{"id":6084,"date":"2019-04-03T17:35:35","date_gmt":"2019-04-03T10:35:35","guid":{"rendered":"https:\/\/www.vnras.com\/drug\/?p=6084"},"modified":"2019-04-03T17:35:35","modified_gmt":"2019-04-03T10:35:35","slug":"tac-dong-cua-cham-cuu-len-chu-ky-chuyen-phoi-tru","status":"publish","type":"post","link":"https:\/\/vnras.com\/drug\/tac-dong-cua-cham-cuu-len-chu-ky-chuyen-phoi-tru\/","title":{"rendered":"T\u00e1c \u0111\u1ed9ng c\u1ee7a ch\u00e2m c\u1ee9u l\u00ean chu k\u1ef3 chuy\u1ec3n ph\u00f4i tr\u1eef"},"content":{"rendered":"<p><strong>Th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m<\/strong> \u2013<strong> chuy\u1ec3n ph\u00f4i<\/strong> l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn cho nhi\u1ec1u nguy\u00ean nh\u00e2n v\u00f4 sinh. M\u1eb7c d\u00f9 ph\u00e1c \u0111\u1ed3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng, \u0111i\u1ec1u ki\u1ec7n nu\u00f4i c\u1ea5y v\u00e0 k\u1ef9 thu\u1eadt chuy\u1ec3n ph\u00f4i ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a chuy\u1ec3n ph\u00f4i v\u1eabn duy tr\u00ec trong kho\u1ea3ng 20 &#8211; 25% trong su\u1ed1t m\u1ed9t th\u1eddi gian d\u00e0i (European Society of Human Reproduction and Embryology [ESHRE], 2001, 2008).<\/p>\n<p>Ch\u00e2m c\u1ee9u l\u00e0 m\u1ed9t trong nh\u1eefng tr\u1ecb li\u1ec7u \u0111\u01b0\u1ee3c ch\u00fa \u00fd v\u00e0 nghi\u00ean c\u1ee9u trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y. M\u1eb7c d\u00f9 \u0111\u00e3 c\u00f3 nhi\u1ec1u b\u00e0i nghi\u00ean c\u1ee9u n\u00f3i v\u1ec1 hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a ch\u00e2m c\u1ee9u gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng \u0111\u1eadu thai \u1edf nh\u1eefng b\u1ec7nh nh\u00e2n th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m, l\u1ea1i c\u00f3 r\u1ea5t \u00edt nghi\u00ean c\u1ee9u \u0111\u00e1nh gi\u00e1 li\u1ec7u ch\u00e2m c\u1ee9u c\u00f3 hi\u1ec7u qu\u1ea3 gi\u00fap t\u0103ng kh\u1ea3 n\u0103ng \u0111\u1eadu thai khi chuy\u1ec3n ph\u00f4i tr\u1eef hay kh\u00f4ng. B\u00e0i nghi\u00ean c\u1ee9u c\u1ee7a t\u00e1c gi\u1ea3 So v\u00e0 c\u1ed9ng s\u1ef1 \u0111\u01b0\u1ee3c \u0111\u0103ng tr\u00ean t\u1ea1p ch\u00ed Reproductive Healthcare v\u00e0o n\u0103m 2010 \u0111\u00e3 \u0111i t\u00ecm c\u00e2u tr\u1ea3 l\u1eddi v\u1edbi 226 b\u1ec7nh nh\u00e2n tham gia nghi\u00ean c\u1ee9u. C\u00e1c b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c ph\u00e2n ng\u1eabu nhi\u00ean v\u00e0o nh\u00f3m ch\u00e2m c\u1ee9u th\u1eadt (real acupuncture) v\u00e0 ch\u00e2m c\u1ee9u gi\u1ea3 (placebo acupuncture) trong kho\u1ea3ng th\u1eddi gian 25 ph\u00fat sau khi th\u1ef1c hi\u1ec7n chuy\u1ec3n ph\u00f4i tr\u1eef. T\u00e1c gi\u1ea3 c\u0169ng \u0111\u00e1nh gi\u00e1 m\u1ee9c \u0111\u1ed9 lo l\u1eafng v\u00e0 n\u1ed3ng \u0111\u1ed9 cortisol m\u00e1u tr\u01b0\u1edbc v\u00e0 sau khi th\u1ef1c hi\u1ec7n ch\u00e2m c\u1ee9u cho c\u1ea3 hai nh\u00f3m. K\u1ebft qu\u1ea3 l\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 t\u1ef7 l\u1ec7 thai n\u00f3i chung, t\u1ef7 l\u1ec7 thai l\u00e2m s\u00e0ng, thai di\u1ec5n