{"id":277039,"date":"2023-09-13T15:29:39","date_gmt":"2023-09-13T08:29:39","guid":{"rendered":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cac-vi-tri-thai-ngoai-tu-cung\/"},"modified":"2025-11-10T11:54:50","modified_gmt":"2025-11-10T04:54:50","slug":"cac-vi-tri-thai-ngoai-tu-cung","status":"publish","type":"post","link":"https:\/\/clients-previewhub.com\/hoanmy_wp\/cac-vi-tri-thai-ngoai-tu-cung\/","title":{"rendered":"C\u00e1c v\u1ecb tr\u00ed thai ngo\u00e0i t\u1eed cung"},"content":{"rendered":"\n

Thai ngo\u00e0i t\u1eed cung<\/strong> (TNTC) l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ph\u00f4i thai ph\u00e1t tri\u1ec3n \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o ngo\u00e0i n\u1ed9i m\u1ea1c t\u1eed cung trong khoang bu\u1ed3ng t\u1eed cung. G\u1ea7n 95% thai ngo\u00e0i t\u1eed cung l\u00e0m t\u1ed5 \u1edf v\u00f2i t\u1eed cung. Trong \u0111\u00f3, thai ngo\u00e0i t\u1eed cung m\u1ed9t b\u00ean th\u01b0\u1eddng ph\u1ed5 bi\u1ebfn h\u01a1n, t\u1ef7 l\u1ec7 mang thai ngo\u00e0i t\u1eed cung 2 b\u00ean r\u1ea5t hi\u1ebfm g\u1eb7p, \u01b0\u1edbc t\u00ednh kho\u1ea3ng 1\/200.000 ca mang thai.<\/p>\n\n\n\n

\"\"
C\u00e1c v\u1ecb tr\u00ed thai ngo\u00e0i m\u1eb9 th\u01b0\u1eddng g\u1eb7p (Ngu\u1ed3n: Internet)<\/em><\/figcaption><\/figure>\n\n\n\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 d\u1eabn \u0111\u1ebfn thai ngo\u00e0i t\u1eed cung<\/h2>\n\n\n\n

Trong qu\u00e1 kh\u1ee9, vi\u1ec7c mang thai ngo\u00e0i t\u1eed cung th\u01b0\u1eddng nguy hi\u1ec3m v\u00e0 l\u00e0 nguy\u00ean nh\u00e2n \u0111e do\u1ea1 t\u00ednh m\u1ea1ng ph\u1ee5 n\u1eef. Tuy nhi\u00ean, nh\u1edd s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a k\u1ef9 thu\u1eadt ch\u1ea9n \u0111o\u00e1n s\u1edbm b\u1eb1ng \u0111\u1ecbnh l\u01b0\u1ee3ng beta-hCG k\u1ebft h\u1ee3p v\u1edbi si\u00eau \u00e2m qua \u0111\u01b0\u1eddng \u00e2m \u0111\u1ea1o \u0111\u00e3 l\u00e0m gi\u1ea3m m\u1ed1i \u0111e do\u1ea1 n\u00e0y.<\/p>\n\n\n\n

M\u1ed9t s\u1ed1 y\u1ebfu t\u1ed1 nguy c\u01a1 g\u00e2y TNTC \u0111\u00e3 \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u nh\u01b0:<\/p>\n\n\n\n

C\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1<\/strong><\/td>Nguy c\u01a1 (S\u1ed1 l\u1ea7n)<\/strong><\/td><\/tr>
Ti\u1ec1n s\u1eed thai ngo\u00e0i t\u1eed cung tr\u01b0\u1edbc \u0111\u00e2y<\/td>12,5<\/td><\/tr>
Ti\u1ec1n s\u1eed ph\u1eabu thu\u1eadt \u1edf v\u00f2i tr\u1ee9ng<\/td>4,0<\/td><\/tr>
H\u00fat thu\u1ed1c h\u01a1n 20 \u0111i\u1ebfu\/ ng\u00e0y<\/td>3,5<\/td><\/tr>
Vi\u00eam bu\u1ed3ng tr\u1ee9ng, v\u00f2i tr\u1ee9ng +\/- d\u01b0\u01a1ng t\u00ednh v\u1edbi Chlamydia<\/td>3,4<\/td><\/tr>
Ti\u1ec1n s\u1eed c\u00f3 h\u01a1n 3 l\u1ea7n s\u1ea9y thai<\/td>3,0<\/td><\/tr>
Tu\u1ed5i l\u1edbn h\u01a1n 40 tu\u1ed5i<\/td>2,9<\/td><\/tr>
Ti\u1ec1n s\u1eed ph\u00e1 thai n\u1ed9i khoa<\/td>2,8<\/td><\/tr>
V\u00f4 sinh > 1 n\u0103m      <\/td>2,6<\/td><\/tr>
C\u00f3 > 5 b\u1ea1n t\u00ecnh<\/td>1,6<\/td><\/tr>
Ti\u1ec1n s\u1eed s\u1eed d\u1ee5ng d\u1ee5ng c\u1ee5 t\u1eed cung<\/td>1,3<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

