Blogs

Cach chua benh sui mao ga o dan ong va nu gioi hieu qua cao

04:23 06/06/2022

Sui mao ga la benh ly lay qua duong tinh duc pho bien. Hau het nguoi benh khong co trieu chung lam sang. Cach chua sui mao ga rat da dang, tuy theo muc do ton thuong, voi muc tieu loai bo sang thuong, tranh chuyen bien xau va ngan ngua nguy co tai phat.

https://www.econa.org.ua/files/journals/1/articles/2166/submission/original/2166-6565658152-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2481/submission/original/2481-6565658485-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2154/submission/original/2154-6565658140-1-SM.htm

Tong quan ve sui mao ga

Sui mao ga (hay mun coc sinh duc, mun com o hau mon sinh duc, benh mong ga…) thuoc nhom benh lay truyen qua duong tinh duc (STD). Benh co bieu hien dac trung la nhung u nhu lanh tinh o khu vuc sinh duc va hau mon nhu mu, ben, hau mon, am dao… Sui mao ga do virus Human Papillomavirus (HPV) gay ra, chu yeu la hai tuyp 6 va 11. Mot so tuyp khac nhu 35, 33, 31, 18, 16 co the gay ung thu va loan san te bao.

Ket qua thong ke cua To chuc Y te The gioi (WHO) cho thay, vao nam 2016 co khoang 300 trieu phu nu nhiem virus HPV. Nhieu nguoi xuat hien u nhu sinh duc sau vai tuan nhiem benh, nhung cung co nguoi keo dai den nhieu nam. Trung binh o nu gioi la 2,9 thang va nam gioi la 11 thang. Trong thoi gian u benh, nguoi benh van co the lay truyen virus cho nguoi khac.

Duong lay chinh cua sui mao ga bao gom quan he tinh duc (bang duong am dao, hau mon va mieng). Mot so truong hop khac, sui mao ga lay qua viec su dung chung cac vat dung ca nhan nhu quan ao, do lot, khan tam, ban chai danh rang, dung cu y te… Virus HPV hiem khi lay truyen tu me sang con, nhung van co it truong hop duoc ghi nhan khi tre co bieu hien u nhu duong ho hap tai phat.

Hau het nguoi benh khi chua sui mao ga deu duoc dieu tri ngoai tru, tru mot so truong hop nguy co cao hay nguoi benh bi ton thuong nhieu, co the phat sinh bien chung.

https://www.econa.org.ua/files/journals/1/articles/2166/submission/original/2166-6565658152-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2165/submission/original/2165-6565658151-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2163/submission/original/2163-6565658149-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2162/submission/original/2162-6565658148-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2161/submission/original/2161-6565658147-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2160/submission/original/2160-6565658146-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2157/submission/original/2157-6565658143-3-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2159/submission/original/2159-6565658144-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2156/submission/original/2156-6565658142-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2155/submission/original/2155-6565658141-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2476/submission/original/2476-6565658480-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2479/submission/original/2479-6565658483-1-SM.htm

https://www.econa.org.ua/files/journals/1/articles/2495/submission/original/2495-6565658500-1-SM.htm

Benh sui mao ga co chua dut diem duoc khong?

Cac chuyen gia Nam hoc, cho biet nguyen nhan gay sui mao ga la do virus nen khong the loai bo hoan toan. Muc tieu cua viec dieu tri la nham loai bo cac not sui, khong phai de tieu diet virus.

Phuong phap chua sui mao ga duoc can nhac tren rat nhieu yeu to nhu: tuoi tac cua nguoi benh; kich thuoc, so luong, tinh trang ton thuong; kha nang tai chinh… Hien nay khong co cach chua sui mao ga nao duoc xem la uu viet. Kha nang xay ra tai phat co the xuat hien o tat ca phuong phap.

Vi sao nen dieu tri sui mao ga?

Tuy noi sui mao ga bieu hien qua nhung not sui lanh tinh, nhung van co the gay nen nhieu bien chung nguy hiem. Dien hinh la cac bien dang tai cho cua co quan sinh duc, hau mon, vom hong… Mot so truong hop khong duoc dieu tri kip thoi va dung cach, benh chuyen sang giai doan nang hoac nhiem tuyp virus HPV ac tinh co the khien cho nguoi benh bi san dang Bowen, sui mao ga khong lo (ung thu bieu mo te bao vay dang nhu), ung thu duong vat, loan san co tu cung dan den ung thu co tu cung…

Neu dot bung phat sui mao ga xuat hien o thai phu co the gay can tro viec sinh no, lay truyen virus HPV tu me sang con (du truong hop nay rat hiem gap). Nguoi benh bi sui mao ga khong chi anh huong den suc khoe, ma con gay ap luc len doi song tinh than. Vi the, nguoi benh nen chua sui mao ga, chua cang som cang tot de dat duoc hieu qua mong muon, tiet kiem chi phi va dong thoi bao ve nguoi ban tinh, ban doi.

