{"id":12708,"date":"2024-09-02T16:47:26","date_gmt":"2024-09-02T09:47:26","guid":{"rendered":"https:\/\/hcmc.staging.ivfphuongchau.com\/?p=12708"},"modified":"2024-09-02T20:41:10","modified_gmt":"2024-09-02T13:41:10","slug":"vo-sinh-nam-do-tac-ong-dan-tinh-va-giai-phap-tu-cac-bac-si-ivf-phuong-chau","status":"publish","type":"post","link":"https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/vo-sinh-nam-do-tac-ong-dan-tinh-va-giai-phap-tu-cac-bac-si-ivf-phuong-chau\/","title":{"rendered":"V\u00f4 sinh nam do t\u1eafc \u1ed1ng d\u1eabn tinh v\u00e0 gi\u1ea3i ph\u00e1p t\u1eeb c\u00e1c b\u00e1c s\u0129 IVF Ph\u01b0\u01a1ng Ch\u00e2u"},"content":{"rendered":"\n

V\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a Y h\u1ecdc hi\u1ec7n \u0111\u1ea1i \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 ra \u0111\u1eddi c\u1ee7a k\u1ef9 thu\u1eadt ICSI (ti\u00eam tinh tr\u00f9ng v\u00e0o b\u00e0o t\u01b0\u01a1ng tr\u1ee9ng). Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nam gi\u1edbi kh\u00f4ng c\u00f3 tinh tr\u00f9ng do t\u1eafc \u1ed1ng d\u1eabn tinh v\u1edbi s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng thu nh\u1eadn t\u1eeb ph\u1eabu thu\u1eadt \u0111\u00e3 mang \u0111\u1ebfn c\u01a1 h\u1ed9i c\u00f3 con t\u1eeb ch\u00ednh tinh tr\u00f9ng c\u1ee7a m\u00ecnh.<\/em><\/strong><\/p>\n\n\n\n

\"\"\/<\/figure>\n\n\n\n

 B\u1ec7nh v\u00f4 sinh x\u1ea3y ra trong kho\u1ea3ng 2% d\u00e2n s\u1ed1. Th\u00f4ng th\u01b0\u1eddng do hai nguy\u00ean nh\u00e2n: do tinh ho\u00e0n kh\u00f4ng s\u1ea3n xu\u1ea5t \u0111\u01b0\u1ee3c tinh tr\u00f9ng ho\u1eb7c tinh ho\u00e0n v\u1eabn s\u1ea3n xu\u1ea5t \u0111\u01b0\u1ee3c tinh tr\u00f9ng nh\u01b0ng \u0111\u01b0\u1eddng d\u1eabn tinh b\u1ecb t\u1eafc.<\/p>\n\n\n\n

N\u1ebfu nh\u01b0 tinh ho\u00e0n v\u1eabn sinh tinh b\u00ecnh th\u01b0\u1eddng nh\u01b0ng kh\u00f4ng c\u00f3 tinh tr\u00f9ng trong tinh d\u1ecbch c\u0169ng nh\u01b0 trong n\u01b0\u1edbc ti\u1ec3u sau xu\u1ea5t tinh, ng\u01b0\u1eddi ta g\u1ecdi l\u00e0 v\u00f4 sinh do t\u1eafc \u1ed1ng d\u1eabn tinh. Kho\u1ea3ng 10-15% nam gi\u1edbi b\u1ecb v\u00f4 sinh r\u01a1i v\u00e0o tr\u01b0\u1eddng h\u1ee3p n\u00e0y. Tr\u01b0\u1edbc \u0111\u00e2y nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u01b0\u1ee3c xem l\u00e0 v\u00f4 sinh kh\u00f4ng ch\u1eefa tr\u1ecb \u0111\u01b0\u1ee3c, \u0111\u1ec3 l\u00e0m cha nh\u1eefng b\u1ec7nh nh\u00e2n n\u00e0y \u0111\u01b0\u1ee3c khuy\u00ean xin con nu\u00f4i hay d\u00f9ng tinh tr\u00f9ng ng\u01b0\u1eddi cho \u0111\u1ec3 l\u00e0m th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m. Hi\u1ec7n nay c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u00e0y c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c b\u1eb1ng ph\u1eabu thu\u1eadt hay th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m v\u1edbi ph\u01b0\u01a1ng ph\u00e1p ICSI (Ti\u00eam tinh tr\u00f9ng v\u00e0o b\u00e0o t\u01b0\u01a1ng tr\u1ee9ng).<\/p>\n\n\n\n

