“Xin cho bi\u1ebft: N\u1eef u\u1ed1ng vi\u00ean ng\u1eeba thai c\u00f3 h\u1ea1i g\u00ec kh\u00f4ng? C\u00f3 m\u1ea5y lo\u1ea1i, v\u00e0 lo\u1ea1i n\u00e0o t\u1ed1t nh\u1ea5t?”. 1. Th\u00e0nh ph\u1ea7n vi\u00ean thu\u1ed1c ng\u1eeba thai bao g\u1ed3m: – Ch\u1ea5t t\u1ea1o progesterone. – Ch\u1ea5t oestrogene t\u1ed5ng h\u1ee3p (ethinyl-estradiol).<\/p>\n\n\n\n
Progesterone l\u00e0m bu\u1ed3ng tr\u1ee9ng ng\u01b0ng ti\u1ebft ho\u00f3c m\u00f4n n\u1eef (oestrogene t\u1ef1 nhi\u00ean), ng\u0103n kh\u00f4ng cho tr\u1ee9ng l\u00e0m t\u1ed5, v\u00e0 c\u1ea3n l\u1ed1i tinh tr\u00f9ng \u0111\u1ed9t nh\u1eadp v\u00e0o d\u1ea1 con. Oestrogene t\u1ed5ng h\u1ee3p b\u00f9 tr\u1eeb cho l\u01b0\u1ee3ng ho\u00f3c m\u00f4n n\u1eef b\u1ecb thi\u1ebfu h\u1ee5t do t\u00e1c \u0111\u1ed9ng c\u1ee7a progesterone. 2. C\u00e1c lo\u1ea1i vi\u00ean u\u1ed1ng ng\u1eeba thai: – Th\u1ebf h\u1ec7 1: G\u1ed3m hai th\u00e0nh ph\u1ea7n n\u00f3i tr\u00ean v\u1edbi h\u00e0m l\u01b0\u1ee3ng l\u1edbn, d\u1ec5 g\u00e2y nguy c\u01a1 tai bi\u1ebfn tim v\u00e0 m\u1ea1ch m\u00e1u n\u00e3o. – Th\u1ebf h\u1ec7 2 (vi\u00ean mini)L: C\u00f3 c\u00f9ng th\u00e0nh ph\u1ea7n nh\u01b0ng v\u1edbi h\u00e0m l\u01b0\u1ee3ng r\u1ea5t nh\u1ecf, gi\u1ea3m thi\u1ec3u \u0111\u01b0\u1ee3c c\u00e1c nguy c\u01a1 tr\u00ean. – Th\u1ebf h\u1ec7 3 (c\u0169ng mini): Progesterone \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1ea3i ti\u1ebfn. – Vi\u00ean micro: Ch\u1ec9 c\u00f3 progesterone v\u1edbi h\u00e0m l\u01b0\u1ee3ng c\u1ef1c nh\u1ecf. 3. Th\u1eddi gian v\u00e0 c\u00e1ch th\u1ee9c s\u1eed d\u1ee5ng – Cu\u1ed1i th\u1eddi k\u1ef3 d\u1eady th\u00ec (13-16 tu\u1ed5i) m\u1edbi \u0111\u01b0\u1ee3c d\u00f9ng. – D\u00f9ng li\u00ean t\u1ee5c kh\u00f4ng ngh\u1ec9 \u0111\u1ebfn 45 tu\u1ed5i cho ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng v\u00e0 35 tu\u1ed5i cho ng\u01b0\u1eddi nghi\u1ec7n thu\u1ed1c l\u00e1 (n\u1ebfu ng\u01b0ng thu\u1ed1c th\u00ec trong nh\u1eefng k\u1ef3 kinh ngay sau \u0111\u00f3 r\u1ea5t d\u1ec5 th\u1ee5 thai). Qu\u00e1 nh\u1eefng h\u1ea1n tu\u1ed5i n\u00e0y, ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p ng\u1eeba thai kh\u00e1c. – Vi\u00ean ng\u1eeba thai th\u1ebf h\u1ec7 1 \u00edt \u0111\u01b0\u1ee3c \u01b0a chu\u1ed9ng do c\u00e1c nguy c\u01a1 tr\u00ean. Vi\u00ean micro ph\u1ea3i u\u1ed1ng h\u1eb1ng ng\u00e0y, v\u00e0o m\u1ed9t gi\u1edd nh\u1ea5t \u0111\u1ecbnh. Vi\u00ean mini c\u00f3 m\u1ed9t kho\u1ea3ng linh ho\u1ea1t 12 ti\u1ebfng \u0111\u1ed3ng h\u1ed3 n\u00ean ti\u1ec7n d\u1ee5ng h\u01a1n (v\u00ed d\u1ee5 \u0111\u00eam qu\u00ean u\u1ed1ng th\u00ec u\u1ed1ng v\u00e0o s\u00e1ng s\u1edbm h\u00f4m sau), k\u1ebft qu\u1ea3 c\u0169ng ch\u1eafc ch\u1eafn h\u01a1n vi\u00ean micro. 