Ch\u1ec9 1 l\u00fd lu\u1eadn \u0111i\u1ec1u tr\u1ecb kh\u1ecfi c\u1ea3 4 nh\u00f3m b\u1ec7nh\/ph\u1ed5 b\u1ec7nh ch\u00ednh theo to\u00e0n b\u1ed9 v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef<\/p>\n\n\n\n
1. \u0110au b\u1ee5ng kinh nguy\u00ean ph\u00e1t (\u539f\u53d1\u6027\u75db\u7ecf)
2. V\u00f4 sinh do r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t (\u4e0d\u5b55\u75c7), h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang
3. D\u1ecda s\u1ea3y thai (\u5148\u5146\u6d41\u4ea7)
4. H\u1ed9i ch\u1ee9ng ti\u1ec1n m\u00e3n kinh (\u56f4\u7edd\u7ecf\u671f\u7efc\u5408\u5f81)<\/p>\n\n\n\n
T\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb v\u00e0 b\u1ec7nh l\u00fd to\u00e0n v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef – thuy\u1ebft th\u1ee7y h\u1ecfa<\/p>\n\n\n\n
H\u1ecdc thuy\u1ebft truy\u1ec1n th\u1ed1ng \u201cth\u1eadn ch\u1ee7 sinh s\u1ea3n\u201d tuy nh\u1ea5n m\u1ea1nh vai tr\u00f2 c\u1ee7a th\u1eadn, nh\u01b0ng ch\u01b0a gi\u1ea3i th\u00edch \u0111\u1ea7y \u0111\u1ee7 \u1ea3nh h\u01b0\u1edfng c\u1ee7a t\u00e2m l\u00fd (stress, c\u1ea3m x\u00fac) l\u00ean ch\u1ee9c n\u0103ng sinh s\u1ea3n.<\/p>\n\n\n\n
L\u00fd lu\u1eadn tr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung:
– \u0111\u00e3 x\u00e1c l\u1eadp vai tr\u00f2 \u0111i\u1ec1u ti\u1ebft c\u1ee7a t\u00e2m (n\u00e3o) \u0111\u1ed1i v\u1edbi sinh s\u1ea3n
– \u0111\u1ed3ng th\u1eddi t\u1ea1o n\u1ec1n t\u1ea3ng cho ph\u01b0\u01a1ng ph\u00e1p t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb<\/p>\n\n\n\n
B\u1ea3n ch\u1ea5t c\u1ee7a \u201ct\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb\u201d th\u1ee7y h\u1ecfa h\u00f2a h\u1ee3p<\/p>\n\n\n\n
\u0110\u00e2y l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c tr\u01b0ng c\u1ee7a y h\u1ecdc c\u1ed5 truy\u1ec1n, v\u1edbi m\u1ee5c ti\u00eau:<\/p>\n\n\n\n
– \u0111i\u1ec1u h\u00f2a th\u1ee7y \u2013 h\u1ecfa (th\u1eadn \u2013 t\u00e2m)
– kh\u00f4i ph\u1ee5c nh\u1ecbp sinh s\u1ea3n c\u1ee7a t\u1eed cung<\/p>\n\n\n\n
C\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ed1t l\u00f5i:
Th\u1eadn th\u1ee7y h\u01b0 d\u1eabn t\u1edbi t\u00e2m h\u1ecfa v\u01b0\u1ee3ng t\u1eeb \u0111\u00f3 g\u00e2y ra r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t
T\u00e2m d\u01b0\u01a1ng h\u01b0 d\u1eabn t\u1edbi th\u1eadn kh\u00f4ng \u0111\u01b0\u1ee3c \u00f4n t\u1eeb \u0111\u00f3 c\u00f3 ch\u1ee9ng t\u1eed cung l\u1ea1nh h\u00e0n<\/p>\n\n\n\n
Khi th\u1ee7y h\u1ecfa kh\u00f4ng giao
-Kinh nguy\u1ec7t r\u1ed1i lo\u1ea1n
Thai kh\u00f4ng v\u1eefng
– Tri\u1ec7u ch\u1ee9ng m\u00e3n kinh<\/p>\n\n\n\n
Theo t\u00e2y y, \u0111\u00e2y l\u00e0 \u0111\u1ed3ng b\u1ec7nh th\u1ea7n kinh \u2013 n\u1ed9i ti\u1ebft, li\u00ean quan t\u1edbi H\u1ea1 \u0111\u1ed3i \u2013 tuy\u1ebfn y\u00ean \u2013 bu\u1ed3ng tr\u1ee9ng (HPO)<\/p>\n\n\n\n
H\u1ecdc thuy\u1ebft truy\u1ec1n th\u1ed1ng \u201cth\u1eadn ch\u1ee7 sinh s\u1ea3n\u201d tuy nh\u1ea5n m\u1ea1nh vai tr\u00f2 ch\u1ee7 \u0111\u1ea1o c\u1ee7a th\u1eadn kh\u00ed \u0111\u1ed1i v\u1edbi sinh s\u1ea3n, nh\u01b0ng ch\u01b0a th\u1ec3 gi\u1ea3i th\u00edch m\u1ed9t c\u00e1ch h\u1ec7 th\u1ed1ng c\u01a1 ch\u1ebf \u1ea3nh h\u01b0\u1edfng c\u1ee7a stress t\u00e2m l\u00fd \u0111\u1ed1i v\u1edbi ch\u1ee9c n\u0103ng sinh s\u1ea3n. L\u00fd lu\u1eadn \u201ctr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung\u201d do H\u1ea1 l\u00e3o \u0111\u1ec1 xu\u1ea5t \u0111\u00e3 x\u00e1c l\u1eadp v\u1ecb tr\u00ed \u0111i\u1ec1u ti\u1ebft c\u1ee7a t\u00e2m (n\u00e3o) \u0111\u1ed1i v\u1edbi ch\u1ee9c n\u0103ng sinh s\u1ea3n, \u0111\u1ed3ng th\u1eddi c\u0169ng cung c\u1ea5p c\u01a1 s\u1edf l\u00fd lu\u1eadn cho vi\u1ec7c m\u1edf r\u1ed9ng v\u00e0 \u1ee9ng d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb.<\/p>\n\n\n\n
T\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb l\u00e0 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u1eb7c s\u1eafc c\u1ee7a Trung y l\u1ea5y \u201ctr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung\u201d l\u00e0m h\u1ea1t nh\u00e2n l\u00fd lu\u1eadn, nh\u1eb1m th\u00f4ng qua vi\u1ec7c \u0111i\u1ec1u h\u00f2a th\u1ee7y h\u1ecfa gi\u1eefa t\u00e2m v\u00e0 th\u1eadn, \u00e2m d\u01b0\u01a1ng t\u01b0\u01a1ng t\u1ebf, kh\u00f4i ph\u1ee5c nh\u1ecbp \u0111i\u1ec7u sinh s\u1ea3n c\u00f3 tr\u1eadt t\u1ef1 c\u1ee7a t\u1eed cung (c\u00f4ng n\u0103ng t\u00e0ng \u2013 ti\u1ebft). M\u1ea5u ch\u1ed1t b\u1ec7nh c\u01a1 n\u1eb1m \u1edf s\u1ef1 b\u1ea5t giao gi\u1eefa t\u00e2m v\u00e0 th\u1eadn: th\u1eadn th\u1ee7y h\u01b0 th\u00ec t\u00e2m h\u1ecfa v\u01b0\u1ee3ng, l\u00e0m r\u1ed1i lo\u1ea1n xung \u2013 nh\u00e2m; t\u00e2m d\u01b0\u01a1ng suy th\u00ec th\u1eadn kh\u00f4ng \u0111\u01b0\u1ee3c \u00f4n d\u01b0\u1ee1ng, t\u1eed cung h\u00e0n l\u1ea1nh; th\u1ee7y h\u1ecfa b\u1ea5t t\u1ebf d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, thai nguy\u00ean kh\u00f4ng v\u1eefng ho\u1eb7c xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng m\u00e3n kinh. Tinh y\u1ebfu c\u1ee7a ph\u00e9p tr\u1ecb n\u1eb1m \u1edf vi\u1ec7c \u201cgiao th\u00f4ng t\u00e2m th\u1eadn\u201d: t\u01b0 b\u1ed5 th\u1eadn th\u1ee7y \u0111\u1ec3 \u0111\u01b0a l\u00ean nu\u00f4i t\u00e2m \u00e2m, ch\u1ebf \u01b0\u1edbc h\u01b0 h\u1ecfa; \u00f4n d\u01b0\u1ee1ng t\u00e2m h\u1ecfa \u0111\u1ec3 \u0111\u01b0a xu\u1ed1ng \u1ea5m th\u1eadn d\u01b0\u01a1ng, tr\u1eeb b\u1ecf h\u00e0n t\u00e0, khi\u1ebfn th\u1ee7y h\u1ecfa k\u00fd t\u1ebf, \u00e2m d\u01b0\u01a1ng c\u00e2n b\u1eb1ng.<\/p>\n\n\n\n