\u0110\u1eb7c bi\u1ec7t, \u1edf nh\u1eefng tr\u01b0\u1eddng h\u1ee3p c\u00f3 ti\u1ec1n s\u1eed thai ngo\u00e0i t\u1eeb cung, nguy c\u01a1 t\u00e1i ph\u00e1t cao g\u1ea5p 12,5 l\u1ea7n so v\u1edbi nh\u1eefng ng\u01b0\u1eddi b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

C\u00e1c v\u1ecb tr\u00ed thai ngo\u00e0i t\u1eed cung<\/h2>\n\n\n\n

Thai ngo\u00e0i t\u1eed cung \u1edf v\u00f2i t\u1eed cung<\/h3>\n\n\n\n

L\u00e0 kh\u1ed1i TNTC ph\u00e1t tri\u1ec3n v\u00e0 l\u00e0m t\u1ed5 \u1edf v\u00f2i t\u1eed cung, chi\u1ebfm h\u01a1n 95% tr\u01b0\u1eddng h\u1ee3p mang thai ngo\u00e0i t\u1eed cung. N\u1ebfu kh\u00f4ng c\u00f3 s\u1ef1 can thi\u1ec7p, di\u1ec5n bi\u1ebfn t\u1ef1 nhi\u00ean c\u1ee7a thai ngo\u00e0i \u1edf v\u00f2i t\u1eed cung s\u1ebd d\u1eabn \u0111\u1ebfn nh\u1eefng k\u1ebft qu\u1ea3 sau:<\/p>\n\n\n\n

    \n
  • S\u1ea9y thai qua loa v\u00f2i.<\/li>\n\n\n\n
  • V\u1ee1 v\u00f2i tr\u1ee9ng ho\u1eb7c tho\u00e1i tri\u1ec3n.<\/li>\n\n\n\n
  • S\u1ea9y thai c\u00f3 th\u1ec3 s\u1ea9y qua loa v\u00f2i, m\u00f4 thai n\u00e0y c\u00f3 th\u1ec3 tho\u00e1i tri\u1ec3n ho\u1eb7c c\u1ea5y gh\u00e9p l\u1ea1i trong khoang b\u1ee5ng g\u00e2y TNTC trong \u1ed5 b\u1ee5ng. V\u1ee1 \u1ed1ng d\u1eabn tr\u1ee9ng c\u00f3 li\u00ean quan \u0111\u1ebfn xu\u1ea5t huy\u1ebft trong \u1ed5 b\u1ee5ng nghi\u00eam tr\u1ecdng v\u00e0 c\u1ea7n can thi\u1ec7p ph\u1eabu thu\u1eadt.<\/li>\n<\/ul>\n\n\n\n

    Vi\u1ec7c \u0111\u00e1nh gi\u00e1 c\u00e1c y\u1ebfu t\u1ed1 nguy c\u01a1 mang TNTC c\u00f3 th\u1ec3 gi\u00fap ch\u1ea9n \u0111o\u00e1n s\u1edbm, c\u1ea3i thi\u1ec7n kh\u1ea3 n\u0103ng s\u1ed1ng s\u00f3t c\u1ee7a m\u1eb9 v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n trong t\u01b0\u01a1ng lai.<\/p>\n\n\n\n

    Mang thai sau khi tri\u1ec7t s\u1ea3n \u1ed1ng d\u1eabn tr\u1ee9ng r\u1ea5t hi\u1ebfm, nh\u01b0ng khi x\u1ea3y ra r\u1ea5t d\u1ec5 d\u1eabn \u0111\u1ebfn nguy c\u01a1 thai b\u1ecb l\u1ea1c ch\u1ed7 do \u1ed1ng d\u1eabn tr\u1ee9ng b\u1ecb bi\u1ebfn d\u1ea1ng sau khi th\u1eaft \u1ed1ng d\u1eabn tr\u1ee9ng.<\/p>\n\n\n\n

      \n
    • Tri\u1ec7u ch\u1ee9ng l\u00e2m s\u00e0ng<\/strong><\/li>\n<\/ul>\n\n\n\n

