{"id":8377,"date":"2022-10-06T09:14:43","date_gmt":"2022-10-06T09:14:43","guid":{"rendered":"https:\/\/quoctesannhihaiphong.vn\/?p=8377"},"modified":"2022-10-06T09:20:19","modified_gmt":"2022-10-06T09:20:19","slug":"du-phong-qua-kich-buong-trung-trong-ivf","status":"publish","type":"post","link":"https:\/\/quoctesannhihaiphong.vn\/en\/du-phong-qua-kich-buong-trung-trong-ivf\/","title":{"rendered":"D\u1ef1 ph\u00f2ng Qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng trong h\u1ed7 tr\u1ee3 sinh s\u1ea3n"},"content":{"rendered":"<p>T\u1ea5t c\u1ea3 ph\u00e1c \u0111\u1ed3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng (KTBT) \u0111\u1ec1u d\u1eabn \u0111\u1ebfn m\u1ed9t t\u00ecnh tr\u1ea1ng k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng qu\u00e1 m\u1ee9c sinh l\u00fd nh\u1ea5t \u0111\u1ecbnh, h\u1ea7u h\u1ebft th\u01b0\u1eddng nh\u1eb9 v\u00e0 t\u1ef1 h\u1ed3i ph\u1ee5c v\u1ec1 b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng.\u00a0 Tr\u01b0\u1eddng h\u1ee3p t\u00ecnh tr\u1ea1ng k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng di\u1ec5n ra qu\u00e1 m\u1ee9c, hai bu\u1ed3ng tr\u1ee9ng to, \u0111au v\u00e0 s\u1ef1 tho\u00e1t d\u1ecbch n\u1ed9i m\u1ea1ch ra khoang th\u1ee9 ba c\u1ee7a c\u01a1 th\u1ec3 \u0111\u01b0\u1ee3c g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng (OHSS).\u00a0 D\u1ef1 ph\u00f2ng QKBT l\u00e0 bi\u1ec7n ph\u00e1p \u01b0u ti\u00ean trong vi\u1ec7c \u0111i\u1ec1u tr\u1ecb h\u1ed7 tr\u1ee3 sinh s\u1ea3n hi\u1ec7n nay.<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-8378 size-full lazyload\" data-src=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0.png\" alt=\"\" width=\"2400\" height=\"1020\" data-srcset=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0.png 2400w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0-300x128.png 300w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0-1024x435.png 1024w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0-768x326.png 768w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0-1536x653.png 1536w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-0-2048x870.png 2048w\" data-sizes=\"(max-width: 2400px) 100vw, 2400px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 2400px; --smush-placeholder-aspect-ratio: 2400\/1020;\" \/><\/p>\n<p>D\u01b0\u1edbi \u0111\u00e2y l\u00e0 c\u00e1c chi\u1ebfn l\u01b0\u1ee3c \u0111ang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng r\u1ed9ng r\u00e3i nh\u1eb1m h\u1ea1n ch\u1ebf \u0111\u1ebfn m\u1ee9c th\u1ea5p nh\u1ea5t t\u1ec9 l\u1ec7 qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng \u1edf th\u1ec3 n\u1eb7ng.<\/p>\n<p><strong>\u00a0 \u00a0 \u00a0 \u00a01. B\u00e1c s\u1ef9<\/strong><\/p>\n<p><strong>\u00a0<em> \u00a0 \u00a01.1. S\u00e0ng l\u1ecdc<\/em><\/strong><\/p>\n<p>Th\u0103m kh\u00e1m v\u00e0 s\u00e0ng l\u1ecdc c\u00e1c \u0111\u1ed1i t\u01b0\u1ee3ng c\u00f3 nguy c\u01a1 cao qu\u00e1 k\u00edch bu\u1ed3ng tr\u1ee9ng<\/p>\n<ul>\n<li><em>Tr\u1ebb tu\u1ed5i &lt; 30 tu\u1ed5i<\/em><\/li>\n<li><em>BMI th\u1ea5p &lt; 28kg\/m<sup>2<\/sup><\/em><\/li>\n<li><em>B\u1ec7nh nh\u00e2n c\u00f3 ti\u1ec1n s\u1eed OHSS khi th\u1ef1c hi\u1ec7n k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng IUI\/ IVF<\/em><\/li>\n<li><em>D\u1ef1 tr\u1eef bu\u1ed3ng