{"id":35606,"date":"2023-06-25T23:37:10","date_gmt":"2023-06-25T16:37:10","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35606"},"modified":"2023-06-25T23:38:44","modified_gmt":"2023-06-25T16:38:44","slug":"cac-phuong-phap-dieu-tri-benh-u-xo-tu-cung-hieu-qua","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/25\/cac-phuong-phap-dieu-tri-benh-u-xo-tu-cung-hieu-qua\/","title":{"rendered":"C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh u x\u01a1 t\u1eed cung hi\u1ec7u qu\u1ea3"},"content":{"rendered":"<p><span class=\"fontstyle0\"><strong>U x\u01a1 t\u1eed cung (UXTC) l\u00e0 kh\u1ed1i u sinh d\u1ee5c th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. Xu\u1ea5t \u0111\u1ed9 c\u1ee7a u x\u01a1-c\u01a1 t\u1eed cung t\u0103ng theo tu\u1ed5i, v\u1edbi xu\u1ea5t \u0111\u1ed9 cao nh\u1ea5t\u00a0 \u1edf kho\u1ea3ng \u0111\u1ed9 tu\u1ed5i 40. \u1ede nhi\u1ec1u b\u1ec7nh nh\u00e2n, c\u00e1c kh\u1ed1i u x\u01a1-c\u01a1 t\u1eed cung ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng,\u00a0 ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n th\u00f4ng qua kh\u00e1m \u0111\u1ecbnh k\u1ef3. M\u1ee5c ti\u00eau c\u1ee7a \u0111i\u1ec1u tr\u1ecb u x\u01a1-c\u01a1 t\u1eed cung l\u00e0 gi\u1ea3i quy\u1ebft \u0111\u01b0\u1ee3c v\u1ea5n \u0111\u1ec1 ch\u1ee7 c\u00f3 li\u00ean quan \u0111\u1ebfn u x\u01a1-c\u01a1 t\u1eed cung.<\/strong><br \/>\n<\/span><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35607 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/woman-with-upper-stomach-pain-300x200.jpg\" alt=\"u-xo-tu-cung\" width=\"300\" height=\"200\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/woman-with-upper-stomach-pain-300x200.jpg 300w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/woman-with-upper-stomach-pain-1024x683.jpg 1024w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/woman-with-upper-stomach-pain-768x512.jpg 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/woman-with-upper-stomach-pain.jpg 1100w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/p>\n<h2><strong>1. V\u1ecb tr\u00ed UXTC<\/strong><\/h2>\n<p>Th\u01b0\u1eddng th\u1ea5y nh\u1ea5t l\u00e0 u tr\u00ean t\u1eed cung (TC). Tu\u1ef3 theo v\u1ecb tr\u00ed c\u1ee7a u tr\u00ean th\u00e2n TC m\u00e0 ng\u01b0\u1eddi ta c\u00f3 3 d\u1ea1ng UXTC:<\/p>\n<p>&#8211; U d\u01b0\u1edbi ni\u00eam m\u1ea1c TC (chi\u1ebfm 5%): th\u01b0\u1eddng g\u00e2y ra tri\u1ec7u ch\u1ee9ng rong huy\u1ebft, do \u0111\u00f3 d\u1ec5 \u0111\u01b0a \u0111\u1ebfn ch\u1ec9 \u0111\u1ecbnh m\u1ed5 c\u1eaft TC d\u00f9 k\u00edch th\u01b0\u1edbc u nh\u1ecf, t\u1ec9 l\u1ec7 ung th\u01b0 h\u00f3a th\u01b0\u1eddng x\u1ea3y ra \u1edf lo\u1ea1i u x\u01a1 