{"id":7961,"date":"2014-03-06T20:15:49","date_gmt":"2014-03-07T03:15:49","guid":{"rendered":"http:\/\/hoanglanchi.com\/?p=7961"},"modified":"2014-03-06T20:15:49","modified_gmt":"2014-03-07T03:15:49","slug":"pv-bs-ho-ngoc-minh-chuyen-khoa-hiem-muon","status":"publish","type":"post","link":"http:\/\/hoanglanchi.com\/?p=7961","title":{"rendered":"PV Bs H\u1ed3 Ng\u1ecdc Minh-Chuy\u00ean Khoa Hi\u1ebfm Mu\u1ed9n"},"content":{"rendered":"

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\nK\u1ef3 n\u00e0y xin \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u BS H\u1ed3 Ng\u1ecdc Minh, chuy\u00ean khoa Hi\u1ebfm Mu\u1ed9n. BS H\u1ed3 Ng\u1ecdc Minh 55 tu\u1ed5i, ch\u00e1nh qu\u00e1n Ng\u0169 H\u00e0nh S\u01a1n, \u0110\u00e0 N\u1eb5ng. H\u1ecdc trung h\u1ecdc Lasan \u0110\u1ee9c Minh \u0111\u1ebfn n\u0103m 1975, sau \u0111\u00f3 chuy\u1ec3n qua tr\u01b0\u1eddng Nguy\u1ec5n \u0110\u00ecnh Chi\u1ec3u (H\u1ed3 Ng\u1ecdc C\u1ea9n), t\u1ed1t nghi\u1ec7p trung h\u1ecdc n\u0103m 1977. H\u1ecdc \u0111\u1ea1i h\u1ecdc B\u00e1ch Khoa Ph\u00fa Th\u1ecd, v\u01b0\u1ee3t bi\u1ec3n \u0111\u1ebfn M\u00e3 Lai v\u00e0 \u0111\u1ecbnh c\u01b0 \u1edf New York n\u0103m 1979, chuy\u00ean ng\u00e0nh S\u1ea3n Ph\u1ee5 Khoa n\u0103m 1990 (t\u1ea1i Parkland Memorial Hospital, Dallas Texas), chuy\u00ean khoa Hi\u1ebfm Mu\u1ed9n v\u00e0 N\u1ed9i Ti\u1ebft (t\u1ea1i University of California, San Diego n\u0103m 1994), Research scientist (t\u1ea1i National Institutes of Health, Maryland, n\u0103m 1995). H\u00e0nh ngh\u1ec1 ch\u1eefa tr\u1ecb hi\u1ebfm mu\u1ed9n t\u1eeb n\u0103m 1995 t\u1ea1i San Diego v\u00e0 Orange County California. Gia c\u1ea3nh: V\u1ee3 l\u00e0 H\u1ed3 V\u0169 M\u1ef9 Li\u00ean, B\u00e1c s\u0129 S\u1ea3n Ph\u1ee5 Khoa San Diego. C\u00f3 2 trai v\u00e0 m\u1ed9t g\u00e1i. Li\u00ean l\u1ea1c: (714) 429-5848.<\/i>
\nHLC:<\/span> Xin ch\u00e0o BS H\u1ed3 Ng\u1ecdc Minh. Bi\u1ebft b\u00e1c s\u0129 \u0111\u00e3 l\u00e2u nh\u01b0ng kh\u00f4ng ph\u1ea3i v\u00ec t\u00e0i \u201ccreate baby\u201d m\u00e0 v\u00ec nh\u1ea1c V\u0169 Th\u01b0 Nguy\u00ean. Sau \u0111\u00f3 c\u00f3 m\u1eddi b\u00e1c s\u0129\u00a0 tr\u00f2 chuy\u1ec7n v\u1ec1 \u0111\u1ec1 t\u00e0i \u201c\u00c2m nh\u1ea1c v\u1edbi s\u1ee9c kho\u1ebb<\/b>\u201d.\u00a0 H\u00f4m nay xin \u0111\u01b0\u1ee3c tr\u00f2 chuy\u1ec7n v\u1edbi b\u00e1c s\u0129 v\u1ec1 \u0111\u1ec1 t\u00e0i \u201chi\u1ebfm mu\u1ed9n\u201d. Tr\u01b0\u1edbc h\u1ebft cho h\u1ecfi v\u00ec sao b\u00e1c s\u0129 ch\u1ecdn ng\u00e0nh s\u1ea3n ph\u1ee5 khoa? Khi ch\u1ecdn, \u00fd ki\u1ebfn gia \u0111\u00ecnh th\u1ebf n\u00e0o?<\/p>\n

