{"id":8134,"date":"2025-01-16T09:09:35","date_gmt":"2025-01-16T02:09:35","guid":{"rendered":"https:\/\/bvndgiadinh.org.vn\/?p=8134"},"modified":"2025-01-16T09:10:10","modified_gmt":"2025-01-16T02:10:10","slug":"hoi-chung-qua-kich-buong-trung-khi-dung-cac-hormon-gonadotropin","status":"publish","type":"post","link":"https:\/\/bvndgiadinh.org.vn\/?p=8134","title":{"rendered":"H\u1ed9i ch\u1ee9ng qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng khi d\u00f9ng c\u00e1c hormon Gonadotropin"},"content":{"rendered":"\n

1. T\u1ed5ng quan<\/strong><\/p>\n\n\n\n

Ch\u1ee9ng qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng \u2013 QKBT (Ovarian hyperstimulation syndrome) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong khi s\u1eed d\u1ee5ng thu\u1ed1c k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh (bao g\u1ed3m c\u1ea3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung v\u00e0 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m). Nguy c\u01a1 b\u1ecb QKBT khi s\u1eed d\u1ee5ng c\u00e1c gonadotropin (chorionic gonadotropin, menotropin, urofolitropin, folitropin\u2026) cao h\u01a1n khi s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf estrogen [1], [2].<\/p>\n\n\n\n

2. C\u01a1 ch\u1ebf b\u1ec7nh sinh<\/strong><\/p>\n\n\n\n

C\u01a1 ch\u1ebf sinh b\u1ec7nh h\u1ecdc hi\u1ec7n ch\u01b0a r\u00f5 r\u00e0ng nh\u1eefng c\u00e1c tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng ch\u00ednh l\u00e0 t\u00ecnh tr\u1ea1ng t\u0103ng t\u00ednh th\u1ea5m th\u00e0nh m\u1ea1ch, l\u00e0m tho\u00e1t d\u1ecbch v\u00e0 albumin kh\u1ecfi th\u00e0nh m\u1ea1ch l\u00e0m \u1ed5 b\u1ee5ng tr\u01b0\u1edbng c\u0103ng, tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i, m\u00e0ng tim g\u00e2y kh\u00f3 th\u1edf. T\u00ecnh tr\u1ea1ng n\u00e0y c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn vi\u1ec7c t\u0103ng c\u01b0\u1eddng gi\u1ea3i ph\u00f3ng c\u00e1c ch\u1ea5t trung gian v\u1eadn m\u1ea1ch do k\u00edch th\u00edch qu\u00e1 m\u1ee9c d\u01b0\u1edbi t\u00e1c d\u1ee5ng c\u1ee7a gonadotropin nhau thai ng\u01b0\u1eddi (hCG) ho\u1eb7c hormon ho\u00e0ng th\u1ec3 (LH) [3], k\u1ebft qu\u1ea3 l\u00e0 g\u00e2y tr\u00e0n d\u1ecbch \u0111a m\u00e0ng.<\/p>\n\n\n\n

3. Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng<\/strong><\/p>\n\n\n\n

Theo Mathur v\u00e0 c\u1ed9ng s\u1ef1, h\u1ed9i ch\u1ee9ng QKBT \u0111\u01b0\u1ee3c ph\u00e2n l\u00e0m 4 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng d\u1ef1a theo bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng (b\u1ea3ng 1). T\u00f9y v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng m\u00e0 c\u1ea7n c\u00f3 c\u00e1c bi\u1ec7n ph\u00e1p theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p. C\u1ea7n l\u01b0u \u00fd r\u1eb1ng t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 di\u1ec5n bi\u1ebfn x\u1ea5u \u0111i, do \u0111\u00f3 c\u1ea7n t\u01b0 v\u1ea5n cho b\u1ec7nh nh\u00e2n v\u1ec1 c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng khi tri\u1ec7u ch\u1ee9ng n\u1eb7ng th\u00eam \u0111\u1ec3 c\u00f3 x\u1eed tr\u00ed ph\u00f9 h\u1ee3p [3].<\/p>\n\n\n\n

B\u1ea3ng 1: Ph\u00e2n lo\u1ea1i m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a h\u1ed9i ch\u1ee9ng QKBT<\/p>\n\n\n\n