B\u1ec7nh l\u00fd n\u1ed9i ti\u1ebft sinh s\u1ea3n n\u1eef th\u1ec3 hi\u1ec7n \u0111\u1eb7c \u0111i\u1ec3m \u201c\u0111\u1ed3ng b\u1ec7nh th\u1ea7n kinh \u2013 n\u1ed9i ti\u1ebft\u201d. Ch\u1ee9c n\u0103ng sinh s\u1ea3n c\u1ee7a n\u1eef do tr\u1ee5c h\u1ea1 \u0111\u1ed3i \u2013 tuy\u1ebfn y\u00ean \u2013 bu\u1ed3ng tr\u1ee9ng (HPO) \u0111i\u1ec1u ti\u1ebft; trong \u0111\u00f3 neuron GnRH \u1edf h\u1ea1 \u0111\u1ed3i \u0111\u01b0\u1ee3c xem l\u00e0 \u0111i\u1ec3m kh\u1edfi \u0111\u1ea7u \u0111i\u1ec1u h\u00f2a c\u1ee7a tr\u1ee5c n\u1ed9i ti\u1ebft sinh s\u1ea3n, m\u1ea1ng l\u01b0\u1edbi th\u1ea7n kinh \u2013 n\u1ed9i ti\u1ebft \u0111i\u1ec1u khi\u1ec3n t\u1eeb tr\u00ean xu\u1ed1ng duy tr\u00ec s\u1ef1 \u1ed5n \u0111\u1ecbnh c\u1ee7a ch\u1ee9c n\u0103ng n\u1ed9i ti\u1ebft sinh s\u1ea3n n\u1eef. S\u1ef1 \u0111i\u1ec1u ti\u1ebft c\u1ee7a tr\u1ee5c HPO xuy\u00ean su\u1ed1t c\u00e1c giai \u0111o\u1ea1n trong v\u00f2ng \u0111\u1eddi ng\u01b0\u1eddi ph\u1ee5 n\u1eef: \u1edf tu\u1ed5i d\u1eady th\u00ec, tr\u1ee5c HPO \u0111\u01b0\u1ee3c ho\u1ea1t h\u00f3a kh\u1edfi \u0111\u1ed9ng qu\u00e1 tr\u00ecnh tr\u01b0\u1edfng th\u00e0nh sinh d\u1ee5c v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1ecbp kinh nguy\u1ec7t, n\u1ebfu b\u1ea5t th\u01b0\u1eddng s\u1ebd g\u00e2y kinh nguy\u1ec7t kh\u00f4ng \u0111\u1ec1u, \u0111au b\u1ee5ng kinh; \u1edf tu\u1ed5i sinh s\u1ea3n, s\u1ef1 dao \u0111\u1ed9ng theo chu k\u1ef3 c\u1ee7a hormone do tr\u1ee5c HPO duy tr\u00ec kinh nguy\u1ec7t v\u00e0 kh\u1ea3 n\u0103ng sinh s\u1ea3n, n\u1ebfu b\u1ea5t th\u01b0\u1eddng c\u00f3 th\u1ec3 g\u00e2y r\u1ed1i lo\u1ea1n r\u1ee5ng tr\u1ee9ng v\u00e0 c\u00e1c b\u1ec7nh li\u00ean quan; trong thai k\u1ef3, tr\u1ee5c HPO \u0111\u01b0\u1ee3c t\u00e1i c\u1ea5u tr\u00fac d\u01b0\u1edbi t\u00e1c \u0111\u1ed9ng ph\u1ea3n h\u1ed3i c\u1ee7a hormone nhau thai, n\u1ebfu b\u1ea5t th\u01b0\u1eddng d\u1ec5 d\u1eabn \u0111\u1ebfn kh\u00f4ng th\u1ec3 sinh n\u1edf b\u00ecnh th\u01b0\u1eddng; \u1edf giai \u0111o\u1ea1n ti\u1ec1n m\u00e3n kinh, ch\u1ee9c n\u0103ng tr\u1ee5c HPO suy gi\u1ea3m, d\u1ec5 g\u00e2y ra c\u00e1c bi\u1ebfn \u0111\u1ed5i b\u1ec7nh l\u00fd li\u00ean quan \u0111\u1ebfn t\u00ecnh tr\u1ea1ng thi\u1ebfu estrogen. S\u1ef1 r\u1ed1i lo\u1ea1n c\u1ee7a tr\u1ee5c HPO kh\u00f4ng ch\u1ec9 tr\u1ef1c ti\u1ebfp g\u00e2y ra c\u00e1c b\u1ec7nh n\u1ed9i ti\u1ebft sinh s\u1ea3n nh\u01b0 r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, v\u00f4 sinh, m\u00e0 c\u00f2n th\u00f4ng qua s\u1ef1 ph\u00e2n b\u1ed1 r\u1ed9ng r\u00e3i c\u1ee7a th\u1ee5 th\u1ec3 estrogen tham gia \u0111i\u1ec1u h\u00f2a chuy\u1ec3n h\u00f3a, tim m\u1ea1ch v\u00e0 c\u00e2n b\u1eb1ng x\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 c\u1ea5u th\u00e0nh c\u01a1 ch\u1ebf b\u1ec7nh l\u00fd trung t\u00e2m c\u1ee7a c\u00e1c b\u1ec7nh trong to\u00e0n b\u1ed9 v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef.<\/p>\n\n\n\n
Quan \u0111i\u1ec3m ch\u1ec9nh th\u1ec3 c\u1ee7a Trung y cho r\u1eb1ng c\u01a1 th\u1ec3 con ng\u01b0\u1eddi l\u00e0 m\u1ed9t ch\u1ec9nh th\u1ec3 h\u1eefu c\u01a1, bao g\u1ed3m \u201cng\u0169 t\u1ea1ng nh\u1ea5t th\u1ec3\u201d v\u00e0 \u201ch\u00ecnh \u2013 th\u1ea7n nh\u1ea5t th\u1ec3\u201d. \u201cTr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung\u201d \u0111i\u1ec1u h\u00f2a c\u00e1c b\u1ec7nh ph\u1ee5 khoa ch\u00ednh l\u00e0 bi\u1ec3u hi\u1ec7n c\u1ee7a s\u1ef1 c\u00e2n b\u1eb1ng \u00e2m d\u01b0\u01a1ng sinh s\u1ea3n n\u1eef v\u00e0 s\u1ef1 th\u1ed1ng nh\u1ea5t t\u1ea1ng ph\u1ee7 trong g\u00f3c nh\u00ecn ch\u1ec9nh th\u1ec3; tr\u00ean c\u01a1 s\u1edf \u0111\u00f3, kinh nguy\u1ec7t, th\u1ee5 thai, thai s\u1ea3n di\u1ec5n ra b\u00ecnh th\u01b0\u1eddng, th\u00e2n t\u00e2m kh\u1ecfe m\u1ea1nh, t\u1eeb \u0111\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c tr\u1ea1ng th\u00e1i \u201ch\u00ecnh th\u1ea7n h\u1ee3p nh\u1ea5t\u201d, th\u1ec3 hi\u1ec7n r\u00f5 quan \u0111i\u1ec3m ch\u1ec9nh th\u1ec3 c\u1ee7a Trung y.<\/p>\n\n\n\n
M\u1eb7c d\u00f9 tr\u1ee5c HPO c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i v\u00e0 \u201ctr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung\u201d c\u1ee7a Trung y c\u00f3 khung l\u00fd lu\u1eadn kh\u00e1c nhau, nh\u01b0ng \u1edf ph\u01b0\u01a1ng di\u1ec7n \u0111i\u1ec1u h\u00f2a ch\u1ee9c n\u0103ng sinh s\u1ea3n l\u1ea1i c\u00f3 s\u1ef1 t\u01b0\u01a1ng h\u1ee3p cao: h\u1ea1 \u0111\u1ed3i v\u1edbi vai tr\u00f2 trung t\u00e2m th\u1ea7n kinh \u2013 n\u1ed9i ti\u1ebft c\u00f3 n\u00e9t t\u01b0\u01a1ng \u0111\u1ed3ng v\u1edbi quan ni\u1ec7m \u201ct\u00e2m ch\u1ee7 th\u1ea7n minh\u201d trong Trung y; tr\u1ee5c tuy\u1ebfn y\u00ean \u2013 tuy\u1ebfn sinh d\u1ee5c ch\u1ee7 \u0111\u1ea1o s\u1ef1 b\u00e0i ti\u1ebft hormone sinh d\u1ee5c t\u01b0\u01a1ng \u1ee9ng v\u1edbi quan ni\u1ec7m \u201cth\u1eadn ch\u1ee7 sinh s\u1ea3n\u201d trong Trung y; c\u00f2n t\u1eed cung v\u00e0 bu\u1ed3ng tr\u1ee9ng v\u1edbi t\u01b0 c\u00e1ch l\u00e0 c\u01a1 quan hi\u1ec7u \u1ee9ng t\u01b0\u01a1ng \u1ee9ng v\u1edbi h\u1ec7 th\u1ed1ng xung \u2013 nh\u00e2m, b\u00e0o cung trong Trung y. Tuy nhi\u00ean, \u01b0u th\u1ebf c\u1ee7a l\u00fd lu\u1eadn \u201ctr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung\u201d n\u1eb1m \u1edf ch\u1ed7: kh\u00f4ng ch\u1ec9 gi\u1ea3i th\u00edch c\u00e1c ch\u1ee9c n\u0103ng sinh l\u00fd sinh s\u1ea3n m\u00e0 tr\u1ee5c sinh s\u1ea3n hi\u1ec7n \u0111\u1ea1i \u0111\u1ec1 c\u1eadp, m\u00e0 c\u00f2n bao h\u00e0m t\u01b0 t\u01b0\u1edfng \u201ct\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb\u201d, v\u01b0\u1ee3t qua h\u1ea1n ch\u1ebf c\u1ee7a m\u00f4 h\u00ecnh \u0111i\u1ec1u h\u00f2a \u0111\u01a1n tr\u1ee5c.<\/p>\n\n\n\n
X\u00e9t v\u1ec1 ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb, \u0111i\u1ec1u tr\u1ecb hormone trong T\u00e2y y ph\u1ea7n l\u1edbn t\u1eadp trung v\u00e0o m\u1ee5c ti\u00eau c\u1ee5c b\u1ed9, d\u1ec5 g\u00e2y m\u1ea5t c\u00e2n b\u1eb1ng tr\u1ee5c ph\u1ea3n h\u1ed3i; trong khi \u0111\u00f3, t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb c\u00f3 \u01b0u th\u1ebf \u0111i\u1ec1u ch\u1ec9nh c\u00e2n b\u1eb1ng \u0111\u1ed9ng: l\u1ea5y nguy\u00ean t\u1eafc th\u1ee7y h\u1ecfa k\u00fd t\u1ebf l\u00e0m trung t\u00e2m, th\u00f4ng qua t\u01b0 b\u1ed5 th\u1eadn th\u1ee7y \u0111\u1ec3 nu\u00f4i t\u00e2m \u00e2m, \u00f4n d\u01b0\u1ee1ng t\u00e2m h\u1ecfa \u0111\u1ec3 \u1ea5m th\u1eadn d\u01b0\u01a1ng, t\u1eeb \u0111\u00f3 \u0111\u1ea1t tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh c\u1ee7a tr\u1ee5c sinh s\u1ea3n. Ngo\u00e0i ra, y h\u1ecdc hi\u1ec7n \u0111\u1ea1i trong \u0111i\u1ec1u ch\u1ec9nh tr\u1ee5c HPO ch\u01b0a ch\u00fa tr\u1ecdng \u0111\u1ebfn can thi\u1ec7p v\u1ec1 m\u1eb7t c\u1ea3m x\u00fac; c\u00f2n t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb th\u00ec k\u1ebft h\u1ee3p \u0111\u1ed3ng th\u1eddi \u201c\u0111i\u1ec1u t\u00e2m th\u1ea7n \u0111\u1ec3 th\u01b0 gi\u1ea3i can u\u1ea5t\u201d v\u00e0 \u201cc\u1ed1 th\u1eadn tinh \u0111\u1ec3 nu\u00f4i d\u01b0\u1ee1ng h\u00ecnh th\u1ec3\u201d, tr\u1ef1c ti\u1ebfp can thi\u1ec7p v\u00e0o c\u01a1 ch\u1ebf \u0111\u1ed3ng b\u1ec7nh gi\u1eefa stress t\u00e2m l\u00fd v\u00e0 r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng sinh s\u1ea3n, \u0111\u1ea1t \u0111\u01b0\u1ee3c s\u1ef1 \u0111i\u1ec1u h\u00f2a c\u1ea3 h\u00ecnh v\u00e0 th\u1ea7n. T\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb kh\u00f4ng ph\u1ea3i l\u00e0 s\u1ef1 m\u00f4 ph\u1ecfng \u0111\u01a1n gi\u1ea3n tr\u1ee5c sinh s\u1ea3n hi\u1ec7n \u0111\u1ea1i, m\u00e0 l\u00e0 t\u00e1i c\u1ea5u tr\u00fac \u0111i\u1ec1u h\u00f2a sinh s\u1ea3n tr\u00ean n\u1ec1n t\u1ea3ng th\u1ed1ng nh\u1ea5t gi\u1eefa t\u1ea1ng ph\u1ee7 v\u00e0 h\u00ecnh \u2013 th\u1ea7n, l\u1ea5y tr\u1ea1ng th\u00e1i \u1ed5n \u0111\u1ecbnh c\u1ee7a t\u00e2m th\u1eadn t\u01b0\u01a1ng giao l\u00e0m m\u1ee5c ti\u00eau \u0111i\u1ec1u tr\u1ecb, t\u1eeb \u0111\u00f3 h\u00ecnh th\u00e0nh can thi\u1ec7p li\u00ean t\u1ee5c xuy\u00ean su\u1ed1t to\u00e0n b\u1ed9 v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef.<\/p>\n\n\n\n
Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng xuy\u00ean su\u1ed1t trong \u0111i\u1ec1u tr\u1ecb c\u00e1c b\u1ec7nh l\u00fd \u1edf m\u1ecdi giai \u0111o\u1ea1n c\u1ee7a v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef. Kinh nguy\u1ec7t, thai ngh\u00e9n v\u00e0 qu\u00e1 tr\u00ecnh l\u00e3o h\u00f3a tr\u1ea3i d\u00e0i t\u1eeb tu\u1ed5i d\u1eady th\u00ec, tu\u1ed5i sinh s\u1ea3n \u0111\u1ebfn giai \u0111o\u1ea1n ti\u1ec1n m\u00e3n kinh; do \u0111\u00f3 c\u1ea7n c\u0103n c\u1ee9 \u0111\u1eb7c \u0111i\u1ec3m sinh l\u00fd t\u1eebng giai \u0111o\u1ea1n \u0111\u1ec3 th\u1ef1c hi\u1ec7n \u0111i\u1ec1u tr\u1ecb c\u00e1 th\u1ec3 h\u00f3a: \u1edf tu\u1ed5i d\u1eady th\u00ec, th\u00f4ng qua \u0111i\u1ec1u t\u00e2m an th\u1ea7n \u0111\u1ec3 thi\u1ebft l\u1eadp chu k\u1ef3 kinh b\u00ecnh th\u01b0\u1eddng; \u1edf tu\u1ed5i sinh s\u1ea3n, th\u00f4ng qua \u0111i\u1ec1u h\u00f2a t\u00e2m \u2013 th\u1eadn \u0111\u1ec3 duy tr\u00ec ch\u1ee9c n\u0103ng sinh s\u1ea3n; \u1edf giai \u0111o\u1ea1n ti\u1ec1n m\u00e3n kinh, th\u00f4ng qua t\u01b0 th\u1eadn thanh t\u00e2m \u0111\u1ec3 chuy\u1ec3n ti\u1ebfp \u1ed5n \u0111\u1ecbnh. Trong \u0111i\u1ec1u h\u00f2a chu k\u1ef3 kinh nguy\u1ec7t, giai \u0111o\u1ea1n sau kinh l\u1ea5y t\u01b0 b\u1ed5 th\u1eadn \u00e2m l\u00e0m ch\u1ee7, ph\u1ed1i h\u1ee3p an t\u00e2m; giai \u0111o\u1ea1n gi\u1eefa k\u1ef3 kinh l\u1ea5y b\u1ed5 th\u1eadn ho\u1ea1t huy\u1ebft, an th\u1ea7n; giai \u0111o\u1ea1n tr\u01b0\u1edbc kinh l\u1ea5y \u00f4n th\u1eadn d\u01b0\u01a1ng, s\u01a1 can gi\u1ea3i u\u1ea5t; giai \u0111o\u1ea1n h\u00e0nh kinh l\u1ea5y ho\u1ea1t huy\u1ebft \u0111i\u1ec1u kinh, an th\u1ea7n.<\/p>\n\n\n\n
T\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb \u0111\u00e3 v\u01b0\u1ee3t qua m\u00f4 h\u00ecnh \u0111i\u1ec1u ch\u1ec9nh \u0111\u01a1n h\u01b0\u1edbng l\u1ea5y th\u1eadn l\u00e0m g\u1ed1c truy\u1ec1n th\u1ed1ng, x\u00e2y d\u1ef1ng h\u1ec7 th\u1ed1ng \u0111i\u1ec1u h\u00f2a hai chi\u1ec1u gi\u1eefa t\u00e2m v\u00e0 th\u1eadn; \u0111\u1ed3ng th\u1eddi c\u00f3 t\u00ednh ph\u1ed5 qu\u00e1t xuy\u00ean su\u1ed1t theo tr\u1ee5c th\u1eddi gian c\u1ee7a to\u00e0n b\u1ed9 v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef, qua \u0111\u00f3 th\u1ef1c hi\u1ec7n s\u1ef1 dung h\u1ee3p h\u1eefu c\u01a1 gi\u1eefa l\u00fd lu\u1eadn \u0110\u00f4ng \u2013 T\u00e2y y trong \u0111i\u1ec1u h\u00f2a sinh s\u1ea3n.<\/p>\n\n\n\n
\u0110au b\u1ee5ng kinh nguy\u00ean ph\u00e1t l\u00e0 m\u1ed9t b\u1ec7nh ph\u1ee5 khoa quan tr\u1ecdng g\u00e2y phi\u1ec1n to\u00e1i cho n\u1eef gi\u1edbi tu\u1ed5i d\u1eady th\u00ec; c\u00e1c nghi\u00ean c\u1ee9u \u0111\u00e3 ch\u1ee9ng th\u1ef1c \u0111\u00e2y l\u00e0 y\u1ebfu t\u1ed1 nguy c\u01a1 c\u1ee7a l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung [7]. \u0110i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh nguy\u00ean ph\u00e1t kh\u00f4ng ch\u1ec9 gi\u00fap n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a n\u1eef gi\u1edbi tu\u1ed5i d\u1eady th\u00ec m\u00e0 c\u00f2n c\u00f3 th\u1ec3 ng\u0103n ch\u1eb7n s\u1ef1 ti\u1ebfn tri\u1ec3n th\u00e0nh l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n
\u300aT\u1ed1 V\u1ea5n\u300b vi\u1ebft: \u201c\u8bf8\u75db\u75d2\u75ae\u7686\u5c5e\u4e8e\u5fc3\u201d (m\u1ecdi ch\u1ee9ng \u0111au ng\u1ee9a \u0111\u1ec1u thu\u1ed9c v\u1ec1 t\u00e2m) [8], t\u1eeb \u0111\u00f3 thi\u1ebft l\u1eadp m\u1ed1i li\u00ean h\u1ec7 l\u00fd lu\u1eadn gi\u1eefa ch\u1ee9ng \u0111au v\u00e0 t\u1ea1ng t\u00e2m; \u0111\u1ed3ng th\u1eddi kinh huy\u1ebft t\u00e0ng ti\u1ebft \u1edf t\u1eed cung l\u1ea1i kh\u00f4ng th\u1ec3 t\u00e1ch r\u1eddi th\u1eadn, v\u00ec v\u1eady tuy v\u1ecb tr\u00ed b\u1ec7nh c\u1ee7a \u0111au b\u1ee5ng kinh bi\u1ec3u hi\u1ec7n \u1edf t\u1eed cung, nh\u01b0ng th\u1ef1c ch\u1ea5t th\u00f4ng qua xung \u2013 nh\u00e2m li\u00ean h\u1ec7 v\u1edbi t\u00e2m v\u00e0 th\u1eadn, do \u0111\u00f3 c\u1ea7n coi tr\u1ecdng \u0111i\u1ec1u tr\u1ecb c\u1ea3 hai t\u1ea1ng t\u00e2m v\u00e0 th\u1eadn.<\/p>\n\n\n\n
Ph\u1ee5 th\u00e2n c\u1ee7a t\u00e1c gi\u1ea3 l\u00e0 \u00f4ng Chu Thi\u1ebfu B\u00e1, truy\u1ec1n nh\u00e2n \u0111\u1eddi th\u1ee9 t\u01b0 c\u1ee7a M\u1ea1nh H\u00e0 M\u00e3 th\u1ecb, trong \u0111i\u1ec1u tr\u1ecb \u0111au do h\u00e0n th\u1ea5p l\u01b0u tr\u00fa r\u1ea5t ch\u00fa tr\u1ecdng \u00f4n kinh th\u00f4ng l\u1ea1c; tr\u00ean c\u01a1 s\u1edf c\u1ea3i bi\u00ean b\u00e0i D\u01b0\u01a1ng H\u00f2a Thang \u0111\u00e3 s\u00e1ng l\u1eadp ph\u01b0\u01a1ng \u201cph\u1ee5 khoa \u00f4n th\u00f4ng ph\u01b0\u01a1ng\u201d. B\u00e0i d\u00f9ng c\u00e1c v\u1ecb nh\u01b0 s\u00e0i h\u1ed3, x\u00edch th\u01b0\u1ee3c, b\u1ea1ch th\u01b0\u1ee3c, \u0111\u1ed9c ho\u1ea1t, \u0111\u01b0\u01a1ng quy, ch\u1ec9 th\u1ef1c, t\u1ea7n giao, nh\u0169 h\u01b0\u01a1ng, xuy\u00ean ng\u01b0u t\u1ea5t, tang k\u00fd sinh, \u0111an b\u00ec\u2026 gia gi\u1ea3m theo ch\u1ee9ng c\u00f3 th\u1ec3 \u0111i\u1ec1u tr\u1ecb c\u00e1c ch\u1ee9ng \u0111au b\u1ee5ng do h\u00e0n ng\u01b0ng, bao g\u1ed3m \u0111au b\u1ee5ng kinh. Trong \u0111\u00f3 \u0111\u1ed9c ho\u1ea1t, ng\u01b0u t\u1ea5t, tang k\u00fd sinh nh\u1eadp kinh th\u1eadn \u0111\u1ec3 b\u1ed5 th\u1eadn th\u00f4ng kinh; \u0111an b\u00ec nh\u1eadp t\u00e2m kinh \u0111\u1ec3 thanh t\u00e2m ho\u1ea1t huy\u1ebft; \u0111\u1ed3ng th\u1eddi d\u00f9ng thu\u1ed1c l\u00fd kh\u00ed \u0111\u1ec3 th\u00f4ng \u0111\u1ea1t t\u00e2m \u2013 th\u1eadn tr\u00ean d\u01b0\u1edbi, th\u1ec3 hi\u1ec7n t\u01b0 t\u01b0\u1edfng \u0111\u01b0a ph\u00e1p t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb v\u00e0o trong \u00f4n d\u01b0\u01a1ng th\u00f4ng m\u1ea1ch \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh do h\u00e0n ng\u01b0ng huy\u1ebft \u1ee9.<\/p>\n\n\n\n