BS:<\/span> Ch\u00e0o ch\u1ecb HLC, th\u01b0a ch\u1ecb th\u1eadt ra khi l\u1edbn l\u00ean, gi\u1ed1ng nh\u01b0 m\u1ed9t s\u1ed1 gia \u0111\u00ecnh Vi\u1ec7t Nam, ba m\u00e1 c\u1ee7a t\u00f4i \u01b0\u1edbc mu\u1ed1n c\u00e1c con c\u1ee7a m\u00ecnh tr\u1edf th\u00e0nh b\u00e1c s\u0129. Sau khi v\u01b0\u1ee3t bi\u1ec3n, m\u1ed9t th\u00e2n m\u1ed9t m\u00ecnh t\u1edbi M\u1ef9, l\u00fac \u1ea5y h\u1ecdc y khoa l\u00e0 m\u1ed9t \u0111i\u1ec1u m\u01a1 \u01b0\u1edbc kh\u00f4ng d\u00e1m v\u1edbi t\u1edbi. \u0110ang \u0111\u1ecbnh ti\u1ebfp t\u1ee5c h\u1ecdc ng\u00e0nh c\u00f4ng ch\u00e1nh (civil engineering) th\u00ec \u0111\u01b0\u1ee3c University of Miami cho h\u1ecdc b\u1ed5ng v\u00e0 nh\u1eadn v\u00e0o y khoa. Khi c\u00f2n l\u00e0 sinh vi\u00ean c\u00f3 m\u1ed9t v\u1ecb gi\u00e1o s\u01b0 v\u1ec1 ng\u00e0nh s\u1ea3n ph\u1ee5 khoa v\u00e0 phu nh\u00e2n l\u1ea1i th\u01b0\u01a1ng m\u00ecnh nh\u01b0 con \u0111\u1ebb, t\u1eadn t\u00ecnh d\u1eabn d\u1eaft v\u00e0 gi\u00fap \u0111\u1ee1. Ngo\u00e0i ra v\u00ec b\u00e0 c\u1ee5 th\u00e2n sinh c\u00f2n l\u00e0 m\u1ed9t c\u00f4 m\u1ee5 h\u1ed9 sinh trong th\u1eddi kh\u00e1ng chi\u1ebfn 1945-1954, t\u00f4i r\u1ea5t c\u1ea3m \u0111\u1ed9ng khi th\u1ea5y nhi\u1ec1u \u201cng\u01b0\u1eddi con\u201d t\u00ecm g\u1eb7p m\u00e1 t\u00f4i \u0111\u1ec3 \u201cc\u00e1m \u01a1n m\u00e1 \u0111\u00e3 gi\u00fap con ra \u0111\u1eddi, khi tr\u00ean bom, d\u01b0\u1edbi \u0111\u1ea1n\u201d. V\u00ec th\u1ebf t\u00f4i quy\u1ebft \u0111\u1ecbnh xin \u0111i h\u1ecdc ng\u00e0nh s\u1ea3n ph\u1ee5 khoa.<\/p>\n

HLC:<\/span> \u00c0 ho\u00e1 ra \u0111\u00f4i khi ngh\u1ec1 nghi\u1ec7p \u0111\u1ebfn r\u1ea5t t\u00ecnh c\u1edd. T\u00f4i t\u1ef1 h\u1ecfi n\u1ebfu nh\u01b0 ng\u00e0y \u0111\u00f3 v\u1ecb gi\u00e1o s\u01b0 th\u01b0\u01a1ng m\u1ebfn b\u00e1c s\u0129 kh\u00f4ng ph\u1ea3i l\u00e0 ng\u00e0nh s\u1ea3n ph\u1ee5 khoa\u00a0 m\u00e0 l\u00e0 chuy\u00ean khoa ch\u1eefa b\u1ecbnh \u0111\u00e0n \u00f4ng th\u00ec h\u1eb3n b\u00e2y gi\u1edd H\u1ed3 Ng\u1ecdc Minh s\u1ebd n\u1ed5i ti\u1ebfng v\u1edbi ng\u00e0nh kh\u00e1c ph\u1ea3i th\u1ebf kh\u00f4ng? N\u00f3i \u0111\u00f9a t\u00ed th\u00f4i. Th\u1ebf l\u00fd do n\u00e0o khi\u1ebfn b\u00e1c s\u0129 ch\u1ecdn ng\u00e0nh hi\u1ebfm mu\u1ed9n v\u00e0 th\u1ee5 thai nh\u00e2n t\u1ea1o sau s\u1ea3n ph\u1ee5 khoa?
\nBS:<\/span> Sau khi h\u1ecdc xong chuy\u00ean m\u00f4n v\u1ec1 S\u1ea3n Ph\u1ee5 Khoa, c\u00e1c b\u00e1c s\u0129 c\u00f3 hai l\u1ef1a ch\u1ecdn: h\u00e0nh ngh\u1ec1 Bs S\u1ea3n Ph\u1ee5 Khoa hay ti\u1ebfp t\u1ee5c \u0111i h\u1ecdc th\u00eam l\u00ean. \u0110\u1ed1i v\u1edbi nh\u1eefng ng\u01b0\u1eddi ti\u1ebfp t\u1ee5c \u0111i h\u1ecdc th\u00ec l\u1ea1i c\u00f3 ba l\u1ef1a ch\u1ecdn kh\u00e1c nhau: 1) Chuy\u00ean ng\u00e0nh s\u1ea3n khoa (Maternal Fetal Medicine t\u1ee9c l\u00e0 High Risk OB) . 2) Ung th\u01b0 ph\u1ee5 n\u1eef\u00a0 (Gynecologic Oncology). 3) Hi\u1ebfm Mu\u1ed9n v\u00e0 N\u1ed9i Ti\u1ebft (Reproductive Endocrinology\u00a0 and Infertility). Ri\u00eang c\u00e1 nh\u00e2n t\u00f4i th\u00ec sau khi\u00a0 l\u00e0m b\u00e1c s\u0129 s\u1ea3n ph\u1ee5 3 n\u0103m, t\u00f4i quy\u1ebft \u0111\u1ecbnh h\u1ecdc ng\u00e0nh Hi\u1ebfm Mu\u1ed9n v\u00e0 N\u1ed9i Ti\u1ebft v\u00ec 3 l\u00fd do ch\u00ednh: 1) Mu\u1ed1n h\u1ecdc cho tr\u1ecdn con \u0111\u01b0\u1eddng\u00a0 h\u1ecdc v\u1ea5n c\u1ee7a m\u00ecnh khi c\u00f2n c\u01a1 h\u1ed9i. 2) Ng\u00e0nh n\u00e0y c\u00f3 nh\u1eefng ph\u00e1t tri\u1ec3n v\u1ec1 khoa h\u1ecdc, k\u1ef9 thu\u1eadt ng\u00e0y c\u00e0ng m\u1edbi l\u1ea1 th\u00edch h\u1ee3p v\u1edbi g\u1ed1c g\u00e1c c\u1ee7a m\u00ecnh l\u00e0 m\u1ed9t k\u1ef9 s\u01b0. 3) Ng\u00e0nh n\u00e0y gi\u00fap cho m\u00ecnh c\u00f3 th\u1ec3 gi\u00fap \u0111\u1ee1, ph\u1ee5ng s\u1ef1 v\u00e0 \u0111em l\u1ea1i ni\u1ec1m vui cho m\u00ecnh, cho b\u1ec7nh nh\u00e2n, trong \u0111\u00f3 c\u00f3 c\u1ea3 nhi\u1ec1u ng\u01b0\u1eddi Vi\u1ec7t ch\u00fang ta.<\/p>\n

