{"id":28234,"date":"2024-09-08T16:17:21","date_gmt":"2024-09-08T09:17:21","guid":{"rendered":"https:\/\/cdcangiang.vn\/?p=28234"},"modified":"2024-09-08T16:19:13","modified_gmt":"2024-09-08T09:19:13","slug":"bai-008-09-24","status":"publish","type":"post","link":"https:\/\/cdcangiang.vn\/index.php\/2024\/09\/08\/bai-008-09-24\/","title":{"rendered":"C\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai th\u1ebf gi\u1edbi"},"content":{"rendered":"

Th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh l\u00e0 m\u1ed9t trong nh\u1eefng gi\u1ea3i ph\u00e1p quan tr\u1ecdng trong m\u1ee5c ti\u00eau x\u00e2y d\u1ef1ng \u201c\u0110\u1ea5t n\u01b0\u1edbc ph\u1ed3n vinh, gia \u0111\u00ecnh h\u1ea1nh ph\u00fac\u201d. \u0110\u1ec3 th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh, m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 quan tr\u1ecdng \u0111\u00f3 l\u00e0 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai. D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai hi\u1ec7n \u0111\u1ea1i hi\u1ec7n \u0111ang \u0111\u01b0\u1ee3c tri\u1ec3n khai th\u1ef1c hi\u1ec7n. C\u00e1c c\u1eb7p v\u1ee3 ch\u1ed3ng trong \u0111\u1ed9 tu\u1ed5i sinh \u0111\u1ebb \u201cH\u00e3y l\u1ef1a ch\u1ecdn cho m\u00ecnh m\u1ed9t bi\u1ec7n ph\u00e1p tr\u00e1nh thai ph\u00f9 h\u1ee3p \u0111\u1ec3 tr\u00e1nh mang thai ngo\u00e0i \u00fd mu\u1ed1n\u201d.<\/span><\/p>\n

\"\"<\/p>\n

1. D\u1ee4NG C\u1ee4 TR\u00c1NH THAI TRONG T\u1eec CUNG<\/strong><\/span><\/p>\n

D\u1ee5ng c\u1ee5 tr\u00e1nh thai trong t\u1eed cung (DCTC) l\u00e0 m\u1ed9t BPTT t\u1ea1m th\u1eddi v\u00e0 hi\u1ec7u qu\u1ea3. DCTC hi\u1ec7n c\u00f3 2 lo\u1ea1i: (i) lo\u1ea1i ch\u1ee9a \u0111\u1ed3ng (V\u00ed d\u1ee5: TCu-380A, Multiload Cu-375 v\u00e0 GyneFix\u00ae<\/sup>…) \u0111\u01b0\u1ee3c l\u00e0m t\u1eeb m\u1ed9t th\u00e2n plastic v\u1edbi c\u00e1c v\u00f2ng \u0111\u1ed3ng ho\u1eb7c d\u00e2y \u0111\u1ed3ng, v\u00e0 (ii) lo\u1ea1i gi\u1ea3i ph\u00f3ng levonorgestrel c\u00f3 m\u1ed9t th\u00e2n ch\u1eef T b\u1eb1ng polyethylen ch\u1ee9a 52 mg levonorgestrel, gi\u1ea3i ph\u00f3ng 20 \u03bcg ho\u1ea1t ch\u1ea5t\/ng\u00e0y. DCTC TCu-380A c\u00f3 t\u00e1c d\u1ee5ng trong 10 n\u0103m v\u00e0 DCTC gi\u1ea3i ph\u00f3ng levonorgestrel c\u00f3 t\u00e1c d\u1ee5ng t\u1ed1i \u0111a 5 n\u0103m.<\/span><\/p>\n

2. BAO CAO SU<\/strong><\/span><\/p>\n

Bao cao su l\u00e0 m\u1ed9t BPTT t\u1ea1m th\u1eddi, hi\u1ec7u qu\u1ea3, an to\u00e0n v\u00e0 r\u1ebb ti\u1ec1n. Bao cao su l\u00e0 BPTT c\u00f3 t\u00e1c d\u1ee5ng b\u1ea3o v\u1ec7 k\u00e9p: v\u1eeba c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai v\u1eeba gi\u00fap ph\u00f2ng NKLTQ\u0110TD v\u00e0 HIV\/AIDS.<\/span><\/p>\n

