{"id":11137,"date":"2025-08-17T12:34:49","date_gmt":"2025-08-17T05:34:49","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=11137"},"modified":"2025-08-17T12:37:34","modified_gmt":"2025-08-17T05:37:34","slug":"hai-vo-chong-hiem-muon-3-nam-don-tin-mang-thai-nho-dieu-tri-dac-biet-tai-benh-vien-nhan-dan-gia-dinh","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=11137","title":{"rendered":"HAI V\u1ee2 CH\u1ed2NG HI\u1ebeM MU\u1ed8N 3 N\u0102M \u0110\u00d3N TIN MANG THAI NH\u1edc \u0110I\u1ec0U TR\u1eca \u0110\u1eb6C BI\u1ec6T T\u1ea0I B\u1ec6NH VI\u1ec6N NH\u00c2N D\u00c2N GIA \u0110\u1ecaNH"},"content":{"rendered":"\n

Sau h\u01a1n 1.000 ng\u00e0y ch\u1edd \u0111\u1ee3i v\u00e0 hy v\u1ecdng, anh T. \u1edf t\u1ec9nh \u0110\u1ed3ng Nai \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c m\u00f3n qu\u00e0 v\u00f4 gi\u00e1 nh\u1ea5t \u0111\u1eddi, \u0111\u00f3 l\u00e0 tin vui khi v\u1ee3 c\u1ee7a anh mang thai t\u1ef1 nhi\u00ean. \u0110\u1eb1ng sau ni\u1ec1m h\u1ea1nh ph\u00fac tr\u1ecdn v\u1eb9n \u1ea5y l\u00e0 h\u00e0nh tr\u00ecnh t\u00ecm con \u0111\u1ea7y gian nan, \u0111\u01b0\u1ee3c ti\u1ebfp s\u1ee9c b\u1edfi s\u1ef1 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c v\u00e0 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 t\u1eeb c\u00e1c b\u00e1c s\u0129 Khoa Ngo\u1ea1i th\u1eadn – Ti\u1ebft ni\u1ec7u, B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh. Nguy\u00ean nh\u00e2n v\u00f4 sinh c\u1ee7a anh xu\u1ea5t ph\u00e1t t\u1eeb m\u1ed9t kh\u1ed1i u tuy\u1ebfn y\u00ean hi\u1ebfm g\u1eb7p, c\u0103n nguy\u00ean th\u01b0\u1eddng b\u1ecb b\u1ecf s\u00f3t nh\u01b0ng \u0111\u00e3 \u0111\u01b0\u1ee3c ki\u1ec3m so\u00e1t ch\u1ec9 sau 2 th\u00e1ng, gi\u00fap anh ph\u1ee5c h\u1ed3i ho\u00e0n to\u00e0n ch\u1ee9c n\u0103ng sinh s\u1ea3n.<\/strong><\/p>\n\n\n\n

B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh v\u1eeba ghi nh\u1eadn th\u00eam m\u1ed9t th\u00e0nh c\u00f4ng \u00fd ngh\u0129a trong l\u0129nh v\u1ef1c \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh nam hi\u1ebfm g\u1eb7p, m\u1edf ra c\u01a1 h\u1ed9i l\u00e0m cha m\u1eb9 cho nhi\u1ec1u c\u1eb7p v\u1ee3 ch\u1ed3ng. Khoa Ngo\u1ea1i th\u1eadn – Ti\u1ebft ni\u1ec7u c\u1ee7a b\u1ec7nh vi\u1ec7n \u0111\u00e3 \u0111i\u1ec1u tr\u1ecb th\u00e0nh c\u00f4ng tr\u01b0\u1eddng h\u1ee3p c\u1ee7a anh T. (35 tu\u1ed5i, ng\u1ee5 \u0110\u1ed3ng Nai), m\u1eafc v\u00f4 sinh do u tuy\u1ebfn y\u00ean t\u0103ng ti\u1ebft prolactin, m\u1ed9t nguy\u00ean nh\u00e2n hi\u1ebfm g\u1eb7p nh\u01b0ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 n\u1ebfu ph\u00e1t hi\u1ec7n s\u1edbm.<\/p>\n\n\n\n

