{"id":495,"date":"2026-03-11T23:29:03","date_gmt":"2026-03-11T23:29:03","guid":{"rendered":"https:\/\/thuoc115.com\/suckhoe\/?p=495"},"modified":"2026-03-11T23:48:32","modified_gmt":"2026-03-11T23:48:32","slug":"nghien-cuu-dieu-tri-phi-dai-tuyen-tien-liet-bang-thao-duoc","status":"publish","type":"post","link":"https:\/\/thuoc115.com\/suckhoe\/nghien-cuu-dieu-tri-phi-dai-tuyen-tien-liet-bang-thao-duoc\/","title":{"rendered":"Nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c"},"content":{"rendered":"\n<p><strong>1. GI\u1edaI THI\u1ec6U<\/strong><\/p>\n\n\n\n<p>Theo y h\u1ecdc c\u1ed5 truy\u1ec1n, ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t \u0111a s\u1ed1 \u1edf th\u1ec3 th\u1eadn d\u01b0\u01a1ng h\u01b0, chi\u1ebfm t\u1edbi 50% s\u1ed1 b\u1ec7nh nh\u00e2n tr\u00ean l\u00e2m s\u00e0ng. Th\u1ec3 th\u1ec3 \u0111\u00e0m th\u1ea5p \u2013 th\u1ee7y \u1ea9m chi\u1ebfm kho\u1ea3ng 35% v\u00e0 c\u00f2n l\u1ea1i l\u00e0 th\u1ec3 th\u1eadn \u00e2m h\u01b0 v\u00e0 c\u00e1c th\u1ec3 kh\u00e1c li\u00ean quan.<\/p>\n\n\n\n<p>Huy\u1ec7t quan tr\u1ecdng nh\u1ea5t trong ch\u00e2m c\u1ee9u ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0 trung li\u00eau, \u0111\u1ed1i sang ph\u00eda b\u1ee5ng l\u00e0 quan nguy\u00ean, trung c\u1ef1c (m\u1ed9 huy\u1ec7t kinh b\u00e0ng quang). C\u00e1c huy\u1ec7t ph\u1ee5 th\u00eam l\u00e0 th\u1ee7y \u0111\u1ea1o ho\u1eb7c quy lai h\u01b0\u1edbng m\u0169i kim v\u1ec1 kh\u00ed xung n\u1ebfu ch\u00e2m ng\u1eeda b\u1ee5ng<\/p>\n\n\n\n<p>Ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0nh t\u00ednh l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 r\u1ea5t ph\u1ed5 bi\u1ebfn \u1edf nam gi\u1edbi trung ni\u00ean v\u00e0 cao tu\u1ed5i. Theo th\u1ed1ng k\u00ea, t\u1ef7 l\u1ec7 m\u1eafc b\u1ec7nh \u1edf nam gi\u1edbi tr\u00ean 50 tu\u1ed5i kho\u1ea3ng 40%, trong khi \u1edf nam gi\u1edbi tr\u00ean 80 tu\u1ed5i t\u1ef7 l\u1ec7 n\u00e0y tr\u00ean 90%. Khi tuy\u1ebfn ti\u1ec1n li\u1ec7t ph\u00ec \u0111\u1ea1i g\u00e2y ch\u00e8n \u00e9p ni\u1ec7u \u0111\u1ea1o ho\u1eb7c th\u00e0nh b\u00e0ng quang, b\u1ec7nh nh\u00e2n th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi nh\u01b0: ti\u1ec3u kh\u00f3 kh\u1edfi \u0111\u1ea7u, d\u00f2ng ti\u1ec3u y\u1ebfu v\u00e0 gi\u1ea3m, ti\u1ec3u ng\u1eaft qu\u00e3ng, c\u1ea3m gi\u00e1c ti\u1ec3u kh\u00f4ng h\u1ebft, nh\u1ecf gi\u1ecdt sau khi ti\u1ec3u, ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u \u0111\u00eam, ti\u1ec3u g\u1ea5p v\u00e0 ti\u1ec3u \u0111au. Nh\u1eefng tri\u1ec7u ch\u1ee9ng n\u00e0y \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh, \u0111\u1ed3ng th\u1eddi r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng c\u0169ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi.<\/p>\n\n\n\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i bao g\u1ed3m d\u00f9ng thu\u1ed1c (nh\u01b0 thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 alpha-1) v\u00e0 ph\u1eabu thu\u1eadt (nh\u01b0 c\u1eaft tuy\u1ebfn ti\u1ec1n li\u1ec7t qua ni\u1ec7u \u0111\u1ea1o). Tuy nhi\u00ean, c\u00e1c ph\u01b0\u01a1ng ph\u00e1p n\u00e0y c\u00f3 th\u1ec3 \u0111i k\u00e8m nguy c\u01a1 r\u1ed1i lo\u1ea1n xu\u1ea5t tinh ho\u1eb7c r\u1ed1i lo\u1ea1n c\u01b0\u01a1ng d\u01b0\u01a1ng. V\u00ec v\u1eady, m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t t\u00ecm \u0111\u1ebfn c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb thay th\u1ebf ho\u1eb7c h\u1ed7 tr\u1ee3.<\/p>\n\n\n\n<p>\u0110i\u1ec1u tr\u1ecb h\u00e0ng \u0111\u1ea7u cho ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t hi\u1ec7n nay l\u00e0 c\u00e1c thu\u1ed1c ch\u1eb9n \u03b11 nh\u01b0 doxazosin v\u00e0 tamsulosin. C\u00e1c thu\u1ed1c n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng l\u00e0m gi\u00e3n c\u01a1 tr\u01a1n c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 c\u1ed5 b\u00e0ng quang, t\u1eeb \u0111\u00f3 gi\u1ea3m s\u1ee9c c\u1ea3n c\u1ee7a ni\u1ec7u \u0111\u1ea1o v\u00e0 c\u1ea3i thi\u1ec7n tri\u1ec7u ch\u1ee9ng ti\u1ec3u ti\u1ec7n. Tuy nhi\u00ean, nh\u00f3m thu\u1ed1c n\u00e0y thu\u1ed9c nh\u00f3m t\u00e1c \u0111\u1ed9ng th\u1ea7n kinh v\u00e0 kh\u00f4ng c\u00f3 kh\u1ea3 n\u0103ng l\u00e0m gi\u1ea3m k\u00edch th\u01b0\u1edbc th\u1ef1c s\u1ef1 c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n<p>M\u1ed9t nh\u00f3m thu\u1ed1c kh\u00e1c l\u00e0 c\u00e1c thu\u1ed1c \u1ee9c ch\u1ebf 5-alpha reductase nh\u01b0 finasteride v\u00e0 dutasteride. B\u1eb1ng c\u00e1ch \u1ee9c ch\u1ebf enzym 5-alpha reductase, ch\u00fang l\u00e0m gi\u1ea3m s\u1ef1 s\u1ea3n xu\u1ea5t dihydrotestosterone, ch\u1ea5t \u0111\u01b0\u1ee3c cho l\u00e0 k\u00edch th\u00edch ch\u00ednh g\u00e2y t\u0103ng sinh tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n<p><strong>Gi\u1ea3i ph\u00e1p \u0111\u00f4ng y<\/strong><\/p>\n\n\n\n<p>C\u00f4ng th\u1ee9c b\u00e0i thu\u1ed1c<\/p>\n\n\n\n<p>https:\/\/docs.google.com\/spreadsheets\/d\/1I8axzEbUhi2LZHjKd2jdLWIzpAUhchMGzMFutHPghIM\/edit?gid=1325505309#gid=1325505309<\/p>\n\n\n\n<p>Theo h\u01b0\u1edbng d\u1eabn ch\u1ea9n \u0111o\u00e1n v\u00e0 \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t, <strong>Thang \u0111i\u1ec3m tri\u1ec7u ch\u1ee9ng tuy\u1ebfn ti\u1ec1n li\u1ec7t qu\u1ed1c t\u1ebf (IPSS)<\/strong> l\u00e0 m\u1ed9t ch\u1ec9 s\u1ed1 r\u1ea5t quan tr\u1ecdng \u0111\u1ed1i v\u1edbi b\u1ec7nh nh\u00e2n. Khi \u0111i\u1ec3m IPSS c\u1ee7a b\u1ec7nh nh\u00e2n &lt;7, khuy\u1ebfn c\u00e1o ch\u1ec9 c\u1ea7n theo d\u00f5i \u0111\u1ecbnh k\u1ef3 v\u00e0 ch\u0103m s\u00f3c h\u1ed7 tr\u1ee3. Tuy nhi\u00ean, n\u1ebfu \u0111i\u1ec3m IPSS &gt;8, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o m\u1ea1nh m\u1ebd n\u00ean th\u1ef1c hi\u1ec7n th\u00eam c\u00e1c x\u00e9t nghi\u1ec7m ni\u1ec7u \u0111\u1ed9ng h\u1ecdc v\u00e0 \u0111\u00e1nh gi\u00e1 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 sau khi ti\u1ec3u b\u1eb1ng si\u00eau \u00e2m.<\/p>\n\n\n\n<p>C\u00e1c b\u1ec7nh nh\u00e2n tham gia nghi\u00ean c\u1ee9u n\u00e0y \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u \u0111i\u1ec1n c\u00e1c b\u1ea3ng c\u00e2u h\u1ecfi bao g\u1ed3m: <strong>b\u1ea3ng c\u00e2u h\u1ecfi IPSS<\/strong>, <strong>thang \u0111i\u1ec3m tri\u1ec7u ch\u1ee9ng nam gi\u1edbi l\u00e3o h\u00f3a (AMS)<\/strong>, <strong>ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng c\u01b0\u01a1ng d\u01b0\u01a1ng qu\u1ed1c t\u1ebf (IIEF)<\/strong> v\u00e0 <strong>b\u1ea3ng c\u00e2u h\u1ecfi th\u1ec3 ch\u1ea5t (BCQ)<\/strong> tr\u01b0\u1edbc khi b\u1eaft \u0111\u1ea7u nghi\u00ean c\u1ee9u, v\u00e0o tu\u1ea7n th\u1ee9 4 v\u00e0 sau khi ho\u00e0n th\u00e0nh li\u1ec7u tr\u00ecnh \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c \u1edf tu\u1ea7n th\u1ee9 8.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, nghi\u00ean c\u1ee9u c\u00f2n s\u1eed d\u1ee5ng <strong>\u0111o l\u01b0u l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u (uroflowmetry \u2013 UFR)<\/strong> v\u00e0 <strong>si\u00eau \u00e2m<\/strong> \u0111\u1ec3 \u0111\u00e1nh gi\u00e1 s\u1ef1 thay \u0111\u1ed5i c\u1ee7a <strong>t\u1ed1c \u0111\u1ed9 d\u00f2ng ti\u1ec3u<\/strong> v\u00e0 <strong>th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 sau ti\u1ec3u (PVR)<\/strong> t\u1eeb th\u1eddi \u0111i\u1ec3m ban \u0111\u1ea7u \u0111\u1ebfn khi k\u1ebft th\u00fac \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>2.<strong>K\u1ebft qu\u1ea3 nghi\u00ean c\u1ee9u<\/strong><\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 ch\u00ednh c\u1ee7a nghi\u00ean c\u1ee9u l\u00e0 s\u1ef1 gi\u1ea3m c\u00f3 \u00fd ngh\u0129a c\u1ee7a <strong>\u0111i\u1ec3m IPSS trung b\u00ecnh<\/strong> v\u00e0 <strong>\u0111i\u1ec3m AMS trung b\u00ecnh<\/strong> sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 ph\u1ee5 bao g\u1ed3m <strong>s\u1ef1 t\u0103ng c\u1ee7a l\u01b0u l\u01b0\u1ee3ng d\u00f2ng ti\u1ec3u trung b\u00ecnh<\/strong> v\u00e0 <strong>s\u1ef1 gi\u1ea3m c\u1ee7a th\u1ec3 t\u00edch n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 trung b\u00ecnh sau khi ti\u1ec3u (PVR)<\/strong> sau \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 b\u1eadc ba l\u00e0 <strong>s\u1ef1 thay \u0111\u1ed5i \u0111i\u1ec3m trung b\u00ecnh c\u1ee7a b\u1ea3ng c\u00e2u h\u1ecfi th\u1ec3 ch\u1ea5t (BCQ)<\/strong> v\u00e0 <strong>s\u1ef1 gia t\u0103ng r\u00f5 r\u1ec7t c\u1ee7a \u0111i\u1ec3m trung b\u00ecnh ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng c\u01b0\u01a1ng d\u01b0\u01a1ng qu\u1ed1c t\u1ebf (IIEF)<\/strong> sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c.