{"id":20830,"date":"2023-04-14T22:28:11","date_gmt":"2023-04-14T15:28:11","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=20830"},"modified":"2023-04-17T15:17:25","modified_gmt":"2023-04-17T08:17:25","slug":"cach-xac-dinh-vi-tri-u-xo-tu-cung","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/04\/14\/cach-xac-dinh-vi-tri-u-xo-tu-cung\/","title":{"rendered":"C\u00e1ch x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed u x\u01a1 t\u1eed cung"},"content":{"rendered":"<p><strong>U x\u01a1 t\u1eed cung l\u00e0 u t\u1eed cung l\u00e0nh t\u00ednh c\u00f3 ngu\u1ed3n g\u1ed1c c\u01a1 tr\u01a1n. U x\u01a1 t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ee5 khoa th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef tu\u1ed5i sinh \u0111\u1ebb v\u00e0 l\u00e0 m\u1ed9t trong c\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u1ea7n th\u1ef1c hi\u1ec7n c\u00e1c ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, song d\u1ef1a v\u00e0o c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng c\u00f3 th\u1ec3 g\u1ee3i \u00fd v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u x\u01a1 t\u1eed cung.<\/strong><\/p>\n<h2>1. Ph\u00e2n lo\u1ea1i v\u1ecb tr\u00ed<\/h2>\n<p>Theo v\u1ecb tr\u00ed, hi\u1ec7n nay, h\u1ec7 th\u1ed1ng ph\u00e2n lo\u1ea1i <a href=\"https:\/\/vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/san-phu-khoa-va-ho-tro-sinh-san\/chan-doan-u-xo-tu-cung\/\">u x\u01a1 t\u1eed cung<\/a> c\u1ee7a Hi\u1ec7p h\u1ed9i S\u1ea3n Ph\u1ee5 khoa Qu\u1ed1c t\u1ebf FIGO n\u0103m 2011 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u00f4\u0309 bi\u1ebfn nh\u1ea5t . B\u1ea3ng ph\u00e2n lo\u1ea1i c\u1ee7a FIGO v\u00e0 h\u1ec7 th\u1ed1ng Wamsteker (2011 et 2018) \u0111\u00e3 ph\u00e2n r\u00f5 v\u1ecb tr\u00ed d\u01b0\u1edbi ni\u00eam, trong c\u01a1, hay d\u01b0\u1edbi thanh m\u1ea1c c\u1ee7a c\u00e1c kh\u1ed1i u nh\u01b0 sau:<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-full wp-image-20847\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/Phan-loai-vi-tri-theo-FIGO.jpg\" alt=\"phan-loai-vi-tri-khoi-u-theo-FIGO\" width=\"296\" height=\"170\" \/><\/p>\n<p>L0, L1, L2 l\u00e0 c\u00e1c kh\u1ed1i u d\u01b0\u1edbi ni\u00eam m\u1ea1c t\u1eed cung. Trong \u0111\u00f3:<\/p>\n<ul>\n<li>L0 l\u00e0 kh\u1ed1i u c\u00f3 cu\u1ed1ng, n\u1eb1m tr\u1ecdn trong l\u00f2ng t\u1eed cung.<\/li>\n<li>L1 l\u00e0 kh\u1ed1i u c\u00f3 &gt; 50% trong bu\u1ed3ng TC.<\/li>\n<li>L2 l\u00e0 kh\u1ed1i u \u2264 50% trong bu\u1ed3ng TC.<\/li>\n<\/ul>\n<p>L3 l\u00e0 kh\u1ed1i u n\u1eb1m d\u01b0\u1edbi ni\u00eam m\u1ea1c nh\u01b0ng 100% trong c\u01a1 t\u1eed cung.<\/p>\n<p>L4 l\u00e0 kh\u1ed1i u ho\u00e0n to\u00e0n n\u1eb1m trong c\u01a1 TC.<\/p>\n<p>L5 l\u00e0 kh\u1ed1i u n\u1eb1m d\u01b0\u1edbi thanh m\u1ea1c, \u2265 50% trong c\u01a1 t\u1eed cung.