{"id":35674,"date":"2023-06-27T00:15:41","date_gmt":"2023-06-26T17:15:41","guid":{"rendered":"http:\/\/noithathoaphat.in\/ctv\/?p=35674"},"modified":"2023-06-27T00:15:41","modified_gmt":"2023-06-26T17:15:41","slug":"xu-ly-va-dieu-tri-u-xo-co-tu-cung-cac-lua-chon-dieu-tri-va-tien-bo-trong-ky-thuat","status":"publish","type":"post","link":"http:\/\/noithathoaphat.in\/ctv\/index.php\/2023\/06\/27\/xu-ly-va-dieu-tri-u-xo-co-tu-cung-cac-lua-chon-dieu-tri-va-tien-bo-trong-ky-thuat\/","title":{"rendered":"X\u1eed l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb u x\u01a1 c\u1ed5 t\u1eed cung: C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb v\u00e0 ti\u1ebfn b\u1ed9 trong k\u1ef9 thu\u1eadt"},"content":{"rendered":"<p><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 (BN), 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><\/p>\n<p><img decoding=\"async\" loading=\"lazy\" class=\"alignnone wp-image-35675 size-medium\" src=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/326400_1100-800x825-1-291x300.webp\" alt=\"u-xo-tu-cung\" width=\"291\" height=\"300\" srcset=\"http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/326400_1100-800x825-1-291x300.webp 291w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/326400_1100-800x825-1-768x792.webp 768w, http:\/\/noithathoaphat.in\/ctv\/wp-content\/uploads\/2023\/06\/326400_1100-800x825-1.webp 800w\" sizes=\"(max-width: 291px) 100vw, 291px\" \/><\/p>\n<h2>1. \u0110\u1ea1i c\u01b0\u01a1ng<\/h2>\n<p><strong>1.1 V\u1ecb tr\u00ed th\u01b0\u1eddng g\u1eb7p<\/strong><\/p>\n<p>V\u1ecb tr\u00ed u x\u01a1 c\u01a1 th\u01b0\u1eddng th\u1ea5y nh\u1ea5t l\u00e0 \u1edf tr\u00ean t\u1eed cung. T\u00f9y theo v\u1ecb tr\u00ed c\u1ee7a u tr\u00ean th\u00e2n t\u1eed cung m\u00e0 ng\u01b0\u1eddi ta c\u00f3 3 d\u1ea1ng u x\u01a1 c\u01a1 th\u00e2n t\u1eed cung:<\/p>\n<p>U d\u01b0\u1edbi ni\u00eam m\u1ea1c t\u1eed cung, chi\u1ebfm kho\u1ea3ng 5% c\u00e1c tr\u01b0\u1eddng h\u1ee3p. Lo\u1ea1i u x\u01a1 c\u01a1 n\u00e0y 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 t\u1eed cung d\u00f9 k\u00edch th\u01b0\u1edbc u nh\u1ecf. T\u1ec9 l\u1ec7 h\u00f3a ung th\u01b0 c\u0169ng th\u01b0\u1eddng x\u1ea3y ra \u1edf lo\u1ea1i u x\u01a1 c\u01a1 d\u01b0\u1edbi ni\u00eam m\u1ea1c n\u00e0y.<\/p>\n<p>Tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 nh\u1eadn bi\u1ebft u x\u01a1 c\u01a1 d\u01b0\u1edbi ni\u00eam m\u1ea1c b\u1eb1ng c\u00e1ch d\u00f9ng mu\u1ed7ng n\u1ea1o th\u0103m d\u00f2 bu\u1ed3ng t\u1eed cung. Ngo\u00e0i ra c\u00f3 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p u c\u00f3 cu\u1ed1ng d\u00e0i, th\u00f2 ra ngo\u00e0i c\u1ed5 t\u1eed cung, th\u01b0\u1eddng d\u1ec5 b\u1ecb vi\u00eam lo\u00e9t v\u00e0 nhi\u1ec5m khu\u1ea9n.