c\u01a1 d\u01b0\u1edbi ni\u00eam m\u1ea1c n\u00e0y. Tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft b\u1eb1ng c\u00e1ch d\u00f9ng mu\u1ed7ng n\u1ea1o th\u0103m d\u00f2 bu\u1ed3ng TC. Ngo\u00e0i ra c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p u c\u00f3 cu\u1ed1ng d\u00e0i, th\u00f2 ra ngo\u00e0i CTC, th\u01b0\u1eddng d\u1ec5 b\u1ecb vi\u00eam lo\u00e9t v\u00e0 nhi\u1ec5m khu\u1ea9n.<\/p>\n<p>&#8211; U trong l\u1edbp c\u01a1 TC: c\u00f3 th\u1ec3 c\u00f3 cu\u1ed1ng d\u00e0i hay n\u1eb1m l\u1ecdt v\u00e0o gi\u1eefa 2 l\u1edbp ph\u00fac m\u1ea1c c\u1ee7a d\u00e2y ch\u1eb1ng r\u1ed9ng, g\u00e2y kh\u00f3 kh\u0103n trong ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u1eabu thu\u1eadt.<\/p>\n<p>&#8211; U x\u01a1 c\u01a1 \u1edf CTC : hi\u1ebfm g\u1eb7p.<\/p>\n<h2><strong>2. Tri\u1ec7u ch\u1ee9ng<\/strong><\/h2>\n<p><strong>2.1. Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n<p>&#8211; H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m v\u00ec b\u1ee5ng to ra hay c\u00f3 c\u1ea3m gi\u00e1c tr\u1eb1n n\u1eb7ng b\u1ee5ng d\u01b0\u1edbi. \u0110au h\u1ea1 v\u1ecb \u00edt x\u1ea3y ra. N\u1ebfu \u0111au nhi\u1ec1u, ph\u1ea3i ngh\u0129 \u0111\u1ebfn kh\u1ea3 n\u0103ng c\u00f3 bi\u1ebfn ch\u1ee9ng vi\u00eam nhi\u1ec5m ho\u1eb7c ho\u1ea1i t\u1eed.<\/p>\n<p>&#8211; Tri\u1ec7u ch\u1ee9ng do s\u1ef1 ch\u00e8n \u00e9p c\u1ee7a kh\u1ed1i u<\/p>\n<p>* L\u00ean b\u00e0ng quang: ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u kh\u00f3, \u0111\u00f4i khi b\u1ecb b\u00ed ti\u1ec3u.<\/p>\n<p>* L\u00ean ni\u1ec7u qu\u1ea3n: th\u1eadn \u1ee9 n\u01b0\u1edbc<\/p>\n<p>* L\u00ean tr\u1ef1c tr\u00e0ng: t\u00e1o b\u00f3n ho\u1eb7c \u0111au khi \u0111\u1ea1i ti\u1ec7n<\/p>\n<p>* N\u1ebfu u th\u1eadt to ch\u00e8n l\u00ean ru\u1ed9t, d\u1ea1 d\u00e0y: RL ti\u00eau h\u00f3a.<\/p>\n<p>&#8211; Ra m\u00e1u \u00e2m \u0111\u1ea1o b\u1ea5t th\u01b0\u1eddng, th\u01b0\u1eddng l\u00e0 d\u01b0\u1edbi d\u1ea1ng rong kinh ho\u1eb7c c\u01b0\u1eddng kinh. M\u1ed9t s\u1ed1 BN c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng: xanh xao, m\u1ec7t m\u1ecfi, cho\u00e1ng v\u00e1ng, nh\u1ee9c \u0111\u1ea7u, kh\u00f3 th\u1edf,&#8230;<\/p>\n<p><strong>2.2. Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/p>\n<p>&#8211; N\u1eafn b\u1ee5ng: c\u00f3 th\u1ec3 th\u1ea5y u \u1edf h\u1ea1 v\u1ecb, n\u1eb1m gi\u1eefa, m\u1eadt \u0111\u1ed9 c\u1ee9ng, th\u01b0\u1eddng l\u1ed3i l\u00f5m kh\u00f4ng \u0111\u1ec1u, c\u00f3 th\u1ec3 di \u0111\u1ed9ng n\u1ebfu u kh\u00f4ng qu\u00e1 to.