<\/p>\n<p>L6 l\u00e0 kh\u1ed1i u n\u1eb1m d\u01b0\u1edbi thanh m\u1ea1c, &lt; 50% trong c\u01a1 t\u1eed cung.<\/p>\n<p>L7 l\u00e0 kh\u1ed1i u n\u1eb1m d\u01b0\u1edbi thanh m\u1ea1c, c\u00f3 cu\u1ed1ng.<\/p>\n<p>L8 l\u00e0 kh\u1ed1i u n\u1eb1m \u1edf c\u00e1c v\u1ecb tr\u00ed kh\u00e1c nh\u01b0 c\u1ed5 t\u1eed cung v\u00e0 c\u00e1c c\u01a1 quan quanh t\u1eed cung nh\u01b0 d\u00e2y ch\u1eb1ng r\u1ed9ng,&#8230;<\/p>\n<p>N\u1ebfu u x\u01a1 n\u1eb1m tr\u1ecdn trong c\u01a1 v\u00e0 l\u1ed3i ra d\u01b0\u1edbi ni\u00eam v\u00e0 d\u01b0\u1edbi thanh m\u1ea1c, c\u00f3 th\u1ec3 c\u00f3 2 s\u1ed1 ch\u1ec9 v\u1ecb tr\u00ed kh\u1ed1i u, 2\u20135, c\u00e1ch nhau b\u1eb1ng 1 g\u1ea1ch n\u1ed1i. Theo quy \u01b0\u1edbc, s\u1ed1 \u0111\u1ea7u ch\u1ec9 kh\u1ed1i u g\u1ea7n ni\u00eam m\u1ea1c, s\u1ed1 sau ch\u1ec9 kh\u1ed1i u g\u1ea7n thanh m\u1ea1c. V\u00ed d\u1ee5 U x\u01a1 t\u1eed cung (L2-5) l\u00e0 kh\u1ed1i u n\u1eb1m d\u01b0\u1edbi ni\u00eam v\u00e0 d\u01b0\u1edbi thanh m\u1ea1c (&lt; 50% n\u1eb1m trong l\u00f2ng TC v\u00e0 &lt; 50% l\u1ed3i ra d\u01b0\u1edbi thanh m\u1ea1c, h\u01b0\u1edbng v\u00e0o \u1ed5 b\u1ee5ng).<\/p>\n<h2>2. Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng g\u1ee3i \u00fd v\u1ecb tr\u00ed kh\u1ed1i u x\u01a1 nh\u01b0 th\u1ebf n\u00e0o?<\/h2>\n<p>U x\u01a1 t\u1eed cung th\u01b0\u1eddng c\u00f3 k\u00edch th\u01b0\u1edbc nh\u1ecf v\u00e0 kh\u00f4ng g\u00e2y tri\u1ec7u ch\u1ee9ng \u0111\u00e1ng k\u1ec3, do \u0111\u00f3 th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n t\u00ecnh c\u1edd th\u00f4ng qua c\u00e1c cu\u1ed9c kh\u00e1m b\u1ec7nh \u0111\u1ecbnh k\u1ef3 ho\u1eb7c si\u00eau \u00e2m ph\u1ee5 khoa. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef c\u00f3 u x\u01a1 t\u1eed cung c\u00f3 th\u1ec3 g\u1eb7p ph\u1ea3i nhi\u1ec1u v\u1ea5n \u0111\u1ec1 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng nh\u01b0 xu\u1ea5t huy\u1ebft t\u1eed cung b\u1ea5t th\u01b0\u1eddng, \u0111au b\u1ee5ng, r\u1ed1i lo\u1ea1n \u0111ai ti\u1ec3u ti\u1ec7n&#8230; C\u00e1c tri\u1ec7u ch\u1ee9ng n\u00e0y c\u00f3 th\u1ec3 l\u00e0 d\u1ea5u hi\u1ec7u g\u1ee3i \u00fd v\u1ecb tr\u00ed c\u1ee7a kh\u1ed1i u.<\/p>\n<p>Nh\u1eefng kh\u1ed1i u n\u1eb1m d\u01b0\u1edbi ni\u00eam m\u1ea1c t\u1eed cung L0, L1, L2 th\u01b0\u1eddng s\u1ebd bi\u1ec3u hi\u1ec7n tri\u1ec7u ch\u1ee9ng xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t d\u01b0\u1edbi d\u1ea1ng c\u01b0\u1eddng kinh v\u00e0 rong kinh. Tri\u1ec7u ch\u1ee9ng n\u00e0y k\u00e9o d\u00e0i s\u1ebd d\u1eabn t\u1edbi t\u00ecnh tr\u1ea1ng thi\u1ebfu m\u00e1u bi\u1ec3u hi\u1ec7n bu\u1ed3n ng\u1ee7, ch\u00f3ng m\u1eb7t khi thay \u0111\u1ed5i t\u01b0 th\u1ebf,&#8230;<\/p>\n<p>C\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n ti\u1ec3u ti\u1ec7n nh\u01b0 ti\u1ec3u nhi\u1ec1u l\u1ea7n, m\u00f3t ti\u1ec3u th\u01b0\u1eddng g\u1eb7p khi kh\u1ed1i u d\u01b0\u1edbi thanh m\u1ea1c ph\u00e1t tri\u1ec3n \u1edf th\u00e0nh tr\u01b0\u1edbc t\u1eed cung do ch\u00e8n \u00e9p v\u00e0o m\u1eb7t tr\u00ean b\u00e0ng quang.