<\/p>\n<p>U trong l\u1edbp c\u01a1 t\u1eed cung, 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 cho vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 ph\u1eabu thu\u1eadt.<\/p>\n<p>U x\u01a1 c\u01a1 \u1edf c\u1ed5 t\u1eed cung hi\u1ebfm g\u1eb7p.<\/p>\n<p><strong>1.2 Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/p>\n<p><strong>Tri\u1ec7u ch\u1ee9ng c\u01a1 n\u0103ng<\/strong><\/p>\n<p>H\u1ea7u h\u1ebft b\u1ec7nh nh\u00e2n \u0111\u1ebfn kh\u00e1m v\u00ec c\u1ea3m th\u1ea5y b\u1ee5ng to ra hay c\u00f3 c\u1ea3m gi\u00e1c tr\u1eb1n n\u1eb7ng b\u1ee5ng d\u01b0\u1edbi. \u0110au v\u00f9ng h\u1ea1 v\u1ecb t\u01b0\u01a1ng \u0111\u1ed1i \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>Tri\u1ec7u ch\u1ee9ng do s\u1ef1 ch\u00e8n \u00e9p c\u1ee7a kh\u1ed1i u.<\/p>\n<p>(1) L\u00ean b\u00e0ng quang s\u1ebd g\u00e2y ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u kh\u00f3, \u0111\u00f4i khi b\u1ecb b\u00ed ti\u1ec3u.<\/p>\n<p>(2) L\u00ean ni\u1ec7u qu\u1ea3n \u0111\u01b0a \u0111\u1ebfn t\u00ecnh tr\u1ea1ng th\u1eadn \u1ee9 n\u01b0\u1edbc (hydronephrosis).<\/p>\n<p>(3) L\u00ean tr\u1ef1c tr\u00e0ng g\u00e2y t\u00e1o b\u00f3n ho\u1eb7c \u0111au khi \u0111\u1ea1i ti\u1ec7n.<\/p>\n<p>(4) N\u1ebfu kh\u1ed1i u th\u1eadt to ch\u00e8n \u00e9p l\u00ean ru\u1ed9t, d\u1ea1 d\u00e0y c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn c\u00e1c r\u1ed1i lo\u1ea1n ti\u00eau h\u00f3a.<\/p>\n<p>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 b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u01b0 xanh xao, m\u1ec7t m\u1ecfi, cho\u00e1ng v\u00e1ng, nh\u1ee9c \u0111\u1ea7u, kh\u00f3 th\u1edf&#8230;<\/p>\n<p><strong>Tri\u1ec7u ch\u1ee9ng th\u1ef1c th\u1ec3<\/strong><\/p>\n<p>N\u1eafn b\u1ee5ng c\u00f3 th\u1ec3 th\u1ea5y \u0111\u01b0\u1ee3c m\u1ed9t kh\u1ed1i u \u1edf v\u00f9ng 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 v\u00e0 c\u00f3 th\u1ec3 di \u0111\u1ed9ng \u0111\u01b0\u1ee3c n\u1ebfu u kh\u00f4ng qu\u00e1 to.<\/p>\n<p>Th\u0103m \u00e2m \u0111\u1ea1o k\u1ebft h\u1ee3p v\u1edbi kh\u00e1m b\u1ee5ng c\u00f3 th\u1ec3 gi\u00fap ta 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 m\u1ed9t kh\u1ed1i u c\u1ee9ng, b\u1ec1 m\u1eb7t l\u1ed3i l\u00f5m, di \u0111\u1ed9ng theo t\u1eed cung, kh\u00f4ng \u0111au.<\/p>\n<p><strong>Ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t<\/strong><\/p>\n<p>\u0110\u1ee9ng tr\u01b0\u1edbc m\u1ed9t kh\u1ed1i u \u1edf v\u00f9ng ti\u1ec3u khung, c\u1ea7n ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi:<\/p>\n<p>(1) T\u1eed cung c\u00f3 thai: Ph\u1ea3i d\u1ef1a v\u00e0o ng\u00e0y sinh ch\u00f3t ho\u1eb7c th\u1eed n\u01b0\u1edbc ti\u1ec3u t\u00ecm hCG.<\/p>\n<p>(2) 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 m\u1ed9t b\u00ean h\u1ed1 ch\u1eadu, t\u00e1ch bi\u1ec7t v\u1edbi t\u1eed cung b\u1edfi m\u1ed9t 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-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 ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t v\u1edbi kh\u1ed1i u bu\u1ed3ng tr\u1ee9ng.