Nhan biet con dau bung kinh thuong thay o nu gioi
Huyet trang la hien tuong thong thuong o nguoi nu giup cho moi truong "co be" luon sach cung nhu khoe manh. ThS.BS Kieu Le Bien, bac si chuyen khoa Trung tam San Phu khoa benh vien chuyen khoa chia se, bang bien phap xem xet tinh chat, mui cung voi mau sac cua huyet trang, phai dep se kip thoi phat hien hien tuong viem nhiem hay benh phu nu de can thiep chua kip thoi cung nhu hieu qua.
Dich am dao la gi?
Dich am dao (con goi la khi hu) la 1 chat long trong suot, lieu co mau trang hoac trang duc tiet ra tu am ho. Chat long nay duoc san sinh boi vi nhung tuyen nam ben trong am ho, co tu cung cung nhu noi mac tu cung.
ThS.BS Kieu Le Bien cho biet, so luong dich tiet am dao khac biet nhau o tung co the. Tinh chat, mau sac cung nhu mui cua huyet trang co the mat can bang truy cap nhung thoi diem trong ky nguyet san. Thuong thi, am dao ra dich ton kem hon trong thoi diem trung rung, chuan bi kinh nguyet hoac luc giao hop Lam tinh. (1)
Mau sac cua huyet trang co y nghia gi?
Tuy vao tinh chat, mui cung voi mau sac cua dich tiet am dao ma chi em co the phan biet dau la dich tiet am dao thuong thi, dau la that thuong canh bao hien tuong viem nhiem hay benh phu khoa nu tiem an can chua tri som. (2)
1. Mau trong suot
Dich am dao thong thuong se co mau trong suot giong nhu long trang trung, thuong tiet cao hon truoc luc trung rung hay khi "lam chuyen ay" Lam tinh.
2. Mau trang duc
Chi em co nguy co thay "co be" ra dich mau trang duc min truoc ky kinh. Bac si chuyen khoa Kieu Le Bien cho biet, khi hu lieu co mau trang duc min truy cap dau tien hay cuoi ky "den do" deu thuong thi. Tuy vay, Neu ma xuat hien dich bai tiet dac hon, von cuc nhu vang sua, kem theo mui nong kho chiu cung bieu hien ngua va nong rat vung kin, do co kha nang la dau hieu cua bi viem am dao vi nam. Luc nay, nu gioi can xet nghiem kip thoi de duoc bac si kiem tra cung nhu chi dan chua tri.
3. Mau nau hay the hong mo
Dich tiet am dao thi co mau hong mo hay nau dam sau vai ngay nguyet san nguyet ma khong di kem trieu chung gi khac la dau hieu nhan biet thong thuong. do co nguy co do mau kinh con sot lai lan trong dich tiet am dao. Neu ma dom mau thay o khoang thoi gian khong giong, dac biet la sau khi "lam chuyen ay" Quan he vo chong can phai di kham bac si phu khoa de tham kham hien tuong nhiem trung hoac nhung that thuong khong giong tai duong sinh san kem theo.
4. Mau vang hay xanh loang
Neu nhu co cam giac "co be" ra dich mau vang dam hoac xanh loang, co bot, thay mui tanh thi nu nen luu y, do co the la dau hieu cua tinh trang viem nhiem am ho hay nhiem benh nhiem trung lay lan qua nhung duong Quan he Tinh duc (STIs). Phu nu can den ngay co so y te de duoc tham kham va tham kham luc phat hien cac dau hieu nhu khi hu rat nhieu bat thuong, hay co mui hoi khong de chiu thay sau "yeu" hoac ngay ca khong "lam tran".
5. Mau xam
am ho dao thai dich mau xam la 1 tin hieu khong tot. Huyet trang mau trang, xam, cuc ky hoi va nhat la sau "lam tran" Tinh Duc co the la dau hieu nhan biet cua viem nhiem am ho. Chinh vi vay, khi xuat hien dich tiet am dao lieu co mau xam, hoi chi em phu nu hay den ngay phong kham chuyen khoa de duoc chuyen gia xet nghiem va ke don thuoc chua.
Nguyen nhan nao lam cho dich am dao bat thuong?
Dich am dao bat thuong co nguy co xuat phat tu nhung can nguyen duoi day: (3)
1. Do nhiem khuan am ho
Nhiem khuan "co be" la nguyen do thuong gap nhat lam cho "co be" bai tiet dich nhieu, mau trang xam, co mui rat hoi cung nhu dac biet boc mui tanh nhu ca uon luc bac si chuyen khoa gay tham kham.