<\/p>\n<p>&#8211; Th\u0103m \u00e2m \u0111\u1ea1o k\u1ebft h\u1ee3p kh\u00e1m b\u1ee5ng: c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n \u0111\u00fang \u0111a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p u x\u01a1 c\u01a1 t\u1eed cung. Th\u0103m kh\u00e1m cho th\u1ea5y 1 kh\u1ed1i u c\u1ee9ng, b\u1ec1 m\u1eb7t l\u1ed3i l\u00f5m, di \u0111\u1ed9ng theo TC, kh\u00f4ng \u0111au.<\/p>\n<p><strong>2.3. Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n<p>&#8211; TC c\u00f3 thai: d\u1ef1a kinh ch\u00f3t, th\u1eed n\u01b0\u1edbc ti\u1ec3u t\u00ecm hCG.<\/p>\n<p>&#8211; U bu\u1ed3ng tr\u1ee9ng: trong tr\u01b0\u1eddng h\u1ee3p \u0111i\u1ec3n h\u00ecnh, kh\u1ed1i u bu\u1ed3ng tr\u1ee9ng th\u01b0\u1eddng n\u1eb1m l\u1ec7ch 1 b\u00ean h\u1ed1 ch\u1eadu, t\u00e1ch bi\u1ec7t v\u1edbi t\u1eed cung b\u1edfi 1 r\u00e3nh ng\u0103n c\u00e1ch v\u00e0 di \u0111\u1ed9ng \u0111\u1ed9c l\u1eadp v\u1edbi t\u1eed cung. M\u1eadt \u0111\u1ed9 c\u1ee7a u nang bu\u1ed3ng tr\u1ee9ng th\u01b0\u1eddng kh\u00f4ng ch\u1eafc nh\u01b0 trong u x\u01a1 c\u01a1 t\u1eed cung. C\u00f3 th\u1ec3 ph\u00e2n bi\u1ec7t b\u1eb1ng ch\u1ee5p bu\u1ed3ng t\u1eed cung \u2013 v\u00f2i tr\u1ee9ng c\u00f3 c\u1ea3n quang. Trong u x\u01a1 c\u01a1 t\u1eed cung, th\u01b0\u1eddng l\u00f2ng t\u1eed cung b\u1ecb bi\u1ebfn d\u1ea1ng. Tuy nhi\u00ean, trong tr\u01b0\u1eddng h\u1ee3p u x\u01a1 c\u01a1 t\u1eed cung d\u01b0\u1edbi ph\u00fac m\u1ea1c c\u00f3 cu\u1ed1ng, r\u1ea5t kh\u00f3 ph\u00e2n bi\u1ec7t v\u1edbi kh\u1ed1i u bu\u1ed3ng tr\u1ee9ng.<\/p>\n<h2>3. \u0110i\u1ec1u tr\u1ecb u x\u01a1 t\u1eed cung<\/h2>\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p x\u1eed tr\u00ed UXTC<\/p>\n<ol>\n<li>Theo d\u00f5i<\/li>\n<li>N\u1ed9i khoa<\/li>\n<li>Ph\u1eabu thu\u1eadt:<\/li>\n<\/ol>\n<ul>\n<li>B\u00f3c nh\u00e2n x\u01a1<\/li>\n<li>C\u1eaft t\u1eed cung to\u00e0n ph\u1ea7n<\/li>\n<li>T\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung<\/li>\n<\/ul>\n<p><strong><u>Theo d\u00f5i:<\/u><\/strong> UXTC kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n<p><strong><u>N\u1ed9i khoa:<\/u><\/strong><\/p>\n<p>Ch\u1ec9 \u0111\u1ecbnh: UXTC c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n<p>Thu\u1ed1c:<\/p>\n<p>+ Progestin, d\u1ee5ng c\u1ee5 t\u1eed cung c\u00f3 levonorgestrel<\/p>\n<p>+ Thu\u1ed1c ng\u1eeba thai ph\u1ed1i h\u1ee3p<\/p>\n<p>+ \u0110\u1ed3ng v\u1eadn GnRH<\/p>\n<p>Progesterone v\u00e0 progestin kh\u00f4ng t\u00e1c d\u1ee5ng nh\u01b0 nhau tr\u00ean u x\u01a1-c\u01a1 t\u1eed cung. C\u1ea3 progesterone t\u1ef1 nhi\u00ean l\u1eabn progestin \u0111\u1ec1u c\u00f3 th\u1ec3 g\u00e2y teo n\u1ed9i m\u1ea1c, v\u00e0 v\u00ec th\u1ebf c\u00f3 t\u00e1c d\u1ee5ng gi\u1ea3mch\u1ea3y m\u00e1u khi c\u00f3 u x\u01a1-c\u01a1 t\u1eed cung. Tuy nhi\u00ean, progesterone t\u1ef1 nhi\u00ean l\u00e0m t\u0103ng epidermal