{"id":3210,"date":"2023-08-23T15:07:40","date_gmt":"2023-08-23T08:07:40","guid":{"rendered":"https:\/\/opfe.vn\/?p=3210"},"modified":"2023-08-23T15:07:40","modified_gmt":"2023-08-23T08:07:40","slug":"bai-nao-va-phuong-phap-dieu-tri-phan-1-2","status":"publish","type":"post","link":"https:\/\/opfe.vn\/index.php\/2023\/08\/23\/bai-nao-va-phuong-phap-dieu-tri-phan-1-2\/","title":{"rendered":"B\u1ea0I N\u00c3O V\u00c0 PH\u01af\u01a0NG PH\u00c1P \u0110I\u1ec0U TR\u1eca (PH\u1ea6N 1\/2)"},"content":{"rendered":"\n

1. Nguy\u00ean nh\u00e2n x\u1ea3y ra b\u1ea1i n\u00e3o<\/h3>\n\n\n\n

1.1. Nguy\u00ean nh\u00e2n tr\u01b0\u1edbc sinh<\/strong><\/p>\n\n\n\n

\"\u2618\ufe0f\" Nhi\u1ec5m tr\u00f9ng trong thai k\u1ef3<\/p>\n\n\n\n

C\u00e1c nhi\u1ec5m tr\u00f9ng \u1edf ph\u1ee5 n\u1eef c\u00f3 thai nh\u01b0 nhi\u1ec5m rubella, c\u00e1c virus trong th\u1eddi gian 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o c\u1ee7a b\u00e0o thai v\u00e0 g\u00e2y b\u1ea1i n\u00e3o sau n\u00e0y. C\u00e1c nhi\u1ec5m tr\u00f9ng kh\u00e1c nh\u01b0 nhi\u1ec5m tr\u00f9ng \u1ed1i, nhi\u1ec5m tr\u00f9ng h\u1ec7 ti\u1ebft ni\u1ec7u \u2013 sinh d\u1ee5c c\u1ee7a ng\u01b0\u1eddi m\u1eb9 c\u0169ng c\u00f3 th\u1ec3 g\u00e2y n\u00ean sinh non, m\u1ed9t nguy c\u01a1 kh\u00e1c c\u1ee7a b\u1ea1i n\u00e3o.<\/p>\n\n\n\n

\"\u2618\ufe0f\" Thi\u1ebfu oxy n\u00e3o b\u00e0o thai<\/p>\n\n\n\n

Khi ch\u1ee9c n\u0103ng c\u1ee7a nhau thai b\u1ecb gi\u1ea3m s\u00fat (suy nhau thai) ho\u1eb7c b\u1ecb b\u00f3c t\u00e1ch kh\u1ecfi th\u00e0nh t\u1eed cung tr\u01b0\u1edbc khi sinh (nhau bong non) ho\u1eb7c ch\u1ea3y m\u00e1u do rau ti\u1ec1n \u0111\u1ea1o (b\u00e1nh rau b\u00e1m v\u00e0o \u0111o\u1ea1n d\u01b0\u1edbi t\u1eed cung g\u00e2y ch\u1ea3y m\u00e1u trong 3 th\u00e1ng cu\u1ed1i thai k\u1ef3) c\u00f3 th\u1ec3 l\u00e0m gi\u1ea3m l\u01b0\u1ee3ng oxy cung c\u1ea5p cho thai nhi, d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng n\u00e3o thai nhi, l\u00e0 m\u1ed9t nguy\u00ean nh\u00e2n b\u1ea1i n\u00e3o.<\/p>\n\n\n\n

\"\u2618\ufe0f\" C\u00e1c nguy\u00ean nh\u00e2n v\u00e0 b\u1ea5t th\u01b0\u1eddng kh\u00e1c<\/p>\n\n\n\n

