{"id":7885,"date":"2022-03-09T08:21:45","date_gmt":"2022-03-09T08:21:45","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=7885"},"modified":"2022-03-09T08:21:45","modified_gmt":"2022-03-09T08:21:45","slug":"mac-covid-19-anh-huong-nhu-the-nao-den-suc-khoe-sinh-san-nam-gioi","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/mac-covid-19-anh-huong-nhu-the-nao-den-suc-khoe-sinh-san-nam-gioi\/","title":{"rendered":"M\u1eafc COVID-19 \u1ea3nh h\u01b0\u1edfng nh\u01b0 th\u1ebf n\u00e0o \u0111\u1ebfn s\u1ee9c kh\u1ecfe sinh s\u1ea3n nam gi\u1edbi"},"content":{"rendered":"

\u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Vi\u1ec7c s\u1ed1t cao >37,8 \u0111\u1ed9 C c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng nhi\u1ec7t \u0111\u1ed9 t\u1ea1i tinh ho\u00e0n v\u00e0 th\u00fac \u0111\u1ea7y qu\u00e1 tr\u00ecnh Apoptosis (ch\u1ebft theo ch\u01b0\u01a1ng tr\u00ecnh). Theo nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 2\/2022 tr\u00ean t\u1ea1p ch\u00ed Journal of Endocrinological Investigation, \u1edf nh\u1eefng nam gi\u1edbi b\u1ecb nhi\u1ec5m Sar-CoV-2 sau kh\u1ecfi b\u1ec7nh t\u1eeb 45-60 ng\u00e0y, nh\u1eadn th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng v\u00e0 kh\u1ea3 n\u0103ng di \u0111\u1ed9ng c\u1ee7a tinh tr\u00f9ng b\u1ecb gi\u1ea3m trong khi t\u1ec9 l\u1ec7 tinh tr\u00f9ng d\u1ecb d\u1ea1ng t\u0103ng, k\u1ec3 c\u1ea3 khi h\u1ecd ch\u1ec9 s\u1ed1t nh\u1eb9, kh\u1ecfe m\u1ea1nh v\u00e0 tr\u1ebb tu\u1ed5i[1].<\/strong><\/p>\n

\u00a0 \u00a0 \"\"<\/strong><\/p>\n

Trong t\u00ecnh h\u00ecnh d\u1ecbch Covid-19 \u0111ang b\u1eaft \u0111\u1ea7u b\u01b0\u1edbc sang giai \u0111o\u1ea1n m\u1edbi, c\u00f3 th\u1ec3 ai r\u1ed3i c\u0169ng s\u1ebd m\u1eafc Covid\u201419 m\u1ed9t l\u1ea7n trong \u0111\u1eddi. Tuy r\u1eb1ng vi\u1ec7c ti\u00eam vaccine \u0111\u00e3 gi\u00fap gi\u1ea3m b\u1edbt ph\u1ea7n n\u00e0o nh\u1eefng tri\u1ec7u ch\u1ee9ng khi nhi\u1ec5m b\u1ec7nh nh\u01b0ng nh\u1eefng h\u1ec7 qu\u1ea3 ti\u1ec1m \u1ea9n c\u1ee7a virus Sar-CoV-2 th\u00ec v\u1eabn c\u00f2n \u0111ang \u0111\u01b0\u1ee3c th\u1ed1ng k\u00ea, trong \u0111\u00f3 c\u00f3 v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n.<\/p>\n