growth factor (EGF), l\u00e0 ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng th\u1ee9c \u0111\u1ea9y u x\u01a1-c\u01a1 t\u1eed cung ph\u00e1t tri\u1ec3n, \u0111\u1ed3ng th\u1eddi \u1ee9c ch\u1ebf insulin-like growth factor-1 (ILGF1) l\u00e0 ch\u1ea5t c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf ph\u00e1t tri\u1ec3n u x\u01a1-c\u01a1 t\u1eed cung. Trong khi \u0111\u00f3, progestin (progestogen) \u0111i\u1ec1u h\u00f2a gi\u1ea3m c\u1ea3 ER l\u1eabn PR trong u x\u01a1-c\u01a1 t\u1eed cung. \u0110i\u1ec1u h\u00f2a gi\u1ea3m tr\u00ean ER v\u00e0 PR n\u00e0y c\u1ee7a progestogen cho ph\u00e9p n\u00f3 c\u00f3 \u0111i\u1ec1u h\u00f2a sinh h\u1ecdc trong u v\u00e0 c\u00f3 t\u00e1c d\u1ee5ng \u1ee9c ch\u1ebf t\u0103ng tr\u01b0\u1edfng c\u00e1c u x\u01a1-c\u01a1 t\u1eed cung.<\/p>\n<p>Thu\u1ed1c tr\u00e1nh thai n\u1ed9i ti\u1ebft c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng m\u00e1u kinh trong m\u1ed9t kho\u1ea3ng th\u1eddi gian<br \/>\n\u0111i\u1ec1u tr\u1ecb ng\u1eafn h\u1ea1n.<\/p>\n<p>C\u00e1c ch\u1ebf ph\u1ea9m \u0111\u1ed3ng v\u1eadn c\u1ee7a Gonadotropin-Releasing Hormone (GnRHa) hi\u1ec7n c\u00f3 g\u1ed3m x\u1ecbt m\u0169i, ti\u00eamd\u01b0\u1edbi da v\u00e0 d\u1ea1ng ph\u00f3ng th\u00edch d\u00e0i.<br \/>\nC\u01a1 s\u1edf c\u1ee7a s\u1eed d\u1ee5ng GnRHa cho \u0111i\u1ec1u tr\u1ecb u x\u01a1-c\u01a1 t\u1eed cung l\u00e0 vi\u1ec7c d\u00f9ng GnRHa li\u00ean t\u1ee5c s\u1ebd g\u00e2y ra hi\u1ec7n t\u01b0\u1ee3ng n\u1ed9i h\u00f3a c\u00e1c th\u1ee5 th\u1ec3 c\u1ee7a GnRH t\u1ea1i tuy\u1ebfn y\u00ean, d\u1eabn \u0111\u1ebfn vi\u1ec7c gi\u1ea3i m\u1eabn c\u1ea3m k\u00e9o d\u00e0i c\u1ee7a tuy\u1ebfn y\u00ean v\u1edbi GnRH. Tuy\u1ebfn y\u00ean b\u1ecb gi\u1ea3i m\u1eabn c\u1ea3m kh\u00f4ng c\u00f2n kh\u1ea3 n\u0103ng ph\u00f3ng th\u00edch FSH, d\u1eabn \u0111\u1ebfn h\u1ec7 qu\u1ea3 l\u00e0 kh\u00f4ng c\u00f2n g\u00e2y ra \u0111\u01b0\u1ee3c ph\u00e1t tri\u1ec3n no\u00e3n nang t\u1ea1i bu\u1ed3ng tr\u1ee9ng v\u00e0 do \u0111\u00f3 tri\u1ec7t ti\u00eau ngu\u1ed3n s\u1ea3n xu\u1ea5t estrogen n\u1ed9i sinh.<\/p>\n<p>GnRHa \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh khi:<br \/>\n\u00b7 Mu\u1ed1n gi\u1ea3mth\u1ec3 kh\u1ed1i u t\u1ea1mth\u1eddi, nh\u1eb1mthay \u0111\u1ed5i ph\u01b0\u01a1ng th\u1ee9c ph\u1eabu thu\u1eadt<br \/>\n\u00b7 Mu\u1ed1n gi\u1ea3i quy\u1ebft t\u1ea1mth\u1eddi t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u li\u00ean quan \u0111\u1ebfn u x\u01a1-c\u01a1 t\u1eed cung.