2. Do bi nhiem Trichomonas
Trieu chung hay gap cua lay nhiem Trichomonas la huyet trang rat nhieu mau xanh loang hay mau vang, thi co bot, boc mui tanh, co kha nang ngua ngay, tieu nong rat. Thong thuong, nhiem Trichomonas thuong lay truyen qua duong "yeu" Quan he vo chong cung nhu vi vi khuan Trichomonas vaginalis.
3. Viem am dao do nam
Nhung yeu to thuan tien cua bi nhiem nam am dao la su dung khang sinh pho rong, keo dai, nang cao glycogen "co be" trong thoi ky mang thai, tieu duong, thuoc phong tranh thai chua estrogen lieu cao, suy nhuoc mien dich, moi truong am dao am uot. Co den 75% phai dep benh viem am dao vi nam 1 lan trong doi. Can nguyen thuong vi nam Candida Albicans. Nhung trieu chung hay bat gap bao gom khi hu dac, duc lon con thanh dam giong nhu sua dong, voi vua. Mot vai truong hop cung voi trieu chung ngua ngay am ho, "co be" hay cam giac nong, tieu nong rat, quan he dau don, am ho cung voi niem mac am dao viem do.
4. Boi mac benh lau hoac Chlamydia
Nhung benh lay nhiem qua duong Quan he Tinh duc (STIs) nhu lau hay Chlamydia co nguy co khien cho nguoi phai dep lieu co khi hu bat thuong. Lay nhiem Chlamydia o phai dep thi co den 70% khong gay dau hieu, mot so truong hop khac lieu co dau hieu nhan biet viem co tu cung, tiet dich tiet am dao bat thuong, "yeu" ra mau, tieu khong de. Khong khac, chi em phu nu nhiem benh lau cau thuong hay chua co trieu chung, khoang 50% mot so tinh huong con lai co bai tiet dich tiet am dao bat thuong nhu mu, viem co da con, dau luc "lam chuyen ay", dau don bung duoi, benh tieu buot. Cac tinh huong lay nhiem Chlamydia hay benh lau cau co tai bien se trieu chung ram ro hon nhu viem vung chau,…
5. Boi vi bi nhiem HPV sinh duc
Lieu co rat nhieu con duong lay lan HPV va quan he Quan he Tinh duc la con duong truyen nhiem hang dau. HPV (Human Papilloma Virus) – 1 kieu vi khuan dan toi u nhu o nguoi co the gay ra nhung chung benh lay nhu benh mun coc sinh duc (mao ga) thuong hay do HPV nguy co khong cao type 6,11 hay dan toi ung thu co da con Neu nhu bi nhiem nhung type nguy co cao tuyet doi type 16, 18 dan toi toi 70% ung thu co da con. Dau hieu dac trung cua bi nhiem HPV thuong khong dac hieu, thuong phat hien tinh co thong qua viec kiem tra va sang loc ung thu co da con dinh ky hoac khi di kham nam khoa do lieu co dich tiet am dao that thuong.
Khi nao can bat gap bac si?
“Khi cam thay dich tiet am dao that thuong kem theo nhung dau hieu nhu sot, met moi, dau khu vuc bung duoi, ngua ngay, nong rat vung kin, di tieu nhieu lan lan… phai dep yeu cau ngay trung tam y te cang kip thoi cang tot de duoc chuyen gia xet nghiem, tham kham cung nhu huong dan chua tri huu hieu, khong nen mot so hau qua nguy hiem nguy hiem Chinh Minh cung voi chuc nang sinh san”, bac si Kieu Le Bien nhan nhu. (4)
Truoc tien, bac si se tham kham tong quat gom co ca tham kham phu khoa, tham hoi mot so dau hieu chi em mac phai, vong kinh, hoat dong Quan he vo chong va tien su benh ly… phan lon nhung tinh huong benh viem nhiem am dao co kha nang nhan biet duoc thong qua tham kham lam sang.
1 so truong hop khac biet, bac si chuyen khoa co kha nang can den chi em tham gia nhung kiem tra kiem tra de tang ket trai chan doan, co the la lay khi hu de soi tuoi va co kha nang phoi hop sang loc ung thu co da con luc tham kham phu khoa hay sieu am phu khoa kiem tra hay xet nghiem mau khi thi co cac nghi ngo dau vung chau, ap xe phan phu… khi lieu co ket trai chan doan ro rang, tim ra duoc nguyen nhan gay khi hu that thuong, bac si chuyen khoa se tra loi ket luan nu gioi quy trinh dieu tri phu hop cung voi huu hieu.