<\/p>\n\n\n\n<p><strong>C\u1ee1 m\u1eabu v\u00e0 ph\u00e2n t\u00edch th\u1ed1ng k\u00ea<\/strong><\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch b\u1eb1ng ph\u1ea7n m\u1ec1m <strong>SPSS phi\u00ean b\u1ea3n 12.0<\/strong>. D\u1eef li\u1ec7u c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb ch\u1ee7 y\u1ebfu \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch b\u1eb1ng <strong>ki\u1ec3m \u0111\u1ecbnh Wilcoxon signed-rank<\/strong>, ngo\u1ea1i tr\u1eeb c\u00e1c thay \u0111\u1ed5i v\u1ec1 th\u1ec3 ch\u1ea5t theo <strong>BCQ<\/strong> \u0111\u01b0\u1ee3c ph\u00e2n t\u00edch b\u1eb1ng <strong>ki\u1ec3m \u0111\u1ecbnh McNemar<\/strong>.<\/p>\n\n\n\n<p>Gi\u00e1 tr\u1ecb <strong>p &lt; 0,05<\/strong> \u0111\u01b0\u1ee3c xem l\u00e0 c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea.<\/p>\n\n\n\n<p><strong>3. K\u1ebeT QU\u1ea2<\/strong><\/p>\n\n\n\n<p>T\u1ed5ng c\u1ed9ng c\u00f3 20 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c s\u00e0ng l\u1ecdc v\u00e0 ho\u00e0n to\u00e0n \u0111\u00e1p \u1ee9ng c\u00e1c ti\u00eau chu\u1ea9n l\u1ef1a ch\u1ecdn. Tuy nhi\u00ean, m\u1ed9t b\u1ec7nh nh\u00e2n kh\u00f4ng quay l\u1ea1i ph\u00f2ng kh\u00e1m sau khi nh\u1eadn \u0111\u01a1n thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c l\u1ea7n \u0111\u1ea7u, trong khi m\u1ed9t b\u1ec7nh nh\u00e2n kh\u00e1c r\u00fat kh\u1ecfi nghi\u00ean c\u1ee9u do c\u1ea3m th\u1ea5y m\u1ec7t m\u1ecfi sau khi d\u00f9ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c trong 4 tu\u1ea7n.<\/p>\n\n\n\n<p>Ng\u00e0y b\u1ec7nh nh\u00e2n \u0111\u1ea7u ti\u00ean \u0111\u01b0\u1ee3c ghi nh\u1eadn tham gia nghi\u00ean c\u1ee9u l\u00e0 <strong>26 th\u00e1ng 4 n\u0103m 2018<\/strong>, v\u00e0 ng\u00e0y ho\u00e0n t\u1ea5t thu th\u1eadp d\u1eef li\u1ec7u c\u1ee7a b\u1ec7nh nh\u00e2n cu\u1ed1i c\u00f9ng l\u00e0 <strong>12 th\u00e1ng 11 n\u0103m 2018<\/strong>.<\/p>\n\n\n\n<p>Tu\u1ed5i trung b\u00ecnh c\u1ee7a c\u00e1c b\u1ec7nh nh\u00e2n trong nghi\u00ean c\u1ee9u l\u00e0 <strong>70,2 \u00b1 9,6 tu\u1ed5i<\/strong>.<\/p>\n\n\n\n<p><strong>Harnalidge (tamsulosin)<\/strong> l\u00e0 lo\u1ea1i thu\u1ed1c t\u00e2y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn nh\u1ea5t k\u1ebft h\u1ee3p v\u1edbi thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c trong nghi\u00ean c\u1ee9u n\u00e0y.<\/p>\n\n\n\n<p><strong>B\u1ea3ng 2.<\/strong><br><strong>Th\u1ed1ng k\u00ea m\u00f4 t\u1ea3 c\u00e1c \u0111\u1eb7c \u0111i\u1ec3m ban \u0111\u1ea7u (n = 20)<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Ch\u1ec9 s\u1ed1<\/th><th>Gi\u00e1 tr\u1ecb<\/th><\/tr><\/thead><tbody><tr><td>Tu\u1ed5i, n\u0103m<\/td><td>70,20 \u00b1 9,57<\/td><\/tr><tr><td>Chi\u1ec1u cao, cm<\/td><td>164,61 \u00b1 4,49<\/td><\/tr><tr><td>C\u00e2n n\u1eb7ng, kg<\/td><td>63,70 \u00b1 6,98<\/td><\/tr><tr><td>BMI, kg\/m\u00b2<\/td><td>23,6 \u00b1 2,14<\/td><\/tr><tr><td>Th\u1ec3 t\u00edch tuy\u1ebfn ti\u1ec1n li\u1ec7t, cm\u00b3<\/td><td>42,48 \u00b1 18,88<\/td><\/tr><tr><td>N\u1ed3ng \u0111\u1ed9 PSA, ng\/mL<\/td><td>4,81 \u00b1 2,73<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>BMI = Ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3; PSA = kh\u00e1ng nguy\u00ean \u0111\u1eb7c hi\u1ec7u tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n<p><strong>B\u1ea3ng 3.<\/strong><br><strong>C\u00e1c thu\u1ed1c t\u00e2y \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p t\u1ea1i th\u1eddi \u0111i\u1ec3m ban \u0111\u1ea7u (n = 20)<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>T\u00ean thu\u1ed1c v\u00e0 li\u1ec1u d\u00f9ng<\/th><th>S\u1ed1 ng\u01b0\u1eddi (n)<\/th><th>T\u1ef7 l\u1ec7, %<\/th><\/tr><\/thead><tbody><tr><td><strong>Thu\u1ed1c \u0111\u1ed1i kh\u00e1ng \u03b11-adrenergic<\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>Harnalidge (tamsulosin) 0,4 mg<\/td><td>9<\/td><td>45<\/td><\/tr><tr><td>Doxaben (doxazosin) 4 mg<\/td><td>3<\/td><td>15<\/td><\/tr><tr><td>Dophilin (doxazosin) 2 mg<\/td><td>5<\/td><td>25<\/td><\/tr><tr><td>Urief (silodosin) 4 mg<\/td><td>2<\/td><td>10<\/td><\/tr><tr><td>Telowsin (terazosin) 2 mg<\/td><td>1<\/td><td>5<\/td><\/tr><tr><td><strong>Thu\u1ed1c \u1ee9c ch\u1ebf 5\u03b1-reductase<\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>Proscar (finasteride) 5 mg<\/td><td>1<\/td><td>5<\/td><\/tr><tr><td>Avodart (dutasteride) 0,5 mg<\/td><td>1<\/td><td>5<\/td><\/tr><tr><td><strong>Thu\u1ed1c cholinergic<\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>Wecoli (bethanechol) 25 mg<\/td><td>1<\/td><td>5<\/td><\/tr><tr><td><strong>Kh\u00e1c<\/strong><\/td><td><\/td><td><\/td><\/tr><tr><td>Minirin (desmopressin) 0,1 mg<\/td><td>1<\/td><td>5<\/td><\/tr><tr><td>Rowapraxin (pipoxolan) 10 mg<\/td><td>3<\/td><td>15<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Theo k\u1ebft qu\u1ea3 <strong>BCQ<\/strong>, trong s\u1ed1 19 b\u1ec7nh nh\u00e2n d\u00f9ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c, c\u00f3 <strong>9 b\u1ec7nh nh\u00e2n (47,4%)<\/strong> c\u00f3 <strong>th\u1ec3 d\u01b0\u01a1ng h\u01b0<\/strong> tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb, v\u00e0 con s\u1ed1 n\u00e0y t\u0103ng l\u00ean <strong>10\/19 b\u1ec7nh nh\u00e2n (52,6%)<\/strong> sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c (p = 1,00).<\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi <strong>th\u1ec3 \u00e2m h\u01b0<\/strong>, c\u00f3 <strong>14 b\u1ec7nh nh\u00e2n (73,7%)<\/strong> tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c v\u00e0 <strong>12 b\u1ec7nh nh\u00e2n (63,2%)<\/strong> sau khi \u0111i\u1ec1u tr\u1ecb (p = 0,63).<\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi <strong>th\u1ec3 \u0111\u00e0m th\u1ea5p \u2013 th\u1ee7y \u1ea9m<\/strong>, c\u00f3 <strong>7 b\u1ec7nh nh\u00e2n (36,8%)<\/strong> tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb v\u00e0 <strong>6 b\u1ec7nh nh\u00e2n (31,6%)<\/strong> sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c (p = 1,00).<\/p>\n\n\n\n<p>Trong <strong>44 m\u1ee5c c\u1ee7a b\u1ea3ng c\u00e2u h\u1ecfi BCQ<\/strong>, m\u1ee5c s\u1ed1 <strong>26<\/strong> l\u00e0: <em>\u201cT\u00f4i c\u00f3 tri\u1ec7u ch\u1ee9ng kh\u00e1t nhi\u1ec1u, kh\u00f4 mi\u1ec7ng v\u00e0 m\u00f4i n\u1ee9t n\u1ebb.\u201d<\/em> \u0110i\u1ec3m trung b\u00ecnh c\u1ee7a m\u1ee5c n\u00e0y tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c l\u00e0 <strong>2<\/strong>, trong khi \u0111i\u1ec3m trung b\u00ecnh sau \u0111i\u1ec1u tr\u1ecb l\u00e0 <strong>1,63<\/strong>. \u0110i\u1ec1u n\u00e0y cho th\u1ea5y <strong>c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea gi\u1eefa \u0111i\u1ec3m s\u1ed1 tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb<\/strong> (p = 0,01)<\/p>\n\n\n\n<p><strong>B\u1ea3ng 4.