Anh T. v\u00e0 v\u1ee3 k\u1ebft h\u00f4n \u0111\u00e3 3 n\u0103m, tr\u1ea3i qua bi\u1ebft bao hy v\u1ecdng r\u1ed3i th\u1ea5t v\u1ecdng khi mong ch\u1edd m\u00e3i v\u1eabn kh\u00f4ng c\u00f3 con. M\u1ed7i l\u1ea7n nh\u00ecn v\u1ee3 bu\u1ed3n, anh c\u00e0ng th\u00eam day d\u1ee9t, lo s\u1ee3 gi\u1ea5c m\u01a1 gia \u0111\u00ecnh tr\u1ecdn v\u1eb9n s\u1ebd m\u00e3i xa v\u1eddi. Khi \u0111\u1ebfn \u0110\u01a1n v\u1ecb Nam khoa, Khoa Ngo\u1ea1i th\u1eadn – Ti\u1ebft ni\u1ec7u, anh mang theo n\u1ed7i kh\u1eafc kho\u1ea3i c\u00f9ng s\u1ef1 tr\u0103n tr\u1edf l\u1edbn nh\u1ea5t \u0111\u1eddi m\u00ecnh l\u00e0 t\u00ecm c\u00e1ch c\u00f3 \u0111\u01b0\u1ee3c ti\u1ebfng c\u01b0\u1eddi tr\u1ebb th\u01a1 trong ng\u00f4i nh\u00e0 nh\u1ecf.<\/p>\n\n\n\n

Qua th\u0103m kh\u00e1m l\u00e2m s\u00e0ng v\u00e0 x\u00e9t nghi\u1ec7m chuy\u00ean s\u00e2u, c\u00e1c b\u00e1c s\u0129 ph\u00e1t hi\u1ec7n anh T. c\u00f3 l\u01b0\u1ee3ng prolactin trong m\u00e1u t\u0103ng cao b\u1ea5t th\u01b0\u1eddng v\u00e0 h\u00ecnh \u1ea3nh MRI cho th\u1ea5y m\u1ed9t kh\u1ed1i u tuy\u1ebfn y\u00ean nh\u1ecf. Ch\u1ea9n \u0111o\u00e1n x\u00e1c \u0111\u1ecbnh: v\u00f4 sinh do u tuy\u1ebfn y\u00ean t\u0103ng ti\u1ebft prolactin. Thay v\u00ec ph\u1eabu thu\u1eadt, c\u00e1c b\u00e1c s\u0129 \u0111\u00e3 l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng thu\u1ed1c nh\u1eb1m \u1ee9c ch\u1ebf prolactin, ki\u00ean tr\u00ec theo d\u00f5i s\u00e1t sao ti\u1ebfn tri\u1ec3n. Ch\u1ec9 sau 2 th\u00e1ng, n\u1ed3ng \u0111\u1ed9 prolactin tr\u1edf v\u1ec1 b\u00ecnh th\u01b0\u1eddng, ch\u1ee9c n\u0103ng sinh l\u00fd c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t, ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng ph\u1ee5c h\u1ed3i. M\u1edbi \u0111\u00e2y, v\u1ee3 ch\u1ed3ng anh T. \u0111\u00e3 v\u1ee1 \u00f2a h\u1ea1nh ph\u00fac khi \u0111\u00f3n tin vui l\u00e0 v\u1ee3 c\u1ee7a anh mang thai t\u1ef1 nhi\u00ean sau h\u00e0nh tr\u00ecnh \u0111\u1ea7y n\u01b0\u1edbc m\u1eaft v\u00e0 ki\u00ean nh\u1eabn.<\/p>\n\n\n\n

Chia s\u1ebb v\u1ec1 kho\u1ea3nh kh\u1eafc nh\u1eadn tin vui, anh T. x\u00fac \u0111\u1ed9ng n\u00f3i: \u201cKhi bi\u1ebft tin v\u1ee3 c\u1ee7a t\u00f4i mang thai, t\u00f4i th\u1ef1c s\u1ef1 vui m\u1eebng. C\u1ea3 hai v\u1ee3 ch\u1ed3ng \u0111\u00e3 tr\u1ea3i qua qu\u00e1 nhi\u1ec1u \u00e1p l\u1ef1c v\u00e0 lo l\u1eafng, th\u1eadm ch\u00ed c\u00f3 l\u00fac ngh\u0129 r\u1eb1ng s\u1ebd kh\u00f4ng bao gi\u1edd c\u00f3 con. Gi\u1edd \u0111\u00e2y, ch\u00fang t\u00f4i ch\u1ec9 mu\u1ed1n g\u1eedi l\u1eddi c\u1ea3m \u01a1n ch\u00e2n th\u00e0nh nh\u1ea5t \u0111\u1ebfn c\u00e1c b\u00e1c s\u0129 \u1edf B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh\u201d.<\/p>\n\n\n\n