D\u01b0\u1edbi \u1ea3nh h\u01b0\u1edfng h\u1ecdc thu\u1eadt c\u1ee7a th\u1ebf h\u1ec7 tr\u01b0\u1edbc, t\u00e1c gi\u1ea3 ti\u1ebfp t\u1ee5c nghi\u00ean c\u1ee9u m\u1ed1i li\u00ean h\u1ec7 gi\u1eefa t\u00e2m (n\u00e3o) v\u00e0 \u0111au b\u1ee5ng kinh. T\u00e2m ch\u1ee7 th\u1ea7n minh, chi ph\u1ed1i ho\u1ea1t \u0111\u1ed9ng tinh th\u1ea7n \u00fd th\u1ee9c c\u1ee7a con ng\u01b0\u1eddi, t\u1eeb ph\u01b0\u01a1ng di\u1ec7n tinh th\u1ea7n \u0111i\u1ec1u ti\u1ebft s\u1ef1 bi\u1ebfn \u0111\u1ed5i chu k\u1ef3 c\u1ee7a t\u1eed cung [9]; t\u00e2m ch\u1ee7 huy\u1ebft m\u1ea1ch, trong \u0111au b\u1ee5ng kinh d\u00f9 l\u00e0 kh\u00ed tr\u1ec7 huy\u1ebft \u1ee9 hay kh\u00ed huy\u1ebft l\u01b0\u1ee1ng h\u01b0 \u0111\u1ec1u li\u00ean quan \u0111\u1ebfn s\u1ef1 th\u00fac \u0111\u1ea9y c\u1ee7a t\u00e2m kh\u00ed, do \u0111\u00f3 \u0111i\u1ec1u tr\u1ecb t\u1eeb t\u00e2m ch\u1ee7 y\u1ebfu th\u1ec3 hi\u1ec7n \u1edf hai m\u1eb7t \u0111i\u1ec1u ch\u1ec9nh tinh th\u1ea7n v\u00e0 \u0111i\u1ec1u h\u00f2a v\u1eadn h\u00e0nh kh\u00ed huy\u1ebft.<\/p>\n\n\n\n
Ngo\u00e0i ra, trong h\u1ecdc thuy\u1ebft \u0111i\u1ec1u chu k\u1ef3 c\u1ee7a H\u1ea1 l\u00e3o, th\u1eddi k\u1ef3 gi\u1eefa chu k\u1ef3 (k\u1ef3 r\u1ee5ng tr\u1ee9ng) \u0111\u01b0\u1ee3c xem l\u00e0 giai \u0111o\u1ea1n quan tr\u1ecdng \u0111\u1ec3 \u0111i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh; giai \u0111o\u1ea1n n\u00e0y \u00e2m ph\u00e1t tri\u1ec3n \u0111\u1ebfn c\u1ef1c \u0111i\u1ec3m. H\u1ea1 l\u00e3o ch\u1ec9 ra r\u1eb1ng qu\u00e1 tr\u00ecnh chuy\u1ec3n h\u00f3a t\u1eeb \u00e2m th\u1ecbnh sang d\u01b0\u01a1ng c\u1ee7a giai \u0111o\u1ea1n n\u00e0y ph\u1ee5 thu\u1ed9c v\u00e0o \u0111i\u1ec1u t\u00e2m; t\u00e2m t\u0129nh th\u00ec th\u1eadn th\u1ef1c, t\u00e2m th\u1eadn giao h\u00f2a, th\u1ee7y h\u1ecfa t\u01b0\u01a1ng t\u1ebf, t\u1eeb \u0111\u00f3 \u0111\u1ea1t \u0111\u01b0\u1ee3c qu\u00e1 tr\u00ecnh r\u1ee5ng tr\u1ee9ng, t\u1ea1o n\u1ec1n t\u1ea3ng cho d\u01b0\u01a1ng kh\u00ed ph\u00e1t tri\u1ec3n thu\u1eadn l\u1ee3i tr\u01b0\u1edbc k\u1ef3 kinh v\u00e0 \u0111\u1ea3m b\u1ea3o kinh nguy\u1ec7t th\u00f4ng su\u1ed1t<\/p>\n\n\n\n
Th\u1eadn d\u01b0\u01a1ng l\u00e0 g\u1ed1c c\u1ee7a to\u00e0n th\u00e2n d\u01b0\u01a1ng kh\u00ed, c\u00f3 t\u00e1c d\u1ee5ng \u00f4n \u1ea5m, sinh ph\u00e1t, kh\u00ed h\u00f3a, t\u00e0ng tr\u1eef v\u00e0 ch\u1ebf \u01b0\u1edbc \u00e2m h\u00e0n. Khi th\u1eadn d\u01b0\u01a1ng h\u01b0, c\u01a1 th\u1ec3 m\u1ea5t s\u1ef1 \u00f4n d\u01b0\u1ee1ng, kh\u00ed huy\u1ebft tinh d\u1ecbch sinh h\u00f3a kh\u00f4ng \u0111\u1ee7, v\u1eadn h\u00e0nh tr\u00ec tr\u1ec7, \u1ee9 tr\u1ec7 \u1edf b\u00e0o l\u1ea1c, kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng th\u00ec g\u00e2y \u0111au. Th\u1eadn d\u01b0\u01a1ng h\u01b0 kh\u00f4ng th\u1ec3 \u00f4n kinh th\u00f4ng m\u1ea1ch, d\u1eabn \u0111\u1ebfn huy\u1ebft \u1ee9 kh\u00ed tr\u1ec7; ho\u1eb7c khi h\u00e0nh kinh g\u1eb7p l\u1ea1nh; ho\u1eb7c trong l\u00fac kinh ch\u01b0a s\u1ea1ch m\u00e0 giao h\u1ee3p, khi\u1ebfn huy\u1ebft d\u01b0 v\u00e0 d\u1ecbch \u0111\u1ee5c l\u01b0u l\u1ea1i \u1edf b\u00e0o m\u1ea1ch b\u00e0o l\u1ea1c, g\u00e2y \u1ee9 tr\u1ec7 m\u00e0 \u0111au. Th\u1eadn h\u01b0 v\u00e0 huy\u1ebft \u1ee9 th\u01b0\u1eddng \u1ea3nh h\u01b0\u1edfng l\u1eabn nhau. V\u00ec v\u1eady, \u0111au b\u1ee5ng kinh th\u01b0\u1eddng l\u1ea5y th\u1eadn d\u01b0\u01a1ng h\u01b0 l\u00e0m g\u1ed1c, huy\u1ebft \u1ee9 kh\u00ed tr\u1ec7 l\u00e0m bi\u1ec3u.<\/p>\n\n\n\n
Tr\u01b0\u1edbc k\u1ef3 kinh, d\u01b0\u01a1ng kh\u00ed kh\u00f4ng \u0111\u1ea1t \u0111\u1ebfn c\u1ef1c th\u1ecbnh, kh\u00f4ng th\u1ec3 \u00f4n kinh th\u00f4ng m\u1ea1ch, d\u1eabn \u0111\u1ebfn huy\u1ebft \u1ee9. Th\u1eadn h\u01b0, huy\u1ebft \u1ee9, kh\u00ed tr\u1ec7, \u201cb\u1ea5t th\u00f4ng t\u1eafc th\u1ed1ng\u201d, v\u00ec v\u1eady \u0111i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh c\u1ea7n ch\u00fa tr\u1ecdng giai \u0111o\u1ea1n tr\u01b0\u1edbc k\u1ef3 kinh, \u00f4n b\u1ed5 th\u1eadn d\u01b0\u01a1ng, h\u00f3a \u1ee9 th\u00f4ng l\u1ea1c, an t\u00e2m ch\u1ec9 th\u1ed1ng.<\/p>\n\n\n\n
D\u1ef1a tr\u00ean c\u01a1 ch\u1ebf b\u1ec7nh n\u00e0y v\u00e0 l\u00fd lu\u1eadn t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb, t\u00e1c gi\u1ea3 s\u00e1ng l\u1eadp b\u00e0i \u201c\u00f4n kinh ch\u1ec9 th\u1ed1ng ph\u01b0\u01a1ng\u201d, g\u1ed3m c\u00e1c v\u1ecb: nh\u1ee5c qu\u1ebf, l\u1ed9c gi\u00e1c, ho\u00e0i s\u01a1n, \u0111an s\u00e2m, tam l\u0103ng, nga tru\u1eadt, h\u01b0\u01a1ng ph\u1ee5, ng\u1ea3i di\u1ec7p, ti\u1ec3u h\u1ed3i h\u01b0\u01a1ng, c\u00e1t c\u0103n. Trong \u0111\u00f3 nh\u1ee5c qu\u1ebf b\u1ed5 h\u1ecfa tr\u1ee3 d\u01b0\u01a1ng, d\u1eabn h\u1ecfa quy nguy\u00ean, \u00f4n kinh th\u00f4ng m\u1ea1ch, t\u00e1n h\u00e0n ch\u1ec9 th\u1ed1ng; l\u1ed9c gi\u00e1c b\u1ed5 th\u1eadn d\u01b0\u01a1ng, t\u00e1n \u1ee9 huy\u1ebft, hai v\u1ecb ph\u1ed1i h\u1ee3p l\u00e0m qu\u00e2n d\u01b0\u1ee3c \u0111\u1ec3 \u00f4n b\u1ed5 th\u1eadn d\u01b0\u01a1ng, th\u00f4ng m\u1ea1ch ch\u1ec9 th\u1ed1ng. Ho\u00e0i s\u01a1n t\u00ednh b\u00ecnh nhu\u1eadn, b\u1ed5 th\u1eadn \u00edch tinh, ki\u1ec7n t\u1ef3 \u00edch kh\u00ed, v\u1eeba t\u0103ng c\u01b0\u1eddng c\u00f4ng n\u0103ng c\u1ee7a qu\u00e2n d\u01b0\u1ee3c v\u1eeba khi\u1ebfn \u00f4n m\u00e0 kh\u00f4ng t\u00e1o, b\u1ed5 m\u00e0 kh\u00f4ng tr\u1ec7, l\u00e0m th\u1ea7n d\u01b0\u1ee3c.<\/p>\n\n\n\n
\u0110an s\u00e2m c\u00f3 c\u00f4ng t\u01b0\u01a1ng \u0111\u01b0\u01a1ng t\u1ee9 v\u1eadt, ho\u1ea1t huy\u1ebft \u0111i\u1ec1u kinh, kh\u1ee9 \u1ee9 ch\u1ec9 th\u1ed1ng, l\u1ea1i c\u00f3 t\u00ednh h\u01a1i h\u00e0n, c\u00f3 th\u1ec3 h\u1ea1n ch\u1ebf t\u00ednh \u00f4n t\u00e1o c\u1ee7a qu\u00e2n d\u01b0\u1ee3c; ph\u1ed1i h\u1ee3p v\u1edbi tam l\u0103ng, nga tru\u1eadt ph\u00e1 huy\u1ebft h\u00e0nh kh\u00ed, ti\u00eau t\u00edch ch\u1ec9 th\u1ed1ng, l\u00e0m t\u00e1 d\u01b0\u1ee3c. H\u01b0\u01a1ng ph\u1ee5 s\u01a1 can gi\u1ea3i u\u1ea5t, \u0111i\u1ec1u kinh ch\u1ec9 th\u1ed1ng; ng\u1ea3i di\u1ec7p t\u00ednh \u1ea5m, t\u00e1n h\u00e0n ch\u1ec9 th\u1ed1ng, \u00f4n cung tr\u1ee3 thai; ti\u1ec3u h\u1ed3i h\u01b0\u01a1ng \u00f4n th\u1eadn \u1ea5m can, h\u00e0nh kh\u00ed ch\u1ec9 th\u1ed1ng; c\u00e1t c\u0103n gi\u1ea3i c\u01a1 sinh t\u00e2n, th\u00f4ng kinh ho\u1ea1t l\u1ea1c, c\u00e1c v\u1ecb n\u00e0y l\u00e0m s\u1ee9 d\u01b0\u1ee3c \u0111\u1ec3 t\u0103ng hi\u1ec7u qu\u1ea3 l\u00fd kh\u00ed t\u00e1n h\u00e0n, th\u00f4ng kinh ch\u1ec9 th\u1ed1ng. \u0110an s\u00e2m th\u00f4ng t\u00e2m m\u1ea1ch, h\u01b0\u01a1ng ph\u1ee5 th\u01b0 \u0111\u1ea1t kh\u00ed c\u01a1 t\u00e2m can. C\u00e1c v\u1ecb ph\u1ed1i h\u1ee3p, h\u00e0n nhi\u1ec7t c\u00f9ng d\u00f9ng, b\u1ed5 t\u00e1n k\u1ebft h\u1ee3p, c\u00f9ng \u0111\u1ea1t c\u00f4ng n\u0103ng \u00f4n b\u1ed5 th\u1eadn d\u01b0\u01a1ng, h\u00f3a \u1ee9 th\u00f4ng l\u1ea1c, an t\u00e2m ch\u1ec9 th\u1ed1ng.<\/p>\n\n\n\n
