{"id":21327,"date":"2021-10-16T17:06:04","date_gmt":"2021-10-16T10:06:04","guid":{"rendered":"https:\/\/camnang.bibomart.com.vn\/?p=21327"},"modified":"2022-02-22T14:18:28","modified_gmt":"2022-02-22T07:18:28","slug":"vai-tro-cua-progestogen-trong-phong-ngua-sinh-non","status":"publish","type":"post","link":"https:\/\/camnang.bibomart.com.vn\/vai-tro-cua-progestogen-trong-phong-ngua-sinh-non\/","title":{"rendered":"Vai tr\u00f2 c\u1ee7a Progestogen trong ph\u00f2ng ng\u1eeba sinh non"},"content":{"rendered":"\r\n\r\n\r\n<p>&nbsp;<\/p>\r\n\r\n\r\n\r\n<p>Sinh non l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi tr\u1ebb ra \u0111\u1eddi tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 37 c\u1ee7a thai k\u1ef3. Tr\u1ebb sinh non th\u01b0\u1eddng c\u00f3 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe h\u01a1n so v\u1edbi nh\u1eefng tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng (sinh t\u1eeb tu\u1ea7n 39 \u2013 40 c\u1ee7a thai k\u1ef3). Theo k\u1ebft qu\u1ea3 c\u1ee7a nhi\u1ec1u nghi\u00ean c\u1ee9u, progestogen c\u00f3 th\u1ec3 gi\u00fap ph\u00f2ng ng\u1eeba sinh non cho m\u1ed9t s\u1ed1 ph\u1ee5 n\u1eef.<\/p>\r\n\r\n\r\n\r\n<p><strong>1. Sinh non l\u00e0 g\u00ec?<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Sinh non\u00a0l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi tr\u1ebb \u0111\u01b0\u1ee3c sinh ra tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 37 c\u1ee7a thai k\u1ef3. C\u00f3 kho\u1ea3ng 70% c\u00e1c ca sinh non x\u1ea3y ra m\u1ed9t c\u00e1ch t\u1ef1 nhi\u00ean, 30% c\u00e1c ca sinh non c\u00f2n l\u1ea1i c\u00f3 th\u1ec3 do c\u00e1c do c\u00e1c quy\u1ebft \u0111\u1ecbnh y khoa ho\u1eb7c l\u00e0 k\u1ebft qu\u1ea3 c\u1ee7a c\u00e1c b\u1ec7nh l\u00fd tr\u00ean ng\u01b0\u1eddi m\u1eb9 ho\u1eb7c thai nhi (ti\u1ec1n s\u1ea3n gi\u1eadt, nhau thai ti\u1ec1n \u0111\u1ea1o, thai ch\u1eadm ph\u00e1t tri\u1ec3n trong t\u1eed cung,&#8230;).<\/p>\r\n\r\n\r\n\r\n<p>Sinh non\u00a0l\u00e0 nguy\u00ean nh\u00e2n h\u00e0ng \u0111\u1ea7u g\u00e2y khuy\u1ebft t\u1eadt v\u1ec1 th\u1ea7n kinh v\u00e0 t\u1eed vong cho tr\u1ebb s\u01a1 sinh. Nh\u1eefng y\u1ebfu t\u1ed1 l\u00e0m t\u0103ng nguy c\u01a1 sinh non g\u1ed3m: ti\u1ec1n s\u1eed sinh non tr\u01b0\u1edbc \u0111\u00f3, ch\u1ea3y m\u00e1u \u00e2m \u0111\u1ea1o, mang \u0111a thai,\u00a0ch\u1ec9 s\u1ed1 kh\u1ed1i c\u01a1 th\u1ec3 (BMI)\u00a0th\u1ea5p, nhi\u1ec5m tr\u00f9ng \u0111\u01b0\u1eddng sinh d\u1ee5c,&#8230;<\/p>\r\n\r\n\r\n\r\n<p><strong>2. T\u00e1c d\u1ee5ng c\u1ee7a Progestogen trong ph\u00f2ng ng\u1eeba sinh non<\/strong><\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-image\">\r\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"700\" height=\"466\" class=\"wp-image-21328\" src=\"https:\/\/camnang.bibomart.com.vn\/\/wp-content\/media\/2021\/10\/20190917_163915_018716_progesterone-la-gi.max-1800x1800-1.jpg\" alt=\"\" \/><\/figure>\r\n<\/div>\r\n\r\n\r\n\r\n<p