NGUY\u00caN NH\u00c2N G\u00c2Y V\u00d4 SINH DO T\u1eaeC?<\/strong><\/p>\n\n\n\n

            V\u00f4 sinh do t\u1eafc c\u00f3 th\u1ec3 do b\u1ea9m sinh (kh\u00f4ng c\u00f3 \u1ed1ng d\u1eabn tinh…) hay do m\u1eafc ph\u1ea3i (do vi\u00eam nhi\u1ec5m hay ch\u1ea5n th\u01b0\u01a1ng g\u00e2y ra), c\u0169ng nh\u01b0 tr\u01b0\u1eddng h\u1ee3p th\u1eaft \u1ed1ng d\u1eabn tinh \u0111\u1ec3 tri\u1ec7t s\u1ea3n, mu\u1ed1n c\u00f3 con tr\u1edf l\u1ea1i.<\/p>\n\n\n\n

CH\u1ea8N \u0110O\u00c1N V\u00d4 SINH DO T\u1eaeC NH\u01af TH\u1ebe N\u00c0O?<\/strong><\/p>\n\n\n\n

Khi kh\u00e1m b\u1ec7nh, b\u00e1c s\u0129 s\u1ebd do th\u1ec3 t\u00edch tinh ho\u00e0n b\u1eb1ng th\u01b0\u1edbc Praeder. V\u00ec c\u00e1c \u1ed1ng sinh tinh v\u00e0 c\u00e1c t\u1ebf b\u00e0o m\u1ea7m chi\u1ebfm kho\u1ea3ng 90% th\u1ec3 t\u00edch tinh ho\u00e0n, n\u00ean s\u1ef1 gi\u1ea3m s\u1ed1 l\u01b0\u1ee3ng c\u00e1c t\u1ebf b\u00e0o n\u00e0y s\u1ebd bi\u1ec3u hi\u1ec7n b\u1eb1ng s\u1ef1 gi\u1ea3m r\u00f5 r\u1ec7t th\u1ec3 t\u00edch tinh ho\u00e0n hay teo tinh ho\u00e0n. Th\u1ec3 t\u00edch tinh ho\u00e0n \u1edf ng\u01b0\u1eddi Vi\u1ec7t Nam v\u00e0 ch\u00e2u \u00c1 l\u00e0 kho\u1ea3ng 12-20 ml. Ngo\u00e0i ra, b\u00e1c s\u0129 c\u00f2n kh\u00e1m xem m\u00e0o tinh c\u00f3 c\u0103ng to kh\u00f4ng, b\u1ec7nh nh\u00e2n c\u00f3 \u1ed1ng d\u1eabn tinh hay kh\u00f4ng.<\/p>\n\n\n\n

N\u00caN TH\u1ef0C HI\u1ec6N NH\u1eeeNG X\u00c9T NGHI\u1ec6M G\u00cc?<\/strong><\/p>\n\n\n\n

            – X\u00e9t nghi\u1ec7m n\u1ed9i ti\u1ebft sinh d\u1ee5c:<\/em> Bao g\u1ed3m \u0111\u1ecbnh l\u01b0\u1ee3ng c\u00e1c n\u1ed9i ti\u1ebft t\u1ed1 FSH, LH, testosterone, prolactin \u0111\u1ec3 gi\u00fap ph\u00e2n bi\u1ec7t v\u00f4 sinh do t\u1eafc hay v\u00f4 sinh do tinh ho\u00e0n kh\u00f4ng sinh tinh. N\u1ebfu n\u1ed3ng \u0111\u1ed9 FSH t\u0103ng cao ch\u1ee9ng t\u1ecf t\u00ednh ho\u00e0n gi\u1ea3m sinh tinh ho\u1eb7c kh\u00f4ng sinh tinh.<\/p>\n\n\n\n

Tuy nhi\u00ean, c\u00f3 m\u1ed9t s\u1ed1 tr\u01b0\u1eddng h\u1ee3p n\u1ed3ng \u0111\u1ed9 FSH v\u1eabn b\u00ecnh th\u01b0\u1eddng nh\u01b0ng tinh ho\u00e0n c\u0169ng kh\u00f4ng sinh tinh.<\/p>\n\n\n\n