M\u1ee9c \u0111\u1ed9<\/strong><\/td>Bi\u1ec3u hi\u1ec7n<\/strong><\/td><\/tr>
Nh\u1eb9<\/em><\/td>B\u1ee5ng tr\u01b0\u1edbng. \u0110au b\u1ee5ng nh\u1eb9. K\u00edch th\u01b0\u1edbc bu\u1ed3ng tr\u1ee9ng < 8 cm.  <\/td><\/tr>
Trung b\u00ecnh<\/em><\/td>\u0110au b\u1ee5ng trung b\u00ecnh. Bu\u1ed3n n\u00f4n, n\u00f4n. Si\u00eau \u00e2m ph\u00e1t hi\u1ec7n c\u00f3 c\u1ed5 tr\u01b0\u1edbng. K\u00edch th\u01b0\u1edbc bu\u1ed3ng tr\u1ee9ng 8-12 cm.<\/td><\/tr>
N\u1eb7ng<\/em><\/td>C\u1ed5 tr\u01b0\u1edbng bi\u1ec3u hi\u1ec7n tr\u00ean l\u00e2m s\u00e0ng, c\u00f3 th\u1ec3 c\u00f3 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i. Thi\u1ec3u ni\u1ec7u. Hematocrit > 45%. Protein m\u00e1u gi\u1ea3m. K\u00edch th\u01b0\u1edbc bu\u1ed3ng tr\u1ee9ng > 12 cm.<\/td><\/tr>
Nghi\u00eam tr\u1ecdng<\/em><\/td>C\u1ed5 tr\u01b0\u1edbng n\u1eb7ng ho\u1eb7c tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i nhi\u1ec1u. Hematocrit > 55%. B\u1ea1ch c\u1ea7u > 25.000 t\u1ebf b\u00e0o\/ml. Thi\u1ec3u ni\u1ec7u ho\u1eb7c v\u00f4 ni\u1ec7u. T\u1eafc m\u1ea1ch. H\u1ed9i ch\u1ee9ng suy h\u00f4 h\u1ea5p \u1edf ng\u01b0\u1eddi l\u1edbn.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

4. Y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/p>\n\n\n\n

C\u00e1c y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc h\u1ed9i ch\u1ee9ng QKBT bao g\u1ed3m tu\u1ed5i tr\u1ebb, bu\u1ed3ng tr\u1ee9ng \u0111a nang, c\u00f3 ti\u1ec1n s\u1eed b\u1ecb h\u1ed9i ch\u1ee9ng QKBT, n\u1ed3ng \u0111\u1ed9 estradiol huy\u1ebft thanh cao ho\u1eb7c t\u0103ng nhanh, s\u1ed1 l\u01b0\u1ee3ng nang nhi\u1ec1u ho\u1eb7c t\u0103ng s\u1ed1 l\u01b0\u1ee3ng tr\u1ee9ng c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 m\u1eafc h\u1ed9i ch\u1ee9ng QKBT. Tuy nhi\u00ean ch\u01b0a c\u00f3 s\u1ef1 th\u1ed1ng nh\u1ea5t trong y v\u0103n v\u1ec1 gi\u00e1 tr\u1ecb ng\u01b0\u1ee1ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nguy c\u01a1. Gi\u00e1 tr\u1ecb d\u1ef1 \u0111o\u00e1n nguy c\u01a1 c\u1ee7a c\u00e1c th\u00f4ng s\u1ed1 n\u00f3i tr\u00ean c\u0169ng kh\u00f4ng cao, \u0111\u1eb7c bi\u1ec7t trong QKBT mu\u1ed9n [3].<\/p>\n\n\n\n

5. Bi\u1ebfn ch\u1ee9ng<\/strong><\/p>\n\n\n\n

QKBT l\u00e0 bi\u1ebfn ch\u1ee9ng c\u00f3 th\u1ec3 g\u1eb7p trong c\u00e1c chu k\u1ef3 h\u1ed7 tr\u1ee3 sinh s\u1ea3n s\u1eed d\u1ee5ng thu\u1ed1c k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng. \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u t\u1ef1 kh\u1ecfi, kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng. Tuy nhi\u00ean m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p c\u00f3 th\u1ec3 di\u1ec5n ti\u1ebfn n\u1eb7ng, c\u00f3 th\u1ec3 t\u1eed vong n\u1ebfu kh\u00f4ng \u0111i\u1ec1u tr\u1ecb, can thi\u1ec7p \u0111\u00fang m\u1ee9c. Nguy\u00ean nh\u00e2n v\u00e0 m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a h\u1ed9i ch\u1ee9ng QKBT nh\u1ea5n m\u1ea1nh s\u1ef1 c\u1ea7n thi\u1ebft ph\u1ea3i c\u00e2n nh\u1eafc \u0111\u1ebfn kh\u00eda c\u1ea1nh \u0111\u1ea1o \u0111\u1ee9c trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh ng\u00e0y nay. Nguy\u00ean t\u1eafc h\u00e0ng \u0111\u1ea7u: \u201ctr\u01b0\u1edbc h\u1ebft l\u00e0 \u0111\u1ea3m b\u1ea3o an to\u00e0n – first do no harm\u201d. V\u00ec v\u1eady hi\u1ec3u r\u00f5 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 gi\u00fap d\u1ef1 ph\u00f2ng v\u00e0 gi\u1ea3m t\u1ef7 l\u1ec7 QKBT, \u01b0u ti\u00ean t\u00ecm c\u00e1ch gi\u1ea3m thi\u1ec3u nguy c\u01a1 x\u1ea3y ra bi\u1ebfn c\u1ed1 tr\u00ean b\u1ec7nh nh\u00e2n b\u1ecb QKBT [3].<\/p>\n\n\n\n

6. Theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb<\/strong><\/p>\n\n\n\n

Khi nghi ng\u1edd b\u1ecb h\u1ed9i ch\u1ee9ng QKBT, c\u1ea7n ch\u1ea9n \u0111o\u00e1n v\u00e0 l\u00e0m x\u00e9t nghi\u1ec7m \u0111\u1ec3 ph\u00e2n bi\u1ec7t v\u1edbi c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y tr\u01b0\u1edbng b\u1ee5ng v\u00e0 \u0111au b\u1ee5ng, x\u00e1c \u0111\u1ecbnh m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng \u0111\u1ec3 c\u00f3 bi\u1ec7n ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p [3].<\/p>\n\n\n\n

V\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p nh\u1eb9, c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb ngo\u1ea1i tr\u00fa: t\u01b0 v\u1ea5n u\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc, h\u1ea1n ch\u1ebf v\u1eadn \u0111\u1ed9ng, theo d\u00f5i l\u01b0\u1ee3ng n\u01b0\u1edbc u\u1ed1ng v\u00e0o v\u00e0 n\u01b0\u1edbc ti\u1ec3u ra h\u00e0ng ng\u00e0y, theo d\u00f5i c\u00e2n n\u1eb7ng v\u00e0 v\u00f2ng b\u1ee5ng h\u00e0ng ng\u00e0y. C\u00f3 th\u1ec3 s\u1eed d\u1ee5ng c\u00e1c thu\u1ed1c gi\u1ea3m tri\u1ec7u ch\u1ee9ng, t\u01b0 v\u1ea5n v\u00e0 theo d\u00f5i b\u1ec7nh nh\u00e2n. N\u00ean s\u1eed d\u1ee5ng thu\u1ed1c gi\u1ea3m \u0111au l\u00e0 paracetamol v\u00e0 codein, tr\u00e1nh d\u00f9ng c\u00e1c NSAIDs v\u00ec c\u00f3 nguy c\u01a1 \u1ea3nh h\u01b0\u1edfng ch\u1ee9c n\u0103ng th\u1eadn. C\u00e1c thu\u1ed1c ch\u1ed1ng n\u00f4n c\u0169ng c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 gi\u00fap b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u00f9 n\u01b0\u1edbc b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng [3].<\/p>\n\n\n\n

\u0110\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n b\u1ecb QKBT n\u1eb7ng, c\u00f3 tri\u1ec7u ch\u1ee9ng \u0111au d\u1eef d\u1ed9i, c\u00e2n n\u1eb7ng v\u00e0 v\u00f2ng b\u1ee5ng t\u0103ng nhanh c\u1ea7n ph\u1ea3i \u0111i kh\u00e1m, x\u00e9t nghi\u1ec7m \u0111\u1ec3 quy\u1ebft \u0111\u1ecbnh c\u00f3 c\u1ea7n nh\u1eadp vi\u1ec7n \u0111\u1ec3 theo d\u00f5i, \u0111i\u1ec1u tr\u1ecb hay kh\u00f4ng. Bi\u1ec7n ph\u00e1p ch\u00ednh l\u00e0 theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n t\u1ef1 ph\u1ee5c h\u1ed3i (b\u1ea3ng 2) [3].<\/p>\n\n\n\n

B\u1ea3ng 2: C\u00e1c bi\u1ec7n ph\u00e1p theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 h\u1ed9i ch\u1ee9ng QKBT<\/em><\/p>\n\n\n\n