      Ng\u00e0y nay v\u1edbi s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a x\u00e9t nghi\u1ec7m thai s\u1edbm, TNTC c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n tr\u01b0\u1edbc khi v\u1ee1, th\u1eadm ch\u00ed l\u00e0 tr\u01b0\u1edbc khi xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u1eb7c hi\u1ec7u. C\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ed5 \u0111i\u1ec3n li\u00ean quan \u0111\u1ebfn TNTC l\u00e0 tr\u1ec5 kinh, sau \u0111\u00f3 ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o v\u00e0 \u0111au b\u1ee5ng d\u01b0\u1edbi.<\/p>\n\n\n\n

      \"Thai
      Thai ngo\u00e0i t\u1eed cung g\u00e2y tr\u1ec5 kinh v\u00e0 \u0111au b\u1ee5ng d\u01b0\u1edbi (Ngu\u1ed3n: Internet)<\/em><\/figcaption><\/figure>\n\n\n\n

      Ngo\u00e0i ra, b\u00ean c\u1ea1nh nh\u1eefng tri\u1ec7u ch\u1ee9ng tr\u00ean, c\u00f3 th\u1ec3 c\u00f3 k\u00e8m theo c\u00e1c tri\u1ec7u ch\u1ee9ng mang thai b\u00ecnh th\u01b0\u1eddng kh\u00e1c nh\u01b0: C\u0103ng t\u1ee9c ng\u1ef1c, bu\u1ed3n n\u00f4n, ti\u1ec3u nhi\u1ec1u. \u1ede m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p khi kh\u1ed1i thai v\u1ee1 xu\u1ea5t huy\u1ebft g\u00e2y r\u1ed1i lo\u1ea1n v\u1eadn m\u1ea1ch nh\u01b0 ch\u00f3ng m\u1eb7t v\u00e0 ng\u1ea5t\u2026<\/p>\n\n\n\n

      Tr\u01b0\u1edbc khi v\u1ee1, ch\u1ea9n \u0111o\u00e1n thai ngo\u00e0i t\u1eed cung ch\u1ee7 y\u1ebfu d\u1ef1a tr\u00ean k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m v\u00e0 si\u00eau \u00e2m. Tuy nhi\u00ean, khi b\u1ecb v\u1ee1, g\u1ea7n \u00be ph\u1ee5 n\u1eef s\u1ebd th\u1ea5y \u0111au r\u00f5 r\u1ec7t khi kh\u00e1m c\u1ea3 v\u00f9ng b\u1ee5ng, v\u00f9ng ch\u1eadu v\u00e0 c\u01a1n \u0111au tr\u1ea7m tr\u1ecdng h\u01a1n khi t\u00e1c \u0111\u1ed9ng v\u00e0o c\u1ed5 t\u1eed cung. Kho\u1ea3ng 20% ph\u1ee5 n\u1eef c\u00f3 th\u1ec3 s\u1edd th\u1ea5y m\u1ed9t kh\u1ed1i \u1edf v\u00f9ng ch\u1eadu. Nhi\u1ec1u khi c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu c\u1ea3n tr\u1edf vi\u1ec7c s\u1edd n\u1eafn kh\u1ed1i u. Vi\u1ec7c kh\u00f4ng s\u1edd th\u1ea5y kh\u1ed1i ph\u1ea7n ph\u1ee5 c\u0169ng kh\u00f4ng \u0111\u01b0\u1ee3c lo\u1ea1i tr\u1eeb ch\u1ea9n \u0111o\u00e1n.<\/p>\n\n\n\n

        \n
      • C\u1eadn l\u00e2n s\u00e0ng<\/strong><\/li>\n<\/ul>\n\n\n\n

        Beta-hCG<\/em>:<\/strong> \u1ede nh\u1eefng thai k\u1ef3 b\u00ecnh th\u01b0\u1eddng, n\u1ed3ng \u0111\u1ed9 beta-hCG huy\u1ebft thanh t\u0103ng \u0111\u1ec1u \u0111\u1ebfn 60 ho\u1eb7c 80 ng\u00e0y sau k\u1ef3 kinh cu\u1ed1i, t\u1ea1i th\u1eddi \u0111i\u1ec3m \u0111\u00f3 n\u1ed3ng \u0111\u1ed9 \u1ed5n \u0111\u1ecbnh kho\u1ea3ng 100.000 IU\/L. Trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a thai k\u1ef3, n\u1ed3ng \u0111\u1ed9 beta-hCG huy\u1ebft thanh t\u0103ng 53% ho\u1eb7c cao h\u01a1n sau m\u1ed7i 48 gi\u1edd. S\u1ef1 gia t\u0103ng \u00edt h\u01a1n m\u1ee9c n\u00e0y nghi ng\u1edd m\u1ed9t thai k\u1ef3 b\u1ea5t th\u01b0\u1eddng trong t\u1eed cung ho\u1eb7c thai ngo\u00e0i t\u1eed cung. C\u00f3 kho\u1ea3ng 15% tr\u01b0\u1eddng h\u1ee3p mang thai trong t\u1eed cung b\u00ecnh th\u01b0\u1eddng c\u00f3 m\u1ee9c t\u0103ng beta-hCG \u00edt h\u01a1n 53% v\u00e0 17% tr\u01b0\u1eddng h\u1ee3p thai ngo\u00e0i t\u1eed cung c\u00f3 m\u1ee9c t\u0103ng beta-hCG b\u00ecnh th\u01b0\u1eddng.<\/p>\n\n\n\n