class=\"has-text-align-center\"><em>Progesterone gi\u00fap t\u1eed cung ph\u00e1t tri\u1ec3n v\u00e0 gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng co b\u00f3p, gi\u00fap gi\u1ea3m nguy c\u01a1 s\u1ea3y thai trong giai \u0111o\u1ea1n \u0111\u1ea7u<\/em><\/p>\r\n\r\n\r\n\r\n<p><strong>Progestogen<\/strong>\u00a0l\u00e0 1 trong 5 lo\u1ea1i hormone steroid. Progestogen \u0111\u01b0\u1ee3c chia th\u00e0nh 2 nh\u00f3m, nh\u00f3m ngo\u1ea1i sinh (progestin) v\u00e0 nh\u00f3m n\u1ed9i sinh (progesterone).<\/p>\r\n\r\n\r\n\r\n<p><strong>Progesterone<\/strong>\u00a0l\u00e0 m\u1ed9t hormone \u0111\u01b0\u1ee3c c\u01a1 th\u1ec3 t\u1ea1o ra, \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong su\u1ed1t thai k\u1ef3. Trong giai \u0111o\u1ea1n \u0111\u1ea7u, progesterone gi\u00fap\u00a0t\u1eed cung\u00a0ph\u00e1t tri\u1ec3n v\u00e0 gi\u1ea3m hi\u1ec7n t\u01b0\u1ee3ng co b\u00f3p, gi\u00fap gi\u1ea3m nguy c\u01a1 s\u1ea3y thai (v\u00ec n\u1ebfu c\u01a1n co t\u1eed cung x\u1ea3y ra trong giai \u0111o\u1ea1n \u0111\u1ea7u c\u1ee7a thai k\u1ef3 c\u00f3 th\u1ec3 d\u1eabn t\u1edbi s\u1ea3y thai \u2013 t\u00ecnh tr\u1ea1ng thai ch\u1ebft trong t\u1eed cung tr\u01b0\u1edbc 20 tu\u1ea7n).<\/p>\r\n\r\n\r\n\r\n<p>\u0110\u1ed1i v\u1edbi giai \u0111o\u1ea1n sau c\u1ee7a thai k\u1ef3,\u00a0progesterone\u00a0gi\u00fap tuy\u1ebfn v\u00fa ph\u00e1t tri\u1ec3n \u0111\u1ec3 s\u1eb5n s\u00e0ng ti\u1ebft s\u1eefa v\u00e0 gi\u00fap ph\u1ed5i ho\u1ea1t \u0111\u1ed9ng t\u1ed1t h\u01a1n \u0111\u1ec3 cung c\u1ea5p nhi\u1ec1u oxy h\u01a1n cho s\u1ef1 ph\u00e1t tri\u1ec3n c\u1ee7a thai nhi. \u0110\u1ed3ng th\u1eddi, progesterone c\u0169ng \u0111i\u1ec1u ch\u1ec9nh c\u00e1c ph\u1ea3n \u1ee9ng mi\u1ec5n d\u1ecbch b\u1eb1ng vi\u1ec7c gi\u1ea3m s\u1ea3n xu\u1ea5t c\u00e1c cytokine ti\u1ec1n vi\u00eam v\u00e0 gi\u00e3n c\u01a1 tr\u01a1n, t\u1eeb \u0111\u00f3 ng\u0103n ch\u1eb7n ho\u1ea1t \u0111\u1ed9ng c\u1ee7a oxytocin v\u00e0 \u1ee9c ch\u1ebf s\u1ef1 h\u00ecnh th\u00e0nh c\u1ee7a ph\u1ea3n \u1ee9ng k\u00edch ho\u1ea1t co c\u01a1 tr\u01a1n t\u1eed cung. \u0110\u1eb7c bi\u1ec7t, progesterone c\u00f2n ng\u0103n c\u1ea3n qu\u00e1 tr\u00ecnh t\u1ef1 h\u1ee7y c\u1ee7a t\u1ebf b\u00e0o m\u00e0ng b\u00e0o thai.<\/p>\r\n\r\n\r\n\r\n<p>C\u00f3 2 d\u1ea1ng s\u1eed d\u1ee5ng\u00a0<strong>progesterone<\/strong>\u00a0trong ph\u00f2ng ng\u1eeba sinh non l\u00e0:<\/p>\r\n\r\n\r\n\r\n<p>Progesterone \u0111\u1eb7t \u00e2m \u0111\u1ea1o<\/p>\r\n\r\n\r\n\r\n<p>Gi\u1ea3m nguy c\u01a1\u00a0<strong>sinh non<\/strong>\u00a0trong tr\u01b0\u1eddng h\u1ee3p ph\u1ee5 n\u1eef mang \u0111\u01a1n thai v\u00e0 c\u00f3 c\u1ed5 t\u1eed cung ng\u1eafn.