VAITRO CUASIEU AM TRONG XUAT HUYTUECTUNG BAT THUONG KHONG LIEN QUAN DEN THA | BS KL Nguyen Thi Thu Trang BV Vinmec Central Park be ot ILA ‘ate HƠI Us * HT | NOI DUNG 1, Dinh nghia, cdc thuat ng, nguyén nhén theo The International Federationof Gynecologanyd Obstetrics (F1G0) 2, Cd but tgp tận đánh gi uuấthuyết từ tung Hết từntgheo hai hé thang FGO 3, Hin anh cc én K thug gdp trong wut huyét ti cung bt thurdng dah gi dt trén siu am Ket dn NO DAU + Yudt huyet ti cung bt thug abnormal uterine bleding-AUB) la chy mau ttt cung bat thug vé tinh du dln, th ih, tn sat thoi gan va xay ra Kh khong co tha + Til 3%-30% phy ni trong dtl sinh san, thutng nhieu tu dy hl va quanh man kinh + iện uy t tiều phương tin đánh giá AUB: iu dm, MR, ni soi bud tử cung su Am ngd Am dao a phurong tin đầu ta truy đánh gi AUB ‘Munro MG, Cctey HOO, Fraser 8 FGO MentrulOsordrs Commitee The two FAG systems for norma and abnormal teri bleeding symptoms and clsfaton of causes of abnormal uterine bledng nthe reproduce yas 2018 reson CAC THUAT NGU NGUYEN NHAN THEO FIGO FO len! Tinwit Bit tng ng at uy i Cacthuat mpi VaLakmyPe re Kh thug nun (38 ng) , 4 The gan Bh thug (224 dn 3 gy) Thtng yen (4 ng) dinh nga thì AUB oy inh thu(8 gng) Toh dtu din Keo dl pb ng) (ey Bnhtdbh(vnhtrchgchu Klng hvhit Sg) Mui BN gy inh Xhbun21g0 ny (ow Volum, putin determined) k uit hat la cu Binh thutng (ltermenstua bleeding MB) Mù Khong id Cut (Olu ch ga chu cub chu) AuthdoeGmadl no ng as Sterol thule gadtag wan, dn, ti ty Bang FIGO AUB system 1, Cc thut ng va cdc din nga cla AUB Mun MG, CichlHOyD, Fasr FC Ment iad Comite, Th two FG tr or oralal abnormal uterine biedng CAC THUAT NGU, NGUYEN NHAN THEO FIGO FIGO AUB Sys2 PtALeMCOmEIN tt yyy utd Kn cu td p po Iii Coa Ẻ L Ay | _ tui — ye = TÍN \ - | Malig&nhaypnercplaysia Tatrogenc M " | | Not yet classed 0 ¢] | | fe) 7 2 (0N p1 E BX | | \ \ LW fA Batrgchain dodn bit thn 8 ctu tr PALM cing ng al chan dod hint anh vd md hoc ‘Munro MG Crtctey HO, Broder MS Fase 10 Working Groon Muensptrual lords FIG clasation ystem PALM COEIN) for causes ofabnorma uterine been in nongravd women of reproduce agent) Gynaecol Ost 2011 Ap3{1)343 cel 104086) g02010.1.011, ub 2001 Fb 2 PMO 21345435, Yh 18D TheF1GtO sywsteoms fo normaalnd abnormal' TẾ CAN CHAN iterine bleeding symptoms and classification of B0ÁN AUB causes of abnormal uterine bleeding inthe reproductive yeas: 2018 revisions MacoG Mnunro! 2 Hilary 0D Cty lan Fraser 4: F160Menstal Disorders Commitee ColtboratorsAfilatons + expand PMID: 30198563 Ok 10 100g.686 1, Banh gié chung 2, Xa dinh tinh trang phong nodn 3, Tam sodt ch loan dng méu 4, anh gd ni mac tu cung (NMIT 5, Dan pa cdu tric budng noi macti cung 6, Banh id cot cung TIẾP CAN CHAN DOAN AUB Dar gi nbimac ti cung va cau tc buon te cun Sie dm ngd &m dao (TVUS) phe tin quan trong dgu ty dé ddnh id NMTC va du tric bubng tcung Néu TVUS cb bd thutng NMC, cu tc bung ti cung 4 Siéu dm dict tuong phan gel /numcui sinh (9 4 NGiso’ bung tcung (kt hop sinh thi Mri NG Crt HOO, Fraser F1G0 Menstrual sods Commitee The two FGO sysfotr enormmalsand abnormal uterine bledng symptoms and ton of aes of abnormal uterine lecing the reproductive yeas: 218 resins NAO SINH THIET Khing cin tht pha ngo sinh tit tt cd BN AUB Nao sinh thet budng te cung Kd yéu 6 nguy coca ri tis (Cac yéut6nguy co di rayén (i ching Lynch) 4Béoph (Siu dm ng dm dao NMTC dy, bn hon hop (AUKéoB diva Khdng gai thch dug, khongdue diu tr day dl Munro MG, Cctey HOO, Fraser 8 FGO MentrulOsorders Commute the two 1G systems for norma and abnormal vere bleeding symptons and clsication of cases of abnormal uterine lee inthe reproductive yeas: 2018 revs, hitps/wo/hwmboaruy/tnet/sendnomeata-lopsy TIEP CAN CHAN DOAANUB Đánh cot oung Burd ket hop siéu dm ngôn tâm đạn Buti 2: vxolién quan dén NMTC (160 0,1,2,3 yy) dn kt hop sium ng amn dan siéu am cb chat tuong phán tội si bung tử ong va MA Cacurd conkil, MRI: pid phn bit xo va lac tuyen trong cot cung,dénh ự đề ép buông nic, mic dan rdngvé do kch thu tn thyong tot hon NG Crt HOO, Fraser F1G0 Menstrual sods Commitee The two FGO systemfsor normaanld abnormal uterine bledng symptoms and ton of aes of abnormal uterine lecig I the reproductive yeas: 218 revsions SIFU AM DANH GIA BAT THUONG CAU TRUC PALM Polp i