<\/strong><br><strong>Th\u1ec3 ch\u1ea5t c\u1ee7a b\u1ec7nh nh\u00e2n tr\u01b0\u1edbc v\u00e0 sau khi d\u00f9ng c\u00f4ng th\u1ee9c thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th>Th\u1ec3 ch\u1ea5t<\/th><th>S\u1ed1 b\u1ec7nh nh\u00e2n<\/th><th>Tr\u01b0\u1edbc khi d\u00f9ng CHM<\/th><th>Sau khi d\u00f9ng CHM<\/th><th>p<\/th><\/tr><\/thead><tbody><tr><td><\/td><td>n<\/td><td>n (%)<\/td><td>n (%)<\/td><td><\/td><\/tr><tr><td>Th\u1ec3 d\u01b0\u01a1ng h\u01b0<\/td><td>19<\/td><td>9 (47,37)<\/td><td>10 (52,63)<\/td><td>1,00<\/td><\/tr><tr><td>Th\u1ec3 \u00e2m h\u01b0<\/td><td>19<\/td><td>14 (73,68)<\/td><td>12 (63,16)<\/td><td>0,63<\/td><\/tr><tr><td>Th\u1ec3 \u0111\u00e0m th\u1ea5p \u2013 th\u1ee7y \u1ea9m<\/td><td>19<\/td><td>7 (36,84)<\/td><td>6 (31,58)<\/td><td>1,00<br><\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<p>Kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea trong k\u1ebft qu\u1ea3 x\u00e9t nghi\u1ec7m t\u1ed1c \u0111\u1ed9 d\u00f2ng ti\u1ec3u (UFR) tr\u01b0\u1edbc v\u00e0 sau khi \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c Trung y (CHM) (B\u1ea3ng 5). Tuy nhi\u00ean, c\u00e1c \u0111o \u0111\u1ea1c b\u1eb1ng si\u00eau \u00e2m v\u1ec1 l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 sau khi ti\u1ec3u (PVR) cho th\u1ea5y c\u00f3 s\u1ef1 gi\u1ea3m sau khi b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng CHM.<\/p>\n\n\n\n<p>C\u1ee5 th\u1ec3:<\/p>\n\n\n\n<p>PVR trung b\u00ecnh tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb CHM l\u00e0 52,9 \u00b1 48,7 mL.<\/p>\n\n\n\n<p>PVR trung b\u00ecnh sau \u0111i\u1ec1u tr\u1ecb CHM l\u00e0 30,8 \u00b1 40,1 mL.<\/p>\n\n\n\n<p>Ngo\u00e0i ra, s\u1ed1 b\u1ec7nh nh\u00e2n c\u00f3 PVR &gt; 50 mL \u0111\u00e3 gi\u1ea3m t\u1eeb 8 ng\u01b0\u1eddi xu\u1ed1ng c\u00f2n 3 ng\u01b0\u1eddi, cho th\u1ea5y xu h\u01b0\u1edbng c\u1ea3i thi\u1ec7n chung. Tuy nhi\u00ean, c\u00e1c gi\u00e1 tr\u1ecb p t\u01b0\u01a1ng \u1ee9ng l\u00e0 0,07 v\u00e0 0,06, n\u00ean ch\u01b0a \u0111\u1ea1t \u00fd ngh\u0129a th\u1ed1ng k\u00ea (B\u1ea3ng 6).<\/p>\n\n\n\n<p>Nh\u00ecn chung, b\u1ec7nh nh\u00e2n c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t v\u1ec1 \u0111i\u1ec3m s\u1ed1 IPSS.<\/p>\n\n\n\n<p>\u0110i\u1ec3m IPSS t\u1ed5ng trung b\u00ecnh tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb l\u00e0 17,5 \u00b1 5,3.<\/p>\n\n\n\n<p>Sau \u0111i\u1ec1u tr\u1ecb l\u00e0 15,0 \u00b1 6,8.<\/p>\n\n\n\n<p>Nh\u01b0 v\u1eady gi\u1ea3m trung b\u00ecnh 2,5 \u0111i\u1ec3m, v\u00e0 c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea (p = 0,03).<\/p>\n\n\n\n<p>X\u00e9t c\u00e1c c\u00e2u h\u1ecfi c\u1ee5 th\u1ec3 trong b\u1ea3ng International Prostate Symptom Score:<\/p>\n\n\n\n<p>Tri\u1ec7u ch\u1ee9ng ti\u1ec3u kh\u00f4ng h\u1ebft (incomplete emptying)<\/p>\n\n\n\n<p>Tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb: 2,9 \u00b1 1,3<\/p>\n\n\n\n<p>Sau \u0111i\u1ec1u tr\u1ecb: 2,1 \u00b1 1,2<br>\u2192 Gi\u1ea3m 0,8 \u0111i\u1ec3m, c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea (p = 0,02).<\/p>\n\n\n\n<p>T\u1ed5ng \u0111i\u1ec3m nh\u00f3m tri\u1ec7u ch\u1ee9ng t\u1ed1ng ti\u1ec3u (voiding symptoms)<\/p>\n\n\n\n<p>Tr\u01b0\u1edbc \u0111i\u1ec1u tr\u1ecb: 10,1 \u00b1 3,6<\/p>\n\n\n\n<p>Sau \u0111i\u1ec1u tr\u1ecb: 8,4 \u00b1 4,2<br>\u2192 Gi\u1ea3m 1,7 \u0111i\u1ec3m, c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea (p = 0,02).<\/p>\n\n\n\n<p>C\u00e1c c\u00e2u h\u1ecfi kh\u00e1c trong b\u1ea3ng IPSS \u0111\u1ec1u cho th\u1ea5y xu h\u01b0\u1edbng c\u1ea3i thi\u1ec7n li\u00ean t\u1ee5c, tuy nhi\u00ean s\u1ef1 kh\u00e1c bi\u1ec7t tr\u01b0\u1edbc v\u00e0 sau \u0111i\u1ec1u tr\u1ecb ch\u01b0a \u0111\u1ea1t \u00fd ngh\u0129a th\u1ed1ng k\u00ea (B\u1ea3ng 7).<\/p>\n\n\n\n<p>N\u1ebfu nh\u00ecn d\u01b0\u1edbi g\u00f3c \u0111\u1ed9 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng c\u1ee7a \u0110\u00f4ng y, \u0111o\u1ea1n n\u00e0y cho th\u1ea5y m\u1ed9t \u0111i\u1ec1u kh\u00e1 th\u00fa v\u1ecb:<\/p>\n\n\n\n<p>PVR gi\u1ea3m m\u1ea1nh (~42%): 52.9 \u2192 30.8 mL<\/p>\n\n\n\n<p>IPSS gi\u1ea3m 2.5 \u0111i\u1ec3m<\/p>\n\n\n\n<p>Nh\u01b0ng v\u00ec m\u1eabu ch\u1ec9 c\u00f3 20 b\u1ec7nh nh\u00e2n n\u00ean nhi\u1ec1u ch\u1ec9 s\u1ed1 ch\u01b0a \u0111\u1ea1t p &lt; 0.05.<\/p>\n\n\n\n<p>C\u1ecd l\u00f9n, r\u1ec5 t\u1ea7m ma v\u00e0 b\u1ed3 c\u00f4ng anh l\u00e0 gi\u1ea3i ph\u00e1p b\u1ed5 sung v\u00e0o th\u00eam cho b\u00e0i thu\u1ed1c ban \u0111\u1ea7u cho c\u00e1c b\u1ec7nh nh\u00e2n n\u00e0y<\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi thang \u0111i\u1ec3m AMS, kh\u00f4ng ghi nh\u1eadn s\u1ef1 thay \u0111\u1ed5i c\u00f3 \u00fd ngh\u0129a th\u1ed1ng k\u00ea \u1edf c\u00e1c m\u1ee5c ri\u00eang l\u1ebb c\u1ee7a thang \u0111i\u1ec3m, ngo\u1ea1i tr\u1eeb c\u00e2u h\u1ecfi s\u1ed1 12, y\u00eau c\u1ea7u b\u1ec7nh nh\u00e2n t\u1ef1 \u0111\u00e1nh gi\u00e1 \u201cc\u1ea3m gi\u00e1c r\u1eb1ng m\u00ecnh \u0111\u00e3 qua th\u1eddi k\u1ef3 sung s\u1ee9c nh\u1ea5t\u201d, v\u1edbi thang \u0111i\u1ec3m tr\u1ea3 l\u1eddi t\u1eeb 1 \u0111\u1ebfn 5.<\/p>\n\n\n\n<p>\u1ede m\u1ee5c n\u00e0y, \u0111i\u1ec3m trung b\u00ecnh tr\u01b0\u1edbc khi d\u00f9ng thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c l\u00e0 2,7, trong khi \u0111i\u1ec3m trung b\u00ecnh sau khi d\u00f9ng thu\u1ed1c l\u00e0 2,1, t\u1ee9c gi\u1ea3m c\u00f3 \u00fd ngh\u0129a 0,6 \u0111i\u1ec3m (p = 0,02).<\/p>\n\n\n\n<p>\u0110\u1ed1i v\u1edbi ch\u1ec9 s\u1ed1 ch\u1ee9c n\u0103ng c\u01b0\u01a1ng d\u01b0\u01a1ng qu\u1ed1c t\u1ebf (IIEF), k\u1ebft qu\u1ea3 kh\u00e1 kh\u1ea3 quan ch oth\u1ea5y b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 sinh ho\u1ea1t t\u00ecnh d\u1ee5c tr\u1edf l\u1ea1i<\/p>\n\n\n\n<p>4. B\u00c0N LU\u1eacN<\/p>\n\n\n\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p y h\u1ecdc b\u1ed5 sung v\u00e0 thay th\u1ebf (CAM) th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong \u0111i\u1ec1u tr\u1ecb b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t. Trong v\u0103n h\u00f3a c\u1ee7a ng\u01b0\u1eddi da \u0111\u1ecf Nam M\u1ef9, c\u1ecd l\u00f9n (Saw palmetto) t\u1eeb l\u00e2u \u0111\u00e3 \u0111\u01b0\u1ee3c d\u00f9ng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh c\u1ee7a h\u1ec7 ti\u1ebft ni\u1ec7u nh\u01b0 vi\u00eam b\u00e0ng quang, vi\u00eam ni\u1ec7u \u0111\u1ea1o v\u00e0 vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t. Nhi\u1ec1u nghi\u00ean c\u1ee9u cho th\u1ea5y saw palmetto c\u00f3 kh\u1ea3 n\u0103ng \u1ee9c ch\u1ebf ho\u1ea1t t\u00ednh c\u1ee7a enzym 5-\u03b1 reductase m\u00e0 kh\u00f4ng g\u00e2y t\u00e1c d\u1ee5ng ph\u1ee5 v\u1ec1 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c. \u0110\u1ed3ng th\u1eddi, c\u0169ng c\u00f3 nhi\u1ec1u b\u1eb1ng ch\u1ee9ng cho th\u1ea5y Pygeum africanum v\u00e0 Secale cereale c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi (LUTS) \u1edf b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n<p>Tuy nhi\u00ean, nhi\u1ec1u nghi\u00ean c\u1ee9u h\u1ed3i c\u1ee9u \u0111\u00e3 ph\u00ea b\u00ecnh gi\u1ea3 thuy\u1ebft cho r\u1eb1ng c\u00e1c ph\u01b0\u01a1ng ph\u00e1p CAM c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n LUTS, cho r\u1eb1ng s\u1ed1 l\u01b0\u1ee3ng b\u1ec7nh nh\u00e2n trong c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng c\u00f2n qu\u00e1 \u00edt v\u00e0 quy tr\u00ecnh nghi\u00ean c\u1ee9u ch\u01b0a \u0111\u1ee7 ch\u1eb7t ch\u1ebd. Trong khi \u0111\u00f3, t\u1ea1i c\u00e1c qu\u1ed1c gia ch\u00e2u \u00c1, thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c Trung y (CHM) v\u00e0 c\u00e1c li\u1ec7u ph\u00e1p CAM l\u1ea1i l\u00e0 nh\u1eefng ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb kh\u00e1 ph\u1ed5 bi\u1ebfn cho ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t v\u00e0 th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 an to\u00e0n h\u01a1n, nh\u1eb9 nh\u00e0ng h\u01a1n, chi ph\u00ed th\u1ea5p h\u01a1n v\u00e0 \u00edt t\u00e1c d\u1ee5ng ph\u1ee5 h\u01a1n so v\u1edbi thu\u1ed1c t\u00e2y.<\/p>\n\n\n\n<p>C\u00e1c l\u00fd lu\u1eadn c\u1ee7a y h\u1ecdc c\u1ed5 truy\u1ec1n ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o \u0111i\u1ec1u h\u00f2a to\u00e0n th\u00e2n v\u00e0 tinh th\u1ea7n, v\u1edbi m\u1ee5c ti\u00eau c\u1ea3i thi\u1ec7n s\u1ee9c kh\u1ecfe theo c\u00e1ch t\u1ef1 nhi\u00ean v\u00e0 d\u1ec5 hi\u1ec3u. Thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c Trung y l\u00e0 m\u1ed9t nh\u00e1nh c\u1ee7a y h\u1ecdc c\u1ed5 truy\u1ec1n, v\u00e0 trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y, vi\u1ec7c s\u1eed d\u1ee5ng th\u1ea3o d\u01b0\u1ee3c Trung y \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u \u1edf nam gi\u1edbi \u0111\u00e3 thu h\u00fat s\u1ef1 quan t\u00e2m v\u00e0 th\u1ea3o lu\u1eadn r\u1ed9ng r\u00e3i tr\u00ean th\u1ebf gi\u1edbi.