{"id":1305,"date":"2026-04-05T10:46:56","date_gmt":"2026-04-05T03:46:56","guid":{"rendered":"https:\/\/cdha.edu.vn\/cdha\/?p=1305"},"modified":"2026-04-05T10:46:57","modified_gmt":"2026-04-05T03:46:57","slug":"benh-buong-trung-da-nang-pcod-polycystic-ovarian-disease-va-hoi-chung-buong-trung-da-nang-polycystic-ovarian-syndrome","status":"publish","type":"post","link":"https:\/\/cdha.edu.vn\/cdha\/benh-buong-trung-da-nang-pcod-polycystic-ovarian-disease-va-hoi-chung-buong-trung-da-nang-polycystic-ovarian-syndrome\/","title":{"rendered":"B\u1ec7nh bu\u1ed3ng tr\u1ee9ng \u0111a nang (PCOD – Polycystic Ovarian Disease) v\u00e0 H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang (Polycystic Ovarian Syndrome)"},"content":{"rendered":"
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\"\"\/<\/figure>\n<\/div>\n\n\n
\u0110\u1eb7c \u0111i\u1ec3m<\/strong><\/td>PCOD (B\u1ec7nh bu\u1ed3ng tr\u1ee9ng \u0111a nang)<\/strong><\/td>PCOS (H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang)<\/strong><\/td><\/tr>
B\u1ea3n ch\u1ea5t<\/strong><\/td>L\u00e0 m\u1ed9t t\u00ecnh tr\u1ea1ng gi\u1ea3i ph\u1eabu, th\u01b0\u1eddng do l\u1ed1i s\u1ed1ng ho\u1eb7c m\u1ea5t c\u00e2n b\u1eb1ng h\u00f3c-m\u00f4n t\u1ea1m th\u1eddi.<\/td>L\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n n\u1ed9i ti\u1ebft v\u00e0 chuy\u1ec3n h\u00f3a h\u1ec7 th\u1ed1ng ph\u1ee9c t\u1ea1p.<\/td><\/tr>
S\u1ed1 l\u01b0\u1ee3ng nang<\/strong><\/td>Th\u01b0\u1eddng \u00edt nang h\u01a1n so v\u1edbi PCOS. M\u1ed9t s\u1ed1 nang v\u1eabn c\u00f3 th\u1ec3 ph\u00e1t tri\u1ec3n th\u00e0nh nang tr\u1ed9i v\u00e0 r\u1ee5ng tr\u1ee9ng.<\/td>R\u1ea5t nhi\u1ec1u nang nh\u1ecf<\/strong> (th\u01b0\u1eddng x\u1ebfp th\u00e0nh chu\u1ed7i nh\u01b0 “tr\u00e0ng h\u1ea1t” \u1edf ngo\u1ea1i vi). Hi\u1ebfm khi th\u1ea5y nang tr\u1ed9i.<\/td><\/tr>
Th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng<\/strong><\/td>C\u00f3 th\u1ec3 to ho\u1eb7c b\u00ecnh th\u01b0\u1eddng.<\/td>Th\u01b0\u1eddng ph\u00ec \u0111\u1ea1i r\u00f5 r\u1ec7t<\/strong> (> 10 ml) do s\u1ef1 t\u0103ng sinh c\u1ee7a m\u00f4 \u0111\u1ec7m (stroma) \u1edf trung t\u00e2m.<\/td><\/tr>
M\u00f4 \u0111\u1ec7m (Stroma)<\/strong><\/td>B\u00ecnh th\u01b0\u1eddng ho\u1eb7c t\u0103ng nh\u1eb9.<\/td>M\u00f4 \u0111\u1ec7m d\u00e0y, s\u00e1ng (t\u0103ng \u00e2m)<\/strong> \u1edf trung t\u00e2m bu\u1ed3ng tr\u1ee9ng l\u00e0 d\u1ea5u hi\u1ec7u r\u1ea5t \u0111i\u1ec3n h\u00ecnh.<\/td><\/tr>
Kh\u1ea3 n\u0103ng r\u1ee5ng tr\u1ee9ng<\/strong><\/td>V\u1eabn c\u00f3 th\u1ec3 c\u00f3 chu k\u1ef3 r\u1ee5ng tr\u1ee9ng b\u00ecnh th\u01b0\u1eddng, do \u0111\u00f3 si\u00eau \u00e2m c\u00f3 th\u1ec3 th\u1ea5y ho\u00e0ng th\u1ec3.<\/td>R\u1ea5t hi\u1ebfm khi r\u1ee5ng tr\u1ee9ng, h\u00ecnh \u1ea3nh si\u00eau \u00e2m th\u01b0\u1eddng \u1ed5n \u0111\u1ecbnh qua nhi\u1ec1u chu k\u1ef3 (kh\u00f4ng c\u00f3 nang tr\u1ed9i).<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n