<\/p>\n<p>C\u00e1c kh\u1ed1i u th\u00e0nh sau \u1edf v\u1ecb tr\u00ed c\u1ed5 t\u1eed cung t th\u01b0\u1eddng g\u00e2y tri\u1ec7u ch\u1ee9ng ch\u00e8n \u00e9p tr\u1ef1c tr\u00e0ng nh\u01b0 t\u00e1o b\u00f3n, m\u00f3t r\u1eb7n,&#8230;<\/p>\n<p>C\u00e1c kh\u1ed1i u ph\u00e1t tri\u1ec3n trong d\u00e2y ch\u1eb1ng r\u1ed9ng th\u01b0\u1eddng bi\u1ec3u hi\u1ec7n nh\u1eefng tri\u1ec7u ch\u1ee9ng ch\u00e8n \u00e9p ni\u1ec7u qu\u1ea3n h\u01a1n.<\/p>\n<p>Vi\u1ec7c x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed c\u1ee7a u x\u01a1 t\u1eed cung d\u1ef1a v\u00e0o tri\u1ec7u ch\u1ee9ng kh\u00f4ng ph\u1ea3i l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c. U x\u01a1 t\u1eed cung c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o tr\u00ean t\u1eed cung. Tri\u1ec7u ch\u1ee9ng c\u1ee7a u x\u01a1 t\u1eed cung c\u00f3 th\u1ec3 t\u00f9y thu\u1ed9c v\u00e0o k\u00edch th\u01b0\u1edbc, v\u1ecb tr\u00ed v\u00e0 s\u1ed1 l\u01b0\u1ee3ng. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u00f2n c\u00f3 th\u1ec3 nh\u1ea7m l\u1eabn trong khi b\u1ec7nh nh\u00e2n m\u1eafc c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c k\u00e8m theo v\u00ec v\u1eady c\u00e1c tri\u1ec7u ch\u1ee9ng ch\u1ec9 l\u00e0 nh\u1eefng g\u1ee3i \u00fd v\u1ecb tr\u00ed kh\u1ed1i u v\u00e0 ph\u1ea3i s\u1eed d\u1ee5ng nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh.<\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone size-medium wp-image-20970 aligncenter\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/u-xo-tu-cung-duoi-thanh-mac-1-300x176.jpg\" alt=\"u-xo-tu-cung-duoi-thanh-mac\" width=\"300\" height=\"176\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/u-xo-tu-cung-duoi-thanh-mac-1-300x176.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/04\/u-xo-tu-cung-duoi-thanh-mac-1.jpg 768w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2>3. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean si\u00eau \u00e2m<\/h2>\n<p>Si\u00eau \u00e2m l\u00e0 ph\u01b0\u01a1ng ph\u00e1p ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh \u0111\u1ea7u tay gi\u00fap ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh u x\u01a1 t\u1eed cung v\u1ec1 v\u1ecb tr\u00ed, k\u00edch th\u01b0\u1edbc, s\u1ed1 l\u01b0\u1ee3ng v\u00e0 c\u00f2n c\u00f3 th\u1ec3 h\u1ed7 tr\u1ee3 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c kh\u1ed1i u bu\u1ed3ng tr\u1ee9ng, b\u1ec7nh tuy\u1ebfn c\u01a1 t\u1eed cung.<\/p>\n<p>\u0110\u1eb7c \u0111i\u1ec3m c\u1ee7a u x\u01a1 t\u1eed cung \u0111i\u1ec3n h\u00ecnh tr\u00ean si\u00eau \u00e2m l\u00e0 kh\u1ed1i u h\u00ecnh c\u1ea7u, gi\u1edbi h\u1ea1n r\u00f5, c\u00f3 th\u1ec3 c\u00f3 d\u1ea5u calcium h\u00f3a \u00e0 ph\u00e2n b\u1ed1 m\u1ea1ch m\u00e1u vi\u00ean quanh t\u1ed5n th\u01b0\u01a1ng tr\u00ean si\u00eau \u00e2m doppler (Leyvy v\u00e0 cs, 2013).