HLC:<\/span> T\u1ed5ng c\u1ed9ng t\u1eeb khi h\u00e0nh ngh\u1ec1 \u0111\u1ebfn nay l\u00e0 bao nhi\u00eau n\u0103m? BS th\u00e0nh c\u00f4ng trong ch\u1eefa tr\u1ecb hi\u1ebfm mu\u1ed9n bao nhi\u00eau %?
\nBS<\/span>: Trong g\u1ea7n 20 n\u0103m h\u00e0nh ngh\u1ec1, s\u00e1c xu\u1ea5t ch\u1eefa tr\u1ecb th\u00e0nh c\u00f4ng trung b\u00ecnh kho\u1ea3ng 50% \u0111\u1ebfn 60% cho m\u1ed7i l\u1ea7n c\u1ea5y thai. Tr\u00ean th\u1ef1c t\u1ebf s\u00e1c xu\u1ea5t th\u00e0nh c\u00f4ng c\u00f3 th\u1ec3 cao h\u01a1n m\u1ed9t t\u00ed, n\u1ebfu t\u00ednh tr\u00ean con s\u1ed1 b\u1ec7nh nh\u00e2n v\u00ec m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ph\u1ea3i c\u1ea5y thai hai l\u1ea7n m\u1edbi c\u00f3 k\u1ebft qu\u1ea3.<\/p>\n

HLC:<\/span> Ng\u01b0\u1eddi m\u1eb9 gi\u00e0 nh\u1ea5t v\u00e0 Bs \u0111\u00e3 th\u00e0nh c\u00f4ng trong ch\u1eefa tr\u1ecb hi\u1ebfm mu\u1ed9n l\u00e0 bao nhi\u00eau tu\u1ed5i? Xin k\u1ec3 chi ti\u1ebft v\u1ec1 case n\u00e0y?
\nBS:<\/span> Cho t\u1edbi nay ng\u01b0\u1eddi m\u1eb9 l\u1edbn tu\u1ed5i nh\u1ea5t th\u00e0nh c\u00f4ng v\u1edbi s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a t\u00f4i l\u00e0 52 tu\u1ed5i. Th\u01b0\u1eddng th\u00ec kh\u1ea3 n\u0103ng c\u00f3 thai t\u1ef1 nhi\u00ean c\u1ee7a con ng\u01b0\u1eddi tu\u1ed9t gi\u1ea3m sau 30 tu\u1ed5i cho \u0111\u1ebfn khi ngh\u1ec9 kinh \u1edf tu\u1ed5i 51. M\u1ed9t ph\u1ee5 n\u1eef tr\u00ean 40 tu\u1ed5i kh\u1ea3 n\u0103ng c\u00f3 thai v\u1edbi ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 thai trong \u1ed1ng nghi\u1ec7m c\u00f2n 15%. \u1ede tu\u1ed5i 50 kh\u1ea3 n\u0103ng th\u00e0nh c\u00f4ng ch\u1ec9 d\u01b0\u1edbi 3%. M\u1ed9t s\u1ed1 l\u1edbn ph\u1ee5 n\u1eef tr\u00ean 40% \u0111\u01b0\u1ee3c khuy\u00ean l\u00e0 n\u00ean d\u00f9ng tr\u1ee9ng c\u1ee7a ng\u01b0\u1eddi tr\u1ebb tu\u1ed5i h\u01a1n, trong \u0111\u1ed9 tu\u1ed5i 20 \u0111\u1ec3 c\u00f3 th\u1ec3 c\u00f3 con mau ch\u00f3ng. N\u0103m \u0111\u1ea7u ti\u00ean, m\u1edbi h\u00e0nh ngh\u1ec1, c\u00f3 m\u1ed9t ph\u1ee5 n\u1eef ng\u01b0\u1eddi \u1ea4n \u0110\u1ed9 \u1edf Orange County \u0111\u1ebfn tham kh\u1ea3o. Hai v\u1ee3 ch\u1ed3ng nh\u1ea5t \u0111\u1ecbnh ph\u1ea3i d\u00f9ng tr\u1ee9ng c\u1ee7a b\u00e0 ch\u1ee9 kh\u00f4ng ch\u1ecbu xin. T\u00f4i mi\u1ec5n c\u01b0\u1ee1ng cho h\u1ecd m\u1ed9t c\u01a1 h\u1ed9i. Sau khi k\u00edch th\u00edch tr\u1ee9ng b\u1eb1ng thu\u1ed1c, t\u00f4i l\u1ea5y \u0111\u01b0\u1ee3c 2 c\u00e1i tr\u1ee9ng v\u00e0 chuy\u1ec3n v\u00e0o m\u1ed9t ph\u00f4i duy nh\u1ea5t. V\u00e0, b\u00e0 ng\u01b0\u1eddi \u1ea4n n\u00e0y c\u00f3 thai, sanh con ho\u00e0n to\u00e0n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