M\u1ed9t trong nh\u1eefng tri\u1ec7u ch\u1ee9ng \u0111i\u1ec3n h\u00ecnh c\u1ee7a Covid-19 \u0111\u00f3 l\u00e0 s\u1ed1t. Trong c\u01a1 th\u1ec3, tinh ho\u00e0n l\u00e0 m\u1ed9t trong nh\u1eefng b\u1ed9 ph\u1eadn nh\u1ea1y c\u1ea3m v\u1edbi nhi\u1ec7t \u0111\u1ed9 v\u00e0 th\u01b0\u1eddng th\u1ea5p h\u01a1n so v\u1edbi nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3. Nhi\u1ec7t \u0111\u1ed9 l\u00ed t\u01b0\u1edfng cho s\u1ef1 sinh tinh l\u00e0 t\u1eeb 29-36 \u0111\u1ed9 C. Do \u0111\u00f3 vi\u1ec7c s\u1ed1t cao >37,8 \u0111\u1ed9 C c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng nhi\u1ec7t \u0111\u1ed9 t\u1ea1i tinh ho\u00e0n v\u00e0 th\u00fac \u0111\u1ea7y qu\u00e1 tr\u00ecnh apoptosis (ch\u1ebft theo ch\u01b0\u01a1ng tr\u00ecnh). Theo nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 2\/2022 tr\u00ean t\u1ea1p ch\u00ed Journal of Endocrinological Investigation, \u1edf nh\u1eefng nam gi\u1edbi b\u1ecb nhi\u1ec5m Sar-CoV-2 sau khi kh\u1ecfi b\u1ec7nh kho\u1ea3ng t\u1eeb 45-60 ng\u00e0y, nh\u1eadn th\u1ea5y s\u1ed1 l\u01b0\u1ee3ng v\u00e0 kh\u1ea3 n\u0103ng di \u0111\u1ed9ng c\u1ee7a tinh tr\u00f9ng b\u1ecb gi\u1ea3m trong khi t\u1ec9 l\u1ec7 tinh tr\u00f9ng d\u1ecb d\u1ea1ng t\u0103ng. B\u00ean c\u1ea1nh \u0111\u00f3 c\u00e1c nghi\u00ean c\u1ee9u c\u0169ng ghi nh\u1eadn s\u1ef1 m\u1ea5t c\u00e2n b\u1eb1ng c\u00e1c hormone nam c\u1ee5 th\u1ec3 l\u00e0 hormone ho\u00e0ng th\u1ec3 – LH t\u0103ng, hormone k\u00edch th\u00edch nang tr\u1ee9ng – FSH v\u00e0 testosterone gi\u1ea3m, \u0111\u1ed3ng th\u1eddi nhi\u1ec5m Covid-19 c\u0169ng d\u1eabn t\u1edbi l\u00e0m t\u0103ng kh\u1ea3 n\u0103ng b\u1ecb r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng.<\/p>\n

\"\"

Ngo\u00e0i c\u00e1c t\u1ebf b\u00e0o tuy\u1ebfn gi\u00e1p, tim, v\u00fa, th\u1eadn, ru\u1ed9t v\u00e0 c\u01a1 ch\u00e2n, bi\u1ec3u hi\u1ec7n gi\u00e0u ACE2 \u0111\u01b0\u1ee3c quan s\u00e1t th\u1ea5y trong c\u00e1c t\u1ebf b\u00e0o tinh ho\u00e0n b\u1ecb nhi\u1ec5m SARS-CoV-2<\/p><\/div>\n

T\u1ea1i sao tinh tr\u00f9ng c\u1ee7a nam gi\u1edbi suy gi\u1ea3m sau khi m\u1eafc COVID-19?<\/strong><\/span><\/h3>\n

\u0110\u1ec3 gi\u1ea3i th\u00edch cho nh\u1eefng k\u1ebft qu\u1ea3 \u0111\u01b0\u1ee3c th\u1ed1ng k\u00ea \u1edf tr\u00ean, c\u00e1c nh\u00e0 khoa h\u1ecdc cho bi\u1ebft tinh ho\u00e0n l\u00e0 m\u1ed9t c\u01a1 quan \u0111\u1eb7c bi\u1ec7t \u0111\u01b0\u1ee3c b\u1ea3o v\u1ec7 b\u1edfi h\u1ec7 th\u1ed1ng mi\u1ec5n d\u1ecbch tuy nhi\u00ean \u0111\u00f3 c\u0169ng l\u00e0 m\u1ed9t trong nh\u1eefng m\u1ee5c ti\u00eau t\u1ea5n c\u00f4ng c\u1ee7a Covid-19, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 m\u1ed9t s\u1ed1 c\u00e1c b\u1ec7nh l\u00fd tr\u01b0\u1edbc \u0111\u00e2y \u0111\u00e3 \u0111\u01b0\u1ee3c ghi nh\u1eadn c\u00f3 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn tinh ho\u00e0n nh\u01b0 quai b\u1ecb,\u2026. S\u1ef1 t\u1ea5n c\u00f4ng c\u1ee7a virus t\u1ea1o n\u00ean s\u1ef1 vi\u00eam d\u1eabn t\u1edbi vi\u1ec7c s\u1ed1t, t\u0103ng nhi\u1ec7t \u0111\u1ed9 c\u01a1 th\u1ec3 \u0111\u1ed3ng th\u1eddi t\u0103ng nhi\u1ec7t \u0111\u1ed9 tinh ho\u00e0n. Thi\u1ebfu oxy c\u0169ng l\u00e0 nguy\u00ean do g\u00e2y n\u00ean vi\u1ec7c thi\u1ebfu h\u1ee5t FSH v\u00e0 testosterone.<\/p>\n