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ThS.BS Nguy\u1ec5n Hu\u1ef3nh \u0110\u0103ng Khoa, b\u00e1c s\u0129 \u0111i\u1ec1u tr\u1ecb tr\u1ef1c ti\u1ebfp cho anh T. chia s\u1ebb: \u201c\u0110\u00e2y l\u00e0 ca b\u1ec7nh \u0111\u1eb7c bi\u1ec7t b\u1edfi nguy\u00ean nh\u00e2n n\u1eb1m \u1edf tuy\u1ebfn y\u00ean, v\u1ecb tr\u00ed \u00edt \u0111\u01b0\u1ee3c ngh\u0129 \u0111\u1ebfn trong v\u00f4 sinh nam. Ch\u00fang t\u00f4i \u00e1p d\u1ee5ng quy tr\u00ecnh ch\u1ea9n \u0111o\u00e1n b\u00e0i b\u1ea3n v\u00e0 ph\u00e1c \u0111\u1ed3 c\u00e1 th\u1ec3 h\u00f3a, gi\u00fap ng\u01b0\u1eddi b\u1ec7nh tr\u00e1nh \u0111\u01b0\u1ee3c ph\u1eabu thu\u1eadt kh\u00f4ng c\u1ea7n thi\u1ebft, ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng sinh l\u00fd v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n ch\u1ec9 sau th\u1eddi gian ng\u1eafn\u201d.<\/p>\n\n\n\n

BS.CK2 Nguy\u1ec5n Xu\u00e2n To\u00e0n, Tr\u01b0\u1edfng Khoa Ngo\u1ea1i th\u1eadn – Ti\u1ebft ni\u1ec7u cho bi\u1ebft v\u00f4 sinh \u0111\u01b0\u1ee3c \u0111\u1ecbnh ngh\u0129a l\u00e0 t\u00ecnh tr\u1ea1ng m\u1ed9t c\u1eb7p v\u1ee3 ch\u1ed3ng kh\u00f4ng th\u1ec3 th\u1ee5 thai sau 1 n\u0103m quan h\u1ec7 t\u00ecnh d\u1ee5c \u0111\u1ec1u \u0111\u1eb7n m\u00e0 kh\u00f4ng s\u1eed d\u1ee5ng bi\u1ec7n ph\u00e1p tr\u00e1nh thai. \u0110\u00e2y l\u00e0 v\u1ea5n \u0111\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u0111\u00e1ng b\u00e1o \u0111\u1ed9ng, \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn kho\u1ea3ng 15% c\u1eb7p v\u1ee3 ch\u1ed3ng tr\u00ean to\u00e0n c\u1ea7u. Trong \u0111\u00f3, c\u00e1c nguy\u00ean nh\u00e2n v\u00f4 sinh c\u00f3 th\u1ec3 \u0111\u1ebfn t\u1eeb c\u1ea3 nam v\u00e0 n\u1eef nh\u01b0ng nam gi\u1edbi chi\u1ebfm \u0111\u1ebfn kho\u1ea3ng 50% nguy\u00ean nh\u00e2n. C\u00e1c nguy\u00ean nh\u00e2n g\u00e2y v\u00f4 sinh nam r\u1ea5t \u0111a d\u1ea1ng, t\u1eeb y\u1ebfu t\u1ed1 tinh tr\u00f9ng, t\u1eafc ngh\u1ebdn \u1ed1ng d\u1eabn tinh, \u0111\u1ebfn c\u00e1c r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft t\u1ed1. Do \u0111\u00f3, vi\u1ec7c ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh c\u1ea7n c\u00f3 s\u1ef1 tham gia c\u1ee7a c\u1ea3 hai v\u1ee3 ch\u1ed3ng, v\u1edbi s\u1ef1 ch\u00fa tr\u1ecdng \u0111\u1eb7c bi\u1ec7t \u0111\u1ebfn y\u1ebfu t\u1ed1 nam gi\u1edbi.<\/p>\n\n\n\n

\u0110\u1ec3 ph\u00f2ng tr\u00e1nh v\u00e0 \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh nam, BS.CK2 Nguy\u1ec5n Xu\u00e2n To\u00e0n khuy\u1ebfn c\u00e1o:<\/p>\n\n\n\n

– Kh\u00e1m s\u1ee9c kh\u1ecfe \u0111\u1ecbnh k\u1ef3: Nam gi\u1edbi n\u00ean \u0111i kh\u00e1m s\u1ee9c kh\u1ecfe t\u1ed5ng qu\u00e1t v\u00e0 s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u0111\u1ecbnh k\u1ef3, \u0111\u1eb7c bi\u1ec7t khi g\u1eb7p kh\u00f3 kh\u0103n trong vi\u1ec7c c\u00f3 con.<\/p>\n\n\n\n