<\/p>\n<p>&nbsp;<\/p>\n<p><strong><u>Ph\u1eabu thu\u1eadt:<\/u><\/strong><\/p>\n<ul>\n<li>Ch\u1ec9 \u0111\u1ecbnh:<\/li>\n<\/ul>\n<p>+ UXTC to c\u1ee1 thai &gt;=12 tu\u1ea7n c\u00f3 tri\u1ec7u ch\u1ee9ng<\/p>\n<p>+ U x\u01a1 d\u01b0\u1edbi ni\u00eam g\u00e2y rong huy\u1ebft<\/p>\n<p>+ Xu\u1ea5t huy\u1ebft t\u1eed cung b\u1ea5t th\u01b0\u1eddng kh\u00f4ng \u0111\u00e1p \u1ee9ng v\u1edbi \u0111i\u1ec1u tr\u1ecb n\u1ed9i<\/p>\n<p>+ C\u00f3 bi\u1ebfn ch\u1ee9ng ch\u00e8n \u00e9p b\u00e0ng quang, ni\u1ec7u qu\u1ea3n<\/p>\n<p>+ UXTC c\u00f3 nguy c\u01a1 h\u00f3a \u00e1c ho\u1eb7c ch\u01b0a ph\u00e2n bi\u1ec7t \u0111\u01b0\u1ee3c v\u1edbi nguy\u00ean nh\u00e2n \u00e1c t\u00ednh<\/p>\n<p>+ V\u00f4 sinh, s\u1ea9y thai li\u00ean ti\u1ebfp<\/p>\n<ul>\n<li>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt:<\/li>\n<\/ul>\n<p>+ B\u00f3c nh\u00e2n x\u01a1:<\/p>\n<ul>\n<li>U x\u01a1 d\u01b0\u1edbi thanh m\u1ea1c -&gt; m\u1edf b\u1ee5ng<\/li>\n<li>U x\u01a1 d\u01b0\u1edbi ni\u00eam -&gt; n\u1ed9i soi<\/li>\n<\/ul>\n<p>+ C\u1eaft t\u1eed cung to\u00e0n ph\u1ea7n:<\/p>\n<ul>\n<li>Sau m\u00e3n kinh: c\u1eaft bu\u1ed3ng tr\u1ee9ng<\/li>\n<li>Ch\u01b0a m\u00e3n kinh: gi\u1eef bu\u1ed3ng tr\u1ee9ng<\/li>\n<\/ul>\n<p>+ T\u1eafc \u0110M t\u1eed cung:<\/p>\n<ul>\n<li>Ch\u1ec9 \u0111\u1ecbnh:<\/li>\n<li>BN kh\u00f4ng \u0111\u1ed3ng \u00fd ph\u1eabu thu\u1eadt<\/li>\n<li>BN c\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh g\u00e2y m\u00ea to\u00e0n th\u00e2n<\/li>\n<li>U x\u01a1 t\u00e1i ph\u00e1t sau ph\u1eabu thu\u1eadt<\/li>\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: RL \u0111\u00f4ng m\u00e1u<\/li>\n<li>Sau t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung, d\u00f9ng NSAIDs, paracetamol, kh\u00e1ng sinh d\u1ef1 ph\u00f2ng, theo d\u00f5i BC vi\u00eam nhi\u1ec5m, ch\u1ea3y m\u00e1u; xu\u1ea5t vi\u1ec7n sau 1 ng\u00e0y<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p><strong>3. Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt<\/strong><\/p>\n<p>&#8211; Khi UXTC to t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi 1 TC c\u00f3 thai \u00b3 12 tu\u1ea7n, v\u00ec trong tr\u01b0\u1eddng h\u1ee3p n\u00e0y u d\u1ec5 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y bi\u1ebfn ch\u1ee9ng ch\u00e8n \u00e9p l\u00ean c\u00e1c c\u01a1 quan trong \u1ed5 b\u1ee5ng v\u00e0 d\u1ec5 b\u1ecb tho\u00e1i ho\u00e1.<\/p>\n<p>&#8211; Khi c\u00f3 tri\u1ec7u ch\u1ee9ng ch\u00e8n \u00e9p ni\u1ec7u qu\u1ea3n g\u00e2y th\u1eadn \u1ee9 n\u01b0\u1edbc<\/p>\n<p>&#8211; Khi c\u00f3 tri\u1ec7u ch\u1ee9ng rong kinh, rong huy\u1ebft ho\u1eb7c c\u01b0\u1eddng kinh k\u00e9o d\u00e0i, ho\u1eb7c khi ch\u1ea9n \u0111o\u00e1n \u0111\u01b0\u1ee3c v\u1ecb tr\u00ed d\u01b0\u1edbi ni\u00eam m\u1ea1c c\u1ee7a u x\u01a1 c\u01a1 t\u1eed cung.