3. VI\u00caN THU\u1ed0C TR\u00c1NH THAI K\u1ebeT H\u1ee2P<\/strong><\/span><\/p>\n

Vi\u00ean thu\u1ed1c tr\u00e1nh thai k\u1ebft h\u1ee3p l\u00e0 BPTT t\u1ea1m th\u1eddi, ch\u1ee9a 2 lo\u1ea1i n\u1ed9i ti\u1ebft l\u00e0 estrogen v\u00e0 progestin. S\u1eed d\u1ee5ng vi\u00ean thu\u1ed1c tr\u00e1nh thai k\u1ebft h\u1ee3p \u0111\u00f2i h\u1ecfi kh\u00e1ch h\u00e0ng ph\u1ea3i u\u1ed1ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n.<\/span><\/p>\n

\"\"<\/p>\n

4. VI\u00caN THU\u1ed0C TR\u00c1NH THAI CH\u1ec8 C\u00d3 PROGESTIN<\/span><\/strong><\/p>\n

Vi\u00ean thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 progestin l\u00e0 BPTT t\u1ea1m th\u1eddi, ch\u1ee9a m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf progestin, kh\u00f4ng c\u00f3 estrogen. S\u1eed d\u1ee5ng vi\u00ean thu\u1ed1c tr\u00e1nh thai ch\u1ec9 c\u00f3 progestin \u0111\u00f2i h\u1ecfi kh\u00e1ch h\u00e0ng ph\u1ea3i u\u1ed1ng thu\u1ed1c \u0111\u1ec1u \u0111\u1eb7n v\u00e0 \u0111\u00fang gi\u1edd<\/strong>.<\/span><\/p>\n

\"\"<\/p>\n

5. THU\u1ed0C TI\u00caM TR\u00c1NH THAI<\/strong><\/span><\/p>\n

Thu\u1ed1c ti\u00eam tr\u00e1nh thai l\u00e0 BPTT t\u1ea1m th\u1eddi, ch\u1ee9a n\u1ed9i ti\u1ebft progestin. Thu\u1ed1c ti\u00eam tr\u00e1nh thai hi\u1ec7n c\u00f3 hai lo\u1ea1i: (i) DMPA (depot medroxygenprogesteron acetat) 150 mg, c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai 3 th\u00e1ng, v\u00e0 (ii) NET-EN (norethisteron enantat) 200 mg, c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai 2 th\u00e1ng.<\/span><\/p>\n

6. THU\u1ed0C C\u1ea4Y TR\u00c1NH THAI<\/strong><\/span><\/p>\n

Thu\u1ed1c c\u1ea5y tr\u00e1nh thai l\u00e0 BPTT t\u1ea1m th\u1eddi c\u00f3 ch\u1ee9a progestin. Hi\u1ec7n nay thu\u1ed1c c\u1ea5y tr\u00e1nh thai c\u00f3 hai lo\u1ea1i: (i) Lo\u1ea1i m\u1ed9t nang (que) m\u1ec1m, h\u00ecnh tr\u1ee5, v\u1ecf b\u1eb1ng ch\u1ea5t d\u1ebbo sinh h\u1ecdc,(V\u00ed d\u1ee5: Implanon ch\u1ee9a 68 mg etonogestrel, c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai trong 3 n\u0103m), v\u00e0 (ii) Lo\u1ea1i 2 nang, (V\u00ed d\u1ee5: Femplant, m\u1ed7i que ch\u1ee9a 75mg ho\u1ea1t ch\u1ea5t Levonorgestrel, t\u1ed5ng h\u00e0m l\u01b0\u1ee3ng ho\u1ea1t ch\u1ea5t Levonogestrel c\u1ee7a 2 que l\u00e0 150mg), c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai trong 4 n\u0103m.<\/span><\/p>\n