Bi\u1ec7n ph\u00e1p<\/strong><\/strong><\/td>N\u1ed9i dung<\/strong><\/strong><\/td><\/tr>
Theo d\u00f5i<\/td>H\u00e0ng ng\u00e0y: c\u00e2n n\u1eb7ng, v\u00f2ng b\u1ee5ng, l\u01b0\u1ee3ng d\u1ecbch v\u00e0o\/ra, c\u00f4ng th\u1ee9c m\u00e1u, hematocrit, \u0111i\u1ec7n gi\u1ea3i, x\u00e9t nghi\u1ec7m ch\u1ee9c n\u0103ng gan, th\u1eadn. Trong tr\u01b0\u1eddng h\u1ee3p c\u1ea7n thi\u1ebft: si\u00eau \u00e2m v\u00f9ng ch\u1eadu, b\u1ee5ng, ng\u1ef1c, \u0111i\u1ec7n t\u00e2m \u0111\u1ed3, kh\u00ed m\u00e1u, ch\u1ee5p X-quang l\u1ed3ng ng\u1ef1c.<\/td><\/tr>
Thu\u1ed1c gi\u1ea3m \u0111au<\/td>Tr\u00e1nh s\u1eed d\u1ee5ng NSAIDs, l\u01b0u \u00fd \u0111\u1ebfn c\u00e1c nguy\u00ean nh\u00e2n kh\u00e1c g\u00e2y \u0111au nh\u01b0 xo\u1eafn bu\u1ed3ng tr\u1ee9ng hay ch\u1eeda ngo\u00e0i d\u1ea1 con.<\/td><\/tr>
C\u00e2n b\u1eb1ng th\u1ec3 d\u1ecbch<\/td>Khuy\u1ebfn kh\u00edch b\u00f9 d\u1ecbch b\u1eb1ng \u0111\u01b0\u1eddng u\u1ed1ng theo nhu c\u1ea7u. B\u00f9 d\u1ecbch b\u1eb1ng Dextrose 5%. N\u1ebfu kh\u00f4ng \u0111\u00e1p \u1ee9ng, s\u1eed d\u1ee5ng c\u00e1c dung d\u1ecbch cao ph\u00e2n t\u1eed \u0111\u1ec3 b\u00f9 kh\u1ed1i l\u01b0\u1ee3ng tu\u1ea7n ho\u00e0n; s\u1eed d\u1ee5ng dung d\u1ecbch keo \u0111\u1ec3 t\u0103ng th\u1ec3 t\u00edch tu\u1ea7n ho\u00e0n, truy\u1ec1n th\u1eadt ch\u1eadm \u0111\u1ec1 ph\u00f2ng nguy c\u01a1 ph\u00f9 ph\u1ed5i c\u1ea5p. C\u00e2n nh\u1eafc s\u1eed d\u1ee5ng thu\u1ed1c l\u1ee3i ti\u1ec3u.<\/td><\/tr>
D\u1ef1 ph\u00f2ng huy\u1ebft kh\u1ed1i t\u1eafc m\u1ea1ch<\/td>Heparin kh\u1ed1i l\u01b0\u1ee3ng ph\u00e2n t\u1eed th\u1ea5p. Th\u1eadn tr\u1ecdng v\u1edbi tri\u1ec7u ch\u1ee9ng huy\u1ebft kh\u1ed1i \u0111\u1ed9ng m\u1ea1ch kh\u00f4ng \u0111i\u1ec3n h\u00ecnh.<\/td><\/tr>
R\u00fat d\u1ecbch<\/td>Ch\u1ecdc h\u00fat d\u1ecbch c\u1ed5 tr\u01b0\u1edbng qua \u0111\u01b0\u1eddng b\u1ee5ng ho\u1eb7c \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o. D\u1eabn l\u01b0u khi c\u00f3 tr\u00e0n d\u1ecbch m\u00e0ng ph\u1ed5i.<\/td><\/tr>
Ph\u1eabu thu\u1eadt<\/td>Tr\u00e1nh tuy\u1ec7t \u0111\u1ed1i c\u00e1c can thi\u1ec7p ph\u1eabu thu\u1eadt  kh\u00f4ng c\u1ea7n thi\u1ebft.  Ch\u1ec9 \u0111\u1ecbnh ph\u1eabu thu\u1eadt khi c\u00f3 xo\u1eafn ho\u1eb7c v\u1ee1 bu\u1ed3ng tr\u1ee9ng.<\/td><\/tr>
\u0110i\u1ec1u tr\u1ecb t\u00edch c\u1ef1c<\/td>QKBT nghi\u00eam tr\u1ecdng (m\u1ee9c 4). Khi c\u00f3 suy h\u00f4 h\u1ea5p c\u1ea7n tr\u1ee3 gi\u00fap v\u1edbi oxy cao \u00e1p, theo d\u00f5i s\u00e1t c\u00e1c ch\u1ec9 s\u1ed1 kh\u00ed \u0111\u1ed9ng m\u1ea1ch. N\u1ebfu suy th\u1eadn c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng dopamin.<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