\u00a0C\u1ed5 t\u1eed cung\u00a0ng\u1eafn ngh\u0129a l\u00e0 chi\u1ec1u d\u00e0i k\u00eanh c\u1ed5 t\u1eed cung ng\u1eafn h\u01a1n b\u00ecnh th\u01b0\u1eddng (&lt;20mm), d\u1eabn \u0111\u1ebfn hi\u1ec7n t\u01b0\u1ee3ng c\u1ed5 t\u1eed cung m\u1edf s\u1edbm h\u01a1n, tr\u01b0\u1edbc khi thai nhi s\u1eb5n s\u00e0ng ch\u00e0o \u0111\u1eddi. B\u00e1c s\u0129 c\u00f3 th\u1ec3 ch\u1ec9 \u0111\u1ecbnh s\u1ea3n ph\u1ee5 s\u1eed d\u1ee5ng\u00a0<strong>progesterone<\/strong>\u00a0\u0111\u1eb7t \u00e2m \u0111\u1ea1o gel, d\u1ea1ng vi\u00ean \u0111\u1ea1n hay vi\u00ean nang.<\/p>\r\n\r\n\r\n\r\n<p>\u01afu \u0111i\u1ec3m c\u1ee7a progesterone \u0111\u1eb7t \u00e2m \u0111\u1ea1o l\u00e0 kh\u1ea3 d\u1ee5ng sinh h\u1ecdc tr\u00ean t\u1eed cung cao v\u00ec t\u00e1c d\u1ee5ng l\u00ean t\u1eed cung tr\u01b0\u1edbc khi chuy\u1ec3n h\u00f3a l\u1ea7n \u0111\u1ea7u \u1edf\u00a0gan. Tuy v\u1eady, progesterone \u0111\u1eb7t \u00e2m \u0111\u1ea1o c\u0169ng c\u00f3 th\u1ec3 g\u00e2y k\u00edch \u1ee9ng \u00e2m \u0111\u1ea1o g\u00e2y kh\u00f3 ch\u1ecbu, nh\u01b0ng t\u00e1c d\u1ee5ng ph\u1ee5 to\u00e0n th\u00e2n \u00edt h\u01a1n. V\u00e0 do progesterone \u0111\u1eb7t \u00e2m \u0111\u1ea1o c\u00f3 th\u1eddi gian b\u00e1n th\u1ea3i kho\u1ea3ng 13 gi\u1edd n\u00ean th\u01b0\u1eddng \u0111\u01b0\u1ee3c \u0111\u1eb7t m\u1ed7i ng\u00e0y, li\u1ec1u d\u00f9ng 90 mg &#8211; 400 mg;<\/p>\r\n\r\n\r\n\r\n<div class=\"wp-block-image\">\r\n<figure class=\"aligncenter size-full\"><img decoding=\"async\" width=\"500\" height=\"312\" class=\"wp-image-21330\" src=\"https:\/\/camnang.bibomart.com.vn\/\/wp-content\/media\/2021\/10\/unnamed-2.jpg\" alt=\"\" \/><\/figure>\r\n<\/div>\r\n\r\n\r\n\r\n<p><em>Progestogen \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ng\u0103n ng\u1eeba sinh non t\u1ef1 ph\u00e1t \u1edf 2 nh\u00f3m ph\u1ee5 n\u1eef: ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed sinh non, mang \u0111\u01a1n thai v\u00e0 ph\u1ee5 n\u1eef mang \u0111\u01a1n thai c\u00f3 c\u1ed5 t\u1eed cung ng\u1eafn<\/em><\/p>\r\n\r\n\r\n\r\n<p><strong>Progesterone ti\u00eam<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Gi\u1ea3m nguy c\u01a1\u00a0<strong>sinh non<\/strong>\u00a0trong tr\u01b0\u1eddng h\u1ee3p \u0111\u01a1n thai c\u00f3 ti\u1ec1n s\u1eed sinh non, lo\u1ea1i progesterone n\u00e0y c\u00f3 th\u00e0nh ph\u1ea7n l\u00e0 17 alpha-hydroxyprogesterone caproate (c\u00f2n g\u1ecdi l\u00e0 17P). B\u00e1c s\u0129 th\u01b0\u1eddng ch\u1ec9 \u0111\u1ecbnh s\u1eed d\u1ee5ng\u00a0<strong>progesterone ti\u00eam<\/strong>\u00a0cho thai ph\u1ee5 b\u1eaft \u0111\u1ea7u t\u1eeb tu\u1ea7n 16 &#8211; 24 v\u00e0 cho \u0111\u1ebfn tu\u1ea7n 36 c\u1ee7a thai k\u1ef3. Thu\u1ed1c ch\u00edch ng\u1eeba l\u00e0 Makena (m\u1ed9t lo\u1ea1i bi\u1ec7t d\u01b0\u1ee3c) ho\u1eb7c h\u1ee3p ch\u1ea5t pha tr\u1ed9n (s\u1eed d\u1ee5ng cho nh\u1eefng tr\u01b0\u1eddng h\u1ee3p b\u1ecb d\u1ecb \u1ee9ng v\u1edbi th\u00e0nh ph\u1ea7n c\u1ee7a Makena). Khi ti\u00eam thu\u1ed1c, thai ph\u1ee5 c\u00f3 th\u1ec3 c\u00f3 c\u1ea3m gi\u00e1c kh\u00f3 ch\u1ecbu \u1edf v\u1ecb tr\u00ed ti\u00eam.