7. MI\u1ebeNG D\u00c1N TR\u00c1NH THAI<\/strong><\/span><\/p>\n

Mi\u1ebfng d\u00e1n tr\u00e1nh thai (MDTT) l\u00e0 BPTT t\u1ea1m th\u1eddi, ch\u1ee9a 2 lo\u1ea1i n\u1ed9i ti\u1ebft l\u00e0 estrogen v\u00e0 progestin. Kh\u00e1ch h\u00e0ng s\u1eed d\u1ee5ng mi\u1ebfng d\u00e1n tr\u00e1nh thai c\u1ea7n d\u00e1n ba mi\u1ebfng d\u00e1n m\u1ed7i th\u00e1ng, m\u1ed7i tu\u1ea7n thay mi\u1ebfng d\u00e1n m\u1ed9t l\u1ea7n v\u00e0 ng\u1eebng s\u1eed d\u1ee5ng trong v\u00f2ng m\u1ed9t tu\u1ea7n.<\/span><\/p>\n

Hi\u1ec7u qu\u1ea3 c\u1ee7a MDTT ph\u1ee5 thu\u1ed9c v\u00e0o ng\u01b0\u1eddi s\u1eed d\u1ee5ng. Nguy c\u01a1 c\u00f3 thai ngo\u00e0i \u00fd mu\u1ed1n t\u0103ng l\u00ean n\u1ebfu ng\u01b0\u1eddi s\u1eed d\u1ee5ng thay MDTT mu\u1ed9n. MDTT l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p tr\u00e1nh thai m\u1edbi v\u00ec v\u1eady nh\u1eefng nghi\u00ean c\u1ee9u v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f2n r\u1ea5t h\u1ea1n ch\u1ebf. Theo m\u1ed9t nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng, MDTT c\u00f3 hi\u1ec7u qu\u1ea3 t\u1eeb 92,9% \u0111\u1ebfn 93,7%.<\/span><\/p>\n

8. BI\u1ec6N PH\u00c1P TR\u00c1NH THAI KH\u1ea8N C\u1ea4P<\/strong><\/span><\/p>\n

Bi\u1ec7n ph\u00e1p tr\u00e1nh thai kh\u1ea9n c\u1ea5p \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng sau khi giao h\u1ee3p kh\u00f4ng \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7, s\u1eed d\u1ee5ng c\u00e0ng s\u1edbm hi\u1ec7u qu\u1ea3 c\u00e0ng cao<\/span><\/p>\n

9. TRI\u1ec6T S\u1ea2N NAM B\u1eb0NG PH\u01af\u01a0NG PH\u00c1P TH\u1eaeT V\u00c0 C\u1eaeT \u1ed0NG D\u1eaaN TINH<\/strong><\/span><\/p>\n

Tri\u1ec7t s\u1ea3n nam b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p th\u1eaft v\u00e0 c\u1eaft \u1ed1ng d\u1eabn tinh l\u00e0 BPTT v\u0129nh vi\u1ec5n d\u00e0nh cho nam gi\u1edbi b\u1eb1ng c\u00e1ch l\u00e0m gi\u00e1n \u0111o\u1ea1n \u1ed1ng d\u1eabn tinh d\u1eabn \u0111\u1ebfn kh\u00f4ng c\u00f3 tinh tr\u00f9ng trong m\u1ed7i l\u1ea7n xu\u1ea5t tinh. \u0110\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p th\u1ef1c hi\u1ec7n m\u1ed9t l\u1ea7n c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai su\u1ed1t \u0111\u1eddi v\u00ec th\u1ebf kh\u00e1ch h\u00e0ng c\u1ea7n \u0111\u01b0\u1ee3c t\u01b0 v\u1ea5n k\u1ef9 tr\u01b0\u1edbc khi quy\u1ebft \u0111\u1ecbnh th\u1ef1c hi\u1ec7n. \u0110\u00e2y l\u00e0 m\u1ed9t th\u1ee7 thu\u1eadt ngo\u1ea1i khoa \u0111\u01a1n gi\u1ea3n v\u00e0 an to\u00e0n. Hi\u1ec7u qu\u1ea3 tr\u00e1nh thai r\u1ea5t cao (tr\u00ean 99,5%) v\u00e0 tri\u1ec7t s\u1ea3n nam kh\u00f4ng c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe v\u00e0 sinh ho\u1ea1t t\u00ecnh d\u1ee5c.<\/span><\/p>\n