<\/p>\n<h2><strong>2. \u0110i\u1ec1u tr\u1ecb u x\u01a1 t\u1eed cung<\/strong><\/h2>\n<p><strong>M\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb: Gi\u1ea3m tri\u1ec7u ch\u1ee9ng + gi\u1ea3m k\u00edch th\u01b0\u1edbc nh\u00e2n x\u01a1<\/strong><\/p>\n<p><strong>2.1 <\/strong><strong>Theo d\u00f5i<\/strong><strong>, \u0111i\u1ec1u tr\u1ecb <\/strong><strong>n\u1ed9i khoa<\/strong><br \/>\n+<strong> Ch\u1ec9 \u0111\u1ecbnh \u0111i\u1ec1u tr\u1ecb n\u1ed9i<\/strong>: Khi UXTC c\u00f3 tri\u1ec7u ch\u1ee9ng (C\u01b0\u1eddng kinh, Rong kinh, c\u00e1c xu\u1ea5t huy\u1ebft TC b\u1ea5t th\u01b0\u1eddng &#8211; \u0110au do tho\u00e1i h\u00f3a &#8211; Ch\u00e8n \u00e9p).<br \/>\n+ C\u00e1c thu\u1ed1c \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu t\u00e1c \u0111\u1ed9ng v\u00e0o c\u00e1c steroid (estrogen + progesteron)<\/p>\n<ul>\n<li><strong>\u0110\u1ed3ng v\u1eadn GnRH-agonist<\/strong> (ch\u1ea5t \u0111\u1ed3ng v\u1eadn l\u00e0m gi\u1ea3m GnRH n\u1ed9i sinh \u2192 gi\u1ea3m t\u1ea1o estrogen)\n<ul>\n<li><strong><em>Ch\u1ec9 \u0111\u1ecbnh:<\/em><\/strong>\n<ul>\n<li>\u0110i\u1ec1u tr\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt b\u00f3c nh\u00e2n x\u01a1 k\u00edch th\u01b0\u1edbc to (# 3 th\u00e1ng)<\/li>\n<li>N\u00e2ng th\u1ec3 tr\u1ea1ng tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/li>\n<li>Ti\u1ec1n m\u00e3n kinh<\/li>\n<li>Chu\u1ea9n b\u1ecb tr\u01b0\u1edbc ph\u1eabu thu\u1eadt c\u1eaft TC qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o, n\u1ed9i soi bu\u1ed3ng TC \u0111\u1ed1t c\u1eaft nh\u00e2n x\u01a1 v\u1edbi UXTC \u2265 5cm<\/li>\n<li>C\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt<\/li>\n<li>T\u1eeb ch\u1ed1i ph\u1eabu thu\u1eadt<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ul>\n<li><strong>\u0110\u1ed1i v\u1eadn GnRH<\/strong> ch\u1ec9 \u0111\u1ecbnh 3 tu\u1ea7n tr\u01b0\u1edbc ph\u1eabu thu\u1eadt<\/li>\n<li><strong>Ch\u1ea5t \u0111i\u1ec1u h\u00f2a ch\u1ecdn l\u1ecdc th\u1ee5 th\u1ec3 progesteron SPRM<\/strong>: c\u00f3 2 thu\u1ed1c th\u01b0\u1eddng d\u00f9ng tr\u00ean l\u00e2m s\u00e0ng\n<ul>\n<li><strong><em>Mifepristone 2.5mg<\/em><\/strong> trong 6 th\u00e1ng (\u0111\u1ed1i kh\u00e1ng progesterone)<\/li>\n<li><strong><em>UPA 5-10mg<\/em><\/strong> trong 6<\/li>\n<\/ul>\n<\/li>\n<li><strong>Ch\u1ea5t \u1ee9c ch\u1ebf men aromase<\/strong> (men chuy\u1ec3n E1 th\u00e0nh E2): thu\u1ed1c Letrozole ch\u01b0a \u0111\u01b0\u1ee3c d\u00f9ng tr\u00ean l\u00e2m s\u00e0ng<\/li>\n<li><strong>D\u1ee5ng c\u1ee5 \u0111\u1eb7t t\u1eed cung\/ C\u1ea5y que<\/strong> (ph\u00f3ng th\u00edch ch\u1eadm Levonorgestrel) gi\u00fap gi\u1ea3m k\u00edch th\u01b0\u1edbc nh\u00e2n x\u01a1 + gi\u1ea3m