HLC:<\/span> Th\u1eadt tuy\u1ec7t. V\u1edbi VN, ngo\u00e0i 40 tu\u1ed5i th\u00ec kh\u1ea3 n\u0103ng sanh \u0111\u1ebb \u0111\u00e3 h\u1ea1n ch\u1ebf. V\u1eady m\u00e0 nay Bs \u0111\u00e3 gi\u00fap m\u1ed9t ph\u1ee5 n\u1eef 52 tu\u1ed5i c\u00f3 con. N\u1ebfu \u0111\u01b0\u1ee3c ph\u00e9p c\u1ee7a b\u1ec7nh nh\u00e2n, xin bs chia s\u1ebb k\u1ef9 h\u01a1n v\u1ec1 tr\u01b0\u1eddng h\u1ee3p n\u00e0y?\u00a0 H\u1ecd \u0111\u00e3 con tr\u01b0\u1edbc \u0111\u00f3 ch\u01b0a. N\u1ebfu \u0111\u00e3 th\u00ec v\u00ec sao l\u1ea1i mu\u1ed1n c\u00f3 con n\u1eefa \u1edf tu\u1ed5i mu\u1ed9n m\u00e0ng? N\u1ebfu ch\u01b0a th\u00ec v\u00ec sao, b\u1eadn b\u1ecbu cu\u1ed9c s\u1ed1ng hay tr\u1edf ng\u1ea1i trong ch\u1eefa tr\u1ecb hi\u1ebfm mu\u1ed9n. Ng\u01b0\u1eddi ch\u1ed3ng c\u1ee7a b\u00e0 52 n\u00e0y bao tu\u1ed5i v\u00e0 \u0111\u1ee9a tr\u1ebb \u201ch\u1ea1nh ph\u00fac mu\u1ed9n m\u00e0ng\u201d hi\u1ec7n gi\u1edd ra sao?
\nBS:<\/span> C\u1eb7p v\u1ee3 ch\u1ed3ng ng\u01b0\u1eddi \u1ea4n n\u00e0y th\u1eadt ra c\u0169ng kh\u00f4ng kh\u00e1c bi\u1ec7t so v\u1edbi m\u1ed9t s\u1ed1 b\u1ec7nh nh\u00e2n ng\u01b0\u1eddi Vi\u1ec7t c\u1ee7a t\u00f4i sau n\u00e0y cho l\u1eafm. Ng\u01b0\u1eddi ch\u1ed3ng tr\u1ebb h\u01a1n v\u1ee3 hai tu\u1ed5i. H\u1ecd c\u00f3 m\u1ed9t \u0111\u1ee9a con trai, ch\u1ebft s\u1edbm b\u00ean \u1ea4n \u0110\u1ed9 v\u00ec b\u1ec7nh t\u1eadt. Sau \u0111\u00f3 ng\u01b0\u1eddi ch\u1ed3ng qua M\u1ef9 tr\u01b0\u1edbc lo l\u00e0m \u0103n trong nhi\u1ec1u n\u0103m, b\u1ea3o l\u00e3nh \u0111\u01b0\u1ee3c v\u1ee3 qua th\u00ec c\u0169ng \u0111\u00e3 mu\u1ed9n. C\u00f3 l\u1ebd v\u00ec n\u1ec1n t\u1ea3ng v\u0103n h\u00f3a c\u1ee7a ng\u01b0\u1eddi \u1ea4n cho n\u00ean t\u00f4i kh\u00f4ng \u0111\u01b0\u1ee3c bi\u1ebft tr\u1ef1c ti\u1ebfp v\u1ec1 \u0111\u1ee9a b\u00e9 \u201cph\u00e9p m\u00e0u\u201d n\u00e0y. Tuy nhi\u00ean qua nh\u1eefng b\u1ec7nh nh\u00e2n \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u b\u1edfi c\u1eb7p ng\u01b0\u1eddi \u1ea4n n\u00e0y, t\u00f4i \u0111\u01b0\u1ee3c bi\u1ebft \u0111\u00f3 l\u00e0 b\u00e9 g\u00e1i, ch\u0103m h\u1ecdc v\u00e0 h\u1ecdc r\u1ea5t gi\u1ecfi, \u0111\u01b0\u1ee3c h\u1ecdc b\u1ed5ng v\u00e0o tr\u01b0\u1eddng \u0111\u1ea1i h\u1ecdc Ivy Leagues.<\/p>\n

HLC:<\/span> Th\u1ebf c\u00f2n sanh con theo \u00fd mu\u1ed1n? Bao nhi\u00eau case th\u00e0nh c\u00f4ng?
\nBS:<\/span> L\u1ef1a ch\u1ecdn b\u00e9 trai hay g\u00e1i\u00a0 theo \u00fd mu\u1ed1n \u0111\u1ea1t v\u00e0o kho\u1ea3ng 60% n\u1ebfu d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc tinh tr\u00f9ng, v\u00e0 100% n\u1ebfu d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p c\u1ea5y thai trong \u1ed1ng nghi\u1ec7m. Tuy nhi\u00ean s\u00e1c xu\u1ea5t th\u00e0nh c\u00f4ng c\u1ee7a vi\u1ec7c sanh con, trai hay g\u00e1i t\u00f9y theo \u00fd mu\u1ed1n, bao g\u1ed3m m\u1ed9t s\u00e1c xu\u1ea5t kh\u00e1c: kh\u1ea3 n\u0103ng c\u00f3 thai, b\u1eb1ng ph\u01b0\u01a1ng ph\u00e1p b\u01a1m tinh tr\u00f9ng l\u00e0 20% v\u00e0 b\u1eb1ng th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m l\u00e0 60%.<\/p>\n