\u0110au b\u1ee5ng kinh nguy\u00ean ph\u00e1t th\u01b0\u1eddng g\u1eb7p \u1edf n\u1eef gi\u1edbi tu\u1ed5i d\u1eady th\u00ec; do thi\u00ean qu\u00fd ch\u01b0a ch\u00edn, th\u1eadn kh\u00ed ch\u01b0a v\u1eefng, th\u1ec3 ch\u1ea5t ch\u01b0a \u0111\u1ea7y \u0111\u1ee7, d\u1ec5 b\u1ecb h\u00e0n t\u00e0 x\u00e2m nh\u1eadp t\u1eed cung, v\u00ec v\u1eady \u0111i\u1ec1u tr\u1ecb l\u1ea5y \u00f4n th\u1eadn d\u01b0\u01a1ng, l\u00e0m \u1ea5m t\u1eed cung l\u00e0m ch\u00ednh. \u0110\u1ed3ng th\u1eddi, th\u1eadn kh\u00ed h\u01b0 l\u00e0m kh\u00ed huy\u1ebft v\u1eadn h\u00e0nh tr\u00ec tr\u1ec7, d\u1ed3n \u1ee9 l\u00ean t\u00e2m can; c\u1ed9ng th\u00eam \u00e1p l\u1ef1c h\u1ecdc t\u1eadp khi\u1ebfn d\u1ec5 u\u1ea5t k\u1ebft, g\u00e2y kh\u00ed tr\u1ec7 t\u00e2m can; t\u00e2m l\u00fd s\u1ee3 \u0111au khi m\u1edbi c\u00f3 kinh c\u00e0ng l\u00e0m kh\u00ed ngh\u1ecbch n\u1eb7ng h\u01a1n. V\u00ec v\u1eady \u0111au b\u1ee5ng kinh \u1edf tu\u1ed5i d\u1eady th\u00ec c\u00f3 c\u1ea3 hai c\u01a1 ch\u1ebf \u201cb\u1ea5t th\u00f4ng t\u1eafc th\u1ed1ng\u201d v\u00e0 \u201cb\u1ea5t vinh t\u1eafc th\u1ed1ng\u201d. Khi \u0111i\u1ec1u tr\u1ecb c\u1ea7n v\u1eeba \u00f4n th\u1eadn \u1ea5m cung, v\u1eeba an t\u00e2m s\u01a1 can m\u1edbi c\u00f3 th\u1ec3 gi\u1ea3m \u0111au.<\/p>\n\n\n\n
Vi\u1ec7c s\u1eed d\u1ee5ng thu\u1ed1c l\u00fd kh\u00ed gi\u00fap th\u00f4ng \u0111\u1ea1t t\u00e2m th\u1eadn, khi\u1ebfn xung \u2013 nh\u00e2m th\u00f4ng su\u1ed1t, kh\u00ed huy\u1ebft t\u1eed cung l\u01b0u th\u00f4ng, kinh nguy\u1ec7t ra thu\u1eadn l\u1ee3i, \u0111au \u0111\u01b0\u1ee3c gi\u1ea3m. Do \u0111\u00f3, gi\u1ea3m \u0111au b\u1ee5ng kinh c\u0169ng l\u00e0m gi\u1ea3m n\u1ed7i s\u1ee3 h\u00e3i v\u00e0 \u00e1p l\u1ef1c c\u1ee7a b\u1ec7nh nh\u00e2n, gi\u1ea3m \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn h\u1ecdc t\u1eadp v\u00e0 sinh ho\u1ea1t. Trong th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, ph\u01b0\u01a1ng thu\u1ed1c tr\u00ean kh\u00f4ng ch\u1ec9 d\u00f9ng cho tu\u1ed5i d\u1eady th\u00ec m\u00e0 c\u00f2n c\u00f3 hi\u1ec7u qu\u1ea3 v\u1edbi \u0111au b\u1ee5ng kinh nguy\u00ean ph\u00e1t \u1edf m\u1ecdi l\u1ee9a tu\u1ed5i, c\u0169ng nh\u01b0 \u0111au b\u1ee5ng do di ch\u1ee9ng vi\u00eam v\u00f9ng ch\u1eadu, l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung\u2026 \u0110\u1eb7c bi\u1ec7t, \u0111\u1ed1i v\u1edbi l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung, t\u00e1c gi\u1ea3 cho r\u1eb1ng b\u1ec7nh c\u01a1 l\u1ea5y huy\u1ebft \u1ee9 l\u00e0m ti\u00eau, th\u1eadn h\u01b0 l\u00e0m b\u1ea3n, thi\u00ean v\u1ec1 th\u1eadn d\u01b0\u01a1ng h\u01b0, do h\u01b0 sinh \u1ee9; \u0111i\u1ec1u tr\u1ecb c\u1ea7n \u00f4n d\u01b0\u01a1ng ho\u1ea1t huy\u1ebft \u0111\u1ed3ng th\u1eddi ch\u00fa tr\u1ecdng an t\u00e2m s\u01a1 can, t\u01b0\u01a1ng t\u1ef1 nh\u01b0 \u0111i\u1ec1u tr\u1ecb \u0111au b\u1ee5ng kinh nguy\u00ean ph\u00e1t.<\/p>\n\n\n\n
\u4e0d\u5b55\u75c7:\u4ea4\u901a\u5fc3\u80be,\u8c03\u7ecf\u52a9\u5b55<\/p>\n\n\n\n
Ph\u1ee5 n\u1eef trong \u0111\u1ed9 tu\u1ed5i sinh s\u1ea3n th\u01b0\u1eddng b\u1ecb v\u00f4 sinh do r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t. Theo s\u1ed1 li\u1ec7u c\u1ee7a WHO, kho\u1ea3ng 25% c\u00e1c tr\u01b0\u1eddng h\u1ee3p v\u00f4 sinh li\u00ean quan \u0111\u1ebfn r\u1ed1i lo\u1ea1n r\u1ee5ng tr\u1ee9ng, \u0111\u00e2y c\u0169ng l\u00e0 tr\u1ecdng \u0111i\u1ec3m v\u00e0 kh\u00f3 \u0111i\u1ec3m trong \u0111i\u1ec1u tr\u1ecb n\u1ed9i ti\u1ebft sinh s\u1ea3n c\u1ee7a c\u1ea3 \u0110\u00f4ng v\u00e0 T\u00e2y y. Ngo\u00e0i ra, c\u00f3 b\u00e1o c\u00e1o cho th\u1ea5y ngay l\u1ea7n kh\u00e1m \u0111\u1ea7u ti\u00ean, \u0111\u00e3 c\u00f3 40% ph\u1ee5 n\u1eef v\u00f4 sinh \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n m\u1eafc lo \u00e2u, tr\u1ea7m c\u1ea3m ho\u1eb7c c\u1ea3 hai, v\u00ec v\u1eady v\u00f4 sinh kh\u00f4ng ch\u1ec9 l\u00e0 b\u1ec7nh l\u00fd sinh l\u00fd sinh s\u1ea3n m\u00e0 c\u00f2n l\u00e0 b\u1ec7nh l\u00fd t\u00e2m \u2013 th\u00e2n k\u1ebft h\u1ee3p.<\/p>\n\n\n\n
C\u1ea3m x\u00fac lo \u00e2u, tr\u1ea7m c\u1ea3m l\u00e0m can m\u1ea5t ch\u1ee9c n\u0103ng s\u01a1 ti\u1ebft, t\u1eeb \u0111\u00f3 d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng t\u1ea1ng ph\u1ee7 v\u00e0 cu\u1ed1i c\u00f9ng g\u00e2y v\u00f4 sinh. \u0110\u00e2y l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 quan tr\u1ecdng li\u00ean quan gi\u1eefa sinh l\u00fd sinh s\u1ea3n v\u00e0 t\u00ecnh ch\u00ed. T\u00e2m l\u00e0 ch\u1ee7 c\u1ee7a ng\u0169 t\u1ea1ng l\u1ee5c ph\u1ee7, ch\u1ee7 th\u1ea7n minh, c\u00f3 quan h\u1ec7 m\u1eadt thi\u1ebft v\u1edbi \u0111\u1ea1i n\u00e3o, l\u1ea1i ch\u1ee7 huy\u1ebft m\u1ea1ch n\u00ean li\u00ean quan tr\u1ef1c ti\u1ebfp \u0111\u1ebfn v\u1eadn h\u00e0nh kinh huy\u1ebft.<\/p>\n\n\n\n
Qua g\u1ea7n 40 n\u0103m th\u1ef1c h\u00e0nh l\u00e2m s\u00e0ng, t\u00e1c gi\u1ea3 nh\u1eadn th\u1ea5y trong b\u1ed1n giai \u0111o\u1ea1n c\u1ee7a chu k\u1ef3 kinh, hai giai \u0111o\u1ea1n quan tr\u1ecdng nh\u1ea5t \u1ea3nh h\u01b0\u1edfng \u0111\u1ebfn nh\u1ecbp \u0111i\u1ec7u chu k\u1ef3 l\u00e0 giai \u0111o\u1ea1n sau kinh v\u00e0 tr\u01b0\u1edbc kinh. Giai \u0111o\u1ea1n sau kinh l\u00e0 giai \u0111o\u1ea1n \u00e2m t\u0103ng tr\u01b0\u1edfng, do kinh huy\u1ebft v\u1eeba tho\u00e1t ra, t\u1eed cung v\u00e0 b\u00e0o m\u1ea1ch tr\u1edf n\u00ean tr\u1ed1ng r\u1ed7ng, th\u1eadn \u00e2m th\u1eadn tinh thi\u1ebfu h\u1ee5t, kh\u00f4ng th\u1ec3 th\u0103ng l\u00ean nu\u00f4i t\u00e2m, khi\u1ebfn t\u00e2m m\u1ea5t s\u1ef1 nu\u00f4i d\u01b0\u1ee1ng. Khi th\u1eadn \u00e2m d\u1ea7n ph\u1ee5c h\u1ed3i, n\u1ed9i m\u1ea1c t\u1eed cung ph\u00e1t tri\u1ec3n, th\u0103ng l\u00ean nu\u00f4i t\u00e2m, t\u00e2m th\u1eadn giao h\u00f2a, th\u1ee7y h\u1ecfa k\u00fd t\u1ebf, \u00e2m d\u01b0\u01a1ng t\u01b0\u01a1ng c\u0103n, th\u1eadn \u00e2m ph\u00e1t tri\u1ec3n \u0111\u1ebfn c\u1ef1c \u0111i\u1ec3m sinh tinh; d\u01b0\u1edbi s\u1ef1 \u0111i\u1ec1u khi\u1ec3n c\u1ee7a t\u00e2m (n\u00e3o), tinh h\u00f3a kh\u00ed, \u00e2m chuy\u1ec3n th\u00e0nh d\u01b0\u01a1ng, nh\u1edd d\u01b0\u01a1ng kh\u00ed th\u00fac \u0111\u1ea9y m\u00e0 ph\u00f3ng no\u00e3n, chuy\u1ec3n sang giai \u0111o\u1ea1n d\u01b0\u01a1ng t\u0103ng tr\u01b0\u1edfng. \u0110\u00e2y ch\u00ednh l\u00e0 th\u1eddi k\u1ef3 r\u1ee5ng tr\u1ee9ng, c\u0169ng l\u00e0 th\u1eddi \u0111i\u1ec3m th\u1ee5 thai t\u1ed1t nh\u1ea5t.<\/p>\n\n\n\n