Tuy nhi\u00ean, k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u cho th\u1ea5y ngay c\u1ea3 \u1edf nh\u1eefng ng\u01b0\u1eddi \u0111\u00e0n \u00f4ng nhi\u1ec5m COVID-19 kh\u00f4ng c\u00f3 tri\u1ec7u ch\u1ee9ng s\u1ed1t, s\u1ed1 l\u01b0\u1ee3ng v\u00e0 ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng c\u1ee7a h\u1ecd c\u0169ng b\u1ecb suy gi\u1ea3m. Kh\u00f4ng c\u00f3 b\u1eb1ng ch\u1ee9ng n\u00e0o cho th\u1ea5y nhi\u1ec5m COVID-19 n\u1eb7ng h\u01a1n s\u1ebd b\u1ecb suy gi\u1ea3m tinh tr\u00f9ng n\u1eb7ng h\u01a1n v\u00e0 ng\u01b0\u1ee3c l\u1ea1i.<\/p>\n

\"\"

C\u00e1c lo\u1ea1i vi r\u00fat \u0111\u01b0\u1ee3c t\u00ecm th\u1ea5y trong h\u1ec7 th\u1ed1ng sinh s\u1ea3n c\u1ee7a nam gi\u1edbi.<\/p><\/div>\n

COVID-19 \u0111\u01b0\u1ee3c cho l\u00e0 li\u00ean quan \u0111\u1ebfn nhi\u1ec1u c\u00e1c d\u1ea5u hi\u1ec7u b\u1ec7nh l\u00fd v\u1ec1 \u0111\u01b0\u1eddng sinh d\u1ee5c \u1edf nam gi\u1edbi. Tuy nhi\u00ean c\u00e1c d\u1eef li\u1ec7u v\u1ec1 v\u1ea5n \u0111\u1ec1 n\u00e0y c\u00f2n r\u1ea5t \u00edt, c\u1ea7n \u0111\u01b0\u1ee3c khai th\u00e1c v\u00e0 nghi\u00ean c\u1ee9u nhi\u1ec1u h\u01a1n.<\/p>\n

V\u1ea5n \u0111\u1ec1 n\u00e0y li\u1ec7u c\u00f3 \u0111\u00e1ng lo ng\u1ea1i \u0111\u1ed1i v\u1edbi nh\u1eefng \u0111\u1ed1i t\u01b0\u1ee3ng \u0111ang trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb hi\u1ebfm mu\u1ed9n?<\/span><\/strong><\/h3>\n

Qua nh\u1eefng k\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u tr\u00ean, ASRM (Hi\u1ec7p h\u1ed9i sinh s\u1ea3n Ch\u00e2u \u00c2u) v\u00e0 SART (Hi\u1ec7p h\u1ed9i K\u1ef9 thu\u1eadt H\u1ed7 tr\u1ee3 sinh s\u1ea3n) khuy\u1ebfn c\u00e1o nh\u1eefng c\u1eb7p v\u1ee3 ch\u1ed3ng \u0111ang trong qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb v\u00f4 sinh, ng\u01b0\u1eddi cho nh\u1eadn tr\u1ee9ng, cho nh\u1eadn tinh tr\u00f9ng sau khi m\u1eafc COVID-19 n\u00ean c\u00e2n nh\u1eafc \u0111i ki\u1ec3m tra l\u1ea1i c\u00e1c ch\u1ec9 s\u1ed1 quan tr\u1ecdng v\u1ec1 s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u0111\u1ec3 ch\u1ee7 \u0111\u1ed9ng cho vi\u1ec7c c\u00f3 em b\u00e9 s\u1eafp t\u1edbi.<\/p>\n

V\u1ec1 th\u1eddi \u0111i\u1ec3m n\u00ean \u0111i ki\u1ec3m tra l\u1ea1i, \u0111\u1ed1i v\u1edbi nh\u1eefng nam gi\u1edbi \u0111\u00e3 c\u00f3 k\u1ebft qu\u1ea3 ki\u1ec3m tra tr\u01b0\u1edbc \u0111\u00f3 th\u00ec n\u00ean th\u1ef1c hi\u1ec7n l\u1ea1i c\u00e1c x\u00e9t nghi\u1ec7m ki\u1ec3m tra s\u1ee9c kh\u1ecfe sinh s\u1ea3n sau 2 th\u00e1ng k\u1ec3 t\u1eeb khi nhi\u1ec5m COVID-19 v\u00ec \u0111\u00f3 l\u00e0 kho\u1ea3ng th\u1eddi gian t\u01b0\u01a1ng \u1ee9ng v\u1edbi m\u1ed9t chu k\u00ec sinh tinh m\u1edbi.<\/p>\n

Sau khi kh\u1ecfi\u00a0 COVID-19 bao l\u00e2u th\u00ec c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u th\u1ef1c hi\u1ec7n IVF?<\/strong><\/span><\/h3>\n

