu\u1ed1c n\u1ed9i ti\u1ebft c\u00f3 th\u1ec3 k\u00edch th\u00edch ung th\u01b0 v\u00fa ph\u00e1t tri\u1ec3n, m\u1eb7c d\u1ea7u kh\u00f4ng c\u00f3 nghi\u00ean c\u1ee9u ch\u1ee9ng minh gia t\u0103ng nguy c\u01a1 ung th\u01b0 v\u00fa sau th\u1ee7 thu\u1eadt n\u00e0y.<\/p>\n<p>N\u1ebfu b\u1ea1n c\u00f3 con b\u1eb1ng c\u00e1ch d\u00f9ng tr\u1ee9ng, tinh tr\u00f9ng ho\u1eb7c ph\u00f4i \u0111\u01b0\u1ee3c hi\u1ebfn t\u1eb7ng th\u00ec b\u1ea5t k\u1ef3 \u0111\u1ee9a tr\u1ebb n\u00e0o c\u0169ng s\u1ebd c\u00f3 quy\u1ec1n ti\u1ebfp c\u1eadn t\u1edbi th\u00f4ng tin nh\u1eadn d\u1ea1ng ng\u01b0\u1eddi hi\u1ebfn t\u1eb7ng khi ch\u00fang \u0111\u1ee7 18 tu\u1ed5i.<\/p>\n<h4><strong>\u0110\u1ed1i m\u1eb7t v\u1edbi v\u00f4 sinh v\u0129nh vi\u1ec5n<\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef \u0111\u00e3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb ung th\u01b0 v\u00fa s\u1ebd \u0111\u1ed1i m\u1eb7t v\u1edbi kh\u1ea3 n\u0103ng v\u00f4 sinh v\u0129nh vi\u1ec5n. Vi\u1ec7c n\u00e0y c\u00f3 th\u1ec3 l\u00e0m b\u1ea1n r\u1ea5t \u0111au kh\u1ed5 v\u00e0 kh\u00f3 ch\u1ea5p nh\u1eadn, \u0111\u1eb7c bi\u1ec7t l\u00e0 n\u1ebfu n\u00f3 \u0111\u1ebfn v\u00e0o l\u00fac b\u1ea1n \u0111ang c\u00f3 k\u1ebf ho\u1ea1ch b\u1eaft \u0111\u1ea7u c\u00f3 gia \u0111\u00ecnh ho\u1eb7c tr\u01b0\u1edbc khi b\u1ea1n k\u1ebft th\u00fac cu\u1ed9c s\u1ed1ng gia \u0111\u00ecnh. N\u00f3 c\u00f3 th\u1ec3 thay \u0111\u1ed5i c\u1ea3m gi\u00e1c v\u1ec1 b\u1ea3n th\u00e2n b\u1ea1n l\u00e0 ph\u1ee5 n\u1eef v\u00e0 b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m gi\u00e1c \u0111au bu\u1ed3n n\u1eb7ng n\u1ec1 m\u00e0 ung th\u01b0 g\u00e2y cho b\u1ea1n.<\/p>\n<p>N\u1ebfu b\u1ea1n \u1edf trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y, b\u1ea1n c\u00f3 th\u1ec3 th\u1ea5y n\u00f3i chuy\u1ec7n v\u1edbi chuy\u00ean gia t\u01b0 v\u1ea5n sinh s\u1ea3n l\u00e0 h\u1eefu \u00edch.<\/p>\n<h4><strong>Mang thai h\u1ed9<\/strong><\/h4>\n<p>B\u1ea1n c\u00f3 th\u1ec3 nh\u1edd ng\u01b0\u1eddi mang thai h\u1ed9.<\/p>\n<p>Mang thai h\u1ed9 l\u00e0 c\u00f3 m\u1ed9t ph\u1ee5 n\u1eef kh\u00e1c mang thai h\u1ed9 b\u1ea1n. \u0110\u00e2y c\u00f3 th\u1ec3 l\u00e0 l\u1ef1a ch\u1ecdn cho ph\u1ee5 n\u1eef kh\u00f4ng mu\u1ed1n c\u00f3 kho\u1ea3ng d\u1eebng trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft \u0111\u1ec3 c\u00f3 thai do h\u1ecd c\u00f3 nguy c\u01a1 cao ung th\u01b0 v\u00fa quay tr\u1edf l\u1ea1i. Mang thai h\u1ed9 c\u00f3 th\u1ec3 d\u00f9ng tr\u1ee9ng c\u1ee7a ch\u00ednh b\u1ea1n ho\u1eb7c tr\u1ee9ng ho\u1eb7c ph\u00f4i hi\u1ebfn t\u1eb7ng.<\/p>\n<h4><strong>Nh\u1eadn con nu\u00f4i<\/strong><\/h4>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ch\u1ecdn nh\u1eadn con nu\u00f4i.<\/p>\n<p>M\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef ch\u1ecdn kh\u00f4ng \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n, mang thai h\u1ed9 ho\u1eb7c nu\u00f4i con nu\u00f4i v\u00e0 ti\u1ebfp t\u1ee5c h\u01b0\u1edfng th\u1ee5 cu\u1ed9c s\u1ed1ng m\u00e0 kh\u00f4ng l\u00e0m m\u1eb9.<\/p>\n<h2>T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<p><a href=\"https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc28_fertility_and_breast_cancer_2019_web.pdf\" target=\"_blank\" rel=\"noopener\">https:\/\/breastcancernow.org\/sites\/default\/files\/publications\/pdf\/bcc28_fertility_and_breast_cancer_2019_web.pdf<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u0110i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n kh\u1ea3 n\u0103ng sinh s\u1ea3n l\u00e0 gi\u00fap ph\u1ee5 n\u1eef m\u1eafc ung th\u01b0 v\u00fa c\u00f3 c\u01a1 h\u1ed9i th\u1ee5 thai cao h\u01a1n v\u00e0 c\u00f3 con trong t\u01b0\u01a1ng lai. <\/p>\n","protected":false},"author":548,"featured_media":9375,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2594],"tags":[2699,2569],"series":[1428],"coauthors":[1189],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - 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