        Progesterone:<\/em> <\/strong>N\u1ed3ng \u0111\u1ed9 progesterone huy\u1ebft thanh < 5 ng\/ml \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh thai kh\u00f4ng th\u1ec3 s\u1ed1ng \u0111\u01b0\u1ee3c v\u1edbi \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u 98% v\u00e0 \u0111\u1ed9 nh\u1ea1y 75%. Ng\u01b0\u1ee3c l\u1ea1i, progesterone huy\u1ebft thanh > 20 ng\/ml c\u00f3 \u0111\u1ed9 nh\u1ea1y 95% v\u1edbi \u0111\u1ed9 \u0111\u1eb7c hi\u1ec7u kho\u1ea3ng 40% \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh m\u1ed9t thai k\u1ef3 b\u00ecnh th\u01b0\u1eddng. Tuy nhi\u00ean gi\u00e1 tr\u1ecb progesterone huy\u1ebft thanh kh\u00f4ng th\u1ec3 ph\u00e2n bi\u1ec7t gi\u1eefa TNTC v\u00e0 thai trong t\u1eed cung<\/p>\n\n\n\n

        Si\u00eau \u00e2m \u0111\u1ea7u d\u00f2:<\/em> <\/strong>V\u1edbi si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o t\u00fai thai c\u00f3 th\u1ec3 nh\u00ecn th\u1ea5y trong kho\u1ea3ng 4,5  tu\u1ea7n \u0111\u1ebfn 5 tu\u1ea7n t\u00ednh t\u1eeb ng\u00e0y kinh cu\u1ed1i, t\u00fai no\u00e3n ho\u00e0ng xu\u1ea5t hi\u1ec7n trong kho\u1ea3ng 5 \u0111\u1ebfn 6 tu\u1ea7n v\u00e0 ho\u1ea1t \u0111\u1ed9ng tim thai \u0111\u01b0\u1ee3c ph\u00e1t hi\u1ec7n d\u1ea7u ti\u00ean v\u00e0o tu\u1ea7n 5,5 \u0111\u1ebfn 6 tu\u1ea7n. V\u1edbi si\u00eau \u00e2m \u0111\u01b0\u1eddng b\u1ee5ng, nh\u1eefng c\u1ea5u tr\u00fac n\u00e0y \u0111\u01b0\u1ee3c th\u1ea5y mu\u1ed9n h\u01a1n. V\u1edbi m\u1ee9c beta-hCG t\u1eeb 1000 \u0111\u1ebfn 2000 IU\/l si\u00eau \u00e2m \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o c\u00f3 th\u1ec3 th\u1ea5y t\u00fai thai trong bu\u1ed3ng t\u1eed cung, si\u00eau \u00e2m \u0111\u01b0\u1eddng b\u1ee5ng x\u00e1c \u0111\u1ecbnh thai trong t\u1eed cung khi beta-hCG \u0111\u1ea1t 5000 \u0111\u1ebfn 6000 IU\/L M\u1ee9c gi\u00e1 tr\u1ecb beta-hCG cao h\u01a1n m\u00e0 si\u00eau \u00e2m kh\u00f4ng th\u1ea5y t\u00fai thai trong t\u1eed cung th\u00ec kh\u1ea3 n\u0103ng l\u00e0 m\u1ed9t thai b\u1ea5t th\u01b0\u1eddng ho\u1eb7c thai ngo\u00e0i t\u1eed cung, s\u1ea3y thai kh\u00f4ng ho\u00e0n to\u00e0n ho\u1eb7c s\u1ea9y thai. C\u1ea7n ph\u1ea3i c\u1eadn th\u1eadn ph\u00e2n bi\u1ec7t t\u00fai thai trong t\u1eed cung v\u00e0 t\u00fai thai gi\u1ea3.<\/p>\n\n\n\n