T\u00e0i li\u1ec7u tham kh\u1ea3o<\/strong><\/p>\n\n\n\n

    \n
  1. Thomson Reuters (Healthcare) Inc. Micromedex 2.0: DISEASEDEX\u00ae System, Monograph \u201cOvarian hyperstimulation syndrome\u201d, accessed on 10st\u00a0April 2013.<\/em><\/li>\n\n\n\n
  2. B\u1ed9 Y t\u1ebf (2009). D\u01b0\u1ee3c th\u01b0 Qu\u1ed1c gia Vi\u1ec7t Nam. Chuy\u00ean lu\u1eadn \u201cC\u00e1c gonadotropin\u201d. Nh\u00e0 xu\u1ea5t b\u1ea3n Y h\u1ecdc.<\/em><\/li>\n\n\n\n
  3. Prakash A, Mathur R. Ovarian hyperstimulation syndrome. The Obstetrician & Gynaecologist 2013;15:31\u20135.<\/em><\/li>\n<\/ol>\n\n\n\n

    Pratap Kumar, Sameer Farouk Sait, Alok Sharma, Mukesh Kumar. Ovarian hyperstimulation syndrome. J Hum Reprod Sci. 2011 May-Aug; 4(2): 70\u201375.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

    1. T\u1ed5ng quan Ch\u1ee9ng qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng \u2013 QKBT (Ovarian hyperstimulation syndrome) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong khi s\u1eed d\u1ee5ng thu\u1ed1c k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh (bao g\u1ed3m c\u1ea3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung v\u00e0 […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_regular_price":[],"currency_symbol":[],"inline_featured_image":false,"_uag_custom_page_level_css":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[8],"tags":[],"class_list":["post-8134","post","type-post","status-publish","format-standard","hentry","category-thong-tin-thuoc-duoc-lam-sang"],"aioseo_notices":[],"post_slider_layout_featured_media_urls":{"thumbnail":"","post_slider_layout_landscape_large":"","post_slider_layout_portrait_large":"","post_slider_layout_square_large":"","post_slider_layout_landscape":"","post_slider_layout_portrait":"","post_slider_layout_square":"","full":""},"uagb_featured_image_src":{"full":false,"thumbnail":false,"medium":false,"medium_large":false,"large":false,"PVGM_gallery_admin_thumb":false,"PVGM_gallery_admin_circle":false,"PVGM_gallery_admin_medium":false,"1536x1536":false,"2048x2048":false,"post_slider_layout_landscape_large":false,"post_slider_layout_portrait_large":false,"post_slider_layout_square_large":false,"post_slider_layout_landscape":false,"post_slider_layout_portrait":false,"post_slider_layout_square":false,"ultp_layout_landscape_large":false,"ultp_layout_landscape":false,"ultp_layout_portrait":false,"ultp_layout_square":false,"elixar_section_extra_thumb":false,"elixar_gallery_thumb":false,"elixar_blog_home_thumb":false,"elixar_blog_full_thumb":false,"elixar_blog_sidebar_thumb":false,"woocommerce_thumbnail":false,"woocommerce_single":false,"woocommerce_gallery_thumbnail":false},"uagb_author_info":{"display_name":"B\u00edch H\u1ea1nh","author_link":"https:\/\/bvndgiadinh.org.vn\/?author=2"},"uagb_comment_info":0,"uagb_excerpt":"1. T\u1ed5ng quan Ch\u1ee9ng qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng \u2013 QKBT (Ovarian hyperstimulation syndrome) l\u00e0 m\u1ed9t bi\u1ebfn ch\u1ee9ng nguy hi\u1ec3m v\u00e0 c\u00f3 kh\u1ea3 n\u0103ng g\u00e2y t\u1eed vong khi s\u1eed d\u1ee5ng thu\u1ed1c k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh (bao g\u1ed3m c\u1ea3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng trong b\u01a1m tinh tr\u00f9ng v\u00e0o bu\u1ed3ng t\u1eed cung v\u00e0…","_links":{"self":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8134","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=8134"}],"version-history":[{"count":1,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8134\/revisions"}],"predecessor-version":[{"id":8135,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=\/wp\/v2\/posts\/8134\/revisions\/8135"}],"wp:attachment":[{"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8134"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8134"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bvndgiadinh.org.vn\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8134"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}