HLC:<\/span> L\u1ecdc tinh tr\u00f9ng l\u00e0 sao? C\u00f3 ph\u1ea3i l\u1ea5y tinh tr\u00f9ng v\u00e0 lo\u1ea1i b\u1ecf nhi\u1ec5m th\u1ec3 n\u00e0o \u0111\u00f3? Khi n\u00e0o s\u1eed d\u1ee5ng ph\u01b0\u01a1ng ph\u00e1p b\u01a1m tinh tr\u00f9ng v\u00e0 khi n\u00e0o th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m?
\nBS:<\/span> Ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc tinh tr\u00f9ng th\u1eadt ra kh\u00e1 th\u00f4 s\u01a1. D\u1ef1a tr\u00ean l\u00fd thuy\u1ebft l\u00e0 tinh tr\u00f9ng \u0111\u1ef1c nh\u1eb9 h\u01a1n v\u00e0 d\u1ec5 ch\u1ebft y\u1ec3u trong m\u00f4i tr\u01b0\u1eddng acid, tinh d\u1ecbch \u0111\u01b0\u1ee3c quay trong m\u00e1y ly t\u00e2m \u0111\u1ec3 ph\u00e2n t\u00e1ch d\u1ef1a tr\u00ean s\u1ee9c n\u1eb7ng v\u00e0 m\u00f4i tr\u01b0\u1eddng ki\u1ec1m hay acid. V\u00ec th\u1ebf ph\u01b0\u01a1ng ph\u00e1p n\u1ea7y th\u1eadt ra kh\u00f4ng ch\u00ednh x\u00e1c cho l\u1eafm. V\u1edbi ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh trong \u1ed1ng nghi\u1ec7m th\u00ec khi ph\u00f4i \u0111\u01b0\u1ee3c 3 ng\u00e0y tu\u1ed5i, m\u00ecnh c\u00f3 th\u1ec3 nhu\u1ed9m m\u00e0u c\u00e1c nhi\u1ec5m s\u1eafc th\u1ec3 b\u1eb1ng k\u1ef9 thu\u1eadt g\u1ecdi l\u00e0 FISH (fluorescence in situ hybridization). Nh\u1eefng nhi\u1ec5m s\u1eafc th\u1ec3 n\u00e0y s\u1ebd ph\u00e1t quang nh\u01b0 nh\u1eefng ch\u00f9m sao li ti d\u01b0\u1edbi k\u00ednh hi\u1ec3n vi. B\u00e1c s\u0129 s\u1ebd \u0111\u1ecdc \u0111\u01b0\u1ee3c nh\u1eefng nhi\u1ec5m s\u1eafc th\u1ec3 nhu\u1ed9m m\u00e0u n\u00e0y xem c\u00f3 b\u00ecnh th\u01b0\u1eddng, c\u00f3 t\u1eadt b\u1ea9m sinh hay kh\u00f4ng v\u00e0 bi\u1ebft lu\u00f4n l\u00e0 trai hay g\u00e1i. Khi nhu c\u1ea7u l\u1ef1a trai hay g\u00e1i kh\u00f4ng nh\u1ea5t thi\u1ebft quan tr\u1ecdng cho l\u1eafm v\u00e0 khi t\u00e0i ch\u00e1nh l\u00e0 m\u1ed9t v\u1ea5n \u0111\u1ec1 th\u00ec n\u00ean d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p l\u1ecdc tinh tr\u00f9ng. Tuy nhi\u00ean khi c\u1eb7p v\u1ee3 ch\u1ed3ng l\u1edbn tu\u1ed5i, \u0111\u00e3 c\u00f3 nhi\u1ec1u con c\u00f9ng m\u1ed9t ph\u00e1i t\u00ednh, v\u00e0 mu\u1ed1n con m\u00ecnh kh\u00f4ng b\u1ecb t\u1eadt nguy\u1ec1n th\u00ec n\u00ean d\u00f9ng ph\u01b0\u01a1ng ph\u00e1p th\u1ee5 tinh\u00a0 trong \u1ed1ng nghi\u1ec7m.<\/p>\n