Ti\u00eau chu\u1ea9n Rotterdam g\u1ed1c \u0111\u01b0\u1ee3c ra \u0111\u1eddi t\u1eeb n\u0103m 2003, nh\u01b0ng n\u00f3 \u0111\u00e3 \u0111\u01b0\u1ee3c c\u1eadp nh\u1eadt v\u00e0 tinh ch\u1ec9nh \u0111\u00e1ng k\u1ec3 th\u00f4ng qua c\u00e1c H\u01b0\u1edbng d\u1eabn Qu\u1ed1c t\u1ebf D\u1ef1a tr\u00ean B\u1eb1ng ch\u1ee9ng (International Evidence-based Guideline), v\u1edbi phi\u00ean b\u1ea3n m\u1edbi nh\u1ea5t l\u00e0 n\u0103m 2023 (\u0111ang \u0111\u01b0\u1ee3c \u00e1p d\u1ee5ng cho \u0111\u1ebfn nay l\u00e0 n\u0103m 2026).<\/p>\n\n\n\n

S\u1ef1 thay \u0111\u1ed5i l\u1edbn nh\u1ea5t n\u1eb1m \u1edf ng\u01b0\u1ee1ng ch\u1ea9n \u0111o\u00e1n tr\u00ean si\u00eau \u00e2m nh\u1edd s\u1ef1 c\u1ea3i ti\u1ebfn c\u1ee7a c\u00f4ng ngh\u1ec7 \u0111\u1ea7u d\u00f2 c\u00f3 \u0111\u1ed9 ph\u00e2n gi\u1ea3i cao.<\/p>\n\n\n\n

1. Thay \u0111\u1ed5i v\u1ec1 s\u1ed1 l\u01b0\u1ee3ng nang tr\u1ee9ng (Follicle Count)\u200b<\/h4>\n\n\n\n

Tr\u01b0\u1edbc \u0111\u00e2y, ti\u00eau chu\u1ea9n c\u0169 ch\u1ec9 y\u00eau c\u1ea7u t\u1eeb 12 nang. Hi\u1ec7n nay, con s\u1ed1 n\u00e0y \u0111\u00e3 t\u0103ng l\u00ean \u0111\u00e1ng k\u1ec3 \u0111\u1ec3 tr\u00e1nh ch\u1ea9n \u0111o\u00e1n nh\u1ea7m \u1edf ph\u1ee5 n\u1eef tr\u1ebb kh\u1ecfe m\u1ea1nh:<\/p>\n\n\n\n

    \n
  • S\u1eed d\u1ee5ng \u0111\u1ea7u d\u00f2 \u00e2m \u0111\u1ea1o t\u1ea7n s\u1ed1 cao (t\u1eeb 8 MHz): Ch\u1ea9n \u0111o\u00e1n PCO (bu\u1ed3ng tr\u1ee9ng \u0111a nang) khi c\u00f3 t\u1eeb 20 nang (k\u00edch th\u01b0\u1edbc 2\u20139 mm) \u1edf \u00edt nh\u1ea5t m\u1ed9t b\u00ean bu\u1ed3ng tr\u1ee9ng.<\/li>\n\n\n\n
  • S\u1eed d\u1ee5ng \u0111\u1ea7u d\u00f2 b\u1ee5ng ho\u1eb7c m\u00e1y c\u0169: N\u1ebfu kh\u00f4ng th\u1ec3 \u0111\u1ebfm ch\u00ednh x\u00e1c s\u1ed1 nang, ti\u00eau chu\u1ea9n d\u1ef1a v\u00e0o th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng t\u1eeb 10 ml.<\/li>\n<\/ul>\n\n\n\n

    2. S\u1ef1 b\u1ed5 sung c\u1ee7a AMH (Anti-M\u00fcllerian Hormone)\u200b<\/h4>\n\n\n\n

    \u0110\u00e2y l\u00e0 \u0111i\u1ec3m m\u1edbi quan tr\u1ecdng nh\u1ea5t trong h\u01b0\u1edbng d\u1eabn 2023:<\/p>\n\n\n\n

