{"id":5945,"date":"2019-04-02T13:45:33","date_gmt":"2019-04-02T06:45:33","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=5945"},"modified":"2019-04-02T13:45:33","modified_gmt":"2019-04-02T06:45:33","slug":"boc-u-lac-noi-mac-tu-cung-buong-trung-2-ben","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/boc-u-lac-noi-mac-tu-cung-buong-trung-2-ben\/","title":{"rendered":"B\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean"},"content":{"rendered":"

B\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean: Gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng li\u00ean quan \u0111\u1ebfn ph\u1eabu thu\u1eadt.<\/h2>\n
B\u00e1c s\u0129 L\u00fd Thi\u1ec7n Trung – B\u1ec7nh vi\u1ec7n M\u1ef9 \u0110\u1ee9c<\/p>\n
Kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef gi\u1ea3m theo tu\u1ed5i sinh h\u1ecdc. Nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 tr\u1ef1c ti\u1ebfp v\u1ec1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng v\u00e0 s\u1ef1 ph\u00e1t tri\u1ec3n nang no\u00e3n \u1edf ph\u1ee5 n\u1eef v\u1eabn r\u1ea5t kh\u00f3 th\u1ef1c hi\u1ec7n. Nh\u1eefng hi\u1ec3u bi\u1ebft hi\u1ec7n t\u1ea1i v\u1ec1 ti\u1ebfn tr\u00ecnh thay \u0111\u1ed5i kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef ch\u1ee7 y\u1ebfu d\u1ef1a v\u00e0o c\u00e1c nghi\u00ean c\u1ee9u d\u1ecbch t\u1ec5, n\u1ed9i ti\u1ebft v\u00e0 gi\u1ea3i ph\u1eabu b\u1ec7nh. Theo m\u1ed9t s\u1ed1 m\u00f4 h\u00ecnh to\u00e1n h\u1ecdc c\u1ee7a \u0111\u1ed9ng h\u1ecdc nang no\u00e3n, nang no\u00e3n gi\u1ea3m theo h\u00e0m s\u1ed1 m\u0169 v\u00e0 c\u00f3 2 pha, v\u00e0 t\u1ed1c \u0111\u1ed9 suy gi\u1ea3m nang no\u00e3n cao h\u01a1n \u1edf pha sau 37.5 tu\u1ed5i (Faddy MJ et al, 1992). Ph\u1eabu thu\u1eadt tr\u00ean bu\u1ed3ng tr\u1ee9ng c\u0169ng l\u00e0 m\u1ed9t trong c\u00e1c nguy\u00ean nh\u00e2n l\u00e0m t\u0103ng t\u1ed1c \u0111\u1ed9 gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. Tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u quan s\u00e1t m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa k\u00edch th\u01b0\u1edbc u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng v\u00e0 \u0111\u1ed9 tu\u1ed5i m\u00e3n kinh tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n t\u1eebng ph\u1eabu thu\u1eadt u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean. M\u1eb7t kh\u00e1c, u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng t\u1ef1 n\u00f3 c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. Trong m\u1ed9t nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y, ng\u01b0\u1eddi ta c\u0169ng quan s\u00e1t th\u1ea5y r\u1eb1ng u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng l\u00e0m m\u00e3n kinh s\u1edbm h\u01a1n b\u00ecnh th\u01b0\u1eddng (Coccia ME et al, 2011). M\u00f4 v\u1ecf c\u1ee7a b\u00ean bu\u1ed3ng tr\u1ee9ng b\u1ecb u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung c\u00f3 s\u1ef1 x\u01a1 h\u00f3a v\u00e0 gi\u1ea3m m\u00f4 \u0111\u1ec7m trong 55% tr\u01b0\u1eddng h\u1ee3p, ng\u01b0\u1ee3c l\u1ea1i, \u1edf b\u00ean bu\u1ed3ng tr\u1ee9ng l\u00e0nh th\u00ec kh\u00f4ng quan s\u00e1t th\u1ea5y tr\u01b0\u1eddng h\u1ee3p n\u00e0o b\u1ecb nh\u01b0 v\u1eady (Kitajima M et al, 2011).<\/p>\n
Maria Elisabetta Coccia v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u00e3 ti\u1ebfn h\u00e0nh nghi\u00ean c\u1ee9u \u1ea3nh h\u01b0\u1edfng c\u1ee7a ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean l\u00ean d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng. M\u1ee5c \u0111\u00edch c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y l\u00e0 \u0111\u1ec3 (1) x\u00e1c \u0111\u1ecbnh \u0111\u1eb7c \u0111i\u1ec3m gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng theo tu\u1ed5i tr\u00ean ph\u1ee5 n\u1eef b\u1ecb l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng, (2) ph\u00e2n t\u00edch r\u1eb1ng li\u1ec7u ph\u1eabu thu\u1eadt l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 1 b\u00ean ho\u1eb7c 2 b\u00ean c\u00f3 t\u1ea1o ra m\u1ed9t m\u00f4 h\u00ecnh hi\u1ec7u ch\u1ec9nh v\u1ec1 suy gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng theo tu\u1ed5i hay kh\u00f4ng?