        N\u1ea1o bu\u1ed3ng t\u1eed cung:<\/em> <\/strong>C\u00f3 th\u1ec3 gi\u00fap lo\u1ea1i tr\u1eeb thai ngo\u00e0i t\u1eed cung, nh\u01b0ng ch\u1ec9 n\u00ean th\u1ef1c hi\u1ec7n khi x\u00e1c \u0111\u1ecbnh thai \u0111\u00e3 s\u1ea9y. Th\u00f4ng th\u01b0\u1eddng, ph\u01b0\u01a1ng ph\u00e1p n\u00e0y sai \u1edf 40% tr\u01b0\u1eddng h\u1ee3p n\u00ean ph\u01b0\u01a1ng ph\u00e1p n\u00e0y hi\u1ec7n nay \u00edt d\u00f9ng.<\/p>\n\n\n\n

        Ch\u1ecdc d\u00f2 t\u00fai c\u00f9ng sau:<\/em> <\/strong>Gi\u00fap x\u00e1c \u0111\u1ecbnh m\u00e1u trong khoang ph\u00fac m\u1ea1c ngh\u0129 \u0111\u1ebfn m\u1ed9t tr\u01b0\u1eddng h\u1ee3p thai ngo\u00e0i t\u1eed cung v\u1ee1, tuy nhi\u00ean c\u0169ng kh\u00f4ng lo\u1ea1i tr\u1eeb m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p kh\u00e1c nh\u01b0 v\u1ee1 nang bu\u1ed3ng tr\u1ee9ng. Tuy nhi\u00ean ng\u00e0y nay v\u1edbi s\u1ef1 ti\u1ebfn b\u1ed9 c\u1ee7a c\u00f4ng ngh\u1ec7 ch\u1ea9n \u0111o\u00e1n h\u00ecnh \u1ea3nh, \u0111\u1eb7c bi\u1ec7t l\u00e0 si\u00eau \u00e2m n\u00ean ph\u01b0\u01a1ng ph\u00e1p ch\u1ecdc h\u00fat kh\u00f4ng c\u00f2n \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng.<\/p>\n\n\n\n

        N\u1ed9i soi \u1ed5 b\u1ee5ng:<\/em> <\/strong>L\u00e0 k\u1ef9 thu\u1eadt ch\u00ednh x\u00e1c nh\u1ea5t \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n thai ngo\u00e0i t\u1eed cung, tuy nhi\u00ean c\u0169ng c\u00f3 t\u1eeb 2 – 5% ch\u1ea9n \u0111o\u00e1n sai. G\u1eb7p \u1edf m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p thai k\u1ef3 qu\u00e1 s\u1edbm, khi k\u00edch th\u01b0\u1edbc kh\u1ed1i thai ch\u01b0a \u0111\u1ee7 l\u1edbn \u0111\u1ec3 l\u00e0m bi\u1ebfn \u0111\u1ed5i v\u00f2i t\u1eed cung.<\/p>\n\n\n\n

          \n
        • \u0110i\u1ec1u tr\u1ecb<\/strong><\/li>\n<\/ul>\n\n\n\n

          C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb n\u1ed9i khoa b\u1eb1ng Methotrexate to\u00e0n th\u00e2n ho\u1eb7c ph\u1eabu thu\u1eadt tu\u1ef3 t\u1eebng tr\u01b0\u1eddng h\u1ee3p c\u1ee7 th\u1ec3.<\/p>\n\n\n\n

          Thai ngo\u00e0i t\u1eed cung \u1edf bu\u1ed3ng tr\u1ee9ng<\/h3>\n\n\n\n

          \u0110\u00e2y l\u00e0 t\u00ecnh tr\u1ea1ng r\u1ea5t hi\u1ebfm g\u1eb7p. C\u00e1c y\u1ebfu t\u1ed1 r\u1ee7i ro c\u1ee7a TNTC \u1edf bu\u1ed3ng tr\u1ee9ng t\u01b0\u01a1ng t\u1ef1 TNTC \u1edf v\u00f2i t\u1eed cung. Ch\u1ea9n \u0111o\u00e1n d\u1ef1a tr\u00ean m\u00f4 t\u1ea3 si\u00eau \u00e2m c\u1ed5 \u0111i\u1ec3n c\u1ee7a m\u1ed9t kh\u1ed1i u nang \u1edf bu\u1ed3ng tr\u1ee9ng c\u00f3 v\u00f2ng ngo\u00e0i m\u1ea1ch m\u00e1u t\u0103ng sinh. C\u1ea7n ph\u00e2n bi\u1ec7t TNTC \u1edf bu\u1ed3ng tr\u1ee9ng v\u1edbi nang ho\u00e0ng th\u1ec3 bu\u1ed3ng tr\u1ee9ng. \u0110i\u1ec1u tr\u1ecb c\u0169ng t\u01b0\u01a1ng t\u1ef1 nh\u01b0 thai ngo\u00e0i t\u1eed cung \u1edf v\u00f2i tr\u1ee9ng.<\/p>\n\n\n\n