<\/p>\n\n\n\n<p>Trong y h\u1ecdc c\u1ed5 \u0111\u1ea1i Trung Qu\u1ed1c, kh\u00e1i ni\u1ec7m \u201cph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0nh t\u00ednh\u201d ch\u01b0a t\u1ed3n t\u1ea1i; thay v\u00e0o \u0111\u00f3 ng\u01b0\u1eddi ta d\u00f9ng thu\u1eadt ng\u1eef \u201cLong b\u1ebf\u201d \u0111\u1ec3 ch\u1ec9 c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 ti\u1ec3u kh\u00f3 v\u00e0 b\u00ed ti\u1ec3u. C\u00e1c l\u00fd lu\u1eadn li\u00ean quan c\u00f3 th\u1ec3 truy nguy\u00ean t\u1eeb Ho\u00e0ng \u0110\u1ebf N\u1ed9i Kinh, trong \u0111\u00f3 c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a \u201cLong b\u1ebf\u201d t\u01b0\u01a1ng \u0111\u1ed1i t\u01b0\u01a1ng \u0111\u1ed3ng v\u1edbi c\u00e1c tri\u1ec7u ch\u1ee9ng c\u1ee7a ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t nh\u01b0 v\u00f4 ni\u1ec7u, b\u00ed ti\u1ec3u, ti\u1ec3u kh\u00f3 v\u00e0 c\u00e1c bi\u1ec3u hi\u1ec7n t\u01b0\u01a1ng t\u1ef1.<\/p>\n\n\n\n<p>K\u00fd sinh th\u1eadn kh\u00ed ho\u00e0n (Ji-Sheng-Shen-Qi-Wan) v\u00e0 Tang phi\u00eau ti\u00eau t\u00e1n (Sang-Piao-Xiao-San) l\u00e0 hai b\u00e0i thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c th\u01b0\u1eddng \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t. Ngo\u00e0i ra, c\u00e1c v\u1ecb thu\u1ed1c \u0111\u01a1n l\u1ebb \u0111\u01b0\u1ee3c d\u00f9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u1ed3m \u00cdch tr\u00ed nh\u00e2n (Yi Zhi Ren), Ph\u00fac b\u1ed3n t\u1eed (Fu Pen Zi), Xa ti\u1ec1n t\u1eed (Che Qian Zi) v\u00e0 \u00d4 d\u01b0\u1ee3c (Wu Yao). C\u00f4ng th\u1ee9c thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c s\u1eed d\u1ee5ng trong nghi\u00ean c\u1ee9u th\u0103m d\u00f2 n\u00e0y \u0111\u01b0\u1ee3c x\u00e2y d\u1ef1ng d\u1ef1a tr\u00ean c\u00e1c v\u1ecb thu\u1ed1c th\u01b0\u1eddng d\u00f9ng \u0111\u00f3, k\u1ebft h\u1ee3p v\u1edbi khuy\u1ebfn ngh\u1ecb c\u1ee7a c\u00e1c th\u1ea7y thu\u1ed1c Trung y gi\u00e0u kinh nghi\u1ec7m.<\/p>\n\n\n\n<p>K\u00fd sinh th\u1eadn kh\u00ed ho\u00e0n (Ji-Sheng-Shen-Qi-Wan) l\u1ea7n \u0111\u1ea7u \u0111\u01b0\u1ee3c k\u00ea \u0111\u01a1n b\u1edfi Yong-He Yen v\u00e0o n\u0103m 1253. B\u00e0i thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c gia gi\u1ea3m t\u1eeb Kim qu\u1ef9 th\u1eadn kh\u00ed ho\u00e0n (Jin-Gui-Shen-Qi-Wan) trong s\u00e1ch Kim Qu\u1ef9 Y\u1ebfu L\u01b0\u1ee3c do Tr\u01b0\u01a1ng Tr\u1ecdng C\u1ea3nh vi\u1ebft kho\u1ea3ng n\u0103m 210. K\u00fd sinh th\u1eadn kh\u00ed ho\u00e0n g\u1ed3m 10 v\u1ecb thu\u1ed1c v\u00e0 \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng \u00f4n th\u1eadn d\u01b0\u01a1ng, b\u1ed5 th\u1eadn kh\u00ed, tr\u1ee3 h\u00f3a th\u1ee7y, l\u1ee3i ti\u1ec3u v\u00e0 gi\u1ea3m ph\u00f9. Theo m\u1ed9t ph\u00e2n t\u00edch th\u1ed1ng k\u00ea tr\u01b0\u1edbc \u0111\u00e2y, th\u1ec3 ch\u1ea5t ph\u1ed5 bi\u1ebfn nh\u1ea5t \u1edf b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0 th\u1eadn kh\u00ed h\u01b0, v\u00e0 K\u00fd sinh th\u1eadn kh\u00ed ho\u00e0n l\u00e0 b\u00e0i thu\u1ed1c ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb t\u00ecnh tr\u1ea1ng n\u00e0y. Ngo\u00e0i ra, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u l\u00e2m s\u00e0ng t\u1ea1i Trung Qu\u1ed1c v\u00e0 Nh\u1eadt B\u1ea3n \u0111\u00e3 b\u00e1o c\u00e1o vi\u1ec7c s\u1eed d\u1ee5ng b\u00e0i thu\u1ed1c n\u00e0y \u0111\u1ec3 c\u1ea3i thi\u1ec7n LUTS \u1edf b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t, v\u00e0 t\u00ednh an to\u00e0n c\u1ee7a b\u00e0i thu\u1ed1c \u0111\u00e3 \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn.<\/p>\n\n\n\n<p>Ngo\u00e0i K\u00fd sinh th\u1eadn kh\u00ed ho\u00e0n, Tang phi\u00eau ti\u00eau t\u00e1n (Sang-Piao-Xiao-San) \u2013 l\u1ea7n \u0111\u1ea7u \u0111\u01b0\u1ee3c ghi ch\u00e9p b\u1edfi Ko Tsong-Shi v\u00e0o n\u0103m 1116 \u2013 c\u0169ng l\u00e0 m\u1ed9t b\u00e0i thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c c\u00e1c th\u1ea7y thu\u1ed1c Trung y \u1edf \u0110\u00e0i Loan k\u00ea cho b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t. B\u00e0i thu\u1ed1c n\u00e0y g\u1ed3m 8 v\u1ecb thu\u1ed1c v\u00e0 theo l\u00fd lu\u1eadn \u0110\u00f4ng y c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u h\u00f2a t\u00e2m v\u00e0 th\u1eadn. Tuy nhi\u00ean, trong y h\u1ecdc hi\u1ec7n \u0111\u1ea1i, m\u1edbi ch\u1ec9 c\u00f3 m\u1ed9t s\u1ed1 \u00edt nghi\u00ean c\u1ee9u v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng Tang phi\u00eau ti\u00eau t\u00e1n cho \u0111\u00e1i d\u1ea7m ban \u0111\u00eam v\u00e0 vi\u00eam b\u00e0ng quang k\u1ebd.<\/p>\n\n\n\n<p>V\u1ec1 c\u00e1c v\u1ecb thu\u1ed1c \u0111\u01a1n, \u00cdch tr\u00ed nh\u00e2n v\u00e0 \u00d4 d\u01b0\u1ee3c l\u00e0 hai th\u00e0nh ph\u1ea7n ch\u00ednh c\u1ee7a S\u00fac tuy\u1ec1n ho\u00e0n (Suo-Quan-Wan) \u2013 b\u00e0i thu\u1ed1c do Chen Chi-Ming k\u00ea v\u00e0o n\u0103m 1237. Theo l\u00fd lu\u1eadn \u0110\u00f4ng y, hai v\u1ecb thu\u1ed1c n\u00e0y th\u01b0\u1eddng \u0111\u01b0\u1ee3c ph\u1ed1i h\u1ee3p \u0111\u1ec3 s\u00e1p ni\u1ec7u v\u00e0 \u00f4n th\u1eadn, v\u00e0 c\u0169ng th\u01b0\u1eddng \u0111\u01b0\u1ee3c d\u00f9ng trong \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t. C\u00e1c nghi\u00ean c\u1ee9u g\u1ea7n \u0111\u00e2y c\u0169ng \u0111\u00e3 ti\u1ebfn h\u00e0nh ph\u00e2n t\u00edch \u0111\u1ecbnh l\u01b0\u1ee3ng c\u00e1c ho\u1ea1t ch\u1ea5t ch\u00ednh c\u1ee7a ch\u00fang v\u00e0 ghi nh\u1eadn t\u00e1c d\u1ee5ng c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng th\u1eadn.<\/p>\n\n\n\n<p>Ph\u00fac b\u1ed3n t\u1eed c\u0169ng l\u00e0 m\u1ed9t v\u1ecb thu\u1ed1c th\u01b0\u1eddng \u0111\u01b0\u1ee3c k\u00ea cho b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t \u1edf \u0110\u00e0i Loan. V\u1ecb thu\u1ed1c n\u00e0y \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng b\u1ed5 v\u00e0 c\u1ed1 th\u1eadn kh\u00ed, th\u01b0\u1eddng d\u00f9ng trong ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 v\u00e0 ti\u1ec3u nhi\u1ec1u l\u1ea7n.<\/p>\n\n\n\n<p>Trong khi \u0111\u00f3, \u0110an s\u00e2m (Dan Shen) theo l\u00fd lu\u1eadn \u0110\u00f4ng y c\u00f3 t\u00e1c d\u1ee5ng ho\u1ea1t huy\u1ebft v\u00e0 kh\u1ee9 \u1ee9, v\u00e0 \u0111\u00e3 c\u00f3 nhi\u1ec1u nghi\u00ean c\u1ee9u b\u00e1o c\u00e1o v\u1ec1 t\u00e1c d\u1ee5ng \u0111\u1ed1i v\u1edbi b\u1ec7nh tim m\u1ea1ch, t\u00e1c d\u1ee5ng ch\u1ed1ng vi\u00eam v\u00e0 ch\u1ed1ng oxy h\u00f3a, c\u0169ng nh\u01b0 t\u00e1c d\u1ee5ng t\u0103ng nh\u1ea1y c\u1ea3m h\u00f3a tr\u1ecb. Trong \u0110\u00f4ng y, b\u1ec7nh m\u1ea1n t\u00ednh th\u01b0\u1eddng \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 li\u00ean quan \u0111\u1ebfn huy\u1ebft \u1ee9, v\u00e0 trong c\u00e1c v\u1ecb thu\u1ed1c th\u1ea3o d\u01b0\u1ee3c, \u0111an s\u00e2m l\u00e0 v\u1ecb \u0111\u01b0\u1ee3c d\u00f9ng ph\u1ed5 bi\u1ebfn nh\u1ea5t \u0111\u1ec3 ho\u1ea1t huy\u1ebft kh\u1ee9 \u1ee9.