ti\u1ebfn, t\u1ef7 l\u1ec7 sinh s\u1ed1ng v\u00e0 t\u1ef7 l\u1ec7 l\u00e0m t\u1ed5 gi\u1eefa hai nh\u00f3m ch\u00e2m c\u1ee9u th\u1eadt v\u00e0 ch\u00e2m c\u1ee9u gi\u1ea3. M\u1ee9c \u0111\u1ed9 lo l\u1eafng v\u00e0 n\u1ed3ng \u0111\u1ed9 cortisol m\u00e1u c\u1ee7a hai nh\u00f3m c\u0169ng t\u01b0\u01a1ng t\u1ef1 nhau. Ch\u1ec9 c\u00f3 t\u1ef7 l\u1ec7 thai di\u1ec5n ti\u1ebfn (p = 0,022) v\u00e0 t\u1ef7 l\u1ec7 l\u00e0m t\u1ed5 (p = 0,038) c\u1ee7a nh\u00f3m ch\u00e2m c\u1ee9u gi\u1ea3 (placebo acupuncture) t\u0103ng \u0111\u00e1ng k\u1ec3 so v\u1edbi nh\u00f3m t\u1eeb ch\u1ed1i tham gia nghi\u00ean c\u1ee9u hay nh\u00f3m kh\u00f4ng ch\u00e2m c\u1ee9u (no acupuncture). Nh\u00ecn chung, t\u1ef7 l\u1ec7 thai v\u00e0 sinh s\u1ed1ng gi\u1eefa c\u00e1c b\u1ec7nh nh\u00e2n th\u1ef1c hi\u1ec7n ch\u00e2m c\u1ee9u th\u1eadt hay ch\u00e2m c\u1ee9u gi\u1ea3 (real &amp; placebo acupuncture) sau chuy\u1ec3n ph\u00f4i tr\u1eef l\u00e0 t\u01b0\u01a1ng \u0111\u01b0\u01a1ng. \u0110i\u1ec1u n\u00e0y c\u00f3 th\u1ec3 cho th\u1ea5y: ch\u00e2m c\u1ee9u kh\u00f4ng c\u00f3 hi\u1ec7u qu\u1ea3 n\u00e0o th\u1ef1c t\u1ebf trong c\u1ea3i thi\u1ec7n t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a chuy\u1ec3n ph\u00f4i tr\u1eef.<\/p>\n<p>Ngu\u1ed3n: So EW, Ng EH, Wong YY, Yeung WS, Ho PC. Acupuncture for frozen\u2013thawed embryo transfer cycles: a double-blind randomized controlled trial. Reproductive biomedicine online. 2010 Jun 1;20(6):814-21. Link:\u00a0<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20382081\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/20382081<\/a><\/p>\n<p>T\u00e1c gi\u1ea3:\u00a0B\u00e1c s\u0129 L\u00ea Kh\u1eafc Ti\u1ebfn \u2013 B\u1ec7nh vi\u1ec7n M\u1ef9 \u0110\u1ee9c T\u00e2n B\u00ecnh<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m \u2013 chuy\u1ec3n ph\u00f4i l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u1ed5 bi\u1ebfn cho nhi\u1ec1u nguy\u00ean nh\u00e2n v\u00f4 sinh. M\u1eb7c d\u00f9 ph\u00e1c \u0111\u1ed3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng, \u0111i\u1ec1u ki\u1ec7n nu\u00f4i c\u1ea5y v\u00e0 k\u1ef9 thu\u1eadt chuy\u1ec3n ph\u00f4i ng\u00e0y c\u00e0ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n, t\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u1ee7a chuy\u1ec3n ph\u00f4i v\u1eabn duy tr\u00ec trong [&#8230;]\n","protected":false},"author":1,"featured_media":6085,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-6084","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\/6084","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=6084"}],"version-history":[{"count":0,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/posts\/6084\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media\/6085"}],"wp:attachment":[{"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/media?parent=6084"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/categories?post=6084"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/vnras.com\/drug\/wp-json\/wp\/v2\/tags?post=6084"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}