          Thai ngo\u00e0i t\u1eed cung \u1edf s\u1eebng t\u1eed cung (\u0111o\u1ea1n k\u1ebd)<\/h3>\n\n\n\n

          L\u00e0 kh\u1ed1i thai ngo\u00e0i t\u1eed cung \u1edf v\u1ecb tr\u00ed s\u1eebng t\u1eed cung ngay v\u1ecb tr\u00ed b\u00e1m c\u1ee7a d\u00e2y ch\u1eb1ng tr\u00f2n. Th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n mu\u1ed9n h\u01a1n m\u1ed9t v\u00e0i tu\u1ea7n so v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p kh\u00e1c v\u00ec c\u01a1 t\u1eed cung c\u00f3 kh\u1ea3 n\u0103ng m\u1edf r\u1ed9ng t\u1ed1t h\u01a1n so v\u1edbi v\u00f2i t\u1eed cung. V\u1ee1 kh\u1ed1i thai th\u01b0\u1eddng x\u1ea3y ra \u1edf tu\u1ea7n th\u1ee9 8 \u0111\u1ebfn 16 tu\u1ea7n, g\u00e2y xu\u1ea5t huy\u1ebft \u1ed3 \u1ea1t v\u00e0 c\u00f3 th\u1ec3 ph\u1ea3i c\u1eaft b\u1ecf t\u1eed cung. T\u1ef7 l\u1ec7 t\u1eed vong cao kho\u1ea3ng 2,5%.<\/p>\n\n\n\n

          Thai ngo\u00e0i t\u1eed cung \u1edf c\u1ed5 t\u1eed cung<\/h3>\n\n\n\n

          T\u1ef7 l\u1ec7 m\u1eafc 1\/9.000 \u0111\u1ebfn 1\/12.000 tr\u01b0\u1eddng h\u1ee3p mang thai, khi no\u00e3n l\u00e0m t\u1ed5 trong ni\u00eam m\u1ea1c c\u1ed5 t\u1eed cung d\u01b0\u1edbi m\u1ee9c l\u1ed7 trong c\u1ed5 t\u1eed cung. Ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n:<\/p>\n\n\n\n

            \n
          • S\u1ef1 hi\u1ec7n di\u1ec7n c\u1ee7a c\u00e1c tuy\u1ebfn c\u1ed5 t\u1eed cung \u0111\u1ed1i di\u1ec7n v\u1ecb tr\u00ed b\u00e1m c\u1ee7a nhau thai.<\/li>\n\n\n\n
          • M\u1ed9t ph\u1ea7n ho\u1eb7c to\u00e0n b\u1ed9 nhau thai ph\u1ea3i n\u1eb1m b\u00ean d\u01b0\u1edbi l\u1ed1i v\u00e0o m\u1ea1ch t\u1eed cung.<\/li>\n<\/ul>\n\n\n\n

            \u0110i\u1ec1u tr\u1ecb: C\u1ea3 n\u1ed9i khoa v\u00e0 th\u1ee7 thu\u1eadt ph\u1eabu thu\u1eadt k\u1ebft h\u1ee3p \u0111\u1ec3 b\u1ea3o t\u1ed3n c\u1ed5 t\u1eed cung trong tr\u01b0\u1eddng h\u1ee3p mong mu\u1ed1n c\u00f3 kh\u1ea3 n\u0103ng sinh s\u1ea3n.<\/p>\n\n\n\n

            Thai ngo\u00e0i t\u1eed cung \u1edf trong \u1ed5 b\u1ee5ng<\/h3>\n\n\n\n

            T\u1ef7 l\u1ec7 mang thai TNTC trong \u1ed5 b\u1ee5ng \u01b0\u1edbc t\u00ednh t\u1eeb 1\/10.000 \u0111\u1ebfn 1\/25.000 ca mang thai. Mang thai trong \u1ed5 b\u1ee5ng c\u00f3 th\u1ec3 l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a vi\u1ec7c l\u00e0m t\u1ed5 l\u1ea7n \u0111\u1ea7u ti\u00ean tr\u00ean b\u1ec1 m\u1eb7t ph\u00fac m\u1ea1c ho\u1eb7c l\u00e0m t\u1ed5 l\u1ea7n th\u1ee9 hai do v\u1ee1 \u1ed1ng d\u1eabn tr\u1ee9ng ho\u1eb7c s\u1ea9y thai \u1edf \u1ed1ng d\u1eabn tr\u1ee9ng. C\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t hi\u1ec7n kh\u00e1c nhau tu\u1ef3 t\u1eebng v\u1ecb tr\u00ed. Ch\u1ea9n \u0111o\u00e1n ch\u1ee7 y\u1ebfu b\u1eb1ng si\u00eau \u00e2m.<\/p>\n\n\n\n