          – Sinh thi\u1ebft tinh ho\u00e0n:<\/em> Hi\u1ec7n t\u1ea1i, sinh thi\u1ebft tinh ho\u00e0n gi\u00fap ph\u00e2n bi\u1ec7t gi\u1eefa v\u00f4 sinh do t\u1eafc v\u00e0 v\u00f4 tinh do tinh ho\u00e0n kh\u00f4ng s\u1ea3n xu\u1ea5t tinh tr\u00f9ng.<\/p>\n\n\n\n

            – Si\u00eau \u00e2m b\u00ecu:<\/em> kh\u00f4ng gi\u00fap \u0111\u01b0\u1ee3c nhi\u1ec1u trong v\u00f4 sinh do t\u1eafc, nh\u01b0ng c\u00f3 th\u1ec3 gi\u00fap ph\u00e1t hi\u1ec7n gi\u00e3n t\u0129nh m\u1ea1ch tinh, c\u00e1c tr\u01b0\u1eddng h\u1ee3p u tinh ho\u00e0n, tinh ho\u00e0n l\u1ea1c ch\u1ed7, nang m\u00e0o tinh v\u00e0 tr\u00e0n d\u1ecbch tinh m\u1ea1c.<\/p>\n\n\n\n

            – Si\u00eau \u00e2m qua tr\u1ef1c tr\u00e0ng:<\/em> gi\u00fap th\u1ea5y h\u00ecnh \u1ea3nh c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t, t\u00fai tinh, nang \u1ed1ng ph\u00f3ng tinh (n\u1ebfu c\u00f3); t\u1eeb \u0111\u00f3, gi\u00fap ch\u1ea9n \u0111o\u00e1n c\u00e1c nguy\u00ean nh\u00e2n b\u1ebf t\u1eafc do \u1ed1ng ph\u00f3ng tinh hay do b\u1ea5t s\u1ea3n b\u1ea9m sinh \u1ed1ng d\u1eabn tinh.<\/p>\n\n\n\n

            – Ph\u1eabu thu\u1eadt th\u00e1m s\u00e1t b\u00ecu: <\/em>gi\u00fap x\u00e1c \u0111\u1ecbnh nguy\u00ean nh\u00e2n g\u00e2y t\u1eafc, v\u1ecb tr\u00ed t\u1eafc. D\u1ef1a v\u00e0o \u0111\u00f3, n\u1ebfu ti\u00ean l\u01b0\u1ee3ng t\u1ed1t, b\u00e1c s\u0129 s\u1ebd ti\u1ebfn h\u00e0nh ph\u1eabu thu\u1eadt n\u1ed1i \u1ed1ng d\u1eabn tinh ph\u1ee5c h\u1ed3i s\u1ef1 \u201cth\u00f4ng th\u01b0\u01a1ng\u201d \u0111\u01b0\u1eddng d\u1eabn tinh.<\/p>\n\n\n\n

            – C\u00e1c x\u00e9t nghi\u1ec7m di truy\u1ec1n<\/em> nh\u1eb1m ph\u00e1t hi\u1ec7n c\u00e1c b\u1ea5t th\u01b0\u1eddng v\u1ec1 nhi\u1ec5m s\u1eafc th\u1ec3, vi m\u1ea5t \u0111o\u1ea1n nhi\u1ec5m s\u1eafc th\u1ec3 Y<\/em> (Y chromosome microdeletions) \u0110\u1ed9t bi\u1ebfn gen CFTR<\/em> (Cystic Fibrosis Transmembrance conductance Regulator) l\u00e0 nguy\u00ean nh\u00e2n th\u01b0\u1eddng g\u1eb7p c\u1ee7a v\u00f4 sinh do t\u1eafc b\u1ea9m sinh, g\u00e2y ra b\u1ea5t s\u1ea3n \u1ed1ng d\u1eabn tinh hai b\u00ean.<\/p>\n\n\n\n

L\u00c0M SAO \u0110\u1ec2 \u0110I\u1ec0U TR\u1eca V\u00d4 SINH DO T\u1eaeC?<\/strong><\/p>\n\n\n\n