      \n
    • \u1ede ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh, x\u00e9t nghi\u1ec7m n\u1ed3ng \u0111\u1ed9 AMH trong m\u00e1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c d\u00f9ng thay th\u1ebf cho si\u00eau \u00e2m \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh h\u00ecnh th\u00e1i bu\u1ed3ng tr\u1ee9ng \u0111a nang.<\/li>\n\n\n\n
    • N\u1ebfu AMH cao v\u01b0\u1ee3t ng\u01b0\u1ee1ng (t\u00f9y theo ph\u00f2ng x\u00e9t nghi\u1ec7m), n\u00f3 \u0111\u01b0\u1ee3c t\u00ednh l\u00e0 m\u1ed9t ti\u00eau chu\u1ea9n t\u01b0\u01a1ng \u0111\u01b0\u01a1ng v\u1edbi h\u00ecnh \u1ea3nh PCO tr\u00ean si\u00eau \u00e2m.<\/li>\n<\/ul>\n\n\n\n

      3. L\u01b0u \u00fd \u0111\u1eb7c bi\u1ec7t cho tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean (Adolescents)\u200b<\/h4>\n\n\n\n

      \u0110\u1ed1i v\u1edbi c\u00e1c b\u1ea1n tr\u1ebb trong v\u00f2ng 8 n\u0103m k\u1ec3 t\u1eeb k\u1ef3 kinh \u0111\u1ea7u ti\u00ean:<\/p>\n\n\n\n

        \n
      • Kh\u00f4ng d\u00f9ng si\u00eau \u00e2m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n PCOS v\u00ec \u1edf \u0111\u1ed9 tu\u1ed5i n\u00e0y bu\u1ed3ng tr\u1ee9ng \u0111a nang l\u00e0 hi\u1ec7n t\u01b0\u1ee3ng sinh l\u00fd b\u00ecnh th\u01b0\u1eddng.<\/li>\n\n\n\n
      • Ch\u1ea9n \u0111o\u00e1n ch\u1ec9 d\u1ef1a tr\u00ean: R\u1ed1i lo\u1ea1n kinh nguy\u1ec7t V\u00c0 C\u01b0\u1eddng Androgen (l\u00e2m s\u00e0ng ho\u1eb7c x\u00e9t nghi\u1ec7m).<\/li>\n<\/ul>\n\n\n\n

        \u0110\u1ecbnh ngh\u0129a “tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean”:\u200b<\/h4>\n\n\n\n

        D\u01b0\u1edbi 8 n\u0103m k\u1ec3 t\u1eeb k\u1ef3 kinh \u0111\u1ea7u ti\u00ean (Menarche): Trong giai \u0111o\u1ea1n n\u00e0y, h\u00ecnh \u1ea3nh “\u0111a nang” tr\u00ean si\u00eau \u00e2m l\u00e0 m\u1ed9t hi\u1ec7n t\u01b0\u1ee3ng sinh l\u00fd b\u00ecnh th\u01b0\u1eddng do tr\u1ee5c h\u1ea1 \u0111\u1ed3i – tuy\u1ebfn y\u00ean – bu\u1ed3ng tr\u1ee9ng ch\u01b0a ho\u00e0n thi\u1ec7n. V\u00ec v\u1eady, si\u00eau \u00e2m kh\u00f4ng \u0111\u01b0\u1ee3c khuy\u1ebfn c\u00e1o \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n PCOS cho nh\u00f3m n\u00e0y. C\u00e1c chuy\u00ean gia th\u01b0\u1eddng chia ra c\u00e1c m\u1ed1c sau \u0111\u1ec3 \u0111\u00e1nh gi\u00e1:<\/p>\n\n\n\n

          \n
        • D\u01b0\u1edbi 13 tu\u1ed5i (ho\u1eb7c ch\u01b0a c\u00f3 kinh):<\/strong>\u00a0Tuy\u1ec7t \u0111\u1ed1i kh\u00f4ng d\u00f9ng si\u00eau \u00e2m \u0111\u1ec3 ch\u1ea9n \u0111o\u00e1n PCOS.<\/li>\n\n\n\n
        • T\u1eeb 13 \u0111\u1ebfn 19 tu\u1ed5i (V\u1ecb th\u00e0nh ni\u00ean):\u00a0<\/strong>Ch\u1ec9 ch\u1ea9n \u0111o\u00e1n PCOS d\u1ef1a tr\u00ean 2 ti\u00eau chu\u1ea9n l\u00e2m s\u00e0ng:\n
            \n
          1. R\u1ed1i lo\u1ea1n kinh nguy\u1ec7t:<\/strong>\u00a0Chu k\u1ef3 qu\u00e1 d\u00e0i (> 45 ng\u00e0y) ho\u1eb7c v\u00f4 kinh.<\/li>\n\n\n\n
          2. C\u01b0\u1eddng Androgen:<\/strong>\u00a0Bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng (m\u1ee5n tr\u1ee9ng c\u00e1 n\u1eb7ng, r\u1eadm l\u00f4ng) ho\u1eb7c x\u00e9t nghi\u1ec7m m\u00e1u.<\/li>\n<\/ol>\n<\/li>\n\n\n\n
          3. Tr\u00ean 20 tu\u1ed5i (ho\u1eb7c > 8 n\u0103m sau k\u1ef3 kinh \u0111\u1ea7u):<\/strong>\u00a0L\u00fac n\u00e0y m\u1edbi b\u1eaft \u0111\u1ea7u \u00e1p d\u1ee5ng ti\u00eau chu\u1ea9n si\u00eau \u00e2m (t\u1eeb 20 nang ho\u1eb7c th\u1ec3 t\u00edch t\u1eeb 10 ml) nh\u01b0 ng\u01b0\u1eddi tr\u01b0\u1edfng th\u00e0nh.<\/li>\n<\/ul>\n\n\n\n