            \"M\u1eb9
            M\u1eb9 n\u00ean ch\u00fa \u00fd g\u00ec khi nghe ch\u1ea9n \u0111o\u00e1n? (Ngu\u1ed3n: Internet)<\/em><\/figcaption><\/figure>\n\n\n\n

            T\u1ef7 l\u00ea s\u1ed1ng s\u00f3t c\u1ee7a thai trong \u1ed5 b\u1ee5ng ch\u1ec9 x\u1ea3y ra trong 10% \u0111\u1ebfn 20% tr\u01b0\u1eddng h\u1ee3p, c\u00f3 t\u1edbi m\u1ed9t n\u1eeda s\u1ed1 thai s\u1ed1ng s\u00f3t b\u1ecb bi\u1ebfn d\u1ea1ng \u0111\u00e1ng k\u1ec3.<\/p>\n\n\n\n

            Ngu\u1eddi b\u1ec7nh s\u1ebd \u0111\u01b0\u1ee3c l\u1ef1a ch\u1ecdn ti\u1ebfp t\u1ee5c mang thai cho \u0111\u1ebfn khi thai nhi c\u00f3 kh\u1ea3 n\u0103ng s\u1ed1ng b\u1eb1ng ph\u1eabu thu\u1eadt sinh ho\u1eb7c ph\u1eabu thu\u1eadt ch\u1ea5m d\u1ee9t thai k\u1ef3 t\u1ea1i th\u1eddi \u0111i\u1ec3m ch\u1ea9n \u0111o\u00e1n. Trong c\u1ea3 2 tr\u01b0\u1eddng h\u1ee3p, vi\u1ec7c lo\u1ea1i b\u1ecf nhau thai th\u01b0\u1eddng kh\u00f4ng th\u1ef1c hi\u1ec7n v\u00ec nguy c\u01a1 xu\u1ea5t huy\u1ebft kh\u00f4ng ki\u1ec3m so\u00e1t \u0111\u01b0\u1ee3c. Cho ph\u00e9p nhau thai tho\u00e1i ho\u00e1 t\u1ef1 nhi\u00ean ho\u1eb7c c\u00f3 th\u1ec3 d\u00f9ng Methotrexate ho\u1eb7c thuy\u00ean t\u1eafc m\u1ea1ch.<\/p>\n\n\n\n

            Thai ngo\u00e0i t\u1eed cung \u1edf s\u1eb9o m\u1ed5 l\u1ea5y thai<\/h3>\n\n\n\n

            L\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ph\u00f4i thai ph\u00e1t tri\u1ec3n t\u1ea1i v\u1ebft s\u1eb9o m\u1ed5 l\u1ea5y thai c\u0169 v\u00e0 n\u00f3 c\u00f3 nguy c\u01a1 \u0111\u00e1ng k\u1ec3 v\u1ec1 b\u1ec7nh t\u1eadt nghi\u00eam tr\u1ecdng \u1edf m\u1eb9 do xu\u1ea5t huy\u1ebft \u1ed3 \u1ea1t. May m\u1eafn l\u00e0 t\u1ef7 l\u1ec7 thai l\u00e0m t\u1ed5 t\u1ea1i v\u1ebft m\u1ed5 c\u0169 kh\u00f4ng ph\u1ed5 bi\u1ebfn kho\u1ea3ng 1\/2000 ca mang thai.<\/p>\n\n\n\n

            Theo Godin 1997, ti\u00eau chu\u1ea9n ch\u1ea9n \u0111o\u00e1n thai l\u00e0m t\u1ed5 t\u1ea1i v\u1ebft m\u1ed5 c\u0169 g\u1ed3m:<\/p>\n\n\n\n

              \n
            • Khoang t\u1eed cung tr\u1ed1ng<\/li>\n\n\n\n
            • \u1ed0ng c\u1ed5 t\u1eed cung tr\u1ed1ng<\/li>\n\n\n\n
            • T\u00fai thai \u1edf ph\u1ea7n tr\u01b0\u1edbc c\u1ee7a eo t\u1eed cung<\/li>\n\n\n\n
            • S\u1ef1 v\u1eafng m\u1eb7t c\u1ee7a l\u1edbp c\u01a1 t\u1eed cung gi\u1eefa t\u00fai thai v\u00e0 b\u00e0ng quang<\/li>\n<\/ul>\n\n\n\n