+ C\u00e1c tr\u1ebb c\u00f3 b\u1ea5t th\u01b0\u1eddng c\u1ea5u tr\u00fac h\u1ec7 th\u1ea7n kinh c\u0169ng l\u00e0m t\u0103ng nguy c\u01a1 tr\u1ebb b\u1ecb b\u1ea1i n\u00e3o.
+ M\u1eb9 b\u1ecb b\u1ec7nh: B\u1ec7nh tuy\u1ebfn gi\u00e1p, \u0111\u00e1i th\u00e1o \u0111\u01b0\u1eddng thai k\u1ef3, nhi\u1ec5m \u0111\u1ed9c thai ngh\u00e9n, ti\u1ec1n s\u1ea3n gi\u1eadt\u2026
+ Di truy\u1ec1n: Y\u1ebfu t\u1ed1 gia \u0111\u00ecnh.<\/p>\n\n\n\n

1.2. Nguy\u00ean nh\u00e2n trong khi sinh<\/strong><\/p>\n\n\n\n

\"\u2618\ufe0f\" Sinh non, c\u00e2n n\u1eb7ng th\u1ea5p<\/p>\n\n\n\n

Sinh non l\u00e0 tr\u1ebb sinh ra tr\u01b0\u1edbc 37 tu\u1ea7n thai t\u00ednh t\u1eeb ng\u00e0y \u0111\u1ea7u ti\u00ean c\u1ee7a k\u1ef3 kinh nguy\u1ec7t cu\u1ed1i c\u00f9ng tr\u01b0\u1edbc khi c\u00f3 thai. Nh\u1eefng tr\u1ebb sinh non \u0111\u1eb7c bi\u1ec7t tr\u01b0\u1edbc 32 tu\u1ea7n v\u00e0 nh\u1ea5t l\u00e0 tr\u01b0\u1edbc 28 tu\u1ea7n thai c\u00f3 nguy c\u01a1 b\u1ea1i n\u00e3o r\u1ea5t cao. Nguy\u00ean nh\u00e2n l\u00e0 do tr\u1ebb sinh non c\u00f3 nguy c\u01a1 r\u1ea5t cao b\u1ecb xu\u1ea5t huy\u1ebft n\u00e3o, ph\u00f9 n\u00e3o g\u00e2y t\u1ed5n th\u01b0\u01a1ng c\u00e1c t\u1ed5 ch\u1ee9c mong manh \u0111ang ph\u00e1t tri\u1ec3n c\u1ee7a n\u00e3o ho\u1eb7c g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o d\u1ea1ng nhuy\u1ec5n h\u00f3a ch\u1ea5t tr\u1eafng quanh n\u00e3o th\u1ea5t.<\/p>\n\n\n\n

\"\u2618\ufe0f\" Ng\u1ea1t trong qu\u00e1 tr\u00ecnh chuy\u1ec3n d\u1ea1 v\u00e0 sinh<\/p>\n\n\n\n

Tr\u1ebb \u0111\u1ebb ra b\u1ecb ng\u1ea1t th\u01b0\u1eddng kh\u00f4ng kh\u00f3c ngay, to\u00e0n th\u00e2n t\u00edm t\u00e1i ho\u1eb7c tr\u1eafng b\u1ec7ch c\u1ea7n ph\u1ea3i c\u1ea5p c\u1ee9u. T\u1ef7 l\u1ec7 tr\u1ebb ng\u1ea1t ch\u1ec9 chi\u1ebfm 10% trong t\u1ed5ng s\u1ed1 c\u00e1c b\u1ec7nh nh\u00e2n b\u1ea1i n\u00e3o.<\/p>\n\n\n\n

\"\u2618\ufe0f\" Sang ch\u1ea5n s\u1ea3n khoa<\/p>\n\n\n\n

C\u00e1c sang ch\u1ea5n s\u1ea3n khoa nh\u1ea5t l\u00e0 c\u00e1c tr\u01b0\u1eddng h\u1ee3p sinh kh\u00f3 ph\u1ea3i s\u1eed d\u1ee5ng c\u00e1c bi\u1ec7n ph\u00e1p h\u1ed7 tr\u1ee3 khi sinh nh\u01b0: S\u1eed d\u1ee5ng gi\u00e1c h\u00fat, can thi\u1ec7p forceps …<\/p>\n\n\n\n