10. TRI\u1ec6T S\u1ea2N N\u1eee B\u1eb0NG PH\u01af\u01a0NG PH\u00c1P TH\u1eaeT V\u00c0 C\u1eaeT V\u00d2I T\u1eec CUNG<\/strong><\/span><\/p>\n

Tri\u1ec7t s\u1ea3n n\u1eef b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p th\u1eaft v\u00e0 c\u1eaft v\u00f2i t\u1eed cung l\u00e0 m\u1ed9t ph\u1eabu thu\u1eadt l\u00e0m gi\u00e1n \u0111o\u1ea1n v\u00f2i t\u1eed cung, kh\u00f4ng cho tinh tr\u00f9ng g\u1eb7p no\u00e3n \u0111\u1ec3 th\u1ef1c hi\u1ec7n th\u1ee5 tinh. Tri\u1ec7t s\u1ea3n n\u1eef l\u00e0 bi\u1ec7n ph\u00e1p tr\u00e1nh thai v\u0129nh vi\u1ec5n, hi\u1ec7u qu\u1ea3 tr\u00e1nh thai r\u1ea5t cao (tr\u00ean 99%) v\u00e0 kh\u00f4ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn s\u1ee9c kh\u1ecfe, quan h\u1ec7 t\u00ecnh d\u1ee5c.<\/span><\/p>\n

11. C\u00c1C BI\u1ec6N PH\u00c1P TR\u00c1NH THAI TRUY\u1ec0N TH\u1ed0NG (T\u1ef0 NHI\u00caN)<\/strong><\/span><\/p>\n

BPTT truy\u1ec1n th\u1ed1ng (t\u1ef1 nhi\u00ean) l\u00e0 nh\u1eefng BPTT kh\u00f4ng c\u1ea7n d\u00f9ng d\u1ee5ng c\u1ee5, thu\u1ed1c hay th\u1ee7 thu\u1eadt n\u00e0o \u0111\u1ec3 ng\u0103n c\u1ea3n th\u1ee5 tinh. \u0110\u00e2y l\u00e0 nh\u1eefng BPTT t\u1ea1m th\u1eddi v\u00e0 \u00edt hi\u1ec7u qu\u1ea3 bao g\u1ed3m: (i) bi\u1ec7n ph\u00e1p t\u00ednh theo v\u00f2ng kinh, (ii) bi\u1ec7n ph\u00e1p xu\u1ea5t tinh ngo\u00e0i \u00e2m \u0111\u1ea1o. C\u00e1c BPTT truy\u1ec1n th\u1ed1ng kh\u00f4ng n\u00ean khuy\u1ebfn c\u00e1o cho kh\u00e1ch h\u00e0ng s\u1ebd c\u00f3 nguy c\u01a1 cao khi mang thai.<\/span><\/p>\n

12. BI\u1ec6N PH\u00c1P TR\u00c1NH THAI CHO B\u00da V\u00d4 KINH<\/strong><\/span><\/p>\n

Bi\u1ec7n ph\u00e1p cho b\u00fa v\u00f4 kinh l\u00e0 m\u1ed9t BPTT t\u1ea1m th\u1eddi d\u1ef1a v\u00e0o vi\u1ec7c cho b\u00fa m\u1eb9 ho\u00e0n to\u00e0n sau sinh khi ch\u01b0a c\u00f3 kinh tr\u1edf l\u1ea1i v\u00e0 con d\u01b0\u1edbi 6 th\u00e1ng tu\u1ed5i. Bi\u1ec7n ph\u00e1p cho b\u00fa v\u00f4 kinh l\u00e0 BPTT hi\u1ec7u qu\u1ea3 kh\u00f4ng cao, kh\u00f4ng n\u00ean khuy\u1ebfn c\u00e1o cho nh\u1eefng kh\u00e1ch h\u00e0ng s\u1ebd c\u00f3 nguy c\u01a1 cao khi mang thai. Bi\u1ec7n ph\u00e1p cho b\u00fa v\u00f4 kinh kh\u00f4ng n\u00ean s\u1eed d\u1ee5ng cho nh\u1eefng kh\u00e1ch h\u00e0ng nhi\u1ec5m HIV ho\u1eb7c c\u00f3 b\u1ea1n t\u00ecnh nhi\u1ec5m HIV v\u00e0 kh\u00f4ng gi\u00fap ng\u0103n ng\u1eeba NKLTQ\u0110TD, HIV\/AIDS.<\/span><\/p>\n