              Hi\u1ec7n nay v\u1eabn ch\u01b0a c\u00f3 s\u1ef1 \u0111\u1ed3ng thu\u1eadn v\u1ec1 \u0111i\u1ec1u tr\u1ecb nh\u01b0ng c\u00f3 3 ph\u01b0\u01a1ng ph\u00e1p \u0111ang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng:<\/p>\n\n\n\n

                \n
              • D\u00f9ng Methotrexate c\u1ee5c b\u1ed9 ti\u00eam tr\u1ef1c ti\u1ebfp v\u00e0o kh\u1ed1i thai<\/li>\n\n\n\n
              • N\u1ed9i soi bu\u1ed3ng t\u1eed cung k\u1ebft h\u1ee3p n\u1ed9i soi \u1ed5 b\u1ee5ng<\/li>\n\n\n\n
              • C\u1eaft t\u1eed cung ho\u00e0n to\u00e0n \u1edf nh\u01b0ng ph\u1ee5 n\u1eef \u0111\u00e3 \u0111\u1ee7 con ho\u1eb7c xu\u1ea5t huy\u1ebft \u1ed3 \u1ea1t.<\/li>\n<\/ul>\n\n\n\n

                Tu\u1ef3 t\u1eebng ho\u00e0n c\u1ea3nh ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ec3 \u0111\u01b0a ra l\u1ef1a ch\u1ecdn \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n

                Thai ngo\u00e0i t\u1eed cung k\u1ebft h\u1ee3p thai trong t\u1eed cung<\/h3>\n\n\n\n

                T\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh tr\u01b0\u1edbc \u0111\u00e2y \u01b0\u1edbc t\u00ednh l\u00e0 1\/30.000 ca mang thai, tuy nhi\u00ean ng\u00e0y nay do c\u00f3 h\u1ed7 tr\u1ee3 sinh s\u1ea3n n\u00ean t\u1ef7 l\u1ec7 mang thai k\u1ebft h\u1ee3p t\u0103ng l\u00ean 1\/100 ca mang thai.<\/p>\n\n\n\n

                Ngo\u00e0i l\u1ef1a ch\u1ecdn ph\u1eabu thu\u1eadt qu\u1ea3n l\u00fd thai ngo\u00e0i t\u1eed cung v\u00e0 b\u1ea3o t\u1ed3n thai trong t\u1eed cung, li\u1ec7u ph\u00e1p n\u1ed9i khoa trong \u0111\u00f3 d\u00f9ng Kali clorua ti\u00eam v\u00e0o t\u00fai thai c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng.<\/p>\n\n\n\n

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

                  \n
                1. Ectopic Pregnancy, Williams Gynecology, Third Edition 3rd Edition, 2016<\/li>\n\n\n\n
                2. Ectopic Pregnancy, Beckmann and Ling\u2019s Obstetrics and Gynecology 8th ed, 2019<\/li>\n\n\n\n
                3. Ectopic Pregnancy, Cunningham and Gilstrap\u2019s Operative Obstetrics 3e<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

                  Thai ngo\u00e0i t\u1eed cung (TNTC) l\u00e0 nh\u1eefng tr\u01b0\u1eddng h\u1ee3p ph\u00f4i thai ph\u00e1t tri\u1ec3n \u1edf b\u1ea5t k\u1ef3 v\u1ecb tr\u00ed n\u00e0o ngo\u00e0i n\u1ed9i m\u1ea1c t\u1eed cung trong khoang bu\u1ed3ng t\u1eed cung. G\u1ea7n 95% thai ngo\u00e0i t\u1eed cung l\u00e0m t\u1ed5 \u1edf v\u00f2i t\u1eed cung. Trong \u0111\u00f3, thai ngo\u00e0i t\u1eed cung m\u1ed9t b\u00ean th\u01b0\u1eddng ph\u1ed5 bi\u1ebfn h\u01a1n, t\u1ef7 l\u1ec7 […]<\/p>\n","protected":false},"author":15,"featured_media":277040,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1293],"tags":[],"class_list":["post-277039","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-benh-vien-hoan-my-vinh___vi"],"acf":[],"_links":{"self":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277039","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/users\/15"}],"replies":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/comments?post=277039"}],"version-history":[{"count":1,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277039\/revisions"}],"predecessor-version":[{"id":305355,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/posts\/277039\/revisions\/305355"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media\/277040"}],"wp:attachment":[{"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/media?parent=277039"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/categories?post=277039"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/clients-previewhub.com\/hoanmy_wp\/wp-json\/wp\/v2\/tags?post=277039"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}