c\u01b0\u1eddng kinh + ng\u1eeba thai (C\u1ea5y que ch\u1ec9 d\u00f9ng cho BN c\u00f3 tri\u1ec7u ch\u1ee9ng nh\u1eb9)<\/li>\n<li><strong>Thu\u1ed1c ng\u1eeba thai ph\u1ed1i h\u1ee3p COCs<\/strong>: l\u00e0m teo n\u1ed9i m\u1ea1c t\u1eed cung\u2192 gi\u1ea3m c\u01b0\u1eddng kinh<\/li>\n<\/ul>\n<p><strong>2.2 <\/strong><strong>Ph\u1eabu thu\u1eadt:<\/strong><\/p>\n<ul>\n<li><strong>Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt:<\/strong><\/li>\n<\/ul>\n<p>\u0110i\u1ec1u tr\u1ecb ph\u1eabu thu\u1eadt ch\u1ec9 c\u00f3 ch\u1ec9 \u0111\u1ecbnh trong c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau \u0111\u00e2y:<\/p>\n<ul>\n<li>Khi u x\u01a1 c\u01a1 t\u1eed cung to t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi m\u1ed9t t\u1eed cung c\u00f3 thai \u2265 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 h\u00f3a.<\/li>\n<li>Khi c\u00f3 tri\u1ec7u ch\u1ee9ng ch\u00e8n \u00e9p ni\u1ec7u qu\u1ea3n, g\u00e2y th\u1eadn \u1ee9 n\u01b0\u1edbc.<\/li>\n<li>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.<\/li>\n<li>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.<\/li>\n<li>Khi nghi ng\u1edd b\u1ecb ung th\u01b0 h\u00f3a.<\/li>\n<li>Ph\u01b0\u01a1ng ph\u00e1p ph\u1eabu thu\u1eadt:<\/li>\n<\/ul>\n<p><strong><em>B\u00f3c nh\u00e2n x\u01a1:<\/em><\/strong><\/p>\n<p>U d\u01b0\u1edbi thanh ho\u1eb7c n\u1eb1m trong c\u01a1 n\u1ed9i soi \u1ed5 b\u1ee5ng ho\u1eb7c m\u1edf b\u1ee5ng<\/p>\n<p>U d\u01b0\u1edbi ni\u00eam \u2192 n\u1ed9i soi bu\u1ed3ng t\u1eed cung<\/p>\n<p>U tho\u00e1i h\u00f3a sa xu\u1ed1ng \u00e2m \u0111\u1ea1o \u2192 c\u1eaft u qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o<\/p>\n<p><strong><em>N\u1ed9<\/em><\/strong><strong><em>i soi<\/em><\/strong><strong><em> bu\u1ed3ng t\u1eed cung c\u1eaft nh\u00e2n x\u01a1 d\u01b0\u1edbi ni\u00eam:<\/em><\/strong><\/p>\n<p>Ph\u1ee5 n\u1eef \u0111\u00e3 c\u00f3 \u0111\u1ee7 con<\/p>\n<p>\u0110i\u1ec1u tr\u1ecb tri\u1ec7u ch\u1ee9ng xu\u1ea5t huy\u1ebft TC b\u1ea5t th\u01b0\u1eddng<\/p>\n<p><strong><em>C\u1eaft t\u1eed cung to\u00e0n ph\u1ea7n:<\/em><\/strong> BN \u0111\u00e3 \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 v\u00e0 \u0111\u1ed3ng \u00fd tr\u01b0\u1edbc khi ph\u1eabu thu\u1eadt<\/p>\n<p><strong><em>Thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch\u00a0 (\u0110M) t\u1eed cung<\/em><\/strong><\/p>\n<p><strong>Ch\u1ec9 \u0111\u1ecbnh thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung<\/strong>:<\/p>\n<ul>\n<li>UXTC k\u00edch th\u01b0\u1edbc 12-16 tu\u1ea7n (t\u1ed1i \u0111a 3 nh\u00e2n x\u01a1 tr\u00ean si\u00eau \u00e2m)<\/li>\n<li>C\u00f3 ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh g\u00e2y m\u00ea to\u00e0n th\u00e2n<\/li>\n<li>Nh\u00e2n x\u01a1 t\u00e1i ph\u00e1t sau ph\u1eabu thu\u1eadt b\u00f3c nh\u00e2n x\u01a1<\/li>\n<li>Mu\u1ed1n