4. Ch\u1ed1ng ch\u1ec9 \u0111\u1ecbnh: – Kh\u00f4ng d\u00f9ng c\u00e1c lo\u1ea1i vi\u00ean ng\u1eeba thai khi b\u1ecb cao huy\u1ebft \u00e1p. \u0110\u00e2y l\u00e0 m\u1ed9t ph\u1ea3n ch\u1ec9 \u0111\u1ecbnh tuy\u1ec7t \u0111\u1ed1i. Ngo\u00e0i ra, trong su\u1ed1t th\u1eddi gian s\u1eed d\u1ee5ng, ph\u1ea3i th\u01b0\u1eddng xuy\u00ean theo d\u00f5i huy\u1ebft \u00e1p. – Kh\u00f4ng d\u00f9ng vi\u00ean ng\u1eeba thai th\u1ebf h\u1ec7 1 v\u00e0 mini khi: + Ngay sau khi sinh, v\u00ec b\u1ea5y gi\u1edd c\u00f3 nhi\u1ec1u nguy c\u01a1 vi\u00eam t\u0129nh m\u1ea1ch v\u00e0 tai bi\u1ebfn m\u1ea1ch n\u00e3o. Ch\u1edd c\u00f3 kinh tr\u1edf l\u1ea1i m\u1edbi \u0111\u01b0\u1ee3c u\u1ed1ng ti\u1ebfp. + Su\u1ed1t th\u1eddi k\u1ef3 cho con b\u00fa, v\u00ec c\u00e1c ho\u00f3c m\u00f4n \u0111i v\u00e0o s\u1eefa m\u1eb9 c\u00f3 th\u1ec3 g\u00e2y ng\u1ed9 \u0111\u1ed9c cho tr\u1ebb s\u01a1 sinh.<\/p>\n\n\n\n
B\u00e1c s\u0129 ph\u1ea3i h\u1ebft s\u1ee9c th\u1eadn tr\u1ecdng khi k\u00ea \u0111\u01a1n vi\u00ean ng\u1eeba thai th\u1ebf h\u1ec7 1 v\u00e0 mini cho ng\u01b0\u1eddi nghi\u1ec7n thu\u1ed1c l\u00e1, b\u1ec7nh nh\u00e2n ti\u1ec3u \u0111\u01b0\u1eddng, ng\u01b0\u1eddi c\u00f3 ti\u1ec1n s\u1eed vi\u00eam t\u0129nh m\u1ea1ch. 5. M\u1ea5y \u0111i\u1ec1u c\u1ea7n l\u01b0u \u00fd khi d\u00f9ng vi\u00ean ng\u1eeba thai – Vi\u00ean ng\u1eeba thai kh\u00f4ng ph\u01b0\u01a1ng h\u1ea1i \u0111\u1ebfn kh\u1ea3 n\u0103ng t\u00ecnh d\u1ee5c, kh\u1ea3 n\u0103ng th\u1ee5 thai c\u0169ng nh\u01b0 s\u1ee9c kh\u1ecfe chung, kh\u00f4ng g\u00e2y m\u1eadp ph\u00ec, kh\u00f4ng g\u00e2y ung th\u01b0. – N\u1ebfu qu\u00ean u\u1ed1ng, nh\u1ea5t l\u00e0 \u0111\u1ed1i v\u1edbi vi\u00ean micro, ph\u1ea3i k\u1ecbp th\u1eddi d\u00f9ng c\u00e1c bi\u1ec7n ph\u00e1p ng\u1eeba thai kh\u00e1c, nh\u01b0 bao cao su ch\u1eb3ng h\u1ea1n. – Vi\u00ean micro c\u00f3 th\u1ec3 d\u00f9ng ch\u1eefa tr\u1ee9ng c\u00e1 k\u00e8m theo r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t \u1edf thi\u1ebfu n\u1eef tr\u1ebb. – Vi\u00ean ng\u1eeba thai kh\u00f4ng ng\u0103n \u0111\u01b0\u1ee3c b\u1ec7nh l\u00e2y nhi\u1ec5m qua \u0111\u01b0\u1eddng t\u00ecnh d\u1ee5c (do \u0111\u00f3, ta th\u1ea5y bao cao su \u01b0u vi\u1ec7t v\u00ec \u0111a n\u0103ng h\u01a1n). – Trong 3 th\u00e1ng \u0111\u1ea7u s\u1eed d\u1ee5ng vi\u00ean mini, c\u00f3 th\u1ec3 x\u1ea3y ra r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t; n\u1ebfu t\u00ecnh tr\u1ea1ng n\u00e0y kh\u00f4ng d\u1ee9t sau khi d\u00f9ng h\u1ebft v\u1ec9 thu\u1ed1c th\u1ee9 3, ph\u1ea3i \u0111\u1ed5i lo\u1ea1i thu\u1ed1c kh\u00e1c. Nh\u1edb r\u1eb1ng ph\u1ee5 n\u1eef nghi\u1ec7n thu\u1ed1c l\u00e1 hay g\u1eb7p r\u1eafc r\u1ed1i n\u00e0y. – Mu\u1ed1n c\u00f3 con, sau khi ng\u1eebng thu\u1ed1c ph\u1ea3i ch\u1edd \u0111\u1ebfn k\u1ef3 kinh th\u1ee9 hai m\u1edbi th\u1ee5 thai, v\u00ec trong k\u1ef3 kinh \u0111\u1ea7u ti\u00ean, d\u1ea1 con ch\u01b0a s\u1eb5n s\u00e0ng cho tr\u1ee9ng th\u1ee5 tinh t\u1edbi l\u00e0m