Phuong phap chan doan

Truoc khi quyet dinh cach chua sui mao ga, cac bac si Nam khoa se tien hanh cac bien phap tham kham lam sang va can lam sang nhu sau:

Lam sang

– Hoi tien su quan he tinh duc, thoi diem nghi ngo tiep xuc voi virus HPV.

– Kiem tra bo phan sinh duc, hau mon, mieng, lo sao… de danh gia cac ton thuong gom kich thuoc, so luong, vi tri, tinh chat not sui.

– Kiem tra cac trieu chung co nang (neu co) nhu ngua ngay, bong rat, dau nhuc, tieu mau tuoi cuoi dong…

Can lam sang

– Xet nghiem HPV PCR: Day la loai xet nghiem hien dai, duoc chi dinh nham de xac dinh tinh trang nhiem virus HPV, khang dinh tuyp virus va con co the dinh luong HPV trong co the nguoi benh. Xet nghiem co y nghia trong viec theo doi nguy co ung thu o nguoi bi sui mao ga. Ket qua xet nghiem thuong co sau 4-6 gio thuc hien.

– Xet nghiem de loai tru nguy co nguoi benh mac cac benh lay truyen qua duong tinh duc khac nhu giang mai, HIV…

– Sinh thiet cac mo benh hoc khi ton thuong khong dien hinh hoac bac si co nghi ngo nguoi benh bi ung thu.

https://www.ritzclinic.com.tw/web/bacsidakhoa/admin/-/blogs/top-6-%C4%91ia-chi-pha-thai-an-toan-o-ha-noi-tot-gom-nhung-tieu-chi-gi

https://www.ritzclinic.com.tw/web/bacsidakhoa/admin/-/blogs/chua-benh-lau-o-%C4%91au-voi-9-phong-kham-chua-benh-lau-tot-o-ha-noi

https://www.ritzclinic.com.tw/web/bacsidakhoa/admin/-/blogs/pha-thai-bang-thuoc-het-bao-nhieu-tien-bao-gom-chi-phi-gi

https://www.ritzclinic.com.tw/web/bacsidakhoa/admin/-/blogs/top-7-benh-vien-phong-kham-nam-khoa-uy-tin-o-ha-noi-2022

https://www.ritzclinic.com.tw/web/bacsidakhoa/admin/-/blogs/top-7-phong-kham-phu-khoa-uy-tin-tai-ha-noi-2022

Nhung luu y quan trong truoc khi dieu tri sui mao ga

De dam bao cho viec chua sui mao ga mang lai ket qua cao, cac bac si Nam hoc khuyen cao nguoi benh:

Den cac benh vien chuyen khoa uy tin, dap ung cac yeu cau ve trang thiet bi, doi ngu chuyen gia va dam bao yeu to rieng tu.
Trao doi truc tiep voi bac si dieu tri de duoc giai dap moi thac mac co lien quan den phuong phap dieu tri, tac dung phu, ty le thanh cong, chi phi…
Thong bao voi bac si, neu nguoi benh dang mang thai de duoc lua chon phuong phap dieu tri, cham soc dac thu.
Tuan thu khuyen cao, kien tri theo duoi viec dieu tri vi de chua sui mao ga can rat nhieu thoi gian, cong suc.
Khong tu y dung cac phuong phap duoc truyen mieng trong dan gian, khong dung cac loai thuoc chua mun coc o vi tri khac de dieu tri vi da vung sinh duc va hau mon rat nhay cam.
Kieng quan he tinh duc trong thoi gian nhiem benh hoac khi dang dieu tri de bao ve vung da dang ton thuong, giup vet thuong mau lanh va tranh lay lan cho ban tinh.
Co the ban quan tam: Hinh anh sui mao ga giai doan dau co nguy hiem, co ngua khong?

Tong hop cach chua sui mao ga hieu qua cho nam va nu

Hien nay co rat nhieu cach chua sui mao ga. Tuy theo tinh trang suc khoe, muc do ton thuong va mot so yeu to co lien quan ma bac si se quyet dinh phuong phap phu hop. (2)

1. Dieu tri bang thuoc Podophyllotoxin

Thuoc nay co nguon goc tu nhua podophylum co kha nang gay doc te bao tai cho bang cach lam cho cac te bao bi nhiem virus ngung phan chia, khien cho mo bi hoai tu va tieu bien. Thuoc duoc dung dieu tri ngoai da cho nhung u nhu lanh tinh thay cho lieu phap ap lanh, chong chi dinh voi cac ton thuong ben trong nhu co tu cung, nieu dao, vom hong, vet thuong ho, phu nu co thai…

Thuoc Podophyllotoxin gom hai che pham co nong do 0,5% (dang dung dich) va 0,15% (dang kem). Nguoi benh duoc chi dinh thoa ngoai da 2 lan/ngay, dien tich boi duoi 10cm2 va lien tiep trong 3 ngay, nghi cach quang 4 ngay. Moi dot dieu tri keo dai khoang 4-5 tuan.