N\u1ebfu do th\u1ee9c khuya k\u00e9o d\u00e0i, lo \u00e2u tr\u1ea7m c\u1ea3m, ph\u00f2ng d\u1ee5c qu\u00e1 \u0111\u1ed9 ho\u1eb7c sinh nhi\u1ec1u khi\u1ebfn th\u1eadn tinh hao t\u1ed5n, \u00e2m kh\u00f4ng \u0111\u1ee7, t\u00e2m th\u1ea7n kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng, l\u00e0m m\u1ea5t s\u1ef1 \u0111i\u1ec1u khi\u1ec3n c\u1ee7a t\u00e2m (n\u00e3o), huy\u1ebft h\u1ea3i kh\u00f4ng \u0111\u1ea7y, n\u1ed9i m\u1ea1c t\u1eed cung kh\u00f4ng ph\u00e1t tri\u1ec3n (ni\u00eam m\u1ea1c m\u1ecfng), tr\u1ee9ng kh\u00f4ng ch\u00edn, kh\u00f3 chuy\u1ec3n h\u00f3a, t\u1eeb \u0111\u00f3 kh\u00f3 th\u1ee5 thai. V\u00ec v\u1eady \u0111i\u1ec1u tr\u1ecb giai \u0111o\u1ea1n sau kinh c\u1ea7n ch\u00fa tr\u1ecdng b\u1ed5 th\u1eadn tinh, d\u01b0\u1ee1ng t\u00e2m th\u1eadn.<\/p>\n\n\n\n
T\u00e1c gi\u1ea3 s\u00e1ng l\u1eadp b\u00e0i \u201cd\u01b0\u1ee1ng t\u00e2m \u0111i\u1ec7n c\u01a1 ph\u01b0\u01a1ng\u201d, g\u1ed3m c\u00e1c v\u1ecb: quy b\u1ea3n ch\u00edch, mi\u1ebft gi\u00e1p ch\u00edch, th\u1ee5c \u0111\u1ecba ho\u00e0ng, b\u1ea1ch th\u01b0\u1ee3c sao, \u0111\u01b0\u01a1ng quy t\u1ea9m r\u01b0\u1ee3u, xuy\u00ean khung, toan t\u00e1o nh\u00e2n, tri m\u1eabu ch\u00edch, ph\u1ee5c linh, \u0111\u1ea3ng s\u00e2m sao. U\u1ed1ng t\u1eeb ng\u00e0y th\u1ee9 5 c\u1ee7a chu k\u1ef3 \u0111\u1ebfn khi r\u1ee5ng tr\u1ee9ng. Trong \u0111\u00f3 quy b\u1ea3n, mi\u1ebft gi\u00e1p l\u00e0 qu\u00e2n d\u01b0\u1ee3c, quy v\u00e0o can th\u1eadn, c\u00f3 t\u00e1c d\u1ee5ng b\u1ed5 tinh t\u1ee7y, d\u01b0\u1ee1ng \u00e2m huy\u1ebft, \u0111\u1ea1i b\u1ed5 th\u1eadn th\u1ee7y; \u0111\u01b0\u01a1ng quy, xuy\u00ean khung, \u0111\u1ecba ho\u00e0ng, b\u1ea1ch th\u01b0\u1ee3c d\u01b0\u1ee1ng huy\u1ebft d\u01b0\u1ee1ng t\u00e2m, t\u01b0 th\u1eadn d\u01b0\u1ee1ng \u00e2m, l\u00e0m \u0111\u1ea7y huy\u1ebft h\u1ea3i t\u1eed cung; toan t\u00e1o nh\u00e2n d\u01b0\u1ee1ng t\u00e2m an th\u1ea7n, tri m\u1eabu thanh nhi\u1ec7t tr\u1eeb phi\u1ec1n; th\u00eam ph\u1ee5c linh, \u0111\u1ea3ng s\u00e2m ki\u1ec7n t\u1ef3 \u00edch kh\u00ed \u0111\u1ec3 sinh huy\u1ebft m\u00e0 kh\u00f4ng g\u00e2y tr\u1ec7. C\u00e1c v\u1ecb ph\u1ed1i h\u1ee3p gi\u00fap \u00edch \u00e2m d\u01b0\u1ee1ng huy\u1ebft, \u0111i\u1ec1u h\u00f2a xung nh\u00e2m, giao th\u00f4ng t\u00e2m th\u1eadn.<\/p>\n\n\n\n
Ph\u01b0\u01a1ng n\u00e0y c\u00f3 t\u00e1c d\u1ee5ng th\u00fac \u0111\u1ea9y s\u1ef1 t\u0103ng sinh n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 ph\u00e1t tri\u1ec3n nang no\u00e3n trong giai \u0111o\u1ea1n sau kinh, c\u1ea3i thi\u1ec7n m\u00f4i tr\u01b0\u1eddng n\u1ed9i m\u1ea1c t\u1eed cung, n\u00e2ng cao kh\u1ea3 n\u0103ng ti\u1ebfp nh\u1eadn c\u1ee7a n\u1ed9i m\u1ea1c, t\u1eeb \u0111\u00f3 gi\u00fap ph\u00f4i l\u00e0m t\u1ed5. \u0110\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p n\u1ed9i m\u1ea1c t\u1eed cung m\u1ecfng, nang no\u00e3n ph\u00e1t tri\u1ec3n k\u00e9m do th\u1ee9c khuya, stress ho\u1eb7c sinh nhi\u1ec1u, ph\u01b0\u01a1ng n\u00e0y c\u00f3 hi\u1ec7u qu\u1ea3 l\u00e2m s\u00e0ng t\u1ed1t.<\/p>\n\n\n\n
Giai \u0111o\u1ea1n tr\u01b0\u1edbc kinh l\u00e0 giai \u0111o\u1ea1n d\u01b0\u01a1ng t\u0103ng tr\u01b0\u1edfng. Khi d\u01b0\u01a1ng \u0111\u1ea1t c\u1ef1c th\u1ecbnh, \u00e2m d\u01b0\u01a1ng \u0111\u1ec1u \u0111\u1ea7y \u0111\u1ee7, t\u1eed cung \u0111\u01b0\u1ee3c \u00f4n \u1ea5m, tinh huy\u1ebft sung t\u00fac, n\u1ed9i m\u1ea1c d\u00e0y, kinh nguy\u1ec7t b\u00ecnh th\u01b0\u1eddng, thu\u1eadn l\u1ee3i cho th\u1ee5 thai. N\u1ebfu th\u1eadn d\u01b0\u01a1ng h\u01b0, kh\u00f4ng th\u1ec3 n\u00e2ng \u0111\u1ee1 t\u00e2m d\u01b0\u01a1ng v\u00e0 s\u01a1 ti\u1ebft can kh\u00ed, s\u1ebd d\u1eabn \u0111\u1ebfn can kh\u00ed u\u1ea5t ho\u1eb7c can h\u1ecfa v\u01b0\u1ee3ng, g\u00e2y r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, \u0111au l\u01b0ng, s\u1ee3 l\u1ea1nh, c\u0103ng ng\u1ef1c tr\u01b0\u1edbc kinh, d\u1ec5 c\u00e1u g\u1eaft, \u0111au b\u1ee5ng kinh, v\u00f4 sinh ho\u1eb7c s\u1ea3y thai.<\/p>\n\n\n\n
C\u00f3 th\u1ec3 d\u00f9ng b\u00e0i \u201cb\u1ed5 th\u1eadn tr\u1ee3 thai ph\u01b0\u01a1ng\u201d, g\u1ed3m: l\u1ed9c gi\u00e1c phi\u1ebfn, t\u1eed th\u1ea1ch anh, s\u00e0i h\u1ed3, ho\u00e0i s\u01a1n, th\u1ecf ty t\u1eed, \u0111an s\u00e2m, s\u01a1n th\u00f9 du t\u1ea9m r\u01b0\u1ee3u, b\u1ea1ch th\u01b0\u1ee3c sao. U\u1ed1ng t\u1eeb sau r\u1ee5ng tr\u1ee9ng \u0111\u1ebfn tr\u01b0\u1edbc k\u1ef3 kinh. Trong \u0111\u00f3 t\u1eed th\u1ea1ch anh v\u00e0 l\u1ed9c gi\u00e1c phi\u1ebfn \u00f4n th\u1eadn tr\u1ee3 d\u01b0\u01a1ng l\u00e0 qu\u00e2n d\u01b0\u1ee3c; th\u1ecf ty t\u1eed, b\u1ea1ch th\u01b0\u1ee3c, s\u01a1n th\u00f9 du, ho\u00e0i s\u01a1n b\u1ed5 can th\u1eadn \u00e2m tinh l\u00e0 th\u1ea7n d\u01b0\u1ee3c; s\u00e0i h\u1ed3 s\u01a1 can gi\u1ea3i u\u1ea5t, \u0111an s\u00e2m ho\u1ea1t huy\u1ebft an th\u1ea7n l\u00e0m t\u00e1 d\u01b0\u1ee3c.<\/p>\n\n\n\n
Ph\u01b0\u01a1ng n\u00e0y d\u00f9ng trong giai \u0111o\u1ea1n tr\u01b0\u1edbc kinh c\u00f3 t\u00e1c d\u1ee5ng gi\u00fap d\u01b0\u01a1ng \u0111\u1ea1t c\u1ef1c th\u1ecbnh, an t\u00e2m \u0111\u1ecbnh th\u1ea7n. Giai \u0111o\u1ea1n sau kinh b\u1ed5 th\u1eadn d\u01b0\u1ee1ng t\u00e2m gi\u00fap \u00e2m \u0111\u1ea1t c\u1ef1c th\u1ecbnh, giai \u0111o\u1ea1n tr\u01b0\u1edbc kinh \u00f4n th\u1eadn an t\u00e2m gi\u00fap d\u01b0\u01a1ng \u0111\u1ea1t c\u1ef1c th\u1ecbnh, t\u1ea1o th\u00e0nh \u0111i\u1ec1u tr\u1ecb tu\u1ea7n t\u1ef1 t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb, t\u1eeb \u0111\u00f3 \u0111i\u1ec1u h\u00f2a c\u00e2n b\u1eb1ng \u00e2m d\u01b0\u01a1ng c\u1ee7a tr\u1ee5c t\u00e2m \u2013 th\u1eadn \u2013 t\u1eed cung, \u0111i\u1ec1u ch\u1ec9nh chu k\u1ef3 kinh, th\u00fac \u0111\u1ea9y l\u00e0m t\u1ed5 c\u1ee7a ph\u00f4i, n\u00e2ng cao t\u1ef7 l\u1ec7 mang thai.<\/p>\n\n\n\n
Th\u1ef1c nghi\u1ec7m cho th\u1ea5y ph\u01b0\u01a1ng n\u00e0y c\u00f3 th\u1ec3 t\u00e1c \u0111\u1ed9ng tr\u1ef1c ti\u1ebfp l\u00ean bu\u1ed3ng tr\u1ee9ng, \u0111i\u1ec1u h\u00f2a con \u0111\u01b0\u1eddng t\u00edn hi\u1ec7u apoptosis c\u1ee7a t\u1ebf b\u00e0o ho\u00e0ng th\u1ec3, c\u1ea3i thi\u1ec7n ch\u1ee9c n\u0103ng ho\u00e0ng th\u1ec3, n\u00e2ng cao kh\u1ea3 n\u0103ng ti\u1ebfp nh\u1eadn c\u1ee7a n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 th\u00fac \u0111\u1ea9y l\u00e0m t\u1ed5 c\u1ee7a tr\u1ee9ng \u0111\u00e3 th\u1ee5 tinh.<\/p>\n\n\n\n