t\u1ed5, kh\u1ea3 n\u0103ng s\u1ea9y thai r\u1ea5t l\u1edbn. – Sau 3 th\u00e1ng \u0111\u1ea7u s\u1eed d\u1ee5ng, ph\u1ea3i x\u00e9t nghi\u1ec7m m\u00e1u \u0111\u1ec3 \u0111\u1ecbnh l\u01b0\u1ee3ng cholesterol, trigerid v\u00e0 glucose; sau \u0111\u00f3 6 th\u00e1ng, n\u1ebfu m\u1ecdi s\u1ef1 b\u00ecnh th\u01b0\u1eddng l\u00e0 \u1ed5n. 6. C\u00f3 hai \u01b0u \u0111i\u1ec3m ph\u1ee5 c\u1ee7a vi\u00ean ng\u1eeba thai – M\u1ed9t s\u1ed1 \u0111\u00f4ng ch\u1ecb em d\u00f9ng vi\u00ean ng\u1eeba thai th\u1ea5y gi\u1ea3m ho\u1eb7c m\u1ea5t h\u1eb3n hi\u1ec7n t\u01b0\u1ee3ng m\u1ecdc tr\u1ee9ng c\u00e1 \u1edf m\u1eb7t. – Theo k\u1ebft qu\u1ea3 m\u1ed9t nghi\u00ean c\u1ee9u c\u1ee7a Anh c\u00f4ng b\u1ed1 n\u0103m 1998, \u1edf nh\u1eefng ch\u1ecb em d\u00f9ng vi\u00ean tr\u00e1nh thai li\u1ec1n trong 6 n\u0103m, nguy c\u01a1 m\u1eafc ung th\u01b0 bu\u1ed3ng tr\u1ee9ng gi\u1ea3m 60% so v\u1edbi nh\u00f3m \u0111\u1ed1i ch\u1ee9ng. Ngay c\u1ea3 tr\u01b0\u1eddng h\u1ee3p c\u00f3 nh\u1eefng d\u1ecb th\u01b0\u1eddng c\u1ee7a hai gene BRCA1 v\u00e0 BRCA2 (v\u1ed1n d\u1ec5 b\u1ecb ung th\u01b0 bu\u1ed3ng tr\u1ee9ng), nguy c\u01a1 ung th\u01b0 c\u0169ng gi\u1ea3m v\u1edbi t\u1ef7 l\u1ec7 t\u01b0\u01a1ng t\u1ef1. 7. Vi\u00ean ng\u1eeba thai kh\u1ea9n c\u1ea5p Postinor 0,75 mg<\/p>\n\n\n\n
Ph\u1ea3i u\u1ed1ng ngay 1 vi\u00ean ch\u1eadm nh\u1ea5t l\u00e0 1 gi\u1edd sau khi quan h\u1ec7; m\u1ed7i th\u00e1ng kh\u00f4ng \u0111\u01b0\u1ee3c d\u00f9ng qu\u00e1 4 vi\u00ean.<\/p>\n","protected":false},"excerpt":{"rendered":"
“Xin cho bi\u1ebft: N\u1eef u\u1ed1ng vi\u00ean ng\u1eeba thai c\u00f3 h\u1ea1i g\u00ec kh\u00f4ng? C\u00f3 m\u1ea5y lo\u1ea1i, v\u00e0 lo\u1ea1i n\u00e0o t\u1ed1t nh\u1ea5t?”. 1. Th\u00e0nh ph\u1ea7n vi\u00ean thu\u1ed1c ng\u1eeba thai bao g\u1ed3m: – Ch\u1ea5t t\u1ea1o progesterone. – Ch\u1ea5t oestrogene t\u1ed5ng h\u1ee3p (ethinyl-estradiol). Progesterone l\u00e0m bu\u1ed3ng tr\u1ee9ng ng\u01b0ng ti\u1ebft ho\u00f3c m\u00f4n n\u1eef (oestrogene t\u1ef1 nhi\u00ean), ng\u0103n kh\u00f4ng cho tr\u1ee9ng […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":"","_disable_autopaging":false},"categories":[21],"tags":[],"class_list":["post-12160","post","type-post","status-publish","format-standard","hentry","category-y-hoc"],"_links":{"self":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/12160","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/comments?post=12160"}],"version-history":[{"count":0,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/posts\/12160\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/media?parent=12160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/categories?post=12160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.vietlearn.org\/kien-thuc\/wp-json\/wp\/v2\/tags?post=12160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}