– Ch\u1ebf \u0111\u1ed9 sinh ho\u1ea1t l\u00e0nh m\u1ea1nh: Duy tr\u00ec l\u1ed1i s\u1ed1ng khoa h\u1ecdc, \u0103n u\u1ed1ng \u0111\u1ee7 ch\u1ea5t, t\u1eadp th\u1ec3 d\u1ee5c th\u01b0\u1eddng xuy\u00ean, tr\u00e1nh h\u00fat thu\u1ed1c l\u00e1, u\u1ed1ng r\u01b0\u1ee3u bia qu\u00e1 m\u1ee9c.<\/p>\n\n\n\n

– Kh\u00f4ng t\u1ef1 \u00fd d\u00f9ng thu\u1ed1c: Kh\u00f4ng t\u1ef1 \u00fd s\u1eed d\u1ee5ng c\u00e1c lo\u1ea1i thu\u1ed1c, th\u1ef1c ph\u1ea9m ch\u1ee9c n\u0103ng \u0111\u01b0\u1ee3c qu\u1ea3ng c\u00e1o l\u00e0 t\u0103ng c\u01b0\u1eddng sinh l\u1ef1c m\u00e0 kh\u00f4ng c\u00f3 s\u1ef1 ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<\/p>\n\n\n\n

– Th\u0103m kh\u00e1m s\u1edbm: Khi c\u00f3 c\u00e1c d\u1ea5u hi\u1ec7u b\u1ea5t th\u01b0\u1eddng nh\u01b0 gi\u1ea3m ham mu\u1ed1n, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng, tinh ho\u00e0n nh\u1ecf, c\u1ea7n \u0111\u1ebfn ngay c\u00e1c c\u01a1 s\u1edf y t\u1ebf chuy\u00ean khoa \u0111\u1ec3 \u0111\u01b0\u1ee3c th\u0103m kh\u00e1m v\u00e0 ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c. N\u1ebfu c\u00f3 th\u1ec3, h\u00e3y \u01b0u ti\u00ean n\u1ed7 l\u1ef1c mang thai t\u1ef1 nhi\u00ean tr\u01b0\u1edbc khi \u00e1p d\u1ee5ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p h\u1ed7 tr\u1ee3 sinh s\u1ea3n nh\u01b0 IUI, IVF\/ICSI ho\u1eb7c ph\u1eabu thu\u1eadt t\u00ecm tinh tr\u00f9ng. Nhi\u1ec1u tr\u01b0\u1eddng h\u1ee3p hi\u1ebfm mu\u1ed9n c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb hi\u1ec7u qu\u1ea3 ch\u1ec9 b\u1eb1ng thu\u1ed1c n\u1ebfu \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n s\u1edbm. B\u1ec7nh vi\u1ec7n Nh\u00e2n d\u00e2n Gia \u0110\u1ecbnh cam k\u1ebft ti\u1ebfp t\u1ee5c \u0111\u1ea7u t\u01b0 trang thi\u1ebft b\u1ecb hi\u1ec7n \u0111\u1ea1i v\u00e0 n\u00e2ng cao tr\u00ecnh \u0111\u1ed9 chuy\u00ean m\u00f4n c\u1ee7a \u0111\u1ed9i ng\u0169 y b\u00e1c s\u0129, nh\u1eb1m mang \u0111\u1ebfn nh\u1eefng gi\u1ea3i ph\u00e1p \u0111i\u1ec1u tr\u1ecb t\u1ed1i \u01b0u cho ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1eb7c bi\u1ec7t trong l\u0129nh v\u1ef1c ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe nam gi\u1edbi.<\/p>\n","protected":false},"excerpt":{"rendered":"

Sau h\u01a1n 1.000 ng\u00e0y ch\u1edd \u0111\u1ee3i v\u00e0 hy v\u1ecdng, anh T. \u1edf t\u1ec9nh \u0110\u1ed3ng Nai \u0111\u00e3 nh\u1eadn \u0111\u01b0\u1ee3c m\u00f3n qu\u00e0 v\u00f4 gi\u00e1 nh\u1ea5t \u0111\u1eddi, \u0111\u00f3 l\u00e0 tin vui khi v\u1ee3 c\u1ee7a anh mang thai t\u1ef1 nhi\u00ean. \u0110\u1eb1ng sau ni\u1ec1m h\u1ea1nh ph\u00fac tr\u1ecdn v\u1eb9n \u1ea5y l\u00e0 h\u00e0nh tr\u00ecnh t\u00ecm con \u0111\u1ea7y gian nan, \u0111\u01b0\u1ee3c ti\u1ebfp s\u1ee9c 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