GS.TS. NGUYEN VIETTIEN:
"NGAY NAY, ITTRJCfNG HCfP VO SINH KHI
Daoc CHQATRI GOI LA V6 VONG"
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OT nghi vo sinh todnqudc ndm 2015 mdi duac to chCtc tgi Hd Ndi cho thdy nhOng tien fed ddng ki trong nghiin ciiu, dieu tnj dieu dudng... vd sinh trin the gidi vd Viit Nam. Tuy nhiin, tfeeo mfit nghiin ciiu cOa Binh vien Phu sdn Trung uang vd DH YHd Ndi thuc hiin trin 14.300 cap vochdng dd tuoi smh di (15-49) 68 tlnh dgi diin cho 8 viing sinh thdi ciia Viit Nam cho thdy, (^
li vd sinh cda cdc cap va chong Id 7,7%, trong dd vd sinh nguyin phdt Id 3,9% vd vd sinh thU phdt Id 3,8%. Nhu vdy, Udc tinh trin mat bdng ddn so chung cd tU700 nghin din 1 tniu cap vd chong vd sinh, trong dd cd khodng 50% cap vcf chong vd smh cd dd tu6i dUdi 30.
Tap chi Sdc khde &Mdi trudng da cfi cuoc phdng vin GS.TS. Nguyen Vilt Tien, Thd trudng Bp Y t l , Chu tjch Hdi Phu sin khoa v i Sinh d l ke hoach Vifit Nam vfit mong muon dda ra dupc cich tilp cin thda ding dfli vfii thyc trang vd sinh, die biet doi vdi nhdng cap vo chong khdng may hilm mufin...
Thua G5.TS, thdng thudng ddl vdi mdt cdp va chong sau khi kit hdn bao nhiiu ldu md chda mang thai thi duac goi Id vd sinh ?
GS.TS. Nguyen Viet Tiln: Mfit cap vd chflng nlu sau mdt nim chung sfing, khfing sd dung phdong phip trinh thai nio mi khfing cfi thai, ddoc coi la vd sinh
ThUa ong, ai cung biit ngo phd thai Id chuyin bdt ddc di. Vdy nhdng thuSc chdng cd thai, ddc biit id thudc khan cdp chdng cd thai, tdc ddng nhU thi ndo ddi vdi chu kjr kmh nguyit cOa phu nd vd cd dnh hudng din vd smh hay khdng ?
GS.TS. Nguyin Vilt Tien : Nhdng thuoe trinh that it nhieu Inh hddng den khi nang cd thai sau niy.Viln thuflc tranh thai thdng thddng lim dc chl phdng noan, khfing t?o dieu kiln thuan Ipi cho vile lim to cCia phfii thai nen Idil nang trinh thai rit eao. Thudc trinh thai khan cap ed tie dung trinh thai khi quan he khfing dUOc bio v | (bao cao su), khfing sd dung thudc tranh thai thfing thddng, nen diing thuflc ngay sau khi quan he, cang sdm cing tflt. Tuy nhien t^ lfi trinh thai ciia thuoe trinh that khin clp ehi dat khoing 75%.
Tic dung khfing mong mufin cfla thufic trinh thai khin clp la: bufln nfin, dau da diy, rfii loan kinh nguy|t, chiy miu bit thddng, ehdng mat, dau ngdc, rong kinh. Diing thuflc trinh thai keo dii cung inh hddng den khi nang cfi thai
sau nay,
Tren ihuc te, ty le cdc cap va chong vd sinh. khong co con ngdy cdng nhieu, CO sd chong vd sinh cung phat then ngay mot nhieu Ong co lai khuyen ve phde do dieu tn nhu the ndo de han che nguy co nhUng cap va chong mdt tdi nifa ty dieu tri md khdng c6 kel qud Ong co the cho biet nhdng dia chi tin cay dieu tn vo smh ?