N\u1ebfu v\u1ecb tr\u00ed t\u1eafc \u1edf t\u1ea1i tinh ho\u00e0n:<\/em> Do kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt n\u1ed1i th\u00f4ng \u0111\u01b0\u1eddng d\u1eabn tInh t\u1ea1i v\u1ecb tr\u00ed n\u00e0y, n\u00ean b\u1ec7nh nh\u00e2n ch\u1ec9 c\u00f3 th\u1ec3 c\u00f3 con b\u1eb1ng th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m v\u1edbi tinh tr\u00f9ng \u0111\u01b0\u1ee3c l\u1ea5y t\u1eeb tinh ho\u00e0n b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p ph\u00e2n l\u1eadp tinh tr\u00f9ng t\u1eeb m\u00f4 tinh ho\u00e0n (TESE = Testicular Sperm Extraction) hay vi ph\u1eabu tr\u00edch tinh tr\u00f9ng t\u1eeb m\u00f4 tinh ho\u00e0n (micro-TESE = microdissection Testicular Sperm Extraction)<\/p>\n\n\n\n

N\u1ebfu v\u1ecb tr\u00ed t\u1eafc t\u1ea1i m\u00e0o tinh:<\/em> Tr\u00edch tinh tr\u00f9ng t\u1eeb m\u00e0o tinh c\u00f3 th\u1ec3 b\u1eb1ng vi ph\u1eabu thu\u1eadt (MESA = Micro surgical Epididymal Sperm Aspiration) hay h\u00fat tinh tr\u00f9ng t\u1eeb m\u00e0o tinh qua da (PESA = Percutaneous Epididymal Sperm Aspiration). \u0110\u00e2y l\u00e0 bi\u1ec7n ph\u00e1p gi\u00fap nh\u1eefng b\u1ec7nh nh\u00e2n v\u00f4 sinh do b\u1ea5t s\u1ea3n \u1ed1ng d\u1eabn tinh hai b\u00ean, v\u00f4 sinh do t\u1eafc \u0111\u01b0\u1eddng d\u1eabn tinh m\u00e0 kh\u00f4ng th\u1ec3 ph\u1eabu thu\u1eadt n\u1ed1i \u0111\u01b0\u1ee3c. Th\u00f4ng th\u01b0\u1eddng, m\u1ed9t l\u1ea7n th\u1ef1c hi\u1ec7n MESA \u0111\u1ee7 cung c\u1ea5p tinh tr\u00f9ng cho nhi\u1ec1u l\u1ea7n th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m nh\u1edd tr\u1eef l\u1ea1nh,<\/p>\n\n\n\n

N\u1ebfu t\u1eafc \u0111o\u1ea1n \u1ed1ng d\u1eabn tinh n\u1eb1m trong b\u00ecu: \u0110\u00e2y<\/em> l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p b\u1ec7nh nh\u00e2n mu\u1ed1n c\u00f3 con l\u1ea1i sau khi \u0111\u00e3 tri\u1ec7t s\u1ea3n b\u1eb1ng c\u1ed9t \u1ed1ng d\u1eabn tinh. B\u00e1c s\u0129 s\u1ebd n\u1ed1i l\u1ea1i \u1ed1ng d\u1eabn tinh b\u1eb1ng vi ph\u1eabu thu\u1eadt. T\u1ef7 l\u1ec7 th\u00e0nh c\u00f4ng c\u00e0ng th\u1ea5p n\u1ebfu th\u1eddi gian c\u1ed9t c\u00e0ng l\u00e2u<\/p>\n\n\n\n

N\u1ebfu t\u1eafc \u1ed1ng d\u1eabn tinh trong b\u1ee5ng:<\/em> Kh\u00f4ng ph\u1eabu thu\u1eadt n\u1ed1i \u0111\u01b0\u1ee3c nh\u01b0ng b\u1ec7nh nh\u00e2n v\u1eabn c\u00f3 th\u1ec3 c\u00f3 con b\u1eb1ng th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m v\u1edbi tinh tr\u00f9ng tr\u00edch t\u1eeb tinh ho\u00e0n hay m\u00e0o tinh.<\/p>\n\n\n\n