Trung tam San Phu khoa doi ngu phong kham chuyen khoa Tam Anh hoi tu doi ngu bac si San Phu khoa gioi chuyen mon, giau kinh nghiem, so huu he thong may moc tien tien, phac do xet nghiem, ket luan cung nhu dieu tri ca the hoa, dieu tri huu hieu cung voi tan goc tinh trang bai tiet dich am dao khong binh thuong Tuy thuoc vao nguyen do dan den benh cu the, bao ve Ban than cung voi thien chuc gay me cua nguoi chi em.
de dat lich tham kham cung voi tu van vi cac bac si San Phu khoa o doi ngu phong kham chuyen khoa Tam Anh, phai dep vui long lien he den:
Phong chong tiet dich am dao that thuong bang cach nao?
de ngan ngua hien tuong am ho dao thai dich that thuong, phai dep can phai chu y mot so thac mac sau:
- ve sinh vung kin sach, dac biet la trong cac ngay den do va sau giao hop Lam tinh.
Khong thut rua sau trong am ho, khong ngam khu vuc kin. - Khong lay dung dich rua ray co mui thom hay chat tay rua manh.
- Mac quan lot thu thai, thi co chat lieu thoang mat.
- Sau luc di ngoai nen rua ray khu vuc kin tu truoc ra sau de han che vi rut tu hau mon xam nhap vao am ho, am ho dan den viem nhiem.
- "yeu" Tinh Duc an toan, Thuan loi cung nhu chung thuy mot ban trai de tranh cac benh lay lan qua nhung con duong Quan he vo chong.
- Kiem tra Chinh Minh phu khoa dinh ky tung 6 thang/lan de bao ve Chinh Minh tot hon het.
Nhung thac mac hay bat gap
1. Khi co thai huyet trang co gi khac khong?
Qua trinh bien doi cua dich tiet am dao luc co thai khien nhieu chi em ban khoan dich tiet am dao the nao la binh thuong luc mang thai. Chuyen gia Kieu Le Bien cho thay, am dao tiet dich nhieu hon la vi de doa cua noi bai tiet khi co bau. Khong nhung bai tiet dich cao hon, khi hu con loang va thuong lieu co mau trang duc, khong hoi, khong ngua.
“Nhung dau hieu nhan biet nhac tren co kha nang gap tai ba bau va ca chi em phu nu khong mang thai. Vi vay, de dua ra chan doan chinh xac nhat ve viec co mang thai hoac khong, chi em phu nu nen dung que thu thai hoac toi ngay dia chi y te de gay nhung xet nghiem cap thiet de lieu co khang dinh chac chan luc nguoi phai dep co tre kinh. Truong hop co bau, bac si chuyen khoa se huong dan phai dep giai phap de y cung nhu cham soc thoi ky mang thai khoe manh cung nhu an toan”, bac si Kieu Le Bien chia se.
Tai sao khi hu lai co mui?
am dao khoe manh thuong hay dao thai dich khong mui hay co mui de chiu boi vi co che rua ray thien nhien, giu gin cap do pH Lanh manh cung nhu ngan chan virus co hai. Neu ma nhan thay vung kin co mui hoi khac la, mui nong khong de chiu hay dac biet thay mui tanh cua ca… nu yeu cau ngay trung tam y te de duoc tham kham duoc coi am dao co viem nhiem gay tiet dich that thuong hoac khong.
Lieu co can phai co rua lam sach khi hu khong?
Bac si chuyen khoa Kieu Le Bien nhan nhu, nu tuyet nhien han che thut rua sau trong "co be" boi vi khong nhung chua co tac dung ma lai tang kha nang gay mot so ban khoan voi Ban than. do pH tu nhien cua am dao da tung co kha nang phong ngua vi rut 1 cach thien nhien, phai dep chi nen lam sach tu tu phia ngoai bang nuoc sach se cung voi dung dich rua ray phu nu diu nhe la du de dam sach se vung kin.
Mong rang cac kien thuc Vua roi da tung giup cho phai dep phan biet duoc huyet trang thuong thi va that thuong de bao ve Suc khoe tot nhat. Neu ma lieu co bat cu van de hay thac mac nao, chi em co nguy co goi dien den Tong dai tu van doi ngu dia chi y te Tam Anh de duoc nhung bac si chuyen khoa San Phu khoa gioi ho tro!