HLC:<\/span> \u1ea8m th\u1ef1c \u1ea3nh h\u01b0\u1edfng th\u1ebf n\u00e0o \u0111\u1ebfn sanh \u0111\u1ebb v\u00e0 sanh con theo \u00fd mu\u1ed1n?
\nBS:<\/span> C\u00e1c b\u00e1c s\u0129 v\u1eabn khuy\u00ean b\u1ec7nh nh\u00e2n n\u00ean \u0103n u\u1ed1ng c\u00e2n b\u1eb1ng (balanced) v\u00e0 \u201chealthy\u201d , tr\u00e1nh r\u01b0\u1ee3u, thu\u1ed1c l\u00e1\u00a0 l\u00e0 \u0111\u1ee7. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u cho th\u1ea5y ph\u1ee5 n\u1eef \u0103n nhi\u1ec1u ch\u1ea5t \u0111\u1ea1m protein d\u1ec5 c\u00f3 con h\u01a1n. V\u1ec1 vi\u1ec7c sanh con theo \u00fd mu\u1ed1n th\u00ec nh\u1eefng l\u1eddi khuy\u00ean c\u1ed5 \u0111i\u1ec3n cho l\u00e0 mu\u1ed1n c\u00f3 con trai th\u00ec n\u00ean \u0103n ng\u1ecdt, th\u1ee9c \u0103n nhi\u1ec1u ch\u1ea5t ki\u1ec1m v\u00e0 mu\u1ed1n c\u00f3 con g\u00e1i th\u00ec n\u00ean \u0103n nhi\u1ec1u \u0111\u1ed3 chua, c\u00f3 nhi\u1ec1u acid h\u01a1n. T\u00f4i c\u00f3 vi\u1ebft m\u1ed9t b\u00e0i v\u1ec1 nh\u1eefng c\u00e1ch t\u1ef1 nhi\u00ean \u0111\u1ec3 sanh con t\u00f9y theo \u00fd mu\u1ed1n, c\u00f3 tr\u00ean m\u1ea1ng v\u00e0 \u1edf trang nh\u00e0 bacsihongocminh.com. Tuy nhi\u00ean n\u1ebfu ch\u1ec9 d\u1ef1a ch\u1ebf \u0111\u1ed9 \u0103n u\u1ed1ng th\u00ec kh\u1ea3 n\u0103ng th\u00e0nh c\u00f4ng c\u0169ng ch\u1ec9 50\/50 m\u00e0 th\u00f4i.<\/p>\n

HLC:<\/span> Nhi\u1ec1u v\u1ecb l\u00e3nh \u0111\u1ea1o t\u00f4n gi\u00e1o kh\u00f4ng \u0111\u1ed3ng \u00fd v\u1edbi vi\u1ec7c sinh con theo \u00fd mu\u1ed1n. \u00dd ki\u1ebfn c\u00e1 nh\u00e2n b\u00e1c s\u0129 ?
\nBS:<\/span> Theo t\u00f4i, c\u00e1c v\u1ecb l\u00e3nh \u0111\u1ea1o t\u00f4n gi\u00e1o ch\u1ec9 \u0111\u01b0a ra l\u1eddi khuy\u00ean nh\u01b0ng kh\u00f4ng nh\u1ea5t thi\u1ebft l\u00e0 lu\u1eadt ph\u00e1p \u0111\u1ec3 r\u00e0ng bu\u1ed9c con ng\u01b0\u1eddi. M\u1ed9t s\u1ed1 nh\u1eefng l\u1eddi khuy\u00ean \u0111\u00f3 d\u1ef1a tr\u00ean nh\u1eefng hi\u1ec3u bi\u1ebft, v\u00e0 nh\u1eefng th\u00e0nh ki\u1ebfn c\u1ed5 x\u01b0a xu\u1ea5t ph\u00e1t t\u1eeb nh\u1eefng ti\u00eau chu\u1ea9n \u0111\u1ea1o \u0111\u1ee9c c\u1ea7n ph\u1ea3i c\u1eadp nh\u1eadt h\u00f3a theo \u0111\u00e0 ph\u00e1t tri\u1ec3n c\u1ee7a x\u00e3 h\u1ed9i. Khi m\u1ed9t ti\u1ebfn b\u1ed9 khoa h\u1ecdc \u0111\u01b0\u1ee3c ph\u00e1t minh, ch\u00fang ta c\u1ea7n ph\u1ea3i m\u1edf r\u1ed9ng t\u1ea7m nh\u00ecn \u0111\u1ec3 bi\u1ebft s\u1eed d\u1ee5ng n\u00f3 th\u1ebf n\u00e0o cho \u0111\u00fang, cho h\u1ee3p l\u00fd v\u00ec n\u1ebfu ti\u1ebfn b\u1ed9 \u0111\u00f3 h\u1eefu \u00edch th\u00ec m\u00ecnh ph\u1ea3i ch\u1ea5p nh\u1eadn s\u01b0 hi\u1ec7n h\u1eefu c\u1ee7a n\u00f3 trong \u0111\u1eddi s\u1ed1ng. C\u1ee5 th\u1ec3, ph\u01b0\u01a1ng ph\u00e1p l\u1ef1a ch\u1ecdn trai g\u00e1i cho ph\u00e9p ch\u1ecdn l\u1ef1a khi ph\u00f4i ch\u01b0a th\u00e0nh h\u00ecnh c\u00f2n h\u01a1n khi thai \u0111\u00e3 ph\u00e1t tri\u1ec3n l\u1edbn l\u1ea1i \u0111i ph\u00e1 b\u1ecf, hay sau khi sau em b\u00e9 ra \u0111\u1eddi l\u1ea1i s\u00e1t h\u1ea1i hay ru\u1ed3ng b\u1ecf ch\u00fang.<\/p>\n