<\/p>\n\n\n\n<p>D\u00e2m d\u01b0\u01a1ng ho\u1eafc (Yin Yang Huo) theo \u0110\u00f4ng y c\u00f3 t\u00e1c d\u1ee5ng b\u1ed5 th\u1eadn d\u01b0\u01a1ng, t\u0103ng ham mu\u1ed1n t\u00ecnh d\u1ee5c v\u00e0 \u0111i\u1ec1u tr\u1ecb li\u1ec7t d\u01b0\u01a1ng. Nh\u1eefng c\u00f4ng n\u0103ng n\u00e0y \u0111\u00e3 \u0111\u01b0\u1ee3c ghi ch\u00e9p trong Th\u1ea7n N\u00f4ng B\u1ea3n Th\u1ea3o Kinh kho\u1ea3ng n\u0103m 200. C\u00e1c nghi\u00ean c\u1ee9u d\u01b0\u1ee3c l\u00fd hi\u1ec7n \u0111\u1ea1i ch\u1ee7 y\u1ebfu t\u1eadp trung v\u00e0o icariin, ho\u1ea1t ch\u1ea5t ch\u00ednh c\u1ee7a d\u00e2m d\u01b0\u01a1ng ho\u1eafc, \u0111\u01b0\u1ee3c cho l\u00e0 c\u00f3 t\u00e1c d\u1ee5ng ch\u1ed1ng ung th\u01b0, ch\u1ed1ng oxy h\u00f3a v\u00e0 b\u1ea3o v\u1ec7 th\u1ea7n kinh. Ngo\u00e0i ra, theo l\u00fd lu\u1eadn \u0110\u00f4ng y, d\u00e2m d\u01b0\u01a1ng ho\u1eafc c\u00f2n c\u00f3 th\u1ec3 g\u00e2y c\u01b0\u01a1ng d\u01b0\u01a1ng. V\u00ec v\u1eady, ch\u00fang t\u00f4i \u0111\u01b0a v\u1ecb thu\u1ed1c n\u00e0y v\u00e0o c\u00f4ng th\u1ee9c kh\u00f4ng ch\u1ec9 v\u00ec t\u00e1c d\u1ee5ng ch\u1ed1ng oxy h\u00f3a ti\u1ec1m n\u0103ng gi\u00fap c\u1ea3i thi\u1ec7n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t, m\u00e0 c\u00f2n v\u00ec kh\u1ea3 n\u0103ng c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u00ecnh d\u1ee5c li\u00ean quan, t\u1eeb \u0111\u00f3 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p>Cu\u1ed1i c\u00f9ng, c\u00f4ng th\u1ee9c c\u0169ng b\u1ed5 sung m\u1ed9t l\u01b0\u1ee3ng nh\u1ecf Ho\u00e0ng b\u00e1 (Huang Bo) v\u00e0 Tri m\u1eabu (Zhi Mu) nh\u1eb1m thanh nhi\u1ec7t v\u00e0 t\u1ea3 h\u1ecfa \u1edf th\u1eadn theo l\u00fd lu\u1eadn \u0110\u00f4ng y. S\u1ef1 ph\u1ed1i h\u1ee3p Ho\u00e0ng b\u00e1 \u2013 Tri m\u1eabu \u2013 Nh\u1ee5c qu\u1ebf l\u1ea7n \u0111\u1ea7u \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng trong Tri th\u1eadn ho\u00e0n (Zhi-Shen-Wan) do L\u00fd \u0110\u00f4ng Vi\u00ean \u0111\u1ec1 xu\u1ea5t v\u00e0o n\u0103m 1276. Ch\u1ec9 \u0111\u1ecbnh ch\u00ednh c\u1ee7a b\u00e0i thu\u1ed1c n\u00e0y l\u00e0 ti\u1ec3u kh\u00f3, v\u00e0 trong nh\u1eefng n\u0103m g\u1ea7n \u0111\u00e2y c\u0169ng \u0111\u00e3 c\u00f3 m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng b\u00e0i thu\u1ed1c n\u00e0y \u0111\u1ec3 c\u1ea3i thi\u1ec7n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n<p>Sau khi \u0111i\u1ec1u tr\u1ecb ph\u1ed1i h\u1ee3p c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c nghi\u00ean c\u1ee9u v\u00e0 c\u00e1c thu\u1ed1c t\u00e2y, b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t cho th\u1ea5y s\u1ef1 c\u1ea3i thi\u1ec7n r\u00f5 r\u1ec7t c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi, \u0111\u1eb7c bi\u1ec7t l\u00e0 tri\u1ec7u ch\u1ee9ng ti\u1ec3u kh\u00f3 v\u00e0 c\u1ea3m gi\u00e1c ti\u1ec3u kh\u00f4ng h\u1ebft. B\u1ec7nh nh\u00e2n c\u0169ng c\u1ea3i thi\u1ec7n m\u1ed9t s\u1ed1 tri\u1ec7u ch\u1ee9ng \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng nh\u01b0 kh\u00f4 mi\u1ec7ng, c\u1ea3m gi\u00e1c c\u00f2n n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 v\u00e0 kh\u00e1t nhi\u1ec1u. Trong t\u01b0\u01a1ng lai c\u1ea7n ti\u1ebfn h\u00e0nh c\u00e1c th\u1eed nghi\u1ec7m l\u00e2m s\u00e0ng m\u00f9 \u0111\u00f4i nghi\u00eam ng\u1eb7t h\u01a1n \u0111\u1ec3 x\u00e1c nh\u1eadn v\u00e0 l\u00e0m r\u00f5 th\u00eam hi\u1ec7u qu\u1ea3 c\u1ee7a c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c n\u00e0y.<\/p>\n\n\n\n<p>K\u1ebft lu\u1eadn: Nghi\u00ean c\u1ee9u n\u00e0y cho th\u1ea5y c\u00f4ng th\u1ee9c th\u1ea3o d\u01b0\u1ee3c b\u1ed5 sung (VGHBPH0) g\u1ed3m K\u00fd sinh th\u1eadn kh\u00ed ho\u00e0n, Tang phi\u00eau ti\u00eau t\u00e1n, \u00d4 d\u01b0\u1ee3c, \u00cdch tr\u00ed nh\u00e2n, \u0110an s\u00e2m, D\u00e2m d\u01b0\u01a1ng ho\u1eafc, Ph\u00fac b\u1ed3n t\u1eed, Ho\u00e0ng b\u00e1 v\u00e0 Tri m\u1eabu c\u00f3 th\u1ec3 l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p ti\u1ec1m n\u0103ng gi\u00fap c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi \u1edf b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t.<\/p>\n\n\n\n<p><strong>5.Ch\u00e2m c\u1ee9u ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t<\/strong><\/p>\n\n\n\n<p>Ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t l\u00e0nh t\u00ednh (BPH) l\u00e0 t\u00ecnh tr\u1ea1ng tuy\u1ebfn ti\u1ec1n li\u1ec7t ph\u00ec \u0111\u1ea1i do s\u1ef1 t\u0103ng sinh ti\u1ebfn tri\u1ec3n c\u1ee7a c\u00e1c t\u1ebf b\u00e0o m\u00f4 \u0111\u1ec7m v\u00e0 t\u1ebf b\u00e0o tuy\u1ebfn c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t. T\u1ef7 l\u1ec7 m\u1eafc BPH l\u00ean t\u1edbi 40% \u1edf nam gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i 50 v\u00e0 90% \u1edf nam gi\u1edbi trong \u0111\u1ed9 tu\u1ed5i 80. BPH l\u00e0 m\u1ed9t trong nh\u1eefng nguy\u00ean nh\u00e2n ph\u1ed5 bi\u1ebfn nh\u1ea5t g\u00e2y c\u00e1c tri\u1ec7u ch\u1ee9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi (LUTS), bao g\u1ed3m ti\u1ec3u nhi\u1ec1u l\u1ea7n, ti\u1ec3u g\u1ea5p, ti\u1ec3u \u0111\u00eam, ti\u1ec3u kh\u00f3 kh\u1edfi \u0111\u1ea7u, ph\u1ea3i r\u1eb7n khi ti\u1ec3u v\u00e0 nh\u1ecf gi\u1ecdt sau ti\u1ec3u.<\/p>\n\n\n\n<p>M\u1eb7c d\u00f9 sinh l\u00fd b\u1ec7nh c\u1ee7a BPH \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi nh\u1eefng thay \u0111\u1ed5i m\u00f4 h\u1ecdc kh\u00f4ng ph\u1ea3i ung th\u01b0, nh\u01b0ng c\u00e1c v\u1ea5n \u0111\u1ec1 v\u1ec1 d\u1ef1 tr\u1eef n\u01b0\u1edbc ti\u1ec3u v\u00e0 b\u00e0i xu\u1ea5t n\u01b0\u1edbc ti\u1ec3u l\u00e0m t\u0103ng nguy c\u01a1 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u v\u00e0 b\u1ec7nh th\u1eadn m\u1ea1n t\u00ednh, \u0111\u1ed3ng th\u1eddi \u1ea3nh h\u01b0\u1edfng ti\u00eau c\u1ef1c \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n.<\/p>\n\n\n\n<p>C\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb hi\u1ec7n nay cho BPH bao g\u1ed3m theo d\u00f5i ch\u1edd \u0111\u1ee3i, thay \u0111\u1ed5i l\u1ed1i s\u1ed1ng, thu\u1ed1c ch\u1eb9n alpha, thu\u1ed1c \u1ee9c ch\u1ebf 5-alpha reductase, c\u00e1c ch\u1ebf ph\u1ea9m th\u1ea3o d\u01b0\u1ee3c v\u00e0 ph\u1eabu thu\u1eadt li\u00ean quan \u0111\u1ebfn BPH. M\u1eb7c d\u00f9 h\u1ea7u h\u1ebft c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb n\u00eau tr\u00ean \u0111\u1ec1u \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 \u1edf nh\u1eefng m\u1ee9c \u0111\u1ed9 kh\u00e1c nhau trong qu\u1ea3n l\u00fd BPH, vi\u1ec7c s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p n\u00e0y v\u1eabn b\u1ecb gi\u1edbi h\u1ea1n \u1edf m\u1ed9t s\u1ed1 nh\u00f3m b\u1ec7nh nh\u00e2n nh\u1ea5t \u0111\u1ecbnh ho\u1eb7c c\u00f3 th\u1ec3 g\u00e2y ra c\u00e1c t\u00e1c d\u1ee5ng ph\u1ee5 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh.<\/p>\n\n\n\n<p>Ch\u00e2m c\u1ee9u l\u00e0 m\u1ed9t ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb c\u1ee7a y h\u1ecdc c\u1ed5 truy\u1ec1n Trung Qu\u1ed1c, \u0111\u00e3 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng ph\u1ed5 bi\u1ebfn trong qu\u1ea3n l\u00fd LUTS t\u1ea1i Trung Qu\u1ed1c trong h\u00e0ng ngh\u00ecn n\u0103m. T\u00e1c d\u1ee5ng c\u1ee7a ch\u00e2m c\u1ee9u \u0111\u1ed1i v\u1edbi LUTS \u0111\u00e3 \u0111\u01b0\u1ee3c ghi ch\u00e9p r\u00f5 trong c\u00e1c s\u00e1ch gi\u00e1o khoa y h\u1ecdc c\u1ed5 truy\u1ec1n v\u00e0 c\u0169ng \u0111\u01b0\u1ee3c nhi\u1ec1u nghi\u00ean c\u1ee9u hi\u1ec7n \u0111\u1ea1i ch\u1ee9ng minh.<\/p>\n\n\n\n<p>Ricci v\u00e0 c\u1ed9ng s\u1ef1 ph\u00e1t hi\u1ec7n r\u1eb1ng \u0111i\u1ec7n ch\u00e2m (EA) c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n trong vi\u1ec7c gi\u1ea3m s\u1ed1 l\u1ea7n ti\u1ec3u g\u1ea5p v\u1eabn c\u00f2n t\u1ed3n t\u1ea1i sau khi c\u1eaft tuy\u1ebfn ti\u1ec1n li\u1ec7t qua ni\u1ec7u \u0111\u1ea1o. Kubista v\u00e0 c\u1ed9ng s\u1ef1 cho th\u1ea5y \u0111i\u1ec7n ch\u00e2m c\u00f3 th\u1ec3 l\u00e0m t\u0103ng \u0111\u00e1ng k\u1ec3 \u00e1p l\u1ef1c \u0111\u00f3ng c\u1ee7a ni\u1ec7u \u0111\u1ea1o \u1edf ph\u1ee5 n\u1eef b\u1ecb ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do g\u1eafng s\u1ee9c so v\u1edbi gi\u1ea3 d\u01b0\u1ee3c. Philp v\u00e0 c\u1ed9ng s\u1ef1 nh\u1eadn th\u1ea5y ch\u00e2m c\u1ee9u c\u00f3 th\u1ec3 l\u00e0m t\u0103ng dung t\u00edch b\u00e0ng quang \u1edf b\u1ec7nh nh\u00e2n b\u00e0ng quang kh\u00f4ng \u1ed5n \u0111\u1ecbnh.<\/p>\n\n\n\n<p>Ngo\u00e0i t\u00e1c d\u1ee5ng \u0111\u1ed1i v\u1edbi c\u00e1c v\u1ea5n \u0111\u1ec1 d\u1ef1 tr\u1eef n\u01b0\u1edbc ti\u1ec3u, ch\u00e2m c\u1ee9u c\u00f2n \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 trong ph\u00f2ng ng\u1eeba nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u d\u01b0\u1edbi t\u00e1i ph\u00e1t \u1edf ph\u1ee5 n\u1eef tr\u01b0\u1edfng th\u00e0nh, c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng \u1edf b\u1ec7nh nh\u00e2n vi\u00eam tuy\u1ebfn ti\u1ec1n li\u1ec7t m\u1ea1n t\u00ednh, v\u00e0 \u0111i\u1ec1u tr\u1ecb \u0111\u00e1i d\u1ea7m \u0111\u01a1n tri\u1ec7u ch\u1ee9ng nguy\u00ean ph\u00e1t.