\"\"<\/p>\n

L\u1eddi khuy\u00ean c\u1ee7a b\u00e1c s\u0129 \u0111\u01b0a ra r\u1eb1ng, khi IVF \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh do tinh tr\u00f9ng \u00edt, y\u1ebfu, d\u1ecb d\u1ea1ng m\u1ee9c \u0111\u1ed9 n\u1eb7ng ho\u0103c v\u00f4 sinh kh\u00f4ng c\u00f3 tinh tr\u00f9ng, vi\u1ec7c gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng hay ch\u1ea5t l\u01b0\u1ee3ng tinh tr\u00f9ng do COVID-19 s\u1ebd kh\u00f4ng \u1ea3nh h\u01b0\u1edfng qu\u00e1 nhi\u1ec1u \u0111\u1ebfn qu\u00e1 tr\u00ecnh \u0111i\u1ec1u tr\u1ecb. Thay v\u00e0o \u0111\u00f3 trong th\u1eddi gian v\u1eeba qua, do \u1ea3nh h\u01b0\u1edfng c\u1ee7a \u0111\u1ea1i d\u1ecbch Covid m\u00e0 r\u1ea5t nhi\u1ec1u ho\u1ea1t \u0111\u1ed9ng c\u1ee7a ch\u00fang ta tr\u00ec ho\u00e3n nh\u01b0ng tu\u1ed5i t\u00e1c c\u1ee7a ch\u00fang ta th\u00ec l\u1ea1i kh\u00f4ng v\u00ec th\u1ebf m\u00e0 d\u1eebng l\u1ea1i. Do \u0111\u00f3, hi v\u1ecdng c\u00e1c ba m\u1eb9 c\u00f3 th\u1ec3 ch\u1ee7 \u0111\u1ed9ng s\u1eafp x\u1ebfp \u0111\u1ebfn c\u00e1c trung t\u00e2m HTSS \u0111\u1ec3 t\u1eadn d\u1ee5ng kh\u1ea3 n\u0103ng sinh s\u1ea3n c\u1ee7a m\u00ecnh c\u00e0ng s\u1edbm c\u00e0ng t\u1ed1t.<\/p>\n

Tr\u00ean \u0111\u00e2y l\u00e0 nh\u1eefng nghi\u00ean c\u1ee9u ban \u0111\u1ea7u v\u1ec1 \u1ea3nh h\u01b0\u1edfng c\u1ee7a COVID-19 \u0111\u1ebfn s\u1ee9c kh\u1ecfe sinh s\u1ea3n \u1edf nam gi\u1edbi. Tuy nhi\u00ean s\u1ef1 \u1ea3nh h\u01b0\u1edfng v\u1ec1 l\u00e2u d\u00e0i c\u0169ng nh\u01b0 s\u1ef1 t\u00e1c \u0111\u1ed9ng b\u00ean trong v\u1ec1 m\u1eb7t di truy\u1ec1n th\u00ec c\u1ea7n ph\u1ea3i c\u00f3 th\u00eam th\u1eddi gian \u0111\u1ec3 nghi\u00ean c\u1ee9u.<\/p>\n

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

    \n
  1. Nguyen, T.T., Hulme, J., Tran, H.D. et al.<\/i>\u00a0The potential impact of COVID-19 on male reproductive health.\u00a0J Endocrinol Invest<\/i>\u00a0(2022). https:\/\/doi.org\/10.1007\/s40618-022-01764-z<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0 \u00a0Vi\u1ec7c s\u1ed1t cao >37,8 \u0111\u1ed9 C c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u0103ng nhi\u1ec7t \u0111\u1ed9 t\u1ea1i tinh ho\u00e0n v\u00e0 th\u00fac \u0111\u1ea7y qu\u00e1 tr\u00ecnh Apoptosis (ch\u1ebft theo ch\u01b0\u01a1ng tr\u00ecnh). Theo nghi\u00ean c\u1ee9u v\u00e0o th\u00e1ng 2\/2022 tr\u00ean t\u1ea1p ch\u00ed Journal of Endocrinological Investigation, \u1edf nh\u1eefng nam gi\u1edbi b\u1ecb nhi\u1ec5m Sar-CoV-2 sau kh\u1ecfi b\u1ec7nh<\/p>\n","protected":false},"author":4,"featured_media":7900,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[122,58],"tags":[128,125,131],"class_list":["post-7885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-ivf","category-tin-moi","tag-hiem-muon","tag-ho-tro-sinh-san","tag-ivf"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/7885","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/comments?post=7885"}],"version-history":[{"count":8,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/7885\/revisions"}],"predecessor-version":[{"id":7905,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/7885\/revisions\/7905"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/7900"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=7885"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=7885"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=7885"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}