\nS\u1ed1 li\u1ec7u \u0111\u01b0\u1ee3c thu th\u1eadp t\u1eeb Trung t\u00e2m h\u1ed7 tr\u1ee3 sinh s\u1ea3n thu\u1ed9c b\u1ec7nh vi\u1ec7n \u0110\u1ea1i h\u1ecdc Careggi, thu\u1ed9c \u0111\u1ea1i h\u1ecdc Florence.<\/p>\n
\n
\u0110\u1ed1i t\u01b0\u1ee3ng nghi\u00ean c\u1ee9u g\u1ed3m nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 1 ho\u1eb7c 2 b\u00ean ch\u01b0a ph\u1eabu thu\u1eadt (108 chu k\u1ef3).<\/li>\n
Nh\u00f3m ch\u1ee9ng 1: g\u1ed3m nh\u1eefng b\u1ec7nh nh\u00e2n t\u1eebng ph\u1eabu thu\u1eadt u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 1 b\u00ean (101 chu k\u1ef3).<\/li>\n
Nh\u00f3m ch\u1ee9ng 2: ph\u1eabu thu\u1eadt u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean (39 chu k\u1ef3).<\/li>\n
Nh\u00f3m ch\u1ee9ng 3: v\u00f4 sinh do nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng (171 chu k\u1ef3).<\/li>\n<\/ul>\n
Ch\u1ea9n \u0111o\u00e1n qua si\u00eau \u00e2m c\u1ee7a u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng l\u00e0 h\u00ecnh \u1ea3nh kh\u1ed1i gi\u1ea3m echo \u0111\u1ed3ng nh\u1ea5t tr\u00ean bu\u1ed3ng tr\u1ee9ng. Kh\u1ed1i u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c \u0111o 3 chi\u1ec1u v\u00e0 t\u00ednh k\u00edch th\u01b0\u1edbc trung b\u00ecnh. Ti\u00eau chu\u1ea9n lo\u1ea1i tr\u1eeb g\u1ed3m nh\u1eefng b\u00eanh nh\u00e2n \u0111\u00e3 t\u1eebng ph\u1eabu thu\u1eadt bu\u1ed3ng tr\u1ee9ng kh\u00f4ng ph\u1ea3i do u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, v\u00e0 nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 nang c\u01a1 n\u0103ng bu\u1ed3ng tr\u1ee9ng. Trong t\u1ea5t c\u1ea3 c\u00e1c nh\u00f3m, nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 FSH n\u1ec1n > 30 IU\/L v\u00e0 kh\u00f4ng thu th\u1eadp \u0111\u1ee7 s\u1ed1 li\u1ec7u s\u1ebd \u0111\u01b0\u1ee3c lo\u1ea1i kh\u1ecfi nghi\u00ean c\u1ee9u. Ngo\u00e0i ra, \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 \u0111\u00e1p \u1ee9ng bu\u1ed3ng tr\u1ee9ng v\u1edbi gonadotropin, ng\u01b0\u1eddi ta \u0111\u00e1nh gi\u00e1 trong chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb IVF\/ICSI \u0111\u1ea7u ti\u00ean kh\u00f4ng b\u1ecb h\u1ee7y.<\/p>\n
Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 t\u00ecnh tr\u1ea1ng v\u00f4 sinh qua nh\u1eefng x\u00e9t nghi\u1ec7m c\u01a1 b\u1ea3n. Nh\u1eefng ph\u1ee5 n\u1eef \u0111ang s\u1eed d\u1ee5ng thu\u1ed1c n\u1ed9i ti\u1ebft \u0111\u01b0\u1ee3c ng\u01b0ng d\u00f9ng n\u1ed9i ti\u1ebft ngo\u1ea1i sinh trong v\u00f2ng 4 tu\u1ea7n tr\u01b0\u1edbc khi \u0111\u01b0\u1ee3c x\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft.