\u5148\u5146\u6d41\u4ea7:\u805a\u7126\u5fc3\u80be,\u7a33\u56fa\u80ce\u5143<\/p>\n\n\n\n
Trong c\u01a1 ch\u1ebf b\u1ec7nh sinh c\u1ee7a h\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang k\u00e8m d\u1ecda s\u1ea3y thai, th\u1eadn h\u01b0 \u0111\u00e3 \u0111\u01b0\u1ee3c ch\u00fa \u00fd, nh\u01b0ng do t\u1eed cung li\u00ean th\u00f4ng v\u1edbi t\u00e2m v\u00e0 th\u1eadn n\u00ean \u0111i\u1ec1u tr\u1ecb kh\u00f4ng ch\u1ec9 t\u1eadp trung v\u00e0o th\u1eadn m\u00e0 c\u1ea7n t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb; \u0111i\u1ec1u n\u00e0y c\u0169ng c\u00f3 th\u1ec3 \u00e1p d\u1ee5ng cho c\u00e1c b\u1ec7nh li\u00ean quan \u0111\u1ebfn d\u1ecda s\u1ea3y thai kh\u00e1c.<\/p>\n\n\n\n
Sau khi mang thai, t\u1eed cung c\u1ea7n \u0111\u01b0\u1ee3c s\u1ef1 h\u1ed7 tr\u1ee3 c\u1ee7a th\u1eadn kh\u00ed, th\u1eadn \u00e2m v\u00e0 th\u1eadn d\u01b0\u01a1ng m\u1edbi c\u00f3 th\u1ec3 gi\u1eef v\u1eefng thai nguy\u00ean. Th\u1eadn kh\u00ed h\u01b0 khi\u1ebfn ch\u1ee9c n\u0103ng c\u1ed1 gi\u1eef c\u1ee7a t\u1eed cung suy y\u1ebfu; th\u1eadn d\u01b0\u01a1ng h\u01b0 khi\u1ebfn t\u1eed cung m\u1ea5t s\u1ef1 \u00f4n \u1ea5m; th\u1eadn \u00e2m h\u01b0 khi\u1ebfn huy\u1ebft h\u1ea3i kh\u00f4ng \u0111\u1ea7y; \u00e2m h\u01b0 h\u1ecfa v\u01b0\u1ee3ng l\u00e0m t\u1ed5n th\u01b0\u01a1ng m\u1ea1ch l\u1ea1c g\u00e2y xu\u1ea5t huy\u1ebft; th\u1eadn h\u01b0 k\u00e8m \u1ee9 tr\u1ec7 l\u00e0m r\u1ed1i lo\u1ea1n v\u1eadn chuy\u1ec3n t\u00e2n d\u1ecbch\u2026 t\u1ea5t c\u1ea3 \u0111\u1ec1u c\u00f3 th\u1ec3 d\u1eabn \u0111\u1ebfn t\u1eed cung kh\u00f4ng gi\u1eef \u0111\u01b0\u1ee3c thai, thai kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng, g\u00e2y thai l\u1eadu, thai \u0111\u1ed9ng b\u1ea5t an ho\u1eb7c s\u1ea3y thai.<\/p>\n\n\n\n
B\u00e0o m\u1ea1ch v\u00e0 b\u00e0o l\u1ea1c tr\u00ean li\u00ean h\u1ec7 v\u1edbi t\u00e2m, d\u01b0\u1edbi li\u00ean h\u1ec7 v\u1edbi th\u1eadn, n\u00ean ch\u1ee9c n\u0103ng c\u1ed1 gi\u1eef c\u1ee7a t\u1eed cung li\u00ean quan ch\u1eb7t ch\u1ebd v\u1edbi t\u00e2m th\u1eadn. Sau khi mang thai, \u00e2m huy\u1ebft t\u1eadp trung nu\u00f4i thai, t\u00e2m m\u1ea5t s\u1ef1 nu\u00f4i d\u01b0\u1ee1ng, t\u00e2m h\u1ecfa d\u1ec5 v\u01b0\u1ee3ng; th\u00eam t\u00e2m l\u00fd lo l\u1eafng c\u1ea7u con khi\u1ebfn m\u1ea5t ng\u1ee7, l\u00e0m t\u00e2m th\u1eadn kh\u00f4ng giao, thai kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i d\u01b0\u1ee1ng, d\u1eabn \u0111\u1ebfn thai \u0111\u1ed9ng b\u1ea5t an ho\u1eb7c s\u1ea3y thai.<\/p>\n\n\n\n
Do \u0111\u00f3, th\u1eadn h\u01b0 l\u00e0m thai kh\u00f4ng c\u00f3 ch\u1ed7 b\u00e1m, huy\u1ebft h\u01b0 l\u00e0m thai kh\u00f4ng \u0111\u01b0\u1ee3c nu\u00f4i, t\u00e2m h\u1ecfa v\u01b0\u1ee3ng l\u00e0m t\u00e2m th\u1eadn m\u1ea5t c\u00e2n b\u1eb1ng \u2014 \u0111\u00e2y l\u00e0 c\u01a1 ch\u1ebf quan tr\u1ecdng g\u00e2y d\u1ecda s\u1ea3y thai. V\u00ec v\u1eady, ph\u00e9p tr\u1ecb ch\u1ee7 y\u1ebfu l\u00e0 b\u1ed5 th\u1eadn, an t\u00e2m, d\u01b0\u1ee1ng huy\u1ebft, an thai.<\/p>\n\n\n\n
Nh\u00f3m nghi\u00ean c\u1ee9u s\u00e1ng l\u1eadp b\u00e0i \u201c\u00edch th\u1eadn an thai ph\u01b0\u01a1ng\u201d, d\u00f9ng t\u1eeb khi c\u00f3 thai \u0111\u1ebfn tu\u1ea7n 10\u201312, g\u1ed3m c\u00e1c v\u1ecb: t\u1ee5c \u0111o\u1ea1n, tang k\u00fd sinh, th\u1ecf ty t\u1eed, ho\u00e0ng c\u1ea7m sao, c\u00e2u \u0111\u1eb1ng\u2026 Trong \u0111\u00f3 t\u1ee5c \u0111o\u1ea1n, tang k\u00fd sinh, th\u1ecf ty t\u1eed b\u1ed5 can th\u1eadn, m\u1ea1nh g\u00e2n c\u1ed1t, an thai; ho\u00e0ng c\u1ea7m, c\u00e2u \u0111\u1eb1ng thanh t\u00e2m h\u1ecfa, an th\u1ea7n. C\u00e1c v\u1ecb ph\u1ed1i h\u1ee3p \u0111\u1ea1t hi\u1ec7u qu\u1ea3 t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb, b\u1ed5 kh\u00ed huy\u1ebft, \u1ed5n \u0111\u1ecbnh thai.<\/p>\n\n\n\n
V\u00ec v\u1eady, trong an thai c\u1ea7n t\u1eadp trung v\u00e0o t\u00e2m th\u1eadn \u0111\u1ec3 c\u1ee7ng c\u1ed1 thai nguy\u00ean.<\/p>\n\n\n\n
\u7edd\u7ecf\u7efc\u5408\u5f81:\u6ecb\u80be\u517b\u8840,\u67d4\u809d\u8212\u5fc3<\/p>\n\n\n\n
C\u00f9ng v\u1edbi s\u1ef1 gia t\u0103ng tu\u1ed5i th\u1ecd, ph\u1ee5 n\u1eef c\u00f3 h\u01a1n m\u1ed9t ph\u1ea7n ba cu\u1ed9c \u0111\u1eddi s\u1ed1ng trong giai \u0111o\u1ea1n sau m\u00e3n kinh. V\u00ec v\u1eady, qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe v\u00e0 ph\u00f2ng ng\u1eeba b\u1ec7nh t\u1eadt li\u00ean quan \u0111\u1ebfn th\u1eddi k\u1ef3 quanh m\u00e3n kinh \u0111\u00e3 tr\u1edf th\u00e0nh m\u1ed9t v\u1ea5n \u0111\u1ec1 y t\u1ebf c\u00f4ng c\u1ed9ng quan tr\u1ecdng.<\/p>\n\n\n\n
H\u1ed9i ch\u1ee9ng quanh m\u00e3n kinh l\u00e0 t\u1eadp h\u1ee3p c\u00e1c tri\u1ec7u ch\u1ee9ng ph\u00e1t sinh do suy gi\u1ea3m ch\u1ee9c n\u0103ng bu\u1ed3ng tr\u1ee9ng v\u00e0 m\u1ea5t c\u00e2n b\u1eb1ng hormone; y h\u1ecdc c\u1ed5 truy\u1ec1n c\u00f3 hi\u1ec7u qu\u1ea3 t\u1ed1t trong vi\u1ec7c gi\u1ea3m nh\u1eb9 tri\u1ec7u ch\u1ee9ng v\u00e0 n\u00e2ng cao ch\u1ea5t l\u01b0\u1ee3ng cu\u1ed9c s\u1ed1ng c\u1ee7a ph\u1ee5 n\u1eef. C\u01a1 ch\u1ebf b\u1ec7nh sinh theo Trung y c\u1ee7a h\u1ed9i ch\u1ee9ng n\u00e0y kh\u00f4ng ch\u1ec9 l\u00e0 th\u1eadn h\u01b0 m\u00e0 c\u00f2n li\u00ean quan m\u1eadt thi\u1ebft \u0111\u1ebfn r\u1ed1i lo\u1ea1n ch\u1ee9c n\u0103ng c\u1ee7a t\u00e2m, can v\u00e0 th\u1eadn.<\/p>\n\n\n\n
\u1ede ph\u1ee5 n\u1eef v\u00e0o tu\u1ed5i \u201cth\u1ea5t th\u1ea5t\u201d, thi\u00ean qu\u00fd s\u1eafp c\u1ea1n, \u00e2m tinh c\u1ee7a can th\u1eadn hao t\u1ed5n, kh\u00f4ng th\u1ec3 th\u0103ng l\u00ean nu\u00f4i t\u00e2m, khi\u1ebfn t\u00e2m h\u1ecfa thi\u00ean v\u01b0\u1ee3ng; \u0111\u1ed3ng th\u1eddi kh\u00f4ng th\u1ec3 nhu d\u01b0\u1ee1ng can m\u1ed9c, l\u00e0m can kh\u00ed thi\u00ean v\u01b0\u1ee3ng. T\u00e2m th\u1eadn kh\u00f4ng giao, th\u1ee7y h\u1ecfa kh\u00f4ng \u0111i\u1ec1u h\u00f2a, t\u1eeb \u0111\u00f3 xu\u1ea5t hi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng nh\u01b0 b\u1ed1c h\u1ecfa, ra m\u1ed3 h\u00f4i, h\u1ed3i h\u1ed9p, m\u1ea5t ng\u1ee7, phi\u1ec1n t\u00e1o, tr\u1ea7m u\u1ea5t. G\u1ed1c b\u1ec7nh \u1edf th\u1eadn, bi\u1ec3u hi\u1ec7n \u1edf t\u00e2m v\u00e0 can, n\u00ean ph\u00e9p tr\u1ecb l\u00e0 t\u01b0 th\u1eadn \u00edch tinh, th\u01b0 t\u00e2m an th\u1ea7n.<\/p>\n\n\n\n