<\/p>\n\n\n\n<p>BPH tr\u00ean l\u00e2m s\u00e0ng \u0111\u01b0\u1ee3c \u0111\u1eb7c tr\u01b0ng b\u1edfi nhi\u1ec1u tri\u1ec7u ch\u1ee9ng LUTS, c\u00f3 th\u1ec3 bao g\u1ed3m ho\u1eb7c t\u01b0\u01a1ng t\u1ef1 ti\u1ec3u g\u1ea5p, ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do g\u1eafng s\u1ee9c, b\u00e0ng quang kh\u00f4ng \u1ed5n \u0111\u1ecbnh v\u00e0 nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u; v\u00ec v\u1eady, ch\u00fang t\u00f4i \u0111\u01b0a ra gi\u1ea3 thuy\u1ebft r\u1eb1ng ch\u00e2m c\u1ee9u c\u00f3 th\u1ec3 c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb BPH.<\/p>\n\n\n\n<p>Gi\u1ea3 thuy\u1ebft n\u00e0y \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y c\u1ee7a ch\u00fang t\u00f4i, trong \u0111\u00f3 ph\u00e1t hi\u1ec7n ch\u00e2m c\u1ee9u t\u1ea1i <strong>huy\u1ec7t BL33 <\/strong>c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n terazosin trong vi\u1ec7c c\u1ea3i thi\u1ec7n thang \u0111i\u1ec3m tri\u1ec7u ch\u1ee9ng tuy\u1ebfn ti\u1ec1n li\u1ec7t qu\u1ed1c t\u1ebf (IPSS), l\u01b0\u1ee3ng n\u01b0\u1edbc ti\u1ec3u t\u1ed3n d\u01b0 sau ti\u1ec3u (PVR) v\u00e0 l\u01b0u l\u01b0\u1ee3ng d\u00f2ng ti\u1ec3u t\u1ed1i \u0111a (Qmax) \u1edf b\u1ec7nh nh\u00e2n BPH m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh. <\/p>\n\n\n\n<p>Ngo\u00e0i ra, ch\u00fang t\u00f4i c\u0169ng \u0111\u00e3 so s\u00e1nh hi\u1ec7u qu\u1ea3 \u0111i\u1ec1u tr\u1ecb c\u1ee7a \u0111i\u1ec7n ch\u00e2m t\u1ea1i hai huy\u1ec7t BL33 v\u1edbi \u0111i\u1ec7n ch\u00e2m t\u1ea1i c\u00e1c \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t (c\u00e1ch BL33 kho\u1ea3ng 2 th\u1ed1n, t\u01b0\u01a1ng \u0111\u01b0\u01a1ng kho\u1ea3ng 6,7 cm) trong m\u1ed9t nghi\u00ean c\u1ee9u th\u1eed nghi\u1ec7m ng\u1eabu nhi\u00ean c\u00f3 \u0111\u1ed1i ch\u1ee9ng quy m\u00f4 nh\u1ecf. K\u1ebft qu\u1ea3 cho th\u1ea5y \u0111i\u1ec7n ch\u00e2m t\u1ea1i huy\u1ec7t c\u00f3 hi\u1ec7u qu\u1ea3 h\u01a1n \u0111i\u1ec7n ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t trong vi\u1ec7c gi\u1ea3m \u0111i\u1ec3m IPSS.<\/p>\n\n\n\n<p>Tuy nhi\u00ean, terazosin kh\u00f4ng ph\u1ea3i l\u00fac n\u00e0o c\u0169ng l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb chu\u1ea9n cho b\u1ec7nh nh\u00e2n BPH, v\u00e0 nghi\u00ean c\u1ee9u th\u0103m d\u00f2 v\u1ec1 hi\u1ec7u qu\u1ea3 c\u1ee7a \u0111i\u1ec7n ch\u00e2m t\u1ea1i huy\u1ec7t trong \u0111i\u1ec1u tr\u1ecb BPH c\u00f3 c\u1ee1 m\u1eabu t\u01b0\u01a1ng \u0111\u1ed1i nh\u1ecf v\u00e0 ch\u1ec9 \u0111\u00e1nh gi\u00e1 hi\u1ec7u qu\u1ea3 th\u00f4ng qua IPSS.<\/p>\n\n\n\n<p>Theo l\u00fd lu\u1eadn c\u1ee7a y h\u1ecdc c\u1ed5 truy\u1ec1n v\u00e0 c\u00e1c nghi\u00ean c\u1ee9u hi\u1ec7n \u0111\u1ea1i, c\u00e1c huy\u1ec7t thu\u1ed9c m\u01b0\u1eddi b\u1ed1n kinh m\u1ea1ch c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u h\u00f2a ch\u1ee9c n\u0103ng \u0111\u1eb7c hi\u1ec7u \u0111\u1ed1i v\u1edbi c\u00e1c t\u1ea1ng ph\u1ee7. Tuy nhi\u00ean, m\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u \u1edf c\u00e1c n\u01b0\u1edbc ph\u01b0\u01a1ng T\u00e2y cho th\u1ea5y dry needling \u2013 m\u1ed9t th\u1ee7 thu\u1eadt ch\u00e2m kim v\u00e0o c\u00e1c \u0111i\u1ec3m k\u00edch ho\u1ea1t (trigger points), bao g\u1ed3m c\u1ea3 c\u00e1c \u0111i\u1ec3m kh\u00f4ng thu\u1ed9c h\u1ec7 th\u1ed1ng kinh m\u1ea1ch \u2013 c\u0169ng c\u00f3 hi\u1ec7u qu\u1ea3 trong \u0111i\u1ec1u tr\u1ecb nhi\u1ec1u b\u1ec7nh kh\u00e1c nhau.<\/p>\n\n\n\n<p>C\u1ea3 dry needling v\u00e0 ch\u00e2m c\u1ee9u truy\u1ec1n th\u1ed1ng \u0111\u1ec1u \u0111i\u1ec1u tr\u1ecb b\u1ec7nh b\u1eb1ng c\u00e1ch \u0111\u01b0a kim th\u00e9p kh\u00f4ng g\u1ec9 v\u00e0o c\u01a1 th\u1ec3 ng\u01b0\u1eddi. Tuy nhi\u00ean, s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa ch\u00e2m c\u1ee9u t\u1ea1i huy\u1ec7t v\u00e0 ch\u00e2m t\u1ea1i c\u00e1c \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c nghi\u00ean c\u1ee9u \u0111\u1ea7y \u0111\u1ee7.<\/p>\n\n\n\n<p>Trong nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i, ch\u00fang t\u00f4i nh\u1eb1m \u0111\u00e1nh gi\u00e1 t\u00e1c d\u1ee5ng c\u1ee7a \u0111i\u1ec7n ch\u00e2m \u0111\u1ed1i v\u1edbi IPSS, PVR v\u00e0 Qmax, \u0111\u1ed3ng th\u1eddi kh\u1ea3o s\u00e1t s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa \u0111i\u1ec7n ch\u00e2m t\u1ea1i huy\u1ec7t v\u00e0 \u0111i\u1ec7n ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t \u1edf b\u1ec7nh nh\u00e2n ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t m\u1ee9c \u0111\u1ed9 trung b\u00ecnh \u0111\u1ebfn n\u1eb7ng.<\/p>\n\n\n\n<p><strong>\u0110\u1ed1i t\u01b0\u1ee3ng<\/strong><\/p>\n\n\n\n<p>Nam gi\u1edbi 50\u201370 tu\u1ed5i;<\/p>\n\n\n\n<p>Ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t m\u1ee9c \u0111\u1ed9 nh\u1eb9 \u0111\u1ebfn trung b\u00ecnh \u0111\u01b0\u1ee3c \u0111\u00e1nh gi\u00e1 b\u1eb1ng I-PSS;<\/p>\n\n\n\n<p>C\u00f3 r\u1ed1i lo\u1ea1n ti\u1ec3u ti\u1ec7n k\u00e9o d\u00e0i h\u01a1n 3 th\u00e1ng;<\/p>\n\n\n\n<p>D\u1ea5u hi\u1ec7u sinh t\u1ed3n \u1ed5n \u0111\u1ecbnh;<\/p>\n\n\n\n<p>Kh\u00f4ng s\u1eed d\u1ee5ng thu\u1ed1c ch\u1eb9n th\u1ee5 th\u1ec3 \u03b11, thu\u1ed1c \u1ee9c ch\u1ebf 5\u03b1-reductase ho\u1eb7c thu\u1ed1c \u0110\u00f4ng y trong v\u00f2ng h\u01a1n 1 tu\u1ea7n tr\u01b0\u1edbc nghi\u00ean c\u1ee9u;<\/p>\n\n\n\n<p>T\u1ef1 nguy\u1ec7n tham gia nghi\u00ean c\u1ee9u v\u00e0 k\u00fd cam k\u1ebft \u0111\u1ed3ng \u00fd tham gia tr\u01b0\u1edbc khi \u0111i\u1ec1u tr\u1ecb.<\/p>\n\n\n\n<p>V\u00ec l\u00fd do an to\u00e0n, b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c h\u01b0\u1edbng d\u1eabn v\u1ec1 c\u00e1c t\u00ecnh hu\u1ed1ng c\u1ea5p c\u1ee9u c\u00f3 th\u1ec3 x\u1ea3y ra v\u00e0 \u0111\u01b0\u1ee3c y\u00eau c\u1ea7u t\u00ecm ki\u1ebfm s\u1ef1 h\u1ed7 tr\u1ee3 y t\u1ebf th\u00edch h\u1ee3p n\u1ebfu x\u1ea3y ra.<\/p>\n\n\n\n<p><strong>Ti\u00eau chu\u1ea9n lo\u1ea1i tr\u1eeb bao g\u1ed3m:<\/strong><\/p>\n\n\n\n<p>R\u1ed1i lo\u1ea1n ti\u1ec3u ti\u1ec7n do l\u1eadu ho\u1eb7c nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u;<\/p>\n\n\n\n<p>Thi\u1ec3u ni\u1ec7u ho\u1eb7c v\u00f4 ni\u1ec7u do s\u1ecfi \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u, ung th\u01b0 tuy\u1ebfn ti\u1ec1n li\u1ec7t, u b\u00e0ng quang, suy th\u1eadn c\u1ea5p ho\u1eb7c m\u1ea1n;<\/p>\n\n\n\n<p>R\u1ed1i lo\u1ea1n ti\u1ec3u ti\u1ec7n do b\u00e0ng quang th\u1ea7n kinh, x\u01a1 h\u00f3a c\u1ed5 b\u00e0ng quang ho\u1eb7c h\u1eb9p ni\u1ec7u \u0111\u1ea1o;<\/p>\n\n\n\n<p>Th\u1ea5t b\u1ea1i c\u1ee7a c\u00e1c ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb x\u00e2m l\u1ea5n \u0111\u1ed1i v\u1edbi t\u1eafc ngh\u1ebdn tuy\u1ebfn ti\u1ec1n li\u1ec7t;<\/p>\n\n\n\n<p>T\u1ed5n th\u01b0\u01a1ng c\u01a1 quan, c\u01a1 ho\u1eb7c th\u1ea7n kinh v\u00f9ng ch\u1eadu do ph\u1eabu thu\u1eadt ho\u1eb7c ch\u1ea5n th\u01b0\u01a1ng;<\/p>\n\n\n\n<p>T\u1eafc ngh\u1ebdn \u0111\u01b0\u1eddng ti\u1ebft ni\u1ec7u tr\u00ean ho\u1eb7c tr\u00e0n d\u1ecbch m\u00e0ng tinh ho\u00e0n, k\u00e8m suy gi\u1ea3m ch\u1ee9c n\u0103ng th\u1eadn do BPH, \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n b\u1eb1ng si\u00eau \u00e2m B;<\/p>\n\n\n\n<p>B\u1ec7nh nh\u00e2n kh\u00f4ng th\u1ec3 tu\u00e2n th\u1ee7 \u0111i\u1ec1u tr\u1ecb do kh\u00f3 kh\u0103n trong vi\u1ec7c \u0111i l\u1ea1i \u0111\u1ebfn b\u1ec7nh vi\u1ec7n<\/p>\n\n\n\n<p>Trong nghi\u00ean c\u1ee9u n\u00e0y, huy\u1ec7t BL33 \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u00f3m \u0111i\u1ec1u tr\u1ecb b\u1eb1ng huy\u1ec7t th\u1eadt, trong khi hai \u0111i\u1ec3m n\u1eb1m c\u00e1ch BL33 kho\u1ea3ng 2 th\u1ed1n (kho\u1ea3ng 6,7 cm) v\u1ec1 ph\u00eda ngo\u00e0i \u0111\u01b0\u1ee3c s\u1eed d\u1ee5ng cho nh\u00f3m \u0111\u1ed1i ch\u1ee9ng kh\u00f4ng ph\u1ea3i huy\u1ec7t.