Bai van duoc tham van trinh do cung BSCK II Nguyen Thi Phuong Loan - Bac si san phu khoa - Khoa san phu khoa - Phong kham chuyen khoa.
Dich am dao con duoc goi la khi hu, thay o chi em phu nu tu luc buoc truy cap tuoi day thi. Ben ngoai vai tro la duong chat xoa tron, giu am chan doan moi truong sinh san, dich tiet am dao con la “vu khi” giup han che su phat trien cua nguyen nhan gay ra benh tai khu vuc kin.
Khi hu chu yeu la dich tiet am dao, hay con goi la huyet trang. Dich am dao danh dau qua trinh tien trien va hoat dong cua bo phan sinh san nu gioi, khi thay tu tuoi day thi cung voi suy giam dan o thoi ky het kinh. Dich tiet am dao binh thuong thi co mau trang, dai, khong mui hoac hoi tanh. Luong huyet trang o moi nguoi khac biet nhau Tuy thuoc vao nong do noi dao thai to chi em cung voi giam sut dan theo do tuoi. o thoi ky tien tat kinh, man kinh, qua trinh suy nhuoc nong do estrogen se lam cho huyet trang bai tiet ra it hon so voi giai doan truoc. Ben canh do trong khoang thoi gian truoc khi rung trung, khi co thai hoac "lam tran" tinh duc, so luong huyet trang se tiet ra ton kem hon.
Can cu vao tinh chat mau sac, so luong va dac thu, co kha nang phan loai huyet trang thanh hai dang: dich tiet am dao sinh ly (khi hu binh thuong) cung nhu huyet trang can benh.
3.1 huyet trang sinh ly Khi su sinh ly (khi hu binh thuong) thi co mau trang duc, 1 ty le hoi nga vang. Tai giai doan truoc cung voi sau rung trung, dich am dao thuong hay lieu co luong it cung voi khong dai. Huyet trang ra ton kem hon truy cap thoi diem rung trung, loang va dai, co the lau ngay bang hai ngon tay.
Cong dung cua khi hu sinh ly: khi hu sinh duc co tac dung giu am ket luan "co be", tao co hoi thuan loi de tinh binh khoe manh vao da con luc lieu co rung trung, hay can tro tinh binh tham nhap do luc khong co trung.
Tai giai doan "den do", dich tiet am dao bai tiet ra rat nhieu, phu nu co nguy co cam thay uot at, khong de chiu o "co be". Duoi luc het chu ky kinh, luong huyet trang bai tiet ra it, cua min kho rao boi so luong estrogen giam, luong progesteron tang. day la mot so roi loan thong thuong cua huyet trang.
3.2 huyet trang chung benh
Ben canh dich tiet am dao sinh duc, rat nhieu truong hop dich tiet am dao la trieu chung mot so chung benh benh viem am dao. Lieu co ba dang khi hu benh ly nhu sau:
Huyet trang mau trong: huyet trang lieu co mau trong, trang, nhay dinh, chua co mui hoi, doi luc loang nhu nuoc. day la dau hieu co the ban co kha nang mac cac benh nhu: phi dai da con, polyp co da con, lo tuyen co tu cung, qua san noi mac tu cung do cuong estrogen.
Huyet trang mau vang: dich tiet am dao trong, vang loang, co vang nhu sua. day co kha nang la dau hieu nhan biet co the ban gap mot so van de vi roi loan tam sinh ly, roi loan than kinh thuc vat.
Dich am dao mau duc: dich am dao dac, hoi cung nhu khong it, thuong co mau xanh cung voi vang, , co bot hoac khong tuy thuoc nguyen do dan toi can benh. Khi hu mau duc co kha nang do vi khuan, vi rut, ki sinh trung.
Dich am dao chung benh la dau hieu mot so benh duong sinh duc. Khi nhan biet dich am dao bat thuong, ban can den nhung trung tam y te uy tin de bac si chuyen khoa san phu khoa tham kham cung nhu chua kip thoi, han che nhiem trung nang ne co nguy co de lai hau qua nguy hiem, trong do co the benh vo sinh.
Co hoi am uot cua "co be" la dieu kien thuan loi cho vi khuan, virus xam nhap cung voi phat trien, tro thanh cac can benh viem nhiem vung kin. Do do, mot so ban nu can phai rua ray cho kin sach se lien tuc cung voi tien hanh cac luu y sau:
- Chon lua quan lot thoang mat, tham am, vua van de lien tuc nhan thay khong kho chiu.
- Thay quan chip it nhat ngay 1 lan (nhung khoang thoi gian khi hu ra rat nhieu, ban co nguy co thay the dat hon hoac lay bang ve sinh lien tuc de tham am, duy tri khu vuc kin thuong xuyen sach se se)
- Lam sach khu vuc kin bang nuoc sach hoac tron mot it muoi tinh trang cung nhu lau kho.
Luc nhan thay mot so bieu hien bat thuong cua dich am dao nhu mui hoi tanh kho chiu, dich tiet cao hon thuong thi, ngua ngay bo phan sinh san... Chi em can den chuyen gia phu khoa tham kham de dieu tri kip thoi.