N\u1ebfu t\u1eafc \u1edf \u1ed1ng ph\u00f3ng t\u00ednh:<\/em> C\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng c\u1eaft \u0111\u1ed1t n\u1ed9i soi \u1ed1ng ph\u00f3ng tinh. C\u00e1c bi\u1ebfn ch\u1ee9ng c\u1ee7a ph\u1eabu thu\u1eadt n\u00e0y l\u00e0 xu\u1ea5t tinh ng\u01b0\u1ee3c d\u00f2ng do t\u1ed5n th\u01b0\u01a1ng c\u1ed5 b\u00e0ng quang, ng\u01b0\u1ee3c d\u00f2ng n\u01b0\u1edbc ti\u1ec3u trong c\u00e1c \u1ed1ng tinh, t\u00fai tinh, \u1ed1ng d\u1eabn tinh, t\u1ed5n th\u01b0\u01a1ng tr\u1ef1c tr\u00e0ng, ti\u1ec3u kh\u00f4ng ki\u1ec3m so\u00e1t do t\u1ed5n th\u01b0\u01a1ng c\u01a1 v\u00f2ng v\u00e2n ni\u1ec7u \u0111\u1ea1o, t\u1ed5n th\u01b0\u01a1ng ni\u1ec7u \u0111\u1ea1o, r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng\u2026<\/p>\n\n\n\n

 T\u00d3M L\u1ea0I<\/strong><\/p>\n\n\n\n

Ng\u00e0y nay v\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a Y h\u1ecdc \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 ra \u0111\u1eddi c\u1ee7a k\u1ef9 thu\u1eadt ICSI (ti\u00eam tinh tr\u00f9ng v\u00e0o b\u00e0o t\u01b0\u01a1ng tr\u1ee9ng). Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nam gi\u1edbi kh\u00f4ng c\u00f3 tinh tr\u00f9ng do t\u1eafc \u1ed1ng d\u1eabn tinh v\u1edbi s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng thu nh\u1eadn t\u1eeb ph\u1eabu thu\u1eadt \u0111\u00e3 gi\u00fap cho nh\u1eefng ng\u01b0\u1eddi nam gi\u1edbi n\u00e0y c\u00f3 c\u01a1 h\u1ed9i c\u00f3 con t\u1eeb ch\u00ednh tinh tr\u00f9ng c\u1ee7a m\u00ecnh.<\/p>\n","protected":false},"excerpt":{"rendered":"

V\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a Y h\u1ecdc hi\u1ec7n \u0111\u1ea1i \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 ra \u0111\u1eddi c\u1ee7a k\u1ef9 thu\u1eadt ICSI (ti\u00eam tinh tr\u00f9ng v\u00e0o b\u00e0o t\u01b0\u01a1ng tr\u1ee9ng). Nh\u1eefng tr\u01b0\u1eddng h\u1ee3p nam gi\u1edbi kh\u00f4ng c\u00f3 tinh tr\u00f9ng do t\u1eafc \u1ed1ng d\u1eabn tinh v\u1edbi s\u1ed1 l\u01b0\u1ee3ng tinh tr\u00f9ng thu nh\u1eadn t\u1eeb ph\u1eabu thu\u1eadt \u0111\u00e3 mang \u0111\u1ebfn c\u01a1 h\u1ed9i […]<\/p>\n","protected":false},"author":1,"featured_media":12741,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[289],"tags":[],"class_list":["post-12708","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cam-nang-suc-khoe"],"aioseo_notices":[],"yoast_head":"\nV\u00f4 sinh nam do t\u1eafc \u1ed1ng d\u1eabn tinh v\u00e0 gi\u1ea3i ph\u00e1p t\u1eeb c\u00e1c b\u00e1c s\u0129 IVF Ph\u01b0\u01a1ng Ch\u00e2u - IVF Ph\u01b0\u01a1ng Ch\u00e2u S\u00e0i G\u00f2n<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/dev2ivf26.mekosoft.vn\/sai-gon\/vo-sinh-nam-do-tac-ong-dan-tinh-va-giai-phap-tu-cac-bac-si-ivf-phuong-chau\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"V\u00f4 sinh nam do t\u1eafc \u1ed1ng d\u1eabn tinh v\u00e0 gi\u1ea3i ph\u00e1p t\u1eeb c\u00e1c b\u00e1c s\u0129 IVF Ph\u01b0\u01a1ng Ch\u00e2u - IVF Ph\u01b0\u01a1ng Ch\u00e2u S\u00e0i G\u00f2n\" \/>\n<meta property=\"og:description\" content=\"V\u1edbi s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a Y h\u1ecdc hi\u1ec7n \u0111\u1ea1i \u0111\u1eb7c bi\u1ec7t l\u00e0 s\u1ef1 ra \u0111\u1eddi c\u1ee7a k\u1ef9 thu\u1eadt ICSI (ti\u00eam tinh tr\u00f9ng v\u00e0o b\u00e0o t\u01b0\u01a1ng tr\u1ee9ng). 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