13. THU\u1ed0C TI\u00caM TR\u00c1NH THAI<\/strong><\/span><\/p>\n

Thu\u1ed1c ti\u00eam tr\u00e1nh thai l\u00e0 BPTT t\u1ea1m th\u1eddi, ch\u1ee9a n\u1ed9i ti\u1ebft progestin. Thu\u1ed1c ti\u00eam tr\u00e1nh thai hi\u1ec7n c\u00f3 hai lo\u1ea1i: (i) DMPA (depot medroxygenprogesteron acetat) 150 mg, c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai 3 th\u00e1ng, v\u00e0 (ii) NET-EN (norethisteron enantat) 200 mg, c\u00f3 t\u00e1c d\u1ee5ng tr\u00e1nh thai 2 th\u00e1ng.<\/span><\/p>\n

* L\u01b0u\u00a0 \u00fd<\/strong> :\u00a0 Kh\u00e1ch h\u00e0ng nhi\u1ec5m HIV hay c\u00f3 b\u1ea1n t\u00ecnh nhi\u1ec5m HIV c\u00f3 th\u1ec3 s\u1eed d\u1ee5ng \u00a0BPTT tr\u00ean nh\u01b0ng kh\u00f4ng gi\u00fap ng\u0103n ng\u1eeba NKLTQ\u0110TD v\u00e0 HIV\/AIDS.<\/span><\/p>\n

Tu\u1ef3 \u0111\u1ed1i t\u01b0\u1ee3ng l\u1ef1a ch\u1ecdn bi\u1ec7n ph\u00e1p tr\u00e1nh thai m\u00e0 t\u01b0 v\u1ea5n vi\u00ean gi\u1ea3i th\u00edch t\u1eebng \u01b0u v\u00e0 khuy\u1ebft \u0111i\u1ec3m cho ph\u00f9 h\u1ee3p .\/.\u00a0 \u00a0 \u00a0 \u00a0 \u00a0<\/span><\/p>\n

Cn. Nguy\u1ec5n Th\u1ecb H\u1ed3ng Li\u00ean – Trung t\u00e2m Y t\u1ebf TP Ch\u00e2u \u0110\u1ed1c<\/em><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh l\u00e0 m\u1ed9t trong nh\u1eefng gi\u1ea3i ph\u00e1p quan tr\u1ecdng trong m\u1ee5c ti\u00eau x\u00e2y d\u1ef1ng \u201c\u0110\u1ea5t n\u01b0\u1edbc ph\u1ed3n vinh, gia \u0111\u00ecnh h\u1ea1nh ph\u00fac\u201d. \u0110\u1ec3 th\u1ef1c hi\u1ec7n k\u1ebf ho\u1ea1ch h\u00f3a gia \u0111\u00ecnh, m\u1ed9t trong nh\u1eefng bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 quan tr\u1ecdng \u0111\u00f3 l\u00e0 \u00e1p d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p tr\u00e1nh thai. D\u01b0\u1edbi […]<\/p>\n","protected":false},"author":122,"featured_media":28237,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"limit_modified_date":"","last_modified_date":"","footnotes":""},"categories":[349,322],"tags":[],"class_list":["post-28234","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-bai-viet-dat-hang","category-cham-nhuan-but"],"_links":{"self":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/28234","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/users\/122"}],"replies":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/comments?post=28234"}],"version-history":[{"count":3,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/28234\/revisions"}],"predecessor-version":[{"id":28240,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/posts\/28234\/revisions\/28240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media\/28237"}],"wp:attachment":[{"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/media?parent=28234"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/categories?post=28234"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdcangiang.vn\/index.php\/wp-json\/wp\/v2\/tags?post=28234"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}