<\/p>\n\n\n\n<p>V\u1ecb tr\u00ed c\u1ee7a BL33, t\u01b0\u01a1ng \u1ee9ng v\u1edbi l\u1ed7 c\u00f9ng th\u1ee9 ba, \u0111\u00e3 \u0111\u01b0\u1ee3c m\u00f4 t\u1ea3 trong c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc. \u0110\u1ec3 x\u00e1c \u0111\u1ecbnh ch\u00ednh x\u00e1c hai huy\u1ec7t BL33, tr\u01b0\u1edbc ti\u00ean v\u1ebd m\u1ed9t \u0111\u01b0\u1eddng n\u1ed1i hai gai ch\u1eadu sau tr\u00ean (PSIS), \u0111\u01b0\u1eddng n\u00e0y c\u1eaft c\u1ed9t s\u1ed1ng t\u1ea1i \u0111i\u1ec3m A. Sau \u0111\u00f3 n\u1ed1i m\u1ed7i PSIS v\u1edbi \u0111i\u1ec3m A \u0111\u1ec3 t\u1ea1o th\u00e0nh hai \u0111\u01b0\u1eddng ri\u00eang bi\u1ec7t. Ti\u1ebfp theo, t\u1eeb m\u1ed7i \u0111\u01b0\u1eddng n\u00e0y v\u1ebd xu\u1ed1ng d\u01b0\u1edbi hai tam gi\u00e1c \u0111\u1ec1u, v\u00e0 \u0111\u1ec9nh c\u1ee7a hai tam gi\u00e1c (\u0111i\u1ec3m B v\u00e0 C) ch\u00ednh l\u00e0 hai huy\u1ec7t BL33.<\/p>\n\n\n\n<p>C\u00e1c th\u1ea7y thu\u1ed1c ch\u00e2m c\u1ee9u \u0111\u00e2m kim v\u00e0o BL33 theo h\u01b0\u1edbng xi\u00ean v\u1edbi g\u00f3c kho\u1ea3ng 45\u00b0, s\u00e2u kho\u1ea3ng 6\u20138 cm, cho \u0111\u1ebfn khi b\u1ec7nh nh\u00e2n c\u1ea3m th\u1ea5y c\u1ea3m gi\u00e1c n\u1eb7ng v\u00e0 t\u00ea t\u1ea1i ch\u1ed7, th\u1eadm ch\u00ed lan xu\u1ed1ng v\u00f9ng sinh d\u1ee5c.<\/p>\n\n\n\n<p>Th\u1ee7 thu\u1eadt ch\u00e2m c\u1ee9u \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n hai b\u00ean t\u1ea1i hai huy\u1ec7t BL33, sau \u0111\u00f3 \u0111i\u1ec7n c\u1ef1c c\u1ee7a m\u00e1y k\u00edch th\u00edch \u0111i\u1ec7n \u0111\u01b0\u1ee3c g\u1eafn v\u00e0o chu\u00f4i kim \u1edf hai b\u00ean.<\/p>\n\n\n\n<p>Trong nghi\u00ean c\u1ee9u n\u00e0y s\u1eed d\u1ee5ng d\u00f2ng \u0111i\u1ec7n d\u1ea1ng s\u00f3ng th\u01b0a \u2013 d\u00e0y (disperse-dense) v\u1edbi t\u1ea7n s\u1ed1 20 Hz. C\u01b0\u1eddng \u0111\u1ed9 d\u00f2ng \u0111i\u1ec7n \u0111\u01b0\u1ee3c t\u0103ng d\u1ea7n \u0111\u1ebfn m\u1ee9c t\u1ed1i \u0111a b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u01b0\u1ee3c, sau \u0111\u00f3 gi\u1ea3m nh\u1eb9 xu\u1ed1ng m\u1ee9c b\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng tho\u1ea3i m\u00e1i.<\/p>\n\n\n\n<p>Quy tr\u00ecnh ch\u00e2m c\u1ee9u v\u00e0 c\u00e1c th\u00f4ng s\u1ed1 c\u1ee7a m\u00e1y \u0111i\u1ec7n ch\u00e2m \u1edf nh\u00f3m \u0111\u1ed1i ch\u1ee9ng (ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t) \u0111\u01b0\u1ee3c th\u1ef1c hi\u1ec7n gi\u1ed1ng h\u1ec7t nh\u00f3m huy\u1ec7t th\u1eadt, ngo\u1ea1i tr\u1eeb vi\u1ec7c kh\u00f4ng xu\u1ea5t hi\u1ec7n c\u1ea3m gi\u00e1c lan xu\u1ed1ng v\u00f9ng sinh d\u1ee5c khi ch\u00e2m kim.<\/p>\n\n\n\n<p>https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC3625218<\/p>\n\n\n\n<p>B\u00e0n lu\u1eadn<\/p>\n\n\n\n<p>K\u1ebft qu\u1ea3 c\u1ee7a th\u1eed nghi\u1ec7m n\u00e0y cho th\u1ea5y m\u1ee9c gi\u1ea3m \u0111i\u1ec3m IPSS \u1edf nh\u00f3m ch\u00e2m huy\u1ec7t BL33 l\u1edbn h\u01a1n so v\u1edbi nh\u00f3m ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t, nh\u01b0ng kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t c\u00f3 \u00fd ngh\u0129a \u0111\u1ed1i v\u1edbi Qmax v\u00e0 PVR. S\u1ef1 thay \u0111\u1ed5i c\u1ee7a IPSS cho th\u1ea5y \u0111i\u1ec7n ch\u00e2m t\u1ea1i huy\u1ec7t c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n \u0111\u00e1ng k\u1ec3 ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n BPH. M\u1ee9c gi\u1ea3m IPSS ph\u00f9 h\u1ee3p v\u1edbi k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c nghi\u00ean c\u1ee9u tr\u01b0\u1edbc \u0111\u00e2y c\u1ee7a ch\u00fang t\u00f4i v\u00e0 c\u1ee7ng c\u1ed1 th\u00eam b\u1eb1ng ch\u1ee9ng v\u1ec1 vi\u1ec7c s\u1eed d\u1ee5ng ch\u00e2m c\u1ee9u cho b\u1ec7nh nh\u00e2n BPH.<\/p>\n\n\n\n<p>C\u1ee5 th\u1ec3, \u0111i\u1ec3m IPSS gi\u1ea3m 7,26 \u0111i\u1ec3m (t\u1eeb 20,10 xu\u1ed1ng 12,84; P = 0,000) \u1edf nh\u00f3m \u0111i\u1ec7n ch\u00e2m BL33, v\u00e0 gi\u1ea3m 2,34 \u0111i\u1ec3m (t\u1eeb 18,76 xu\u1ed1ng 16,42; P = 0,001) \u1edf nh\u00f3m \u0111i\u1ec7n ch\u00e2m kh\u00f4ng ph\u1ea3i huy\u1ec7t. So v\u1edbi nh\u00f3m \u0111\u1ed1i ch\u1ee9ng kh\u00f4ng ph\u1ea3i huy\u1ec7t, nh\u00f3m ch\u00e2m huy\u1ec7t gi\u1ea3m IPSS nhi\u1ec1u h\u01a1n 4,51 \u0111i\u1ec3m \u1edf tu\u1ea7n th\u1ee9 6 (P &lt; 0,01). S\u1ef1 kh\u00e1c bi\u1ec7t n\u00e0y cho th\u1ea5y \u0111i\u1ec7n ch\u00e2m t\u1ea1i huy\u1ec7t c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n r\u00f5 r\u1ec7t so v\u1edbi \u0111i\u1ec7n ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t trong vi\u1ec7c c\u1ea3i thi\u1ec7n ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a b\u1ec7nh nh\u00e2n BPH.<\/p>\n\n\n\n<p>Do quy tr\u00ecnh \u0111i\u1ec7n ch\u00e2m, th\u00f4ng s\u1ed1 k\u00edch th\u00edch \u0111i\u1ec7n v\u00e0 ph\u00e1c \u0111\u1ed3 \u0111i\u1ec1u tr\u1ecb gi\u1ed1ng nhau \u1edf c\u1ea3 hai nh\u00f3m, s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 k\u1ebft qu\u1ea3 c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn t\u00ednh \u0111\u1eb7c hi\u1ec7u c\u1ee7a v\u1ecb tr\u00ed ch\u00e2m t\u1ea1i huy\u1ec7t BL33. K\u1ebft qu\u1ea3 n\u00e0y c\u0169ng ph\u00f9 h\u1ee3p v\u1edbi nghi\u00ean c\u1ee9u th\u0103m d\u00f2 tr\u01b0\u1edbc \u0111\u00e2y c\u1ee7a ch\u00fang t\u00f4i, cho th\u1ea5y ch\u00e2m t\u1ea1i huy\u1ec7t c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t. Ngo\u00e0i ra, k\u1ebft qu\u1ea3 c\u1ee7a nghi\u00ean c\u1ee9u n\u00e0y c\u0169ng c\u1ee7ng c\u1ed1 c\u00e1c nghi\u00ean c\u1ee9u kh\u00e1c cho r\u1eb1ng c\u00e1c huy\u1ec7t thu\u1ed9c h\u1ec7 th\u1ed1ng kinh m\u1ea1ch c\u00f3 t\u00e1c d\u1ee5ng \u0111i\u1ec1u h\u00f2a ch\u1ee9c n\u0103ng \u0111\u1eb7c hi\u1ec7u so v\u1edbi c\u00e1c \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t.<\/p>\n\n\n\n<p>Trong m\u1ed9t th\u1eed nghi\u1ec7m t\u01b0\u01a1ng t\u1ef1 so s\u00e1nh \u0111i\u1ec7n ch\u00e2m v\u1edbi \u0111i\u1ec7n ch\u00e2m gi\u1ea3 (kim ch\u00e2m n\u00f4ng 2 mm) trong \u0111i\u1ec1u tr\u1ecb BPH, m\u1ee9c t\u0103ng Qmax \u1edf nh\u00f3m \u0111i\u1ec7n ch\u00e2m cao h\u01a1n nh\u00f3m gi\u1ea3 ch\u00e2m, trong khi IPSS t\u01b0\u01a1ng t\u1ef1 nhau \u1edf c\u1ea3 hai nh\u00f3m. Khi ph\u00e2n t\u00edch k\u1ef9 h\u01a1n, s\u1ef1 kh\u00e1c bi\u1ec7t gi\u1eefa hai nghi\u00ean c\u1ee9u c\u00f3 th\u1ec3 do s\u1ef1 kh\u00e1c nhau v\u1ec1 l\u1ef1a ch\u1ecdn huy\u1ec7t, k\u1ef9 thu\u1eadt ch\u00e2m, th\u00f4ng s\u1ed1 \u0111i\u1ec7n ch\u00e2m, s\u1ed1 l\u01b0\u1ee3ng bu\u1ed5i \u0111i\u1ec1u tr\u1ecb, t\u1ea7n su\u1ea5t v\u00e0 th\u1eddi gian \u0111i\u1ec1u tr\u1ecb. Tuy nhi\u00ean, c\u1ea3 hai nghi\u00ean c\u1ee9u \u0111\u1ec1u cho th\u1ea5y \u0111i\u1ec7n ch\u00e2m chu\u1ea9n t\u1ea1i huy\u1ec7t c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t h\u01a1n so v\u1edbi \u0111i\u1ec7n ch\u00e2m gi\u1ea3 ho\u1eb7c \u0111i\u1ec7n ch\u00e2m t\u1ea1i \u0111i\u1ec3m kh\u00f4ng ph\u1ea3i huy\u1ec7t \u1edf \u00edt nh\u1ea5t m\u1ed9t s\u1ed1 ch\u1ec9 s\u1ed1 l\u00e2m s\u00e0ng.<\/p>\n\n\n\n<p>S\u1ef1 c\u1ea3i thi\u1ec7n IPSS trong nghi\u00ean c\u1ee9u hi\u1ec7n t\u1ea1i c\u0169ng \u0111\u01b0\u1ee3c h\u1ed7 tr\u1ee3 b\u1edfi nghi\u00ean c\u1ee9u c\u1ee7a Johnstone v\u00e0 c\u1ed9ng s\u1ef1, trong \u0111\u00f3 c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 IPSS gi\u1eefa nh\u00f3m ch\u00e2m c\u1ee9u v\u00e0 nh\u00f3m kh\u00f4ng \u0111i\u1ec1u tr\u1ecb (p = 0,063). Trong nghi\u00ean c\u1ee9u n\u00e0y ch\u1ec9 c\u00f3 20 trong s\u1ed1 30 b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb b\u1eb1ng ch\u00e2m c\u1ee9u, do \u0111\u00f3 gi\u00e1 tr\u1ecb p c\u00f3 th\u1ec3 gi\u1ea3m xu\u1ed1ng d\u01b0\u1edbi 0,05 n\u1ebfu c\u1ee1 m\u1eabu l\u1edbn h\u01a1n. V\u00ec v\u1eady, ch\u00fang ta c\u00f3 th\u1ec3 tin v\u00e0o t\u00ednh \u0111\u1eb7c hi\u1ec7u c\u1ee7a huy\u1ec7t v\u1ecb trong ch\u00e2m c\u1ee9u, m\u1eb7c d\u00f9 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a ch\u00e2m c\u1ee9u t\u1ea1i huy\u1ec7t v\u1eabn ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m s\u00e1ng t\u1ecf ho\u00e0n to\u00e0n.