            B\u1ea3ng so s\u00e1nh Ti\u00eau chu\u1ea9n Si\u00eau \u00e2m (PCO)\u200b<\/h4>\n\n\n\n
            \u0110\u1eb7c \u0111i\u1ec3m<\/strong><\/td>Ti\u00eau chu\u1ea9n c\u0169 (2003)<\/strong><\/td>H\u01b0\u1edbng d\u1eabn m\u1edbi (2023 – 2026)<\/strong><\/td><\/tr>
            S\u1ed1 l\u01b0\u1ee3ng nang<\/strong><\/td>t\u1eeb 12 nang<\/td>t\u1eeb 20 nang<\/strong> (v\u1edbi \u0111\u1ea7u d\u00f2 hi\u1ec7n \u0111\u1ea1i)<\/td><\/tr>
            Th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng<\/strong><\/td>t\u1eeb 10 ml<\/td>t\u1eeb 10 ml<\/strong> (gi\u1eef nguy\u00ean)<\/td><\/tr>
            AMH thay th\u1ebf<\/strong><\/td>Kh\u00f4ng c\u00f3<\/td>C\u00f3 th\u1ec3 thay th\u1ebf si\u00eau \u00e2m<\/strong> (\u1edf ng\u01b0\u1eddi l\u1edbn)<\/td><\/tr>
            \u0110\u1ed1i t\u01b0\u1ee3ng \u00e1p d\u1ee5ng<\/strong><\/td>M\u1ecdi l\u1ee9a tu\u1ed5i<\/td>Kh\u00f4ng \u00e1p d\u1ee5ng si\u00eau \u00e2m<\/strong> cho tr\u1ebb v\u1ecb th\u00e0nh ni\u00ean<\/td><\/tr><\/tbody><\/table><\/figure>\n","protected":false},"excerpt":{"rendered":"

            Tr\u00ean si\u00eau \u00e2m, vi\u1ec7c ph\u00e2n bi\u1ec7t PCOD (B\u1ec7nh bu\u1ed3ng tr\u1ee9ng \u0111a nang) v\u00e0 PCOS (H\u1ed9i ch\u1ee9ng bu\u1ed3ng tr\u1ee9ng \u0111a nang) th\u1ef1c t\u1ebf kh\u00f4ng d\u1ef1a v\u00e0o h\u00ecnh th\u00e1i c\u1ee7a t\u1eebng nang \u0111\u01a1n l\u1ebb m\u00e0 d\u1ef1a v\u00e0o s\u1ed1 l\u01b0\u1ee3ng nang, th\u1ec3 t\u00edch bu\u1ed3ng tr\u1ee9ng v\u00e0 c\u00e1c d\u1ea5u hi\u1ec7u l\u00e2m s\u00e0ng\/n\u1ed9i ti\u1ebft k\u00e8m theo.<\/p>\n","protected":false},"author":1,"featured_media":1306,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,41,32,16,5],"tags":[100,97,98,99],"class_list":["post-1305","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-doc-sach-cho-vui","category-english-corner","category-hoc-sieu-am-tu-con-so-0","category-phu-khoa","category-sieu-am","tag-buong-trung-da-nang","tag-pcod","tag-pcos","tag-phu-khoa"],"_links":{"self":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1305","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/comments?post=1305"}],"version-history":[{"count":1,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1305\/revisions"}],"predecessor-version":[{"id":1307,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/posts\/1305\/revisions\/1307"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media\/1306"}],"wp:attachment":[{"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/media?parent=1305"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/categories?post=1305"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cdha.edu.vn\/cdha\/wp-json\/wp\/v2\/tags?post=1305"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}