\nK\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n v\u1edbi ph\u00e1c \u0111\u1ed3 down-regulation. Nh\u1eefng tr\u1ee9ng thu \u0111\u01b0\u1ee3c \u0111\u01b0\u1ee3c IVF ho\u1eb7c ICSI v\u00e0 c\u00e1c ph\u00f4i t\u1ea1o th\u00e0nh \u0111\u01b0\u1ee3c nu\u00f4i l\u00ean ng\u00e0y 3 ho\u1eb7c ng\u00e0y 5. Thai l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 c\u00f3 \u00edt nh\u1ea5t 1 t\u00fai thai trong l\u00f2ng t\u1eed cung c\u00f3 ph\u00f4i thai v\u00e0 c\u00f3 tim thai.<\/p>\n
$\"B\u00f3c$ <\/p>\n
Nh\u1eefng b\u1ec7nh nh\u00e2n v\u00f4 sinh do nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng tr\u1ebb h\u01a1n nh\u1eefng b\u1ec7nh nh\u00e2n b\u1ecb u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng \u0111\u00e3 hay ch\u01b0a t\u1eebng ph\u1eabu thu\u1eadt. FSH n\u1ec1n c\u1ee7a nh\u1eefng b\u1ec7nh nh\u00e2n v\u00f4 sinh nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng c\u0169ng th\u1ea5p h\u01a1n h\u1eb3n so v\u1edbi c\u00e1c nh\u00f3m kh\u00e1c.<\/p>\n
C\u00f3 m\u1ed1i li\u00ean quan m\u1ea1nh gi\u1eefa tu\u1ed5i v\u00e0 FSH n\u1ec1n tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n ch\u01b0a t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng. Kh\u00f4ng c\u00f3 m\u1ed1i li\u00ean quan gi\u1eefa tu\u1ed5i v\u00e0 FSH n\u1ec1n tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean. \u0110i\u1ec1u th\u00fa v\u1ecb l\u00e0, ng\u01b0\u1eddi ta l\u1ea1i quan s\u00e1t th\u1ea5y \u0111\u01b0\u1eddng h\u1ed3i quy ngh\u1ecbch c\u1ee7a FSH n\u1ec1n so v\u1edbi tu\u1ed5i tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean.<\/p>\n
$\"B\u00f3c$ <\/p>\n
A. B\u1ec7nh nh\u00e2n ch\u01b0a t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung
\nB. B\u1ec7nh nh\u00e2n t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung 1 b\u00ean bu\u1ed3ng tr\u1ee9ng
\nC. B\u1ec7nh nh\u00e2n t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung 2 b\u00ean bu\u1ed3ng tr\u1ee9ng
\nD. B\u1ec7nh nh\u00e2n v\u00f4 sinh do nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng.<\/p>\n
T\u1ef7 l\u1ec7 h\u1ee7y chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb th\u1ea5p h\u01a1n h\u1eb3n \u1edf nh\u00f3m nghi\u00ean c\u1ee9u so v\u1edbi nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 1 b\u00ean hay 2 b\u00ean. Nh\u00f3m v\u00f4 sinh do nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng c\u00f3 t\u1ef7 l\u1ec7 h\u1ee7y chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi nh\u00f3m nghi\u00ean c\u1ee9u v\u00e0 nh\u00f3m ch\u1ee9ng 1, nh\u01b0ng l\u1ea1i th\u1ea5p h\u01a1n r\u00f5 r\u1ec7t so v\u1edbi nh\u00f3m ch\u1ee9ng 2.<\/p>\n
M\u1eb7c d\u00f9 b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung 2 b\u00ean tr\u1ebb h\u01a1n so v\u1edbi nh\u1eefng nh\u00f3m kh\u00e1c, nh\u01b0ng h\u1ecd l\u1ea1i c\u1ea7n th\u1eddi gian k\u00edch th\u00edch d\u00e0i h\u01a1n v\u1edbi li\u1ec1u gonadotropin cao h\u01a1n. Nh\u1eefng b\u1ec7nh nh\u00e2n v\u00f4 sinh do nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng c\u00f3 k\u1ebft qu\u1ea3 t\u1ed1t h\u01a1n v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng nang 15mm v\u00e0o ng\u00e0y hCG v\u00e0 s\u1ed1 tr\u1ee9ng ch\u1ecdc h\u00fat \u0111\u01b0\u1ee3c. T\u1ef7 l\u1ec7 c\u00f3 thai c\u0169ng cao h\u01a1n \u1edf nh\u00f3m v\u00f4 sinh do nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng (t\u1ef7 l\u1ec7 thai l\u00e2m s\u00e0ng tr\u00ean s\u1ed1 chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb v\u00e0 tr\u00ean s\u1ed1 chu k\u1ef3 chuy\u1ec3n ph\u00f4i l\u1ea7n l\u01b0\u1ee3t l\u00e0 34,6% v\u00e0 38,6%). K\u1ebft qu\u1ea3 th\u1ea5p nh\u1ea5t l\u00e0 \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean (t\u1ef7 l\u1ec7 thai l\u00e2m s\u00e0ng tr\u00ean s\u1ed1 chu k\u1ef3 \u0111i\u1ec1u tr\u1ecb v\u00e0 tr\u00ean s\u1ed1 chu k\u1ef3 chuy\u1ec3n ph\u00f4i: l\u1ea7n l\u01b0\u1ee3t l\u00e0 10% v\u00e0 15,4%).<\/p>\n
Tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n ch\u01b0a t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng th\u00ec s\u1ed1 l\u01b0\u1ee3ng nang no\u00e3n v\u01b0\u1ee3t tr\u1ed9i v\u00e0 tu\u1ed5i c\u00f3 m\u1ed1i li\u00ean quan m\u1eadt thi\u1ebft v\u1edbi nhau. M\u1ed1i li\u00ean h\u1ec7 n\u00e0y c\u0169ng c\u00f3 \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 1 b\u00ean v\u00e0 b\u1ec7nh nh\u00e2n v\u00f4 sinh nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng. Tuy nhi\u00ean, s\u1ed1 l\u01b0\u1ee3ng nang v\u01b0\u1ee3t tr\u1ed9i l\u1ea1i th\u1ea5p h\u01a1n kh\u00f4ng li\u00ean quan \u0111\u1ebfn tu\u1ed5i \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u00e3 t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean. K\u1ebft qu\u1ea3 c\u0169ng t\u01b0\u01a1ng t\u1ef1 v\u1edbi s\u1ed1 tr\u1ee9ng ch\u1ecdc h\u00fat \u0111\u01b0\u1ee3c.<\/p>\n
Ph\u00e2n t\u00edch ch\u1ecdn l\u1ecdc FSH n\u1ec1n tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng kh\u00f4ng c\u00f3 ti\u1ec1n c\u0103n ph\u1eabu thu\u1eadt bu\u1ed3ng tr\u1ee9ng cho th\u1ea5y r\u1eb1ng s\u1ef1 gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng theo tu\u1ed5i c\u00f3 m\u00f4 h\u00ecnh t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1eefng b\u1ec7nh nh\u00e2n v\u00f4 sinh nguy\u00ean nh\u00e2n v\u00f2i tr\u1ee9ng v\u00e0 b\u1ec7nh nh\u00e2n ph\u1eabu thu\u1eadt u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung 1 b\u00ean. Trong 3 nh\u00f3m tr\u00ean th\u00ec m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa tu\u1ed5i v\u00e0 FSH n\u1ec1n l\u00e0 r\u1ea5t r\u00f5 r\u00e0ng. Tuy nhi\u00ean m\u1ed1i li\u00ean h\u1ec7 n\u00e0y kh\u00f4ng c\u00f3 \u1edf nh\u00f3m b\u1ec7nh nh\u00e2n \u0111\u00e3 ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean. Nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y c\u00f3 m\u00f4 h\u00ecnh gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng kh\u00e1c h\u01a1n, kh\u00f4ng ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i. Cho n\u00ean, \u1ea3nh h\u01b0\u1edfng c\u1ee7a tu\u1ed5i l\u00e0 \u00edt h\u01a1n so v\u1edbi \u1ea3nh h\u01b0\u1edfng t\u1eeb ph\u1eabu thu\u1eadt tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n c\u0103n b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung 2 b\u00ean. Tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n ch\u01b0a t\u1eebng ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung ho\u1eb7c ch\u1ec9 ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 1 b\u00ean th\u00ec m\u00f4 l\u00e0nh bu\u1ed3ng tr\u1ee9ng c\u00f2n l\u1ea1i c\u00f3 t\u1ed1c \u0111\u1ed9 l\u00e3o h\u00f3a t\u01b0\u01a1ng t\u1ef1 nh\u01b0 nh\u1eefng bu\u1ed3ng tr\u1ee9ng b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean, n\u1ebfu c\u1ea3 2 bu\u1ed3ng tr\u1ee9ng \u0111\u1ec1u \u0111\u00e3 \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng th\u00ec t\u1ed1c \u0111\u1ed9 gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng c\u00f3 v\u1ebb nh\u01b0 kh\u00f4ng c\u00f2n ph\u1ee5 thu\u1ed9c v\u00e0o tu\u1ed5i. M\u00f4 h\u00ecnh suy gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng sau ph\u1eabu thu\u1eadt b\u00f3c u bu\u1ed3ng tr\u1ee9ng 2 b\u00ean c\u00f3 v\u1ebb nh\u01b0 ch\u1eadm h\u01a1n b\u00ecnh th\u01b0\u1eddng, c\u00f3 l\u1ebd l\u00e0 do c\u01a1 ch\u1ebf b\u00f9 tr\u1eeb do nh\u1eefng y\u1ebfu t\u1ed1 n\u1ed9i t\u1ea1i bu\u1ed3ng tr\u1ee9ng. C\u1ea7n th\u00eam nghi\u00ean c\u1ee9u \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh k\u1ebft qu\u1ea3 c\u1ee7a nh\u00f3m nghi\u00ean c\u1ee9u v\u1ec1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng tr\u00ean nh\u1eefng b\u1ec7nh nh\u00e2n b\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung. C\u1ea7n ph\u1ea3i l\u00e0m r\u00f5 h\u01a1n r\u1eb1ng li\u1ec7u s\u1ed1 nang d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng c\u00f3 m\u1ed1i li\u00ean h\u1ec7 \u1edf c\u1ea3 2 bu\u1ed3ng tr\u1ee9ng v\u1edbi t\u00edn hi\u1ec7u gi\u1eefa c\u1ea3 2 bu\u1ed3ng tr\u1ee9ng hay l\u00e0 2 bu\u1ed3ng tr\u1ee9ng ho\u00e0n to\u00e0n \u0111\u1ed9c l\u1eadp v\u1edbi nhau.<\/p>\n
Ngu\u1ed3n: Maria Elisabetta Coccia. Bilateral Endometrioma Excision: Surgery-Related Damage to Ovarian Reserve, Reproductive Science, May 30th, 2018. Link\u00a0https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/29848225<\/a><\/p>\n
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B\u00f3c u l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung bu\u1ed3ng tr\u1ee9ng 2 b\u00ean: Gi\u1ea3m d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng li\u00ean quan \u0111\u1ebfn ph\u1eabu thu\u1eadt. B\u00e1c s\u0129 L\u00fd Thi\u1ec7n Trung – B\u1ec7nh vi\u1ec7n M\u1ef9 \u0110\u1ee9c Kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a ng\u01b0\u1eddi ph\u1ee5 n\u1eef gi\u1ea3m theo tu\u1ed5i sinh h\u1ecdc. Nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 tr\u1ef1c ti\u1ebfp v\u1ec1 d\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng […]\n","protected":false},"author":1,"featured_media":5947,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-5945","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-y-te-suc-khoe"],"acf":[],"_links":{"self":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5945","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/comments?post=5945"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/5945\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/5947"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=5945"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=5945"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=5945"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}