1.3 Nguy\u00ean nh\u00e2n sau sinh<\/strong><\/p>\n\n\n\n

\"\u2618\ufe0f\" Xu\u1ea5t huy\u1ebft n\u00e3o<\/p>\n\n\n\n

Xu\u1ea5t huy\u1ebft n\u00e3o \u1edf s\u01a1 sinh v\u00e0 xu\u1ea5t huy\u1ebft n\u00e3o \u1edf tr\u1ebb nh\u1ecf do thi\u1ebfu Vitamin K l\u00e0 b\u1ec7nh hay g\u1eb7p \u1edf c\u00e1c n\u01b0\u1edbc \u0111ang ph\u00e1t tri\u1ec3n nh\u01b0 Vi\u1ec7t Nam n\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ed1t d\u1ec5 g\u00e2y di ch\u1ee9ng b\u1ea1i n\u00e3o. C\u00e1c b\u1ec7nh l\u00fd v\u1ec1 m\u00e1u kh\u00e1c d\u1eabn \u0111\u1ebfn r\u1ed1i lo\u1ea1n \u0111\u00f4ng m\u00e1u c\u0169ng l\u00e0 y\u1ebfu t\u1ed1 nguy\u00ean nh\u00e2n g\u00f3p ph\u1ea7n t\u0103ng nguy c\u01a1 xu\u1ea5t huy\u1ebft n\u00e3o \u1edf tr\u1ebb, d\u1eabn t\u1edbi b\u1ea1i n\u00e3o.<\/p>\n\n\n\n

\"\u2618\ufe0f\" V\u00e0ng da nh\u00e2n<\/p>\n\n\n\n

Hi\u1ec7n t\u01b0\u1ee3ng v\u00e0ng da sinh l\u00fd th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n v\u00e0o ng\u00e0y th\u1ee9 2 – 4 sau sinh, v\u00e0ng nh\u1ea1t v\u00e0 th\u01b0\u1eddng kh\u00f4ng c\u00f3 k\u00e8m theo tri\u1ec7u ch\u1ee9ng n\u00e0o kh\u00e1c. V\u00e0ng da sinh l\u00fd th\u01b0\u1eddng k\u00e9o d\u00e0i trong kho\u1ea3ng 1 tu\u1ea7n \u1edf tr\u1ebb sinh \u0111\u1ee7 th\u00e1ng v\u00e0 2 tu\u1ea7n \u1edf tr\u1ebb sinh non th\u00e1ng.<\/p>\n\n\n\n

Tr\u1ebb b\u1ecb v\u00e0ng da b\u1ec7nh l\u00fd th\u01b0\u1eddng g\u1eb7p \u1edf tr\u1ebb c\u00f3 b\u1ea5t \u0111\u1ed3ng nh\u00f3m m\u00e1u m\u1eb9 – con ( nh\u00f3m m\u00e1u ABO, Rh, v\u00e0 d\u01b0\u1edbi nh\u00f3m…). Bi\u1ec3u hi\u1ec7n \u1edf tr\u1ebb l\u00e0 v\u00e0ng da \u0111\u1eadm v\u00e0 v\u00e0ng to\u00e0n th\u00e2n, c\u1ee7ng m\u1ea1c m\u1eaft c\u0169ng v\u00e0ng. N\u1ebfu kh\u00f4ng \u0111\u01b0\u1ee3c theo d\u00f5i v\u00e0 \u0111i\u1ec1u tr\u1ecb k\u1ecbp th\u1eddi, tr\u1ebb c\u00f3 th\u1ec3 xu\u1ea5t hi\u1ec7n b\u1ecf b\u00fa, t\u00edm t\u00e1i v\u00e0 du\u1ed7i c\u1ee9ng chi (d\u1ea5u hi\u1ec7u t\u1ed5n th\u01b0\u01a1ng n\u00e3o).<\/p>\n\n\n\n