Tac dung phu cua thuoc doc te bao nay la truot tai cho, dau rat, kich ung… va co ty le thanh cong o hai dang che pham la tu 36-83%.

2. Phuong phap pha huy khoi u nhu

Lieu phap lanh

Sau khi nguoi benh duoc gay te (neu ton thuong lan rong), bac si dung nito long co nhiet do la -196oC de dong bang te bao nhiem virus, khien cho mang te bao bi ton thuong khong the phuc hoi, tu do cat dut qua trinh phat trien cua cac not sui mao ga.

Voi cach tri sui mao ga nay, thao tac can phai rat than trong. Bac si dung tam bong thoa hoac xit nito len not sui den khi co quang mo dong lanh khoang 1mm. Thoi gian quang dong khoang 5-20 giay. Thao tac lanh duoc thuc hien 1-2 chu ky/lan, moi tuan 1-3 lan va thoi gian dieu tri toi da la 12 tuan.

Phuong phap chua sui mao ga bang nito long kha re tien, an toan voi thai phu nhung co mot so tac dung phu nhu dau don, bong nuoc, hoai tu mo va de lai seo… Ty le lam sach ton thuong len den 87% va co nguy co tai phat la 59% sau khi tay sach not sui khoang 12 thang.

Mot so phuong phap vat ly khac

Cac phuong phap pha huy ton thuong nay bao gom nao, cat, dot dien, dot laser CO2… Trong do, dot laser CO2 pho bien hon do co nhieu uu diem nhu giu duoc cau truc giai phau, chu dong kiem soat do sau, it gay chay mau… Cach tri sui mao ga bang dot dien chong chi dinh voi mot so truong hop benh nhan co not sui o gan hau mon hoac nguoi co deo may tao nhip tim.

Sau gay te hoac gay me, nguoi benh se duoc thuc hien cac thu thuat vat ly de loai bo sang thuong. Cac phuong phap nay co the mang den hieu qua den 100%. Nguy co tai phat khoang 19-29%. Mot so nguy co bao gom gay seo, nut hau mon, thay doi sac to, ton thuong co that hau mon…

Cham Trichloroacetic (TCA), Bichloroacetic (BCA) 80-90%

Chi dinh cham cac loai axit nhu Trichloroacetic hay Bichloroacetic khi chua sui mao ga danh cho nguoi benh co ton thuong dang san. Bac si cham thuoc vao dung not sui dinh ky hang tuan trong toi da 10 tuan.

Phuong phap nay co the gay bong da, pha hong cac mo xung quanh, gay seo nen thuong duoc khoanh vung bang bicarbonate hay vaseline. Ket qua thong ke cho thay, ty le lam sach ton thuong cua cac loai axit nay len den 94%. Ty le tai phat la 36%.

3. Su dung cac thuoc dieu hoa mien dich

De chua sui mao ga, cac bac si co the su dung cac thuoc dieu hoa mien dich dang boi hoac dang tiem nhu Imiquimod, Sinecatechin, Interferon… Voi cac thuoc boi, nguoi benh co the tu thuc hien sau khi duoc bac si huong dan. Thoi gian dieu tri tu 8-16 tuan.

Bac si se yeu cau nguoi benh tai kham theo lich dinh de danh gia hieu qua va thay doi phuong phap dieu tri khi can.

4. Meo dieu tri sui mao ga tai nha

Hien nay co rat nhieu loi khuyen ve cach chua sui mao ga tai nha. Tuy nhien, cac chuyen gia Nam hoc khuyen cao nguoi benh nen:

Den cac benh vien chuyen khoa de duoc tham kham truoc khi tu dieu tri
Tuan theo huong dan khi tu cham soc tai nha
Tai kham dinh ky de danh gia tinh trang benh
Khong tu y dung cac phuong phap chua duoc bac si chi dinh

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3577/thong-tin-giay-chung-nhan-quyen-su-dung-dat.html

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3577/thong-tin-nha-dat-tren-huyen-nha-be.html

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3576/thong-tin-chuyen-quyen-su-dung-dat.html

http://www.nhabe.hochiminhcity.gov.vn/Lists/SPListhoidap/Attachments/3576/thong-tin-giay-chung-nhan-quyen-su-dung-dat.html

Chi phi chua sui mao ga gia bao nhieu?