<\/p>\r\n\r\n\r\n\r\n<p><strong><em>L\u01b0u \u00fd:<\/em><\/strong>\u00a0\u0110i\u1ec1u tr\u1ecb b\u1eb1ng progestogen\u00a0<strong>kh\u00f4ng \u00e1p d\u1ee5ng trong tr\u01b0\u1eddng h\u1ee3p mang \u0111a thai<\/strong>\u00a0m\u00e0 ch\u1ec9 \u00e1p d\u1ee5ng cho \u0111\u01a1n thai.<\/p>\r\n\r\n\r\n\r\n<p><strong>Sinh non<\/strong>\u00a0l\u00e0 nguy\u00ean nh\u00e2n ch\u1ee7 y\u1ebfu g\u00e2y t\u1eed vong chu sinh v\u00e0 c\u00e1c b\u1ec7nh l\u00fd kh\u00e1c. Progestogen \u0111\u00f3ng vai tr\u00f2 quan tr\u1ecdng trong ng\u0103n ng\u1eeba sinh non t\u1ef1 ph\u00e1t \u1edf 2 nh\u00f3m ph\u1ee5 n\u1eef: ph\u1ee5 n\u1eef c\u00f3 ti\u1ec1n s\u1eed sinh non, mang \u0111\u01a1n thai v\u00e0 ph\u1ee5 n\u1eef mang \u0111\u01a1n thai c\u00f3 c\u1ed5 t\u1eed cung ng\u1eafn. Khi d\u00f9ng Progestogen \u0111\u1ec3\u00a0<strong>ph\u00f2ng ng\u1eeba sinh non<\/strong>, thai ph\u1ee5 c\u1ea7n tu\u00e2n th\u1ee7 \u0111\u00fang ch\u1ec9 \u0111\u1ecbnh c\u1ee7a b\u00e1c s\u0129.<br \/><br \/><\/p>\r\n\r\n\r\n\r\n<p class=\"has-text-align-right\">Ngu\u1ed3n: B\u1ec7nh vi\u1ec7n Vinmec<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; Sinh non l\u00e0 t\u00ecnh tr\u1ea1ng x\u1ea3y ra khi tr\u1ebb ra \u0111\u1eddi tr\u01b0\u1edbc tu\u1ea7n th\u1ee9 37 c\u1ee7a thai k\u1ef3. Tr\u1ebb sinh non th\u01b0\u1eddng c\u00f3 nhi\u1ec1u v\u1ea5n \u0111\u1ec1 v\u1ec1 s\u1ee9c kh\u1ecfe h\u01a1n so v\u1edbi nh\u1eefng tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng (sinh t\u1eeb tu\u1ea7n 39 \u2013 40 c\u1ee7a thai k\u1ef3). Theo k\u1ebft qu\u1ea3 c\u1ee7a nhi\u1ec1u nghi\u00ean c\u1ee9u, progestogen&#8230;<\/p>\n","protected":false},"author":2,"featured_media":21330,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[19,27,23],"tags":[],"class_list":["post-21327","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cam-nang-lam-me","category-mang-thai","category-me-mang-thai"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v23.0 (Yoast SEO v24.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Vai tr\u00f2 c\u1ee7a Progestogen trong ph\u00f2ng ng\u1eeba sinh non - C\u1ea9m nang Bibomart<\/title>\n<meta name=\"description\" content=\"Vai tr\u00f2 c\u1ee7a Progestogen trong ph\u00f2ng ng\u1eeba sinh non C\u1ea9m nang Bibomart - Mang thai\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/camnang.bibomart.com.vn\/vai-tro-cua-progestogen-trong-phong-ngua-sinh-non\/\" \/>\n<meta property=\"og:locale\" content=\"vi_VN\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Vai tr\u00f2 c\u1ee7a Progestogen trong ph\u00f2ng ng\u1eeba sinh non\" \/>\n<meta property=\"og:description\" content=\"Vai tr\u00f2 c\u1ee7a Progestogen trong ph\u00f2ng ng\u1eeba sinh non C\u1ea9m nang Bibomart - 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