tr\u1ee9ng t\u1ed1t: bu\u1ed3ng tr\u1ee9ng \u0111a nang, AFC \u2265 24, AMH \u2265 3.36 ng\/ml<\/em><\/li>\n<\/ul>\n<p>\u0110\u1ec3 t\u1eeb \u0111\u00f3 t\u01b0 v\u1ea5n h\u01b0\u1edbng \u0111i\u1ec1u tr\u1ecb ph\u00f9 h\u1ee3p cho t\u1eebng tr\u01b0\u1eddng h\u1ee3p:<\/p>\n<ul>\n<li><em>L\u1ef1a ch\u1ecdn ph\u00e1c \u0111\u1ed3 ph\u00f9 h\u1ee3p v\u1edbi li\u1ec1u FSH th\u1ea5p<\/em><\/li>\n<li><em>L\u1ef1a ch\u1ecdn ph\u00e1c \u0111\u1ed3 Antagonist<\/em><\/li>\n<li><em>Kh\u00f4ng s\u1eed d\u1ee5ng hCG trong giai \u0111o\u1ea1n h\u1ed7 tr\u1ee3 ho\u00e0ng th\u1ec3<\/em><\/li>\n<li><em>Nu\u00f4i tr\u1ee9ng non<\/em><\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"alignnone wp-image-8379 size-full lazyload\" data-src=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1.png\" alt=\"\" width=\"2400\" height=\"1020\" data-srcset=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1.png 2400w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1-300x128.png 300w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1-1024x435.png 1024w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1-768x326.png 768w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1-1536x653.png 1536w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-1-2048x870.png 2048w\" data-sizes=\"(max-width: 2400px) 100vw, 2400px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 2400px; --smush-placeholder-aspect-ratio: 2400\/1020;\" \/><\/p>\n<p><em><strong>\u00a0 \u00a0 \u00a0 \u00a0 1.2. D\u1ef1 ph\u00f2ng t\u1eeb l\u00fac ti\u00eam trigger<\/strong><\/em><\/p>\n<p>Tr\u01b0\u1edbc khi ti\u00eam trigger v\u00e0 ch\u1ecdc h\u00fat no\u00e3n chuy\u1ec3n ph\u00f4i, ph\u1ea3i nh\u1eadn di\u1ec7n \u0111\u01b0\u1ee3c c\u00e1c tr\u01b0\u1eddng h\u1ee3p c\u00f3 nguy c\u01a1 cao b\u1ecb OHSS:<\/p>\n<p><strong><em>Si\u00eau \u00e2m c\u00f3 tr\u00ean \u2265 20 nang \u2265 12mm v\u00e0o ng\u00e0y trigger<\/em><\/strong><\/p>\n<ul>\n<li><em>Trigger b\u1eb1ng GnRH \u0111\u1ed3ng v\u1eadn<\/em><\/li>\n<li><em>Kh\u00f4ng chuy\u1ec3n ph\u00f4i t\u01b0\u01a1i, tr\u1eef ph\u00f4i to\u00e0n b\u1ed9<\/em><\/li>\n<li><em>Truy\u1ec1n Albumin d\u1ef1 ph\u00f2ng sau ch\u1ecdc h\u00fat tr\u1ee9ng<\/em><\/li>\n<\/ul>\n<p><strong><em>V\u1edbi nh\u1eefng tr\u01b0\u1eddng h\u1ee3p IUI, khi k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng c\u00f3 &gt; 6 nang &gt;12mm\u00a0 t\u01b0 v\u1ea5n b\u1ec7nh nh\u00e2n chuy\u1ec3n sang IVF ho\u1eb7c h\u1ee7y chu k\u00ec<\/em><\/strong><\/p>\n<p><em><strong>\u00a0 \u00a0 \u00a0 \u00a02. B\u1ec7nh nh\u00e2n<\/strong><\/em><\/p>\n<p>T\u1ea5t c\u1ea3 nh\u1eefng b\u1ec7nh nh\u00e2n sau khi ch\u1ecdc h\u00fat tr\u1ee9ng \u0111\u1ec1u \u0111\u01b0\u1ee3c d\u1eb7n d\u00f2 v\u1ec1 ch\u1ebf \u0111\u1ed9 \u0103n v\u00e0 sinh ho\u1ea1t:<\/p>\n<ul>\n<li><em>\u0102n nhi\u1ec1 th\u1ef1c ph\u1ea9m c\u00f3 nhi\u1ec1u \u0111\u1ea1m<\/em><\/li>\n<li><em>U\u1ed1ng nhi\u1ec1u n\u01b0\u1edbc<\/em><\/li>\n<li><em>V\u1eadn \u0111\u1ed9ng nh\u1eb9 nh\u00e0ng, h\u1ea1n ch\u1ebf quan h\u1ec7 v\u1ee3 ch\u1ed3ng sau ng\u00e0y ch\u1ecdc tr\u1ee9ng<\/em><\/li>\n<\/ul>\n<p><img decoding=\"async\" class=\"aligncenter wp-image-8380 lazyload\" data-src=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-2.png\" alt=\"\" width=\"816\" height=\"347\" data-srcset=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-2.png 