Yeu to chi phi chua sui mao ga luon duoc nguoi benh quan tam. Nhung tren thuc te rat kho de co mot con so cu the. Boi viec xac dinh chi phi phu thuoc vao nhieu yeu to:

Tinh trang suc khoe cua nguoi benh
Muc do ton thuong cua sui mao ga
Kha nang tai chinh
Yeu cau ve dich vu dieu tri
Dieu kien vat chat cua co so y te
Cac chi phi phat sinh nhu: di lai, an uong, yeu cau chuyen gia…

Chua sui mao ga o dau tot nhat?

Hien nay co rat nhieu co so y te co kha nang chua tri mao ga. Tuy nhien, nguoi benh nen lua chon nhung noi co doi ngu chuyen gia giau kinh nghiem, duoc dao tao bai ban tu cac truong dai hoc uy tin. Ben canh do, nguoi benh cung nen chu y den yeu to co so vat chat, he thong trang thiet bi phuc vu cho cong tac chan doan va dieu tri.

Dac biet, day la mot trong nhung benh ly can thoi gian dieu tri lau dai nen nguoi benh can chon cac benh vien cho phep ap dung bao hiem de tiet kiem chi phi.

Nhung bien phap phong ngua sui mao ga sau dieu tri

Sau khoang 3 thang, hau het cac ton thuong do sui mao ga se co chuyen bien tich cuc. Tuy nhien, ty le nguoi benh tai phat sau khi chua sui mao ga kha cao. Vi the, cac bac si thuong danh gia lai dieu tri sau moi 4 tuan va khuyen cao nguoi benh thuc hien cac bien phap phong ngua nhu:

Ap dung cac bien phap bao ve khi quan he tinh duc
Tuan thu lich kiem tra dinh ky theo lich hen cua bac si
Dieu tri cac benh lay qua duong tinh duc (neu co)
Tro chuyen va cung dieu tri voi ban tinh de de phong nguy co tai nhiem
Han che so luong ban tinh

Trung tam Tiet nieu Than hoc, Khoa Nam hoc – doi ngu cac chuyen gia dau nganh, Noi khoa va Ngoai khoa, gioi chuyen mon, tan tam.

Cac chuyen gia, bac si cua Trung tam luon tu tin lam chu nhung ky thuat moi nhat, phat hien som va dieu tri hieu qua cac benh ly ve than va duong tiet nieu, giup nguoi benh rut ngan thoi gian nam vien, han che nguy co tai phat, nang cao chat luong cuoc song.

Voi he thong may moc, trang thiet bi hien dai hang dau trong nuoc va khu vuc; Phong mo dat tieu chuan quoc te; Cung voi khu noi tru va dich vu cao cap 5 sao… Trung tam Tiet nieu Than hoc noi bat voi cac dich vu tham kham, tam soat va dieu tri tat ca cac benh ly duong tiet nieu. Tu cac thuong gap cho den cac cuoc dai phau thuat ky thuat cao. Co the ke den phau thuat noi soi soi than, ghep than, cat buou bao ton nhu mo than; cat than tan goc; cat tuyen tien liet tan goc; cat toan bo bang quang tao hinh bang quang bang ruot non; cat tuyen thuong than; tao hinh cac di tat duong tiet nieu… Chan doan – dieu tri noi khoa va ngoai khoa tat ca cac benh ly Nam khoa.

https://www.geocities.ws/phongkhambenhxahoi/chi-phi-cat-tri.htm

http://phulo.socson.hanoi.gov.vn/web/hungthinhclinic/home/-/blogs/dau-hieu-benh-sui-mao-ga

https://www.geocities.ws/phongkhambenhxahoi/phong-kham-da-khoa-hung-thinh.htm

https://www.laonsw.net/web/suckhoecongdong365/home/-/blogs/nhan-biet-gai-con-trinh-gai-mat-trinh-va-cach-quan-he-lan-au-em-ai

https://phongkhambenhxahoi.health.blog/2022/07/08/benh-giang-mai-la-gi-dau-hieu-trieu-chung-cua-benh-giang-mai/

https://bsituvan247.mystrikingly.com/blog/chi-phi-pha-thai-an-toan

https://phongkhambenhxahoi.themedia.jp/posts/37449789

https://phongkhambenhxahoi.lovestoblog.com/sui-mao-ga/dau-hieu-benh-sui-mao-ga/

https://visuckhoecongdong365-00.webselfsite.net/blog/2021/11/09/benh-mun-rop-sinh-duc

https://bsituvan247.blogspot.com/2022/01/benh-sui-mao-ga-co-cac-trieu-chung-nao.html

https://phongkham247.jimdofree.com/chi-phi-chua-benh-sui-mao-ga/

https://phongkhambenhxahoi.salekit.com/blog/dau-hieu-benh-sui-mao-ga.html