GS.TS. N g u y i n V i l t Tien : Nhdng cap v d chong vd sinh can t i m den n h d n g CO sd cd kinh nghiem, trinh d d de dieu t n n h u Trung tam Ho tro smh san Quoc gia - Benh vien Phu san Trung uong, Benh vien T d DO, Benh vien Phu san Ha Nqi, Benh vien Hiing Vuong, Trung tam Mo phot ciia Hoc vien Quan y, Benh vien da khoa Trung Uong Hue va m d t sd t r u n g t a m hiem m u o n tU nhan cd uy tin. Khdng nen den n h d n g noi khdng c6 ktnh nghiem, thieu ca sd de ehan doan v i d i l u t n .
Theo dng, chUa vo sinh den mdc dd nao thi goild vo vong '
GS.TS. Nguyen V i l t Tien: Ngay nay, It t r u d n g h o p vd sinh khi duoc chua t n gpi l i vo v o n g , vl cd nhieu p h u o n g phap, ky t h u a l l o t , p h i i hop. Oieu quan trong ia t i m d u n g noi de ehua tri. Chi t r o n g n h d n g t r u d n g h o p chdng khong cd t i n h t r i i n g va vp khdng cd noan mdi coi la v d vqng neu hai vo chong khdng cd nguyen v o n g xin phdi
I n I ^itkhoe
Ong binh luan nhU the nao ve viec hien nay cd nhieu gia dinh, ngUdi me, ngudi chi tan thanh quan niem neu nam ndthUc long yeu t h u o n g nhau thi c o t h e chung sdng, cd con trUdc hdn nhan nhU mdt hinh thdc bao dam loai t r d vd sinh ? GS.TS. N g u y i n Viet Tien: Tdi hoan toan khdng ung hp viec nhieu gia dinh, ngUdi me, ngudi chi tan thanh quan mem: neu nam n d thuc Idng yeu t h u o n g nhau thi cd the chung song, co con trade hdn nhan n h u m d t hinh thdc bao dam loai t r d v d sinh. Tot rat khuyen khich, ung h d cac ddi nam n d trifdc khi quyet dinh hdn nhan dt kham, kiem tra de loai t r i / nguy co v d smh
Theo dng, dau !a nguyen nhan dan den vosinh'
GS.TS. Nguyen Viet Tien: Cd nhieu nguyen nhan vd smh. Co the chia thanh 3 n h o m nguyen nhan: Do vO, do chong va do ca hat ( c a v p ian chdng) va chia lam hai loai vd sinh: Vo smh nguyen phat la chUa he cd thai bao g i d va v d sinh t h d phat la da tirng e6 thai (cd the da smh con, hoac chUa cd con).
Nguyen nhan do vo cd the do m f i t nguyen nhan dOn g i i n n h u viem nhiem d u d n g sinh due, hoac cd the do nhieu nguyen nhan ket h o p vi du nhU bi lac hai d n g dan t r d n g va vach ngan b u d n g t d c u n g , suy b u o n g t r d n g , d i n h b u o n g t d cung, khdng p h o n g noan, lac ndt mac t d eung
Nguyen nhan do c h d n g cd the do tinh t r i i n g kem chat l u o n g , khfing cd tmh t r i i n g , tac d n g dan t i n h .
Nguyen nhan cd the do ca hai nhU chat l u o n g t m h t r i j n g kem, b u o n g tning cua vo bl rdi loan p h d n g noan...
Ong ddnh gid nhuthendo ve thdnh tUu dieu tri vo smh d Viet Nam vd tien bd ve dieu tn vd stnh trong y khoa ">
GS.TS. N g u y e n Viet Tien: Ky thuat dieu t n v d sinh ciia Viet Nam cd rat nhieu tien b d . Hien nay t y le t h a n h cong dat ti- le cao, n h d n g t r u n g t i m tot ty le thanh cdng 40-50%. Hien nay ky thuat nuoi cay phdi cd nhieu tien b d , ky thuat ehung ta da lam dupe smh thiet phot, ehan doan dl t r u y e n p h o i thai trudc khi lam to de phat hten loai t r d m d t sd benh di truyen, Dieu t n t r o n g linh vUc nam khoa cung c d nhieu tien b d , phau t h u i t tao hlnh, VI phau t h u a t t r o n g lmh vye ho trO sinh san cung dat duqc nhieu ket q u i quan t r o n g .
I r a n t r o n g cam o n T h d t r u d n g ! N g u y i n Binh (xhuc hien)