<\/p>\n<p>Hi\u1ec7n nay, \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n u x\u01a1 t\u1eed cung s\u1eed d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p:<\/p>\n<ul>\n<li>Si\u00eau \u00e2m b\u1eb1ng \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o<\/li>\n<li>Si\u00eau \u00e2m \u0111\u01b0\u1eddng b\u1ee5ng: quan s\u00e1t c\u00e1c kh\u1ed1i u l\u1edbn v\u00e0 \u0111\u00e1nh gi\u00e1 t\u1ed5ng qu\u00e1t v\u00f9ng ch\u1eadu<\/li>\n<li>Si\u00eau \u00e2m doppler: \u0111\u00e1nh gi\u00e1 ph\u00e2n b\u1ed1 m\u1ea1ch m\u00e1u<\/li>\n<li>Si\u00eau \u00e2m b\u01a1m n\u01b0\u1edbc bu\u1ed3ng t\u1eed cung: th\u01b0\u1eddng \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n kh\u1ed1i u x\u01a1 t\u1eed cung d\u01b0\u1edbi ni\u00eam m\u1ea1c<\/li>\n<\/ul>\n<p>Trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p u x\u01a1 t\u1eed cung kh\u00f4ng \u0111i\u1ec3n h\u00ecnh, kh\u00f4ng th\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh ho\u1eb7c c\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi b\u1ec7nh l\u00fd tuy\u1ebfn c\u01a1 t\u1eed cung c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI). MRI c\u00f2n c\u00f3 \u01b0u \u0111i\u1ec3m l\u00e0 gi\u00fap \u0111\u00e1nh gi\u00e1 t\u1ed5ng qu\u00e1t c\u00e1c c\u01a1 quan v\u00f9ng ch\u1eadu, ph\u00e1t hi\u1ec7n c\u00e1c b\u1ec7nh l\u00fd k\u00e8m theo ho\u1eb7c bi\u1ebfn ch\u1ee9ng c\u1ee7a kh\u1ed1i u.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>U x\u01a1 t\u1eed cung l\u00e0 u t\u1eed cung l\u00e0nh t\u00ednh c\u00f3 ngu\u1ed3n g\u1ed1c c\u01a1 tr\u01a1n. U x\u01a1 t\u1eed cung l\u00e0 m\u1ed9t b\u1ec7nh l\u00fd ph\u1ee5 khoa th\u01b0\u1eddng g\u1eb7p \u1edf ph\u1ee5 n\u1eef tu\u1ed5i sinh \u0111\u1ebb v\u00e0 l\u00e0 m\u1ed9t trong c\u00e1c nguy\u00ean nh\u00e2n c\u1ee7a xu\u1ea5t huy\u1ebft \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng. \u0110\u1ec3 ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh c\u1ea7n th\u1ef1c hi\u1ec7n [&hellip;]<\/p>\n","protected":false},"author":27,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[3],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1ch x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed u x\u01a1 t\u1eed cung - Vinmec<\/title>\n<meta name=\"description\" content=\"U x\u01a1 th\u01b0\u1eddng g\u00e2y ra ch\u1ea3y m\u00e1u t\u1eed cung b\u1ea5t th\u01b0\u1eddng, c\u1ea3m gi\u00e1c \u0111au t\u1ee9c v\u00f9ng h\u1ea1 v\u1ecb hay h\u1ed1 ch\u1eadu , r\u1ed1i lo\u1ea1n \u0111\u1ea1i ti\u1ec3u ti\u1ec7n... v\u00e0 d\u1ea5u hi\u1ec7u n\u00e0y c\u00f3 th\u1ec3 g\u1ee3i \u00fd v\u1ecb tr\u00ed kh\u1ed1i u\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"C\u00e1ch x\u00e1c \u0111\u1ecbnh v\u1ecb tr\u00ed u x\u01a1 t\u1eed cung - 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