\"\u2618\ufe0f\" H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft sau sinh<\/p>\n\n\n\n

G\u1ea7n \u0111\u00e2y, nguy\u00ean nh\u00e2n g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o do tr\u1ebb b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft sau sinh \u0111\u01b0\u1ee3c ghi nh\u1eadn g\u1eb7p t\u01b0\u01a1ng \u0111\u1ed1i nhi\u1ec1u. Khi \u0111\u01b0\u1eddng trong m\u00e1u h\u1ea1 th\u1ea5p, tr\u1ebb b\u1ecb h\u00f4n m\u00ea, suy h\u00f4 h\u1ea5p, l\u00e0 1 trong nh\u1eefng nguy\u00ean nh\u00e2n d\u1eabn \u0111\u1ebfn t\u1ed5n th\u01b0\u01a1ng n\u00e3o \u1edf tr\u1ebb d\u1eabn \u0111\u1ebfn b\u1ea1i n\u00e3o.<\/p>\n\n\n\n

\"\u2618\ufe0f\" B\u1ea1i n\u00e3o m\u1eafc ph\u1ea3i<\/p>\n\n\n\n

Tr\u1ebb m\u1eafc c\u00e1c ch\u1ee9ng b\u1ec7nh g\u00e2y t\u1ed5n th\u01b0\u01a1ng th\u1ea7n kinh trong nh\u1eefng n\u0103m \u0111\u1ea7u ti\u00ean c\u1ee7a \u0111\u1eddi s\u1ed1ng, k\u00e9o d\u00e0i cho \u0111\u1ebfn tr\u01b0\u1edbc 5 tu\u1ed5i nh\u01b0: Vi\u00eam m\u00e0ng n\u00e3o m\u1ee7, vi\u00eam n\u00e3o, ch\u1ea5n th\u01b0\u01a1ng s\u1ecd n\u00e3o, \u0111u\u1ed1i n\u01b0\u1edbc…<\/p>\n\n\n\n

Ban bi\u00ean t\u1eadp OPFE.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"

1. Nguy\u00ean nh\u00e2n x\u1ea3y ra b\u1ea1i n\u00e3o 1.1. Nguy\u00ean nh\u00e2n tr\u01b0\u1edbc sinh  Nhi\u1ec5m tr\u00f9ng trong thai k\u1ef3 C\u00e1c nhi\u1ec5m tr\u00f9ng \u1edf ph\u1ee5 n\u1eef c\u00f3 thai nh\u01b0 nhi\u1ec5m rubella, c\u00e1c virus trong th\u1eddi gian 3 th\u00e1ng \u0111\u1ea7u thai k\u1ef3 c\u00f3 th\u1ec3 g\u00e2y t\u1ed5n th\u01b0\u01a1ng n\u00e3o c\u1ee7a b\u00e0o thai v\u00e0 g\u00e2y b\u1ea1i n\u00e3o sau n\u00e0y. C\u00e1c nhi\u1ec5m […]<\/p>\n","protected":false},"author":9,"featured_media":3211,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[41],"tags":[289,291,290],"class_list":["post-3210","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-suc-khoe","tag-bai-nao","tag-nguyen-nhan","tag-phuong-phap-dieu-tri"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3210","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/users\/9"}],"replies":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/comments?post=3210"}],"version-history":[{"count":1,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3210\/revisions"}],"predecessor-version":[{"id":3212,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/posts\/3210\/revisions\/3212"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/media\/3211"}],"wp:attachment":[{"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/media?parent=3210"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/categories?post=3210"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/opfe.vn\/index.php\/wp-json\/wp\/v2\/tags?post=3210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}