<\/p>\n<p>&#8211; Khi kh\u1ed1i u \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n n\u1eb1m trong d\u00e2y ch\u1eb1ng r\u1ed9ng, d\u00f9 u nh\u1ecf c\u0169ng n\u00ean gi\u1ea3i quy\u1ebft ph\u1eabu thu\u1eadt v\u00ec u \u1edf v\u1ecb tr\u00ed n\u00e0y d\u1ec5 ch\u00e8n \u00e9p l\u00ean ni\u1ec7u qu\u1ea3n.<\/p>\n<p>&#8211; Khi nghi ng\u1edd b\u1ecb ung th\u01b0 h\u00f3a.<\/p>\n<p>* N\u1ed9i soi bu\u1ed3ng t\u1eed cung l\u00e0 ph\u1eabu thu\u1eadt \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn cho c\u00e1c nh\u00e2n x\u01a1 d\u01b0\u1edbi ni\u00eam m\u1ea1c FIGO 0 hay FIGO 1.<\/p>\n<p>* B\u00f3c nh\u00e2n x\u01a1 t\u1eed cung l\u00e0 l\u1ef1a ch\u1ecdn cho c\u00e1c tr\u01b0\u1eddng h\u1ee3p UXTC c\u00f3 ch\u1ec9 \u0111\u1ecbnh can thi\u1ec7p nh\u01b0ng b\u1ec7nh nh\u00e2n l\u1ea1i ch\u01b0a \u0111\u1ee7 con hay ch\u01b0a ho\u00e0n th\u00e0nh k\u1ebf ho\u1ea1ch sinh con (t\u1ee9c c\u00f3 nguy\u1ec7n v\u1ecdng mu\u1ed1n gi\u1eef t\u1eed cung).<\/p>\n<p>* C\u1eaft t\u1eed cung \u0111\u01b0\u1ee3c xeml\u00e0 c\u00e1ch duy nh\u1ea5t gi\u1ea3i quy\u1ebft v\u0129nh vi\u1ec5n v\u1ea5n \u0111\u1ec1 UXTC.<\/p>\n<p>* Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung l\u00e0 m\u1ed9t l\u00e0 ph\u01b0\u01a1ng ph\u00e1p can thi\u1ec7p v\u1edbi x\u00e2m l\u1ea5n t\u1ed1i thi\u1ec3u, nh\u01b0ng l\u1ea1i l\u00e0 m\u1ed9t can thi\u1ec7p c\u00f3 \u00fd ngh\u0129a t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi c\u1eaft t\u1eed cung.<\/p>\n<p>Xem th\u00eam:<a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/dau-bung-duoi-am-i-o-nu-la-benh-gi\/\"> \u0110au b\u1ee5ng d\u01b0\u1edbi \u00e2m \u1ec9 \u1edf n\u1eef l\u00e0 b\u1ec7nh g\u00ec?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>U x\u01a1 t\u1eed cung (UXTC) l\u00e0 kh\u1ed1i u sinh d\u1ee5c th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. Xu\u1ea5t \u0111\u1ed9 c\u1ee7a u x\u01a1-c\u01a1 t\u1eed cung t\u0103ng theo tu\u1ed5i, v\u1edbi xu\u1ea5t \u0111\u1ed9 cao nh\u1ea5t\u00a0 \u1edf kho\u1ea3ng \u0111\u1ed9 tu\u1ed5i 40. \u1ede nhi\u1ec1u b\u1ec7nh nh\u00e2n, c\u00e1c kh\u1ed1i u x\u01a1-c\u01a1 t\u1eed cung ho\u00e0n to\u00e0n kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng,\u00a0 ch\u1ec9 \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n [&hellip;]<\/p>\n","protected":false},"author":16,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[13,33],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v20.4 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb b\u1ec7nh u x\u01a1 t\u1eed cung hi\u1ec7u qu\u1ea3 - Vinmec<\/title>\n<meta name=\"description\" content=\"U x\u01a1 t\u1eed cung (UXTC) l\u00e0 kh\u1ed1i u sinh d\u1ee5c th\u01b0\u1eddng g\u1eb7p nh\u1ea5t. 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