<\/p>\n\n\n\n<p>C\u00e1c nghi\u00ean c\u1ee9u cho th\u1ea5y \u0111i\u1ec1u bi\u1ebfn th\u1ea7n kinh c\u00f9ng (sacral neuromodulation) c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng b\u00e0ng quang t\u0103ng ho\u1ea1t. V\u00ec BL33 t\u01b0\u01a1ng \u1ee9ng v\u1edbi d\u00e2y th\u1ea7n kinh c\u00f9ng th\u1ee9 ba \u0111i qua l\u1ed7 c\u00f9ng th\u1ee9 ba, n\u00ean \u0111i\u1ec7n ch\u00e2m t\u1ea1i BL33 c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c xem nh\u01b0 m\u1ed9t d\u1ea1ng \u0111i\u1ec1u bi\u1ebfn th\u1ea7n kinh c\u00f9ng. Ch\u00e2m c\u1ee9u v\u00f9ng c\u00f9ng c\u0169ng \u0111\u01b0\u1ee3c ch\u1ee9ng minh c\u00f3 hi\u1ec7u qu\u1ea3 trong vi\u1ec7c c\u1ea3i thi\u1ec7n k\u00edch th\u00edch b\u00e0ng quang do acid acetic \u1edf chu\u1ed9t, th\u00f4ng qua \u1ee9c ch\u1ebf ho\u1ea1t h\u00f3a s\u1ee3i th\u1ea7n kinh C nh\u1ea1y c\u1ea3m v\u1edbi capsaicin. Do \u0111\u00f3, t\u00e1c d\u1ee5ng c\u1ee7a \u0111i\u1ec7n ch\u00e2m trong BPH c\u00f3 th\u1ec3 li\u00ean quan \u0111\u1ebfn c\u01a1 ch\u1ebf \u0111i\u1ec1u bi\u1ebfn th\u1ea7n kinh v\u00f9ng c\u00f9ng.<\/p>\n\n\n\n<p>M\u1eb7c d\u00f9 c\u01a1 ch\u1ebf ch\u00ednh x\u00e1c c\u1ee7a \u0111i\u1ec7n ch\u00e2m trong \u0111i\u1ec1u tr\u1ecb BPH ch\u01b0a \u0111\u01b0\u1ee3c l\u00e0m r\u00f5, c\u00e1c nh\u00e0 nghi\u00ean c\u1ee9u cho r\u1eb1ng t\u00e1c d\u1ee5ng c\u1ee7a ch\u00e2m c\u1ee9u \u00edt li\u00ean quan \u0111\u1ebfn thay \u0111\u1ed5i m\u00f4 h\u1ecdc c\u1ee7a tuy\u1ebfn ti\u1ec1n li\u1ec7t, v\u00ec kh\u00f4ng c\u00f3 s\u1ef1 kh\u00e1c bi\u1ec7t v\u1ec1 n\u1ed3ng \u0111\u1ed9 PSA gi\u1eefa nh\u00f3m ch\u00e2m th\u1eadt v\u00e0 ch\u00e2m gi\u1ea3, c\u0169ng nh\u01b0 gi\u1eefa nh\u00f3m ch\u00e2m c\u1ee9u v\u00e0 nh\u00f3m kh\u00f4ng \u0111i\u1ec1u tr\u1ecb. C\u00e1c nghi\u00ean c\u1ee9u fMRI v\u1ec1 ch\u00e2m c\u1ee9u cho th\u1ea5y c\u00f3 m\u1ed1i li\u00ean h\u1ec7 r\u00f5 r\u1ec7t gi\u1eefa ho\u1ea1t \u0111\u1ed9ng c\u1ee7a n\u00e3o v\u00e0 th\u1ee7 thu\u1eadt ch\u00e2m c\u1ee9u, trong khi n\u00e3o b\u1ed9 \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong c\u1ea3m gi\u00e1c v\u00e0 ki\u1ec3m so\u00e1t h\u1ec7 ti\u1ebft ni\u1ec7u d\u01b0\u1edbi. Do \u0111\u00f3, s\u1ef1 \u0111i\u1ec1u h\u00f2a c\u1ee7a n\u00e3o do ch\u00e2m c\u1ee9u c\u00f3 th\u1ec3 c\u0169ng g\u00f3p ph\u1ea7n v\u00e0o t\u00e1c d\u1ee5ng c\u1ee7a \u0111i\u1ec7n ch\u00e2m \u0111\u1ed1i v\u1edbi BPH.<\/p>\n\n\n\n<p>\u0110i\u1ec1u n\u00e0y \u0111\u01b0\u1ee3c x\u00e1c nh\u1eadn b\u1edfi nghi\u00ean c\u1ee9u \u0111\u1ed9ng v\u1eadt in vivo, trong \u0111\u00f3 Chung v\u00e0 c\u1ed9ng s\u1ef1 ph\u00e1t hi\u1ec7n r\u1eb1ng bi\u1ec3u hi\u1ec7n c-Fos t\u1ea1i trung t\u00e2m ti\u1ec3u ti\u1ec7n \u1edf c\u1ea7u n\u00e3o (PMC), v\u00f9ng ch\u1ea5t x\u00e1m quanh c\u1ed1ng n\u00e3o (vlPAG) v\u00e0 nh\u00e2n tr\u01b0\u1edbc trong (MPA) t\u0103ng l\u00ean trong ti\u1ec3u kh\u00f4ng t\u1ef1 ch\u1ee7 do stress, v\u00e0 ch\u00e2m c\u1ee9u l\u00e0m gi\u1ea3m \u0111\u00e1ng k\u1ec3 bi\u1ec3u hi\u1ec7n c-Fos \u1edf c\u00e1c v\u00f9ng n\u00e0y. Tuy nhi\u00ean, v\u1eabn c\u1ea7n c\u00e1c nghi\u00ean c\u1ee9u ti\u1ebfp theo \u0111\u1ec3 l\u00e0m r\u00f5 c\u01a1 ch\u1ebf t\u00e1c d\u1ee5ng c\u1ee7a ch\u00e2m c\u1ee9u trong \u0111i\u1ec1u tr\u1ecb BPH.<\/p>\n<!-- relpost-thumb-wrapper --><div class=\"relpost-thumb-wrapper\"><!-- filter-class --><div class=\"relpost-thumb-container\"><style>.relpost-block-single-image, .relpost-post-image { margin-bottom: 10px; }<\/style><h3>Related posts:<\/h3><div style=\"clear: both\"><\/div><div style=\"clear: both\"><\/div><!-- relpost-block-container --><div class=\"relpost-block-container relpost-block-column-layout\" style=\"--relposth-columns: 3;--relposth-columns_t: 2; --relposth-columns_m: 2\"><a href=\"https:\/\/thuoc115.com\/suckhoe\/tai-lieu-huong-dan-phuong-phap-thu-doc-tinh-duoc-lieu-sau-khi-bao-che\/\"class=\"relpost-block-single\" ><div class=\"relpost-custom-block-single\"><div class=\"relpost-block-single-image rpt-lazyload\" aria-hidden=\"true\" role=\"img\" data-bg=\"https:\/\/thuoc115.com\/suckhoe\/wp-content\/plugins\/related-posts-thumbnails\/img\/default.png\" style=\"background: transparent no-repeat scroll 0% 0%; width: 150px; height: 150px; aspect-ratio: 1\/1;\"><\/div><div class=\"relpost-block-single-text\"  style=\"height: 75px;font-family: Arial;  font-size: 12px;  color: #333333;\"><h2 class=\"relpost_card_title\">T\u00e0i li\u1ec7u h\u01b0\u1edbng d\u1eabn ph\u01b0\u01a1ng ph\u00e1p th\u1eed \u0111\u1ed9c t\u00ednh d\u01b0\u1ee3c li\u1ec7u sau khi b\u00e0o ch\u1ebf<\/h2><\/div><\/div><\/a><a href=\"https:\/\/thuoc115.com\/suckhoe\/su-khac-biet-cua-y-hoc-co-truyen-the-he-cu-va-he-nano-the-he-3\/\"class=\"relpost-block-single\" ><div class=\"relpost-custom-block-single\"><div class=\"relpost-block-single-image rpt-lazyload\" aria-hidden=\"true\" role=\"img\" data-bg=\"https:\/\/thuoc115.com\/suckhoe\/wp-content\/plugins\/related-posts-thumbnails\/img\/default.png\" style=\"background: transparent no-repeat scroll 0% 0%; width: 150px; height: 150px; aspect-ratio: 1\/1;\"><\/div><div class=\"relpost-block-single-text\"  style=\"height: 75px;font-family: Arial;  font-size: 12px;  color: #333333;\"><h2 class=\"relpost_card_title\">S\u1ef1 kh\u00e1c bi\u1ec7t c\u1ee7a thu\u1ed1c y h\u1ecdc c\u1ed5 truy\u1ec1n th\u1ebf h\u1ec7 c\u0169 v\u00e0 h\u1ec7 nano th\u1ebf h\u1ec7 3<\/h2><\/div><\/div><\/a><a href=\"https:\/\/thuoc115.com\/suckhoe\/the-dam-nhiet-noi-nhieu-chung-mat-ngu-do-dam-hoa\/\"class=\"relpost-block-single\" ><div class=\"relpost-custom-block-single\"><div class=\"relpost-block-single-image rpt-lazyload\" aria-hidden=\"true\" role=\"img\" data-bg=\"https:\/\/thuoc115.com\/suckhoe\/wp-content\/plugins\/related-posts-thumbnails\/img\/default.png\" style=\"background: transparent no-repeat scroll 0% 0%; width: 150px; height: 150px; aspect-ratio: 1\/1;\"><\/div><div class=\"relpost-block-single-text\"  style=\"height: 75px;font-family: Arial;  font-size: 12px;  color: #333333;\"><h2 class=\"relpost_card_title\">Th\u1ec3 \u0111\u00e0m nhi\u1ec7t n\u1ed9i nhi\u1ec5u - ch\u1ee9ng m\u1ea5t ng\u1ee7 do \u0111\u00e0m h\u1ecfa<\/h2><\/div><\/div><\/a><\/div><!-- close relpost-block-container --><div style=\"clear: both\"><\/div><\/div><!-- close filter class --><\/div><!-- close relpost-thumb-wrapper -->","protected":false},"excerpt":{"rendered":"<p>1. GI\u1edaI THI\u1ec6U Theo y h\u1ecdc c\u1ed5 truy\u1ec1n, ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t \u0111a s\u1ed1 \u1edf th\u1ec3 th\u1eadn d\u01b0\u01a1ng h\u01b0, chi\u1ebfm t\u1edbi 50% s\u1ed1 b\u1ec7nh nh\u00e2n tr\u00ean l\u00e2m s\u00e0ng. Th\u1ec3 th\u1ec3 \u0111\u00e0m th\u1ea5p \u2013 th\u1ee7y \u1ea9m chi\u1ebfm kho\u1ea3ng 35% v\u00e0 c\u00f2n l\u1ea1i l\u00e0 th\u1ec3 th\u1eadn \u00e2m h\u01b0 v\u00e0 c\u00e1c th\u1ec3 kh\u00e1c li\u00ean quan. Huy\u1ec7t quan &#8230; <a title=\"Nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c\" class=\"read-more\" href=\"https:\/\/thuoc115.com\/suckhoe\/nghien-cuu-dieu-tri-phi-dai-tuyen-tien-liet-bang-thao-duoc\/\" aria-label=\"\u0110\u1ecdc th\u00eam v\u1ec1 Nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c\">\u0110\u1ecdc ti\u1ebfp<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-495","post","type-post","status-publish","format-standard","hentry","category-duoc-lieu"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c - Th\u00f4ng tin s\u1ee9c kh\u1ecfe<\/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:\/\/thuoc115.com\/suckhoe\/nghien-cuu-dieu-tri-phi-dai-tuyen-tien-liet-bang-thao-duoc\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Nghi\u00ean c\u1ee9u \u0111i\u1ec1u tr\u1ecb ph\u00ec \u0111\u1ea1i tuy\u1ebfn ti\u1ec1n li\u1ec7t b\u1eb1ng th\u1ea3o d\u01b0\u1ee3c - Th\u00f4ng tin s\u1ee9c kh\u1ecfe\" \/>\n<meta property=\"og:description\" content=\"1. 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