T\u00f4i xin k\u1ec3 m\u1ed9t th\u00ed d\u1ee5 kh\u00e1c. M\u1ed9t c\u1eb7p \u0111\u1ebfn g\u1eb7p t\u00f4i, ng\u01b0\u1eddi ch\u1ed3ng l\u00e0 M\u1ef9 tr\u1eafng t\u00ean John, c\u00f4 v\u1ee3 t\u00ean Beth ng\u01b0\u1eddi g\u1ed1c Argentine \u0111\u1ec3 ch\u1eefa tr\u1ecb hi\u1ebfm mu\u1ed9n. Hai v\u1ee3 ch\u1ed3ng c\u00f3 \u0111\u1ea1o C\u00f4ng gi\u00e1o v\u00e0 cha c\u1ed1 ch\u1ec9 cho ph\u00e9p l\u00e0m th\u1ee5 thai nh\u00e2n t\u1ea1o m\u1ed9t l\u1ea7n m\u00e0 th\u00f4i. M\u1ed9t th\u00e1ng sau, John b\u1ecb g\u1ecdi \u0111i Kuwait trong chi\u1ebfn tranh v\u00f9ng v\u1ecbnh l\u1ea7n th\u1ee9 nh\u1ea5t. T\u00f4i\u00a0 d\u00f9ng tinh tr\u00f9ng \u0111\u00f4ng l\u1ea1nh c\u1ee7a John \u0111\u1ec3 l\u1ea1i, c\u1ea5y thai cho Beth. D\u01b0\u1edbi m\u1ed9t n\u0103m sau, hai v\u1ee3 ch\u1ed3ng \u1eb3m b\u00e9 Liz \u0111\u1ebfn th\u0103m t\u00f4i. John k\u1ec3 khi nghe tin Beth c\u1ea5n thai, anh \u0111\u00e3 kh\u00f3c v\u00e0 qu\u1ef3 xu\u1ed1ng trong tr\u1ea1i l\u00ednh v\u00e0 n\u00f3i: \u201cC\u00e1m \u01a1n Ch\u00faa \u0111\u00e3 d\u1eabn d\u1eaft ch\u00fang t\u00f4i \u0111\u1ebfn g\u1eb7p b\u00e1c s\u0129!\u201d L\u1ea1i 10 n\u0103m sau \u0111\u00f3, Liz \u0111\u01b0\u1ee3c m\u1eb9 \u0111em \u0111\u1ebfn th\u0103m t\u00f4i v\u00ec b\u00e9 Liz mu\u1ed1n g\u1eb7p t\u00f4i. B\u00e9 h\u1ecfi t\u00f4i m\u1ed9t c\u00e2u r\u1ea5t ng\u00e2y th\u01a1 nh\u01b0ng l\u1ea1i r\u1ea5t th\u00f4ng minh: \u201cAre you my creator?\u201d, (\u00d4ng c\u00f3 ph\u1ea3i l\u00e0 \u0111\u1ea5ng \u0111\u00e3 t\u1ea1o ra con hay kh\u00f4ng).\u00a0 C\u00e2u h\u1ecfi l\u00e0m t\u00f4i t\u1ed1n v\u00e0i ph\u00fat suy ngh\u0129 m\u1edbi tr\u1ea3 l\u1eddi \u0111\u01b0\u1ee3c: \u201c Kh\u00f4ng ph\u1ea3i l\u00e0 t\u00f4i m\u00e0 l\u00e0 Ch\u00faa \u0111\u00e3 t\u1ea1o ra con v\u00ec ng\u01b0\u1eddi mu\u1ed1n con hi\u1ec7n di\u1ec7n tr\u00ean \u0111\u1eddi n\u00e0y!\u201d<\/p>\n

HLC:<\/span> Qu\u1ea3 l\u00e0 c\u1ea3m \u0111\u1ed9ng. C\u00f3 l\u1ebd \u0111\u00e2y l\u00e0 ph\u1ea7n th\u01b0\u1edfng qu\u00fd gi\u00e1 cho b\u00e1c s\u0129. V\u1edbi kinh nghi\u1ec7m c\u00e1 nh\u00e2n qua s\u1ea3n ph\u1ee5 khoa v\u00e0 hi\u1ebfm mu\u1ed9n khoa, Bs c\u00f3 l\u1eddi khuy\u00ean g\u00ec cho gi\u1edbi tr\u1ebb? Vd trai n\u00ean l\u1ea5y v\u1ee3 khi n\u00e0o v\u00e0 g\u00e1i l\u1ea5y ch\u1ed3ng khi n\u00e0o? \u0110\u1ed9 tu\u1ed5i n\u00e0o th\u00edch h\u1ee3p \u0111\u1ec3 c\u1eb7p \u0111\u00f4i ngh\u0129 \u0111\u1ebfn vi\u1ec7c c\u00f3 con? Sau kho\u1ea3ng th\u1eddi gian bao l\u00e2u \u0111\u1ec3 t\u1ef1 nhi\u00ean m\u00e0 kh\u00f4ng th\u1ee5 thai th\u00ec n\u00ean \u0111i kh\u00e1m b\u00e1c s\u0129?
\nBS:<\/span> Kh\u1ea3 n\u0103ng c\u00f3 con m\u1ea1nh kh\u1ecfe t\u1ed1t nh\u1ea5t cho ng\u01b0\u1eddi ph\u1ee5 n\u1eef l\u00e0 t\u1eeb 25 \u0111\u1ebfn 30 tu\u1ed5i. C\u00f2n \u0111\u00e0n \u00f4ng d\u01b0\u1edbi 40 tu\u1ed5i th\u00ec c\u00f3 con \u00edt b\u1ecb b\u1ec7nh t\u1eadt. V\u00ec th\u1ebf n\u00ean l\u1eadp gia \u0111\u00ecnh hay c\u00f3 con khi ng\u01b0\u1eddi v\u1ee3 tr\u00ean d\u01b0\u1edbi 30 l\u00e0 t\u1ed1t nh\u1ea5t. Th\u01b0\u1eddng th\u00ec sau m\u1ed9t n\u0103m \u0111\u1ec3 t\u1ef1 nhi\u00ean g\u1ea7n 90% c\u0103p v\u1ee3 ch\u1ed3ng s\u1ebd c\u00f3 thai. L\u1eddi khuy\u00ean hi\u1ec7n nay l\u00e0 n\u1ebfu ng\u01b0\u1eddi v\u1ee3 d\u01b0\u1edbi 35 tu\u1ed5i th\u00ec c\u00f3 th\u1ec3 ch\u1edd sau 12 th\u00e1ng m\u1edbi \u0111i tham kh\u1ea3o b\u00e1c s\u0129. N\u1ebfu ng\u01b0\u1eddi v\u1ee3 tr\u00ean 35 tu\u1ed5i th\u00ec n\u00ean g\u1eb7p b\u00e1c s\u0129 sau 6 th\u00e1ng.<\/p>\n