670w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/10\/DPQKBT-2-300x128.png 300w\" data-sizes=\"(max-width: 816px) 100vw, 816px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 816px; --smush-placeholder-aspect-ratio: 816\/347;\" \/><\/p>\n<p>Tuy nhi\u00ean, d\u00f9 v\u1edbi t\u1ea5t c\u1ea3 c\u00e1c bi\u1ec7n ph\u00e1p d\u1ef1 ph\u00f2ng t\u1ed1t nh\u1ea5t, ch\u00fang ta c\u0169ng kh\u00f4ng th\u1ec3 lo\u1ea1i tr\u1eeb ho\u00e0n to\u00e0n OHSS.<\/p>\n<p>C\u00e1c ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb OHSS v\u1eabn li\u00ean t\u1ee5c \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt th\u01b0\u1eddng xuy\u00ean \u0111\u1ec3 gi\u1ea3m xu\u1ed1ng m\u1ee9c th\u1ea5p nh\u1ea5t nh\u1eefng tr\u01b0\u1eddng h\u1ee3p OHSS th\u1ec3 n\u1eb7ng.<\/p>\n<p>M\u1ecdi th\u1eafc m\u1eafc anh ch\u1ecb vui l\u00f2ng li\u00ean h\u1ec7 t\u1edbi:<\/p>\n<p><img decoding=\"async\" class=\"alignnone wp-image-7868 size-full lazyload\" data-src=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/02\/Trung-tam-IVF.png\" alt=\"H\u1ed7 tr\u1ee3 sinh s\u1ea3n H\u1ea3i Ph\u00f2ng\" width=\"900\" height=\"290\" data-srcset=\"https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/02\/Trung-tam-IVF.png 900w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/02\/Trung-tam-IVF-300x97.png 300w, https:\/\/quoctesannhihaiphong.vn\/wp-content\/uploads\/2022\/02\/Trung-tam-IVF-768x247.png 768w\" data-sizes=\"(max-width: 900px) 100vw, 900px\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 900px; --smush-placeholder-aspect-ratio: 900\/290;\" \/><\/p>\n","protected":false},"excerpt":{"rendered":"<p>T\u1ea5t c\u1ea3 ph\u00e1c \u0111\u1ed3 k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng (KTBT) \u0111\u1ec1u d\u1eabn \u0111\u1ebfn m\u1ed9t t\u00ecnh tr\u1ea1ng k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng qu\u00e1 m\u1ee9c sinh l\u00fd nh\u1ea5t \u0111\u1ecbnh, h\u1ea7u h\u1ebft th\u01b0\u1eddng nh\u1eb9 v\u00e0 t\u1ef1 h\u1ed3i ph\u1ee5c v\u1ec1 b\u00ecnh th\u01b0\u1eddng, kh\u00f4ng \u0111\u1ec3 l\u1ea1i di ch\u1ee9ng.\u00a0 Tr\u01b0\u1eddng h\u1ee3p t\u00ecnh tr\u1ea1ng k\u00edch th\u00edch bu\u1ed3ng tr\u1ee9ng di\u1ec5n ra qu\u00e1 m\u1ee9c, hai bu\u1ed3ng<\/p>\n","protected":false},"author":4,"featured_media":8381,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[122,58],"tags":[128,125,131,182],"class_list":["post-8377","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","tag-ohss"],"_links":{"self":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/8377","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=8377"}],"version-history":[{"count":2,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/8377\/revisions"}],"predecessor-version":[{"id":8383,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/posts\/8377\/revisions\/8383"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media\/8381"}],"wp:attachment":[{"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/media?parent=8377"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/categories?post=8377"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/quoctesannhihaiphong.vn\/en\/wp-json\/wp\/v2\/tags?post=8377"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}