gi\u1eef l\u1ea1i t\u1eed cung<\/li>\n<li>B\u1ec7nh nh\u00e2n t\u1eeb ch\u1ed1i ph\u1eabu thu\u1eadt<\/li>\n<li>Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh thuy\u00ean t\u1eafc \u0111\u1ed9ng m\u1ea1ch t\u1eed cung:<\/li>\n<li>R\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u<\/li>\n<li>B\u1ec7nh n\u1ec1n \u1ea3nh h\u01b0\u1edfng ph\u1eabu thu\u1eadt<\/li>\n<li>B\u1ec7nh nhi\u1ec5m tr\u00f9ng, \u00e1c t\u00ednh \u0111\u01b0\u1eddng sinh d\u1ee5c<\/li>\n<li>B\u1ec7nh m\u1ea1ch m\u00e1u \u1ea3nh h\u01b0\u1edfng vi\u1ec7c x\u00e2m l\u1ea5n \u0110M t\u1eed cung<\/li>\n<li>D\u1ecb \u1ee9ng thu\u1ed1c c\u1ea3n quang<\/li>\n<li>Suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn<\/li>\n<\/ul>\n<p><strong>Chi\u1ebfn l\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb <\/strong><strong>u x\u01a1 t\u1eed cung<\/strong><\/p>\n<p>&nbsp;<\/p>\n<table>\n<tbody>\n<tr>\n<td>Tri\u1ec7u ch\u1ee9ng (-)<\/p>\n<p>Mu\u1ed1n sinh con (-)<\/td>\n<td>Tri\u1ec7u ch\u1ee9ng (-)<\/p>\n<p>Mu\u1ed1n sinh con (+)<\/td>\n<td>Tri\u1ec7u ch\u1ee9ng (+)<\/p>\n<p>Mu\u1ed1n sinh con (-)<\/td>\n<td>Tri\u1ec7u ch\u1ee9ng (+)<\/p>\n<p>Mu\u1ed1n sinh con (+)<\/td>\n<\/tr>\n<tr>\n<td>Theo d\u00f5i<\/td>\n<td>Si\u00eau \u00e2m b\u01a1m n\u01b0\u1edbc bu\u1ed3ng TC th\u1ea5y:<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 L\u00f2ng TC ko bi\u1ebfn d\u1ea1ng \u2192 c\u00f3 th\u1ec3 th\u1ee5 thai<\/p>\n<p>\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 L\u00f2ng TC bi\u1ebfn d\u1ea1ng \u2192 PT b\u1ed1c u qua n\u1ed9i soi bu\u1ed3ng TC\/ n\u1ed9i soi \u1ed5 b\u1ee5ng<\/td>\n<td>N\u1ed9i khoa + theo d\u00f5i<\/td>\n<td>N\u1ed9i khoa + sinh thi\u1ebft N\u1ed9i m\u1ea1c t\u1eed cung lo\u1ea1i tr\u1eeb xu\u1ea5t huy\u1ebft do nguy\u00ean nh\u00e2n kh\u00e1c + ph\u1eabu thu\u1eadt<br \/>\n+ L\u00f2ng TC bi\u1ebfn d\u1ea1ng \u2192 PT b\u1ed1c u qua n\u1ed9i soi bu\u1ed3ng TC\/ NS \u1ed5 b\u1ee5ng<\/p>\n<p>\u0110au\/ ch\u00e8n \u00e9p nh\u01b0ng ko bi\u1ebfn d\u1ea1ng l\u00f2ng TC \u2192 n\u1ed9i soi ho\u1eb7c m\u1edf b\u1ee5ng.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>&nbsp;<\/p>\n<p>Xem th\u00eam: <a href=\"https:\/\/www.vinmec.com\/vi\/tin-tuc\/thong-tin-suc-khoe\/san-phu-khoa-va-ho-tro-sinh-san\/u-nang-buong-trung-co-nguy-hiem-khong\/\">U nang bu\u1ed3ng tr\u1ee9ng c\u00f3 nguy hi\u1ec3m kh\u00f4ng?<\/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 (BN), 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 [&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>X\u1eed l\u00fd v\u00e0 \u0111i\u1ec1u tr\u1ecb u x\u01a1 c\u1ed5 t\u1eed cung: C\u00e1c l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb v\u00e0 ti\u1ebfn b\u1ed9 trong k\u1ef9 thu\u1eadt - 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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