HLC B<\/span>\u1ec7nh nh\u00e2n c\u1ee7a b\u00e1c s\u0129, bao nhi\u00eau\u00a0 % l\u00e0 ng\u01b0\u1eddi\u00a0 n\u01b0\u1edbc ngo\u00e0i v\u00e0 bao nhi\u00eau % ng\u01b0\u1eddi Vi\u1ec7t?
\nBS:<\/span> Hi\u1ec7n nay kho\u1ea3ng 2\/3 l\u00e0 ng\u01b0\u1eddi Vi\u1ec7t v\u00e0 1\/3 l\u00e0 ng\u01b0\u1eddi c\u00e1c ch\u1ee7ng t\u1ed9c kh\u00e1c.<\/p>\n

HLC<\/span>: T\u1ed5ng s\u1ed1 ca hi\u1ebfm mu\u1ed9n th\u00e0nh c\u00f4ng ngh\u0129a l\u00e0 t\u1ed5ng s\u1ed1 tr\u1ebb em ch\u00e0o \u0111\u1eddi t\u1eeb b\u00e1c s\u0129 l\u00e0 bao nhi\u00eau?
\nBS:<\/span> Trong g\u1ea7n 19 n\u0103m h\u00e0nh ngh\u1ec1, con s\u1ed1 em b\u00e9 ch\u00e0o \u0111\u1eddi v\u1edbi s\u1ef1 gi\u00fap \u0111\u1ee1 c\u1ee7a t\u00f4i g\u1ea7n 1000 em.<\/p>\n

HLC:<\/span> Qu\u1ea3 l\u00e0 l\u00fd th\u00fa. B\u00e1c S\u0129 c\u00f3 nhi\u1ec1u \u201ccon nu\u00f4i\u201d qu\u00e1 n\u1ebfu c\u00f3 th\u1ec3 g\u1ecdi nh\u01b0 th\u1ebf cho vui. Cu\u1ed1i c\u00f9ng, n\u1ebfu kh\u00f4ng c\u00f3 g\u00ec tr\u1edf ng\u1ea1i, b\u00e1c s\u0129 c\u00f3 th\u1ec3 cho bi\u1ebft \u0111\u1ea1i kh\u00e1i gi\u00e1 t\u1ed5ng qu\u00e1t cho ch\u1eefa tr\u1ecb hi\u1ebfm mu\u1ed9n dao \u0111\u1ed9ng t\u1eeb bao nhi\u00eau \u0111\u1ebfn bao nhi\u00eau?
\nBS:<\/span> Th\u01b0a ch\u1ecb hi\u1ec7n nay \u1edf M\u1ef9 ph\u00ed t\u1ed5n ch\u1eefa hi\u1ebfm mu\u1ed9n t\u1ed1n t\u1eeb $8,000 \u0111\u1ebfn $12,000 t\u00f9y theo tr\u01b0\u1eddng h\u1ee3p.<\/p>\n

HLC: Xin c\u1ea3m \u01a1n nh\u1eefng tin t\u1ee9c, chia s\u1ebb c\u1ee7a B\u00e1c s\u0129 H\u1ed3 Ng\u1ecdc Minh. Xin h\u1eb9n g\u1eb7p b\u00e1c s\u0129 \u1edf m\u1ed9t d\u1ecbp kh\u00e1c, s\u1ebd l\u00e0 m\u1ed9t tr\u00f2 chuy\u1ec7n v\u1edbi nh\u1ea1c s\u0129 V\u0169 Th\u01b0 Nguy\u00ean. (1)<\/p>\n

Ho\u00e0ng Lan Chi <\/b><\/p>\n

(1) B\u00e1c S\u0129 H\u1ed3 Ng\u1ecdc Minh c\u00f3 b\u00fat hi\u1ec7u V\u0169 Th\u01b0 Nguy\u00ean khi vi\u1ebft v\u0103n, l\u00e0m th\u01a1, vi\u1ebft nh\u1ea1c<\/i>.<\/p>\n","protected":false},"excerpt":{"rendered":"

K\u1ef3 n\u00e0y xin \u0111\u01b0\u1ee3c gi\u1edbi thi\u1ec7u BS H\u1ed3 Ng\u1ecdc Minh, chuy\u00ean khoa Hi\u1ebfm Mu\u1ed9n. BS H\u1ed3 Ng\u1ecdc Minh 55 tu\u1ed5i, ch\u00e1nh qu\u00e1n Ng\u0169 H\u00e0nh S\u01a1n, \u0110\u00e0 N\u1eb5ng. H\u1ecdc trung h\u1ecdc Lasan \u0110\u1ee9c Minh \u0111\u1ebfn n\u0103m 1975, sau \u0111\u00f3 chuy\u1ec3n qua … Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[9],"tags":[63],"class_list":["post-7961","post","type-post","status-publish","format-standard","hentry","category-phng-vn","tag-hoang-lan-chi"],"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/p1DQbJ-24p","jetpack_sharing_enabled":true,"_links":{"self":[{"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=\/wp\/v2\/posts\/7961","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=7961"}],"version-history":[{"count":0,"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=\/wp\/v2\/posts\/7961\/revisions"}],"wp:attachment":[{"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=7961"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=7961"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/hoanglanchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=7961"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}