Nh\u00f3m nghi\u00ean c\u1ee9u s\u00e1ng l\u1eadp b\u00e0i \u201ct\u01b0 th\u1eadn th\u01b0 t\u00e2m ph\u01b0\u01a1ng\u201d, g\u1ed3m c\u00e1c v\u1ecb: quy b\u1ea3n ch\u00edch, mi\u1ebft gi\u00e1p ch\u00edch, th\u1ee5c \u0111\u1ecba ho\u00e0ng, s\u01a1n th\u00f9 du, c\u00e2u \u0111\u1eb1ng, li\u00ean t\u1eed t\u00e2m, thanh long x\u1ec9, long c\u1ed1t nung, m\u1eabu l\u1ec7 nung, \u0111\u01b0\u01a1ng quy, b\u1ea1ch th\u01b0\u1ee3c, u\u1ea5t kim, \u0111an s\u00e2m\u2026 c\u00f3 th\u1ec3 c\u1ea3i thi\u1ec7n c\u00e1c tri\u1ec7u ch\u1ee9ng quanh m\u00e3n kinh. Trong ph\u01b0\u01a1ng, quy b\u1ea3n ch\u00edch, mi\u1ebft gi\u00e1p ch\u00edch, th\u1ee5c \u0111\u1ecba ho\u00e0ng, s\u01a1n th\u00f9 du l\u00e0 qu\u00e2n d\u01b0\u1ee3c; quy b\u1ea3n, mi\u1ebft gi\u00e1p l\u00e0 huy\u1ebft nh\u1ee5c h\u1eefu t\u00ecnh chi ph\u1ea9m, \u0111\u1ea1i b\u1ed5 th\u1eadn tinh; th\u1ee5c \u0111\u1ecba, s\u01a1n th\u00f9 quy kinh can th\u1eadn, c\u00f3 t\u00e1c d\u1ee5ng b\u1ed5 huy\u1ebft d\u01b0\u1ee1ng \u00e2m, \u00edch tinh t\u1ee7y, c\u00e1c v\u1ecb ph\u1ed1i h\u1ee3p \u0111\u1ec3 tr\u1ecb g\u1ed1c b\u1ec7nh.<\/p>\n\n\n\n
C\u00e2u \u0111\u1eb1ng, li\u00ean t\u1eed t\u00e2m, thanh long x\u1ec9, long c\u1ed1t nung, m\u1eabu l\u1ec7 nung l\u00e0 th\u1ea7n d\u01b0\u1ee3c; c\u00e2u \u0111\u1eb1ng, li\u00ean t\u1eed t\u00e2m thanh t\u00e2m an th\u1ea7n; thanh long x\u1ec9, long c\u1ed1t, m\u1eabu l\u1ec7 quy kinh t\u00e2m can, tr\u1ea5n t\u00e2m an th\u1ea7n \u0111\u1ed3ng th\u1eddi thanh can, khi\u1ebfn t\u00e2m h\u1ecfa kh\u00f4ng v\u01b0\u1ee3ng, can h\u1ecfa kh\u00f4ng b\u1ed1c, ph\u1ed1i h\u1ee3p v\u1edbi qu\u00e2n d\u01b0\u1ee3c \u0111\u1ec3 b\u1ed5 can th\u1eadn, giao th\u00f4ng t\u00e2m th\u1eadn, ti\u00eau b\u1ea3n \u0111\u1ed3ng tr\u1ecb.<\/p>\n\n\n\n
\u0110\u01b0\u01a1ng quy, b\u1ea1ch th\u01b0\u1ee3c, u\u1ea5t kim, \u0111an s\u00e2m l\u00e0 t\u00e1 d\u01b0\u1ee3c, c\u00f3 t\u00e1c d\u1ee5ng d\u01b0\u1ee1ng huy\u1ebft nhu can, thanh t\u00e2m an th\u1ea7n, h\u1ed7 tr\u1ee3 qu\u00e2n v\u00e0 th\u1ea7n d\u01b0\u1ee3c \u0111i\u1ec1u h\u00f2a t\u00e2m th\u1eadn. B\u1ea1ch tru\u1eadt, ph\u1ee5c linh ki\u1ec7n t\u1ef3 an t\u00e2m, gi\u00fap v\u1eadn h\u00f3a, an \u0111\u1ecbnh th\u1ea7n ch\u00ed. C\u00e1c v\u1ecb ph\u1ed1i h\u1ee3p gi\u00fap \u0111i\u1ec1u tr\u1ecb \u0111\u1ed3ng th\u1eddi t\u00e2m v\u00e0 th\u1eadn, \u0111i\u1ec1u h\u00f2a can v\u00e0 t\u1ef3, b\u1ed5 tinh \u00edch t\u1ee7y, th\u01b0 t\u00e2m tr\u1ee3 v\u1eadn.<\/p>\n\n\n\n
\u7ed3\u8bed<\/p>\n\n\n\n
S\u1ee9c kh\u1ecfe to\u00e0n b\u1ed9 v\u00f2ng \u0111\u1eddi c\u1ee7a ph\u1ee5 n\u1eef l\u00e0 m\u1ee5c ti\u00eau th\u1ef1c h\u00e0nh c\u1ee7a l\u00fd lu\u1eadn \u201ct\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb\u201d. L\u00fd lu\u1eadn n\u00e0y k\u1ebf th\u1eeba t\u1eeb kinh \u0111i\u1ec3n c\u1ed5 \u0111\u1ea1i, l\u1ea5y h\u1ecdc thuy\u1ebft \u201ctr\u1ee5c t\u00e2m (n\u00e3o) \u2013 th\u1eadn \u2013 t\u1eed cung\u201d c\u1ee7a H\u1ea1 l\u00e3o l\u00e0m n\u1ec1n t\u1ea3ng, \u0111\u1ed3ng th\u1eddi \u0111\u01b0\u1ee3c h\u00ecnh th\u00e0nh qua nhi\u1ec1u th\u1eadp k\u1ef7 t\u00edch l\u0169y kinh nghi\u1ec7m l\u00e2m s\u00e0ng v\u00e0 k\u1ebft h\u1ee3p v\u1edbi nhu c\u1ea7u c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i.<\/p>\n\n\n\n
\u0110\u1ed1i v\u1edbi th\u1ed1ng kinh nguy\u00ean ph\u00e1t, n\u00ean \u00f4n th\u1eadn h\u00f3a \u1ee9, an t\u00e2m ch\u1ec9 th\u1ed1ng, ph\u00f9 h\u1ee3p v\u1edbi \u0111\u1eb7c \u0111i\u1ec3m sinh tr\u01b0\u1edfng ph\u00e1t d\u1ee5c c\u1ee7a n\u1eef gi\u1edbi tu\u1ed5i d\u1eady th\u00ec, \u0111\u1ed3ng th\u1eddi c\u00f3 l\u1ee3i \u0111\u1ed1i v\u1edbi c\u00e1c b\u1ec7nh kh\u00f3 tr\u1ecb nh\u01b0 l\u1ea1c n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 \u0111au v\u00f9ng ch\u1eadu m\u1ea1n t\u00ednh.<\/p>\n\n\n\n
\u0110\u1ed1i v\u1edbi v\u00f4 sinh do r\u1ed1i lo\u1ea1n kinh nguy\u1ec7t, c\u1ea7n \u0111i\u1ec1u kinh tr\u1ee3 thai, ph\u00e2n k\u1ef3 lu\u1eadn tr\u1ecb: giai \u0111o\u1ea1n sau kinh t\u01b0 th\u1eadn d\u01b0\u1ee1ng t\u00e2m, th\u00fac \u0111\u1ea9y s\u1ef1 ph\u00e1t tri\u1ec3n n\u1ed9i m\u1ea1c t\u1eed cung v\u00e0 s\u1ef1 tr\u01b0\u1edfng th\u00e0nh c\u1ee7a nang no\u00e3n; giai \u0111o\u1ea1n tr\u01b0\u1edbc kinh \u00f4n th\u1eadn tr\u1ea5n t\u00e2m, nh\u1eb1m n\u00e2ng cao kh\u1ea3 n\u0103ng ti\u1ebfp nh\u1eadn c\u1ee7a n\u1ed9i m\u1ea1c t\u1eed cung.<\/p>\n\n\n\n
\u0110\u1ed1i v\u1edbi d\u1ecda s\u1ea3y thai, c\u1ea7n ch\u00fa tr\u1ecdng b\u1ed5 th\u1eadn an t\u00e2m, d\u01b0\u1ee1ng huy\u1ebft an thai trong su\u1ed1t thai k\u1ef3.<\/p>\n\n\n\n
\u0110\u1ed1i v\u1edbi h\u1ed9i ch\u1ee9ng quanh m\u00e3n kinh, c\u1ea7n t\u01b0 th\u1eadn \u00edch tinh, th\u01b0 t\u00e2m an th\u1ea7n, \u0111i\u1ec1u h\u00f2a \u00e2m d\u01b0\u01a1ng \u0111\u1ec3 chuy\u1ec3n ti\u1ebfp \u1ed5n \u0111\u1ecbnh sang giai \u0111o\u1ea1n tu\u1ed5i gi\u00e0.<\/p>\n\n\n\n
Nh\u1eefng l\u00fd lu\u1eadn tr\u00ean l\u1ea5y quan \u0111i\u1ec3m t\u00e2m th\u1eadn c\u1ee7a Trung y l\u00e0m ch\u1ec9 \u0111\u1ea1o, l\u1ea5y t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb l\u00e0m nguy\u00ean t\u1eafc, t\u1eeb \u0111\u00f3 x\u00e2y d\u1ef1ng h\u1ec7 th\u1ed1ng ho\u00e0n ch\u1ec9nh v\u1ec1 qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe ph\u1ee5 n\u1eef b\u1eb1ng Trung y, bao g\u1ed3m \u0111i\u1ec1u tr\u1ecb hai giai \u0111o\u1ea1n c\u1ee7a chu k\u1ef3 kinh, ch\u1ea9n tr\u1ecb hai giai \u0111o\u1ea1n tr\u01b0\u1edbc v\u00e0 sau mang thai, v\u00e0 qu\u1ea3n l\u00fd ba giai \u0111o\u1ea1n trong to\u00e0n b\u1ed9 v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef.<\/p>\n\n\n\n
Vi\u1ec7c k\u1ebft h\u1ee3p Trung y trong qu\u1ea3n l\u00fd s\u1ee9c kh\u1ecfe to\u00e0n v\u00f2ng \u0111\u1eddi ph\u1ee5 n\u1eef ph\u00f9 h\u1ee3p v\u1edbi xu h\u01b0\u1edbng ph\u00e1t tri\u1ec3n c\u1ee7a y h\u1ecdc hi\u1ec7n \u0111\u1ea1i. T\u01b0 t\u01b0\u1edfng t\u00e2m th\u1eadn \u0111\u1ed3ng tr\u1ecb ph\u1ea3n \u00e1nh m\u00f4 h\u00ecnh \u201csinh h\u1ecdc \u2013 y h\u1ecdc \u2013 t\u00e2m l\u00fd \u2013 x\u00e3 h\u1ed9i\u201d d\u01b0\u1edbi g\u00f3c nh\u00ecn ch\u1ec9nh th\u1ec3 c\u1ee7a Trung y, mang t\u00ednh th\u1eddi \u0111\u1ea1i, t\u00ednh ti\u00ean phong v\u00e0 t\u00ednh th\u1ef1c ti\u1ec5n, nh\u1eb1m th\u00fac \u0111\u1ea9y s\u1ee9c kh\u1ecfe th\u1ec3 ch\u1ea5t v\u00e0 tinh th\u1ea7n c\u1ee7a ph\u1ee5 n\u1eef, h\u01b0\u1edbng t\u1edbi s\u1ed1ng kh\u1ecfe v\u00e0 tr\u01b0\u1eddng th\u1ecd.<\/p>\n